Prepared by MERRILL CORPORATION




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Exhibit 4(a)    
  


 PROTECTIVE LIFE AND ANNUITY INSURANCE COMPANY (800) 456-6330  





2801 Highway 280 South (A Stock Insurance Company)

Birmingham, Alabama 35223 


 
 


  INDIVIDUAL FLEXIBLE PREMIUM DEFERRED FIXED AND VARIABLE ANNUITY CONTRACT
  (Non-Participating)    
  



Protective Life and Annuity Insurance Company agrees to provide the benefits described in this Contract. 


 
 

THIS IS A VARIABLE ANNUITY CONTRACT    
  



THE VALUE OF THIS CONTRACT AND THE ANNUITY INCOME PAYMENTS, WHEN BASED ON THE INVESTMENT EXPERIENCE OF THE SEPARATE ACCOUNT, IS VARIABLE. IT WILL INCREASE AND
DECREASE AS A RESULT OF FLUCTUATIONS IN THE NET INVESTMENT FACTOR. NO MINIMUM VALUE IS GUARANTEED FOR AMOUNTS ALLOCATED TO THE SEPARATE ACCOUNT. 


 
 

YOU HAVE THE RIGHT TO RETURN THIS CONTRACT    
  


You may cancel this Contract within thirty days after you receive it by returning the Contract to our administrative office, or to the agent who sold the
Contract, with a written request for cancellation. Return of this Contract by mail is effective on being post-marked, properly addressed and postage pre-paid. We will promptly return the Contract
Value plus any fees and charges deducted from the Purchase Payments. The amount we return may be more or less than your Purchase Payments. If this Contract is a replacement of any existing coverage,
you may cancel it within sixty days after you receive it. 



	



[Wayne E. Stuenkel Signature

graphic to come]	

 	


 

 
	

Wayne E. Stuenkel

President	
 	

Deborah J. Long

Secretary




 
 


  THIS IS A LEGAL CONTRACT
  READ IT CAREFULLY    
  



	AF-2022	 	11/01
	
This Page Intentionally left blank.	
 	

 








	 Secretary	 	 












  



 
 

SCHEDULE    
  



	


  CONTRACT NUMBER	

 	



EFFECTIVE DATE
	PVA20000001	 	September 1, 2001
	
OWNER	
 	

BIRTH DATE OF OWNER
	John J. Doe	 	November 5, 1953
	
JOINT OWNER	
 	

BIRTH DATE OF JOINT OWNER
	N/A	 	N/A
	
ANNUITANT	
 	

BIRTH DATE OF ANNUITANT
	John J. Doe	 	November 5, 1953
	
BENEFICIARY	
 	

ANNUITY COMMENCEMENT DATE
	As contained in our records	 	November 5, 2043





INITIAL PURCHASE PAYMENT: [$100,000.00-] 


PLAN TYPE:        / /    QUALIFIED                                /x/ 
   NON-QUALIFIED 


ANNUAL EFFECTIVE INTEREST RATE FOR THE FIXED ACCOUNT ON THE EFFECTIVE DATE:    [4.00%- 



ANNUAL EFFECTIVE INTEREST RATE FOR DCA FIXED ACCOUNT 1 ON THE EFFECTIVE DATE:    [5.00%- 


ANNUAL EFFECTIVE INTEREST RATE FOR DCA FIXED ACCOUNT 2 ON THE EFFECTIVE DATE:    [4.50%- 


BENEFIT PACKAGE: [Annual Reset- 


CONTRACT MAINTENANCE FEE: $30 


MORTALITY AND EXPENSE RISK CHARGE: [1.40%] per annum of the average daily Variable Account Value prior to the
Annuity Commencement Date, and 1.25% per annum on or after the Annuity Commencement Date. This charge will be applied regardless of the mortality and expense results we experience. 



ADMINISTRATION CHARGE: 0.15% per annum of the average Variable Account Value. This charge will be applied regardless of the administration
results we experience. 


VARIABLE ANNUITY ASSUMED INVESTMENT RETURN: 5.00% With the combined annual Variable Account charges of 1.40% on and after the Annuity
Commencement Date, the smallest annual rate of investment return required to ensure that the dollar amount of variable income payments does not decrease is 6.40% based on the Assumed Investment Return
(AIR) of 5.00%. 


TRANSFER FEE: $25 per transfer in excess of 12 in any Contract Year. 


3





 

SURRENDER CHARGE: Full or partial surrenders may be subject to a Surrender Charge. We will not apply the Surrender Charge to:
(1) amounts no longer subject to the Surrender Charge; (2) the free withdrawal amount; or (3) the death benefit. When applicable, the Surrender Charge will be determined according
to the table below: 



	

Number of Full Years between the

Effective Date and Surrender Date
 
	
 	

Surrender Charge Percentage
 
	
 
	0	 	6	%
	1	 	6	%
	2	 	5	%
	3	 	5	%
	4	 	4	%
	5	+	0	%





 
 

ALLOCATION OPTIONS AVAILABLE ON THE EFFECTIVE DATE    
  


Protective Life and Annuity Guaranteed Account

        Fixed Account

        DCA Fixed Account 1

        DCA Fixed Account 2 



[Goldman Sachs/PIC]

        [International Equity]

