1 Exhibit 1.A(5)(a) KEMPER INVESTORS LIFE INSURANCE COMPANY [ZURICH KEMPER LOGO] A Stock Life Insurance Company 1 Kemper Drive Long Grove, Illinois 60049-0001 INSURED: JOHN DOE ISSUE AGE: 35 EFFECTIVE DATE: JAN 01 1999 POLICY NO: 0000000 SINGLE PREMIUM: $10,000 INITIAL SPECIFIED AMOUNT: $100,000 RIGHT TO CANCEL - At any time within 10 days of receiving this policy, you may return it to us or to the agent through whom it was purchased. Immediately upon our receipt, this policy will be voided as if it had never been in force. Within ten days we will pay an amount equal to premiums paid for this policy less any Debt. On the Maturity Date, if the insured is living and this policy is in force, we will pay the Net Surrender Value to you. If the insured dies prior to the Maturity Date and this policy is in force, we will pay to the beneficiary the death benefit in force at the time of the insured's death. Payment made to you or to the beneficiary will be made subject to the terms of this policy. This policy is issued in consideration of the attached application and payment of the single premium. The provisions on this cover and the pages that follow are part of this policy. Signed for Kemper Investors Life Insurance Company at its home offices in Long Grove, Illinois. Secretary President INDIVIDUAL MODIFIED SINGLE PREMIUM VARIABLE UNIVERSAL LIFE INSURANCE POLICY NON-PARTICIPATING TO THE EXTENT ALLOCATIONS ARE MADE TO THE SUBACCOUNTS, THE CASH VALUE IS BASED ON THE INVESTMENT EXPERIENCE OF THE SUBACCOUNTS AND MAY INCREASE OR DECREASE DAILY. THIS AMOUNT IS NOT GUARANTEED. THE AMOUNTS, OR DURATION OF THE DEATH BENEFIT MAY VARY UNDER THE CONDITIONS DESCRIBED IN THE DEATH BENEFIT AND TERMINATION PROVISIONS. This is a legal contract between the owner and Kemper Investors Life Insurance Company. READ THIS POLICY CAREFULLY. 2 TABLE OF CONTENTS PAGE NO. APPLICATION Follows Policy Specifications DEATH BENEFIT PROVISIONS 2 Payment of Death Benefits 2 Amount Payable Upon Death 3 DEFINITIONS 1 ENDORSEMENTS, if any Follows Settlement Option Table GENERAL PROVISIONS 1 - 2 The Contract 1 Contestability 1 Assignment 2 Reports 2 NONFORFEITURE PROVISIONS 4 OWNERSHIP PROVISIONS 2 Owner of Policy 2 Change of Ownership 2 Beneficiary 2 POLICY SPECIFICATIONS Follows Index PREMIUM PROVISIONS 3 SETTLEMENT OPTION TABLE Follows Page 7 TRANSFER, WITHDRAWAL AND LOAN PROVISIONS 5 - 6 Transfers 5 Withdrawals 5 Withdrawal Charges 5 Loans 5 Transfer, Withdrawal and Loan Procedures 6 VARIABLE ACCOUNT PROVISIONS 3 - 4 Separate Account 3 Liabilities of Separate Account 3 Separate Account Value 3 Subaccounts 4 Rights Reserved By The Company 4 Accumulation Unit Value 4 3 POLICY SPECIFICATIONS INSURED JOHN DOE ISSUE AGE 35 EFFECTIVE DATE JAN 01 1999 POLICY NUMBER 0000000 INITIAL SPECIFIED AMOUNT $100,000 ISSUE DATE JAN 01 1999 COVERAGE INFORMATION RATE INITIAL CLASS SPECIFIED MATURITY OR MONTHLY BENEFIT DESCRIPTION PERCENT AMOUNT EXPIRY DATE RATE MODIFIED SINGLE PREMIUM VARIABLE LIFE* 100 $100,000 [JAN 01 2064] SEE PAGE D * IT IS POSSIBLE THAT COVERAGE WILL EXPIRE PRIOR TO THE MATURITY DATE SHOWN IF PREMIUMS PAID ARE INSUFFICIENT TO CONTINUE THE COVERAGE TO SUCH DATE. EVEN IF COVERAGE CONTINUES TO THE MATURITY DATE, THERE MAY BE NO SURRENDER VALUE TO BE PAID ON THAT DATE. PREMIUM INFORMATION SINGLE PREMIUM [ $10,000 ] INSURED RATE CLASS STANDARD TOBACCO/NON-TOBACCO 4 POLICY SPECIFICATIONS INSURED JOHN DOE ISSUE AGE 35 EFFECTIVE DATE JAN 01 1999 POLICY NUMBER [000000] MONTHLY PROCESSING DAY DAY 01 OF EACH MONTH DEDUCTION PERIOD [65 YEARS, 00 MONTHS] MINIMUM SPECIFIED AMOUNT AFTER WITHDRAWAL [$10,000] MINIMUM WITHDRAWAL AMOUNT [$100.00] MINIMUM NET SURRENDER VALUE AFTER WITHDRAWAL [$5,000] MINIMUM LOAN AMOUNT [$1,000.00] POLICY LOAN INTEREST CHARGED [ 5.50% ] POLICY LOAN INTEREST CREDITED Preferred Loan Portion [ 5.50% ] Non-Preferred Loan Portion [ 3.50% ] MINIMUM PREMIUM [$10,000.00] IRC SECTION 7702 TEST GUIDELINE PREMIUM TABLE OF DEATH BENEFIT FACTORS ATTAINED ATTAINED ATTAINED ATTAINED AGE* PERCENT AGE* PERCENT AGE* PERCENT AGE* PERCENT 0-40 250 50 185 60 130 70 115 41 243 51 178 61 128 71 113 42 236 52 171 62 126 72 111 43 229 53 164 63 124 73 109 44 222 54 157 64 122 74 107 45 215 55 150 65 120 75-90 105 46 209 56 146 66 119 91 104 47 203 57 142 67 118 92 103 48 197 58 138 68 117 93 102 49 191 59 134 69 116 94 101 95+ 100 *ATTAINED AGE IS THE AGE ON LAST BIRTHDAY AS OF THE BEGINNING OF THE POLICY YEAR. 5 POLICY SPECIFICATIONS INSURED JOHN DOE ISSUE AGE 35 ISSUE DATE JAN 01 1999 POLICY NUMBER [000000] SEPARATE ACCOUNT INITIAL PREMIUM ALLOCATION KEMPER AGGRESSIVE GROWTH PORTFOLIO 100% KEMPER TECHNOLOGY GROWTH PORTFOLIO KEMPER-DREMAN FINANCIAL SERVICES PORTFOLIO KEMPER SMALL CAP GROWTH PORTFOLIO KEMPER SMALL CAP VALUE PORTFOLIO KEMPER-DREMAN HIGH RETURN EQUITY PORTFOLIO KEMPER INTERNATIONAL PORTFOLIO KEMPER INTERNATIONAL GROWTH & INCOME PORTFOLIO KEMPER GLOBAL BLUE CHIP PORTFOLIO KEMPER GROWTH PORTFOLIO KEMPER CONTRARIAN VALUE PORTFOLIO KEMPER BLUE CHIP PORTFOLIO KEMPER VALUE+GROWTH PORTFOLIO KEMPER HORIZON 20+ PORTFOLIO KEMPER TOTAL RETURN PORTFOLIO KEMPER HORIZON 10+ PORTFOLIO KEMPER HIGH YIELD PORTFOLIO KEMPER HORIZON 5 PORTFOLIO KEMPER GLOBAL INCOME PORTFOLIO KEMPER INVESTMENT GRADE BOND PORTFOLIO KEMPER GOVERNMENT SECURITIES PORTFOLIO KEMPER MONEY MARKET PORTFOLIO SCUDDER VLIF GLOBAL DISCOVERY PORTFOLIO SCUDDER VLIF GROWTH AND INCOME PORTFOLIO SCUDDER VLIF INTERNATIONAL PORTFOLIO SCUDDER VLIF CAPITAL GROWTH PORTFOLIO JANUS ASPEN GROWTH PORTFOLIO JANUS ASPEN GROWTH AND INCOME PORTFOLIO WARBURG EMERGING MARKETS PORTFOLIO WARBURG POST-VENTURE CAPITAL PORTFOLIO ASSET BASED CHARGES ARE ASSESSED FOR THE ABOVE SUBACCOUNTS. FOR A COMPLETE DISCUSSION OF ASSET BASED CHARGES, PLEASE REFER TO SCHEDULE 1. 6 POLICY SPECIFICATIONS INSURED JOHN DOE ISSUE AGE 35 POLICY DATE JAN 01 1999 POLICY NUMBER [000000] TABLE OF GUARANTEED MAXIMUM COST OF INSURANCE RATES* PER $1,000 ATTAINED NON- ATTAINED NON- AGE TOBACCO TOBACCO AGE TOBACCO TOBACCO ----------------- -------------- -- --------------- ----- -------------- ---------------- - ---------------- 0 0.219480 0.219480 50 0.428690 0.837880 1 0.085880 0.085880 51 0.468090 0.916270 2 0.082540 0.082540 52 0.513380 1.004870 3 0.080880 0.080880 53 0.565410 1.105400 4 0.077540 0.077540 54 0.623350 1.215380 5 0.073370 0.073370 55 0.688070 1.333150 6 0.069200 0.069200 56 0.758730 1.457890 7 0.065030 0.065030 57 0.833670 1.589640 8 0.062530 0.062530 58 0.917110 1.728430 9 0.061690 0.061690 59 1.010780 1.877720 10 0.062530 0.062530 60 1.115550 2.044410 11 0.067530 0.067530 61 1.232310 2.232910 12 0.076700 0.076700 62 1.367070 2.445950 13 0.089220 0.089220 63 1.519910 2.684600 14 0.103400 0.103400 64 1.690090 2.946500 15 0.113420 0.146810 65 1.876860 3.224930 16 0.123430 0.163510 66 2.079500 3.517450 17 0.130940 0.175200 67 2.297270 3.821590 18 0.135950 0.184390 68 2.534600 4.141890 19 0.139290 0.190240 69 2.798580 4.490890 20 0.140130 0.193580 70 3.098170 4.877870 21 0.138460 0.193580 71 3.441600 5.314990 22 0.135950 0.190240 72 3.839990 5.812080 23 0.132610 0.186890 73 4.293280 6.366660 24 0.129280 0.181880 74 4.794460 6.979050 25 0.125100 0.176030 75 5.333740 7.638620 26 0.122600 0.172690 76 5.907380 8.318710 27 0.120930 0.171020 77 6.511600 9.007620 28 0.120090 0.171020 78 7.150730 9.710250 29 0.120090 0.173530 79 7.845900 10.451730 30 0.120930 0.177710 80 8.620930 11.258160 31 0.123430 0.183550 81 9.498890 12.154910 32 0.126770 0.191070 82 10.501350 13.160810 33 0.131780 0.201100 83 11.628210 14.262960 34 0.137620 0.212790 84 12.862100 15.427670 35 0.144300 0.227000 85 14.178860 16.617240 36 0.151820 0.243720 86 15.565070 17.803170 37 0.161840 0.264620 87 17.002260 19.039280 38 0.172690 0.288040 88 18.486430 20.348230 39 0.184390 0.314810 89 20.041320 21.671680 40 0.198590 0.345780 90 21.693700 23.030110 41 0.213630 0.379270 91 23.488560 24.468300 42 0.229510 0.416120 92 25.504290 26.169550 43 0.247060 0.456350 93 27.961930 28.406850 44 0.266290 0.500790 94 31.383850 31.563380 45 0.288040 0.547780 95 36.798270 36.798270 46 0.311460 0.596470 96 46.588990 46.588990 47 0.336570 0.649400 97 67.043870 67.043870 48 0.364190 0.706570 98 83.333330 83.333330 49 0.394340 0.768830 99 83.333330 83.333330 *THE GUARANTEED MAXIMUM MONTHLY COST OF INSURANCE RATES SHALL BE THE RATES SHOWN IN THE TABLE ABOVE MULTIPLIED BY THE APPROPRIATE RATE CLASS PERCENT. THIS PERCENT IS SHOWN ON PAGE 1 OF THE POLICY SPECIFICATIONS. THE RATES ACTUALLY CHARGED MAY BE REDUCED IN ACCORDANCE WITH THE COST OF INSURANCE RATE SECTION. 7 GUARANTEED MAXIMUM MONTHLY COST OF INSURANCE RATES -------------------------------------------------------------- MALE NON-TOBACCO -------------------------------------------------------------- ATTAINED ATTAINED AGE AGE ------------------------------ ----------------------------- 0 0.219480 50 0.428690 ------------------------------ ----------------------------- 1 0.085880 51 0.468090 ------------------------------ ----------------------------- 2 0.082540 52 0.513380 ------------------------------ ----------------------------- 3 0.080880 53 0.565410 ------------------------------ ----------------------------- 4 0.077540 54 0.623350 ------------------------------ ----------------------------- 5 0.073370 55 0.688070 ------------------------------ ----------------------------- 6 0.069200 56 0.758730 ------------------------------ ----------------------------- 7 0.065030 57 0.833670 ------------------------------ ----------------------------- 8 0.062530 58 0.917110 ------------------------------ ----------------------------- 9 0.061690 59 1.010780 ------------------------------ ----------------------------- 10 0.062530 60 1.115550 ------------------------------ ----------------------------- 11 0.067530 61 1.232310 ------------------------------ ----------------------------- 12 0.076700 62 1.367070 ------------------------------ ----------------------------- 13 0.089220 63 1.519910 ------------------------------ ----------------------------- 14 0.103400 64 1.690090 ------------------------------ ----------------------------- 15 0.113420 65 1.876860 ------------------------------ ----------------------------- 16 0.123430 66 2.079500 ------------------------------ ----------------------------- 17 0.130940 67 2.297270 ------------------------------ ----------------------------- 18 0.135950 68 2.534600 ------------------------------ ----------------------------- 19 0.139290 69 2.798580 ------------------------------ ----------------------------- 20 0.140130 70 3.098170 ------------------------------ ----------------------------- 21 0.138460 71 3.441600 ------------------------------ ----------------------------- 22 0.135950 72 3.839990 ------------------------------ ----------------------------- 23 0.132610 73 4.293280 ------------------------------ ----------------------------- 24 0.129280 74 4.794460 ------------------------------ ----------------------------- 25 0.125100 75 5.333740 ------------------------------ ----------------------------- 26 0.122600 76 5.907380 ------------------------------ ----------------------------- 27 0.120930 77 6.511600 ------------------------------ ----------------------------- 28 0.120090 78 7.150730 ------------------------------ ----------------------------- 29 0.120090 79 7.845900 ------------------------------ ----------------------------- 30 0.120930 80 8.620930 ------------------------------ ----------------------------- 31 0.123430 81 9.498890 ------------------------------ ----------------------------- 32 0.126770 82 10.501350 ------------------------------ ----------------------------- 33 0.131780 83 11.628210 ------------------------------ ----------------------------- 34 0.137620 84 12.862100 ------------------------------ ----------------------------- 35 0.144300 85 14.178860 ------------------------------ ----------------------------- 36 0.151820 86 15.565070 ------------------------------ ----------------------------- 37 0.161840 87 17.002260 ------------------------------ ----------------------------- 38 0.172690 88 18.486430 ------------------------------ ----------------------------- 39 0.184390 89 20.041320 ------------------------------ ----------------------------- 40 0.198590 90 21.693700 ------------------------------ ----------------------------- 41 0.213630 91 23.488560 ------------------------------ ----------------------------- 42 0.229510 92 25.504290 ------------------------------ ----------------------------- 43 0.247060 93 27.961930 ------------------------------ ----------------------------- 44 0.266290 94 31.383850 ------------------------------ ----------------------------- 45 0.288040 95 36.798270 ------------------------------ ----------------------------- 46 0.311460 96 46.588990 ------------------------------ ----------------------------- 47 0.336570 97 67.043870 ------------------------------ ----------------------------- 48 0.364190 98 83.333330 ------------------------------ ----------------------------- 49 0.394340 99 83.333330 ------------------------------ ----------------------------- 8 GUARANTEED MAXIMUM MONTHLY COST OF INSURANCE RATES -------------------------------------------------------------- MALE TOBACCO -------------------------------------------------------------- ATTAINED ATTAINED AGE AGE ------------------------------ ----------------------------- 0 0.219480 50 0.837880 ------------------------------ ----------------------------- 1 0.085880 51 0.916270 ------------------------------ ----------------------------- 2 0.082540 52 1.004870 ------------------------------ ----------------------------- 3 0.080880 53 1.105400 ------------------------------ ----------------------------- 4 0.077540 54 1.215380 ------------------------------ ----------------------------- 5 0.073370 55 1.333150 ------------------------------ ----------------------------- 6 0.069200 56 1.457890 ------------------------------ ----------------------------- 7 0.065030 57 1.589640 ------------------------------ ----------------------------- 8 0.062530 58 1.728430 ------------------------------ ----------------------------- 9 0.061690 59 1.877720 ------------------------------ ----------------------------- 10 0.062530 60 2.044410 ------------------------------ ----------------------------- 11 0.067530 61 2.232910 ------------------------------ ----------------------------- 12 0.076700 62 2.445950 ------------------------------ ----------------------------- 13 0.089220 63 2.684600 ------------------------------ ----------------------------- 14 0.103400 64 2.946500 ------------------------------ ----------------------------- 15 0.146810 65 3.224930 ------------------------------ ----------------------------- 16 0.163510 66 3.517450 ------------------------------ ----------------------------- 17 0.175200 67 3.821590 ------------------------------ ----------------------------- 18 0.184390 68 4.141890 ------------------------------ ----------------------------- 19 0.190240 69 4.490890 ------------------------------ ----------------------------- 20 0.193580 70 4.877870 ------------------------------ ----------------------------- 21 0.193580 71 5.314990 ------------------------------ ----------------------------- 22 0.190240 72 5.812080 ------------------------------ ----------------------------- 23 0.186890 73 6.366660 ------------------------------ ----------------------------- 24 0.181880 74 6.979050 ------------------------------ ----------------------------- 25 0.176030 75 7.638620 ------------------------------ ----------------------------- 26 0.172690 76 8.318710 ------------------------------ ----------------------------- 27 0.171020 77 9.007620 ------------------------------ ----------------------------- 28 0.171020 78 9.710250 ------------------------------ ----------------------------- 29 0.173530 79 10.451730 ------------------------------ ----------------------------- 30 0.177710 80 11.258160 ------------------------------ ----------------------------- 31 0.183550 81 12.154910 ------------------------------ ----------------------------- 32 0.191070 82 13.160810 ------------------------------ ----------------------------- 33 0.201100 83 14.262960 ------------------------------ ----------------------------- 34 0.212790 84 15.247670 ------------------------------ ----------------------------- 35 0.227000 85 16.617240 ------------------------------ ----------------------------- 36 0.243720 86 17.803170 ------------------------------ ----------------------------- 37 0.264620 87 19.039280 ------------------------------ ----------------------------- 38 0.288040 88 20.348230 ------------------------------ ----------------------------- 39 0.314810 89 21.671680 ------------------------------ ----------------------------- 40 0.345780 90 23.030110 ------------------------------ ----------------------------- 41 0.379270 91 24.468300 ------------------------------ ----------------------------- 42 0.416120 92 26.169550 ------------------------------ ----------------------------- 43 0.456350 93 28.406850 ------------------------------ ----------------------------- 44 0.500790 94 31.563380 ------------------------------ ----------------------------- 45 0.547780 95 36.798270 ------------------------------ ----------------------------- 46 0.596470 96 46.588990 ------------------------------ ----------------------------- 47 0.649400 97 67.043870 ------------------------------ ----------------------------- 48 0.706570 98 83.333330 ------------------------------ ----------------------------- 49 0.768830 99 83.333330 ------------------------------ ----------------------------- 9 GUARANTEED MAXIMUM MONTHLY COST OF INSURANCE RATES -------------------------------------------------------------- FEMALE NON-TOBACCO -------------------------------------------------------------- ATTAINED ATTAINED AGE AGE ------------------------------ ----------------------------- ------------------------------ ----------------------------- 0 0.156830 50 0.362520 ------------------------------ ----------------------------- 1 0.070030 51 0.390150 ------------------------------ ----------------------------- 2 0.066700 52 0.421990 ------------------------------ ----------------------------- 3 0.065030 53 0.457190 ------------------------------ ----------------------------- 4 0.064190 54 0.493240 ------------------------------ ----------------------------- 5 0.062530 55 0.531830 ------------------------------ ----------------------------- 6 0.060860 56 0.570440 ------------------------------ ----------------------------- 7 0.059190 57 0.608230 ------------------------------ ----------------------------- 8 0.058360 58 0.646040 ------------------------------ ----------------------------- 9 0.057520 59 0.688910 ------------------------------ ----------------------------- 10 0.056690 60 0.739370 ------------------------------ ----------------------------- 11 0.058360 61 0.801660 ------------------------------ ----------------------------- 12 0.060860 62 0.879170 ------------------------------ ----------------------------- 13 0.064190 63 0.974480 ------------------------------ ----------------------------- 14 0.068360 64 1.081730 ------------------------------ ----------------------------- 15 0.071700 65 1.197600 ------------------------------ ----------------------------- 16 0.075040 66 1.317890 ------------------------------ ----------------------------- 17 0.077540 67 1.440910 ------------------------------ ----------------------------- 18 0.080040 68 1.568370 ------------------------------ ----------------------------- 19 0.082540 69 1.710530 ------------------------------ ----------------------------- 20 0.084210 70 1.877720 ------------------------------ ----------------------------- 21 0.085880 71 2.082070 ------------------------------ ----------------------------- 22 0.086720 72 2.333340 ------------------------------ ----------------------------- 23 0.088380 73 2.635430 ------------------------------ ----------------------------- 24 0.090050 74 2.984600 ------------------------------ ----------------------------- 25 0.091720 75 3.376280 ------------------------------ ----------------------------- 26 0.094220 76 3.802330 ------------------------------ ----------------------------- 27 0.095890 77 4.261570 ------------------------------ ----------------------------- 28 0.098400 78 4.761660 ------------------------------ ----------------------------- 29 0.101730 79 5.319450 ------------------------------ ----------------------------- 30 0.104240 80 5.958680 ------------------------------ ----------------------------- 31 0.107580 81 6.700420 ------------------------------ ----------------------------- 32 0.110910 82 7.564140 ------------------------------ ----------------------------- 33 0.115090 83 8.550150 ------------------------------ ----------------------------- 34 0.120090 84 9.651690 ------------------------------ ----------------------------- 35 0.125940 85 10.861090 ------------------------------ ----------------------------- 36 0.134280 86 12.174410 ------------------------------ ----------------------------- 37 0.144300 87 13.594640 ------------------------------ ----------------------------- 38 0.155160 88 15.128280 ------------------------------ ----------------------------- 39 0.166850 89 16.793990 ------------------------------ ----------------------------- 40 0.181050 90 18.613420 ------------------------------ ----------------------------- 41 0.196080 91 20.640050 ------------------------------ ----------------------------- 42 0.211120 92 22.968510 ------------------------------ ----------------------------- 43 0.226170 93 25.797340 ------------------------------ ----------------------------- 44 0.241210 94 29.586210 ------------------------------ ----------------------------- 45 0.257930 95 35.366190 ------------------------------ ----------------------------- 46 0.275490 96 45.525080 ------------------------------ ----------------------------- 47 0.294730 97 66.318680 ------------------------------ ----------------------------- 48 0.314810 98 83.333330 ------------------------------ ----------------------------- 49 0.337410 99 83.333330 ------------------------------ ----------------------------- 10 GUARANTEED MAXIMUM MONTHLY COST OF INSURANCE RATES -------------------------------------------------------------- FEMALE TOBACCO -------------------------------------------------------------- ATTAINED ATTAINED AGE AGE ------------------------------ ----------------------------- 0 0.156830 50 0.566250 ------------------------------ ----------------------------- 1 0.070030 51 0.607390 ------------------------------ ----------------------------- 2 0.066700 52 0.654440 ------------------------------ ----------------------------- 3 0.065030 53 0.706570 ------------------------------ ----------------------------- 4 0.064190 54 0.759570 ------------------------------ ----------------------------- 5 0.062530 55 0.814290 ------------------------------ ----------------------------- 6 0.060860 56 0.868210 ------------------------------ ----------------------------- 7 0.059190 57 0.918800 ------------------------------ ----------------------------- 8 0.058360 58 0.968570 ------------------------------ ----------------------------- 9 0.057520 59 1.021750 ------------------------------ ----------------------------- 10 0.056690 60 1.085110 ------------------------------ ----------------------------- 11 0.058360 61 1.164600 ------------------------------ ----------------------------- 12 0.060860 62 1.267040 ------------------------------ ----------------------------- 13 0.064190 63 1.391670 ------------------------------ ----------------------------- 14 0.068360 64 1.530960 ------------------------------ ----------------------------- 15 0.080040 65 1.678160 ------------------------------ ----------------------------- 16 0.084210 66 1.828210 ------------------------------ ----------------------------- 17 0.088380 67 1.973420 ------------------------------ ----------------------------- 18 0.092560 68 2.120610 ------------------------------ ----------------------------- 19 0.095060 69 2.280960 ------------------------------ ----------------------------- 20 0.097560 70 2.470900 ------------------------------ ----------------------------- 21 0.099230 71 2.712220 ------------------------------ ----------------------------- 22 0.101730 72 3.008860 ------------------------------ ----------------------------- 23 0.104240 73 3.363220 ------------------------------ ----------------------------- 24 0.106740 74 3.769070 ------------------------------ ----------------------------- 25 0.109240 75 4.214910 ------------------------------ ----------------------------- 26 0.113420 76 4.691660 ------------------------------ ----------------------------- 27 0.116760 77 5.192770 ------------------------------ ----------------------------- 28 0.120930 78 5.725870 ------------------------------ ----------------------------- 29 0.125940 79 6.310570 ------------------------------ ----------------------------- 30 0.131780 80 6.970840 ------------------------------ ----------------------------- 31 0.136790 81 7.726990 ------------------------------ ----------------------------- 32 0.142630 82 8.595770 ------------------------------ ----------------------------- 33 0.150150 83 9.611100 ------------------------------ ----------------------------- 34 0.158500 84 10.726950 ------------------------------ ----------------------------- 35 0.167680 85 11.929990 ------------------------------ ----------------------------- 36 0.181880 86 13.214160 ------------------------------ ----------------------------- 37 0.198590 87 14.570110 ------------------------------ ----------------------------- 38 0.217810 88 16.008410 ------------------------------ ----------------------------- 39 0.238700 89 17.532150 ------------------------------ ----------------------------- 40 0.263790 90 19.256820 ------------------------------ ----------------------------- 41 0.290550 91 21.156900 ------------------------------ ----------------------------- 42 0.317320 92 23.319700 ------------------------------ ----------------------------- 43 0.344100 93 25.937870 ------------------------------ ----------------------------- 44 0.370890 94 29.586210 ------------------------------ ----------------------------- 45 0.399370 95 35.366190 ------------------------------ ----------------------------- 46 0.428690 96 45.525080 ------------------------------ ----------------------------- 47 0.458870 97 66.318680 ------------------------------ ----------------------------- 48 0.491570 98 83.333330 ------------------------------ ----------------------------- 49 0.527640 99 83.333330 ------------------------------ ----------------------------- 11 SCHEDULE 1 CHARGES AND DEDUCTIONS - -------------------------------------------------------------------------------- SCHEDULE OF ASSET BASED CHARGES - -------------------------------------------------------------------------------- Mortality and Expense Risk Charge .90% Administration Charge .35% annually for Policy Years 1-10 .25% annually for Policy Years 11 and later Tax Charge .40% annually for Policy Years 1-10 - -------------------------------------------------------------------------------- THE ASSET BASED CHARGES WILL BE ASSESSED DAILY ON THE SEPARATE ACCOUNT VALUE. The Annual Record Maintenance Charge of $30 is deducted from your Cash Value at the end of the Policy Year. - ---------------------------------------------------------------------------- SCHEDULE OF PREMIUM WITHDRAWAL CHARGES - ---------------------------------------------------------------------------- POLICY YEARS SURRENDER PREMIUM TAX TOTAL WITHDRAWAL ELAPSED SINCE ISSUE CHARGE CHARGE CHARGE - ---------------------------------------------------------------------------- 1 7.75% 2.25% 10.00% 2 7.75% 2.00% 9.75% 3 7.50% 1.75% 9.25% 4 6.50% 1.50% 8.00% 5 5.75% 1.25% 7.00% 6 5.00% 1.00% 6.00% 7 4.25% .75% 5.00% 8 3.50% .50% 4.00% 9 2.75% .25% 3.00% over 9 0% 0% 0% - ---------------------------------------------------------------------------- THE WITHDRAWAL CHARGE PERCENTAGES ARE APPLIED AGAINST THE ORIGINAL SINGLE PREMIUM AMOUNT. A FREE PARTIAL WITHDRAWAL OF THE GREATER OF 10% OF CASH VALUE OR CASH VALUE LESS PREMIUM PAID IS AVAILABLE EACH YEAR. "PREMIUM PAID" FOR THIS PURPOSE IS THE PREMIUM SUBJECT TO A WITHDRAWAL CHARGE MINUS WITHDRAWALS PREVIOUSLY ASSESSED [A WITHDRAWAL CHARGE]. 12 DEFINITIONS ACCUMULATION UNIT - An accounting unit of measure used to calculate the value of each Subaccount. ACCUMULATION UNIT VALUE - The value of a Subaccount determined for a Valuation Period according to the formula stated in this policy. ADMINISTRATION CHARGE - A charge deducted from the Cash Value for a portion of Our administrative costs. CASH VALUE - The sum of the Separate Account Value plus the Fixed Account Value plus the Loan Account Value. DEBT - The principal of any outstanding loan plus any loan interest due or accrued. DEDUCTION DAY - The Deduction Day is stated in the policy specifications. It is the same day in each month as the Effective Date. It is the day from which policy months are determined. EFFECTIVE DATE - The Effective Date is shown on the front of Your policy. It is the date coverage becomes effective. If the Effective Date would have been the 29th, 30th or 31st of the month, the Effective Date will be the 28th day of that month. FIXED ACCOUNT - The portion of the Cash Value allocated to our General Account, including amounts allocated to our DCA Fixed Account to be transferred to the Subaccounts under the automatic Dollar Cost Averaging program. FIXED ACCOUNT VALUE - The value of the Fixed Account. FUND - An investment company or separate series thereof, in which the Subaccounts of the Separate Account invest. GENERAL ACCOUNT - Our assets other than those allocated to the Separate Account or any other Separate Account. GUIDELINE SINGLE PREMIUM - The Guideline Single Premium as defined in Section 7702 of the Internal Revenue Code. ISSUE AGE - The attained age as of the insured's last birthday on the Effective Date. ISSUE DATE - The issue date stated in the policy specifications. It is the date all requirements