Exhibit (h)(19)
AMENDMENT TO PARTICIPATION AGREEMENT
AMENDMENT NO. 3
THIS AGREEMENT made the 1st day of May 1999, and amended on June 1, 2000,
October 11, 2001 and November 27, 2002 (the "Participation Agreement"), by and
between XXXXXXX XXXXX VARIABLE INSURANCE TRUST, an unincorporated business trust
formed under the laws of Delaware (the "Trust"), XXXXXXX, SACHS & CO., a New
York limited partnership (the "Distributor"), CANADA LIFE INSURANCE COMPANY OF
AMERICA, a Michigan life insurance company (hereinafter referred to as the
"Company"), on its own behalf and on behalf of each separate account of the
Company identified in the Participation Agreement.
The parties hereby agree to amend the Participation Agreement as follows:
1. Schedule 2 of the Participation Agreement is hereby amended to add
the following classes of contracts:
-------------------------- ----------------------- ------------------------- -----------------------
Policy Marketing Name SEC 1933 Act Contract Form Numbers Annuity or Life
Registration Number
-------------------------- ----------------------- ------------------------- -----------------------
VUL Accumulator 333-100569 VUL Accumulator Life
-------------------------- ----------------------- ------------------------- -----------------------
2. Schedule 3 of the Participation Agreement is hereby amended to
reflect the following changes in Trust Classes and Series:
------------------------------------ ------------------------------------------
Contracts Marketing Name Trust Classes and Series
------------------------------------ ------------------------------------------
VUL Accumulator Xxxxxxx Xxxxx VIT Capital Growth Fund
Xxxxxxx Sachs VIT CORE (SM) US Equity Fund
Xxxxxxx Xxxxx VIT Growth and Income Fund
------------------------------------ ------------------------------------------
IN WITNESS WHEREOF, the Trust, the Distributor and the Company hereby amend this
Agreement thereto dated as of November 27, 2002.
XXXXXXX SACHS VARIABLE INSURANCE TRUST (TRUST)
By: /s/ Xxxxxx X. Xxxxxxx
---------------------
Name: Xxxxxx X. Xxxxxxx
Title: Secretary
XXXXXXX, XXXXX & CO. (DISTRIBUTOR)
By: /s/ Xxxxx X. Xxxxxxx
---------------------
Name: Xxxxx X. Xxxxxxx
Title: Vice President
CANADA LIFE INSURANCE COMPANY OF AMERICA (COMPANY)
By: /s/ Xxxxx X. Xxxxxxx
---------------------
Name: Xxxxx X. Xxxxxxx
Title: Secretary
