As Filed with the Securities and Exchange Commission on June 14, 2021

Registration File Nos.  333-__________ 
811-23707

 

 

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

 

FORM N-6

 

REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933  

Pre-Effective Amendment No. 

Post-Effective Amendment No.  ☐   

and

REGISTRATION STATEMENT UNDER THE INVESTMENT COMPANY ACT OF 1940  

Amendment No.    

(Check appropriate box or boxes)

 

Protective COLI  NY VUL

(Exact name of registrant)

 

Protective Life and Annuity Insurance Company

(Name of depositor)

 

2801 Highway 280 South

Birmingham, Alabama 35223

(Address of depositor’s principal executive offices)

 

(800) 265-1545

Depositor’s Telephone Number, including Area Code

 

BRAD A. STRICKLING, Esq.

2801 Highway 280 South

Birmingham, Alabama 35223

(Name and address of agent for service)

 

Copy to:

Jo Cicchetti, Esq.

Faegre Drinker Biddle & Reath LLP

1500 K Street NW, Suite 1100

Washington, DC 20005 USA

 

Approximate date of proposed public offering: As soon as practicable after the effective date of this Registration Statement.

 

Registrant hereby amends this Registration Statement on such date or dates as may be necessary to delay its effective date until Registrant shall file a further amendment which specifically states that this Registration Statement shall become effective in accordance with Section 8(a) of the Securities Act of 1933 or until this Registration Statement shall become effective on such date as the Commission, acting pursuant to said Section 8(a), may determine.

 

Title of Securities Being Registered: Individual Flexible Premium Variable Universal Life Insurance Policies

 

 

 

1

The information in this Prospectus is not complete and may be changed. We may not sell these securities until the registration statement filed with the Securities and Exchange Commission is effective. This prospectus is not an offer to sell these securities and it is not soliciting an offer to buy these securities in any state where the offer or sale is not permitted.

PROSPECTUS
__________ ____, 2021
Protective Executive Benefits Registered VUL NY
A Flexible Premium Variable Universal Life Insurance Policy
  Issued by
Protective NY COLI VUL
separate account and
Protective Life and
Annuity Insurance Company
2801 Highway 280 South
Birmingham, Alabama 35223
Telephone: (800) 265-1545
 

This Prospectus describes the Protective Executive Benefits Registered VUL NY policy, an individual, flexible premium variable universal life insurance policy (the "Policy") issued by Protective Life and Annuity Insurance Company (the "Company" or "Protective Life"). In this prospectus, the words "we," "our" or "us" refer to the Company and the words "you" or "your" refer to the Owner (defined below). The "Owner" is the corporation, employer or individual to whom the Policy is issued and the "Insured" is the individual whose life is insured by the Policy.

The Policy is designed for use by corporations and employers to provide life insurance coverage in connection with, among other things, deferred compensation plans and employer-financed insurance purchase arrangements. The Owner is entitled to all rights in the Policy, including the right to designate a Beneficiary. The Policy is designed to meet the definition of a "life insurance contract" for federal income tax purposes. The Policy provides life insurance and a cash surrender value that varies with the investment performance of one or more of the underlying Funds that you select. The available Funds are listed in Appendix A to this Prospectus. The Policy also provides a fixed option.

Right to Cancel. The Owner may return the Policy to the Company or an authorized representative within 10 days of receiving it without paying fees or penalties. If replacement of an existing policy is involved, the right to cancel period is extended to 60 days. If returned during the right to cancel period, the Policy will be deemed void from the start, and the Company will refund the greater of: (1) premiums received less any withdrawals and distributions; or (2) the Policy Value less any withdrawals and distributions. You should review this prospectus, or consult with your investment professional, for additional information about the specific cancellation terms.

The Securities and Exchange Commission ("SEC") has not approved or disapproved the Policy or determined that this Prospectus is accurate or complete. Any representation to the contrary is a criminal offense. Additional information about certain investment products, including variable life insurance, has been prepared by the SEC's staff and is available at Investor.gov.

Please note that the Policy is not guaranteed to provide any benefits, is not insured by the FDIC or any other government agency; is not a bank deposit or other obligations of a bank and is not bank guaranteed; and is subject to risks, including loss of the amount invested, tax risks and lapse of the Policy.

Beginning January 1, 2021, we will no longer send you paper copies of shareholder reports for the Funds ("Reports") unless you specifically request paper copies from us. Instead, the Reports will be available on a website. We will notify you by mail each time the Reports are posted. The notice will provide the website links to access the Reports as well as instructions for requesting paper copies. If you wish to continue receiving your Reports in paper free of charge from us, please call 1-888-353-2654. Your election to receive the Reports in paper will apply to all Funds available with your Contract. If you have already elected to receive the Reports electronically, you will not be affected by this change and need not take any action. If you wish to receive the Reports and other SEC disclosure documents from us electronically, please contact us at 1-888-353-2654.

The Prospectus and Statement of Additional Information for the Policy are available at GWExecBenefits@protective.com.


TABLE OF CONTENTS

This Prospectus discusses the following categories of information:

DEFINITIONS

   

3

   
IMPORTANT INFORMATION YOU
SHOULD CONSIDER ABOUT THE
POLICY
   

8

   

FEES AND EXPENSES

   

8

   

RISKS

   

8

   

RESTRICTIONS

   

9

   

TAXES

   

9

   

CONFLICTS OF INTEREST

   

9

   

OVERVIEW OF POLICY

   

10

   

FEE TABLES

   

12

   
PRINCIPAL RISKS OF INVESTING
IN THE POLICY
   

14

   
THE COMPANY AND THE FIXED
ACCOUNT
   

16

   

THE VARIABLE ACCOUNT AND FUNDS

   

17

   
CHARGES AND DEDUCTIONS    

21

   
THE POLICY    

24

   
PREMIUMS    

25

   
CALCULATION OF POLICY VALUE    

27

   
STANDARD DEATH BENEFITS    

28

   
OPTIONAL BENEFITS UNDER THE
POLICY
   

31

   
TRANSFERS    

34

   
SURRENDERS AND WITHDRAWALS    

36

   
POLICY LOANS    

37

   
SUSPENSION OR DELAYS IN
PAYMENTS
   

39

   
LAPSE AND REINSTATEMENT    

39

   

REPORTS TO OWNERS

   

40

   
EXCHANGE OF POLICY    

41

   
TAX CONSIDERATIONS    

41

   
USE OF THE POLICY    

48

   
SALE OF THE POLICIES    

49

   
PAYMENTS WE RECEIVE    

50

   
LEGAL PROCEEDINGS    

51

   
FINANCIAL STATEMENTS    

51

   
APPENDIX A — FUNDS AVAILABLE
UNDER YOUR POLICY
   

A-1

   

The prospectuses of the available underlying Funds contain important information that you should know about the investments that may be made under the Policy. You should read the portfolio prospectuses carefully before you invest. You can obtain the portfolio prospectuses, free of charge, by visiting www.protectiveonlineprospectus.net, calling 1-800-265-1545 or emailing gwexecbenefits@protective.com.

This Prospectus (and the life insurance policy) is not considered an offering in any jurisdiction where such offering may not be lawfully made. We do not authorize any information or representations regarding the offering described in this prospectus and the Statement of Additional Information ("SAI") other than as contained in these materials or any supplements to them, or in any other materials (such as summary prospectuses) or supplemental sales material we authorize.


2


DEFINITIONS

"We", "us", "our", "Protective Life", and "Company"

Refer to Protective Life and Annuity Insurance Company. "You", "your" and "Owner" refer to the person(s) who have been issued a Policy.

Attained Age

The Insured's age as of the nearest birthday on the Policy Effective Date, plus the number of complete Policy Years since the Policy Effective Date.

Base Policy Face Amount

The amount of life insurance coverage identified as the Base Policy Face Amount on the Policy Schedule.

Beneficiary

The person, persons or entity whom the Owner designates to receive the proceeds of the Policy upon the death of the Insured. The Owner may designate a primary Beneficiary or Beneficiaries, as well as a contingent Beneficiary or Beneficiaries to receive the proceeds if there is no primary Beneficiary(ies) living at the time of the Insured's death. A Beneficiary may also be designated as irrevocable which may limit the Owner's ability to alter that designation or make future Policy changes.

Cancellation Period

Period described in the "Cancellation Period" provision during which the Owner may exercise the cancellation privilege and return the Policy for a refund. The Cancellation Period is referred to as the "Right to Cancel" or "Free-Look Period" in the Policy.

Cash Surrender Value: Calculated on the effective date of the surrender is equal to:

(a)  Cash Value; less

(b)  Policy Debt.

Cash Value

Policy Value plus any applicable Return of Expense Charge Benefit.

Death Benefit

The amount of insurance provided under the Policy used to determine the Death Benefit Proceeds.

Death Benefit Proceeds

The amount payable to the Beneficiary if the Insured dies while the Policy is in force. It is equal to the Death Benefit plus any death benefit under any rider or endorsement to the Policy less (1) any Policy Debt and (2) less any unpaid Monthly Deductions if the Insured dies during a grace period.

Death Benefit Option

One of two options that an Owner may select for the computation of Death Benefit Proceeds, Total Face Amount (Option 1, Level), or Total Face Amount Plus Policy Value (Option 2, Coverage Plus).

Due Proof of Death

Receipt at our Home Office of a certified death certificate or judicial order from a court of competent jurisdiction or similar tribunal.

Evidence of Insurability

Information about an Insured which is used to approve or reinstate this Policy or any additional benefit.


3


Fixed Account

Part of Protective Life's General Account to or from which Policy Value may be transferred and into which Net Premiums may be allocated under a Policy.

Fixed Account Value

The Policy Value in the Fixed Account.

Fund

An underlying mutual fund in which a Sub-Account invests. Each Fund is an investment company registered with the SEC or a separate investment series of a registered investment company.

General Account

All of the Company's assets other than those allocated to the Variable Account or any other separate account. The Company has complete ownership and control of the assets in the General Account.

Good Order ("good order")

A request or transaction generally is considered in "Good Order" if we receive it at our Home Office within the time limits, if any, we prescribe for a particular transaction or instruction, it includes all information necessary for us to execute the requested instruction or transaction, and is signed by the individual or individuals authorized to provide the instruction or engage in the transaction. A request or transaction may be rejected or delayed if not in Good Order. Good Order generally means the actual receipt by us of the instructions relating to the requested transaction in writing (or, when permitted, by telephone or Internet as described above) along with all forms, information and supporting legal documentation we require to affect the instruction or transaction. This information and documentation generally includes, to the extent applicable: the completed application or instruction form; evidence of insurability; your policy number; the transaction amount (in dollars or percentage terms); the names and allocations to and/or from the Funds affected by the requested transaction; the signatures of the Policy Owner (exactly as indicated on the Policy), if necessary; Social Security Number or Tax I.D.; and any other information or supporting documentation that we may require, including any consents. With respect to premium payments, Good Order also generally includes receipt by one of us of sufficient funds to affect the purchase. We may, in our sole discretion, determine whether any particular transaction request is in Good Order, and we reserve the right to change or waive any Good Order requirement at any time. If you have questions, you should contact us or your financial professional before submitting the form or request.

Home Office

2801 Highway 280 South, Birmingham, Alabama 35223. The mailing address for the Home Office is P.O. Box 292 Birmingham, AL 35201-0292. The Home Office is referred to as the "Administrative Office" in the Policy.

Insured

The person whose life is covered by the Policy.

Issue Age

The Insured's age as of the nearest birthday on the Policy Effective Date.

Issue Date

The date the Policy is issued.

Lapse

Termination of the Policy at the expiration of the grace period while the Insured is still living.

Loan Account

An account within Protective Life's General Account to which Fixed Account Value and/or Variable Account Value plus interest credited on the portion of the Policy Value being used as collateral for the outstanding Policy loans is transferred as collateral for Policy loans.


4


Loan Account Value

The Policy Value in the Loan Account.

Loan Interest Credit Spread

An amount deducted from the loan interest rate to cover the costs the Company incurs by providing the loaned cash value. The maximum Loan Interest Credit Spread is 1.5% and is shown on the Policy Schedule and in the table of Periodic Charges Other Than Fund Operating Expenses.

Money Market Sub-Account

A Fund which seeks a high level of current income as is consistent with the preservation of capital and liquidity and investing in short term, high quality, liquid debt and monetary instruments.

Monthly Anniversary Day

The same day in each month as the Policy Effective Date.

Monthly Deduction

The fees and charges deducted monthly from the Fixed Account Value and/or Variable Account Value as described on the Policy Schedule.

Net Amount at Risk

The Net Amount at Risk as of any Monthly Anniversary Day is equal to: (a) the Death Benefit discounted at one plus the monthly guaranteed interest rate minus the Policy Value (prior to deducting the Cost of Insurance), if the Death Benefit Option is Death Benefit Option 1 (Level Death Benefit); or, (b) the Death Benefit minus the Policy Value discounted at one plus the monthly guaranteed interest rate, if the Death Benefit Option is Death Benefit Option 2 (Coverage Plus).

Net Premium

A premium payment minus the applicable premium expense charges.

Owner

The person, or persons, or entity entitled to all rights in this Policy while the Insured is living including designation as a Beneficiary. These rights are subject to any assignment and to the rights of any Irrevocable Beneficiary. The Owner may name a contingent Owner who will own this Policy if the Owner dies while this Policy is in force. If the Owner dies before the Insured, any contingent Owner named in the application, or subsequent endorsement, will become the new Owner. If no contingent Owner is named, the Owner's estate becomes the new Owner. The Owner may change the Owner (including a contingent Owner) by Written Notice.

Policy Anniversary

The same day and month in each Policy Year as the Policy Effective Date.

Policy Debt

The sum of all outstanding policy loans plus accrued interest.

Policy Effective Date

The date shown in the Policy as of which coverage under the Policy begins. In the Policy, Policy Effective Date is known as "Policy Date."

Policy Month

The Policy Month begins on a Monthly Anniversary Day and ends on the day prior to the next Monthly Anniversary Day.

Policy Value

The sum of the Variable Account Value, the Fixed Account Value, and the Loan Account Value. Policy Value is referred to as "Policy Value Account" in the Policy.


5


Policy Year

Each period of twelve months commencing with the Policy Effective Date and each Policy Anniversary thereafter.

Return of Expense Charge Benefit

Where applicable, the Company will calculate and return a percentage of the expense charge. The Return of Expense Charge Benefit calculation is based on a percentage of the Policy Value, and is only payable upon a complete surrender of the Policy. Refer to the "Return of Expense Charge Benefit" provision in the Policy for the percentage and duration of the Return of Expense Charge Benefit and any limitations and requirements.

Request

Any written, telephoned, electronic or computerized instruction in a form satisfactory to the Company and received at the Home or Administrative Office from the Owner or an assignee of record, as specified in a form acceptable to the Company and which may be required in writing, or the Beneficiary (as applicable) as required by any provision of the Policy or as required by the Company. In addition, subject to the Company's administrative requirements as they may exist from time to time and to any requirements that may be imposed by the Funds or other investments, the Company reserves the right to require advance Written Notice from the Owner.

Sub-Account

A separate division of the Variable Account established to invest in a particular Fund.

Sub-Account Value

The sum of the values of the Sub-Accounts credited to the Owner as Policy Value.

Total Face Amount

Total Face Amount is the sum of the Base Policy Face Amount (life insurance coverage) as shown on the Policy Schedule plus any endorsements or riders attached to the Policy that provided additional life insurance coverage on the Insured, if applicable, as shown on the Policy Schedule. If no additional endorsement or riders attach to the Policy, then the Total Face Amount and Base Policy Face Amount will be the same. The minimum Total Face Amount permitted under the Policy is $100,000.

Valuation Date

The date on which the net asset value of each Fund is determined. A Valuation Date is each day that the NYSE is open for regular business. The value of a Sub-Account's assets is determined at the end of each Valuation Date. To determine the value of an asset on a day that is not a Valuation Date, the value of that asset as of the end of the previous Valuation Date will be used.

Valuation Period

The period commencing with the close of regular trading on the New York Stock Exchange on any Valuation Date and ending at the close of regular trading on the New York Stock Exchange on the next succeeding Valuation Date.

Variable Account

One of the accounts into which premiums may be paid under this Policy, net of Policy fees and charges described herein. The account, named the Protective NY COLI VUL separate account, is a segregated investment account established and maintained by the Company pursuant to Alabama Code § 27-38-1 and other applicable laws and regulations, including those of New York and Alabama. The Company owns the assets in the Variable Account. The investments held in the Variable Account provide variable life insurance benefits under this Policy. This account is kept separate from the General Account and other separate accounts the Company may have. The Variable Account is registered with the Securities and Exchange Commission ("SEC") under the Investment Company Act of 1940, as amended.


6


Variable Account Value

The sum of all Sub-Account Values.

Written Notice

A notice or request submitted in writing in a form satisfactory to Protective Life and received at the Home Office via U.S. postal service or nationally recognized overnight delivery service. Protective Life reserves the right to require advance Written Notice from the Owner for (i) premium allocations; (ii) Policy loans and loan repayments; and (iii) surrenders, partial withdrawals, or transfers.


7


IMPORTANT INFORMATION YOU SHOULD CONSIDER ABOUT THE POLICY

An investment in the Protective Executive Benefits Registered VUL NY Policy is subject to fees, risks, and other important considerations, some of which are briefly summarized in the following table. You should review the cross-referenced sections and the entire Prospectus for additional information on these topics.

   

FEES AND EXPENSES

 

Location in Prospectus

 

Charges for Early Withdrawals

 

There is no surrender charge associated with your Policy. A partial withdrawal fee of $25 will be deducted from Policy Value for all partial withdrawals after the first made in the same Policy Year.

  Fee Tables
Charges and Deductions
 

Transaction Charges

  You may also be charged for other transactions, including
Premium Expense Charge (consisting of the Sales Load and
Premium Tax) and Transfer Fees.
 

Fee Tables — Transaction Fees

 

Ongoing Fees and Expenses (annual charges)

  In addition to transaction charges, you are also subject to
certain ongoing fees and expenses under the Policy, including
fees and expenses covering the cost of insurance ("COI")
under the Policy and the cost of optional benefits available
under the Policy. Such fees and expenses are set based on
characteristics of the insured (e.g., age, sex, and rating
classification). You should review the Policy specifications page
of your Policy for rates applicable to the Policy.
You will also bear expenses associated with the Funds
available under the Policy, as shown in the following table:
 

Fee Tables

 

 

 

Annual Fee

 

Minimum

 

Maximum

 

 

 

 

  Investment Options
(Portfolio fees and
expenses)
 

[x.xx]%

 

[x.xx]%

 

 

 
   

RISKS

 

Location in Prospectus

 

Risk of Loss

 

You can lose money by purchasing the Policy.

 

Principal Risks of Investing in the Policy

 

Not a Short-Term Investment

  The Policy is not a short-term investment and is not appropriate
for an investor who needs ready access to cash. Before
purchasing a Policy for a specialized purpose, you should
consider whether the long-term nature of the Policy is
consistent with the purpose for which it is being considered.
 

Principal Risks of Investing in the Policy

 

Risks Associated with Investment Options

  An investment in the Policy is subject to the risk of poor
investment performance and can vary depending on the
performance of the investment options, or Funds, available under
the Policy. Each Fund (including any fixed account investment
option) will have its own unique risks, and investors should review
these investment options before making an investment decision.
  Principal Risks of Investing in the Policy
The Variable Account and the Funds
 

Insurance Company Risks

  An investment in the Policy is subject to the risks related to the
Depositor, Protective Life, including that any obligations
(including under any fixed account investment options),
guarantees, or benefits are subject to the claims-paying ability
of the Depositor. More information about the Depositor
including its financial strength ratings is available upon request
by calling toll-free 1-888-353-2654.
  Principal Risks of Investing in the Policy
The Company and the Fixed Account
 


8


   

RISKS

 

Location in Prospectus

 

Contract Lapse

  Your Policy could terminate if the value of your Policy becomes
too low to support the Policy's monthly charges. Your Policy
may also lapse due to insufficient Premium payments,
withdrawals, unpaid loans or loan interest.
There is a cost associated with reinstating a lapsed Policy.
Death benefits will not be paid if the Policy has lapsed.
  Lapse and Reinstatement
Principal Risks of Investing in the Policy
Policy Loans
Premiums
 
   

RESTRICTIONS

 

Location in Prospectus

 

Investments

  While you may transfer amounts in the Sub-Accounts (which
invest in shares of a corresponding Fund) and the Fixed
Accounts, certain restrictions and transfer fees apply with
regard to the number and amount of such transfers. Transfers
are also subject to the excessive trading and market timing
policies described in this prospectus.
We reserve the right to remove or substitute Funds as
investment options.
  Transfers





Reservation of Rights
 

Optional Benefits

  Optional benefits are subject to additional charges and are
available only at the time your Policy is issued and may not be
available for all Owners or Insureds.
  Optional Benefits Under the
Policy
 
   

TAXES

 

Location in Prospectus

 

Tax Implications

  You should consult with a tax professional to determine the tax
implications regarding the purchase, ownership, and use of a Policy (such as in connection with a plan involving covered employees). Withdrawals may be subject to ordinary income tax, and may be subject to an additional tax depending on the circumstances. There is no additional tax benefit to the investor if the Policy is purchased through a tax-qualified plan. Purchases through individual retirement accounts (IRAs) are not permitted under the Internal Revenue Code.
 

Tax Considerations

 
   

CONFLICTS OF INTEREST

 

Location in Prospectus

 

Investment Professional Compensation

  Some investment professionals have and may continue to
receive compensation for selling the Policy to investors, which
may include commissions, revenue sharing, compensation
from affiliates and third parties. These investment professionals
may have a financial incentive to offer or recommend the Policy
over another investment.
 

Sale of the Policies

 

Exchanges

  Some investment professionals may have a financial incentive
to offer an investor a new policy in place of the one he or she
already owns. You should only exchange your Policy if you
determine, after comparing the features, fees, and risks of both
policies, that it is preferable for you to purchase the new policy
rather than continue to own the existing Policy.
 

Use of the Policy — Replacement of Life Insurance or Annuities

 


9


OVERVIEW OF THE POLICY

1.  What is the Policy and what is it designed to do?

The Policy is an individual flexible premium variable universal life insurance policy, designed primarily for use by corporations, employers and certain individuals to provide life insurance coverage in connection with, among other things, deferred compensation plans and employer- financed insurance purchase agreements. The Owner of the Policy is the person, persons, or entity entitled to all rights in this Policy while the Insured (the person whose life is covered by the Policy) is living, including designation of a Beneficiary. See the Policy and Use of the Policy.

Your Policy is a "flexible premium" policy because you have considerable flexibility in determining when and how much Premium you want to pay. Your Policy is "variable" because the Death Benefit and Policy Value vary according to the investment performance of the Sub-Accounts to which you have allocated your Premiums. The Policy provides you with an opportunity to take advantage of any increase in your Policy Value but you also bear the risk of any decrease. See Premiums, Standard Death Benefits and Calculation of Policy Value.

Because the Policy is designed to provide benefits on a long-term basis and is not intended for short-term investing, the Policy may not be appropriate for those who have a short-term investment horizon. See Principal Risks of Investing in the Policy.

2.  What are the Premiums for this Policy?

The Policy is designed to be flexible to meet your specific life insurance needs. You have the flexibility to choose the investment options and premiums you pay.

Premium is an amount you pay to the Company to establish and maintain life insurance coverage. The minimum initial premium will vary based on various factors, including the age of the Insured and the Death Benefit Option you select, but may not be less than $100.00. Thereafter, you have the flexibility to choose the amount and timing of premium payments, within certain limits. Before your Premiums are allocated to a Sub-Account, we deduct any applicable charges. See Fee Tables and Charges and Deductions.

You may establish a planned Periodic Premium. You are not required to pay the planned Periodic Premium and we will not terminate your Policy merely because you did not. However, payment of insufficient premiums may result in a lapse of the Policy. Your Policy could lapse if the value of your Policy becomes too low to support the Policy's monthly charges. See Periodic Premium and Lapse and Reinstatement.

You may allocate premium to your choice of numerous different investment options available in the Sub-Accounts, as well as a Fixed Account, within your Policy. The Sub-Accounts are separate divisions of the Variable Account (Protective NY COLI VUL separate account) that invest in a particular Fund (an underlying mutual fund). See Appendix A — Funds Available Under Your Policy for a listing of the Sub-Accounts currently available under the Policy.

ADDITIONAL INFORMATION ABOUT EACH FUND IS PROVIDED IN AN APPENDIX TO THE PROSPECTUS. See Appendix A — Funds Available Under Your Policy.

The Fixed Account is part of the Company's General Account, which holds all of the Company's assets other than those held in the Variable Account or other separate accounts. See the Company and the Fixed Account.

3.  What are the primary features and options that the Policy offers?

A.  Choice of Death Benefit Options. You may select one of two Death Benefit Options used to determine the amount payable on the death of the Insured:

Option 1: Level Death

The Death Benefit will be the greater of:

a)  The Total Face Amount shown on the Policy Schedule, less any partial withdrawals; or

b)  The Cash Value on the Insured's date of death multiplied by the applicable factor in the Table of Death Benefit Factors shown on the Policy Schedule for the Insured's age at date of death.


10


Option 2: Coverage Plus

The Death Benefit will be the greater of:

a)  The Total Face Amount shown on the Policy Schedule, plus the Policy Value on the Insured's date of death; or

b)  The Cash Value on the Insured's date of death multiplied by the applicable factor in the Table of Death Benefit Factors shown on the Policy Schedule for the Insured's age at date of death.

The Death Benefit may be greater if necessary to satisfy federal tax law requirements. Policy Value is the sum of the values in the Variable Account, the Fixed Account, and the value in the Loan Account (an account within the Company's General Account that holds the collateral for Policy Loans). Cash Value is Policy Value plus any applicable Return of Expense Charge Benefit (a percentage of the expense charge that is payable upon a complete surrender). For additional information, see Standard Death Benefits, Calculation of Policy Value and Policy Loans.

B.  Transfers. At any time after the Cancellation Period (period during which the Owner may return the Policy for a refund), you may transfer Policy Value among the Sub-Accounts and the Fixed Account, subject to the restrictions including on amount and frequency of transfers described in Transfers below. The Company also may restrict or refuse to honor frequent transfers, including "market timing" transfers. See Transfers for more information.

C.  Changes in Total Face Amount. You may increase or decrease the Total Face Amount of the Policy at any time within certain limits. Each increase or decrease in the Total Face Amount must be at least $25,000. The minimum Total Face Amount is $100,000. See Standard Death Benefits — Changing the Total Face Amount.

D.  Withdrawals. You may request a partial withdrawal of your Policy at any time while the Policy is in force. The amount of any partial withdrawal must be at least $500 and may not exceed 90% of your Policy Value less outstanding Policy Debt (sum of all outstanding policy loans plus accrued interest). We will charge a partial withdrawal fee of $25 per withdrawal on partial withdrawals after the first in a Policy Year. The Total Face Amount (if Death Benefit Option 1 applies) and your Policy Value will be reduced by the amount of any withdrawals. Withdrawals may have tax consequences. See Tax Considerations.

E.  Surrender Benefit. The Owner may surrender this Policy for the surrender benefit. The surrender benefit is the Cash Surrender Value less any monthly cost of insurance charges on the date of surrender. Cash Surrender Value is the Cash Value minus Policy Debt. All coverage will end on the effective date of surrender of the Policy. No Death Benefits will be paid after the effective date of surrender of the Policy.

F.  Loans. While the Policy is in force, the Owner, by Request, may obtain a Policy loan on the security of the Policy. Policy loan amounts will be withdrawn first on a pro rata basis from the Sub-Accounts and/or Fixed Account unless the Company, at its discretion, allows the Owner to specify such Sub-Accounts and/or Fixed Account. See Policy Loans.

Loans may be treated as taxable income if your Policy is a "modified endowment contract" ("MEC") for federal income tax purposes. In general, a Policy will be treated as a MEC if total premiums paid at any time during the first seven Policy Years exceed the sum of the net level premiums which would have been paid on or before that time if the Policy provided for paid-up future benefits after the payment of seven level annual premiums ("seven-pay test"). See also Tax Considerations — Policies that are MECs.

G.  Return of Expense Charge Benefit. If the Owner fully surrenders the Policy for its Cash Surrender Value during the first seven Policy Years, the Company will include the Return of Expense Charge Benefit in the Cash Value. See Surrenders and Withdrawals — Return of Expense Charge Benefit.

H.  Optional Benefits. The following riders and endorsements are available:

•  Term Life Insurance; and

•  Change of Insured (not available to individual Owners).

There is no charge for the Change of Insured Endorsement; however, there is a one-time fee assessed for administration and underwriting costs when this endorsement is exercised. For a discussion of the optional insurance benefits we currently offer, the benefits provided thereunder, and associated costs, see Optional Benefits Available Under the Policy.


11


I.  Tax Benefits. Death benefits paid under life insurance policies are not subject to federal income tax, but may be subject to federal and state estate taxes. Investment gains from your Policy are not taxed as long as the gains remain in the Policy. If the Policy is not treated as a modified endowment contract under federal income tax law, then distributions from the Policy may be treated first as the return of investments in the Policy and then, only after the return of all investment in the Policy, as distributions of taxable income (taxed as ordinary income). Distributions include partial withdrawals and surrenders. See Tax Considerations in this prospectus for additional information.

FEE TABLES

The following tables describe the fees and expenses that you pay when buying, owning and surrendering the Policy. Please refer to the Policy specifications page for information about the specific fees you will pay each year based on the options you have selected.

The first table describes the maximum fees and expenses that you pay at the time that you buy the Policy, or surrender or make withdrawals from the Policy, or transfer value between investment options.

Transaction Fees

 

Charge

  When Charge is
Deducted
  Amount Deducted —
Maximum Guaranteed Charge
  Amount Deducted —
Current Charge
 

Premium Expense Charge (consists of the Sales Load and Premium Tax)

 

Upon receipt of each premium payment

 

10% of each premium payment

 

6.0% of each premium payment

 

Sales Load:(1)

 

Upon receipt of each premium payment

 

6.5% of each premium payment

 

Current: 2.5% of each premium payment up to target and 1.0% of each premium payment in excess of target

 

Premium Tax:(1)

 

Upon receipt of each premium payment

 

3.5% of each premium payment

 

3.5% of each premium payment

 

Surrender Charge:

 

There is no surrender charge associated with your Policy. However, the surrender of your Policy may have tax consequences.

     

Transfer Fee:(2)

 

Upon each transfer in excess of 12 in a Policy Year

  $10 per transfer   $10 per transfer  

Withdrawal Charge:

 

At the time of each partial withdrawal of Policy Value

 

$100 deducted from Policy Value for all partial withdrawals after the first made in the same Policy Year.

 

$100 deducted from Policy Value for all partial withdrawals made after the first made in the same Policy Year.

 

(1)  The Sales Load and Premium Tax are components of the Premium Expense Charge (and are not in addition to).

(2)  Currently, electronic transfers do not count towards the 12 free transfers; however, we reserve the right, at any time, to charge for electronic transfers in excess of the free transfers allowed. See Charges and Deductions.


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The table below describes the fees and expenses that you pay periodically during the time that you own the Policy, not including Fund fees and expenses. If you chose to purchase an Optional Benefit, you will pay additional charges, as shown below.

Periodic Charges Other Than Annual Fund Operating Expenses

 

Charge

 

When Charge is Deducted

 

Amount Deducted

 

Base Contract Charges:

         

Cost of Insurance (per $1,000 Net Amount at Risk):(1)(2)(3)

 

On the Policy Effective Date and each Monthly Anniversary Day

   

Minimum Charge

   

$0.01 per $1,000 of Net Amount at Risk

 

Maximum Charge

   

$83.33 per $1,000 of Net Amount at Risk

 

Maximum Charge for a 46 year old male, non-smoker, $550,000, Total Face Amount, Option 1 (Level Death)

   

$0.16 per $1,000 of Net Amount at Risk

 

Mortality and Expense Risk Charge(4):

 

On the Policy Effective Date and each Monthly Anniversary Day

   

Maximum Charge(5)

   

0.90% (of average daily net assets) annually

 

Administration Charge:

 

On the Policy Effective Date and each Monthly Anniversary Day

   

Maximum Charge(6)

    $10.00  

Loan Interest Credit Spread:

 

On each Policy Anniversary, as applicable(7)

   

Maximum Charge(8)

    1.5%  

Optional Benefit Charges:

         

Term Life Insurance Rider

 

On the Policy Effective Date and each Monthly Anniversary Day

   

Minimum Charge

   

$0.01 per $1,000 of Net Amount at Risk

 

Maximum Charge

   

$83.33 per $1,000 of Net Amount at Risk

 

Change of Insured Endorsement

 

Upon change of insured

  $400 per change  

(1)  Cost of insurance charges vary based on individual characteristics such as the Insured's Issue Age, sex and rate (i.e., underwriting) class and the number of years that the Policy has been in force, and the Net Amount at Risk on either the Policy Effective Date or the applicable Monthly Anniversary Day. The charge generally increases with Issue Age. In determining current cost of insurance charges, we may consider a variety of factors, including those unrelated to mortality experience. The cost of insurance charges shown in the table may not be typical of the charges you will pay. Your Policy's Schedule will indicate the guaranteed cost of insurance charges applicable to your Policy, and more detailed information concerning your cost of insurance charges is available on request from our Home Office. Also, before you purchase the Policy, you may request personalized illustrations of hypothetical future benefits under the Policy based upon the Issue Age, sex and premium classification of the Insured, and the Total Face Amount, planned premiums, and riders requested. The cost of insurance charge shown in the above table has been rounded to the nearest hundredth. See Charges and Deductions. Owners may obtain more information about their particular cost of insurance charge by contacting our Home Office at 888-353-2654.

(2)  The Net Amount at Risk as of any Monthly Anniversary Day is equal to: (a) the Death Benefit discounted at one plus the monthly guaranteed interest rate minus the Policy Value (prior to deducting the Cost of Insurance), if the


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Death Benefit Option is Death Benefit Option 1 (Level Death Benefit); or, (b) the Death Benefit minus the Policy Value discounted at one plus the monthly guaranteed interest rate, if the Death Benefit Option is Death Benefit Option 2 (Coverage Plus).

(3)  The current minimum and maximum cost of insurance are $0.01 — $45.83 per $1,000 of Net Amount at Risk. The current charge for a 46 year old male, non-smoker, $550,000, Total Face Amount, Option 1 (Level Death) is $0.05 per $1,000 of Net Amount at Risk.

(4)  The mortality and expense risk charge is accrued daily and deducted on each Monthly Anniversary Day from the assets in the Sub-Accounts.

(5)  The current mortality and expense risk charge is 0.28% (of average daily net assets) for Policy Years 1-20, and 0.10% (of average daily net assets) thereafter.

(6)  The current Administration Charge is $7.50.

(7)  The Loan Interest Credit Spread is the amount deducted from the loan interest rate to cover the costs the Company incurs by providing the loaned cash value. As long as a loan is outstanding, loan interest must be paid in arrears on each Policy Anniversary or, if earlier, on the date of loan repayment, lapse, surrender, termination, or the Insured's death.

(8)  The current Loan Interest Credit Spread is 0.9%.

Fund Annual Operating Expenses (As a Percentage of Fund Average Daily Net Assets)

The following table shows the minimum and maximum total operating expenses charged by the Portfolios that you may pay periodically during the time that you own the Policy. A complete list of Portfolios available under the Policy, including their annual expenses, may be found at the back of this document.

   

Minimum

 

Maximum

 
Total Annual Operating Expenses(1)
(expenses that are deducted from Fund assets, which may
include management fees, distribution and/or service (12b-1)
fees, and other expenses)
 

[x.xx]%

 

[x.xx]%

 

(1)  Expenses are shown as a percentage of Portfolio average daily net assets (before any waiver or reimbursement) as of December 31, 2020.

PRINCIPAL RISKS OF INVESTING IN THE POLICY

Investment Risk (Policy Value not Guaranteed). If you invest your Policy Value in one or more Sub-Accounts, then you will be subject to the risk that investment performance may be unfavorable causing the Policy Value to decrease and the monthly deduction of fees and charges ("Monthly Deduction") to increase (which, in turn, further decreases future Policy Value). This is because poor investment performance diminishes Policy Value thereby increasing the Net Amount at Risk (the difference between the Death Benefit and the Policy Value) under the Policy and, correspondingly, increasing the cost of insurance which is part of the Monthly Deduction. You could lose everything you invest.

If you allocate Policy Value to the Fixed Account, then we credit your Policy Value (in the Fixed Account) with a declared rate of interest, but you assume the risk that the rate may decrease, although it will never be lower than the guaranteed minimum annual interest effective rate of 2%. See The Variable Account and the Funds.

Risk of Lapse. Your Policy may terminate if your Policy Value on any Monthly Anniversary Day (the same day each month as the Policy Effective Date) is less than the amount of the Monthly Deduction due on that date. If your Policy would terminate due to insufficient value, we will send you notice of the premium required to prevent termination of the Policy at the expiration of the grace period while the Insured is living ("Lapse"). You have a 61-day grace period to make a payment of Net Premium at least sufficient to cover the monthly cost of insurance for the next three months or the Policy will Lapse. You may reinstate a Lapsed Policy, subject to certain conditions. There is a cost to reinstate your Policy. See Lapse and Reinstatement.

A lapse of your Policy at a time when a policy loan is outstanding may have tax consequences. See Tax Considerations.


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Surrender Risks. The Cash Surrender Value of the Policy is generally the Cash Value less any Policy Debt and less any Monthly Deduction applied on the date of surrender. No Death Benefit Proceeds will be paid after the effective date of surrender of the Policy.

You should purchase the Policy only if you have the financial ability to keep it in force for a substantial period of time. You should not purchase the Policy if you intend to surrender all or part of the account value in the near future. We designed the Policy to meet long-term financial goals. The Policy is not suitable as a short-term investment.

A surrender or withdrawal may have tax consequences. See Tax Considerations.

Tax Risks. Although the federal income tax requirements applicable to the Policy are complex and there is limited guidance regarding these requirements, we anticipate that the Policy will be treated as a life insurance contract for federal income tax purposes. Assuming that a Policy qualifies as a life insurance contract for federal income tax purposes, you generally should not be considered to be in receipt of any portion of your Policy's Cash Value until there is an actual distribution from the Policy. Moreover, Death Benefits payable under the Policy should be excludable from the gross income of the Beneficiary. Although the Beneficiary generally should not have to pay federal income tax on the Death Benefit, other taxes, such as estate taxes, may apply. This Policy is intended to qualify as life insurance for tax purposes and is designed to meet the requirements of Section 7702 of the Internal Revenue Code of 1986, as amended ("Internal Revenue Code" or "Code").

The applicable factor used in determining the minimum Death Benefit shall be the factor required by Section 7702 of the Code as shown in your Policy. Under Death Benefit Option 1, your Death Benefit will generally be the Total Face Amount. However, in the event the minimum Death Benefit exceeds the Total Face Amount, the Company reserves the right to refund the portion of any premium or Cash Value such that the minimum Death Benefit no longer exceeds the Total Face Amount. Under Death Benefit Option 2, your Death Benefit will always vary with the Policy Value. However, in the event the minimum Death Benefit exceeds the Total Face Amount plus the Policy Value under Death Benefit Option 2, the Company reserves the right to refund the portion of any premium or Cash Value such that the minimum Death Benefit no longer exceeds the Total Face Amount plus Policy Value. See Death Benefit Options for detailed information about each Death Benefit Option.

Your Policy may become a modified endowment contract as a result of: (1) the payment of premiums exceeding the limits of Section 7702A of the Code, (2) certain changes to your Policy, such as a reduction in your Death Benefit or certain rider benefits, or (3) an exchange of a contract which is a modified endowment contract for this Policy.

If your Policy becomes a modified endowment contract, transactions such as surrenders, withdrawals and loans will be treated first as a distribution of the earnings in the Policy and generally will be taxable as ordinary income in the year received, to the extent there is any gain in the Policy. In addition, if the Policy Owner is under age 59-1/2 at the time of a surrender, withdrawal or loan, the amount that is included in income is generally subject to a 10% additional tax.

If the Policy is not a modified endowment contract, distributions, such as surrenders and withdrawals, generally are treated first as a return of basis or investment in the Policy and then as taxable income. Moreover, loans are generally not treated as distributions. Finally, surrenders, withdrawals or loans from a Policy that is not a modified endowment contract are not subject to the 10% additional tax.

The Policy may be used in various arrangements, including non-qualified deferred compensation or salary continuance plans, split dollar insurance plans, executive bonus plans, and others. The tax consequences of such plans vary depending on the particular facts and circumstances of each individual arrangement. For more information regarding certain arrangements, see Tax Considerations and, specifically, the sections discussing Employer-Owned Life Insurance, Split-Dollar Life Insurance, and Employer-Financed Insurance Purchase Arrangements — Tax and Other Legal Issues.

See Tax Considerations for a discussion of certain tax risks and considerations, including those relating to employer owned life insurance. You should consult a qualified tax adviser for assistance in all Policy related tax matters.

Loan Risks. A policy loan, whether or not repaid, has a permanent effect on the Policy Value, and potentially the Death Benefit, because the investment results of the Sub-Accounts and current interest rates credited on the Fixed Account Value do not apply to Policy Value in the Loan Account. The larger the loan and the longer the loan is outstanding, the greater will be the effect on Policy Value held as collateral in the Loan Account. Interest credited on the portion of the Policy Value being used as collateral for a Policy loan is the loan interest rate less an amount deducted from the loan interest rate to cover the costs the Company incurs by providing the loaned cash value ("Loan Interest Credit Spread").


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Your Policy may Lapse if your outstanding loan amounts reduce the Cash Surrender Value to zero. If a Policy lapses with loans outstanding, some or all of the loan amounts may be subject to income tax. See Tax Considerations — Tax Treatment of Loans. Policy loans also may increase the potential for Lapse if the investment results of the Sub- Accounts to which Cash Surrender Value is allocated is unfavorable.

If the Insured dies while a loan is outstanding, the loan balance, which includes any unpaid interest, will be deducted from the Death Benefit. See Policy Loans.

Fund Risks. We do not guarantee that a Fund will meet its investment objectives and strategies. Policy Value may increase or decrease depending on the investment performance of the Funds. You bear the risk that those Funds may not meet their investment objectives. A comprehensive discussion of the risks of each Fund may be found in each Fund's prospectus, which you may request, free of charge, by visiting protectiveonlineprospectus.net, calling 1-800-265-1545 or emailing gwexecbenefits@protective.com.

General Account Risks. The Company's general obligations and any guaranteed benefits under the Policy are supported by our General Account (and not by the Variable Account) and are subject to the Company's claims-paying ability. The Fixed Account is part of the General Account. An Owner should look to the financial strength of Protective Life for its claims-paying ability. Assets in the General Account are not segregated for the exclusive benefit of any particular Policy or obligation. General Account assets are also available to the Company's general creditors and the conduct of our routine business activities. For more information on Protective Life's financial strength, you may review our financial statements and/or check our current rating with one or more of the independent sources that rate insurance companies for their financial strength and stability. Such ratings are subject to change and have no bearing on the performance of the Funds. See also The Company and the Fixed Account — Our General Account.

Potential for Increased Charges and Fees. The Company has the right to increase (up to the maximum amount noted in the fee table) the charges and fees we deduct. See also Fee Tables and Charges and Deductions.

THE COMPANY AND THE FIXED ACCOUNT

Protective Life and Annuity Insurance Company

The Policies are issued by Protective Life and Annuity Insurance Company (formerly American Foundation Life Insurance Company), a wholly owned subsidiary of Protective Life Insurance Company, which is the principal operating subsidiary of Protective Life Corporation ("PLC"), a U.S. insurance holding company and subsidiary of the Dai-ichi Life Insurance Company, Limited ("Dai-ichi"). Dai-ichi's stock is traded on the Tokyo Stock Exchange. As of December 31, 2020, PLC had total assets of approximately $126.9 billion. Protective Life and Annuity Insurance Company ("Protective Life") was organized as an Alabama company in 1978. Protective Life is authorized to transact business as an insurance company or a reinsurance company in 47 states (including New York) and Washington D.C. and offers a variety of individual life, individual and group annuity insurance products. The Company's statutory assets for fiscal year ending in 2020 were approximately $6.3 billion.

Our General Account

The assets of our General Account support our insurance and annuity obligations and are subject to our general liabilities from business operations and to claims by our creditors. Because amounts allocated to the Fixed Account, plus any guarantees under the Policy that exceed your Policy Value (such as those that may be associated with the Death Benefit), are paid from our General Account, any amounts that we may pay under the Policy in excess of Variable Account Value are subject to our financial strength and claims-paying ability. It is important to note that there is no guarantee that we will always be able to meet our claims-paying obligations, and that there are risks to purchasing any insurance product. For this reason, you should consider our financial strength and claims-paying ability to meet our obligations under the Policy when purchasing a Policy and making investment decisions.

We encourage both existing and prospective Policy Owners to read and understand our financial statements. We prepare our financial statements on both a statutory basis, as required by state regulators, and according to Generally Accepted Accounting Principles (GAAP). Our audited GAAP financial statements are included in the Statement of Additional Information (which is available at no charge by calling us at 1-800-456-6330 or writing us at the address shown on the cover page of this Prospectus). In addition, the Statement of Additional Information is available on the SEC's website at http://www.sec.gov.

You also will find on our website information on ratings assigned to us by one or more independent rating organizations. These ratings are opinions of our financial capacity to meet the obligations of our insurance and annuity contracts based on our financial strength and/or claims-paying ability.


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The Fixed Account

The Fixed Account consists of assets owned by Protective Life with respect to the Policies, other than those in the Variable Account. Subject to applicable law, Protective Life has sole discretion over the investment of the assets of the Fixed Account. The Fixed Account is part of our General Account. Unlike premiums and Policy Value allocated to the Variable Account, we assume the risk of investment gain or loss on amounts held in the Fixed Account.

Guarantees of Net Premiums allocated to the Fixed Account, and interest credited thereto, are backed by Protective Life. The Fixed Account Value is calculated daily.

You generally may allocate some or all of your Net Premium and may transfer some or all of your Policy Value to the Fixed Account. However, there are limitations on transfers involving the Fixed Account. Due to these limitations, if you want to transfer all of your Policy Value from the Fixed Account to the Variable Account, it may take several years to do so. You should carefully consider whether the Fixed Account meets your investment needs. See Fixed Account Transfers.

Because of exemptive and exclusionary provisions, interests in the Fixed Account have not been registered under the Securities Act of 1933 nor has the Fixed Account been registered as an investment company under the Investment Company Act of 1940. Accordingly, neither the Fixed Account nor any interests therein are subject to the provisions of these Acts. The disclosure regarding the Fixed Account may, however, be subject to certain generally applicable provisions of the federal securities laws relating to the accuracy and completeness of statements made in prospectuses.

Interest Credited on Fixed Account Value. Protective Life guarantees that the interest credited on Policy Value allocated to the Fixed Account will not be less than the annual guaranteed interest rate shown in your Policy and will never be less than the minimum annual interest rate of 2.00% for all policies sold under this Prospectus. For purposes of crediting interest, amounts deducted, transferred or withdrawn from the Fixed Account are accounted for on a "first-in-first-out" (FIFO) basis. The Company may credit interest at higher than the guaranteed interest rate. Any change in the interest rate will not discriminate unfairly within any class of Owners or Insureds. The Company will review the interest crediting rate monthly and may reset the interest rate monthly. Any additional interest credited will be credited at least annually.

Payments from the Fixed Account. The Company may defer payments of any withdrawal, surrender, or Policy loan proceeds from the Fixed Account for up to 6 months after a Request is received. If the Company delays the payment of surrender benefits under this Policy, the Company will pay interest at a rate of 2% per year (or an alternative rate if required by applicable state insurance law).

We may delay the payment of proceeds of any partial withdrawal, surrender, or loan after our receipt of Written Notice in Good Order of your request where the proceeds would be taken from Fixed Account Value.

THE VARIABLE ACCOUNT AND FUNDS

Protective NY COLI VUL separate account (referred to herein as the Variable Account)

Protective NY COLI VUL separate account is a separate investment account of Protective Life established under Alabama law by the board of directors of Protective Life on February 25, 2020. The Variable Account is registered with the SEC as a unit investment trust under the Investment Company Act of 1940, as amended (the "1940 Act") and is a "separate account" within the meaning of the federal securities laws.

Protective Life owns the assets of the Variable Account. These assets are held separate from other assets of the Company and are not part of Protective Life's General Account. You assume all of the investment risk for premiums and Policy Value allocated to the Sub-Accounts. Your Policy Value in the Sub-Accounts is part of the assets of the Variable Account. Assets of the Variable Account equal to the reserves or other contract liabilities of the Variable Account will not be charged with liabilities that arise from any other business that Protective Life conducts. Protective Life may transfer to its General Account any assets of the Variable Account which exceed the reserves and other contract liabilities of the Variable Account (which are always at least equal to the aggregate Variable Account Values under the Policies). Protective Life may accumulate in the Variable Account the charge for mortality and expense risks and investment results applicable to those assets that are in excess of the reserves and other contract liabilities related to the Policies. Protective Life is obligated to pay all benefits provided under the Policies.


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The Company has absolute ownership of the assets of 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 liabilities arising out of any other business the Company may conduct.

The assets of the Variable Account are divided into a series of Sub-Accounts. Each Sub-Account invests exclusively in shares of a corresponding Fund. Any amounts of income, dividends, and gains distributed from the shares of a Fund will be reinvested in additional shares of that Fund at its Net Asset Value Per Share.

When permitted by law and subject to required regulatory approvals, the Company may:

(1)  Create new Variable Accounts;

(2)  Combine Variable Accounts;

(3)  Restrict premium payments or Transfers into any Sub-Account;

(4)  Transfer assets of one Variable Account to another Variable Account;

(5)  Add new Sub-Account to or remove existing Sub-Accounts from the Variable Account or combine Sub-Accounts;

(6)  Make new Sub-Accounts or other Sub-Accounts available to such classes of policies as the Company may determine;

(7)  Close certain Sub-Accounts to allocations or premium payments or transfers of Policy Value;

(8)  Add new Funds or remove existing Funds;

(9)  Substitute a different Fund for any existing Fund if shares of a Fund are no longer available for investment or if the Company determines that investment in a Fund is no longer appropriate in light of the purpose of the Variable Account;

(10)  Deregister the Variable Account under the 1940 Act if such registration is no longer required;

(11)  Operate the Variable Account as a management Investment Company under the 1940 Act or in any other form permitted by law; and

(12)  Make any changes to the Variable Account or its operations as may be required by the 1940 Act or other applicable law or regulations.

The investment policy of the Variable Account will not be changed without approval pursuant to the insurance laws of the Company's state of domicile. Any such approval of or change to the investment policy will be filed with the Superintendent of the New York Department of Financial Service. Prior written consent of the Owner will be obtained for any such change that diminishes the rights or benefits under the Policy.

In the event of a material change in the investment policy of the Variable Account, any Owner objecting to such change shall have the option to convert, without evidence of insurability, to a general account life insurance policy provided by the Company or an affiliate of the Company in the state of New York. Alternatively, the Owner may elect to transfer all amounts held in the Variable Account to the Fixed Account, without restriction, if the Company determines, at the time of such material change of investment policy, that the Fixed Account under this Policy is competitively priced in relation to the other available general account products. The Company will give appropriate notice to such objecting Owner of all options available. The option to convert or transfer funds from the Variable Account into the Fixed Account is exercisable within 60 days after (i) the effective date of such change in the investment policy or (ii) the receipt of the notice of the options available, whichever is later.

The values and benefits of this Policy provided by the Variable Account depend on the investment performance of the Funds in which your selected Sub-Accounts are invested. The Company does not guarantee the investment performance of the Funds. The Owner bears the full investment risk for Net Premiums allocated or Policy Value transferred to the Sub-Accounts.

The Variable Account is divided into Sub-Accounts. The income, gains or losses, whether or not realized, from the assets of each Sub-Account are credited to or charged against that Sub-Account without regard to any other income, gains or losses of Protective Life. Each Sub-Account invests exclusively in shares of a corresponding Fund.


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Therefore, the investment experience of your Policy depends on the experience of the Sub-Accounts you select and not the investment experience of Protective Life's other assets. In the future, the Variable Account may include other Sub-Accounts that are not available under the Policies and are not otherwise discussed in this Prospectus.

Information regarding each Fund, including (i) its name, (ii) its type (e.g., money market fund, bond fund, balanced fund, etc.) or a brief statement concerning its investment objectives; (iii) its investment adviser and any sub-investment adviser; (iv) current expenses; and (v) performance is available in the appendix to the Prospectus. See Appendix A — Funds Available Under Your Policy. Each Fund has issued a prospectus that contains more detailed information about the Fund.

You should carefully consider the investment objectives, risks, charges and expenses of the investment alternatives when making an allocation to the Sub-Accounts. The underlying Fund prospectuses can be found online at protectiveonlineprospectus.net. You can also request this information at no cost by calling 1-800-265-1545 or by sending an email request to gwexecbenefits@protective.com.

Variable insurance Funds might not be managed by the same portfolio managers who manage retail mutual funds with similar names. These Fund are likely to differ from similarly named retail mutual funds in assets, cash flow, and tax matters. Accordingly, the holdings and investment results of a variable insurance Fund can be expected to be higher or lower than the investment results of a similarly named retail mutual fund.

Selection of Funds

We select the Funds offered through the Policies based on several criteria, including the following:

1.  asset class coverage;

2.  the strength of the investment adviser's (or sub-adviser's) reputation and tenure;

3.  brand recognition;

4.  performance;

5.  the capability and qualification of each investment firm; and

6.  whether our distributors are likely to recommend the Funds to Policy Owners.

Another factor we consider during the selection process is whether the Fund, its adviser, its sub-adviser, or an affiliate will make payments to us or our affiliates. Such payments create a conflict of interest for us because we have an incentive to offer Funds (or classes of shares of Funds) for which such payments and fees are available to us. For a more detailed discussion of these payments and the potential conflicts of interest, see Payments We Receive. For a discussion of these arrangements, see Certain Payments We Receive with Regard to the Funds. We review each Fund periodically after it is selected. Upon review, we may remove a Fund or restrict allocation of additional Premium payments and/or transfers of Policy Value to a Fund if we determine the Fund no longer meets one or more of the criteria and/or if the Fund has not attracted significant Policy Owner assets. We do not recommend or endorse any particular Fund, and we do not provide investment advice.

Other Information About the Funds

Shares of these Funds are offered only to: (1) the Variable Account, (2) other separate accounts of Protective Life supporting variable annuity contracts or variable life insurance policies, (3) separate accounts of other life insurance companies supporting variable annuity contracts or variable life insurance policies, and (4) certain qualified retirement plans. Such shares are not offered directly to investors but are available only through the purchase of such contracts or policies or through such plans. See the prospectus for each Fund for details about that Fund.

Certain Funds may have investment objectives and policies similar to other mutual funds (sometimes having similar names) that are managed by the same investment adviser or manager. The investment results of the Funds, however, may be more or less favorable than the results of such other mutual funds. Protective Life does not guarantee or make any representation that the investment results of any Fund is, or will be, comparable to any other mutual fund, even one with the same investment adviser or manager.

For a discussion of the potential conflicts of interest that may arise as a result of the sale of Fund shares to separate accounts that support variable annuity contracts, variable life insurance policies and certain qualified pension and retirement plans as well as the sale of Fund shares to the separate accounts of insurance companies that are not


19


affiliated with Protective Life, see the prospectuses for the Funds. Fund shares are not offered directly to investors but are available only through the purchase of such contracts or policies or through such plans. See the prospectus for each Fund for details about that Fund.

There is no guarantee that any Fund will meet its investment objectives. Please refer to the prospectus for each of the Funds you are considering for more information.

Certain Payments We Receive with Regard to the Funds from Advisers and/or Distributors

We (and our affiliates) may receive payments from the Funds' advisers, sub-advisers, distributors, or affiliates thereof (collectively, "Fund Sponsors"). These payments are negotiated and thus differ by Fund (sometimes substantially), and the amounts we (or our affiliates) receive may be significant. These payments are made for various purposes, including payment for services provided and expenses incurred by us (and our affiliates) in promoting, marketing, distributing, and administering the Policies; and, for our role as intermediary to the Funds. We (and our affiliates) may profit from these payments. These payments may be derived from revenue sharing arrangements paid from the legitimate profits of Fund Sponsors or 12b-1 fees deducted from Fund assets. For a more detailed discussion of these payments and the potential conflicts of interest, see Payments We Receive.

Addition, Deletion, or Substitution of Investments

The assets of the Variable Account are divided into a series of Sub-Accounts. Each Sub-Account invests exclusively in the shares of a corresponding Fund. Protective Life, subject to applicable law and any required regulatory approvals, may add new Sub-Accounts to or remove existing Sub-Accounts from the Variable Account or combine Sub-Accounts. If the shares of a Fund are no longer available for investment or further investment in any Fund should become inappropriate in view of the purposes of the Variable Account, Protective Life may redeem the shares of that Fund and substitute shares of another Fund. Substituted Funds may have higher fees and expenses or may be available only to certain classes of purchasers. Protective Life will not substitute any shares without notice and any necessary approval of the SEC and state insurance authorities.