for coverage and Premium have been received, and the policy is approved. LOAN ACCOUNT - The account established for amounts transferred from the Subaccounts as security for outstanding Policy Debt. LOAN ACCOUNT VALUE - The value of the Loan Account. Page 1 13 Page 2 MATURITY DATE - The Maturity Date is stated in the policy specifications. It is the policy anniversary nearest the insured's 100th birthday. MORTALITY AND EXPENSE CHARGE - A charge deducted in the calculation of the accumulation unit value. It is for Our assumption of mortality risks and expense guarantees. NET SURRENDER VALUE - The Surrender Value minus any Debt. OWNER - See "You, Your, Yours" below. POLICY YEAR - Each twelve-month period beginning on the Effective Date and each Policy Anniversary. PREFERRED LOAN - The portion of any loan as to which the loan account is credited a higher rate of interest. The maximum amount available as a Preferred Loan is the Separate Account Value minus premium paid plus any prior withdrawal of premium. PREMIUM - The dollar amount We receive in U.S. currency to buy the benefits this policy provides. RECORDS MAINTENANCE CHARGE - A charge assessed against Your policy as specified in the policy specifications. RECEIVED - Received by Kemper Investors Life Insurance Company at its home office in Long Grove, Illinois. SEPARATE ACCOUNT - A unit investment trust registered with the Securities and Exchange Commission under the Investment Company Act of 1940 known as the KILICO Variable Annuity Separate Account. SEPARATE ACCOUNT VALUE - The sum of the Subaccount Values of this policy on the Valuation Date. SUBACCOUNTS - The Separate Account has several Subaccounts. The available Subaccounts are stated in the policy specifications. SUBACCOUNT VALUE - The value of each Subaccount calculated separately according to the formula stated in this policy. SURRENDER VALUE - The Surrender Value of this policy is the Cash Value minus any applicable withdrawal charge. TAX EXPENSE CHARGE - A charge deducted from the Cash Value to pay applicable state and local Premium taxes and federal taxes imposed under Section 848 of the Internal Revenue Code of 1986, as amended (the "Code"). TRADE DATE - The Trade Date is ten (10) days plus the number of days in your right to cancel period after the Issue Date. It is the date that your initial premium plus any interest will be allocated to the Subaccounts according to your instructions. The right to cancel period is shown on the front of Your policy. VALUATION DATE - Each business day that applicable law requires that We value the assets of the Separate Account. Currently this is each day that the New York Stock Exchange is open for trading. VALUATION PERIOD - The period that starts at the close of a Valuation Date and ends at the close of the next succeeding Valuation Date. WE, OUR, US - Kemper Investors Life Insurance Company, Long Grove, Illinois. 14 YOU, YOUR, YOURS - The party(s) named as owner in the application unless later changed as provided in this policy. The owner, prior to the distribution of any death benefit, has the exclusive right to exercise every option and right conferred by this policy. GENERAL PROVISIONS THE POLICY The policy, the attached application and any supplemental application(s) constitute the entire contract between the parties. All statements made in the application and supplemental application(s) are deemed representations and not warranties. No misstatement will void this policy or be used as a defense of a claim unless it is contained in the application or any supplemental application. MODIFICATION OF Only Our president, secretary and assistant POLICY secretaries have the power to approve a change or waive any provisions of this policy. Any such modifications must be in writing. No agent or person other than the officers named has the authority to change or waive the provisions of this policy. CONTESTABILITY We cannot contest this policy after it has been in force for two years from the Effective Date. If the policy is reinstated, a new two year contestability period will apply from the Effective Date of the reinstatement and will apply only to statements made in the application for the reinstatement. MISSTATEMENT OF AGE If the age and/or sex of the Insured was misstated, AND/OR SEX the death benefit and all policy values will be adjusted based on what the initial Premium would have purchased using the correct ages and/or sexes. SUICIDE If the Insured dies by suicide, while sane or insane, within two years from the Effective Date, the death benefit proceeds will be limited to the Premiums paid less any withdrawals and Debt. If the Insured dies by suicide, while sane or insane, within two years of any reinstatement, Our total liability with respect to such reinstatement will be the cost of insurance. EFFECTIVE DATE The Effective Date of coverage under this policy is the Effective Date. If the OF COVERAGE Effective Date would have been the 29th, 30th, or 31st of the month, the Effective Date will be the 28th day of that month. Incontestability and suicide periods are measured from the Effective Date. We will deduct the first monthly deduction on the Effective Date. TERMINATION All coverage under this policy terminates when any one of the following occurs: 1. You request that coverage terminates; 2. The insured dies; 3. This policy matures, or 4. The grace period ends and there is Debt outstanding. ASSIGNMENT No assignment of this policy is binding unless We receive written notice of the assignment. We assume no responsibility for the validity or sufficiency of any assignment. Once notice of the assignment is recorded, the rights of the owner, annuitant and beneficiary are subject to the assignment. Any claim is subject to proof of interest of the assignee. DUE PROOF OF DEATH We must receive written proof of death within sixty days of the death of the insured, or as soon thereafter as is reasonably possible, when a death benefit is payable. The proof may be a certified death certificate, the written statement of a physician, or any other proof satisfactory to Us. Page 3 15 Page 4 RESERVES, CASH VALUES All reserves are equal to or greater than those AND DEATH BENEFITS required by statute. Any available Cash Value and death benefit are not less than the minimum benefits required by the statutes of the state in which this policy is delivered. BASIS OF COMPUTATIONS A detailed statement of the method of computations of cash values under this policy has been filed with the insurance department of the state in which this policy is delivered. The 1980 Commissioner's Standard Ordinary Smoker or Nonsmoker Mortality tables, age last birthday, is the basis for minimum Cash Values, death benefits, and guaranteed maximum cost of insurance rates under this policy. TAX TREATMENT This policy is intended to qualify as a life insurance policy under the Internal Revenue Code ("Code"). We may return Premiums which would disqualify the policy from tax treatment as a life insurance policy. This policy may be endorsed to reflect any change in the Code and its regulations and rulings. You will receive a copy of any such endorsement or when a federal income tax should apply, we may impose charges for federal income taxes attributed to the Separate Account. Charges for other taxes, if any, attributed to this policy may also be made. NON-PARTICIPATING This policy does not pay dividends. It will not share in Our surplus or earnings. REPORTS At least once each Policy Year We will send You a statement showing Premiums received, interest credited, investment experience, and charges made since the last report. The report will also show the current death benefit and Cash Value, as well as any other information required by statute. OWNERSHIP PROVISIONS OWNERS OF POLICY The insured is the original policy owner unless otherwise provided in the application. You have the right to cancel or amend this policy if We agree. You may exercise every option and right conferred by this policy including the right of assignment. The joint owners must agree to any change if more than one owner is named. CHANGE OF OWNERSHIP You may change the owner by written request at any time during the lifetime of the Insured. You must furnish information sufficient to clearly identify the new owner to Us. The change is subject to any existing assignment of this policy. When We record the effective date of the change, it will be the date the notice was signed except for action taken by Us prior to receiving the request. Any change is subject to the payment of any proceeds. We may require You to return this policy to Us for endorsement of a change. BENEFICIARY The application for this policy shows the original DESIGNATION AND beneficiary. You may change the beneficiary if You CHANGE OF BENEFICIARY send Us a written change form. Changes are subject to the following: 1. The change must be filed while the insured is alive; 2. This policy must be in force at the time You file a change; 3. Such change must not be prohibited by the terms of an existing assignment, beneficiary designation or other restriction; 4. Such change will take effect when We receive it; 5. After We receive the change, it will take effect on the date the change form was signed. However, action taken by Us before the change form was received will remain in effect; and 6. The request for change must provide information sufficient to identify the new beneficiary. We may require You to return this policy for endorsement of a change. 