Exhibit h.61
FORM OF
AMENDMENT TO PARTICIPATION AGREEMENT
AMONG
ING PARTNERS, INC.
ING LIFE INSURANCE AND ANNUITY COMPANY
ING FINANCIAL ADVISERS, LLC
AND
SOUTHLAND LIFE INSURANCE COMPANY
This Amendment is dated as of day of , 2004 by and between ING Partners,
Inc. (the "Fund"), ING Life Insurance and Annuity Company (the "Adviser"), ING
Financial Advisers, LLC (the "Distributor") and Southland Life Insurance Company
(the "Company") (collectively, the "Parties").
WHEREAS, the Parties entered into a Participation Agreement on May 1, 2002
(the "Agreement") and subsequently amended the Agreement on May 1, 2003;
WHEREAS, the Parties desire to further amend said Agreement in the manner
hereinafter set forth;
NOW THEREFORE, the parties hereby amend the Agreement in the following
form:
1. By replacing the existing Schedule B with the Schedule B attached
hereto.
2. All of the other provisions contained in the Agreement shall remain in
full force and effect.
IN WITNESS WHEREOF, the parties hereto have caused this instrument to be
executed by their duly authorized signatories as of the date and year first
above written.
ING PARTNERS, INC. ING LIFE INSURANCE AND ANNUITY COMPANY
By: By:
----------------------------------- -------------------------------------------------
Name: Name:
----------------------------------- -------------------------------------------------
Title: Title:
----------------------------------- -------------------------------------------------
ING FINANCIAL ADVISERS, LLC SOUTHLAND LIFE INSURANCE COMPANY
By: By:
----------------------------------- -------------------------------------------------
Name: Name:
----------------------------------- -------------------------------------------------
Title: Title:
----------------------------------- -------------------------------------------------
FORM OF
SCHEDULE B
ING PARTNERS, INC.
DESIGNATED PORTFOLIOS
ING Aeltus Enhanced Index Portfolio - Initial, Adviser and Service Class
ING Xxxxx Growth Portfolio - Initial, Adviser and Service Class
ING Xxxxx Aggressive Growth Portfolio - Initial, Adviser and Service Class
ING Xxxxx Capital Appreciation Portfolio - Initial, Adviser and Service Class
ING American Century Small Cap Value Portfolio - Initial, Adviser and Service Class
ING Baron Small Cap Growth Portfolio - Initial, Adviser and Service Class
ING Fidelity(R) VIP Contrafund(R) Portfolio** - Initial, Adviser and Service Class
ING Fidelity(R) VIP Growth Portfolio - Initial, Adviser and Service Class
ING Fidelity(R) VIP Value Strategies Portfolio - Initial, Adviser and Service Class
ING Fidelity(R) VIP Equity-Income Portfolio - Initial, Adviser and Service Class
ING Fidelity(R) VIP Mid Cap Portfolio - Initial, Adviser and Service Class
ING Xxxxxxx Xxxxx(R) Capital Growth Portfolio* - Initial, Adviser and Service Class
ING Xxxxxxx Sachs(R) Core Equity Portfolio* - Initial, Adviser and Service Class
ING JPMorgan Xxxxxxx International Portfolio - Initial, Adviser and Service Class
ING JPMorgan Mid Cap Value Portfolio - Initial, Adviser and Service Class
ING MFS Capital Opportunities Portfolio - Initial, Adviser and Service Class
ING MFS Global Growth Portfolio - Initial, Adviser and Service Class
ING MFS Research Equity Portfolio - Initial, Adviser and Service Class
ING OpCap Balanced Value Portfolio - Initial, Adviser and Service Class
ING PIMCO Total Return Portfolio - Initial, Adviser and Service Class
ING Salomon Brothers Aggressive Growth Portfolio - Initial, Adviser and Service Class
ING Salomon Brothers Investors Value Portfolio - Initial, Adviser and Service Class
ING Salomon Brothers Fundamental Value Portfolio - Initial, Adviser and Service Class
ING X. Xxxx Price Growth Equity Portfolio - Initial, Adviser and Service Class
ING UBS Tactical Asset Allocation Portfolio - Initial, Adviser and Service Class
ING Xxx Xxxxxx Xxxxxxxx Portfolio - Initial, Adviser and Service Class
--------------
*Xxxxxxx Sachs(R) is a registered service xxxx of Xxxxxxx, Xxxxx & Co., and it
is used by agreement with Xxxxxxx, Sachs & Co.
**Fidelity(R) and Contrafund(R) are registered trademarks of FMR Corp.
