Document:

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                                                                  [EXHIBIT 4(b)]

                      MERRILL LYNCH LIFE INSURANCE COMPANY

                       HOME OFFICE: Little Rock, Arkansas
                        SERVICE CENTER: [P. O. Box 44222]
                       [Jacksonville, Florida 32231-4222]

MERRILL LYNCH LIFE INSURANCE COMPANY (the "Company") will make annuity payments
as described in this Contract.

This is a legal Contract between the Contract Owner ("You") and the Company
("Us"). PLEASE READ THIS CONTRACT CAREFULLY.

ANNUITY PAYMENTS, DEATH BENEFITS, SURRENDER VALUES AND OTHER CONTRACT VALUES
PROVIDED BY THIS CONTRACT, WHEN BASED ON THE INVESTMENT EXPERIENCE OF THE
SEPARATE ACCOUNT, ARE VARIABLE, MAY INCREASE OR DECREASE, AND ARE NOT GUARANTEED
AS TO DOLLAR AMOUNT.

RIGHT TO REVIEW CONTRACT: [You may cancel this Contract within [ten (10)] days
after You receive it. Return or mail it to Us at Our Service Center or to Your
Financial Advisor. We will refund the Contract Value as of the date We receive
Your returned contract. This may be more or less than the Premium You paid.]

     Merrill Lynch Life Insurance Company is a stock life insurance company.

/s/ Nikos K. Kardassis                                  /s/ Lori M. Salvo
-----------------------                                 ------------------------
President                                               Secretary

                  Individual Deferred Variable Annuity Contract
                      Flexible Premiums - Nonparticipating

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                                TABLE OF CONTENTS

<TABLE>
<CAPTION>
SECTION                                                                                 PAGE
<S>                                                                                     <C>
Definitions ........................................................................      3
Contract Schedule...................................................................      5
   1.   General Provisions .........................................................      6
   2.   Premiums ...................................................................      9
   3.   The Separate Account .......................................................      9
   4.   Charges, Deductions and Credits ............................................     10
   5.   Transfers ..................................................................     11
   6.   Withdrawals ................................................................     12
   7.   Death Benefit Provisions ...................................................     12
   8.   Annuity Provisions .........................................................     14
   9.   Annuity Options ............................................................     15
</TABLE>

                                     - 2 -
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                                   DEFINITIONS

1.    ACCOUNT VALUE: The sum of the values of Your interests in the subaccounts
      of the Separate Account as of the end of a Valuation Period.

2.    ACCUMULATION PERIOD: The period of time from the Contract Date to the
      Annuity Date.

3.    ACCUMULATION UNIT: A unit of measure used to determine the value of Your
      interest in a subaccount during the Accumulation Period.

4.    ACCUMULATION UNIT VALUE: The value of an Accumulation Unit during a
      Valuation Period. Accumulation Unit Values are usually determined as of
      the close of regular trading on each day the New York Stock Exchange is
      open for business.

5.    ANNUITANT: Any natural person(s) on whose life annuity payments are based.
      During the Accumulation Period, all references to the Annuitant shall
      include any Joint Annuitant.

6.    ANNUITY DATE: The date on which You choose to begin receiving annuity
      payments.

7.    ANNUITY OPTIONS: Options under whose terms annuity payments will be made
      during the Annuity Period.

8.    ANNUITY PERIOD: The period beginning on the Annuity Date during which
      annuity payments are made under an Annuity Option.

9.    ANNUITY VALUE: The amount which will be applied to an Annuity Option on
      the Annuity Date. It is the Contract Value on the Annuity Date reduced by
      any charges for premium taxes and any other charges deducted on the
      Annuity Date.

10.   BENEFICIARY: The person(s) or entity(ies) designated by You to receive
      payment of the Death Benefit provided under this Contract.

11.   COMPANY: Merrill Lynch Life Insurance Company. Also referred to as "We",
      "Us" or "Our".

12.   CONTRACT ANNIVERSARY: An anniversary of the Contract Date.

13.   CONTRACT DATE: The effective date of this Contract as shown on the
      Contract Schedule. This is usually the business day We receive Your
      Initial Premium at Our Service Center.

14.   CONTRACT VALUE: The total value of Your interest in this Contract as of
      the end of a Valuation Period. It is equal to the Account Value plus the
      value of Your interest in any other accounts that may be included by Rider
      or by Endorsement.

15.   CONTRACT YEAR: A one year period starting on the Contract Date and on each
      Contract Anniversary thereafter.

16.   DEATH BENEFIT: During the Accumulation Period, the amount payable upon the
      death of the Owner (the first Owner to die if this Contract has
      Co-Owners), or, if the Owner is a non-natural person, upon the death of
      the Annuitant (the first Annuitant to die if this Contract has Joint
      Annuitants). During the Annuity Period, the amount payable upon the death
      of the Annuitant, or the last surviving Joint Annuitant.

17.   DUE PROOF OF DEATH: A certified death certificate or other legal proof of
      death acceptable to Us, a completed beneficiary claim form, and any
      additional paperwork necessary to process a death claim.

18.   ELIGIBLE SPOUSAL BENEFICIARY: A Beneficiary who is the spouse of a
      deceased Owner and who satisfies the requirements described on the
      Contract Schedule.

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                             DEFINITIONS (CONTINUED)

19.   FUND: An investment portfolio of an open-end management investment company
      or unit investment trust in which a subaccount may invest.

20.   INVESTMENT CATEGORY: A classification of subaccounts as determined by Us.
      The Investment Categories as of the Contract Date are shown on the
      Contract Schedule.

21.   MATURITY AGE: The age of the Annuitant used in the determination of the
      Maturity Date. The Maturity Age is shown on the Contract Schedule.

22.   MATURITY DATE: The latest possible Annuity Date as shown on the Contract
      Schedule.

23.   MONTHAVERSARY: The Contract Date and the same calendar day of each
      successive month during the Accumulation Period.

24.   NET ASSET VALUE: The value of one share of a Fund at the end of a
      Valuation Period.

25.   NET INVESTMENT FACTOR: An index used to measure the investment performance
      of a subaccount from one Valuation Period to the next Valuation Period.

26.   NET PREMIUM(S): The Premium(s) You pay into this Contract less any Premium
      Load. The Premium Load, if any, and the Initial Net Premium are shown on
      the Contract Schedule.

