Document:

Exhibit (4)(b)

 EXHIBIT (4)(b) 

FORM OF ENDORSEMENTS 
  

 FAMILY LIFE INSURANCE COMPANY 

QUALIFIED PLAN ENDORSEMENT 
 The following
tables are substituted for the corresponding tables set forth in the contract. 
 MINIMUM FIRST MONTHLY ANNUITY PAYMENT FOR EACH $1,000
APPLIED UNDER OPTION 
 OPTION 3 (Life Annuity), OPTION 4 (Life Annuity with 10 or 20 Years Guaranteed) 

and OPTION 5 (Return of Fixed Account Value Guaranteed) 
  

																			
	 *Adjusted

Age
	  	Life
Annuity	  	10 Years
Guaranteed	  	20 Years
Guaranteed	  	Return of
Account Value	    	* Adjusted
Age	  	Life
Annuity	  	10 Years
Guaranteed	  	20 Years
Guaranteed	  	Return of
Account Value
	 56
	  	5.15	  	5.08	  	4.87	  	4.95	    	71	  	  7.56	  	7.00	  	5.75	  	  6.73
	 57
	  	5.25	  	5.17	  	4.93	  	5.03	    	72	  	  7.83	  	7.17	  	5.79	  	  6.91
	 58
	  	5.35	  	5.27	  	4.99	  	5.12	    	73	  	  8.12	  	7.35	  	5.83	  	  7.10
	 59
	  	5.46	  	5.36	  	5.06	  	5.20	    	74	  	  8.43	  	7.53	  	5.86	  	  7.30
	 60
	  	5.58	  	5.47	  	5.12	  	5.30	    	75	  	  8.77	  	7.72	  	5.89	  	  7.51
										
	 61
	  	5.71	  	5.58	  	5.19	  	5.39	    	76	  	  9.13	  	7.90	  	5.91	  	  7.74
	 62
	  	5.84	  	5.69	  	5.25	  	5.50	    	77	  	  9.52	  	8.08	  	5.93	  	  7.97
	 63
	  	5.98	  	5.81	  	5.31	  	5.60	    	78	  	  9.94	  	8.26	  	5.95	  	  8.23
	 64
	  	6.14	  	5.94	  	5.38	  	5.72	    	79	  	10.40	  	8.44	  	5.96	  	  8.49
	 65
	  	6.30	  	6.07	  	5.44	  	5.84	    	80	  	10.88	  	8.61	  	5.97	  	  8.77
										
	 66
	  	6.48	  	6.21	  	5.50	  	5.97	    	81	  	11.41	  	8.77	  	5.98	  	  9.07
	 67
	  	6.66	  	6.36	  	5.56	  	6.10	    	82	  	11.97	  	8.93	  	5.99	  	  9.38
	 68
	  	6.86	  	6.51	  	5.61	  	6.25	    	83	  	12.58	  	9.07	  	5.99	  	  9.71
	 69
	  	7.08	  	6.67	  	5.66	  	6.40	    	84	  	13.23	  	9.20	  	5.99	  	10.05
	 70
	  	7.31	  	6.83	  	5.71	  	6.56	    	85	  	13.92	  	9.33	  	6.00	  	10.42

 OPTION 6 (Joint and Survivor Life Annuity) 

 

																			
	 *Adjusted

Age of

Annuitant
	 	 *Adjusted Age of Joint Annuitant
	 	 *Adjusted

Age of
Annuitant

	 	 50
	 	 55
	 	 60
	 	 65
	 	 70
	 	 75
	 	 80
	 	 85
	 
	 50
	 	4.21	 		 		 		 		 		 		 		 	50
	 55
	 	4.31	 	4.47	 		 		 		 		 		 		 	55
	 60
	 	4.41	 	4.61	 	4.82	 		 		 		 		 		 	60
	 65
	 	4.49	 	4.74	 	5.02	 	5.30	 		 		 		 		 	65
										
	 70
	 	4.55	 	4.84	 	5.19	 	5.58	 	5.98	 		 		 		 	70
	 75
	 	4.60	 	4.92	 	5.32	 	5.81	 	6.37	 	6.95	 		 		 	75
	 80
	 	4.63	 	4.98	 	5.42	 	5.99	 	6.69	 	7.50	 	8.36	 		 	80
	 85
	 	4.65	 	5.01	 	5.49	 	6.12	 	6.93	 	7.95	 	9.14	 	10.36	 	85

 Information for ages not shown will be furnished on request. 

* “Adjusted Age” means attained age at last birthday adjusted as follows: 

 

			
	 Annuity Date
	  	 Adjusted Age

	 Before 1990
	  	Actual age
	 1990 - 1999
	  	Subtract 1 year from actual age
	 2000 - 2009
	  	Subtract 2 years from actual age
	 2010 - 2019
	  	Subtract 3 years from actual age
	 2020 - 2029
	  	Subtract 4 years from actual age
	 2030 and after
	  	Subtract 5 years from actual age

 The above tables are based on the combined male/female 1983 Table “a” for Individual Annuity Valuation with interest
at 4%. 
  

