This card represents transformation and rebirth of the consciousness into higher planes.
The death skeleton comes to all as shown in the picture, child, father, mother, king and priest. Death has no care for station in this material plane and all suffer the same fate in the end. Numerologically, this card is a 13/4. There were 12 disciples and Christ was the 13th. The white horse that is well tamed, is symbolic of pure desires and the submissiveness to the cycles of life. Ending of a cycle / sorrow / new state / transformation / deep change/ departure are the meanings associated with this card.
When Death appears in a spread, it may speak of the transformation of passing through the gateway of death metaphorically or it may speak of the stillness of the grave or sorrow (metaphorically).There can also be the literal meaning of the card (prediction or depiction of an actual death). The death also initiates the beginning of another cycle of Karma, a great transformation.