Document:

Exhibit 10.07

                          KEY BANK NATIONAL ASSOCIATION
                                ESCROW AGREEMENT

     THIS ESCROW AGREEMENT (the "Agreement") is made and executed this day of ,
2000, by and among ONEDENTIST RESOURCES, INC. (the "Company"), whose address is
5300 McKitrick Boulevard, Columbus, Ohio 43235, and CORPORATE STOCK TRANSFER,
INC., a Colorado corporation ("CST"), whose address is 3200 Cherry Creek Drive
South, Suite 430, Denver, Colorado 80209 (collectively, the "Depositors"), and
KEY BANK NATIONAL ASSOCIATION, Cherry Creek Branch ("Escrow Holder"), whose
address is 3300 East First Avenue, Denver, Colorado 80206, Attention: Denise
Garcia (facsimile number 303-329-5325).

     1. Deposits. Depositors shall deposit with Escrow Holder the funds
described below (the "Funds"), which Funds shall be held and disbursed in
accordance with and subject to the terms and conditions of this Agreement. Such
Funds constitute the following: Funds generated by the sale of shares of its
common stock by the Company to subscribers pursuant to the Registration
Statement on Form SB-2 declared effective by the Securities and Exchange
Commission on , 2000, a copy of which has been delivered to Escrow Holder.
Escrow Holder will hold all Funds in the escrow account free from any lien,
claim or offset until the conditions set forth in this Agreement have been fully
satisfied.

     The Escrow Holder shall be provided the name and address of each subscriber
and amounts to be deposited into the escrow by CST. CST shall also confirm that
all subscribers have been accepted.

     2. Disbursements. The Funds are to be disbursed by Escrow Holder as follows
upon the occurrence of the following events:

     The escrow account will remain open until receipt by the Escrow Holder of
Funds totaling a minimum of $1,000,000 at which time Escrow Holder shall provide
written notice to all parties to this Agreement at such time as the collected
Funds of $1,000,000 have been deposited and shall deliver the $1,000,000
directly to the Company.

     Following receipt of the $1,000,000, the escrow account may remain open
until the close of the selling period set forth in the Registration Statement,
which is _________________, 2000. In such event the Escrow Holder will continue
to disburse Funds received to the Company on a weekly basis.

     3. Automatic Termination of Escrow. If at least $1,000,000 has not been
deposited in the escrow account by __________________ , 2000, then Escrow Holder
shall mail the Funds to the subscribers without deduction or interest.

     All Funds shall be returned to the subscribers referred to in paragraph 1
at a fee of $10.00 per check payable by the Company.

<PAGE>

     Upon mailing Funds to the proper persons or entities pursuant to this
paragraph 3, Escrow Holder shall be relieved of and released from any and all
further obligations, duties and liability pursuant to this Agreement, and,
subject to the survival of paragraph 8 below, this Agreement immediately shall
terminate and shall be of no further force and effect.

     4. Notices. Any notice required or desired to be given to any party to this
Agreement may be given either by personal delivery, or by telegram, by facsimile
transmission, or by certified mail, return receipt requested, postage prepaid;
provided, however, any notice given by facsimile transmission, to be effective,
shall be followed by delivery of same by personal delivery or by certified mail,
return receipt requested. All such notices shall be sent to a party at its
address noted above, and such notice shall for all purposes be as effectual as
though served upon such party in person at the time of personal delivery, or on
the date of receipt in the case of transmission by telegram, or on the date of
receipt of the original, in the case of transmission by facsimile, or two
business days after the date of deposit in the U.S. mail, as applicable.

     5. Limitations on Duties. Escrow Holder shall hold and disburse the Funds
in accordance with the terms and conditions of this Agreement. If at any time in
the performance of its duties as set forth in this Agreement it is necessary for
Escrow Holder to receive, accept or act upon any notice or writing purported to
have been executed or issued by or on behalf of any of the parties hereto, it
shall not be necessary for Escrow Holder to ascertain whether or not the person
or persons who have executed, signed or otherwise issued or authenticated the
writing had the authority to so execute, sign or otherwise issue or authenticate
said writing, or that they are the same persons named therein or otherwise to
pass upon any requirements of such instruments that may be essential for their
validity. Further, Escrow Holder shall have no responsibility or liability for
the sufficiency or correctness as to form, manner, execution or validity of any
instrument deposited or delivered pursuant to this Agreement, nor as to the
truth or accuracy of any information contained therein, nor as to the identity,
authority, capacity or rights of any person executing the same, nor for the
failure to comply with the provisions, requirements or conditions of any
agreement, contract or other instrument deposited with or delivered to Escrow
Holder or referred to herein. Rather, the duties of Escrow Holder pursuant to
this Agreement in all events shall be limited to the safekeeping of the Funds,
documents and other items actually received by Escrow Holder and the disposition
of same in accordance with the instructions set forth above.

     6. No Liability for Actions Taken in Good Faith. Escrow Holder shall not be
personally liable for any act it may do or omit to do hereunder while acting in
good faith and in the exercise of its own subjective best judgment, and any act
done or omitted by it pursuant to the advice of its own attorney shall be
conclusive evidence of such good faith and best judgment.

     7. Notices and Warnings. Escrow Holder is hereby expressly authorized and
directed to disregard any and all notices or warnings given by any of the
parties hereto, or by any other person or entity, except as otherwise expressly
set forth in this Agreement and except for orders or process of court, and
Escrow Holder is expressly authorized to comply with and obey any and all
orders, judgments or decree of any court. Escrow Holder shall not be liable to

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<PAGE>

any of the parties hereto or to any other person or entity by reason of
compliance with any order, judgment or decree of any court, even if such order,
judgment or decree is reversed, modified, annulled, set aside or vacated, or is
found to have been entered without jurisdiction.

     8. Indemnity. In consideration of the acceptance of this escrow by Escrow
Holder, the Company covenants and agrees to pay Escrow Holder its charges, costs
and expense hereunder and to indemnify and hold Escrow Holder harmless as to any
liability by it incurred to any person or entity by reason of its having
accepted the same, or in connection with any performance by Escrow Holder in its
capacity as the escrow holder pursuant to this Agreement. Further, the Company
covenants and agrees to reimburse Escrow Holder for all costs and expenses,
including, among other things, counsel fees and court costs incurred in
connection with this Agreement and/or the deposited Funds. In case of any suit,
proceeding, cause of action, demand or other claim to which Escrow Holder is or
at any time may be a party, the Company agrees to pay, promptly upon Escrow
Holder's demand, any and all costs and expenses, including without limit
attorneys' fees, incurred by Escrow Holder in connection with same.
Notwithstanding any contrary provision of this Agreement, the provisions of this
paragraph 10 shall survive the expiration and/or termination of this Agreement.

     9. Interpleader. If at any time a dispute shall exist as to the duty of
Escrow Holder under the terms of this Agreement, or if at any time conflicting
demands are served upon Escrow Holder, whether verbally or in writing,
concerning the possession of, title to or proceeds of any or all of the Funds,
or if any dispute arises between or among the parties and/or any other person or
entity relating in any way to any item deposited, held or disbursed pursuant to
or otherwise relating to this Agreement, Escrow Holder may deposit this
Agreement and the items then or thereafter held by it pursuant to this Agreement
with the Clerk of the District Court of the City and County of Denver, State of
Colorado, and may interplead the parties hereto. Upon so depositing this
Agreement and such items and filing its complaint in interpleader, Escrow Holder
shall be relieved of and released from all liability under the terms hereof as
to the items so deposited. If the Court does not provide for reimbursement to
Escrow Holder for its attorney fees, costs and expenses related to the
interpleader action out of the interplead Funds, then Escrow Holder shall have a
claim enforceable by separate action in Court against the parties, jointly and
severally, for said attorney fees, costs and expenses.

     10. FDIC Insurance. In consideration of the fee paid to Escrow Holder as
set forth in this Agreement and the covenants and agreements of the parties as
set forth above, Escrow Holder agrees to hold the Funds in accordance and
subject to the terms of this Agreement. During the escrow period, the Funds will
be deposited in an FDIC-insured depository (which depository may be Escrow
Holder or any other bank owned or controlled by Key Corp.). Under no
circumstances shall Escrow Holder have liability for loss of Funds due to bank,
savings and loan association or other depository failure, suspension or
cessation of business, or any action or inaction on the part of the bank,
savings and loan association or other depositor, or any delivery service
transporting Funds to and from such depository.

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<PAGE>

     11. Successors; No Third Party Rights. This Agreement shall be binding upon
and inure to the benefit of the parties hereto and their respective heirs,
personal representatives, successors and assigns. This Agreement is only for the
benefit of the parties hereto and their respective heirs, personal
representatives, successors and assigns, and no other person or entity shall be
entitled to rely on, receive any benefit from or to enforce against any party
hereto any provisions of this Agreement.

     12. Applicable Law. This Agreement shall be construed and enforced in
accordance with the laws of the State of Colorado.

     13. Entire Agreement; Waiver. This Agreement constitutes the entire
understanding between the parties with respect to the escrow arrangement
contemplated herein, and all prior or contemporaneous oral agreements,
understandings, discussions, representations and statements relating to said
escrow are superseded by this Agreement. The waiver of any particular condition
precedent, provision or remedy provided by this Agreement shall not constitute
the waiver of any other.

     14. Business Day. If any date herein set forth for the performance of any
obligation by Escrow Holder or for the delivery of any Funds, instrument or
notice as herein provided, is a Saturday, Sunday or legal holiday, the
compliance with such obligation or delivery shall be deemed acceptable if
effected on the next business day following such Saturday, Sunday or legal
holiday. As used herein, the term "legal holiday" means any state or federal
holiday for which financial institutions or post offices are generally closed in
the State of Colorado for observance thereof.

     15. Construction. This Agreement shall not be construed more strictly
against one party than against any other merely by virtue of the fact that it
may have been prepared by counsel for one of the parties, it being recognized
that Escrow Holder and the Company have contributed substantially and materially
to the preparation of this Agreement. The headings of various paragraphs in this
Agreement are for convenience only and are not to be utilized in construing the
content or meaning of the substantive provisions hereof.

     16. Time is of the Essence. All times, wherever specified herein, are of
the essence of this Agreement.

     17. Validity. If any term or provision of this Agreement shall be held
illegal and unenforceable or inoperative as a matter of law, the remaining terms
and provisions of this Agreement shall not be affected thereby, but each such
term and provision shall be valid and shall remain in full force and effect.

     18. Counterparts. This Agreement may be executed in any number of
counterparts, each of which shall be deemed an original and all of which shall
be taken to be one and the same instrument, to the same effect as if all of the
parties hereto had signed the same signature page. Any signature page of this
Agreement may be detached from any counterpart of this Agreement without

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<PAGE>

impairing the legal effect of any signatures thereon and may be attached to
another counterpart of this Agreement identical in form hereto but having
attached to it one or more additional signature pages.

     19. Escrow Fee. The parties agree that Escrow Holder's fee for its services
pursuant to this Agreement shall be $ ______________ , payable in full upon the
Company's execution of this Agreement.

     IN WITNESS WHEREOF, the parties hereto have executed this Escrow Agreement
on the date first above written.

         ESCROW AGENT:       KEY BANK NATIONAL ASSOCIATION

                             By:
                                 -----------------------------------------------
                             Name:
                             Its:

         THE COMPANY:        ONEDENTIST RESOURCES, INC.

                             By:
                                 -----------------------------------------------
                                         Graydon D. Webb, President

                             CORPORATE STOCK TRANSFER INC.

                             By:
                                 -----------------------------------------------
                                          Carylyn K. Bell, President

                                        5[LETTERHEAD OF AIGLIFE]

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

This is a legal contract issued in consideration of the payment of the Initial
Premium. We will make annuity payments as set forth in this certificate
beginning on the Annuity Date.

READ YOUR CERTIFICATE CAREFULLY

RIGHT TO CANCEL THIS CERTIFICATE

This certificate may be returned within 10 days after You receive it. It can be
mailed or delivered to either Us or Our agent. Return of this certificate by
mail is effective as of the date of its postmark, properly addressed and postage
pre-paid. The returned contractcertificate will be treated as if We had never
issued it. We will promptly refund the Contract Value and any fees paid as of
the date of return; this may be more or less than the Premium paid.

