0000837010-21-000046.txt : 20210714 0000837010-21-000046.hdr.sgml : 20210714 20210402165853 ACCESSION NUMBER: 0000837010-21-000046 CONFORMED SUBMISSION TYPE: S-3 PUBLIC DOCUMENT COUNT: 24 FILED AS OF DATE: 20210402 DATE AS OF CHANGE: 20210705 FILER: COMPANY DATA: COMPANY CONFORMED NAME: VOYA RETIREMENT INSURANCE & ANNUITY Co CENTRAL INDEX KEY: 0000837010 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 710294708 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: S-3 SEC ACT: 1933 Act SEC FILE NUMBER: 333-255012 FILM NUMBER: 21802665 BUSINESS ADDRESS: STREET 1: ONE ORANGE WAY CITY: WINDSOR STATE: CT ZIP: 06095-4774 BUSINESS PHONE: 860-580-4646 MAIL ADDRESS: STREET 1: ONE ORANGE WAY CITY: WINDSOR STATE: CT ZIP: 06095-4774 FORMER COMPANY: FORMER CONFORMED NAME: ING LIFE INSURANCE & ANNUITY CO DATE OF NAME CHANGE: 20020319 FORMER COMPANY: FORMER CONFORMED NAME: AETNA LIFE INSURANCE & ANNUITY CO /CT DATE OF NAME CHANGE: 19920703 S-3 1 rtagvoyagaregstmt.htm VOYA GUARNATEED ACCOUNT REG. STMT. rtagvoyagaregstmt.htm - Generated by SEC Publisher for SEC Filing

As filed with the Securities and Exchange Commission on April 2, 2021

Registration File No. 333-___________

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM S-3

REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933

 

VOYA RETIREMENT INSURANCE AND ANNUITY COMPANY

(Exact name of registrant as specified in its charter)

 

Connecticut

(State or other jurisdiction of incorporation or organization)

 

71-0294708

(I.R.S. Employer Identification No.)

 

One Orange Way, C2N, Windsor, Connecticut 06095-4774, 1-800-262-3862

(Address, including zip code, and telephone number, including area code, of registrant's principal executive offices)

 

Peter M. Scavongelli, Senior Counsel
Voya Retirement Insurance and Annuity Company
One Orange Way, C2N
Windsor, CT 06095-4774
1-860-580-1631
(Name, address, including zip code, and telephone number, including area code, of agent for service)

 

As soon as practical after the effective date of the Registration Statement.

We request acceleration of the effective date of this Registration Statement to May 1, 2021.

(Approximate date of commencement of proposed sale to the public)

If the only securities being registered on this Form are being offered pursuant to dividend or interest reinvestment plans, please check the following box:  ¨

If any of the securities being registered on this Form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933, other than securities offered only in connection with dividend or interest reinvestment plans, check the following box.  þ

If this Form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, please check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering.  ¨

If this Form is post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering.  ¨

If this Form is registration statement pursuant to General Instruction I.D. or a post-effective amendment thereto that shall become effective upon filing with the Commission pursuant to Rule 462(e) under the Securities Act, check the following box.  ¨

If this Form is a post-effective amendment to a registration statement filed pursuant to General Instruction I.D. filed to register additional securities or additional classes of securities pursuant to Rule 413(b) under the Securities Act, check the following box.  ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company.  See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.  ¨


 

Large accelerated filer  ¨                                                                                                                          Accelerated Filer  ¨

Non-accelerated filer  þ  (Do not check if a smaller reporting company)                                                                                                                                 Smaller reporting company  ¨


 

CALCULATION OF THE REGISTRATION FEE

 

Title of each class of securities to be registered

 

Amount to be registered*

 

Proposed maximum

offering price per unit*

 

Proposed maximum aggregate offering price

 

Amount of registration fee*

 

0

N/A

$1,000,000.00

$109.10

 

*     The proposed maximum aggregate offering price is estimated solely for the purpose of determining the registration fee.  The amount to be registered and the proposed maximum offering price per unit are not applicable as these securities are not issued in predetermined amounts or units.


 

PART I

INFORMATION REQUIRED IN PROSPECTUS

 


 

Voya Retirement Insurance and Annuity Company

 

Voya Guaranteed account

 

 

May 1, 2021

 

Introduction

 

The Voya Guaranteed Account (the “Guaranteed Account”) is a fixed interest option available during the accumulation phase of certain variable annuity contracts (the “contracts”) issued by Voya Retirement Insurance and Annuity Company (“VRIAC,” the “Company,” “we,” “us” and “our”).  Read this prospectus carefully before investing in the Guaranteed Account and save it for future reference.

 

General Description

 

The Guaranteed Account offers investors an opportunity to earn specified guaranteed rates of interest for specified periods of time, called guaranteed terms.  We generally offer several guaranteed terms at any one time for those considering investing in the Guaranteed Account.  The number of guaranteed terms offered may vary by state, we may not offer all guaranteed terms on all contracts, and the rates for a given guaranteed term may vary among contracts.  Each guaranteed term offers a guaranteed interest rate for investments that remain in the Guaranteed Account for the duration of the specific guaranteed term.  The guaranteed term establishes both the length of time for which we agree to credit a guaranteed interest rate and how long your investment must remain in the Guaranteed Account in order to receive the guaranteed interest rate.

 

We guarantee both principal and interest if, and only if, your investment remains invested for the full guaranteed term.  Charges related to the contract, such as a maintenance fee or early withdrawal charge, may still apply even if you do not withdraw until the end of a guaranteed term.  Investments taken out of the Guaranteed Account prior to the end of a guaranteed term may be subject to a market value adjustment which may result in an investment gain or loss.  See “Market Value Adjustment (MVA).”

 

PLEASE REFER TO PAGE 7 OF THIS PROSPECTUS FOR A DISCUSSION OF THE RISK FACTORS ASSOCIATED WITH THE CONTRACT.

 

Premium Bonus Option.  If the premium bonus option is available under your contract and you elect that option, we will credit a premium bonus to your contract for each purchase payment you make during the first account year.  There is an additional charge for this option during the first seven account years.  For amounts allocated to the Guaranteed Account, the assessment of this charge will result in a reduction in the interest which would have been credited to your account during the first seven account years if you had not elected the premium bonus option.  Therefore, the fees you will pay if you elect the premium bonus option will be greater than the fees you will pay if you do not elect the premium bonus option.  The premium bonus option may not be right for you if you expect to make additional purchase payments after the first account year or if you anticipate that you will need to make withdrawals during the first seven account years.  In these circumstances the amount of the premium bonus option charge may be more than the amount of the premium bonus we credit to your contract.  See the “Premium Bonus Option - Suitability” section of the contract prospectus.  The premium bonus option may not be available under all contracts or in all states.

 

This prospectus will explain:

·       Guaranteed interest rates and guaranteed terms;

·       Contributions to the Guaranteed Account;

·       Types of investments available;

·       How rates are offered;

·       How there can be an investment risk and how we calculate gain or loss;

·       Contract charges that can affect your account value in the Guaranteed Account;

·       Taking investments out of the Guaranteed Account; and

·       How to reinvest or withdraw at maturity.

 


 

 

Additional Disclosure Information

 

Neither the Securities and Exchange Commission (“SEC”) nor any state securities commission has approved or disapproved of these securities or passed on the accuracy or adequacy of this prospectus.  Any representation to the contrary is a criminal offense.  We do not intend for this prospectus to be an offer to sell or a solicitation of an offer to buy these securities in any state or jurisdiction that does not permit their sale.  We have not authorized anyone to provide you with information that is different than that contained in this prospectus.  The Guaranteed Account is not a deposit with, obligation of or guaranteed or endorsed by any bank, nor is it insured by the Federal Deposit Insurance Corporation (“FDIC”).

 

 

Our Home Office:

Voya Retirement Insurance and Annuity Company

One Orange Way

Windsor, Connecticut 06095-4774

 

Customer Service:

Voya

P.O. Box 9271

Des Moines, Iowa 50306-9271

1-800-531-4547

 

 

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Table of Contents

Page

 

summary...................................................................................................................... 4

RISK FACTORS............................................................................................................... 7

description of the guaranteed account................................................... 8

transfers.................................................................................................................. 10

withdrawals........................................................................................................... 11

MARKET VALUE ADJUSTMENT (“mva”)............................................................... 11

contract charges................................................................................................ 13

other topics............................................................................................................. 14

inquiries..................................................................................................................... 17


APPENDIX I –
Examples of Market Value Adjustment Calculations............................ I-1

 

APPENDIX II – Examples of Market Value Adjustment Yields................................... II-1

 

 

 

 

3

 


 

summary

 

The Guaranteed Account is a fixed interest option that may be available during the accumulation phase of your variable annuity contract.  The following is a summary of certain facts about the Guaranteed Account.

 

In General.  Amounts that you invest in the Guaranteed Account will earn a guaranteed interest rate if left in the Guaranteed Account for a specified period of time (the guaranteed term).  You must invest amounts in the Guaranteed Account for the full guaranteed term in order to receive the quoted guaranteed interest rate.  If you withdraw or transfer those amounts before the end of the guaranteed term, we may apply a “market value adjustment,” which may be positive or negative.

 

Questions:  Contacting the Company.  To answer your questions, contact your local representative or write or call Customer Service at:

Voya Retirement Insurance and Annuity Company
P.O. Box 9271

Des Moines, IA 50306-9271

1-800-531-4547

 

Deposit Periods.  A deposit period is the time during which we offer a specific guaranteed interest rate if you deposit dollars for a specific guaranteed term.  For a particular guaranteed interest rate and guaranteed term to apply to your account dollars, you must invest them during the deposit period in which that rate and term are offered.

 

Guaranteed Terms.  A guaranteed term is the period of time account dollars must be left in the Guaranteed Account in order to earn the guaranteed interest rate specified for that guaranteed term.  We offer different guaranteed terms at different times.  We may also offer more than one guaranteed term of the same duration with different guaranteed interest rates.  Check with your local representative or the Company to learn the details about the guaranteed term(s) currently offered.  We reserve the right to limit the number of guaranteed terms or the availability of certain guaranteed terms.  The number of guaranteed terms offered may vary by state, we may not offer all guaranteed terms on all contracts, and the rates for a given guaranteed term may vary among contracts.

 

Guaranteed Interest Rates.  We guarantee different interest rates, depending upon when account dollars are invested in the Guaranteed Account.  For guaranteed terms one year or longer, we may offer different rates for specified time periods within a guaranteed term.  The interest rate we guarantee is an annual effective yield; that means that the rate reflects a full year’s interest.  We credit interest at a rate that will provide the guaranteed annual effective yield over one year.  The guaranteed interest rate(s) is guaranteed for that deposit period and for the length of the guaranteed term.

 

The guaranteed interest rates we offer will always meet or exceed the minimum interest rates agreed to in the contract.  Apart from meeting the contractual minimum interest rates, we cannot guarantee any aspect of future offerings.

 

Fees and Other Deductions.  We do not make deductions from amounts in the Guaranteed Account to cover mortality and expense risks.  We consider these risks when determining the credited rate.  The following other types of charges may be deducted from amounts held in, withdrawn or transferred from the Guaranteed Account:

·     Market Value Adjustment (“MVA”).  An MVA may be applied to amounts transferred or withdrawn prior to the end of a guaranteed term, which reflects changes in interest rates since the deposit period.  The MVA may be positive or negative and therefore may increase or decrease the amount withdrawn to satisfy a transfer or withdrawal request.  See “Market Value Adjustment (“MVA”).”

·       Tax Penalties and/or Tax Withholding.  Amounts withdrawn may be subject to withholding for federal income taxes, as well as a 10% penalty tax for amounts withdrawn prior to your having attained age 59½. See “Other Topics – FEDERAL Tax CONSIDERATIONS;” see also the “FEDERAL Tax CONSIDERATIONS” section of the contract prospectus.

 

4

 


 

 

·       Early Withdrawal Charge.  An early withdrawal charge, which is a deferred sales charge, may apply to amounts withdrawn from the contract, in order to reimburse us for some of the sales and administrative expenses associated with the contract.  See “Contract Charges;” see also the “Fees” section of the contract prospectus.

·       Maintenance Fee.  A maintenance fee of up to $30 may be deducted, on an annual basis, pro-rata from all funding options including the Guaranteed Account.  See “Contract Charges;” see also the “Fees” section of the contract prospectus.

·       Transfer Fees.  During the accumulation phase, transfer fees of up to $10 per transfer may be deducted from amounts held in or transferred from the Guaranteed Account.  See “Contract Charges;” see also the “Fees” section of the contract prospectus.

·       Premium Taxes.  We may deduct a charge for premium taxes of up to 4% from amounts in the Guaranteed Account.  See “Contract Charges;” see also the “Fees” section of the contract prospectus.

·       Premium Bonus Option Charge.  If the premium bonus option is available under your contract and elected by you at the time of application, a charge will be deducted from amounts allocated to the Guaranteed Account, resulting in a 0.50% reduction in the interest which would have been credited to your account during the first seven account years if you had not elected the premium bonus option.  See “Contract Charges;” see also the “Fee Tables,” “Fees” and “Premium Bonus Option” sections of the contract prospectus.

 

Market Value Adjustment (“MVA”).  If you withdraw or transfer all or part of your account value from the Guaranteed Account before a guaranteed term is complete, an MVA may apply.  The MVA reflects the change in the value of the investment due to changes in interest rates since the date of deposit.  The MVA may be positive or negative depending upon interest rate activity at the time of withdrawal or transfer.

 

An MVA will not apply to:

·       Amounts transferred or withdrawn at the end of a guaranteed term;

·       Transactions made under the maturity value transfer provision;

·       Transfers due to participation in the dollar cost averaging program (see “Market Value Adjustment” for certain restrictions);

·       Amounts distributed under a systematic distribution option (see “Systematic Distribution Options” in the contract prospectus);

·       Withdrawals for minimum distributions required by the Internal Revenue Code of 1986, as amended (Tax Code), and for which the early withdrawal charge is waived; and

·       Withdrawals due to your exercise of the right to cancel your contract.  See the “Right to Cancel” section of the contract prospectus.

 

MVAs applied to withdrawals or transfers from the Guaranteed Account will be calculated as an “aggregate MVA,” which is the sum of all MVAs applicable due to the withdrawal (see the “Market Value Adjustment (“MVA”) section of this prospectus for an example of the calculation of the aggregate MVA).  The following withdrawals will be subject to an aggregate MVA only if it is positive:

·       Withdrawals due to the election of a lifetime income option; and

·       Unless otherwise noted, payment of a guaranteed death benefit (if paid within the first six months following death).

 

All other withdrawals will be subject to an aggregate MVA, regardless of whether it is positive or negative, including:

·       Withdrawals due to the election of a nonlifetime income option;

·       Payment of a guaranteed death benefit due to the death of a spousal beneficiary or a joint contract holder who continued the account in his or her name after the death of the other joint contract holder;

·       Payment of a guaranteed death benefit more than six months after the date of death (except under certain contracts issued in the State of New York); and

·       Full or partial withdrawals during the accumulation phase (an MVA may not apply in certain situations, see “Market Value Adjustment (“MVA”)”).

 

 

5

 


 

See “Description of the Guaranteed Account” and “Market Value Adjustment (“MVA”).”

 

Maturity of a Guaranteed Term.  On or before the end of a guaranteed term, you may instruct us to:

·       Transfer the matured amount to one or more new guaranteed terms available under the current deposit period;

·       Transfer the matured amount to other available investment options; or

·       Withdraw the matured amount.

 

Amounts withdrawn may be subject to an early withdrawal charge, a maintenance fee, tax withholding and, if you are under age 59½, tax penalties.  Withdrawals may also result in the forfeiture of all or a part of any premium bonus credited to the Guaranteed Account.  See “Description of the Guaranteed Account - Maturity of a Guaranteed Term;” see also the “Premium Bonus Option - Forfeiture” and “Withdrawals” sections of the contract prospectus.

 

See “Contract Charges;” see also the “Fees” and “FEDERAL Tax CONSIDERATIONS” sections of the contract prospectus.

 

When a guaranteed term ends, if we have not received instructions from you, we will automatically reinvest the maturing investment into a new guaranteed term of similar length (see “Description of the Guaranteed Account - Maturity of a Guaranteed Term and “Maturity Value Transfer Provision”).  If the same guaranteed term is no longer available, the next shortest guaranteed term available in the current deposit period will be used.  If no shorter guaranteed term is available, the next longest guaranteed term will be used.

 

If you do not provide instructions concerning the maturing amount on or before the end of a guaranteed term, and this amount is automatically reinvested as noted above, the maturity value transfer provision will apply.

 

Maturity Value Transfer Provision.  This provision allows transfers or withdrawals of amounts automatically reinvested at the end of a guaranteed term without an MVA, if the transfer or withdrawal occurs during the calendar month immediately following a guaranteed term maturity date.  As described in “Fees and Other Deductions” above, other fees, including an early withdrawal charge and a maintenance fee, may be assessed on amounts withdrawn.  See “Description of the Guaranteed Account - Maturity Value Transfer Provision.”

 

Transfer of Account Dollars.  Generally, account dollars invested in the Guaranteed Account may be transferred among guaranteed terms offered through the Guaranteed Account and/or to other investment options offered through the contract.  However:

·       Transfers may not be made during the deposit period in which your account dollars are invested in the Guaranteed Account or for 90 days after the close of that deposit period; and

·       We may apply an MVA to transfers made before the end of a guaranteed term.

 

Investments.  Guaranteed interest rates credited during any guaranteed term do not necessarily relate to investment performance.  Deposits received into the Guaranteed Account will generally be invested in federal, state and municipal obligations, corporate bonds, preferred stocks, real estate mortgages, real estate, certain other fixed income investments and cash or cash equivalents.  All of our general assets are available to meet guarantees under the Guaranteed Account.

 

Amounts allocated to the Guaranteed Account are held in a nonunitized separate account established by the Company under Connecticut law.  To the extent provided for in the contract, assets of the separate account are not chargeable with liabilities arising out of any other business that we conduct.  See “Investments.”

 

Notification of Maturity.  We will notify you at least 18 calendar days prior to the maturity of a guaranteed term.  We will include information relating to the current deposit period’s guaranteed interest rates and the available guaranteed terms.  You may obtain information concerning available deposit periods, guaranteed interest rates and guaranteed terms by telephone 1-800-531-4547.  See “Description of the Guaranteed Account - General” and “Description of the Guaranteed Account - Maturity of a Guaranteed Term.”

 

 

 

6

 


 

RISK FACTORS

 

Allocating contract value to the Guaranteed Account involves certain risks as noted below. You should also carefully consider your personal tax situation before you invest in the Guaranteed Account.  See “OTHER TOPICS – Federal Tax Considerations” and discuss your personal tax situation with a tax and/or legal adviser for information about the tax treatment of amounts invested in the Guaranteed Account.

 

Liquidity Risk.  The Guaranteed Account is designed for long-term investment and your purchase payments should be invested in the Guaranteed Account for at least the length of the early withdrawal charge period under the contract.  A free withdrawal percentage or other waiver, if available under the contract, may provide some liquidity.  However, if you withdraw more than the free withdrawal percentage, if available, or a waiver of the charge does not apply, an early withdrawal charge may apply, which in combination with the Market Value Adjustment, could result in the loss of principal and earnings.  Because the Guaranteed Account provides only limited liquidity during the early withdrawal charge period, it is not suitable for short-term investment.

 

Fees.  Your amount invested in the Guaranteed Account may be impacted by a Market Value Adjustment, the early withdrawal charge, maintenance fee, transfer fees, premium taxes, taxes, and, if the premium bonus option is available under your contract, the premium bonus charge.  These fees and other deductions could result in you receiving less than your investment in the Guaranteed Account.  

 

If the premium bonus option is available under your contract and you elect that option, premium bonus amounts invested in the Guaranteed Account will be subject to an additional charge during the first seven contract years.  This premium bonus charge will result in a reduction in the interest which would have been credited to those amounts during the first seven contract years, and the premium bonus charge may exceed the amount of the premium bonus credited to your contract.  See the “PREMIUM BONUS OPTION – SUITABILITY” section of the contract prospectus for more information.

 

Early Withdrawal Charge.  An early withdrawal charge may apply to certain withdrawals of all or a portion of your investment in the Guaranteed Account. The early withdrawal charge is designed to recover some of our sales and administrative costs associated with the contract. Any early withdrawal charge, in combination with the MVA, could result in the loss of principal and earnings. You bear the risk that you may receive less than your investment in the Guaranteed Account.

 

The Market Value Adjustment (“MVA”).  A MVA may apply to early withdrawals, transfers or other transactions associated with the Guaranteed Account.  We use the MVA to protect us from the risk that we will suffer a loss should we need to liquidate the investments we use to support the guaranteed interest rates that we offer in order to pay you the amount requested. The MVA may be negative, positive or result in no change.  The MVA is generally negative when interest rates in the current market are higher than at the guaranteed interest rates for the guaranteed terms in which you are invested.  At the time of any transaction triggering a MVA, in the event that interest rates in the current market are higher, you bear the risk that you may receive less than your investment in the Guaranteed Account.

 

Interest Rate Risk.  The minimum guaranteed interest rate associated with any applicable guaranteed term will never be less than the rate stated in your contract.  We will periodically determine the interest rates we offer in excess of the guaranteed minimum interest rate in our sole discretion.  We have no specific formula for determining the rate of interest we will declare in the future.  The interest rates we declare are influenced by, but do not necessarily correspond with, interest rates available on the type of debt instruments in which we intend to invest amounts attributable to the Guaranteed Account.  We cannot predict the level of future interest rates.

 

Investment Risk.  The Guaranteed Account’s investment risk and return characteristics are similar to those of a zero coupon bond or certificate of deposit.  Your account value maintained in the Guaranteed Account through the end of a guaranteed term provides a fixed rate of return. The Company guarantees principal and credited interest only when held for the length of the guaranteed term. Otherwise, an early withdrawal charge may apply, which in combination with the MVA, could result in the loss of principal and earnings. You bear the risk that you may receive less than your investment in the Guaranteed Account.

 

 

7

 


 

 

Financial Strength.  All guarantees under the Guaranteed Account are subject to the financial strength and claims paying ability of the Company.

 

 

description of the guaranteed account

 

General

 

The Guaranteed Account offers guaranteed interest rates for specific guaranteed terms.  For a particular guaranteed interest rate and guaranteed term to apply to your account dollars, you must invest them during the deposit period in which that rate and term are offered.  For guaranteed terms of one year or longer, we may offer different interest rates for specified time periods within a guaranteed term.  We may also offer more than one guaranteed term of the same duration with different guaranteed interest rates.

 

An MVA may be applied to any values withdrawn or transferred from a guaranteed term prior to the end of that guaranteed term, except for amounts transferred under the maturity value transfer provision, amounts transferred under the dollar cost averaging program, amounts withdrawn under a systematic distribution option, amounts withdrawn for minimum distributions required by the Tax Code and withdrawals due to your exercise of the right to cancel your contract.

 

MVAs applied to withdrawals or transfers from the Guaranteed Account will be calculated as an “aggregate MVA,” which is the sum of all MVAs applicable due to the withdrawal (see the “Market Value Adjustment (“MVA”)” section of this prospectus for an example of the calculation of the aggregate MVA).  The following withdrawals will be subject to an aggregate MVA only if it is positive:

·       Withdrawals due to the election of a lifetime income option; and

·       Unless otherwise noted, payment of a guaranteed death benefit (if paid within the first six months following death).

 

All other withdrawals will be subject to an aggregate MVA, regardless of whether it is positive or negative, including:

·       Withdrawals due to the election of a nonlifetime income option;

·       Payment of a guaranteed death benefit due to the death of a spousal beneficiary or a joint contract holder who continued the account in his or her name after the death of the other joint contract holder;

·       Payment of a guaranteed death benefit more than six months after the date of death (except under certain contracts issued in the State of New York); and

·       Full or partial withdrawals during the accumulation phase (an MVA may not apply in certain situations, see “Market Value Adjustment (“MVA”)”).

 

We maintain a toll-free telephone number for those wishing to obtain information concerning available deposit periods, guaranteed interest rates and guaranteed terms.  The telephone number is 1-800-531-4547.  At least 18 calendar days before a guaranteed term matures we will notify you of the upcoming deposit period dates and information on the current guaranteed interest rates, guaranteed terms and projected matured guaranteed term values.

 

Contributions to the Guaranteed Account

 

You may invest in the guaranteed terms available in the current deposit period by allocating new payments to the Guaranteed Account or by transferring a sum from other funding options available under the contract or from other guaranteed terms of the Guaranteed Account, subject to the transfer limitations described in the contract.  We may limit the number of guaranteed terms you may select.  Currently, if the dollar cost averaging program is in effect in a guaranteed term and you wish to add an additional deposit to be dollar cost averaged, all amounts to be dollar cost averaged will be combined and the dollar cost averaging amount will be recalculated.  This will affect the duration of amounts in the guaranteed term.

 

 

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Although there is currently no limit, we reserve the right to limit the total number of investment options you may select at any one time during the life of the contract.  For purposes of determining any limit, each guaranteed term counts as one investment option.  Although we may require a minimum payment(s) to a contract, we do not require a minimum investment for a guaranteed term.  Refer to the contract prospectus.  There is a $500 minimum for transfers from other funding options.

 

Investments may not be transferred from a guaranteed term during the deposit period in which the investment is applied or during the first 90 days after the close of the deposit period.  This restriction does not apply to amounts transferred or withdrawn under the maturity value transfer provision, to amounts transferred under the dollar cost averaging program or, in some situations, withdrawn because you discontinued the dollar cost averaging program, or to amounts distributed under a systematic distribution option.  See “Maturity Value Transfer Provision” and “Transfers.”

 

Deposit Period

 

The deposit period is the period of time during which you may direct investments to a particular guaranteed term(s) and receive a stipulated guaranteed interest rate(s).  Each deposit period may be a month, a calendar quarter or any other period of time we specify.

 

Guaranteed Terms

 

A guaranteed term is the time we specify during which we credit the guaranteed interest rate.  We offer guaranteed terms at our discretion for various periods ranging up to and including 10 years.  We may limit the number of guaranteed terms you may select and may require enrollment in the dollar cost averaging program.

 

Guaranteed Interest Rates

 

Guaranteed interest rates are the rates that we guarantee will be credited on amounts applied during a deposit period for a specific guaranteed term.  We may offer different guaranteed interest rates on guaranteed terms of the same duration.  Guaranteed interest rates are annual effective yields, reflecting a full year’s interest.  We credit interest at a rate that will provide the guaranteed annual effective yield over one year.  Guaranteed interest rates are credited according to the length of the guaranteed term as follows:

 

·       Guaranteed Terms of One Year or Less.  The guaranteed interest rate is credited from the date of deposit to the last day of the guaranteed term.

 

·       Guaranteed Terms of Greater than One Year.  Except for those contracts or certificates issued in the State of New York, several different guaranteed interest rates may be applicable during a guaranteed term of more than one year.  The initial guaranteed interest rate is credited from the date of deposit to the end of a specified period within the guaranteed term.  We may credit several different guaranteed interest rates for subsequent specific periods of time within the guaranteed term.  For example, for a five-year guaranteed term we may guarantee 7% for the first year, 6.75% for the next two years and 6.5% for the remaining two years.  We reserve the right, however, to apply one guaranteed interest rate for an entire guaranteed term.

 

·       We will not guarantee or credit a guaranteed interest rate below the minimum rate specified in the contract, nor will we credit interest at a rate above the guaranteed interest rate we announce prior to the start of a deposit period.  Our guaranteed interest rates are influenced by, but do not necessarily correspond with, interest rates available on fixed income investments we may buy using deposits directed to the Guaranteed Account (see “Other Topics - Investments).  We consider other factors when determining guaranteed interest rates including regulatory and tax requirements, sales commissions and administrative expenses borne by the Company, general economic trends and competitive factors.  We make the final determination regarding guaranteed interest rates.  We cannot predict the level of future guaranteed interest rates.

 

 

9

 


 

Maturity of a Guaranteed Term.  At least 18 calendar days prior to the maturity of a guaranteed term we will notify you of the upcoming deposit period, the projected value of the amount maturing at the end of the guaranteed term and the guaranteed interest rate(s) and guaranteed term(s) available for the current deposit period.

 

When a guaranteed term matures, the amounts in any maturing guaranteed term may be:

·       Transferred to a new guaranteed term(s), if available under the contract;

·       Transferred to any of the allowable investment options available under the contract; or

·       Withdrawn from the contract.

 

We do not apply an MVA to amounts transferred or withdrawn from a guaranteed term on the date the guaranteed term matures.  Amounts withdrawn, however, may be subject to an early withdrawal charge, a maintenance fee, taxation and, if the contract holder is under age 59½, tax penalties.  Withdrawals may also result in the forfeiture of all or part of any premium bonus credited to the Guaranteed Account.  See the “Premium Bonus Option - Forfeiture” and “Withdrawals” sections of the contract prospectus.

 

If we have not received direction from you by the maturity date of a guaranteed term, we will automatically transfer the matured term value to a new guaranteed term of similar length.  If the same guaranteed term is no longer available, the next shortest guaranteed term available in the current deposit period will be used.  If no shorter guaranteed term is available, the next longest guaranteed term will be used.

 

Under the Guaranteed Account, each guaranteed term is counted as one funding option.  If a guaranteed term matures, and is renewed for the same term, it will not count as an additional investment option for purposes of any limitation on the number of investment options.

 

You will receive a confirmation statement, plus information on the new guaranteed rate(s) and guaranteed term.

 

Maturity Value Transfer Provision

 

If we automatically reinvest the proceeds from a matured guaranteed term, you may transfer or withdraw from the Guaranteed Account the amount that was reinvested without an MVA.  An early withdrawal charge and maintenance fee may apply to withdrawals.  If the full amount reinvested is transferred or withdrawn, we will include interest credited to the date of the transfer or withdrawal.  This provision is only available until the last business day of the month following the maturity date of the prior guaranteed term.  This provision only applies to the first transfer or withdrawal request received from the contract holder with respect to a particular matured guaranteed term value, regardless of the amount involved in the transaction.

 

 

transfers

 

We allow you to transfer all or a portion of your account value to the Guaranteed Account or to other investment options under the contract.  We do not allow transfers from any guaranteed term to any other guaranteed term or investment option during the deposit period for that guaranteed term or for 90 days following the close of that deposit period.  The 90-day wait does not apply to:

·       Amounts transferred on the maturity date or under the maturity value transfer provision;

·       Amounts transferred from the Guaranteed Account before the maturity date due to the election of an income phase payment option;

·       Amounts distributed under a systematic distribution option;

·       Amounts transferred from an available guaranteed term in connection with the dollar cost averaging program; and

·       Withdrawals due to your exercise of the right to cancel your contract. See the “Right to Cancel” section of the contract prospectus.

 

 

10

 


 

Transfers after the 90-day period are permitted from a guaranteed term(s) to another guaranteed term(s) available during a deposit period or to other available investment options.  We will apply an MVA to transfers made before the end of a guaranteed term.  Transfers within one calendar month of a term’s maturity date are not counted as one of the 12 free transfers of accumulated values in the account.

 

When the contract holder requests the transfer of a specific dollar amount, we account for any applicable MVA in determining the amount to be withdrawn from a guaranteed term(s) to fulfill the request.  Therefore, the amount we actually withdraw from the guaranteed term(s) may be more or less than the requested dollar amount. See “Appendix I” for an example.  For more information on transfers, see the contract prospectus.

 

 

 

withdrawals

 

The contract allows for full or partial withdrawals from the Guaranteed Account at any time during the accumulation phase.  To make a full or partial withdrawal, a request form (available from us) must be properly completed and submitted to Customer Service (or other designated office as provided in the contract).

 

Partial withdrawals are made pro-rata from each guaranteed term group.  From each guaranteed term group, we will first withdraw funds from the oldest deposit period, then from the next oldest and so on.

 

We may apply an MVA to withdrawals made prior to the end of a guaranteed term, except for withdrawals made under the maturity value transfer provision.  See Market Value Adjustment (MVA)”.  We may deduct an early withdrawal charge and maintenance fee.  The early withdrawal charge is a deferred sales charge which may be deducted upon withdrawal to reimburse us for some of the sales and administrative expenses associated with the contract.  A maintenance fee, up to $30, may be deducted pro-rata from each of the funding options, including the Guaranteed Account.  Refer to the contract prospectus for a description of these charges.  When a request for a partial withdrawal of a specific dollar amount is made, we will include the MVA in determining the amount to be withdrawn from the guaranteed term(s) to fulfill the request.  Therefore, the amount we actually take from the guaranteed term(s) may be more or less than the dollar amount requested.  See “Appendix I” for an example.

 

Deferral of Payments

Under certain emergency conditions, we may defer payment of a Guaranteed Account withdrawal for up to six months.  Refer to the contract prospectus for more details.

 

Reinstatement Privilege

You may elect to reinstate all or a portion of a full withdrawal during the 30 days following such a withdrawal.  We must receive amounts for reinstatement within 60 days of the withdrawal.

 

We will apply reinstated amounts to the current deposit period.  This means that the guaranteed annual interest rate and guaranteed terms available on the date of reinstatement will apply.  Amounts are reinstated in the same proportion as prior to the full withdrawal.  We will not credit your account for market value adjustments or any premium bonus forfeited that we deducted at the time of withdrawal or refund any taxes that were withheld.  Refer to the contract prospectus for further details.

 

 

MARKET VALUE ADJUSTMENT (“mva”)

 

Aggregate MVA — The total of all MVAs applied due to a transfer or withdrawal.

 

Calculation of the Aggregate MVA — In order to satisfy a transfer or withdrawal, amounts may be withdrawn from more than one guaranteed term, with more than one guaranteed interest rate.  In order to determine the MVA applicable to such a transfer or withdrawal, the MVAs applicable to each guaranteed term will be added together, in order to determine the “aggregate MVA.”

 

11

 


 

Example:

$1,000 withdrawal, two guaranteed terms,

MVA1 = $10, MVA2 = $–30

$10 + $–30 = $–20.

Aggregate MVA = $–20.

 

Example:

$1,000 withdrawal, two guaranteed terms,

MVA1 = $30, MVA2 = $–10

$30 + $–10 = $20.

Aggregate MVA = $20.

 

We apply an MVA to amounts transferred or withdrawn from the Guaranteed Account prior to the end of a guaranteed term.  To accommodate early withdrawals or transfers, we may need to liquidate certain assets or use cash that could otherwise be invested at current interest rates.  When we sell assets prematurely we could realize a profit or loss depending upon market conditions.

 

The MVA reflects changes in interest rates since the deposit period.  When interest rates increase after the deposit period, the value of the investment decreases and the MVA amount may be negative.  Conversely, when interest rates decrease after the deposit period, the value of the investment increases and the MVA amount may be positive.  Therefore, the application of an MVA may increase or decrease the amount withdrawn from a guaranteed term to satisfy a withdrawal or transfer request.

 

An MVA will not apply to:

·       Amounts transferred or withdrawn at the end of a guaranteed term;

·       Transactions made under the maturity value transfer provision;

·       Transfers due to participation in the dollar cost averaging program*;

·       Amounts distributed under a systematic distribution option - see “Systematic Distribution Options” in the contract prospectus;

·       Withdrawals for minimum distributions required by the Tax Code and for which the early withdrawal charge is waived; and

·       Withdrawals due to your exercise of the right to cancel your contract. See the “Right to Cancel” section of the contract prospectus.

 

MVAs applied to withdrawals or transfers from the Guaranteed Account will be calculated as an “aggregate MVA,” which is the sum of all MVAs applicable due to the withdrawal.  (See the previous page for an example of the calculation of the aggregate MVA).  The following withdrawals will be subject to an aggregate MVA only if it is positive:

·       Withdrawals due to the election of a lifetime income option; and

·       Unless otherwise noted, payment of a guaranteed death benefit (if paid within the first six months following death).

 

All other withdrawals will be subject to an aggregate MVA, regardless of whether it is positive or negative, including:

·       Withdrawals due to the election of a nonlifetime income option;

·       Payment of a guaranteed death benefit due to the death of a spousal beneficiary or a joint contract holder who continued the account in his or her name after the death of the other joint contract holder;

·       Payment of a guaranteed death benefit more than six months after the date of death (except under certain contracts issued in the State of New York); and

·       Full or partial withdrawals during the accumulation phase (an MVA may not apply in certain situations, as noted above).

 

__________________________

*  If you discontinue the dollar cost averaging program and transfer the amounts in it, subject to the Company’s terms and conditions governing guaranteed terms, to another guaranteed term, an MVA will apply.

 

12

 


 

Calculation of the MVA

 

The amount of the MVA depends upon the relationship between:

·       The deposit period yield of U.S. Treasury Notes that will mature in the last quarter of the guaranteed term; and

·       The current yield of such U. S. Treasury Notes at the time of withdrawal.

 

If the current yield is less than the deposit period yield, the MVA will decrease the amount withdrawn from a guaranteed term to satisfy a transfer or withdrawal request (the MVA will be positive).  If the current yield is greater than the deposit period yield, the MVA will increase the amount withdrawn from a guaranteed term (the MVA will be negative or detrimental to the investor).

 

Deposit Period Yield

 

We determine the deposit period yield used in the MVA calculation by considering interest rates prevailing during the deposit period of the guaranteed term from which the transfer or withdrawal will be made.  First, we identify the Treasury Notes that mature in the last three months of the guaranteed term.  Then, we determine their yield-to-maturity percentages for the last business day of each week in the deposit period.  We then average the resulting percentages to determine the deposit period yield.

 

Treasury Note information may be found each business day in publications such as the Wall Street Journal, which publishes the yield-to-maturity percentages for all Treasury Notes as of the preceding business day.

 

Current Yield

 

We use the same Treasury Notes identified for the deposit period yield to determine the current yield - Treasury Notes that mature in the last three months of the guaranteed term.  However, we use the yield-to-maturity percentages for the last business day of the week preceding the withdrawal and average those percentages to get the current yield.

 

MVA Formula

 

The mathematical formula used to determine the MVA is:

 

{

 

(1+i)

}

  x

 

365

 

(1+j)

 

 

where i is the deposit period yield; j is the current yield; and x is the number of days remaining (computed from Wednesday of the week of withdrawal) in the guaranteed term.  (For examples of how we calculate MVA, refer to Appendix I.)

 

We make an adjustment in the formula of the MVA to reflect the period of time remaining in the guaranteed term from the Wednesday of the week of a withdrawal.

 

 

contract charges

 

Certain charges may be deducted directly or indirectly from the funding options available under the contract, including the Guaranteed Account.  The contract may have a maintenance fee of up to $30 that we will deduct, on an annual basis, pro-rata from all funding options including the Guaranteed Account.  We may also deduct a maintenance fee upon full withdrawal of a contract.

 

 

13

 


 

The contract may have an early withdrawal charge that we will deduct, if applicable, upon a full or partial withdrawal from the contract.  If the withdrawal occurs prior to the maturity of a guaranteed term, both the early withdrawal charge and an MVA may be assessed.

 

We do not deduct mortality and expense risk charges and other asset-based charges that may apply to variable funding options from the Guaranteed Account.  These charges are only applicable to the variable funding options.

 

If the premium bonus option is available under your contract and elected by you at the time of application, a charge will be deducted from amounts allocated to the Guaranteed Account, resulting in a 0.50% reduction in the interest which would have been credited to your account during the first seven account years if you had not elected the premium bonus option.  See the “Fee Tables,” “Fees” and “Premium Bonus Option” sections of the contract prospectus.

 

We may deduct a charge for premium taxes of up to 4% from amounts in the Guaranteed Account.

 

During the accumulation phase, transfer fees of up to $10 per transfer may be deducted from amounts held in or transferred from the Guaranteed Account.

 

Refer to the contract prospectus for details on contract deductions.

 

 

other topics

 

The Company

 

Voya Retirement Insurance and Annuity Company (the “Company,” “we,” “us” and “our”) is a stock life insurance company organized under the insurance laws of the State of Connecticut in 1976.  Prior to January 1, 2002, the Company was known as Aetna Life Insurance and Annuity Company. From January 1, 2002 until August 31, 2014, the Company was known as ING Life Insurance and Annuity Company.

 

We are an indirect, wholly owned subsidiary of Voya Financial, Inc. (“Voya”), which until April 7, 2014, was known as ING U.S., Inc.  In May 2013 the common stock of Voya began trading on the New York Stock Exchange under the symbol “VOYA”. 

 

We are engaged in the business of selling life insurance and annuities and providing financial services in the United States.  We are authorized to conduct business in all states, the District of Columbia, Guam, Puerto Rico and the Virgin Islands.  Our principal executive offices are located at:

 

One Orange Way

Windsor, Connecticut 06095-4774

 

 

Income Phase

 

The Guaranteed Account may not be used as a funding option during the income phase.  Amounts invested in guaranteed terms must be transferred to one or more of the options available to fund income payments before income payments can begin.

 

An aggregate MVA, as previously described, may be applied to amounts transferred to fund income payments before the end of a guaranteed term.  Amounts used to fund lifetime income payments will receive either a positive aggregate MVA or none at all; however, amounts transferred to fund a nonlifetime income payment option may receive either a positive or negative aggregate MVA.  Refer to the contract prospectus for a discussion of the income phase.

 

 

14

 


 

Investments

 

Amounts applied to the Guaranteed Account will be deposited to a nonunitized separate account established under Connecticut law.  A nonunitized separate account is a separate account in which the contract holder does not participate in the performance of the assets through unit values or any other interest.  Contract holders allocating funds to the nonunitized separate account do not receive a unit value of ownership of assets accounted for in this separate account.  The risk of investment gain or loss is borne entirely by the Company.  All Company obligations due to allocations to the nonunitized separate account are contractual guarantees of the Company and are accounted for in the separate account.  All of the general assets of the Company are available to meet our contractual guarantees.  To the extent provided for in the applicable contract, the assets of the nonunitized separate account are not chargeable with liabilities resulting from any other business of the Company.  Income, gains and losses of the separate account are credited to or charged against the separate account without regard to other income, gains or losses of the Company.

 

Types of Investments.  We intend to invest primarily in investment-grade fixed income securities including:

·       Securities issued by the United States Government;

·       Issues of United States Government agencies or instrumentalities (these issues may or may not be guaranteed by the United States Government;

·       Debt securities which have an investment grade, at the time of purchase, within the four highest grades assigned by Moody’s Investors Services, Inc. (Aaa, Aa, A or Baa), Standard & Poor’s Corporation (AAA, AA, A or BBB) or any other nationally-recognized rating service;

·       Other debt instruments, including those issued or guaranteed by banks or bank holding companies, and of corporations, which although not rated by Moody’s Standard & Poor’s or other nationally-recognized rating services, are deemed by the Company’s management to have an investment quality comparable to securities which may be purchased as stated above; and

·       Commercial paper, cash or cash equivalents and other short-term investments having a maturity of less than one year which are considered by the Company’s management to have investment quality comparable to securities which may be purchased as stated above.

 

We may invest in futures and options.  We purchase financial futures, related options and options on securities solely for non-speculative hedging purposes.  Should securities prices be expected to decline, we may sell a futures contract or purchase a put option on futures or securities to protect the value of securities held in or to be sold for the nonunitized separate account.  Similarly, if securities prices are expected to rise, we may purchase a futures contract or a call option against anticipated positive cash flow or may purchase options on securities.

 

We are not obligated to invest the assets attributable to the contract according to any particular strategy, except as required by Connecticut and other state insurance laws.  The guaranteed interest rates established by the Company may not necessarily relate to the performance of the nonunitized separate account.

 

Taxation

 

You should seek advice from your tax and/or legal adviser as to the application of federal (and where applicable, state and local) tax laws to amounts paid to or distributed under the contract. Refer to the variable annuity contract prospectus for further discussion of tax considerations.

 

Taxation of the Company.  We are taxed as a life insurance company under the Tax Code.  We own all assets supporting the contract obligations.  Any income earned on such assets is considered income to the Company.  We do not intend to make any provision or impose a charge under the contracts with respect to any tax liability of the Company other than state premium taxes.

 

Taxation of Payments and Distributions.  For information concerning the tax treatment of payments to and distributions from the contract, please refer to the variable annuity contract prospectus.

 

 

15

 


 

Legal Matters

 

The Company’s organization and authority, and the legality and validity of the guaranteed terms and the Guaranteed Account, have been passed on by the Company’s legal department.

 

Experts

 

The consolidated financial statements of the Company appearing in the Company’s Annual Report (Form 10-K) for the year ended December 31, 2020 (including schedules appearing therein), have been audited by Ernst & Young LLP, independent registered public accounting firm, as set forth in their report thereon, included therein, and incorporated herein by reference.  Such consolidated financial statements are incorporated herein by reference in reliance upon such report given on the authority of such firm as experts in accounting and auditing.

 

The primary business address of Ernst & Young LLP is The Frost Tower, Suite 1901, 111 West Houston Street, San Antonio, TX 78205.

 

Legal Proceedings

 

We are not aware of any pending legal proceedings that are likely to have a material adverse effect upon the Company’s ability to meet its obligations under the contract, Voya Financial Partners, LLC’s ability to distribute the contract or upon the separate account.

 

·       Litigation.  Notwithstanding the foregoing, the Company and/or Voya Financial Partners, LLC, is a defendant in a number of litigation matters arising from the conduct of its business, both in the ordinary course and otherwise. In some of these matters, claimants seek to recover very large or indeterminate amounts, including compensatory, punitive, treble and exemplary damages. Modern pleading practice in the U.S. permits considerable variation in the assertion of monetary damages and other relief. The variability in pleading requirements and past experience demonstrates that the monetary and other relief that may be requested in a lawsuit or claim oftentimes bears little relevance to the merits or potential value of a claim.

 

·       Regulatory Matters.  As with other financial services companies, the Company and its affiliates, including Voya Financial Partners, LLC, periodically receive informal and formal requests for information from various state and federal governmental agencies and self-regulatory organizations in connection with inquiries and investigations of the products and practices of the Company or the financial services industry. It is the practice of the Company to cooperate fully in these matters.

 

The outcome of a litigation or regulatory matter and the amount or range of potential loss is difficult to forecast and estimating potential losses requires significant management judgment. It is not possible to predict the ultimate outcome for all pending litigation and regulatory matters and given the large and indeterminate amounts sought and the inherent unpredictability of such matters, it is possible that an adverse outcome in certain litigation or regulatory matters could, from time to time, have a material adverse effect upon the Company’s results of operations or cash flows in a particular quarterly or annual period.

 

Further Information

 

This prospectus does not contain all of the information contained in the registration statement of which this prospectus is a part.  Portions of the registration statement have been omitted from this prospectus as allowed by the SEC.  You may obtain the omitted information from the offices of the SEC, as described below.  We are required by the Securities Exchange Act of 1934 (the “Exchange Act”), to file periodic reports and other information with the SEC.  You may inspect or copy information concerning the Company at the Public Reference Room of the SEC at:

SEC Public Reference Branch

100 F Street, N.E., Room 1580

Washington, DC 20549

 

16

 


 

You may also obtain copies of these materials at prescribed rates from the Public Reference Branch of the above office.  You may obtain information on the operation of the Public Reference Branch by calling the SEC at either
1-800-SEC-0330 or 1-202-551-8090 or by e-mailing publicinfo@sec.gov.  You may also find more information about the Company by visiting the Company’s homepage on the internet at www.
voya.com.

 

Our filings are available to the public on the SEC’s website at www.sec.gov.  (This uniform resource locator (“URL”) is an inactive textural references only and are not intended to incorporate the SEC website or our website into this prospectus.)  When looking for more information about the contract, you may find it useful to use the number assigned to the registration statement under the Securities Act of 1933.  This number is 333-_____________.

 

Incorporation of Certain Documents by Reference

 

The SEC allows us to “incorporate by reference” information that we file with the SEC into this prospectus, which means that the incorporated document is considered part of this prospectus.  We can disclose important information to you by referring you to this document.  This prospectus incorporates by reference the Annual Report on Form 10-K for the fiscal year ended December 31, 2020.

 

Form 10-K contains additional information about the Company and includes certified financial statements as of December 31, 2020 and 2019, and for each of the three years in the period ended December 31, 2020.  We were not required to file any other reports pursuant to Sections 13(a) or 15(d) of the Securities and Exchange Act since December 31, 2020.  All documents subsequently filed by the Company pursuant to Sections 13(a), 13(c), 14 or 15(d) of the Exchange Act, prior to the termination of the offering shall be deemed to be incorporated by reference into this prospectus. The registration statement, of which this prospectus is a part, and our Exchange Act filings are available to the public on the SEC’s website at www.sec.gov, and we file these documents electronically according to EDGAR under CIK No. 0000837010.

 

You may request a free copy of any documents incorporated by reference in this prospectus (including any exhibits that are specifically incorporated by reference in them).  Please direct your request to:

Voya Retirement Insurance and Annuity Company

Customer Service

P.O. Box 9271

Des Moines, Iowa 50306-9271

1-800-531-4547

 

 

inquiries

 

You may contact us directly by writing or calling us at the address or phone number shown above. 

 

 

17

 


 

APPENDIX I

 

Examples of Market Value Adjustment Calculations

 

 

The following are examples of market value adjustment (MVA) calculations using several hypothetical deposit period yields and current yields.  These examples do not include the effect of any early withdrawal charge or other fees or deductions that may be assessed under the contract upon withdrawal.

 

EXAMPLE I

Assumptions:

 

i, the deposit period yield, is 4%

 

j, the current yield, is 6%

 

x, the number of days remaining (computed from Wednesday of the week of withdrawal) in the guaranteed term, is 927.

 

Assumptions:

 

i, the deposit period yield, is 5%

 

j, the current yield, is 6%

 

x, the number of days remaining (computed from Wednesday of the week of withdrawal) in the guaranteed term, is 927.

 

 

MVA = {

 

(1+i)

}

  x

 

MVA = {

 

(1+i)

}

  x

 

365

 

365

 

(1+j)

 

(1+j)

 

 

= {

 

(1.04)

}

927

 

 

= {

 

(1.05)

}

927

 

 

365

 

365

 

 

(1.06)

 

(1.06)

 

 

 

 

= .9528

= .9762

 

 

In this example, the deposit period yield of 4% is less than the current yield of 6%; therefore, the MVA is less than one.  The amount withdrawn from the guaranteed term is multiplied by this MVA.

 

If a withdrawal or transfer of a specific dollar amount is requested, the amount withdrawn from a guaranteed term will be increased to compensate for the negative MVA amount.  For example, a withdrawal request to receive a check for $2,000 would result in a $2,099.08 withdrawal from the guaranteed term.

 

In this example, the deposit period yield of 5% is less than the current yield of 6%; therefore, the MVA is less than one.  The amount withdrawn from the guaranteed term is multiplied by this MVA.

 

If a withdrawal or transfer of a specific dollar amount is requested, the amount withdrawn from a guaranteed term will be increased to compensate for the negative MVA amount.  For example, a withdrawal request to receive a check for $2,000 would result in a $2,048.76 withdrawal from the guaranteed term.

 

 

Voya Guaranteed Account                                                          I-1


 

 

EXAMPLE II

Assumptions:

 

i, the deposit period yield, is 6%

 

j, the current yield, is 4%

 

x, the number of days remaining (computed from Wednesday of the week of withdrawal) in the guaranteed term, is 927.

 

Assumptions:

 

i, the deposit period yield, is 5%

 

j, the current yield, is 4%

 

x, the number of days remaining (computed from Wednesday of the week of withdrawal) in the guaranteed term, is 927.

 

 

 

MVA = {

 

(1+i)

}

  x

 

MVA = {

 

(1+i)

}

  x

 

365

 

365

 

(1+j)

 

(1+j)

 

 

= {

 

(1.06)

}

927

 

 

= {

 

(1.05)

}

927

 

 

365

 

365

 

 

(1.04)

 

(1.04)

 

 

 

 

= 1.0496

= 1.0246

 

In this example, the deposit period yield of 6% is greater than the current yield of 4%; therefore, the MVA is greater than one.  The amount withdrawn from the guaranteed term is multiplied by this MVA.

 

If a withdrawal or transfer of a specific dollar amount is requested, the amount withdrawn from a guaranteed term will be decreased to compensate for the positive MVA amount.  For example, a withdrawal request to receive a check for $2,000 would result in a $1,905.49 withdrawal from the guaranteed term.

In this example, the deposit period yield of 5% is greater than the current yield of 4%; therefore, the MVA is greater than one.  The amount withdrawn from the guaranteed term is multiplied by this MVA.

 

If a withdrawal or transfer of a specific dollar amount is requested, the amount withdrawn from a guaranteed term will be decreased to compensate for the positive MVA amount.  For example, a withdrawal request to receive a check for $2,000 would result in a $1,951.98 withdrawal from the guaranteed term.

 

 

Voya Guaranteed Account                                                          I-2


 

 

APPENDIX II

 

Examples of Market Value Adjustment Yields

 

 

The following hypothetical examples show the MVA based upon a given current yield at various times remaining in the guaranteed term.  Table A illustrates the application of the MVA based upon a deposit period yield of 6%; Table B illustrates the application of the MVA based upon a deposit period yield of 5%.  The MVA will have either a positive or negative influence on the amount withdrawn from or remaining in a guaranteed term.  Also, the amount of the MVA generally decreases as the end of the guaranteed term approaches.

 

 

TABLE A: Deposit Period Yield of 6%

 

 

Current

Yield

Change in Deposit Period Yield

 

 

Time Remaining to

Maturity of Guaranteed Term

 

 

8 Years

6 Years

4 Years

2 Years

1 Year

3 Months

9%

 3%

    -20.0%

    -15.4%

    -10.6%

     -5.4%

     -2.8%

     -0.7%

8%

 2%

    -13.9

    -10.6

      -7.2

     -3.7

     -1.9

     -0.5

7%

 1%

      -7.2

      -5.5

      -3.7

     -1.9

     -0.9

     -0.2

6%

 0%

       0.0

       0.0

       0.0

      0.0

      0.0

      0.0

4%

-2%

     16.5

     12.1

       7.9

      3.9

      1.9

      0.5

3%

-3%

     25.8

     18.8

     12.2

      5.9

      2.9

      0.7

2%

-4%

     36.0

     26.0

     16.6

      8.0

      3.9

      1.0

1%

-5%

     47.2

     33.6

     21.3

    10.1

     5.0

      1.2

 

 

TABLE B: Deposit Period Yield of 5%

 

 

Current

Yield

Change in Deposit Period Yield

 

 

Time Remaining to

Maturity of Guaranteed Term

 

 

8 Years

6 Years

4 Years

2 Years

1 Year

3 Months

9%

+4%

    -25.9%

    -20.1%

    -13.9%

     -7.2%

    -3.7%

     -0.9%

8%

+3%

    -20.2

    -15.6

    -10.7

     -5.5

    -2.8

     -0.7

7%

+2%

    -14.0

    -10.7

     -7.3

     -3.7

    -1.9

     -0.5

6%

+1%

     -7.3

     -5.5

     -3.7

     -1.9

    -0.9

     -0.2

4%

 -1%

      8.0

      5.9

      3.9

      1.9

     1.0

      0.2

3%

 -2%

     16.6

     12.2

      8.0

      3.9

     1.9

      0.5

2%

 -3%

     26.1

     19.0

     12.3

      6.0

     2.9

      0.7

1%

 -4%

     36.4

     26.2

     16.8

      8.1

     4.0

      1.0

 

 

Voya Guaranteed Account                                                          II-1


 

PART II

 

INFORMATION NOT REQUIRED IN PROSPECTUS

 

 


 

Item 14.        Other Expenses of Issuance and Distribution

The expenses in connection with issuance and distribution of the securities to be registered, other than underwriting discounts and commissions, are as follows Except for the Securities and Exchange Commission Filing Fee, all amounts shown are estimates):

Securities and Exchange Commission Registration Fees

$109.10

Federal Taxes

$0

State Taxes and Fees

$0

Trustees’ and Transfer Agents’ Fees

$0

Printing and Engraving

$0

Accounting Fees and Expenses

$5,000

Legal Fees and Expenses

$0

Engineering Fees

$0

Total Expenses

$5,109.10

 

 

Item 15.        Indemnification of Directors and Officers

 

Section 33-779 of the Connecticut General Statutes (“CGS”) provides that a corporation may provide indemnification of or advance expenses to a director, officer, employee or agent only as permitted by Sections 33-770 to 33-778, inclusive, of the CGS.  Reference is hereby made to Section 33-771(e) of the CGS regarding indemnification of directors and Section 33-776(d) of CGS regarding indemnification of officers, employees and agents of Connecticut corporations.  These statutes provide in general that Connecticut corporations incorporated prior to January 1, 1997 shall, except to the extent that their certificate of incorporation expressly provides otherwise, indemnify their directors, officers, employees and agents against “liability” (defined as the obligation to pay a judgment, settlement, penalty, fine, including an excise tax assessed with respect to an employee benefit plan, or reasonable expenses incurred with respect to a proceeding) when (1) a determination is made pursuant to Section 33-775 that the party seeking indemnification has met the standard of conduct set forth in Section 33-771 or (2) a court has determined that indemnification is appropriate pursuant to Section 33-774.  Under Section 33-775, the determination of and the authorization for indemnification are made (a) by two or more disinterested directors, as defined in Section 33-770(3); (b) by special legal counsel; (c) by the shareholders; or (d) in the case of indemnification of an officer, agent or employee of the corporation, by the general counsel of the corporation or such other officer(s) as the board of directors may specify.  Also, Section 33-772 with Section 33-776 provide that a corporation shall indemnify an individual who was wholly successful on the merits or otherwise against reasonable expenses incurred by him in connection with a proceeding to which he was a party because he is or was a director, officer, employee, or agent of the corporation.  Pursuant to Section 33-771(d), in the case of a proceeding by or in the right of the corporation or with respect to conduct for which the director, officer, agent or employee was adjudged liable on the basis that he received a financial benefit to which he was not entitled, indemnification is limited to reasonable expenses incurred in connection with the proceeding against the corporation to which the individual was named a party.

 

A corporation may procure indemnification insurance on behalf of an individual who is or was a director of the corporation. Consistent with the laws of the State of Connecticut, Voya Financial, Inc. maintains Professional Liability and Fidelity bond, Employment Practices liability and Network Security insurance policies issued by an international insurer. The policies cover Voya Financial, Inc. and any company in which Voya Financial, Inc. has a controlling financial interest of 50% or more. The policies cover the funds and assets of the principal underwriter/depositor under the care, custody and control of Voya Financial, Inc. and/or its subsidiaries. The policies provide for the following types of coverage: Errors and Omissions/Professional Liability, Employment Practices liability and fidelity/Crime (a.k.a. “Financial Institutional Bond”) and Network Security (a.k.a. “Cyber/IT”).

 

 


 

Section 20 of the Voya Financial Partners, LLC Limited Liability Company Agreement executed as of November 28, 2000 provides that Voya Financial Partners, LLC will indemnify certain persons against any loss, damage, claim or expenses (including legal fees) incurred by such person if he is made a party or is threatened to be made a party to a suit or proceeding because he was a member, officer, director, employee or agent of Voya Financial Partners, LLC, as long as he acted in good faith on behalf of Voya Financial Partners, LLC and in a manner reasonably believed to be within the scope of his authority.  An additional condition requires that no person shall be entitled to indemnity if his loss, damage, claim or expense was incurred by reason of his gross negligence or willful misconduct.  This indemnity provision is authorized by and is consistent with Title 8, Section 145 of the General Corporation Law of the State of Delaware.

 

 

Item 16. Exhibits

 

Furnish the exhibits as required by Item 601 of Regulation S-K (§229.601):

 

(1)(a)

Underwriting Agreement dated November 17, 2006 between ING Life Insurance and Annuity Company and ING Financial Advisers, LLC

 

 

(4)

Instruments defining the rights security holders, including indentures:

(4)(a)

Variable Annuity Contract (G2-CDA-94(IR))

(4)(b)

Variable Annuity Contract (G2-CDA-94(NQ))

(4)(c)

Variable Annuity Contract (G-MP2 (5/96))

(4)(d)

Certificate of Group Annuity Coverage (MP2CERT (5/96))

(4)(e)

Variable Annuity Contract (G-CDA-GP2 (4/94))

(4)(f)

Variable Annuity Contract (I-CDA-GP2 (4/94))

(4)(g)

Certificate of Group Annuity Coverage (GP2CERT (4/94))

(4)(h)

Group Variable, Fixed, or Combination Annuity Contract (Nonparticipating) (G-GP2 (5/96))

(4)(i)

Individual Variable, Fixed or Combination Annuity Contract (Nonparticipating) (I-GP2 (5/96))

(4)(j)

Variable Annuity Contract (G-MP2 (5/97))

(4)(k)

Variable Annuity Certificate (MP2CERT (5/97))

(4)(l)

Variable Annuity Contract (IMP2 (5/97))

(4)(m)

Certificate of Group Annuity Coverage (GP2CERT (5/97)).

(4)(n)

Name Change Endorsement (ENMCHGI (05/02))

(4)(o)

Name Change Endorsement (EVNMGHC (09/14))

(4)(p)

Endorsement (E-IRASECURE-20) to Contract (MP2CERT (5/97))

(4)(q)

Endorsement (E-DCSECURE-20) to Contract (MP2CERT (5/97))

 

 

(5)

Opinion re: Legality

 

 

(23)(a)

Consent of Independent Registered Public Accounting Firm, attached.

(23)(b)

Consent of Legal Counsel (included in Exhibit (5) above).

(24)(a)

Powers of Attorney (included on Signature Page of this Registration Statement)

 

Exhibits other than those listed above are omitted because they are not required or are not applicable.

 


 

Item 17.        Undertakings

 

The undersigned registrant hereby undertakes as follows, pursuant to Item 512 of Regulation S-K:

 

(a)        Rule 415 offering

 

 

(1)        Not Applicable

 

(2)        That, for the purpose of determining any liability under the Securities Act of 1933, each such post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.

 

(3)        To remove from registration by means of a post-effective amendment any of the securities being registered which remain unsold at the termination of the offering.

 

(4)      Not Applicable

 

(5)(i)  Not Applicable

 

(5)(ii) That, for the purpose of determining liability under the Securities Act of 1933 to any purchaser, each prospectus filed pursuant to Rule 424(b) as part of a registration statement relating to an offering, other than registration statements relying on Rule 430B or other than prospectuses filed in reliance on Rule 430A shall be deemed to be part of and included in the registration statement as of the date it is first used after effectiveness.  Provided, however, that no statement made in a registration statement or prospectus that is part of the registration statement or made in a document incorporated or deemed incorporated by reference into the registration statement or prospectus that is part of the registration statement will, as to a purchaser with a time of contract of sale prior to such first use, supersede or modify any statement that was made in the registration statement or prospectus that was part of the registration statement or made in any such document immediately prior to such date of first use.

 

(6)      That, for the purpose of determining liability of the registrant under the Securities Act of 1933 to any purchaser in the initial distribution of the securities, the undersigned registrant undertakes in a primary offering of securities of the undersigned registrant pursuant to this registration statement, regardless of the underwriting method used to sell the securities to the purchaser, if the securities are offered or sold to such purchaser by means of any of the following communications, the undersigned registrant will be a seller to the purchaser and will be considered to offer or sell such securities to such purchaser:

 

(i)       Any preliminary prospectus or prospectus of the undersigned registrant relating to the offering required to be filed pursuant to Rule 424;

 

(ii)      Any free writing prospectus relating to the offering prepared by or on behalf of the undersigned registrant or used or referred to by the undersigned registrant;

 

(iii)    The portion of  any other free writing prospectus relating to the offering containing material information about the undersigned registrant or its securities provided by or on behalf of the undersigned registrant; and

 

(iv)     Any other communication that is an offer in the offering made by the undersigned registrant to the purchaser.

 

 


 

(b)          Filings incorporating subsequent Exchange Act documents by reference:

 

The undersigned registrant hereby undertakes that, for purposes of determining any liability under the Securities Act of 1933, each filing of the registrant’s annual report pursuant to section 13(a) or section 15(d) of the Securities Exchange Act of 1934 (and, where applicable, each filing of an employee benefit plan’s annual report pursuant to section 15(d) of the Securities Exchange Act of 1934) that is incorporated by reference in the registration statement shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.

 

(c)      Not applicable

 

(d)      Not applicable

 

(e)      Not applicable

 

(f)       Not applicable

 

(g)      Not applicable

 

(h)      Request for acceleration of effective date:

 

Insofar as indemnification for liabilities arising under the Securities Act of 1933 may be permitted to directors, officers and controlling persons of the registrant pursuant to the foregoing provisions, or otherwise, the registrant has been advised that in the opinion of the Securities and Exchange Commission such indemnification is against public policy as expressed in the Act and is, therefore, unenforceable.  In the event that a claim for indemnification against such liabilities (other than the payment by the registrant of expenses incurred or paid by a director, officer or controlling person of the registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Act and will be governed by the final adjudication of such issue.

 

(i)       Not applicable

 

(j)       Not applicable

 

(k)      Not applicable

 

(l)       Not applicable

 

 


 

SIGNATURES

Pursuant to the requirements of the Securities Act of 1933, the registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-3 and has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the Town of Windsor, State of Connecticut, on this 2nd day of April, 2021.

 

 

By:

VOYA RETIREMENT INSURANCE AND ANNUITY COMPANY

 

 

         (REGISTRANT)

 

By:

/s/ Charles P. Nelson

 

 

Charles P. Nelson

President

(principal executive officer)

 

As required by the Securities Act of 1933, this Registration Statement has been signed by the following persons in the capacities and on the dates indicated. Each person whose signature appears below hereby constitutes and appoints Peter M. Scavongelli, such person’s true and lawful attorney and agent with full power of substitution and re-substitution for him or her and in his or her name, place and stead, in any and all capacities, to sign for such person and in such person’s name and capacity indicated below, any and all amendments to this Registration Statement, hereby ratifying and confirming such person’s signature as it may be signed by said attorney to any and all amendments (pre-effective and post-effective amendments).

 

Signature

Title

 

Date

 

 

 

 

/s/ Charles P. Nelson

Director and President

)

February 18, 2021

Charles P. Nelson

(principal executive officer)

)

 

 

 

)

 

/s/ Robert L. Grubka

Director

)

Feb. 22, 2021

Robert L. Grubka

 

)

 

 

 

)

 

/s/ Michael R. Katz

Director and Chief Financial Officer

)

Feb 19, 2021

Michael R. Katz.

(principal financial officer)

)

 

 

 

)

 

/s/ Heather H. Lavallee

Director

)

2/25/21

Heather H. Lavallee

 

)

 

 

 

)

 

/s/ Francis G. O’Neill

Director

)

2/21/2021

Francis G. O’Neill

 

)

 

 

 

)

 

/s/ Rodney O. Martin, Jr.

Director

)

3/4/21

Rodney O. Martin, Jr.

 

)

 

 

 

)

 

/s/ Michael S. Smith

Director

)

March 12, 2021

Michael S. Smith

 

)

 

 

 

)

 

/s/ C. Landon Cobb, Jr.

Chief Accounting Officer

)

02/23/2021

C. Landon Cobb, Jr.

(principal accounting officer)

)

 

 


 

Notary

 

State of Washington

County of Skagit

 

I certify that I know or have satisfactory evidence that Charles P. Nelson is the person who appeared before me, and said person acknowledged that he signed this instrument and acknowledged it to be his free and voluntary act for the uses and purposes mentioned in the instrument.

 

Dated:  February 18, 2021

 

(Seal or stamp)

Signature  /s/ Susann Elizabeth Dillard

 

SUSANN ELIZABETH DILLARD
NOTARY PUBLIC #208474
STATE OF WASHINGTON
COMMISSION EXPIRES
JULY 9, 2023

 

 

 

 

My appointment expires: July 9, 2023

 

 

 

 

 

 

 

 

*****************************************************

 

STATE OF MINNESOTA

 

COUNTY OF Hennepin

 

The foregoing instrument was acknowledged before me this 22 day of Feb. 2021, by Robert L. Grubka.

/s/ Melissa O’Donnell

Notary Public

 

 

 

MELISSA ODONNELL

Notary Public, State of Minnesota

Commission Expires 01/31/2025

 

*****************************************************

 

Witness & Notary

 

Attested and subscribed in the presence of the principal and subsequent to the principal subscribing same:

 

First Witness signs:  /s/ Michele Eleveld                                Second Witness Signs:  /s/ Kyle Puffer                                                                        

Printed name of witness:  Michele Eleveld                             Printed name of witness:  Kyle Puffer                                                                        

 

State of Connecticut)

County of Hartford  )  ss:  at Windsor on 2/25/21

 

Personally Appeared Heather H. Lavallee, Signer and Sealer of the foregoing instrument, and acknowledged the same to be his free act and deed, before me.

/s/Christine Donohue

Notary Public

Christine Donohue

Notary Public, State of Connecticut

Commission Expires 12/31/22

 

*****************************************************

 

 


 

STATEMENT OF WITNESS

 

On the date written above, the principal (Francis G. O’Neill) declared to me in my presence that this instrument is his general durable power of attorney and that he had willingly signed or directed another to sign for him, and that he executed it as his free and voluntary act for the purposes therein expressed.

 

/s/ James C. Lehan                                                                       Signature of Witness #1
James C. Lehan                                                                            Printed or typed name of Witness #1
15 Fredrickson Rd                                                                        Address of Witness #1
Norfolk, MA 02056                                                                     

/s/ Elizabeth S. Lehan                                                                   Signature of Witness #2
Elizabeth S. Lehan                                                                       Printed or typed name of Witness #2
15 Fredrickson Rd.                                                                       Address of Witness #2
Norfolk, MA 02056                                                                     

*****************************************************

 

Notary

 

State of New York

County of New York

 

On the 4 day of March in the year 2021, before me, the undersigned, personally appeared Rodney O. Martin, Jr., personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument.

 

Notary Public

/s/ Pier A. Moore                         

Notary Public, NY County

No. 01M06115336                      

Qualified in Kings County

Certificate Filed in NY County

Commission Expires 9/7/2024

 

*****************************************************

 

STATEMENT OF WITNESS

 

On the date written above, the principal (C. Landon Cobb, Jr.) declared to me in my presence that this instrument is his general durable power of attorney and that he had willingly signed or directed another to sign for him, and that he executed it as his free and voluntary act for the purposes therein expressed.

 

/s/ Tracy S. Cosby                                                                        Signature of Witness #1
Tracy S. Cosby                                                                             Printed or typed name of Witness #1
6267 Wager Ct.                                                                            Address of Witness #1
Powder Springs, GA 30127                                                         

/s/ Linda Bell                                                                                Signature of Witness #2
Linda Bell                                                                                    Printed or typed name of Witness #2
2889 Torreya Way SE                                                                  Address of Witness #2
Marietta, GA 30067                                                                    

 

 


 

Exhibit Index

Exhibit No.

Exhibit

 

 

 

 

16(1)(a)

Underwriting Agreement dated November 17, 2006 between ING Life Insurance and Annuity Company and ING Financial Advisers, LLC

EX-16(1)(a)

 

 

 

16(4)(a)

Variable Annuity Contract (G2-CDA-94(IR))

EX-16(4)(a)

16(4)(b)

Variable Annuity Contract (G2-CDA-94(NQ))

EX-16(4)(b)

16(4)(c)

Variable Annuity Contract (G-MP2 (5/96))

EX-16(4)(c)

16(4)(d)

Certificate of Group Annuity Coverage (MP2CERT (5/96))

EX-16(4)(d)

16(4)(e)

Variable Annuity Contract (G-CDA-GP2 (4/94))

EX-16(4)(e)

16(4)(f)

Variable Annuity Contract (I-CDA-GP2 (4/94))

EX-16(4)(f)

16(4)(g)

Certificate of Group Annuity Coverage (GP2CERT (4/94))

EX-16(4)(g)

16(4)(h)

Group Variable, Fixed, or Combination Annuity Contract (Nonparticipating)
(G-GP2 (5/96))

EX-16(4)(h)

16(4)(i)

Individual Variable, Fixed or Combination Annuity Contract (Nonparticipating)
(I-GP2 (5/96))

EX-16(4)(i)

16(4)(j)

Variable Annuity Contract (G-MP2 (5/97))

EX-16(4)(j)

16(4)(k)

Variable Annuity Certificate (MP2CERT (5/97))

EX-16(4)(k)

16(4)(l)

Variable Annuity Contract (IMP2 (5/97))

EX-16(4)(l)

16(4)(m)

Certificate of Group Annuity Coverage (GP2CERT (5/97))

EX-16(4)(m)

16(4)(n)

Name Change Endorsement (ENMCHGI (05/02))

EX-16(4)(n)

16(4)(o)

Name Change Endorsement (EVNMGHC (09/14))

EX-16(4)(o)

16(4)(p)

Endorsement (E-IRASECURE-20) to Contract (MP2CERT (5/97))

EX-16(4)(p)

16(4)(q)

Endorsement (E-DCSECURE-20) to Contract (MP2CERT (5/97))

EX-16(4)(q)

 

 

 

16(5)

Opinion re Legality

EX-16(5)

 

 

 

16(23)(a)

Consent of Independent Registered Public Accounting Firm

EX-16(23)(a)

16(23)(b)

Consent of Legal Counsel (included in Exhibit (5) above)

EX-16(23)(b)

16(24)(a)

Powers of Attorney (included on the Signature Page of this Registration Statement)

EX-16(24)(a)

 

EX-16 4 ex161aunderwritingagree.htm EXHIBIT 16(1)(A) UNDERWRITING AGREEMENT ex161aunderwritingagree.htm -- Converted by SEC Publisher, created by BCL Technologies Inc., for SEC Filing

Exhibit 16(1)(a)

PRINCIPAL UNDERWRITING AGREEMENT

THIS UNDERWRITING AGREEMENT (“Agreement”) is effective as of the 17th day of

November, 2006, by and between ING Life Insurance and Annuity Company (“ILIAC”), on its own behalf

and on behalf of its nonunitized separate accounts for modified guaranteed annuity contracts (“MGA

Accounts”), and on behalf of Variable Annuity Accounts B, C, F, G and I, Separate Account D, and Variable

Life Accounts B and C (separate accounts of ILIAC (Variable Annuity Accounts B, C, F, G and I, Separate

Account D and Variable Life Accounts B and C hereinafter collectively referred to as the “Accounts”)), and

ING Financial Advisers, LLC (the “Underwriter”).



WHEREAS, the Accounts were established under Connecticut law as separate accounts of ILIAC

pursuant to authority granted by resolutions of ILIAC’s Board of Directors dated October 18, 1976, as

amended June 17, 1992 and January 1, 1997 and as further amended on November 15, 1993 (as regards

Variable Annuity Accounts B, C, G and Separate Account D), and June 18, 1986 (as regards Variable Life

Account B), May 31, 1994 as regards the establishment of Variable Annuity Account I (formerly Variable

Annuity Account I of ING Insurance Company of America), August 31, 1999 (as regards Variable Life

Account C), and September 24, 2004 (as regards Separate Account D);



WHEREAS, the Accounts will maintain the net proceeds of and reserves for certain variable

annuity contracts issued by ILIAC, and ILIAC’s MGA Accounts will receive the purchase payments under

certain modified guaranteed annuity contracts issued by ILIAC (collectively the “Contracts);



WHEREAS, ILIAC has registered the Accounts as unit investment trusts under the Investment

Company Act of 1940 and has registered or will register the Contracts for sale under the Securities Act of

1933 (where such registration is required by law); and



WHEREAS, ILIAC, the Accounts, and the MGA Accounts desire to have the Contracts sold

through the Underwriter, and the Underwriter is willing to provide for the sale of the Contracts under the

terms stated herein.



NOW THEREFORE, in consideration of their mutual promises the parties hereto agree as follows:

1.      Principal Underwriter
 
  ILIAC appoints the Underwriter as, and the Underwriter agrees to serve as, principal underwriter of the Contracts during the term of this Agreement. The Underwriter agrees to use its best efforts to provide for
 

 

1


  the solicitation of applications for the Contracts, and to undertake at its own expense to provide all sales services relative to the Contracts and to perform otherwise all duties and functions that are necessary and proper for the distribution of the Contracts.
 
2.      Sales Agreements
 
  The Underwriter is hereby authorized to enter into written sales agreements with other broker-dealers for the sale of the Contracts on terms and conditions not inconsistent with and subject to this Agreement.
 
3.      Registration and Responsibility of Underwriter
 
  The Underwriter represents that it is registered as a broker-dealer with the SEC under the Securities Exchange Act of 1934 and is a member of the National Association of Securities Dealers, Inc. ("NASD") and shall be registered if necessary or otherwise appropriately qualified under the securities laws of any state or other jurisdiction. The Underwriter shall be responsible for carrying out its sales and underwriting obligations hereunder in compliance with the NASD Rules of Fair Practice and federal and state securities laws and regulations. In this connection, the Underwriter agrees that it shall be responsible for ensuring that any organization with which it enters into a sales agreement for the sale of the Contracts, and such organization's agents or representatives, are duly and appropriately licensed, registered, appointed and otherwise qualified to offer and sell the Contracts under the federal securities laws and any applicable securities and insurance laws of each state or other jurisdiction in which the Contracts may be lawfully sold and in which ILIAC is licensed to sell the Contracts.
 
4.      Control and Responsibility
 
  ILIAC shall have ultimate control and responsibility of the functions that it has delegated. ILIAC shall own and have custody of its general corporate accounts and records.
 
5.      Administrative Services, Books, Records and Reports
 
  The Underwriter shall cause to be maintained and preserved for the periods prescribed such accounts, books and other documents as are required of it by the Investment Company Act of 1940 and any other applicable laws and regulations. The books, accounts and records of ILIAC, the Accounts and the Underwriter as to all transactions effected in accordance with this Agreement shall be maintained so as to clearly and accurately disclose the nature and details of such transactions, including the sale of Contracts and payment of commissions and service fees by ILIAC. The Underwriter shall furnish
 

2


  ILIAC with such reports as it may reasonably request for the purpose of meeting its reporting and record keeping requirements in accordance with applicable laws and regulations.
 
6.      Fiduciary Capacity
 
  Underwriter agrees that any purchase payments it receives for the Contracts will be held in a fiduciary capacity and agrees to transfer any such amount to ILIAC within three business days.
 
7.      Compensation to Underwriter
 
  ILIAC will pay the Underwriter for services rendered hereunder as billed by the Underwriter and agreed to by ILIAC. Underwriter agrees that reimbursement shall be limited to actual expenses.
 
8.      Non Exclusivity
 
  The services of the Underwriter to the Accounts hereunder are not to be deemed exclusive and the Underwriter shall be free to render similar services to others as long as its services provided hereunder are not impaired or interfered with thereby.
 
9.      Non Assignability
 
  This Agreement shall be nonassignable by the parties hereto.
 
10.      Amendment
 
  This Agreement shall be amended only by written agreement of the parties hereto.
 
11.      Term
 
  This Agreement shall be effective on the seventeenth day of November, 2006, and shall end on the sixteenth day of November, 2009; provided however, that this Agreement shall be automatically renewed on the seventeenth day of November of each calendar year thereafter for a twelve-month period under the same terms and conditions, subject to the provisions for termination set forth herein.
 
12.      Termination
 
  (a)      This Agreement may be terminated by either party hereto for any reason upon 60 days’ written notice to the other party.
 
  (b)      This Agreement may be terminated upon written notice of one party to the other party hereto in the event of bankruptcy or insolvency of such party to which notice is given.
 
  (c)      This Agreement may be terminated at any time upon the mutual written consent of the parties hereto.
 

3


  (d)      Upon termination of this Agreement, all authorizations, rights and obligations shall cease except the obligations to settle accounts hereunder, including payment of contributions subsequently received for Contracts in effect at the time of termination or issued pursuant to applications received by ILIAC prior to termination.
 
13.      Applicable Law
 
  This Agreement shall be construed and enforced in accordance with and governed by the laws of the State of Connecticut.
 
14.      Severabilitv
 
  If any provision of this Agreement shall be held or made invalid by a court, statute, rule or otherwise, the remainder of this Agreement shall not be affected thereby.
 

IN WITNESS THEREOF, the parties hereto have caused this Agreement to be signed by their

respective officials thereunder duly authorized and seals to be affixed as of the day and year first above

written.

ING LIFE INSURANCE AND ANNUITY COMPANY

By: _____ /s/ Brian D. Comer____________________

Title: _________President________________________

Date: _________November 13, 2006________________

ING LIFE INSURANCE AND ANNUITY COMPANY,
ON BEHALF OF ITS VARIABLE ANNUITY
ACCOUNTS B, C, F, G and I, SEPARATE ACCOUNT D and
VARIABLE LIFE ACCOUNTS B AND C

By: ______/s/ Brian D. Comer_____________________

Title: _____President_____________________________

Date: _____November 13, 2006____________________

ING FINANCIAL ADVISERS, L.L.C.

By: ____/s/ Richard R. Barhorst___________________

Title: _____President_____________________________

Date: _____November 13, 2006____________________

4


EX-16 5 ex164a.htm EXHIBIT 16(4)(A) CONTRACT G2-CDA-94(IR) ex164a.htm - Generated by SEC Publisher for SEC Filing

Exhibit 16(4)(a)

---------------------------------------------------------

[LOGO OF AETNA INSURANCE COMPANY OF AMERICA APPEARS HERE]

Aetna Insurance Company of America Home Office: 151 Farmington Avenue Hartford, Connecticut 06156 (800) 531-4547

You may call the toll-free number shown above to get answers to your questions or help to resolve a complaint.

Aetna Insurance Company of America, herein called Aetna, agrees to pay the benefits stated in this Contract.

 

Specifications

- --------------------------------------------------------------------------------Plan MARATHON PLUS

- --------------------------------------------------------------------------------Type of Plan INDIVIDUAL RETIREMENT ANNUITY ROLLOVER ACCOUNT

- --------------------------------------------------------------------------------Contract Holder E.G. ANYBROKER

- --------------------------------------------------------------------------------Contract No.

SPECIMEN

- --------------------------------------------------------------------------------Effective Date SEPTEMBER 1, 1993 - --------------------------------------------------------------------------------This Contract is Delivered in YOUR STATE and is Subject to the Laws of that Jurisdiction

THE VARIABLE FEATURES OF THE GROUP CONTRACT ARE DESCRIBED IN PARTS III and V.

Right to Cancel

- --------------------------------------------------------------------------------The Contract Holder may cancel this Contract within 10 days of receiving it, by sending a written notice to Aetna at the above address or to the agent from whom it was purchased. Aetna will return all payments made for this Contract within 7 days after it receives the notice of cancellation and this Contract at its Home Office.

This page, the following pages, and the application make up the entire Contract.

Signed at the Home Office on the Effective Date.

/s/ Signature Appears Here President

/s/ Signature Appears Here Secretary

 

Group Variable, Fixed, or Combination Annuity Contract
Nonparticipating

ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

<PAGE>
Specifications
- --------------------------------------------------------------------------------

 

Guaranteed Interest Rate

There is a guaranteed interest rate for Purchase Payment(s) held in the MG Account. (See Contract Schedule I).

 

- --------------------------------------------------------------------------------

Deductions from the Separate Account

There will be deductions for mortality and expense risks and administrative fees. (See Contract Schedule I and II).

 

- --------------------------------------------------------------------------------

Deduction from Purchase Payment(s)

Purchase Payment(s) are subject to a deduction for premium taxes, if any. (See 3.01.)

 

- --------------------------------------------------------------------------------

Surrender Fee

There will be a charge deducted upon surrender. (See Contract Schedule I).

 

This Contract is a legal contract and constitutes the entire legal relationship between Aetna and the Contract Holder.

READ THIS CONTRACT CAREFULLY. This Contract sets forth, in detail, all of the rights and obligations of both you and Aetna. IT IS THEREFORE IMPORTANT THAT YOU


 

Page 2 of 30

READ THIS CONTRACT CAREFULLY.

2

<PAGE>

Contract Schedule I
Accumulation Period

Separate Account

- -------------------------------------------------------------------------------

Separate Account: Variable Annuity Account I  
 
Charges to Separate A daily charge is deducted from any portion of
Account: the Current Value allocated to the Separate
  Account. The deduction is the daily equivalent
  of the annual effective percentage shown in the
following chart:
 
  Administrative Charge 0.15%
  Mortality Risk Charge 0.35%
  Expense Risk Charge 0.90%
    -----
  Total Separate Account  
  Charges 1.40%

 

Marathon Guaranteed Account (MG Account)

- -------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate (effective
annual rate of return): 3.0%.

Separate Account and MG Account

- -------------------------------------------------------------------------------

Transfers:

An unlimited number of Transfers may be made during the Accumulation Period. Aetna allows 12 free Transfers in any calendar year.

Thereafter, Aetna reserves the right to charge $10 for each subsequent Transfer.

 

Maintenance Fee:

The annual Maintenance Fee is $30. If the Account's Current Value is $50,000 or more on the date the Maintenance Fee is to be deducted, the Maintenance Fee is $0.

 

3

<PAGE>

Contract Schedule I (Continued)
Accumulation Period

Separate Account and MG Account (Cont'd)

- --------------------------------------------------------------------------------

Surrender Fee: For each surrender, the Surrender Fee will be determined
  as follows:  
    Surrender Fee
  Length of Time from Deposit of Net (as percentage of
  Purchase Payment (Years) Net Purchase Payment)
 
  Less than 2 years 7%
  2 or more but less than 4 years 6%
  4 or more but less than 5 years 5%
  5 or more but less than 6 years 4%
  6 or more but less than 7 years 3%
  7 years or more 0%
 
Systematic Withdrawal The specified payment or specified percentage may not be
Option (SWO): greater than 10% of the Account's Current Value at time
  of election.  
 
 
See 1. GENERAL DEFINITIONS for explanations.  

 

4

<PAGE>

  Contract Schedule II  
  Annuity Period  
 
Separate Account    
- --------------------------------------------------------------------------------  
 
Charges to Separate A daily charge at an annual effective rate of  
Account: 1.25% for Annuity mortality and expensive  
  risks. The administrative charge is established  
  upon election of an Annuity option. This charge  
  will not exceed 0.25%.  
 
 
 
 
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Variable Annuity Assumed If a Variable Annuity is chosen, an assumed
Annual Net Return Rate: annual net return rate of 5.0% may be elected.
  If 5.0% is not elected, Aetna will use an
  assumed annual net return rate of 3.5%.
 
  The assumed annual net return rate factor for
  3.5% per year is 0.9999058.
 
  The assumed annual net return rate factor for
  5.0% per year is 0.9998663.
 
  If the portion of a Variable Annuity payment
  for any Fund is not to decrease, the Annuity
  return factor under the Separate Account for
  that Fund must be:
 
  (a) 4.75% on an annual basis plus an annual
    return of up to 0.25% to offset the
    administrative charge set at the time
    Annuity payments commence if an assumed
    annual net return rate of 3.5% is chosen;
or
 
  (b) 6.25% on an annual basis plus an annual
    return of up to 0.25% to offset the
    administrative charge set at the time
    Annuity payments commence, if an assumed
    annual net return rate of 5% is chosen.

 

Fixed Annuity

- --------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate (effective
annual rate of return): 3.0%

See 1. GENERAL DEFINITIONS for explanations.

5

<PAGE>

TABLE OF CONTENTS

I.     

GENERAL DEFINITIONS

-     

---------------------------------------------------------------------------

    Page  
1.01 Account 9  
1.02 Accumulation Period 9  
1.03 Adjusted Current Value 9  
1.04 Annuitant 9  
1.05 Annuity 9  
1.06 *Beneficiary 9  
1.07 Certificate Holder 9  
1.08 Code 9  
1.09 Contract 9  
1.10 Contract Holder 9  
1.11 Current Value 10  
1.12 Deposit Period 10  
1.13 Fixed Annuity 10  
1.14 Fund(s) 10  
1.15 General Account 10  
1.16 Guaranteed Rates - MG Account 10  
1.17 Guaranteed Term 10  
1.18 Guaranteed Term(s) Groups 10  
1.19 Maintenance Fee 11  
1.20 Marathon Guaranteed Account (MG Account) 11  
1.21 Market Value Adjustment (MVA) 11  
1.22 Matured Term Value 11  
1.23 Matured Term Value Transfer 11  
1.24 Maturity Date 11  
1.25 Net Purchase Payment 11  
1.26 Nonunitized Separate Account 11  
 
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1.27 Purchase Payment 11  
1.28 Reinvestment 12  
1.29 Separate Account 12  
<PAGE>    
    Page  
1.30 Surrender Value 12  
1.31 Transfers 12  
1.32 Valuation Period (Period) 12  
1.33 Variable Annuity 12  
 
II. GENERAL PROVISIONS    
- --------------------------------------------------------------------------    
2.01 Change of Contract 12  
2.02 Change of Fund(s) 13  
2.03 Nonparticipating Contract 14  
2.04 Payments and Elections 14  
2.05 State Laws 14  
2.06 Control of Contract 14  
2.07 Designation of Beneficiary 14  
2.08 Misstatements and Adjustments 15  
2.09 Incontestability 15  
2.10 Grace Period 15  
2.11 Individual Certificates 15  
 
III. PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS    
- --------------------------------------------------------------------------    
3.01 Net Purchase Payment 15  
3.02 Certificate Holder's Account 15  
3.03 Fund(s) Record Units - Separate Account 15  
3.04 Net Return Factor(s) - Separate Account 15  
3.05 Fund Record Unit Value - Separate Account 16  
3.06 Market Value Adjustment 16  
3.07 Transfer of Current Value from the Funds or MG Account 17  
3.08 Reports 18  
3.09 Notice to the Certificate Holder 18  
3.10 Loans 18  
3.11 Distribution Options 18  
3.12 Death Benefit Amount 22  
  7    
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    Page  
3.13 Death Benefit Options Available to Beneficiary 22  
3.14 Required Distribution to Certificate Holder/Beneficiary 23  
3.15 Liquidation of Surrender Value 24  
3.16 Surrender Fee 24  
3.17 Payment of Surrender Value 25  
3.18 Reinstatement 25  
3.19 Payment of Adjusted Current Value 26  
IV. ANNUITY PROVISIONS    
- --------------------------------------------------------------------------    
4.01 Choices to be Made 26  
 
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4.02 Annuity Payments to Certificate Holder 26
4.03 Annuity Payments to Beneficiary 27
4.04 Terms of Annuity Options 27
4.05 Death of Annuitant/Beneficiary 28
4.06 Fund(s) Annuity Units - Separate Account 28
4.07 Fund(s) Annuity Unit Value - Separate Account 29
4.08 Annuity Net Return Factor(s) - Separate Account 29
4.09 Annuity Options 29
8
<PAGE>    

 

I.     

GENERAL DEFINITIONS

-     

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1.01     

Account:

1.02     

Accumulation Period:

1.03     

Adjusted Current Value:

1.04     

Annuitant:

1.05     

Annuity:

1.06     

Beneficiary:

1.07     

Certificate Holder:

1.08     

Code:

1.09     

Contract:

1.10     

Contract Holder:

<PAGE>

1.11     

Current Value:

A record established for each Certificate Holder to maintain the value of the Net Purchase Payment held on his/her behalf during the Accumulation Period.

The period during which the Net Purchase Payment is applied to an Account to provide future Annuity payment(s).

The Current Value of an Account plus or minus any aggregate MG Account MVA, if applicable. (See 1.21)

The person whose life if measured for purposes of the guaranteed death benefit and the duration of Annuity payments under an Account. The Certificate Holder and Annuitant must be the same person under an Account.

Payment of an income:

(a) For the life of one or two persons; (b) For a stated period; or (c) For some combination of (a) and (b).

The individual or estate entitled to receive any payment from an Account upon the death of the Annuitant.

A person who purchases an interest in this Contract as evidenced by a certificate.

The Internal Revenue Code of 1986, as it may be amended from time to time.

This agreement between Aetna and the Contract Holder to provide annuities which qualify as Individual Retirement Annuities under Code Section 408(b) for the exclusive benefit of the Certificate Holder(s) or their Beneficiaries.

The entity to which the Contract is issued. The Contract is offered to:

(a) National Association of Securities Dealers, Inc. ("NASD") member broker-dealers selected by Aetna, who have a minimum net capital of $250,000 or more, including broker-dealer subsidiaries of banks and savings and loan associations, to provide Individual Retirement Annuities under Code Section 408 to their customers; and

(b) Employers who sponsor Individual Retirement Annuity plans under Code Section 408 for their employees.

9

As of the most recent Valuation Period, the Net Purchase Payment and any additional amount deposited pursuant to 3.12 plus any interest added to the portion allocated to the MG Account; and plus or minus the

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1.12 Deposit Period:

1.13     

Fixed Annuity:

1.14     

Fund(s):

1.15     

General Account:

1.16     

Guaranteed Rates - MG Account:

1.17 Guaranteed Term:

1.18     

Guaranteed Term(s) Groups:

<PAGE>

1.19     

Maintenance Fee:

1.20     

Marathon Guaranteed Account (MG Account):

1.21     

Market Value Adjustment (MVA):

Page 6 of 30

investment experience of the portion
allocated to the Funds since deposit; less
all Maintenance Fees deducted, any amounts
surrendered and any amounts applied to an
Annuity.

A calendar week, a calendar month, a
calendar quarter, or any other period of
time specified by Aetna during which the
Net Purchase Payment, Transfers and
Reinvestments are accepted into the MG
Account for one or more Guaranteed Terms.
Aetna reserves the right to extend the
Deposit Period.

An Annuity with payments that do not vary
in amount.

The open-end management investment
companies (mutual funds) in which the
Separate Account invests.

The account holding the assets of Aetna,
other than those assets held in Aetna's
separate accounts.

Aetna will declare the interest rate(s)
applicable to a specific Guaranteed Term at
the start of the Deposit Period for that
Guaranteed Term. The rate(s) are guaranteed
by Aetna for that Deposit Period and the
ensuing Guaranteed Term. The Guaranteed
Rates are annual effective yields. That is,
interest is credited daily at a rate that
will produce the Guaranteed Rate over the
period of a year. No Guaranteed Rate will
ever be less than the Minimum Guaranteed
Rate shown on Contract Schedule I.

For Guaranteed Terms of one year or less,
one Guaranteed Rate is credited for the
full Guaranteed Term. For longer Guaranteed
Terms, an initial Guaranteed Rate is
credited from the date of deposit to the
end of a specified period within the
Guaranteed Term. There may be different
Guaranteed Rate(s) declared for subsequent
specified time intervals throughout the
Guaranteed Term.

The period of time for which MG Account
Guaranteed Rates are guaranteed on Net
Purchase Payments, Transfers and
Reinvestments made into a current Deposit
Period for the MG Account. Such period
begins on the day following the close of
the Deposit Period and ends on the
designated Maturity Date. Guaranteed Terms
are offered at Aetna'a discretion for
various lengths of time ranging up to and
including ten years.

During a Deposit Period, Aetna may make
available any number of Guaranteed Terms.
The Certificate Holder may allocate the Net
Purchase Payment and Transfers into any or
all of the available Guaranteed Terms.

All MG Account Guaranteed Term(s) with the
same length of time from the close of the
Deposit Period until the designated
Maturity Date.

10

The Maintenance Fee (see Contract Schedule
I) will be deducted during the Accumulation
Period from the Current Value on each
anniversary of the date the Account is
established and upon surrender of the entire
Account.

An accumulation option where Aetna guarantees
stipulated rate(s) of interest for specified
periods of time. All assets of Aetna,
including amounts in the Nonunitized
Separate Account, are available to meet the
guarantees under the MG Account.

An adjustment to the amount withdrawn or
transferred from an MG Account Guaranteed
Term prior to the end of that Guaranteed
Term. The adjustment reflects the change in
the value of the investment due to changes

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1.22     

Matured Term Value:

1.23     

Matured Term Value Transfer:

1.24     

Maturity Date:

1.25     

Net Purchase Payment:

1.26     

Nonunitized Separate Account:

1.27 Purchase Payment:

<PAGE>

1.28 Reinvestment:

1.29     

Separate Account:

Page 7 of 30

in interest rates since the date of deposit
and is computed using the formula given in
3.06. The adjustment is expressed as a
percentage of each dollar being withdrawn.

The amount payable on an MG Account
Guaranteed Term's Maturity Date.

During the calendar month following an MG
Account Maturity Date, the Certificate
Holder may notify Aetna's Home Office in
writing to Transfer or surrender all or part
of the Matured Term Value, plus interest at
the new Guaranteed Rate accrued thereon,
from the MG Account without an MVA. This
provision only applies to the first such
written request received from the
Certificate Holder during this period for
any Matured Term Value.

The last date of an MG Account Guaranteed
Term.

The Purchase Payment less premium taxes, as
applicable.

A separate account set up by Aetna under
Title 38, Section 38a-433, of the
Connecticut General Statutes, that holds
assets for MG Account Terms. There are no
discrete units for this Account. The
Certificate Holder does not participate in
the investment gain or loss from the assets
held in the Nonunitized Separate Account.
Such gain or loss is borne entirely by
Aetna. These assets may be chargeable with
liabilities arising out of any other
business of Aetna.

The cash payment accepted by Aetna at its
Home Office which is a rollover amount under
Code Section 402(c), 403(a)(4), 403(b)(8),
or 408(d)(3). Aetna may require verification
that a rollover amount qualifies as such
under the Code. Payments to Simplified
Employee Pension plans and annual deductible
and nondeductible contributions to
Individual Retirement Annuities are not
accepted under this Contract.

Aetna reserves the right to refuse to accept
any Purchase Payment at any time for any
reason. No advance notice will be given to
the Contract Holder or Certificate Holder.

11

Aetna will mail a notice to the Certificate
Holder at least 18 calendar days before a
Guaranteed Term's Maturity Date. This notice
will contain the Terms available during current
Deposit Periods with their Guaranteed Rate(s)
and projected Matured Term Value. If no
specific direction is given by the Certificate
Holder prior to the Maturity Date, each Matured
Term Value will be reinvested in the current
Deposit Period for a Guaranteed Term of the
same duration. If a Guaranteed Term of the same
duration is unavailable, each Matured Term
Value will automatically be reinvested in the
current Deposit Period for the next shortest
Guaranteed Term available. If no shorter
Guaranteed Term is available, the next longer
Guaranteed Term will be used. Aetna will mail a
confirmation statement to the Certificate
Holder the next business day after the Maturity
Date. This notice will state the Guaranteed
Term and Guaranteed Rate(s) which will apply to
the reinvested Matured Term Value.

A separate account that buys and holds shares
of the Fund(s). Income, gains or losses,
realized or unrealized, are credited or charged
to the Separate Account without regard to other
income, gains or losses of Aetna. Aetna owns
the assets held in the Separate Account and is
not a trustee as to such amounts. This Separate
Account generally is not guaranteed and is held
at market value. The assets of the Separate
Account, to the extent of reserves and other
contract liabilities of the Account, shall not
be charged with Aetna liabilities.

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1.30     

Surrender Value:

1.31     

Transfers:

Page 8 of 30

The amount payable by Aetna upon the surrender
of any portion of any Account.

The movement of invested amounts among the
available Fund(s) and the MG Account under this
Contract during the Accumulation Period.

1.32 Valuation Period (Period): The period of time of which a Fund determines
    its net asset value, usually 4:15 p.m. Eastern
    time each day the New York Stock Exchange is
    open until 4:15 p.m. the next such day, or such
    other day that one or more of the Funds
    determines its net asset value.
 
1.33 Variable Annuity: An annuity with payments that vary with net
    investment results of one or more Funds under
    the Separate Account.
 
 
II. GENERAL PROVISIONS  

 

- --------------------------------------------------------------------------------

2.01 Change of Contract:

<PAGE>

2.01     

Change of Contract (Cont'd):

2.02     

Change of Fund(s):

Only an authorized officer of Aetna may change the terms of this Contract. Aetna will notify the Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity which begins before the change.

Aetna reserves the right to refuse to accept any Purchase Payment at any time for any reason. No advance notice will be given to the Contract Holder or Certificate Holder.

12

Aetna may make any change that affects the MG Account Market Value Adjustment (3.06) with at least 30 days' advance written notice to the Contract Holder and the Certificate Holder. Any such change shall become effective for any new Term and will apply to all present and future Accounts.

Aetna reserves the right to change the terms of the distribution options (3.11) for future elections and discontinue the availability of these options after proper notification.

Any change that affects any of the following under this Contract will not apply to Accounts in existence before the effective date of the change:

(a)     

Net Purchase Payment (1.25)

(b)     

MG Account Guaranteed Rate (1.16)

(c)     

Net Return Factor(s)-Separate Account (3.04)

(d)     

Current Value (1.11)

(e)     

Surrender Value (1.30)

(f)     

Fund(s) Annuity Unit Value-Separate Account (4.05)

(g)     

Annuity options (4.09)

(h)     

Fixed Annuity Interest Rates (4.01)

(i)     

Transfers (1.31).

Any change that affects the Annuity options and the tables for the options may be made:

(a)     

No earlier than 12 months after the effective date of this Contract; and

(b)     

No earlier than 12 months after the effective date of any prior change.

Any Account established on or after the effective date of any change will be subject to the change. If the Contract Holder does not agree to any change under this provision, no new Accounts may be established under this Contract. This Contract may also be changed as deemed necessary by Aetna to comply with federal or state law.

Aetna, or the Separate Account, may:

(a)     

Change the Fund(s) which may be invested in by the Separate Account; and

(b)     

Replace the shares of any Fund(s) held in the Separate Account with shares of any other Fund(s).

Changes must be:

(a)     

Approved by a majority vote in the Separate Account with respect to the Fund(s) whose

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Page 9 of 30

    shares are to be replaced; or
  (b) Deemed necessary by Aetna under the
    Investment Company Act of 1940; or
 
 
 
<PAGE>    
 
2.02 Change of Fund(s) (c) Deemed necessary by Aetna to accomplish
  (Cont'd): the purpose of the Separate Account.
 
    Aetna will notify the Contract Holder and the
    Certificate Holder of any change.
 
2.03 Nonparticipating Contract: The Contract Holder, Certificate Holders, or

 

2.04 Payments and Elections:

2.05 State Laws:

2.06 Control of Contract:

2.07     

Designation of Beneficiary:

<PAGE>

2.08     

Misstatements and Adjustments:

2.09     

Incontestability:

2.10     

Grace Period:

Beneficiaries will not have a right to share in the earnings of Aetna.

While the Certificate Holder is living, Aetna will pay the Certificate Holder any Annuity payments as and when due. After the Certificate Holder's death, any Annuity payments required to be made will be paid in accordance with 4.05 Aetna will determine other payments and/or elections as of the end of the Valuation Period in which the request is received at its Home Office. Such payments will be made within 7 calendar days of receipt at its Home Office of a written claim for payment which is in good order, except as provided in 3.17.

The Contract and the Certificates comply with the laws of the state in which they are delivered. Any surrender, death, or Annuity payments are equal to or greater than the minimum required by such laws. Annuity tables for legal reserve valuation shall be as required by state law. Such tables may be different from Annuity tables used to determine Annuity payments.

This is a Contract between the Contract Holder and Aetna. The Contract Holder has title to the Contract. Contract Holder rights are limited to accepting or rejecting Contract modifications.

Each Certificate Holder has a nonforfeitable right to all amounts held in his or her Account. Each Certificate Holder may make any choices allowed by this Contract for his or her Account. Choices made under this Contract must be in writing. Until receipt of such choices at Aetna'a Home Office, Aetna may rely on any previous choices made.

The Contract is not subject to the claims of any creditors of the Contract Holder or the Certificate Holder except to the extent permitted by law.

The Account may not be attached, alienated, or subject to the claims of any creditors of the Certificate Holder except to the extent permitted by law. The Account is nontransferable by the Certificate Holder. The Certificate Holder may not assign, transfer, pledge or use as collateral his or her rights under the Contract.

Each Certificate Holder shall name his or her Beneficiary. The Beneficiary may be changed at any time. Changes to a Beneficiary must be submitted to Aetna's Home Office in writing and will not be effective until accepted by Aetna.

14

If Aetna finds the age of any Annuitant to be misstated, the correct facts will be used to adjust payments.

Aetna cannot cancel this Contract because of any error of fact on the application. Aetna cannot cancel an Account because of any error of fact on the enrollment form.

This Contract will remain in effect except as provided in the Payment of Adjusted Current Value provision (see 3.19).

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2.11     

Individual Certificates:

Page 10 of 30

Aetna shall issue a certificate to each
Certificate Holder. The certificate will
summarize certain provisions of the
Contract. Certificates are for information
only and are not a part of the Contract.

III.     

PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS

-     

--------------------------------------------------------------------------------

3.01 Net Purchase Payment:

3.02     

Certificate Holder's Account:

3.03     

Fund(s) Record Units- Separate Account:

3.04     

Net Return Factor(s)- Separate Account:

<PAGE>

3.04 Net Return Factor(s)--Separate Account (Cont'd):

This amount is the actual Purchase Payment less any premium tax. Aetna will generally deduct the premium tax when Annuity benefits are elected (see Part IV). If Aetna determines that under applicable state law, it must pay a premium tax when the Purchase Payment is received or at any other time, it will deduct the tax at that time.

The Net Purchase Payment will be credited among:

(a) The current Deposit Period(s) for Guaranteed Terms under the MG Account; and

(b) The Fund(s) in which the Separate Account invests.

The Certificate Holder shall tell Aetna the allocation percentage to be applied to the current Deposit Period for each of the available Guaranteed Terms in the MG Account and/or each Fund.

Aetna will maintain an Account for each Certificate Holder.

Aetna will declare from time to time the acceptability and the minimum amount for a Purchase Payment.

The portion of the Net Purchase Payment applied to each Fund under the Separate Account will determine the number of Fund record units for that Fund. This number is equal to the portion of the Net Purchase Payment applied to each Fund divided by the Fund record unit value (see 3.05) for the Valuation Period in which the Purchase Payment is received in good order at Aetna's Home Office.

The net return factor(s) are used to compute all Separate Account record units for any Fund.

The net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate.

15

The net return rate is equal to:

(a)     

The value of the shares of the Fund held by the Separate Account at the end of the Valuation Period; minus

(b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

(c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

(d)     

The total value of the Fund(s) record units and Fund(s) Annuity units of the Separate Account at the start of the Valuation Period; minus

(e)     

A daily Separate Account charge at an annual rate as shown on Contract Schedule I for mortality and expense risks, which may include profit; and a daily administrative charge.

A     

net return rate may be more or less

than 0%. The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.

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Page 11 of 30

3.05 Fund Record Unit

Value -- Separate Account:

A Fund recorded unit value is computed by

multiplying the net return factors for the current Valuation Period by the Fund record unit value for the previous Period. The dollar value of a Fund record units, Separate Account assets, and Variable Annuity payments may go up or down due to investment gain or loss.

 

3.06 Market Value Adjustment:

There will be an MVA for a withdrawal from the MG Account before the end of a Guaranteed Term when the withdrawal is due to:

 

(a)     

A Transfer; except as specified in MG Account Matured Term Value Transfer;

(b)     

A full or partial surrender, including a 10% free withdrawal under 3.16; or

(c)     

An election of Annuity option 2 (see 4.09).

Full and partial surrenders and Transfers made
within six months after the date of the
Annuitant's death will be the greater of:

(a)     

The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts.

 

This total may be greater or less than the Current Value of those amounts; or

(b)     

The applicable portion of the Current Value in the MG Account.

After the six-month period, the surrender or Transfer will be the aggregate MVA amount, which may be greater or less than the Current Value of those amounts.

The greater of the aggregate MVA amount or the applicable portion of the Current Value applies to amounts withdrawn from the MG Account on account of an election of Annuity options 3 or 4 (see 4.09).

16

 

<PAGE>

3.06 Market Value Adjustment (Cont'd):

Market value adjusted amounts will be equal to the amount withdrawn multiplied by the following ratio:

 

x
---
365

(1 + i)
-----------------
x
---
365
(1 + j)

Where:

i     

is the Deposit Period Yield

j     

is the Current Yield

x     

is the number of days remaining, (computed from Wednesday of the week of withdrawal) in the Guaranteed Term.

The Deposit Period Yield will be determined
as follows:

(a) At the close of the last business day of
each week of the Deposit Period, a yield
will be computed as the average of the
yields on that day of U.S. Treasury Notes
which mature in the last three months of
the Guaranteed Term.

(b) The Deposit Period Yield is the average
of those yields for the Deposit Period.
If withdrawal is made before the close of
the Deposit Period, it is the average of
those yields on each week preceding
withdrawal.

The Current Yield is the average of the
yields on the last business day of the week
preceding withdrawal on the same U.S.
Treasury Notes included in the Deposit
Period Yield.

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3.07     

Transfer of Current Value from the Funds or MG

 

Account:

<PAGE>

Page 12 of 30

In the event that no U.S. Treasury Notes
which mature in the last three months of the
Guaranteed Term exist, Aetna reserves the
right to use the U.S. Treasury Notes that
mature in the following quarter.

Before an Annuity option is elected, all or
any portion of the Adjusted Current Value of
the Certificate Holder's Account may be
transferred from any Fund or Guaranteed Term
of the MG Account:

(a) To any other Fund; or
(b) To any Guaranteed Term of the MG Account
available in the current Deposit Period.

Transfer requests can be submitted as a
percentage or as a dollar amount. Aetna may
establish a minimum transfer amount. Within
a Guaranteed Term Group, the amount to be
surrendered or transferred will be withdrawn
first from the oldest Deposit Period, then
from the next oldest, and so on until the
amount requested is satisfied.

17

3.07 Transfer of Current Value The Certificate Holder may make an unlimited
  from the Funds or MG number of Transfers during the Accumulation
  Account (Cont'd): Period. The number of free Transfers allowed
    by Aetna is shown on Contract Schedule I.
    Additional Transfers may be subject to a
    Transfer fee as shown on Contract Schedule
    I. Transfers from the MG Account of a
    Matured Term Value on or within one calendar
    month after a Term's Maturity Date do not
    count against the annual Transfer limit.
 
    Amounts applied to Guaranteed Terms of the
    MG Account may not be transferred to the
    Funds or to another Guaranteed Term during
    the Deposit Period or for 90 days after the
    close of the Deposit Period except for
    Matured Term Value(s) during the calendar
    month following the Term's Maturity Date.
 
    Transfers from Guaranteed Terms of the MG
    Account are subject to the MVA provisions
of 3.06.
 
3.08 Reports: Aetna, as issuer of the Contract, will make
    any reports required of it by federal law.
    Aetna will furnish annual calendar year
    reports concerning the status of the
annuity.
 
3.09 Notice to the Certificate The Certificate Holder will receive
  Holder: quarterly statements from Aetna of:
 
    (a) The value of any amounts held in:

 

(1)     

The MG Account; and

(2)     

The Fund(s) under the Separate Account.

(b) The number or any Fund(s) record units; and (c) The Fund(s) record unit value.

3.10     

Loans:

3.11     

Distribution Options:

Such number or values will be as of a specific date no more than 60 days before the date of the notice.

Loans are not available under this Contract.

The following distribution options may be elected by the Certificate Holder during the Accumulation Period.

(a) Estate Conservation Option (ECO) - A distribution option under which a portion of the Account's Current Value will automatically be surrendered and distributed each year. ECO payments will be calculated based on the Account's full Current Value. The distributed amount will be withdrawn pro rata from each investment option used under the Account. A Surrender Fee will not be deducted from any portion of the Adjusted Current Value which is paid as a distribution under ECO. Certificate Holders should consult their tax adviser prior to requesting this distribution option. Aetna will not be responsible

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<PAGE>

3.11 Distribution Options (Cont'd):

<PAGE>

3.11 Distribution Options (Cont'd):

Page 13 of 30

for any adverse tax consequences due to
receiving ECO payments.

(1) Amount of Distribution: Each year
that ECO is in effect, Aetna will
calculate and distribute an amount
equal to the minimum required
distribution under the Code. The

annual distribution will be determined by
dividing the Current Value as of December
31 of the year prior to the payment year,
by a life expectancy factor.

The Certificate Holder, or spouse
Beneficiary if ECO is elected after the
Certificate Holder's death, shall elect
either single life expectancy or joint
life expectancy. Life expectancy is
computed by use of the expected return
multiples in Tables V and VI of section
1.72-9 of the Income Tax Regulations.

Joint life expectancy can only be elected
based on the joint life expectancy of the
Certificate Holder and his or her
Beneficiary. If the Certificate Holder
makes any changes in the Beneficiary
designation under the Certificate, ECO
distributions after the change will be
recalculated as required by IRS
regulations.

Life expectancies shall be recalculated
annually. If the joint life expectancy is
elected with a non-spouse Beneficiary, the
life expectancy of the non-spouse
Beneficiary may not be recalculated.
Instead, the life expectancy will be
calculated using the attained age of the
Beneficiary during the calendar year in
which the Certificate Holder attains age
70 1/2, and payments for subsequent years
shall be recalculated based on such life
expectancy reduced by one for each
calendar year which has elapsed since the
calendar year life expectancy was first
calculated.

If joint life expectancy is elected with a
spouse Beneficiary, at the death of
either, the payments can continue and will
be calculated based solely on the
survivor's life expectancy. If joint life
expectancy is elected with a non-spouse
Beneficiary and the non-spouse Beneficiary
dies first, payments will continue based
on the joint life expectancy.

If a single life expectancy is elected and
the Certificate Holder dies, or if a joint
life expectancy is elected and the
survivor dies, the death benefits
determined under Section 3.12 will be paid
to the Beneficiary in a lump sum not later
than December 31 following the year of
death.

(2)     

Minimum Initial Current Value: At its discretion, Aetna may require a minimum initial Account Current Value for election of this option. If after election of this option, the Current Value is insufficient to make a scheduled ECO payment, Aetna will distribute the entire Account balance.

(3)     

Date of Distribution: Distribution will be made annually on the 15th of any month or such other date Aetna may designate or allow. The Certificate Holder shall specify an initial distribution month, not earlier than the

 

19

calendar year in which the Certificate
Holder attains age 70 1/2, or such later
time when distributions must commence as
specified under the Code, whichever is
appropriate. For a spouse Beneficiary, the
earliest date is the date of the
Certificate Holder's death.

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Page 14 of 30

(4)     

Election and Revocation: ECO may be elected by the Certificate Holder by submitting a written request to Aetna at his Home Office.

Once elected, this option may be revoked
by the Certificate Holder, or spouse
Beneficiary if elected after the
Certificate Holder's death, by submitting
a written request to Aetna at its Home
Office. Any revocation will apply only to
amounts not yet paid. The Certificate
Holder assumes responsibility for
compliance with minimum distribution rules
under the Code. ECO may be elected only
once by the Certificate Holder or by a
spouse Beneficiary.

(b)     

Systematic Withdrawal Option (SWO): A

  distribution     

option under which a portion of

  the     

Account's Current Value will automatically

  be     

surrendered and distributed each year. SWO

  payments     

will be calculated based on the

  Account's     

Current Value. The distributed amount

  will     

be withdrawn pro rata from each investment

  option     

used under the Account. A Surrender Fee

  will     

not be deducted from any portion of the

  Adjusted     

Current Value which is paid as a

  distribution     

under SWO. Certificate Holders

  should     

consult their tax adviser prior to

  requesting     

this distribution option. Aetna will

  not     

be responsible for any adverse tax

  consequences     

due to receiving SWO payments.

  (1)     

Amount of Distribution: The Certificate

   Holder     

may elect one of the three payment

   methods     

described below.

   (i)     

Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage of the Current Value at time of election as shown on Contract Schedule I. This annual dollar amount will remain constant. At its discretion, Aetna may require a minimum initial payment amount; or

   (ii)     

Specified Period: Payments made over a period of time of at least 10 years. The maximum specified period shall be determined under the Code minimum distribution rules. The annual amount paid each year is calculated by dividing the Account's Current Value as of December 31 of the prior year by the number of payment years remaining; or

(iii) Specified Percentage: Payment of a
designated percentage which cannot be
greater than the

20

<PAGE>

3.11 Distribution Options (Cont'd):

percentage of the Current Value at the time of election as shown on Contract Schedule I. The percentage may be changed by written request. Aetna reserves the right to limit the number of times the percentage may be changed. The annual amount is calculated by multiplying the Current Value as of December 31 of the year prior to the payment year by the designated percentage.

Payments will be made until the year the Certificate Holder attains age 70 1/2 or, if elected by the spouse Beneficiary, the year the Certificate Holder would have attained age 70 1/2.

Under both the Specified Payment and Specified Period payment methods, a higher amount shall be paid in any year if required under the Code minimum distribution rules. For purposes of this determination, life expectancy for the initial distribution year shall be calculated based on single life expectancy Table V of Section 1.72-9 of the Income

 

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<PAGE>

3.11     

Distribution Options (Cont'd):

3.12     

Death Benefit Amount:

Page 15 of 30

Tax Regulations. With each subsequent
year, the life expectancy will be the life
expectancy for the previous year reduced
by one.

Payments upon the Certificate Holder's
death will be made to the Beneficiary in
the manner described in 3.13.

(2)     

Minimum Initial Current Value: At its discretion, Aetna may require a minimum initial Current Value for election of this option. If after election of this option the Current Value is insufficient to make a scheduled SWO payment, Aetna will distribute the entire Account balance.

(3)     

Date of Distribution: The Certificate Holder shall specify the initial distribution date. The earliest date for distribution is the first date on which the Certificate Holder attains age 59 1/2.

 

As elected by the Certificate Holder, SWO payments will be made on a monthly, quarterly, semi-annual or annual basis. If SWO payments are made more frequently than annually, the designated annual amount is divided by the number of payments due each year. Subsequent distributions will be made on the 15th of any month or such other date Aetna may designate or allow.

(4)     

Election and Revocation: SWO may be elected by the Certificate Holder, or spouse Beneficiary if elected after the

Certificate     

Holder's death, by submitting

a     

completed and signed election form to

Aetna's     

Home Office.

21     

Once elected, this option may be
revoked by the Certificate Holder, or
spouse Beneficiary if elected after
the Certificate Holder's death, by
submitting a written request to Aetna
at its Home Office. Any revocation
will apply only to amounts not yet
paid. SWO may be elected only once by
the Certificate Holder or by the
spouse Beneficiary.

If the Certificate Holder/Annuitant dies before
Annuity payments start, the Beneficiary is
entitled to a death benefit under the Account.
The claim date is the date when proof of death
and the Beneficiary's claim are received in good
order at Aetna's Home Office. The amount of the
death benefit is determined as follows:

(a)     

Death of Certificate Holder/Annuitant less

  than     

75 years of age: The guaranteed death

  benefit     

is the greatest of:

  (1)     

The Net Purchase Payment made to the Account minus the sum of all amounts surrendered, applied to an Annuity, or deducted from the Account;

  (2)     

The step up value as of the date of death minus the total of all partial surrenders, amounts applied to an Annuity and deductions made from the Account since determination of the step up value. The step up value is the Current Value on the most recent seventh year anniversary of the date the Net Purchase Payment is applied to the Account;

  (3)     

The Account's Current Value as of the date of death.

  The     

excess, if any, of the guaranteed death

  benefit     

value over the Account's Current

  Value     

is determined as of the date of

  death.     

Any excess amount will be deposited

  to     

the Account and allocated to Aetna

  Variable     

Encore Fund as of the claim date.

  The     

Current Value on the claim date plus

  any     

excess amount deposited becomes the

  Account's     

Current Value.

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3.13     

Death Benefit Options available to Beneficiary:

<PAGE>

3.13     

Death Benefit Options

available to Beneficiary (Cont'd):

Page 16 of 30

(b)     

Death of Certificate Holder/Annuitant age 75 or greater: The death benefit amount is the Account Current Value on the claim date.

Prior to any election, or until amounts must be
otherwise distributed under this section, the
Current Value of the Account will be retained in
the Account. The Beneficiary has the right under
the Account to allocate or reallocate any amount
to any of the available investment options
(subject to an MVA, as applicable). The
following options are available to the
Beneficiary:

(a)     

If the Beneficiary is the Certificate Holder's surviving spouse, the surviving spouse may exercise all rights under the Contract and continue in the Accumulation Period, or may elect (1), (2), or (3) below. Under the Code, distributions from the Account are

 

22

not required until December 31st of the year
in which the original Certificate Holder would
have attained age 70 1/2. The Beneficiary may
elect to:

(1) Apply some or all of the Adjusted Current
Value of the Account to Annuity option 2,
3, or 4 (see 4.09);
(2) Apply some or all of the Adjusted Current
Value of the Account to Annuity option 1
(see 4.09); or

(3) Receive, at any time, a lump sum payment
equal to the Adjusted Current Value of
the Account.

3.14     

Required Distribution to Certificate Holder/ Beneficiary:

 

If ECO is in effect on the Certificate Holder's date of death, the surviving spouse can elect to continue receiving ECO payments if a joint life expectancy was chosen. Otherwise, the surviving spouse must receive a lump sum payment equal to the Adjusted Current Value.

 

If SWO is in effect and the Certificate Holder dies before the required beginning date for minimum distributions (see 3.14), SWO payments will cease and the surviving spouse may claim the death benefit in accordance with the terms of this section.

 

If SWO is in effect and the Certificate Holder dies after the required beginning date for minimum distributions, the surviving spouse may elect to continue receiving the SWO payments. Otherwise, the surviving spouse must elect to receive a lump sum payment equal to the Adjusted Current Value.

(b)     

If the Beneficiary is other than the Certificate Holder's surviving spouse, then

options     

(1), (2), or (3) under (a) above

apply.     

Any portion of the Adjusted Current

Value     

of the Account that is not applied to

Annuity     

option 2, 3 or 4 by December 31st of

the     

year following the year of the Certificate

Holder's     

death must be distributed by December

31st     

of the year containing the fifth

anniversary     

of the Certificate Holder's date

of     

death.

If     

ECO or SWO is in effect on the Certificate

Holder's     

date of death, the Beneficiary must

receive     

an automatic and immediate lump sum

payment     

equal to the Adjusted Current Value.

(c)     

If no Beneficiary exists, a lump sum payment

equal     

to the Adjusted Current Value will be

made     

to the Certificate Holder's estate.

(a)     

Certificate Holder: The entire interest of the

Certificate     

Holder will be distributed or

begin     

to be distributed no later than April 1

following     

the calendar year in which the

Certificate     

Holder attains age 70 1/2

(required     

beginning date), over (a) the life

of     

the Certificate Holder, or the lives of the

Certificate     

Holder and his or her designated

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<PAGE>

3.14 Required Distribution to Certificate Holder/ Beneficiary (Cont'd):

3.15 Liquidation of Surrender Value:

3.16 Surrender Fee:

<PAGE>

3.16 Surrender Fee (Cont'd):

Page 17 of 30

Beneficiary, or (b) a period certain not
extending beyond the life expectancy of the
Certificate Holder, or the joint and last
survivor expectancy of the Certificate Holder
and his or her designated Beneficiary.
Payments must be made in periodic payments at
intervals no longer than one year. In
addition, payments must be either
nonincreasing or they may

23

increase only as provided in Q&A F-3 of
section 1.401(a)(9)-1 of the Proposed
Income Tax Regulations.

All distributions made hereunder shall be
made in accordance with the requirements
of section 401(a)(9) of the Code, and the
regulations thereunder, including the
minimum distribution incidental benefit
requirement of section 1.401(a)(9)-2 of
the Proposed Income Tax Regulations.

Distribution may be an Annuity as set
forth in Sections 4.01 through 4.04,
payments under ECO or SWO as defined in
Section 3.11, or a lump sum payment.

(b)     

Beneficiary: If the Certificate Holder dies after distribution of his or her interest has begun, the remaining portion of such interest will continue to be distributed at least as rapidly as under the method of distribution being used prior to the Certificate Holder's death.

Distributions are considered to have begun
if distributions are made on account of
the Certificate Holder's reaching his or
her required beginning date or if prior to
the required beginning date distributions
irrevocably commence to the Certificate
Holder over a period permitted and in an
Annuity form acceptable under section
1.401(a)(9) of the Income Tax Regulations.

All or any portion of the Account's Adjusted
Current Value may be surrendered at any time.
Surrender requests can be submitted as a
percentage of the Account value or as a
specific dollar amount. The Net Purchase
Payment amount is withdrawn first, and then the
excess value, if any. Amounts are withdrawn on
a pro rata basis from the Fund(s) and/or the
Guaranteed Term(s) Groups of the MG Account in
which the Current Value is invested. Within a
Guaranteed Term Group, the amount to be
surrendered or transferred will be withdrawn
first from the oldest Deposit Period, then from
the next oldest, and so on until the amount
requested is satisfied.

After deduction of the Maintenance Fee, if
applicable, the surrendered amount shall be
reduced by a Surrender Fee, if applicable.

The Surrender Fee only applies to the Net
Purchase Payment portion surrendered and varies
according to the elapsed time since deposit
(see Contract Schedule I).

No Surrender Fee is deducted from any portion
of the Current Value which is paid:

(a)     

To a Beneficiary due to the Certificate Holder's death before Annuity payments start;

(b)     

As a premium for an Annuity option 2, 3 or 4 under this Contract (see 4.09);

 

24

(c)     

As a distribution under the ECO or SWO provision (see 3.11);

(d)     

At least 12 months after the date of the Purchase Payment to the Account, in an amount equal to or less than 10% of the Current Value. This applies to the first

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3.17 Payment of Surrender VAlue:

3.18 Reinstatement:

<PAGE>

3.18 Reinstatement (Cont'd):

3.19     

Payment of Adjusted Current Value:

Page 18 of 30

surrender request, partial or full, in a
calendar year. The Current Value is
calculated as of the date the surrender
request is received in good order at
Aetna's Home Office. This waiver is not
available to the Certificate Holder while
SWO is in effect;

(e)     

For a full surrender of the Account where the Current Value of the Account is $2,500 or less and no surrenders have been taken from the Account within the prior 12 months;

(f)     

By Aetna under 3.19; or

(g)     

If the Certificate Holder has spent at least 45 consecutive days in a licensed nursing care facility and each of the following conditions are met:

(1) more than one calendar year has elapsed
since the date the certificate was
issued; and

(2) the surrender is requested within 3
years of admission to a licensed
nursing care facility.

This waiver does not apply if the
Certificate Holder was in a nursing care
facility at the time the certificate was
issued.

Under certain emergency conditions, Aetna may
defer payment:

(a)     

For a period of up to 6 months (unless not allowed by state law); or

(b)     

As provided by federal law.

All or a portion of the proceeds of a full
surrender of an Account may be reinvested
within 30 days after the surrender. Any
Maintenance Fee and surrender Fee charged at
the time of surrender on the amount reinvested
will be included in the reinstatement. Any
Market Value Adjustment(s) deducted from
surrenders will not be included in the
reinstatement.

Amounts will be reinstated among the MG Account
and the Funds in the Separate Account in the
same proportion as they were at the time of
surrender. Any amounts reinstated to the MG
Account will be credited to the available
Guaranteed Terms of the current Deposit Period
in the same proportion as they were at the time
of surrender. In the event that a Guaranteed
Term of the same duration is unavailable,
amounts will be reinvested in the next shortest
Guaranteed Term available in the current
Deposit Period. If no shorter Guaranteed Term
is available, the next longer Guaranteed Term
will be used. The number of Fund(s) record
units reinstated will be based on the record
unit value(s) next computed after receipt at
Aetna's

25

Home Office of the reinstatement request and
the amount to be reinstated. Any Maintenance
Fee which falls due after the surrender and
before the reinstatement will be deducted from
the amount reinstated.

Any Account(s) surrendered because the Current
Value was less than $2,500 immediately
following any partial surrender may not be
reinstated (see 3.19).

Reinstatement of an Account is permitted only
once.

Upon 90 days' written notice to the Certificate
Holder, Aetna will terminate any Account if the
Current Value becomes less than $2,500
immediately following any partial surrender.
Aetna does not intend to exercise this right in
cases where an Account Current Value is reduced
to $2,500 or less solely due to investment

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Page 19 of 30

performance. A Surrender Fee will not be
deducted from the Adjusted Current Value. This
terminated Adjusted Current Value of an Account
may not be reinstated.

IV.     

ANNUITY PROVISIONS

-     

--------------------------------------------------------------------------------

4.01 Choices to be Made:

4.02     

Annuity Payments to Certificate Holder:

<PAGE>

4.02     

Annuity Payments to Certificate Holder (Cont'd):

4.03     

Annuity Payments to Beneficiary:

4.04     

Terms of Annuity Options:

The Certificate Holder may tell Aetna to apply any portion of the Adjusted Current Value (minus any premium tax) for an Annuity under option 2, 3, or 4 (see 4.09). The first Annuity payment may not be earlier than one calendar year after the Purchase Payment nor later than the later of:

(a)     

The first day of the month following the Annuitant's 85th birthday; or

(b)     

The tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may tell Aetna to make a lump sum payment.

When an Annuity option is chosen, Aetna must also be told if payments are to be made other than monthly and whether to pay:

(a)     

A Fixed Annuity using the General Account;

(b)     

A Variable Annuity using any of the Fund(s) available under this Contract for Annuity purposes; or

(c)     

A combination of (a) and (b).

If a Fixed Annuity is chosen, the Annuity purchase rate for the option chosen reflects the Minimum Guaranteed Interest Rate (see Contract Schedule II), but may reflect higher interest rates. If a Variable Annuity is chosen, the initial Annuity payment for the option chosen reflects the assumed annual return rate elected. (see Contract Schedule II).

In no event may any payments under an Annuity option extend beyond:

(a)     

The life of the Certificate Holder;

 

26

  (b)     

The lives of the Certificate Holder and Beneficiary;

  (c)     

Any certain period greater than the Certificate Holder's life expectancy according to regulations under Code Section 401(a)(9), determined as of the date payments are to begin; or

  (d)     

A period greater than the joint and last survivor life expectancies of the Certificate Holder and the Certificate Holder's Beneficiary according to regulations under Code Section 401(a)(9), determined as of the date payments are to begin.

In no event may payments to the Beneficiary under an Annuity option extend beyond:

(a) The life of the Beneficiary; or (b) Any certain period greater than the Beneficiary's life expectancy as determined by regulations under Code Section 401(a)(9).

(a) When payments start, the age of the Annuitant plus the number of years for which payments are guaranteed must not exceed 95.

