EXHIBIT 1.3(b)
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BROKER-DEALER AND GENERAL AGENT
SELLING AGREEMENT
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AGREEMENT, dated as of __________ __, ____, by and among First Penn-Pacific Life
Insurance Company ("First Penn-Pacific"), First Penn-Pacific Securities, Inc.
("Distributor"),_________________ ("Broker-Dealer") and ______________ ("General
Agent").
WHEREAS, First Penn-Pacific, through certain of its separate accounts, issues
certain insurance products and group and individual insurance contracts/policies
and certificates participating therein, some of which may be deemed securities
under the Securities Act of 1933 ("1933 Act"); and
WHEREAS, Distributor and Broker-Dealer are both broker-dealers registered with
the Securities and Exchange Commission ("SEC") under the Securities Exchange Act
of 1934, as amended ("1934 Act"), and members of the National Association of
Securities Dealers, Inc. ("NASD");
WHEREAS, First Penn-Pacific, on behalf of certain of its separate accounts, has
appointed Distributor as the principal underwriter and distributor of the
variable life insurance and annuity contracts (the "Contracts") specified in
Exhibit C;
WHEREAS, Broker-Dealer is a broker/dealer engaged in the sale of securities and
other investment products; and
WHEREAS, General Agent is an insurance agency licensed to sell variable life
insurance, and variable annuity contracts; and
WHEREAS, if General Agent and Broker-Dealer are the same person, the duties,
responsibilities, and privileges of General Agent under this Agreement shall be
undertaken by Broker-Dealer;
NOW, THEREFORE, in consideration of the premises and of the mutual covenants and
promises herein contained, the parties hereto agree as follows:
1. PURPOSE
Broker-Dealer and General Agent desire to enter into an agreement with First
Penn-Pacific and Distributor so as to have General Agent's sub-agents who are
also registered representatives of Broker-Dealer (the "Agents") appointed as
agents of First Penn-Pacific for the purpose of selling the Contracts.
2. APPOINTMENT AND AUTHORIZATION
Distributor hereby authorizes Broker-Dealer to solicit sales of the Contracts.
First Penn-Pacific hereby appoints and authorizes General Agent to solicit sales
of the Contracts. Broker-Dealer and General Agent accept such appointment and
authorization, and each agrees to use its best efforts to find purchasers of the
Contracts acceptable to First Penn-Pacific. This appointment and authorization
is non-exclusive. Neither Broker-Dealer nor General Agent shall possess or
exercise any authority on behalf of the Distributor or First Penn-Pacific other
than the authority expressly conferred by this Agreement.
3. LICENSING AND APPOINTMENT OF AGENTS
a. Broker-Dealer and General Agent are specifically authorized to designate
Agents proposed to be appointed as agents of First Penn-Pacific to solicit
applications for the Contracts, to deliver the Contracts, and to collect
the first premium thereon in conformance with applicable state laws and
First Penn-Pacific's rules and procedures. Broker-Dealer and General Agent
shall not propose an Agent for appointment unless such Agent is an
"associated person" of Broker-Dealer (as defined in Section 3(a)(8) of the
1934 Act), duly registered as a
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representative of Broker-Dealer and duly licensed as an insurance agent in
the state(s) in which it is proposed that such Agent engage in solicitation
of sales of the Contracts. Broker-Dealer and General Agent together shall
be responsible for such Agents' continuing compliance with applicable
securities registration requirements and state insurance agent licensing
laws.
b. Broker-Dealer and General Agent shall assist First Penn-Pacific and
Distributor in the appointment of Agents under applicable insurance laws to
sell the Contracts. Broker-Dealer and General Agent shall comply with First
Penn-Pacific's requirements, as First Penn-Pacific in its sole discretion
may establish and change from time to time, in submitting licensing or
appointment documentation for Agents. All such documentation shall be
submitted by Broker-Dealer or General Agent to First Penn-Pacific or its
designated agent licensing administrator. A copy of First Penn-Pacific's
current General Letter of Recommendation, to be used in connection with the
appointment of Agents, is attached hereto as Exhibit A.