        [Small Cap Value]

        [Capital Growth]

        [CORE U.S. Equity]

        [Growth and Income]

        [Global Income] 


[Goldman Sachs]

        [Internet Tollkeeper] 


[Massachusetts Financial Services (MFS)]

        [New Discovery]

        [Emerging Growth]

        [Research]

        [Investors Growth Stock]

        [Utilities]

        [Investors Trust]

        [Growth Series] 


[OppenheimerFunds]

        [Aggressive Growth]

        [Global Securities]

        [Capital Appreciation]

        [Main Street Growth & Income]

        [High Income]

        [Strategic Bond]

        [Money Fund] 


[Van Kampen Life Investment Trust]

        [Aggressive Growth]

        [Emerging Growth]

        [Enterprise]

        [Comstock]

        [Growth and Income] 


[Calvert]

        [Social Small Cap Growth]

        [Social Balanced] 


[Van Eck]

        [Worldwide Hard Assets]

        [Worldwide Real Estate] 


4





 
 
 

TABLE OF CONTENTS    
  



	
Definitions-	
 	

7
	
General Provisions-	
 	

8
	Entire Contract	 	8
	Modification of Contract	 	8
	Incontestability	 	8
	Assignment	 	8
	Notice	 	8
	Error in Age or Gender	 	8
	Settlement	 	8
	Receipt of Payment	 	8
	Protection of Proceeds	 	9
	Premium Tax	 	9
	Non-Participating	 	9
	Minimum Values	 	9
	Application of Law	 	9
	Reports	 	9
	
Parties to the Contract-	
 	

9
	Company	 	9
	Owner	 	9
	Change of Owner	 	9
	Beneficiary	 	9
	Change of Beneficiary	 	9
	Annuitant	 	10
	Change of Annuitant	 	10
	Payee	 	10
	
Purchase Payments-	
 	

10
	Purchase Payment	 	10
	Allocation of Purchase Payments	 	10
	No Default	 	10
	
Fees and Charges-	
 	

10
	Mortality and Expense Risk Charge	 	10
	Administration Charge	 	10
	Contract Maintenance Fee	 	10





5





 


	
Guaranteed Account-	
 	

11
	General Description	 	11
	Fixed Account	 	11
	DCA Fixed Accounts	 	11
	Guaranteed Account Value	 	11
	General Description	 	11
	
Variable Account-	
 	

11
	General Description	 	11
	Sub-Accounts of the Variable Account	 	12
	Variable Account Value	 	12
	Accumulation Unit Values	 	13
	
Transfers-	
 	

13
	
Surrenders-	
 	

13
	Free Withdrawal Amount	 	14
	Determining the Surrender Charge	 	14
	Suspension or Delay in Payment of Surrender	 	14
	
Death Benefit-	
 	

14
	Death of an Owner	 	14
	Death of the Annuitant	 	14
	Death Benefit	 	14
	Suspension of Payment	 	15
	
Annuitization-	
 	

15
	Annuity Commencement Date	 	15
	Annuity Payments	 	15
	Fixed Income Payments	 	15
	Variable Income Payments	 	16
	Annuity Unit Values	 	16
	Selection of Annuity Options	 	16
	Annuity Options	 	16
	Minimum Amounts	 	17
	Guaranteed Purchase Rates	 	17
	Fixed Annuity Tables	 	18
	Variable Annuity Tables	 	18




6





 
 
 

DEFINITIONS    
  



Accumulation Unit: A unit of measure used to calculate the value of a Sub-Account prior to the Annuity
Commencement Date. 


Age: The age on the birthday immediately prior to any date for which age is to be determined. 


Allocation Option: Any account to which Purchase Payments may be allocated or Contract Value transferred under this Contract. 


Annuity Commencement Date: The date as of which the Annuity Purchase Value is applied to an Annuity Option to determine the initial
annuity income payment. 



Annuity Option: The payout option pursuant to which the Company makes annuity income payments. 


Annuity Purchase Value: The greater of: (1) the Surrender Value; or (2) 95% of the Contract Value. 


Annuity Unit: A unit of measure used to calculate the amount of the variable income payments. 


Assumed Investment Return: The assumed annual rate of return used to calculate the amount of the variable income payments. 


Contract Anniversary: The same month and day as the Effective Date in each subsequent year of the Contract. 



Contract Value: Prior to the Annuity Commencement Date, the sum of the Variable Account value and the Guaranteed Account value. 


Contract Year: Any period of 12 months commencing with the Effective Date or any Contract Anniversary. 


Effective Date: The date as of which the initial Purchase Payment is credited to the Contract and the date the Contract takes effect, as
shown on the Schedule. 


Fund: Any investment portfolio in which a corresponding Sub-Account invests. 



Guaranteed Account: Includes any Allocation Option we may offer with interest rate guarantees. 


Purchase Payment: The amount(s) paid by the Owner and accepted by the Company as consideration for this Contract. 


Qualified Contracts: Contracts issued in connection with retirement plans that receive favorable tax treatment under Sections 401, 403,
408, or 408A of the Internal Revenue Code. 


Sub-Account: A separate division of the Variable Account. 


Surrender Value: The amount available for a full surrender. It is equal to the Contract Value minus any applicable surrender charge,
contract maintenance fee and premium tax. 


