TRAVELERS SEPARATE ACCOUNT FIVE FOR VARIABLE ANNUITIES
N-4/A, 1998-11-03
Previous: TRAVELERS SEPARATE ACCOUNT SIX FOR VARIABLE ANNUITIES, N-4/A, 1998-11-03
Next: CELL PATHWAYS HOLDINGS INC, S-8, 1998-11-03



<PAGE>   1
                                            Registration Statement No. 333-58783
                                                                       811-08867
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                    FORM N-4

             REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
                          Pre-Effective Amendment No. 1

                                       And

         REGISTRATION STATEMENT UNDER THE INVESTMENT COMPANY ACT OF 1940
                          Pre-Effective Amendment No. 1

           THE TRAVELERS SEPARATE ACCOUNT FIVE FOR VARIABLE ANNUITIES
           ----------------------------------------------------------
                           (Exact name of Registrant)

                         THE TRAVELERS INSURANCE COMPANY
                               (Name of Depositor)

                  ONE TOWER SQUARE, HARTFORD, CONNECTICUT 06183
                  ---------------------------------------------
              (Address of Depositor's Principal Executive Offices)

        Depositor's Telephone Number, including area code: (860) 277-0111
                                                           --------------

                                ERNEST J. WRIGHT
                         The Travelers Insurance Company
                                One Tower Square
                           Hartford, Connecticut 06183
                           ---------------------------
                     (Name and Address of Agent for Service)


Approximate Date of Proposed Public Offering:  As soon as practicable following 
                                               the effectiveness of the
                                               Registration Statement.

It is proposed that this filing will become effective (check appropriate box):
N/A       immediately upon filing pursuant to paragraph (b) of Rule 485. 
- ---
N/A       on ___________ pursuant to paragraph (b) of Rule 485. 
- ---
N/A       60 days after filing pursuant to paragraph (a)(1) of Rule 485. 
- ---
N/A       on ___________ pursuant to paragraph (a)(1) of Rule 485.
- ---

If appropriate, check the following box:
_____     this post-effective amendment designates a new effective date for a
          previously filed post-effective amendment.


The Registrant hereby amends this registration statement on such date or dates
as may be necessary to delay its effective date until the registrant shall file
a further amendment which specifically states that this registration statement
shall thereafter become effective in accordance with Section 8(a) of the
Securities Act of 1933 or until the registration statement shall become
effective on such date as the Commission, acting pursuant to Section 8(a), may
determine.


<PAGE>   2


           THE TRAVELERS SEPARATE ACCOUNT FIVE FOR VARIABLE ANNUITIES

                              Cross-Reference Sheet

                                    Form N-4

<TABLE>
<CAPTION>
Item
No.                                                                                 Caption in Prospectus
- ---                                                                                 ---------------------
<S>                                                                                 <C>
1.  Cover Page                                                                      Prospectus
2.  Definitions                                                                     Index of Special Terms
3.  Synopsis                                                                        Contract Profile
4.  Condensed Financial Information                                                 Not Applicable
5.  General Description of Registrant,                                              The Insurance Company; The Separate Account;
    Depositor, and Portfolio Companies                                                      the Funding Options
6.  Deductions                                                                      Charges and Deductions; Distribution of Variable
                                                                                            Annuity Contracts
7.  General Description of Variable                                                 The Annuity Contract
    Annuity Contracts
8.  Annuity Period                                                                  The Annuity Period
9.  Death Benefit                                                                   Death Benefit
10.  Purchases and Contract Value                                                   The Annuity Contract; Distribution of Variable
                                                                                            Annuity Contracts
11.  Redemptions                                                                    Access to Your Money
12.  Taxes                                                                          Federal Tax Considerations
13.  Legal Proceedings                                                              Legal Proceedings and Opinions
14.  Table of Contents of Statement                                                 Appendix A - Contents of the Statement of
     of Additional Information                                                              Additional Information


                                                                                    Caption in Statement of Additional
                                                                                    Information
                                                                                    -----------------------------------
15.  Cover Page                                                                     Cover Page
16.  Table of Contents                                                              Table of Contents
17.  General Information and History                                                The Insurance Company
18.  Services                                                                       Principal Underwriter; Distribution and
                                                                                            Management Agreement
19.  Purchase of Securities Being Offered                                           Valuation of Assets
20.  Underwriters                                                                   Principal Underwriter
21.  Calculation of Performance Data                                                Performance Information
22.  Annuity Payments                                                               Not Applicable
23.  Financial Statements                                                           Financial Statements    
</TABLE>


<PAGE>   3















                                     PART A

                      Information Required in a Prospectus


<PAGE>   4
 
                              TRAVELERS RETIREMENT
                                VARIABLE ANNUITY
 
                                CONTRACT PROFILE
 
   
                               NOVEMBER 18, 1998
    
 
THIS PROFILE IS A SUMMARY OF SOME OF THE MORE IMPORTANT POINTS THAT YOU SHOULD
KNOW AND CONSIDER BEFORE PURCHASING THE CONTRACT. THE CONTRACT IS MORE FULLY
DESCRIBED IN THE FULL PROSPECTUS WHICH IS ATTACHED TO THIS PROFILE. PLEASE READ
THE PROSPECTUS CAREFULLY. THE TERMS "WE," "US," "OUR" AND THE "COMPANY" REFER TO
TRAVELERS INSURANCE COMPANY. "YOU" AND "YOUR" REFER TO THE CONTRACT
OWNER/PARTICIPANT.
 
   
1. THE VARIABLE ANNUITY CONTRACT.  The Contract offered by Travelers Insurance
Company is a variable annuity that is intended for retirement savings or other
long-term investment purposes. The Contract provides a death benefit as well as
guaranteed income options. The Contract may be issued as an individual Contract
or group Contract. In states where only group Contracts are available, you will
be issued a certificate summarizing the provisions of the group Contract. For
convenience, this prospectus refers to both Contracts and Certificates as
"Contracts," and individual participants are referred to as "Contract Owners".
You can make one or more payments, as you choose, on a pre-tax basis. You direct
your payment(s) to one or more of the variable funding options offered through
the Separate Account, as listed in Section 4. Depending on market conditions,
you may make or lose money in any of these options.
    
 
The Contract, like all deferred variable annuity contracts, has two phases: the
accumulation phase and the income phase. During the accumulation phase, your
pre-tax contributions accumulate on a tax-deferred basis and are taxed as income
when you make a withdrawal, presumably when you are in a lower tax bracket. The
income phase occurs when you begin receiving payments from your Contract. The
amount of money you accumulate in your Contract determines the amount of income
(annuity payments) you receive during the income phase.
 
2. ANNUITY PAYMENTS (THE INCOME PHASE).  If you want to receive regular income
payments from your annuity, you can choose one of the following annuity options:
Option 1 -- payments for your life (life annuity) -- assuming that you are the
annuitant; Option 2 -- payments for your life with an added guarantee that
payments will continue to your beneficiary for a certain number of months (120,
180 or 240, as you select), if you should die during that period; Option
3 -- Joint and Last Survivor Life Annuity, in which payments are made for your
life and the life of another person (usually your spouse); Option 4 -- Joint and
Last Survivor Life Annuity, in which the annuity is reduced on death of Primary
Payee; Option 5 -- payment for a Fixed Period.
 
Once you make an election of an annuity option and begin to receive payments, it
cannot be changed. During the income phase, you have the same investment choices
you had during the accumulation phase. If amounts are directed to the funding
options through the Separate Account, the dollar amount of your payments may
increase or decrease.
 
