EX-8.(Q)(VI) 9 e31126ex_8qvi.txt FORM OF AMENDMENT Exhibit 8(q)(vi) THIRD AMENDMENT TO FUND PARTICIPATION AGREEMENT THIS SECOND AMENDMENT TO FUND PARTICIPATION AGREEMENT is made as of this ____ day of March, 2008 among JEFFERSON NATIONAL LIFE INSURANCE COMPANY (formerly, Conseco Variable Insurance Company) ("Company"), SELIGMAN PORTFOLIOS, INC., ("Fund"), AND SELIGMAN ADVISORS, INC. ("Distributor") (collectively, the "Parties"). Capitalized terms not otherwise defined herein shall have the meaning ascribed to them in the Agreement (defined below). RECITALS WHEREAS, Company, Fund, and Distributor are parties to a Participation Agreement dated May 1, 2000, as amended August 5, 2003 and May 1, 2006 (the "Agreement"); and WHEREAS, the Parties to the Agreement desire to make Class 1 shares of certain of the Portfolios available to Company's Accounts; and WHEREAS, The Parties desire and agree to amend the Agreement by deleting Schedule A of the Agreement and replacing it with the revised Schedule A attached hereto. NOW, THEREFORE, in consideration of the premises and mutual covenants contained herein, the Parties hereby amend the Agreement as follows: 1. Schedule A of the Agreement is hereby replaced in its entirety with Schedule A as attached and incorporated by reference to this Amendment. All other terms of the Agreement shall remain in full force and effect. [Intentionally Left Blank] 1 IN WITNESS WHEREOF, the Parties have executed this Amendment as of the ____ day of March 2008. JEFFERSON NATIONAL LIFE INSURANCE COMPANY By its authorized officer, By:______________________________________ Name: Title: Date: SELIGMAN PORTFOLIOS, INC. By its authorized officer, By:______________________________________ Name: Title: Date: SELIGMAN ADVISORS, INC. By its authorized officer, By:______________________________________ Name: Title: Date: 2 Schedule A ---------- Separate Accounts and Associated Contracts ------------------------------------------
Names of Separate Account and Contracts Funded Date Established by Board of Directors By Separate Account -------------------------------------- ------------------- Jefferson National Life Annuity Account C - (1/01/1980) Annuity Contract Form No. 22-4025 (Individual), 32-4000 (Group) Jefferson National Life Annuity Account E - (7/25/1994) Annuity Contract Form No. 22-4047/32-4003 (Achievement), 22-4048/32-4002 (Educator) Jefferson National Life Annuity Account F - (9/26/97) Annuity Contract Form No. 22-4061 Jefferson National Life Annuity Account G - (1/18/96) Annuity Contract Form No. 22-4056, JNL-2300, JNL-2300-1, JNL-2300-2 Jefferson National Life Annuity Account H - (11/1/99) Annuity Contract Form No. CVIC-2000, CVIC-2001 (State Specific) Jefferson National Life Annuity Account I - (8/23/2000) Annuity Contract Form No. CVIC-2004 or -2005 (state specific) Jefferson National Life Annuity Account J - (11/3/2003) Annuity Contract Form No. JNL-2100 Jefferson National Life Annuity Account K - (11/3/2003) Annuity Contract Form No. JNL-2200 Jefferson National Life Account L - (1/10/2001) Annuity Contract Form No. CIVIC-1001, CIVIC-1003
The following shares of the Portfolios are available as an investment vehicle for funding of the Accounts: Portfolio Class --------- ----- Seligman Communications and Information Portfolio Class 2 Seligman Global Technology Portfolio Class 2 Seligman Smaller-Cap Value Portfolio Class 1 Seligman Large-Cap Value Portfolio Class 1 3