Document:

Prepared by R.R. Donnelley Financial -- S.A. II Group Variable Annuity Contract

 EXHIBIT 4(b) 
  
 Anchor National Life Insurance Company 
  
 
	 A STOCK COMPANY
 	 	 LOS ANGELES, CALIFORNIA
 

 
  

	CERTIFICATE NUMBER 
 	P9999999999 
 

 
 
	 PARTICIPANT                 JOHN
DOE
 

 
  
 
	 STATUTORY HOME OFFICE 2999 NORTH 44TH ST., STE 250 PHOENIX, AZ 85018
 	 	 EXECUTIVE OFFICE 1 SUNAMERICA CENTER LOS ANGELES, CA 90067-6022
 	 	 ANNUITY SERVICE CENTER P. O. BOX 54299 LOS ANGELES, CA 90054-0299
 

 
  
 ANCHOR NATIONAL LIFE INSURANCE COMPANY (“We”, “Us”, the
“Company”, or “Anchor National”) agrees to provide benefits to the Participant under the Group Contract, in accordance with the provisions set forth in this Certificate and in consideration of the Application Form and Purchase
Payments We received. 
  
 This Certificate is evidence of coverage under the Group Contract if an Application Form is attached. The
coverage will begin as of the Certificate Date, shown on the Certificate Data Page. 
  
 The value of amounts allocated to the
Separate Account during the accumulation and annuity periods is not guaranteed and will increase or decrease based upon the investment experience of the investments underlying the Subaccounts You choose. 
  
 RIGHT TO EXAMINE - You may return this Certificate to Our Annuity Service Center or to the agent through whom the Certificate was purchased within 10 days
after You receive it, if You are not satisfied with it. The Company will refund the Certificate Value on the business day during which the Certificate is received. Upon such refund, the Certificate shall be void. 
  
 For Individual Retirement Annuities, a refund of the Purchase Payment(s) may be required. Therefore, We reserve the right to allocate Your Purchase Payment(s) to
the Cash Management Subaccount until the end of the Right To Examine period. Thereafter, allocations will be made as shown on the Certificate Purchase Payment Allocation page. 
  
 THIS IS A LEGAL DOCUMENT. READ IT CAREFULLY. 
  
 
	 
	  	 	 /s/    CHRISTINE A.
NIXON            
 
	 	  	 	  	 	 /s/    JAY S.
WINTROB            
 

	  	 	 Christine A. Nixon
 Assistant
Secretary
 	 	  	 	  	 	 Jay S. Wintrob
 President
 

 
  
 ALLOCATED VARIABLE 
 GROUP ANNUITY CERTIFICATE 
 Nonparticipating 
 

 1 

 TABLE OF CONTENTS 
  
 
	 Certificate Data Page
 	  	 Page 3
 
	 
	 Purchase Payment Allocation
 	  	 Page 4
 
	 
	 Definitions
 	  	 Page 5
 
	 
	 Purchase Payment Provisions
 	  	 Page 8
 
	 
	 Accumulation Provisions
 	  	 Page 8
 
	 
	 Charges And Deductions
 	  	 Page 9
 
	 
	 Transfer Provision
 	  	 Page 9
 
	 
	 Withdrawal Provision
 	  	 Page 10
 
	 
	 General Provisions
 	  	 Page 10
 
	 
	 Death Provisions
 	  	 Page 12
 
	 
	 Annuity Provisions
 	  	 Page 14
 
	 
	 Annuity Payment Options
 	  	 Page 16
 
	 
	 Fixed Annuity Payment Options Table
 	  	 Page 17
 
	 
	 Variable Annuity Payment Options Table
 	  	 Page 20
 

 
  
 

 2 

  
 Certificate Data Page 
  
 
	 Certificate Number:
 P9999999999
 	 	 Annuity Service Center:
 P.O. BOX 54299
 LOS ANGELES, CA 90054-0299
 
	  	 	  
	 Participant:
 	 	 Age at Issue:
 
	 JOHN DOE
 	 	 35
 
	  	 	  
	 Annuitant:
 	 	 Initial Purchase Payment:
 
	 JOHN DOE
 	 	 $10,000.00
 
	  	 	  
	 Specified Annuity Date:
 	 	 Certificate Date:
 
	 March 1, 2032
 	 	 March 1, 2002
 
	  	 	  
	 Latest Annuity Date:
 March 1, 2062
 	 	 Minimum Guarantee Rate for
 DCA Account Options -
 
	  	 	 3.0%
 
	  	 	  
	 Separate Account Charge:
 	 	 Beneficiary:
 
	 [1.52%]
 	 	 As named by You
 
	  	 	  
	 Separate Account:
 	 	  
	 [VARIABLE SEPARATE ACCOUNT]
 	 	  
	  	 	  
	 Optional Elections
 	 	 Optional Election Charges:
 
	 Optional Death Benefit Elected:
 Purchase Payment Accumulation]
 	 	  
 0.20%
 

 
  
  
  
 For Inquiries 
 [Call 1-800-445-SUN2] 
 

 3 

  
 PURCHASE PAYMENT ALLOCATION 
  

Subaccounts 
  
 
	 80.00%
 	  	 Growth Strategy
 	  	  
	 0.00%
 	  	 Moderate Growth Strategy
 	  	  
	 0.00%
 	  	 Balanced Growth Strategy
 	  	  
	 0.00%
 	  	 Conservative Growth Strategy
 	  	  
	 0.00%
 	  	 Large Cap Growth Portfolio
 	  	  
	 0.00%
 	  	 Large Cap Composite Portfolio
 	  	  
	 0.00%
 	  	 Large Cap Value Portfolio
 	  	  
	 0.00%
 	  	 Mid Cap Growth Portfolio
 	  	  
	 0.00%
 	  	 Mid Cap Value Portfolio
 	  	  
	 0.00%
 	  	 Small Cap Portfolio
 	  	  
	 0.00%
 	  	 International Equity Portfolio
 	  	  
	 0.00%
 	  	 Diversified Fixed Income Portfolio
 	  	  
	 0.00%
 	  	 Cash Management Portfolio
 	  	  
	 0.00%
 	  	 Focus Growth Portfolio
 	  	  
	 0.00%
 	  	 Focus Growth and Income Portfolio
 	  	  
	 0.00%
 	  	 Focus Value Portfolio
 	  	  
	 0.00%
 	  	 Focus TechNet Portfolio
 	  	  
	 0.00%
 	  	 Strategic Growth Portfolio
 	  	  
	 0.00%
 	  	 Conservative Growth Portfolio
 	  	  
	 0.00%
 	  	 Balanced Portfolio
 	  	  
	 0.00%
 	  	 Conservative Balanced Portfolio
 	  	  
	 0.00%
 	  	 Flexible Income Portfolio
 	  	  
	 0.00%
 	  	 Short Term Income Fund
 	  	  
	 0.00%
 	  	 Government Securities Fund
 	  	  
	 0.00%
 	  	 Income Fund
 	  	  
	 0.00%
 	  	 Money Market Fund
 	  	  
	 0.00%
 	  	 Equity Income Fund
 	  	  
	 0.00%
 	  	 Growth & Income Fund
 	  	  
	 0.00%
 	  	 Growth Fund of the Northwest
 	  	  
	 0.00%
 	  	 Growth Fund
 	  	  
	 0.00%
 	  	 Mid Cap Stock Fund
 	  	  
	 0.00%
 	  	 Small Cap Stock Fund
 	  	  
	 0.00%
 	  	 International Growth Fund
 	  	  

 
  
  
 DCA Account Options

  
 
	  	 	 Guarantee
 Period
 
	    	 Initial
 Interest Rate
 

	 0.00%
 	 	 6-Month DCA
 	    	  
	 0.00%
 	 	 1-Year DCA
 	    	  

 
 

 4 

 DEFINITIONS 
  
 Defined in this section are some of the words and phrases used in this Certificate. These terms are capitalized when used in the Certificate. Other capitalized terms in the Certificate refer to the captioned paragraph explaining that
particular concept in the Certificate. 
  
 ACCUMULATION UNIT 
 A unit of measurement used to compute the Certificate Value in a Subaccount prior to the Annuity Date. 
  
