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Talcott Resolution Life & Annuity Insurance Co. Separate Account Ten, et al. – ‘485BPOS’ on 4/29/21 – ‘EX-99.4F’

On:  Thursday, 4/29/21, at 2:40pm ET   ·   Effective:  5/3/21   ·   Accession #:  1628280-21-8165   ·   File #s:  33-73572, 811-07622

Previous ‘485BPOS’:  ‘485BPOS’ on 4/23/20   ·   Next:  ‘485BPOS’ on 4/21/22   ·   Latest:  ‘485BPOS’ on 4/25/24   ·   4 References:   

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 4/29/21  Talcott Resolution Life & An… Ten 485BPOS     5/03/21   22:7.3M                                   Workiva Inc Wde… FA01/FATalcott Resolution Life & Annuity Insurance Co. Separate Account Ten Putnam Capital Manager Series V

Post-Effective Amendment of a Form N-1 or N-1A Registration   —   Rule 485(b)
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 485BPOS     Post-Effective Amendment of a Form N-1 or N-1A      HTML   1.81M 
                Registration                                                     
 2: EX-99.1     Miscellaneous Exhibit                               HTML     12K 
20: EX-99.10    Miscellaneous Exhibit                               HTML     10K 
21: EX-99.26    Miscellaneous Exhibit                               HTML     14K 
 3: EX-99.3A    Miscellaneous Exhibit                               HTML     21K 
 4: EX-99.3B    Miscellaneous Exhibit                               HTML     38K 
 5: EX-99.4A    Miscellaneous Exhibit                               HTML     82K 
 6: EX-99.4B    Miscellaneous Exhibit                               HTML     12K 
 7: EX-99.4C    Miscellaneous Exhibit                               HTML     24K 
 8: EX-99.4D    Miscellaneous Exhibit                               HTML     16K 
 9: EX-99.4E    Miscellaneous Exhibit                               HTML     14K 
10: EX-99.4F    Miscellaneous Exhibit                               HTML     19K 
11: EX-99.4G    Miscellaneous Exhibit                               HTML     13K 
12: EX-99.4H    Miscellaneous Exhibit                               HTML     22K 
13: EX-99.5     Miscellaneous Exhibit                               HTML     24K 
14: EX-99.7A    Miscellaneous Exhibit                               HTML    238K 
15: EX-99.7B    Miscellaneous Exhibit                               HTML    177K 
16: EX-99.8A    Miscellaneous Exhibit                               HTML    390K 
17: EX-99.8B    Miscellaneous Exhibit                               HTML     18K 
18: EX-99.8C    Miscellaneous Exhibit                               HTML     16K 
19: EX-99.9     Miscellaneous Exhibit                               HTML     13K 
22: EX-99.99    Miscellaneous Exhibit                               HTML     29K 


‘EX-99.4F’   —   Miscellaneous Exhibit


This Exhibit is an HTML Document rendered as filed.  [ Alternative Formats ]



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OPTIONAL    This rider is issued as part of the contract to which it is attached. This rider cannot DEATH BENEFIT    be terminated either by the Contract Owner or the Company. Except where this ENHANCEMENT    rider provides otherwise, it is subject to all of the terms and conditions of the contract. RIDER

RIDER BENEFITS    Spouse Beneficiary
If the contract continues with the spouse as the Contract Owner, subject to the conditions of the Spouse Beneficiary provision as set forth in the contract, the Death Benefit will be calculated on receipt of Due Proof of Death. If the Contract Value is less than the calculated Death Benefit amount, the Contract Value will be increased to equal the calculated Death Benefit amount.

Death Benefit
If the Contract Owner or Annuitant dies before the Annuity Commencement Date a Death Benefit is payable. This rider adds an Interest Accumulation feature to the calculation of that Death Benefit. The Death Benefit is calculated as of the date Due Proof of Death is received by the Company and is the greatest of:

(a)the Contract Value; or
(b)100% of all premium payments made under the contract, reduced by the dollar amount of any partial surrenders since the Date of Issue or;
(c)the Maximum Anniversary Value as described in the contract; or
(d)the Interest Accumulation Value commencing on the date the rider is added to the contract.

INTEREST    Prior to the decedent’s date of death or 81st birthday, if earlier, the Interest Accumulation ACCUMULATION    Value is equal to the Contract Value as of the date this rider is added (“Beginning VALUE    Contract Value”) plus any premium payments made after the date this rider is added to
the contract, less proportional adjustments for partial surrenders taken after this rider is added to the contract, compounded daily at an annual interest rate of 5.0%. The proportional adjustment for partial surrenders is calculated by:

a)dividing the gross amount of the partial surrender by the prior day’s Contract Value, and
b)multiplying the result of (a) by the prior Valuation Day’s Interest Accumulation Value.

On or after the decedent’s 81st birthday or date of death, the Interest Accumulation Value will no longer compound. After that date, the Interest Accumulation Value will be adjusted by adding any subsequent payments and subtracting proportional adjustments, for partial surrenders, as described above.

The Interest Accumulation Value will be limited to 200% of the Beginning Contract Value, plus 200% of all premium payments made after the date this rider is added, minus proportional adjustments for partial surrenders made after the date the rider is added.





HL-VA94OPTDBS    Page 1 of 2    Printed in U.S.A.
T501R0.FRM



RIDER CHARGE    The charge for this rider is added to the net investment factor. The net investment factor for each Sub-Account is:

a)the net asset value per share of the corresponding Fund at the end of the valuation period (plus the per share amount of any unpaid dividends or capital gains by that Fund); divided by
b)the net asset value per share of the corresponding Fund at the beginning of the valuation period; minus
c)the mortality and expense risk charge and any applicable administration charge, adjusted for the number of days in the valuation period; minus
d)the charge for this rider, adjusted for the number of days in the valuation period. The charge for this rider is [.25%] per annum of the daily value of the Sub-Accounts. Signed for Hartford Life Insurance Company














































HL-VA94OPTDBS    Page 2 of 2    Printed in U.S.A.
T502R0.FRM



3 Subsequent Filings that Reference this Filing

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 4/25/24  Talcott Resolution Life & An… Ten 485BPOS     5/01/24    5:1.1M                                   Workiva Inc Wde… FA01/FA
 4/26/23  Talcott Resolution Life & An… Ten 485BPOS     5/01/23    6:18M                                    Workiva Inc Wde… FA01/FA
 4/21/22  Talcott Resolution Life & An… Ten 485BPOS     5/02/22    8:5M                                     Workiva Inc Wde… FA01/FA


1 Previous Filing that this Filing References

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 6/28/18  Talcott Resolution Life Ins … Ten 485BPOS     6/28/18    7:7.7M                                   Workiva Inc Wde… FA01/FA
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Filing Submission 0001628280-21-008165   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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