   
In addition, depending on which annuity option you select, and depending on
market conditions, there are several other options and features available upon
annuitization. These include an annuitization credit, a variable annuitization
floor benefit, a liquidity benefit and an increasing benefit option. Please
refer to your Contract and the attached prospectus for further details.
    
 
3. PURCHASE.  You may purchase the Contract with an initial payment of at least
$20,000. You may make additional payments of at least $5,000 at any time during
the accumulation phase.
 
CONSERVATION CREDIT.  We may add a credit to funds received as purchase payments
if such funds originated from another contract issued by Us or Our affiliates.
If applied, the amount of this credit will be determined by us.
<PAGE>   5
 
OPTIONAL DEATH BENEFIT CREDIT.  If you select the Optional Death Benefit, we
will add a credit to each purchase payment equal to 2% of that purchase payment.
These credits are applied pro rata to the same funding options to which your
purchase payment was applied.
 
WHO SHOULD PURCHASE THIS CONTRACT?  The Contract is currently available for use
in connection with qualified retirement plans, which include contracts
qualifying under Section 401, 403, 408 or 457 of the Internal Revenue Code of
1986, as amended.
 
4. INVESTMENT OPTIONS.  You can direct your money into any or all of the
following funding options. They are described in the accompanying fund
prospectuses. Depending on market conditions, you may make or lose money in any
of these options:
 
High Yield Bond Trust
Managed Assets Trust
Money Market Portfolio
AMERICAN ODYSSEY FUNDS, INC.
  Core Equity Fund
  Emerging Opportunities Fund
  Global High-Yield Bond Fund
  Intermediate-Term Bond Fund
  International Equity Fund
  Long-Term Bond Fund
DELAWARE GROUP PREMIUM FUND, INC.
  REIT Series
  Small Cap Value Series
DREYFUS VARIABLE INVESTMENT FUND
  Capital Appreciation Portfolio
  Small Cap Portfolio
GREENWICH STREET SERIES FUND
  Equity Index Portfolio Class II
MONTGOMERY FUNDS III
  Montgomery Variable Series: Growth Fund
OCC ACCUMULATION TRUST
  Equity Portfolio
SALOMON BROTHERS VARIABLE SERIES FUNDS, INC.
  Salomon Brothers Variable Capital Fund
  Salomon Brothers Variable Investors Fund
  Salomon Brothers Variable Total Return
     Fund
STRONG VARIABLE INSURANCE FUNDS, INC.
  Strong Schafer Value Fund II
TRAVELERS SERIES FUND, INC.
  Alliance Growth Portfolio
  MFS Total Return Portfolio
  Putnam Diversified Income Portfolio
  Smith Barney High Income Portfolio
  Smith Barney International Equity Portfolio
  Smith Barney Large Capitalization Growth      Portfolio
THE TRAVELERS SERIES TRUST
  Disciplined Mid Cap Stock Portfolio
  Disciplined Small Cap Stock Portfolio
  Equity Income Portfolio
  Federated Stock Portfolio
  Large Cap Portfolio
  Lazard International Stock Portfolio
  MFS Mid Cap Growth Portfolio
  MFS Research Portfolio
  Social Awareness Stock Portfolio
  Strategic Stock Portfolio
  Travelers Quality Bond Portfolio
  U.S. Government Securities Portfolio
  Utilities Portfolio
WARBURG PINCUS TRUST
  Emerging Markets Portfolio
 
   
5. EXPENSES.  The Contract has insurance features and investment features, and
there are costs related to each. For the Standard Death Benefit, the annual
insurance charge is .80% of the amounts you direct to the funding options. For
the Optional Death Benefit and Credit option, the annual insurance charge is
1.25%. Certain funding options have fee reimbursement and/or fee waiver
arrangements which serve to reduce the charges shown.
    
 
Each funding option has charges for management and other expenses. The charges
range from .58% to 2.11% annually, of the average daily net asset balance of the
funding option, depending on the funding option.
 
If you withdraw amounts under the Contract, the Company may deduct a withdrawal
charge (0% to 5%) of the amount of purchase payments withdrawn from the
Contract. If you withdraw all amounts under the Contract, or if you begin
receiving annuity payments, the Company may be required by your state to deduct
a premium tax of 0%-5%.
 
   
If the Variable Annuitization Floor Benefit is selected, there is a Floor
Benefit charge assessed. This charge increases your annual separate account
charges by a percentage not to exceed 3% per year. This charge will vary based
upon market conditions, and will be set at the time you choose this option. Once
established, this charge will remain the same throughout the term of the
    
 
                                       ii
<PAGE>   6
 
   
annuitization. The Floor Benefit charge compensates us for the risk we take in
guaranteeing that, regardless of the performance of the funding options, your
periodic annuity payments will never be less than a certain percentage of your
first annuity payment.
    
 
The following table is designed to help you understand the Contract charges. In
the table below, "Total Annual Insurance Charge" includes the mortality and
expense risk charge of .80% for the Standard Death Benefit(a), and 1.25% for the
Optional Death Benefit and Credit(b). The column "Total Annual Charges" reflects
the mortality and expense risk charge and the investment charges for each
portfolio. Each of the American Odyssey Funds is listed twice, once with the
optional CHART asset allocation fee of .80% reflected, and once without the
optional asset allocation fee. The columns under the heading "Examples" show how
much you would pay under the Contract for a one-year period and for a 10-year
period. As required by the SEC, the examples assume that you invested $1,000 in
a Contract that earns 5% annually and that you withdraw your money at the end of
year 1 and at the end of year 10. For years 1 and 10, the examples show the
aggregate of all the annual charges assessed during that time. For these
examples, the premium tax is assumed to be 0%.
 
   
Please refer to the fee table contained in the prospectus for more details.
    
 
   
<TABLE>
<CAPTION>
                                                                          TOTAL                EXAMPLES: TOTAL
                                                               TOTAL      ANNUAL               ANNUAL EXPENSES
                                                              ANNUAL     FUNDING     TOTAL       AT END OF:
                                                             INSURANCE    OPTION    ANNUAL    -----------------
                    PORTFOLIO NAME                            CHARGES    EXPENSES   CHARGES   1 YEAR   10 YEARS
- ---------------------------------------------------------------------------------------------------------------
<S>                                                    <C>   <C>         <C>        <C>       <C>      <C>
High Yield Bond Trust................................. (a)      .80%      0.84%      1.64%     $67       $194
                                                       (b)     1.25%      0.84%      2.09%      71        242
Managed Assets Trust.................................. (a)      .80%      0.63%      1.43%      65        171
                                                       (b)     1.25%      0.63%      1.88%      69        220
Money Market Portfolio................................ (a)      .80%      0.40%      1.20%      62        145
                                                       (b)     1.25%      0.40%      1.65%      67        195
AMERICAN ODYSSEY FUNDS, INC.(1)
    Core Equity Fund.................................. (a)      .80%      0.65%      1.45%      65        174
                                                       (b)     1.25%      0.65%      1.90%      69        222
    Emerging Opportunities Fund....................... (a)      .80%      0.86%      1.66%      67        197
                                                       (b)     1.25%      0.86%      2.11%      71        244
    Global High-Yield Bond Fund....................... (a)      .80%      0.68%      1.48%      65        177
                                                       (b)     1.25%      0.68%      2.05%      70        225
    Intermediate-Term Bond Fund....................... (a)      .80%      0.63%      1.43%      65        171
                                                       (b)     1.25%      0.63%      1.88%      69        220
    International Equity Fund......................... (a)      .80%      0.77%      1.57%      66        187
                                                       (b)     1.25%      0.77%      2.02%      71        235
    Long-Term Bond Fund............................... (a)      .80%      0.62%      1.42%      64        170
                                                       (b)     1.25%      0.62%      1.87%      69        219
AMERICAN ODYSSEY FUNDS, INC.(2)
    Core Equity Fund.................................. (a)      .80%      1.45%      2.25%      73        258
                                                       (b)     1.25%      1.45%      2.70%      77        303
    Emerging Opportunities Fund....................... (a)      .80%      1.66%      2.46%      75        280
                                                       (b)     1.25%      1.66%      2.91%      79        323
    Global High-Yield Bond Fund....................... (a)      .80%      1.48%      2.28%      73        262
                                                       (b)     1.25%      1.48%      2.28%      78        306
    Intermediate-Term Bond Fund....................... (a)      .80%      1.43%      2.23%      73        256
                                                       (b)     1.25%      1.43%      2.68%      77        301
    International Equity Fund......................... (a)      .80%      1.57%      2.37%      74        271
                                                       (b)     1.25%      1.57%      2.82%      79        315
    Long-Term Bond Fund............................... (a)      .80%      1.42%      2.22%      73        255
                                                       (b)     1.25%      1.42%      2.67%      77        300
DELAWARE GROUP PREMIUM FUND, INC.
    REIT Series....................................... (a)      .80%      0.85%      1.65%      67        195
                                                       (b)     1.25%      0.85%      2.10%      71        243
    Small Cap Value Series............................ (a)      .80%      0.85%      1.65%      67        195
                                                       (b)     1.25%      0.85%      2.10%      71        243
</TABLE>
    