 AGE

 Age as of last birthday. 
  
 ANNUITANT

 The natural person or persons (collectively, Joint Annuitants) whose life or lives is/are used to determine the annuity benefits under the Certificate. If the Certificate
is in force and the Annuitant(s) is/are alive on the Annuity Date, We will begin payments to the Payee. This Certificate cannot have Joint Annuitants if it is issued in connection with a tax-qualified retirement plan. 
  
 ANNUITY SERVICE CENTER 
 As specified on the Certificate Data Page. 

 
 ANNUITY DATE 
 The date on which annuity payments (“income
payments”) to the Payee begin. This date cannot be later than the Latest Annuity Date. 
  
 ANNUITY UNIT 
 A unit of measurement used to compute annuity payments from the Subaccounts. 
  
 BENEFICIARY 
 The Beneficiary is as named by You unless later changed by You in a written request to Us at Our Annuity Service Center. 

 
 CERTIFICATE 
 This Certificate describes Your interest as a Participant
under the group annuity contract. 
  
 CERTIFICATE DATE 
 The
date Your Certificate is issued, as shown on the Certificate Data Page. It is the date from which Certificate Years and anniversaries are measured. 
  
 CERTIFICATE VALUE 
 The sum of: (1) Your share of the Subaccounts’ Accumulation Unit values and (2) the value of amounts allocated to the DCA Account
Options. 
  
 CERTIFICATE YEAR 
 One year starting from the
Certificate Date in one calendar year and ending on the day preceding the anniversary of such date in the succeeding calendar years. 
 

 5 

  
 CONTINUATION DATE 
 The
Date on which We receive, at Our Annuity Service Center: (a) the Spousal Beneficiary’s written request to continue the Certificate inforce, and (b) Due Proof of Death of the Participant. If We receive (a) and (b) on different dates, the
Continuation Date will be the later date. 
  
 CURRENT INTEREST RATE 
 The rates of interest declared by Us applicable to allocations of Subsequent Purchase Payments to the DCA Account Options. The Current Interest Rate will not be less than the Minimum Guarantee Rate as shown on the Certificate Data
Page. 
  
 DCA ACCOUNT OPTIONS 
 The investment options under
this Certificate that are credited with a fixed rate of interest declared by the Company. All amounts allocated to the DCA Account Options become part of the Company’s general asset account. The general asset account contains all the assets of
the Company except for the Separate Account and other segregated asset accounts. The DCA Account Options for this Certificate are shown on page 4. 
  
 DOLLAR COST AVERAGING PROGRAM (DCA) 
 An optional program under which You authorize the automatic transfer of specified amounts or percentages from one or
more designated source accounts(s) into any Subaccount(s) other than the source account. Any portion of a Purchase Payment allocated to the DCA Account Option(s) must be transferred out within the specified DCA Account Option Period depending on
which DCA Account Option is selected. Upon termination of the DCA program any amounts remaining in the DCA Account Option(s) will be transferred to the DCA target allocation(s) for the program being terminated. Upon annuitization, any amounts
remaining in the DCA Account Option(s) will be applied to the Fixed Annuity Payments. The unit values credited and applied to Your Certificate are determined on each date of transfer. We reserve the right to change the terms and conditions of the
DCA program at any time. 
  
 FIXED ANNUITY 
 A series of
periodic annuity payments of predetermined amounts that do not vary with investment experience. Such payments are made from the Company’s general asset account. 
  
 GUARANTEE PERIOD 
 The period for which either the Initial Interest Rate or the Current Interest Rate is credited to the
amounts allocated to the applicable DCA Account Option(s). 
  
 INITIAL INTEREST RATE 
 The rate(s) of interest credited to any portion of the Initial Purchase Payment allocated to the DCA Account Option(s), as described in the Accumulation Provisions section. The Initial Interest Rate(s) for this Certificate
is/are listed on page 4. The Initial Interest Rate may not be less than the Minimum Guaranteed Rate as shown on the Certificate Data Page. 
  
 IRC 
 The Internal Revenue Code of 1986 or as it may be amended or superseded. 
  
 JOINT PARTICIPANT 
 If Joint Participants are named each Joint Participant has an equal ownership interest in the
Certificate unless We are advised otherwise in writing. 
 

 6 

  
 NYSE 
 New York Stock
Exchange. 
  
 PARTICIPANT 
 The person or entity named in the
Certificate who is entitled to exercise all rights and privileges of ownership under the Certificate. Participant means both Joint Participants if applicable. 
  
 PAYEE 
 The person receiving payment of annuity benefits under this Certificate. 
  
 PURCHASE PAYMENTS 
 Payments in U.S. currency made by or on behalf of the Participant to the Company for the Certificate.

  
 SEPARATE ACCOUNT 
 The segregated asset account named on
the Certificate Data Page. The Separate Account consists of several Subaccounts each investing in shares of the Underlying Fund(s) of the trust(s). The assets of the Separate Account are not commingled with the general assets and liabilities of the
Company. Each Subaccount is not chargeable with liabilities arising out of any other Subaccount. The value of amounts allocated to the Subaccounts of the Separate Account is not guaranteed. 
  

SPECIFIED ANNUITY DATE 
 The anticipated Annuity Date specified by You as shown on Certificate Data Page. This
date may be changed by You in writing prior to the Annuity Date, but in no event can it be later than the Latest Annuity Date. If this date is not specified, it will be the Latest Annuity Date. 
  

SPOUSAL BENEFICIARY 
 The deceased Participant’s surviving spouse who is designated as the primary
Beneficiary and may continue the Certificate as the Participant on the Continuation Date. 
  
 SUBACCOUNT (“VARIABLE PORTFOLIO”)

 One or more divisions of the Separate Account, which provides for the variable investment options available under this Certificate. Each Subaccount has its own investment
objective and is invested in the Underlying Funds of the trusts. A Subaccount is not chargeable with liabilities arising out of any other Subaccount. The available Subaccounts are shown on page 4. Additional Subaccounts may become available in the
future. 
  
 SUBSEQUENT PURCHASE PAYMENTS 
 Purchase Payments
made subsequent to the Initial Purchase Payment. 
  
 UNDERLYING FUND 
 The variable investment options in which the corresponding Subaccount(s) invest. 
  
 VARIABLE ANNUITY 

A series of periodic annuity payments, which vary in amount according to the investment experience of one or more Subaccounts, as selected by You. 
  
 WE, OUR, US, THE COMPANY 
 Anchor National Life Insurance Company. 

 
 YOU, YOUR 
 The Participant. 
 

 7 

 PURCHASE PAYMENT PROVISIONS 
  
 PURCHASE PAYMENTS 
 Purchase Payments are flexible. This means that, subject to Company declared minimums and maximums, You may change the
amounts, frequency and/or timing of Purchase Payments. Purchase Payments will be allocated to the DCA Account Options and/or one or more Subaccounts in accordance with instructions from You. We reserve the right to specify the minimum Purchase
Payment that may be allocated to a Subaccount or a DCA Account Option under the Certificate. 
  
 SUBSTITUTION OF INVESTMENT PORTFOLIOS

 If: (a) the shares of the underlying investment portfolios in which the Subaccounts invest should no longer be available for investment by the Separate Account; or (b) in
the judgment of the Board of Trustees further investment in the shares of an investment portfolio is no longer appropriate in view of the purpose of the Certificate, then We may substitute shares of another underlying investment series, for shares
already purchased, or to be purchased in the future by Purchase Payments under the Certificate. No substitution of securities may take place without prior approval of the Securities and Exchange Commission and under such requirements as it may
impose. 
  
 ACCUMULATION PROVISIONS 
  
 SEPARATE ACCOUNT ACCUMULATION VALUE 
 The Separate Account Accumulation Value under the Certificate shall be the sum of the
values of the Accumulation Units held in the Subaccounts for the Participant. 
  
 NUMBER OF ACCUMULATION UNITS 

Your Certificate is credited with Accumulation Units of the Separate Account when amounts are allocated to the Subaccounts. For that portion of each Purchase Payment and/or transfer amount
allocated to a Subaccount, the number of Accumulation Units credited is equal to the sum of each Purchase Payment and/or transfer amount allocated to that Subaccount, reduced by premium taxes, if any: 
  
 Divided by 
  
 The Accumulation Unit value
for that for the NYSE business day on which the Purchase Payment or transfer amount is allocated. 
  