16 DEATH OF BENEFICIARY The interest of a beneficiary who dies before the distribution of the death benefit will pass to the other beneficiaries, if any, share and share alike, unless otherwise provided in the beneficiary designation. If no beneficiary survives, or if no beneficiary is named, the distribution will be made to the insured's estate. If a beneficiary dies within ten days of the date of the insured's death, the death benefit will be paid as if the insured had survived the beneficiary. DEATH BENEFIT PROVISIONS PAYMENT OF DEATH We will pay a death benefit to the beneficiary when BENEFITS We receive due proof of death, if the insured dies while this policy is inforce. The return of this policy is required before a payment is made. We will pay the death benefit in a lump sum. This sum may be deferred for up to five years from the date of death. During this time, it will continue to accrue interest at the normal rate for death benefits left on deposit with Us. Instead of a lump sum payment the beneficiary may elect to have the death benefit distributed under a settlement option. The beneficiary must make this choice within sixty days of the time We receive due proof of death. AMOUNT PAYABLE We compute the death benefit at the end of the UPON DEATH Valuation Period following Our receipt of due proof of death and the return of this policy. As long as there is positive Net Surrender Value, or during the Grace Period, the death benefit is the greater of: 1. the specified amount on the date of the Insured's death, and 2. the cash value on the date of the insured's death multiplied by the applicable death benefit factor at the time of death. The death benefit proceeds equal a. minus b. minus c., where: a. is the death benefit b. is any monthly deductions due during the grace period c. is any Debt. The initial specified amount and the table of cash value corridors are shown in the policy specifications. The specified amount is the initial specified amount, unless reduced by a withdrawal. If there is no positive Net Surrender Value, no Debt outstanding, you paid 100% of the Guideline Single Premium as your initial Premium, and your policy is not in the Grace Period, the death benefit will be your total Premium paid, less any withdrawal. DEFERMENT OF DEATH The payment of death benefits in excess of the BENEFITS specified amount may be deferred: (a) for up to 6 months from the date requested if these benefits are based upon policy values which do not depend on the investment performance of the Separate Account or (b) otherwise, (1) during any period when the New York Stock Exchange is closed other than customary weekend and holiday closings; (2) when trading in the markets normally utilized is restricted, or an emergency exists as determined by the Securities and Exchange Commission, so that disposal of investments or determination of the accumulation unit value is not practical; or (3) for such other periods as the Securities and Exchange Commission may permit for protection of owners. PREMIUM PROVISIONS The owner may choose a minimum initial Premium of 90% or 100% of the Guideline Single Premium (based on the initial specified amount). Page 5 17 Page 6 ADDITIONAL PREMIUM Payment of additional Premium of at least $1,000 will be permitted under the following circumstances: 1. An additional Premium payment is required to maintain or reinstate coverage, as described in the GRACE PERIOD and REINSTATEMENT provisions. 2. The Premium payment would not cause the policy to fail to meet the definition of a life insurance under Section 7702 of the Internal Revenue Code ("Code"). We reserve the right to require satisfactory evidence of insurability before accepting any additional Premium that increases the death benefit. Premium which does not meet the tax qualification guidelines for life insurance under the Code will not be applied to the policy. If there is current Debt on the policy, additional moneys will be considered repayment of Debt first, unless You state otherwise. PLACE OF PAYMENT All Premiums under this policy must be paid to Us at Our home office or such other location as We may select. We will notify You and any other interested parties in writing of such other locations. Premiums received by an agent will be allocated to the Subaccounts only after We receive them. PREMIUM ALLOCATION If you paid all or a portion of Your initial Premium before the Issue Date of your Policy, we credit interest to your initial Premium for the period prior to the Issue Date at a rate not less than 3% annually. On the Issue Date (unless the Trade Date is the same as the Issue Date), we allocate the premium and any accumulations to the Kemper Money Market Subaccount. The Subaccount value of the Kemper Money Market Subaccount will be allocated to the Subaccounts, according to the Premium allocation shown in the policy specifications, on the Trade Date. You may temporarily allocate a portion of Your initial Premium to any single Subaccount or to our Fixed Account to be transferred to the Subaccounts under our automatic dollar cost averaging program. Only initial Premiums may be allocated to the Fixed Account, and only for the purpose of subsequent transfers to the Subaccounts under our automatic dollar cost averaging program. (If the Issue Date is the same as the Trade Date, the Premium will be immediately allocated to the Subaccounts). GRACE PERIOD If the net Surrender Value immediately proceeding a is less than the monthly deduction for that month, a grace period of 61 days will be allowed for the payment, without evidence of insurability, of Premium payment or loan repayment equal to at least three monthly deductions. This grace period will begin on the day We mail notice of the required payment to Your last known address. If there is no current Debt on the policy, you paid 100% of the Guideline Single Premium as your Initial Premium, and payment is not received within the grace period, coverage under this policy will remain in force, but the amount paid upon death of the insured after the grace period will be limited to the return of Your total Premiums paid less any prior partial withdrawals. The Specified Amount coverage can be restored according to the REINSTATEMENT provision below. If there is any Debt on the policy or you paid 90% of the Guideline Single Premium as your Initial Premium, and payment is not received within the grace period, coverage under this policy will terminate at the end of the grace period in accordance with the NONFORFEITURE provisions. If death of the Insured occurs within the grace period, any amount payable will be reduced by any unpaid monthly deductions. REINSTATEMENT If this policy enters insufficient fund value status as defined on Page 10 below, and has not been surrendered for its Net Surrender Value, it may be reinstated to the Specified Amount at any time within 3 years after entering that status. The policy may also be reinstated within 3 years of policy lapse if it has not been surrendered for its Net Surrender Value. Either type of reinstatement is subject to: 18 1. receipt of evidence of insurability satisfactory to Us; 2. payment of enough Premium to pay the unpaid monthly deductions due during the last expired grace period; 3. payment of a minimum Premium sufficient to keep this policy in force for three months; and 4. payment of any Debt against this policy which existed at the date of termination of coverage. The effective date of reinstatement of a policy will be the Deduction Day that coincides with or next follows the date the application for reinstatement is approved by Us. The SUICIDE and CONTESTABILITY provisions will apply from the effective date of reinstatement. VARIABLE ACCOUNT PROVISIONS SEPARATE ACCOUNT The variable benefits under this policy are provided through the KILICO Variable Separate Account. This is called the Separate Account. The Separate Account is registered with the Securities and Exchange Commission as a unit investment trust under the Investment Company Act of 1940. It is a separate investment account maintained by Us into which a portion of Our assets has been allocated for this policy and may be allocated for certain other policies. LIABILITIES OF SEPARATE The assets equal to the reserves and other ACCOUNT liabilities of the Separate Account will not be charged with liabilities arising out of any other business We may conduct. If the assets of the Separate Account exceed the liabilities under the policies supported by the separate Account, then the excess may be used to cover the liabilities of Our General Account. We will value the assets of the Separate Account on each Valuation Date. SEPARATE ACCOUNT On any Valuation Date, the Separate Account Value is VALUE the sum of its Subaccount Values. SUBACCOUNTS The Separate Account consists of several Subaccounts as shown in the policy specifications. We may, from time to time, combine or remove Subaccounts in the Separate Account and establish additional Subaccounts of the Separate Account. In such event, We may permit You to select other Subaccounts under this policy. However, the right to select any other Subaccount is limited by the terms and conditions We may impose such transactions. SUBACCOUNT VALUE On any Valuation Date, the Subaccount value in a Subaccount equals: 1. the Subaccount value on the previous Valuation Date multiplied by the investment experience factor for the end of the current Valuation Period; plus 2. any net Premiums received and allocated to the Subaccount during the current Valuation Period; plus 3. any amounts transferred to the Subaccount during the current Valuation Period; minus Page 7 19 Page 8 4. the pro-rata portion of any monthly deduction charged to the Subaccount when the Valuation Period includes a Deduction Day; minus 5. any amounts transferred or withdrawn from the Subaccount during the current Valuation Period; minus 6. any amounts loaned from the Subaccount during the current Valuation Period. FUND Each Subaccount of the Separate Account will buy shares of an investment company registered under the Investment Company Act of 1940 as an open-end diversified management investment company or shares of a separate series thereof. Each such investment company or series represents a separate investment portfolio which corresponds to one of the Subaccounts of the Separate Account. If We establish additional Subaccounts, each new Subaccount will invest in shares of an additional series or investment company. We may also substitute other investment companies. RIGHTS RESERVED BY We reserve the right, subject to compliance with the THE COMPANY current law or as it may be changed in the future: 1. To operate the Separate Account in any form permitted under the Investment Company Act of 1940 or in any other form permitted by law; 2. To take any action necessary to comply with or obtain and continue any exemptions from the Investment Company Act of 1940 or to comply with any other applicable law; 3. To transfer any assets in any Subaccount to another Subaccount or to one or more Separate Accounts, or the General Account, or to add, combine or remove Subaccounts in the Separate Account. 