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FLEXIBLE PAYMENT VARIABLE ANNUITY - ACCOUNT A

Annuity Agreement

FLEXIBLE PAYMENT VARIABLE ANNUITY - ACCOUNT A
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This Annuity Agreement involves

The Northwestern Mutual Life Insurance Company

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Title: FLEXIBLE PAYMENT VARIABLE ANNUITY - ACCOUNT A
Date: 3/25/2004

FLEXIBLE PAYMENT VARIABLE ANNUITY - ACCOUNT A
, Parties: the northwestern mutual life insurance company
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                                                                    Exhibit 10.1

 

================================================================================

 

    The Northwestern Mutual Life Insurance Company agrees to pay the benefits

          provided in this contract, subject to its terms and conditions.

                Signed at Milwaukee, Wisconsin on the Issue Date.

 

 

                /s/ Edward J. Zore          /s/ Robert J. Berdan

                --------------------        --------------------

                President and CEO           Secretary

 

                  FLEXIBLE PAYMENT VARIABLE ANNUITY - ACCOUNT A

 

  Net Purchase Payments accumulated in a Separate Account, assets of which are

  invested in shares of one or more mutual funds, or Guaranteed Interest Fund.

 

               Contract benefits payable in one sum or as variable

                          or guaranteed monthly income.

             Variable Payment Plan benefits described in Section 11.

 

                                 Participating.

 

AMOUNTS ALLOCATED TO THE SEPARATE ACCOUNT DIVISIONS AND VARIABLE PAYMENTS

PROVIDED BY THIS CONTRACT ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT BUT ARE

VARIABLE AND MAY INCREASE OR DECREASE TO REFLECT THE INVESTMENT EXPERIENCE OF

THE SEPARATE ACCOUNT.

 

Right To Return Contract. Please read this contract carefully. The Owner may

return the contract for any reason within ten days after receiving it. Return of

the contract is effective on the date written notice of the return is delivered,

mailed or sent by telegram to either The Northwestern Mutual Life Insurance

Company, 720 East Wisconsin Avenue, Milwaukee, Wisconsin 53202 or the agent who

sold the contract. If returned, the contract will be cancelled and the Company

will refund the sum of (a) the difference between the Purchase Payments paid and

the amounts, if any, allocated to the Separate Account plus (b) the value of the

Accumulation Units of the Separate Account on the effective date of return.

 

RR.V.A.(0803)

 

--------------------------------------------------------------------------------

                                                  [LOGO] Northwestern Mutual(TM)

--------------------------------------------------------------------------------

 

                           CONTRACT NUMBER      00 000 000

 

                           PRIMARY ANNUITANT    John J Doe

 

                           ISSUE DATE           July 31, 2003

 

RR.V.A.FR.(0803)

 

                                                               SEX NEUTRAL FRONT

 

<PAGE>

 

 

                                 TABLE OF CONTENTS

 

CONTRACT INFORMATION, INVESTMENT ACCOUNTS

 

CHARGES AND FEES

 

MINIMUM PURCHASE PAYMENTS, ACCUMULATION VALUE, PAYMENT PLANS

 

SECTION 1. GENERAL TERMS AND DEFINITIONS

 

SECTION 2. SEPARATE ACCOUNT

 

     .     Separate Account

     .     Accumulation Units

     .     Net Investment Factor

     .     Substitution and Change

 

SECTION 3. GUARANTEED INTEREST FUND

 

     .     Guaranteed Interest Fund

     .     Accumulation Value

     .     Transfer Restrictions

     .     Maximum Guaranteed Interest Fund Accumulation Value

     .     Table of Guaranteed Values

 

SECTION 4. PURCHASE PAYMENTS, TRANSFERS, WITHDRAWALS

 

     .     Payment of Purchase Payments

     .     Application of Purchase Payments

     .     Selection of Investment Account for Purchase Payments

     .     Transfer of Accumulation Value

     .     Withdrawals and Full Surrender

     .     Effective Date

 

SECTION 5. BENEFITS

 

     .     Maturity Benefit

     .     Death Benefit if Annuitant is an Owner

     .     Death Benefit if Annuitant is not an Owner

 

SECTION 6. BENEFICIARIES AND CONTINGENT ANNUITANTS

 

     .     Naming and Changing of Beneficiaries

     .     Succession in Interest of Beneficiaries

     .     Trustee as Beneficiary

     .     General

     .     Naming and Changing a Contingent Annuitant

 

SECTION 7. CHARGES AND FEES

 

     .     Sales Load and Premium Taxes

     .     Contract Fee

 

SECTION 8. OWNERSHIP

 