c. First Penn-Pacific agrees to pay the initial appointment fee required under
relevant state insurance laws to appoint Agents as agents of First
Penn-Pacific for the sale of Contracts. General Agent will be responsible
for paying all other state insurance licensing fees with respect to the
Agents, including transfer fees and termination fees. Broker-Dealer shall
be responsible for all fees, including registration and examination fees,
necessary to maintain the Agents' continuing compliance with applicable
securities registration requirements.
d. First Penn-Pacific reserves the right to refuse to appoint any such
designated Agent or, once appointed, to terminate or refuse to renew such
Agent's appointment.
4. SUPERVISION OF REPRESENTATIVES AND AGENTS
a. Broker-Dealer shall be responsible for training and supervision of all
Agents and other persons associated with Broker-Dealer who are involved
directly or indirectly in the offer or sale of the Contracts and all such
persons shall be subject to the control of Broker-Dealer with respect to
such person's activities in connection with the sale of Contracts. General
Agent shall be responsible for training and supervision of all Agents who
are involved directly or indirectly in the offer or sale of the Contracts
and for such Agents' compliance with applicable state insurance laws.
Distributor and First Penn-Pacific shall not have responsibility for the
training and supervision of any Agent. Broker-Dealer and General Agent each
agree to comply with First Penn-Pacific's statement in support of the
concepts in the Principles and Code of Ethical Market Conduct of the
Insurance Marketplace Standards Association (the "IMSA Principles and
Code"), as such statement may be amended from time to time, and to engage
in active and fair competition as contemplated by the IMSA Principles and
Code. A copy of First Penn-Pacific's current statement in support of the
IMSA Principles and Code is attached as Exhibit B.
b. Broker-Dealer is specifically charged with the responsibility of
supervising and reviewing its Agents' use of sales literature and
advertising and all other communications with the public in connection with
the Contracts. No sales solicitation, including the delivery of
supplemental sales literature or other such materials, shall occur, be
delivered to or used with a prospective purchaser unless accompanied or
preceded by the appropriate then current prospectus, the then current
prospectus for the underlying funds funding the Contract, and where
required by state insurance law, the then current statement of additional
information.
c. Broker-Dealer is specifically charged with the responsibility of
supervising its Agents' compliance with all applicable suitability
requirements under federal or state law or the regulations of the NASD.
Broker-Dealer is specifically charged with providing or arranging for
adequate training to ensure that Agents have thorough knowledge of each
Contract and the ability to make appropriate product presentations and
suitability determinations in compliance with applicable law.
Broker-Dealer, General Agent, and the Agents shall not recommend the
purchase of a Contract to a prospective purchaser unless they have
reasonable grounds to believe that such purchase is suitable for the
prospective purchaser and is in accordance with applicable regulations of
any regulatory authority, including the SEC and the NASD. While not limited
to the following, a determination of suitability shall be based on
information concerning the prospective purchaser's insurance and investment
objectives, risk tolerance, need for liquidity, and financial and insurance
situation and needs.
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d. Broker-Dealer shall execute any electronic or telephone orders only in
accordance with the current prospectus applicable to the Contracts and
agrees, that in consideration for the telephone transfer privileges, First
Penn-Pacific will not be liable for any loss incurred as a result of acting
upon electronic or telephone instructions containing unauthorized,
incorrect or incomplete information received from Broker-Dealer or its
representatives.
e. Upon request by First Penn-Pacific, Broker-Dealer and General Agent shall
furnish appropriate records or other documentation to evidence
Broker-Dealer's and General Agent's diligent supervision.
f. If an Agent performs any unauthorized transaction with respect to a
Contract, Broker-Dealer and General Agent shall bear sole responsibility,
shall notify First Penn-Pacific, and shall act to terminate the sales
activities of such Agent relating to the Contracts.
g. If an Agent fails to meet Broker-Dealer's or General Agent's rules and
standards, Broker-Dealer or General Agent, as the case may be, shall notify
First Penn-Pacific, and shall act to terminate the sales activities of such
Agent relating to the Contracts.
