Form of FUND PARTICIPATION AND SERVICE AGREEMENTFund Participation and Service Agreement • June 19th, 2015 • Variable Annuity Account a of Protective Life • New York
Protective Life and Annuity Insurance Company (“Insurance Company”), for itself and on behalf of one or more separate accounts of the Insurance Company (“Separate Accounts”), American Funds Distributors, Inc. (“AFD”), American Funds Service Company (“Transfer Agent”), Capital Research and Management Company (“CRMC”), and the American Funds Insurance Series (the “Series”), an open-end investment company for which AFD, CRMC and Transfer Agent provide services and which is divided into funds (hereinafter collectively called the “Funds” and, individually, a “Fund”), for good and valuable consideration, hereby agree on this day of 201 , that Class 2 shares of the Funds and Class 4 shares of the Funds (“Class 2 or 4 Shares” together , the “shares”) shall be made available to serve as underlying investment media for certain variable annuity contracts (hereinafter called “Contract(s)”; holders of such Contracts hereinafter called “Contractholder(s)”) to be offered by the Insurance Company subj
RIDER SCHEDULEVariable Annuity Account a of Protective Life • June 19th, 2015
Rider Purchase Age Limits on the Issue Date: We will not issue a rider with the Benefit described herein if any Covered Person is younger than Age [ 60 ] or older than Age [ 80 ].