     .     The Owner

     .     Transfer of Ownership

     .     Naming and Changing a Successor Owner

     .     Collateral Assignment

     .     Reports to Owners

     .     Transferability Restrictions

 

RR.V.A.FR.(0803)

 

<PAGE>

 

SECTION 9. THE CONTRACT

 

     .     Guarantees

     .     Valuation of Separate Account Assets

     .     Determination of Separate Account Values

     .     Deferment of Benefit Payments

     .     Dividends

     .     Incontestability

     .     Misstatements

     .     Entire Contract; Changes

     .     Termination of Contract

 

SECTION 10. PAYMENT OF CONTRACT BENEFITS

 

     .     Payment of Benefits

      .     Death Benefit

     .     Effective Date for Payment Plan

     .     Payment Plan Elections

 

SECTION 11. PAYMENT PLANS

 

     .     Description of Payment Plans

     .     Allocation of Benefits

     .     Annuity Units under Variable Payment Plans

     .     Payments under Variable Payment Plans

     .     Transfers Involving Variable Payment Plans

     .     Withdrawal under Payment Plans

     .     Naming and Changing of Beneficiaries under Payment Plans

     .     Succession in Interest of Beneficiaries under Payment Plans

     .     Payment Plan Rates

 

ADDITIONAL BENEFITS (if any)

 

APPLICATION

 

                                  ENDORSEMENTS

                to be made only by the Company at the Home Office

 

RR.V.A.FR.(0803)

 

<PAGE>

 

                               CONTRACT INFORMATION

 

CONTRACT NUMBER           00 000 000

 

PLAN                      Flexible Payment Variable Annuity

 

ADDITIONAL BENEFITS       Enhanced Death Benefit

 

TAX REPORTING CATEGORY    Pension Annuity

 

PRIMARY ANNUITANT         John J. Doe

AGE AND SEX               35 Male

OWNER                     John J. Doe, the Annuitant

 

ISSUE DATE                July 31, 2003

CONTRACT ANNIVERSARY      July 31, 2004 and each July 31

                         thereafter

 

MATURITY DATE             July 31, 2053

 

DIRECT BENEFICIARY        Jane K. Doe, Wife of the Annuitant

 

                               INVESTMENT ACCOUNTS

 

On the Issue Date, Purchase Payments and contract values may be allocated among

the following Investment Accounts. Available Separate Account Divisions are

subject to change. See Section 2.1.

 

  Divisions of Separate Account A:

     Select Bond Division

     Franklin Templeton International Equity Division

     Money Market Division

     Balanced Division

     Index 500 Stock Division

     Aggressive Growth Stock Division

     High Yield Bond Division

     Growth Stock Division

     Large Cap Core Stock Division

     Index 400 Stock Division

     Small Cap Growth Stock Division

     Russell Multi-Style Equity Division

     Russell Aggressive Equity Division

     Russell Non-US Division

     Russell Real Estate Securities Division

     Russell Core Bond Division

     Asset Allocation Division

     International Growth Stock Division

     T. Rowe Price Small Cap Value Division

     Capital Guardian Domestic Equity Division

     AllianceBernstein Mid Cap Value Division

     Janus Capital Appreciation Division

     T. Rowe Price Equity Income Division

     Fidelity VIP Mid Cap Division

 

  Guaranteed Accounts:

     Guaranteed Interest Fund

 

RR.V.A.FR.(0803)                      Page 3                              (GTY.1.5)

 

<PAGE>

 

                                                    CONTRACT NUMBER    00 000 000

 

                                CHARGES AND FEES

 

DEDUCTION FROM PURCHASE PAYMENTS:

     SALES LOAD (See Section 7.1]

 

     Total Purchase Payments            Amount Deducted

     Paid Under the Contract         From Purchase Payment

          First         $100,000               4.5%

          Next          $400,000               2.0%

          Balance over $500,000               1.0%

 

     PREMIUM TAX (See Section 7.1):

          For the first Contract Year, Premium Taxes are not deducted from

          Purchase Payments. After the first Contract Year, the Company may

          deduct Premium Taxes from Purchase Payments received or benefits paid.

 

ANNUAL MORTALITY AND EXPENSE RISK CHARGE (See Section 2.3):

     0.50% at Issue; 0.75% Maximum

 

ANNUAL CONTRACT FEE (See Section 7.2):

     $30 charged on the contract anniversary. The contract fee will be waived if

      the Accumulation Value of the contract equals or exceeds $25,000 on the

     contract anniversary.

 

ENHANCED DEATH BENEFIT CHARGE:

     0.10% of the Enhanced Death Benefit on each contract anniversary.