5. SALES PROMOTION MATERIAL AND ADVERTISING
a. During the term of this Agreement, Distributor will be responsible for
providing and approving promotional, sales and advertising material to be
used by Broker-Dealer and General Agent in connection with the offer and
sale of Contracts. Distributor will file such materials or will cause such
materials to be filed with the SEC and the NASD, and with any state
securities regulatory authorities, as required. First Penn-Pacific and
Distributor reserve the right to require the recall of any material
approved by it at any time for any reason, and Broker-Dealer and General
Agent shall promptly comply with any such request and shall not use such
material thereafter.
b. Broker-Dealer, General Agent and Agents authorized to sell the Contracts
shall use only the effective current prospectuses, statements of additional
information ("SAIs") and other materials authorized by First Penn-Pacific
for use in soliciting the sale of the Contracts. Distributor will provide
the Broker-Dealer and the General Agent, without charge, with as many
copies of the prospectuses for the Contract and the underlying investment
funds as may be reasonably requested. Upon receipt of updated
documentation, the Broker-Dealer and the General Agent will promptly
discard or destroy all copies of such material previously provided to them,
except as needed to maintain proper records. First Penn-Pacific and
Distributor reserve the right to require the recall of any such material at
any time for any reason, and Broker-Dealer and General Agent shall promptly
comply with any such request and shall not use such material thereafter.
c. Broker-Dealer and General Agent are not authorized, and may not authorize
anyone else, to give any information or to make any representation
concerning First Penn-Pacific, the Contracts, the Variable Account or the
funding media for the Contracts other than those contained in the current
materials authorized for use by First Penn-Pacific. Broker-Dealer, General
Agent, and their Agents may not modify or represent that they are
authorized to modify any such prospectus, SAI or other materials authorized
by First Penn-Pacific for use in soliciting the sale of the Contracts.
6. OBLIGATIONS OF BROKER-DEALER AND GENERAL AGENT
a. All solicitations for the Contracts will be made only by Agents who are
registered representatives of Broker-Dealer and duly licensed insurance
agents and appointed by First Penn-Pacific. Continued solicitation for the
Contracts shall be contingent upon the continuing qualification of such
Agents by possession of the required licenses, appointments, and
registrations. Broker-Dealer and General Agent shall notify Distributor
immediately in writing if any Agent appointed by First Penn-Pacific ceases
to be a registered representative of Broker-Dealer or ceases to be properly
licensed in any state. Solicitation may occur only in those states in which
First Penn-Pacific is admitted to do business and in which the Contracts
have been approved for sale by the appropriate regulatory authority.
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b. All applications for Contracts will be made on application forms supplied
by First Penn-Pacific. Broker-Dealer and General Agent shall review all
applications for completeness and correctness, as well as compliance with
applicable suitability standards, including those specified above.
Broker-Dealer will promptly, but in no case later than the end of the next
business day following receipt by Broker-Dealer or an Agent, forward
completed applications to First Penn-Pacific in accordance with First
Penn-Pacific's administrative procedures. An appropriate principal of
Broker-Dealer shall approve each such application as to suitability before
forwarding such application to First Penn-Pacific. Such applications shall
be accompanied by any premium payment received with such applications,
without deduction for any compensation, unless there has been mutual
arrangement for net wire transmissions between Distributor, First
Penn-Pacific, and Broker-Dealer. Applications shall be sent to First
Penn-Pacific at the address shown on the application or such other address
as First Penn-Pacific may specify from time to time. Checks or money orders
for the payment of premiums shall be drawn to the order of "First
Penn-Pacific Life Insurance Company". Neither Broker-Dealer nor General
Agent has authority to deposit or endorse checks payable to First
Penn-Pacific without the prior written approval of First Penn-Pacific.
First Penn-Pacific has the right to reject any application for a Contract
and return any premium payment made in connection with the sale of the
Contracts.
d. Contracts issued on accepted applications shall be delivered to the
Contract Owner according to procedures established by First Penn-Pacific.
