Document:

EX-(4).(n)

 THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK 

OPTIONAL GUARANTEED MINIMUM WITHDRAWAL 

BENEFIT MAXIMUM ANNIVERSARY VALUE EXTENSION RIDER 

Notwithstanding any provision in the Contract or Certificate (“Contract”) to the contrary, this Rider becomes a part of the Contract to which it is
attached. Should any provision in this Rider conflict with the Contract, the provisions of this Rider will prevail. This Rider replaces your most recent Optional Guaranteed Minimum Withdrawal Benefit Maximum Anniversary Value Rider. 

Subject to the terms and conditions set forth herein, this optional Rider provides a Guaranteed Minimum Withdrawal Benefit (“GMWB”) that guarantees
an amount available for Withdrawal not to exceed a maximum annual dollar amount to be distributed over a specified number of years or over Your lifetime, even if the Contract Value has been reduced to zero due to unfavorable investment performance.

 EFFECTIVE DATE (original Effective Date): [date] f1

 EXTENSION EFFECTIVE DATE: [date] f1

 DEFINITIONS 
 For
purposes of this Rider, the following definitions apply. Terms not defined in this Rider shall have the same meaning given to them in the Contract. 

ANNIVERSARY VALUE
 The Contract Value minus any Ineligible
Purchase Payments as measured one year from the Effective Date and on subsequent Contract anniversaries.
 BENEFIT BASE

A component of the calculation of the GMWB, which is used to determine the total amount of guaranteed Withdrawals, the Minimum Withdrawal
Period, the GMWB Charge, and the Maximum Annual Withdrawal Amount. 
 BENEFIT BASE EVALUATION PERIOD

The period of time over which Anniversary Values are considered in determining the Benefit Base. 

BENEFIT YEAR 
 Each
consecutive one year period starting on the Effective Date. 
 EFFECTIVE DATE 

The date shown above when the original Rider became effective.

ELIGIBLE PURCHASE PAYMENTS 

The [Gross] f2 Purchase Payments or portion thereof that are included in the calculation of the Benefit Base. 

EXCESS WITHDRAWAL 
 The
portion of any Withdrawal that makes the total of all Withdrawals in a Benefit Year exceed the Maximum Annual Withdrawal Amount in that Benefit Year. 

EXTENSION EFFECTIVE DATE 

The date shown above when this Endorsement becomes effective. 

INELIGIBLE PURCHASE PAYMENTS 

[Gross] f2 Purchase Payments that are not included in the calculation of the Benefit Base. 

  

					
	FSE-6217E (10/10)	  	1	  	

 LIFETIME WITHDRAWAL PERIOD 

The period of time, if conditions are met, over which You may take Withdrawals for the length of Your Life. 

MAXIMUM ANNUAL WITHDRAWAL AMOUNT (“MAWA”) 

The maximum amount available to be withdrawn each Benefit Year under the GMWB.

MAXIMUM ANNUAL WITHDRAWAL PERCENTAGE (“MAWP”) 

The maximum percentage used to determine the maximum amount available to be withdrawn each Benefit Year under the GMWB.

MINIMUM WITHDRAWAL PERIOD (“MWP”) 

The minimum period of time over which You may take Withdrawals under the GMWB if Withdrawals are not taken under the Lifetime Withdrawal
Period.
 SPOUSAL BENEFICIARY 

Your spouse, if designated as Your primary Beneficiary on the date of Your death, who elects to continue the Contract as the new Owner or
Participant (“Owner”) upon Your death. 
 WITHDRAWAL 

The amount of any full or partial surrender of Contract Value and any fees or charges attributable to the surrendered amount. 

YOU, YOUR 
 The
Owner. In the case of Joint Owners, the older of the two Joint Owners. 
 GUARANTEED MINIMUM WITHDRAWAL BENEFIT MAXIMUM ANNIVERSARY
VALUE PROVISIONS 
 This Rider provides a GMWB subject to the terms and conditions described herein.

