EXHIBIT 99 (8)(o)(iv)
MAY 1, 2003 AMENDMENT TO
FUND PARTICIPATION AGREEMENT
AMONG
XXXXXXXXX XXXXXX ADVISER MANAGEMENT TRUST, XXXXXXXXX
XXXXXX MANAGEMENT INC. AND CONSECO VARIABLE INSURANCE
COMPANY, INC.
For good and valuable consideration, the receipt of which is hereby
acknowledged, the parties agree to amend the April 30, 1997 Fund Participation
Agreement, as amended, among Xxxxxxxxx Xxxxxx Advisers Management Trust,
Xxxxxxxxx Xxxxxx Management Inc. and Conseco Variable Insurance Company as
follows:
1. The Life Company's name shall be changed to "Jefferson National Life
Insurance Company" to reflect the Company's name change.
2. A new section 3.5 will be added, to read in its entirety as follows:
3.5 If so requested, the TRUST shall provide the LIFE COMPANY with
the materials referenced in sections 3.3 and 3.4 electronically in .pdf
format.
3. Appendix B thereto is hereby modified to read as follows:
APPENDIX B
SEPARATE ACCOUNTS SELECTED PORTFOLIOS
Jefferson National Variable Annuity Account C Xxxxxxxxx Xxxxxx Regency Trust
Jefferson National Variable Annuity Account E Xxxxxxxxx Xxxxxx Facsciano Trust
Jefferson National Variable Annuity Account F
Jefferson National Variable Annuity Account G
Jefferson National Variable Annuity Account H
Jefferson National Variable Annuity Account I
Jefferson National Variable Account L
4. All other terms of the Agreement shall remain in full force and
effect.
1
IN WITNESS WHEREOF, each of the parties hereto has caused this Amendment to
be executed in its name and on its behalf by its duly authorized representative
as of this date, ____________________________, 2003.
XXXXXXXXX XXXXXX ADVISERS
MANAGEMENT TRUST
By:
-------------------------------------
Name:
-----------------------------------
Title:
----------------------------------
XXXXXXXXX XXXXXX MANAGEMENT INC.
By:
-------------------------------------
Name:
-----------------------------------
Title:
----------------------------------
JEFFERSON NATIONAL LIFE INSURANCE
COMPANY
By:
-------------------------------------
Name:
-----------------------------------
Title:
----------------------------------
2
