Document:

EX-(4)(m)

 AMERICAN GENERAL LIFE INSURANCE COMPANY 

[OPTIONAL] GUARANTEED LIVING BENEFIT ENDORSEMENT 

Notwithstanding any provision in the Contract to the contrary, this Endorsement becomes a part of the Contract to which it is
attached. Should any provision in this Endorsement conflict with the Contract, the provisions of this Endorsement will prevail. 

Subject to the terms and conditions set forth herein this [optional] Guaranteed Living Benefit Endorsement provides for guaranteed income over
the lifetime of the [Covered Person(s)]. You may take Withdrawals under the Guaranteed Living Benefit as prescribed by this Endorsement while this Endorsement is in effect. 

ENDORSEMENT DATA PAGE 
  

			
	[COVERED PERSON(S)]:	  	 [John Doe
 Jane
Doe]

		
	ENDORSEMENT EFFECTIVE DATE:	  	 [May 1, 2016]

		
	PURCHASE PAYMENT DOLLAR LIMIT:	  	 The sum of all Purchase Payments cannot exceed [$1,000,000] without prior Company approval.

		
	[PURCHASE PAYMENT RESTRICTION:	  	 Purchase Payments received on or after the [[first] Contract Anniversary] will not be accepted into the Contract.]

		
	[INVESTMENT REQUIREMENTS:	  	 [Every Purchase Payment and Continuation Contribution, if any, must be allocated by You in accordance with the investment options approved by Us, which includes
a mandatory allocation of every Purchase Payment and Continuation Contribution, if any, to the Secure Value Account, as shown below. We will notify You of any change to the permitted investment options.]

		
	[SECURE VALUE ACCOUNT ALLOCATION:	  	 [10%] of Purchase Payment(s) and Spousal Beneficiary Contribution, if applicable]

		
	 FREQUENCY AND DATES OF INCOME
 BASE
EVALUATIONS:
	  	 [Quarterly,] [on the Benefit [Quarter] Anniversary]

 ENDORSEMENT FEE: 

The Endorsement Fee is assessed against the [Income Base] and deducted from the Contract Value at the end of each Benefit [Quarter] [starting
[1] Benefit [Quarter(s)] following the Endorsement Effective Date]. [The [Initial] Annual Fee Rate is guaranteed not to change for the [first] Benefit [Year]. After the [first] Benefit [Year], on each Benefit [Quarter Anniversary], we will (1)
deduct the fee in effect for the previous Benefit [Quarter]; and (2) determine the fee rate applicable to the next Benefit [Quarter]. The fee rate can increase or decrease each Benefit [Quarter], subject to the minimums and maximums in the table
below:] 
 

 

  

					
	AGE-8036 (11/15)	  	1	  	

 MAXIMUM ANNUAL WITHDRAWAL [AND PROTECTED INCOME PAYMENT] PERCENTAGES: 

[If no Withdrawals are taken in the first [5] [Benefit] Year(s) or the [Age] at the first Withdrawal of the [Covered Person(s)] is [70 or
older], the following table will always be used to determine the Maximum Annual Withdrawal and Protected Income Payment Percentages:] 
 

 
  
 

 
  

			
	[INCOME BASE MAXIMUM:	  	 The Income Base can be no greater than [200%] of the [Purchase Payments] [reduced [proportionately] for [Excess] Withdrawals].]

  

					
	AGE-8036 (11/15)	  	2	  	

 DEFINITIONS 

For purposes of this Endorsement, the following definitions apply. Terms not defined in this Endorsement shall have the same meaning as
defined in the Contract. 
 AGE 
 The
attained age as of the [Covered Person’s] last birthday. If there are two [Covered Persons] on the Endorsement Data Page, the Age of the younger [Covered Person] or in the event of the death of one [Covered Person], the surviving [Covered
Person] as of their last birthday. 
 [BENEFIT [QUARTER] 

Each consecutive [3-month] period starting on the Endorsement Effective Date.] 

[BENEFIT [QUARTER] ANNIVERSARY 
 The date
following each consecutive [3-month] period starting on the Endorsement Effective Date. [If the next Benefit [Quarter] Anniversary has no corresponding date the Benefit [Quarter] Anniversary will be deemed to be the following day.]] 

[BENEFIT [YEAR] 
 Each consecutive [one]
[year] period starting on the Endorsement Effective Date.] 
 [BENEFIT YEAR ANNIVERSARY 

The date on which each Benefit Year begins.] 