GMWB Charge 
 The GMWB charge is an
annualized charge deducted from the portion of Your Contract Value allocated to the Variable Portfolio(s) or Subaccount(s) on a [quarterly] basis beginning one [quarter ]following the Extension Effective Date and ending on the termination of this
Rider. 
 The amount of the GMWB charge will equal: 
  

			
	Annual Charge Percentage	  	As a Percentage of
	 [0.65%]f
3
	  	Benefit Base

 Benefit Base Evaluation Period 

The Benefit Base Evaluation Period applicable to this Endorsement begins on the Extension Effective Date and extends for [10]f4 Benefit Year anniversaries. 
 Calculation of the Components of the GMWB 

The GMWB is available for Withdrawal at any time while this Rider is in effect and prior to any termination of the GMWB. The amount of
Withdrawals and time period over which You can take Withdrawals under the GMWB may change over time as a result of Withdrawal activity or Benefit Base increase. Withdrawals made under this Rider are treated like any other Withdrawal under the
Contract for purposes of calculating Contract Value, Withdrawal Charges, and any other benefits under the Contract. Withdrawals in excess of the Penalty Free Withdrawal amount will be assessed a Withdrawal Charge, if applicable. 

  

					
	FSE-6217E (10/10)	  	2	  	

 To determine the GMWB, We calculate each of the following components: Benefit Base and
MAWA. The calculations for each component are detailed below. 
 Benefit Base 

The initial Benefit Base is equal to the initial Eligible Purchase Payment. . 

The table below defines the Eligible Purchase Payments that increase the Benefit Base, as determined by the time elapsed between the Effective Date and the
day on which Purchase Payments are received by Us and deposited into Your Contract. Payment Enhancements, if applicable, are not considered Eligible Purchase Payments.
  

			
	Time Elapsed Since Effective Date	  	
Percentage Included in the Benefit Base

Calculation

	 0-2
Years
	  	100%

 On any Benefit Year anniversary occurring during the Benefit Base Evaluation Period, the Benefit Base is automatically
increased to the Anniversary Value when the Anniversary Value is greater than (a) and (b), where: 

	 	(a)	is the current Benefit Base; and 

	 	(b)	is all previous Anniversary Values during any Benefit Base Evaluation Period. 

 The Benefit Base
is not used in the calculation of Contract Value or any other benefits under the Contract. We reserve the right to limit the Eligible Purchase Payments to a maximum of $1,500,000. 

Maximum Annual Withdrawal Amount (“MAWA”) 

The MAWA is an amount calculated as a percentage of the Benefit Base. The applicable Maximum Annual Withdrawal Percentage (“MAWP”)
used to calculate the MAWA is determined by when the first Withdrawal is made by You, as specified in the tables below. 
  

							
	
g5        

 
  
	  	 Time of First

Withdrawal
	 	  	  	
Maximum Annual

Withdrawal

Percentage 

	  	[Before 5th Benefit Year anniversary]	 	 	  	[5%]
	  	[On or after 5th Benefit Year anniversary]	 	 	  	[7%]
	  	[On or after 10th Benefit Year anniversary]	 	 	  	[7%]
	  	[On or after 20th Benefit Year anniversary]	 	 	  	[10%]
	  	[On or after Your 65th birthday]	 	 	  	[5%]*

 *Excess Withdrawals at any time and ownership changes impacting You will cancel the Lifetime Withdrawal
Period. All future Withdrawals provided by this Rider will then be subject to the Minimum Withdrawal Period based on when the first Withdrawal is taken and adjusted based on Withdrawal history and investment performance (see item 3 under Impact
of Withdrawals section). If Withdrawals are taken prior to the anniversary following Your 65th birthday, the Lifetime Withdrawal is not available. 

If you are taking required minimum distributions (“RMD”) from the Contract, and the portion of the RMD amount based on Contract
Value, only, is greater than the Maximum Annual Withdrawal Amount, that portion of the RMD withdrawal will not be treated as an Excess Withdrawal. Any portion of an RMD withdrawal that is based on amounts greater than the Contract Value
alone will be considered an Excess Withdrawal. This will 

  

					
	FSE-6217E (10/10)	  	3	  	

 
result in the cancellation of the Lifetime Withdrawal Period and further may reduce your remaining Minimum Withdrawal Period. 

