Exhibit 4.(i)

EAGLE

LIFE INSURANCE COMPANY

▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇

West Des Moines, Iowa 50266

(▇▇▇) ▇▇▇-▇▇▇▇

A STOCK LIFE INSURANCE COMPANY

We pay the benefits of this Contract, subject to all of its provisions, terms and conditions.  We issue this Contract based on the attached Application and payment of the Initial Premium on or before the Contract Date.

15 DAY RIGHT TO EXAMINE CONTRACT

YOU MAY RETURN THIS CONTRACT TO YOUR AGENT OR OUR HOME OFFICE FOR UP TO 15 DAYS AFTER YOU RECEIVE IT.  THIS CONTRACT WILL BE VOID UPON OUR, OR OUR AGENT’S, RECEIPT OF YOUR RETURNED CONTRACT.  WITHIN 10 DAYS OF THE EARLIER OF OUR, OR OUR AGENT’S, RECEIPT OF YOUR RETURNED CONTRACT, WE WILL REFUND ANY PREMIUM PAID.

Signed for the Company at Des Moines, Iowa, on the Contract Date.

FLEXIBLE PREMIUM DEFERRED INDEXED ANNUITY CONTRACT

Index Credits currently linked to the S&P 500 Index

With Market Value Adjustment Provision

Which May Increase or Decrease Cash Surrender Values

Death Benefit Prior to Maturity

Monthly Income at Maturity

No Dividends

This is a legal Contract between You and Us.

READ YOUR CONTRACT CAREFULLY

1

TABLE OF CONTENTS

“Standard & Poor’s®”, “S&P®”, “S&P 500®”, “Standard & Poor’s 500” and “500” are trademarks of The ▇▇▇▇▇▇-▇▇▇▇ Companies, Inc. and have been licensed for use by Eagle Life Insurance Company.  This Product is not sponsored, endorsed, sold or promoted by Standard & Poor’s and Standard & Poor’s makes no representation regarding the advisability of purchasing this Product.

2

CONTRACT SPECIFICATIONS

*Applies to Minimum Guaranteed Surrender Value only.

3

CONTRACT SPECIFICATIONS

*Applies to Minimum Guaranteed Surrender Value only.

3

CONTRACT SPECIFICATIONS

*Applies to Minimum Guaranteed Surrender Value only.

3

VALUE OPTIONS SPECIFICATIONS

FIXED VALUE OPTION

INDEXED VALUE OPTIONS

The above Indexed Value Specification limit applies to each Indexed Value Option listed below.

ANNUAL POINT TO POINT VALUE OPTION

MONTHLY POINT TO POINT (MPT) VALUE OPTION

Index Credits may not be reflected in Your Cash Surrender Value due to the calculation of the Minimum Guaranteed Surrender Value described on Page 7.

Note:  You may check current indices in the Wall Street Journal, in ▇▇▇▇▇▇’▇, on the Internet, or with Your financial advisor.

3a

DEFINITIONS

In this Contract, these terms mean:

4

GENERAL PROVISIONS

CONTRACT

This Contract, attached Application, and any attached amendments, riders or endorsements make up the entire Contract.

CONTRACT CHANGES

No one may change any part of this Contract or waive any provision except You or one of Our officers.  Both must agree to the change.  All changes must be in writing.

CONFORMITY WITH THE LAW

The provisions of this Contract conform to the minimum requirements of the issue state.  The laws of the issue state control over any conflicting laws of any other state where the Owner may live on or after the Contract Date.

CHANGES IN THE LAW

We will amend this Contract to comply with any changes in laws governing it or taxation of benefits under it.

OWNERSHIP*

This Contract belongs to You.  You have all rights, subject to the rights of; any irrevocable Beneficiary; any assignee of record with Us; and any restricted Ownership.  You may change the Owner by giving Us written Notice.  We reserve the right, except to the extent prohibited by applicable state law or regulation, or by the action of the insurance commissioner, bank commissioner, or any agency or officer performing like functions of the applicable State, to require that any change of Owner will be effective only upon Our acceptance, and to refuse such changes at any time on a non-discriminatory basis.  No change applies to any action We take before receiving Notice.  A change of Owner does not change the Beneficiary.