(b) An Annuity option may not be elected if the first payment would be less than $50 or if the total payments in a year would be less than $250 (less if required by state law). Aetna reserves the right to increase the minimum first Annuity payment amount and the annual minimum Annuity payment amount based upon increases reflected in the Consumer Price Index-Urban, (CPI-U) since July 1, 1993.

(c) If a Fixed Annuity under option 2, 3 or 4 is chosen and a larger payment would result from applying the Surrender

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<PAGE>

4.04 Terms of Annuity Options (Cont'd):

4.05 Death of Annuitant/ Beneficiary:

Page 20 of 30

Value to a current Aetna single premium
immediate Annuity, Aetna will make the
larger payment.
(d) For purposes of calculating the
guaranteed first payment of a Variable
Annuity or the payments for a Fixed
Annuity, the Annuitant's and second
Annuitant's adjusted age will be used.
The Annuitant's and second Annuitant's
adjusted age is his or her age as of
the birthday closest to the Annuity
commencement date reduced by one year
for Annuity commencement dates
occurring during the period of time
from July 1, 1993 through December 31,
1999. The Annuitant's and second
Annuitant's age will be reduced by two
years for Annuity commencement dates
occurring during the period of time
from January 1, 2000 through December
31, 2009. The Annuitant's and second
Annuitant's age will be reduced by one
additional year for Annuity
commencement dates occurring in each
succeeding decade.

The Annuity rates for options 3 and 4
are based on mortality from 1983 Table
a.

(e) Assumed Annual Net Return Rate is the
interest rate used to determine the
amount of the first Annuity payment
under a Variable Annuity as shown on
Contract Schedule II. The Separate
Account must earn this rate plus enough
to cover the

27

mortality and expense risks charges (which
may include profit) and administrative
charges if future Variable Annuity
Payments are to remain level, (see Annuity
return factor under Variable Annuity
Assumed Annual Net Return Rate on Contract
Schedule II).

(f)     

Once elected, Annuity payments cannot be commuted to a lump sum except for Variable Annuity payments under option 2 (see 4.09). The life expectancy of the Certificate Holder or Certificate Holder and second Annuitant shall be irrevocable upon the election of an Annuity option.

(a)     

When the Annuitant dies under option 2 or 3, or both the Annuitant and second Annuitant die under option 4(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon election by the Beneficiary, any remaining payments will continue to the Beneficiary. If option 4 has been elected and the Annuitant dies, the remaining payments will continue to the second Annuitant as successor payee.

(b)     

If there is no Beneficiary under option 2, 3 or 4, the present value of any remaining payments will be paid in one sum to the Certificate Holder's estate.

(c)     

If the Beneficiary designated under option 1 dies, the amount held plus accrued interest will be paid in one sum to a

successor     

Beneficiary, if any, named by

the     

designated Beneficiary. If there is no

successor     

Beneficiary, the lump sum will

be     

paid to the designated Beneficiary's

estate.     

(d)     

If the Beneficiary dies while receiving

Annuity     

payments, the present value of any

remaining     

guaranteed payments will be paid

in     

one sum to the successor Beneficiary,

or     

upon election by the successor

Beneficiary,     

any remaining payments will

continue     

to the successor Beneficiary. If

no     

successor Beneficiary has been

designated,     

the present value of any

remaining     

guaranteed payments will be paid

in     

one sum to the Beneficiary's estate.

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4.06 Fund(s) Annuity Units--Separate Account:

<PAGE>

4.06     

Fund(s) Annuity Units -- Separate Account (Cont'd):

4.07     

Fund(s) Annuity Unit Value -- Separate Account:

4.08     

Annuity Net Return Factor(s) -- Separate Account:

4.09     

Annuity Options:

Page 21 of 30

(e)     

The present value will be determined as of the Valuation Period in which proof of death acceptable to Aetna and a request for payment is received at Aetna's Home Office. The interest rate used to determine the first payment will be used to calculate the present value.

The number of each Fund's Annuity units is
based on the amount of the first Variable
Annuity payment which is equal to:

(a)     

The portion of the Current Value applied to pay a Variable Annuity (minus any premium tax); divided by

(b)     

1,000; multiplied by

(c)     

The payment rate for the option chosen.

 

28

Such amount, or portion, of the variable
payment will be divided by the appropriate
Fund Annuity unit value (see 4.07) on the
tenth Valuation Period before the due date of
the first payment to determine the number of
each Fund Annuity units. The number of each
Fund Annuity units remains fixed. Each future
payment is equal to the sum of the products of
each Fund Annuity unit value multiplied by the
appropriate number of units. The Fund Annuity
unit value on the tenth Valuation Period prior
to the due date of the payment is used.

For any Valuation Period, a Fund Annuity unit
value is equal to:
(a) The value for the previous Period;
multiplied by
(b) The Annuity net return factor(s) (see
4.08 below) for the Period; multiplied by
(c) A factor to reflect the assumed annual
net return rate (see Contract Schedule
II).

The dollar value of a Fund(s) Annuity unit
values and Annuity payments may go up or down
due to investment gain or loss.

The Annuity net return factor(s) are used to
compute all Separate Account Annuity Payments
for any Fund.

The Annuity net return factor(s) for each Fund
is equal to 1.0000000 plus the net return
rate.

The net return rate is equal to:

(a) The value of the shares of the Fund held
by the Separate Account at the end of a
Valuation Period; minus
(b) The value of the shares of the Fund held
by the Separate Account at the start of
the Valuation Period; plus or minus
(c) Taxes (or reserves for taxes) on the
Separate Account (if any); divided by
(d) The total value of the Fund(s) Record
Units and Fund(s) Annuity Units of the
Separate Account at the start of the
Valuation Period; minus
(e) A daily charge for Annuity mortality and
expense risks, which may include profit,
and a daily administrative charge (at the
annual rate as shown on Contract Schedule
II).

A net return rate may be more or less than 0%.

The value of a share of the Fund is equal to
the net assets of the Fund divided by the
number of shares outstanding.

Payments shall not be changed due to changes
in the mortality or expense results or
administrative charges.

Option 1--Payment of Interest on Sum Left with
Aetna -- This option may be used only by the
beneficiary when the Certificate Holder dies
before Aetna has started paying an Annuity. A
portion or all of the sum paid upon death may
be held under this option and will be held in
the General Account of Aetna at interest (see
4.01). The Beneficiary may later tell Aetna

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Page 22 of 30

to:

     29 <PAGE>

4.09 Annuity Options (Cont'd): (a) Pay a portion or all of the sum held by Aetna; or

(b)     

Apply a portion or all of the sum held by Aetna to any Annuity option below.

If a nonspouse Beneficiary elects that some or
all of the Account is to be held under this
option, the Beneficiary must tell Aetna to pay
the full sum held under this option by December
31st of the year containing the fifth
anniversary of the Certificate Holder's date of
death.

Option 2 -- Payments for a Stated Period of
Time -- An Annuity will be paid for the number
of years chosen. The number of years must be at
least 5 and not more than 30.

If payments for this option are made under a
Variable Annuity, the present value of any
remaining payments may be withdrawn at any
time. If a withdrawal is requested within 3
years after the start of payments, it will be
treated as a surrender and any applicable
Surrender Fee will be applied (see 3.16).

Option 3 -- Life Income -- An Annuity will be
paid for the life of the Annuitant. If also
chosen, Aetna will guarantee payments for 60,
120, 180, or 240 months.

Option 4 -- Life Income Based upon the Lives of
Two Annuitants -- An Annuity will be paid
during the lives of the Annuitant and a second
Annuitant. Payments will continue until both
Annuitants have died. When this option is
chosen, a choice must be made of:

(a)     

100% of the payment to continue after the first death;

(b)     

66 2/3% of the payment to continue after the first death;

(c)     

50% of the payment to continue after the first death;

(d)     

Payments for a minimum of 120 months with 100% of the payment to continue after the first death; or

(e)     

100% of the payment to continue at the death of the second Annuitant and 50% of the payment to continue at the death of the Annuitant.

Other Options -- Aetna may make other options
available as allowed by the laws of the state
in which this Contract and the certificate is
delivered.

30

<PAGE>

OPTION 2

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<TABLE>            
<CAPTION>            
- --------------------------------------------------------------------------------  
  Guaranteed Monthly Quarterly Semi-Annual Annual  
Years Rate Payment Payment Payment Payment  
- --------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C>  
3 3.00% $ 28.99 $ 86.76 $ 172.88 $ 343.23  
4 3.00% 22.06 66.02 131.56 261.19  
5 3.00% 17.91 53.59 106.78 211.99  
6 3.00% 15.14 45.30 90.27 179.22  
7 3.00% 13.16 39.39 78.49 155.83  
8 3.00% 11.68 34.96 69.66 138.31  
9 3.00% 10.53 31.52 62.81 124.69  
10 3.00% 9.61 28.77 57.33 113.82  
11 3.00% 8.86 26.52 52.85 104.93  
12 3.00% 8.24 24.65 49.13 97.54  
13 3.00% 7.71 23.08 45.98 91.29  
14 3.00% 7.26 21.73 43.29 85.95  
15 3.00% 6.87 20.56 40.96 81.33  
 
 
 
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Page 23 of 30

16 3.00% 6.53 19.54 38.93 77.29
17 3.00% 6.23 18.64 37.14 73.74
18 3.00% 5.96 17.84 35.56 70.59
19 3.00% 5.73 17.13 34.14 67.78
20 3.00% 5.51 16.50 32.87 65.26
21 3.00% 5.32 15.92 31.72 62.98
22 3.00% 5.15 15.40 30.68 60.92
23 3.00% 4.99 14.92 29.74 59.04
24 3.00% 4.84 14.49 28.88 57.33
25 3.00% 4.71 14.09 28.08 55.76
26 3.00% 4.59 13.73 27.36 54.31
27 3.00% 4.47 13.39 26.68 52.97
28 3.00% 4.37 13.08 26.06 51.74
29 3.00% 4.27 12.79 25.49 50.60
30 3.00% 4.18 12.52 24.95 49.53

 

- --------------------------------------------------------------------------------
</TABLE>

 

31

<PAGE>

OPTION 3

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

Payments Guaranteed for a Stated Period of Months
-------------------------------------------------
 
<TABLE>
<CAPTION>
- --------------------------------------------------------------------------------
Adjusted

 

Age of None 60 120 180 240
Annuitant          

 

- --------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C>
50 $ 4.05 $ 4.05 $ 4.03 $ 3.99 $ 3.93
51 4.12 4.11 4.09 4.05 3.99
52 4.19 4.19 4.16 4.11 4.04
53 4.27 4.26 4.23 4.18 4.10
54 4.35 4.34 4.31 4.25 4.16
 
55 4.44 4.42 4.39 4.32 4.22
56 4.53 4.51 4.47 4.40 4.29
57 4.62 4.61 4.56 4.48 4.35
58 4.72 4.71 4.65 4.56 4.42
59 4.83 4.81 4.75 4.64 4.49
 
60 4.95 4.93 4.86 4.73 4.55
61 5.07 5.05 4.97 4.83 4.62
62 5.20 5.17 5.08 4.92 4.69
63 5.34 5.31 5.20 5.02 4.76
64 5.49 5.45 5.33 5.12 4.83
 
65 5.65 5.61 5.47 5.22 4.89
66 5.82 5.77 5.61 5.33 4.96
67 6.01 5.94 5.75 5.44 5.02
68 6.20 6.13 5.91 5.54 5.08
69 6.41 6.33 6.07 5.65 5.14
 
70 6.64 6.54 6.23 5.76 5.19
71 6.88 6.76 6.41 5.86 5.24
72 7.14 7.00 6.59 5.97 5.28
73 7.43 7.26 6.77 6.06 5.32
74 7.73 7.53 6.96 6.16 5.35
 
75 8.06 7.82 7.14 6.25 5.38

 

- --------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

32

<PAGE>

OPTION 4

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<TABLE>
<CAPTION>

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Page 24 of 30

Adjusted Ages        
- -----------------------        
  Second        
Annuitant Annuitant Option 4a Option 4b Option 4c Option 4d Option 4e

 

- --------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 3.69 $ 4.05 $ 4.27 $ 3.69 $ 4.03
55 55 3.88 4.25 4.47 3.87 4.14
55 60 3.99 4.44 4.71 3.98 4.42
 
60 55 3.99 4.44 4.71 3.98 4.42
60 60 4.24 4.71 4.99 4.23 4.57
60 65 4.38 4.97 5.32 4.38 4.93
 
65 60 4.38 4.97 5.32 4.38 4.93
65 65 4.72 5.33 5.70 4.71 5.14
65 70 4.93 5.68 6.15 4.91 5.66
 
70 65 4.93 5.68 6.15 4.91 5.66
70 70 5.40 6.21 6.70 5.36 5.96
70 75 5.69 6.68 7.32 5.62 6.67
 
75 70 5.69 6.68 7.32 5.62 6.67
75 75 6.37 7.45 8.15 6.23 7.12
75 80 6.78 8.11 8.99 6.54 8.13

 

- --------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

33

<PAGE>

OPTION 2

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

<TABLE>        
<CAPTION>        
 
  Monthly Quarterly Semi-Annual Annual
Years Payment Payment Payment Payment

 

- ------------------------------------------------------------------

<S>   <C> <C> <C> <C>
 
  3 $ 29.19 $ 87.33 $ 173.91 $ 344.86
  4 22.27 66.61 132.65 263.04
  5 18.12 54.19 107.92 213.99
  6 15.35 45.92 91.44 181.32
  7 13.38 40.01 79.69 158.01
  8 11.90 35.59 70.88 140.56
  9 10.75 32.16 64.05 127.00
  10 9.83 29.42 58.59 116.18
  11 9.09 27.18 54.13 107.34
  12 8.46 25.32 50.42 99.98
  13 7.94 23.75 47.29 93.78
  14 7.49 22.40 44.62 88.47
  15 7.10 21.24 42.31 83.89
  16 6.76 20.23 40.29 79.89
  17 6.47 19.34 38.51 76.37
  18 6.20 18.55 36.94 73.25
  19 5.97 17.85 35.54 70.47
  20 5.75 17.22 34.28 67.98
  21 5.56 16.65 33.15 65.74
  22 5.39 16.13 32.13 63.70
  23 5.24 15.66 31.19 61.85
  24 5.09 15.24 30.34 60.17
  25 4.96 14.85 29.56 58.62
  26 4.84 14.49 28.85 57.20
  27 4.73 14.15 28.19 55.90
  28 4.63 13.85 27.58 54.69
  29 4.53 13.57 27.02 53.57
  30 4.45 13.30 26.49 52.53

 

- ------------------------------------------------------------------
</TABLE>

 

34

<PAGE>

OPTION 2

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

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Page 25 of 30

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

<TABLE>
<CAPTION>
- --------------------------------------------------------------------------------

 

  Monthly Quarterly Semi-Annual Annual
Years Payment Payment Payment Payment

 

- --------------------------------------------------------------------------------

<S> <C> <C> <C> <C>
3 $ 29.80 $ 89.04 $ 176.99 $ 349.72
4 22.89 68.38 135.93 268.58
5 18.74 56.00 111.33 219.98
6 15.99 47.77 94.96 187.64
7 14.02 41.90 83.30 164.59
8 12.56 37.52 74.58 147.35
9 11.42 34.11 67.81 133.99
10 10.51 31.40 62.42 123.34
11 9.77 29.19 58.03 114.66
12 9.16 27.36 54.38 107.45
13 8.64 25.81 51.31 101.39
14 8.20 24.50 48.69 96.21
15 7.82 23.36 46.44 91.75
16 7.49 22.37 44.47 87.88
17 7.20 21.51 42.75 84.48
18 6.94 20.74 41.23 81.47
19 6.71 20.06 39.88 78.80
20 6.51 19.46 38.68 76.42
21 6.33 18.91 37.59 74.28
22 6.17 18.42 36.62 72.35
23 6.02 17.98 35.73 70.61
24 5.88 17.57 34.93 69.02
25 5.76 17.20 34.20 67.57
26 5.65 16.87 33.53 66.25
27 5.54 16.56 32.92 65.04
28 5.45 16.28 32.35 63.93
29 5.36 16.01 31.83 62.90
30 5.28 15.77 31.35 61.95

 

- --------------------------------------------------------------------------------

</TABLE>

35

<PAGE>

OPTION 3

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

  Payments Guaranteed for a Stated Period of Months    
  -------------------------------------------------    
 
<TABLE>            
<CAPTION>            
- --------------------------------------------------------------------------------  
Adjusted            
Age of None 60 120 180 240  
Annuitant            
- --------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C>  
50 $ 4.34 $ 4.34 $ 4.31 $ 4.27 $ 4.22  
51 4.41 4.40 4.38 4.33 4.27  
52 4.48 4.47 4.45 4.40 4.32  
53 4.56 4.55 4.52 4.46 4.38  
54 4.64 4.63 4.59 4.53 4.44  
 
55 4.72 4.71 4.67 4.60 4.50  
56 4.81 4.80 4.75 4.67 4.56  
57 4.91 4.89 4.84 4.75 4.62  
58 5.01 4.99 4.93 4.83 4.69  
59 5.12 5.10 5.03 4.92 4.75  
 
60 5.23 5.21 5.13 5.00 4.82  
61 5.36 5.33 5.24 5.09 4.88  
62 5.49 5.45 5.35 5.19 4.95  
63 5.63 5.59 5.47 5.28 5.02  
64 5.78 5.73 5.60 5.38 5.08  
 
65 5.94 5.89 5.73 5.48 5.15  
66 6.11 6.05 5.87 5.58 5.21  
67 6.29 6.22 6.02 5.69 5.27  
68 6.49 6.41 6.17 5.79 5.33  
69 6.70 6.60 6.33 5.90 5.38  
 
70 6.92 6.81 6.49 6.00 5.43  
71 7.17 7.04 6.66 6.10 5.48  
72 7.43 7.27 6.84 6.20 5.52  
73 7.71 7.53 7.02 6.30 5.55  
74 8.02 7.80 7.20 6.39 5.59  
 
75 8.35 8.08 7.38 6.48 5.62  
 
 
 
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Page 26 of 30

- --------------------------------------------------------------------------------</TABLE>

Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

36

<PAGE>

OPTION 3

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

Payments Guaranteed for a Stated Period of Months
-------------------------------------------------
 
<TABLE>
<CAPTION>
- --------------------------------------------------------------------------------
Adjusted

 

Age of None 60 120 180 240
Annuitant          

 

- --------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C>
50 $ 5.26 $ 5.25 $ 5.22 $ 5.17 $ 5.11
51 5.33 5.32 5.28 5.23 5.15
52 5.40 5.38 5.34 5.29 5.20
53 5.47 5.45 5.41 5.35 5.26
54 5.54 5.53 5.48 5.41 5.31
 
55 5.63 5.61 5.56 5.47 5.36
56 5.71 5.69 5.63 5.54 5.42
57 5.80 5.78 5.72 5.61 5.47
58 5.90 5.88 5.81 5.69 5.53
59 6.01 5.98 5.90 5.77 5.59
 
60 6.12 6.09 6.00 5.85 5.65
61 6.24 6.21 6.10 6.93 5.71
62 6.37 6.33 6.21 6.02 5.77
63 6.51 6.46 6.33 6.11 5.83
64 6.66 6.60 6.45 6.20 5.89
 
65 6.82 6.75 6.57 6.30 5.95
66 6.99 6.91 6.71 6.39 6.01
67 7.17 7.08 6.85 6.49 6.06
68 7.36 7.27 6.99 6.59 6.12
69 7.57 7.46 7.15 6.69 6.17
 
70 7.80 7.67 7.30 6.78 6.21
71 8.05 7.89 7.47 6.88 6.25
72 8.31 8.13 7.64 6.97 6.29
73 8.59 8.38 7.81 7.06 6.33
74 8.90 8.64 7.99 7.15 6.36
 
75 9.23 8.93 8.16 7.23 6.38

 

- --------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

37

<PAGE>

OPTION 4

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

<TABLE>
<CAPTION>

  • -------------------------------------------------------------------------------- Adjusted Ages

  • --------------------

  Second            
Annuitant Annuitant Option 4a Option 4b Option 4c Option 4d Option 4e  
- --------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C> <C>  
55 50 $ 3.97 $ 4.35 $ 4.56 $ 3.97 $ 4.31  
55 55 4.16 4.54 4.76 4.15 4.42  
55 60 4.27 4.73 5.00 4.26 4.48  
 
 
 
 
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60 55 4.27 4.73 5.00 4.26 4.70
60 60 4.51 4.99 5.27 4.50 4.84
60 65 4.66 5.25 5.61 4.65 4.93
 
65 60 4.66 5.25 5.61 4.65 5.22
65 65 4.99 5.61 5.99 4.98 5.42
65 70 5.19 5.97 6.44 5.17 5.54
 
70 65 5.19 5.97 6.44 5.17 5.93
70 70 5.67 6.49 6.99 5.62 6.23
70 75 5.95 6.96 7.61 5.87 6.40
 
75 70 5.95 6.96 7.61 5.87 6.95
75 75 6.64 7.73 8.43 6.48 7.40
75 80 7.04 8.39 9.29 6.79 7.64

 

- --------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

38

<PAGE>

OPTION 4

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

<TABLE>
<CAPTION>

  • -------------------------------------------------------------------------------- Adjusted Ages

  • --------------------

Second

Annuitant Annuitant Option 4a Option 4b Option 4c Option 4d Option 4e - --------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 4.88 $ 5.26 $ 5.48 $ 4.88 $ 5.23
55 55 5.04 5.44 5.66 5.04 5.32
55 60 5.15 5.63 5.91 5.14 5.38
 
60 55 5.15 5.63 5.91 5.14 5.59
60 60 5.37 5.87 6.16 5.37 5.72
60 65 5.52 6.14 6.51 5.51 5.80
 
65 60 5.52 6.14 6.51 5.51 6.10
65 65 5.83 6.49 6.87 5.82 6.29
65 70 6.04 6.84 7.34 6.00 6.41
 
70 65 6.04 6.84 7.34 6.00 6.81
70 70 6.49 7.35 7.87 6.44 7.08
70 75 6.77 7.84 8.51 6.68 7.25
 
75 70 6.77 7.84 8.51 6.68 7.81
75 75 7.45 8.60 9.33 7.27 8.25
75 80 7.86 9.28 10.20 7.57 8.49

 

- --------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

39

<PAGE>

- --------------------------------------------------------------------------------

[LOGO OF AETNA INSURANCE COMPANY OF AMERICA APPEARS HERE]

Aetna Insurance Company of America
Home Office; 151 Farmington Avenue
Hartford, Connecticut 06156
(800) 531-4547

Group Variable, Fixed, or Combination Annuity Contract
Nonparticipating

- --------------------------------------------------------------------------------

ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT  
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EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

<PAGE>

Aetna Insurance Company of America

Endorsement

This Contract is endorsed as follows.

Add the following to Section I General Definitions:

Dollar Cost Averaging - A program that permits the Certificate Holder to systematically transfer amounts from any of the Funds and the one-year MG Account Guaranteed Term to any of the Funds by completing the appropriate section of the enrollment form or a Dollar Cost Averaging election form.

Delete Section 1.21, Market Value Adjustment, and replace it with the following.

1.21     

Market Value Adjustment - An adjustment that may apply to an amount withdrawn or transferred from an MG Account Guaranteed Term prior to the end of that Guaranteed Term. The adjustment reflects the change in the value of the investment due to changes in interest rates since the date of deposit and is computed using the formula given in 3.06. The adjustment is expressed as a percentage of each dollar withdrawn or transferred.

Delete the first two paragraphs of Section 3.06, Market Value Adjustment, and replace it with the following:

3.06     

Market Value Adjustment - Except as noted below, there will be an MVA

  for     

a withdrawal from the MG Account before the end of a Guaranteed

  Term     

when the withdrawal is due to:

  (a)     

A Transfer, except for Transfers from the one-year MG Account Guaranteed Term under the Dollar Cost Averaging program or, as specified in MG Account Matured Term Value Transfer;

  (b)     

A full or partial surrender (including a 10% free withdrawal under 3.16), except for a partial withdrawal under the Systematic Withdrawal Option (see 3.10); or

  (c)     

An election of Annuity option 2 (see 4.09).

  Full     

and partial surrenders and Transfers made within six months after

  the     

date of the Annuitant's death will be the greater of:

  (a)     

The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts. This total may be greater or less than the Current Value of those amounts; or

<PAGE>

(b) The applicable portion of the Current Value in the MG Account.

Delete Section 3.07, Transfer of Current Value from the Funds or MG Account, and replace it with the following:

3.07     

Transfer of Current Value from the Funds or MG Account - Before an

  Annuity     

option is elected, all or any portion of the Adjusted Current

  Value     

of the Certificate Holder's Account may be transferred from any

  Fund     

or Guaranteed Term of the MG Account:

  (a)     

To any other Fund; or

  (b)     

To any Guaranteed Term of the MG Account available in the current Deposit Period.

  Transfer     

requests can be submitted as a percentage or as a dollar

  amount.     

Aetna may establish a minimum transfer amount. Within a

  Guaranteed     

Term Group, the amount to be surrendered to transferred

  will     

be withdrawn first from the oldest Deposit Period, then from the

  next     

oldest, and so on until the amount requested is satisfied.

  The     

Certificate Holder may make an unlimited number of Transfers

  during     

the Accumulation Period. The number of free Transfers allowed

  by     

Aetna is shown on Contract Schedule I. Additional Transfers may be

  subject     

to a Transfer fee as shown on Contract Schedule I.

  Amounts     

transferred from the MG Account under the Dollar Cost

  Averaging     

program, or amounts transferred as a Matured Term Value on

  or     

within one calendar month of the Term's Maturity Date, do not count

  against     

the annual Transfer limit.

  Amounts     

applied to Guaranteed Terms of the MG Account may not be

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Page 29 of 30

transferred to the Funds or to another Guaranteed Term during the
Deposit Period or for 90 days after the close of the Deposit Period
except for (1) a Matured Term Value(s) during the calendar month
following the Term's Maturity Date and (2) amounts transferred from
the one-year MG Account Guaranteed Term under the Dollar Cost
Averaging program.

2

<PAGE>

Delete the first paragraph in Subsection 3.11(a), Estate Conservation Option (ECO), and replace it with the following:

(a)     

Estate Conservation Option (ECO) - A distribution option under which a portion of the Account's Current Value will be surrendered automatically and distributed each year. ECO payments will be calculated based on the Account's full Current Value. The distributed amount will be withdrawn pro rata from each investment option used under the Account. A Surrender Fee will not be deducted from any portion of the Current Value which is paid as a distribution under ECO. Certificate Holders should consult their tax advisor prior to requesting this distribution option. Aetna will not be responsible for any adverse tax consequences due to receiving ECO payments.

Delete the first paragraph 3.11(b), Systematic Withdrawal Option (SWO), and replace it with the following:

(b)     

Systematic Withdrawal Option (SWO) - A distribution option under which a portion of the Account's Current Value will be surrendered automatically and distributed each year. SWO payments will be calculated based on the Account's full Current Value. The distributed amount will be withdrawn pro rata from each investment option used under the Account. A Surrender Fee will not be deducted from any portion of the Current Value which is paid as a distribution under SWO. Certificate Holders should consult their tax advisor prior to requesting this distribution option. Aetna will not be responsible for any adverse tax consequences due to receiving SWO payments.

Delete Section 3.12, Death Benefit Amount, and replace it with the following:

3.12     

Death Benefit Amount - If the Certificate Holder or Annuitant dies

  before     

Annuity payments start, the Beneficiary is entitled to a death

  benefit     

under the Account. The claim date is the date when proof of

  death     

and the Beneficiary's claim are received in good order at

  Aetna's     

Home Office. The amount of the death benefit is determined as

  follows:     

  (a)     

Death of Certificate Holder/Annuitant less than 75 years of age: The guaranteed death benefit is the greatest of:

(1) The sum of all Net Purchase Payment(s) made to the Account
(as of the date of death) minus the sum of all amounts
surrendered, applied to an Annuity, or deducted from the
Account;

3

<PAGE>

(2) The highest step-up value as of the date of death. A step-up
value is determined on each anniversary of the Effective Date.
Each step-up value is calculated as the Account's Current
Value on the Effective Date anniversary, increased by the
amount of any Purchase Payment(s) made, and decreased by the
sum of all amounts surrendered, deducted, and/or applied to an
Annuity option since the Effective Date anniversary.

(3) The Account's Current Value as of the date of death.

The excess, if any, of the guaranteed death benefit value over the
Account's Current Value is determined as of the date of death. Any
excess amount will be deposited in the Account and allocated to
the Aetna Variable Encore Fund as of the claim date. The Current
Value on the claim date, plus any excess amount deposited, becomes
the Account's Current Value.

(b)     

Death of Certificate Holder/Annuitant age 75 or greater: The death benefit amount is the greatest of:

(1) The sum of all Net Purchase Payment(s) made to the Account (as
of the date of death) minus the sum of all amounts
surrendered, applied to an Annuity, or deducted from the
Account;

(2) The highest step-up value prior to the Certificate Holder's
75th birthday. A step-up value is determined on each
anniversary of the Effective Date. Each step-up value is
calculated as the Account's Current Value on the Effective
Date anniversary, increased by the amount of any Purchase
Payment(s) made, and decreased by the sum of all amounts
surrendered, deducted, and/or applied to an Annuity option
since the Effective Date anniversary.

(3) The Account's Current Value as of the date of death.

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Page 30 of 30

The excess, if any, of the guaranteed death benefit value over the
Account's Current Value is determined as of the date of death. Any
excess amount will be deposited in the Account and allocated to
the Aetna Variable Encore Fund as of the claim date. The Current
Value on the claim date, plus any excess amount deposited, becomes
the Account's Current Value.

(c)     

At the death of a surviving spouse Beneficiary who continued the Account in his or her own name, the death benefit amount is equal to the Account's Current Value less any applicable Surrender Fee on the amount of any Purchase Payment(s) made since the death of the Certificate Holder.

4

<PAGE>

Delete Section 3.15, Liquidation of Surrender Value, and replace it with the following:

3.15     

Liquidation of Surrender Value - All or any portion of the Account's Current Value may be surrendered at any time. Surrender requests can be submitted as a percentage of the Account's Current Value or as a specific dollar amount. Net Purchase Payment amounts are withdrawn first, and then the excess value, if any. For any partial surrender, amounts are withdrawn on a pro rata basis from the Fund(s) and/or the Guaranteed Term(s) Groups of the MG Account in which the Current Value is invested. Within a Guaranteed Term Group, the amount to be surrendered or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.

After deduction the Maintenance Fee, if applicable, the surrendered amount shall be reduced by a Surrender Fee, if applicable. An MVA may apply to amounts surrendered from the MG Account.

Endorsed and made part of this Contract on the Effective Date of the Contract.

/s/ SIGNATURE APPEARS HERE

President
Aetna Insurance Company of America

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EX-16 6 ex164b.htm EXHIBIT 16(4)(B) CONTRACT G2-CDA-94(NQ) ex164b.htm - Generated by SEC Publisher for SEC Filing
Exhibit 16(4)(b)    
 
 
  Aetna Insurance Company of America
[LOGO OF Home Office: 151 Farmington Avenue
AETNA Hartford, Connecticut 06156  
APPEARS (800) 531-4547  
HERE]      
  You may call the toll-free number shown above to get answers to
  your questions or help to resolve a complaint.
 
  Aetna Insurance Company of America, herein called Aetna, agrees
  to pay the benefits stated in this Contract.
 
Specifications      
- --------------------------------------------------------------------------------
 
Plan      
MARATHON PLUS      
- --------------------------------------------------------------------------------
Type of Plan      
FLEXIBLE PREMIUM ACCOUNT  
- --------------------------------------------------------------------------------
Contract Holder      
E.G. ANYBROKER      
- --------------------------------------------------------------------------------
Contract No.      
SPECIMEN      
- --------------------------------------------------------------------------------
Effective Date      
SEPTEMBER 1, 1993    
- --------------------------------------------------------------------------------
This Contract is Delivered in YOUR STATE and is Subject to the
Laws of that Jurisdiction  
 
THE VARIABLE FEATURES OF THE GROUP CONTRACT ARE DESCRIBED IN PARTS III AND V.
 
Right to Cancel      
- --------------------------------------------------------------------------------
The contract Holder may cancel this Contract within 10 days of receiving it by
returning this Contract along with a written notice to Aetna at the above
address or to the agent from whom it was purchased. Within 7 days after it
receives the notice of cancellation and this Contract at its Home Office, Aetna
will return the entire consideration paid plus any increase or minus any
decrease in the current value of any funds allocated to the Separate Account.
 
This page, the following pages, and the application make up the entire Contract.
 
Signed at the Home Office on the Effective Date.
 
 
/s/SIGNATURE APPEARS HERE /s/SIGNATURE APPEARS HERE
 
 
President Secretary
 
 
Group Variable, Fixed, or Combination Annuity Contract
    Nonparticipating
 
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO
FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA.
APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR
DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT
APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.
 
 
 
<PAGE>      
 
Specifications      
 
- --------------------------------------------------------------------------------
Guaranteed   There is a guaranteed interest rate for Purchase
Interest Rate   Payment(s) held in the MG Account. (See Contract
    Schedule I).  
 
- --------------------------------------------------------------------------------
Deductions from   There will be deductions for mortality and expense risks
the Separate   and administrative fees. (See Contract Schedule I and
Account   II).  
 
- --------------------------------------------------------------------------------
Deduction from   Purchase Payment(s) are subject to a deduction for
Purchase Payment(s) premium taxes, if any. (See 3.01).
 
- --------------------------------------------------------------------------------
Surrender Fee   There will be a charge deducted upon surrender. (See
    Contract Schedule I).  
 
 
This Contract is a legal contract and constitutes the entire legal relationship
between Aetna and the Contract Holder.  

 


 

Page 2 of 30

READ THIS CONTRACT CAREFULLY. This Contract sets forth, in detail, all of the rights and obligations of both you and Aetna. IT IS THEREFORE IMPORTANT THAT YOU READ THIS CONTRACT CAREFULLY.

2

<PAGE>

Contract Schedule I
Accumulation Period

Separate Account

- --------------------------------------------------------------------------------

Separate Account: Variable Annuity Account I  
 
Charges to Separate A daily charge is deducted from any portion of
Account: the Current Value allocated to the Separate
  Account. The deduction is the daily equivalent
  of the annual effective percentage shown in the
following chart:
 
  Administrative Charge 0.15%
  Mortality Risk Charge 0.35%
  Expense Risk Charge 0.90%
    -----
  Total Separate Account Charges 1.40%

 

Marathon Guaranteed Account (MG Account)

- --------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate (effective
annual rate of return): 3.0%.

Separate Account and MG Account

- --------------------------------------------------------------------------------

Transfers:

An unlimited number of Transfers may be made during the Accumulation Period. Aetna allows 12 free Transfers in any calendar year. Thereafter, Aetna reserves the right to charge $10 for each subsequent Transfer.

 

Maintenance Fee:

The annual Maintenance Fee is $30. If the Account's Current Value is $50,000 or more on the date the Maintenance Fee is to be deducted, the Maintenance Fee is $0.

 

3

<PAGE>

Contract Schedule I (Continued)
Accumulation Period

Separate Account and MG Account (Cont'd)

- --------------------------------------------------------------------------------

Surrender Fee: For each surrender, the Surrender Fee for each
  Net Purchase Payment will be determined as
  follows:  
<TABLE>    
<CAPTION>    
    Surrender Fee
  Length of Time from Deposit of Net (as percentage of
  Purchase Payment (Years) Net Purchase Payment)
  <S> <C>
  Less than 2 years 7%
  2 or more but less than 4 years 6%
  4 or more but less than 5 years 5%
  5 or more but less than 6 years 4%
  6 or more but less than 7 years 3%
  7 years or more 0%
</TABLE>    
Systematic The specified payment or specified percentage
Withdrawal Option may not be greater than 10% of the Account's
(SWO): Current Value at time of election.

 

See 1. GENERAL DEFINITIONS for explanations.

4

<PAGE>

Contract Schedule II
Annuity Period

Separate Account

- -------------------------------------------------------------------------------

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Charges to Separate Account:

A daily charge at an annual effective rate of 1.25% for Annuity mortality and expense risks. The administrative charge is established upon election of an Annuity option. This charge will not exceed 0.25%.

 

Variable Annuity Assumed Annual Net Return Rate:

If a Variable Annuity is chosen, an assumed annual net return rate of 5.0% may be elected. If 5.0% is not elected, Aetna will use an assumed annual net return rate of 3.5%.

The assumed annual net return rate factor for 3.5% per year is 0.9999058.

The assumed annual net return rate factor for 5.0% per year is 0.9998663.

If the portion of a Variable Annuity payment for any Fund is not to decrease, the Annuity return factor under the Separate Account for that Fund must be:

(a) 4.75% on an annual basis plus an annual return of up to 0.25% to offset the administrative charge set at the time Annuity payments commence if an assumed annual net return rate of 3.5% is chosen; or

(b) 6.25% on an annual basis plus an annual return of up to 0.25% to offset the administrative charge set at the time Annuity payments commence, if an assumed annual net return rate of 5% is chosen.

 

Fixed Annuity

- --------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate (effective annual
rate of return): 3.0%

See 1. GENERAL DEFINITIONS for explanations.

5

<PAGE>

TABLE OF CONTENTS

I. GENERAL DEFINITIONS
- ---------------------------------------------------------------

Page

1.01 Account 9  
1.02 Accumulation Period 9  
1.03 Adjusted Current Value 9  
1.04 Annuitant 9  
1.05 Annuity 9  
1.06 Beneficiary 9  
1.07 Certificate Holder 9  
1.08 Code 9  
1.09 Contract 9  
1.10 Contract Holder 9  
1.11 Current Value 10  
1.12 Deposit Period 10  
1.13 Fixed Annuity 10  
1.14 Fund(s) 10  
1.15 General Account 10  
1.16 Guaranteed Rates - MG Account 10  
1.17 Guaranteed Term 10  
1.18 Guaranteed Term(s) Groups 10  
1.19 Maintenance Fee 11  
1.20 Marathon Guaranteed Account (MG Account) 11  
1.21 Market Value Adjustment (MVA) 11  
1.22 Matured Term Value 11  
 
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1.23 Matured Term Value Transfer 11
1.24 Maturity Date 11
1.25 Net Purchase Payment(s) 11
1.26 Nonunitized Separate Account 11
1.27 Purchase Payment(s) 11
1.28 Reinvestment 11
1.29 Separate Account 12

 

6

<PAGE>

    Page
1.30 Surrender Value 12
1.31 Transfers 12
1.32 Valuation Period (Period) 12
1.33 Variable Annuity 12

 

II. GENERAL PROVISIONS  
- -----------------------------------------------------------------  
2.01 Change of Contract 12
2.02 Change of Fund(s) 13
2.03 Nonparticipating Contract 14
2.04 Payments and Elections 14
2.05 State Laws 14
2.06 Control of Contract 14
2.07 Designation of Beneficiary 14
2.08 Misstatements and Adjustments 15
2.09 Incontestability 15
2.10 Grace Period 15
2.11 Individual Certificates 15

 

III. PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS
- -----------------------------------------------------------------

3.01 Net Purchase Payment 15
3.02 Certificate Holder's Account 15
3.03 Fund(s) Record Units -- Separate Account 16
3.04 Net Return Factor(s) -- Separate Account 16
3.05 Fund Record Unit Value -- Separate Account 16
3.06 Market Value Adjustment 16
3.07 Transfer of Current Value from the Funds or MG Account 18
3.08 Notice to the Certificate Holder 18
3.09 Loans 18
3.10 Systematic Withdrawal Option (SWO) 18
3.11 Death Benefit Amount 20
3.12 Death Benefit Options available to Beneficiary 20

 

7

<PAGE>

Page
3.13 Liquidation of Surrender Value 22  
3.14 Surrender Fee 22  
3.15 Payment of Surrender Value 23  
3.16 Reinstatement 23  
 
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3.17 Payment of Adjusted Current Value

24

IV. ANNUITY PROVISIONS
- ----------------------------------------------------------------

4.01 Choices to be Made 24
4.02 Terms of Annuity Options 24
4.03 Death of Annuitant/Beneficiary 25
4.04 Fund(s) Annuity Units -- Separate Account 26
4.05 Fund(s) Annuity Unit Value -- Separate Account 27
4.06 Annuity Net Return Factor(s) -- Separate Account 27
4.07 Annuity Options 27

 

8

<PAGE>

I.     

GENERAL DEFINITIONS

-     

--------------------------------------------------------------------------------

1.01     

Account:

1.02     

Accumulation Period:

1.03     

Adjusted Current Value:

1.04     

Annuitant:

1.05     

Annuity:

1.06     

Beneficiary:

1.07     

Certificate Holder:

1.08     

Code:

1.09     

Contract

1.10     

Contract Holder:

A record established for each Certificate Holder to maintain the value of all Net Purchase Payments held on his/her behalf during the Accumulation Period.

The period during which the Net Purchase Payment(s) are applied to an Account to provide future Annuity payment(s).

The Current Value of an Account plus or minus any aggregate MG Account MVA, if applicable. (See 1.21)

The person whose life is measured for purposes of the guaranteed death benefit and the duration of Annuity payments under this Contract.

Payment of an income:

(a)     

For the life of one or two persons;

(b)     

For a stated period; or

(c)     

For some combination of (a) and (b).

The individual or estate entitled to receive any payment from the Account upon the death of the Annuitant.

A person who purchases an interest in this Contract as evidenced by a certificate. A Certificate Holder cannot be a nonnatural person (i.e. a trustee for a trust, an executor or administrator for an estate, or an incorporated or unincorporated business).

The Internal Revenue Code of 1986, as it may be amended from time to time.

This agreement between Aetna and the Contract Holder.

The entity to which the Contract is issued. The Contract is offered to:

(a)     

National Association of Securities Dealers, Inc. (``NASD'') member broker-dealers selected by Aetna, who have a minimum net capital of $250,000 or more, including broker-dealer subsidiaries of banks and savings and loan associations;

(b)     

Employers who sponsor nonqualified benefit plans for their employees (exempt from ERISA Title I);

(c)     

Entities that contribute to annuities on behalf of their customers; and

(d)     

Custodians of custodial accounts and trustees of trusts that have been established for Individual Retirement Accounts under Code Section 408.

9

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<PAGE>

1.11 Current Value:

1.12 Deposit Period:

1.13 Fixed Annuity:

1.14     

Fund(s):

1.15     

General Account:

1.16     

Guaranteed Rates-- MG Account:

1.17 Guaranteed Term:

1.18 Guaranteed Term(s) Groups:

<PAGE>

1.19 Maintenance Fee

1.20 Marathon Guaranteed Account (MG Account):

As of the most recent Valuation Period, the Net Purchase Payment and any additional amount deposited pursuant to 3.11 plus any interest added to the portion allocated to the MG Account; and plus or minus the investment experience of the portion allocated to the Funds since deposit; less all Maintenance Fees deducted, any amounts surrendered and any amounts applied to an Annuity.

A calendar week, a calendar month, a calendar quarter, or any other period of time specified by Aetna during which Net Purchase Payment(s), Transfers and Reinvestments are accepted into the MG Account for one or more Guaranteed Terms. Aetna reserves the right to extend the Deposit Period.

An Annuity with payments that do not vary in amount.

The open-end management investment companies (mutual funds) in which the Separate Account invests.

The Account holding the assets of Aetna, other than those assets held in Aetna's separate accounts.

Aetna will declare the interest rate(s) applicable to a specific Guaranteed Term at the start of the Deposit Period for that Guaranteed Term. The rate(s) are guaranteed by Aetna for the Deposit Period and the ensuing Guaranteed Term. The Guaranteed Rates are annual effective yields. That is, interest is credited daily at a rate that will produce the Guaranteed Rate over the period of a year. No Guaranteed Rate will ever be less than the Minimum Guaranteed Rate shown on Contract Schedule I.

For Guaranteed Terms of one year or less, one Guaranteed Rate is credited for the full Guaranteed Term. For longer Guaranteed Terms, an initial Guaranteed Rate is credited from the date of deposit to the end of a specified period within the Guaranteed Term. There may be different Guaranteed Rate(s) declared for subsequent specified time intervals throughout the Guaranteed Term.

The period of time for which MG Account Guaranteed Rates are guaranteed on Net Purchase Payments, Transfers and Reinvestments made into a current Deposit Period for the MG Account. Such period begins on the day following the close of the Deposit Period and ends on the designated Maturity Date. Guaranteed Terms are offered at Aetna's discretion for various lengths of time ranging up to and including ten years.

During a Deposit Period, Aetna may make available any number of Guaranteed Terms. The Certificate Holder may allocate Net Purchase Payments and Transfers into any or all of the available Guaranteed Terms.

All MG Account Guaranteed Term(s) with the same length of time from the close of the Deposit Period until the designated Maturity Date.

10

The Maintenance Fee (see Contract Schedule I) will be deducted during the Accumulation Period from the Current Value on each anniversary of the date the Account is established and upon surrender of the entire Account.

An accumulation option where Aetna guarantees stipulated rate(s) of interest for specified periods of time. All assets of Aetna, including amounts in the Nonunitized Separate Account, are available to meet the guarantees under the MG Account.

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    Page 7 of 30
 
 
 
 
1.21 Market Value Adjustment An adjustment to the amount withdrawn or  
(MVA): transferred from an MG Account Guaranteed Term  
  prior to the end of that Guaranteed Term. The  
  adjustment reflects the change in the value of  
  the investment due to changes in interest rates  
  since the date of deposit and is computed using  
  the formula given in 3.06. The adjustment is  
  expressed as a percentage of each dollar being  
  withdrawn.  
 
1.22 Matured Term Value: The amount payable on an MG Account Guaranteed  
  Term's Maturity Date.  
 
1.23 Matured Term Value During the calendar month following an MG  
Transfer: Account Maturity Date, the Certificate Holder  
  may notify Aetna's Home Office in writing to  
  Transfer or surrender all or part of the  
  Matured Term Value, plus interest at the new  
  Guaranteed Rate accrued thereon, from the MG  
  Account without an MVA. This provision only  
  applies to the first such written request  
  received from the Certificate Holder during  
  this period for any Matured Term Value.  
 
1.24 Maturity Date: The last day of an MG Account Guaranteed Term.  
 
1.25 Net Purchase Payment(s): The Purchase Payment less premium taxes, as  
  applicable.  
 
1.26 Nonunitized Separate A separate account set up by Aetna under Title  
Account: 38, Section 38a-433, of the Connecticut General  
  Statutes, that holds assets for MG Account  
  Terms. There are no discrete units for this  
  Account. The Certificate Holder does not  
  participate in the investment gain or loss from  
  the assets held in the Nonunitized Separate  
  Account. Such gain or loss is borne entirely by  
  Aetna. These assets may be chargeable with  
  liabilities arising out of any other business  
  of Aetna.  
 
1.27 Purchase Payment(s): Payment(s) accepted by Aetna at its Home  
  Office. Aetna reserves the right to refuse to  
  accept any Purchase Payment at any time for any  
  reason. No advance notice will be given to the  
  Contract Holder or Certificate Holder.  
 
1.28 Reinvestment: Aetna will mail a notice to the Certificate  
  Holder at least 18 calendar days before a  
  Guaranteed Term's Maturity Date. This notice  
  will contain the Terms available during the  
  current Deposit Periods with their Guaranteed  
  Rate(s) and projected Matured Term Value. If no  
  specific direction is given by the Certificate  
  Holder prior to the Maturity Date, each Matured  
  Term Value will be reinvested in the current  
  Deposit Period for a Guaranteed Term of the  
  same duration. If a Guaranteed Term of  
 
 
 
  11  
<PAGE>    
 
1.28 Reinvestment (Cont'd): the same duration is unavailable, each Matured  
  Term Value will automatically be reinvested in  
  the current Deposit Period for the next  
  shortest Guaranteed Term available. If no  
  shorter Guaranteed Term is available, the next  
  longer Guaranteed Term will be used. Aetna will  
  mail a confirmation statement to the  
  Certificate Holder the next business day after  
  the Maturity Date. This notice will state the  
  Guaranteed Term and Guaranteed Rate(s) which  
  will apply to the reinvested Matured Term  
  Value.  
 
1.29 Separate Account: A separate account that buys and holds shares  
  of the Fund(s), income, gains or losses,  
  realized or unrealized, are credited or charged  
  to the Separate Account without regard to other  
  income, gains or losses of Aetna. Aetna owns  
  the assets held in the Separate Account and  
  is not a trustee as to such amounts. This  
  Separate Account generally is not guaranteed  
  and is held at market value. The assets of the  
  Separate Account, to the extent of reserves and  
  other contract liabilities of the Account,  
  shall not be charged with other Aetna  
  liabilities.  
 
1.30 Surrender Value: The amount payable by Aetna upon the surrender  
  of any portion of an Account.  
 
1.31 Transfers: The movement of invested amounts among the  
 
 
 
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available Fund(s) and the MG Account under this Contract during the Accumulation Period.

 

1.32 Valuation Period (Period):

The period of time for which a Fund determines its net asset value, usually from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m. the next such day, or such other day that one or more of the Funds determines its net value.

 

1.33 Variable Annuity:

An Annuity with payments that vary with the net investment results of one or more Funds under the Separate Account.

 

II.     

GENERAL PROVISIONS

-     

--------------------------------------------------------------------------------

2.01 Change or Contract:

<PAGE>

2.01 Change of Contract (Cont'd):

2.02 Change of Fund(s):

Only an authorized officer of Aetna may change the terms of this Contract. Aetna will notify the Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity which begins before the change.

Aetna reserves the right to refuse to accept any Purchase Payment at any time for any reason. This applies to an initial Purchase Payment to establish a new Account or to subsequent Purchase Payments to existing Accounts under the Contract. No advance notice will be given to the Contract Holder or Certificate Holder.

12

Aetna may make any change that affects the MG Account Market Value Adjustment (3.06) with at least 30 days' advance written notice to the Contract Holder and the Certificate Holder. Any such change shall become effective for any new Term and will apply to all present and future Accounts.

Aetna reserves the right to change the terms of the Systematic Withdrawal option (3.10) for future elections and discontinue the availability of this option after proper notification.

Any change that affects any of the following under this Contract will not apply to Accounts in existence before the effective date of the change:

(a)     

Net Purchase Payment (1.25)

(b)     

MG Account Guaranteed Rate (1.16)

(c)     

Net Return Factor(s) -- Separate Account (3.04)

(d)     

Current Value (1.11)

(e)     

Surrender Value (1.30)

(f)     

Funds(s) Annuity Unit Value -- Separate Account (4.05)

(g)     

Annuity options (4.07)

(h)     

Fixed Annuity interest Rates (4.01)

(i)     

Transfers (1.31).

Any change that affects the Annuity options and the tables for the options may be made:

(a)     

No earlier than 12 months after the effective date of this Contract; and

(b)     

No earlier than 12 months after the effective date of any prior change

Any Account established on or after the effective date or any change will be subject to the change. If the Contract Holder does not agree to any change under this provision, no new Accounts may be established under this Contract. This Contract may also be changed as deemed necessary by Aetna to comply with federal or state law.

Aetna, or the Separate Account, may:

(a)     

Change the Fund(s) which may be invested in by the Separate Account; and

(b)     

Replace the shares of any Fund(s) held in the Separate Account with shares of any other Fund(s).

Changes must be:

(a) Approved by a majority vote in the Separate

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<PAGE>

2.02 Change of Fund(s) (Cont'd):

2.03 Nonparticipating Contract:

2.04 Payments and Elections:

2.05 State Laws:

2.06 Control of Contract:

2.07 Designation of Beneficiary:

<PAGE>

2.08 Misstatements and Adjustments:

2.09     

Incontestability:

2.10     

Grace Period:

2.11 Individual Certificates:

Page 9 of 30

Account with respect to the Fund(s) whose
shares are to be replaced; or

(b)     

Deemed necessary by Aetna under the Investment Company Act of 1940; or

 

13

(c)     

Deemed necessary by Aetna to accomplish the purpose of the Separate Account.

Aetna will notify the Contract Holder and the
Certificate Holder of any change.

The Contract Holder, Certificate Holders or
Beneficiaries will not have a right to share
in the earnings of Aetna.

While the Certificate Holder is living, Aetna
will pay the Certificate Holder any Annuity
payments as and when due. After the Certificate
Holder's death, any Annuity payments required
to be made will be paid in accordance with
4.03. Aetna will determine other payments
and/or elections as of the end of the Valuation
Period in which the request is received at its
Home Office. Such payments will be made within
7 calendar days of receipt at its Home Office
of a written claim for payment which is in good
order, except as provided in 3.15.

The Contract and the Certificates comply with
the laws of the state in which they are
delivered. Any surrender, death, or Annuity
payments are equal to or greater than the
minimum required by such laws. Annuity tables
for legal reserve valuation shall be as
required by state law. Such tables may be
different from Annuity tables used to determine
Annuity payments.

This is a Contract between the Contract Holder
and Aetna. The Contract Holder has title to the
Contract. Contract Holder rights are limited to
accepting or rejecting Contract modifications.
The Certificate Holder has all other rights to
amounts held in his or her Account.

Each Certificate Holder shall own all amounts
held in his or her Account. Each Certificate
Holder may make any choices allowed by this
Contract for his or her Account. Choices made
under this Contract must be in writing. Until
receipt of such choices at Aetna's Home Office,
Aetna may rely on any previous choices made.

The Contract is not subject to the claims of any
creditors of the Contract Holder or the
Certificate Holder, except to the extent
permitted by law.

The Certificate Holder may assign or transfer
his or her rights under the Contract to one or
more natural persons. Any assignment or transfer
made must be submitted to Aetna's Home Office in
writing and will not be effective until accepted
by Aetna.

Each Certificate Holder shall name his or her
Beneficiary. The Beneficiary may be changed at
any time. Changes to Beneficiary must be
submitted to Aetna's Home Office in writing and
will not be effective until accepted by Aetna.

14

If Aetna finds the age of any Annuitant to be
misstated, the correct facts will be used to
adjust payments.

Aetna cannot cancel this Contract because of
any error of fact on the application. Aetna
cannot cancel an Account because of any error
of fact on the enrollment form.

This Contract will remain in effect even if
Purchase Payments are not continued except as
provided in the Payment of Adjusted Current
Value provision (see 3.17).

Aetna shall issue a certificate to each
Certificate Holder. The certificate will
summarize certain provisions of the Contract.
Certificates are for information only and are

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Page 10 of 30

not a part of the Contract.

III.     

PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS

-     

-------------------------------------------------------------------------------

3.01 Net Purchase Payment:

3.02 Certificate Holder's Account:

<PAGE>

This amount is the actual Purchase Payment less any premium tax. Aetna will generally deduct the premium tax when Annuity benefits are elected (see Part IV). If Aetna determines that under applicable state law, it must pay a premium tax when the Purchase Payment is received or at any other time, it will deduct the tax at that time.

The Net Purchase Payment will be credited among:

(a)     

The current Deposit Period(s) for Guaranteed Terms under the MG Account; and

(b)     

The Fund(s) in which the Separate Account invests.

For each Net Purchase Payment, the Certificate Holder shall tell Aetna the allocation percentage to be applied to the current Deposit Period for each of the available Guaranteed Terms in the MG Account and/or each Fund. If allocation instructions are not received along with any subsequent Net Purchase Payment, the allocation will be the same as that indicated on the original enrollment form. If the same Guaranteed Term is no longer available, the Net Purchase Payment will be allocated to the next shortest Guaranteed Term available in the current Deposit Period. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used.

Aetna will maintain an Account for each Certificate Holder.

Aetna will declare from time to time the acceptability and the minimum amount for additional Purchase Payments. Each Account will be subject to the Terms and Conditions of the Contract in effect at the time the first Purchase Payment for such Account is applied to the Contract except for changes made to comply with federal or state law.

15

3.03 Fund(s) Record Units -- Separate Account:

The portion of the Net Purchase Payment(s) applied to each Fund under the Separate Account will determine the number of Fund record units for that Fund. This number is equal to the portion of the Net Purchase Payment(s) applied to each Fund divided by the Fund record unit value (see 3.05) for the Valuation Period in which the Purchase Payment is received in good order at Aetna's Home Office.

 

3.04 Net Return Factor(s) -- Separate Account:

The net return factor(s) are used to compute all Separate Account record units for any Fund.

The net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate.

The net return rate is equal to:

 

(a)     

The value of the shares of the Fund held by the Separate Account at the end of the Valuation Period; minus

(b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

(c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

(d)     

The total value of the Fund(s) record units and Fund(s) annuity units of the Separate Account at the start of the Valuation Period; minus

(e)     

A daily Separate Account charge at an annual rate as shown on Contract Schedule I for mortality and expense risks, which may include profit; and a daily administrative charge.

A     

net return rate may be more or less than 0%.

The value of a share of the Fund is equal to
the net assets of the Fund divided by the
number of shares outstanding.

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3.05 Fund Record Unit

Value -- Separate Account:

3.06 Market Value

Adjustment:

<PAGE>

3.06 Market Value Adjustment (Cont'd):

Page 11 of 30

A Fund record unit value is computed by
multiplying the net return factors for the
current Valuation Period by the Fund record
unit value for the previous Period. The dollar
value of Fund record units, Separate Account
assets, and Variable Annuity payments may go up
or down due to investment gain or loss.

There will be an MVA for a withdrawal from the
MG Account before the end of a Guaranteed Term
when the withdrawal is due to:

(a)     

A Transfer; except as specified in MG Account Matured Term Value Transfer;

(b)     

A full or partial surrender, including a 10% free withdrawal under 3.14; or

(c)     

An election of Annuity option 2 (see 4.07).

Full and partial surrenders and Transfers made
within six months after the date of the
Annuitant's death will be the greater of:

16

(a)     

The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts.

 

This total may be greater or less than the Current Value of those amounts; or

(b)     

The applicable portion of the Current Value in the MG Account.

After the six-month period, the surrender or
Transfer will be the aggregate MVA amount,
which may be greater or less than the Current
Value of those amounts.

The greater of the aggregate MVA amount or the
applicable portion of the Current Value applies
amounts withdrawn from the MG Account on
account of an election of Annuity options 3 or
4 (see 4.07).

Market value adjusted amounts will be equal to
the amount withdrawn multiplied by the
following ratio:

x
---
365

(1 + i)
------------------
x
---
365

(1 + j)

Where:

i     

is the Deposit Period Yield

j     

is the Current Yield

x     

is the number of days remaining, (computed from Wednesday of the week of withdrawal) in the Guaranteed Term.

The Deposit Period Yield will be determined as
follows:

(a)     

At the close of the last business day of each week of the Deposit Period, a yield will be computed as the average of the yields on that day of U.S. Treasury Notes which mature in the last three months of the Guaranteed Term.

(b)     

The Deposit Period Yield is the average of yields for the Deposit Period. If withdrawal is made before the close of the Deposit Period, it is the average of those yields on each week preceding withdrawal.

The Current Yield is the average of the yields
on the last business day of the week preceding
withdrawal on the same U.S. Treasury Notes
included in the Deposit Period Yield.

In the event that no U.S. Treasury Notes which
mature in the last three months of the

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<PAGE>

3.07 Transfer of Current Value from the Funds or MG

Account:

3.08 Notice to the Certificate Holder:

3.09     

Loans:

3.10     

Systematic Withdrawal Option (SWO):

<PAGE>

3.10 Systematic Withdrawal Option (SWO)(Cont'd):

Page 12 of 30

Guaranteed Term exist, Aetna reserves the
right to use the U.S. Treasury Notes that
mature in the following quarter.

17

Before an Annuity option is elected, all or
any portion of the Adjusted Current Value of
the Certificate Holder's Account may be
transferred from any Fund or Guaranteed Term
of the MG Account:

(a)     

To any other Fund; or

(b)     

To any Guaranteed Term of the MG Account available in the current Deposit Period.

Transfer requests can be submitted as a
percentage or as a dollar amount, Aetna may
establish a minimum transfer amount. Within
a Guaranteed Term Group, the amount to be
surrendered or transferred will be withdrawn
first from the oldest Deposit Period, then
from the next oldest, and so on until the
amount requested is satisfied.

The Certificate Holder may make an unlimited
number of Transfers during the Accumulation
Period. The number of free Transfers allowed by
Aetna is shown on Contract Schedule I.
Additional Transfers may be subject to a
Transfer fee as shown on Contract Schedule I.

Transfers from the MG Account of a Matured Term
Value on or within one calendar month of a
Term's Maturity Date do not count against the
annual Transfer limit.

Amounts applied to Guaranteed Terms of the MG
Account may not be transferred to the Funds or
to another Guaranteed Term during the Deposit
Period or for 90 days after the close of the
Deposit Period except for Matured Term
Value (s) during the calendar month following
the Term's Maturity Date.

Transfers from Guaranteed Terms of the MG
Account are subject to the MVA provisions of
3.06.

The Certificate Holder will receive quarterly
statements from Aetna of:

(a)     

The value of any amounts held in: (1) The MG Account; and (2) The Fund(s) under the Separate

Account.

(b)     

The number of any Fund(s) record units; and

(c)     

The Fund(s) record unit value.

Such number or values will be as of a specific
date no more than 60 days before the date of
the notice.

Loans are not available under this Contract.

A distribution option under which a portion of
the Account's Current Value will automatically
be surrendered and distributed each year. SWO
payments will be calculated on the Account's
full Current Value. The distributed amount is
withdrawn pro rata from each investment option
under the Account. A Surrender Fee will not be
deducted from any portion of the Adjusted
Current Value which is paid as a distribution
under SWO.

18

Certificate Holders should consult their tax
adviser prior to requesting this distribution
option. Aetna will not be responsible for any
adverse tax consequences due to receiving SWO
payments.

(a)     

Amount of Distribution: The Certificate Holder may elect one of the three payment methods described below.

(1) Specified Payment: Payments of a
designated dollar amount. The annual
amount may not be greater than the

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<PAGE>

3.10 Systematic Withdrawal Option (SWO)(Cont'd):

3.11 Death Benefit Amount:

Page 13 of 30

percentage of the Current Value at time
of election as shown on Contract
Schedule I. This annual dollar amount
will remain constant. At its
discretion, Aetna may require a minimum
initial payment amount;

(2) Specified Period: Payments which are
made over a period of time which must
be at least 10 years. The annual amount
paid each year is calculated by
dividing the Current Value as of
December 31 of the prior year by the
number of payment years remaining; or

(3) Specified Percentage: Payment of a
designated percentage which cannot be
greater than the percentage of the
Current Value at the time of election
as shown on Contract Schedule I. The
percentage may be changed by written
request. Aetna reserves the right to
limit the number of times the
percentage may be changed. The annual
amount is calculated by multiplying
the Current Value as of December 31 of
the year prior to the payment by the
designated percentage.

Payments upon the Certificate Holder's or
Annuitant's death will be made to the
Beneficiary in the manner described in
3.12.

(b)     

Minimum Initial Current Value: At its discretion, Aetna may require a minimum initial Current Value for election of this option. If after election of this option the Current Value is insufficient to make a scheduled SWO payment, Aetna will distribute the entire Account balance.

(c)     

Date of Distribution: The Certificate Holder shall specify the initial distribution date. The earliest date for distribution is the date on which the Certificate Holder attains age 59 1/2. As elected by the Certificate Holder, SWO payments will be made on a monthly, quarterly, semi-annual or annual basis. If SWO payments are made more frequently than annually, the designated annual amount is divided by the number of payments due each calendar year. Subsequent distributions will be made on the 15th of any month or such other date Aetna may designate or allow.

(d)     

Election and Revocation: SWO may be elected by submitting a completed and signed

election     

form to Aetna's Home Office. Once

elected,     

this option may be revoked by the

Certificate     

Holder or spousal Beneficiary,

if     

elected after the Certificate

19     

Holder's death, by submitting a written
request to Aetna at its Home Office. Any
revocation will apply only to amounts not
yet paid. SWO may be elected only once by
the Certificate holder or by the spousal
Beneficiary.

If the Certificate Holder or Annuitant dies
before Annuity payments start, the Beneficiary
is entitled to a death benefit under the
Account. The claim date is the date when proof
of death and the Beneficiary's claim are
received in good order at Aetna's Home Office.
The amount of the death benefit is determined
as follows:

(a)     

Death or Annuitant less than 75 years of age: The guaranteed death benefit is the greatest of:

(1) The gross sum of all Purchase
Payment(s) made to the Account (as of
the date of death) minus the sum of all
amounts surrendered, applied to an
Annuity, of deducted from the Account;

(2) The step up value as of the date of

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3.12 Death Benefit Options available to Beneficiary:

<PAGE>

3.12 Death Benefit Options available to Beneficiary (Cont'd):

Page 14 of 30

death plus all Net Purchase Payments
made to the Account, minus the total of
all partial surrenders, amounts applied
to an Annuity and deductions made from
the Account since determination of the
step up value. The step up value is the
Current Value on the most recent
seventh year anniversary of the date
the first Net Purchase Payment is
applied to the Account;

(3) The Account's Current Value as of the
date of death.

The excess, if any, of the guaranteed death
benefit value over the Account's Current
Value is determined as of the date of
death. Any excess amount will be deposited
to the Account and allocated to Aetna
Variable Encore Fund as of the claim date.
The Current Value on the claim date plus
any excess amount deposited becomes the
Account's Current Value.

(b)     

Death or Annuitant age 75 or greater: The Death benefit amount is the Account Current Value on the claim date.

(c)     

Death of the Certificate Holder if the Certificate Holder is not the Annuitant: The death benefit amount is the Account's Adjusted Current Value on the claim date. A

 

Surrender Fee may apply to any full or partial surrender (see 3.14 and Contract Schedule I).

Prior to any election, or until amounts must be
otherwise distributed under this section, the
Current Value of the Account will be retained
in the Account. The Beneficiary has the right
under the Account to allocate or reallocate any
amount to any of the available investment
options (subject to an MVA, as applicable). The
following options are available to the
Beneficiary:

20

(a)     

When the Certificate Holder is the Annuitant: If the Certificate Holder/ Annuitant dies, and:

(1) If the Beneficiary is the Certificate
Holder's surviving spouse, the
Beneficiary will be the successor
Certificate Holder of the Account on
Aetna's records. Such successor
Certificate Holder may exercise all
Certificate Holder rights under the
Contract and continue in the
Accumulation Period, or may elect (i),
(ii), or (iii) below. Under the Code,
distributions from the Account are not
required until the successor
Certificate Holder's death. The
Beneficiary may elect to:

(i) Apply some or all of the Adjusted
Current Value of the Account to
Annuity option 2, 3 or 4 (see
4.07);

  (ii) Apply some or all of the  
  Adjusted Current Value of the  
  Account to Annuity option 1  
  (see 4.07); or  
 
  (iii) Receive, at any time, a lump sum  
  payment equal to the Adjusted  
  Current Value of the Account.  
 
(2) If the Beneficiary is other than the  
  Certificate Holder's surviving  
  spouse, the options (i), (ii), or  
  (iii) under (1) above apply. Any  
  portion of the Adjusted Current  
  Value of the Account not applied  
  to Annuity option 2, 3 or 4 within  
  one year of the Certificate Holder's  
  death, must be distributed within  
  five years of the date of death.  
 
(3) If no Beneficiary exists, a lump sum  
 
 
 
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<PAGE>

3.12 Death Benefit Options available to Beneficiary (Cont'd):

3.13 Liquidation of Surrender Value:

3.14 Surrender Fee:

Page 15 of 30

payment equal to the Adjusted
Current Value will be made to the
Certificate Holder's estate.

(b)     

When the Certificate Holder is not the

  Annuitant     

and the Certificate Holder dies,

  and:     

  (1)     

If the Beneficiary is the Certificate

   Holder's     

surviving spouse, the

   Beneficiary     

will be the successor

   Certificate     

Holder of the Account on

   Aetna's     

records. Such successor

   Certificate     

Holder may exercise all

   Certificate     

Holder rights under the

   Contract     

and continue in the

   Accumulation     

Period, or may elect

   (i),     

(ii), or (iii) below. Under the

   Code,     

distributions from the Account

   are     

not required until the successor

   Certificate     

Holder's death. The

   Beneficiary     

may elect to:

   (i)     

Apply some or all of the Adjusted Current Value of the Account to Annuity option 2, 3 or 4 (see 4.07);

   (ii)     

Apply some or all of the Surrender Value of the Account to Annuity option 1 (see 4.07); or

  21     

   (iii)     

Receive, at any time, a lump sum payment equal to the Surrender Value of the Account.

  (2)     

If the Beneficiary is other than the

   Certificate     

Holder's surviving

   spouse,     

then options (i), (ii), or

   (iii)     

under (1) above apply. Any

   portion     

of the Adjusted Current

   Value     

of the Account not applied to

   Annuity     

option 2, 3 or 4 within one

   year     

of the Certificate Holder's

   death     

will be subject to a Surrender

   Fee,     

if applicable, and must be

   distributed     

within five years of the

   date     

of death.

  (3)     

If no Beneficiary exists, a lump sum

   payment     

equal to the Surrender Value

   will     

be made to the Certificate

   Holder's     

estate.

(c)     

When the Certificate Holder is not the

  Annuitant     

and the Annuitant dies: The

  Beneficiary     

must elect Annuity option 2, 3

  or     

4 within 60 days of the date of death

  or     

the gain, if any, will be includable in

  the     

Beneficiary's income in the tax year

  in     

which the Annuitant dies.

All or any portion of the Account's Adjusted
Current Value may be surrendered at any time.
Surrender requests can be submitted as a
percentage of the Account value or as a
specific dollar amount. Net Purchase Payment
amounts are withdrawn first, and then the
excess value, if any. For any partial
surrender, amounts are withdrawn on a pro rata
basis from the Fund(s) and/or the Guaranteed
Term(s) Groups of the MG Account in which the
Current Value is invested. Within a Guaranteed
Term Group, the amount to be surrendered or
transferred will be withdrawn first from the
oldest Deposit Period, then from the next
oldest, and so on until the amount requested
is satisfied.

After deduction of the Maintenance Fee, if
applicable, the surrendered amount shall be
reduced by a Surrender Fee, if applicable.

The Surrender Fee only applies to the Net
Purchase Payment(s) portion surrendered and
varies according to the elapsed time since
deposit (see Contract Schedule I). Net

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Page 16 of 30

  Purchase Payment amounts are withdrawn in
  the same order they were applied.
 
  No Surrender Fee is deducted from any portion
  of the Current Value which is paid:
 
  (a) To a Beneficiary due to the Annuitant's
    death before Annuity payments start, up to
    a maximum of the aggregate Net Purchase
    Payment(s) minus the total of all partial
    surrenders, amounts applied to an Annuity
    and deductions made prior to the
    Annuitant's date of death;
 
  (b) As a premium for an Annuity option 2, 3 or
    4 under this Contract (see 4.07);
 
  (c) As a distribution under the SWO provision
    (see 3.10);
 
 
22
 
 
<PAGE>    
 
3.14 Surrender Fee (Cont'd): (d) At least 12 months after the date of the
    first Purchase Payment to the Account, in
    an amount equal to or less than 10% of the
    Current Value. This applies to the first
    surrender request, partial or full, in a
    calendar year. The Current Value is
    calculated as of the date the surrender
    request is received in good order at
    Aetna's Home Office. This waiver is not
    available to the Certificate Holder while
    SWO is in effect;
 
  (e) For a full surrender of the Account where
    the Current Value of the Account is $2,500
    or less and no surrenders have been taken
    from the Account within the prior 12
months;
 
  (f) By Aetna under 3.17; or
 
  (g) If the Annuitant has spent at least 45
    consecutive days in a licensed nursing care
    facility and each of the following
    conditions are met;
 
    (1) more than one calendar year has elapsed
    since the date the certificate was
    issued; and
 
    (2) the surrender is requested within 3
    years of admission to a licensed
    nursing care facility.
 
    This waiver does not apply if the Annuitant
    was in a nursing care facility at the time
    the certificate was issued.

 

3.15 Payment of Surrender Value: Under certain emergency conditions, Aetna may defer payment:

(a)     

For a period of up to 6 months (unless not allowed by state law); or

(b)     

As provided by federal law.

3.16 Reinstatement:

All or a portion of the proceeds of a full surrender of an Account may be reinvested within 30 days after the surrender. Any Maintenance Fee and Surrender Fee charged at the time of surrender on the amount being reinvested will be included in the reinstatement. Any Market Value Adjustment(s) deducted from surrenders will not be included in the reinstatement.

Amounts will be reinstated among the MG Account and the Funds in the Separated Account in the same proportion as they were at the time of surrender. Any amounts reinstated to the MG Account will be credited to the Guaranteed Terms available during the current Deposit Period in the same proportion as they were at the time of surrender. In the event that a Guaranteed Term of the same duration is unavailable, amounts will be reinvested in the next shortest Guaranteed Term available in the current Deposit Period. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used. The number of

 

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<PAGE>

3.16 Reinstatement (Cont'd):

3.17 Payment of Adjusted Current Value:

Page 17 of 30

Fund(s) Record Units reinstated will be based
on the Record Unit Value(s) next computed after
receipt at Aetna's Home Office of the
reinstatement request and the amount to be
reinstated.

23

Any Maintenance Fee which falls due after the
surrender and before the reinstatement will be
deducted from the amount reinstated.

Any Account(s) surrendered because the Current
Value was less than $2,500 immediately
following any partial surrender may not be
reinstated (see 3.17).

Reinstatement of an Account is permitted only
once.

Upon 90 days' written notice to the Certificate
Holder, Aetna will terminate any Account if the
Current Value becomes less than $2,500
immediately following any partial surrender.
Aetna does not intend to exercise this right in
cases where an Account Current Value is reduced
to $2,500 of less solely due to investment
performance. A Surrender Fee will not be
deducted from the Adjusted Current Value. This
terminated Adjusted Current Value of an Account
may not be reinstated.

IV.     

ANNUITY PROVISIONS

-     

--------------------------------------------------------------------------------

4.01 Choices to be Made:

4.02 Terms of Annuity Options:

<PAGE>

4.02 Terms of Annuity Options (Cont'd):

The Certificate Holder may tell Aetna to apply any portion of the Adjusted Current Value (minus any premium tax) for an Annuity under option 2, 3, or 4 (see 4.07). The first Annuity payment may not be earlier than one calendar year after the initial Purchase Payment nor later than the later of:

(a)     

The first day of the month following the Annuitant's 85th birthday; of

(b)     

The tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may tell Aetna to make a lump sum payment.

When an Annuity Option is chosen, Aetna must also be told if payments are to be made other than monthly and whether to pay:

(a)     

A Fixed Annuity using the General Account;

(b)     

A Variable Annuity using any of the Fund(s) available under this Contract for Annuity purposes; or

(c)     

A combination of (a) and (b).

If a Fixed Annuity is chosen, the Annuity purchase rate for the option chosen reflects the Minimum Guaranteed Interest Rate (see Contract Schedule II), but may reflect higher interest rates. If a Variable Annuity is chosen, the initial Annuity payment for the option chosen reflects the assumed annual return rate elected. (see Contract Schedule II).

(a)     

When payments start, the age of the Annuitant plus the number of years for which payments are guaranteed must not exceed 95.

 

24

(b)     

An Annuity option may not be elected if the first payment would be less than $50 or if the total payments in a year would be less than $250 (less if required by state law).

 

Aetna reserves the right to increase the minimum first Annuity payment amount and the annual minimum Annuity payment amount based upon increases reflected in the Consumer Price Index-Urban, (CPI-U) since July 1, 1993.

(c)     

If a Fixed Annuity under option 2,3 or 4 is

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4.03 Death of Annuitant/ Beneficiary:

<PAGE>

4.03 Death of Annuitant/ Beneficiary (Cont'd):

Page 18 of 30

chosen and a larger payment would result
from applying the Surrender Value to a
current Aetna single premium immediate
Annuity, Aetna will make the larger
payment.

(d)     

For purposes of calculating the guaranteed

  first     

payment of a Variable Annuity or the

  payments     

for a Fixed Annuity, the

  Annuitant's     

and second Annuitant's adjusted

  age     

will be used. The Annuitant's and

  second     

Annuitant's adjusted age is his or

  her     

age as of the birthday closest to the

  Annuity     

commencement date reduced by one

  year     

for Annuity commencement dates

  occurring     

during the period of time from

  July     

1, 1993 through December 31, 1999. The

  Annuitant's     

and second Annuitant's age will

  be     

reduced by two years for Annuity

  commencement     

dates occurring during the

  period     

of time from January 1, 2000 through

  December     

31, 2009. The Annuitant's and

  second     

Annuitant's age will be reduced by

  one     

additional year for Annuity

  commencement     

dates occurring in each

  succeeding     

decade.

  The     

Annuity purchase rates for options 3

  and     

4 based on mortality from 1983

  Table     

a.

(e)     

Assumed Annual Net Return Rate is the

  interest     

rate used to determine the amount

  of     

the first Annuity payment under a

  Variable     

Annuity as shown on Contract

  Schedule     

II. The Separate Account must earn

  this     

rate plus enough to cover the

  mortality     

and expense risks charges (which

  may     

include profit) and administrative

  charges     

if future Variable Annuity Payments

  are     

to remain level, (see Annuity return

  factor     

under Variable Annuity Assumed

  Annual     

Net Return Rate on Contract Schedule

  II)     

.

(f)     

Once elected, Annuity payments cannot be

  commuted     

to a lump sum except for Variable

  Annuity     

payments under option 2 (see 4.07).

  The     

life expectancy of the Annuitant or the

  Annuitant     

and second Annuitant shall be

  irrevocable     

upon the election of an Annuity

  option.     

(a)     

Certificate Holder is Annuitant: When the

  Certificate     

Holder is the Annuitant and the

  Annuitant     

dies under option 2 or 3, or both

  the     

Annuitant and the second Annuitant

  die     

under option 4(d), the present value of

  any     

remaining guaranteed payments will be

  paid     

in one sum to the Beneficiary, or upon

  election     

by the Beneficiary, any remaining

  payments     

will continue to the Beneficiary.

  If     

option 4 has been elected and the

  Certificate     

Holder dies, the remaining

  payments     

will continue to the successor

  payee.     

If no successor payee has been

  designated,the     

Beneficiary will be treated

  as     

the successor payee.

  25     

(b)     

Certificate Holder is Not Annuitant: When

  the     

Certificate Holder is not the Annuitant

  and     

the Certificate Holder dies, the

  remaining     

payments under options 2, 3 or 4

  will     

continue to the successor payee. If

  no     

successor payee has been designated, the

  Beneficiary     

will be treated as the

  successor     

payee.

  If     

the Annuitant dies under option 2 or 3,

  or     

if both the Annuitant and the second

  Annuitant     

die under option 4(d), the

  present     

value of any remaining guaranteed

  payments     

will be paid in one sum to the

  Beneficiary,     

or upon the election by the

  Beneficiary,     

any remaining payments will

  continue     

to the Beneficiary. If option 4

  has     

been elected, and the Annuitant dies,

  the     

remaining payments will continue to the

  Certificate     

Holder.

(c)     

No Beneficiary Named/Surviving: If there is

  no     

Beneficiary under option 2, 3, or 4, the

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4.04 Fund(s) Annuity Units --Separate Account:

<PAGE>

4.04 Fund(s) Annuity Units--Separate Account (Cont'd):

4.05 Fund(s) Annuity Unit Value--Separate Account:

4.06 Annuity Net Return Factor(s)--Separate Account:

Page 19 of 30

present value of any remaining payments
will be paid in one sum to the Certificate
Holder, or if the Certificate Holder is not
living, then to the Certificate Holder's
estate.

(d)     

If the Beneficiary designated under option 1 dies, the amount held plus accrued interest will be paid in one sum to a successor Beneficiary, if any, named by the designated Beneficiary. If there is no successor Beneficiary, the lump sum will be paid to the designated Beneficiary's estate.

(e)     

If the Beneficiary or the successor payee dies while receiving Annuity payments, the present value of any remaining guaranteed payments will be paid in one sum to the successor Beneficiary/payee, or upon election by the successor Beneficiary/payee, any remaining payments will continue to the successor Beneficiary/payee. If no successor Beneficiary/payee has been designated, the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary's/payee's estate.

(f)     

The present value will be determined as of the Valuation Period in which proof of death acceptable to Aetna and a request for

payment     

is received at Aetna's Home Office.

The     

interest rate used to determine the

first     

payment will be used to calculate the

present     

value.

The number of each Fund's Annuity Units is
based on the amount of the first Variable
Annuity payment which is equal to:

(a)     

The portion of the Current Value applied to pay a Variable Annuity (minus any premium tax); divided by

(b)     

1,000; multiplied by

(c)     

The payment rate for the option chosen.

Such amount, or portion, of the variable
payment will be divided by the appropriate Fund
Annuity unit value (see 4.05) on the tenth
Valuation Period before the due date of the
first payment to determine the number of each
Fund Annuity units. The

26

number of each Fund Annuity units remains fixed.
Each future payment is equal to the sum of the
products of each Fund Annuity unit value
multiplied by the appropriate number of units.
The Fund Annuity unit value of the tenth
Valuation Period prior to the date of the
payment is used.

For any Valuation Period, a Fund Annuity unit
is equal to:

(a)     

The value for the previous Period; multiplied by

(b)     

The Annuity net return factor(s) (see 4.06 below) for the Period; multiplied by

(c)     

A factor to reflect the assumed annual net return rate (see Contract Schedule II).

The dollar value of a Fund Annuity unit values
and Annuity payments may go up or down due to
investment gain or loss.

The Annuity net return factor(s) are used to
compute all Separate Account Annuity Payments
for any Fund.

The Annuity net return factor(s) for each Fund
is equal to 1.0000000 plus the net return rate.

The net return rate is equal to:

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Page 20 of 30

(a)     

The value of the shares of the Fund held

  by     

the Separate Account at the end of a

  Valuation     

Period; minus

(b)     

The value of the shares of the Fund held

  by     

the Separate Account at the start of

  the     

Valuation Period; plus or minus

(c)     

Taxes (or reserves for taxes) on the

  Separate     

Account (if any); divided by

(d)     

The total value of the Fund(s) record

  units     

and Fund(s) Annuity units of the

  Separate     

Account at the start of the

  Valuation     

Period; minus

(e)     

A daily charge for Annuity mortality and

  expense     

risks, which may include profit,

  and     

a daily administrative charge (at the

  annual     

rate as shown on Contract Schedule

  II)     

.

A     

net return rate may be more or less than 0%.

The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.

Payments shall not be changed due to changes in the mortality or expense results or administrative charges.

 

4.07 Annuity Options:

Option 1 -- Payment of Interest on Sum Left with Aetna -- This option may be used only by the Beneficiary when the Certificate Holder dies before Aetna has started paying an Annuity. A portion or all of the sum paid upon death may be held under this option and will be held in the General Account of Aetna at interest (see 4.01). The Beneficiary may later tell Aetna to:

 

(a)     

Pay a portion or all of the sum held by Aetna; or

(b)     

Apply a portion or all of the sum held by Aetna to any Annuity option below.

 

27

 

<PAGE>

4.07 Annuity Options (Cont'd):

If a nonspouse Beneficiary elects that some or all of the Current Value is to be held under this option, the Beneficiary must tell Aetna to pay the full sum held under this option within 5 years of the date of death.

Option 2--Payments for a Stated Period of Time--An Annuity will be paid for the number of years chosen. The number of years must be at least 5 and not more than 30.

If payments for this option are made under a Variable Annuity the present value of any remaining payments may be withdrawn at any time. If a withdrawal is requested within 3 years after the start of payments, it will be treated as a surrender and any applicable Surrender Fee will be applied (see 3.14).

If a nonspouse Beneficiary elects this option at the death of the Certificate Holder, the period selected may not extend beyond the Beneficiary's life expectancy.

Option 3--Life Income--An Annuity will be paid for the life of the Annuitant. If also chosen, Aetna will guarantee payments for 60, 120, 180, or 240 months.

Option 4--Life Income Based upon the Lives of Two Annuitants--An Annuity will be paid during the lives of the Annuitant and a second Annuitant. Payments will continue until both Annuitants have died. When this option is chosen, a choice must be made of:

(a) 100% of the payment to continue after the first death; (b) 66 2/3% of the payment to continue after the first death; (c) 50% of the payment to continue after the first death; (d) Payments for a minimum of 120 months with 100% of the payment to continue after the first death; or (e) 100% of the payment to continue at the death of the second Annuitant and 50% of the payment to continue at the death of the

 

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Page 21 of 30

Annuitant.

Other Options--Aetna may take other
options available as allowed by the laws of the
state in which this Contract and the
Certificate is delivered.

28

<PAGE>

OPTION 2

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<TABLE>
<CAPTION>
- --------------------------------------------------------------------------------

 

  Guaranteed Monthly Quarterly Semi-Annual Annual
Years Rate Payment Payment Payment Payment

 

- --------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C>
3 3.00% $ 28.99 $ 86.76 $ 172.88 $ 343.23
4 3.00% 22.06 66.02 131.56 261.19
5 3.00% 17.91 53.59 106.78 211.99
6 3.00% 15.14 45.30 90.27 179.22
7 3.00% 13.16 39.39 78.49 155.83
8 3.00% 11.68 34.96 69.66 138.31
9 3.00% 10.53 31.52 62.81 124.69
10 3.00% 9.61 28.77 57.33 113.82
11 3.00% 8.86 26.52 52.85 104.93
12 3.00% 8.24 24.65 49.13 97.54
13 3.00% 7.71 23.08 45.98 91.29
14 3.00% 7.26 21.73 43.29 85.95
15 3.00% 6.87 20.56 40.96 81.33
16 3.00% 6.53 19.54 38.93 77.29
17 3.00% 6.23 18.64 37.14 73.74
18 3.00% 5.96 17.84 35.56 70.59
19 3.00% 5.73 17.13 34.14 67.78
20 3.00% 5.51 16.50 32.87 65.26
21 3.00% 5.32 15.92 31.72 62.98
22 3.00% 5.15 15.40 30.68 60.92
23 3.00% 4.99 14.92 29.74 59.04
24 3.00% 4.84 14.49 28.88 57.33
25 3.00% 4.71 14.09 28.08 55.76
26 3.00% 4.59 13.73 27.36 54.31
27 3.00% 4.47 13.39 26.68 52.97
28 3.00% 4.37 13.08 26.06 51.74
29 3.00% 4.27 12.79 25.49 50.60
30 3.00% 4.18 12.52 24.95 49.53

 

- --------------------------------------------------------------------------------
</TABLE>

 

29

<PAGE>

OPTION 3

Life income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<TABLE>            
<CAPTION>            
 
  Payments Guaranteed for a Stated Period of Months    
  -------------------------------------------------    
 
- --------------------------------------------------------------------------------  
Adjusted None 60 120 180 240  
Age of            
Annuitant            
- --------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C>  
50 $ 4.05 $ 4.05 $ 4.03 $ 3.99 $ 3.93  
51 4.12 4.11 4.09 4.05 3.99  
52 4.19 4.19 4.16 4.11 4.04  
53 4.27 4.26 4.23 4.18 4.10  
54 4.35 4.34 4.31 4.25 4.16  
 
55 4.44 4.42 4.39 4.32 4.22  
56 4.53 4.51 4.47 4.40 4.29  
57 4.62 4.61 4.56 4.48 4.35  
58 4.72 4.71 4.65 4.56 4.42  
 
 
 
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Page 22 of 30

59 4.83 4.81 4.75 4.64 4.49
 
60 4.95 4.93 4.86 4.73 4.55
61 5.07 5.05 4.97 4.83 4.62
62 5.20 5.17 5.08 4.92 4.69
63 5.34 5.31 5.20 5.02 4.76
64 5.49 5.45 5.33 5.12 4.83
 
65 5.65 5.61 5.47 5.22 4.89
66 5.82 5.77 5.61 5.33 4.96
67 6.01 5.94 5.75 5.44 5.02
68 6.20 6.13 5.91 5.54 5.08
69 6.41 6.33 6.07 5.65 5.14
 
70 6.64 6.54 6.23 5.76 5.19
71 6.88 6.76 6.41 5.86 5.24
72 7.14 7.00 6.59 5.97 5.28
73 7.43 7.26 6.77 6.06 5.32
74 7.73 7.53 6.96 6.16 5.35
 
75 8.06 7.82 7.14 6.25 5.38

 

- --------------------------------------------------------------------------------</TABLE> Rates are based on mortality from 1983 Table a. The rates do not differ by sex.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

30

<PAGE>

OPTION 4

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed interest Rate of 3.0%

<TABLE>
<CAPTION>

  • -------------------------------------------------------------------------------- Adjusted Ages

  • ----------------------

  Second          
Annuitant Annuitant Option 4a Option 4b Option 4c Option 4d Option 4e

 

- --------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 3.69 $ 4.05 $ 4.27 $ 3.69 $ 4.03
55 55 3.88 4.25 4.47 3.87 4.14
55 60 3.99 4.44 4.71 3.98 4.42
 
60 55 3.99 4.44 4.71 3.98 4.42
60 60 4.24 4.71 4.99 4.23 4.57
60 65 4.38 4.97 5.32 4.38 4.93
 
65 60 4.38 4.97 5.32 4.38 4.93
65 65 4.72 5.33 5.70 4.71 5.14
65 70 4.93 5.68 6.15 4.91 5.66
 
70 65 4.93 5.68 6.15 4.91 5.66
70 70 5.40 6.21 6.70 5.36 5.96
70 75 5.69 6.68 7.32 5.62 6.67
 
75 70 5.69 6.68 7.32 5.62 6.67
75 75 6.37 7.45 8.15 6.23 7.12
75 80 6.78 8.11 8.99 6.54 8.13

 

- --------------------------------------------------------------------------------</TABLE> Rates are based on mortality from 1983 Table a. The rates do not differ by sex.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

31

<PAGE>

OPTION 2

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

<TABLE>
<CAPTION>

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

- --------------------------------------------------------------------------------  
  Monthly Quarterly Semi-Annual Annual  
Years Payment Payment Payment Payment  
- --------------------------------------------------------------------------------  
 
 
 
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Page 23 of 30

<S> <C> <C> <C> <C>
3 $ 29.19 $ 87.33 $ 173.91 $ 344.86
4 22.27 66.61 132.65 263.04
5 18.12 54.19 107.92 213.99
6 15.35 45.92 91.44 181.32
7 13.38 40.01 79.69 158.01
8 11.90 35.59 70.88 140.56
9 10.75 32.16 64.05 127.00
10 9.83 29.42 58.59 116.18
11 9.09 27.18 54.18 107.34
12 8.46 25.32 50.42 99.98
13 7.94 23.75 47.29 93.78
14 7.49 22.40 44.62 88.47
15 7.10 21.24 42.31 83.89
16 6.76 20.23 40.29 79.89
17 6.47 19.34 38.51 76.37
18 6.20 18.55 36.94 73.25
19 5.97 17.85 35.54 70.47
20 5.75 17.22 34.28 67.98
21 5.56 16.65 33.15 65.74
22 5.39 16.13 32.13 63.70
23 5.24 15.66 31.19 61.85
24 5.09 15.24 30.34 60.17
25 4.96 14.85 29.56 58.62
26 4.84 14.49 28.85 57.20
27 4.73 14.15 28.19 55.90
28 4.63 13.85 27.58 54.69
29 4.53 13.57 27.02 53.57
30 4.45 13.30 26.49 52.53

 

- --------------------------------------------------------------------------------
</TABLE>

 

32

<PAGE>

OPTION 2

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

<TABLE>
<CAPTION>

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

- --------------------------------------------------------------------------------

  Monthly Quarterly Semi-Annual Annual
Years Payment Payment Payment Payment

 

- --------------------------------------------------------------------------------

<S> <C> <C> <C> <C>
3 $ 29.80 $ 89.04 $ 176.99 $ 349.72
4 22.89 68.38 135.93 268.58
5 18.74 56.00 111.33 219.98
6 15.99 47.77 94.96 187.64
7 14.02 41.90 83.30 164.59
8 12.56 37.52 74.58 147.35
9 11.42 34.11 67.81 133.99
10 10.51 31.40 62.42 123.34
11 9.77 29.19 58.03 114.66
12 9.16 27.36 54.38 107.45
13 8.64 25.81 51.31 101.39
14 8.20 24.50 48.69 96.21
15 7.82 23.36 46.44 91.75
16 7.49 22.37 44.47 87.88
17 7.20 21.51 42.75 84.48
18 6.94 20.74 41.23 81.47
19 6.71 20.06 39.88 78.80
20 6.51 19.46 38.68 76.42
21 6.33 18.91 37.59 74.28
22 6.17 18.42 36.62 72.35
23 6.02 17.98 35.73 70.61
24 5.88 17.57 34.93 69.02
25 5.76 17.20 34.20 67.57
26 5.65 16.87 33.53 66.25
27 5.54 16.56 32.92 65.04
28 5.45 16.28 32.35 63.93
29 5.36 16.01 31.83 62.90
30 5.28 15.77 31.35 61.95

 

- --------------------------------------------------------------------------------
</TABLE>

 

33

<PAGE>

OPTION 3

Life Income

Amount of First Monthly Payment for Each $1,000

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After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

Payments Guaranteed for a Stated Period of Months
-------------------------------------------------
<TABLE>
<CAPTION>
- --------------------------------------------------------------------------------

 

Adjusted          
Age of None 60 120 180 240
Annuitant          

 

- --------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C>
50 $ 4.34 $ 4.34 $ 4.31 $ 4.27 $ 4.22
51 4.41 4.40 4.38 4.33 4.27
52 4.48 4.47 4.45 4.40 4.32
53 4.56 4.55 4.52 4.46 4.38
54 4.64 4.63 4.59 4.53 4.44
 
55 4.72 4.71 4.67 4.60 4.50
56 4.81 4.80 4.75 4.67 4.56
57 4.91 4.89 4.84 4.75 4.62
58 5.01 4.99 4.93 4.83 4.69
59 5.12 5.10 5.03 4.92 4.75
 
60 5.23 5.21 5.13 5.00 4.82
61 5.36 5.33 5.24 5.09 4.88
62 5.49 5.45 5.35 5.19 4.95
63 5.63 5.59 5.47 5.28 5.02
64 5.78 5.73 5.60 5.38 5.08
 
65 5.94 5.89 5.73 5.48 5.15
66 6.11 6.05 5.87 5.58 5.21
67 6.29 6.22 6.02 5.69 5.27
68 6.49 6.41 6.17 5.79 5.33
69 6.70 6.60 6.33 5.90 5.38
 
70 6.92 6.81 6.49 6.00 5.43
71 7.17 7.04 6.66 6.10 5.48
72 7.43 7.27 6.84 6.20 5.52
73 7.71 7.53 7.02 6.30 5.55
74 8.02 7.80 7.20 6.39 5.59
 
75 8.35 8.08 7.38 6.48 5.62

 

- --------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

34

<PAGE>

OPTION 3

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

  Payments Guaranteed for a Stated Period of Months    
  -------------------------------------------------    
<TABLE>            
<CAPTION>            
- --------------------------------------------------------------------------------  
Adjusted            
Age of None 60 120 180 240  
Annuitant            
- --------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C>  
50 $ 5.26 $ 5.25 $ 5.22 $ 5.17 $ 5.11  
51 5.33 5.32 5.28 5.23 5.15  
52 5.40 5.38 5.34 5.29 5.20  
53 5.47 5.45 5.41 5.35 5.26  
54 5.54 5.53 5.48 5.41 5.31  
 
55 5.63 5.61 5.56 5.47 5.36  
56 5.71 5.69 5.63 5.54 5.42  
57 5.80 5.78 5.72 5.61 5.47  
58 5.90 5.88 5.81 5.69 5.53  
59 6.01 5.98 5.90 5.77 5.59  
 
60 6.12 6.09 6.00 5.85 5.65  
61 6.24 6.21 6.10 6.93 5.71  
62 6.37 6.33 6.21 6.02 5.77  
63 6.51 6.46 6.33 6.11 5.83  
64 6.66 6.60 6.45 6.20 5.89  
 
65 6.82 6.75 6.57 6.30 5.95  
66 6.99 6.91 6.71 6.39 6.01  
67 7.17 7.08 6.85 6.49 6.06  
 
 
 
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68 7.36 7.27 6.99 6.59 6.12
69 7.57 7.46 7.15 6.69 6.17
 
70 7.80 7.67 7.30 6.78 6.21
71 8.05 7.89 7.47 6.88 6.25
72 8.31 8.13 7.64 6.97 6.29
73 8.59 8.38 7.81 7.06 6.33
74 8.90 8.64 7.99 7.15 6.36
 
75 9.23 8.93 8.16 7.23 6.38

 

- --------------------------------------------------------------------------------</TABLE> Rates are based on mortality from 1983 Table a. The rates do not differ by sex.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

35

<PAGE>

OPTION 4

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

<TABLE>
<CAPTION>
- --------------------------------------------------------------------------------
Adjusted Ages
- -----------------------
Second
Annuitant Annuitant Option 4a Option 4b Option 4c Option 4d Option 4e
- --------------------------------------------------------------------------------

 

<S>   <C>   <C> <C> <C> <C> <C>
  55   50 $ 3.97 $ 4.35 $ 4.56 $ 3.97 $ 4.31
  55   55 4.16 4.54 4.76 4.15 4.42
  55   60 4.27 4.73 5.00 4.26 4.48
 
  60   55 4.27 4.73 5.00 4.26 4.70
  60   60 4.51 4.99 5.27 4.50 4.84
  60   65 4.66 5.25 5.61 4.65 4.93
 
  65   60 4.66 5.25 5.61 4.65 5.22
  65   65 4.99 5.61 5.99 4.98 5.42
  65   70 5.19 5.97 6.44 5.17 5.54
 
  70   65 5.19 5.97 6.44 5.17 5.93
  70   70 5.67 6.49 6.99 5.62 6.23
  70   75 5.95 6.96 7.61 5.87 6.40
 
  75   70 5.95 6.96 7.61 5.87 6.95
  75   75 6.64 7.73 8.43 6.48 7.40
  75   80 7.04 8.39 9.29 6.79 7.64

 

- --------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

36

<PAGE>

OPTION 4

LIFE INCOME FOR TWO PAYEES

AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000
AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES

     Rates for a Variable Annuity with Assumed Net Return Rate of 5.0% <TABLE> <CAPTION>

  • -------------------------------------------------------------------------------- ADJUSTED AGES

  • --------------------

  SECOND            
ANNUITANT ANNUITANT OPTION 4a OPTION 4b OPTION 4c OPTION 4d OPTION 4e  
- --------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C> <C>  
55 50 $ 4.88 $ 5.26 $ 5.48 $ 4.88 $ 5.23  
55 55 5.04 5.44 5.66 5.04 5.32  
55 60 5.15 5.63 5.91 5.14 5.38  
 
60 55 5.15 5.63 5.91 5.14 5.59  
60 60 5.37 5.87 6.16 5.37 5.72  
60 65 5.52 6.14 6.51 5.51 5.80  
 
65 60 5.52 6.14 6.51 5.51 6.10  
65 65 5.83 6.49 6.87 5.82 6.29  
65 70 6.04 6.84 7.34 6.00 6.41  
 
 
 
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70 65 6.04 6.84 7.34 6.00 6.81
70 70 6.49 7.35 7.87 6.44 7.08
70 75 6.77 7.84 8.51 6.68 7.25
 
75 70 6.77 7.84 8.51 6.68 7.81
75 75 7.45 8.60 9.33 7.27 8.25
75 80 7.86 9.28 10.20 7.57 8.49

 

- --------------------------------------------------------------------------------</TABLE> Rates are based on mortality from 1983 Table a. The rates do not differ by sex.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

37

<PAGE>

- -------------------------------------------------------------------------------

[LOGO OF AETNA INSURANCE COMPANY OF AMERICA APPEARS HERE]

Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
Hartford, Connecticut 06156
(800) 531-4547

Group Variable, Fixed, or Combination Annuity Contract
Nonparticipating

- -------------------------------------------------------------------------------

ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

<PAGE>

Aetna Insurance Company of America

Endorsement

This Contract is endorsed as follows.

Add the following to Section I, General Definitions:

Dollar Cost Averaging - A program that permits the Certificate Holder to systematically transfer amounts from any of the Funds and the one-year MG Account Guaranteed Term to any of the Funds by completing the appropriate section of the enrollment form or a Dollar Cost Averaging election form.

Delete Section 1.06, Beneficiary, and replace it with the following:

1.06     

Beneficiary - The individual or estate entitled to receive any payment from the Account upon the death of the Annuitant, or if the Certificate Holder is different from the Annuitant, upon the death of the Certificate Holder. If the Account is held by joint Certificate Holders, the survivor will be deemed the designated Beneficiary and any other Beneficiary on record will be treated as the contingent Beneficiary.

Delete Section 1.07, Certificate Holder, and replace it with the following:

1.07     

Certificate Holder - A person who purchases an interest in this Contract as evidenced by a certificate. Aetna reserves the right to limit ownership to natural persons. If more than one Certificate Holder owns an Account, each Certificate Holder will be a joint Certificate Holder. Any joint Certificate Holder must be the spouse of the other joint Certificate. Joint Certificate Holders have joint ownership rights and both must authorize exercising any ownership rights unless Aetna allows otherwise. If the Account is owned by a nonnatural person, the death benefit will be paid at the death of the Annuitant.

Delete Section 1.21, Market Value Adjustment, and replace it with the following.

1.21     

Market Value Adjustment - An adjustment that may apply to an amount withdrawn or transferred from an MG Account Guaranteed Term prior to the end of that Guaranteed Term. The adjustment reflects the change in the value of the investment due to changes in interest rates since the date of deposit and is computed using the formula given in 3.06. The adjustment is expressed as a percentage of each dollar withdrawn or transferred.

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1

<PAGE>

Delete Section 2.04, Payments and Elections, and replace it with the following:

2.04     

Payments and Elections - While the Certificate Holder is living, Aetna will pay the Certificate Holder any Annuity payments as and when due.

 

After the Certificate Holder's death, or at the death of the first Certificate Holder if the Account is owned jointly, any Annuity payments remaining to be made will be paid in accordance with 4.03. Aetna will determine other payments and/or elections as of the end of the Valuation Period in which the request is received at its Home Office. Such payments will be made within seven calendar days of receipt at its Home Office of a written claim for payment which is in good order, except as provided in 3.15.

Delete Section 2.06, Control of Contract, and replace it with the following:

2.06     

Control of Contract - This is a Contract between the Contract Holder and Aetna. The Contract Holder has title to the Contract. Contract Holder rights are limited to accepting or rejecting Contract modifications. The Certificate Holder has all other rights to amounts held in his or her Account.

 

Each Certificate Holder shall own all amounts held in his or her Account. Each Certificate Holder may make any Certificate Holder choices allowed under this Contract. Certificate Holder choices made under this Contract must be in writing. If the Account is owned jointly both joint Certificate Holders must authorize any Certificate Holder change in writing. Until receipt of such choices at Aetna's Home Office, Aetna may rely on any previous choices made.

 

The Contract is not subject to the claims of any creditors of the Contract Holder or Certificate Holder, except to the extent permitted by law.

The Certificate Holder may assign or transfer his or her rights under the Contract. Aetna reserves the right not to accept assignment or transfer to a nonnatural person. Any assignment or transfer made must be submitted to Aetna's Home Office in writing and will not be effective until accepted by Aetna.

Delete Section 2.07, Designation of Beneficiary, and replace it with the following:

2.07     

Designation of Beneficiary - Each Certificate Holder shall name his or her Beneficiary. If the Account is owned jointly, both joint Certificate Holders must agree in writing to the Beneficiary designated. The Beneficiary may be changed at any time. Changes to a Beneficiary must be submitted to Aetna's Home Office in writing and will not be effective until accepted by Aetna.

2

<PAGE>

Delete the first two paragraphs of Section 3.06, Market Value Adjustment, and replace them with the following:

3.06     

Market Value Adjustment - Except as noted below, an MVA will apply to a

  withdrawal     

from the MG Account before the end of a Guaranteed Term when

  the     

withdrawal is:

  (a)     

A Transfer, except for Transfers from the one-year MG Account Guaranteed Term under the Dollar Cost Averaging program or, as specified in 1.23, MG Account Matured Term Value Transfer;

  (b)     

A full or partial surrender (including a 10% free withdrawal under 3.14), except for a partial withdrawal under the Systematic Withdrawal Option (see 3.10); or

  (c)     

An election of Annuity option 2 (see 4.07).

  Full     

and partial surrenders and Transfers made within six months after

  the     

date of the Annuitant's death will be the greater of:

  (a)     

The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts. This total may be greater or less than the Current Value of those amounts; or

  (b)     

The applicable portion of the Current Value in the MG Account.

Delete Section 3.07, Transfer of Current Value from the Funds or MG Account, and replace them with the following:

3.07     

Transfer of Current Value from the Funds or MG Account - Before an Annuity option is elected, all or any portion of the Adjusted Current Value of the Certificate Holder's Account may be transferred from any Fund or Guaranteed Term of the MG Account:

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(a)     

To any other Fund; or

(b)     

To an Guaranteed Term of the MG Account available in the current Deposit Period.

Transfer requests can be submitted as a percentage or as a dollar amount. Aetna may establish a minimum transfer amount. Within a Guaranteed Term Group, the amount to be surrendered to transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.

3

<PAGE>

The Certificate Holder may make an unlimited number of Transfers during the Accumulation Period. The number of free Transfers allowed by Aetna is shown on Contract Schedule I. Additional Transfers may be subject to a Transfer fee as shown on Contract Schedule I.

Amounts transferred from the MG Account under the Dollar Cost Averaging program, or amounts transferred as a Matured Term Value on or within one calendar month of the Term's Maturity Date, do not count against the annual Transfer limit.

Amounts applied to Guaranteed Terms of the MG Account may not be
transferred to the Funds or to another Guaranteed Term during the
Deposit Period or for 90 days after the close of the Deposit Period
except for (1) a Matured Term Value(s) during the calendar month
following the Term's Maturity Date and (2) amounts transferred from
the one-year MG Account Guaranteed Term under the Dollar Cost
Averaging program.

Delete the first paragraph in Section 3.10, Systematic Withdrawal Option (SWO), and replace it with the following:

3.10     

Systematic Withdrawal Option (SWO) - A distribution option under which a portion of the Account's Current Value will be automatically surrendered and distributed each year. SWO payments will be calculated on the Account's full Current Value. The distributed amount is withdrawn pro rata from each investment option under the Account. A

 

Surrender Fee will not be deducted from any portion of the Current Value which is paid as a distribution under SWO. Certificate Holders should consult their tax advisor prior to requesting this distribution option. Aetna will not be responsible for any adverse tax consequences due to receiving SWO payments.

Delete Section 3.11, Death Benefit Amount, and replace it with the following:

3.11     

Death Benefit Amount - If the Certificate Holder or Annuitant dies

  before     

Annuity payments start, the Beneficiary is entitled to a death

  benefit     

under the Account. If the Account is owned jointly, the death

  benefit     

is paid at the death of the first joint Certificate Holder to

  die.     

The claim date is the date when proof of death and the

  Beneficiary's     

claim are received in good order at Aetna's Home Office.

  The     

amount of the death benefit is determined as follows:

  (a)     

Death of Annuitant less than 75 years of age: The guaranteed death benefit is the greatest of:

4

<PAGE>

(1) The sum of all Net Purchase Payment(s) made to the Account (as
of the date of death) minus the sum of all amounts surrendered,
applied to an Annuity, or deducted from the Account;

(2) The highest step-up value as of the date of death. A step-up
value is determined on each anniversary of the Effective Date.
Each step-up value is calculated as the Account's Current Value
on the Effective Date anniversary, increased by the amount of
any Purchase Payment(s) made, and decreased by the sum of all
amounts surrendered, deducted, and/or applied to an Annuity
option since the Effective Date anniversary.

(3) The Account's Current Value as of the date of death.

The excess, if any, of the guaranteed death benefit value over the
Account's Current Value is determined as of the date of death. Any
excess amount will be deposited in the Account and allocated to the
Aetna Variable Encore Fund as of the claim date. The Current Value
on the claim date, plus any excess amount deposited, becomes the
Account's Current Value.

(b)     

Death of Annuitant age 75 or greater: The death benefit amount is the greatest of:

(1) The sum of all Net Purchase Payment(s) made to the Account (as
of the date of death) minus the sum of all amounts surrendered,
applied to an Annuity, or deducted from the Account;

(2) The highest step-up value prior to the Certificate Holder's
75th birthday. A step-up value is determined on each

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Page 29 of 30

anniversary of the Effective Date. Each step-up value is
calculated as the Account's Current Value on the Effective Date
anniversary, increased by the amount of any Purchase Payment(s)
made, and decreased by the sum of all amounts surrendered,
deducted, and/or applied to an Annuity option since the
Effective Date anniversary.

(3) The Account's Current Value as of the date of death.

The excess, if any, of the guaranteed death benefit value over the
Account's Current Value is determined as of the date of death. Any
excess amount will be deposited in the Account and allocated to the
Aetna Variable Encore Fund as of the claim date. The Current Value
on the claim date, plus any excess amount deposited, becomes the
Account's Current Value.

(c) Death of Certificate Holder if the Certificate Holder is not the
Annuitant: The death benefit amount is the Account's Adjusted
Current Value on the claim

5

<PAGE>

date. A Surrender Fee may apply to any full or partial surrender
(see 3.14 and Contract Schedule I).

(d) At the death of a surviving spouse Beneficiary who continued the Account in his or her own name, the death benefit amount is equal to the Account's Current Value less any applicable Surrender Fee on the amount of any Purchase Payment(s) made since the death of the Certificate Holder.

Delete Section 3.12, Death Benefit Options available to Beneficiary, and replace it with the following:

3.12     

Death Benefit Options available to Beneficiary - Prior to any election,

  or     

until amounts must be otherwise distributed under this section, the

  Account's     

Current Value will be retained in the Account. The

  Beneficiary     

has the right to allocate or reallocate any amount to any

  available     

investment option (subject to an MVA if applicable). The

  following     

options are available to the Beneficiary:

  (a)     

When the Certificate Holder is the Annuitant: If the Certificate Holder/Annuitant dies, and:

(1) If the Beneficiary is the Certificate Holder's surviving
spouse, the Beneficiary may exercise all Certificate Holder
rights under the Contract and continue in the Accumulation
Period, or may elect (i), (ii), or (iii) below. Under the Code,
distributions from the Account are not required until the
spousal Beneficiary's death. The spousal Beneficiary may elect
to:

(i)     

Apply some or all of the Adjusted Current Value to Annuity option 2, 3 or 4 (see 4.07);

(ii)     

Apply some or all of the Adjusted Current Value to Annuity option 1 (see 4.07); or

(iii)     

Receive, at any time, a lump sum payment equal to the Account's Adjusted Current Value.

(2) If the Beneficiary is other than the Certificate Holder's
surviving spouse, then options (i), (ii), or (iii) under (1)
above apply. Any portion of the Adjusted Current Value not
applied to Annuity option 2, 3 or 4 within one year of the
Certificate Holder's death, must be distributed within five
years of the date of death.

(3) If no Beneficiary exists, a lump sum payment equal to the
Adjusted Current Value will be made to the Certificate Holder's
estate.

6

<PAGE>

(b)     

When the Certificate Holder is not the Annuitant and the Certificate Holder dies, and:

(1) If the Beneficiary is the Certificate Holder's surviving
spouse, the Beneficiary may exercise all Certificate Holder
rights under the Contract and continue in the Accumulation
Period, or may elect (i), (ii), or (iii) below. Under the
Code, distributions from the Account are not required until
the spousal Beneficiary's death. The spousal Beneficiary may
elect to:

(i)     

Apply some or all of the Adjusted Current Value to Annuity option 2, 3 or 4 (see 4.07);

(ii)     

Apply some or all of the Surrender Value to Annuity option 1 (see 4.07); or

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(iii)     

Receive, at any time, a lump sum payment equal to the Account's Surrender Value.

(2) If the Beneficiary is other than the Certificate Holder's
surviving spouse, then options (i), (ii), or (iii) under (1)
above apply. Any portion of the Adjusted Current Value not
applied to Annuity Option 2, 3, or 4 within one year of the
Certificate Holder's death, must be distributed within five
years of the date of death.

(3) If no Beneficiary exists, a lump sum payment equal to the
Surrender Value will be made to the Certificate Holder's
estate.

(c)     

When the Certificate Holder is not the Annuitant and the Annuitant dies: The Beneficiary must elect Annuity option 2, 3, or 4 within 60 days of the date of death or the gain, if any, will be includable in the Beneficiary's income in the tax year in which the Annuitant dies.

Delete Section 3.13, Liquidation of Surrender Value, and replace it with the following:

3.13     

Liquidation of Surrender Value - All or any portion of the Account's Current Value may be surrendered at any time. Surrender requests can be submitted as a percentage of the Account's Current Value or as a specific dollar amount. Net Purchase Payment amounts are withdrawn first, and then the excess value, if any. For any partial surrender, amounts are withdrawn on a pro rata basis from the Fund(s) and/or the Guaranteed Term(s) Groups of the MG Account in which the Current Value is invested. Within a Guaranteed Term Group, the amount to be surrendered or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.

7

<PAGE>

After deduction of the Maintenance Fee, if applicable, the
surrendered amount shall be reduced by a Surrender Fee, if
applicable. An MVA may apply to amounts surrendered from the MG
Account.

Delete subsection (a) of Section 4.03, Death of Annuitant/Beneficiary, and replace it with the following:

4.03     

Death of Annuitant/Beneficiary; (a) Certificate Holder is Annuitant: When the Certificate Holder is the Annuitant and the Annuitant dies under option 2 or 3, or both the Annuitant and the second Annuitant die under option 4(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon election by the Beneficiary, any payments remaining will continue to the Beneficiary. If option 4 has been elected and the Certificate Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee. If the Account has joint Certificate Holders, the surviving joint Certificate Holder will be deemed the successor payee.

Delete the first paragraph of subsection (b) of Section 4.03, Death of Annuitant/Beneficiary, and replace it with the following:

(b)     

Certificate Holder is Not Annuitant: When the Certificate Holder is not the Annuitant and the Certificate Holder dies, the remaining payments under options 2, 3 or 4 will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee. If the Account has joint Certificate Holders, the surviving joint Certificate Holder will be deemed the successor payee.

Endorsed and made part of the Certificate on the Effective Date of the Contract.

/s/ SIGNATURE APPEARS HERE

President
Aetna Insurance Company of America

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03/23/2018

EX-16 7 ex164c.htm EXHIBIT 16(4)(C) CONTRACT G-MP2 (5/96) ex164c.htm - Generated by SEC Publisher for SEC Filing
Exhibit 16(4)(c) - [Aetna logo] Aetna Insurance Company of America
  Home Office: 151 Farmington Avenue
  P.O. Box 30670
  Hartford, Connecticut 06150-0670
  (800) 531-4547
 
You may call the toll-free number shown above for answers to questions or to
resolve a complaint.  
 
Aetna Insurance Company of America, a stock company, herein called Aetna,
agrees to pay the benefits stated in this Contract.
 
 
Specifications  
- --------------------------------------------------------------------------------
Plan  
SPECIMEN  
- --------------------------------------------------------------------------------
Type of Plan  
SPECIMEN  
- --------------------------------------------------------------------------------
Contract Holder  
SPECIMEN  
- --------------------------------------------------------------------------------
Contract Number  
SPECIMEN  
- --------------------------------------------------------------------------------
Effective Date  
SPECIMEN  
- --------------------------------------------------------------------------------
This Contract is delivered in YOUR STATE and is subject to the laws of that
jurisdiction  
 
The variable features of the Group Contract are described in parts III and IV.
 
Right to Cancel  
- --------------------------------------------------------------------------------
 
The Group Contract Holder may cancel this Contract within 10 days by returning
it to the agent from whom it was purchased, or to Aetna at the address shown
above. Within seven days of receiving the Contract at its home office, Aetna
will return the amount of Certificate Holder Purchase Payment(s) received, plus
any increase, or minus any decrease, on the amount, if any, allocated to the
Separate Account fund(s).
 
This page and the pages that follow constitute the entire Contract.
 
Signed at the home office on the Effective Date.
 
/s/ Daniel Kearney /s/ Maria F. McKeon
President Secretary
 
Group Variable, Fixed, or Combination Annuity Contract
Nonparticipating
 
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO
FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA.
APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR
DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT
APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.
 
G-MP2(5/96)  
 
<PAGE>  
 
 
Specifications  
- --------------------------------------------------------------------------------
Guaranteed There is a guaranteed interest rate for Purchase
Interest Rate Payment(s) held in the AG Account. (See Contract
  Schedule I).
- --------------------------------------------------------------------------------
Deductions from There will be deductions for mortality and expense
the Separate risks and administrative fees. (See Contract
Account Schedule I and II).
- --------------------------------------------------------------------------------
Deduction from Purchase Payment(s) are subject to a deduction for
Purchase premium taxes, if any. (See 3.01.)
Payment(s)  
- --------------------------------------------------------------------------------
Surrender There will be a charge deducted upon surrender. (See
Fee Contract Schedule I).
 
This Contract is a legal contract and constitutes the entire legal relationship
between Aetna and the Contract Holder.
 
READ THIS CONTRACT CAREFULLY. This Contract sets forth, in detail, all of the
rights and obligations of both you and Aetna. THEREFORE, IT IS IMPORTANT THAT
YOU READ THIS CONTRACT CAREFULLY.
 
  2

 


 

<PAGE>    
 
 
  Contract Schedule I  
  Accumulation Period  
 
Separate Account    
- --------------------------------------------------------------------------------
 
Separate Account: Variable Annuity Account I  
 
Charges to Separate A daily charge is deducted from any portion of the
Account: Current Value allocated to the Separate Account.
  The deduction is the daily equivalent of the
  annual effective percentage shown in the following
  chart:  
 
  Administrative Charge 0.15%
  Mortality Risk Charge 0.35%
  Expense Risk Charge 0.90%
    -----
Total Separate Account
  Charges 1.40%
 
AICA Guaranteed Account (AG Account)  
- --------------------------------------------------------------------------------
 
Minimum Guaranteed 3.0% (effective annual rate of return)
Interest Rate:    
 
Separate Account and AG Account  
- --------------------------------------------------------------------------------
 
Transfers: An unlimited number of Transfers are allowed
  during the Accumulation Period. Aetna allows 12
  free Transfers in any calendar year. Thereafter,
  Aetna reserves the right to charge $10 for each
subsequent Transfer.
 
Maintenance Fee: The annual Maintenance Fee is $30. If the
  Account's Current Value is $50,000 or more on the
  date the Maintenance Fee is to be deducted, the
Maintenance Fee is $0.
 
  3  
<PAGE>    
 
 
  Contract Schedule I (Continued)  
  Accumulation Period  
 
Separate Account and AG Account (Cont'd)  
- --------------------------------------------------------------------------------
Surrender Fee: For each surrender, the Surrender Fee will be
  determined as follows:  
    Surrender Fee
    (as percentage
  Length of Time from Deposit of Net of Net Purchase
  Purchase Payment (Years) Payment)
  ------------------------ --------
  Less than 2 years 7%
  2 or more but less than 4 years 6%
  4 or more but less than 5 years 5%
  5 or more but less than 6 years 4%
  6 or more but less than 7 years 3%
  7 years or more 0%
 
Systematic Withdrawal The specified payment or specified percentage may
Option (SWO): not be greater than 10% of the Account's Current
  Value at time of election.  
 
See 1. GENERAL DEFINITIONS for explanations.  
 
  4  
<PAGE>    
 
 
Contract Schedule II
Annuity Period
 
Separate Account    
- --------------------------------------------------------------------------------
Charges to Separate A daily charge at an annual effective rate of
Account: 1.25% for Annuity mortality and expense risks. The
  administrative charge is established upon election
  of an Annuity option. This charge will not exceed
  0.25%.  
 
Variable Annuity Assumed If a Variable Annuity is chosen, an assumed annual
Annual Net Return Rate: net return rate of 5.0% may be elected. If 5.0% is
  not elected, Aetna will use an assumed annual net
return rate of 3.5%.

 


 

Page 3 of 24

The assumed annual net return rate factor for 3.5%
per year is 0.9999058.

The assumed annual net return rate factor for 5.0%
per year is 0.9998663.

If the portion of a Variable Annuity payment for
any Fund is not to decrease, the Annuity return
factor under the Separate Account for that Fund
must be:

(a) 4.75% on an annual basis plus an annual return
of up to 0.25% to offset the administrative
charge set at the time Annuity payments
commence if an assumed annual net return rate
of 3.5% is chosen; or

(b) 6.25% on an annual basis plus an annual return
of up to 0.25% to offset the administrative
charge set at the time Annuity payments
commence, if an assumed annual net return rate
of 5% is chosen.

Fixed Annuity

- --------------------------------------------------------------------------------Minimum Guaranteed 3.0% (effective annual rate of return) Interest Rate:

See 1. GENERAL DEFINITIONS for explanations.

5

<PAGE>

TABLE OF CONTENTS

I.     

GENERAL DEFINITIONS

-     

--------------------------------------------------------------------------------

  Page
1.01 Account 9
1.02 Accumulation Period 9
1.03 Adjusted Current Value 9
1.04 AICA Guaranteed Account (AG Account) 9
1.05 Annuitant 9
1.06 Annuity 9
1.07 Beneficiary 9
1.08 Certificate Holder 9
1.09 Code 9
1.10 Contract 9
1.11 Contract Holder 9
1.12 Current Value 9
1.13 Deposit Period 10
1.14 Dollar Cost Averaging 10
1.15 Fixed Annuity 10
1.16 Fund(s) 10
1.17 General Account 10
1.18 Guaranteed Rates - AG Account 10
1.19 Guaranteed Term 10
1.20 Guaranteed Term(s) Groups 10
1.21 Maintenance Fee 11
1.22 Market Value Adjustment (MVA) 11
1.23 Matured Term Value 11
1.24 Matured Term Value Transfer 11
1.25 Maturity Date 11
1.26 Net Purchase Payment(s) 11
1.27 Nonunitized Separate Account 11
1.28 Purchase Payment(s) 11
1.29 Reinvestment 11
 
6
<PAGE>  
 
 
 
  Page
1.30 Separate Account 12
1.31 Surrender Value 12
1.32 Transfers 12
1.33 Valuation Period (Period) 12
1.34 Variable Annuity 12

 

II.     

GENERAL PROVISIONS

-     

--------------------------------------------------------------------------------

2.01 Change of Contract 12  
2.02 Change of Fund(s) 13  
2.03 Nonparticipating Contract 13  
2.04 Payments and Elections 14  
2.05 State Laws 14  
2.06 Control of Contract 14  
2.07 Designation of Beneficiary 14  
2.08 Misstatements and Adjustments 14  
2.09 Incontestability 14  
 
 
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2.10 Grace Period 15
2.11 Individual Certificates 15

 

III.     

PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS

-     

--------------------------------------------------------------------------------

3.01 Net Purchase Payment 15
3.02 Certificate Holder's Account 15
3.03 Fund(s) Record Units -- Separate Account 15
3.04 Net Return Factor(s) -- Separate Account 16
3.05 Fund Record Unit Value -- Separate Account 16
3.06 Market Value Adjustment 16
3.07 Transfer of Current Value from the Funds or AG Account 17
3.08 Notice to the Certificate Holder 18
3.09 Loans 18
3.10 Systematic Withdrawal Option (SWO) 18
3.11 Death Benefit Amount 20

 

7

<PAGE>

  Page
3.12 Death Benefit Options Available to Beneficiary 20
3.13 Liquidation of Surrender Value 22
3.14 Surrender Fee 22
3.15 Payment of Surrender Value 23
3.16 Payment of Adjusted Current Value 23

 

IV.     

ANNUITY PROVISIONS

-     

--------------------------------------------------------------------------------

4.01 Choices 23
4.02 Terms of Annuity Options 24
4.03 Death of Annuitant/Beneficiary 25
4.04 Fund(s) Annuity Units -- Separate Account 26
4.05 Fund(s) Annuity Unit Value -- Separate Account 26
4.06 Annuity Net Return Factor(s) -- Separate Account 26
4.07 Annuity Options 27

 

8

<PAGE>

I.     

GENERAL DEFINITIONS

-     

--------------------------------------------------------------------------------

1.01 Account:

A record established for each Certificate Holder to maintain the value of all Net Purchase Payments held on his/her behalf during the Accumulation Period.

 

1.02 Accumulation Period:

The period during which the Net Purchase Payment(s) are applied to an Account to provide future Annuity payment(s).

 

1.03 Adjusted Current Value:

The Current Value of an Account plus or minus any aggregate AG Account MVA, if applicable. (See 1.22)

 

1.04 AICA Guaranteed Account (AG Account):

An accumulation option where Aetna guarantees stipulated rate(s) of interest for specified periods of time. All assets of Aetna, including amounts in the Nonunitized Separate Account, are available to meet the guarantees under the AG Account.

 

1.05 Annuitant:

The person whose life is measured for purposes of the guaranteed death benefit and the duration of Annuity payments under this Contract.

 

1.06 Annuity:

Payment of an income:

(a) For the life of one or two persons; (b) For a stated period; or (c) For some combination of (a) and (b).

 

1.07 Beneficiary:

The individual or estate entitled to receive any death benefit due under the Contract. If the Account is held by joint Certificate Holders, the survivor will be deemed the designated Beneficiary and any other Beneficiary on record will be treated as the contingent Beneficiary.

 

1.08 Certificate Holder:

A person who purchases an interest in this Contract as evidenced by a certificate. Aetna reserves the right to limit ownership to natural persons. If more than one Certificate Holder owns an Account, each Certificate Holder will be a joint Certificate Holder. Any joint Certificate Holder must be the spouse of the other joint Certificate Holder. Joint Certificate Holders have joint ownership rights and both must authorize exercising any ownership rights unless Aetna allows otherwise.

 

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1.09     

Code:

1.10     

Contract:

1.11     

Contract Holder:

1.12     

Current Value:

<PAGE>

1.13 Deposit Period:

1.14

1.15 Fixed Annuity:

1.16     

Fund(s):

1.17     

General Account:

1.18     

Guaranteed Rates -- AG Account:

1.19 Guaranteed Term:

1.20 Guaranteed Term(s) Groups:

<PAGE>

Page 5 of 24

The Internal Revenue Code of 1986, as it may be
amended from time to time.

This agreement between Aetna and the Contract
Holder.

The entity to which the Contract is issued.

As of the most recent Valuation Period, the Net
Purchase Payment and any additional amount
deposited pursuant to 3.11 plus any interest added
to the portion allocated to the AG Account; and
plus or minus the investment experience of the
portion allocated to the Funds since deposit; less
all Maintenance Fees deducted, any amounts
surrendered and any amounts applied to an Annuity.

9

A calendar week, a calendar month, a calendar
quarter, or any other period of time specified by
Aetna during which Net Purchase Payment(s),
Transfers and Reinvestments are accepted into the
AG Account for one or more Guaranteed Terms. Aetna
reserves the right to extend the Deposit Period.

Dollar Cost Averaging: A program that permits the
Certificate Holder to systematically transfer
amounts from any of the Funds and the one-year AG
Account Guaranteed Term to any of the Funds.
Dollar Cost Averaging is not available with the
Systematic Withdrawal Option or the Estate
Conservation Option.

An Annuity with payments that do not vary in
amount.

The open-end management investment companies
(mutual funds) in which the Separate Account
invests.

The Account holding the assets of Aetna, other
than those assets held in Aetna's separate
accounts.

Aetna will declare the interest rate(s) applicable
to a specific Guaranteed Term at the start of the
Deposit Period for that Guaranteed Term. The
rate(s) are guaranteed by Aetna for the Deposit
Period and the ensuing Guaranteed Term. The
Guaranteed Rates are annual effective yields. That
is, interest is credited daily at a rate that will
produce the Guaranteed Rate over the period of a
year. No Guaranteed Rate will ever be less than
the Minimum Guaranteed Rate shown on Contract
Schedule I.

For Guaranteed Terms of one year or less, one
Guaranteed Rate is credited for the full
Guaranteed Term. For longer Guaranteed Terms, an
initial Guaranteed Rate is credited from the date
of deposit to the end of a specified period within
the Guaranteed Term. There may be different
Guaranteed Rate(s) declared for subsequent
specified time intervals throughout the Guaranteed
Term.

The period of time for which AG Account Guaranteed
Rates are guaranteed on Net Purchase Payments,
Transfers and Reinvestments made into a current
Deposit Period for the AG Account. Such period
begins on the day following the close of the
Deposit Period and ends on the designated Maturity
Date. Guaranteed Terms are offered at Aetna's
discretion for various lengths of time ranging up
to and including ten years.

During a Deposit Period, Aetna may make available
any number of Guaranteed Terms. The Certificate
Holder may allocate Net Purchase Payments and
Transfers into any or all of the available
Guaranteed Terms.

All AG Account Guaranteed Term(s) with the same
length of time from the close of the Deposit
Period until the designated Maturity Date.

10

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1.21 Maintenance Fee:

The Maintenance Fee (see Contract Schedule I) will be deducted during the Accumulation Period from the Current Value on each anniversary of the date the Account is established and upon surrender of the entire Account.

 

1.22 Market Value Adjustment (MVA):

An adjustment that may apply to an amount withdrawn or transferred from an AG Account Guaranteed Term prior to the end of that Guaranteed Term. The adjustment reflects the change in the value of the investment due to changes in interest rates since the date of deposit and is computed using the formula given in 3.06. The adjustment is expressed as a percentage of each dollar being withdrawn.

 

1.23 Matured Term Value:

The amount payable on an AG Account Guaranteed Term's Maturity Date.

 

1.24 Matured Term Value Transfer:

During the calendar month following an AG Account Maturity Date, the Certificate Holder may notify Aetna's home office in writing to Transfer or surrender all or part of the Matured Term Value, plus interest at the new Guaranteed Rate accrued thereon, from the AG Account without an MVA. This provision only applies to the first such written request received from the Certificate Holder during this period for any Matured Term Value.

 

1.25 Maturity Date:

The last day of an AG Account Guaranteed Term.

 

1.26 Net Purchase Payment(s): The Purchase Payment less premium taxes, as applicable.

1.27 Nonunitized Separate Account:

A separate account set up by Aetna under Title 38, Section 38a-433, of the Connecticut General Statutes, that holds assets for AG Account Terms. There are no discrete units for this Account. The Certificate Holder does not participate in the investment gain or loss from the assets held in the Nonunitized Separate Account. Such gain or loss is borne entirely by Aetna. These assets may be chargeable with liabilities arising out of any other business of Aetna.