 

TRANSFER FEE (See Sections 4.4 and 11.5):

     $25 beginning with the thirteenth transfer in any Contract Year.

 

          MINIMUM PURCHASE PAYMENTS, ACCUMULATION VALUE, PAYMENT PLANS

 

MINIMUM PURCHASE PAYMENT (See Section 4.1): $25

 

MINIMUM ACCUMULATION VALUE (See Sections 5.2 and 9.9): $2,000

 

MINIMUM PAYMENT UNDER PAYMENT PLAN (See Sections 9.9 and 10.1): $50

Monthly Income.

 

                            GUARANTEED INTEREST FUND

 

GUARANTEED ANNUAL EFFECTIVE INTEREST RATE (See Section 3.2): 1.5%

 

MAXIMUM GUARANTEED INTEREST FUND ACCUMULATION VALUE (See Section 3.4): $100,000

 

RR.V.A.FR.(0803)                     Page 4                              (GTY.1.5)

 

<PAGE>

 

                                                    CONTRACT NUMBER    00 000 000

 

              GUARANTEED INTEREST FUND - TABLE OF GUARANTEED VALUES

 

The table shows minimum guaranteed values and assumes a $10,000 Purchase Payment

made at the time of issue followed by subsequent $100 Purchase Payments made

annually thereafter on each contract anniversary. The values are based on the

assumption that 100% of all Net Purchase Payments are allocated to, and remain

in, the Guaranteed Interest Fund.

 

  End of

Contract              Accumulation     Cash

  Year      July 31       Value         Value

--------    -------    ------------    -------

      1       2003        $ 9,693      $ 9,693

      2       2004          9,905        9,905

      3       2005         10,120       10,120

      4       2006         10,338       10,338

      5       2007         10,560       10,560

 

      6       2008         10,784       10,784

      7        2009         11,013       11,013

      8       2010         11,244       11,244

      9       2011         11,480       11,480

     10       2012         11,718       11,718

 

     11       2013         11,960       11,960

     12       2014         12,206       12,206

     13       2015         12,456       12,456

     14       2016         12,709       12,709

     15       2017         12,966       12,966

 

     16       2018         13,227       13,227

     17       2019         13,492       13,492

     18       2020         13,761        13,761

     19       2021         14,034       14,034

     20       2022         14,311       14,311

 

  Age 60       2027         15,760       15,760

  Age 65       2032         17,320       17,320

  Age 70       2037         19,001       19,001

 

This table is based on the guaranteed annual effective interest rate of 1.5%.

Higher declared rates of interest will increase values. Values shown at the end

of contract years do not reflect any Purchase Payments paid on that contract

anniversary. The actual guaranteed values may differ from those shown above,

depending on the amount and frequency of Purchase Payments.

 

                                    Page 4A                             (GTY.1.5)

 

<PAGE>

 

                    SECTION 1. GENERAL TERMS AND DEFINITIONS

 

ACCUMULATION UNIT. A unit of measure used to determine the value of the interest

of this contract in the Separate Account prior to the date on which amounts are

placed under a payment plan.

 

ACCUMULATION VALUE. The Accumulation Value of a Separate Account Division is the

total value of all Accumulation Units in that Division. The Accumulation Value

of the Guaranteed Interest Fund is the sum of amounts applied to the fund, plus

credited interest, less amounts withdrawn or transferred from the fund. The

Accumulation Value of the contract is the sum of the Accumulation Values of all

Investment Accounts.

 

ANNUITANT. The Primary Annuitant and, upon the death of the Primary Annuitant,

the Contingent Annuitant.

 

ANNUITY UNIT. A unit of measure used to determine the amount of variable

payments under a variable payment plan and the value of the interest of a

variable payment plan in the Separate Account.

 

BENEFICIARIES. The term "Beneficiaries" as used in this contract includes direct

beneficiaries, contingent beneficiaries and further payees.

 

COMPANY. The Northwestern Mutual Life Insurance Company.

 

CONTINGENT ANNUITANT. The person who becomes the Annuitant upon the death of an

Annuitant.

 

CONTRACT FEE. An annual charge for administration expenses made on each contract

anniversary prior to the Maturity Date.

 

CONTRACT YEAR. The first Contract Year is the period of time ending on the first

contract anniversary. Subsequent Contract Years are the annual periods between

contract anniversaries.

 

DIVISION. A component of the Separate Account to which the Owner may allocate

Net Purchase Payments and contract values.

 

GUARANTEED INTEREST FUND. The portion of the contract that is credited with a

guaranteed interest rate and which is held as part of the general assets of the

Company.

 

HOME OFFICE. The office of The Northwestern Mutual Life Insurance Company

located at 720 East Wisconsin Avenue, Milwaukee, WI 53202.

