Common use of ANNUITY COMMENCEMENT DATE Clause in Contracts

ANNUITY COMMENCEMENT DATE. Annuity payouts will begin no later than the Annuitant’s 99th birthday if no Payout Election Date has been established. If Installments have begun under the Rider, only the Investment Strategy will be annuitized. If Installments have not begun under the Rider, then the entire Account Value will be annuitized at that time and any benefit under the Rider will terminate. Variable Life Annuity Table FEMALE Monthly Payout for Each $1,000 of Annuity Account Value Without With Guaranteed Period Without With Guaranteed Period Age of Guaranteed Age of Guaranteed Annuitant period 5 years 10 years 15 years Annuitant period 5 years 10 years 15 years 45 $ 3.09 $ 3.09 $ 3.09 $ 3.08 71 $ 5.14 $ 5.11 $ 5.01 $ 4.83 46 $ 3.13 $ 3.13 $ 3.13 $ 3.12 72 $ 5.31 $ 5.27 $ 5.15 $ 4.94 47 $ 3.17 $ 3.17 $ 3.17 $ 3.16 73 $ 5.48 $ 5.44 $ 5.30 $ 5.05 48 $ 3.21 $ 3.21 $ 3.21 $ 3.20 74 $ 5.68 $ 5.62 $ 5.46 $ 5.16 49 $ 3.26 $ 3.26 $ 3.25 $ 3.24 75 $ 5.88 $ 5.82 $ 5.62 $ 5.27 50 $ 3.30 $ 3.30 $ 3.30 $ 3.29 76 $ 6.11 $ 6.03 $ 5.79 $ 5.38 51 $ 3.35 $ 3.35 $ 3.34 $ 3.33 77 $ 6.35 $ 6.25 $ 5.97 $ 5.49 52 $ 3.40 $ 3.40 $ 3.39 $ 3.38 78 $ 6.61 $ 6.49 $ 6.15 $ 5.59 53 $ 3.46 $ 3.45 $ 3.45 $ 3.43 79 $ 6.89 $ 6.74 $ 6.33 $ 5.69 54 $ 3.51 $ 3.51 $ 3.50 $ 3.48 80 $ 7.19 $ 7.01 $ 6.52 $ 5.78 55 $ 3.57 $ 3.57 $ 3.56 $ 3.54 81 $ 7.52 $ 7.30 $ 6.71 $ 5.87 56 $ 3.63 $ 3.63 $ 3.62 $ 3.60 82 $ 7.88 $ 7.61 $ 6.90 $ 5.95 57 $ 3.70 $ 3.70 $ 3.68 $ 3.66 83 $ 8.27 $ 7.94 $ 7.09 $ 6.03 58 $ 3.77 $ 3.76 $ 3.75 $ 3.72 84 $ 8.70 $ 8.28 $ 7.27 $ 6.09 59 $ 3.84 $ 3.83 $ 3.82 $ 3.78 85 $ 9.17 $ 8.64 $ 7.45 $ 6.15 60 $ 3.92 $ 3.91 $ 3.89 $ 3.85 86 $ 9.67 $ 9.01 $ 7.61 $ 6.21 61 $ 4.00 $ 3.99 $ 3.97 $ 3.92 87 $ 10.20 $ 9.39 $ 7.77 $ 6.25 62 $ 4.08 $ 4.07 $ 4.05 $ 4.00 88 $ 10.76 $ 9.76 $ 7.92 $ 6.29 63 $ 4.17 $ 4.16 $ 4.13 $ 4.08 89 $ 11.36 $ 10.14 $ 8.06 $ 6.33 64 $ 4.27 $ 4.26 $ 4.22 $ 4.16 90 $ 11.97 $ 10.52 $ 8.18 $ 6.36 65 $ 4.37 $ 4.36 $ 4.32 $ 4.24 91 $ 12.62 $ 10.89 $ 8.30 $ 6.38 66 $ 4.48 $ 4.46 $ 4.42 $ 4.33 67 $ 4.60 $ 4.58 $ 4.52 $ 4.43 68 $ 4.72 $ 4.70 $ 4.64 $ 4.52 69 $ 4.85 $ 4.83 $ 4.76 $ 4.62 70 $ 4.99 $ 4.96 $ 4.88 $ 4.72 Variable Life Annuity Table MALE Monthly Payout for Each $1,000 of Annuity Account Value Without With Guaranteed Period Without With Guaranteed Period Age of