 The number of Accumulation Units will
be reduced for withdrawals of Certificate Value, annuitizations and amounts transferred out of a Subaccount. Reductions will be made as of the end of the NYSE business day in which We receive all requirements for the transaction, as appropriate.

  
 ACCUMULATION UNIT VALUE (AUV) 
 The AUV of a Subaccount
for any NYSE business day is calculated by subtracting (2) from (1) and dividing the result by (3) where: 
  

	(1)
	 
	is the total value at the end of the given NYSE business day of the assets attributable to the Accumulation Units of the Subaccount minus the total liabilities;

 

	(2)
	 
	is the cumulative unpaid charge for assumption of Separate Account Charge; 
 

	(3)
	 
	is the number of Accumulation Units outstanding at the end of the given NYSE business day. 
 

 

 8 

  
 DCA ACCOUNT ACCUMULATION VALUE 
 Under a Certificate, the DCA Account Accumulation Value shall be the sum of all monies allocated to the DCA Account Option(s), reduced by any applicable premium taxes, plus all interest credited on the DCA Account Option(s) during
the period that the Certificate has been in effect. This amount shall be adjusted for withdrawals, annuitizations and transfers. The DCA Account Accumulation Value shall not be less than the minimum values required by law in the state where this
Certificate is issued. 
  
 DCA ACCOUNT GUARANTEE PERIOD OPTIONS AND INTEREST CREDITING 
 Any amounts allocated to the DCA Account Option(s) from the first Purchase Payment will earn interest at the Initial Interest Rate for the DCA Account Option(s) selected. Subsequent Purchase Payments
allocated to the DCA Account Option(s) will earn interest at the Current Interest Rate for the DCA Account Option(s) selected. 
  
 CHARGES AND DEDUCTIONS 
  
 We will deduct the following charge from the Certificate: 
  
 SEPARATE ACCOUNT CHARGE - This charge, as shown on the Certificate Data Page, on an annualized basis equals a percentage of the average daily ending value
of the assets attributable to the Accumulation Units of the Subaccount(s) to which the Certificate is allocated. This charge compensates us for mortality and expense risks, distribution expenses and guaranteed death benefit risk associated with the
Certificate. We subtract this charge daily. We reserve the right to assess this charge on a class basis in an amount which is less than the charge specified on the Certificate Data Page. 
  
 TRANSFER PROVISION 
  
 Prior to the Annuity Date, You may
transfer all or part of Your Certificate Value to any of the Subaccounts. We reserve the right to charge a fee for transfers if the number of transfers exceeds the limit specified by Us. The minimum amount that can be transferred and the amount that
can remain in a Subaccount are subject to Company limits. 
  
 TRANSFERS OF ACCUMULATION AND ANNUITY UNITS BETWEEN SUBACCOUNTS

 Prior to and after the Annuity Date, You may transfer all or a portion of Your Certificate Value from one Subaccount to another Subaccount. Before the Annuity Date, a
transfer will result in the redemption of Accumulation Units in a Subaccount and the purchase of Accumulation Units in the other Subaccount(s). After the Annuity Date, a transfer will result in the redemption of Annuity Units in a Subaccount and the
purchase of Annuity Units in the other Subaccount(s). Transfers will be effected at the end of the NYSE business day in which We receive Your completed request for the transfer. 
 

 9 

 WITHDRAWAL PROVISION 
  
 On or before the Annuity Date and while the Participant is living, You may withdraw all or part of Your Certificate Value under this Certificate by informing Us at Our Annuity Service Center. For a full withdrawal, this Certificate
must be returned to Our Annuity Service Center. The minimum amount that can be withdrawn and the amount remaining after withdrawal are subject to Company limits. 
  
 Without a written notice to the contrary, withdrawals will be deducted from the Certificate Value in proportion to their allocation among the Subaccounts. Withdrawals will be based on values at the end of the NYSE business
day in which the request for withdrawal and the Certificate (in the case of a full withdrawal), are received at the Annuity Service Center. Unless the SUSPENSION OF PAYMENTS or DEFERMENT OF PAYMENTS section is in effect, payment of withdrawals will
be made within seven calendar days. 
  
 SYSTEMATIC WITHDRAWAL PROGRAM 
 Prior to the Annuity Date, You may elect to participate in the Systematic Withdrawal Program by informing Us at Our Annuity Service Center. The Systematic Withdrawal Program allows You to make automatic withdrawals from Your account
monthly, quarterly, semiannually or annually. The minimum systematic withdrawal amount is subject to Company limits. You may terminate Your participation in the Systematic Withdrawal Program at any time by sending Us a written request. We reserve
the right to modify, suspend or terminate the Systematic Withdrawal Program at any time. 
  
 GENERAL PROVISIONS

  
 ENTIRE CONTRACT 
 The entire contract between You and
Us consists of the group annuity contract, the group annuity application, the Application Form as completed by You at the time of purchase, this Certificate and any attached endorsement(s). An agent cannot change the terms or conditions of this
Certificate. Any change must be in writing and approved by Us. Only Our President, Secretary, or one of Our Vice-Presidents can give Our approval. 
  
 CHANGE OF ANNUITANT 
 If the Participant is an individual, the Participant may change the Annuitant at any time prior to the Annuity Date. To make a
change, the Participant must send a written notice to Us at least 30 days before the Annuity Date. If the Participant is not an individual, the Participant may not change the Annuitant. 
  

DEATH OF ANNUITANT 
 If the Participant and Annuitant are different and the Annuitant dies before the Annuity
Date, the Participant becomes the Annuitant until such time as the Participant elects a new Annuitant. If there are Joint Annuitants, upon the death of any Annuitant prior to the Annuity Date, the Participant may elect a new Joint Annuitant.
However, if the Participant is a non-natural person, We will treat the death of any Annuitant as the death of the “primary Annuitant” and as the death of the Participant, see DEATH PROVISIONS. 
 

 10 

 MISSTATEMENT OF AGE OR SEX 
 If the Age or sex of any Annuitant
has been misstated, future annuity payments will be adjusted using the correct Age and sex, according to Our rates in effect on the date that annuity payments were determined. Any overpayment from the Fixed Annuity Payment Options, plus interest at
the rate of 4% per year, will be deducted from the next payment(s) due. Any underpayment from the Fixed Annuity Payment Options, plus interest at the rate of 4% per year, will be paid in full with the next payment due. Any overpayment from the
Subaccounts will be deducted from the next payment(s) due. Any underpayment from the Subaccounts will be paid in full with the next payment due. 
  
 PROOF OF AGE, SEX, OR SURVIVAL 
 The Company may require satisfactory proof of correct Age or sex at any time. If any payment under this Certificate
depends on the Annuitant being alive, the Company may require satisfactory proof of survival. 
  
 SUSPENSION OF PAYMENTS

 We may suspend or postpone any payments from the Subaccounts if any of the following occur: 
  

	(a)
	 
	the NYSE is closed, 
 

	(b)
	 
	trading on the NYSE is restricted, 
 

	(c)
	 
	an emergency exists such that it is not reasonably practical to dispose of or determine the value of the assets held in a Subaccount, or 

	(d)
	 
	the Securities and Exchange Commission, by order, so permits for the protection of Participants. 
 

  
 Conditions in (b) and (c) will be decided by or in accordance with rules of the Securities and Exchange Commission. 
  
 CONFORMITY WITH STATE LAWS 
 The provisions of this Certificate will be interpreted
by the laws of the state in which the Application Form was signed or such other state as is required by law. Any provision which, on the Certificate Date, is in conflict with the law of such state is amended to conform to the minimum requirements of
such law. 
  
 CHANGES IN LAW 
 If the laws governing this
Certificate or the taxation of benefits under the Certificate change, We reserve the right to amend this Certificate to comply with these changes. 
  
 ASSIGNMENT 
 You may assign this Certificate before the Annuity Date, but We will not be bound by an assignment unless it is received by Us in writing.
Your rights and those of any other person referred to in this Certificate will be subject to the assignment. Certain assignments may be taxable. We do not assume any responsibility for the validity or tax consequences of any assignment.

