in force variable life investment optional services

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VFNDS Page 1 of 13 15-30729-35 11/2021 PACIFIC LIFE INSURANCE COMPANY Life Insurance Division P.O. Box 2030 • Omaha, NE 68103-2030 (800) 347-7787 • Fax (866) 398-0467 www.PacificLife.com • [email protected] IN FORCE VARIABLE LIFE INVESTMENT OPTION SERVICES Primary Insured’s Name: First MI Last Policy Number Policyowner’s Name Telephone Number (Include area code) Visit the policyowner website, My Life Insurance Account, at PacLife.co/MLA to complete and submit your request online, or check the boxes below for only those services you wish to change, enroll, or cancel. Any existing services that are not changed on this form will continue based on current instructions on file with Pacific Life Insurance Company (PLIC). Request Complete Sections One-Time Reallocation 1., 6. & 8. Portfolio Rebalancing 2., 6. & 8. Dollar Cost Averaging (DCA) 3., 6. & 8. Fixed Transfer Services (FTS) (Scheduled Indexed Transfer or Fixed Option Interest Sweep) 4., 6. & 8. Indexed Segment Maturity Reallocation 5. & 8. Fund to Fund Transfers 7. & 8. Future Payment Allocation 7. & 8. IMPORTANT: NOT ALL VARIABLE INVESTMENT OPTIONS ARE AVAILABLE ON ALL PRODUCTS. TO AVOID ANY DELAYS IN THE EFFECTIVE DATE OF YOUR TRANSACTION, ENSURE THE INVESTMENT OPTION SELECTED ON THIS FORM IS AVAILABLE FOR YOUR POLICY. TO CHECK IF THE DESIRED INVESTMENT OPTION(S) IS AVAILABLE, REFER TO YOUR PROSPECTUS OR THE MONTHLY PERFORMANCE REPORT ON WWW.PACIFICLIFE.COM FOR A DETAILED LIST OF INVESTMENT OPTIONS AVAILABILITY AND RESTRICTIONS. 1. One-Time Reallocation One-Time Reallocation includes a current transfer of your existing Variable Investment Options. Complete the One-Time percentage column in Section 6. Your future payment allocations will be updated to match the selected allocations unless otherwise indicated in Section 7. Any active scheduled rebalancing will be cancelled if all or any portion of the policy’s accumulated value is transferred from the investment options currently selected for your Portfolio Rebalancing program. 2. Portfolio Rebalancing Rebalancing automatically rebalances the Accumulated Value in the Variable Investment Options to the allocation percentages selected in Section 6. The date of the scheduled event is based on your policy date. Portfolio rebalancing must include two or more funds. If you would like to reallocate your policy to one fund, please refer to Section 1. – One-Time Reallocation. Choosing Enroll or Change includes a current transfer of your existing variable investment options. Your future payment allocations will be updated to match the selected allocations unless otherwise indicated in Section 7. Action Desired: (select one) Enroll Change Cancel Frequency of Transfers: (select one) Quarterly Semi-Annually Annually Allocation Selection: Complete the Rebalance percentage column in Section 6. Rebalancing will continue until 1) a written request from the policyowner(s) to discontinue is received, or 2) if at any time the policyowner moves all or any portion of the policy’s accumulated value out of the investment options selected at the time of enrollment. 3. Dollar Cost Averaging (DCA) DCA is the movement of values from one Variable Investment Option into one or more Variable Investment Options on a predetermined schedule. Transfer dates will occur based on the frequency selected and on the same day of the month as your policy date. Action Desired: Enroll Change Cancel Transfer From: (Use Investment Option name from list in Section 6.) Transfer Options: (select one) Deplete the investment option in number of transfers. Transfer $ until end date (mm/dd/yyyy). If no end date is provided, transfers will continue indefinitely as long as there is value in the source fund and will resume if value in the source fund is replenished. Frequency of Transfers: (select one): Monthly Quarterly Semi-Annually Annually If a frequency is not selected the frequency will default to monthly. Allocation Selection: Complete the DCA percentage column in Section 6.

