AMENDMENT NO. 28 TO PARTICIPATION AGREEMENT AMONG AEGON/TRANSAMERICA SERIES FUND, INC., TRANSAMERICA LIFE INSURANCE COMPANY, TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY, PEOPLES BENEFIT LIFE INSURANCE COMPANY, TRANSAMERICA OCCIDENTAL LIFE INSURANCE...
AMENDMENT NO. 28 TO
PARTICIPATION AGREEMENT AMONG
AEGON/TRANSAMERICA SERIES FUND, INC.,
TRANSAMERICA LIFE INSURANCE COMPANY,
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY,
PEOPLES BENEFIT LIFE INSURANCE COMPANY,
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY AND
TRANSAMERICA LIFE INSURANCE AND ANNUITY COMPANY
Amendment No. 28 to the Participation Agreement among AEGON/Transamerica Series Fund, Inc.,
(the "Fund"), Transamerica Life Insurance Company ("Transamerica"), Transamerica Financial Life Insurance
Company ("TFLIC"), Peoples Benefit Life Insurance Company ("Peoples"), Transamerica Occidental Life
Insurance Company ("TOLIC"), and Transamerica Life Insurance and Annuity Company ("T ALIAC") dated
July 1, 1992, as amended ("Participation Agreement").
WHEREAS, Transamerica and TFLIC, has registered or will register certain variable annuity contracts
(the "Policies") under the Securities Act of 1933; and
WHEREAS, Transamerica has, by resolution of its Board of Directors, duly organized and established
the Separate Account VA R, the Separate Account VA S and the Separate Account Q; and TFLIC has, by
resolution of its Board of Directors, duly organized and established the Separate Account QNY (the
"Accounts"), as segregated asset accounts to receive, set aside and invest assets attributable to net premiums and
payments received under the Policies and such Policies will be partly funded by the Fund; and
WHEREAS, Transamerica and TFLIC has registered or will register the Accounts as unit investment
trusts under the Investment Company Act of 1940, as amended; and
WHEREAS, to the extent permitted by applicable insurance law and regulations, Transamerica and
TFLIC intend to purchase shares in one or more of the portfolios of the Fund to fund its contracts on behalf of
the Accounts, as specified in Schedule A attached to this Amendment, as such Schedule A is amended by this
Amendment No. 28, and as Schedule A may be amended from time to time; and
NOW, THEREFORE, IT IS HEREBY AGREED that Transamerica, through its Policies, Flexible
Premium Variable Annuity- C, Flexible Premium Variable Annuity- D and Flexible Premium Variable
Annuity- B; and TFLIC, through its Policy, Flexible Premium Variable Annuity- E, will purchase and redeem
shares issued by the Fund, subject to the terms and conditions of the Participation Agreement It is also hereby
agreed that Schedule A to this Agreement will be amended to add the Flexible Premium Variable Annuity- C,
the Flexible Premium Variable Annuity- D, the Flexible Premium Variable Annuity- B and the Flexible
Premium Variable Annuity- E as additional "Policies"; and to add the Separate Account VA R, the Separate
Account VAS, the Separate Account Q and the Separate Account QNY as additional "Accounts".
IN WITNESS WHEREOF, each of the parties has caused this Amendment to be executed in its name
and on its behalf by its duly authorized representative as of December 1, 2003.
TRANSAMERICA LIFE INSURANCE AEGON/TRANSAMERICA SERIES
COMPANY FUND, INC.
