EXHIBIT (h)(11)(c) AMENDMENT NO. 5 TO PARTICIPATION AGREEMENT Pursuant to the Participation Agreement, made and entered into as of the 20th day of August 1999, and as amended on July 1, 2008, by and among MFS Variable Insurance Trust, The United...
EXHIBIT (h)(11)(c)
AMENDMENT NO. 5 TO PARTICIPATION AGREEMENT
Pursuant to the Participation Agreement, made and entered into as of the
20th day of August 1999, and as amended on July 1, 2008, by and among MFS
Variable Insurance Trust, The United States Life Insurance Company in the City
of New York and Massachusetts Financial Services Company, the parties do hereby
agree to an amended Schedule A.
IN WITNESS WHEREOF, each of the parties hereto has caused this Amendment to
the Participation Agreement to be executed in its name and on its behalf by its
duly authorized representative. The Amendment shall take effect as of
September 15, 2008.
THE UNITED STATES LIFE INSURANCE
COMPANY IN THE CITY OF NEW YORK
By its authorized officers,
By:
------------------------------
Name:
------------------------------
Title:
------------------------------
ATTEST:
By:
------------------------------
Name:
------------------------------
Title:
------------------------------
(Corporate Seal)
MFS VARIABLE INSURANCE TRUST,
on behalf of the Portfolios
By its authorized officer,
By:
------------------------------
Name:
------------------------------
Title:
------------------------------
MASSACHUSETTS FINANCIAL SERVICES
COMPANY
By its authorized officer,
By:
------------------------------
Name:
------------------------------
Title:
------------------------------
As of September 15, 2008
SCHEDULE A
ACCOUNTS, POLICIES AND PORTFOLIOS
SUBJECT TO THE PARTICIPATION AGREEMENT
Name of Separate
Account and Date Policies Funded Portfolios
Established by Board of Directors by Separate Account Applicable to Policies
--------------------------------- ------------------------------------ -------------------------
The United States Life Insurance Company USL Platinum Investor VUL MFS Growth Series
In The City Of New York Insurance Policy MFS Research Series
Policy Form No. 97600N
Separate Account USL VL-R USL Platinum Investor Survivor MFS New Discovery Series
(August 8, 1997) Insurance Policy MFS Research Series
Policy Form No. 99206N
Platinum Investor PLUS
Variable Life Insurance Policy
Policy Form No. 02600N
(effective 9/5/03)
Platinum Investor Survivor II
Last Survivor Flexible Premium
Variable Life Insurance Policy
Policy Form No. 01206N
(effective July 1, 2004)
Platinum Investor VIP Flexible MFS Core Equity Series
Premium Variable Universal Life MFS New Discovery Series
Insurance Policy
Policy Form No. 05604N and
Policy Form No. 05604NU
(effective January 2, 2007)
AIG Protection Advantage VUL
Flexible Premium Variable Universal
Life Insurance Policy
Policy Form Xx. 00000X xxx
Xxxxxx Xxxx Xx. 00000XX
(effective July 1, 2008)
AIG Income Advantage Select
Flexible Premium Variable Universal
Life Insurance Policy
Policy Form Xx. 00000X xxx
Xxxxxx Xxxx Xx. 00000XX
(effective September 15, 2008)
The United States Life Insurance Company Platinum Investor Immediate MFS Growth Series
in the City of New York Variable Annuity MFS Research Series
Separate Account USL VA-R Contract No. 03017N MFS Core Equity Series
(August 8, 1997) (effective February 2, 2004) MFS New Discovery Series
