Income Benefit Rider Contract Schedule

  

  

  	
           

          Owner:

        	
           

          [John Doe]

        	
           

          Contract Number:

        	
           

          [??687456]

        
	
          Owner’s Date of Birth:

        	
          [January 15, 1977]

        	
          Issue Date:

        	
          [04/15/22]

        
	
          Owner’s Gender:

        	
          [Male]

        	
          Annuitant:

        	
          [John Doe]

        
	
          [Joint Owner:

        	
          [Jane Doe]]

        	
          Annuitant’s Date of Birth:

        	
          [January 15, 1977]

        
	
          [Joint Owner’s Date of Birth:

        	
          [January 15, 1977]]

        	
          Annuitant’s Gender:

        	
          [Male]

        
	
          [Joint Owner’s Gender:

        	
          [Female]]

        	 	 
	
          Eligible Person(s):

        	
          [John Doe]

        	 	 
	 	
          [Jane Doe]

        	 	 


  

  

  Minimum Exercise Age:                                                                                                  [50]

  Maximum Exercise Age:                                                                                                  [100]

  Maximum Issue Age for Level Income Guarantee:  [75] Maximum Exercise Age for Level Income Guarantee:  [80]

  

  

  Income Payment Waiting Period:                                                                      [[3] Index Year(s)] Minimum Income Payment:  $[100]

  Annual Increase Age:                                                                      [45]

  

  

  Rider Fee:                                                                      [0.70]% guaranteed for all Contract Years

  

  

  [Earliest Rider Removal Date:                                                                      [Third] Index Anniversary]

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  S40902-02                                                                                                                                                                        [Admin. Tracking Identifier]

  
    

    
      


    

  

  

  

  Income Percentage Table

  

  

  	
           

          Eligible Person’s*
            Age

        	
          Income Percentage

        	
           

          Income Percentage Increase **

        
	
          Level Income

        	
          Increasing Income

        
	
          Single Income Payments

        	
          Joint Income Payments

        	
          Single Income Payments

        	
          Joint Income Payments

        
	
          [0-50

        	
           

          4.40%

        	
           

          3.90%

        	
           

          3.40%

        	
           

          2.90%

        	
           

          0.25%]

        
	
          [51

        	
           

          4.50%

        	
           

          4.00%

        	
           

          3.50%

        	
           

          3.00%

        	
           

          0.25%]

        
	
          [52

        	
           

          4.60%

        	
           

          4.10%

        	
           

          3.60%

        	
           

          3.10%

        	
           

          0.25%]

        
	
          [53

        	
           

          4.70%

        	
           

          4.20%

        	
           

          3.70%

        	
           

          3.20%

        	
           

          0.25%]

        
	
          [54

        	
           

          4.80%

        	
           

          4.30%

        	
           

          3.80%

        	
           

          3.30%

        	
           

          0.25%]

        
	
          [55

        	
           

          4.90%

        	
           

          4.40%

        	
           

          3.90%

        	
           

          3.40%

        	
           

          0.30%]

        
	
          [56

        	
           

          5.00%

        	
           

          4.50%

        	
           

          4.00%

        	
           

          3.50%

        	
           

          0.30%]

        
	
          [57

        	
           

          5.10%

        	
           

          4.60%

        	
           

          4.10%

        	
           

          3.60%

        	
           

          0.30%]

        
	
          [58

        	
           

          5.20%

        	
           

          4.70%

        	
           

          4.20%

        	
           

          3.70%

        	
           

          0.30%]

        
	
          [59

        	
           

          5.30%

        	
           

          4.80%

        	
           

          4.30%

        	
           

          3.80%

        	
           

          0.30%]

        
	
          [60

        	
           

          5.40%

        	
           

          4.90%

        	
           

          4.40%

        	
           

          3.90%

        	
           

          0.35%]

        
	
          [61

        	
           

          5.50%

        	
           

          5.00%

        	
           

          4.50%

        	
           

          4.00%

        	
           

          0.35%]

        
	
          [62

        	
           

          5.60%

        	
           

          5.10%

        	
           

          4.60%

        	
           

          4.10%

        	
           

          0.35%]

        
	
          [63

        	
           

          5.70%

        	
           

          5.20%

        	
           

          4.70%

        	
           

          4.20%

        	
           

          0.35%]

        
	
          [64

        	
           

          5.80%

        	
           

          5.30%

        	
           

          4.80%

        	
           

          4.30%

        	
           

          0.35%]

        
	
          [65

        	
           

          5.90%

        	
           

          5.40%

        	
           

          4.90%

        	
           

          4.40%

        	
           

          0.40%]

        
	
          [66

        	
           

          6.00%

        	
           

          5.50%

        	
           

          5.00%

        	
           

          4.50%

        	
           