27.   OWNER: The person(s) or entity(ies) entitled to exercise all ownership
      rights under this Contract. The Owner is deemed a non-natural person if
      this Contract is owned by a Corporation, a Trust, or similar situations
      where the Owner is not a person(s). All references to the Owner shall
      include any Co-Owner. Unless otherwise specified, age refers to the oldest
      Co-Owner's age. In this Contract, "You" and "Your" refer to the Owner.

28.   PREMIUMS: The money You pay into this Contract as consideration for the
      benefits it provides.

29.   QUARTERVERSARY: The same calendar day of each successive three month
      period during the Accumulation Period, beginning with the Contract Date.

30.   SEPARATE ACCOUNT: This Contract is funded by a Separate Account of the
      Company, which is a segregated asset account and is not a part of Our
      general account. The Separate Account has multiple subaccounts, each of
      which invests in shares or units of a Fund.

31.   SPOUSAL CONTINUATION DATE: The date that an Eligible Spousal Beneficiary
      provides all of the information necessary to continue the Contract in his
      or her own name or the date the Spousal Beneficiary Continuation Option is
      automatically applied.

32.   SURRENDER VALUE: The amount available upon full withdrawal. It is equal to
      the Contract Value reduced by any charges, including any Surrender Charge,
      and increased by any credits which apply upon full withdrawal.

33.   VALUATION PERIOD: The interval from one determination of the Accumulation
      Unit Value for a subaccount to the next such determination.

                                     - 4 -
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                              1. GENERAL PROVISIONS

1.1   OWNER: Unless another Owner is named by the purchaser of this Contract,
      the purchaser is the Owner. Upon written request You may designate a new
      Owner, subject to Our requirements and limitations in effect on the date
      the request is signed. A change in Owner terminates all prior Beneficiary
      designations, except that any irrevocable Beneficiary must consent to such
      change of beneficiary. If the Owner is changed, the age of the new Owner
      as of the Contract Date must not have been greater than the Maximum Owner
      Age shown on the Contract Schedule. We will not be responsible for the tax
      consequences of any change of Owner.

      A Contract may be owned by Co-Owners, limited to two natural persons.
      Ownership rights must be exercised jointly by Co-Owners unless otherwise
      allowed by us. Upon the death of either Co-Owner, the surviving Co-Owner
      will be deemed to be the Primary Beneficiary unless You specify otherwise.
      Any other Beneficiary designation will be treated as a Contingent
      Beneficiary unless otherwise indicated on the Contract Schedule or in a
      notice to Us.

1.2   BENEFICIARY: The Beneficiary is shown on the Contract Schedule. You may
      change the Beneficiary while You or the surviving Co-Owner are alive.

      You may name the Beneficiary irrevocably. If You do so, You can later
      change the Beneficiary only with the Beneficiary's written consent.

      Unless You have provided otherwise, the Death Benefit will be paid to, or
      in equal shares to:

      (a)   the Primary Beneficiary who survives You (or who survives the
            Annuitant if the Owner is a non-natural person); or, if no Primary
            Beneficiary survives You,

      (b)   the Contingent Beneficiary who survives You (or who survives the
            Annuitant if the Owner is a non-natural person); or, if no
            Contingent Beneficiary survives You,

      (c)   Your estate.

      If a Beneficiary survives You but dies before the Death Benefit is paid,
      the estate of such Beneficiary is entitled to the Death Benefit that would
      otherwise have been paid to such Beneficiary.

1.3   ANNUITANT: The Annuitant is shown on the Contract Schedule. Prior to the
      Annuity Date, except when the Owner is a non-natural person, the Owner may
      make a written request to change the Annuitant, subject to Our
      requirements and limitations in effect on the date the request is signed.
      If the Annuitant is changed, the age of the new Annuitant as of the
      Contract Date must not have been greater than the Maximum Annuitant Age
      shown on the Contract Schedule.

1.4   NOTICES, CHOICES AND REQUESTS: To be effective, all notices, choices and
      requests You make under this Contract must be in writing and signed, and
      be received at Our Service Center, unless We have authorized You to use
      another method. Such communication must be provided by You or Your
      representative, if authorized by You in writing. If acceptable to Us,
      notices, choices and requests relating to Beneficiaries, Owners,
      Annuitants, and the Annuity Date will take effect as of the date signed,
      unless We have already acted in reliance on the prior status. We are not
      responsible for their validity.

                                     - 5 -
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                        1. GENERAL PROVISIONS (CONTINUED)

1.5   EVIDENCE OF SURVIVAL: We may require proof that any person on whose
      continued life any payments under this Contract are based is alive. We
      reserve the right to withhold or discontinue payments until We receive
      proof, in a form satisfactory to Us, that such person is living.

1.6   MISSTATEMENT OF AGE OR SEX: We may require proof at any time, in a form
      satisfactory to Us, of the age or sex of any Annuitant, Owner or
      Beneficiary if any payments and benefits under this Contract are based on
      such person's age and sex. If the age or sex of any such person has been
      misstated, any payments and benefits will be adjusted based on the correct
      age and sex of such person.

      Once annuity payments have begun, any amount We have overpaid as a result
      of such misstatement will be deducted from the next payment(s) made by Us
      under this Contract. Any amount We have underpaid will be paid in full
      with the next payment made by Us. We will pay interest on the underpayment
      at the rate required by the law of the state in which this Contract is
      delivered.

1.7   THE CONTRACT: This Contract, and any Endorsements or Riders are the entire
      Contract. It is issued in consideration of the payment of the Initial
      Premium shown on the Contract Schedule.

      Only Our President, a Vice President, Secretary, or Assistant Secretary
      may change this Contract. Any change must be in writing. No one else has
      authority to modify or waive any provision of this Contract.

      At any time, We may make such changes to this Contract, without Your
      consent, as required to conform it with any law, regulation, or ruling
      issued by a governmental agency. We will notify You of such changes, and,
      when required, will obtain approval from the appropriate regulatory
      authority and You.

1.8   NONPARTICIPATING: This Contract is nonparticipating. It does not share in
      Our surplus. No dividends are payable on this Contract.

