Common use of DECLARATIONS Clause in Contracts

DECLARATIONS. Each of the undersigned declares, understands and agrees that: - The answers provided above are complete and true to the best of his/her knowledge and belief. - If the answers to the Health Questions contained in this Agreement or the Application are incorrect, incomplete or untrue, the Company will have the right to deny benefits under this Agreement. X Date: ----------------------------------- ------------------------------ Proposed Primary Insured Signature X Date: ----------------------------------- ------------------------------ Proposed Policy Owner Signature (if other than the Proposed Insured) RECEIPT OF PAYMENT A premium payment of $ has been submitted with the Application or Request. Additional premium may be required upon Policy delivery. All premium checks must be made payable to Hartford Life Insurance Company or Hartford Life and Annuity Insurance Company. Do not make check(s) payable to the Agent or leave the payee blank. X Date: ----------------------------------- ------------------------------ Agent Signature OWNER'S COPY Allocated Retention. Pool -- Effective 10/1/2008 Between HLIC and TFLIC 98 EXHIBIT VII REINSURANCE REPORTS EFFECTIVE OCTOBER 1, 2008

DECLARATIONS. Each of the undersigned declares, understands and agrees that: - The answers provided above are complete and true to the best of his/her knowledge and belief. - If the answers to the Health Questions contained in this Agreement or the Application are incorrect, incomplete or untrue, the Company will have the right to deny benefits under this Agreement. X Date: ----------------------------------- ------------------------------ Proposed Primary Insured Signature X Date: ----------------------------------- ------------------------------ Proposed Policy Owner Signature (if other than the Proposed Insured) RECEIPT OF PAYMENT A premium payment of $ has been submitted with the Application or Request. Additional premium may be required upon Policy delivery. All premium checks must be made payable to Hartford Life Insurance Company or Hartford Life and Annuity Insurance Company. Do not make check(s) payable to the Agent or leave the payee blank. X Date: ----------------------------------- ------------------------------ Agent Signature OWNER'S COPY Allocated Retention. Retention Pool (Excess Risks) -- Effective 10/1/2008 October 1, 2008 Between HLIC HLAIC and TFLIC 98 Canada Life 104 EXHIBIT VII REINSURANCE REPORTS EFFECTIVE OCTOBER 1, 2008

DECLARATIONS. Each of the undersigned declares, understands and agrees that: - The answers provided above are complete and true to the best of his/her knowledge and belief. - If the answers to the Health Questions contained in this Agreement or the Application are incorrect, incomplete or untrue, the Company will have the right to deny benefits under this Agreement. X Date: ----------------------------------- ------------------------------ Proposed Primary Insured Signature X Date: ----------------------------------- ------------------------------ Proposed Policy Owner Signature (if other than the Proposed Insured) RECEIPT OF PAYMENT A premium payment of $ has been submitted with the Application or Request. Additional premium may be required upon Policy delivery. All premium checks must be made payable to Hartford Life Insurance Company or Hartford Life and Annuity Insurance Company. Do not make check(s) payable to the Agent or leave the payee blank. X Date: ----------------------------------- ------------------------------ Agent Signature OWNER'S COPY Allocated Retention. Retention Pool (Excess Risks) -- Effective 10/1/2008 October 1, 2008 Between HLIC and TFLIC 98 Canada Life 104 EXHIBIT VII REINSURANCE REPORTS EFFECTIVE OCTOBER 1, 2008

DECLARATIONS. Each of the undersigned declares, understands and agrees that: - The answers provided above are complete and true to the best of his/her knowledge and belief. - If the answers to the Health Questions contained in this Agreement or the Application are incorrect, incomplete or untrue, the Company will have the right to deny benefits under this Agreement. X DateDATE: ----------------------------------- ------------------------------ Proposed Primary Insured Signature X DateDATE: ----------------------------------- ------------------------------ Proposed Policy Owner Signature (if other than the Proposed Insured) RECEIPT OF PAYMENT A premium payment of $ has been submitted with the Application or Request. Additional premium may be required upon Policy delivery. All premium checks must be made payable to Hartford Life Insurance Company or Hartford Life and Annuity Insurance Company. Do not make check(s) payable to the Agent or leave the payee blank. X DateDATE: ----------------------------------- ------------------------------ Agent Signature OWNER'S COPY Allocated Retention. Retention Pool (Non-Excess Risks) -- Effective 10/1/2008 October 1, 2008 Between HLIC and TFLIC Canada Life ▇▇▇ ▇▇▇▇▇ 98 EXHIBIT VII REINSURANCE REPORTS EFFECTIVE OCTOBER 1, 2008