This is a variable annuity certificate. Annuity payments and Contract Value may
increase or decrease depending on the experience of the Variable Account
identified in the Contract Schedule.

Signed by the Company:

   /s/ Elizabeth M. Tuck                          /s/ Gerald Wyndorf

         Secretary                                   President

                             CERTIFICATE OF COVERAGE

                                VARIABLE ANNUITY
                                NONPARTICIPATING

<PAGE>

                                TABLE OF CONTENTS

                                                                            PAGE
CONTRACT SCHEDULE                                                              3
DEFINITIONS                                                                    4
GENERAL PROVISIONS                                                             5
OWNERSHIP PROVISIONS                                                           6
BENEFICIARY PROVISIONS                                                         6
PREMIUM PROVISIONS                                                             7
CERTIFICATE CHARGES                                                            7
VARIABLE ACCOUNT                                                               8
GUARANTEED ACCOUNT                                                             8
TRANSFERS                                                                     10
ANNUITY PROVISIONS                                                            11
ANNUITY OPTIONS                                                               11
DEATH BENEFIT                                                                 13
SURRENDER PROVISIONS                                                          14
DELAY OF PAYMENTS                                                             14
FIXED ANNUITY OPTION TABLES                                                   15
VARIABLE ANNUITY OPTION TABLES                                                16

                                       2
<PAGE>

                                CONTRACT SCHEDULE

GROUP CONTRACTHOLDER:  [Direct Consumer's Group Trust Dated December 22, 1995]

GROUP CONTRACT NUMBER: 1234        INITIAL PREMIUM:             $5,000

CERTIFICATE NUMBER:    5678        MINIMUM SUBSEQUENT PREMIUM:  [$1,000]

OWNER:                 JOHN DOE    EFFECTIVE DATE:              December 1, 2000

JOINT OWNER:           JANE DOE    ANNUITY DATE:                December 1, 2030

ANNUITANT:             JOHN DOE

CERTIFICATE MAINTENANCE CHARGE: [$30.00] each Contract Year. [Before the Annuity
Date, this charge will be waived for each year that the Contract Value exceeds
[$50,000] on the Contract Anniversary.]

ADMINISTRATIVE CHARGE: Equal on an annual basis to [0.15%] of the average daily
net assets of the Variable Account.

MORTALITY AND EXPENSE RISK CHARGE: Equal on an annual basis to [1.25%] of the
average daily net assets of the Variable Account.

ACCIDENTAL DEATH BENEFIT CHARGE: Equal on an annual basis to [0.10%] of the
average daily net assets of the Variable Account .

TRANSFER FEE: $ 10.00 per transfer. However, we will not make a charge for the
first [12] transfers in any Contract Year.

[ANNUAL RATCHET RIDER CHARGE: Equal on an annual basis to [0.70%] of the net
assets of the Variable Account; this charge will be calculated and deducted
monthly.]

[EQUITY ASSURANCE PLAN RIDER CHARGE: Equal on an annual basis to [0.75%] of the
average daily net assets of the Variable Account up to the Contract Anniversary
concurrent with or next following the Owner's 60th birthday, and [0.80%]
thereafter; this charge will be calculated and deducted monthly.]

[ENHANCED EQUITY ASSURANCE PLAN RIDER CHARGE: Equal on an annual basis to
[0.80%] of the average daily net assets of the Variable Account up to the
Contract Anniversary concurrent with or next following the Owner's 60th
birthday, and [0.85%] thereafter; this charge will be calculated and deducted
monthly.]

SEPARATE ACCOUNT: [Variable Account I]

ANNUITY SERVICE OFFICE:

                   [       AIG Life Insurance Company       ]
                   [ c/o Delaware Valley Financial Services ]
                   [             300 Berwyn Park            ]
                   [              P.O. Box 3031             ]
                   [          Berwyn, PA 19312-0031         ]
                   [             (800) 255-8402             ]

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<PAGE>

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                                   DEFINITIONS

ACCUMULATION UNIT - An accounting unit of measure used to calculate the Contract
Value prior to the Annuity Date.

ADMINISTRATIVE OFFICE - The Annuity Service Office of the Company as designated
on the Contract Schedule.

ANNUITANT - The person designated by the Owner upon whose continuation of life
any annuity payment involving life contingencies depends.

ANNUITY DATE - The date on which annuity payments are to commence.

ANNUITY OPTION - An arrangement under which annuity payments are made under this
certificate.

ANNUITY UNIT - An accounting unit of measure used to calculate annuity payments
after the Annuity Date.

BENEFICIARY - The person(s) who is(are) entitled to the Death Benefit of this
certificate when there is no surviving Owner or the person(s) who is(are)
entitled to receive the remaining annuity payments, if any, when the Annuitant
dies after the Annuity Date.

CONTRACT ANNIVERSARY - An anniversary of the Effective Date of this certificate.

CONTRACT VALUE - The dollar value as of any Valuation Date of all amounts
accumulated under this contractcertificate.

CONTRACT YEAR - Each period of twelve (12) months commencing with the Effective
Date of this certificate.

EFFECTIVE DATE - The date shown on the Contract Schedule on which the first
Contract Year begins for this certificate.

ELIGIBLE INVESTMENT(S) - Those investments available under the certificate.
Eligible Investments, at the time this certificate is issued, are shown in the
application for this Certificate.

GUARANTEED ACCOUNT - A part of Our General Account which earns a Guaranteed Rate
of interest.

INJURY - Bodily injury caused by an accident which occurs while coverage under
the Accidental Death Benefit is in force, and results, directly and
independently from all other causes, in death.

JOINT OWNER - The person named as Joint Owner on the application and listed in
the Contract Schedule, unless subsequently changed. The Joint Owner, if any,
possesses an undivided interest in this contractcertificate in conjunction with
the Owner. All references within this certificate to Owner will apply to both
the Owner and the Joint Owner or to either of them.

OWNER - The person named as Owner on the application and listed in the Contract
Schedule, unless subsequently changed. The Owner has all rights under this
certificate.

PREMIUM - Purchase payments are referred to in this certificate as Premiums.

SUBACCOUNT - A division of the Variable Account established to invest in a
particular portfolio of Eligible Investments.

YOU, YOUR - The Owner of this certificate.

VALUATION DATE - Each day that the New York Stock Exchange is open for trading.

VALUATION PERIOD - The period between the close of business of the New York
Stock Exchange on any Valuation Date and the close of business for the next
succeeding Valuation Date.

VARIABLE ACCOUNT - The Separate Account designated on the Contract Schedule.

WE, OUR, US - AIG Life Insurance Company.

WRITTEN REQUEST - A request made in a form satisfactory to Us and either signed
by You or confirmed by Us in writing to You. A Written Request takes effect when
received and recorded at Our Administrative Office unless specifically noted as
otherwise within this certificate.

                                       4
<PAGE>

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                               GENERAL PROVISIONS

THE CONTRACT - The entire contract consists of the group contract, this
certificate and any attached endorsement(s), rider(s) or application(s). Nothing
in the group contract invalidates or impairs any right granted to You under this
certificate. This certificate may be changed or altered only by Our President or
Secretary. Any change, modification or waiver must be made in writing.

NON-PARTICIPATION IN SURPLUS - This certificate does not share in any
distribution of Our profits or surplus.

INCONTESTABILITY - This certificate is not contestable.

MISSTATEMENT OF AGE OR SEX - We will require proof of age and sex of the
Annuitant before making any life annuity payment provided for by this
certificate. If the age or sex of the Annuitant has been misstated, the amount
payable will be the amount that the Contract Value would have provided at the
correct age or sex.

Once annuity payments have begun, any underpayments will be made up in one sum
including interest at the annual rate of 3%, unless a higher interest rate is
required by the law of the jurisdiction where this certificate is delivered,
with the next annuity payment. Overpayments including interest at the annual
rate of 3%, unless a higher interest rate is required by the law of the
jurisdiction where this certificate is delivered, will be deducted from the
future annuity payments until the total is repaid.

CERTIFICATE SETTLEMENT - This certificate must be returned to Us upon settlement
as a death claim. Prior to any settlement as a death claim, due proof of death
must be submitted to Us.

FACILITY OF PAYMENT - If any recipient is unable to give a valid receipt for a
payment made under this certificate, We may make payments to the person who, in
Our opinion, is caring for that recipient until claim is made by the recipient's
duly appointed guardian or other legal representative.

REPORTS - We will furnish You with a report showing the Contract Value at least
once each calendar year. This report will be sent to Your last known address.

TAXES - Any taxes, if applicable, paid to any governmental entity will be
charged against the Premiums or the Contract Value, depending upon the Owner's
state of residence. We may, at Our sole discretion, pay taxes when due and
deduct that amount from the Contract Value at a later date. Our payment of such
taxes at an earlier date does not waive any right We may have to deduct amounts
at a later date.

EVIDENCE OF SURVIVAL - Where any benefits under this certificate are contingent
upon the recipient being alive on a given date, We will require proof
satisfactory to Us that the condition has been met.

PROTECTION OF PROCEEDS - No payment under this certificate may be commuted or
assigned before it is due. To the extent permitted by law, no payments will be
subject to any creditor claim nor to any judicial process for payment of such
claim.

MODIFICATION OF CERTIFICATE - This certificate may not be modified by Us,
without Your consent except as may be required by applicable law. If the state
insurance laws or regulations, the federal securities or tax laws or
regulations, or any regulations under which this certificate would qualify as an
annuity change, We may amend this certificate to comply with these changes.

MINIMUM BENEFITS - Any paid-up annuity, cash surrender or death benefit that may
be available under this certificate is not less than the minimum benefits
required by statute in the jurisdiction in which this certificate is delivered.

CONTINUATION OF CERTIFICATE COVERAGE - If the group contract under which this
certificate is issued should terminate, coverage may be continued under this
certificate unless it is surrendered or otherwise ends in accordance with its
terms.

                                       5
<PAGE>

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                              OWNERSHIP PROVISIONS

OWNER - The Owner and any applicable Joint Owner are named in the Contract
Schedule.

If there is an Owner and Joint Owner for this certificate, then both owners must
agree to any change in this certificate. If one Owner dies, the surviving Owner
retains all rights of this certificate. All references within this certificate
to Owner will apply to both the Owner and Joint Owner or either of them.

The Owner may exercise all the rights of this certificate, subject to the rights
of:

1.    any assignee under an assignment filed with Our Administrative Office; and

2.    any irrevocably named Beneficiary.

CHANGE OF OWNERSHIP - You may change Ownership of this certificate by submitting
a Written Request to Our Administrative Office. We may require this certificate
for endorsement.

Change of Ownership does not change the Beneficiary. Any change of Ownership is
subject to any payment made by Us before the request is received and recorded at
Our Administrative Office.

ASSIGNMENT - You may assign this certificate while the Annuitant is alive and
before the Annuity Date. A copy of any assignment must be filed with Our
Administrative Office. We are not responsible for the validity of any
assignment. If You assign this certificate, Your rights and those of any
Beneficiary will be subject to the assignment. An assignment will not affect any
payments We may make or actions We may take before such assignment has been
recorded at Our Administrative Office. The assignment will not be recorded until
We have received sufficient direction from the Owner and assignee as to the
proper allocation of rights under this certificate between the Owner and the
assignee.

A change in ownership or an assignment may result in adverse tax consequences.

================================================================================

                             BENEFICIARY PROVISIONS

BENEFICIARY - The Beneficiary is as stated on the application, unless later
changed by Your Written Request. One or more beneficiaries can be named in the
application. If more than one Beneficiary is named, each can be classed as
primary or contingent. If two or more persons are named in a class, their shares
in the proceeds can be stated. The stated shares in the proceeds will be paid to
any primary beneficiaries. If no primary beneficiaries survive, payment will be
made to any surviving contingent beneficiaries. If You have not made other
arrangements with Us, Beneficiaries who survive in the same class will share the
proceeds equally.

DEATH OF BENEFICIARY - If no named Beneficiary is living at the time a death
benefit becomes payable, We will pay the death benefit to the Owner, or, if no
Owner is alive, to the last surviving Owner's estate.