  
 CLAIMS OF CREDITORS 
 To the extent permitted by law, no
rights or proceeds payable under this Certificate will be subject to claims of creditors or legal process. 
 

 11 

 PREMIUM TAXES AND OTHER TAXES 
 The Company may deduct from Your
Certificate Value any premium tax and/or other taxes payable to a state or other government entity, if applicable. Should We advance any amount so due, We are not waiving any right to collect such amount at a later date. The Company will deduct any
withholding taxes required by applicable law. 
  
 WRITTEN NOTICE 
 Any notice We send to You will be sent to Your address shown in the Application Form unless You request otherwise. Any written request or notice to Us must be sent to Our Annuity Service Center, at the address specified on the
Certificate Data Page. 
  
 PERIODIC REPORTS 
 During each
Certificate Year, We will send You quarterly statements of the account activity of the Certificate as well as confirmation reports after each financial transaction. The statement will include all transactions which have occurred during the quarterly
accounting period shown on the statement. 
  
 INCONTESTABILITY 
 This Certificate will be incontestable from the Certificate Date. 
  
 NONPARTICIPATING 
 This Certificate does not share in Our surplus. 
  
 DEATH PROVISIONS

  
 Notwithstanding any provision of this Certificate to the contrary, all payments of benefits under this Certificate will be made in a
manner that satisfies IRC Section 72(s), as amended from time to time. If the Certificate is owned by a trust or other non-natural person, We will treat the death of the Annuitant as the death of the “primary Annuitant”, as defined in IRC
Section 72(s)(6), and as the death of any Participant. 
  
 DUE PROOF OF DEATH 
 Due Proof of Death means: 
  

	 	1.
	 
	a certified copy of a death certificate; or 
 

	 	2.
	 
	a certified copy of a decree of a court of competent jurisdiction as to the finding of death; or 
 

	 	3.
	 
	a written statement by a medical doctor who attended the deceased Participant at the time of death; or 
 

	 	4.
	 
	any other proof satisfactory to Us. 
 

  
 DEATH OF PARTICIPANT BEFORE THE ANNUITY DATE 
 We will pay a death benefit to the Beneficiary upon Our receiving: (a) due proof that the Participant died
before the Annuity Date, (b) an election form specifying the payment option and (c) any other documentation We may require. Unless You have previously designated a payment option on behalf of the Beneficiary, the Beneficiary must select one of the
following payment options: 
  

	1.
	 
	Immediately collect the death benefit in a lump sum. If a lump sum payment is elected, payment will be in accordance with any applicable laws and regulations
governing payments and death; or 
 

 

 12 

  

	 	2.
	 
	Collect the death benefit in the form of one of the Annuity Payment Options. If an Annuity Payment Option is desired, an option must be elected within 60 days
of Our receipt of: (a) Due Proof of Death of the Participant; (b) an election form specifying the payment option and (c) any other documentation We may require. The payments must be over the life of the Beneficiary or over a period not extending
beyond the life expectancy of the Beneficiary. Payments under this death benefit option must commence within one year after the Participant’s death, otherwise, the death benefit will be paid in accordance with death benefit option 1; or

 

  

	 	3.
	 
	If eligible, continue the Certificate as a Spousal Beneficiary. On the Continuation Date, We will contribute to the Certificate any amount by which the Death
Benefit exceeds the Certificate Value, calculated as of the Participant’s date of death. This amount is not considered a Purchase Payment. If an amount is contributed on the Continuation Date, then upon death of the Spousal Beneficiary the
subsequent death benefit will be calculated as if the Certificate was issued to the Spousal Beneficiary on the Continuation Date. Otherwise, the death benefit payable upon death of the Spousal Beneficiary will be calculated as if the Certificate was
issued to the Spousal Beneficiary on the original Certificate Date. 
 

  
 You cannot change any
elected death benefit option specified on the Certificate Data Page. Your Spousal Beneficiary may discontinue the death benefit option on the Continuation Date but cannot change the elected death benefit option. Upon the Spousal Beneficiary’s
death, the entire interest of the Certificate must be distributed immediately under option 1 or 2 as provided under DEATH OF PARTICIPANT BEFORE THE ANNUITY DATE. 
  
 In any event, the entire interest in the Certificate will be distributed within five years from the date of death of the Participant unless payment option 2 or 3 above as provided under DEATH OF
PARTICIPANT BEFORE THE ANNUITY DATE. 
  
 AMOUNT OF DEATH BENEFIT 
 The death benefit is equal to the greater of: 
  

	1.
	 
	the Certificate Value at the end of the NYSE business day during which We receive, at Our Annuity Service Center, due proof of the Participant’s death and
an election of the type of payment to be made; Or 
 

  

	2.
	 
	Purchase Payments, reduced for partial withdrawals in the same proportion that the Certificate Value was reduced on the date of such withdrawal (including any
charges applicable to such withdrawal). 
 

  
 DEATH OF PARTICIPANT OR ANNUITANT ON OR AFTER THE ANNUITY DATE

 If the Participant or Annuitant dies on or after the Annuity Date and before the entire interest in the Certificate has been distributed, We will pay the remaining portion
of the interest of the Certificate as under the Annuity Payment Option being distributed on the date of death upon Our receipt of Due Proof of Death. For further information pertaining to death of the Annuitant, see ANNUITY PAYMENT OPTIONS.

 

 13 

  
 BENEFICIARY 
 The
Beneficiary is selected by the Participant. While (a) the Participant is living; and (b) before the Annuity Date, the Participant may change the Beneficiary by written notice in a form satisfactory to Us. A change in Beneficiary will take effect on
the date the notice of change was signed. Such change, however, will not apply to any payment or action taken by Us before the notice was received at Our Annuity Service Center. If two or more persons are named, (a) those surviving the Participant
will share equally unless otherwise stated; and (b) the Beneficiaries must elect to receive their respective portions of the death benefit according to the options listed under DEATH OF PARTICIPANT BEFORE THE ANNUITY DATE. If the Annuitant survives
the Participant, and there are no surviving Beneficiaries, the Annuitant will be deemed the Beneficiary. 
  
 Joint Participants, if
applicable, shall be each other’s primary Beneficiary. Joint Annuitants, if any, when the Participant is a non-natural person, shall be each other’s primary Beneficiary. Any other Beneficiary designated will be treated as a contingent
Beneficiary. 
  
 If the Participant is also the Annuitant and there are no surviving Beneficiaries at the death of the Participant, the
death benefit will be paid to the estate of the Participant in accordance with option 1, under DEATH OF PARTICIPANT BEFORE THE ANNUITY DATE. 
  
 ANNUITY PROVISIONS 
  
 ANNUITY DATE 
 The Participant specifies an anticipated Annuity Date (the date on which annuity payments are to begin). The date provided by the Participant to Us at the time of application is shown on the Data Page as the Specified Annuity Date.
The Participant may change the Specified Annuity Date at any time, at least seven days prior to the Annuity Date, by written notice to the Company at Our Annuity Service Center. The Annuity Date must always be the first day of the calendar month and
must be at least two years after the Certificate Date, but not beyond the later of the Participant’s 95th birthday or ten years after the Certificate Date. If the Participant is a non-natural person, the latest annuity date is the later of the
Annuitant’s 95th birthday or ten years after the Certificate Date. If no Annuity Date is specified, the Annuity Date will be the latest Annuity Date, as set by the Company. 
  
 PAYMENTS TO PARTICIPANT 
 Unless You request otherwise, We will make annuity payments to You. If You want the annuity
payments to be made to some other Payee, We will make such payments subject to receipt of a written request filed at the Annuity Service Center no later than thirty (30) days before the date of the first annuity payment. 
  
 Any such request is subject to the rights of any assignee. No payments available to or being paid to the Payee while the Annuitant is alive can be transferred,
commuted, anticipated or encumbered. 
  
 FIXED ANNUITY PAYMENTS 
 If a Fixed Annuity payment option has been elected, the proceeds payable under this Certificate less any applicable premium taxes, shall be applied to the payment of the Fixed Annuity payment option elected at rates which are at
least equal to the annuity rates based upon the applicable tables in the Certificate. In no event will the Fixed Annuity payments be changed once they begin. 
 