 

1.28 Purchase Payment(s):

Payment(s) accepted by Aetna at its home office. Aetna reserves the right to refuse to accept any Purchase Payment at any time for any reason. No advance notice will be given to the Contract Holder or Certificate Holder.

 

1.29 Reinvestment:

Aetna will mail a notice to the Certificate Holder at least 18 calendar days before a Guaranteed Term's Maturity Date. This notice will contain the Terms available during the current Deposit Periods with their Guaranteed Rate(s) and projected Matured Term Value. If no specific direction is given by the Certificate Holder prior to the Maturity Date, each Matured Term Value will be reinvested in the current Deposit Period for a Guaranteed Term of the same duration. If a Guaranteed Term of the same duration is unavailable, each Matured Term Value will automatically be reinvested in the current Deposit Period for the next shortest Guaranteed Term available. If no shorter Guaranteed Term is available, the next longer Guaranteed Term

 

11

<PAGE>

1.29 Reinvestment (Cont'd):

will be used. Aetna will mail a confirmation statement to the Certificate Holder the next business day after the Maturity Date. This notice will state the Guaranteed Term and Guaranteed Rate(s) which will apply to the reinvested Matured Term Value.

 

1.30 Separate Account:

A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to other income, gains or losses of Aetna. Aetna owns the assets held in the Separate Account and is not a trustee as to such amounts. This Separate Account generally is not guaranteed and is held at market value. The assets of the Separate Account, to the extent of reserves and other contract liabilities of the Account, shall not be charged with other Aetna liabilities.

 

1.31 Surrender Value: The amount payable by Aetna upon the surrender of  
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1.32     

Transfers:

1.33     

Valuation Period (Period):

1.34     

Variable Annuity:

II.     

GENERAL PROVISIONS

Page 7 of 24

any portion of an Account.

The movement of invested amounts among the
available Fund(s) and the AG Account under this
Contract during the Accumulation Period.

The period of time for which a Fund determines its
net asset value, usually from 4:15 p.m. Eastern
time each day the New York Stock Exchange is open
until 4:15 p.m. the next such day, or such other
day that one or more of the Funds determines its
net asset value.

An Annuity with payments that vary with the net
investment results of one or more Funds under
the Separate Account.

- --------------------------------------------------------------------------------2.01 Change of Contract: Only an authorized officer of Aetna may change the terms of this Contract. Aetna will notify the Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity which begins before the change.

<PAGE>

2.01 Change of Contract (Cont'd):

2.02 Change of Fund(s):

Aetna reserves the right to refuse to accept any Purchase Payment at any time for any reason. This applies to an initial Purchase Payment to establish a new Account or to subsequent Purchase Payments to existing Accounts under the Contract. No advance notice will be given to the Contract Holder or Certificate Holder.

Aetna may make any change that affects the AG Account Market Value Adjustment (3.06) with at least 30 days' advance written notice to the Contract Holder and the Certificate Holder. Any such change shall become effective for any new Term and will apply to all present and future Accounts.

12

Aetna reserves the right to change the terms of the Systematic Withdrawal Option (3.10) for future elections and discontinue the availability of this option after proper notification.

Any change that affects any of the following under this Contract will not apply to Accounts in existence before the effective date of the change:

(a)     

Net Purchase Payment (1.26)

(b)     

AG Account Guaranteed Rate (1.18)

(c)     

Net Return Factor(s) -- Separate Account (3.04)

(d)     

Current Value (1.12)

(e)     

Surrender Value (1.31)

(f)     

Fund(s) Annuity Unit Value -- Separate Account (4.05) (g) Annuity options (4.07) (h)

Fixed Annuity Interest Rates (4.01) (i) Transfers (1.32).

Any change that affects the Annuity options and the tables for the options may be made:

(a)     

No earlier than 12 months after the effective date of this Contract; and

(b)     

No earlier than 12 months after the effective date of any prior change.

Any Account established on or after the effective date of any change will be subject to the change. If the Contract Holder does not agree to any change under this provision, no new Accounts may be established under this Contract. This Contract may also be changed as deemed necessary by Aetna to comply with federal or state law.

The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, Aetna may cease to make such Fund shares available for investment under the Contract prospectively, or Aetna may substitute shares of another Fund for shares already acquired. Aetna may also, from time to

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Page 8 of 24

 

time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws. Aetna reserves the right to substitute shares of another Fund for shares already acquired without a proxy vote.

 

2.03 Nonparticipating Contract:

The Contract Holder, Certificate Holders or Beneficiaries will not have a right to share in the earnings of Aetna.

 

13

<PAGE>

2.04 Payments and Elections:

While the Certificate Holder is living, Aetna will pay the Certificate Holder any Annuity payments as and when due. After the Certificate Holder's death, or at the death of the first Certificate Holder if the Account is owned jointly, any Annuity payments required to be made will be paid in accordance with 4.03. Aetna will determine other payments and/or elections as of the end of the Valuation Period in which the request is received at its home office. Such payments will be made within seven calendar days of receipt at its home office of a written claim for payment which is in good order, except as provided in 3.15.

 

2.05 State Laws:

The Contract and the Certificates comply with the laws of the state in which they are delivered. Any surrender, death, or Annuity payments are equal to or greater than the minimum required by such laws. Annuity tables for legal reserve valuation shall be as required by state law. Such tables may be different from Annuity tables used to determine Annuity payments.

 

2.06

Control of Contract: This is a Contract between the Contract Holder and Aetna. The Contract Holder has title to the Contract. Contract Holder rights are limited to accepting or rejecting Contract modifications. The Certificate Holder has all other rights to amounts held in his or her Account.

Each Certificate Holder shall own all amounts held in his or her Account. Each Certificate Holder may make any choices allowed by this Contract for his or her Account. Choices made under this Contract must be in writing. If the Account is owned jointly, both Certificate Holders must authorize any Certificate Holder change in writing. Until receipt of such choices at Aetna's home office, Aetna may rely on any previous choices made.

The Contract is not subject to the claims of any creditors of the Contract Holder or the Certificate Holder, except to the extent permitted by law.

The Certificate Holder may assign or transfer his or her rights under the Contract. Aetna reserves the right not to accept assignment or transfer to a nonnatural person. Any assignment or transfer made must be submitted to Aetna's home office in writing and will not be effective until accepted by Aetna.

 

2.07 Designation of Beneficiary:

Each Certificate Holder shall name his or her Beneficiary. If the Account is owned jointly, both joint Certificate Holders must agree in writing to the Beneficiary designated. The Beneficiary may be changed at any time. Changes to a Beneficiary must be submitted to Aetna's home office in writing and will not be effective until accepted by Aetna. If the Account is owned jointly, at the death of one joint Certificate Holder, the survivor will be deemed the Beneficiary; any other Beneficiary on record will be deemed a contingent Beneficiary.

 

2.08 Misstatements and Adjustments:

If Aetna finds the age of any Annuitant to be misstated, the correct facts will be used to adjust payments.

 

2.09 Incontestability:

Aetna cannot cancel this Contract because of any error of fact.

 

14

<PAGE>

2.10 Grace Period: This Contract will remain in effect even if  
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Page 9 of 24

Purchase Payments are not continued except as
provided in the Payment of Adjusted Current Value
provision (see 3.17).

2.11 Individual Certificates: Aetna shall issue a certificate to each Certificate Holder. The certificate will summarize certain provisions of the Contract. Certificates are for information only and are not a part of the Contract.

III.     

PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS

-     

--------------------------------------------------------------------------------

3.01 Net Purchase Payment: This amount is the actual Purchase Payment less any premium tax. Aetna reserves the right to pay premium taxes when due and deduct the amount from the Current Value when we pay the tax or at a later date.

The Net Purchase Payment will be credited among:

(a)     

The current Deposit Period(s) for Guaranteed Terms under the AG Account; and

(b)     

The Fund(s) in which the Separate Account invests.

 

For each Net Purchase Payment, the Certificate Holder shall tell Aetna the allocation percentage to be applied to the current Deposit Period for each of the available Guaranteed Terms in the AG Account and/or each Fund. If allocation instructions are not received along with any subsequent Net Purchase Payment, the allocation will be the same as that indicated when the Contract was purchased. If the same Guaranteed Term is no longer available, the Net Purchase Payment will be allocated to the next shortest Guaranteed Term available in the current Deposit Period. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used.

 

3.02 Certificate Holder's Account:

Aetna will maintain an Account for each Certificate Holder.

Aetna will declare from time to time the acceptability and the minimum amount for additional Purchase Payments. Each Account will be subject to the Terms and Conditions of the Contract in effect at the time the first Purchase Payment for such Account is applied to the Contract except for changes made to comply with federal or state law.

 

3.03 Fund(s) Record Units -- Separate Account:

The portion of the Net Purchase Payment(s) applied to each Fund under the Separate Account will determine the number of Fund record units for that Fund. This number is equal to the portion of the Net Purchase Payment(s) applied to each Fund divided by the Fund record unit value (see 3.05) for the Valuation Period in which the Purchase Payment is received in good order at Aetna's home office.

 
15
<PAGE>  
 
 
 

3.04 Net Return Factor(s) -- Separate Account:

The net return factor(s) are used to compute all Separate Account record units for any Fund.

The net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate.

The net return rate is equal to:

 

(a)     

The value of the shares of the Fund held by the Separate Account at the end of the Valuation Period; minus

(b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

(c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

(d)     

The total value of the Fund(s) record units and Fund(s) annuity units of the Separate Account at the start of the Valuation Period; minus

(e)     

A daily Separate Account charge at an annual rate as shown on Contract Schedule I for mortality and expense risks, which may include profit; and a daily administrative charge.

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Page 10 of 24

 

A net return rate may be more or less than 0%. The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.

 

3.05 Fund Record Unit Value -- Separate Account:

A Fund record unit value is computed by multiplying the net return factors for the current Valuation Period by the Fund record unit value for the previous Period. The dollar value of Fund record units, Separate Account assets, and Variable Annuity payments may go up or down due to investment gain or loss.

 

3.06 Market Value Adjustment:

An MVA will apply to any withdrawal from the AG Account before the end of a Guaranteed Term when the withdrawal is:

 

(a)     

A Transfer; except for Transfers from the one-year AG Account Guaranteed Account under the Dollar Cost Averaging program or, as specified in 1.24 Matured Term Value Transfer;

(b)     

A full or partial surrender (including a 10% free withdrawal under 3.14); except for a partial withdrawal under the Systematic Withdrawal Option; or

(c)     

Due to election of an Annuity (see 4.07).

Full and partial surrenders and Transfers made
within six months after the date of the
Annuitant's death will be the greater of:

(a)     

The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts.

 

This total may be greater or less than the Current Value of those amounts; or

(b)     

The applicable portion of the Current Value in the AG Account.

16

<PAGE>

3.06 Market Value

Adjustment (Cont'd):

After the six-month period, the surrender or

Transfer will be the aggregate MVA amount, which may be greater or less than the Current Value of those amounts.

The greater of the aggregate MVA amount or the applicable portion of the Current Value applies to amounts withdrawn from the AG Account on account of an election of Annuity options 2 or 3 (see 4.07).

Market value adjusted amounts will be equal to the amount withdrawn multiplied by the following ratio:

 

x
---
365

(1 + i)
-------------
x
---
365
(1 + j)

Where:

i is the Deposit Period Yield
j is the Current Yield
x is the number of days remaining,
(computed from Wednesday of the week
of withdrawal) in the Guaranteed Term.

The Deposit Period Yield will be determined as
follows:

(a)     

At the close of the last business day of each week of the Deposit Period, a yield will be computed as the average of the yields on that day of U.S. Treasury Notes which mature in the last three months of the Guaranteed Term.

(b)     

The Deposit Period Yield is the average of those yields for the Deposit Period. If withdrawal is made before the close of the Deposit Period, it is the average of those yields on each week preceding withdrawal.

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3.07 Transfer of Current Value from the Funds or AG Account:

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The Current Yield is the average of the yields on
the last business day of the week preceding
withdrawal on the same U.S. Treasury Notes
included in the Deposit Period Yield.

In the event that no U.S. Treasury Notes which
mature in the last three months of the Guaranteed
Term exist, Aetna reserves the right to use the
U.S. Treasury Notes that mature in the following
quarter.

Before an Annuity option is elected, all or any
portion of the Adjusted Current Value of the
Certificate Holder's Account may be transferred
from any Fund or Guaranteed Term of the AG
Account:

(a)     

To any other Fund; or

(b)     

To any Guaranteed Term of the AG Account available in the current Deposit Period.

17

3.07 Transfer of Current Value from the Funds or AG Account (Cont'd):

Transfer requests can be submitted as a percentage or as a dollar amount. Aetna may establish a minimum transfer amount. Within a Guaranteed Term Group, the amount to be surrendered or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.

The Certificate Holder may make an unlimited number of Transfers during the Accumulation Period. The number of free Transfers allowed by Aetna is shown on Contract Schedule I. Additional Transfers may be subject to a Transfer fee as shown on Contract Schedule I.

Amounts transferred from the AG Account under the Dollar Cost Averaging program, or amounts transferred as a Matured Term Value on or within one calendar month of a Term's Maturity Date do not count against the annual Transfer limit.

Amounts applied to Guaranteed Terms of the AG Account may not be transferred to the Funds or to another Guaranteed Term during the Deposit Period or for 90 days after the close of the Deposit Period except for (1) Matured Term Value(s) during the calendar month following the Term's Maturity Date; (2) amounts used as a premium for an Annuity option; (3) amounts transferred from the one-year AG Account Guaranteed Term under the Dollar Cost Averaging program; and (4) amounts distributed under the Systematic Withdrawal Option.

 

3.08 Notice to the Certificate Holder:

The Certificate Holder will receive quarterly statements from Aetna of:

 

(a)     

The value of any amounts held in: (1) The AG Account; and

 

(2) The Fund(s) under the Separate Account.

(b)     

The number of any Fund(s) record units; and

(c)     

The Fund(s) record unit value.

 

Such number or values will be as of a specific date no more than 60 days before the date of the notice.

 

3.09 Loans:

3.10 Systematic Withdrawal Option (SWO):

Loans are not available under this Contract.

A distribution option under which a portion of the Account's Current Value will automatically be surrendered and distributed each year. SWO payments will be calculated on the Account's full Current Value. The distributed amount is withdrawn pro rata from each investment option under the Account. A Surrender Fee will not be deducted from any portion of the Current Value which is paid as a distribution under SWO.

Certificate Holders should consult their tax adviser prior to requesting this distribution option. Aetna will not be responsible for any adverse tax consequences due to receiving SWO payments.

 

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3.10 Systematic Withdrawal Option (SWO) (Cont'd):

(a) Amount of Distribution: The Certificate Holder may elect one of the three payment methods described below.

(1) Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage of the Current Value at time of election as shown on Contract Schedule I.

This annual dollar amount will remain constant. At its discretion, Aetna may require a minimum initial payment amount;

(2) Specified Period: Payments which are made over a period of time which must be at least 10 years. The annual amount paid each year is calculated by dividing the Current Value as of December 31 of the prior year by the number of payment years remaining; or

(3) Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage of the Current Value at the time of election as shown on Contract Schedule I. The percentage may be changed by written request. Aetna reserves the right to limit the number of times the percentage may be changed. The annual amount is calculated by multiplying the Current Value as of December 31 of the year prior to the payment by the designated percentage.

 

(b)     

Minimum Initial Current Value: At its discretion, Aetna may require a minimum initial Current Value for election of this option. If after election of this option the Current Value is insufficient to make a scheduled SWO payment, Aetna will distribute the entire Account balance.

(c)     

Date of Distribution: The Certificate Holder shall specify the initial distribution date. The earliest date for distribution is the date on which the Certificate Holder attains age 59-1/2. As elected by the Certificate Holder, SWO payments will be made on a monthly, quarterly, semi-annual or annual basis. If SWO payments are made more frequently than annually, the designated annual amount is divided by the number of payments due each calendar year. Subsequent distributions will be made on the 15th of any month or such other date Aetna may designate or allow.

(d)     

SWO payments will cease upon the Certificate Holder's or Annuitant's death. A Beneficiary, however, may elect to continue SWO as provided in 3.12.

(e)     

Election and Revocation: SWO may be elected by submitting a completed and signed election form to Aetna's home office. Once elected, this option may

be     

revoked by the Certificate Holder or spousal

Beneficiary,     

if elected after the Certificate

Holder's     

death, by submitting a written request to

Aetna     

at its home office. Any revocation will apply

only     

to amounts not yet paid. SWO may be elected

only     

once by the Certificate Holder or by the

spousal     

Beneficiary.

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<PAGE>

3.11 Death Benefit Amount:

If the Certificate Holder or Annuitant dies before Annuity payments start, the Beneficiary is entitled to a death benefit under the Account. If the Account is owned jointly, the death benefit is paid at the death of the first joint Certificate Holder to die. The claim date is the date when proof of death and the Beneficiary's claim are received in good order at Aetna's home office. The amount of the death benefit is determined as follows:

 

(a)     

Death of Annuitant when the Certificate Holder is the Annuitant: The guaranteed death benefit is the greatest of:

(1) The sum of all Purchase Payment(s) made to
the Account (as of the date of death)

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3.12 Death Benefit Options Available to Beneficiary:

<PAGE>

3.12 Death Benefit Options Available to Beneficiary (Cont'd):

Page 13 of 24

minus the sum of all amounts surrendered,
applied to an Annuity, or deducted from
the Account;

(2) The highest step up value, as of the date
of death, prior to the Annuitant's 75th
birthday. A step-up value is determined on
each anniversary of the Effective Date.
Each step-up value is calculated as the
Account's Current Value on the Effective
Date anniversary, increased by the amount
of any Purchase Payment(s) made, and
decreased by the sum of all amounts
surrendered, deducted, and/or applied to
an Annuity option since the Effective Date
anniversary.

(3) The Account's Current Value as of the date
of death.

The excess, if any, of the guaranteed death
benefit value over the Account's Current
Value is determined as of the date of death.
Any excess amount will be deposited to the
Account and allocated to Aetna Variable
Encore Fund as of the claim date. The Current
Value on the claim date plus any excess
amount deposited becomes the Account's
Current Value.

(b)     

Death of the Certificate Holder if the Certificate Holder is not the Annuitant: The death benefit amount is the Account's Adjusted Current Value on the claim date. A Surrender Fee may apply to any full or partial surrender (see 3.14 and Contract Schedule I).

(c)     

Death of spousal Beneficiary who continued the Account: The death benefit amount equals the Account's Adjusted Current Value on the claim date, less any applicable Surrender Fee on Purchase Payments made since the death of the Certificate Holder or Annuitant.

Prior to any election, or until amounts must
be otherwise distributed under this section, the
Current Value will be retained in the Account. The
Beneficiary has the right to allocate or
reallocate any amount to any of the available
investment options (subject to an MVA if
applicable). The following options are available
to the Beneficiary:

(a)     

When the Certificate Holder is the Annuitant if the the Annuitant dies (or when the Certificate Holder is a nonnatural person if the Annuitant dies):

20

(1) If the Beneficiary is the surviving
spouse, the spousal Beneficiary will be
the successor Certificate Holder and may
exercise all Certificate Holder rights
under the Contract and continue in the
Accumulation Period, or may elect (i) or
(ii) below.

Under the Code, distributions from the
Account are not required until the spousal
Beneficiary's death. The spousal
Beneficiary may elect to:

(i) Apply some or all of the Adjusted
Current Value to an Annuity option
(see 4.07);

(ii) Receive, at any time, a lump sum
payment equal to the Adjusted Current
Value of the Account.

(2) If the Beneficiary is other than the
surviving spouse, options (i) or (ii) above
apply. Any portion of the Adjusted Current
Value not applied to an Annuity option
within one year of the death must be
distributed within five years of the date of
death.

(3) If no Beneficiary exists, a lump sum payment
equal to the Adjusted Current Value must be

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made to the Annuitant's estate within five
years of the date of death.

(4) If the Beneficiary is an entity, a lump sum
payment equal to the Adjusted Current Value
must be made within five years of the date
of death.

(b)     

When the Certificate Holder is not the Annuitant when the Certificate Holder dies:

(1) If the Beneficiary is the Certificate Holder's
surviving spouse, the spousal Beneficiary will
be the successor Certificate Holder and may
exercise all Certificate Holder rights under
the Contract and continue in the Accumulation
Period, or may elect (i) or (ii), below. Under
the Code, distributions from the Account are
not required until the spousal Beneficiary's
death. The spousal Beneficiary may elect to:

(i) Apply some or all of the Adjusted Current
Value to Annuity option 2 or 3 (see 4.07);

(ii)     

Receive, at any time, a lump sum payment equal to the Surrender Value.

(2) If the Beneficiary is other than the
Certificate Holder's surviving spouse, options
(i) or (ii) under (1) above apply. Any portion
of the death benefit not applied to an Annuity
option within one year of the Certificate
Holder's death must be distributed within five
years of the date of death.

21

<PAGE>

3.12 Death Benefit Options (3) If no Beneficiary exists, a lump sum
Available to Beneficiary   payment equal to the Surrender Value must
(Cont'd):   be made to the Certificate Holder's estate
    within five years of the date of death.
 
  (4) If the Beneficiary is an entity, a lump
    sum payment equal to the Surrender Value
    must be made within five years of the date
    of death.

 

(c)When the Certificate Holder is a natural
person and not the Annuitant, when the
Annuitant dies, the Beneficiary (or the
Certificate Holder if no Beneficiary exists)
may elect to:

(i)     

Apply all or some of the Adjusted Current Value to an Annuity option within 60 days of the date of death; or

(ii)     

Receive a lump sum payment equal to the Adjusted Current Value.

3.13 Liquidation of Surrender Value:

All or any portion of the Account's Current Value may be surrendered at any time. Surrender requests can be submitted as a percentage of the Account value or as a specific dollar amount. Net Purchase Payment amounts are withdrawn first, and then the excess value, if any. For any partial surrender, amounts are withdrawn on a pro rata basis from the Fund(s) and/or the Guaranteed Term(s) Groups of the AG Account in which the Current Value is invested. Within a Guaranteed Term Group, the amount to be surrendered or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.

After deduction of the Maintenance Fee, if applicable, the surrendered amount shall be reduced by a Surrender Fee, if applicable. An MVA may apply to amounts surrendered from the AG Account.

 

3.14 Surrender Fee:

The Surrender Fee only applies to the Net Purchase Payment(s) portion surrendered and varies according to the elapsed time since deposit (see Contract Schedule I). Net Purchase Payment amounts are withdrawn in the same order they were applied.

No Surrender Fee is deducted from any portion of the Current Value which is paid:

(a) To a Beneficiary due to the Annuitant's death

 

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before Annuity payments start, up to a maximum
of the aggregate Net Purchase Payment(s) minus
the total of all partial surrenders, amounts
applied to an Annuity and deductions made prior
to the Annuitant's date of death;

(b) As a premium for an Annuity option (see
4.07);

(c) As a distribution under the SWO provision
(see 3.10);

22

<PAGE>

3.14 Surrender Fee (Cont'd):

(d) At least 12 months after the date of the first Purchase Payment to the Account, in an amount equal to or less than 10% of the Current Value. This applies to the first surrender request, partial or full, in a calendar year. The Current Value is calculated as of the date the surrender request is received in good order at Aetna's home office. This waiver is not available to the Certificate Holder while SWO is in effect;

(e) For a full surrender of the Account where the Current Value of the Account is $2,500 or less and no surrenders have been taken from the Account within the prior 12 months;

(f) By Aetna under 3.16; or

(g) If the Annuitant has spent at least 45 consecutive days in a licensed nursing care facility and each of the following conditions are met:

(1) more than one calendar year has elapsed since the date the certificate was issued; and

(2) the surrender is requested within 3 years of admission to a licensed nursing care facility.

This waiver does not apply if the Annuitant was in a nursing care facility at the time the certificate was issued.

 
 
 

3.15 Payment of Surrender Value:

Under certain emergency conditions, Aetna may defer payment:

(a) For a period of up to 6 months (unless not allowed by state law); or

(b) As provided by federal law.

 

3.16 Payment of Adjusted Current Value:

Upon 90 days' written notice to the Certificate
Holder, Aetna will terminate any Account if the
Current Value becomes less than $2,500
immediately following any partial surrender.
Aetna does not intend to exercise this right in
cases where an Account Current Value is reduced
to $2,500 or less solely due to investment
performance. A Surrender Fee will not be deducted
from the Adjusted Current Value.

IV.     

ANNUITY PROVISIONS

-     

--------------------------------------------------------------------------------

4.01 Choices:

The Certificate Holder may tell Aetna to apply any portion of the Adjusted Current Value (minus any premium tax, if applicable,) to any Annuity option (see 4.07). The first Annuity payment may not be earlier than one calendar year after the initial Purchase Payment nor later than the later of:

 

(a)     

The first day of the month following the Annuitant's 85th birthday; or

(b)     

The tenth anniversary of the last Purchase Payment. In lieu of the election of an

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<PAGE>

4.01 Choices (Cont'd):

4.02 Terms of Annuity Options:

<PAGE>

4.02 Terms of Annuity Options (Cont'd):

Page 16 of 24

Annuity, the Certificate Holder may tell Aetna
to make a lump sum payment.

23

When an Annuity option is chosen, Aetna must also
be told if payments are to be made other than
monthly and whether to pay:

(a)     

A Fixed Annuity using the General Account;

(b)     

A Variable Annuity using any of the Fund(s) available under this Contract for Annuity purposes; or

(c)     

A combination of (a) and (b).

If a Fixed Annuity is chosen, the Annuity purchase
rate for the option chosen reflects the Minimum
Guaranteed Interest Rate (see Contract Schedule
II), but may reflect higher interest rates. If a
Variable Annuity is chosen, the initial Annuity
payment for the option chosen reflects the assumed
annual return rate elected. (see Contract Schedule
II).

(a)     

When payments start, the age of the Annuitant plus the number of years for which payments are guaranteed must not exceed 95.

(b)     

An Annuity option may not be elected if the first payment would be less than $50 or if the total payments in a year would be less than $250 (less if required by state law). Aetna reserves the right to increase the minimum first Annuity payment amount and the annual minimum Annuity payment amount based upon increases reflected in the Consumer Price Index-Urban, (CPI-U) since July 1, 1993.

(c)     

If a Fixed Annuity is chosen and a larger payment would result from applying the Surrender Value to a current Aetna single premium immediate Annuity, Aetna will make the larger payment.

(d)     

For purposes of calculating the guaranteed first payment of a Variable Annuity or the payments for a Fixed Annuity, the Annuitant's and second Annuitant's adjusted age will be used. The Annuitant's and second Annuitant's adjusted age is his or her age as of the birthday closest to the Annuity commencement date reduced by one year for Annuity

commencement     

dates occurring during the period

of     

time from July 1, 1993 through December 31,

1999.     

The Annuitant's and second Annuitant's

age     

will be reduced by two years for Annuity

commencement     

dates occurring during the period

of     

time from January 1, 2000 through December

31,     

2009. The Annuitant's and second

Annuitant's     

age will be reduced by one

additional     

year for Annuity commencement dates

occurring     

in each succeeding decade.

The     

Annuity purchase rates for options 2 and 3

are     

based on mortality from 1983 Table a.

24

(e) Assumed Annual Net Return Rate is the
interest rate used to determine the
amount of the first Annuity payment under
a Variable Annuity as shown on Contract
Schedule II. The Separate Account must
earn this rate plus enough to cover the
mortality and expense risks charges (which
may include profit) and administrative
charges if future Variable Annuity
Payments are to remain level, (see Annuity
return factor under Variable Annuity
Assumed Annual Net Return Rate on Contract
Schedule II).

(f) Once elected, Annuity payments cannot be
commuted to a lump sum except for Variable
Annuity payments under option 1 (see
4.07). The life expectancy of the
Annuitant or the Annuitant and second
Annuitant shall be irrevocable upon the
election of an Annuity option.

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4.03 Death of Annuitant/ Beneficiary:

<PAGE>

4.03 Death of Annuitant/ Beneficiary (Cont'd):

4.04 Fund(s) Annuity Units --Separate Account:

Page 17 of 24

(a) Certificate Holder is Annuitant: When
the Certificate Holder is the Annuitant
and the Annuitant dies under option 1 or
2, or both the Annuitant and the second
Annuitant die under option 3(d), the
present value of any remaining guaranteed
payments will be paid in one sum to the
Beneficiary, or upon election by the
Beneficiary, any remaining payments will
continue to the Beneficiary. If option 3
has been elected and the Certificate
Holder dies, the remaining payments will
continue to the successor payee. If no
successor payee has been designated, the
Beneficiary will be treated as the
successor payee. If the Account has joint
Certificate Holder's, the surviving joint
Certificate Holder will be deemed the
successor payee.

(b) Certificate Holder is Not Annuitant: When
the Certificate Holder is not the
Annuitant and the Certificate Holder
dies, the remaining payments will
continue to the successor payee. If no
successor payee has been designated, the
Beneficiary will be treated as the
successor payee. If the Account has joint
Certificate Holder's, the surviving joint
Certificate Holder will be deemed the
successor payee.

If the Annuitant dies under option 1 or
2, or both the Annuitant and the second
Annuitant die under option 3(d), the
present value of any remaining guaranteed
payments will be paid in one sum to the
Beneficiary, or upon the election by the
Beneficiary, any remaining payments will
continue to the Beneficiary. If option 3
has been elected, and the Annuitant dies,
the remaining payments will continue to
the Certificate Holder.

(c) No Beneficiary Named/Surviving: If there
is no Beneficiary, the present value of
any remaining payments will be paid in
one sum to the Certificate Holder, or if
the Certificate Holder is not living,
then to the Certificate Holder's estate.

25

(d) If the Beneficiary or the successor payee
dies while receiving Annuity payments,
the present value of any remaining
guaranteed payments will be paid in one
sum to the successor Beneficiary/payee,
or upon election by the successor
Beneficiary/payee, any remaining payments
will continue to the successor
Beneficiary/payee. If no successor
Beneficiary/payee has been designated,
the present value of any remaining
guaranteed payments will be paid in one
sum to the Beneficiary's/payee's estate.

(e) The present value will be determined as
of the Valuation Period in which proof of
death acceptable to Aetna and a request
for payment is received at Aetna's home
office. The interest rate used to
determine the first payment will be used
to calculate the present value.

The number of each Fund's Annuity Units is
based on the amount of the first Variable
Annuity payment which is equal to:

(a) The portion of the Current Value applied
to pay a Variable Annuity (minus any
premium tax); divided by
(b) 1,000; multiplied by
(c) The payment rate for the option chosen.

Such amount, or portion, of the variable
payment will be divided by the appropriate
Fund Annuity unit value (see 4.05) on the
tenth Valuation Period before the due date of

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4.05 Fund(s) Annuity Unit Value -- Separate Account:

4.06 Annuity Net Return Factor(s) -- Separate Account:

<PAGE>

4.06 Annuity Net Return Factor(s) -- Separate Account (Cont'd):

4.07 Annuity Options:

Page 18 of 24

the first payment to determine the number of
each Fund Annuity units. The number of each
Fund Annuity units remains fixed. Each future
payment is equal to the sum of the products
of each Fund Annuity unit value multiplied by
the appropriate number of units. The Fund
Annuity unit value on the tenth Valuation
Period prior to the due date of the payment
is used.

For any Valuation Period, a Fund Annuity unit
value is equal to: Account:

(a) The value for the previous Period;
multiplied by
(b) The Annuity net return factor(s) (see
4.06 below) for the Period; multiplied by
(c) A factor to reflect the assumed annual
net return rate (see Contract Schedule
II).

The dollar value of a Fund Annuity unit
values and Annuity payments may go up or down
due to investment gain or loss.

The Annuity net return factor(s) are used to
compute all Separate Account Annuity Payments
for any Fund.

The Annuity net return factor(s) for each
Fund is equal to 1.0000000 plus the net
return rate.

The net return rate is equal to:

(a) The value of the shares of the Fund held
by the Separate Account at the end of a
Valuation Period; minus

26

(b) The value of the shares of the Fund held
by the Separate Account at the start of
the Valuation Period; plus or minus

(c) Taxes (or reserves for taxes) on the
Separate Account (if any); divided by

(d) The total value of the Fund(s) record
units and Fund(s) Annuity units of the
Separate Account at the start of the
Valuation Period; minus

(e) A daily charge for Annuity mortality and
expense risks, which may include profit,
and a daily administrative charge (at the
annual rate as shown on Contract Schedule
II).

A net return rate may be more or less than
0%.

The value of a share of the Fund is equal to
the net assets of the Fund divided by the
number of shares outstanding.

Payments shall not be changed due to changes
in the mortality or expense results or
administrative charges.

Option 1 -- Payments for a Stated Period of
Time -- An Annuity will be paid for the
number of years chosen. The number of years
must be at least 5 and not more than 30.

If payments for this option are made under a
Variable Annuity, the present value of any
remaining payments may be withdrawn at any
time. If a withdrawal is requested within 3
years after the start of payments, it will be
treated as a surrender and any applicable
Surrender Fee will be applied (see 3.14).

If a nonspouse Beneficiary elects this option
at the death of the Certificate Holder, the
period selected may not extend beyond the
Beneficiary's life expectancy.

Option 2 -- Life Income -- An Annuity will be

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paid for the life of the Annuitant. If also
chosen, Aetna will guarantee payments for 60,
120, 180, or 240 months.

Option 3 -- Life Income Based upon the Lives
of Two Annuitants -- An Annuity will be paid
during the lives of the Annuitant and a
second Annuitant. Payments will continue
until both Annuitants have died. When this
option is chosen, a choice must be made of:

(a)     

100% of the payment to continue after the first death;

(b)     

66-2/3% of the payment to continue after the first death;

(c)     

50% of the payment to continue after the first death;

(d)     

Payments for a minimum of 120 months with 100% of the payment to continue after the first death; or

(e)     

100% of the payment to continue at the death of the second Annuitant and 50% of the payment to continue at the death of the Annuitant.

Other Options -- Aetna may make other options
available as allowed by the laws of the state
in which this Contract and the Certificate is
delivered.

27

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

  Guaranteed Monthly Quarterly Semi-Annual Annual
Years Rate Payment Payment Payment Payment

 

- --------------------------------------------------------------------------------

3 3.00% $ 28.99 $ 86.76 $ 172.88 $ 343.23
4 3.00% 22.06 66.02 131.56 261.19
5 3.00% 17.91 53.59 106.78 211.99
6 3.00% 15.14 45.30 90.27 179.22
7 3.00% 13.16 39.39 78.49 155.83
8 3.00% 11.68 34.96 69.66 138.31
9 3.00% 10.53 31.52 62.81 124.69
10 3.00% 9.61 28.77 57.33 113.82
11 3.00% 8.86 26.52 52.85 104.93
12 3.00% 8.24 24.65 49.13 97.54
13 3.00% 7.71 23.08 45.98 91.29
14 3.00% 7.26 21.73 43.29 85.95
15 3.00% 6.87 20.56 40.96 81.33
16 3.00% 6.53 19.54 38.93 77.29
17 3.00% 6.23 18.64 37.14 73.74
18 3.00% 5.96 17.84 35.56 70.59
19 3.00% 5.73 17.13 34.14 67.78
20 3.00% 5.51 16.50 32.87 65.26
21 3.00% 5.32 15.92 31.72 62.98
22 3.00% 5.15 15.40 30.68 60.92
23 3.00% 4.99 14.92 29.74 59.04
24 3.00% 4.84 14.49 28.88 57.33
25 3.00% 4.71 14.09 28.08 55.76
26 3.00% 4.59 13.73 27.36 54.31
27 3.00% 4.47 13.39 26.68 52.97
28 3.00% 4.37 13.08 26.06 51.74
29 3.00% 4.27 12.79 25.49 50.60
30 3.00% 4.18 12.52 24.95 49.53

 

     28 <PAGE> OPTION 2 Life Income

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

Payments Guaranteed for a Stated Period of Months

Adjusted  
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Page 20 of 24

Age of None 60 120 180 240
Annuitant          

 

- --------------------------------------------------------------------------------

50 $ 4.05 $ 4.05 $ 4.03 $ 3.99 $ 3.93
51 4.12 4.11 4.09 4.05 3.99
52 4.19 4.19 4.16 4.11 4.04
53 4.27 4.26 4.23 4.18 4.10
54 4.35 4.34 4.31 4.25 4.16
 
55 4.44 4.42 4.39 4.32 4.22
56 4.53 4.51 4.47 4.40 4.29
57 4.62 4.61 4.56 4.48 4.35
58 4.72 4.71 4.65 4.56 4.42
59 4.83 4.81 4.75 4.64 4.49
 
60 4.95 4.93 4.86 4.73 4.55
61 5.07 5.05 4.97 4.83 4.62
62 5.20 5.17 5.08 4.92 4.69
63 5.34 5.31 5.20 5.02 4.76
64 5.49 5.45 5.33 5.12 4.83
 
65 5.65 5.61 5.47 5.22 4.89
66 5.82 5.77 5.61 5.33 4.96
67 6.01 5.94 5.75 5.44 5.02
68 6.20 6.13 5.91 5.54 5.08
69 6.41 6.33 6.07 5.65 5.14
 
70 6.64 6.54 6.23 5.76 5.19
71 6.88 6.76 6.41 5.86 5.24
72 7.14 7.00 6.59 5.97 5.28
73 7.43 7.26 6.77 6.06 5.32
74 7.73 7.53 6.96 6.16 5.35
 
75 8.06 7.82 7.14 6.25 5.38

 

Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

29

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<TABLE>          
<CAPTION>          
Adjusted Ages          
Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

- ----------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 3.69 $ 4.05 $ 4.27 $ 3.69 $ 4.03
55 55 3.88 4.25 4.47 3.87 4.14
55 60 3.99 4.44 4.71 3.98 4.42
 
60 55 3.99 4.44 4.71 3.98 4.42
60 60 4.24 4.71 4.99 4.23 4.57
60 65 4.38 4.97 5.32 4.38 4.93
 
65 60 4.38 4.97 5.32 4.38 4.93
65 65 4.72 5.33 5.70 4.71 5.14
65 70 4.93 5.68 6.15 4.91 5.66
 
70 65 4.93 5.68 6.15 4.91 5.66
70 70 5.40 6.21 6.70 5.36 5.96
70 75 5.69 6.68 7.32 5.62 6.67
 
75 70 5.69 6.68 7.32 5.62 6.67
75 75 6.37 7.45 8.15 6.23 7.12
75 80 6.78 8.11 8.99 6.54 8.13
</TABLE>            

 

Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

30

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000

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Page 21 of 24

After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

  Guaranteed Monthly Quarterly Semi-Annual Annual
Years Rate Payment Payment Payment Payment

 

- --------------------------------------------------------------------------------

3 3.50% $ 29.19 $ 87.33 $ 173.91 $ 344.86
4 3.50% 22.27 66.61 132.65 263.04
5 3.50% 18.12 54.19 107.92 213.99
6 3.50% 15.35 45.92 91.44 181.32
7 3.50% 13.38 40.01 79.69 158.01
8 3.50% 11.90 35.59 70.88 140.56
9 3.50% 10.75 32.16 64.05 127.00
10 3.50% 9.83 29.42 58.59 116.18
11 3.50% 9.09 27.18 54.13 107.34
12 3.50% 8.46 25.32 50.42 99.98
13 3.50% 7.94 23.75 47.29 93.78
14 3.50% 7.49 22.40 44.62 88.47
15 3.50% 7.10 21.24 42.31 83.89
16 3.50% 6.76 20.23 40.29 79.89
17 3.50% 6.47 19.34 38.51 76.37
18 3.50% 6.20 18.55 36.94 73.25
19 3.50% 5.97 17.85 35.54 70.47
20 3.50% 5.75 17.22 34.28 67.98
21 3.50% 5.56 16.65 33.15 65.74
22 3.50% 5.39 16.13 32.13 63.70
23 3.50% 5.24 15.66 31.19 61.85
24 3.50% 5.09 15.24 30.34 60.17
25 3.50% 4.96 14.85 29.56 58.62
26 3.50% 4.84 14.49 28.85 57.20
27 3.50% 4.73 14.15 28.19 55.90
28 3.50% 4.63 13.85 27.58 54.69
29 3.50% 4.53 13.57 27.02 53.57
30 3.50% 4.45 13.30 26.49 52.53

 

31

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

  Guaranteed Monthly Quarterly Semi-Annual Annual
Years Rate Payment Payment Payment Payment

 

- --------------------------------------------------------------------------------

3 5.00% $ 29.80 $ 89.04 $ 176.99 $ 349.72
4 5.00% 22.89 68.38 135.93 268.58
5 5.00% 18.74 56.00 111.33 219.98
6 5.00% 15.99 47.77 94.96 187.64
7 5.00% 14.02 41.90 83.30 164.59
8 5.00% 12.56 37.52 74.58 147.35
9 5.00% 11.42 34.11 67.81 133.99
10 5.00% 10.51 31.40 62.42 123.34
11 5.00% 9.77 29.19 58.03 114.66
12 5.00% 9.16 27.36 54.38 107.45
13 5.00% 8.64 25.81 51.31 101.39
14 5.00% 8.20 24.50 48.69 96.21
15 5.00% 7.82 23.36 46.44 91.75
16 5.00% 7.49 22.37 44.47 87.88
17 5.00% 7.20 21.51 42.75 84.88
18 5.00% 6.94 20.74 41.23 81.47
19 5.00% 6.71 20.06 39.88 78.80
20 5.00% 6.51 19.46 38.68 76.42
21 5.00% 6.33 18.91 37.59 74.28
22 5.00% 6.17 18.42 36.62 72.35
23 5.00% 6.02 17.98 35.73 70.61
24 5.00% 5.88 17.57 34.93 69.02
25 5.00% 5.76 17.20 34.20 67.57
26 5.00% 5.65 16.87 33.53 66.25
27 5.00% 5.54 16.56 32.92 65.04
28 5.00% 5.45 16.28 32.35 63.93
29 5.00% 5.36 16.01 31.83 62.90
30 5.00% 5.28 15.77 31.35 61.95

 

32

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

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Page 22 of 24

  Payments Guaranteed for a Stated Period of Months  
 
 
Adjusted          
Age of None 60 120 180 240

 

Annuitant
- --------------------------------------------------------------------------------

 

50 $ 4.34 $ 4.34 $ 4.31 $ 4.27 $ 4.22
51 4.41 4.40 4.38 4.33 4.27
52 4.48 4.47 4.45 4.40 4.32
53 4.56 4.55 4.52 4.46 4.38
54 4.64 4.63 4.59 4.53 4.44
 
55 4.72 4.71 4.67 4.60 4.50
56 4.81 4.80 4.75 4.67 4.56
57 4.91 4.89 4.84 4.75 4.62
58 5.01 4.99 4.93 4.83 4.69
59 5.12 5.10 5.03 4.92 4.75
 
60 5.23 5.21 5.13 5.00 4.82
61 5.36 5.33 5.24 5.09 4.88
62 5.49 5.45 5.35 5.19 4.95
63 5.63 5.59 5.47 5.28 5.02
64 5.78 5.73 5.60 5.38 5.08
 
65 5.94 5.89 5.73 5.48 5.15
66 6.11 6.05 5.87 5.58 5.21
67 6.29 6.22 6.02 5.69 5.27
68 6.49 6.41 6.17 5.79 5.33
69 6.70 6.60 6.33 5.90 5.38
 
70 6.92 6.81 6.49 6.00 5.43
71 7.17 7.04 6.66 6.10 5.48
72 7.43 7.27 6.84 6.20 5.52
73 7.71 7.53 7.02 6.30 5.55
74 8.02 7.70 7.20 6.39 5.59
 
75 8.35 8.08 7.38 6.48 5.62

 

Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

33

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

Payments Guaranteed for a Stated Period of Months

Adjusted            
Age of None 60 120 180 240  
Annuitant            
- --------------------------------------------------------------------------------  
50 $ 5.26 $ 5.25 $ 5.22 $ 5.17 $ 5.11  
51 5.33 5.32 5.28 5.23 5.15  
52 5.40 5.38 5.34 5.29 5.20  
53 5.47 5.45 5.41 5.35 5.26  
54 5.54 5.53 5.48 5.41 5.31  
 
55 5.63 5.61 5.56 5.47 5.36  
56 5.71 5.69 5.63 5.54 5.42  
57 5.80 5.78 5.72 5.61 5.47  
58 5.90 5.88 5.81 5.69 5.53  
59 6.01 5.98 5.90 5.77 5.59  
 
60 6.12 6.09 6.00 5.85 5.65  
61 6.24 6.21 6.10 6.93 5.71  
62 6.37 6.33 6.21 6.02 5.77  
63 6.51 6.46 6.33 6.11 5.83  
64 6.66 6.60 6.45 6.20 5.89  
 
65 6.82 6.75 6.57 6.30 5.95  
66 6.99 6.91 6.71 6.39 6.01  
67 7.17 7.08 6.85 6.49 6.06  
68 7.36 7.27 6.99 6.59 6.12  
69 7.57 7.46 7.15 6.69 6.17  
 
70 7.80 7.67 7.30 6.78 6.21  
71 8.05 7.89 7.47 6.88 6.25  
72 8.31 8.13 7.64 6.97 6.29  
73 8.59 8.38 7.81 7.06 6.33  
74 8.90 8.64 7.99 7.15 6.36  
 
 
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Page 23 of 24

75 9.23

8.93 8.16

7.23 6.38

Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

34

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

<TABLE>          
<CAPTION>          
Adjusted Ages          
Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

- ----------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 3.97 $ 4.35 $ 4.56 $ 3.97 $ 4.31
55 55 4.16 4.54 4.76 4.15 4.42
55 60 4.27 4.73 5.00 4.26 4.48
 
60 55 4.27 4.73 5.00 4.26 4.70
60 60 4.51 4.99 5.27 4.50 4.84
60 65 4.66 5.25 5.61 4.65 4.93
 
65 60 4.66 5.25 5.61 4.65 5.22
65 65 4.99 5.61 5.99 4.98 5.42
65 70 5.19 5.97 6.44 5.17 5.54
 
70 65 5.19 5.97 6.44 5.17 5.93
70 70 5.67 6.49 6.99 5.62 6.23
70 75 5.95 6.96 7.61 5.87 6.40
 
75 70 5.95 6.96 7.61 5.87 6.95
75 75 6.64 7.73 8.43 6.48 7.40
75 80 7.04 8.39 9.29 6.79 7.64
</TABLE>            

 

Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

35

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

<TABLE>              
<CAPTION>              
Adjusted Ages            
  Second            
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e  
- ----------------------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C> <C>  
55 50 $ 4.88 $ 5.26 $ 5.48 $ 4.88 $ 5.23  
55 55 5.04 5.44 5.66 5.04 5.32  
55 60 5.15 5.63 5.91 5.14 5.38  
 
60 55 5.15 5.63 5.91 5.14 5.59  
60 60 5.37 5.87 6.16 5.37 5.72  
60 65 5.52 6.14 6.51 5.51 5.80  
 
65 60 5.52 6.14 6.51 5.51 6.10  
65 65 5.83 6.49 6.87 5.82 6.29  
65 70 6.04 6.84 7.34 6.00 6.41  
 
70 65 6.04 6.84 7.34 6.00 6.81  
70 70 6.49 7.35 7.87 6.44 7.08  
70 75 6.77 7.84 8.51 6.68 7.25  
 
75 70 6.77 7.84 8.51 6.68 7.81  
75 75 7.45 8.60 9.33 7.27 8.25  
75 80 7.86 9.28 10.20 7.57 8.49  
</TABLE>              
 
 
 
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Page 24 of 24

Rates are based on mortality from 1983 Table a. The rates do not differ by sex. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

36

<PAGE>

[Aetna logo]
Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
P.O. Box 30670
Hartford, Connecticut 06150-0670
(800) 531-4547

Group Variable, Fixed, or Combination Annuity Contract
Nonparticipating

ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000620.txt

03/23/2018

EX-16 8 ex164d.htm EXHIBIT 16(4)(D) CERTIFICATE MP2CERT (5/96) ex164d.htm - Generated by SEC Publisher for SEC Filing

Page 1 of 24

Exhibit 16(4)(d)  
  Aetna Insurance Company of America  
  Home Office: 151 Farmington Avenue  
  P.O. Box 30670  
  Hartford, Connecticut 06150-0670  
  (800) 531-4547  
 
  You may call the toll-free number shown above for  
  answers to questions or to resolve a complaint.  
 
  Aetna Insurance Company of America, a stock  
  company, herein called Aetna, agrees to pay the  
  benefits stated in this Contract.  
- --------------------------------------------------------------------------------  
Certificate of Group To the Certificate Holder:  
Annuity Coverage    
  Aetna certifies that coverage is in force for you  
  under the stated Group Annuity Contract and  
  Certificate numbers. All data shown here is taken  
  from Aetna records and is based upon information  
  furnished by you.  
 
  This Certificate is a summary of the Group  
  Annuity Contract provisions. It replaces any and  
  all prior certificates or endorsements issued to  
  you under the stated Contract and Certificate  
  numbers. This Certificate is for information only  
  and is not a part of the Contract.  
 
  The variable features of the Group Contract are  
  described in parts III and IV.  
 
 
- --------------------------------------------------------------------------------  
Right to Cancel You may cancel your Account within 10 days by  
  returning it to the agent from whom it was  
  purchased, or to Aetna at the address shown  
  above. Within seven days of receiving this  
  Certificate at its home office, Aetna will return  
  the amount of Purchase Payment(s) received, plus  
  any increase, or minus any decrease, on the  
  amount, if any, of Purchase Payment(s) allocated  
  to the Separate Account fund(s).  
 
 
/s/ Dan Kearney /s/ Maria F. McKeon  
President Secretary  
 
- --------------------------------------------------------------------------------  
Contract Holder Group Annuity Contract No.  
SPECIMEN SPECIMEN  
- --------------------------------------------------------------------------------  
Certificate Holder Certificate No.  
SPECIMEN SPECIMEN  
SPECIMEN    
- --------------------------------------------------------------------------------  
Annuitant Name Type of Plan  
SPECIMEN SPECIMEN  
- --------------------------------------------------------------------------------  
 
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT  
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO  
FIXED DOLLAR AMOUNT. THIS CERTIFICATE CONTAINS A MARKET VALUE ADJUSTMENT  
FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN  
INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA  
DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.  
 
 
<PAGE>    
 
 
 
Specifications    
 
- --------------------------------------------------------------------------------  
Guaranteed Interest Rate There are guaranteed interest rates for amounts  
  held in the AG Account (See Certificate  
  Schedule I).  
- --------------------------------------------------------------------------------  
Deductions from the There will be deductions for mortality and  
Separate Account expense risks and administrative fees. (See  
  Account Certificate Schedule I and II).  
- --------------------------------------------------------------------------------  
Deduction from Purchase The Purchase Payment is subject to a deduction  
Payment(s) for premium taxes, if any. (See 3.01.)  
 
- --------------------------------------------------------------------------------  
Surrender Fee There will be a charge deducted upon surrender.  
  (See Certificate Schedule I).  
 
 
  2  
 
 
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Page 2 of 24

<PAGE>

Contract Schedule I
Accumulation Period

Separate Account

- --------------------------------------------------------------------------------

Separate Account: Variable Annuity Account I  
 
Charges to Separate Account: A daily charge is deducted from any portion of
  the Current Value allocated to the Separate
  Account. The deduction is the daily equivalent
  of the annual effective percentage shown in the
following chart:
 
  Administrative Charge 0.10%
  Mortality Risk Charge 0.35%
  Expense Risk Charge 0.90%
    ----
  Total Separate Account Charges 1.25%

 

AICA Guaranteed Account (AG Account)

- --------------------------------------------------------------------------------

Minimum  
Guaranteed Interest  
Rate: 3.0% (effective annual rate of return)

 

Separate Account and AG Account

- --------------------------------------------------------------------------------

Transfers: An unlimited number of Transfers are allowed
  during the Accumulation Period. Aetna allows
  12 free Transfers in any calendar year.
  Thereafter, Aetna reserves the right to charge
  $10 for each subsequent Transfer.
 
Maintenance Fee: The annual Maintenance Fee is $30. If the
  Account's Current Value is $50,000 or more on
  the date the Maintenance Fee is to be deducted,
  the Maintenance Fee is $0.  
 
Surrender Fee: For each surrender, the Surrender Fee will be
  determined as follows:  
 
  Length of Time from Surrender Fee
  Deposit of Net (as percentage of
  Purchase Payment (Years) Net Purchase Payment
 
  Less than 2 years 6%
  2 or more but less than 3 5%
  3 or more but less than 4 4%
  4 or more but less than 5 3%
  5 or more but less than 6 2%
  6 or more but less than 7 0%
7 or more years
 
Systematic The specified payment or specified percentage
Withdrawal Option may not be greater than 10% of the Account's
(SWO): Current Value at time of election.

 

See 1. GENERAL DEFINITIONS for explanations.

3

<PAGE>

Contract Schedule II
Annuity Period

Separate Account

- --------------------------------------------------------------------------------Charges to Separate Account: A daily charge at an annual effective rate of 1.25% for Annuity mortality and expense risks. The administrative charge is established upon election of an Annuity option.

This charge will not exceed 0.25%.

Variable Annuity Assumed Annual Net Return Rate:

If a Variable Annuity is chosen, an assumed annual net return rate of 5.0% may be elected. If 5.0% is not elected, Aetna will use an assumed annual net return rate of 3.5%.

The assumed annual net return rate factor for 3.5% per year is 0.9999058.

The assumed annual net return rate factor for 5.0% per year is 0.9998663.

If the portion of a Variable Annuity payment for

 

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Page 3 of 24

any Fund is not to decrease, the Annuity return
factor under the Separate Account for that Fund
must be:

(a) 4.75% on an annual basis plus an annual
return of up to 0.25% to offset the
administrative charge set at the time
Annuity payments commence if an assumed
annual net return rate of 3.5% is chosen;
or

(b) 6.25% on an annual basis plus an annual
return of up to 0.25% to offset the
administrative charge set at the time
Annuity payments commence, if an assumed
annual net return rate of 5% is chosen.

Fixed Annuity

- --------------------------------------------------------------------------------Minimum Guaranteed Interest 3.0% (effective annual rate of return) Rate: See 1. GENERAL DEFINITIONS for explanations.

4

<PAGE>

TABLE OF CONTENTS

I.     

GENERAL DEFINITIONS

-     

--------------------------------------------------------------------------

1.01 Account 7
1.02 Accumulation Period 7
1.03 Adjusted Current Value 7
1.04 AICA Guaranteed Account (AG Account) 7
1.05 Annuitant 7
1.06 Annuity 7
1.07 Beneficiary 7
1.08 Certificate Holder 7
1.09 Code 7
1.10 Contract 7
1.11 Contract Holder 7
1.12 Current Value 8
1.13 Deposit Period 8
1.14 Dollar Cost Averaging 8
1.15 Fixed Annuity 8
1.16 Fund(s) 8
1.17 General Account 8
1.18 Guaranteed Rates -- AG Account 8
1.19 Guaranteed Term 8
1.20 Guaranteed Term(s) Groups 9
1.21 Maintenance Fee 9
1.22 Market Value Adjustment (MVA) 9
1.23 Matured Term Value 9
1.24 Matured Term Value Transfer 9
1.25 Maturity Date 9
1.26 Net Purchase Payment(s) 9
1.27 Nonunitized Separate Account 9
1.28 Purchase Payment(s) 9
1.29 Reinvestment 10
1.30 Separate Account 10
1.31 Surrender Value 10
1.32 Transfers 10
1.33 Valuation Period (Period) 10
1.34 Variable Annuity 10

 

II.     

GENERAL PROVISIONS

-     

--------------------------------------------------------------------------

2.01 Change of Contract   10
2.02 Change of Fund(s)   12
2.03 Nonparticipating Contract   12
2.04 Payments and Elections   12
 
    5  
<PAGE>      
 
2.05 State Laws   12
2.06 Control of Contract   12
2.07 Designation of Beneficiary   13
2.08 Misstatements and Adjustments   13
2.09 Incontestability   13
2.10 Grace Period   13
2.11 Individual Certificates   13

 

III.     

PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS

-     

--------------------------------------------------------------------------

3.01 Net Purchase Payment 13  
3.02 Certificate Holder's Account 14  
3.03 Fund(s) Record Units -- Separate Account 14  
 
 
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3.04 Net Return Factor(s) -- Separate Account 14
3.05 Fund Record Unit Value - Separate Account 15
3.06 Market Value Adjustment 15
3.07 Transfer of Current Value from the Funds or AG Account 16
3.08 Notice to the Certificate Holder 17
3.09 Loans 17  
3.10 Systematic Withdrawal Option (SWO) 17
3.11 Death Benefit Amount 19
3.12 Death Benefit Options Available to Beneficiary 19
3.13 Liquidation of Surrender Value 21
3.14 Surrender Fee 22
3.15 Payment of Surrender Value 22
3.16 Payment of Adjusted Current Value 23

 

IV.     

ANNUITY PROVISIONS

-     

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4.01 Choices 23
4.02 Terms of Annuity Options 23
4.03 Death of Annuitant/Beneficiary 24
4.04 Fund(s) Annuity Units Separate Account 25
4.05 Fund(s) Annuity Unit Value -- Separate Account 26
4.06 Annuity Net Return Factor(s) -- Separate Account 26
4.07 Annuity Options 27
 
 
  6  
 
<PAGE>    

 

I.     

GENERAL DEFINITIONS

-     

--------------------------------------------------------------------------------

1.01     

Account:

1.02     

Accumulation Period:

1.03 Adjusted Current Value:
 
 
 
1.04 AICA Guaranteed Account
  (AG Account):

 

1.05     

Annuitant:

1.06     

Annuity:

1.07     

Beneficiary:

1.08     

Certificate Holder:

1.09 Code:
1.10 Contract:
<PAGE>  

 

A record established for each Certificate Holder to maintain the value of all Net Purchase Payments held on his/her behalf during the Accumulation Period.

The period during which the Net Purchase Payment(s) are applied to an Account to provide future Annuity payment(s).

The Current Value of an Account plus or minus any aggregate AG Account MVA, if applicable. (See 1.22)

An accumulation option where Aetna guarantees stipulated rate(s) of interest for specified periods of time. All assets of Aetna, including amounts in the Nonunitized Separate Account, are available to meet the guarantees under the AG Account.

The person whose life is measured for purposes of the guaranteed death benefit and the duration of Annuity payments under this Contract.

Payment of an income:

(a)     

For the life of one or two persons;

(b)     

For a stated period; or

(c)     

For some combination of (a) and (b).

The individual or estate entitled to receive any death benefit due under the Contract. If the Account is held by joint Certificate Holders, the survivor will be deemed the designated Beneficiary and any other Beneficiary on record will be treated as the contingent Beneficiary.

A person who purchases an interest in this Contract as evidenced by a certificate. Aetna reserves the right to limit ownership to natural persons. If more than one Certificate Holder owns an Account, each Certificate Holder will be a joint Certificate Holder. Any joint Certificate Holder must be the spouse of the other joint Certificate Holder. Joint Certificate Holders have joint ownership rights and both must authorize exercising any ownership rights unless Aetna allows otherwise.

The Internal Revenue Code of 1986, as it may be amended from time to time.

This agreement between Aetna and the Contract Holder.

7

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1.11     

Contract Holder:

1.12     

Current Value:

1.13     

Deposit Period:

1.14     

Dollar Cost Averaging:

1.15     

Fixed Annuity:

1.16     

Fund(s):

1.17     

General Account:

1.18     

Guaranteed Rates -- AG Account:

<PAGE>

1.19     

Guaranteed Term:

Page 5 of 24

The entity to which the Contract is issued.

As of the most recent Valuation Period, the Net
Purchase Payment and any additional amount
deposited pursuant to 3.11 plus any interest
added to the portion allocated to the AG
Account; and plus or minus the investment
experience of the portion allocated to the Funds
since deposit; less all Maintenance Fees
deducted, any amounts surrendered and any
amounts applied to an Annuity.

A calendar week, a calendar month, a calendar
quarter, or any other period of time specified
by Aetna during which Net Purchase Payment(s),
Transfers and Reinvestments are accepted into
the AG Account for one or more Guaranteed Terms.
Aetna reserves the right to extend the Deposit
Period.

A program that permits the Certificate Holder to
systematically transfer amounts from any of the
Funds and the one-year AG Account Guaranteed
Term to any of the Funds. Dollar Cost Averaging
is not available with the Systematic Withdrawal
Option or the Estate Conservation Option.

An Annuity with payments that do not vary in
amount.

The open-end management investment companies
(mutual funds) in which the Separate Account
invests.

The Account holding the assets of Aetna, other
than those assets held in Aetna's separate
accounts.

Aetna will declare the interest rate(s)
applicable to a specific Guaranteed Term at the
start of the Deposit Period for that Guaranteed
Term. The rate(s) are guaranteed by Aetna for
that Deposit Period and the ensuing Guaranteed
Term. The Guaranteed Rates are annual effective
yields. That is, interest is credited daily at a
rate that will produce the Guaranteed Rate over
the period of a year. No Guaranteed Rate will
ever be less than the Minimum Guaranteed Rate
shown on Contract Schedule 1.

For Guaranteed Terms of one year or less, one
Guaranteed Rate is credited for the full
Guaranteed Term. For longer Guaranteed Terms, an
initial Guaranteed Rate is credited from the
date of deposit to the end of a specified period
within the Guaranteed Term. There may be
different Guaranteed Rate(s) declared for
subsequent specified time intervals throughout
the Guaranteed Term.

8

The period of time for which AG Account
Guaranteed Rates are guaranteed on Net Purchase
Payments, Transfers and Reinvestments made into
a current Deposit Period for the AG Account.
Such period begins on the day following the
close of the Deposit Period and ends on the
designated Maturity Date. Guaranteed Terms are
offered at Aetna's discretion for various
lengths of time ranging up to and including ten
years.

1.19 Guaranteed Term (Cont'd): During a Deposit Period, Aetna may make  
    available any number of Guaranteed Terms. The  
    Certificate Holder may allocate Net Purchase  
    Payments and Transfers into any or all of the  
    available Guaranteed Terms.  
 
1.20 Guaranteed Term(s) All AG Account Guaranteed Term(s) with the same  
  Groups: length of time from the close of the Deposit  
    Period until the designated Maturity Date.  
 
1.21 Maintenance Fee: The Maintenance Fee (see Contract Schedule I)  
    will be deducted during the Accumulation Period  
    from the Current Value on each anniversary of  
    the date the Account is established and upon  
    surrender of the entire Account.  
 
1.22 Market Value Adjustment An adjustment that may apply to an amount  
  (MVA): withdrawn or transferred from an AG Account  
    Guaranteed Term prior to the end of that  
 
 
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1.23     

Matured Term Value:

1.24     

Matured Term Value Transfer:

1.25     

Maturity Date:

1.26     

Net Purchase Payment(s):

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Page 6 of 24

Guaranteed Term. The adjustment reflects the
change in the value of the investment due to
changes in interest rates since the date of
deposit and is computed using the formula given
in 3.06. The adjustment is expressed as a
percentage of each dollar being withdrawn.

The amount payable on an AG Account Guaranteed
Term's Maturity Date.

During the calendar month following an AG
Account Maturity Date, the Certificate Holder
may notify Aetna's home office in writing to
Transfer or surrender all or part of the Matured
Term Value, plus interest at the new Guaranteed
Rate accrued thereon, from the AG Account
without an MVA. This provision only applies to
the first such written request received from the
Certificate Holder during this period for any
Matured Term Value.

The last day of an AG Account Guaranteed Term.

The Purchase Payment less premium
taxes, as applicable.

9

1.27 Nonunitized A separate account set up by Aetna under
  Separate Account: Title 38, Section 38a-433, of the Connecticut
    General Statutes, that holds assets for AG
    Account Terms. There are no discrete units for
    this Account. The Certificate Holder does not
    participate in the investment gain or loss from
    the assets held in the Nonunitized Separate
    Account. Such gain or loss is borne entirely by
    Aetna. These assets may be chargeable with
    liabilities arising out of any other business of
    Aetna.
 
1.28 Purchase Payment(s): Payment(s) accepted by Aetna at its home office.
    Aetna reserves the right to refuse to accept any
    Purchase Payment at any time for any reason. No
    advance notice will be given to the Contract
    Holder or Certificate Holder.
 
1.29 Reinvestment: Aetna will mail a notice to the Certificate
    Holder at least 18 calendar days before a
    Guaranteed Term's Maturity Date. This notice
    will contain the Terms available during the
    current Deposit Periods with their Guaranteed
    Rate(s) and projected Matured Term Value. If no
    specific direction is given by the Certificate
    Holder prior to the Maturity Date, each Matured
    Term Value will be reinvested in the current
    Deposit Period for a Guaranteed Term of the same
    duration. If a Guaranteed Term of the same
    duration is unavailable, each Matured Term Value
    will automatically be reinvested in the current
    Deposit Period for the next shortest Guaranteed
    Term available. If no shorter Guaranteed Term is
    available, the next longer Guaranteed Term will
    be used. Aetna will mail a confirmation
    statement to the Certificate Holder the next
    business day after the Maturity Date. This
    notice will state the Guaranteed Term and
    Guaranteed Rate(s) which will apply to the
    reinvested Matured Term Value.
 
1.30 Separate Account: A separate account that buys and holds shares of
    the Fund(s). Income, gains or losses, realized
    or unrealized, are credited or charged to the
    Separate Account without regard to other income,
    gains or losses of Aetna. Aetna owns the assets
    held in the Separate Account and is not a
    trustee as to such amounts. This Separate
    Account generally is not guaranteed and is held
    at market value. The assets of the Separate
    Account, to the extent of reserves and other
    contract liabilities of the Account, shall not
    be charged with other Aetna liabilities.
 
1.31 Surrender Value: The amount payable by Aetna upon the surrender
    of any portion of an Account.
 
1.32 Transfers: The movement of invested amounts among the
    available Fund(s) and the AG Account under this
    Contract during the Accumulation Period.

 

10

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1.33     

Valuation Period (Period):

1.34     

Variable Annuity:

II.     

GENERAL PROVISIONS

Page 7 of 24

The period of time for which a Fund determines
its net asset value, usually from 4:15 p.m.
Eastern time each day the New York Stock
Exchange is open until 4:15 p.m. the next such
day, or such other day that one or more of the
Funds determines its net asset value.

An Annuity with payments that vary with the net
investment results of one or more Funds under
the Separate Account.

- --------------------------------------------------------------------------------

1.01     

Change of Contract:

2.01     

Change of Contract (Cont'd):

<PAGE>

2.02     

Change of Fund(s):

Only an authorized officer of Aetna may change the terms of this Contract. Aetna will notify the Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity which begins before the change.

Aetna reserves the right to refuse to accept any Purchase Payment at any time for any reason. This applies to an initial Purchase Payment to establish a new Account or to subsequent Purchase Payments to existing Accounts under the Contract. No advance notice will be given to the Contract Holder or Certificate Holder.

Aetna may make any change that affects the AG Account Market Value Adjustment (3.06) with at least 30 days' advance written notice to the Contract Holder and the Certificate Holder. Any such change shall become effective for any new Term and will apply to all present and future Accounts.

Aetna reserves the right to change the terms of the Systematic Withdrawal Option (3.10) for future elections and discontinue the availability of this option after proper notification.

Any change that affects any of the following under this Contract will not apply to Accounts in existence before the effective date of the change:

(a)     

Net Purchase Payment (1.26)

(b)     

AG Account Guaranteed Rate (1.18)

(c)     

Net Return Factor(s) -- Separate Account (3.04)

(d)     

Current Value (1.12)

(9)     

Surrender Value (1.31)

(f)     

Fund(s) Annuity Unit Value -- Separate Account (4.05)

(g)     

Annuity options (4.07)

(h)     

Fixed Annuity Interest Rates (4.01)

(i)     

Transfers (1.32).

Any change that affects the Annuity options and the tables for the options may be made:

11

(a)     

No earlier than 12 months after the effective date of this Contract; and

(b)     

No earlier than 12 months after the effective date of any prior change.

Any Account established on or after the effective date of any change will be subject to the change. If the Contract Holder does not agree to any change under this provision, no new Accounts may be established under this Contract. This Contract may also be changed as deemed necessary by Aetna to comply with federal or state law.

The assets of the Separate. Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, Aetna may cease to make such Fund shares available for investment under the Contract prospectively, or Aetna may substitute shares of another Fund for shares already acquired. Aetna may also, from time to time, add additional Funds. Any elimination, substitution

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2.03     

Nonparticipating Contract:

2.04     

Payments and Elections:

2.05 State Laws:

<PAGE>

Page 8 of 24

or addition of Funds will be done in accordance
with applicable state and federal securities
laws. Aetna reserves the right to substitute
shares of another Fund for shares already
acquired without a proxy vote.

The Contract Holder, Certificate Holders or
Beneficiaries will not have a right to share in
the earnings of Aetna.

While the Certificate Holder is living, Aetna
will pay the Certificate Holder any Annuity
payments as and when due. After the Certificate
Holder's death, or at the death of the first
Certificate Holder if the Account is owned
jointly, any Annuity payments required to be
made will be paid in accordance with 4.03. Aetna
will determine other payments and/or elections
as of the end of the Valuation Period in which
the request is received at its home office. Such
payments will be made within seven calendar days
of receipt at its home office of a written claim
for payment which is in good order, except as
provided in 3.15.

The Contract and the Certificates comply with
the laws of the state in which they are
delivered. Any surrender, death, or Annuity
payments are equal to or greater than the
minimum required by such laws. Annuity tables
for legal reserve valuation shall be as required
by state law. Such tables may be different from
Annuity tables used to determine Annuity
payments.

12

2.06 Control of This is a Contract between the Contract Holder
  Contract: and Aetna. The Contract Holder has title to the
    Contract. Contract Holder rights are limited to
    accepting or rejecting Contract modifications.
    The Certificate Holder has all other rights to
    amounts held in his or her Account.
 
    Each Certificate Holder shall own all amounts
    held in his or her Account. Each Certificate
    Holder may make any choices allowed by this
    Contract for his or her Account. Choices made
    under this Contract must be in writing. If the
    Account is owned jointly, both Certificate
    Holders must authorize any Certificate Holder
    change in writing. Until receipt of such choices
    at Aetna's home office, Aetna may rely on any
    previous choices made.
 
    The Contract is not subject to the claims of any
    creditors of the Contract Holder or the
    Certificate Holder, except to the extent
permitted by law.
 
2.06 Control of Contract The Certificate Holder may assign or transfer
  (Cont'd): his or her rights under the Contract. Aetna
    reserves the right not to accept assignment or
    transfer to a nonnatural person. Any assignment
    or transfer made must be submitted to Aetna's
    home office in writing and will not be effective
    until accepted by Aetna.
 
2.07 Designation of Each Certificate Holder shall name his or her
  Beneficiary: Beneficiary. If the Account is owned jointly,
    both joint Certificate Holders must agree in
    writing to the Beneficiary designated. The
    Beneficiary may be changed at any time. Changes
    to a Beneficiary must be submitted to Aetna's
    home office in writing and will not be effective
    until accepted by Aetna. If the Account is owned
    jointly, at the death of one joint Certificate
    Holder, the survivor will be deemed the
    Beneficiary; any other Beneficiary on record
    will be deemed a contingent Beneficiary.
 
2.08 Misstatements If Aetna finds the age of any Annuitant to be
  and Adjustments: misstated, the correct facts will be used to
adjust payments.
 
2.09 Incontestability: Aetna cannot cancel this Contract because of
any error of fact.
 
2.10 Grace Period: This Contract will remain in effect even if
    Purchase Payments are not continued except as
    provided in the Payment of Adjusted Current
    Value provision (see 3.17).

 

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Page 9 of 24

2.11 Individual Aetna shall issue a certificate to each
  Certificates Certificate Holder. The certificate will
    summarize certain provisions of the Contract.
    Certificates are for information only and are
    not a part of the Contract.

 

III.     

PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS

-     

--------------------------------------------------------------------------------

13

<PAGE>

3.01 Net Purchase This amount is the actual Purchase Payment less
  Payment: any premium tax. Aetna reserves the right to pay
    premium taxes when due and deduct the amount
    from the Current Value when we pay the tax or at
    a later date.
 
    The Net Purchase payment will be credited among:

 

(a)     

The current Deposit Period(s) for Guaranteed Terms under the AG Account; and

(b)     

The Fund(s) in which the Separate Account invests.

3.01 Net Purchase For each Net Purchase Payment, the Certificate
  Payment (Cont'd): Holder shall tell Aetna the allocation
    percentage to be applied to the current Deposit
    Period for each of the available Guaranteed
    Terms in the AG Account and/or each Fund. If
    allocation instructions are not received along
    with any subsequent Net Purchase Payment, the
    allocation will be the same as that indicated
    when the Contract was purchased. If the same
    Guaranteed Term is no longer available, the Net
    Purchase Payment will be allocated to the next
    shortest Guaranteed Term available in the
    current Deposit Period. If no shorter Guaranteed
    Term is available, the next longer Guaranteed
Term will be used.
 
3.02 Certificate Aetna will maintain an Account for each
  Holder's Account: Certificate Holder.
 
    Aetna will declare from time to time the
    acceptability and the minimum amount for
    additional Purchase Payments. Each Account will
    be subject to the Terms and Conditions of the
    Contract in effect at the time the first
    Purchase Payment for such Account is applied to
    the Contract except for changes made to comply
    with federal or state law.

 

3.03     

Fund(s) Record Units -- The portion of the Net Purchase Payment(s)

Separate Account:

applied to each Fund under the Separate Account will determine the number of Fund record units for that Fund. This number is equal to the portion of the Net Purchase Payment(s) applied to each Fund divided by the Fund record unit value (see 3.05) for the Valuation Period in which the Purchase Payment is received in good order at Aetna's home office.

 

3.04     

Net Return Factor(s) -- The net return factor(s) are used to compute all

Separate Account:

Separate Account record units for any Fund.

The net return factor(s) for each Fund is equal
to 1.0000000 plus the net return rate.

14

<PAGE>

The net return rate is equal to:

(a)     

The value of the shares of the Fund held by the Separate Account at the end of the Valuation Period; minus

(b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

(c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

(d)     

The total value of the Fund(s) record units and Fund(s) annuity units of the Separate Account at the start of the Valuation Period; minus

(e)     

A daily Separate Account charge at an annual

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Page 10 of 24

rate as shown on Contract Schedule I for
mortality and expense risks, which may
include profit; and a daily administrative
charge.

3.04     

Net Return Factor(s) -- A net return rate may be more or less than 0%.

  Separate Account The value of a share of the Fund is equal to the
  (Cont.): net assets of the Fund divided by the number of
    shares outstanding.
 
3.05 Fund Record Unit A Fund record unit value is computed by
  Value -- Separate multiplying the net return factors for the
  Account: current Valuation Period by the Fund record unit
    value for the previous Period. The dollar value
    of Fund record units, Separate Account assets,
    and Variable Annuity payments may go up or down
    due to investment gain or loss.
 
3.06 Market Value An MVA will apply to any withdrawal from the AG
  Adjustment: Account before the end of a Guaranteed Term when
the withdrawal is:
 
    (a) A Transfer; except for Transfers from the
    one-year AG Account Guaranteed Account
    under the Dollar Cost Averaging program or,
    as specified in 1.24 Matured Term Value
    Transfer;
 
    (b) A full or partial surrender (including a
    10% free withdrawal under 3.14); except for
    a partial withdrawal under the Systematic
    Withdrawal Option; or
 
    (c) Due to election of an Annuity (see 4.07).
 
    Full and partial surrenders and Transfers made
    within six months after the date of the
    Annuitant's death will be the greater of:
 
    (a) The aggregate MVA amount which is the sum
    of all market value adjusted amounts
    calculated due to a withdrawal of amounts.
    This total may be greater or less than the
    Current Value of those amounts; or
 
    (b) The applicable portion of the Current Value
    in the AG Account.

 

15

<PAGE>

After the six-month period, the surrender or
Transfer will be the aggregate MVA amount,
which may be greater or less than the Current
Value of those amounts.

The greater of the aggregate MVA amount or the
applicable portion of the Current Value applies
to amounts withdrawn from the AG Account on
account of an election of Annuity options 2 or
3 (see 4.07).

Market value adjusted amounts will be equal to
the amount withdrawn multiplied by the
following ratio:

X
---
365

( 1 + i )
------------
X
---
365
( 1 + j )

3.06 Market Value Where:
  Adjustment (Cont'd):    
    i is the Deposit Period Yield
 
    j is the Current Yield
 
    x is the number of days remaining, (computed
      from Wednesday of the week of withdrawal)
      in the Guaranteed Term.
 
    The Deposit Period Yield will be determined as
    follows:
 
    (a) At the close of the last business day of
      each week of the Deposit Period, a yield
      will be computed as the average of the
      yields on that day of U.S. Treasury Notes

 

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<PAGE>

3.07     

Transfer of Current Value from the Funds or AG Account:

3.07     

Transfer of Current Value from the Funds or AG

 

Account (Cont'd):

3.08     

Notice to the Certificate Holder:

<PAGE>

Page 11 of 24

which mature in the last three months of
the Guaranteed Term.

(b) The Deposit Period Yield is the average of
those yields for the Deposit Period. If
withdrawal is made before the close of the
Deposit Period, it is the average of those
yields on each week preceding withdrawal.

The Current Yield is the average of the yields
on the last business day of the week preceding
withdrawal on the same U.S. Treasury Notes
included in the Deposit Period Yield.

In the event that no U.S. Treasury Notes which
mature in the last three months of the
Guaranteed Term exist, Aetna reserves the right
to use the U.S. Treasury Notes that mature in
the following quarter.

16

Before an Annuity option is elected, all or any
portion of the Adjusted Current Value of the
Certificate Holder's Account may be transferred
from any Fund or Guaranteed Term of the AG
Account:

(a)     

To any other Fund; or

(b)     

To any Guaranteed Term of the AG Account available in the current Deposit Period.

Transfer requests can be submitted as a
percentage or as a dollar amount. Aetna may
establish a minimum transfer amount. Within a
Guaranteed Term Group, the amount to be
surrendered or transferred will be withdrawn
first from the oldest Deposit Period, then from
the next oldest, and so on until the amount
requested is satisfied.

The Certificate Holder may make an unlimited
number of Transfers during the Accumulation
Period. The number of free Transfers allowed by
Aetna is shown on Contract Schedule I.
Additional Transfers may be subject to a
Transfer fee as shown on Contract Schedule I.

Amounts transferred from the AG Account under
the Dollar Cost Averaging program, or amounts
transferred as a Matured Term Value on or within
one calendar month of a Term's Maturity Date do
not count against the annual Transfer limit.

Amounts applied to Guaranteed Terms of the AG
Account may not be transferred to the Funds or
to another Guaranteed Term during the Deposit
Period or for 90 days after the close of the
Deposit Period except for (1) Matured Term
Value(s) during the calendar month following the
Term's Maturity Date; (2) amounts used as a
premium for an Annuity option; (3) amounts
transferred from the one-year AG Account
Guaranteed Term under the Dollar Cost Averaging
program; and (4) amounts distributed under the
Systematic Withdrawal Option.

The Certificate Holder will receive quarterly
statements from Aetna of:

(a)     

The value of any amounts held in:

  (1)     

The AG Account; and

  (2)     

The Fund(s) under the Separate Account.

(b)     

The number of any Fund(s) record units; and

(c)     

The Fund(s) record unit value.

Such number or values will be as of a specific
date no more than 60 days before the date of the
notice.

17

3.09 Loans: Loans are not available under this Contract.
 
3.10 Systematic Withdrawal A distribution option under which a portion of
  Option (SWO): the Account's Current Value will automatically

 

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3.10     

Systematic Withdrawal Option (SWO) (Cont'd):

<PAGE>

Page 12 of 24

be surrendered and distributed each year. SWO
payments will be calculated on the Account's
full Current Value. The distributed amount is
withdrawn pro rata from each investment option
under the Account. A Surrender Fee will not be
deducted from any portion of the Current Value
which is paid as a distribution under SWO.

Certificate Holders should consult their tax
adviser prior to requesting this distribution
option. Aetna will not be responsible for any
adverse tax consequences due to receiving SWO
payments.

(a)     

Amount of Distribution: The Certificate Holder may elect one of the three payment methods described below.

(1) Specified Payment: Payments of a
designated dollar amount. The annual
amount may not be greater than the
percentage of the Current Value at time
of election as shown on Contract
Schedule I. This annual dollar amount
will remain constant. At its
discretion, Aetna may require a minimum
initial payment amount;

(2) Specified Period: Payments which are
made over a period of time which must
be at least 10 years. The annual amount
paid each year is calculated by
dividing the Current Value as of
December 31 of the prior year by the
number of payment years remaining; or

(3) Specified Percentage: Payment of a
designated percentage which cannot be
greater than the percentage of the
Current Value at the time of election
as shown on Contract Schedule I. The
percentage may be changed by written
request. Aetna reserves the right to
limit the number of times the
percentage may be changed. The annual
amount is calculated by multiplying the
Current Value as of December 31 of the
year prior to the payment by the
designated percentage.

(b)     

Minimum Initial Current Value: At its discretion, Aetna may require a minimum initial Current Value for election of this option. If after election of this option the Current Value is insufficient to make a scheduled SWO payment, Aetna will distribute the entire Account balance.

18

(c)     

Date of Distribution: The Certificate Holder shall specify the initial distribution date.

 

The earliest date for distribution is the date on which the Certificate Holder attains age 59-1/2. As elected by the Certificate Holder, SWO payments will be made on a monthly, quarterly, semi-annual or annual basis. If SWO payments are made more frequently than annually, the designated annual amount is divided by the number of payments due each calendar year. Subsequent distributions will be made on the 15th of any month or such other date Aetna may designate or allow.

(d)     

SWO payments will cease upon the Certificate Holder's or Annuitant's death. A

 

Beneficiary, however, may elect to continue SWO as provided in 3.12.

(e)     

Election and Revocation: SWO may be elected by submitting a completed and signed election form to Aetna's home office. Once elected, this option may be revoked by the Certificate Holder or spousal Beneficiary, if elected after the Certificate Holder's

death,     

by submitting a written request to

Aetna     

at its home office. Any revocation

will     

apply only to amounts not yet paid. SWO

may     

be elected only once by the Certificate

Holder     

or by the spousal Beneficiary.

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3.11 Death Benefit Amount:

<PAGE>

3.12     

Death Benefit Options Available to Beneficiary:

3.12     

Death Benefit Options Available to Beneficiary (Cont'd):

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If the Certificate Holder or Annuitant dies
before Annuity payments start, the Beneficiary
is entitled to a death benefit under the
Account. If the Account is owned jointly, the
death benefit is paid at the death of the first
joint Certificate Holder to die. The claim date
is the date when proof of death and the
Beneficiary's claim are received in good order
at Aetna's home office. The amount of the death
benefit is determined as follows:

(a)     

Death of Annuitant when the Certificate Holder is the Annuitant: The guaranteed death benefit is the greatest of:

(1) The sum of all Purchase Payment(s) made
to the Account (as of the date of
death) minus the sum of all amounts
surrendered, applied to an Annuity, or
deducted from the Account;

19

(2) The highest step up value, as of the
date of death, prior to the Annuitant's
75th birthday. A step-up value is
determined on each anniversary of the
Effective Date. Each step-up value is
calculated as the Account's Current
Value on the Effective Date
anniversary, increased by the amount of
any Purchase Payment(s) made, and
decreased by the sum of all amounts
surrendered, deducted, and/or applied
to an Annuity option since the
Effective Date anniversary.

(3) The Account's Current Value as of the
date of death.

The excess, if any, of the guaranteed death
benefit value over the Account's Current
Value is determined as of the date of death.
Any excess amount will be deposited to the
Account and allocated to Aetna Variable
Encore Fund as of the claim date. The
Current Value on the claim date plus any
excess amount deposited becomes the
Account's Current Value.

(b)     

Death of the Certificate Holder if the Certificate Holder is not the Annuitant: The death benefit amount is the Account's Adjusted Current Value on the claim date. A

 

Surrender Fee may apply to any full or partial surrender (see 3.14 and Contract Schedule I).

(c)     

Death of spousal Beneficiary who continued the Account: The death benefit amount equals the Account's Adjusted Current Value on the claim date, less any applicable Surrender Fee on Purchase Payments made since the death of the Certificate Holder or Annuitant.

Prior to any election, or until amounts must be
otherwise distributed under this section, the
Current Value will be retained in the Account.
The Beneficiary has the right to allocate or
reallocate any amount to any of the available
investment options (subject to an MVA if
applicable). The following options are available
to the Beneficiary:

(a)     

When the Certificate Holder is the Annuitant if the Annuitant dies (or when the Certificate Holder is a nonnatural person if the Annuitant dies):

(1) If the Beneficiary is the surviving
spouse, the spousal Beneficiary will be
the successor Certificate Holder and may
exercise all Certificate Holder rights
under the Contract and continue in the
Accumulation Period, or may elect (i) or
(ii) below.

20

Under the Code, distributions from the  
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3.12     

Death Benefit Options Available to Beneficiary (Cont'd):

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Page 14 of 24

Account are not required until the
spousal Beneficiary's death. The spousal
Beneficiary may elect to:

(i)     

Apply some or all of the Adjusted Current Value to an Annuity option (see 4.07);

(ii)     

Receive, at any time, a lump sum payment equal to the Adjusted Current Value of the Account.

(2) If the Beneficiary is other than the
surviving spouse, options (i) or (ii)
above apply. Any portion of the Adjusted
Current Value not applied to an Annuity
option within one year of the death must
be distributed within five years of the
date of death.

(3) If no Beneficiary exists, a lump sum
payment equal to the Adjusted Current
Value must be made to the Annuitant's
estate within five years of the date of
death.

(4) If the Beneficiary is an entity, a lump
sum payment equal to the Adjusted
Current Value must be made within five
years of the date of death.

(b)     

When the Certificate Holder is not the Annuitant when the Certificate Holder dies:

(1) If the Beneficiary is the Certificate
Holder's surviving spouse, the spousal
Beneficiary will be the successor
Certificate Holder and may exercise all
Certificate Holder rights under the
Contract and continue in the
Accumulation Period, or may elect (i) or
(ii), below. Under the Code,
distributions from the Account are not
required until the spousal Beneficiary's
death. The spousal Beneficiary may elect
to:

(i)     

Apply some or all of the Adjusted Current Value to Annuity option 2 or 3 (see 4.07);

(ii)     

Receive, at any time, a lump sum payment equal to the Surrender Value.

21

    (2) If the Beneficiary is other than the
    Certificate Holder's surviving spouse,
    options (i) or (ii) under (1) above
    apply. Any portion of the death benefit
    not applied to an Annuity option within
    one year of the Certificate Holder's
    death must be distributed within five
    years of the date of death.
 
    (3) If no Beneficiary exists, a lump sum
    payment equal to the Surrender Value
    must be made to the Certificate Holder's
    estate within five years of the date of
    death.  
 
    (4) If the Beneficiary is an entity, a lump
    sum payment equal to the Surrender Value
    must be made within five years of the
    date of death.
 
    (c) When the Certificate Holder is a natural
    person and not the Annuitant, when the
    Annuitant dies, the Beneficiary (or the
    Certificate Holder if no Beneficiary exists)
    may elect to:
 
    (i) Apply all or some of the Adjusted
      Current Value to an Annuity option
      within 60 days of the date of
      death; or
 
    (ii) Receive a lump sum payment equal
      to the Adjusted Current Value.
 
3.13 Liquidation of All or any portion of the Account's Current

 

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Surrender Value:

3.14 Surrender Fee:

<PAGE>

3.15     

Payment of Surrender Value:

Page 15 of 24

Value may be surrendered at any time. Surrender
requests can be submitted as a percentage of the
Account value or as a specific dollar amount.
Net Purchase Payment amounts are withdrawn
first, and then the excess value, if any. For
any partial surrender, amounts are withdrawn on
a pro rata basis from the Fund(s) and/or the
Guaranteed Term(s) Groups of the AG Account in
which the Current Value is invested. Within a
Guaranteed Term Group, the amount to be
surrendered or transferred will be withdrawn
first from the oldest Deposit Period, then from
the next oldest, and so on until the amount
requested is satisfied.

After deduction of the Maintenance Fee, if
applicable, the surrendered amount shall be
reduced by a Surrender Fee, if applicable. An
MVA may apply to amounts surrendered from the AG
Account.

The Surrender Fee only applies to the Net
Purchase Payment(s) portion surrendered and
varies according to the elapsed time since
deposit (see Contract Schedule I). Net Purchase
Payment amounts are withdrawn in the same order
they were applied.

22

No Surrender Fee is deducted from any portion of
the Current Value which is paid:

(a)     

To a Beneficiary due to the Annuitant's death before Annuity payments start, up to a maximum of the aggregate Net Purchase Payment(s) minus the total of all partial surrenders, amounts applied to an Annuity and deductions made prior to the Annuitant's date of death;

(b)     

As a premium for an Annuity option (see 4.07);

(c)     

As a distribution under the SWO provision (see 3.10);

(d)     

At least 12 months after the date of the first Purchase Payment to the Account, in an amount equal to or less than 10% of the Current Value. This applies to the first surrender request, partial or full, in a calendar year. The Current Value is calculated as of the date the surrender request is received in good order at Aetna's home office. This waiver is not available to the Certificate Holder while SWO is in effect;

(e)     

For a full surrender of the Account where the Current Value of the Account is $2,500 or less and no surrenders have been taken from the Account within the prior 12 months;

(f)     

By Aetna under 3.16; or

(g)     

If the Annuitant has spent at least 45

consecutive     

days in a licensed nursing care

facility     

and each of the following

conditions     

are met:

(1) more than one calendar year has elapsed
since the date the certificate was
issued; and

(2) the surrender is requested within 3
years of admission to a licensed nursing
care facility.

This waiver does not apply if the Annuitant was
in a nursing care facility at the time the
certificate was issued.

Under certain emergency conditions, Aetna may
defer payment:

(a)     

For a period of up to 6 months (unless not allowed by state law); or

(b)     

As provided by federal law.

23  
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<PAGE>

3.16     

Payment of Adjusted Current Value:

IV.     

ANNUITY PROVISIONS

Page 16 of 24

Upon 90 days' written notice to the Certificate
Holder, Aetna will terminate any Account if the
Current Value becomes less than $2,500
immediately following any partial surrender.
Aetna does not intend to exercise this right in
cases where an Account Current Value is reduced
to $2,500 or less solely due to investment
performance. A Surrender Fee will not be
deducted from the Adjusted Current Value.

- --------------------------------------------------------------------------------

4.01 Choices:

4.02     

Terms of Annuity Options:

<PAGE>

4.02     

Terms of Annuity Options (Cont'd):

The Certificate Holder may tell Aetna to apply any portion of the Adjusted Current Value (minus any premium tax, if applicable,) to any Annuity option (see 4.07). The first Annuity payment may not be earlier than one calendar year after the initial Purchase Payment nor later than the later of:

(a)     

The first day of the month following the Annuitant's 85th birthday; or

(b)     

The tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may tell Aetna to make a lump sum payment.

When an Annuity option is chosen, Aetna must also be told if payments are to be made other than monthly and whether to pay:

(a)     

A Fixed Annuity using the General Account;

(b)     

A Variable Annuity using any of the Fund(s) available under this Contract for Annuity purposes; or

(c)     

A combination of (a) and (b).

If a Fixed Annuity is chosen, the Annuity purchase rate for the option chosen reflects the Minimum Guaranteed Interest Rate (see Contract Schedule II), but may reflect higher interest rates. If a Variable Annuity is chosen, the initial Annuity payment for the option chosen reflects the assumed annual return rate elected. (see Contract Schedule II).

(a)     

When payments start, the age of the Annuitant plus the number of years for which payments are guaranteed must not exceed 95.

(b)     

An Annuity option may not be elected if the first payment would be less than $50 or if the total payments in a year would be less than $250 (less if required by state law).

 

Aetna reserves the right to increase the minimum first Annuity payment amount and the annual minimum Annuity payment amount based upon increases reflected in the Consumer Price Index-Urban, (CPI-U) since July 1, 1993.

24

(c)     

If a Fixed Annuity is chosen and a larger payment would result from applying the Surrender Value to a current Aetna single premium immediate Annuity, Aetna will make the larger payment.

(d)     

For purposes of calculating the guaranteed first payment of a Variable Annuity or the payments for a Fixed Annuity, the Annuitant's and second Annuitant's adjusted age will be used. The Annuitant's and second Annuitant's adjusted age is his or her age as of the birthday closest to the Annuity commencement date reduced by one year for Annuity commencement dates occurring during the period of time from July 1, 1993 through December 31, 1999. The Annuitant's and second Annuitant's age will be reduced by two years for Annuity commencement dates occurring during the period of time from January 1, 2000 through December 31, 2009.

 

The Annuitant's and second Annuitant's age will be reduced by one additional year for

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<PAGE>

4.03     

Death of Annuitant/Beneficiary:

4.03     

Death of Annuitant/Beneficiary (Cont'd):

Page 17 of 24

Annuity commencement dates occurring in each
succeeding decade.

The Annuity purchase rates for options 2 and 3
are based on mortality from 1983 Table a.

(e)     

Assumed Annual Net Return Rate is the interest rate used to determine the amount of the first Annuity payment under a Variable Annuity as shown on Contract Schedule II. The Separate Account must earn this rate plus enough to cover the mortality and expense risks charges (which may include profit) and administrative charges if future Variable Annuity Payments are to remain level, (see Annuity return factor under Variable Annuity Assumed Annual Net Return Rate on Contract Schedule II).

(f)     

Once elected, Annuity payments cannot be commuted to a lump sum except for Variable Annuity payments under option 1 (see 4.07).

 

The life expectancy of the Annuitant or the Annuitant and second Annuitant shall be irrevocable upon the election of an Annuity option.

25

(a)     

Certificate Holder is Annuitant: When the Certificate Holder is the Annuitant and the Annuitant dies under option 1 or 2, or both the Annuitant and the second Annuitant die under option 3(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon election by the Beneficiary, any remaining payments will continue to the Beneficiary.

 

If option 3 has been elected and the Certificate Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee. If the Account has joint Certificate Holder's, the surviving joint Certificate Holder will be deemed the successor payee.

(b)     

Certificate Holder is Not Annuitant: When the Certificate Holder is not the Annuitant and the Certificate Holder dies, the remaining payments will continue to the successor payee. If no successor payee has

been     

designated, the Beneficiary will be

treated     

as the successor payee. If the

Account     

has joint Certificate Holder's, the

surviving     

joint Certificate Holder will be

deemed     

the successor payee.

If the Annuitant dies under option 1 or 2, or
both the Annuitant and the second Annuitant die
under option 3(d), the present value of any
remaining guaranteed payments will be paid in
one sum to the Beneficiary, or upon the election
by the Beneficiary, any remaining payments will
continue to the Beneficiary. If option 3 has
been elected, and the Annuitant dies, the
remaining payments will continue to the
Certificate Holder.

(c)     

No Beneficiary Named/Surviving: If there is no Beneficiary, the present value of any remaining payments will be paid in one sum to the Certificate Holder, or if the Certificate Holder is not living, then to the Certificate Holder's estate.

(d)     

If the Beneficiary or the successor payee dies while receiving Annuity payments, the present value of any remaining guaranteed payments will be paid in one sum to the successor Beneficiary/payee, or upon election by the successor Beneficiary/payee, any remaining payments will continue to the successor Beneficiary/payee. If no successor Beneficiary/payee has been designated, the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary's/payee's estate.

26

<PAGE>

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4.04     

Fund(s) Annuity Units -- Separate Account:

4.04     

Fund(s) Annuity Units Separate Account (Cont'd):

4.05     

Fund(s) Annuity Unit Value -- Separate Account:

4.06     

Annuity Net

 

Return Factor(s) -- Separate Account:

<PAGE>

Page 18 of 24

(e)     

The present value will be determined as of the Valuation Period in which proof of death acceptable to Aetna and a request for payment is received at Aetna's home office.

 

The interest rate used to determine the first payment will be used to calculate the present value.

The number of each Fund's Annuity Units is based
on the amount of the first Variable Annuity
payment which is equal to:

(a)     

The portion of the Current Value applied to pay a Variable Annuity (minus any premium tax); divided by

(b)     

1,000; multiplied by

(c)     

The payment rate for the option chosen.

Such amount, or portion, of the variable payment
will be divided by the appropriate Fund Annuity
unit value (see 4.05) on the tenth Valuation
Period before the due date of the first payment
to determine the number of each Fund Annuity
units. The number of each Fund Annuity units
remains fixed. Each future payment is equal to
the sum of the products of each Fund Annuity
unit value multiplied by the appropriate number
of units. The Fund Annuity unit value on the
tenth Valuation Period prior to the due date of
the payment is used.

For any Valuation Period, a Fund Annuity unit
value is equal to:

(a)     

The value for the previous Period; multiplied by

(b)     

The Annuity net return factor(s) (see 4.06 below) for the Period; multiplied by

(c)     

A factor to reflect the assumed annual net return rate (see Contract Schedule II).

The dollar value of a Fund Annuity unit values
and Annuity payments may go up or down due to
investment gain or loss.

The Annuity net return factor(s) are used to
compute all Separate Account Annuity Payments
for any Fund. The Annuity net return factor(s)
for each Fund is equal to 1.0000000 plus the net
return rate.

The net return rate is equal to:

(a)     

The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus

27

(b)     

The value of the shares of the Fund held by

  the     

Separate Account at the start of the

  Valuation     

Period; plus or minus

(c)     

Taxes (or reserves for taxes) on the

  Separate     

Account (if any); divided by

(d)     

The total value of the Fund(s) record units

  and     

Fund(s) Annuity units of the Separate

  Account     

at the start of the Valuation

  Period;     

minus

(e)     

A daily charge for Annuity mortality and

  expense     

risks, which may include profit, and

  a     

daily administrative charge ( at the

  annual     

rate as shown on Contract Schedule

  II)     

.

A     

net return rate may be more or less than 0%.

The value of a share of the Fund is equal to the
net assets of the Fund divided by the number of
shares outstanding.

Payments shall not be changed due to changed due
to changes in the mortality or expenses results
or administrative charges.

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Page 19 of 24

4.07 Annuity Options: Option 1 -- Payments for a Stated Period of Time
    -- An Annuity will be paid for the number of
    years chosen. The number of years must be at
    least 5 and not more than 30.
 
    If payments for this option are made under a
    Variable Annuity, the present value of any
    remaining payments may be withdrawn at any time.
    If a withdrawal is requested within 3 years
    after the start of payments, it will be treated
    as a surrender and any applicable Surrender Fee
    will be applied (see 3.14).
 
    If a nonspouse Beneficiary elects this option at
    the death of the Certificate Holder, the period
    selected may not extend beyond the Beneficiary's
life expectancy.
 
    Option 2 -- Life Income -- An Annuity will be
    paid for the life of the Annuitant. If also
    chosen, Aetna will guarantee payments for 60,
    120, 180, or 240 months.
 
    Option 3 -- Life Income Based upon the Lives of
    Two Annuitants -- An Annuity will be paid during
    the lives of the Annuitant and a second
    Annuitant. Payments will continue until both
    Annuitants have died. When this option is
    chosen, a choice must be made of:

 

28

<PAGE>

(a)     

100% of the payment to continue after the first death;

(b)     

66-2/3% of the payment to continue after the first death;

(c)     

50% of the payment to continue after the first death;

(d)     

Payments for a minimum of 120 months with 100% of the payment to continue after the first death; or

(e)     

100% of the payment to continue at the death of the second Annuitant and 50% of the payment to continue at the death of the Annuitant.

Other Options -- Aetna may make other options
available as allowed by the laws of the state in
which this Contract and the Certificate is
delivered.

29

<PAGE>

      OPTION 1      
 
    Payments for a Stated Period of Time    
 
  Amount of First Monthly Payment for Each $1,000    
  After Deduction of any Charge for Premium Taxes    
 
Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%  
------------------------------------------------------------------  
  Guaranteed Monthly Quarterly Semi-Annual Annual  
Years Rate Payment Payment Payment Payment  
------------------------------------------------------------------  
3 3.00% $28.99 $86.76 $172.88 $343.23  
4 3.00% 22.06 66.02 131.56 261.19  
5 3.00% 17.91 53.59 106.78 211.99  
6 3.00% 15.14 45.30 90.27 179.22  
7 3.00% 13.16 39.39 78.49 155.83  
8 3.00% 11.68 34.96 69.66 138.31  
9 3.00% 10.53 31.52 62.81 124.69  
10 3.00% 9.61 28.77 57.33 113.82  
11 3.00% 8.86 26.52 52.85 104.93  
12 3.00% 8.24 24.65 49.13 97.54  
13 3.00% 7.71 23.08 45.98 91.29  
14 3.00% 7.26 21.73 43.29 85.95  
15 3.00% 6.87 20.56 40.96 81.33  
16 3.00% 6.53 19.54 38.93 77.29  
17 3.00% 6.23 18.64 37.14 73.74  
18 3.00% 5.96 17.84 35.56 70.59  
19 3.00% 5.73 17.13 34.14 67.78  
20 3.00% 5.51 16.50 32.87 65.26  
21 3.00% 5.32 15.92 31.72 62.98  
 
 
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22 3.00% 5.15 15.40 30.68 60.92
23 3.00% 4.99 14.92 29.74 59.04
24 3.00% 4.84 14.49 28.88 57.33
25 3.00% 4.71 14.09 28.08 55.76
26 3.00% 4.59 13.73 27.36 54.31
27 3.00% 4.47 13.39 26.68 52.97
28 3.00% 4.37 13.08 26.06 51.74
29 3.00% 4.27 12.79 25.49 50.60
30 3.00% 4.18 12.52 24.95 49.53

 

------------------------------------------------------------------
30

 

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

     Payments Guaranteed for a Stated Period of Months ----------------------------------------------------------------------

Adjusted Age of          
Annuitant None 60 120 180 240

 

----------------------------------------------------------------------

50 $4.05 $4.05 $4.03 $3.99 $3.93
51 4.12 4.11 4.09 4.05 3.99
52 4.19 4.19 4.16 4.11 4.04
53 4.27 4.26 4.23 4.18 4.10
54 4.35 4.34 4.31 4.25 4.16
 
55 4.44 4.42 4.39 4.32 4.22
56 4.53 4.51 4.47 4.40 4.29
57 4.62 4.61 4.56 4.48 4.35
58 4.72 4.71 4.65 4.56 4.42
59 4.83 4.81 4.75 4.64 4.49
 
60 4.95 4.93 4.86 4.73 4.55
61 5.07 5.05 4.97 4.83 4.62
62 5.20 5.17 5.08 4.92 4.69
63 5.34 5.31 5.20 5.02 4.76
64 5.49 5.45 5.33 5.12 4.83
 
65 5.65 5.61 5.47 5.22 4.89
66 5.82 5.77 5.61 5.33 4.96
67 6.01 5.94 5.75 5.44 5.02
68 6.20 6.13 5.91 5.54 5.08
69 6.41 6.33 6.07 5.65 5.14
 
70 6.64 6.54 6.23 5.76 5.19
71 6.88 6.76 6.41 5.86 5.24
72 7.14 7.00 6.59 5.97 5.28
73 7.43 7.26 6.77 6.06 5.32
74 7.73 7.53 6.96 6.16 5.35
 
75 8.06 7.82 7.14 6.25 5.38

 

     ----------------------------------------------------------------------Rates are based on mortality from 1983 Table a. The rates do not differ by sex.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

31

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

- --------------------------------------------------------------------------------  
Adjusted Ages            
- --------------------            
  Second            
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e  
- -------------------------------------------------------------------------------  
 
55 50 $3.69 $4.05 $4.27 $3.69 $4.03  
55 55 3.88 4.25 4.47 3.87 4.14  
55 60 3.99 4.44 4.71 3.98 4.42  
 
60 55 3.99 4.44 4.71 3.98 4.42  
60 60 4.24 4.71 4.99 4.23 4.57  
60 65 4.38 4.97 5.32 4.38 4.93  
 
 
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65 60 4.38 4.97 5.32 4.38 4.93
65 65 4.72 5.33 5.70 4.71 5.14
65 70 4.93 5.68 6.15 4.91 5.66
 
70 65 4.93 5.68 6.15 4.91 5.66
70 70 5.40 6.21 6.70 5.36 5.96
70 75 5.69 6.68 7.32 5.62 6.67
 
75 70 5.69 6.68 7.32 5.62 6.67
75 75 6.37 7.45 8.15 6.23 7.12
75 80 6.78 8.11 8.99 6.54 8.13

 

- -------------------------------------------------------------------------------Rates are based on mortality from 1983 Table a. The rates do not differ by sex.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

32

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

- --------------------------------------------------------------------------------

  Guaranteed Monthly Quarterly Semi-Annual Annual
Years Rate Payment Payment Payment Payment

 

- --------------------------------------------------------------------------------

3 3.50% $29.19 $87.33 $173.91 $344.86
4 3.50% 22.27 66.61 132.65 263.04
5 3.50% 18.12 54.19 107.92 213.99
6 3.50% 15.35 45.92 91.44 181.32
7 3.50% 13.38 40.01 79.69 158.01
8 3.50% 11.90 35.59 70.88 140.56
9 3.50% 10.75 32.16 64.05 127.00
10 3.50% 9.83 29.42 58.59 116.18
11 3.50% 9.09 27.18 54.13 107.34
12 3.50% 8.46 25.32 50.42 99.98
13 3.50% 7.94 23.75 47.29 93.78
14 3.50% 7.49 22.40 44.62 88.47
15 3.50% 7.10 21.24 42.31 83.89
16 3.50% 6.76 20.23 40.29 79.89
17 3.50% 6.47 19.34 38.51 76.37
18 3.50% 6.20 18.55 36.94 73.25
19 3.50% 5.97 17.85 35.54 70.47
20 3.50% 5.75 17.22 34.28 67.98
21 3.50% 5.56 16.65 33.15 65.74
22 3.50% 5.39 16.13 32.13 63.70
23 3.50% 5.24 15.66 31.19 61.85
24 3.50% 5.09 15.24 30.34 60.17
25 3.50% 4.96 14.85 29.56 58.62
26 3.50% 4.84 14.49 28.85 57.20
27 3.50% 4.73 14.15 28.19 55.90
28 3.50% 4.63 13.85 27.58 54.69
29 3.50% 4.53 13.57 27.02 53.57
30 3.50% 4.45 13.30 26.49 52.53

 

- --------------------------------------------------------------------------------

33

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

  Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%  
- --------------------------------------------------------------------------------  
  Guaranteed Monthly Quarterly Semi-Annual Annual  
Years Rate Payment Payment Payment Payment  
- --------------------------------------------------------------------------------  
3 5.00% $29.80 $89.04 $176.99 $349.72  
4 5.00% 22.89 68.38 135.93 268.58  
5 5.00% 18.74 56.00 111.33 219.98  
6 5.00% 15.99 47.77 94.96 187.64  
7 5.00% 14.02 41.90 83.30 164.59  
8 5.00% 12.56 37.52 74.58 147.35  
9 5.00% 11.42 34.11 67.81 133.99  
10 5.00% 10.51 31.40 62.42 123.34  
11 5.00% 9.77 29.19 58.03 114.66  
12 5.00% 9.16 27.36 54.38 107.45  
13 5.00% 8.64 25.81 51.31 101.39  
14 5.00% 8.20 24.50 48.69 96.21  
15 5.00% 7.82 23.36 46.44 91.75  
 
 
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16 5.00% 7.49 22.37 44.47 87.88
17 5.00% 7.20 21.51 42.75 84.48
18 5.00% 6.94 20.74 41.23 81.47
19 5.00% 6.71 20.06 39.88 78.80
20 5.00% 6.51 19.46 38.68 76.42
21 5.00% 6.33 18.91 37.59 74.28
22 5.00% 6.17 18.42 36.62 72.35
23 5.00% 6.02 17.98 35.73 70.61
24 5.00% 5.88 17.57 34.93 69.02
25 5.00% 5.76 17.20 34.20 67.57
26 5.00% 5.65 16.87 33.53 66.25
27 5.00% 5.54 16.56 32.92 65.04
28 5.00% 5.45 16.28 32.35 63.93
29 5.00% 5.36 16.01 31.83 62.90
30 5.00% 5.28 15.77 31.35 61.95

 

- --------------------------------------------------------------------------------

34

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

Payments Guaranteed for a Stated Period of Months
-----------------------------------------------------------------

Adjusted          
Age of None 60 120 180 240

 

Annuitant
-----------------------------------------------------------------

 

50 $4.34 $4.34 $.31 $4.27 $4.22
51 4.41 4.40 4.38 4.33 4.27
52 4.48 4.47 4.45 4.40 4.32
53 4.56 4.55 4.52 4.46 4.38
54 4.64 4.63 4.59 4.53 4.44
 
55 4.72 4.71 4.67 4.60 4.50
56 4.81 4.80 4.75 4.67 4.56
57 4.91 4.89 4.84 4.75 4.62
58 5.01 4.99 4.93 4.83 4.69
59 5.12 5.10 5.03 4.92 4.75
 
60 5.23 5.21 5.13 5.00 4.82
61 5.36 5.33 5.24 5.09 4.88
62 5.49 5.45 5.35 5.19 4.95
63 5.63 5.59 5.47 5.28 5.02
64 5.78 5.73 5.60 5.38 5.08
 
65 5.94 5.89 5.73 5.48 5.15
66 6.11 6.05 5.87 5.58 5.21
67 6.29 6.22 6.02 5.69 5.27
68 6.49 6.41 6.17 5.79 5.33
69 6.70 6.60 6.33 5.90 5.38
 
70 6.92 6.81 6.49 6.00 5.43
71 7.17 7.04 6.66 6.10 5.48
72 7.43 7.27 6.84 6.20 5.52
73 7.71 7.53 7.02 6.30 5.55
74 8.02 7.80 7.20 6.39 5.59
 
75 8.35 8.08 7.38 6.48 5.62

 

     -----------------------------------------------------------------Rates are based on mortality from 1983 Table a. The rates do not differ by sex.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

35

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

  Payments Guaranteed for a Stated Period of Months    
- --------------------------------------------------------------------------------  
Adjusted Age of            
Annuitant None 60 120 180 240  
- --------------------------------------------------------------------------------  
50 $5.26 $5.25 $5.22 $5.17 $5.11  
51 5.33 5.32 5.28 5.23 5.15  
52 5.40 5.38 5.34 5.29 5.20  
 
 
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53 5.47 5.45 5.41 5.35 5.26
54 5.54 5.53 5.48 5.41 5.31
 
55 5.63 5.61 5.56 5.47 5.36
56 5.71 5.69 5.63 5.54 5.42
57 5.80 5.78 5.72 5.61 5.47
58 5.90 5.88 5.81 5.69 5.53
59 6.01 5.98 5.90 5.77 5.59
 
60 6.12 6.09 6.00 5.85 5.65
61 6.24 6.21 6.10 6.93 5.71
62 6.37 6.33 6.21 6.02 5.77
63 6.51 6.46 6.33 6.11 5.83
64 6.66 6.60 6.45 6.20 5.89
 
65 6.82 6.75 6.57 6.30 5.95
66 6.99 6.91 6.71 6.39 6.01
67 7.17 7.08 6.85 6.49 6.06
68 7.36 7.27 6.99 6.59 6.12
69 7.57 7.46 7.15 6.69 6.17
 
70 7.80 7.67 7.30 6.78 6.21
71 8.05 7.89 7.47 6.88 6.25
72 8.31 8.13 7.64 6.97 6.29
73 8.59 8.38 7.81 7.06 6.33
74 8.90 8.64 7.99 7.15 6.36
 
75 9.23 8.93 8.16 7.23 6.38

 

- --------------------------------------------------------------------------------Rates are based on mortality from 1983 Table a. The rates do not differ by sex.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

36

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

- --------------------------------------------------------------------------------Adjusted Ages - -----------------------Second Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - --------------------------------------------------------------------------------

55 50 $3.97 $4.35 $4.56 $3.97 $4.31
55 55 4.16 4.54 4.76 4.15 4.42
55 60 4.27 4.73 5.00 4.26 4.48
 
60 55 4.27 4.73 5.00 4.26 4.70
60 60 4.51 4.99 5.27 4.50 4.84
60 65 4.66 5.25 5.61 4.65 4.93
 
65 60 4.66 5.25 5.61 4.65 5.22
65 65 4.99 5.61 5.99 4.98 5.42
65 70 5.19 5.97 6.44 5.17 5.54
 
70 65 5.19 5.97 6.44 5.17 5.93
70 70 5.67 6.49 6.99 5.62 6.23
70 75 5.95 6.96 7.61 5.87 6.40
 
75 70 5.95 6.96 7.61 5.87 6.95
75 75 6.64 7.73 8.43 6.48 7.40
75 80 7.04 8.39 9.29 6.79 7.64

 

- --------------------------------------------------------------------------------Rates are based on mortality from 1983 Table a. The rates do not differ by sex.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

37

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

- --------------------------------------------------------------------------------Adjusted Ages - --------------------Second

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Page 24 of 24

Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - --------------------------------------------------------------------------------

55 50 $4.88 $5.26 $5.48 $4.88 $5.23
55 55 5.04 5.44 5.66 5.04 5.32
55 60 5.15 5.63 5.91 5.14 5.38
 
60 55 5.15 5.63 5.91 5.14 5.59
60 60 5.37 5.87 6.16 5.37 5.72
60 65 5.52 6.14 6.51 5.51 5.80
 
65 60 5.52 6.14 6.51 5.51 6.10
65 65 5.83 6.49 6.87 5.82 6.29
65 70 6.04 6.84 7.34 6.00 6.41
 
70 65 6.04 6.84 7.34 6.00 6.81
70 70 6.49 7.35 7.87 6.44 7.08
70 75 6.77 7.84 8.51 6.68 7.25
 
75 70 6.77 7.84 8.51 6.68 7.81
75 75 7.45 8.60 9.33 7.27 8.25
75 80 7.86 9.28 10.20 7.57 8.49

 

- --------------------------------------------------------------------------------Rates are based on mortality from 1983 Table a. The rates do not differ by sex.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

38

<PAGE>

- --------------------------------------------------------------------------------

Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
P.O. Box 30670
Hartford, Connecticut 06150-0670
(800) 531-4547

Certificate of Group Annuity Coverage

- --------------------------------------------------------------------------------

ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THIS CERTIFICATE CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000620.txt

03/23/2018

EX-16 9 ex164e.htm EXHIBIT 16(4)(E) CONTRACT G-CDA-GP2 (4/94) ex164e.htm - Generated by SEC Publisher for SEC Filing

Page 1 of 23

Exhibit 16(4)(e)  
Aetna Insurance Company of America  
Home Office: 151 Farmington Avenue  
Hartford, Connecticut 06156  
(800) 531-4547    
 
Group Variable, Fixed or Combination Annuity Contract (Nonparticipating)  
 
Aetna Insurance Company of America (We or Us) agrees to pay benefits according  
to the terms and conditions set forth in this Contract.  
 
Specifications    
- --------------------------------------------------------------------------------  
Plan    
 
- --------------------------------------------------------------------------------  
Type of Plan    
 
- --------------------------------------------------------------------------------  
Contract Holder    
 
- --------------------------------------------------------------------------------  
Contact Number    
 
- --------------------------------------------------------------------------------  
Effective Date    
 
 
This Contract is delivered in and  
is subject to the laws and regulations of that state.  
 
THE VARIABLE FEATURES OF THE CONTRACT ARE DESCRIBED IN SECTIONS 6 AND 12.  
 
Right to Cancel    
- --------------------------------------------------------------------------------  
The Group Contract Holder may cancel this Contract within ten (10) days of  
receiving it by returning it to Us at the address above or to the person from  
whom it was purchased. Within seven (7) days of the cancellation request, We  
will return the Certificate Holder's Purchase Payment(s) made plus any increase,  
or minus any decrease, on the amount allocated to the Separate Account.  
 
Signed at the Home Office on the Effective Date.  
 
/s/ Dan Kearney /s/ Susan E. Schechter  
President Secretary  
 
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT  
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO  
FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA.  
APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR  
DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT  
APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.  
 
 
G-CDA-GP2(4/94)    
<PAGE>    
 
Table of Contents    
  Page  
Right to Cancel 1  
 
Contract Schedule 4  
Separate Account 4  
AICA Guaranteed Account (AG Account) 4  
Separate Account and AG Account 4  
Fixed Annuity 6  
 
Section 1. Definitions 7  
 
Section 2. General Provisions 9  
The Contract 9  
Certificates 9  
Nonparticipating Contract 9  
Misstatements and Adjustments 9  
Reports 9  
Premium Taxes 9  
Protection of Proceeds 9  
Evidence of Survival 9  
Proof of Age 9  
Change of Contract 9  
 
Section 3. Ownership 10  
Group Contract Holder 10  
Certificate Holder Rights 10  
Transfer of Ownership 10  
 
Section 4. Beneficiary Provisions 11  
Beneficiary 11  
Change of Beneficiary 11  
Death of Beneficiary 11  
 
Section 5. Purchase Payments 11  
Purchase Payments 11  
Allocation of Purchase Payments 11  
 
 
 
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Section 6. Separate Account 12
General 12
Investment Allocations to the Separate Account 12
Valuation of Assets 12
Accumulation Unit 12
Net Return Factor for Each Valuation Period 12
Administrative Charge 13
Mortality Risk Charge 13
Expense Risk Charge 13
Mortality and Expense Guarantee 13
 
2  
 
<PAGE>  
 
Section 7. AG Account 13
AG Account Guaranteed Interest Rate 13
Deposit Period 13
Guaranteed Term 13
Guaranteed Term(s) Groups 13
Maturity Date 14
Allocation of Net Purchase Payments to the AG Account 14
AG Account Guaranteed Term Maturity Date and Maturity Value 14
Transfers from the AG Account 14
Withdrawals from the AG Account 14
Reinvestment 14
AG Account Market Value Adjustment (Factor) 15
 
Section 8. Certificate Holder's Account Value; Transfers and  
Withdrawals During the Accumulation Period 15
Certificate Holder's Account Value 15
Transfers During the Accumulation Period 16
Withdrawals During the Accumulation Period 16
Deferred Sales Charge 16
Waiver of Deferred Sales Charge 16
Payment of Adjusted Certificate Holder Account Value 17
Systematic Withdrawal Option (SWO) 17
 
Section 9. Maintenance Charge 18
Maintenance Charge 18
 
Section 10. Proceeds Payable on Death 18
Death of the Certificate Holder Prior to the Annuity Date 18
Death Benefit Amount Prior to the Annuity Date 18
Death Benefit Payment Methods 19
Death of Certificate Holder On or After the Annuity Date 20
Death of the Annuitant 20
 
Section 11. Delay of Payments 20
Delay of Payments 20
 
Section 12. Annuity Provisions 20
Designation of Annuitant 21
Terms of Annuity Options 21
Annuity Unit 22
Annuity Unit Value 23
Annuity Net Return Factor 23
Annuity Options 23

 

  3
<PAGE>  
Contract Schedule  

 

Separate Account

- -------------------------------------------------------------------------------

Separate Account: Variable Account I  
 
Charges to the Separate A daily charge is deducted from the assets of the
Account: Separate Account. The deduction is the daily  
  equivalent of the annual effective percentage shown
  below:  
 
  (a) During the Accumulation Period:  
 
  Administrative Charge 0.15%
  Mortality Risk Charge 0.35%
  Expense Risk Charge 0.90%
  TOTAL Separate Account Charges During  
  Accumulation Period 1.40%
 
  (b) During the Annuity Period  
 
  Administrative Charge Not To Exceed 0.25%
  Mortality Risk Charge 0.35%
  Expense Risk Charge 0.90%
  TOTAL Maximum Separate Account Charges  
  During Annuity Period 1.50%

 

AICA Guaranteed Account (AG Account)

- -------------------------------------------------------------------------------

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Page 3 of 23

Minimum Guaranteed 3.0%
Interest Rate (effective  
annual rate of return):  

 

Separate Account and AG Account

- -------------------------------------------------------------------------------

Minimum Initial Purchase      
Payment: $1,500  
 
Minimum Subsequent $500 or $50 per month if paid by an automatic
Purchase Payment: check plan  
 
Maximum Subsequent $500,000 without Home Office approval
Purchase Payment:      
 
4
 
<PAGE>      
 
Transfers: We allow an unlimited number of transfers during the
  Accumulation Period. Twelve (12) transfers in any
  calendar year are free. Thereafter, We reserve the
  right to charge a transfer charge up to $10 for each
  subsequent transfer.  
 
Maintenance Charge: The annual maintenance charge is $30. If the
  Certificate Holder's Account is $50,000 or more on
  the date the maintenance charge is to be deducted,
  the maintenance charge is $0.  
 
Deferred Sales Charge: For each withdrawal from a Certificate Holder's
  Account, a deferred sales charge for each Net
  Purchase Payment will be determined as follows:
 
  Years from Receipt of Deferred
  Net Purchase Payment Sales Charge
    0-1 7%
    1-2 6%
    2-3 5%
    3-4 4%
    4-5 3%
    5-6 2%
    6-7 1%
    7+ 0%
Waiver of Deferred Sales Section 8.05 provides for the following:
Charge:      
 
  (c) At least 12 months after the date of the first
    Purchase Payment in an amount equal to or less
    than 15% of the Certificate Holder's Account
    Value.  
 
  (d) For a full withdrawal where the Certificate
    Holder's Account Value does not exceed $2,500
    and no withdrawals have been taken from the
    Certificate Holder's Account within the prior 12
    months.  
 
Systematic Withdrawal (a) Specified Payment - Maximum Percentage: 10%
Option:      
  (b) Specified Period - Minimum Period: 10 years
 
  (c) Specified Percentage - Maximum Percentage: 10%
 
Death Benefit Factor: 4%    
 
Death Benefit Maximum There is no maximum death benefit amount.
Amount:      

 

Death Benefit Maximum Age: 85 years

 

5

<PAGE>

Fund for Allocation of Excess Guaranteed Death Benefit Value:

Latest Annuity Date:

Federated Prime Money Fund II

The Certificate Holder's 90th birthday.

 

Fixed Annuity

- -------------------------------------------------------------------------------

Minimum Guaranteed 3.0%
Interest Rate  
(effective annual rate  
of return):  

 

6

<PAGE>

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Page 4 of 23

Section 1. Definitions

  • -------------------------------------------------------------------------------

  • Accumulation Period - The period during which one or more Net

Purchase Payments applied to a Certificate Holder's Account
accumulate to provide future Annuity payments.

1.02     

Accumulation Unit - A measure of the net investment results for each variable investment option during the Accumulation Period. The Accumulation Units for the applicable Funds are used to calculate the portion of a Certificate Holder's Account Value attributable to a Separate Account during the Accumulation Period.

1.03     

Adjusted Certificate Holder Account Value - The Certificate Holder's Account Value, plus or minus any aggregate AG Account Market Value Adjustment.

1.04     

Annuitant - The natural person on whose life an Annuity payment is based.

1.05     

Annuity - A series of payments We make for life, a definite period or a combination of the two.

1.06     

Annuity Date - The date on which Annuity payments commence.

1.07     

Annuity Options - Annuity payment methods available during the Annuity Period.

1.08     

Annuity Period - The period of time during which Annuity payments are made.

1.09     

Annuity Unit - A measure of the net investment results for each variable investment option during the Annuity Period. Annuity Units are used to calculate the amount of each variable Annuity payment.

1.10     

Beneficiary - The person(s) entitled to receive any death benefit under the Certificate Holder's Account. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if any, is treated as the Beneficiary. Any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary.

1.11     

Certificate - The document issued to a Certificate Holder to evidence a Certificate Holder's Account established under the group Contract.

1.12     

Certificate Holder - A person who has established a Certificate Holder's Account under a group Contract. We reserve the right to limit ownership to natural persons. If more than one Certificate Holder owns an Account, each Certificate Holder shall be a joint

Certificate     

Holder. Any joint Certificate Holder must be the spouse

of     

the other joint Certificate Holder. Joint Certificate Holders have

joint     

ownership rights and both must authorize any exercising of

those     

ownership rights unless otherwise allowed by Us.

1.13     

Certificate Holder's Account - A record We establish for each

Certificate     

Holder to maintain values under a group Contract.

1.14     

Certificate Holder's Account Value - The dollar value as of any

Valuation     

Period of all amounts accumulated in a Certificate Holder's

Account.     

1.15     

Contract - This agreement between the Group Contract Holder and Us.

7

<PAGE>

1.16     

Effective Date - The date a Certificate is issued to a Certificate Holder.

1.17     

Fund - One of the variable investment options which may be selected by a Certificate Holder.

1.18     

General Account - The General Account is made up of all of our general assets other than those allocated to the separate accounts.

1.19     

AICA Guaranteed Account (AG Account) - An investment option where We guarantee specified rate(s) of interest for specified periods of time. AG Account is a separate account established by Us in accordance with the provisions of the Connecticut General Statutes Section 38a-433. Certificate Holders do not participate in the investment gain or loss from the assets held in the AG Account.

 

Assets in the AG Account may be charged with liabilities arising out of any other business We may conduct.

1.20     

Group Contract Holder - The entity to which a group Contract is issued.

1.21     

Home Office - Our headquarters, located at 151 Farmington Avenue, Hartford, CT 06156.

1.22     

Market Value Adjustment - An adjustment to any withdrawal made from

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Page 5 of 23

the AG Account before the end of a guaranteed term as stated in
Section 7.11.

1.23     

Net Purchase Payment - The Purchase Payment less premium taxes, if applicable.

1.24     

Purchase Payment - The gross payment accepted by Us and allocated to the Certificate Holder's Account. We reserve the right to refuse to accept any Purchase Payment at any time for any reason.

1.25     

Separate Account - A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to Our other income, gains or losses. We own the assets held in the Separate Account and are not a trustee as to such amounts. The Separate Account generally is not guaranteed and is held at market value. The name of the Separate Account is shown on the Contract Schedule. The assets of the Separate Account, to the extent of reserves and other Contract liabilities of the Separate Account, will not be charged with Our other liabilities.

1.26     

Valuation Period - The period of time for which a Fund determines its net asset value, usually from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m. the next such business day, or such other day that one or more of the Funds determines its net asset value. The assets of the Separate Account are not chargeable with the liabilities arising out of any other business We may conduct.

1.27     

Variable Annuity Contract - An Annuity Contract providing for the accumulation of value and/or for Annuity payments which vary in amount based on investment results.

8

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Section 2. General Provisions

  • -------------------------------------------------------------------------------

  • The Contract - The entire Contract consists of this Contract and any

attached applications or endorsements.

2.02     

Certificates - A Certificate is issued to each Certificate Holder whose Purchase Payment(s) is accepted by Us. The Certificate evidences a Certificate Holder's Account established under the Contract. Certificates are not part of the Contract.

2.03     

Nonparticipating Contract - Neither the Group Contract Holder, Certificate Holder nor any Beneficiary have a right to share in our earnings.

2.04     

Misstatements and Adjustments - If We learn that the age of any Annuitant or second Annuitant is misstated, the correct age will be used to adjust payments. We reserve the right to request reimbursement or adjust future payments for any amount overpaid. We will pay the amount of any underpayment.

2.05     

Reports - We furnish each Certificate Holder with a report showing the Certificate Holder's Account Value at least once each calendar year. We also furnish an annual report of the Separate Account.

2.06     

Premium Taxes - Any premium taxes paid to any governmental entity are charged against Purchase Payments or a Certificate Holder's Account.

 

We may, at our sole discretion, pay premium taxes when due and deduct that amount from the Certificate Holder's Account at a later date. Payment at an earlier date does not waive any right We may have to deduct amounts at a later date.

2.07     

Protection of Proceeds - To the extent permitted by law, all payments under this Contract to a Certificate Holder or Beneficiary shall be free from legal process and the claim of any creditor.

2.08     

Evidence of Survival - The Company may require satisfactory evidence of the continued survival of any person(s) on whose life Annuity payments are based.

2.09     

Proof of Age - The Company may require evidence of age of any Annuitant under Annuity Options 2 and 3 and of the designated second

Annuitant     

under Annuity Option 3.

2.10     

Change of Contract - Only our authorized officers may change the

terms     

of this Contract. We will notify the Group Contract Holder in

writing     

at least 30 days before the effective date of any change. Any

change     

will not affect the amount or terms of any Annuity which

begins     

before the change.

We     

may make any change that affects the AG Account Market Value

Adjustment     

with at least thirty (30) days' advance written notice to

the     

Group Contract Holder and the Certificate Holder. Any such change

shall     

become effective for any new guaranteed term and will apply to

all     

present and future Certificate Holders' Accounts.

We     

reserve the right to change the terms of the Systematic Withdrawal

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Option for future elections and discontinue the availability of this
option.

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Any change to any of the following provisions under this Contract will not apply to Certificate Holder's Accounts in existence before the effective date of the change:

(a)     

Net Purchase Payment (1.23)

(b)     

AG Account Guaranteed Interest Rate (7.01)

(c)     

Net Return Factor (6.05)

(d)     

Certificate Holder's Account Value (1.14)

(e)     

Deferred Sales Charge (8.04)

(f)     

Annuity Unit Value (12.04)

(g)     

Annuity Options (12.06)

(h)     

Fixed Annuity Interest Rates (12.01)

(i)     

Transfers (8.02).

Any change that affects the Annuity Option and the tables for the
Annuity Options may be made:

(a)     

No earlier than twelve (12) months after the Effective Date; and

(b)     

No earlier than twelve (12) months after the effective date of any prior change.

Any Certificate Holder's Account established on or after the effective date of any change will be subject to the change. If the Group Contract Holder does not agree to any change under this provision, We reserve the right to not allow any new Certificate Holder's Accounts to be established under this Contract. This Contract may also be changed as deemed necessary by Us to comply with federal or state law.

Section 3. Ownership

  • -------------------------------------------------------------------------------

  • Group Contract Holder - The Group Contract Holder has title to the

Contract. The Contract and any amounts accumulated thereunder are not subject to the claims of the Group Contract Holder nor any of its creditors.