The MAWA can be withdrawn throughout each Benefit Year. If You do not withdraw the entire MAWA in a Benefit Year, You will maintain Your
Minimum Withdrawal Period, but the MAWA will not increase. Excess Withdrawals in any Benefit Year may reduce Your future MAWA. See Impact of Withdrawals section below. 

If the Benefit Base is increased to the Anniversary Value, the MAWA will be recalculated on that Benefit Year anniversary, by multiplying the
new Benefit Base by the applicable MAWP. 
 Impact of Withdrawals 

Withdrawals reduce the amount available for Withdrawal under the GMWB. Total Withdrawals in any Benefit Year equal to or less than the
MAWA reduce the Benefit Base by the amount of the Withdrawal. Once Withdrawals in a Benefit Year exceed the MAWA, all subsequent Withdrawals in that Benefit Year are Excess Withdrawals. Excess Withdrawals may reduce the Benefit Base based
on the relative size of the Withdrawal in relation to the Contract Value at the time of the Excess Withdrawal. This means that when the Contract Value is less than the Benefit Base, Excess Withdrawals will result in a reduction of the Benefit
Base which is greater than the amount of the Excess Withdrawal. We further explain this impact and the effect on each component of the GMWB through the calculations below: 

 
 Withdrawals impact Contract Value and the components of the GMWB
calculation as follows: 
  

	 	1.	 Contract Value:  Any Withdrawal reduces the Contract Value by the amount of the Withdrawal. 

 

	 	2.	 Benefit Base:    Withdrawals up to the MAWA, before any Excess Withdrawal, reduce the Benefit Base by the dollar amount
of the Withdrawal. 

 Any Excess Withdrawal further reduces the Benefit Base to the lesser of (a) or (b),
where: 

	 	(a)	 is the Benefit Base immediately prior to the Excess Withdrawal minus the amount of the Excess Withdrawal, or; 

	 	(b)	 is the Benefit Base immediately prior to the Excess Withdrawal reduced in the same proportion by which the Contract Value is reduced by the Excess
Withdrawal. 

 3.   Minimum Withdrawal Period:    If the total of
all Withdrawals in a Benefit Year are less than or equal to the MAWA, the new MWP equals the Benefit Base after the Withdrawal divided by the current MAWA. When the Benefit Base is adjusted to a higher Anniversary Value, a new MWP is determined
by dividing the new Benefit Base by the new MAWA. 
 If there is an Excess Withdrawal in a Benefit Year, the new MWP equals the MWP
calculated at the end of the prior Benefit Year reduced by one year. An Excess Withdrawal in a Benefit Year will cancel the Lifetime Withdrawal, Period and the new MWP will be determined by dividing the new Benefit Base by the new MAWA. 

4. Maximum Annual Withdrawal Amount: If there are no Excess Withdrawals in a Benefit Year, the MAWA does not change for the next
Benefit Year, unless the Benefit Base is increased as described above under “Benefit Base.” 
 If there are any Excess Withdrawals
in a Benefit Year, the MAWA will be recalculated on the next Benefit Year anniversary. The new MAWA will equal the new Benefit Base on that Benefit Year anniversary after the Withdrawal divided by the new Minimum Withdrawal Period on that
Benefit Year anniversary. The new MAWA may be lower than Your previously calculated MAWA. 

  

					
	FSE-6217E (10/10)	  	4	  	

 If Your Contract Value is Reduced to Zero 

If Your Contract Value is reduced to zero and the Benefit Base is greater than zero, subsequent Purchase Payments will no longer be accepted and a Death
Benefit will not be payable. You can receive the remaining value of the GMWB under one of the following options: 
  

	 	a.	A lump sum equal to the discounted present value of any remaining guaranteed payments under the GMWB; or, 

	 	b.	Periodic payments during each Benefit Year that in total are equal to the MAWA until the MWP (or LWP, if eligible) has been reduced to zero. If You do not select a specific frequency for these payments, We will pay
the current MAWA in quarterly payments; or, 

	 	c.	Any payment option that is mutually agreeable. 

