EX-99.(H)(3)(B) 17 dex99h3b.txt FORM OF AMENDMENT TO PARTICIPATION AGREEMENT EXHIBIT (h)(3)(b) AMENDMENT TO PARTICIPATION AGREEMENT Among ALLIANCE VARIABLE PRODUCTS SERIES FUND, INC. and AIG LIFE INSURANCE COMPANY WHEREAS, the above-named parties have executed a Participation Agreement, effective as of the 1/st/ day of May, 1995; and WHEREAS, the parties are desirous of expanding their business relationship to include other separate accounts of the Company; and WHEREAS, Company is desirous of adding other, non-Alliance, mutual funds to the list of those funds appearing on Schedule C of the Participation Agreement; NOW, THEREFORE, the parties agree that Schedules A and C to the Participation Agreement are amended to read as follows: SCHEDULE A SEPARATE ACCOUNTS AND ASSOCIATED CONTRACTS
Name of Separate Account and Policy Form Number of Contracts Date Established by Board of Directors By Separate Account . Variable Account I 45648-4/87 (June 5, 1986) (Individual Single Premium Variable Deferred Annuity Contract) 52049 (Group Flexible Premium Variable Deferred Annuity Contract) 56450 (Group Flexible Premium Variable Deferred Annuity Certificate) 56777 (Individual Flexible Premium Variable Deferred Annuity Contract)
1 11VAN0896 (Individual Variable Annuity Contract) 11VAN0896GP (Group Variable Annuity Contract) 16VAN0896 (Certificate of Coverage) . Variable Account II 1VUL1294 (June 5, 1986) (Individual Flexible Variable Universal Life Insurance Policy) 11GVUL0597 (Group Flexible Premium Variable Life Insurance Policy) 16GVUL0597 (Group Flexible Premium Variable Life Insurance Certificate) 11GVULD997 Group Flexible Premium Variable Life Insurance Policy (Sex-Distinct) 11GVULU997 (Group Flexible Premium Variable Life Insurance Policy) (Uni-sex) 1lVUL399 (Flexible Premium Variable Life Insurance Policy) 1lVUL399G (Group Flexible Premium Variable Life Insurance Policy) 16VUL399G (Group Flexible Premium Variable Life Insurance Certificate) . Variable Account III GVA-1067 (October 27, 1994) (Eastern Airlines, Inc. Variable Benefit Plan for Flight Engineers -Non - Participating Single Premium Group Variable Annuity Contract)
2 . Variable Account IV 11GVUL0495 (group contract) (July 18, 1995) 16GVUL0495 (group certificate) 11GVUL0197 (group contract) 16GVUL0197 (group certificate) 11PVUL0996 (individual contract) 11JVUL0197 (individual contract) 11JVUL0197 (individual contract) 11JVUL0798 (individual contract) 52221 (7/91) (individual contract) 12PVUL1098 Rider . Variable Account 7, 8, 9 &10 11PVUL0996 (December 11, 1998) (Individual Flexible Variable Life Policy) 11FJVUL798 (Joint and Last Survivor Variable Life Policy)
3 SCHEDULE C Investment companies currently available under variable annuities or variable life insurance issued by the Company: Anchor Series Trust AIM Variable Insurance Funds, Inc. Alliance Variable Products Series Fund, Inc. Delaware Group Premium Fund, Inc. Dreyfus Stock Index Fund Dreyfus Variable Investment Fund Fidelity Variable Insurance Products Fund Fidelity Variable Insurance Products Fund II Goldman Sachs Variable Insurance Trust Hotchkis & Wiley Variable Trust Merrill Lynch Variable Series Fund Mercury Asset Management Master Trust Mitchell Hutchins Series Trust Morgan Stanley Dean Witter Universal Funds, Inc. Neuberger & Berman Advisers Management Trust SunAmerica Series Trust Templeton Variable Products Series Fund Van Eck Worldwide Insurance Trust IN WITNESS WHEREOF, the parties have set their hand as of the 30th day of July, 1999. AIG LIFE INSURANCE COMPANY By: /s/ Kenneth F. Judkowitz ------------------------ Name: Kenneth F. Judkowitz Title: Vice President ALLIANCE VARIABLE PRODUCTS SERIES FUND, INC. By: /s/ Richard A. Winge -------------------- Name: Richard A. Winge Title: Senior Vice President Managing Director 4