EXHIBIT (h)(19)(b)
Amendment to Participation Agreement
Franklin Xxxxxxxxx Variable Insurance Products Trust
Franklin Xxxxxxxxx Distributors, Inc.
The United States Life Insurance Company in the City of New York
The participation agreement, dated as of November 1, 2001, by and among
Franklin Xxxxxxxxx Variable Insurance Products Trust, Franklin Xxxxxxxxx
Distributors, Inc. and The United States Life Insurance Company in the City of
New York (the "Agreement") is hereby amended as follows:
Schedules A, C and D of the Agreement are hereby deleted in their entirety
and replaced with the Schedules A, C and D attached hereto, respectively.
All other terms and provisions of the Agreement not amended herein shall
remain in full force and effect.
Effective Date as of ________, 2003.
Franklin Xxxxxxxxx Variable Insurance Products Trust
By:
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Name:
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Title:
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Franklin Xxxxxxxxx Distributors, Inc.
By:
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Name:
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Title:
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The United States Life Insurance
Company in the City of New York
By:
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Name:
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Title:
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Schedule A
The Company
The United States Life Insurance Company in the City of New York
000 Xxxxx Xxxxxx
Xxx Xxxx, Xxx Xxxx 00000
A life insurance company organized as a corporation under New York law.
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Schedule C
Available Portfolios and Classes of Shares of the Trust; Investment Advisers
Franklin Xxxxxxxxx Variable Insurance Products Trust Investment Adviser
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Franklin U.S. Government Fund-Class 2 Franklin Advisers, Inc.
Mutual Shares Securities Fund-Class 2 Franklin Mutual Advisers, LLC
Templeton Foreign Securities Fund-Class 2 Xxxxxxxxx Investment Counsel, Inc.
Franklin Small Cap Value Securities Fund - Class 2 Franklin Advisory Services, LLC
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Schedule D
Contracts of the Company
Product Name
Registered Y/N Separate Account Name
Insurance 1933 Act # Registered Y/N
# Company State Form ID 1940 Act # Classes of Shares and Portfolios
---- ----------------------------- --------------------- ----------------------------- --------------------------------
01 The United States Life Platinum Investor The United States Life Class 2 shares:
Insurance VUL Insurance Company in the City Franklin U.S. Government Fund
Company in the City of New Yes of New York Separate Account Mutual Shares Securities Fund
York 333-79471 USL VL-R Xxxxxxxxx International
97600N Yes Securities Fund
811-09359
02 The United States Life Platinum Investor The United States Life Class 2 shares:
Insurance Company in the City Survivor VUL Insurance Company in the City Franklin U.S. Government Fund
of New York Yes of New York Separate Account Mutual Shares Securities Fund
333-57026 USL VL-R Xxxxxxxxx International
99206N Yes Securities Fund
811-09359
03 The United States Life Platinum Investor The United States Life Class 2 shares:
Insurance Company in the City PLUS VUL Insurance Company in the City Franklin U.S. Government Fund
of New York 333-_______ of New York Separate Account Mutual Shares Securities Fund
02600N USL VL-R Templeton Foreign Securities
Yes Fund
811-09359 Franklin Small Cap Value
Securities Fund
04 The United States Life Platinum Investor The United States Life Class 2 shares:
Insurance Company in the City Survivor II VUL Insurance Company in the City Franklin U.S. Government Fund
of New York 333-_______ of New York Separate Account Mutual Shares Securities Fund
01206N USL VL-R Templeton Foreign Securities
Yes Fund
811-09359 Franklin Small Cap Value
Securities Fund
05 The United States Life Platinum Investor III The United States Life Class 2 shares:
Insurance Company in the City VUL Insurance Company in the City Franklin U.S. Government Fund
of New York 333-_______ of New York Separate Account Mutual Shares Securities Fund
00600N USL VL-R Templeton Foreign Securities
Yes Fund
811-09359 Franklin Small Cap Value
Securities Fund
06 The United States Life Platinum Investor IVA The United States Life Class 2 shares:
Insurance Company in the City 333-_______ Insurance Company in the City Franklin U.S. Government Fund
of New York ______N of New York Separate Account Mutual Shares Securities Fund
USL VA-R Templeton Foreign Securities
Yes Fund
811-09359 Franklin Small Cap Value
Securities Fund
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