If First Penn-Pacific forwards a Contract to Broker-Dealer for delivery,
Broker-Dealer shall cause each such Contract to be delivered to the
Contract Owner within [four] days of receipt. Broker-Dealer shall be liable
to First Penn-Pacific for any loss incurred by First Penn-Pacific
(including consequential damages and regulatory penalties) as a result of
any delay by Broker-Dealer or an Agent in delivering a Contract.
e. Broker-Dealer shall promptly pay any and all commissions and other
compensation due to its registered representatives in connection with the
sale of the Contracts.
f. Broker-Dealer and General Agent agree to comply with the established rules
and regulations of First Penn-Pacific now in effect or which may be
established hereafter. Broker-Dealer and General Agent shall be responsible
to Distributor and First Penn-Pacific for their and the Agents' acts and
omissions.
g. Broker-Dealer and General Agent each agree to carry out their respective
sales and administrative activities and obligations under this Agreement in
continuous compliance with federal and state laws and regulations,
including those governing securities and insurance-related activities or
transactions, as applicable. Broker-Dealer and General Agent shall notify
Distributor and First Penn-Pacific immediately in writing if Broker-Dealer
and/or General Agent fail to comply with any of the laws and regulations
applicable to either of them.
7. INDEPENDENT CONTRACTOR
Broker-Dealer, General Agent, and the Agents are performing the acts covered by
this Agreement in the capacity of independent contractors and not as an employee
of First Penn-Pacific or Distributor. Broker-Dealer and General Agent shall be
free and independent to exercise their own judgment as to the persons from whom
insurance will be solicited as well as the time, place and manner of such
solicitation.
8. REPRESENTATIONS
a. First Penn-Pacific, Distributor, Broker-Dealer and General Agent each
represents to one another that it and the officers signing below have full
power and authority to enter into this Agreement, and that this Agreement
has been duly and validly executed by it and constitutes a legal, valid and
binding agreement.
b. Distributor represents to Broker-Dealer that Distributor is registered as a
broker-dealer with the SEC under the 1934 Act and under the state
securities laws of each jurisdiction in which such registration is required
for underwriting the Contracts, and that it is a member of the NASD.
c. Broker-Dealer represents to Distributor that Broker-Dealer is, and at all
times when performing its functions and fulfilling its obligations under
this Agreement will be, registered with the SEC as a broker-dealer under
the
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1934 Act and under the state securities laws of each jurisdiction in which
such registration is required for the sale of the Contracts, and a member
of the NASD. Broker-Dealer will notify Distributor in writing if any such
registration is terminated or suspended.
d. General Agent represents to Distributor and First Penn-Pacific that General
Agent is, and at all times when performing its functions and fulfilling its
obligations under this Agreement, will be, a properly licensed insurance
agency in each jurisdiction in which such licensing is required for the
sale of the Contracts.
e. First Penn-Pacific represents to Broker-Dealer that the Contracts,
including any variable account(s) supporting such Contracts, shall comply
in all material respects with the registration and other applicable
requirements of the 1933 Act and the Investment Company Act of 1940 (the
"1940 Act"), and the rules and regulations thereunder, including the terms
of any order of the SEC with respect thereto.
f. First Penn-Pacific represents to Broker-Dealer that the prospectuses
included in First Penn-Pacific's Registration Statement for the Contracts,
and in post-effective amendments thereto, and any supplements thereto, as
filed or to be filed with the SEC, as of their respective effective dates,
contain or will contain in all material respects all statements and
information which are required to be contained therein by the 1933 Act and
conform or will conform in all material respects to the requirements
thereof.