Valuation Day: Each day on which the New York Stock Exchange is open for business. 


Valuation Period: The period which begins at the close of regular trading on the New York Stock Exchange on any Valuation Day and ends at
the close of regular trading on the next Valuation Day. 


7





 

Variable Account: The Variable Annuity Account A, a separate investment account of Protective Life and Annuity Insurance Company. 



Written Notice: A notice or request submitted in writing in a form satisfactory to the Company that is received at the administrative
office. 


 
 

GENERAL PROVISIONS    
  


Entire Contract — This Contract and its attachments, including the copy of your Application and
any endorsements and amendments, constitute the entire agreement between you and us. All statements in the Application shall be considered representations and not warranties. 


Modification of the Contract — No one is authorized to modify or waive any term or provision of this Contract unless we
agree to the modification or waiver in writing and it is signed by our President, Vice-President or Secretary. We reserve the right to change or modify the provisions of this Contract to conform to
any applicable laws, rules or regulations issued by a government agency, or to assure continued qualification of the Contract as an annuity contract under the Internal Revenue Code. We will send you a
copy of the endorsement that modifies the Contract, and where required we will obtain all necessary approvals, including that of the Owner(s). 


Incontestability — We will not contest this Contract after it is issued. 



Assignment — You have the right to assign this Contract. We do not assume responsibility for the assignment. Any claim
made under an assignment is subject to proof of the nature and extent of the assignee's interest prior to payment by us. 


Notice — All instructions under this Contract and requests to change or assign this Contract must be by Written Notice.
The Written Notice is effective as of the date it was signed, however, the Company is not responsible for following any instruction or making any change or assignment before our receipt of the Written
Notice. 


Error in Age or Gender — When a benefit of this Contract is contingent upon any person's age or gender, we may require
proof of such. We may suspend payments until proof is provided. When we receive satisfactory proof, we will make the payments that were due during the period of suspension. Where the use of unisex
mortality rates is required, we will not determine or adjust benefits based upon gender. 


If
after proof of age and gender (where applicable) is provided, it is determined that the information you furnished was not correct, we will adjust any benefit under this Contract to
that which would be payable based upon the correct information. If we have underpaid a benefit because of the error, we will make up the underpayment in a lump sum. If the error resulted in an
overpayment, we will deduct the amount of the overpayment from any current or future payment due under the Contract. Underpayments and overpayments will bear interest at an annual effective interest
rate of 3%. 


Settlement — Benefits due under this Contract are payable from our administrative office. The Owner may apply the
settlement proceeds to any payout option we offer for such payments at the time the election is made. Unless directed otherwise in writing, we will make payments according to the Owner's instructions
as contained in our records at the time the payment is made. We shall be discharged from all liability for payment to the extent of any payments we make. 


Receipt of Payment — If any Owner, Annuitant, Beneficiary or Payee is incapable of giving a valid receipt for any
payment, we may make such payment to whomever has legally assumed his or her care and principal support. Any such payment shall fully discharge us to the extent of that payment. 


8





 

Protection of Proceeds — To the extent permitted by law and except as provided by an assignment, no benefits payable
under this Contract will be subject to the claims of creditors. 



Premium Tax — Premium tax will be deducted, if applicable. Premium tax may be deducted from the Purchase Payment(s)
when accepted or from the Contract Value upon a full or partial surrender, death or annuitization. 


Non-Participating — This Contract does not share in our surplus or profits, or pay dividends. 


Minimum Values — The values available under the Contract are at least equal to the minimum values required in the state
where the Contract is delivered. 


Application of Law — The provisions of the Contract are to be interpreted in accordance with the laws of the state
where the Contract is delivered, with the Internal Revenue Code and with applicable regulations. 


Reports — At least annually prior to the Annuity Commencement Date, we will send to you at the address contained in our
records a report showing the current Contract Value, your current investment allocation and Allocation Option values, and all other information required by law. This information will be as of a date
not more than four months prior to the date the statement is mailed. 


 
 

PARTIES TO THE CONTRACT    
  


Company — Protective Life and Annuity Insurance Company, also referred to as "we", "us" and
"our". 


Owner — The person or persons who own the Contract and are entitled to exercise all rights and privileges provided in
the Contract. Two persons may own the Contract together; they are designated as the Owner and the Joint Owner. Individuals as well as non-natural persons, such as corporations or trusts, may be
Owners. The Owner is referred to as "you" and "your". 


Change of Owner — The Owner of this Contract may be changed by Written Notice provided (1) any new Owner's
85th birthday is after the Effective Date, and (2) any new Owner's 90th birthday is on or after the Annuity Commencement Date. For a period of one year after any
change of ownership involving a natural person, the death benefit will equal the Contract Value. 


Beneficiary — The person or persons who may receive the benefits of this Contract upon the death of any Owner. 



Primary — The Primary Beneficiary is the surviving Joint Owner, if any. If there is no surviving Joint Owner, the
Primary Beneficiary is the person or persons designated by the Owner and named in our records. 


Contingent — The Contingent Beneficiary is the person or persons designated by the Owner and named in our records
to be Beneficiary if the Primary Beneficiary is not living. 