CHANGE OF BENEFICIARY - To change a Beneficiary, a Written Request for a change
of Beneficiary must be received at Our Administrative Office. If the request is
received at Our Administrative Office after the death of the Owner, it will be
effective only if no payment has been made. After the change is recorded, it
will take effect as of the date the request was signed.

                                       6
<PAGE>

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                               PREMIUM PROVISIONS

PREMIUM - The Initial Premium is due on or before the Effective Date.
Thereafter, Premium payments may be made at any time prior to the Annuity Date,
in an amount equal to or greater than the Minimum Subsequent Premium amount,
shown on the Contract Schedule page.

ALLOCATION OF premium PAYMENTS - Premiums may be allocated to one or more of the
Subaccounts of the Variable Account or to the Guaranteed Account. Whole
percentages must be used. The allocation of the Initial Premium is shown on the
application. You may change the allocation at any time. We will send
confirmation of Your changes. Any subsequent Premium received will be allocated
in accordance with the most recently received allocation instructions.

================================================================================

                               CERTIFICATE CHARGES

All charges and fees shown on the Contract Schedule are the maximum amounts
which We may charge. We may, however, charge less than the maximum.

MORTALITY AND EXPENSE RISK CHARGE - We deduct a Mortality And Expense Risk
Charge equal, on an annual basis, to the amount shown on the Contract Schedule.
We guarantee that the dollar amount of each annuity payment after the first will
not be affected by variations in mortality or expense experience.

ADMINISTRATIVE CHARGE - We deduct an Administrative Charge equal, on an annual
basis, to the amount shown on the Contract Schedule. The Administrative Charge
compensates Us for some of the costs associated with the administration of this
certificate and the Variable Account.

CERTIFICATE MAINTENANCE CHARGE - We deduct an annual Certificate Maintenance
Charge shown on the Contract Schedule. The Certificate Maintenance Charge will
be deducted from the Contract Value on each Contract Anniversary while this
certificate is in force. Prior to the Annuity Date, the Certificate Maintenance
Charge will be deducted from the Contract Value by canceling Accumulation Units.
The number of Accumulation Units to be canceled from each applicable Subaccount
will be in the ratio that the value of each Subaccount bears to the total
Contract Value.

If this certificate is surrendered for its full Surrender Value on other than a
Contract Anniversary, the full Certificate Maintenance Charge due on the next
Contract Anniversary will be deducted at the time of surrender.

On and after the Annuity Date, the Certificate Maintenance Charge will be
pro-rated and collected on a monthly basis. This amount will be subtracted from
the monthly annuity payments.

ACCIDENTAL DEATH BENEFIT CHARGE - If you have elected the Accidental Death
Benefit described in this Certificate, an Accidental Death Benefit Charge will
be included on the Contract Schedule.

                                       7
<PAGE>

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                                VARIABLE ACCOUNT

GENERAL DESCRIPTION - The name of the Variable Account is shown in the Contract
Schedule. The assets of the Variable Account and each Subaccount are Our
property but are not chargeable with the liabilities arising out of any other
business We may conduct, except to the extent that Variable Account assets
exceed Variable Account liabilities arising under the contracts or certificates
supported by the Variable Account. The Variable Account and each Subaccount is
separate from Our General Account and any other separate account or Subaccount
We may have.

INVESTMENT ALLOCATIONS TO THE VARIABLE ACCOUNT - The Variable Account consists
of Subaccounts and each Subaccount may invest its assets in a separate class of
shares of a designated investment company or companies.

We have the right to change, add or delete designated investment companies. We
have the right to add or remove Subaccounts. We also have the right to combine
any two or more Subaccounts.

VALUATION OF ASSETS - Assets within each Subaccount will be valued at their net
asset value on each Valuation Date.

CONTRACT VALUE - Premiums are allocated among the various Subaccounts within the
Variable Account. For each Subaccount, the Premiums are converted into
Accumulation Units. The number of Accumulation Units credited to the certificate
is determined by dividing the Premiums allocated to the Subaccount by the value
of the Accumulation Unit for the Subaccount. Surrenders will result in the
cancellation of Accumulation Units. The value of the certificate is the sum of
the values for the contractcertificate within each Subaccount and the Guaranteed
Account. The value of each Subaccount is determined by multiplying the number of
Accumulation Units attributable to the Subaccount by the Accumulation Unit value
for the Subaccount, independent of the value of any other Subaccount.

ACCUMULATION UNIT VALUES - The value of an Accumulation Unit will vary in
accordance with the investment experience of the underlying portfolio in which
the Subaccount invests. The value of Accumulation Units is expected to increase
or decrease from Valuation Period to Valuation Period. The value of Accumulation
Units in each Subaccount will change daily to reflect the investment experience
of the corresponding underlying portfolio as well as the daily deduction of the
Certificate Charges. The number of Accumulation Units credited to the
certificate will not change as a result of any fluctuations in the value of an
Accumulation Unit.

================================================================================

                               GUARANTEED ACCOUNT

GENERAL DESCRIPTION - The Guaranteed Account is a part of Our General Account.
The amount You have in the Guaranteed Account at any time is a result of
Premiums You have allocated to it or any part of Your Contract Value you have
transferred to it.

GUARANTEE PERIODS - The portion of Your Contract Value within the Guaranteed
Account is credited with interest at rates guaranteed by Us for the Guarantee
Period(s) selected. Interest is credited on a daily basis at the then applicable
effective guaranteed interest rate for the applicable Guarantee Period. You may
select from one or more Guarantee Periods which we offer at any particular time.
We reserve the right at any time to add or delete Guarantee Periods. If You have

                                       8
<PAGE>

allocated any part of Your Initial Premium to a Guarantee Period, the amount
allocated, as well as the duration of the Guarantee Period is shown on the
Application.

The guaranteed interest rate applicable to an allocation of Premium or transfer
of Contract Value to a Guarantee Period is the rate in effect for that Guarantee
Period at the time of the allocation or transfer. If You have allocated or
transferred amounts at different times to the Guaranteed Account, each
allocation or transfer may have a unique effective guaranteed interest rate
associated with that amount. We guarantee that the effective annual rate of
interest for the Guaranteed Account, including any of the Guaranteed Periods,
will not be less than 3%.

                                       9
<PAGE>

================================================================================

                                    TRANSFERS

During the Accumulation Period, or after the Annuity Date, provided a variable
Annuity Option was selected, You may transfer all or part of Your value, in a
Subaccount, or allocated to a Guarantee Period of the Guaranteed Account, to
another Subaccount or Guarantee Period of the Guaranteed Account. However, after
the Annuity Date no transfers may be made between a Subaccount and the
Guaranteed Account. The Transfer Fee is shown on the Contract Schedule.

All transfers are subject to the following:

1.    The deduction of any Transfer Fee that may be imposed will be deducted
      from the amount which is transferred. However, no Transfer Fee will be
      imposed on transfers resulting from the expiration of a Guarantee Period.

2.    If We have not received transfer instructions prior to the end of a
      Guarantee Period in which You have Contract Value, We will automatically
      transfer it to a new Guarantee Period of the same duration and under the
      same restrictions as if You had requested such transfer. However, if a new
      Guarantee Period of the same duration is not available, then that portion
      of Your Contract Value will be transferred to the Guarantee Period next
      shortest in duration.

3.    The minimum amount which may be transferred is the lesser of (A) $1,000 or
      (B) Your entire value in the Subaccount or in the amount allocated to a
      Guarantee Period of the Guaranteed Account.

4.    No partial transfer will be made if, as a result of such transfer, Your
      remaining Contract Value in the Subaccount or in the amount allocated to
      the Guarantee Period of the Guaranteed Account would be less than $1,000.

5.    Transfers will be effected during the Valuation Period next following
      receipt by Us of a Written Request containing all required information.
      However, no transfer may be made effective within seven calendar days of
      the date on which any annuity payment is due.

6.    Any transfer request must clearly specify:

      a.    the amount which is to be transferred; and

      b.    the Subaccounts or Guarantee Periods of the Guaranteed Account which
            are to be affected.

7.    After the Annuity Date, transfers may not take place between a fixed
      Annuity Option and a variable Annuity Option.

                                       10
<PAGE>

================================================================================

                               ANNUITY PROVISIONS

ANNUITY PAYMENTS - Beginning on the Annuity Date, We will make annuity payments
to the Annuitant in accordance with the Annuity Option in effect on that date.

Annuity payments will be made on a monthly basis unless such payments would be
less than $100 per month. In that event, we reserve the right to amend the
frequency of annuity payments to be semi-annual or annual to ensure annuity
payments are at least $100 per payment.

CHANGE IN ANNUITY DATE - You may, upon at least thirty (30) days prior Written
Request, at any time prior to the Annuity Date, change the Annuity Date shown on
the Contract Schedule. The Annuity Date must always be the first day of a
calendar month.

Unless We approve otherwise, the new Annuity Date must be at least one year
after the effective Date. The latest Annuity Date is the first day of the first
calendar month following the Annuitant's 90th birthday or such earlier date as
may be set by applicable law.

SELECTION OF ANNUITY OPTION - If the Annuitant is alive on the Annuity Date, We
will apply the Contract Value to provide an income on the basis of a life income
with 10 years guaranteed, unless another Annuity Option has been selected. You
may however, upon at least thirty (30) days prior Written Request, at any time
prior to the Annuity Date, select and/or change the Annuity Option.

================================================================================

                                 ANNUITY OPTIONS

ANNUITY OPTION - The Annuity Option you select may be on a fixed or variable
basis, or a combination thereof. We may, at the time of election of an Annuity
Option, offer more favorable rates in lieu of those here guaranteed. We may also
make available other income options.

OPTION 1 - LIFE INCOME. Annuity payments are paid during the life of an
Annuitant ceasing with the last Annuity Payment due prior to the Annuitant's
death.

OPTION 2 - LIFE INCOME WITH 10 YEAR GUARANTEE. Annuity payments are paid during
the life of an Annuitant, but at least for a 10 year minimum period.

OPTION 3 - JOINT AND LAST SURVIVOR ANNUITY. Annuity payments are paid during the
joint lifetime of the Annuitant and a designated second person and are paid
thereafter during the remaining lifetime of the survivor ceasing with the last
annuity payment due prior to the survivor's death.

================================================================================

FIXED ANNUITY OPTION

The fixed dollar amount of each fixed annuity payment is determined by
multiplying the available Contract Value (after the deduction of any premium
taxes, if applicable, not previously deducted) by the factor in the Fixed
Annuity Option Table for the option chosen, using the age and sex of the
Annuitant and Joint Annuitant, if any, divided by 1,000. The tables are
determined from the Annuity 2000 Table projected with Scale G to the year of
annuitization, with interest at the rate of 3.00% per annum. If, when annuity
payments are elected, We are using tables of annuity rates for these
certificates which result in larger annuity payments, We will use those tables
instead. The annuity payments, determined at the time of their election, will
not be less than payments that would be provided by the application of the
Contract Value to an immediate annuity then offered by Us at the time of
election, for the same class of annuitants.

                                       11
<PAGE>

================================================================================

                           ANNUITY OPTIONS (Continued)

VARIABLE ANNUITY OPTION

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

The amount of the first variable annuity payment depends on the Annuity Option
elected and the age and sex of the Annuitant. This certificate contains a
Variable Annuity Options Table indicating the dollar amount of the first monthly
payment under each optional annuity form for each $1,000 of value applied. The
tables are determined from the Annuity 2000 Table projected with Scale G to the
year of annuitization, with interest at the rate of 5.00% per annum. If, when
annuity payments are elected, We are using tables of annuity rates for these
certificates which result in larger annuity payments, We will use those tables
instead.

The 5% interest rate assumed in the annuity tables would produce level annuity
payments if the net investment rate remained constant at 5% per year. Subsequent
payments will be less than, equal to, or greater than the first payment
depending upon whether the actual net investment rate is less than, equal to, or
greater than 5%.