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Page 1: In Force Variable Life Investment Optional Services

VFNDS

Page 1 of 13 15-30729-35 11/2021

PACIFIC LIFE INSURANCE COMPANY Life Insurance Division P.O. Box 2030 • Omaha, NE 68103-2030 (800) 347-7787 • Fax (866) 398-0467 www.PacificLife.com • [email protected]

IN FORCE VARIABLE LIFE INVESTMENT OPTION SERVICES Primary Insured’s Name: First MI Last Policy Number

Policyowner’s Name Telephone Number (Include area code)

Visit the policyowner website, My Life Insurance Account, at PacLife.co/MLA to complete and submit your request online, or check the boxes below for only those services you wish to change, enroll, or cancel. Any existing services that are not changed on this form will continue based on current instructions on file with Pacific Life Insurance Company (PLIC).

Request Complete Sections One-Time Reallocation 1., 6. & 8. Portfolio Rebalancing 2., 6. & 8. Dollar Cost Averaging (DCA) 3., 6. & 8. Fixed Transfer Services (FTS) (Scheduled Indexed Transfer or Fixed Option Interest Sweep) 4., 6. & 8. Indexed Segment Maturity Reallocation 5. & 8. Fund to Fund Transfers 7. & 8. Future Payment Allocation 7. & 8.

IMPORTANT: NOT ALL VARIABLE INVESTMENT OPTIONS ARE AVAILABLE ON ALL PRODUCTS. TO AVOID ANY DELAYS IN THE EFFECTIVE DATE OF YOUR TRANSACTION, ENSURE THE INVESTMENT OPTION SELECTED ON THIS FORM IS AVAILABLE FOR YOUR POLICY. TO CHECK IF THE DESIRED INVESTMENT OPTION(S) IS AVAILABLE, REFER TO YOUR PROSPECTUS OR THE MONTHLY PERFORMANCE REPORT ON WWW.PACIFICLIFE.COM FOR A DETAILED LIST OF INVESTMENT OPTIONS AVAILABILITY AND RESTRICTIONS. 1. One-Time Reallocation One-Time Reallocation includes a current transfer of your existing Variable Investment Options. Complete the One-Time percentage column in Section 6. Your future payment allocations will be updated to match the selected allocations unless otherwise indicated in Section 7. Any active scheduled rebalancing will be cancelled if all or any portion of the policy’s accumulated value is transferred from the investment options currently selected for your Portfolio Rebalancing program. 2. Portfolio Rebalancing Rebalancing automatically rebalances the Accumulated Value in the Variable Investment Options to the allocation percentages selected in Section 6. The date of the scheduled event is based on your policy date. Portfolio rebalancing must include two or more funds. If you would like to reallocate your policy to one fund, please refer to Section 1. – One-Time Reallocation. Choosing Enroll or Change includes a current transfer of your existing variable investment options. Your future payment allocations will be updated to match the selected allocations unless otherwise indicated in Section 7.

Action Desired: (select one) Enroll Change Cancel Frequency of Transfers: (select one) Quarterly Semi-Annually Annually Allocation Selection: Complete the Rebalance percentage column in Section 6.

Rebalancing will continue until 1) a written request from the policyowner(s) to discontinue is received, or 2) if at any time the policyowner moves all or any portion of the policy’s accumulated value out of the investment options selected at the time of enrollment. 3. Dollar Cost Averaging (DCA) DCA is the movement of values from one Variable Investment Option into one or more Variable Investment Options on a predetermined schedule. Transfer dates will occur based on the frequency selected and on the same day of the month as your policy date. Action Desired: Enroll Change Cancel Transfer From: (Use Investment Option name from list in Section 6.) Transfer Options: (select one)

Deplete the investment option in number of transfers.

Transfer $ until end date (mm/dd/yyyy). If no end date is provided, transfers will continue indefinitely as long as there is value in the source fund and will resume if value in the source fund is replenished. Frequency of Transfers: (select one): Monthly Quarterly Semi-Annually Annually If a frequency is not selected the frequency will default to monthly. Allocation Selection: Complete the DCA percentage column in Section 6.

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IN FORCE VARIABLE LIFE INVESTMENT OPTION SERVICES

Primary Insured’s Name: First MI Last Policy Number

4. Fixed Transfer Service (FTS) Only one Fixed Transfer Service may be active at a time. Any current FTS service will be cancelled and replaced with this current request.

The Fixed Transfer Services allows scheduled transfers from the Fixed Account(s) to the selected investment options. See prospectus for details. Action Desired: Enroll Change Cancel

SCHEDULED INDEXED TRANSFER (SIT) allows scheduled transfers from the Fixed Account to the Indexed Account(s) on the next available Segment Start Date. Choose only one option below. (Not all Indexed Options are available on all products.)