[COVERED PERSON(S) 
 The person(s) named
on the Endorsement Data Page whose lives are used to determine the amount and duration of Withdrawals. ] 
 ENDORSEMENT EFFECTIVE DATE 

The date when this Endorsement becomes effective as shown on the Endorsement Data Page. 

EXCESS WITHDRAWAL 
 Any Withdrawal in a
Benefit [Year] taken after the Maximum Annual Withdrawal Amount has been withdrawn and/or any portion of a Withdrawal that causes the total Withdrawals in a Benefit [Year] to exceed the Maximum Annual Withdrawal Amount. 

HIGHER CONTRACT VALUE 
 A value used to
determine the Income Base that is equal to the current Contract Value if it is greater than the current Income Base. This value is determined based on the Frequency and Dates of Income Base Evaluations, as shown on the Endorsement Data Page. 

INCOME BASE 
 The Income Base is used to
determine [the Endorsement Fee,] the Maximum Annual Withdrawal Amount [and the Protected Income Payment]. [The Income Base Maximum is as shown on the Endorsement Data Page.]

MAXIMUM ANNUAL WITHDRAWAL AMOUNT 
 The
maximum amount that may be withdrawn each Benefit [Year] while [the Contract Value is greater than zero and] the [Covered Person(s)] is living, without reducing the Income Base. 

MAXIMUM ANNUAL WITHDRAWAL PERCENTAGE 
 The
percentage, as referenced on the Endorsement Data Page used to determine the Maximum Annual Withdrawal Amount available for Withdrawal each Benefit [Year] while [the Contract Value is greater than zero and] the [Covered Person(s)] is living. 

[PROTECTED INCOME PAYMENT 
 The amount to
be paid each [year] over the remaining lifetime of the [Covered Person(s)] after the Contract Value is reduced to zero but the Income Base is still greater than zero.]

[PROTECTED INCOME PAYMENT PERCENTAGE 
 The
percentage, as referenced on the Endorsement Data Page, used to determine the Protected Income Payment.] 

  

					
	AGE-8036 (11/15)	  	3	  	

 YOU, YOUR 

The [Covered Person(s)] under this Endorsement. 

GUARANTEED LIVING BENEFIT PROVISIONS 

The Guaranteed Living Benefit described in this Endorsement provides for guaranteed Withdrawals over the lifetime of the [Covered Person(s)],
subject to the following provisions: 
 Calculation of the Factors of the Guaranteed Living Benefit 

To determine the Guaranteed Living Benefit, We use the following factors: Income Base, Maximum Annual Withdrawal Amount, Maximum Annual
Withdrawal Percentage[, Protected Income Payment and Protected Income Payment Percentage]. These factors are not used in the calculation of the Contract Value or any other benefits under the Contract. 

Withdrawals taken under this Living Benefit are treated like any other Withdrawal under the Contract for purposes of calculating Contract
Value, including any fees and charges applicable to such Withdrawals and any other benefits under the Contract. In any Benefit [Year], Withdrawals up to Maximum Annual Withdrawal Amount are free of Withdrawal Charges. 

Calculation of the Income Base 

The initial Income Base is equal to the initial Purchase Payment. 

Thereafter, if no Withdrawals have been taken, the Income Base is increased to the Higher Contract Value, based on the
Frequency and Dates of Income Base Evaluations. 
 After the first Withdrawal has been taken, the Income Base is increased only on
the Benefit [Year] Anniversary looking back to the Higher Contract Value based on the Frequency and Dates of Income Base Evaluations since the first Withdrawal (“first look-back”). 

After the first look-back, the Income Base is increased only on the Benefit [Year] Anniversary looking back to the Higher
Contract Value based on the Frequency and Dates of Income Base Evaluations since the last Benefit [Year] Anniversary. Thereafter, the Income Base will continue to be determined on each Benefit [Year] Anniversary while this Endorsement is in
effect and both the Contract Value and Income Base are greater than zero. 
 Calculation of the Maximum Annual Withdrawal Amount 

The Maximum Annual Withdrawal Amount is calculated by multiplying the Income Base by the Maximum Annual Withdrawal Percentage as shown on the
Endorsement Data Page [,which is determined by the timing and Your Age at the time You first take a Withdrawal from Your Contract and the number of [Covered Person(s)] shown on the Endorsement Data Page]. 