If
no Beneficiary designation is in effect or if no Beneficiary is living at the time of an Owner's death, the Beneficiary will be the estate of the deceased Owner. If any Owner dies on
or after the Annuity Commencement Date, the Beneficiary will become the new Owner. 


Change of Beneficiary — Unless designated irrevocably, the Owner may change the Beneficiary by Written Notice prior to
the death of any Owner. An irrevocable Beneficiary is one whose written consent is needed before the Owner can change the Beneficiary designation or exercise certain other rights. 


9





 

Annuitant — The person or persons on whose life annuity income payments may be based. The Owner is the Annuitant unless
the Owner designates another person as the Annuitant. 


Change of Annuitant — The Owner may change the Annuitant by Written Notice prior to the Annuity Commencement Date.
However, if any Owner is not an individual the Annuitant may not be changed. The new Annuitant's 90th birthday may not be earlier than the Annuity Commencement Date in effect when the
change of Annuitant is requested. 



Payee — The person or persons designated by the Owner to receive the annuity income payments under the Contract. The
Annuitant is the Payee unless the Owner designates another party as the Payee. The Owner may change the Payee at any time. 


 
 

PURCHASE PAYMENTS    
  


Purchase Payment — Purchase Payments are payable at our administrative office. They may be made
by check payable to Protective Life and Annuity Insurance Company or by any other method we deem acceptable. Your initial Purchase Payment is shown on the Schedule. 



Subsequent
Purchase Payments may be accepted by the Company but may not be allocated to the DCA Fixed Accounts. The minimum subsequent Purchase Payment we will accept is $100. The
maximum aggregate Purchase Payment(s) we will accept without prior administrative office approval is $1,000,000. We reserve the right not to accept any Purchase Payment. 


Allocation of Purchase Payments — We will allocate your Purchase Payments to the Allocation Options according to your
instructions as contained in our records at the time the Purchase Payment is accepted at our administrative office. Your initial allocation instructions are on the Application. You may change
your allocation instructions at any time by Written Notice. Allocations must be made in whole percentages. 


No Default — This Contract will not be in default if subsequent Purchase Payments are not made. 


 
 

FEES AND CHARGES    
  


Mortality and Expense Risk Charge — We will deduct a Mortality and Expense Risk Charge to
compensate the Company for assuming the mortality and expense risks of the Contract. The Mortality and Expense Risk Charge is deducted only from the Variable Account Value and is shown on the Contract
Specifications page. 


Administration Charge — We will deduct an Administration Charge to reimburse the Company for expenses incurred in the
administration of the Contract and the Variable Account. The Administration Charge is deducted only from the Variable Account Value and is shown on the Contract Specifications page. 


Contract Maintenance Fee — The Contract Maintenance Fee is shown on the Contract Specifications page. It is deducted
prior to the Annuity Commencement Date on each Contract Anniversary, and on any day that the Contract is surrendered other than the Contract Anniversary. The contract maintenance fee will be deducted
from the Allocation Options in the same proportion as their values are to the Contract Value. The contract maintenance fee will be waived by the Company in the event the Contract Value or the
aggregate Purchase Payments reduced by surrenders equals or exceeds $50,000 on the date the contract maintenance fee is to be deducted. 


10





 
 
 

GUARANTEED ACCOUNT    
  


General Description — The Guaranteed Account includes the Fixed Account and the DCA Fixed
Accounts, which are each a part of the Company's general account. You may allocate some or all of
your Purchase Payments and may transfer some of your Contract Value to an account within the Guaranteed Account, except that transfers may not be made into the DCA Fixed Accounts. Amounts allocated to
an account within the Guaranteed Account earn interest from the date the funds are credited to the account. 


We,
in our sole discretion, establish the interest rates for each account in the Guaranteed Account. We will not declare a rate that is less than an annual effective interest rate of
3.00%. Because these rates vary from time to time, allocations made to the same account within the Guaranteed Account at different times may earn interest at different rates. 


Fixed Account — The interest rate we apply to Purchase Payments and transfers into the Fixed Account is guaranteed for
one year from the date the Purchase Payment or transfer is credited to the account. When an interest rate guarantee expires, we will set a new interest rate, which may not be the same as the interest
rate then in effect for Purchase Payments or transfers allocated to the Fixed Account. The new interest rate is also guaranteed for one year. 


DCA Fixed Accounts — The DCA Fixed Accounts are available only for initial Purchase Payments designated for dollar cost
averaging. Purchase Payments allocated to a DCA Fixed Account must include instructions regarding the number and frequency of the dollar cost averaging transfers, and the Allocation Option(s) into
which the transfers are to be made. If transfers from a DCA Fixed Account are terminated, we will transfer any amount remaining in that DCA Fixed Account into the Fixed Account unless you have
otherwise instructed us how to allocate the remaining amount. 


We
will systematically transfer Purchase Payments allocated to the DCA Fixed Accounts to other Allocation Options in equal amounts over a designated period not to exceed 12 months. The
interest rate we apply to Purchase Payments allocated to a DCA Fixed Account is guaranteed for the period over which transfers are allowed from that DCA Fixed Account. 