3.02     

Certificate Holder Rights - The Certificate Holder has all interest

  and     

right to amounts held in his or her Certificate Holder's Account.

  The     

Certificate Holder and any joint Certificate Holder are named on

  the     

Specifications page. The Certificate Holder and any joint

  Certificate     

Holder may exercise all the rights under the Certificate

  Holder's     

Account, subject to the rights of:

  (a)     

Any assignee under an assignment filed at our Home Office; and

  (b)     

Any irrevocably named Beneficiary.

  Upon     

the death of a Certificate Holder prior to the Annuity Date, a

  spousal     

Beneficiary may elect to continue the Certificate Holder's

  Account     

in his or her own name and retain all ownership rights and

  privileges     

or take distribution of the death benefit as defined in

  Section     

10.

3.03     

Transfer of Ownership - The Group Contract Holder may transfer

  ownership     

of this Contract. A written request, dated and signed, must

  be     

filed at our Home Office.

Any transfer of ownership terminates the interest of any existing
Group Contract Holder. It does not change the rights of any
Certificate Holder.

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A Certificate Holder may transfer all of his or her rights under the Contract. A written request, dated and signed by the Certificate Holder and any joint Certificate Holder, must be filed at our Home Office. After the transfer is recorded, it will take effect as of the date the request was signed. Any such transfer terminates the interest of any existing Certificate Holder. It does not change the Beneficiary, nor transfer the Beneficiary's interest. A transfer will not affect any payments We may make or actions We may take before such transfer has been recorded at our Home Office.

Section 4. Beneficiary Provisions

  • -------------------------------------------------------------------------------

  • Beneficiary - The Certificate Holder may name a Beneficiary and a

contingent Beneficiary. At the death of the Certificate Holder prior
to the Annuity Date, the Beneficiary(ies) named in our records will
receive a death benefit as stated in Section 10. Upon the death of
either joint Certificate Holder prior to the Annuity Date, the
surviving joint Certificate Holder, if any, will be treated as the
designated Beneficiary and any other Beneficiary designation on
record with Us at the time of death is treated as a contingent

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Beneficiary.

4.02     

Change of Beneficiary - The Certificate Holder may change the Beneficiary. A written request, dated and signed by the Certificate Holder, must be filed at our Home Office. If there are joint Certificate Holders, both must sign the request. After the change is recorded, it will take effect as of the date the request was signed.

 

If the request reaches our Home Office and is recorded after the Certificate Holder dies, but before any payment is made, the change is valid.

4.03     

Death of Beneficiary - If all of the Beneficiaries and contingent Beneficiaries die prior to the Certificate Holder's death, We pay the death benefit in one sum to the Certificate Holder's estate.

Section 5. Purchase Payments

  • -------------------------------------------------------------------------------

  • Purchase Payments - Subject to the maximum and minimum shown on the

Contract Schedule, the Certificate Holder may determine the amount
and frequency of Purchase Payments. We reserve the right not to
accept any Purchase Payment. We will declare from time to time the
acceptability of additional Purchase Payments.

5.02     

Allocation of Purchase Payments - The Certificate Holder may elect to

  have     

each Net Purchase Payment accumulate:

  (a)     

On a variable basis invested in shares of one or more Funds in which the Separate Account invests;

  (b)     

For guaranteed terms offered in the current deposit period(s) under the AG Account; or

  (c)     

In a combination of any of the available investment options.

Net Purchase Payments must be allocated in whole percentages. For
subsequent Purchase Payments, if no allocation instructions are
received with the Purchase Payment, the allocation will be as
indicated in the most recent directive from the Certificate Holder.
If the same guaranteed term(s) are not available, the next shortest
will be used. If no shorter guaranteed term is available, the next
longer guaranteed term will be used.

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Section 6. Separate Account

  • -------------------------------------------------------------------------------

  • General - The assets of the Separate Account, equal to the reserves

and other Contract liabilities that depend on the investment performance of the Separate Account are not chargeable with liabilities arising out of any other business We may conduct. Income, gains or losses of the Separate Account, realized or unrealized, are credited to or charged against the assets of the Separate Account without regard to Our other income, gains or losses.

6.02     

Investment Allocations to the Separate Account - The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, We may cease to make such Fund shares available for investment under the Contract prospectively, or We may substitute shares of another Fund for shares already acquired. We may also, from time to time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws.

 

We reserve the right to substitute shares of another Fund for shares already acquired without a proxy vote.

6.03     

Valuation of Assets - The shares of the Funds will be valued at their net asset value at the end of each Valuation Period.

6.04     

Accumulation Unit - A Net Purchase Payment that is allocated to one or more Funds is credited to the Certificate Holder's Account as Accumulation Units. The number of Accumulation Units credited is determined by dividing the applicable portion of the Net Purchase Payment by the Accumulation Unit value for the appropriate Fund. The Accumulation Unit value used is that which is computed for the next Valuation Period after which the Purchase Payment is received at our Home Office. Accumulation Units attributable to the initial Purchase Payments will be credited within two business days of acceptance.

 

Accumulation Unit values may increase or decrease from Valuation

Period     

to Valuation Period.

6.05     

Net Return Factor for Each Valuation Period - The value of an

Accumulation     

Unit for any Valuation Period is calculated by

multiplying     

the Accumulation Unit value for the immediately preceding

Valuation     

Period by the net return factor of the appropriate Fund for

the     

current period.

The     

net return factor for each Fund is equal to 1.0000000 plus the

net     

return rate.

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The net return rate equals:

(a)     

The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus

(b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

(c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

(d)     

The total value of the Funds(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus

(e)     

A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge.

12

<PAGE>

The net return rate may be more or less than zero (0) percent.

The value of a share of the Fund is equal to the net assets of the
Fund divided by the number of shares outstanding.

6.06     

Administrative Charge - We deduct an administrative charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.07     

Mortality Risk Charge - We deduct a mortality risk charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.08     

Expense Risk Charge - We deduct an expense risk charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.09     

Mortality and Expense Guarantee - We guarantee that the dollar amount of each Annuity payment after the first will not be affected by variations in mortality or expense experience.

Section 7. AG Account

  • -------------------------------------------------------------------------------

  • AG Account Guaranteed Interest Rate - All amounts allocated to the AG

Account earn a rate of interest that is guaranteed for a specified
period of time. The rate will be credited daily and will never be
less than the minimum guaranteed interest rate shown on the Contract
Schedule. We determine the rate and it is not based on investment
experience.

For guaranteed terms of one year or less, one guaranteed interest rate is credited for the full guaranteed term. For longer guaranteed terms, an initial guaranteed interest rate is credited from the date of deposit to the end of a specified period within the guaranteed term. There may be different guaranteed interest rate(s) declared for subsequent specified time intervals throughout the guaranteed term.

7.02     

Deposit Period - A calendar week, a calendar month, a calendar quarter, or any other period of time We specify during which Net Purchase Payment(s), transfers and reinvestments are accepted into the AG Account for one or more guaranteed terms. We reserve the right to extend the deposit period.

7.03     

Guaranteed Term - The period of time for which AG Account guaranteed interest rates are guaranteed on Net Purchase Payments. Transfers and reinvestments are made into a current deposit period for the AG

 

Account. Such period begins on the day following the close of the deposit period and ends on the designated Maturity Date. Guaranteed terms, if any, are offered at our discretion for various lengths of time ranging up to and including ten years.

 

During a deposit period, We may make available any number of guaranteed terms. The Certificate Holder may allocate Net Purchase Payments and transfers into any or all of the available guaranteed terms.

7.04     

Guaranteed Term(s) Groups - All AG Account guaranteed term(s) with the same length of time from the close of the deposit period until the designated Maturity Date.

13

<PAGE>

7.05     

Maturity Date - The last day of a guaranteed term.

7.06     

Allocation of Net Purchase Payments to the AG Account - When the Certificate Holder wishes to allocate all or any portion of a Net Purchase Payment to the Guaranteed Account, he or she must tell Us the percentage to apply to one or more of the AG Account guaranteed term(s) available during the current deposit period. If no allocation instructions are received, a Net Purchase Payment is allocated as indicated in the most recent directive from the Certificate Holder.

 

If the same guaranteed term is not available for any amount allocated to the AG Account, We will allocate the amount to the next shortest guaranteed term available. If no shorter guaranteed term is available, We will allocate it to the next longest guaranteed term.

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7.07     

AG Account Guaranteed Term Maturity Date and Maturity Value - On the

  maturity     

date, the value of the total of all amounts allocated to

  that     

guaranteed term is called the maturity value.

  When     

Certificate Holders have assets in the AG Account, at least

  eighteen     

(18) days before a maturity date, We notify them of the:

  (a)     

Projected maturity value; and

  (b)     

Guaranteed terms and the applicable guaranteed interest rates available during the current deposit period.

  When     

no allocation instructions are received and the assets in a

  guaranteed     

term have been reinvested by Us in another guaranteed term

  on     

the maturity date, the Certificate Holder may transfer or

  withdraw,     

during the month following the maturity date, the

  reinvested     

amount with interest earned (as of the date the request is

  received     

at our Home Office) without incurring a Market Value

  Adjustment.     

This transaction is allowed only once for each maturity

  date,     

regardless of whether the transfer or withdrawal is partial or

  full.     

7.08     

Transfers from the AG Account - A Certificate Holder may transfer any

  portion,     

or all, of an amount in the AG Account to one or more of the

  Funds     

or to another available guaranteed term. The amount withdrawn

  for     

any reason before the maturity date is subject to a Market Value

  Adjustment.     

7.09     

Withdrawals from the AG Account - When the Certificate Holder

  requests     

a withdrawal from the AG Account, if instructions are not

  provided     

by the Certificate Holder, amounts are withdrawn on a pro

  rata     

basis from the guaranteed term(s) groups in which the

  Certificate     

Holder's Account is currently invested. Within a

  guaranteed     

term group, the amount to be withdrawn will be withdrawn

  first     

from the oldest deposit period. Except on the maturity date,

  withdrawals     

from the AG Account will be subject to a Market Value

  Adjustment.     

7.10     

Reinvestment - We will mail a notice to the Certificate Holder before

  a     

guaranteed term's maturity date. This notice will contain the

  guaranteed     

terms available during the current deposit periods with

  their     

guaranteed interest rate(s) and projected maturity value. If no

  specific     

direction is given by the Certificate Holder prior to the

  maturity     

date, each maturity value will be reinvested in the current

  deposit     

period for a guaranteed term of the same duration. If a

  guaranteed     

term of the same duration is unavailable, each matured

  term     

value will automatically be reinvested in the current deposit

  period     

for the next shortest guaranteed term available. If no shorter

  guaranteed     

term is available, the next longer guaranteed term will be

  used.     

We will mail a confirmation statement to

14

<PAGE>

the Certificate Holder after the maturity date. This notice will state the guaranteed term and guaranteed interest rate(s) which will apply to the reinvested matured term value.

7.11     

AG Account Market Value Adjustment (Factor) - The Market Value Adjustment factor (MVA factor) reflects any change in interest rates from the time assets are allocated to the AG Account to the time they are transferred or withdrawn. An MVA factor is applied to any amount withdrawn or transferred from the AG Account before the end of a guaranteed term, including amounts paid in a lump sum death benefit or applied to an Annuity Option.

 

The amount withdrawn from the AG Account is multiplied by the MVA factor which is calculated as follows:

x
---
365

(1 + i)
------------------
x
---
365

(1 + j)

Where:

i     

is the Deposit Period Yield

j     

is the Current Yield

x     

is the number of days remaining, (computed from Wednesday of the week of withdrawal) in the guaranteed Term.

Determination of MVA factor parameters:

A yield is computed at the close of the last business day of each
week of the deposit period. The yield will equal the average of the
yields on U.S. Treasury Notes which matured during the last three

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months of the applicable guaranteed term.

The deposit period yield is the average of those yields for the
deposit period. If withdrawal is made prior to the close of the
deposit period, it is the average of those yields on each week
preceding withdrawal.

The current yield is the average of the yields on the last business
day of the week preceding withdrawal on the same U.S. Treasury Notes
included in the deposit period yield.

If no U.S. Treasury Notes matured during the last three months of the guaranteed term, We reserve the right to use the average of the yields on U.S. Treasury Notes that mature during a following quarter.

Section 8. Certificate Holder's Account Value; Transfers and Withdrawals During the Accumulation Period

  • --------------------------------------------------------------------------------

  • Certificate Holder's Account Value - The value of a Certificate

Holder's Account is determined by adding the value of the total of Accumulation Units attributed to the selected Fund(s) to the value of any amounts attributed to the AG Account.

15

<PAGE>

8.02     

Transfers During the Accumulation Period - Before the Annuity Date,

  the     

Certificate Holder may transfer from any Fund or guaranteed term

  of     

the AG Account to:

  (a)     

Any other Fund; or

  (b)     

Any guaranteed term of the AG Account available in the current deposit period.

  Transfer     

requests can be submitted as a percentage or as a dollar

  amount.     

We may establish a minimum transfer amount. Within a

  guaranteed     

term group, the amount transferred is withdrawn first from

  the     

oldest deposit period, then from the next oldest, and so on until

  the     

amount requested is satisfied.

  The     

Certificate Holder may make an unlimited number of transfers

  during     

the Accumulation Period. The number of free transfers allowed

  is     

shown on the Contract Schedule. Transfers in excess of that number

  may     

be subject to the transfer charge shown on the Contract Schedule.

  Transfers     

of a matured term value from the AG Account on or within

  one     

calendar month after a guaranteed term's maturity date do not

  count     

against the annual transfer limit.

  Amounts     

applied to guaranteed terms of the AG Account may not be

  transferred     

to the Funds or to another guaranteed term during the

  deposit     

period or for 90 days after the close of the deposit period

  except     

for matured term value(s) during the calendar month following

  the     

guaranteed term's maturity date.

  Transfers     

from guaranteed terms of the AG Account are subject to a

  Market     

Value Adjustment.

8.03     

Withdrawals During the Accumulation Period - The Certificate Holder

  may     

withdraw all or a portion of the Certificate Holder's Account

  Value     

during the Accumulation Period by properly completing a

  withdrawal     

request form. Withdrawal requests can be submitted as a

  percentage     

or as a specific dollar amount. Net Purchase Payment

  amounts     

are withdrawn first, and then the excess value, if any. For

  any     

partial withdrawal, if instructions are not provided by the

  Certificate     

Holder, amounts are withdrawn on a pro rata basis from

  the     

Fund(s), and/or the guaranteed term(s) groups in which the

  Certificate     

Holder's Account is currently invested. Within a

  guaranteed     

term group, the amount to be withdrawn will be withdrawn

  first     

from the oldest deposit period, then from the next oldest, and

  so     

on until the amount requested is satisfied.

  After     

deduction of the maintenance charge, if applicable, the

  withdrawn     

amount shall be reduced by the applicable deferred sales

  charge     

and any applicable premium taxes.

8.04     

Deferred Sales Charge - The deferred sales charge only applies to the

  portion     

of the amount withdrawn attributable to Net Purchase

  Payment(s)     

and varies according to the elapsed time since receipt of

  the     

Purchase Payment. The deferred sales charge is shown on the

  Contract     

Schedule.

8.05     

Waiver of Deferred Sales Charge - No deferred sales charge is

  deducted     

when a Certificate Holder's Account Value is paid:

  (a)     

To a Beneficiary as a death benefit, except for Purchase Payments made by a surviving joint Certificate Holder as described in Section 10.02(b);

  (b)     

As a premium for an Annuity Option;

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(c)     

At least the number of months, as shown on the Contract Schedule, after the date of the first Purchase Payment and in an amount equal to or less than the percentage of the Certificate Holder's Account Value as shown on the Contract Schedule. This applies to the first withdrawal request, partial or full, in a calendar year. The Certificate Holder's Account Value is calculated as of the date the withdrawal request is received in good order at our Home Office. This waiver is not available to the Certificate Holder while a SWO is in effect;

(d)     

For a full withdrawal where the Certificate Holder's Account Value does not exceed the amount shown on the Contract Schedule and no withdrawals have been taken from the Certificate Holder's Account within the prior 12 months;

(e)     

For a distribution made by Us under Section 8.06; or

(f)     

For a distribution which is part of a SWO under Section 8.07.

We reserve the right to allow the proceeds of a total withdrawal to
be reinstated under the terms and conditions as established by Us
from time to time.

8.06     

Payment of Adjusted Certificate Holder Account Value - Upon 90 day's

  written     

notice to the Certificate Holder, We will terminate any

  Certificate     

Holder's Account if the Certificate Holder's Account

  Value     

becomes less than $1,500 immediately following any partial

  withdrawal.     

We do not intend to exercise this right in cases where

  the     

Certificate Holder's Account Value is reduced to $1,500 or less

  solely     

due to investment performance. When We make a distribution

  pursuant     

to this provision, the deferred sales charge will not be

  deducted.     

8.07     

Systematic Withdrawal Option (SWO) - We will allow the Certificate

  Holder     

to establish a schedule of withdrawals to be made

  automatically     

from the Certificate Holder's Account Value. All

  distributed     

amounts will be withdrawn on a pro rata basis from the

  Fund(s)     

and/or the guaranteed term(s) groups of the AG Account in

  which     

the Certificate Holder's Account is invested.

  The     

Certificate Holder must elect one of the following SWO methods:

  (a)     

Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage of the Certificate Holder's Account Value at time of the election as shown on the Contract Schedule. This annual dollar amount will remain constant. At our discretion, We may require a minimum payment amount; or

  (b)     

Specified Period: Payments which are made over a period of time which must be at least the minimum period as shown on the Contract Schedule. The annual amount paid each year is calculated by dividing the Certificate Holder's Account Value as of December 31 of the prior year by the number of payment years remaining; or

  (c)     

Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage of the Certificate Holder's Account Value at the time of election as shown on the Contract Schedule. The percentage may be changed by written request. We reserve the right to limit the number of times the percentage may be changed. The annual amount is calculated by multiplying the Certificate Holder's Account Value as of December 31 of the year prior to the payment by the designated percentage.

In our discretion, We may require a minimum initial Certificate
Holder's Account Value for election of this option. SWO may be
elected by submitting a completed and signed election form to Us.

17

<PAGE>

Once elected, this option may be revoked by submitting a written request to Us. SWO may be elected only once by the Certificate Holder or by a spousal Beneficiary.

Certificate Holders should consult their tax adviser prior to requesting this distribution option. We are not responsible for any adverse tax consequences due to a Certificate Holder's receiving SWO payments. A ten (10) percent penalty tax may apply to distributions to a Certificate Holder who has not reached age 59-1/2. Upon death of the Certificate Holder, any payments will be made under the terms of Section 10.

Section 9. Maintenance Charge

  • --------------------------------------------------------------------------------

  • Maintenance Charge - We will deduct an annual maintenance charge as

shown in the Contract Schedule from the Certificate Holder's Account during the Accumulation Period. We will deduct the maintenance charge on the anniversary of the Effective Date of the Certificate for the Certificate Holder's Account. This maintenance charge is also deducted upon withdrawal of the entire Adjusted Certificate Holder's Account. The maintenance charge is deducted proportionately from each investment option used.

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Section 10. Proceeds Payable on Death

  • --------------------------------------------------------------------------------

  • Death of the Certificate Holder Prior to the Annuity Date In the

event of the death of the Certificate Holder or a joint Certificate Holder prior to the Annuity Date, a death benefit is payable to the Beneficiary(ies) designated by the Certificate Holder. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if any, will be treated as the designated Beneficiary. Any other Beneficiary designation on record with Us at the time of death will be treated as a contingent Beneficiary.

A Beneficiary may request We pay the death benefit under one of the
options described in Section 10.03. If the Beneficiary is the spouse
of the Certificate Holder, he or she may elect to continue the
Certificate Holder's Account in his or her own name and exercise all
the Certificate Holder's rights under the Contract.

10.02     

Death Benefit Amount Prior to the Annuity Date -

  (a)     

Except as set forth in Section 10.02(b), the amount of the

   guaranteed     

death benefit value is equal to the greater of:

   (i)     

The Certificate Holder's Account Value at the end of the Valuation Period during which We receive at our Home Office due proof of death and election of the type of payment to be made; or

   (ii)     

The death benefit determined as of the Valuation Period corresponding to the date of death.

Until the first Effective Date anniversary, the death
benefit is equal to the Purchase Payments made by the
Certificate Holder prior to the Effective Date
anniversary less any withdrawals and any amounts applied
to an Annuity Option.

18

<PAGE>

For each Certificate year thereafter, the death benefit
during the Certificate year equals the death benefit at
the beginning of the Certificate year plus Purchase
Payments made during the year less any withdrawals and
any amounts applied to an Annuity Option.

On each Effective Date anniversary, the death benefit is
determined as follows:

(A)     

The death benefit on the previous Effective Date anniversary increased by the death benefit factor shown on the Contract Schedule; plus

(B)     

Purchase Payments made by the Certificate Holder during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the year since the Purchase Payment was made; less

(C)     

Any withdrawals or amounts applied to an Annuity Option during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the Certificate year since the withdrawal or election of Annuity option; or

(iii)     

The Certificate Holder's Account Value on the most recent seventh year anniversary of the Effective Date plus any Purchase Payments made after such Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option.

Notwithstanding the foregoing, the death benefit under (ii) or
(iii) will not exceed the death benefit maximum amount shown on
the Contract Schedule.

The death benefit calculation described in (ii) and (iii) above,
applies until the Certificate Holder reaches the death benefit
maximum age shown on the Contract Schedule. Thereafter, the
death benefit is only adjusted for Purchase Payments,
withdrawals and amounts applied to Annuity Options. If the
Certificate Holder reaches the death benefit maximum age shown
on the Contract Schedule prior to the seventh anniversary of the
Effective Date, the death benefit will be the greater of (i) or
(ii) above.

The excess, if any, of the guaranteed death benefit value over
the Certificate Holder's Account Value is determined when we
receive at our Home Office due proof of death and allocated to
the Fund shown on the Contract Schedule. The Certificate
Holder's Account Value plus any excess amount deposited becomes
the Certificate Holder's Account Value.

(b)     

In the case of a Beneficiary of a surviving joint Certificate Holder who continued the Certificate Holder's Account in his or

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her own name, the death benefit shall be equal to (a)(i) above
less any applicable deferred sales charge on any Purchase
Payment made after We have received at our Home Office due proof
of death of the first joint Certificate Holder.

10.03     

Death Benefit Payment Methods - A non-spousal Beneficiary must elect the death benefit to be paid under one of the following methods in the event of the death of the Certificate Holder prior to the Annuity Date:

 

Method 1 - Lump sum payment of the death benefit; or

Method 2 - The payment of the entire death benefit within (5) years
of the date of the Certificate Holder's death; or

19

<PAGE>

Method 3 - Payment of the death benefit over the lifetime of the designated Beneficiary or over a period not extending beyond the life expectancy of the designated Beneficiary with distribution beginning within one year of the date of death of the Certificate Holder.

Any portion of the death benefit not applied under Option 3 within
one year of the date of Certificate Holder's death, must be
distributed within five (5) years of the date of death. A Market
Value Adjustment will apply at the time the death benefit is paid.

A spousal Beneficiary may elect to continue the Certificate Holder's
Account in his or her name, elect a lump sum payment of the death
benefit or apply the Adjusted Certificate Holder's Account Value to
an Annuity Option.

10.04     

Death of Certificate Holder On or After the Annuity Date - If the Certificate Holder who is not the Annuitant, dies on or after the Annuity Date, the remaining payments under the Annuity Option elected will be made to the Beneficiary at least as rapidly as under the method of distribution in effect at the Certificate Holder's death.

10.05     

Death of the Annuitant - If the Annuitant, who is not a Certificate Holder, dies on or before the Annuity Date, a new Annuitant may be named. If no Annuitant is named, the Certificate Holder will be the Annuitant. If the Annuitant dies after the Annuity Date, the death benefit, if any, will be payable to the Beneficiary as specified in the Annuity Option elected. We will require proof of the Annuitant's death. Death benefits will be paid at least as rapidly as under the method of distribution in effect at the Annuitant's death.

Section 11. Delay of Payments

  • --------------------------------------------------------------------------------

  • Delay of Payments - We will make any payments under this Contract

within seven days after a request is received in good order. We reserve the right to suspend or postpone any type of payment from the Separate Account for any period when:

(a)     

The New York Stock Exchange is closed for other than customary weekend and holiday closings;

(b)     

Trading on the Exchange is restricted;

(c)     

An emergency exists as a result of which it is not reasonably practicable to dispose of securities held in the Separate Account or determine their value; or

(d)     

The Securities and Exchange Commission so permits delay for the protection of security holders.

The applicable rules of the Securities and Exchange Commission will
govern as to whether the conditions in (b) or (c) exist.

We also reserve the right to delay any type of payment from the AG
Account for up to six (6) months.

Section 12. Annuity Provisions
- --------------------------------------------------------------------------------

 

20

<PAGE>

12.01     

Designation of Annuitant - The Certificate Holder and the Annuitant need not be the same person. The Certificate Holder names the Annuitant and during the Accumulation Period, may change the designated Annuitant. We change the Annuitant when We receive a written request in good order at our Home Office. We will not change the Annuitant when Annuity payments have commenced.

 

The Certificate Holder elects an Annuity Option by telling Us to use all or any portion of the Certificate Holder's Adjusted Account Value (minus any applicable premium taxes if not previously deducted) to purchase Annuity payments under an Annuity Option.

 

When an Annuity Option is chosen the Certificate Holder must designate a:

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(a)     

Fixed Annuity using the General Account;

(b)     

Variable Annuity using any of the Funds available during the Annuity Period; or

(c)     

Combination of (a) and (b).

If a fixed Annuity is chosen, We will calculate the amount using an
interest assumption no less than the percentage specified on the
Contract Schedule. We may calculate the amount using a higher
interest rate.

If a variable Annuity is chosen, an Assumed Annual Net Return Rate of 5% may be chosen. If not chosen, We will use an Assumed Annual Net Return Rate of 3.5%.

Payments are made on a monthly basis to the Certificate Holder unless the Certificate Holder requests a different mode of payment.

Once elected, an Annuity Option may not be revoked, except for Option 1 when elected on a variable basis.

12.02     

Terms of Annuity Options - The minimum first payment amount must be at least $50 per month and at least $250 per year.

 

If the Certificate Holder elects a fixed Annuity and We determine that the Certificate Holder would receive larger payments by applying the Certificate Holder's Account Value, reduced by the deferred sales charge, to a single premium immediate Annuity currently offered by Us, We will make the larger payments.

21

<PAGE>

We determine the first payment of a variable Annuity, or the payment amount of a fixed Annuity, using the Annuitant's (and second Annuitant's if applicable) adjusted age which We calculate as follows:

(a)     

If Annuity payments begin any time between July 1, 1992 and

  December     

31, 1999, the adjusted age is the Annuitant's age as of

  the     

birthday closest in time to the Annuity Date reduced by one

  (1)     

year.

(b)     

If the Annuity begins any time between January 1, 2000 and

  December     

31, 2009, the adjusted age is the Annuitant's age as of

  the     

birthday closest in time to the Annuity Date reduced by two

  (2)     

years.

(c)     

For each succeeding decade, the adjusted age is the Annuitant's

  age     

as determined in (b), reduced by one additional year.

The Annuity rates for Options 2 and 3 are based on mortality from
1983 Table A.

Assumed Annual Net Return Rate is the interest rate used to determine the amount of the first Annuity payment under a variable Annuity. The Separate Account must earn this rate plus enough to cover the mortality and expense risks charges (which may include profit) and administrative charges if future variable Annuity payments are to remain level.

The Certificate Holder must give written notice to Us at least 30
days before the Annuity payments begin, electing or changing:

(a)     

The date on which Annuity payments are to begin;

(b)     

The Annuity Option;

(c)     

Whether the payments are to be made monthly, quarterly, semiannually or annually;

(d)     

The investment options used to provide Annuity payments.

The first Annuity payment may not be earlier than one (1) calendar
year after the initial Purchase Payment, nor later than the later of
the:

(a)     

First day of the month following the Annuitant's birthday shown on the Contract Schedule; or

(b)     

Tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may request a lump sum payment.

12.03     

Annuity Unit - The number of Annuity Units per Fund is based on the

  amount     

of the first variable Annuity payment which is equal to:

  (a)     

The portion of the Certificate Holder's Account Value (minus any premium taxes) applied to pay a variable Annuity; divided by,

  (b)     

1000; multiplied by,

  (c)     

The payment rate for the Annuity Option chosen.

22

<PAGE>

Such amount, or portion, of the variable Annuity payment will be divided by the Annuity Unit value for the appropriate Fund on the tenth Valuation Period before the due date of the first payment to determine the number of each Fund's Annuity Units. The number of each

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Fund's Annuity Unit remains fixed. Each future payment is equal to
the sum of the products of each Fund's Annuity Unit value multiplied
by the appropriate number of units. The Fund's Annuity Unit value on
the tenth Valuation Period prior to the due date of the payment is
used.

12.04     

Annuity Unit Value - For any Valuation Period, a Fund's Annuity Unit

  value     

is equal to:

  (a)     

The value for the previous Valuation Period; multiplied by,

  (b)     

The Annuity Net Return Factor for the Valuation Period; multiplied by,

  (c)     

A daily factor to reflect the Assumed Annual Net Return Rate (the factor for 3.5% per year is .9999058; for 5% per year it is .9998663).

  The     

dollar value of a Fund(s) Annuity Unit values and payments may go

  up     

or down due to investment gain or loss.

12.05     

Annuity Net Return Factor - The Annuity net return factor is used to

  compute     

all Separate Account Annuity payments for any Fund.

  The     

Annuity net return factor(s) for each Fund is equal to 1.0000000

  plus     

the net return rate. The net return rate is equal to:

  (a)     

The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus,

  (b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus,

  (c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

  (d)     

The total value of the Fund(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus,

  (e)     

A daily actuarial charge as shown of the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge which will not exceed the administrative charge as shown on the Contract Schedule.

  The     

net return rate may be more or less than zero (o) percent.

  The     

value of a share of the Fund is equal to the net assets of the

  Fund     

divided by the number of shares outstanding.

12.06     

Annuity Options

  Option     

1 - Payments for a Stated Period of Time - An Annuity will be

  paid     

for the number of years chosen. The number of years must be at

  least     

5 and not more than 30.

If payments for this Annuity Option are made under a variable Annuity, the present value of any remaining payments may be withdrawn at any time.

23

<PAGE>

Option 2 - Life Income - An Annuity will be paid for the life of the Annuitant. If also chosen, We will guarantee payments for 60, 120, 180, or 240 months.

Option 3 - Life Income Based upon the Lives of Two Annuitants - An
Annuity will be paid during the lives of the Annuitant and a second
Annuitant. Payments will continue until both Annuitants have died.
When this Annuity Option is chosen, a choice must be made of:

(a)     

100% of the payment to continue after the first death;

(b)     

66-2/3% of the payment to continue after the first death;

(c)     

50% of the payment to continue after the first death;

(d)     

Payments for a minimum of 120 months with 100% of the payment to continue after the first death; or

(e)     

100% of the payment to continue at the death of the second Annuitant and 50% of the payment to continue at the death of the Annuitant.

We may make other options available as allowed by law.

24

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

- -------------------------------------------------------------------------------

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  Guaranteed Monthly Quarterly Semi-Annual Annual
Years Rate Payment Payment Payment Payment

 

- -------------------------------------------------------------------------------

5 3.00% 17.91 53.59 106.78 211.99
6 3.00% 15.14 45.30 90.27 179.22
7 3.00% 13.16 39.39 78.49 155.83
8 3.00% 11.68 34.96 69.66 138.31
9 3.00% 10.53 31.52 62.81 124.69
10 3.00% 9.61 28.77 57.33 113.82
11 3.00% 8.86 26.52 52.85 104.93
12 3.00% 8.24 24.65 49.13 97.54
13 3.00% 7.71 23.08 45.98 91.29
14 3.00% 7.26 21.73 43.29 85.95
15 3.00% 6.87 20.56 40.96 81.33
16 3.00% 6.53 19.54 38.93 77.29
17 3.00% 6.23 18.64 37.14 73.74
18 3.00% 5.96 17.84 35.56 70.59
19 3.00% 5.73 17.13 34.14 67.78
20 3.00% 5.51 16.50 32.87 65.26
21 3.00% 5.32 15.92 31.72 62.98
22 3.00% 5.15 15.40 30.68 60.92
23 3.00% 4.99 14.92 29.74 59.04
24 3.00% 4.84 14.49 28.88 57.33
25 3.00% 4.71 14.09 28.08 55.76
26 3.00% 4.59 13.73 27.36 54.31
27 3.00% 4.47 13.39 26.68 52.97
28 3.00% 4.37 13.08 26.06 51.74
29 3.00% 4.27 12.79 25.49 50.60
30 3.00% 4.18 12.52 24.95 49.53

 

- -------------------------------------------------------------------------------

25

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

Payments Guaranteed for a Stated Period of Months

<TABLE> <CAPTION>

- ---------------------------------------------------------------------------------------------------------------------------------

Adjusted None   60   120     180   240
Age of ----------------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

- ---------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
50 $ 4.27 $ 3.90 $ 4.26 $ 3.90 $ 4.22 $ 3.89 $ 4.17 $ 3.86 $ 4.08 $ 3.82
51 4.34 3.97 4.33 3.96 4.30 3.95 4.23 3.92 4.14 3.88
52 4.43 4.03 4.41 4.03 4.37 4.01 4.30 3.98 4.20 3.93
53 4.51 4.10 4.50 4.10 4.45 4.08 4.37 4.04 4.26 3.99
54 4.60 4.18 4.59 4.17 4.54 4.15 4.45 4.11 4.32 4.04
 
55 4.70 4.25 4.68 4.25 4.62 4.22 4.53 4.18 4.39 4.11
56 4.80 4.34 4.78 4.33 4.72 4.30 4.61 4.25 4.45 4.17
57 4.91 4.42 4.89 4.41 4.82 4.38 4.69 4.32 4.51 4.23
58 5.03 4.52 5.00 4.51 4.92 4.47 4.78 4.40 4.58 4.30
59 5.15 4.61 5.12 4.60 5.03 4.56 4.87 4.48 4.65 4.37
 
60 5.28 4.72 5.25 4.70 5.14 4.66 4.96 4.57 4.71 4.44
61 5.43 4.83 5.39 4.81 5.27 4.76 5.06 4.66 4.78 4.51
62 5.58 4.95 5.53 4.93 5.39 4.87 5.16 4.75 4.84 4.58
63 5.74 5.08 5.69 5.05 5.53 4.99 5.26 4.85 4.90 4.65
64 5.91 5.21 5.85 5.18 5.66 5.10 5.36 4.95 4.96 4.72
 
65 6.10 5.36 6.03 5.32 5.81 5.22 5.46 5.05 5.02 4.79
66 6.30 5.51 6.21 5.47 5.96 5.36 5.56 5.16 5.08 4.86
67 6.51 5.67 6.41 5.63 6.12 5.50 5.66 5.26 5.13 4.93
68 6.73 5.85 6.62 5.80 6.28 5.65 5.77 5.37 5.18 5.00
69 6.97 6.04 6.84 5.98 6.44 5.80 5.86 5.49 5.23 5.06
 
70 7.23 6.25 7.07 6.18 6.61 5.97 5.96 5.60 5.27 5.12
71 7.51 6.47 7.32 6.39 6.79 6.14 6.05 5.71 5.31 5.18
72 7.80 6.71 7.58 6.62 6.96 6.32 6.14 5.83 5.34 5.23
73 8.12 6.98 7.85 6.86 7.14 6.50 6.23 5.94 5.37 5.28
74 8.46 7.26 8.14 7.12 7.32 6.69 6.31 6.04 5.40 5.32
 
75 8.82 7.57 8.45 7.40 7.50 6.89 6.38 6.14 5.42 5.35

 

- ---------------------------------------------------------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

26

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<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<TABLE> <CAPTION>

- -----------------------------------------------------------------------------------------------------Adjusted Ages - ----------------------------Second Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - -----------------------------------------------------------------------------------------------------

<S>   <C> <C> <C> <C> <C> <C>
  55 50 $ 3.69 $ 4.05 $ 4.27 $ 3.69 $ 4.13
  55 55 3.88 4.25 4.47 3.87 4.25
  55 60 3.06 4.47 4.71 4.06 4.36
 
  60 55 3.99 4.44 4.71 3.98 4.55
  60 60 4.24 4.71 4.99 4.23 4.70
  60 65 4.49 5.01 5.32 4.48 4.85
 
  65 60 4.38 4.97 5.32 4.38 5.10
  65 65 4.72 5.33 5.70 4.71 5.32
  65 70 5.07 5.75 6.17 5.05 5.54
 
  70 65 4.93 5.68 6.15 4.91 5.86
  70 70 5.40 6.21 6.70 5.36 6.18
  70 75 5.89 6.82 7.40 5.81 6.49
 
  75 70 5.69 6.68 7.32 5.62 6.92
  75 75 6.37 7.45 8.15 6.23 7.40
  75 80 7.07 8.34 9.16 6.78 7.85

 

- -----------------------------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

27

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Female and Second Annuitant is Male)

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<TABLE>            
<CAPTION>            
- ------------------------------------------------------------------------------------------------------
Adjusted Ages          
- ---------------------------          
  Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e
- ------------------------------------------------------------------------------------------------------
<S> <C> <C> <C> <C> <C> <C>
55 50 $ 3.75 $ 4.07 $ 4.26 $ 3.75 $ 3.98
55 55 3.88 4.25 4.47 3.87 4.06
55 60 3.99 4.44 4.71 3.98 4.12
 
60 55 4.06 4.47 4.71 4.06 4.37
60 60 4.24 4.71 4.99 4.23 4.47
60 65 4.38 4.97 5.32 4.38 4.54
 
65 60 4.49 5.01 5.32 4.48 4.89
65 65 4.72 5.33 5.70 4.71 5.02
65 70 4.93 5.68 6.15 4.91 5.14
 
70 65 5.07 5.75 6.17 5.05 5.60
70 70 5.40 6.21 6.70 5.36 5.79
70 75 5.69 6.68 7.32 5.62 5.96
 
75 70 5.89 6.83 7.40 5.81 6.63
75 75 6.37 7.45 8.15 6.23 6.92
75 80 6.78 8.11 8.99 6.54 7.15

 

- ------------------------------------------------------------------------------------------------------  
</TABLE>  
 
 
 
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Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

28

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

- -------------------------------------------------------------------------------

  Guaranteed Monthly Quarterly Semi-Annual Annual
Years Rate Payment Payment Payment Payment

 

- -------------------------------------------------------------------------------

5 3.50% 18.12 54.19 107.92 213.99
6 3.50% 15.35 45.92 91.44 181.32
7 3.50% 13.38 40.01 79.69 158.01
8 3.50% 11.90 35.59 70.88 140.56
9 3.50% 10.75 32.16 64.05 127.00
10 3.50% 9.83 29.42 58.59 116.18
11 3.50% 9.09 27.18 54.13 107.34
12 3.50% 8.46 25.32 50.42 99.98
13 3.50% 7.94 23.75 47.29 93.78
14 3.50% 7.49 22.40 44.62 88.47
15 3.50% 7.10 21.24 42.31 83.89
16 3.50% 6.76 20.23 40.29 79.89
17 3.50% 6.47 19.34 38.51 76.37
18 3.50% 6.20 18.55 36.94 73.25
19 3.50% 5.97 17.85 35.54 70.47
20 3.50% 5.75 17.22 34.28 67.98
21 3.50% 5.56 16.65 33.15 65.74
22 3.50% 5.39 16.13 32.13 63.70
23 3.50% 5.24 15.66 31.19 61.85
24 3.50% 5.09 15.24 30.34 60.17
25 3.50% 4.96 14.85 29.56 58.62
26 3.50% 4.84 14.49 28.85 57.20
27 3.50% 4.73 14.15 28.19 55.90
28 3.50% 4.63 13.85 27.58 54.69
29 3.50% 4.53 13.57 27.02 53.57
30 3.50% 4.45 13.30 26.49 52.53

 

- -------------------------------------------------------------------------------

29

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

- -------------------------------------------------------------------------------  
  Guaranteed Monthly Quarterly Semi-Annual Annual  
Years Rate Payment Payment Payment Payment  
- -------------------------------------------------------------------------------  
 
5 5.00% 18.74 56.00 111.33 219.98  
6 5.00% 15.99 47.77 94.96 187.64  
7 5.00% 14.02 41.90 83.30 164.59  
8 5.00% 12.56 37.52 74.58 147.35  
9 5.00% 11.42 34.11 67.81 133.99  
10 5.00% 10.51 31.40 62.42 123.34  
11 5.00% 9.77 29.19 58.03 114.66  
12 5.00% 9.16 27.36 54.38 107.45  
13 5.00% 8.64 25.81 51.31 101.39  
14 5.00% 8.20 24.50 48.69 96.21  
15 5.00% 7.82 23.36 46.44 91.75  
16 5.00% 7.49 22.37 44.47 87.88  
17 5.00% 7.20 21.51 42.75 84.48  
18 5.00% 6.94 20.74 41.23 81.47  
19 5.00% 6.71 20.06 39.88 78.80  
20 5.00% 6.51 19.46 38.68 76.42  
21 5.00% 6.33 18.91 37.59 74.28  
22 5.00% 6.17 18.42 36.62 72.35  
23 5.00% 6.02 17.98 35.73 70.61  
24 5.00% 5.88 17.57 34.93 69.02  
25 5.00% 5.76 17.20 34.20 67.57  
26 5.00% 5.65 16.87 33.53 66.25  
 
 
 
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Page 19 of 23

27 5.00% 5.54 16.56 32.92 65.04
28 5.00% 5.45 16.28 32.35 63.93
29 5.00% 5.36 16.01 31.83 62.90
30 5.00% 5.28 15.77 31.35 61.95

 

- -------------------------------------------------------------------------------

30

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

Payments Guaranteed for a Stated Period of Months
-------------------------------------------------
<TABLE>
<CAPTION>
- ---------------------------------------------------------------------------------------------------------------------------------

 

Adjusted None   60   120     180   240
Age of ----------------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

- ---------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
50 $ 4.56 $ 4.20 $ 4.55 $ 4.19 $ 4.51 $ 4.18 $ 4.45 $ 4.15 $ 4.36 $ 4.11
51 4.64 4.26 4.62 4.25 4.58 4.24 4.51 4.21 4.42 4.16
52 4.72 4.32 4.70 4.32 4.66 4.30 4.58 4.26 4.48 4.21
53 4.80 4.39 4.79 4.38 4.74 4.36 4.65 4.32 4.53 4.27
54 4.89 4.46 4.87 4.46 4.82 4.43 4.73 4.39 4.59 4.32
 
55 4.99 4.54 4.97 4.53 4.91 4.50 4.80 4.46 4.65 4.38
56 5.09 4.62 5.07 4.61 5.00 4.58 4.88 4.53 4.72 4.44
57 5.20 4.71 5.17 4.70 5.10 4.66 4.96 4.60 4.78 4.50
58 5.32 4.80 5.29 4.79 5.20 4.75 5.05 4.68 4.84 4.57
59 5.44 4.90 5.41 4.88 5.31 4.84 5.14 4.76 4.91 4.63
 
60 5.57 5.00 5.53 4.99 5.42 4.93 5.23 4.84 4.97 4.70
61 5.71 5.11 5.67 5.09 5.54 5.03 5.32 4.93 5.03 4.77
62 5.86 5.23 5.81 5.21 5.66 5.14 5.42 5.02 5.09 4.84
63 6.02 5.36 5.97 5.33 5.79 5.25 5.51 5.11 5.16 4.91
64 6.20 5.49 6.13 5.46 5.93 5.37 5.61 5.21 5.21 4.98
 
65 6.38 5.64 6.31 5.60 6.07 5.49 5.71 5.31 5.27 5.05
66 6.58 5.79 6.49 5.75 6.22 5.63 5.81 5.41 5.32 5.12
67 6.79 5.95 6.69 5.91 6.38 5.76 5.91 5.52 5.38 5.18
68 7.02 6.13 6.89 6.08 6.53 5.91 6.01 5.63 5.42 5.25
69 7.26 6.32 7.11 6.26 6.70 6.06 6.11 5.74 5.47 5.31
 
70 7.52 6.53 7.35 6.45 6.86 6.23 6.20 5.85 5.51 5.37
71 7.80 6.75 7.59 6.66 7.03 6.39 6.29 5.96 5.54 5.42
72 8.09 6.99 7.85 6.89 7.21 6.57 6.38 6.07 5.57 5.47
73 8.41 7.26 8.12 7.13 7.38 6.75 6.46 6.17 5.60 5.51
74 8.75 7.54 8.41 7.39 7.55 6.94 6.53 6.28 5.63 5.55
 
75 9.12 7.85 8.71 7.66 7.73 7.13 6.61 6.38 5.65 5.59

 

- ---------------------------------------------------------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

31

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

Payments Guaranteed for a Stated Period of Months
-------------------------------------------------
<TABLE>
<CAPTION>
- ---------------------------------------------------------------------------------------------------------------------------------

 

Adjusted None   60   120     180   240
Age of ----------------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

- ---------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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                    Page 20 of 23
 
 
 
 
50 $ 5.48 $ 5.12 $ 5.46 $ 5.11 $ 5.41 $ 5.09 $ 5.34 $ 5.06 $ 5.24 $ 5.01
51 5.55 5.17 5.53 5.17 5.48 5.14 5.40 5.11 5.29 5.05
52 5.63 5.23 5.61 5.23 5.55 5.20 5.46 5.16 5.34 5.10
53 5.71 5.30 5.69 5.29 5.62 5.26 5.53 5.22 5.40 5.15
54 5.80 5.37 5.77 5.36 5.70 5.33 5.60 5.27 5.45 5.20
 
55 5.89 5.44 5.86 5.43 5.79 5.39 5.67 5.34 5.51 5.25
56 5.99 5.52 5.96 5.51 5.87 5.47 5.74 5.40 5.56 5.31
57 6.10 5.60 6.06 5.59 5.97 5.54 5.82 5.47 5.62 5.37
58 6.21 5.69 6.17 5.67 6.06 5.62 5.90 5.54 5.68 5.42
59 6.33 5.79 6.29 5.77 6.17 5.71 5.98 5.61 5.74 5.48
 
60 6.46 5.89 6.41 5.87 6.28 5.80 6.06 5.69 5.79 5.55
61 6.60 6.00 6.55 6.97 6.39 5.90 6.15 5.77 5.85 5.61
62 6.75 6.11 6.69 6.08 6.51 6.00 6.24 5.86 5.91 5.67
63 6.91 6.23 6.84 6.20 6.64 6.10 6.33 5.95 5.96 5.73
64 7.09 6.37 7.00 6.33 6.77 6.22 6.42 6.04 6.02 5.80
 
65 7.27 6.51 7.18 6.46 6.91 6.34 6.52 6.13 6.07 5.86
66 7.47 6.66 7.36 6.61 7.05 6.46 6.61 6.23 6.12 5.92
67 7.68 6.82 7.55 6.76 7.20 6.60 6.70 6.33 6.16 5.99
68 7.91 7.00 7.76 6.93 7.35 6.74 6.80 6.43 6.21 6.04
69 8.15 7.19 7.98 7.11 7.51 6.89 6.89 6.54 6.25 6.10
 
70 8.41 7.39 8.21 7.30 7.67 7.04 6.97 6.64 6.28 6.15
71 8.69 7.62 8.45 7.51 7.83 7.21 7.06 6.74 6.32 6.20
72 8.99 7.86 8.70 7.73 8.00 7.38 7.14 6.85 6.35 6.25
73 9.31 8.12 8.97 7.97 8.16 7.55 7.21 6.95 6.37 6.29
74 9.65 8.41 9.26 8.23 8.33 7.73 7.29 7.04 6.39 6.33
 
75 10.02 8.72 9.55 8.50 8.50 7.92 7.35 7.14 6.41 6.36

 

- ---------------------------------------------------------------------------------------------------------------------------------</TABLE>

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

32

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

<TABLE>
<CAPTION>
- -----------------------------------------------------------------------------------------------------
Adjusted Ages

 

- ---------------------------Second

     Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - -----------------------------------------------------------------------------------------------------

<S>   <C> <C> <C> <C> <C> <C>
  55 50 $ 3.97 $ 4.35 $ 4.56 $ 3.97 $ 4.42
  55 55 4.16 4.54 4.76 4.15 4.54
  55 60 4.34 4.76 5.00 4.34 4.64
 
  60 55 4.27 4.73 5.00 4.26 4.83
  60 60 4.51 4.99 5.27 4.50 4.98
  60 65 4.76 5.29 5.60 4.75 5.13
 
  65 60 4.66 5.25 5.61 4.65 5.39
  65 65 4.99 5.61 5.99 4.98 5.60
  65 70 5.34 6.03 6.46 5.31 5.81
 
  70 65 5.19 5.97 6.44 5.17 6.14
  70 70 5.67 6.49 6.99 5.62 6.47
  70 75 6.16 7.10 7.68 6.07 6.77
 
  75 70 5.95 6.96 7.61 5.87 7.20
  75 75 6.64 7.73 8.43 6.48 7.68
  75 80 7.33 8.62 9.45 7.02 8.13

 

- -----------------------------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

33

<PAGE>

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Page 21 of 23

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Female and Second Annuitant is Male)

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

<TABLE> <CAPTION>

- -------------------------------------------------------------------------------------------------------Adjusted Ages - --------------------------Second Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - -------------------------------------------------------------------------------------------------------

<S>   <C> <C> <C> <C> <C> <C>
  55 50 $ 4.03 $ 4.36 $ 4.55 $ 4.03 $ 4.41
  55 55 4.16 4.54 4.76 4.15 4.54
  55 60 4.27 4.73 5.00 4.26 4.83
 
  60 55 4.34 4.76 5.00 4.34 4.64
  60 60 4.51 4.99 5.27 4.50 4.98
  60 65 4.66 5.25 5.61 4.65 5.39
 
  65 60 4.76 5.29 5.60 4.75 5.13
  65 65 4.99 5.61 5.99 4.98 5.60
  65 70 5.19 5.97 6.44 5.17 6.14
 
  70 65 5.34 6.03 6.46 5.31 5.81
  70 70 5.67 6.49 6.99 5.62 6.47
  70 75 5.95 6.96 7.61 5.87 7.20
 
  75 70 6.16 7.10 7.68 6.07 6.77
  75 75 6.64 7.73 8.43 6.48 7.68
  75 80 7.04 8.39 9.29 6.79 8.70

 

- -------------------------------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

34

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

<TABLE>              
<CAPTION>              
- -------------------------------------------------------------------------------------------------------  
Adjusted Ages            
- --------------------------            
  Second            
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e  
- -------------------------------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C> <C>  
55 50 $ 4.88 $ 5.26 $ 5.48 $ 4.88 $ 5.34  
55 55 5.04 5.44 5.66 5.04 5.43  
55 60 5.21 5.65 5.89 5.21 5.53  
 
60 55 5.15 5.63 5.91 5.14 5.73  
60 60 5.37 5.87 6.16 5.37 5.86  
60 65 5.61 6.16 6.49 5.60 6.01  
 
65 60 5.52 6.14 6.51 5.51 6.28  
65 65 5.83 6.49 6.87 5.82 6.47  
65 70 6.17 6.90 7.33 6.13 6.67  
 
70 65 6.04 6.84 7.34 6.00 7.03  
70 70 6.49 7.35 7.87 6.44 7.33  
70 75 6.97 7.96 8.56 6.87 7.62  
 
75 70 6.77 7.84 8.51 6.68 8.08  
75 75 7.45 8.60 9.33 7.27 8.55  
75 80 8.14 9.49 10.35 7.80 8.98  
- -------------------------------------------------------------------------------------------------------  
 
 
 
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Page 22 of 23

</TABLE>

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

35

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Female and the Second Annuitant is Male)

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

<TABLE> <CAPTION>

- -------------------------------------------------------------------------------------------------------Adjusted Ages - --------------------------Second Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - -------------------------------------------------------------------------------------------------------

<S>   <C> <C> <C> <C> <C> <C>
  55 50 $ 4.93 $ 5.27 $ 5.46 $ 4.93 $ 5.19
  55 55 5.04 5.44 5.66 5.04 5.43
  55 60 5.15 5.63 5.91 5.14 5.73
 
  60 55 5.21 5.65 5.89 5.21 5.53
  60 60 5.37 5.87 6.16 5.37 5.86
  60 65 5.52 6.14 6.51 5.51 6.28
 
  65 60 5.61 6.16 6.49 5.60 6.01
  65 65 5.83 6.49 6.87 5.82 6.47
  65 70 6.04 6.84 7.34 6.00 7.03
 
  70 65 6.17 6.90 7.33 6.13 6.67
  70 70 6.49 7.35 7.87 6.44 7.33
  70 75 6.77 7.84 8.51 6.68 8.08
 
  75 70 6.97 7.96 8.56 6.87 7.62
  75 75 7.45 8.60 9.33 7.27 8.55
  75 80 7.86 9.28 10.20 7.57 9.59

 

- -------------------------------------------------------------------------------------------------------</TABLE>

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

36

<PAGE>

- -------------------------------------------------------------------------------

Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
Hartford, Connecticut 06156
(800) 531-4547

Group Variable, Fixed, or Combination Annuity Contract
Nonparticipating

- -------------------------------------------------------------------------------

ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT

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APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

G-CDA-GP2(4/94)

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03/26/2018

EX-16 10 ex164f.htm EXHIBIT 16(4)(F) CONTRACT I-CDA-GP2 (4/94) ex164f.htm - Generated by SEC Publisher for SEC Filing
Exhibit 16(4)(f)    
  Aetna Insurance Company of America    
  Home Office: 151 Farmington Avenue    
  Hartford, Connecticut 06156      
  (800) 531-4547      
 
Individual Variable, Fixed or Combination Annuity Contract (Nonparticipating)  
 
Aetna Insurance Company of America (We or Us) agrees to pay benefits according  
to the terms and conditions set forth in this Contract.    
 
Specifications      
 
- --------------------------------------------------------------------------------  
Plan        
 
- --------------------------------------------------------------------------------  
Type of Plan      
 
- --------------------------------------------------------------------------------  
Contract Holder      
 
- --------------------------------------------------------------------------------  
Annuitant        
 
- --------------------------------------------------------------------------------  
Contract Number      
 
- --------------------------------------------------------------------------------  
Effective Date      
 
This Contract is delivered in and is subject to  
the laws and regulations of that state.      
 
THE VARIABLE FEATURES OF THE CONTRACT ARE DESCRIBED IN SECTIONS 6 AND 12.  
 
Right to Cancel      
- --------------------------------------------------------------------------------  
The Contract Holder may cancel this Contract within ten (10) days of receiving  
it by returning it to Us at the address above or to the person from whom it was  
purchased. Within seven (7) days of the cancellation request, We will return the  
Contract Holder's Purchase Payment(s) made plus any increase, or minus any  
decrease on the amount allocated to the Separate Account.    
 
Signed at the Home Office on the Effective Date.    
 
/s/ Dan Kearney /s/ Susan E. Schechter    
President Secretary    
 
ALL PAYMENTS AND VALUES PROVIDED BY THE CONTRACT, WHEN BASED ON INVESTMENT  
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO  
FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA.  
APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR  
DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT  
APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.    
 
I-CDA-GP2(4/94)      
<PAGE>        
 
 
Table of Contents      
 
      Page  
Right to Cancel   1  
Contract Schedule   4  
Separate Account   4  
AICA Guaranteed Account (AG Account)   4  
Separate Account and AG Account   4  
Fixed Annuity   6  
Section 1. Definitions   7  
Section 2. General Provisions   8  
The Contract   8  
Nonparticipating Contract   8  
Misstatements and Adjustments   8  
Reports   9  
Premium Taxes   9  
Protection of Proceeds   9  
Evidence of Survival   9  
Proof of Age   9  
Change of Contract   9  
Section 3. Ownership   9  
Contract Holder Rights   9  
Transfer of Ownership   10  
Section 4. Beneficiary Provisions   10  
Beneficiary   10  
Change of Beneficiary   10  
Death of Beneficiary   10  
Section 5. Purchase Payments   10  
Purchase Payments   10  
Allocation of Purchase Payments   10  
Section 6. Separate Account   10  
General   11  
Investment Allocations to the Separate Account 11  
Valuation of Assets   11  
 
 
 
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Accumulation Unit   11  
Net Return Factor for Each Valuation Period 11  
Administrative Charge   12  
Mortality Risk Charge   12  
Expense Risk Charge   12  
Mortality and Expense Guarantee 12  
Section 7. AG Account   12  
AG Account Guaranteed Interest Rate 12  
Deposit Period   12  
Guaranteed Term   12  
 
  2    
 
<PAGE>      
 
Guaranteed Term(s) Groups 12  
Maturity Date   12  
Allocation of Net Purchase Payments to the AG Account 13  
AG Account Guaranteed Term Maturity Date and Maturity Value 13  
Transfers from the AG Account 13  
Withdrawals from the AG Account 13  
Reinvestment   13  
AG Account Market Value Adjustment (Factor) 14  
Section 8. Contract Value; Transfers and Withdrawals During the    
Accumulation Period Contract Value 14  
Transfers During the Accumulation Period 14  
Withdrawals During the Accumulation Period 15  
Deferred Sales Charge   15  
Waiver of Deferred Sales Charge 15  
Payment of Adjusted Contract Value 16  
Systematic Withdrawal Option (SWO) 16  
Section 9. Maintenance Charge   17  
Maintenance Charge   17  
Section 10. Proceeds Payable on Death 17  
Death of the Contract Holder Prior to the Annuity Date 17  
Death Benefit Amount Prior to the Annuity Date 17  
Death Benefit Payment Methods 18  
Death of Contract Holder On or After the Annuity Date 19  
Death of the Annuitant   19  
Section 11. Delay of Payments   19  
Delay of Payments   19  
Section 12. Annuity Provisions 19  
Designation of Annuitant 19  
Terms of Annuity Options 20  
Annuity Unit   21  
Annuity Unit Value   21  
Annuity Net Return Factor 21  
Annuity Options   22  
 
  3    
 
<PAGE>      
 
Contract Schedule      
 
Separate Account      
- --------------------------------------------------------------------------------  
 
Separate Account: Variable Account I    
 
Charges to the A daily charge is deducted from the assets of the  
Separate Account: Separate Account. The deduction is the daily    
  equivalent of the annual effective percentage  
  shown below:    
 
  (a) During the Accumulation Period:    
 
  Administrative Charge 0.15%  
  Mortality Risk Charge 0.35%  
  Expense Risk Charge 0.90%  
  TOTAL Separate Account Charges During    
  Accumulation Period 1.40%  
 
  (b) During the Annuity Period    
 
  Administrative Charge Not To Exceed 0.25%  
  Mortality Risk Charge 0.35%  
  Expense Risk Charge 0.90%  
  TOTAL Maximum Separate Account Charges    
  During Annuity Period 1.50%  
 
AICA Guaranteed Account (AG Account)    
- --------------------------------------------------------------------------------  
 
Minimum Guaranteed 3.0%    
Interest Rate      
(effective annual rate      
of return):      
 
Separate Account and AG Account    
- --------------------------------------------------------------------------------  
 
Minimum Initial $1,500    
Purchase Payment:      
 
 
 
 
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Minimum Subsequent $500 or $50 per month if paid by an automatic
Purchase Payment: check plan  
 
Maximum Subsequent $500,000 without Home Office approval  
Purchase Payment:    
 
4
 
<PAGE>    
 
 
Transfers: We allow an unlimited number of transfers during
  the Accumulation Period. Twelve (12) transfers in
  any calendar year are free. Thereafter, We reserve
  the right to charge a transfer charge up to $10
  for each subsequent transfer.  
 
Maintenance Charge: The annual maintenance charge is $30. If the
  Contract Value is $50,000 or more on the date the
  maintenance charge is to be deducted, the
  maintenance charge is $0.  
 
Deferred Sales Charge: For each withdrawal from the Contract, a deferred
  sales charge for Charge: each Net Purchase Payment
  will be determined as follows:  
 
  Years from Receipt of Deferred
  Net Purchase Payment Sales Charge
 
  0-1 7%
  1-2 6%
  2-3 5%
  3-4 4%
  4-5 3%
  5-6 2%
  6-7 1%
  7+ 0%
 
 
Waiver of Deferred Section 8.05 provides for the following:
Sales Charge:    
  (c) At least 12 months after the date of the
  first Purchase Payment in an amount equal
  to or less than 15% of the Contract
  Value.  
 
  (d) For a full withdrawal where the Contract
  Value does not exceed $2,500 and no
  withdrawals have been taken from the
  Contract within the prior 12 months.
 
Systematic (a) Specified Payment - Maximum Percentage: 10%
Withdrawal Option:    
  (b) Specified Period - Minimum Period: 10 years
 
  (c) Specified Percentage - Maximum Percentage: 10%
 
Death Benefit Factor: 4%  
 
Death Benefit There is no maximum death benefit amount.
Maximum Amount:    
 
5
 
<PAGE>    
 
 
Death Benefit 85 years  
Maximum Age:    
 
Fund for Allocation Federated Prime Money Fund  
of Excess Guaranteed    
Death Benefit Value:    
 
Latest Annuity Date: The Contract Holder's 90th birthday.  

 

Fixed Annuity

- --------------------------------------------------------------------------------

Minimum Guaranteed 3.0%
Interest Rate  
(effective annual rate  
of return):  

 

6

<PAGE>

Section 1. Definitions

  • --------------------------------------------------------------------------------

  • Accumulation Period - The period during which one or more Net Purchase

Payments applied to the Contract accumulate to provide future Annuity payments.

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1.02     

Accumulation Unit - A measure of the net investment results for each variable investment option during the Accumulation Period. The Accumulation Units for the applicable Funds are used to calculate the portion of the Contract Value attributable to a Separate Account during the Accumulation Period.

1.03     

Adjusted Contract Value - The Contract Value, plus or minus any aggregate AG Account Market Value Adjustment.

1.04     

Annuitant - The natural person on whose life an Annuity payment is based.

1.05     

Annuity - A series of payments We make for life, a definite period or a combination of the two.

1.06     

Annuity Date - The date on which Annuity payments commence.

1.07     

Annuity Options - Annuity payment methods available during the Annuity Period.

1.08     

Annuity Period - The period of time during which Annuity payments are made.

1.09     

Annuity Unit - A measure of the net investment results for each variable investment option during the Annuity Period. Annuity Units are used to calculate the amount of each variable Annuity payment.

1.10     

Beneficiary - The person(s) entitled to receive any death benefit under the Contract. Upon the death of a joint Contract Holder, the surviving joint Contract Holder, if any, is treated as the Beneficiary. Any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary.

1.11     

Contract Holder - The person who purchases this Contract. We reserve the right to limit ownership to natural persons. If more than one Contract Holder owns the Contract, each Contract Holder shall be a joint Contract Holder. Any joint Contract Holder must be the spouse of the other joint Contract Holder. Joint Contract Holders have joint ownership rights and both must authorize any exercising of those ownership rights unless otherwise allowed by Us.

1.12     

Contract Value - The dollar value as of any Valuation Period of all

amounts     

accumulated in the Contract.

1.13     

Contract - This agreement between the Contract Holder and Us.

1.14     

Effective Date - The date the Contract is issued to the Contract

Holder.     

1.15     

Fund - One of the variable investment options which may be selected by

the     

Contract Holder.

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1.16     

General Account - The General Account is made up of all of our general assets other than those allocated to the separate accounts.

1.17     

AICA Guaranteed Account (AG Account) - An investment option where We guarantee specified rate(s) of interest for specified periods of time.

 

The AG Account is a separate account established by Us in accordance with the provisions of the Connecticut General Statutes Section 38a-433. The Contract Holder does not participate in the investment gain or loss from the assets held in the AG Account. Assets in the AG Account may be charged with liabilities arising out of any other business We may conduct.

1.18     

Home Office - Our headquarters, located at 151 Farmington Avenue, Hartford, CT 06156.

1.19     

Market Value Adjustment - An adjustment to any withdrawal made from the AG Account before the end of a guaranteed term as stated in Section 7.11.

1.20     

Net Purchase Payment - The Purchase Payment less premium taxes, if applicable.

1.21     

Purchase Payment - The gross payment accepted by Us and allocated to the Contract. We reserve the right to refuse to accept any Purchase Payment at any time for any reason.

1.22     

Separate Account - A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to Our other income, gains or losses. We own the assets held in the Separate Account and are not a trustee as to such amounts. The Separate Account generally is not guaranteed and is held at market value. The name of the Separate Account is shown on the Contract Schedule. The assets of the Separate Account, to the extent of reserves and other Contract liabilities of

the     

Separate Account, will not be charged with Our other liabilities.

1.23     

Valuation Period - The period of time for which a Fund determines its

net     

asset value, usually from 4:15 p.m. Eastern time each day the New

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York Stock Exchange is open until 4:15 p.m. the next such business day, or such other day that one or more of the Funds determines its net asset value. The assets of the Separate Account are not chargeable with the liabilities arising out of any other business We may conduct.

1.24     

Variable Annuity Contract - An Annuity Contract providing for the accumulation of value and/or for Annuity payments which vary in amount based on investment results.

Section 2. General Provisions

  • --------------------------------------------------------------------------------

  • The Contract - The entire Contract consists of this Contract and any

attached applications or endorsements.

2.02     

Nonparticipating Contract - Neither the Contract Holder nor any Beneficiary have a right to share in our earnings.

2.03     

Misstatements and Adjustments - If We learn that the age of any Annuitant or second Annuitant is misstated, the correct age will be used to adjust payments. We reserve the right to request

8

<PAGE>

reimbursement or adjust future payments for any amount overpaid. We will pay the amount of any underpayment.

2.04     

Reports - We furnish the Contract Holder with a report showing the

  Contract     

Value at least once each calendar year. We also furnish an

  annual     

report of the Separate Account.

2.05     

Premium Taxes - Any premium taxes paid to any governmental entity are

  charged     

against Purchase Payments or the Contract Value. We may, at our

  sole     

discretion, pay premium taxes when due and deduct that amount from

  the     

Contract at a later date. Payment at an earlier date does not waive

  any     

right We may have to deduct amounts at a later date.

2.06     

Protection of Proceeds - To the extent permitted by law, all payments

  under     

this Contract to the Contract Holder or Beneficiary shall be free

  from     

legal process and the claim of any creditor.

2.07     

Evidence of Survival - The Company may require satisfactory evidence of

  the     

continued survival of any person(s) on whose life Annuity payments

  are     

based.

2.08     

Proof of Age - The Company may require evidence of age of any Annuitant

  under     

Annuity Options 2 and 3 and of the designated second Annuitant

  under     

Annuity Option 3.

2.09     

Change of Contract - We reserve the right to change the Contract, but

  only     

if a change is necessary to:

  (a)     

Make the Contract or the Separate Account comply with state or federal laws or regulations; or

  (b)     

Assure the continued qualified status of the Contract under the Code or other federal laws or regulations governing annuity contracts; or

  (c)     

Reflect a change in the operation of the Separate Account or the Funds; or

  (d)     

Provide additional funds; or

  (e)     

Withdraw Funds

  We     

will notify the Contract Holder in writing 30 days before any change

  becomes     

effective. When appropriate, We will endorse the Contract for

  the     

change.

Section 3. Ownership

  • --------------------------------------------------------------------------------

  • Contract Holder Rights - The Contract Holder has all interest and right

to amounts held in his or her Contract. The Contract Holder and any
joint Contract Holder are named on the Specifications page. The
Contract Holder and any joint Contract Holder may exercise all the
rights under the Contract, subject to the rights of:

(a)     

Any assignee under an assignment filed at our Home Office; and

(b)     

Any irrevocably named Beneficiary.

Upon the death of a Contract Holder prior to the Annuity Date, a
spousal Beneficiary may elect to continue the Contract in his or her
own name and retain all ownership rights and privileges or take
distribution of the death benefit as defined in Section 10.

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3.02     

Transfer of Ownership - The Contract Holder may transfer all of his or her rights under the Contract. A written request, dated and signed by the Contract Holder and any joint Contract Holder, must be filed at our Home Office. After the transfer is recorded, it will take effect as of

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the date the request was signed. Any such transfer terminates the interest of the existing Contract Holder. It does not change the Beneficiary, nor transfer the Beneficiary's interest. A transfer will not affect any payments We may make or actions We may take before such transfer has been recorded at our Home Office.

Section 4. Beneficiary Provisions

  • --------------------------------------------------------------------------------

  • Beneficiary - The Contract Holder may name a Beneficiary and a

contingent Beneficiary. At the death of the Contract Holder prior to the Annuity Date, the Beneficiary(ies) named in our records will receive a death benefit as stated in Section 10. Upon the death of a joint Contract Holder prior to the Annuity Date, the surviving joint Contract Holder, if any, will be treated as the designated Beneficiary and any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary.

4.02     

Change of Beneficiary - The Contract Holder may change the Beneficiary. A written request, dated and signed by the Contract Holder, must be filed at our Home Office. If there are joint Contract Holders, both must sign the request. After the change is recorded, it will take effect as of the date the request was signed. If the request reaches our Home Office and is recorded after the Contract Holder dies, but before any payment is made, the change is valid.

4.03     

Death of Beneficiary - If all of the Beneficiaries and contingent Beneficiaries die prior to the Contract Holder's death, We pay the death benefit in one sum to the Contract Holder's estate.

Section 5. Purchase Payments

  • --------------------------------------------------------------------------------

  • Purchase Payments - Subject to the maximum and minimum shown on the

Contract Schedule, the Contract Holder may determine the amount and frequency of Purchase Payments. We reserve the right not to accept any Purchase Payment. We will declare from time to time the acceptability of additional Purchase Payments.

5.02     

Allocation of Purchase Payments - The Contract Holder may elect to have

  each     

Net Purchase Payment accumulate:

  (a)     

On a variable basis invested in shares of one or more Funds in which the Separate Account invests;

  (b)     

For guaranteed terms offered in the current deposit period(s) under the AG Account; or

  (c)     

In a combination of any of the available investment options.

  Net     

Purchase Payments must be allocated in whole percentages. For

  subsequent     

Purchase Payments, if no allocation instructions are

  received     

with the Purchase Payment, the allocation will be as indicated

  in     

the most recent directive from the Contract Holder. If the same

  guaranteed     

term(s) are not available, the next shortest will be used.

  If     

no shorter guaranteed term is available, the next longer guaranteed

  term     

will be used.

Section 6. Separate Account
- --------------------------------------------------------------------------------

 

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<PAGE>

6.01     

General - The assets of the Separate Account, equal to the reserves and other Contract liabilities that depend on the investment performance of the Separate Account are not chargeable with liabilities arising out of any other business We may conduct. Income, gains or losses of the Separate Account, realized or unrealized, are credited to or charged against the assets of the Separate Account without regard to Our other income, gains or losses.

6.02     

Investment Allocations to the Separate Account - The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, We may cease to make such Fund shares available for investment under the Contract prospectively, or We may substitute shares of another Fund for shares already acquired. We may also, from time to time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws. We reserve the right to substitute shares of another Fund for shares already acquired without a proxy vote.

6.03     

Valuation of Assets - The shares of the Funds will be valued at their net asset value at the end of each Valuation Period.

6.04     

Accumulation Unit - A Net Purchase Payment that is allocated to one or more Funds is credited to the Contract as Accumulation Units. The number of Accumulation Units credited is determined by dividing the applicable portion of the Net Purchase Payment by the Accumulation Unit

value     

for the appropriate Fund. The Accumulation Unit value used is

that     

which is computed for the next Valuation Period after which the

Purchase     

Payment is received at our Home Office. Accumulation Units

attributable     

to the initial Purchase Payments will be credited within

two     

business days of acceptance.

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Accumulation Unit values may increase or decrease from Valuation Period to Valuation Period.

6.05     

Net Return Factor for Each Valuation Period - The value of an

  Accumulation     

Unit for any Valuation Period is calculated by multiplying

  the     

Accumulation Unit value for the immediately preceding Valuation

  Period     

by the net return factor of the appropriate Fund for the current

  period.     

  The     

net return factor for each Fund is equal to 1.0000000 plus the net

  return     

rate.

  The     

net return rate equals:

  (a)     

The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus

  (b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

  (c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

  (d)     

The total value of the Funds(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus

  (e)     

A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge.

  The     

net return rate may be more or less than zero (0) percent.

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<PAGE>

The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.

6.06     

Administrative Charge - We deduct an administrative charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.07     

Mortality Risk Charge - We deduct a mortality risk charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.08     

Expense Risk Charge - We deduct an expense risk charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.09     

Mortality and Expense Guarantee - We guarantee that the dollar amount of each Annuity payment after the first will not be affected by variations in mortality or expense experience.

Section 7. AG Account

  • --------------------------------------------------------------------------------

  • AG Account Guaranteed Interest Rate - All amounts allocated to the AG

Account earn a rate of interest that is guaranteed for a specified period of time. The rate will be credited daily and will never be less than the minimum guaranteed interest rate shown on the Contract Schedule. We determine the rate and it is not based on investment experience.

For guaranteed terms of one year or less, one guaranteed interest rate is credited for the full guaranteed term. For longer guaranteed terms, an initial guaranteed interest rate is credited from the date of deposit to the end of a specified period within the guaranteed term. There may be different guaranteed interest rate(s) declared for subsequent specified time intervals throughout the guaranteed term.

7.02     

Deposit Period - A calendar week, a calendar month, a calendar quarter, or any other period of time We specify during which Net Purchase Payment(s), transfers and reinvestments are accepted into the AG

 

Account for one or more guaranteed terms. We reserve the right to extend the deposit period.

7.03     

Guaranteed Term - The period of time for which AG Account guaranteed interest rates are guaranteed on Net Purchase Payments. Transfers and reinvestments are made into a current deposit period for the AG

 

Account. Such period begins on the day following the close of the deposit period and ends on the designated Maturity Date. Guaranteed terms, if any, are offered at our discretion for various lengths of time ranging up to and including ten years.

 

During a deposit period, We may make available any number of guaranteed terms. The Contract Holder may allocate Net Purchase Payments and transfers into any or all of the available guaranteed terms.

7.04     

Guaranteed Term(s) Groups - All AG Account guaranteed term(s) with the same length of time from the close of the deposit period until the designated Maturity Date.

7.05 Maturity Date

- The last day of a guaranteed term.

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7.06     

Allocation of Net Purchase Payments to the AG Account - When the Contract Holder wishes to allocate all or any portion of a Net Purchase Payment to the Guaranteed Account, he or she must tell Us the percentage to apply to one or more of the AG Account guaranteed term(s) available during the current deposit period. If no allocation instructions are received, a Net Purchase Payment is allocated as indicated in the most recent directive from the Contract Holder. If the same guaranteed term is not available for any amount allocated to the

  AG     

Account, We will allocate the amount to the next shortest guaranteed term available. If no shorter guaranteed term is available, We will allocate it to the next longest guaranteed term.

7.07     

AG Account Guaranteed Term Maturity Date and Maturity Value - On the maturity date, the value of the total of all amounts allocated to that guaranteed term is called the maturity value.

 

When the Contract Holder has assets in the AG Account, at least eighteen (18) days before a maturity date, We notify the Contract Holder of the:

  (a)     

Projected maturity value; and

  (b)     

Guaranteed terms and the applicable guaranteed interest rates available during the current deposit period.

  

When no allocation instructions are received and the assets in a guaranteed term have been reinvested by Us in another guaranteed term

  on     

the maturity date, the Contract Holder may transfer or withdraw, during the month following the maturity date, the reinvested amount with interest earned (as of the date the request is received at our Home Office) without incurring a Market Value Adjustment. This transaction is allowed only once for each maturity date, regardless of whether the transfer or withdrawal is partial or full.

7.08     

Transfers from the AG Account - The Contract Holder may transfer any portion, or all, of an amount in the AG Account to one or more of the Funds or to another available guaranteed term. The amount withdrawn for any reason before the maturity date is subject to a Market Value Adjustment.

7.09     

Withdrawals from the AG Account - When the Contract Holder requests a withdrawal from the AG Account, if instructions are not provided by the Contract Holder, amounts are withdrawn on a pro rata basis from the guaranteed term(s) groups in which the Contract Value is currently

invested.     

Within a guaranteed term group, the amount to be withdrawn

will     

be withdrawn first from the oldest deposit period. Except on the

maturity     

date, withdrawals from the AG Account will be subject to a

Market     

Value Adjustment.

7.10     

Reinvestment - We will mail a notice to the Contract Holder before a

guaranteed     

term's maturity date. This notice will contain the

guaranteed     

terms available during the current deposit periods with

their     

guaranteed interest rate(s) and projected maturity value. If no

specific     

direction is given by the Contract Holder prior to the

maturity     

date, each maturity value will be reinvested in the current

deposit     

period for a guaranteed term of the same duration. If a

guaranteed     

term of the same duration is unavailable, each matured term

value     

will automatically be reinvested in the current deposit period

for     

the next shortest guaranteed term available. If no shorter

guaranteed     

term is available, the next longer guaranteed term will be

used.     

We will mail a confirmation statement to the Contract Holder

after     

the maturity date. This notice will state the guaranteed term and

guaranteed     

interest rate(s) which will apply to the reinvested matured

term     

value.

13

<PAGE>

7.11     

AG Account Market Value Adjustment (Factor) - The Market Value Adjustment factor (MVA factor) reflects any change in interest rates from the time assets are allocated to the AG Account to the time they are transferred or withdrawn. An MVA factor is applied to any amount withdrawn or transferred from the AG Account before the end of a guaranteed term, including amounts paid in a lump sum death benefit or applied to an Annuity Option.

 

The amount withdrawn from the AG Account is multiplied by the MVA factor which is calculated as follows:

x
---
365

(1 + i)
----------------
x
---
365
(1 + j)

Where:  
 
i is the Deposit Period Yield  
j is the Current Yield  
x is the number of days remaining, (computed from Wednesday of  
  the week of withdrawal) in the guaranteed Term.  
 
 
 
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Determination of MVA factor parameters:

A yield is computed at the close of the last business day of each week of the deposit period. The yield will equal the average of the yields on U.S. Treasury Notes which matured during the last three months of the applicable guaranteed term.

The deposit period yield is the average of those yields for the deposit period. If withdrawal is made prior to the close of the deposit period, it is the average of those yields on each week preceding withdrawal.

The current yield is the average of the yields on the last business day of the week preceding withdrawal on the same U.S. Treasury Notes included in the deposit period yield.

If no U.S. Treasury Notes matured during the last three months of the guaranteed term, We reserve the right to use the average of the yields on U.S. Treasury Notes that mature during a following quarter.

Section 8. Contract Value; Transfers and Withdrawals During the Accumulation Period

  • --------------------------------------------------------------------------------

  • Contract Value - The value of the Contract is determined by adding the

value of the total of Accumulation Units attributed to the selected
Fund(s) to the value of any amounts attributed to the AG Account.

8.02     

Transfers During the Accumulation Period - Before the Annuity Date, the Contract Holder may transfer from any Fund or guaranteed term of the AG Account to:

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<PAGE>

(a)     

Any other Fund; or

(b)     

Any guaranteed term of the AG Account available in the current deposit period.

Transfer requests can be submitted as a percentage or as a dollar amount. We may establish a minimum transfer amount. Within a guaranteed term group, the amount transferred is withdrawn first from the oldest deposit period, then from the next oldest, and so on until the amount requested is satisfied.

The Contract Holder may make an unlimited number of transfers during the Accumulation Period. The number of free transfers allowed is shown on the Contract Schedule. Transfers in excess of that number may be subject to the transfer charge shown on the Contract Schedule. Transfers of a matured term value from the AG Account on or within one calendar month after a guaranteed term's maturity date do not count against the annual transfer limit.

Amounts applied to guaranteed terms of the AG Account may not be
transferred to the Funds or to another guaranteed term during the
deposit period or for 90 days after the close of the deposit period
except for matured term value(s) during the calendar month following
the guaranteed term's maturity date.

Transfers from guaranteed terms of the AG Account are subject to a
Market Value Adjustment.

8.03     

Withdrawals During the Accumulation Period - The Contract Holder may

  withdraw     

all or a portion of the Contract Value during the Accumulation

  Period     

by properly completing a withdrawal request form. Withdrawal

  requests     

ran be submitted as a percentage or as a specific dollar

  amount.     

Net Purchase Payment amounts are withdrawn first, and then the

  excess     

value, if any. For any partial withdrawal, if instructions are

  not     

provided by the Contract Holder, amounts are withdrawn on a pro

  rata     

basis from the Fund(s), and/or the guaranteed term(s) groups in

  which     

the Contract is currently invested. Within a guaranteed term

  group,     

the amount to be withdrawn will be withdrawn first from the

  oldest     

deposit period, then from the next oldest, and so on until the

  amount     

requested is satisfied.

  After     

deduction of the maintenance charge, if applicable, the withdrawn

  amount     

shall be reduced by the applicable deferred sales charge and any

  applicable     

premium taxes.

8.04     

Deferred Sales Charge - The deferred sales charge only applies to the

  portion     

of the amount withdrawn attributable to Net Purchase Payment(s)

  and     

varies according to the elapsed time since receipt of the Purchase

  Payment.     

The deferred sales charge is shown on the Contract Schedule.

8.05     

Waiver of Deferred Sales Charge - No deferred sales charge is deducted

  when     

the Contract Value is paid:

  (a)     

To a Beneficiary as a death benefit, except for Purchase Payments made by a surviving joint Contract Holder as described in Section 10.02(b);

  (b)     

As a premium for an Annuity Option;

  (c)     

At least the number of months, as shown on the Contract Schedule, after the date of the first Purchase Payment and in an amount equal to or less than the percentage of the Contract Value as shown on the Contract Schedule. This applies to the first withdrawal

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request, partial or full, in a calendar year. The Contract Value is
calculated as of the date the withdrawal request is

15

<PAGE>

received in good order at our Home Office. This waiver is not
available to the Contract Holder while a SWO is in effect;

(d)     

For a full withdrawal where the Contract Value does not exceed the amount shown on the Contract Schedule and no withdrawals have been taken from the Contract within the prior 12 months;

(e)     

For a distribution made by Us under Section 8.06; or

(f)     

For a distribution which is part of a SWO under Section 8.07.

We reserve the right to allow the proceeds of a total withdrawal to be reinstated under the terms and conditions as established by Us from time to time.

8.06     

Payment of Adjusted Contract Value - Upon 90 day's written notice to

  the     

Contract Holder, We will terminate the Contract if the Contract

  Value     

becomes less than $1,500 immediately following any partial

  withdrawal.     

We do not intend to exercise this right in cases where the

  Contract     

Value is reduced to $1,500 or less solely due to investment

  performance.     

When We make a distribution pursuant to this provision,

  the     

deferred sales charge will not be deducted.

8.07     

Systematic Withdrawal Option (SWO) - We will allow the Contract Holder

  to     

establish a schedule of withdrawals to be made automatically from

  the     

Contract Value. All distributed amounts will be withdrawn on a pro

  rata     

basis from the Fund(s) and/or the guaranteed term(s) groups of the

  AG     

Account in which the Contract Value is invested.

  The     

Contract Holder must elect one of the following SWO methods:

  (a)     

Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage of the Contract Value at time of the election as shown on the Contract Schedule. This annual dollar amount will remain constant. At our discretion, We may require a minimum payment amount; or

  (b)     

Specified Period: Payments which are made over a period of time which must be at least the minimum period as shown on the Contract Schedule. The annual amount paid each year is calculated by dividing the Contract Value as of December 31 of the prior year by the number of payment years remaining; or

  (c)     

Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage of the Contract Value at the time of election as shown on the Contract Schedule. The percentage may be changed by written request. We reserve the right to limit the number of times the percentage may be changed. The annual amount is calculated by multiplying the Contract Value as of December 31 of the year prior to the payment by the designated percentage.

  In     

our discretion, We may require a minimum initial Contract Value for

  election     

of this option. SWO may be elected by submitting a completed

  and     

signed election form to Us. Once elected, this option may be

  revoked     

by submitting a written request to Us. SWO may be elected only

  once     

by the Contract Holder or by a spousal Beneficiary.

  The     

Contract Holder should consult his/her tax adviser prior to

  requesting     

this distribution option. We are not responsible for any

  adverse     

tax consequences due to a Contract Holder's receiving SWO

16

<PAGE>

payments. A ten (10) percent penalty tax may apply to distributions to a Contract Holder who has not reached age 59-1/2. Upon death of the Contract Holder, any payments will be made under the terms of Section 10.

Section 9. Maintenance Charge

  • --------------------------------------------------------------------------------

  • Maintenance Charge - We will deduct an annual maintenance charge as

shown in the Contract Schedule from the Contract Value during the Accumulation Period. We will deduct the maintenance charge on the anniversary of the Effective Date of the Contract. This maintenance charge is also deducted upon withdrawal of the entire Adjusted Contract Value. The maintenance charge is deducted proportionately from each investment option used.

Section 10. Proceeds Payable on Death

  • --------------------------------------------------------------------------------

  • Death of the Contract Holder Prior to the Annuity Date - In the event

of the death of the Contract Holder or a joint Contract Holder prior to the Annuity Date, a death benefit is payable to the Beneficiary(ies) designated by the Contract Holder. Upon the death of a joint Contract Holder, the surviving joint Contract Holder, if any, will be treated as the designated Beneficiary. Any other Beneficiary designation on record

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with Us at the time of death will be treated as a contingent
Beneficiary.

A Beneficiary may request We pay the death benefit under one of the options described in Section 10.03. If the Beneficiary is the spouse of the Contract Holder, he or she may elect to continue the Contract in his or her own name and exercise all the Contract Holder's rights under the Contract.

10.02     

Death Benefit Amount Prior to the Annuity Date -

  (a)     

Except as set forth in Section 10.02(b), the amount of the

   guaranteed     

death benefit value is equal to the greater of:

   (i)     

The Contract Value at the end of the Valuation Period during

    which     

We receive at our Home Office due proof of death and

    election     

of the type of payment to be made; or

   (ii)     

The death benefit determined as of the Valuation Period

    corresponding     

to the date of death.

    Until     

the first Effective Date anniversary, the death benefit

    is     

equal to the Purchase Payments made by the Contract Holder

    prior     

to the Effective Date anniversary less any withdrawals

    and     

any amounts applied to an Annuity Option.

    For     

each Contract year thereafter, the death benefit during

    the     

Contract year equals the death benefit at the beginning of

    the     

Contract year plus Purchase Payments made during the year

    less     

any withdrawals and any amounts applied to an Annuity

    Option.     

    On     

each Effective Date anniversary, the death benefit is

    determined     

as follows:

    (A)     

The death benefit on the previous Effective Date anniversary increased by the death benefit factor shown on the Contract Schedule; plus

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(B)     

Purchase Payments made by the Contract Holder during the Contract year increased by the death benefit factor shown on the Contract Schedule for the portion of the year since the Purchase Payment was made; less

(C)     

Any withdrawals or amounts applied to an Annuity Option during the Contract year increased by the death benefit factor shown on the Contract Schedule for the portion of the Contract year since the withdrawal or election of Annuity option; or

(iii)     

The Contract Value on the most recent seventh year anniversary of the Effective Date plus any Purchase Payments made after such Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option.

Notwithstanding the foregoing, the death benefit under (ii) or
(iii) will not exceed the death benefit maximum amount shown on the
Contract Schedule.

The death benefit calculation described in (ii) and (iii) above,
applies until the Contract Holder reaches the death benefit maximum
age shown on the Contract Schedule. Thereafter, the death benefit
is only adjusted for Purchase Payments, withdrawals and amounts
applied to Annuity Options. If the Contract Holder reaches the
death benefit maximum age shown on the Contract Schedule prior to
the seventh anniversary of the Effective Date, the death benefit
will be the greater of (i) or (ii) above.

The excess, if any, of the guaranteed death benefit value over the
Contract Value is determined when We receive at our Home Office due
proof of death and allocated to the Fund shown on the Contract
Schedule. The Contract Value plus any excess amount deposited
becomes the Contract Value.

(b)     

In the case of a Beneficiary of a surviving joint Contract

 

Holder who continued the Contract in his or her own name, the death benefit shall be equal to (a)(i) above less any applicable deferred sales charge on any Purchase Payment made after We have received at our Home Office due proof of death of the first joint Contract Holder.

10.03     

Death Benefit Payment Methods - A non-spousal Beneficiary must elect the death benefit to be paid under one of the following methods in the event of the death of the Contract Holder prior to the Annuity Date:

 

Method 1 - Lump sum payment of the death benefit; or

 

Method 2 - The payment of the entire death benefit within (5) years of the date of the Contract Holder's death; or

 

Method 3 - Payment of the death benefit over the lifetime of the

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designated Beneficiary or over a period not extending beyond the life expectancy of the designated Beneficiary with distribution beginning within one year of the date of death of the Contract Holder.

Any portion of the death benefit not applied under Option 3 within one year of the date of Contract Holder's death, must be distributed within five (5) years of the date of death. A Market Value Adjustment will apply at the time the death benefit is paid.

18

<PAGE>

A spousal Beneficiary may elect to continue the Contract in his or her name, elect a lump sum payment of the death benefit or apply the Adjusted Contract Value to an Annuity Option.

10.04     

Death of Contract Holder On or After the Annuity Date - If the Contract Holder, who is not the Annuitant, dies on or after the Annuity Date, the remaining payments under the Annuity Option elected will be made to the Beneficiary at least as rapidly as under the method of distribution in effect at the Contract Holder's death.

10.05     

Death of the Annuitant - If the Annuitant, who is not the Contract Holder, dies on or before the Annuity Date, a new Annuitant may be named. If no Annuitant is named, the Contract Holder will be the Annuitant. If the Annuitant dies after the Annuity Date, the death benefit, if any, will be payable to the Beneficiary as specified in the Annuity Option elected. We will require proof of the Annuitant's death.

 

Death benefits will be paid at least as rapidly as under the method of distribution in effect at the Annuitant's death.

Section 11. Delay of Payments

  • --------------------------------------------------------------------------------

  • Delay of Payments - We will make any payments under this Contract

within seven days after a request is received in good order. We reserve the right to suspend or postpone any type of payment from the Separate Account for any period when:

(a)     

The New York Stock Exchange is closed for other than customary weekend and holiday closings;

(b)     

Trading on the Exchange is restricted;

(c)     

An emergency exists as a result of which it is not reasonably practicable to dispose of securities held in the Separate Account or determine their value; or

(d)     

The Securities and Exchange Commission so permits delay for the protection of security holders.

The applicable rules of the Securities and Exchange Commission will
govern as to whether the conditions in (b) or (c) exist.

We also reserve the right to delay any type of payment from the AG
Account for up to six (6) months.

Section 12. Annuity Provisions

  • --------------------------------------------------------------------------------

  • Designation of Annuitant - The Contract Holder and the Annuitant need

not be the same person. The Contract Holder names the Annuitant and during the Accumulation Period, may change the designated Annuitant. We change the Annuitant when We receive a written request in good order at our Home Office. We will not change the Annuitant when Annuity payments have commenced.

The Contract Holder elects an Annuity Option by telling us to use all or any portion of the Contract Value (minus any applicable premium taxes if not previously deducted) to purchase Annuity payments under an Annuity Option.

When an Annuity Option is chosen the Contract Holder must designate a:

(a) Fixed Annuity using the General Account;

19

<PAGE>

(b)     

Variable Annuity using any of the Funds available during the Annuity Period; or

(c)     

Combination of (a) and (b).

If a fixed Annuity is chosen, We will calculate the amount using an interest assumption no less than the percentage specified on the Contract Schedule. We may calculate the amount using a higher interest rate.

If a variable Annuity is chosen, an Assumed Annual Net Return Rate of 5% may be chosen. If not chosen, We will use an Assumed Annual Net Return Rate of 3.5%.

Payments are made on a monthly basis to the Contract Holder unless the Contract Holder requests a different mode of payment.

Once elected, an Annuity Option may not be revoked, except for Option 1

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when elected on a variable basis.

12.02     

Terms of Annuity Options - The minimum first payment amount must be at

  least     

$50 per month and at least $250 per year.

  If     

the Contract Holder elects a fixed Annuity and We determine that the

  Contract     

Holder would receive larger payments by applying the Contract

  Value,     

reduced by the deferred sales charge, to a single premium

  immediate     

Annuity currently offered by Us, We will make the larger

  payments.     

  We     

determine the first payment of a variable Annuity, or the payment

  amount     

of a fixed Annuity, using the Annuitant's (and second

  Annuitant's     

if applicable) adjusted age which We calculate as follows:

  (a)     

If Annuity payments begin any time between July 1, 1992 and

   December     

31, 1999, the adjusted age is the Annuitant's age as of

   the     

birthday closest in time to the Annuity Date reduced by one

   (1)     

year.

  (b)     

If the Annuity begins any time between January 1, 2000 and December

   31,     

2009, the adjusted age is the Annuitant's age as of the

   birthday     

closest in time to the Annuity Date reduced by two (2)

   years.     

  (c)     

For each succeeding decade, the adjusted age is the Annuitant's

   age     

as determined in (b), reduced by one additional year.

  The     

Annuity rates for Options 2 and 3 are based on mortality from 1983

  Table     

A.

  Assumed     

Annual Net Return Rate is the interest rate used to determine

  the     

amount of the first Annuity payment under a variable Annuity. The

  Separate     

Account must earn this rate plus enough to cover the mortality

  and     

expense risks charges (which may include profit) and administrative

  charges     

if future variable Annuity payments are to remain level.

  The     

Contract Holder must give written notice to Us at least 30 days

  before     

the Annuity payments begin, electing or changing:

  (a)     

The date on which Annuity payments are to begin;

  (b)     

The Annuity Option;

20

<PAGE>

(c)     

Whether the payments are to be made monthly, quarterly, semiannually or annually;

(d)     

The investment options used to provide Annuity payments.

The first Annuity payment may not be earlier than one (1) calendar year after the initial Purchase Payment, not later than the later of the:

(a)     

First day of the month following the Annuitant's birthday shown on the Contract Schedule; or

(b)     

Tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Contract Holder may request a lump sum payment.

12.03     

Annuity Unit - The number of Annuity Units per Fund is based on the

  amount     

of the first variable Annuity payment which is equal to:

  (a)     

The portion of the Contract Value (minus any premium taxes) applied to pay a variable Annuity; divided by,

  (b)     

1000; multiplied by,

  (c)     

The payment rate for the Annuity Option chosen.

  Such     

amount, or portion, of the variable Annuity payment will be

  divided     

by the Annuity Unit value for the appropriate Fund on the tenth

  Valuation     

Period before the due date of the first payment to determine

  the     

number of each Fund's Annuity Units. The number of each Fund's

  Annuity     

Unit remains fixed. Each future payment is equal to the sum of

  the     

products of each Fund's Annuity Unit value multiplied by the

  appropriate     

number of units. The Fund's Annuity Unit value on the tenth

  Valuation     

Period prior to the due date of the payment is used.

12.04     

Annuity Unit Value - For any Valuation Period, a Fund's Annuity Unit

  value     

is equal to:

  (a)     

The value for the previous Valuation Period; multiplied by,

  (b)     

The Annuity Net Return Factor for the Valuation Period; multiplied by,

  (c)     

A daily factor to reflect the Assumed Annual Net Return Rate (the factor for 3.5% per year is .9999058; for 5% per year it is .9998663).

  The     

dollar value of a Fund(s) Annuity Unit values and payments may go

  up     

or down due to investment gain or loss.

12.05     

Annuity Net Return Factor - The Annuity net return factor is used to

  compute     

all Separate Account Annuity payments for any Fund.

  The     

Annuity net return factor(s) for each Fund is equal to 1.0000000

  plus     

the net return rate. The net return rate is equal to:

 

(a) The value of the shares of the Fund held by the Separate Account at

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the end of a Valuation Period; minus,

(b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus,

(c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

(d)     

The total value of the Fund(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus,

21

<PAGE>

(e)     

A daily actuarial charge as shown of the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge which will not exceed the administrative charge as shown on the Contract Schedule.

The net return rate may be more or less than zero (0) percent.

The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.

12.06     

Annuity Options

  Option     

1 - Payments for a Stated Period of Time - An Annuity will be

  paid     

for the number of years chosen. The number of years must be at

  least     

5 and not more than 30.

  If     

payments for this Annuity Option are made under a variable Annuity,

  the     

present value of any remaining payments may be withdrawn at any

  time.     

  Option     

2 - Life Income - An Annuity will be paid for the life of the

  Annuitant.     

If also chosen, We will guarantee payments for 60, 120, 180,

  or     

240 months.

  Option     

3 - Life Income Based upon the Lives of Two Annuitants - An

  Annuity     

will be paid during the lives of the Annuitant and a second

  Annuitant.     

Payments will continue until both Annuitants have died. When

  this     

Annuity Option is chosen, a choice must be made of:

  (a)     

100% of the payment to continue after the first death;

  (b)     

66-2/3% of the payment to continue after the first death;

  (c)     

50% of the payment to continue after the first death;

  (d)     

Payments for a minimum of 120 months with 100% of the payment to continue after the first death; or

  (e)     

100% of the payment to continue at the death of the second Annuitant and 50% of the payment to continue at the death of the Annuitant.

  We     

may make other options available as allowed by law.

22

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

- --------------------------------------------------------------------------------  
  Guaranteed Monthly Quarterly Semi-Annual Annual  
Years Rate Payment Payment Payment Payment  
- --------------------------------------------------------------------------------  
 
5 3.00% 17.91 53.59 106.78 211.99  
6 3.00% 15.14 45.30 90.27 179.22  
7 3.00% 13.16 39.39 78.49 155.83  
8 3.00% 11.68 34.96 69.66 138.31  
9 3.00% 10.53 31.52 62.81 124.69  
10 3.00% 9.61 28.77 57.33 113.82  
11 3.00% 8.86 26.52 52.85 104.93  
12 3.00% 8.24 24.65 49.13 97.54  
13 3.00% 7.71 23.08 45.98 91.29  
14 3.00% 7.26 21.73 43.29 85.95  
15 3.00% 6.87 20.56 40.96 81.33  
16 3.00% 6.53 19.54 38.93 77.29  
17 3.00% 6.23 18.64 37.14 73.74  
18 3.00% 5.96 17.84 35.56 70.59  
19 3.00% 5.73 17.13 34.14 67.78  
20 3.00% 5.51 16.50 32.87 65.26  
21 3.00% 5.32 15.92 31.72 62.98  
22 3.00% 5.15 15.40 30.68 60.92  
23 3.00% 4.99 14.92 29.74 59.04  
24 3.00% 4.84 14.49 28.88 57.33  
25 3.00% 4.71 14.09 28.08 55.76  
26 3.00% 4.59 13.73 27.36 54.31  
27 3.00% 4.47 13.39 26.68 52.97  
28 3.00% 4.37 13.08 26.06 51.74  
 
 
 
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29 3.00% 4.27 12.79 25.49 50.60
30 3.00% 4.18 12.52 24.95 49.53

 

- -------------------------------------------------------------------------------

23

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

Payments Guaranteed for a Stated Period of Months

<TABLE> <CAPTION>

- ------------------------------------------------------------------------------------------------------------------------------Adjusted None 60 120 180 240

- ------------------------------------------------------------------------------------------------------------------------------
Age of

 

     Annuitant Male Female Male Female Male Female Male Female Male Female - ------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
50 $ 4.27 $ 3.90 $ 4.26 $ 3.90 $ 4.22 $ 3.89 $ 4.17 $ 3.86 $ 4.08 $ 3.82
51 4.34 3.97 4.33 3.96 4.30 3.95 4.23 3.92 4.14 3.88
52 4.43 4.03 4.41 4.03 4.37 4.01 4.30 3.98 4.20 3.93
53 4.51 4.10 4.50 4.10 4.45 4.08 4.37 4.04 4.26 3.99
54 4.60 4.18 4.59 4.17 4.54 4.15 4.45 4.11 4.32 4.04
 
55 4.70 4.25 4.68 4.25 4.62 4.22 4.53 4.18 4.39 4.11
56 4.80 4.34 4.78 4.33 4.72 4.30 4.61 4.25 4.45 4.17
57 4.91 4.42 4.89 4.41 4.82 4.38 4.69 4.32 4.51 4.23
58 5.03 4.52 5.00 4.51 4.92 4.47 4.78 4.40 4.58 4.30
59 5.15 4.61 5.12 4.60 5.03 4.56 4.87 4.48 4.65 4.37
 
60 5.28 4.72 5.25 4.70 5.14 4.66 4.96 4.57 4.71 4.44
61 5.43 4.83 5.39 4.81 5.27 4.76 5.06 4.66 4.78 4.51
62 5.58 4.95 5.53 4.93 5.39 4.87 5.16 4.75 4.84 4.58
63 5.74 5.08 5.69 5.05 5.53 4.99 5.26 4.85 4.90 4.65
64 5.91 5.21 5.85 5.18 5.66 5.10 5.36 4.95 4.96 4.72
 
65 6.10 5.36 6.03 5.32 5.81 5.22 5.46 5.05 5.02 4.79
66 6.30 5.51 6.21 5.47 5.96 5.36 5.56 5.16 5.08 4.86
67 6.51 5.67 6.41 5.63 6.12 5.50 5.66 5.26 5.13 4.93
68 6.73 5.85 6.62 5.80 6.28 5.65 5.77 5.37 5.18 5.00
69 6.97 6.04 6.84 5.98 6.44 5.80 5.86 5.49 5.23 5.06
 
70 7.23 6.25 7.07 6.18 6.61 5.97 5.96 5.60 5.27 5.12
71 7.51 6.47 7.32 6.39 6.79 6.14 6.05 5.71 5.31 5.18
72 7.80 6.71 7.58 6.62 6.96 6.32 6.14 5.83 5.34 5.23
73 8.12 6.98 7.85 6.86 7.14 6.50 6.23 5.94 5.37 5.28
74 8.46 7.26 8.14 7.12 7.32 6.69 6.31 6.04 5.40 5.32
 
75 8.82 7.57 8.45 7.40 7.50 6.89 6.38 6.14 5.42 5.35

 

- ------------------------------------------------------------------------------------------------------------------------------</TABLE>

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

24

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<TABLE>              
<CAPTION>              
- -----------------------------------------------------------------------------------------------  
Adjusted Ages            
- ----------------------            
  Second            
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e  
- -----------------------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C> <C>  
55 50 $ 3.69 $ 4.05 $ 4.27 $ 3.69 $ 4.13  
55 55 3.88 4.25 4.47 3.87 4.25  
55 60 3.06 4.47 4.71 4.06 4.36  
 
60 55 3.99 4.44 4.71 3.98 4.55  
 
 
 
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60 60 4.24 4.71 4.99 4.23 4.70
60 65 4.49 5.01 5.32 4.48 4.85
 
65 60 4.38 4.97 5.32 4.38 5.10
65 65 4.72 5.33 5.70 4.71 5.32
65 70 5.07 5.75 6.17 5.05 5.54
 
70 65 4.93 5.68 6.15 4.91 5.86
70 70 5.40 6.21 6.70 5.36 6.18
70 75 5.89 6.82 7.40 5.81 6.49
 
75 70 5.69 6.68 7.32 5.62 6.92
75 75 6.37 7.45 8.15 6.23 7.40
75 80 7.07 8.34 9.16 6.78 7.85

 

- -----------------------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

25

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Female and Second Annuitant is Male)

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<TABLE>
<CAPTION>
- --------------------------------------------------------------------------------------------

 

     Adjusted Ages - -----------------------Second

Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - --------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 3.75 $ 4.07 $ 4.26 $ 3.75 $ 3.98
55 55 3.88 4.25 4.47 3.87 4.06
55 60 3.99 4.44 4.71 3.98 4.12
 
60 55 4.06 4.47 4.71 4.06 4.37
60 60 4.24 4.71 4.99 4.23 4.47
60 65 4.38 4.97 5.32 4.38 4.54
 
65 60 4.49 5.01 5.32 4.48 4.89
65 65 4.72 5.33 5.70 4.71 5.02
65 70 4.93 5.68 6.15 4.91 5.14
 
70 65 5.07 5.75 6.17 5.05 5.60
70 70 5.40 6.21 6.70 5.36 5.79
70 75 5.69 6.68 7.32 5.62 5.96
 
75 70 5.89 6.83 7.40 5.81 6.63
75 75 6.37 7.45 8.15 6.23 6.92
75 80 6.78 8.11 8.99 6.54 7.15

 

- --------------------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

26

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

- --------------------------------------------------------------------------------  
  Guaranteed Monthly Quarterly Semi-Annual Annual  
Years Rate Payment Payment Payment Payment  
- --------------------------------------------------------------------------------  
 
5 3.50% 18.12 54.19 107.92 213.99  
6 3.50% 15.35 45.92 91.44 181.32  
7 3.50% 13.38 40.01 79.69 158.01  
8 3.50% 11.90 35.59 70.88 140.56  
 
 
 
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9 3.50% 10.75 32.16 64.05 127.00
10 3.50% 9.83 29.42 58.59 116.18
11 3.50% 9.09 27.18 54.13 107.34
12 3.50% 8.46 25.32 50.42 99.98
13 3.50% 7.94 23.75 47.29 93.78
14 3.50% 7.49 22.40 44.62 88.47
15 3.50% 7.10 21.24 42.31 83.89
16 3.50% 6.76 20.23 40.29 79.89
17 3.50% 6.47 19.34 38.51 76.37
18 3.50% 6.20 18.55 36.94 73.25
19 3.50% 5.97 17.85 35.54 70.47
20 3.50% 5.75 17.22 34.28 67.98
21 3.50% 5.56 16.65 33.15 65.74
22 3.50% 5.39 16.13 32.13 63.70
23 3.50% 5.24 15.66 31.19 61.85
24 3.50% 5.09 15.24 30.34 60.17
25 3.50% 4.96 14.85 29.56 58.62
26 3.50% 4.84 14.49 28.85 57.20
27 3.50% 4.73 14.15 28.19 55.90
28 3.50% 4.63 13.85 27.58 54.69
29 3.50% 4.53 13.57 27.02 53.57
30 3.50% 4.45 13.30 26.49 52.53

 

- --------------------------------------------------------------------------------

27

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

- -------------------------------------------------------------------------------

  Guaranteed Monthly Quarterly Semi-Annual Annual
Years Rate Payment Payment Payment Payment

 

- -------------------------------------------------------------------------------

5 5.00% 18.74 56.00 111.33 219.98
6 5.00% 15.99 47.77 94.96 187.64
7 5.00% 14.02 41.90 83.30 164.59
8 5.00% 12.56 37.52 74.58 147.35
9 5.00% 11.42 34.11 67.81 133.99
10 5.00% 10.51 31.40 62.42 123.34
11 5.00% 9.77 29.19 58.03 114.66
12 5.00% 9.16 27.36 54.38 107.45
13 5.00% 8.64 25.81 51.31 101.39
14 5.00% 8.20 24.50 48.69 96.21
15 5.00% 7.82 23.36 46.44 91.75
16 5.00% 7.49 22.37 44.47 87.88
17 5.00% 7.20 21.51 42.75 84.48
18 5.00% 6.94 20.74 41.23 81.47
19 5.00% 6.71 20.06 39.88 78.80
20 5.00% 6.51 19.46 38.68 76.42
21 5.00% 6.33 18.91 37.59 74.28
22 5.00% 6.17 18.42 36.62 72.35
23 5.00% 6.02 17.98 35.73 70.61
24 5.00% 5.88 17.57 34.93 69.02
25 5.00% 5.76 17.20 34.20 67.57
26 5.00% 5.65 16.87 33.53 66.25
27 5.00% 5.54 16.56 32.92 65.04
28 5.00% 5.45 16.28 32.35 63.93
29 5.00% 5.36 16.01 31.83 62.90
30 5.00% 5.28 15.77 31.35 61.95

 

- -------------------------------------------------------------------------------

28

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

  Payments Guaranteed for a Stated Period of Months            
 
<TABLE>                      
<CAPTION>                      
- -----------------------------------------------------------------------------------------------------------------------  
Adjusted   None   60 120     180   240  
Age of -----------------------------------------------------------------------------------------------------------  
Annuitant Male Female Male Female Male Female Male Female Male Female  
- -----------------------------------------------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>  
50 $ 4.56 $ 4.20 $ 4.55 $ 4.19 $ 4.51 $ 4.18 $ 4.45 $ 4.15 $ 4.36 $ 4.11  
51 4.64 4.26 4.62 4.25 4.58 4.24 4.51 4.21 4.42 4.16  
 
 
 
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                      Page 18 of 21
 
 
 
 
52 4.72 4.32 4.70 4.32 4.66 4.30 4.58 4.26 4.48 4.21  
53 4.80 4.39 4.79 4.38 4.74 4.36 4.65 4.32 4.53 4.27  
54 4.89 4.46 4.87 4.46 4.82 4.43 4.73 4.39 4.59 4.32  
 
55 4.99 4.54 4.97 4.53 4.91 4.50 4.80 4.46 4.65 4.38  
56 5.09 4.62 5.07 4.61 5.00 4.58 4.88 4.53 4.72 4.44  
57 5.20 4.71 5.17 4.70 5.10 4.66 4.96 4.60 4.78 4.50  
58 5.32 4.80 5.29 4.79 5.20 4.75 5.05 4.68 4.84 4.57  
59 5.44 4.90 5.41 4.88 5.31 4.84 5.14 4.76 4.91 4.63  
 
60 5.57 5.00 5.53 4.99 5.42 4.93 5.23 4.84 4.97 4.70  
61 5.71 5.11 5.67 5.09 5.54 5.03 5.32 4.93 5.03 4.77  
62 5.96 5.23 5.81 5.21 5.66 5.14 5.42 5.02 5.09 4.84  
63 6.02 5.36 5.97 5.33 5.79 5.25 5.51 5.11 5.16 4.91  
64 6.20 5.49 6.13 5.46 5.93 5.37 5.61 5.21 5.21 4.98  
 
65 6.38 5.64 6.31 5.60 6.07 5.49 5.71 5.31 5.27 5.05  
66 6.58 5.79 6.49 5.75 6.22 5.63 5.81 5.41 5.32 5.12  
67 6.79 5.95 6.69 5.91 6.38 5.76 5.91 5.52 5.38 5.18  
68 7.02 6.13 6.89 6.08 6.53 5.91 6.01 5.63 5.42 5.25  
69 7.26 6.32 7.11 6.26 6.70 6.06 6.11 5.74 5.47 5.31  
 
70 7.52 6.53 7.35 6.45 6.86 6.23 6.20 5.85 5.51 5.37  
71 7.80 6.75 7.59 6.66 7.03 6.39 6.29 5.96 5.54 5.42  
72 8.09 6.99 7.85 6.89 7.21 6.57 6.38 6.07 5.57 5.47  
73 8.41 7.26 8.12 7.13 7.38 6.75 6.46 6.17 5.60 5.51  
74 8.75 7.54 8.41 7.39 7.55 6.94 6.53 6.28 5.63 5.55  
 
75 9.12 7.85 8.71 7.66 7.73 7.13 6.61 6.38 5.65 5.59  

 

- -----------------------------------------------------------------------------------------------------------------------</TABLE>

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

29

<PAGE>

      OPTION 2                
 
      Life Income              
 
  Amount of First Monthly Payment for Each $1,000            
  After Deduction of any Charge for Premium Taxes            
 
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%          
 
  Payments Guaranteed for a Stated Period of Months            
 
<TABLE>                      
<CAPTION>                      
- -----------------------------------------------------------------------------------------------------------------------  
Adjusted   None   60   120   180   240  
Age of ------------------------------------------------------------------------------------------------------------  
Annuitant Male Female Male Female Male Female Male Female Male Female  
- -----------------------------------------------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>  
50 $ 5.48 $ 5.12 $ 5.46 $ 5.11 $ 5.41 $ 5.09 $ 5.34 $ 5.06 $ 5.24 $ 5.01  
51 5.55 5.17 5.53 5.17 5.48 5.14 5.40 5.11 5.29 5.05  
52 5.63 5.23 5.61 5.23 5.55 5.20 5.46 5.16 5.34 5.10  
53 5.71 5.30 5.69 5.29 5.62 5.26 5.53 5.22 5.40 5.15  
54 5.80 5.37 5.77 5.36 5.70 5.33 5.60 5.27 5.45 5.20  
 
55 5.89 5.44 5.86 5.43 5.79 5.39 5.67 5.34 5.51 5.25  
56 5.99 5.52 5.96 5.51 5.87 5.47 5.74 5.40 5.56 5.31  
57 6.10 5.60 6.06 5.59 5.97 5.54 5.82 5.47 5.62 5.37  
58 6.21 5.69 6.17 5.67 6.06 5.62 5.90 5.54 5.68 5.42  
59 6.33 5.79 6.29 5.77 6.17 5.71 5.98 5.61 5.74 5.48  
 
60 6.46 5.89 6.41 5.87 6.28 5.80 6.06 5.69 5.79 5.55  
61 6.60 6.00 6.55 6.97 6.39 5.90 6.15 5.77 5.85 5.61  
62 6.75 6.11 6.69 6.08 6.51 6.00 6.24 5.86 5.91 5.67  
63 6.91 6.23 6.84 6.20 6.64 6.10 6.33 5.95 5.96 5.73  
64 7.09 6.37 7.00 6.33 6.77 6.22 6.42 6.04 6.02 5.80  
 
65 7.27 6.51 7.18 6.46 6.91 6.34 6.52 6.13 6.07 5.86  
66 7.47 6.66 7.36 6.61 7.05 6.46 6.61 6.23 6.12 5.92  
67 7.68 6.82 7.55 6.76 7.20 6.60 6.70 6.33 6.16 5.99  
68 7.91 7.00 7.76 6.93 7.35 6.74 6.80 6.43 6.21 6.04  
69 8.15 7.19 7.98 7.11 7.51 6.89 6.89 6.54 6.25 6.10  
 
70 8.41 7.39 8.21 7.30 7.67 7.04 6.97 6.64 6.28 6.15  
71 8.69 7.62 8.45 7.51 7.83 7.21 7.06 6.74 6.32 6.20  
72 8.99 7.86 8.70 7.73 8.00 7.38 7.14 6.85 6.35 6.25  
73 9.31 8.12 8.97 7.97 8.16 7.55 7.21 6.95 6.37 6.29  
74 9.65 8.41 9.26 8.23 8.33 7.73 7.29 7.04 6.39 6.33  
 
75 10.02 8.72 9.55 8.50 8.50 7.92 7.35 7.14 6.41 6.36  
- -----------------------------------------------------------------------------------------------------------------------  
</TABLE>                      
 
  Rates are based on mortality from 1983 Table a.            
Rates for ages not shown will be provided on request and will be computed          
 
 
 
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Page 19 of 21

on a basis consistent with the rates in the above tables.

     30 <PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

<TABLE> <CAPTION>

- --------------------------------------------------------------------------------------------Adjusted Ages - -----------------------Second Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - --------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 3.97 $ 4.35 $ 4.56 $ 3.97 $ 4.42
55 55 4.16 4.54 4.76 4.15 4.54
55 60 4.34 4.76 5.00 4.34 4.64
 
60 55 4.27 4.73 5.00 4.26 4.83
60 60 4.51 4.99 5.27 4.50 4.98
60 65 4.76 5.29 5.60 4.75 5.13
 
65 60 4.66 5.25 5.61 4.65 5.39
65 65 4.99 5.61 5.99 4.98 5.60
65 70 5.34 6.03 6.46 5.31 5.81
 
70 65 5.19 5.97 6.44 5.17 6.14
70 70 5.67 6.49 6.99 5.62 6.47
70 75 6.16 7.10 7.68 6.07 6.77
 
75 70 5.95 6.96 7.61 5.87 7.20
75 75 6.64 7.73 8.43 6.48 7.68
75 80 7.33 8.62 9.45 7.02 8.13

 

- --------------------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

31

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Female and Second Annuitant is Male)

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

<TABLE>              
<CAPTION>              
- ------------------------------------------------------------------------------------------------------  
Adjusted Ages            
- ----------------------            
  Second            
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e  
- ---------------------------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C> <C>  
55 50 $ 4.03 $ 4.36 $ 4.55 $ 4.03 $ 4.41  
55 55 4.16 4.54 4.76 4.15 4.54  
55 60 4.27 4.73 5.00 4.26 4.83  
 
60 55 4.34 4.76 5.00 4.34 4.64  
60 60 4.51 4.99 5.27 4.50 4.98  
60 65 4.66 5.25 5.61 4.65 5.39  
 
65 60 4.76 5.29 5.60 4.75 5.13  
65 65 4.99 5.61 5.99 4.98 5.60  
65 70 5.19 5.97 6.44 5.17 6.14  
 
70 65 5.34 6.03 6.46 5.31 5.81  
70 70 5.67 6.49 6.99 5.62 6.47  
70 75 5.95 6.96 7.61 5.87 7.20  
 
75 70 6.16 7.10 7.68 6.07 6.77  
75 75 6.64 7.73 8.43 6.48 7.68  
 
 
 
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75 80 7.04 8.39 9.29 6.79 8.70

- ---------------------------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

32

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

<TABLE>
<CAPTION>
- -----------------------------------------------------------------------------------------

 

     Adjusted Ages - -----------------------Second

Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - -----------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 4.88 $ 5.26 $ 5.48 $ 4.88 $ 5.34
55 55 5.04 5.44 5.66 5.04 5.43
55 60 5.21 5.65 5.89 5.21 5.53
 
60 55 5.15 5.63 5.91 5.14 5.73
60 60 5.37 5.87 6.16 5.37 5.86
60 65 5.61 6.16 6.49 5.60 6.01
 
65 60 5.52 6.14 6.51 5.51 6.28
65 65 5.83 6.49 6.87 5.82 6.47
65 70 6.17 6.90 7.33 6.13 6.67
 
70 65 6.04 6.84 7.34 6.00 7.03
70 70 6.49 7.35 7.87 6.44 7.33
70 75 6.97 7.96 8.56 6.87 7.62
 
75 70 6.77 7.84 8.51 6.68 8.08
75 75 7.45 8.60 9.33 7.27 8.55
75 80 8.14 9.49 10.35 7.80 8.98

 

- -----------------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

33

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Female and the Second Annuitant is Male)

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

<TABLE>              
<CAPTION>              
- ------------------------------------------------------------------------------------------  
Adjusted Ages            
- ----------------------            
  Second            
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e  
- ------------------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C> <C>  
55 50 $ 4.93 $ 5.27 $ 5.46 $ 4.93 $ 5.19  
55 55 5.04 5.44 5.66 5.04 5.43  
55 60 5.15 5.63 5.91 5.14 5.73  
 
60 55 5.21 5.65 5.89 5.21 5.53  
60 60 5.37 5.87 6.16 5.37 5.86  
60 65 5.52 6.14 6.51 5.51 6.28  
 
65 60 5.61 6.16 6.49 5.60 6.01  
65 65 5.83 6.49 6.87 5.82 6.47  
65 70 6.04 6.84 7.34 6.00 7.03  
 
 
 
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70 65 6.17 6.90 7.33 6.13 6.67
70 70 6.49 7.35 7.87 6.44 7.33
70 75 6.77 7.84 8.51 6.68 8.08
 
75 70 6.97 7.96 8.56 6.87 7.62
75 75 7.45 8.60 9.33 7.27 8.55
75 80 7.86 9.28 10.20 7.57 9.59

 

- ------------------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

34

<PAGE>

- --------------------------------------------------------------------------------

Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
Hartford, Connecticut 06156
(800) 531-4547

Individual Variable, Fixed, or Combination Annuity Contract
Nonparticipating

- --------------------------------------------------------------------------------

ALL PAYMENTS AND VALUES PROVIDED BY THE CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

I-CDA-GP2(4/94)

https://www.sec.gov/Archives/edgar/data/925981/0000950146-98-000663.txt

03/26/2018

EX-16 11 ex164g.htm EXHIBIT 16(4)(G) CERTIFICATE GP2CERT (4/94) ex164g.htm - Generated by SEC Publisher for SEC Filing
Exhibit 16(4)(g)
Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
Hartford, Connecticut 06156
(800) 531-4547  
 
Aetna Insurance Company of America (We or Us) agrees to pay benefits according
to the terms and conditions set forth in this Contract.
 
- --------------------------------------------------------------------------------
Certificate of Group Annuity Coverage  
 
Aetna certifies that an account is established for you under the Group Annuity
Contract and Certificate numbers shown below.  
 
This certificate describes Group Annuity Contract provisions. It replaces any
and all prior certificates or endorsements issued to you under the stated
Contract and Certificate numbers. This Certificate is for information only and
is not a part of the Contract.  
 
THE VARIABLE FEATURES OF THE GROUP CONTRACT ARE DESCRIBED IN SECTIONS 6 AND 12.
 
- --------------------------------------------------------------------------------
Right to Cancel  
 
The Certificate Holder may cancel the Certificate within ten (10) days of
receiving it by returning it to Us at the address above or the person from whom
it was purchased. Within seven (7) days of the cancellation request, We will
return the Certificate Holder's Purchase Payment(s) made plus any increase, or
minus any decrease on the amount allocated to the Separate Account.
 
Signed at the Home Office on the Effective Date.
 
/s/ Dan Kearney /s/ Maria F. McKeon
President Secretary
 
- --------------------------------------------------------------------------------
Contract Holder Group Annuity Contract Number
 
- --------------------------------------------------------------------------------
Certificate Holder Certificate Number
 
- --------------------------------------------------------------------------------
Annuitant Name Type of Plan
 
 
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO
FIXED DOLLAR AMOUNT. THIS CERTIFICATE CONTAINS A MARKET VALUE ADJUSTMENT
FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN
INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA
DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.
 
GP2CERT(4/94)  
<PAGE>  
 
Table of Contents  
  Page
Right to Cancel 1
 
Contract Schedule 4
 
Separate Account 4
AICA Guaranteed Account (AG Account) 4
Separate Account and AG Account 4
Fixed Annuity 6
 
Section 1. Definitions 7
 
Section 2. General Provisions 9
 
The Contract 9
Certificates 9
Nonparticipating Contract 9
Misstatements and Adjustments 9
Reports 9
Premium Taxes 9
Protection of Proceeds 9
Evidence of Survival 9
Proof of Age 9
Change of Contract 9
 
Section 3. Ownership 10
 
Group Contract Holder 10
Certificate Holder Rights 10
Transfer of Ownership 10
 
Section 4. Beneficiary Provisions 11
 
Beneficiary 11
Change of Beneficiary 11
Death of Beneficiary 11

 


 

Page 2 of 23

Section 5. Purchase Payments 11
 
Purchase Payments 11
Allocation of Purchase Payments 11
 
Section 6. Separate Account 12
 
General 12
Investment Allocations to the Separate Account 12
Valuation of Assets 12
Accumulation Unit 12
Net Return Factor for Each Valuation Period 12
Administrative Charge 13
Mortality Risk Charge 13
Expense Risk Charge 13
Mortality and Expense Guarantee 13
 
 
2  
 
<PAGE>  
 
  Page
 
Section 7. AG Account 13
 
AG Account Guaranteed Interest Rate 13
Deposit Period 13
Guaranteed Term 13
Guaranteed Term(s) Groups 14
Maturity Date 14
Allocation of Net Purchase Payments to the AG Account 14
AG Account Guaranteed Term Maturity Date and Maturity Value 14
Transfers from the AG Account 14
Withdrawals from the AG Account 14
Reinvestment 14
AG Account Market Value Adjustment (Factor) 15

 

Section 8. Certificate Holder's Account Value; Transfers and Withdrawals  
During the Accumulation Period 16
 
Certificate Holder's Account Value 16
Transfers During the Accumulation Period 16
Withdrawals During the Accumulation Period 16
Deferred Sales Charge 16
Waiver of Deferred Sales Charge 17
Payment of Adjusted Certificate Holder Account Value 17
Systematic Withdrawal Option (SWO) 17
 
Section 9. Maintenance Charge 18
 
Maintenance Charge 18
 
Section 10. Proceeds Payable on Death 18
 
Death of the Certificate Holder Prior to the Annuity Date 18
Death Benefit Amount Prior to the Annuity Date 18
Death Benefit Payment Methods 20
Death of Certificate Holder On or After the Annuity Date 20
Death of the Annuitant 20
 
Section 11. Delay of Payments 20
 
Delay of Payments 20
 
Section 12. Annuity Provisions 21
 
Designation of Annuitant 21
Terms of Annuity Options 21
Annuity Unit 22
Annuity Unit Value 23
Annuity Net Return Factor 23
Annuity Options 23
 
 
3  
 
<PAGE>  

 

Contract Schedule

Separate Account

- --------------------------------------------------------------------------------

Separate Account: Variable Account I    
Charges to the Separate A daily charge is deducted from the assets of the  
Account: Separate Account. The deduction is the daily  
  equivalent of the annual effective percentage  
  shown below:    
  (a) During the Accumulation Period:    
  Administrative Charge 0.15%  
 
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  Mortality Risk Charge 0.35%
  Expense Risk Charge 0.90%
  TOTAL Separate Account Charges During  
  Accumulation Period 1.40%
 
(b) During the Annuity Period  
 
  Administrative Charge Not To Exceed 0.25%
  Mortality Risk Charge 0.35%
  Expense Risk Charge 0.90%
  TOTAL Maximum Separate Account Charges  
  During Annuity Period 1.50%

 

AICA Guaranteed Account (AG Account)

- --------------------------------------------------------------------------------

Minimum Guaranteed 3.0%
Interest Rate  
(effective annual rate of  
return):  

 

Separate Account and AG Account

- --------------------------------------------------------------------------------

Minimum Initial Purchase Payment:

Minimum Subsequent Purchase Payment:

Maximum Subsequent Purchase Payment:

Transfers:

$1,500

$500 or $50 per month if paid by an automatic check plan

$500,000 without Home Office approval

We allow an unlimited number of transfers during the Accumulation Period. Twelve (12) transfers in any calendar year are free. Thereafter, We reserve the right to charge a transfer charge up to $10 for each subsequent transfer.

 

4

<PAGE>

Maintenance Charge: The annual maintenance charge is $30. If the
  Certificate Holder's Account is $50,000 or more on
  the date the maintenance charge is to be deducted,
  the maintenance charge is $0.  
 
Deferred Sales For each withdrawal from a Certificate Holder's
Charge: Account, a deferred sales charge for each Net
  Purchase Payment will be determined as follows:
 
  Years from Receipt of Deferred
  Net Purchase Payment Sales Charge
 
  0-1 7%
  1-2 6%
  2-3 5%
  3-4 4%
  4-5 3%
  5-6 2%
  6-7 1%
  7+ 0%
 
Waiver of Deferred Section 8.05 provides for the following:
Sales Charge:    

 

(c)     

At least 12 months after the date of the first Purchase Payment in an amount equal to or less than 15% of the Certificate Holder's Account Value.

(d)     

For a full withdrawal where the Certificate Holder's Account Value does not exceed $2,500 and no withdrawals have been taken from the Certificate Holder's Account within the prior 12 months.

Systematic (a) Specified Payment - Maximum Percentage: 10%  
Withdrawal Option:      
  (b) Specified Period - Minimum Period: 10 years  
 
  (c) Specified Percentage - Maximum Percentage: 10%  
 
Death Benefit Factor: 4%    
 
Death Benefit There is no maximum death benefit amount.    
Maximum Amount:      
 
Death Benefit 85 years    
Maximum Age:      
 
Fund for Allocation of Federated Prime Money Fund II    
Excess Guaranteed Death      
Benefit Value:      
 
 
 
 
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Page 4 of 23

Latest Annuity Date:

The Certificate Holder's 90th birthday.

5

<PAGE>

Fixed Annuity
- --------------------------------------------------------------------------------

 

Minimum Guaranteed 3.0%  
Interest Rate    
(effective annual rate    
of return):    
 
 
      6
<PAGE>      
 
 
 
Section 1. Definitions    

 

  • --------------------------------------------------------------------------------

  • Accumulation Period - The period during which one or more Net

Purchase Payments applied to a Certificate Holder's Account
accumulate to provide future Annuity payments.

1.02     

Accumulation Unit - A measure of the net investment results for each variable investment option during the Accumulation Period.

 

The Accumulation Units for the applicable Funds are used to calculate the portion of a Certificate Holder's Account Value attributable to a Separate Account during the Accumulation Period.

1.03     

Adjusted Certificate Holder Account Value - The Certificate Holder's Account Value, plus or minus any aggregate AG Account Market Value Adjustment.

1.04     

Annuitant - The natural person on whose life an Annuity payment is based.

1.05     

Annuity - A series of payments We make for life, a definite period or a combination of the two.

1.06     

Annuity Date - The date on which Annuity payments commence.

1.07     

Annuity Options - Annuity payment methods available during the Annuity Period.

1.08     

Annuity Period - The period of time during which Annuity payments are made.

1.09     

Annuity Unit - A measure of the net investment results for each variable investment option during the Annuity Period. Annuity Units are used to calculate the amount of each variable Annuity payment.

1.10     

Beneficiary - The person(s) entitled to receive any death benefit under the Certificate Holder's Account. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if any, is treated as the Beneficiary. Any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary.

1.11     

Certificate - The document issued to a Certificate Holder to evidence a Certificate Holder's Account established under the group Contract.

1.12     

Certificate Holder - A person who has established a Certificate

Holder's     

Account under a group Contract. We reserve the right to

limit     

ownership to natural persons. If more than one Certificate

Holder     

owns an Account, each Certificate Holder shall be a joint

Certificate     

Holder. Any joint Certificate Holder must be the

spouse     

of the other joint Certificate Holder. Joint Certificate

Holders     

have joint ownership rights and both must authorize any

exercising     

of those ownership rights unless otherwise allowed by

Us.     

1.13     

Certificate Holder's Account - A record We establish for each

Certificate     

Holder to maintain values under a group Contract.

1.14     

Certificate Holder's Account Value - The dollar value as of any

Valuation     

Period of all amounts accumulated in a Certificate

Holder's     

Account.

7

<PAGE>

1.15     

Contract - This agreement between the Group Contract Holder and Us.

1.16     

Effective Date - The date a Certificate is issued to a Certificate Holder.

1.17     

Fund - One of the variable investment options which may be

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Page 5 of 23

selected by a Certificate Holder.

1.18     

General Account - The General Account is made up of all of our general assets other than those allocated to the separate accounts.