Option 1 - Specified Transfer Amount Option 2 - 1 Year Depletion

Transfer $ on each Transfer Date based on the frequency selected below: Duration – if none is selected, default is no end date

No End Date End after_____# of transfers

Deplete the Fixed Account based on frequency selected below.

Transfer from: Fixed Account Transfer to: (Not all Indexed Options are available on all products.)

% 1 Year Indexed Account (Also known as 1-Year Indexed)

% 1 Year Indexed Account 3 (Also known as 1-Year High Par)

% 1 Year Indexed Account 4 (Also known as 1-Year No Cap)

% 1 Year Indexed Account 6 (Also known as 1-Year High Cap Plus) Start Date: Transfer dates will occur based on the frequency selected below and on the next available transfer date.

Frequency of Transfers: (select one): Monthly Quarterly FIXED OPTION INTEREST SWEEP (ISW) allows the accumulation of interest earnings from either the Fixed or Fixed LT Account to be transferred to the variable investment options. Transfer from (select one): Fixed Account Fixed LT Account Transfer to: Complete the ISW column in section 6.

Start Date: Transfer dates will occur based on the frequency selected and on the same day of the month as your policy date. End Date: (mm/dd/yyyy)

If no end date is provided, transfer will continue indefinitely as long as there is value in the account and will resume if value in the account is replenished. Frequency of Transfers: (select one): Monthly Quarterly Semi-Annually Annually

If applicable, complete the New Business Variable Life Optional Services form to enroll in or make changes to the First Year Transfer Service.

5. Indexed Segment Maturity Reallocation Complete this section to reallocate the Indexed Segment Maturity Value to a new segment(s) or Fixed Option(s). (Not all Indexed Options are available on all products.)

1-Year Indexed Option 1-Year High Par Indexed Option

Transfer % to 1-Year Indexed Transfer % to 1-Year Indexed

Transfer % to 1-Year High Par Transfer % to 1-Year High Par

Transfer % to 1-Year No Cap Transfer % to 1-Year No Cap

Transfer % to 1-Year High Cap Plus Transfer % to 1-Year High Cap Plus

Transfer % to Fixed Account Transfer % to Fixed Account

Transfer % to Fixed LT Account Transfer % to Fixed LT Account

Total: % MUST EQUAL 100% Total: % MUST EQUAL 100%

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IN FORCE VARIABLE LIFE INVESTMENT OPTION SERVICES

Primary Insured’s Name: First MI Last Policy Number

5. Indexed Segment Maturity Reallocation (Continued) Complete this section to reallocate the Indexed Segment Maturity Value to a new segment(s) or Fixed Option(s). (Not all Indexed Options are available on all products.)

1-Year No Cap Indexed Option 1-Year High Cap Plus Indexed Option

Transfer % to 1-Year Indexed Transfer % to 1-Year Indexed

Transfer % to 1-Year High Par Transfer % to 1-Year High Par

Transfer % to 1-Year No Cap Transfer % to 1-Year No Cap

Transfer % to 1-Year High Cap Plus Transfer % to 1-Year High Cap Plus

Transfer % to Fixed Account Transfer % to Fixed Account

Transfer % to Fixed LT Account Transfer % to Fixed LT Account

Total: % MUST EQUAL 100% Total: % MUST EQUAL 100%

6. Allocations Not all variable investment options or indexed options listed below are available on all products. See your prospectus or the Monthly Performance Report for a complete list of investment options availability and restrictions. Percentage Totals must equal 100% for each column.

Investment Options Internal Use Code

(A) One-Time %

(B) Rebalance %

(C) DCA %

(D) ISW %

Domestic Equity Amer Century VP Mid Cap Value AV, AK Amer Funds IS Growth1 AR, AQ, AP Amer Funds IS Growth-Income1 AI, AU, AT BlackRock Basic Value V.I. 2J, BY BNY Mellon VIF Appreciation AS ClearBridge Var Aggr Growth T2, CY ClearBridge Var Mid Cap N2, CZ ClearBridge Var Small Cap Growth CW DFA VA US Large Value VN DFA VA US Targeted Value VM Fidelity VIP Contrafund1 2N, MK Fidelity VIP Growth1 2S, M5 Fidelity VIP Mid Cap1 2D, M7 Fidelity VIP Total Market Index1 M8, N5 Fidelity VIP Value Strategies1 2E, M9 Invesco V.I. Discovery Mid Cap Growth OJ Invesco V.I. Main Street Small Cap OH Janus Henderson VIT Enterprise J2, J3 Janus Henderson VIT Mid Cap Value K3 Lord Abbett Ser Fund Fundamental Equity LA

1Transfer restrictions apply. See pages 8 through 12 for Fund to Fund Transfer and to designate new Future Payment Allocations.