Guaranteed Age of Guaranteed Annuitant period 5 years 10 years 15 years Annuitant period 5 years 10 years 15 years 45 $ 3.17 $ 3.17 $ 3.16 $ 3.16 71 $ 5.43 $ 5.38 $ 5.24 $ 4.99 46 $ 3.21 $ 3.21 $ 3.20 $ 3.19 72 $ 5.61 $ 5.55 $ 5.39 $ 5.09 47 $ 3.25 $ 3.25 $ 3.25 $ 3.24 73 $ 5.80 $ 5.74 $ 5.54 $ 5.20 48 $ 3.30 $ 3.30 $ 3.29 $ 3.28 74 $ 6.01 $ 5.93 $ 5.70 $ 5.30 49 $ 3.34 $ 3.34 $ 3.34 $ 3.32 75 $ 6.24 $ 6.15 $ 5.86 $ 5.41 50 $ 3.39 $ 3.39 $ 3.38 $ 3.37 76 $ 6.49 $ 6.37 $ 6.03 $ 5.51 51 $ 3.45 $ 3.44 $ 3.43 $ 3.42 77 $ 6.75 $ 6.61 $ 6.21 $ 5.61 52 $ 3.50 $ 3.50 $ 3.49 $ 3.47 78 $ 7.04 $ 6.86 $ 6.38 $ 5.70 53 $ 3.56 $ 3.55 $ 3.54 $ 3.52 79 $ 7.34 $ 7.13 $ 6.56 $ 5.79 54 $ 3.62 $ 3.61 $ 3.60 $ 3.58 80 $ 7.67 $ 7.40 $ 6.74 $ 5.88 55 $ 3.68 $ 3.68 $ 3.66 $ 3.64 81 $ 8.02 $ 7.69 $ 6.92 $ 5.95 56 $ 3.75 $ 3.74 $ 3.73 $ 3.70 82 $ 8.39 $ 8.00 $ 7.10 $ 6.03 57 $ 3.82 $ 3.82 $ 3.80 $ 3.76 83 $ 8.78 $ 8.31 $ 7.27 $ 6.09 58 $ 3.90 $ 3.89 $ 3.87 $ 3.83 84 $ 9.21 $ 8.64 $ 7.43 $ 6.15 59 $ 3.98 $ 3.97 $ 3.94 $ 3.90 85 $ 9.66 $ 8.98 $ 7.60 $ 6.20 60 $ 4.06 $ 4.05 $ 4.02 $ 3.97 86 $ 10.15 $ 9.34 $ 7.75 $ 6.25 61 $ 4.15 $ 4.14 $ 4.11 $ 4.05 87 $ 10.69 $ 9.70 $ 7.90 $ 6.29 62 $ 4.24 $ 4.23 $ 4.20 $ 4.13 88 $ 11.25 $ 10.07 $ 8.04 $ 6.33 63 $ 4.34 $ 4.33 $ 4.29 $ 4.22 89 $ 11.84 $ 10.44 $ 8.17 $ 6.36 64 $ 4.45 $ 4.44 $ 4.39 $ 4.30 90 $ 12.49 $ 10.82 $ 8.29 $ 6.38 65 $ 4.56 $ 4.55 $ 4.49 $ 4.39 91 $ 13.15 $ 11.19 $ 8.40 $ 6.40 66 $ 4.69 $ 4.66 $ 4.60 $ 4.49 67 $ 4.81 $ 4.79 $ 4.72 $ 4.58 68 $ 4.95 $ 4.92 $ 4.84 $ 4.68 69 $ 5.10 $ 5.06 $ 4.96 $ 4.78 70 $ 5.26 $ 5.22 $ 5.10 $ 4.88 GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY [0000 Xxxx Xxxxxxx Xxxx Xxxxxxxxx Xxxxxxx, XX 00000] INDIVIDUAL FLEXIBLE PREMIUM VARIABLE ANNUITY. Contributions may be made until the Annuity Commencement Date or until the death benefit is payable to a Beneficiary. The Owner is as shown on the Contract Data Page. The Company will pay the Annuitant the first of a series of annuity payouts on the Annuity Commencement Date by applying the Owner’s Annuity Account Value or the Investment Strategy Account Value according to the Payout Options provisions. Subsequent payouts will be paid on the same day of each frequency period according to the provisions of this Contract. This Contract is non-participating and is not eligible to share in the Company’s divisible surplus.