1.9   INCONTESTABILITY: We will not contest this Contract.

1.10  CONTRACT PAYMENTS: All sums payable to or by Us are payable at Our Service
      Center. We may require return of this Contract prior to making payment.
      Payment generally will be made within seven (7) days of Our receipt of a
      request acceptable to Us at Our Service Center. Our payment obligations
      are subject to all payments made and actions taken by Us prior to Our
      receipt of a payment request.

1.11  REGULATORY REQUIREMENTS: All values available under this Contract will not
      be less than the minimum benefits required by the laws of the state in
      which this Contract is delivered.

1.12  ASSIGNMENT: This Contract may not be sold or assigned, discounted, or
      pledged as collateral for a loan or as security for the performance of any
      obligation.

                                     - 6 -
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                        1. GENERAL PROVISIONS (CONTINUED)

1.13  PROTECTION OF PROCEEDS: To the extent permitted by law, all payments under
      this Contract shall be free from legal process or the claim of any
      creditor. No payment and no amount under this Contract can be taken or
      assigned in advance of its payment date unless We receive the Owner's
      written consent

1.14  TAX QUALIFICATION: This Contract is intended to qualify as an annuity
      contract for federal income tax purposes. To that end, the provisions of
      this Contract are to be interpreted to ensure or maintain such tax
      qualification, notwithstanding any other provision to the contrary.
      Distributions under this Contract shall be made in a time and manner
      necessary to maintain such qualification under the applicable provisions
      of the Internal Revenue Code. Both We and You agree to amend this Contract
      to reflect any clarifications that may be needed or are appropriate to
      maintain such qualification or to conform this Contract to any applicable
      changes in the tax qualification requirements.

1.15  SUSPENSION OR DEFERRAL OF PAYMENTS OR TRANSFERS: We may suspend or
      postpone payments of any amount due under this Contract where permitted
      under applicable federal or state laws, rules or regulations.

      We may suspend or defer payments or transfers from the Separate Account
      under this Contract in the event that:

      (a)   the New York Stock Exchange is closed for business, other than
            normal weekend and holiday closings;

      (b)   trading on the New York Stock Exchange is restricted;

      (c)   an emergency exists such that it is not reasonably practical to
            dispose of securities in the Separate Account or to determine the
            value of its assets;

      (d)   the Securities and Exchange Commission by order so permits for Your
            protection;

      (e)   the payment is derived from a check used to pay a Premium which has
            not cleared through the banking system; or

      (f)   the transfer is subject to limitations as described in Section 5.2.

      Conditions (b), (c) and (d) will be decided by or in accordance with rules
      of the Securities and Exchange Commission.

1.16  CONTRACT TERMINATION: This Contract will terminate upon the occurrence of
      any of the events listed under Contract Termination on the Contract
      Schedule.

1.17  INACTIVE CONTRACT: If, at any time prior to the Annuity Date, all of the
      conditions listed under Inactive Contract on the Contract Schedule are
      met, We will terminate this Contract. If the Contract is terminated under
      this provision, We will pay You the Surrender Value in a lump sum.

1.18  PERIODIC REPORTS: At least once a year during the Accumulation Period We
      will furnish You with a report for Your Contract. It will show the current
      number of Accumulation Units, the Accumulation Unit Values, the Account
      Value, the Contract Value and any other information as may be required.
      The effective date of this report will not be more than 2 months before
      the date We send it to You.

                                     - 7 -
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                                   2. PREMIUMS

2.1   PREMIUMS: This Contract is issued in consideration of Your payment of the
      Initial Premium. Additional Premiums may be paid during the Accumulation
      Period, subject to the Premium Requirements and Limitations described on
      the Contract Schedule.

2.2   PREMIUM LOAD: A Premium Load may be deducted from the Initial Premium and
      any additional Premiums. The amount of this charge, how it is determined,
      and when and how it is collected are described on the Contract Schedule.

2.3   PREMIUM ALLOCATION: Your Initial Net Premium and any additional Net
      Premiums will be allocated to the subaccounts You select, as described on
      the Contract Schedule.

                             3. THE SEPARATE ACCOUNT

3.1   THE SEPARATE ACCOUNT: The Separate Account is identified on the Contract
      Schedule. It is a separate investment account of Merrill Lynch Life
      Insurance Company. With respect to the Separate Account, income, gains,
      and losses, whether or not realized, from assets allocated to the Separate
      Account are credited to or charged against the Separate Account without
      regard to Our other income, gains, or losses. Assets allocated to the
      Separate Account remain Our property but are separate from Our general
      account and any other separate accounts We may have. Separate Account
      assets, to the extent equal to the Separate Account's reserves and other
      liabilities, may not be charged with liabilities from any other business
      We conduct. We reserve the right to transfer any amount in excess of the
      Separate Account's reserves and liabilities to our general account.

3.2   SUBACCOUNTS: The Separate Account is divided into subaccounts. The
      subaccounts available on the Contract Date are shown on the Contract
      Schedule. The allocation of Your Initial Net Premium and any additional
      Net Premiums to the subaccounts is subject to the Allocation Guidelines
      and Restrictions described on the Contract Schedule.

3.3   CHANGES TO THE SEPARATE ACCOUNT: We may add subaccounts. We reserve the
      right, subject to obtaining any necessary regulatory approvals, to close
      or eliminate subaccounts; to substitute shares of a new portfolio for
      shares of the portfolio in which a subaccount invests; to deregister the
      Separate Account under the Investment Company Act of 1940 (the "1940
      Act"); to make any changes required by the 1940 Act; to operate the
      Separate Account as a unit investment trust or a management investment
      company under the 1940 Act, or any other form permitted by law; to
      transfer all or a portion of the assets of a subaccount or Separate
      Account to another subaccount or Separate Account pursuant to a
      combination or otherwise; and to create new Separate Accounts. We may add,
      close, or substitute subaccounts with respect to existing Account Value or
      future Premiums, or both, for some or all classes of Contracts, at any
      time, in Our sole discretion.

3.4   NUMBER OF ACCUMULATION UNITS: During the Accumulation Period, Accumulation
      Units are added to, or subtracted from each subaccount, as a result of
      Premium payments, transfers, withdrawals, charges and credits (except for
      charges and credits used in determining the Net Investment Factor) during
      a Valuation Period. The number of Accumulation Units is determined by
      dividing the amount added to, or the amount subtracted from, the
      subaccount, by the Accumulation Unit Value for that subaccount for that
      Valuation Period.