Withdrawals during a Benefit [Year] that in total are less than or equal to the Maximum Annual Withdrawal Amount will not reduce the Maximum
Annual Withdrawal Amount and the Income Base. If You choose to take less than the Maximum Annual Withdrawal Amount in any Benefit [Year], You may not carry over the unused amount for withdrawal in subsequent Benefit [Years]. Your Maximum
Annual Withdrawal Amount in any year will not be recalculated solely as a result of taking less than the entire Maximum Annual Withdrawal Amount in the prior [Benefit Year].

[Calculation of the Protected Income Payment 

If the Contract Value is reduced to zero due to unfavorable investment performance, Withdrawal up to the Maximum Annual Withdrawal Amount, or
any combination of these factors, but the Income Base is still greater than zero, You may be eligible to receive the Protected Income Payment. The Protected Income Payment is calculated by multiplying the Income Base by the applicable
[Protected Income Payment Percentage], [which is determined by Your Age at the time You first take a Withdrawal from Your Contract], [as shown on the Endorsement Data Page]. You will receive the Protected Income Payment each year for the
remaining lifetime of the [Covered Person(s)].] 
 Increases and Decreases in the Income Base and the Impact to Your Maximum Annual Withdrawal Amount

 Increases in the Income Base 

The Income Base is increased as a result of a Higher Contract Value being achieved resulting in the Income Base being stepped up on[: (1) the
Frequency and Dates of Income Evaluations prior to taking any Withdrawals, or (2) a Benefit [Year] Anniversary after Withdrawals have been taken]. The Income Base is also increased when a Purchase Payment is allocated to Your Contract [subject
to the Purchase Payment Restriction shown on the Endorsement Data Page]; consequently, any remaining Withdrawals of the Maximum Annual Withdrawal Amount will be based on the increased Maximum Annual Withdrawal Amount reduced by Withdrawals
previously taken in that Benefit [Year]. When the Income Base is increased as referenced [in (1) and (2)] above, the Maximum Annual Withdrawal Amount will be recalculated by multiplying the 

  

					
	AGE-8036 (11/15)	  	4	  	

 
increased Income Base by the applicable Maximum Annual Withdrawal Percentage. The Endorsement Fee will be assessed on the increased [Income Base]. 

Decreases in the Income Base 
 Excess
Withdrawals reduce Your Income Base on the date the Excess Withdrawal occurs. Any [Excess] Withdrawal in a Benefit [Year] reduces the Income Base in the same proportion by which the Contract Value is reduced by the [Excess] Withdrawal. As
a result of a reduction of the Income Base, the Maximum Annual Withdrawal Amount will also be reduced. The new Maximum Annual Withdrawal Amount will be equal to the reduced Income Base multiplied by the applicable Maximum Annual Withdrawal
Percentage. The last recalculated Maximum Annual Withdrawal Amount in a given Benefit [Year] is available for Withdrawal at the beginning of the next Benefit [Year] and may be lower than the previous Benefit [Year’s] Maximum Annual Withdrawal
Amount. When the Contract Value is less than the Income Base, Excess Withdrawals will reduce the Income Base by an amount which is greater than the amount of the Excess Withdrawal. 

The Income Base is a factor used to determine the Maximum Annual Withdrawal Amount [and Protected Income Payment] [as well as the
Endorsement Fee]. The Income Base is not an amount that You can withdraw. Excess Withdrawals may reduce future benefits by more than the dollar amount of the Withdrawal. If You have any questions regarding whether a potential Withdrawal would be an
Excess Withdrawal, please call Our Annuity Service Center. 
 Required Minimum Distributions (RMD) 

This provision applies only to the Contract to which this Endorsement is attached. If you are taking RMD and the RMD amount, based only
on this Contract, is greater than the Maximum Annual Withdrawal Amount in any given Benefit [Year], no portion of the RMD will be treated as an Excess Withdrawal provided you enroll in the Company’s systematic withdrawal program for RMD.
However, any portion of a Withdrawal in a Benefit [Year] that is more than the greater of both the Maximum Annual Withdrawal Amount and the RMD amount will be considered an Excess Withdrawal for the purpose of the recalculation of the Income
Base and Maximum Annual Withdrawal Amount. 
 If Your Contract Value is Reduced to Zero 