Subject to applicable law and any required regulatory approvals, Protective Life may establish new Sub-Accounts or eliminate one or more Sub-Accounts if marketing needs, tax considerations or investment conditions warrant. Any new Sub-Accounts may be made available to existing Owner(s) or may be closed to certain classes of purchasers. Protective Life may prohibit the allocation of Net Premium and transfer of Policy Value to a Sub-Account.

If any of these substitutions or changes are made, Protective Life, may by appropriate endorsement change the Policy to reflect the substitution or other change. If Protective Life deems it to be in the best interest of Owner(s), the Variable Account may be operated as a management investment company under the 1940 Act, it may be deregistered under that Act if registration is no longer required, or it may be combined with other Protective Life separate accounts, or its assets may be transferred to other Protective Life separate accounts, subject to any required Owner and/or regulatory approval. Protective Life may make any changes to the Variable Account required by the 1940 Act or other applicable law or regulation.

Voting Fund Shares

Protective Life is the legal owner of Fund shares held by the Sub-Accounts and has the right to vote on all matters submitted to shareholders of the Funds. However, in accordance with applicable law, Protective Life will vote shares held in the Sub-Accounts at meetings of shareholders of the Funds in accordance with instructions received from Owners with Policy Value in the Sub-Accounts. However, if the law changes to allow the Company to vote the shares in its own right, the Company may decide to do so.

Protective Life will send or make available to Owners voting instruction forms and other voting materials (such as Fund proxy statements, reports and other proxy materials) prior to shareholders meetings. The number of votes as to which an Owner may give instructions is calculated separately for each Sub-Account and may include fractional votes.

An Owner holds a voting interest in each Sub-Account to which Policy Value is allocated under his or her Policy. Owners only have voting interests while the Insured is alive. The number of votes for which an Owner may give instructions is based on the Owner's percentage interest of a Sub-Account determined as of the date established by the Fund for determining shareholders eligible to vote at the meeting of that Fund.

It is important that each Owner provide voting instructions to Protective Life because Shares as to which no timely instructions are received and shares held directly by Protective Life are voted by Protective Life in proportion to the


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voting instructions that are received with respect to all Policies participating in a Sub-Account. As a result, a small number of Owners may control the outcome of a vote.

Protective Life may, if required by state insurance regulations, disregard Owner voting instructions if such instructions would require shares to be voted so as to cause a change in sub-classification or investment objectives of one or more of the Funds, or to approve or disapprove the investment management agreement or an investment advisory agreement. In addition, Protective Life may under certain circumstances disregard voting instructions that would require changes in the investment manager or an investment adviser of one or more of the Funds, provided that Protective Life reasonably disapproves of such changes. If we do disregard voting instructions, we will advise of that action and our reasons for such action in the next annual or semi-annual report.

CHARGES AND DEDUCTIONS

This section describes the charges and deductions we make under the Policy to compensate us for the services and benefits we provide, costs and expenses we incur, and risks we assume. We may profit from the charges deducted, and we may use any such profits for any purpose, including payment of distribution expenses. Unless otherwise stated fees and charges will be deducted from the Policy Value on a pro-rata basis from the Sub-Accounts and/or Fixed Account, where applicable. You may request that fees and charges be deducted from specific Sub-Accounts and/or the Fixed Account, where applicable or designate a specific Sub-Account for this purpose.

Any such request is subject to the provisions or restrictions of any riders, endorsements, or any Sub-Accounts and the available Sub-Account Value(s) or Fixed Account Value where applicable.

If there is insufficient value in a selected Sub-Account(s) or the Fixed Account, then Protective Life may deduct any fees and charges or the remainder of such fees and charges on a pro-rata basis from the Sub-Accounts or Fixed Account where applicable. You may be required to maintain in any designated Sub-Account(s) amounts sufficient to cover estimated Policy fees and charges for a Policy Year. We reserve the right to transfer Sub-Account Value from any Sub-Account or Fixed Account to a Money Market Sub-Account in amounts sufficient to cover estimated Policy fees and charges for a Policy Year.

Premium Expense Charge

We deduct a premium expense charge from each premium you pay. The premium expense charge compensates us for certain sales and premium tax expenses associated with the Policies and the Variable Account. The maximum premium expense charge is equal to 10% of each premium payment you make. This would include any premium paid to reinstate the Policy. The Company may assess an expense charge less than the maximum expense charge.

We will deduct a maximum charge of 10% from each premium payment, which is broken down as follows. A maximum of 6.5% will be deducted as sales load to compensate us in part for sales and promotional expenses in connection with selling the Policies, such as commissions, the cost of preparing sales literature, other promotional activities and other direct and indirect expenses. A maximum of 3.5% of premium will be used to cover premium taxes and certain federal income tax obligations resulting from the receipt of premiums. All states and some cities and municipalities impose taxes on premiums paid for life insurance, which generally range from 2% to 4% of premium but may exceed 4% in some states. The amount of your state's premium tax may be higher or lower than the amount attributable to premium taxes that we deduct from your premium payments.

The current expense charge applied to premium for sales load is 2.5% of premium up to target and 1.0% of premium in excess of target for Policy Years 1 through 10. Your target premium will depend on the Base Policy Face Amount, your Issue Age, your sex, and rating class (if any) and equals the maximum premium payable under the seven-pay test such that the Policy will not constitute a modified endowment contract under Section 7702A of the Code. There are other events, however, such as a decrease in Death Benefit or lapse of the Policy, which could cause the Policy to be a modified endowment contract under Section 7702A of the Code. See Tax Considerations — Policies That Are MECs. Thereafter, there is no charge for sales load. The current expense charge applied to premium to cover our premium taxes and the federal tax obligation described above is 3.5% in all Policy Years.

For a description of the effects of entering into the Term Life Insurance Rider, see Optional Benefits Under the Policy below.


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Monthly Deduction

Each month we will deduct an amount from your Policy Value to pay for the benefits provided by your Policy. This amount is called the Monthly Deduction and equals the sum of:

•  the cost of insurance charges;

•  the monthly administration charge; and

•  the mortality and expense risk charge.

If you do not select the Sub-Account(s) from which the Monthly Deduction is deducted, the Monthly Deduction will be deducted from the Sub-Accounts and the Fixed Account pro-rata on the basis of the unloaned Policy Value.

The Owner may select the Sub-Accounts from which you want us to deduct the Monthly Deduction. However, if as of the date the Monthly Deduction is to be deducted, the value in any of the selected Sub-Accounts is less than the charge to be deducted from that Sub-Account, Protective Life will instead deduct the Monthly Deduction on a pro-rata basis from each Sub-Account and the Fixed Account under the Policy based on the unloaned Policy Value attributable to each Sub-Account and the Fixed Account.

Cost of Insurance Charge. This charge compensates Protective Life for the expense of underwriting the Death Benefit.

The cost of insurance charge is calculated as follows:

An amount will be deducted on each Monthly Anniversary from the Policy Value to pay the cost of insurance for that Policy Month. The cost of insurance is calculated on the Monthly Anniversary Day and is equal to:

(a)  The Death Benefit divided by the death benefit interest rate factor as shown on the Policy Schedule, less the Policy Value on each Monthly Anniversary Day, multiplied by the current monthly risk rate for the Insured's Attained Age; plus

(b)  The monthly administration charge.

If there has been an increase or decrease in Death Benefit during the Policy Year, the cost of insurance calculation will be adjusted accordingly to reflect the change.

The Net Amount at Risk is equal to the Death Benefit divided by the death benefit interest rate as shown on the Policy Schedule minus the Policy Value (prior to deducting the Cost of Insurance).

Anything that decreases Policy Value, such as negative investment experience or withdrawals, will increase the Net Amount at Risk and result in higher cost of insurance charges. The Net Amount at Risk is affected by investment performance, loans, payments of premiums, Policy fees and charges, the Death Benefit Option chosen, withdrawals, and increases or decreases in Total Face Amount.

The cost of insurance charge for each increment of Total Face Amount is calculated separately to the extent a different cost of insurance rate applies. If there is a decrease in Total Face Amount after an increase, the decrease is applied first to decrease any prior increases in Total Face Amount, starting with the most recent increase.

Cost of Insurance Rates. The cost of insurance rate for a Policy is based on and varies with the Issue Age, sex and premium class of the Insured and on the number of years that a Policy has been in force. Protective Life places Insureds in the following premium classes, based on underwriting: fully underwritten (ages 20-75) and guaranteed underwriting (ages 20-70). Protective Life guarantees that the cost of insurance rates used to calculate the monthly cost of insurance charge will not exceed the maximum cost of insurance rates set forth in the Policies. The guaranteed rates for standard classes are based on the 2017 Commissioners' Standard Ordinary Mortality Tables, Male or Female, Smoker or Nonsmoker Mortality Rates ("2017 CSO Tables"). The guaranteed rates for substandard classes are based on multiples of, or additions to, the 2017 CSO Tables. Currently, the guaranteed minimum monthly rate is $0.01 per $1000 and the guaranteed maximum monthly rate is $83.33 per $1000.

Protective Life's current cost of insurance rates may be less than the guaranteed rates that are set forth in the Policy. Current cost of insurance rates will be determined based on Protective Life's expectations as to investment income, mortality, persistency, and expense. In determining current cost of insurance charges, we may consider a variety of factors, including those unrelated to mortality experience.

Protective Life will also determine a separate cost of insurance rate for each increment of Total Face Amount based on the Policy duration and the Issue Age, sex and premium class of the Insured at the time of the request for an increase. The following rules will apply for purposes of determining the Net Amount at Risk for each premium class.


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Protective Life places the Insured in a premium class when the Policy is issued, based on Protective Life's underwriting of the application. This original premium class applies to the initial Total Face Amount. When an increase in Total Face Amount is requested, Protective Life conducts underwriting before approving the increase (except as noted below) to determine whether a different premium class will apply to the increase. If the premium class for the increase has lower cost of insurance rates than the original premium class (or the premium class of a previous increase), the premium class for the increase also will be applied to the initial Total Face Amount and any previous increases in Total Face Amount beginning as of the effective date of the current increase. If the premium class for the increase has a higher cost of insurance rate than the original premium class (or the premium class of a previous increase), the premium class for the increase will apply only to the increase in Total Face Amount.

Monthly Risk Rates. The maximum monthly risk rate is shown on the Policy Schedule. The Company may charge a lower monthly risk rate. The maximum risk rates shown are based on the Mortality Tables as shown on the Policy Schedule, age nearest birthday. The Company reserves the right to change the monthly risk rate based on changes in the Company's expectations of investment income, mortality, persistency, and expense subject to the maximum risk rates. Any change in the monthly risk rate will not discriminate unfairly within any class of Owners or Insureds.

Legal Considerations Relating to Sex — Distinct Premium Payments and Benefits. Mortality tables for the Policies generally distinguish between males and females. Thus, premiums and benefits under Policies covering males and females of the same age will generally differ.

Employers and employee organizations considering purchase of a Policy should consult with their legal advisors to determine whether purchase of a Policy based on sex-distinct actuarial tables is consistent with Title VII of the Civil Rights Act of 1964 or other applicable law.

Monthly Administration Charge. We will deduct a maximum of $10 from your Policy Value on the Monthly Anniversary Day to cover our administrative costs, such as salaries, postage, telephone, office equipment and periodic reports. This charge may be increased or decreased by us from time to time based on our expectations of future expenses, but will never exceed $10.

Supplemental Rider and Endorsement Charges. There is no cost to add the Change of Insured Endorsement to the Policy; however, we will assess a one-time fee at the time it is exercised. See Fee Tables and Optional Benefits Under the Policy.

Mortality and Expense Risk Charge. We deduct a mortality and expense risk charge each month from your Policy Value. This charge compensates Protective Life for the mortality risk it assumes under the Policies. The mortality risk is that the Insureds will live for a shorter time than we project. The expense risk Protective Life assumes is that the expenses that we incur in issuing and administering the Policies and the Variable Account will exceed the amounts realized from the administration charges assessed against the Policies.

Protective Life deducts a monthly charge from assets in the Sub-Accounts attributable to the Policies. It is based on an annual charge that we accrue against each Sub-Account on a daily basis and is deducted on each Monthly Anniversary Day by cancelling accumulation units on a pro-rata basis across all Sub-Accounts.

We convert the mortality and expense risk charge into a daily rate by dividing the annual rate by 365. The mortality and expense risk charge will be determined by us but will not exceed 0.90% annually. The Company reserves the right to change the mortality and expense risk charge from, and any change will be based on our expectations of investment income, mortality, persistency, and expense. Furthermore, if a change is made, then it will not discriminate unfairly within any class of Owners or Insureds. Currently, the charge is 0.28% for Policy Years 1 through 20 and 0.10% thereafter. On surrender and payment of the death benefit, we will deduct the pro-rata portion of the mortality and expense risk charge that has accrued.

Transfer Fee

We allow you to make 12 free transfers of Policy Value each Policy Year. In order to cover administrative expenses, Protective Life will charge a maximum transfer fee of $10 on any additional transfers in a Policy Year. If the fee is imposed, it will be deducted from the amount requested to be transferred. If an amount is being transferred from more than one Sub-Account or the Fixed Account (subject to the Fixed Account transfer restrictions discussed herein), the transfer fee will be deducted proportionately from the amount being transferred from each. Currently, electronic transfers do not count towards the 12 free transfers; however, we reserve the right, at any time, to charge for electronic transfers in excess of the free transfers allowed.


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Withdrawal Charges

Protective Life will deduct a partial withdrawal fee of $25 for all withdrawals after the first made in the same Policy Year. This charge will be deducted from the Policy Value in addition to the amount requested to be withdrawn. The partial withdrawal fee will be deducted proportionally from all Sub-Accounts.

Fund Expenses

The value of the net assets of each Sub-Account reflects the investment management fees and other expenses incurred by the corresponding Fund in which the Sub-Account invests. For further information, consult the Funds' prospectuses.

Other Information

We sell the Policies through registered representatives of broker-dealers. These registered representatives are also appointed and licensed as insurance agents of Protective Life. We pay commissions and other compensation to the broker-dealers for selling the Policies. You do not directly pay the commissions and other compensation, we do. We intend to recover commissions and other compensation, marketing, administrative and other expenses and costs of Policy benefits through the fees and charges imposed under the Policies. See Sale of the Policies for more information about payments we make to the broker-dealers.

Corporate Purchasers or Eligible Groups

The Policy is available for individuals and for corporations and other institutions. For corporate or other group or sponsored arrangements, fee-only arrangements or clients of registered investment advisers purchasing one or more Policies, Protective Life may reduce the amount of the premium expense charge, monthly administration charge, or other charges where the expenses associated with the sale of the Policy or Policies or the underwriting or other administrative costs associated with the Policy or Policies are reduced. Sales, underwriting or other administrative expenses may be reduced for reasons such as expected economies resulting from a corporate purchase, a group or sponsored arrangement or arrangements, fee-only arrangements or clients of registered investment advisers.

THE POLICY

Purchasing a Policy

For insurance coverage to take effect under a Policy, you must submit a completed application and at least the minimum initial premium payment through a licensed representative of Protective Life who is also a registered representative of a broker-dealer having a distribution agreement with Investment Distributors, Inc. Protective Life requires satisfactory evidence of the insurability, which may include a medical examination of the Insured. Protective Life will issue a Policy covering an Insured up to age 75 if Evidence of Insurability satisfies Protective Life's underwriting rules. No Policy will be issued to an Insured under the age of 20 years. Minimum age requirements may apply. Acceptance of an application depends on Protective Life's underwriting rules, and Protective Life may reject an application. Applicants must be acceptable risks based on our applicable underwriting limits and standards. We will not issue a Policy until the underwriting process has been completed to our satisfaction. We reserve the right to reject an application for any lawful reason or to "rate" an Insured as a substandard risk, which will result in increased cost of insurance rates. The cost of insurance rate also may vary depending on the type of underwriting we use. A Policy is issued after Protective Life approves the application. Payment of premium is not a requirement to issue a Policy but your insurance will not take effect until you pay your minimum initial premium. Premium may be collected at the time of Policy delivery. We generally do not accept premium payments before approval of an application. We will not credit interest or allocate your premium payment for the period while your application is in underwriting.

Insurance coverage under a Policy begins on the Policy Effective Date.

In order to obtain a more favorable Issue Age, Protective Life may permit the Owner to "backdate" a Policy by electing a Policy Effective Date up to six months prior to the date of the original application. Charges for the Monthly Deduction for the backdated period are deducted as of the Policy Effective Date.

The Owner of the Policy may exercise all rights provided under the Policy. By Written Notice received by Protective Life at the Home Office while the Insured is living, the Owner may name a contingent Owner or a new Owner. A change in Owner may have tax consequences. See Tax Considerations — Other Considerations.

Fees, charges and benefits available under the Policy may vary depending on the state in which the Policy is issued.


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Cancellation Privilege

The Owner may return the Policy to the Company or an authorized representative within 10 days of receiving it. If replacement of an existing policy is involved, the right to cancel period is extended to 60 days. If returned during the right to cancel period, the Policy will be deemed void from the start, and the Company will refund the greater of: (1) premiums received less any withdrawals and distributions; or (2) the Policy Value less any withdrawals and distributions. During the right to cancel period Net Premium will be allocated to the Sub-Accounts selected by the Owner.

Age Requirements

An Insured's Issue Age must be between 20 and 75 for Policies issued on a fully underwritten basis and between 20 and 70 for Policies issued on a guaranteed underwriting or a simplified underwriting basis.

Changes in the Policy or Benefits

At any time Protective Life, subject to the approval of state authorities if required, may make such changes in the Policy as are necessary to assure compliance with any applicable laws or with regulations or rulings issued by a government agency. This includes, but is not limited to, changes necessary to comply at all times with the definition of life insurance prescribed by the Internal Revenue Code. Any such changes will apply uniformly to all affected Policies, and Owners will receive notification of such changes. The Company will obtain all required legal and regulatory approvals.

Specialized Uses of the Policy

Because your Policy provides for an accumulation of Policy Values as well as Death Benefit, you may wish to use it for various individual and business planning purposes. Purchasing the Policy in part for such purposes may involve certain risks. For example, if the investment performance of the Sub-Accounts is poorer than expected or if sufficient premiums are not paid, the Policy may Lapse or may not accumulate sufficient Policy Value to fund the purpose for which you purchased the Policy. Withdrawals and Policy Loans may significantly affect current and future Policy Value, Cash Surrender Value or Death Benefit Proceeds. The Policy is designed to provide benefits on a long-term basis.

Before purchasing a Policy for a specialized purpose, you should consider whether the long-term nature of the Policy is consistent with the purpose for which it is being considered. In addition, using a Policy for a specialized purpose may have tax consequences. See Tax Considerations — Other Considerations.

PREMIUMS

Minimum Initial Premium. The minimum initial premium required depends on a number of factors, including the age, sex and premium class of the proposed Insured, the initial Total Face Amount requested by the applicant, any supplemental riders and endorsements requested by the applicant and the planned periodic premiums that the applicant selects. Consult your sales representative for information about the initial premium required for the coverage you desire.

Periodic Premiums. The Company does not require that additional premiums be paid. However, it may recommend a periodic premium amount. The actual amount of premium needed may change, depending on the number of premium payments made, changes in coverage, investment experience, monthly risk rate, and partial withdrawals and policy loans made. While you are not required to make additional premium payments according to a fixed schedule, you may select a periodic premium schedule and corresponding billing period, subject to our limits. We will send you reminder notices for the periodic premium, unless you request to have reminder notices suspended. You are not required, however, to pay the periodic premium; you may increase or decrease the periodic premium subject to our limits, and you may skip a payment or make unscheduled payments. The actual amount of premium required to prevent Policy Lapse may change, depending on the number of premium payments made, changes in coverage, investment experience, monthly risk rate, and partial withdrawals and Policy loans made.

Additional, Unscheduled Premiums. You may pay additional, unscheduled premium payments to us in the amounts and at the times you choose, subject to the limitations described below. To find out whether your premium payment has been received, contact us at the Home Office address or telephone number shown on the first page of this Prospectus. We reserve the right to limit the number of premium payments we accept on an annual basis. No premium payment may be less than $100 per Policy without our consent, although we will accept a smaller premium payment if necessary to keep your Policy in force. We reserve the right to restrict or refuse any premium payments that exceed the Initial premium amount shown on your Policy.


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Protective Life reserves the right to limit the amount and frequency of periodic premiums and additional premium under the Policy or the amount and frequency of Net Premiums that may be allocated to the Fixed Account at any time. Protective Life also reserves the right to refuse to accept such additional premium under the Policy or allocate additional Net Premium to the Fixed Account at any time without prior notice. In all cases, Protective Life will accept additional premium necessary to prevent the Policy from lapsing.

Premium Limitations. Premiums are accepted until Attained Age of 121. Premiums may be paid by any method acceptable to Protective Life. If by check, the check must be from an Owner (or the Owner's designee other than a sales representative), payable to Protective Life, and be dated prior to its receipt at the Home Office.

Additional limitations apply to premiums. Premium payments must be at least $100 and must be remitted to the Home Office although we will accept a smaller premium payment if necessary to keep your Policy in force.

We also reserve the right not to accept a premium payment that causes the Death Benefit to increase by an amount that exceeds the premium received. Evidence of Insurability satisfactory to us may be required before we accept any such premium. Protective Life also reserves the right to limit the amount and frequency of any premium payment. See Tax Considerations and the discussion of Cash Value Accumulation Test under Standard Death Benefits. If the Death Benefit is based on the applicable factor in the Table of Death Benefit Factors shown in the Policy Schedule, the Company reserves the right to refund the portion of any premium or Cash Value which causes the Death Benefit to be based on such factors. Protective Life will also monitor Policies and will notify the Owner on a timely basis if his or her Policy is in jeopardy of becoming a modified endowment contract under the Code, if applicable. See Tax Considerations.

Premium Payments Upon Increase in Total Face Amount. Depending on the Policy Value at the time of an increase in the Total Face Amount and the amount of the increase requested, an additional premium payment may be necessary to keep the Policy in force or a change in the amount of planned periodic premiums may be advisable. You will be notified if a premium payment is necessary or a change is appropriate.

Net Premium Allocations

You must indicate in the application how Net Premiums are to be allocated to the Sub-Accounts and/or to the Fixed Account. These allocation instructions apply to both initial and subsequent Net Premiums. You may change the allocation instructions in effect at any time by Written Notice to Protective Life at the Home Office or by emailing us at GWExecBenefits@protective.com

Whole percentages must be used. The sum of the allocations to the Sub-Accounts and the Fixed Account must be equal to 100% of any Net Premiums. Protective Life reserves the right to establish (i) a limitation on the number of Sub-Accounts to which Net Premiums may be allocated and/or (ii) a minimum allocation requirement for the Sub- Accounts and the Fixed Account.

If Protective Life receives a premium payment at the Home Office before 3:00 P.M. Central Time, Protective Life will process the payment as of the Valuation Date it is received. Protective Life processes premium payments received at the Home Office at or after 3:00 P.M. Central Time as of the next Valuation Date. However, premium will not be accepted in connection with an increase in Total Face Amount until underwriting has been completed. When approved, Net Premium received will be allocated in accordance to your allocation instructions then in effect.

Unless designated by the Owner as a loan repayment, premiums received from Owners (other than planned periodic premiums) are treated as unscheduled premiums.

Protective Life reserves the right to limit the amount and frequency of planned periodic premiums and additional unscheduled premiums (each an "additional premium") under the Policy or the amount and frequency of Net Premiums that may be allocated to the Fixed Account at any time and to refuse to accept such additional premium under the Policy or allocate additional Net Premium to the Fixed Account at any time without prior notice. In all cases, Protective Life will accept additional premium necessary to prevent the Policy from lapsing. Protective Life will notify the Owner that a premium payment, whether a planned periodic premium or additional premium, may result in a Policy becoming a Modified Endowment Contract ("MEC"). Protective Life reserves the right not to accept a premium that will cause the Policy to become a MEC, unless otherwise instructed by the Owner.

If mandated by law, we may reject a premium payment. We may also provide information about you and your account to a government regulator.


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CALCULATION OF POLICY VALUE

Variable Account Value

Each premium less any expense charge will be credited to the Policy Value on the date received at the Home Office. On the Monthly Anniversary Day, a deduction will be made for the cost of insurance. Variable Account Value reflects the investment experience of the Sub-Accounts to which it is allocated, any premiums allocated to the Sub-Accounts, transfers in or out of the Sub-Accounts (including loans), any withdrawals of Variable Account Value and Monthly Deductions. There is no guaranteed minimum Variable Account Value. A Policy's Variable Account Value therefore depends upon a number of factors.

The Variable Account Value for a Policy at any time is the sum of the Sub-Account Values for the Policy on the Valuation Date most recently completed.

Determination of Units

For each Sub-Account, the Net Premium(s) or unloaned Policy Value transferred are converted into units. The number of units credited is determined by dividing the dollar amount directed to each Sub-Account by the value of the unit for that Sub-Account for the Valuation Date on which the Net Premium(s) or transferred amount is invested in the Sub- Account. Therefore, Net Premiums allocated to or amounts transferred to a Sub-Account under a Policy increase the number of units of that Sub-Account credited to the Policy.

Determination of Unit Value

The unit value at the end of every Valuation Date is the unit value at the end of the previous Valuation Date times the Net Investment Factor, as described below. The Sub-Account Value for a Policy is determined on any day by multiplying the number of units attributable to the Policy in that Sub-Account by the unit value for that Sub-Account on that day as further described below.

Units for the initial Premium will be credited to the Sub-Accounts selected and Units for subsequent Premium payments will be credited at the end of the Valuation Period during which the Company receives the Premium.

In addition, whenever a Valuation Period includes a Monthly Anniversary, the value of each Sub-Account at the end of such period is reduced by the portion of any accrued policy fees or charges as are described in the Policy as being allocated to the Sub-Account.

Sub-Account Value

The Sub-Account Value is the total dollar amount of all units credited to the Owner's Policy under each of the Sub- Accounts and excluding the Fixed Account, if applicable. Each Sub-Account's Value is equal to the sum of:

•  The net asset value of the Fund(s) in the Sub-Account at the last Valuation Date;

•  Any premium, less expense charges deducted from premiums received during the current Valuation Period which is allocated to the Sub-Account;

•  Any policy loan repayment amount allocated to the Sub-Account;

•  All values transferred to the Sub-Account;

•  Any net investment return allocated to the Sub-Account.

  Minus the following:

•  All values transferred to another Sub-Account, the Fixed Account if applicable, and Policy Debt taken from the Sub-Account during the current Valuation Period;

•  All partial withdrawals from the Sub-Account during the current Valuation Period;

•  Monthly Deductions;

•  An amount for Transfer fees.

Net Investment Factor

The Net Investment Factor is an index applied to measure the investment performance of a Sub-Account from one Valuation Period to the next. Each Sub-Account has a Net Investment Factor for each Valuation Period which may be


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greater or less than one. Therefore, the value of a unit may increase or decrease. The Net Investment Factor for any Valuation Period is determined by dividing (1) by (2), where:

(1)  Is the net result of:

a.  The net asset value per share of the Fund(s) held in the Sub-Account, determined as of the end of the current Valuation Period; plus

b.  The per share amount of any dividend (or, if applicable, capital gain distributions) made by the Fund(s) to the Sub-Account, if the "ex-dividend" date occurs during the current Valuation Period; minus or plus

c.  A per share charge or credit for any taxes incurred by or reserved for the Fund(s), which is determined by the Company to have resulted from the operations of the Sub-Account.

(2)  Is the

a.  The net asset value per share of the Fund(s) held in the Sub-Account, determined at the end of the last Valuation Period.

Fixed Account Value

The Fixed Account Value under a Policy at any time is equal to the sum of:

•  the Net Premium(s) allocated to the Fixed Account; plus

•  Sub-Account Value transferred to the Fixed Account; plus

•  interest credited to the Fixed Account.

  MINUS the following

•  The portion of any accrued Policy fees and charges allocated to the Fixed Account;

•  An amount for the cost of insurance (as defined in the "Cost of Insurance" provision of the Policy) deducted from the Fixed Account on the Monthly Anniversary Day;

•  An amount for Transfer fees deducted from the Fixed Account;

•  Partial withdrawals from the Fixed Account including any applicable partial withdrawal charges; and

•  Transfers from the Fixed Account.

See The Fixed Account for a discussion of how interest is credited to the Fixed Account.

STANDARD DEATH BENEFITS

As long as the Policy remains in force, Protective Life will pay the Beneficiary the Death Benefit Proceeds upon receipt at the Home Office of Due Proof of Death of the Insured. Protective Life may require return of the Policy. The Death Benefit Proceeds are paid to the primary Beneficiary or a contingent Beneficiary. The Owner may name one or more primary or contingent Beneficiaries. Unless designated irrevocably, the Owner may change the Beneficiary by Written Notice prior to the death of any Owner. If no Beneficiary survives the Insured, the Death Benefit Proceeds are paid to the Owner or the Owner's estate. Death Benefit Proceeds are paid in a lump sum or under a settlement option that the Company is then offering. Payment of the Death Benefit Proceeds may have tax consequences. See Tax Considerations — Tax Treatment of Life Insurance Death Benefit Proceeds.

Please note that any Death Benefit payment we make in excess of the Variable Account Value, including payments under any rider, is subject to our financial strength and claims-paying ability.

Limits on Policy Rights

Incontestability. Unless fraud is involved, Protective Life will not contest the Policy, or any supplemental rider or endorsement, after the Policy, rider, or endorsement has been in force during the Insured's lifetime for two years from the Policy Effective Date or the effective date of the rider or endorsement. Likewise, unless fraud is involved, Protective Life will not contest an increase in the Total Face Amount with respect to statements made in the Evidence of Insurability for that increase after the increase has been in force during the life of the Insured for two years after the effective date of the increase.

Suicide Exclusion. If the Insured dies by suicide, within two years from the Issue Date, the Death Benefit will be limited to the premium payments made before death, less any Policy Debt, and any withdrawals. If the Total Face Amount is increased and if the Insured commits suicide, within 2 years from the effective date of any increase, the


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Company will refund the cost of insurance paid for the amount of increase. The Total Face Amount of the Policy will be reduced to the Total Face Amount that was in effect prior to the increase. The Company will not pay any portion of the increased Total Face Amount, other than the Death Benefit (and only if it is greater than the Total Face Amount prior to the increase).

The Company reserves the right to request and obtain evidence as to the manner and/or cause of the Insured's death where not prohibited by law. Such request:

(1)  will be reasonable;

(2)  will clearly set forth the reasons why an autopsy is warranted; and

(3)  the autopsy will be at the Company's expense.

Misstatement of Age or Sex. If the Insured's age and/or sex on the Policy Date has been misstated and the misstatement is discovered on or after the death of the Insured, then the benefits payable under this Policy will be the amount of insurance that the cost of insurance would have purchased for the correct age and/or sex on the Policy Date. The applicable factor used in determining the Death Benefit shall be the factor required by Section 7702 of the Code reflecting the Insured's correct age and/or sex. If the Insured is alive at the time the misstatement of age and/or sex is discovered, then we will adjust the Policy Value Account and other benefits under the Policy as of the Policy Date based on the correct age and/or sex. Future monthly deductions from the Policy Value Account will be based upon the correct age and/or sex.

Calculation of Death Benefit Proceeds

The Death Benefit Proceeds are equal to the Death Benefit calculated as of the date of the Insured's death, less (1) any Policy Debt on that date, and less (2) any past due Monthly Deductions.

The calculation of the Death Benefit depends on the Death Benefit Option elected.

Federal Tax Compliance Test. Under Section 7702 of the Internal Revenue Code, a Policy will generally be treated as life insurance for federal tax purposes if, at all times, it satisfies the Cash Value Accumulation Test.

The Cash Value Accumulation Test ("CVAT") does not have a premium limit, but does require that the Death Benefit be at least a certain percentage (varying based on the Attained Age, sex and premium class of the Insured) of the Cash Value.

The Death Benefit Option you choose will also affect the amount of your Death Benefit.

Under Death Benefit Option 1, your Death Benefit will generally be the Total Face Amount. Under Death Benefit Option 2, your Death Benefit will always vary with the Policy Value. However, the Death Benefit may vary based on the Cash Value if the minimum Death Benefit is greater than the Total Face Amount under the Death Benefit Option 1 or the Total Face Amount plus the Policy Value under Death Benefit Option 2. See Death Benefit Options for detailed information about each Death Benefit Option.

You should consult your tax advisor or registered representative for more information about which death benefit option you should choose in light of your specific goals and circumstances.

The Death Benefit Proceeds are payable when Protective Life receives a properly completed claim form and Due Proof of Death of the Insured while the Policy is in force. The Death Benefit Proceeds will be paid to the Beneficiary, or Beneficiaries, in a lump sum, unless a Settlement Option currently being offered by the Company is selected. If there is more than one Beneficiary, each Beneficiary must submit instructions in Good Order specifying the manner in which they wish to receive their portion of the Death Benefit Proceeds. The Death Benefit Proceeds are determined as of the date of the Insured's death and are moved to the General Account until payment is made. Protective Life will pay interest on the Death Benefit Proceeds payable to each Beneficiary determined in accordance with applicable state law to the date of payment.

Death Benefit Options

The Policy has two Death Benefit options.

Option 1. The "Level Death" Option. Under this option, the death benefit is the greater of —

•  the Policy's Total Face Amount shown on the Policy Schedule, less any partial withdrawals; or

•  the Cash Value on the Insured's date of death multiplied by the applicable factor in the Table of Death Benefit Factors shown in the Policy Schedule for the Insured's age at date of death.


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This death benefit option should be selected if you want to minimize your cost of insurance.

Option 2. The "Coverage Plus" Option. Under this option, the death benefit is the greater of —

•  The Total Face Amount shown on the Policy Schedule, plus the Policy Value on the Insured's date of death; or,

•  the Cash Value on the Insured's date of death multiplied by the applicable factor in the Table of Death Benefit Factors shown in the Policy Schedule for the Insured's age at date of death.

This death benefit option should be selected if you want to maximize your death benefit.

Your Cash Value and Death Benefit fluctuate based on the performance of the investment options you select and the expenses and deductions charged to your account. The Cash Value includes the Return of Expense Charge Benefit, if applicable, and thus the amount of this benefit can affect the amount of the Death Benefit.

There is no minimum Death Benefit guarantee associated with this Policy.

Changing Death Benefit Options

The Owner must indicate a Death Benefit Option in the application for the Policy. On or after the first Policy Anniversary, but not more than once each Policy Year, the Owner may change the Death Benefit Option on the Policy subject to the following rules. The request must be received in writing in Good Order at the Home Office. After any change, the Total Face Amount must be at least $100,000. The effective date of the change will be the Monthly Anniversary Day that coincides with or next follows the day that Protective Life approves the request. Protective Life may require satisfactory Evidence of Insurability. All changes must be approved by Protective Life at the Home Office before they will be effective. Any change will be effective on the Monthly Anniversary following the date the Company approves the Request. Protective Life reserves the right to decline to change the Death Benefit Option if after the change the Death Benefit would not be based on the applicable factor in the Table of Death Benefit Factors shown in the Policy Schedule.

When a change from Option 1 to Option 2 is made, the Total Face Amount after the change is effected will be equal to the Total Face Amount before the change less the Policy Value on the effective date of the change. When a change from Option 2 to Option 1 is made, the Total Face Amount after the change will be equal to the Total Face Amount before the change is effected plus the Policy Value on the effective date of the change.

Changing the Total Face Amount

The Owner may request a change in the Total Face Amount of the Policy at any time within certain limits. The request must be received in writing in Good Order at the Home Office.

Increasing the Total Face Amount. Any increase in the Total Face Amount must be at least $25,000 and an application must be submitted in Good Order. Protective Life will require satisfactory Evidence of Insurability. In addition, the Insured's current Attained Age must be less than the maximum Issue Age for the Policies, as determined by Protective Life from time to time. A change in periodic premiums may be advisable. See Premiums — Premium Payments Upon Increase in Total Face Amount. The increase in Total Face Amount will become effective as of the Monthly Anniversary Day following the date that Protective Life approves the request for the increase, and the Policy Value will be adjusted to the extent necessary to reflect a Monthly Deduction as of the effective date based on the increase in Total Face Amount.

Each increase to the Total Face Amount is considered to be a new segment to the Policy for Policy administration purposes. When an increase is approved, Net Premium is allocated against the original Policy segment up to the seven-pay premium limit established on the Issue Date. Any excess Net Premium is then allocated toward the new segment. Each segment will have a separate target premium associated with it. The expense charge applied to Net Premium is higher up to target and lower for Net Premium in excess of the target as described in detail in the Charges and Deductions section of this Prospectus. The expense charge formula will apply to each segment based on the target Net Premium for that segment. In addition, each segment will have a new incontestability period and suicide exclusion period as described in the Standard Death Benefits — Limits on Policy Rights section of this Prospectus.

Increasing the Total Face Amount of the Policy may increase the Death Benefit and may have the effect of increasing monthly cost of insurance charges. Increasing the Total Face Amount may also have tax consequences. See Tax Considerations. Please consult your tax advisor.

Decreasing the Total Face Amount. The minimum decrease in the Total Face Amount is $25,000 and a request must be submitted in Good Order. The decrease in Total Face Amount will become effective on the Monthly Anniversary Day following the date that Protective Life approves the request for the decrease. If the decrease would


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cause the Death Benefit to be based on the applicable factor in the Table of Death Benefit Factors shown in the Policy Schedule, Protective Life reserves the right to decline or limit the amount of such decrease. Although Protective Life will attempt to notify an Owner if a decrease in the Total Face Amount will cause a Policy to be considered a modified endowment contract under Section 7702A of the Code, we will not automatically return premium. See Tax Considerations — Policies That Are MECs. Decreasing the Total Face Amount also may have other tax consequences. See Tax Considerations — Certain Distributions Required by the Tax Law in the First 15 Policy Years.

The Total Face Amount after any decrease must be at least $100,000. If the initial Total Face Amount of the Policy has been increased prior to the requested decrease, then the decrease will first be applied against any previous increases in Total Face Amount in the reverse order in which they occurred.

Decreasing the Total Face Amount of the Policy may reduce the Death Benefit and may have the effect of decreasing monthly cost of insurance charges.

Settlement Options

The Death Benefit on the Insured's death will be paid in a lump sum unless the Owner elects to receive all or a portion of the Death Benefit Proceeds under a settlement option that the Company is then offering. The Company shall make settlement to the Beneficiary, not later than 30 days after the Company receives due proof of the Insured's death. The Company will pay interest, computed daily, from the date of death equal to the rate required by the state in which the Policy was delivered. See Tax Considerations — Tax Treatment of Life Insurance Death Benefit Proceeds.

Escheatment of Death Benefit

Every state has unclaimed property laws which generally declare life insurance policies to be abandoned after a period of inactivity of 3 to 5 years from the date the Death Benefit is due and payable. For example, if the payment of a Death Benefit has been triggered, but, if after a thorough search, Protective Life is still unable to locate the Beneficiary of the Death Benefit, or the Beneficiary does not come forward to claim the Death Benefit in a timely manner, the Death Benefit will be paid to the abandoned property division or unclaimed property office of the state in which the Beneficiary or the Owner last resided, as shown on our books and records, or to our state of domicile. This "escheatment" is revocable, however, and the state is obligated to pay the Death Benefit (without interest) if your Beneficiary steps forward to claim the Death Benefit with the proper documentation. To prevent such escheatment, it is important that you update your Beneficiary designations, including addresses, if and as they change. Such updates should be communicated in writing, by telephone, or other approved electronic means to the Home Office.

OPTIONAL BENEFITS UNDER THE POLICY

In addition to the standard death benefits associated with your Policy, other optional benefits may also be available to you. The following table summarizes information about these optional benefits. Information about the fees associated with each benefit included in the table may be found in the Fee Table.

Name of Benefit

 

Purpose

 

Description of Restrictions/Limitations

 

Term Life Insurance Rider

 

To provide for level term insurance on the life of the Insured.

  The Term Life Insurance Rider:
• can only be added at the time of Policy issue
• the purchaser must satisfy certain criteria such as the number of Policies it expects to purchase and the expected aggregate Total Face Amount under all such Policies
 

Change of Insured Endorsement

 

Allows the Owner to change the named Insured under the Policy.

  The change of insured endorsement is:
• Not available to individual Owners.
• Can only be added at the time of Policy issue.
 

The following supplemental benefits available through riders and endorsements may be available to be added to your Policy. Monthly charges, if applicable, for these riders and endorsements will be deducted from your Policy Value as part of the monthly deduction. See Monthly Deduction. The Term Life Insurance Rider (i) can only be added at the


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time of Policy issue and (ii) the purchaser must satisfy certain criteria such as the number of Policies it expects to purchase and the expected aggregate Total Face Amount under all such Policies.

The Change of Insured Endorsement (i) is not available to individual Owners, and (ii) can only be added at the time of Policy issue, as further discussed below under Change of Insured Endorsement (not available to individual Owners). Please ask your Protective Life agent for further information, or contact the Home Office.

Term Life Insurance Rider. This rider provides term life insurance on the Insured. Coverage is automatically annually renewable until the Insured's Attained Age 121. The amount of Death Benefit provided under this rider may vary on a monthly basis as described below. The Company will pay the Term Life Insurance Rider's Death Benefit ("Rider Death Benefit") to the Beneficiary when the Company receives proof of the death of the Insured and that the death occurred while this rider was in force. This rider does not have a Cash Value.

We offer this rider in circumstances that result in the savings of sales and distribution expenses and administrative costs. To qualify, a corporation, employer, or other purchaser must satisfy certain criteria such as, for example, the number of Policies it expects to purchase and the expected Total Face Amount under all such Policies. Generally, the sales contacts and effort and administrative costs per Policy depend on factors such as the number of Policies purchased by a single Owner, the purpose for which the Policies are purchased, and the characteristics of the proposed Insureds. The amount of reduction and the criteria for qualification are related to the sales effort and administrative costs resulting from sales to a qualifying Owner. Protective Life from time to time may modify on a uniform basis both the amounts of reductions and the criteria for qualification. Reductions in these charges will not be unfairly discriminatory against any person, including the affected Owners funded by the Variable Account.

If you purchase this rider, the Total Face Amount, as selected by the Owner, will be the sum of the Base Policy Face Amount and the amount of coverage provided by this rider (the "Term Life Insurance Rider Face Amount"). The Owner elects the Total Face Amount and the applicable percentage of Term Life Insurance Rider Face Amount which ranges from 10% to 90% of the Total Face Amount.

The amount of the Rider Death Benefit depends on the death benefit option that applies under your Policy. The Rider Death Benefit will be determined on each Monthly Anniversary Day in accordance with one of those options. While this rider is in force, the Rider Death Benefit is included in the Death Benefit payable under the Policy and will at all times be the same as the option you have chosen for your Policy.

Option 1: Level Death

The Rider Death Benefit will be:

•  the greater of:

a)  the Total Face Amount shown on the Policy Schedule, less any partial withdrawals; or

b)  the Cash Value on the Insured's date of death multiplied by the applicable Factor shown in the Table on the Policy Schedule and based on the age of the Insured on date of death.

•  less the greater of:

c)  the Base Policy Face Amount shown on the Policy Schedule; or

d)  the Policy Value of the Policy.

Option 2: Coverage Plus

The Rider Death Benefit will be:

•  the greater of:

a)  the Total Face Amount shown on the Policy Schedule, plus the Policy Value Account on the Insured's date of death; or

b)  the Cash Value on the Insured's date of death multiplied by the applicable Factor shown in the Table on the Policy Schedule based on the age of the Insured at date of death.

•  less

c)  the Base Policy Face Amount shown on the Policy Schedule; plus

d)  the Policy Value of the Policy.


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If the Total Face Amount is changed based on the Request of the Owner to change the Death Benefit Option, then the Base Policy Face Amount and the Term Life Insurance Rider Face Amount will be changed proportionally to the change in the Total Face Amount.

If you purchase this rider, the sales load will be proportionately lower as a result of a reduction in commission payments. Commissions payable to sales representatives for the sale of the Policy are calculated based on the total premium payments. As a result, this rider generally is not offered in connection with any Policy with annual premium payments of less than $100,000, except for policies issued on a guaranteed issue basis. In our discretion, we may decline to offer this rider or refuse to consent to a proposed allocation of coverage between a Policy and term rider.

If this rider is offered, the commissions will vary depending on the allocation of your coverage between the Policy and the term rider. The same initial Death Benefit will result in the highest commission when there is no term rider, with the commission declining as the portion of the Death Benefit coverage allocated to the term rider increases. Thus, the lowest commission amount is payable, and the lowest amount of sales load deducted from your premiums will occur, when the maximum term rider is purchased.

This rider will terminate upon the earliest of:

•  Request by the Owner;

•  The date the Policy is surrendered or coverage has ceased; or

•  The death of the Insured.

The fees and rider are subject to the terms and conditions contained in the "Fees and Charges" provision in the Policy and are described in detail in the Charges and Deductions section of this Prospectus, where applicable.

The calculation of the fees and charges described in detail in the Charges and Deductions section of this Prospectus are modified as follows if this rider is elected:

Cost of Insurance under the Term Life Insurance Rider. While this rider is in force, the Death Benefit described in the Policy includes the Rider Death Benefit. The cost of insurance for the Policy and this rider is calculated as follows and there is no additional cost of insurance charge for this rider.

a)  The Death Benefit divided by the death benefit interest rate factor as shown on the Policy Schedule, less the Policy Value Account on each Monthly Anniversary, multiplied by the current monthly risk rate for the Insured's Attained Age; plus

b)  The monthly administration charge.

If there has been an increase or decrease in the Death Benefit during the Policy Year, the cost of insurance calculation will be adjusted accordingly to reflect the change.

Expense Charge under the Term Life Insurance Rider. While this rider is in force, a reduction of the current expense charge assessed will be made in proportion to the applicable percentage of the Term Life Insurance Rider Face Amount which is equal to the Term Life Insurance Rider Face Amount divided by the Total Face Amount. The expense charge assessed will not exceed the maximum expense charge shown on the Policy Schedule. The Return of Expense Charge Benefit as described in the "Return of Expense Charge Benefit" section in this Prospectus will be calculated for the current expense charge as assessed, as described above, when this rider is elected. The Return of Expense Charge Schedule is shown on the Policy Schedule.

Mortality and Expense Charges under the Term Life Insurance Rider. While this rider is in force, a reduction of the current mortality and expense charges assessed will be based on the applicable percentage of the Term Life Insurance Rider Face Amount which is equal to the Term Life Insurance Rider Face Amount divided by the Total Face Amount. The mortality and expense charges assessed per year will be determined by us but will not exceed 0.90% annually.

Example of the Operation of the Term Life Insurance Rider.

The Term Life Insurance Rider — if purchased with the Base Policy — will not impact the Death Benefit provided by the Total Face Amount, but will cause a reduction in the expense charges applied against the Policy Value. This reduction in charges will provide for higher Policy Values than if no Term Life Insurance Rider were elected. For example, if the Term Life Insurance Rider Face Amount is equal to $25,000 and the Total Face Amount equals $100,000, there will be a 25% reduction in the assessed expense charge. Similarly, there is a reduction of the current Mortality and Expense Charges, down to 0.10% when the maximum percentage of Term Life Insurance Rider Face Amount is utilized. Accordingly, for a purchase of $100,000 of life insurance coverage ($75,000 Base and $25,000


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Term), Death Benefits over the life of the Policy due to the expense charge reductions may exceed the Death Benefits provided if no Term Rider was purchased and the $100,000 coverage was provided solely under the Base Policy.

Change of Insured Endorsement (not available to Individual Owners). This endorsement permits you to change the Insured under your Policy or any Insured that has been named by virtue of this endorsement. Before we change the Insured you must provide us with (1) a written Request in Good Order for the change signed by you and approved by us; (2) evidence of Insurability for the new Insured; (3) evidence that there is an insurable interest between you and the new Insured; (4) evidence that the new Insured's age, at the nearest birthday, is under 70 years; and (5) evidence that the new Insured was born prior to the Policy Effective Date. We may charge a fee for administrative and underwriting expenses when you change the Insured. The minimum charge is $100 per change and the maximum charge is $400 per change. When a change of Insured takes effect, premiums will be based on the new Insured's age, sex, mortality class and the premium rate in effect on the Change of Insured Date, which is the Monthly Anniversary on or following the date of approval by the Company of the new Insured. See also Tax Considerations — Change of Insured Endorsement. The monthly risk rates will be based on the new Insured's age and sex as of the Policy Date and the premium class as of the Change of Insured Date. The maximum monthly risk rates are shown on the updated Policy Schedule and are based on the Mortality Table as shown on the updated Policy Schedule, age nearest birthday. The Company may charge a lower monthly risk rate than shown on the Policy Schedule. The Total Face Amount of the Policy will not change on the Change of Insured Date.

TRANSFERS

Upon receipt of Written Notice in Good Order to Protective Life at the Home Office you may transfer the Fixed Account Value to the Variable Account or the Variable Account Value to the Fixed Account subject to certain restrictions described below. Transfer requests received at the Home Office before 3:00 P.M. Central Time are processed as of the Valuation Date the request is received. Requests received in Good Order at or after 3:00 P.M. Central Time are processed as of the next Valuation Date.

Fixed Account Transfers

Transfers into the Fixed Account are limited to once every 60 days and to a maximum amount of $20 million. Your transfer will be rejected if it would cause the value of the Fixed Account to exceed such maximum dollar amount.

Transfers from the Fixed Account may only be made once every 365 days. The maximum to be transferred out will be the greater of 25% of your balance in the Fixed Account or the amount of the transfer in the previous 365-day period. Due to these limitations, if you want to transfer all of your Policy Value from the Fixed Account to the Variable Account, it may take several years to do so. Partial withdrawals are treated as Transfers out of the Fixed Account. Except for the time period and percentage allowed for Transfers out of the Fixed Account, which are set at issue of the Policy and will not change, the Company will give 30 days' written notice to the Owner if any of the limitations and time periods referred to above or in the Policy and Policy Schedule are changed. Any changes will not discriminate unfairly against any class of Owners or Insureds.

Guaranteed Paid-Up Option: Once every Policy Anniversary, the Owner may Transfer all amounts in the Variable Account into the Fixed Account and apply the Cash Surrender Value, excluding the Return of Expense Charge Benefit, as a single premium to provide an amount of guaranteed paid-up insurance. This net single premium will be based on the Insured's Attained Age, sex and premium class on the date of the transfer, as adjusted for any substandard rating, the Mortality Table as shown on the Policy Schedule, and computed at an interest rate of 4%. Any payments necessary to keep a rider or endorsement in force may be deducted from the paid-up policy. The Owner may increase the Total Face Amount of such paid-up policy subject to evidence of insurability. Future Cash Surrender Values of the paid-up policy will be calculated by multiplying the amount of guaranteed paid-up insurance by a net single premium at each successive duration. The net single premium will be based on the Insured's Attained Age, sex and premium class, as adjusted for any substandard rating, the Mortality Table as shown on the Policy Schedule, and computed at an interest rate of 4%.

Sub-Account Transfers

Subject to our rules as they may exist from time to time, you may at any time (in some circumstances only after the Cancellation Period) transfer to another Sub-Account, all or a portion of the Variable Account Value allocated to a Sub-Account. The Company may limit the availability of any Sub-Account with respect to Transfers if required by any law, regulation or governing body to do so or where the Sub-Account is not meeting performance objectives and notice of any such limitations will be given in compliance with any regulatory requirements where applicable.

A fee of $10 per transfer will apply for all non-electronic transfers in excess of 12 made in a Policy Year. We may change the amount of the transfer fee; however, it is guaranteed to never exceed $10 per transfer. All transfers


34


requested on the same Business Day will count as only one transfer toward the 12 free transfers. Currently, electronic transfers do not count towards the 12 free transfers; however, we reserve the right, at any time, to charge for electronic transfers in excess of the free transfers allowed.

Upon receipt of Written Notice in Good Order, or where transfers are allowed to be made electronically or in such manner as Protective Life authorizes from time to time, to Protective Life at the Home Office, you may transfer the Variable Account Value between Sub-Accounts, subject to certain restrictions described below. Transfers may be requested by indicating the transfer of either a specified dollar amount or a specified percentage of the Sub-Account Value from which the transfer will be made. Transfer requests received at the Home Office before 3:00 P.M. Central Time are processed as of the Valuation Date the request is received. Requests received in Good Order at or after 3:00 P.M. Central Time are processed as of the next Valuation Date.

Transfer privileges are subject to our consent. We reserve the right to impose limitations on transfers, including, but not limited to: (1) the minimum amount that may be transferred to a Sub-Account; and (2) the minimum Sub-Account Value that must remain following a transfer from that Sub-Account. In addition, we may enforce the restriction on transfers set forth in your Policy and in cases of identified market timing unless the Sub-Account has additional restrictions that are noted in the respective Fund's prospectus. See Limitations on frequent transfers, including 'market timing' transfers below.

Protective Life may, however defer transfers under the same conditions that payment of Death Benefit Proceeds, withdrawals and surrenders may be delayed. See Suspensions or Delays in Payments. The minimum amount that may be transferred is the lesser of $100 or the entire amount in any Sub-Account from which the transfer is made. If, after the transfer, the amount remaining in a Sub-Account(s) would be less than $1000, Protective Life reserves the right to transfer the entire amount instead of the requested amount.

We will give written notice thirty (30) days before we limit the number of transfers. The transfer fee, if any, is deducted from the amount being transferred. Protective Life reserves the right to terminate, suspend or modify transfer privileges at any time.

Limitations on frequent transfers, including "market timing" transfers. Frequent transfers may involve an effort to take advantage of the possibility of a lag between a change in the value of a Fund's portfolio securities and the reflection of that change in the Fund's share price. This strategy, sometimes referred to as "market timing," involves an attempt to buy shares of a Fund at a price that does not reflect the current market value of the portfolio securities of the Fund, and then to realize a profit when the Fund shares are sold the next Valuation Date or thereafter. When you request a transfer among the Sub-Accounts, your request triggers the purchase and redemption of Fund shares. Frequent transfers cause frequent purchases and redemptions of Fund shares. Frequent purchases and redemptions of Fund shares can cause adverse effects for a Fund, Fund shareholders, the Variable Account, other Owners, beneficiaries or Owners of other variable life insurance policies we issue that invest in the Variable Account and the Funds. Frequent transfers can result in the following adverse effects:

•  Increased brokerage trading and transaction costs;

•  Disruption of planned investment strategies;

•  Forced and unplanned liquidation and portfolio turnover;

•  Lost opportunity costs; and

•  Large asset swings that decrease the Fund's ability to provide maximum investment return to all Policy Owners.

In order to try to protect our Policy Owners and the Funds from the potential adverse effects of frequent transfer activity, the Company has implemented certain market timing policies and procedures (the "Market Timing Procedures"). Our Market Timing Procedures are designed to detect and prevent frequent, short-term transfer activity that may adversely affect the Funds, Fund shareholders, the Separate Account, other Policy Owners' beneficiaries and Policy Owners of other variable life policies we issue that invest in the Funds.

We monitor transfer activity in the Policies to identify frequent transfer activity in any Policy. Our current Market Timing Procedures are intended to detect transfer activity in which the transfers exceed a certain dollar amount and a certain number of transfers involving the same Sub-Accounts within a specific time period. We regularly review transaction reports in an attempt to identify transfers that exceed our established parameters.

When we identify transfer activity exceeding our established parameters in a Policy or group of Policies that appear to be under common control, we suspend non-written methods of requesting transfers for that Policy or group of Policies. All transfer requests for the affected Policy or group of Policies must be made by Written Notice in Good Order to the Home Office. We notify the affected Policy Owner(s) in writing of these restrictions.


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In addition to our Market Timing Procedures, the Funds may have their own market timing policies and restrictions. While we reserve the right to enforce the Funds' policies and procedures, Owners and other persons with interests under the Policies should be aware that we may not have the contractual authority or the operational capacity to apply the market timing policies and procedures of the Funds. However, under SEC rules, we are required to: (1) enter into a written agreement with each Fund or its principal underwriter that obligates us to provide to the Fund promptly upon request certain information about the trading activity of individual Owners, and (2) execute instructions from the Fund to restrict or prohibit further purchases or transfers by specific Owners who violate the market timing policies established by the Fund.

