0001104659-06-026568 Sample Contracts

FUND PARTICIPATION AGREEMENT
Fund Participation Agreement • April 21st, 2006 • Separate Account I of National Integrity Life Ins Co • New York

THIS AGREEMENT made as of the day of , 199 by and among BT Insurance Funds Trust (“TRUST”), a Massachusetts business trust, Bankers Trust Company (“ADVISER”), a New York banking corporation, and (“LIFE COMPANY”), a life insurance company organized under the laws of the State of .

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