 
                                       iii
<PAGE>   7
 
   
<TABLE>
<CAPTION>
                                                                          TOTAL                EXAMPLES: TOTAL
                                                               TOTAL      ANNUAL               ANNUAL EXPENSES
                                                              ANNUAL     FUNDING     TOTAL       AT END OF:
                                                             INSURANCE    OPTION    ANNUAL    -----------------
                    PORTFOLIO NAME                            CHARGES    EXPENSES   CHARGES   1 YEAR   10 YEARS
- ---------------------------------------------------------------------------------------------------------------
<S>                                                    <C>   <C>         <C>        <C>       <C>      <C>
DREYFUS VARIABLE INVESTMENT FUND
    Capital Appreciation Portfolio.................... (a)      .80%      0.80%      1.60%     $66       $190
                                                       (b)     1.25%      0.80%      2.05%      71        238
    Small Cap Portfolio............................... (a)      .80%      0.78%      1.58%      66        188
                                                       (b)     1.25%      0.78%      2.03%      71        236
GREENWICH STREET SERIES FUND
    Equity Index Portfolio Class II................... (a)      .80%       .55%      1.45%      64        162
                                                       (b)     1.25%       .55%      1.80%      68        212
MONTGOMERY FUNDS III
    Montgomery Variable Series: Growth Fund........... (a)      .80%      1.25%      2.05%      71        238
                                                       (b)     1.25%      1.25%      2.50%      75        284
OCC ACCUMULATION TRUST
    Equity Portfolio.................................. (a)      .80%      0.99%      1.79%      68        211
                                                       (b)     1.25%      0.99%      2.24%      73        257
SALOMON BROTHERS VARIABLE SERIES FUNDS, INC.
    Salomon Brothers Variable Capital Fund............ (a)      .80%      1.00%      1.80%      68        212
                                                       (b)     1.25%      1.00%      2.25%      73        258
    Salomon Brothers Variable Investors Fund.......... (a)      .80%      1.00%      1.80%      68        212
                                                       (b)     1.25%      1.00%      2.25%      73        258
    Salomon Brothers Variable Total Return Fund....... (a)      .80%      1.00%      1.80%      68        212
                                                       (b)     1.25%      1.00%      2.25%      73        258
STRONG VARIABLE INSURANCE FUNDS, INC.
    Strong Schafer Value Fund II...................... (a)      .80%      1.20%      2.00%      70        233
                                                       (b)     1.25%      1.20%      2.45%      75        279
TRAVELERS SERIES FUND, INC.
    Alliance Growth Portfolio......................... (a)      .80%      0.82%      1.62%      66        192
                                                       (b)     1.25%      0.82%      2.07%      71        240
    MFS Total Return Portfolio........................ (a)      .80%      0.86%      1.66%      67        197
                                                       (b)     1.25%      0.80%      2.11%      71        244
    Putnam Diversified Income Portfolio............... (a)      .80%      0.88%      1.68%      67        199
                                                       (b)     1.25%      0.88%      2.13%      72        246
    Smith Barney High Income Portfolio................ (a)      .80%      0.70%      1.50%      65        179
                                                       (b)     1.25%      0.70%      1.95%      70        227
    Smith Barney International Equity Portfolio....... (a)      .80%      1.01%      1.81%      68        213
                                                       (b)     1.25%      1.01%      2.26%      73        260
    Smith Barney Large Capitalization Growth
      Portfolio....................................... (a)      .80%      1.00%      1.80%      68        212
                                                       (b)     1.25%      1.00%      2.25%      73        258
THE TRAVELERS SERIES TRUST
    Disciplined Mid Cap Stock Portfolio............... (a)      .80%      0.95%      1.75%      68        206
                                                       (b)     1.25%      0.95%      2.20%      72        253
    Disciplined Small Cap Stock Portfolio............. (a)      .80%      1.00%      1.80%      68        212
                                                       (b)     1.25%      1.00%      2.25%      73        258
    Equity Income Portfolio........................... (a)      .80%      0.95%      1.75%      68        206
                                                       (b)     1.25%      0.95%      2.20%      72        253
    Federated Stock Portfolio......................... (a)      .80%      0.95%      1.75%      68        206
                                                       (b)     1.25%      0.95%      2.20%      72        253
    Large Cap Portfolio............................... (a)      .80%      0.95%      1.75%      68        206
                                                       (b)     1.25%      0.95%      2.20%      72        253
    Lazard International Stock Portfolio.............. (a)      .80%      1.25%      2.05%      71        238
                                                       (b)     1.25%      1.25%      2.50%      75        284
    MFS Mid Cap Growth Portfolio...................... (a)      .80%      1.00%      1.80%      68        217
                                                       (b)     1.25%      1.00%      2.25%      73        258
    MFS Research Portfolio............................ (a)      .80%      1.00%      1.80%      68        212
                                                       (b)     1.25%      1.00%      2.25%      73        258
    Social Awareness Stock Portfolio.................. (a)      .80%      0.98%      1.78%      68        209
                                                       (b)     1.25%      0.98%      2.23%      73        256
    Strategic Stock Portfolio......................... (a)      .80%      0.90%      1.70%      67        201
                                                       (b)     1.25%      0.90%      2.15%      72        248
</TABLE>
    
 
                                       iv
<PAGE>   8
 
   
<TABLE>
<CAPTION>
                                                                          TOTAL                EXAMPLES: TOTAL
                                                               TOTAL      ANNUAL               ANNUAL EXPENSES
                                                              ANNUAL     FUNDING     TOTAL       AT END OF:
                                                             INSURANCE    OPTION    ANNUAL    -----------------
                    PORTFOLIO NAME                            CHARGES    EXPENSES   CHARGES   1 YEAR   10 YEARS
- ---------------------------------------------------------------------------------------------------------------
<S>                                                    <C>   <C>         <C>        <C>       <C>      <C>
    Travelers Quality Bond Portfolio.................. (a)      .80%      0.75%      1.55%     $66       $185
                                                       (b)     1.25%      0.75%      2.00%      70        233
    U.S. Government Securities Portfolio.............. (a)      .80%      0.58%      1.38%      64        166
                                                       (b)     1.25%      0.58%      1.83%      69        215
    Utilities Portfolio............................... (a)      .80%      1.06%      1.86%      69        218
                                                       (b)     1.25%      1.06%      2.31%      73        265
WARBURG PINCUS TRUST
    Emerging Markets Portfolio........................ (a)      .80%      1.40%      2.20%      72        253
                                                       (b)     1.25%      1.40%      2.65%      77        298
</TABLE>
    
 
   
(1) Reflects expenses that would be incurred for those Contract Owners who DO
    NOT participate in the CHART Asset Allocation program.
    