 14 

  
 AMOUNT OF FIXED ANNUITY PAYMENTS 
 The amount of each Fixed Annuity Payment will be determined by applying the portion of the Certificate Value allocated by You for Fixed Annuity payments less any applicable premium taxes to the annuity table applicable to the Fixed
Annuity payment option chosen. 
  
 AMOUNT OF VARIABLE ANNUITY PAYMENTS 
  

	(a)
	 
	FIRST VARIABLE ANNUITY PAYMENT: The dollar amount of the first Variable Annuity payment will be determined by applying the portion of the Certificate Value
allocated to the Subaccounts, less any applicable premium taxes, to the annuity table applicable to the Variable Annuity payment option chosen. If the Certificate Value is allocated to more than one Subaccount, the value of Your interest in each
Subaccount is applied separately to the Variable Annuity payment option table to determine the amount of the first annuity payment attributable to each Subaccount. 
 

  

	(b)
	 
	NUMBER OF VARIABLE ANNUITY UNITS: The number of Annuity Units for each applicable Subaccount is the amount of the first annuity payment attributable to that
Subaccount divided by the value of the applicable Annuity Unit for that Subaccount as of the Annuity Date. The number will not change as a result of investment experience. 
 

  

	(c)
	 
	VALUE OF EACH VARIABLE ANNUITY UNIT: The value of an Annuity Unit may increase or decrease from one month to the next. For any month, the value of an Annuity
Unit of a particular Subaccount is the value of that Annuity Unit as of the last NYSE business day of the preceding month, multiplied by the Net Investment Factor for that Subaccount for the last NYSE business day of the current month. 

  
 The Net Investment Factor for any Subaccount for a certain month is determined by dividing (1) by (2) where: 

 

	 	(1)
	 
	the Accumulation Unit Value of the Subaccount determined as of the last business day at the end of that month; 
 

  

	 	(2)
	 
	the Accumulation Unit Value of the Subaccount determined as of the last business day at the end of the preceding month. 
 

 
 The result is then multiplied by a factor that neutralizes the assumed investment rate of 3.5%. 
  

	(d)
	 
	SUBSEQUENT VARIABLE ANNUITY PAYMENTS: After the first Variable Annuity payment, payments will vary in amount according to the investment performance of the
applicable Subaccount(s) to which Your Purchase Payments are allocated. The amount may change from month to month. The amount of each subsequent payment for each Subaccount is: 
 

  

The number of Annuity Units for each Subaccount as determined for the first annuity payment 
  
 Multiplied by 
  
 The value of an Annuity Unit for that Subaccount at the end of the month immediately preceding the
month in which payment is due. 
  
 We guarantee that the amount of each Variable Annuity payment will not be affected by variations in
expenses or mortality experience. 
 

 15 

 ANNUITY PAYMENT OPTIONS 
  
 During the Annuitant’s life, upon written election and the return of this Certificate to the Company at its Annuity Service Center, the Certificate Value may be applied to provide one of the following options or any annuity
payment option that is mutually agreeable. After two years from the Certificate Date, and prior to the Annuity Date, You can choose one of the options described below. If no option has been elected by the Annuity Date, You will automatically receive
Option 4 below with 120 monthly payments guaranteed. 
  
 OPTIONS 1 & 1v - LIFE ANNUITY, LIFETIME MONTHLY PAYMENTS GUARANTEED

 Payments payable to a Payee during the lifetime of the Annuitant. No further payments are payable after the death of the Annuitant. 
  
 OPTIONS 2 & 2v - JOINT AND SURVIVOR LIFE ANNUITY 
 Payments payable to the
Payee during the lifetime of the Annuitant and during the lifetime of a designated second person. No further payments are payable after the deaths of both the Annuitant and the designated second person. 
  
 OPTIONS 3 & 3v - JOINT AND SURVIVOR LIFE ANNUITY - 120 OR 240 MONTHLY PAYMENTS GUARANTEED 
 Payments are payable to the Payee during the lifetime of the Annuitant and during the lifetime of a designated second person. If, at the death of the survivor, payments have been made for less than 120 or 240 monthly periods, the
remaining guaranteed annuity payments will be continued to the Beneficiary. 
  
 OPTIONS 4 & 4v - LIFE ANNUITY WITH 120 OR 240 MONTHLY
PAYMENTS GUARANTEED 
 Payments payable to the Payee during the lifetime of the Annuitant. If, at the death of the Annuitant, payments have been made for less than the 120 or
240 monthly periods, as selected at the time of annuitization, the remaining guaranteed annuity payments will be continued to the Beneficiary. 
  
 OPTIONS 5 & 5v - FIXED PAYMENTS FOR A SPECIFIED PERIOD CERTAIN 
 Payments are payable to the Payee for any specified period of time of five (5) years
or more, but not exceeding thirty (30) years, as selected at the time of annuitization. The selection must be made for full twelve-month periods. In the event of death of the Annuitant, any remaining annuity payments will be continued to the
Beneficiary. If Variable Annuity Payments are elected under this Annuity Payment Option, any remaining guaranteed Variable Annuity payments may be redeemed for a discounted value determined by Us. 
 

 16 

 FIXED ANNUITY PAYMENT OPTIONS TABLE 
  
 BASIS OF COMPUTATION 
 The actuarial basis for the Table of Annuity Rates is the 1983a Annuity Mortality Table with
projection and a guaranteed interest rate of 3%. The mortality table is projected using Projection Scale G factors, assuming annuitization in the year 2000. The Fixed Annuity Payment Options Table does not include any applicable premium tax.

  
 OPTIONS 1 & 4 - TABLE OF MONTHLY INSTALLMENTS PER $1,000. 
  
 (Monthly installments for ages not shown will be furnished upon request.) 
  
 
	 Age of Annuitant
 	 	 Option 1
 Life Annuity
 	 	 Option 4 Life Annuity (w/120 payments
 guaranteed)
 	 	 Option 4 Life Annuity (w/240 payments
 guaranteed)
 