Guaranteed Account Value — Any time prior to the Annuity Commencement Date, the Guaranteed Account value is equal to:
(1) Purchase Payments allocated to the Guaranteed Account; plus (2) amounts transferred into the Guaranteed Account; plus (3) interest credited to the Guaranteed Account; minus
(4) amounts transferred out of the Guaranteed Account; minus (5) the amount of any surrenders removed from the Guaranteed Account, including any applicable surrender charges and premium
tax; minus (6) fees deducted from the Guaranteed Account. For the purposes of interest crediting, amounts deducted, transferred or withdrawn from accounts within the Guaranteed Account will be
separately accounted for on a "first-in, first-out" (FIFO) basis. 


 
 

VARIABLE ACCOUNT    
  


General Description — The variable benefits under the Contract are provided through the
Protective Variable Annuity Separate Account, which is registered with the Securities and Exchange Commission as a unit investment trust under the Investment Company Act of 1940. We own the assets in
the Variable Account. The portion of the assets of the Variable Account equal to the reserves and other contract liabilities with respect to the Variable Account are not chargeable with the
liabilities arising out of any other business we may conduct. The income, gains and losses, both realized and unrealized, from the assets of the Variable Account shall be credited to or charged
against the Variable Account without regard to any other income, gains or losses of the Company. We have the right to transfer to our general account any assets of the Variable Account that are in
excess of such reserves and other liabilities. 


11





 

Sub-Accounts of the Variable Account — The Variable Account is divided into a series of Sub-Accounts. The Sub-Accounts
available on the Effective Date are listed on the Schedule. Each Sub-Account invests in shares of a corresponding Fund. The income, dividends, and gains, if any, distributed from the shares of a Fund
will be reinvested by purchasing additional shares of that Fund at its net asset value. 


When
permitted by law, and subject to all necessary regulatory approvals, we may: 



	1)
	create
new variable accounts;



	2)
	combine
variable accounts, including the Variable Account;



	3)
	add
new Sub-Accounts to, or remove existing Sub-Accounts from the Variable Account, or combine Sub-Accounts;



	4)
	make
new Sub-Accounts or other Sub-Accounts available to such classes of the Contracts as we may determine;



	5)
	add
new Funds, or remove existing Funds;



	6)
	substitute
a different Fund for any existing Fund if shares of a Fund are no longer available for investment, or if we determine that
investment in a Fund is no longer appropriate in light of the purposes of the Variable Account;



	7)
	deregister
the Variable Account under the Investment Company Act of 1940 if such registration is no longer required;



	8)
	operate
the Variable Account as a management investment company under the Investment Company Act of 1940 or as any other form permitted by
law; and



	9)
	make
any changes to the Variable Account or its operations as may be required by the Investment Company Act of 1940 or other applicable law
or regulations. 






The
investment policy of the Variable Account will not be changed without obtaining all necessary regulatory approvals. 


The
values and benefits of this Contract provided by the Variable Account depend on the investment performance of the Funds in which the Sub-Accounts invests. We do not guarantee the
investment performance of the Funds. You bear the full investment risk for amounts allocated or transferred to the Sub-Accounts. 


We
reserve the right to deduct taxes attributable to the operation of the Variable Account. 


Variable Account Value — At any time prior to the Annuity Commencement Date, the Variable Account value is equal to:
(1) Purchase Payments allocated to the Variable Account; plus (2) amounts transferred into the Variable Account; plus or minus (3) investment performance; minus (4) amounts
transferred out of the Variable Account; minus (5) the amount of any surrenders removed from the Variable Account including any applicable surrender charges and premium tax; minus
(6) fees deducted from the Variable Account. The Variable Account value also equals the total of the Sub-Account values. 


Amounts
allocated to the Variable Account, including, but not limited to Purchase Payments and transfers, are used to purchase Accumulation Units of one or more Sub-Accounts as directed
by the Owner. To calculate the value of a Sub-Account, we multiply the number of Accumulation Units attributable to each Sub-Account by the Accumulation Unit value for that Sub-Account as of the
Valuation Period on which the value is being determined. 


12





 


Events that will result in the cancellation of an appropriate number of Accumulation Units of a Sub-Account include, but are not limited to: (1) transfers from a Sub-Account;
(2) a full or partial surrender; (3) payment of the death benefit; (4) annuitization; (5) the deduction of the contract maintenance fee. Accumulation Units will be canceled
as of the end of the Valuation Period during which the transaction occurs. 


Accumulation Unit Values — The Accumulation Unit value for each Sub-Account on any Valuation Day is determined by
multiplying the Accumulation Unit value on the prior Valuation Day by the net investment factor for the Valuation Period. The net investment factor is used to measure the investment performance of a
Sub-Account from one Valuation Period to the next. A net investment factor is determined for each Sub-Account for each Valuation Period. The net investment factor may be greater or less than one, so
the value of an Accumulation Unit can increase or decrease. The net investment factor for any Sub-Account for any Valuation Period is determined by dividing (1) by (2) and subtracting
(3), where: 



	(1)
	the
result of: 



	a.
	the
net asset value per share of the Fund held in the Sub-Account, determined at the end of the current valuation period; plus



	b.
	the
per share amount of any dividend or capital gain distributions made by the Fund held in the Sub-Account, if the "ex-dividend" date
occurs during the Valuation Period. 





	(2)
	is
the net asset value per share of the Fund held in the Sub-Account, determined at the end of the most recent prior Valuation Period.



