Exhibit 1(b)
FORM OF
AFFILIATED INSURER AMENDMENT
TO
SELLING AGREEMENT
THIS AMENDMENT, effective as of __________________is made by and among Pruco
Life Insurance Company ("Pruco"), Pruco Life Insurance Company of New Jersey
("Pruco NJ"), The Prudential Insurance Company of America ("PICA"), Prudential
Annuities Life Assurance Corporation, formerly known as American Skandia Life
Assurance Corporation ("PALAC"), Prudential Annuities Distributors, Inc.,
formerly known as American Skandia Marketing, Incorporated, ("PAD"),
________________________________, ("Broker-Dealer") and any and all undersigned
insurance agency affiliates of Broker-Dealer ("Associated Insurance Agencies");
WHEREAS, PALAC and PAD entered into an Insurance Product Sales Agreement with
Broker-Dealer and Associated Insurance Agencies , as amended (the "Agreement");
WHEREAS, Broker-Dealer and Associated Insurance Agencies wish to sell and
service certain Contracts issued by Pruco, Pruco NJ and PICA;
WHEREAS, the parties desire to amend the Agreement to include Pruco, Pruco NJ
and PICA as parties to the Agreement and to provide authorization to
Broker-Dealer and Associated Insurance Agencies to engage in the sale and
servicing of the Contracts issued by Pruco, Pruco NJ and PICA; and
NOW THEREFORE, in consideration of their mutual promises, PAD, PALAC, Pruco,
Pruco NJ, PICA, Broker-Dealer and Associated Insurance Agencies each agree as
follows:
That the Agreement shall be amended to include Pruco, Pruco NJ and PICA as
parties;
All references throughout the Agreement to "ASLAC" shall, by definition, be
expanded and amended to include PALAC, Pruco, Pruco NJ or PICA and replaced by
the term "Insurer";
All references throughout the Agreement to "American Skandia" shall, by
definition, be expanded and amended to include PALAC, Pruco, Pruco NJ or PICA
and PAD, and replaced by the term "Prudential Annuities";
All references throughout the Agreement to "ASM" shall be replaced by "PAD";
That Prudential Annuities authorizes Broker-Dealer to solicit sales of Contracts
identified in the Schedule(s) to the Agreement and that such authorization shall
exclude solicitation of new sales, initial premium and/or initial purchase
payments for any Contract or Schedule(s) that Prudential Annuities has
designated as available for "Service Only";
Broker Dealer shall designate registered representatives for appointment by
PICA, Pruco and Pruco NJ, as individual insurance agents, and, notwithstanding
any provision of the Agreement to the contrary, limit such designation to only
those that shall serve as broker of record on a contract issued by PICA, Pruco,
or Pruco NJ; and
Notwithstanding any provision of the Agreement to the contrary, customer checks
for Payments shall be made payable to the order of the insurance company issuing
the Contract to which the Payment applies.
IN WITNESS WHEREOF, each of the parties hereto has caused this Agreement to be
executed in its name and behalf by its duly authorized representative.
PRUDENTIAL ANNUITIES LIFE ASSURANCE CORPORATION
/s/ Xxxxx Xxxxxx
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By Xxxxx Xxxxxx
Title:Executive Vice President
PRUDENTIAL ANNUITIES DISTRIBUTORS, INC.
/s/ Xxxxx Xxxxxx
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By Xxxxx Xxxxxx
Title:Director
PRUCO LIFE INSURANCE COMPANY
/s/ Xxxxx Xxxxxx
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By Xxxxx Xxxxxx
Title: Vice President
PRUCO LIFE INSURANCE COMPANY OF NEW JERSEY
/s/ Xxxxx Xxxxxx
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By Xxxxx Xxxxxx
Title: Vice President
THE PRUDENTIAL INSURANCE COMPANY OF AMERICA
/s/ Xxxxx Xxxxxx
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By Xxxxx Xxxxxx
Title:Vice President
For the named entities above in his representative capacity:
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Date:_____________________
[BROKER DEALER]
By
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Title:
Date: ______________
[ASSOCIATED INSURANCE AGENCY]
By
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Title:
Date: ______________
PLEASE ATTACH ADDITIONAL SIGNATURE PAGES IF MORE THAN ONE
ASSOCIATED INSURANCE AGENCY EXISTS