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IN FORCE VARIABLE LIFE INVESTMENT OPTION SERVICES

Primary Insured’s Name: First MI Last Policy Number

6. Allocations (Continued) Not all variable investment options or indexed options listed below are available on all products. See your prospectus or the Monthly Performance Report for a complete list of investment options availability and restrictions. Percentage Totals must equal 100% for each column.

Investment Options Internal Use Code

(A) One-Time %

(B) Rebalance %

(C) DCA %

(D) ISW %

Domestic Equity (Continued) M Capital Appreciation (Frontier) A2 M Large Cap Growth (DSM Capital) C2 M Large Cap Value (Brandywine) O2 MFS VIT III Blended Research Small Cap Equity NN MFS VIT New Discovery Ser L2, MW MFS VIT Value Ser M3, MZ Neuberger Berman AMT Sustainable Equity NR PSF Dividend Growth (T. Rowe Price) V2, V4 PSF Equity Index (BlackRock) EX, EY PSF Focused Growth (Janus) Q2, Q1 PSF Growth (MFS) G2, G3 PSF Hedged Equity (JPMorgan) OY PSF Large-Cap Growth (BlackRock) 2B, BØ PSF Large-Cap Value (ClearBridge) LC, CL PSF Main Street Core (Invesco) ET, ES PSF Mid-Cap Equity (Scout) MC, M4 PSF Mid-Cap Growth (Delaware) 2M, CØ PSF Mid-Cap Value (Boston Partners) MA, DØ PSF Small-Cap Equity (BlackRock/Franklin) 2V, V5 PSF Small-Cap Index (BlackRock) SC, SB PSF Small-Cap Value (AllianceBernstein) SR, SS PSF Value (American Century) Y2, Y3 PSF Value Advantage (JPMorgan) VA, VZ Royce Micro-Cap RM, RN T. Rowe Price Blue Chip Growth1 2K, K1 T. Rowe Price Equity Income1 2L, L1 Vanguard VIF Capital Growth VJ Vanguard VIF Diversified Value VI Vanguard VIF Equity Income VS Vanguard VIF Mid Cap Index VC

1Transfer restrictions apply. See pages 8 through 12 for Fund to Fund Transfer and to designate new Future Payment Allocations.

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IN FORCE VARIABLE LIFE INVESTMENT OPTION SERVICES Primary Insured’s Name: First MI Last Policy Number

6. Allocations (Continued) Not all variable investment options or indexed options listed below are available on all products. See your prospectus or the Monthly Performance Report for a complete list of investment options availability and restrictions. Percentage Totals must equal 100% for each column.

Investment Options Internal Use Code

(A) One-Time %

(B) Rebalance %

(C) DCA %

(D) ISW %

Asset Allocation/Balanced Amer Funds IS Asset Alloc1 AA, AO, AL BlackRock 60/40 Target Alloc ETF V.I. BB BlackRock Glbl Alloc V.I.1 2I, BZ Fidelity VIP Freedom 20101 NA Fidelity VIP Freedom 20151 NB Fidelity VIP Freedom 20201 NC Fidelity VIP Freedom 20251 ND, MS Fidelity VIP Freedom 2030 NE, MT Fidelity VIP Freedom 20351 NG, MU Fidelity VIP Freedom 20451 NH, MV Fidelity VIP Freedom Income1 NF MR Lazard Retirement Glbl Dyn Multi-Asset1 W3, LZ MFS VIT Total Return Ser1 MX PIMCO VIT Glbl Managed Asset Alloc1 PG, PJ PSF DFA Balanced Alloc (PLFA) ØG, VT PSF ESG Diversified (PLFA) OZ PSF Pac Dyn – Conserv Growth (PLFA) ME, QE PSF Pac Dyn – Growth (PLFA) MH, QH PSF Pac Dyn – Mod Growth (PLFA) MJ, QJ PSF Port Opt Aggr-Growth (PLFA) ØE, 9E PSF Port Opt Conserv (PLFA) ØA, 9A PSF Port Opt Growth (PLFA) ØD, 9D PSF Port Opt Mod (PLFA) ØC, 9C PSF Port Opt Mod-Conserv (PLFA) ØB, 9B State Street Total Return V.I.S. GE

International Equity Amer Funds IS Intl1 AY Amer Funds IS New World1 AZ DFA VA Intl Small VP DFA VA Intl Value1 VO Fidelity VIP Intl Index M6, N4 Invesco V.I. Global1 OG, OK

1Transfer restrictions apply. See pages 8 through 12 for Fund to Fund Transfer and to designate new Future Payment Allocations.