9. COMPENSATION
a. Broker-Dealer shall be paid compensation for the sale of Contracts as set
forth in the Contracts and Compensation Schedule attached as Exhibit C
hereto. Distributor may change such compensation prospectively as of a
specified date, provided such date is at least ten days after the date the
change is mailed to Broker-Dealer's last known address. Any such change
will apply only to Contracts issued pursuant to applications taken on or
after the effective date of the change. Distributor shall not be obligated
to pay such compensation with respect to a Contract until Distributor has
received its compensation with respect to such Contract from First
Penn-Pacific.
b. Compensation to the Agents for Contracts that they solicit and that are
issued by First Penn-Pacific shall be governed by agreements between
Broker-Dealer and the Agents and payment thereof will be the
Broker-Dealer's exclusive responsibility. General Agent shall have no
interest in any compensation paid by First Penn-Pacific to Distributor, now
or hereafter, in connection with the sale of any Contracts under this
Agreement.
c. Neither Broker-Dealer nor General Agent shall, directly or indirectly,
expend or contract for the expenditure of any funds of the Distributor or
First Penn-Pacific. Broker-Dealer and General Agent shall each pay all
expenses incurred by each of them in the performance of this Agreement,
unless otherwise specifically provided for in this Agreement or Distributor
shall have agreed in advance in writing to share the cost of certain
expenses.
10. NOTIFICATION OF CUSTOMER COMPLAINTS OR DISCIPLINARY PROCEEDINGS
a. Broker-Dealer and General Agent will promptly notify Distributor and First
Penn-Pacific of any customer complaint or notice of any regulatory
investigation or proceeding received by Broker-Dealer, General Agent, or
their respective affiliates relating to the Distributor, First
Penn-Pacific, any associated person of Distributor or First Penn-Pacific,
or the Contracts, or any or threatened or filed arbitration action or civil
litigation arising out of solicitation of the Contracts.
b. Broker-Dealer and General Agent shall cooperate with Distributor and First
Penn-Pacific in investigating and responding to any such complaint,
regulatory investigation or proceeding, arbitration, or civil litigation,
and in any settlement or trial of any actions arising out of the conduct of
business under this Agreement.
c. Any response by Broker-Dealer or General Agent to an individual customer
complaint will be sent to First Penn-Pacific and Distributor for approval
not less than five (5) business days prior to it being sent to the
customer, except that if a more prompt response is required, the proposed
response may be communicated by telephone, facsimile or in person.
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11. INDEMNIFICATION
a. Broker-Dealer and General Agent, jointly and severally, shall indemnify and
hold harmless First Penn-Pacific, Distributor, and their respective
affiliates, officers, directors, employees and agents against any and all
loss, claim, damage, liability or expense (including reasonable attorneys'
fees), joint or several, insofar as such loss, claim, damage, liability or
expense arises out of or is based upon any breach of this Agreement, any
applicable law or regulation, or any applicable rule of any self-regulatory
organization, by Broker-Dealer, General Agent, and/or any of the Agents.
This indemnification will be in addition to any liability which the
Broker-Dealer and General Agent may otherwise have.
b. First Penn-Pacific and Distributor, jointly and severally, shall indemnify
and hold harmless Broker-Dealer, General Agent, and their respective
affiliates, officers, directors, employees and agents against any and all
loss, claim, damage, liability or expense (including reasonable attorneys'
fees), joint or several, insofar as such loss, claim, damage, liability or
expense arises out of or is based upon any breach of this Agreement, by
First Penn-Pacific or the Distributor. This indemnification will be in
addition to any liability which First Penn-Pacific and the Distributor may
otherwise have.
12. ASSOCIATED INSURANCE AGENCY
Broker-Dealer and General Agent represent that they are in compliance with the
terms and conditions of no-action letters issued by the staff of the SEC with
respect to non-registration as a broker-dealer of an insurance agency associated
with a registered broker-dealer. Broker-Dealer and General Agent shall notify
Distributor immediately in writing if Broker-Dealer and/or such Agency fail to
comply with any such terms and conditions and shall take such measures as may be
necessary to comply with any such terms and conditions. If General Agent is the
same person as Broker-Dealer, this Paragraph 12 does not apply, and
Broker-Dealer shall undertake all the duties, responsibilities and privileges of
General Agent under this Agreement.