ANNUITY COMMENCEMENT DATE. Annuity payouts will begin no later than the Annuitant’s 99th birthday if no Payout Election Date has been established. If Installments have begun under the Rider, only the Investment Strategy will be annuitized. If Installments have not begun under the Rider, then the entire Account Value will be annuitized at that time and any benefit under the Rider will terminate. Variable Life Annuity Table FEMALE Monthly Payout for Each $1,000 of Annuity Account Value Without With Guaranteed Period Without With Guaranteed Period Age of Guaranteed Age of Guaranteed Annuitant period 5 years 10 years 15 years Annuitant period 5 years 10 years 15 years 45 $ 3.09 $ 3.09 $ 3.09 $ 3.08 71 $ 5.14 $ 5.11 $ 5.01 $ 4.83 46 $ 3.13 $ 3.13 $ 3.13 $ 3.12 72 $ 5.31 $ 5.27 $ 5.15 $ 4.94 47 $ 3.17 $ 3.17 $ 3.17 $ 3.16 73 $ 5.48 $ 5.44 $ 5.30 $ 5.05 48 $ 3.21 $ 3.21 $ 3.21 $ 3.20 74 $ 5.68 $ 5.62 $ 5.46 $ 5.16 49 $ 3.26 $ 3.26 $ 3.25 $ 3.24 75 $ 5.88 $ 5.82 $ 5.62 $ 5.27 50 $ 3.30 $ 3.30 $ 3.30 $ 3.29 76 $ 6.11 $ 6.03 $ 5.79 $ 5.38 51 $ 3.35 $ 3.35 $ 3.34 $ 3.33 77 $ 6.35 $ 6.25 $ 5.97 $ 5.49 52 $ 3.40 $ 3.40 $ 3.39 $ 3.38 78 $ 6.61 $ 6.49 $ 6.15 $ 5.59 53 $ 3.46 $ 3.45 $ 3.45 $ 3.43 79 $ 6.89 $ 6.74 $ 6.33 $ 5.69 54 $ 3.51 $ 3.51 $ 3.50 $ 3.48 80 $ 7.19 $ 7.01 $ 6.52 $ 5.78 55 $ 3.57 $ 3.57 $ 3.56 $ 3.54 81 $ 7.52 $ 7.30 $ 6.71 $ 5.87 56 $ 3.63 $ 3.63 $ 3.62 $ 3.60 82 $ 7.88 $ 7.61 $ 6.90 $ 5.95 57 $ 3.70 $ 3.70 $ 3.68 $ 3.66 83 $ 8.27 $ 7.94 $ 7.09 $ 6.03 58 $ 3.77 $ 3.76 $ 3.75 $ 3.72 84 $ 8.70 $ 8.28 $ 7.27 $ 6.09 59 $ 3.84 $ 3.83 $ 3.82 $ 3.78 85 $ 9.17 $ 8.64 $ 7.45 $ 6.15 60 $ 3.92 $ 3.91 $ 3.89 $ 3.85 86 $ 9.67 $ 9.01 $ 7.61 $ 6.21 61 $ 4.00 $ 3.99 $ 3.97 $ 3.92 87 $ 10.20 $ 9.39 $ 7.77 $ 6.25 62 $ 4.08 $ 4.07 $ 4.05 $ 4.00 88 $ 10.76 $ 9.76 $ 7.92 $ 6.29 63 $ 4.17 $ 4.16 $ 4.13 $ 4.08 89 $ 11.36 $ 10.14 $ 8.06 $ 6.33 64 $ 4.27 $ 4.26 $ 4.22 $ 4.16 90 $ 11.97 $ 10.52 $ 8.18 $ 6.36 65 $ 4.37 $ 4.36 $ 4.32 $ 4.24 91 $ 12.62 $ 10.89 $ 8.30 $ 6.38 66 $ 4.48 $ 4.46 $ 4.42 $ 4.33 67 $ 4.60 $ 4.58 $ 4.52 $ 4.43 68 $ 4.72 $ 4.70 $ 4.64 $ 4.52 69 $ 4.85 $ 4.83 $ 4.76 $ 4.62 70 $ 4.99 $ 4.96 $ 4.88 $ 4.72 Variable Life Annuity Table MALE Monthly Payout for Each $1,000 of Annuity Account Value Without With Guaranteed Period Without With Guaranteed Period Age of Guaranteed Age of Guaranteed Annuitant period 5 years 10 