  

			
	g	 	6[Extension of the Benefit Base Evaluation Period (“Extension”)

 We may offer You Extension of the Benefit Base Evaluation Period at the end of the current Benefit Base Evaluation Period,
provided the Owner is age 85 or younger at that time. If You elect such Extension, you will receive a new Rider with the charges and provisions in effect at that time.]  

Termination of the GMWB 

Once elected, this GMWB Rider and its corresponding charge may be terminated by the Owner. If the Owner’s request to
terminate the GMWB is received: 

	 	1.	 prior to the [10th ] f7 Benefit Year anniversary, the termination is effective on the
[10th]
f7 Benefit Year anniversary; 

	 	2.	 in any Benefit Year after the [10th ] f7 Benefit Year anniversary, the termination is effective on the Benefit Year anniversary following Our receipt of the
election to terminate the GMWB. 

 This Rider and the related charge will terminate automatically if: 

	 	1.	 The Minimum Withdrawal Period has been reduced to zero, or for the Lifetime Withdrawal Period, You die; or, 

	 	2.	 A Spousal Beneficiary elects to continue the Contract without this Rider; or, 

	 	3.	 A Death Benefit is paid (as described under the Death Provisions or Death Benefit section of Your Contract); or, 

	 	4.	 The Contract is fully withdrawn or surrendered; or, 

	 	5.	 The Contract is annuitized. 

We reserve the right to terminate this GMWB Rider if Withdrawals in excess of the MAWA in any Benefit Year reduce the Benefit Base by 50% or
more. 
 If terminated, the GWMB may not be re-elected. 

Spousal Continuation 

Upon election to continue the Contract and this Rider, Your Spousal Beneficiary will be subject to the terms and conditions of this
Rider. Upon Your death, the Lifetime Withdrawal Period ends and is not available to Your Spousal Beneficiary. The Effective Date and the Extension Effective Date will not change as the result of Spousal Continuation. A continuation
contribution paid under the Spousal Continuation provision of the Contract is not considered an Eligible Purchase Payment, but is included in the calculation of Anniversary Values if the spouse continues the Benefit Base Evaluation Period. 

  

					
	FSE-6217E (10/10)	  	5	  	

 Signed for the Company to be effective on the Extension Effective Date. 

 
 

        
f8 

  

					
	FSE-6217E (10/10)	  	6EX-(4).(o)

 THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK 

OPTIONAL GUARANTEED MINIMUM WITHDRAWAL BENEFIT 

FOR TWO LIVES EXTENSION RIDER 

Notwithstanding any provision in the Contract or Certificate (“Contract”) to the contrary, this Rider becomes a part of the Contract
to which it is attached. Should any provision in this Rider conflict with the Contract, the provisions of this Rider will prevail. This Endorsement replaces your most recent Optional Guaranteed Minimum Withdrawal Benefit For Two Lives Rider. 

Subject to the terms and conditions set forth herein, this optional Rider guarantees annual Withdrawals over two lives - Your lifetime and the
lifetime of Your Spousal Beneficiary if Your Spousal Beneficiary continues the Contract after You die. 
 CONTRACT
NUMBER:  [P9999999999] 
 CONTRACT OWNER:  [JOHN DOE] 

EFFECTIVE DATE (original Effective Date):  [date] 

EXTENSION EFFECTIVE DATE:  [date] 

DEFINITIONS 
 For purposes
of this Rider, the following definitions apply. Terms not defined in this Rider shall have the same meaning given to them in the Contract. 
 AGE

 Age as of the last birthday of the younger of You and Your Spousal Beneficiary. 