Some of the Funds have reserved the right to temporarily or permanently refuse payments or transfer requests from us if, in the judgment of the Fund's investment adviser, the Fund would be unable to invest effectively in accordance with its investment objective or policies, or would otherwise potentially be adversely affected. To the extent permitted by law, we reserve the right to delay or refuse to honor a transfer request, or to reverse a transfer at any time we are unable to purchase or redeem shares of any of the Funds because of the Fund's refusal or restriction on purchases or redemptions. We will notify the Policy Owner(s) of any refusal or restriction on a purchase or redemption by a Fund relating to that Policy Owner's transfer request. Some Funds also may impose redemption fees on short-term trading (i.e., redemptions of mutual Fund shares within a certain number of business days after purchase). We also reserve the right to implement, administer, and collect any redemption fees imposed by any of the Funds. You should read the prospectus of each of the Funds for more information about its ability to refuse or restrict purchases or redemptions of its shares, which may be more or less restrictive than our Market Timing Procedures and those of other Funds, and to impose redemption fees.

We apply our Market Timing Procedures consistently to all Policy Owners without special arrangement, waiver or exception. We reserve the right to change our Market Timing Procedures at any time without prior notice as we deem necessary or appropriate to better detect and deter potentially harmful frequent transfer activity, to comply with state or federal regulatory requirements, or both. We may change our parameters to monitor for different dollar amounts, number of transfers, time period of the transfers, or any of these.

Policy Owners seeking to engage in frequent transfer activity may employ a variety of strategies to avoid detection. Our ability to detect and deter such transfer activity is limited by operational systems and technological limitations. Furthermore, the identification of Policy Owners determined to be engaged in transfer activity that may adversely affect others involves judgments that are inherently subjective. Accordingly, despite our best efforts, we cannot guarantee that our Market Timing Procedures will detect or deter every potential market timer. In addition, because other insurance companies, retirement plans, or both may invest in the Funds, we cannot guarantee that the Funds will not suffer harm from frequent transfer activity in contracts or policies issued by other insurance companies or by retirement plan participants.

Reservation of Rights

Protective Life reserves the right without prior notice to modify, restrict, suspend or eliminate the transfer privileges at any time, for any class of Policies, for any reason. In particular, we reserve the right not to honor transfer requests by a third party holding a power of attorney from an Owner where that third party requests simultaneous transfers on behalf of the Owners of two or more Policies. In the event Protective Life chooses to exercise these rights, we will notify the affected Owners in writing or through a supplement to this Prospectus.

SURRENDERS AND WITHDRAWALS

Surrender Privileges

At any time while the Policy is still in force and while the Insured is still living, you may surrender your Policy for its Cash Surrender Value less any monthly cost of insurance charges on the date of surrender. Cash Surrender Value is determined as of the end of the Valuation Period during which the Written Notice in Good Order requesting the surrender, the Policy and any other required documents are received by Protective Life at the Home Office. Valuation Periods end at the close of regular trading on the New York Stock Exchange, which is generally at 3:00 P.M. Central Time. Protective Life will process any surrender request in Good Order received at the Home Office at or after the end of the Valuation Period on the next Valuation Date. The Cash Surrender Value is paid in a lump sum unless the Owner requests payment under a settlement option that the Company is then offering. Payment is generally made within 7 calendar days but may be subject to postponement. See Suspensions or Delays in Payments. A Policy which terminates upon surrender cannot later be reinstated. Surrenders may have tax consequences. See Tax Considerations.


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Return of Expense Charge Benefit

If the Policy is surrendered for the surrender benefit within the first 7 Years from the Policy Effective Date then, the Company will return a percentage of the expense charge. The Return of Expense Charge Benefit is calculated by applying a percentage of the Policy Value Account on the date the surrender Request is received at the Administrative Office. The Return of Expense Charge Benefit will equal the percentage of expense charge paid plus 1% in Policy Year 1, and will then be reduced by a proportional amount in each Policy Year thereafter with it equaling 1% in Policy Year 7. Beginning in Policy Year 8 and all subsequent Policy Years, the Return of Expense Charge Benefit will be 0%.

The Return of Expense Charge Benefit is not available if the Policy is surrendered under the terms of Section 1035 of the Code and is not calculated for a Policy loan, partial withdrawal or when coverage under the Policy lapses.

The Return of Expense Charge Benefit creates a General Account obligation of the Company. The Return of Expense Charge Benefit is payable to the Owner. The Company may reduce or eliminate any Return of Expense Charge Benefit when there is a change of Owner or an assignment of the Policy.

The following examples demonstrate the Return of Expense Charge Benefit. They assume you have a Policy Value of $10,000, have not taken any loans, and have not elected the Term Life Insurance Rider.

Example 1: Policy Year 1 (Return of Expense Charge Benefit % = 7%)

  Formula

Return of Expense Charge Benefit (Expense Charge % + 1%) =   7% (6% + 1%)

Policy Value =  $10,000

Return of Expense Charge Benefit $ in Year 1 =  $700 ($10,000 x 7%)

Example 2: Policy Year 7 (Return of Expense Charge Benefit % = 1%)

  Formula

Return of Expense Charge Benefit=  1%

Policy Value =  $10,000

Return of Expense Charge Benefit $ in Year 7 =  $100 ($10,000 x 1%)

Withdrawal Privileges

You may request, by Written Notice in Good Order received at the Home Office, a partial withdrawal of your Policy at any time while the Policy is in force. The amount of any partial withdrawal must be at least $500 and may not exceed 90% of your Policy Value less outstanding Policy Debt. We will charge a partial withdrawal fee of $25 per withdrawal on partial withdrawals after the first in a Policy Year. The partial withdrawal fee will be deducted proportionally from all Sub-Accounts and Fixed Account. There are limits to taking partial withdrawals from the Fixed Account. See The Fixed Account.

The Total Face Amount (if Death Benefit Option 1 applies) and your Policy Value will be reduced by the amount of any withdrawals. Withdrawals may have tax consequences. See Tax Considerations. Protective Life will withdraw the amount requested, plus a withdrawal charge from unloaned Policy Value as of the end of the Valuation Period during which the Written Notice in Good Order is received at the Home Office. Valuation Periods end at the close of regular trading on the New York Stock Exchange, which is generally at 3:00 P.M. Central Time.

Protective Life will process any withdrawal request in Good Order received at the Home Office at or after the end of the Valuation Period on the next Valuation Date.

The amount of a withdrawal will be withdrawn from the Sub-Accounts and the Fixed Account in proportion to the amounts in the Sub-Accounts and the Fixed Account bearing on your Policy Value. You cannot repay amounts taken as a partial withdrawal. Any subsequent payments received by us will be treated as additional premium payments and will be subject to our limitations on premiums.

POLICY LOANS

You may request a loan under your Policy. Loans allow you to access Policy Value without incurring charges associated with withdrawals. Policy loans must be requested by Written Notice in Good Order received at the Home Office. The minimum loan amount is $500 and the maximum Policy loan value is equal to: 90% of the Policy Value Account at the time of the Policy loan; less any outstanding Policy loans and accrued loan interest; less the current cost of insurance remaining for the balance of the Policy Year; less interest on the Policy loan to the next Policy Anniversary date.


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Outstanding Policy Debt, and the Monthly Deductions therefore reduces the amount available for new Policy loans. Loan proceeds generally are mailed within seven calendar days of the loan being approved. A Policy loan will be a first lien on the Policy in favor of the Company. Loan amounts taken from the Fixed Account may, at the Company's discretion, be postponed for a period of up to 6 months.

Loan Collateral

When a Policy loan is made, an amount equal to the loan is transferred out of the Sub-Accounts and/or the Fixed Account and into a Loan Account established for the Policy. Like the Fixed Account, a Policy's Loan Account is part of Protective Life's General Account and amounts therein earn interest as credited by Protective Life from time to time. Because Loan Account values are part of Policy Value, a loan will have no immediate effect on the Policy Value. In contrast, Cash Surrender Value (including, as applicable, Variable Account Value and Fixed Account Value) under a Policy is reduced immediately by the amount transferred to the Loan Account. The Owner can, by Request, specify the Sub-Accounts and/or the Fixed Account from which collateral is transferred to the Loan Account. If no allocation is specified, collateral is transferred from each Sub-Account and from the Fixed Account in the same proportion that the value in each Sub-Account and the Fixed Account bears to the total unloaned Policy Value on the date that the loan is made.

On each Policy Anniversary, an amount of Policy Value equal to any due and unpaid loan interest (explained below), is also transferred to the Loan Account. Such interest is transferred from each Sub-Account and the Fixed Account in the same proportion that each Sub-Account Value and the Fixed Account Value bears to the total unloaned Policy Value.

Loan Repayment

You may repay all or part of your Policy Debt (the amount borrowed plus accrued interest) at any time while the Insured is living and the Policy is in force. Loan repayments in Good Order must be sent to the Home Office and are credited as of the Valuation Date received. The Owner must specify by Written Notice that any unscheduled premiums paid while a loan is outstanding be applied as loan repayments. (Loan repayments, unlike unscheduled premium payments, are not subject to the premium expense charge.) When a loan repayment is made, Policy Value in the Loan Account in an amount equal to the repayment is transferred from the Loan Account to the Sub-Accounts and the Fixed Account. Thus, a loan repayment will have no immediate effect on the Policy Value, but the Cash Surrender Value (including, as applicable, Variable Account Value and Fixed Account Value) under a Policy is increased immediately by the amount transferred from the Loan Account. Unless specified otherwise by the Owner(s), amounts are transferred to the Sub-Accounts and/or the Fixed Account in the same proportion that Net Premiums are allocated. Protective Life's ability to credit interest on Policy Value in the Loan Account is subject to the Company's financial strength and claims paying ability.

Interest

The interest rate on the Policy loan will be determined annually, using a simple interest formula, at the beginning of each Policy Year. Specific loan interest rate information can be obtained by calling 888-353-2654. That interest rate will be guaranteed for that Policy Year and will apply to all Policy loans outstanding during that Policy Year. Interest is due and payable on each Policy Anniversary. Interest not paid when due will be added to the principal amount of the loan and will bear interest at the loan interest rate.

Presently, the maximum interest rate for Policy loans is the Moody's Corporate Bond Yield Average — Monthly Average Corporates, which is published by Moody's Investor Service, Inc. If the Moody's Corporate Bond Yield Average ceases to be published, the maximum interest rate for Policy loans will be derived from a substantially similar average adopted by the Superintendent of the New York Department of Financial Services.

We must reduce our Policy loan interest rate if the maximum loan interest rate is lower than the loan interest rate for the previous Policy Year by one-half of one percent or more.

We may increase the Policy loan interest rate but such increase must be at least one-half of one percent. No increase may be made if the Policy loan interest rate would exceed the maximum loan interest rate.

The Company will send to the Owner and any assignee of record advance notice, as soon as is reasonably possible of any increase in the rate, but no less than 30 days' notice will be given. The Policy will not lapse as a result of a change in the Policy loan interest rate during the Policy Year of such change.


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Non-Payment of Policy Loan

If the Insured dies while a loan is outstanding, the Policy Debt (which includes any accrued but unpaid interest) is deducted from the Death Benefit in calculating the Death Benefit Proceeds.

Effect of Policy Loans

A loan, whether or not repaid, has a permanent effect on the Death Benefit and Policy Value because the investment results of the Sub-Accounts and current interest rates credited on Fixed Account Value do not apply to Policy Value in the Loan Account. The larger the loan and longer the loan is outstanding, the greater will be the effect of Policy Value held as collateral in the Loan Account. Depending on the investment results of the Sub-Accounts or credited interest rates for the Fixed Account while the loan is outstanding, the effect could be favorable or unfavorable. Policy loans also may increase the potential for Lapse if investment results of the Sub-Accounts to which Cash Surrender Value is allocated is unfavorable. Since interest credited on the Loan Account is transferred to the Sub-Accounts, even if the interest rate charged on the Policy Debt is equal to the rate credited on Policy Value in the Loan Account, unpaid interest will be added to the outstanding loan balance and will increase Policy Debt. If a Policy lapses with loans outstanding, certain amounts may be subject to income tax. In addition, if your Policy is a "modified endowment contract," loans may be currently taxable and subject to a 10% additional tax. See Tax Considerations for a discussion of the tax treatment of Policy loans.

SUSPENSION OR DELAYS IN PAYMENTS

Protective Life will ordinarily pay any Death Benefit proceeds, Policy loans, withdrawals, or surrenders within seven calendar days after receipt at the Home Office of all the documents required for such a payment. Other than the Death Benefit, which is determined as of the date of death of the Insured, the amount will be determined as of the Valuation Date of receipt of all required documents in Good Order at the Home Office. However, Protective Life may delay making a payment or processing a transfer request if (1) the New York Stock Exchange is closed for other than a regular holiday or weekend, trading on the Exchange is restricted by the SEC, or the SEC declares that an emergency exists as a result of which the disposal or valuation of Variable Account assets is not reasonably practicable; (2) the SEC by order permits postponement of payment to protect Owners; or (3) your premium check has not cleared your bank. See also Payments from the Fixed Account.

In certain circumstances, applicable federal law may require Protective Life to "freeze" your account and refuse your request for a transfer, withdrawal, surrender, loan or death proceeds until receipt of instructions from the appropriate regulator. We also may be required to provide information about you and your account to a government regulator. If, pursuant to SEC rules, the Money Market Sub-Account suspends payment of redemption proceeds in connection with a liquidation of the Fund, we will delay payment of any transfer, partial withdrawal, surrender, loan, or death benefit from the Money Market Sub-Account until the Fund is liquidated. During the postponement period, the Sub-Account Value may continue to be subject to the investment experience (gains or losses) of the Fund(s) and all applicable charges.

The Company may defer payment of any withdrawal, surrender or Policy loan proceeds from the Fixed Account for up to 6 months after a Request is received. If the Company delays payment of surrender benefits under this Policy, the Company will pay interest at the rate specified under applicable state law as required, if any, at the time of the Request.

LAPSE AND REINSTATEMENT

Lapse

Failure to pay planned periodic premiums will not necessarily cause a Policy to Lapse (terminate without value). Paying all planned periodic premiums will not necessarily prevent a Policy from lapsing. A Policy will Lapse if its Policy Value less the Policy Debt is insufficient to cover the Monthly Deduction on the Monthly Anniversary Day. If the Cash Surrender Value on any Monthly Anniversary Day is less than the amount of the Monthly Deduction due on that date, the Policy will be in default and a grace period will begin. This could happen if investment experience has been sufficiently unfavorable that it has resulted in a decrease in Cash Surrender Value or the Cash Surrender Value has decreased because you have not paid sufficient Net Premiums to offset prior Monthly Deductions.

You have a 61-day grace period to make a payment of Net Premium at least sufficient to cover the monthly cost of insurance for the next three months. Protective Life will send you, at your last known address and the last known address of any assignee of record, notice of the premium required to prevent Lapse. A Policy will remain in effect during the grace period. If the Insured should die during the grace period, the Death Benefit Proceeds payable to the Beneficiary will reflect a reduction for the Monthly Deductions due on or before the date of the Insured's death as well as


39


any unpaid Policy Debt or liens (including accrued interest). See Standard Death Benefits. Unless the premium stated in the notice is paid before the grace period ends, the Policy will Lapse. A Policy Lapse may have tax consequences.

See Tax Considerations.

Policy Maturity. If the Insured is living and the Policy is in force on the Policy Anniversary at attained age 121 then this Policy will remain in force. The Death Benefit will be equal to the Policy Value. No premium payments will be allowed except for those that are required in order to prevent the Policy from lapsing. Partial withdrawals, Policy loans and Policy loan repayments will be permitted, subject to the provisions herein and the provisions of any riders and endorsements attached to the Policy. No further cost of insurance charges will be deducted. This Policy may not qualify as life insurance if it is continued beyond the Policy Anniversary nearest the 121st birthday and may be subject to adverse tax consequences. Please consult a tax advisor prior to continuing coverage beyond that time.

The Policy Value will remain in the Sub-Accounts and/or Fixed Account, in accordance with your then current allocation instructions. You may change your Sub-Account allocation instructions and you may transfer your Policy Value among the Sub-Accounts and Fixed Account. Any amounts transferred into the Fixed Account after policy maturity and any amounts already invested in the Fixed Account at policy maturity will continue to earn interest at the guaranteed interest rate. All charges under your Policy, to the extent applicable, will continue to be assessed, except we will no longer make a deduction each Policy Month for the cost of insurance. As your Policy Value changes based on the investment experience of the Sub-Accounts, the Death Benefit will increase or decrease accordingly. You may surrender the matured Policy at any time. Please see Tax Considerations — Treatment When Insured Reaches Attained Age 121.

Reinstatement

A Policy may be reinstated within 3 years after the coverage ceased, unless it has been surrendered. For a Policy to be reinstated, the Company must receive:

1.  A Request from the Owner;

2.  Evidence of insurability for the Insured, at the Owner's expense;

3.  Payment of the cost of insurance for the grace period;

4.  Payment of an amount equal to 3 months' cost of insurance and other expense charges. Such payment less the expense charges will be credited to the Policy Value as of the date of reinstatement; and

5.  Payment or reinstatement of any Policy Debt which was outstanding as of the date the coverage ceased, including interest thereon. Interest will be the current loan interest rate per year and will be compounded annually to the date of the Policy reinstatement.

Reinstatement will become effective on the date the application for reinstatement is approved by the Company. In some circumstances, the reinstated Policy may be a modified endowment contract under Section 7702A of the Code, even if the Policy was not a modified endowment contract prior to lapse. Please see Tax Considerations — Policies That Are MECs-Modified Endowment Contracts.

REPORTS TO OWNERS

The Company maintains all records relating to the Variable Account, Sub-Accounts and the Fixed Account. We will send you a report at least once each Policy Year within 30 days after a Policy Anniversary. The report will show the current Policy Value, current allocation to each Sub-Account and/or the Fixed Account, death benefit, premiums paid, investment experience since your last report, deductions made since the last report, and any further information that may be required by the laws of the state in which your Policy was issued. It will also show the balance of all outstanding Policy loans and accrued interest on such loans as well as available loan amounts. There is no charge for this report.

We also will mail you confirmation notices or other appropriate notices of Policy transactions quarterly or more frequently within the time periods specified by law. Please give us prompt written notice of any address change. Please read your statements and confirmations carefully and verify their accuracy and contact us promptly with any questions.


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EXCHANGE OF POLICY

At any time during the first 18 policy months, so long as this Policy is in force, any Owner may exchange this Policy, without evidence of insurability, for a policy of general account life insurance that the Company then offers in the state of New York on the life of the Insured for the Total Face Amount of this Policy. Alternatively, the Owner may elect to transfer all amounts from the Variable Account into the Fixed Account without restriction, if the Company determines at the time of the exchange, that the Fixed Account under this Policy is competitively priced in relation to other general account products. The exchange to a general account policy is subject to the following requirements: (i) the new policy shall bear the same date of issue and issue age as this Policy and at the rates in effect on that date for the same premium class; (ii) the new policy shall include such incidental insurance benefits as are included in this Policy if such incidental insurance benefits are available for issue with the new policy; and (iii) the exchange shall be subject to an equitable premium or policy value adjustment that takes appropriate account of the premiums and policy values under this Policy. An Owner should consult with legal and tax advisors prior to any exchange of the Policy. See Tax Considerations — Other Employee Benefit Programs.

TAX CONSIDERATIONS

The following discussion of the federal income tax treatment of the Policy is not exhaustive, does not purport to cover all situations, and is not intended as tax advice. The federal income tax treatment of the Policy is unclear in certain circumstances, and a qualified tax adviser should always be consulted with regard to the application of law to individual circumstances. This discussion is based on the Internal Revenue Code of 1986, as amended (the "Code"), Treasury Department regulations, and interpretations existing on the date of this Prospectus. These authorities, however, are subject to change by Congress, the Treasury Department, and judicial decisions.

The Policy may be used in various arrangements, including non-qualified deferred compensation or salary continuance plans, split dollar insurance plans, executive bonus plans, retiree medical benefit plans and others. The tax consequences of such plans vary depending on the particular facts and circumstances of each individual arrangement. Therefore, if the use of the Policy in any such arrangement is contemplated, you should consult a qualified tax adviser for advice on the tax attributes and consequences of the particular arrangement. See also Employer-Owned Life Insurance, Split-Dollar Life Insurance, and Employer-Financed Insurance Purchase Arrangements — Tax and Other Legal Issues for more information regarding certain arrangements.

This discussion does not address state or local tax consequences associated with the purchase of the Policy. The state and local tax consequences with respect to your Policy may be different than the federal tax consequences. In addition, PROTECTIVE LIFE MAKES NO GUARANTEE REGARDING ANY TAX TREATMENT — FEDERAL, STATE OR LOCAL — OF ANY POLICY OR OF ANY TRANSACTION INVOLVING A POLICY.

Tax Status of Protective Life

Protective Life is taxed as a life insurance company under the Code. Since the operations of the Variable Account are a part of, and are taxed with, the operations of Protective Life, the Variable Account is not separately taxed as a "regulated investment company" under the Code. Under existing federal income tax laws, Protective Life is not taxed on investment income and realized capital gains of the Variable Account, although Protective Life's federal taxes are increased in respect of the Policies because of the federal tax law's treatment of deferred acquisition costs. Currently, a charge for federal income taxes is not deducted from the Sub-Accounts or the Policy's Cash Value. However, Protective Life does deduct a premium expense charge from each premium payment in all Policy Years in part to compensate us for the federal tax treatment of deferred acquisition costs. Protective Life reserves the right in the future to make a charge against the Variable Account or the Cash Values of a Policy for any federal, state, or local income taxes that we incur and determine to be properly attributable to the Variable Account or the Policy. Protective Life will promptly notify the Owner of any such charge.

Taxation of Insurance Policies

Tax Status of the Policies. Section 7702 of the Code establishes a statutory definition of life insurance for federal tax purposes. While the requirements of this section of the Code are complex, and limited guidance has been provided from the Internal Revenue Service ("IRS") or otherwise, Protective Life believes that the Policy will meet the current statutory definition of life insurance, which places limitations on the Cash Values that can accumulate relative to the Death Benefit. As a result, the Death Benefit payable under the Policy will generally be excludable from the Beneficiary's gross income, and interest and other income credited under the Policy will not be taxable unless certain withdrawals are made (or are deemed to be made) from the Policy prior to the Insured's death, as discussed below. This tax treatment will only apply, however, if (1) the investments of the Variable Account are "adequately diversified"


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in accordance with Treasury Department regulations, and (2) Protective Life, rather than the Owner, is considered the owner of the assets of the Variable Account for federal income tax purposes.

Diversification Requirements. The Code and Treasury Department regulations prescribe the manner in which the investments of a segregated asset account, such as the Variable Account, are to be "adequately diversified". If the Variable Account fails to comply with these diversification standards, the Policy will not be treated as a life insurance contract for federal income tax purposes and the Owner would generally be taxed currently on the income on the contract (as defined in the tax law). Protective Life expects that the Variable Account, through the Funds, will comply with the diversification requirements prescribed by the Code and Treasury Department regulations.

Ownership Treatment. In certain circumstances, variable life insurance contract owners may be considered the owners, for federal income tax purposes, of the assets of a segregated asset account, such as the Variable Account, used to support their contracts. In those circumstances, income and gains from the segregated asset account would be includible in the contract owners' gross income. The IRS has stated in published rulings that a variable contract owner will be considered the owner of the assets of a segregated asset account if the owner possesses incidents of ownership in those assets, such as the ability to exercise investment control over the assets.

The ownership rights under the Policy are similar to, but differ in certain respects from, the ownership rights described by the IRS in certain rulings where it was determined that contract owners were not owners of the assets of a segregated asset account (and thus were not currently taxable on the income and gains). For example, the Owner of this Policy has the choice of more investment options to which to allocate premium payments and Variable Account Value than were addressed in such rulings. These differences could result in the Policy Owner being treated as the owner of a portion of the assets of the Variable Account and thus subject to current taxation on the income and gains from those assets. In addition, Protective Life does not know what standards will be set forth in any further regulations or rulings which the Treasury Department or IRS may issue. Protective Life therefore reserves the right to modify the Policy as necessary to attempt to prevent Owners from being considered the owners of the assets of the Variable Account. However, there is no assurance that such efforts would be successful.

The remainder of this discussion assumes that the Policy will be treated as a life insurance contract for federal tax purposes.

Tax Deferral During Accumulation Period. Under existing provisions of the Code, except as described below, any increase in an Owner's Cash Value is generally not taxable to the Owner unless amounts are received (or are deemed to be received) from the Policy prior to the Insured's death. If there is a surrender of the Policy, an amount equal to the excess of the amount received over the "investment in the contract" will generally be includible in the Owner's income. The "investment in the contract" generally is the aggregate premiums paid less the aggregate amount previously received under the Policy to the extent such amounts received were excludable from gross income.

Whether withdrawals (or other amounts deemed to be distributed) from the Policy constitute income to the Owner depends, in part, upon whether the Policy is considered a "modified endowment contract" ("MEC") for federal income tax purposes.

Policies Not Owned by Individuals

In the case of a Policy issued to a nonnatural taxpayer, or held for the benefit of such an entity, a portion of the taxpayer's otherwise deductible interest expenses may not be deductible as a result of ownership of a Policy even if no loans are taken under the Policy. An exception to this rule is provided for certain life insurance contracts which cover the life of an individual who is a 20 percent owner, or an officer, director, or employee, of a trade or business. Entities that are considering purchasing the Policy, or entities that will be beneficiaries under a Policy, should consult a tax advisor.

Policies That Are MECs

Modified Endowment Contracts. Section 7702A of the Code treats certain life insurance contracts as MECs. In general, a Policy will be treated as a MEC if total premiums paid at any time during the first seven Policy Years exceed the sum of the net level premiums which would have been paid on or before that time if the Policy provided for paid- up future benefits after the payment of seven level annual premiums ("seven-pay test"). A Policy also may become a MEC in certain other circumstances. For example, if there is a "material change" to the Policy (including certain increases in the Death Benefit), the seven-pay test generally is applied anew and limits premiums which can be paid for a further seven years in order to avoid MEC status. A Policy may be treated as a MEC upon a "material change" to the Policy, such as where premium paid at the time of the material change exceeds the new seven-pay test limit.


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We will monitor your premium payments and other Policy transactions and notify you if a payment or other transaction might cause your Policy to become a MEC. We will not invest any premium or portion of a premium that would cause your Policy to become a MEC without instruction to do so from you. We will promptly notify you or your agent of the excess cash received. We will not process the premium payment unless we receive a MEC acceptance form or Policy change form within 48 hours of receipt of the excess funds. If paperwork is received that allows us to process the transaction, the effective date generally will be the date of the new paperwork.

Further, if a transaction occurs which decreases the Total Face Amount of your Policy during the first seven years, we will retest your Policy, as of the date of its purchase, based on the lower Total Face Amount to determine compliance with the seven-pay test. Also, if a decrease in Total Face Amount occurs within seven years of a "material change," we will retest your Policy for compliance with the new seven-pay test from the date of the "material change." Failure to comply in either case would result in the Policy's classification as a MEC regardless of our efforts to provide a payment schedule that would not otherwise violate the seven-pay test. A decrease in the Total Face Amount due to a lapse of the Policy during a seven-pay test period also can cause the Policy to be treated as a MEC, although there is a limited exception to such treatment where the lapse resulted from nonpayment of premiums and benefits are reinstated within 90 days of the decrease.

The rules relating to whether a Policy will be treated as a MEC are complex and cannot be fully described in the limited confines of this summary. Therefore, you should consult with a competent tax adviser to determine whether a particular transaction will cause your Policy to be treated as a MEC.

Distributions

Distributions Under a Policy that is Not a MEC. If the Policy is not a MEC, the amount of any withdrawal from the Policy generally will be treated first as non-taxable recovery of premium and then as income from the Policy. Thus, a withdrawal from a Policy that is not a MEC generally will not be includible in income except to the extent it exceeds the investment in the contract immediately before the withdrawal.

Certain Distributions Required by the Tax Law in the First 15 Policy Years. As indicated above, Section 7702 of the Code places limitations on the Cash Values that can accumulate relative to the Death Benefit. Where cash distributions are required under Section 7702 of the Code in connection with a reduction in benefits during the first 15 years after the Policy is issued (or if withdrawals are made in anticipation of a reduction in benefits, within the meaning of the tax law, during this period), some or all of such amounts may be includible in income notwithstanding the general rule described in the preceding paragraph. A reduction in benefits may result upon a decrease in the Total Face Amount, a change from one Death Benefit Option to the other, if withdrawals are made, and in certain other instances.

Tax Treatment of Loans. If a Policy is not classified as a MEC, a loan received under the Policy generally will be treated as indebtedness of the Owner. As a result, no part of any loan under a Policy will constitute income to the Owner so long as the Policy remains in force. However, in those situations where the interest rate credited to the Loan Account is identical (or nearly identical) to the interest rate charged for the loan, it is possible that some or all of the loan proceeds may be includible in income. If a Policy lapses or is surrendered when a loan is outstanding, the Cash Value of the Policy that served as collateral for, and repays, the outstanding loan will be treated as the proceeds of a surrender for purposes of determining whether any amounts are includable in the Owner's income. This treatment applies both under Policies that are not classified as MECs and under Policies that are classified as MECs. As a result, the amount of your taxable income could increase by some or all of the outstanding loan upon a lapse or surrender.

Generally, interest paid on any loans under this Policy will not be tax deductible. The non-deductibility of interest includes interest paid or accrued on indebtedness with respect to one or more life insurance policies owned by a taxpayer covering any individual who is or has been an officer or employee of, or financially interested in, any trade or business carried on by the taxpayer. A limited exception to this rule exists for certain interest paid in connection with certain "key person" insurance. In the case of interest paid in connection with a loan with respect to a Policy covering the life of any key person, interest is deductible only to the extent that the aggregate amount of loans under one or more life insurance policies does not exceed $50,000. Further, even as to such loans up to $50,000, interest would not be deductible if the Policy were deemed for federal tax purposes to be a single premium life insurance policy or, in certain circumstances, if the loans were treated as "systematic borrowing" within the meaning of the tax law. A "key person" is an individual who is either an officer or a 20 percent owner of the taxpayer. The maximum number of individuals who can be treated as key persons may not exceed the greater of (1) 5 individuals or (2) the lesser of 5 percent of the total number of officers and employees of the taxpayer or 20 individuals. Owners should consult a tax advisor regarding the deductibility of interest incurred in connection with this Policy.


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Distributions Under a Policy That Is a MEC. If treated as a MEC, your Policy will be subject to the following tax rules:

•  First, partial withdrawals are treated as ordinary income subject to ordinary income tax up to the amount equal to the excess (if any) of your Cash Value immediately before the distribution over the "investment in the contract" at the time of the distribution.

•  Second, Policy loans and loans secured by a Policy are treated as partial withdrawals and taxed accordingly. Any past- due loan interest that is added to the amount of the loan is treated as a loan.

•  Third, a ten percent additional tax is imposed on that portion of any distribution (including distributions upon surrender), Policy loans, or loans secured by a Policy, that is included in income, except where the distribution or loan is made to a taxpayer that is a natural person, and:

1.  is made when the taxpayer is age 591/2 or older (where the taxpayer is a natural person);

2.  is attributable to the taxpayer becoming disabled; or

3.  is part of a series of substantially equal periodic payments (not less frequently than annually) made for the life (or life expectancy) of the taxpayer or the joint lives (or joint life expectancies) of such taxpayer and his beneficiary, as defined in the tax law.

If the Owner assigns or pledges any portion of the Policy Value (or agrees to assign or pledge any portion), such portion will be treated as a withdrawal for tax purposes. If the entire Policy Value is assigned or pledged, subsequent increases in the Policy Value are also treated as withdrawals for as long as the assignment or pledge remains in place. The Owner's investment in the contract is increased by the amount includible in income with respect to any assignment, pledge, or loan, though it is not affected by any other aspect of the assignment, pledge, or loan (including its release or repayment). Before assigning, pledging, or requesting a loan under a Policy treated as a MEC, an Owner should consult a tax advisor.

Aggregation of Policies. All life insurance contracts which are treated as MECs and which are purchased by the same policyholder from Protective Life or any of its affiliates within the same calendar year will be aggregated and treated as one contract for purposes of determining the tax on withdrawals (including deemed withdrawals). The effects of such aggregation are not always clear; however, it could affect the amount of a surrender or a withdrawal (or a deemed withdrawal) that is taxable and the amount which might be subject to the 10% additional tax described above.

Treatment When Insured Reaches Attained Age 121. As described above, when the Insured reaches Attained Age 121, no further premiums can be paid and no cost of insurance charges will be deducted. We believe that the Policy will continue to qualify as a "life insurance contract" under the Code. However, there is uncertainty regarding the tax treatment of the Policy at such time. It is possible, for example, that you would be viewed as constructively receiving the Cash Value in the year in which the Insured attains age 121 and would realize taxable income at that time, even if no actual distribution is made at that time.

Section 1035 Exchanges

Section 1035 of the Code provides that no gain or loss will be recognized on the exchange of a life insurance policy for another life insurance policy, endowment contract, annuity contract, or qualified long-term care insurance contract, provided that certain requirements are met. If the Policy is being issued in exchange for another life insurance policy, the requirements that must be met to receive tax-free treatment under Section 1035 of the Code include but are not limited to: (1) the policies must have the same insured, and (2) the exchange must occur through an assignment of your old policy to us or by a direct transfer of the policy value of the old policy to us by the issuer of the old policy. If your old policy was a MEC, the Policy will also be a MEC. If any money or other property is received in the exchange ("boot"), gain (but not loss) will be recognized equal to the lesser of the gain realized on the exchange or the amount of the boot received. You cannot exchange an endowment, annuity, or long-term care insurance contract for a life insurance policy tax-free. Generally, the Policy will have the same investment in the contract as the exchanged policy. However, if boot is received in the exchange the investment in the contract will be adjusted. Special rules and procedures apply to Section 1035 exchanges. These rules can be complex, and if you wish to take advantage of Section 1035, you should consult a tax and/or legal adviser.


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Actions to Ensure Compliance with the Tax Law

Protective Life reserves the right to increase the Death Benefit (which may result in larger charges under a Policy) or to take any other action deemed necessary to ensure the compliance of the Policy with the federal tax definition of life insurance. If the Death Benefit is based on the applicable factor in the Table of Death Benefit Factors shown on the Policy Schedule, the Company in its sole discretion may refund all or a portion of the Cash Value which causes the Death Benefit to be based on such applicable factor.

Other Considerations

Changing the Owner, designating an irrevocable beneficiary, exchanging the Policy, increasing the Total Face Amount, changing from one Death Benefit Option to another, and other changes under the Policy may have tax consequences (other than those discussed herein) depending on the circumstances of such change or withdrawal. For example, in addition to consequences under Sections 7702 and 7702A of the Code, changes to a Policy may affect the application of Section 101(j) (relating to employer-owned life insurance) and Section 264(f) (disallowing certain interest expense deductions), with adverse tax consequences to the Owner. In addition, special tax consequences may apply if you sell your Policy.

Estate, Gift and Generation-Skipping Transfer Tax Considerations

The transfer of the Policy or designation of a beneficiary may have federal, state, and/or local transfer and inheritance tax consequences, including the imposition of gift, estate, and generation-skipping transfer taxes. For example, the transfer of the Policy to, or the designation as a beneficiary of, or the payment of proceeds to, a person who is assigned to a generation which is two or more generations below the generation assignment of the owner may have generation-skipping transfer tax consequences in addition to gift and estate tax consequences under federal tax law. The individual situation of each Owner or beneficiary will determine the extent, if any, to which federal, state, and local transfer and inheritance taxes may be imposed and how ownership or receipt of Policy proceeds will be treated for purposes of federal, state and local estate, inheritance, generation-skipping and other taxes.

If this Policy is used with estate and gift tax planning in mind, you should consult with your tax advisor as to the most up-to-date information as to federal estate, gift, and generation skipping tax rules.

Medicare Hospital Insurance Tax

A Medicare hospital insurance tax of 3.8% will apply to some types of investment income. This tax will apply to the taxable portion of (1) any proceeds distributed from the Policy as annuity payments pursuant to a settlement option prior to the death of the Insured, or (2) the proceeds of any sale or disposition of the Policy. This tax only applies to taxpayers with "modified adjusted gross income" above $250,000 in the case of married couples filing jointly or a qualifying widow(er) with dependent child, $125,000 in the case of married couples filing separately, and $200,000 for all others. For more information regarding this tax and whether it may apply to you, please consult your tax advisor.

Federal Income Tax Withholding

In General. Protective Life will withhold and remit to the federal government a part of the taxable portion of a surrender and withdrawal made under a Policy unless the Owner notifies Protective Life in writing and such notice is received at the Home Office at or before the time of the surrender or withdrawal that he or she elects not to have any amounts withheld. Regardless of whether the Owner requests that no taxes be withheld or whether Protective Life withholds a sufficient amount of taxes, the Owner will be responsible for the payment of any taxes including any additional tax that may be due on the amounts received. The Owner may also be required to pay penalties under the estimated tax rules if the Owner's withholding and estimated tax payments are insufficient to satisfy the Owner's tax liability.

Trade or Business Entity Owns or Is Directly or Indirectly a Beneficiary of the Policy

Where a Policy is owned by other than a natural person, the Owner's ability to deduct interest on business borrowing unrelated to the Policy can be impacted as a result of its ownership of cash value life insurance. No deduction generally will be allowed for a portion of a taxpayer's otherwise deductible interest expense unless the Policy covers only one individual and such individual is, at the time first covered by the Policy, a 20 percent owner of the trade or business entity that owns the Policy, or an officer, director, or employee of such trade or business.


45


Although this limitation generally does not apply to Policies held by natural persons, if a trade or business (other than one carried on as a sole proprietorship) is directly or indirectly the beneficiary under a Policy (e.g., pursuant to a split- dollar agreement), the Policy will be treated as held by such trade or business. The effect will be that a portion of the trade or business entity's deduction for its interest expenses will be disallowed unless the above exception for a 20 percent owner, employee, officer or director applies.

The portion of the entity's interest deduction that is disallowed will generally be a pro rata amount which bears the same ratio to such interest expense as the taxpayer's average unborrowed cash value bears to the sum of the taxpayer's average unborrowed cash value and average adjusted bases of all other assets. Any corporate or business use of the Policy should be carefully reviewed by your tax adviser with attention to these rules as well as any other rules and possible tax law changes that could occur with respect to corporate-owned life insurance. In the case of a Policy owned by an insurance company, similar rules apply under Sections 807 and 832 of the Code.

Employer-Owned Life Insurance

Section 101(j) of to the Code denies the tax-free treatment of death benefits payable under an employer-owned life insurance contract unless certain notice and consent requirements are met and either (1) certain rules relating to the insured employee's status are satisfied or (2) certain rules relating to the payment of the "amount received under the contract" to, or for the benefit of, certain beneficiaries or successors of the insured employee are satisfied. These rules apply to life insurance contracts owned by corporations (including S corporations), individual sole proprietors, estates and trusts, and partnerships that are engaged in a trade or business. Any business contemplating the purchase of a Policy on the life of an employee should consult with its legal and tax advisers regarding the applicability of Section 101(j) of the Code to the proposed purchase.

Split Dollar Life Insurance

A tax adviser should also be consulted if you have purchased or are considering the purchase of a Policy for a split dollar insurance plan. Any business contemplating the purchase of a new life insurance contract or a change in an existing contract should consult a tax adviser.

Other Employee Benefit Programs

Complex rules may apply when a Policy is held by an employer or a trust, or acquired by an employee, in connection with the provision of employee benefits. These Policy owners also must consider whether the Policy was applied for by, or issued to, a person having an insurable interest under applicable state law, as the lack of insurable interest may, among other things, affect the qualification of the Policy as life insurance for federal income tax purposes and the right of the Beneficiary to death benefits. Employers and employer-created trusts may be subject to reporting, disclosure and fiduciary obligations under the Employee Retirement Income Security Act of 1974, as amended. You should consult your legal advisor.

Employer-Financed Insurance Purchase Arrangements

In addition to corporations and other employers, the Policy is also available for purchase by individuals whose employers will pay some or all of the premiums due under the Policy pursuant to an employer-financed insurance purchase arrangement. In such cases, references in this Prospectus to the "Owner" of the Policy will refer to the individual and, depending on the context, references to the "payment of premiums" will refer to payments to Protective Life under the Policy by the employer and/or by the employee.

Employers and employees contemplating the purchase of a Policy as a part of an employer-financed insurance purchase arrangement should consult qualified legal and tax counsel with regard to the issues presented by such a transaction. For this purpose, an employer- financed insurance purchase arrangement is a plan or arrangement which contemplates that an employer will pay one or more premiums for the purchase of a Policy that will be owned, subject to certain restrictions, by an employee or by a person or entity designated by the employee.

The tax rules that apply to employer-financed insurance purchase arrangements are complex and depend on the particular facts associated with the arrangement. Thus, your qualified legal and tax advisors will need to evaluate the tax treatment of the arrangement based on your specific facts. The following general considerations often are relevant to such arrangements:

2.  Payments by the employer under typical employer-financed insurance purchase arrangements are only deductible for income tax purposes when the payments are taxable to the employee with respect to whom they are made.


46


3.  The payment of some or all of the premiums by the employer may create an ERISA welfare benefit plan which is subject to the reporting, disclosure, fiduciary and enforcement provisions of ERISA.

4.  The payment of some or all of the premiums by the employer usually will not prevent the Owner from being treated as the owner of the Policy for federal income tax purposes.

5.  A number of factors, including the performance of the Policy and whether the employer pays planned premiums, may cause a lapse of the Policy or may result in a need for later additional unscheduled premiums to keep your Policy in force.

6.  An employee considering whether to participate in an employer-financed insurance purchase arrangement should consider whether the financial and tax benefits of the ownership of the Policy outweigh the costs, such as sales loads and cost of insurance charges that will be incurred as a result of the purchase and ownership of the Policy.

7.  An employee considering whether to participate in an employer-financed insurance purchase arrangement should consider whether the designation of another person or entity as the owner of the Policy will have adverse consequences under applicable gift, estate, inheritance, or income tax laws.

8.  An employee considering whether to participate in an employer-financed insurance purchase arrangement should consider whether the financial performance of the Policy will support any planned withdrawals or borrowings under the Policy.

9.  In an employer-financed insurance purchase arrangement, the procedures described in Transfers — Limitations on frequent transfers, including 'market timing' transfers, which are designed to prevent or minimize market timing and excessive trading by Owners may, in certain circumstances, require us to perform standardized trade monitoring; in other circumstances such monitoring will be performed by the Fund. Certain Funds require us to provide reports of the Owner's trading activity, if prohibited trading, as defined by the Fund, is suspected. The determination of whether there is prohibited trading based on the Funds' definition of prohibited trading may be made by us or by the Fund. The Fund determines the restrictions imposed, which could be one of the four restrictions described in this Prospectus or by restricting the Owner from making Transfers into the identified Fund for the period of time specified by the Fund.

Change of Insured Endorsement

If the Insured is changed pursuant to the Change of Insured Endorsement, the Policy will be treated for tax purposes as if it were exchanged for a new Policy. The exchange will be taxable under Section 1001 of the Code, and the transaction will not qualify for tax-free treatment under Section 1035 of the Code. The Company makes no representations concerning the tax effects of the Change of Insured Endorsement. Owners are responsible for seeking tax counsel regarding the tax effects of the endorsement. Upon a change of Insured pursuant to the Change of Insured Endorsement, the guaranteed mortality charges under the Policy after the change will be based on the new Insured, and those charges may need to be based on a different mortality table than applied prior to the change, such as to ensure compliance with Section 7702 of the Code. The Company also reserves the right to refund Cash Value at the time of such change, including for purposes of maintaining compliance with Section 7702 of the Code.

Nonresident Aliens and Foreign Corporations

The discussion above provides general information regarding U.S. federal income and withholding tax consequences to life insurance purchasers that are U.S. citizens or residents. Purchasers or beneficiaries that are not U.S. citizens or residents will generally be subject to U.S. federal withholding tax on taxable distributions (including taxable Death Benefits) from life insurance policies at a 30% rate, unless a lower treaty rate applies. Prospective purchasers that are not U.S. citizens or residents are advised to consult with a tax advisor regarding federal tax withholding with respect to distributions from a Policy.

FATCA Withholding

If the payee of a distribution (including the Death Benefit) from the Policy is a foreign financial institution ("FFI") or a non-financial foreign entity ("NFFE") within the meaning of the Code as amended by the Foreign Account Tax Compliance Act ("FATCA"), the distribution could be subject to U.S. federal withholding tax on the taxable amount of the distribution at a 30% rate irrespective of the status of any beneficial owner of the Policy or the nature of the distribution. The rules relating to FATCA are complex, and a tax advisor should be consulted if an FFI or NFFE is or may be designated as a payee with respect to the Policy.


47


USE OF THE POLICY

Life insurance, including variable life insurance, can be used to provide for many individual and business needs, in addition to providing a death benefit. Possible applications of a variable life insurance policy, such as this Policy include: (1) serving as vehicle for accumulating funds for a college education, (2) estate planning, (3) serving as an investment vehicle on various types of deferred compensation arrangements, (4) buy-sell arrangements, (5) split dollar arrangements, and (6) a supplement to other retirement plans. The Policy described in this Prospectus is offered to corporations and other employers to provide life insurance coverage in connection with, among other things, deferred compensation plans and employer-financed insurance purchase arrangements.

As with any investment, using this Policy under these or other applications entails certain risks. For example, if investment performance of Sub-Accounts to which Policy Value is allocated is poorer than expected or if sufficient premiums are not paid, the Policy may lapse or may not accumulate Cash Surrender Value sufficient to adequately fund the application for which the Policy was purchased. Similarly, certain transactions under a Policy entail risks in connection with the application for which the Policy is purchased. Withdrawals, Policy loans and interest paid on Policy loans may significantly affect current and future Policy Value, Cash Surrender Value or Death Benefit Proceeds.

If, for example, a Policy loan is taken but not repaid prior to the death of the Insured, the Policy Debt is subtracted from the Death Benefit in computing the Death Benefit Proceeds to be paid to a Beneficiary.

Prior to utilizing this Policy for the above applications, you should consider whether the anticipated duration of the Policy is appropriate for the application for which you intend to purchase it.

In addition, you need to consider the tax implications of using the Policy with these applications. The tax implications of using this Policy with these applications can be complex and generally are not addressed in the discussion of Tax Considerations above. Loans and withdrawals will affect the Policy Value and Death Benefit. There may be penalties and taxes if the Policy is surrendered, lapses, matures or if a withdrawal or a loan is made. Because of these risks, you need to carefully consider how you use this Policy. This Policy may not be suitable for all persons, under any of these applications.

Replacement of Life Insurance or Annuities

The term replacement has a special meaning in the life insurance industry. Before you make a decision to buy, we want you to understand what impact a replacement may have on your existing insurance policy.

A replacement occurs when you buy a new life insurance policy or annuity contract, and a policy or contract you already own has or will be:

1.  Lapsed, forfeited, surrendered or partially surrendered, assigned to the replacing insurer, or otherwise terminated;

2.  converted to reduced paid-up insurance, continued as extended term insurance, or otherwise reduced in value by the use of nonforfeiture benefits or other policy values;

3.  amended to effect either a reduction in benefits or in the term for which coverage would otherwise remain in force or for which benefits would be paid

4.  reissued with any reduction in cash value, or

5.  pledged as collateral or subject to borrowing, whether in a single loan or under a schedule of borrowing over a period of time.

There are circumstances when replacing your existing life insurance policy or annuity contract can benefit you. As a general rule, however, replacement is not in your best interest. A replacement may affect your plan of insurance in the following ways:

1.  You will pay new acquisition costs;

2.  You may have to submit to new medical examinations;

3.  You may pay increased premiums because of the increased age or changed health of the Insured;

4.  Claims made in the early policy years may be contested;

5.  You may have to pay surrender charges and/or income taxes on your current policy or contract values;


48


6.  Your new policy or contract values may be subject to surrender charges; and

7.  If part of a financed purchase, your existing policy or contract values or Death Benefit may be reduced.

You should carefully compare the costs and benefits of your existing policy or contract with those of the new policy or contract to determine whether replacement is in your best interest.

SALE OF THE POLICIES

We have entered into an agreement with Investment Distributors, Inc. ("IDI") under which IDI has agreed to distribute the Policies on a "best efforts" basis. Under the agreement, IDI serves as principal underwriter (as defined under Federal securities laws and regulations) for the Policies. IDI is a Tennessee corporation and was established in 1993. IDI, a wholly owned subsidiary of PLC, is an affiliate of Protective Life, and its Home Office shares the same address as Protective Life. IDI is registered with the SEC under the Securities Exchange Act of 1934 as a broker-dealer and is a member firm of the Financial Industry Regulatory Authority ("FINRA").

IDI does not sell Policies directly to purchasers. IDI, together with Protective Life, enters into distribution agreements with other broker-dealers (collectively, "Selling Broker-Dealers") for the sale of the Policies. Registered representatives of the Selling Broker-Dealers must be licensed as insurance agents by applicable state insurance authorities and appointed as agents of Protective Life in order to sell the Policies.

We pay commissions and additional asset-based compensation to Selling Broker-Dealers through IDI. IDI does not retain any commission payment or other amounts as principal underwriter for the Policies. However, we may pay some or all of IDI's operating and other expenses.

We paid the following aggregate dollar amounts to IDI in commissions and additional asset-based compensation relating to sales of our variable life policies, other than the Policies. IDI did not retain any of these amounts, and passed along this compensation directly to the Selling Broker-Dealers.

Fiscal Year Ended

 

Amount Paid to IDI

 

December 31, 2018

 

$

1,017,595

   

December 31, 2019

 

$

944,781

   

December 31, 2020

 

$

894,346

   

We offer the Policies on a continuous basis. While we anticipate continuing to offer the Policies, we reserve the right to discontinue the offering at any time.

Selling Broker-Dealers

We pay commissions and may provide some form of non-cash compensation to all Selling Broker-Dealers in connection with the promotion and sale of the Policies. A portion of any payments made to Selling Broker-Dealers may be passed on to their registered representatives in accordance with their internal compensation programs. We may use any of our corporate assets to pay commissions and other costs of distributing the Policies, including any profit from the mortality and expense risk charge. Commissions and other incentives or payments described below are not charged directly to Policy Owners or the Variable Account. We intend to recoup commissions and other sales expenses through fees and charges deducted under the Policies.

Compensation We Pay to All Selling Broker-Dealers. We pay commissions as a percentage of initial and subsequent premium payments at the time we receive them, as a percentage of Policy Value on an ongoing basis, or a combination of both. The maximum sales commission is 25% of premium. We may also pay to selected Selling Broker-Dealers additional compensation in the form of (1) payments for participation in meetings and conferences that include presentations about our products (including the Policies), and (2) payments to help defray the costs of sales conferences and educational seminars for the Selling Broker-Dealers' registered representatives.

The registered representative who sells you the Policy typically receives a portion of the compensation we pay to his or her Selling Broker-Dealer, depending on the agreement between the Selling Broker-Dealer and your registered representative and the Selling Broker-Dealer's internal compensation program. These programs may include other types of cash and non-cash compensation and other benefits. A registered representative may be required to return all or a portion of the commissions paid if: (i) a Policy terminates prior to the third Policy Anniversary; or (ii) a Policy is surrendered for the Surrender Benefit within the first seven Policy Years and applicable state insurance law permits a return of expense charge. If you would like information about what your registered representative and the Selling Broker-Dealer for whom he or she works may receive in connection with your purchase of a Policy, please ask your registered representative.


49


Non-Cash Compensation. In the normal course of business, we may also provide non-cash compensation in connection with the promotion of the Policies, including conferences and seminars (including travel, lodging and meals in connection therewith), and items of relatively small value, such as promotional gifts, meals, or tickets to sporting or entertainment events, in accordance with all applicable federal and state rules, including FINRA's non- cash compensation rules.

Additional Compensation We Pay to Selected Selling Broker-Dealers. In addition to the cash and non-cash compensation described above, we may pay additional asset-based compensation in the form of marketing allowances and "revenue sharing" to selected Selling Broker-Dealers. These payments may be (1) additional amounts as a percentage of premium payments on our variable insurance products, and (2) additional "trail" commissions, which are periodic payments as a percentage of the contract and policy values or variable account values of our variable insurance products. Some or all of these additional asset-based compensation payments may be conditioned upon the Selling Broker-Dealer producing a specified amount of new premium payments and/or premiums and/or maintaining a specified amount of contract and policy value with us.

The Selling Broker-Dealers to whom we pay additional asset-based compensation provide preferential treatment with respect to our products in their marketing programs. Preferential treatment of our products by a Selling Broker-Dealer may include any or all of the following: (1) enhanced marketing of our products over non-preferred products; (2) increased access to the Selling Broker- Dealer's registered representatives; and (3) payment of higher compensation to registered representatives for selling our products than for selling non-preferred products.

Conflicts of Interest. The prospect of receiving, or the receipt of, additional asset-based and/or incentive compensation creates a conflict of interest because it may provide Selling Broker-Dealers and/or their registered representatives with an incentive to favor sales of our variable insurance products (including the Policies) over other variable insurance products (or other investments) with respect to which a Selling Broker-Dealer does not receive additional compensation, or receives lower levels of additional compensation. You may wish to take such payment arrangements into account when considering and evaluating any recommendation relating to the Policies. If you would like information about what your registered representative and the Selling Broker-Dealer for whom he or she works may receive in connection with your purchase of a Policy, please ask your registered representative.

Fund Payments to Broker-Dealers. The Funds and their related companies may pay a broker-dealer for services provided with regard to the sale of Fund shares to the Sub-Accounts under the Policy. The amount and/or structure of the compensation can possibly create a conflict of interest as it may influence the broker-dealer and your registered representative to present this Policy (and certain Sub-Accounts under the Policy) over other investment alternatives. The variations in compensation, however, may also reflect differences in sales effort or ongoing customer services expected of the broker-dealer or other intermediary or your salesperson. You should ask your registered representative about variations and how he or she and his or her broker-dealer are compensated for selling the Policy.

PAYMENTS WE RECEIVE

Fund Sponsors may compensate us for providing the administrative, recordkeeping and reporting services they would normally be required to provide to individual shareholders or for cost savings experienced by the Fund Sponsors.

Such compensation is typically a percentage of the Variable Account assets invested in the relevant Fund and generally may range up to 0.35% of net assets. IDI, a broker-dealer and affiliate of Protective Life and the principal underwriter and distributor of the Policy, may also receive Rule 12b-1 fees (ranging up to 0.25%) directly from certain Funds for providing marketing and distribution related services related to shares of Funds (or certain classes of shares of Funds) offered in connection with a Fund's Rule 12b-1 plan. If IDI receives 12b-1 fees, combined compensation for administrative and distribution related services generally ranges up to 0.60% annually of the Variable Account assets invested in a Fund.

Other Payments. A Fund Sponsor may provide us (or our affiliates) and/ or broker-dealers that sell the Policies ("selling firms") with marketing support, may pay us (or our affiliates) and/or selling firms amounts to participate in national and regional sales conferences and meetings with the sales desks, and may occasionally provide us (or our affiliates) and/or selling firms with items of relatively small value, such as promotional gifts, meals, tickets, or other similar items in the normal course of business.

Conflicts of Interest. Such payments and fees create a conflict of interest for the Company because we have an incentive to offer Funds (or classes of shares of Funds) for which such payments and fees are available to us. We consider such payments and fees, among other things, when deciding to include a Fund (or class of shares of a Fund) as an investment option under the Policy. Other available investment portfolios (or other available classes of


50


shares of the Funds) may have lower fees and better overall investment performance than the Funds (or classes of shares of the Funds) offered under the Policy.

For details about the compensation payments we make in connection with the sale of the Policies, see Sale of the Policies.

LEGAL PROCEEDINGS

Protective Life and its subsidiaries, like other insurance companies, in the ordinary course of business are involved in some class action and other lawsuits, or alternatively in arbitration. In some class action and other lawsuits involving insurance companies, substantial damages have been sought and material payments have been made. Although the outcome of any litigation or arbitration cannot be predicted, Protective Life believes that at the present time there are no pending or threatened lawsuits that are reasonably likely to have a material adverse impact on Protective Life's or the Variable Account's financial position.

We are currently being audited on behalf of multiple states' treasury and controllers' offices for compliance with laws and regulations concerning the identification, reporting, and escheatment of unclaimed benefits or abandoned funds. The audits focus on insurance company processes and procedures for identifying unreported death claims, and their use of the Social Security Death Master File to identify deceased insureds and contract Owners. In addition, we are the subject of a multistate market conduct examination with a similar focus on the handling of unreported claims and abandoned property. The audits and related examination activity may result in additional payments to beneficiaries, escheatment of funds deemed abandoned, administrative penalties, and changes in our procedures for the identification of unreported claims and handling of escheatable property. We do not believe that any regulatory actions or agreements that result from these examinations will have a material adverse impact on the Variable Account, on IDI's ability to perform under its principal underwriting agreement, or on our ability to meet our obligations under the Policy.

FINANCIAL STATEMENTS

There are no financial statements for Protective NY COLI VUL separate account because it had not commenced operations as of the date of this Prospectus.