	
	FAMILY LIFE INSURANCE COMPANY
	 

  

	 Secretary

 AY-174 186            End. for AY-2 (Policy - Var. Annuity -
Portfolio Plus) 

 FAMILY LIFE INSURANCE COMPANY 

UNISEX ANNUITY TABLES 
 The following
tables are substituted for the corresponding tables set forth in the contract. 
 MINIMUM FIRST MONTHLY ANNUITY PAYMENT FOR EACH $1,000
APPLIED UNDER OPTION 
 OPTION 3 (Life Annuity), OPTION 4 (Life Annuity with 10 or 20 Years Guaranteed) 

and OPTION 5 (Return of Fixed Account Value Guaranteed) 
  

																			
	 *Adjusted

Age
	  	Life
Annuity	  	10 Years
Guaranteed	  	20 Years
Guaranteed	  	Return of
Account Value	    	*Adjusted
Age	  	Life
Annuity	  	10 Years
Guaranteed	  	20 Years
Guaranteed	  	Return of
Account Value
	 56
	  	5.15
	  	5.08
	  	4.87
	  	4.95
	    	71
	  	  7.56
	  	7.00
	  	5.75
	  	  6.73

	 57
	  	5.25
	  	5.17
	  	4.93
	  	5.03
	    	72
	  	  7.83
	  	7.17
	  	5.79
	  	  6.91

	 58
	  	5.35
	  	5.27	  	4.99	  	5.12
	    	73
	  	  8.12
	  	7.35	  	5.83	  	  7.10
	 59
	  	5.46	  	5.36	  	5.06
	  	5.20	    	74	  	  8.43	  	7.53	  	5.86	  	  7.30
	 60
	  	5.58	  	5.47	  	5.12	  	5.30	    	75	  	  8.77	  	7.72	  	5.89	  	  7.51
										
	 61
	  	5.71	  	5.58	  	5.19	  	5.39	    	76	  	  9.13	  	7.90	  	5.91	  	  7.74
	 62
	  	5.84	  	5.69	  	5.25	  	5.50	    	77	  	  9.52	  	8.08	  	5.93	  	  7.97
	 63
	  	5.98	  	5.81	  	5.31	  	5.60	    	78	  	  9.94	  	8.26	  	5.95	  	  8.23
	 64
	  	6.14	  	5.94	  	5.38	  	5.72	    	79	  	10.40	  	8.44	  	5.96	  	  8.49
	 65
	  	6.30	  	6.07	  	5.44	  	5.84	    	80	  	10.88	  	8.61	  	5.97	  	  8.77
										
	 66
	  	6.48	  	6.21	  	5.50	  	5.97	    	81	  	11.41	  	8.77	  	5.98	  	  9.07
	 67
	  	6.66	  	6.36	  	5.56	  	6.10	    	82	  	11.97	  	8.93	  	5.99	  	  9.38
	 68
	  	6.86	  	6.51	  	5.61	  	6.25	    	83	  	12.58	  	9.07	  	5.99	  	  9.71
	 69
	  	7.08	  	6.67	  	5.66	  	6.40	    	84	  	13.23	  	9.20	  	5.99	  	10.05
	 70
	  	7.31	  	6.83	  	5.71	  	6.56	    	85	  	13.92	  	9.33	  	6.00	  	10.42

 OPTION 6 (Joint and Survivor Life Annuity) 

 

																			
	 *Adjusted
Age of
	 	 *Adjusted Age of Joint Annuitant
	 	 *Adjusted
Age of

	 Annuitant
	 	 50
	 	 55
	 	 60
	 	 65
	 	 70
	 	 75
	 	 80
	 	 85 
	 	 Annuitant

	 50
	 	 4.21
	 		 		 		 		 		 		 		 	 50

	 55
	 	4.31	 	4.47	 		 		 		 		 		 		 	55
	 60
	 	4.41	 	4.61	 	4.82	 		 		 		 		 		 	60
	 65
	 	4.49	 	4.74	 	5.02	 	5.30	 		 		 		 		 	65
										
	 70
	 	4.55	 	4.84	 	5.19	 	5.58	 	5.98	 		 		 		 	70
	 75
	 	4.60	 	4.92	 	5.32	 	5.81	 	6.37	 	6.95	 		 		 	75
	 80
	 	4.63	 	4.98	 	5.42	 	5.99	 	6.69	 	7.50	 	8.36	 		 	80
	 85
	 	4.65	 	5.01	 	5.49	 	6.12	 	6.93	 	7.95	 	9.14	 	10.36	 	85

 Information for ages not shown will be furnished on request. 

*“Adjusted Age” means attained age at last birthday adjusted as follows: 

 

			
	 Annuity Date
	  	 Adjusted Age

	 Before 1990
	  	Actual age
	 1990 - 1999
	  	Subtract 1 year from actual age
	 2000 - 2009
	  	Subtract 2 years from actual age
	 2010 - 2019
	  	Subtract 3 years from actual age
	 2020 - 2029
	  	Subtract 4 years from actual age
	 2030 and after 
	  	Subtract 5 years from actual age

 The above tables are based on the combined male/female 1983 Table “a” for Individual Annuity Valuation with interest
at 4%. 
  