ANNIVERSARY VALUE 
 The Contract Value
minus any Ineligible Purchase Payments, as measured one year from the Effective Date and on subsequent Benefit Year anniversaries. 
 BENEFIT BASE

 A component of the calculation of the GMWB, which is used to determine the GMWB Charge and the Maximum Annual Withdrawal Amount. 

BENEFIT BASE EVALUATION PERIOD 
 The
period of time over which Anniversary Values are considered in determining the Benefit Base. 
 BENEFIT YEAR 

Each consecutive one year period starting on the Effective Date. 

EFFECTIVE DATE 
 The date shown above when
the original Rider became effective. 
 ELIGIBLE PURCHASE PAYMENTS 

The Purchase Payments or portion thereof that are included in the calculation of the Benefit Base, as further described below. 

EXCESS WITHDRAWAL 
 A withdrawal or
portion thereof that is in excess of the Maximum Annual Withdrawal Amount in any given Benefit Year. 
 EXTENSION EFFECTIVE DATE 

The date shown above when this Endorsement becomes effective. 

INELIGIBLE PURCHASE PAYMENTS 
 The
Purchase Payments or portions thereof that are not included in the calculation of the Benefit Base. 
 MAXIMUM ANNUAL WITHDRAWAL AMOUNT
(“MAWA”) 
 The maximum amount available to be withdrawn each Benefit Year under the GMWB without reducing the amount
guaranteed for withdrawal under the GMWB. 

  

					
	USLE-6218E (9/15)	  	1	  	

 MAXIMUM ANNUAL WITHDRAWAL PERCENTAGE (“MAWP”) 

The percentage used to determine the Maximum Annual Withdrawal Amount available to be withdrawn each Benefit Year. 

SPOUSAL BENEFICIARY 
 Your spouse, if
designated as Your sole primary Beneficiary on the date of Your death, who elects to continue the Contract as the new Owner or Participant (“Owner”) upon Your death. 

GUARANTEED MINIMUM WITHDRAWAL BENEFIT PROVISIONS 

GMWB Charge 
 The GMWB charge is an
annualized charge deducted from the portion of Your Contract Value allocated to the Variable Portfolio(s) or Subaccount(s) on a quarterly basis beginning one quarter following the Extension Effective Date and ending on the termination of this Rider.

  

							
	 Benefit Year

 
	  	 Annual
Charge Percentage
Before Any Withdrawal
  
	  	
Annual Charge

Percentage After First
Withdrawal
	  	
As a Percentage of
  

	
All Contract Years
	  	[0.65%]	  	[1.05%]	  	Benefit Base

 In the event either You or Your Spousal Beneficiary dies, the Annual Charge Percentages shown above will not change and will
remain in effect as long as this Rider is not terminated. 
 Calculation of the Components of the GMWB 

You may take Withdrawals under the GMWB at any time while this Rider is in effect and before the termination of this Rider. The amount of
Withdrawals guaranteed under this Rider may change over time as a result of Benefit Base increases or Benefit Base decreases as described below. We reserve the right to limit the investment options available under Your Contract if You elect the
GMWB. 
 To determine the GMWB, We use the following components: Benefit Base Evaluation Period, Benefit Base, and MAWA. The
calculations for each component are detailed below. 
 Benefit Base Evaluation Period 

The Benefit Base Evaluation Period applicable to this Rider begins on the Extension Effective Date and extends for [10] Benefit Year anniversaries. 

Benefit Base 
 The initial Benefit Base is equal to
the first Eligible Purchase Payment. 
 The Benefit Base is increased each time subsequent Eligible Purchase Payments are made. In addition,
on each Benefit Year anniversary during the Benefit Base Evaluation Period, the Benefit Base is automatically increased to the Anniversary Value when the Anniversary Value is greater than both (a) and (b), where: 

(a) equals the current Benefit Base; and 

(b) is each previous Anniversary Value during any Benefit Base Evaluation Period. 

The Benefit Base is decreased each time an Excess Withdrawal is taken.