 
(2) Reflects expenses that would be incurred for those Contract Owners who DO
    participate in the CHART Asset Allocation program.
 
6. TAXES.  The payments you make during the accumulation phase are made with
before-tax dollars. You will be taxed on your purchase payments and on any
earnings when you make a withdrawal or begin receiving annuity payments.
 
If you reach a certain age, you may be required by federal tax laws to begin
receiving payments from your annuity or risk paying a penalty tax. In those
cases, we can calculate and pay you the minimum required distribution amounts.
If you are younger than 59 1/2 when you take money out, you may be charged a 10%
federal penalty tax on the amount withdrawn.
 
During the annuity period, if you have elected the optional Variable Annuity
Floor option and take a surrender, there will be tax implications. Consult your
tax advisor.
 
   
7. ACCESS TO YOUR MONEY.  You can take withdrawals any time during the
accumulation phase. A withdrawal charge may apply. The amount of the charge
depends on a number of factors, including the length of time since the purchase
payment was made (5% if withdrawn within one year, gradually decreasing to 0%
for payments held by the Company for 6 years or more). During the first contract
year, you may withdraw up to 20% of the initial purchase payment without a
withdrawal charge. After the first contract year, you may withdraw up to 20% of
the contract value (as of the end of the previous contract year) without a
withdrawal charge. Of course, you may have to pay income taxes and a tax penalty
on taxable amounts you withdraw.
    
 
   
8. PERFORMANCE.  The value of the Contract will vary depending upon the
investment performance of the funding options you choose. Past performance is
not a guarantee of future results. The Separate Account is new, and therefore
has no past performance. However, the funding options have been available for
various periods of time. Performance information that predates the separate
account is considered "nonstandard" by the SEC. Such nonstandard performance is
shown in the Statement of Additional Information that you may request free of
charge.
    
 
9. DEATH BENEFIT.  The person chosen as the beneficiary will receive a death
benefit upon the first death of any owner or the annuitant before the maturity
date. You may select either the Standard Death Benefit or the Optional Death
Benefit and Credit at the time of purchase:
 
STANDARD DEATH BENEFIT:
 
<TABLE>
<CAPTION>
- -----------------------------------------------------------------------------------------
    ANNUITANT'S AGE                             DEATH BENEFIT PAYABLE
 ON THE CONTRACT DATE                  (CALCULATED AS OF THE DEATH REPORT DATE)
- -----------------------------------------------------------------------------------------
<S>                          <C>
 Before age 80               Greater of:
                             (1) contract value; or (2) total purchase payments less any
                             withdrawals (and related charges).
- -----------------------------------------------------------------------------------------
 On or after age 80          Contract value.
- -----------------------------------------------------------------------------------------
</TABLE>
 
                                        v
<PAGE>   9
 
OPTIONAL DEATH BENEFIT AND CREDIT
 
   
The Optional Death Benefit and Credit varies depending on the Annuitant's age on
the Contract Date.
    
 
   
<TABLE>
<CAPTION>
 
- -----------------------------------------------------------------------------------------
    ANNUITANT'S AGE                             DEATH BENEFIT PAYABLE
 ON THE CONTRACT DATE                  (CALCULATED AS OF THE DEATH REPORT DATE)
- -----------------------------------------------------------------------------------------
<S>                          <C>
 Under Age 70                IF NOTIFIED WITHIN 6 MONTHS OF THE DEATH: Greatest of:
                             (1) contract value; (2) total purchase payments, less any
                             withdrawals (and related charges), or (3) maximum Step Up
                                 death benefit value associated with contract date
                                 anniversaries beginning with the 5th, and ending with
                                 the last before the annuitant's 76th birthday.
                             IF NOTIFIED 6 MONTHS OR MORE AFTER THE DEATH: Contract Value
                             (unless prohibited by state law)
- -----------------------------------------------------------------------------------------
 Age 70-75                   IF NOTIFIED WITHIN 6 MONTHS OF THE DEATH: Greatest of:
                             (1) above, (2) above, or (3) the Step Up death benefit value
                             associated with the 5th contract date anniversary.
                             IF NOTIFIED 6 MONTHS OR MORE AFTER THE DEATH: Contract Value
                             (unless prohibited by state law)
- -----------------------------------------------------------------------------------------
 Age 76-80                   Greater of (1) or (2) above.
- -----------------------------------------------------------------------------------------
</TABLE>
    
 
All death benefit values described above are calculated at the close of business
on the date the Company received due proof of death and written distribution
instructions (the death report date). The amounts will be reduced by any
applicable premium taxes due and any outstanding loans.
 
10. OTHER INFORMATION
 
RIGHT TO RETURN.  If you cancel the Contract within ten days after you receive
it, you will receive a full refund of the purchase payment, less any applicable
conservation credits. Where state law requires a variation, the Company will
comply.
 
ADDITIONAL FEATURES.  This Contract has other features you may be interested in.
These include:
 
DOLLAR COST AVERAGING.  This is a program that allows you to invest a fixed
amount of money in Funding Options each month, theoretically giving you a lower
average cost per unit over time as compared to a single one-time purchase.
Dollar cost averaging requires regular investments regardless of fluctuating
price levels, and does not guarantee a profit nor prevent loss in a declining
market. Potential investors should consider their financial ability to continue
purchases through periods of low price levels.
 
ASSET ALLOCATION ADVICE.  If allowed, you may elect to enter into a separate
advisory agreement with Copeland Financial Services, Inc. ("Copeland"), an
affiliate of the Company, for the purpose of receiving asset allocation advice
under Copeland's CHART Program. The CHART Program allocates all purchase
payments among the American Odyssey Funds. The CHART Program and applicable fees
are fully disclosed in a separate Disclosure Statement.
 
SYSTEMATIC WITHDRAWAL OPTION.  Before the maturity date, you can arrange to have
money sent to you at set intervals throughout the year. Of course, any
applicable income and penalty taxes will apply on amounts withdrawn.
 
MANAGED DISTRIBUTION PROGRAM.  This program allows for the Company to
automatically calculate and distribute to you, in November of the applicable tax
year, an amount that will satisfy the Internal Revenue Service's minimum
distribution requirements imposed on certain contracts once the owner reaches
age 70 1/2 or retires. These minimum distributions occur during the accumulation
phase.
 