If Your Contract Value is reduced to zero because of an Excess Withdrawal, no further benefits will be payable under this Endorsement or the
Contract, and Your Contract along with the Endorsement will terminate. However, if Your Contract Value is reduced to zero due to unfavorable investment performance and/or fees, Withdrawal(s) up to the Maximum Annual Withdrawal Amount (or if
applicable, the RMD amount as described above) or any combination of these factors, and the Income Base is greater than zero, We will pay the remaining Maximum Annual Withdrawal Amount for that Benefit [Year] in the same frequency withdrawals had
been taken, i.e. monthly or quarterly. Thereafter, we will pay the [Protected Income Payment] over the remaining lifetime of the [Covered Person(s)] which will be calculated by multiplying the Income Base by the[ Protected Income Payment
Percentage][, as shown on the Endorsement Data Page]. 
 Because the Contract Value has been reduced to zero, the Income Base will no longer
be increased to a Higher Contract Value. In addition, all other benefits under the Contract with the exception of payment of the [Protected Income Payment], will be terminated and You may no longer make subsequent Purchase Payments or transfers, and
no Death Benefit is payable. 
 When the Contract Value equals zero and the Income Base is greater than zero, to receive any remaining
Living Benefit, you must select one of the following payment options: 
  

	 	1.	 The [Protected Income Payment], divided equally and paid on a [monthly, quarterly, semi-annual or annual] frequency as selected by You until the
date of Your death(s); or 

  

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

Once You select a payment option, it cannot be changed. If You do not select a payment option above, the remaining benefit will be paid
as an amount based on the [Protected Income Payment Percentage]. This amount will be divided equally and paid on a [quarterly] basis until the date of death of the [Covered Person(s)]. 

Latest Annuity Date 
 If the Contract
Value and the Income Base are 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.	 Annuitize the Contract and elect to receive the [current Maximum Annual Withdrawal Amount] as of the Latest Annuity Date for a fixed period while
You are alive. The fixed period is determined by dividing the contract value on the Latest Annuity Date by the [Maximum Annual Withdrawal Amount]. Any applicable premium taxes will be deducted from the Contract Value prior to determining the fixed
period. After that fixed period ends, you will 

  

					
	AGE-8036 (11/15)	  	5	  	

	 	 
receive the [Protected Income Payment,] as of the Latest Annuity Date, divided equally and paid on a [monthly, quarterly, semi-annual or annual] frequency as selected by You until the date of
death of the [Covered Person(s)]; or 

  

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

If You do not select an option listed above, on the Latest Annuity Date, We may annuitize the Contract Value in accordance with Option 2
above, divided equally and paid on a [quarterly] frequency until the date of death of the [Covered Person(s)]. 
 [Secure Value Account Allocation(s)

 Secure Value Account Allocation(s) is/are required only while the Endorsement is effective. Amounts allocated to the Secure Value
Account(s) are not subject to the Separate Account Charge. Amounts allocated to the Secure Value Account(s) may not be transferred to any other investment option as long as the Endorsement is effective and We will not rebalance amounts
allocated to the Secure Value Account(s) in accordance with the automatic asset rebalancing program. You may not transfer into or out of the Secure Value Account(s). You may not request the entire amount of any Withdrawal to be deducted
solely from the Secure Value Account(s). Rather, any Withdrawal reduces the amount invested in the Secure Value Account(s) in the same proportion that the Withdrawal reduces the Contract Value.] 

Investment Requirements 
 In addition to
the Secure Value Account Allocation, while the Endorsement is effective, We require that you allocate your Purchase Payment(s) and Spousal Continuation Contribution, if applicable, and Contract Value in accordance with established requirements
stated in the Prospectus. We require enrollment in a [quarterly] automatic asset rebalancing program that complies with the investment requirements. In addition to [quarterly] asset rebalancing, We will initiate rebalancing in accordance with
your most current and compliant automatic asset rebalancing instructions on file after any Withdrawal or transfer You initiate. 
 Misstatement of Age or
Sex 
 The Misstatement of Age or Sex provision included in Your Contract shall apply to the [Covered Person(s)] under this Endorsement
and may impact the Maximum Annual Withdrawal Amount. 
 Termination of Withdrawals Over Two Lives 

If there are two [Covered Persons] on the Endorsement Effective Date, Withdrawals guaranteed for the life of one of the [Covered Persons] will
terminate if: 
  

	 	1.	 One of the two [Covered Persons] is removed from the Endorsement due to any reason other than death; or 

 