The audited statutory statements of Protective Life and Annuity Insurance Company as of December 31, 2020 and 2019, and the related statutory statements of operations, changes in capital and surplus, and cash flow for each of the years in the three-year period ended December 31, 2020, as well as the Reports of Independent Auditors are incorporated into the Statement of Additional Information by reference to the Variable Account's Form N-VPFS, File No. 811-8537, filed with the SEC on April 28, 2021.


51


APPENDIX A — FUNDS AVAILABLE UNDER YOUR POLICY

The following is a list of Funds available under the Policy. More information about the Funds is available in the prospectuses for the Funds, which may be amended from time to time and can be found online at protectiveonlineprospectus.net. You can also request this information at no cost by calling 1-800-265-1545 or by sending an email request to gwexecbenefits@protective.com.

The current expenses and performance information below reflects fees and expenses of the Funds, but do not reflect the other fees and expenses that your Policy may charge. Expenses would be higher and performance would be lower if these other charges were included. Each Fund Company's past performance is not necessarily an indication of future performance.


  Portfolio
Company — Investment Adviser;
 
Current
  Average Annual Total Returns
(as of 12/31/2020)
 
Type  

Sub-Adviser(s), as applicable

 

Expenses

 

1 year

 

5 year

 

10 year

 

Capital Appreciation

 

Invesco Oppenheimer V.I. Main Street Small Cap Fund® — Invesco Advisers, Inc.

 

1.19

%

 

19.93

%

 

12.88

%

 

12.13

%

 

Total Return

 

Invesco V.I. Global Real Estate Fund — Invesco Advisers, Inc.

 

1.29

%

 

-12.32

%

 

3.15

%

 

4.96

%

 

Long-Term Growth

 

Invesco V.I. International Growth Fund — Invesco Advisers, Inc.

 

0.92

%

 

14.00

%

 

8.82

%

 

6.72

%

 

Capital Growth

 

American Century Investments® VP Capital Appreciation Fund — American Century Investment Management, Inc.

 

1.00

%

 

42.46

%

 

18.12

%

 

13.66

%

 

Long-Term Capital Growth

 

American Century Investments® VP Mid Cap Value Fund — American Century Investment Management, Inc.

 

1.01

%

 

1.21

%

 

9.34

%

 

10.42

%

 

Long-Term Capital Growth

 

American Century Investments® VP Ultra Fund — American Century Investment Management, Inc.

 

1.01

%

 

49.85

%

 

22.89

%

 

17.86

%

 

Long-Term Capital Growth

 

American Century Investments® VP Value Fund — American Century Investment Management, Inc.

 

0.98

%

 

0.98

%

 

8.82

%

 

9.72

%

 

Long-Term Capital Growth

 

IS Global Small Capitalization Fund — Capital Research and Management

 

0.99

%

 

29.72

%

 

14.43

%

 

9.43

%

 

Capital Growth

 

IS Growth Fund — Capital Research and Management

 

0.61

%

 

52.10

%

 

22.75

%

 

16.85

%

 

Growth and Income

 

IS Growth-Income Fund — Capital Research and Management

 

0.55

%

 

13.54

%

 

13.93

%

 

11.24

%

 

Long-Term Capital Growth

 

IS International Fund — Capital Research and Management

 

0.80

%

 

13.97

%

 

10.73

%

 

6.68

%

 

Capital Appreciation

 

IS New World Fund® — Capital Research and Management

 

1.02

%

 

23.58

%

 

13.33

%

 

6.54

%

 

Total Return

 

BlackRock Global Allocation V.I. Fund — BlackRock Advisors, LLC

 

0.86

%

 

20.88

%

 

9.25

%

 

6.70

%

 

Total Return

 

BlackRock High Yield V.I. Fund — BlackRock Advisors, LLC

 

0.69

%

 

7.27

%

 

7.85

%

 

6.58

%

 

Total Return

 

BlackRock 60/40 Target Allocation ETF V.I. Fund — BlackRock Advisors, LLC

 

0.71

%

 

14.67

%

 

10.16

%

 

7.09

%

 


A-1



  Portfolio
Company — Investment Adviser;
 
Current
  Average Annual Total Returns
(as of 12/31/2020)
 
Type  

Sub-Adviser(s), as applicable

 

Expenses

 

1 year

 

5 year

 

10 year

 

Total Return

 

BNY Mellon Stock Index Fund — BNY Mellon Investment Adviser, Inc.

 

0.27

%

 

18.01

%

 

14.92

%

 

13.60

%

 

Long-Term Capital Growth

 

Davis Financial Portfolio — Davis Selected Advisers, L.P

 

0.73

%

 

11.72

%

 

11.66

%

 

10.46

%

 

Capital Appreciation

 

DWS Small Cap Index VIP — DWS Investment Management Americas, Inc.; Northern Trust Investments, Inc.

 

0.50

%

 

17.36

%

 

6.65

%

 

6.58

%

 

Long-Term Capital Growth

 

DWS Core Equity VIP — DWS Investment Management Americas, Inc.

 

0.62

%

 

16.13

%

 

13.80

%

 

13.56

%

 

Current Income

 

DWS High Income VIP — DWS Investment Management Americas, Inc.

 

0.87

%

 

6.24

%

 

7.77

%

 

6.14

%

 

Current Income

 

DFA Inflation-Protected Securities Portfolio — Dimensional Fund Advisors LP

 

0.14

%

 

11.72

%

 

5.22

%

 

3.98

%

 

Current Income

 

Eaton Vance VT Floating-Rate Income Fund — Eaton Vance Management; Boston Management and Research

 

1.20

%

 

2.00

%

 

4.22

%

 

3.42

%

 

Current Income

 

Federated High Income Bond Fund II — Federated Investment Management Company

 

0.84

%

 

5.59

%

 

7.51

%

 

6.37

%

 

Capital Appreciation

 

VIP Emerging Markets Portfolio — Fidelity Management & Research Company; FMR Co., Inc. Strategic Advisors, Inc. Fidelity Investments Money Management, Inc.

 

1.17

%

 

30.88

%

 

15.94

%

 

5.87

%

 

Total Return

 

Fidelity VIP Index 500 — Fidelity Management & Research Company; FMR Co., Inc. Strategic Advisors, Inc. Fidelity Investments Money Management, Inc.

 

0.87

%

 

18.24

%

 

15.09

%

 

13.78

%

 

Long-Term Capital Growth

 

Great-West Ariel Mid Cap Value Fund — Great-West Capital Management, LLC

 

1.12

%

 

9.08

%

 

8.58

%

 

9.70

%

 

Total Return

 

Great-West Bond Index Fund — Great-West Capital Management, LLC

 

0.51

%

 

7.17

%

 

3.92

%

 

3.39

%

 

Total Return

 

Great-West Core Bond Fund — Great-West Capital Management, LLC

 

0.79

%

 

8.01

%

 

4.86

%

 

3.77

%

 

Long-Term Capital Growth

 

Great-West Emerging Markets Equity Fund — Great-West Capital Management, LLC

 

1.49

%

 

19.57

%

 

Since Inception 4.58%

 

Inception Date 1/4/2018

 

Current Income

 

Great-West Government Money Market Fund — Great-West Capital Management, LLC

 

0.49

%

 

0.29

%

 

0.77

%

 

0.38

%

 

Real Return

 

Great-West Inflation-Protected Securities Fund — Great-West Capital Management, LLC

 

1.14

%

 

7.57

%

 

Since Inception 4.15%

 

Inception Date 1/4/2018

 

Total Return

 

Great-West International Index Fund — Great-West Capital Management, LLC

 

0.65

%

 

7.52

%

 

7.10

%

 

4.76

%

 


A-2



  Portfolio
Company — Investment Adviser;
 
Current
  Average Annual Total Returns
(as of 12/31/2020)
 
Type  

Sub-Adviser(s), as applicable

 

Expenses

 

1 year

 

5 year

 

10 year

 

Long-Term Capital Growth

 

Great-West International Value Fund — Great-West Capital Management, LLC

 

1.07

%

 

9.73

%

 

8.24

%

 

8.92

%

 

Long-Term Capital Growth

 

Great-West Large Cap Growth Fund — Great-West Capital Management, LLC

 

1.02

%

 

41.45

%

 

20.42

%

 

15.54

%

 

Capital Growth

 

Great-West Large Cap Value Fund — Great-West Capital Management, LLC

 

1.05

%

 

3.71

%

 

10.38

%

 

9.48

%

 

Long-Term Capital Growth

 

Great-West Mid Cap Value Fund — Great-West Capital Management, LLC

 

1.22

%

 

(0.34

)%

 

8.18

%

 

9.91

%

 

Total Return

 

Great-West Multi-Sector Bond Fund — Great-West Capital Management, LLC

 

0.93

%

 

9.10

%

 

6.93

%

 

5.87

%

 

Total Return

 

Great-West Real Estate Index Fund — Great-West Capital Management, LLC

 

0.76

%

 

(11.59

)%

 

2.35

%

 

5.96

%

 

Total Return

 

Great-West S&P Mid Cap 400 Index Fund — Great-West Capital Management, LLC

 

0.56

%

 

13.10

%

 

11.73

%

 

10.82

%

 

Total Return

 

Great-West S&P Small Cap 600 Index Fund — Great-West Capital Management, LLC

 

0.56

%

 

10.93

%

 

11.85

%

 

11.36

%

 

Total Return

 

Great-West Short Duration Bond Fund — Great-West Capital Management, LLC

 

0.67

%

 

4.63

%

 

2.85

%

 

2.46

%

 

Long-Term Capital Growth

 

Great-West Small Cap Growth Fund — Great-West Capital Management, LLC

 

1.67

%

 

36.90

%

 

17.00

%

 

14.51

%

 

Long-Term Capital Growth

 

Great-West Small Cap Value Fund — Great-West Capital Management, LLC

 

1.13

%

 

3.20

%

 

8.28

%

 

8.72

%

 

Long-Term Capital Growth

 

Great-West T. Rowe Price Mid Cap Growth Fund — Great-West Capital Management, LLC

 

0.63

%

 

24.11

%

 

16.03

%

 

14.43

%

 

High Return

 

Great-West U.S. Government Securities Fund — Great-West Capital Management, LLC

 

0.63

%

 

5.87

%

 

3.15

%

 

2.87

%

 

Income

 

Great-West Lifetime 2015 Fund — Great-West Capital Management, LLC

 

0.84

%

 

11.00

%

 

7.81

%

 

6.85

%

 

Income

 

Great-West Lifetime 2020 Fund — Great-West Capital Management, LLC

 

0.85

%

 

11.31

%

 

Since Inception 8.32%

 

Inception Date 4/28/2016

 

Capital Appreciation

 

Great-West Lifetime 2025 Fund — Great-West Capital Management, LLC

 

0.88

%

 

12.24

%

 

9.03

%

 

8.01

%

 

Capital Appreciation

 

Great-West Lifetime 2030 Fund — Great-West Capital Management, LLC

 

0.88

%

 

12.61

%

 

Since Inception 9.90%

 

Inception Date 4/28/2016

 

Capital Appreciation

 

Great-West Lifetime 2035 Fund — Great-West Capital Management, LLC

 

0.90

%

 

13.30

%

 

10.48

%

 

9.08

%

 

Capital Appreciation

 

Great-West Lifetime 2040 Fund — Great-West Capital Management, LLC

 

0.91

%

 

13.60

%

 

Since Inception 11.22%

 

Inception Date 4/28/2016

 


A-3



  Portfolio
Company — Investment Adviser;
 
Current
  Average Annual Total Returns
(as of 12/31/2020)
 
Type  

Sub-Adviser(s), as applicable

 

Expenses

 

1 year

 

5 year

 

10 year

 

Capital Appreciation

 

Great-West Lifetime 2045 Fund — Great-West Capital Management, LLC

 

0.92

%

 

13.89

%

 

11.15

%

 

9.26

%

 

Capital Appreciation

 

Great-West Lifetime 2050 Fund — Great-West Capital Management, LLC

 

0.92

%

 

13.96

%

 

Since Inception 11.51%

 

Inception Date 4/28/2016

 

Capital Appreciation

 

Great-West Lifetime 2055 Fund — Great-West Capital Management, LLC

 

0.92

%

 

13.96

%

 

11.14

%

 

9.12

%

 

Capital Appreciation

 

Great-West Lifetime 2060 Fund — Great-West Capital Management, LLC

 

0.88

%

 

13.93

%

 

Since Inception 13.60%

 

Inception Date 5/1/2019

 

Long-Term Capital Appreciation

 

Great-West Aggressive Profile Fund — Great-West Capital Management, LLC

 

1.13

%

 

11.75

%

 

9.39

%

 

8.40

%

 

Capital Preservation

 

Great-West Conservative Profile Fund — Great-West Capital Management, LLC

 

0.85

%

 

8.21

%

 

5.93

%

 

5.15

%

 

Long-Term Capital Appreciation

 

Great-West Moderate Profile Fund — Great-West Capital Management, LLC

 

0.97

%

 

11.25

%

 

8.43

%

 

7.45

%

 

Long-Term Capital Appreciation

 

Great-West Moderately Aggressive Profile Fund — Great-West Capital Management, LLC

 

1.02

%

 

11.75

%

 

9.39

%

 

8.40

%

 

Capital Appreciation

 

Great-West Moderately Conservative Profile Fund — Great-West Capital Management, LLC

 

0.90

%

 

9.57

%

 

7.15

%

 

6.29

%

 

Capital Growth

 

Janus Henderson VIT Balanced Portfolio — Janus Capital Management LLC

 

0.62

%

 

14.31

%

 

11.81

%

 

10.23

%

 

Capital Growth

 

Janus Henderson VIT Enterprise Portfolio — Janus Capital Management LLC

 

0.72

%

 

19.47

%

 

18.21

%

 

15.25

%

 

Total Return

 

Janus Henderson VIT Flexible Bond Portfolio — Janus Capital Management LLC

 

0.60

%

 

10.48

%

 

4.94

%

 

4.45

%

 

Capital Growth

 

Janus Henderson VIT Forty Portfolio — Janus Capital Management LLC

 

0.76

%

 

39.40

%

 

21.03

%

 

17.02

%

 

Capital Growth

 

Janus Henderson VIT Global Technology and Innovation Portfolio — Janus Capital Management LLC

 

0.75

%

 

51.20

%

 

29.77

%

 

20.16

%

 

Capital Growth

 

JPMorgan Insurance Trust Small Cap Core Portfolio — J.P. Morgan Investment Management Inc.

 

0.84

%

 

13.69

%

 

11.56

%

 

11.27

%

 

Total Return

 

JPMorgan Insurance Trust U.S. Equity Portfolio — J.P. Morgan Investment Management Inc.

 

0.76

%

 

25.26

%

 

16.01

%

 

14.27

%

 

Capital Growth

 

ClearBridge Variable Mid Cap Portfolio — Legg Mason Partners Fund Advisor LLC, ClearBridge Advisors, LLC

 

0.85

%

 

15.35

 

10.60

 

11.03

 


A-4



  Portfolio
Company — Investment Adviser;
 
Current
  Average Annual Total Returns
(as of 12/31/2020)
 
Type  

Sub-Adviser(s), as applicable

 

Expenses

 

1 year

 

5 year

 

10 year

 

Capital Growth

 

ClearBridge Variable Small Cap Growth Portfolio — Legg Mason Partners Fund Advisor LLC, ClearBridge Advisors, LLC

 

0.81

%

 

43.26

 

19.84

 

15.92

 

Income

 

Total Return Portfolio — Lord, Abbett & Co. LLC

 

0.72

%

 

7.43

%

 

4.53

%

 

4.22

%

 

Capital Appreciation

 

MFS® Growth Series — Massachusetts Financial Services Company

 

0.73

%

 

31.86

%

 

20.28

%

 

16.80

%

 

Capital Appreciation

 

MFS® Mid Cap Growth Series — Massachusetts Financial Services Company

 

1.06

%

 

36.48

%

 

20.61

%

 

15.93

%

 

Capital Appreciation

 

MFS® Research Series — Massachusetts Financial Services Company

 

0.82

%

 

16.59

%

 

14.74

%

 

13.06

%

 

Total Return

 

MFS® Total Return Bond Series — Massachusetts Financial Services Company

 

0.71

%

 

8.47

%

 

5.18

%

 

4.42

%

 

Capital Appreciation

 

MFS® Value Series — Massachusetts Financial Services Company

 

0.74

%

 

3.48

%

 

10.14

%

 

10.85

%

 

Capital Appreciation

 

MFS® International Growth Portfolio — Massachusetts Financial Services Company

 

1.04

%

 

15.84

%

 

12.77

%

 

7.78

%

 

Capital Appreciation

 

MFS® Blended Research® Small Cap Equity Portfolio — Massachusetts Financial Services Company

 

0.55

%

 

2.23

%

 

11.32

%

 

10.83

%

 

Total Return

 

MFS® Global Real Estate Portfolio — Massachusetts Financial Services Company

 

1.02

%

 

1.49

%

 

8.84

%

 

8.42

%

 

Capital Appreciation

 

MFS® Mid Cap Value Portfolio — Massachusetts Financial Services Company

 

0.81

%

 

3.87

%

 

9.72

%

 

10.84

%

 

Capital Growth

 

Neuberger Berman AMT Sustainable Equity Portfolio — Neuberger Berman Investment Advisers LLC

 

0.92

%

 

19.56

%

 

13.05

%

 

11.62

%

 

Real Return

 

CommodityRealReturn® Strategy Portfolio — Pacific Investment Management Company, LLC.; Research Affiliates, LLC

 

1.38

%

 

1.35

%

 

2.67

%

 

-5.39

%

 

Total Return

 

Global Bond Opportunities Portfolio — Pacific Investment Management Company, LLC.; Research Affiliates, LLC

 

0.93

%

 

10.12

%

 

4.82

%

 

2.72

%

 

Total Return

 

High Yield Portfolio — Pacific Investment Management Company, LLC.; Research Affiliates, LLC

 

0.79

%

 

5.75

%

 

7.20

%

 

6.04

%

 

Total Return

 

Low Duration Portfolio — Pacific Investment Management Company, LLC.; Research Affiliates, LLC

 

0.69

%

 

2.99

%

 

2.01

%

 

1.79

%

 

Real Return

 

Real Return Portfolio — Pacific Investment Management Company, LLC.; Research Affiliates, LLC

 

0.84

%

 

11.71

%

 

5.25

%

 

3.63

%

 


A-5



  Portfolio
Company — Investment Adviser;
 
Current
  Average Annual Total Returns
(as of 12/31/2020)
 
Type  

Sub-Adviser(s), as applicable

 

Expenses

 

1 year

 

5 year

 

10 year

 

Total Return

 

Total Return Portfolio — Pacific Investment Management Company, LLC.; Research Affiliates, LLC

 

0.69

%

 

8.65

%

 

4.75

%

 

3.93

%

 

Capital Growth

 

Pioneer Real Estate Shares VCT Portfolio — Amundi Pioneer Asset Management, Inc

 

1.46

%

 

-7.34

%

 

3.87

%

 

8.01

%

 

Long-Term Return

 

Putnam VT Large Cap Value Fund — Putnam Investment Management, LLC

 

0.57

%

 

12.58

%

 

8.75

%

 

8.66

%

 

Long-Term Return

 

Putnam VT Global Asset Allocation Fund — Putnam Investment Management, LLC

 

0.87

%

 

12.58

%

 

8.75

%

 

8.66

%

 

Capital Appreciation

 

Putnam VT Focused International Equity Fund — Putnam Investment Management, LLC

 

0.85

%

 

10.32

%

 

9.91

%

 

9.33

%

 

Capital Appreciation

 

Putnam VT Growth Opportunities Fund — Putnam Investment Management, LLC

 

0.65

%

 

39.09

%

 

22.35

%

 

17.24

%

 

Current Income

 

Putnam VT High Yield Fund — Putnam Investment Management, LLC

 

0.72

%

 

5.50

%

 

7.64

%

 

5.99

%

 

Current Income

 

Putnam VT Income Fund — Putnam Investment Management, LLC

 

0.57

%

 

5.72

%

 

5.01

%

 

4.72

%

 

Capital Growth

 

Putnam VT International Value Fund — Putnam Investment Management, LLC

 

0.94

%

 

4.73

%

 

5.61

%

 

4.23

%

 

Capital Appreciation

 

Putnam VT Research Fund — Putnam Investment Management, LLC

 

0.83

%

 

20.23

%

 

15.92

%

 

14.00

%

 

Capital Appreciation

 

Putnam VT Small Cap Value Fund — Putnam Investment Management, LLC

 

1.15

%

 

4.12

%

 

7.54

%

 

8.47

%

 

Capital Appreciation

 

Putnam VT Sustainable Future Fund — Putnam Investment Management, LLC

 

0.78

%

 

52.99

%

 

19.02

%

 

14.92

%

 

Capital Growth

 

T. Rowe Price Blue Chip Growth Portfolio — T. Rowe Price Associates, Inc.

 

1.10

%

 

33.92

%

 

19.22

%

 

17.20

%

 

Track Index

 

Vanguard VIF Total Bond Market Index — The Vanguard Group, Inc.

 

0.14

%

 

7.58

%

 

4.36

%

 

3.71

%

 

Track Index

 

Vanguard VIF Global Bond Index — The Vanguard Group, Inc.

 

0.13

%

 

6.67

%

 

Since Inception 4.68%

 

Inception Date 9/7/2017

 

Capital Growth

 

Victory RS Small Cap Growth Equity VIP Series — Victory Capital Services, Inc.

 

1.01

%

 

38.06

%

 

19.77

%

 

16.55

%

 


A-6


You can call us at 1-800-265-1545 to ask us questions, to request information about the Policy, and to obtain copies of the SAI, personalized illustrations or other documents. You also can write to us at the address given on the first page of this Prospectus.

We have filed a SAI with the SEC. The current SAI is dated [ ]. The SAI contains additional information about the Policy and is incorporated by reference in this Prospectus. You can obtain a free copy of the SAI upon request, by writing us or calling at the number given above. You are encouraged to read the SAI.

Our SEC reports and other information about us are also available to the public at the SEC's web site at sec.gov. Copies of any of the information filed with the SEC may be obtained, upon payment of a duplicating fee, by electronic request at the following email address: publicinfo@sec.gov.

EDGAR Contract Identifier: C0001826404


The information in this Statement of Additional Information is not complete and may be changed. We may not sell these securities until the registration statement filed with the Securities and Exchange Commission is effective. This Statement of Additional Information is not an offer to sell these securities and it is not soliciting an offer to buy these securities in any state where the offer or sale is not permitted.
 
 
 
Statement of additional information
 
[__________], 2021
Protective Executive Benefits Registered VUL NY
A Flexible Premium Variable Universal Life Insurance Policy
Issued by
PROTECTIVE NY COLI VUL
(Registrant)
and
PROTECTIVE LIFE AND ANNUITY INSURANCE COMPANY
(Depositor)
2801 Highway 280 South
Birmingham, Alabama 35223

This Statement of Additional Information ("SAI") is not a prospectus. This SAI should be read together with the Prospectus for the Policy dated [
], 2021 and the prospectuses for the Funds. You may obtain a copy of the Prospectus without charge by calling us at 1-800-265-1545 or writing to us at gwexecbenefits@protective.com or visiting protectiveonlineprospectus.net. Capitalized terms in this SAI have the same meanings as in the Prospectus for the Policy.
 
 
 
 
1

STATEMENT OF ADDITIONAL INFORMATION
TABLE OF CONTENTS
GENERAL INFORMATION AND HISTORY 3
Non-Principal Risks of Investing in the Contract 3
Services 4
Premiums 4
Distribution 4
Additional Information 5
 
 
 
2

GENERAL INFORMATION AND HISTORY
Company
Protective Life (formerly American Foundation Life Insurance Company) was formed in 1978 under the laws of the State of Alabama. Protective Life is a wholly owned subsidiary of Protective Life Insurance Company, which is the principal operating subsidiary of Protective Life Corporation (“PLC”), a U.S. insurance holding company and subsidiary of the Dai-ichi Life Insurance Company, Limited (“Dai-ichi”).
Variable Account
Protective NY COLI VUL separate account is a separate investment account of Protective Life established under Alabama law by the board of directors of Protective Life on February 25, 2020.
Non-Principal Risks of Investing in the Contract
Cyber Security Risks. With the increasing reliance on digital technology to conduct necessary business functions and engage customers and business partners, we are susceptible to ongoing risks and threats of cyber security incidents. These risks include the occurrence of deliberate or malicious attacks, as well as unintentional incidents. These risks are heightened by our offering of products with certain features, including those with automatic asset transfer or re-allocation strategies, and by our offering of unaffiliated underlying funds and administrators. To provide reasonable assurance, we employ people, process and technology, and related protocols to protect computer hardware, networks, systems and applications and the data transmitted and stored therewith. These measures are intended to safeguard the reliability of our systems, as well as the security, availability, integrity, and confidentiality of our data assets. We also contract with vendors who we ensure have their own safeguards for our data.
 
Deliberate cyber-attacks include but are not limited to: gaining unauthorized access (including physical break-ins and attempts to fraudulently induce employees, customers or other users of these systems to disclose sensitive information in order to gain access) to computer systems in order to misappropriate financial assets and/or disclose sensitive or confidential information; deleting, corrupting or modifying data; and causing operational disruptions. Cyber-attacks can also be carried out in a manner that does not require gaining unauthorized access, such as causing denial-of-service attacks on websites to prevent access to computer networks. In addition to deliberate breaches engineered by external actors, cyber security risks can also result from the conduct of malicious, exploited or careless insiders whose actions may result in the destruction, release or disclosure of confidential or proprietary information stored on our systems.
 
Cyber security incidents that could impact us and our Policy Owners, whether deliberate or unintentional, could arise not only during our own administration of the Policy, but also at entities operating the Policy’s underlying funds intermediaries, and third-party service providers. Cyber security failures originating with any of the entities involved with the servicing and administration of the Policy may cause significant disruptions in the business operations related to the Policy. Potential impacts of a cyber security incident include but are not limited to: financial losses under the Policy; your inability to conduct transactions under the Policy that may involve an underlying fund; an inability to calculate unit values under the Policy and/or the net asset value (“NAV”) of an underlying fund; and disclosures of your confidential personal financial information.
 
In addition to direct impacts to you, cyber security incidents may have adverse impacts on us. For instance, such cyber security incidents may prompt regulatory inquiries and could result in regulatory proceedings that cause us to incur regulatory, legal and/or litigation costs and may cause reputational damage. Costs incurred by us may include expenses related to reimbursement, litigation and litigation settlements, and additional compliance costs. We may also incur considerable expenses when enhancing and upgrading computer systems and systems security to prevent or remediate a cyber security failure.
 
3

The rapid proliferation of technologies-as well as the increased sophistication of organized crime, hackers, terrorists, hostile foreign governments, and others--continue to pose new and significant cyber security threats. Although we, our service providers, and the underlying funds offered under the Policy have established business continuity plans and risk management systems to mitigate cyber security risks, there can be no guarantee or assurance that such plans or systems will be effective in avoiding losses affecting your Policy due to cyber-attacks or information security breaches, or that all risks that exist or may develop in the future have been completely anticipated and identified or can be protected against. Nor can we control or assure the efficacy of the cyber security plans and systems implemented by third-party service providers, the underlying funds, and the issuers in which the underlying funds invest.
 
COVID-19. The outbreak of the novel coronavirus known as COVID-19 was declared a pandemic by the World Health Organization in March 2020. Equity and financial markets have experienced increased volatility and negative returns, and interest rates have declined due to the COVID-19 pandemic and other market factors. Such events can adversely impact us and our operations. Management believes it is taking appropriate actions to mitigate the negative impact to our business and operations. Although vaccines for COVID-19 are becoming more widely available, the full impact of COVID-19 is unknown and cannot be reasonably estimated or predicted at this time as these events are still developing.
 
Moreover, these market conditions may have impacted the performance of the Portfolios underlying the Sub-Accounts. If these market conditions continue, and depending on your individual circumstances (e.g., your selected investment options and the timing of any contributions, transfers, or withdrawals), you may experience (perhaps significant) negative returns under the Policy. The duration of the COVID-19 pandemic, the pace of recovery (which may vary from market to market) and the future impact that the pandemic may have on the financial markets and global economy, remain unknown. You should consult with a financial professional about how the COVID-19 pandemic and the recent market conditions may impact your future investment decisions related to the Policy, such as purchasing the Policy or making contributions, transfers, or withdrawals, based on your individual circumstances.
 
Services
 
Expenses paid by third parties.
[to be updated by Pre-Effective Amendment]
 
Service agreements.
 [to be updated by Pre-Effective Amendment]
Premiums
Administrative Procedures.
 [to be updated by Pre-Effective Amendment]
Distribution
Investment Distributors, Inc. (“IDI”) under which IDI has agreed to distribute the Policies on a “best efforts” basis. Under the agreement, IDI serves as principal underwriter (as defined under Federal securities laws and regulations) for the Policies. IDI is a Tennessee corporation and was established in 1993. IDI, a wholly owned subsidiary of PLC, is an affiliate of Protective Life, and its Home Office shares the same address as Protective Life. IDI is registered with the SEC under the Securities Exchange Act of 1934 as a broker-dealer and is a member firm of the Financial Industry Regulatory Authority (“FINRA”).
IDI does not sell Policies directly to purchasers. IDI, together with Protective Life, enters into distribution agreements with other broker-dealers (collectively, “Selling Broker-Dealers”) for the sale of the Policies. Registered representatives of the Selling Broker-Dealers must be licensed as insurance agents by applicable state insurance authorities and appointed as agents of Protective Life in order to sell the Policies.
4

Protective COLI NY VUL separate account is newly offered and therefore IDI did not receive any compensation for its services related to the Policy during the last three fiscal years. 
Additional Information
 
Limits on Policy Rights
Incontestability. Unless fraud is involved, Protective Life will not contest the Policy, or any supplemental rider, after the Policy or rider has been in force during the Insured's lifetime for two years from the Policy Effective Date or the effective date of the rider. Likewise, unless fraud is involved, Protective Life will not contest an increase in the Face Amount with respect to statements made in the evidence of insurability for that increase after the increase has been in force during the life of the Insured for two years after the effective date of the increase.
Suicide Exclusion. If the Insured dies by suicide within two years after the Issue Date, the Death Benefit will be limited to the premium payments made before death, less any Policy Debt and any withdrawals. If the Insured dies by suicide within two years after an increase in Face Amount, then the Company will refund the cost of the insurance paid for the amount of the increase. 
Misstatement of Age or Sex
If the Insured's age and/or sex on the Policy Date has been misstated and the misstatement is discovered on or after the death of the Insured, then the benefits payable under this Policy will be the amount of insurance that the cost of insurance would have purchased for the correct age and/or sex on the Policy Date. If the Insured is alive at the time the misstatement of age and/or sex is discovered, then we will adjust the Policy Value Account and other benefits under the Policy as of the Policy Date based on the correct age and/or sex. Future monthly deductions from the Policy Value Account will be based upon the correct age and/or sex.
Settlement Options
Payment of Death Benefit proceeds will be paid in a lump sum unless the Beneficiary chooses to receive the proceeds under a settlement option that the Company is then offering.
Policy Owner Control
For a variable life insurance policy to qualify for tax deferral, assets in the separate accounts supporting the Policy must be considered to be owned by the insurance company and not by the policy owner. Under current U.S. tax law, if a policy owner has excessive control over the investments made by a separate account, or the underlying fund, the policy owner will be taxed currently on income and gains from the account or fund. In other words, in such a case of "investor control" the policy owner would not derive the tax benefits normally associated with variable life insurance. We urge you to consult your own tax advisor with respect to the application of the investor control doctrine.
Financial Statements
There are no financial statements for Protective COLI NY VUL separate account because it had not commenced operations as of December 31, 2020.
The audited statutory financial statements of Protective Life and Annuity Insurance Company as of December 31, 2020 and 2019, and the related statutory statements of operations, changes in capital and surplus, and cash flow for each of the years in the three-year period ended December 31, 2020, as well as the Reports of Independent Auditors are incorporated into the Statement of Additional Information by reference to the Variable Account's Form N-VPFS, File No. 811-8537, filed with the SEC on April 28, 2021.
 
5

CEFLI
Protective Life is a member of the Compliance & Ethics Forum for Life Insurers ("CEFLI"), and as such may include the CEFLI logo and information about CEFLI membership in Protective advertisements. Companies that belong to CEFLI subscribe to a set of ethical standards covering the various aspects of sales and service for individually sold life insurance and annuities.
 
Other Investors in the Funds
Shares of the underlying Funds (a complete list of the Funds is included in the Prospectus, under Appendix A- Funds Available Under Your Policy) are sold to separate accounts of insurance companies, which may or may not be affiliated with Protective Life or each other, a practice known as "shared funding." They may also be sold to separate accounts to serve as the underlying investment for both variable annuity contracts and variable life insurance policies, a practice known as "mixed funding." Shares of some of these Funds may also be sold to certain qualified pension and retirement plans. As a result, there is a possibility that, a material conflict may arise among and between the interests of Policy Owners and other of the Funds' various investors. In the event of any such material conflicts, Protective Life will consider what action may be appropriate, including removing a Fund from the Variable Account or replacing a Fund with another Fund. The board of directors (or trustees) of each of the Funds monitors events related to their Funds to identify possible material irreconcilable conflicts among and between the interests of the Fund's various investors. There are certain risks associated with mixed and shared funding and with the sale of shares to qualified pension and retirement plans, as disclosed in each Fund’s prospectus.
 
6

Assignment
The Policy may be assigned in accordance with its terms. An assignment is binding upon Protective Life only if it is in writing and filed at the Home Office. Once Protective Life has received a signed copy of the assignment, the Owner's rights and the interest of any beneficiary (or any other person) will be subject to the assignment. Protective Life assumes no responsibility for the validity or sufficiency of any assignment. An assignment is subject to any Policy Debt and any liens. An assignment may result in certain amounts being subject to income tax and a 10% penalty tax. (See "Tax Considerations" in the Prospectus.)
State Regulation
Protective Life is subject to regulation and supervision by the Department of Insurance of the State of Alabama which periodically examines its affairs. It is also subject to the insurance laws and regulations of all jurisdictions where it is authorized to do business. Where required, a copy of the Contract form has been filed with, and, if applicable, approved by, insurance officials in each jurisdiction where the Contracts are sold.
Protective Life is required to submit annual statements of operations, including financial statements, to the insurance departments of the various jurisdictions where it does business to determine solvency and compliance with applicable insurance laws and regulations.
Reports to Owners
Each year you will be sent a report at your last known address showing, as of the end of the current report period: the Death Benefit; Policy Value; Fixed Account Value; Variable Account Value; Loan Account Value; Sub-Account Values; premiums paid since the last report; withdrawals since the last report; any Policy loans and accrued interest; Surrender Value; current Net Premium allocations; charges deducted since the last report; any liens and accrued interest; and any other information required by law. We will also make available an annual and a semi-annual report for each Fund underlying a Sub-Account to which you have allocated Policy Value, including a list of the securities held in each Fund, as required by the Investment Company Act of 1940. In addition, when you pay premiums or request any other financial transaction under your Policy you will receive a written confirmation of these transactions.
Legal Matters
Faegre Drinker Biddle & Reath LLP has provided advice on certain matters relating to the federal securities laws.
7

Experts
There are no financial statements for Protective NY COLI VUL separate account because it had not commenced operations as of December 31, 2020.
 
The statutory financial statements and schedules of Protective Life as of December 31, 2020 and 2019, and for the years then ended, have been incorporated by reference in this Statement of Additional Information in reliance upon the report of KPMG LLP, independent registered public accounting firm, incorporated by reference herein, and upon the authority of said firm as experts in accounting and auditing.
The audit report covering the December 31, 2020 and 2019 statutory financial statements includes explanatory language that states that the financial statements are prepared by Protective Life and Annuity Insurance Company using statutory accounting practices prescribed or permitted by the Alabama Department of Insurance, which is a basis of accounting other than U.S. generally accepted accounting principles. Accordingly, the audit report states that the financial statements are not intended to be and, therefore, are not presented fairly in accordance with U.S. generally accepted accounting principles and further states that those financial statements are presented fairly, in all material respects, in accordance with statutory accounting practices prescribed or permitted by the Alabama Department of Insurance.
The business address for KPMG LLP is 420 20th Street North, Suite 1800, Birmingham, Alabama 35203.
Reinsurance
The Company may reinsure a portion of the risks assumed under the Policies.
 
 
PART C – OTHER INFORMATION
 
Item 30. Exhibits
 
(a)
    Resolution of the Board of Directors of Protective Life and Annuity Insurance Company establishing Protective NY COLI VUL separate account - Filed herein.
       
(b)
    Not applicable.
       
(c)
(i)
  Second Amended Distribution Agreement dated October 24, 2013 between IDI and PLAIC is incorporated herein by reference to Post-Effective Amendment No. 5 to the Form N-4 Registration Statement (File No. 333-179963), filed with the Commission on April 29, 2014.
 
(ii)
  Amendment No. 1 dated October 24, 2013 to Second Amended Distribution Agreement between IDI and PLAIC is incorporated herein by reference to the Form N-4 Registration Statement (File No. 333-240103), filed with the Commission on July 27, 2020.
 
(iii)
  Revised Schedule to the Second Amended Distribution Agreement between IDI and PLAIC is incorporated herein by reference to Pre-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240193), filed with the Commission on November 24, 2020.
 
(iv)
  Form of Selling Agreement between Protective Life and Annuity Insurance Company, Investment Distributors, Inc. and broker-dealers is - Filed herein.
       
(d)
(i)
   Protective Executive Benefits VUL NY Specimen Policy and Policy Schedule- Filed herein.
 
(ii)
  Specimen Term Life Rider - Filed herein.
 
(iii)
  Specimen Change of Insured Endorsement - Filed herein.
       
(e)
    Specimen Protective Executive Benefits Registered VUL NY Life Insurance Guaranteed Issue Application, Fully Underwritten Application and Fund Allocation Form - Filed herein.
       
(f)
(i)
  2005 Amended and Restated Articles of Incorporation of Protective Life and Annuity Insurance Company is incorporated herein by reference to Post-Effective Amendment No. 6 to the Form N-4 Registration Statement (File No. 333-201920), filed with the Commission on April 29, 2020.
 
(ii)
  2011 Amended and Restated By-Laws of Protective Life and Annuity Insurance Company is incorporated herein by reference to Post-Effective Amendment No. 6 to the Form N-4 Registration Statement (File No. 333-201920), filed with the Commission on April 29, 2020.
 
C-1

       
(g)
(i)
  Form of Automatic and Facultative Yearly Renewable Term Agreement is incorporated herein by reference to Post-Effective Amendment No. 7 to the Form N-6 Registration Statement (File No. 333-52215), filed with the Commission on April 30, 2003.
 
(ii)
  Form of Yearly Renewable Term Reinsurance Agreement is incorporated herein by reference to Post-Effective Amendment No. 17 to the Form N-6 Registration Statement (File No. 333-52215), filed with the Commission on April 27, 2009.
 
(iii)
  List of Reinsurers - To be filed by Post-Effective Amendment.
       
(h)
(i)
(1)
Participation Agreement between PLAIC and American Century Investment Services, Inc. - to be filed by Pre-Effective Amendment.
   
(2)
Participation Agreement dated June 18, 2015 between PLAIC and American Funds Distributors, Inc. is incorporated herein by reference to Pre-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240193), filed with the Commission on November 24, 2020.
   
(3)
Amendment to Participation Agreement between PLAIC and American Funds Distributors, Inc. - to be filed by Pre-Effective Amendment.
 
(ii)
(1)
Participation Agreement between PLAIC and BlackRock Investments, Inc. -  to be filed by Pre-Effective Amendment.
   
(2)
Amendment to Participation Agreement (PLAIC and BlackRock Investments, Inc. - to be filed by Pre-Effective Amendment.
 
(iii)
(1)
Participation Agreement between PLAIC and BNY Mellon-Dreyfus -  to be filed by Pre-Effective Amendment.
 
(iv)
(1)
Participation Agreement between PLAIC and Davis Distributors, LLC - to be filed by Pre-Effective Amendment.
 
(v)
(1)
Participation Agreement between PLAIC and Deutsche-DWS Distributors, Inc. - to be filed by Pre-Effective Amendment.
 
(vi)
(1)
Participation Agreement between PLAIC and Eaton Vance Distributors, Inc. - to be filed by Pre-Effective Amendment.
 
(vii)
(1)
Participation Agreement dated May 1, 2008 between PLAIC and Fidelity Variable Insurance Products is incorporated herein by reference to Pre-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240193), filed with the Commission on November 24, 2020.
   
(2)
Amendment dated October 15, 2020 to Participation Agreement between PLAIC and Fidelity Variable Insurance Products is incorporated herein by reference to Pre-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240193), filed with the Commission on November 24, 2020.
 
(viii)
(1)
Participation Agreement between PLAIC and Great-West Funds, Inc. to be filed by Pre-Effective Amendment.
 
(ix)
(1)
Participation Agreement dated June 1, 2010 between PLAIC and AIM-Invesco Variable Insurance Funds, Inc. is incorporated herein by reference to Pre-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240193), filed with the Commission on November 24, 2020.
C-2

 
(x)
(1)
Participation Agreement between PLAIC and Janus Aspen Seriesto be filed by Pre-Effective Amendment.
 
(xi)
(1)
Participation Agreement between PLAIC and JP Morgan Insurance Trust to be filed by Pre-Effective Amendment.
 
(xii)
(1)
Participation Agreement dated November 1, 2009 between PLAIC and Legg Mason is incorporated herein by reference to the Post-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-153043), filed with the Commission on October 29, 2009.
   
(2)
Amendment dated March 1, 2012 to Participation Agreement (PLAIC-Legg Mason) is incorporated herein by reference to Pre-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240193), filed with the Commission on November 24, 2020.
   
(3)
Amendment dated August 11, 2020 to Participation Agreement (PLAIC-Legg Mason) is incorporated herein by reference to Pre-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240193), filed with the Commission on November 24, 2020.
   
(4)
Amendment to Participation Agreement (PLAIC-Legg Mason) - to be filed by Pre-Effective Amendment.
 
(xiii)
(1)
Participation Agreement dated April 30, 2002 between PLAIC and Lord Abbett Series Fund, Inc. is incorporated herein by reference to the Post-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-153043), filed with the Commission on April 30, 2009.
 
(xiv)
(1)
Participation Agreement between PLAIC and MFS - to be filed by Pre-Effective Amendment.
 
(xv)
(1)
Participation Agreement between PLAIC and Neuberger Bermanto be filed by Pre-Effective Amendment.
 
(xvi)
(1)
Participation Agreement dated November 1, 2009 between PLAIC and PIMCO Variable Insurance Trust is incorporated herein by reference to Post-Effective Amendment No. 2 to the Form N-4 Registration Statement (File No. 333-153043), filed with the Commission on October 29, 2009.
   
(2)
Novation of and Amendment dated April 25, 2011 to Participation Agreement (PLAIC-PIMCO) is incorporated herein by reference to Pre-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240193), filed with the Commission on November 24, 2020.
   
(3)
Amendment dated April 25, 2011 to Participation Agreement (PLAIC-PIMCO) is incorporated herein by reference to Pre-Effective Amendment No. 1 to the Form N-4 Registration Statement (File No. 333-240193), filed with the Commission on November 24, 2020.
   
(4)
Amendment to Participation Agreement (PLAIC-PIMCO) to be filed by Pre-Effective Amendment. 
 
(xvii)
(1)
Participation Agreement between PLAIC and Pioneer Variable Contracts Trust - to be filed by Pre-Effective Amendment.
C-3

 
(xviii)
(1)
Participation Agreement between PLAIC and Putnam Variable Trust to be filed by Pre-Effective Amendment.
   
(2)
Amendment to Participation Agreement (PLAIC-Putnam) - to be filed by Pre-Effective Amendment
 
(xix)
(1)
Participation Agreement between PLAIC and T. Rowe Price - to be filed by Pre-Effective Amendment.
   
(2)
Amendment to Participation Agreement (PLAIC-T. Rowe Price) - to be filed by Pre-Effective Amendment.
 
(xx)
(1)
Participation Agreement between PLAIC and Van Eck Securities Corporation to be filed by Pre-Effective Amendment.
   
(2)
Amendment to Participation Agreement (PLAIC-Van Eck) - to be filed by Pre-Effective Amendment.
 
(xxi)
(1)
Participation Agreement between PLAIC and Vanguard - to be filed by Pre-Effective Amendment.
   
(2)
Revised Schedule A to Participation Agreement - to be filed by Pre-Effective Amendment.
 
(xxii)
(1)
Participation Agreement between PLAIC and Victory Variable Insurance Funds - to be filed by Pre-Effective Amendment.
       
(i)
    Not Applicable
       
(j)
    Not applicable
       
(k)
    Opinion and Consent of Bradley A. Strickling, Esq.– Filed herein.
       
(l)
    Not applicable
       
(m)
    Not applicable
       
(n)
(i)
  Consent of Faegre Drinker Biddle & Reath LLP – To be filed by pre-effective amendment.
 
(ii)
  Consent of PricewaterhouseCoopers LLP - To be filed by Pre-Effective Amendment
 
(iii)
  Consent of KPMG LLP - To be filed by Pre-Effective Amendment
       
(o)
    No financial statements are omitted from Item 28.
       
(p)
    Not applicable
       
(q)
    Memorandum Pursuant to Rule 6e-3(b)(12)(iii) Describing Issuance, Transfer, and Redemption Procedures - to be filed by Pre-Effective Amendment.
       
(r)
    Form of Initial Summary Prospectus – Filed herein.
       
99   (a) 
 
 
  Powers of Attorney – Filed herein.
       
 
C-4

 
Item 31.    Directors and Officers of Depositor.
 
Name and Principal Business Address*
    
Position and Offices with Depositor
Adams, D. Scott
    
Executive Vice President, Corporate Responsibility, Strategy & Innovation
Bartlett, Malcolm Lee
    
Senior Vice President, Corporate Tax
Bielen, Richard J.
    
Chairman of the Board, Chief Executive Officer, President, and Director
Black, Lance P.
    
Senior Vice President, and Treasurer
Borie, Kevin B.
    
Senior Vice President, Chief Valuation Actuary, and Appointed Actuary
Casey, Sean
    
Senior Vice President, and Actuary
Cramer, Steve
    
Senior Vice President, and Chief Product Officer
Creutzmann, Scott E.
    
Senior Vice President, and Chief Compliance Officer
Drew, Mark L.
    
Executive Vice President, and Chief Legal Officer
Evesque, Wendy L.
    
Executive Vice President, and Chief Human Resources Officer
Harrison, Wade V.
    
Senior Vice President, and President, Protection Division
Herring, Derry W
    
Senior Vice President, and Chief Auditor
Kane, Nancy
    
Executive Vice President, Acquisitions and Corporate Development
Karchunas, M. Scott
    
Senior Vice President, and President, Asset Protection Division
Kohler, Matthew
    
Senior Vice President, and Chief Technology Officer
Laeyendecker, Ronald
    
Senior Vice President, Executive Benefit Markets
Lawrence, Mary Pat
    
Senior Vice President, Government Affairs
Loper, David M
    
Senior Vice President, and Senior Counsel
McDonald, Laura Y.
    
Senior Vice President, and Chief Mortgage and Real Estate Officer
Moschner, Christopher
    
Senior Vice President, and Chief Marketing Officer
Passafiume, Philip E.
    
Senior Vice President, and Chief Investment Officer
Radnoti, Francis
    
Senior Vice President, and Chief Product Officer
Ray, Webster M.
    
Senior Vice President, Investments
Riebel, Matthew A.
    
Senior Vice President, and Chief Distribution Officer
Seurkamp, Aaron C.
    
Senior Vice President, and President, Retirement Division
Temple, Michael G.
    
Vice Chairman, Chief Operating Officer, and Director
Wagner, James
    
Senior Vice President, and Chief Distribution Officer
Walker, Steven G.
    
Executive Vice President, Chief Financial Officer, and Director
Wells, Paul R.
    
Senior Vice President, and Chief Accounting Officer
Whitcomb, John
    
Senior Vice President, Distribution Operations
Williams, Doyle J.          Senior Vice President, Distribution Companies
Williams, Lucinda S.
    
Senior Vice President, and Chief Customer Officer

*                 Unless otherwise indicated, principal business address is 2801 Highway 280 South, Birmingham, Alabama 35223.
 
C-5

 
Item 32.    Persons Controlled by or Under Common Control With the Depositor or Registrant.
 
The registrant is a segregated asset account of Protective Life Annuity and Insurance Company (the "Company" or "Protective Life") and is therefore owned and controlled by the Company. All of the Company’s outstanding voting common stock is owned by Protective Life Corporation, a subsidiary of The Dai-ichi Life Insurance Company, Limited. Protective Life Corporation ("PLC") is described more fully in the prospectus included in this registration statement. The following companies are wholly-owned subsidiaries of Protective Life Insurance Company: West Coast Life Insurance Company(1), Protective Life and Annuity Insurance Company(2), MONY Life Insurance Company(3), Protective Property & Casualty Insurance Company(4), Golden Gate Captive Insurance Company(5), Golden Gate II Captive Insurance Company(6), Golden Gate III Vermont Captive Insurance Company(5), Golden Gate IV Vermont Captive Insurance Company(5), Golden Gate V Vermont Captive Insurance Company(5), New World Re(7), United States Warrant Corp.(8), New World Warranty Corp.(8), Western General Warranty Corporation(8), First Protection Corporation of Florida(8), and the Advantage Warranty Corporation(8). The financial statements of these entities are included in the consolidated financial statements of Protective Life Insurance Company, filed as part of the Company’s Form 10-K on March 25, 2020.
 

(1) Incorporated in Nebraska
(2) Incorporated in Alabama
(3) Incorporated in New York
(4) Incorporated in Missouri
(5) Incorporated in Vermont
(6) Incorporated in South Carolina
(7) Incorporated in Nevada
(8) Incorporated in Florida
 
C-6

Item 33.    Indemnification.
 
Article XI of the By-laws of Protective Life provides, in substance, that any of Protective Life’s directors and officers, who is a party or is threatened to be made a party to any action, suit or proceeding, other than an action by or in the right of Protective Life, by reason of the fact that he is or was an officer or director, shall be indemnified by Protective Life against expenses (including attorneys’ fees), judgments, fines and amounts paid in settlement actually and reasonably incurred by such person in connection with such claim, action, suit or proceeding if he acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interests of Protective Life and, with respect to any criminal action or proceeding, had no reasonable cause to believe his conduct was unlawful. If the claim, action or suit is or was by or in the right of Protective Life to procure a judgment in its favor, such person shall be indemnified by Protective Life against expenses (including attorneys’ fees) actually and reasonably incurred by him in connection with the defense or settlement of such action or suit if he acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interests of Protective Life, except that no indemnification shall be made in respect of any claim, issue or matter as to which such person shall have been adjudged to be liable for negligence or misconduct in the performance of his duty to Protective Life unless and only to the extent that the court in which such action or suit was brought shall determine upon application that, despite the adjudication of liability but in view of all circumstances of the case, such person is fairly and reasonably entitled to indemnity for such expenses which such court shall deem proper. To the extent that a director or officer has been successful on the merits or otherwise in defense of any such action, suit or proceeding, or in defense of any claim, issue or matter therein, he shall be indemnified by Protective Life against expenses (including attorneys’ fees) actually and reasonably incurred by him in connection therewith, notwithstanding that he has not been successful on any other claim issue or matter in any such action, suit or proceeding. Unless ordered by a court, indemnification shall be made by Protective Life only as authorized in the specific case upon a determination that indemnification of the officer or director is proper in the circumstances because he has met the applicable standard of conduct. Such determination shall be made (a) by the Board of Directors by a majority vote of a quorum consisting of directors who were not parties to, or who have been successful on the merits or otherwise with respect to, such claim action, suit or proceeding, or (b) if such a quorum is not obtainable, or, even if obtainable a quorum of disinterested directors so directs, by independent legal counsel in a written opinion or (c) by the shareholders.
 
In addition, the executive officers and directors are insured by PLC’s Directors’ and Officers’ Liability Insurance Policy including Company Reimbursement and are indemnified by a written contract with PLC which supplements such coverage.
 
Insofar as indemnification for liability arising under the Securities Act of 1933 may be permitted to directors, officers and controlling persons of the Registrant pursuant to the foregoing provisions, or otherwise, the Registrant has been advised that in the opinion of the Securities and Exchange Commission such indemnification may be against public policy as expressed in the Act and may be, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than payment by the Registrant of expenses incurred or paid by a director, officer, or controlling person of the Registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the Registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Act and will be governed by the final adjudication of such issue.
 
C-7

Item 34.    Principal Underwriter.
 
(a)         Other Activity. Investment Distributors, Inc. (“IDI”) is the principal underwriter of the Policies as defined in the Investment Company Act of 1940. IDI is also principal underwriter for the Protective Variable Annuity Separate Account, Protective Variable Life Separate Account and the Variable Annuity Separate Account A of Protective Life.
 
(b)         Management. The following information is furnished with respect to the officers and directors of IDI. 
 
Name and Principal
Business Address* 
     
Position and Offices
     
Position and Offices with Registrant
Brown, Barry K.
     
Director, President
     
Vice President, Operations
Coffman, Benjamin P.        Assistant Financial Officer       2VP Financial Reporting
Creutzmann, Scott E.
     
Chief Compliance Officer
     
Senior Vice President and Chief Compliance Officer
Debnar, Lawrence J.
     
Assistant Financial Officer
     
Vice President, Financial Reporting, Chase
Gilmer, Joseph F.
     
Director, Assistant Financial Officer
     
Assistant Vice President, Financial Reporting
Johnson, Julena G.
     
Assistant Compliance Officer
     
Compliance Director
Majewski, Carol L.
     
Assistant Compliance Officer
     
Assistant Vice President, Compliance
Morsch, Letitia
     
Assistant Secretary
     
Vice President, New Business Operations
Smith, Joy Beth       Assistant Secretary       Senior Staff Attorney
Tennent, Rayburn
     
Chief Financial Officer
     
Director II Financial Reporting

*                 Unless otherwise indicated, principal business address is 2801 Highway 280 South, Birmingham, Alabama 35223.
 
(c)   Compensation From the Registrant. The following commissions were received by the principal underwriter, directly or indirectly, from the Registrant during the Registrant’s last fiscal year:
 
(1) Name of Principal
Underwriter
 
(2) Net Underwriting
Discounts and Commissions
 
(3) Compensation on
Redemption
 
(4) Brokerage
Commissions
 
(5) Other
Compensation
 
Investments Distributors, Inc.
 
None
 
None
 
N/A
 
N/A
 
 
C-8

Item 35.    Location of Accounts and Records.
 
All accounts and records required to be maintained by Section 31(a) of the Investment Company Act of 1940 and the rules thereunder are maintained by Protective Life and Annuity Insurance Company at 2801 Highway 280 South, Birmingham, Alabama, 35223.
 
Item 36.    Management Services.
 
[To be updated by Pre-Effective Amendment]
 
Item 37.    Fee Representation.
 
Protective Life hereby represents that the fees and charges deducted under the variable life insurance policies described herein are, in the aggregate, reasonable in relation to the services rendered, the expenses expected to be incurred and the risks assumed by it under such policies.
 
 
C-9

 
SIGNATURES
 
Pursuant to the requirements of the Securities Act of 1933 and the Investment Company Act of 1940, the Registrant has duly caused this Registration Statement on Form N-6 to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Birmingham, State of Alabama on June 14, 2021.
 
     
 
PROTECTIVE NY COLI VUL
 
(Registrant)
 
 
 
By:
*
 
 
Richard J. Bielen, President,
 
 
Protective Life and Annuity Insurance Company
 
 
 
PROTECTIVE LIFE AND ANNUITY INSURANCE COMPANY
 
(Depositor)
 
 
 
By:
*
 
 
Richard J. Bielen, President,
 
 
Protective Life and Annuity Insurance Company
 
As required by the Securities Act of 1933, this Registration Statement on Form N-6 has been signed by the following persons in the capacities and on the dates indicated.
 