                                     - 8 -
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                       3. THE SEPARATE ACCOUNT (CONTINUED)

3.5   ACCUMULATION UNIT VALUE: For each subaccount, the Accumulation Unit Value
      was set by Us when the subaccount was established. The value may increase
      or decrease from one Valuation Period to the next. For any Valuation
      Period the Accumulation Unit Value is determined by multiplying A by B
      where:

            A is the Accumulation Unit Value for the prior Valuation Period;
                  and

            B is the Net Investment Factor for that subaccount for the
                  current Valuation Period.

      To the extent permitted by law, We may change when the Accumulation Unit
      Value is calculated by giving You 30 days prior notice; or We may defer
      calculation of the Accumulation Unit Value, if an emergency exists making
      valuation of assets in the subaccount not reasonably practical, or if the
      Securities and Exchange Commission permits such deferral.

3.6   NET INVESTMENT FACTOR: The Net Investment Factor for each subaccount is
      determined by dividing A by B and multiplying the result by (1-C) where:

            A  is (i) the Net Asset Value per share (or for a unit investment
                  trust, the Net Asset Value per unit of the trust) of the Fund
                  in which the subaccount invests at the end of the current
                  Valuation Period; plus

                  (ii) any dividend or capital gain per share or unit declared
                  on behalf of the Fund in which the subaccount invests that has
                  an ex-dividend date during the current Valuation Period; minus

                  (iii) the cumulative charge or credit for any taxes or tax
                  reserve We have established as a result of the operation or
                  maintenance of the subaccount;

            B is  the Net Asset Value per share or unit of the Fund in which the
                  subaccount invests for the preceding Valuation Period; and

            C is  (i) the Valuation Period equivalent of the current annual
                  Asset-Based Insurance Charge shown on the Contract Schedule;
                  plus

                  (ii) a charge factor, if any, We have established as a result
                  of the operation or maintenance of the subaccount.

                       4. CHARGES, DEDUCTIONS AND CREDITS

4.1   ASSET-BASED INSURANCE CHARGE: The Asset-Based Insurance Charge compensates
      Us for Our expenses in the establishment and administration of the
      Separate Account, for issue and administration of this Contract, and for
      the risks We assume in providing the benefits under this Contract. The
      current and maximum Asset-Based Insurance Charge, how the charge is
      determined, and when and how it is collected are described on the Contract
      Schedule. The current Asset-Based Insurance Charge may be changed, but it
      will never exceed the maximum charge shown on the Contract Schedule.

                                     - 9 -
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                 4. CHARGES, DEDUCTIONS AND CREDITS (CONTINUED)

4.2   CONTRACT FEE: A Contract Fee may be deducted from the Contract Value to
      compensate Us for expenses related to the maintenance of this Contract.
      The current and maximum Contract Fee, how the fee is determined, and when
      and how it is collected are described on the Contract Schedule. The
      current Contract Fee may be changed, but it will never exceed the maximum
      fee shown on the Contract Schedule.

4.3   OTHER CONTRACT CHARGES: Other charges may be deducted from Your Contract
      Value. The purpose of each such charge, the current and maximum amount of
      the charge, how it is determined, and when and how it is collected are
      described on the Contract Schedule. The current amount of a charge may be
      changed, but it will never exceed the maximum charge shown on the Contract
      Schedule.

4.4   CONTRACT CREDITS: Credits may be added to Your Contract Value. The purpose
      of each such credit, the amount of the credit, how the credit is
      determined, and when and how it is paid are described on the Contract
      Schedule.

4.5   CHANGES IN CONTRACT CHARGES: Changes to any Contract charge will be
      applied by Contract class, and will be based upon changes in applicable
      experience factors such as investment income and returns, mortality,
      persistency, expenses and taxes. Any change will be determined in
      accordance with procedures and standards on file, if required, with the
      insurance supervisory official of the jurisdiction in which this Contract
      is delivered.

4.6   PREMIUM TAXES: Any charges made by Us attributable to premium taxes
      imposed by a state or other governmental authority will be deducted in a
      manner determined solely by Us, in compliance with applicable state law.
      We currently deduct such charges as described on the Contract Schedule.

4.7   OTHER TAXES AND ASSESSMENTS: We reserve the right to deduct a charge for
      assessments or federal, state, or local excise, profits, or income taxes.
      We also reserve the right to deduct from the Separate Account any taxes
      imposed on the Separate Account.

                                  5. TRANSFERS

5.1   TRANSFERS AMONG SUBACCOUNTS: You may transfer all or part of Your Account
      Value among the subaccounts, subject to the Requirements and Limitations
      described on the Contract Schedule, and subject to Section 5.2 below. A
      transfer will be processed as of the end of the Valuation Period during
      which We receive all the information necessary to process the transfer at
      Our Service Center.

      A Transfer Fee may apply to certain transfers. The current and maximum
      Transfer Fee, how the fee is determined, and when and how it is collected
      are described on the Contract Schedule. The current Transfer Fee may be
      changed, but it will never exceed the maximum fee shown on the Contract
      Schedule.

      We reserve the right not to process a transfer request when the sale or
      purchase of shares or units is not reasonably practical due to actions
      taken or limitations imposed by Us or by a Fund. We also reserve the right
      to deduct any Redemption Fee related to short term, frequent or disruptive
      trading, as determined by Us, by any Fund, or under any regulatory
      requirements.

                                     - 10 -
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                            5. TRANSFERS (CONTINUED)

5.2   DISRUPTIVE TRANSFERS: If, in Our sole opinion, We determine that there has
      been a pattern of disruptive transfers including short term "market
      timing" transfers for a Contract, We reserve the right to impose
      limitations on the processing of transfer requests with respect to such
      Contract. Such limitations could be applied to transfers to, or from, one
      or more of the subaccounts and could include, but are not limited to:

      (a)   the requirement of a minimum time period between each transfer;

      (b)   not accepting a transfer request from a third party acting under
            authorization on behalf of more than one Owner;

      (c)   limiting the dollar amount that may be transferred between the
            subaccounts at any one time;

      (d)   requiring that a written transfer request be provided to Us signed
            by the Owner; and

      (e)   imposing a Redemption Fee on certain transfers.

