COST OF LIVING (maximum 3% per year) RIDER

Terms Used This rider is issued by us as part of the policy to which it is attached and is subject to the
provisions of the policy, except as may be modified or amended by this rider. Any
modification or amendment made by this rider is only in effect while this rider is in force.
The terms used in this rider have the same meaning as indicated in the policy, unless
otherwise specified or required in the context of the following rider provisions.

Rider Date The Rider Date will be the same as the Policy Date, if this rider is included in the policy
when it is first issued by us. Otherwise, the Rider Date will be such later date as
established by the amendment to the contract to include this rider. The Rider Date is used
to determine duration, premium due dates, anniversaries and your age with respect to this
rider.

New Policy New Policy refers to a policy issued in accordance with the provisions of this rider.

Index Index means the Consumer Price Index for Canada, All Items (Not Seasonally Adjusted),
last published by Statistics Canada under the authority of the Minister designated
responsibility for Statistics Canada.

During a Period of Disability, if the base period of the Index is changed, we will recalculate
the previous values needed for the applicable adjustment calculation using the same
percentage change that was made to the Index. If the Index is discontinued, is otherwise
unavailable or its method of determination is altered in a way considered material by us,
we have the right to use another published index which we determine to be a suitable
measure of the cost of living for individuals in Canada. If another index is substituted for
the Index, we will recalculate the previous values needed for the applicable adjustment
calculation based on the substitute index for that Period of Disability.

Cost of Living If you are receiving Disability Benefit payments then, starting on the first anniversary of
Benefit the date on which you became Disabled and continuing at 12-month intervals while the
Period of Disability continues until the policy anniversary nearest your 65th birthday, we
will adjust the amount of the Monthly Disability Benefit shown on the Policy Details page
for the policy as set out below.

Every 12 months, the value of the Index will be compared with the value of the Index
1 year earlier. For this purpose, we will use the values of the Index 2 months and
14 months before the month of the applicable adjustment. The amount of the Monthly
Disability Benefit will be changed in the proportion that the more recent value bears to the
earlier value. However, the amount of the Monthly Disability Benefit will not be:
a) greater than that which would have been payable currently had the Index
increased at 3% compounded annually from the date on which you became
Disabled to the applicable adjustment date during the Period of Disability;
b) less than 100% of the amount which was payable after the Monthly Disability
Benefit was last changed.

Application for After the end of a Period of Disability during which Monthly Disability Benefit payments
New Policy have been adjusted under the provisions of this rider and while this rider is in force, the
Owner may apply for a New Policy on the life of the Person Insured to purchase additional
coverage, without providing medical evidence of the insurability of the Person Insured.

(Continued on the back.)

This rider should be kept with the policy.

17021 – 5/07
 COST OF LIVING (maximum 3% per year) RIDER (continued)

Approval of New Approval of the application for a New Policy will be subject to the following conditions
Policy which must be met within 90 days after the date of the final Disability Benefit payment for
the most recent Period of Disability:
a) we must receive the application for the New Policy, in a form satisfactory to us;
b) the first premium for the New Policy must be received by us;
c) your Age must then be 60 or less; and
d) you must be actively engaged in a Full-time occupation away from your home.

If the application is approved by us, the New Policy will take effect on the date the
application and the first premium for the New Policy are received by us. Any evidence of
your insurability which is part of the contract to which this rider is attached will also be
deemed to be part of any New Policy.

Maximum The Maximum Disability Benefit that will be provided under a New Policy will be the lesser
Disability Benefit of:
a) the amount of the increase in the Monthly Disability Benefit payment provided
under the provisions of this rider, based on the amount by which the last monthly
payment for a complete month for the most recent Period of Disability exceeds
the first monthly payment for a complete month for such Period of Disability; and
b) the maximum amount of Monthly Disability Benefit, if any, which we would
normally then issue for your age and class of risk, according to our published
issue and participation limits then in effect.

Conditions The following conditions will apply to any New Policy:

a) the benefit period will be the same as shown on the Policy Details page for the
policy, if then available, otherwise the next shorter benefit period then available;
b) the waiting period will be the same as shown on the Policy Details page for the
policy, if then available, otherwise the next longer waiting period then available;
c) the plan will be the same as shown on the Policy Details page for this policy, if
then available, otherwise the most similar plan we then issue, if any, or subject to
our consent, may be any other type of plan or coverage we then offer;
d) the premium will be based on our rates in effect on the date on which the New
Policy takes effect, using your age at that date and the Occupation Class and
Policy Class for the policy. However, if your occupation class on the date the New
Policy takes effect would produce a lower premium rate, that premium rate will be
used by us to determine the premium for the New Policy; and
e) at the Owner’s request, any rider included in the policy may be added to the New
Policy, except any rider which provides the option to purchase additional
coverage without providing medical evidence of your insurability, if such rider is
then available, otherwise the most similar rider that we then issue, if any may be
added. No other additional benefit riders will be included in the New Policy without
our consent.

No Monthly Disability Benefit will be paid under the New Policy with respect to any Period
of Disability which began before the date the New Policy takes effect.

Exclusions Any Exclusion Rider attached to the policy will form a part of any New Policy.

(Continued on the next page.)

This rider should be kept with the policy.

17021 – 5/07
 COST OF LIVING (maximum 3% per year) RIDER (continued)

Rider Premium This rider is included in the policy in consideration for the payment of the Yearly Premium
for this rider shown on the Policy Details page. The premium for this rider is payable at the
same time and in the same manner and in addition to the premium for the basic policy.
The premium is payable on the same terms and conditions as the premium for the basic
policy and for the Premium Period for this rider shown on the Policy Details page.

Rider Termination Subject to the provisions of the basic policy and any riders and benefits included in the
contract, this rider will terminate on the earliest of the following dates:
a) the monthly anniversary following the date on which we receive the Owner’s
Written Request for termination of this rider;
b) the Expiry Date;
c) the date of your death; and
d) the date on which the policy terminates for any other reason.

However, if you are Disabled at the Expiry Date, and Disability Benefits for Total Disability
are payable beyond the Expiry Date under the terms of a provision or rider included in the
policy, then this rider will continue in force until the earlier of the date you cease to be
Totally Disabled for that Period of Disability, and the date the policy terminates.

THE CANADA LIFE ASSURANCE COMPANY

R. L. McFeetors, S. A. Wagar,
President and Chief Executive Officer Secretary

This rider should be kept with the policy.

17021 – 5/07