Signature
 
Title
 
Date
 
 
 
 
 
*
 
President, Chief Executive Officer Chairman of the Board and Director (Principal Executive Officer)
 
June 14, 2021
Richard J. Bielen
 
 
 
 
 
 
 
 
*
 
Executive Vice President and Chief Financial Officer (Principal Financial and Accounting Officer)
 
June 14, 2021
Steven G. Walker
 
 
 
 
 
 
 
 
*
 
Vice Chairman, Chief Operating Officer and Director
 
June 14, 2021
Michael G. Temple
 
 
 
 
 
 
 
 
 
 
*BY:
 /s/Bradley A. Strickling                                                    
 
 
 
June 14, 2021
Bradley A. Strickling
 
 
 
 
Attorney-in-Fact
 
 
 
 
 
 
C-10

Index of Exhibits
 
30(a) Resolution of the Board of Directors of Protective Life and Annuity Insurance Company establishing Protective NY COLI VUL 
30(c)(iv) Form of Selling Agreement between Protective Life and Annuity Insurance Company, Investment Distributors, Inc. and broker-dealers
30(d)(i) Protective Executive Benefits VUL NY Specimen Policy and Policy Schedule
30(d)(ii) Specimen Term Life Rider
30(d)(iii) Specimen Change of Insured Endorsement
30(e) Specimen Protective Executive Benefits Registered VUL NY Life Insurance Guaranteed Issue Application, Fully Underwritten Application and Fund Allocation Form
30(k) Opinion and Consent of Bradley A. Strickling, Esq.
30(r) Form of Initial Summary Prospectus
30.99(a) Powers of Attorney
 
C-11

Exhibit 30 (a) 
 
UNANIMOUS WRITTEN CONSENT
OF THE BOARD OF DIRECTORS OF
PROTECTIVE LIFE AND ANNUITY INSURANCE COMPANY
IN LIEU OF A MEETING
 
The undersigned, constituting all of the directors of PROTECTIVE LIFE AND ANNUITY INSURANCE COMPANY (“Company”), do hereby consent, in accordance with Article III, Section 10 of the By-Laws, that such corporate action be valid and binding as if duly adopted at a special meeting of the Board of Directors called and held on this date and do hereby unanimously adopt and approve the following resolutions for proper filing with any applicable regulatory authorities: 
 
RESOLVED, That the Board of Directors of the Company hereby establishes a separate account, pursuant to Alabama Code § 27-38-1, designated the “Protective NY COLI VUL” (hereinafter “Life Account”) for the following use and purposes, and subject to such conditions as hereinafter set forth; and
 
RESOLVED FURTHER, That the Life Account is established for the purpose of providing for the issuance by the Company of certain variable life insurance contracts (“Contracts”), and shall constitute a funding medium to support reserves under such Contracts issued by the Company; and
 
RESOLVED FURTHER, That to the extent so provided under such Contracts issued by the Company that portion of the assets of the Life Account equal to the reserves and other contract liabilities of the Life Account shall not be chargeable with liabilities arising out of any other business the Company may conduct; and
 
RESOLVED FURTHER, That the income, if any, and gains and losses, realized or unrealized, on such Life Account shall be credited to or charged against the amounts allocated to the Life Account, without regard to other income, gains, or losses of the Company; and
 
RESOLVED FURTHER, That the Life Account shall be divided into investment subaccounts, each investment subaccount in the Life Account shall invest in the shares of a mutual fund portfolio or other investments designated on the contract specifications page of the Contract and net premiums under the Contracts shall be allocated to the eligible portfolios in accordance with instructions received from owners of the Contracts; and
 
RESOLVED FURTHER, That the Board of Directors expressly reserve the right to add or remove any investment subaccount of the Life Account or substitute one designated mutual fund or other investment for another as it may hereafter deem necessary or appropriate;
 
RESOLVED FURTHER, That the appropriate officers of the Company be and the same hereby are authorized and each of them, with full power to act without the others, be, and they hereby are, severally authorized to invest such amount or amounts of the Company’s cash in the Life Account or in any investment subaccount thereof as may be deemed necessary or appropriate to facilitate the commencement of the Life Account’s operations and/or to meet any minimum capital requirements under the Investment Company Act of 1940 (the “1940 Act”); and
 
RESOLVED FURTHER, That the appropriate officers of the Company be and the same hereby are authorized and each of them, with full power to act without the others, be, and they hereby are, severally authorized to transfer cash from time to time between the Company’s general account and the Life Account as deemed necessary or appropriate and consistent with the terms of the Contracts; and
 
RESOLVED FURTHER, That the Board of Directors of the Company reserves the right to change the designation of the Life Account hereafter to such other designation as it may deem necessary or appropriate; and
 
RESOLVED FURTHER, That the appropriate officers of the Company be and the same hereby are authorized and each of them, with full power to act without the others, with such assistance from the Company’s independent certified public accountants, legal counsel and independent consultants or others as they may require, be, and they hereby are, severally authorized and directed to take all action necessary to: (a) register the Life Account as a unit investment trust under the 1940 Act; (b) register the Contracts in such amounts, which may be an indefinite amount, as such officer of the Company shall from time to time deem appropriate under the Securities Act of 1933 (the “1933 Act”); and (c) take all other actions which are necessary in connection with the offering of the Contracts for sale and the operation of the Life Account in order to comply with the 1940 Act, the Securities Exchange Act of 1934, the 1933 Act, and other applicable federal laws, including the filing of any amendments to registration statements, any undertakings, any requests for no-action assurance, and any applications for exemptions from the 1940 Act or other applicable federal laws as the officers of the Company shall deem necessary or appropriate; and
 
RESOLVED FURTHER, That the appropriate officers of the Company be and the same hereby are authorized and each of them, with full power to act without the others, hereby are severally authorized and empowered to prepare, execute and cause to be filed with the Securities and Exchange Commission on behalf of the Life Account, and by the Company as sponsor and depositor, a Notification of Registration on Form N-8A, a registration statement registering the Life Account as an investment company under the 1940 Act and the Contracts under the 1933 Act, and any and all amendments to the foregoing on behalf of the Life Account and the Company and on behalf of and as attorneys-in-fact for the chief executive officer and/or the chief financial officer and/or the principal accounting officer and/or any other officer of the Company; and
 
RESOLVED FURTHER, That Bradford Rodgers, or his successor, is duly appointed as agent for service under such registration statement, duly authorized to receive communications and notices from the Securities and Exchange Commission with respect thereto; and
 
RESOLVED FURTHER, That the appropriate officers of the Company be and the same hereby are authorized and each of them, with full power to act without the other, hereby are severally authorized on behalf of the Life Account and on behalf of the Company to take any and all action that each of them may deem necessary or advisable in order to offer and sell the Contracts, including any registrations, filings and qualifications both of the Company, its officers, agents and employees, and of the Contracts, under the insurance and securities laws of any of the states of the United States of America or other jurisdictions, and in connection therewith to prepare, execute, deliver and file all such applications, reports, covenants, resolutions, requests for no-action assurance, applications for exemptions, consents to service of process and other papers and instruments as may be required under such laws, and to take any and all further action which such officers or legal counsel of the Company may deem necessary or desirable (including entering into whatever agreements and contracts may be necessary) in order to maintain such registrations or qualifications for as long as the officers or legal counsel deem it to be in the best interests of the Life Account and the Company; and
 
RESOLVED FURTHER, That the appropriate officers of the Company be and the same hereby are authorized and each of them, with full power to act without the others, be, and they hereby are, severally authorized in their names and on behalf of the Life Account and the Company to execute and file irrevocable written consents on the part of the Life Account and of the Company to be used in such states wherein such consents to service of process may be requisite under the insurance or securities laws therein in connection with the registration or qualification of the Contracts and to appoint the appropriate state official, or such other person as may be allowed by insurance or securities laws, agent of the Life Account and of the Company for the purpose of receiving and accepting process; and
 
RESOLVED FURTHER, That the appropriate officers of the Company be and the same hereby are authorized and each of them, with full power to act without the others, be, and hereby are, severally authorized to establish procedures under which the Company will provide voting rights for owners of the Contracts with respect to securities owned by the Life Account; and
 
RESOLVED FURTHER, That the appropriate officers of the Company be and the same hereby are authorized and each of them, with full power to act with the others, are hereby severally authorized to execute such agreement or agreements as deemed necessary and appropriate (i) with Investment Distributors, Inc. or other qualified entity under which Investment Distributors, Inc. or such other entity will be appointed principal underwriter and distributor for the Contracts, (ii) with one or more qualified banks or other qualified entities to provide administrative and/or custody services in connection with the establishment and maintenance of the Life Account and the design, issuance, and administration of the Contracts, and (iii) with the designated mutual funds and/or the principal underwriter and distributor of those funds for the purchase and redemption of fund shares.
 
RESOLVED FURTHER, That the appropriate officers of the Company be and the same hereby are authorized and each of them, with full power to act without the others, are hereby severally authorized to execute and deliver such agreements and other documents and do such acts and things as each of them may deem necessary or desirable to carry out the foregoing resolutions and the intent and purposes thereof.
 

                                                          Exhibit 30(c)(4)
Form of Broker-Dealer Selling Agreement 
For Sales of Protective Life and Annuity Insurance Company
Corporate Owned Registered Variable Universal Life Insurance
 
Broker-Dealer:  
__________________________ _(“Broker-Dealer”)
 
Insurance Agency:  
_______________________   (“Insurance Agency”)
 
Effective Date:___________________________________________________(“Effective Date”)
 
  1. PURPOSE
  2.  
    Protective Life and Annuity Insurance Company (“Protective”) has appointed Investment Distributors, Inc. (“IDI,” and together with Protective, the “Company”), a registered broker-dealer under the Securities and Exchange Act of 1934, as amended, and member of the Financial Industry Regulatory Authority, Inc. (“FINRA”), as the principal underwriter of the variable life insurance contracts that are issued by Protective. This Broker-Dealer Selling Agreement (the “Agreement”) allows IDI to compensate Selling Firm for the sale by Selling Firm and Licensed Personnel (defined below) of certain Protective life corporate owned variable universal life insurance contracts (individually, a “Contract” and collectively, the “Contracts”) set forth on the Product and Compensation Schedule(s), Schedule A, of this Agreement. The Product and Compensation Schedule is subject to change at any time upon notice to Selling Firm.
     
  3. AGREEMENT
 
Selling Firm agrees to represent Company in sales of the Contracts in accordance with the terms of this Agreement, the rules of Company provided to Selling Firm in writing, as amended from time to time by Company in its sole discretion (“Company Rules”), the rules, regulations, and requirements of FINRA, the Securities Exchange Act of 1934, as amended, the Securities Act of 1933, as amended (the “1933 Act”), the Investment Company Act of 1940, as amended (the “1940 Act”), and all other applicable state insurance laws, federal and state laws governing the activities of broker-dealers, and the laws and regulations of the jurisdiction(s) in which Selling Firm operates, including the regulations of any agency authorized under such laws, both federal and state, that are in effect as of the Effective Date and as such laws and regulations may be amended thereafter, and that may be adopted after the Effective Date and apply to Selling Firm, Licensed Personnel and/or the activities conducted hereunder (“Applicable Laws”).  
 
3.
LICENSING
 
1

  1. Selling Firm will be at all times: duly registered as a broker-dealer under the Securities Exchange Act of 1934, as amended, and in each state or other jurisdiction in which Selling Firm acts hereunder in connection with sales of the Contracts, and a member of FINRA. Selling Firm is or is affiliated with the Insurance Agency that is licensed under the insurance laws of the various states in which it operates. The Insurance Agency is identified at the beginning of this Agreement and is considered a party to this Agreement. In this Agreement, references to “Selling Firm” shall be construed so as to include or refer solely to Insurance Agency, if such duty, responsibility, or obligation has been delegated to or assumed by Insurance Agency, regardless of whether Insurance Agency and Selling Firm are separate entities.
  2.  
  3. Selling Firm agrees, on its behalf and on behalf of Licensed Personnel, to obtain and maintain insurance license(s) in the state of New York and any other states that may be necessary to solicit business on behalf of Protective in the jurisdiction(s) in which Selling Firm operates while this Agreement is in effect, and agree further not to solicit business on behalf of Protective in any jurisdiction until Selling Firm and Licensed Personnel have obtained such licenses. For purposes of this Agreement, the term “Licensed Personnel” means any registered representative who is duly licensed and qualified under applicable securities and insurance laws, rules, and regulations to perform such activities on Selling Firm’s behalf and is appointed by Protective to sell the Contracts. Protective may appoint, terminate or decline to renew the appointment of any person so designated in Protective’s sole discretion.
  4.  
  5. Selling Firm shall promptly notify Company if any insurance license held by Selling Firm or any of Licensed Personnel lapses or is terminated, revoked or not renewed by any jurisdiction, or if Selling Firm or any of Licensed Personnel withdraw or elect not to renew any insurance license in any jurisdiction that had been previously identified to Company as a jurisdiction in which Selling Firm or Licensed Personnel had been licensed.  Selling Firm represents and warrants that neither Selling Firm nor any of its officers, directors, employees, agents, subcontractors, nor any Licensed Personnel or other person authorized to act on its behalf has ever been convicted of any state or federal criminal felony involving dishonesty or breach of trust or any crime under Violent Crime Control and Law Enforcement Act of 1994, 18 U.S.C. § 1033.  Selling Firm agrees to report to Company any criminal convictions that occur after the Effective Date against Selling Firm or any other person listed in the preceding sentence.
 
2

  1. APPOINTMENT
    1. Selling Firm is hereby appointed as an insurance producer entity authorized to solicit the Contracts on behalf of Protective. Selling Firm is authorized to promote sales of the Contracts through Licensed Personnel. Selling Firm shall promptly notify Company whenever the association between Selling Firm and any Licensed Personnel is terminated for whatever reason.
    2.  
    3. Selling Firm is authorized under this Agreement with power and authority to select and recommend individuals associated with Selling Firm for appointment as an agent of Protective, and only such individuals so recommended by Selling Firm shall become Licensed Personnel, provided that the conditions of Section 3 are satisfied. Protective may appoint, terminate or decline to renew the appointment of any person so designated in Protective’s sole discretion. Initial and renewal state appointment fees for Licensed Personnel will be paid by Protective in accordance with its then-applicable requirements.
     
  2. RELATIONSHIP
    1. Selling Firm is an independent contractor. Nothing in this Agreement or any other agreement between Selling Firm and Company shall be construed to create the relationship of employee and employer between Selling Firm and Company or between any Licensed Personnel and Company.
    2.  
    3. As an independent contractor, Selling Firm is free to operate its business in the manner Selling Firm deems appropriate and Selling Firm is solely responsible for all expenses incurred in its operation, including expenses incurred in the performance of this Agreement.  Further, Selling Firm will not be treated as an employee for purposes of the Federal Insurance Contribution Act, the Social Security Act, the Federal Unemployment Tax Act, or income tax withholding.  The filing and payment of self-employment and income taxes with the Federal and appropriate state governments are Selling Firm’s sole responsibility.  Selling Firm agrees to comply with the requirements of the federal and appropriate state government(s) with respect to the filings and payment of self-employment and income taxes on any remuneration from Company.
    4.  
    5. As an independent contractor, it is contemplated that Selling Firm and Licensed Personnel may engage in non-insurance business, and Selling Firm may represent insurance companies other than Protective.
     
  3. COMPENSATION
    1. So long as this Agreement is in force, IDI agrees to pay Selling Firm a commission on Contracts sold by Selling Firm and Licensed Personnel for which Selling Firm and Licensed Personnel are designated “agent of record.” Such commissions shall be paid in accordance with Product and Compensation Schedule(s) attached hereto and made a part hereof as if set forth in full at this point, which is in effect when a contract is issued. Unless otherwise specified in the Product and Compensation Schedule(s), commissions are paid only on premiums paid to and actually received by Company and will be paid in accordance with Company rules and procedures then in effect.  The Product and Compensation Schedule(s) is (are) subject to change at any time upon not less than thirty (30) days prior written notice to Selling Firm by Company and will affect business issued on and after the effective date of the change.  If a premium is refunded for any reason by Company on any Contract on which Selling Firm received any commission, Selling Firm agrees to repay any amounts received on that Contract to Company, and such amount that remains unpaid may be offset against compensation owed to Selling Firm in the future.  Selling Firm will be responsible for all expenses Selling Firm incurs in the performance of this Agreement with no right of reimbursement, except for any expense allowance payment provided hereunder or under any separate agreement between Company and Selling Firm.  Selling Firm agrees that it will not share or otherwise pay any commissions received under this Agreement with a person who is not duly licensed, appointed and qualified to receive such commissions.
    2.  
    3. Company will designate Selling Firm and the applicable Licensed Personnel as “agent of record” on all Contracts issued on applications submitted by Selling Firm and such Licensed Personnel, thereby entitling Selling Firm and such Licensed Personnel to the compensation payable by Company to an “agent of record” with respect to such Contracts. Selling Firm acknowledges and agrees that the owner(s) of any Contract(s) may request a change in, or termination of, the “agent of record” designated for their Contract(s), and further may request that another duly licensed person be designated as “agent of record” for their Contract(s) in place of Selling Firm.  Selling Firm further acknowledges and agrees that Company reserves the right, in its sole discretion, to make the requested change, upon receipt of a valid written request from such owner(s).  Selling Firm hereby waives any right to compensation that may become payable to Selling Firm as “agent of record” with respect to a Contract(s) on or after the date on which Company makes any such change.  
    4.  
    5. Selling Firm shall be solely responsible for the payment of any commission or consideration of any kind to Licensed Personnel with respect to the sales of the Contracts.
     
  4. LIMITATION OF AUTHORITY
  5.  
    Selling Firm agrees, on its behalf and on behalf of Licensed Personnel, not to perform in the name of Company any acts for which Selling Firm is not authorized, including but not limited to the following:
    1. Accept risks, incur debt or liability, or make contracts for Company;
    2.  
    3. Waive, alter, modify, or change any Company policy, terms, rates, or customary requirements;
    4.  
    5. Endorse checks payable to Company;
    6.  
    7. Accept premium payments, except in accordance with written Company procedures;
    8.  
    9. Extend, or offer to extend, the time for payment of premium payments, or rebate, or offer to rebate, any premium payments;
    10.  
    11. Make any misrepresentation or make an incomplete comparison in connection with the purchase, sale, offer to purchase or sell, conversion, exchange, lapse, or forfeiture of a Contract;
    12.  
    13. Solicit sales of the Contracts in any jurisdiction where such Contracts may not lawfully be sold;
    14.  
    15. Solicit applications for Contracts without delivering to the applicant a current prospectus or other offering documents as required by Applicable Laws;
    16.  
    17. Represent that Selling Firm or Licensed Personnel are an employee, associate, joint venture, or partner of Company; and
    18.  
    19. Use personal or business checks or funds (either Selling Firm or those of Licensed Personnel) for the applicant’s or Contract holder’s premium payment.
     
  6. DUTIES OF THE PARTIES
    1. On behalf of Selling Firm and Licensed Personnel, Selling Firm agrees as follows:
      1. To transmit or submit, promptly upon receipt, all applications for Contracts directly to Company, all applications for Contracts solicited and premiums received on behalf of Company;
      2. To comply with and ensure compliance by Licensed Personnel with all Company Rules and Applicable Laws, including Applicable Laws of each jurisdiction where Selling Firm and/or Licensed Personnel are authorized to solicit sales of the Contracts;
      3. To ensure that Licensed Personnel do not offer or sell the Contracts until such individuals are associated, licensed, and duly registered with FINRA and any applicable state securities and insurance authorities;
      4. To establish such rules and procedures as required to ensure diligent supervision of Licensed Personnel with regards to the offer or sale of the Contracts;
      5. In the event Licensed Personnel fails to observe the standards and rules imposed by Selling Firm and Company regarding the sales of the Contracts, to notify Company immediately that such Licensed Personnel is no longer authorized to sell the Contracts and to take whatever action is necessary to terminate the sales activities or services of such Licensed Personnel regarding the Contracts;
      6. To be solely responsible for training and supervising Licensed Personnel regarding solicitation and sales of the Contracts;
      7. To obtain written approval from a duly authorized officer of Company prior to the publication, broadcast or other dissemination of any material whatsoever regarding Company, the Contracts or any products offered by Company, unless such material has been furnished to Selling Firm by Company for such purpose;
      8. To become fully informed as to the provisions and benefits of each Contract and to represent such products adequately and fairly to prospects;
      9. To use best efforts to provide service to customers and to maintain in force any business in place with Protective;
      10. To cooperate fully in any securities or insurance regulatory investigation or proceeding or judicial proceeding arising in connection with the Contracts marketed or sold under this Agreement;
      11. To provide prompt notice and reasonable cooperation to Company in the event that any paper is served upon Selling Firm and/or Licensed Personnel in connection with any complaint or legal proceeding against or involving Company;
      12. To submit all applications on forms authorized by Company and review all applications for completeness, and correctness;
      13. With respect to recommendations and advice involving Contracts sold or serviced by Selling Firm and/or Licensed Personnel, to comply with, and ensure that Licensed Personnel comply with, all standards and requirements for recommendations and/or advice as defined therein with respect to Contracts and/or transactions in connection therewith in effect as of the Effective Date or that may be adopted and/or amended by federal or state legislatures, federal or state regulators, and/or various self-regulatory organizations (“SROs”) after the Effective Date of this Agreement (“Other Standard of Care Initiatives”), commencing with the respective effective date of each such Other Standard of Care Initiative, and Section 8.c. of this Agreement, including without limitation compliance with all applicable training, disclosure, information collection, documentation, determination, supervision, supervision system, reporting, audit and surveillance requirements imposed by such Other Standard of Care Initiative;
      14. To deliver Contracts only in accordance with Company’s instructions as previously provided in writing to Selling Firm;
      15. To keep accurate records on behalf of Protective and to make such records available for examination at any time by authorized representatives of Protective; and
      16. In the event that Company chooses, or is required, to return premium or make some other accommodation for a policy or contract owner on any policy or contract written on an application Selling Firm or Licensed Personnel placed with Company, Selling Firm agrees to return to Company any commission, service fee, and expense allowance payment Selling Firm received from Company with respect to that premium.  This obligation to repay commission, service fees and expense allowance payments shall apply even if the applicant does not accept the premium refund.
       
    2. Company agrees as follows:
      1. Company shall make training about the Contracts available to Selling Firm and Licensed Personnel;
      2. Company shall, subject to applicable regulatory requirements and approvals, make the Contracts available for sale by Selling Firm and Licensed Personnel, and shall provide standard Contract brochures, prospectuses, forms, and support material necessary in its sole discretion, to solicit and process sales of the Contracts;
      3. Company or its affiliates shall provide all administrative, accounting, and policyholder services necessary in its sole discretion to support the Contracts; and
      4. Company and its affiliates shall comply with all Applicable Laws related to the offer and sale of the Contracts.
       
    3. Other Standard of Care Initiatives.
    1. To the extent that any Other Standard of Care Initiative that takes effect after the Effective Date imposes a supervision responsibility on Company and permits Company to delegate certain or all of its supervision obligations to a third party, Company hereby delegates to Selling Firm, to the fullest extent possible, all supervision responsibility for activities conducted by Selling Firm and Licensed Personnel with respect to the Contracts, which shall include but not be limited to, establishing, maintaining, enforcing and auditing reasonable and appropriate written policies, procedures and controls to perform such obligations and responsibilities. Such delegation to take effect upon the effective date of such Other Standard of Care Initiative. Before the effective date, Company will send a communication to Selling Firm describing any limitations or restrictions on the delegation. Selling Firm shall be deemed to have accepted and agreed to such delegation if Selling Firm has not objected in writing within thirty (30) days after the date of such communication. Communications pursuant to this Section shall be governed by the notice provisions of the Agreement.
    2. To the extent that Company delegates to Selling Firm pursuant to Section 8.c.i. of this Agreement any of Company’s obligations and responsibilities under Other Standard of Care Initiatives that take effect after the Effective Date, Selling Firm hereby certifies, and shall hereafter annually certify in writing, the following or a substantially similar certification: “Selling Firm has established and maintains a system of supervision for recommendations of sales transactions involving both new and in-force Contracts, and such system of supervision includes, but is not limited to, standards and procedures for:  (i) the collection of a consumer’s suitability information with respect to sales transactions involving the Contracts; (ii) the documentation and disclosure of the basis for any recommendation with respect to sales transactions involving the Contracts; and (iii) the auditing and/or contemporaneous review of recommendations of sales transactions involving the Contracts to monitor Licensed Personnel’s compliance with the obligation to act in the best interest of consumers.”  It is understood and agreed by the parties that Company, at its election, may rely upon the written certification Selling Firm provides pursuant to this Section to satisfy Company’s supervision and audit obligations with respect to sales transactions that result from the exercise of contractual rights under the Contracts.
    3. Certifications provided pursuant to Sections 8.c.ii. shall be signed by an authorized senior officer or manager of Selling Firm with responsibility for overseeing the relevant sales practices and who has a reasonable basis on which to make the certification on its behalf.
    4. Selling Firm shall cooperate with Company in connection with reasonable requests related to Company’s audits of supervision functions delegated to Selling Firm by Company under Other Standard of Care Initiatives. Selling Firm shall maintain and make available upon reasonable request by Company any and all records relating to supervision functions delegated to Selling Firm under this Agreement.
    5. To the extent that Company is required to provide training or otherwise make training available to Licensed Personnel under any Other Standard of Care Initiative that takes effect after the Effective Date and Selling Firm desires to utilize training other than Company-approved training to satisfy such training requirement, Selling Firm shall provide information about such other training to Company for consideration, and shall not implement such training without Company’s prior written approval, which shall not be unreasonably withheld.
     
  7. CONFIDENTIALITY
    1. Company may furnish Selling Firm with Confidential Information (as defined below), and Selling Firm may furnish Company with Confidential Information.  Except as required in order to perform its obligations and duties under this Agreement, to perform joint marketing efforts with Company, or as required by law, (i) Selling Firm shall not use or disclose such Confidential Information received from Company, and (ii) Company shall not use or disclose such Confidential Information received from Selling Firm.
    2.  
    3. Selling Firm and Company will each maintain and enforce safety and physical security procedures with respect to its access and maintenance of nonpublic personal information (“NPI”) of customers or potential customers that provide reasonably appropriate technical and organizational safeguards against accidental or unlawful destruction, loss, alteration or unauthorized disclosure or access.  NPI includes, but is not limited to, names, addresses, account balances, account numbers, account activity, social security numbers, taxpayer identification numbers, and financial and health information.  NPI includes information on each party’s forms or in a database of any kind, information created by each party, and information collected on behalf of a party or by a party. Each party will notify the other party of any breach of security and use diligent efforts to remedy any breach of security or unauthorized access in a timely manner.  Selling Firm and Company each agrees to cooperate with the other party’s efforts to remedy any breach of security or unauthorized access.
    4.  
    5. “Confidential Information” of any party shall mean ideas, expressions, trade secrets, customer lists, products, policies, forms, business methods, business plans, software and information from third parties (such as software and its related documentation) for which such party has a duty of confidentiality, and treasury or securities information which the protected party considers confidential, as well as information which from all relevant circumstances should reasonably be assumed by a party to be confidential information, whether any of which is marked “Confidential Information” or not, including without limitation the following: (i) employee or customer or lists, employee, customer or supplier identities or characteristics, details of products or contracts, marketing knowledge or information, sales figures, pricing information, marketing or business plans, strategies, forecasts or projections, legal documents, financial information, budgets, software, source and object code, research papers, procedures, processes, formulas, copyrighted matter, patented or patentable inventions, trade secrets, innovations, improvements or discoveries, research or development, test results, specifications, data, know-how, plans, sketches, drawings or models; (ii) information that is designated secret, private or confidential by the disclosing party or its customers or potential customers; (iii) information which the disclosing party is obligated to maintain confidential or otherwise safeguard in accordance with (a) United States Public Law 106-102 (the Gramm-Leach-Bliley Financial Services Modernization Act of 1999), (b) United States Public Law 104-191 (the Health Insurance Portability and Accountability Act of 1996), or (c) any regulations adopted pursuant to (a) or (b), as (a)-(c) may be amended; and (iv) personal information regarding a disclosing party’s employees, including without limitation information regarding any such employee’s insurance coverage, benefits or claims, physical or mental disability, health or medical information, credit rating or history and background investigation(s).  
    6.  
    7. Confidential Information relating to a party shall be held in confidence by the other party to the same extent and in at least the same manner as such party protects its own Confidential Information, but in no case to a lesser extent or manner than a reasonable degree of care under the circumstances. Confidential Information shall not be disclosed to third parties without specific written permission of the protected party.  Each party shall, however, be permitted to disclose relevant aspects of the other party’s Confidential Information to its officers, agents, subcontractors and employees to the extent that such disclosure is reasonably necessary for the performance of its duties and obligations under this Agreement; provided, however that such party shall take all reasonable measures to ensure that Confidential Information of the other party is not disclosed or duplicated in contravention of the provisions of this Agreement by such officers, agents, subcontractors and employees.  A disclosing party shall retain all rights, title and interest in the Confidential Information disclosed by it.  Where in doubt or necessary for the receiving party’s compliance or other purposes, the receiving party shall promptly notify the disclosing party and provide a reasonable opportunity and period of time for the disclosing party to object or seek to limit disclosure of Confidential Information.  
    8.  
    9. The obligations in this Section 9 shall not restrict any disclosure by either party pursuant to any applicable state or federal laws, or by order of any court or government agency (provided that the disclosing party shall give prompt notice to the non-disclosing party of such order) and shall not apply with respect to information which (i) is independently developed by the other party without violating the disclosing party's proprietary rights and without any use of Confidential Information of the disclosing party or any of its customers or potential customers, (ii) is or becomes publicly known (other than through unauthorized disclosure, including a breach of any duty to the disclosing party or any of its customers or potential customers), (iii) is intentionally disclosed by the owner of such information to a third party free of any obligation of confidentiality, (iv) is already known by such party without an obligation of confidentiality other than pursuant to this Agreement or any confidentiality agreements entered into before the Effective Date of this Agreement as evidenced by the written records of such party, or (v) is rightfully received by a party free of any obligation of confidentiality.  In the event of service upon the receiving party of any subpoena, request for production or other legal process seeking the disclosure of any Confidential Information, the receiving party shall promptly notify the disclosing party of such service in writing, and provide a reasonable opportunity and period of time for the disclosing party to object to or seek the limitation of such disclosure.  
    10.  
    11. In addition to protecting Confidential Information as described above, the parties mutually agree that in accordance with Applicable Laws and the terms of this Agreement they shall keep private and confidential any NPI of customers or potential customers.  There will be instances where each party will have the same NPI that may be subject to different privacy policies and procedures according to the notices provided to the customer by the respective parties to this Agreement.  All NPI which either party obtains from the other as a result of this relationship shall not be used, disclosed, reused or redisclosed to any third party, except to carry out the purposes for which the information was disclosed. The parties agree that they shall abide by the provisions of the Gramm-Leach-Bliley Act and other applicable privacy laws and shall establish and maintain policies and procedures designed to ensure the confidentiality and security of the NPI.  This would include procedures to protect against any anticipated threats or hazards to the security or integrity of the information and unauthorized access to or use of the information.
    12.  
    13. The receiving party shall promptly notify the disclosing party, in writing, of any use or disclosure of Confidential Information in breach of this Agreement.  The receiving party’s obligations arising pursuant to this Agreement shall survive any termination or expiration of this Agreement.
    14.  
    15. The receiving party agrees and acknowledges that unauthorized use or disclosure of Confidential Information may result in immediate and irreparable injury to the disclosing party or its customers or employees for which monetary damages would be inadequate relief.  Accordingly, in the event that the disclosing party proves any actual or threatened use or disclosure of Confidential Information in breach of this Agreement by the receiving party, its employees or agents, the disclosing party shall be entitled to injunctive and other equitable relief (e.g., specific performance) in accordance with Applicable Laws and judicial procedures, in addition to any and all other rights and remedies available to the disclosing party.
    16.  
    17. In accordance with Regulation S-P, if any NPI of customers is disclosed to either party in connection with this Agreement, the party receiving such information shall not disclose or use that information other than as necessary to carry out the purposes of this Agreement.  Any privacy notice that Selling Firm delivers to customers shall comply with Title V of the Gramm-Leach-Bliley Act and Regulations S-P, as each may be amended, and shall notify customers that NPI may be provided to financial service providers such as Selling Firm as permitted by law.
    18.  
    19. Upon  request,  each party shall return to the other party or  destroy (and provide an appropriate written destruction certificate) all Confidential Information in its possession or control unless such information is stored  on an electronic backup system for ordinary business purposes or if the receiving party is required to maintain a copy of the information pursuant to any applicable law, rule, regulation or regulatory guidance.   No disclosure by a party hereto of Confidential Information of such party to the other party shall constitute a grant to the other of any interest or right whatsoever in such Confidential Information, which shall remain the sole property of the disclosing party.
     
  8. OWNERSHIP OF RECORDS; RIGHT TO USE
3

 
  1. Selling Firm’s Ownership of Records and Data Regarding Customers; Company’s Ownership of Records.  It is understood and agreed that, except as otherwise provided in Section 10.b. below,  all records and data, in whatever form, of or relating to customers with which Selling Firm or Licensed Personnel independently have relationships (“Selling Firm Customers”), and who are referred by Selling Firm to Company for the purchase of a Contract, are and shall remain the exclusive and proprietary property of Selling Firm; provided, however, that (i) Contracts, and (ii) data developed and/or maintained by Company in connection with the sale and subsequent servicing of the Contracts by Company (together, “Contract Records”), in whatever form, are and shall remain the exclusive and proprietary property of Company;  and provided further that Company’s use of the Contract Records is limited to its performance of its obligations under this Agreement and in connection with the transactions contemplated hereby. Selling Firm will be allowed to keep a copy of Contracts Records that are deemed necessary for Selling Firm’s continued servicing of customers, and those of Licensed Personnel and for compliance with regulatory requirements or this Agreement.
  2.  
  3. Use by Company of Contract Records and Other Records and Data.  Notwithstanding Section 10.a., in addition to its ownership of the Contract Records, Company shall be entitled to keep a copy of, and to use solely for purposes of this Agreement and the transactions contemplated hereby, any other records and data relating to Selling Firm Customers referred to Company by Selling Firm for the purchase of Contracts (i) that are necessary to enable Company to determine whether and on what terms to sell a Contract to any such Selling Firm Customer, (ii) that are reasonably necessary for Company’s continued servicing of such Selling Firm Customers who purchase Contracts from Company, or (iii) for compliance by Company with regulatory requirements related to this Agreement and the transactions contemplated thereby.
 
4

  1. STATUS AND AUTHORITY OF COMPANY AND SELLING FIRM
    1. Company and Selling Firm are each corporations duly organized and validly existing, in good standing, under the laws of the state of its incorporation, and each of Company and the Selling Firm has all requisite corporate power and authority, and all licenses and permits required by any governmental authority, to carry on its business as presently conducted, and to fulfill, satisfy and perform its obligations and responsibilities set forth in this Agreement.  Company and Selling Firm will at all times perform its obligations in a manner that complies with all applicable federal, state and local laws and regulations.
    2.  
    3. Each party shall notify the other party immediately in writing in the event of the revocation, termination or discontinuance of any authorization or permit referred to in Section 11.a., or in the event of any material violation of Applicable Laws and, in such event, each party may cancel this Agreement at any time without penalty and without prejudice to any other rights the cancelling party may have as a result of any such event.
     
  2. BUSINESS CONTINUITY/DISASTER RECOVERY PLAN
  3.  
    The parties agree to maintain adequate business continuity/disaster recovery plans covering the records created and maintained with respect to the activities conducted under this Agreement, including provisions that require the parties to test, review and update such plans on an annual basis. In the event that a disaster occurs, each party will fully cooperate with the other party.
     
  4. RECORD RETENTION AND AUDITS; COOPERATION
    1. Each party agrees to maintain all books and records arising under this Agreement on a basis consistent with Applicable Laws for record retention in effect from time to time and generally accepted practices in the insurance industry, to safeguard such records for so long as they are held, which shall be for at least the minimum periods prescribed by U.S. law and normal business practice in the U.S. insurance industry, and if any records are disposed of, to dispose of such records only through use of reasonable measures to protect against unauthorized access to or use of the information in connection with its disposal.
    2.  
    3. To the extent permitted by Applicable Laws, each party will cooperate with the other party and its designees in providing information and records reasonably required by such other party or its designees in connection with such other party’s audit functions or examination by regulatory authorities. Any and all such information and records shall be provided in a mutually convenient manner reasonably designed to minimize interference to the providing party’s day-to-day business functions, taking into due account: (A) any and all legal obligations or liabilities of the party to whom such information and records are to be provided; and, (B) the parties’ respective obligations with respect to Confidential Information as more fully set forth in Section 9, above, and Selling Firm’s recordkeeping obligations pursuant to Sections 8.a. and 8.c. of this Agreement.
     
  5. INTELLECTUAL PROPERTY INDEMNIFICATION     
  6.  
    Company represents, warrants and covenants that all deliverables and services provided to Selling Firm, and all intellectual property that is proprietary to Company or a third party, is licensed or made available to Selling Firm and is necessary to enable Selling Firm to use such deliverables or services, does not and will not infringe or misappropriate any third party intellectual property rights.   Company will indemnify, defend, and hold Selling Firm harmless if any such representations are false, or warranties or covenants are breached.  If Selling Firm’s use of Company’s services or deliverables under this Agreement is, or is reasonably likely to be, enjoined due to such infringement, then Company will make all reasonable efforts to correct or replace the infringing part of the services or deliverables with substantially similar functionality so as to avoid the infringement.
     
  7. ANTI-MONEY LAUNDERING
5

 
  1. Company and Selling Firm shall each comply with Title III of the Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act of 2001, as amended (“USA Patriot Act”), and the rules promulgated thereunder, and all related federal and state rules and regulations, including compliance with all Applicable Laws and regulations aimed at preventing, detecting, and reporting money laundering and suspicious transactions, including applicable provisions of the Bank Secrecy Act and the USA Patriot Act, as well as regulations administered by the U. S. Department of the Treasury’s Office of Foreign Asset Control (“OFAC”) and the U.S. Department of the Treasury’s Financial Crimes Enforcement Network (“FinCEN”), as further described below (together, “Applicable AML Laws”).
  2.  
  3. Company and Selling Firm shall each maintain an anti-money laundering (“AML”) program (“AML Program”) in compliance with Applicable AML Laws that at a minimum, must include the following elements: (1) policies, procedures, and controls that are tailored to the party’s business, including the distribution of Contracts; (2) designation of a compliance officer to administer and oversee the AML Program; (3) employee and agent training, in compliance with Applicable AML Laws; (4) an independent audit function to test the effectiveness of the AML Program; (5) a Customer Identification  Program adopted pursuant to Section 326 of the USA Patriot Act; (6) provisions for the filing of all necessary AML reports, including currency transaction reports and suspicious activity reports; (7) provisions for screening of all new and existing customers against the OFAC list and any other government list that is or becomes required under the Bank Secrecy Act; and (8) provisions to allow appropriate examiners and regulators to examine information, books, and records maintained by each party in connection with its AML Program.
  4.  
  5. The parties acknowledge that Company has established an AML Program.  As permitted by Applicable AML Laws, the parties acknowledge that Company will rely on Selling Firm to, and Selling Firm agrees to (1) verify and identify each customer’s identity and the source(s) of funds to be used to purchase Contracts and (2) provide appropriate AML training to the Licensed Personnel involved in the solicitation, sale, and/or servicing of Contracts.  Selling Firm agrees to provide to Company, upon request, written verification of the AML training.  Company and the Selling Firm further acknowledge that upon issuance of a Contract to an applicant brought to Company by the Selling Firm, the party to whom the Contract is issued becomes Company’s customer, from which point Company has AML duties under Applicable AML Laws.
 
6

  1. TERMINATION
    1. This Agreement may be terminated as follows:
      1. By Selling Firm or by Company, without cause, 30 days after the mailing of written notice by either party to the other party;
      2. Automatically upon dissolution of Selling Firm or Company;
      3. By Company if Selling Firm commits a material breach of this Agreement and Selling Firm fails to cure said breach to Company’s reasonable satisfaction within ten (10) days of its receipt of written notice from Company setting forth the nature of the breach; or
      4. By the Selling Firm if Company commits a material breach of this Agreement and Company fails to cure said breach to the Selling Firm’s reasonable satisfaction within ten (10) days of its receipt of written notice from the Selling Firm setting forth the nature of the breach.
       
    2. In the event of termination of this Agreement, Company will pay Selling Firm all amounts due and payable under this Agreement through the date of termination, in accordance with the applicable Product and Compensation Schedule(s).  Unless termination is due to Selling Firm’s bankruptcy, dissolution, failure to obtain or maintain the proper licenses with appropriate state, federal or self-regulatory authorities, or other material breach of the Agreement, at the termination of this Agreement the parties agree that all commissions and trail commissions payable to Selling Firm will be governed at all times by the Product and Compensation Schedule in effect at the time the Contract was issued and, regardless of whether the compensation schedule is thereafter amended, such commissions will continue to be payable to the Selling Firm for as long as it is listed as the broker-dealer of record associated with such Contract.
    3.  
    4. Except as provided in Section 16.d., termination of this Agreement shall automatically terminate any schedules, supplements, addenda or amendments made a part of this Agreement. Upon termination of this Agreement, Selling Firm agrees to return to Company all supplies, marketing materials and equipment in its possession that are the property of Company, and Company agrees to return to Selling Firm all supplies and equipment in its possession that are the property of the Selling Firm.
    5.  
    6. Upon termination of this Agreement, all authorizations, rights and obligations shall cease, except Sections 5.a. [Relationship], 8.a.xii. [Other Standard of Care Initiatives], 9 [Confidentiality], 13 [Record Retention and Audits; Cooperation], 16 [Termination], 17 [Indemnification for Third Party Claims, Contractual Claims, Including Breaches, Etc.], 18.b. [Advertising and Sales Materials], 20.c. [Prior Agreements], 22 [Arbitration; Judicial Proceedings], and 24 [New York Law Governs].  
     
  2. INDEMNIFICATION FOR THIRD PARTY CLAIMS, CONTRACTUAL CLAIMS, INCLUDING BREACHES, ETC.
    1. By the Selling Firm:  Selling Firm agrees to indemnify and hold harmless Company, its affiliates and their respective directors, officers, employees, and agents (collectively “Indemnified Parties”) from any and all losses, claims, damages, or liabilities (excluding any consequential damages of Indemnified Parties), fines, penalties, costs, or expenses, including attorneys’ fees, joint or several (including but not limited to any investigative, legal, and other expenses reasonably incurred in connection with, and any amounts paid in settlement of, any action, suit or proceeding or any claim asserted) (together, “Losses”), to which any of such Indemnified Parties becomes subject based on, resulting from, or arising out of any of the following:
      1. Any material violation or alleged material violation by Selling Firm or Licensed Personnel of any Applicable Laws, including without limitation insurance laws and regulations, or Company Rules in regard to this Agreement or the Contracts;
      2. Any unauthorized use or alleged unauthorized use by Selling Firm or Licensed Personnel of promotional, sales or advertising material relating to the Contracts;
      3. Claims by Licensed Personnel for commissions or other compensation or remuneration of any type;
      4. Any failure by Selling Firm or Licensed Personnel to submit premium or applications to Company, or to submit the correct amount of premium, on a timely basis and in accordance with this Agreement and Company’s written procedures provided to Selling Firm in advance by Company, subject to Applicable Laws;
      5. Any material breach by Selling Firm or Licensed Personnel of any provision of this Agreement;
      6. Any unauthorized act or transaction by Selling Firm, its agents, employees, or representatives, or Licensed Personnel; or
      7. Any claim asserted by a third party (a “Third Party Claim”) caused by or resulting from any negligence, negligent error, negligent omission, misconduct or unauthorized act by Selling Firm, Licensed Personnel, or Selling Firm’s employees or representatives, including but not limited to independent contractors engaged by the indemnifying party to perform any of its duties under this Agreement.
       
      This indemnification will be in addition to any liability that the Selling Firm or its associated persons may otherwise have. Company may withhold commissions or any other payments owed to Selling Firm, and/or to apply such amounts against the indemnification amounts owed by, or claimed to be owed by, Selling Firm under this Agreement.
       
    2. By Company:  Company agrees to indemnify and hold harmless the Selling Firm, Licensed Personnel, and its respective directors, officers, employees, and agents (collectively “Indemnified Parties”) from any and all Loss to which any of such Indemnified Parties becomes subject based on, resulting from or arising out of any of the following:
      1. Any Material violation or alleged material violation by Company, or its directors, officers or employees (“Company associated persons”), of any Applicable Laws, including without limitation insurance laws and regulations, in regard to this Agreement or the Contracts;
      2. Any material breach by Company or Company associated persons of any provision of this Agreement;
      3. Any unauthorized act or transaction by Company or Company associated persons;  or
      4. Any Third Party Claim caused by or resulting from any negligence, negligent error, negligent omission, misconduct or unauthorized act by Company or Company associated persons.
       
      This indemnification will be in addition to any liability that the Company or their associated persons may otherwise have.
       
    3. Limitation.  No person otherwise required to provide indemnification under the terms of this Section 17 shall be liable under this Section with respect to any Loss to which an Indemnified Party under this Section would otherwise be subject solely by reason of willful misfeasance, bad faith or negligence in the performance of such Indemnified Party’s duties, or solely by reason of such Indemnified Party’s reckless disregard of its obligations or duties under this Agreement.
    4.  
    5. Notification of Third Party Claims.  The Indemnified Parties shall notify the indemnifying party (“Indemnitor”) in writing promptly after they become aware of any Third Party Claim threatened or brought against any Indemnified Parties that the Indemnified Parties reasonably believe may trigger an obligation of Indemnitor pursuant to this Section 17, provided that any delay or failure to so notify shall not affect any Indemnified Party’s rights to indemnification hereunder unless, and then only to the extent that, Indemnitor has been materially prejudiced thereby. Company and Selling Firm will cooperate in defending any such Third Party Claim, reserving until resolution of each Third Party Claim any issues between them concerning allocation of responsibility, liability or obligations to indemnify such Third Party Claim. Except to the extent necessary to preserve claims against each other, Company and Selling Firm will present a united defense to such Third Party Claims.  All issues relating to whether the Third Party Claim is covered by Section 17, or the relative responsibility, liability or blameworthiness of Company and Selling Firm for such Third Party Claim will be resolved in a separate arbitration proceeding after the Third Party Claim is resolved. The parties acknowledge and agree that any statute of limitations relating to claims, actions or causes of action between each other under this Section 17 relating to a Third Party Claim will be tolled during the pendency of such Third Party Claim.
     
  3. ADVERTISING AND SALES MATERIALS; MARKS 
    1. Company and Selling Firm, on its behalf and on behalf of its Licensed Personnel, each agrees not to conduct any advertising or distribute any sales materials involving the other party, its name or products, including the Contracts, without the prior written approval of the other party, except that the Selling Firm may distribute advertising and sales materials that were provided to it by Company for that purpose and Company may distribute advertising and sales materials that were provided to it by the Selling Firm for that purpose.  Advertising and sales materials include, but are not limited to, printed material, television, radio, print media, Internet and other electronic or information networks, and computer or electronic demonstrations or Contract illustrations.
    2.  
    3. Company and Selling Firm each represents and warrants that all such sales advertising and sales materials it provides to the other conforms to Applicable Laws in all material respects.  
    4. In the advertising and solicitation of any Contract, Selling Firm agrees to provide on behalf of Company, the customer disclosures required by law, rule, regulation, or pursuant to Company Rules.  Such disclosures include, but are not limited to, Contract illustrations, and other miscellaneous notices.
    5.  
    6. Company represents and warrants that Company and its affiliates are the owner of all right, title and interest in and to: (i) the names of the Contracts, as may be amended by Company from time to time; (ii) the trademarked names and service marks used in any of the marketing or advertising materials; (iii) any words or phrases that include the names of the Contracts; and (iv) all of Company’s and its affiliates’ trademarks, service marks, trade names, logos or other commercial or product designation(s), whether or not registered with a governmental entity (collectively, the “Marks”).
    7.  
    8. Company and its affiliates hereby grant Selling Firm a non-exclusive limited license to use the Marks, solely in connection with Selling Firm’s performance of the services contemplated under this Agreement.
    9.  
    10. Selling Firm shall not use Marks in any written, oral or electronic material or communication without the prior written consent of Company.  Any material developed by Selling Firm proposed to contain any of the Marks shall be furnished to Company for such consent prior to its use.  Company shall endeavor to respond to any request for written consent within 10 calendar days; provided, however, that failure to respond shall not relieve Selling Firm of the obligation to obtain Company’s prior written consent.  After receiving Company’s consent to the use of any such material, no changes may be made to such material without obtaining Company’s consent to such changes.  Company may at any time in its sole discretion revoke such written consent, and upon notification of such revocation, Selling Firm shall no longer use, publish, or distribute the material subject to such revocation.
     
  4. COLLECTION OF PREMIUM PAYMENTS 
  5.  
    Selling Firm agrees, on its behalf and on behalf of Licensed Personnel, to hold any and all monies collected on behalf of Company and/or in the name of Company in trust and to remit them promptly to IDI.
     
  6. GENERAL PROVISIONS
    1. Waiver. Failure of either party to insist upon strict compliance with any provision of this Agreement or rule shall not constitute a waiver of the provision.
    2.  
    3. Modification, Amendment and Assignment. No modification or amendment of this Agreement will be valid unless it is in writing signed by an authorized officer of Company, except that Company can revise the Schedule(s) to this Agreement from time to time and any such changes shall be effective upon delivery to Selling Firm.  Selling Firm shall be deemed to have consented to any amendment to this Agreement signed by Company if Selling Firm accepts compensation or submits an application after delivery of such amendment to Selling Firm by or on behalf of Company. This Agreement shall be binding upon and inure to the benefit of Selling Firm and Company and their respective successors and assigns; provided, however, that except as provided in the following sentence neither this Agreement nor any rights or obligations under this Agreement may be assigned or delegated by Selling Firm without the prior written consent of Company.  This Agreement may be assigned by Selling Firm to, and shall be binding on (i) any affiliate of Selling Firm, and (ii) any successor to Selling Firm by merger, consolidation, conversion or other reorganization, including an assignment in connection with the sale or conveyance of all or substantially all of the assets of Selling Firm to an assignee, provided the assignee assumes in writing the obligations of Selling Firm hereunder.
    4.  
    5. Prior Agreements. This Agreement supersedes any and all previous agreements between Selling Firm and Company regarding the subject matter hereof.  Any superseded agreement under which commissions or overrides are payable to Selling Firm shall be considered as continuing in force solely for the purpose of such payments.  This Agreement does not release Selling Firm from obligations, which are owed by Selling Firm to Company nor does it release Company from any obligations covered by it to Selling Firm under any prior agreement.
    6.  
    7. Notices.  All notices or communications shall be sent to the parties at the addresses shown in this Agreement.  Any changes to these addresses must be made in writing and sent to the other party in accordance with this paragraph.
    8.  
    9. Severability.  If any provision of this Agreement is held or made invalid by a court decision, statute, rule or otherwise, the remainder of the Agreement shall not be affected thereby.
     
  7. LIMITATION OF LIABILITY
  8.  
    1. Limitation of Liability—Caused Beyond a Party’s Control.  Neither party will be liable for any failure to perform any obligation hereunder, or from any delay in the performance thereof, due to causes beyond its control, including industrial disputes of whatever nature, acts of God, public enemy, acts of government, failure of telecommunications, fire or other casualty.
    2.  
    3. Limitation of Liability—No Consequential Damages, etc.  Except for (i) breach of the provisions of Section 9 [Confidentiality], (ii) Company’s breach of Section 14 [Intellectual Property Indemnification], or (iii) indemnification by a party under Section 17 [Indemnification for Third Party Claims, Contractual Claims, Including Breaches, Etc.], under no circumstances will either party, its affiliates or their respective officers, directors, employees be liable for any indirect, incidental, special, or consequential damages with respect to its obligations under this Agreement, regardless of whether such damages could have been foreseen or prevented.
     
  9. ARBITRATION; JUDICIAL PROCEEDINGS
    1. Arbitration.  Any dispute between IDI and the Selling Firm, or any dispute between Protective and/or IDI, on the one hand, and the Selling Firm, on the other hand, arising pursuant to this Agreement that involves a policy with a face amount of less than $100,000, shall be settled under FINRA arbitration rules. The determination of the arbitrators shall be final and binding on all parties. The costs of arbitration shall be borne equally by the parties to the arbitration, provided however, that the arbitrators may assess one party more heavily than the other for these costs upon a finding that such party did not make a good faith effort to settle the dispute informally when it first arose.
    2. Judicial Proceedings for Certain Controversies.  Protective and the Selling Firm agree that in the event of any controversy between them (a) arising out of their business or pursuant to this Agreement that involves a policy with a face amount of $100,000 or more, or (b) involving a controversy between Protective and the Selling Firm that is not based on a specific policy, and that in either case cannot be settled by agreement, the parties may commence litigation against the other party in any state or federal court having jurisdiction over the matter and the parties.  Venue for any such action between the parties shall be in Alabama. IN ANY SUCH JUDICIAL PROCEEDINGS BOTH COMPANY AND THE SELLING FIRM KNOWINGLY WAIVE ANY RIGHT TO TRIAL BY A JURY.
     
  10. INSURANCE
  11.  
    Selling Firm agrees to obtain and maintain at least $1,000,000 in errors and omissions insurance covering acts and omissions by Selling Firm and/or by Licensed Personnel, and to add Company as an additional insured under such insurance coverage.
     
  12. NEW YORK LAW GOVERNS
7

 
It is mutually agreed that all questions and issues relating to the validity of or performance under this Agreement shall be governed by the laws of the State of New York.
 
SELLING FIRM UNDERSTANDS THAT THIS AGREEMENT CONTAINS A BINDING ARBITRATION PROVISION THAT MAY BE ENFORCED BY THE PARTIES, AND THAT BY SIGNING BELOW SELLING FIRM IS GIVING UP ANY RIGHTS IT MAY POSSESS TO HAVE CERTAIN DISPUTES UNDER THIS AGREEMENT DECIDED IN A COURT OR JURY TRIAL.
 
[Remainder of page intentionally left blank; Signature Page to follow]
 
 
 
The parties hereto have caused their duly authorized officers to execute this Agreement and deliver it to the other as of the Effective Date.
 
 
INSURANCE COMPANY:
UNDERWRITING FIRM:
PROTECTIVE LIFE AND ANNUITY INSURANCE COMPANY
2801 Highway 280 South
Birmingham, AL 35223
 
INVESTMENT DISTRIBUTORS, INC.
2801 Highway 280 South
Birmingham, AL 35223
 
By:  ________________________________
 
By:  _____________________________
 
Name: ______________________________
Name: ___________________________
   
   
BROKER-DEALER:
 
 
INSURANCE AGENCY:
 
 
 
By:  _________________________________
By:  _____________________________
   
Name:  _______________________________
Name:  ___________________________
   
Title:  ________________________________
Title:  ____________________________
 
 
 
 
 
 
 
 
 
8

PRODUCT AND COMPENSATION SCHEDULE
Schedule A
to Selling Agreement
for Protective Life and Annuity Insurance Company  
 
9

 Exhibit 30(d)(i)
 
 
Protective Life & Annuity Insurance Company
              
 
Home Office: 2801 US-280, Birmingham, AL 35223
1-800-866-9933
State of Domicile – Alabama
A Stock Company
www.protective.com
Administrative Office: P. O. BOX 292
Birmingham, AL 35201-0292 1-888-353-2654
 
 
INDIVIDUAL FLEXIBLE PREMIUM VARIABLE UNIVERSAL LIFE INSURANCE POLICY
 
OWNER:   
 
POLICY NUMBER:  
 
This is a legal contract (the “Policy”) between the Owner (also referred to as “you” or “your”) and Protective Life & Annuity Insurance Company (also referred to as the “Company”, “we”, “us”, or “our”).  Please read it carefully.
This Policy is a legal contract between the Owner and the Company. PLEASE READ THIS POLICY CAREFULLY.
 
RIGHT TO CANCEL PERIOD:
THE OWNER MAY RETURN THE POLICY TO THE COMPANY OR AN AUTHORIZED REPRESENTATIVE WITHIN 10 DAYS OF RECEIVING IT. IF REPLACEMENT OF AN EXISTING POLICY IS INVOLVED, THE RIGHT TO CANCEL PERIOD IS EXTENDED TO 60 DAYS. IF RETURNED DURING THE RIGHT TO CANCEL PERIOD, THE POLICY WILL BE DEEMED VOID FROM THE START, AND THE COMPANY WILL REFUND THE GREATER OF: (1) PREMIUMS RECEIVED LESS ANY WITHDRAWALS AND DISTRIBUTIONS; OR (2) THE POLICY VALUE ACCOUNT LESS ANY WITHDRAWALS AND DISTRIBUTIONS.
 
Signed for the Company on the Issue date.
 
/s/ Richard J. Bielen
 

/s/ Steve M. Callaway
Richard J. Bielen
 
Steve M. Callaway
President
 
Secretary
 
 
1

ADJUSTABLE DEATH BENEFIT. Proceeds payable at death are subject to Policy provisions. Please refer to the “Death Benefit” provision of this Policy for a description of the Death Benefit. Flexible Premiums are payable while the Insured is alive. If no Premiums are paid after the first Premium, or if subsequent Premiums prove to be insufficient, this coverage may cease prior to age 121. PAYMENTS AND VALUES THAT ARE BASED ON THE INVESTMENT EXPERIENCE OF THE SUB-ACCOUNTS ARE VARIABLE, MAY INCREASE OR DECREASE ACCORDINGLY, AND ARE NOT GUARANTEED AS TO AN AMOUNT. Non-Participating. Does not pay dividends.
 