1.19     

AICA Guaranteed Account (AG Account) - An investment option where We guarantee specified rate(s) of interest for specified periods of time. The AG Account is a separate account established by Us in accordance with the provisions of the Connecticut General Statutes Section 38a-433. Certificate Holders do not participate in the investment gain or loss from the assets held in the AG Account. Assets in the AG Account may be charged with liabilities arising out of any other business We may conduct.

1.20     

Group Contract Holder - The entity to which a group Contract is issued.

1.21     

Home Office - Our headquarters, located at 151 Farmington Avenue, Hartford, CT 06156.

1.22     

Market Value Adjustment - An adjustment to any withdrawal made from the AG Account before the end of a guaranteed term as stated in Section 7.11.

1.23     

Net Purchase Payment - The Purchase Payment less premium taxes, if applicable.

1.24     

Purchase Payment - The gross payment accepted by Us and allocated to the Certificate Holder's Account. We reserve the right to refuse to accept any Purchase Payment at any time for any reason.

1.25     

Separate Account - A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to Our other income, gains or losses. We own the assets held in the Separate Account and are not a trustee as to such amounts. The

Separate     

Account generally is not guaranteed and is held at

market     

value. The name of the Separate Account is shown on the

Contract     

Schedule. The assets of the Separate Account, to the

extent     

of reserves and other Contract liabilities of the Separate

Account,     

will not be charged with Our other liabilities.

1.26     

Valuation Period - The period of time for which a Fund determines

its     

net asset value, usually from 4:15 p.m. Eastern time each day

the     

New York Stock Exchange is open until 4:15 p.m. the next such

business     

day, or such other day that one or more of the Funds

determines     

its net asset value. The assets of the Separate

Account     

are not chargeable with the liabilities arising out of

any     

other business We may conduct.

1.27     

Variable Annuity Contract - An Annuity Contract providing for the

accumulation     

of value and/or for Annuity payments which vary in

amount     

based on investment results.

8

<PAGE>

Section 2.

General Provisions

  • --------------------------------------------------------------------------------

  • The Contract - The entire Contract consists of this Contract and

any attached applications or endorsements.

2.02     

Certificates - A Certificate is issued to each Certificate Holder whose Purchase Payment(s) is accepted by Us. The Certificate evidences a Certificate Holder's Account established under the Contract. Certificates are not part of the Contract.

2.03     

Nonparticipating Contract - Neither the Group Contract Holder, Certificate Holder nor any Beneficiary have a right to share in our earnings.

2.04     

Misstatements and Adjustments - If We learn that the age of any Annuitant or second Annuitant is misstated, the correct age will be used to adjust payments. We reserve the right to request reimbursement or adjust future payments for any amount overpaid.

 

We will pay the amount of any underpayment.

2.05     

Reports - We furnish each Certificate Holder with a report showing the Certificate Holder's Account Value at least once each calendar year. We also furnish an annual report of the Separate Account.

2.06     

Premium Taxes - Any premium taxes paid to any governmental entity are charged against Purchase Payments or a Certificate Holder's Account. We may, at our sole discretion, pay premium taxes when due and deduct that amount from the Certificate Holder's Account at a later date. Payment at an earlier date does not waive any right We may have to deduct amounts at a later date.

2.07     

Protection of Proceeds - To the extent permitted by law, all

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payments under this Contract to a Certificate Holder or
Beneficiary shall be free from legal process and the claim of any
creditor.

2.08     

Evidence of Survival - The Company may require satisfactory evidence of the continued survival of any person(s) on whose life Annuity payments are based.

2.09     

Proof of Age - The Company may require evidence of age of any Annuitant under Annuity Options 2 and 3 and of the designated second Annuitant under Annuity Option 3.

2.10     

Change of Contract - Only our authorized officers may change the terms of this Contract. We will notify the Group Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity which begins before the change.

 

We may make any change that affects the AG Account Market Value Adjustment with at least thirty (30) days' advance written notice to the Group Contract Holder and the Certificate Holder. Any such change shall become effective for any new guaranteed term and will apply to all present and future Certificate Holders' Accounts.

 

We reserve the right to change the terms of the Systematic Withdrawal Option for future elections and discontinue the availability of this option.

9

<PAGE>

Any change to any of the following provisions under this Contract
will not apply to Certificate Holder's Accounts in existence
before the effective date of the change:

(a)     

Net Purchase Payment (1.23)

(b)     

AG Account Guaranteed Interest Rate (7.01)

(c)     

Net Return Factor (6.05)

(d)     

Certificate Holder's Account Value (1.14)

(e)     

Deferred Sales Charge (8.04)

(f)     

Annuity Unit Value (12.04)

(g)     

Annuity Options (12.06)

(h)     

Fixed Annuity Interest Rates (12.01)

(i)     

Transfers (8.02).

Any change that affects the Annuity Option and the tables for the
Annuity Options may be made:

(a)     

No earlier than twelve (12) months after the Effective Date; and

(b)     

No earlier than twelve (12) months after the effective date of any prior change.

Any Certificate Holder's Account established on or after the
effective date of any change will be subject to the change. If
the Group Contract Holder does not agree to any change under this
provision, We reserve the right to not allow any new Certificate
Holder's Accounts to be established under this Contract. This
Contract may also be changed as deemed necessary by Us to comply
with federal or state law.

Section 3.

Ownership

  • --------------------------------------------------------------------------------

  • Group Contract Holder - The Group Contract Holder has title to

the Contract. The Contract and any amounts accumulated thereunder
are not subject to the claims of the Group Contract Holder nor
any of its creditors.

3.02     

Certificate Holder Rights - The Certificate Holder has all

  interest     

and right to amounts held in his or her Certificate

  Holder's     

Account. The Certificate Holder and any joint

  Certificate     

Holder are named on the Specifications page. The

  Certificate     

Holder and any joint Certificate Holder may exercise

  all     

the rights under the Certificate Holder's Account, subject to

  the     

rights of:

  (a)     

Any assignee under an assignment filed at our Home Office; and

  (b)     

Any irrevocably named Beneficiary.

  Upon     

the death of a Certificate Holder prior to the Annuity Date,

  a     

spousal Beneficiary may elect to continue the Certificate

  Holder's     

Account in his or her own name and retain all ownership

  rights     

and privileges or take distribution of the death benefit

  as     

defined in Section 10.

3.03     

Transfer of Ownership - The Group Contract Holder may transfer

  ownership     

of this Contract. A written request, dated and signed,

  must     

be filed at our Home Office.

  Any     

transfer of ownership terminates the interest of any existing

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Group Contract Holder. It does

10

<PAGE>

not change the rights of any Certificate Holder.

A Certificate Holder may transfer all of his or her rights under
the Contract. A written request, dated and signed by the
Certificate Holder and any joint Certificate Holder, must be
filed at our Home Office. After the transfer is recorded, it will
take effect as of the date the request was signed. Any such
transfer terminates the interest of any existing Certificate
Holder. It does not change the Beneficiary, nor transfer the
Beneficiary's interest. A transfer will not affect any payments
We may make or actions We may take before such transfer has been
recorded at our Home Office.

Section 4.

Beneficiary Provisions

  • --------------------------------------------------------------------------------

  • Beneficiary - The Certificate Holder may name a Beneficiary and

a contingent Beneficiary. At the death of the Certificate Holder
prior to the Annuity Date, the Beneficiary(ies) named in our
records will receive a death benefit as stated in Section 10.
Upon the death of either joint Certificate Holder prior to the
Annuity Date, the surviving joint Certificate Holder, if any,
will be treated as the designated Beneficiary and any other
Beneficiary designation on record with Us at the time of death is
treated as a contingent Beneficiary.

4.02     

Change of Beneficiary - The Certificate Holder may change the Beneficiary. A written request, dated and signed by the Certificate Holder, must be filed at our Home Office. If there are joint Certificate Holders, both must sign the request. After the change is recorded, it will take effect as of the date the request was signed. If the request reaches our Home Office and is recorded after the Certificate Holder dies, but before any payment is made, the change is valid.

4.03     

Death of Beneficiary - If all of the Beneficiaries and contingent Beneficiaries die prior to the Certificate Holder's death, We pay the death benefit in one sum to the Certificate Holder's estate.

Section 5.

Purchase Payments

  • --------------------------------------------------------------------------------

  • Purchase Payments - Subject to the maximum and minimum shown on

the Contract Schedule, the Certificate Holder may determine the
amount and frequency of Purchase Payments. We reserve the right
not to accept any Purchase Payment. We will declare from time to
time the acceptability of additional Purchase Payments.

5.02     

Allocation of Purchase Payments - The Certificate Holder may

  elect     

to have each Net Purchase Payment accumulate:

  (a)     

On a variable basis invested in shares of one or more Funds in which the Separate Account invests;

  (b)     

For guaranteed terms offered in the current deposit period(s) under the AG Account; or

  (c)     

In a combination of any of the available investment options.

  Net     

Purchase Payments must be allocated in whole percentages. For

  subsequent     

Purchase Payments, if no allocation instructions are

  received     

with the Purchase Payment, the allocation will be as

  indicated     

in the most recent directive from the Certificate

  Holder.     

If the same

11

<PAGE>

guaranteed term(s) are not available, the next shortest will be
used. If no shorter guaranteed term is available, the next longer
guaranteed term will be used.

Section 6.

Separate Account

  • --------------------------------------------------------------------------------

  • General - The assets of the Separate Account, equal to the

reserves and other Contract liabilities that depend on the
investment performance of the Separate Account are not chargeable
with liabilities arising out of any other business We may
conduct. Income, gains or losses of the Separate Account,
realized or unrealized, are credited to or charged against the
assets of the Separate Account without regard to Our other
income, gains or losses.

6.02     

Investment Allocations to the Separate Account - The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate

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Account or if in our judgment, further investment in such shares
should become inappropriate in view of the purpose of the
Contract, We may cease to make such Fund shares available for
investment under the Contract prospectively, or We may substitute
shares of another Fund for shares already acquired. We may also,
from time to time, add additional Funds. Any elimination,
substitution or addition of Funds will be done in accordance with
applicable state and federal securities laws. We reserve the
right to substitute shares of another Fund for shares already
acquired without a proxy vote.

6.03     

Valuation of Assets - The shares of the Funds will be valued at

  their     

net asset value at the end of each Valuation Period.

6.04     

Accumulation Unit - A Net Purchase Payment that is allocated to

  one     

or more Funds is credited to the Certificate Holder's Account

  as     

Accumulation Units. The number of Accumulation Units credited

  is     

determined by dividing the applicable portion of the Net

  Purchase     

Payment by the Accumulation Unit value for the

  appropriate     

Fund. The Accumulation Unit value used is that which

  is     

computed for the next Valuation Period after which the

  Purchase     

Payment is received at our Home Office. Accumulation

  Units     

attributable to the initial Purchase Payments will be

  credited     

within two business days of acceptance.

  Accumulation     

Unit values may increase or decrease from Valuation

  Period     

to Valuation Period.

6.05     

Net Return Factor for Each Valuation Period - The value of an

  Accumulation     

Unit for any Valuation Period is calculated by

  multiplying     

the Accumulation Unit value for the immediately

  preceding     

Valuation Period by the net return factor of the

  appropriate     

Fund for the current period.

  The     

net return factor for each Fund is equal to 1.0000000 plus

  the     

net return rate.

  The     

net return rate equals:

  (a)     

The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus

  (b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

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<PAGE>

(c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

(d)     

The total value of the Funds(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus

(e)     

A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge.

The net return rate may be more or less than zero (0) percent.

The value of a share of the Fund is equal to the net assets of
the Fund divided by the number of shares outstanding.

6.06     

Administrative Charge - We deduct an administrative charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.07     

Mortality Risk Charge - We deduct a mortality risk charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.08     

Expense Risk Charge - We deduct an expense risk charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.09     

Mortality and Expense Guarantee - We guarantee that the dollar amount of each Annuity payment after the first will not be affected by variations in mortality or expense experience.

Section 7.

AG Account

  • --------------------------------------------------------------------------------

  • AG Account Guaranteed Interest Rate - All amounts allocated to

the AG Account earn a rate of interest that is guaranteed for a
specified period of time. The rate will be credited daily and
will never be less than the minimum guaranteed interest rate
shown on the Contract Schedule. We determine the rate and it is
not based on investment experience.

  For guaranteed terms of one year or less, one guaranteed interest  
  rate is credited for the full guaranteed term. For longer  
  guaranteed terms, an initial guaranteed interest rate is credited  
  from the date of deposit to the end of a specified period within  
  the guaranteed term. There may be different guaranteed interest  
  rate(s) declared for subsequent specified time intervals  
  throughout the guaranteed term.  
 
7.02 Deposit Period - A calendar week, a calendar month, a calendar  
 
 
 
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quarter, or any other period of time We specify during which Net
Purchase Payment(s), transfers and reinvestments are accepted
into the AG Account for one or more guaranteed terms. We reserve
the right to extend the deposit period.

7.03     

Guaranteed Term - The period of time for which AG Account guaranteed interest rates are guaranteed on Net Purchase Payments. Transfers and reinvestments are made into a current deposit period for the AG Account. Such period begins on the day following the close of the deposit period and ends on the designated Maturity Date. Guaranteed terms, if any, are offered at our discretion for various lengths of time ranging up to and including ten years.

13

<PAGE>

During a deposit period, We may make available any number of
guaranteed terms. The Certificate Holder may allocate Net
Purchase Payments and transfers into any or all of the available
guaranteed terms.

7.04     

Guaranteed Term(s) Groups - All AG Account guaranteed term(s)

  with     

the same length of time from the close of the deposit period

  until     

the designated Maturity Date.

7.05     

Majority Date - The last day of a guaranteed term.

7.06     

Allocation of Net Purchase Payments to the AG Account - When the

  Certificate     

Holder wishes to allocate all or any portion of a Net

  Purchase     

Payment to the AG Account, he or she must tell Us the

  percentage     

to apply to one or more of the AG Account guaranteed

  term(s)     

available during the current deposit period. If no

  allocation     

instructions are received, a Net Purchase Payment is

  allocated     

as indicated in the most recent directive from the

  Certificate     

Holder. If the same guaranteed term is not available

  for     

any amount allocated to the AG Account, We will allocate the

  amount     

to the next shortest guaranteed term available. If no

  shorter     

guaranteed term is available, We will allocate it to the

  next     

longest guaranteed term.

7.07     

AG Account Guaranteed Term Maturity Date and Maturity Value - On

  the     

maturity date, the value of the total of all amounts

  allocated     

to that guaranteed term is called the maturity value.

  When     

Certificate Holders have assets in the AG Account, at least

  eighteen     

(18) days before a maturity date, We notify them of the:

  (a)     

Projected maturity value; and

  (b)     

Guaranteed terms and the applicable guaranteed interest rates available during the current deposit period.

  When     

no allocation instructions are received and the assets in a

  guaranteed     

term have been reinvested by Us in another guaranteed

  term     

on the maturity date, the Certificate Holder may transfer or

  withdraw,     

during the month following the maturity date, the

  reinvested     

amount with interest earned (as of the date the

  request     

is received at our Home Office) without incurring a

  Market     

Value Adjustment. This transaction is allowed only once

  for     

each maturity date, regardless of whether the transfer or

  withdrawal     

is partial or full.

7.08     

Transfers from the AG Account - A Certificate Holder may transfer

  any     

portion, or all, of an amount in the AG Account to one or

  more     

of the Funds or to another available guaranteed term. The

  amount     

withdrawn for any reason before the maturity date is

  subject     

to a Market Value Adjustment.

7.09     

Withdrawals from the AG Account - When the Certificate Holder

  requests     

a withdrawal from the AG Account, if instructions are

  not     

provided by the Certificate Holder, amounts are withdrawn on

  a     

pro rata basis from the guaranteed term(s) groups in which the

  Certificate     

Holder's Account is currently invested. Within a

  guaranteed     

term group, the amount to be withdrawn will be

  withdrawn     

first from the oldest deposit period. Except on the

  maturity     

date, withdrawals from the AG Account will be subject to

  a     

Market Value Adjustment.

7.10     

Reinvestment - We will mail a notice to the Certificate Holder

  before     

a guaranteed term's

14

<PAGE>

maturity date. This notice will contain the guaranteed terms
available during the current deposit periods with their
guaranteed interest rate(s) and projected maturity value. If no
specific direction is given by the Certificate Holder prior to
the maturity date, each maturity value will be reinvested in the
current deposit period for a guaranteed term of the same
duration. If a guaranteed term of the same duration is
unavailable, each matured term value will automatically be
reinvested in the current deposit period for the next shortest
guaranteed term available. If no shorter guaranteed term is
available, the next longer guaranteed term will be used. We will

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mail a confirmation statement to the Certificate Holder after the
maturity date. This notice will state the guaranteed term and
guaranteed interest rate(s) which will apply to the reinvested
matured term value.

7.11     

AG Account Market Value Adjustment (Factor) - The Market Value Adjustment factor (MVA factor) reflects any change in interest rates from the time assets are allocated to the AG Account to the time they are transferred or withdrawn. An MVA factor is applied to any amount withdrawn or transferred from the AG Account before the end of a guaranteed term, including amounts paid in a lump sum death benefit or applied to an Annuity Option.

 

The amount withdrawn from the AG Account is multiplied by the MVA factor which is calculated as follows:

x
---
365

(1 + i)
--------------------
x
---
365
(1 + j)

Where:

i is the Deposit Period Yield
j is the Current Yield
x is the number of days remaining, (computed from
Wednesday of the week of withdrawal) in the
guaranteed Term.

Determination of MVA factor parameters:

A yield is computed at the close of the last business day of each
week of the deposit period. The yield will equal the average of
the yields on U.S. Treasury Notes which matured during the last
three months of the applicable guaranteed term.

The deposit period yield is the average of those yields for the
deposit period. If withdrawal is made prior to the close of the
deposit period, it is the average of those yields on each week
preceding withdrawal.

The current yield is the average of the yields on the last
business day of the week preceding withdrawal on the same U.S.
Treasury Notes included in the deposit period yield.

If no U.S. Treasury Notes matured during the last three months of
the guaranteed term, We reserve the right to use the average of
the yields on U.S. Treasury Notes that mature during a

15

<PAGE>

following quarter.

Section 8.

Certificate Holder's Account Value; Transfers and Withdrawals During the Accumulation Period

 

  • --------------------------------------------------------------------------------

  • Certificate Holder's Account Value - The value of a Certificate

Holder's Account is determined by adding the value of the total
of Accumulation Units attributed to the selected Fund(s) to the
value of any amounts attributed to the AG Account.

8.02     

Transfers During the Accumulation Period - Before the Annuity

  Date,     

the Certificate Holder may transfer from any Fund or

  guaranteed     

term of the AG Account to:

  (a)     

Any other Fund; or

  (b)     

Any guaranteed term of the AG Account available in the current deposit period.

  Transfer     

requests can be submitted as a percentage or as a dollar

  amount.     

We may establish a minimum transfer amount. Within a

  guaranteed     

term group, the amount transferred is withdrawn first

  from     

the oldest deposit period, then from the next oldest, and so

  on     

until the amount requested is satisfied.

  The     

Certificate Holder may make an unlimited number of transfers

  during     

the Accumulation Period. The number of free transfers

  allowed     

is shown on the Contract Schedule. Transfers in excess of

  that     

number may be subject to the transfer charge shown on the

  Contract     

Schedule. Transfers of a matured term value from the AG

  Account     

on or within one calendar month after a guaranteed term's

  maturity     

date do not count against the annual transfer limit.

  Amounts     

applied to guaranteed terms of the AG Account may not be

  transferred     

to the Funds or to another guaranteed term during the

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deposit period or for 90 days after the close of the deposit
period except for matured term value(s) during the calendar month
following the guaranteed term's maturity date.

Transfers from guaranteed terms of the AG Account are subject to
a Market Value Adjustment.

8.03     

Withdrawals During the Accumulation Period - The Certificate Holder may withdraw all or a portion of the Certificate Holder's Account Value during the Accumulation Period by properly completing a withdrawal request form. Withdrawal requests can be submitted as a percentage or as a specific dollar amount. Net Purchase Payment amounts are withdrawn first, and then the excess value, if any. For any partial withdrawal, if instructions are not provided by the Certificate Holder, amounts are withdrawn on a pro rata basis from the Fund(s), and/or the guaranteed term(s) groups in which the Certificate Holder's Account is currently invested. Within a guaranteed term group, the amount to be withdrawn will be withdrawn first from the oldest deposit period, then from the next oldest, and so on until the amount requested is satisfied.

 

After deduction of the maintenance charge, if applicable, the withdrawn amount shall be reduced by the applicable deferred sales charge and any applicable premium taxes.

8.04     

Deferred Sales Charge - The deferred sales charge only applies to the portion of the amount

16

<PAGE>

withdrawn attributable to Net Purchase Payment(s) and varies
according to the elapsed time since receipt of the Purchase
Payment. The deferred sales charge is shown on the Contract
Schedule.

8.05     

Waiver of Deferred Sales Charge - No deferred sales charge is

  deducted     

when a Certificate Holder's Account Value is paid:

  (a)     

To a Beneficiary as a death benefit, except for Purchase

   Payments     

made by a surviving joint Certificate Holder as

   described     

in Section 10.02(b);

  (b)     

As a premium for an Annuity Option;

  (c)     

At least the number of months, as shown on the Contract

   Schedule,     

after the date of the first Purchase Payment and

   in     

an amount equal to or less than the percentage of the

   Certificate     

Holder's Account Value as shown on the Contract

   Schedule.     

This applies to the first withdrawal request,

   partial     

or full, in a calendar year. The Certificate

   Holder's     

Account Value is calculated as of the date the

   withdrawal     

request is received in good order at our Home

   Office.     

This waiver is not available to the Certificate

   Holder     

while a SWO is in effect;

  (d)     

For a full withdrawal where the Certificate Holder's

   Account     

Value does not exceed the amount shown on the

   Contract     

Schedule and no withdrawals have been taken from

   the     

Certificate Holder's Account within the prior 12 months;

   (e)     

For a distribution made by Us under Section 8.06; or (f)

   For     

a distribution which is part of a SWO under Section

   8.07.     

  We     

reserve the right to allow the proceeds of a total withdrawal

  to     

be reinstated under the terms and conditions as established by

  Us     

from time to time.

8.06     

Payment of Adjusted Certificate Holder Account Value - Upon 90

  day's     

written notice to the Certificate Holder, We will terminate

  any     

Certificate Holder's Account if the Certificate Holder's

  Account     

Value becomes less than $1,500 immediately following any

  partial     

withdrawal. We do not intend to exercise this right in

  cases     

where the Certificate Holder's Account Value is reduced to

  $1,500     

or less solely due to investment performance. When We make

  a     

distribution pursuant to this provision, the deferred sales

  charge     

will not be deducted.

8.07     

Systematic Withdrawal Option (SWO) - We will allow the

  Certificate     

Holder to establish a schedule of withdrawals to be

  made     

automatically from the Certificate Holder's Account Value.

  All     

distributed amounts will be withdrawn on a pro rata basis

  from     

the Fund(s) and/or the guaranteed term(s) groups of the AG

  Account     

in which the Certificate Holder's Account is invested.

  The     

Certificate Holder must elect one of the following SWO

  methods:     

  (a)     

Specified Payment: Payments of a designated dollar amount.

   The     

annual amount may not be greater than the percentage of

   the     

Certificate Holder's Account Value at time of the

   election     

as shown on the Contract Schedule. This annual

   dollar     

amount will remain constant. At our discretion, We

   may     

require a minimum payment amount; or

  (b)     

Specified Period: Payments which are made over a period of

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time which must be at least the minimum period as shown on
the Contract Schedule. The annual amount paid each

17

<PAGE>

year is calculated by dividing the Certificate Holder's
Account Value as of December 31 of the prior year by the
number of payment years remaining; or

(c)     

Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage of the Certificate Holder's Account Value at the time of election as shown on the Contract Schedule. The percentage may be changed by written request. We reserve the right to limit the number of times the percentage may be changed. The annual amount is calculated by multiplying the Certificate Holder's Account Value as of December 31 of the year prior to the payment by the designated percentage.

In our discretion, We may require a minimum initial Certificate
Holder's Account Value for election of this option. SWO may be
elected by submitting a completed and signed election form to Us.
Once elected, this option may be revoked by submitting a written
request to Us. SWO may be elected only once by the Certificate
Holder or by a spousal Beneficiary.

Certificate Holders should consult their tax adviser prior to
requesting this distribution option. We are not responsible for
any adverse tax consequences due to a Certificate Holder's
receiving SWO payments. A ten (10) percent penalty tax may apply
to distributions to a Certificate Holder who has not reached age
59-1/2. Upon death of the Certificate Holder, any payments will
be made under the terms of Section 10.

Section 9.

Maintenance Charge

  • --------------------------------------------------------------------------------

  • Maintenance Charge - We will deduct an annual maintenance charge

as shown in the Contract Schedule from the Certificate Holder's
Account during the Accumulation Period. We will deduct the
maintenance charge on the anniversary of the Effective Date of
the Certificate for the Certificate Holder's Account. This
maintenance charge is also deducted upon withdrawal of the entire
Adjusted Certificate Holder's Account. The maintenance charge is
deducted proportionately from each investment option used.

Section 10.

Proceeds Payable on Death

  • --------------------------------------------------------------------------------

  • Death of the Certificate Holder Prior to the Annuity Date - In

the event of the death of the Certificate Holder or a joint
Certificate Holder prior to the Annuity Date, a death benefit is
payable to the Beneficiary(ies) designated by the Certificate
Holder. Upon the death of a joint Certificate Holder, the
surviving joint Certificate Holder, if any, will be treated as
the designated Beneficiary. Any other Beneficiary designation on
record with Us at the time of death will be treated as a
contingent Beneficiary.

A Beneficiary may request We pay the death benefit under one of
the options described in Section 10.03. If the Beneficiary is the
spouse of the Certificate Holder, he or she may elect to continue
the Certificate Holder's Account in his or her own name and
exercise all the Certificate Holder's rights under the Contract.

10.02 Death Benefit Amount Prior to the Annuity Date -

18

<PAGE>

(a) Except as set forth in Section 10.02(b), the amount of the
guaranteed death benefit value is equal to the greater of:

(i)     

The Certificate Holder's Account Value at the end of the Valuation Period during which We receive at our Home Office due proof of death and election of the type of payment to be made; or

(ii)     

The death benefit determined as of the Valuation Period corresponding to the date of death.

 

Until the first Effective Date anniversary, the death benefit is equal to the Purchase Payments made by the Certificate Holder prior to the Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option.

 

For each Certificate year thereafter, the death benefit during the Certificate year equals the death benefit at the beginning of the Certificate year plus Purchase

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Payments made during the year less any withdrawals and
any amounts applied to an Annuity Option.

On each Effective Date anniversary, the death benefit
is determined as follows:

(A)     

The death benefit on the previous Effective Date anniversary increased by the death benefit factor shown on the Contract Schedule; plus

(B)     

Purchase Payments made by the Certificate Holder during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the year since the Purchase Payment was made; less

(C)     

Any withdrawals or amounts applied to an Annuity Option during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the Certificate year since the withdrawal or election of Annuity option; or

(iii)     

The Certificate Holder's Account Value on the most recent seventh year anniversary of the Effective Date plus any Purchase Payments made after such Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option.

Notwithstanding the foregoing, the death benefit under (ii)
or (iii) will not exceed the death benefit maximum amount
shown on the Contract Schedule.

The death benefit calculation described in (ii) and (iii)
above, applies until the Certificate Holder reaches the
death benefit maximum age shown on the Contract Schedule.
Thereafter, the death benefit is only adjusted for Purchase
Payments, withdrawals and amounts applied to Annuity
Options. If the Certificate Holder reaches the death benefit
maximum age shown on the Contract Schedule prior to the
seventh anniversary of the Effective Date, the death benefit
will be the greater of (i) or (ii) above.

The excess, if any, of the guaranteed death benefit value
over the Certificate Holder's Account Value is determined
when we receive at our Home Office due proof of death and
allocated to the Fund shown on the Contract Schedule. The
Certificate Holder's Account

19

<PAGE>

Value plus any excess amount deposited becomes the
Certificate Holder's Account Value.

(b)     

In the case of a Beneficiary of a surviving joint Certificate Holder who continued the Certificate Holder's Account in his or her own name, the death benefit shall be equal to (a)(i) above less any applicable deferred sales charge on any Purchase Payment made after We have received at our Home Office due proof of death of the first joint Certificate Holder.

10.03     

Death Benefit Payment Methods - A non-spousal Beneficiary must elect the death benefit to be paid under one of the following methods in the event of the death of the Certificate Holder prior to the Annuity Date:

 

Method 1 - Lump sum payment of the death benefit; or

 

Method 2 - The payment of the entire death benefit within (5) years of the date of the Certificate Holder's death; or

 

Method 3 - Payment of the death benefit over the lifetime of the designated Beneficiary or over a period not extending beyond the life expectancy of the designated Beneficiary with distribution beginning within one year of the date of death of the Certificate Holder.

 

Any portion of the death benefit not applied under Option 3 within one year of the date of Certificate Holder's death, must be distributed within five (5) years of the date of death. A Market Value Adjustment will apply at the time the death benefit is paid.

 

A spousal Beneficiary may elect to continue the Certificate Holder's Account in his or her name, elect a lump sum payment of the death benefit or apply the Adjusted Certificate Holder's Account Value to an Annuity Option.

10.04     

Death of Certificate Holder On or After the Annuity Date - If the Certificate Holder who is not the Annuitant, dies on or after the

Annuity     

Date, the remaining payments under the Annuity Option

elected     

will be made to the Beneficiary at least as rapidly as

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under the method of distribution in effect at the Certificate
Holder's death.

10.05     

Death of the Annuitant - If the Annuitant, who is not a Certificate Holder, dies on or before the Annuity Date, a new Annuitant may be named. If no Annuitant is named, the Certificate Holder will be the Annuitant. If the Annuitant dies after the Annuity Date, the death benefit, if any, will be payable to the Beneficiary as specified in the Annuity Option elected. We will require proof of the Annuitant's death. Death benefits will be paid at least as rapidly as under the method of distribution in effect at the Annuitant's death.

Section 11.

Delay of Payments

  • --------------------------------------------------------------------------------

  • Delay of Payments - We will make any payments under this Contract

within seven days after a request is received in good order. We
reserve the right to suspend or postpone any type of payment from
the Separate Account for any period when:

20

<PAGE>

(a)     

The New York Stock Exchange is closed for other than customary weekend and holiday closings;

(b)     

Trading on the Exchange is restricted;

(c)     

An emergency exists as a result of which it is not reasonably practicable to dispose of securities held in the Separate Account or determine their value; or

(d)     

The Securities and Exchange Commission so permits delay for the protection of security holders.

The applicable rules of the Securities and Exchange Commission
will govern as to whether the conditions in (b) or (c) exist.

We also reserve the right to delay any type of payment from the
AG Account for up to six (6) months.

Section 12.

Annuity Provisions

  • --------------------------------------------------------------------------------

  • Designation of Annuitant - The Certificate Holder and the

Annuitant need not be the same person. The Certificate Holder
names the Annuitant and during the Accumulation Period, may
change the designated Annuitant. We change the Annuitant when We
receive a written request in good order at our Home Office. We
will not change the Annuitant when Annuity payments have
commenced.

The Certificate Holder elects an Annuity Option by telling Us to
use all or any portion of the Certificate Holder's Adjusted
Account Value (minus any applicable premium taxes if not
previously deducted) to purchase Annuity payments under an
Annuity Option.

When an Annuity Option is chosen the Certificate Holder must
designate a:

(a)     

Fixed Annuity using the General Account;

(b)     

Variable Annuity using any of the Funds available during the Annuity Period; or

(c)     

Combination of (a) and (b).

If a fixed Annuity is chosen, We will calculate the amount using
an interest assumption no less than the percentage specified on
the Contract Schedule. We may calculate the amount using a higher
interest rate.

If a variable Annuity is chosen, an Assumed Annual Net Return
Rate of 5% may be chosen. If not chosen, We will use an Assumed
Annual Net Return Rate of 3.5%.

Payments are made on a monthly basis to the Certificate Holder
unless the Certificate Holder requests a different mode of
payment.

Once elected, an Annuity Option may not be revoked, except for
Option 1 when elected on a variable basis.

12.02     

Terms of Annuity Options - The minimum first payment amount must be at least $50 per month and at least $250 per year.

21

<PAGE>

If the Certificate Holder elects a fixed Annuity and We determine
that the Certificate Holder would receive larger payments by
applying the Certificate Holder's Account Value, reduced by the
deferred sales charge, to a single premium immediate Annuity
currently offered by Us, We will make the larger payments.

We determine the first payment of a variable Annuity, or the

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payment amount of a fixed Annuity, using the Annuitant's (and
second Annuitant's if applicable) adjusted age which We calculate
as follows:

(a)     

If Annuity payments begin any time between July 1, 1992 and December 31, 1999, the adjusted age is the Annuitant's age as of the birthday closest in time to the Annuity Date reduced by one (1) year.

(b)     

If the Annuity begins any time between January 1, 2000 and December 31, 2009, the adjusted age is the Annuitant's age as of the birthday closest in time to the Annuity Date reduced by two (2) years.

(c)     

For each succeeding decade, the adjusted age is the Annuitant's age as determined in (b), reduced by one additional year.

The Annuity rates for Options 2 and 3 are based on mortality from
1983 Table A.

Assumed Annual Net Return Rate is the interest rate used to
determine the amount of the first Annuity payment under a
variable Annuity. The Separate Account must earn this rate plus
enough to cover the mortality and expense risks charges (which
may include profit) and administrative charges if future variable
Annuity payments are to remain level.

The Certificate Holder must give written notice to Us at least 30
days before the Annuity payments begin, electing or changing:

(a)     

The date on which Annuity payments are to begin;

(b)     

The Annuity Option;

(c)     

Whether the payments are to be made monthly, quarterly, semiannually or annually; (d) The investment options used to provide Annuity payments.

The first Annuity payment may not be earlier than one (1)
calendar year after the initial Purchase Payment, nor later than
the later of the:

(a)     

First day of the month following the Annuitant's birthday shown on the Contract Schedule; or

(b)     

Tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may request a lump sum payment.

12.03     

Annuity Unit - The number of Annuity Units per Fund is based on

  the     

amount of the first variable Annuity payment which is equal

  to:     

  (a)     

The portion of the Certificate Holder's Account Value (minus any premium taxes) applied to pay a variable Annuity; divided by,

22

<PAGE>

(b)     

1000; multiplied by,

(c)     

The payment rate for the Annuity Option chosen.

Such amount, or portion, of the variable Annuity payment will be
divided by the Annuity Unit value for the appropriate Fund on the
tenth Valuation Period before the due date of the first payment
to determine the number of each Fund's Annuity Units. The number
of each Fund's Annuity Unit remains fixed. Each future payment is
equal to the sum of the products of each Fund's Annuity Unit
value multiplied by the appropriate number of units. The Fund's
Annuity Unit value on the tenth Valuation Period prior to the due
date of the payment is used.

12.04     

Annuity Unit Value - For any Valuation Period, a Fund's Annuity

  Unit     

value is equal to:

  (a)     

The value for the previous Valuation Period; multiplied by,

  (b)     

The Annuity Net Return Factor for the Valuation Period; multiplied by,

  (c)     

A daily factor to reflect the Assumed Annual Net Return Rate (the factor for 3.5% per year is .9999058; for 5% per year it is .9998663).

  The     

dollar value of a Fund(s) Annuity Unit values and payments

  may     

go up or down due to investment gain or loss.

12.05     

Annuity Net Return Factor - The Annuity net return factor is

  used     

to compute all Separate Account Annuity payments for any

  Fund.     

  The     

Annuity net return factor(s) for each Fund is equal to

  1.0000000     

plus the net return rate. The net return rate is equal

  to:     

  (a)     

The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus,

  (b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus,

  (c)     

Taxes (or reserves for taxes) on the Separate Account (if

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any); divided by

(d)     

The total value of the Fund(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus,

(e)     

A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge which will not exceed the administrative charge as shown on the Contract Schedule.

The net return rate may be more or less than zero (o) percent.

The value of a share of the Fund is equal to the net assets of
the Fund divided by the number of shares outstanding.

12.06     

Annuity Options

Option 1 - Payments for a Stated Period of Time - An Annuity will
be paid for the number of years chosen. The number of years must
be at least 5 and not more than 30.

23

<PAGE>

If payments for this Annuity Option are made under a variable
Annuity, the present value of any remaining payments may be
withdrawn at any time.

Option 2 - Life Income - An Annuity will be paid for the life of
the Annuitant. If also chosen, We will guarantee payments for 60,
120, 180, or 240 months.

Option 3 - Life Income Based upon the Lives of Two Annuitants -
An Annuity will be paid during the lives of the Annuitant and a
second Annuitant. Payments will continue until both Annuitants
have died. When this Annuity Option is chosen, a choice must be
made of:

(a)     

100% of the payment to continue after the first death;

(b)     

66-2/3% of the payment to continue after the first death;

(c)     

50% of the payment to continue after the first death;

(d)     

Payments for a minimum of 120 months with 100% of the payment to continue after the first death; or

(e)     

100% of the payment to continue at the death of the second Annuitant and 50% of the payment to continue at the death of the Annuitant.

We may make other options available as allowed by law.

24

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

- ---------------------------------------------------------------------------

  Guaranteed Monthly Quarterly Semi-Annual Annual
Years Rate Payment Payment Payment Payment

 

- ---------------------------------------------------------------------------

5 3.00% 17.91 53.59 106.78 211.99
6 3.00% 15.14 45.30 90.27 179.22
7 3.00% 13.16 39.39 78.49 155.83
8 3.00% 11.68 34.96 69.66 138.31
9 3.00% 10.53 31.52 62.81 124.69
10 3.00% 9.61 28.77 57.33 113.82
11 3.00% 8.86 26.52 52.85 104.93
12 3.00% 8.24 24.65 49.13 97.54
13 3.00% 7.71 23.08 45.98 91.29
14 3.00% 7.26 21.73 43.29 85.95
15 3.00% 6.87 20.56 40.96 81.33
16 3.00% 6.53 19.54 38.93 77.29
17 3.00% 6.23 18.64 37.14 73.74
18 3.00% 5.96 17.84 35.56 70.59
19 3.00% 5.73 17.13 34.14 67.78
20 3.00% 5.51 16.50 32.87 65.26
21 3.00% 5.32 15.92 31.72 62.98
22 3.00% 5.15 15.40 30.68 60.92
23 3.00% 4.99 14.92 29.74 59.04
24 3.00% 4.84 14.49 28.88 57.33
25 3.00% 4.71 14.09 28.08 55.76
26 3.00% 4.59 13.73 27.36 54.31
27 3.00% 4.47 13.39 26.68 52.97
28 3.00% 4.37 13.08 26.06 51.74
29 3.00% 4.27 12.79 25.49 50.60
30 3.00% 4.18 12.52 24.95 49.53

 

- ---------------------------------------------------------------------------

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     25 <PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

Payments Guaranteed for a Stated Period of Months

<TABLE> <CAPTION>

- -----------------------------------------------------------------------------------------------------------------------------

Adjusted   None   60   120   180   240
Age of -------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

- -----------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
50 $ 4.27 $ 3.90 $ 4.26 $ 3.90 $ 4.22 $ 3.89 $ 4.17 $ 3.86 $ 4.08 $ 3.82
51 4.34 3.97 4.33 3.96 4.30 3.95 4.23 3.92 4.14 3.88
52 4.43 4.03 4.41 4.03 4.37 4.01 4.30 3.98 4.20 3.93
53 4.51 4.10 4.50 4.10 4.45 4.08 4.37 4.04 4.26 3.99
54 4.60 4.18 4.59 4.17 4.54 4.15 4.45 4.11 4.32 4.04
 
55 4.70 4.25 4.68 4.25 4.62 4.22 4.53 4.18 4.39 4.11
56 4.80 4.34 4.78 4.33 4.72 4.30 4.61 4.25 4.45 4.17
57 4.91 4.42 4.89 4.41 4.82 4.38 4.69 4.32 4.51 4.23
58 5.03 4.52 5.00 4.51 4.92 4.47 4.78 4.40 4.58 4.30
59 5.15 4.61 5.12 4.60 5.03 4.56 4.87 4.48 4.65 4.37
 
60 5.28 4.72 5.25 4.70 5.14 4.66 4.96 4.57 4.71 4.44
61 5.43 4.83 5.39 4.81 5.27 4.76 5.06 4.66 4.78 4.51
62 5.58 4.95 5.53 4.93 5.39 4.87 5.16 4.75 4.84 4.58
63 5.74 5.08 5.69 5.05 5.53 4.99 5.26 4.85 4.90 4.65
64 5.91 5.21 5.85 5.18 5.66 5.10 5.36 4.95 4.96 4.72
 
65 6.10 5.36 6.03 5.32 5.81 5.22 5.46 5.05 5.02 4.79
66 6.30 5.51 6.21 5.47 5.96 5.36 5.56 5.16 5.08 4.86
67 6.51 5.67 6.41 5.63 6.12 5.50 5.66 5.26 5.13 4.93
68 6.73 5.85 6.62 5.80 6.28 5.65 5.77 5.37 5.18 5.00
69 6.97 6.04 6.84 5.98 6.44 5.80 5.86 5.49 5.23 5.06
 
70 7.23 6.25 7.07 6.18 6.61 5.97 5.96 5.60 5.27 5.12
71 7.51 6.47 7.32 6.39 6.79 6.14 6.05 5.71 5.31 5.18
72 7.80 6.71 7.58 6.62 6.96 6.32 6.14 5.83 5.34 5.23
73 8.12 6.98 7.85 6.86 7.14 6.50 6.23 5.94 5.37 5.28
74 8.46 7.26 8.14 7.12 7.32 6.69 6.31 6.04 5.40 5.32
 
75 8.82 7.57 8.45 7.40 7.50 6.89 6.38 6.14 5.42 5.35

 

- -----------------------------------------------------------------------------------------------------------------------------</TABLE>

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

26

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<TABLE>              
<CAPTION>              
- -----------------------------------------------------------------------------------------------  
Adjusted Ages            
- ---------------------            
  Second            
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e  
- -----------------------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C> <C>  
55 50 $ 3.69 $ 4.05 $ 4.27 $ 3.69 $ 4.13  
55 55 3.88 4.25 4.47 3.87 4.25  
55 60 3.06 4.47 4.71 4.06 4.36  
 
60 55 3.99 4.44 4.71 3.98 4.55  
60 60 4.24 4.71 4.99 4.23 4.70  
60 65 4.49 5.01 5.32 4.48 4.85  
 
65 60 4.38 4.97 5.32 4.38 5.10  
65 65 4.72 5.33 5.70 4.71 5.32  
65 70 5.07 5.75 6.17 5.05 5.54  
 
 
 
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70 65 4.93 5.68 6.15 4.91 5.86
70 70 5.40 6.21 6.70 5.36 6.18
70 75 5.89 6.82 7.40 5.81 6.49
 
75 70 5.69 6.68 7.32 5.62 6.92
75 75 6.37 7.45 8.15 6.23 7.40
75 80 7.07 8.34 9.16 6.78 7.85

 

- -----------------------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

27

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Female and Second Annuitant is Male)

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<TABLE>
<CAPTION>
- --------------------------------------------------------------------------------------

 

     Adjusted Ages - ----------------------Second

Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - --------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 3.75 $ 4.07 $ 4.26 $ 3.75 $ 3.98
55 55 3.88 4.25 4.47 3.87 4.06
55 60 3.99 4.44 4.71 3.98 4.12
 
60 55 4.06 4.47 4.71 4.06 4.37
60 60 4.24 4.71 4.99 4.23 4.47
60 65 4.38 4.97 5.32 4.38 4.54
 
65 60 4.49 5.01 5.32 4.48 4.89
65 65 4.72 5.33 5.70 4.71 5.02
65 70 4.93 5.68 6.15 4.91 5.14
 
70 65 5.07 5.75 6.17 5.05 5.60
70 70 5.40 6.21 6.70 5.36 5.79
70 75 5.69 6.68 7.32 5.62 5.96
 
75 70 5.89 6.83 7.40 5.81 6.63
75 75 6.37 7.45 8.15 6.23 6.92
75 80 6.78 8.11 8.99 6.54 7.15

 

- ---------------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

28

<PAGE>

OPTION I

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

- -----------------------------------------------------------------------  
  Guaranteed Monthly Quarterly Semi-Annual Annual  
Years Rate Payment Payment Payment Payment  
- -----------------------------------------------------------------------  
 
5 3.50% 18.12 54.19 107.92 213.99  
6 3.50% 15.35 45.92 91.44 181.32  
7 3.50% 13.38 40.01 79.69 158.01  
8 3.50% 11.90 35.59 70.88 140.56  
9 3.50% 10.75 32.16 64.05 127.00  
10 3.50% 9.83 29.42 58.59 116.18  
11 3.50% 9.09 27.18 54.13 107.34  
12 3.50% 8.46 25.32 50.42 99.98  
13 3.50% 7.94 23.75 47.29 93.78  
14 3.50% 7.49 22.40 44.62 88.47  
 
 
 
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15 3.50% 7.10 21.24 42.31 83.89
16 3.50% 6.76 20.23 40.29 79.89
17 3.50% 6.47 19.34 38.51 76.37
18 3.50% 6.20 18.55 36.94 73.25
19 3.50% 5.97 17.85 35.54 70.47
20 3.50% 5.75 17.22 34.28 67.98
21 3.50% 5.56 16.65 33.15 65.74
22 3.50% 5.39 16.13 32.13 63.70
23 3.50% 5.24 15.66 31.19 61.85
24 3.50% 5.09 15.24 30.34 60.17
25 3.50% 4.96 14.85 29.56 58.62
26 3.50% 4.84 14.49 28.85 57.20
27 3.50% 4.73 14.15 28.19 55.90
28 3.50% 4.63 13.85 27.58 54.69
29 3.50% 4.53 13.57 27.02 53.57
30 3.50% 4.45 13.30 26.49 52.53

 

- -----------------------------------------------------------------------

29

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

- -------------------------------------------------------------------------

  Guaranteed Monthly Quarterly Semi-Annual Annual
Years Rate Payment Payment Payment Payment

 

- -------------------------------------------------------------------------

5 5.00% 18.74 56.00 111.33 219.98
6 5.00% 15.99 47.77 94.96 187.64
7 5.00% 14.02 41.90 83.30 164.59
8 5.00% 12.56 37.52 74.58 147.35
9 5.00% 11.42 34.11 67.81 133.99
10 5.00% 10.51 31.40 62.42 123.34
11 5.00% 9.77 29.19 58.03 114.66
12 5.00% 9.16 27.36 54.38 107.45
13 5.00% 8.64 25.81 51.31 101.39
14 5.00% 8.20 24.50 48.69 96.21
15 5.00% 7.82 23.36 46.44 91.75
16 5.00% 7.49 22.37 44.47 87.88
17 5.00% 7.20 21.51 42.75 84.48
18 5.00% 6.94 20.74 41.23 81.47
19 5.00% 6.71 20.06 39.88 78.80
20 5.00% 6.51 19.46 38.68 76.42
21 5.00% 6.33 18.91 37.59 74.28
22 5.00% 6.17 18.42 36.62 72.35
23 5.00% 6.02 17.98 35.73 70.61
24 5.00% 5.88 17.57 34.93 69.02
25 5.00% 5.76 17.20 34.20 67.57
26 5.00% 5.65 16.87 33.53 66.25
27 5.00% 5.54 16.56 32.92 65.04
28 5.00% 5.45 16.28 32.35 63.93
29 5.00% 5.36 16.01 31.83 62.90
30 5.00% 5.28 15.77 31.35 61.95

 

- -------------------------------------------------------------------------

30

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

Payments Guaranteed for a Stated Period of Months

<TABLE> <CAPTION>

- ----------------------------------------------------------------------------------------------------------------------------------

Adjusted   None 60     120   180   240
Age of ------------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

- ----------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
50 $ 4.56 $ 4.20 $ 4.55 $ 4.19 $ 4.51 $ 4.18 $ 4.45 $ 4.15 $ 4.36 $ 4.11
51 4.64 4.26 4.62 4.25 4.58 4.24 4.51 4.21 4.42 4.16
52 4.72 4.32 4.70 4.32 4.66 4.30 4.58 4.26 4.48 4.21
53 4.80 4.39 4.79 4.38 4.74 4.36 4.65 4.32 4.53 4.27
54 4.89 4.46 4.87 4.46 4.82 4.43 4.73 4.39 4.59 4.32
 
55 4.99 4.54 4.97 4.53 4.91 4.50 4.80 4.46 4.65 4.38
56 5.09 4.62 5.07 4.61 5.00 4.58 4.88 4.53 4.72 4.44
 
 
 
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                    Page 20 of 23
 
 
 
 
57 5.20 4.71 5.17 4.70 5.10 4.66 4.96 4.60 4.78 4.50
58 5.32 4.80 5.29 4.79 5.20 4.75 5.05 4.68 4.84 4.57
59 5.44 4.90 5.41 4.88 5.31 4.84 5.14 4.76 4.91 4.63
 
60 5.57 5.00 5.53 4.99 5.42 4.93 5.23 4.84 4.97 4.70
61 5.71 5.11 5.67 5.09 5.54 5.03 5.32 4.93 5.03 4.77
62 5.86 5.23 5.81 5.21 5.66 5.14 5.42 5.02 5.09 4.84
63 6.02 5.36 5.97 5.33 5.79 5.25 5.51 5.11 5.16 4.91
64 6.20 5.49 6.13 5.46 5.93 5.37 5.61 5.21 5.21 4.98
 
65 6.38 5.64 6.31 5.60 6.07 5.49 5.71 5.31 5.27 5.05
66 6.58 5.79 6.49 5.75 6.22 5.63 5.81 5.41 5.32 5.12
67 6.79 5.95 6.69 5.91 6.38 5.76 5.91 5.52 5.38 5.18
68 7.02 6.13 6.89 6.08 6.53 5.91 6.01 5.63 5.42 5.25
69 7.26 6.32 7.11 6.26 6.70 6.06 6.11 5.74 5.47 5.31
 
70 7.52 6.53 7.35 6.45 6.86 6.23 6.20 5.85 5.51 5.37
71 7.80 6.75 7.59 6.66 7.03 6.39 6.29 5.96 5.54 5.42
72 8.09 6.99 7.85 6.89 7.21 6.57 6.38 6.07 5.57 5.47
73 8.41 7.26 8.12 7.13 7.38 6.75 6.46 6.17 5.60 5.51
74 8.75 7.54 8.41 7.39 7.55 6.94 6.53 6.28 5.63 5.55
 
75 9.12 7.85 8.71 7.66 7.73 7.13 6.61 6.38 5.65 5.59

 

- ----------------------------------------------------------------------------------------------------------------------------------</TABLE>

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

31

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

Payments Guaranteed for a Stated Period of Months

<TABLE> <CAPTION>

- -------------------------------------------------------------------------------------------------------------------------------

Adjusted   None   60   120   180   240
Age of ---------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

- -------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
50 $ 5.48 $ 5.12 $ 5.46 $ 5.11 $ 5.41 $ 5.09 $ 5.34 $ 5.06 $ 5.24 $ 5.01
51 5.55 5.17 5.53 5.17 5.48 5.14 5.40 5.11 5.29 5.05
52 5.63 5.23 5.61 5.23 5.55 5.20 5.46 5.16 5.34 5.10
53 5.71 5.30 5.69 5.29 5.62 5.26 5.53 5.22 5.40 5.15
54 5.80 5.37 5.77 5.36 5.70 5.33 5.60 5.27 5.45 5.20
 
55 5.89 5.44 5.86 5.43 5.79 5.39 5.67 5.34 5.51 5.25
56 5.99 5.52 5.96 5.51 5.87 5.47 5.74 5.40 5.56 5.31
57 6.10 5.60 6.06 5.59 5.97 5.54 5.82 5.47 5.62 5.37
58 6.21 5.69 6.17 5.67 6.06 5.62 5.90 5.54 5.68 5.42
59 6.33 5.79 6.29 5.77 6.17 5.71 5.98 5.61 5.74 5.48
 
60 6.46 5.89 6.41 5.87 6.28 5.80 6.06 5.69 5.79 5.55
61 6.60 6.00 6.55 6.97 6.39 5.90 6.15 5.77 5.85 5.61
62 6.75 6.11 6.69 6.08 6.51 6.00 6.24 5.86 5.91 5.67
63 6.91 6.23 6.84 6.20 6.64 6.10 6.33 5.95 5.96 5.73
64 7.09 6.37 7.00 6.33 6.77 6.22 6.42 6.04 6.02 5.80
 
65 7.27 6.51 7.18 6.46 6.91 6.34 6.52 6.13 6.07 5.86
66 7.47 6.66 7.36 6.61 7.05 6.46 6.61 6.23 6.12 5.92
67 7.68 6.82 7.55 6.76 7.20 6.60 6.70 6.33 6.16 5.99
68 7.91 7.00 7.76 6.93 7.35 6.74 6.80 6.43 6.21 6.04
69 8.15 7.19 7.98 7.11 7.51 6.89 6.89 6.54 6.25 6.10
 
70 8.41 7.39 8.21 7.30 7.67 7.04 6.97 6.64 6.28 6.15
71 8.69 7.62 8.45 7.51 7.83 7.21 7.06 6.74 6.32 6.20
72 8.99 7.86 8.70 7.73 8.00 7.38 7.14 6.85 6.35 6.25
73 9.31 8.12 8.97 7.97 8.16 7.55 7.21 6.95 6.37 6.29
74 9.65 8.41 9.26 8.23 8.33 7.73 7.29 7.04 6.39 6.33
 
75 10.02 8.72 9.55 8.50 8.50 7.92 7.35 7.14 6.41 6.36

 

- -------------------------------------------------------------------------------------------------------------------------------</TABLE>

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

32

<PAGE>

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Page 21 of 23

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

<TABLE> <CAPTION>

- -------------------------------------------------------------------------------------------------------Adjusted Ages - ------------------------Second Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - -------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 3.97 $ 4.35 $ 4.56 $ 3.97 $ 4.42
55 55 4.16 4.54 4.76 4.15 4.54
55 60 4.34 4.76 5.00 4.34 4.64
 
60 55 4.27 4.73 5.00 4.26 4.83
60 60 4.51 4.99 5.27 4.50 4.98
60 65 4.76 5.29 5.60 4.75 5.13
 
65 60 4.66 5.25 5.61 4.65 5.39
65 65 4.99 5.61 5.99 4.98 5.60
65 70 5.34 6.03 6.46 5.31 5.81
 
70 65 5.19 5.97 6.44 5.17 6.14
70 70 5.67 6.49 6.99 5.62 6.47
70 75 6.16 7.10 7.68 6.07 6.77
 
75 70 5.95 6.96 7.61 5.87 7.20
75 75 6.64 7.73 8.43 6.48 7.68
75 80 7.33 8.62 9.45 7.02 8.13

 

- -------------------------------------------------------------------------------------------------------</TABLE>

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

33

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant Is Female and Second Annuitant Is Male)

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

<TABLE>              
<CAPTION>              
- --------------------------------------------------------------------------------------------------------  
Adjusted Ages            
- -------------------------            
  Second            
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e  
- --------------------------------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C> <C>  
55 50 $ 4.03 $ 4.36 $ 4.55 $ 4.03 $ 4.41  
55 55 4.16 4.54 4.76 4.15 4.54  
55 60 4.27 4.73 5.00 4.26 4.83  
 
60 55 4.34 4.76 5.00 4.34 4.64  
60 60 4.51 4.99 5.27 4.50 4.98  
60 65 4.66 5.25 5.61 4.65 5.39  
 
65 60 4.76 5.29 5.60 4.75 5.13  
65 65 4.99 5.61 5.99 4.98 5.60  
65 70 5.19 5.97 6.44 5.17 6.14  
 
70 65 5.34 6.03 6.46 5.31 5.81  
70 70 5.67 6.49 6.99 5.62 6.47  
70 75 5.95 6.96 7.61 5.87 7.20  
 
75 70 6.16 7.10 7.68 6.07 6.77  
75 75 6.64 7.73 8.43 6.48 7.68  
75 80 7.04 8.39 9.29 6.79 8.70  
- --------------------------------------------------------------------------------------------------------  
</TABLE>              
 
  Rates are based on mortality from 1983 Table a.      
The rates assume the Annuitant is Female and the Second Annuitant is Male.      
 
 
 
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Page 22 of 23

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

     34 <PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant Is Male and Second Annuitant Is Female)

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

<TABLE> <CAPTION>

- -------------------------------------------------------------------------------------------------------Adjusted Ages - -------------------------Second Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e - -------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 4.88 $ 5.26 $ 5.48 $ 4.88 $ 5.34
55 55 5.04 5.44 5.66 5.04 5.43
55 60 5.21 5.65 5.89 5.21 5.53
 
60 55 5.15 5.63 5.91 5.14 5.73
60 60 5.37 5.87 6.16 5.37 5.86
60 65 5.61 6.16 6.49 5.60 6.01
 
65 60 5.52 6.14 6.51 5.51 6.28
65 65 5.83 6.49 6.87 5.82 6.47
65 70 6.17 6.90 7.33 6.13 6.67
 
70 65 6.04 6.84 7.34 6.00 7.03
70 70 6.49 7.35 7.87 6.44 7.33
70 75 6.97 7.96 8.56 6.87 7.62
 
75 70 6.77 7.84 8.51 6.68 8.08
75 75 7.45 8.60 9.33 7.27 8.55
75 80 8.14 9.49 10.35 7.80 8.98

 

- -------------------------------------------------------------------------------------------------------</TABLE>

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

35

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Female and the Second Annuitant is Male)

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

<TABLE>              
<CAPTION>              
- ---------------------------------------------------------------------------------------------------------  
Adjusted Ages            
- -------------------------            
  Second            
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e  
- ---------------------------------------------------------------------------------------------------------  
<S> <C> <C> <C> <C> <C> <C>  
55 50 $ 4.93 $ 5.27 $ 5.46 $ 4.93 $ 5.19  
55 55 5.04 5.44 5.66 5.04 5.43  
55 60 5.15 5.63 5.91 5.14 5.73  
 
60 55 5.21 5.65 5.89 5.21 5.53  
60 60 5.37 5.87 6.16 5.37 5.86  
60 65 5.52 6.14 6.51 5.51 6.28  
 
65 60 5.61 6.16 6.49 5.60 6.01  
65 65 5.83 6.49 6.87 5.82 6.47  
65 70 6.04 6.84 7.34 6.00 7.03  
 
70 65 6.17 6.90 7.33 6.13 6.67  
70 70 6.49 7.35 7.87 6.44 7.33  
70 75 6.77 7.84 8.51 6.68 8.08  
 
75 70 6.97 7.96 8.56 6.87 7.62  
 
 
 
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Page 23 of 23

75 75 7.45 8.60 9.33 7.27 8.55
75 80 7.86 9.28 10.20 7.57 9.59

 

- ---------------------------------------------------------------------------------------------------------
</TABLE>

 

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

36

<PAGE>

- --------------------------------------------------------------------------------

Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
Hartford, Connecticut 06156
(800) 531-4547

Certificate of Group Annuity Coverage

- --------------------------------------------------------------------------------

ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

GP2CERT(4/94)

https://www.sec.gov/Archives/edgar/data/925981/0000950146-98-000663.txt

03/26/2018

EX-16 12 ex164h.htm EXHIBIT 16(4)(H) CONTRACT (NONPARTICIPATING) G-GP2 (5/96) ex164h.htm - Generated by SEC Publisher for SEC Filing

Page 1 of 21

Exhibit 16(4)(h)  
Aetna Insurance Company of America  
Home Office: 151 Farmington Avenue  
P.O. Box 30670    
Hartford, Connecticut 06150-0670  
(800) 531-4547    
 
You may call the toll-free number shown above  
for answers to questions or to resolve a complaint  
 
Group Variable, Fixed or Combination Annuity Contract (Nonparticipating)  
 
Aetna Insurance Company of America (We or Us), a stock company, agrees to pay  
benefits according to the terms and conditions set forth in this Contract.  
 
Specifications    
- --------------------------------------------------------------------------------  
Plan    
SPECIMEN    
- --------------------------------------------------------------------------------  
Type of Plan    
SPECIMEN    
- --------------------------------------------------------------------------------  
Contract Holder    
SPECIMEN    
- --------------------------------------------------------------------------------  
Contract Number    
SPECIMEN    
- --------------------------------------------------------------------------------  
Effective Date    
SPECIMEN    
 
This Contract is delivered in YOUR STATE and is subject to the laws and  
regulations of that state.    
 
The variable features of the Group Contract are described in sections 6 and 12.  
 
 
 
Right to Cancel    
- --------------------------------------------------------------------------------  
The Group Contract Holder may cancel this Contract within ten (10) days of  
receiving it by returning it to Us at the address above or to the person from  
whom it was purchased. Within seven (7) days of the cancellation request, We  
will return the Certificate Holder's Purchase Payment(s) made plus any increase,  
or minus any decrease, on the amount allocated to the Separate Account.  
 
Signed at the home office on the Effective Date.  
 
 
/s/ Dan Kearney /s/ Maria F. McKeon  
President Secretary  
 
 
 
<PAGE>    
 
 
 
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT  
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO  
FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA.  
APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR  
DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT  
APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.  
 
 
2    
<PAGE>    
 
 
 
Table of Contents    
 
<TABLE>    
<CAPTION>    
    Page
<S>   <C>
Right to Cancel   1
 
Contract Schedule   5
Separate Account   5
AICA Guaranteed Account (AG Account)   5
Separate Account and AG Account   5
Fixed Annuity   6
 
Section 1. Definitions   7
 
Section 2. General Provisions   9
The Contract   9
Certificates   9
Nonparticipating Contract   9
Misstatements and Adjustments   9
Reports   9
 
 
 
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  Page 2 of 21
 
 
 
 
Premium Taxes 9
Protection of Proceeds 9
Evidence of Survival 9
Proof of Age 9
Change of Contract 9
 
Section 3. Ownership 10
Group Contract Holder 10
Certificate Holder Rights 10
Transfer of Ownership 10
 
Section 4. Beneficiary Provisions 11
Beneficiary 11
Change of Beneficiary 11
Death of Beneficiary 11
 
Section 5. Purchase Payments 11
Purchase Payments 11
Allocation of Purchase Payments 11
 
Section 6. Separate Account 12
General 12
Investment Allocations to the Separate Account 12
Valuation of Assets 12
Accumulation Unit 12
Net Return Factor for Each Valuation Period 12
Administrative Charge 13
Mortality Risk Charge 13
Expense Risk Charge 13
Mortality and Expense Guarantee 13

 

3

<PAGE>

Section 7. AG Account 13
AG Account Guaranteed Interest Rate 13
Deposit Period 13
Guaranteed Term 13
Guaranteed Term(s) Groups 13
Maturity Date 13
Allocation of Net Purchase Payments to the AG Guaranteed Account 14
AG Account Guaranteed Term Maturity Date and Maturity Value 14
Withdrawals from the AG Account 14
Reinvestment 15
AG Account Market Value Adjustment (Factor) 15
 
Section 8. Certificate Holder's Account Value; Transfers and Withdrawals  
During the Accumulation Period 16
Certificate Holder's Account Value 16
Transfers During the Accumulation Period 16
Withdrawals During the Accumulation Period 16
Deferred Sales Charge 17
Waiver of Deferred Sales Charge 17
Payment of Adjusted Certificate Holder Account Value 17
Systematic Withdrawal Option (SWO) 17
 
Section 9. Maintenance Charge 18
Maintenance Charge 18
 
Section 10. Proceeds Payable on Death 18
Death of the Certificate Holder Prior to the Annuity Date 19
Death Benefit Amount Prior to the Annuity Date 19
Death Benefit Payment Methods 20
Death of Certificate Holder On or After the Annuity Date 21
Death of the Annuitant 21
 
Section 11. Delay of Payments 21
Delay of Payments 21
 
Section 12. Annuity Provisions 22
Designation of Annuitant 22
Terms of Annuity Options 22
Annuity Unit 23
Annuity Unit Value 23
Annuity Net Return Factor 24
Annuity Options 24
</TABLE>  

 

4

<PAGE>

Contract Schedule

<TABLE> <CAPTION> Separate Account

- -----------------------------------------------------------------------------------------------------------------------------------

Separate Account: Variable Account I  
<S> <C>  
Charges to the Separate Account: A daily charge is deducted from the assets of the Separate Account. The deduction is
  the daily equivalent of the annual effective percentage shown below:  
 
 
 
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(a) During the Accumulation Period:  
 
  Administrative Charge 0.15%
  Mortality Risk Charge 0.35%
  Expense Risk Charge 0.90%
  TOTAL Separate Account Charges During  
  Accumulation Period 1.40%
 
(b) During the Annuity Period  
 
  Administrative Charge Not To Exceed 0.25%
  Mortality Risk Charge 0.35%
  Expense Risk Charge 0.90%
  TOTAL Maximum Separate Account Charges  
  During Annuity Period 1.50%

 

AICA Guaranteed Account (AG Guaranteed Account)

- -----------------------------------------------------------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate 3.0%
(effective annual rate of return):  

 

Separate Account and AG Account

- -----------------------------------------------------------------------------------------------------------------------------------

Minimum Initial Purchase Payment: $1,500  
 
Minimum Subsequent Purchase Payment: $500 or $50 per month if paid by an automatic check plan
 
Maximum Subsequent Purchase Payment: $1,000,000 without home office approval
 
Transfers: We allow an unlimited number of transfers during the Accumulation Period. Twelve (12)
  transfers in any calendar year are free. Thereafter, We reserve the right to charge a
  transfer charge up to $10 for each subsequent transfer.
 
Maintenance Charge: The annual maintenance charge is $30. If the Certificate Holder's Account is $50,000
  or more on the date the maintenance charge is to be deducted, the maintenance charge
  is $0.  
 
  5  
<PAGE>    
 
Deferred Sales Charge: For each withdrawal from a Certificate Holder's Account, a deferred sales charge for
  each Net Purchase Payment will be determined as follows:
 
  Years from Receipt of Deferred
  Net Purchase Payment Sales Charge
 
  0-1 7%
  1-2 6%
  2-3 5%
  3-4 4%
  4-5 3%
  5-6 2%
  6-7 1%
  7+ 0%
 
Waiver of Deferred Sales Charge: Section 8.05 provides for the following:

 

(c)     

At least 12 months after the date of the first Purchase Payment in an amount equal to or less than 15% of the Certificate Holder's Account Value.

(d)     

For a full withdrawal where the Certificate Holder's Account Value does not exceed $2,500 and no withdrawals have been taken from the Certificate Holder's Account within the prior 12 months.

Systematic Withdrawal Option: (a) Specified Payment - Maximum Percentage: 10%
  (b) Specified Period - Minimum Period: 10 years
  (c) Specified Percentage - Maximum Percentage: 10%
Death Benefit Factor: 4%    
Death Benefit Maximum Amount: There is no maximum death benefit amount.  
Death Benefit Maximum Age: 85 years  
Fund for Allocation of Excess Federated Prime Money Fund II Death  
Guaranteed Benefit Value:      
Latest Annuity Date: The Certificate Holder's 90th birthday.  

 

Fixed Annuity

- -----------------------------------------------------------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate 3.0%
(effective annual rate of return):  
</TABLE>  

 

6

<PAGE>

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Page 4 of 21

<TABLE> <CAPTION>

Section 1. Definitions

- -----------------------------------------------------------------------------------------------------------------------------------<S> <C>

1.01     

Accumulation Period - The period during which one or more Net Purchase Payments applied to a Certificate Holder's Account accumulate to provide future Annuity payments.

1.02     

Accumulation Unit - A measure of the net investment results for each variable investment option during the Accumulation Period. The Accumulation Units for the applicable Funds are used to calculate the portion of a Certificate Holder's Account Value attributable to a Separate Account during the Accumulation Period.

1.03     

Adjusted Certificate Holder Account Value - The Certificate Holder's Account Value, plus or minus any aggregate AG Account Market Value Adjustment.

1.04     

AICA Guaranteed Account (AG Account) - An investment option where We guarantee specified rate(s) of interest for specified periods of time. The AG Account is a separate account established by Us in accordance with the provisions of the Connecticut General Statutes Section 38a-433. Certificate Holders do not participate in the investment gain or loss from the assets held in the AG Account. Assets in the AG Account may be charged with liabilities arising out of any other business We may conduct.

1.05     

Annuitant - The natural person on whose life an Annuity payment is based.

1.06     

Annuity - A series of payments We make for life, a definite period or a combination of the two.

1.07     

Annuity Date - The date on which Annuity payments commence.

1.08     

Annuity Options - Annuity payment methods available during the Annuity Period.

1.09     

Annuity Period - The period of time during which Annuity payments are made.

1.10     

Annuity Unit - A measure of the net investment results for each variable investment option during the Annuity Period. Annuity Units are used to calculate the amount of each variable Annuity payment.

1.11     

Beneficiary - The person(s) entitled to receive any death benefit under the Certificate Holder's Account. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if any, is treated as the Beneficiary.

 

Any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary.

1.12     

Certificate - The document issued to a Certificate Holder to evidence a Certificate Holder's Account established under the group Contract.

1.13     

Certificate Holder - A person who has established a Certificate Holder's Account under a group Contract. We reserve the right to limit ownership to natural persons. If more than one Certificate Holder owns an Account, each Certificate Holder shall be a joint Certificate Holder. Any joint Certificate Holder must be the spouse of the other joint Certificate Holder. Joint Certificate Holders have joint ownership rights and both must authorize any exercising of those ownership rights unless otherwise allowed by Us. If the Certificate Holder's Account is owned by a nonnatural person, the death benefit will be paid at the death of the Annuitant and a new Annuitant may not be named.

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1.14     

Certificate Holder's Account - A record We establish for each Certificate Holder to maintain values under a group Contract.

1.15     

Certificate Holder's Account Value - The dollar value as of any Valuation Period of all amounts accumulated in a Certificate Holder's Account.

1.16     

Contract - This agreement between the Group Contract Holder and Us.

1.17     

Dollar Cost Averaging - A program that permits the Certificate Holder to systematically transfer amounts from any of the Funds and the one-year guaranteed term of the AG Account to any of the Funds. Dollar Cost Averaging is not available if the Systematic Withdrawal Option is in effect.

1.18     

Effective Date - The date a Certificate is issued to a Certificate Holder.

1.19     

Fund - One of the variable investment options which may be selected by a Certificate Holder.

1.20     

General Account - The General Account is made up of all of our general assets other than those allocated to the separate accounts.

1.21     

Group Contract Holder - The entity to which a group Contract is issued.

1.22     

Home Office - Our headquarters, located at 151 Farmington Avenue, Hartford, CT 06156.

1.23     

Market Value Adjustment - An adjustment that may apply to a withdrawal made from the AG Account before the end of a guaranteed term as stated in Section 7.10.

1.24     

Net Purchase Payment - The Purchase Payment less premium taxes, if applicable.

1.25     

Purchase Payment - The gross payment accepted by Us and allocated to the Certificate Holder's Account. We reserve the right to refuse to accept any Purchase Payment at any time for any reason.

1.26     

Separate Account - A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to Our other income, gains or losses.

 

We own the assets held in the Separate Account and are not a trustee as to such amounts. The Separate Account generally is not guaranteed and is held at market value. The name of the Separate Account is shown on the Contract Schedule. The assets of the Separate Account, to the extent of reserves and other Contract liabilities of the Separate Account, will not be charged with Our other liabilities.

1.27     

Valuation Period - The period of time for which a Fund determines its net asset value, usually from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m. the next such business day, or such other

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day that one or more of the Funds determines its net asset value. The assets of the Separate Account are not chargeable with the liabilities arising out of any other business We may conduct.

1.28     

Variable Annuity Contract - An Annuity Contract providing for the accumulation of value and/or for Annuity payments which vary in amount based on investment results.

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Section 2. General Provisions

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  • The Contract - The entire Contract consists of this Contract and any endorsements attached or subsequently issued.

  • Certificates - A Certificate is issued to each Certificate Holder whose Purchase Payment(s) is accepted by Us. The

Certificate evidences a Certificate Holder's Account established under the Contract. Certificates are not part of the Contract.

2.03     

Nonparticipating Contract - Neither the Group Contract Holder, Certificate Holder nor any Beneficiary have a right to share in our earnings.

2.04     

Misstatements and Adjustments - If We learn that the age of any Annuitant or second Annuitant is misstated, the correct age will be used to adjust payments. We reserve the right to request reimbursement or adjust future payments for any amount overpaid. We will pay the amount of any underpayment.

2.05     

Reports - We furnish each Certificate Holder with a report showing the Certificate Holder's Account Value at least once each calendar year. We also furnish an annual report of the Separate Account.

2.06     

Premium Taxes - Any premium taxes paid to any governmental entity are charged against Purchase Payments or a Certificate Holder's Account. We may, at our sole discretion, pay premium taxes when due and deduct that amount from the Certificate Holder's Account at a later date. Payment at an earlier date does not waive any right We may have to deduct amounts at a later date.

2.07     

Protection of Proceeds - To the extent permitted by law, all payments under this Contract to a Certificate Holder or Beneficiary shall be free from legal process and the claim of any creditor.

2.08     

Evidence of Survival - The Company may require satisfactory evidence of the continued survival of any person(s) on whose life Annuity payments are based.

2.09     

Proof of Age - The Company may require evidence of age of any Annuitant under Annuity Options 2 and 3 and of the designated second Annuitant under Annuity Option 3.

2.10     

Change of Contract - Only our authorized officers may change the terms of this Contract. We will notify the Group Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity which begins before the change.

 

We may make any change that affects the AG Account Market Value Adjustment with at least thirty (30) days' advance written notice to the Group Contract Holder and the Certificate Holder. Any such change shall become effective for any new guaranteed term and will apply to all present and future Certificate Holders' Accounts.

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We reserve the right to change the terms of the Systematic Withdrawal Option for future elections and discontinue the availability of this option.

Any change to any of the following provisions under this Contract will not apply to Certificate Holder's Accounts in existence before the effective date of the change:

(a) Net Purchase Payment (1.24)

(b) AG Account Guaranteed Interest Rate (7.01) (c) Net Return Factor (6.05) (d) Certificate Holder's Account Value (1.15) (e) Deferred Sales Charge (8.04) (f) Annuity Unit Value (12.04) (g) Annuity Options (12.06) (h) Fixed Annuity Interest Rates (12.01) (i) Transfers (8.02).

Any change that affects the Annuity Option and the tables for the Annuity Options may be made:

(a) No earlier than twelve (12) months after the Effective Date; and

(b) No earlier than twelve (12) months after the effective date of any prior change.

Any Certificate Holder's Account established on or after the
effective date of any change will be subject to the change. If
the Group Contract Holder does not agree to any change under
this provision, We reserve the right to not allow any new
Certificate Holder's Accounts to be established under this
Contract. This Contract may also be changed as deemed necessary
by Us to comply with federal or state law.

Section 3. Ownership

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  • Group Contract Holder - The Group Contract Holder has title to the Contract. The Contract and any amounts

accumulated thereunder are not subject to the claims of the Group Contract Holder nor any of its creditors.

3.02     

Certificate Holder Rights - The Certificate Holder has all interest and right to amounts held in his or her Certificate Holder's Account. The Certificate Holder and any joint Certificate Holder are named on the Specifications page. The Certificate Holder and any joint Certificate Holder may exercise all the rights under the

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Certificate Holder's Account, subject to the rights of:

(a) Any assignee under an assignment filed at our home office; and
(b) Any irrevocably named Beneficiary.

Upon the death of a Certificate Holder prior to the Annuity Date, a spousal Beneficiary may elect to continue the Certificate Holder's Account in his or her own name and retain all ownership rights and privileges or take distribution of the death benefit as defined in Section 10.

3.03     

Transfer of Ownership - The Group Contract Holder may transfer ownership of this Contract. A written request, dated and signed, must be filed at our home office.

 

Any transfer of ownership terminates the interest of any existing Group Contract Holder. It does not change the rights of any Certificate Holder.

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A Certificate Holder may transfer all of his or her rights under the Contract. We reserve the right not to accept an assignment or transfer to a nonnatural person. A written request, dated and signed by the Certificate Holder and any joint Certificate Holder, must be filed at our home office. After the transfer is recorded, it will take effect as of the date the request was signed. Any such transfer terminates the interest of any existing Certificate Holder. It does not change the Beneficiary, nor transfer the Beneficiary's interest. A transfer will not affect any payments We may make or actions We may take before such transfer has been recorded at our home office.

Section 4. Beneficiary Provisions

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  • Beneficiary - The Certificate Holder may name a Beneficiary and a contingent Beneficiary. At the death of the

Certificate Holder prior to the Annuity Date, the Beneficiary(ies) named in our records will receive a death benefit as stated in Section 10. Upon the death of either joint Certificate Holder prior to the Annuity Date, the surviving joint Certificate Holder, if any, will be treated as the designated Beneficiary and any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary. If the Certificate Holder is a nonnatural person, the death benefit will be paid at the death of the Annuitant.

4.02     

Change of Beneficiary - The Certificate Holder may change the Beneficiary. A written request, dated and signed by the Certificate Holder, must be filed at our home office. If there are joint Certificate Holders, both must sign the request. After the change is recorded, it will take effect as of the date the request was signed. If the request reaches our home office and is recorded after the Certificate Holder dies, but before any payment is made, the change is valid.

4.03     

Death of Beneficiary - If all of the Beneficiaries and contingent Beneficiaries die prior to the Certificate Holder's death, We pay the death benefit in one sum to the Certificate Holder's estate. If the Certificate Holder is a nonnatural person, and all of the Beneficiaries and contingent Beneficiaries die prior to the Annuitant's death, We will pay the death benefit in one sum to the Certificate Holder.

Section 5. Purchase Payments

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  • Purchase Payments - Subject to the maximum and minimum shown on the Contract Schedule, the Certificate Holder may

determine the amount and frequency of Purchase Payments. We reserve the right not to accept any Purchase Payment. We will declare from time to time the acceptability of additional Purchase Payments.

5.02     

Allocation of Purchase Payments - The Certificate Holder may elect to have each Net Purchase Payment accumulate:

  (a)     

On a variable basis invested in shares of one or more Funds in which the Separate Account invests;

  (b)     

For guaranteed terms offered in the current deposit period(s) under the AG Account; or

  (c)     

In a combination of any of the available investment options.

  Net     

Purchase Payments must be allocated in whole percentages. For subsequent Purchase Payments, if no allocation

  instructions     

are received with the Purchase Payment, the allocation will be as indicated in the most recent

  directive     

from the Certificate Holder. If the same guaranteed term(s) are not available, the next shortest will be

  used.     

If no shorter guaranteed term is available, the next longer guaranteed term will be used.

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Section 6. Separate Account

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  • General - The assets of the Separate Account, equal to the reserves and other Contract liabilities that depend on

the investment performance of the Separate Account are not chargeable with liabilities arising out of any other business We may conduct. Income, gains or losses of the Separate Account, realized or unrealized, are credited to or charged against the assets of the Separate Account without regard to Our other income, gains or losses.

6.02     

Investment Allocations to the Separate Account - The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, We may cease to make such Fund shares available for investment under the Contract prospectively, or We may substitute shares of another Fund for shares already acquired. We may also, from time to time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws. We reserve the right to substitute shares of another Fund for shares already acquired without a proxy vote.

6.03     

Valuation of Assets - The shares of the Funds will be valued at their net asset value at the end of each Valuation Period.

6.04     

Accumulation Unit - A Net Purchase Payment that is allocated to one or more Funds is credited to the Certificate Holder's Account as Accumulation Units. The number of Accumulation Units credited is determined by dividing the applicable portion of the Net Purchase Payment by the Accumulation Unit value for the appropriate Fund. The

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Accumulation Unit value used is that which is computed for the next Valuation Period after which the Purchase Payment is received at our home office. Accumulation Units attributable to the initial Purchase Payments will be credited within two business days of acceptance.

Accumulation Unit values may increase or decrease from Valuation Period to Valuation Period.

6.05     

Net Return Factor for Each Valuation Period - The value of an Accumulation Unit for any Valuation Period is

  calculated     

by multiplying the Accumulation Unit value for the immediately preceding Valuation Period by the net

  return     

factor of the appropriate Fund for the current period.

  The     

net return factor for each Fund is equal to 1.0000000 plus the net return rate.

  The     

net return rate equals:

  (a)     

The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus

  (b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

  (c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

  (d)     

The total value of the Funds(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus

  (e)     

A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge.

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The net return rate may be more or less than zero (0) percent.

The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.

6.06     

Administrative Charge - We deduct an administrative charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.07     

Mortality Risk Charge - We deduct a mortality risk charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.08     

Expense Risk Charge - We deduct an expense risk charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.09     

Mortality and Expense Guarantee - We guarantee that the dollar amount of each Annuity payment after the first will not be affected by variations in mortality or expense experience.

Section 7. AG Account

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  • AG Account Guaranteed Interest Rate - All amounts allocated to the AG Account earn a rate of interest that is

guaranteed for a specified period of time. The rate will be credited daily and will never be less than the minimum guaranteed interest rate shown on the Contract Schedule. We determine the rate and it is not based on investment experience.

For guaranteed terms of one year or less, one guaranteed interest rate is credited for the full guaranteed term. For longer guaranteed terms, an initial guaranteed interest rate is credited from the date of deposit to the end of a specified period within the guaranteed term. There may be different guaranteed interest rate(s) declared for subsequent specified time intervals throughout the guaranteed term.

7.02     

Deposit Period - A calendar week, a calendar month, a calendar quarter, or any other period of time We specify during which Net Purchase Payment(s), transfers and reinvestments are accepted into the AG Account for one or more guaranteed terms. We reserve the right to extend the deposit period.

7.03     

Guaranteed Term - The period of time for which AG Account guaranteed interest rates are guaranteed on Net Purchase Payments. Transfers and reinvestments are made into a current deposit period for the AG Account. Such period begins on the day following the close of the deposit period and ends on the designated Maturity Date. Guaranteed terms, if any, are offered at our discretion for various lengths of time ranging up to and including ten years.

 

During a deposit period, We may make available any number of guaranteed terms. The Certificate Holder may allocate Net Purchase Payments and transfers into any or all of the available guaranteed terms.

7.04     

Guaranteed Term(s) Groups - All AG Account guaranteed term(s) with the same length of time from the close of the deposit period until the designated Maturity Date.

7.05     

Maturity Date - The last day of a guaranteed term.

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7.06     

Allocation of Net Purchase Payments to the AG Account - When the Certificate Holder wishes to allocate all or any portion of a Net Purchase Payment to the Guaranteed Account, he or she must tell Us the percentage to apply to one or more of the AG Account guaranteed term(s) available during the current deposit period. If no allocation instructions are received, a Net Purchase Payment is allocated as indicated in the most recent directive from the Certificate Holder. If the same guaranteed term is not available for any amount allocated to the AG Account, We will allocate the amount to the next shortest guaranteed term available. If no shorter guaranteed term is available, We will allocate it to the next longest guaranteed term.

7.07     

AG Account Guaranteed Term Maturity Date and Maturity Value - On the maturity date, the value of the total of all amounts allocated to that guaranteed term is called the maturity value.

 

When Certificate Holders have assets in the AG Account, at least eighteen (18) days before a maturity date, We

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notify them of the:

(a) Projected maturity value; and

(b) Guaranteed terms and the applicable guaranteed interest rates available during the current deposit period.

When no allocation instructions are received and the assets in a guaranteed term have been reinvested by Us in another guaranteed term on the maturity date, the Certificate Holder may transfer or withdraw, during the month following the maturity date, the reinvested amount with interest earned (as of the date the request is received at our home office) without incurring a Market Value Adjustment. This transaction is allowed only once for each maturity date, regardless of whether the transfer or withdrawal is partial or full.

7.08     

Withdrawals and Transfers from the AG Account - When the Certificate Holder requests a withdrawal or transfer from

  the     

AG Account, if instructions are not provided by the Certificate Holder, amounts are withdrawn on a pro rata

  basis     

from the guaranteed term(s) groups in which the Certificate Holder's Account is currently invested. Within a

  guaranteed     

term group, the amount to be withdrawn will be withdrawn first from the oldest deposit period.

  Withdrawals     

or transfers from an AG Account guaranteed term before the maturity date are subject to a Market Value

  Adjustment,     

except for:

  (a)     

A one month period following the maturity date described in 7.07;

  (b)     

Transfers under the Dollar Cost Averaging program; and

  (c)     

Withdrawals under the Systematic Withdrawal Option described in Section 8.07.

Only a positive Market Value Adjustment will apply to amounts transferred from the AG Account when the Certificate Holder elects Annuity Option 2 or 3.

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7.09     

Reinvestment - We will mail a notice to the Certificate Holder before a guaranteed term's maturity date. This notice will contain the guaranteed terms available during the current deposit periods with their guaranteed interest rate(s) and projected maturity value. If no specific direction is given by the Certificate Holder prior to the maturity date, each maturity value will be reinvested in the current deposit period for a guaranteed term of the same duration. If a guaranteed term of the same duration is unavailable, each matured term value will automatically be reinvested in the current deposit period for the next shortest guaranteed term available. If no shorter guaranteed term is available, the next longer guaranteed term will be used. We will mail a confirmation statement to the Certificate Holder after the maturity date. This notice will state the guaranteed term and guaranteed interest rate(s) which will apply to the reinvested matured term value.

7.10     

AG Account Market Value Adjustment (Factor) - The Market Value Adjustment factor (MVA factor) reflects any change in interest rates from the time assets are allocated to the AG Account to the time they are transferred or withdrawn.

 

Except as noted in Section 7.09, 10.02 and 12.01, an MVA factor is applied to any amount withdrawn or transferred from the AG Account before the end of a guaranteed term.

 

The amount withdrawn from the AG Account is multiplied by the MVA factor which is calculated as follows:

x
---
365

(1+i)
------------
x
---
365
(1+j)

Where:

i is the Deposit Period Yield j is the Current Yield x is the number of days remaining, (computed from Wednesday of the week of withdrawal) in the guaranteed Term.

Determination of MVA factor parameters:

A yield is computed at the close of the last business day of each week of the deposit period. The yield will equal the average of the yields on U.S. Treasury Notes which matured during the last three months of the applicable guaranteed term.

The deposit period yield is the average of those yields for the deposit period. If withdrawal is made prior to the close of the deposit period, it is the average of those yields on each week preceding withdrawal.

The current yield is the average of the yields on the last business day of the week preceding withdrawal on the same U.S. Treasury Notes included in the deposit period yield.

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If no U.S. Treasury Notes matured during the last three months of the guaranteed term, We reserve the right to use the average of the yields on U.S. Treasury Notes that mature during a following quarter.

Section 8. Certificate Holder's Account Value; Transfers and Withdrawals During the Accumulation Period

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  • Certificate Holder's Account Value - The value of a Certificate Holder's Account is determined by adding the value

of the total of Accumulation Units attributed to the selected Fund(s) to the value of any amounts attributed to the AG Account.

8.02     

Transfers During the Accumulation Period - Before the Annuity Date, the Certificate Holder may transfer from any

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Fund or guaranteed term of the AG Account to:

(a)     

Any other Fund; or

(b)     

Any guaranteed term of the AG Account available in the current deposit period.

Transfer requests can be submitted as a percentage or as a dollar amount. We may establish a minimum transfer amount. Within a guaranteed term group, the amount transferred is withdrawn first from the oldest deposit period, then from the next oldest, and so on until the amount requested is satisfied.

The Certificate Holder may make an unlimited number of transfers during the Accumulation Period. The number of free transfers allowed is shown on the Contract Schedule. Transfers in excess of that number may be subject to the transfer charge shown on the Contract Schedule. Transfers under the Dollar Cost Averaging program do not count toward the annual limit. Transfers of a matured term value from the AG Account on or within one calendar month after a guaranteed term's maturity date do not count against the annual transfer limit.

Amounts applied to guaranteed terms of the AG Account may not be transferred to the Funds or to another guaranteed term during the deposit period or for 90 days after the close of the deposit period except for (1) matured term value(s) during the calendar month following the guaranteed term's maturity date; (2) amounts applied to an annuity option; (3) transfers from the one-year guaranteed term under the Dollar Cost Averaging program; and (4) amounts distributed under the Systematic Withdrawal Option.

Except as noted in Section 7.09, 10.02 and 12.01, transfers from guaranteed terms of the AG Account before the Maturity Date are subject to a Market Value Adjustment.

8.03     

Withdrawals During the Accumulation Period - The Certificate Holder may withdraw all or a portion of the Certificate Holder's Account Value during the Accumulation Period by properly completing a withdrawal request form. Withdrawal requests can be submitted as a percentage or as a specific dollar amount. Net Purchase Payment amounts are withdrawn first, and then the excess value, if any. For any partial withdrawal, if instructions are not provided by the Certificate Holder, amounts are withdrawn on a pro rata basis from the Fund(s), and/or the guaranteed term(s) groups in which the Certificate Holder's Account is currently invested. Within a guaranteed term group, the amount to be withdrawn will be withdrawn first from the oldest deposit period, then from the next oldest, and so on until the amount requested is satisfied.

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After deduction of the maintenance charge, if applicable, the withdrawn amount shall be reduced by the applicable deferred sales charge and any applicable premium taxes.

8.04     

Deferred Sales Charge - The deferred sales charge only applies to the portion of the amount withdrawn attributable

  to     

Net Purchase Payment(s) and varies according to the elapsed time since receipt of the Purchase Payment. The

  deferred     

sales charge is shown on the Contract Schedule.

8.05     

Waiver of Deferred Sales Charge - No deferred sales charge is deducted when a Certificate Holder's Account Value is

  paid:     

  (a)     

To a Beneficiary as a death benefit, except for Purchase Payments made by a surviving joint Certificate Holder as described in Section 10.02(b);

  (b)     

As a premium for an Annuity Option;

  (c)     

At least the number of months, as shown on the Contract Schedule, after the date of the first Purchase Payment and in an amount equal to or less than the percentage of the Certificate Holder's Account Value as shown on the Contract Schedule. This applies to the first withdrawal request, partial or full, in a calendar year. The Certificate Holder's Account Value is calculated as of the date the withdrawal request is received in good order at our home office. This waiver is not available to the Certificate Holder while a SWO is in effect;

  (d)     

For a full withdrawal where the Certificate Holder's Account Value does not exceed the amount shown on the Contract Schedule and no withdrawals have been taken from the Certificate Holder's Account within the prior 12 months;

  (e)     

For a distribution made by Us under Section 8.06; or

  (f)     

For a distribution which is part of a SWO under Section 8.07.

  We     

reserve the right to allow the proceeds of a total withdrawal to be reinstated under the terms and conditions as

  established     

by Us from time to time.

8.06     

Payment of Adjusted Certificate Holder Account Value - Upon 90 day's written notice to the Certificate Holder, We

  will     

terminate any Certificate Holder's Account if the Certificate Holder's Account Value becomes less than $1,500

  immediately     

following any partial withdrawal. We do not intend to exercise this right in cases where the Certificate

  Holder's     

Account Value is reduced to $1,500 or less solely due to investment performance. When We make a

  distribution     

pursuant to this provision, the deferred sales charge will not be deducted.

8.07     

Systematic Withdrawal Option (SWO) - We will allow the Certificate Holder to establish a schedule of withdrawals to

  be     

made automatically from the Certificate Holder's Account Value. All distributed amounts will be withdrawn on a

  pro     

rata basis from the Fund(s) and/or the guaranteed term(s) groups of the AG Account in which the Certificate

  Holder's     

Account is invested.

  The     

Certificate Holder must elect one of the following SWO methods:

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(a)     

Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage of the Certificate Holder's Account Value at time of the election as shown on the Contract Schedule.

 

This annual dollar amount will remain constant. At our discretion, We may require a minimum payment amount; or

(b)     

Specified Period: Payments which are made over a period of time which must be at least the minimum period as shown on the Contract Schedule. The annual amount paid each year is calculated by dividing the Certificate

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Holder's Account Value as of December 31 of the prior year by the number of payment years remaining; or

(c)     

Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage of the Certificate Holder's Account Value at the time of election as shown on the Contract Schedule. The percentage may be changed by written request. We reserve the right to limit the number of times the percentage may be changed.

 

The annual amount is calculated by multiplying the Certificate Holder's Account Value as of December 31 of the year prior to the payment by the designated percentage.

SWO payments will cease at the Certificate Holder's death (or if the Certificate Holder is a nonnatural person, at the death of the Annuitant). A beneficiary may elect to continue SWO as provided in Section 10.01.

In our discretion, We may require a minimum initial Certificate Holder's Account Value for election of this option. SWO may be elected by submitting a completed and signed election form to Us. Once elected, this option may be revoked by submitting a written request to Us. SWO may be elected only once by the Certificate Holder or by a spousal Beneficiary.

Certificate Holders should consult their tax adviser prior to requesting this distribution option. We are not responsible for any adverse tax consequences due to a Certificate Holder's receiving SWO payments. A ten (10) percent penalty tax may apply to distributions to a Certificate Holder who has not reached age 59 1/2. Upon death of the Certificate Holder, any payments will be made under the terms of Section 10.

Dollar Cost Averaging is not available to Certificate Holders who have elected SWO.

Section 9. Maintenance Charge

  • -----------------------------------------------------------------------------------------------------------------------------------

  • Maintenance Charge - We will deduct an annual maintenance charge as shown in the Contract Schedule from the

Certificate Holder's Account during the Accumulation Period. We will deduct the maintenance charge on the anniversary of the Effective Date of the Certificate for the Certificate Holder's Account. This maintenance charge is also deducted upon withdrawal of the entire Adjusted Certificate Holder's Account. The maintenance charge is deducted proportionately from each investment option used.

Section 10. Proceeds Payable on Death

- -----------------------------------------------------------------------------------------------------------------------------------

18

<PAGE>

10.01     

Death of the Certificate Holder Prior to the Annuity Date - In the event of the death of the Certificate Holder or a

  joint     

Certificate Holder prior to the Annuity Date, a death benefit is payable to the Beneficiary(ies) designated by

  the     

Certificate Holder. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if

  any,     

will be treated as the designated Beneficiary. Any other Beneficiary designation on record with Us at the time

  of     

death will be treated as a contingent Beneficiary. If the Certificate Holder is a nonnatural person, the death

  benefit     

will be payable to the Beneficiary(ies) at the death of the Annuitant.

  A     

Beneficiary may request We pay the death benefit under one of the methods described in Section 10.03. If the

  Beneficiary     

is the spouse of the Certificate Holder, or the spouse of the Annuitant if the Certificate Holder is a

  nonnatural     

person, he or she may elect to continue the Certificate Holder's Account in his or her own name and

  exercise     

all the Certificate Holder's rights under the Contract.

10.02     

Death Benefit Amount Prior to the Annuity Date -

  (a)     

Except as set forth below, the amount of the guaranteed death benefit value is equal to the greater of:

   (i)     

The Certificate Holder's Account Value at the end of the Valuation Period during which We receive at our

    home     

office due proof of death and election of the type of payment to be made; or

   (ii)     

The death benefit determined as of the Valuation Period corresponding to the date of death.

    Until     

the first Effective Date anniversary, the death benefit is equal to the Purchase Payments made by the

    Certificate     

Holder prior to the Effective Date anniversary less any withdrawals and any amounts applied to

    an     

Annuity Option.

    For     

each Certificate year thereafter, the death benefit during the Certificate year equals the death

    benefit     

at the beginning of the Certificate year plus Purchase Payments made during the year less any

    withdrawals     

and any amounts applied to an Annuity Option.

    On     

each Effective Date anniversary, the death benefit is determined as follows:

    (A)     

The death benefit on the previous Effective Date anniversary increased by the death benefit factor shown on the Contract Schedule; plus

    (B)     

Purchase Payments made by the Certificate Holder during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the year since the Purchase Payment was made; less

    (C)     

Any withdrawals or amounts applied to an Annuity Option during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the Certificate year since the withdrawal or election of Annuity option; or

19

<PAGE>

(iii)     

The Certificate Holder's Account Value on the most recent seventh year anniversary of the Effective Date plus any Purchase Payments made after such Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option.

Notwithstanding the foregoing, the death benefit under (ii) or (iii) will not exceed the death benefit maximum amount shown on the Contract Schedule.

The death benefit calculation described in (ii) and (iii) above, applies until the Certificate Holder reaches the

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death benefit maximum age shown on the Contract Schedule. If the Certificate Holder is a nonnatural person, death provisions will be based on the age of the Annuitant. Thereafter, the death benefit is only adjusted for Purchase Payments, withdrawals and amounts applied to Annuity Options. If the Certificate Holder reaches the death benefit maximum age shown on the Contract Schedule prior to the seventh anniversary of the Effective Date, the death benefit will be the greater of (i) or (ii) above.

The excess, if any, of the guaranteed death benefit value over the Certificate Holder's Account Value is determined when we receive at our home office due proof of death and allocated to the Fund shown on the Contract Schedule. The Certificate Holder's Account Value plus any excess amount deposited becomes the Certificate Holder's Account Value.

(b)     

In the case of a spousal Beneficiary who continued the Certificate Holder's Account in his or her own name, the death benefit shall be equal to the Adjusted Current Value less any applicable deferred sales charge on any Purchase Payment made after We have received at our home office due proof of death of the joint Certificate Holder (or Annuitant, if applicable).

When the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account within six months after the date of death, the amount withdrawn or transferred from the AG Account will be the greater of:

(1) The aggregate Market Value Adjustment amount (the amount resulting from the application of relevant Market Value Adjustment factors); or

(2) The applicable portion of Certificate Holder's Account Value in the AG Account.

After the six-month period, when the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account, the amount will be equal to the aggregate Market Value Adjustment amount. Only a positive market value adjustment will apply, however, to amounts transferred from the AG Account when the Beneficiary elects Annuity Option 2 or 3.

At the death of a spousal Beneficiary who continued the Certificate Holder's Account in his or her own name, when the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account, the amount will be equal to the Aggregate Market Value Adjustment amount.

10.03     

Death Benefit Payment Methods - A non-spousal Beneficiary must elect the death benefit to be paid under one of the following methods in the event of the death of the Certificate Holder prior to the Annuity Date:

20

<PAGE>

Method 1 - Lump sum payment of the death benefit; or

Method 2 - The payment of the entire death benefit within five years of the date of the Certificate Holder's death; or

Method 3 - Payment of the death benefit over the lifetime of the designated Beneficiary or over a period not extending beyond the life expectancy of the designated Beneficiary with distribution beginning within one year of the date of death of the Certificate Holder.

Any portion of the death benefit not applied under Method 3 within one year of the date of Certificate Holder's death, or the death of the Annuitant if the Certificate Holder is a nonnatural person, must be distributed within five years of the date of death.

A spousal Beneficiary may elect to continue the Certificate Holder's Account in his or her name, elect a lump sum payment of the death benefit, or apply the Adjusted Certificate Holder's Account Value to an Annuity Option.

10.04     

Death of Certificate Holder On or After the Annuity Date - If the Certificate Holder who is not the Annuitant, dies on or after the Annuity Date, the remaining payments under the Annuity Option elected will be made to the Beneficiary at least as rapidly as under the method of distribution in effect at the Certificate Holder's death.

10.05     

Death of the Annuitant - If the Annuitant, who is not a Certificate Holder, dies on or before the Annuity Date, a new Annuitant may be named. If no Annuitant is named, the Certificate Holder will be the Annuitant. If the Certificate Holder is a nonnatural person, the death benefit will be paid at the death of the Annuitant and no new Annuitant may be named. If the Annuitant dies after the Annuity Date, the death benefit, if any, will be payable to the Beneficiary as specified in the Annuity Option elected. We will require proof of the Annuitant's death. Death benefits will be paid at least as rapidly as under the method of distribution in effect at the Annuitant's death.

Section 11. Delay of Payments

  • -----------------------------------------------------------------------------------------------------------------------------------

  • Delay of Payments - We will make any payments under this Contract within seven days after a request is received in

good order. We reserve the right to suspend or postpone any type of payment from the Separate Account for any period when:

(a)     

The New York Stock Exchange is closed for other than customary weekend and holiday closings;

(b)     

Trading on the Exchange is restricted;

(c)     

An emergency exists as a result of which it is not reasonably practicable to dispose of securities held in the Separate Account or determine their value; or

(d)     

The Securities and Exchange Commission so permits delay for the protection of security holders.

The applicable rules of the Securities and Exchange Commission will govern as to whether the conditions in (b) or (c) exist.

     We also reserve the right to delay any type of payment from the AG Account for up to six months. 21 <PAGE>

Section 12. Annuity Provisions

- -----------------------------------------------------------------------------------------------------------------------------------

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12.01     

Designation of Annuitant - The Certificate Holder and the Annuitant need not be the same person. The Certificate

  Holder     

names the Annuitant and during the Accumulation Period, may change the designated Annuitant. We change the

  Annuitant     

when We receive a written request in good order at our home office. We will not change the Annuitant when

  Annuity     

payments have commenced.

  The     

Certificate Holder elects an Annuity Option by telling Us to use all or any portion of the Certificate Holder's

  Account     

Value (minus any applicable premium taxes if not previously deducted) to purchase Annuity payments under an

  Annuity     

Option. If the Certificate Holder elects Annuity Option 1, the amount applied to purchase Annuity payments

  will     

be equal to the Adjusted Certificate Holder's Account Value. If the Certificate Holder elects Annuity Option 2

  or     

3, the amount applied to purchase Annuity payments will be the greater of:

  (1)     

The Adjusted Certificate Holder's Account Value; or

  (2)     

The Certificate Holder's Account Value.

  When     

an Annuity Option is chosen the Certificate Holder must designate a:

  (a)     

Fixed Annuity using the General Account;

  (b)     

Variable Annuity using any of the Funds available during the Annuity Period; or

  (c)     

Combination of (a) and (b).

  If     

a fixed Annuity is chosen, We will calculate the amount using an interest assumption no less than the percentage

  specified     

on the Contract Schedule. We may calculate the amount using a higher interest rate.

  If     

a variable Annuity is chosen, an Assumed Annual Net Return Rate of 5% may be chosen. If not chosen, We will use

  an     

Assumed Annual Net Return Rate of 3.5%

  Payments     

are made on a monthly basis to the Certificate Holder unless the Certificate Holder requests a different

  mode     

of payment.

  Once     

elected, an Annuity Option may not be revoked, except for Option 1 when elected on a variable basis.

12.02     

Terms of Annuity Options - The minimum first payment amount must be at least $50 per month and at least $250 per

  year.     

  If     

the Certificate Holder elects a fixed Annuity and We determine that the Certificate Holder would receive larger

  payments     

by applying the Certificate Holder's Account Value, reduced by the deferred sales charge, to a single

  premium     

immediate Annuity currently offered by Us, We will make the larger payments.

We determine the first payment of a variable Annuity, or the payment amount of a fixed Annuity, using the Annuitant's (and second Annuitant's if applicable) adjusted age which We calculate as follows:

22

<PAGE>

(a)     

If Annuity payments begin any time between July 1, 1992 and December 31, 1999, the adjusted age is the Annuitant's age as of the birthday closest in time to the Annuity Date reduced by one (1) year.

(b)     

If the Annuity begins any time between January 1, 2000 and December 31, 2009, the adjusted age is the Annuitant's age as of the birthday closest in time to the Annuity Date reduced by two (2) years.

(c)     

For each succeeding decade, the adjusted age is the Annuitant's age as determined in (b), reduced by one additional year.

The Annuity rates for Options 2 and 3 are based on mortality from 1983 Table A.

Assumed Annual Net Return Rate is the interest rate used to determine the amount of the first Annuity payment under a variable Annuity. The Separate Account must earn this rate plus enough to cover the mortality and expense risks charges (which may include profit) and administrative charges if future variable Annuity payments are to remain level.

The Certificate Holder must give written notice to Us at least 30 days before the Annuity payments begin, electing or changing:

(a)     

The date on which Annuity payments are to begin;

(b)     

The Annuity Option;

(c)     

Whether the payments are to be made monthly, quarterly, semiannually or annually;

(d)     

The investment options used to provide Annuity payments.

The first Annuity payment may not be earlier than one (1) calendar year after the initial Purchase Payment, nor later than the later of the:

(a)     

First day of the month following the Annuitant's birthday shown on the Contract Schedule; or

(b)     

Tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may request a lump sum payment.

12.03     

Annuity Unit - The number of Annuity Units per Fund is based on the amount of the first variable Annuity payment

  which     

is equal to:

  (a)     

The portion of the Certificate Holder's Account Value (minus any premium taxes) applied to pay a variable Annuity; divided by,

  (b)     

1000; multiplied by,

  (c)     

The payment rate for the Annuity Option chosen.

  Such     

amount, or portion, of the variable Annuity payment will be divided by the Annuity Unit value for the

  appropriate     

Fund on the tenth Valuation Period before the due date of the first payment to determine the number of

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each Fund's Annuity Units. The number of each Fund's Annuity Unit remains fixed. Each future payment is equal to the sum of the products of each Fund's Annuity Unit value multiplied by the appropriate number of units. The Fund's Annuity Unit value on the tenth Valuation Period prior to the due date of the payment is used.

12.04 Annuity Unit Value - For any Valuation Period, a Fund's Annuity Unit value is equal to:

23

<PAGE>

(a)     

The value for the previous Valuation Period; multiplied by,

(b)     

The Annuity Net Return Factor for the Valuation Period; multiplied by,

(c)     

A daily factor to reflect the Assumed Annual Net Return Rate (the factor for 3.5% per year is .9999058; for 5% per year it is .9998663).

The dollar value of a Fund(s) Annuity Unit values and payments may go up or down due to investment gain or loss.

12.05     

Annuity Net Return Factor - The Annuity net return factor is used to compute all Separate Account Annuity payments

  for     

any Fund.

  The     

Annuity net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate. The net return rate

  is     

equal to:

  (a)     

The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus,

  (b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus,

  (c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

  (d)     

The total value of the Fund(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus,

  (e)     

A daily actuarial charge as shown of the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge which will not exceed the administrative charge as shown on the Contract Schedule.

  The     

net return rate may be more or less than zero (o) percent.

  The     

value of a share of the Fund is equal to the net assets of

  the     

Fund divided by the number of shares outstanding.

12.06     

Annuity Options

  Option     

1 - Payments for a Stated Period of Time - An Annuity will be paid for the number of years chosen. The number

  of     

years must be at least 5 and not more than 30.

  If     

payments for this Annuity Option are made under a variable Annuity, the present value of any remaining payments

  may     

be withdrawn at any time. Option 2 - Life Income - An Annuity will be paid for the life of the Annuitant. If

  also     

chosen, We will guarantee payments for 60, 120, 180, or 240 months.

  Option     

3 - Life Income Based upon the Lives of Two Annuitants - An Annuity will be paid during the lives of the

  Annuitant     

and a second Annuitant. Payments will continue until both Annuitants have died. When this Annuity Option

  is     

chosen, a choice must be made of:

24

<PAGE>

(a)     

100% of the payment to continue after the first death;

(b)     

66 2/3% of the payment to continue after the first death;

(c)     

50% of the payment to continue after the first death;

(d)     

Payments for a minimum of 120 months with 100% of the payment to continue after the first death; or

(e)     

100% of the payment to continue at the death of the second Annuitant and 50% of the payment to continue at the death of the Annuitant.

We may make other options available as allowed by law.

</TABLE>

25

<PAGE>

<TABLE>
<CAPTION>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

- ------------------- ------------------- ------------------ ------------------ ------------------- ------------------

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  Guaranteed Monthly Quarterly Semi-Annual Annual
Years Rate Payment Payment Payment Payment

 

  • ------------------- ------------------- ------------------ ------------------ ------------------- ------------------

<S> <C> <C> <C> <C> <C>
5 3.00% 17.91 53.59 106.78 211.99
6 3.00% 15.14 45.30 90.27 179.22
7 3.00% 13.16 39.39 78.49 155.83
8 3.00% 11.68 34.96 69.66 138.31
9 3.00% 10.53 31.52 62.81 124.69
10 3.00% 9.61 28.77 57.33 113.82
11 3.00% 8.86 26.52 52.85 104.93
12 3.00% 8.24 24.65 49.13 97.54
13 3.00% 7.71 23.08 45.98 91.29
14 3.00% 7.26 21.73 43.29 85.95
15 3.00% 6.87 20.56 40.96 81.33
16 3.00% 6.53 19.54 38.93 77.29
17 3.00% 6.23 18.64 37.14 73.74
18 3.00% 5.96 17.84 35.56 70.59
19 3.00% 5.73 17.13 34.14 67.78
20 3.00% 5.51 16.50 32.87 65.26
21 3.00% 5.32 15.92 31.72 62.98
22 3.00% 5.15 15.40 30.68 60.92
23 3.00% 4.99 14.92 29.74 59.04
24 3.00% 4.84 14.49 28.88 57.33
25 3.00% 4.71 14.09 28.08 55.76
26 3.00% 4.59 13.73 27.36 54.31
27 3.00% 4.47 13.39 26.68 52.97
28 3.00% 4.37 13.08 26.06 51.74
29 3.00% 4.27 12.79 25.49 50.60
30 3.00% 4.18 12.52 24.95 49.53

 

- ------------------- ------------------- ------------------ ------------------ ------------------- ------------------</TABLE>

26

<PAGE>

<TABLE>
<CAPTION>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

Payments Guaranteed for a Stated Period of Months

- ---------------------------------------------------------------------------------------------------------------------------------

Adjusted   None 60     120   180 240
Age of ------------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

- ---------------------------------------------------------------------------------------------------------------------------------

<S> <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>   <C>  
50 $ 4.27 $ 3.90 $ 4.26 $ 3.90 $ 4.22 $ 3.89 $ 4.17 $ 3.86 $ 4.08 $ 3.82
51   4.34   3.97   4.33   3.96   4.30   3.95   4.23   3.92   4.14   3.88
52   4.43   4.03   4.41   4.03   4.37   4.01   4.30   3.98   4.20   3.93
53   4.51   4.10   4.50   4.10   4.45   4.08   4.37   4.04   4.26   3.99
54   4.60   4.18   4.59   4.17   4.54   4.15   4.45   4.11   4.32   4.04
 
55   4.70   4.25   4.68   4.25   4.62   4.22   4.53   4.18   4.39   4.11
56   4.80   4.34   4.78   4.33   4.72   4.30   4.61   4.25   4.45   4.17
57   4.91   4.42   4.89   4.41   4.82   4.38   4.69   4.32   4.51   4.23
58   5.03   4.52   5.00   4.51   4.92   4.47   4.78   4.40   4.58   4.30
59   5.15   4.61   5.12   4.60   5.03   4.56   4.87   4.48   4.65   4.37
 
60   5.28   4.72   5.25   4.70   5.14   4.66   4.96   4.57   4.71   4.44
61   5.43   4.83   5.39   4.81   5.27   4.76   5.06   4.66   4.78   4.51
62   5.58   4.95   5.53   4.93   5.39   4.87   5.16   4.75   4.84   4.58
63   5.74   5.08   5.69   5.05   5.53   4.99   5.26   4.85   4.90   4.65
64   5.91   5.21   5.85   5.18   5.66   5.10   5.36   4.95   4.96   4.72
 
65   6.10   5.36   6.03   5.32   5.81   5.22   5.46   5.05   5.02   4.79
66   6.30   5.51   6.21   5.47   5.96   5.36   5.56   5.16   5.08   4.86
67   6.51   5.67   6.41   5.63   6.12   5.50   5.66   5.26   5.13   4.93
68   6.73   5.85   6.62   5.80   6.28   5.65   5.77   5.37   5.18   5.00
69   6.97   6.04   6.84   5.98   6.44   5.80   5.86   5.49   5.23   5.06
 
70   7.23   6.25   7.07   6.18   6.61   5.97   5.96   5.60   5.27   5.12
71   7.51   6.47   7.32   6.39   6.79   6.14   6.05   5.71   5.31   5.18
72   7.80   6.71   7.58   6.62   6.96   6.32   6.14   5.83   5.34   5.23
73   8.12   6.98   7.85   6.86   7.14   6.50   6.23   5.94   5.37   5.28
74   8.46   7.26   8.14   7.12   7.32   6.69   6.31   6.04   5.40   5.32
 
75   8.82   7.57   8.45   7.40   7.50   6.89   6.38   6.14   5.42   5.35

 

- -----------------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.  
Rates for ages not shown will be provided on request and will be computed  
on a basis consistent with the rates in the above tables.  
 
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</TABLE>

     27 <PAGE>

<TABLE> <CAPTION>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

- ----------------------------------------------------------------------------------------------------------------------------------

Adjusted Ages          
- ------------------- -------------------          
  Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

- ----------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C>   <C> <C>   <C> <C>  
 
55 50 $ 3.69 $ 4.05 $ 4.27 $ 3.69 $ 4.13
55 55   3.88 4.25   4.47 3.87   4.25
55 60   3.06 4.47   4.71 4.06   4.36
 
60 55   3.99 4.44   4.71 3.98   4.55
60 60   4.24 4.71   4.99 4.23   4.70
60 65   4.49 5.01   5.32 4.48   4.85
 
65 60   4.38 4.97   5.32 4.38   5.10
65 65   4.72 5.33   5.70 4.71   5.32
65 70   5.07 5.75   6.17 5.05   5.54
 
70 65   4.93 5.68   6.15 4.91   5.86
70 70   5.40 6.21   6.70 5.36   6.18
70 75   5.89 6.82   7.40 5.81   6.49
 
75 70   5.69 6.68   7.32 5.62   6.92
75 75   6.37 7.45   8.15 6.23   7.40
75 80   7.07 8.34   9.16 6.78   7.85

 

- ----------------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

28

<PAGE>

<TABLE>
<CAPTION>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Female and Second Annuitant is Male)

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

- ----------------------------------------------------------------------------------------------------------------------------------

Adjusted Ages            
- --------------------------------------          
  Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

- ----------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C>   <C>   <C>   <C>  
 
55 50 $ 3.75 $ 4.07 $ 4.26 $ 3.75 $ 3.98
55 55 3.88   4.25   4.47   3.87   4.06
55 60 3.99   4.44   4.71   3.98   4.12
 
60 55 4.06   4.47   4.71   4.06   4.37
60 60 4.24   4.71   4.99   4.23   4.47
60 65 4.38   4.97   5.32   4.38   4.54
 
65 60 4.49   5.01   5.32   4.48   4.89
 
 
 
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            Page 16 of 21
 
 
 
 
65 65 4.72 5.33 5.70 4.71 5.02
65 70 4.93 5.68 6.15 4.91 5.14
 
70 65 5.07 5.75 6.17 5.05 5.60
70 70 5.40 6.21 6.70 5.36 5.79
70 75 5.69 6.68 7.32 5.62 5.96
 
75 70 5.89 6.83 7.40 5.81 6.63
75 75 6.37 7.45 8.15 6.23 6.92
75 80 6.78 8.11 8.99 6.54 7.15

 

- ----------------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

29

<PAGE>

<TABLE>
<CAPTION>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

- ----------------------------------------------------------------------------------------------------------------------------------

  Guaranteed Monthly Quarterly Semi-Annual Annual
Years Rate Payment Payment Payment Payment

 

- ----------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C>
 
5 3.50% 18.12 54.19 107.92 213.99
6 3.50% 15.35 45.92 91.44 181.32
7 3.50% 13.38 40.01 79.69 158.01
8 3.50% 11.90 35.59 70.88 140.56
9 3.50% 10.75 32.16 64.05 127.00
10 3.50% 9.83 29.42 58.59 116.18
11 3.50% 9.09 27.18 54.13 107.34
12 3.50% 8.46 25.32 50.42 99.98
13 3.50% 7.94 23.75 47.29 93.78
14 3.50% 7.49 22.40 44.62 88.47
15 3.50% 7.10 21.24 42.31 83.89
16 3.50% 6.76 20.23 40.29 79.89
17 3.50% 6.47 19.34 38.51 76.37
18 3.50% 6.20 18.55 36.94 73.25
19 3.50% 5.97 17.85 35.54 70.47
20 3.50% 5.75 17.22 34.28 67.98
21 3.50% 5.56 16.65 33.15 65.74
22 3.50% 5.39 16.13 32.13 63.70
23 3.50% 5.24 15.66 31.19 61.85
24 3.50% 5.09 15.24 30.34 60.17
25 3.50% 4.96 14.85 29.56 58.62
26 3.50% 4.84 14.49 28.85 57.20
27 3.50% 4.73 14.15 28.19 55.90
28 3.50% 4.63 13.85 27.58 54.69
29 3.50% 4.53 13.57 27.02 53.57
30 3.50% 4.45 13.30 26.49 52.53

 

- ----------------------------------------------------------------------------------------------------------------------------------
</TABLE>

 

30

<PAGE>

<TABLE>
<CAPTION>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

- ----------------------------------------------------------------------------------------------------------------------------------

  Guaranteed Monthly Quarterly Semi-Annual Annual
Years Rate Payment Payment Payment Payment

 

- ----------------------------------------------------------------------------------------------------------------------------------
<S> <C> <C> <C> <C> <C>
 
 
 
 
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          Page 17 of 21
 
 
 
 
5 5.00% 18.74 56.00 111.33 219.98
6 5.00% 15.99 47.77 94.96 187.64
7 5.00% 14.02 41.90 83.30 164.59
8 5.00% 12.56 37.52 74.58 147.35
9 5.00% 11.42 34.11 67.81 133.99
10 5.00% 10.51 31.40 62.42 123.34
11 5.00% 9.77 29.19 58.03 114.66
12 5.00% 9.16 27.36 54.38 107.45
13 5.00% 8.64 25.81 51.31 101.39
14 5.00% 8.20 24.50 48.69 96.21
15 5.00% 7.82 23.36 46.44 91.75
16 5.00% 7.49 22.37 44.47 87.88
17 5.00% 7.20 21.51 42.75 84.48
18 5.00% 6.94 20.74 41.23 81.47
19 5.00% 6.71 20.06 39.88 78.80
20 5.00% 6.51 19.46 38.68 76.42
21 5.00% 6.33 18.91 37.59 74.28
22 5.00% 6.17 18.42 36.62 72.35
23 5.00% 6.02 17.98 35.73 70.61
24 5.00% 5.88 17.57 34.93 69.02
25 5.00% 5.76 17.20 34.20 67.57
26 5.00% 5.65 16.87 33.53 66.25
27 5.00% 5.54 16.56 32.92 65.04
28 5.00% 5.45 16.28 32.35 63.93
29 5.00% 5.36 16.01 31.83 62.90
30 5.00% 5.28 15.77 31.35 61.95

 

- --------------------- -------------------- -------------------- -------------------- --------------------- --------------------</TABLE>

<PAGE>

<TABLE>
<CAPTION>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

Payments Guaranteed for a Stated Period of Months

- --------------------------------------------------------------------------------------------------------------------------------

Adjusted   None 60     120 180   240
Age of ------------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

- --------------------------------------------------------------------------------------------------------------------------------

<S> <C>   <C> <C>   <C>   <C> <C>   <C> <C> <C>   <C>
 
50 $ 4.56 $ 4.20 $ 4.55 $ 4.19 $ 4.51 $ 4.18 $ 4.45 $ 4.15 $ 4.36 $ 4.11
51   4.64 4.26   4.62   4.25 4.58   4.24 4.51 4.21   4.42 4.16
52   4.72 4.32   4.70   4.32 4.66   4.30 4.58 4.26   4.48 4.21
53   4.80 4.39   4.79   4.38 4.74   4.36 4.65 4.32   4.53 4.27
54   4.89 4.46   4.87   4.46 4.82   4.43 4.73 4.39   4.59 4.32
 
55   4.99 4.54   4.97   4.53 4.91   4.50 4.80 4.46   4.65 4.38
56   5.09 4.62   5.07   4.61 5.00   4.58 4.88 4.53   4.72 4.44
57   5.20 4.71   5.17   4.70 5.10   4.66 4.96 4.60   4.78 4.50
58   5.32 4.80   5.29   4.79 5.20   4.75 5.05 4.68   4.84 4.57
59   5.44 4.90   5.41   4.88 5.31   4.84 5.14 4.76   4.91 4.63
 
60   5.57 5.00   5.53   4.99 5.42   4.93 5.23 4.84   4.97 4.70
61   5.71 5.11   5.67   5.09 5.54   5.03 5.32 4.93   5.03 4.77
62   5.86 5.23   5.81   5.21 5.66   5.14 5.42 5.02   5.09 4.84
63   6.02 5.36   5.97   5.33 5.79   5.25 5.51 5.11   5.16 4.91
64   6.20 5.49   6.13   5.46 5.93   5.37 5.61 5.21   5.21 4.98
 
65   6.38 5.64   6.31   5.60 6.07   5.49 5.71 5.31   5.27 5.05
66   6.58 5.79   6.49   5.75 6.22   5.63 5.81 5.41   5.32 5.12
67   6.79 5.95   6.69   5.91 6.38   5.76 5.91 5.52   5.38 5.18
68   7.02 6.13   6.89   6.08 6.53   5.91 6.01 5.63   5.42 5.25
69   7.26 6.32   7.11   6.26 6.70   6.06 6.11 5.74   5.47 5.31
 
70   7.52 6.53   7.35   6.45 6.86   6.23 6.20 5.85   5.51 5.37
71   7.80 6.75   7.59   6.66 7.03   6.39 6.29 5.96   5.54 5.42
72   8.09 6.99   7.85   6.89 7.21   6.57 6.38 6.07   5.57 5.47
73   8.41 7.26   8.12   7.13 7.38   6.75 6.46 6.17   5.60 5.51
74   8.75 7.54   8.41   7.39 7.55   6.94 6.53 6.28   5.63 5.55
 
75   9.12 7.85   8.71   7.66 7.73   7.13 6.61 6.38   5.65 5.59

 

- -------------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

32

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03/26/2018


 

Page 18 of 21

<PAGE>

<TABLE> <CAPTION>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

Payments Guaranteed for a Stated Period of Months

- --------------------------------------------------------------------------------------------------------------------------------

Adjusted   None 60     120 180   240
Age of ------------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

- --------------------------------------------------------------------------------------------------------------------------------

<S> <C>   <C>   <C>   <C>   <C>   <C>   <C> <C>   <C>   <C>  
 
50 $ 5.48 $ 5.12 $ 5.46 $ 5.11 $ 5.41 $ 5.09 $ 5.34 $ 5.06 $ 5.24 $ 5.01
51   5.55   5.17   5.53   5.17   5.48   5.14 5.40   5.11   5.29   5.05
52   5.63   5.23   5.61   5.23   5.55   5.20 5.46   5.16   5.34   5.10
53   5.71   5.30   5.69   5.29   5.62   5.26 5.53   5.22   5.40   5.15
54   5.80   5.37   5.77   5.36   5.70   5.33 5.60   5.27   5.45   5.20
 
55   5.89   5.44   5.86   5.43   5.79   5.39 5.67   5.34   5.51   5.25
56   5.99   5.52   5.96   5.51   5.87   5.47 5.74   5.40   5.56   5.31
57   6.10   5.60   6.06   5.59   5.97   5.54 5.82   5.47   5.62   5.37
58   6.21   5.69   6.17   5.67   6.06   5.62 5.90   5.54   5.68   5.42
59   6.33   5.79   6.29   5.77   6.17   5.71 5.98   5.61   5.74   5.48
 
60   6.46   5.89   6.41   5.87   6.28   5.80 6.06   5.69   5.79   5.55
61   6.60   6.00   6.55   6.97   6.39   5.90 6.15   5.77   5.85   5.61
62   6.75   6.11   6.69   6.08   6.51   6.00 6.24   5.86   5.91   5.67
63   6.91   6.23   6.84   6.20   6.64   6.10 6.33   5.95   5.96   5.73
64   7.09   6.37   7.00   6.33   6.77   6.22 6.42   6.04   6.02   5.80
 
65   7.27   6.51   7.18   6.46   6.91   6.34 6.52   6.13   6.07   5.86
66   7.47   6.66   7.36   6.61   7.05   6.46 6.61   6.23   6.12   5.92
67   7.68   6.82   7.55   6.76   7.20   6.60 6.70   6.33   6.16   5.99
68   7.91   7.00   7.76   6.93   7.35   6.74 6.80   6.43   6.21   6.04
69   8.15   7.19   7.98   7.11   7.51   6.89 6.89   6.54   6.25   6.10
 
70   8.41   7.39   8.21   7.30   7.67   7.04 6.97   6.64   6.28   6.15
71   8.69   7.62   8.45   7.51   7.83   7.21 7.06   6.74   6.32   6.20
72   8.99   7.86   8.70   7.73   8.00   7.38 7.14   6.85   6.35   6.25
73   9.31   8.12   8.97   7.97   8.16   7.55 7.21   6.95   6.37   6.29
74   9.65   8.41   9.26   8.23   8.33   7.73 7.29   7.04   6.39   6.33
 
75   10.02   8.72   9.55   8.50   8.50   7.92 7.35   7.14   6.41   6.36

 

- ---------------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

33

<PAGE>

<TABLE>
<CAPTION>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

- --------------------------------------------------------------------------------------------------------------------------------

Adjusted Ages          
- ------------------- -------------------        
  Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

- --------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C>   <C>   <C>   <C>   <C>  
55 50 $ 3.97 $ 4.35 $ 4.56 $ 3.97 $ 4.42
55 55   4.16   4.54   4.76   4.15   4.54
55 60   4.34   4.76   5.00   4.34   4.64
60 65   4.27   4.73   5.00   4.26   4.83
 
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            Page 19 of 21
 
 
 
 
60 60 4.51 4.99 5.27 4.50 4.98
60 65 4.76 5.29 5.60 4.75 5.13
 
65 60 4.66 5.25 5.61 4.65 5.39
65 65 4.99 5.61 5.99 4.98 5.60
65 70 5.34 6.03 6.46 5.31 5.81
 
70 65 5.19 5.97 6.44 5.17 6.14
70 70 5.67 6.49 6.99 5.62 6.47
70 75 6.16 7.10 7.68 6.07 6.77
 
75 70 5.95 6.96 7.61 5.87 7.20
75 75 6.64 7.73 8.43 6.48 7.68
75 80 7.33 8.62 9.45 7.02 8.13

 

- --------------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

34

<PAGE>

<TABLE>
<CAPTION>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Female and Second Annuitant is Male)

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

- --------------------------------------------------------------------------------------------------------------------------------

Adjusted Ages          
- ------------------- -------------------        
  Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

- --------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C>   <C>   <C>   <C>   <C>  
 
55 50 $ 4.03 $ 4.36 $ 4.55 $ 4.03 $ 4.41
55 55   4.16   4.54   4.76   4.15   4.54
55 60   4.27   4.73   5.00   4.26   4.83
 
60 55   4.34   4.76   5.00   4.34   4.64
60 60   4.51   4.99   5.27   4.50   4.98
60 65   4.66   5.25   5.61   4.65   5.39
 
65 60   4.76   5.29   5.60   4.75   5.13
65 65   4.99   5.61   5.99   4.98   5.60
65 70   5.19   5.97   6.44   5.17   6.14
 
70 65   5.34   6.03   6.46   5.31   5.81
70 70   5.67   6.49   6.99   5.62   6.47
70 75   5.95   6.96   7.61   5.87   7.20
 
75 70   6.16   7.10   7.68   6.07   6.77
75 75   6.64   7.73   8.43   6.48   7.68
75 80   7.04   8.39   9.29   6.79   8.70

 

- --------------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male.  
 
Rates for ages not shown will be provided on request and will be computed  
on a basis consistent with the rates in the above tables.  
</TABLE>  
 
 
35  
<PAGE>  
 
 
 
<TABLE>  
<CAPTION>  
OPTION 3  
 
Life Income for Two Payees  
 
Amount of First Monthly Payment for Each $1,000  
After Deduction of any Charge for Premium Taxes  
 
 
 
 
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Page 20 of 21

(Annuitant is Male and Second Annuitant is Female)

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

- --------------------------------------------------------------------------------------------------------------------------------

Adjusted Ages          
- ------------------- -------------------        
  Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

- --------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C>   <C>   <C>   <C>   <C>  
 
55 50 $ 4.88 $ 5.26 $ 5.48 $ 4.88 $ 5.34
55 55   5.04   5.44   5.66   5.04   5.43
55 60   5.21   5.65   5.89   5.21   5.53
 
60 55   5.15   5.63   5.91   5.14   5.73
60 60   5.37   5.87   6.16   5.37   5.86
60 65   5.61   6.16   6.49   5.60   6.01
 
65 60   5.52   6.14   6.51   5.51   6.28
65 65   5.83   6.49   6.87   5.82   6.47
65 70   6.17   6.90   7.33   6.13   6.67
 
70 65   6.04   6.84   7.34   6.00   7.03
70 70   6.49   7.35   7.87   6.44   7.33
70 75   6.97   7.96   8.56   6.87   7.62
 
75 70   6.77   7.84   8.51   6.68   8.08
75 75   7.45   8.60   9.33   7.27   8.55
75 80   8.14   9.49   10.35   7.80   8.98

 

- --------------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

36

<PAGE>

<TABLE>
<CAPTION>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Female and Second Annuitant is Male)
Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

- --------------------------------------------------------------------------------------------------------------------------------

Adjusted Ages          
- ------------------- -------------------        
  Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

- --------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
 
55 50 $ 4.93 $ 5.27 $ 5.46 $4.93 $5.19
55 55 5.04 5.44 5.66 5.04 5.43
55 60 5.15 5.63 5.91 5.14 5.73
 
60 55 5.21 5.65 5.89 5.21 5.53
60 60 5.37 5.87 6.16 5.37 5.86
60 65 5.52 6.14 6.51 5.51 6.28
 
65 60 5.61 6.16 6.49 5.60 6.01
65 65 5.83 6.49 6.87 5.82 6.47
65 70 6.04 6.84 7.34 6.00 7.03
 
70 65 6.17 6.90 7.33 6.13 6.67
70 70 6.49 7.35 7.87 6.44 7.33
70 75 6.77 7.84 8.51 6.68 8.08
 
75 70 6.97 7.96 8.56 6.87 7.62
75 75 7.45 8.60 9.33 7.27 8.55
75 80 7.86 9.28 10.20 7.57 9.59

 

- --------------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.  
The rates assume the Annuitant is Female and the Second Annuitant is Male.  
Rates for ages not shown will be provided on request and will be computed  
on a basis consistent with the rates in the above tables.  
</TABLE>  
 
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Page 21 of 21

37

<PAGE>

AETNA INSURANCE COMPANY OF AMERICA
Home Office: 151 Farmington Avenue
P.O. Box 30670
Hartford, Connecticut 06150-0670
(800)531-4547

Group Variable, Fixed, or Combination Annuity Contract
Nonparticipating

ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

38

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03/26/2018

EX-16 13 ex164i.htm EXHIBIT 16(4)(I) CONTRACT (NONPARTICIPATING) I-GP2 (5/96) ex164i.htm - Generated by SEC Publisher for SEC Filing

Page 1 of 23

Exhibit 16(4)(i)    
Aetna Insurance Company of America      
Home Office: 151 Farmington Avenue      
P.O. Box 30670        
Hartford, Connecticut 06150-0670      
(800) 531-4547        
 
You may call the toll-free number shown above for answers to    
questions or to resolve a complaint.    
 