13. FIDELITY BOND COVERAGE
Broker-Dealer represents that it and its directors, officers, employees, and
registered representatives are and shall be covered by a blanket fidelity bond,
issued by a reputable bonding company. This bond shall be maintained by
Broker-Dealer at Broker-Dealer's expense. Such bond shall be, at least, of the
form, type and amount required under the NASD Conduct Rules. Distributor may
require evidence, satisfactory to it, that such coverage is in force, and
Broker-Dealer shall give prompt written notice to Distributor of any
cancellation or change of coverage. Broker-Dealer assigns any proceeds received
from the fidelity bonding company to First Penn-Pacific to the extent of its
loss due to activities covered by the bond, and to Distributor to the extent of
its loss due to activities covered by the bond. Failure to secure and maintain
same shall be grounds for immediate termination of this Agreement for cause.
14. CONFIDENTIALITY
Each party to this Agreement shall maintain the confidentiality of any client
list or any other proprietary information that it may acquire in the performance
of this Agreement and shall not use such information for any purpose unrelated
to the administration of the Contracts without the prior written consent of the
other parties.
15. TERMINATION
a. Any party may terminate this Agreement without cause upon thirty days
written notice to the other party at its last known business address.
b. This Agreement will terminate automatically if Broker-Dealer or General
Agent cease to have the requisite regulatory licenses.
c. This Agreement may be terminated by First Penn-Pacific or Distributor for
cause. Termination for cause will become effective upon the mailing of a
notice of termination to Broker-Dealer's or General Agent's last known
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address, if the reasons for the termination include conversion, fraud,
embezzlement or similar activity. Otherwise, a reasonable opportunity for
cure will be provided, and the termination will be effective at the end of
the cure period unless the grounds for termination have been corrected to
First Penn-Pacific's and Distributor's satisfaction.
d. This Agreement may be terminated immediately for cause upon an event of
default. Such termination shall be deemed to occur as of the date
immediately preceding the event of default. An "event of default" shall
occur when (i) the first of Broker-Dealer or General Agent files for
bankruptcy, or financial or corporate reorganization under federal or state
insolvency law, resulting in an impairment of such person's ability to
perform the services contemplated herein; or (ii) applicable laws or
regulations prohibit Broker-Dealer or General Agent from continued
marketing of the Contracts.
e. Failure of First Penn-Pacific and/or Distributor to terminate this
Agreement upon knowledge of a cause shall not constitute a waiver of the
right to terminate at a later time for such cause. If this Agreement is
terminated for cause with no opportunity to cure as described above, all
rights to compensation which might otherwise be payable under this
Agreement shall cease and Broker-Dealer's right, title and interest in and
to such commissions and compensation shall be forever barred. If the
parties litigate this provision of the Agreement, the unsuccessful litigant
shall pay to the successful litigant all costs and expenses, including
attorneys' fees and court costs, incurred by the successful litigant at
trial and on appeal.
f. No provision of this Agreement shall continue in force after any
termination, other than Paragraphs 5, 10, 11, 14, 16, and 18.
16. ASSIGNMENT
This Agreement, or any compensation due hereunder, may not be assigned by any
party except by mutual consent of all other parties.
17. AMENDMENTS
Except as stated in Paragraph 9.a., no amendment to this Agreement will be
effective unless it is in writing and signed by all the parties hereto.
18. BOOKS AND RECORDS
a. General Agent shall maintain such books and records concerning the
activities of the Agents as may be required by the appropriate insurance
regulatory agencies that have jurisdiction and that may be reasonably
required by Distributor to reflect adequately the Contracts business
processed through General Agent. Broker-Dealer represents that it maintains
and shall maintain appropriate books and records concerning the activities
of the Agents as are required by the SEC, the NASD and other agencies
having jurisdiction and that may be reasonably required by Distributor to
reflect adequately the Contracts business processed through Broker-Dealer.
General Agent and Broker-Dealer shall make such books and records available
to Distributor and/or First Penn-Pacific at any reasonable time upon
written request by Distributor or First Penn-Pacific.
b. The parties shall promptly furnish each other any reports and information
that another party may reasonably request for the purpose of meeting its
reporting and recordkeeping requirements under the insurance laws of any
state, under any applicable federal or state securities laws, rules or
regulations, or under the rules of the NASD.