 

INVESTMENT ACCOUNT. The Guaranteed Interest Fund and Separate Account Divisions

available for allocation of Net Purchase Payments and contract values. The

available Investment Accounts are listed on page 3.

 

ISSUE DATE. The date this contract is issued and becomes effective.

 

MATURITY DATE. The date upon which contract benefits will become payable. If the

contract is continued in force under the Optional Maturity Date provision, the

Optional Maturity Date will become the Maturity Date.

 

NET PURCHASE PAYMENT. A Purchase Payment less all applicable deductions.

Deductions may include the Sales Load and a Premium Tax.

 

OPTIONAL MATURITY DATE. The contract anniversary nearest the Annuitant's 90th

birthday. Upon reaching the Maturity Date shown on page 3, the Owner may elect

to continue the contract in force until this Optional Maturity Date.

 

OWNER. The person possessing the ownership rights stated in this contract.

 

RP.V.A.FR.(0803)                        5

 

<PAGE>

 

PORTFOLIOS. Mutual funds or portfolios of mutual funds in which the assets of

the Separate Account are invested.

 

PREMIUM TAX. A tax imposed by a governmental entity when Purchase Payments are

received or benefits are paid.

 

PRIMARY ANNUITANT. The person upon whose life this contract is initially issued.

 

PURCHASE PAYMENT. A payment made by or on behalf of the Owner with respect to

this contract.

 

SALES LOAD. A deduction made from Purchase Payments received.

 

SEPARATE ACCOUNT. NML Variable Annuity Account A. The Separate Account consists

of assets set aside by the Company, the investment performance of which is kept

separate from that of the general assets and all other separate account assets

of the Company.

 

SUCCESSOR OWNER. The person designated to become the Owner upon the death of the

Owner, provided the Owner was not the Annuitant at the time of the Owner's

death.

 

TRANSFER FEE. A deduction that is made from the amount transferred between

Investment Accounts.

 

VALUATION DATE. Any day on which the assets of the Separate Account are valued.

Assets are valued as of the close of trading on the New York Stock Exchange for

each day the Exchange is open.

 

                            SECTION 2. SEPARATE ACCOUNT

 

2.1   SEPARATE ACCOUNT

 

     The Separate Account (NML Variable Annuity Account A) has been established

by the Company. The Separate Account consists of assets set aside by the

Company, the investment performance of which is kept separate from that of the

general assets and all other separate account assets of the Company. The assets

of the Separate Account will not be charged with liabilities arising out of any

other business the Company may conduct. Interests in the Separate Account are

represented by Accumulation Units and Annuity Units, described in Sections 2.2

and 11.3, respectively.

 

     The Separate Account is comprised of the Divisions listed on page 3. The

assets allocated to these Divisions are invested in shares of the corresponding

Portfolios. Shares of the Portfolios are purchased for the Separate Account at

their net asset value.

 

     The Company reserves the right to eliminate or add additional Divisions and

Portfolios.

 

2.2   ACCUMULATION UNITS

 

     The interest of this contract in the Separate Account, prior to the date on

which amounts become payable under a payment plan, is represented by

Accumulation Units. The dollar value of Accumulation Units for each Division

will increase or decrease to reflect the investment experience of the Division.

The value of an Accumulation Unit on any Valuation Date is the product of:

 

     .     the value on the immediately preceding Valuation Date; and

 

     .     the Net Investment Factor for the period from the immediately

           preceding Valuation Date up to and including the current Valuation

          Date (the current period).

 

RP.V.A.FR.(0803)                        6

 

<PAGE>

 

2.3   NET INVESTMENT FACTOR

 

     For each Division of the Separate Account the Net Investment Factor for the

current period is one plus the net investment rate for that Division. The net

investment rate for the current period is equal to the gross investment rate for

the Division reduced on each Valuation Date by a Mortality and Expense Risk

Charge. The charge for these risks on the Issue Date is shown on page 4. The

Company may increase or decrease the charge after the Issue Date, but the

Company may not increase the charges to exceed the maximum charges shown on page

4.

 

The gross investment rate for the current period for each Division is equal to

a. divided by b. where:

 

     a.    is:

 

          .     the investment income of the Division for the current period;

               plus

 

          .     capital gains for the period, whether realized or unrealized, on

               the assets of the Division; less

 

          .     capital losses for the period, whether realized or unrealized, on

               the assets of the Division; less

 

          .     deduction for any tax liability paid or reserved for by the

               Company resulting from the maintenance or operation of the

               Division; and less

 

          .     any reasonable expenses paid or reserved for by the Company which

               result from a substitution of other securities for shares of the

               Portfolio(s) as set forth in Section 2.4; and

 

     b.    is the value of the assets in the Division on the immediately

          preceding Valuation Date.