          0.40%]

        
	
          [67

        	
           

          6.10%

        	
           

          5.60%

        	
           

          5.10%

        	
           

          4.60%

        	
           

          0.40%]

        
	
          [68

        	
           

          6.20%

        	
           

          5.70%

        	
           

          5.20%

        	
           

          4.70%

        	
           

          0.40%]

        
	
          [69

        	
           

          6.30%

        	
           

          5.80%

        	
           

          5.30%

        	
           

          4.80%

        	
           

          0.40%]

        
	
          [70

        	
           

          6.40%

        	
           

          5.90%

        	
           

          5.40%

        	
           

          4.90%

        	
           

          0.45%]

        
	
          [71

        	
           

          6.50%

        	
           

          6.00%

        	
           

          5.50%

        	
           

          5.00%

        	
           

          0.45%]

        
	
          [72

        	
           

          6.60%

        	
           

          6.10%

        	
           

          5.60%

        	
           

          5.10%

        	
           

          0.45%]

        
	
          [73

        	
           

          6.70%

        	
           

          6.20%

        	
           

          5.70%

        	
           

          5.20%

        	
           

          0.45%]

        
	
          [74

        	
           

          6.80%

        	
           

          6.30%

        	
           

          5.80%

        	
           

          5.30%

        	
           

          0.45%]

        
	
          [75

        	
           

          6.90%

        	
           

          6.40%

        	
           

          5.90%

        	
           

          5.40%

        	
           

          0.50%]

        
	
          [76

        	
           

          7.00%

        	
           

          6.50%

        	
           

          6.00%

        	
           

          5.50%

        	
           

          0.50%]

        
	
          [77

        	
           

          7.10%

        	
           

          6.60%

        	
           

          6.10%

        	
           

          5.60%

        	
           

          0.50%]

        
	
          [78

        	
           

          7.20%

        	
           

          6.70%

        	
           

          6.20%

        	
           

          5.70%

        	
           

          0.50%]

        
	
          [79

        	
           

          7.30%

        	
           

          6.80%

        	
           

          6.30%

        	
           

          5.80%

        	
           

          0.50%]

        
	
          [80+

        	
           

          7.40%

        	
           

          6.90%

        	
           

          6.40%

        	
           

          5.90%

        	
           

          0.55%]

        


  

  

  *If you select joint Income Payments, we will use the Age of the younger Eligible Person.

  **Income Percentage Increase does not apply until the Age of the Eligible Person* is greater than or
    equal to the Annual Increase Age. For all Purchase Payments received on or before the Index Effective Date, the Age of the Eligible Person* on the Index Effective Date is used to determine the Income Percentage. For any Additional Purchase Payments
    received after the Index Effective Date, the Age of the Eligible Person* on the Index Anniversary that occurs on or after we receive the Additional Purchase Payments is used to determine the Income Percentage attributable to those Additional Purchase
    Payments. After the Issue Date, current Lifetime Income Percentages will appear on your Index Options Statement.

  
    
      	
              S40902-02

            


      	
              [Admin. Tracking Identifier]

            


      

      

    

    
      


    

  

  

  

  Level Income Guarantee Payment Percentage Table

  

  

  	
           

          [Covered Person’s* Age

        	
           

          Level Income Guarantee Payment

          Percentage

        
	
          50

        	
          2.23%

        
	
          51

        	
          2.28%

        
	
          52

        	
          2.33%

        
	
          53

        	
          2.39%

        
	
          54

        	
          2.44%

        
	
          55

        	
          2.50%

        
	
          56

        	
          2.57%

        
	
          57

        	
          2.64%

        
	
          58

        	
          2.71%

        
	
          59

        	
          2.78%

        
	
          60

        	
          2.86%

        
	
          61

        	
          2.95%

        
	
          62

        	
          3.04%

        
	
          63

        	
          3.13%

        
	
          64

        	
          3.23%

        
	
          65

        	
          3.34%

        
	
          66

        	
          3.45%

        
	
          67

        	
          3.58%

        
	
          68

        	
          3.71%

        
	
          69

        	
          3.85%

        
	
          70

        	
          4.00%

        
	
          71

        	
          4.17%

        
	
          72

        	
          4.35%

        
	
          73

        	
          4.55%

        
	
          74

        	
          4.77%

        
	
          75

        	
          5.00%

        
	
          76

        	
          5.27%

        
	
          77

        	
          5.56%

        
	
          78

        	
          5.89%

        
	
          79

        	
          6.25%

        
	
          80

        	
          6.67%

        
	
          81+

        	
          0.00%]

        


  

  

  *If you select joint Income Payments, we will use the Age of the younger Covered Person.

  
    	
            S40902-02

          


    	
            [Admin. Tracking Identifier]