19. NOTICE
a. In the event of sale, transfer or assignment or a controlling interest in
Broker-Dealer or General Agent, notice shall be provided in writing to
Distributor no less than thirty days prior to the closing date.
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b. All notices to First Penn-Pacific and Distributor under this Agreement
shall be given in writing and addressed as follows:
First Penn-Pacific Securities, Inc. First Penn-Pacific Life Insurance Company
0000 Xxxxx Xxxxxx Xxxx 0000 Xxxxx Xxxxxx Xxxx
Xxxxxxxx Xxxxxxx, XX 00000-0000 Xxxxxxxx Xxxxxxx, XX 00000-0000
Attention: ___________________ Attention: ______________________________
All notices to Broker-Dealer and General Agent shall be mailed to their
respective address shown on the signature page or to such other person as
they may designate in writing. All notices shall be either hand delivered
or transmitted by certified United States mail, return receipt requested,
and shall be effective upon delivery.
20. SEVERABILITY
If any provision of this Agreement shall be held or made invalid by a court
decision, statute, rule or otherwise, the remainder of this Agreement shall not
be affected thereby.
21. CONSTRUCTION
This Agreement shall be subject to the provisions of the 1934 Act and, to the
extent applicable, the 1940 Act and the rules, regulations and rulings
thereunder and of the NASD, from time to time in effect, including such
exemptions from the 1940 Act as the SEC may grant, and the terms hereof shall be
interpreted and construed in accordance therewith.
22. GOVERNING LAW
This Agreement shall be governed by and construed in accordance with the laws of
the State of Indiana.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
duly executed as of the day and year first above written.
BROKER-DEALER MASTER GENERAL AGENT
___________________________________ ___________________________________
Name Name
___________________________________ ___________________________________
Xxxxxx Xxxxxxx Xxxxxx Xxxxxxx
___________________________________ ___________________________________
City, State & Zip City, State & Zip
By:________________________________ By:________________________________
Title:_____________________________ Title:_____________________________
FIRST PENN-PACIFIC LIFE INSURANCE FIRST PENN-PACIFIC SECURITIES, INC.
COMPANY
By:________________________________ By:________________________________
Title:_____________________________ Title:_____________________________
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EXHIBIT A
GENERAL LETTER OF RECOMMENDATION
The General Agent hereby certifies to First Penn-Pacific that all the following
requirements will be fulfilled in conjunction with the submission by General
Agent of appointment papers for all applicants to become agents of First
Penn-Pacific ("Applicants"). The General Agent will, upon request, forward proof
of compliance with same to First Penn-Pacific in a timely manner.
1. We have on file the appropriate state insurance department licensing
form and a Form U-4 which was completed by each Applicant. We have fulfilled all
the necessary investigative requirements for the registration of each Applicant
as a registered representative through our NASD member firm, and each Applicant
is presently registered as an NASD registered representative. The above
information in our files indicates no fact or condition which would disqualify
the Applicant from receiving a license, and all the findings of all
investigative information is favorable.
2. We have made a thorough and diligent inquiry and investigation relative
to each Applicant's identity, residence, business reputation, and experience and
declare that each Applicant is personally known to us, has been examined by us,
is known to be of good moral character, has a good business reputation, is
reliable, is financially responsible and is worthy of appointment as a variable
contract agent of First Penn-Pacific. This inquiry and background investigation
has included a credit and criminal check on each Applicant. Based upon our
investigation, we vouch for each Applicant and certify that each individual is
trustworthy, competent and qualified to act as an agent for First Penn-Pacific
and hold himself out in good faith to the general public.
3. We certify that all educational requirements have been met for the
specific state in which each Applicant is requesting a license and that all such
persons have fulfilled the appropriate examination, education and training
requirements.
4. We hereby warrant that the Applicant is not applying for a license with
First Penn-Pacific in order to place insurance chiefly or solely on his or her
life or property or on the lives, property or liability of relatives or
associates.
5. We certify that each Applicant will receive close and adequate
supervision, and that we will make inspection when needed of any or all risks
written by these Applicants, to the end that the insurance interest of the
public will be properly protected.
