EXHIBIT (h)(19)(c) AMENDMENT NO. 3 TO PARTICIPATION AGREEMENT Pursuant to the Participation Agreement, made and entered into as of the 20th day of August, 1999, and as amended on October 2, 2000 and August 1, 2004, by and among MFS Variable Insurance...
EXHIBIT (h)(19)(c)
AMENDMENT NO. 3 TO PARTICIPATION AGREEMENT
Pursuant to the Participation Agreement, made and entered into as of the
20th day of August, 1999, and as amended on October 2, 2000 and August 1, 2004,
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
January 2, 2007.
THE UNITED STATES LIFE INSURANCE
COMPANY IN THE CITY OF NEW YORK
By its authorized officers,
By: ______________________________
Name: ______________________________
Title: ______________________________
ATTEST:
By: ______________________________
Name: ______________________________
Title: ______________________________
MFS VARIABLE INSURANCE TRUST,
on behalf of the Portfolios
By its authorized officer,
By: ______________________________
Xxxxx X. Xxxxxx
Assistant Secretary
MASSACHUSETTS FINANCIAL SERVICES
COMPANY
By its authorized officer,
By: ______________________________
Xxxxxx X. Xxxxxxx
President
As of January 2, 2007
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 USL Platinum Investor VUL MFS Emerging Growth Series
Company Insurance Policy MFS Research Series
In The City Of New York Policy Form No. 97600N MFS Capital Opportunities Series
MFS New Discovery Series
Separate Account USLVL-R USL Platinum Investor Survivor
(August 8, 1997) Insurance Policy
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 New Discovery Series
Premium Variable Universal Life MFS Research Series
Insurance Policy
Policy Form Xx. 00000X xxx
Xxxxxx Xxxx Xx. 00000XX
(effective January 2, 2007)
The United States Life Platinum Investor Immediate MFS Emerging Growth Series
Insurance Company Variable Annuity MFS Research Series
in the City of New York Contract No. 03017N MFS Capital Opportunities Series
Separate Account USL VA-R (effective February 2, 2004) MFS New Discovery Series
(August 8, 1997)