 

     The gross investment rate may be positive or negative. The deduction for

any tax liability may be charged proportionately against those contracts to

which the liability is attributable by a reduction in the gross investment rate

for those contracts.

 

2.4   SUBSTITUTION AND CHANGE

 

     Pursuant to the authority of the Board of Trustees of the Company:

 

     .     the assets of the Division may be invested in securities other than

          shares of the Portfolio(s) as a substitute for those shares already

          purchased or as the securities to be purchased in the future; and

 

     .     the provisions of the contracts may be modified to comply with any

          other applicable federal or state laws.

 

     In the event of a substitution or change, the Company may make appropriate

endorsement on this and other contracts having an interest in the Separate

Account and take other actions as may be necessary to effect the substitution or

change. Any such substitution or change will be subject to any required approval

of the Commissioner of Insurance for the state of Wisconsin, and filing with the

state in which this contract is issued.

 

RP.V.A.FR.(0803)                        7

 

<PAGE>

 

                       SECTION 3. GUARANTEED INTEREST FUND

 

3.1   GUARANTEED INTEREST FUND

 

     Net Purchase Payments (see Section 4.2) and amounts transferred from other

Investment Accounts under this contract (see Section 4.4) may be applied to the

Guaranteed Interest Fund. Contract benefits placed under a variable payment plan

may not be applied to the Guaranteed Interest Fund. Amounts applied to the

Guaranteed Interest Fund become part of the general assets of the Company.

 

3.2   ACCUMULATION VALUE

 

     The Accumulation Value of the Guaranteed Interest Fund is the sum of the

amounts applied to it, plus credited interest, less any amounts withdrawn or

transferred from the fund. Interest begins to accrue on the effective date of

the Purchase Payment or transfer (see Section 4.6).

 

     Interest will be credited at an annual effective interest rate of not less

than the guaranteed annual effective interest rate stated on page 4. A higher

rate may be declared by the Company from time to time for a period set by the

Company.

 

3.3   TRANSFER RESTRICTIONS

 

     Transfers of Accumulation Value from the Guaranteed Interest Fund will not

be allowed for a period of 365 days following the most recent transfer of

Accumulation Value from the Guaranteed Interest Fund.

 

     The maximum amount of the Accumulation Value that may be transferred from

the Guaranteed Interest Fund in one transfer is limited to the greater of:

 

     .     25% of the Accumulation Value of the Guaranteed Interest Fund on the

          last contract anniversary preceding the transfer; and

 

     .     the amount of the most recent transfer from the Guaranteed Interest

          Fund.

 

However, in no event will this maximum transfer amount be less than $1,000 or

greater than $50,000.

 

     Transfers of Accumulation Value into the Guaranteed Interest Fund will not

be allowed for a period of 90 days following the most recent transfer of

Accumulation Value from the Guaranteed Interest Fund.

 

3.4   MAXIMUM GUARANTEED INTEREST FUND ACCUMULATION VALUE

 

     The Accumulation Value of the Guaranteed Interest Fund may not exceed the

maximum Guaranteed Interest Fund accumulation value shown on page 4 without

prior consent of the Company, except when the maximum is exceeded because of

interest accruing to the Guaranteed Interest Fund.

 

3.5   TABLE OF GUARANTEED VALUES

 

     Accumulation and cash values are shown on page 4A. The values are based on

the assumptions stated on page 4A and are for the end of the contract years

shown. Values for contract years not shown are calculated on the same basis as

those shown on page 4A. Guaranteed values are at least as great as those

required by the state in which this contract is delivered.

 

RP.V.A.FR.(0803)                        8

 

<PAGE>

 

              SECTION 4. PURCHASE PAYMENTS, TRANSFERS, WITHDRAWALS

 

4.1   PAYMENT OF PURCHASE PAYMENTS

 

     All Purchase Payments are payable at the Home Office or to an authorized

agent. A receipt signed by an officer of the Company will be furnished on

request.

 

     Purchase Payments may be made at any time prior to the death of an Owner

and prior to the Maturity Date. Purchase Payments may be made after the death of

an Owner only if the new Owner of the contract is the surviving spouse of the

deceased Owner. The Owner may vary the amount of Purchase Payments, but no

Purchase Payment may be less than the Minimum Purchase Payment shown on page 4.

Total Purchase Payments may not exceed $5,000,000 without the consent of the

Company.

 

     The Company will not accept any Purchase Payment under Section 4 unless it

is a contribution under a pension or profit sharing plan which meets the

requirements of Section 401 of the Internal Revenue Code of 1954, as amended, or

the requirements for deduction of the employer's contribution under Section

404(a)(2) of such code.