	(3)
	is
a factor representing the mortality and expense risk charge and the administration charge for the number of days in the Valuation Period
and a charge or credit for any taxes attributed to the investment operations of the Sub-Account, as determined by the Company. 



 
 

TRANSFERS    
  


Prior to the Annuity Commencement Date, you may instruct us to transfer amounts among the Allocation Options. You must transfer at least $100 or if less, the
entire amount in the Allocation Option, each time you make a transfer. If after the transfer the amount remaining in any of the Allocation Options from which the transfer is made is less than $100, we
may transfer the entire amount instead of the requested amount. We may also limit the number of transfers to no more than 12 per year. For each additional transfer over 12 during each Contract Year,
we may charge a transfer fee as shown on the Schedule. The transfer fee, if any, will be deducted from the amount being transferred. Transfers from a DCA Fixed Account made to facilitate dollar cost
averaging will not count toward the 12 transfers permitted each Contract Year. 


We
reserve the right to limit amounts transferred into any account within the Guaranteed Account. Transfers into a DCA Fixed Account are not permitted. The maximum amount that may be
transferred from the Fixed Account in any Contract Year is the greater of (a) $2,500; or (b) 25% of the Contract Value in the Fixed Account. 


 
 

SURRENDERS    
  


A full surrender of the Contract may be made any time prior to the Annuity Commencement Date. Partial surrenders may be made prior to the Annuity Commencement
Date provided the Contract Value remaining after the surrender is at least $10,000 for non-Qualified Contracts and $2,000 for Qualified Contracts. The amount we pay upon a full or partial surrender is
equal to the Contract Value surrendered 


13





 


minus any applicable surrender charge, premium tax and contract maintenance fee. We will withdraw amounts pro-rata from the Allocation Options. 


Free Withdrawal Amount — During the first Contract Year you may withdraw an amount equal to 15% of your initial
Purchase Payments without incurring a surrender charge. In any subsequent Contract Year you may withdraw, without incurring a surrender charge, an amount equal to the greatest of: (1) the
earnings in your Contract as of the prior Contract Anniversary, if any; or, (2) 15% of your cumulative Purchase Payments as of the prior Contract Anniversary; or, (3) 15% of the Contract
Value as of the prior Contract Anniversary. This is called the 'free withdrawal amount'. For the purpose of determining the free withdrawal amount, earnings equal the Contract Value on the prior
Contract Anniversary minus Purchase Payments not previously assessed with a surrender charge. Withdrawals in excess of the free withdrawal amount during any Contract Year may be subject to the
surrender charge. 


Determining the Surrender Charge — Prior to the fifth Contract Anniversary, we calculate the surrender charge by
multiplying surrendered Contract Value in excess of any free withdrawal amount by its applicable surrender charge percentage, as shown on the Schedule. We will not assess a surrender charge on:
(1) the free withdrawal amount; (2) surrenders or partial surrenders after the fifth Contract Anniversary; or, (3) the death benefit. 


Suspension or Delay in Payment of Surrender — The Company may suspend or delay the date of payment of a partial or full
surrender from the Variable Account value for any period: 



	1)
	when
the New York Stock Exchange is closed; or



	2)
	when
trading on the New York Stock Exchange is restricted; or



	3)
	when
an emergency exists (as determined by the Securities and Exchange Commission) as a result of which: (a) the disposal of
securities in the Variable Account is not reasonably practical; or (b) it is not reasonably practical to determine fairly the value of the net assets of the Variable Account; or



	4)
	when
the Securities and Exchange Commission, by order, so permits for the protection of security holders. 






The
Company may delay payment of a partial or full surrender from the Guaranteed Account for up to six months where permitted. 


 
 

DEATH BENEFIT    
  


Death of an Owner — If any Owner dies before the Annuity Commencement Date and while this
Contract is in force, we will pay the death benefit, less any applicable premium tax, to the Beneficiary. If any Owner dies on or after the Annuity Commencement Date, the Beneficiary will become the
new Owner and remaining payments must be distributed at least as rapidly as under the Annuity Option in effect at the time of the Owner's death. 


Death of the Annuitant — If the Annuitant is not an Owner and dies prior to the Annuity Commencement Date, the Owner
will become the new Annuitant unless the Owner designates otherwise. If any Owner is not an individual, the death of the Annuitant will be treated as the death of an Owner. 


Death Benefit — The death benefit will be determined as of the end of the Valuation Period during which we receive due
proof of death. The death benefit will equal the greater of: (1) the Contract Value; or (2) aggregate Purchase Payments less aggregate amounts surrendered. Only one death benefit is
payable 


14





 


under this Contract, even though the Contract may, in some circumstances, continue beyond the time of an Owner's death. 


The
death benefit may be taken in one sum immediately and the Contract will terminate. If the death benefit is not taken in one sum immediately, the death benefit will become the new
Contract Value as of the end of the Valuation Period during which we receive due proof of death and the entire interest in the Contract must be distributed under one of the following options: 



	1)
	the
entire interest must be distributed over the life of the Beneficiary, or over a period not extending beyond the life expectancy of the
Beneficiary, with distribution beginning within one year of the Owner's death; or,



	2)
	the
entire interest must be distributed within 5 years of the Owner's death. 