	 	2.	 The [Covered Persons] are no longer married at the time of death of the first [Covered Person]. 

Termination of Withdrawals guaranteed for the life of one [Covered Person] does not impact any other terms and conditions of this Endorsement,
including the applicable Endorsement Fee, which is based on the number of [Covered Persons] on this Endorsement Effective Date. 
 Cancellation of the
Guaranteed Living Benefit 
 [You may cancel this Endorsement in the first [5] Benefit [Years] as detailed below. The Guaranteed
Living Benefit may not be re-elected or reinstated after a cancellation. 
 Cancellation Effective Date 

If Your cancellation request is received: 

1.      In the first [5] Benefit [Year(s)],
the cancellation is effective on the [5th] Benefit [Year Anniversary;] 

2.      In any Benefit [Year] after the [5th] Benefit [Year] Anniversary, the cancellation is effective [on the Benefit [Quarter] Anniversary] following Our receipt of the cancellation request.] 

Termination of the Guaranteed Living Benefit 

This Endorsement and the Endorsement Fee will terminate automatically upon the occurrence of one of the following: 

 

	 	1.	 Death of the [Covered Person], or if there were two [Covered Persons], upon the death of the surviving [Covered Person]; or 

	 	2.	 A Death Benefit is paid resulting in the Contract being terminated; or 

	 	3.	 The Contract is annuitized; or 

	 	4.	 An Excess Withdrawal that reduces the Contract Value and Income Base to zero; or 

	 	5.	 Any change occurs that removes one or all [Covered Persons] from the Contract except as noted above under “Termination of Withdrawals Over
Two Lives”; or 

	 	6.	 The Contract is cancelled or surrendered for any reason; or 

  

					
	AGE-8036 (11/15)	  	6	  	

	 	7.	 Assignment of any Contract Owner rights under this Endorsement to a third party[; or 

	 	8.	 You elect to cancel this Endorsement]. 

On the termination effective date, amounts allocated to the Secure Value Account will be automatically transferred to a [1-Year Fixed Account
option, if available, or a money market or similar portfolio]. Purchase Payments may no longer be allocated to the Secure Value Account after termination. From the day following the automated transfer, you may transfer this amount to another
available investment option under the Contract for a period of [90] [days] during which the transfer will not count against the annual number of free transfers or incur a transfer fee. 

If [this Endorsement is terminated] or if You surrender Your Contract while Your Contract Value is greater than zero, We will assess a
pro-rata charge for the Endorsement Fee applicable to the Benefit [Quarter] in which the [termination] or surrender occurs if the Contract was [terminated] or surrendered before the end of a Benefit [Quarter]. The pro-rated charge is calculated
by multiplying the fee by the number of days between the date when the prior fee was last assessed and the date of [termination] or surrender, divided by the number of days between the prior and the next Benefit [Quarter] Anniversaries. Thereafter,
You will no longer be charged an Endorsement Fee. 
 Death of [Covered Person(s)] 

If there is one [Covered Person] and that person dies, this Endorsement and the Endorsement Fee will be terminated. 

If there are two [Covered Persons], upon the first death, if the surviving [Covered Person] is eligible and elects to continue the Contract,
this Endorsement is also continued. Upon the election of continuation, the Endorsement Effective Date, the applicable Endorsement Fee, and the Maximum Annual Withdrawal [and Protected Income Payment] Percentages based on two [Covered Persons]
will not change. 
 Signed for the Company to be effective on the Endorsement Effective Date. 

AMERICAN GENERAL LIFE INSURANCE COMPANY 
 

 
 Copyright © 2016 American International Group, Inc. All rights reserved 

  

					
	AGE-8036 (11/15)	  	7EX-(4)(n)

 

 
 AIG Annuities Address mail to: Annuity Service Center 
Regular Mail P.O. Box 15570 Amarillo, TX 79105-5570 
Overnight Mail 1050 North Western Street
Amarillo, TX 79106-7011 
1-800-445-7862 
Extended Legacy Program Guide

