AMENDMENT NO. 4 TO PARTICIPATION AGREEMENT
EX-99.A4
Exhibit 26(h)(ix)
Amendment No. 4 to Participation Agreement Among
Variable Insurance Products Fund II, Fidelity Distributors
Corporation and Transamerica dated May 1, 2004
AMENDMENT NO. 4 TO PARTICIPATION AGREEMENT
Transamerica Financial Life Insurance Company (formerly, AUSA Life Insurance Company, Inc.), Variable Insurance Products Fund, Variable Insurance Products Fund II and Fidelity Distributors Corporation hereby amend the Participation Agreement (“Agreement”) dated April 1, 1991, by doing the following:
Schedule A of the Agreement is hereby deleted in its entirety and replaced with the Amended Schedule A attached hereto.
IN WITNESS WHEREOF, the parties have hereto affixed their respective authorized signatures, intending that this Amendment be effective as of the 1st day of May, 2004.
TRANSAMERICA Financial LIFE INSURANCE COMPANY | ||
By: |
/s/ Xxxx X. Xxxxxx | |
Name: |
Xxxx X. Xxxxxx, Esq. | |
Title: |
Vice President |
VARIABLE INSURANCE PRODUCTS FUND | ||
By: |
/s/ Xxxx Xxxxxx | |
Xxxx Xxxxxx | ||
SVP |
VARIABLE INSURANCE PRODUCTS FUND II | ||
By: |
/s/ Xxxx Xxxxxx | |
Xxxx Xxxxxx | ||
SVP |
FIDELITY DISTRIBUTORS CORPORATION | ||
By: |
||
Don Holborn | ||
Executive Vice President |
SCHEDULE A
Separate Accounts and Associated Contracts
Name of Separate Account and Date Established by Board of Directors |
Policy form Numbers of Contracts Funded by Separate Account | |
AUSA Series Life Account (est. October 24, 1994) |
Form Number: VL03NY Product: AUSA Financial Freedom Builder | |
Form Number VL95NY Product: AUSA Freedom Elite Builder | ||
Form Number: JLS02NY Product: AUSA Freedom Wealth Protector | ||
Separate Account VA BNY (est. September 27, 1994 |
Form Number AV343 101 90 396 Product: AUSA Landmark Variable Annuity | |
AUSA Series Annuity Account (est. March 20, 2001) |
Form Number: WL18NY Product: AUSA Freedom Premier | |
TR-Fidelity VIP II Contrafund® Portfolio (est. July 1, 2001) |
Form Number: TA-AP-2001-CONT | |
Separate Account VA QNY (est. August 13, 1996) |
Form Number: AV1024 101 179 1003 |