Individual Variable, Fixed Or Combination Annuity Contract (Nonparticipating)    
 
Aetna Insurance Company of America (We or Us), a stock company, agrees to pay    
benefits according to the terms and conditions set forth in this Contract.    
 
Specifications        
- --------------------------------------------------------------------------------    
Plan        
- --------------------------------------------------------------------------------    
Type of Plan        
- --------------------------------------------------------------------------------    
Contract Holder        
- --------------------------------------------------------------------------------    
Contract Number        
- --------------------------------------------------------------------------------    
Effective Date        
 
 
This Contract is delivered in        
and is subject to the laws and regulations of that state.    
 
The variable features of the Contract are described in sections 6 and 12.    
 
Right to Cancel        
- --------------------------------------------------------------------------------    
The Contract Holder may cancel this Contract within 10 days by returning it to    
Us at the address shown above or to the person from whom it was purchased.    
Within seven (7) days of the cancellation request, We will return the amount of    
Purchase Payment(s) made plus any increase, or minus any decrease, on the Amount    
allocated to the Separate Account.        
 
Signed at the Home Office on the Effective Date.      
 
 
/s/ Dan Kearney /s/ Maria F. McKeon    
President   Secretary    
 
ALL PAYMENTS AND VALUES PROVIDED BY THE CONTRACT, WHEN BASED ON INVESTMENT    
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO    
FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA.    
APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR    
DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT    
APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.    
 
 
<PAGE>        
 
 
 
Table of Contents        
 
<TABLE>        
<CAPTION>        
      Page  
 
<S>     <C>  
Right to Cancel     1  
 
Contract Schedule     4  
Separate Account     4  
AICA Guaranteed Account (AG Guaranteed Account) 4  
Separate Account and AG Account     4  
Fixed Annuity     5  
 
Section 1. Definitions     6  
 
Section 2. General Provisions     7  
The Contract     7  
Nonparticipating Contract     8  
Misstatements and Adjustments     8  
Reports     8  
Premium Taxes     8  
Protection of Proceeds     8  
Evidence of Survival     8  
Proof of Age     8  
Change of Contract     8  
 
Section 3. Ownership     8  
Contract Holder Rights     8  
Transfer of Ownership     9  
 
Section 4. Beneficiary Provisions     9  
Beneficiary     9  
Change of Beneficiary     9  
 
 
 
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Page 2 of 23

Death of Beneficiary 9
 
Section 5. Purchase Payments 9
Purchase Payments 9
Allocation of Purchase Payments 9
 
Section 6. Separate Account 10
General 10
Investment Allocations to the Separate Account 10
Valuation of Assets 10
Accumulation Unit 10
Net Return Factor for Each Valuation Period 10
Administrative Charge 11
Mortality Risk Charge 11
Expense Risk Charge 11
Mortality and Expense Guarantee 11
 
Section 7. AG Account 11
AG Account Guaranteed Interest Rate 11
Deposit Period 11
Guaranteed Term 11
Guaranteed Term(s) Groups 12
 
 
2  
 
<PAGE>  
 
Maturity Date 12
Allocation of Net Purchase Payments to the AG Account 12
AG Account Guaranteed Term Maturity Date and Maturity Value 12
Withdrawals and Transfers from the AG Account 12
Reinvestment 13
AG Account Market Value Adjustment (Factor) 13
 
Section 8. Contract Value; Transfers and Withdrawals During the Accumulation Period 14
Contract Value 14
Transfers During the Accumulation Period 14
Withdrawals During the Accumulation Period 14
Deferred Sales Charge 15
Waiver of Deferred Sales Charge 15
Payment of Adjusted Contract Value 15
Systematic Withdrawal Option (SWO) 15
 
Section 9. Maintenance Charge 16
Maintenance Charge 16
 
Section 10. Proceeds Payable on Death 16
Death of the Contract Holder Prior to the Annuity Date 16
Death Benefit Amount Prior to the Annuity Date 16
Death Benefit Payment Methods 18
Death of Contract Holder On or After the Annuity Date 18
Death of the Annuitant 19
 
Section 11. Delay of Payments 19
Delay of Payments 19
 
Section 12. Annuity Provisions 19
Designation of Annuitant 19
Terms of Annuity Options 20
Annuity Unit 21
Annuity Unit Value 21
Annuity Net Return Factor 21
Annuity Options 22
</TABLE>  

 

3

<PAGE>

Contract Schedule      
 
 
Separate Account      
- -------------------------------------------------------------------------------  
 
Separate Account: Variable Account I    
 
Charges to the A daily charge is deducted from the assets of the  
Separate Account: Separate Account. The deduction is the daily  
  equivalent of the annual effective percentage shown  
  below:    
 
 
  (a) During the Accumulation Period:    
 
  Administrative Charge 0.15%  
  Mortality Risk Charge 0.35%  
  Expense Risk Charge 0.90%  
  TOTAL Separate Account Charges    
  During Accumulation Period 1.40%  
 
  (b) During the Annuity Period    
 
 
 
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Administrative Charge Not To Exceed 0.25%
Mortality Risk Charge 0.35%
Expense Risk Charge 0.90%
TOTAL Maximum Separate Account  
Charges During Annuity Period 1.50%

 

AICA Guaranteed Account (AG Guaranteed Account)

- -------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate 3.0%
(effective annual rate of return):  

 

Separate Account and AG Account

- -------------------------------------------------------------------------------

Minimum Initial Purchase Payment:

Minimum Subsequent Purchase Payment:

$1,500

$500 or $50 per month if paid by an automatic check plan

 

Maximum Subsequent Purchase Payment:

$1,000,000 without home office approval

 

Transfers:

We allow an unlimited number of transfers during the Accumulation Period. Twelve (12) transfers in any calendar year are free. Thereafter, We reserve the right to charge a transfer charge up to $10 for each subsequent transfer.

 

Maintenance Charge:

The annual maintenance charge is $30. If the Contract Value is $50,000 or more on the date the maintenance charge is to be deducted, the maintenance charge is $0.

 

4

<PAGE>

Deferred Sales Charge: For each withdrawal from the Contract Value, a  
  deferred sales charge for each Net Purchase Payment  
  will be determined as follows:    
 
  Years from Receipt of Deferred  
  Net Purchase Payment Sales Charge  
 
  0-1 7%  
  1-2 6%  
  2-3 5%  
  3-4 4%  
  4-5 3%  
  5-6 2%  
  6-7 1%  
  7+ 0%  
 
Waiver of Deferred Section 8.05 provides for the following:  
Sales Charge:      
 
  (c) At least 12 months after the date of the first  
  Purchase Payment in an amount equal to or less  
  than 15% of the Contract Value.  
 
  (d) For a full withdrawal where the Contract Value  
  does not exceed $2,500 and no withdrawals have  
  been taken from the Contract Value within the  
  prior 12 months.    
 
Systematic Withdrawal (a) Specified Payment - Maximum Percentage: 10%  
Option:      
  (b) Specified Period - Minimum Period: 10 years  
 
  (c) Specified Percentage - Maximum Percentage: 10%  
 
Death Benefit Factor: 4%    
 
Death Benefit Maximum There is no maximum death benefit amount.  
Amount:      
 
Death Benefit Maximum Age: 85 years    
 
Fund for Allocation of Federated Prime Money Fund II    
Excess Guaranteed      
Death Benefit Value:      
 
Latest Annuity Date: The Contract Holder's 90th birthday.  
 
Fixed Annuity      
- ------------------------------------------------------------------------------  
 
Minimum Guaranteed 3.0%    
 
 
 
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Interest Rate
(effective annual rate
of return):

5

<PAGE>

Section 1. Definitions

  • -------------------------------------------------------------------------------

  • Accumulation Period - The period during which one or more Net Purchase

Payments applied to the Contract accumulate to provide future Annuity payments.

1.02     

Accumulation Unit - A measure of the net investment results for each variable investment option during the Accumulation Period. The Accumulation Units for the applicable Funds are used to calculate the portion of the Contract Value attributable to a Separate Account during the Accumulation Period.

1.03     

Adjusted Contract Value - The Contract Value, plus or minus any aggregate AG Account Market Value Adjustment.

1.04     

ALIAC Guaranteed Account (AG Account) - An investment option where We guarantee specified rate(s) of interest for specified periods of time.

 

The AG Account is a separate account established by Us in accordance with the provisions of the Connecticut General Statutes Section 38a-433. Contract Holders do not participate in the investment gain or loss from the assets held in the AG Account. Assets in the AG Account may be charged with liabilities arising out of any other business We may conduct.

1.05     

Annuitant - The natural person on whose life an Annuity payment is based.

1.06     

Annuity - A series of payments We make for life, a definite period or a combination of the two.

1.07     

Annuity Date - The date on which Annuity payments commence.

1.08     

Annuity Options - Annuity payment methods available during the Annuity Period.

1.09     

Annuity Period - The period of time during which Annuity payments are made.

1.10     

Annuity Unit - A measure of the net investment results for each variable investment option during the Annuity Period. Annuity Units are used to calculate the amount of each variable Annuity payment.

1.11     

Beneficiary - The person(s) entitled to receive any death benefit under the Contract. Upon the death of a joint Contract Holder, the surviving joint Contract Holder, if any, is treated as the Beneficiary. Any other Beneficiary designation on record with Us at

the     

time of death is treated as a contingent Beneficiary.

1.12     

Contract Holder - The person who purchases a Contract. We reserve the

right     

to limit ownership to natural persons. If more than one Contract

Holder     

owns the Contract, each Contract Holder shall be a joint

Contract     

Holder. Any joint Contract Holder must be the spouse of the

other     

joint Contract Holder. Joint Contract Holders have joint

ownership     

rights and both must authorize any exercising of those

ownership     

rights unless otherwise allowed by Us. If the Contract is

owned     

by a nonnatural person, the death benefit will be paid at the

death     

of the Annuitant and a new Annuitant may not be named.

6

<PAGE>

1.13     

Contract Value - The dollar value as of any Valuation Period of all amounts accumulated in the Contract.

1.14     

Contract - This agreement between the Contract Holder and Us.

1.15     

Dollar Cost Averaging - A program that permits the Contract Holder to systematically transfer amounts from any of the Funds and the one-year guaranteed term of the AG Account to any of the Funds. Dollar Cost Averaging is not available if the Systematic Withdrawal Option is in effect.

1.16     

Effective Date - The date the Contract is issued to the Contract Holder.

1.17     

Fund - One of the variable investment options which may be selected by a Contract Holder.

1.18     

General Account - The General Account is made up of all of our general assets other than those allocated to the Separate Accounts.

1.19     

Home Office - Our headquarters, located at 151 Farmington Avenue, Hartford, CT 06156.

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1.20     

Market Value Adjustment - An adjustment that may apply to a withdrawal made from the AG Account before the end of a guaranteed term as stated in Section 7.10.

1.21     

Net Purchase Payment - The Purchase Payment less premium taxes, if applicable.

1.22     

Purchase Payment - The gross payment accepted by Us and allocated to the Contract. We reserve the right to refuse to accept any Purchase Payment at any time for any reason.

1.23     

Separate Account - A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to Our other income, gains or losses. We own the assets held in the Separate Account and are not a trustee as to such amounts. The Separate Account generally is not guaranteed and is held at market value. The name of the Separate Account is shown on the Contract Schedule. The assets of the Separate Account, to the extent of reserves and other Contract liabilities of the Separate Account, will not be charged with Our other liabilities.

1.24     

Valuation Period - The period of time for which a Fund determines its net asset value, usually from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m. the next such business day, or such other day that one or more of the Funds determines its net asset value. The assets of the Separate Account are not chargeable with the liabilities arising out of any other business We may conduct.

1.25     

Variable Annuity Contract - An Annuity Contract providing for the accumulation of value and/or for Annuity payments which vary in amount based on investment results.

Section 2. General Provisions

  • -------------------------------------------------------------------------------

  • The Contract - The entire Contract consists of this Contract and any

endorsements attached or subsequently issued.

7

<PAGE>

2.02     

Nonparticipating Contract - Neither the Contract Holder, nor any

  Beneficiary     

have a right to share in our earnings.

2.03     

Misstatements And Adjustments - If We learn that the age of any

  Annuitant     

or second Annuitant is misstated, the correct age will be

  used     

to adjust payments. We reserve the right to request reimbursement

  or     

adjust future payments for any amount overpaid. We will pay the

  amount     

of any underpayment.

2.04     

Reports - We furnish each Contract Holder with a report showing the

  Contract     

Value at least once each calendar year. We also furnish an

  annual     

report of the Separate Account.

2.05     

Premium Taxes - Any premium taxes paid to any governmental entity are

  charged     

against Purchase Payments or the Contract Value. We may, at

  our     

sole discretion, pay premium taxes when due and deduct that amount

  from     

the Contract Value at a later date. Payment at an earlier date

  does     

not waive any right We may have to deduct amounts at a later

  date.     

2.06     

Protection of Proceeds - To the extent permitted by law, all payments

  under     

this Contract to a Contract Holder or Beneficiary shall be free

  from     

legal process and the claim of any creditor.

2.07     

Evidence of Survival - The Company may require satisfactory evidence

  of     

the continued survival of any person(s) on whose life Annuity

  payments     

are based.

2.08     

Proof of Age - The Company may require evidence of age of any

  Annuitant     

under Annuity Options 2 and 3 and of the designated second

  Annuitant     

under Annuity Option 3.

2.09     

Change of Contract - We reserve the right to change the Contract, but

  only     

if a change is necessary to:

  (a)     

Make the Contract or the Separate Account comply with state or federal laws or regulations; or

  (b)     

Assure the continued qualified status of the Contract under the Code or other federal laws or regulations governing annuity contracts; or

  (c)     

Reflect a change in the operation of the Separate Account or the Funds; or

  (d)     

Provide additional funds; or

  (e)     

Withdraw Funds

We will notify the Contract Holder in writing 30 days before any
change becomes effective. When appropriate, we will endorse the
Contract for the change.

Section 3. Ownership  
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  • -------------------------------------------------------------------------------

  • Contract Holder Rights - The Contract Holder has all interest and

right to amounts held in his or her Contract. The Contract Holder and any joint Contract Holder are named on the Specifications page. The Contract Holder and any joint Contract Holder may exercise all the rights under the Contract, subject to the rights of:

(a)     

Any assignee under an assignment filed at our home office; and

(b)     

Any irrevocably named Beneficiary.

8

<PAGE>

Upon the death of a Contract Holder prior to the Annuity Date, a spousal Beneficiary may elect to continue the Contract in his or her own name and retain all ownership rights and privileges or take distribution of the death benefit as defined in Section 10.

3.02     

Transfer of Ownership - A Contract Holder may transfer all of his or her rights under the Contract. We reserve the right not to accept an assignment or transfer to a nonnatural person. A written request, dated and signed by the Contract Holder and any joint Contract Holder, must be filed at our home office. After the transfer is recorded, it will take effect as of the date the request was signed. Any such transfer terminates the interest of any existing Contract Holder. It does not change the Beneficiary, nor transfer the Beneficiary's interest. A transfer will not affect any payments We may make or actions We may take before such transfer has been recorded at our home office.

Section 4. Beneficiary Provisions

  • --------------------------------------- --------------------------------------

  • Beneficiary - The Contract Holder may name a Beneficiary and a

contingent Beneficiary. At the death of the Contract Holder prior to the Annuity Date, the Beneficiary(ies) named in our records will receive a death benefit as stated in Section 10. Upon the death of either joint Contract Holder prior to the Annuity Date, the surviving joint Contract Holder, if any, will be treated as the designated Beneficiary and any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary. If the Contract Holder is a nonnatural person, the death benefit will be paid at the death of the Annuitant.

4.02     

Change of Beneficiary - The Contract Holder may change the Beneficiary. A written request, dated and signed by the Contract Holder, must be filed at our home office. If there are joint Contract Holders, both must sign the request. After the change is recorded, it will take effect as of the date the request was signed. If the request reaches our home office and is recorded after the Contract Holder dies, but before any payment is made, the change is valid.

4.03     

Death of Beneficiary - If all of the Beneficiaries and contingent Beneficiaries die prior to the Contract Holder's death, We pay the death benefit in one sum to the Contract Holder's estate. If the Contract Holder is a nonnatural person, and all of the Beneficiaries and contingent Beneficiaries die prior to the Annuitant's death, We will pay the death benefit in one sum to the Contract Holder.

Section 5. Purchase Payments

  • -------------------------------------------------------------------------------

  • Purchase Payments - Subject to the maximum and minimum shown on the

Contract Schedule, the Contract Holder may determine the amount and frequency of Purchase Payments. We reserve the right not to accept any Purchase Payment. We will declare from time to time the acceptability of additional Purchase Payments.

5.02     

Allocation of Purchase Payments - The Contract Holder may elect to

  have     

each Net Purchase Payment accumulate:

  (a)     

On a variable basis invested in shares of one or more Funds in which the Separate Account invests;

  (b)     

For guaranteed terms offered in the current deposit period(s) under the AG Account; or

  (c)     

In a combination of any of the available investment options.

9  
 
<PAGE>  
 
Net Purchase Payments must be allocated in whole percentages. For  
subsequent Purchase Payments, if no allocation instructions are  
received with the Purchase Payment, the allocation will be as  
indicated in the most recent directive from the Contract Holder. If  
the same guaranteed term(s) are not available, the next shortest will  
be used. If no shorter guaranteed term is available, the next longer  
guaranteed term will be used.  
 
Section 6. Separate Account  
- -------------------------------------------------------------------------------  
 
 
 
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6.01     

General - The assets of the Separate Account, equal to the reserves

  and     

other Contract liabilities that depend on the investment

  performance     

of the Separate Account are not chargeable with

  liabilities     

arising out of any other business We may conduct. Income,

  gains     

or losses of the Separate Account, realized or unrealized, are

  credited     

to or charged against the assets of the Separate Account

  without     

regard to Our other income, gains or losses.

6.02     

Investment Allocations to the Separate Account - The assets of the

  Separate     

Account are segregated by Fund, If the shares of any Fund are

  no     

longer available for investment by the Separate Account or if in

  our     

judgment, further investment in such shares should become

  inappropriate     

in view of the purpose of the Contract, We may cease to

  make     

such Fund shares available for investment under the Contract

  prospectively,     

or We may substitute shares of another Fund for shares

  already     

acquired. We may also, from time to time, add additional

  Funds.     

Any elimination, substitution or addition of Funds will be done

  in     

accordance with applicable state and federal securities laws. We

  reserve     

the right to substitute shares of another Fund for shares

  already     

acquired without a proxy vote.

6.03     

Valuation Of Assets - The shares of the Funds will be valued at their

  net     

asset value at the end of each Valuation Period.

6.04     

Accumulation Unit - A Net Purchase Payment that is allocated to one or

  more     

Funds is credited to the Contract as Accumulation Units. The

  number     

of Accumulation Units credited is determined by dividing the

  applicable     

portion of the Net Purchase Payment by the Accumulation

  Unit     

value for the appropriate Fund. The Accumulation Unit value used

  is     

that which is computed for the next Valuation Period after which

  the     

Purchase Payment is received at our home office. Accumulation

  Units     

attributable to the initial Purchase Payments will be credited

  within     

two business days of acceptance.

  Accumulation     

Unit values may increase or decrease from Valuation

  Period     

to Valuation Period.

6.05     

Net Return Factor for Each Valuation Period - The value of an

  Accumulation     

Unit for any Valuation Period is calculated by

  multiplying     

the Accumulation Unit value for the immediately preceding

  Valuation     

Period by the net return factor of the appropriate Fund for

  the     

current period.

  The     

net return factor for each Fund is equal to 1.0000000 plus the net

  return     

rate.

  The     

net return rate equals:

  (a)     

The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus

  (b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

10

<PAGE>

(c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

(d)     

The total value of the Funds(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus

(e)     

A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge.

The net return rate may be more or less than zero (0) percent.

The value of a share of the Fund is equal to the net assets of the
Fund divided by the number of shares outstanding.

6.06     

Administrative Charge - We deduct an administrative charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.07     

Mortality Risk Charge - We deduct a mortality risk charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.08     

Expense Risk Charge - We deduct an expense risk charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.09     

Mortality And Expense Guarantee - We guarantee that the dollar amount of each Annuity payment after the first will not be affected by variations in mortality or expense experience.

Section 7. AG Account

  • -------------------------------------------------------------------------------

  • AG Account Guaranteed Interest Rate - All amounts allocated to the AG

Account earn a rate of interest that is guaranteed for a specified period of time. The rate will be credited daily and will never be less

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than the minimum guaranteed interest rate shown on the Contract
Schedule. We determine the rate and it is not based on investment
experience.

For guaranteed terms of one year or less, one guaranteed interest rate is credited for the full guaranteed term. For longer guaranteed terms, an initial guaranteed interest rate is credited from the date of deposit to the end of a specified period within the guaranteed term. There may be different guaranteed interest rate(s) declared for subsequent specified time intervals throughout the guaranteed term.

7.02     

Deposit Period - A calendar week, a calendar month, a calendar quarter, or any other period of time We specify during which Net Purchase Payment(s), transfers and reinvestments are accepted into the AG Account for one or more guaranteed terms. We reserve the right to extend the deposit period.

7.03     

Guaranteed Term - The period of time for which AG Account guaranteed interest rates are guaranteed on Net Purchase Payments. Transfers and reinvestments are made into a current deposit period for the AG

 

Account. Such period begins on the day following the close of the deposit period and ends on the designated Maturity Date. Guaranteed terms, if any, are offered at our discretion for various lengths of time ranging up to and including ten years.

 

During a deposit period, We may make available any number of guaranteed terms. The Contract Holder may allocate Net Purchase Payments and transfers into any or all of the available guaranteed terms.

11

<PAGE>

7.04     

Guaranteed Term(s) Groups - All AG Account guaranteed term(s) with the

  same     

length of time from the close of the deposit period until the

  designated     

Maturity Date.

7.05     

Maturity Date - The last day of a guaranteed term.

7.06     

Allocation of Net Purchase Payments to the AG Account - When the

  Contract     

Holder wishes to allocate all or any portion of a Net

  Purchase     

Payment to the Guaranteed Account, he or she must tell Us the

  percentage     

to apply to one or more of the AG Account guaranteed

  term(s)     

available during the current deposit period. If no allocation

  instructions     

are received, a Net Purchase Payment is allocated as

  indicated     

in the most recent directive from the Contract Holder. If

  the     

same guaranteed term is not available for any amount allocated to

  the     

AG Account, We will allocate the amount to the next shortest

  guaranteed     

term available. If no shorter guaranteed term is available,

  We     

will allocate it to the next longest guaranteed term.

7.07     

AG Account Guaranteed Term Maturity Date and Maturity Value - On the

  maturity     

date, the value of the total of all amounts allocated to that

  guaranteed     

term is called the maturity value.

  When     

the Contract Holder has assets in the AG Account, at least

  eighteen     

(18) days before a maturity date, We notify him or her of

  the:     

  (a)     

Projected maturity value; and

  (b)     

Guaranteed terms and the applicable guaranteed interest rates available during the current deposit period.

  When     

no allocation instructions are received and the assets in a

  guaranteed     

term have been reinvested by Us in another guaranteed term

  on     

the maturity date, the Contract Holder may transfer or withdraw,

  during     

the month following the maturity date, the reinvested amount

  with     

interest earned (as of the date the request is received at our

  home     

office) without incurring a Market Value Adjustment. This

  transaction     

is allowed only once for each maturity date, regardless of

  whether     

the transfer or withdrawal is partial or full.

7.08     

Withdrawals and Transfers from the AG Account - When the Contract

  Holder     

requests a withdrawal or transfer from the AG Account, if

  instructions     

are not provided by the Contract Holder, amounts are

  withdrawn     

on a pro rata basis from the guaranteed term(s) groups in

  which     

the Contract is currently invested. Within a guaranteed term

  group,     

the amount to be withdrawn will be withdrawn first from the

  oldest     

deposit period. Withdrawals or transfers from an AG Account

  guaranteed     

term before the maturity date are subject to a Market Value

  Adjustment,     

except for:

  (a)     

A one month period following the maturity date described in 7.07;

  (b)     

Transfers under the Dollar Cost Averaging program; and

  (c)     

Withdrawals under the Systematic Withdrawal Option described in Section 8.07.

  Only     

a positive Market Value Adjustment will apply to amounts

  transferred     

from the AG Account when the Contract Holder elects

  Annuity     

Option 2 or 3.

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12

<PAGE>

7.09     

Reinvestment - We will mail a notice to the Contract Holder before a guaranteed term's maturity date. This notice will contain the guaranteed terms available during the current deposit periods with their guaranteed interest rate(s) and projected maturity value. If no specific direction is given by the Contract Holder prior to the maturity date, each maturity value will be reinvested in the current deposit period for a guaranteed term of the same duration. If a guaranteed term of the same duration is unavailable, each matured term value will automatically be reinvested in the current deposit period for the next shortest guaranteed term available. If no shorter guaranteed term is available, the next longer guaranteed term will be used. We will mail a confirmation statement to the Contract Holder after the maturity date. This notice will state the guaranteed term and guaranteed interest rate(s) which will apply to the reinvested matured term value.

7.10     

AG Account Market Value Adjustment (Factor) - The Market Value Adjustment factor (MVA factor) reflects any change in interest rates from the time assets are allocated to the AG Account to the time they are transferred or withdrawn. Except as noted in Sections 7.09, 10.02 and 12.01, an MVA factor is applied to any amount withdrawn or transferred from the AG Account before the end of a guaranteed term.

The amount withdrawn from the AG Account is multiplied by the MVA
factor which is calculated as follows:

x
---
365

(1+i)
------------
x
---
365
(1+j)
Where:

i is the Deposit Period Yield
j is the Current Yield
x is the number of days remaining, (computed from
Wednesday of the week of withdrawal) in the
guaranteed Term.

Determination of MVA factor parameters:

A yield is computed at the close of the last business day of each week of the deposit period. The yield will equal the average of the yields on U.S. Treasury Notes which matured during the last three months of the applicable guaranteed term.

The deposit period yield is the average of those yields for the
deposit period. If withdrawal is made prior to the close of the
deposit period, it is the average of those yields on each week
preceding withdrawal.

The current yield is the average of the yields on the last business
day of the week preceding withdrawal on the same U.S. Treasury Notes
included in the deposit period yield.

If no U.S. Treasury Notes matured during the last three months of the guaranteed term, We reserve the right to use the average of the yields on U.S. Treasury Notes that mature during a following quarter.

13

<PAGE>

Section 8. Contract Value; Transfers And Withdrawals During The Accumulation Period

  • ------------------------------------------------------------------------------

  • Contract Value - The value of the Contract is determined by adding the

value of the total of Accumulation Units attributed to the selected
Fund(s) to the value of any amounts attributed to the AG Account.

8.02     

Transfers During the Accumulation Period - Before the Annuity Date,

  the     

Contract Holder may transfer from any Fund or guaranteed term of

  the     

AG Account to:

  (a)     

Any other Fund; or

  (b)     

Any guaranteed term of the AG Account available in the current deposit period.

  Transfer     

requests can be submitted as a percentage or as a dollar

  amount.     

We may establish a minimum transfer amount. Within a

  guaranteed     

term group, the amount transferred is withdrawn first from

  the     

oldest deposit period, then from the next oldest, and so on until

  the     

amount requested is satisfied.

  The     

Contract Holder may make an unlimited number of transfers during

  the     

Accumulation Period. The number of free transfers allowed is shown

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on the Contract Schedule. Transfers in excess of that number may be subject to the transfer charge shown on the Contract Schedule. Transfers under the Dollar Cost Averaging program do not count toward the annual limit. Transfers of a matured term value from the AG Account on or within one calendar month after a guaranteed term's maturity date do not count against the annual transfer limit.

Amounts applied to guaranteed terms of the AG Account may not be transferred to the Funds or to another guaranteed term during the deposit period or for 90 days after the close of the deposit period except for (1) matured term value(s) during the calendar month following the guaranteed term's maturity date; (2) amounts applied to an annuity option; (3) transfers from the one-year guaranteed term under the Dollar Cost Averaging program; and (4) amounts distributed under the Systematic Withdrawal Option.

Except as noted in Section 7.09, 10.02 and 12.01, transfers from
guaranteed terms of the AG Account before the Maturity Date are
subject to a Market Value Adjustment.

8.03     

Withdrawals During the Accumulation Period - The Contract Holder may withdraw all or a portion of the Contract Value during the Accumulation Period by properly completing a withdrawal request form.

 

Withdrawal requests can be submitted as a percentage or as a specific dollar amount. Net Purchase Payment amounts are withdrawn first, and then the excess value, if any. For any partial withdrawal, if instructions are not provided by the Contract Holder, amounts are withdrawn on a pro rata basis from the Fund(s), and/or the guaranteed term(s) groups in which the Contract is currently invested. Within a guaranteed term group, the amount to be withdrawn will be withdrawn first from the oldest deposit period, then from the next oldest, and so on until the amount requested is satisfied.

 

After deduction of the maintenance charge, if applicable, the withdrawn amount shall be reduced by the applicable deferred sales charge and any applicable premium taxes.

14

<PAGE>

8.04     

Deferred Sales Charge - The deferred sales charge only applies to the

  portion     

of the amount withdrawn attributable to Net Purchase

  Payment(s)     

and varies according to the elapsed time since receipt of

  the     

Purchase Payment. The deferred sales charge is shown on the

  Contract     

Schedule.

8.05     

Waiver of Deferred Sales Charge - No deferred sales charge is deducted

  when     

the Contract Value is paid:

  (a)     

To a Beneficiary as a death benefit, except for Purchase Payments made by a surviving joint Contract Holder as described in Section 10.02(b);

  (b)     

As a premium for an Annuity Option;

  (c)     

At least the number of months, as shown on the Contract Schedule, after the date of the first Purchase Payment and in an amount equal to or less than the percentage of the Contract Value as shown on the Contract Schedule. This applies to the first withdrawal request, partial or full, in a calendar year. The Contract Value is calculated as of the date the withdrawal request is received in good order at our home office. This Waiver is not available to the Contract Holder while a SWO is in effect;

  (d)     

For a full withdrawal where the Contract Value does not exceed the amount shown on the Contract Schedule and no withdrawals have been taken from the Contract within the prior 12 months;

  (e)     

For a distribution made by Us under Section 8.06; or

  (f)     

For a distribution which is part of a SWO under Section 8.07.

  We     

reserve the right to allow the proceeds of a total withdrawal to be

  reinstated     

under the terms and conditions as established by Us from

  time     

to time.

8.06     

Payment of Adjusted Contract Value - Upon 90 day's written notice to

  the     

Contract Holder, We will terminate any Contract if the Contract

  Value     

becomes less than $1,500 immediately following any partial

  withdrawal.     

We do not intend to exercise this right in cases where the

  Contract     

Value is reduced to $1,500 or less solely due to investment

  performance.     

When We make a distribution pursuant to this provision,

  the     

deferred sales charge will not be deducted.

8.07     

Systematic Withdrawal Option (SWO) - We will allow the Contract Holder

  to     

establish a schedule of withdrawals to be made automatically from

  the     

Contract Value. All distributed amounts will be withdrawn on a pro

  rata     

basis from the Fund(s) and/or the guaranteed term(s) groups of

  the     

AG Account in which the Contract is invested.

  The     

Contract Holder must elect one of the following SWO methods:

  (a)     

Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage of the Contract Value at time of the election as shown on the Contract Schedule. This annual dollar amount will remain constant. At our discretion, We may require a minimum payment amount; or

  (b)     

Specified Period: Payments which are made over a period of time

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which must be at least the minimum period as shown on the Contract
Schedule. The annual amount paid each year is calculated by
dividing the Contract Value as of December 31 of the prior year by
the number of payment years remaining; or

15

<PAGE>

(c)     

Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage of the Contract Value at the time of election as shown on the Contract Schedule. The percentage may be changed by written request. We reserve the right to limit the number of times the percentage may be changed. The annual amount is calculated by multiplying the Contract Value as of December 31 of the year prior to the payment by the designated percentage.

SWO payments will cease at the Contract Holder's death (or if the
Contract Holder is a nonnatural person, at the death of the
Annuitant). A beneficiary may elect to continue SWO as provided in
Section 10.01.

In our discretion, We may require a minimum initial Contract Value for election of this option. SWO may be elected by submitting a completed and signed election form to Us. Once elected, this option may be revoked by submitting a written request to Us. SWO may be elected only once by the Contract Holder or by a spousal Beneficiary.

The Contract Holder should consult his or her tax adviser prior to requesting this distribution option. We are not responsible for any adverse tax consequences due to the Contract Holder receiving SWO payments. A ten (10) percent penalty tax may apply to distributions to a Contract Holder who has not reached age 59 1/2. Upon death of the Contract Holder, any payments will be made under the terms of Section 10.

Dollar Cost Averaging is not available to Contract Holders who have
elected SWO.

Section 9. Maintenance Charge

  • ----------------------------------------------------------------------------

  • Maintenance Charge - We will deduct an annual maintenance charge as

shown in the Contract Schedule from the Contract during the
Accumulation Period. We will deduct the maintenance charge on the
anniversary of the Effective Date of the Contract. This maintenance
charge is also deducted upon withdrawal of the entire Adjusted
Contract Value. The maintenance charge is deducted proportionately
from each investment option used.

Section 10. Proceeds Payable on Death

  • -----------------------------------------------------------------------------

  • Death of Contract Holder Prior to the Annuity Date - In the event of

the death of the Contract Holder or a joint Contract Holder prior to the Annuity Date, a death benefit is payable to the Beneficiary(ies) designated by the Contract Holder. Upon the death of a joint Contract Holder, the surviving joint Contract Holder, if any, will be treated as the designated Beneficiary. Any other Beneficiary designation on record with Us at the time of death will be treated as a contingent Beneficiary. If the Contract Holder is a nonnatural person, the death benefit will be payable to the Beneficiary(ies) at the death of the Annuitant.

A Beneficiary may request We pay the death benefit under one of the methods described in Section 10.03. If the Beneficiary is the spouse of the Contract Holder, or the spouse of the Annuitant if the Contract Holder is a nonnatural person, he or she may elect to continue the Contract in his or her own name and exercise all the Contract Holder rights under the Contract.

10.02 Death Benefit Amount Prior To The Annuity Date -

16

<PAGE>

(a)     

Except as set forth below, the amount of the guaranteed death

  benefit     

value is equal to the greater of:

  (i)     

The Contract Value at the end of the Valuation Period during which We receive at our home office due proof of death and election of the type of payment to be made; or

  (ii)     

The death benefit determined as of the Valuation Period corresponding to the date of death.

  

Until the first Effective Date anniversary, the death benefit is equal to the Purchase Payments made by the Contract Holder prior to the Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option.

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For each Contract year thereafter, the death benefit during
the Contract year equals the death benefit at the beginning
of the Contract year plus Purchase Payments made during the
year less any withdrawals and any amounts applied to an
Annuity Option.

On each Effective Date anniversary, the death benefit is
determined as follows:

(A)     

The death benefit on the previous Effective Date anniversary increased by the death benefit factor shown on the Contract Schedule; plus

(B)     

Purchase Payments made by the Contract Holder during the Contract year increased by the death benefit factor shown on the Contract Schedule for the portion of the year since the Purchase Payment was made; less

(C)     

Any withdrawals or amounts applied to an Annuity Option during the Contract year increased by the death benefit factor shown on the Contract Schedule for the portion of the Contract year since the withdrawal or election of Annuity option; or

(iii) The Contract Value on the most recent seventh year
anniversary of the Effective Date plus any Purchase Payments
made after such Effective Date anniversary less any
withdrawals and any amounts applied to an Annuity Option.

Notwithstanding the foregoing, the death benefit under (ii) or (iii) will not exceed the death benefit maximum amount shown on the Contract Schedule.

The death benefit calculation described in (ii) and (iii) above, applies until the Contract Holder reaches the death benefit maximum age shown on the Contract Schedule. If the Contract Holder is a nonnatural person, death provisions will be based on the age of the Annuitant. Thereafter, the death benefit is only adjusted for Purchase Payments, withdrawals and amounts applied to Annuity Options. If the Contract Holder reaches the death benefit maximum age shown on the Contract Schedule prior to the seventh anniversary of the Effective Date, the death benefit will be the greater of (i) or (ii) above.

The excess, if any, of the guaranteed death benefit value over the Contract Value is determined when we receive at our home office due proof of death and allocated to the Fund shown on the Contract Schedule. The Contract Value plus any excess amount deposited becomes the Contract Value.

17

<PAGE>

(b)     

In the case of a spousal Beneficiary who continued the Contract in his or her own name, the death benefit shall be equal to the Adjusted Contract Value less any applicable deferred sales charge on any Purchase Payment made after We have received at our home office due proof of death of the joint Contract Holder (or Annuitant, if applicable).

When the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account within six months after the date of death, the amount withdrawn or transferred from the AG Account will be the greater of:

(1) The aggregate Market Value Adjustment amount (the amount resulting from the application of relevant Market Value Adjustment factors); or

(2) The applicable portion of the Contract Value in the AG Account.

After the six-month period, when the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account, the amount will be equal to the aggregate Market Value Adjustment amount. Only a positive market value adjustment will apply, however, to amounts transferred from the AG Account when the Beneficiary elects Annuity Option 2 or 3.

At the death of a spousal Beneficiary who continued the Contract in his or her own name, when the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account, the amount will be equal to the Aggregate Market Value Adjustment amount.

10.03     

Death Benefit Payment Methods - A non-spousal Beneficiary must elect the death benefit to be paid under one of the following methods in the event of the death of the Contract Holder prior to the Annuity Date:

 

Method 1 - Lump sum payment of the death benefit; or

 

Method 2 - The payment of the entire death benefit within five years of the date of the Contract Holder's death; or

 

Method 3 - Payment of the death benefit over the lifetime of the

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designated Beneficiary or over a period not extending beyond the life expectancy of the designated Beneficiary with distribution beginning within one year of the date of death of the Contract Holder.

Any portion of the death benefit not applied under Method 3 within one year of the date of Contract Holder's death, or the death of the Annuitant if the Contract Holder is a nonnatural person, must be distributed within five years of the date of death.

A spousal Beneficiary may elect to continue the Contract in his or her name, elect a lump sum payment of the death benefit, or apply the Adjusted Contract Value to an Annuity Option.

10.04     

Death of Contract Holder on or After the Annuity Date - If the Contract Holder who is not the Annuitant, dies on or after the Annuity Date, the remaining payments under the Annuity Option elected will be made to the Beneficiary at least as rapidly as under the method of distribution in effect at the Contract Holder's death.

18

<PAGE>

10.05     

Death of the Annuitant - If the Annuitant, who is not a Contract Holder, dies on or before the Annuity Date, a new Annuitant may be named. If no Annuitant is named, the Contract Holder will be the Annuitant. If the Contract Holder is a nonnatural person, the death benefit will be paid at the death of the Annuitant and no new Annuitant may be named. If the Annuitant dies after the Annuity Date, the death benefit, if any, will be payable to the Beneficiary as specified in the Annuity Option elected. We will require proof of the Annuitant's death. Death benefits will be paid at least as rapidly as under the method of distribution in effect at the Annuitant's death.

Section 11. Delay Of Payments

  • -------------------------------------------------------------------------------

  • Delay Of Payments - We will make any payments under this Contract

within seven days after a request is received in good order. We reserve the right to suspend or postpone any type of payment from the Separate Account for any period when:

(a)     

The New York Stock Exchange is closed for other than customary weekend and holiday closings;

(b)     

Trading on the Exchange is restricted;

(c)     

An emergency exists as a result of which it is not reasonably practicable to dispose of securities held in the Separate Account or determine their value; or

(d)     

The Securities and Exchange Commission so permits delay for the protection of security holders.

The applicable rules of the Securities and Exchange Commission will
govern as to whether the conditions in (b) or (c) exist.

We also reserve the right to delay any type of payment from the AG
Account for up to six months.

Section 12. Annuity Provisions

  • -------------------------------------------------------------------------------

  • Designation of Annuitant - The Contract Holder and the Annuitant need

not be the same person. The Contract Holder names the Annuitant and
during the Accumulation Period, may change the designated Annuitant.
We change the Annuitant when We receive a written request in good
order at our home office. We will not change the Annuitant when
Annuity payments have commenced.

The Contract Holder elects an Annuity Option by telling Us to use all or any portion of the Contract Value (minus any applicable premium taxes if not previously deducted) to purchase Annuity payments under an Annuity Option. If the Contract Holder elects Annuity Option 1, the amount applied to purchase Annuity payments will be equal to the Adjusted Contract Value. If the Contract Holder elects Annuity Option 2 or 3, the amount applied to purchase Annuity payments will be the greater of:

(1) The Adjusted Contract Value; or (2) The Contract Value.

When an Annuity option is chosen the Contract Holder must designate a:

19

<PAGE>

(a)     

Fixed Annuity using the General Account;

(b)     

Variable Annuity using any of the Funds available during the Annuity Period; or

(c)     

Combination of (a) and (b).

If a fixed Annuity is chosen, We will calculate the amount using an interest assumption no less than the percentage specified on the Contract Schedule. We may calculate the amount using a higher interest

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rate.

If a variable Annuity is chosen, an Assumed Annual Net Return Rate of 5% may be chosen. If not chosen, We will use an Assumed Annual Net Return Rate of 3.5%

Payments are made on a monthly basis to the Contract Holder unless the Contract Holder requests a different mode of payment.

Once elected, an Annuity Option may not be revoked, except for Option 1 when elected on a variable basis.

12.02     

Terms of Annuity Options - The minimum first payment amount must be at

  least     

$50 per month and at least $250 per year.

  If     

the Contract Holder elects a fixed Annuity and We determine that

  the     

Contract Holder would receive larger payments by applying the

  Contract     

Value, reduced by the deferred sales charge, to a single

  premium     

immediate Annuity currently offered by Us, We will make the

  larger     

payments.

  We     

determine the first payment of a variable Annuity, or the payment

  amount     

of a fixed Annuity, using the Annuitant's (and second

  Annuitant's     

if applicable) adjusted age which We calculate as follows:

  (a)     

If Annuity payments begin any time between July 1, 1992 and

   December     

31, 1999, the adjusted age is the Annuitant's age as of

   the     

birthday closest in time to the Annuity Date reduced by one

   (1)     

year.

  (b)     

If the Annuity begins any time between January 1, 2000 and

   December     

31, 2009, the adjusted age is the Annuitant's age as of

   the     

birthday closest in time to the Annuity Date reduced by two

   (2)     

years.

  (c)     

For each succeeding decade, the adjusted age is the Annuitant's

   age     

as determined in (b), reduced by one additional year.

  The     

Annuity rates for Options 2 and 3 are based on mortality from 1983

  Table     

A.

  Assumed     

Annual Net Return Rate is the interest rate used to determine

  the     

amount of the first Annuity payment under a variable Annuity. The

  Separate     

Account must earn this rate plus enough to cover the

  mortality     

and expense risks charges (which may include profit) and

  administrative     

charges if future variable Annuity payments are to

  remain     

level.

  The     

Contract Holder must give written notice to Us at least 30 days

  before     

the Annuity payments begin, electing or changing:

20

<PAGE>

(a)     

The date on which Annuity payments are to begin;

(b)     

The Annuity Option;

(c)     

Whether the payments are to be made monthly, quarterly, semiannually or annually;

(d)     

The investment options used to provide Annuity payments.

The first Annuity payment may not be earlier than one (1) calendar
year after the initial Purchase Payment, nor later than the later of
the:

(a)     

First day of the month following the Annuitant's birthday shown on the Contract Schedule; or

(b)     

Tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Contract Holder may request a lump sum payment.

12.03     

Annuity Unit - The number of Annuity Units per Fund is based on the

  amount     

of the first variable Annuity payment which is equal to:

  (a)     

The portion of the Contract Value (minus any premium taxes) applied to pay a variable Annuity; divided by,

  (b)     

1000; multiplied by,

  (c)     

The payment rate for the Annuity Option chosen.

  Such     

amount, or portion, of the variable Annuity payment will be

  divided     

by the Annuity Unit value for the appropriate Fund on the

  tenth     

Valuation Period before the due date of the first payment to

  determine     

the number of each Fund's Annuity Units. The number of each

  Fund's     

Annuity Unit remains fixed. Each future payment is equal to the

  sum     

of the products of each Fund's Annuity Unit value multiplied by

  the     

appropriate number of units. The Fund's Annuity Unit value on the

  tenth     

Valuation Period prior to the due date of the payment is used.

12.04     

Annuity Unit Value - For any Valuation Period, a Fund's Annuity Unit

  value     

is equal to:

  (a)     

The value for the previous Valuation Period; multiplied by,

  (b)     

The Annuity Net Return Factor for the Valuation Period; multiplied by,

  (c)     

A daily factor to reflect the Assumed Annual Net Return Rate (the factor for 3.5% per year is .9999058; for 5% per year it is

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.9998663).

The dollar value of a Fund(s) Annuity Unit values and payments may go up or down due to investment gain or loss.

12.05     

Annuity Net Return Factor - The Annuity net return factor is used to compute all Separate Account Annuity payments for any Fund.

 

The Annuity net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate. The net return rate is equal to:

21

<PAGE>

(a)     

The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus,

(b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus,

(c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

(d)     

The total value of the Fund(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus,

(e)     

A daily actuarial charge as shown of the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge which will not exceed the administrative charge as shown on the Contract Schedule.

The net return rate may be more or less than zero (o) percent,

The value of a share of the Fund is equal to the net assets of the
Fund divided by the number of shares outstanding.

12.06     

Annuity Options

  Option     

1 - Payments for a Stated Period of Time - An Annuity will be

  paid     

for the number of years chosen. The number of years must be at

  least     

5 and not more than 30.

  If     

payments for this Annuity Option are made under a variable Annuity,

  the     

present value of any remaining payments may be withdrawn at any

  time.     

  Option     

2 - Life Income - An Annuity will be paid for the life of the

  Annuitant.     

If also chosen, We will guarantee payments for 60, 120,

  180,     

or 240 months.

  Option     

3 - Life Income Based upon the Lives of Two Annuitants - An

  Annuity     

will be paid during the lives of the Annuitant and a second

  Annuitant.     

Payments will continue until both Annuitants have died.

  When     

this Annuity Option is chosen, a choice must be made of:

  (a)     

100% of the payment to continue after the first death;

  (b)     

66 2/3% of the payment to continue after the first death;

  (c)     

50% of the payment to continue after the first death;

  (d)     

Payments for a minimum of 120 months with 100% of the payment to continue after the first death; or

  (e)     

100% of the payment to continue at the death of the second Annuitant and 50% of the payment to continue at the death of the Annuitant.

  We     

may make other options available as allowed by law.

22

<PAGE>

<TABLE>
<CAPTION>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of Any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

  • --------------------- -------------------- -------------------- -------------------- --------------------- --------------------

Years

Guaranteed Rate

Monthly Payment

Quarterly Payment Semi-Annual Payment

Annual Payment

  • --------------------- -------------------- -------------------- -------------------- --------------------- --------------------

<S> <C> <C> <C> <C> <C>  
 
5 3.00% 17.91 53.59 106.78 211.99  
6 3.00% 15.14 45.30 90.27 179.22  
7 3.00% 13.16 39.39 78.49 155.83  
8 3.00% 11.68 34.96 69.66 138.31  
9 3.00% 10.53 31.52 62.81 124.69  
10 3.00% 9.61 28.77 57.33 113.82  
11 3.00% 8.86 26.52 52.85 104.93  
 
 
 
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12 3.00% 8.24 24.65 49.13 97.54  
13 3.00% 7.71 23.08 45.98 91.29  
14 3.00% 7.26 21.73 43.29 85.95  
15 3.00% 6.87 20.56 40.96 81.33  
16 3.00% 6.53 19.54 38.93 77.29  
17 3.00% 6.23 18.64 37.14 73.74  
18 3.00% 5.96 17.84 35.56 70.59  
19 3.00% 5.73 17.13 34.14 67.78  
20 3.00% 5.51 16.50 32.87 65.26  
21 3.00% 5.32 15.92 31.72 62.98  
22 3.00% 5.15 15.40 30.68 60.92  
23 3.00% 4.99 14.92 29.74 59.04  
24 3.00% 4.84 14.49 28.88 57.33  
25 3.00% 4.71 14.09 28.08 55.76  
26 3.00% 4.59 13.73 27.36 54.31  
27 3.00% 4.47 13.39 26.68 52.97  
28 3.00% 4.37 13.08 26.06 51.74  
29 3.00% 4.27 12.79 25.49 50.60  
30 3.00% 4.18 12.52 24.95 49.53  

 

- --------------------- -------------------- -------------------- -------------------- --------------------- --------------------</TABLE>

23

<PAGE>

<TABLE>
<CAPTION>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000 After Deduction of Any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

Payments Guaranteed for a Stated Period of Months

- -----------------------------------------------------------------------------------------------------------------------------

Adjusted   None 60     120 180   240
Age of -----------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

- ------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
 
50 $4.27 $3.90 $4.26 $3.90 $4.22 $3.89 $4.17 $3.86 $4.08 $3.82
51 4.34 3.97 4.33 3.96 4.30 3.95 4.23 3.92 4.14 3.88
52 4.43 4.03 4.41 4.03 4.37 4.01 4.30 3.98 4.20 3.93
53 4.51 4.10 4.50 4.10 4.45 4.08 4.37 4.04 4.26 3.99
54 4.60 4.18 4.59 4.17 4.54 4.15 4.45 4.11 4.32 4.04
 
55 4.70 4.25 4.68 4.25 4.62 4.22 4.53 4.18 4.39 4.11
56 4.80 4.34 4.78 4.33 4.72 4.30 4.61 4.25 4.45 4.17
57 4.91 4.42 4.89 4.41 4.82 4.38 4.69 4.32 4.51 4.23
58 5.03 4.52 5.00 4.51 4.92 4.47 4.78 4.40 4.58 4.30
59 5.15 4.61 5.12 4.60 5.03 4.56 4.87 4.48 4.65 4.37
 
60 5.28 4.72 5.25 4.70 5.14 4.66 4.96 4.57 4.71 4.44
61 5.43 4.83 5.39 4.81 5.27 4.76 5.06 4.66 4.78 4.51
62 5.58 4.95 5.53 4.93 5.39 4.87 5.16 4.75 4.84 4.58
63 5.74 5.08 5.69 5.05 5.53 4.99 5.26 4.85 4.90 4.65
64 5.91 5.21 5.85 5.18 5.66 5.10 5.36 4.95 4.96 4.72
 
65 6.10 5.36 6.03 5.32 5.81 5.22 5.46 5.05 5.02 4.79
66 6.30 5.51 6.21 5.47 5.96 5.36 5.56 5.16 5.08 4.86
67 6.51 5.67 6.41 5.63 6.12 5.50 5.66 5.26 5.13 4.93
68 6.73 5.85 6.62 5.80 6.28 5.65 5.77 5.37 5.18 5.00
69 6.97 6.04 6.84 5.98 6.44 5.80 5.86 5.49 5.23 5.06
 
70 7.23 6.25 7.07 6.18 6.61 5.97 5.96 5.60 5.27 5.12
71 7.51 6.47 7.32 6.39 6.79 6.14 6.05 5.71 5.31 5.18
72 7.80 6.71 7.58 6.62 6.96 6.32 6.14 5.83 5.34 5.23
73 8.12 6.98 7.85 6.86 7.14 6.50 6.23 5.94 5.37 5.28
74 8.46 7.26 8.14 7.12 7.32 6.69 6.31 6.04 5.40 5.32
 
75 8.82 7.57 8.45 7.40 7.50 6.89 6.38 6.14 5.42 5.35

 

- ---------------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

24

<PAGE>

<TABLE> <CAPTION>

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt

03/26/2018


 

Page 17 of 23

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of Any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

- ----------------------------------------------------------------------------------------------------------------------------------

Adjusted Ages          
- --------------------------------------          
Annuitant Second Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

- -----------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
 
55 50 $3.69 $4.05 $4.27 $3.69 $4.13
55 55 3.88 4.25 4.47 3.87 4.25
55 60 3.06 4.47 4.71 4.06 4.36
 
60 55 3.99 4.44 4.71 3.98 4.55
60 60 4.24 4.71 4.99 4.23 4.70
60 65 4.49 5.01 5.32 4.48 4.85
 
65 60 4.38 4.97 5.32 4.38 5.10
65 65 4.72 5.33 5.70 4.71 5.32
65 70 5.07 5.75 6.17 5.05 5.54
 
70 65 4.93 5.68 6.15 4.91 5.86
70 70 5.40 6.21 6.70 5.36 6.18
70 75 5.89 6.82 7.40 5.81 6.49
 
75 70 5.69 6.68 7.32 5.62 6.92
75 75 6.37 7.45 8.15 6.23 7.40
75 80 7.07 8.34 9.16 6.78 7.85

 

- ----------------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

25

<PAGE>

<TABLE>
<CAPTION>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of Any Charge for Premium Taxes

(Annuitant is Female and Second Annuitant is Male)

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

- ----------------------------------------------------------------------------------------------------------------------------------Adjusted Ages

- --------------------------------------          
Annuitant Second Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

- -----------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
 
55 50 $3.75 $4.07 $4.26 $3.75 $3.98
55 55 3.88 4.25 4.47 3.87 4.06
55 60 3.99 4.44 4.71 3.98 4.12
 
60 55 4.06 4.47 4.71 4.06 4.37
60 60 4.24 4.71 4.99 4.23 4.47
60 65 4.38 4.97 5.32 4.38 4.54
 
65 60 4.49 5.01 5.32 4.48 4.89
65 65 4.72 5.33 5.70 4.71 5.02
65 70 4.93 5.68 6.15 4.91 5.14
 
70 65 5.07 5.75 6.17 5.05 5.60
70 70 5.40 6.21 6.70 5.36 5.79
70 75 5.69 6.68 7.32 5.62 5.96
 
75 70 5.89 6.83 7.40 5.81 6.63
75 75 6.37 7.45 8.15 6.23 6.92
75 80 6.78 8.11 8.99 6.54 7.15

 

- -----------------------------------------------------------------------------------------------------------------------------------
Rates are based on mortality from 1983 Table a.  
 
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt 03/26/2018

 


 

Page 18 of 23

The Rates Assume the Annuitant is Female and the Second Annuitant is Male.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

26

<PAGE>

<TABLE>
<CAPTION>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

- ---------------------------------------------------------------------------------------------------------------------------

     Years Guaranteed Rate Monthly Payment Quarterly Payment Semi-Annual Payment Annual Payment - ---------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C>
 
5 3.50% 18.12 54.19 107.92 213.99
6 3.50% 15.35 45.92 91.44 181.32
7 3.50% 13.38 40.01 79.69 158.01
8 3.50% 11.90 35.59 70.88 140.56
9 3.50% 10.75 32.16 64.05 127.00
10 3.50% 9.83 29.42 58.59 116.18
11 3.50% 9.09 27.18 54.13 107.34
12 3.50% 8.46 25.32 50.42 99.98
13 3.50% 7.94 23.75 47.29 93.78
14 3.50% 7.49 22.40 44.62 88.47
15 3.50% 7.10 21.24 42.31 83.89
16 3.50% 6.76 20.23 40.29 79.89
17 3.50% 6.47 19.34 38.51 76.37
18 3.50% 6.20 18.55 36.94 73.25
19 3.50% 5.97 17.85 35.54 70.47
20 3.50% 5.75 17.22 34.28 67.98
21 3.50% 5.56 16.65 33.15 65.74
22 3.50% 5.39 16.13 32.13 63.70
23 3.50% 5.24 15.66 31.19 61.85
24 3.50% 5.09 15.24 30.34 60.17
25 3.50% 4.96 14.85 29.56 58.62
26 3.50% 4.84 14.49 28.85 57.20
27 3.50% 4.73 14.15 28.19 55.90
28 3.50% 4.63 13.85 27.58 54.69
29 3.50% 4.53 13.57 27.02 53.57
30 3.50% 4.45 13.30 26.49 52.53

 

- ---------------------------------------------------------------------------------------------------------------------------
</TABLE>

 

27

<PAGE>

<TABLE>
<CAPTION>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

- ---------------------------------------------------------------------------------------------------------------------------

Years Guaranteed Rate Monthly Payment Quarterly Payment Semi-Annual Payment Annual Payment

- ---------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C>  
 
5 5.00% 18.74 56.00 111.33 219.98  
6 5.00% 15.99 47.77 94.96 187.64  
7 5.00% 14.02 41.90 83.30 164.59  
8 5.00% 12.56 37.52 74.58 147.35  
9 5.00% 11.42 34.11 67.81 133.99  
10 5.00% 10.51 31.40 62.42 123.34  
11 5.00% 9.77 29.19 58.03 114.66  
12 5.00% 9.16 27.36 54.38 107.45  
13 5.00% 8.64 25.81 51.31 101.39  
14 5.00% 8.20 24.50 48.69 96.21  
15 5.00% 7.82 23.36 46.44 91.75  
16 5.00% 7.49 22.37 44.47 87.88  
17 5.00% 7.20 21.51 42.75 84.48  
18 5.00% 6.94 20.74 41.23 81.47  
19 5.00% 6.71 20.06 39.88 78.80  
 
 
 
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt   03/26/2018

 


 

          Page 19 of 23
 
 
 
 
20 5.00% 6.51 19.46 38.68 76.42
21 5.00% 6.33 18.91 37.59 74.28
22 5.00% 6.17 18.42 36.62 72.35
23 5.00% 6.02 17.98 35.73 70.61
24 5.00% 5.88 17.57 34.93 69.02
25 5.00% 5.76 17.20 34.20 67.57
26 5.00% 5.65 16.87 33.53 66.25
27 5.00% 5.54 16.56 32.92 65.04
28 5.00% 5.45 16.28 32.35 63.93
29 5.00% 5.36 16.01 31.83 62.90
30 5.00% 5.28 15.77 31.35 61.95

 

- ---------------------------------------------------------------------------------------------------------------------------
</TABLE>

 

28

<PAGE>

<TABLE>
<CAPTION>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

Payments Guaranteed for a Stated Period of Months

- ----------------------------------------------------------------------------------------------------------------------------

Adjusted   None   60   120 180   240
Age of -----------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

- ----------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
 
50 $4.56 $4.20 $4.55 $4.19 $4.51 $4.18 $4.45 $4.15 $4.36 $4.11
51 4.64 4.26 4.62 4.25 4.58 4.24 4.51 4.21 4.42 4.16
52 4.72 4.32 4.70 4.32 4.66 4.30 4.58 4.26 4.48 4.21
53 4.80 4.39 4.79 4.38 4.74 4.36 4.65 4.32 4.53 4.27
54 4.89 4.46 4.87 4.46 4.82 4.43 4.73 4.39 4.59 4.32
 
55 4.99 4.54 4.97 4.53 4.91 4.50 4.80 4.46 4.65 4.38
56 5.09 4.62 5.07 4.61 5.00 4.58 4.88 4.53 4.72 4.44
57 5.20 4.71 5.17 4.70 5.10 4.66 4.96 4.60 4.78 4.50
58 5.32 4.80 5.29 4.79 5.20 4.75 5.05 4.68 4.84 4.57
59 5.44 4.90 5.41 4.88 5.31 4.84 5.14 4.76 4.91 4.63
 
60 5.57 5.00 5.53 4.99 5.42 4.93 5.23 4.84 4.97 4.70
61 5.71 5.11 5.67 5.09 5.54 5.03 5.32 4.93 5.03 4.77
62 5.86 5.23 5.81 5.21 5.66 5.14 5.42 5.02 5.09 4.84
63 6.02 5.36 5.97 5.33 5.79 5.25 5.51 5.11 5.16 4.91
64 6.20 5.49 6.13 5.46 5.93 5.37 5.61 5.21 5.21 4.98
 
65 6.38 5.64 6.31 5.60 6.07 5.49 5.71 5.31 5.27 5.05
66 6.58 5.79 6.49 5.75 6.22 5.63 5.81 5.41 5.32 5.12
67 6.79 5.95 6.69 5.91 6.38 5.76 5.91 5.52 5.38 5.18
68 7.02 6.13 6.89 6.08 6.53 5.91 6.01 5.63 5.42 5.25
69 7.26 6.32 7.11 6.26 6.70 6.06 6.11 5.74 5.47 5.31
 
70 7.52 6.53 7.35 6.45 6.86 6.23 6.20 5.85 5.51 5.37
71 7.80 6.75 7.59 6.66 7.03 6.39 6.29 5.96 5.54 5.42
72 8.09 6.99 7.85 6.89 7.21 6.57 6.38 6.07 5.57 5.47
73 8.41 7.26 8.12 7.13 7.38 6.75 6.46 6.17 5.60 5.51
74 8.75 7.54 8.41 7.39 7.55 6.94 6.53 6.28 5.63 5.55
 
75 9.12 7.85 8.71 7.66 7.73 7.13 6.61 6.38 5.65 5.59

 

- -----------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

29

<PAGE>

<TABLE>
<CAPTION>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt

03/26/2018


 

Page 20 of 23

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

Payments Guaranteed for a Stated Period Of Months

- ----------------------------------------------------------------------------------------------------------------------------

Adjusted   None   60   120 180   240
Age of -----------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

- ----------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
 
50 $5.48 $5.12 $5.46 $5.11 $5.41 $5.09 $5.34 $5.06 $5.24 $5.01
51 5.55 5.17 5.53 5.17 5.48 5.14 5.40 5.11 5.29 5.05
52 5.63 5.23 5.61 5.23 5.55 5.20 5.46 5.16 5.34 5.10
53 5.71 5.30 5.69 5.29 5.62 5.26 5.53 5.22 5.40 5.15
54 5.80 5.37 5.77 5.36 5.70 5.33 5.60 5.27 5.45 5.20
 
55 5.89 5.44 5.86 5.43 5.79 5.39 5.67 5.34 5.51 5.25
56 5.99 5.52 5.96 5.51 5.87 5.47 5.74 5.40 5.56 5.31
57 6.10 5.60 6.06 5.59 5.97 5.54 5.82 5.47 5.62 5.37
58 6.21 5.69 6.17 5.67 6.06 5.62 5.90 5.54 5.68 5.42
59 6.33 5.79 6.29 5.77 6.17 5.71 5.98 5.61 5.74 5.48
 
60 6.46 5.89 6.41 5.87 6.28 5.80 6.06 5.69 5.79 5.55
61 6.60 6.00 6.55 6.97 6.39 5.90 6.15 5.77 5.85 5.61
62 6.75 6.11 6.69 6.08 6.51 6.00 6.24 5.86 5.91 5.67
63 6.91 6.23 6.84 6.20 6.64 6.10 6.33 5.95 5.96 5.73
64 7.09 6.37 7.00 6.33 6.77 6.22 6.42 6.04 6.02 5.80
 
65 7.27 6.51 7.18 6.46 6.91 6.34 6.52 6.13 6.07 5.86
66 7.47 6.66 7.36 6.61 7.05 6.46 6.61 6.23 6.12 5.92
67 7.68 6.82 7.55 6.76 7.20 6.60 6.70 6.33 6.16 5.99
68 7.91 7.00 7.76 6.93 7.35 6.74 6.80 6.43 6.21 6.04
69 8.15 7.19 7.98 7.11 7.51 6.89 6.89 6.54 6.25 6.10
 
70 8.41 7.39 8.21 7.30 7.67 7.04 6.97 6.64 6.28 6.15
71 8.69 7.62 8.45 7.51 7.83 7.21 7.06 6.74 6.32 6.20
72 8.99 7.86 8.70 7.73 8.00 7.38 7.14 6.85 6.35 6.25
73 9.31 8.12 8.97 7.97 8.16 7.55 7.21 6.95 6.37 6.29
74 9.65 8.41 9.26 8.23 8.33 7.73 7.29 7.04 6.39 6.33
 
75 10.02 8.72 9.55 8.50 8.50 7.92 7.35 7.14 6.41 6.36

 

- ----------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

30

<PAGE>

<TABLE>
<CAPTION>

OPTION 3

Life Income For Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

- ----------------------------------------------------------------------------------------------------------------------------------Adjusted Ages

- --------------------------------------          
Annuitant Second Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

- -----------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
 
55 50 $3.97 $4.35 $4.56 $3.97 $4.42
55 55 4.16 4.54 4.76 4.15 4.54
55 60 4.34 4.76 5.00 4.34 4.64
 
60 55 4.27 4.73 5.00 4.26 4.83
60 60 4.51 4.99 5.27 4.50 4.98
60 65 4.76 5.29 5.60 4.75 5.13
 
65 60 4.66 5.25 5.61 4.65 5.39
65 65 4.99 5.61 5.99 4.98 5.60
65 70 5.34 6.03 6.46 5.31 5.81
 
70 65 5.19 5.97 6.44 5.17 6.14
70 70 5.67 6.49 6.99 5.62 6.47
70 75 6.16 7.10 7.68 6.07 6.77
 
75 70 5.95 6.96 7.61 5.87 7.20
75 75 6.64 7.73 8.43 6.48 7.68
 
 
 
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt   03/26/2018

 


 

Page 21 of 23

75 80 7.33 8.62 9.45 7.02 8.13
- -----------------------------------------------------------------------------------------------------------------------------------

 

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

31

<PAGE>

<TABLE>
<CAPTION>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Female and Second Annuitant is Male)

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

- ----------------------------------------------------------------------------------------------------------------------------------Adjusted Ages

- --------------------------------------          
Annuitant Second Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

- -----------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
 
55 50 $4.03 $4.36 $4.55 $4.03 $4.41
55 55 4.16 4.54 4.76 4.15 4.54
55 60 4.27 4.73 5.00 4.26 4.83
 
60 55 4.34 4.76 5.00 4.34 4.64
60 60 4.51 4.99 5.27 4.50 4.98
60 65 4.66 5.25 5.61 4.65 5.39
 
65 60 4.76 5.29 5.60 4.75 5.13
65 65 4.99 5.61 5.99 4.98 5.60
65 70 5.19 5.97 6.44 5.17 6.14
 
70 65 5.34 6.03 6.46 5.31 5.81
70 70 5.67 6.49 6.99 5.62 6.47
70 75 5.95 6.96 7.61 5.87 7.20
 
75 70 6.16 7.10 7.68 6.07 6.77
75 75 6.64 7.73 8.43 6.48 7.68
75 80 7.04 8.39 9.29 6.79 8.70

 

- -----------------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

32

<PAGE>

<TABLE>
<CAPTION>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

- ----------------------------------------------------------------------------------------------------------------------------------Adjusted Ages

- --------------------------------------          
Annuitant Second Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

- -----------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $4.88 $5.26 $5.48 $4.88 $5.34
55 55 5.04 5.44 5.66 5.04 5.43
 
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            Page 22 of 23
 
 
 
 
55 60 5.21 5.65 5.89 5.21 5.53
 
60 55 5.15 5.63 5.91 5.14 5.73
60 60 5.37 5.87 6.16 5.37 5.86
60 65 5.61 6.16 6.49 5.60 6.01
 
65 60 5.52 6.14 6.51 5.51 6.28
65 65 5.83 6.49 6.87 5.82 6.47
65 70 6.17 6.90 7.33 6.13 6.67
 
70 65 6.04 6.84 7.34 6.00 7.03
70 70 6.49 7.35 7.87 6.44 7.33
70 75 6.97 7.96 8.56 6.87 7.62
 
75 70 6.77 7.84 8.51 6.68 8.08
75 75 7.45 8.60 9.33 7.27 8.55
75 80 8.14 9.49 10.35 7.80 8.98

 

- -----------------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

33

<PAGE>

<TABLE>
<CAPTION>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Female and Second Annuitant is Male)

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

- ----------------------------------------------------------------------------------------------------------------------------------

Adjusted Ages          
- --------------------------------------          
Annuitant Second Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

- -----------------------------------------------------------------------------------------------------------------------------------

<S> <C> <C> <C> <C> <C> <C>
 
55 50 $4.93 $5.27 $5.46 $4.93 $5.19
55 55 5.04 5.44 5.66 5.04 5.43
55 60 5.15 5.63 5.91 5.14 5.73
 
60 55 5.21 5.65 5.89 5.21 5.53
60 60 5.37 5.87 6.16 5.37 5.86
60 65 5.52 6.14 6.51 5.51 6.28
 
65 60 5.61 6.16 6.49 5.60 6.01
65 65 5.83 6.49 6.87 5.82 6.47
65 70 6.04 6.84 7.34 6.00 7.03
 
70 65 6.17 6.90 7.33 6.13 6.67
70 70 6.49 7.35 7.87 6.44 7.33
70 75 6.77 7.84 8.51 6.68 8.08
 
75 70 6.97 7.96 8.56 6.87 7.62
75 75 7.45 8.60 9.33 7.27 8.55
75 80 7.86 9.28 10.20 7.57 9.59

 

- -----------------------------------------------------------------------------------------------------------------------------------

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

</TABLE>

34

<PAGE>

[Aetna logo]

Aetna Insurance Company of America
Home Office: 151 Farmington Avenue
P.O. Box 30670
Hartford, Connecticut 06150-0670
(800) 531-4547

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt

03/26/2018


 

Page 23 of 23

Individual Variable, Fixed, or Combination Annuity Contract
Nonparticipating

ALL PAYMENTS AND VALUES PROVIDED BY THE CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

35

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt

03/26/2018

EX-16 14 ex164j.htm EXHIBIT 16(4)(J) CONTRACT G-MP2 (5/97) ex164j.htm - Generated by SEC Publisher for SEC Filing

Page 1 of 22

Exhibit 16(4)(j)  
  Aetna Insurance Company of America  
  Home Office: 151 Farmington Avenue  
  P.O. Box 30670  
  Hartford, Connecticut 06150-0670  
  (800) 531-4547  
 
  You may call the toll-free number shown above for  
  answers to questions or to resolve a complaint.  
 
  Aetna Insurance Company of America, a stock  
  company, herein called Aetna, agrees to pay the  
  benefits stated in this Contract.  
 
<TABLE>      
<CAPTION>      
 
Specifications      
- ----------------------------------------------------------------------------------------------  
<S>   <C>  
Plan      
SPECIMEN      
- ----------------------------------------------------------------------------------------------  
Type of Plan      
SPECIMEN      
- ----------------------------------------------------------------------------------------------  
Contract Holder      
SPECIMEN      
- ----------------------------------------------------------------------------------------------  
Contract Number      
SPECIMEN      
- ----------------------------------------------------------------------------------------------  
Effective Date      
SPECIMEN      
- ----------------------------------------------------------------------------------------------  
This Contract is delivered in SPECIMEN and is subject to the laws of that jurisdiction  
</TABLE>      
 
The variable features of the Group Contract are described in parts III and IV.  
 
Right to Cancel      
- --------------------------------------------------------------------------------  
The Group Contract Holder may cancel this Contract within 10 days by returning  
it to the agent from whom it was purchased, or to Aetna at the address shown  
above. Within seven days of receiving the Contract at its home office, Aetna  
will return the amount of Certificate Holder Purchase Payment(s) received, plus  
any increase, or minus any decrease, on the amount, if any, allocated to the  
Separate Account fund(s).      
 
This page and the pages that follow constitute the entire Contract.  
 
Signed at the home office on the Effective Date.  
 
/s/ Dan Kearney   /s/ Maria F. McKeon  
President   Secretary  
 
 
Group Variable, Fixed, or Combination Annuity Contract  
  Nonparticipating  
 
G-MP2(5/97)      
 
<PAGE>      
 
 
ALL PAYMENTS AND VALUES PROVIDED BY THE CONTRACT, WHEN BASED ON INVESTMENT  
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO  
FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA.  
APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR  
DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT  
APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.  
 
 
G-MP2(5/97)      
 
 
  2    
<PAGE>      
 
 
Specifications      
 
- --------------------------- ---------------------------------------------------  
Guaranteed There is a guaranteed interest rate for Purchase  
Interest Rate Payment(s) held in the AG Account. (See Contract  
  Schedule I).    
- --------------------------- ---------------------------------------------------  
Deductions from There will be deductions for mortality and expense  
the Separate risks and administrative fees. (See Contract  
Account Schedule I and II).  
- --------------------------- ---------------------------------------------------  
Deduction from Purchase Purchase Payment(s) are subject to a deduction for  
Payment(s) premium taxes, if any. (See 3.01.)  
- --------------------------- ---------------------------------------------------  
 
 
 
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Surrender Fee

There will be a charge deducted upon surrender. (See Contract Schedule I).

 

This Contract is a legal contract and constitutes the entire legal relationship between Aetna and the Contract Holder.

READ THIS CONTRACT CAREFULLY. This Contract sets forth, in detail, all of the rights and obligations of both you and Aetna. THEREFORE, IT IS IMPORTANT THAT YOU READ THIS CONTRACT CAREFULLY.

G-MP2(5/97)

3

<PAGE>

Contract Schedule I
Accumulation Period

<TABLE> <CAPTION> Separate Account

- ------------------------------------------------------------------------------------------------------------------------------------<S> <C> Separate Account: Variable Annuity Account I

Charges to Separate Account: A daily charge is deducted from any portion of the Current Value allocated to the
  Separate Account. The deduction is the daily equivalent of the annual effective
 
  percentage shown in the following chart: __ _
    | |
  Administrative Charge | 0.15% |
  Mortality Risk Charge | 0.35% |
  Expense Risk Charge | 0.90%  
    -----  
  Total Separate Account | |
  Charges | 1.40% |
    |_ _|

 

AICA Guaranteed Account (AG Account)

- ------------------------------------------------------------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate:

[3.0%] (effective annual rate of return)

Separate Account and AG Account

- ------------------------------------------------------------------------------------------------------------------------------------

Transfers:   An unlimited number of Transfers are allowed during the Accumulation Period. Aetna
    allows [12] free Transfers in any calendar year. Thereafter, Aetna reserves the right
to charge [$10] for each subsequent Transfer.
 
Maintenance Fee:   The annual Maintenance Fee is [$30]. If the Account's Current Value is $50,000 or more
    on the date the Maintenance Fee is to be deducted, the Maintenance Fee is [$0].
 
Annual Waiver of Surrender Fee:   As provided in 3.14 (d), the amount that may be withdrawn without a surrender fee cannot
    exceed [10%] of the Current Value calculated on the date Aetna receives a surrender
    request in good order at its Home Office.
 
Surrender Fee:   For each surrender, the Surrender Fee will be determined as follows:
 
      Surrender Fee
    Length of Time from Deposit of (as percentage of
 
  __ Net Purchase Payment (Years) Net Purchase _ Payment)
  | Less than 2 years 7% |
  | 2 or more but less than 4 years 6% |
  | 4 or more but less than 5 years 5% |
  | 5 or more but less than 6 years 4% |
  | 6 or more but less than 7 years 3% |
  | 7 years or more 0% |
  |_ _|
G-MP2(5/97)-1      

 

4

<PAGE>

Contract Schedule I (Continued)
Accumulation Period

Separate Account and AG Account (Cont'd)

- ------------------------------------------------------------------------------------------------------------------------------------

Systematic Withdrawal Option (SWO):

The specified payment or specified percentage may not be greater than [10%] of the Account's Current Value at time of election.

</TABLE>

 

See 1. GENERAL DEFINITIONS for explanations.

G-MP2(5/97)-1

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5

<PAGE>

Contract Schedule II
Accumulation Period

<TABLE> <CAPTION> Separate Account

- ------------------------------------------------------------------------------------------------------------------------------------<S> <C> Charges to Separate Account: A daily charge at an annual effective rate of [1.25%] for Annuity mortality and expense risks. The administrative charge is established upon election of an Annuity option.

This charge will not exceed [0.25%].

Variable Annuity Assumed Annual Net If a Variable Annuity is chosen, an assumed annual net return rate of [5.0%] may be
Return Rate: elected. If [5.0%] is not elected, Aetna will use an assumed annual net return rate of
  [3.5%].
 
  The assumed annual net return rate factor for [3.5%] per year is [0.9999058].
 
  The assumed annual net return rate factor for [5.0%] per year is [0.9998663].
 
  If the portion of a Variable Annuity payment for any Fund is not to decrease, the
  Annuity return factor under the Separate Account for that Fund must be:
 
  (a) [4.75%] on an annual basis plus an annual return of up to [0.25%] to offset the
    administrative charge set at the time Annuity payments commence if an assumed
    annual net return rate of [3.5%] is chosen; or
 
  (b) [6.25%] on an annual basis plus an annual return of up to [0.25%] to offset the
    administrative charge set at the time Annuity payments commence, if an assumed
    annual net return rate of [5%] is chosen.

 

Fixed Annuity

- ------------------------------------------------------------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate: </TABLE>

[3.0%] (effective annual rate of return)

 

See 1. GENERAL DEFINITIONS for explanations.

G-MP2(5/97)-1

6

<PAGE>

Contract Schedule I
Accumulation Period

<TABLE> <CAPTION> Separate Account

- ------------------------------------------------------------------------------------------------------------------------------------<S> <C> Separate Account: Variable Annuity Account I

Charges to Separate Account: A daily charge is deducted from any portion of the Current Value allocated to the
  Separate Account. The deduction is the daily equivalent of the annual effective
 
  percentage shown in the following chart: _ _
  Administrative Charge | 0.15% |
  Mortality Risk Charge | 0.35% |
  Expense Risk Charge | 0.90% |
      -----
  Total Separate Account | |
  Charges | 1.40% |
    |_ _|

 

AICA Guaranteed Account (AG Account)

- ------------------------------------------------------------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate:

[3.0%] (effective annual rate of return)

Separate Account and AG Account

- ------------------------------------------------------------------------------------------------------------------------------------

Transfers: An unlimited number of Transfers are allowed during the Accumulation Period. Aetna
  allows [12] free Transfers in any calendar year. Thereafter, Aetna reserves the right
to charge [$10] for each subsequent Transfer.
 
Maintenance Fee: The annual Maintenance Fee is [$30]. If the Account's Current Value is $50,000 or more
  on the date the Maintenance Fee is to be deducted, the Maintenance Fee is [$0].
 
Annual Waiver of Surrender Fee: As provided in 3.14 (d), the amount that may be withdrawn without a surrender fee cannot
  exceed [10%] of the Current Value calculated on the date Aetna receives a surrender
  request in good order at its Home Office.  
 
Surrender Fee: For each surrender, the Surrender Fee will be determined as follows:  
 
  Surrender Fee  
 
 
 
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  Length of Time from Deposit of (as percentage of
 
__ Net Purchase Payment (Years) Net Purchase Payment) _
| Less than 1 year 3% |
| More than 1 but less than 2 years 2% |
| More than 2 but less than 3 years 1% |
| More than 3 years 0% |
|_ _|

 

G-MP2(5/97)-2

4

<PAGE>

Contract Schedule I (Continued)
Accumulation Period

Separate Account and AG Account (Cont'd)

- ------------------------------------------------------------------------------------------------------------------------------------

Systematic Withdrawal Option (SWO):

The specified payment or specified percentage may not be greater than [10%] of the Account's Current Value at time of election.

</TABLE>

 

See 1. GENERAL DEFINITIONS for explanations.

G-MP2(5/97)-2

5

<PAGE>

Contract Schedule II
Annuity Period

<TABLE>
<CAPTION>

Separate Account

- ------------------------------------------------------------------------------------------------------------------------------------<S> <C> Charges to Separate Account: A daily charge at an annual effective rate of [1.25%] for Annuity mortality and expense risks. The administrative charge is established upon election of an Annuity option. This charge will not exceed [0.25%].

Variable Annuity Assumed Annual Net If a Variable Annuity is chosen, an assumed annual net return rate of [5.0%] may be
Return Rate: elected. If [5.0%] is not elected, Aetna will use an assumed annual net return rate of
  [3.5%].
 
  The assumed annual net return rate factor for [3.5%] per year is [0.9999058].
 
  The assumed annual net return rate factor for [5.0%] per year is [0.9998663].
 
  If the portion of a Variable Annuity payment for any Fund is not to decrease, the
  Annuity return factor under the Separate Account for that Fund must be:
 
  (a) [4.75%] on an annual basis plus an annual return of up to [0.25%] to offset the
    administrative charge set at the time Annuity payments commence if an assumed
    annual net return rate of [3.5%] is chosen; or
 
  (b) [6.25%] on an annual basis plus an annual return of up to [0.25%] to offset the
    administrative charge set at the time Annuity payments commence, if an assumed
    annual net return rate of [5%] is chosen.

 

Fixed Annuity

- ------------------------------------------------------------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate: </TABLE>

[3.0%] (effective annual rate of return)

 

See 1. GENERAL DEFINITIONS for explanations.

G-MP2(5/97)-2

6

<PAGE>

Contract Schedule I
Accumulation Period

<TABLE> <CAPTION> Separate Account

- ------------------------------------------------------------------------------------------------------------------------------------<S> <C> Separate Account: Variable Annuity Account I

Charges to Separate Account: A daily charge is deducted from any portion of the Current Value allocated to the
  Separate Account. The deduction is the daily equivalent of the annual effective
  percentage shown in the following chart:  
 
 
 
 
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Mortality Risk Charge | 0.35% |
Expense Risk Charge | 0.90% |
    -----
Total Separate Account | |
Charges | 1.25% |
  |_ _|

 

AICA Guaranteed Account (AG Account)

- ------------------------------------------------------------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate:

[3.0%] (effective annual rate of return)

Separate Account and AG Account

- ------------------------------------------------------------------------------------------------------------------------------------

Transfers:   An unlimited number of Transfers are allowed during the Accumulation Period. Aetna
    allows [12] free Transfers in any calendar year. Thereafter, Aetna reserves the right to
charge [$10] for each subsequent Transfer.
 
Maintenance Fee:   The annual Maintenance Fee is [$30]. If the Account's Current Value is $5,000 or more
    on the date the Maintenance Fee is to be deducted, the Maintenance Fee is [$0].
 
Annual Waiver of Surrender Fee:   As provided in 3.14 (d), the amount that may be withdrawn without a surrender fee cannot
    exceed [10%] of the Current Value calculated on the date Aetna receives a surrender
    request in good order at its Home Office.
 
Surrender Fee:   The Surrender Fee does not apply to this Contract.
 
Systematic Withdrawal Option (SWO):   The specified payment or specified percentage may not be greater than [10%] of the
Account's Current Value at time of election.
</TABLE>    
 
See 1. GENERAL DEFINITIONS for explanations.  
 
G-MP2(5/97)-3 4  
 
<PAGE>    

 

Contract Schedule II
Annuity Period

<TABLE> <CAPTION> Separate Account

- ------------------------------------------------------------------------------------------------------------------------------------<S> <C> Charges to Separate Account: A daily charge at an annual effective rate of [l.25%] for Annuity mortality and expense risks. The administrative charge is established upon election of an Annuity option.

This charge will not exceed [0.25%].

Variable Annuity Assumed Annual Net If a Variable Annuity is chosen, an assumed annual net return rate of [5.0%] may be
Return Rate: elected. If [5.0%] is not elected, Aetna will use an assumed annual net return rate of
  [3.5%].
 
  The assumed annual net return rate factor for [3.5%] per year is [0.9999058].
 
  The assumed annual net return rate factor for [5.0%] per year is [0.9998663].
 
  If the portion of a Variable Annuity payment for any Fund is not to decrease, the
  Annuity return factor under the Separate Account for that Fund must be:
 
  (a) [4.75%] on an annual basis plus an annual return of up to [0.25%] to offset the
    administrative charge set at the time Annuity payments commence if an assumed
    annual net return rate of [3.5%] is chosen; or
 
  (b) [6.25%] on an annual basis plus an annual return of up to [0.25%] to offset the
    administrative charge set at the time Annuity payments commence, if an assumed
    annual net return rate of [5%] is chosen.

 

Fixed Annuity

- ------------------------------------------------------------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate: </TABLE>

[3.0%] (effective annual rate of return)

 
See 1. GENERAL DEFINITIONS for explanations.

 

G-MP2(5/97)-3

5

<PAGE>

TABLE OF CONTENTS

Page

I.     

GENERAL DEFINITIONS

-     

-------------------------------------------------------------------------------

1.01 Account 8  
1.02 Accumulation Period 8  
1.03 Adjusted Current Value 8  
1.04 AICA Guaranteed Account (AG Account) 8  
1.05 Annuitant 8  
1.06 Annuity 8  
 
 
 
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1.07 Beneficiary 8
1.08 Certificate Holder 8
1.09 Code 8
1.10 Contract 8
1.11 Contract Holder 8
1.12 Current Value 9
1.13 Deposit Period 9
1.14 Dollar Cost Averaging 9
1.15 Fixed Annuity 9
1.16 Fund(s) 9
1.17 General Account 9
1.18 Guaranteed Rates -- AG Account 9
1.19 Guaranteed Term 10
1.20 Guaranteed Term(s) Groups 10
1.21 Maintenance Fee 10
1.22 Market Value Adjustment (MVA) 10
1.23 Matured Term Value 10
1.24 Matured Term Value Transfer 10
1.25 Maturity Date 10
1.26 Net Purchase Payment(s) 10
1.27 Nonunitized Separate Account 10
1.28 Purchase Payment(s) 11
1.29 Reinvestment 11
1.30 Separate Account 11
1.31 Surrender Value 11
1.32 Transfers 11
1.33 Valuation Period (Period) 11
1.34 Variable Annuity 11

 

II.     

GENERAL PROVISIONS

-     

-------------------------------------------------------------------------------

2.01 Change of Contract 12
2.02 Change of Fund(s) 13
2.03 Nonparticipating Contract 13
2.04 Payments and Elections 13
2.05 State Laws 13
2.06 Control of Contract 13
2.07 Designation of Beneficiary 14
 
 
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6
<PAGE>    
 
    Page
 
2.08 Misstatements and Adjustments 14
2.09 Incontestability 14
2.10 Grace Period 14
2.11 Individual Certificates 14

 

III.     

PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS

-     

------------------------------------------------------------------------------

3.01 Net Purchase Payment 14
3.02 Certificate Holder's Account 15
3.03 Fund(s) Record Units -- Separate Account 15
3.04 Net Return Factor(s) -- Separate Account 15
3.05 Fund Record Unit Value -- Separate Account 16
3.06 Market Value Adjustment 16
3.07 Transfer of Current Value from the Funds or AG Account  
  During the Accumulation Period 17
3.08 Notice to the Contract Holder 18
3.09 Loans 18
3.10 Systematic Distribution Options 18
3.11 Death Benefit Amount 19
3.12 Death Benefit Options Available to Beneficiary 20
3.13 Liquidation of Surrender Value 22
3.14 Surrender Fee 22
3.15 Payment of Surrender Value 23
3.16 Payment of Adjusted Current Value 23

 

IV.     

ANNUITY PROVISIONS

-     

--------------------------------------------------------------------------------

4.01 Choices 24
4.02 Terms of Annuity Options 24
4.03 Death of Annuitant/Beneficiary 26
4.04 Fund(s) Annuity Units -- Separate Account 27
4.05 Fund(s) Annuity Unit Value -- Separate Account 27
4.06 Annuity Net Return Factor(s) -- Separate Account 27
4.07 Annuity Options 28
 
 
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<PAGE>

<TABLE>

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Page 7 of 22

<CAPTION>

I.     

GENERAL DEFINITIONS

-     

------------------------------------------------------------------------------------------------------------------------------------

<S>

1.01     

Account:

1.02     

Accumulation Period:

1.03     

Adjusted Current Value:

1.04     

AICA Guaranteed Account (AG Account):

1.05     

Annuitant:

1.06     

Annuity:

1.07     

Beneficiary:

1.08     

Certificate Holder:

1.09     

Code:

1.10     

Contract:

1.11     

Contract Holder:

G-MP2(5/97)

<PAGE>

1.12     

Current Value:

1.13     

Deposit Period:

1.14     

Dollar Cost Averaging:

1.15     

Fixed Annuity:

1.16     

Fund(s):

1.17     

General Account:

1.18     

Guaranteed Rates -- AG Account:

<C>

A record established for each Certificate Holder to maintain the value of all Net Purchase Payments held on his/her behalf during the Accumulation Period.

The period during which the Net Purchase Payment(s) are applied to an Account to provide future Annuity payment(s).

The Current Value of an Account plus or minus any aggregate AG Account MVA, if applicable. (See 1.22)

An accumulation option where Aetna guarantees stipulated rate(s) of interest for specified periods of time. All assets of Aetna, including amounts in the Nonunitized Separate Account, are available to meet the guarantees under the AG Account.

The person whose life is measured for purposes of the guaranteed death benefit and the duration of Annuity payments under this Contract.

Payment of an income:

(a) For the life of one or two persons; (b) For a stated period; or (c) For some combination of (a) and (b).

The individual or estate entitled to receive any death benefit under the Contract. If the Contract is held by joint Certificate Holders, the survivor will be deemed the designated Beneficiary and any other Beneficiary on record will be treated as the contingent Beneficiary.

A person who purchases an interest in this Contract as evidenced by a certificate. Aetna reserves the right to limit ownership to natural persons. If more than one Certificate Holder owns an Account, each Certificate Holder will be a joint Certificate Holder. Any joint Certificate Holder must be the spouse of the other joint Certificate Holder. Joint Certificate Holders have joint ownership rights and both must authorize exercising any ownership rights unless Aetna allows otherwise.

The Internal Revenue Code of 1986, as it may be amended from time to time.

This agreement between Aetna and the Contract Holder.

The entity to which the Contract is issued.

8

As of the most recent Valuation Period, the Net Purchase Payment and any additional amount deposited pursuant to 3.11 plus any interest added to the portion allocated to the AG Account; and plus or minus the investment experience of the portion allocated to the Funds since deposit; less all Maintenance Fees deducted, any amounts surrendered and any amounts applied to an Annuity.

A day, a calendar week, a calendar month, a calendar quarter, or any other period of time specified by Aetna during which Net Purchase Payment(s), Transfers and/or Reinvestments may be allocated to one or more AG Account Guaranteed Terms. Aetna reserves the right to shorten or to extend the Deposit Period.

During a Deposit Period, Aetna may offer any number of Guaranteed Terms and more than one Guaranteed Term of the same duration may be offered.

A program that permits the Contract Holder to systematically transfer amounts from any of the Funds or an available AG Account Guaranteed Term to any of the Funds. Aetna reserves the right to establish terms and conditions governing Dollar Cost Averaging. Dollar Cost Averaging is not available when a SDO is in effect.

An Annuity with payments that do not vary in amount.

The open-end management investment companies (mutual funds) in which the Separate Account invests.

The Account holding the assets of Aetna, other than those assets held in Aetna's separate accounts.

Aetna will declare the interest rate(s) applicable to a specific Guaranteed Term at the start of the Deposit Period for that Guaranteed Term. The rate(s) are guaranteed by Aetna for the period beginning with the first day of the Deposit Period and ending on the Maturity Date. Guaranteed Rates are credited beginning with the date of allocation. The Guaranteed Rates are annual effective yields. That is, interest is credited daily at a rate that will produce the Guaranteed Rate over the period of a year. No Guaranteed Rate will ever be less than the Minimum Guaranteed Rate shown on Contract Schedule I.

For Guaranteed Terms of one year or less, one Guaranteed Rate is credited for the full Guaranteed Term. For longer Guaranteed Terms, an initial Guaranteed Rate is credited from the date of deposit to the end of a specified period within the Guaranteed Term. There may be different Guaranteed Rate(s) declared for subsequent specified time intervals throughout the Guaranteed Term.

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1.19     

Guaranteed Term:

1.20     

Guaranteed Term(s) Groups:

1.21     

Maintenance Fee:

1.22     

Market Value Adjustment (MVA):

1.23     

Matured Term Value:

1.24     

Matured Term Value Transfer:

1.25     

Maturity Date:

1.26     

Net Purchase Payment(s):

1.27     

Nonunitized Separate Account:

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<PAGE>

1.28     

Purchase Payment(s):

1.29     

Reinvestment:

1.30     

Separate Account:

1.31     

Surrender Value:

1.32     

Transfers:

1.33     

Valuation Period (Period):

1.34     

Variable Annuity:

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Page 8 of 22

The period of time specified by Aetna for which a specific Guaranteed Rate(s) is offered on amounts invested during a specific Deposit Period. Guaranteed Terms are made available subject to Aetna's terms and conditions, including, but not limited to, Aetna's right to restrict allocations to new Net Purchase Payments (such as by prohibiting Transfers into a particular Guaranteed Term from any other Guaranteed Term or from any of the Funds, or by prohibiting Reinvestment of a Matured Term Value to a particular Guaranteed Term. More than one Guaranteed Term of the same duration may be offered during a Deposit Period.

All AG Account Guaranteed Term(s) of the same duration (from the close of the Deposit Period until the designated Maturity Date).

The Maintenance Fee (see Contract Schedule I) will be deducted during the Accumulation Period from the Current Value on each anniversary of the date the Account is established and upon surrender of the entire Account.

An adjustment that may apply to an amount withdrawn or transferred from an AG Account Guaranteed Term prior to the end of that Guaranteed Term. The adjustment reflects the change in the value of the investment due to changes in interest rates since the date of deposit and is computed using the formula given in 3.06. The adjustment is expressed as a percentage of each dollar being withdrawn.

The amount payable on an AG Account Guaranteed Term's Maturity Date.

During the calendar month following an AG Account Maturity Date, the Certificate Holder may notify Aetna's home office in writing to Transfer or surrender all or part of the Matured Term Value, plus interest at the new Guaranteed Rate accrued thereon, from the AG Account without an MVA. This provision only applies to the first such written request received from the Certificate Holder during this period for any Matured Term Value.

The last day of an AG Account Guaranteed Term.

The Purchase Payment less premium taxes, as applicable.

A separate account set up by Aetna under Title 38, Section 38a-433, of the Connecticut General Statutes, that holds assets for AG Account Terms. There are no discrete units for this Account. The Certificate Holder does not participate in the investment gain or loss from the assets held in the Nonunitized Separate Account. Such gain or loss is borne entirely by Aetna. These assets may be chargeable with liabilities arising out of any other business of Aetna.

10

Payment(s) accepted by Aetna at its home office. Aetna reserves the right to refuse to accept any Purchase Payment at any time for any reason. No advance notice will be given to the Contract Holder or Certificate Holder.

Aetna will mail a notice to the Certificate Holder at least 18 calendar days before a Guaranteed Term's Maturity Date. This notice will contain the Terms available during the current Deposit Periods with their Guaranteed Rate(s), and projected Matured Term Value. If no specific direction is given by the Certificate Holder prior to the Maturity Date, each Matured Term Value will be reinvested in the current Deposit Period for a Guaranteed Term of the same duration. If a Guaranteed Term of the same duration is unavailable, each Matured Term Value will automatically be reinvested in the current Deposit Period for the next shortest Guaranteed Term available. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used. Aetna will mail a confirmation statement to the Certificate Holder the next business day after the Maturity Date. This notice will state the Guaranteed Term and Guaranteed Rate(s) which will apply to the reinvested Matured Term Value.

A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to other income, gains or losses of Aetna. Aetna owns the assets held in the Separate Account and is not a trustee as to such amounts. This Separate Account generally is not guaranteed and is held at market value. The assets of the Separate Account, to the extent of reserves and other contract liabilities of the Account, shall not be charged with other Aetna liabilities.

The amount payable by Aetna upon the surrender of any portion of an Account.

The movement of invested amounts among the available Fund(s) and/or any AG Account Guaranteed Term made available subject to terms and conditions established by Aetna during the Accumulation Period or, during the Annuity Period, among the available Funds under a Variable Annuity.

The period of time for which a Fund determines its net asset value, usually from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m. the next such day, or such other day that one or more of the Funds determines its net asset value.

An Annuity with payments that vary with the net investment results of one or more Funds held under the Separate Account.

11

II.     

GENERAL PROVISIONS

-     

------------------------------------------------------------------------------------------------------------------------------------

2.01 Change of Contract: Only an authorized officer of Aetna may change the terms of this Contract. Aetna will notify the
  Contract Holder in writing at least 30 days before the effective date of any change. Any change
  will not affect the amount or terms of any Annuity which begins before the change.  
 
 
 
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2.02 Change of Fund(s):

2.03     

Nonparticipating Contract:

2.04     

Payments and Elections:

2.05     

State Laws:

2.06     

Control of Contract:

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2.06     

Control of Contract (Cont'd):

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Aetna reserves the right to refuse to accept any Purchase Payment at any time for any reason. This applies to an initial Purchase Payment to establish a new Account or to subsequent Purchase Payments in existing Accounts under the Contract. No advance notice will be given to the Contract Holder or Certificate Holder.

Aetna may make any change that affects the AG Account Market Value Adjustment (3.06) with at least 30 days' advance written notice to the Contract Holder and the Certificate Holder. Any such change shall become effective for any new Term and will apply to all present and future Accounts.

Any change that effects any of the following under this Contract will not apply to Accounts in existence before the effective date of the change:

(a) Net Purchase Payment (1.26)

(b) AG Account Guaranteed Rate (1.18)

(c) Net Return Factor(s) -- Separate Account (3.04) (d) Current Value (1.12) (e) Surrender Value (1.31) (f) Fund(s) Annuity Unit Value -- Separate Account (4.05) (g) Annuity options (4.07) (h) Fixed Annuity Interest Rates (4.01) (i) Transfers (1.32).

Any change that affects the Annuity Options and the tables for the options may be made: (a) No earlier than 12 months after the effective date of this Contract; and (b) No earlier than 12 months after the effective date of any prior change.

Any Account established on or after the effective date of any change will be subject to the change. If the Contract Holder does not agree to any change under this provision, no new Accounts may be established under this Contract. This Contract may also be changed as deemed necessary by Aetna to comply with federal or state law.

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The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, Aetna may cease to make such Fund shares available for investment under the Contract prospectively, or Aetna may substitute shares of another Fund for shares already acquired. Aetna may also, from time to time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws. Aetna reserves the right to substitute shares of another Fund for shares already acquired without a proxy vote.

The Contract Holder, Certificate Holders or Beneficiaries will not have a right to share in the earnings of Aetna.

While the Certificate Holder is living, Aetna will pay the Certificate Holder any Annuity payments as and when due. After the Certificate Holder's death, or at the death of the first Certificate Holder if the Account is owned jointly, any Annuity payments required to be made will be paid in accordance with 4.03. Aetna will determine other payments and/or elections as of the end of the Valuation Period in which the request is received at its home office. Such payments will be made within seven calendar days of receipt at its home office of a written claim for payment which is in good order, except as provided in 3.15.

The Contract and the Certificates comply with the laws of the state in which they are delivered. Any surrender, death, or Annuity payments are equal to or greater than the minimum required by such laws. Annuity tables for legal reserve valuation shall be as required by state law. Such tables may be different from Annuity tables used to determine Annuity payments.

This is a Contract between the Contract Holder and Aetna. The Contract Holder has title to the Contract. Contract Holder rights are limited to accepting or rejecting Contract modifications. The Certificate Holder has all other rights to amounts held in his or her Account.

Each Certificate Holder shall own all amounts held in his or her Account. Each Certificate Holder may make any choices allowed by this Contract for his or her Account. Choices made under this Contract must be in writing. If the Account is owned jointly, both Certificate Holders must authorize any Certificate Holder change in writing. Until receipt of such choices at Aetna's home office, Aetna may rely on any previous choices made.

13

The Contract is not subject to the claims of any creditors of the Contract Holder or the Certificate Holder, except to the extent permitted by law.

The Certificate Holder may assign or transfer his or her rights under the Contract. Aetna reserves the right not to accept assignment or transfer to a nonnatural person. Any assignment or transfer made must be submitted to Aetna's home office in writing and will not be effective until accepted

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    Page 10 of 22
 
 
 
 
    by Aetna.
 
2.07 Designation of Each Certificate Holder shall name his or her Beneficiary. If the Account is owned jointly, both
  Beneficiary: joint Certificate Holders must agree in writing to the Beneficiary designated. The Beneficiary may
    be changed at any time. Changes to a Beneficiary must be submitted to Aetna's home office in
    writing and will not be effective until accepted by Aetna. If the Account is owned jointly, at the
    death of one joint Certificate Holder, the survivor will be deemed the Beneficiary; any other
    Beneficiary on record will be deemed a contingent Beneficiary.
 
2.08 Misstatements and If Aetna finds the age of any Annuitant to be misstated, the correct facts will be used to adjust
  Adjustments: payments.
 
2.09 Incontestability: Aetna cannot cancel this Contract because of any error of fact.
 
2.10 Grace Period: This Contract will remain in effect even if Purchase Payments are not continued except as provided
    in the Payment of Adjusted Current Value provision (see 3.16).
 
2.11 Individual Certificates: Aetna shall issue a certificate to each Certificate Holder. The certificate will summarize certain
    provisions of the Contract. Certificates are for information only and are not a part of the
    Contract.

 

III.     

PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS

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3.01 Net Purchase Payment:

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3.01     

Net Purchase Payment (Cont'd):

3.02     

Certificate Holder's Account:

3.03     

Fund(s) Record Units -- Separate Account:

3.04     

Net Return Factor(s) -- Separate Account:

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This amount is the actual Purchase Payment less any premium tax. Aetna reserves the right to pay premium taxes when due and deduct the amount from the Current Value when we pay the tax or at a later date.

Each Net Purchase Payment will be allocated, as directed by the Certificate Holder among:

(a) AG Account Guaranteed Terms made available subject to terms and conditions established by Aetna; and

(b) The Fund(s) in which the Separate Account invests.

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For each Net Purchase Payment, the Certificate Holder shall tell Aetna the percentage of each Purchase Payment to allocate to any available AG Account Guaranteed Terms and/or each Fund. Unless different allocation instructions are received for any subsequent Net Purchase Payment, the allocation will be the same as for the initial Net Purchase Payment. If the same Guaranteed Term is no longer available, the Net Purchase Payment will be allocated to the next shortest Guaranteed Term available in the current Deposit Period. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used.

Aetna will maintain an Account for each Certificate Holder.

Aetna will declare from time to time the acceptability and the minimum amount for additional Purchase Payments.

The portion of the Net Purchase Payment(s) applied to each Fund under the Separate Account will determine the number of Fund record units for that Fund. This number is equal to the portion of the Net Purchase Payment(s) applied to each Fund divided by the Fund record unit value (see 3.05) for the Valuation Period in which the Purchase Payment is received in good order at Aetna's home office.

The net return factor(s) are used to compute all Separate Account record units for any Fund.

The net return factors for each Fund is equal to 1.0000000 plus the net return rate.

The net return rate is equal to:

(a) The value of the shares of the Fund held by the Separate Account at the end of the Valuation Period; minus

(b) The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

(c) Taxes (or reserves for taxes) on the Separate Account (if any); divided by

(d) The total value of the Fund(s) record units and Fund(s) annuity units of the Separate Account at the start of the Valuation Period; minus

(e) A daily Separate Account charge at an annual rate as shown on Contract Schedule I for mortality and expense risks, which may include profit; and a daily administrative charge.

A net return rate may be more or less than 0%. The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.

15

3.05 Fund Record Unit Value A Fund record unit value is computed by multiplying the net return factors for the current
  -- Separate Account: Valuation Period by the Fund record unit value for the previous Period. The dollar value of Fund
    record units, Separate Account assets, and Variable Annuity payments may go up or down due to
    investment gain or loss.

 

3.06 Market Value Adjustment: An MVA will apply to any withdrawal from the AG Account before the end of a Guaranteed Term when
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3.06     

Market Value Adjustment (Cont'd):

3.07     

Transfer of Current Value from the Funds or AG Account During the Accumulation Period:

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3.07     

Transfer of Current Value from the Funds or AG Account During the Accumulation Period: (Cont'd):

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the withdrawal is:

(a) A Transfer; except for Transfers under the Dollar Cost Averaging program or, as specified in 1.24 Matured Term Value Transfer;

(b) A full or partial surrender (including a free withdrawal under 3.14), except for a payment made (1) under an SDO (see 3.10), or (2) under a qualified Contract, when the amount withdrawn is equal to the required minimum distribution for the Account calculated using a method permitted under the Code and agreed to by Aetna; or

(c) Due to election of an Annuity option (see 4.07).

Full and partial surrenders and Transfers made within six months after the date of the Annuitant's death will be the greater of:

(a) The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts. This total may be greater or less than the Current Value of those amounts; or

(b) The applicable portion of the Current Value in the AG Account.

After the six-month period, the surrender or Transfer will be the aggregate MVA amount, which may be greater or less than the Current Value of those amounts.

The greater of the aggregate MVA amount or the applicable portion of the Current Value applies to amounts withdrawn from the AG Account on account of an election of Annuity options 2 or 3 (see 4.07).

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Market value adjusted amounts will be equal to the amount withdrawn multiplied by the following ratio:

x
---
365

(1 + i)
----------
x
---
365
(1 + j)

Where:

i     

is the Deposit Period Yield

j     

is the Current Yield

x     

is the number of days remaining, (computed from Wednesday of the week of withdrawal) in the Guaranteed Term.

The Deposit Period Yield will be determined as follows:

(a) At the close of the last business day of each week of the Deposit Period, a yield will be computed as the average of the yields on that day of U.S. Treasury Notes which mature in the last three months of the Guaranteed Term.

(b) The Deposit Period Yield is the average of those yields for the Deposit Period. If withdrawal is made before the close of the Deposit Period, it is the average of those yields on each week preceding withdrawal.

The Current Yield is the average of the yields on the last business day of the week preceding withdrawal on the same U.S. Treasury Notes included in the Deposit Period Yield.

In the event that no U.S. Treasury Notes which mature in the last three months of the Guaranteed Term exist, Aetna reserves the right to use the U.S. Treasury Notes that mature in the following quarter.

Before an Annuity option is elected, all or any portion of the Adjusted Current Value of the Certificate Holder's Account may be transferred from any Fund or Guaranteed Term of the AG Account:

(a) To any other Fund; or

(b) To any Guaranteed Term of the AG Account made available subject to terms and conditions specified by Aetna in the current Deposit Period.

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Transfer requests can be submitted as a percentage or as a dollar amount. Aetna may establish a minimum transfer amount. Within a Guaranteed Term Group, the amount to be surrendered or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.

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3.08     

Notice to the Contract Holder:

3.09     

Loans:

3.10     

Systematic Distribution Options:

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3.10     

Systematic Distribution Options (Cont'd):

3.11 Death Benefit Amount:

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3.11     

Death Benefit Amount (Cont'd):

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The Certificate Holder may make an unlimited number of Transfers during the Accumulation Period. The number of free Transfers allowed by Aetna is shown on Contract Schedule I. Additional Transfers may be subject to a Transfer fee as shown on Contract Schedule I.

Amounts transferred from the AG Account under the Dollar Cost Averaging program, or amounts transferred as a Matured Term Value on or within one calendar month after a Term's Maturity Date do not count against the annual Transfer limit.

Amounts allocated to AG Account Guaranteed Terms may not be transferred to the Funds or to another Guaranteed Term during a Deposit Period or for 90 days after the close of a Deposit Period except for (1) Matured Term Value(s) during the calendar month following the Term's Maturity Date; (2) amounts used as a premium for an Annuity option; (3) amounts transferred under the Dollar Cost Averaging program; and (4) amounts distributed under the Systematic Distribution Option.

The Certificate Holder will receive quarterly statements from Aetna of:

(a) The value of any amounts held in:

(1)     

The AG Account; and

(2)     

The Fund(s) under the Separate Account.

(b) The number of any Fund(s) record units; and

(c) The Fund(s) record unit value.

Such number or values will be as of a specific date no more than 60 days before the date of the notice.

Loans are not available under this Contract.

Aetna may, from time to time, make one or more systematic distribution options (SDOs) available during the Accumulation Period. When an SDO is elected, Aetna will make automatic payments from the Certificate Holder's Account. No Surrender Fee or MVA will apply to the automatic payments made under an SDO.

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Any SDO will be subject to the following criteria:

(a) Any SDO will be available to similarly situated contracts uniformly, and on the basis of objective criteria consistently applied;

(b) The availability of any SDO may be limited by terms and conditions applicable to the election of such SDO; and

(c) Aetna may discontinue the availability of an SDO at any time. Except to the extent required to comply with applicable law, discontinuance of an SDO will apply only to future elections and will not affect SDOs in effect at the time an option is discontinued.

If the Certificate Holder or Annuitant dies before Annuity payments start, the Beneficiary is entitled to a death benefit under the Account. If the Account is owned jointly, the death benefit is paid at the death of the first joint Certificate Holder to die. The claim date is the date when proof of death and the Beneficiary's claim are received in good order at Aetna's home office. The amount of the death benefit is determined as follows:

(a) Death of Annuitant: The guaranteed death benefit is the greatest of:

(1) The sum of all Purchase Payment(s) made to the Account (as of the date of death) minus the sum of all amounts surrendered, applied to an Annuity, or deducted from the Account;

(2) The highest step up value, as of the date of death, prior to the Annuitant's 75th birthday. A step-up value is determined on each anniversary of the Effective Date. Each step-up value is calculated as the Account's Current Value on the Effective Date anniversary, increased by the amount of any Purchase Payment(s) made, and decreased by the sum of all amounts surrendered, deducted, and/or applied to an Annuity option since the Effective Date anniversary.

(3) The Account's Current Value as of the date of death.

The excess, if any, of the guaranteed death benefit value over the Account's Current Value is determined as of the date of death. Any excess amount will be deposited to the Account and allocated to Aetna Variable Encore Fund as of the claim date. The Current Value on the claim date plus any excess amount deposited becomes the Account's Current Value.

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(b) Death of the Certificate Holder if the Certificate Holder is not the Annuitant: The death benefit amount is the Account's Adjusted Current Value on the claim date. A Surrender Fee may apply to any full or partial surrender (see 3.14 and Contract Schedule I).

(c) Death of spousal Beneficiary who continued the Account: The death benefit amount equals the Account's Adjusted Current Value on the claim date, less any applicable Surrender Fee (see 3.14 and Contract Schedule I) on Purchase Payments made since the death of the Annuitant.

(d) Death of the spousal beneficiary of a Certificate Holder who was not the Annuitant and who continued the Account: The death benefit amount equals the Account's Adjusted Current Value on the claim date. A Surrender Fee may apply to any full or partial surrender (see 3.14 and

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3.12     

Death Benefit Options Available to Beneficiary:

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3.12     

Death Benefit Options Available to Beneficiary (Cont'd):

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Contract Schedule I).

Prior to any election, or until amounts must be otherwise distributed under this section, the Current Value will be retained in the Account. The Beneficiary has the right to allocate or reallocate any amount to any of the available investment options (subject to an MVA if applicable). The following options are available to the Beneficiary:

(a) When the Certificate Holder is the Annuitant if the Annuitant dies (or when the Certificate Holder is a nonnatural person if the Annuitant dies):

(1) If the Beneficiary is the surviving spouse, the spousal Beneficiary will be the successor Certificate Holder and may exercise all Certificate Holder rights under the Contract and continue in the Accumulation Period, or may elect (i) or (ii) below.

Under the Code, distributions from the Account are not required until the spousal Beneficiary's death. The spousal Beneficiary may elect to:

(i) Apply some or all of the Adjusted Current Value to an Annuity option (see 4.07);

(ii)Receive, at any time, a lump sum payment equal to the Adjusted Current Value of the Account.

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(2) If the Beneficiary is other than the surviving spouse, options (i) or (ii) above apply. Any portion of the Adjusted Current Value not applied to an Annuity option within one year of the death must be distributed within five years of the date of death.

(3) If no Beneficiary exists, a lump sum payment equal to the Adjusted Current Value must be made to the Annuitant's estate within five years of the date of death.

(4) If the Beneficiary is an entity, a lump sum payment equal to the Adjusted Current Value must be made within five years of the date of death.

(b) When the Certificate Holder is not the Annuitant when the Certificate Holder dies:

(1) If the Beneficiary is the Certificate Holder's surviving spouse, the spousal Beneficiary will be the successor Certificate Holder and may exercise all Certificate Holder rights under the Contract and continue in the Accumulation Period, or may elect (i) or (ii), below. Under the Code, distributions from the Account are not required until the spousal Beneficiary's death. The spousal Beneficiary may elect to:

(i)     

Apply some or all of the Adjusted Current Value to Annuity option 2 or 3 (see 4.07);

(ii)     

Receive, at any time, a lump sum payment equal to the Surrender Value.

(2) If the Beneficiary is other than the Certificate Holder's surviving spouse, options (i) or (ii) under (1) above apply. Any portion of the death benefit not applied to an Annuity option within one year of the Certificate Holder's death must be distributed within five years of the date of death.

(3) If no Beneficiary exists, a lump sum payment equal to the Surrender Value must be made to the Certificate Holder's estate within five years of the date of death.

(4) If the Beneficiary is an entity, a lump sum payment equal to the Surrender Value must be made within five years of the date of death.

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3.12 Death Benefit Options (c) When the Certificate Holder is a natural person and not the Annuitant, when the Annuitant
  Available to Beneficiary dies, the Beneficiary (or the Certificate Holder if no Beneficiary exists) may elect to:
  (Cont'd):  

 

(i)     

Apply all or some of the Adjusted Current Value to an Annuity option within 60 days of the date of death; or

(ii)     

Receive a lump sum payment equal to the Adjusted Current Value.

3.13 Liquidation of Surrender All or any portion of the Account's Current Value may be surrendered at any time. Surrender
  Value: requests can be submitted as a percentage of the Account value or as a specific dollar amount. Net
    Purchase Payment amounts are withdrawn first, and then the excess value, if any. For any partial
    surrender, amounts are withdrawn on a pro rata basis from the Fund(s) and/or the Guaranteed
    Term(s) Groups of the AG Account in which the Current Value is invested. Within a Guaranteed Term
    Group, the amount to be surrendered or transferred will be withdrawn first from the oldest Deposit
    Period, then from the next oldest, and so on until the amount requested is satisfied.
 
    After deduction of the Maintenance Fee, if applicable, the surrendered amount shall be reduced by
    a Surrender Fee, if applicable. An MVA may apply to amounts surrendered from the AG Account.
 
3.14 Surrender Fee: The Surrender Fee only applies to the Net Purchase Payment(s) portion surrendered and varies
    according to the elapsed time since deposit (see Contract Schedule I). Net Purchase Payment
    amounts are withdrawn in the same order they were applied.  
 
    No Surrender Fee is deducted from any portion of the Current Value which is paid:  
 
    (a) To a Beneficiary due to the Annuitant's death before Annuity payments start, up to a maximum
    of the aggregate Net Purchase Payment(s) minus the total of all partial surrenders, amounts
    applied to an Annuity and deductions made prior to the Annuitant's date of death;
 
    (b) As a premium for an Annuity option (see 4.07);  
 
 
 
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3.14 Surrender Fee (Cont'd):

3.15     

Payment of Surrender Value:

Page 14 of 22

(c)     

As a distribution under an systematic distribution option (see 3.10);

 

22

(d)     

At least 12 months after the date of the first Purchase Payment to the Account, in an amount not to exceed the amount shown on Contract Schedule I under Annual Waiver of Surrender Fee.

 

This waiver of the Surrender Fee applies to the first full or partial surrender in the calendar year. This waiver is not available if a systematic distribution option has been in effect at any time during the calendar year;

(e)     

For a full surrender of the Account where the Current Value of the Account is $2,500 or less and no surrenders have been taken from the Account within the prior 12 months;

(f)     

By Aetna under 3.16; or

(g)     

If the Annuitant has spent at least 45 consecutive days in a licensed nursing care facility and each of the following conditions are met:

 

(1) more than one calendar year has elapsed since the date the certificate was issued; and

(2) the surrender is requested within 3 years of admission to a licensed nursing care facility.

This waiver does not apply if the Annuitant was in a nursing care facility at the time the certificate was issued.

(h)     

Under a qualified Contract when the amount withdrawn is equal to the minimum distribution required by the Code for the Account calculated using a method permitted under the Code and agreed to by Aetna.

Under certain emergency conditions, Aetna may defer payment:

(a)     

For a period of up to 6 months (unless not allowed by state law); or

(b)     

As provided by federal law.

3.16     

Payment of Adjusted Current Value:

Upon 90 days' written notice to the Certificate Holder, Aetna will terminate any Certificate if the Current Value becomes less than $2,500 immediately following any partial surrender. Aetna does not intend to exercise this right in cases where the Account Current Value is reduced to $2,500 or less solely due to investment performance. A Surrender Fee will not be deducted from the Adjusted Current Value.

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<PAGE>

IV.     

ANNUITY PROVISIONS

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4.01 Choices:

4.02     

Terms of Annuity Options:

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The Certificate Holder may tell Aetna to apply any portion of the Adjusted Current Value (minus any premium tax, if applicable,) to any Annuity option (see 4.07). The first Annuity payment may not be earlier than one calendar year after the initial Purchase Payment nor later than the later of:

(a) The first day of the month following the Annuitant's 85th birthday; or

(b) The tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may tell Aetna to make a lump sum payment.

When an Annuity option is chosen, Aetna must also be told if payments are to be made other than monthly and whether to pay:

(a) A Fixed Annuity using the General Account;

(b) A Variable Annuity using any of the Fund(s) available under this Contract for Annuity purposes; or

(c) A combination of (a) and (b).

If a Fixed Annuity is chosen, the Annuity purchase rate for the option chosen reflects the Minimum Guaranteed Interest Rate (see Contract Schedule II), but may reflect higher interest rates. If a Variable Annuity is chosen, the initial Annuity payment for the option chosen reflects the assumed annual return rate elected. (see Contract Schedule II).

During the Annuity Period when a Variable Annuity has been elected, at the request of the Certificate Holder, all or any portion of the amount allocated to a Fund may be transferred to any other Fund available during the Annuity Period. Four transfers, without charge, are allowed each calendar year. Aetna reserves the right to change the number of transfers allowed.

Transfer requests must be expressed as a percentage of the allocation among the Funds of the amount upon which the Variable Annuity will be based. Aetna reserves the right to establish a minimum transfer amount. Transfers will be effective as of the Valuation Period in which Aetna receives a transfer request in good order at its Home Office.

(a) When payments start, the age of the Annuitant plus the number of years for which payments are guaranteed must not exceed 95.

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4.02 Terms of Annuity Options
  (Cont'd):

 

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4.03     

Death of Annuitant/Beneficiary:

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Page 15 of 22

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(b) An Annuity option may not be elected if the first payment would be less than $50 or if the total payments in a year would be less than $250 (less if required by state law). Aetna reserves the right to increase the minimum first Annuity payment amount and the annual minimum Annuity payment amount based upon increases reflected in the Consumer Price Index-Urban, (CPI-U) since July 1, 1993.

(c) If a Fixed Annuity is chosen Aetna will use the applicable current settlement rate if it will provide higher Fixed Annuity payments.

(d) For purposes of calculating the guaranteed first payment of a Variable Annuity or the payments for a Fixed Annuity, the Annuitant's and second Annuitant's adjusted age will be used. The Annuitant's and second Annuitant's adjusted age is his or her age as of the birthday closest to the Annuity commencement date reduced by one year for Annuity commencement dates occurring during the period of time from July 1, 1993 through December 31, 1999. The Annuitant's and second Annuitant's age will be reduced by two years for Annuity commencement dates occurring during the period of time from January 1, 2000 through December 31, 2009. The Annuitant's and second Annuitant's age will be reduced by one additional year for Annuity commencement dates occurring in each succeeding decade.

The Annuity purchase rates for options 2 and 3 are based on mortality from 1983 Table a.

(e) Assumed Annual Net Return Rate is the interest rate used to determine the amount of the first Annuity payment under a Variable Annuity as shown on Contract Schedule II. The Separate Account must earn this rate plus enough to cover the mortality and expense risks charges (which may include profit) and administrative charges if future Variable Annuity Payments are to remain level, (see Annuity return factor under Variable Annuity Assumed Annual Net Return Rate on Contract Schedule II).

(f) Once elected, Annuity payments cannot be commuted to a lump sum except for Variable Annuity payments under option 1 (see 4.07). The life expectancy of the Annuitant and the Annuitant and second Annuitant shall be irrevocable upon the election of an Annuity option.

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(a) Certificate Holder is Annuitant: When the Certificate Holder is the Annuitant and the Annuitant dies under option 1 or 2, or if both the Annuitant and the second Annuitant die under option 3(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon election by the Beneficiary, any remaining payments will continue to the Beneficiary. If option 3 has been elected and the Certificate Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee. If the Account has joint Certificate Holders, the surviving joint Certificate Holder will be deemed the successor payee.

(b) Certificate Holder is Not Annuitant: When the Certificate Holder is not the Annuitant and the Certificate Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee.

If the Account has joint Certificate Holders, the surviving joint Certificate Holder will be deemed the successor payee.

If the Annuitant dies under option 1 or 2, or both the Annuitant and the second Annuitant die under option 3(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon the election by the Beneficiary, any remaining payments will continue to the Beneficiary. If option 3 has been elected, and the Annuitant dies, the remaining payments will continue to the Certificate Holder.

(c) No Beneficiary Named/Surviving: If there is no Beneficiary, the present value of any remaining payments will be paid in one sum to the Certificate Holder, or if the Certificate Holder is not living, then to the Certificate Holder's estate.

(d) If the Beneficiary or the successor payee dies while receiving Annuity payments, the present value of any remaining guaranteed payments will be paid in one sum to the successor Beneficiary/payee, or upon election by the successor Beneficiary/payee, any remaining payments will continue to the successor Beneficiary/payee. If no successor Beneficiary/payee has been designated, the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary's/payee's estate.

26

4.03 Death of (e) The present value will be determined as of the Valuation Period in which proof of death
  Annuitant/Beneficiary acceptable to Aetna and a request for payment is received at Aetna's home office. The interest
  (Cont'd): rate used to determine the first payment will be used to calculate the present value.
4.04 Fund(s) Annuity Units -- The number of each Fund's Annuity Units is based on the amount of the first Variable Annuity
  Separate Account: payment which is equal to:  
    (a) The portion of the Current Value applied to pay a Variable Annuity (minus any premium tax);
    divided by  
    (b) 1,000; multiplied by  
    (c) The payment rate for the option chosen.  
    Such amount, or portion, of the variable payment will be divided by the appropriate Fund Annuity
    unit value (see 4.05) on the tenth Valuation Period before the due date of the first payment to
 
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4.05     

Fund(s) Annuity Unit Value -- Separate Account:

4.06     

Annuity Net Return Factor(s) -- Separate Account:

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<PAGE>

4.06     

Annuity Net Return Factor(s) -- Separate Account (Cont'd):

4.07 Annuity Options:

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4.07     

Annuity Options (Cont'd):

Page 16 of 22

determine the number of each Fund Annuity units. The number of each Fund Annuity units remains fixed. Each future payment is equal to the sum of the products of each Fund Annuity unit value multiplied by the appropriate number of units. The Fund Annuity unit value on the tenth Valuation Period prior to the due date of the payment is used.

For any Valuation Period, a Fund Annuity unit value is equal to:

(a) The value for the previous Period; multiplied by

(b) The Annuity net return factor(s) (see 4.06 below) for the Period; multiplied by

(c) A factor to reflect the assumed annual net return rate (see Contract Schedule II).

The dollar value of a Fund Annuity unit values and Annuity payments may go up or down due to investment gain or loss.

The Annuity net return factor(s) are used to compute all Separate Account Annuity Payments for any Fund.

The Annuity net return factor for each Fund is equal to 1.0000000 plus the net return rate.

The net return rate is equal to:

(a) The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus

(b) The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

(c) Taxes (or reserves for taxes) on the Separate Account (if any); divided by

27

(d) The total value of the Fund(s) record units and Fund(s) Annuity units of the Separate Account at the start of the Valuation Period; minus

(e) A daily charge for Annuity mortality and expense risks, which may include profit, and a daily administrative charge (at the annual rate as shown on Contract Schedule II).

A net return rate may be more or less than 0%.

The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.

Payments shall not be changed due to changes in the mortality or expense results or administrative charges.

Option 1 -- Payments for a Specified Period: Payments are made for the number of years specified by the Certificate Holder. The number of years must be at least five and not more than 30.

Option 2 -- Life income based on the life of one Annuitant: Payments are made until the death of the Annuitant. When this option is elected, the Certificate Holder must also choose one of the following:

(a) payments cease at the death of the Annuitant;

(b) payments are guaranteed for a specified period from five to 30 years;

(c) cash refund: when the Annuitant dies, the Beneficiary will receive a lump sum payment equal to the amount applied to the Annuity option (less any premium tax, if applicable) less the total amount of Annuity payments made prior to such death. This cash refund feature is only available if the total amount applied to the Annuity option is allocated to a Fixed Annuity.

Option 3 -- Life income based on the lives of two Annuitants: Payments are made for the lives of two Annuitants, one of whom is designated the second Annuitant, and cease only when both Annuitants have died. When this option is elected, the Certificate Holder must also choose one of the following:

(a) 100% of the payment to continue after the first death; (b) 66-2/3% of the payment to continue after the first death; (c) 50% of the payment to continue after the first death;

(d) 100% of the payment to continue after the first death and payments are guaranteed for a period of five to 30 years;

(e) 100% of the payment to continue at the death of the designated second Annuitant and 50% of the payment to continue at the death of the Annuitant; or

28

(f) 100% of the payment continues after the first death with a cash refund feature. When the Annuitant and designated second Annuitant die, the Beneficiary will receive a lump sum payment equal to the amount applied to the Annuity option (less any premium tax) less the total amount of Annuity payments paid prior to such death. This cash refund feature is only available if the total amount applied to the Annuity option is allocated to a Fixed Annuity.

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Page 17 of 22

If a Fixed Annuity is chosen under Option 1, Option 2 (a) or (b), or Option 3 (a) or (d), the Certificate Holder may elect, at the time the Annuity option is selected, an annual increase of one, two or three percent compounded annually.

As allowed under applicable state law, Aetna reserves the right to offer additional Annuity options.