  

			
	 FAMILY LIFE INSURANCE COMPANY

 

	 

  

	Secretary

 AY-241 186 

 INDIVIDUAL VARIABLE ANNUITY CONTRACT ENDORSEMENT 

Section 1.1 of the contract is amended to read: 

MINIMUM PREMIUMS: The minimum premium is $50 for nonqualified plans and $10 for qualified plans. Premiums may be paid at any time without prior
notice to us. 
 This endorsement controls over any contrary provisions of the contract. 

 

	
	FAMILY LIFE INSURANCE COMPANY
	
	 

  

	Secretary

 AY-247 

 INDIVIDUAL VARIABLE ANNUITY CONTRACT ENDORSEMENT 

Section *12.2 of the contract is amended to read: 

Payments will be made for the period chosen. The period must be at least 5 years. With respect to the Variable Account only, this Option 2 is
not available until 3 years after the last premium payment is made for this contract, and you may at any time choose to receive in a lump sum the present value of the remaining payments commuted at 4% interest. Such lump sum payment will be
considered a withdrawal for purposes of Section 7.2. 
 This endorsement controls over any contrary provisions of the contract. 

 

	
	FAMILY LIFE INSURANCE COMPANY
	
	 

  

	 Maureen F. Fisker, Secretary

 AY-244 

 INDIVIDUAL VARIABLE ANNUITY CONTRACT ENDORSEMENT 

The provision of the contract entitled “TEN DAY RIGHT TO REVIEW CONTRACT” is hereby amended to read as follows: 

You may cancel this contract within ten days after its receipt. Simply return or mail it to us or our agent. Within 7 days we will refund all
your premiums or, if larger, the contract value on the date the returned contract is received by us or our agent. 
  

			
		 	FAMILY LIFE INSURANCE COMPANY
		
	By	 	     

		 	  

Secretary

 AY-249 

 ENDORSEMENT 

Section 5.6 of the contract is amended to read: 

MISSTATEMENT OF AGE: If the age of the Annuitant or a joint annuitant is misstated, annuity payments will be adjusted to reflect the correct
age. Any amount we have overpaid as the result of such misstatement will be deducted from the next payments due under this contract. Interest on the overpayment will be charged at the rate of 6% per year. Any amount we have underpaid will be
paid in full with the next payment due under this contract. We will pay interest on the underpayment at the rate of 6% per year. 
 Section 5.7 of
the contract is amended to read: 
 PROOF OF AGE OR SURVIVAL: We may require satisfactory proof of age or survival of any person on whose
continued life any payment under this contract depends. 
 Section 10.1 of the contract is also amended by deleting “and sex” from the fourth
line. 
 This endorsement controls over any contrary provision of the contract. 

 

			
		 	FAMILY LIFE INSURANCE COMPANY
		
	By	 	     

		 	  

Secretary

 AY-254 

 ENDORSEMENT 

The contract to which this endorsement is attached is issued in exchange for annuity contract no.
                    , issued on
                    . 
  

			
		 	FAMILY LIFE INSURANCE COMPANY
		
	By	 	     

		 	  

Secretary

 AY-262     Endorsement - Portfolio Plus 

 ENDORSEMENT 

Section 9.3 of the contract is amended to read: 

“MINIMUM ANNUITY PAYMENT: If the net contract value to be applied at the annuity date is less than $2000, we may pay such amount in a lump
sum. If any payment would be less than $20, we may change the frequency so payments are at least $20 each.” 
 Notwithstanding any contrary provision
of the contract, the contract administration charge will be computed and deducted first from each sub-account of the Variable Account in the ratio of your interest in each to your contract value. If your Variable Account value is not sufficient, the
remaining portion of the charge will be deducted from the Fixed Account. However, for years in which no premiums or transfers are allocated to the Fixed Account, no portion of the charge will be applied to the Fixed Account value that would reduce
said value (adjusted for any withdrawal, transfer or loan) to an amount that is less than the previous year’s cash value plus interest accumulated at 3%. 

This endorsement controls over any contrary provisions of the contract. 

 

			
		 	FAMILY LIFE INSURANCE COMPANY
		
	By	 	     

		 	  

Secretary

 AY-264 

 ENDORSEMENT 

Section 1.4 of the contract to which this endorsement is attached is amended to read as follows: 

ACCOUNT TRANSFERS: Upon notice to us, you may transfer all or part of your contract value among the Fixed Account and the sub-accounts of the
Variable Account, except as limited by Section 8. A transfer from the Fixed Account to the Variable Account may not be made within six months of the date of issue or within six months of the date of any prior transfer, except for one transfer
in January of each year. Transfers from the Variable Account to the Fixed Account must be at least thirty days apart. No transfer between sub-accounts of the Variable Account may be made within thirty days after the date of issue. Transfers between
sub-accounts of the Variable Account must be at least thirty days apart. No transfers may be made between the Fixed Account and the Variable Account after the annuity date. 

This endorsement controls over any contrary provisions of the contract. 

 

			
	FAMILY LIFE INSURANCE COMPANY
		
	By	 	 

  

		 	Secretary

 AY-274 

 ENDORSEMENT 

Section 1.3 of the contract is amended to read: 

PREMIUM ALLOCATION: Your premiums will be allocated to the Fixed Account or the sub-accounts of the Variable Account as you direct; however,
for the first 14 days following the Date of Issue, all premiums allocable to the Variable Account will be allocated to the Reserve Assets Fund sub-account. On the first valuation day following such period, your Variable Account value will be
reallocated to the sub-accounts as you have directed. 
 This endorsement controls over any contrary provision of the contract. 