	  	 	 Male
 	 	 Female
 	 	 Male
 	  	 Female
 	 	 Male
 	  	 Female
 
	 55
 	 	     4.23
 	 	     3.84
 	 	 4.19
 	  	 3.82
 	 	 4.05
 	  	 3.76
 
	 56
 	 	     4.32
 	 	     3.91
 	 	 4.27
 	  	 3.88
 	 	 4.11
 	  	 3.81
 
	 57
 	 	     4.41
 	 	     3.98
 	 	 4.35
 	  	 3.95
 	 	 4.17
 	  	 3.87
 
	 58
 	 	     4.51
 	 	     4.05
 	 	 4.44
 	  	 4.02
 	 	 4.24
 	  	 3.93
 
	 59
 	 	     4.61
 	 	     4.13
 	 	 4.54
 	  	 4.10
 	 	 4.31
 	  	 4.00
 
	 60
 	 	     4.72
 	 	     4.22
 	 	 4.64
 	  	 4.18
 	 	 4.37
 	  	 4.06
 
	 61
 	 	     4.84
 	 	     4.31
 	 	 4.74
 	  	 4.27
 	 	 4.44
 	  	 4.13
 
	 62
 	 	     4.96
 	 	     4.40
 	 	 4.85
 	  	 4.36
 	 	 4.51
 	  	 4.20
 
	 63
 	 	     5.10
 	 	     4.51
 	 	 4.97
 	  	 4.45
 	 	 4.58
 	  	 4.27
 
	 64
 	 	     5.24
 	 	     4.62
 	 	 5.10
 	  	 4.55
 	 	 4.65
 	  	 4.35
 
	 65
 	 	     5.40
 	 	     4.73
 	 	 5.22
 	  	 4.66
 	 	 4.72
 	  	 4.42
 
	 66
 	 	     5.56
 	 	     4.86
 	 	 5.36
 	  	 4.78
 	 	 4.79
 	  	 4.50
 
	 67
 	 	     5.74
 	 	     4.99
 	 	 5.50
 	  	 4.90
 	 	 4.86
 	  	 4.57
 
	 68
 	 	     5.93
 	 	     5.14
 	 	 5.65
 	  	 5.02
 	 	 4.92
 	  	 4.65
 
	 69
 	 	     6.13
 	 	     5.29
 	 	 5.80
 	  	 5.16
 	 	 4.99
 	  	 4.73
 
	 70
 	 	     6.35
 	 	     5.46
 	 	 5.96
 	  	 5.30
 	 	 5.05
 	  	 4.80
 
	 71
 	 	     6.58
 	 	     5.64
 	 	 6.13
 	  	 5.46
 	 	 5.10
 	  	 4.88
 
	 72
 	 	     6.82
 	 	     5.84
 	 	 6.29
 	  	 5.62
 	 	 5.16
 	  	 4.95
 
	 73
 	 	     7.08
 	 	     6.05
 	 	 6.47
 	  	 5.78
 	 	 5.20
 	  	 5.02
 
	 74
 	 	     7.36
 	 	     6.28
 	 	 6.64
 	  	 5.96
 	 	 5.25
 	  	 5.08
 
	 75
 	 	     7.66
 	 	     6.53
 	 	 6.82
 	  	 6.14
 	 	 5.29
 	  	 5.14
 
	 76
 	 	     7.98
 	 	     6.80
 	 	 7.00
 	  	 6.33
 	 	 5.33
 	  	 5.19
 
	 77
 	 	     8.33
 	 	     7.09
 	 	 7.19
 	  	 6.53
 	 	 5.36
 	  	 5.24
 
	 78
 	 	     8.69
 	 	     7.41
 	 	 7.37
 	  	 6.73
 	 	 5.39
 	  	 5.29
 
	 79
 	 	     9.09
 	 	     7.75
 	 	 7.55
 	  	 6.94
 	 	 5.41
 	  	 5.33
 
	 80
 	 	     9.51
 	 	     8.11
 	 	 7.73
 	  	 7.14
 	 	 5.43
 	  	 5.36
 
	 81
 	 	     9.97
 	 	     8.51
 	 	 7.91
 	  	 7.35
 	 	 5.45
 	  	 5.39
 
	 82
 	 	   10.45
 	 	     8.94
 	 	 8.08
 	  	 7.55
 	 	 5.47
 	  	 5.42
 
	 83
 	 	   10.97
 	 	     9.41
 	 	 8.24
 	  	 7.76
 	 	 5.48
 	  	 5.44
 
	 84
 	 	   11.52
 	 	     9.92
 	 	 8.40
 	  	 7.95
 	 	 5.49
 	  	 5.46
 
	 85
 	 	   12.10
 	 	   10.47
 	 	 8.54
 	  	 8.13
 	 	 5.50
 	  	 5.48
 

 
 

 17 

  
 OPTION 2 - TABLE OF MONTHLY INSTALLMENTS PER $1,000. 
 (Monthly installments for ages not shown will be furnished upon request.) 
 Joint
& 100% Survivor Life Annuity 
 
	 Age of
 Male

Annuitant
 
	 	 Age of Female Annuitant
 

	  	 	 55
 	 	 60
 	 	 65
 	 	 70
 	 	 75
 	 	 80
 	 	 85
 
	 55
 	 	 3.54
 	 	 3.69
 	 	 3.84
 	 	 3.96
 	 	 4.06
 	 	 4.13
 	 	 4.17
 
	 60
 	 	 3.63
 	 	 3.83
 	 	 4.04
 	 	 4.23
 	 	 4.39
 	 	 4.52
 	 	 4.60
 
	 65
 	 	 3.70
 	 	 3.95
 	 	 4.23
 	 	 4.51
 	 	 4.78
 	 	 5.00
 	 	 5.16
 
	 70
 	 	 3.75
 	 	 4.04
 	 	 4.39
 	 	 4.78
 	 	 5.18
 	 	 5.56
 	 	 5.85
 
	 75
 	 	 3.78
 	 	 4.11
 	 	 4.51
 	 	 5.01
 	 	 5.57
 	 	 6.14
 	 	 6.65
 
	 80
 	 	 3.81
 	 	 4.15
 	 	 4.60
 	 	 5.18
 	 	 5.89
 	 	 6.70
 	 	 7.52
 
	 85
 	 	 3.82
 	 	 4.18
 	 	 4.66
 	 	 5.30
 	 	 6.14
 	 	 7.18
 	 	 8.35
 

 
  
 OPTION 3 - TABLE OF MONTHLY INSTALLMENTS PER $1,000. 

(Monthly installments for ages not shown will be furnished upon request) 
 Joint & 100% Survivor Life Annuity (w/120 payments guaranteed) 
  
 
	 Age of
 Male
Annuitant
 
	 	 Age of Female Annuitant
 

	  	 	 55
 	 	 60
 	 	 65
 	 	 70
 	 	 75
 	 	 80
 	 	 85
 
	 55
 	 	 3.54
 	 	 3.69
 	 	 3.83
 	 	 3.96
 	 	 4.05
 	 	 4.12
 	 	 4.16
 
	 60
 	 	 3.63
 	 	 3.83
 	 	 4.03
 	 	 4.22
 	 	 4.38
 	 	 4.50
 	 	 4.57
 
	 65
 	 	 3.70
 	 	 3.95
 	 	 4.22
 	 	 4.50
 	 	 4.76
 	 	 4.97
 	 	 5.10
 
	 70
 	 	 3.75
 	 	 4.04
 	 	 4.38
 	 	 4.76
 	 	 5.15
 	 	 5.48
 	 	 5.72
 
	 75
 	 	 3.78
 	 	 4.10
 	 	 4.50
 	 	 4.98
 	 	 5.50
 	 	 6.00
 	 	 6.40
 
	 80
 	 	 3.80
 	 	 4.14
 	 	 4.58
 	 	 5.13
 	 	 5.78
 	 	 6.46
 	 	 7.04
 
	 85
 	 	 3.81
 	 	 4.16
 	 	 4.62
 	 	 5.22
 	 	 5.97
 	 	 6.80
 	 	 7.55
 

 
  
 OPTION 3 - TABLE OF MONTHLY INSTALLMENTS PER $1,000. 

(Monthly installments for ages not shown will be furnished upon request) 
 Joint & 100% Survivor Life Annuity (w/240 payments guaranteed) 
  
 
	 Age of
 Male
Annuitant
 
	 	 Age of Female Annuitant
 

	  	 	 55
 	 	 60
 	 	 65
 	 	 70
 	 	 75
 	 	 80
 	 	 85
 
	 55
 	 	 3.53
 	 	 3.68
 	 	 3.81
 	 	 3.92
 	 	 3.99
 	 	 4.03
 	 	 4.04
 
	 60
 	 	 3.62
 	 	 3.81
 	 	 4.00
 	 	 4.16
 	 	 4.27
 	 	 4.34
 	 	 4.37
 
	 65
 	 	 3.68
 	 	 3.92
 	 	 4.16
 	 	 4.39
 	 	 4.56
 	 	 4.66
 	 	 4.71
 
	 70
 	 	 3.72
 	 	 3.99
 	 	 4.29
 	 	 4.58
 	 	 4.81
 	 	 4.96
 	 	 5.03
 
	 75
 	 	 3.74
 	 	 4.03
 	 	 4.36
 	 	 4.70
 	 	 4.99
 	 	 5.17
 	 	 5.26
 
	 80
 	 	 3.75
 	 	 4.05
 	 	 4.40
 	 	 4.77
 	 	 5.09
 	 	 5.30
 	 	 5.40
 
	 85
 	 	 3.76
 	 	 4.06
 	 	 4.42
 	 	 4.80
 	 	 5.13
 	 	 5.35
 	 	 5.46
 

 
 

 18 

  
 OPTION 5 - TABLE OF MONTHLY INSTALLMENTS PER $1,000. 
 Payments for a Specified Period 
  
