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RIDER



This Rider is made a part of the Certificate to which it is attached. All terms have the same
meanings as in the Certificate.



Prior to the Annuity Date, We will waive the Contingent Deferred Sales Charge upon the
Participant’s request for full or partial surrender of the Certificate Value. Such benefit shall
be available if:





	1.	 	The Participant is confined to a Nursing Home and/or Hospital for at least 60 consecutive
days while the Certificate is in force;
	 
	2.	 	A surrender or partial withdrawal request and adequate proof of confinement are received by
Us either while the Participant is confined or within 90 days of the Participant’s discharge
from the Nursing Home or Hospital; and
	 
	3.	 	Confinement in a Nursing Home and/or Hospital is prescribed by a Physician and is Medically
Necessary.




A Market Value Adjustment (MVA) shall not be applied to amounts withdrawn from the Fixed Account
whether such application results in a gain or a loss in the Certificate Value.



This Rider may not be exercised before the expiration of 90 days from the Certificate Date.



A new 60 day confinement period must be satisfied each time the Participant becomes newly confined
(whether for the same or unrelated causes), if services by a Nursing Home and/or Hospital have not
been provided for a period of at least six months. If services for related causes were provided
less than six months from current receipt of services, a new 60 day confinement need not be
satisfied.



If the Participant’s request for waiver of Contingent Deferred Sales Charges is denied, the
surrender proceeds will not be dispersed until the Participant is notified by Us of the denial and
provided with the opportunity to reapply for the surrender proceeds or reject the surrender
proceeds.




DEFINITIONS



“Nursing Home” means a Skilled Nursing Facility, an Intermediate Care Facility, or a Residential
Care facility. Nursing Home does not mean:





	1.	 	A home for the aged, a community living center, or a place that primarily provides
domiciliary, residency or retirement care; or





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	2.	 	A place owned or operated by a member of the Participant’s immediate family. Immediate
family members include the Participant’s spouse, children, parents, grandparents,
grandchildren, siblings, and in-laws.




“Skilled Nursing Facility” is a facility which:





	1.	 	Is located in the United States or its territories;
	 
	2.	 	Is licensed and operated as a Skilled Nursing Facility according to the laws of the
jurisdiction in which it is located;
	 
	3.	 	Provides skilled nursing care under the supervision of a licensed physician;
	 
	4.	 	Provides continuous 24 hours a day nursing services by or under the supervision of a
registered graduate professional nurse (R.N.); and
	 
	5.	 	Maintains a daily medical record of each patient.




“Intermediate Care Facility” is a facility which:





	1.	 	Is located in the United States or its territories;
	 
	2.	 	Is licensed and operated as an Intermediate Care Facility according to the laws of the
jurisdiction in which it is located;
	 
	3.	 	Provides continuous 24 hours a day nursing service by or under the supervision of a
registered graduate professional nurse (R.N.), or a licensed practical nurse (L.P.N.); and
	 
	4.	 	Maintains a daily medical record of each patient.




“Residential Care Facility” is a facility which:





	1.	 	Is located in the United States or its territories;
	 
	2.	 	Is licensed and operated as an Residential Care Facility according to the laws of the
jurisdiction in which it is located; and
	 
	3.	 	Provides nursing care under the supervision of a registered graduate professional nurse
(R.N.).




“Hospital” is a facility which:





	1.	 	Is located in the United States or its territories;
	 
	2.	 	Is licensed as a Hospital by the jurisdiction in which it is located;
	 
	3.	 	Is supervised by a staff of licensed physicians;
	 
	4.	 	Provides nursing services 24 hours a day by, or under the supervision of, a registered nurse
(R.N.);
	 
	5.	 	Operates primarily for the care and treatment of sick and injured persons as inpatients for a
charge; and
	 
	6.	 	Has access to medical and diagnostic facilities.




“Physician” is any person duly licensed and legally qualified to diagnose and treat sickness and
injuries. He or she must be providing services within the scope of his or her license. Physicians
do not include members of the Participant’s immediate family.




“Medically Necessary” means appropriate and consistent with the diagnosis in accord with accepted
standards of practice and which could not have been omitted without adversely affecting the
individual’s condition.



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This Rider shall take effect on the Issue Date of the Policy. This Rider shall terminate on the
date a life contingent annuity option is elected, since Certificate Value will cease to be
available on that date.




AMERICAN GENERAL LIFE INSURANCE COMPANY




	 	 	 

	
	 	






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