The dollar amount of the first variable annuity payment is determined by
applying the available value (after deduction of any premium taxes, if
applicable, not previously deducted) to the table using the age and sex of the
Annuitant and any joint Annuitant. The number of Annuity Units is then
determined by dividing this dollar amount by the then current Annuity Unit
value. Thereafter, the number of Annuity Units remains unchanged during the
period of annuity payments. This determination is made separately for each
Subaccount of the Variable Account. The number of Annuity Units is determined
for each Subaccount and is based upon the available value in each Subaccount as
of the date annuity payments are to begin. The dollar amount determined for each
Subaccount will then be aggregated for purposes of making payments. The dollar
amount of the second and later variable annuity payments is equal to the number
of Annuity Units determined for each Subaccount times the Annuity Unit value for
that Subaccount as of the due date of the payment. This amount may increase or
decrease from month to month. The value of an Annuity Unit for a Subaccount is
determined as shown below, by subtracting item 2. from item 1, dividing that
result by item 3 and multiplying the result by a factor to neutralize the
assumed net investment rate, discussed above, of 5% per annum,

where:

1.    is the net result of the assets of the Subaccount attributable to the
      Annuity units,

      a)    plus the cumulative credit; or

      b)    minus the cumulative charge

      for taxes reserved, which credit or charge is determined by Us to have
      resulted from the operation of the Subaccount;

2.    is the cumulative unpaid amounts for the Mortality and Expense Risk Charge
      and for the Administrative Charge, which are shown in the Contract
      Schedule; and

3.    is the number of Annuity Units outstanding at the end of the Valuation
      Period.

The value of an Annuity Unit may increase or decrease from Valuation Period to
Valuation Period.

                                       12
<PAGE>

================================================================================

                                  DEATH BENEFIT

DEATH OF THE OWNER - If an Owner dies before the Annuity Date and there is a
surviving Joint Owner, a Death Benefit is payable to the surviving Joint Owner.
If an Owner dies prior to the Annuity Date and there is no surviving Joint
Owner, a Death Benefit is payable to the Beneficiary. The value of the Death
Benefit will be determined as of the date We receive proof of death in a form
acceptable to Us. If there has been a change of Owner, the Death Benefit will be
the Contract Value. Otherwise, We will pay the Death Benefit equal to the
greater of:

1.    the total of all Premiums paid, with each premium adjusted for surrenders
      as described below; or

2.    the Contract Value.

      Adjustment for Surrenders. In the determination of the Death Benefit, for
      each surrender, a proportionate reduction will be made to each Premium
      paid prior to the surrender. The proportion is determined by dividing the
      amount of the Contract Value surrendered by the Contract Value immediately
      prior to each surrender.

The surviving Joint Owner or Beneficiary may elect the Death Benefit to be paid
as follows:

1.    payment of the entire Death Benefit within 5 years of the date of the
      Owner's death; or

2.    payment over the lifetime of the surviving Joint Owner or designated
      Beneficiary with distribution beginning within 1 year of the date of death
      of the Owner (see Annuity Options section of this contractcertificate); or

3.    if the surviving Joint Owner or designated Beneficiary is a spouse of the
      deceased Owner, he/she can continue this contract in his/her own name.

If no payment option is elected within 60 days of Our receipt of proof of the
Owner's death, a single sum settlement will be made at the end of the sixty (60)
day period following such receipt. Upon payment of the Death Benefit, this
contract will end.

If the Owner is a person other than the Annuitant, and if the Owner's death
occurs on or after the Annuity Date, no Death Benefit will be payable under this
contract. Any guaranteed payments remaining unpaid will continue to be paid to
the Annuitant pursuant to the Annuity Option in force at the date of the Owner's
death.

If the Owner is not an individual, any change of Annuitant or death of Annuitant
before the Annuity Date will be treated as if the Owner had died on the date of
such change or death and the Death Benefit will be the Contract Value.

ACCIDENTAL DEATH BENEFIT - If an Accidental Death Benefit Charge is included on
the Contract Schedule, an Accidental Death Benefit may be payable which is equal
to the lesser of the Contract Value as of the date the death benefit is
determined, or $250,000. The Accidental Death Benefit is payable if the death of
the primary Owner (i.e. the first owner listed on the Contract Schedule) occurs
prior to the Contract Anniversary next following his 75th birthday, and is the
result of an Injury incurred while he was the primary Owner. The death must also
occur before the Annuity Date and within 365 days of the date of the accident
which caused the Injury.

The Accidental Death Benefit will not be paid for any death caused by or
resulting (in whole or in part) from the following:

1.    suicide or attempted suicide while sane or insane; or intentionally
      self-inflicted injuries;
2.    sickness, disease or bacterial infection of any kind, except pyogenic
      infections which occur as a result of an injury, or bacterial infections
      which result from the accidental ingestion of contaminated substances;
3.    hernia;
4.    injury sustained as a consequence of riding in, including boarding or
      alighting from, any vehicle or device used for aerial navigation except if
      the primary Owner is a passenger on any aircraft licensed for the
      transportation of passengers;
5.    declared or undeclared war or any act thereof; or
6.    service in the military, naval or air service of any country.

DEATH OF THE ANNUITANT - If the Annuitant is a person other than the Owner and
the Owner is an individual, and if the Annuitant dies before the Annuity Date, a
new Annuitant may be named by the Owner. If no new Annuitant is named within
sixty (60) days of Our receipt of proof of death, the Owner will be the new
Annuitant. If the Annuitant dies after the Annuity Date, the remaining payments,
if any, will be as specified in the Annuity Option elected. We will require
proof of the Annuitant's death. Death benefits, if any, will be paid to the
designated Beneficiary at least as rapidly as under the method of distribution
in effect at the Annuitant's death.

                                       13
<PAGE>

================================================================================

                              SURRENDER PROVISIONS

SURRENDER - While this certificate is in force and before the Annuity Date, We
will, upon Written Request, allow the surrender of all or a portion of this
certificate for its Surrender Value. Surrenders will result in the cancellation
of Accumulation Units from each applicable Subaccount and the Guaranteed Account
in the ratio that the value of each account bears to the total Contract Value.
You must specify by Written Request, in advance, which units are to be canceled
if other than the above described method of cancellation is desired. We will pay
the amount of any surrender within seven (7) days of receipt of a request unless
the "Delay of Payments" provision is in effect.

The Surrender Value will be the Contract Value, as of the date of Our receipt of
Your Written Request for surrender, reduced by the sum of:

1.    any applicable premium taxes not previously deducted; plus

2.    any applicable Certificate Maintenance Charge.

================================================================================

                                DELAY OF PAYMENTS

DELAY OF PAYMENTS - We will make any payments under this certificate within 7
days (or any shorter period, if required by law) of a request received in good
order. We reserve the right to suspend or postpone any type of payment from the
Variable Account for any period when:

1.    the New York Stock Exchange is closed for other than customary weekend and
      holiday closings;

2.    trading on the Exchange is restricted;

3.    an emergency exists as a result of which it is not reasonably practicable
      to dispose of securities held in the Variable Account, or to determine
      their value; or

4.    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 2. or 3. exist.

We reserve the right to delay any type of payment from the General Account for
up to six (6) months from the date we receive the request for payment.

                                       14
<PAGE>

                           Fixed Annuity Option Tables

<TABLE>
<CAPTION>
-----------------------------------------------------------------------------------------
                                 Option 1: Life Income
-----------------------------------------------------------------------------------------
                               Monthly Income per $1,000
-----------------------------------------------------------------------------------------
   Year of
Annuitization          2010              2020               2030              2040
-----------------------------------------------------------------------------------------
     Age          Male     Female    Male    Female    Male    Female     Male    Female
-----------------------------------------------------------------------------------------
<S>              <C>       <C>      <C>      <C>      <C>        <C>      <C>      <C>
      30          3.16      3.06     3.12     3.03     3.09      3.00     3.06     2.97
-----------------------------------------------------------------------------------------
      35          3.30      3.18     3.25     3.14     3.21      3.10     3.18     3.07
-----------------------------------------------------------------------------------------
      40          3.48      3.32     3.42     3.28     3.37      3.23     3.32     3.20
-----------------------------------------------------------------------------------------
      45          3.70      3.51     3.63     3.45     3.57      3.40     3.51     3.35
-----------------------------------------------------------------------------------------
      50          3.98      3.74     3.89     3.67     3.82      3.60     3.74     3.54
-----------------------------------------------------------------------------------------
      55          4.34      4.05     4.23     3.95     4.13      3.87     4.04     3.79
-----------------------------------------------------------------------------------------
      60          4.82      4.45     4.68     4.33     4.55      4.22     4.43     4.12
-----------------------------------------------------------------------------------------
      65          5.48      4.99     5.29     4.83     5.12      4.68     4.96     4.55
-----------------------------------------------------------------------------------------
      70          6.38      5.75     6.13     5.53     5.89      5.33     5.69     5.16
-----------------------------------------------------------------------------------------
      75          7.62      6.86     7.26     6.54     6.95      6.26     6.66     6.02
-----------------------------------------------------------------------------------------
      80          9.35      8.48     8.85     8.02     8.41      7.61     8.02     7.26
-----------------------------------------------------------------------------------------
      85         11.76     10.89    11.08    10.21    10.48      9.62     9.96     9.11
-----------------------------------------------------------------------------------------
</TABLE>

<TABLE>
<CAPTION>
-----------------------------------------------------------------------------------------
                      Option 2: Life Income with 10 year Guarantee
-----------------------------------------------------------------------------------------
                               Monthly Income per $1,000
-----------------------------------------------------------------------------------------
   Year of
Annuitization          2010              2020               2030              2040
-----------------------------------------------------------------------------------------
      Age         Male    Female     Male    Female    Male    Female     Male    Female
-----------------------------------------------------------------------------------------
<S>               <C>      <C>       <C>      <C>      <C>      <C>       <C>      <C>
      30          3.16     3.06      3.12     3.03     3.09     3.00      3.06     2.97
-----------------------------------------------------------------------------------------
      35          3.30     3.17      3.25     3.14     3.21     3.10      3.17     3.07
-----------------------------------------------------------------------------------------
      40          3.47     3.32      3.42     3.27     3.37     3.23      3.32     3.19
-----------------------------------------------------------------------------------------
      45          3.69     3.50      3.62     3.44     3.56     3.39      3.50     3.35
-----------------------------------------------------------------------------------------
      50          3.96     3.73      3.87     3.66     3.80     3.60      3.73     3.54
-----------------------------------------------------------------------------------------
      55          4.30     4.03      4.20     3.94     4.10     3.86      4.02     3.78
-----------------------------------------------------------------------------------------
      60          4.74     4.41      4.61     4.29     4.50     4.19      4.39     4.10
-----------------------------------------------------------------------------------------
      65          5.31     4.91      5.15     4.76     5.01     4.63      4.87     4.51
-----------------------------------------------------------------------------------------
      70          6.02     5.57      5.83     5.39     5.65     5.22      5.48     5.07
-----------------------------------------------------------------------------------------
      75          6.85     6.42      6.63     6.19     6.42     5.98      6.23     5.79
-----------------------------------------------------------------------------------------
      80          7.73     7.40      7.51     7.16     7.30     6.92      7.10     6.70
-----------------------------------------------------------------------------------------
      85          8.52     8.34      8.35     8.13     8.18     7.93      8.02     7.73
-----------------------------------------------------------------------------------------
</TABLE>

<TABLE>
<CAPTION>
------------------------------------------------------------------------------------------
               Option 3: Joint and Last Survivor Annuity (Male and Female)
------------------------------------------------------------------------------------------
                                Monthly Income per $1,000
------------------------------------------------------------------------------------------
    Year of
 Annuitization                   2020                                 2040
------------------------------------------------------------------------------------------
  Female Age        45       55       65       75        45       55       65       75
------------------------------------------------------------------------------------------
   Male Age
------------------------------------------------------------------------------------------
<S>                <C>      <C>      <C>      <C>       <C>      <C>      <C>      <C>
      45           3.25     3.41     3.52     3.59      3.18     3.32     3.42     3.47
------------------------------------------------------------------------------------------
      55           3.35     3.63     3.90     4.09      3.26     3.52     3.76     3.92
------------------------------------------------------------------------------------------
      65           3.40     3.80     4.30     4.78      3.31     3.67     4.10     4.52
------------------------------------------------------------------------------------------
      75           3.43     3.89     4.59     5.54      3.34     3.74     4.36     5.18
------------------------------------------------------------------------------------------
</TABLE>

The values shown have not been adjusted for the annual certificate maintenance
charge described on pages 3 and 9.