                                 6. WITHDRAWALS

6.1   WITHDRAWALS: During the Accumulation Period, You may request partial
      withdrawals or a full withdrawal of the Surrender Value, subject to the
      Requirements and Limitations described on the Contract Schedule. A
      withdrawal will be processed as of the end of the Valuation Period during
      which We receive all the information necessary to process the withdrawal
      at Our Service Center.

      Partial withdrawals will be deducted from the subaccounts as described on
      the Contract Schedule. For a full withdrawal, upon receipt of this
      Contract and all other information necessary to process the withdrawal at
      Our Service Center, We will determine and pay You the Surrender Value and
      this Contract will terminate.

6.2   SURRENDER CHARGE: A Surrender Charge may be deducted in connection with
      partial or full withdrawals of the Surrender Value or on the Annuity Date.
      The amount of the Surrender Charge, how the charge is determined, and when
      and how it is collected are described on the Contract Schedule.

6.3   FREE WITHDRAWAL AMOUNT: The Free Withdrawal Amount is an amount that can
      be withdrawn from the Contract without the deduction of a Surrender
      Charge. The Free Withdrawal Amount available under this Contract, if any,
      and how such amount is determined, are described on the Contract Schedule.

                           7. DEATH BENEFIT PROVISIONS

                    7.1 DEATH DURING THE ACCUMULATION PERIOD

7.1.1 DEATH OF OWNER: If the Owner dies (the first Owner to die if this Contract
      has Co-Owners) during the Accumulation Period, upon receipt of Due Proof
      of Death of such Owner, We will pay the Death Benefit to the Beneficiary
      as provided in Section 7.1.3. An Eligible Spousal Beneficiary may continue
      this Contract as provided in Section 7.1.4. If the Contract is owned by a
      non-natural person, the Death Benefit will be paid to the Beneficiary upon
      receipt of Due Proof of Death of the Annuitant (the first Annuitant to die
      if this Contract has Joint Annuitants).

                                     - 11 -
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              7.1 DEATH DURING THE ACCUMULATION PERIOD (CONTINUED)

7.1.2 DEATH BENEFIT AMOUNT: The Death Benefit during the Accumulation Period is
      equal to the Contract Value as of the date We receive Due Proof of Death
      of the Owner at Our Service Center.

7.1.3 DEATH BENEFIT PAYMENT OPTIONS: Except as provided in Section 7.1.4, if an
      Owner dies during the Accumulation Period, the Beneficiary must receive
      his/her respective Death Benefit under one of the following payment
      options:

      OPTION 1 - payment of the Death Benefit in a lump sum within five years of
      the date of such Owner's death; or

      OPTION 2 - payment of the entire Death Benefit within five years of the
      date of such Owner's death; or

      OPTION 3 - payment of the Death Benefit under an Annuity Option over the
      lifetime of such Beneficiary, or over a period that does not exceed the
      life expectancy, as defined by Internal Revenue Service regulations, of
      such Beneficiary, with payments starting within one year of the date of
      death of such Owner. This option is not available if the Beneficiary is a
      non-natural person.

      If We do not receive Due Proof of Death by the end of the Death Benefit
      Payment Election Period shown on the Contract Schedule, We will
      automatically apply the Default Death Benefit Payment Option shown on the
      Contract Schedule.

7.1.4 SPOUSAL BENEFICIARY CONTINUATION OPTION: If an Owner dies during the
      Accumulation Period and the Beneficiary is an Eligible Spousal
      Beneficiary, such Beneficiary may choose to continue this Contract in his
      or her own name and exercise all the rights of the Owner under this
      Contract.

7.1.5 DEATH OF ANNUITANT: If an Owner of this Contract is a non-natural person,
      the death of an Annuitant during the Accumulation Period will be treated
      as the death of an Owner.

      If an Owner is a natural person, and if an Annuitant who is not an Owner
      dies during the Accumulation Period, the Owner may name a new Annuitant
      subject to Our requirements and limitations in effect on the date the
      request is signed. If no Annuitant is living on the Annuity Date, the
      Owner (or the oldest Co-Owner) will become the Annuitant.

                       7.2 DEATH DURING THE ANNUITY PERIOD

7.2.1 DEATH OF OWNER: If an Owner who is not an Annuitant dies during the
      Annuity Period, any remaining payments under the Annuity Option in effect
      will continue to be made at least as rapidly as under the distribution
      method in effect as of such Owner's death. Upon such death, if there is no
      surviving Co-Owner, the Beneficiary will become the Owner.

                                     - 12 -
<PAGE>

                 7.2 DEATH DURING THE ANNUITY PERIOD (CONTINUED)

7.2.2 DEATH OF ANNUITANT: If the Annuitant under a Life Annuity Option, or the
      last surviving Joint Annuitant under a Joint and Survivor Life Annuity
      Option, dies while any guaranteed amounts remain unpaid, the Owner, or the
      Beneficiary if there is no surviving Owner, may choose either:

            (a)   to receive payments for the remainder of the period
                  guaranteed; or

            (b)   to receive the present value of the remaining guaranteed
                  payments in a lump sum.

      The interest rate used to calculate any present value is described on the
      Contract Schedule.

                              8. ANNUITY PROVISIONS

8.1   ANNUITY DATE: If You selected an Annuity Date at the time of application
      for this Contract, it is shown on the Contract Schedule. Otherwise, the
      Annuity Date shown on the Contract Schedule is the Maturity Date. Prior to
      the Maturity Date, You may change the Annuity Date subject to Our
      requirements and limitations described on the Contract Schedule.

8.2   ANNUITY OPTION: If You do not select an Annuity Option, annuity payments
      will be made under the Default Annuity Option described on the Contract
      Schedule. You may change the Annuity Option at any time prior to the
      Annuity Date. An option not described in Section 9 in this Contract may be
      chosen if acceptable to Us.

8.3   AMOUNT OF ANNUITY PAYMENTS: The annuity payment amount is based on the age
      (and sex, where permissible) of the Annuitant(s), the Annuity Option and
      payment frequency selected, the Annuity Value, and the payout rates, as of
      the Annuity Date.

      The Annuity Value will be transferred to Our general account and applied
      to the Annuity Option, at the then current payout rates, which will be
      furnished on request. The payout rates will not be less than the
      Guaranteed Payout Rates based on the Annuitant's Adjusted Age, the
      Guaranteed Mortality Table, if applicable, and the Guaranteed Interest
      Rate as described on the Contract Schedule.