Page 6: In Force Variable Life Investment Optional Services

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IN FORCE VARIABLE LIFE INVESTMENT OPTION SERVICES Primary Insured’s Name: First MI Last Policy Number

6. Allocations (Continued) Not all variable investment options or indexed options listed below are available on all products. See your prospectus or the Monthly Performance Report for a complete list of investment options availability and restrictions. Percentage Totals must equal 100% for each column.

Investment Options Internal Use Code

(A) One-Time %

(B) Rebalance %

(C) DCA %

(D) ISW %

International Equity (Continued) Invesco V.I. Intl Growth1 IG, OL Janus Henderson VIT Overseas1 H2, H3 Lazard Retirement Intl Equity1 W1 M Intl Equity (DFA)1 S2 MFS VIT II Research International1 NM PSF Emerging Markets (Invesco) EM, PE PSF Intl Large-Cap (MFS) X2, X1 PSF Intl Small-Cap (Fidelity) I2, I3 PSF Intl Value (Wellington)1 IX, I8 Templeton Foreign VIP1 TF, TD Vanguard VIF Intl1 VR

Sector/Specialty MFS VIT III Global Real Estate1 NO MFS VIT Utilities Ser M2, MY PIMCO VIT CommodityRealReturn Strategy PK PSF Health Sciences (BlackRock) 2H, H4 PSF Real Estate (Principal REI) R2, R1 PSF Technology (MFS)1 2T, T1 VanEck VIP Glbl Resources1 2W Vanguard VIF Real Estate Index VF

Cash Equivalents Fidelity VIP Govt Money Market1 MM

Fixed Income Amer Century VP Inflation Protection AJ Amer Funds IS American High-Income Trust1 AW DFA VA Short-Term Fixed VQ Fidelity VIP Bond Index MI, N3 Lord Abbett Ser Fund Bond Debenture LB Lord Abbett Ser Fund Total Return LT MFS VIT II Government Securities NL PIMCO VIT Income PI

1Transfer restrictions apply. See pages 8 through 12 for Fund to Fund Transfer and to designate new Future Payment Allocations.

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IN FORCE VARIABLE LIFE INVESTMENT OPTION SERVICES Primary Insured’s Name: First MI Last Policy Number

6. Allocations (Continued) Not all variable investment options or indexed options listed below are available on all products. See your prospectus or the Monthly Performance Report for a complete list of investment options availability and restrictions. Percentage Totals must equal 100% for each column.

Investment Options Internal Use Code

(A) One-Time %

(B) Rebalance %

(C) DCA %

(D) ISW %

Fixed Income (Continued) PSF Core Income (PAM) CO, CP PSF Diversified Bond (Western Asset) 2U, U1 PSF Emerging Markets Debt (Principal) EG, PF PSF Floating Rate Income (PAM) RI, RH PSF High Yield Bond (PAM) HB, HI PSF Inflation Managed (PIMCO) GO, GZ PSF Managed Bond (PIMCO) MB, M1 PSF Short Duration Bond (T. Rowe Price) D2, D4 Templeton Glbl Bond VIP1 TG, TE Vanguard VIF High Yield Bond N6 Vanguard VIF Short-Term Investment-Grade VG Vanguard VIF Total Bond Market Index VB Western Asset Var Glbl High Yield Bond1 W4, W5

Indexed Account Options

Pacific Life-1 Year Indexed Account1 V1, VX N/A N/A N/A

Pacific Life-1 Year Indexed Account 3 (1-Year High Par)1 VH N/A N/A N/A

Pacific Life-1 Year Indexed Account 4 (1-Year No Cap)1 V6, TX N/A N/A N/A Pacific Life-1 Year Indexed Account 6 (1-Year High Cap Plus) UX N/A N/A N/A

Fixed Account Options

Pacific Life-Fixed Account1 N/A N/A N/A

Pacific Life-Fixed LT Account1 N/A N/A N/A Other Approved Investment Options

1Transfer restrictions apply. See pages 8 through 12 for Fund to Fund Transfer and to designate new Future Payment Allocations.