Values not shown are available from Our Administrative Office on request.

                                       15
<PAGE>

                         Variable Annuity Option Tables

<TABLE>
<CAPTION>
---------------------------------------------------------------------------------------
                                Option 1: Life Income
---------------------------------------------------------------------------------------
                              Monthly Income per $1,000
---------------------------------------------------------------------------------------
    Year of
 Annuitization         2010             2020              2030              2040
---------------------------------------------------------------------------------------
      Age          Male   Female    Male    Female    Male    Female    Male    Female
---------------------------------------------------------------------------------------
<S>               <C>     <C>      <C>      <C>      <C>      <C>      <C>      <C>
      30           4.47    4.38     4.44     4.36     4.41     4.34     4.39     4.32
---------------------------------------------------------------------------------------
      35           4.58    4.47     4.55     4.44     4.51     4.41     4.48     4.39
---------------------------------------------------------------------------------------
      40           4.74    4.60     4.69     4.55     4.64     4.52     4.60     4.49
---------------------------------------------------------------------------------------
      45           4.94    4.75     4.88     4.70     4.82     4.65     4.76     4.61
---------------------------------------------------------------------------------------
      50           5.20    4.96     5.12     4.90     5.04     4.83     4.97     4.78
---------------------------------------------------------------------------------------
      55           5.54    5.24     5.43     5.15     5.34     5.07     5.25     5.00
---------------------------------------------------------------------------------------
      60           6.00    5.62     5.86     5.50     5.74     5.40     5.62     5.30
---------------------------------------------------------------------------------------
      65           6.65    6.15     6.46     5.99     6.29     5.84     6.14     5.72
---------------------------------------------------------------------------------------
      70           7.56    6.90     7.30     6.68     7.07     6.48     6.86     6.30
---------------------------------------------------------------------------------------
      75           8.81    8.01     8.45     7.69     8.12     7.41     7.83     7.16
---------------------------------------------------------------------------------------
      80          10.55    9.65    10.05     9.18     9.59     8.76     9.19     8.40
---------------------------------------------------------------------------------------
      85          12.99   12.09    12.30    11.39    11.68    10.79    11.14    10.26
---------------------------------------------------------------------------------------
</TABLE>

<TABLE>
<CAPTION>
---------------------------------------------------------------------------------------
                     Option 2: Life Income with 10 year Guarantee
---------------------------------------------------------------------------------------
                              Monthly Income per $1,000
---------------------------------------------------------------------------------------
    Year of
 Annuitization         2010             2020              2030              2040
---------------------------------------------------------------------------------------
      Age          Male   Female    Male    Female    Male    Female    Male    Female
---------------------------------------------------------------------------------------
<S>                <C>     <C>      <C>      <C>      <C>      <C>      <C>      <C>
      30           4.47    4.38     4.44     4.36     4.41     4.34     4.39     4.32
---------------------------------------------------------------------------------------
      35           4.58    4.47     4.54     4.44     4.51     4.41     4.48     4.39
---------------------------------------------------------------------------------------
      40           4.73    4.59     4.68     4.55     4.64     4.51     4.60     4.48
---------------------------------------------------------------------------------------
      45           4.92    4.74     4.86     4.69     4.80     4.65     4.75     4.61
---------------------------------------------------------------------------------------
      50           5.16    4.95     5.09     4.88     5.02     4.82     4.95     4.77
---------------------------------------------------------------------------------------
      55           5.48    5.21     5.38     5.13     5.30     5.05     5.22     4.99
---------------------------------------------------------------------------------------
      60           5.90    5.57     5.77     5.46     5.66     5.36     5.56     5.27
---------------------------------------------------------------------------------------
      65           6.44    6.04     6.29     5.90     6.15     5.77     6.02     5.66
---------------------------------------------------------------------------------------
      70           7.12    6.67     6.93     6.49     6.76     6.33     6.60     6.18
---------------------------------------------------------------------------------------
      75           7.90    7.49     7.69     7.27     7.49     7.06     7.31     6.88
---------------------------------------------------------------------------------------
      80           8.73    8.42     8.53     8.18     8.32     7.96     8.13     7.75
---------------------------------------------------------------------------------------
      85           9.48    9.31     9.32     9.11     9.16     8.91     9.00     8.72
---------------------------------------------------------------------------------------
</TABLE>

<TABLE>
<CAPTION>
---------------------------------------------------------------------------------------
             Option 3: Joint and Last Survivor Annuity (Male and Female)
---------------------------------------------------------------------------------------
                              Monthly Income per $1,000
---------------------------------------------------------------------------------------
    Year of
 Annuitization                  2020                               2040
---------------------------------------------------------------------------------------
  Female Age       45       55       65       75       45       55       65       75
---------------------------------------------------------------------------------------
   Male Age
---------------------------------------------------------------------------------------
<S>                <C>     <C>      <C>      <C>      <C>      <C>      <C>      <C>
      45           4.50    4.64     4.74     4.81     4.45     4.56     4.66     4.71
---------------------------------------------------------------------------------------
      55           4.59    4.83     5.07     5.26     4.52     4.73     4.94     5.10
---------------------------------------------------------------------------------------
      65           4.65    4.98     5.43     5.90     4.57     4.86     5.25     5.65
---------------------------------------------------------------------------------------
      75           4.68    5.08     5.72     6.62     4.59     4.94     5.49     6.27
---------------------------------------------------------------------------------------
</TABLE>

The values shown have not been adjusted for the annual certificate maintenance
charge described on pages 3 and 9.

Values not shown are available from Our Administrative Office on request.

                                       16
<PAGE>

                               [LOGO OF AIGLIFE]
                           AIG LIFE INSURANCE COMPANY
                                 600 KING STREET
                           WILMINGTON, DELAWARE 19801

                             CERTIFICATE OF COVERAGE

                                VARIABLE ANNUITY
                                NONPARTICIPATING

<PAGE>

                            [LETTERHEAD OF AIGLIFE]

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

This is a legal contract issued in consideration of the payment of the Initial
Premium. We will make annuity payments as set forth in this certificate
beginning on the Annuity Date.

READ YOUR CERTIFICATE CAREFULLY

RIGHT TO CANCEL THIS CERTIFICATE

This certificate may be returned within 10 days after You receive it. It can be
mailed or delivered to either Us or Our agent. Return of this certificate by
mail is effective as of the date of its postmark, properly addressed and postage
pre-paid. The returned contractcertificate will be treated as if We had never
issued it. We will promptly refund the Premium paid.

This is a variable annuity certificate. Annuity payments and Contract Value may
increase or decrease depending on the experience of the Variable Account
identified in the Contract Schedule.

Signed by the Company:

   /s/ Elizabeth M. Tuck                          /s/ Gerald Wyndorf

         Secretary                                   President

                             CERTIFICATE OF COVERAGE

                                VARIABLE ANNUITY
                                NONPARTICIPATING

<PAGE>

                                TABLE OF CONTENTS

                                                                            PAGE
CONTRACT SCHEDULE                                                              3
DEFINITIONS                                                                    4
GENERAL PROVISIONS                                                             5
OWNERSHIP PROVISIONS                                                           6
BENEFICIARY PROVISIONS                                                         6
PREMIUM PROVISIONS                                                             7
CERTIFICATE CHARGES                                                            7
VARIABLE ACCOUNT                                                               8
GUARANTEED ACCOUNT                                                             8
TRANSFERS                                                                     10
ANNUITY PROVISIONS                                                            11
ANNUITY OPTIONS                                                               11
DEATH BENEFIT                                                                 13
SURRENDER PROVISIONS                                                          14
DELAY OF PAYMENTS                                                             14
FIXED ANNUITY OPTION TABLES                                                   15
VARIABLE ANNUITY OPTION TABLES                                                16

                                       2
<PAGE>

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                                CONTRACT SCHEDULE

GROUP CONTRACTHOLDER:  [Direct Consumer's Group Trust Dated December 22, 1995]

GROUP CONTRACT NUMBER: 1234        INITIAL PREMIUM:             $5,000

CERTIFICATE NUMBER:    5678        MINIMUM SUBSEQUENT PREMIUM:  [$1,000]

OWNER:                 JOHN DOE    EFFECTIVE DATE:              December 1, 2000

JOINT OWNER:           JANE DOE    ANNUITY DATE:                December 1, 2030

ANNUITANT:             JOHN DOE

CERTIFICATE MAINTENANCE CHARGE: [$30.00] each Contract Year. [Before the Annuity
Date, this charge will be waived for each year that the Contract Value exceeds
[$50,000] on the Contract Anniversary.]

ADMINISTRATIVE CHARGE: Equal on an annual basis to [0.15%] of the average daily
net assets of the Variable Account.

MORTALITY AND EXPENSE RISK CHARGE: Equal on an annual basis to [1.25%] of the
average daily net assets of the Variable Account.

ACCIDENTAL DEATH BENEFIT CHARGE: Equal on an annual basis to [0.10%] of the
average daily net assets of the Variable Account .

TRANSFER FEE: $ 10.00 per transfer. However, we will not make a charge for the
first [12] transfers in any Contract Year.

[ANNUAL RATCHET RIDER CHARGE: Equal on an annual basis to [0.70%] of the net
assets of the Variable Account; this charge will be calculated and deducted
monthly.]

[EQUITY ASSURANCE PLAN RIDER CHARGE: Equal on an annual basis to [0.75%] of the
average daily net assets of the Variable Account up to the Contract Anniversary
concurrent with or next following the Owner's 60th birthday, and [0.80%]
thereafter; this charge will be calculated and deducted monthly.]

[ENHANCED EQUITY ASSURANCE PLAN RIDER CHARGE: Equal on an annual basis to
[0.80%] of the average daily net assets of the Variable Account up to the
Contract Anniversary concurrent with or next following the Owner's 60th
birthday, and [0.85%] thereafter; this charge will be calculated and deducted
monthly.]

SEPARATE ACCOUNT: [Variable Account I]

ANNUITY SERVICE OFFICE:

                   [       AIG Life Insurance Company       ]
                   [ c/o Delaware Valley Financial Services ]
                   [             300 Berwyn Park            ]
                   [              P.O. Box 3031             ]
                   [          Berwyn, PA 19312-0031         ]
                   [             (800) 255-8402             ]

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                                   DEFINITIONS

ACCUMULATION UNIT - An accounting unit of measure used to calculate the Contract
Value prior to the Annuity Date.

ADMINISTRATIVE OFFICE - The Annuity Service Office of the Company as designated
on the Contract Schedule.

ANNUITANT - The person designated by the Owner upon whose continuation of life
any annuity payment involving life contingencies depends.

ANNUITY DATE - The date on which annuity payments are to commence.

ANNUITY OPTION - An arrangement under which annuity payments are made under this
certificate.

ANNUITY UNIT - An accounting unit of measure used to calculate annuity payments
after the Annuity Date.

BENEFICIARY - The person(s) who is(are) entitled to the Death Benefit of this
certificate when there is no surviving Owner or the person(s) who is(are)
entitled to receive the remaining annuity payments, if any, when the Annuitant
dies after the Annuity Date.

CONTRACT ANNIVERSARY - An anniversary of the Effective Date of this certificate.

CONTRACT VALUE - The dollar value as of any Valuation Date of all amounts
accumulated under this contractcertificate.

CONTRACT YEAR - Each period of twelve (12) months commencing with the Effective
Date of this certificate.

EFFECTIVE DATE - The date shown on the Contract Schedule on which the first
Contract Year begins for this certificate.

ELIGIBLE INVESTMENT(S) - Those investments available under the certificate.
Eligible Investments, at the time this certificate is issued, are shown in the
application for this Certificate.

GUARANTEED ACCOUNT - A part of Our General Account which earns a Guaranteed Rate
of interest.

INJURY - Bodily injury caused by an accident which occurs while coverage under
the Accidental Death Benefit is in force, and results, directly and
independently from all other causes, in death.

