0000891804-13-000278 Sample Contracts

ARTICLE I DEFINITIONS
Fund Participation Agreement • February 21st, 2013 • Variable Annuity Account A • New York
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BY AND AMONG
Participation Agreement • February 21st, 2013 • Variable Annuity Account A • Delaware
PARTICIPATION AGREEMENT
Participation Agreement • February 21st, 2013 • Variable Annuity Account A • Delaware

THIS AGREEMENT, made and entered into this 28th day of March, 2011 by and between GOLDMAN SACHS VARIABLE INSURANCE TRUST, statutory trust formed under the laws of Delaware (the “Trust”), GOLDMAN, SACHS & CO., a New York limited partnership (the “Distributor”), and FIRST SECURITY BENEFIT LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK, a New York life insurance company (the “Company”), on its own behalf and on behalf of each separate account of the Company identified herein.

Rule 22c-2 Agreement
22c-2 Agreement • February 21st, 2013 • Variable Annuity Account A

This Rule 22c-2 Agreement (“Agreement”) is entered into by and between Waddell & Reed, Inc. (“W&R”), as principal underwriter for each of the Ivy Variable Insurance Portfolio Funds (the “Fund”), and the intermediary firm which is a signatory to this Agreement below (the “Servicer”), effective as of the date of execution by the Servicer, as set forth below.

PARTICIPATION AGREEMENT Among First Security Benefit Life Insurance and Annuity Company of New York, Wells Fargo Variable Trust and Wells Fargo Funds Distributor, LLC
Participation Agreement • February 21st, 2013 • Variable Annuity Account A • New York

THIS AGREEMENT, dated as of the 12th day of December 2006, by and among First Security Benefit Life Insurance and Annuity Company of New York, (the “Company”), a stock life insurance company organized under the laws of the State of New York, on its own behalf and on behalf of each applicable Account (defined below) (each an “Account”), Wells Fargo Variable Trust (the “Fund”), a statutory trust formed under the laws of Delaware, and Wells Fargo Funds Distributor, LLC (the “Distributor”), a Delaware limited liability company.

VAN ECK SHAREHOLDER INFORMATION AGREEMENT
Van Eck • February 21st, 2013 • Variable Annuity Account A

This Agreement is effective as of Feb. 1, 2011, by and between First Security Benefit Life Insurance and Annuity Company of New York (“Intermediary”) and Van Eck Securities Corporation (“Van Eck”) on behalf of the Van Eck Funds, Van Eck Worldwide Insurance Trust, or such other investment companies that Van Eck may distribute (each, a “Van Eck Fund” and together, the “Van Eck Funds”).

Rule 22c-2 Agreement
Rule 22c-2 Agreement • February 21st, 2013 • Variable Annuity Account A

SHAREHOLDER INFORMATION AGREEMENT entered into as of June 10, 2011 by and between Financial Investors Variable Insurance Trust (the “Fund”) and First Security Benefit Life Insurance and Annuity Company of New York (the “Intermediary”) with an effective date of June 10, 2011 .

FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT
Contract Anniversary • February 21st, 2013 • Variable Annuity Account A

In consideration of the Purchase Payments, First Security Benefit Life Insurance and Annuity Company of New York (“FSBL") will pay the benefits of this Contract according to its terms.

RULE 22c-2 AGREEMENT
Rule 22c-2 Agreement • February 21st, 2013 • Variable Annuity Account A

This Rule 22c-2 Agreement dated December 24 , 2012 is entered into by and between Putnam Investor Services, Inc. (“PSERV”), transfer agent, dividend-disbursing agent and shareholder servicing agent for the Fund, Putnam Retail Management Limited Partnership (“PRM”), underwriter and distributor of the Fund, and First Security Benefit Life Insurance and Annuity Company of New York (“Intermediary”).

RULE 22C-2 AGREEMENT
Rule 22c-2 Agreement • February 21st, 2013 • Variable Annuity Account A
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT
Variable Annuity Account A • February 21st, 2013

In consideration of the Purchase Payments, First Security Benefit Life Insurance and Annuity Company of New York (“FSBL") will pay the benefits of this Contract according to its terms.

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