Page 8: In Force Variable Life Investment Optional Services

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IN FORCE VARIABLE LIFE INVESTMENT OPTION SERVICES

Primary Insured’s Name: First MI Last Policy Number

7. Fund to Fund Transfer / Future Payment Allocations Not all variable investment options or indexed account options listed below are available on all products. See your prospectus or the Monthly Performance Report for a complete list of investment option availability and restrictions. Percentage Totals in the Transfer TO and Future Payment Allocations columns must equal 100%.

Do not change my future payment allocations.

Transfer FROM Enter $ or % Investment options Internal

Use Code Transfer TO Enter $ or %

Future Payment Allocation %

Domestic Equity

Amer Century VP Mid Cap Value AV, AK

Amer Funds IS Growth1 AR, AQ, AP

Amer Funds IS Growth-Income1 AI, AU, AT

BlackRock Basic Value V.I. 2J, BY

BNY Mellon VIF Appreciation AS

ClearBridge Var Aggr Growth T2, CY

ClearBridge Var Mid Cap N2, CZ

ClearBridge Var Small Cap Growth CW

DFA VA US Large Value VN

DFA VA US Targeted Value VM

Fidelity VIP Contrafund1 2N, MK

Fidelity VIP Growth1 2S, M5

Fidelity VIP Mid Cap1 2D, M7

Fidelity VIP Total Market Index M8, N5

Fidelity VIP Value Strategies1 2E, M9

Invesco V.I. Discovery Mid Cap Growth OJ

Invesco V.I. Main Street Small Cap OH

Janus Henderson VIT Enterprise J2, J3

Janus Henderson VIT Mid Cap Value K3

Lord Abbett Ser Fund Fundamental Equity LA

M Capital Appreciation (Frontier) A2

M Large Cap Growth (DSM Capital) C2

M Large Cap Value (Brandywine) O2

MFS VIT III Blended Research Small Cap Equity NN

MFS VIT New Discovery Ser L2, MW

MFS VIT Value Ser M3, MZ

Neuberger Berman AMT Sustainable Equity NR

PSF Dividend Growth (T. Rowe Price) V2, V4

PSF Equity Index (BlackRock) EX, EY

PSF Focused Growth (Janus) Q2, Q1 1Transfer restrictions apply.

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IN FORCE VARIABLE LIFE INVESTMENT OPTION SERVICES

Primary Insured’s Name: First MI Last Policy Number

7. Fund to Fund Transfer / Future Payment Allocations (Continued) Not all variable investment options or indexed account options listed below are available on all products. See your prospectus or the Monthly Performance Report for a complete list of investment option availability and restrictions. Percentage Totals in the Transfer TO and Future Payment Allocations columns must equal 100%.

Do not change my future payment allocations.

Transfer FROM Enter $ or % Investment Options Internal Use

Code Transfer TO Enter $ or %

Future Payment Allocation %

Domestic Equity (Continued)

PSF Growth (MFS) G2, G3

PSF Hedged Equity (JPMorgan) OY

PSF Large-Cap Growth (BlackRock) 2B, BØ

PSF Large-Cap Value (ClearBridge) LC, CL

PSF Main Street Core (Invesco) ET, ES

PSF Mid-Cap Equity (Scout) MC, M4

PSF Mid-Cap Growth (Delaware) 2M, CØ

PSF Mid-Cap Value (Boston Partners) MA, DØ

PSF Small-Cap Equity (BlackRock/Franklin) 2V, V5

PSF Small-Cap Growth (MFS) AE N/A N/A

PSF Small-Cap Index (BlackRock) SC, SB

PSF Small-Cap Value (AllianceBernstein) SR, SS

PSF Value (American Century) Y2, Y3

PSF Value Advantage (JPMorgan) VA, VZ

Royce Micro-Cap RM, RN

T. Rowe Price Blue Chip Growth1 2K, K1

T. Rowe Price Equity Income1 2L, L1

Vanguard VIF Capital Growth VJ

Vanguard VIF Diversified Value VI

Vanguard VIF Equity Income VS

Vanguard VIF Mid Cap Index VC

Vanguard VIF Small Company Growth VK N/A N/A

Asset Allocation/Balanced

Amer Funds IS Asset Alloc1 AA, AO, AL

BlackRock 60/40 Target Alloc ETF V.I. BB

BlackRock Glbl Alloc V.I.1 2I, BZ

Fidelity VIP Freedom 20101 NA

Fidelity VIP Freedom 20151 NB

Fidelity VIP Freedom 20201 NC

Fidelity VIP Freedom 20251 ND, MS 1Transfer restrictions apply.