If
the Beneficiary is the deceased Owner's spouse, the surviving spouse may elect, in lieu of receiving a death benefit, to continue the Contract and become the new Owner, provided the
deceased Owner's spouse's 85th birthday is after the Effective Date and 90th birthday is after the Annuity Commencement Date then in effect. The surviving spouse may select
a new Beneficiary. Upon this spouse's death, the Beneficiary may take the death benefit in one sum immediately and the Contract will terminate. If the death benefit is not taken in one sum
immediately, the death benefit will become the new Contract Value as of the end of the Valuation Period during which we receive due proof of death and must be distributed to the new Beneficiary
according to either paragraph (1) or (2), above. 


If
there is more than one Beneficiary, the foregoing provisions apply to each Beneficiary individually. 


The
death benefit provisions of this Contract shall be interpreted to comply with the requirements of §72(s) of the Internal Revenue Code. We reserve the right to endorse
this Contract, as necessary, to conform with regulatory requirements. We will send you a copy of any endorsement containing such Contract modifications. 



Suspension of Payment — Payment of the death benefit may be suspended or delayed under the circumstances described in
the provision "Suspension or Delay in Payment of Surrender". 


 
 

ANNUITIZATION    
  


Annuity Commencement Date — On the Effective Date, the Annuity Commencement Date is the later
of: (1) the oldest Owner's or Annuitant's 90th birthday, or (2) the 10th Contract Anniversary. It is shown on the Schedule. The Owner may change the Annuity
Commencement Date by Written Notice. The proposed Annuity Commencement Date must be at least 30 days beyond the date the written request is received by the Company, and at least 5 years after the
Effective Date. The new Annuity Commencement Date may not be later than: (1) the oldest Owner's or Annuitant's 90th birthday, or (2) the 10th Contract
Anniversary. 


On
the Annuity Commencement Date, we will apply the Annuity Purchase Value, less any applicable premium tax, to the Annuity Option you have selected to determine an annuity income
payment. 


Annuity Payments — You may elect to receive a fixed income payment, a variable income payment, or a combination of both
using the same Annuity Option and certain period. 


Fixed Income Payments — Fixed income payments are periodic payments from the Company to the designated Payee, the
amount of which is fixed and guaranteed by the Company. It is not in any way dependent upon the investment experience of the Variable Account. 


15





 

Variable Income Payments — Variable income payments are periodic payments from the Company to the designated Payee, the
amount of which varies from one payment to the next as a reflection of the net investment experience of the Sub-Account(s) you select to support the payments. 


Using
an Assumed Investment Return of 5%, we determine the dollar amount of the variable income payment as if a payment were to be made on the Annuity Commencement Date. However, no
payment is actually made on that date. We then allocate that dollar amount among the Sub-Accounts you selected to support your variable income payments. Based on the Annuity Unit values of the
selected Sub-Accounts on that date, we determine the number of Annuity Units attributable to each Sub-Account. The number of Annuity Units attributable to each Sub-Account remains constant unless
there is a transfer of Annuity Units between Sub-Accounts. 


To
calculate the amount of each variable income payment, we multiply the number of Annuity Units attributable to each Sub-Account by the Annuity Unit value for that Sub-Account as of the
Valuation Period on which the payment is being determined. We then total results of these calculations for each Sub-Account. 


Annuity Unit Values — The Annuity Unit value of each Sub-Account for any Valuation Period is equal to (1)
multiplied by (2) divided by (3) where: 



	(1)
	is
the net investment factor for the Valuation Period for which the Annuity Unit value is being calculated using the mortality and expense
risk charge and administration charge shown on the Schedule;



	(2)
	is
the Annuity Unit Value for the preceding Valuation Period; and,



	(3)
	is
the daily Assumed Investment Return factor adjusted for the number of days in the Valuation Period. 






You
may transfer Annuity Units between Sub-Accounts. This is done by converting Annuity Units of a Sub-Account into a dollar amount using the Annuity Unit value for that Sub-Account on
the Valuation Period during which the transfer occurs and reconverting that dollar amount into the appropriate number of Annuity Units of another Sub-Account using its Annuity Unit value for the same
Valuation Period. Thus, on the date of the transfer, the dollar amount of the portion of a variable income payment generated from the Annuity Units of either Sub-Account would be the same. Only one
transfer between Sub-Accounts is allowed in any calendar month, and no transfers are allowed involving the Guaranteed Account. 


Selection of Annuity Options — You may select an Annuity Option, or change your selection by Written Notice received by
the Company not later than 30 days before the Annuity Commencement Date. If you have not selected an Annuity Option within 30 days of the Annuity Commencement Date, we will apply your Contract Value
to Option B — Life Income with Payments for a 10 Year Certain Period, with the Variable Account value used to purchase variable income payments and the Guaranteed Account value used
to purchase fixed income payments. 


Annuity Options — You may select from among the following Annuity Options: 


OPTION
A — PAYMENTS FOR A CERTAIN PERIOD: Payments will be made for the period you select. No certain period may be longer than 30 years. Payments under this Annuity
Option do not depend on the life of an Annuitant. Fixed income payments under Option A may not be surrendered, but you may fully surrender variable income payments under Option A. 