years 15 years Annuitant period 5 years 10 years 15 years 45 $ 3.17 $ 3.17 $ 3.16 $ 3.16 71 $ 5.43 $ 5.38 $ 5.24 $ 4.99 46 $ 3.21 $ 3.21 $ 3.20 $ 3.19 72 $ 5.61 $ 5.55 $ 5.39 $ 5.09 47 $ 3.25 $ 3.25 $ 3.25 $ 3.24 73 $ 5.80 $ 5.74 $ 5.54 $ 5.20 48 $ 3.30 $ 3.30 $ 3.29 $ 3.28 74 $ 6.01 $ 5.93 $ 5.70 $ 5.30 49 $ 3.34 $ 3.34 $ 3.34 $ 3.32 75 $ 6.24 $ 6.15 $ 5.86 $ 5.41 50 $ 3.39 $ 3.39 $ 3.38 $ 3.37 76 $ 6.49 $ 6.37 $ 6.03 $ 5.51 51 $ 3.45 $ 3.44 $ 3.43 $ 3.42 77 $ 6.75 $ 6.61 $ 6.21 $ 5.61 52 $ 3.50 $ 3.50 $ 3.49 $ 3.47 78 $ 7.04 $ 6.86 $ 6.38 $ 5.70 53 $ 3.56 $ 3.55 $ 3.54 $ 3.52 79 $ 7.34 $ 7.13 $ 6.56 $ 5.79 54 $ 3.62 $ 3.61 $ 3.60 $ 3.58 80 $ 7.67 $ 7.40 $ 6.74 $ 5.88 55 $ 3.68 $ 3.68 $ 3.66 $ 3.64 81 $ 8.02 $ 7.69 $ 6.92 $ 5.95 56 $ 3.75 $ 3.74 $ 3.73 $ 3.70 82 $ 8.39 $ 8.00 $ 7.10 $ 6.03 57 $ 3.82 $ 3.82 $ 3.80 $ 3.76 83 $ 8.78 $ 8.31 $ 7.27 $ 6.09 58 $ 3.90 $ 3.89 $ 3.87 $ 3.83 84 $ 9.21 $ 8.64 $ 7.43 $ 6.15 59 $ 3.98 $ 3.97 $ 3.94 $ 3.90 85 $ 9.66 $ 8.98 $ 7.60 $ 6.20 60 $ 4.06 $ 4.05 $ 4.02 $ 3.97 86 $ 10.15 $ 9.34 $ 7.75 $ 6.25 61 $ 4.15 $ 4.14 $ 4.11 $ 4.05 87 $ 10.69 $ 9.70 $ 7.90 $ 6.29 62 $ 4.24 $ 4.23 $ 4.20 $ 4.13 88 $ 11.25 $ 10.07 $ 8.04 $ 6.33 63 $ 4.34 $ 4.33 $ 4.29 $ 4.22 89 $ 11.84 $ 10.44 $ 8.17 $ 6.36 64 $ 4.45 $ 4.44 $ 4.39 $ 4.30 90 $ 12.49 $ 10.82 $ 8.29 $ 6.38 65 $ 4.56 $ 4.55 $ 4.49 $ 4.39 91 $ 13.15 $ 11.19 $ 8.40 $ 6.40 66 $ 4.69 $ 4.66 $ 4.60 $ 4.49 67 $ 4.81 $ 4.79 $ 4.72 $ 4.58 68 $ 4.95 $ 4.92 $ 4.84 $ 4.68 69 $ 5.10 $ 5.06 $ 4.96 $ 4.78 70 $ 5.26 $ 5.22 $ 5.10 $ 4.88 GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY OF NEW YORK [0000 00 Xxxx Xxxxxxx Xxxx Xxxxxxxxx XxxxxxxXxxxxx, 00xx Xxxxx Xxxxx Xxxxxx, XX 00000] INDIVIDUAL FLEXIBLE PREMIUM VARIABLE ANNUITY. Contributions may be made until the Annuity Commencement Date or until the death benefit is payable to a Beneficiary. The Owner is as shown on the Contract Data Page. The Company will pay the Annuitant the first of a series of annuity payouts on the Annuity Commencement Date by applying the Owner’s Annuity Account Value or the Investment Strategy Account Value according to the Payout Options provisions. Subsequent payouts will be paid on the same day of each frequency period according to the provisions of this Contract. This Contract is non-participating and is not eligible to share in the Company’s divisible surplus.