      You may apply a portion of the Annuity Value to an Annuity Option, subject
      to Our requirements in effect on the date of the request. Such a request
      will be considered a partial withdrawal subject to the requirements in
      Section 6.

8.4   ANNUITY PAYMENTS: You may choose to receive payments at any payment
      interval which We make available, but not less frequently than once per
      year. If the amount of any annuity payment would be less than the Minimum
      Annuity Payment shown on the Contract Schedule, We will change the
      frequency so payments are at least equal to such amount. If the Annuity
      Value on the Annuity Date is less than the Minimum Annuity Value shown on
      the Contract Schedule, or if after the change in frequency the annuity
      payment is less than the Minimum Annuity Payment, We will pay the Annuity
      Value in a lump sum.

                                     - 13 -
<PAGE>

                               9. ANNUITY OPTIONS

9.1   OPTION 1 - LIFE ANNUITY: Payments will be made for the life of the
      Annuitant. Payments will cease with the last payment due prior to the
      Annuitant's death.

9.2   OPTION 2 - LIFE ANNUITY WITH PAYMENTS GUARANTEED FOR 10 YEARS: Payments
      will be made for a 10 year guaranteed period and as long thereafter as the
      Annuitant is alive.

9.3   OPTION 3 - JOINT AND SURVIVOR LIFE ANNUITY: Payments will be made while
      either of the Joint Annuitants is alive. The amount of such payments will
      not change by reason of the death of the first of the Joint Annuitants to
      die.

9.4   OPTION 4 - JOINT AND SURVIVOR LIFE ANNUITY WITH PAYMENTS GUARANTEED FOR 10
      YEARS: Payments will be made for a 10 year guaranteed period and as long
      thereafter as either Joint Annuitant is alive. The amount of such payments
      will not change by reason of the death of the first of the Joint
      Annuitants to die.

                                     - 14 -<PAGE>

                                                                    EXHIBIT 4(c)

                                CONTRACT SCHEDULE

MERRILL LYNCH LIFE INSURANCE COMPANY       Contract Number:    [%999999999]
Service Center:                            Contract Date:      [January 3, 2005]
[P.O. Box 44222]
[Jacksonville, FL 32231-4222]              Financial Advisor:
[1-800-535-5549]                           [JOE BROKER]

CONTRACT INFORMATION

Contract Form:            ML-VA-010 - Flexible Premium Deferred Variable Annuity
Surrender Charge Period:  [7 Years]
Type of Contract:         [Non-Qualified]

Owner(s) Information:

       Name(s)                                   Sex      Age [Nearest Birthday]
       [John Doe]                                [M]     [65]

       Maximum Owner Age:           [80]

Annuitant(s) Information:

       Name(s)                                   Sex      Age [Nearest Birthday]
       [Joe Smith]                               [M]     [55]

       Maximum Annuitant Age:       [80]

Beneficiary(s) Information:
   Primary Beneficiary

       Name(s)                                Relationship            Percentage
       [Mary Doe]                              [Spouse]                 [100]%

   Contingent Beneficiary

       Name(s)                                Relationship            Percentage
       [Anne Doe]                              [Daughter]                [100]%

CONTRACT TERMINATION

This Contract will terminate upon the occurrence of any of the following events:

      a.    the date the Contract is returned under the RIGHT TO REVIEW CONTRACT
            provision;

      b.    the date of payment of the entire Surrender Value;

      c.    the date of the last Death Benefit payment to the last Beneficiary;
            or

      d.    the date of the final annuity payment.

                                     - 5A -
<PAGE>

                               CONTRACT SCHEDULE

                                           Contract Number:    [%999999999]

INACTIVE CONTRACT

[This Contract will be terminated by Us if, at the end of any Valuation Period:

      1.    no Premium payments have been received during the prior [24] months;
            and

      2.    the total of all Premium payments made, less any partial
            withdrawals, is less than $[2,000]; and

      3.    the Contract Value is less than $[2,000].]

PREMIUMS

Initial Premium:                                                      $[       ]

Initial Net Premium:                                                  $[       ]

Allocation of Initial Net Premium:

      [On the Contract Date, the Initial Net Premium will be allocated to the
      [Money Market Subaccount.] On the [14th day] following the Contract Date,
      the Account Value will be reallocated as shown in the Investment Options
      section of this Contract Schedule.]

Allocation of Additional Net Premiums:

      [Additional Net Premiums will be allocated at the end of the Valuation
      Period during which the additional Premium payment is received and
      accepted at Our Service Center. If an additional Premium payment is
      received during the first [14 days] following the Contract Date, the
      additional Net Premium will be allocated to the [Money Market Subaccount.]
      On the [14th day] following the Contract Date, the Account Value will be
      reallocated as shown in the Investment Options section of this Contract
      Schedule. Thereafter any additional Net Premiums will be allocated
      according to any instructions the Owner provides at the time of such
      Premium payment, or, if none are received, according to the allocation
      instructions We have on file, subject to any allocation requirements
      imposed by Us.]

We reserve the right to impose restrictions on allocations of Premiums.

Premium Load - See the Fees and Charges section of this Contract Schedule.

PREMIUM REQUIREMENTS AND LIMITATIONS

Minimum Additional Premiums:                                  $ [50]

Maximum Total Premium Limit:

      [This limit applies to each Owner based on that Owner's age on the date of
      each Premium payment (the Annuitant's age if the Owner is a non-natural
      person).

            If an Owner is under age [70]: The total of all Premiums paid under
            this Contract and any other annuity contract(s) issued by Us, or by
            an affiliated insurance company, to that Owner is limited to $
            [1,000,000] without Our prior approval.

            If an Owner is age [70] or over: The total of all Premiums paid
            under this Contract and any other annuity contract(s) issued by Us,
            or by an affiliated insurance company, to that Owner is limited to $
            [500,000] without Our prior approval.]

[No additional Premiums can be paid on or after the Owner's (or older
Co-Owner's) age [85].]

We reserve the right to refuse to accept any Premium payment.

                                     - 5B -
<PAGE>

                                CONTRACT SCHEDULE
                                            Contract Number:    [%999999999]

INVESTMENT OPTIONS

Separate Account:     [Merrill Lynch Life Variable Annuity Separate Account [A]]

Allocation Guidelines and Restrictions:

      [1.]  [At any one time, Net Premiums and Account Value may be allocated
            among up to [20] of the available subaccounts.]