 
  

			
	FAMILY LIFE INSURANCE COMPANY
		
	By	 	 

  

		 	Secretary

 AY-304 

 ENDORSEMENT 

The contract to which this endorsement is attached is amended as follows: 

Section 6.2.1: DEATH BEFORE THE ANNUITY DATE is amended to include: 

If an Annuitant who is not an Owner dies (a) prior to the Annuity Date, and (b) prior to the Owners’ attainment of age 59 1⁄2, this contract will continue in force on the same terms as before such Annuitant’s death, but the Owner, or a person designated by the Owner, shall
thereafter be the Annuitant. 
 Section 6.3.2, the SIMULTANEOUS DEATH provision, does not apply. 

This endorsement controls over any contrary provision of the contract. 

 

			
	FAMILY LIFE INSURANCE COMPANY
		
	By	 	 

  

		 	Secretary

 AY-308    Endorsement for AY-2 & AY-9-(Illegible) 

 Family Life Insurance Company 

QUALIFIED PLAN ENDORSEMENT 

The following tables are substituted for the tables set forth in the contract to which this endorsement is attached: 

ANNUITY OPTION TABLES 

MINIMUM GUARANTEED MONTHLY ANNUITY PAYMENT FOR EACH $1,000 APPLIED UNDER OPTION 

OPTION 2 (Payments for a Fixed Period) 
  

											
	 Years

Payable
	  	Each
Payment	  	Years
Payable	  	Each
Payment	  	Years
Payable	  	Each
Payment
	 6
	  	15.56	  	11	  	9.31	  	16	  	7.00
	 7
	  	13.59	  	12	  	8.69	  	17	  	6.71
	 8
	  	12.12	  	13	  	8.17	  	18	  	6.44
	 9
	  	10.97	  	14	  	7.72	  	19	  	6.21
	 10
	  	10.06	  	15	  	7.34	  	20	  	6.00

 OPTION 3 (Life Annuity), OPTION 4 (Life Annuity with 10 or 20 Years Guaranteed) 

and OPTION 5 (Return of Net Account Value Guaranteed) 
  

																			
	 *Adjusted

Age
	 	 Life

Annuity
	 	 10 Years
Guaranteed
	  	20 Years
Guaranteed	  	Return
of
Net Account Value	    	*Adjusted
Age	  	Life
Annuity	  	10 Years
Guaranteed	  	20 Years
Guaranteed	  	Return of
Net Account Value
	 50
	 	4.62	 	4.58	  	4.48	  	4.50	    	68	  	6.66	  	6.36	  	5.56	  	6.10
										
	 51
	 	4.68	 	4.64	  	4.53	  	4.56	    	69	  	6.86	  	6.51	  	5.61	  	6.25
	 52
	 	4.75	 	4.71	  	4.58	  	4.62	    	70	  	7.08	  	6.67	  	5.66	  	6.40
	 53
	 	4.82	 	4.78	  	4.64	  	4.68	    	71	  	7.31	  	6.83	  	5.71	  	6.56
	 54
	 	4.90	 	4.85	  	4.69	  	4.74	    	72	  	7.56	  	7.00	  	5.75	  	6.73
	 55
	 	4.98	 	4.92	  	4.75	  	4.81	    	73	  	7.83	  	7.17	  	5.79	  	6.91
										
	 56
	 	5.06	 	5.00	  	4.81	  	4.88	    	74	  	8.12	  	7.35	  	5.83	  	7.10
	 57
	 	5.15	 	5.08	  	4.87	  	4.95	    	75	  	8.43	  	7.53	  	5.86	  	7.30
	 58
	 	5.25	 	5.17	  	4.93	  	5.03	    	76	  	8.77	  	7.72	  	5.89	  	7.51
	 59
	 	5.35	 	5.27	  	4.99	  	5.12	    	77	  	9.13	  	7.90	  	5.91	  	7.74
	 60
	 	5.46	 	5.36	  	5.06	  	5.20	    	78	  	9.52	  	8.08	  	5.93	  	7.97
										
	 61
	 	5.58	 	5.47	  	5.12	  	5.30	    	79	  	9.94	  	8.26	  	5.95	  	8.23
	 62
	 	5.71	 	5.58	  	5.19	  	5.39	    	80	  	10.40	  	8.44	  	5.96	  	8.49
	 63
	 	5.84	 	5.69	  	5.25	  	5.50	    	81	  	10.88	  	8.61	  	5.97	  	8.77
	 64
	 	5.98	 	5.81	  	5.31	  	5.60	    	82	  	11.41	  	8.77	  	5.98	  	9.07
	 65
	 	6.14	 	5.94	  	5.38	  	5.72	    	83	  	11.97	  	8.93	  	5.99	  	9.38
										
	 66
	 	6.30	 	6.07	  	5.44	  	5.84	    	84	  	12.58	  	9.07	  	5.99	  	9.71
	 67
	 	6.48	 	6.21	  	5.50	  	5.97	    	85	  	13.23	  	9.20	  	5.99	  	10.05

 OPTION 6 (Joint and Survivor Life Annuity) 

 

