Certain identified information has been excluded from this exhibit because it is both (1) not material and (2) would likely cause competitive harm to the registrant if publicly disclosed.
AMENDMENT #3
(hereafter called the “AMENDMENT”)
Effective December 9, 2010
to the
AUTOMATIC AND FACULTATIVE YEARLY RENEWABLE TERM AGREEMENT
(hereafter called the “AGREEMENT”)
Originally Effective December 1, 2008
Ceding Company Reference: CGA22
Reinsurer Reference: 11438-00-00
between
PACIFIC LIFE INSURANCE COMPANY
Omaha, Nebraska
NAIC Number 67466
FEIN 951079000
(hereafter called the “CEDING COMPANY”)
and
RGA REINSURANCE COMPANY
Chesterfield, Missouri
NAIC Number 93572
FEIN 431235868
(hereafter called the “REINSURER”)
IT IS HEREBY MUTUALLY AGREED that the AGREEMENT is amended to include on an automatic basis the following policies from their inception:
Policy Number |
| Issue Date |
| Policy Face Amount |
| PL Retention |
| Face Amount Ceded |
[ ] |
| [ ] |
| [ ] |
| [ ] |
| [ ] |
[ ] |
| [ ] |
| [ ] |
| [ ] |
| [ ] |
The Premiums payable for coverage of the above polices will be based on the applicable rates shown in Exhibit C-Premiums of this Agreement.
ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.
IN WITNESS WHEREOF THE PARTIES HERETO have by their respective officers executed this AMENDMENT in duplicate on the dates below to be effective December 9, 2010:
PACIFIC LIFE INSURANCE COMPANY |
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By: | /s/ Kent Johnson |
| By: | /s/ Cheryl Tobin |
| Kent Johnson |
|
| Cheryl Tobin, Assistant Vice President |
| Vice President, |
|
| Assistant Secretary |
| Actuarial and Reinsurance |
|
| Legal |
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|
|
Date: | 07/05/11 |
|
| 7/8/11 |
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RGA REINSURANCE COMPANY |
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By: | /s/ Susan Willeat |
| By: | /s/ Larry Fischer |
| Susan Willeat |
|
| Larry Fischer |
| VP & Actuary |
|
| VP & Actuary |
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Date: | 6/28/2011 |
|
| 6-28-2011 |