Policy Exhibit Clause Samples

Policy Exhibit. Information This is a summary of transactions during the current period and on a year-to-date basis, reporting the number of Policies and reinsured amount.

Policy Exhibit. Summary of policy movement during the reporting period. The Company will provide a summary of new issues, terminations, recaptures, changes, death claims and reinstatements during the month(s) and the inforce reinsurance at the end of the reporting period.

Policy Exhibit. The Ceding Company will send the Reinsurer summary policy exhibit information similar to the following example: In force as of last report 1,000 $ 800,000,000 New Issues 10 1,000,000 Reinstatements 1 100,000 Increases 3 500,000 Deduct by: Death 1 300,000 Lapse 6 500,000 Decreases 2 100,000 In force as of current report 1,005 800,700,000

Policy Exhibit. From _______________________________ Reporting Period: ________________________________ Activity For Period: ______________________________ Case Count Volume Beginning In Force New Business Reinstatements Other Increases Lapses Deaths Other Terminations Recaptures Other Decreases Natural Variance Ending In Force [redacted] [redacted]

Policy Exhibit. Policies Face ----------- -------- a. In force beg. of period ________________ ________________ b. Increases ________________ ________________ c. Deaths ________________ ________________ d. Maturities ________________ ________________ e. Surrenders ________________ ________________ f. Expires ________________ ________________ g. Lapses ________________ ________________

Policy Exhibit. The Ceding Company will send the Reinsurer summary policy exhibit information similar to the following example: ------------------------------------------------------------------------- NUMBER OF REINSURANCE POLICY SUMMARY CLASSIFICATION POLICIES AMOUNT ------------------------------------------------------------------------- In force as of last report 1,000 $800,000,000 ------------------------------------------------------------------------- New Issues 10 1,000,000 ------------------------------------------------------------------------- Reinstatements 1 100,000 ------------------------------------------------------------------------- Increases 3 500,000 ------------------------------------------------------------------------- Deduct by: ------------------------------------------------------------------------- Death 1 300,000 ------------------------------------------------------------------------- Lapse 6 500,000 ------------------------------------------------------------------------- Decreases 2 100,000 ------------------------------------------------------------------------- ------------------------------------------------------------------------- In force as of current report 1,005 800,700,000 -------------------------------------------------------------------------

Policy Exhibit. The Ceding Company will send the Reinsurer summary policy exhibit information similar to the following example: ------------------------------ ---------- ------------ Number of Reinsurance Policy Summary Classification Policies Amount ------------------------------ ---------- ------------ In force as of last report 1,000 $800,000,000 ------------------------------ ---------- ------------ ------------------------------ ---------- ------------ New Issues 10 1,000,000 ------------------------------ ---------- ------------ Reinstatements 1 100,000 ------------------------------ ---------- ------------ Increases 3 500,000 ------------------------------ ---------- ------------ ------------------------------ ---------- ------------ Deduct by: ------------------------------ ---------- ------------ Death 1 300,000 ------------------------------ ---------- ------------ Lapse 6 500,000 ------------------------------ ---------- ------------ Decreases 2 100,000 ------------------------------ ---------- ------------ In force as of current report 1,005 800,700,000 ------------------------------ ---------- ------------ (019)11220-00-00 ▇▇ 2/16/2011

Policy Exhibit. ITEM CASE COUNT ACCOUNT VALUE ------------------------------------------------------ Opening Balance New Issues Surrenders/Lapses Death Claims Closing Balance -------------------------------------------------------------------------------- The Manufacturers Life Insurance Company of North America Vantage, Vision and Manulife Rollover - Variable Annuity Effective July 1, 1998 22 SCHEDULE E (Continued)