																																			
	 *Adjusted
Age of
Annuitant
	 	 *Adjusted Age of Joint Annuitant
	 	 *Adjusted
Age of
Annuitant

	 	 50
	 	 55
	 	 60
	 	 65
	 	 70
	 	 75
	 	 80
	 	 85
	 
	 	 100%
	 	 2/3
	 	 100%
	 	 2/3
	 	 100%
	 	 2/3
	 	 100%
	 	 2/3
	 	 100%
	 	 2/3
	 	 100%
	 	 2/3
	 	 100%
	 	 2/3
	 	 100%
	 	 2/3
	 
	 50
	 	4.16	 	4.45	 	4.26	 	4.60	 	4.36	 	4.77	 	4.43	 	4.96	 	4.49	 	5.17	 	4.54	 	5.40	 	4.57	 	5.64	 	4.59	 	5.88	 	50
	 55
	 		 		 	4.41	 	4.77	 	4.54	 	4.97	 	4.67	 	5.19	 	4.76	 	5.44	 	4.84	 	5.70	 	4.89	 	5.98	 	4.93	 	6.26	 	55
	 60
	 		 		 		 		 	4.74	 	5.20	 	4.92	 	5.46	 	5.09	 	5.76	 	5.22	 	6.08	 	5.31	 	6.42	 	5.37	 	6.75	 	60
	 65
	 		 		 		 		 		 		 	5.19	 	5.79	 	5.45	 	6.15	 	5.67	 	6.55	 	5.84	 	6.97	 	5.96	 	7.38	 	65
																		
	 70
	 		 		 		 		 		 		 		 		 	5.83	 	6.61	 	6.19	 	7.12	 	6.49	 	7.66	 	6.72	 	8.20	 	70
	 75
	 		 		 		 		 		 		 		 		 		 		 	6.73	 	7.78	 	7.24	 	8.50	 	7.66	 	9.24	 	75
	 80
	 		 		 		 		 		 		 		 		 		 		 		 		 	8.03	 	9.47	 	8.76	 	10.49	 	80
	 85
	 		 		 		 		 		 		 		 		 		 		 		 		 		 		 	9.91	 	11.90	 	85

 Information for ages not shown will be furnished on request. 

*“Adjusted Age” means attained age at last birthday adjusted as follows: 
  

			
	 Annuity Date
	  	 Adjusted Age

	Before 2000	  	Actual age
	2000-2009	  	Subtract 1 year from actual age
	2010-2019	  	Subtract 2 years from actual age
	2020-2029	  	Subtract 3 years from actual age
	2030 and after	  	Subtract 4 years from actual age

 The above tables are based on the combined male/female 1983 Table “a” for Individual Annuity Valuation (set back
one year) with interest at 4.0%. 
  

			
	FAMILY LIFE INSURANCE COMPANY
		
	 By
	 	 

  

		 	SECRETARY

 AY-448 

 

Family Life Insurance Company 
 QUALIFIED RETIREMENT PLAN ENDORSEMENT 

The contract is amended as follows: 
 The contract is issued to
a custodian or trustee of a qualified retirement plan. Such custodian or trustee is the Owner and beneficiary unless the contract is distributed by the custodian or trustee to the Annuitant. If the contract has not been distributed to the Annuitant,
the custodian or trustee of the qualified retirement plan may, upon death of the Annuitant, continue the contract in force on the same terms as before the Annuitant’s death. A person designated by the custodian or trustee shall thereafter be
the Annuitant. Upon any distribution, the Annuitant becomes the Owner, and the following provisions apply: 
 1. After such distribution the contract is not
transferable and may not be sold, assigned, discounted or pledged as security for a loan or as security for any other obligation, other than to Family Life Insurance Company. Annuity payments under the contract cannot be surrendered, commuted,
assigned, encumbered or anticipated in any way. Only the Annuitant’s spouse may be designated as a Contingent Owner. 
 2. Distributions under the
contract must satisfy the minimum distribution rules of Section 401(a)(9) of the Internal Revenue Code, including the incidental death benefit requirement. 

3. An Annuitant who is married must have the consent of his or her spouse in order to: (a) withdraw all or part of the contract value; or (b) choose
an annuity option other than “OPTION 6 - JOINT AND SURVIVOR LIFE ANNUITY.” (If no annuity option is chosen, Option 6 will be automatic.) The form of the spouse’s consent must satisfy Section 417 of the Internal Revenue Code. 

4. Upon death of the Annuitant prior to the annuity date, leaving a spouse surviving, the death benefit will be paid under “OPTION 3 - LIFE ANNUITY”
unless the spouse has consented to the designation of someone else as a beneficiary or elects a different annuity option. In either case, the form of consent or election must satisfy Section 417 of the Internal Revenue Code. 

5. If an Annuitant is not married on the annuity date, and if no other annuity option is chosen, “OPTION 3 - LIFE ANNUITY” will be automatic. 

6. The Annuity Date may not be later than April 1 of the calendar year after the calendar year in which you attain age 70 1/2 (or, if the contract was
issued to a government plan or church plan as defined by the Internal Revenue Code, the latter of such date or April 1 of the calendar year following the calendar year in which the Annuitant retires). 