ASSIGNMENT*

You may assign this Contract by giving Us written Notice.  We reserve the right, except to the extent prohibited by applicable state law or regulation or by the action of the insurance commissioner, bank commissioner, or any agency or officer performing like functions of the applicable State, to require that assignment will be effective only upon Our acceptance, and to refuse assignments at any time on a non-discriminatory basis.  No assignment applies to any action We take before receiving Notice.

*Qualified contracts may not be transferred or assigned.

INCONTESTABILITY

We will not contest this Contract after it has been in force during the Annuitant’s lifetime for 2 years from the Issue Date.  In the absence of fraud, statements on the Application are representations and not warranties.  Read the Application, a copy of which is attached.  If anything is not true or complete to the best of Your knowledge and belief, Notify Us.

NONFORFEITABILITY

Before the Maturity Date, the Cash Surrender Value is always nonforfeitable.

INTEREST RATES

The rate and duration of the Initial Fixed Value Interest Rate shown on Page 3a apply only to Your Fixed Value Initial Premium.  We declare Our Current Fixed Value Initial Interest Rate in advance and guarantee it will never be less than the Fixed Value Minimum Guaranteed Interest Rate.  The Minimum Guaranteed Interest Rate (MGIR) shown on Page 3, applies to Minimum Guaranteed Surrender Value only, is based on the average of the 5 Year Constant Maturity Treasury Rate for October of the previous year, and is guaranteed until this Contract terminates.  All Interest Rates are calculated as an effective annual rate, compounded daily.

RESERVE BASIS

The reserve method and basis for this Contract are on file with the Insurance Department in Your state.

STATEMENT OF VALUES

Once each year, We will send You a Statement of Values.  It will show:

(1)           All Premiums paid;

(2)           Withdrawals;

(3)           Values;

(4)           Interest Rates;

(5)           Cap Rate(s)

TERMINATION

This Contract Terminates on the earliest of:

(1)                                  The date You do not maintain Minimum Values as described on Page 9;

(2)                                  The date You choose to exercise the Annuitization Option described on Page 10;

(3)                                  The date You Surrender Your Contract;

(4)                                  The date the Annuitant or Owner dies; or

(5)                                  The Maturity Date.

5

PREMIUM PROVISIONS

PAYMENT AND ALLOCATION OF PREMIUMS

The Initial Premium, the amount We receive with Your Application, as shown on Page 3, is due on the Contract Date.  You may direct all or any portion of Your Initial Premium to either Your Fixed Value Option, either of the Indexed Value Options, or any combination thereof, subject to the Limitations below.  You may make Additional Premium payments after the Initial Premium in any amount and frequency, also subject to Limitations below.  Your Additional Premiums will automatically go into Your Fixed Value Option as described in Transfer of Additional Premium Payments below.

If mandated under applicable law, We may be required to reject a Premium Payment.  We may also be required to provide additional information about an Owner and an Owner’s Contract to government regulators.

TRANSFER OF ADDITIONAL PREMIUM PAYMENTS

We will hold Your Additional Premiums in Your Fixed Value Option, credit Interest as described in Fixed Value Option section, and unless You elect otherwise under Transfer of Values Option, the Premiums and interest thereon will remain in the Fixed Value Option.

LIMITATIONS

(1)                                 Initial Premium

a.             The minimum Initial Premium We will accept is $10,000.

b.             The minimum required to select allocation to an Indexed Value Option is 10% of Your Initial Premium.

(2)                                 Additional Premiums - You may pay Additional Premiums if:

a.             The Contract is in force;

b.             The Annuitant and Owner are alive;

c.             The Additional Premium is at least $1,000; and

d.             The maximum cumulative Premium per Owner/annuitant is $1,000,000.

