EXHIBIT (8)(a)(1)
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FORM OF AMENDED SCHEDULE A TO PARTICIPATION AGREEMENT BY AND BETWEEN XXXXXX
VARIABLE TRUST, XXXXXX MUTUAL FUNDS CORP. AND PFL LIFE INSURANCE COMPANY
AMENDED
SCHEDULE A
EFFECTIVE September 1, 2000
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ACCOUNTS, POLICIES AND PORTFOLIOS
SUBJECT TO THE PARTICIPATION AGREEMENT
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Name of Separate Account and Date Policies Funded by Separate Account Portfolios Applicable to Policies
Established by Board of Directors
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PFL Retirement Builder Variable PFL Life Insurance Company Policy Form Xxxxxx VT Global Growth Fund
Annuity Account March 29, 1996 No. AV288-101-95-796 Xxxxxx VT Growth and Income Fund
(including successor forms, addenda Xxxxxx VT Growth Opportunities Fund
Separate Account VA I and endorsements - may vary by state Xxxxxx VT Money Market Fund
May 15, 2000 under marketing names: "Retirement Xxxxxx VT New Value Fund
Income Builder Variable Annuity" Xxxxxx VT Diversified Income Fund
"Portfolio Select Variable Annuity" Xxxxxx VT Income Fund
"The U.S. Bancorp Investments Inc. Xxxxxx VT Investors Fund
Principal-Plus Variable Annuity" Xxxxxx VT The Xxxxxx Xxxxxx Fund of Boston
(or successor marketing names)
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PFL LIFE INSURANCE COMPANY XXXXXX VARIABLE TRUST
By:_______________________________ By:_______________________________
Name:_____________________________ Name:_____________________________
Title:____________________________ Title:____________________________
Date:_____________________________ Date:_____________________________
XXXXXX MUTUAL FUNDS CORP.
By:_______________________________
Name:_____________________________
Title:____________________________
Date:_____________________________