7. If the Annuitant dies before the annuity date and the Annuitant’s surviving spouse continues this contract in force under the provisions of the
contract, the annuity date may not be later than April 1 of the calendar year after the calendar year in which the Annuitant would have attained age 70 1/2. 

8. If the contract was distributed after April 1 of the calendar year after the calendar year in which you attained age 70 1/2, payments under the
contract may not be deferred and only the following annuity options are available: Option 1 or Option 2, payable in full within the Annuitant’s life expectancy, or Option 7. 

9. Under “OPTION 1 - PAYMENTS OF A FIXED AMOUNT,” the term over which annuity payments are made may not exceed the Annuitant’s life expectancy,
or the joint life expectancy of the Annuitant and the Annuitant’s spouse (or, if the Annuitant is not married, a designated second person), at the Annuity Date. If the Annuitant dies before the Annuity Date, the term may not exceed the life
expectancy of the Annuitant’s surviving spouse. 
 10. Under “OPTION 2 - PAYMENTS FOR A FIXED PERIOD,” the period may not exceed the
Annuitant’s life expectancy, or the joint life expectancy of the Annuitant and the Annuitant’s spouse (or, if the Annuitant is not married, a designated second person), at the Annuity Date. If the Annuitant dies before the Annuity Date,
the period may not exceed the life expectancy of the Annuitant’s surviving spouse. 
 AY-459 

 11. Under “OPTION 4 - LIFE ANNUITY WITH PAYMENTS GUARANTEED FOR 10 or 20 YEARS,” the guarantee period
selected may not exceed the Annuitant’s life expectancy or the joint life expectancy of the Annuitant and the Annuitant’s spouse (or, if the Annuitant is not married, a designated second person), at the Annuity Date. If the Annuitant dies
before the Annuity Date, the guarantee period selected may not exceed the life expectancy of the Annuitant’s surviving spouse. 
 12. Under
“OPTION 5 - LIFE ANNUITY WITH GUARANTEED RETURN OF CONTRACT VALUE,” the period required for distribution of the contract value applied under this option may not exceed the Annuitant’s life expectancy or the joint life expectancy of
the Annuitant and the Annuitant’s spouse (or, if the Annuitant is not married, a designated second person), at the Annuity Date. If the Annuitant dies before the Annuity Date, the period required for distribution of such contract value may not
exceed the life expectancy of the Annuitant’s surviving spouse. 
 13. If “OPTION 6 - JOINT AND SURVIVOR LIFE ANNUITY” is chosen, the second
person must be the Annuitant’s spouse if the Annuitant has a spouse. If the Annuitant dies before the Annuity Date, Option 6 is not available to the beneficiary. 

14. If the net contract value to be applied at the annuity date is less than $3,500, we may pay such amount in a lump sum. 

15. Life expectancy will be determined according to Internal Revenue Service regulations and rulings. 

This endorsement controls over any contrary provisions of the contract. 

 

			
		 	 FAMILY LIFE INSURANCE COMPANY

		
	By	 	     

		 	  

SECRETARY

 

 Family Life Insurance Company 
 INDIVIDUAL RETIREMENT ACCOUNT ENDORSEMENT 

The contract is amended as follows: 
 1. The contract is issued
to a custodian or trustee of an Individual Retirement Account. Such custodian or trustee is the Owner and beneficiary. Annuity payments under the contract cannot be surrendered, commuted, assigned, encumbered or anticipated in any way. The interest
of the Annuitant is nonforfeitable. 
 2. Distributions under the contract must satisfy the minimum distribution rules of Section 401(a)(9) of the
Internal Revenue Code, including the incidental death benefit requirement. 
 3. The Annuity Date may not be later than April 1 of the calendar year
after the calendar year in which the Annuitant attains age 70 1/2 
 4. If the contract was issued after April 1 of the calendar year after the
calendar year in which the Annuitant attained age 70 1/2, payments under the contract may not be deferred and only the following annuity options are available; Option 1 or Option 2, payable in full within the Annuitant’s life expectancy,
or Option 7. 
 5. Under “OPTION 1 - PAYMENTS OF A FIXED AMOUNT,” the term over which annuity payments are made may not exceed the
Annuitant’s life expectancy, or the joint life expectancy of the Annuitant and the Annuitant’s spouse (or, if the Annuitant is not married, a designated second person), at the Annuity Date. If the Annuitant dies before the Annuity Date,
the term may not exceed the life expectancy of the Annuitant’s surviving spouse. 
 6. Under “OPTION 2 - PAYMENTS FOR A FIXED PERIOD,” the
period may not exceed the Annuitant’s life expectancy, or the joint life expectancy of the Annuitant and the Annuitant’s spouse (or, if the Annuitant is not married, a designated second person), at the Annuity Date. If the Annuitant dies
before the Annuity Date, the period may not exceed the life expectancy of the Annuitant’s surviving spouse. 
 7. Under “OPTION 4 - LIFE ANNUITY
WITH PAYMENTS GUARANTEED FOR 10 or 20 YEARS,” the guarantee period selected may not exceed the Annuitant’s life expectancy or the joint life expectancy of the Annuitant and the Annuitant’s spouse (or, if the Annuitant is not married,
a designated second person), at the Annuity Date. If the Annuitant dies before the Annuity Date, the guarantee period selected may not exceed the life expectancy of the Annuitant’s surviving spouse. 