 
	 Number of Years
 
	  	 Monthly Payment
 
	  	 Number of Years
 
	  	 Monthly Payment
 
	  	 Number of Years
 
	  	 Monthly Payment
 
	  	 Number of Years
 
	  	 Monthly Payment
 

	  	  	  	  	 10
 	  	 9.61
 	  	 17
 	  	 6.23
 	  	 24
 	  	 4.84
 
	  	  	  	  	 11
 	  	 8.86
 	  	 18
 	  	 5.96
 	  	 25
 	  	 4.71
 
	 5
 	  	 17.91
 	  	 12
 	  	 8.24
 	  	 19
 	  	 5.73
 	  	 26
 	  	 4.59
 
	 6
 	  	 15.14
 	  	 13
 	  	 7.71
 	  	 20
 	  	 5.51
 	  	 27
 	  	 4.47
 
	 7
 	  	 13.16
 	  	 14
 	  	 7.26
 	  	 21
 	  	 5.32
 	  	 28
 	  	 4.37
 
	 8
 	  	 11.68
 	  	 15
 	  	 6.87
 	  	 22
 	  	 5.15
 	  	 29
 	  	 4.27
 
	 9
 	  	 10.53
 	  	 16
 	  	 6.53
 	  	 23
 	  	 4.99
 	  	 30
 	  	 4.18
 

 
 

 19 

  
 VARIABLE ANNUITY PAYMENT OPTIONS TABLE 
  
 BASIS OF COMPUTATION 
 The actuarial basis for the Table of Annuity Rates is the
1983a Annuity Mortality Table with projection and an effective annual Assumed Investment Rate of 3.5%. The mortality table is projected using Projection Scale G factors, assuming annuitization in the year 2000. The Variable Annuity Payment Options
Table does not include any applicable premium tax. 
  
 OPTIONS 1v& 4v - TABLE OF MONTHLY INSTALLMENTS PER $1,000

  
 (Monthly installments for ages not shown will be furnished upon request.) 
  
 
	  	 	  	 	 Option 4v
 	 	 Option 4v
 
	 Age of Annuitant
 	 	 Option 1v
 Life
Annuity
 	 	 Life Annuity
 (w/120 payments
 guaranteed)
 	 	 Life Annuity
 (w/240 payments
 guaranteed)
 
	  	 	 Male
 	 	 Female
 	 	 Male
 	  	 Female
 	 	 Male
 	  	 Female
 
	 55
 	 	 4.53
 	 	   4.13
 	 	 4.48
 	  	 4.11
 	 	 4.33
 	  	 4.05
 
	 56
 	 	 4.62
 	 	   4.20
 	 	 4.56
 	  	 4.18
 	 	 4.39
 	  	 4.10
 
	 57
 	 	 4.71
 	 	   4.27
 	 	 4.64
 	  	 4.24
 	 	 4.45
 	  	 4.16
 
	 58
 	 	 4.80
 	 	   4.34
 	 	 4.73
 	  	 4.31
 	 	 4.52
 	  	 4.22
 
	 59
 	 	 4.90
 	 	   4.42
 	 	 4.82
 	  	 4.39
 	 	 4.58
 	  	 4.28
 
	 60
 	 	 5.01
 	 	   4.51
 	 	 4.92
 	  	 4.47
 	 	 4.65
 	  	 4.34
 
	 61
 	 	 5.13
 	 	   4.60
 	 	 5.03
 	  	 4.55
 	 	 4.71
 	  	 4.41
 
	 62
 	 	 5.26
 	 	   4.69
 	 	 5.14
 	  	 4.64
 	 	 4.78
 	  	 4.48
 
	 63
 	 	 5.39
 	 	   4.80
 	 	 5.25
 	  	 4.74
 	 	 4.85
 	  	 4.55
 
	 64
 	 	 5.54
 	 	   4.91
 	 	 5.38
 	  	 4.84
 	 	 4.92
 	  	 4.62
 
	 65
 	 	 5.69
 	 	   5.02
 	 	 5.51
 	  	 4.94
 	 	 4.99
 	  	 4.69
 
	 66
 	 	 5.86
 	 	   5.15
 	 	 5.64
 	  	 5.06
 	 	 5.05
 	  	 4.77
 
	 67
 	 	 6.03
 	 	   5.28
 	 	 5.78
 	  	 5.18
 	 	 5.12
 	  	 4.84
 
	 68
 	 	 6.22
 	 	   5.43
 	 	 5.93
 	  	 5.30
 	 	 5.18
 	  	 4.92
 
	 69
 	 	 6.43
 	 	   5.58
 	 	 6.08
 	  	 5.44
 	 	 5.24
 	  	 4.99
 
	 70
 	 	 6.64
 	 	   5.75
 	 	 6.23
 	  	 5.58
 	 	 5.30
 	  	 5.06
 
	 71
 	 	 6.87
 	 	   5.93
 	 	 6.40
 	  	 5.73
 	 	 5.36
 	  	 5.14
 
	 72
 	 	 7.12
 	 	   6.13
 	 	 6.56
 	  	 5.89
 	 	 5.41
 	  	 5.21
 
	 73
 	 	 7.38
 	 	   6.34
 	 	 6.73
 	  	 6.06
 	 	 5.46
 	  	 5.27
 
	 74
 	 	 7.66
 	 	   6.57
 	 	 6.91
 	  	 6.23
 	 	 5.50
 	  	 5.33
 
	 75
 	 	 7.96
 	 	   6.82
 	 	 7.09
 	  	 6.41
 	 	 5.54
 	  	 5.39
 
	 76
 	 	 8.28
 	 	   7.09
 	 	 7.27
 	  	 6.60
 	 	 5.57
 	  	 5.44
 
	 77
 	 	 8.63
 	 	   7.38
 	 	 7.45
 	  	 6.79
 	 	 5.61
 	  	 5.49
 
	 78
 	 	 9.00
 	 	   7.70
 	 	 7.63
 	  	 6.99
 	 	 5.63
 	  	 5.54
 
	 79
 	 	 9.40
 	 	   8.04
 	 	 7.81
 	  	 7.19
 	 	 5.66
 	  	 5.58
 
	 80
 	 	 9.82
 	 	   8.41
 	 	 7.98
 	  	 7.40
 	 	 5.68
 	  	 5.61
 
	 81
 	 	 10.28
 	 	   8.81
 	 	 8.16
 	  	 7.60
 	 	 5.70
 	  	 5.64
 
	 82
 	 	 10.76
 	 	   9.24
 	 	 8.32
 	  	 7.81
 	 	 5.71
 	  	 5.66
 
	 83
 	 	 11.28
 	 	   9.71
 	 	 8.48
 	  	 8.00
 	 	 5.72
 	  	 5.69
 
	 84
 	 	 11.83
 	 	 10.23
 	 	 8.64
 	  	 8.19
 	 	 5.73
 	  	 5.70
 
	 85
 	 	 12.42
 	 	 10.78
 	 	 8.78
 	  	 8.38
 	 	 5.74
 	  	 5.72
 

 
 

 20 

 OPTION 2v - TABLE OF MONTHLY INSTALLMENTS PER $1,000. 
 (Monthly installments for ages not shown will be furnished upon request.) 
 Joint & 100% Survivor Life Annuity

  
 
	 Age of
 Male

Annuitant
 
	 	 Age of Female Annuitant
 

	  	 	 55
 	 	 60
 	 	 65
 	 	 70
 	 	 75
 	 	 80
 	 	 85
 
	 55
 	 	 3.83
 	 	 3.98
 	 	 4.12
 	 	 4.24
 	 	 4.34
 	 	 4.42
 	 	 4.46
 
	 60
 	 	 3.92
 	 	 4.11
 	 	 4.32
 	 	 4.51
 	 	 4.67
 	 	 4.80
 	 	 4.89
 
	 65
 	 	 3.99
 	 	 4.23
 	 	 4.50
 	 	 4.79
 	 	 5.05
 	 	 5.28
 	 	 5.44
 
	 70
 	 	 4.04
 	 	 4.33
 	 	 4.67
 	 	 5.05
 	 	 5.46
 	 	 5.83
 	 	 6.13
 
	 75
 	 	 4.07
 	 	 4.39
 	 	 4.79
 	 	 5.28
 	 	 5.84
 	 	 6.41
 	 	 6.93
 
	 80
 	 	 4.10
 	 	 4.44
 	 	 4.88
 	 	 5.45
 	 	 6.16
 	 	 6.97
 	 	 7.79
 
	 85
 	 	 4.11
 	 	 4.47
 	 	 4.94
 	 	 5.57
 	 	 6.41
 	 	 7.45
 	 	 8.61
 

 
  
 OPTION 3v - TABLE OF MONTHLY INSTALLMENTS PER $1,000. 