CONTRACT VALUES PROVISIONS

CONTRACT VALUE

Your Contract Value equals the sum of:

(1)           The value of Your Fixed Value Option; plus

(2)           The value of Your Indexed Value Options.

We allocate Your Premiums between Your Fixed and/or Indexed Value Options as You direct, subject to Our rules governing Premium allocation.  See “PREMIUM PROVISIONS” section on Page 6.

CASH SURRENDER VALUE

The Cash Surrender Value is the amount of Proceeds payable if You Surrender this Contract during the Surrender Charge Period, and is equal to the greater of:

(1)                                Contract Value minus any applicable Surrender Charges and plus or minus applicable MVA, each calculated as described below; or

(2)                                Minimum Guaranteed Surrender Value.

6

MINIMUM GUARANTEED SURRENDER VALUE

The Surrender Value of Your Contract will never be less than:

(1)                                  87.5% of all Premiums; less

(2)                                  Any Withdrawal Proceeds;

(3)                                  Accumulated at Minimum Guaranteed Interest Rate as shown on Page 3.

SURRENDER CHARGE

We take a Surrender Charge on Partial Withdrawals or full Surrenders during the Surrender Charge Period. We calculate Surrender Charges as follows:

(1)                                  At Partial Withdrawal, the Withdrawal Amount times the applicable Surrender Charge Percentage shown on Page 3; or

(2)                                  At Surrender, the Contract Value, plus any Penalty-Free Withdrawal Proceeds taken in the last 12 months, times the applicable Surrender Charge Percentage shown on Page 3.

MARKET VALUE ADJUSTMENT (MVA)

The Market Value Adjustment is an amount by which we adjust pay-out amounts during the Surrender Charge Period, and is calculated as follows:

(1)                             At Partial Withdrawal, the Withdrawal Amount times the (MVA Factor minus 1); or

(2)                             At Surrender, the sum of Contract Value, plus any Penalty-Free Withdrawal Proceeds taken in the last 12 months, times the (MVA Factor minus 1).

The MVA Factor = [A/B]t

Where

A is [1 + (the Initial Fixed Value Interest Rate for this Contract on the Contract Date)] less 0.5%.

B is [1 + (the Initial Fixed Value Interest Rate for this Contract on the date of Surrender or Withdrawal for new issues of this Contract)]. If this Contract is no longer being issued Our Board of Directors will declare the Interest Rate used in B.

t is [Number of days from the date of Surrender or Partial Withdrawal to the next Contract Anniversary, divided by 365 plus the number of whole years remaining in the Surrender Charge Period shown on Page 3.]

The MVA can be positive or negative and will never cause the Cash Surrender Value at Surrender to be greater than the Contract Value or less than the Minimum Guaranteed Surrender Value.  After the Surrender Charge Period, the MVA Factor is (1) one.

FIXED VALUE OPTION

The value of the Fixed Value Option equals:

(1)                                 On Contract Date - the Initial Fixed Value Premium shown on Page 3a, if any.

(2)                                 At each Anniversary:

a.                                       The value of the Fixed Value Option on the last Anniversary*; plus

b.                                      Any Premiums paid since the last Anniversary; less

c.                                       Any Withdrawal Amounts since last Anniversary; plus

d.                                      Interest credited**; plus or minus

e.                                       Any Transferred Values on the current Anniversary.

(3)                                 Between Anniversaries:

a.                                       The value of the Fixed Value Option on the last Anniversary*; plus

b.                                      Any Premiums paid since the last Anniversary; less

c.                                       Any Withdrawal Amounts since the last Anniversary; plus

d.                                      Interest credited.**

**Never less than FV-MGIR shown on Page 3a.

7

INDEX

The Index on the Issue Date is shown on Page 3a and is the Index on the last Index Date.  If the Index is not available for any Index Date, We will use the Index on the first preceding day for which it is available.  Indices are published in the Wall Street Journal.  If: (i) the Index is discontinued; (ii) We are unable to use the Index or; (iii) the calculation of the Index is changed substantially, We may substitute a suitable alternative equity index for the Index and will Notify You.