8. Under “OPTION 5 - LIFE ANNUITY WITH GUARANTEED RETURN OF CONTRACT VALUE,” the period required for distribution of the contract value applied
under this option may not exceed the Annuitant’s life expectancy or the joint life expectancy of the Annuitant and the Annuitant’s spouse (or, if the Annuitant is not married, a designated second person), at the Annuity Date. If the
Annuitant dies before the Annuity Date, the period required for distribution of such contract value may not exceed the life expectancy of the Annuitant’s surviving spouse. 

9. If “OPTION 6 - JOINT AND SURVIVOR LIFE ANNUITY” is chosen, the second person must be the Annuitant’s spouse if the Annuitant has a spouse.
If the Annuitant dies before the Annuity Date, Option 6 is not available to the beneficiary. 
 10. Life expectancy will be determined according to Internal
Revenue Service regulations and rulings. 
 11. We have the limited right to amend this contract at any time without your consent to conform the contract to
changes in the Internal Revenue Code or in regulations or rulings of the Internal Revenue Service relating to Individual Retirement Annuity contracts, subject to the approval of the insurance regulator of the state in which this contract was issued.
We will promptly provide you with a copy of any such amendment. 
 This endorsement controls over any contrary provisions of the contract. 

 

			
		 	FAMILY LIFE INSURANCE COMPANY
		
	By	 	     

		 	  

SECRETARY

 AY-462 

 

 Family Life Insurance Company 
 TAX-SHELTERED ANNUITY ENDORSEMENT 

The contract is amended as follows: 
 1. The Annuitant is the
Owner. The contract is not transferable and may not be sold, assigned, discounted or pledged as security for a loan or as security for any other obligation, other than to Family Life Insurance Company. Annuity payments under the contract cannot be
surrendered, commuted, assigned, encumbered or anticipated in any way. Your interest in the contract is nonforfeitable. Only your spouse may be designated as a Contingent Owner. 

2. Distributions under the contract must satisfy the minimum distribution rules of Section 401(a)(9) of the Internal 

Revenue Code, including the incidental death benefit requirement. 

3. The Annuity Date may not be later than April 1 of the calendar year after the calendar year in which you attain age 70 1/2 (or, if the contract was
issued to a government plan or church plan as defined by the Internal Revenue Code, the latter of such date or April 1 of the calendar year following the calendar year in which the Annuitant retires). 

4. If you die before the annuity date and your surviving spouse continues this contract in force under the provisions of the contract, the annuity date may
not be later than April 1 of the calendar year after the calendar year in which you would have attained age 70 1/2. 
 5. If the contract was
issued after April 1 of the calendar year after the calendar year in which you attained age 70 1/2, payments under the contract may not be deferred and only the following annuity options are available: Option 1 or Option 2, payable in full
within the Annuitant’s life expectancy, or Option 7. 
 6. Under “OPTION 1 - PAYMENTS OF A FIXED AMOUNT,” the term over which annuity
payments are made may not exceed your life expectancy, or the joint life expectancy of you and your spouse (or, if you are not married, a designated second person), at the Annuity Date. If you die before the Annuity Date, the term may not exceed the
life expectancy of your surviving spouse. 
 7. Under “OPTION 2 - PAYMENTS FOR A FIXED PERIOD,” the period may not exceed your life expectancy, or
the joint life expectancy of you and your spouse (or, if you are not married, a designated second person), at the Annuity Date. If you die before the Annuity Date, the period may not exceed the life expectancy of your surviving spouse. 

8. Under “OPTION 4 - LIFE ANNUITY WITH PAYMENTS GUARANTEED FOR 10 or 20 YEARS,” the guarantee period selected may not exceed your life expectancy or
the joint life expectancy of you and your spouse(or, if you are not married, a designated second person), at the Annuity Date. If you die before the Annuity Date, the guarantee period selected may not exceed the life expectancy of your surviving
spouse. 
 9. Under “OPTION 5 - LIFE ANNUITY WITH GUARANTEED RETURN OF CONTRACT VALUE,” the period required for distribution of the contract value
applied under this option may not exceed your life expectancy or the joint life expectancy of you and your spouse (or, if you are not married, a designated second person), at the Annuity Date. If you die before the Annuity Date, the period required
for distribution of such contract value may not exceed the life expectancy of your surviving spouse. 
 10. If “OPTION 6 - JOINT AND SURVIVOR LIFE
ANNUITY” is chosen, the second person must be your spouse if you have a spouse. If you die before the Annuity Date, Option 6 is not available to the beneficiary. 

11. Life expectancy will be determined according to Internal Revenue Service regulations and rulings. 

AY-468 

 12. Distributions from the contract attributable to contributions made pursuant to a salary reduction agreement
(including withdrawals from the loan security reserve) may be made only (1) after you attain age 59 1⁄2, (2) upon separation from service,
(3) upon death or disability, or (4) for an amount not greater than the total of such contributions in the case of hardship. Any withdrawal from the contract shall effect a surrender of the contract to the extent of such withdrawal. Any
premium payments thereafter may be made only with our consent. 
 This endorsement controls over any contrary provisions of the contract. 

