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EXHIBIT 4(b)
PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY OF AMERICA
A STOCK LIFE INSURANCE COMPANY
NEWARK, DELAWARE
QUALIFIED PLAN RIDER
This Rider is part of the Contract. The Contract is issued to or purchased by
the trustee of a pension or profit-sharing plan intended to qualify under
section 401(a) of the Internal Revenue Code of 1986, as amended (the "Code").
The following provisions apply and replace any contrary Contract provisions:
1. Except as allowed by the qualified pension or profit-sharing plan of which
this Contract is a part, the Contract may not be transferred, sold,
assigned, discounted or pledged, either as collateral for a loan or as
security for the performance of an obligation or for any other purpose, to
any person other than Providentmutual.
2. The Contract shall be subject to the provisions, terms and conditions of
the qualified pension or profit-sharing plan of which the Contract is a
part. Any payment, distribution or transfer under the Contract shall
comply with the provisions, terms and conditions of such plan as
determined by the plan administrator, trustee or other designated plan
fiduciary. Providentmutual shall be under no obligation either: a) to
determine whether any such payment, distribution or transfer is
inconsistent with the provisions, terms and conditions of such plan; or b)
to administer such plan, including any provisions required by the
Retirement Equity Act of 1984.
3. Notwithstanding any provision to the contrary in the Contract or the
qualified pension or profit-sharing plan of which the Contract is a part,
we reserve the right to amend or modify the Contract or Rider to the
extent necessary to comply with any law, regulation, ruling or other
requirement necessary to establish or maintain the qualified status of
such pension or profit-sharing plan.
Attached by Providentmutual Life and Annuity Company of America on the Issue
Date of this Contract.
/s/ Xxxxxx X. Xxxxx
President
Form PL471 2.92