V17-J355X-NY 8-20
 
 
 
 
 
 
TABLE OF CONTENTS
 
 
POLICY SPECIFICATIONS
S1
 
 
DEFINITIONS
1
 
 
OWNERSHIP PROVISIONS
3
 
 
GENERAL PROVISIONS
4
 
 
DEATH BENEFIT PROVISIONS
7
 
 
FEES AND CHARGES
8
 
 
POLICY VALUES, LOANS AND NONFORFEITURE PROVISIONS
9
 
 
TRANSFER PROVISIONS
13
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
V17-J355X-NY 8-20
 
 
 
 
PLACEHOLDER FOR POLICY SCHEDULE PAGES
 
DEFINITIONS
 
Administrative Office:   The location where administrative services for this Policy are performed as shown on the Front Cover of this Policy.
 
Attained Age: The age of the Insured, nearest birthday, as of the Policy Date and each Policy Anniversary thereafter.
 
Base Policy Face Amount: The Base Policy Face Amount (life insurance coverage) as shown on the Policy Schedule for this Policy.
 
Beneficiary: The person(s) named by the Owner to receive the Death Benefit proceeds upon the death of the Insured. The primary Beneficiary(ies) is the person(s) or class of person designated to receive the proceeds of this Policy upon the death of the Insured. The Owner may designate a contingent Beneficiary(ies) to receive the proceeds if there is no primary Beneficiary(ies) living at the time of the Insured’s death.
 
3

Cash Surrender Value: Calculated on the effective date of the surrender and is equal to:
  1. The Cash Value (on the effective date of the surrender); less
(b)
Outstanding Policy loans and accrued loan interest, if any.
 
Cash Value: Is equal to the Policy Value Account plus the Return of Expense Charge Benefit, if any.
 
Code: The Internal Revenue Code of 1986 as amended.
 
Death Benefit: The Death Benefit is calculated in terms of the Death Benefit option elected. A full description of the Death Benefit is described in the “Death Benefit” provision.
 
Evidence of Insurability: Information about an Insured which is used to approve or reinstate this Policy or any additional benefit.
 
Fixed Account: An investment option that provides for guaranteed interest and is part of the Company’s General Account. Policy Value Account includes any amount invested in the Fixed Account.
 
Fund(s): An underlying mutual fund in which a Sub-Account invests. Each Fund is an investment company registered with the SEC or a separate investment series of a registered investment company.
 
General Account: The assets of the Company other than those allocated to the Variable Account or another separate account of the Company.
 
Insured: The person named on the Policy Schedule as the Insured.
 
Issue Date: The date from which the incontestability and suicide exclusions are measured shown on the Policy Schedule.
 
Loan Account: All outstanding Policy loans plus interest credited on the portion of the Policy Value Account being used as collateral for the outstanding Policy loans. The Loan Account is held in the General Account of the Company. The Loan Account is not part of the Variable Account.
 
Loan Account Value: The value of the Loan Account credited to the Owner under the Policy Value Account.
 
Loan Interest Credit Spread: An amount deducted from the loan interest rate to determine the interest credited on the portion of the Policy Value Account being used as collateral for a Policy loan. The maximum Loan Interest Credit Spread is shown on the Policy Schedule.
 
Money Market Sub-Account: A fund which seeks a high level of current income as is consistent with the preservation of capital and liquidity and investing in short term, high quality, liquid debt and monetary instruments.
 
Monthly Anniversary: Occurs on the same numerical day of the month as the Policy Date shown on the Policy Schedule in each subsequent Policy Month this Policy remains in force. 
 
4

 
 
 V17-J355X-NY 8-20
 
 
 
 
 
 
 
 
 
Page 1
Owner: The person, persons or entity named on the Policy Schedule as the Owner. The Owner is entitled to all the rights under this Policy while the Insured is living.
 
Policy Date: The effective date of coverage under this Policy.
 
Policy Month/Policy Year/Policy Anniversary: Policy Months, Policy Years and Policy Anniversaries are measured from the Policy Date shown on the Policy Schedule.
 
Policy Value Account: The sum of the Sub-Account Value, Fixed Account value, and Loan Account value.
 
Premiums: Amounts received and allocated to the Sub-Account(s) and the Fixed Account prior to any deductions.
 
Request: Any instruction in a form, written, telephoned, electronic or computerized, as may be applicable, and received at the Administrative Office from the Owner or an assignee of record or the Beneficiary (as applicable) as required by the Company, or as described in any provision of this Policy, and which may have to be in writing or on a form or in a format prescribed by the Company. The Request will take effect when signed and is subject to any action taken or payment made by the Company prior to receipt. Written notice from the Owner will be required for the following:
 
Return of Expense Charge Benefit: Where applicable, the Company will calculate and return a percentage of the expense charge. The Return of Expense Charge Benefit calculation is based on a percentage of the Policy Value Account and is only payable upon a complete surrender of the Policy. The percentage and duration of the Return of Expense Charge Benefit, in addition to the limitations and requirements, are described in the “Return of Expense Charge Benefit” provision.
 
Sub-Account(s): Sub-division(s) of the Variable Account that invest in Fund(s). The Fixed Account is not a Sub-Account.
 
Sub-Account Value: The sum of the values of the Sub-Accounts credited to the Owner under the Policy Value Account. The Sub-Account Value is credited with a return based upon the investment experience of the Sub-Accounts selected by the Owner and will increase or decrease accordingly.
 
Transaction Date: The date on which any Premium payment or Request from the Owner will be processed by the Company.  Premium payments and Requests received after 4:00 p.m. EST/EDT will be deemed to have been received on the next business day. Requests will be processed, and the Sub-Account Value will be valued on each date that the New York Stock Exchange (“NYSE”) is open for trading.
 
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Total Face Amount:  Total Face Amount is the sum of the Base Policy Face Amount as shown on the Policy Schedule plus any endorsements or riders attached to the Policy that provide additional life insurance coverage on the Insured. If no additional endorsement or riders attach to the Policy, then the Total Face Amount and Base Policy Face Amount will be the same.
 
Transfer: The transfer of Sub-Account Value from one Sub-Account to one or more Sub-Account(s) or a transfer from the Sub-Account(s) into the Fixed Account or transfer from the Fixed Account to one or more Sub-Accounts.
 
Unit: Unit of measure used to calculate the Sub-Account Value.
 
Valuation Date: The date on which the net asset value of each Fund is determined.  A Valuation Date is each day that the NYSE is open for regular business.  The value of a Sub-Account’s assets is determined at the end of each Valuation Date.  To determine the value of an asset on a day that is not a Valuation Date, the value of that asset as of the end of the previous Valuation Date will be used.  
 
Valuation Period: The period between two successive Valuation Dates, starting at the close of the NYSE on one Valuation Date and ending at the close of the NYSE on the next succeeding Valuation Date.
 
 
 
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Page 2
 
 
Variable Account:  One of the accounts into which Premiums may be paid under this Policy, net of Policy fees and charges described herein. The Separate Account, as shown on the Policy Schedule, is a segregated investment account established by the Company in accordance with the laws and regulations of the state of New York.  The Company owns the assets in the Variable Account. The investments held in the Variable Account provide variable life insurance benefits under this Policy. This account is kept separate from the General Account and other separate accounts the Company may have. The Variable Account is registered with the Securities and Exchange Commission (“SEC”) under the Investment Company Act of 1940, as amended.
 
OWNERSHIP PROVISIONS
 
Rights of Owner: While the Insured is living, all benefits and rights under this Policy belong to the Owner; however, the Owner’s rights are subject to the rights of any assignee or irrevocably named Beneficiary.
 
Assignments/Transfers: The Owner may assign this Policy while the Insured is living subject to applicable laws and regulations. An assignment will take effect the date when signed, unless otherwise specified by the Owner and subject to any payments made or actions taken by the Company prior to receipt.  When filed, the Owner’s rights and those of the Beneficiary are subject to the assignment. The Company is not responsible for the validity of any assignment.
 
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When received by the Company, a transfer of ownership will revoke any designation of a Secondary Owner. It will not change a Beneficiary. All benefits and rights under this Policy will belong to the new Owner, subject to the terms and conditions of the Policy and the interest of any recorded assignee.
 
Beneficiary: While the Insured is living, the Owner may change the Beneficiary by Request unless a previous designation was indicated as being irrevocable. Any change is subject to any existing assignment of this Policy. A change of Beneficiary, when received, will take effect as of the date the Request was signed. However, the change will not affect any payment made or actions taken by the Company before it received a Request for a change of Beneficiary.
 
The Company may rely on an affidavit by any responsible person to identify a Beneficiary or verify the non-existence of a Beneficiary not identified by name.
 
Variable Account: The Company has absolute ownership of the assets of 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 liabilities arising out of any other business the Company may conduct. The assets of the Variable Account are divided into a series of Sub-Accounts that are listed in the current Policy prospectus. Each Sub-Account invests exclusively in shares of a corresponding Fund. Any amounts of income, dividends, and gains distributed from the shares of a Fund will be reinvested in additional shares of that Fund at its Net Asset Value Per Share.
 
When permitted or required by the Investment Company Act of 1940, under the Code, or other applicable federal laws and in accordance with the laws and regulations of the State of New York, and subject to prior approval being obtained from the Superintendent of the New York Department of Financial Services, the Company may:
  1. Create new Variable Accounts;
  2. Combine Variable Accounts;
  3. Restrict Premium Payments or Transfers into any Sub-Account;
  4. Transfer assets of one Variable Account to another Variable Account;
  5. Add new Sub-Account to or remove existing Sub-Accounts from the Variable Account or combine Sub-Accounts;
  6. Make new Sub-Accounts or other Sub-Accounts available to such classes of policies as the Company may determine;
  7. Close certain Sub-Accounts to allocations or Premium Payments or Transfers of Policy Value;
  8. Add new Funds or remove existing Funds;
  9. Substitute a different Fund for any existing Fund if shares of a Fund are no longer available for investment or if the Company determines that investment in a Fund is no longer appropriate in light of the purpose of the Variable Account;
  10. Deregister the Variable Account under the Investment Company Act of 1940 if such registration is no longer required;
  11. Operate the Variable Account as a management Investment Company under the Investment Company Act of 1940 or in any other form permitted by law; and
  12. 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.
 
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Page 3
When permitted by law, the Company may modify the Policy to comply with applicable federal and New York laws and combine the Variable Account with other Variable Accounts.  Prior written consent of the Owner will be obtained for any change that diminishes the rights or benefits under the Policy.
7

The investment policy of the Variable Account will not be changed without approval pursuant to the insurance laws of the state where this Policy is delivered and approval of or change to the investment policy will be filed with the Superintendent of the New York Department of Financial Services.
 
The values and benefits of this Policy provided by the Variable Account depend on the investment performance of the Funds in which the Owner’s selected Sub-Accounts are invested. The Policy value of the Variable Account and Cash Surrender Value will be determined at least monthly. The Company does not guarantee the investment performance of the Funds. The Owner bears the full investment risk for Net Premiums allocated or Policy Value transferred to the Sub-Accounts.
 
Material Change of Investment Policy of Variable Account: In the event of a material change in the investment policy of the Variable Account, any Owner objecting to such change shall have the option to convert, without evidence of insurability, to a general account life insurance policy provided by the Company or an affiliate of the Company in the state of New York. Alternatively, the Owner may elect to Transfer all amounts held in the Variable Account to the Fixed Account, without restriction, if the Company determines, at the time of such material change of investment policy, that the Fixed Account under this Policy is competitively priced in relation to the other available general account products. The Company will give appropriate notice to such objecting Owner of all options available.  The option to convert or Transfer funds from the Variable Account into the Fixed Account is exercisable within 60 days after (i) the effective date of such change in the investment policy or (ii) the receipt of the notice of the options available, whichever is later.
 
Valuation of Assets: Assets of Funds held by each Sub-Account will be valued at their Net Asset Value Per Share on each Valuation Day. Each Fund’s prospectus defines the Net Asset Value Per Share of the Funds and describes each Fund.
 
Ownership of Fixed Account: The Company has absolute ownership of the assets of the Fixed Account.  Except as limited by law, the Company has sole control over the investment of the General Account assets. The Owner does not share in the investment experience of the General Account but is allowed to allocate and Transfer Policy Value into the Fixed Account.
 
 
GENERAL PROVISIONS
 
Entire Contract: This Policy, any endorsements, any riders, and the application form the entire contract.  After issue, amendments or changes in writing and agreed to by the Company are part of the contract. All statements in the application are considered representations and not warranties. Only material misstatements in the application will be used to defend a claim or to avoid the Policy for misrepresentation. Only the President and the Secretary of the Company have the authority to change or waive any provisions of the Policy. No agent or broker has the authority to change any term of this Policy or to make any agreements binding to the Company.
 
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Policy Modification: Upon notice to the Owner, the Company may modify this Policy if such modification (1) is necessary to make the Policy or the Variable Account comply with any law or regulation issued by a governmental agency to which the Company or the Variable Account is subject; (2) is necessary to assure continued qualification of the Policy under the Code or other federal or state laws as a life insurance policy; (3) is necessary to reflect a change in the operation of the Variable Account or of a Sub-Account; or (4) adds, deletes or otherwise changes the Variable Account or the available Sub-Accounts. The Company also reserves the right to modify certain provisions of this Policy as stated in those provisions. In the event of any such modification, the Company may make appropriate amendments to this Policy to reflect such modification. Prior approval of the New York Department of Financial Services must be obtained before any modifications will be effective.  
 
 
 
 
 
 
 
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Page 4
 
The Company may terminate a Sub-Account or Fund. In that event, the Owner by Request may change the Owner's Premium allocation instructions. If no Request is made by the date of termination, future Premium payments that were allocated to the terminating Sub-Account or Fund will be allocated to the Money Market Sub-Account. Any modification will not affect the terms, provisions or conditions, which are, or may be, applicable to Premium payments previously made to any such Sub-Account.
 
 
 
 
 
 
 
 
 
 
Incontestability: Except for nonpayment of Premiums, this Policy will not be contested after it has been in force during the Insured's lifetime for 2 years from the Issue Date. If this Policy is reinstated, it will not be contested after it has been in force during the Insured’s lifetime for 2 years following the date of reinstatement. If the Total Face Amount is increased, the amount of the increase will in like manner be incontestable after it has been in force during the Insured’s lifetime for 2 years from the effective date of the increase.
 
The validity of this Policy will only be contested on the basis of a material misrepresentation.
 
Suicide Exclusion: If the Insured commits suicide within 2 years from the Issue Date, then the proceeds payable under this Policy will be limited to an amount equal to all Premiums paid on this Policy less outstanding Policy loans and accrued loan interest and partial withdrawals. Payment will be made to the Beneficiary.
 
If the Total Face Amount is increased and the Insured commits suicide within 2 years from the effective date of any increase, then the Company will refund the cost of insurance paid for the amount of increase. The Total Face Amount of the Policy will be reduced to the Total Face Amount that was in effect prior to the increase.
 
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The Company reserves the right to request and obtain evidence as to the manner and/or cause of the Insured’s death where not prohibited by law. Such request:
a) will be reasonable;
b) will clearly set forth the reasons why an autopsy is warranted; and
c) the autopsy will be at the Company’s expense.
 
Currency: All amounts to be paid to or by the Company will be in the currency of the United States of America.
 
Misstatement of Age and/or Sex: If the Insured's age and/or sex on the Policy Date has been misstated and the misstatement is discovered on or after the death of the Insured, then the benefits payable under this Policy will be the amount of insurance that the cost of insurance would have purchased for the correct age and/or sex on the Policy Date. The applicable factor used in determining the Death Benefit shall be the factor required by Section 7702 of the Code reflecting the Insured’s correct age and/or sex. If the Insured is alive at the time the misstatement of age and/or sex is discovered, then we will adjust the Policy Value Account and other benefits under the Policy as of the Policy Date based on the correct age and/or sex. Future monthly deductions from the Policy Value Account will be based upon the correct age and/or sex.
 
Payment of Premiums: The first Premium is due on or before the Policy Date shown on the Policy Schedule. The Company will mail the Owner a billing notice 30 days in advance of the Premium due date. All Premiums after the first are to be made payable in advance to the Company at the Administrative Office and will be due on the Monthly Anniversary on which the cost of insurance exceeds the Policy Value Account less any outstanding Policy loans and accrued loan interest. Subject to limitations as provided in this Policy, Premiums paid after the first may be paid in any amount and at any time before the Insured attains the age of 121. Confirmation will be sent upon receipt of each Premium.
 
Allocation of Premiums:  Premiums (less expense charges) will be allocated among the available Sub-Account(s) or the Fixed Account selected by the Owner. To the extent a selected Sub-Account is not available, the Company will allocate that portion of the Premium payment to the Money Market Sub-Account until receipt of further allocation instructions from the Owner. The Owner will be bound by the investment experience of such Sub-Account(s) and the Fund(s) in which such Sub-Account invests. The Company is not responsible for any tax consequences, liability or effect which may result due to Premiums being invested in any Sub-Accounts during the right to cancel period.
 
 
 
 
 
 
 
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Page 5
 
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Grace Period: The Monthly Anniversary is the due date for any Premium required to keep the Policy in force for that month. Except for the first Premium, if the amount in the Policy Value Account, less any Policy loan and accrued loan interest, on the last day of a Policy Month is not sufficient to cover the monthly deduction for the cost of insurance for the next Policy Month, a grace period of 61 days from the due date will be allowed for the payment of an amount sufficient to cover the monthly cost of insurance for the next 3 months. Coverage will remain in force during the grace period. If the Premium due is not paid within the grace period, all coverage under this Policy will cease at the end of the 61-day period. Notice of such Premium due will be mailed to the last known address of the Owner and any assignee of record at least 31 days prior to the date coverage will cease and will not be mailed before the start of the grace period. If the Insured dies during the grace period, any cost of insurance charges due and unpaid will be deducted from the Death Benefit proceeds through to the end of the month in which the death occurred.
 
Periodic Premium Amounts: This Policy does not require that additional Premiums be paid; however, the Company may recommend a periodic Premium amount. The actual amount of Premium required may change, depending on the number of Premium payments made, changes in coverage, investment experience, monthly risk rate, and partial withdrawals and Policy loans made.
 
Additional Premium Payments: The Owner may make additional Premium payments as described below prior to reaching Attained Age 121. Additional Premium payments may be limited to amounts that will not cause the Policy to become a modified endowment contract under Section 7702A of the Code.
 
The minimum additional Premium that will be accepted at one time is as set out in the Policy Schedule. The Company reserves the right to restrict or refuse additional Premium payments that exceed the initial periodic Premium amount shown on the Policy Schedule and which would cause this Policy to fail to qualify as life insurance under applicable tax laws, unless Premiums are necessary to continue coverage. The Company is not responsible for any unintended tax consequences of any additional Premium payments and nothing contained herein is to be construed as the giving of tax advice.
 
Reinstatement: This Policy may be reinstated within 3 years after the coverage ceased unless it has been surrendered. For the Policy to be reinstated, the Company must receive:
 
Reinstatement will become effective on the date the application for reinstatement is approved by the Company.
 
Annual Statement: At least annually after each Policy Anniversary, the Company will send the Owner a statement, without charge, and reflecting information as of a date not more than four months prior to the date of mailing, showing:
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If the Policy’s Cash Surrender Value less any Return of Expense Charge Benefit, if applicable, will not maintain the Policy in force until the next reporting period unless further payments are made, a notice to this effect will be included in the report.
 
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Page 6
 
 
Projection of Benefits and Values: The Owner may at any time request from the Company a projection of future benefits and values. The first projection provided during a Policy Year will be at no charge. Each additional projection during that Policy Year will be subject to a maximum fee of the amount shown on the Policy Schedule and payable at the time of the Request for the additional projection of benefits and values.
 
The projection of benefits and values will be based on:
 
 
DEATH BENEFIT PROVISIONS
 
Death Benefit Options: The Death Benefit option for this Policy as of the Issue Date is shown on the Policy Schedule.  The Death Benefit is determined by the option in effect at the Insured's date of death.
 
Option 1: Level Death
The Death Benefit will be the greater of:
(a)  The Total Face Amount shown on the Policy Schedule, less any partial withdrawals; or
(b)  The Cash Value on the Insured’s date of death multiplied by the applicable factor shown
 
 
on the Policy Schedule for the Insured’s age at date of death.
 
Option 2: Coverage Plus
The Death Benefit will be the greater of:
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  1. The Total Face Amount shown on the Policy Schedule, plus the Policy Value Account on the Insured’s date of death; or
  2. The Cash Value on the Insured’s date of death multiplied by the applicable factor shown on the Policy Schedule for the Insured’s age at date of death.
 
Payment of the Death Benefit: The Death Benefit proceeds payable will be reduced by outstanding Policy loans and accrued loan interest. The Death Benefit proceeds payable on the Insured’s death will be paid in a lump sum unless the Owner elects to receive all or a portion of the Death Benefit proceeds under a settlement option that the Company is then offering.
 
The Company shall make settlement to the Beneficiary, not later than 30 days after the Company receives due proof of the Insured's death. The Company will pay interest, computed daily, from the date of death equal to the rate required by the state in which the policy was delivered.
 
Change of Death Benefit Option: After the first Policy Year, but not more than once each Policy Year and subject to the Company’s approval, the Owner may change the Death Benefit option by Request. Any change will be effective on the Monthly Anniversary following the date the Company approves the Request.
A change in the Death Benefit option is subject to the following conditions:
 
Change of Total Face Amount: By Request, and subject to the Company’s approval, the Owner may at any time increase or decrease the Total Face Amount provided by this Policy.  
For a decrease in Total Face Amount:
   The Company must receive a Request;
 
The decrease will become effective on the Monthly Anniversary following approval of the Request;
 
The decrease will apply first to the most recent increase or increases in Total Face Amount for purposes of
 the “Incontestability” provision; and
 
The minimum decrease amount is at least equal to that amount required and shown on the Policy Schedule.
 
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  Page 7
 
 
The Total Face Amount may not be decreased below the amount shown on Policy Schedule unless prior approval is obtained from the Company. Any decrease in the Total Face Amount may affect the Cash Value.
For an increase in Total Face Amount:
     The Company must receive a Request;
     The increase will be subject to Evidence of Insurability satisfactory to the Company;
 
      The increase will be effective on the Monthly Anniversary following the approval of the Request for the increase,
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        subject to the deduction of the first month's cost of insurance from the Policy Value Account; and
 
The minimum increase amount is at least equal to that amount required and shown on the Policy Schedule.
 
FEES AND CHARGES
 
Deduction of Fees and Charges: Unless otherwise stated, fees and charges will be deducted from the Policy Value Account on a pro rata basis from the Sub-Accounts and/or Fixed Account, where applicable.  The Owner may Request that fees and charges be deducted from specific Sub-Accounts and/or Fixed Account, where applicable, or designate a specific Sub-Account for this purpose.
 
Any such request is subject to the provisions or restrictions of any Sub-Accounts and the Fixed Account and the available value in the Sub-Accounts or Fixed Account where applicable. If there is insufficient value in a selected Sub-Account(s), or Fixed Account, then the Company may deduct any fees and charges or the remainder of such fees and charges on a pro rata basis from the Sub-Accounts or Fixed Account where applicable. The Owner may be required to maintain in any designated Sub-Account(s) amounts sufficient to cover estimated Policy fees and charges for the next Policy Year. The Company reserves the right to transfer Sub-Account Value from any Sub-Account or Fixed Account to the Money Market Sub-Account in amounts sufficient to cover estimated Policy fees and charges for the next Policy Year.
 
Cost of Insurance: An amount will be deducted on each Monthly Anniversary from the Policy Value Account to pay the cost of insurance for that Policy Month. The cost of insurance is calculated on the Monthly Anniversary and is equal to:
  1. The Death Benefit divided by the death benefit interest rate factor as shown on the Policy Schedule, less the Policy Value Account on each Monthly Anniversary, multiplied by the current monthly risk rate for the Insured’s Attained Age; plus
  2. The monthly administration charge.
 
If there has been an increase or decrease in the Death Benefit during the Policy Year, the cost of insurance calculation will be adjusted accordingly to reflect the change.
 
Monthly Risk Rate: The maximum monthly risk rates are shown on the Policy Schedule. The Company may charge a lower monthly risk rate. The monthly risk rates shown are based on the Mortality Tables as shown on the Policy Schedule.
 
Expense Charge: The maximum expense charge for this Policy is shown on the Policy Schedule. The Company may assess an expense charge less than the maximum expense charge, but it will never exceed the maximum expense charge. The expense charge will be deducted from each Premium paid.  This would include any Premium paid to reinstate the Policy.
 
Administration Charge: The maximum administration charge for this Policy is shown on the Policy Schedule. This charge is deducted from the Policy Value Account on the Monthly Anniversary. The Company may assess an administration charge less than the maximum administration charge, but it will never exceed the maximum administration charge.
 
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Mortality and Expense Charges: This charge is accrued on a daily basis based on an annual percentage of the net asset value of each Fund and is deducted on the Monthly Anniversary from the Sub-Accounts.  The actual mortality and expense charge (“M&E Charge”) is determined by the Company, but may not exceed the annual maximum M&E Charge as shown on the Policy Schedule.  
 
 
 
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Page 8
The company reserves the right to change the monthly risk rate, expense charge, administrative charge or mortality and expense charges. Any change will be based on changes in the Company’s expectations of investment income, mortality, persistency, and expense. Furthermore, if a change is made, then it will not discriminate unfairly within any class of Owners or Insureds.
 
 
POLICY VALUES, LOANS AND NONFORFEITURE PROVISIONS
 
Policy Value Account: The Policy Value Account is the sum of the Sub-Account Value, the Fixed Account value, and the Loan Account value. Each Premium less any expense charge will be credited to the Policy Value Account on the date received at the Administrative Office. On the Monthly Anniversary, a deduction will be made from this account for the cost of insurance as stated in the “Cost of Insurance” provision and any other charges specified in the Policy as being deducted from the Policy Value Account.
 
Sub-Account Value: The Sub-Account Value is the total dollar amount of all Units credited to the Owner’s Policy under each of the Sub-Accounts, excluding the Fixed Account, if applicable. Each Sub-Account’s Value is equal to the sum of:
MINUS the following:
   Account during the current Valuation Period;
   percentage of the net asset value of each Fund and is deducted on the Monthly Anniversary from the Sub-  
   Accounts;
   Accounts on the Monthly Anniversary; and
 
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Amounts allocated or transferred to a Sub-Account are used to purchase Units in the Sub-Account. The number of Units to be credited will be determined by dividing the amount allocated or transferred to the Sub-Account by the value of a Unit in that Sub-Account. The value of a Unit at the end of every Valuation Period is the value of the Unit at the end of the previous Valuation Period times the Net Investment Factor, as described below. The Sub-Account Value for a Policy is determined on any day by multiplying the number of Units attributable to the Policy in that Sub-Account by the Unit value for that Sub-Account on that day. Units for the initial Premium will be credited to the Sub-Accounts selected and Units for subsequent Premium payments will be credited at the end of the Valuation Period during which the Company receives the Premium. 
 
In addition, whenever a Valuation Period includes a Monthly Anniversary, the value of each Sub-Account at the end of such period is reduced by the portion of any accrued policy fees or charges as are described in the Policy as being allocated to the Sub-Account.
 
Net Investment Factor: The Unit value for each Sub-Account for any Valuation Period is determined by the Net Investment Factor. The Net Investment Factor is an index applied to measure the investment performance of a Sub-Account from one Valuation Period to the next. The Net Investment Factor for a Sub-Account for any Valuation Period is determined by dividing (a) by (b) where
 
(a)         is the net result of:
i.
the net asset value per share of the Fund held in the Sub-Account, determined at the end of the current Valuation Period; plus
ii.
 the per share amount of any dividend or capital gain distributions made by the Fund to the Sub-Account, if the “ex-dividend” date occurs during the current Valuation Period; plus or minus
iii.
a per share charge or credit for any taxes reserved for, which is determined by the Company to have resulted from the operations of the Sub-Account.
 
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Page 9
 
 
 
(b)         is the Net Asset Value Per Share of the Fund held in the Sub-Account, determined at the end of the last Valuation Period.
 
Fixed Account Value: The Fixed Account value is equal to the sum of:
 
MINUS the following
deducted from the Fixed Account on the Monthly Anniversary;
 
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During any Policy Month, the Fixed Account value will be calculated on a consistent basis. For purposes of crediting interest, any amount deducted, transferred or withdrawn from the Fixed Account is accounted for on a first in, first out basis.
 
Fixed Account Interest: The interest rate credited to the Policy Value Account in the Fixed Account is set by the Company but is guaranteed to be at least the minimum guaranteed interest rate shown on the Policy Schedule. The Company may credit interest at rates higher than the guaranteed interest rate. Additional interest credited is nonforfeitable after the effective date of such crediting, except for any charges as allowed by the state of New York imposed under the Policy. Any additional interest credited will be credited at least annually. Any change in the interest rate credited will be based on changes in the Company’s expectations of investment income, mortality, persistency and expense.  Any change in the interest rate credited will not discriminate unfairly within any class of Owners or Insureds. The Company will review the interest crediting rate monthly and may reset the interest rate monthly.
 
Policy Loan: While this Policy is in force, the Owner by Request may obtain a Policy loan from the Company on the security of the Policy. The minimum loan amount is as set out in the Policy Schedule. The total amount of Policy loans cannot be more than the maximum described in the “Loan Value” provision. Policy loan amounts will be withdrawn first on a pro rata basis from the Sub-Accounts and Fixed Account. The Company may allow the Owner, by Request, to specify from which Sub-Accounts or Fixed Account such amounts are to be withdrawn. A Policy loan will be a first lien on the Policy in favor of the Company. Loan amounts taken from the Fixed Account may, at the Company’s discretion, be postponed for a period of up to 6 months except where required to pay Premiums.
 
Effect of a Loan: When a Policy loan is made, funds are transferred out of the Variable Account and Fixed Account and into the Loan Account.
 
A Policy loan, whether or not repaid, will have a permanent effect on the Cash Surrender Value and on the Death Benefit, as described in this Policy. If not repaid, the outstanding Policy loan and accrued loan interest will reduce the amount of Death Benefit and the amount available upon surrender of this Policy. If the total indebtedness on the Policy, including loan interest as accrued or due, equals or exceeds the amount of the Policy’s loan value, the Policy will terminate, provided that notice to this effect has been sent to the Owner and assignee no less than 30 days prior to termination of the Policy and such notice has been delivered in a manner as is required by the laws and regulations of the state of New York.
 
Loan Value: The maximum Policy loan value is equal to:
 
 
 
 
 
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Page 10
 
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Loan Interest: The loan interest rate is used to determine the amount of any accrued loan interest on the outstanding Policy loan. Loan interest is due and payable on each Policy Anniversary. Interest not paid when due will be added to the outstanding Policy loan and will bear interest at the loan interest rate.
 
Interest credited on the portion of the Policy Value Account being used as collateral for a Policy loan is the loan interest rate less an amount not to exceed the maximum Loan Interest Credit Spread as shown on the Policy Schedule.
 
Loan Interest Rate: The loan interest rate will be determined annually at the beginning of each Policy Year. It is guaranteed for that Policy Year and applies to all Policy loans outstanding during that Policy Year. Interest is due and payable on each Policy Anniversary. Interest not paid when due will be added to the Policy loan and will bear interest at the loan interest rate.
 
The maximum loan interest rate for Policy loans is based on a Published Monthly Average for the calendar month ending two (2) months before the date on which the rate is determined. That average is:
  1. The Moody’s Corporate Bond Yield Average - Monthly Average Corporates as published by Moody's Investors Service, Inc. or any successor thereto; or
  2. In the event that the Moody's Corporate Bond Yield Average - Monthly Average Corporates is no longer published, a substantially similar average, established by regulation issued by the Superintendent of the New York Department of Financial Services.
 
The Company must reduce the loan interest rate if the maximum loan interest rate is lower than the loan interest rate for the previous Policy Year by one-half of one percent or more. Any increase to the loan interest rate must be at least one-half of one percent. No increase may be made if the loan interest rate would exceed the maximum loan interest rate. The Company will send to the Owner and any assignee of record advance notice, as soon as is reasonably possible of any increase in the rate, but no less than 30 days’ notice will be given. The Policy will not lapse as a result of a change in the Policy loan interest rate during the Policy Year of such change.
 
Loan Repayment: The Owner must specify that any payment made is to be applied to repay a Policy loan. The expense charge will not apply to repayments of Policy loans. Loan repayments will be allocated among the Sub-Accounts and/or Fixed Account on a pro rata basis unless the Owner specifies that the repayment (including the amounts thereof) is to be allocated to specific Sub-Accounts and/or the Fixed Account.
 
Surrender Benefit: The Owner may surrender this Policy for the surrender benefit. The surrender benefit is the Cash Surrender Value less any monthly cost of insurance charges on the date of surrender. All coverage will end on the effective date of surrender of the Policy. No Death Benefit proceeds will be paid after the effective date of surrender of the Policy.  
 
18

Return of Expense Charge Benefit: If the Policy is surrendered for the surrender benefit within the first 7 Policy Years from the Policy Date, then the Company will pay a Return of Expense Charge Benefit. The benefit is calculated by applying a percentage to the Policy Value Account on the date the surrender Request is received at the Administrative Office. The percentage applied is the return of expense charge percentage as shown on the Return of Expense Charge Schedule in the Policy Schedule and is calculated as follows. In Policy Year 1 the return of expense charge percentage will be equal to the current expense charge percentage as assessed plus 1%. The return of expense charge percentage will then be reduced by a proportional amount in each Policy Year thereafter with it equaling 1% in Policy Year 7. Beginning in Policy Year 8 and all subsequent Policy Years, the Return of Expense Charge Benefit will be 0%. 
 
The Return of Expense Charge Benefit is not available if the Policy is surrendered under the terms of Section 1035 of the Code and is not calculated for a Policy loan, partial withdrawal, paid-up policy or other non-forfeiture benefits, or when coverage under the Policy lapses.
 
The Return of Expense Charge Benefit creates a General Account obligation to the Company. The Return of Expense Charge Benefit is payable to the Owner. The Company may reduce or eliminate any Return of Expense Charge Benefit when there is a change of Owner or an assignment of the Policy.  
 
Continuation of Insurance: If Premium payments cease, coverage under this Policy or any attached riders or endorsements will continue until the Policy Value Account, less any outstanding Policy loan and accrued loan interest is insufficient to cover all accrued Policy fees and charges, including charges for any riders or endorsements. When the amount is insufficient, the “Grace Period” provision will go into effect.
 
 
V17-J355X-NY 8-20
 
 
 
 
 
 
 
 
 
Page 11
 
Policy Maturity: If the Insured is living and the Policy is in force on the Policy Anniversary at attained age 121, then this Policy will remain in force. The Death Benefit will be equal to the Policy Value Account. Any amounts transferred into the Fixed Account after policy maturity and any amounts already invested in the Fixed Account at policy maturity will continue to earn interest at the guaranteed interest rate.
 
No Premium payments will be allowed except as are required to prevent the Policy from lapsing. Partial withdrawals, Policy loans, and Policy loan repayments will be permitted, subject to the provisions herein, as well as the “Continuation of Insurance” provisions and the provisions of any riders and endorsements attached to the Policy.
No further cost of insurance charges will be deducted. This Policy may not qualify as life insurance if it is continued beyond the Policy Anniversary nearest the 121st birthday and may be subject to adverse tax consequences. Please consult a tax advisor prior to continuing coverage beyond that time.
 
Tax Considerations: This Policy is intended to qualify as life insurance for tax purposes and is designed to meet the requirements of Section 7702 of the Code, as in effect on the Issue Date. The Company will refund the excess of any Premium payment made over the maximum amount that could be paid without disqualifying this Policy as life insurance under Section 7702 of the Code.
 
19

This Policy may be purchased as a modified endowment contract. Distributions from modified endowment contracts are subject to different taxation rules than distributions from a life insurance Policy that is not a modified endowment contract.
 
If the Policy is not a modified endowment contract when issued, the payment of excess Premium or a material change in the benefits or terms of the contract, as outlined in Section 7702A of the Code, may cause the Policy to be treated as a new contract and may cause the Policy to become a modified endowment contract. Nothing in this Policy is to be construed as the giving of tax advice.
 
Partial Withdrawals: The Owner may make a partial withdrawal from the Policy Value Account at any time while the Policy is in force. The minimum amount per withdrawal is the amount shown on Policy Schedule. The maximum amount that may be withdrawn is 90% of the Policy Value Account less outstanding Policy loans and accrued loan interest.
 
There is no partial withdrawal fee charged for the first partial withdrawal in any Policy Year. A maximum partial withdrawal fee shown in the Policy Schedule will be deducted from the Policy Value Account for each additional partial withdrawal made in the same Policy Year. The partial withdrawal will be effective on the Transaction Date. The Policy Value Account will be reduced by the partial withdrawal amount and any partial withdrawal fee, which will be taken from all the Sub-Accounts and the Fixed Account on a pro rata basis.
 
If the Policy is in force under Option 1, Level Death Benefit, then the Total Face Amount also will be reduced by the amount of each partial withdrawal. Withdrawals may not be repaid directly into the Policy Value Account. Any payments received will be subject to the “Additional Premium Payments” provision.
 
Computation of Values: All guaranteed calculations are based on the Mortality Tables shown on the Policy Schedule. These computations assume that the Death Benefit is paid at the end of the Policy Year in which death occurs. Any net single Premium will be computed on the basis of the Insured's Attained Age, sex and premium class. Any cash values and non-forfeiture benefits available under the Policy are not less than the minimum values and benefits required by the state in which this Policy is delivered. A detailed statement showing how the values are computed has been filed with the Superintendent of the New York Department of Financial Services.
 
Postponement: Payment of Death Benefit proceeds in excess of any minimum Death Benefit, Cash Surrender Values, Policy loans, or partial withdrawals (except when used to pay Premiums) may be deferred for any period during which the New York State Exchange is closed for trading (except for normal holiday closing) or when the Securities and Exchange Commission has determined that a state of emergency exists, which may make such payment impractical.
 
During the postponement period, the Sub-Account Value may continue to be subject to the investment experience (gains or losses) of the Fund(s) and all applicable charges.
 
The Company may defer payment of any withdrawal, surrender or Policy loan proceeds from the Fixed Account for up to 6 months after a Request is received. If the Company delays payment of surrender benefits under this Policy, the Company will pay interest at the rate specified under applicable state law of the state where the Policy is delivered, as required, if any, at the time of the Request.
20

 
V17-J355X-NY 8-20
 
 
 
 
 
 
 
 
            Page 12
Settlement Options: All amounts payable under the Policy, including Death Benefit proceeds and any proceeds from any surrender, partial withdrawal or Policy loan will be paid in a lump sum unless the Owner elects by Request to have all or a portion of such amounts paid under a different settlement option that the Company may then be offering.
 
Exchange of Policy: At any time during the first 18 policy months, so long as this Policy is in force, any Owner may exchange this Policy, without evidence of insurability, for a policy of general account life insurance that the Company then offers in the state of New York on the life of the Insured for the Total Face Amount of this Policy. Alternatively, the Owner may elect to Transfer all amounts from the Variable Account into the Fixed Account without restriction, if the Company determines at the time of the exchange, that the Fixed Account under this Policy is competitively priced in relation to other general account products. The exchange to a general account policy is subject to the following requirements: (i) the new policy shall bear the same date of issue and issue age as this Policy and at the rates in effect on that date for the same premium class; (ii) the new policy shall include such incidental insurance benefits as are included in this Policy if such incidental insurance benefits are available for issue with the new policy; and (iii) the exchange shall be subject to an equitable premium or policy value adjustment that takes appropriate account of the premiums and policy values under this Policy. A detailed statement of the method of computing any adjustments shall be filed with the Superintendent of the New York Department of Financial Services.
 
 
 
TRANSFER PROVISIONS
 
Transfers: At any time while this Policy is in force, the Owner, by Request, may Transfer all or a portion of the Sub- Account Value or the Fixed Account among the available Sub-Accounts or the Fixed Account subject to the provisions set out below. The Owner is allowed a number of free Transfers within a Policy Year as shown on the Policy Schedule; however, the Company may assess a Transfer Fee, also shown on the Policy Schedule, for each subsequent Transfer that exceeds the limit. All Transfers made on a single Transaction Date will be aggregated to count as only one Transfer toward the free Transfers.
 
Sub-Account Transfers: The Company may limit the availability of any Sub-Account with respect to Transfers. Notice will be given in compliance with any regulatory requirements where applicable.
 
The Company will reject Transfers if the Company deems that the Transfers would disrupt the management of the Variable Account, any Sub-Account, or any Fund.
 
21

Fixed Account Transfers: Transfers into the Fixed Account are limited to the period and dollar amount as shown on the Policy Schedule. A Transfer out of the Fixed Account may only be made once during a period shown on the Policy Schedule and is limited to the greater of the maximum of the balance of the Fixed Account as shown on the Policy Schedule, or the amount of the Transfer from the previous Transfer period. A partial withdrawal will be considered a Transfer from the Fixed Account. Except for the time period and percentage allowed for Transfers out of the Fixed Account, which are set at issue of the Policy and will not change, the Company will give 30 days’ written notice to the Owner if any of the limitations and time periods referred to in this provision are changed. Any changes will not discriminate unfairly within any class of Owners or Insureds.
 
Guaranteed Paid-Up Option: Once every Policy Anniversary, the Owner may Transfer all amounts in the Variable Account into the Fixed Account and apply the Cash Surrender Value, excluding the Return of Expense Charge Benefit, as a single Premium to provide an amount of guaranteed paid-up insurance. This net single Premium will be based on the Insured’s Attained Age, sex and premium class on the date of the Transfer, as adjusted for any substandard rating, the Mortality Table as shown on the Policy Schedule and computed at the paid up interest rate shown on the Policy Schedule. Future Cash Surrender Values of the paid-up policy will be calculated by multiplying the amount of guaranteed paid-up insurance by a net single Premium at each successive duration. The net single premium will be based on the Insured’s Attained Age, sex and premium class, as adjusted for any substandard rating, the Mortality Table as shown on the Policy Schedule and computed at the paid up interest rate shown on the Policy Schedule.
 
 
 
 
 
 
 
 
 
POLICY SCHEDULE
DEATH BENEFIT
Option 1: Level Death
 
OWNER/POLICY INFORMATION
 
 
      
Owner:
 XYZ Corporation
Insured: JOHN DOE
Policy Number: 1234567
Policy Date: July 1, 2020
Total Face Amount: $250,000
Issue Date: July 1, 2020 
Issue Age/Sex:
 35/ Male 
State of Delivery: New York
Department of Financial Services
Telephone Number: (800) 342-3736
22

Mortality Table: 2017 Loaded Commissioners Standard Ordinary Gender Distinct, Smoker Distinct Ultimate ANB Mortality Tables
Separate Account: Protective NY COLI Separate Account
Return of Expense Charge Benefit: Schedule shown on Page S2b
 
If no Premiums are paid after the first Premium or if subsequent Premiums prove to be insufficient, this coverage may cease prior to age 121. The Owner may have to pay more than the Premiums shown above to keep this Policy and coverage in force due to the fact that current cost of insurance are not guaranteed, policy values may increase or decrease in accordance with the investment performance of the funds in the Variable Account, the current expense loads of the funds in the Variable Account may change, Policy loans and partial withdrawals may be taken, there may be changes in the choice of Death Benefit options, and there may be requested changes to the specified Total Face Amount.
FEES AND CHARGES
Maximum Administration Charge:
 
 
 
$10.00 per month
Maximum Expense Charge:
 
 
 
 
10.00% of premium
Maximum Mortality & Expense Charge:
.90% per year
Guaranteed Maximum Monthly Risk Rates:
 
 
Shown on Page S1a
Maximum Projection of Future Benefits Fee:
 
 
$50
Death Benefit Interest Rate Factor:
 
 
 
1.00327374
Number of Free Transfers per Year:
 
 
 
12
Maximum Transfer Fee after Free Transfers:
 
 
$10
Maximum Partial Withdrawal Fee:
 
 
 
$100
 
Where applicable, and where referred to in the Policy, additional interest amounts are not guaranteed and the Company has the right to change the amount of interest credited to the Policy and the amount of cost of insurance or other expense charges deducted under the Policy, which may require more Premium to be paid than was illustrated or the Cash Values may be less than those illustrated.
 
FIXED ACCOUNT
Maximum Dollar Amount Allowed for Transfer into Fixed Account:
 
$20,000,000
Transfer Period into Fixed Account:
 
 
 
 
 
once every 60 days
Guaranteed Interest Rate:
 
 
 
 
 
 
2%
Transfer Period out of the Fixed Account:
 
 
 
 
once every 365 days
Maximum Percentage of Funds Available
for Transfer Out of the Fixed Account:
 
 
 
 
25%
Paid-Up Interest Rate:
 
 
 
 
 
 
 
4%
 
SCHEDULE OF BENEFITS AND PREMIUMS
BENEFITS
FACE AMOUNT
GUARANTEED MAXIMUM MONTHLY RISK RATES
PREMIUM PERIOD
Base Policy Face Amount
$200,000
See Page S1a
To Insured Age 121
Term Life Insurance Rider Face Amount
$50,000
See Page S1a
 
Total Face Amount
$250,000
See Page S1a
 
 
23

V17S-J355X-NY 8-20
 
 
 
 
 
 
 
 
 
Page S1
 
 
GUARANTEED MAXIMUM MONTHLY RISK RATES
Standard Premium Class
(Based on the Attained Age of the Insured)
 
24

                   
Attained
Non-Smoker
Smoker
Attained
Non-Smoker
Smoker
Age
Male
Female
Male
Female
Age
Male
Female
Male
Female
20
0.07417
0.02750
0.07500
0.02750
71
 1.23333
0.83083
2.92833
2.27333
21
0.07750
0.02750
0.07750
0.02750
72
1.39167
0.93000
3.23333
2.46083
22
0.07417
0.02750
0.08000
0.02750
73
1.57583
1.04500
3.56750
2.66833
23
0.07167
0.02750
0.08250
0.02917
74
1.78583
1.17833
3.91917
2.89250
24
0.07083
0.02750
0.08500
0.03250
75
2.02000
1.33333
4.27750
3.14167
25
0.07083
0.02750
0.08750
0.03417
76
2.27667
1.50917
4.63250
3.41583
26
0.06000
0.02750
0.08750
0.03417
77
2.55917
1.71417
4.98333
3.72417
27
0.05750
0.02917
0.08583
0.03417
78
2.87167
1.95250
5.33250
4.06167
28
0.05250
0.03083
0.08417
0.03500
79
3.22833
2.23667
5.69917
4.43500
29
0.04833
0.03250
0.08333
0.03667
80
3.64000
2.58167
6.09250
4.93167
30
0.04583
0.03417
0.08333
0.04000
81
4.12167
2.98000
6.52667
5.52750
31
0.04750
0.03667
0.08667
0.04250
82
4.66083
3.37333
6.97083
6.20417
32
0.04917
0.04000
0.09250
0.04500
83
5.28833
3.80250
7.65833
6.96167
33
0.05583
0.04583
0.09917
0.04917
84
6.01583
4.31833
8.43500
7.73583
34
0.06500
0.05167
0.10667
0.06500
85
6.86167
5.10917
9.31917
8.43167
35
0.07500
0.05917
0.11417
0.07250
86
7.84083
5.81083
10.32167
9.53333
36
0.08750
0.06667
0.12500
0.08583
87
8.96750
6.59667
11.43917
10.51167
37
0.09833
0.07417
0.13500
0.10250
88
10.24167
7.51833
12.66667
11.58167
38
0.10833
0.08167
0.14750
0.11667
89
11.62417
8.54250
13.95000
12.71833
39
0.11417
0.08417
0.16667
0.12833
90
13.09833
9.66667
15.27250
13.90583
40
0.11917
0.08583
0.18750
0.13833
91
14.61250
10.86417
16.58750
15.09583
41
0.12583
0.08667
0.21000
0.14750
92
16.12667
12.16500
17.86000
16.32417
42
0.13417
0.08667
0.23250
0.15583
93
17.62417
13.56917
19.08833
17.57667
43
0.14167
0.08667
0.25250
0.16500
94
19.03000
14.98417
20.20917
18.73000
44
0.14917
0.08750
0.26750
0.17417
95
20.28333
16.50750
21.17500
19.90417
45
0.15250
0.08750
0.27917
0.18500
96
21.86917
18.39000
22.50750
21.38083
46
0.15917
0.09083
0.29750
0.20250
97
23.55750
20.45917
23.96833
22.92417
47
0.16417
0.09500
0.31583
0.22167
98
25.39250
22.71583
25.61333
24.51833
48
0.17083
0.10000
0.33750
0.24333
99
27.33333
25.12917
27.41250
26.11417
49
0.17833
0.10667
0.36083
0.26667
100
29.34083
27.66583
29.34083
27.66583
50
0.18750
0.11500
0.38750
0.29250
101
31.20583
29.78500
31.20583
29.78500
51
0.20167
0.12583
0.41917
0.32250
102
33.06667
31.88167
33.06667
31.88167
52
0.21917
0.14000
0.45333
0.35500
103
34.88833
33.91917
34.88833
33.91917
53
0.24000
0.15750
0.49250
0.39083
104
36.63750
35.86417
36.63750
35.86417
54
0.26167
0.17667
0.53667
0.43000
105
38.28000
37.68250
38.28000
37.68250
55
0.28333
0.19667
0.58583
0.47417
106
39.78583
39.34167
39.78583
39.34167
56
0.30333
0.21583
0.64250
0.52417
107
41.94333
41.50917
41.94333
41.50917
57
0.32250
0.23417
0.70583
0.58083
108
44.21750
43.79500
44.21750
43.79500
58
0.34250
0.25333
0.77917
0.64417
109
46.61583
46.20667
46.61583
46.20667
59
0.36583
0.27333
0.86167
0.71417
110
49.14333
48.75167
49.14333
48.75167
60
0.39500
0.29583
0.95667
0.79250
111
51.80833
51.43667
51.80833
51.43667
61
0.43417
0.32167
1.06583
0.87917
112
54.61833
54.26917
54.61833
54.26917
62
0.48250
0.35250
1.19000
0.97500
113
57.58000
57.25833
57.58000
57.25833
25

63
0.53667
0.38750
1.32750
1.08000
114
60.70250
60.41167
60.70250
60.41167
64
0.59750
0.42667
1.47750
1.19417
115
63.99500
63.73917
63.99500
63.73917
65
0.66333
0.46917
1.64500
1.31917
116
67.46500
67.24917
67.46500
67.24917
66
0.73417
0.51417
1.82250
1.45250
117
71.12333
70.95250
71.12333
70.95250
67
0.81000
0.56333
2.00917
1.59583
118
74.98083
74.86083
74.98083
74.86083
68
0.89417
0.61667
2.20583
1.74667
119
79.04667
78.98333
79.04667
78.98333
69
0.98917
0.67750
2.41917
1.90417
120
83.33333
83.33333
83.33333
83.33333
70
1.10083
0.74750
2.65667
2.07917
 
 
 
 
 
26

 
 
 
 
 
 
 
 
 
 
 
 
 
 
The guaranteed maximum monthly risk rates shown reflect a flat extra charge of $0.25 per month for the first 4 Policy years and will not exceed 83.33333 per month. The guaranteed maximum monthly risk rates shown are based on 300% of the Mortality Table rates, up to a maximum of 83.33333 per month.
 
V17S-J355X-NY 8-20
 
 
 
 
 
 
 
 
 
 
Page S1a
 
 
 
DEATH BENEFIT FACTORS
Standard Premium Class
Cash Value Accumulation Test
 
27

                     
Attained
Non-Smoker
Smoker
Attained
Non-Smoker
Smoker
 
Age
Male
Female
Male
Female
Age
Male
Female
Male
Female
 
20
9.74450
11.39538
7.60801
8.69170
71
1.79318
1.94287
1.57665
1.66005
 
21
9.44009
10.99323
7.35725
8.37775
72
1.74317
1.88462
1.54505
1.62335
 
22
9.14577
10.60392
7.11451
8.07433
73
1.69560
1.82890
1.51533
1.58802
 
23
8.85549
10.22712
6.87949
7.78116
74
1.65044
1.77566
1.48745
1.55403
 
24
8.57034
9.86253
6.65190
7.49890
75
1.60762
1.72487
1.46127
1.52129
 
25
8.29178
9.50983
6.43150
7.22799
76
1.56704
1.67648
1.43655
1.48979
 
26
8.02045
9.16872
6.21801
6.96700
77
1.52853
1.63040
1.41301
1.45947
 
27
7.74944
8.83888
6.01031
6.71473
78
1.49194
1.58661
1.39038
1.43033
 
28
7.48473
8.52130
5.80777
6.47096
79
1.45716
1.54507
1.36842
1.40228
 
29
7.22508
8.21543
5.61039
6.23575
80
1.42413
1.50582
1.34702
1.37527
 
30
6.97125
7.92078
5.41845
6.00913
81
1.39286
1.46893
1.32609
1.34975
 
31
6.72423
7.63685
5.23209
5.79130
82
1.36336
1.43438
1.30560
1.32589
 
32
6.48582
7.36369
5.05206
5.58157
83
1.33552
1.40163
1.28535
1.30372
 
33
6.25571
7.10121
4.87866
5.37959
84
1.30936
1.37051
1.26614
1.28324
 
34
6.03540
6.85005
4.71174
5.18545
85
1.28490
1.34109
1.24801
1.26414
 
35
5.82511
6.60950
4.55112
5.00158
86
1.26214
1.31436
1.23101
1.24574
 
36
5.62438
6.37956
4.39644
4.82521
87
1.24113
1.28930
1.21521
1.22924
 
37
5.43323
6.15951
4.24794
4.65710
88
1.22189
1.26580
1.20065
1.21384
 
38
5.25046
5.94869
4.10510
4.49725
89
1.20441
1.24389
1.18735
1.19952
 
39
5.07527
5.74650
3.96795
4.34452
90
1.18855
1.22345
1.17516
1.18615
 
40
4.90618
5.55088
3.83698
4.19800
91
1.17411
1.20427
1.16390
1.17357
 
41
4.74273
5.36136
3.71192
4.05702
92
1.16078
1.18603
1.15328
1.16143
 
42
4.58500
5.17755
3.59247
3.92115
93
1.14812
1.16846
1.14288
1.14945
 
43
4.43302
4.99912
3.47818
3.79001
94
1.13563
1.15117
1.13220
1.13723
 
44
4.28634
4.82598
3.36841
3.66346
95
1.12250
1.13346
1.12045
1.12395
 
45
4.14468
4.65819
3.26237
3.54127
96
1.10758
1.11460
1.10652
1.10881
 
46
4.00720
4.49546
3.15959
3.42338
97
1.09019
1.09395
1.08975
1.09107
 
47
3.87423
4.33829
3.06042
3.31019
98
1.06858
1.06994
1.06847
1.06902
 
48
3.74537
4.18659
2.96462
3.20152
99
1.04000
1.04000
1.04000
1.04000
 
49
3.62066
4.04025
2.87221
3.09724
100
1.04000
1.04000
1.04000
1.04000
 
50
3.50003
3.89927
2.78306
2.99714
101
1.04000
1.04000
1.04000
1.04000
 
51
3.38346
3.76360
2.69714
2.90110
102
1.04000
1.04000
1.04000
1.04000
 
52
3.27121
3.63324
2.61447
2.80905
103
1.04000
1.04000
1.04000
1.04000
 
53
3.16329
3.50822
2.53490
2.72081
104
1.04000
1.04000
1.04000
1.04000
 
54
3.05967
3.38851
2.45841
2.63624
105
1.04000
1.04000
1.04000
1.04000
 
55
2.96010
3.27389
2.38494
2.55519
106
1.04000
1.04000
1.04000
1.04000
 
56
2.86429
3.16405
2.31440
2.47757
107
1.04000
1.04000
1.04000
1.04000
 
57
2.77189
3.05858
2.24678
2.40330
108
1.04000
1.04000
1.04000
1.04000
 
58
2.68263
2.95712
2.18199
2.33233
109
1.04000
1.04000
1.04000
1.04000
 
59
2.59638
2.85945
2.12004
2.26454
110
1.04000
1.04000
1.04000
1.04000
 
60
2.51310
2.76540
2.06086
2.19984
111
1.04000
1.04000
1.04000
1.04000
 
61
2.43285
2.67484
2.00445
2.13812
112
1.04000
1.04000
1.04000
1.04000
 
62
2.35581
2.58773
1.95079
2.07930
113
1.04000
1.04000
1.04000
1.04000
 
28

63
2.28201
2.50403
1.89987
2.02326
114
1.04000
1.04000
1.04000
1.04000
 
64
2.21136
2.42366
1.85158
1.96989
115
1.04000
1.04000
1.04000
1.04000
 
65
2.14375
2.34651
1.80580
1.91908
116
1.04000
1.04000
1.04000
1.04000
 
66
2.07900
2.27242
1.76248
1.87070
117
1.04000
1.04000
1.04000
1.04000
 
67
2.01695
2.20122
1.72143
1.82460
118
1.04000
1.04000
1.04000
1.04000
 
68
1.95742
2.13276
1.68245
1.78065
119
1.04000
1.04000
1.04000
1.04000
 
69
1.90032
2.06692
1.64538
1.73867
120
1.04000
1.04000
1.04000
1.04000
 
70
1.84557
2.00364
1.61012
1.69849
 
 
 
 
 
 
29

 
The Death Benefit Factors shown are based on 300% of the Mortality Table rates.
 
