Exhibit h.(x)
AMENDMENT NO. 5 TO PARTICIPATION AGREEMENT
Among
CIGNA VARIABLE PRODUCTS GROUP
CIGNA FINANCIAL SERVICES, INC.,
and
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
AMENDMENT NO. 5 TO PARTICIAPTION AGREEMENT, made as of July 15, 2002, by
and among CONNECTICUT GENERAL LIFE INSURANCE COMPANY (the "Company"), a
Connecticut corporation, on its own behalf and on behalf of each segregated
asset account of the Company set forth on Schedule A attached hereto, as may be
amended from time to time (each such account referred to individually as an
"Account" and collectively as the "Accounts"), CIGNA VARIABLE PRODUCTS GROUP
(the "Fund"), an unincorporated business trust organized under the laws of the
Commonwealth of Massachusetts and CIGNA FINANCIAL SERVICES, INC. (the
"Underwriter), a Connecticut corporation.
WITNESSETH:
WHEREAS, the Company, the Fund and the Underwriter entered into a
participation agreement dated as of December 1, 1997 (the "Agreement"); and
WHEREAS, the Company, the Fund and the Underwriter desire to amend the
Agreement by adding Connecticut General Life Insurance Company Separate Account
NB and policy forms corresponding to Separate Account NB to Schedule A to the
Agreement.
NOW, THEREFORE, the Company, the Fund and the Underwriter hereby amend the
Agreement by deleting Schedule A and replacing it with Schedule A attached
hereto.
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 the date specified above.
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
/s/ Xxxxxxx X. Xxxx
By:____________________________________
Name: Xxxxxxx X. Xxxx
Title: Assistant Vice President
CIGNA VARIABLE PRODUCTS GROUP
/s/ Xxxxxxx X. Xxxxx
By:____________________________________
Name: Xxxxxxx X. Xxxxx
Title: Vice President and Secretary
CIGNA FINANCIAL SERVICES, INC.
/s/ Xxxxx Xxxxxx
By:____________________________________
Name: Xxxxx Xxxxxx
Title: Chief Compliance Officer
SCHEDULE A (attached to Amendment Number 5 dated as of July 15, 2002)
The following is a list of separate accounts and contract forms for which one or
more portfolios of CIGNA Variable Products Group are to be made available by
Connecticut General Life Insurance Company:
Exhibit h.(x)
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Name of Separate Account Policy Form Numbers of Contract
Funded by Separate Account
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CG Variable Life Insurance Separate Account A XX605481 - Group Flexible Premium
Established May 22, 1995 Variable Life Insurance Policy - Nonpar
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CG Variable Life Insurance Separate Account II LN605, LN615, together with riders, and
Established July 6, 1994 state variations thereof
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Connecticut General Life Insurance Company LN605, LN615, together with riders, and
Variable Life Insurance Separate Account 02 state variations thereo
Established February 23, 1996
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Connecticut General Life Insurance Company LN601, LN604, LN613, GLN650, together
Variable Life Insurance Separate Account FE with riders, and state variations thereof
Established March 21, 1997
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Connecticut General Life Insurance Company LN601, LN604, LN613, GLN650, together
Variable Life Insurance Separate Account GR with riders, and state variations
thereof Established May 16, 2000
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CG Variable Annuity Separate Account II AN425, AN426, together with riders, and
Established January 25, 1994 state variations thereof
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CG Variable Annuity Account I
Established March 12, 1968
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CG Variable Annuity Account II
Established March 12, 1968
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Connecticut General Life Insurance Company LN601, LN604, LN613, GLN650, together
Variable Life Insurance Separate Account PG with riders, and state variations thereof
Established November 25, 1998
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Connecticut General Life Insurance Company LN601, LN604, LN613, GLN650, together
Variable Life Insurance Separate Account HG with riders, and state variations thereof
Established May 22, 1997
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Connecticut General Life Insurance Company LN601NJ-98, together with riders, and
Variable Life Insurance Separate Account LM state variations thereof
Established May 28, 1998
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Connecticut General Life Insurance Company LN601, LN604, LN613, GLN650, together
Variable Life Insurance Separate Account HB with riders, and state variations thereof
Established March 21, 2002
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Connecticut General Life Insurance Company LN601, LN604, LN613, GLN650, together
Variable Life Insurance Separate Account NB with riders, and state variations thereof
Established July 15, 2002
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