Document:

exhibit4c.htm

Exhibit 4(c)

CONTRACT SPECIFICATIONS

Contract Number:                                          99-0000408

Annuitant:                                                      ALDESL

Age at Issue:                                                      51

Contract Date:                                               Jan 31, 2011

Initial Purchase Payment:                              $50,000.00

Maturity Date:                                                June 13, 2034

Owner(s):                                                      TEST

Beneficiary Designation:                                Refer to the Client Information Profile

Death Benefit on Contract Date:     ACCOUNT VALUE

PURCHASE PAYMENT AND ALLOCATION REQUIREMENTS:

Minimum Subsequent Purchase Payment Transmitted Electronically: $25

Minimum Subsequent Purchase Payment Transmitted Other Than Electronically: $100

Minimum Allocation to Any One Variable Subaccount: $20

Minimum Allocation to The DCA Fixed Account: $1,500

ACCOUNT FEE:

The Account Fee is $30 per Contract Year. The Account Fee will be deducted on the first Valuation Date following the last day of each Contract Year. If the contract is surrendered prior to the last day of a Contract Year, the full Account Fee will be deducted upon the surrender. The Account Fee will be deducted from each Variable Subaccount and the DCA Fixed Account on a pro-rata basis. The Account Fee will be waived for any Contract Year in which the Contract Value equals or exceeds $100,000.00 as of the Valuation Date on which the Account Fee would otherwise be deducted. The Account Fee will be waived after 15 Contract Years. The Account Fee will also be waived on and after the Annuity Commencement Date.

VARIABLE ACCOUNT:

The Variable Account for this Contract is the Lincoln Life & Annuity Variable Annuity Account H.

DCA FIXED ACCOUNT:

Minimum Guaranteed Interest Rate:

Contract Years 1 through 10: 2.00%

Contract Years 11 and later: 3.00%

INITIAL GUARANTEED PERIOD / INTEREST RATE: /

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VARIABLE ACCOUNT REQUIREMENTS:

	
  

	
MORTALITY AND EXPENSE RISK AND ADMINISTRATIVE CHARGE PRIOR TO THE ANNUITY COMMENCEMENT DATE:

	
  

	
We assess a daily charge equal on an annual basis to the percentages shown of the average daily net asset value of each Variable Subaccount. The daily charge will not exceed the percentage(s) shown. If on the Contract Date, one of the below listed Death Benefit Option(s) has been selected, the Mortality and Expense Risk and Administrative Charge will be as indicated for the Death Benefit Option selected.

	
Death Benefit Option(s):

	
Charges:

	
- Contract Value Death Benefit

	
1.60%

	
- Guarantee of Principal Death Benefit

	
1.65%

	
- Enhanced Guaranteed Minimum Death Benefit:

	
1.90%

MORTALITY AND EXPENSE RISK AND ADMINISTRATIVE CHARGE ON OR AFTER THE ANNUITY COMMENCEMENT DATE: 1.40%

The daily charge will not exceed the percentage shown.

PERSISTENCY CREDIT:

The amount of the Persistency Credit is calculated by multiplying the Contract Value, less any Purchase Payments that have not been invested in this Contract for a minimum of 5 years, by the quarterly Persistency Credit percentage of 0.0875%. The amount of any Persistency Credit will never be less than zero.

TRANSFER REQUIREMENTS PRIOR TO THE ANNUITY COMMENCEMENT DATE:

Transfers cannot be made during the first 30 days.

LNY reserves the right to require a 30 day minimum time period between each transfer.

Maximum Number of Transfers: 12 per Contract Year, excluding automatic DCA transfers. There will be no fee imposed for these twelve (12) transfers. Transfers in excess of 12 per Contract Year must be authorized by LNY.  LNY reserves the right to impose a fee for any transfer in excess of 12 per Contract Year. This fee will not exceed $25.

Variable Account:

Minimum Single Transfer Amount From a Variable Subaccount: The lesser of 1) $300; or 2) the remaining amount in the Variable Subaccount. Transfers to the DCA Fixed Account are not allowed.

Minimum Transfer Amount To a Variable Subaccount: $300

DCA Fixed Account:

Minimum Single Transfer Amount From The DCA Fixed Account: The lesser of 1) $300; or 2) the remaining amount in the DCA Fixed Account. This restriction does not apply to automatic DCA transfers.

30070BNY CD3(3-10) American Legacy® Signature

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WITHDRAWAL AND SURRENDER REQUIREMENTS:

Minimum Partial Withdrawal Amount: $300

Contingent Deferred Sales Charge (CDSC): Withdrawals and/or Surrenders will be subject to the CDSC. The CDSC is calculated separately for each Purchase Payment to which a charge applies. However, the Owner may withdraw up to the Free Withdrawal Amount during a Contract Year without incurring a CDSC. The remaining value will be subject to the CDSC.

CDSC applies as follows:

	
Number of Contract Anniversaries Since a Purchase Payment Was Invested

	
CDSC as a percentage of the Surrendered or Withdrawn Purchase Payment

	
Less than 1 year

	
6.0%

	
At Least 1

	
6.0%

	
At Least 2

	
5.0%

	
At Least 3

	
4.0%

	
At Least 4

	
0.0%

Waiver of Contingent Deferred Sales Charge (CDSC): The withdrawal of a portion of the Contract Value of the surrender of this Contract, prior to the Annuity Commencement Date may be subject to a CDSC, except that such charges do not apply to the following:

	
a.  

	
Each withdrawal of the Free Withdrawal Amount.

	
b.  

	
A surrender or withdrawal as a result of the permanent and total disability of the Owner. Permanent and total disability is disability that prevents the Owner from engaging in any occupation for remuneration or profit and which has existed continuously for a period of 12 months and begins prior to the 65th birthday of the disabled Owner, provided that written proof of total disability is sent to LNY at its Servicing Office.

	
c.  