JOINT OWNER - The person named as Joint Owner on the application and listed in
the Contract Schedule, unless subsequently changed. The Joint Owner, if any,
possesses an undivided interest in this contractcertificate in conjunction with
the Owner. All references within this certificate to Owner will apply to both
the Owner and the Joint Owner or to either of them.

OWNER - The person named as Owner on the application and listed in the Contract
Schedule, unless subsequently changed. The Owner has all rights under this
certificate.

PREMIUM - Purchase payments are referred to in this certificate as Premiums.

SUBACCOUNT - A division of the Variable Account established to invest in a
particular portfolio of Eligible Investments.

YOU, YOUR - The Owner of this certificate.

VALUATION DATE - Each day that the New York Stock Exchange is open for trading.

VALUATION PERIOD - The period between the close of business of the New York
Stock Exchange on any Valuation Date and the close of business for the next
succeeding Valuation Date.

VARIABLE ACCOUNT - The Separate Account designated on the Contract Schedule.

WE, OUR, US - AIG Life Insurance Company.

WRITTEN REQUEST - A request made in a form satisfactory to Us and either signed
by You or confirmed by Us in writing to You. A Written Request takes effect when
received and recorded at Our Administrative Office unless specifically noted as
otherwise within this certificate.

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                               GENERAL PROVISIONS

THE CONTRACT - The entire contract consists of the group contract, this
certificate and any attached endorsement(s), rider(s) or application(s). Nothing
in the group contract invalidates or impairs any right granted to You under this
certificate. This certificate may be changed or altered only by Our President or
Secretary. Any change, modification or waiver must be made in writing.

NON-PARTICIPATION IN SURPLUS - This certificate does not share in any
distribution of Our profits or surplus.

INCONTESTABILITY - This certificate is not contestable.

MISSTATEMENT OF AGE OR SEX - We will require proof of age and sex of the
Annuitant before making any life annuity payment provided for by this
certificate. If the age or sex of the Annuitant has been misstated, the amount
payable will be the amount that the Contract Value would have provided at the
correct age or sex.

Once annuity payments have begun, any underpayments will be made up in one sum
including interest at the annual rate of 3%, unless a higher interest rate is
required by the law of the jurisdiction where this certificate is delivered,
with the next annuity payment. Overpayments including interest at the annual
rate of 3%, unless a higher interest rate is required by the law of the
jurisdiction where this certificate is delivered, will be deducted from the
future annuity payments until the total is repaid.

CERTIFICATE SETTLEMENT - This certificate must be returned to Us upon settlement
as a death claim. Prior to any settlement as a death claim, due proof of death
must be submitted to Us.

FACILITY OF PAYMENT - If any recipient is unable to give a valid receipt for a
payment made under this certificate, We may make payments to the person who, in
Our opinion, is caring for that recipient until claim is made by the recipient's
duly appointed guardian or other legal representative.

REPORTS - We will furnish You with a report showing the Contract Value at least
once each calendar year. This report will be sent to Your last known address.

TAXES - Any taxes, if applicable, paid to any governmental entity will be
charged against the Premiums or the Contract Value, depending upon the Owner's
state of residence. We may, at Our sole discretion, pay taxes when due and
deduct that amount from the Contract Value at a later date. Our payment of such
taxes at an earlier date does not waive any right We may have to deduct amounts
at a later date.

EVIDENCE OF SURVIVAL - Where any benefits under this certificate are contingent
upon the recipient being alive on a given date, We will require proof
satisfactory to Us that the condition has been met.

PROTECTION OF PROCEEDS - No payment under this certificate may be commuted or
assigned before it is due. To the extent permitted by law, no payments will be
subject to any creditor claim nor to any judicial process for payment of such
claim.

MODIFICATION OF CERTIFICATE - This certificate may not be modified by Us,
without Your consent except as may be required by applicable law. If the state
insurance laws or regulations, the federal securities or tax laws or
regulations, or any regulations under which this certificate would qualify as an
annuity change, We may amend this certificate to comply with these changes.

MINIMUM BENEFITS - Any paid-up annuity, cash surrender or death benefit that may
be available under this certificate is not less than the minimum benefits
required by statute in the jurisdiction in which this certificate is delivered.

CONTINUATION OF CERTIFICATE COVERAGE - If the group contract under which this
certificate is issued should terminate, coverage may be continued under this
certificate unless it is surrendered or otherwise ends in accordance with its
terms.

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                              OWNERSHIP PROVISIONS

OWNER - The Owner and any applicable Joint Owner are named in the Contract
Schedule.

If there is an Owner and Joint Owner for this certificate, then both owners must
agree to any change in this certificate. If one Owner dies, the surviving Owner
retains all rights of this certificate. All references within this certificate
to Owner will apply to both the Owner and Joint Owner or either of them.

The Owner may exercise all the rights of this certificate, subject to the rights
of:

1.    any assignee under an assignment filed with Our Administrative Office; and

2.    any irrevocably named Beneficiary.

CHANGE OF OWNERSHIP - You may change Ownership of this certificate by submitting
a Written Request to Our Administrative Office. We may require this certificate
for endorsement.

Change of Ownership does not change the Beneficiary. Any change of Ownership is
subject to any payment made by Us before the request is received and recorded at
Our Administrative Office.

ASSIGNMENT - You may assign this certificate while the Annuitant is alive and
before the Annuity Date. A copy of any assignment must be filed with Our
Administrative Office. We are not responsible for the validity of any
assignment. If You assign this certificate, Your rights and those of any
Beneficiary will be subject to the assignment. An assignment will not affect any
payments We may make or actions We may take before such assignment has been
recorded at Our Administrative Office. The assignment will not be recorded until
We have received sufficient direction from the Owner and assignee as to the
proper allocation of rights under this certificate between the Owner and the
assignee.

A change in ownership or an assignment may result in adverse tax consequences.

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                             BENEFICIARY PROVISIONS

BENEFICIARY - The Beneficiary is as stated on the application, unless later
changed by Your Written Request. One or more beneficiaries can be named in the
application. If more than one Beneficiary is named, each can be classed as
primary or contingent. If two or more persons are named in a class, their shares
in the proceeds can be stated. The stated shares in the proceeds will be paid to
any primary beneficiaries. If no primary beneficiaries survive, payment will be
made to any surviving contingent beneficiaries. If You have not made other
arrangements with Us, Beneficiaries who survive in the same class will share the
proceeds equally.

DEATH OF BENEFICIARY - If no named Beneficiary is living at the time a death
benefit becomes payable, We will pay the death benefit to the Owner, or, if no
Owner is alive, to the last surviving Owner's estate.

CHANGE OF BENEFICIARY - To change a Beneficiary, a Written Request for a change
of Beneficiary must be received at Our Administrative Office. If the request is
received at Our Administrative Office after the death of the Owner, it will be
effective only if no payment has been made. After the change is recorded, it
will take effect as of the date the request was signed.

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                               PREMIUM PROVISIONS

PREMIUM - The Initial Premium is due on or before the Effective Date.
Thereafter, Premium payments may be made at any time prior to the Annuity Date,
in an amount equal to or greater than the Minimum Subsequent Premium amount,
shown on the Contract Schedule page.

ALLOCATION OF premium PAYMENTS - Premiums may be allocated to one or more of the
Subaccounts of the Variable Account or to the Guaranteed Account. Whole
percentages must be used. The allocation of the Initial Premium is shown on the
application. You may change the allocation at any time. We will send
confirmation of Your changes. Any subsequent Premium received will be allocated
in accordance with the most recently received allocation instructions.

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                               CERTIFICATE CHARGES

All charges and fees shown on the Contract Schedule are the maximum amounts
which We may charge. We may, however, charge less than the maximum.

MORTALITY AND EXPENSE RISK CHARGE - We deduct a Mortality And Expense Risk
Charge equal, on an annual basis, to the amount shown on the Contract Schedule.
We guarantee that the dollar amount of each annuity payment after the first will
not be affected by variations in mortality or expense experience.

ADMINISTRATIVE CHARGE - We deduct an Administrative Charge equal, on an annual
basis, to the amount shown on the Contract Schedule. The Administrative Charge
compensates Us for some of the costs associated with the administration of this
certificate and the Variable Account.

CERTIFICATE MAINTENANCE CHARGE - We deduct an annual Certificate Maintenance
Charge shown on the Contract Schedule. The Certificate Maintenance Charge will
be deducted from the Contract Value on each Contract Anniversary while this
certificate is in force. Prior to the Annuity Date, the Certificate Maintenance
Charge will be deducted from the Contract Value by canceling Accumulation Units.
The number of Accumulation Units to be canceled from each applicable Subaccount
will be in the ratio that the value of each Subaccount bears to the total
Contract Value.

If this certificate is surrendered for its full Surrender Value on other than a
Contract Anniversary, the full Certificate Maintenance Charge due on the next
Contract Anniversary will be deducted at the time of surrender.

On and after the Annuity Date, the Certificate Maintenance Charge will be
pro-rated and collected on a monthly basis. This amount will be subtracted from
the monthly annuity payments.

ACCIDENTAL DEATH BENEFIT CHARGE - If you have elected the Accidental Death
Benefit described in this Certificate, an Accidental Death Benefit Charge will
be included on the Contract Schedule.

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                                VARIABLE ACCOUNT

GENERAL DESCRIPTION - The name of the Variable Account is shown in the Contract
Schedule. The assets of the Variable Account and each Subaccount are Our
property but are not chargeable with the liabilities arising out of any other
business We may conduct, except to the extent that Variable Account assets
exceed Variable Account liabilities arising under the contracts or certificates
supported by the Variable Account. The Variable Account and each Subaccount is
separate from Our General Account and any other separate account or Subaccount
We may have.

INVESTMENT ALLOCATIONS TO THE VARIABLE ACCOUNT - The Variable Account consists
of Subaccounts and each Subaccount may invest its assets in a separate class of
shares of a designated investment company or companies.

We have the right to change, add or delete designated investment companies. We
have the right to add or remove Subaccounts. We also have the right to combine
any two or more Subaccounts.

VALUATION OF ASSETS - Assets within each Subaccount will be valued at their net
asset value on each Valuation Date.

CONTRACT VALUE - Premiums are allocated among the various Subaccounts within the
Variable Account. For each Subaccount, the Premiums are converted into
Accumulation Units. The number of Accumulation Units credited to the certificate
is determined by dividing the Premiums allocated to the Subaccount by the value
of the Accumulation Unit for the Subaccount. Surrenders will result in the
cancellation of Accumulation Units. The value of the certificate is the sum of
the values for the contractcertificate within each Subaccount and the Guaranteed
Account. The value of each Subaccount is determined by multiplying the number of
Accumulation Units attributable to the Subaccount by the Accumulation Unit value
for the Subaccount, independent of the value of any other Subaccount.

ACCUMULATION UNIT VALUES - The value of an Accumulation Unit will vary in
accordance with the investment experience of the underlying portfolio in which
the Subaccount invests. The value of Accumulation Units is expected to increase
or decrease from Valuation Period to Valuation Period. The value of Accumulation
Units in each Subaccount will change daily to reflect the investment experience
of the corresponding underlying portfolio as well as the daily deduction of the
Certificate Charges. The number of Accumulation Units credited to the
certificate will not change as a result of any fluctuations in the value of an
Accumulation Unit.

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                               GUARANTEED ACCOUNT

GENERAL DESCRIPTION - The Guaranteed Account is a part of Our General Account.
The amount You have in the Guaranteed Account at any time is a result of
Premiums You have allocated to it or any part of Your Contract Value you have
transferred to it.

GUARANTEE PERIODS - The portion of Your Contract Value within the Guaranteed
Account is credited with interest at rates guaranteed by Us for the Guarantee
Period(s) selected. Interest is credited on a daily basis at the then applicable
effective guaranteed interest rate for the applicable Guarantee Period. You may
select from one or more Guarantee Periods which we offer at any particular time.
We reserve the right at any time to add or delete Guarantee Periods. If You have

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allocated any part of Your Initial Premium to a Guarantee Period, the amount
allocated, as well as the duration of the Guarantee Period is shown on the
Application.