 

4.2   APPLICATION OF PURCHASE PAYMENTS

 

     Each Purchase Payment, net of the Sales Load and Premium Taxes, will be

applied to one or more Investment Accounts. Net Purchase Payments applied to the

Guaranteed Interest Fund will accrue interest from the effective date of the

Purchase Payment. Net Purchase Payments applied to the Separate Account will

provide Accumulation Units in one or more Divisions. Accumulation Units are

credited as of the effective date of the Net Purchase Payment.

 

     The number of Accumulation Units will be determined by dividing the Net

Purchase Payment by the value of an Accumulation Unit on the effective date.

This number of Accumulation Units will not be changed by any subsequent change

in the dollar value of Accumulation Units.

 

4.3   SELECTION OF INVESTMENT ACCOUNT FOR PURCHASE PAYMENTS

 

     The Owner may change the allocation of Net Purchase Payments among the

Investment Accounts by written notice to the Company. Net Purchase Payments

received at the Home Office on or after the date on which notice is received

will be applied to the designated Investment Accounts on the basis of the new

allocation.

 

4.4   TRANSFER OF ACCUMULATION VALUE

 

     Before the Maturity Date the Owner may, on request satisfactory to the

Company, transfer amounts from one Investment Account to another, subject to the

transfer restrictions described in Section 3.3.

 

     For transfers among the Separate Account Divisions, the number of

Accumulation Units to be applied or deducted will be adjusted to reflect the

respective value of the Accumulation Units in each of the Divisions on the date

the transfer is effective.

 

     For transfers from the Guaranteed Interest Fund, amounts closest to

expiration of an interest rate guarantee will be removed first. In the event

that two amounts are equally close to expiration, the one which was applied to

the Guaranteed Interest Fund earlier will be removed first.

 

     A Transfer Fee may be deducted from the amount transferred. The maximum

amount of the Transfer Fee is shown on page 4. The minimum amount that may be

transferred is the lesser of $100 or the entire Accumulation Value of the

Investment Account from which the transfer is being made.

 

     A transfer request is subject to limitation or modification if the Company

determines that the transfer would be to the disadvantage of other contract

owners with interests in the Separate Account Divisions or if required by

applicable laws or regulations. The limitation or modification may be applied to

transfers to and/or from the Separate Account Divisions and could include but

not be limited to:

 

     .     the requirement of a minimum time period between each transfer;

 

     .     limiting the dollar amount that may be transferred between or among

          the Separate Account Divisions in any one day;

 

     .     requiring that a transfer request be submitted in a particular form

          and/or by a specific process.

 

     The Company reserves the right to modify or eliminate any transfer request

process (including without limitation transfer requests via the Internet, via

facsimile, or by telephone) for some or all contract owners as the Company deems

appropriate.

 

RP.V.A.FR.(0803)                        9

 

<PAGE>

 

4.5   WITHDRAWALS AND FULL SURRENDER

 

     Before the Maturity Date the Owner may, on request satisfactory to the

Company, withdraw all or a portion of the Accumulation Value of the contract.

The Company may require that the Minimum Accumulation Value shown on page 4

remain after a partial withdrawal. Withdrawal of the entire value of the

contract constitutes a full surrender, and receipt of the contract at the Home

Office will terminate this contract. Receipt of the contract may be waived by

the Company.

 

     The cash value of the amount withdrawn will be the Accumulation Value

withdrawn determined as of the date the withdrawal is effective.

 

     The term "withdrawal amounts" as used in this contract includes amounts

paid as full surrenders and withdrawals of a portion of the Accumulation Value

of the contract.

 

     For withdrawals from the Guaranteed Interest Fund, amounts closest to

expiration of an interest rate guarantee will be removed first. In the event

that two amounts are equally close to expiration, the one which was applied to

the Guaranteed Interest Fund earlier will be removed first.

 

4.6   EFFECTIVE DATE

 

     The effective date of a Purchase Payment, transfer, or withdrawal is the

Valuation Date on which the Purchase Payment or the request for transfer or

withdrawal is received at the Home Office. However, the Purchase Payment,

transfer, or withdrawal will be effective on the following Valuation Date if the

Purchase Payment, request for transfer or withdrawal is received at the Home

Office either:

 

     .     on a Valuation Date after the close of trading on the New York Stock

          Exchange; or

 

     .     on a day on which the New York Stock Exchange is closed.

