EX-99.1.8.C.1 4 dex9918c1.txt AMENDMENT TO PARTICIPATION AGREEMENT Exhibit 1.(8)(c)(1) Amendment to the Participation Agreement with Fidelity Variable Insurance Products Funds II authorizing use by Seperate Account A. AMENDMENT NO. 5 PARTICIPATION AGREEMENT Among Variable Insurance Products Fund II, ------------------------------------ Fidelity Distributors Corporation --------------------------------- And Paragon Life Insurance Company ------------------------------ WHERAS, the above-referenced Agreement was originally executed as of the 1st day of September, 1993; and WHEREAS, the parties thereto are desirous of modifying said Agreement; NOW therefore; said agreement is hereby amended, effective as of the 31st day of August 2001, as follows. The Schedule A of the agreement is hearby deleted in its entirety and replaced With the Amended Schedule A attached hereto. IN WITNESS WHEREOF, the parties have hereto affixed their respective authorized signatures, intending that this Amendment be effective as of the 31st day of August, 2001. PARAGON LIFE INSURANCE COMPANY By: /s/ Craig K. Nordyke ------------------------------------- Name: Craig K. Nordyke Title: Executive Vice President & Chief Actuary VARIABLE INSURANCE PRODUCTS FUND By: /s/ Robert Dwight -------------------------------------- Name: Robert Dwight Treasurer FIDELITY DISTRUBUTORS CORPORATION By: /s/ Tim Moran --------------------------------------- Tim Moran Senior Vice President - CFO Schedule A ---------- The following separate accounts and contract forms for which one or more portfolios of Variable Insurance Products Fund is to be made available by Paragon Life Insurance Company:
Name of Date Established Contract Separate Account by Board of Directors Form Numbers ---------------- --------------------- ------------ Separate Account B January 4, 1993 30022, 30036, 30044 Group Certificate 30023, 30037, Group Master Contract 30021, 30040, 30045, Individual Policy Separate Account C August 1, 1993 30022, 30036, 30044, Group Certificate 30023, 30037, Group Master Contract 30021, 30040, 30045, Individual Policy Separate Account D January 3, 1995 30041, 30046, Individual Policy 30042, Joint and Last Survivor Policy Separate Account A October 30, 1987 30009 Group Certificate 30010 Group Master Contract 30008 Individual Policy