ANNUITY COMMENCEMENT DATE. Annuity Xxxxxxx payouts will begin no later than on the Annuitant’s 99th 91st birthday if no Payout Election Date has been established. If Installments have begun under the Rider, only the Investment Strategy Segment will be annuitized. If Installments have not begun under the Rider, then the entire Account Value will be annuitized at that time and any benefit under the Rider will terminate. Variable Life Annuity Table FEMALE Monthly Payout for Each $1,000 of Annuity Account Value Age of Annuitant Without With Guaranteed Period Without period With Guaranteed Period Age of Annuitant Without Guaranteed Age of period With Guaranteed Annuitant period Period 5 years 10 years 15 years Annuitant period 5 years 10 years 15 years [45 $ 3.09 $ 3.09 $ 3.09 $ 3.08 71 $ 5.14 $ 5.11 $ 5.01 $ 4.83 46 $ 3.13 $ 3.13 $ 3.13 $ 3.12 72 $ 5.31 $ 5.27 $ 5.15 $ 4.94 47 $ 3.17 $ 3.17 $ 3.17 $ 3.16 73 $ 5.48 $ 5.44 $ 5.30 $ 5.05 48 $ 3.21 $ 3.21 $ 3.21 $ 3.20 74 $ 5.68 $ 5.62 $ 5.46 $ 5.16 49 $ 3.26 $ 3.26 $ 3.25 $ 3.24 75 $ 5.88 $ 5.82 $ 5.62 $ 5.27 50 $ 3.30 $ 3.30 $ 3.30 $ 3.29 76 $ 6.11 $ 6.03 $ 5.79 $ 5.38 51 $ 3.35 $ 3.35 $ 3.34 $ 3.33 77 $ 6.35 $ 6.25 $ 5.97 $ 5.49 52 $ 3.40 $ 3.40 $ 3.39 $ 3.38 78 $ 6.61 $ 6.49 $ 6.15 $ 5.59 53 $ 3.46 $ 3.45 $ 3.45 $ 3.43 79 $ 6.89 $ 6.74 $ 6.33 $ 5.69 54 $ 3.51 $ 3.51 $ 3.50 $ 3.48 80 $ 7.19 $ 7.01 $ 6.52 $ 5.78 55 $ 3.57 $ 3.57 $ 3.56 $ 3.54 81 $ 7.52 $ 7.30 $ 6.71 $ 5.87 56 $ 3.63 $ 3.63 $ 3.62 $ 3.60 82 $ 7.88 $ 7.61 $ 6.90 $ 5.95 57 $ 3.70 $ 3.70 $ 3.68 $ 3.66 83 $ 8.27 $ 7.94 $ 7.09 $ 6.03 58 $ 3.77 $ 3.76 $ 3.75 $ 3.72 84 $ 8.70 $ 8.28 $ 7.27 $ 6.09 59 $ 3.84 $ 3.83 $ 3.82 $ 3.78 85 $ 9.17 $ 8.64 $ 7.45 $ 6.15 60 $ 3.92 $ 3.91 $ 3.89 $ 3.85 86 $ 9.67 $ 9.01 $ 7.61 $ 6.21 61 $ 4.00 $ 3.99 $ 3.97 $ 3.92 87 $ 10.20 $ 9.39 $ 7.77 $ 6.25 62 $ 4.08 $ 4.07 $ 4.05 $ 4.00 88 $ 10.76 $ 9.76 $ 7.92 $ 6.29 63 $ 4.17 $ 4.16 $ 4.13 $ 4.08 89 $ 11.36 $ 10.14 $ 8.06 $ 6.33 64 $ 4.27 $ 4.26 $ 4.22 $ 4.16 90 $ 11.97 $ 10.52 $ 8.18 $ 6.36 65 $ 4.37 $ 4.36 $ 4.32 $ 4.24 91 $ 12.62 $ 10.89 $ 8.30 $ 6.38 ] 66 $ 4.48 $ 4.46 $ 4.42 $ 4.33 67 $ 4.60 $ 4.58 $ 4.52 $ 4.43 68 $ 4.72 $ 4.70 $ 4.64 $ 4.52 69 $ 4.85 $ 4.83 $ 4.76 $ 4.62 70 $ 4.99 $ 4.96 $ 4.88 $ 4.72 Variable Life Annuity Table MALE Monthly Payout for Each $1,000 of Annuity Account Value Age of Annuitant Without With Guaranteed Period Without period With Guaranteed Period Age of Annuitant Without Guaranteed