16





 


OPTION B — LIFE INCOME WITH OR WITHOUT A CERTAIN PERIOD: Payments are based on the life of an Annuitant. We reserve the right to demand proof that the
Annuitant(s) is living prior to making any income payment. If you elect to include a certain period, payments will be made for the lifetime of the Annuitant, with payments guaranteed for the
certain period you select. No certain period may be longer than 30 years. Payments stop at the end of the selected certain period or when the Annuitant(s) dies, whichever is later. If no
certain period is selected, payments will stop upon the death of the Annuitant(s). Neither fixed nor variable income payments under Option B may be surrendered. 



ADDITIONAL
OPTION: The Contract Value, less applicable premium tax, may be used to purchase any annuity contract that we offer on the date this option is elected. 


Minimum Amounts — If your Contract Value is less than $2,000 on the Annuity Commencement Date, we reserve the right to
pay the Contract Value in one lump sum. If at any time your annuity income payments are less than the minimum payment amount according to the Company's rules then in effect, we reserve the
right to change the frequency of your income payments to an interval that will result in a payment amount at least equal to the minimum. 


Guaranteed Purchase Rates — The guaranteed interest basis, which is not applicable to variable income payments, is 3%.
The mortality basis is the 1983 Individual Annuitant Mortality Table A projected 14 years. One year will be deducted from the attained age of the Annuitant for every 3 completed years beyond the year
1997. Upon request, we will furnish you the guaranteed purchase rates for ages and periods not shown below. Annuity benefits available on the Annuity Commencement Date will not be less than those
provided by the application of an equivalent amount to the purchase of a single premium immediate annuity contract offered by us on the Annuity Commencement Date to the same class of Annuitants for
the same Annuity Option. 


17





 
 
 


  Individual Flexible Premium Deferred Fixed and Variable Annuity Contract
  Non-Participating    
  


  
 

  FIXED ANNUITY TABLES    
  



	
OPTION A TABLE


	
 	

OPTION B TABLE





	Payments for a

Certain Period	 	Life Income with or without a

Certain Period








	 
	 	 
	 	 
	 	Life Only
 
	 	Life with 10 Year

Certain Period
 

	

Years
 
	
 	

Monthly

Payment
 
	
 	

Age of

Annuitant
 
	
 	

Male
 
	
 	

Female
 
	
 	

Male
 
	
 	

Female
 

	5	 	17.91	 	60	 	4.77	 	4.25	 	4.68	 	4.21
	10	 	9.61	 	65	 	5.46	 	4.78	 	5.28	 	4.70
	15	 	6.87	 	70	 	6.44	 	5.53	 	6.03	 	5.36
	20	 	5.51	 	75	 	7.79	 	6.63	 	6.90	 	6.21
	25	 	4.71	 	80	 	9.70	 	8.26	 	7.81	 	7.22
	30	 	4.18	 	85 & over	 	12.38	 	10.70	 	8.60	 	8.20




These tables illustrate the minimum fixed monthly annuity payments rates for each $1,000 applied. 


 
 

VARIABLE ANNUITY TABLES    
  



	
OPTION A TABLE


	
 	

OPTION B TABLE





	Payments for a

Certain Period	 	Life Income with or without a

Certain Period








	 
	 	 
	 	 
	 	Life Only
 
	 	Life with 10 Year

Certain Period
 

	

Years
 
	
 	

Monthly

Payment
 
	
 	

Age of

Annuitant
 
	
 	

Male
 
	
 	

Female
 
	
 	

Male
 
	
 	

Female
 

	5	 	18.74	 	60	 	5.98	 	5.46	 	5.85	 	5.40
	10	 	10.51	 	65	 	6.67	 	5.97	 	6.42	 	5.86
	15	 	7.82	 	70	 	7.65	 	6.71	 	7.14	 	6.49
	20	 	6.51	 	75	 	9.01	 	7.81	 	7.96	 	7.30
	25	 	5.76	 	80	 	10.95	 	9.47	 	8.82	 	8.26
	30	 	5.28	 	85 & over	 	13.66	 	11.95	 	9.56	 	9.19




Payments will vary based on the investment experience of the Variable Account relative to the interest assumption of 5% and could be more or less than the
payments shown. 


18









QuickLinks


Exhibit 4(a)

INDIVIDUAL FLEXIBLE PREMIUM DEFERRED FIXED AND VARIABLE ANNUITY CONTRACT (Non-Participating)

THIS IS A VARIABLE ANNUITY CONTRACT

YOU HAVE THE RIGHT TO RETURN THIS CONTRACT

THIS IS A LEGAL CONTRACT READ IT CAREFULLY


SCHEDULE

ALLOCATION OPTIONS AVAILABLE ON THE EFFECTIVE DATE

TABLE OF CONTENTS

DEFINITIONS

GENERAL PROVISIONS

PARTIES TO THE CONTRACT

PURCHASE PAYMENTS

FEES AND CHARGES

GUARANTEED ACCOUNT

VARIABLE ACCOUNT

TRANSFERS

SURRENDERS

DEATH BENEFIT

ANNUITIZATION

Individual Flexible Premium Deferred Fixed and Variable Annuity Contract Non-Participating

FIXED ANNUITY TABLES

VARIABLE ANNUITY TABLES