11. INQUIRIES.  If you need more information, please contact us at (800)
    842-9406 or:
 
    Travelers Insurance Company
    Annuity Services
    One Tower Square
    Hartford, CT 06183
 
                                       vi
<PAGE>   10
 
                                   PROSPECTUS
                      THE TRAVELERS SEPARATE ACCOUNT FIVE
                             FOR VARIABLE ANNUITIES
 
   
This prospectus describes TRAVELERS RETIREMENT VARIABLE ANNUITY a group flexible
premium deferred variable annuity contract (the "Contract") issued by The
Travelers Insurance Company (the "Company," "we" or "our"). The Contract is
available in connection with certain retirement plans that qualify for special
federal income tax treatment ("qualified Contracts") and Individual Retirement
Accounts (IRAs). Travelers Retirement Product may be issued as an individual
Contract or group Contract. In states where only group Contracts are available,
You will be issued a certificate summarizing the provisions of the group
Contract. For convenience, this prospectus refers to both Contracts and
certificates as "Contracts."
    
 
Your purchase payments accumulate on a variable basis through one or more of the
sub-accounts ("funding options") of the Travelers Separate Account Five for
Variable Annuities ("Separate Account Five"). Your contract value will vary
daily to reflect the investment experience of the funding options you select.
The funding options currently available are:
 
High Yield Bond Trust
Managed Assets Trust
Money Market Portfolio
AMERICAN ODYSSEY FUNDS, INC.
  Core Equity Fund
  Emerging Opportunities Fund
  Global High-Yield Bond Fund
  Intermediate-Term Bond Fund
  International Equity Fund
  Long-Term Bond Fund
DELAWARE GROUP PREMIUM FUND, INC.
  REIT Series
  Small Cap Value Series
DREYFUS VARIABLE INVESTMENT FUND
  Capital Appreciation Portfolio
  Small Cap Portfolio
GREENWICH STREET SERIES FUND
  Equity Index Portfolio Class II
MONTGOMERY FUNDS III
  Montgomery Variable Series: Growth Fund
OCC ACCUMULATION TRUST
  Equity Portfolio
SALOMON BROTHERS VARIABLE SERIES FUNDS, INC.
  Salomon Brothers Variable Capital Fund
  Salomon Brothers Variable Investors Fund
  Salomon Brothers Variable Total Return Fund
STRONG VARIABLE INSURANCE FUNDS, INC.
  Strong Schafer Value Fund II
TRAVELERS SERIES FUND, INC.
  Alliance Growth Portfolio
  MFS Total Return Portfolio
  Putnam Diversified Income Portfolio
  Smith Barney High Income Portfolio
  Smith Barney International Equity Portfolio
  Smith Barney Large Capitalization Growth     Portfolio
THE TRAVELERS SERIES TRUST
  Disciplined Mid Cap Stock Portfolio
  Disciplined Small Cap Stock Portfolio
  Equity Income Portfolio
  Federated Stock Portfolio
  Large Cap Portfolio
  Lazard International Stock Portfolio
  MFS Mid Cap Growth Portfolio
  MFS Research Portfolio
  Social Awareness Stock Portfolio
  Strategic Stock Portfolio
  Travelers Quality Bond Portfolio
  U.S. Government Securities Portfolio
  Utilities Portfolio
WARBURG PINCUS TRUST
  Emerging Markets Portfolio
 
The contracts and/or some of the funding options may not be available in all
states. THIS PROSPECTUS IS VALID ONLY WHEN ACCOMPANIED BY THE CURRENT
PROSPECTUSES FOR THE FUNDING OPTIONS. THESE PROSPECTUSES SHOULD BE READ AND
RETAINED FOR FUTURE REFERENCE.
 
   
This prospectus provides the information that you should know before investing
in the Contract. You can receive additional information about Separate Account
Five by requesting a copy of the Statement of Additional Information ("SAI")
dated November 18, 1998. The SAI has been filed with the Securities and Exchange
Commission ("SEC") and is incorporated by reference into this prospectus. To
request a copy, write to The Travelers Insurance Company, Annuity Services, One
Tower Square, Hartford, Connecticut 06183, call (800) 842-8573, or access the
SEC's website (http://www.sec.gov). The Table of Contents of the SAI appears in
Appendix A of this prospectus.
    
 
NEITHER THE SECURITIES AND EXCHANGE COMMISSION NOR ANY STATE SECURITIES
COMMISSION HAS PASSED UPON THE ACCURACY OR ADEQUACY OF THIS PROSPECTUS. ANY
REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.
 
   
THIS PROSPECTUS IS ACCOMPANIED BY A COPY OF THE TRAVELERS INSURANCE COMPANY'S
LATEST ANNUAL REPORT ON FORM 10-K FOR THE PERIOD ENDED DECEMBER 31, 1997, LATEST
QUARTERLY REPORT ON FORM 10-Q FOR THE PERIOD ENDED SEPTEMBER 30, 1998, AND
LATEST REPORT ON MATERIAL EVENTS AFFECTING THE COMPANY ON FORM 8-K, WHICH
CONTAIN ADDITIONAL INFORMATION ABOUT THE COMPANY.
    
 
VARIABLE ANNUITY CONTRACTS ARE NOT DEPOSITS OR OBLIGATIONS OF, OR ENDORSED OR
GUARANTEED BY ANY BANK, NOR ARE THEY FEDERALLY INSURED OR OTHERWISE PROTECTED BY
THE FDIC, THE FEDERAL RESERVE BOARD, OR ANY OTHER AGENCY; THEY ARE SUBJECT TO
INVESTMENT RISKS, INCLUDING POSSIBLE LOSS OF PRINCIPAL INVESTMENT.
 
   
                       PROSPECTUS DATED NOVEMBER 18, 1998
    
<PAGE>   11
 
                               TABLE OF CONTENTS
 
   
<TABLE>
<S>                                     <C>
INDEX OF SPECIAL TERMS................      2
FEE TABLE.............................      3
THE ANNUITY CONTRACT..................      8
Contract Owner Inquiries..............      8
Purchase Payments.....................      8
Conservation Credit...................      8
Accumulation Units....................      8
The Funding Options...................      8
CHARGES AND DEDUCTIONS................     12
General...............................     12
Withdrawal Charge.....................     13
Free Withdrawal Allowance.............     13
Mortality and Expense Risk Charge.....     14
Floor Benefit Charge..................     14
Funding Option Expenses...............     14
Premium Tax...........................     14
Changes in Taxes Based Upon Premium or
  Value...............................     14
OWNERSHIP PROVISIONS..................     15
Types of Ownership....................     15
Beneficiary...........................     15
TRANSFERS.............................     15
Dollar Cost Averaging.................     15
ACCESS TO YOUR MONEY..................     15
Systematic Withdrawals................     16
Managed Distribution Program..........     16
DEATH BENEFIT.........................     16
Death Proceeds Before the Maturity
  Date................................     16
Death Proceeds After the Maturity
  Date................................     17
Payment of Proceeds...................     17
THE ANNUITY PERIOD....................     18
Maturity Date.........................     18
Liquidity Benefit.....................     18
Allocation of Annuity.................     19
Variable Annuity......................     19
Fixed Annuity.........................     19
PAYMENT OPTIONS.......................     20
Election of Options...................     20
Variable Annuitization Floor
  Benefit.............................     20
Annuity Options.......................     20
MISCELLANEOUS CONTRACT PROVISIONS.....     21
Right to Return.......................     21
Termination...........................     21
Required Reports......................     21
Suspension of Payments................     22
Asset Allocation Program..............     22
THE SEPARATE ACCOUNT..................     22
Performance Information...............     22
FEDERAL TAX CONSIDERATIONS............     23
General Taxation of Annuities.........     23
Qualified Contracts...................     23
Penalty Tax for Premature
  Distributions.......................     23
Taxation of Surrenders Under Liquidity
  Feature.............................     24
Ownership of the Investments..........     24
Mandatory Distributions for Qualified
  Plans...............................     24
OTHER INFORMATION.....................     24
The Insurance Company.................     24
Year 2000 Compliance..................     24
Distribution of Variable Annuity
  Contracts...........................     25
Conformity with State and Federal
  Laws................................     25
Voting Rights.........................     25
Legal Proceedings and Opinions........     25
Available Information.................     26
Incorporation of Documents............     26
Financial Statements..................     27
APPENDIX A: Table of Contents of the
  Statement of Additional
  Information.........................    A-1
APPENDIX B: Waiver of Withdrawal
  Charge for Nursing Home
  Confinement.........................    B-1
APPENDIX C: Market Value Adjustment...    C-1
</TABLE>
    
 
                             INDEX OF SPECIAL TERMS
 
The following terms are italicized throughout the prospectus. Refer to the page
listed for an explanation of each term.
 