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IN FORCE VARIABLE LIFE INVESTMENT OPTION SERVICES Primary Insured’s Name: First MI Last Policy Number

7. Fund to Fund Transfer / Future Payment Allocations (Continued) Not all variable investment options or indexed account options listed below are available on all products. See your prospectus or the Monthly Performance Report for a complete list of investment option availability and restrictions. Percentage Totals in the Transfer TO and Future Payment Allocations columns must equal 100%.

Do not change my future payment allocations.

Transfer FROM Enter $ or % Investment options Internal Use

Code Transfer TO Enter $ or %

Future Payment Allocation %

Asset Allocation/Balanced (Continued)

Fidelity VIP Freedom 2030 NE, MT Fidelity VIP Freedom 20351 NG, MU Fidelity VIP Freedom 20451 NH, MV Fidelity VIP Freedom Income1 NF MR Lazard Retirement Glbl Dyn Multi-Asset1 W3, LZ MFS VIT Total Return Ser1 MX PIMCO VIT Glbl Managed Asset Alloc1 PG, PJ PSF DFA Balanced Alloc (PLFA) ØG, VT PSF ESG Diversified (PLFA) OZ PSF Pac Dyn – Conserv Growth (PLFA) ME, QE PSF Pac Dyn – Growth (PLFA) MH, QH PSF Pac Dyn – Mod Growth (PLFA) MJ, QJ PSF Port Opt Aggr-Growth (PLFA) ØE, 9E PSF Port Opt Conserv (PLFA) ØA, 9A PSF Port Opt Growth (PLFA) ØD, 9D PSF Port Opt Mod (PLFA) ØC, 9C PSF Port Opt Mod-Conserv (PLFA) ØB, 9B State Street Total Return V.I.S. GE International Equity

Amer Funds IS Intl1 AY

Amer Funds IS New World1 AZ

DFA VA Intl Small1 VP

DFA VA Intl Value1 VO

Fidelity VIP Intl Index M6, N4

Invesco V.I. Global1 OG, OK

Invesco V.I. Intl Growth1 IG, OL

Janus Henderson VIT Overseas1 H2, H3

Lazard Retirement Intl Equity1 W1

M Intl Equity (DFA)1 S2

MFS VIT II Research International1 NM

PSF Emerging Markets (Invesco) EM, PE

PSF Intl Large-Cap (MFS) X2, X1 1Transfer restrictions apply.

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IN FORCE VARIABLE LIFE INVESTMENT OPTION SERVICES

Primary Insured’s Name: First MI Last Policy Number

7. Fund to Fund Transfer / Future Payment Allocations (Continued)

Not all variable investment options or indexed account options listed below are available on all products. See your prospectus or the Monthly Performance Report for a complete list of investment option availability and restrictions. Percentage Totals in the Transfer TO and Future Payment Allocations columns must equal 100%.

Do not change my future payment allocations.

Transfer FROM Enter $ or % Investment options Internal

Use Code Transfer TO Enter $ or %

Future Payment Allocation %

International Equity (Continued)

PSF Intl Small-Cap (Fidelity) I2, I3

PSF Intl Value (Wellington)1 IX, I8

Templeton Foreign VIP1 TF, TD

Vanguard VIF Intl1 VR

Sector/Specialty

MFS VIT III Global Real Estate1 NO

MFS VIT Utilities Ser M2, MY

PIMCO VIT CommodityRealReturn Strategy PK

PSF Health Sciences (BlackRock) 2H, H4

PSF Real Estate (Principal REI) R2, R1

PSF Technology (MFS)1 2T, T1

VanEck VIP Glbl Resources1 2W

Vanguard VIF Real Estate Index VF

Cash Equivalents

Fidelity VIP Govt Money Market MM

Fixed Income

Amer Century VP Inflation Protection AJ

Amer Funds IS American High-Income Trust1 AW

DFA VA Short-Term Fixed VQ

Fidelity VIP Bond Index1 MI, N3

Lord Abbett Ser Fund Bond Debenture LB

Lord Abbett Ser Fund Total Return LT

MFS VIT II Government Securities NL

PIMCO VIT Income PI

PSF Core Income (PAM) CO, CP

PSF Diversified Bond (Western Asset) 2U, U1

PSF Emerging Markets Debt (Principal) EG, PF

PSF Floating Rate Income (PAM) RI, RH

PSF High Yield Bond (PAM) HB, HI

PSF Inflation Managed (PIMCO) GO, GZ 1Transfer restrictions apply.