If the Index is discontinued during a Contract Year, We may transfer the value of Your Indexed Value Options to Your Fixed Value Option and credit the amount transferred with the Current Fixed Value Interest Rate for the remainder of the Contract Year.  We treat any portion of the Contract Year in which the amount transferred remained in the Indexed Value Option as a full Contract Year for the purpose of crediting any Index Credits.

We may terminate or substitute any of the Indexed Value Options at any time by sending You written notice at Your last known address at least 60 days in advance of the effective date on which the Indexed Value Option will terminate or be substituted.

INDEXED VALUE OPTIONS:

The value of the Indexed Value Options equals the value of the Annual Point to Point Value Option plus the value of the Monthly Point to Point Value Option.

Annual Point to Point Value Option — The value of the Annual Point to Point Value Option equals:

(1)                                 On the Contract Date - The Annual Point to Point Value Option Initial Premium shown on Page 3a, if any.

(2)                                 At each Anniversary:

a.             The value of the Annual Point to Point Value Option on the last Anniversary*; less

b.             Any Withdrawal Amounts since the last Anniversary; plus

c.             Annual Point to Point Value Option Index Credits; plus or minus

d.             Any Transferred Values on the current Anniversary.

(3)                                 Between Anniversaries:

a.             The value of the Annual Point to Point Value Option on the last Anniversary*; less

b.             Any Withdrawal Amounts since last Anniversary.

Monthly Point to Point Value Option — The value of the Monthly Point to Point Value Option equals:

(1)                                 On the Contract Date — The MPT Value Option Initial Premium shown on Page 3a, if any.

(2)                                 At each Anniversary =

a.             The value of the MPT Value Option on the last Anniversary*; less

b.             Any Withdrawal Amounts since the last Anniversary; plus

c.             MPT Value Option Index Credit; plus or minus

d.             Any Transferred Values on the current Anniversary.

(3)                                 Between Anniversaries =

a.             The value of the MPT Value Option on the last Anniversary*; less

b.             Any Withdrawal Amounts since last Anniversary.

*When calculating Values on the first Anniversary or during the first Contract Year (or for the first month or during the first month on the Monthly Point to Point Indexed Value Option), use the Value on the Contract Date.

Transferred Values:  The values transferred from one Value Option to another Value Option on any Anniversary as provided in the Transfer of Values Option section on Page 9

8

TRANSFER OF VALUES OPTION

On each Anniversary, You may transfer Your money between Your Fixed and/or Indexed Value Options, subject to a $1,000 minimum to maintain an Indexed Value Option.  We calculate and apply Index Credits before we process Transfers.

To transfer Your money between Options, We must receive Our completed Transfer of Values form on or before the Anniversary on which You want the transfer to occur, or on another date which We may determine later.

If mandated under applicable law, We may block an Owner’s account and refuse to process any request for Transfer until We receive instructions from the appropriate regulator.

MINIMUM VALUES

To be maintained, the value of an Indexed Value Option must contain at least $1,000.  If, through Withdrawals or Transfers, You reduce an Indexed Value Option to less than $1,000, We will automatically close that Indexed Value Option and transfer the remaining funds to Your Fixed Value Option on the next Contract Anniversary.  To be maintained, Your Contract must contain at least the Minimum Contract Value Allowed as shown on Page 3.  If through Withdrawals You reduce Your Contract Value to less than the Minimum Contract Value Allowed, Your Contract will automatically Terminate and We will payout any remaining Cash Surrender Value.

INDEX CREDITS are added to the Indexed Value Options on the Contract Anniversary and are calculated as follows:

Annual Point to Point Index Credits —

(1)                                  The Index Price on the current Contract Anniversary; less

(2)                                  The Index Price on the last Anniversary*; divided by

(3)                                  The Index Price on the last Anniversary*;

(4)                                  Result not to exceed Cap; multiplied by

(5)                                  The value of the Annual Point to Point Value Option on the last Anniversary**, less any Withdrawal Amounts during the last Contract Year.