The guaranteed interest rate applicable to an allocation of Premium or transfer
of Contract Value to a Guarantee Period is the rate in effect for that Guarantee
Period at the time of the allocation or transfer. If You have allocated or
transferred amounts at different times to the Guaranteed Account, each
allocation or transfer may have a unique effective guaranteed interest rate
associated with that amount. We guarantee that the effective annual rate of
interest for the Guaranteed Account, including any of the Guaranteed Periods,
will not be less than 3%.

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                                    TRANSFERS

During the Accumulation Period, or after the Annuity Date, provided a variable
Annuity Option was selected, You may transfer all or part of Your value, in a
Subaccount, or allocated to a Guarantee Period of the Guaranteed Account, to
another Subaccount or Guarantee Period of the Guaranteed Account. However, after
the Annuity Date no transfers may be made between a Subaccount and the
Guaranteed Account. The Transfer Fee is shown on the Contract Schedule.

All transfers are subject to the following:

1.    The deduction of any Transfer Fee that may be imposed will be deducted
      from the amount which is transferred. However, no Transfer Fee will be
      imposed on transfers resulting from the expiration of a Guarantee Period.

2.    If We have not received transfer instructions prior to the end of a
      Guarantee Period in which You have Contract Value, We will automatically
      transfer it to a new Guarantee Period of the same duration and under the
      same restrictions as if You had requested such transfer. However, if a new
      Guarantee Period of the same duration is not available, then that portion
      of Your Contract Value will be transferred to the Guarantee Period next
      shortest in duration.

3.    The minimum amount which may be transferred is the lesser of (A) $1,000 or
      (B) Your entire value in the Subaccount or in the amount allocated to a
      Guarantee Period of the Guaranteed Account.

4.    No partial transfer will be made if, as a result of such transfer, Your
      remaining Contract Value in the Subaccount or in the amount allocated to
      the Guarantee Period of the Guaranteed Account would be less than $1,000.

5.    Transfers will be effected during the Valuation Period next following
      receipt by Us of a Written Request containing all required information.
      However, no transfer may be made effective within seven calendar days of
      the date on which any annuity payment is due.

6.    Any transfer request must clearly specify:

      a.    the amount which is to be transferred; and

      b.    the Subaccounts or Guarantee Periods of the Guaranteed Account which
            are to be affected.

7.    After the Annuity Date, transfers may not take place between a fixed
      Annuity Option and a variable Annuity Option.

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                               ANNUITY PROVISIONS

ANNUITY PAYMENTS - Beginning on the Annuity Date, We will make annuity payments
to the Annuitant in accordance with the Annuity Option in effect on that date.

Annuity payments will be made on a monthly basis unless such payments would be
less than $100 per month. In that event, we reserve the right to amend the
frequency of annuity payments to be semi-annual or annual to ensure annuity
payments are at least $100 per payment.

CHANGE IN ANNUITY DATE - You may, upon at least thirty (30) days prior Written
Request, at any time prior to the Annuity Date, change the Annuity Date shown on
the Contract Schedule. The Annuity Date must always be the first day of a
calendar month.

Unless We approve otherwise, the new Annuity Date must be at least one year
after the effective Date. The latest Annuity Date is the first day of the first
calendar month following the Annuitant's 90th birthday or such earlier date as
may be set by applicable law.

SELECTION OF ANNUITY OPTION - If the Annuitant is alive on the Annuity Date, We
will apply the Contract Value to provide an income on the basis of a life income
with 10 years guaranteed, unless another Annuity Option has been selected. You
may however, upon at least thirty (30) days prior Written Request, at any time
prior to the Annuity Date, select and/or change the Annuity Option.

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                                 ANNUITY OPTIONS

ANNUITY OPTION - The Annuity Option you select may be on a fixed or variable
basis, or a combination thereof. We may, at the time of election of an Annuity
Option, offer more favorable rates in lieu of those here guaranteed. We may also
make available other income options.

OPTION 1 - LIFE INCOME. Annuity payments are paid during the life of an
Annuitant ceasing with the last Annuity Payment due prior to the Annuitant's
death.

OPTION 2 - LIFE INCOME WITH 10 YEAR GUARANTEE. Annuity payments are paid during
the life of an Annuitant, but at least for a 10 year minimum period.

OPTION 3 - JOINT AND LAST SURVIVOR ANNUITY. Annuity payments are paid during the
joint lifetime of the Annuitant and a designated second person and are paid
thereafter during the remaining lifetime of the survivor ceasing with the last
annuity payment due prior to the survivor's death.

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FIXED ANNUITY OPTION

The fixed dollar amount of each fixed annuity payment is determined by
multiplying the available Contract Value (after the deduction of any premium
taxes, if applicable, not previously deducted) by the factor in the Fixed
Annuity Option Table for the option chosen, using the age and sex of the
Annuitant and Joint Annuitant, if any, divided by 1,000. The tables are
determined from the Annuity 2000 Table projected with Scale G to the year of
annuitization, with interest at the rate of 3.00% per annum. If, when annuity
payments are elected, We are using tables of annuity rates for these
certificates which result in larger annuity payments, We will use those tables
instead. The annuity payments, determined at the time of their election, will
not be less than payments that would be provided by the application of the
Contract Value to an immediate annuity then offered by Us at the time of
election, for the same class of annuitants.

                                       11
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                           ANNUITY OPTIONS (Continued)

VARIABLE ANNUITY OPTION

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

The amount of the first variable annuity payment depends on the Annuity Option
elected and the age and sex of the Annuitant. This certificate contains a
Variable Annuity Options Table indicating the dollar amount of the first monthly
payment under each optional annuity form for each $1,000 of value applied. The
tables are determined from the Annuity 2000 Table projected with Scale G to the
year of annuitization, with interest at the rate of 5.00% per annum. If, when
annuity payments are elected, We are using tables of annuity rates for these
certificates which result in larger annuity payments, We will use those tables
instead.

The 5% interest rate assumed in the annuity tables would produce level annuity
payments if the net investment rate remained constant at 5% per year. Subsequent
payments will be less than, equal to, or greater than the first payment
depending upon whether the actual net investment rate is less than, equal to, or
greater than 5%.

The dollar amount of the first variable annuity payment is determined by
applying the available value (after deduction of any premium taxes, if
applicable, not previously deducted) to the table using the age and sex of the
Annuitant and any joint Annuitant. The number of Annuity Units is then
determined by dividing this dollar amount by the then current Annuity Unit
value. Thereafter, the number of Annuity Units remains unchanged during the
period of annuity payments. This determination is made separately for each
Subaccount of the Variable Account. The number of Annuity Units is determined
for each Subaccount and is based upon the available value in each Subaccount as
of the date annuity payments are to begin. The dollar amount determined for each
Subaccount will then be aggregated for purposes of making payments. The dollar
amount of the second and later variable annuity payments is equal to the number
of Annuity Units determined for each Subaccount times the Annuity Unit value for
that Subaccount as of the due date of the payment. This amount may increase or
decrease from month to month. The value of an Annuity Unit for a Subaccount is
determined as shown below, by subtracting item 2. from item 1, dividing that
result by item 3 and multiplying the result by a factor to neutralize the
assumed net investment rate, discussed above, of 5% per annum,

where:

1.    is the net result of the assets of the Subaccount attributable to the
      Annuity units,

      a)    plus the cumulative credit; or

      b)    minus the cumulative charge

      for taxes reserved, which credit or charge is determined by Us to have
      resulted from the operation of the Subaccount;

2.    is the cumulative unpaid amounts for the Mortality and Expense Risk Charge
      and for the Administrative Charge, which are shown in the Contract
      Schedule; and

3.    is the number of Annuity Units outstanding at the end of the Valuation
      Period.

The value of an Annuity Unit may increase or decrease from Valuation Period to
Valuation Period.

                                       12
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                                  DEATH BENEFIT

DEATH OF THE OWNER - If an Owner dies before the Annuity Date and there is a
surviving Joint Owner, a Death Benefit is payable to the surviving Joint Owner.
If an Owner dies prior to the Annuity Date and there is no surviving Joint
Owner, a Death Benefit is payable to the Beneficiary. The value of the Death
Benefit will be determined as of the date We receive proof of death in a form
acceptable to Us. If there has been a change of Owner, the Death Benefit will be
the Contract Value. Otherwise, We will pay the Death Benefit equal to the
greater of:

1.    the total of all Premiums paid, with each premium adjusted for surrenders
      as described below; or

2.    the Contract Value.

      Adjustment for Surrenders. In the determination of the Death Benefit, for
      each surrender, a proportionate reduction will be made to each Premium
      paid prior to the surrender. The proportion is determined by dividing the
      amount of the Contract Value surrendered by the Contract Value immediately
      prior to each surrender.

The surviving Joint Owner or Beneficiary may elect the Death Benefit to be paid
as follows:

1.    payment of the entire Death Benefit within 5 years of the date of the
      Owner's death; or

2.    payment over the lifetime of the surviving Joint Owner or designated
      Beneficiary with distribution beginning within 1 year of the date of death
      of the Owner (see Annuity Options section of this contractcertificate); or

3.    if the surviving Joint Owner or designated Beneficiary is a spouse of the
      deceased Owner, he/she can continue this contract in his/her own name.

If no payment option is elected within 60 days of Our receipt of proof of the
Owner's death, a single sum settlement will be made at the end of the sixty (60)
day period following such receipt. Upon payment of the Death Benefit, this
contract will end.

If the Owner is a person other than the Annuitant, and if the Owner's death
occurs on or after the Annuity Date, no Death Benefit will be payable under this
contract. Any guaranteed payments remaining unpaid will continue to be paid to
the Annuitant pursuant to the Annuity Option in force at the date of the Owner's
death.

If the Owner is not an individual, any change of Annuitant or death of Annuitant
before the Annuity Date will be treated as if the Owner had died on the date of
such change or death and the Death Benefit will be the Contract Value .

ACCIDENTAL DEATH BENEFIT - If an Accidental Death Benefit Charge is included on
the Contract Schedule, an Accidental Death Benefit may be payable which is equal
to the lesser of the Contract Value as of the date the death benefit is
determined, or $250,000. The Accidental Death Benefit is payable if the death of
the primary Owner (i.e. the first owner listed on the Contract Schedule) occurs
prior to the Contract Anniversary next following his 75th birthday, and is the
result of an Injury incurred while he was the primary Owner. The death must also
occur before the Annuity Date and within 365 days of the date of the accident
which caused the Injury.

The Accidental Death Benefit will not be paid for any death caused by or
resulting (in whole or in part) from the following:

1.    suicide or attempted suicide while sane or insane; or intentionally
      self-inflicted injuries;
2.    sickness, disease or bacterial infection of any kind, except pyogenic
      infections which occur as a result of an injury, or bacterial infections
      which result from the accidental ingestion of contaminated substances;
3.    hernia;
4.    injury sustained as a consequence of riding in, including boarding or
      alighting from, any vehicle or device used for aerial navigation except if
      the primary Owner is a passenger on any aircraft licensed for the
      transportation of passengers;
5.    declared or undeclared war or any act thereof; or
6.    service in the military, naval or air service of any country.

DEATH OF THE ANNUITANT - If the Annuitant is a person other than the Owner and
the Owner is an individual, and if the Annuitant dies before the Annuity Date, a
new Annuitant may be named by the Owner. If no new Annuitant is named within
sixty (60) days of Our receipt of proof of death, the Owner will be the new
Annuitant. If the Annuitant dies after the Annuity Date, the remaining payments,
if any, will be as specified in the Annuity Option elected. We will require
proof of the Annuitant's death. Death benefits, if any, will be paid to the
designated Beneficiary at least as rapidly as under the method of distribution
in effect at the Annuitant's death.

                                       13
<PAGE>

================================================================================

                              SURRENDER PROVISIONS

SURRENDER - While this certificate is in force and before the Annuity Date, We
will, upon Written Request, allow the surrender of all or a portion of this
certificate for its Surrender Value. Surrenders will result in the cancellation
of Accumulation Units from each applicable Subaccount and the Guaranteed Account
in the ratio that the value of each account bears to the total Contract Value.
You must specify by Written Request, in advance, which units are to be canceled
if other than the above described method of cancellation is desired. We will pay
the amount of any surrender within seven (7) days of receipt of a request unless
the "Delay of Payments" provision is in effect.