Age of period With Guaranteed Annuitant period Period 5 years 10 years 15 years Annuitant period 5 years 10 years 15 years [45 $ 3.17 $ 3.17 $ 3.16 $ 3.16 71 $ 5.43 $ 5.38 $ 5.24 $ 4.99 46 $ 3.21 $ 3.21 $ 3.20 $ 3.19 72 $ 5.61 $ 5.55 $ 5.39 $ 5.09 47 $ 3.25 $ 3.25 $ 3.25 $ 3.24 73 $ 5.80 $ 5.74 $ 5.54 $ 5.20 48 $ 3.30 $ 3.30 $ 3.29 $ 3.28 74 $ 6.01 $ 5.93 $ 5.70 $ 5.30 49 $ 3.34 $ 3.34 $ 3.34 $ 3.32 75 $ 6.24 $ 6.15 $ 5.86 $ 5.41 50 $ 3.39 $ 3.39 $ 3.38 $ 3.37 76 $ 6.49 $ 6.37 $ 6.03 $ 5.51 51 $ 3.45 $ 3.44 $ 3.43 $ 3.42 77 $ 6.75 $ 6.61 $ 6.21 $ 5.61 52 $ 3.50 $ 3.50 $ 3.49 $ 3.47 78 $ 7.04 $ 6.86 $ 6.38 $ 5.70 53 $ 3.56 $ 3.55 $ 3.54 $ 3.52 79 $ 7.34 $ 7.13 $ 6.56 $ 5.79 54 $ 3.62 $ 3.61 $ 3.60 $ 3.58 80 $ 7.67 $ 7.40 $ 6.74 $ 5.88 55 $ 3.68 $ 3.68 $ 3.66 $ 3.64 81 $ 8.02 $ 7.69 $ 6.92 $ 5.95 56 $ 3.75 $ 3.74 $ 3.73 $ 3.70 82 $ 8.39 $ 8.00 $ 7.10 $ 6.03 57 $ 3.82 $ 3.82 $ 3.80 $ 3.76 83 $ 8.78 $ 8.31 $ 7.27 $ 6.09 58 $ 3.90 $ 3.89 $ 3.87 $ 3.83 84 $ 9.21 $ 8.64 $ 7.43 $ 6.15 59 $ 3.98 $ 3.97 $ 3.94 $ 3.90 85 $ 9.66 $ 8.98 $ 7.60 $ 6.20 60 $ 4.06 $ 4.05 $ 4.02 $ 3.97 86 $ 10.15 $ 9.34 $ 7.75 $ 6.25 61 $ 4.15 $ 4.14 $ 4.11 $ 4.05 87 $ 10.69 $ 9.70 $ 7.90 $ 6.29 62 $ 4.24 $ 4.23 $ 4.20 $ 4.13 88 $ 11.25 $ 10.07 $ 8.04 $ 6.33 63 $ 4.34 $ 4.33 $ 4.29 $ 4.22 89 $ 11.84 $ 10.44 $ 8.17 $ 6.36 64 $ 4.45 $ 4.44 $ 4.39 $ 4.30 90 $ 12.49 $ 10.82 $ 8.29 $ 6.38 65 $ 4.56 $ 4.55 $ 4.49 $ 4.39 91 $ 13.15 $ 11.19 $ 8.40 $ 6.40 ] 66 $ 4.69 $ 4.66 $ 4.60 $ 4.49 67 $ 4.81 $ 4.79 $ 4.72 $ 4.58 68 $ 4.95 $ 4.92 $ 4.84 $ 4.68 69 $ 5.10 $ 5.06 $ 4.96 $ 4.78 70 $ 5.26 $ 5.22 $ 5.10 $ 4.88 GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY [0000 Xxxx Xxxxxxx Xxxx Xxxxxxxxx Xxxxxxx, XX 00000] INDIVIDUAL FLEXIBLE PREMIUM VARIABLE ANNUITY. Contributions may be made until the Annuity Commencement Date or until the death benefit is payable to a Beneficiary. The Owner is as shown on the Contract Data Page. The Company Great-West will pay the Annuitant the first of a series of annuity payouts on the Annuity Commencement Date by applying the Owner’s Annuity Account Value or the Investment Strategy Segment Account Value according to the Payout Options provisions. Subsequent payouts will be paid on the same day of each frequency period according to the provisions of this Contract. This Contract is non-participating and is not eligible to share in the CompanyGreat-West’s divisible surplus.. Great-West Life & Annuity Insurance Company A Stock Company