   
    
 
   
<TABLE>
<S>                                     <C>
Accumulation Unit.....................      8
Annuitant.............................     15
Annuity Payments......................     18
Annuity Unit..........................      8
Contract Date.........................      8
Contract Owner (You, Your)............     14
Contract Value........................      8
Contract Year.........................      8
Death Report Date.....................     17
Funding Option(s).....................      8
Maturity Date.........................      8
Purchase Payment......................      8
Written Request.......................      8
</TABLE>
    
 
                                        2
<PAGE>   12
 
                                   FEE TABLE
                             SEPARATE ACCOUNT FIVE
- --------------------------------------------------------------------------------
   
CONTRACT OWNER TRANSACTION EXPENSES:
    
WITHDRAWAL CHARGE (as a percentage of original purchase payment withdrawn):
 
<TABLE>
<CAPTION>
          LENGTH OF TIME FROM PURCHASE PAYMENT              WITHDRAWAL
                   (NUMBER OF YEARS)                          CHARGE
<S>                                                         <C>
                           1                                  5%
                           2                                  4%
                           3                                  3%
                           4                                  2%
                           5                                  1%
                    6 and thereafter                          0%
</TABLE>
 
   
During the annuity period, if you have elected the Liquidity Benefit, a
surrender charge of 5% of the amount withdrawn will be assessed. See "Liquidity
Benefit."
    
 
   
ANNUAL SEPARATE ACCOUNT CHARGES:
    
  (as a percentage of the average daily net assets of the Separate Account)
 
<TABLE>
<CAPTION>
                                                                                OPTIONAL
                                                                STANDARD      DEATH BENEFIT
                                                              DEATH BENEFIT     & CREDIT
<S>                                                           <C>             <C>
       Mortality and Expense Risk Charge....................    .80%            1.25%
       Administrative Expense Charge........................    None             None
                                                                  ----           -------
          Total Separate Account Charges....................    .80%            1.25%
</TABLE>
 
   
During the annuity period, if you have elected the Floor Benefit, a charge of up
to 3.80% or 4.25% may apply. See "Floor Benefit Charge."
    
 
FUNDING OPTION EXPENSES:
(as a percentage of average daily net assets of the Funding Option as of
December 31, 1997, unless otherwise noted.)
 
   
Each of the American Odyssey Funds is listed twice, once with the optional CHART
asset allocation fee of .80% reflected, and once without the optional asset
allocation fee.
    
 
   
<TABLE>
<CAPTION>
                                             MANAGEMENT                       OTHER         TOTAL ANNUAL
                                                 FEE                        EXPENSES          FUNDING
                                           (AFTER EXPENSES     12B-1     (AFTER EXPENSES       OPTION
              PORTFOLIO NAME               ARE REIMBURSED)     FEES      ARE REIMBURSED)      EXPENSES
- ---------------------------------------------------------------------------------------------------------
<S>                                        <C>               <C>         <C>               <C>
High Yield Bond Trust.....................      0.50%             0%          0.34%            0.84%
Managed Assets Trust......................      0.50%             0%          0.13%            0.63%
Money Market Portfolio....................      0.32%             0%          0.08%(1)         0.40%
AMERICAN ODYSSEY FUNDS, INC.
     Core Equity Fund.....................      0.57%             0%          0.08%(2)         0.65%
     Emerging Opportunities Fund..........      0.60%             0%          0.26%(2)         0.86%
     Global High-Yield Bond Fund..........      0.43%             0%          0.25%(3)         0.68%
     Intermediate-Term Bond Fund..........      0.50%             0%          0.13%(2)         0.63%
     International Equity Fund............      0.65%             0%          0.12%(2)         0.77%
     Long-Term Bond Fund..................      0.50%             0%          0.12%(2)         0.62%
AMERICAN ODYSSEY FUNDS, INC.
  (Includes CHART Asset Allocation Fee of
  0.80%.)
     Core Equity Fund.....................      0.57%             0%          0.88%(2)         1.45%
     Emerging Opportunities Fund..........      0.60%             0%          1.06%(2)         1.66%
     Global High-Yield Bond Fund..........      0.43%             0%          1.05%(3)         1.48%
     Intermediate-Term Bond Fund..........      0.50%             0%          0.93%(2)         1.43%
     International Equity Fund............      0.65%             0%          0.92%(2)         1.57%
     Long-Term Bond Fund..................      0.50%             0%          0.92%(2)         1.42%
</TABLE>
    
 
                                        3
<PAGE>   13
 
   
<TABLE>
<CAPTION>
                                             MANAGEMENT                       OTHER         TOTAL ANNUAL
                                                 FEE                        EXPENSES          FUNDING
                                           (AFTER EXPENSES     12B-1     (AFTER EXPENSES       OPTION
              PORTFOLIO NAME               ARE REIMBURSED)     FEES      ARE REIMBURSED)      EXPENSES
- ---------------------------------------------------------------------------------------------------------
<S>                                        <C>               <C>         <C>               <C>
DELAWARE GROUP PREMIUM FUND, INC.
     REIT Series..........................      0.75%             0%          0.10%(4)         0.85%
     Small Cap Value Series...............      0.75%             0%          0.10%(4)         0.85%
DREYFUS VARIABLE INVESTMENT FUND
     Capital Appreciation Portfolio.......      0.75%             0%          0.05%            0.80%
     Small Cap Portfolio..................      0.75%             0%          0.03%            0.78%
GREENWICH STREET SERIES FUND
     Equity Index Portfolio Class II......      0.21%           .25%          0.09%(5)         0.55%
MONTGOMERY FUNDS III
     Montgomery Variable Series: Growth
       Fund...............................      1.00%             0%          0.25%(6)         1.25%
OCC ACCUMULATION TRUST
     Equity Portfolio.....................      0.80%             0%          0.19%(7)         0.99%
SALOMON BROTHERS VARIABLE SERIES FUNDS,
  INC.
     Salomon Brothers Variable Capital
       Fund...............................      0.85%             0%          0.15%(8)         1.00%
     Salomon Brothers Variable Investors
       Fund...............................      0.70%             0%          0.30%(8)         1.00%
     Salomon Brothers Variable Total
       Return Fund........................      0.80%             0%          0.20%(8)         1.00%
STRONG VARIABLE INSURANCE FUNDS, INC.
     Strong Schafer Value Fund II.........      1.00%             0%          0.20%(9)         1.20%
TRAVELERS SERIES FUND, INC.
     Alliance Growth Portfolio............      0.80%             0%          0.02%(10)        0.82%
     MFS Total Return Portfolio...........      0.80%             0%          0.06%(10)        0.86%
     Putnam Diversified Income
       Portfolio..........................      0.75%             0%          0.13%(10)        0.88%
     Smith Barney High Income Portfolio...      0.60%             0%          0.10%(10)        0.70%
     Smith Barney International Equity
       Portfolio..........................      0.90%             0%          0.11%(10)        1.01%
     Smith Barney Large Capitalization
       Growth Portfolio...................      0.75%             0%          0.25%(11)        1.00%
THE TRAVELERS SERIES TRUST
     Disciplined Mid Cap Stock
       Portfolio..........................      0.70%             0%          0.25%(13)        0.95%
     Disciplined Small Cap Stock
       Portfolio..........................      0.80%             0%          0.20%(12)        1.00%
     Equity Income Portfolio..............      0.75%             0%          0.20%(13)        0.95%
     Federated Stock Portfolio............      0.63%             0%          0.32%(13)        0.95%
     Large Cap Portfolio..................      0.75%             0%          0.20%(13)        0.95%
     Lazard International Stock
       Portfolio..........................      0.83%             0%          0.42%(13)        1.25%
     MFS Mid Cap Growth Portfolio.........      0.80%             0%          0.20%(12)        1.00%
     MFS Research Portfolio...............      0.80%             0%          0.20%(12)        1.00%
     Social Awareness Stock Portfolio.....      0.65%             0%          0.33%            0.98%
     Strategic Stock Portfolio............      0.60%             0%          0.30%(12)        0.90%
     Travelers Quality Bond Portfolio.....      0.32%             0%          0.43%(13)        0.75%
     U.S. Government Securities
       Portfolio..........................      0.32%             0%          0.26%            0.58%
     Utilities Portfolio..................      0.65%             0%          0.41%            1.06%
WARBURG PINCUS TRUST
     Emerging Markets Portfolio...........      0.45%             0%          0.95%(14)        1.40%
</TABLE>
    