4. To delete the shares of any of the portfolios of the fund or any other open- end investment company and to substitute, for the fund shares held in any Subaccount, the shares of another portfolio of the fund or the shares of another investment company or any other investment permitted by law; and 5. To change the way We assess charges, but not to increase the aggregate amount above that currently charged to the Separate Account and the fund in connection with the policies. When required by law, We will obtain Your approval of such changes and the approval of any regulatory authority. ACCUMULATION UNIT Each Subaccount has an accumulation unit value. When VALUE Premiums or other amounts are allocated to a Subaccount, a number of units are purchased based on the accumulation unit value of the Subaccount at the end of the Valuation Period during which the allocation is made. When amounts are transferred out of or deducted from a Subaccount, units are redeemed in a similar manner. The accumulation unit value for each subsequent Valuation Period is the investment experience factor for that period multiplied by the accumulation unit value for the period immediately preceding. Each Valuation Period has a single accumulation unit value that is applied to each day in the period. The number of accumulation units will not change as a result of investment experience. 20 INVESTMENT EXPERIENCE Each Subaccount has its own investment experience FACTOR factor. The investment experience of a Subaccount is calculated by applying the investment experience factor to the value in each Subaccount during the Valuation Period. The investment experience factor of a Subaccount for a Valuation Period is determined by dividing 1. by 2. and subtracting 3. from the result, where: 1. is the net result of: a. the net asset value per share of the investment held in the Subaccount determined at the end of the current Valuation Period; plus b. the per share amount of any dividend or capital gain distributions made by the investment held in the Subaccount, if the "ex-dividend" date occurs during the current Valuation Period; plus or minus c. a charge or credit for any taxes reserved for the current Valuation Period which We determine resulted from the investment operations of the Subaccount; 2. is the net asset value per share of the investment held in the Subaccount, determined at the end of the last Valuation Period; 3. is the factor representing the sum of the Mortality and Expense Risk Charge, stated in the policy specifications, for the number of days in the Valuation Period. NONFORFEITURE PROVISIONS CASH VALUE The cash value of this policy is equal to the sum of the Separate Account Value, plus the Loan Account Value, plus the Fixed Account Value. MONTHLY DEDUCTION On each Deduction Day, a monthly deduction will be made equal to the sum of the following: 1. the monthly cost of insurance charge for this policy; plus 2. the monthly charge for any riders; plus 3. the monthly Administration Charge; plus 4. the monthly Tax Expense Charge. The monthly deduction will be deducted from the Subaccounts and Fixed Account in proportion to the value that each Subaccount and Fixed Account bears to the Separate Account Value. COST OF INSURANCE We calculate the cost of insurance on each Deduction Day. The maximum cost of insurance charge equals a. times the result of b. minus c. where: a. is the maximum cost of insurance rate per $1,000 for the initial specified amount; b. is the death benefit; and c. is the cash value. Page 9 21 Page 10 COST OF INSURANCE The cost of insurance rate is based on the insured's RATE sex, issue age, coverage year, and rate class. The cost of insurance is also based on whether 90% or 100% of the Guideline Single Premium has been paid at issue. Any change in the cost of insurance rate will be on a uniform basis for all insureds of the same: 1. sex; 2. attained age at start of coverage; 3. coverage year; and 4. rate class. However, the cost of insurance rates will not exceed those shown in the Table of Guaranteed Maximum Monthly Cost of Insurance Rates per $1,000 multiplied by any rate class percent over 100. These rates are found in the policy specifications. These rates are based on the Commissioners 1980 Standard Ordinary Smoker and Nonsmoker Mortality Tables, Age Last Birthday. RIDERS The monthly charges for any riders are shown in the policy specifications. MORTALITY AND EXPENSE These charges are shown in the policy specifications. RISK CHARGE, ADMIN- ISTRATION CHARGE, TAX CHARGE, AND ANNUAL RECORDS MAINTENANCE CHARGE INSUFFICIENT FUND This policy will enter the insufficient fund value VALUE STATUS status as provided in the GRACE PERIOD provision if the Net Surrender Value immediately preceding a deduction is: 1. insufficient to cover the monthly deduction, and 2. no Premium payment or loan payment sufficient to cover at least three monthly deductions is received before the end of the grace period. Any monthly deduction after entering insufficient fund value status will not be considered a reinstatement of this policy. TRANSFER, WITHDRAWAL AND LOAN PROVISIONS TRANSFERS You may direct all or part of one Subaccount's value to another Subaccount. Transfers will also be subject to the following conditions: 1. The minimum amount which may be transferred is $100 or, if smaller, the remaining value in a Subaccount; 2. No partial transfer will be made if the remaining value of any Subaccount will be less than $500 unless the transfer will eliminate Your interest in such account; 3. We reserve the right to charge $25 for each transfer in excess of 12 in a policy year. Any transfer request must clearly specify: 1. the amount which is to be transferred; and 2. the names of the Subaccounts which are affected. 22 We will only honor a telephone transfer request if a properly executed telephone transfer authorization is on file with Us. Such request for a transfer must comply with the conditions of the authorization. We reserve the right at any time and without notice to any party, to terminate, suspend, or modify these transfer rights. WITHDRAWALS You may withdraw all or part of the Cash Value that remains after We subtract any withdrawal charge. We must receive a written request that indicates the amount of the withdrawal from each Subaccount. You must return the policy to Us if You elect a total withdrawal. Withdrawals are subject to these conditions: 1. Each withdrawal must be at least $100 or the value that remains in the Subaccount if smaller; 2. A minimum of $500 must remain in the Subaccount after You make a withdrawal unless the Subaccount is eliminated by such withdrawal; 3. A minimum of $5,000 must remain in the Separate Account after You make a withdrawal. 4. The maximum You may withdraw from any Subaccount is the value of the Subaccount less the amount of any withdrawal charge. 5. Any withdrawal amount You request will be increased by the withdrawal charge. EFFECT OF A The Cash Value will be reduced by the amount of the WITHDRAWAL withdrawal. The specified amount will be reduced proportional to the reduction in Cash Value due to the partial withdrawal. We will not permit a withdrawal if it will decrease the specified amount to less than the Minimum Specified Amount stated in the Policy Specifications. WITHDRAWAL CHARGES Withdrawal charges are shown in the policy specifications. Any amount withdrawn which is not subject to a withdrawal charge will be considered a "free partial withdrawal," as referenced in the policy specifications. POLICY LOANS Policy loans may be made any time. We will lend up to a maximum loan amount of 90% of the policy's Cash Value less any applicable withdrawal charges. The amount of any new loan may not exceed the maximum loan amount less Debt on the date the loan is granted. The Preferred Loan portion of a loan will be determined on the date the loan is made, and will not be subsequently redetermined. The minimum amount of a loan is $1,000. On the date the loan is made, an amount equal to the loan will be transferred from the Subaccounts to the Loan Account held in the General Account until the loan is repaid. Unless directed otherwise, the loaned amount will be deducted from the Subaccount in proportion to the values that each account bears to the Separate Account Value. Should the Debt equal or exceed the Surrender Value, this policy will be subject to the GRACE PERIOD provisions. Cash values derived from Premium received by Us in the form of a check or draft will not be available for loans until 30 days after deposit of such check or draft. POLICY LOAN INTEREST The loan interest rate will be [5.50%] per year compounded daily. Interest not paid will be charged on a daily basis and will be added to the Debt on this policy and bear interest at the same rate. Page 11 23 Page 12 During the existence of a loan, the portion of the Loan Account Value attributable to a Preferred Loan will earn [5.50%] per year. The remainder of the Loan Account value will earn [3.50%] per year. Interest will be earned on a daily basis and will be added to the Loan Account. If an Internal Revenue Code Section 1035(a) exchange takes place that has an outstanding loan at the time of transfer, the difference between the Cash Value and the total of all Premiums paid under the exchanged policy is considered a Preferred Loan. POLICY LOAN REPAYMENT A Debt may be repaid