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

On:  Thursday, 4/29/21, at 2:12pm ET   ·   Effective:  5/3/21   ·   Accession #:  1628280-21-8141   ·   File #s:  811-08580, 333-119418

Previous ‘485BPOS’:  ‘485BPOS’ on 4/29/21   ·   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 & … Three 485BPOS     5/03/21   45:28M                                    Workiva Inc Wde… FA01/FATalcott Resolution Life & Annuity Insur Co. Separate Account Three The Director MWells Fargo Director M

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   6.61M 
                Registration                                                     
 2: EX-99.1     Miscellaneous Exhibit                               HTML     16K 
43: EX-99.10    Miscellaneous Exhibit                               HTML     14K 
44: EX-99.26    Miscellaneous Exhibit                               HTML     18K 
 3: EX-99.3A    Miscellaneous Exhibit                               HTML     25K 
 4: EX-99.3B    Miscellaneous Exhibit                               HTML     42K 
 5: EX-99.4A    Miscellaneous Exhibit                               HTML    257K 
 6: EX-99.4B    Miscellaneous Exhibit                               HTML     16K 
 7: EX-99.4C    Miscellaneous Exhibit                               HTML     21K 
 8: EX-99.4D    Miscellaneous Exhibit                               HTML     25K 
 9: EX-99.4E    Miscellaneous Exhibit                               HTML     24K 
10: EX-99.4F    Miscellaneous Exhibit                               HTML     22K 
11: EX-99.4G    Miscellaneous Exhibit                               HTML     16K 
12: EX-99.4H    Miscellaneous Exhibit                               HTML     34K 
13: EX-99.4I    Miscellaneous Exhibit                               HTML     32K 
14: EX-99.4J    Miscellaneous Exhibit                               HTML     58K 
15: EX-99.4K    Miscellaneous Exhibit                               HTML     52K 
16: EX-99.4L    Miscellaneous Exhibit                               HTML     57K 
17: EX-99.4M    Miscellaneous Exhibit                               HTML     54K 
18: EX-99.4N    Miscellaneous Exhibit                               HTML     56K 
19: EX-99.4O    Miscellaneous Exhibit                               HTML     59K 
20: EX-99.4P    Miscellaneous Exhibit                               HTML     59K 
21: EX-99.4Q    Miscellaneous Exhibit                               HTML     58K 
22: EX-99.4R    Miscellaneous Exhibit                               HTML     60K 
23: EX-99.4S    Miscellaneous Exhibit                               HTML     17K 
24: EX-99.4T    Miscellaneous Exhibit                               HTML     22K 
25: EX-99.4U    Miscellaneous Exhibit                               HTML     21K 
26: EX-99.4V    Miscellaneous Exhibit                               HTML     20K 
27: EX-99.4W    Miscellaneous Exhibit                               HTML     21K 
28: EX-99.5     Miscellaneous Exhibit                               HTML     28K 
29: EX-99.7A    Miscellaneous Exhibit                               HTML    180K 
30: EX-99.7B    Miscellaneous Exhibit                               HTML    162K 
31: EX-99.8A    Miscellaneous Exhibit                               HTML    334K 
32: EX-99.8B    Miscellaneous Exhibit                               HTML    218K 
33: EX-99.8C    Miscellaneous Exhibit                               HTML    173K 
34: EX-99.8D    Miscellaneous Exhibit                               HTML    276K 
35: EX-99.8E    Miscellaneous Exhibit                               HTML    171K 
36: EX-99.8F    Miscellaneous Exhibit                               HTML    117K 
37: EX-99.8G    Miscellaneous Exhibit                               HTML    343K 
38: EX-99.8H    Miscellaneous Exhibit                               HTML    394K 
39: EX-99.8I    Miscellaneous Exhibit                               HTML    176K 
40: EX-99.8J    Miscellaneous Exhibit                               HTML     23K 
41: EX-99.8K    Miscellaneous Exhibit                               HTML     20K 
42: EX-99.9     Miscellaneous Exhibit                               HTML     17K 
45: EX-99.99    Miscellaneous Exhibit                               HTML     33K 


‘EX-99.4D’   —   Miscellaneous Exhibit


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



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[MAXIMUM ANNIVERSARY VALUE / EARNINGS PROTECTION DEATH BENEFIT RIDER]

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

In Your contract, the paragraph entitled “Death Benefit Before the Annuity Commencement Date”, the following is added:
Death Benefit Before the Annuity Commencement Date
The Death Benefit payable before the Annuity Commencement Date is equal to the greatest of the amounts determined in (A), (B) or (C) below:
A.the Earnings Protection Benefit value (defined below) at the date of receipt of Due Proof of Death;
B.the Maximum Anniversary Value (defined below); or
C.Premium Payments (defined below).