The Surrender Value will be the Contract Value, as of the date of Our receipt of
Your Written Request for surrender, reduced by the sum of:

1.    any applicable premium taxes not previously deducted; plus

2.    any applicable Certificate Maintenance Charge.

================================================================================

                                DELAY OF PAYMENTS

DELAY OF PAYMENTS - We will make any payments under this certificate within 7
days (or any shorter period, if required by law) of a request received in good
order. We reserve the right to suspend or postpone any type of payment from the
Variable Account for any period when:

1.    the New York Stock Exchange is closed for other than customary weekend and
      holiday closings;

2.    trading on the Exchange is restricted;

3.    an emergency exists as a result of which it is not reasonably practicable
      to dispose of securities held in the Variable Account, or to determine
      their value; or

4.    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 2. or 3. exist.

We reserve the right to delay any type of payment from the General Account for
up to six (6) months from the date we receive the request for payment.

                                       14
<PAGE>

                           Fixed Annuity Option Tables

<TABLE>
<CAPTION>
-----------------------------------------------------------------------------------------
                                 Option 1: Life Income
-----------------------------------------------------------------------------------------
                               Monthly Income per $1,000
-----------------------------------------------------------------------------------------
   Year of
Annuitization          2010              2020               2030              2040
-----------------------------------------------------------------------------------------
     Age          Male     Female    Male    Female    Male    Female     Male    Female
-----------------------------------------------------------------------------------------
<S>              <C>       <C>      <C>      <C>      <C>        <C>      <C>      <C>
      30          3.16      3.06     3.12     3.03     3.09      3.00     3.06     2.97
-----------------------------------------------------------------------------------------
      35          3.30      3.18     3.25     3.14     3.21      3.10     3.18     3.07
-----------------------------------------------------------------------------------------
      40          3.48      3.32     3.42     3.28     3.37      3.23     3.32     3.20
-----------------------------------------------------------------------------------------
      45          3.70      3.51     3.63     3.45     3.57      3.40     3.51     3.35
-----------------------------------------------------------------------------------------
      50          3.98      3.74     3.89     3.67     3.82      3.60     3.74     3.54
-----------------------------------------------------------------------------------------
      55          4.34      4.05     4.23     3.95     4.13      3.87     4.04     3.79
-----------------------------------------------------------------------------------------
      60          4.82      4.45     4.68     4.33     4.55      4.22     4.43     4.12
-----------------------------------------------------------------------------------------
      65          5.48      4.99     5.29     4.83     5.12      4.68     4.96     4.55
-----------------------------------------------------------------------------------------
      70          6.38      5.75     6.13     5.53     5.89      5.33     5.69     5.16
-----------------------------------------------------------------------------------------
      75          7.62      6.86     7.26     6.54     6.95      6.26     6.66     6.02
-----------------------------------------------------------------------------------------
      80          9.35      8.48     8.85     8.02     8.41      7.61     8.02     7.26
-----------------------------------------------------------------------------------------
      85         11.76     10.89    11.08    10.21    10.48      9.62     9.96     9.11
-----------------------------------------------------------------------------------------
</TABLE>

<TABLE>
<CAPTION>
-----------------------------------------------------------------------------------------
                      Option 2: Life Income with 10 year Guarantee
-----------------------------------------------------------------------------------------
                               Monthly Income per $1,000
-----------------------------------------------------------------------------------------
   Year of
Annuitization          2010              2020               2030              2040
-----------------------------------------------------------------------------------------
     Age          Male    Female     Male    Female    Male    Female     Male    Female
-----------------------------------------------------------------------------------------
<S>               <C>       <C>      <C>      <C>      <C>       <C>      <C>      <C>
      30          3.16     3.06      3.12     3.03     3.09     3.00      3.06     2.97
-----------------------------------------------------------------------------------------
      35          3.30     3.17      3.25     3.14     3.21     3.10      3.17     3.07
-----------------------------------------------------------------------------------------
      40          3.47     3.32      3.42     3.27     3.37     3.23      3.32     3.19
-----------------------------------------------------------------------------------------
      45          3.69     3.50      3.62     3.44     3.56     3.39      3.50     3.35
-----------------------------------------------------------------------------------------
      50          3.96     3.73      3.87     3.66     3.80     3.60      3.73     3.54
-----------------------------------------------------------------------------------------
      55          4.30     4.03      4.20     3.94     4.10     3.86      4.02     3.78
-----------------------------------------------------------------------------------------
      60          4.74     4.41      4.61     4.29     4.50     4.19      4.39     4.10
-----------------------------------------------------------------------------------------
      65          5.31     4.91      5.15     4.76     5.01     4.63      4.87     4.51
-----------------------------------------------------------------------------------------
      70          6.02     5.57      5.83     5.39     5.65     5.22      5.48     5.07
-----------------------------------------------------------------------------------------
      75          6.85     6.42      6.63     6.19     6.42     5.98      6.23     5.79
-----------------------------------------------------------------------------------------
      80          7.73     7.40      7.51     7.16     7.30     6.92      7.10     6.70
-----------------------------------------------------------------------------------------
      85          8.52     8.34      8.35     8.13     8.18     7.93      8.02     7.73
-----------------------------------------------------------------------------------------
</TABLE>

<TABLE>
<CAPTION>
------------------------------------------------------------------------------------------
               Option 3: Joint and Last Survivor Annuity (Male and Female)
------------------------------------------------------------------------------------------
                                Monthly Income per $1,000
------------------------------------------------------------------------------------------
    Year of
 Annuitization                   2020                                 2040
------------------------------------------------------------------------------------------
  Female Age        45       55       65       75        45       55       65       75
------------------------------------------------------------------------------------------
   Male Age
------------------------------------------------------------------------------------------
<S>                <C>      <C>      <C>      <C>       <C>      <C>      <C>      <C>
      45           3.25     3.41     3.52     3.59      3.18     3.32     3.42     3.47
------------------------------------------------------------------------------------------
      55           3.35     3.63     3.90     4.09      3.26     3.52     3.76     3.92
------------------------------------------------------------------------------------------
      65           3.40     3.80     4.30     4.78      3.31     3.67     4.10     4.52
------------------------------------------------------------------------------------------
      75           3.43     3.89     4.59     5.54      3.34     3.74     4.36     5.18
------------------------------------------------------------------------------------------
</TABLE>

The values shown have not been adjusted for the annual certificate maintenance
charge described on pages 3 and 9.

Values not shown are available from Our Administrative Office on request.

                                       15
<PAGE>

                         Variable Annuity Option Tables

<TABLE>
<CAPTION>
---------------------------------------------------------------------------------------
                                Option 1: Life Income
---------------------------------------------------------------------------------------
                              Monthly Income per $1,000
---------------------------------------------------------------------------------------
    Year of
 Annuitization         2010             2020              2030              2040
---------------------------------------------------------------------------------------
      Age          Male   Female    Male    Female    Male    Female    Male    Female
---------------------------------------------------------------------------------------
<S>               <C>     <C>      <C>      <C>      <C>      <C>      <C>      <C>
      30           4.47    4.38     4.44     4.36     4.41     4.34     4.39     4.32
---------------------------------------------------------------------------------------
      35           4.58    4.47     4.55     4.44     4.51     4.41     4.48     4.39
---------------------------------------------------------------------------------------
      40           4.74    4.60     4.69     4.55     4.64     4.52     4.60     4.49
---------------------------------------------------------------------------------------
      45           4.94    4.75     4.88     4.70     4.82     4.65     4.76     4.61
---------------------------------------------------------------------------------------
      50           5.20    4.96     5.12     4.90     5.04     4.83     4.97     4.78
---------------------------------------------------------------------------------------
      55           5.54    5.24     5.43     5.15     5.34     5.07     5.25     5.00
---------------------------------------------------------------------------------------
      60           6.00    5.62     5.86     5.50     5.74     5.40     5.62     5.30
---------------------------------------------------------------------------------------
      65           6.65    6.15     6.46     5.99     6.29     5.84     6.14     5.72
---------------------------------------------------------------------------------------
      70           7.56    6.90     7.30     6.68     7.07     6.48     6.86     6.30
---------------------------------------------------------------------------------------
      75           8.81    8.01     8.45     7.69     8.12     7.41     7.83     7.16
---------------------------------------------------------------------------------------
      80          10.55    9.65    10.05     9.18     9.59     8.76     9.19     8.40
---------------------------------------------------------------------------------------
      85          12.99   12.09    12.30    11.39    11.68    10.79    11.14    10.26
---------------------------------------------------------------------------------------
</TABLE>

<TABLE>
<CAPTION>
---------------------------------------------------------------------------------------
                     Option 2: Life Income with 10 year Guarantee
---------------------------------------------------------------------------------------
                              Monthly Income per $1,000
---------------------------------------------------------------------------------------
    Year of
 Annuitization         2010             2020              2030              2040
---------------------------------------------------------------------------------------
      Age          Male   Female    Male    Female    Male    Female    Male    Female
---------------------------------------------------------------------------------------
<S>                <C>     <C>      <C>      <C>      <C>      <C>      <C>      <C>
      30           4.47    4.38     4.44     4.36     4.41     4.34     4.39     4.32
---------------------------------------------------------------------------------------
      35           4.58    4.47     4.54     4.44     4.51     4.41     4.48     4.39
---------------------------------------------------------------------------------------
      40           4.73    4.59     4.68     4.55     4.64     4.51     4.60     4.48
---------------------------------------------------------------------------------------
      45           4.92    4.74     4.86     4.69     4.80     4.65     4.75     4.61
---------------------------------------------------------------------------------------
      50           5.16    4.95     5.09     4.88     5.02     4.82     4.95     4.77
---------------------------------------------------------------------------------------
      55           5.48    5.21     5.38     5.13     5.30     5.05     5.22     4.99
---------------------------------------------------------------------------------------
      60           5.90    5.57     5.77     5.46     5.66     5.36     5.56     5.27
---------------------------------------------------------------------------------------
      65           6.44    6.04     6.29     5.90     6.15     5.77     6.02     5.66
---------------------------------------------------------------------------------------
      70           7.12    6.67     6.93     6.49     6.76     6.33     6.60     6.18
---------------------------------------------------------------------------------------
      75           7.90    7.49     7.69     7.27     7.49     7.06     7.31     6.88
---------------------------------------------------------------------------------------
      80           8.73    8.42     8.53     8.18     8.32     7.96     8.13     7.75
---------------------------------------------------------------------------------------
      85           9.48    9.31     9.32     9.11     9.16     8.91     9.00     8.72
---------------------------------------------------------------------------------------
</TABLE>

<TABLE>
<CAPTION>
---------------------------------------------------------------------------------------
             Option 3: Joint and Last Survivor Annuity (Male and Female)
---------------------------------------------------------------------------------------
                              Monthly Income per $1,000
---------------------------------------------------------------------------------------
    Year of
 Annuitization                  2020                               2040
---------------------------------------------------------------------------------------
  Female Age        45      55       65       75       45       55       65       75
---------------------------------------------------------------------------------------
   Male Age
---------------------------------------------------------------------------------------
<S>                <C>     <C>      <C>      <C>      <C>      <C>      <C>      <C>
      45           4.50    4.64     4.74     4.81     4.45     4.56     4.66     4.71
---------------------------------------------------------------------------------------
      55           4.59    4.83     5.07     5.26     4.52     4.73     4.94     5.10
---------------------------------------------------------------------------------------
      65           4.65    4.98     5.43     5.90     4.57     4.86     5.25     5.65
---------------------------------------------------------------------------------------
      75           4.68    5.08     5.72     6.62     4.59     4.94     5.49     6.27
---------------------------------------------------------------------------------------
</TABLE>

The values shown have not been adjusted for the annual certificate maintenance
charge described on pages 3 and 9.

Values not shown are available from Our Administrative Office on request.

                                       16
<PAGE>

                               [LOGO OF AIGLIFE]
                           AIG LIFE INSURANCE COMPANY
                                 600 KING STREET
                           WILMINGTON, DELAWARE 19801

                             CERTIFICATE OF COVERAGE

                                VARIABLE ANNUITY
                                NONPARTICIPATING

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