ANNUITY COMMENCEMENT DATE. Annuity Xxxxxxx payouts will begin no later than on the Annuitant’s 99th 91st birthday if no Payout Election Date has been established. If Installments have begun under the Rider, only the Investment Strategy Segment will be annuitized. If Installments have not begun under the Rider, then the entire Account Value will be annuitized at that time and any benefit under the Rider will terminate. Variable Life Annuity Table FEMALE Monthly Payout for Each $1,000 of Annuity Account Value Without With Guaranteed Period Without With Guaranteed Period Age of Guaranteed Age of Guaranteed Annuitant period 5 years 10 years 15 years Annuitant period 5 years 10 years 15 years 45 $ 3.09 $ 3.09 $ 3.09 $ 3.08 71 $ 5.14 $ 5.11 $ 5.01 $ 4.83 46 $ 3.13 $ 3.13 $ 3.13 $ 3.12 72 $ 5.31 $ 5.27 $ 5.15 $ 4.94 47 $ 3.17 $ 3.17 $ 3.17 $ 3.16 73 $ 5.48 $ 5.44 $ 5.30 $ 5.05 48 $ 3.21 $ 3.21 $ 3.21 $ 3.20 74 $ 5.68 $ 5.62 $ 5.46 $ 5.16 49 $ 3.26 $ 3.26 $ 3.25 $ 3.24 75 $ 5.88 $ 5.82 $ 5.62 $ 5.27 50 $ 3.30 $ 3.30 $ 3.30 $ 3.29 76 $ 6.11 $ 6.03 $ 5.79 $ 5.38 51 $ 3.35 $ 3.35 $ 3.34 $ 3.33 77 $ 6.35 $ 6.25 $ 5.97 $ 5.49 52 $ 3.40 $ 3.40 $ 3.39 $ 3.38 78 $ 6.61 $ 6.49 $ 6.15 $ 5.59 53 $ 3.46 $ 3.45 $ 3.45 $ 3.43 79 $ 6.89 $ 6.74 $ 6.33 $ 5.69 54 $ 3.51 $ 3.51 $ 3.50 $ 3.48 80 $ 7.19 $ 7.01 $ 6.52 $ 5.78 55 $ 3.57 $ 3.57 $ 3.56 $ 3.54 81 $ 7.52 $ 7.30 $ 6.71 $ 5.87 56 $ 3.63 $ 3.63 $ 3.62 $ 3.60 82 $ 7.88 $ 7.61 $ 6.90 $ 5.95 57 $ 3.70 $ 3.70 $ 3.68 $ 3.66 83 $ 8.27 $ 7.94 $ 7.09 $ 6.03 58 $ 3.77 $ 3.76 $ 3.75 $ 3.72 84 $ 8.70 $ 8.28 $ 7.27 $ 6.09 59 $ 3.84 $ 3.83 $ 3.82 $ 3.78 85 $ 9.17 $ 8.64 $ 7.45 $ 6.15 60 $ 3.92 $ 3.91 $ 3.89 $ 3.85 86 $ 9.67 $ 9.01 $ 7.61 $ 6.21 61 $ 4.00 $ 3.99 $ 3.97 $ 3.92 87 $ 10.20 $ 9.39 $ 7.77 $ 6.25 62 $ 4.08 $ 4.07 $ 4.05 $ 4.00 88 $ 10.76 $ 9.76 $ 7.92 $ 6.29 63 $ 4.17 $ 4.16 $ 4.13 $ 4.08 89 $ 11.36 $ 10.14 $ 8.06 $ 6.33 64 $ 4.27 $ 4.26 $ 4.22 $ 4.16 90 $ 11.97 $ 10.52 $ 8.18 $ 6.36 65 $ 4.37 $ 4.36 $ 4.32 $ 4.24 91 $ 12.62 $ 10.89 $ 8.30 $ 6.38 66 $ 4.48 $ 4.46 $ 4.42 $ 4.33 67 $ 4.60 $ 4.58 $ 4.52 $ 4.43 68 $ 4.72 $ 4.70 $ 4.64 $ 4.52 69 $ 4.85 $ 4.83 $ 4.76 $ 4.62 70 $ 4.99 $ 4.96 $ 4.88 $ 4.72 ICC11-J555 17 Variable Life Annuity Table MALE Monthly Payout for Each $1,000 of Annuity Account Value Without With Guaranteed Period Without With Guaranteed Period Age of Guaranteed Age of Guaranteed Annuitant period 5 years 10 years 15 years