The table below defines the portion of Eligible Purchase Payments included in the Benefit Base. Eligible Purchase Payments are determined
based on the time elapsed between the Effective Date and the day on which Purchase Payments are received by Us and deposited into Your Contract. If Your Contract provides for payment enhancements or spousal continuation contributions, these
amounts, if applicable, are not considered Eligible Purchase Payments, but they will not be excluded from the Benefit Base when it is calculated based on Anniversary Value during the Benefit Base Evaluation Period. 

 

			
	Time Elapsed Since Effective Date	  	Percentage Eligible in the Benefit Base Calculation
	
0-2 Years
	  	100%

 The Benefit Base is not used in the calculation of Contract Value or any other benefits under the Contract.

 We reserve the right to limit the Eligible Purchase Payments to a maximum of [$1,000,000]. 

  

					
	USLE-6218E (9/15)	  	2	  	

 Maximum Annual Withdrawal Amount (“MAWA”) 

The MAWA is the annual guaranteed withdrawal amount available over Your lifetime and the lifetime of Your Spousal Beneficiary. It is calculated
by multiplying the Benefit Base by the Maximum Annual Withdrawal Percentage (“MAWP”). The applicable MAWP used to calculate the MAWA is determined by Your Age when You first take a Withdrawal from Your Contract, as specified in the table
below. 
  

			
	Age at First Withdrawal  	 	      MAWP Two Lives    

	
At least Age [55] but less than Age [63]  
	 	  [4%]
	
At least Age [63] but less than Age [76]  
	 	  [5%]
	
Age [76] and over  
	 	  [6%]

 You may withdraw up to the MAWA throughout each Benefit Year without impacting the annual amount guaranteed
for withdrawal under the GMWB. If You do not withdraw the entire MAWA in a Benefit Year, any amount not withdrawn does not increase your MAWA in subsequent Benefit Years. 

Withdrawals made under the GMWB are treated like any other Withdrawal under the Contract for purposes of calculating Contract Value, charges,
including Withdrawal Charges, fees, applicable taxes, and any other benefits or limitations under the Contract. 
 Increases and decreases
in the Benefit Base impact Your MAWA and therefore the amount guaranteed for Withdrawal under the GMWB as follows: 
 Increases in the Benefit Base

 If the Benefit Base is increased for Eligible Purchase Payments, the MAWA will be recalculated upon receipt of the Eligible
Purchase Payments by multiplying the new Benefit Base by the applicable MAWP. The increased MAWA is available after the Eligible Purchase Payments are allocated to Your Contract. If the Benefit Base is increased on a Benefit Year
anniversary, the MAWA will be recalculated by multiplying the new Benefit Base by the applicable MAWP. 
 Decreases in the Benefit Base 

Excess Withdrawals reduce your Benefit Base and therefore the annual amount guaranteed for Withdrawal under the GMWB. Any Excess
Withdrawal in a Benefit Year reduces the Benefit Base in the same proportion by which the Contract Value is reduced by the Excess Withdrawal. When Contract Value is less than or equal to the Benefit Base, Excess Withdrawals will result in a
reduction of the Benefit Base which is greater than the amount of the Excess Withdrawal. The MAWA will be recalculated if Excess Withdrawals are taken in a Benefit Year. The new MAWA will equal the reduced Benefit Base multiplied by the
applicable MAWP. The new MAWA is available at the beginning of the next Benefit Year and will be lower than Your previously calculated MAWA, unless a higher Benefit Base is achieved on a future Benefit Year anniversary during the Benefit Base
Evaluation Period. 
 If you are taking Required Minimum Distributions (“RMD”) from the Contract to which this Rider is attached,
and the portion of the RMD amount based only on the Contract is greater than the MAWA in any given Benefit Year, that portion of the RMD withdrawal will not be treated as an Excess Withdrawal. Any Withdrawal that is greater than RMD amounts based
only on this Contract alone will be considered an Excess Withdrawal. 
 If Your Contract Value is Reduced to Zero 

If Your Contract Value is reduced to zero and the Benefit Base is greater than zero, a benefit remains payable under this Rider, but all other
benefits under the Contract, including Death Benefits, will no longer be available. However, if Your Contract Value is reduced to zero because of an Excess Withdrawal, no further benefits will be payable under this Rider or the Contract. 

