Travelers Separate Account Eight for Variable Annuities Sample Contracts

Travelers Separate Account Eight for Variable Annuities – CONTRACT NUMBER: [SPECIMEN] (May 30th, 2003)

GUARANTEED MINIMUM WITHDRAWAL RIDER CONTRACT NUMBER: [SPECIMEN] EFFECTIVE DATE: [JANUARY 1, 2003] SUMMARY OF BENEFITS This Rider Effective Date is the date this rider is issued for attachment to Your Contract/Certificate (hereinafter collectively referred to as Contract.) This rider is effective during the accumulation phase of the Contract. Loans will not be allowed under Your Contract once this rider is effective. This rider cannot be terminated by either You or Us after the Rider Effective Date, except when We begin paying a benefit under an Annuity/Income Option or if this Contract is assigned, at which time all benefits under this rider will terminate. Except where this rider provides otherwise, it is subject to all the conditions and limitations of the Contract. This rider provides a guaranteed minimum withdrawal benefit that gives You the right to make periodic partial surrenders/withdrawals

Travelers Separate Account Eight for Variable Annuities – RIGHT TO EXAMINE THIS CONTRACT (May 30th, 2003)

THE TRAVELERS LIFE AND ANNUITY COMPANY o ONE CITYPLACE o HARTFORD, CONNECTICUT o 06103-3415 A STOCK COMPANY Mailing Address: Annuity Services P.O. Box 990009 Hartford, CT 06199-0009 We are pleased to provide You the benefits of this Variable Annuity Contract. Please read Your Contract and all attached forms carefully. RIGHT TO EXAMINE THIS CONTRACT IN ORDER TO CANCEL THIS CONTRACT, YOU MUST PROVIDE A WRITTEN REQUEST AND THIS CONTRACT TO US AT OUR MAILING ADDRESS OR TO OUR AGENT WITHIN 10 CALENDAR DAYS AFTER ITS DELIVERY TO YOU. WE WILL PAY YOU THE CONTRACT VALUE DETERMINED AS OF THE NEXT VALUATION DATE AFTER WE RECEIVE THE WRITTEN REQUEST AT OUR OFFICE, PLUS ANY PREMIUM TAX, AND CONTRACT CHARGES PAID. AFTER THE CONTRACT IS RETURNED, IT WILL BE CONSIDERED AS