6. We will not permit any Applicant to transact insurance as an agent until
duly licensed and appointed by First Penn-Pacific. No Applicants have been given
a contract or furnished supplies, nor have any Applicants been permitted to
write, solicit business or act as an agent in any capacity, and they will not be
so permitted until the certificate of authority or license applied for is
received.
EXHIBIT B
STATEMENT IN SUPPORT OF IMSA PRINCIPLES AND CODE
[to be inserted]
EXHIBIT C
CONTRACTS AND COMPENSATION SCHEDULE
This schedule is attached to and made a part of the most current executed
Broker-Dealer and General Agent Selling Agreement (the "Agreement") between and
among First Penn-Pacific Life Insurance Company ("First Penn-Pacific"), First
Penn-Pacific Securities, Inc. ("Distributor"), ____________________
("Broker-Dealer") and _______________ ("General Agent").
The compensation for the variable life insurance and annuity products (the
"Contracts") referred to in the Agreement is as follows:
FOR FLEXIBLE PAYMENT VARIABLE UNIVERSAL LIFE INSURANCE CONTRACTS, written on
Form _______, and any variations of these forms as may be required by insurance
regulatory authorities:
1. NEW BUSINESS COMMISSION AND EXPENSE REIMBURSEMENT ALLOCATION:
[Selling Broker-Dealer shall receive commissions of __% of the initial
Payment for each Contract for which Broker-Dealer is the
broker-of-record.]
However, no compensation shall be paid on Payment received from a Contract owner
when an existing life insurance or annuity contract issued by First Penn-Pacific
on the same life has lapsed, been terminated or surrendered, been continued on a
nonforfeiture option, or been changed, modified or converted in any manner
within six months of the date of the application for the new Contract or twelve
months after the issue date of the new Contract, except to the extent that the
first year's annualized premium for the new Contract exceeds the first year's
annualized premium from the existing contract.
2. RETURN OF COMPENSATION IN SPECIFIED CIRCUMSTANCES
The following rules regarding "chargebacks" shall apply in connection with
the offer and sale of Contracts under this Agreement:
a. In the event that:
i. a Payment is returned because First Penn-Pacific rejects
the application for the Contract under which such Payment has been paid or
because the Payment, or the related application, is not timely received by
First Penn-Pacific as required herein, or a refund is made because a
purchaser exercises his or her free look right under a Contract; or
ii. within the first twelve months after the date on which a
Contract was issued, the purchaser surrenders the Contract, or otherwise
rescinds the Contract, or the Contract lapses;
then, in any such event, Broker-Dealer shall not be entitled to any compensation
with respect to such Contract, and any and all compensation previously received
by Broker-Dealer based on all Payments paid into the Contract shall be repaid to
Distributor, and Broker-Dealer shall pay any loss incurred as a result of a
Payment being returned which was not timely received or for which an application
was not timely received by First Penn-Pacific.
b. If and to the extent that any loans or partial withdrawals are
made with respect to any Contract during the first year after issuance, the
compensation due to Broker-Dealer shall be recomputed as though the amount of
the loan or partial withdrawal had never been paid as a Payment.
c. If and to the extent that a Contract is exchanged for another
contract during the first policy year of the Contract, the compensation due to
Broker-Dealer shall be recomputed as though the Contract had never been issued.
Distributor shall have the right to collect from Broker-Dealer or to withhold
from future payments of compensation due to Broker-Dealer under this Agreement
an amount equal to any reduction in compensation effected by this Exhibit C, to
the extent permitted by applicable law; provided, however, that this option on
the part of Distributor shall not prevent both Distributor and Broker-Dealer or
either of them from pursuing any other means or remedies available to them to
recover such compensation. Distributor agrees to notify Broker-Dealer and
General Agent within thirty days after it receives notice from First
Penn-Pacific of any premium refund or commission chargeback. For purposes of
this Exhibit C, the payment of a death benefit pursuant to the terms of a
Contract shall not be deemed a surrender or rescission by a purchaser.
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