V17S-J355X-NY 8-20
 
 
 
 
 
 
 
 
 
 
Page S2a
 
 
RETURN OF EXPENSE CHARGE SCHEDULE
 
                                                                                                                                                                           
30

Policy Year
Return of Expense Charge Percentage
1
7.00%
2
6.00%
3
5.00%
4
4.00%
5
3.00%
6
2.00%
7
1.00%
8+
0.00%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
31

 
 
 
 
 
 
 
 
 
 
 
 
 
V17S-J355X-NY 8-20
 
 
 
 
 
 
 
 
 
   Page S2b
V17-J355X-NY 8-20
 
 
 
 
 
 
 
                 
     Page 13
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
32

 
 
 
 
THIS PAGE IS INTENTIONALLY LEFT BLANK
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INDIVIDUAL FLEXIBLE PREMIUM VARIABLE UNIVERSAL LIFE INSURANCE POLICY
 
 
 
ADJUSTABLE DEATH BENEFIT. Proceeds payable at death are subject to Policy provisions. Please refer to the “Death Benefit” provision of this Policy for a description of the Death Benefit. Flexible Premiums are payable while the Insured is alive. If no Premiums are paid after the first Premium, or if subsequent Premiums prove to be insufficient, this coverage may cease prior to age 121. PAYMENTS AND VALUES THAT ARE BASED ON THE INVESTMENT EXPERIENCE OF THE SUB-ACCOUNTS ARE VARIABLE, MAY INCREASE OR DECREASE ACCORDINGLY, AND ARE NOT GUARANTEED AS TO AN AMOUNT. Non-Participating. Does not pay dividends.
 
 
 
 
Protective Life & Annuity Insurance Company
Exhibit 30(d)(ii) 
Home Office: 2801 Highway 280 South
Birmingham, Alabama 35223
1-800-866-9933
State of Domicile – Alabama
A Stock Company
www.protective.com
Administrative Office: P.O. Box 292
Birmingham, AL 35201-0292
1-888-353-2654
 
 
 
Term Life Insurance Rider
 
 
This Term Life Insurance Rider (“Rider”) is issued by Protective Life and Annuity Insurance Company (the “Company”) and is supplemental to the Policy to which it is attached. References in the Policy include this Rider where applicable. All Policy provisions not expressly modified by this Rider remain in full force and effect. Capitalized terms that are not defined in this Rider are defined or otherwise described in the Policy.
 
This Rider provides term life insurance on the life of the Insured. The Insured is the person insured under the Policy. The Total Face Amount, as selected by the Owner, will be the sum of the Base Policy Face Amount and the Term Life Insurance Rider Face Amount.  The Owner selects the Total Face Amount and the applicable percentage of Term Life Insurance Rider Face Amount which ranges from 10% to 90% of the Total Face Amount. While this Rider is in force, the Death Benefit for the Term Life Insurance Rider is included in the Death Benefit as described in the Policy. Coverage is automatically annually renewable to the Insured’s attained age 121. The amount of Death Benefit provided under this Rider may vary on a monthly basis as described below. The Company will pay the Term Life Insurance Rider's Death Benefit (“Rider Death Benefit”) to the Beneficiary when the Company receives proof of the death of the Insured and that the death occurred while this Rider was in force. This Rider does not have a Cash Value or loan value. No dividends are payable, and this Rider is non-participating. There is no right of conversion.
 
All Policy provisions not expressly modified by this Rider are as described in the Policy and this Rider is subject to the terms and conditions contained therein.  
 
 
1

DEFINITIONS
 
Term Life Insurance Rider Face Amount: The Term Life Insurance Rider Face Amount is as shown on the Policy Schedule and as described in this Rider.
 
 
DEATH BENEFIT PROVISIONS
 
Rider Death Benefit: The effect of the Rider Death Benefit on the Policy Death Benefit will be based on the Death Benefit option that applies under the Policy on the Insured’s date of death.
 
Option 1:  Level Death
The Rider Death Benefit will be:
2

  1. the greater of:
    1. the Total Face Amount shown on the Policy Schedule, less any partial withdrawals; or
    1. the Cash Value on the Insured’s date of death multiplied by the applicable Factor shown in the Table on the Policy Schedule and based on the age of the Insured on date of death.
    2. the Base Policy Face Amount shown on the Policy Schedule; or
    3. the Policy Value Account of the Policy.
  2. less the greater of:
  3.  
     
     
    Option 2:  Coverage Plus
    The Rider Death Benefit will be:
  4. the greater of:
    1. the Total Face Amount shown on the Policy Schedule, plus the Policy Value Account on the Insured’s date of death; or
    1. the Cash Value on the Insured’s date of death multiplied by the applicable Factor shown in the Table on the Policy Schedule based on the age of the Insured at date of death.
    2. less
    3. the Base Policy Face Amount shown on the Policy Schedule; plus
    4. the Policy Value Account of the Policy.
  5.  
    Coverage Effective: Coverage under this Rider will take effect on the Policy Date shown on the Policy Schedule.
     
    Change of Death Benefit Option: If the Total Face Amount is changed based on the Request of the Owner to change the Death Benefit Option, then the Base Policy Face Amount and the Term Life Insurance Rider Face Amount will be changed proportionally to the change in the Total Face Amount.
     
    Change of Term Life Insurance Rider Face Amount: By Request, the Owner may at any time increase or decrease the Term Life Insurance Rider Face Amount subject to the Company's approval. The minimum amounts allowed for an increase or a decrease to the Total Face Amount are as shown on the Policy Schedule.
     
    For a decrease in the Term Life Insurance Rider Face Amount:
  6. The Company must receive a Request;
  7. The decrease will become effective on the Monthly Anniversary following receipt of the Request;
  8. The Term Life Insurance Rider Face Amount may not be decreased below 10% of the Total Face Amount;
  9. The decrease will apply first to the most recent increase or increases in Total Face Amount for purposes of incontestability as described in the” Incontestability” provision; and
  10. The Total Face Amount may not be decreased below the amount shown on the Policy Schedule unless prior approval is obtained from the Company.
  11.  
    For an increase in Term Life Insurance Rider Face Amount:
  12. The Company must receive a Request;
  13. The increase will be subject to Evidence of Insurability satisfactory to the Company;
  14. The Term Life Insurance Rider Face Amount may not exceed 90% of the Total Face Amount; and
  15. The increase will be effective on the Monthly Anniversary following the approval of the Request for an increase and is subject to the deduction of the first month's cost of insurance for the Rider from the Policy Value Account. Please refer to the “Cost of Insurance” provision in the Policy and this Rider.
  16.  
     
    FEES AND CHARGES
     
    This Rider is subject to the terms and conditions contained in the “Fees and Charges” provision in the Policy, where applicable. The calculation of the fees and charges described below are modified if this Rider is elected as follows:
     
    Cost of Insurance:  While this Rider is in force, the Death Benefit described in the Policy includes the Rider Death Benefit. The cost of insurance for the Policy and this Rider is calculated as follows and there is no additional cost of insurance charge for this Rider.
    1. The Death Benefit divided by the death benefit interest rate factor as shown on the Policy Schedule, less the Policy Value Account on each Monthly Anniversary, multiplied by the current monthly risk rate for the Insured’s Attained Age; plus
    2. The monthly administration charge.
     
    If there has been an increase or decrease in the Death Benefit during the Policy Year, the cost of insurance calculation will be adjusted accordingly to reflect the change.
     
     
    Expense Charge:  While this Rider is in force, a reduction of the current expense charge assessed will be made in proportion to the applicable percentage of the Term Life Insurance Rider Face Amount which is equal to the Term Life Insurance Rider Face Amount divided by the Total Face Amount. The expense charge assessed will not exceed the maximum expense charge shown on the Policy Schedule. The Return of Expense Charge Benefit as described in the “Return of Expense Charge Benefit” provision in the Policy will be calculated for the current expense charge as assessed, as described above, when this Rider is elected. The Return of Expense Charge Schedule is shown on the Policy Schedule.
     
    Mortality and Expense Charges:  While this Rider is in force, a reduction of the current mortality and expense charges assessed will be based on the applicable percentage of the Term Life Insurance Rider Face Amount which is equal to the Term Life Insurance Rider Face Amount divided by the Total Face Amount.  The mortality and expense charges assessed per year will not exceed the maximum annual mortality and expense charge shown on the Policy Schedule.
     
    GENERAL PROVISIONS
     
     Policy and Rider Modification: Upon notice to the Owner, the Company may modify the Policy and/or this Rider if such modification (1) is necessary to make the Policy, Rider, or the Variable Account, where applicable, comply with any law or regulation issued by a governmental agency to which the Company or the Variable Account is subject; (2) is necessary to assure continued qualification of the Policy and Rider under the Code or other federal or state laws as a life insurance policy; (3) is necessary to reflect a change in the operation of the Variable Account or of a Sub-Account; or (4) adds, deletes or otherwise changes the Variable Account or the available Sub-Accounts. The Company also reserves the right to modify certain provisions of the Policy and/or this Rider, as applicable, as stated in those provisions. In the event of any such modification, the Company may make appropriate amendments to the Policy and/or Rider to reflect such modification. Prior approval of the New York Department of Financial Services must be obtained before any modifications will be effective.  
     
    Incontestability: Except for nonpayment of Premiums, this Rider will not be contested after it has been in force during the Insured's lifetime for 2 years from the Issue Date. If this Rider is reinstated, it will not be contested after it has been in force during the Insured’s lifetime for 2 years following the date of reinstatement. If the Term Life Insurance Rider’s Face Amount is increased, the amount of the increase will in like manner be incontestable after it has been in force during the Insured’s lifetime for 2 years from the effective date of the increase.
     
    The validity of this Rider will only be contested on the basis of a material misrepresentation.
     
    Suicide Exclusion: If the Insured commits suicide within 2 years from the Issue Date, then the proceeds payable under the Policy and this Rider will be limited to an amount equal to all Premiums paid on the Policy and this Rider, less outstanding Policy loans and accrued loan interest and partial withdrawals. Payment will be made to the Beneficiary.
     
    If the Total Face Amount is increased and the Insured commits suicide within 2 years from the effective date of any increase, then the Company will refund the cost of insurance paid for the amount of increase. The Total Face Amount of the Policy and this Rider will be reduced to the Total Face Amount that was in effect prior to the increase.
     
    The Company reserves the right to request and obtain evidence as to the manner and/or cause of the Insured’s death where not prohibited by law. Such request:
    a) will be reasonable;
    b) will clearly set forth the reasons why an autopsy is warranted; and
    c) the autopsy will be at the Company’s expense.
     
    Currency: All amounts to be paid to or by the Company will be in the currency of the United States of America.
     
    Misstatement of Age and/or Sex: If the Insured's age and/or sex on the Policy Date has been misstated and the misstatement is discovered on or after the death of the Insured, then the benefits payable under this Rider will be the amount of insurance that the cost of insurance would have purchased for the correct age and/or sex on the Policy Date. The applicable factor used in determining the Death Benefit shall be the factor required by Section 7702 of the Code reflecting the Insured’s correct age and/or sex. If the Insured is alive at the time the misstatement of age and/or sex is discovered, then we will adjust the Policy Value Account and other benefits under the Policy as of the Policy Date based on the correct age and/or sex. Future monthly deductions from the Policy Value Account will be based upon the correct age and/or sex.
     
    Grace Period: The Monthly Anniversary is the due date for any Premium required to keep the Policy and this Rider in force for that month. Except for the first Premium, if the amount in the Policy Value Account, less any Policy loan and accrued loan interest, on the last day of a Policy Month is not sufficient to cover the monthly deduction for the cost of insurance for the next Policy Month, a grace period of 61 days from the due date will be allowed for the payment of an amount sufficient to cover the monthly cost of insurance for the next 3 months. Please refer to the “Fees and Costs” provision of the Policy for details of the monthly deductions and cost of insurance. Coverage will remain in force during the grace period. If the Premium due is not paid within the grace period, all coverage under the Policy and this Rider will cease at the end of the 61-day period. Notice of such Premium due will be mailed to the last known address of the Owner and any assignee of record at least 31 days prior to the date coverage will cease and will not be mailed before the start of the grace period. If the Insured dies during the grace period, any cost of insurance charges due and unpaid will be deducted from the Death Benefit proceeds through to the end of the month in which the death occurred.
     
    Reinstatement: If the Policy  is reinstated, subject to the terms and conditions under the “Reinstatement” provision of this Policy, the Company will also reinstate this Rider if the Company receives proof, satisfactory to the Company, that the Insured is still insurable at the same rates.
     
    Termination: This Rider will terminate upon the earliest of:
  17. Request by the Owner;
  18. The date the Policy is surrendered or coverage has ceased; or
  19. The death of the Insured.
5

 
Signed for the Company and made part of the Policy as of the Policy Date.
 
 
/s/ Steve M. Callaway
 
Steve M. Callaway
Secretary
 
6

 Exhibit 30(d)(iii)
 
 
 
Protective Life & Annuity Insurance Company
              
 
Home Office: 2801 Highway 280 South
Birmingham, Alabama 35223
1-800-866-9933
State of Domicile – Alabama
A Stock Company
www.protective.com
Administrative Office: P.O. Box 292
Birmingham, AL 35201-0292
1-888-353-2654
 
 
CHANGE OF INSURED ENDORSEMENT
 
This Endorsement is issued by Protective Life and Annuity Insurance Company (the “Company”) as part of the Policy to which it is attached. Unless otherwise stated, all Policy provisions and all riders or endorsements not expressly modified by this Endorsement remain in full force and effect. Capitalized terms that are not defined in this Endorsement are defined or otherwise described in the Policy to which this Endorsement is attached.
 
SCHEDULE
Change of Insured Benefit Fee: $400
 
The following definitions are added to the definition section of the Policy:
 
Change of Insured Date: The Monthly Anniversary on or following the date of approval by the Company of the new Insured. Coverage for the new Insured will take effect on the Change of Insured Date.
 
Policy Date: The Policy Date is as defined in the underlying Policy and will not change on the Change of Insured Date.
 
CHANGE OF INSURED: The Owner may change the Insured under this Policy by submitting to the Company for its approval:
 
 
The amount of the Policy Value Account less any outstanding Policy loans and accrued loan interest on the Change of Insured Date must be positive.
 
The Policy must be in force on the Change of Insured Date and not in the grace period.
 
All  riders and endorsements that attach to the Policy will remain in full force and effect.
 
Updated Policy Schedule pages will be sent to the Owner on approval of the change of Insured by the Company.
 
This Endorsement does not have a Cash Value or loan value.
 
FEES AND CHARGES: The Company will assess the Change of Insured Benefit Fee on the Schedule to this Endorsement, which is a one-time charge for the cost of underwriting and administrative expenses when this Endorsement is exercised.
 
1

COST OF INSURANCE: The monthly risk rates will be based on the new Insured’s age and sex as of the Policy Date and the premium class as of the Change of Insured Date. The maximum monthly risk rates are shown on the updated Policy Schedule and are based on the Mortality Table as shown on the updated Policy Schedule, age nearest birthday. The Company may charge a lower monthly risk rate.
 
INCONTESTABILITY AND SUICIDE EXCLUSION: The time periods in the “Incontestability and “Suicide Exclusion” provisions of the underlying Policy will begin for the new Insured on the Change of Insured Date. In the event of a contested claim, the Company will pay a minimum amount equal to any Premiums paid for the new Policy plus the Cash Value less any outstanding Policy loans and accrued loan interest, if any, of the existing Policy on the Change of Insured Date.
 
POLICY VALUE ACCOUNT: The Policy Value Account of the Policy will not change on the Change of Insured Date. Any Policy loans or Loan Accounts will continue to be subject to the loan provisions of the Policy.
 
TOTAL FACE AMOUNT/FACE AMOUNT: The term “Total Face Amount” applies if it is defined in the Policy.  The term” Face Amount” applies if it is defined in the Policy.  The Total Face Amount or Face Amount (as applicable) of the Policy will not change on the Change of Insured Date.
 
TAX CONSIDERATIONS: The Company makes no representation concerning the tax effect of the exercise of this Endorsement.  No agent has the authority to make such a representation on behalf of the Company.  The Owner of the Policy to which this Endorsement is attached should engage tax counsel for advice concerning the potential tax or liability of any provision of the Endorsement or the Policy.
 
REINSTATEMENT: This Endorsement will be reinstated if the Policy is also reinstated and subject to the terms and conditions contained in the “Reinstatement” provision of the Policy.
 
TERMINATION: This Endorsement will not terminate if the Change of Insured benefit is exercised, subject to the terms and conditions contained herein.  
 
The Endorsement will terminate on the earliest of:
 
Signed for Protective Life and Annuity Insurance Company on the Issue Date of the Policy.
 
/s/ Steve M. Callaway
Steve M. Callaway
Secretary
 
2

1

                                         
 
Exhibit 30(e)       
 
INDIVIDUAL LIFE INSURANCE APPLICATION
 
Policy values may increase or decrease in accordance with the experience of the Sub-Accounts.  The amount or duration of the Death Benefit may vary under specified conditions.   Illustration of benefits, including Death Benefits, Policy Values and Cash Surrender Values are available on request.
 
 GENERAL INFORMATION
“Insured” whenever used in this application, means “the life proposed for insurance.”
 
 
 
 
 
INSURED
OWNER (IF OTHER THAN INSURED)
 
 
Name
 
 Name
   
 
Address
 
 Attention
   
 
 
 Address
   
 
 
   
 
Business Address
 
 Phone # Day
   
 
 
 Phone # Evening
   
 
 
 Type of Business
   
 
 Phone # Day
 
 Owner’s SSN or Tax ID
   
 
Phone # Evening
 
   
 
Birth Date ______________ SSN __________________
   
 
Place of Birth _________________ Gender __________
   
 
 
   
 
Electronic Consent
 
   
Subject to Protective Life and Annuity Insurance Company’s ability and federal and state legal requirements, I authorize that all statements, prospectuses, semi-annual and annual fund reports; quarterly policy reports; and additional documents as they become available in the future, policies and other documents be provided to me in an electronic format.  The owner may revoke this authorization at any time by contacting the Company.  Enrollment in this electronic delivery service requires that you have a personal computer with appropriate browser software, e-mail software, as well as communications access to the internet. By providing an email address, I am confirming that I have the ability to obtain electronic communications for purposes of accepting electronic delivery.
                                                                    Yes
No
Email Address ________________________________
 
This consent will remain in effect until I revoke my authorization by contacting the Company.  I may request a paper copy of the information provided electronically at any time for no charge.  I will provide the Company a current e-mail address if my e-mail address changes.
 
 
 
a. The Employer
 
 
 
 
 
b. A Trust created by the Employer
 
 
 
 
2

 
c. A Trust created by the Insured
 
 
 
 
 
d. The Insured
 
 
 
 
 
 
 
 
 
 
POLICY INFORMATION
 
1.
Face Amounts will vary according to the Owner's election, the Company’s determination of insurable interest and other factors, after consultation with the agent/broker, and if applicable a tax advisor. If corporate owned, regulatory limitations may be applicable.  The Total Face Amount is the sum of the Base Policy Face Amount and Term Life Insurance Rider Face Amount.  If the Term Life Insurance Rider is elected the Term Life Insurance Rider is always based on 10% - 90% of the Total Face Amount.  If the Term Life Insurance Rider is not elected, the Total Face Amount will equal the Base Policy Face Amount.
 
  Face Amount
 
 
Total Face Amount
$
   [                                                          ]
 
 
 
 
Term Life Insurance Rider Face Amount
(If elected)
$
   [                                                          ]
 
 
 
 
Base Policy Face Amount
$
   [                                                          ]
 
 
2.
Premium Amount
 
 
 
 
 
Initial Premium Amount
$
 
 
 
 
Planned Premium Amount
$
 
 
 
3.
  Premium Payor (Owner, unless otherwise indicated)
 
 
 
Name
 
 
 
Address
 
 
4.
  Death Benefit Option:  Please refer to the Death Benefit provisions of the Policy for additional information.
 
 
 Level Death (Level Death Benefit)
 
 
      Coverage Plus (Increasing Death Benefit)
 
 
 
 
 
 
 
3

 
 
 
4

BENEFICIARY
 
Primary Beneficiary
 
Name _________________________________________________________ Relationship _______________________
 
Address _______________________________________________________ State _______ Zip __________________
 
Date of Birth _________________ SSN ______________________ Phone # _______________ Percentage _________
 
 
 
 
Primary    Contingent
 
 
 
 
 
 
 
 
 
 
 
 
 
REPLACEMENT
   
 
1.
Do you have any existing insurance policies or annuity contracts?
Yes
No
 
2.
Is the policy applied for intended to result in any insurance or annuity contract in this or any other Company being lapsed, surrendered, reduced, subjected to substantial borrowing, replaced or changed to paid-up, extended term or automatic premium loan?
Yes
No
 
 
If yes, details:
 
 
 
 
 
 
 
Company Name
 
 
 
Policy #
 
 
 
Face Amount
 
 
 
 
 
 
 
Company Name
 
 
 
Policy #
 
 
 
Face Amount
 
 
 
Please attach a separate page if you have additional policies.
 
 
 
 
 
 CITIZENSHIP INFORMATION
1.
Is each individual named on this application a citizen of the United States?
Yes
No
 
  
   If No, please provide details. _______________________________________________________________________
 
2.
Please answer the following question for each insured that is a Non-U.S. Citizen:
 
 
 
a. Does the insured reside in the United States with a permanent resident visa?
Yes
No
 
 
b. If No, please provide visa information for all Non-U.S. Citizens.
 
 
 
         ___________________________________________________________________________________________
 
 
 
 
 COMPLIANCE INFORMATION (To be completed by Owner)
 
 
 
1.
Do you understand that, under this policy, all payments and values including cash values and the death benefit are based on the investment experience of the Sub-Accounts are variable, they may increase or decrease accordingly, and are not guaranteed as to amount?
Yes
No
 
2.
   I have received a copy of the current product prospectus for this Individual Flexible Premium Variable
   Universal Life Policy.
 
Yes
No
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  INSURED’S PERSONAL AND MEDICAL INFORMATION
5

 
Occupation:
 
 
 
Total life insurance in force: $
 
Driver’s License #:
 
State:
 
 
1.Have you applied for insurance in the past 6 months?
Yes No
 
a. If yes, will this be an additional Policy?
Yes No
 
2.Have you ever been refused life insurance?
Yes No
 
3.In the past 3 years, have you been convicted of driving under the influence of alcohol or drugs (DUI), or have you had your driver’s license suspended or revoked?
Yes No
 
If you answered yes to questions 1 – 3, provide details: ________________________________________________________________
 
4.During the past 3 years have you flown as a private pilot or do you contemplate participating in flying within the next 2 years as a student pilot or crew member? (If yes, please complete the Aviation Questionnaire.)
Yes No
 
5.During the past 2 years have you participated in or do you contemplate participating in racing (automobile, snowmobile, motorcycle, boat) or scuba diving within the next 2 years? (If yes, please complete the Racing and/or Scuba Diving Questionnaire).
Yes No
 
6.During the past 2 years have you participated in or do you contemplate participating in mountain or rock climbing within the next 2 years? (If yes, please complete the Mountain/Rock Climbing Questionnaire.)
Yes No
 
7.During the past 2 years have you participated in, or do you contemplate participating in parachuting, sky diving, or hang gliding within the next 2 years? (If yes, please complete the Parachuting or Sky Diving Questionnaire.)
Yes No
 
8.Please provide your:         a.  Height _________    b. Weight  __________
 
  1. Do you have a personal physician?  (If Yes, please provide the following.)
  1. Name: ________________________________________________________________________________
  2. Address: ________________________________________________________________________________
  3. Date last seen: ___________________________________________________________________________
  4. Reason last seen: _________________________________________________________________________
  5. Results of last visit: ________________________________________________________________________
Yes No
 
  1. In the past 5 years, have you used tobacco or nicotine products in any form?
If yes, when was the last date of usage? ____________________________________________________________
Yes No
 
9.Have any members of your immediate family died before age 60?
Yes No
 
10.Are you currently taking any medication(s)?
Yes No
 
11.In the past 5 years, have you been hospitalized?  (If yes, give details below including date(s) and reason(s)).
Yes No
 
12.In the past 10 years, have you ever been diagnosed or treated for AIDS and/or HIV infection by a licensed member of the medical profession?
Yes No
 
13.Within the past 10 years, have you been diagnosed, treated, tested positive for, or been given medical advice by a member of the medical profession for:
 
 
a.Any permanent disease or disorder, including those requiring medical or surgical intervention of the heart, blood vessels, lungs, liver, kidneys, gastrointestinal system?
Yes No
 
b.Elevated blood pressure, stroke, paralysis, or any chronic or progressive disease or disorder of the brain, spinal cord or central nervous system?
Yes No
 
c.Blood disorders including chronic anemia?
Yes No
 
d.Diabetes, cancer or malignancy?
Yes No
 
e.Treatment for alcohol or drug use?
Yes No
 
f.Any counseling or treatment for mental, nervous or emotional disorders?
Yes No
 
If you answered yes to questions 11-15, provide details: (Please use a separate sheet of paper if necessary)
 
 
 
 
 
 
 
 
 
 
 
 
 
  NOTICE AND CONSENT TO INSURANCE & SIGNATURE
 
 
 
In order to comply with IRC Section 101(j), ____________________________________________________________
                                                                                                              (Name of Employer)                                            
 
provides the following Notice and Consent to Insurance to ________________________________________________
                                                                                                                              (Name of Employee)
 
As the Employee, I acknowledge, understand, and agree that if I consent to be insured:
 
  • The Employer or Employer’s Trust may purchase the insurance directly or through a trust (the “Trust”) established by the Employer or Employer’s Trust.
  • A life insurance policy, policies or certificate(s) (“Policy” or “Policies”) will be issued on my life by an Insurer or Insurers (the “Insurer”) selected by the Employer or Trust, and that such Policy will be issued to the Employer or Trust.
  • The Employer or the Trust will be the beneficiary of any death benefit proceeds.
  • The Employer has an insurable interest in my life.
  • The Employer or Trust will apply for, own and control the Policy in every respect.
  • Neither I nor my estate, administrators, heirs or assignees have any rights in the Policy or in any Policy proceeds, unless the Employer notifies the Insurer in writing otherwise.
  • I understand that I may, at any time, withdraw this consent by contacting the Employer’s Human Resources Department.
  • I understand that I may, at any time, withdraw this consent to future purchases by contacting the Employer’s Human Resources Department.
  • I understand that this consent for future purchases will automatically terminate upon termination of my employment for any reason, including retirement.
  • The Employer will notify me of my right to discontinue life insurance coverage upon termination of my employment and upon termination or reduction in benefits of an employee benefit plan being financed, in whole or in part, by such life insurance coverage.
  • The Employer will not be required to notify me of my right to discontinue life insurance coverage if I possess a present or prospective right to receive any of the benefits under an employee benefit plan that is being financed, in whole or in part, by the life insurance coverage.
  • The Employer will notify me of my right to discontinue life insurance coverage upon termination of my employment, when required, through a written notice.  The written notice will explain my right to discontinue life insurance coverage and how I can discontinue coverage if I decide to exercise this right.
  • If subsequent to issuance of the Policy or Policies providing life insurance coverage pursuant to subsection 3205(d) of the New York Insurance Law, the Insurer providing the coverage is replaced by another Insurer, the Employer shall notify me of such replacement.
  • The Employer, Trust, or its successor(s) will continue to be the owner and beneficiary of the life insurance Policy if I possess a present or prospective right to receive any of the benefits under an employee benefit plan being financed, in whole or in part, by this life insurance coverage, including after my employment with, or status as Director or Partner of, the Employer terminates, whenever and for whatever reason this may occur.
  • The total amount of insurance coverage issued to date to the Employer or trust does not exceed the cost of employee and/or retiree benefits already incurred in connection with such employee benefit plan since the earliest date coverage on me was issued under this Policy, plus the projected future cost of such benefits as established by the Employer.
 
Please note that the Employer or Trust may apply for insurance coverage through one or more insurers. In addition, please understand that the Employer or Trust will be making significant contributions of premiums to the Policy(ies). Consequently, a considerable portion of the death benefit received by the Employer at your death will be a return of the Employer’s premium payments.
 
 
  1. HOSPITALIZATION:  (Please complete)
  2. In the past 90 days, have you been hospitalized or otherwise absent from work
    due to illness or accident (not including vacation or holidays) for either more
    than 3 consecutive days or more than a total of 5 days?                                                                                   Yes
    No
     
    If “Yes”, please explain (attach an additional sheet, if necessary),
     
    _____________________________________________________________________________
     
     
     
  3. TOBACCO/NICOTINE USAGE:  (Please complete)
  4. Have you used any tobacco, nicotine or any nicotine substitution product in any
    form in the last 12 months?                                                                                                                                  Yes
    No
     
    If “Yes”, please give details including type(s), frequency and last date used.
     
    ______________________________________________________________________________
     
  5. WORK STATUS:  (Please complete)
  1. Are you currently engaged in active, full-time work (of at least 30 hours per week in a
  2. normal capacity?                                                                                                                                            Yes
    No
  3. Are you currently employed by, or a Director of, the Employer and have you been actively
                      at work as described in the previous question for the past 90 days?                                                         Yes
No
 
CONSENT TO INSURANCE:  (Please complete)
 
YES     I have read and understand this Notice and Consent to Insurance and willingly
                choose to consent to have life insurance purchased on my life.
 
 NO       I do not consent to have life insurance purchased on my life.
 
 
I declare and agree that:
 
All statements and answers to questions made in this application and any supplement to it are true and complete to the best of my knowledge and belief. The information I have provided will be taken into consideration for and will serve as the basis of any contract of insurance based on this application. 1) No Information or answer to any question will be deemed communicated to or binding on the Company unless set out in this application. 2) Only the President and the Secretary of the Company are authorized to change or waive any terms of this application or any contract of insurance issued.
 
Any policy issued based on this application shall not take effect until delivered and the initial premium is paid to the Company, provided that no change has taken place in the insurability of the Insured after the application, any supplement to the application has been completed, and all proposed Insured’s are still living at the time of issue.
 
   The Company is authorized to act on telephone instructions provided by me and where allowed by the Company.  In the absence of this authorization available telephone instructions will not be allowed. I may cancel this instruction in writing at any time.
 
I understand that I am applying for an Individual Flexible Premium Variable Universal Life Insurance Policy issued by Protective Life and Annuity Insurance Company. I understand that the amounts invested in the Sub-Accounts are based on the investment experience of the Sub-Accounts and are not guaranteed as to an amount and may increase or decrease accordingly.
 
An agent or employee of the Company cannot waive, modify, change or interpret any questions asked of you on this application, the answers to which shall be deemed solely yours.
 
I represent that all statements, answers, or selections made in this application are full, complete, and true, to the best of my knowledge and belief.
 
 
__________________________________     X____________________________________       ________________________
Name of Proposed Insured (Please Print)           Signature of Proposed Insured                                 Date
 
 
__________________________________     X____________________________________       ________________________
Name of Owner (Please Print)                              Signature of Owner                                                   Date
 
 
__________________________________     X____________________________________       ________________________
Name of Witness (Please Print)                            Signature of Witness                                                 Date
 
 
 
6

                     
PROTECTIVE LIFE AND ANNUITY INSURANCE COMPANY
   [ P.O. Box 292 •   Birmingham, AL 35201-0292 ]
 
 
 
 
 
 
 
 
Owner Name: ______________________________________________________________________________________________________
 
Policy values may increase or decrease in accordance with the experience of the Sub-Accounts.  Illustration of benefits, including Death Benefits, Policy Values and Cash Surrender Values are available on request.   
1.
PREMIUM PAYMENT ALLOCATIONS: 
You may choose to allocate your premium payments to one or more of the investment options listed below. Please indicate your selections in whole percentages.  Note:  Initial premium will be allocated to the Sub-Accounts and/or Fixed Account.  Please refer to the prospectus for details.  If you do not indicate your allocations below or if they do not total 100 percent, your application will not be processed.
2.
a.SUB-ACCOUNTS:
Allocation
 
FUND
______%
 
[ American Century Investments VP Capital Appreciation Fund (Class I)
______%
 
American Century Investments VP Mid Cap Value Fund (Class I)
______%
 
American Century Investments VP Ultra Fund (Class I)
______%
 
American Century Investments VP Value Fund (Class I)
______%
 
American Funds IS Global Small Cap Fund (Class II)
______%
 
American Funds IS Growth Fund (Class II)
______%
 
American Funds IS Growth-Income Fund (Class II)
______%
 
American Funds IS International Fund (Class II)
______%
 
American Funds IS New World Fund (Class II)
______%
 
BlackRock 60/40 Target Allocation ETF V.I. Fund (Class I)
______%
 
BlackRock Global Allocation V.I. Fund (Class I)
______%
 
BlackRock High Yield V.I. Fund (Class I)
______%
 
BNY Mellon Stock Index Fund, Inc. (Initial Shares)
______%
 
ClearBridge Variable Mid Cap Portfolio (Class I)
______%
 
ClearBridge Variable Small Cap Growth Portfolio (Class I)
______%
 
Davis Financial Portfolio
______%
 
DFA VIT Inflation-Protected Securities Portfolio
______%
 
DWS Core Equity VIP (Class A)
______%
 
DWS High Income VIP (Class A)
______%
 
DWS Small Cap Index VIP (Class A)
______%
 
Eaton Vance VT Floating-Rate Income (Initial Class)
______%
 
Federated Hermes High Income Bond Fund II (Primary Shares)
______%
 
Fidelity VIP Emerging Markets Portfolio (Service 2 Class)
______%
 
Fidelity VIP Index 500 Portfolio (Initial Class)
______%
 
Great-West Aggressive Profile Fund (Investor Class)
______%
 
Great-West Ariel Mid Cap Value Fund (Investor Class)
______%
 
Great-West Bond Index Fund (Investor Class)
______%
 
Great-West Conservative Profile Fund (Investor Class)
______%
 
Great-West Core Bond Fund (Investor Class)
______%
 
Great-West Emerging Markets Equity Fund (Investor Class)
______%
 
Great-West Government Money Market Fund (Investor Class)
______%
 
Great-West Inflation-Protected Securities Fund (Investor Class)
______%
 
Great-West International Index Fund (Investor Class)
______%
 
Great-West International Value Fund (Investor Class)
______%
 
Great-West Large Cap Growth Fund (Investor Class)
______%
 
Great-West Large Cap Value Fund (Investor Class)
______%
 
Great-West Lifetime 2015 Fund (Investor Class)
______%
 
Great-West Lifetime 2020 Fund (Investor Class)
______%
 
Great-West Lifetime 2025 Fund (Investor Class)
8

______%
 
Great-West Lifetime 2030 Fund (Investor Class)
______%
 
Great-West Lifetime 2035 Fund (Investor Class)
______%
 
Great-West Lifetime 2040 Fund (Investor Class)
______%
 
Great-West Lifetime 2045 Fund (Investor Class)
______%
 
Great-West Lifetime 2050 Fund (Investor Class)
______%
 
Great-West Lifetime 2055 Fund (Investor Class)
______%
 
Great-West Lifetime 2060 Fund (Investor Class)
______%
 
Great-West Mid Cap Value Fund (Investor Class)
______%
 
Great-West Moderate Profile Fund (Investor Class)
______%
 
Great-West Moderately Aggressive Profile Fund (Investor Class)
______%
 
Great-West Moderately Conservative Profile Fund (Investor Class)
______%
 
Great-West Multi-Sector Bond Fund (Investor Class)
______%
 
Great-West Real Estate Index Fund (Investor Class)
______%
 
Great-West S&P Mid Cap 400® Index Fund (Investor Class)
______%
 
Great-West S&P Small Cap 600® Index Fund (Investor Class)
______%
 
Great-West Short Duration Bond Fund (Investor Class)
______%
 
Great-West Small Cap Growth Fund (Investor Class)
______%
 
Great-West Small Cap Value Fund (Investor Class)
______%
 
Great-West T. Rowe Price Mid Cap Growth Fund (Investor Class)
______%
 
Great-West U.S. Government Securities Fund (Investor Class)
______%
 
Invesco V.I. Global Real Estate Fund (Series I)
______%
 
Invesco V.I. International Growth Fund (Series I)
______%
 
Invesco V.I. Main Street Small Cap (Series I)
______%
 
Janus Henderson VIT Balanced Portfolio (Institutional Shares)
______%
 
Janus Henderson VIT Enterprise Portfolio (Institutional Shares)
______%
 
Janus Henderson VIT Flexible Bond Portfolio (Institutional Shares)
______%
 
Janus Henderson VIT Forty Portfolio (Institutional Shares)
______%
 
Janus Henderson VIT Global Technology and Innovation Portfolio (Institutional Shares)
______%
 
JPMorgan Insurance Trust Small Cap Core Portfolio (Class 1)
______%
 
JPMorgan Insurance Trust U.S. Equity Portfolio (Class 1)
______%
 
Lord Abbett Series Fund Total Return Portfolio (Class VC)
______%
 
MFS® VIT Growth Series (Initial Class)
______%
 
MFS® VIT Mid Cap Growth Series (Initial Class)
______%
 
MFS® VIT Research Series (Initial Class)
______%
 
MFS® VIT Total Return Bond Series (Initial Class)
______%
 
MFS® VIT Value Series (Initial Class)
______%
 
MFS® VIT II International Growth Portfolio (Initial Class)
______%
 
MFS® VIT III Blended Research Small Cap Equity Portfolio (Initial Class)
______%
 
MFS® VIT III Global Real Estate Portfolio (Initial Class)
______%
 
MFS® VIT III Mid Cap Value Portfolio (Initial Class)
______%
 
Neuberger Berman AMT Sustainable Equity Portfolio (Class I)
______%
 
PIMCO VIT CommodityRealReturn® Strategy Portfolio (Administrative Class)
______%
 
PIMCO VIT Global Bond Opportunities Portfolio (Unhedged) (Administrative Class)
______%
 
PIMCO VIT High Yield Portfolio (Administrative Class)
______%
 
PIMCO VIT Low Duration Portfolio (Administrative Class)
______%
 
PIMCO VIT Real Return Portfolio (Administrative Class)
______%
 
PIMCO VIT Total Return Portfolio (Administrative Class)
______%
 
Pioneer Real Estate Shares VCT Portfolio (Class I)
______%
 
Putnam VT Focused International Equity Income Fund (Class IA)
______%
 
Putnam VT Global Asset Allocation Fund (Class IA)
______%
 
Putnam VT Growth Opportunities Fund (Class IA)
9

______%
 
Putnam VT High Yield Fund (Class IA)
______%
 
Putnam VT Income Fund (Class IA)
______%
 
Putnam VT International Value Fund (Class IA)
______%
 
Putnam VT Large Cap Value (Class IA)
______%
 
Putnam VT Research Fund (Class IA)
______%
 
Putnam VT Small Cap Value Fund (Class IA)
______%
 
Putnam VT Sustainable Future Fund (Class IA)
______%
 
T. Rowe Price Blue Chip Growth Portfolio (Class II)
______%
 
Vanguard VIF Global Bond Index
______%
 
Vanguard VIF Total Bond Market Index
______%
 
Victory RS Small Cap Growth Equity VIP Series (Class 1) ]
 
 
 
 
 
 
 
 
 
 
 
 
       b.   PROTECTIVE LIFE AND ANNUITY GENERAL ACCOUNT
 
 
 
______%
 
Fixed Account
 
 
 
 
 
TOTAL ALLOCATIONS MUST EQUAL 100%
 
9

 

SIGNATURES:
 
This form will be attached to and made part of the policy.
 
Signed at _______________________________________________________ (City and State)  _____________________________ (Date).
 
______________________________________________________          _____________________________________________________
Applicant/Owner(s)                                                                                        Witness
 
10

Exhibit 30(k)
BRAD STRICKLING                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
 
2VP and Counsel
Writer’s Direct Number: (205) 268-7884
Facsimile Number: (205) 268-3597
Toll-Free Number: (800) 627-0220
E-mail: brad.strickling@protective.com
 
June 14, 2021
 
Protective Life and Annuity Insurance Company
2801 Highway 280 South
Birmingham, Alabama  35223
 
Gentlemen:
 
This opinion is submitted with respect to the registration statement on Form N-6, file number 811-23707, to be filed by Protective Life and Annuity Insurance Company (the “Company”), as depositor, and Protective NY COLI VUL (the “Separate Account”), as registrant, with the Securities and Exchange Commission under the Securities Act of 1933 and the Investment Company Act of 1940.  The flexible premium deferred variable universal life policies registered under this registration statement will be known as “Protective Executive Benefits Registered VUL NY.”  I have examined such documents and such law as I considered necessary and appropriate, and on the basis of such examination, it is my opinion that:
 
1.                                      The Company is a corporation duly organized and validly existing as a stock life insurance company under the laws of the State of Alabama and is a validly existing corporation.
 
2.                                      The Separate Account is a duly authorized and validly existing separate account pursuant to the Alabama Insurance Code and the regulations issued thereunder.
 
3.                                      Assets allocated to the Separate Account will not be chargeable with liabilities arising out of any other business the Company may conduct.
 
4.                                      The Policies, to be issued as contemplated by the Form N-6 registration statement, when issued and delivered will constitute legally issued and binding obligations of the Company in accordance with their terms.
 
I hereby consent to the filing of this opinion as an exhibit to the Form N-6 registration statement for the Policies and the Separate Account.
 
 
Very truly yours,
 
 
 
 
 
/s/ Brad A. Strickling
 
Brad A. Strickling
 
2VP and Counsel
 
1

Exhibit 30(r)
 
SUMMARY PROSPECTUS FOR NEW INVESTORS
  Dated [   , 2021]
 
 
Protective Executive Benefits Registered VUL NY
 
A Flexible Premium Variable Universal Life Insurance Policy
 
Issued by
Protective Life and Annuity Insurance Company
Administrative Office:
2801 Highway 280 South
Birmingham, Alabama 35223
 
This Summary Prospectus summarizes key features of Protective Executive Benefits Registered VUL NY, a flexible premium variable universal life insurance policy (“Policy”) issued by Protective Life Annuity and Insurance Company (the “Company” or “Protective Life”).
 
Before you invest, You should also review the prospectus for the Policy, which contains more information about the Policy’s features, benefits, and risks. You can find this document and other information about the Policy online at www.protectiveonlineprospectus.net. You can also obtain this information at no cost by calling 1-800-265-1545 or by sending an email request to gwexecbenefits@protective.com.
 
Right to Cancel.  The Owner may return the Policy to the Company or an authorized representative within 10 days of receiving it without paying fees or penalties.  If replacement of an existing policy is involved, the right to cancel period is extended to 60 days.  If returned during the right to cancel period, the Policy will be deemed void from the start, and the Company will refund the greater of:  (1) premiums received less any withdrawals and distributions; or (2) the Policy Value less any withdrawals and distributions.  You should review this prospectus, or consult with your investment professional, for additional information about the specific cancellation terms.
 
Additional general information about certain investment products, including variable life insurance, has been prepared by the U.S. Securities and Exchange Commission’s (“SEC”) staff and is available at Investor.gov.
 
Neither the SEC nor any state securities authority has approved or disapproved of these securities, nor have they determined if this Prospectus is accurate or complete. Any representation otherwise is a criminal offense. This Prospectus does not constitute an offering in any jurisdiction where such offering may not lawfully be made. Interests in the Variable Account, the Fixed Account and the Funds are not deposits, obligations of, or insured or guaranteed by, the U.S. Government, any bank or other depository institution including the Federal Deposit Insurance Corporation, the Federal Reserve Board or any other agency or entity or person. We do not authorize any representations about this offering other than as contained in this Prospectus or its supplements or in our authorized supplemental sales material.
Beginning January 1, 2021, we will no longer send you paper copies of shareholder reports for the Funds (“Reports”) unless you specifically request paper copies from us. Instead, the Reports will be available on a website. We will notify you by mail each time the Reports are posted. The notice will provide the website links to access the Reports as well as instructions for requesting paper copies. If you wish to continue receiving your Reports in paper free of charge from us, please call 1-888-353-2654. Your election to receive the Reports in paper will apply to all Funds available with your Contract. If you have already elected to receive the Reports electronically, you will not be affected by this change and need not take any action. If you wish to receive the Reports and other SEC disclosure documents from us electronically, please contact us at 1-888-353-2654.
1

 
 
Table of Contents  
Definitions used in this Summary Prospectus 3
Important information you should consider about the Policy. 6
Overview of the Policy 8
Standard Death Benefits 9
Other Benefits Available Under the Policy 10
Buying the Policy 11
How Your Policy Can Lapse 13
Making Withdrawals: Accessing the Money in your Policy 14
Additional Information About Fees 15
Appendix A- Funds Available Under Your Policy                                                                                                          A-1
 
2

Definitions used in this Summary Prospectus
 
“We”, “us”, “our”, “Protective Life”, and “Company”
Refer to Protective Life and Annuity Insurance Company. “You”, “your” and “Owner” refer to the person(s) who have been issued a Policy.
 
Attained Age
The Insured’s age as of the nearest birthday on the Policy Effective Date, plus the number of complete Policy Years since the Policy Effective Date.
 
Base Policy Face Amount
The amount of life insurance coverage identified as the Base Policy Face Amount on the Policy Schedule.
 
Beneficiary
The person, persons or entity whom the Owner designates to receive the proceeds of the Policy upon the death of the Insured. The Owner may designate a primary Beneficiary or Beneficiaries, as well as a contingent Beneficiary or Beneficiaries to receive the proceeds if there is no primary Beneficiary(ies) living at the time of the Insured’s death. A Beneficiary may also be designated as irrevocable which may limit the Owner’s ability to alter that designation or make future Policy changes.
 
Cancellation Period
Period described in the “Cancellation Period” provision during which the Owner may exercise the cancellation privilege and return the Policy for a refund. The Cancellation Period is referred to as the “Right to Cancel” or “Free-Look Period” in the Policy.
 
Cash Surrender Value: Calculated on the effective date of the surrender is equal to:
(a)
Cash Value; less
(b)
Policy Debt.
 
Cash Value
Policy Value plus any applicable Return of Expense Charge Benefit.
 
Death Benefit
The amount of insurance provided under the Policy used to determine the Death Benefit Proceeds.
 
Death Benefit Proceeds
The amount payable to the Beneficiary if the Insured dies while the Policy is in force. It is equal to the Death Benefit plus any death benefit under any rider or endorsement to the Policy less (1) any Policy Debt and (2) less any unpaid Monthly Deductions if the Insured dies during a grace period.
 
Death Benefit Option
One of two options that an Owner may select for the computation of Death Benefit Proceeds, Total Face Amount (Option 1, Level), or Total Face Amount Plus Policy Value (Option 2, Coverage Plus).
 
Due Proof of Death
Receipt at our Home Office of a certified death certificate or judicial order from a court of competent jurisdiction or similar tribunal.
 
Evidence of Insurability
Information about an Insured which is used to approve or reinstate this Policy or any additional benefit.
 
Fixed Account
Part of Protective Life’s General Account to or from which Policy Value may be transferred and into which Net Premiums may be allocated under a Policy.
 
Fixed Account Value
The Policy Value in the Fixed Account.
 
Fund
An underlying mutual fund in which a Sub-Account invests. Each Fund is an investment company registered with the SEC or a separate investment series of a registered investment company.
 
General Account
All of the Company’s assets other than those allocated to the Variable Account or any other separate account. The Company has complete ownership and control of the assets in the General Account.
 
3

Good Order (“good order”)
A request or transaction generally is considered in “Good Order” if we receive it at our Home Office within the time limits, if any, we prescribe for a particular transaction or instruction, it includes all information necessary for us to execute the requested instruction or transaction, and is signed by the individual or individuals authorized to provide the instruction or engage in the transaction. A request or transaction may be rejected or delayed if not in Good Order. Good Order generally means the actual receipt by us of the instructions relating to the requested transaction in writing (or, when permitted, by telephone or Internet as described above) along with all forms, information and supporting legal documentation we require to affect the instruction or transaction. This information and documentation generally includes, to the extent applicable: the completed application or instruction form; evidence of insurability; your policy number; the transaction amount (in dollars or percentage terms); the names and allocations to and/or from the Funds affected by the requested transaction; the signatures of the Policy Owner (exactly as indicated on the Policy), if necessary; Social Security Number or Tax I.D.; and any other information or supporting documentation that we may require, including any consents. With respect to premium payments, Good Order also generally includes receipt by one of us of sufficient funds to affect the purchase. We may, in our sole discretion, determine whether any particular transaction request is in Good Order, and we reserve the right to change or waive any Good Order requirement at any time. If you have questions, you should contact us or your financial professional before submitting the form or request.
 
Home Office
2801 Highway 280 South, Birmingham, Alabama 35223. The mailing address for the Home Office is P.O. Box 292 Birmingham, AL 35201-0292. The Home Office is referred to as the “Administrative Office” in the Policy.
 
Insured
The person whose life is covered by the Policy.
 
Issue Age
The Insured’s age as of the nearest birthday on the Policy Effective Date.
 
Issue Date
The date the Policy is issued.
 
Lapse
Termination of the Policy at the expiration of the grace period while the Insured is still living.
 
Loan Account
An account within Protective Life’s General Account to which Fixed Account Value and/or Variable Account Value plus interest credited on the portion of the Policy Value being used as collateral for the outstanding Policy loans is transferred as collateral for Policy loans.
 
Loan Account Value
The Policy Value in the Loan Account.
 
Loan Interest Credit Spread
An amount deducted from the loan interest rate to cover the costs the Company incurs by providing the loaned cash value. The maximum Loan Interest Credit Spread is 1.5% and is shown on the Policy Schedule and in the table of Periodic Charges Other Than Fund Operating Expenses.
 
Money Market Sub-Account
A Fund which seeks a high level of current income as is consistent with the preservation of capital and liquidity and investing in short term, high quality, liquid debt and monetary instruments.
 
Monthly Anniversary Day
The same day in each month as the Policy Effective Date.
 
Monthly Deduction
The fees and charges deducted monthly from the Fixed Account Value and/or Variable Account Value as described on the Policy Schedule.
 
Net Amount at Risk
The Net Amount at Risk as of any Monthly Anniversary Day is equal to: (a) the Death Benefit discounted at one plus the monthly guaranteed interest rate minus the Policy Value (prior to deducting the Cost of Insurance), if the Death Benefit Option is Death Benefit Option 1 (Level Death Benefit); or, (b) the Death Benefit minus the Policy Value discounted at one plus the monthly guaranteed interest rate, if the Death Benefit Option is Death Benefit Option 2 (Coverage Plus).
 
Net Premium
A premium payment minus the applicable premium expense charges.
 
4

Owner
The person, or persons, or entity entitled to all rights in this Policy while the Insured is living including designation as a Beneficiary. These rights are subject to any assignment and to the rights of any Irrevocable Beneficiary. The Owner may name a contingent Owner who will own this Policy if the Owner dies while this Policy is in force. If the Owner dies before the Insured, any contingent Owner named in the application, or subsequent endorsement, will become the new Owner. If no contingent Owner is named, the Owner’s estate becomes the new Owner. The Owner may change the Owner (including a contingent Owner) by Written Notice.
 
Policy Anniversary
The same day and month in each Policy Year as the Policy Effective Date.
 
Policy Debt
The sum of all outstanding policy loans plus accrued interest.
 
Policy Effective Date
The date shown in the Policy as of which coverage under the Policy begins. In the Policy, Policy Effective Date is known as “Policy Date.”
 
Policy Month
The Policy Month begins on a Monthly Anniversary Day and ends on the day prior to the next Monthly Anniversary Day.
 
Policy Value
The sum of the Variable Account Value, the Fixed Account Value, and the Loan Account Value. Policy Value is referred to as “Policy Value Account” in the Policy.
 
Policy Year
Each period of twelve months commencing with the Policy Effective Date and each Policy Anniversary thereafter.
 
Return of Expense Charge Benefit
Where applicable, the Company will calculate and return a percentage of the expense charge. The Return of Expense Charge Benefit calculation is based on a percentage of the Policy Value, and is only payable upon a complete surrender of the Policy. Refer to the “Return of Expense Charge Benefit” provision in the Policy for the percentage and duration of the Return of Expense Charge Benefit and any limitations and requirements.
 
Request
Any written, telephoned, electronic or computerized instruction in a form satisfactory to the Company and received at the Home or Administrative Office from the Owner or an assignee of record, as specified in a form acceptable to the Company and which may be required in writing, or the Beneficiary (as applicable) as required by any provision of the Policy or as required by the Company. In addition, subject to the Company’s administrative requirements as they may exist from time to time and to any requirements that may be imposed by the Funds or other investments, the Company reserves the right to require advance Written Notice from the Owner.
 
Sub-Account
A separate division of the Variable Account established to invest in a particular Fund.
 
Sub-Account Value
The sum of the values of the Sub-Accounts credited to the Owner as Policy Value.
 
Total Face Amount
Total Face Amount is the sum of the Base Policy Face Amount (life insurance coverage) as shown on the Policy Schedule plus any endorsements or riders attached to the Policy that provided additional life insurance coverage on the Insured, if applicable, as shown on the Policy Schedule. If no additional endorsement or riders attach to the Policy, then the Total Face Amount and Base Policy Face Amount will be the same. The minimum Total Face Amount permitted under the Policy is $100,000.
 
Valuation Date
The date on which the net asset value of each Fund is determined. A Valuation Date is each day that the NYSE is open for regular business. The value of a Sub-Account’s assets is determined at the end of each Valuation Date. To determine the value of an asset on a day that is not a Valuation Date, the value of that asset as of the end of the previous Valuation Date will be used.
 
Valuation Period
The period commencing with the close of regular trading on the New York Stock Exchange on any Valuation Date and ending at the close of regular trading on the New York Stock Exchange on the next succeeding Valuation Date.
 
Variable Account
One of the accounts into which premiums may be paid under this Policy, net of Policy fees and charges described herein. The account, named the Protective NY COLI VUL separate account, is a segregated investment account established and maintained by the Company pursuant to Alabama Code § 27-38-1 and other applicable laws and regulations, including those of New York and Alabama. The Company owns the assets in the Variable Account. The investments held in the Variable Account provide variable life insurance benefits under this Policy. This account is kept separate from the General Account and other separate accounts the Company may have. The Variable Account is registered with the Securities and Exchange Commission (“SEC”) under the Investment Company Act of 1940, as amended. Protective NY COLI VUL separate account, a separate investment account of Protective Life to and from which Policy Value may be transferred and into which Net Premiums may be allocated.   
 
Variable Account Value
The sum of all Sub-Account Values.
 
Written Notice
A notice or request submitted in writing in a form satisfactory to Protective Life and received at the Home Office via U.S. postal service or nationally recognized overnight delivery service. Protective Life reserves the right to require advance Written Notice from the Owner for (i) premium allocations; (ii) Policy loans and loan repayments; and (iii) surrenders, partial withdrawals, or transfers.
5

Important information you should consider about the Policy
An investment in the Protective Executive Benefits Registered VUL NY Policy is subject to fees, risks, and other important considerations, some of which are briefly summarized in the following table.  You should review the cross-referenced sections and the entire Prospectus for additional information on these topics.  
6

 
     
FEES AND EXPENSES
Location in Prospectus
Charges for Early Withdrawals
There is no surrender charge associated with your Policy. $25 will be deducted from Policy Value for all partial withdrawals after the first made in the same Policy Year.
Fee Tables
Charges and Deductions
Transaction Charges
You may also be charged for other transactions, including Premium Expense Charge (consisting of the Sales Load and Premium Tax) and Transfer Fees.
Fee Tables – Transaction Fees
Ongoing Fees and Expenses (annual charges)
In addition to transaction charges, you are also subject to certain ongoing fees and expenses under the Policy, including fees and expenses covering the cost of insurance ("COI") under the Policy and the cost of optional benefits available under the Policy. Such fees and expenses are set based on characteristics of the insured (e.g., age, sex, and rating classification). You should review the Policy specifications page of your Policy for rates applicable to the Policy.
 