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IN FORCE VARIABLE LIFE INVESTMENT OPTION SERVICES

Primary Insured’s Name: First MI Last Policy Number

7. Fund to Fund Transfer / Future Payment Allocations (Continued)

Not all variable investment options or indexed account options listed below are available on all products. See your prospectus or the Monthly Performance Report for a complete list of investment option availability and restrictions. Percentage Totals in the Transfer TO and Future Payment Allocations columns must equal 100%.

Do not change my future payment allocations.

Transfer FROM Enter $ or % Investment options Internal

Use Code Transfer TO Enter $ or %

Future Payment Allocation %

Fixed Income (Continued)

PSF Managed Bond (PIMCO) MB, M1

PSF Short Duration Bond (T. Rowe Price) D2, D4

Templeton Glbl Bond VIP1 TG, TE

Vanguard VIF High Yield Bond N6

Vanguard VIF Short-Term Investment-Grade VG

Vanguard VIF Total Bond Market Index VB

Western Asset Var Glbl High Yield Bond1 W4, W5

Indexed Account Options

N/A Pacific Life-1 Year Indexed Account1 V1, VX

N/A Pacific Life-1 Year Indexed Account 3 (1-Year High Par)1 VH

N/A Pacific Life-1 Year Indexed Account 4 (1-Year No Cap)1 V6, TX

N/A Pacific Life-1 Year Indexed Account 6 (1-Year High Cap Plus) UX

Fixed Account Options

Pacific Life-Fixed Account1

Pacific Life-Fixed LT Account1

Other Approved Investment Options

1Transfer restrictions apply.

Page 13: In Force Variable Life Investment Optional Services

Page 13 of 13 15-30729-35 11/2021

IN FORCE VARIABLE LIFE INVESTMENT OPTION SERVICES

Primary Insured’s Name: First MI Last Policy Number

8. Signatures I understand that Pacific Life Insurance Company (PLIC) will not process any changes or financial transactions if my intent is determined to be unclear. In the event that PLIC needs clarification, the effective date of the transaction will correspond to the time and date that PLIC receives such clarification. If you are signing on behalf of an entity, you represent that you are authorized to execute this document and to make the statements that are shown. You further represent that all requirements of those entities, including the use of any seal (in the case of a Corporation) and any authorized signatures (in the case of a Corporation and/or Trust), have been met. SIGNED AND DATED ON: Date (mm/dd/yyyy)

Print Name: First MI Last Title, if applicable X Policyowner’s Signature

Print Name: First MI Last Title, if applicable X Assignee’s Signature

Print Name: First MI Last Title, if applicable X Other Required Signature (Must check a box below)

Indicate role of “Other Required” signature:

Additional Policyowner Additional Assignee Insured Additional Insured Business Entity’s Authorized Representative Trustee

Attorney-in-Fact Irrevocable Beneficiary Premium Payor/Remitter New Policyowner (only required for ownership changes) Applicant (only required at time of application) Other:

INSTRUCTIONS

When to use this form:

This form is used to allocate payments, rebalance and/or transfer investment options using the variable transfer services available on your variable life insurance policy.

Who must sign this form:

POLICYOWNER(S) – Required signature(s). ASSIGNEE(S) – Required when the policy has an active assignment(s) and the assignee’s signature, or consent is required according to the assignment agreement. OTHER REQUIRED SIGNATURE(S) – Any party that has an ownership interest that requires them to approve this policy request. Indicate their signing capacity by checking the appropriate role. If the policyowner, assignee or other required signing party is a Corporation, Business Entity, or Trust, all signatures required by the governing documents or the trust agreement (if a Trust) must be included, in addition to the authorized representative(s) title or signing capacity.

Where to send this form:

Regular mail: Pacific Life Insurance Company Life Insurance Division P.O. Box 2030 Omaha, NE 68103-2030

Overnight mail: Pacific Life Insurance Company Life Insurance Division, 5th floor 6750 Mercy Rd Omaha, NE 68106

Fax: (866) 398-0467 In-force policy e-mail: [email protected] Customer Service: (800) 347-7787