      [2.]  [All allocations must be in whole percentages.]

      [3.]  [The minimum amount which may be allocated to any subaccount is
            [$1,000].]

      [4.]  We reserve the right to impose restrictions on allocations to
            certain subaccounts.

<TABLE>
<CAPTION>
                                              Current
                                            Asset-Based
                                             Insurance      Allocation
Investment Category         Subaccount         Charge       Percentage
-------------------         ----------     --------------   ----------
<S>                         <C>             <C>             <C>
[Large Cap Value]             [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%

[Large Cap Growth]            [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%

[Mid & Small Cap]             [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
                              [ X  ]           [xxx]%         [xxx]%
</TABLE>

                                     - 5C -

<PAGE>

                                CONTRACT SCHEDULE
                                            Contract Number:    [%999999999]

INVESTMENT OPTIONS (CONTINUED)

<TABLE>
<CAPTION>
                                             Current Asset-
                                                 Based
                                               Insurance      Allocation
Investment Category          Subaccount          Charge       Percentage
-------------------          ----------      --------------   ----------
<S>                          <C>             <C>              <C>
[International]               [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
[Money Market]                [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
[Fixed Income]                [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
[Other]                       [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                              [  X   ]           [xxx]%         [xxx]%
                                      Total                       100%
</TABLE>

                                     - 5D -

<PAGE>

                                CONTRACT SCHEDULE
                                            Contract Number:    [%999999999]

FEES AND CHARGES

Asset-Based Insurance Charge:
                  Current Annual       [see table in Investment Options section]
                  Maximum Annual       [2.00] %

      [The daily Asset-Based Insurance Charge is [1/365th of the annual charge].
      The Asset-Based Insurance Charge will be deducted daily in the
      determination of the Net Investment Factor for each subaccount.]

      We reserve the right to apply different current Asset-Based Insurance
      Charges to designated subaccounts. The current Asset-Based Insurance
      Charge that applies to each subaccount on the Contract Date is shown in
      the table in the Investment Options section above.

Contract Fee:

                     [Current     [$50]              Maximum   [$75]

      [If, on a Contract Anniversary on or prior to the Annuity Date, or on the
      date of a full withdrawal, or on the Annuity Date, both the Contract Value
      and Premiums less withdrawals, are less than $[50,000], We will deduct a
      Contract Fee.]

      [The fee will be deducted from each subaccount in the ratio of your
      interest in each subaccount to your Account Value.]

      We reserve the right not to deduct a Contract Fee from designated
      subaccounts which may be made available in the future.]

 Premium Tax Charge:

      [Any charges made by Us attributable to premium taxes imposed by a state
      or other governmental unit will be deducted at the Annuity Date. In those
      jurisdictions that do not allow Us to reduce our current taxable premium
      income by the amount of any withdrawal or death benefit, We will also
      deduct a charge for those taxes on any withdrawal or death benefit paid
      under this Contract.]

Premium Load:
                     [None]

Transfer Fee:

                     [Current  $  [25]               Maximum  $ [30]

      [A Transfer Fee will be collected for each transfer in a Contract Year in
      excess of the number of transfers allowed without a fee as shown in the
      Transfers section of this Contract Schedule.]

      [The Transfer Fee will be deducted from each transfer in the ratio of the
      amount transferred from each subaccount to the total amount transferred
      prior to the deduction of the Transfer Fee.]]

                                     - 5E -

<PAGE>

                                CONTRACT SCHEDULE
                                            Contract Number:    [%999999999]

FEES AND CHARGES (CONTINUED)

Redemption Fee:

      We reserve the right to impose a Redemption Fee, or to collect any
      Redemption Fee imposed by any Fund, or as required by any regulatory
      authority.

Surrender Charge:

      [A Surrender Charge may apply upon:

            (i)   a partial or full withdrawal of the Surrender Value; or

            (ii)  application of a portion or all of the Annuity Value to an
                  Annuity Option.

      The Surrender Charge is a percentage of the amount of each Premium
      withdrawn in excess of the Free Withdrawal Amount described in this
      Contract Schedule. The applicable Surrender Charge for each Premium is
      determined as follows:

<TABLE>
<CAPTION>
[Number of Complete                      Surrender
  Years Since the                         Charge
  Premium Payment                        Percentage
-------------------                      ----------
<S>                                      <C>
    less than 1                             7%
         1                                  6%
         2                                  5%
         3                                  4%
         4                                  3%
         5                                  2%
         6                                  1%
         7+                                 0%    ]
</TABLE>

      For a full withdrawal, the Surrender Charge will be deducted from the
      Contract Value prior to payment of the Surrender Value. [For partial
      withdrawals, unless you specify otherwise, the Surrender Charge will be
      deducted from the requested withdrawal amount prior to payment.]

      For the purpose of determining the Surrender Charge, partial and full
      withdrawals in a Contract Year assume Gain is withdrawn first, followed by
      Premiums on a First-In, First-Out (FIFO) basis.

      Gain is the excess, if any, of (i) over (ii) where:

            (i)   is the Contract Value just prior to the withdrawal; and

            (ii)  is the sum of all Premiums paid less any prior withdrawal of
                  those Premiums.

      We reserve the right not to deduct the Surrender Charge from designated
      subaccounts which may be made available in the future.]

                                     - 5F -
<PAGE>

                                CONTRACT SCHEDULE
                                            Contract Number:    [%999999999]

FEES AND CHARGES (CONTINUED)

Free Withdrawal Amount:

      [Each Contract Year, You may withdraw a portion of Your Contract Value
      without deduction of a Surrender Charge. This amount is known as the Free
      Withdrawal Amount. The Free Withdrawal Amount available each Contract Year
      is [the greater of (i) or (ii) where:

            (i)   is (a) less (b), where:

                  (a)   is the sum of: [10]% of each Premium subject to a
                        Surrender Charge, but not greater than the Remaining
                        Premium as of the beginning of the Contract Year; and

                  (b)   is any prior withdrawals during the Contract Year; and

            (ii)  is Gain in the Contract, plus Remaining Premiums no longer
                  subject to a Surrender Charge.

      Remaining Premium is the Premium less prior withdrawals of that Premium.