(Monthly installments for ages not shown will be furnished upon request) 
 Joint and 100% Survivor Life Annuity (w/120 payments guaranteed) 
  
 
	 Age of
 Male

Annuitant
 
	 	 Age of Female Annuitant
 

	  	 	 55
 	 	 60
 	 	 65
 	 	 70
 	 	 75
 	 	 80
 	 	 85
 
	 55
 	 	 3.83
 	 	 3.98
 	 	 4.12
 	 	 4.24
 	 	 4.34
 	 	 4.40
 	 	 4.45
 
	 60
 	 	 3.92
 	 	 4.11
 	 	 4.31
 	 	 4.50
 	 	 4.66
 	 	 4.78
 	 	 4.86
 
	 65
 	 	 3.99
 	 	 4.23
 	 	 4.50
 	 	 4.78
 	 	 5.03
 	 	 5.24
 	 	 5.38
 
	 70
 	 	 4.04
 	 	 4.32
 	 	 4.66
 	 	 5.03
 	 	 5.41
 	 	 5.75
 	 	 5.99
 
	 75
 	 	 4.07
 	 	 4.38
 	 	 4.78
 	 	 5.25
 	 	 5.77
 	 	 6.26
 	 	 6.66
 
	 80
 	 	 4.09
 	 	 4.43
 	 	 4.86
 	 	 5.40
 	 	 6.05
 	 	 6.72
 	 	 7.29
 
	 85
 	 	 4.10
 	 	 4.45
 	 	 4.90
 	 	 5.50
 	 	 6.24
 	 	 7.05
 	 	 7.80
 

 
  
 OPTION 3v - TABLE OF MONTHLY INSTALLMENTS PER $1,000. 

(Monthly installments for ages not shown will be furnished upon request) 
 Joint & 100% Survivor Life Annuity (w/240 payments guaranteed) 
  
 
	 Age of
 Male

Annuitant
 
	 	 Age of Female Annuitant
 

	  	 	 55
 	 	 60
 	 	 65
 	 	 70
 	 	 75
 	 	 80
 	 	 85
 
	 55
 	 	 3.82
 	 	 3.97
 	 	 4.10
 	 	 4.20
 	 	 4.27
 	 	 4.31
 	 	 4.33
 
	 60
 	 	 3.91
 	 	 4.09
 	 	 4.28
 	 	 4.44
 	 	 4.55
 	 	 4.61
 	 	 4.64
 
	 65
 	 	 3.97
 	 	 4.20
 	 	 4.44
 	 	 4.66
 	 	 4.83
 	 	 4.93
 	 	 4.97
 
	 70
 	 	 4.01
 	 	 4.27
 	 	 4.56
 	 	 4.84
 	 	 5.07
 	 	 5.21
 	 	 5.28
 
	 75
 	 	 4.03
 	 	 4.31
 	 	 4.64
 	 	 4.97
 	 	 5.25
 	 	 5.42
 	 	 5.51
 
	 80
 	 	 4.04
 	 	 4.33
 	 	 4.67
 	 	 5.03
 	 	 5.34
 	 	 5.55
 	 	 5.65
 
	 85
 	 	 4.05
 	 	 4.34
 	 	 4.69
 	 	 5.06
 	 	 5.38
 	 	 5.60
 	 	 5.70
 

 
 

 21 

  
 OPTION 5v - TABLE OF MONTHLY INSTALLMENTS PER $1,000. 
 Payments for a Specified Period 
  
 
	 Number of Years
 
	  	 Monthly Payment
 
	  	 Number of Years
 
	  	 Monthly Payment
 
	  	 Number of Years
 
	  	 Monthly Payment
 
	  	 Number of Years
 
	  	 Monthly Payment
 

	  	  	  	  	 10
 	  	 9.83
 	  	 17
 	  	 6.47
 	  	 24
 	  	 5.09
 
	  	  	  	  	 11
 	  	 9.09
 	  	 18
 	  	 6.20
 	  	 25
 	  	 4.96
 
	 5
 	  	 18.12
 	  	 12
 	  	 8.46
 	  	 19
 	  	 5.97
 	  	 26
 	  	 4.84
 
	 6
 	  	 15.35
 	  	 13
 	  	 7.94
 	  	 20
 	  	 5.75
 	  	 27
 	  	 4.73
 
	 7
 	  	 13.38
 	  	 14
 	  	 7.49
 	  	 21
 	  	 5.56
 	  	 28
 	  	 4.63
 
	 8
 	  	 11.90
 	  	 15
 	  	 7.10
 	  	 22
 	  	 5.39
 	  	 29
 	  	 4.53
 
	 9
 	  	 10.75
 	  	 16
 	  	 6.76
 	  	 23
 	  	 5.24
 	  	 30
 	  	 4.45
 

 
 

 22 

  
 Anchor National Life Insurance Company 
 A STOCK COMPANY             LOS ANGELES, CALIFORNIA 
  
 ALLOCATED VARIABLE 
 GROUP ANNUITY CERTIFICATE 
 Nonparticipating 
 

 23Prepared by R.R. Donnelley Financial -- SAI II IndividualMaximumAnniversaryDeathBenefit

  
 EXHIBIT 4(c) 
  
 MAXIMUM ANNIVERSARY VALUE OPTIONAL 
 DEATH BENEFIT ENDORSEMENT 

 
 This Endorsement is made a part of, and subject to, the other terms and conditions of the Contract to which it is attached. 
  
 This Endorsement modifies the AMOUNT OF DEATH BENEFIT under the DEATH OF OWNER BEFORE THE ANNUITY DATE in the Contract.

  
 The following are added under the DEFINITIONS section of the Contract: 
  

NET PURCHASE PAYMENT 
 The sum of all Purchase Payments, reduced
proportionately on the date of each partial withdrawal by the percentage at which the Contract Value is reduced by such withdrawal (including any charges applicable to the withdrawal). 
  
 AMOUNT OF DEATH BENEFIT 
 If, upon the death of the Owner and prior to the Annuity Date, the Owner has not attained age 90,
the amount of the Death Benefit will be as described under the Maximum Anniversary Value Optional Death Benefit. If the deceased Owner has attained age 90, then the Death Benefit will be the Contract Value. This Death Benefit option cannot be
changed or terminated. 
  
 Maximum Anniversary Value Optional Death Benefit 
 As of the date We receive Your Due Proof of Death and prior to the Owner attaining age 90, the Death Benefit will be the greatest of: 
  

	(a)
	 
	Net Purchase Payments; or 
 

  

	(b)
	 
	Contract Value; or 
 

  

	(c)
	 
	The Maximum Anniversary Value. 
 

  
 We will calculate the Maximum Anniversary Value, by determining the Contract Value for each Contract anniversary prior to the Owner’s 81st birthday. An anniversary value is equal to the Contract Value at a Contract anniversary
increased by the dollar amount of any Purchase Payment(s) made since that anniversary and reduced for any partial withdrawals since that anniversary (and any charges applicable to such withdrawals) in the same proportion that the Contract Value was
reduced on the date of such withdrawal. If any of those anniversary values is greater than Your Contract Value, You will receive that amount as the Maximum Anniversary Value. 
  
 Maximum Anniversary Optional Death Benefit Charge 
 On an annual basis, this charge equals [0.15%] of Your average daily
ending value of the assets attributable to the Accumulation Units of the Subaccount(s) to which the Contract is allocated. We deduct this charge daily. This charge is in addition to the charges in Your Contract. 
  
 

 1 

  
  

	Signed
	 
	for the Company to be effective on the Contract Date. 
 

  

	ANCHOR
	 
	NATIONAL LIFE INSURANCE COMPANY 
 

  
 
	 
	 By:
 	 	 /s/    Christine A. Nixon        
 
	 	  	 	 By:
 	 	 /s/    Jay S. Wintrob        
 

	  	 	 Christine A. Nixon
 Secretary
 	 	  	 	  	 	 Jay S. Wintrob
 President
 

 

	

  
 

 2

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00041-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00041-of-00352.parquet"}]]