When the Contract Value equals zero and the Benefit Base is greater than zero, any remaining benefit under this Rider must be taken through
one of the following income options: 
  

	 	1.	 The current MAWA, paid equally on a quarterly, semi-annual or annual frequency as selected by You until the date of Your death and the death of the
surviving Spousal Beneficiary, whichever is later; or 

	 	2.	 Any payment option mutually agreeable between You and Us. 

If You do not select a payment option, the remaining benefit will be paid as the current MAWA on a quarterly basis until the date of Your
death and the surviving Spousal Beneficiary, whichever is later. 

  

					
	USLE-6218E (9/15)	  	3	  	

 Extension of the Benefit Base Evaluation Period (“Extension”) 

We may offer You an Extension of the Benefit Base Evaluation Period at the end of the current Benefit Base Evaluation Period. If an
Extension of the Benefit Base Evaluation Period is available and You elect such an Extension, you will receive a new Rider with the charges and provisions in effect at that time. 

Latest Annuity Date 
 If there is
remaining Contract Value and the Benefit Base is greater than zero on the Latest Annuity Date, You must select one of the following options: 
  

	 	1.	 Annuitize the Contract Value under the Annuity Provisions of the Contract; or 

	 	2.	 Elect to receive the current MAWA as of the Latest Annuity Date in the form of a payment option, paid equally on a quarterly, semi-annual or annual
frequency as selected by You until the date of Your death and the death of the surviving Spousal Beneficiary, whichever is later; or 

	 	3.	 Any payment option mutually agreeable between You and Us. 

Spousal Continuation 
 Upon election to
continue the Contract and this Rider, Your Spousal Beneficiary will be subject to the terms and conditions of this Rider, including the continued deduction of the GMWB charge from the Contract Value. The Effective Date and Extension Effective
Date will not change as the result of Spousal Continuation. 
 Termination of Withdrawals Over the Lifetime of Your Spousal Beneficiary 

Under any of the following circumstances, this GMWB will provide a guarantee for Your lifetime and not the lifetime of Your Spousal
Beneficiary: 
  

	 	1.	 If the Contract is jointly owned, one of the two original Owners is removed from the Contract due to death, divorce or other ownership change; or

	 	2.	 Your original Spousal Beneficiary is removed for any reason; or 

	 	3.	 You and Your original Spousal Beneficiary are no longer married at the time of death of the first spouse; or 

	 	4.	 The Spousal Beneficiary does not continue the Contract after Your death. 

Termination of the GMWB 
 Once elected,
You may terminate this Rider and its corresponding charge. If Your request to terminate this Rider is received in any Benefit Year on and after the [10th ]Benefit Year anniversary, the
termination is effective on the Benefit Year anniversary following Our receipt of the election to terminate this Rider. 
 This Rider and the related charge
will terminate automatically if: 
  

	 	1.	 The surviving spouse under this Rider dies; or, 

	 	2.	 A Death Benefit is paid and the Contract is terminated; or, 

	 	3.	 The Contract is annuitized; or 

	 	4.	 Excess Withdrawals reduce the Contract Value to zero; or 

	 	5.	 A change in ownership occurs that involves the original Owner(s), except as noted below.* 

*If a change of ownership occurs from a natural person to a non-natural entity, the original natural owner(s) must be the named
annuitant(s) after the ownership change. A change of ownership from a non-natural entity to a natural person can only occur if the new natural owner(s) was the original natural annuitant(s). 

If terminated, the GMWB may not be re-elected. 
 Signed for the
Company to be effective on the Extension Effective Date. 
  

					
	 

  
 Robert
S. Schimek
 President
	  	         

        
  

                          
  Julie Cotton Hearne

                          
            Secretary
	  	
	  	  	

  

					
	USLE-6218E (9/15)	  	4

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