Monthly Point to Point Index Credits -

(1)                                  The value of the MPT Value Option on the last Anniversary;** less

(2)                                  Any Withdrawal Amounts during the last Contract Year; multiplied by

(3)                                  The MPT Sum.

MPT Sum:  The MPT Sum is the sum of the twelve MPT Ratios during each Contract Year.

MPT Ratios:

·                  Index Price on each monthly Index Date; less

·                  The Index Price on the first preceding monthly Index Date*; divided by

·                  The Index Price on first preceding monthly Index Date*; (result not to exceed MPT Cap).

* When calculating an Index Credit for the first Anniversary (or for the first month on the Monthly Point to Point Indexed Value Option) use the applicable Index Price on the Contract Date.

**When calculating Values on the first Anniversary or during the first Contract Year (or for the first month or during the first month on the Monthly Point to Point Indexed Value Option), use the Value on the Contract Date.

Each Index Credit will never be less than zero (0).

9

CONTRACT PROCEEDS AND PAY-OUT PROVISIONS

MINIMUM BENEFITS

Any Proceeds payable under this Contract are at least the minimum required by laws of the issue state.

PREMIUM TAXES

If We are required to pay premium taxes, We re-calculate Your Proceeds at pay-out as if We had deducted premium taxes from Your Premiums as We received them.

PROCEEDS

Proceeds means the amount payable when:

(1)           You take a Withdrawal;

(2)           You Surrender this Contract;

(3)           The Annuitant or Owner dies; or

(4)           The Contract matures.

PAYMENT OF PROCEEDS

We pay Proceeds in one sum, unless You or Your Beneficiary elect to apply all or part of Death or Maturity Proceeds to provide payments under a Settlement Option.  We always pay Withdrawal and Surrender Proceeds in one sum unless You choose the Annuitization Option below.  If pay-out is not immediate, We credit interest on the Proceeds from the date of Withdrawal, Surrender, Maturity, or Death until pay-out.  We add this interest to the Proceeds and pay the greater of:

(1)           The current rate of interest We declare; or

(2)           Any minimum rate required by the laws of the issue state.

If mandated under applicable law, We may block an Owner’s account and refuse to process any request for Transfer, Withdrawal, Surrender or Death Proceeds until We receive instructions from the appropriate regulator.

ADJUSTMENT OF BENEFIT VALUES

If We find an error in the stated Age or sex of any Payee after making payments under a Settlement Option, We adjust the benefits to those that the Values of this Contract would have purchased using the correct Age and sex.  If We find an error and We have made income payments, We:

(1)           Pay the amount of any under-payments, plus interest*, compounded annually; or

(2)                                  Charge the amount of any over-payments, plus interest*, compounded annually, against the next income payments.

* The interest rate will be the greater of 6% or the rate prescribed by state law.

ANNUITIZATION OPTION

You may annuitize Your Surrender Proceeds under this Contract after the first Contract Year for a life option with at least 5 years certain.

MATURITY PAY-OUT PROVISIONS

MATURITY BENEFIT

If the Contract is in force on the Maturity Date, We pay the Maturity Proceeds to the Annuitant as described in Payment of Proceeds section.  The Maturity Proceeds equal the greater of the Contract Value or the Minimum Guaranteed Surrender Value on the Maturity Date.  We may change the mode of payment under a Settlement Option so each payment is at least $50.00.

10

▇▇▇▇▇▇▇▇▇▇ AND SURRENDER PAY-OUT PROVISIONS

DEFERRAL OF PAYMENT

We may defer payment of any Surrender Proceeds for up to six months from the date You Notify Us, as allowed by state law.