in full or in part at any time while this policy is in force. As Debt is paid, the Loan Account Value equal to the amount of repayment which exceeds the difference between interest due and interest earned will be allocated to the Subaccounts according to the then current Premium allocation instructions. Loan repayments will be considered repayment of Preferred Loans last. EFFECTS OF POLICY The Debt on this policy, along with the withdrawal LOANS charge will reduce the amount of Cash Value payable upon surrender. The Debt on this policy will also reduce the amount of Cash Value available for withdrawal. The death benefit payable to the beneficiary upon the death of the Insured will also be reduced by the amount of Debt. TRANSFER, WITHDRAWAL We will redeem the necessary number of accumulation AND LOAN PROCEDURES units to achieve the dollar amount requested plus any applicable charges when the withdrawal, transfer or loan is made form a Subaccount. We will reduce the number of accumulation units credited in each Subaccount by the number of accumulation units redeemed. The reduction in the number of accumulation units is determined based on the accumulation unit value at the end of the Valuation Period when We receive the request, provided the request contains all required information. We will pay the amount within seven calendar days after the date We receive the request, except as provided below. DEFERMENT OF WITH- If the withdrawal, transfer or loan is to be made DRAWAL TRANSFER OR from a Subaccount, We may suspend the right of LOAN withdrawal or transfer or delay payment more than seven calendar days: 1. during any period when the New York Stock Exchange is closed other than customary weekend and holiday closings; 2. when trading in the markets normally utilized is restricted, or an emergency exists as determined by the Securities and Exchange Commission, so that disposal of investments or determination of the accumulation unit value is not practical; or 3. for such other periods as the Securities and Exchange Commission by order may permit for protection of owners. SETTLEMENT OPTIONS The Owner, or beneficiary at the death of the insured, if no election by the Owner is in effect, may elect to have all of the Net Surrender Value or Death Benefit of this policy paid in a lump sum or have the amount applied to one of the settlement options noted below. The beneficiary may elect to have the death benefit distributed as stated in Option 1 for a period not to exceed the beneficiary's life expectancy; or Options 2, or 3 based upon the life expectancy of the beneficiary as prescribed by federal regulations. The beneficiary must make this choice within sixty days of the time we receive due proof of death. An option can not be changed after the first of such payments is made. Payments must be made to a natural person, referred to below as "payee." If the beneficiary is not a natural person, the beneficiary must elect that the entire death benefit be distributed within five years of your death. Distribution of the death benefit must start within one year after your death. It may start later if prescribed by federal regulations. 24 If the total death benefit proceeds are applied under one of the annuity options, this contract must be surrendered to us. Payments for all options are derived from the applicable tables. Current annuity rates will be used if they produce greater payments than those shown in the policy. The age in the tables is the age of the payee on the last birthday before the first payment is due. The option selected must result in a periodic payment equivalent to at least $20 per month when annuity payments begin. If the annuity option selected or otherwise applied should result in a periodic payment less than the minimum required on the date payments are scheduled to begin, we reserve the right to make a lump sum payment in satisfaction of our obligation to the payee under the policy. ELECTION OF SETTLEMENT Election of a settlement option may be made by OPTION written notice to Us. This election may be made: 1. by You during the lifetime of the insured; 2. by the beneficiary if no election made by You is in effect at the time of the death of the insured; or 3. by the beneficiary if You reserve the right to the beneficiary to change an election upon the death of the insured. Such change must be made prior to the first settlement option payment. An election in effect during the lifetime of the insured will be revoked by a subsequent change of beneficiary or an assignment of this policy unless provided otherwise. OPTION 1 FIXED INSTALLMENT We will make monthly payments for a fixed number of ANNUITY installments. Payments must be made for at least 5 years, but not more than 30 years. Upon the payee's death, if the beneficiary is a natural person, we will automatically continue payments for the remainder of the certain period to the beneficiary. If the beneficiary is either an estate or trust we will pay the discounted value of the remaining payments in the specified period based on the discount rate stated in the supplemental contract. OPTION 2 LIFE ANNUITY We will make monthly payments while the payee is alive. OPTION 3 LIFE ANNUITY WITH INSTAL-We will make monthly payments for a guaranteed period LMENTS GUARANTEED and thereafter while the payee is alive. The guaranteed period must be selected at the time the settlement option is chosen. The guaranteed periods available are 5, 10, 15 and 20 years. If, at the death of the payee, payments have been made for less than five, ten, fifteen or twenty years as elected, and the beneficiary is a natural person, we will automatically continue payments for the remainder of the elected period to the beneficiary. If the beneficiary is either an estate or trust, we will pay the discounted value of the remaining payments in the specified period based on the discount rate stated in the supplemental contract. Page 13 25 Page 14 OPTION 4 JOINT AND SURVIVOR We will pay the full monthly income while both payees ANNUITY are alive. Upon the death of either payee, we will continue to pay the surviving payee a percentage of the original monthly payment. The percentage payable t the surviving payee must be selected at the time the annuity option is chosen. The percentages available are 50%, 66 2/3%, 75% and 100%. OTHER OPTIONS We may make other settlement options available. Payments are also available on a quarterly, semi-annual or annual basis. VARIABLE PAYOUT If a variable payout option is selected, the monthly OPTIONS payment will reflect the investment performance of the Subaccounts in accordance with the allocation of the lump sum distribution allocated to those Subaccounts. Allocations will not be changed thereafter, except as provided in the TRANSFERS DURING THE PAYOUT PERIOD provision. The first monthly payment is based on the guaranteed annuity option shown in the Annuity Option Table. You may elect any option available. The dollar amount of the subsequent payments may increase or decrease depending on the investment experience of each Subaccount. The number of annuity units per payments will remain fixed for each Subaccount. The number of annuity units for each Subaccount is calculated by dividing a. by b. where: a. is the portion of the initial monthly payment that can be attributed to that Subaccount; and b. is the annuity unit value for that Subaccount at the end of the Valuation Period. The Valuation Period includes the date on which the payment is made. Monthly payments, after the first payment, are calculated by summing up, for each Subaccount, the product of a. times b. where: a. is the number of annuity units per payment in each Subaccount; and b. is the annuity unit value for that Subaccount at the end of the Valuation Period. The Valuation Period includes the date on which the payment is made. After the first payment, we guarantee that the dollar amount of each payment will not be affected adversely by actual expenses or changes in mortality experience from the expense and mortality assumptions on which we based the first payment. ANNUITY UNIT VALUE The value of an annuity unit for each Subaccount at the end of any subsequent Valuation Period is determined by multiplying the result of a. times b. by c. a. is the annuity unit value for the immediately preceding Valuation Period; and b. is the net investment factor for the Valuation Period for which the annuity unit value is being calculated; and c. is the interest factor of .99993235 per calendar day of such subsequent Valuation Period to offset the effect of the assumed rate of 2.50% per year used in the Annuity Option Table. 