 

			
		 	FAMILY LIFE INSURANCE COMPANY
		
	By	 	     

		 	  

SECRETARY

 ML LIFE INSURANCE COMPANY OF NEW YORK 

717 FIFTH AVENUE 
 16TH
FLOOR 
 NEW YORK, NEW YORK 10022 

COMPANY NAME CHANGE 

ENDORSEMENT 
 Effective
September 11,1991, Royal Tandem Lite Insurance Company has changed its name to ML Life Insurance Company of New York. All references in the policy to the name Royal Tandem Life Insurance Company are replaced with the name ML Life insurance
Company of New York as of that date. 
 All other provisions of the policy remain unchanged. 

 

	
	 

	  

Barry G. Saolnick, Secretary

	

 IMPORTANT: This endorsement becomes a part of your policy and should be attached to and kept with your policy.

  
 C - 16Exhibit (4)(c)

 EXHIBIT (4)(c) 

FORM OF ASSUMPTION CERTIFICATES 

			
		  	 (for use with all policies and

contracts other than variable
 annuity
policies.)

 EXHIBIT F 

to 
 ASSUMPTION
REINSURANCE AGREEMENT 
 ASSUMPTION CERTIFICATE 

Policy or Contract Number:
                                         
                    
 This is to certify
that as of 12:01 a.m. (standard time at the address of the owner of the above captioned policy or contract) on             , 1991,
        (Name of Reinsurer)        , a
                                 stock insurance company, hereby assumes all
liability for performance of the terms of the policy or contract identified above and issued by FAMILY LIFE INSURANCE COMPANY, a Washington stock insurance company, the same as if it had been originally issued by
        (Name of Reinsurer)        . 
 Signed at the
executive offices of         (Name of Reinsurer)         at
                                . 

 

	
	  

	 , President

  

	
	  

	 , Secretary

 IMPORTANT 

This certificate becomes a part of your policy and should be attached thereto. All correspondence and inquiries should be directed to
        (Name of Reinsurer)        , 

                          
                                         
                                         
                                         
                                        
                                    

                          
                                         
                                         
                                         
                                        
                                    

                 (address). 

Form No.                      

			
		  	 (To be utilized for current

variable annuity contracts.)

 EXHIBIT F 

to 
 ASSUMPTION
REINSURANCE AGREEMENT 
 ASSUMPTION CERTIFICATE 

Policy or Contract Number:
                                         
                    
 This is to certify
that as of 12:01 a.m. (at the address of the owner of the above captioned policy or contract) on             , 19     ,
        (Name of Reinsurer)        , a
                                 stock insurance company, hereby assumes all
liability for performance of the terms of the policy or contract identified above and issued by FAMILY LIFE INSURANCE COMPANY, a Washington stock insurance company, the same as if it had been originally issued by
        (Name of Reinsurer)        . 
 The Variable
Account mortality risk charge described in Section 4.3 of the contract, which on an annual basis equals 0.8% of the daily net asset value of the Variable Account, is modified so that a portion of such charge, equivalent on an annual basis to
0.05% of such daily net asset value, will be for distribution expenses and the remainder, equivalent on an annual basis to 0.75% of such daily net asset value, will be for mortality guarantees made under the contract. This change has no impact,
favorable or unfavorable, on your contract value. 
 Signed at the executive offices of
        (Name of Reinsurer)         at
                            . 

 

	
	  

	 , President

  

	
	  

	 , Secretary

 IMPORTANT 

This certificate becomes a part of your policy and should be attached thereto. All correspondence and inquiries should be directed to
        (Name of Reinsurer)        , 

                          
                                         
                                         
                                         
                                        
                                    

                          
                                         
                                         
                                         
                                        
                                    

                 (address). 

Form No.                      

			
		  	 (To be utilized for formerly

issued variable annuity
 contracts.)

 EXHIBIT F 

to 
 ASSUMPTION
REINSURANCE AGREEMENT 
 ASSUMPTION CERTIFICATE 

Policy or Contract Number:                      

This is to certify that as of 12:01 a.m. (at the address of the owner of the above captioned policy or contract) on
            , 19     ,         (Name of Reinsurer)        , a
             stock insurance company, hereby assumes all liability for performance of the terms of the policy or contract identified above and issued by FAMILY LIFE INSURANCE
COMPANY, a Washington stock insurance company, the same as if it had been originally issued by         (Name of Reinsurer)        . 

The mortality risk premium described in the contract in Section 3 under “Charges and Deductions,” which on an annual basis
equals 0.8% of the daily net asset value of the Separate Account, is modified so that a portion of such charge, equivalent on an annual basis to 0.05% of such daily net asset value, will be for distribution expenses and the remainder, equivalent on
an annual basis to 0.75% of such daily net asset value, will be for mortality guarantees made under the contract. This change has no impact, favorable or unfavorable, on your contract value. 

Signed at the executive offices of         (Name of
Reinsurer)         at             . 
  

	
	  

	 , President

  

	
	  

	 , Secretary

 IMPORTANT 

This certificate becomes a part of your policy and should be attached thereto. All correspondence and inquiries should be directed to
        (Name of Reinsurer)        , 

                          
                                         
                                         
                                         
                                        
                                    

                          
                                         
                                         
                                         
                                        
                                    

                 (address). 

Form No.

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00232-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00232-of-00352.parquet"}]]