 
NOTES:
 
The purpose of this Fee Table is to assist Contract Owners in understanding the
various costs and expenses that a Contract Owner will bear, directly or
indirectly. See "Charges and Deductions" in this prospectus for additional
information. Expenses shown do not include premium taxes, which may be
applicable. "Other Expenses" include operating costs of the fund. These expenses
are reflected in each funding option's net asset value and are not deducted from
the account value under the Contract.
 
                                        4
<PAGE>   14
 
   
 (1) Other Expenses have been restated to reflect the current expense
     reimbursement arrangement with The Travelers Insurance Company. Travelers
     has agreed to reimburse the Fund for the amount by which its aggregate
     expenses (including the management fee, but excluding brokerage
     commissions, interest charges and taxes) exceeds 0.40%. Without such
     arrangement, Total Annual Funding Option Expenses would have been 1.39% for
     the MONEY MARKET PORTFOLIO.
    
 
   
 (2) These fees reflect an expense reimbursement arrangement with the Funds'
     investment adviser. Without reimbursement, and without the CHART Asset
     Allocation Fee, Total Annual Funding Option Expenses would have been 0.79%
     for the INTERNATIONAL EQUITY FUND and 0.67% for the CORE EQUITY FUND.
     Without reimbursement and with the CHART Fee, Total Annual Funding Option
     Expenses would have been 1.59% and 1.47%, respectively. The figures After
     Expense Reimbursement may be greater than the figures Before Expense
     Reimbursement because of repayments by the Fund to the Manager once the
     Fund is operating below the expense limitation.
    
 
   
 (3) The Management Fees and Other Expenses for the GLOBAL-HIGH YIELD BOND FUND
     have been restated to reflect current fees. Prior to May 1, 1998, the
     Global High Yield Bond Fund was named the "Short-Term Bond Fund" and had a
     substantially different investment objective and investment program.
     Information about the Short-Term Bond Fund is unlikely to be helpful to
     investors in the Global High-Yield Bond Fund.
    
 
   
 (4) The adviser for the DELAWARE REIT SERIES and the DELAWARE SMALL CAP VALUE
     SERIES has agreed to voluntarily waive its fee and pay the expenses of the
     Series to the extent that the Series' Total Annual Funding Option Expenses,
     exclusive of taxes, interest, brokerage commissions and extraordinary
     expenses, exceed 0.85% of its average daily net assets through October 31,
     1998. Without such waiver, the Small Cap Portfolio's total operating
     expenses would have been 0.90% for the fiscal year ended December 31, 1997.
     The adviser estimates that, at current asset levels, the Total Annual
     Funding Option Expenses for the REIT Portfolio would be 1.05% without the
     voluntary fee waiver. This arrangement will be reviewed by the adviser, and
     is subject to change at any time.
    
 
   
 (5) Other Expenses have been restated to reflect the current expense
     reimbursement arrangement whereby the adviser has agreed to reimburse the
     Portfolio for the amount by which its expenses exceed 0.30%. Without such
     arrangement, other expenses would have been 0.70%.
    
 
   
 (6) The Manager has agreed to reduce some or all of its management fees if
     necessary to keep total annual operating expenses for the Growth Fund at or
     below 1.25% of its average net assets. The Manager may also voluntarily
     reduce additional amounts to increase the return to investors. Without such
     reduction by the Manager, the Fund's actual Total Annual Funding Option
     Expenses would have been 1.97% for the period ended December 31, 1997.
    
 
   
 (7) The Fund's manager has agreed to reimburse the Fund the amount by which its
     Total Funding Option Expenses (net of any expense offsets) exceeds 1.00% of
     its average daily net assets. There were no fees waived or expenses
     reimbursed for the fiscal year ended December 31, 1997.
    
 
   
 (8) The amounts set forth for Other Expenses are based on estimates for the
     current fiscal year and will include fees for shareholder services,
     administrative fees, custodial fees, legal and accounting fees, printing
     costs and registration fees. These expenses reflect the voluntary agreement
     by the Fund's adviser to impose an expense cap for the fiscal year ending
     December 31, 1998 on the total operating expenses of each Fund (exclusive
     of taxes, interest and extraordinary expenses such as litigation and
     indemnification expenses) at the amounts shown in the table through the
     reimbursement of expenses. Absent such agreement, the ratio of other
     expenses and Total Annual Funding Option Expenses to the average daily net
     assets would be 1.91% and 2.61%, respectively, for the INVESTORS FUND;
     1.91% and 2.71%, respectively, for the TOTAL RETURN FUND; and 1.91% and
     2.76%, respectively, for the CAPITAL FUND.
    
 
   
 (9) Other Expenses are estimated for the current fiscal year. Additionally,
     these fees reflect a voluntary expense reimbursement arrangement whereby
     the Portfolio's adviser has voluntarily agreed to cap the Portfolio's total
     operating expenses at 1.20%. Absent the waiver, the Total Annual Funding
     Option Expenses would be 2.00%.
    
 
   
(10) Other expenses are as of October 31, 1997 (the Fund's fiscal year end).
     There were no fees waived or expenses reimbursed for these funds in 1997.
    
 
   
(11) Other Expenses are based on estimates for the current fiscal year ending
     October 31, 1998. Additionally, these fees reflect a voluntary expense
     limitation of 1.00% of the Portfolio's average net assets.
    
 
   
(12) Other Expenses are based on estimates for the current fiscal year and will
     include fees for shareholder services, administrative fees, custodial fees
     , legal and accounting fees, printing costs and registration fees.
     Additionally, these fees reflect a voluntary expense reimbursement
     arrangement by Travelers to reimburse the Portfolios for the amount by
     which their aggregate total operating expenses exceed 1.00% for the
     DISCIPLINED SMALL CAP STOCK PORTFOLIO, MFS MID CAP GROWTH PORTFOLIO, MFS
     RESEARCH PORTFOLIO; and 0.90% for the STRATEGIC STOCK PORTFOLIO. Absent
     such agreement, the Total Funding Option Expenses for these Portfolios
     would be 1.78%, 1.96%, 1.53% and 1.62%, respectively.
    