WITHDRAWALS

Withdrawal Amount is the amount We deduct from Your Contract Value to provide the Withdrawal Proceeds and does not include any Surrender Charges or MVA adjustments.  Withdrawal Proceeds include amounts withdrawn under both the Penalty-free Withdrawal and Partial Withdrawal Options as follows and are the actual amounts We pay to the Contract Owner after application of any applicable Surrender Charge and MVA adjustment:

(1)                                 Penalty-free Withdrawal Option

Each Contract Year, after the first, You may take one Penalty-free Withdrawal of up to 10% of Your Contract Value.  We determine the amount of Penalty-free Withdrawal Proceeds payable at the time of Withdrawal.  Penalty-free Withdrawal Proceeds equal the Penalty-free Withdrawal amount You request. No MVA or Surrender Charges apply to Penalty-free Withdrawals.  All Withdrawals taken after the end of the Surrender Charge Period are Penalty-free.

(2)                                 Partial Withdrawal Option

You may make Partial Withdrawals at any time subject to Surrender Charges, MVA, and Minimum Values.  We apply MVA and applicable Surrender Charges to:

a.                                       Amounts withdrawn in the first Contract Year;

b.                                      Amounts withdrawn in excess of the Penalty-free Withdrawal Option amount during the Surrender Charge Period; and

c.                                       Any Withdrawals taken after taking a Penalty-free Withdrawal in any Contract Year during the Surrender Charge Period.

We calculate MVAs and Surrender Charges as described on Page 7, pay You the Withdrawal Proceeds, and adjust Your Values as described in Contract Values Provisions.

We deduct Withdrawals first from Your Fixed Value Option, then proportionally from Your Indexed Value Option(s) until We reach the amount You requested.  We process Penalty-free Withdrawals before Partial Withdrawals.  For example, if You request a Withdrawal in excess of the Penalty-free Withdrawal amount, the Penalty-free Withdrawal Option provision applies to the Penalty-free Withdrawal amount with no Surrender Charge or MVA, and the remaining amount falls under the Partial Withdrawal Option provision, and is affected by any applicable Surrender Charges and MVA.  Some Limitations may apply, see Limitations section below.

SURRENDER

If You Surrender this Contract, We pay You the Surrender Proceeds in a single sum or under the Annuitization Option.  Surrender Proceeds equal the Cash Surrender Value on the date of Surrender.

LIMITATIONS

(1)                                 No portion of a Surrender taken during the Surrender Charge Period can be Penalty-free.

(2)                                 We treat any Penalty-free Withdrawal You take within the 12 months before Surrender as having been made in anticipation of Surrender.  Therefore, We apply a Surrender Charge and any applicable MVA to that amount at Surrender.

(3)                                You must maintain Minimum Values, as described on Page 9.

11

DEATH PAY-OUT PROVISIONS

DEATH BENEFIT

Annuitant’s Death -The Death Benefit Proceeds payable equal the greater of Contract Value or the Minimum Guaranteed Surrender Value on the Annuitant’s date of death in the case of a non-natural Owner.

Owner’s Death - The Death Benefit Proceeds payable equal the greater of the Contract Value or the Minimum Guaranteed Surrender Value on the Owner’s date of death.

If any Owner, or Annuitant in the case of a non-natural Owner, dies before the Maturity Date, We pay Death Benefit Proceeds to the Owner’s Beneficiary.  If You did not choose a Settlement Option, the Beneficiary may make a selection within 60 days of Our receiving proof of death.

We pay out the entire Death Benefit Proceeds in a lump sum unless:

(1)                                 It is payable to the Beneficiary over a 5 year period.  Entire Death Benefit Proceeds must be paid within 5 years;

(2)                                 It is payable over the lifetime, or life expectancy, of a designated Beneficiary.  Payment must begin within one year of the date of death; or

(3)                                 The designated Beneficiary is the Owner’s spouse and he or she continues the Contract in his or her name as new Owner.

Death after Maturity Date - If any Owner or the Annuitant dies after the Maturity Date and before the payment of the entire Maturity Proceeds, We pay any remaining balance as provided for in the Settlement Option selected, at least as rapidly as under the method of payment in effect at the Annuitant’s death.

