Exhibit 4(a) NATIONWIDE LIFE AND ANNUITY COMPANY OF AMERICA INSURED: JOHN DOE POLICY NUMBER: 9,000,000 POLICY ISSUE DATE: 09/01/2002 FACE AMOUNT: $50,000.00 ISSUE AGE AND SEX: 35, MALE DEATH BENEFIT: OPTION A POLICY DATE: 09/01/2002 Nationwide Life...Nationwide Provident Vli Separate Account A • December 16th, 2002
Company FiledDecember 16th, 2002
AMENDMENT NO. 3Reinsurance Agreement • December 16th, 2002 • Nationwide Provident Vli Separate Account A
Contract Type FiledDecember 16th, 2002 Company
Exhibit 7(c) AUTOMATIC REINSURANCE AGREEMENT NO. 2728 EFFECTIVE JANUARY 1, 1999Automatic Reinsurance Agreement • December 16th, 2002 • Nationwide Provident Vli Separate Account A
Contract Type FiledDecember 16th, 2002 Company
YRT AGREEMENT No. 5920-5 BETWEENYrt Agreement • December 16th, 2002 • Nationwide Provident Vli Separate Account A • Pennsylvania
Contract Type FiledDecember 16th, 2002 Company Jurisdiction