26 The net investment factor for each Subaccount for any Valuation Period is determined by dividing a. by b. where: a. is the value of an annuity unit of the applicable Subaccount as of the end of the current Valuation Period plus or minus the per share credit or charge for taxes reserved; and b. is the value of an annuity unit of the applicable Subaccount as of the end of the immediately preceding Valuation Period, plus or minus the per share credit or charge for taxes reserved. FIXED PAYOUT If a fixed payout option is chosen, your payment OPTION will be fixed in an amount throughout the payout period. We determine the amount of your fixed payment by multiplying the amount applied to the option by a rate determined by Us which is not less than the rate specified in the Settlement Option Tables below. The amount of the payment will not change throughout the payout period. TRANSFERS DURING During the payout period, the payee may choose to THE PAYOUT PERIOD change the Subaccounts or the relative weighting of the Subaccounts on which variable payments are based, or the relative proportions of fixed and variable payments. A transfer may be made subject to the following: 1. The payee must send us a written notice in a form satisfactory to us; 2. One transfer is permitted each twelve month period from the date of the first annuity payment. We must receive notice of any such transfer at least thirty days prior to the effective date of the transfer; 3. A payee may not base variable payments on more than three Subaccounts after any transfer; 4. At least $1,000 of annuity unit value or annuity reserve value must be transferred from a Subaccount or from the General Account; and 5. At least $1,000 of annuity unit value or annuity reserve value must remain in the account from which the transfer was made. When a transfer is made between Subaccounts, the number of annuity units per payment attributable to a Subaccount to which a transfer is made is equal to a. multiplied by b. divided by c., where: a. is the number of annuity units per payment in the Subaccount from which transfer is being made; b. is the annuity unit value for the Subaccount from which the transfer is being made; and c. is the annuity unit value for the Subaccount to which transfer is being made. When a transfer is made from the General Acccount to a Subaccount, the number of annuity units per payment attributable to a Subaccount to which transfer is made is equal to a. divided by b. divided by c., where: a. is the General Account annuity value being transferred; and b. is the present value of $1.00 per payment period using the attained age(s) of the payee(s) and any remaining guaranteed payments that may be due at the time of the transfer; and c. is the annuity unit value for the Subaccount to which the transfer is being made. The General Account annuity value equals the present value of the remaining fixed annuity payments using the same interest and mortality basis used to calculated the fixed annuity payments. Page 15 27 Page 16 The amount of money allocated to the General Account in case of a transfer from a Subaccount equals the annuity reserve for the payee's interest in such Subaccount. The annuity reserve is the product of a. multiplied by b. multiplied by c. where: a. is the number of annuity units representing the payee's interst in such Subaccount per annuity payment; b. is the annuity unit value for such Subaccount; and c. is the present value of $1.00 per payment period using the attained age(s) of the payee(s) and any remaining guaranteed payemtns that may be due at the time of the transfer. Money allocated to the General Account upon such transfer will be applied under the same annuity payout option as originally elected. Guaranteed period payments will be adjusted to reflect the number of guaranteed payments already made. If all guaranteed payments have already been made, no further payments will be guaranteed. All amounts and annuity unit values are determined as of the end of the Valuation Period preceding the effective date of the transfer. We reserve the right at any time and without notice to any party to terminate, suspend or modify these transfer privileges. SUPPLEMENTARY A supplementary agreement will be issued to reflect AGREEMENT payments that will be made under a settlement option. If payment is made as a death benefit distribution, the effective date will be the date of death. Otherwise, the effective date will be the date chosen by the Owner. DATE OF FIRST PAYMENT The effective date under an option will be the date of death. Interest will start to accrue on the effective date. If the normal effective date is the 29th, 30th, or 31st of the month, the effective date will be the 28th day of the that month. EVIDENCE OF AGE, SEX We may require satisfactory evidence of the age, sex AND SURVIVAL and the continued survival of any person on whose life the income is based. MISSTATEMENT OF AGE If the age or sex of the payee has been misstated, OR SEX the amount payable under the annuity option selected will be such as the lump sum applied would have purchased at the correct age or sex. Interest not to exceed 6% compounded each year will be charged to any overpayment or credited to any underpayment against future payments We may make under the supplementary agreement for the option selected. BASIS OF ANNUITY The guaranteed payments are based on an interest rate OPTIONS of 2.50% per year and, where mortality is involved, the "1983 Table a" individual annuity mortality table developed by the Society of Actuaries, projected using Projection Scale G. We may also make available variable annuity payment options based on assumed investment rates other than 2.50%. CREDITORS The proceeds of this policy and any payment under an annuity option will be exempt from the claim of creditors and from legal process to the extent permitted by law. 28 ANNUITY OPTION TABLE AMOUNT OF MONTHLY PAYMENT FOR EACH $1,000 OF VALUE APPLIED OPTION ONE - FIXED INSTALLMENT ANNUITY Number Number Number Number of years Monthly of years Monthly of years Monthly of years Monthly selected Payment selected Payment selected Payment selected Payment - ------------------------------------------------------------------------------------------------------------------ 5 17.69 12 8.01 19 5.48 26 4.33 6 14.92 13 7.48 20 5.27 27 4.22 7 12.94 14 7.03 21 5.08 28 4.11 8 11.46 15 6.64 22 4.90 29 4.02 9 10.31 16 6.29 23 4.74 30 3.92 10 9.39 17 5.99 24 4.59 11 8.64 18 5.72 25 4.46 OPTION TWO AND THREE - LIFE ANNUITY WITH INSTALLMENTS GUARANTEED: Age of MONTHLY PAYMENTS GUARANTEED Age of MONTHLY PAYMENTS GUARANTEED Male Female Payee NONE 60 120 180 240 Payee NONE 60 120 180 240 55 4.17 4.16 4.13 4.06 3.96 55 3.87 3.86 3.84 3.81 3.75 56 4.27 4.25 4.21 4.14 4.03 56 3.95 3.94 3.92 3.88 3.82 57 4.36 4.35 4.30 4.22 4.09 57 4.03 4.02 4.00 3.95 3.88 58 4.46 4.45 4.40 4.30 4.16 58 4.11 4.11 4.08 4.03 3.95 59 4.57 4.55 4.50 4.39 4.22 59 4.21 4.20 4.17 4.11 4.01 60 4.69 4.67 4.60 4.48 4.29 60 4.30 4.29 4.26 4.19 4.08 61 4.81 4.79 4.71 4.57 4.36 61 4.41 4.40 4.35 4.28 4.15 62 4.94 4.92 4.83 4.66 4.43 62 4.52 4.50 4.46 4.37 4.23 63 5.09 5.05 4.95 4.76 4.49 63 4.64 4.62 4.56 4.46 4.30 64 5.24 5.20 5.08 4.86 4.56 64 4.76 4.74 4.68 4.56 4.37 65 5.40 5.35 5.21 4.96 4.62 65 4.90 4.87 4.80 4.66 4.45 66 5.57 5.52 5.35 5.06 4.69 66 5.04 5.01 4.93 4.77 4.52 67 5.75 5.69 5.49 5.17 4.75 67 5.19 5.16 5.06 4.87 4.59 68 5.95 5.87 5.64 5.27 4.81 68 5.36 5.32 5.20 4.98 4.66 69 6.15 6.07 5.80 5.37 4.86 69 5.53 5.49 5.35 5.10 4.73 70 6.38 6.27 5.96 5.48 4.91 70 5.72 5.68 5.51 5.21 4.80 71 6.61 6.49 6.12 5.58 4.96 71 5.93 5.87 5.67 5.33 4.86 72 6.86 6.72 6.29 5.68 5.00 72 6.15 6.08 5.85 5.44 4.92 73 7.13 6.96 6.47 5.77 5.04 73 6.39 6.31 6.03 5.56 4.97 74 7.42 7.21 6.64 5.86 5.08 74 6.65 6.55 6.21 5.67 5.02 75 7.72 7.48 6.82 5.95 5.11 75 6.93 6.81 6.41 5.78 5.06 76 8.05 7.76 7.00 6.03 5.14 76 7.24 7.08 6.60 5.88 5.10 77 8.40 8.06 7.18 6.11 5.17 77 7.57 7.38 6.80 5.98 5.13 78 8.77 8.37 7.35 6.18 5.19 78 7.92 7.69 7.01 6.07 5.16 79 9.18 8.69 7.53 6.25 5.20 79 8.31 8.02 7.21 6.15 5.18 80 9.60 9.03 7.70 6.31 5.22 80 8.72 8.37 7.41 6.23 5.20 81 10.06 9.38 7.86 6.36 5.23 81 9.17 8.74 7.61 6.30 5.22 82 10.55 9.74 8.02 6.41 5.24 82 9.66 9.13 7.80 6.35 5.23 83 11.07 10.12 8.17 6.45 5.25 83 10.20 9.54 7.98 6.41 5.24 84 11.63 10.50 8.32 6.49 5.26 84 10.77 9.96 8.15 6.45 5.25 85 12.22 10.89 8.45 6.52 5.26 85 11.39 10.40 8.31 6.49 5.26 OPTION FOUR - JOINT AND 100% SURVIVOR ANNUITY Age of Age of Female Payee Male Payee 55 60 65 70 75 80 85 55 3.49 3.66 3.81 3.93 4.02 4.08 4.12 60 3.61 3.83 4.05 4.24 4.40 4.52 4.59 65 3.69 3.97 4.28 4.57 4.84 5.05 5.20 70 3.76 4.09 4.47 4.89 5.31 5.67 5.95 75 3.80 4.17 4.63 5.16 5.75 6.34 6.83 80 3.83 4.23 4.73 5.37 6.14 6.99 7.80 85 3.84 4.26 4.80 5.51 6.44 7.55 8.75 Rates for ages not shown here will be provided upon request. 29 ANNUITY OPTION TABLE AMOUNT OF MONTHLY PAYMENT FOR EACH $1,000 OF VALUE APPLIED OPTION ONE - FIXED INSTALLMENT ANNUITY Number Number Number Number of years Monthly of years Monthly of years Monthly of years Monthly selected Payment selected Payment selected Payment selected Payment 5 17.69 12 8.01 19 5.48 26 4.33 6 14.92 13 7.48 20 5.27 27 4.22 7 12.94 14 7.03 21 5.08 28 4.11 8 11.46 15 6.64 22 4.90 29 4.02 9 10.31 16 6.29 23 4.74 30 3.92 10 9.39 17 5.99 24 4.59 11 8.64 18 5.72 25 4.46 OPTIONS TWO AND THREE - LIFE ANNUITY WITH INSTALLMENTS GUARANTEED MONTHLY PAYMENTS GUARANTEED AGE NONE 60 120 180 240 55 4.02 4.01 3.99 3.94 3.86 56 4.11 4.10 4.07 4.01 3.92 57 4.20 4.19 4.15 4.09 3.99 58 4.29 4.28 4.24 4.17 4.05 59 4.39 4.38 4.33 4.25 4.12 60 4.50 4.48 4.43 4.34 4.19 61 4.61 4.59 4.53 4.43 4.26 62 4.73 4.71 4.64 4.52 4.33 63 4.86 4.84 4.76 4.61 4.40 64 5.00 4.97 4.88 4.71 4.47 65 5.15 5.11 5.01 4.81 4.54 66 5.30 5.26 5.14 4.92 4.61 67 5.47 5.43 5.28 5.02 4.68 68 5.65 5.60 5.43 5.13 4.74 69 5.84 5.78 5.58 5.24 4.80 70 6.05 5.97 5.74 5.35 4.86 71 6.27 6.18 5.90 5.46 4.91 72 6.50 6.40 6.07 5.56 4.96 73 6.76 6.63 6.25 5.67 5.01 74 7.03 6.88 6.43 5.77 5.05 75 7.32 7.14 6.62 5.87 5.09 76 7.64 7.42 6.80 5.96 5.12 77 7.98 7.72 6.99 6.05 5.15 78 8.34 8.03 7.18 6.13 5.17 79 8.73 8.36 7.37 6.20 5.19 80 9.16 8.70 7.56 6.27 5.21 81 9.61 9.06 7.74 6.33 5.23 82 10.10 9.44 7.91 6.38 5.24 83 10.63 9.83 8.08 6.43 5.25 84 11.19 10.23 8.24 6.47 5.25 85 11.80 10.64 8.38 6.50 5.26 OPTION FOUR - JOINT AND 100% SURVIVOR ANNUITY Age of Age of Secondary Payee Primary Payee 55 60 65 70 75 80 85 55 3.51 3.64 3.76 3.85 3.92 3.96 3.99 60 3.64 3.84 4.02 4.18 4.29 4.38 4.43 65 3.76 4.02 4.29 4.54 4.75 4.90 5.00 70 3.85 4.18 4.54 4.91 5.25 5.53 5.74 75 3.92 4.29 4.75 5.25 5.77 6.26 6.64 80 3.96 4.38 4.90 5.53 6.26 7.00 7.69 85 3.99 4.43 5.00 5.74 6.64 7.69 8.76 Rates for ages not shown here will be provided upon request. 30 INDIVIDUAL MODIFIED SINGLE PREMIUM VARIABLE UNIVERSAL LIFE INSURANCE POLICY NON-PARTICIPATING TO THE EXTENT ALLOCATIONS ARE MADE TO THE SUBACCOUNTS, THE CASH VALUE IS BASED ON THE INVESTMENT EXPERIENCE OF THE SUBACCOUNTS AND MAY INCREASE OR DECREASE DAILY. THIS AMOUNT IS NOT GUARANTEED. THE AMOUNTS, OR DURATION OF THE DEATH BENEFIT MAY VARY UNDER THE CONDITIONS DESCRIBED IN THE DEATH BENEFIT AND TERMINATION PROVISIONS. This is a legal contract between the owner and Kemper Investors Life Insurance Company. READ YOUR POLICY CAREFULLY. KEMPER INVESTORS LIFE INSURANCE COMPANY 1 Kemper Drive, Long Grove, Illinois 60049-0001