DECLARATIONS. Each of the undersigned declares, understands and agrees that: - The answers provided above are complete and true to the best of his/her knowledge and belief. - If the answers to the Health Questions contained in this Agreement or the Application are incorrect, incomplete or untrue, the Company will have the right to deny benefits under this Agreement. X DateDATE: ----------------------------------- ------------------------------ Proposed Primary Insured Signature X DateDATE: ----------------------------------- ------------------------------ Proposed Policy Owner Signature (if other than the Proposed Insured) RECEIPT OF PAYMENT A premium payment of $ has been submitted with the Application or Request. Additional premium may be required upon Policy delivery. All premium checks must be made payable to Hartford Life Insurance Company or Hartford Life and Annuity Insurance Company. Do not make check(s) payable to the Agent or leave the payee blank. X DateDATE: ----------------------------------- ------------------------------ Agent Signature AGENT SIGNATURE OWNER'S COPY Allocated Retention. Retention Pool (Non-Excess Risks) -- Effective 10/1/2008 October 1, 2008 Between HLIC and TFLIC Canada Life ▇▇▇ ▇▇▇▇ 98 EXHIBIT VII REINSURANCE REPORTS EFFECTIVE OCTOBER 1, 2008

DECLARATIONS. Each of the undersigned declares, understands and agrees that: - The answers provided above are complete and true to the best of his/her knowledge and belief. - If the answers to the Health Questions contained in this Agreement or the Application are incorrect, incomplete or untrue, the Company will have the right to deny benefits under this Agreement. X DateDATE: ----------------------------------- ------------------------------ Proposed Primary Insured Signature X DateDATE: ----------------------------------- ------------------------------ Proposed Policy Owner Signature (if other than the Proposed Insured) RECEIPT OF PAYMENT A premium payment of $ has been submitted with the Application or Request. Additional premium may be required upon Policy delivery. All premium checks must be made payable to Hartford Life Insurance Company or Hartford Life and Annuity Insurance Company. Do not make check(s) payable to the Agent or leave the payee blank. X DateDATE: ----------------------------------- ------------------------------ Agent Signature OWNER'S COPY Allocated Retention. Retention Pool (Non-Excess Risks) -- Effective 10/1/2008 October 1, 2008 Between HLIC Canada Life and TFLIC HLAIC 98 EXHIBIT VII REINSURANCE REPORTS EFFECTIVE OCTOBER 1, 2008

DECLARATIONS. Each of the undersigned declares, understands and agrees that: - The answers provided above are complete and true to the best of his/her knowledge and belief. - If the answers to the Health Questions contained in this Agreement or the Application are incorrect, incomplete or untrue, the Company will have the right to deny benefits under this Agreement. X Date: ----------------------------------- ------------------------------ Proposed Primary Insured Signature X Date: ----------------------------------- ------------------------------ Proposed Policy Owner Signature (if other than the Proposed Insured) RECEIPT OF PAYMENT A premium payment of $ has been submitted with the Application or Request. Additional premium may be required upon Policy delivery. All premium checks must be made payable to Hartford Life Insurance Company or Hartford Life and Annuity Insurance Company. Do not make check(s) payable to the Agent or leave the payee blank. X Date: ----------------------------------- ------------------------------ Agent Signature OWNER'S COPY Allocated Retention. Pool -- Effective 10/1/2008 Between HLIC ILA and TFLIC TLIC 98 EXHIBIT VII REINSURANCE REPORTS EFFECTIVE OCTOBER 1, 2008