Exhibit h(ix)
AMENDMENT NO. 4 TO PARTICIPATION AGREEMENT
Among
CIGNA VARIABLE PRODUCTS GROUP
CIGNA FINANCIAL SERVICES, INC.,
and
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
AMENDMENT NO. 4 TO PARTICIAPTION AGREEMENT, made as of April 1, 2001 by and
among CONNECTICUT GENERAL LIFE INSURANCE COMPANY (the "Company"), a Connecticut
corporation, on its own behalf and on behalf of each segregated asset account
the Company set forth on Schedule A hereto as maybe amended from time to time
(each such account hereinafter referred to as the "Account"), CIGNA VARIABLE
PRODUCTS GROUP, an unincorporated business trust organized under the laws of the
Commonwealth of Massachusetts (the "Fund") and CIGNA Financial Services, Inc.
(the "Underwriter), a Connecticut corporation.
WITNESSETH:
WHEREAS, the Company, the Fund and the Underwriter entered into a
participation agreement dated as of December 1, 1997 (the "Agreement"); and
WHEREAS, the Company, the Fund and the Underwriter desire to amend the
Agreement by adding Connecticut General Life Insurance Company Separate Account
HB to those Accounts set forth on Schedule A to the Agreement; and
WHEREAS, the Company, the Fund and the Underwriter desire to amend the
Agreement by revising Article XI. Notices.
NOW, THEREFORE, the Company, the Fund and the Underwriter hereby amend the
Agreement as follows:
1. Schedule A to the Agreement is hereby deleted and replaced with Schedule
A attached hereto.
2. Article XI of the Agreement is hereby amended by inserting the following
address for notices to the Company:
Connecticut General Life Insurance Company
Corporate Insurance, H14A
000 Xxxxxxxx Xxxxxx
Xxxxxxxx, XX 00000
Attention: Xxxxxxx X. Xxxx
Assistant Vice President
IN WITNESS WHEREOF each of the parties hereto has caused this Agreement to
be executed in its name and on its behalf by its duly authorized representative
as of the date specified above.
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
/s/ Xxxxxxx X. Xxxx
By:______________________________________________
Name: Xxxxxxx X. Xxxx
Title: Assistant Vice President
CIGNA VARIABLE PRODUCTS GROUP
/s/ Xxxxxxx X. Xxxxx
By:_______________________________________________
Name: Xxxxxxx X. Xxxxx
Title: Vice President and Secretary
CIGNA FINANCIAL SERVICES, INC.
/s/ Xxxxx X. Xxxxxx
By:________________________________________________
Name: Xxxxx X. Xxxxxx
Title: Chief Compliance Officer, CFS
SCHEDULE A (attached to Amendment Number 4 dated April 1, 2002)
The following is a list of separate accounts and contract forms for which one or
more portfolios of CIGNA Variable Products Group are to be made available by
Connecticut General Life Insurance Company:
Policy Form Numbers of Contract
Name of Separate Account Funded by Separate Account
------------------------ --------------------------------
CG Variable Life Insurance Separate XX605481 -- Group Flexible Premium
Account A Variable Life Insurance Policy - Nonpar
Established May 22, 1995
CG Variable Life Insurance Separate LN605, LN615 and state variations thereof
Account II
Established July 6, 1994
LN605, LN615, together with riders, and
Connecticut General Life Insurance state variations thereof
Company Variable Life Insurance Separate
Account 02
Established February 23, 1996
Connecticut General Life Insurance LN601, LN604, LN613, GLN650, together
Company Variable Life Insurance Separate with riders, and state variations thereof
Account FE
Established March 21, 1997
Connecticut General Life Insurance LN601, LN604, LN613, GLN650, together
Company Variable Life Insurance Separate with riders, and state variations thereof
Account GR
Established May 16, 2000
CG Variable Annuity Separate Account II AN425, AN426, together with riders, and
Established January 25, 1994 state variations thereof
CG Variable Annuity Account I
Established March 12, 1968
CG Variable Annuity Account II
Established March 12, 1968
Connecticut General Life Insurance LN601, LN604, LN613, GLN650, together
Company Variable Life Insurance Separate with riders, and state variations thereof
Account PG
Established November 25, 1998
Connecticut General Life Insurance LN601, LN604, LN613, GLN650, together
Company Variable Life Insurance Separate with riders, and state variations thereof
Account HG
Established May 22, 1997
Connecticut General Life Insurance LN601NJ-98, together with riders, and state
Company Variable Life Insurance Separate variations thereof
Account LM
Established May 28, 1998
Connecticut General Life Insurance LN601, LN604, LN613, GLN650, together
Company Variable Life Insurance Separate with riders, and state variations thereof
Account HB
Established March 21, 2002
