Certain identified information has been excluded from this exhibit because it is both (1) not material and (2) would likely cause competitive harm to the registrant if publicly disclosed. AMENDMENT #3 (hereafter called the “AMENDMENT”) Effective...
Certain identified information has been excluded from this exhibit because it is both (1) not material and (2) would likely cause competitive harm to the registrant if publicly disclosed.
AMENDMENT #3
(hereafter called the “AMENDMENT”)
Effective December 9, 2010
to the
AUTOMATIC AND FACULTATIVE YEARLY RENEWABLE TERM AGREEMENT
(hereafter called the “AGREEMENT”)
Originally Effective December 1, 2008
Ceding Company Reference: CBM09
Reinsurer Reference: TBA
between
PACIFIC LIFE INSURANCE COMPANY
Omaha, Nebraska
NAIC Number 67466
FEIN 951079000
(hereafter called the “CEDING COMPANY”)
and
GENERALI USA LIFE REASSURANCE COMPANY
Kansas City, Missouri
NAIC Number 97071
FEIN 133126819
(hereinafter called the REINSURER)
IT IS HEREBY MUTUALLY AGREED that the AGREEMENT is amended to include the following automatic policies from their inception:
|
Policy Number |
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Issue Date |
|
Policy Face Amount |
|
PL Retention |
|
Face Amount Ceded |
|
[ ] |
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[ ] |
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[ ] |
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[ ] |
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[ ] |
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[ ] |
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[ ] |
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[ ] |
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[ ] |
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[ ] |
ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.
IN WITNESS WHEREOF THE PARTIES HERETO have by their respective officers executed this AMENDMENT in duplicate on the dates below to be effective December 9, 2010:
|
PACIFIC LIFE INSURANCE COMPANY |
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| |
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By: |
/s/ Xxxx Xxxxxxx |
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By: |
/s/ Xxxxxx Xxxxx |
|
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Xxxx Xxxxxxx |
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Xxxxxx Xxxxx, Assistant Vice President |
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Vice President, |
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Assistant Secretary |
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Actuarial and Reinsurance |
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Legal |
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Date: |
03/14/11 |
|
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3/15/11 |
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GENERALI USA LIFE REASSURANCE COMPANY |
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| |
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By: |
(illegible) |
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By: |
(illegible) |
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SVP |
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Date: |
3/7/2011 |
|
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3/7/2011 |