 

                                SECTION 5. BENEFITS

 

5.1   MATURITY BENEFIT

 

Maturity Options. If the Annuitant is living on the Maturity Date shown on page

3, and that Maturity Date is earlier than the contract anniversary nearest the

Annuitant's 90th birthday, the Owner may elect between the following maturity

options:

 

     .     payment of a monthly income under a payment plan chosen by the Owner;

          or

 

     .     deferral of the maturity benefit and continuation of this contract to

          the Optional Maturity Date. The contract will continue under this

          option if a written election for this purpose is received by the

          Company or if on the Maturity Date shown on page 3, the Owner has not

          chosen a payment plan.

 

If the Annuitant is living on the Maturity Date and that Maturity Date is on or

after the contract anniversary nearest the Annuitant's 90th birthday, the

Company will pay a monthly income under a payment form chosen by the Owner.

 

Payment of Maturity Benefit. The amount of the monthly income paid as the

maturity benefit will depend on the payment plan chosen (see Section 11) and the

maturity value. The maturity value of this contract will be the Accumulation

Value of the contract on the effective date of the maturity benefit. The

maturity benefit will be effective on the Maturity Date. However, if the New

York Stock Exchange is closed on the Maturity Date, the effective date will be

the Valuation Date next preceding the Maturity Date.

 

If no payment form is chosen at the time a monthly income becomes payable,

payments will be made under the variable payment form of Life Income Plan

(Option C), with installments certain for ten years, as described in Section

11.1.

 

RP.V.A.FR.(0803)                        10

 

<PAGE>

 

Optional Maturity Date. The Optional Maturity Date is the contract anniversary

nearest the Annuitant's 90th birthday. If the contract is continued to the

Optional Maturity Date, all contract rights of the Owner will continue in effect

to the Optional Maturity Date. The Optional Maturity Date will become the

Maturity Date for all other purposes of this contract.

 

5.2   DEATH BENEFIT IF ANNUITANT IS AN OWNER

 

     If the Annuitant is an Owner, the beneficiary becomes entitled to the Death

Benefit upon receipt at the Home Office of satisfactory proof of the death of

the Annuitant before the Maturity Date. The Death Benefit will be the

Accumulation Value of the contract determined on the effective date. The

effective date is the date on which proof of death is received at the Home

Office. However, the effective date will be the next following Valuation Date if

the proof of death is received at the Home Office either:

 

     .     on a Valuation Date after the close of trading on the New York Stock

          Exchange; or

 

     .     on a day on which the New York Stock Exchange is closed.

 

     If the beneficiary becomes entitled to the Death Benefit due to the death

of the Primary Annuitant prior to the Primary Annuitant's 75th birthday, the

Death Benefit will not be less than:

 

     .     total Net Purchase Payments paid under the contract; less

 

     .     an adjustment for every withdrawal made under Section 4.5. The

          adjustment for each withdrawal equals (a) times (b), where:

 

          (a)   = the amount withdrawn from the Accumulation Value divided by the

               Accumulation Value immediately before the withdrawal; and

 

          (b)   = total Net Purchase Payments paid under the contract prior to

               the withdrawal less all adjustments for prior withdrawals.

 

     As of the effective date, the Accumulation Value of the contract will be

set at an amount equal to the Death Benefit. Unless a payment plan was elected

by the Owner, the beneficiary automatically becomes the Owner and Annuitant of

the contract. However, if the beneficiary is not a natural person and no payment

plan was elected by the Owner, the beneficiary may select a natural person to be

the Annuitant. If a natural person is not selected to be the Annuitant within 60

days of the date on which proof of death of the Annuitant is received at the

Home Office, the Accumulation Value will be distributed to the beneficiary.

 

     If a beneficiary becomes entitled to the Death Benefit in an amount less

than the Minimum Accumulation Value shown on page 4, the Accumulation Value will

be distributed to the beneficiary.

 

     The cash value of any amount distributed will be the Accumulation Value

withdrawn as of the date of withdrawal as determined in Section 4.6.

 

5.3   DEATH BENEFIT IF ANNUITANT IS NOT AN OWNER

 

     If the Annuitant is not an Owner, upon the death of the Annuitant the

contract continues with the Contingent Annuitant (Section 6.5) as the new

Annuitant. The Death Benefit will be the Accumulation Value of the contract

determined on the effective date. The effective date is the date on which proof

of death is received at the Home Office. However, the effective date will be the

next following Valuation Date if the proof of death is received at the Home

Office either:

 

     .     on a Valuation Date after the close of trading on the New York Stock

          Exchange; or

 

     .     on a day on which the New York Stock Exchange is closed.