      Gain is defined in the Surrender Charge section of this Contract
      Schedule.] ]

Other Contract Charges:      [None]

Optional Rider Charges:      If You have elected any optional Rider, the charges
                             for such Rider are described on the Contract
                             Schedule page applicable to that Rider.

CONTRACT CREDITS

                             [None]

                                     - 5G -
<PAGE>

                                CONTRACT SCHEDULE
                                            Contract Number:    [%999999999]

TRANSFERS

Requirements and Limitations:

      [No transfers allowed during the first [14 days] following the Contract
      Date.]

      Number of transfers allowed each Contract Year before the Transfer Fee
      applies:                                                              [12]

      [Minimum Transfer Amount:

      The minimum amount of a transfer, from one or multiple subaccounts, is
      $[1,000] or the remaining Account Value in a subaccount, if less than
      $[1,000]. ]

      Minimum Value in a subaccount after a transfer:                  $ [1,000]

      We reserve the right to impose additional limitations on Your ability to
      make transfers to or from designated subaccounts which may be made
      available in the future.

      We reserve the right, in accordance with applicable law, to modify or
      terminate the transfer privilege at any time. The right to make any
      transfer will be limited by any requirements and limitations in effect at
      the time of such transfer.

Transfer Fee - See the Fees and Charges section of this Contract Schedule.

Redemption Fee - See the Fees and Charges section of this Contract Schedule.

WITHDRAWALS

Requirements and Limitations:

      Minimum Withdrawal Amount:                                       $   [100]

      Minimum Surrender Value after a partial withdrawal:              $ [5,000]

      We reserve the right to impose additional limitations on Your ability to
      take withdrawals from designated subaccounts which may be made available
      in the future.

Deduction of Partial Withdrawals:

      [Unless you specify otherwise or unless restrictions apply, partial
      withdrawals will be deducted from each subaccount in the ratio of your
      interest in each subaccount to your Account Value.]

Surrender Charge - See the Fees and Charges section of this Contract Schedule.

Free Withdrawal Amount - See the Fees and Charges section of this Contract
Schedule.

                                     - 5H -
<PAGE>

                                CONTRACT SCHEDULE
                                            Contract Number:    [%999999999]

DEATH BENEFIT INFORMATION

Eligible Spousal Beneficiary:                 A spousal Beneficiary [whose age
                                              as of the Contract Date was not
                                              greater than the Maximum Owner Age
                                              shown on this Contract Schedule]

Death Benefit Payment Election Period:        [60] days from our receipt of a
                                              certified death certificate or
                                              other legal proof of death
                                              acceptable to Us

Default Death Benefit Payment Option:
      For an Eligible Spousal Beneficiary      [Spousal Beneficiary Continuation
                                               Option]
      For any other Beneficiary                [Payment Option 1- Lump Sum
                                               Payment]

ANNUITY PERIOD INFORMATION

Requirements and Limitations:

      The Annuity Date may not be later than the Maturity Date.

      [The Annuity Date may not be earlier than the [first] Contract
      Anniversary.]

      [A change of Annuitant may not cause the Maturity Date to be later than
      the Maturity Date established on the Contract Date.]

Annuity Date:                                                      [Jan 1, 2045]

Maturity Age:                                                               [95]

Maturity Date:                                                     [Jan 1, 2045]

        [The Maturity Date is the birthday on which the oldest Annuitant
        reaches the Maturity Age.]

Guaranteed Payout Rates:

      [The guaranteed payout rates will be based on the Annuitant's Adjusted
      Age, the Guaranteed Mortality Table, if applicable, and the Guaranteed
      Interest Rate.

      Adjusted Age: For Annuity Dates from [January 1, 2025] through [December
      31, 2034], the Annuitant's Adjusted Age will be his/her actual age reduced
      by [one year]. For each subsequent [10 year] period, the Adjusted Age for
      the prior [10 year] period will be reduced by [an additional year].

      For example:

<TABLE>
<CAPTION>
         ANNUITY DATE                                       ADJUSTED AGE
         ------------                                       ------------
<S>                                                <C>
before Dec. 31, 2024                               actual age
Jan. 1, 2025 through Dec. 31, 2034                 subtract 1 year from actual age
Jan. 1, 2035 through Dec. 31, 2044                 subtract 2 years from actual age
Jan. 1, 2045 through Dec. 31, 2054                 subtract 3 years from actual age
Jan. 1, 2055 through Dec. 31, 2064                 subtract 4 years from actual age]
</TABLE>

      Guaranteed Mortality Table: [Annuity 2000 Mortality Table projected to
      year 2025 under Scale G.]

      Guaranteed Interest Rate: [1.50%]

                                     - 5I -
<PAGE>

                                CONTRACT SCHEDULE
                                            Contract Number:    [%999999999]

ANNUITY PERIOD INFORMATION (CONTINUED)

Minimum Annuity Payment:                                      $    [20]

Minimum Annuity Value:                                        $ [2,000]

Default Annuity Option:
      For a single Annuitant -    [Option 2 - Life Annuity with Payments
                                  Guaranteed 10 Years]
      For Joint Annuitants -      [Option 4 - Joint and Survivor Life Annuity
                                  with Payments Guaranteed 10 Years]

Present Value Interest Rate:      [The interest rate We use on the Annuity Date
                                  to compute the amount of the annuity payments]

ENDORSEMENTS AND RIDERS ATTACHED TO THIS CONTRACT

        [None]
        [Bonus Endorsement]
        [Guaranteed Minimum Death Benefit Rider - Return of Premium]
        [Guaranteed Minimum Death Benefit Rider - Maximum Anniversary Value]
        [Guaranteed Minimum Death Benefit Rider - Roll-Up]
        [Guaranteed Minimum Death Benefit Rider - Greater of Maximum
                                                  Anniversary Value and Roll-Up]
        [Additional Death Benefit Rider]
        [Guaranteed Minimum Income Benefit Rider]
        [Spousal Beneficiary Continuation Option Endorsement]

                                     - 5J -
<PAGE>

                                CONTRACT SCHEDULE

                       THIS PAGE INTENTIONALLY LEFT BLANK.

{NOTE TO JAX: This is an optional page to be used only when needed to provide an
even number of schedule pages.}

                                     - 5K -

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00070-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00070-of-00352.parquet"}]]