</TABLE>

G-MP2(5/97)

29

<PAGE>

OPTION 1: Payments for a Specified Period

- --------------------------------------------------------------------------------Monthly Amount for Each $1,000* Rates for a Fixed Annuity with a 3% Guaranteed Interest Rate - --------------------------------------------------------------------------------Years Payment Years Payment

  • ---------------------- --------------------- --------------------- -------------

5 17.91 18 5.96
6 15.14 19 5.73
7 13.16 20 5.51
8 11.68 21 5.32
9 10.53 22 5.15
10 9.61 23 4.99
11 8.86 24 4.84
12 8.24 25 4.71
13 7.71 26 4.59
14 7.26 27 4.47
15 6.87 28 4.37
16 6.53 29 4.27
17 6.23 30 4.18

 

- --------------------------------------------------------------------------------

First Month Amount for Each $1,000*

Rates for a Variable Annuity with a 3.5% Assumed Interest Rate

- --------------------------------------------------------------------------------

Years Payment Years Payment

  • ---------------------- --------------------- --------------------- -------------

5 18.12 18 6.20
6 15.35 19 5.97
7 13.38 20 5.75
8 11.90 21 5.56
9 10.75 22 5.39
10 9.83 23 5.24
11 9.09 24 5.09
12 8.46 25 4.96
13 7.94 26 4.84
14 7.49 27 4.73
15 7.10 28 4.63
16 6.76 29 4.53
17 6.47 30 4.45

 

- --------------------------------------------------------------------------------

First Month Amount for Each $1,000*

Rates for a Variable Annuity with a 5% Assumed Interest Rate

- --------------------------------------------------------------------------------

Years Payment Years Payment

  • ---------------------- --------------------- --------------------- -------------

5 18.74 18 6.94
6 15.99 19 6.71
7 14.02 20 6.51
8 12.56 21 6.33
9 11.42 22 6.17
10 10.51 23 6.02
11 9.77 24 5.88
12 9.16 25 5.76
13 8.64 26 5.65
14 8.20 27 5.54
15 7.82 28 5.45
16 7.49 29 5.36
17 7.20 30 5.28

 

  • -------------------------------------------------------------------------------- * Net of any applicable premium tax deduction

G-MP2(5/97)

30

<PAGE>

Option 2: Life Income Based on the Life of One Annuitant

<TABLE> <CAPTION>

- -----------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate - -----------------------------------------------------------------------------------------------------------------------Option 2(b): Option 2(b): Option 2(b): Option 2(b):

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                Page 18 of 22
 
 
 
 
  Option 2(a): payments payments payments payments Option 2(c):
  payments for guaranteed guaranteed guaranteed guaranteed Cash
Adjusted life 5 years 10 years 15 years 20 years Refund
Age of ----------------- ----------------- ------------------ ----------------- ------------------ ------------------
Annuitant Male Female Male Female Male Female Male Female Male Female Male Female

 

  • -------- ------- --------- ------- --------- ------- ---------- ------- --------- -------- --------- -------- ---------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
50 $ 4.27 $ 3.90 $ 4.26 $ 3.90 $ 4.22 $ 3.89 $ 4.17 $ 3.86 $ 4.08 $ 3.82 $ 4.04 $ 3.78
51 4.34 3.97 4.33 3.96 4.30 3.95 4.23 3.92 4.14 3.88 4.10 3.84
52 4.43 4.03 4.41 4.03 4.37 4.01 4.30 3.98 4.20 3.93 4.16 3.89
53 4.51 4.10 4.50 4.10 4.45 4.08 4.37 4.04 4.26 3.99 4.23 3.95
54 4.60 4.18 4.59 4.17 4.54 4.15 4.45 4.11 4.32 4.04 4.29 4.01
 
55 4.70 4.25 4.68 4.25 4.62 4.22 4.53 4.18 4.39 4.11 4.37 4.07
56 4.80 4.34 4.78 4.33 4.72 4.30 4.61 4.25 4.45 4.17 4.44 4.13
57 4.91 4.42 4.89 4.41 4.82 4.38 4.69 4.32 4.51 4.23 4.52 4.20
58 5.03 4.52 5.00 4.51 4.92 4.47 4.78 4.40 4.58 4.30 4.61 4.28
59 5.15 4.61 5.12 4.60 5.03 4.56 4.87 4.48 4.65 4.37 4.69 4.35
 
60 5.28 4.72 5.25 4.70 5.14 4.66 4.96 4.57 4.71 4.44 4.78 4.43
61 5.43 4.83 5.39 4.81 5.27 4.76 5.06 4.66 4.78 4.51 4.88 4.52
62 5.58 4.95 5.53 4.93 5.39 4.87 5.16 4.75 4.84 4.58 4.98 4.60
63 5.74 5.08 5.69 5.05 5.53 4.98 5.26 4.85 4.90 4.65 5.09 4.70
64 5.91 5.21 5.85 5.18 5.66 5.10 5.36 4.95 4.96 4.72 5.20 4.80
 
65 6.10 5.36 6.03 5.32 5.81 5.22 5.46 5.05 5.02 4.79 5.31 4.90
66 6.30 5.51 6.21 5.47 5.96 5.36 5.56 5.16 5.08 4.86 5.44 5.01
67 6.51 5.67 6.41 5.63 6.12 5.50 5.66 5.26 5.13 4.93 5.56 5.12
68 6.73 5.85 6.62 5.80 6.28 5.65 5.77 5.37 5.18 5.00 5.70 5.24
69 6.97 6.04 6.84 5.98 6.44 5.80 5.86 5.49 5.23 5.06 5.84 5.37
 
70 7.23 6.25 7.07 6.18 6.61 5.97 5.96 5.60 5.27 5.12 5.98 5.51
71 7.51 6.47 7.32 6.39 6.79 6.14 6.05 5.71 5.31 5.18 6.14 5.65
72 7.80 6.71 7.58 6.62 6.96 6.32 6.14 5.83 5.34 5.23 6.30 5.80
73 8.12 6.98 7.85 6.86 7.14 6.50 6.23 5.94 5.37 5.28 6.47 5.96
74 8.46 7.26 8.14 7.12 7.32 6.69 6.31 6.04 5.40 5.32 6.65 6.13
 
75 8.82 7.57 8.45 7.40 7.50 6.89 6.38 6.14 5.42 5.35 6.83 6.31

 

- -----------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

G-MP2(5/97)

31

<PAGE>

     Option 2: Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>

- ----------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate - ----------------------------------------------------------------------------------------------------------------

  Option 2(a): Option 2(b): Option 2(b): Option 2(b): Option 2(b):
  payments for life payments payments payments payments
    guaranteed guaranteed guaranteed guaranteed
Adjusted   5 years 10 years 15 years 20 years

 

Age of ------------------- -------------------- -------------------- -------------------- --------------------Annuitant Male Female Male Female Male Female Male Female Male Female

  • -------- --------- --------- ---------- --------- ---------- --------- --------- ---------- --------- ----------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>  
50 $ 4.56 $ 4.20 $ 4.55 $ 4.19 $ 4.51 $ 4.18 $ 4.45 $ 4.15 $ 4.36 $ 4.11  
51 4.64 4.26 4.62 4.25 4.58 4.24 4.51 4.21 4.42 4.16  
52 4.72 4.32 4.70 4.32 4.66 4.30 4.58 4.26 4.48 4.21  
53 4.80 4.39 4.79 4.38 4.74 4.36 4.65 4.32 4.53 4.27  
54 4.89 4.46 4.87 4.46 4.82 4.43 4.73 4.39 4.59 4.32  
 
55 4.99 4.54 4.97 4.53 4.91 4.50 4.80 4.46 4.65 4.38  
56 5.09 4.62 5.07 4.61 5.00 4.58 4.88 4.53 4.72 4.44  
57 5.20 4.71 5.17 4.70 5.10 4.66 4.96 4.60 4.78 4.50  
58 5.32 4.80 5.29 4.79 5.20 4.75 5.05 4.68 4.84 4.57  
59 5.44 4.90 5.41 4.88 5.31 4.84 5.14 4.76 4.91 4.63  
 
60 5.57 5.00 5.53 4.99 5.42 4.93 5.23 4.84 4.97 4.70  
61 5.71 5.11 5.67 5.09 5.54 5.03 5.32 4.93 5.03 4.77  
62 5.86 5.23 5.81 5.21 5.66 5.14 5.42 5.02 5.09 4.84  
63 6.02 5.36 5.97 5.33 5.79 5.25 5.51 5.11 5.16 4.91  
64 6.20 5.49 6.13 5.46 5.93 5.37 5.61 5.21 5.21 4.98  
 
65 6.38 5.64 6.31 5.60 6.07 5.49 5.71 5.31 5.27 5.05  
66 6.58 5.79 6.49 5.75 6.22 5.63 5.81 5.41 5.32 5.12  
67 6.79 5.95 6.69 5.91 6.38 5.76 5.91 5.52 5.38 5.18  
68 7.02 6.13 6.89 6.08 6.53 5.91 6.01 5.63 5.42 5.25  
69 7.26 6.32 7.11 6.26 6.70 6.06 6.11 5.74 5.47 5.31  
 
70 7.52 6.53 7.35 6.45 6.86 6.23 6.20 5.85 5.51 5.37  
71 7.80 6.75 7.59 6.66 7.03 6.39 6.29 5.96 5.54 5.42  
72 8.09 6.99 7.85 6.89 7.21 6.57 6.38 6.07 5.57 5.47  
73 8.41 7.26 8.12 7.13 7.38 6.75 6.46 6.17 5.60 5.51  
74 8.75 7.54 8.41 7.39 7.55 6.94 6.53 6.28 5.63 5.55  
 
75 9.12 7.85 8.71 7.66 7.73 7.13 6.61 6.38 5.65 5.59  
 
 
 
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Page 19 of 22

- ----------------------------------------------------------------------------------------------------------------</TABLE>

* Net of any applicable premium tax deduction

G-MP2(5/97)

32

<PAGE>

     Option 2: Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>

- ----------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate - ----------------------------------------------------------------------------------------------------------------

  Option 2(a): Option 2(b): Option 2(b): Option 2(b): Option 2(b):
  payments for life payments payments payments payments
    guaranteed guaranteed guaranteed guaranteed
Adjusted   5 years 10 years 15 years 20 years

 

Age of ------------------- -------------------- -------------------- -------------------- --------------------Annuitant Male Female Male Female Male Female Male Female Male Female

  • -------- --------- --------- ---------- --------- ---------- --------- --------- ---------- --------- ----------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
50 $ 5.48 $ 5.12 $ 5.46 $ 5.11 $ 5.41 $ 5.09 $ 5.34 $ 5.06 5.24 $ 5.01
51 5.55 5.17 5.53 5.17 5.48 5.14 5.40 5.11 5.29 5.05
52 5.63 5.23 5.61 5.23 5.55 5.20 5.46 5.16 5.34 5.10
53 5.71 5.30 5.69 5.29 5.62 5.26 5.53 5.22 5.40 5.15
54 5.80 5.37 5.77 5.36 5.70 5.33 5.60 5.27 5.45 5.20
 
55 5.89 5.44 5.86 5.43 5.79 5.39 5.67 5.34 5.51 5.25
56 5.99 5.52 5.96 5.51 5.87 5.47 5.74 5.40 5.56 5.31
57 6.10 5.60 6.06 5.59 5.97 5.54 5.82 5.47 5.62 5.37
58 6.21 5.69 6.17 5.67 6.06 5.62 5.90 5.54 5.68 5.42
59 6.33 5.79 6.29 5.77 6.17 5.71 5.98 5.61 5.74 5.48
 
60 6.46 5.89 6.41 5.87 6.28 5.80 6.06 5.69 5.79 5.55
61 6.60 6.00 6.55 5.97 6.39 5.90 6.15 5.77 5.85 5.61
62 6.75 6.11 6.69 6.08 6.51 6.00 6.24 5.86 5.91 5.67
63 6.91 6.23 6.84 6.20 6.64 6.10 6.33 5.95 5.96 5.73
64 7.09 6.37 7.00 6.33 6.77 6.22 6.42 6.04 6.02 5.80
 
65 7.27 6.51 7.18 6.46 6.91 6.34 6.52 6.13 6.07 5.86
66 7.47 6.66 7.36 6.61 7.05 6.46 6.61 6.23 6.12 5.92
67 7.68 6.82 7.55 6.76 7.20 6.60 6.70 6.33 6.16 5.99
68 7.91 7.00 7.76 6.93 7.35 6.74 6.80 6.43 6.21 6.04
69 8.15 7.19 7.98 7.11 7.51 6.89 6.89 6.54 6.25 6.10
 
70 8.41 7.39 8.21 7.30 7.67 7.04 6.97 6.64 6.28 6.15
71 8.69 7.62 8.45 7.51 7.83 7.21 7.06 6.74 6.32 6.20
72 8.99 7.86 8.70 7.73 8.00 7.38 7.14 6.85 6.35 6.25
73 9.31 8.12 8.97 7.97 8.16 7.55 7.21 6.95 6.37 6.29
74 9.65 8.41 9.26 8.23 8.33 7.73 7.29 7.04 6.39 6.33
 
75 10.02 8.72 9.55 8.50 8.50 7.92 7.35 7.14 6.41 6.36

 

- ----------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

G-MP2(5/97)

33

<PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- --------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate Annuitant is Female and Second Annuitant is Male - --------------------------------------------------------------------------------------------------------------------Adjusted Ages - ---------------------------Second Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e) Option 3(f)

  • ------------- ------------- -------------- --------------- -------------- -------------- --------------- -----------

<S> <C> <C> <C> <C> <C> <C> <C>  
55 50 $ 3.75 $ 4.07 $ 4.26 $ 3.75 $ 3.98 $ 3.72  
55 55 3.88 4.25 4.47 3.87 4.06 3.85  
55 60 3.99 4.44 4.71 3.98 4.12 3.94  
 
60 55 4.06 4.47 4.71 4.06 4.37 4.02  
60 60 4.24 4.71 4.99 4.23 4.47 4.17  
60 65 4.38 4.97 5.32 4.38 4.54 4.29  
 
65 60 4.49 5.01 5.32 4.48 4.89 4.39  
65 65 4.72 5.33 5.70 4.71 5.02 4.59  
65 70 4.93 5.68 6.15 4.91 5.14 4.74  
 
 
 
 
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Page 20 of 22

70 65 5.07 5.75 6.17 5.05 5.60 4.87
70 70 5.40 6.21 6.70 5.36 5.79 5.13
70 75 5.69 6.68 7.32 5.62 5.96 5.29
 
75 70 5.89 6.82 7.40 5.81 6.63 5.48
75 75 6.37 7.45 8.15 6.23 6.92 5.78
75 80 6.78 8.11 8.99 6.54 7.15 5.93

 

- --------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

G-MP2(5/97)

34

<PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- --------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate Annuitant is Female and Second Annuitant is Male - --------------------------------------------------------------------------------------------------------Adjusted Ages - ---------------------------Second Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)

  • ------------- ------------- -------------- --------------- -------------- -------------- ---------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 4.03 $ 4.36 $ 4.55 $ 4.03 $ 4.27
55 55 4.16 4.54 4.76 4.15 4.34
55 60 4.27 4.73 5.00 4.26 4.40
 
60 55 4.34 4.76 5.00 4.34 4.65
60 60 4.51 4.99 5.27 4.50 4.74
60 65 4.66 5.25 5.61 4.65 4.82
 
65 60 4.76 5.29 5.60 4.75 5.16
65 65 4.99 5.61 5.99 4.98 5.30
65 70 5.19 5.97 6.44 5.17 5.41
 
70 65 5.34 6.03 6.46 5.31 5.88
70 70 5.67 6.49 6.99 5.62 6.07
70 75 5.95 6.96 7.61 5.87 6.23
 
75 70 6.16 7.10 7.68 6.07 6.90
75 75 6.64 7.73 8.43 6.48 7.19
75 80 7.04 8.39 9.29 6.79 7.42

 

- --------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

G-MP2(5/97)

35

<PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- ---------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate Annuitant is Female and Second Annuitant is Male - ---------------------------------------------------------------------------------------------------------------Adjusted Ages

- --------------------------------        
  Second          
Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)

 

  • ---------------- --------------- --------------- -------------- --------------- --------------- ---------------

<S> <C> <C> <C> <C> <C> <C>  
55 50 $ 4.93 $ 5.27 $ 5.46 $ 4.93 $ 5.17  
55 55 5.04 5.44 5.66 5.04 5.23  
55 60 5.15 5.63 5.91 5.14 5.29  
 
60 55 5.21 5.65 5.89 5.21 5.53  
60 60 5.37 5.87 6.16 5.37 5.62  
60 65 5.52 6.14 6.51 5.51 5.70  
 
65 60 5.61 6.16 6.49 5.60 6.03  
65 65 5.83 6.49 6.87 5.82 6.15  
65 70 6.04 6.84 7.34 6.00 6.27  
 
70 65 6.17 6.90 7.33 6.13 6.73  
70 70 6.49 7.35 7.87 6.44 6.91  
70 75 6.77 7.84 8.51 6.68 7.07  
 
75 70 6.97 7.96 8.56 6.87 7.75  
75 75 7.45 8.60 9.33 7.27 8.04  
75 80 7.86 9.28 10.20 7.57 8.27  
- ---------------------------------------------------------------------------------------------------------------  
 
 
 
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Page 21 of 22

</TABLE>

* Net of any applicable premium tax deduction

G-MP2(5/97)

     36 <PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- ------------------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate Annuitant is Male and Second Annuitant is Female - ------------------------------------------------------------------------------------------------------------------------------

Adjusted Ages            
- -------------------------------          
  Second            
Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e) Option 3(f)

 

  • --------------- ------------ --------------- ------------- -------------- ------------- ------------- ---------------

<S> <C> <C> <C> <C> <C> <C> <C>
55 50 $ 3.69 $ 4.05 $ 4.27 $ 3.69 $ 4.13 $ 3.67
55 55 3.88 4.25 4.47 3.87 4.25 3.85
55 60 4.06 4.47 4.71 4.06 4.36 4.02
 
60 55 3.99 4.44 4.71 3.98 4.55 3.94
60 60 4.24 4.71 4.99 4.23 4.70 4.17
60 65 4.49 5.01 5.32 4.48 4.85 4.39
 
65 60 4.38 4.97 5.32 4.38 5.10 4.29
65 65 4.72 5.33 5.70 4.71 5.32 4.59
65 70 5.07 5.75 6.17 5.05 5.54 4.87
 
70 65 4.93 5.68 6.15 4.91 5.86 4.74
70 70 5.40 6.21 6.70 5.36 6.18 5.13
70 75 5.89 6.82 7.40 5.81 6.49 5.48
 
75 70 5.69 6.68 7.32 5.62 6.92 5.29
75 75 6.37 7.45 8.15 6.23 7.40 5.78
75 80 7.07 8.34 9.16 6.78 7.85 6.17

 

- ------------------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

G-MP2(5/97)

37

<PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- ---------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate Annuitant is Male and Second Annuitant is Female - ---------------------------------------------------------------------------------------------------------------Adjusted Ages

- --------------------------------        
  Second          
Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)

 

  • --------------- ------------ --------------- ------------- -------------- ------------- -------------

<S> <C> <C> <C> <C> <C> <C>  
55 50 $ 3.97 $ 4.35 $ 4.56 $ 3.97 $ 4.42  
55 55 4.16 4.54 4.76 4.15 4.54  
55 60 4.34 4.76 5.00 4.34 4.64  
 
60 55 4.27 4.73 5.00 4.26 4.83  
60 60 4.51 4.99 5.27 4.50 4.98  
60 65 4.76 5.29 5.60 4.75 5.13  
 
65 60 4.66 5.25 5.61 4.65 5.39  
65 65 4.99 5.61 5.99 4.98 5.60  
65 70 5.34 6.03 6.46 5.31 5.81  
 
70 65 5.19 5.97 6.44 5.17 6.14  
70 70 5.67 6.49 6.99 5.62 6.47  
70 75 6.16 7.10 7.68 6.07 6.77  
 
75 70 5.95 6.96 7.61 5.87 7.20  
75 75 6.64 7.73 8.43 6.48 7.68  
75 80 7.33 8.62 9.45 7.02 8.13  
- ---------------------------------------------------------------------------------------------------------------  
</TABLE>              
  * Net of any applicable premium tax deduction        
 
 
G-MP2(5/97)              
 
 
 
 
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Page 22 of 22

     38 <PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- ---------------------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate Annuitant is Male and Second Annuitant is Female - ---------------------------------------------------------------------------------------------------------------------------

Adjusted Ages          
- -----------------------------------        
  Second          
Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)

 

  • ------------------ ---------------- ----------------- ---------------- ----------------- ----------------- ----------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 4.88 $ 5.26 $ 5.48 $ 4.88 $ 5.34
55 55 5.04 5.44 5.66 5.04 5.43
55 60 5.21 5.65 5.89 5.21 5.53
 
60 55 5.15 5.63 5.91 5.14 5.73
60 60 5.37 5.87 6.16 5.37 5.86
60 65 5.61 6.16 6.49 5.60 6.01
 
65 60 5.52 6.14 6.51 5.51 6.28
65 65 5.83 6.49 6.87 5.82 6.47
65 70 6.17 6.90 7.33 6.13 6.67
 
70 65 6.04 6.84 7.34 6.00 7.03
70 70 6.49 7.35 7.87 6.44 7.33
70 75 6.97 7.96 8.56 6.87 7.62
 
75 70 6.77 7.84 8.51 6.68 8.08
75 75 7.45 8.60 9.33 7.27 8.55
75 80 8.14 9.49 10.35 7.80 8.98

 

- ---------------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

G-MP2(5/97)

     39 <PAGE>

- --------------------------------------------------------------------------------Aetna Insurance Company of America Home Office: 151 Farmington Avenue P.O. Box 30670 Hartford, Connecticut 06150-0670 (800) 531-4547

Group Variable, Fixed, or Combination Annuity Contract Nonparticipating

- --------------------------------------------------------------------------------

ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

G-MP2(5/97)

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-001811.txt

03/26/2018

EX-16 15 ex164k.htm EXHIBIT 16(4)(K) CERTIFICATE (MP2CERT (5/97) ex164k.htm - Generated by SEC Publisher for SEC Filing

Page 1 of 24

Exhibit 16(4)(k)  
  Aetna Insurance Company of America  
  Home Office: 151 Farmington Avenue  
  P.O. Box 30670  
  Hartford, Connecticut 06150-0670  
  (800) 531-4547  
 
  You may call the toll-free number shown above for  
  answers to questions or to resolve a complaint.  
 
  Aetna Insurance Company of America, a stock  
  company, herein called Aetna, agrees to pay the  
  benefits stated in this Contract.  
- --------------------------------------------------------------------------------  
Certificate of Group Annuity To the Certificate Holder:  
Coverage    
  Aetna certifies that coverage is in force for you  
  under the stated Group Annuity Contract and  
  Certificate numbers. All data shown here is taken  
  from Aetna records and is based upon information  
  furnished by you.  
 
  This Certificate is a summary of the Group  
  Annuity Contract provisions. It replaces any and  
  all prior certificates or endorsements issued to  
  you under the stated Contract and Certificate  
  numbers. This Certificate is for information only  
  and is not a part of the Contract.  
 
  The variable features of the Group Contract are  
  described in parts III and IV.  
- --------------------------------------------------------------------------------  
Right to Cancel You may cancel your Account within 10  
  days by returning it to the agent from whom it  
  was purchased, or to Aetna at the address shown  
  above. Within seven days of receiving this  
  Certificate at its home office, Aetna will return  
  the amount of Purchase Payment(s) received, plus  
  any increase, or minus any decrease, on the  
  amount, if any, of Purchase Payment(s) allocated  
  to the Separate Account fund(s).  
 
 
/s/ Dan Kearney /s/ Maria F. McKeon  
President Secretary  
 
- --------------------------------------------------------------------------------  
Contract Holder Group Annuity Contract No.  
SPECIMEN SPECIMEN  
- --------------------------------------------------------------------------------  
Certificate Holder Certificate No.  
SPECIMEN    
SPECIMEN SPECIMEN  
- --------------------------------------------------------------------------------  
Annuitant Name Type of Plan  
SPECIMEN SPECIMEN  
- --------------------------------------------------------------------------------  
 
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT  
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO  
FIXED DOLLAR AMOUNT. THIS CERTIFICATE CONTAINS A MARKET VALUE ADJUSTMENT  
FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN  
INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA  
DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.  
 
 
MP2CERT (5/97)    
 
<PAGE>    
 
 
Specifications    
 
- ------------------------------- ------------------------------------------------  
Guaranteed Interest Rate There are guaranteed interest  
  rates for amounts held in the AG Account (See  
  Certificate Schedule I).  
 
- ------------------------------- ------------------------------------------------  
Deductions from the There will be deductions for mortality and expense  
Separate Account risks and administrative fees. (See Certificate  
  Schedule I and II).  
- ------------------------------- ------------------------------------------------  
Deduction from The Purchase Payment is subject to a deduction for  
Purchase Payment(s) premium taxes, if any. (See 3.01.)  
 
- ------------------------------- ------------------------------------------------  
Surrender Fee There will be a charge deducted upon surrender.  
  (See Certificate Schedule I).  
 
MP2CERT(5/97)    
 
  2  
 
 
 
 
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Page 2 of 24

<PAGE>

Contract Schedule I
Accumulation Period

<TABLE>
<CAPTION>
Separate Account

  • -------------------------- ----------------------------------------------------------------------------------------------------

<S> <C>      
Separate Account: Variable Annuity Account I      
 
Charges to Separate A daily charge is deducted from any portion of the Current Value allocated to the Separate
Account: Account. The deduction is the daily equivalent of the annual effective percentage shown in the
 
 
  following chart: __   __
  Administrative Charge | 0.15% |
  Mortality Risk Charge | 0.35% |
  Expense Risk Charge | 0.90% |
      -----  
  Total Separate Account |   |
  Charges | 1.40% |
    |_   _|

 

AICA Guaranteed Account (AG Account)

- -------------------------------------------------------------------------------------------------------------------------------

Minimum Guaranteed [3.0%] (effective annual rate of return) Interest Rate: Separate Account and AG Account

- -------------------------------------------------------------------------------------------------------------------------------

Transfers:

An unlimited number of Transfers are allowed during the Accumulation Period. Aetna allows [12] free Transfers in any calendar year. Thereafter, Aetna reserves the right to charge [$10] for each subsequent Transfer.

 

Maintenance Fee:

The annual Maintenance Fee is [$30]. If the Account's Current Value is $50,000 or more on the date the Maintenance Fee is to be deducted, the Maintenance Fee is [$0].

 

Annual Waiver of Surrender Fee:

As provided in 3.14 (d), the amount that may be withdrawn without a surrender fee cannot exceed [10%] of the Current Value calculated on the date Aetna receives a surrender request in good order at its Home Office.

 

MP2CERT(5/97)-1

3

<PAGE>

Contract Schedule I (Continued)
Accumulation Period

Separate Account and AG Account (Cont'd)

- -----------------------------------------------------------------------------------------------------------------------------

Surrender Fee: For each surrender, the Surrender Fee will be determined as follows:
 
    Surrender Fee
  Length of Time from Deposit of (as percentage of
 
 
__ Net Purchase Payment (Years) Net Purchase Payment)
| Less than 2 years 7% |
| 2 or more but less than 4 years 6% |
| 4 or more but less than 5 years 5% |
| 5 or more but less than 6 years 4% |
| 6 or more but less than 7 years 3% |
|_ 7 years or more 0% _|
 
Systematic The specified payment or specified percentage may not be greater than [10%] of the Account's
Withdrawal Current Value at time of election.    
Option (SWO):      
</TABLE>      
 
 
See 1. GENERAL DEFINITIONS for explanations.    

 

MP2CERT(5/97)-1

4

<PAGE>

Contract Schedule II
Annuity Period

<TABLE>
<CAPTION>
Separate Account

  • -------------------------- ----------------------------------------------------------------------------------------------------

<S> <C>  
Charges to Separate A daily charge at an annual effective rate of [1.25%] for Annuity mortality and expense risks.
Account: The administrative charge is established upon election of an Annuity option. This charge will not
  exceed [0.25%].  
 
 
 
 
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Page 3 of 24

Variable Annuity Assumed If a Variable Annuity is chosen, an assumed annual net return rate of [5.0%] may be elected. If Annual Net Return Rate: [5.0%] is not elected, Aetna will use an assumed annual net return rate of [3.5%].

The assumed annual net return rate factor for [3.5%] per year is [0.9999058].

The assumed annual net return rate factor for [5.0%] per year is [0.9998663].

If the portion of a Variable Annuity payment for any
Fund is not to decrease, the Annuity return factor
under the Separate Account for that Fund must be:

(a) [4.75%] on an annual basis plus an annual return of up to [0.25%] to offset the administrative charge set at the time Annuity payments commence if an assumed annual net return rate of [3.5%] is chosen; or

(b) [6.25%] on an annual basis plus an annual return of up to [0.25%] to offset the administrative charge set at the time Annuity payments commence, if an assumed annual net return rate of [5%] is chosen.

Fixed Annuity

  • -------------------------- ----------------------------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate:

</TABLE>

[3.0%] (effective annual rate of return)

 

See 1. GENERAL DEFINITIONS for explanations.

MP2CERT(5/97)-1

5

<PAGE>

Contract Schedule I
Accumulation Period

<TABLE>
<CAPTION>
Separate Account

  • -------------------------- ----------------------------------------------------------------------------------------------------

<S> <C>      
Separate Account: Variable Annuity Account I      
 
Charges to Separate A daily charge is deducted from any portion of the Current Value allocated to the Separate
Account: Account. The deduction is the daily equivalent of the annual effective percentage shown in the
 
 
  following chart: __   __
  Administrative Charge | 0.15% |
  Mortality Risk Charge | 0.35% |
  Expense Risk Charge | 0.90% |
      -----  
  Total Separate Account |   |
  Charges | 1.40% |
    |_   _|

 

AICA Guaranteed Account (AG Account)

- -------------------------------------------------------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate:

[3.0%] (effective annual rate of return)

 

Separate Account and AG Account

- -------------------------------------------------------------------------------------------------------------------------------

Transfers: An unlimited number of Transfers are allowed during the Accumulation Period. Aetna allows [12]
  free Transfers in any calendar year. Thereafter, Aetna reserves the right to charge [$10] for
  each subsequent Transfer.  
 
Maintenance Fee: The annual Maintenance Fee is [$30]. If the Account's Current Value is $50,000 or more on the
  date the Maintenance Fee is to be deducted, the Maintenance Fee is [$0].
 
Annual Waiver of As provided in 3.14 (d), the amount that may be withdrawn without a surrender fee cannot exceed [10%] of
Surrender Fee: the Current Value calculated on the date Aetna receives a surrender request in good order at its Home
  Office.  
 
MP2CERT(5/97)-2    

 

3

<PAGE>

Contract Schedule I (Continued)
Accumulation Period

Separate Account and AG Account (Cont'd)

- -------------------------------------------------------------------------------------------------------------------------------

Surrender Fee: For each surrender, the Surrender Fee will be determined as follows:  
    Surrender Fee  
  Length of Time from Deposit of (as percentage of  
__ Net Purchase Payment (Years) Net Purchase Payment)  
| Less than 1 year 3% |  
 
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      Page 4 of 24
 
 
 
 
| More than 1 but less than 2 years 2% |
| More than 2 but less than 3 years 1% |
| More than 3 years 0% |
|_     _|
 
Systematic The specified payment or specified percentage may not be greater than [10%] of the Account's Current
Withdrawal Value at time of election.    
Option (SWO):      
</TABLE>      
 
See 1. GENERAL DEFINITIONS for explanations.    

 

MP2CERT(5/97)-2

4

<PAGE>

Contract Schedule II
Annuity Period

<TABLE>
<CAPTION>
Separate Account

  • ------------------------------- -----------------------------------------------------------------------------------------------

<S> <C>  
Charges to Separate Account: A daily charge at an annual effective rate of [1.25%] for Annuity mortality and expense
  risks. The administrative charge is established upon election of an Annuity option. This
  charge will not exceed [0.25%].
 
Variable Annuity Assumed If a Variable Annuity is chosen, an assumed annual net return rate of [5.0%] may be elected.
Annual Net Return Rate: If [5.0%] is not elected, Aetna will use an assumed annual net return rate of [3.5%].
 
  The assumed annual net return rate factor for [3.5%] per year is [0.9999058].
 
  The assumed annual net return rate factor for [5.0%] per year is [0.9998663].
 
  If the portion of a Variable Annuity payment for
  any Fund is not to decrease, the Annuity return
  factor under the Separate Account for that Fund
  must be:
 
  (a) [4.75%] on an annual basis plus an annual return of up to [0.25%] to offset the administrative
    charge set at the time Annuity payments commence if an assumed annual net return rate of [3.5%]
    is chosen; or
 
  (b) [6.25%] on an annual basis plus an annual return of up to [0.25%] to offset the administrative
    charge set at the time Annuity payments commence, if an assumed annual net return rate of [5%]
    is chosen.

 

Fixed Annuity

  • ------------------------------- -----------------------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate: </TABLE>

[3.0%] (effective annual rate of return)

 

See 1. GENERAL DEFINITIONS for explanations.

MP2CERT(5/97)-2

5

<PAGE>

Contract Schedule I
Accumulation Period

<TABLE>
<CAPTION>
Separate Account

  • -------------------------------- ----------------------------------------------------------------------------------------------

<S> <C>      
Separate Account: Variable Annuity Account I      
 
Charges to Separate Account: A daily charge is deducted from any portion of the Current Value allocated to the Separate Account.
  The deduction is the daily equivalent of the annual effective percentage shown in the following
 
 
  chart: __   __
  Mortality Risk Charge | 0.35% |
  Expense Risk Charge | 0.90% |
  Total Separate Account | ----- |
  Charges | 1.25% |
    |_   _|

 

AICA Guaranteed Account (AG Account)

- -------------------------------------------------------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate:

[3.0%] (effective annual rate of return)

 

Separate Account and AG Account

- -------------------------------------------------------------------------------------------------------------------------------

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Page 5 of 24

 
 
 
 

Transfers:

An unlimited number of Transfers are allowed during the Accumulation Period. Aetna allows [12] free Transfers in any calendar year. Thereafter, Aetna reserves the right to charge [$10] for each subsequent Transfer.

 

Maintenance Fee:

The annual Maintenance Fee is [$30]. If the Account's Current Value is $50,000 or more on the date the Maintenance Fee is to be deducted, the Maintenance Fee is [$0].

 

Annual Waiver of Surrender Fee:

As provided in 3.14 (d), the amount that may be withdrawn without a surrender fee cannot exceed [10%] of the Current Value calculated on the date Aetna receives a surrender request in good order at its Home Office.

 

MP2CERT(5/97)-3

3

<PAGE>

Contract Schedule I (Continued)
Accumulation Period

Separate Account and AG Account (Cont'd)

- -------------------------------------------------------------------------------------------------------------------------------

Surrender Fee:

Systematic Withdrawal Option (SWO): </TABLE>

The Surrender Fee does not apply to this Contract.

The specified payment or specified percentage may not be greater than [10%] of the Account's Current Value at time of election.

 

See 1. GENERAL DEFINITIONS for explanations.

MP2CERT(5/97)-3

4

<PAGE>

Contract Schedule II
Annuity Period

<TABLE>
<CAPTION>
Separate Account

  • ------------------------------ ------------------------------------------------------------------------------------------------

<S> <C>  
Charges to Separate Account: A daily charge at an annual effective rate of [1.25%] for Annuity mortality and expense
  risks. The administrative charge is established upon election of an Annuity option. This
  charge will not exceed [0.25%].
 
Variable Annuity Assumed If a Variable Annuity is chosen, an assumed annual net return rate of [5.0%] may be elected.
Annual Net Return Rate: If [5.0%] is not elected, Aetna will use an assumed annual net return rate of [3.5%].
 
  The assumed annual net return rate factor for [3.5%] per year is [0.9999058].
 
  The assumed annual net return rate factor for [5.0%] per year is [0.9998663].
 
  If the portion of a Variable Annuity payment for any Fund is not to decrease, the Annuity return
  factor under the Separate Account for that Fund must be:
 
  (a) [4.75%] on an annual basis plus an annual return of up to [0.25%] to offset the administrative
    charge set at the time Annuity payments commence if an assumed annual net return rate of [3.5%]
    is chosen; or
 
  (b) [6.25%] on an annual basis plus an annual return of up to [0.25%] to offset the administrative
    charge set at the time Annuity payments commence, if an assumed annual net return rate of [5%]
    is chosen.

 

Fixed Annuity

- ------------------------------ ------------------------------------------------------------------------------------------------</TABLE>

Minimum Guaranteed Interest Rate:

[3.0%] (effective annual rate of return)

 

See 1. GENERAL DEFINITIONS for explanations.

MP2CERT(5/97)-3

5

<PAGE>

TABLE OF CONTENTS

I.     

GENERAL DEFINITIONS

-     

---------------------------------------------------------------------------

    Page  
1.01 Account 8  
1.02 Accumulation Period 8  
1.03 Adjusted Current Value 8  
1.04 AICA Guaranteed Account (AG Account) 8  
 
 
 
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Page 6 of 24

1.05 Annuitant 8
1.06 Annuity 8
1.07 Beneficiary 8
1.08 Certificate Holder 8
1.09 Code 8
1.10 Contract 8
1.11 Contract Holder 9
1.12 Current Value 9
1.13 Deposit Period 9
1.14 Dollar Cost Averaging 9
1.15 Fixed Annuity 9
1.16 Fund(s) 9
1.17 General Account 9
1.18 Guaranteed Rates -- AG Account 9
1.19 Guaranteed Term 10
1.20 Guaranteed Term(s) Groups 10
1.21 Maintenance Fee 10
1.22 Market Value Adjustment (MVA) 10
1.23 Matured Term Value 10
1.24 Matured Term Value Transfer 10
1.25 Maturity Date 10
1.26 Net Purchase Payment(s) 11
1.27 Nonunitized Separate Account 11
1.28 Purchase Payment(s) 11
1.29 Reinvestment 11
1.30 Separate Account 11
1.31 Surrender Value 11
1.32 Transfers 12
1.33 Valuation Period (Period) 12
1.34 Variable Annuity 12

 

II.     

GENERAL PROVISIONS

-     

---------------------------------------------------------------------------

2.01 Change of Contract 12
2.02 Change of Fund(s) 13
2.03 Nonparticipating Contract 13
 
MP2CERT(5/97)  

 

6

<PAGE>

    Page
2.04 Payments and Elections 13
2.05 State Laws 14
2.06 Control of Contract 14
2.07 Designation of Beneficiary 14
2.08 Misstatements and Adjustments 14
2.09 Incontestability 14
2.10 Grace Period 15
2.11 Individual Certificates 15

 

III.     

PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS

-     

---------------------------------------------------------------------------

3.01 Net Purchase Payment 15
3.02 Certificate Holder's Account 15
3.03 Fund(s) Record Units -- Separate Account 15
3.04 Net Return Factor(s) -- Separate Account 16
3.05 Fund Record Unit Value -- Separate Account 16
3.06 Market Value Adjustment 16
3.07 Transfer of Current Value from the Funds or AG Account  
  During the Accumulation Period 18
3.08 Notice to the Certificate Holder 19
3.09 Loans 19
3.10 Systematic Distribution Options 19
3.11 Death Benefit Amount 19
3.12 Death Benefit Options Available to Beneficiary 21
3.13 Liquidation of Surrender Value 23
3.14 Surrender Fee 23
3.15 Payment of Surrender Value 24
3.16 Payment of Adjusted Current Value 24

 

IV.     

ANNUITY PROVISIONS

-     

---------------------------------------------------------------------------

4.01 Choices 24
4.02 Terms of Annuity Options 25
4.03 Death of Annuitant/Beneficiary 26
4.04 Fund(s) Annuity Units -- Separate Account 27
4.05 Fund(s) Annuity Unit Value -- Separate Account 28
4.06 Annuity Net Return Factor(s) -- Separate Account 28
4.07 Annuity Options 29
 
MP2CERT(5/97)  

 

7

<PAGE>

<TABLE>

I.     

GENERAL DEFINITIONS

-     

-------------------------------------------------------------------------------------------------------------------------------

<S>   <C>  
1.01 Account: A record established for each Certificate Holder to maintain the value of all
    Net Purchase Payments held on his/her behalf during the Accumulation Period.
 
 
 
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1.02     

Accumulation Period:

1.03     

Adjusted Current Value:

1.04     

AICA Guaranteed Account (AG Account):

1.05     

Annuitant:

1.06     

Annuity:

1.07     

Beneficiary:

1.08     

Certificate Holder:

1.09     

Code:

1.10     

Contract:

MP2CERT(5/97)

8

<PAGE>

1.11     

Contract Holder:

1.12     

Current Value:

1.13     

Deposit Period:

1.14     

Dollar Cost Averaging:

1.15     

Fixed Annuity:

1.16     

Fund(s):

1.17     

General Account:

1.18     

Guaranteed Rates -- AG Account:

MP2CERT(5/97)

<PAGE>

9

Page 7 of 24

The period during which the Net Purchase Payment(s) are applied to an Account to provide future Annuity payment(s).

The Current Value of an Account plus or minus any aggregate AG Account MVA, if applicable. (See 1.22)

An accumulation option where Aetna guarantees stipulated rate(s) of interest for specified periods of time. All assets of Aetna, including amounts in the Nonunitized Separate Account, are available to meet the guarantees under the AG Account.

The person whose life is measured for purposes of the guaranteed death benefit and the duration of Annuity payments under this Contract.

Payment of an income:

(a) For the life of one or two persons;

(b) For a stated period; or

(c) For some combination of (a) and (b).

The individual or estate entitled to receive any death benefit due under the Contract. If the Account is held by joint Certificate Holders, the survivor will be deemed the designated Beneficiary and any other Beneficiary on record will be treated as the contingent Beneficiary.

A person who purchases an interest in this Contract as evidenced by a certificate. Aetna reserves the right to limit ownership to natural persons. If more than one Certificate Holder owns an Account, each Certificate Holder will be a joint Certificate Holder. Any joint Certificate Holder must be the spouse of the other joint Certificate Holder. Joint Certificate Holders have joint ownership rights and both must authorize exercising any ownership rights unless Aetna allows otherwise.

The Internal Revenue Code of 1986, as it may be amended from time to time.

This agreement between Aetna and the Contract Holder.

The entity to which the Contract is issued.

As of the most recent Valuation Period, the Net Purchase Payment and any additional amount deposited pursuant to 3.11 plus any interest added to the portion allocated to the AG Account; and plus or minus the investment experience of the portion allocated to the Funds since deposit; less all Maintenance Fees deducted, any amounts surrendered and any amounts applied to an Annuity.

A day, a calendar week, a calendar month, a calendar quarter, or any other period of time specified by Aetna during which Net Purchase Payment(s), Transfers and Reinvestments may be allocated to one or more AG Account Guaranteed Terms. Aetna reserves the right to shorten or to extend the Deposit Period.

During a Deposit Period, Aetna may offer any number of Guaranteed Terms and more than one Guaranteed Term of the same duration may be offered.

A program that permits the Certificate Holder to systematically transfer amounts from any of the Funds or an available AG Account Guaranteed Term to any of the Funds. Aetna reserves the right to establish terms and conditions governing Dollar Cost Averaging. Dollar Cost Averaging is not available when an SDO is in effect.

An Annuity with payments that do not vary in amount.

The open-end management investment companies (mutual funds) in which the Separate Account invests.

The Account holding the assets of Aetna, other than those assets held in Aetna's separate accounts.

Aetna will declare the interest rate(s) applicable to a specific Guaranteed Term at the start of the Deposit Period for that Guaranteed Term. The rate(s) are guaranteed by Aetna for the period beginning with the first day of the Deposit Period and ending on the Maturity Date. Guaranteed Rates are credited beginning with the date of allocation. The Guaranteed Rates are annual effective yields. That is, interest is credited daily at a rate that will produce the Guaranteed Rate over the period of a year. No Guaranteed Rate will ever be less than the Minimum Guaranteed Rate shown on Contract Schedule I.

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1.18     

Guaranteed Rates -- AG Account (Cont'd):

1.19     

Guaranteed Term:

1.20     

Guaranteed Term(s) Groups:

1.21     

Maintenance Fee:

1.22     

Market Value Adjustment (MVA):

1.23     

Matured Term Value:

1.24     

Matured Term Value Transfer:

1.25     

Maturity Date:

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Page 8 of 24

For Guaranteed Terms of one year or less, one Guaranteed Rate is credited for the full Guaranteed Term. For longer Guaranteed Terms, an initial Guaranteed Rate is credited from the date of deposit to the end of a specified period within the Guaranteed Term. There may be different Guaranteed Rate(s) declared for subsequent specified time intervals throughout the Guaranteed Term.

The period of time specified by Aetna for which a specific Guaranteed Rate(s) is offered on amounts invested during a specific Deposit Period. Guaranteed Terms are made available subject to Aetna's terms and conditions, including, but not limited to, Aetna's right to restrict allocations to new Net Purchase Payments (such as by prohibiting Transfers into a particular Guaranteed Term from any other Guaranteed Term or from any of the Funds, or by prohibiting Reinvestment of a Matured Term Value to a particular Guaranteed Term. More than one Guaranteed Term of the same duration may be offered during a Deposit Period.

All AG Account Guaranteed Term(s) of the same duration (from the close of the Deposit Period until the designated Maturity Date).

The Maintenance Fee (see Contract Schedule I) will be deducted during the Accumulation Period from the Current Value on each anniversary of the date the Account is established and upon surrender of the entire Account.

An adjustment that may apply to an amount withdrawn or transferred from an AG Account Guaranteed Term prior to the end of that Guaranteed Term. The adjustment reflects the change in the value of the investment due to changes in interest rates since the date of deposit and is computed using the formula given in 3.06. The adjustment is expressed as a percentage of each dollar being withdrawn.

The amount payable on an AG Account Guaranteed Term's Maturity Date.

During the calendar month following an AG Account Maturity Date, the Certificate Holder may notify Aetna's home office in writing to Transfer or surrender all or part of the Matured Term Value, plus interest at the new Guaranteed Rate accrued thereon, from the AG Account without an MVA. This provision only applies to the first such written request received from the Certificate Holder during this period for any Matured Term Value.

The last day of an AG Account Guaranteed Term.

1.26 Net Purchase Payment(s): The Purchase Payment less premium taxes, as applicable.  
 
1.27 Nonunitized Separate Account: A separate account set up by Aetna under Title 38, Section 38a-433, of the
    Connecticut General Statutes, that holds assets for AG Account Terms. There
    are no discrete units for this Account. The Certificate Holder does not
    participate in the investment gain or loss from the assets held in the  
    Nonunitized Separate Account. Such gain or loss is borne entirely by Aetna.
    These assets may be chargeable with liabilities arising out of any other
    business of Aetna.  
 
1.28 Purchase Payment(s): Payment(s) accepted by Aetna at its home office. Aetna reserves the right to
    refuse to accept any Purchase Payment at any time for any reason. No advance
    notice will be given to the Contract Holder or Certificate Holder.  
 
1.29 Reinvestment: Aetna will mail a notice to the Certificate Holder at least 18 calendar days
    before a Guaranteed Term's Maturity Date. This notice will contain the Terms
    available during the current Deposit Periods with their Guaranteed Rate(s) and
    projected Matured Term Value. If no specific direction is given by the
    Certificate Holder prior to the Maturity Date, each Matured Term Value will be
    reinvested in the current Deposit Period for a Guaranteed Term of the same
    duration. If a Guaranteed Term of the same duration is unavailable, each
    Matured Term Value will automatically be reinvested in the current Deposit
    Period for the next shortest Guaranteed Term available. If no shorter  
    Guaranteed Term is available, the next longer Guaranteed Term will be used.
    Aetna will mail a confirmation statement to the Certificate Holder the next
    business day after the Maturity Date. This notice will state the Guaranteed
    Term and Guaranteed Rate(s) which will apply to the reinvested Matured Term
    Value.  
 
1.30 Separate Account: A separate account that buys and holds shares of the Fund(s). Income, gains or
    losses, realized or unrealized, are credited or charged to the Separate Account
    without regard to other income, gains or losses of Aetna. Aetna owns the
    assets held in the Separate Account and is not a trustee as to such amounts.
    This Separate Account generally is not guaranteed and is held at market value.
    The assets of the Separate Account, to the extent of reserves and other
    contract liabilities of the Account, shall not be charged with other Aetna
    liabilities.  
 
1.31 Surrender Value: The amount payable by Aetna upon the surrender of any portion of an Account.
 
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    11  
<PAGE>      
 
 
1.32 Transfers: The movement of invested amounts among the available Fund(s) and/or any AG
    Account Guaranteed Term made available subject to terms and conditions  
 
 
 
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    Page 9 of 24
 
 
 
    established by Aetna during the Accumulation Period or, during the Annuity
    Period, among the available Funds under a Variable Annuity.
1.33 Valuation Period (Period): The period of time for which a Fund determines its net asset value, usually
    from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until
    4:15 p.m. the next such day, or such other day that one or more of the Funds
    determines its net asset value.
1.34 Variable Annuity: An Annuity with payments that vary with the net investment results of one or
    more Funds under the Separate Account.
II. GENERAL PROVISIONS  

 

- -------------------------------------------------------------------------------------------------------------------------------

2.01 Change of Contract: Only an authorized officer of Aetna may change the terms of this Contract.
    Aetna will notify the Contract Holder in writing at least 30 days before the
    effective date of any change. Any change will not affect the amount or terms
    of any Annuity which begins before the change.
    Aetna reserves the right to refuse to accept any Purchase Payment at any time for any
    reason. This applies to an initial Purchase Payment to establish a new Account or to
    subsequent Purchase Payments to existing Accounts under the Contract. No advance
    notice will be given to the Contract Holder or Certificate Holder.
    Aetna may make any change that affects the AG Account Market Value Adjustment (3.06)
    with at least 30 days' advance written notice to the Contract Holder and the
    Certificate Holder. Any such change shall become effective for any new Term and will
apply to all present and future Accounts.
    Any change that affects any of the following under this Contract will not apply to
    Accounts in existence before the effective date of the change:
    (a) Net Purchase Payment (1.26)
    (b) AG Account Guaranteed Rate (1.18)
    (c) Net Return Factor(s) -- Separate Account (3.04)
    (d) Current Value (1.12)
    (e) Surrender Value (1.31)
    (f) Fund(s) Annuity Unit Value -- Separate Account (4.05)
    (g) Annuity options (4.07)
    (h) Fixed Annuity Interest Rates (4.01)
    (i) Transfers (1.32).
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12

<PAGE>

2.01 Change of Contract (Cont'd): Any change that affects the Annuity options and the tables for the options may
    be made:
 
    (a) No earlier than 12 months after the effective date of this Contract;
      and

 

2.02 Change of Fund(s):

2.03     

Nonparticipating Contract:

2.04     

Payments and Elections:

MP2CERT(5/97)

(b) No earlier than 12 months after the effective date of any prior change.

Any Account established on or after the effective date of any change will be subject to the change. If the Contract Holder does not agree to any change under this provision, no new Accounts may be established under this Contract. This Contract may also be changed as deemed necessary by Aetna to comply with federal or state law.

The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, Aetna may cease to make such Fund shares available for investment under the Contract prospectively, or Aetna may substitute shares of another Fund for shares already acquired. Aetna may also, from time to time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws. Aetna reserves the right to substitute shares of another Fund for shares already acquired without a proxy vote.

The Contract Holder, Certificate Holders or Beneficiaries will not have a right to share in the earnings of Aetna.

While the Certificate Holder is living, Aetna will pay the Certificate Holder any Annuity payments as and when due. After the Certificate Holder's death, or at the death of the first Certificate Holder if the Account is owned jointly, any Annuity payments required to be made will be paid in accordance with 4.03. Aetna will determine other payments and/or elections as of the end of the Valuation Period in which the request is received at its home office. Such payments will be made within seven calendar days of receipt at its home office of a written claim for payment which is in good order, except as provided in 3.15.

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-001811.txt

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13

<PAGE>

2.05     

State Laws:

2.06     

Control of Contract:

2.07 Designation of Beneficiary:

2.08     

Misstatements and Adjustments:

2.09     

Incontestability:

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14

<PAGE>

Page 10 of 24

The Contract and the Certificates comply with the laws of the state in which they are delivered. Any surrender, death, or Annuity payments are equal to or greater than the minimum required by such laws. Annuity tables for legal reserve valuation shall be as required by state law. Such tables may be different from Annuity tables used to determine Annuity payments.

This is a Contract between the Contract Holder and Aetna. The Contract Holder has title to the Contract. Contract Holder rights are limited to accepting or rejecting Contract modifications. The Certificate Holder has all other rights to amounts held in his or her Account.

Each Certificate Holder shall own all amounts held in his or her Account. Each Certificate Holder may make any choices allowed by this Contract for his or her Account. Choices made under this Contract must be in writing. If the Account is owned jointly, both Certificate Holders must authorize any Certificate Holder change in writing. Until receipt of such choices at Aetna's home office, Aetna may rely on any previous choices made.

The Contract is not subject to the claims of any creditors of the Contract Holder or the Certificate Holder, except to the extent permitted by law.

The Certificate Holder may assign or transfer his or her rights under the Contract. Aetna reserves the right not to accept assignment or transfer to a nonnatural person. Any assignment or transfer made must be submitted to Aetna's home office in writing and will not be effective until accepted by Aetna.

Each Certificate Holder shall name his or her Beneficiary. If the Account is owned jointly, both joint Certificate Holders must agree in writing to the Beneficiary designated. The Beneficiary may be changed at any time. Changes to a Beneficiary must be submitted to Aetna's home office in writing and will not be effective until accepted by Aetna. If the Account is owned jointly, at the death of one joint Certificate Holder, the survivor will be deemed the Beneficiary; any other Beneficiary on record will be deemed a contingent Beneficiary.

If Aetna finds the age of any Annuitant to be misstated, the correct facts will be used to adjust payments.

Aetna cannot cancel this Contract because of any error of fact.

2.10 Grace Period: This Contract will remain in effect even if Purchase Payments are not continued
    except as provided in the Payment of Adjusted Current Value provision (see
    3.17).
 
2.11 Individual Certificates: Aetna shall issue a certificate to each Certificate Holder. The certificate
    will summarize certain provisions of the Contract. Certificates are for
    information only and are not a part of the Contract.
 
III. PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS

 

- -------------------------------------------------------------------------------------------------------------------------------

3.01 Net Purchase Payment: This amount is the actual Purchase Payment less any premium tax. Aetna
    reserves the right to pay premium taxes when due and deduct the amount from the
    Current Value when we pay the tax or at a later date.  
 
    Each Net Purchase payment will be allocated, as directed by the Certificate Holder
    among:  

 

3.02     

Certificate Holder's Account:

3.03     

Fund(s) Record Units -- Separate Account:

(a) AG Account Guaranteed Terms made available subject to terms and conditions established by Aetna; and

(b) The Fund(s) in which the Separate Account invests.

For each Net Purchase Payment, the Certificate Holder shall tell Aetna the percentage of each Purchase Payment to allocate to any available AG Account Guaranteed Terms and/or each Fund. Unless different allocation instructions are received for any subsequent Net Purchase Payment, the allocation will be the same as for the initial Net Purchase Payment. If the same Guaranteed Term is no longer available, the Net Purchase Payment will be allocated to the next shortest Guaranteed Term available in the current Deposit Period. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used.

Aetna will maintain an Account for each Certificate Holder.

Aetna will declare from time to time the acceptability and the minimum amount for additional Purchase Payments.

The portion of the Net Purchase Payment(s) applied to each Fund under the Separate Account will determine the number of Fund record units for that Fund. This number is equal to the portion of the Net Purchase Payment(s) applied to each Fund divided by the Fund record unit value (see 3.05) for the Valuation Period in which the Purchase Payment is received in good order at Aetna's home office.

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-001811.txt

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MP2CERT(5/97)

15

<PAGE>

3.04     

Net Return Factor(s) -- Separate Account:

3.05 Fund Record Unit Value -- Separate Account:

3.06 Market Value Adjustment:

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16

<PAGE>

3.06     

Market Value Adjustment (Cont'd):

Page 11 of 24

The net return factor(s) are used to compute all Separate Account record units for any Fund.

The net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate.

The net return rate is equal to:

(a) The value of the shares of the Fund held by the Separate Account at the end of the Valuation Period; minus

(b) The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

(c) Taxes (or reserves for taxes) on the Separate Account (if any); divided by

(d) The total value of the Fund(s) record units and Fund(s) annuity units of the Separate Account at the start of the Valuation Period; minus

(e) A daily Separate Account charge at an annual rate as shown on Contract Schedule I for mortality and expense risks, which may include profit; and a daily administrative charge.

A net return rate may be more or less than 0%. The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.

A Fund record unit value is computed by multiplying the net return factors for the current Valuation Period by the Fund record unit value for the previous Period. The dollar value of Fund record units, Separate Account assets, and Variable Annuity payments may go up or down due to investment gain or loss.

An MVA will apply to any withdrawal from the AG Account before the end of a Guaranteed Term when the withdrawal is:

(a) A Transfer; except for Transfers under the Dollar Cost Averaging program or, as specified in 1.24 Matured Term Value Transfer;

(b) A full or partial surrender (including a free withdrawal under 3.14); except for a payment made (1) under an SDO (see 3.10), or (2) under a qualified Contract, when the amount withdrawn is equal to the required minimum distribution for the Account calculated using a method permitted under the Code and agreed to by Aetna; or

(c) Due to election of an Annuity (see 4.07).

Full and partial surrenders and Transfers made within six months after the date of the Annuitant's death will be the greater of:

(a) The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts. This total may be greater or less than the Current Value of those amounts; or

(b) The applicable portion of the Current Value in the AG Account.

After the six-month period, the surrender or Transfer will be the aggregate MVA amount, which may be greater or less than the Current Value of those amounts.

The greater of the aggregate MVA amount or the applicable portion of the Current Value applies to amounts withdrawn from the AG Account on account of an election of Annuity options 2 or 3 (see 4.07).

Market value adjusted amounts will be equal to the amount withdrawn multiplied by the following ratio:


  ( 1 + j )  
Where:    
i is the Deposit Period Yield  
j is the Current Yield  
x is the number of days remaining, (computed from Wednesday of the week of
  withdrawal) in the Guaranteed Term.  
 
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     17 <PAGE>

3.07 Transfer of Current Value from the Funds or AG Account During the Accumulation Period:

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18

<PAGE>

3.08 Notice to the Certificate Holder:

3.09     

Loans:

3.10     

Systematic Distribution Options:

Page 12 of 24

The Deposit Period Yield will be determined as follows:

(a) At the close of the last business day of each week of the Deposit Period, a yield will be computed as the average of the yields on that day of U.S.

Treasury Notes which mature in the last three months of the Guaranteed Term.

(b) The Deposit Period Yield is the average of those yields for the Deposit Period. If withdrawal is made before the close of the Deposit Period, it is the average of those yields on each week preceding withdrawal.

The Current Yield is the average of the yields on the last business day of the week preceding withdrawal on the same U.S. Treasury Notes included in the Deposit Period Yield.

In the event that no U.S. Treasury Notes which mature in the last three months of the Guaranteed Term exist, Aetna reserves the right to use the U.S. Treasury Notes that mature in the following quarter.

Before an Annuity option is elected, all or any portion of the Adjusted Current Value of the Certificate Holder's Account may be transferred from any Fund or Guaranteed Term of the AG Account:

(a) To any other Fund; or

(b) To any Guaranteed Term of the AG Account made available subject to terms and conditions specified by Aetna in the current Deposit Period.

Transfer requests can be submitted as a percentage or as a dollar amount. Aetna may establish a minimum transfer amount. Within a Guaranteed Term Group, the amount to be surrendered or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.

The Certificate Holder may make an unlimited number of Transfers during the Accumulation Period. The number of free Transfers allowed by Aetna is shown on Contract Schedule I. Additional Transfers may be subject to a Transfer fee as shown on Contract Schedule I.

Amounts transferred from the AG Account under the Dollar Cost Averaging program, or amounts transferred as a Matured Term Value on or within one calendar month of a Term's Maturity Date do not count against the annual Transfer limit.

Amounts allocated to AG Account Guaranteed Terms may not be transferred to the Funds or to another Guaranteed Term during a Deposit Period or for 90 days after the close of a Deposit Period except for (1) Matured Term Value(s) during the calendar month following the Term's Maturity Date; (2) amounts used as a premium for an Annuity option; (3) amounts transferred under the Dollar Cost Averaging program; and (4) amounts distributed under the Systematic Withdrawal Option.

The Certificate Holder will receive quarterly statements from Aetna of:

(a) The value of any amounts held in:

(1)     

The AG Account; and

(2)     

The Fund(s) under the Separate Account.

(b) The number of any Fund(s) record units; and

(c) The Fund(s) record unit value.

Such number or values will be as of a specific date no more than 60 days before the date of the notice.

Loans are not available under this Contract.

Aetna may, from time to time, make one or more systematic distribution options (SDOs) available during the Accumulation Period. When an SDO is elected, Aetna will make automatic payments from the Certificate Holder's Account. No Surrender Fee or MVA will apply to the automatic payments made under an SDO.

Any SDO will be subject to the following criteria:

(a) Any SDO will be available to similarly situated contracts uniformly,
  and on the basis of objective criteria consistently applied;  
 
(b) The availability of any SDO may be limited by terms and conditions
  applicable to the election of such SDO; and  
 
(c) Aetna may discontinue the availability of an SDO at any time. Except to the
  extent required to comply with applicable law, discontinuance of an SDO will
  apply only to future elections and will not affect SDOs in effect at the time
 
 
 
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3.11 Death Benefit Amount:

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19

<PAGE>

3.11 Death Benefit Amount (Cont'd):

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  20
<PAGE>  
 
 
3.12 Death Benefit Options Available to
  Beneficiary:

 

Page 13 of 24

an option is discontinued.

If the Certificate Holder or Annuitant dies before Annuity payments start, the Beneficiary is entitled to a death benefit under the Account. If the Account is owned jointly, the death benefit is paid at the death of the first joint Certificate Holder to die. The claim date is the date when proof of death and the Beneficiary's claim are received in good order at Aetna's home office. The amount of the death benefit is determined as follows:

(a) Death of Annuitant: The guaranteed death benefit is the greatest of:

(1)     

The sum of all Purchase Payment(s) made to the Account (as of the date of death) minus the sum of all amounts surrendered, applied to an Annuity, or deducted from the Account;

(2)     

The highest step up value, as of the date of death, prior to the Annuitant's 75th birthday. A step-up value is determined on each anniversary of the Effective Date. Each step-up value is calculated as the Account's Current Value on the Effective Date anniversary, increased by the amount of any Purchase Payment(s) made, and decreased by the sum of all amounts surrendered, deducted, and/or applied to an Annuity option since the Effective Date anniversary.

(3)     

The Account's Current Value as of the date of death.

The excess, if any, of the guaranteed death benefit value over the Account's Current Value is determined as of the date of death. Any excess amount will be deposited to the Account and allocated to Aetna Variable Encore Fund as of the claim date. The Current Value on the claim date plus any excess amount deposited becomes the Account's Current Value.

(b) Death of the Certificate Holder if the Certificate Holder is not the Annuitant: The death benefit amount is the Account's Adjusted Current Value on the claim date. A Surrender Fee may apply to any full or partial surrender (see 3.14 and Contract Schedule I).

(c) Death of spousal Beneficiary who continued the Account: The death benefit amount equals the Account's Adjusted Current Value on the claim date, less any applicable Surrender Fee (see 3.14 and Contract Schedule I) on Purchase Payments made since the death of the Annuitant.

(d) Death of the spousal beneficiary of a Certificate Holder who was not the Annuitant and who continued the Account: The death benefit amount equals the Account's Adjusted Current Value on the claim date. A Surrender Fee may apply to any full or partial surrender (see 3.14 and Contract Schedule I).

Prior to any election, or until amounts must be otherwise distributed under this section, the Current Value will be retained in the Account. The Beneficiary has the right to allocate or reallocate any amount to any of the available investment options (subject to an MVA if applicable). The following options are available to the Beneficiary:

(a) When the Certificate Holder is the Annuitant if the Annuitant dies (or when the Certificate Holder is a nonnatural person if the Annuitant dies):

(1) If the Beneficiary is the surviving spouse, the spousal Beneficiary will be the successor Certificate Holder and may exercise all Certificate Holder rights under the Contract and continue in the Accumulation Period, or may elect (i) or (ii) below.

Under the Code, distributions from the Account are not required until the spousal Beneficiary's death. The spousal Beneficiary may elect to:

  (i) Apply some or all of the Adjusted Current Value to an Annuity
    option (see 4.07);  
 
  (ii) Receive, at any time, a lump sum payment equal to the Adjusted
    Current Value of the Account.  
 
(2) If the Beneficiary is other than the surviving spouse, options (i) or
  (ii) above apply. Any portion of the Adjusted Current Value not
  applied to an Annuity option within one year of the death must be
  distributed within five years of the date of death.  
 
(3) If no Beneficiary exists, a lump sum payment equal to the Adjusted
  Current Value must be made to the Annuitant's estate within five years
  of the date of death.  
 
(4) If the Beneficiary is an entity, a lump sum payment equal to the
  Adjusted Current Value must be made within five years of the date of
  death.    
 
 
 
https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-001811.txt 03/26/2018

 


 

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21

<PAGE>

3.12     

Death Benefit Options Available to Beneficiary (Cont'd):

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22

<PAGE>

3.13 Liquidation of Surrender Value:

3.14     

Surrender Fee:

Page 14 of 24

(b) When the Certificate Holder is not the Annuitant when the Certificate Holder dies:

(1)     

If the Beneficiary is the Certificate Holder's surviving spouse, the

  spousal     

Beneficiary will be the successor Certificate Holder and may

  exercise     

all Certificate Holder rights under the Contract and continue

  in     

the Accumulation Period, or may elect (i) or (ii), below. Under the

  Code,     

distributions from the Account are not required until the

  spousal     

Beneficiary's death. The spousal Beneficiary may elect to:

  (i)     

Apply some or all of the Adjusted Current Value to Annuity option 2 or 3 (see 4.07);

  (ii)     

Receive, at any time, a lump sum payment equal to the Surrender Value.

(2)     

If the Beneficiary is other than the Certificate Holder's surviving

  spouse,     

options (i) or (ii) under (1) above apply. Any portion of the

  death     

benefit not applied to an Annuity option within one year of the

  Certificate     

Holder's death must be distributed within five years of

  the     

date of death.

(3)     

If no Beneficiary exists, a lump sum payment equal to the Surrender

  Value     

must be made to the Certificate Holder's estate within five

  years     

of the date of death.

(4)     

If the Beneficiary is an entity, a lump sum payment equal to the

  Surrender     

Value must be made within five years of the date of death.

(c) When the Certificate Holder is a natural person and not the Annuitant, when the Annuitant dies, the Beneficiary (or the Certificate Holder if no Beneficiary exists) may elect to:

(i)     

Apply all or some of the Adjusted Current Value to an Annuity option within 60 days of the date of death; or

(ii)     

Receive a lump sum payment equal to the Adjusted Current Value.

All or any portion of the Account's Current Value may be surrendered at any time. Surrender requests can be submitted as a percentage of the Account value or as a specific dollar amount. Net Purchase Payment amounts are withdrawn first, and then the excess value, if any. For any partial surrender, amounts are withdrawn on a pro rata basis from the Fund(s) and/or the Guaranteed Term(s) Groups of the AG Account in which the Current Value is invested. Within a Guaranteed Term Group, the amount to be surrendered or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.

After deduction of the Maintenance Fee, if applicable, the surrendered amount shall be reduced by a Surrender Fee, if applicable. An MVA may apply to amounts surrendered from the AG Account.

The Surrender Fee only applies to the Net Purchase Payment(s) portion surrendered and varies according to the elapsed time since deposit (see Contract Schedule I). Net Purchase Payment amounts are withdrawn in the same order they were applied.

No Surrender Fee is deducted from any portion of the Current Value which is paid:

(a) To a Beneficiary due to the Annuitant's death before Annuity payments start, up to a maximum of the aggregate Net Purchase Payment(s) minus the total of all partial surrenders, amounts applied to an Annuity and deductions made prior to the Annuitant's date of death;

(b) As a premium for an Annuity option (see 4.07);

(c) As a distribution under a systematic distribution option (see 3.10);

(d) At least 12 months after the date of the first Purchase Payment to the Account, in an amount not to exceed the amount shown on Contract Schedule I under Annual Waiver of Surrender Fee. This waiver of the Surrender Fee applies to the first full or partial surrender in the calendar year. This waiver is not available if a systematic distribution option has been in effect at any time during the calendar year.

(e) For a full surrender of the Account where the Current Value of the Account is $2,500 or less and no surrenders have been taken from the Account within the prior 12 months;

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<PAGE>

3.14 Surrender Fee (Cont'd):

3.15     

Payment of Surrender Value:

3.16 Payment of Adjusted Current Value:

Page 15 of 24

(f) By Aetna under 3.16; or

(g) If the Annuitant has spent at least 45 consecutive days in a licensed nursing care facility and each of the following conditions are met:

(1)     

more than one calendar year has elapsed since the date the certificate was issued; and

(2)     

the surrender is requested within 3 years of admission to a licensed nursing care facility.

This waiver does not apply if the Annuitant was in a nursing care facility at the time the certificate was issued.

(h) Under a qualified Contract when the amount withdrawn is equal to the minimum distribution required by the Code for the Account calculated using a method permitted under the Code and agreed to by Aetna.

Under certain emergency conditions, Aetna may defer payment:

(a) For a period of up to 6 months (unless not allowed by state law); or

(b) As provided by federal law.

Upon 90 days' written notice to the Certificate Holder, Aetna will terminate any Account if the Current Value becomes less than $2,500 immediately following any partial surrender. Aetna does not intend to exercise this right in cases where an Account Current Value is reduced to $2,500 or less solely due to investment performance. A Surrender Fee will not be deducted from the Adjusted Current Value.

IV.     

ANNUITY PROVISIONS

-     

-------------------------------------------------------------------------------------------------------------------------------

4.01 Choices:

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<PAGE>

4.01 Choices (Cont'd):

4.02     

Terms of Annuity Options

The Certificate Holder may tell Aetna to apply any portion of the Adjusted Current Value (minus any premium tax, if applicable,) to any Annuity option (see 4.07). The first Annuity payment may not be earlier than one calendar year after the initial Purchase Payment nor later than the later of:

(a) The first day of the month following the Annuitant's 85th birthday; or

(b) The tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may tell Aetna to make a lump sum payment.

24

When an Annuity option is chosen, Aetna must also be told if payments are to be made other than monthly and whether to pay:

(a) A Fixed Annuity using the General Account;

(b) A Variable Annuity using any of the Fund(s) available under this Contract for Annuity purposes; or

(c) A combination of (a) and (b).

If a Fixed Annuity is chosen, the Annuity purchase rate for the option chosen reflects the Minimum Guaranteed Interest Rate (see Contract Schedule II), but may reflect higher interest rates. If a Variable Annuity is chosen, the initial Annuity payment for the option chosen reflects the assumed annual return rate elected. (see Contract Schedule II).

During the Annuity Period when a Variable Annuity has been elected, at the request of the Certificate Holder, all or any portion of the amount allocated to a Fund may be transferred to any other Fund available during the Annuity Period. Four transfers, without charge, are allowed each calendar year. Aetna reserves the right to change the number of transfers allowed.

Transfer requests must be expressed as a percentage of the allocation among the Funds of the amount upon which the Variable Annuity will be based. Aetna reserves the right to establish a minimum transfer amount. Transfers will be effective as of the Valuation Period in which Aetna receives a transfer request in good order at its Home Office.

(a) When payments start, the age of the Annuitant plus the number of years for which payments are guaranteed must not exceed 95.

(b) An Annuity option may not be elected if the first payment would be less than $50 or if the total payments in a year would be less than $250 (less if required by state law). Aetna reserves the right to increase the minimum first Annuity payment amount and the annual minimum Annuity payment amount based upon increases reflected in the Consumer Price Index-Urban, (CPI-U)

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<PAGE>

4.02     

Terms of Annuity Options (Cont'd):

4.03 Death of Annuitant/Beneficiary:

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26

<PAGE>

4.03     

Death of Annuitant/Beneficiary (Cont'd):

4.04     

Fund(s) Annuity Units -- Separate Account:

Page 16 of 24

since July 1, 1993.

(c) If a Fixed Annuity is chosen Aetna will use the applicable current settlement rate if it will provide higher Fixed Annuity payments.

(d) For purposes of calculating the guaranteed first payment of a Variable Annuity or the payments for a Fixed Annuity, the Annuitant's and second Annuitant's adjusted age will be used. The Annuitant's and second Annuitant's adjusted age is his or her age as of the birthday closest to the Annuity commencement date reduced by one year for Annuity commencement dates occurring during the period of time from July 1, 1993 through December 31, 1999. The Annuitant's and second Annuitant's age will be reduced by two years for Annuity commencement dates occurring during the period of time from January 1, 2000 through December 31, 2009. The Annuitant's and second Annuitant's age will be reduced by one additional year for Annuity commencement dates occurring in each succeeding decade.

The Annuity purchase rates for options 2 and 3 are based on mortality from 1983 Table a.

(e) Assumed Annual Net Return Rate is the interest rate used to determine the amount of the first Annuity payment under a Variable Annuity as shown on Contract Schedule II. The Separate Account must earn this rate plus enough to cover the mortality and expense risks charges (which may include profit) and administrative charges if future Variable Annuity Payments are to remain level, (see Annuity return factor under Variable Annuity Assumed Annual Net Return Rate on Contract Schedule II).

(f) Once elected, Annuity payments cannot be commuted to a lump sum except for Variable Annuity payments under option 1 (see 4.07). The life expectancy of the Annuitant or the Annuitant and second Annuitant shall be irrevocable upon the election of an Annuity option.

(a) Certificate Holder is Annuitant: When the Certificate Holder is the Annuitant and the Annuitant dies under option 1 or 2, or both the Annuitant and the second Annuitant die under option 3(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon election by the Beneficiary, any remaining payments will continue to the Beneficiary. If option 3 has been elected and the Certificate Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee.

If the Account has joint Certificate Holder's, the surviving joint Certificate Holder will be deemed the successor payee.

(b) Certificate Holder is Not Annuitant: When the Certificate Holder is not the Annuitant and the Certificate Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee. If the Account has joint Certificate Holder's, the surviving joint Certificate Holder will be deemed the successor payee.

If the Annuitant dies under option 1 or 2, or both the Annuitant and the second Annuitant die under option 3(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon the election by the Beneficiary, any remaining payments will continue to the Beneficiary. If option 3 has been elected, and the Annuitant dies, the remaining payments will continue to the Certificate Holder.

(c) No Beneficiary Named/Surviving: If there is no Beneficiary, the present value of any remaining payments will be paid in one sum to the Certificate Holder, or if the Certificate Holder is not living, then to the Certificate Holder's estate.

(d) If the Beneficiary or the successor payee dies while receiving Annuity payments, the present value of any remaining guaranteed payments will be paid in one sum to the successor Beneficiary/payee, or upon election by the successor Beneficiary/payee, any remaining payments will continue to the successor Beneficiary/payee. If no successor Beneficiary/payee has been designated, the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary's/payee's estate.

(e) The present value will be determined as of the Valuation Period in which proof of death acceptable to Aetna and a request for payment is received at Aetna's home office. The interest rate used to determine the first payment will be used to calculate the present value.

The number of each Fund's Annuity Units is based on the amount of the first Variable Annuity payment which is equal to:

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<PAGE>

4.04     

Fund(s) Annuity Units -- Separate Account Cont'd):

4.05     

Fund(s) Annuity Unit Value -- Separate Account:

4.06     

Annuity Net Return Factor(s) -- Separate Account:

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28

<PAGE>

4.06     

Annuity Net Return Factor(s) -- Separate Account (Cont'd):

4.07     

Annuity Options:

Page 17 of 24

(a) The portion of the Current Value applied to pay a Variable Annuity (minus any premium tax); divided by

(b) 1,000; multiplied by

(c) The payment rate for the option chosen.

Such amount, or portion, of the variable payment will be divided by the appropriate Fund Annuity unit value (see 4.05) on the tenth Valuation Period before the due date of the first payment to determine the number of each Fund Annuity units. The number of each Fund Annuity units remains fixed. Each future payment is equal to the sum of the products of each Fund Annuity unit value multiplied by the appropriate number of units. The Fund Annuity unit value on the tenth Valuation Period prior to the due date of the payment is used.

For any Valuation Period, a Fund Annuity unit value is equal to:

(a) The value for the previous Period; multiplied by

(b) The Annuity net return factor(s) (see 4.06 below) for the Period; multiplied by

(c) A factor to reflect the assumed annual net return rate (see Contract Schedule II).

The dollar value of a Fund Annuity unit values and Annuity payments may go up or down due to investment gain or loss.

The Annuity net return factor(s) are used to compute all Separate Account Annuity Payments for any Fund.

The Annuity net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate.

The net return rate is equal to:

(a) The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus

(b) The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

(c) Taxes (or reserves for taxes) on the Separate Account (if any); divided by

(d) The total value of the Fund(s) record units and Fund(s) Annuity units of the Separate Account at the start of the Valuation Period; minus

(e) A daily charge for Annuity mortality and expense risks, which may include profit, and a daily administrative charge (at the annual rate as shown on Contract Schedule II).

A net return rate may be more or less than 0%.

The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.

Payments shall not be changed due to changes due to changes in the mortality or expense results or administrative charges.

Option 1 -- Payments for a Stated Period of Time: Payments are made for the number of years specified by the Certificate Holder. The number of years must be at least five and not more than 30.

Option 2 - Life Income based on the life of one Annuitant: Payments are made until the death of the Annuitant. When this option is elected, the Certificate Holder must also choose one of the following:

(a) payments cease at the death of the Annuitant;

(b) payments are guaranteed for a specified period from five to 30 years;

(c) cash refund: when the Annuitant dies, the Beneficiary will receive a lump sum payment equal to the amount applied to the Annuity option (less any premium tax, if applicable) less the total amount of Annuity payments made prior to such death. This cash refund feature is only available if the total amount applied to the Annuity option is allocated to a Fixed Annuity.

Option 3 -- Life Income Based on the lives of two Annuitants: Payments are made for the lives of two Annuitants, one of whom is designated the second Annuitant, and cease only when both Annuitants have died. When this option is elected, the Certificate

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Page 18 of 24

Holder must also choose one of the following:

(a) 100% of the payment to continue after the first death; (b) 66-2/3% of the payment to continue after the first death; (c) 50% of the payment to continue after the first death;

(d) 100% of the payment to continue after the first death and payments are guaranteed for a period of five to 30 years;

(e) 100% of the payment to continue at the death of the designated second Annuitant and 50% of the payment to continue at the death of the Annuitant; or

(f) 100% of the payment continues after the first death with a cash refund feature. When the Annuitant and designated second Annuitant die, the Beneficiary will receive a lump sum payment equal to the amount applied to the Annuity option (less any premium tax) less the total amount of Annuity payments paid prior to such death. This cash refund feature is only available if the total amount applied to the Annuity option is allocated to a Fixed Annuity.

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<PAGE>

4.07 Annuity Options (Cont'd): If a Fixed Annuity is chosen under Option 1, Option 2 (a) or (b), or Option 3
    (a) or (d), the Certificate Holder may elect, at the time the Annuity option is
    selected, an annual increase of one, two or three percent compounded annually.
 
    As allowed under applicable state law, Aetna reserves the right to offer additional
    Annuity options.
</TABLE>  

 

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<PAGE>

OPTION 1: Payments for a Specified Period

- --------------------------------------------------------------------------------Monthly Amount for Each $1,000* Rates for a Fixed Annuity with a 3% Guaranteed Interest Rate - --------------------------------------------------------------------------------

Years Payment Years Payment

  • ---------------------- --------------------- --------------------- -------------

5 17.91 18 5.96
6 15.14 19 5.73
7 13.16 20 5.51
8 11.68 21 5.32
9 10.53 22 5.15
10 9.61 23 4.99
11 8.86 24 4.84
12 8.24 25 4.71
13 7.71 26 4.59
14 7.26 27 4.47
15 6.87 28 4.37
16 6.53 29 4.27
17 6.23 30 4.18

 

- --------------------------------------------------------------------------------

First Month Amount for Each $1,000*

Rates for a Variable Annuity with a 3.5% Assumed Interest Rate

- --------------------------------------------------------------------------------

Years Payment Years Payment

  • ---------------------- --------------------- --------------------- -------------

5 18.12 18 6.20
6 15.35 19 5.97
7 13.38 20 5.75
8 11.90 21 5.56
9 10.75 22 5.39
10 9.83 23 5.24
11 9.09 24 5.09
12 8.46 25 4.96
13 7.94 26 4.84
14 7.49 27 4.73
15 7.10 28 4.63
16 6.76 29 4.53
17 6.47 30 4.45

 

- --------------------------------------------------------------------------------

First Month Amount for Each $1,000*

Rates for a Variable Annuity with a 5% Assumed Interest Rate

- --------------------------------------------------------------------------------

Years Payment Years Payment

  • ---------------------- --------------------- --------------------- -------------

5 18.74 18 6.94  
6 15.99 19 6.71  
 
 
 
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7 14.02 20 6.51
8 12.56 21 6.33
9 11.42 22 6.17
10 10.51 23 6.02
11 9.77 24 5.88
12 9.16 25 5.76
13 8.64 26 5.65
14 8.20 27 5.54
15 7.82 28 5.45
16 7.49 29 5.36
17 7.20 30 5.28

 

  • -------------------------------------------------------------------------------- * Net of any applicable premium tax deduction

MP2CERT(5/97)

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<PAGE>

     Option 2: Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>

- -----------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate - -----------------------------------------------------------------------------------------------------------------------

  Option 2(a): Option 2(b): Option 2(b): Option 2(b): Option 2(b): Option 2(c):
  payments for payments payments payments payments Cash Refund
  life guaranteed 5 guaranteed 10 guaranteed 15 guaranteed 20  
Adjusted   years years years years  

 

Age of ------------------ ----------------- ------------------ ----------------- ------------------ ------------------Annuitant Male Female Male Female Male Female Male Female Male Female Male Female

  • -------- ------- --------- ------- --------- ------- ---------- ------- --------- -------- --------- -------- ---------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
50 $ 4.27 $ 3.90 $ 4.26 $ 3.90 $ 4.22 $ 3.89 $ 4.17 $ 3.86 $ 4.08 $ 3.82 $ 4.04 $ 3.78
51 4.34 3.97 4.33 3.96 4.30 3.95 4.23 3.92 4.14 3.88 4.10 3.84
52 4.43 4.03 4.41 4.03 4.37 4.01 4.30 3.98 4.20 3.93 4.16 3.89
53 4.51 4.10 4.50 4.10 4.45 4.08 4.37 4.04 4.26 3.99 4.23 3.95
54 4.60 4.18 4.59 4.17 4.54 4.15 4.45 4.11 4.32 4.04 4.29 4.01
 
55 4.70 4.25 4.68 4.25 4.62 4.22 4.53 4.18 4.39 4.11 4.37 4.07
56 4.80 4.34 4.78 4.33 4.72 4.30 4.61 4.25 4.45 4.17 4.44 4.13
57 4.91 4.42 4.89 4.41 4.82 4.38 4.69 4.32 4.51 4.23 4.52 4.20
58 5.03 4.52 5.00 4.51 4.92 4.47 4.78 4.40 4.58 4.30 4.61 4.28
59 5.15 4.61 5.12 4.60 5.03 4.56 4.87 4.48 4.65 4.37 4.69 4.35
 
60 5.28 4.72 5.25 4.70 5.14 4.66 4.96 4.57 4.71 4.44 4.78 4.43
61 5.43 4.83 5.39 4.81 5.27 4.76 5.06 4.66 4.78 4.51 4.88 4.52
62 5.58 4.95 5.53 4.93 5.39 4.87 5.16 4.75 4.84 4.58 4.98 4.60
63 5.74 5.08 5.69 5.05 5.53 4.98 5.26 4.85 4.90 4.65 5.09 4.70
64 5.91 5.21 5.85 5.18 5.66 5.10 5.36 4.95 4.96 4.72 5.20 4.80
 
65 6.10 5.36 6.03 5.32 5.81 5.22 5.46 5.05 5.02 4.79 5.31 4.90
66 6.30 5.51 6.21 5.47 5.96 5.36 5.56 5.16 5.08 4.86 5.44 5.01
67 6.51 5.67 6.41 5.63 6.12 5.50 5.66 5.26 5.13 4.93 5.56 5.12
68 6.73 5.85 6.62 5.80 6.28 5.65 5.77 5.37 5.18 5.00 5.70 5.24
69 6.97 6.04 6.84 5.98 6.44 5.80 5.86 5.49 5.23 5.06 5.84 5.37
 
70 7.23 6.25 7.07 6.18 6.61 5.97 5.96 5.60 5.27 5.12 5.98 5.51
71 7.51 6.47 7.32 6.39 6.79 6.14 6.05 5.71 5.31 5.18 6.14 5.65
72 7.80 6.71 7.58 6.62 6.96 6.32 6.14 5.83 5.34 5.23 6.30 5.80
73 8.12 6.98 7.85 6.86 7.14 6.50 6.23 5.94 5.37 5.28 6.47 5.96
74 8.46 7.26 8.14 7.12 7.32 6.69 6.31 6.04 5.40 5.32 6.65 6.13
 
75 8.82 7.57 8.45 7.40 7.50 6.89 6.38 6.14 5.42 5.35 6.83 6.31

 

- -----------------------------------------------------------------------------------------------------------------------</TABLE>

* Net of any applicable premium tax deduction

MP2CERT(5/97)

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<PAGE>

     Option 2: Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>

- ----------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate - ----------------------------------------------------------------------------------------------------------------

      Option 2(b): Option 2(b): Option 2(b): Option 2(b):
  Option 2(a): payments payments payments payments
Adjusted payments for life guaranteed 5 years guaranteed 10 years guaranteed 15 years guaranteed 20 years
Age of ------------------- -------------------- -------------------- -------------------- --------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

  • -------- --------- --------- ---------- --------- ---------- --------- --------- ---------- --------- ----------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>  
50 $ 4.56 $ 4.20 $ 4.55 $ 4.19 $ 4.51 $ 4.18 $ 4.45 $ 4.15 $ 4.36 $ 4.11  
 
 
 
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51 4.64 4.26 4.62 4.25 4.58 4.24 4.51 4.21 4.42 4.16
52 4.72 4.32 4.70 4.32 4.66 4.30 4.58 4.26 4.48 4.21
53 4.80 4.39 4.79 4.38 4.74 4.36 4.65 4.32 4.53 4.27
54 4.89 4.46 4.87 4.46 4.82 4.43 4.73 4.39 4.59 4.32
 
55 4.99 4.54 4.97 4.53 4.91 4.50 4.80 4.46 4.65 4.38
56 5.09 4.62 5.07 4.61 5.00 4.58 4.88 4.53 4.72 4.44
57 5.20 4.71 5.17 4.70 5.10 4.66 4.96 4.60 4.78 4.50
58 5.32 4.80 5.29 4.79 5.20 4.75 5.05 4.68 4.84 4.57
59 5.44 4.90 5.41 4.88 5.31 4.84 5.14 4.76 4.91 4.63
 
60 5.57 5.00 5.53 4.99 5.42 4.93 5.23 4.84 4.97 4.70
61 5.71 5.11 5.67 5.09 5.54 5.03 5.32 4.93 5.03 4.77
62 5.86 5.23 5.81 5.21 5.66 5.14 5.42 5.02 5.09 4.84
63 6.02 5.36 5.97 5.33 5.79 5.25 5.51 5.11 5.16 4.91
64 6.20 5.49 6.13 5.46 5.93 5.37 5.61 5.21 5.21 4.98
 
65 6.38 5.64 6.31 5.60 6.07 5.49 5.71 5.31 5.27 5.05
66 6.58 5.79 6.49 5.75 6.22 5.63 5.81 5.41 5.32 5.12
67 6.79 5.95 6.69 5.91 6.38 5.76 5.91 5.52 5.38 5.18
68 7.02 6.13 6.89 6.08 6.53 5.91 6.01 5.63 5.42 5.25
69 7.26 6.32 7.11 6.26 6.70 6.06 6.11 5.74 5.47 5.31
 
70 7.52 6.53 7.35 6.45 6.86 6.23 6.20 5.85 5.51 5.37
71 7.80 6.75 7.59 6.66 7.03 6.39 6.29 5.96 5.54 5.42
72 8.09 6.99 7.85 6.89 7.21 6.57 6.38 6.07 5.57 5.47
73 8.41 7.26 8.12 7.13 7.38 6.75 6.46 6.17 5.60 5.51
74 8.75 7.54 8.41 7.39 7.55 6.94 6.53 6.28 5.63 5.55
 
75 9.12 7.85 8.71 7.66 7.73 7.13 6.61 6.38 5.65 5.59

 

- ---------------------------------------------------------------------------------------------------------------</TABLE>

* Net of any applicable premium tax deduction

MP2CERT(5/97)

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<PAGE>

     Option 2: Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>

- ----------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate - ----------------------------------------------------------------------------------------------------------------

      Option 2(b): Option 2(b): Option 2(b): Option 2(b):
  Option 2(a):   payments   payments   payments   payments
Adjusted payments for life guaranteed 5 years guaranteed 10 years guaranteed 15 years guaranteed 20 years
Age of ------------------- -------------------- -------------------- -------------------- --------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

  • -------- --------- --------- ---------- --------- ---------- --------- --------- ---------- --------- ----------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
50 $ 5.48 $ 5.12 $ 5.46 $ 5.11 $ 5.41 $ 5.09 $ 5.34 $ 5.06 $5.24 $ 5.01
51 5.55 5.17 5.53 5.17 5.48 5.14 5.40 5.11 5.29 5.05
52 5.63 5.23 5.61 5.23 5.55 5.20 5.46 5.16 5.34 5.10
53 5.71 5.30 5.69 5.29 5.62 5.26 5.53 5.22 5.40 5.15
54 5.80 5.37 5.77 5.36 5.70 5.33 5.60 5.27 5.45 5.20
 
55 5.89 5.44 5.86 5.43 5.79 5.39 5.67 5.34 5.51 5.25
56 5.99 5.52 5.96 5.51 5.87 5.47 5.74 5.40 5.56 5.31
57 6.10 5.60 6.06 5.59 5.97 5.54 5.82 5.47 5.62 5.37
58 6.21 5.69 6.17 5.67 6.06 5.62 5.90 5.54 5.68 5.42
59 6.33 5.79 6.29 5.77 6.17 5.71 5.98 5.61 5.74 5.48
 
60 6.46 5.89 6.41 5.87 6.28 5.80 6.06 5.69 5.79 5.55
61 6.60 6.00 6.55 5.97 6.39 5.90 6.15 5.77 5.85 5.61
62 6.75 6.11 6.69 6.08 6.51 6.00 6.24 5.86 5.91 5.67
63 6.91 6.23 6.84 6.20 6.64 6.10 6.33 5.95 5.96 5.73
64 7.09 6.37 7.00 6.33 6.77 6.22 6.42 6.04 6.02 5.80
 
65 7.27 6.51 7.18 6.46 6.91 6.34 6.52 6.13 6.07 5.86
66 7.47 6.66 7.36 6.61 7.05 6.46 6.61 6.23 6.12 5.92
67 7.68 6.82 7.55 6.76 7.20 6.60 6.70 6.33 6.16 5.99
68 7.91 7.00 7.76 6.93 7.35 6.74 6.80 6.43 6.21 6.04
69 8.15 7.19 7.98 7.11 7.51 6.89 6.89 6.54 6.25 6.10
 
70 8.41 7.39 8.21 7.30 7.67 7.04 6.97 6.64 6.28 6.15
71 8.69 7.62 8.45 7.51 7.83 7.21 7.06 6.74 6.32 6.20
72 8.99 7.86 8.70 7.73 8.00 7.38 7.14 6.85 6.35 6.25
73 9.31 8.12 8.97 7.97 8.16 7.55 7.21 6.95 6.37 6.29
74 9.65 8.41 9.26 8.23 8.33 7.73 7.29 7.04 6.39 6.33
 
75 10.02 8.72 9.55 8.50 8.50 7.92 7.35 7.14 6.41 6.36

 

- ----------------------------------------------------------------------------------------------------------------  
</TABLE>  
* Net of any applicable premium tax deduction  
 
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     34 <PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- ----------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate Annuitant is Female and Second Annuitant is Male - ----------------------------------------------------------------------------------------------------------------------Adjusted Ages - ---------------------------Second Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e) Option 3(f)

  • ------------- ------------- -------------- --------------- -------------- -------------- --------------- -------------

<S> <C> <C> <C> <C> <C> <C> <C>
55 50 $ 3.75 $ 4.07 $ 4.26 $ 3.75 $ 3.98 $ 3.72
55 55 3.88 4.25 4.47 3.87 4.06 3.85
55 60 3.99 4.44 4.71 3.98 4.12 3.94
 
60 55 4.06 4.47 4.71 4.06 4.37 4.02
60 60 4.24 4.71 4.99 4.23 4.47 4.17
60 65 4.38 4.97 5.32 4.38 4.54 4.29
 
65 60 4.49 5.01 5.32 4.48 4.89 4.39
65 65 4.72 5.33 5.70 4.71 5.02 4.59
65 70 4.93 5.68 6.15 4.91 5.14 4.74
 
70 65 5.07 5.75 6.17 5.05 5.60 4.87
70 70 5.40 6.21 6.70 5.36 5.79 5.13
70 75 5.69 6.68 7.32 5.62 5.96 5.29
 
75 70 5.89 6.82 7.40 5.81 6.63 5.48
75 75 6.37 7.45 8.15 6.23 6.92 5.78
75 80 6.78 8.11 8.99 6.54 7.15 5.93

 

- ----------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

MP2CERT(5/97)

35

<PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- --------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate Annuitant is Female and Second Annuitant is Male - --------------------------------------------------------------------------------------------------------Adjusted Ages - ---------------------------Second Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)

  • ------------- ------------- -------------- --------------- -------------- -------------- ---------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 4.03 $ 4.36 $ 4.55 $ 4.03 $ 4.27
55 55 4.16 4.54 4.76 4.15 4.34
55 60 4.27 4.73 5.00 4.26 4.40
 
60 55 4.34 4.76 5.00 4.34 4.65
60 60 4.51 4.99 5.27 4.50 4.74
60 65 4.66 5.25 5.61 4.65 4.82
 
65 60 4.76 5.29 5.60 4.75 5.16
65 65 4.99 5.61 5.99 4.98 5.30
65 70 5.19 5.97 6.44 5.17 5.41
 
70 65 5.34 6.03 6.46 5.31 5.88
70 70 5.67 6.49 6.99 5.62 6.07
70 75 5.95 6.96 7.61 5.87 6.23
 
75 70 6.16 7.10 7.68 6.07 6.90
75 75 6.64 7.73 8.43 6.48 7.19
75 80 7.04 8.39 9.29 6.79 7.42

 

- --------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

MP2CERT(5/97)

36

<PAGE>

Option 3: Life Income Based on the Lives of Two Annuitants

<TABLE> <CAPTION>

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Page 22 of 24

- ---------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate Annuitant is Female and Second Annuitant is Male - ---------------------------------------------------------------------------------------------------------------

Adjusted Ages          
- --------------------------------        
  Second          
Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)

 

  • ---------------- --------------- --------------- -------------- --------------- --------------- ---------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 4.93 $ 5.27 $ 5.46 $ 4.93 $ 5.17
55 55 5.04 5.44 5.66 5.04 5.23
55 60 5.15 5.63 5.91 5.14 5.29
 
60 55 5.21 5.65 5.89 5.21 5.53
60 60 5.37 5.87 6.16 5.37 5.62
60 65 5.52 6.14 6.51 5.51 5.70
 
65 60 5.61 6.16 6.49 5.60 6.03
65 65 5.83 6.49 6.87 5.82 6.15
65 70 6.04 6.84 7.34 6.00 6.27
 
70 65 6.17 6.90 7.33 6.13 6.73
70 70 6.49 7.35 7.87 6.44 6.91
70 75 6.77 7.84 8.51 6.68 7.07
 
75 70 6.97 7.96 8.56 6.87 7.75
75 75 7.45 8.60 9.33 7.27 8.04
75 80 7.86 9.28 10.20 7.57 8.27

 

- ---------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

MP2CERT(5/97)

37

<PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- ------------------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate Annuitant is Male and Second Annuitant is Female - ------------------------------------------------------------------------------------------------------------------------------

Adjusted Ages            
- -------------------------------          
  Second            
Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e) Option 3(f)

 

  • --------------- --------------- --------------- -------------- --------------- --------------- --------------- ---------------

<S> <C> <C> <C> <C> <C> <C> <C>
55 50 $ 3.69 $ 4.05 $ 4.27 $ 3.69 $ 4.13 $ 3.67
55 55 3.88 4.25 4.47 3.87 4.25 3.85
55 60 4.06 4.47 4.71 4.06 4.36 4.02
 
60 55 3.99 4.44 4.71 3.98 4.55 3.94
60 60 4.24 4.71 4.99 4.23 4.70 4.17
60 65 4.49 5.01 5.32 4.48 4.85 4.39
 
65 60 4.38 4.97 5.32 4.38 5.10 4.29
65 65 4.72 5.33 5.70 4.71 5.32 4.59
65 70 5.07 5.75 6.17 5.05 5.54 4.87
 
70 65 4.93 5.68 6.15 4.91 5.86 4.74
70 70 5.40 6.21 6.70 5.36 6.18 5.13
70 75 5.89 6.82 7.40 5.81 6.49 5.48
 
75 70 5.69 6.68 7.32 5.62 6.92 5.29
75 75 6.37 7.45 8.15 6.23 7.40 5.78
75 80 7.07 8.34 9.16 6.78 7.85 6.17

 

- ------------------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

MP2CERT(5/97)

38

<PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- ---------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate Annuitant is Male and Second Annuitant is Female - ---------------------------------------------------------------------------------------------------------------Adjusted Ages - --------------------------------

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Page 23 of 24

  Second          
Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)

 

  • ---------------- --------------- --------------- -------------- --------------- --------------- ---------------

<S> <C> <C>   <C>   <C>   <C>   <C>  
55 50 $ 3.97 $ 4.35 $ 4.56 $ 3.97 $ 4.42
55 55   4.16   4.54   4.76   4.15   4.54
55 60   4.34   4.76   5.00   4.34   4.64
 
60 55   4.27   4.73   5.00   4.26   4.83
60 60   4.51   4.99   5.27   4.50   4.98
60 65   4.76   5.29   5.60   4.75   5.13
 
65 60   4.66   5.25   5.61   4.65   5.39
65 65   4.99   5.61   5.99   4.98   5.60
65 70   5.34   6.03   6.46   5.31   5.81
 
70 65   5.19   5.97   6.44   5.17   6.14
70 70   5.67   6.49   6.99   5.62   6.47
70 75   6.16   7.10   7.68   6.07   6.77
 
75 70   5.95   6.96   7.61   5.87   7.20
75 75   6.64   7.73   8.43   6.48   7.68
75 80   7.33   8.62   9.45   7.02   8.13

 

- ---------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

MP2CERT(5/97)

39

<PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- ---------------------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate Annuitant is Male and Second Annuitant is Female - ---------------------------------------------------------------------------------------------------------------------------

Adjusted Ages          
- -----------------------------------        
  Second          
Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)

 

  • ------------------ ---------------- ----------------- ---------------- ----------------- ----------------- ----------------

<S> <C> <C>   <C>   <C>   <C> <C>  
55 50 $ 4.88 $ 5.26 $ 5.48 4.88 $ 5.34
55 55   5.04   5.44   5.66 5.04   5.43
55 60   5.21   5.65   5.89 5.21   5.53
 
60 55   5.15   5.63   5.91 5.14   5.73
60 60   5.37   5.87   6.16 5.37   5.86
60 65   5.61   6.16   6.49 5.60   6.01
 
65 60   5.52   6.14   6.51 5.51   6.28
65 65   5.83   6.49   6.87 5.82   6.47
65 70   6.17   6.90   7.33 6.13   6.67
 
70 65   6.04   6.84   7.34 6.00   7.03
70 70   6.49   7.35   7.87 6.44   7.33
70 75   6.97   7.96   8.56 6.87   7.62
 
75 70   6.77   7.84   8.51 6.68   8.08
75 75   7.45   8.60   9.33 7.27   8.55
75 80   8.14   9.49 10.35 7.80   8.98

 

- ---------------------------------------------------------------------------------------------------------------------------

</TABLE>  
* Net of any applicable premium tax deduction  
 
 
MP2CERT(5/97)  
 
40  
<PAGE>  
 
 
 
- -------------------------------------------------------------------------------  
 
Aetna Insurance Company of America  
Home Office: 151 Farmington Avenue  
P.O. Box 30670  
Hartford, Connecticut 06150-0670  
(800) 531-4547  
 
Certificate of Group Annuity Coverage  
- -------------------------------------------------------------------------------  
 
 
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT  
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO  
FIXED DOLLAR AMOUNT. THIS CERTIFICATE CONTAINS A MARKET VALUE ADJUSTMENT  
FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN  
 
 
 
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Page 24 of 24

INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA

DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

MP2CERT(5/97)

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-001811.txt

03/26/2018

GRAPHIC 16 ex164kx11x1.jpg begin 644 ex164kx11x1.jpg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end EX-16 17 ex164l.htm EXHIBIT 16(4)(L) CONTRACT IMP2 (5/97) ex164l.htm - Generated by SEC Publisher for SEC Filing

Page 1 of 21

Exhibit 16(4)(l)  
  Aetna Insurance Company of America  
  Home Office: 151 Farmington Avenue  
  P.O. Box 30670  
  Hartford, Connecticut 06150-0670  
  (800) 531-4547  
 
  You may call the toll-free number shown above for  
  answers to questions or to resolve a complaint.  
 
  Aetna Insurance Company of America, a stock  
  company, herein called Aetna, agrees to pay the  
  benefits stated in this Contract.  
 
<TABLE>      
<S>   <C>  
Specifications      
|------------------------------------------------------------------------------------------------  
| Plan      
| SPECIMEN      
|------------------------------------------------------------------------------------------------  
| Type of Plan      
| SPECIMEN      
|------------------------------------------------------------------------------------------------  
| Contract Holder      
| SPECIMEN      
| SPECIMEN      
|------------------------------------------------------------------------------------------------  
| Annuitant      
| SPECIMEN      
|------------------------------------------------------------------------------------------------  
| Contract No.      
| SPECIMEN      
|------------------------------------------------------------------------------------------------  
| Effective Date      
| SPECIMEN      
|------------------------------------------------------------------------------------------------  
This Contract is delivered in YOUR STATE and is subject to the laws of that jurisdiction  
</TABLE>      
 
The variable features of the Contract are described in parts III and IV.  
 
Right to Cancel      
- --------------------------------------------------------------------------------  
The Contract Holder may cancel this Contract within 10 days by returning it to  
the agent from whom it was purchased, or to Aetna at the address shown above.  
Within seven days of receiving the Contract at its home office, Aetna will  
return the amount of Purchase Payment(s) received, plus any increase, or minus  
any decrease, on the amount, if any, allocated to the Separate Account fund(s).  
 
This page and the pages that follow constitute the entire Contract.  
 
Signed at the home office on the Effective Date.  
 
/s/ Dan Kearney   /s/ Maria F. McKeon  
President   Secretary  
 
Individual Variable, Fixed, or Combination Annuity Contract  
  Nonparticipating  
 
ALL PAYMENTS AND VALUES PROVIDED BY THE CONTRACT, WHEN BASED ON INVESTMENT  
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO  
FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA.  
APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR  
DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT  
APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.  
 
 
I-MP2(5/97)      
 
<PAGE>      
 
 
<TABLE>      
 
Specifications      
- --------------------------- --------------------------------------------------------------------------------------------------------
<S> <C>    
Guaranteed There is a guaranteed interest rate for Purchase Payment(s) held in the AG Account. (See Contract
Interest Rate Schedule I).    
 
- --------------------------- --------------------------------------------------------------------------------------------------------
Deductions from the There will be deductions for mortality and expense risks and administrative fees. (See Contract
Separate Account Schedule I and II).  
- --------------------------- --------------------------------------------------------------------------------------------------------
Deduction from Purchase Purchase Payment(s) are subject to a deduction for premium taxes, if any. (See 3.01.)  
Payment(s)      
 
- --------------------------- --------------------------------------------------------------------------------------------------------
Surrender Fee There will be a charge deducted upon surrender. (See Contract Schedule I).  
</TABLE>      
 
 
This Contract is a legal contract and constitutes the entire legal relationship  
 
 
 
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Page 2 of 21

between Aetna and the Contract Holder.

READ THIS CONTRACT CAREFULLY. This Contract sets forth, in detail, all of the rights and obligations of both you and Aetna. THEREFORE, IT IS IMPORTANT THAT YOU READ THIS CONTRACT CAREFULLY.

I-MP2(5/97)

<PAGE>

Contract Schedule I
Accumulation Period

<TABLE> Separate Account

- -----------------------------------------------------------------------------------------------------------------------------------<S> <C> Separate Account: Variable Annuity Account I

Charges to Separate Account: A daily charge is deducted from any portion of the Current Value allocated to the
  Separate Account. The deduction is the daily equivalent of the annual effective
 
 
  percentage shown in the following chart: __   __
  Administrative Charge | 0.15% |
  Mortality Risk Charge | 0.35% |
  Expense Risk Charge | 0.90% |
  Total Separate Account | ----- |
  Charges | 1.40% |
    |_   _|

 

AICA Guaranteed Account (AG Account)

- -----------------------------------------------------------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate:

[3.0%] (effective annual rate of return)

Separate Account and AG Account

- -----------------------------------------------------------------------------------------------------------------------------------

Transfers:   An unlimited number of Transfers are allowed during the Accumulation Period. Aetna
    allows [12] free Transfers in any calendar year. Thereafter, Aetna reserves the right
to charge [$10] for each subsequent Transfer.
 
Maintenance Fee:   The annual Maintenance Fee is [$30]. If the Account's Current Value is $50,000 or more
    on the date the Maintenance Fee is to be deducted, the Maintenance Fee is [$0].
 
Annual Waiver of Surrender Fee:   As provided in 3.13 (d), the amount that may be withdrawn  
    without a surrender fee cannot exceed [10%] of the Current Value calculated on the date
    Aetna receives a surrender request in good order at its Home Office.
 
Surrender Fee:   For each surrender, the Surrender Fee will be determined as follows:
 
      Surrender Fee
    Length of Time from Deposit of (as percentage of
 
 
  __ Net Purchase Payment (Years) Net Purchase __ Payment)
  | Less than 2 years 7% |
  | 2 or more but less than 4 years 6% |
  | 4 or more but less than 5 years 5% |
  | 5 or more but less than 6 years 4% |
  | 6 or more but less than 7 years 3% |
  |_ 7 years or more 0% _|
 
 
I-MP2(5/97)-1        

 

3

<PAGE>

Separate Account and AG Account (Cont'd)

- ------------------------------------------------------------------------------------------------------------------------------------

Systematic Withdrawal Option (SWO):

The specified payment or specified percentage may not be greater than [10%] of the Account's Current Value at time of election.

</TABLE>

 

See 1. GENERAL DEFINITIONS for explanations.

I-MP2(5/97)-1

4

<PAGE>

Contract Schedule II
Annuity Period

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Page 3 of 21

<TABLE> Separate Account

- ------------------------------------------------------------------------------------------------------------------------------------<S> <C> Charges to Separate Account: A daily charge at an annual effective rate of [1.25%] for Annuity mortality and expense risks. The administrative charge is established upon election of an Annuity option.

This charge will not exceed [0.25%].

Variable Annuity Assumed Annual Net If a Variable Annuity is chosen, an assumed annual net return rate of [5.0%] may be
Return Rate: elected. If [5.0%] is not elected, Aetna will use an assumed annual net return rate of
  [3.5%].
 
  The assumed annual net return rate factor for [3.5%] per year is [0.9999058].
 
  The assumed annual net return rate factor for [5.0%] per year is [0.9998663].
 
  If the portion of a Variable Annuity payment for any Fund is not to decrease, the
  Annuity return factor under the Separate Account for that Fund must be:
 
  (a) [4.75%] on an annual basis plus an annual return of up to [0.25%] to offset the
    administrative charge set at the time Annuity payments commence if an assumed
    annual net return rate of [3.5%] is chosen; or
 
  (b) [6.25%] on an annual basis plus an annual return of up to [0.25%] to offset the
    administrative charge set at the time Annuity payments commence, if an assumed
    annual net return rate of [5%] is chosen.

 

Fixed Annuity

- ------------------------------------------------------------------------------------------------------------------------------------

Minimum Guaranteed Interest Rate: </TABLE>

[3.0%] (effective annual rate of return)

 

See 1. GENERAL DEFINITIONS for explanations.

I-MP2(5/97)-1

5

<PAGE>

TABLE OF CONTENTS

Page

I.     

GENERAL DEFINITIONS

-     

-----------------------------------------------------------------------------

1.01 Accumulation Period 8
1.02 Adjusted Current Value 8
1.03 AICA Guaranteed Account (AG Account) 8
1.04 Annuitant 8
1.05 Annuity 8
1.06 Beneficiary 8
1.07 Code 8
1.08 Contract 8
1.09 Contract Holder 8
1.10 Current Value 9
1.11 Deposit Period 9
1.12 Dollar Cost Averaging 9
1.13 Fixed Annuity 9
1.14 Fund(s) 9
1.15 General Account 9
1.16 Guaranteed Rates -- AG Account 9
1.17 Guaranteed Term 10
1.18 Guaranteed Term(s) Groups 10
1.19 Maintenance Fee 10
1.20 Market Value Adjustment (MVA) 10
1.21 Matured Term Value 10
1.22 Matured Term Value Transfer 10
1.23 Maturity Date 10
1.24 Net Purchase Payment(s) 10
1.25 Nonunitized Separate Account 10
1.26 Purchase Payment(s) 11
1.27 Reinvestment 11
1.28 Separate Account 11
1.29 Surrender Value 11
1.30 Transfers 11
1.31 Valuation Period (Period) 11
1.32 Variable Annuity 11

 

II.     

GENERAL PROVISIONS

-     

-----------------------------------------------------------------------------

2.01 Change of Contract 12  
2.02 Change of Fund(s) 13  
2.03 Nonparticipating Contract 13  
2.04 Payments and Elections 13  
2.05 State Laws 13  
2.06 Control of Contract 13  
2.07 Designation of Beneficiary 14  
2.08 Misstatements and Adjustments 14  
 
 
 
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2.09 Incontestability 14
2.10 Grace Period 14

 

III.     

PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS

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3.01 Net Purchase Payment 14
3.02 Fund(s) Record Units -- Separate Account 15
3.03 Net Return Factor(s) -- Separate Account 15
3.04 Fund Record Unit Value -- Separate Account 15
3.05 Market Value Adjustment 15
3.06 Transfer of Current Value from the Funds or AG Account  
  During the Accumulation Period 17
3.07 Notice to the Contract Holder 18
3.08 Loans 18
3.09 Systematic Distribution Options 18
3.10 Death Benefit Amount 19
3.11 Death Benefit Options available to Beneficiary 20
3.12 Liquidation of Surrender Value 22
3.13 Surrender Fee 22
3.14 Payment of Surrender Value 23
3.15 Payment of Adjusted Current Value 23

 

IV.     

ANNUITY PROVISIONS

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4.01 Choices 23
4.02 Terms of Annuity Options 24
4.03 Death of Annuitant/Beneficiary 25
4.04 Fund(s) Annuity Units -- Separate Account 26
4.05 Fund(s) Annuity Unit Value -- Separate Account 27
4.06 Annuity Net Return Factor(s) -- Separate Account 27
4.07 Annuity Options 28
 
 
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<TABLE>
<CAPTION>

I.     

GENERAL DEFINITIONS

-     

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<S>

1.01     

Accumulation Period:

1.02     

Adjusted Current Value:

1.03     

AICA Guaranteed Account (AG Account):

1.04     

Annuitant

1.05     

Annuity

1.06     

Beneficiary

1.07     

Code

1.08     

Contract

1.09     

Contract Holder

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The period during which the Net Purchase Payment(s) are applied to a Contract to provide future Annuity payment(s).

The Current Value of a Contract plus or minus any aggregate AG Account MVA, if applicable. (See 1.20)

An accumulation option where Aetna guarantees stipulated rate(s) of interest for specified periods of time. All assets of Aetna, including amounts in the Nonunitized Separate Account, are available to meet the guarantees under the AG Account.

The person whose life is measured for purposes of the Guaranteed Death Benefit and the duration of Annuity payments under this Contract.

Payment of an income:

(a) For the life of one or two persons;

(b) For a stated period; or

(c) For some combination of (a) and (b).

The individual or estate entitled to receive any death benefit under the Contract. If the Contract is held by joint Contract Holders, the survivor will be deemed the designated Beneficiary and any other Beneficiary on record will be treated as the contingent Beneficiary.

The Internal Revenue Code of 1986, as it may be amended from time to time.

This agreement between Aetna and the Contract Holder.

A person who purchases this Contract. Aetna reserves the right to limit ownership to natural persons. The Contract Holder has all right, title and interest under the Contract. If more than one Contract Holder owns the Contract, each Contract Holder will be a joint Contract Holder. Any joint Contract Holder must be the spouse of the other joint Contract Holder. Joint Contract Holders have joint ownership rights and both must authorize exercising any ownership rights unless Aetna allows otherwise.

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1.10     

Current Value:

1.11     

Deposit Period:

1.12     

Dollar Cost Averaging:

1.13     

Fixed Annuity:

1.14     

Fund(s):

1.15     

General Account:

1.16     

Guaranteed Rates -- AG Account:

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1.17 Guaranteed Term:

1.18     

Guaranteed Term(s) Groups:

1.19     

Maintenance Fee:

1.20     

Market Value Adjustment (MVA):

1.21     

Matured Term Value:

1.22     

Matured Term Value Transfer:

1.23     

Maturity Date:

1.24     

Net Purchase Payment(s):

1.25     

Nonunitized Separate Account:

Page 5 of 21

As of the most recent Valuation Period, the Net Purchase Payment and any additional amount deposited pursuant to 3.10 plus any interest added to the portion allocated to the AG Account; and plus or minus the investment experience of the portion allocated to the Funds since deposit; less all Maintenance Fees deducted, any amounts surrendered and any amounts applied to an Annuity.

A day, a calendar week, a calendar month, a calendar quarter, or any other period of time specified by Aetna during which Net Purchase Payment(s), Transfers and/or Reinvestments may be allocated to one or more AG Account Guaranteed Terms. Aetna reserves the right to shorten or to extend the Deposit Period.

During a Deposit Period, Aetna may offer any number of Guaranteed Terms and more than one Guaranteed Term of the same duration may be offered.

A program that permits the Contract Holder to systematically transfer amounts from any of the Funds or an available AG Account Guaranteed Term to any of the Funds. Aetna reserves the right to establish terms and conditions governing Dollar Cost Averaging. Dollar Cost Averaging is not available when an SDO is in effect.

An Annuity with payments that do not vary in amount.

The open-end management investment companies (mutual funds) in which the Separate Account invests.

The Account holding the assets of Aetna, other than those assets held in Aetna's separate accounts.

Aetna will declare the interest rate(s) applicable to a specific Guaranteed Term at the start of the Deposit Period for that Guaranteed Term. The rate(s) are guaranteed by Aetna for the period beginning with the first day of the Deposit Period and ending on the Maturity Date. Guaranteed Rates are credited beginning with the date of allocation. The Guaranteed Rates are annual effective yields. That is, interest is credited daily at a rate that will produce the Guaranteed Rate over the period of a year. No Guaranteed Rate will ever be less than the Minimum Guaranteed Rate shown on Contract Schedule I.

For Guaranteed Terms of one year or less, one Guaranteed Rate is credited for the full Guaranteed Term. For longer Guaranteed Terms, an initial Guaranteed Rate is credited from the date of deposit to the end of a specified period within the Guaranteed Term. There may be different Guaranteed Rate(s) declared for subsequent specified time intervals throughout the Guaranteed Term.

The period of time specified by Aetna for which a specific Guaranteed Rate(s) is offered on amounts invested during a specific Deposit Period. Guaranteed Terms are made available subject to Aetna's terms and conditions, including, but not limited to, Aetna's right to restrict allocations to new Net Purchase Payments (such as by prohibiting Transfers into a particular Guaranteed Term from any other Guaranteed Term or from any of the Funds, or by prohibiting Reinvestment of a Matured Term Value to a particular Guaranteed Term). More than one Guaranteed Term of the same duration may be offered during a Deposit Period.

All AG Account Guaranteed Term(s) of the same duration (from the close of the Deposit Period until the designated Maturity Date).

The Maintenance Fee (see Contract Schedule I) will be deducted during the Accumulation Period from the Current Value on each anniversary of the date the Contract is established and upon surrender of the entire Contract.

An adjustment that may apply to an amount withdrawn or transferred from an AG Account Guaranteed Term prior to the end of that Guaranteed Term. The adjustment reflects the change in the value of the investment due to changes in interest rates since the date of deposit and is computed using the formula given in 3.05. The adjustment is expressed as a percentage of each dollar withdrawn or transferred.

The amount due on an AG Account Guaranteed Term's Maturity Date.

During the calendar month following an AG Account Maturity Date, the Contract Holder may notify Aetna's home office in writing to Transfer or surrender all or part of the Matured Term Value, plus interest at the new Guaranteed Rate accrued thereon, from the AG Account without an MVA. This provision only applies to the first such written request received from the Contract Holder during this period for any Matured Term Value.

The last day of an AG Account Guaranteed Term.

The Purchase Payment less premium taxes, if applicable.

A separate account set up by Aetna under Title 38, Section 38a-433, of the Connecticut General Statutes, that holds assets for AG Account Terms. There are no discrete units for this Account. The Contract Holder does not participate in the investment gain or loss from the assets held in the Nonunitized Separate Account. Such gain or loss is borne entirely by Aetna. These assets may be chargeable with liabilities arising out of any other business of Aetna.

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1.26 Purchase Payment(s): Payment(s) accepted by Aetna at its home office. Aetna reserves the right to refuse
    to accept any Purchase Payment at any time for any reason. No advance notice will
    be given to the Contract Holder.
 
1.27 Reinvestment: Aetna will mail a notice to the Contract Holder at least 18 calendar days before a
    Guaranteed Term's Maturity Date. This notice will contain the Terms available
    during current Deposit Periods with their Guaranteed Rate(s), and projected Matured
    Term Value. If no specific direction is given by the Contract Holder prior to the
    Maturity Date, each Matured Term Value will be reinvested in the current Deposit
    Period for a Guaranteed Term of the same duration. If a Guaranteed Term of the same
    duration is unavailable, each Matured Term Value will automatically be reinvested in
    the current Deposit Period for the next shortest Guaranteed Term available. If no
    shorter Guaranteed Term is available, the next longer Guaranteed Term will be used.
    Aetna will mail a confirmation statement to the Contract Holder the next business
    day after the Maturity Date. This notice will state the Guaranteed Term and
    Guaranteed Rate(s) which will apply to the reinvested Matured Term Value.
 
1.28 Separate Account: A separate account that buys and holds shares of the Fund(s). Income, gains or
    losses, realized or unrealized, are credited or charged to the Separate Account
    without regard to other income, gains or losses of Aetna. Aetna owns the assets
    held in the Separate Account and is not a trustee as to such amounts. This Separate
    Account generally is not guaranteed and is held at market value. The assets of the
    Separate Account, to the extent of reserves and other contract liabilities of the
    Account, shall not be charged with other Aetna liabilities.
 
1.29 Surrender Value: The amount payable by Aetna upon the surrender of any portion of the Contract.
 
1.30 Transfers: The movement of invested amounts among the available Fund(s) and/or any AG Account
    Guaranteed Term made available subject to terms and conditions established by Aetna
    during the Accumulation Period or, during the Annuity Period, among the available
    Funds under a Variable Annuity.
 
1.31 Valuation Period (Period): The period of time for which a Fund determines its net asset value, usually from
    4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m.
    the next such day, or such other day that one or more of the Funds determines its
    net asset value.
 
1.32 Variable Annuity: An Annuity with payments that vary with the net investment results of one or more
Funds held under the Separate Account.

 

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II.     

GENERAL PROVISIONS

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2.01     

Change of Contract:

Only an authorized officer of Aetna may change the terms of this Contract. Aetna will notify the Contract Holder in writing at least 30 days before the effective date of any change. Any change will not affect the amount or terms of any Annuity which begins before the change.

Aetna reserves the right to refuse to accept any Purchase Payment at any time for any reason. This applies to subsequent Purchase Payments under the Contract. No advance notice will be given to the Contract Holder.

Aetna may make any change that affects the AG Account Market Value Adjustment (3.05) with at least 30 days' advance written notice to the Contract Holder. Any such change shall become effective for any new Term.

The following will not be changed:

(a) Net Purchase Payment (1.24)

(b) AG Account Guaranteed Rate (1.16)

(c) Net Return Factor(s) -- Separate Account (3.03)

(d) Current Value (1.10)

(e) Surrender Value (1.29)

(f) Fund(s) Annuity Unit Value -- Separate Account (4.05)

(g) Annuity options (4.07)

(h) Fixed Annuity Interest Rates (4.01)

(i) Transfers (1.30).

Any change that affects the Annuity Options and the tables for the Options may be made:

(a) No earlier than 12 months after the effective date of this Contract; and

(b) No earlier than 12 months after the effective date of any prior change.

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2.02 Change of Fund(s):

2.03     

Nonparticipating Contract:

2.04     

Payments and Elections:

2.05     

State Laws:

2.06     

Control of Contract:

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This Contract may be changed as deemed necessary by Aetna to comply with federal or state law.

The assets of the Separate Account are segregated by Fund. If the shares of any Fund are no longer available for investment by the Separate Account or if in our judgment, further investment in such shares should become inappropriate in view of the purpose of the Contract, Aetna may cease to make such Fund shares available for investment under the Contract prospectively, or Aetna may substitute shares of another Fund for shares already acquired. Aetna may also, from time to time, add additional Funds. Any elimination, substitution or addition of Funds will be done in accordance with applicable state and federal securities laws. Aetna reserves the right to substitute shares of another Fund for shares already acquired without a proxy vote.

The Contract Holder or Beneficiaries will not have a right to share in the earnings of Aetna.

While the Contract Holder is living, Aetna will pay the Contract Holder any Annuity payments as and when due. After the Contract Holder's death, or at the death of the first Contract Holder if the Contract is owned jointly, any Annuity payments required to be made will be paid in accordance with 4.03. Aetna will determine other payments and/or elections as of the end of the Valuation Period in which the request is received at its home office. Such payments will be made within 7 calendar days of receipt at its home office of a written claim for payment which is in good order, except as provided in 3.14.

The Contract complies with the laws of the state in which it is delivered. Any surrender, death, or Annuity payments are equal to or greater than the minimum required by such laws. Annuity tables for legal reserve valuation shall be as required by state law. Such tables may be different from Annuity tables used to determine Annuity payments.

This is a Contract between the Contract Holder and Aetna. The Contract Holder has all rights, title and interest for amounts held in the Contract. Choices made under this Contract must be in writing. If the Contract is owned jointly, both joint Contract Holders must authorize any Contract Holder change in writing. Until receipt of such choices at Aetna's home office, Aetna may rely on any previous choices made.

The Contract is not subject to the claims of any creditors of the Contract Holder, except to the extent permitted by law. The Contract Holder may assign or transfer his or her rights under the Contract. Aetna reserves the right not to accept assignment or transfer to a nonnatural person. Any assignment or transfer made under the Contract must be submitted to Aetna's home office in writing and will not be effective until accepted by Aetna.

2.07 Designation of Beneficiary: Each Contract Holder shall name his or her Beneficiary. If the Contract is owned
    jointly, both Contract Holders must agree in writing to the Beneficiary designated.
    The Beneficiary may be changed at any time. Changes to a Beneficiary must be
    submitted to Aetna's home office in writing and will not be effective until accepted
    by Aetna. If the Contract is owned jointly, at the death of one Certificate Holder,
    the survivor will be deemed the Beneficiary; any other Beneficiary on record will be
    deemed a contingent Beneficiary.
 
2.08 Misstatements and Adjustments: If Aetna finds the age of any Annuitant to be misstated, the correct facts will be
    used to adjust payments.
 
2.09 Incontestability: Aetna cannot cancel this Contract because of any error of fact on the application.
 
2.10 Grace Period: This Contract will remain in effect even if Purchase Payments are not continued
    except as provided in the Payment of Adjusted Current Value provision (see 3.16).
 
III. PURCHASE PAYMENT, CURRENT VALUE, AND SURRENDER PROVISIONS

 

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3.01 Net Purchase Payment: This amount is the actual Purchase Payment less any premium tax. Aetna reserves the
    right to pay premium taxes when due and deduct the amount from the current value
when we pay the tax or at a later date.
 
    Each Net Purchase Payment will be allocated, as directed by the Contract Holder
    among:    
 
    (a) AG Account Guaranteed Terms made available subject to terms and conditions
      established by Aetna; and  
 
    (b) The Fund(s) in which the Separate Account invests.  
 
    For each Net Purchase Payment, the Contract Holder shall tell Aetna the percentage to
    allocate to any available AG Account Guaranteed Terms and/or each Fund. Unless
    different allocation instructions are not received for any subsequent Net Purchase
    Payment, the allocation will be the same as for the Initial Purchase Payment. If the
    same Guaranteed Term is no longer available, the Net Purchase Payment will be
    allocated to the next shortest Guaranteed Term available in the current Deposit
 
 
 
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3.02     

Fund(s) Record Units -- Separate Account:

3.03     

Net Return Factor(s) -- Separate Account:

3.04     

Fund Record Unit Value -- Separate Account:

3.05     

Market Value Adjustment:

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3.05     

Market Value Adjustment (Cont'd):

14

15

Page 8 of 21

Period. If no shorter Guaranteed Term is available, the next longer Guaranteed Term will be used.

Aetna will declare from time to time the acceptability and the minimum amount for additional Purchase Payments.

The portion of the Net Purchase Payment(s) applied to each Fund under the Separate Account will determine the number of Fund record units for that Fund. This number is equal to the portion of the Net Purchase Payment(s) applied to each Fund divided by the Fund record unit value (see 3.04) for the Valuation Period in which the Purchase Payment is received in good order at Aetna's home office.

The net return factor(s) are used to compute all Separate Account record units for any Fund.

The net return factor for each Fund is equal to 1.0000000 plus the net return rate.

The net return rate is equal to:

(a) The value of the shares of the Fund held by the Separate Account at the end of the Valuation Period; minus

(b) The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

(c) Taxes (or reserves for taxes) on the Separate Account (if any); divided by

(d) The total value of the Fund record units and Fund Annuity units of the Separate Account at the start of the Valuation Period; minus

(e) A daily Separate Account charge at an annual rate as shown on Contract Schedule I for mortality and expense risks, which may include profit; and a daily administrative charge.

A net return rate may be more or less than 0%. The value of a share of the Fund is equal to the net assets of the Fund divided by the number of shares outstanding.

A Fund record unit value is computed by multiplying the net return factors for the current Valuation Period by the Fund record unit value for the previous Period. The dollar value of Fund record units, Separate Account assets, and Variable Annuity payments may go up or down due to investment gain or loss.

An MVA will apply to any withdrawal from the AG Account before the end of a Guaranteed Term when the withdrawal is due to:

(a) A Transfer; except for Transfers under the Dollar Cost Averaging program or, as specified in 1.22 Matured Term Value Transfer;

(b) A full or partial surrender (including a free withdrawal under 3.13), except for a payment made (1) under an SDO (see 3.09), or (2) under a qualified Contract, when the amount withdrawn is equal to the required minimum distribution for the Account calculated using a method permitted under the Code and agreed to by Aetna; or

(c) An election of an Annuity option (see 4.07).

Full and partial Surrenders and Transfers made within six months after the date of the Annuitant's death will be the greater of:

(a) The aggregate MVA amount which is the sum of all market value adjusted amounts calculated due to a withdrawal of amounts. This total may be greater or less than the Current Value of those amounts; or

(b) The applicable portion of the Current Value in the AG Account.

After the six-month period, the surrender or Transfer will be the aggregate MVA amount, which may be greater or less than the Current Value of those amounts.

The greater of the aggregate MVA amount or the applicable portion of the Current Value applies to amounts withdrawn from the AG Account on account of an election of Annuity options 2 or 3 (see 4.07).

Market value adjusted amounts will be equal to the amount withdrawn multiplied by the following ratio:

x
---
365

(1 + i)
-----------
x

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3.05     

Market Value Adjustment (Cont'd):

3.06     

Transfer of Current Value from the Funds or AG Account During the Accumulation Period:

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3.06     

Transfer of Current Value from the Funds or AG Account During the Accumulation Period (Cont'd):

3.07     

Notice to the Contract Holder:

3.08     

Loans:

3.09     

Systematic Distribution Options (SDOs):

Page 9 of 21

---
365
(1 + j)

Where:

i     

is the Deposit Period Yield

j     

is the Current Yield

x     

is the number of days remaining, (computed from Wednesday of the week of withdrawal) in the Guaranteed Term.

The Deposit Period Yield will be determined as follows:

(a) At the close of the last business day of each week of the Deposit Period, a yield will be computed as the average of the yields on that day of U.S.

Treasury Notes which mature in the last three months of the Guaranteed Term.

(b) The Deposit Period Yield is the average of those yields for the Deposit Period. If withdrawal is made before the close of the Deposit Period, it is the average of those yields on each week preceding withdrawal.

The Current Yield is the average of the yields on the last business day of the week preceding withdrawal on the same U.S. Treasury Notes included in the Deposit Period Yield.

In the event that no U.S. Treasury Notes which mature in the last three months of the Guaranteed Term exist, Aetna reserves the right to use the U.S. Treasury Notes that mature in the following quarter.

Before an Annuity option is elected, all or any portion of the Adjusted Current Value of the Contract Holder's Account may be transferred from any Fund or Guaranteed Term of the AG Account:

(a) To any other Fund; or

(b) To any Guaranteed Term of the AG Account made available subject to terms and conditions specified by Aetna in the current Deposit Period.

Transfer requests can be submitted as a percentage or as a dollar amount. Aetna may establish a minimum transfer amount. Within a Guaranteed Term Group, the amount to be surrendered or transferred will be withdrawn first from the oldest Deposit Period, then from the next oldest, and so on until the amount requested is satisfied.

The Contract Holder may make an unlimited number of Transfers during the Accumulation Period. The number of free Transfers allowed by Aetna is shown on Contract Schedule I. Additional Transfers may be subject to a Transfer fee as shown on Contract Schedule I.

Amounts transferred from AG Account Guaranteed Term under the Dollar Cost Averaging program, or amounts transferred as a Matured Term Value on or within one calendar month after a Term's Maturity Date do not count against the annual Transfer limit.

Amounts allocated to AG Account Guaranteed Terms may not be transferred to the Funds or to another Guaranteed Term during a Deposit Period or for 90 days after the close of a Deposit Period except for (1) Matured Term Value(s) during the calendar month following the Term's Maturity Date; (2) amounts used as a premium for an Annuity option; (3) amounts transferred under the Dollar Cost Averaging Program; and (4) amounts distributed under the Systematic Withdrawal Option.

The Contract Holder will receive quarterly statements from Aetna of:

(a) The value of any amounts held in:

(1)     

The AG Account; and

(2)     

The Fund(s) under the Separate Account.

(b) The number of any Fund(s) record units; and

(c) The Fund(s) record unit value.

Such number or values will be as of a specific date no more than 60 days before the date of the notice.

Loans are not available under this Contract.

Aetna may, from time to time, make one or more systematic distribution options (SDOs) available during the Accumulation Period. When an SDO is elected, Aetna will make automatic payments from the Certificate Holder's Account. No Surrender Fee or MVA will apply to the automatic payments made under an SDO.

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3.10 Death Benefit Amount:

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3.10     

Death Benefit Amount (Cont'd):

3.11     

Death Benefit Options available to Beneficiary:

Page 10 of 21

Any SDO will be subject to the following criteria:

(a) Any SDO will be available to similarly situated contracts uniformly, and on the basis of objective criteria consistently applied;

(b) The availability of any SDO may be limited by terms and conditions applicable to the election of such SDO; and

(c) Aetna may discontinue the availability of an SDO at any time. Except to the extent required to comply with applicable law, discontinuance of an SDO will apply only to future elections and will not affect SDOs in effect at the time an option is discontinued.

If the Contract Holder or Annuitant dies before Annuity payments start, the Beneficiary is entitled to a death benefit under the Contract. If the Contract is owned jointly, the death benefit is paid at the death of the first joint Contract Holder to die. The claim date is the date when proof of death and the Beneficiary's claim are received in good order at Aetna's home office. The amount of the death benefit is determined as follows:

(a) Death of Annuitant: The guaranteed death benefit is the greatest of:

(1)     

The sum of all Net Purchase Payment(s) made to the Contract (as of the date of death) minus the sum of all amounts surrendered, applied to an Annuity, or deducted from the Contract;

(2)     

The highest step-up value, as of the date of death, prior to the Annuitant's 75th birthday. A step-up value is determined on each anniversary of the Effective Date. Each step-up value is calculated as the Contract's Current Value on the Effective Date anniversary, increased by the amount of any Purchase Payment(s) made, and decreased by the sum of all amounts surrendered, deducted, and/or applied to an Annuity option since the Effective Date anniversary.

(3)     

The Contract's Current Value as of the date of death.