Earnings Protection Benefit – if both the Contract Owner(s) and Annuitant are age [80] or younger on the effective date of this rider, the value of the Earnings Protection Benefit is determined as follows:

The Contract Value as of the date of receipt of Due Proof of Death plus [40%] of the lesser of 1. or 2. below if both the Contract Owner(s) and Annuitant are age [69] or younger on the effective date of this rider, or [25%] of the lesser of 1. or 2. below if either the Contract Owner(s) or Annuitant is age [70] or older on the effective date of this rider.
1.The greater of zero or the following amount:
C.the Contract Value as of the date of receipt of Due Proof of Death; less
D.the Contract Value on the effective date of this rider plus premium payments received after the effective date of this rider; plus
E.the sum of adjustments for all partial surrenders which occur after the effective date of this rider.
2.[200%] of F. less G. below as follows:
F.the Contract Value on the effective date of this rider, plus premium payments received after the effective date of this rider excluding payments received within 12 months of the date of death, less
G.the sum of adjustments for all partial surrenders which occur after the effective date of this rider.

For the Earnings Protection Benefit, the adjustment for each partial surrender which occurs after the effective date of this rider is equal to the greater of zero or the following amount:
1.the gross amount of the partial surrender; plus
2.the Contract Value on the effective date of this rider plus premium payments received after the effective date of this rider and prior to the partial surrender, less
3.the Contract Value on the Valuation Day immediately preceding the date of partial surrender; less
4.the sum of adjustments for all prior partial surrenders which have occurred after the effective date of this rider.

Maximum Anniversary Value - The highest attained Anniversary Value (defined below) prior to the earlier of the date of death or the decedent’s 81st birthday.
Anniversary Value – We calculate an Anniversary Value for every Contract Anniversary. At the time of each Contract Anniversary, the Anniversary Value is equal to the Contract Value. Any time after each such Contract Anniversary, the Anniversary Value is restated to be equal to the Contract Value at the time of the Contract Anniversary, increased by the dollar amount of any premium payments received, and modified by Adjustments for Partial Surrenders since such Contract Anniversary.





Premium Payments – All premium payments received under the contract modified by Adjustments for Partial Surrenders and less any premium payments received within 12 months of the date of death.

Adjustments for Partial Surrenders for Maximum Anniversary Values and premium payments are calculated as follows:
For cumulative partial surrenders during each Contract Year that are equal to or less than 10% of premium payments, the adjustment is the dollar amount of the partial surrender.

For any partial surrender that causes cumulative partial surrenders during the Contract Year to exceed 10% of premium payments, the adjustment is the dollar amount of the partial surrender that does not exceed 10% of premiums, and the adjustment for the remaining portion of the partial surrender is a factor. The factor for Adjustments for Partial Surrenders for the Maximum Anniversary Value is applied to the portion of Anniversary Values that exceed 10% of premium payments. The factor for Adjustments for Partial Surrenders for premium payments is applied to the portion of premium payments that exceed 10% of premium payments. The factor is as follows:
1 - (A/(B-C)) where
A = partial surrenders during the Contract Year in excess of 10% of premium payments; B = Contract Value immediately prior to the partial surrender; and
C = 10% of premium payments less any partial surrenders during the Contract Year. If C results in a negative number, C becomes zero.

For partial surrenders during each Contract Year that are entirely in excess of 10% of premium payments, the adjustment is a factor. The factor for Adjustments for Partial Surrenders for the Maximum Anniversary Value is applied to the adjusted Anniversary Value immediately before the surrender. The factor for Adjustments for Partial Surrenders for premium payments is applied to the adjusted premium payments immediately before the surrender. The factor is as follows:
1 - (A/B) where
A = partial surrenders during the Contract Year in excess of 10% of premium payments; B = Contract Value immediately prior to the partial surrender.

No Death Benefit is payable under this rider if the contract is surrendered and the Contract Value is equal to zero.

If a spouse continues the contract under the “Spouse Beneficiary” provision of the contract, then the term “date of receipt of Due Proof of Death” as used in this rider means the date of receipt of Due Proof of Death of the
decedent that dies after the death of the first spouse, and the Maximum Anniversary Value is the highest attained Anniversary Value after the date of death of the first spouse, and before the next decedent’s date of death or 81st birthday, if earlier.

Ownership Change – Upon a change in Contract Owner, where the new Owner is ineligible for this rider, the Death Benefit set forth under this rider becomes null and void.

RIDER CHARGE
The charge for this rider is included in the net investment factor as an optional rider charge. It is an annual charge of [0.50%] that is deducted daily from the value of the Sub-Accounts until the Annuity Commencement Date.

Signed for Hartford Life Insurance Company



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 & … Three 485BPOS     5/01/24    6:2.7M                                   Workiva Inc Wde… FA01/FA
 4/26/23  Talcott Resolution Life & … Three 485BPOS     5/01/23    6:25M                                    Workiva Inc Wde… FA01/FA
 4/21/22  Talcott Resolution Life & … Three 485BPOS     5/02/22   16:12M                                    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 & … Three 485BPOS     6/28/18    7:32M                                    Workiva Inc Wde… FA01/FA
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Filing Submission 0001628280-21-008141   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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