Note:  We pay Death Benefit Proceeds once, at death of the first to die of either an Owner or Annuitant.

INTEREST ON DEATH BENEFIT

We pay interest on the Death Proceeds as described in Payment of Proceeds section.

BENEFICIARY

You named the Beneficiary in the Application.  While the Annuitant is alive You may change the Beneficiary by Notifying Us.  A change will take effect on the date We receive Notice.  Any change is subject to payment or other action We take before receiving Notice.

Unless You Notify Us otherwise, these rules apply:

(1)                                 If You name more than one Beneficiary, and any one Beneficiary dies before the Annuitant, We pay the Death Benefit Proceeds to any surviving Beneficiary(ies).

(2)                                 If any Beneficiary dies within 30 days after the Annuitant dies and We receive Notice of the Death before We pay the Death Benefit Proceeds, We pay it as if the Beneficiary died before the Annuitant.

(3)                                 If You have not named a Beneficiary when the Annuitant dies, We pay the Death Benefit Proceeds to the Annuitant’s estate.

(4)                                 If no named Beneficiary is alive when the Annuitant dies, We pay the Death Benefit Proceeds to the Annuitant’s estate.

(5)                                 We pay equal amounts when more than one Beneficiary is to share the Death Benefit Proceeds.

(6)                                 When You do not state Beneficiaries by name (such as “children”), We may find who they are from sworn statements and not wait for court records.  The word “child” means only a child born to, or adopted by, the Annuitant, it does not mean grandchild or stepchild.

12

SETTLEMENT OPTION PAY-OUT PROVISIONS

These are the guaranteed pay-out options from which to choose at Surrender, Maturity or Death of an Owner or Annuitant where there is a non-natural Owner.  You may also choose any other Settlement Option We currently offer by Notifying Us.  All pay-out options are for a minimum of 5 years. We pay interest on the Proceeds as described in the Payment of Proceeds section.

OPTION 1 - INCOME FOR SPECIFIED PERIOD

We pay an income for a specific number of years in equal installments.  We guarantee these payments to be at least those shown in Table 1.

OPTION 2 - LIFE INCOME

We pay equal monthly payments for a specified period certain and then for life.  We guarantee these payments will be at least those shown in Table 2.

OPTION 3 - INCOME OF SPECIFIED AMOUNT

We pay income of the specified amount until the principal and interest are exhausted.

OPTION 4 - JOINT AND SURVIVOR INCOME

We pay equal monthly payments during the joint lifetime of the Annuitant and the named Beneficiary/Payee.  We determine the payment by the Age and sex of each person from Table 3. The Annuitant must be at least 50 years old, and the Beneficiary/Payee must be at least 45 years old, at the time of the first monthly payment.

INTEREST ON SETTLEMENT OPTIONS

We pay at least the minimum rate required by the state of issue.

EXCESS INTEREST

Excess Interest is the difference between Our current rates and the minimum rate required.  We determine Excess Interest, if any, on Settlement Option amounts.  We pay this excess under Option 1, 2, or 4 and add it to the period of payment under Option 3.

SUPPLEMENTARY CONTRACT

When We receive Notice requesting a Settlement Option, We issue a Supplementary Contract in exchange for this Contract, stating the terms under which We make payments.  The Supplementary Contract states to whom We pay any remaining Proceeds if the Payee dies.  Once a Supplementary Contract is in effect the method of pay-out cannot be changed and the contract cannot be commuted or assigned.

If any Owner of the Supplementary Contract dies before payments are complete, We pay any remaining balance at least as rapidly as under the method of payment in effect on the Owner’s date of Death.

13

TABLE 1

INCOME FOR SPECIFIED PERIOD FACTORS

* Monthly installments shown are for each $1,000 of net Proceeds applied at 2% interest, which is subject to change as described on Page 13, Interest On Settlement Options.

14

TABLE 2

LIFE INCOME WITH SPECIFIED PERIOD CERTAIN FACTORS