The excess, if any, of the guaranteed death benefit value over the Contract's Current Value is determined as of the date of death. Any excess amount will be deposited to the Contract and allocated to Aetna Variable Encore Fund as of the claim date. The Current Value on the claim date plus any excess amount deposited becomes the Contract's Current Value.

(b) Death of the Contract Holder if the Contract Holder is not the Annuitant: The death benefit amount is the Adjusted Current Value on the claim date. A

Surrender Fee may apply to any full or partial surrender (see 3.13 and Contract Schedule I).

(c) At the death of a spousal Beneficiary who continued the Contract in his or her own name, the death benefit amount is equal to the Adjusted Current Value less any applicable Surrender Fee (see 3.13 and Contract Schedule I) on the amount of any Purchase Payment(s) made since the death of the Annuitant.

(d) Death of the spousal beneficiary of a Contract Holder who was not the Annuitant and who continued the Contract: The death benefit amount equals the Adjusted Current Value on the claim date. A Surrender Fee may apply to any full or partial surrender (see 3.14 and Contract Schedule I).

Prior to any election, or until amounts must be otherwise distributed under this section, the Current Value will be retained in the Contract. The Beneficiary has the right to allocate or reallocate any amount to any of the available investment options (subject to an MVA, if applicable). The following options are available to the Beneficiary:

(a) When the Contract Holder is the Annuitant: If the Annuitant dies, (or when the Contract Holder is a nonnatural person):

(1) If the Beneficiary is the surviving spouse, the spousal Beneficiary will be the successor Contract Holder and may exercise all Contract Holder rights under the Contract and continue in the Accumulation Period, or may elect (i) or (ii) below. Under the Code, distributions from the Contract are not required until the spousal Beneficiary's death. The spousal Beneficiary may elect to:

(i) Apply some or all of the Adjusted Current Value to an Annuity option (see 4.07); or

(ii) Receive, at any time, a lump sum payment equal to the Adjusted Current Value.

(2) If the Beneficiary is other than the surviving spouse, then options (i) or (ii) above apply. Any portion of the death benefit not applied to an

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3.11     

Death Benefit Options available to Beneficiary (Cont'd):

(b)

(c)

Page 11 of 21

Annuity option within one year of the Contract Holder's death, must be distributed within five years of the date of death.

(3)     

If no Beneficiary exists, a lump sum payment equal to the Adjusted Current Value must be made to the Contract Holder's estate within five years of the date of death. If the Contract Holder is a nonnatural person, the death benefit is paid in one lump sum to the Contract Holder.

(4)     

If the Beneficiary is an entity, a lump sum payment equal to the Adjusted Current Value must be made within five years of the date of death.

When the Contract Holder is not the Annuitant when the Contract Holder dies:

(1)     

If the Beneficiary is the Contract Holder's surviving spouse, the spousal

  Beneficiary     

will be the successor Contract Holder and may exercise all

  Contract     

Holder rights under the Contract and continue in the

  Accumulation     

Period, or may elect (i) or (ii) below. Under the Code,

  distributions     

from the Contract are not required until the spousal

  Beneficiary's     

death. The spousal Beneficiary may elect to:

  (i)     

Apply some or all of the Adjusted Current Value to an Annuity option (see 4.07); or

  (ii)     

Receive, at any time, a lump sum payment equal to the Surrender Value.

(2)     

If the Beneficiary is other than the Contract Holder's surviving spouse,

  then     

options (i) or (ii) under (1) above apply. Any portion of the death

  benefit     

not applied to an Annuity option within one year of the Contract

  Holder's     

death will be subject to a Surrender Fee, if applicable, and

  must     

be distributed within five years of the date of death.

(3)     

If no Beneficiary exists, a lump sum payment equal to the Surrender Value

  must     

be made to the Contract Holder's estate within five years of the

  date     

of death.

(4)     

If the Beneficiary is an entity, a lump sum payment equal to the

  Surrender     

Value must be made within five years of the date of death.

When the Contract Holder is a natural person and not the Annuitant, when the Annuitant dies, the Beneficiary (or the Contract Holder if no Beneficiary exists) may elect to:

(i)     

Apply all or some of the Adjusted Current Value to an Annuity option within 60 days of the date of death; or

(ii)     

Receive a lump sum payment equal to the Adjusted Current Value.

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<PAGE>  

 

3.12 Liquidation of Surrender Value: All or any portion of the Current Value may be surrendered at any time. Surrender
    requests can be submitted as a percentage of the Current Value or as a specific
    dollar amount. Net Purchase Payment amounts are withdrawn first, and then the
    excess value, if any. For any partial surrender, amounts are withdrawn on a pro
    rata basis from the Fund(s) and/or the Guaranteed Term(s) Groups of the AG Account
    in which the Current Value is invested. Within a Guaranteed Term Group, the amount
    to be surrendered or transferred will be withdrawn first from the oldest Deposit
    Period, then from the next oldest, and so on until the amount requested is satisfied.
 
    After deduction of the Maintenance Fee, if applicable, the surrendered amount shall
    be reduced by a Surrender Fee, if applicable. An MVA may apply to amounts surrendered
    from the AG Account.  
 
3.13 Surrender Fee: The Surrender Fee only applies to the Net Purchase Payment(s) portion surrendered
    and varies according to the elapsed time since deposit (see Contract Schedule I).
    Net Purchase Payment amounts are withdrawn in the same order they were applied.
 
    No Surrender Fee is deducted from any portion of the Net Purchase Payment which is
    paid:    
 
    (a) To a Beneficiary due to the Annuitant's death before Annuity payments start, up
      to a maximum of the aggregate Net Purchase Payment(s) minus the total of all
      partial surrenders, amounts applied to an Annuity and deductions made prior to
the Annuitant's date of death;
 
    (b) As a premium for an Annuity option (see 4.07);  
 
    (c) As a distribution under an SDO (see 3.09);  
 
    (d) At least 12 months after the date of the first Purchase Payment to the
      Contract, in an amount not to exceed the amount shown on Contract Schedule I
      under Annual Waiver of Surrender Fee. This waiver of the Surrender Fee applies
      to the first full or partial surrender in the calendar year. This waiver is not
 
 
 
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(e)

(f)

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<PAGE>

3.13 Surrender Fee (Cont'd):

(g)

(h)

Page 12 of 21

available if a systematic distribution option has been in effect at any time during the calendar year;

For a full surrender where the Contract's Current Value is $2,500 or less and no surrenders have been taken from the Contract within the prior 12 months;

By Aetna under 3.15; or

If the Annuitant has spent at least 45 consecutive days in a licensed nursing care facility and each of the following conditions are met:

(1)     

more than one calendar year has elapsed since the date the Contract was issued; and

(2)     

the surrender is requested within 3 years of admission to a licensed nursing care facility.

This waiver does not apply if the Annuitant was in a nursing care facility at the time the Contract was issued.

Under a qualified Contract when the amount withdrawn is equal to the minimum distribution required by the Code for the Contract calculated using a method permitted under the Code and agreed to by Aetna.

3.14 Payment of Surrender Value: Under certain emergency conditions, Aetna may defer payment:
 
    (a) For a period of up to 6 months (unless not allowed by state law); or
 
    (b) As provided by federal law.
 
3.15 Payment of Adjusted Current Upon 90 days' written notice to the Contract Holder, Aetna will terminate any
  Value: Contract if the Current Value becomes less than $2,500 immediately following any
    partial surrender. Aetna does not intend to exercise this right in cases where the
    Current Value is reduced to $2,500 or less solely due to investment performance. A
    surrender fee will not be deducted from the Adjusted Current Value.
 
IV. ANNUITY PROVISIONS    

 

- ------------------------------------------------------------------------------------------------------------------------------------

4.01 Choices: The Contract Holder may tell Aetna to apply any portion of the Adjusted Current
    Value (minus any premium tax, if applicable,) to any Annuity under option (see
    4.07). The first Annuity payment may not be earlier than one calendar year after
    the initial Purchase Payment nor later than the later of:
 
    (a) The first day of the month following the Annuitant's 85th birthday; or
 
    (b) The tenth anniversary of the last Purchase Payment. In lieu of the election of
      an Annuity, the Contract Holder may tell Aetna to make a lump sum payment.

 

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<PAGE>

4.01 Choices (Cont'd): When an Annuity option is chosen, Aetna must also be told if payments are to be made
other than monthly and whether to pay:
 
    (a) A Fixed Annuity using the General Account;
 
    (b) A Variable Annuity using any of the Fund(s) available under this Contract for
      Annuity purposes; or

 

4.02     

Terms of Annuity Options:

(c) A combination of (a) and (b).

If a Fixed Annuity is chosen, the Annuity purchase rate for the option chosen reflects at least the Minimum Guaranteed Interest Rate (see Contract Schedule II), but may reflect a higher interest rate. If a Variable Annuity is chosen, the initial Annuity payment for the option chosen reflects the assumed annual return rate elected. (see Contract Schedule II).

During the Annuity Period when a Variable Annuity has been elected, at the request of the Contract Holder, all or any portion of the amount allocated to a Fund may be transferred to any other Fund available during the Annuity Period. Four transfers, without charge, are allowed each calendar year. Aetna reserves the right to change the number of transfers allowed.

Transfer requests must be expressed as a percentage of the allocation among the Funds of the amount upon which the Variable Annuity will be based. Aetna reserves the right to establish a minimum transfer amount. Transfers will be effective as of the Valuation Period in which Aetna receives a transfer request in good order at its Home Office.

(a) When payments start, the age of the Annuitant plus the number of years for which payments are guaranteed must not exceed 95.

(b) An Annuity option may not be elected if the first payment would be less than

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<PAGE>

4.02     

Terms of Annuity Options (Cont'd):

4.03 Death of Annuitant/Beneficiary:

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<PAGE>

4.03     

Death of Annuitant/Beneficiary (Cont'd):

4.04     

Fund(s) Annuity Units - Separate Account:

Page 13 of 21

$50 or if the total payments in a year would be less than $250 (less if required by state law). Aetna reserves the right to increase the minimum first Annuity payment amount and the minimum annual Annuity payment amount based upon increases reflected in the Consumer Price Index-Urban, (CPI-U) since July 1, 1993.

(c) If a Fixed Annuity is chosen Aetna will use the applicable current settlement rate if it will provide higher Fixed Annuity payments.

(d) For purposes of calculating the guaranteed first payment of a Variable Annuity or the payments for a Fixed Annuity, the Annuitant's and second Annuitant's adjusted age will be used. The Annuitant's and second Annuitant's adjusted age is his or her age as of the birthday closest to the Annuity commencement date reduced by one year for Annuity commencement dates occurring during the period of time from July 1, 1993 through December 31, 1999. The Annuitant's and second Annuitant's age will be reduced by two years for Annuity commencement dates occurring during the period of time from January 1, 2000 through December 31, 2009. The Annuitant's and second Annuitant's age will be reduced by one additional year for Annuity commencement dates occurring in each succeeding decade.

The Annuity purchase rates for options 2 and 3 are based on mortality from 1983 Table a.

(e) Assumed Annual Net Return Rate is the interest rate used to determine the amount of the first Annuity payment under a Variable Annuity as shown on Contract Schedule II. The Separate Account must earn this rate plus enough to cover the mortality and expense risks charges (which may include profit) and administrative charges if future Variable Annuity Payments are to remain level, (see Annuity return factor under Variable Annuity Assumed Annual Net Return Rate on Contract Schedule II).

(f) Once elected, Annuity payments cannot be commuted to a lump sum except for Variable Annuity payments under option 1 (see 4.07). The life expectancy of the Annuitant and the Annuitant and second Annuitant shall be irrevocable upon the election of an Annuity option.

(a) Contract Holder is Annuitant: When the Contract Holder is the Annuitant and the Annuitant dies under option 1 or 2, or if both the Annuitant and the second Annuitant die under option 3(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon election by the Beneficiary, any remaining payments will continue to the Beneficiary. If option 3 has been elected and the Contract Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee. If the Contract has joint Contract Holders, the surviving joint Contract Holder will be deemed the successor payee.

(b) Contract Holder is Not Annuitant: When the Contract Holder is not the Annuitant and the Contract Holder dies, the remaining payments will continue to the successor payee. If no successor payee has been designated, the Beneficiary will be treated as the successor payee. If the Contract has joint Contract Holders, the surviving joint Contract Holder will be deemed the successor payee.

If the Annuitant dies under option 1 or 2, or if both the Annuitant and the second Annuitant die under option 3(d), the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary, or upon the election by the Beneficiary, any remaining payments will continue to the Beneficiary. If option 3 has been elected, and the Annuitant dies, the remaining payments will continue to the Contract Holder.

(c) No Beneficiary Named/Surviving: If there is no Beneficiary, the present value of any remaining payments will be paid in one sum to the Contract Holder, or if the Contract Holder is not living, then to the Contract Holder's estate.

(d) If the Beneficiary or the successor payee dies while receiving Annuity payments, the present value of any remaining guaranteed payments will be paid in one sum to the successor Beneficiary/payee, or upon election by the successor Beneficiary/payee, any remaining payments will continue to the successor Beneficiary/payee. If no successor Beneficiary/payee has been designated, the present value of any remaining guaranteed payments will be paid in one sum to the Beneficiary's/payee's estate.

(e) The present value will be determined as of the Valuation Period in which proof of death acceptable to Aetna and a request for payment is received at Aetna's home office. The interest rate used to determine the first payment will be used to calculate the present value.

The number of each Fund's Annuity units is based on the amount of the first Variable Annuity payment which is equal to:

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(a) The portion of the Current Value applied to pay a Variable Annuity (minus any premium tax); divided by

(b) 1,000; multiplied by

(c) The payment rate for the option chosen.

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<PAGE>

4.04 Fund(s) Annuity Units -- Such amount, or portion, of the variable payment will be divided by the appropriate
  Separate Account (Cont'd): Fund Annuity unit value (see 4.05) on the tenth Valuation Period before the due date
    of the first payment to determine the number of each Fund Annuity units. The number
    of each Fund Annuity units remains fixed. Each future payment is equal to the sum of
    the products of each Fund Annuity unit value multiplied by the appropriate number of
    Units. The Fund Annuity unit value on the tenth Valuation Period prior to the due
    date of the payment is used.
 
4.05 Fund(s) Annuity Unit Value -- For any Valuation Period, a Fund Annuity unit value is equal to:
  Separate Account:    
    (a) The value for the previous Period; multiplied by
 
    (b) The Annuity net return factor(s) (see 4.06 below) for the Period; multiplied by
 
    (c) A factor to reflect the assumed annual net return rate (see Contract Schedule
      II).
 
    The dollar value of a Fund Annuity unit values and Annuity payments may go up or down
    due to investment gain or loss.
 
4.06 Annuity Net Return Factor(s) -- The Annuity net return factor(s) are used to compute Annuity payments for any Fund.
  Separate Account:    
    The Annuity net return factor for each Fund is equal to 1.0000000 plus the net return
    rate.  
 
    The net return rate is equal to:
 
    (a) The value of the shares of the Fund held by the Separate Account at the end of
a Valuation Period; minus
 
    (b) The value of the shares of the Fund hold by the Separate Account at the start
      of the Valuation Period; plus or minus
 
    (c) Taxes (or reserves for taxes) on the Separate Account (if any); divided by
 
    (d) The total value of the Fund record units and Fund Annuity units of the Separate
      Account at the start of the Valuation Period; minus
 
    (e) A daily charge for Annuity mortality and expense risks, which may include
      profit, and a daily administrative charge (at the annual rate as shown on
      Contract Schedule II).
 
    A net return rate may be more or less than 0%.
 
    The value of a share of the Fund is equal to the net assets of the Fund divided by
    the number of shares outstanding.
 
    Payments shall not be changed due to changes in the mortality or expense results or
    administrative charges.

 

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<PAGE>

4.07 Annuity Options: Option 1 -- Payments for a Specified Period: Payments are made for the number of
    years specified by the Contract Holder. The number of years must be at least five
    and not more than 30.  
 
    Option 2 -- Life income based on the life of one Annuitant: Payments are made until
    the death of the Annuitant. When this option is elected, the Contract Holder must
    also choose one of the following:  
 
    (a) payments cease at the death of the Annuitant;  
 
    (b) payments are guaranteed for a specified period from five to 30 years;
 
    (c) cash refund: when the Annuitant dies, the Beneficiary will receive a lump sum
      payment equal to the amount applied to the Annuity option (less any premium
      tax, if applicable) less the total amount of Annuity payments made prior to
      such death. This cash refund feature is only available if the total amount
      applied to the Annuity option is allocated to a Fixed Annuity.  
 
    Option 3 -- Life income based on the lives of two Annuitants: Payments are made for
    the lives of two Annuitants, one of whom is designated the second Annuitant, and
    cease only when both Annuitants have died. When this option is elected, the Contract
    Holder must also choose one of the following:  
 
 
 
 
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Page 15 of 21

(a) 100% of the payment to continue after the first death; (b) 66-2/3% of the payment to continue after the first death; (c) 50% of the payment to continue after the first death;

(d) 100% of the payment to continue after the first death and payments are guaranteed for a period of five to 30 years;

(e) 100% of the payment to continue at the death of the designated second Annuitant and 50% of the payment to continue at the death of the Annuitant; or

(f) 100% of the payment continues after the first death with a cash refund feature. When the Annuitant and designated second Annuitant die, the Beneficiary will receive a lump sum payment equal to the amount applied to the Annuity option (less any premium tax) less the total amount of Annuity payments paid prior to such death. This cash refund feature is only available if the total amount applied to the Annuity option is allocated to a Fixed Annuity.

If a Fixed Annuity is chosen under Option 1, Option 2 (a) or (b), or Option 3 (a) or (d), the Contract Holder may elect, at the time the Annuity option is selected, an annual increase of one, two or three percent compounded annually.

As allowed under applicable state law, Aetna reserves the right to offer additional Annuity options.

</TABLE>

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<PAGE>

OPTION 1: Payments for a Specified Period

- --------------------------------------------------------------------------------Monthly Amount for Each $1,000* Rates for a Fixed Annuity with a 3% Guaranteed Interest Rate - --------------------------------------------------------------------------------Years Payment Years Payment

  • ---------------------- --------------------- --------------------- -------------

5 17.91 18 5.96
6 15.14 19 5.73
7 13.16 20 5.51
8 11.68 21 5.32
9 10.53 22 5.15
10 9.61 23 4.99
11 8.86 24 4.84
12 8.24 25 4.71
13 7.71 26 4.59
14 7.26 27 4.47
15 6.87 28 4.37
16 6.53 29 4.27
17 6.23 30 4.18

 

- --------------------------------------------------------------------------------

First Month Amount for Each $1,000*

Rates for a Variable Annuity with a 3.5% Assumed Interest Rate

- --------------------------------------------------------------------------------

Years Payment Years Payment

  • ---------------------- --------------------- --------------------- -------------

5 18.12 18 6.20
6 15.35 19 5.97
7 13.38 20 5.75
8 11.90 21 5.56
9 10.75 22 5.39
10 9.83 23 5.24
11 9.09 24 5.09
12 8.46 25 4.96
13 7.94 26 4.84
14 7.49 27 4.73
15 7.10 28 4.63
16 6.76 29 4.53
17 6.47 30 4.45

 

- --------------------------------------------------------------------------------First Month Amount for Each $1,000* Rates for a Variable Annuity with a 5% Assumed Interest Rate - --------------------------------------------------------------------------------

Years

Payment

Years

Payment

  • ---------------------- --------------------- --------------------- -------------

5 18.74 18 6.94  
6 15.99 19 6.71  
7 14.02 20 6.51  
8 12.56 21 6.33  
9 11.42 22 6.17  
10 10.51 23 6.02  
11 9.77 24 5.88  
12 9.16 25 5.76  
13 8.64 26 5.65  
14 8.20 27 5.54  
15 7.82 28 5.45  
16 7.49 29 5.36  
17 7.20 30 5.28  
 
 
 
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  • -------------------------------------------------------------------------------- * Net of any applicable premium tax deduction

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<PAGE>

     Option 2: Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>

- -----------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate - -----------------------------------------------------------------------------------------------------------------------

  Option 2(a): Option 2(b): Option 2(b): Option 2(b): Option 2(b): Option 2(c):
  payments for payments payments payments payments Cash Refund
  life guaranteed 5 guaranteed 10 guaranteed 15 guaranteed 20  
Adjusted   years years years years  

 

Age of ----------------- ----------------- ------------------ ----------------- ------------------ ------------------

 

Annuitant Male Female Male Female Male Female Male Female Male Female Male Female

  • -------- ------- --------- ------- --------- ------- ---------- ------- --------- -------- --------- -------- ---------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
50 $ 4.27 $ 3.90 $ 4.26 $ 3.90 $ 4.22 $ 3.89 $ 4.17 $ 3.86 $ 4.08 $ 3.82 $ 4.04 $ 3.78
51 4.34 3.97 4.33 3.96 4.30 3.95 4.23 3.92 4.14 3.88 4.10 3.84
52 4.43 4.03 4.41 4.03 4.37 4.01 4.30 3.98 4.20 3.93 4.16 3.89
53 4.51 4.10 4.50 4.10 4.45 4.08 4.37 4.04 4.26 3.99 4.23 3.95
54 4.60 4.18 4.59 4.17 4.54 4.15 4.45 4.11 4.32 4.04 4.29 4.01
 
55 4.70 4.25 4.68 4.25 4.62 4.22 4.53 4.18 4.39 4.11 4.37 4.07
56 4.80 4.34 4.78 4.33 4.72 4.30 4.61 4.25 4.45 4.17 4.44 4.13
57 4.91 4.42 4.89 4.41 4.82 4.38 4.69 4.32 4.51 4.23 4.52 4.20
58 5.03 4.52 5.00 4.51 4.92 4.47 4.78 4.40 4.58 4.30 4.61 4.28
59 5.15 4.61 5.12 4.60 5.03 4.56 4.87 4.48 4.65 4.37 4.69 4.35
 
60 5.28 4.72 5.25 4.70 5.14 4.66 4.96 4.57 4.71 4.44 4.78 4.43
61 5.43 4.83 5.39 4.81 5.27 4.76 5.06 4.66 4.78 4.51 4.88 4.52
62 5.58 4.95 5.53 4.93 5.39 4.87 5.16 4.75 4.84 4.58 4.98 4.60
63 5.74 5.08 5.69 5.05 5.53 4.98 5.26 4.85 4.90 4.65 5.09 4.70
64 5.91 5.21 5.85 5.18 5.66 5.10 5.36 4.95 4.96 4.72 5.20 4.80
 
65 6.10 5.36 6.03 5.32 5.81 5.22 5.46 5.05 5.02 4.79 5.31 4.90
66 6.30 5.51 6.21 5.47 5.96 5.36 5.56 5.16 5.08 4.86 5.44 5.01
67 6.51 5.67 6.41 5.63 6.12 5.50 5.66 5.26 5.13 4.93 5.56 5.12
68 6.73 5.85 6.62 5.80 6.28 5.65 5.77 5.37 5.18 5.00 5.70 5.24
69 6.97 6.04 6.84 5.98 6.44 5.80 5.86 5.49 5.23 5.06 5.84 5.37
 
70 7.23 6.25 7.07 6.18 6.61 5.97 5.96 5.60 5.27 5.12 5.98 5.51
71 7.51 6.47 7.32 6.39 6.79 6.14 6.05 5.71 5.31 5.18 6.14 5.65
72 7.80 6.71 7.58 6.62 6.96 6.32 6.14 5.83 5.34 5.23 6.30 5.80
73 8.12 6.98 7.85 6.86 7.14 6.50 6.23 5.94 5.37 5.28 6.47 5.96
74 8.46 7.26 8.14 7.12 7.32 6.69 6.31 6.04 5.40 5.32 6.65 6.13
 
75 8.82 7.57 8.45 7.40 7.50 6.89 6.38 6.14 5.42 5.35 6.83 6.31

 

- -----------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

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<PAGE>

     Option 2 Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>

- ----------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate - ----------------------------------------------------------------------------------------------------------------

  Option 2(a): Option 2(b): Option 2(b): Option 2(b): Option 2(b):
  payments for life payments payments payments payments
Adjusted   guaranteed 5 years guaranteed 10 years guaranteed 15 years guaranteed 20 years

 

Age of ------------------- -------------------- -------------------- -------------------- --------------------Annuitant Male Female Male Female Male Female Male Female Male Female

  • -------- --------- --------- ---------- --------- ---------- --------- --------- ---------- --------- ----------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>  
50 $ 4.56 $ 4.20 $ 4.55 $ 4.19 $ 4.51 $ 4.18 $ 4.45 $ 4.15 $ 4.36 $ 4.11  
51 4.64 4.26 4.62 4.25 4.58 4.24 4.51 4.21 4.42 4.16  
52 4.72 4.32 4.70 4.32 4.66 4.30 4.58 4.26 4.48 4.21  
53 4.80 4.39 4.79 4.38 4.74 4.36 4.65 4.32 4.53 4.27  
54 4.89 4.46 4.87 4.46 4.82 4.43 4.73 4.39 4.59 4.32  
 
55 4.99 4.54 4.97 4.53 4.91 4.50 4.80 4.46 4.65 4.38  
56 5.09 4.62 5.07 4.61 5.00 4.58 4.88 4.53 4.72 4.44  
57 5.20 4.71 5.17 4.70 5.10 4.66 4.96 4.60 4.78 4.50  
58 5.32 4.80 5.29 4.79 5.20 4.75 5.05 4.68 4.84 4.57  
59 5.44 4.90 5.41 4.88 5.31 4.84 5.14 4.76 4.91 4.63  
 
60 5.57 5.00 5.53 4.99 5.42 4.93 5.23 4.84 4.97 4.70  
61 5.71 5.11 5.67 5.09 5.54 5.03 5.32 4.93 5.03 4.77  
 
 
 
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62 5.86 5.23 5.81 5.21 5.66 5.14 5.42 5.02 5.09 4.84
63 6.02 5.36 5.97 5.33 5.79 5.25 5.51 5.11 5.16 4.91
64 6.20 5.49 6.13 5.46 5.93 5.37 5.61 5.21 5.21 4.98
 
65 6.38 5.64 6.31 5.60 6.07 5.49 5.71 5.31 5.27 5.05
66 6.58 5.79 6.49 5.75 6.22 5.63 5.81 5.41 5.32 5.12
67 6.79 5.95 6.69 5.91 6.38 5.76 5.91 5.52 5.38 5.18
68 7.02 6.13 6.89 6.08 6.53 5.91 6.01 5.63 5.42 5.25
69 7.26 6.32 7.11 6.26 6.70 6.06 6.11 5.74 5.47 5.31
 
70 7.52 6.53 7.35 6.45 6.86 6.23 6.20 5.85 5.51 5.37
71 7.80 6.75 7.59 6.66 7.03 6.39 6.29 5.96 5.54 5.42
72 8.09 6.99 7.85 6.89 7.21 6.57 6.38 6.07 5.57 5.47
73 8.41 7.26 8.12 7.13 7.38 6.75 6.46 6.17 5.60 5.51
74 8.75 7.54 8.41 7.39 7.55 6.94 6.53 6.28 5.63 5.55
 
75 9.12 7.85 8.71 7.66 7.73 7.13 6.61 6.38 5.65 5.59

 

- ----------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

I-MP2(5/97)

31

<PAGE>

     Option 2 Life Income Based on the Life of One Annuitant <TABLE> <CAPTION>

- ----------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate - ----------------------------------------------------------------------------------------------------------------

  Option 2(a): Option 2(b): Option 2(b): Option 2(b): Option 2(b):
  payments for life payments payments payments payments
Adjusted   guaranteed 5 years guaranteed 10 years guaranteed 15 years guaranteed 20 years

 

Age of ------------------- -------------------- -------------------- -------------------- --------------------Annuitant Male Female Male Female Male Female Male Female Male Female

  • -------- --------- --------- ---------- --------- ---------- --------- --------- ---------- --------- ----------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
50 $ 5.48 $ 5.12 $ 5.46 $ 5.11 $ 5.41 $ 5.09 $ 5.34 $ 5.06 5.24 $ 5.01
51 5.55 5.17 5.53 5.17 5.48 5.14 5.40 5.11 5.29 5.05
52 5.63 5.23 5.61 5.23 5.55 5.20 5.46 5.16 5.34 5.10
53 5.71 5.30 5.69 5.29 5.62 5.26 5.53 5.22 5.40 5.15
54 5.80 5.37 5.77 5.36 5.70 5.33 5.60 5.27 5.45 5.20
 
55 5.89 5.44 5.86 5.43 5.79 5.39 5.67 5.34 5.51 5.25
56 5.99 5.52 5.96 5.51 5.87 5.47 5.74 5.40 5.56 5.31
57 6.10 5.60 6.06 5.59 5.97 5.54 5.82 5.47 5.62 5.37
58 6.21 5.69 6.17 5.67 6.06 5.62 5.90 5.54 5.68 5.42
59 6.33 5.79 6.29 5.77 6.17 5.71 5.98 5.61 5.74 5.48
 
60 6.46 5.89 6.41 5.87 6.28 5.80 6.06 5.69 5.79 5.55
61 6.60 6.00 6.55 5.97 6.39 5.90 6.15 5.77 5.85 5.61
62 6.75 6.11 6.69 6.08 6.51 6.00 6.24 5.86 5.91 5.67
63 6.91 6.23 6.84 6.20 6.64 6.10 6.33 5.95 5.96 5.73
64 7.09 6.37 7.00 6.33 6.77 6.22 6.42 6.04 6.02 5.80
 
65 7.27 6.51 7.18 6.46 6.91 6.34 6.52 6.13 6.07 5.86
66 7.47 6.66 7.36 6.61 7.05 6.46 6.61 6.23 6.12 5.92
67 7.68 6.82 7.55 6.76 7.20 6.60 6.70 6.33 6.16 5.99
68 7.91 7.00 7.76 6.93 7.35 6.74 6.80 6.43 6.21 6.04
69 8.15 7.19 7.98 7.11 7.51 6.89 6.89 6.54 6.25 6.10
 
70 8.41 7.39 8.21 7.30 7.67 7.04 6.97 6.64 6.28 6.15
71 8.69 7.62 8.45 7.51 7.83 7.21 7.06 6.74 6.32 6.20
72 8.99 7.86 8.70 7.73 8.00 7.38 7.14 6.85 6.35 6.25
73 9.31 8.12 8.97 7.97 8.16 7.55 7.21 6.95 6.37 6.29
74 9.65 8.41 9.26 8.23 8.33 7.73 7.29 7.04 6.39 6.3
 
75 10.02 8.72 9.55 8.50 8.50 7.92 7.35 7.14 6.41 6.36

 

- ----------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

I-MP2(5/97)

32

<PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- ----------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate Annuitant is Female and Second Annuitant is Male - ----------------------------------------------------------------------------------------------------------------------Adjusted Ages - ---------------------------Second

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Annuitant

Annuitant Option 3(a) Option 3(b)

Option 3(c)

Option 3(d)

Option 3(e)

Option 3(f)

  • ------------- ------------- -------------- --------------- -------------- -------------- --------------- -------------

<S> <C> <C> <C> <C> <C> <C> <C>
55 50 $ 3.75 $ 4.07 $ 4.26 $ 3.75 $ 3.98 $ 3.72
55 55 3.88 4.25 4.47 3.87 4.06 3.85
55 60 3.99 4.44 4.71 3.98 4.12 3.94
 
60 55 4.06 4.47 4.71 4.06 4.37 4.02
60 60 4.24 4.71 4.99 4.23 4.47 4.17
60 65 4.38 4.97 5.32 4.38 4.54 4.29
 
65 60 4.49 5.01 5.32 4.48 4.89 4.39
65 65 4.72 5.33 5.70 4.71 5.02 4.59
65 70 4.93 5.68 6.15 4.91 5.14 4.74
 
70 65 5.07 5.75 6.17 5.05 5.60 4.87
70 70 5.40 6.21 6.70 5.36 5.79 5.13
70 75 5.69 6.68 7.32 5.62 5.96 5.29
 
75 70 5.89 6.82 7.40 5.81 6.63 5.48
75 75 6.37 7.45 8.15 6.23 6.92 5.78
75 80 6.78 8.11 8.99 6.54 7.15 5.93

 

- ----------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

I-MP2(5/97)

33

<PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- --------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate Annuitant is Female and Second Annuitant is Male - --------------------------------------------------------------------------------------------------------Adjusted Ages - ---------------------------Second Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)

  • ------------- ------------- -------------- --------------- -------------- -------------- ---------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 4.03 $ 4.36 $ 4.55 $ 4.03 $ 4.27
55 55 4.16 4.54 4.76 4.15 4.34
55 60 4.27 4.73 5.00 4.26 4.40
 
60 55 4.34 4.76 5.00 4.34 4.65
60 60 4.51 4.99 5.27 4.50 4.74
60 65 4.66 5.25 5.61 4.65 4.82
 
65 60 4.76 5.29 5.60 4.75 5.16
65 65 4.99 5.61 5.99 4.98 5.30
65 70 5.19 5.97 6.44 5.17 5.41
 
70 65 5.34 6.03 6.46 5.31 5.88
70 70 5.67 6.49 6.99 5.62 6.07
70 75 5.95 6.96 7.61 5.87 6.23
 
75 70 6.16 7.10 7.68 6.07 6.90
75 75 6.64 7.73 8.43 6.48 7.19
75 80 7.04 8.39 9.29 6.79 7.42

 

- --------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

I-MP2(5/97)

34

<PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- ---------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate Annuitant is Female and Second Annuitant is Male - ---------------------------------------------------------------------------------------------------------------Adjusted Ages

- --------------------------------        
  Second          
Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)

 

  • ---------------- --------------- --------------- -------------- --------------- --------------- ---------------

<S> <C> <C> <C> <C> <C> <C>  
55 50 $ 4.93 $ 5.27 $ 5.46 $ 4.93 $ 5.17  
55 55 5.04 5.44 5.66 5.04 5.23  
 
 
 
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55 60 5.15 5.63 5.91 5.14 5.29
 
60 55 5.21 5.65 5.89 5.21 5.53
60 60 5.37 5.87 6.16 5.37 5.62
60 65 5.52 6.14 6.51 5.51 5.70
 
65 60 5.61 6.16 6.49 5.60 6.03
65 65 5.83 6.49 6.87 5.82 6.15
65 70 6.04 6.84 7.34 6.00 6.27
 
70 65 6.17 6.90 7.33 6.13 6.73
70 70 6.49 7.35 7.87 6.44 6.91
70 75 6.77 7.84 8.51 6.68 7.07
 
75 70 6.97 7.96 8.56 6.87 7.75
75 75 7.45 8.60 9.33 7.27 8.04
75 80 7.86 9.28 10.20 7.57 8.27

 

- ---------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

I-MP2(5/97)

35

<PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- ------------------------------------------------------------------------------------------------------------------------------Monthly Payment Amount for Each $1,000* Rates for a Fixed Annuity with 3% Guaranteed Interest Rate Annuitant is Male and Second Annuitant is Female - ------------------------------------------------------------------------------------------------------------------------------Adjusted Ages

- -------------------------------          
  Second            
Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e) Option 3(f)

 

  • --------------- --------------- --------------- -------------- --------------- --------------- --------------- ---------------

<S> <C> <C> <C> <C> <C> <C> <C>
55 50 $ 3.69 $ 4.05 $ 4.27 $ 3.69 $ 4.13 $ 3.67
55 55 3.88 4.25 4.47 3.87 4.25 3.85
55 60 4.06 4.47 4.71 4.06 4.36 4.02
 
60 55 3.99 4.44 4.71 3.98 4.55 3.94
60 60 4.24 4.71 4.99 4.23 4.70 4.17
60 65 4.49 5.01 5.32 4.48 4.85 4.39
 
65 60 4.38 4.97 5.32 4.38 5.10 4.29
65 65 4.72 5.33 5.70 4.71 5.32 4.59
65 70 5.07 5.75 6.17 5.05 5.54 4.87
 
70 65 4.93 5.68 6.15 4.91 5.86 4.74
70 70 5.40 6.21 6.70 5.36 6.18 5.13
70 75 5.89 6.82 7.40 5.81 6.49 5.48
 
75 70 5.69 6.68 7.32 5.62 6.92 5.29
75 75 6.37 7.45 8.15 6.23 7.40 5.78
75 80 7.07 8.34 9.16 6.78 7.85 6.17

 

- ------------------------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

I-MP2(5/97)

36

<PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- ---------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 3.5% Assumed Interest Rate Annuitant is Male and Second Annuitant is Female - ---------------------------------------------------------------------------------------------------------------Adjusted Ages

- --------------------------------        
  Second          
Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)

 

  • ---------------- --------------- --------------- -------------- --------------- --------------- ---------------

<S> <C> <C> <C> <C> <C> <C>  
55 50 $ 3.97 $ 4.35 $ 4.56 $ 3.97 $ 4.42  
55 55 4.16 4.54 4.76 4.15 4.54  
55 60 4.34 4.76 5.00 4.34 4.64  
 
60 55 4.27 4.73 5.00 4.26 4.83  
60 60 4.51 4.99 5.27 4.50 4.98  
60 65 4.76 5.29 5.60 4.75 5.13  
 
 
 
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65 60 4.66 5.25 5.61 4.65 5.39
65 65 4.99 5.61 5.99 4.98 5.60
65 70 5.34 6.03 6.46 5.31 5.81
 
70 65 5.19 5.97 6.44 5.17 6.14
70 70 5.67 6.49 6.99 5.62 6.47
70 75 6.16 7.10 7.68 6.07 6.77
 
75 70 5.95 6.96 7.61 5.87 7.20
75 75 6.64 7.73 8.43 6.48 7.68
75 80 7.33 8.62 9.45 7.02 8.13

 

- ---------------------------------------------------------------------------------------------------------------</TABLE> * Net of any applicable premium tax deduction

I-MP2(5/97)

37

<PAGE>

     Option 3: Life Income Based on the Lives of Two Annuitants <TABLE> <CAPTION>

- ---------------------------------------------------------------------------------------------------------------------------First Month Payment Amount for Each $1,000* Rates for a Variable Annuity with 5% Assumed Interest Rate Annuitant is Male and Second Annuitant is Female - ---------------------------------------------------------------------------------------------------------------------------

Adjusted Ages          
- -----------------------------------        
  Second          
Annuitant Annuitant Option 3(a) Option 3(b) Option 3(c) Option 3(d) Option 3(e)

 

  • ------------------ ---------------- ----------------- ---------------- ----------------- ----------------- ----------------

<S> <C> <C> <C> <C> <C> <C>
55 50 $ 4.88 $ 5.26 $ 5.48 $ 4.88 $ 5.34
55 55 5.04 5.44 5.66 5.04 5.43
55 60 5.21 5.65 5.89 5.21 5.53
 
60 55 5.15 5.63 5.91 5.14 5.73
60 60 5.37 5.87 6.16 5.37 5.86
60 65 5.61 6.16 6.49 5.60 6.01
 
65 60 5.52 6.14 6.51 5.51 6.28
65 65 5.83 6.49 6.87 5.82 6.47
65 70 6.17 6.90 7.33 6.13 6.67
 
70 65 6.04 6.84 7.34 6.00 7.03
70 70 6.49 7.35 7.87 6.44 7.33
70 75 6.97 7.96 8.56 6.87 7.62
 
75 70 6.77 7.84 8.51 6.68 8.08
75 75 7.45 8.60 9.33 7.27 8.55
75 80 8.14 9.49 10.35 7.80 8.98

 

- ---------------------------------------------------------------------------------------------------------------------------

</TABLE>  
* Net of any applicable premium tax deduction  
 
 
 
I-MP2(5/97)  
 
38  
<PAGE>  
 
 
 
- --------------------------------------------------------------------------------  
 
 
Aetna Insurance Company of America  
Home Office: 151 Farmington Avenue  
P.O. Box 30670  
Hartford, Connecticut 06150-0670  
(800) 531-4547  
 
Individual Variable, Fixed, or Combination Annuity Contract  
Nonparticipating  
- --------------------------------------------------------------------------------  
 
 
 
 
ALL PAYMENTS AND VALUES PROVIDED BY THE CONTRACT, WHEN BASED ON INVESTMENT  
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO  
FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA.  
APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR  
DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT  
APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.  
 
 
- --------  
 
 
 
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I-MP2(5/97)

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03/26/2018

EX-16 18 ex164m.htm EXHIBIT 16(4)(M) CERTIFICATE GP2CERT (5/97) ex164m.htm - Generated by SEC Publisher for SEC Filing

Page 1 of 24

Exhibit 16(4)(m) - Aetna Insurance Company of America  
Home Office: 151 Farmington Avenue  
P.O. Box 30670  
Hartford, Connecticut 06150-0670  
(800) 531-4547  
 
You may call the toll-free number shown above for answers to  
questions or to resolve a complaint.  
 
Aetna Insurance Company of America (We or Us), a stock company, agrees to pay  
benefits according to the terms and conditions set forth in this Contract.  
 
- -------------------------------------------------------------------------------  
Certificate of Group Annuity Coverage  
 
Aetna certifies that an account is established for you under the Group Annuity  
Contract and Certificate numbers shown below.  
 
This certificate describes Group Annuity Contract provisions. It replaces any  
and all prior certificates or endorsements issued to you under the stated  
Contract and Certificate numbers. This Certificate is for information only and  
is not a part of the Contract.  
 
The variable features of the Group Contract are described in sections 6 and 12.  
 
- -------------------------------------------------------------------------------  
Right to Cancel    
 
The Certificate Holder may cancel the Certificate within ten (10) days of  
receiving it by returning it to Us at the address above or the person from whom  
it was purchased. Within seven (7) days of the cancellation request, We will  
return the Certificate Holder's Purchase Payment(s) made plus any increase, or  
minus any decrease on the amount allocated to the Separate Account.  
 
Signed at the home office on the Effective Date.  
 
/s/ Dan Kearney /s/ Maria F. McKeon  
President Secretary  
 
- ---------------------------------------------------------  
Contract Holder Group Annuity Contract Number  
 
SPECIMEN SPECIMEN  
SPECIMEN    
- ---------------------------------------------------------  
Certificate Holder Certificate Number  
 
SPECIMEN SPECIMEN  
SPECIMEN    
- ---------------------------------------------------------  
Annuitant Name Type of Plan  
 
SPECIMEN SPECIMEN  
SPECIMEN    
 
 
 
<PAGE>    
 
 
 
ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT  
EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO  
FIXED DOLLAR AMOUNT. THIS CERTIFICATE CONTAINS A MARKET VALUE ADJUSTMENT  
FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN  
INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA  
DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.  
 
 
  2  
<PAGE>    
 
 
Table of Contents    
 
<TABLE>    
<CAPTION>    
 
    Page
<S>   <C>
 
Right to Cancel   1
 
 
Contract Schedule   5
 
Separate Account   5
AICA Guaranteed Account (AG Account) 5
Separate Account and AG Account 5
Fixed Annuity   7
 
Section 1. Definitions   8
 
 
 
 
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    Page 2 of 24
 
 
 
 
Section 2. General Provisions 10
 
  The Contract 10
  Certificates 10
  Nonparticipating Contract 10
  Misstatements and Adjustments 10
  Reports 10
  Premium Taxes 10
  Protection of Proceeds 10
  Evidence of Survival 11
  Proof of Age 11
  Change of Contract 11
 
Section 3. Ownership 12
 
  Group Contract Holder 12
  Certificate Holder Rights 12
  Transfer of Ownership 12
 
Section 4. Beneficiary Provisions 12
 
  Beneficiary 12
  Change of Beneficiary 13
  Death of Beneficiary 13
 
Section 5. Purchase Payments 13
 
  Purchase Payments 13
  Allocation of Purchase Payments 13
 
Section 6. Separate Account 13
 
  General 13
  Investment Allocations to the Separate Account 14
  Valuation of Assets 14
  Accumulation Unit 14
  Net Return Factor for Each Valuation Period 14
  Administrative Charge 15
  Mortality Risk Charge 15
  Expense Risk Charge 15
  Mortality and Expense Guarantee 15
 
 
  3  
<PAGE>    
 
    Page
 
Section 7. AG Account 15
 
  AG Account Guaranteed Interest Rate 15
  Deposit Period 15
  Guaranteed Term 15
  Guaranteed Term(s) Groups 15
  Maturity Date 15
  Allocation of Net Purchase Payments to the AG Guaranteed Account 16
  AG Account Guaranteed Term Maturity Date and Maturity Value 16
  Withdrawals from the AG Account 16
  Reinvestment 17
  AG Account Market Value Adjustment (Factor) 17
 
Section 8. Certificate Holder's Account Value; Transfers and Withdrawals  
During the Accumulation Period 18
 
  Certificate Holder's Account Value 18
  Transfers During the Accumulation Period 18
  Withdrawals During the Accumulation Period 19
  Deferred Sales Charge 19
  Waiver of Deferred Sales Charge 19
  Payment of Adjusted Certificate Holder Account Value 19
  Systematic Withdrawal Option (SWO) 20
 
Section 9. Maintenance Charge 21
 
  Maintenance Charge 21
 
Section 10. Proceeds Payable on Death 21
 
  Death of the Certificate Holder Prior to the Annuity Date 21
  Death Benefit Amount Prior to the Annuity Date 21
  Death Benefit Payment Methods 23
  Death of Certificate Holder On or After the Annuity Date 23
  Death of the Annuitant 23
 
Section 11. Delay of Payments 24
 
  Delay of Payments 24
 
Section 12. Annuity Provisions 24
 
  Designation of Annuitant 24
  Terms of Annuity Options 25
  Annuity Unit 26
  Annuity Unit Value 26
  Annuity Net Return Factor 26
 
 
 
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     Annuity Options 27 </TABLE>

4

<PAGE>

Contract Schedule

Separate Account

- -----------------------------------------------------------------------------

Separate Account: Variable Account B  
 
Charges to the A daily charge is deducted from the assets of the Separate
Separate Account: Account. The deduction is the daily equivalent of the
  annual effective percentage shown below:  
 
  (a) During the Accumulation Period:  
 
    Administrative Charge 0.15%
    Mortality Risk Charge 0.35%
    Expense Risk Charge 0.90%
    TOTAL Separate Account Charges  
    During Accumulation Period 1.40%
 
  (b) During the Annuity Period  
 
    Administrative Charge Not To Exceed 0.25%
    Mortality Risk Charge 0.35%
    Expense Risk Charge 0.90%
    TOTAL Maximum Separate Account Charges  
    During Annuity Period 1.50%

 

AICA Guaranteed Account (AG Guaranteed Account)

- ------------------------------------------------------------------------------

Minimum Guaranteed 3.0%
Interest Rate  
(effective annual rate  
of return):  

 

Separate Account and AG Account

- -------------------------------------------------------------------------------

Minimum Initial $1,500  
Purchase Payment:    
 
Minimum Subsequent $500 or $50 per month if paid by an automatic check plan
Purchase Payment:    
 
Maximum Subsequent $1,000,000 without home office approval
Purchase Payment:    
 
Transfers: We allow an unlimited number of transfers during the
  Accumulation Period. Twelve (12) transfers in any
  calendar year are free. Thereafter, We reserve the right
  to charge a transfer charge up to $10 for each subsequent
  transfer.  
 
 
5
 
<PAGE>    
 
Maintenance Charge: The annual maintenance charge is $30. If the Certificate
  Holder's Account is $50,000 or more on the date the
  maintenance charge is to be deducted, the maintenance
  charge is $0.  
 
Deferred Sales For each withdrawal from a Certificate Holder's Account, a
Charge: deferred sale charge for each Net Purchase Payment will be
  determined as follows:  
 
  Years from Receipt of Deferred
  Net Purchase Payment Sales Charge

 

  0-1 7%
  1-2 6%
  2-3 5%
  3-4 4%
  4-5 3%
  5-6 2%
  6-7 1%
  7+ 0%
 
Waiver of Deferred Section 8.05 provides for the following:  
Sales Charge:    

 

(c)     

At least 12 months after the date of the first Purchase Payment in an amount equal to or less than 15% of the Certificate Holder's Account Value.

(d)     

For a full withdrawal where the Certificate Holder's Account Value does not exceed $2,500 and no

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  withdrawals have been taken from the Certificate
  Holder's Account within the prior 12 months.  
 
Systematic (a) Specified Payment - Maximum Percentage: 10%
Withdrawal Option:    
  (b) Specified Period - Minimum Period: 10 years
 
  (c) Specified Percentage - Maximum Percentage: 10%
 
Death Benefit Factor: 4%  
 
Death Benefit There is no maximum death benefit amount.  
Maximum Amount:    
 
Death Benefit 85 years  
Maximum Age:    
 
Fund for Allocation Federated Prime Money Fund II  
of Excess Guaranteed    
Death Benefit Value:    

 

6

<PAGE>

Latest Annuity Date: The Certificate Holder's 90th birthday.

Fixed Annuity

- -------------------------------------------------------------------------------

Minimum Guaranteed 3.0%
Interest Rate  
(effective annual rate  
of return):  

 

7

<PAGE>

Section 1. Definitions

  • -------------------------------------------------------------------------------

  • Accumulation Period - The period during which one or more Net Purchase

Payments applied to a Certificate Holder's Account accumulate to
provide future Annuity payments.

1.02     

Accumulation Unit - A measure of the net investment results for each variable investment option during the Accumulation Period. The Accumulation Units for the applicable Funds are used to calculate the portion of a Certificate Holder's Account Value attributable to a Separate Account during the Accumulation Period.

1.03     

Adjusted Certificate Holder Account Value - The Certificate Holder's Account Value, plus or minus any aggregate AG Account Market Value Adjustment.

1.04     

AICA Guaranteed Account (AG Account) - An investment option where We guarantee specified rate(s) of interest for specified periods of time.

 

The AG Account is a separate account established by Us in accordance with the provisions of the Connecticut General Statutes Section 38a-433. Certificate Holders do not participate in the investment gain or loss from the assets held in the AG Account. Assets in the AG Account may be charged with liabilities arising out of any other business We may conduct.

1.05     

Annuitant - The natural person on whose life an Annuity payment is based.

1.06     

Annuity - A series of payments We make for life, a definite period or a combination of the two.

1.07     

Annuity Date - The date on which Annuity payments commence.

1.08     

Annuity Options - Annuity payment methods available during the Annuity Period.

1.09     

Annuity Period - The period of time during which Annuity payments are made.

1.10     

Annuity Unit - A measure of the net investment results for each variable investment option during the Annuity Period. Annuity Units are used to calculate the amount of each variable Annuity payment.

1.11     

Beneficiary - The person(s) entitled to receive any death benefit under the Certificate Holder's Account. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if any, is

treated     

as the Beneficiary. Any other Beneficiary designation on

record     

with Us at the time of death is treated as a contingent

Beneficiary.     

1.12     

Certificate - The document issued to a Certificate Holder to evidence

a     

Certificate Holder's Account established under the group Contract.

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Page 5 of 24

8

<PAGE>

1.13     

Certificate Holder - A person who has established a Certificate Holder's Account under a group Contract. We reserve the right to limit ownership to natural persons. If more than one Certificate Holder owns an Account, each Certificate Holder shall be a joint Certificate Holder. Any joint Certificate Holder must be the spouse of the other joint Certificate Holder. Joint Certificate Holders have joint ownership rights and both must authorize any exercising of those ownership rights unless otherwise allowed by Us. If the Certificate Holder's Account is owned by a nonnatural person, the death benefit will be paid at the death of the Annuitant and a new Annuitant may not be named.

1.14     

Certificate Holder's Account - A record We establish for each Certificate Holder to maintain values under a group Contract.

1.15     

Certificate Holder's Account Value - The dollar value as of any Valuation Period of all amounts accumulated in a Certificate Holder's Account.

1.16     

Contract - This agreement between the Group Contract Holder and Us.

1.17     

Dollar Cost Averaging - A program that permits the Certificate Holder to systematically transfer amounts from any of the Funds and the one-year guaranteed term of the AG Account to any of the Funds. Dollar Cost Averaging is not available if the Systematic Withdrawal Option is in effect.

1.18     

Effective Date - The date a Certificate is issued to a Certificate Holder.

1.19     

Fund - One of the variable investment options which may be selected by a Certificate Holder.

1.20     

General Account - The General Account is made up of all of our general assets other than those allocated to the separate accounts.

1.21     

Group Contract Holder - The entity to which a group Contract is issued.

1.22     

Home Office - Our headquarters, located at 151 Farmington Avenue,

Hartford,     

CT 06156.

1.23     

Market Value Adjustment - An adjustment that may apply to a withdrawal

made     

from the AG Account before the end of a guaranteed term as stated

in     

Section 7.10.

1.24     

Net Purchase Payment - The Purchase Payment less premium taxes, if

applicable.     

1.25     

Purchase Payment - The gross payment accepted by Us and allocated to

the     

Certificate Holder's Account. We reserve the right to refuse to

accept     

any Purchase Payment at any time for any reason.

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<PAGE>

1.26     

Separate Account - A separate account that buys and holds shares of the Fund(s). Income, gains or losses, realized or unrealized, are credited or charged to the Separate Account without regard to Our other income, gains or losses. We own the assets held in the Separate Account and are not a trustee as to such amounts. The Separate Account generally is not guaranteed and is held at market value. The name of the Separate Account is shown on the Contract Schedule. The assets of the Separate Account, to the extent of reserves and other Contract liabilities of the Separate Account, will not be charged with Our other liabilities.

1.27     

Valuation Period - The period of time for which a Fund determines its net asset value, usually from 4:15 p.m. Eastern time each day the New York Stock Exchange is open until 4:15 p.m. the next such business day, or such other day that one or more of the Funds determines its net asset value. The assets of the Separate Account are not chargeable with the liabilities arising out of any other business We may conduct.

1.28     

Variable Annuity Contract - An Annuity Contract providing for the accumulation of value and/or for Annuity payments which vary in amount based on investment results.

Section 2. General Provisions

  • -------------------------------------------------------------------------------

  • The Contract - The entire Contract consists of this Contract and any

endorsements attached or subsequently issued.

2.02     

Certificates - A Certificate is issued to each Certificate Holder whose Purchase Payment(s) is accepted by Us. The Certificate evidences a Certificate Holder's Account established under the Contract.

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Certificates are not part of the Contract.

2.03     

Nonparticipating Contract - Neither the Group Contract Holder, Certificate Holder nor any Beneficiary have a right to share in our earnings.

2.04     

Misstatements and Adjustments - If We learn that the age of any Annuitant or second Annuitant is misstated, the correct age will be used to adjust payments. We reserve the right to request reimbursement or adjust future payments for any amount overpaid. We will pay the amount of any underpayment.

2.05     

Reports - We furnish each Certificate Holder with a report showing the Certificate Holder's Account Value at least once each calendar year.

 

We also furnish an annual report of the Separate Account.

2.06     

Premium Taxes - Any premium taxes paid to any governmental entity are charged against Purchase Payments or a Certificate Holder's Account.

 

We may, at our sole discretion, pay premium taxes when due and deduct that amount from the Certificate Holder's Account at a later date. Payment at an earlier date does not waive any right We may have to deduct amounts at a later date.

2.07     

Protection of Proceeds - To the extent permitted by law, all payments under this Contract to a Certificate Holder or Beneficiary shall be free from legal process and the claim of any creditor.

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2.08     

Evidence of Survival - The Company may require satisfactory evidence

  of     

the continued survival of any person(s) on whose life Annuity

  payments     

are based.

2.09     

Proof of Age - The Company may require evidence of age of any

  Annuitant     

under Annuity Options 2 and 3 and of the designated second

  Annuitant     

under Annuity Option 3.

2.10     

Change of Contract - Only our authorized officers may change the terms

  of     

this Contract. We will notify the Group Contract Holder in writing

  at     

least 30 days before the effective date of any change. Any change

  will     

not affect the amount or terms of any Annuity which begins before

  the     

change.

  We     

may make any change that affects the AG Account Market Value

  Adjustment     

with at least thirty (30) days' advance written notice to

  the     

Group Contract Holder and the Certificate Holder. Any such change

  shall     

become effective for any new guaranteed term and will apply to

  all     

present and future Certificate Holders' Accounts.

  We     

reserve the right to change the terms of the Systematic Withdrawal

  Option     

for future elections and discontinue the availability of this

  option.     

  Any     

change to any of the following provisions under this Contract will

  not     

apply to Certificate Holder's Accounts in existence before the

  effective     

date of the change:

  (a)     

Net Purchase Payment (1.24)

  (b)     

AG Account Guaranteed Interest Rate (7.01)

  (c)     

Net Return Factor (6.05)

  (d)     

Certificate Holder's Account Value (1.15)

  (e)     

Deferred Sales Charge (8.04)

  (f)     

Annuity Unit Value (12.04)

  (g)     

Annuity Options (12.06)

  (h)     

Fixed Annuity Interest Rates (12.01)

  (i)     

Transfers (8.02).

  Any     

change that affects the Annuity Option and the tables for the

  Annuity     

Options may be made:

  (a)     

No earlier than twelve (12) months after the Effective Date; and

  (b)     

No earlier than twelve (12) months after the effective date of any prior change.

  Any     

Certificate Holder's Account established on or after the effective

  date     

of any change will be subject to the change. If the Group

  Contract     

Holder does not agree to any change under this provision, We

  reserve     

the right to not allow any new Certificate Holder's Accounts

  to     

be established under this Contract. This Contract may also be

  changed     

as deemed necessary by Us to comply with federal or state law.

11

<PAGE>

Section 3. Ownership

  • -------------------------------------------------------------------------------

  • Group Contract Holder - The Group Contract Holder has title to the

Contract. The Contract and any amounts accumulated thereunder are not subject to the claims of the Group Contract Holder nor any of its

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creditors.

3.02     

Certificate Holder Rights - The Certificate Holder has all interest

  and     

right to amounts held in his or her Certificate Holder's Account.

  The     

Certificate Holder and any joint Certificate Holder are named on

  the     

Specifications page. The Certificate Holder and any joint

  Certificate     

Holder may exercise all the rights under the Certificate

  Holder's     

Account, subject to the rights of:

  (a)     

Any assignee under an assignment filed at our home office; and

  (b)     

Any irrevocably named Beneficiary.

  Upon     

the death of a Certificate Holder prior to the Annuity Date, a

  spousal     

Beneficiary may elect to continue the Certificate Holder's

  Account     

in his or her own name and retain all ownership rights and

  privileges     

or take distribution of the death benefit as defined in

  Section     

10.

3.03     

Transfer of Ownership - The Group Contract Holder may transfer

  ownership     

of this Contract. A written request, dated and signed, must

  be     

filed at our home office.

  Any     

transfer of ownership terminates the interest of any existing

  Group     

Contract Holder. It does not change the rights of any

  Certificate     

Holder.

  A     

Certificate Holder may transfer all of his or her rights under the

  Contract.     

We reserve the right not to accept an assignment or transfer

  to     

a nonnatural person. A written request, dated and signed by the

  Certificate     

Holder and any joint Certificate Holder, must be filed at

  our     

home office. After the transfer is recorded, it will take effect

  as     

of the date the request was signed. Any such transfer terminates

  the     

interest of any existing Certificate Holder. It does not change

  the     

Beneficiary, nor transfer the Beneficiary's interest. A transfer

  will     

not affect any payments We may make or actions We may take before

  such     

transfer has been recorded at our home office.

Section 4. Beneficiary Provisions

  • --------------------------------------------------------------------------------

  • Beneficiary - The Certificate Holder may name a Beneficiary and a

contingent Beneficiary. At the death of the Certificate Holder prior to the Annuity Date, the Beneficiary(ies) named in our records will receive a death benefit as stated in Section 10. Upon the death of either joint Certificate Holder prior to the Annuity Date, the surviving joint Certificate Holder, if any, will be treated as the designated Beneficiary and any other Beneficiary designation on record with Us at the time of death is treated as a contingent Beneficiary. If the Certificate Holder is a nonnatural person, the death benefit will be paid at the death of the Annuitant.

12

<PAGE>

4.02     

Change of Beneficiary - The Certificate Holder may change the Beneficiary. A written request, dated and signed by the Certificate Holder, must be filed at our home office. If there are joint Certificate Holders, both must sign the request. After the change is recorded, it will take effect as of the date the request was signed.

 

If the request reaches our home office and is recorded after the Certificate Holder dies, but before any payment is made, the change is valid.

4.03     

Death of Beneficiary - If all of the Beneficiaries and contingent Beneficiaries die prior to the Certificate Holder's death, We pay the death benefit in one sum to the Certificate Holder's estate. If the Certificate Holder is a nonnatural person, and all of the Beneficiaries and contingent Beneficiaries die prior to the Annuitant's death, We will pay the death benefit in one sum to the Certificate Holder.

Section 5. Purchase Payments

  • -------------------------------------------------------------------------------

  • Purchase Payments - Subject to the maximum and minimum shown on the

Contract Schedule, the Certificate Holder may determine the amount and frequency of Purchase Payments. We reserve the right not to accept any Purchase Payment. We will declare from time to time the acceptability of additional Purchase Payments.

5.02     

Allocation of Purchase Payments - The Certificate Holder may elect to

  have     

each Net Purchase Payment accumulate:

  (a)     

On a variable basis invested in shares of one or more Funds in which the Separate Account invests;

  (b)     

For guaranteed terms offered in the current deposit period(s) under the AG Account; or

  (c)     

In a combination of any of the available investment options.

  Net     

Purchase Payments must be allocated in whole percentages. For

  subsequent     

Purchase Payments, if no allocation instructions are

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received with the Purchase Payment, the allocation will be as indicated in the most recent directive from the Certificate Holder. If the same guaranteed term(s) are not available, the next shortest will be used. If no shorter guaranteed term is available, the next longer guaranteed term will be used.

Section 6. Separate Account

  • -------------------------------------------------------------------------------

  • General - The assets of the Separate Account, equal to the reserves

and other Contract liabilities that depend on the investment performance of the Separate Account are not chargeable with liabilities arising out of any other business We may conduct. Income, gains or losses of the Separate Account, realized or unrealized, are credited to or charged against the assets of the Separate Account without regard to Our other income, gains or losses.

13

<PAGE>

6.02     

Investment Allocations to the Separate Account - The assets of the

  Separate     

Account are segregated by Fund. If the shares of any Fund are

  no     

longer available for investment by the Separate Account or if in

  our     

judgment, further investment in such shares should become

  inappropriate     

in view of the purpose of the Contract, We may cease to

  make     

such Fund shares available for investment under the Contract

  prospectively,     

or We may substitute shares of another Fund for shares

  already     

acquired. We may also, from time to time, add additional

  Funds.     

Any elimination, substitution or addition of Funds will be done

  in     

accordance with applicable state and federal securities laws. We

  reserve     

the right to substitute shares of another Fund for shares

  already     

acquired without a proxy vote.

6.03     

Valuation of Assets - The shares of the Funds will be valued at their

  net     

asset value at the end of each Valuation Period.

6.04     

Accumulation Unit - A Net Purchase Payment that is allocated to one or

  more     

Funds is credited to the Certificate Holder's Account as

  Accumulation     

Units. The number of Accumulation Units credited is

  determined     

by dividing the applicable portion of the Net Purchase

  Payment     

by the Accumulation Unit value for the appropriate Fund. The

  Accumulation     

Unit value used is that which is computed for the next

  Valuation     

Period after which the Purchase Payment is received at our

  home     

office. Accumulation Units attributable to the initial Purchase

  Payments     

will be credited within two business days of acceptance.

  Accumulation     

Unit values may increase or decrease from Valuation

  Period     

to Valuation Period.

6.05     

Net Return Factor for Each Valuation Period - The value of an

  Accumulation     

Unit for any Valuation Period is calculated by

  multiplying     

the Accumulation Unit value for the immediately preceding

  Valuation     

Period by the net return factor of the appropriate Fund for

  the     

current period.

  The     

net return factor for each Fund is equal to 1.0000000 plus the net

  return     

rate.

  The     

net return rate equals:

  (a)     

The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus

  (b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus

  (c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

  (d)     

The total value of the Funds(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus

  (e)     

A daily actuarial charge as shown on the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge.

  The     

net return rate may be more or less than zero (0) percent.

  The     

value of a share of the Fund is equal to the net assets of the

  Fund     

divided by the number of shares outstanding.

14

<PAGE>

6.06     

Administrative Charge - We deduct an administrative charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.07     

Mortality Risk Charge - We deduct a mortality risk charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.08     

Expense Risk Charge - We deduct an expense risk charge equal, on an annual basis, to the amount shown on the Contract Schedule.

6.09     

Mortality and Expense Guarantee - We guarantee that the dollar amount

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of each Annuity payment after the first will not be affected by
variations in mortality or expense experience.

Section 7. AG Account

  • --------------------------------------------------------------------------------

  • AG Account Guaranteed Interest Rate - All amounts allocated to the AG

Account earn a rate of interest that is guaranteed for a specified period of time. The rate will be credited daily and will never be less than the minimum guaranteed interest rate shown on the Contract Schedule. We determine the rate and it is not based on investment experience.

For guaranteed terms of one year or less, one guaranteed interest rate is credited for the full guaranteed term. For longer guaranteed terms, an initial guaranteed interest rate is credited from the date of deposit to the end of a specified period within the guaranteed term. There may be different guaranteed interest rate(s) declared for subsequent specified time intervals throughout the guaranteed term.

7.02     

Deposit Period - A calendar week, a calendar month, a calendar quarter, or any other period of time We specify during which Net Purchase Payment(s), transfers and reinvestments are accepted into the AG Account for one or more guaranteed terms. We reserve the right to extend the deposit period.

7.03     

Guaranteed Term - The period of time for which AG Account guaranteed interest rates are guaranteed on Net Purchase Payments. Transfers and reinvestments are made into a current deposit period for the AG

 

Account. Such period begins on the day following the close of the deposit period and ends on the designated Maturity Date. Guaranteed terms, if any, are offered at our discretion for various lengths of time ranging up to and including ten years.

 

During a deposit period, We may make available any number of guaranteed terms. The Certificate Holder may allocate Net Purchase Payments and transfers into any or all of the available guaranteed terms.

7.04     

Guaranteed Term(s) Groups - All AG Account guaranteed term(s) with the same length of time from the close of the deposit period until the designated Maturity Date.

7.05     

Maturity Date - The last day of a guaranteed term.

15

<PAGE>

7.06     

Allocation of Net Purchase Payments to the AG Account - When the

  Certificate     

Holder wishes to allocate all or any portion of a Net

  Purchase     

Payment to the Guaranteed Account, he or she must tell Us the

  percentage     

to apply to one or more of the AG Account guaranteed

  term(s)     

available during the current deposit period. If no allocation

  instructions     

are received, a Net Purchase Payment is allocated as

  indicated     

in the most recent directive from the Certificate Holder. If

  the     

same guaranteed term is not available for any amount allocated to

  the     

AG Account, We will allocate the amount to the next shortest

  guaranteed     

term available. If no shorter guaranteed term is available,

  We     

will allocate it to the next longest guaranteed term.

7.07     

AG Account Guaranteed Term Maturity Date and Maturity Value - On the

  maturity     

date, the value of the total of all amounts allocated to that

  guaranteed     

term is called the maturity value.

  When     

Certificate Holders have assets in the AG Account, at least

  eighteen     

(18) days before a maturity date, We notify them of the:

  (a)     

Projected maturity value; and

  (b)     

Guaranteed terms and the applicable guaranteed interest rates available during the current deposit period.

  When     

no allocation instructions are received and the assets in a

  guaranteed     

term have been reinvested by Us in another guaranteed term

  on     

the maturity date, the Certificate Holder may transfer or withdraw,

  during     

the month following the maturity date, the reinvested amount

  with     

interest earned (as of the date the request is received at our

  home     

office) without incurring a Market Value Adjustment. This

  transaction     

is allowed only once for each maturity date, regardless of

  whether     

the transfer or withdrawal is partial or full.

7.08     

Withdrawals and Transfers from the AG Account - When the Certificate

  Holder     

requests a withdrawal or transfer from the AG Account, if

  instructions     

are not provided by the Certificate Holder, amounts are

  withdrawn     

on a pro rata basis from the guaranteed term(s) groups in

  which     

the Certificate Holder's Account is currently invested. Within a

  guaranteed     

term group, the amount to be withdrawn will be withdrawn

  first     

from the oldest deposit period. Withdrawals or transfers from an

  AG     

Account guaranteed term before the maturity date are subject to a

  Market     

Value Adjustment, except for:

  (a)     

A one month period following the maturity date described in 7.07;

  (b)     

Transfers under the Dollar Cost Averaging program; and

  (c)     

Withdrawals under the Systematic Withdrawal Option described in

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Section 8.07.

Only a positive Market Value Adjustment will apply to amounts
transferred from the AG Account when the Certificate Holder elects
Annuity Option 2 or 3.

16

<PAGE>

7.09     

Reinvestment - We will mail a notice to the Certificate Holder before a guaranteed term's maturity date. This notice will contain the guaranteed terms available during the current deposit periods with their guaranteed interest rate(s) and projected maturity value. If no specific direction is given by the Certificate Holder prior to the maturity date, each maturity value will be reinvested in the current deposit period for a guaranteed term of the same duration. If a guaranteed term of the same duration is unavailable, each matured term value will automatically be reinvested in the current deposit period for the next shortest guaranteed term available. If no shorter guaranteed term is available, the next longer guaranteed term will be used. We will mail a confirmation statement to the Certificate Holder after the maturity date. This notice will state the guaranteed term and guaranteed interest rate(s) which will apply to the reinvested matured term value.

7.10     

AG Account Market Value Adjustment (Factor) - The Market Value Adjustment factor (MVA factor) reflects any change in interest rates from the time assets are allocated to the AG Account to the time they are transferred or withdrawn. Except as noted in Section 7.09, 10.02 and 12.01, an MVA factor is applied to any amount withdrawn or transferred from the AG Account before the end of a guaranteed term.

 

The amount withdrawn from the AG Account is multiplied by the MVA factor which is calculated as follows:

x
---
365

(1+i)
------------
x
---
365
(1+j)

Where:

i     

is the Deposit Period Yield

j     

is the Current Yield

x     

is the number of days remaining, (computed from Wednesday of the week of withdrawal) in the guaranteed Term.

Determination of MVA factor parameters:

A yield is computed at the close of the last business day of each week of the deposit period. The yield will equal the average of the yields on U.S. Treasury Notes which matured during the last three months of the applicable guaranteed term.

The deposit period yield is the average of those yields for the
deposit period. If withdrawal is made prior to the close of the
deposit period, it is the average of those yields on each week
preceding withdrawal.

The current yield is the average of the yields on the last business
day of the week preceding withdrawal on the same U.S. Treasury Notes
included in the deposit period yield.

17

<PAGE>

If no U.S. Treasury Notes matured during the last three months of the guaranteed term, We reserve the right to use the average of the yields on U.S. Treasury Notes that mature during a following quarter.

Section 8. Certificate Holder's Account Value; Transfers and Withdrawals During the Accumulation Period

  • --------------------------------------------------------------------------------

  • Certificate Holder's Account Value - The value of a Certificate

Holder's Account is determined by adding the value of the total of Accumulation Units attributed to the selected Fund(s) to the value of any amounts attributed to the AG Account.

8.02     

Transfers During the Accumulation Period - Before the Annuity Date,

  the     

Certificate Holder may transfer from any Fund or guaranteed term

  of     

the AG Account to:

  (a)     

Any other Fund; or

  (b)     

Any guaranteed term of the AG Account available in the current

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deposit period.

Transfer requests can be submitted as a percentage or as a dollar amount. We may establish a minimum transfer amount. Within a guaranteed term group, the amount transferred is withdrawn first from the oldest deposit period, then from the next oldest, and so on until the amount requested is satisfied.

The Certificate Holder may make an unlimited number of transfers during the Accumulation Period. The number of free transfers allowed is shown on the Contract Schedule. Transfers in excess of that number may be subject to the transfer charge shown on the Contract Schedule. Transfers under the Dollar Cost Averaging program do not count toward the annual limit. Transfers of a matured term value from the AG Account on or within one calendar month after a guaranteed term's maturity date do not count against the annual transfer limit.

Amounts applied to guaranteed terms of the AG Account may not be transferred to the Funds or to another guaranteed term during the deposit period or for 90 days after the close of the deposit period except for (1) matured term value(s) during the calendar month following the guaranteed term's maturity date; (2) amounts applied to an annuity option; (3) transfers from the one-year guaranteed term under the Dollar Cost Averaging program; and (4) amounts distributed under the Systematic Withdrawal Option.

Except as noted in Section 7.09, 10.02 and 12.01, transfers from
guaranteed terms of the AG Account before the Maturity Date are
subject to a Market Value Adjustment.

18

<PAGE>

8.03     

Withdrawals During the Accumulation Period - The Certificate Holder

  may     

withdraw all or a portion of the Certificate Holder's Account

  Value     

during the Accumulation Period by properly completing a

  withdrawal     

request form. Withdrawal requests can be submitted as a

  percentage     

or as a specific dollar amount. Net Purchase Payment

  amounts     

are withdrawn first, and then the excess value, if any. For

  any     

partial withdrawal, if instructions are not provided by the

  Certificate     

Holder, amounts are withdrawn on a pro rata basis from the

  Fund(s),     

and/or the guaranteed term(s) groups in which the Certificate

  Holder's     

Account is currently invested. Within a guaranteed term

  group,     

the amount to be withdrawn will be withdrawn first from the

  oldest     

deposit period, then from the next oldest, and so on until the

  amount     

requested is satisfied.

  After     

deduction of the maintenance charge, if applicable, the

  withdrawn     

amount shall be reduced by the applicable deferred sales

  charge     

and any applicable premium taxes.

8.04     

Deferred Sales Charge - The deferred sales charge only applies to the

  portion     

of the amount withdrawn attributable to Net Purchase

  Payment(s)     

and varies according to the elapsed time since receipt of

  the     

Purchase Payment. The deferred sales charge is shown on the

  Contract     

Schedule.

8.05     

Waiver of Deferred Sales Charge - No deferred sales charge is deducted

  when     

a Certificate Holder's Account Value is paid:

  (a)     

To a Beneficiary as a death benefit, except for Purchase Payments made by a surviving joint Certificate Holder as described in Section 10.02(b);

  (b)     

As a premium for an Annuity Option;

  (c)     

At least the number of months, as shown on the Contract Schedule, after the date of the first Purchase Payment and in an amount equal to or less than the percentage of the Certificate Holder's Account Value as shown on the Contract Schedule. This applies to the first withdrawal request, partial or full, in a calendar year.

  

The Certificate Holder's Account Value is calculated as of the date the withdrawal request is received in good order at our home office. This waiver is not available to the Certificate Holder while a SWO is in effect;

  (d)     

For a full withdrawal where the Certificate Holder's Account Value does not exceed the amount shown on the Contract Schedule and no withdrawals have been taken from the Certificate Holder's Account within the prior 12 months;

  (e)     

For a distribution made by Us under Section 8.06; or

  (f)     

For a distribution which is part of a SWO under Section 8.07.

  We     

reserve the right to allow the proceeds of a total withdrawal to be

  reinstated     

under the terms and conditions as established by Us from

  time     

to time.

8.06     

Payment of Adjusted Certificate Holder Account Value - Upon 90 day's

  written     

notice to the Certificate Holder, We will terminate any

  Certificate     

Holder's Account if the Certificate Holder's Account Value

  becomes     

less than $1,500 immediately following any partial withdrawal.

  We     

do not intend to exercise this right in cases where the Certificate

  Holder's     

Account Value is reduced to $1,500 or less solely due to

  investment     

performance. When We make a distribution pursuant to this

  provision,     

the deferred sales charge will not be deducted.

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19

<PAGE>

8.07     

Systematic Withdrawal Option (SWO) - We will allow the Certificate

  Holder     

to establish a schedule of withdrawals to be made automatically

  from     

the Certificate Holder's Account Value. All distributed amounts

  will     

be withdrawn on a pro rata basis from the Fund(s) and/or the

  guaranteed     

term(s) groups of the AG Account in which the Certificate

  Holder's     

Account is invested.

  The     

Certificate Holder must elect one of the following SWO methods:

  (a)     

Specified Payment: Payments of a designated dollar amount. The annual amount may not be greater than the percentage of the Certificate Holder's Account Value at time of the election as shown on the Contract Schedule. This annual dollar amount will remain constant. At our discretion, We may require a minimum payment amount; or

  (b)     

Specified Period: Payments which are made over a period of time which must be at least the minimum period as shown on the Contract Schedule. The annual amount paid each year is calculated by dividing the Certificate Holder's Account Value as of December 31 of the prior year by the number of payment years remaining; or

  (c)     

Specified Percentage: Payment of a designated percentage which cannot be greater than the percentage of the Certificate Holder's Account Value at the time of election as shown on the Contract Schedule. The percentage may be changed by written request. We reserve the right to limit the number of times the percentage may be changed. The annual amount is calculated by multiplying the Certificate Holder's Account Value as of December 31 of the year prior to the payment by the designated percentage.

  SWO     

payments will cease at the Certificate Holder's death (or if the

  Certificate     

Holder is a nonnatural person, at the death of the

  Annuitant)     

. A beneficiary may elect to continue SWO as provided in

  Section     

10.01.

  In     

our discretion, We may require a minimum initial Certificate

  Holder's     

Account Value for election of this option. SWO may be elected

  by     

submitting a completed and signed election form to Us. Once

  elected,     

this option may be revoked by submitting a written request to

  Us.     

SWO may be elected only once by the Certificate Holder or by a

  spousal     

Beneficiary.

  Certificate     

Holders should consult their tax adviser prior to

  requesting     

this distribution option. We are not responsible for any

  adverse     

tax consequences due to a Certificate Holder's receiving SWO

  payments.     

A ten (10) percent penalty tax may apply to distributions to

  a     

Certificate Holder who has not reached age 59 1/2. Upon death of the

  Certificate     

Holder, any payments will be made under the terms of

  Section     

10.

  Dollar     

Cost Averaging is not available to Certificate Holders who have

  elected     

SWO.

20

<PAGE>

Section 9. Maintenance Charge

  • -------------------------------------------------------------------------------

  • Maintenance Charge - We will deduct an annual maintenance charge as

shown in the Contract Schedule from the Certificate Holder's Account during the Accumulation Period. We will deduct the maintenance charge on the anniversary of the Effective Date of the Certificate for the Certificate Holder's Account. This maintenance charge is also deducted upon withdrawal of the entire Adjusted Certificate Holder's Account. The maintenance charge is deducted proportionately from each investment option used.

Section 10. Proceeds Payable on Death

  • --------------------------------------------------------------------------------

  • Death of the Certificate Holder Prior to the Annuity Date - In the

event of the death of the Certificate Holder or a joint Certificate Holder prior to the Annuity Date, a death benefit is payable to the Beneficiary(ies) designated by the Certificate Holder. Upon the death of a joint Certificate Holder, the surviving joint Certificate Holder, if any, will be treated as the designated Beneficiary. Any other Beneficiary designation on record with Us at the time of death will be treated as a contingent Beneficiary. If the Certificate Holder is a nonnatural person, the death benefit will be payable to the Beneficiary(ies) at the death of the Annuitant.

A Beneficiary may request We pay the death benefit under one of the
methods described in Section 10.03. If the Beneficiary is the spouse
of the Certificate Holder, or the spouse of the Annuitant if the
Certificate Holder is a nonnatural person, he or she may elect to

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continue the Certificate Holder's Account in his or her own name and
exercise all the Certificate Holder's rights under the Contract.

10.02     

Death Benefit Amount Prior to the Annuity Date -

  (a)     

Except as set forth below, the amount of the guaranteed death

   benefit     

value is equal to the greater of:

   (i)     

The Certificate Holder's Account Value at the end of the Valuation Period during which We receive at our home office due proof of death and election of the type of payment to be made; or

   (ii)     

The death benefit determined as of the Valuation Period corresponding to the date of death.

Until the first Effective Date anniversary, the death
benefit is equal to the Purchase Payments made by the
Certificate Holder prior to the Effective Date anniversary
less any withdrawals and any amounts applied to an Annuity
Option.

For each Certificate year thereafter, the death benefit
during the Certificate year equals the death benefit at the
beginning of the Certificate year plus Purchase Payments
made during the year less any withdrawals and any amounts
applied to an Annuity Option.

21

<PAGE>

On each Effective Date anniversary, the death benefit is
determined as follows:

(A)     

The death benefit on the previous Effective Date anniversary increased by the death benefit factor shown on the Contract Schedule; plus

(B)     

Purchase Payments made by the Certificate Holder during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the year since the Purchase Payment was made; less

(C)     

Any withdrawals or amounts applied to an Annuity Option during the Certificate year increased by the death benefit factor shown on the Contract Schedule for the portion of the Certificate year since the withdrawal or election of Annuity option; or

(iii)     

The Certificate Holder's Account Value on the most recent seventh year anniversary of the Effective Date plus any Purchase Payments made after such Effective Date anniversary less any withdrawals and any amounts applied to an Annuity Option.

Notwithstanding the foregoing, the death benefit under (ii) or
(iii) will not exceed the death benefit maximum amount shown on
the Contract Schedule.

The death benefit calculation described in (ii) and (iii) above,
applies until the Certificate Holder reaches the death benefit
maximum age shown on the Contract Schedule. If the Certificate
Holder is a nonnatural person, death provisions will be based on
the age of the Annuitant. Thereafter, the death benefit is only
adjusted for Purchase Payments, withdrawals and amounts applied to
Annuity Options. If the Certificate Holder reaches the death
benefit maximum age shown on the Contract Schedule prior to the
seventh anniversary of the Effective Date, the death benefit will
be the greater of (i) or (ii) above.

The excess, if any, of the guaranteed death benefit value over the
Certificate Holder's Account Value is determined when we receive
at our home office due proof of death and allocated to the Fund
shown on the Contract Schedule. The Certificate Holder's Account
Value plus any excess amount deposited becomes the Certificate
Holder's Account Value.

(b)     

In the case of a spousal Beneficiary who continued the Certificate Holder's Account in his or her own name, the death benefit shall be equal to the Adjusted Current Value less any applicable deferred sales charge on any Purchase Payment made after We have received at our home office due proof of death of the joint Certificate Holder (or Annuitant, if applicable).

When the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account within six months after the date of death, the amount withdrawn or transferred from the AG Account will be the greater of:

(1) The aggregate Market Value Adjustment amount (the amount resulting from the application of relevant Market Value Adjustment factors); or

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(2) The applicable portion of Certificate Holder's Account Value in
the AG Account.

22

<PAGE>

After the six-month period, when the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account, the amount will be equal to the aggregate Market Value Adjustment amount. Only a positive market value adjustment will apply, however, to amounts transferred from the AG Account when the Beneficiary elects Annuity Option 2 or 3.

At the death of a spousal Beneficiary who continued the Certificate Holder's Account in his or her own name, when the Beneficiary withdraws or transfers all or any portion of the death benefit in the AG Account, the amount will be equal to the Aggregate Market Value Adjustment amount.

10.03     

Death Benefit Payment Methods - A non-spousal Beneficiary must elect the death benefit to be paid under one of the following methods in the event of the death of the Certificate Holder prior to the Annuity Date:

 

Method 1 - Lump sum payment of the death benefit; or

 

Method 2 - The payment of the entire death benefit within five years of the date of the Certificate Holder's death; or

 

Method 3 - Payment of the death benefit over the lifetime of the designated Beneficiary or over a period not extending beyond the life expectancy of the designated Beneficiary with distribution beginning within one year of the date of death of the Certificate Holder.

 

Any portion of the death benefit not applied under Method 3 within one year of the date of Certificate Holder's death, or the death of the Annuitant if the Certificate Holder is a nonnatural person, must be distributed within five years of the date of death.

 

A spousal Beneficiary may elect to continue the Certificate Holder's Account in his or her name, elect a lump sum payment of the death benefit, or apply the Adjusted Certificate Holder's Account Value to an Annuity Option.

10.04     

Death of Certificate Holder On or After the Annuity Date - If the Certificate Holder who is not the Annuitant, dies on or after the Annuity Date, the remaining payments under the Annuity Option elected will be made to the Beneficiary at least as rapidly as under the

method     

of distribution in effect at the Certificate Holder's death.

10.05     

Death of the Annuitant - If the Annuitant, who is not a Certificate

Holder,     

dies on or before the Annuity Date, a new Annuitant may be

named.     

If no Annuitant is named, the Certificate Holder will be the

Annuitant.     

If the Certificate Holder is a nonnatural person, the death

benefit     

will be paid at the death of the Annuitant and no new

Annuitant     

may be named. If the Annuitant dies after the Annuity Date,

the     

death benefit, if any, will be payable to the Beneficiary as

specified     

in the Annuity Option elected. We will require proof of the

Annuitant's     

death. Death benefits will be paid at least as rapidly as

under     

the method of distribution in effect at the Annuitant's death.

23

<PAGE>

Section 11. Delay of Payments

  • --------------------------------------------------------------------------------

  • Delay of Payments - We will make any payments under this Contract

within seven days after a request is received in good order. We reserve the right to suspend or postpone any type of payment from the Separate Account for any period when:

(a)     

The New York Stock Exchange is closed for other than customary weekend and holiday closings;

(b)     

Trading on the Exchange is restricted;

(c)     

An emergency exists as a result of which it is not reasonably practicable to dispose of securities held in the Separate Account or determine their value; or

(d)     

The Securities and Exchange Commission so permits delay for the protection of security holders.

The applicable rules of the Securities and Exchange Commission will
govern as to whether the conditions in (b) or (c) exist.

We also reserve the right to delay any type of payment from the AG
Account for up to six months.

Section 12. Annuity Provisions  
- -------------------------------------------------------------------------------  
 
 
 
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12.01     

Designation of Annuitant - The Certificate Holder and the Annuitant

  need     

not be the same person. The Certificate Holder names the

  Annuitant     

and during the Accumulation Period, may change the

  designated     

Annuitant. We change the Annuitant when We receive a

  written     

request in good order at our home office. We will not change

  the     

Annuitant when Annuity payments have commenced.

  The     

Certificate Holder elects an Annuity Option by telling Us to use

  all     

or any portion of the Certificate Holder's Account Value (minus

  any     

applicable premium taxes if not previously deducted) to purchase

  Annuity     

payments under an Annuity Option. If the Certificate Holder

  elects     

Annuity Option 1, the amount applied to purchase Annuity

  payments     

will be equal to the Adjusted Certificate Holder's Account

  Value.     

If the Certificate Holder elects Annuity Option 2 or 3, the

  amount     

applied to purchase Annuity payments will be the greater of:

  (1)     

The Adjusted Certificate Holder's Account Value; or

  (2)     

The Certificate Holder's Account Value.

  When     

an Annuity Option is chosen the Certificate Holder must designate

  a:     

  (a)     

Fixed Annuity using the General Account;

  (b)     

Variable Annuity using any of the Funds available during the Annuity Period; or

  (c)     

Combination of (a) and (b).

  If     

a fixed Annuity is chosen, We will calculate the amount using an

  interest     

assumption no less than the percentage specified on the

  Contract     

Schedule. We may calculate the amount using a higher interest

  rate.     

24

<PAGE>

If a variable Annuity is chosen, an Assumed Annual Net Return Rate of 5% may be chosen. If not chosen, We will use an Assumed Annual Net Return Rate of 3.5%

Payments are made on a monthly basis to the Certificate Holder unless the Certificate Holder requests a different mode of payment.

Once elected, an Annuity Option may not be revoked, except for Option 1 when elected on a variable basis.

12.02     

Terms of Annuity Options - The minimum first payment amount must be at

  least     

$50 per month and at least $250 per year.

  If     

the Certificate Holder elects a fixed Annuity and We determine that

  the     

Certificate Holder would receive larger payments by applying the

  Certificate     

Holder's Account Value, reduced by the deferred sales

  charge,     

to a single premium immediate Annuity currently offered by Us,

  We     

will make the larger payments.

  We     

determine the first payment of a variable Annuity, or the payment

  amount     

of a fixed Annuity, using the Annuitant's (and second

  Annuitant's     

if applicable) adjusted age which We calculate as follows:

  (a)     

If Annuity payments begin any time between July 1, 1992 and

   December     

31, 1999, the adjusted age is the Annuitant's age as of

   the     

birthday closest in time to the Annuity Date reduced by one

   (1)     

year.

  (b)     

If the Annuity begins any time between January 1, 2000 and

   December     

31, 2009, the adjusted age is the Annuitant's age as of

   the     

birthday closest in time to the Annuity Date reduced by two

   (2)     

years.

  (c)     

For each succeeding decade, the adjusted age is the Annuitant's

   age     

as determined in (b), reduced by one additional year.

  The     

Annuity rates for Options 2 and 3 are based on mortality from 1983

  Table     

A.

  Assumed     

Annual Net Return Rate is the interest rate used to determine

  the     

amount of the first Annuity payment under a variable Annuity. The

  Separate     

Account must earn this rate plus enough to cover the

  mortality     

and expense risks charges (which may include profit) and

  administrative     

charges if future variable Annuity payments are to

  remain     

level.

25

<PAGE>

The Certificate Holder must give written notice to Us at least 30 days before the Annuity payments begin, electing or changing:

(a)     

The date on which Annuity payments are to begin;

(b)     

The Annuity Option;

(c)     

Whether the payments are to be made monthly, quarterly, semiannually or annually;

(d)     

The investment options used to provide Annuity payments.

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The first Annuity payment may not be earlier than one (1) calendar
year after the initial Purchase Payment, nor later than the later of
the:

(a)     

First day of the month following the Annuitant's birthday shown on the Contract Schedule; or

(b)     

Tenth anniversary of the last Purchase Payment. In lieu of the election of an Annuity, the Certificate Holder may request a lump sum payment.

12.03     

Annuity Unit - The number of Annuity Units per Fund is based on the

  amount     

of the first variable Annuity payment which is equal to:

  (a)     

The portion of the Certificate Holder's Account Value (minus any premium taxes) applied to pay a variable Annuity; divided by,

  (b)     

1000; multiplied by,

  (c)     

The payment rate for the Annuity Option chosen.

  Such     

amount, or portion, of the variable Annuity payment will be

  divided     

by the Annuity Unit value for the appropriate Fund on the

  tenth     

Valuation Period before the due date of the first payment to

  determine     

the number of each Fund's Annuity Units. The number of each

  Fund's     

Annuity Unit remains fixed. Each future payment is equal to the

  sum     

of the products of each Fund's Annuity Unit value multiplied by

  the     

appropriate number of units. The Fund's Annuity Unit value on the

  tenth     

Valuation Period prior to the due date of the payment is used.

12.04     

Annuity Unit Value - For any Valuation Period, a Fund's Annuity Unit

  value     

is equal to:

  (a)     

The value for the previous Valuation Period; multiplied by,

  (b)     

The Annuity Net Return Factor for the Valuation Period; multiplied by,

  (c)     

A daily factor to reflect the Assumed Annual Net Return Rate (the factor for 3.5% per year is .9999058; for 5% per year it is .9998663).

  The     

dollar value of a Fund(s) Annuity Unit values and payments may go

  up     

or down due to investment gain or loss.

12.05     

Annuity Net Return Factor - The Annuity net return factor is used to

  compute     

all Separate Account Annuity payments for any Fund.

26

<PAGE>

The Annuity net return factor(s) for each Fund is equal to 1.0000000 plus the net return rate. The net return rate is equal to:

(a)     

The value of the shares of the Fund held by the Separate Account at the end of a Valuation Period; minus,

(b)     

The value of the shares of the Fund held by the Separate Account at the start of the Valuation Period; plus or minus,

(c)     

Taxes (or reserves for taxes) on the Separate Account (if any); divided by

(d)     

The total value of the Fund(s) Accumulation Units and Fund(s) Annuity Units of the Separate Account at the start of the Valuation Period; minus,

(e)     

A daily actuarial charge as shown of the Contract Schedule for Annuity mortality and expense risks and profit and a daily administrative charge which will not exceed the administrative charge as shown on the Contract Schedule.

The net return rate may be more or less than zero (0) percent.

The value of a share of the Fund is equal to the net assets of the
Fund divided by the number of shares outstanding.

12.06     

Annuity Options

  Option     

1 - Payments for a Stated Period of Time - An Annuity will be

  paid     

for the number of years chosen. The number of years must be at

  least     

5 and not more than 30.

  If     

payments for this Annuity Option are made under a variable Annuity,

  the     

present value of any remaining payments may be withdrawn at any

  time.     

  Option     

2 - Life Income - An Annuity will be paid for the life of the

  Annuitant.     

If also chosen, We will guarantee payments for 60, 120,

  180,     

or 240 months.

  Option     

3 - Life Income Based upon the Lives of Two Annuitants - An

  Annuity     

will be paid during the lives of the Annuitant and a second

  Annuitant.     

Payments will continue until both Annuitants have died.

  When     

this Annuity Option is chosen, a choice must be made of:

  (a)     

100% of the payment to continue after the first death;

  (b)     

66 2/3% of the payment to continue after the first death;

  (c)     

50% of the payment to continue after the first death;

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(d)     

Payments for a minimum of 120 months with 100% of the payment to continue after the first death; or

(e)     

100% of the payment to continue at the death of the second Annuitant and 50% of the payment to continue at the death of the Annuitant.

We may make other options available as allowed by law.

27

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<TABLE>
<CAPTION>

  • -------------- ---------------------- ----------------- ------------------- ------------------- -------------------

  Guaranteed Monthly Quarterly Semi-Annual Annual
Years Rate Payment Payment Payment Payment

 

  • -------------- ---------------------- ----------------- ------------------- ------------------- -------------------

<S> <C> <C> <C> <C> <C>
 
5 3.00% 17.91 53.59 106.78 211.99
6 3.00% 15.14 45.30 90.27 179.22
7 3.00% 13.16 39.39 78.49 155.83
8 3.00% 11.68 34.96 69.66 138.31
9 3.00% 10.53 31.52 62.81 124.69
10 3.00% 9.61 28.77 57.33 113.82
11 3.00% 8.86 26.52 52.85 104.93
12 3.00% 8.24 24.65 49.13 97.54
13 3.00% 7.71 23.08 45.98 91.29
14 3.00% 7.26 21.73 43.29 85.95
15 3.00% 6.87 20.56 40.96 81.33
16 3.00% 6.53 19.54 38.93 77.29
17 3.00% 6.23 18.64 37.14 73.74
18 3.00% 5.96 17.84 35.56 70.59
19 3.00% 5.73 17.13 34.14 67.78
20 3.00% 5.51 16.50 32.87 65.26
21 3.00% 5.32 15.92 31.72 62.98
22 3.00% 5.15 15.40 30.68 60.92
23 3.00% 4.99 14.92 29.74 59.04
24 3.00% 4.84 14.49 28.88 57.33
25 3.00% 4.71 14.09 28.08 55.76
26 3.00% 4.59 13.73 27.36 54.31
27 3.00% 4.47 13.39 26.68 52.97
28 3.00% 4.37 13.08 26.06 51.74
29 3.00% 4.27 12.79 25.49 50.60
30 3.00% 4.18 12.52 24.95 49.53

 

- -------------- ---------------------- ----------------- ------------------- ------------------- -------------------</TABLE>

28

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

Payments Guaranteed for a Stated Period of Months

<TABLE>
<CAPTION>

  • ---------------- ---------------------- --------------------- ---------------------- ---------------------- ----------------------

Adjusted None     60   120   180   240
Age of -----------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

  • ---------------- ---------- ----------- ---------- ---------- ----------- ---------- ----------- ---------- ---------- -----------

<S> <C>   <C> <C> <C> <C> <C> <C> <C> <C> <C>
 
50 $ 4.27 $3.90 $4.26 $ 3.90 $ 4.22 $ 3.89 $ 4.17 $ 3.86 $ 4.08 $ 3.82
51   4.34 3.97 4.33 3.96 4.30 3.95 4.23 3.92 4.14 3.88
52   4.43 4.03 4.41 4.03 4.37 4.01 4.30 3.98 4.20 3.93
53   4.51 4.10 4.50 4.10 4.45 4.08 4.37 4.04 4.26 3.99
54   4.60 4.18 4.59 4.17 4.54 4.15 4.45 4.11 4.32 4.04
 
55   4.70 4.25 4.68 4.25 4.62 4.22 4.53 4.18 4.39 4.11
56   4.80 4.34 4.78 4.33 4.72 4.30 4.61 4.25 4.45 4.17
57   4.91 4.42 4.89 4.41 4.82 4.38 4.69 4.32 4.51 4.23
 
 
 
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                    Page 18 of 24
 
 
 
 
58 5.03 4.52 5.00 4.51 4.92 4.47 4.78 4.40 4.58 4.30
59 5.15 4.61 5.12 4.60 5.03 4.56 4.87 4.48 4.65 4.37
 
60 5.28 4.72 5.25 4.70 5.14 4.66 4.96 4.57 4.71 4.44
61 5.43 4.83 5.39 4.81 5.27 4.76 5.06 4.66 4.78 4.51
62 5.58 4.95 5.53 4.93 5.39 4.87 5.16 4.75 4.84 4.58
63 5.74 5.08 5.69 5.05 5.53 4.99 5.26 4.85 4.90 4.65
64 5.91 5.21 5.85 5.18 5.66 5.10 5.36 4.95 4.96 4.72
 
65 6.10 5.36 6.03 5.32 5.81 5.22 5.46 5.05 5.02 4.79
66 6.30 5.51 6.21 5.47 5.96 5.36 5.56 5.16 5.08 4.86
67 6.51 5.67 6.41 5.63 6.12 5.50 5.66 5.26 5.13 4.93
68 6.73 5.85 6.62 5.80 6.28 5.65 5.77 5.37 5.18 5.00
69 6.97 6.04 6.84 5.98 6.44 5.80 5.86 5.49 5.23 5.06
 
70 7.23 6.25 7.07 6.18 6.61 5.97 5.96 5.60 5.27 5.12
71 7.51 6.47 7.32 6.39 6.79 6.14 6.05 5.71 5.31 5.18
72 7.80 6.71 7.58 6.62 6.96 6.32 6.14 5.83 5.34 5.23
73 8.12 6.98 7.85 6.86 7.14 6.50 6.23 5.94 5.37 5.28
74 8.46 7.26 8.14 7.12 7.32 6.69 6.31 6.04 5.40 5.32
 
75 8.82 7.57 8.45 7.40 7.50 6.89 6.38 6.14 5.42 5.35

 

- ---------------- ---------- ----------- ---------- ---------- ----------- ---------- ----------- ---------- ---------- -----------</TABLE>

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

29

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<TABLE> <CAPTION>

- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------

Adjusted Ages          
- -------------------------------------          
  Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

  • ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------

<S> <C> <C> <C> <C> <C> <C>
 
55 50 $ 3.69 $ 4.05 $ 4.27 $ 3.69 $ 4.13
55 55 3.88 4.25 4.47 3.87 4.25
55 60 3.06 4.47 4.71 4.06 4.36
 
60 55 3.99 4.44 4.71 3.98 4.55
60 60 4.24 4.71 4.99 4.23 4.70
60 65 4.49 5.01 5.32 4.48 4.85
 
65 60 4.38 4.97 5.32 4.38 5.10
65 65 4.72 5.33 5.70 4.71 5.32
65 70 5.07 5.75 6.17 5.05 5.54
 
70 65 4.93 5.68 6.15 4.91 5.86
70 70 5.40 6.21 6.70 5.36 6.18
70 75 5.89 6.82 7.40 5.81 6.49
 
75 70 5.69 6.68 7.32 5.62 6.92
75 75 6.37 7.45 8.15 6.23 7.40
75 80 7.07 8.34 9.16 6.78 7.85

 

- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>

Rates are based on mortality from 1983 Table a.  
The rates assume the Annuitant is Male and the Second Annuitant is Female.  
Rates for ages not shown will be provided on request and will be computed  
on a basis consistent with the rates in the above tables.  
 
 
30  
<PAGE>  
 
 
OPTION 3  
 
Life Income for Two Payees  
 
Amount of First Monthly Payment for Each $1,000  
After Deduction of any Charge for Premium Taxes  
 
 
 
 
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Page 19 of 24

(Annuitant is Female and Second Annuitant is Male)

Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<TABLE> <CAPTION>

- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------

Adjusted Ages          
- -------------------------------------          
  Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

  • ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------

<S> <C> <C> <C> <C> <C> <C>
 
55 50 $ 3.75 $ 4.07 $ 4.26 $ 3.75 $ 3.98
55 55 3.88 4.25 4.47 3.87 4.06
55 60 3.99 4.44 4.71 3.98 4.12
 
60 55 4.06 4.47 4.71 4.06 4.37
60 60 4.24 4.71 4.99 4.23 4.47
60 65 4.38 4.97 5.32 4.38 4.54
 
65 60 4.49 5.01 5.32 4.48 4.89
65 65 4.72 5.33 5.70 4.71 5.02
65 70 4.93 5.68 6.15 4.91 5.14
 
70 65 5.07 5.75 6.17 5.05 5.60
70 70 5.40 6.21 6.70 5.36 5.79
70 75 5.69 6.68 7.32 5.62 5.96
 
75 70 5.89 6.83 7.40 5.81 6.63
75 75 6.37 7.45 8.15 6.23 6.92
75 80 6.78 8.11 8.99 6.54 7.15

 

- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

31

<PAGE>

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

<TABLE>
<CAPTION>

  • -------------- ---------------------- ----------------- ------------------- ------------------- -------------------

  Guaranteed     Semi-Annual  
Years Rate Monthly Payment Quarterly Payment Payment Annual Payment

 

  • -------------- ---------------------- ----------------- ------------------- ------------------- -------------------

<S> <C> <C> <C> <C> <C>
 
5 3.50% 18.12 54.19 107.92 213.99
6 3.50% 15.35 45.92 91.44 181.32
7 3.50% 13.38 40.01 79.69 158.01
8 3.50% 11.90 35.59 70.88 140.56
9 3.50% 10.75 32.16 64.05 127.00
10 3.50% 9.83 29.42 58.59 116.18
11 3.50% 9.09 27.18 54.13 107.34
12 3.50% 8.46 25.32 50.42 99.98
13 3.50% 7.94 23.75 47.29 93.78
14 3.50% 7.49 22.40 44.62 88.47
15 3.50% 7.10 21.24 42.31 83.89
16 3.50% 6.76 20.23 40.29 79.89
17 3.50% 6.47 19.34 38.51 76.37
18 3.50% 6.20 18.55 36.94 73.25
19 3.50% 5.97 17.85 35.54 70.47
20 3.50% 5.75 17.22 34.28 67.98
21 3.50% 5.56 16.65 33.15 65.74
22 3.50% 5.39 16.13 32.13 63.70
23 3.50% 5.24 15.66 31.19 61.85
24 3.50% 5.09 15.24 30.34 60.17
25 3.50% 4.96 14.85 29.56 58.62
26 3.50% 4.84 14.49 28.85 57.20
27 3.50% 4.73 14.15 28.19 55.90
28 3.50% 4.63 13.85 27.58 54.69
29 3.50% 4.53 13.57 27.02 53.57
30 3.50% 4.45 13.30 26.49 52.53

 

- -------------- ---------------------- ----------------- ------------------- ------------------- -------------------</TABLE>

32

<PAGE>

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03/26/2018


 

Page 20 of 24

OPTION 1

Payments for a Stated Period of Time

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

<TABLE>
<CAPTION>

  • -------------- ---------------------- ----------------- ------------------- ------------------- -------------------

  Guaranteed     Semi-Annual  
Years Rate Monthly Payment Quarterly Payment Payment Annual Payment

 

  • -------------- ---------------------- ----------------- ------------------- ------------------- -------------------

<S> <C> <C> <C> <C> <C>
 
5 5.00% 18.74 56.00 111.33 219.98
6 5.00% 15.99 47.77 94.96 187.64
7 5.00% 14.02 41.90 83.30 164.59
8 5.00% 12.56 37.52 74.58 147.35
9 5.00% 11.42 34.11 67.81 133.99
10 5.00% 10.51 31.40 62.42 123.34
11 5.00% 9.77 29.19 58.03 114.66
12 5.00% 9.16 27.36 54.38 107.45
13 5.00% 8.64 25.81 51.31 101.39
14 5.00% 8.20 24.50 48.69 96.21
15 5.00% 7.82 23.36 46.44 91.75
16 5.00% 7.49 22.37 44.47 87.88
17 5.00% 7.20 21.51 42.75 84.48
18 5.00% 6.94 20.74 41.23 81.47
19 5.00% 6.71 20.06 39.88 78.80
20 5.00% 6.51 19.46 38.68 76.42
21 5.00% 6.33 18.91 37.59 74.28
22 5.00% 6.17 18.42 36.62 72.35
23 5.00% 6.02 17.98 35.73 70.61
24 5.00% 5.88 17.57 34.93 69.02
25 5.00% 5.76 17.20 34.20 67.57
26 5.00% 5.65 16.87 33.53 66.25
27 5.00% 5.54 16.56 32.92 65.04
28 5.00% 5.45 16.28 32.35 63.93
29 5.00% 5.36 16.01 31.83 62.90
30 5.00% 5.28 15.77 31.35 61.95

 

- -------------- ---------------------- ----------------- ------------------- ------------------- -------------------</TABLE>

33

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

Payments Guaranteed for a Stated Period of Months

<TABLE>
<CAPTION>

  • --------------- ---------------------- --------------------- ---------------------- ---------------------- ----------------------

Adjusted None     60   120   180   240
Age of -----------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

  • --------------- ---------- ----------- ---------- ---------- ----------- ---------- ----------- ---------- ----------- ----------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
 
50 $ 4.56 $ 4.20 $ 4.55 $ 4.19 $ 4.51 $ 4.18 $ 4.45 $ 4.15 $ 4.36 $ 4.11
51 4.64 4.26 4.62 4.25 4.58 4.24 4.51 4.21 4.42 4.16
52 4.72 4.32 4.70 4.32 4.66 4.30 4.58 4.26 4.48 4.21
53 4.80 4.39 4.79 4.38 4.74 4.36 4.65 4.32 4.53 4.27
54 4.89 4.46 4.87 4.46 4.82 4.43 4.73 4.39 4.59 4.32
 
55 4.99 4.54 4.97 4.53 4.91 4.50 4.80 4.46 4.65 4.38
56 5.09 4.62 5.07 4.61 5.00 4.58 4.88 4.53 4.72 4.44
57 5.20 4.71 5.17 4.70 5.10 4.66 4.96 4.60 4.78 4.50
58 5.32 4.80 5.29 4.79 5.20 4.75 5.05 4.68 4.84 4.57
59 5.44 4.90 5.41 4.88 5.31 4.84 5.14 4.76 4.91 4.63
 
60 5.57 5.00 5.53 4.99 5.42 4.93 5.23 4.84 4.97 4.70
61 5.71 5.11 5.67 5.09 5.54 5.03 5.32 4.93 5.03 4.77
62 5.86 5.23 5.81 5.21 5.66 5.14 5.42 5.02 5.09 4.84
63 6.02 5.36 5.97 5.33 5.79 5.25 5.51 5.11 5.16 4.91
64 6.20 5.49 6.13 5.46 5.93 5.37 5.61 5.21 5.21 4.98
 
65 6.38 5.64 6.31 5.60 6.07 5.49 5.71 5.31 5.27 5.05
66 6.58 5.79 6.49 5.75 6.22 5.63 5.81 5.41 5.32 5.12
67 6.79 5.95 6.69 5.91 6.38 5.76 5.91 5.52 5.38 5.18
68 7.02 6.13 6.89 6.08 6.53 5.91 6.01 5.63 5.42 5.25
 
 
 
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                    Page 21 of 24
 
 
 
69 7.26 6.32 7.11 6.26 6.70 6.06 6.11 5.74 5.47 5.31
70 7.52 6.53 7.35 6.45 6.86 6.23 6.20 5.85 5.51 5.37
71 7.80 6.75 7.59 6.66 7.03 6.39 6.29 5.96 5.54 5.42
72 8.09 6.99 7.85 6.89 7.21 6.57 6.38 6.07 5.57 5.47
73 8.41 7.26 8.12 7.13 7.38 6.75 6.46 6.17 5.60 5.51
74 8.75 7.54 8.41 7.39 7.55 6.94 6.53 6.28 5.63 5.55
75 9.12 7.85 8.71 7.66 7.73 7.13 6.61 6.38 5.65 5.59

 

- --------------- ---------- ----------- ---------- ---------- ----------- ---------- ----------- ---------- ----------- ----------</TABLE>

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

34

<PAGE>

OPTION 2

Life Income

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

Payments Guaranteed for a Stated Period of Months

<TABLE>
<CAPTION>

  • --------------- ---------------------- --------------------- ---------------------- ---------------------- ----------------------

Adjusted None     60   120   180   240
Age of -----------------------------------------------------------------------------------------------------------------
Annuitant Male Female Male Female Male Female Male Female Male Female

 

  • --------------- ---------- ----------- ---------- ---------- ----------- ---------- ----------- ---------- ----------- ----------

<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
 
50 $5.48 $5.12 $5.46 $5.11 $5.41 $5.09 $5.34 $5.06 $5.24 $5.01
51 5.55 5.17 5.53 5.17 5.48 5.14 5.40 5.11 5.29 5.05
52 5.63 5.23 5.61 5.23 5.55 5.20 5.46 5.16 5.34 5.10
53 5.71 5.30 5.69 5.29 5.62 5.26 5.53 5.22 5.40 5.15
54 5.80 5.37 5.77 5.36 5.70 5.33 5.60 5.27 5.45 5.20
 
55 5.89 5.44 5.86 5.43 5.79 5.39 5.67 5.34 5.51 5.25
56 5.99 5.52 5.96 5.51 5.87 5.47 5.74 5.40 5.56 5.31
57 6.10 5.60 6.06 5.59 5.97 5.54 5.82 5.47 5.62 5.37
58 6.21 5.69 6.17 5.67 6.06 5.62 5.90 5.54 5.68 5.42
59 6.33 5.79 6.29 5.77 6.17 5.71 5.98 5.61 5.74 5.48
 
60 6.46 5.89 6.41 5.87 6.28 5.80 6.06 5.69 5.79 5.55
61 6.60 6.00 6.55 6.97 6.39 5.90 6.15 5.77 5.85 5.61
62 6.75 6.11 6.69 6.08 6.51 6.00 6.24 5.86 5.91 5.67
63 6.91 6.23 6.84 6.20 6.64 6.10 6.33 5.95 5.96 5.73
64 7.09 6.37 7.00 6.33 6.77 6.22 6.42 6.04 6.02 5.80
 
65 7.27 6.51 7.18 6.46 6.91 6.34 6.52 6.13 6.07 5.86
66 7.47 6.66 7.36 6.61 7.05 6.46 6.61 6.23 6.12 5.92
67 7.68 6.82 7.55 6.76 7.20 6.60 6.70 6.33 6.16 5.99
68 7.91 7.00 7.76 6.93 7.35 6.74 6.80 6.43 6.21 6.04
69 8.15 7.19 7.98 7.11 7.51 6.89 6.89 6.54 6.25 6.10
 
70 8.41 7.39 8.21 7.30 7.67 7.04 6.97 6.64 6.28 6.15
71 8.69 7.62 8.45 7.51 7.83 7.21 7.06 6.74 6.32 6.20
72 8.99 7.86 8.70 7.73 8.00 7.38 7.14 6.85 6.35 6.25
73 9.31 8.12 8.97 7.97 8.16 7.55 7.21 6.95 6.37 6.29
74 9.65 8.41 9.26 8.23 8.33 7.73 7.29 7.04 6.39 6.33
 
75 10.02 8.72 9.55 8.50 8.50 7.92 7.35 7.14 6.41 6.36

 

- ---------------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------- ----------- --------------</TABLE>

Rates are based on mortality from 1983 Table a.

Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

35

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000
After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt

03/26/2018


 

Page 22 of 24
 
 
 
<TABLE>
<CAPTION>
- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------

 

Adjusted Ages          
- -------------------------------------          
  Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

  • ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------

<S> <C> <C> <C> <C> <C> <C>
 
55 50 $ 3.97 $ 4.35 $ 4.56 $ 3.97 $ 4.42
55 55 4.16 4.54 4.76 4.15 4.54
55 60 4.34 4.76 5.00 4.34 4.64
 
60 55 4.27 4.73 5.00 4.26 4.83
60 60 4.51 4.99 5.27 4.50 4.98
60 65 4.76 5.29 5.60 4.75 5.13
 
65 60 4.66 5.25 5.61 4.65 5.39
65 65 4.99 5.61 5.99 4.98 5.60
65 70 5.34 6.03 6.46 5.31 5.81
 
70 65 5.19 5.97 6.44 5.17 6.14
70 70 5.67 6.49 6.99 5.62 6.47
70 75 6.16 7.10 7.68 6.07 6.77
 
75 70 5.95 6.96 7.61 5.87 7.20
75 75 6.64 7.73 8.43 6.48 7.68
75 80 7.33 8.62 9.45 7.02 8.13

 

- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

36

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Female and Second Annuitant is Male)

Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

<TABLE> <CAPTION>

- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------Adjusted Ages

- -------------------------------------          
  Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

  • ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------

<S> <C> <C> <C> <C> <C> <C>
 
55 50 $ 4.03 $ 4.36 $ 4.55 $ 4.03 $ 4.41
55 55 4.16 4.54 4.76 4.15 4.54
55 60 4.27 4.73 5.00 4.26 4.83
 
60 55 4.34 4.76 5.00 4.34 4.64
60 60 4.51 4.99 5.27 4.50 4.98
60 65 4.66 5.25 5.61 4.65 5.39
 
65 60 4.76 5.29 5.60 4.75 5.13
65 65 4.99 5.61 5.99 4.98 5.60
65 70 5.19 5.97 6.44 5.17 6.14
 
70 65 5.34 6.03 6.46 5.31 5.81
70 70 5.67 6.49 6.99 5.62 6.47
70 75 5.95 6.96 7.61 5.87 7.20
 
75 70 6.16 7.10 7.68 6.07 6.77
75 75 6.64 7.73 8.43 6.48 7.68
75 80 7.04 8.39 9.29 6.79 8.70

 

- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

     37 <PAGE>

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03/26/2018


 

Page 23 of 24

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Male and Second Annuitant is Female)

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

<TABLE> <CAPTION>

- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------

Adjusted Ages          
- -------------------------------------          
  Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

  • ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------

<S> <C> <C> <C> <C> <C> <C>
 
55 50 $ 4.88 $ 5.26 $ 5.48 $ 4.88 $ 5.34
55 55 5.04 5.44 5.66 5.04 5.43
55 60 5.21 5.65 5.89 5.21 5.53
 
60 55 5.15 5.63 5.91 5.14 5.73
60 60 5.37 5.87 6.16 5.37 5.86
60 65 5.61 6.16 6.49 5.60 6.01
 
65 60 5.52 6.14 6.51 5.51 6.28
65 65 5.83 6.49 6.87 5.82 6.47
65 70 6.17 6.90 7.33 6.13 6.67
 
70 65 6.04 6.84 7.34 6.00 7.03
70 70 6.49 7.35 7.87 6.44 7.33
70 75 6.97 7.96 8.56 6.87 7.62
 
75 70 6.77 7.84 8.51 6.68 8.08
75 75 7.45 8.60 9.33 7.27 8.55
75 80 8.14 9.49 10.35 7.80 8.98

 

- ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------</TABLE>

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Male and the Second Annuitant is Female. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

38

<PAGE>

OPTION 3

Life Income for Two Payees

Amount of First Monthly Payment for Each $1,000 After Deduction of any Charge for Premium Taxes

(Annuitant is Female and the Second Annuitant is Male)

Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

<TABLE> <CAPTION>

- ------------------------------------- ----------------- ----------------- ------------------ ----------------- -----------------

Adjusted Ages          
- -------------------------------------          
  Second          
Annuitant Annuitant Option 3a Option 3b Option 3c Option 3d Option 3e

 

  • ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------

<S> <C> <C> <C> <C> <C> <C>
 
55 50 $ 4.93 $ 5.27 $ 5.46 $ 4.93 $ 5.19
55 55 5.04 5.44 5.66 5.04 5.43
55 60 5.15 5.63 5.91 5.14 5.73
 
60 55 5.21 5.65 5.89 5.21 5.53
60 60 5.37 5.87 6.16 5.37 5.86
60 65 5.52 6.14 6.51 5.51 6.28
 
65 60 5.61 6.16 6.49 5.60 6.01
65 65 5.83 6.49 6.87 5.82 6.47
65 70 6.04 6.84 7.34 6.00 7.03
 
70 65 6.17 6.90 7.33 6.13 6.67
70 70 6.49 7.35 7.87 6.44 7.33
70 75 6.77 7.84 8.51 6.68 8.08
 
75 70 6.97 7.96 8.56 6.87 7.62
75 75 7.45 8.60 9.33 7.27 8.55
75 80 7.86 9.28 10.20 7.57 9.59

 

  • ------------------ ------------------ ----------------- ----------------- ------------------ ----------------- -----------------

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03/26/2018


 

Page 24 of 24

</TABLE>

Rates are based on mortality from 1983 Table a.

The rates assume the Annuitant is Female and the Second Annuitant is Male. Rates for ages not shown will be provided on request and will be computed on a basis consistent with the rates in the above tables.

39

<PAGE>

- --------------------------------------------------------------------------------Aetna Insurance Company of America Home Office: 151 Farmington Avenue P.O. Box 30670 Hartford, Connecticut 06150-0670 (800) 531-4547 Group Variable, Fixed, or Combination Annuity Contract Nonparticipating - --------------------------------------------------------------------------------

ALL PAYMENTS AND VALUES PROVIDED BY THE GROUP CONTRACT, WHEN BASED ON INVESTMENT EXPERIENCE OF A SEPARATE ACCOUNT, ARE VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THIS CONTRACT CONTAINS A MARKET VALUE ADJUSTMENT FORMULA. APPLICATION OF A MARKET VALUE ADJUSTMENT MAY RESULT IN EITHER AN INCREASE OR DECREASE IN THE CURRENT VALUE. THE MARKET VALUE ADJUSTMENT FORMULA DOES NOT APPLY TO A GUARANTEED TERM AT THE TIME OF ITS MATURITY.

40

https://www.sec.gov/Archives/edgar/data/925981/0000950146-97-000634.txt

03/26/2018

EX-16 19 ex164n.htm EXHIBIT 16(4)(N) ENDORSEMENT ENMCHGI (05/02) ex164n.htm - Generated by SEC Publisher for SEC Filing

 

Exhibit 16(4)(n)

ING LIFE INSURANCE AND ANNUITY COMPANY

ENDORSEMENT

The Contract is hereby endorsed effective May 1, 2002, as follows:

The name of AETNA LIFE INSURANCE AND ANNUITY COMPANY has been changed to ING LIFE INSURANCE AND ANNUITY COMPANY. Accordingly, all references to AETNA LIFE INSURANCE AND ANNUITY COMPANY, ALIAC, and AETNA in the Contract are changed to ING LIFE INSURANCE AND ANNUITY COMPANY, ILIAC, and ING, respectively.

The address remains as follows:

151 Farmington Avenue  
Hartford, Connecticut 06156

 

All terms and conditions of your Contract remain the same.

/s/ Thomas J. McInerney
-----------------------
Thomas J. McInerney

President
ING Life Insurance and Annuity Company

ENMCHGI (05/02)

EX-16 20 ex164o.htm EXHIBIT 16(4)(O) ENDORSEMENT EVNMGHC (09/14) ex164o.htm - Generated by SEC Publisher for SEC Filing

Exhibit 16(4)(o)

 

Voya Retirement Insurance and Annuity Company

 

ENDORSEMENT

 

The Contract, Policy and/or Certificate are hereby endorsed effective September 1, 2014, as follows:

 

The name of ING Life Insurance and Annuity Company has been changed to Voya Retirement Insurance and Annuity Company. Accordingly, all references to ING Life Insurance and Annuity Company or ING in the Contract, Policy and/or Certificate are changed to Voya Retirement Insurance and Annuity Company and Voya, respectively.

 

The address and phone number remain as follows:

 

One Orange Way

Windsor, Connecticut  06095

Tel: 1.800.584.6001

 

All other terms, conditions and provisions of your Contract, Policy and/or Certificate remain unchanged.

 

 

/s/ Mary (Maliz) E. Beams

 

Mary (Maliz) E. Beams

 

President

Voya Retirement Insurance and Annuity Company

 

 

 

 

 

 

 

 

 

 

EVNMCHG (09/14)

 

EX-16 21 ex164p.htm EXHIBIT 16(4)(P) ENDORSEMENT E-IRASECURE-20 ex164p.htm - Generated by SEC Publisher for SEC Filing

Exhibit 16(4)(p)

Voya Retirement Insurance and Annuity Company

 

ENDORSEMENT

 

This Endorsement is made a part of the Contract. The purpose of this Endorsement is to amend the Contract to reflect amendments to the Internal Revenue Code of 1986, as may be amended from time to time (the "Code"), made pursuant to the Setting Every Community Up for Retirement Enhancement Act of 2019 ("the SECURE Act").

 

The following provisions amend the terms of the Contract, and the provisions of this Endorsement supersede any conflicting provisions in the Contract or in any prior endorsements. All other provisions of the Contract shall remain in full force. 

 

A.

Modification to the Required Minimum Distribution ("RMD") Rules

 

 

References to the IRA owner reaching age 70 1/2 in conjunction with the date on which RMDs must begin are hereby removed and replaced with the following:

 

 

RMDs are governed and administered consistent with section 401(a)(9) of the Code and regulations thereunder.

 

B.

RMD Rules for Payments to Beneficiaries

 

 

References to the IRA owner reaching age 70 1/2 in conjunction with the date on which RMDs must begin and descriptions of non-spousal beneficiary payment terms are hereby removed and replaced with the following:

 

 

RMD payments to beneficiaries of an IRA owner are governed and administered consistent with section 401(a)(9) of the Code and regulations thereunder.

 

C.

Withdrawals for Birth or Adoption of a Child

 

 

Any references to qualified distributions or withdrawals are updated to include the following:

 

 

Withdrawals of up to $5,000 (which may be amended by the Code from time to time) per birth or adoption of a child from an IRA are allowed as a qualified birth or adoption distribution subject to applicable tax, withholding and reporting rules. In addition, IRA owners may be able to re-contribute such amounts subject to applicable regulations.

 

D.

Contributions to IRAs

 

 

Any references to non-rollover contributions to IRAs are updated to include the following:

 

 

Contribution age limits are governed and administered consistent with section 408 of the Code and regulations thereunder.

 

E.

Conformity with Law

 

 

The Contract is updated to include the following:

 

 

The Contract will be subject to and interpreted in conformity with the provisions of the Code, as well as any administrative procedures.

 

 

 

 

E-IRASECURE-20

1

 


 

The effective date of this Endorsement is January 1, 2020, or the effective date of the Contract, if later.

[

 

/s/Charles P. Nelson

 

President]

Voya Retirement Insurance and Annuity Company

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-IRASECURE-20

2

 

 

EX-16 22 ex164q.htm EXHIBIT 16(4)(Q) ENDORSEMENT E-DCSECURE-20 ex164q.htm - Generated by SEC Publisher for SEC Filing

Exhibit 16(4)(q)

Voya Retirement Insurance and Annuity Company

 

ENDORSEMENT

 

This Endorsement is made a part of the Contract and, if applicable, the Certificate to which it is attached. Where used in this Endorsement, the term Contract shall mean Certificate when this Endorsement is attached to a Certificate.

 

The purpose of this Endorsement is to amend the Contract to reflect amendments to the Internal Revenue Code of 1986, as may be amended from time to time (the "Code"), made pursuant to the Setting Every Community Up for Retirement Enhancement Act of 2019 ("the SECURE Act").

 

The following provisions amend the terms of the Contract, and the provisions of this Endorsement supersede any conflicting provisions in the Contract or in any prior endorsements. All other provisions of the Contract shall remain in full force. 

 

A.

Modification to the Required Minimum Distribution ("RMD") Rules

 

 

References to the participant reaching age 70 1/2 in conjunction with the date on which RMDs must begin are hereby removed and replaced with the following:

 

 

RMDs are governed and administered consistent with section 401(a)(9) of the Code and regulations thereunder.

 

B.

RMD Rules for Payments to Beneficiaries

 

 

References to the participant reaching age 70 1/2 in conjunction with the date on which RMDs must begin and descriptions of non-spousal beneficiary payment terms are hereby removed and replaced with the following:

 

 

RMD payments to beneficiaries of qualified retirement plan participants are governed and administered consistent with section 401(a)(9) of the Code and regulations thereunder.

 

C.

Withdrawals for Birth or Adoption of a Child

 

 

If a plan permits, any references to qualified distributions or withdrawals are updated to include the following:

 

 

Withdrawals of up to $5,000 (which may be amended by the Code from time to time) per birth or adoption of a child from eligible defined contribution plans are allowed as a qualified birth or adoption distribution subject to applicable tax, withholding and reporting rules. In addition, plan participants may be able to re-contribute such amounts subject to applicable regulations.

 

D.

Lifetime Distribution Options

 

 

If permitted by a plan, any references to lifetime distribution options are updated to include the following:

 

 

For plan years beginning after December 31, 2019, participants in defined contribution plans, section 403(b) plans, or governmental section 457(b) plans with a lifetime income investment option may take a distribution of the lifetime income investment, without regard to any of the Code’s withdrawal restrictions, if the lifetime income investment is no longer authorized to be held under the plan. The distribution must be a direct trustee-to-trustee transfer of the investment in the form of a qualified plan distribution annuity to another employer-sponsored retirement plan or Individual Retirement Account.

 

E.

Loans

 

 

If a plan permits, any references to loans are updated to include the following:

 

 

Loans are governed and administered consistent with the plan and section 72(p) of the Code and regulations thereunder, as may be amended from time to time.

 

 

E-DCSECURE-20

1

 


 

F.

Conformity with Law and Plan

 

 

The Contract is updated to include the following:

 

 

The Contract will be subject to and interpreted in conformity with the provisions, terms, and conditions of the plan document of which this Contract is a part, if any, as well as any administrative procedures and with:

 

1.

The Code and regulations thereunder; and

 

2.

Other applicable law (including, without limitation, the Employee Retirement Income Security Act of 1974, as amended) as determined by the plan administrator or other designated plan fiduciary or, if none, you.

 

The effective date of this Endorsement is January 1, 2020, or the effective date of the Contract, if later.

[

 

/s/Charles P. Nelson

 

President]

Voya Retirement Insurance and Annuity Company

 

 

 

 

 

 

 

 

 

 

 

E-DCSECURE-20

2

 

 

EX-16 23 ex165opinga2.htm EXHIBIT 16(5) OPINION AND CONSENT OF COUNSEL ex165opinga2.htm - Generated by SEC Publisher for SEC Filing

Exhibit (16)(5)

 

VOYA LETTERHEAD

 

LAW / PRODUCT FILING UNIT
ONE ORANGE WAY, C2N
WINDSOR, CT 06094-4774

 

PETER M. SCAVONGELLI

SENIOR COUNSEL

PHONE:  (860) 580-1631  |  EMAIL:  PETER.SCAVONGELLI@VOYA.COM

 

April 2, 2021

BY EDGARLINK

 

 

U.S. Securities and Exchange Commission

100 F Street, NE

Washington, DC 20549

 

Re:     Voya Retirement Insurance and Annuity Company

           Form S-3 Initial Registration

           Prospectus Title:  Voya Guaranteed Account

 

Dear Ladies and Gentlemen:

 

As Counsel to Voya Retirement Insurance and Annuity Company, a Connecticut life insurance company (the “Company”), I have represented the Company in connection with the Guaranteed Accumulation Account (the “Account”) available under certain variable annuity contracts and the S-3 Registration Statement relating to such Account. 

 

In connection with this opinion, I have reviewed the Registration Statement on Form S-3 relating to such Account, including the prospectus, and relevant proceedings of the Board of Directors. 

 

Based upon this review, and assuming the securities represented by the Company are issued in accordance with the provisions of the prospectus, I am of the opinion that the securities, when sold, will have been legally issued, and will constitute a legal and binding obligation of the Company. 

 

I further consent to the use of this opinion as an exhibit to the Registration Statement. 

 

Based upon the foregoing, and, assuming the Securities are sold in accordance with the provisions of the prospectus, I am of the opinion that the Securities being registered will be legally issued and will represent binding obligations of the Company.

 

I consent to the filing of this opinion as an exhibit to the Registration Statement.

 

Sincerely,

 

/s/ Peter M. Scavongelli

Peter M. Scavongelli

 

 

 

PLAN | INVEST | PROTECT

Voya Logo

 

EX-16 24 ex1623aeyconsent.htm EXHIBIT 16(23)(A) ERNST & YOUNG CONSENT ex1623aeyconsent.htm - Generated by SEC Publisher for SEC Filing

 

Exhibit 16(23)(a)– Consent of Independent Registered Public Accounting Firm

 

 

We consent to the reference to our firm under the caption “Experts” in the Registration Statement (Form S-3, No. 333-) and related Prospectus of Voya Retirement Insurance and Annuity Company (“VRIAC”) and to the incorporation by reference therein of our report dated March 16, 2021, with respect to the consolidated financial statements and schedule of VRIAC included in its Annual Report (Form 10-K) for the year ended December 31, 2020, filed with the Securities and Exchange Commission.

 

 

/s/ Ernst & Young LLP 

 

San Antonio, TX

April 2, 2021

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VOYA LETTERHEAD

 

LAW / PRODUCT FILING UNIT
ONE ORANGE WAY, C2N
WINDSOR, CT 06094-4774

 

 

PETER M. SCAVONGELLI

SENIOR COUNSEL

PHONE:  (860) 580-1631  |  EMAIL:  PETER.SCAVONGELLI@VOYA.COM

 

 

April 2, 2021

BY EDGARLINK

 

 

U.S. Securities and Exchange Commission

100 F Street, NE

Washington, DC 20549

 

Re:     Voya Retirement Insurance and Annuity Company

           Form S-3 Initial Registration

           Prospectus Title:  Voya Guaranteed Account

 

Dear Ladies and Gentlemen:

 

Pursuant to Rule 461 under the Securities Act of 1933, as amended, Voya Retirement Insurance and Annuity Company, as registrant, and Voya Financial Partners, LLC, as distributor, hereby request that the effective date of this registration statement be accelerated to May 1, 2021.

 

If you have any questions, please call the undersigned at 860-580-1631.

 

 

Sincerely,

 

 

/s/ Peter M. Scavongelli

Peter M. Scavongelli

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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