Annuitant period 5 years 10 years 15 years 45 $ 3.17 $ 3.17 $ 3.16 $ 3.16 71 $ 5.43 $ 5.38 $ 5.24 $ 4.99 46 $ 3.21 $ 3.21 $ 3.20 $ 3.19 72 $ 5.61 $ 5.55 $ 5.39 $ 5.09 47 $ 3.25 $ 3.25 $ 3.25 $ 3.24 73 $ 5.80 $ 5.74 $ 5.54 $ 5.20 48 $ 3.30 $ 3.30 $ 3.29 $ 3.28 74 $ 6.01 $ 5.93 $ 5.70 $ 5.30 49 $ 3.34 $ 3.34 $ 3.34 $ 3.32 75 $ 6.24 $ 6.15 $ 5.86 $ 5.41 50 $ 3.39 $ 3.39 $ 3.38 $ 3.37 76 $ 6.49 $ 6.37 $ 6.03 $ 5.51 51 $ 3.45 $ 3.44 $ 3.43 $ 3.42 77 $ 6.75 $ 6.61 $ 6.21 $ 5.61 52 $ 3.50 $ 3.50 $ 3.49 $ 3.47 78 $ 7.04 $ 6.86 $ 6.38 $ 5.70 53 $ 3.56 $ 3.55 $ 3.54 $ 3.52 79 $ 7.34 $ 7.13 $ 6.56 $ 5.79 54 $ 3.62 $ 3.61 $ 3.60 $ 3.58 80 $ 7.67 $ 7.40 $ 6.74 $ 5.88 55 $ 3.68 $ 3.68 $ 3.66 $ 3.64 81 $ 8.02 $ 7.69 $ 6.92 $ 5.95 56 $ 3.75 $ 3.74 $ 3.73 $ 3.70 82 $ 8.39 $ 8.00 $ 7.10 $ 6.03 57 $ 3.82 $ 3.82 $ 3.80 $ 3.76 83 $ 8.78 $ 8.31 $ 7.27 $ 6.09 58 $ 3.90 $ 3.89 $ 3.87 $ 3.83 84 $ 9.21 $ 8.64 $ 7.43 $ 6.15 59 $ 3.98 $ 3.97 $ 3.94 $ 3.90 85 $ 9.66 $ 8.98 $ 7.60 $ 6.20 60 $ 4.06 $ 4.05 $ 4.02 $ 3.97 86 $ 10.15 $ 9.34 $ 7.75 $ 6.25 61 $ 4.15 $ 4.14 $ 4.11 $ 4.05 87 $ 10.69 $ 9.70 $ 7.90 $ 6.29 62 $ 4.24 $ 4.23 $ 4.20 $ 4.13 88 $ 11.25 $ 10.07 $ 8.04 $ 6.33 63 $ 4.34 $ 4.33 $ 4.29 $ 4.22 89 $ 11.84 $ 10.44 $ 8.17 $ 6.36 64 $ 4.45 $ 4.44 $ 4.39 $ 4.30 90 $ 12.49 $ 10.82 $ 8.29 $ 6.38 65 $ 4.56 $ 4.55 $ 4.49 $ 4.39 91 $ 13.15 $ 11.19 $ 8.40 $ 6.40 66 $ 4.69 $ 4.66 $ 4.60 $ 4.49 67 $ 4.81 $ 4.79 $ 4.72 $ 4.58 68 $ 4.95 $ 4.92 $ 4.84 $ 4.68 69 $ 5.10 $ 5.06 $ 4.96 $ 4.78 70 $ 5.26 $ 5.22 $ 5.10 $ 4.88 GREATICC11-WEST LIFE & ANNUITY INSURANCE COMPANY [0000 Xxxx Xxxxxxx Xxxx Xxxxxxxxx Xxxxxxx, XX 00000] INDIVIDUAL J555 18 FLEXIBLE PREMIUM VARIABLE ANNUITY. Contributions may be made until the Annuity Commencement Date or until the death benefit is payable to a Beneficiary. The Owner is as shown on the Contract Data Page. The Company Great-West will pay the Annuitant the first of a series of annuity payouts on the Annuity Commencement Date by applying the Owner’s Annuity Account Value or the Investment Strategy Segment Account Value according to the Payout Options provisions. Subsequent payouts will be paid on the same day of each frequency period according to the provisions of this Contract. This Contract is non-participating and is not eligible to share in the CompanyGreat-West’s divisible surplus.. Great-West Life & Annuity Insurance Company A Stock Company [0000 Xxxx Xxxxxxx Xxxx Xxxxxxxxx Xxxxxxx, XX 00000]