You will also bear expenses associated with the Funds available under the Policy, as shown in the following table:
Annual Fee                                                             Minimum    Maximum
Investment Options (Portfolio fees and Expenses)    [x.xx%]       [x.xx%]
Fee Tables
 
 
 
 
 
 
 
 
RISKS
Location in Prospectus
Risk of Loss
You can lose money by purchasing the Policy.
Principal Risks of Investing in the Policy
Not a Short-Term Investment
The Policy is not a short-term investment and is not appropriate for an investor who needs ready access to cash. Before purchasing a Policy for a specialized purpose, you should consider whether the long-term nature of the Policy is consistent with the purpose for which it is being considered.
Principal Risks of Investing in the Policy
Risks Associated with Investment Options
An investment in the Policy is subject to the risk of poor investment performance and can vary depending on the performance of the investment options, or Funds, available under the Policy. Each Fund (including any fixed account investment option) will have its own unique risks, and investors should review these investment options before making an investment decision.
Principal Risks of Investing in the Policy
The Variable Account and the Funds
Insurance Company Risks
An investment in the Policy is subject to the risks related to the Depositor, Protective Life, including that any obligations (including under any fixed account investment options), guarantees, or benefits are subject to the claims-paying ability of the Depositor. More information about the Depositor including its financial strength ratings is available upon request by calling toll-free 1-888-353-2654.
Principal Risks of Investing in the Policy
The Company and the Fixed Account
Contract Lapse
Your Policy could terminate if the value of your Policy becomes too low to support the Policy's monthly charges. Your Policy may also lapse due to insufficient Premium payments, withdrawals, unpaid loans or loan interest.
There is a cost associated with reinstating a lapsed Policy. Death benefits will not be paid if the Policy has lapsed.
Lapse and Reinstatement
Principal Risks of Investing in the Policy
Policy Loans
Premiums
 
RESTRICTIONS
 
Location in Prospectus
Investments
While you may transfer amounts in the Sub-Accounts (which invest in shares of a corresponding Fund) and the Fixed Accounts, certain restrictions and transfer fees apply with regard to the number and amount of such transfers. Transfers are also subject to the excessive trading and market timing policies described in this prospectus.
 
We reserve the right to remove or substitute Funds as investment options.
Transfers
 
 
 
 
Reservation of Rights
Optional Benefits
Optional benefits are subject to additional charges and are available only at the time your Policy is issued and may not be available for all Owners or Insureds.
Optional Benefits Under the Policy
TAXES
Location in Prospectus
Tax Implications
You should consult with a tax professional to determine the tax implications regarding the purchase, ownership, and use of a Policy (such as in connection with a plan involving covered employees). Withdrawals may be subject to ordinary income tax, and may be subject to an additional tax depending on the circumstances. There is no additional tax benefit to the investor if the Policy is purchased through a tax-qualified plan. Purchases through individual retirement accounts (IRAs) are not permitted under the Internal Revenue Code.
Tax Considerations
CONFLICTS OF INTEREST
Location in Prospectus
Investment Professional Compensation
Some investment professionals have and may continue to receive compensation for selling the Policy to investors, which may include commissions, revenue sharing, compensation from affiliates and third parties. These investment professionals may have a financial incentive to offer or recommend the Policy over another investment.
Sale of the Policies
Exchanges
Some investment professionals may have a financial incentive to offer an investor a new policy in place of the one he or she already owns. You should only exchange your Policy if you determine, after comparing the features, fees, and risks of both policies, that it is preferable for you to purchase the new policy rather than continue to own the existing Policy.
Use of the Policy -- Replacement of Life Insurance or Annuities
 
 
7

 
Overview of the Policy
  1. What is the Policy and what is it designed to do?
  2. The Policy is an individual flexible premium variable universal life insurance policy, designed primarily for use by corporations, employers and certain individuals to provide life insurance coverage in connection with, among other things, deferred compensation plans and employer- financed insurance purchase agreements. The Owner of the Policy is the person, persons, or entity entitled to all rights in this Policy while the Insured (the person whose life is covered by the Policy) is living, including designation of a Beneficiary.
    Your Policy is a “flexible premium” policy because you have considerable flexibility in determining when and how much Premium you want to pay. Your Policy is “variable” because the Death Benefit and Policy Value vary according to the investment performance of the Sub-Accounts to which you have allocated your Premiums. The Policy provides you with an opportunity to take advantage of any increase in your Policy Value but you also bear the risk of any decrease.
    Because the Policy is designed to provide benefits on a long-term basis and is not intended for short-term investing, the Policy may not be appropriate for those who have a short-term investment horizon. See Principal Risks of Investing in the Policy.
  3. What are the Premiums for this Policy?
  4. The Policy is designed to be flexible to meet your specific life insurance needs. You have the flexibility to choose the investment options and premiums you pay.
    Premium is an amount you pay to the Company to establish and maintain life insurance coverage. The minimum initial premium will vary based on various factors, including the age of the Insured and the Death Benefit Option you select, but may not be less than $100.00. Thereafter, you have the flexibility to choose the amount and timing of premium payments, within certain limits. Before your Premiums are allocated to a Sub-Account, we deduct any applicable charges.
    You may establish a planned Periodic Premium. You are not required to pay the planned Periodic Premium and we will not terminate your Policy merely because you did not. However, payment of insufficient premiums may result in a lapse of the Policy. Your Policy could lapse if the value of your Policy becomes too low to support the Policy’s monthly charges.
    You may allocate premium to your choice of numerous different investment options available in the Sub-Accounts, as well as a Fixed Account, within your Policy. The Sub-Accounts are separate divisions of the Variable Account (Protective NY COLI VUL separate account) that invest in a particular Fund (an underlying mutual fund).
    Additional information about each Fund is provided in an appendix to the prospectus. See Appendix A – Funds Available Under Your Policy.
    The Fixed Account is part of the Company’s General Account, which holds all of the Company’s assets other than those held in the Variable Account or other separate accounts.
     
  5. What are the primary features and options that the Policy offers?
  1. Choice of Death Benefit Options. You may select one of two Death Benefit Options used to determine the amount payable on the death of the Insured:
  2. Option 1: Level Death
    The Death Benefit will be the greater of:
    1. The Total Face Amount shown on the Policy Schedule, less any partial withdrawals; or
    2. The Cash Value on the Insured’s date of death multiplied by the applicable factor in the Table of Death Benefit Factors shown on the Policy Schedule for the Insured’s age at date of death.
    Option 2: Coverage Plus
    The Death Benefit will be the greater of:
    1. The Total Face Amount shown on the Policy Schedule, plus the Policy Value on the Insured’s date of death; or
    2. The Cash Value on the Insured’s date of death multiplied by the applicable factor in the Table of Death Benefit Factors shown on the Policy Schedule for the Insured’s age at date of death.
    The Death Benefit may be greater if necessary to satisfy federal tax law requirements. Policy Value is the sum of the values in the Variable Account, the Fixed Account, and the value in the Loan Account (an account within the Company’s General Account that holds the collateral for Policy Loans). Cash Value is Policy Value plus any applicable Return of Expense Charge Benefit (a percentage of the expense charge that is payable upon a complete surrender).
  3. Transfers. At any time after the Cancellation Period (period during which the Owner may return the Policy for a refund), you may transfer Policy Value among the Sub-Accounts and the Fixed Account, subject to the restrictions including on amount and frequency of transfers. The Company also may restrict or refuse to honor frequent transfers, including “market timing” transfers.
  4. Changes in Total Face Amount. You may increase or decrease the Total Face Amount of the Policy at any time within certain limits. Each increase or decrease in the Total Face Amount must be at least $25,000. The minimum Total Face Amount is $100,000.
  5. Withdrawals. You may request a partial withdrawal of your Policy at any time while the Policy is in force. The amount of any partial withdrawal must be at least $500 and may not exceed 90% of your Policy Value less outstanding Policy Debt (sum of all outstanding policy loans plus accrued interest). We will charge a partial withdrawal fee of $25 per withdrawal on partial withdrawals after the first in a Policy Year. The Total Face Amount (if Death Benefit Option 1 applies) and your Policy Value will be reduced by the amount of any withdrawals. Withdrawals may have tax consequences.
  6. Surrender Benefit. The Owner may surrender this Policy for the surrender benefit. The surrender benefit is the Cash Surrender Value less any monthly cost of insurance charges on the date of surrender. Cash Surrender Value is the Cash Value minus Policy Debt. All coverage will end on the effective date of surrender of the Policy. No Death Benefits will be paid after the effective date of surrender of the Policy.
  7. Loans. While the Policy is in force, the Owner, by Request, may obtain a Policy loan on the security of the Policy. Policy loan amounts will be withdrawn first on a pro rata basis from the Sub-Accounts and/or Fixed Account unless the Company, at its discretion, allows the Owner to specify such Sub-Accounts and/or Fixed Account.
  8. Loans may be treated as taxable income if your Policy is a “modified endowment contract” (“MEC”) for federal income tax purposes. In general, a Policy will be treated as a MEC if total premiums paid at any time during the first seven Policy Years exceed the sum of the net level premiums which would have been paid on or before that time if the Policy provided for paid-up future benefits after the payment of seven level annual premiums (“seven-pay test”).
  9. Return of Expense Charge Benefit. If the Owner fully surrenders the Policy for its Cash Surrender Value during the first seven Policy Years, the Company will include the Return of Expense Charge Benefit in the Cash Value.
  10. Optional Benefits. The following riders and endorsements are available:
    There is no charge for the Change of Insured Endorsement; however, there is a one-time fee assessed for administration and underwriting costs when this endorsement is exercised.
I.
Tax Benefits.  Death benefits paid under life insurance policies are not subject to federal income tax, but may be subject to federal and state estate taxes.  Investment gains from your Policy are not taxed as long as the gains remain in the Policy. If the Policy is not treated as a modified endowment contract under federal income tax law, then distributions from the Policy may be treated first as the return of investments in the Policy and then, only after the return of all investment in the Policy, as distributions of taxable income (taxed as ordinary income).  Distributions include partial withdrawals and surrenders.  
 
8

Standard Death Benefits
As long as the Policy remains in force, Protective Life will pay the Beneficiary the Death Benefit Proceeds upon receipt at the Home Office of Due Proof of Death of the Insured. Protective Life may require return of the Policy. The Death Benefit Proceeds are paid to the primary Beneficiary or a contingent Beneficiary. The Owner may name one or more primary or contingent Beneficiaries. Unless designated irrevocably, the Owner may change the Beneficiary by Written Notice prior to the death of any Owner. If no Beneficiary survives the Insured, the Death Benefit Proceeds are paid to the Owner or the Owner’s estate. Death Benefit Proceeds are paid in a lump sum or under a settlement option that the Company is then offering. Payment of the Death Benefit Proceeds may have tax consequences.
 
Calculation of Death Benefit Proceeds. The Death Benefit Proceeds are equal to the Death Benefit calculated as of the date of the Insured’s death, less (1) any Policy Debt on that date, and less (2) any past due Monthly Deductions.
 
The calculation of the Death Benefit depends on the Death Benefit Option elected.
 
Federal Tax Compliance Test. Under Section 7702 of the Internal Revenue Code, a Policy will generally be treated as life insurance for federal tax purposes if, at all times, it satisfies the Cash Value Accumulation Test.
 
The Cash Value Accumulation Test (“CVAT”) does not have a premium limit, but does require that the Death Benefit be at least a certain percentage (varying based on the Attained Age, sex and premium class of the Insured) of the Cash Value.
 
The Death Benefit Option you choose will also affect the amount of your Death Benefit.
 
Under Death Benefit Option 1, your Death Benefit will generally be the Total Face Amount. Under Death Benefit Option 2, your Death Benefit will always vary with the Policy Value. However, the Death Benefit may vary based on the Cash Value if the minimum Death Benefit is greater than the Total Face Amount under the Death Benefit Option 1 or the Total Face Amount plus the Policy Value under Death Benefit Option 2. See Death Benefit Options for detailed information about each Death Benefit Option.
 
You should consult your tax advisor or registered representative for more information about which death benefit option you should choose in light of your specific goals and circumstances.
 
The Death Benefit Proceeds are payable when Protective Life receives a properly completed claim form and Due Proof of Death of the Insured while the Policy is in force. The Death Benefit Proceeds will be paid to the Beneficiary, or Beneficiaries, in a lump sum, unless a Settlement Option currently being offered by the Company is selected. If there is more than one Beneficiary, each Beneficiary must submit instructions in Good Order specifying the manner in which they wish to receive their portion of the Death Benefit Proceeds. The Death Benefit Proceeds are determined as of the date of the Insured’s death and are moved to the General Account until payment is made. Protective Life will pay interest on the Death Benefit Proceeds payable to each Beneficiary determined in accordance with applicable state law to the date of payment.
 
Death Benefit Options
The Policy has two Death Benefit options.
 
Option 1. The “Level Death” Option. Under this option, the death benefit is the greater of —
This death benefit option should be selected if you want to minimize your cost of insurance.
 
Option 2. The “Coverage Plus” Option. Under this option, the death benefit is the greater of —
This death benefit option should be selected if you want to maximize your death benefit.
 
Your Cash Value and Death Benefit fluctuate based on the performance of the investment options you select and the expenses and deductions charged to your account. The Cash Value includes the Return of Expense Charge Benefit, if applicable, and thus the amount of this benefit can affect the amount of the Death Benefit.
 
There is no minimum Death Benefit guarantee associated with this Policy.
 
Changing the Total Face Amount.
The Owner may request a change in the Total Face Amount of the Policy at any time within certain limits. The request must be received in writing in Good Order at the Home Office.
 
9

Other Benefits Available Under the Policy
In addition to the standard death benefits associated with your Policy, other optional benefits may also be available to you. The following table summarizes information about these optional benefits. Information about the fees associated with each benefit included in the table may be found in the Fee Table.
 
Name of Benefit
Purpose
Description of Restrictions/Limitations
Term Life Insurance Rider
To provide for level term insurance on the life of the Insured.
The Term Life Insurance Rider:
  • can only be added at the time of Policy issue
  • the purchaser must satisfy certain criteria such as the number of Policies it expects to purchase and the expected aggregate Total Face Amount under all such Policies
Change of Insured Endorsement
Allows the Owner to change the named Insured under the Policy.
The change of insured endorsement is:
  • Not available to individual Owners.
  • Can only be added at the time of Policy issue.
 
10

Buying the Policy
Purchasing a Policy
For insurance coverage to take effect under a Policy, you must submit a completed application and at least the minimum initial premium payment through a licensed representative of Protective Life who is also a registered representative of a broker-dealer having a distribution agreement with Investment Distributors, Inc. Protective Life requires satisfactory evidence of the insurability, which may include a medical examination of the Insured. Protective Life will issue a Policy covering an Insured up to age 75 if Evidence of Insurability satisfies Protective Life’s underwriting rules. No Policy will be issued to an Insured under the age of 20 years. Minimum age requirements may apply. Acceptance of an application depends on Protective Life’s underwriting rules, and Protective Life may reject an application. Applicants must be acceptable risks based on our applicable underwriting limits and standards. We will not issue a Policy until the underwriting process has been completed to our satisfaction. We reserve the right to reject an application for any lawful reason or to “rate” an Insured as a substandard risk, which will result in increased cost of insurance rates. The cost of insurance rate also may vary depending on the type of underwriting we use. A Policy is issued after Protective Life approves the application. Payment of premium is not a requirement to issue a Policy but your insurance will not take effect until you pay your minimum initial premium. Premium may be collected at the time of Policy delivery. We generally do not accept premium payments before approval of an application. We will not credit interest or allocate your premium payment for the period while your application is in underwriting.
Insurance coverage under a Policy begins on the Policy Effective Date.
In order to obtain a more favorable Issue Age, Protective Life may permit the Owner to “backdate” a Policy by electing a Policy Effective Date up to six months prior to the date of the original application. Charges for the Monthly Deduction for the backdated period are deducted as of the Policy Effective Date.
The Owner of the Policy may exercise all rights provided under the Policy. By Written Notice received by Protective Life at the Home Office while the Insured is living, the Owner may name a contingent Owner or a new Owner. A change in Owner may have tax consequences.
Fees, charges and benefits available under the Policy may vary depending on the state in which the Policy is issued.
 
Minimum Initial Premium. The minimum initial premium required depends on a number of factors, including the age, sex and premium class of the proposed Insured, the initial Total Face Amount requested by the applicant, any supplemental riders and endorsements requested by the applicant and the planned periodic premiums that the applicant selects. Consult your sales representative for information about the initial premium required for the coverage you desire.
 
Periodic Premiums. The Company does not require that additional premiums be paid. However, it may recommend a periodic premium amount. The actual amount of premium needed may change, depending on the number of premium payments made, changes in coverage, investment experience, monthly risk rate, and partial withdrawals and policy loans made. While you are not required to make additional premium payments according to a fixed schedule, you may select a periodic premium schedule and corresponding billing period, subject to our limits. We will send you reminder notices for the periodic premium, unless you request to have reminder notices suspended. You are not required, however, to pay the periodic premium; you may increase or decrease the periodic premium subject to our limits, and you may skip a payment or make unscheduled payments. The actual amount of premium required to prevent Policy Lapse may change, depending on the number of premium payments made, changes in coverage, investment experience, monthly risk rate, and partial withdrawals and Policy loans made.
 
Additional, Unscheduled Premiums. You may pay additional, unscheduled premium payments to us in the amounts and at the times you choose, subject to the limitations described below. To find out whether your premium payment has been received, contact us at the Home Office address or telephone number shown on the first page of this Prospectus. We reserve the right to limit the number of premium payments we accept on an annual basis. No premium payment may be less than $100 per Policy without our consent, although we will accept a smaller premium payment if necessary to keep your Policy in force. We reserve the right to restrict or refuse any premium payments that exceed the Initial premium amount shown on your Policy.
 
Protective Life reserves the right to limit the amount and frequency of periodic premiums and additional premium under the Policy or the amount and frequency of Net Premiums that may be allocated to the Fixed Account at any time. Protective Life also reserves the right to refuse to accept such additional premium under the Policy or allocate additional Net Premium to the Fixed Account at any time without prior notice. In all cases, Protective Life will accept additional premium necessary to prevent the Policy from lapsing.
 
Premium Limitations. Premiums are accepted until Attained Age of 121. Premiums may be paid by any method acceptable to Protective Life. If by check, the check must be from an Owner (or the Owner’s designee other than a sales representative), payable to Protective Life, and be dated prior to its receipt at the Home Office. Additional limitations apply to premiums. Premium payments must be at least $100 and must be remitted to the Home Office although we will accept a smaller premium payment if necessary to keep your Policy in force.
 
We also reserve the right not to accept a premium payment that causes the Death Benefit to increase by an amount that exceeds the premium received. Evidence of Insurability satisfactory to us may be required before we accept any such premium. Protective Life also reserves the right to limit the amount and frequency of any premium payment. See Tax Considerations and the discussion of Cash Value Accumulation Test under Standard Death Benefits. If the Death Benefit is based on the applicable factor in the Table of Death Benefit Factors shown in the Policy Schedule, the Company reserves the right to refund the portion of any premium or Cash Value which causes the Death Benefit to be based on such factors. Protective Life will also monitor Policies and will notify the Owner on a timely basis if his or her Policy is in jeopardy of becoming a modified endowment contract under the Code, if applicable. See Tax Considerations.
 
11

Premium Payments Upon Increase in Total Face Amount. Depending on the Policy Value at the time of an increase in the Total Face Amount and the amount of the increase requested, an additional premium payment may be necessary to keep the Policy in force or a change in the amount of planned periodic premiums may be advisable. You will be notified if a premium payment is necessary or a change is appropriate.
 
Net Premium Allocations
You must indicate in the application how Net Premiums are to be allocated to the Sub-Accounts and/or to the Fixed Account. These allocation instructions apply to both initial and subsequent Net Premiums. You may change the allocation instructions in effect at any time by Written Notice to Protective Life at the Home Office or by emailing us at GWExecBenefits@protective.com
 
Whole percentages must be used. The sum of the allocations to the Sub-Accounts and the Fixed Account must be equal to 100% of any Net Premiums. Protective Life reserves the right to establish (i) a limitation on the number of Sub-Accounts to which Net Premiums may be allocated and/or (ii) a minimum allocation requirement for the Sub- Accounts and the Fixed Account.
 
If Protective Life receives a premium payment at the Home Office before 3:00 P.M. Central Time, Protective Life will process the payment as of the Valuation Date it is received. Protective Life processes premium payments received at the Home Office at or after 3:00 P.M. Central Time as of the next Valuation Date. However, premium will not be accepted in connection with an increase in Total Face Amount until underwriting has been completed. When approved, Net Premium received will be allocated in accordance to your allocation instructions then in effect.
 
Unless designated by the Owner as a loan repayment, premiums received from Owners (other than planned periodic premiums) are treated as unscheduled premiums.
 
Protective Life reserves the right to limit the amount and frequency of planned periodic premiums and additional unscheduled premiums (each an “additional premium”) under the Policy or the amount and frequency of Net Premiums that may be allocated to the Fixed Account at any time and to refuse to accept such additional premium under the Policy or allocate additional Net Premium to the Fixed Account at any time without prior notice. In all cases, Protective Life will accept additional premium necessary to prevent the Policy from lapsing. Protective Life will notify the Owner that a premium payment, whether a planned periodic premium or additional premium, may result in a Policy becoming a Modified Endowment Contract (“MEC”). Protective Life reserves the right not to accept a premium that will cause the Policy to become a MEC, unless otherwise instructed by the Owner.
 
If mandated by law, we may reject a premium payment. We may also provide information about you and your account to a government regulator.
 
12

How Your Policy Can Lapse
 
Lapse
Failure to pay planned periodic premiums will not necessarily cause a Policy to Lapse (terminate without value). Paying all planned periodic premiums will not necessarily prevent a Policy from lapsing. A Policy will Lapse if its Policy Value less the Policy Debt is insufficient to cover the Monthly Deduction on the Monthly Anniversary Day. If the Cash Surrender Value on any Monthly Anniversary Day is less than the amount of the Monthly Deduction due on that date, the Policy will be in default and a grace period will begin. This could happen if investment experience has been sufficiently unfavorable that it has resulted in a decrease in Cash Surrender Value or the Cash Surrender Value has decreased because you have not paid sufficient Net Premiums to offset prior Monthly Deductions.
 
You have a 61-day grace period to make a payment of Net Premium at least sufficient to cover the monthly cost of insurance for the next three months. Protective Life will send you, at your last known address and the last known address of any assignee of record, notice of the premium required to prevent Lapse. A Policy will remain in effect during the grace period. If the Insured should die during the grace period, the Death Benefit Proceeds payable to the Beneficiary will reflect a reduction for the Monthly Deductions due on or before the date of the Insured’s death as well as any unpaid Policy Debt or liens (including accrued interest). See Standard Death Benefits. Unless the premium stated in the notice is paid before the grace period ends, the Policy will Lapse. A Policy Lapse may have tax consequences.
See Tax Considerations.
 
Policy Maturity. If the Insured is living and the Policy is in force on the Policy Anniversary at attained age 121 then this Policy will remain in force. The Death Benefit will be equal to the Policy Value. No premium payments will be allowed except for those that are required in order to prevent the Policy from lapsing. Partial withdrawals, Policy loans and Policy loan repayments will be permitted, subject to the provisions herein and the provisions of any riders and endorsements attached to the Policy. No further cost of insurance charges will be deducted. This Policy may not qualify as life insurance if it is continued beyond the Policy Anniversary nearest the 121st birthday and may be subject to adverse tax consequences. Please consult a tax advisor prior to continuing coverage beyond that time.
 
The Policy Value will remain in the Sub-Accounts and/or Fixed Account, in accordance with your then current allocation instructions. You may change your Sub-Account allocation instructions and you may transfer your Policy Value among the Sub-Accounts and Fixed Account. Any amounts transferred into the Fixed Account after policy maturity and any amounts already invested in the Fixed Account at policy maturity will continue to earn interest at the guaranteed interest rate. All charges under your Policy, to the extent applicable, will continue to be assessed, except we will no longer make a deduction each Policy Month for the cost of insurance. As your Policy Value changes based on the investment experience of the Sub-Accounts, the Death Benefit will increase or decrease accordingly. You may surrender the matured Policy at any time. Please see Tax ConsiderationsTreatment When Insured Reaches Attained Age 121.
 
Reinstatement
A Policy may be reinstated within 3 years after the coverage ceased, unless it has been surrendered. For a Policy to be reinstated, the Company must receive:
  1. A Request from the Owner;
  2. Evidence of insurability for the Insured, at the Owner’s expense;
  3. Payment of the cost of insurance for the grace period;
  4. Payment of an amount equal to 3 months’ cost of insurance and other expense charges. Such payment less the expense charges will be credited to the Policy Value as of the date of reinstatement; and
  5. Payment or reinstatement of any Policy Debt which was outstanding as of the date the coverage ceased, including interest thereon. Interest will be the current loan interest rate per year and will be compounded annually to the date of the Policy reinstatement.
 
Reinstatement will become effective on the date the application for reinstatement is approved by the Company. In some circumstances, the reinstated Policy may be a modified endowment contract under Section 7702A of the Code, even if the Policy was not a modified endowment contract prior to lapse.
 
Please see Tax ConsiderationsPolicies That Are MECs-Modified Endowment Contracts.
13

Making Withdrawals: Accessing the Money in your Policy
Surrender Privileges
At any time while the Policy is still in force and while the Insured is still living, you may surrender your Policy for its Cash Surrender Value less any monthly cost of insurance charges on the date of surrender. Cash Surrender Value is determined as of the end of the Valuation Period during which the Written Notice in Good Order requesting the surrender, the Policy and any other required documents are received by Protective Life at the Home Office. Valuation Periods end at the close of regular trading on the New York Stock Exchange, which is generally at 3:00 P.M. Central Time. Protective Life will process any surrender request in Good Order received at the Home Office at or after the end of the Valuation Period on the next Valuation Date. The Cash Surrender Value is paid in a lump sum unless the Owner requests payment under a settlement option that the Company is then offering. Payment is generally made within 7 calendar days but may be subject to postponement. See Suspensions or Delays in Payments. A Policy which terminates upon surrender cannot later be reinstated. Surrenders may have tax consequences. See Tax Considerations.
 
Withdrawal Privileges
You may request, by Written Notice in Good Order received at the Home Office, a partial withdrawal of your Policy at any time while the Policy is in force. The amount of any partial withdrawal must be at least $500 and may not exceed 90% of your Policy Value less outstanding Policy Debt. We will charge a partial withdrawal fee of $25 per withdrawal on partial withdrawals after the first in a Policy Year. The partial withdrawal fee will be deducted proportionally from all Sub-Accounts and Fixed Account. There are limits to taking partial withdrawals from the Fixed Account. See The Fixed Account.
 
The Total Face Amount (if Death Benefit Option 1 applies) and your Policy Value will be reduced by the amount of any withdrawals. Withdrawals may have tax consequences. See Tax Considerations. Protective Life will withdraw the amount requested, plus a withdrawal charge from unloaned Policy Value as of the end of the Valuation Period during which the Written Notice in Good Order is received at the Home Office. Valuation Periods end at the close of regular trading on the New York Stock Exchange, which is generally at 3:00 P.M. Central Time.
 
Protective Life will process any withdrawal request in Good Order received at the Home Office at or after the end of the Valuation Period on the next Valuation Date.
 
The amount of a withdrawal will be withdrawn from the Sub-Accounts and the Fixed Account in proportion to the amounts in the Sub-Accounts and the Fixed Account bearing on your Policy Value. You cannot repay amounts taken as a partial withdrawal. Any subsequent payments received by us will be treated as additional premium payments and will be subject to our limitations on premiums.
 
14

Additional Information About Fees
The following tables describe the fees and expenses that you pay when buying, owning and surrendering the Policy. Please refer to the Policy specifications page for information about the specific fees you will pay each year based on the options you have selected.
The first table describes the maximum fees and expenses that you pay at the time that you buy the Policy, or surrender or make withdrawals from the Policy, or transfer value between investment options.
 
Transaction Fees
 
   Charge   
   When Charge is Deducted   
                  Amount Deducted —                           
Maximum Guaranteed Charge
   Amount Deducted —
Current Charge   
Premium Expense Charge (consists of the Sales Load and Premium Tax
Upon receipt of each premium payment
10% of each premium payment
6.0% of each premium payment
Sales Load:(1)
 
Upon receipt of each premium payment
 
6.5% of each premium payment
 
Current: 2.5% of each premium payment up to target and 1.0% of each premium payment in excess of target
 
 
Premium Tax:(1)
Upon receipt of each premium payment
 
3.5% of each premium payment
 
3.5% of each premium payment
 
 
Surrender Charge:
There is no surrender charge associated with your Policy. However, the surrender of your Policy may have tax consequences.
 
   
Transfer Fee:(2)
 
Upon each transfer in excess of 12 in a Policy Year
 
$10 per transfer
 
$10 per transfer
 
Withdrawal Charge:
 
At the time of each partial withdrawal of Policy Value
 
$100 deducted from Policy Value for all partial withdrawals after the first made in the same Policy Year.
 
$100 deducted from Policy Value for all partial withdrawals made after the first made in the same Policy Year.
 
 
 
 
 
 
(1) The Sales Load and Premium Tax are components of the Premium Expense Charge (and are not in addition to).
(2) Currently, electronic transfers do not count towards the 12 free transfers; however, we reserve the right, at any time, to charge for electronic transfers in excess of the free transfers allowed. See Charges and Deductions.
 
15

The table below describes the fees and expenses that you pay periodically during the time that you own the Policy, not including Fund fees and expenses. If you chose to purchase an Optional Benefit, you will pay additional charges, as shown below.
 
         
Periodic Charges Other Than Annual Fund Operating Expenses
Charge
 
When Charge is Deducted
 
Amount Deducted
 
 
 
 
 
Base Contract Charges:
 
 
 
 
 
 
 
 
 
Cost of Insurance (per $1,000 Net Amount at Risk):(1)(2)(3)
 
On the Policy Effective Date and each Monthly Anniversary Day
 
 
Minimum Charge
 
 
 
$0.01 per $1,000 of Net Amount at Risk
Maximum Charge
 
 
 
$83.33 per $1,000 of Net Amount at Risk
Maximum Charge for a 46 year old male, non-smoker,
$550,000, Total Face Amount, Option 1 (Level Death)
 
 
 
$0.16 per $1,000 of Net Amount at Risk
 
 
 
 
 
Mortality and Expense Risk Charge(4):
 
On the Policy Effective Date and each Monthly Anniversary Day
 
 
Maximum Charge(5)
 
 
 
0.90% (of average daily net assets) annually
 
 
 
 
 
Administration Charge:
 
On the Policy Effective Date and each Monthly Anniversary Day
 
 
Maximum Charge(6)
 
 
 
$10.00
 
 
 
 
 
Loan Interest Credit Spread:
 
On each Policy Anniversary, as applicable(7)
 
 
Maximum Charge(8)
 
 
 
1.5%
 
 
 
 
 
Optional Benefit Charges:
 
 
 
 
 
 
 
 
 
Term Life Insurance Rider
 
On the Policy Effective Date and each Monthly Anniversary Day
 
 
Minimum Charge
 
 
 
$0.01 per $1,000 of Net Amount at Risk
Maximum Charge
 
 
 
$83.33 per $1,000 of Net Amount at Risk
 
 
 
 
 
Change of Insured Endorsement
 
Upon change of insured
 
$400 per change
(1) Cost of insurance charges vary based on individual characteristics such as the Insured’s Issue Age, sex and rate (i.e., underwriting) class and the number of years that the Policy has been in force, and the Net Amount at Risk on either the Policy Effective Date or the applicable Monthly Anniversary Day. The charge generally increases with Issue Age. In determining current cost of insurance charges, we may consider a variety of factors, including those unrelated to mortality experience. The cost of insurance charges shown in the table may not be typical of the charges you will pay. Your Policy’s Schedule will indicate the guaranteed cost of insurance charges applicable to your Policy, and more detailed information concerning your cost of insurance charges is available on request from our Home Office. Also, before you purchase the Policy, you may request personalized illustrations of hypothetical future benefits under the Policy based upon the Issue Age, sex and premium classification of the Insured, and the Total Face Amount, planned premiums, and riders requested. The cost of insurance charge shown in the above table has been rounded to the nearest hundredth. See Charges and Deductions. Owners may obtain more information about their particular cost of insurance charge by contacting our Home Office at 888-353-2654.
(2) The Net Amount at Risk as of any Monthly Anniversary Day is equal to: (a) the Death Benefit discounted at one plus the monthly guaranteed interest rate minus the Policy Value (prior to deducting the Cost of Insurance), if the Death Benefit Option is Death Benefit Option 1 (Level Death Benefit); or, (b) the Death Benefit minus the Policy Value discounted at one plus the monthly guaranteed interest rate, if the Death Benefit Option is Death Benefit Option 2 (Coverage Plus).
(3)  The current minimum and maximum cost of insurance are $0.01 - $45.83 per $1,000 of Net Amount at Risk. The current charge for a 46 year old male, non-smoker, $550,000, Total Face Amount, Option 1 (Level Death) is $0.05 per $1,000 of Net Amount at Risk.
(4) The mortality and expense risk charge is accrued daily and deducted on each Monthly Anniversary Day from the assets in the Sub-Accounts.
(5) The current mortality and expense risk charge is 0.28% (of average daily net assets) for Policy Years 1-20, and 0.10% (of average daily net assets) thereafter.
(6) The current Administration Charge is $7.50.
(7) The Loan Interest Credit Spread is the amount deducted from the loan interest rate to cover the costs the Company incurs by providing the loaned cash value. As long as a loan is outstanding, loan interest must be paid in arrears on each Policy Anniversary or, if earlier, on the date of loan repayment, lapse, surrender, termination, or the Insured’s death.
(8) The current Loan Interest Credit Spread is 0.9%.
 
Fund Annual Operating Expenses (As a Percentage of Fund Average Daily Net Assets)
The following table shows the minimum and maximum total operating expenses charged by the Portfolios that you may pay periodically during the time that you own the Policy. A complete list of Portfolios available under the Policy, including their annual expenses, may be found at the back of this document.
 
 
Minimum
Maximum
Total Annual Operating Expenses (1) (expenses that are deducted from Fund assets, which may include management fees, distribution and/or service (12b-1) fees, and other expenses)
[x.xx]%
[x.xx]%
(1) Expenses are shown as a percentage of Portfolio average daily net assets (before any waiver or reimbursement) as of December 31, 2020.
 
 
16

APPENDIX A — FUNDS AVAILABLE UNDER YOUR POLICY
The following is a list of Funds available under the Policy. More information about the Funds is available in the prospectuses for the Funds, which may be amended from time to time and can be found online at protectiveonlineprospectus.net. You can also request this information at no cost by calling 1-800-265-1545 or by sending an email request to gwexecbenefits@protective.com.
The current expenses and performance information below reflects fees and expenses of the Funds, but do not reflect the other fees and expenses that your Policy may charge. Expenses would be higher and performance would be lower if these other charges were included. Each Fund Company’s past performance is not necessarily an indication of future performance.
 
 
 
 
 

  Portfolio
Company — Investment Adviser;
 
Current
  Average Annual Total Returns
(as of 12/31/2020)
 
Type  

Sub-Adviser(s), as applicable

 

Expenses

 

1 year

 

5 year

 

10 year

 

Capital Appreciation

 

Invesco Oppenheimer V.I. Main Street Small Cap Fund® — Invesco Advisers, Inc.

 

1.19

%

 

19.93

%

 

12.88

%

 

12.13

%

 

Total Return

 

Invesco V.I. Global Real Estate Fund — Invesco Advisers, Inc.

 

1.29

%

 

-12.32

%

 

3.15

%

 

4.96

%

 

Long-Term Growth

 

Invesco V.I. International Growth Fund — Invesco Advisers, Inc.

 

0.92

%

 

14.00

%

 

8.82

%

 

6.72

%

 

Capital Growth

 

American Century Investments® VP Capital Appreciation Fund — American Century Investment Management, Inc.

 

1.00

%

 

42.46

%

 

18.12

%

 

13.66

%

 

Long-Term Capital Growth

 

American Century Investments® VP Mid Cap Value Fund — American Century Investment Management, Inc.

 

1.01

%

 

1.21

%

 

9.34

%

 

10.42

%

 

Long-Term Capital Growth

 

American Century Investments® VP Ultra Fund — American Century Investment Management, Inc.

 

1.01

%

 

49.85

%

 

22.89

%

 

17.86

%

 

Long-Term Capital Growth

 

American Century Investments® VP Value Fund — American Century Investment Management, Inc.

 

0.98

%

 

0.98

%

 

8.82

%

 

9.72

%

 

Long-Term Capital Growth

 

IS Global Small Capitalization Fund — Capital Research and Management

 

0.99

%

 

29.72

%

 

14.43

%

 

9.43

%

 

Capital Growth

 

IS Growth Fund — Capital Research and Management

 

0.61

%

 

52.10

%

 

22.75

%

 

16.85

%

 

Growth and Income

 

IS Growth-Income Fund — Capital Research and Management

 

0.55

%

 

13.54

%

 

13.93

%

 

11.24

%

 

Long-Term Capital Growth

 

IS International Fund — Capital Research and Management

 

0.80

%

 

13.97

%

 

10.73

%

 

6.68

%

 

Capital Appreciation

 

IS New World Fund® — Capital Research and Management

 

1.02

%

 

23.58

%

 

13.33

%

 

6.54

%

 

Total Return

 

BlackRock Global Allocation V.I. Fund — BlackRock Advisors, LLC

 

0.86

%

 

20.88

%

 

9.25

%

 

6.70

%

 

Total Return

 

BlackRock High Yield V.I. Fund — BlackRock Advisors, LLC

 

0.69

%

 

7.27

%

 

7.85

%

 

6.58

%

 

Total Return

 

BlackRock 60/40 Target Allocation ETF V.I. Fund — BlackRock Advisors, LLC

 

0.71

%

 

14.67

%

 

10.16

%

 

7.09

%

 
 
A-1

 

  Portfolio
Company — Investment Adviser;
 
Current
  Average Annual Total Returns
(as of 12/31/2020)
 
Type  

Sub-Adviser(s), as applicable

 

Expenses

 

1 year

 

5 year

 

10 year

 

Total Return

 

BNY Mellon Stock Index Fund — BNY Mellon Investment Adviser, Inc.

 

0.27

%

 

18.01

%

 

14.92

%

 

13.60

%

 

Long-Term Capital Growth

 

Davis Financial Portfolio — Davis Selected Advisers, L.P

 

0.73

%

 

11.72

%

 

11.66

%

 

10.46

%

 

Capital Appreciation

 

DWS Small Cap Index VIP — DWS Investment Management Americas, Inc.; Northern Trust Investments, Inc.

 

0.50

%

 

17.36

%

 

6.65

%

 

6.58

%

 

Long-Term Capital Growth

 

DWS Core Equity VIP — DWS Investment Management Americas, Inc.

 

0.62

%

 

16.13

%

 

13.80

%

 

13.56

%

 

Current Income

 

DWS High Income VIP — DWS Investment Management Americas, Inc.

 

0.87

%

 

6.24

%

 

7.77

%

 

6.14

%

 

Current Income

 

DFA Inflation-Protected Securities Portfolio — Dimensional Fund Advisors LP

 

0.14

%

 

11.72

%

 

5.22

%

 

3.98

%

 

Current Income

 

Eaton Vance VT Floating-Rate Income Fund — Eaton Vance Management; Boston Management and Research

 

1.20

%

 

2.00

%

 

4.22

%

 

3.42

%

 

Current Income

 

Federated High Income Bond Fund II — Federated Investment Management Company

 

0.84

%

 

5.59

%

 

7.51

%

 

6.37

%

 

Capital Appreciation

 

VIP Emerging Markets Portfolio — Fidelity Management & Research Company; FMR Co., Inc. Strategic Advisors, Inc. Fidelity Investments Money Management, Inc.

 

1.17

%

 

30.88

%

 

15.94

%

 

5.87

%

 

Total Return

 

Fidelity VIP Index 500 — Fidelity Management & Research Company; FMR Co., Inc. Strategic Advisors, Inc. Fidelity Investments Money Management, Inc.

 

0.87

%

 

18.24

%

 

15.09

%

 

13.78

%

 

Long-Term Capital Growth

 

Great-West Ariel Mid Cap Value Fund — Great-West Capital Management, LLC

 

1.12

%

 

9.08

%

 

8.58

%

 

9.70

%

 

Total Return

 

Great-West Bond Index Fund — Great-West Capital Management, LLC

 

0.51

%

 

7.17

%

 

3.92

%

 

3.39

%

 

Total Return

 

Great-West Core Bond Fund — Great-West Capital Management, LLC

 

0.79

%

 

8.01

%

 

4.86

%

 

3.77

%

 

Long-Term Capital Growth

 

Great-West Emerging Markets Equity Fund — Great-West Capital Management, LLC

 

1.49

%

 

19.57

%

 

Since Inception 4.58%

 

Inception Date 1/4/2018

 

Current Income

 

Great-West Government Money Market Fund — Great-West Capital Management, LLC

 

0.49

%

 

0.29

%

 

0.77

%

 

0.38

%

 

Real Return

 

Great-West Inflation-Protected Securities Fund — Great-West Capital Management, LLC

 

1.14

%

 

7.57

%

 

Since Inception 4.15%

 

Inception Date 1/4/2018

 

Total Return

 

Great-West International Index Fund — Great-West Capital Management, LLC

 

0.65

%

 

7.52

%

 

7.10

%

 

4.76

%

 
 
A-2

 

  Portfolio
Company — Investment Adviser;
 
Current
  Average Annual Total Returns
(as of 12/31/2020)
 
Type  

Sub-Adviser(s), as applicable

 

Expenses

 

1 year

 

5 year

 

10 year

 

Long-Term Capital Growth

 

Great-West International Value Fund — Great-West Capital Management, LLC

 

1.07

%

 

9.73

%

 

8.24

%

 

8.92

%

 

Long-Term Capital Growth

 

Great-West Large Cap Growth Fund — Great-West Capital Management, LLC

 

1.02

%

 

41.45

%

 

20.42

%

 

15.54

%

 

Capital Growth

 

Great-West Large Cap Value Fund — Great-West Capital Management, LLC

 

1.05

%

 

3.71

%

 

10.38

%

 

9.48

%

 

Long-Term Capital Growth

 

Great-West Mid Cap Value Fund — Great-West Capital Management, LLC

 

1.22

%

 

(0.34

)%

 

8.18

%

 

9.91

%

 

Total Return

 

Great-West Multi-Sector Bond Fund — Great-West Capital Management, LLC

 

0.93

%

 

9.10

%

 

6.93

%

 

5.87

%

 

Total Return

 

Great-West Real Estate Index Fund — Great-West Capital Management, LLC

 

0.76

%

 

(11.59

)%

 

2.35

%

 

5.96

%

 

Total Return

 

Great-West S&P Mid Cap 400 Index Fund — Great-West Capital Management, LLC

 

0.56

%

 

13.10

%

 

11.73

%

 

10.82

%

 

Total Return

 

Great-West S&P Small Cap 600 Index Fund — Great-West Capital Management, LLC

 

0.56

%

 

10.93

%

 

11.85

%

 

11.36

%

 

Total Return

 

Great-West Short Duration Bond Fund — Great-West Capital Management, LLC

 

0.67

%

 

4.63

%

 

2.85

%

 

2.46

%

 

Long-Term Capital Growth

 

Great-West Small Cap Growth Fund — Great-West Capital Management, LLC

 

1.67

%

 

36.90

%

 

17.00

%

 

14.51

%

 

Long-Term Capital Growth

 

Great-West Small Cap Value Fund — Great-West Capital Management, LLC

 

1.13

%

 

3.20

%

 

8.28

%

 

8.72

%

 

Long-Term Capital Growth

 

Great-West T. Rowe Price Mid Cap Growth Fund — Great-West Capital Management, LLC

 

0.63

%

 

24.11

%

 

16.03

%

 

14.43

%

 

High Return

 

Great-West U.S. Government Securities Fund — Great-West Capital Management, LLC

 

0.63

%

 

5.87

%

 

3.15

%

 

2.87

%

 

Income

 

Great-West Lifetime 2015 Fund — Great-West Capital Management, LLC

 

0.84

%

 

11.00

%

 

7.81

%

 

6.85

%

 

Income

 

Great-West Lifetime 2020 Fund — Great-West Capital Management, LLC

 

0.85

%

 

11.31

%

 

Since Inception 8.32%

 

Inception Date 4/28/2016

 

Capital Appreciation

 

Great-West Lifetime 2025 Fund — Great-West Capital Management, LLC

 

0.88

%

 

12.24

%

 

9.03

%

 

8.01

%

 

Capital Appreciation

 

Great-West Lifetime 2030 Fund — Great-West Capital Management, LLC

 

0.88

%

 

12.61

%

 

Since Inception 9.90%

 

Inception Date 4/28/2016

 

Capital Appreciation

 

Great-West Lifetime 2035 Fund — Great-West Capital Management, LLC

 

0.90

%

 

13.30

%

 

10.48

%

 

9.08

%

 

Capital Appreciation

 

Great-West Lifetime 2040 Fund — Great-West Capital Management, LLC

 

0.91

%

 

13.60

%

 

Since Inception 11.22%

 

Inception Date 4/28/2016

 
 
A-3

 

  Portfolio
Company — Investment Adviser;
 
Current
  Average Annual Total Returns
(as of 12/31/2020)
 
Type  

Sub-Adviser(s), as applicable

 

Expenses

 

1 year

 

5 year

 

10 year

 

Capital Appreciation

 

Great-West Lifetime 2045 Fund — Great-West Capital Management, LLC

 

0.92

%

 

13.89

%

 

11.15

%

 

9.26

%

 

Capital Appreciation

 

Great-West Lifetime 2050 Fund — Great-West Capital Management, LLC

 

0.92

%

 

13.96

%

 

Since Inception 11.51%

 

Inception Date 4/28/2016

 

Capital Appreciation

 

Great-West Lifetime 2055 Fund — Great-West Capital Management, LLC

 

0.92

%

 

13.96

%

 

11.14

%

 

9.12

%

 

Capital Appreciation

 

Great-West Lifetime 2060 Fund — Great-West Capital Management, LLC

 

0.88

%

 

13.93

%

 

Since Inception 13.60%

 

Inception Date 5/1/2019

 

Long-Term Capital Appreciation

 

Great-West Aggressive Profile Fund — Great-West Capital Management, LLC

 

1.13

%

 

11.75

%

 

9.39

%

 

8.40

%

 

Capital Preservation

 

Great-West Conservative Profile Fund — Great-West Capital Management, LLC

 

0.85

%

 

8.21

%

 

5.93

%

 

5.15

%

 

Long-Term Capital Appreciation

 

Great-West Moderate Profile Fund — Great-West Capital Management, LLC

 

0.97

%

 

11.25

%

 

8.43

%

 

7.45

%

 

Long-Term Capital Appreciation

 

Great-West Moderately Aggressive Profile Fund — Great-West Capital Management, LLC

 

1.02

%

 

11.75

%

 

9.39

%

 

8.40

%

 

Capital Appreciation

 

Great-West Moderately Conservative Profile Fund — Great-West Capital Management, LLC

 

0.90

%

 

9.57

%

 

7.15

%

 

6.29

%

 

Capital Growth

 

Janus Henderson VIT Balanced Portfolio — Janus Capital Management LLC

 

0.62

%

 

14.31

%

 

11.81

%

 

10.23

%

 

Capital Growth

 

Janus Henderson VIT Enterprise Portfolio — Janus Capital Management LLC

 

0.72

%

 

19.47

%

 

18.21

%

 

15.25

%

 

Total Return

 

Janus Henderson VIT Flexible Bond Portfolio — Janus Capital Management LLC

 

0.60

%

 

10.48

%

 

4.94

%

 

4.45

%

 

Capital Growth

 

Janus Henderson VIT Forty Portfolio — Janus Capital Management LLC

 

0.76

%

 

39.40

%

 

21.03

%

 

17.02

%

 

Capital Growth

 

Janus Henderson VIT Global Technology and Innovation Portfolio — Janus Capital Management LLC

 

0.75

%

 

51.20

%

 

29.77

%

 

20.16

%

 

Capital Growth

 

JPMorgan Insurance Trust Small Cap Core Portfolio — J.P. Morgan Investment Management Inc.

 

0.84

%

 

13.69

%

 

11.56

%

 

11.27

%

 

Total Return

 

JPMorgan Insurance Trust U.S. Equity Portfolio — J.P. Morgan Investment Management Inc.

 

0.76

%

 

25.26

%

 

16.01

%

 

14.27

%

 

Capital Growth

 

ClearBridge Variable Mid Cap Portfolio — Legg Mason Partners Fund Advisor LLC, ClearBridge Advisors, LLC

 

0.85

%

 

15.35

 

10.60

 

11.03

 
 
A-4

 

  Portfolio
Company — Investment Adviser;
 
Current
  Average Annual Total Returns
(as of 12/31/2020)
 
Type  

Sub-Adviser(s), as applicable

 

Expenses

 

1 year

 

5 year

 

10 year

 

Capital Growth

 

ClearBridge Variable Small Cap Growth Portfolio — Legg Mason Partners Fund Advisor LLC, ClearBridge Advisors, LLC

 

0.81

%

 

43.26

 

19.84

 

15.92

 

Income

 

Total Return Portfolio — Lord, Abbett & Co. LLC

 

0.72

%

 

7.43

%

 

4.53

%

 

4.22

%

 

Capital Appreciation

 

MFS® Growth Series — Massachusetts Financial Services Company

 

0.73

%

 

31.86

%

 

20.28

%

 

16.80

%

 

Capital Appreciation

 

MFS® Mid Cap Growth Series — Massachusetts Financial Services Company

 

1.06

%

 

36.48

%

 

20.61

%

 

15.93

%

 

Capital Appreciation

 

MFS® Research Series — Massachusetts Financial Services Company

 

0.82

%

 

16.59

%

 

14.74

%

 

13.06

%

 

Total Return

 

MFS® Total Return Bond Series — Massachusetts Financial Services Company

 

0.71

%

 

8.47

%

 

5.18

%

 

4.42

%

 

Capital Appreciation

 

MFS® Value Series — Massachusetts Financial Services Company

 

0.74

%

 

3.48

%

 

10.14

%

 

10.85

%

 

Capital Appreciation

 

MFS® International Growth Portfolio — Massachusetts Financial Services Company

 

1.04

%

 

15.84

%

 

12.77

%

 

7.78

%

 

Capital Appreciation

 

MFS® Blended Research® Small Cap Equity Portfolio — Massachusetts Financial Services Company

 

0.55

%

 

2.23

%

 

11.32

%

 

10.83

%

 

Total Return

 

MFS® Global Real Estate Portfolio — Massachusetts Financial Services Company

 

1.02

%

 

1.49

%

 

8.84

%

 

8.42

%

 

Capital Appreciation

 

MFS® Mid Cap Value Portfolio — Massachusetts Financial Services Company

 

0.81

%

 

3.87

%

 

9.72

%

 

10.84

%

 

Capital Growth

 

Neuberger Berman AMT Sustainable Equity Portfolio — Neuberger Berman Investment Advisers LLC

 

0.92

%

 

19.56

%

 

13.05

%

 

11.62

%

 

Real Return

 

CommodityRealReturn® Strategy Portfolio — Pacific Investment Management Company, LLC.; Research Affiliates, LLC

 

1.38

%

 

1.35

%

 

2.67

%

 

-5.39

%

 

Total Return

 

Global Bond Opportunities Portfolio — Pacific Investment Management Company, LLC.; Research Affiliates, LLC

 

0.93

%

 

10.12

%

 

4.82

%

 

2.72

%

 

Total Return

 

High Yield Portfolio — Pacific Investment Management Company, LLC.; Research Affiliates, LLC

 

0.79

%

 

5.75

%

 

7.20

%

 

6.04

%

 

Total Return

 

Low Duration Portfolio — Pacific Investment Management Company, LLC.; Research Affiliates, LLC

 

0.69

%

 

2.99

%

 

2.01

%

 

1.79

%

 

Real Return

 

Real Return Portfolio — Pacific Investment Management Company, LLC.; Research Affiliates, LLC

 

0.84

%

 

11.71

%

 

5.25

%

 

3.63

%

 
 
A-5

 

  Portfolio
Company — Investment Adviser;
 
Current
  Average Annual Total Returns
(as of 12/31/2020)
 
Type  

Sub-Adviser(s), as applicable

 

Expenses

 

1 year

 

5 year

 

10 year

 

Total Return

 

Total Return Portfolio — Pacific Investment Management Company, LLC.; Research Affiliates, LLC

 

0.69

%

 

8.65

%

 

4.75

%

 

3.93

%

 

Capital Growth

 

Pioneer Real Estate Shares VCT Portfolio — Amundi Pioneer Asset Management, Inc

 

1.46

%

 

-7.34

%

 

3.87

%

 

8.01

%

 

Long-Term Return

 

Putnam VT Large Cap Value Fund — Putnam Investment Management, LLC

 

0.57

%

 

12.58

%

 

8.75

%

 

8.66

%

 

Long-Term Return

 

Putnam VT Global Asset Allocation Fund — Putnam Investment Management, LLC

 

0.87

%

 

12.58

%

 

8.75

%

 

8.66

%

 

Capital Appreciation

 

Putnam VT Focused International Equity Fund — Putnam Investment Management, LLC

 

0.85

%

 

10.32

%

 

9.91

%

 

9.33

%

 

Capital Appreciation

 

Putnam VT Growth Opportunities Fund — Putnam Investment Management, LLC

 

0.65

%

 

39.09

%

 

22.35

%

 

17.24

%

 

Current Income

 

Putnam VT High Yield Fund — Putnam Investment Management, LLC

 

0.72

%

 

5.50

%

 

7.64

%

 

5.99

%

 

Current Income

 

Putnam VT Income Fund — Putnam Investment Management, LLC

 

0.57

%

 

5.72

%

 

5.01

%

 

4.72

%

 

Capital Growth

 

Putnam VT International Value Fund — Putnam Investment Management, LLC

 

0.94

%

 

4.73

%

 

5.61

%

 

4.23

%

 

Capital Appreciation

 

Putnam VT Research Fund — Putnam Investment Management, LLC

 

0.83

%

 

20.23

%

 

15.92

%

 

14.00

%

 

Capital Appreciation

 

Putnam VT Small Cap Value Fund — Putnam Investment Management, LLC

 

1.15

%

 

4.12

%

 

7.54

%

 

8.47

%

 

Capital Appreciation

 

Putnam VT Sustainable Future Fund — Putnam Investment Management, LLC

 

0.78

%

 

52.99

%

 

19.02

%

 

14.92

%

 

Capital Growth

 

T. Rowe Price Blue Chip Growth Portfolio — T. Rowe Price Associates, Inc.

 

1.10

%

 

33.92

%

 

19.22

%

 

17.20

%

 

Track Index

 

Vanguard VIF Total Bond Market Index — The Vanguard Group, Inc.

 

0.14

%

 

7.58

%

 

4.36

%

 

3.71

%

 

Track Index

 

Vanguard VIF Global Bond Index — The Vanguard Group, Inc.

 

0.13

%

 

6.67

%

 

Since Inception 4.68%

 

Inception Date 9/7/2017

 

Capital Growth

 

Victory RS Small Cap Growth Equity VIP Series — Victory Capital Services, Inc.

 

1.01

%

 

38.06

%

 

19.77

%

 

16.55

%

 
 
A-6

SUMMARY PROSPECTUS BACK COVER
 
This Summary Prospectus incorporates by reference the prospectus for the Policy and the Statement of Additional Information (“SAI”), both dated [   ], 2021, as amended or supplemented. The SAI may be obtained, free of charge, in the same manner as the statutory prospectus.
 
EDGAR Contract Identifier: CXXXXXXX
 
A-7

 
Exhibit 30.99(a)
 
POWER OF ATTORNEY
 
KNOW ALL MEN BY THESE PRESENTS, that each of the undersigned Directors of Protective Life Annuity and Insurance Company, an Alabama corporation, (“Company”) by his execution hereof or upon an identical counterpart hereof, does hereby constitute and appoint Richard J. Bielen, Bradley A. Strickling or Steven G. Walker, and each or any of them, his true and lawful attorney-in-fact and agent, for him and in his name, place and stead, to execute and sign the following  Registration Statement on Form N-6 filed by the Company, with the Securities and Exchange Commission, pursuant to the provisions of the Securities Act of 1933 and the Investment Company Act of 1940:
 
 
     
     
Protective Executive Benefits VUL NY
  File No. 333-******

   
 
Further, each of the undersigned authorizes said attorney-in-fact, and each of them, to execute and sign any and all pre-effective and post-effective amendments to such Registration Statement, and to file same, with all exhibits and schedules thereto and all other documents in connection therewith, with the Securities and Exchange Commission and with such state securities authorities as may be appropriate, granting unto said attorney-in-fact and agent, and each of them, full power and authority to do and perform each and every act and thing requisite and necessary to be done in and about the premises, as fully to all intents and purposes of the undersigned might or could do in person, hereby ratifying and confirming all the acts of said attorney-in-fact and agent or any of them which they may lawfully do in the premises or cause to be done by virtue hereof.
 
IN WITNESS WHEREOF, each of the undersigned has hereunto set his hand and sealed this 10th day of June, 2021.
 
 
 
 
/s/ Michael G. Temple                     /s/ Richard J. Bielen                   
Michael G. Temple   Richard J. Bielen
     
     
/s/ Steven G. Walker                      
Steven G. Walker    
 
 
 
 
WITNESS TO ALL SIGNATURES:
 
 
/s/ Bradley A. Strickling             
Bradley A. Strickling
 
1