AMENDMENT TO FUND
PARTICIPATION AGREEMENT
AMONG
XXXXXXXXX XXXXXX ADVISERS MANAGEMENT TRUST,
XXXXXXXXX XXXXXX MANAGEMENT, INC.,
and
JEFFERSON NATIONAL LIFE INSURANCE COMPANY
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 Jefferson
National Life Insurance Company (the "Insurance Company") as follows:
1. Appendix B thereto is hereby modified by adding five new
segregated asset accounts of the Jefferson National Life Insurance Company to
that schedule, which shall read as follows:
APPENDIX B
ACCOUNT(S) FORM #
- Jefferson National Life Annuity Account C 22-4025 (Individual)
32-4000 (Group)
- Jefferson National Life Annuity Account E 22-4047/32-4003 (Achievement)
22-4048/32-4002 (Educator)
- Jefferson National Life Annuity Account F 22-4061
- Jefferson National Life Annuity Account G 22-4056
- Jefferson National Life Annuity Account H CVIC-2000 or -2001(state specific)
- Jefferson National Life Annuity Account I CVIC-2004 or -2005(state specific)
- Jefferson National Life Annuity Account J JNL-2100
- Jefferson National Life Annuity Account K JNL-2200
- Jefferson National Life Account L CVIC-1001 and -1003
- Jefferson National Life Annuity Account M JNL-22-4061
- Jefferson National Life Annuity Account N JNL-2000
- Jefferson National Life Annuity Account O JNL-2004
2. All other terms of the Agreement shall remain in full force and
effect.
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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, April 5, 2004.
XXXXXXXXX XXXXXX ADVISERS MANAGEMENT TRUST
By: /s/ Xxxxx Xxxxxxx
-----------------
Name: Xxxxx Xxxxxxx
Title: Vice President
XXXXXXXXX XXXXXX MANAGEMENT, INC.
By: /s/ Xxxxx Xxxxxxx
-----------------
Name: Xxxxx Xxxxxxx
Title: Senior Vice President
JEFFERSON NATIONAL LIFE INSURANCE
COMPANY
By: /s/ Xxxxx X. Xxxxxx
Name: Xxxxx X. Xxxxxx
Title: General Counsel and Secretary
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