EX-8.(L)(IV) 5 e31125ex_8liv.txt FORM OF AMENDMENT Exhibit 8(l)(iv) AMENDMENT TO FUND PARTICIPATION AGREEMENT AMONG PIMCO VARIABLE INSURANCE TRUST, ALLIANZ GLOBAL INVESTORS DISTRIBUTORS LLC (FORMERLY PIMCO ADVISORS DISTRIBUTORS LLC), and JEFFERSON NATIONAL LIFE INSURANCE COMPANY For good and valuable consideration, the receipt of which is hereby acknowledged, the parties agree to amend the May 1, 2003 Fund Participation Agreement, as amended (the "Agreement"), among PIMCO Variable Insurance Trust (the "Fund"), a Delaware business trust, Allianz Global Investors Distributors LLC (the "Underwriter") and Jefferson National Life Insurance Company as follows: 1. Schedule A thereto is hereby modified in its entirety to read as set forth in Schedule A attached hereto. 2. All other terms of the Agreement shall remain in full force and effect. 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 this date, May 1, 2008. PIMCO VARIABLE INSURANCE TRUST By: _____________________________________ Name: Title: ALLIANZ GLOBAL INVESTORS DISTRIBUTORS LLC By: _____________________________________ Name: Title: JEFFERSON NATIONAL LIFE INSURANCE COMPANY By: _____________________________________ Name: Craig A. Hawley Title: General Counsel & Secretary Page 1 of 2 Schedule A PIMCO Variable Insurance Trust Portfolios: PIMCO VIT All Asset PIMCO VIT CommodityReal Return Strategy PIMCO VIT Emerging Markets Bond PIMCO VIT Foreign Bond (US Dollar-Hedged) PIMCO VIT Global Bond (Unhedged) PIMCO VIT High Yield PIMCO VIT RealEstateRealReturn Strategy PIMCO VIT Real Return Portfolio (Administrative Class) PIMCO VIT Short Term Portfolio (Administrative Class) PIMCO VIT StocksPLUS Total Return PIMCO VIT Total Return Portfolio (Administrative Class) Segregated Asset Accounts: Form: Jefferson National Life Annuity Account C 22-4025 (Individual) 32-4000 (Group) Jefferson National Life Annuity Account E 22-4047/32-4003 (Achievement) 22-4048/32-4002 (Educator) Jefferson National Life Annuity Account F 22-4061 Jefferson National Life Annuity Account G 22-4056 JNL-2300 JNL-2300-1; JNL-2300-2 Jefferson National Life Annuity Account H CVIC-2000 or -2001 (state specific) Jefferson National Life Annuity Account I CVIC-2004 or -2005 (state specific) Jefferson National Life Annuity Account J JNL-2100 Jefferson National Life Annuity Account K JNL-2200 Jefferson National Variable Account L Page 2 of 2