	
A surrender or withdrawal as a result of the diagnosis of a terminal illness of the Owner. Diagnosis of the terminal illness must be subsequent to the Contract Date and result in a life expectancy of less than 12 months, as determined by a qualified professional medical practitioner.

	
d.  

	
A surrender or withdrawal as a result of the admittance of the Owner into an accredited nursing home or equivalent health care facility. Admittance in such a facility must be subsequent to the Contract Date and continue for 90 consecutive days prior to the surrender or withdrawal.

	
e.  

	
A surrender or withdrawal as a result of the death of the Owner or Annuitant.

	
f.  

	
The annuitization of the Contract.

If a non-natural person is the Owner of the Contract, the Annuitant or Joint Annuitant will be considered the Owner of the Contract for purposes of this provision.

Free Withdrawal Amount: The Free Withdrawal Amount is the greater of:

	
a.  

	
10% of the Contract Value, where the percentages are based upon the Contract Value at the time of the current withdrawal, to the extent that the sum of the percentages of the Contract Value withdrawn does not exceed this 10% maximum; or

	
b.  

	
10% of the total Purchase Payments, where the percentages are based upon the total Purchase Payments to the Contract at the time of the current withdrawal to the extent that the sum of the percentages of the Purchase Payments withdrawn does not exceed 10% maximum.

The Free Withdrawal Amount does not apply to a surrender of this Contract.

For purposes of calculating the CDSC on withdrawals, LNY assumes that:

30070BNY CD3(3-10) American Legacy® Signature

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a.  

	
The Free Withdrawal Amount will be withdrawn from Purchase Payments on a “first in-first out” (FIFO) basis.

	
b.  

	
Prior to the fourth anniversary of the Contract Date, any amount withdrawn above the Free Withdrawal Amount during a Contract Year will be withdrawn in the following order:

	
1.  

	
from Purchase Payments (FIFO) until exhausted; then

	
2.  

	
from Earnings until exhausted.

	
c.  

	
On or after the fourth anniversary of the Contract Date, any amount withdrawn above the Free Withdrawal Amount during the Contract Year will be withdrawn in the following order:

	
1.  

	
from Purchase Payments (FIFO) to which a CDSC no longer applies until exhausted; then

	
2.  

	
from Earnings until exhausted; then

	
3.  

	
from Purchase Payments (FIFO) to which a CDSC still applies until exhausted.

DEATH BENEFIT REQUIREMENTS PRIOR TO THE ANNUITY COMMENCEMENT DATE:

The Owner may select a Death Benefit Option(s) to be effective as of the Contract Date. If no Death Benefit Option is selected, the Guarantee of Principal Death Benefit will be the Death Benefit effective as of the Contract Date.

ANNUITY PAYMENT REQUIREMENTS:

Determination of the First Annuity Payment Date:

For 100% Fixed Annuity Payment, the Annuity Payment Date must be at least 30 days after the Annuity Commencement Date. If any portion of the annuity payment will be on a variable basis, the Annuity Payment Date will be 14 days after the Annuity Commencement Date. The Annuity Unit value, if applicable, and Contract Value used to effect annuity payments will be determined as of the Annuity Commencement Date.

Minimum Annuity Payment Amount: $50

Minimum Guaranteed Interest Rate for the Fixed Annuity Payment: 1.50%

Assumed Investment Rate for the Variable Annuity Payment: Between 3.0% - 5.0%

WITH A MORTALITY AND EXPENSE RISK AND ADMINISTRATIVE CHARGE OF 1.40%, THE SMALLEST RATE OF INVESTMENT RETURN REQURIED TO ENSURE THAT THE DOLLAR AMOUNT OF VARIABLE ANNUITY PAYMENTS DOES NOT DECREASE IS:

4.40% FOR VARIABLE ANNUITY OPTIONS BASED ON AN ASSUMED RATE OF RETURN OF 3.0% PER YEAR; OR

5.40% FOR VARIABLE ANNUITY OPTIONS BASED ON AN ASSUMED RATE OF RETURN OF 4.0% PER YEAR; OR

6.40% FOR VARIABLE ANNUITY OPTIONS BASED ON AN ASSUMED RATE OF RETURN OF 5.0% PER YEAR.

 

 

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30070BNY CD3(3-10) American Legacy® Signatureexhibit4g.htm

Exhibit 4(g)

GUARANTEED ACCUMULATED VALUES

AND SURRENDER VALUES

FOR DCA FIXED ALLOCATIONS*

	
$10,000 Single Contribution

	
End of

Year

 

	
Guaranteed

Accumulated

Value

	
Guaranteed

Surrender

Value

	
1

	
$8,160.00

	
$7,560.00

	
2

	
6,218.96

	
5,618.96

	
3

	
4,207.91

	
3,707.91

	
4

	
2,130.07

	
1,730.07

	
5

	
0.00

	
0.00

*Guaranteed Values are based on the guaranteed interest rate of 2.0%. These values do not provide for premium tax, if any.

The Guaranteed Values illustrated above assume a single $10,000 Purchase Payment allocated to the 60-month DCA Fixed Account, where transfers from the DCA Fixed Account occur at the beginning of each month and the amount of each transfer is determined according to the declining ratio method. Under the declining ratio method, the amount of each transfer is determined by dividing the current accumulated value by the number of years, half-years, quarters or months remaining in the DCA period, where transfers from the DCA Fixed Account occur on an annual, semi-annual, quarterly or monthly basis, respectively.

 

 

 

 

 

 

 

 

 

 

NYLGV 6/05

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