By its authorized officer By its authorized officer
By: /s/Xxxxx X. Xxxxxx By: /s/ Xxxx X. Xxxxxx
Xxxxx X. Xxxxxx Xxxx X. Xxxxxx
Title: President Title: Vice President, Secretary
and General Counsel
TRANSAMERICA FINANCIAL PEOPLES BENEFIT LIFE INSURANCE
LIFE SURANCE COMPANY COMPANY
By its authorized officer By its authorized officer
By: /s/Xxxxx X. Xxxxxx By: /s/Xxxxx X. Xxxxxx
Xxxxx X. Xxxxxx Xxxxx X. Xxxxxx
Title: Vice President Title: ExecutiveVice President
TRANSAMERICA OCCIDENTAL LIFE TRANSAMERICA LIFE INSURANCE
INSURANCE COMPANY AND ANNUITY COMPANY
By its authorized officer By its authorized officer
By: /s/Xxxxxxxxx X. Xxxxxxx By: /s/Xxxxxxxxx X. Xxxxxxx
Xxxxxxxxx X. Xxxxxxx Xxxxxxxxx X. Xxxxxxx
Title: Assistant Vice President and Title: Assistant Vice President and
Assistant Secretary Assistant Secretary
AMENDED SCHEDULE A
Effective December 1, 2003
Account(s), Policy(ies) and Portfolio(s)
Subject to the Participation Agreement
Accounts: Separate Account VA B
Separate Account VA BNY
Mutual Fund Account
Separate Account VA A
Separate Account VA C
Separate Account VA D
Retirement Builder Variable Annuity Account
Transamerica Financial Life Insurance Company Separate Account C
Peoples Benefit Life Insurance Company Separate Account V
Legacy Builder Variable Life Separate Account
TFLIC Series Annuity Account
Transamerica Occidental Life Separate Account VUL-3
Separate Account VA E
Separate Account VA F
Transamerica Occidental Life Separate Account VUL-4
Transamerica Occidental Life Separate Account VUL-5
Transamerica Life Insurance and Annuity Company on behalf
of its Separate Account VA-8
Separate Account VA J
Transamerica Occidental Life Separate Account VUL-6
TAPPVUL 1
Separate Account K
Separate Account H
Separate Account G
Separate Account V A-2LNY
Separate Account VA-2L
Separate Account VL A
AES Private Placement VA Separate Account
Separate Account VA L
Separate Account VA P
PFL Corporate Account One
Separate Account VA R
Separate Account VA S
Separate Account Q
Separate Account QNY
Policies: Transamerica Landmark Variable Annuity
Transamerica Landmark NY Variable Annuity
Atlas Portfolio Builder Variable Annuity
Transamerica EXTRA Variable Annuity
Transamerica Access Variable Annuity
Retirement Income Builder II Variable Annuity
TFLIC & Peoples- Advisor's Edge Variable Annuity
Peoples- Advisor's Edge Select Variable Annuity
Legacy Builder Plus
TFLIC Financial Freedom Builder
Transamerica Elite
Privilege Select Variable Annuity
Estate Enhancer Variable Life
TransSurvivor Life Variable Universal Life
TransMark Optimum Choice Variable Annuity
TransUltra® Variable Universal Life
TFLIC Freedom Elite Builder
TFLIC Premier Variable Annuity
AMENDED SCHEDULE A (continued)
Policies (continued):
Immediate Income Builder II
Premier Asset Builder Variable Annuity
TransAccumulator VUL cv
TFLIC Freedom Wealth Protector
Advantage V
Retirement Income Builder Variable Annuity
Retirement Income Builder - BAI Variable Annuity
Dreyfus Advisor Advantage Variable Annuity
Dreyfus Access Advantage Variable Annuity
Dreyfusffransamerica Triple Advantage® Variable Annuity (NY)
Dreyfusffransamerica Triple Advantage® Variable Annuity
Transamerica Variable Life
Advisor's Edge Select Private Placement
Transamerica Preferred Advantage Variable Annuity
Flexible Premium Variable Annuity- A
Portfolio Select Variable Annuity
Flexible Premium Variable Annuity- B
Flexible Premium Variable Annuity- C
Flexible Premium Variable Annuity- D
Flexible Premium Variable Annuity - E
Portfolios: AEGON/Transamerica Series Fund, Inc. -Each Portfolio has an Initial Class of Shares and
a Service Class of Shares
AEGON Xxxx
Xxxxx Aggressive Growth
Asset Allocation - Conservation Portfolio
Asset Allocation - Moderate Portfolio
Asset Allocation- Moderate Growth Portfolio
Asset Allocation - Growth Portfolio
American Century International
American Century Income & Growth
BlackRock Large Cap Value
BlackRock Mid Cap Growth
BlackRock Global Science & Technology Opportunities
Capital Guardian Global
Capital Guardian U.S. Equity
Capital Guardian Value
Clarion Real Estate Securities
Dreyfus Mid Cap
Dreyfus Small Cap Value
Federated Growth & Income
GE U.S. Equity
Great Companies - America sm
Great Companies -Technology sm
X.X. Xxxxxx Enhanced Index
Janus Balanced
Janus Global
Janus Growth
Xxxxxxxx Growth
LKCM Strategic Total Return
Xxxxxxx Growth
MFS High Yield
Munder Net50
AMENDED SCHEDULE A (continued)
Portfolios: AEGON/Transamerica Series Fund, Inc. (continued)
PBHG Mid Cap Growth
PIMCO Total Return
Protected Principal Stock
Salomon All Cap
Select+ Aggressive
Select+ Conservative
Select+ Growth & Income
Xxxxxxxxx Great Companies Global
X. Xxxx Price Equity Income
X. Xxxx Price Growth Stock
X. Xxxx Price Small Cap
Third Avenue Value
Transamerica Equity
Transamerica Convertible Securities
Transamerica Growth Opportunities
Transamerica Money Market
Transamerica U.S. Government Securities
Transamerica Value Balanced
Xxx Xxxxxx Active International Allocation
Xxx Xxxxxx Asset Allocation
Xxx Xxxxxx Emerging Growth