What is the Extended Legacy Program? 
The Extended Legacy Program is a death
claim settlement program that provides claimants of Polaris variable annuities the opportunity to defer the distribution of claim proceeds while retaining full discretionary access to them. 
Extended Legacy Program 
There are two options for this program.
Option 1 This option enables the claimant to defer taking a full distribution until December 31st of the year containing the fifth anniversary of the deceased’s death. Any
amounts remaining in the account as of that date will automatically be distributed to the claimant. The claimant may take discretionary distributions of up to 100% of the current value of the death claim proceeds at any time during the five year
period. 
Option 2 This option enables the claimant to receive annual required minimum distributions, generally over the claimant’s life expectancy, beginning
no later than December 31st of the year following the year of the deceased’s death. The claimant may take discretionary distributions of up to 100% of the current value of the death claim proceeds at any time. 
Both options have tax implications that should be considered before making a decision. We recommend that you discuss your situation with a tax professional. 
Program Availability 
The Extended Legacy Program is available to claimants of products listed
on page 2. One or both options referenced above may not be available to certain claimants. Please review the Variable Annuity Death Claim form (SA2200POS, U2200POS in NY) for additional information. Contact our Annuity Service Center at (800)
445-7862 for information regarding availability. 
How Do I Use This Guide? 
If
you elect the Extended Legacy Program, the applicable fees, features and investment options available to you may differ from the fees, features and investment options available to the original deceased Owner. 
To review the applicable fees, features and investment options available to you: 
1. Identify
the product to which you are a claimant. The product name can be found in the upper-right corner of the deceased’s last quarterly statement. If this same product name is in the list of products on page 2 of this guide, you are eligible for the
Extended Legacy Program. If this product name is not in this list, this program is not available to you. Contact our Annuity Service Center if you need assistance.

2. Review the Variable Portfolio investment options available to you. Refer to the product prospectus you received with this Guide that lists the investment
options available to you. Additional information regarding the investment options can be found in the fund prospectus available at aig.com/annuities or through our Annuity Service Center. You will be mailed a copy of the fund prospectus for the
available investment options if you elect the Extended Legacy Program. 
3. Write your investment allocation instructions on the Death Claim form. Indicate your
investment allocation instructions on page 10, Section I, of the Variable Annuity Death Claim form. 
4. Review the product prospectus disclosure. The product
prospectus you received with this Guide includes important information about the administrative features available to you. Please review the sections of the prospectus related to Investment Options, Transfers, Dollar Cost Averaging, Systematic
Withdrawal, Automatic Asset Rebalancing Program, Extended Legacy Program, Separate Account Expenses, Taxes and Other Information. 
Variable annuities issued by
American General Life Insurance Company or, in New York, by The United States Life Insurance Company in the City of New York, NY. 
EXTLEGGEN.8 Rev. 7.15 

 

 
 Extended Legacy Program Guide Fees Associated With the Extended Legacy Program 
Page 2 of 2 
Product Issued to Deceased 
For all of the following products listed below, refer to the product prospectus sent to you with this Guide for a list of available investment options. 
Separate Account Charge1 
Contract Maintenance Fee2 
American Pathway Polaris Choice II Polaris Retirement Protector NY 
Polaris Polaris Choice III
Seasons 
Polaris NY Polaris Choice III NY Seasons Advantage 
Polaris Rewards NY
Polaris Choice IV Seasons Advisor 
Polaris II Polaris Choice IV NY Seasons Advisor II 
Polaris II NY Polaris Platinum Seasons Advisor III 
Polaris II Rewards Polaris Platinum Rewards
Seasons Elite 1.15% $35 
Polaris II Rewards NY Polaris Platinum II Seasons Preferred Solution 
Polaris Advantage Polaris Platinum II Rewards Seasons Select 
Polaris Advantage NY Polaris
Platinum III Seasons Select II 
Polaris Advantage II Polaris Platinum III NY Seasons Select II Rewards 
Polaris Advisor Polaris Preferred Solution Seasons Triple Elite 
Polaris Advisor III Polaris
Preferred Solution NY WM Diversified Strategies 
Polaris America Polaris Protector WM Diversified Strategies III 
Polaris Choice Polaris Protector Rewards WM Diversified Strategies III NY 
Polaris Choice NY
Polaris Retirement Protector FSA Advisor 
1The Separate Account Charge is deducted from the average daily ending net asset value allocated to the Variable
Portfolios. For more information, please see the product prospectus. 
2A $30 contract maintenance fee applies to certain contracts originally issued in New Mexico,
New York and/or North Dakota. The contract maintenance fee will be waived if your account value exceeds $50,000 on each anniversary following your election of the Extended Legacy program. 
EXTLEGGEN.8

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