 

     If the Primary Annuitant dies prior to the Primary Annuitant's 75th

birthday, the Death Benefit will not be less than:

 

     .     total Net Purchase Payments paid under the contract; less

 

     .     an adjustment for every withdrawal made under Section 4.5. The

          adjustment for each withdrawal equals (a) times (b), where:

 

          (a)   = the amount withdrawn from the Accumulation Value divided by the

               Accumulation Value immediately before the withdrawal; and

 

          (b)   = total Net Purchase Payments paid under the contract prior to

               the withdrawal less all adjustments for prior withdrawals.

 

     As of the effective date, the Accumulation Value of the contract will be

set at an amount equal to the Death Benefit.

 

RP.V.A.FR.(0803)                        11

 

<PAGE>

 

               SECTION 6. BENEFICIARIES AND CONTINGENT ANNUITANTS

 

6.1   NAMING AND CHANGING OF BENEFICIARIES

 

For Maturity Benefits or Withdrawals by Owner. The Owner may name and change the

beneficiaries of maturity benefits or withdrawal amounts before the Maturity

Date. If no beneficiary is named by the Owner, the Owner will be the direct

beneficiary.

 

For Death Benefits by Owner. The Owner may name and change the beneficiaries of

the Death Benefits while the Annuitant is living. If no such beneficiary is

named by the Owner, the Owner or the Owner's estate will be the direct

beneficiary.

 

For Maturity or Death Benefits or Withdrawal Amounts by Spouse (Marital

Deduction Provision).

 

     .     Power to Appoint. The spouse of the Annuitant will have the power

          alone and in all events to appoint all amounts payable to the spouse

          under the contract if:

 

          a.    just before the Annuitant's death, the Annuitant was the Owner;

               and

 

          b.    the spouse is a direct beneficiary; and

 

          c.    the spouse survives the Annuitant.

 

     .     To Whom Spouse Can Appoint. Under this power, the spouse can appoint:

 

          a.    to the estate of the spouse; or

 

          b.    to any other person.

 

     .     Effect of Exercise. As to the amounts appointed, the exercise of this

          power will:

 

          a.    revoke any other designation of beneficiaries;

 

          b.    revoke any election of payment plan as it applies to them; and

 

          c.    cause any provision to the contrary in Section 6 or 10 of this

                contract to be of no effect.

 

Effective Date. A naming or changing of a beneficiary will be effective on

receipt at the Home Office of a written request that is acceptable to the

Company. The request will then take effect as of the date that it was signed.

The Company is not responsible for any payment or other action that is taken by

it before the receipt of the request. The Company may require that the contract

be sent to it to be endorsed to show the naming or change.

 

6.2   SUCCESSION IN INTEREST OF BENEFICIARIES

 

     The rights and benefits that a beneficiary becomes entitled to under the

contract are shared equally among all surviving direct beneficiaries, if any,

otherwise equally among all surviving contingent beneficiaries, if any,

otherwise to the Owner or the Owner's Estate.

 

6.3   TRUSTEE AS BENEFICIARY

 

     If a trustee is named as a beneficiary and no qualified trustee makes claim

to the proceeds, or to the present value of any unpaid payments under a payment

plan, within one year after payment becomes due to the trustee, or if

satisfactory evidence is furnished to the Company within that year showing that

no trustee can qualify to receive payment, payment will be made as though the

trustee had not been named.

 

     The Company will be fully discharged of liability for any action taken by

the trustee and for all amounts paid to, or at the direction of, the trustee and

will have no obligation as to the use of the amounts. In all dealings with the

trustee the Company will be fully protected against the claims of every other

person. The Company will not be charged with notice of a change of trustee

unless written evidence of the change is received at the Home Office.

 

6.4   GENERAL

 

Transfer of Ownership. A transfer of ownership of itself will not change the

interest of a beneficiary.

 

Claims of Creditors. So far as allowed by law, no amount payable under this

contract will be subject to the claims of creditors of a beneficiary.

 

RP.V.A.FR.(0803)                        12

 

<PAGE>

 

6.5   NAMING AND CHANGING A CONTINGENT ANNUITANT

 

     The Owner may name and change a Contingent Annuitant while the Annuitant is

living.

 

     If the Annuitant was not the Owner immediately prior to the Annuitant's

death, the Owner may name and change a Contingent Annuitant during the first 60

days after the date on which proof of death of the Annuitant is received at the

Home Office. A change made during this 60 days cannot be revoked. If no one is

named as Contingent Annuitant by the end of the 60 day time period, the Company

will pay the Accumulation Value to the Owner. The cash value of any amount

distributed will be the Accumulation Value withdrawn as of the date of

withdrawal as determined in Section 4.6.

 

     A naming or changing of a Contingent Annuitant will be effective on receipt

at the Home Office of a wri


 
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