 
   
(13) Other Expenses reflect the current expense reimbursement arrangement with
     Travelers Insurance Company where Travelers Insurance Company has agreed to
     reimburse the Portfolios for the amount by which their aggregate expenses
     (including management fees, but excluding brokerage commissions, interest
     charges and taxes) exceeds 0.95% (1.25% for the Lazard International Stock
     Portfolio and 0.75% for the Quality Bond Portfolio). Without such
     arrangements, the Total Funding Option Expenses for the Portfolios would
     have been as follows: 1.14% for FEDERATED STOCK PORTFOLIO; 1.90% for EQUITY
     INCOME PORTFOLIO; 2.65% for LARGE CAP PORTFOLIO; 1.82% for DISCIPLINED MID
     CAP STOCK PORTFOLIO; 1.76% for LAZARD INTERNATIONAL STOCK PORTFOLIO; and
     1.13% for QUALITY BOND PORTFOLIO.
    
 
   
(14) The WARBURG PINCUS EMERGING MARKETS PORTFOLIO'S investment advisor and
     co-administrator have agreed to limit the Portfolio's Total Funding Option
     Expenses to 1.40% through December 31, 1998. Absent this waiver of fees,
     the Portfolio's Management Fees, Other Expenses and Total Funding Option
     Expenses would equal 1.25%, 0.71% and 1.96%, respectively. The Portfolio's
     other expenses are based on annualized estimates of expenses for the fiscal
     year ending December 31, 1998, net of any fee waivers or expense
     reimbursements.
    
 
                                        5
<PAGE>   15
 
EXAMPLE*
 
Assuming a 5% annual return on assets, a $1,000 investment would be subject to
the following expenses:
   
<TABLE>
<CAPTION>
                                                                (A) = STANDARD DEATH BENEFIT
                                                                (B) = OPTIONAL DEATH BENEFIT
                                                                         AND CREDIT
- ---------------------------------------------------------------------------------------------------------------------
                                          IF CONTRACT IS SURRENDERED AT THE       IF CONTRACT IS NOT SURRENDERED OR
                                                 END OF PERIOD SHOWN             ANNUITIZED AT END OF PERIOD SHOWN:
                                        -------------------------------------   -------------------------------------
    UNDERLYING FUNDING OPTIONS          1 YEAR   3 YEARS   5 YEARS   10 YEARS   1 YEAR   3 YEARS   5 YEARS   10 YEARS
<S>                                <C>  <C>      <C>       <C>       <C>        <C>      <C>       <C>       <C>
- ---------------------------------------------------------------------------------------------------------------------
 
<CAPTION>
<S>                                <C>  <C>      <C>       <C>       <C>        <C>      <C>       <C>       <C>
High Yield Bond Trust............. (a)   $67      $ 82      $ 99       $194      $17       $52      $ 89       $194
                                   (b)    71        95       122        242       21        65       112        242
Managed Assets Trust.............. (a)    65        75        88        171       15        45        78        171
                                   (b)    69        89       112        220       19        59       102        220
Money Market Portfolio............ (a)    62        68        76        145       12        38        66        145
                                   (b)    67        82       100        195       17        52        90        195
AMERICAN ODYSSEY FUNDS, INC.(1)
    Core Equity Fund.............. (a)    65        76        89        174       15        46        79        174
                                   (b)    69        90       113        222       19        60       103        222
    Emerging Opportunities Fund... (a)    67        82       100        197       17        52        90        197
                                   (b)    71        96       123        244       21        66       113        244
    Global High-Yield Bond Fund... (a)    65        77        91        177       15        47        81        177
                                   (b)    70        91       114        225       20        61       104        225
    Intermediate-Term Bond Fund... (a)    65        75        88        171       15        45        78        171
                                   (b)    69        89       112        220       19        59       102        220
    International Equity Fund..... (a)    66        80        96        187       16        50        86        187
                                   (b)    71        93       119        235       21        63       109        235
    Long-Term Bond Fund........... (a)    64        75        88        170       14        45        78        170
                                   (b)    69        89       111        219       19        59       101        219
AMERICAN ODYSSEY FUNDS, INC.(2)
    Core Equity Fund.............. (a)    73       100       130        258       23        70       120        258
                                   (b)    77       114       153        303       27        84       143        303
    Emerging Opportunities Fund... (a)    75       107       141        280       25        77       131        280
                                   (b)    79       120       163        323       29        90       153        323
    Global High-Yield Bond Fund... (a)    73       101       132        262       23        71       122        262
                                   (b)    78       115       154        306       28        85       144        306
    Intermediate-Term Bond Fund... (a)    73       100       129        256       23        70       119        256
                                   (b)    77       113       152        301       27        83       142        301
    International Equity Fund..... (a)    74       104       137        271       24        74       127        271
                                   (b)    79       117       159        315       29        87       149        315
    Long-Term Bond Fund........... (a)    73        99       129        255       23        69       119        255
                                   (b)    77       113       151        300       27        83       141        300
DELAWARE GROUP PREMIUM FUND, INC.
    REIT Series................... (a)    67        82       100        195       17        52        90        195
                                   (b)    71        96       123        243       21        66       113        243
    Small Cap Value Series........ (a)    67        82       100        195       17        52        90        195
                                   (b)    71        96       123        243       21        66       113        243
DREYFUS VARIABLE INVESTMENT FUND
    Capital Appreciation
      Portfolio................... (a)    66        80        97        190       16        50        87        190
                                   (b)    71        94       120        238       21        64       110        238
    Small Cap Portfolio........... (a)    66        80        96        188       16        50        86        188
                                   (b)    71        94       119        236       21        64       109        236
GREENWICH STREET SERIES FUND
    Equity Index Portfolio Class
      II.......................... (a)    64        73        84        162       14        43        74        162
                                   (b)    68        87       107        212       18        57        97        212
MONTGOMERY FUNDS III
    Montgomery Variable Series:
      Growth Fund................. (a)    71        94       120        238       21        64       110        238
                                   (b)    75       108       143        284       25        78       133        284
OCC ACCUMULATION TRUST
    Equity Portfolio.............. (a)    68        86       107        211       18        56        97        211
                                   (b)    73       100       130        257       23        70       120        257
SALOMON BROTHERS VARIABLE SERIES
  FUNDS, INC.
    Salomon Brothers Variable
      Capital Fund................ (a)    68        87       107        212       18        57        97        212
                                   (b)    73       100       130        258       23        70       120        258
    Salomon Brothers Variable
      Investors Fund.............. (a)    68        87       107        212       18        57        97        212
                                   (b)    73       100       130        258       23        70       120        258
    Salomon Brothers Variable
      Total Return Fund........... (a)    68        87       107        212       18        57        97        212
                                   (b)    73       100       130        258       23        70       120        258
</TABLE>
    
 
                                        6
<PAGE>   16
   
<TABLE>
<CAPTION>
                                                                (A) = STANDARD DEATH BENEFIT
                                                                (B) = OPTIONAL DEATH BENEFIT
                                                                         AND CREDIT
- ---------------------------------------------------------------------------------------------------------------------
                                          IF CONTRACT IS SURRENDERED AT THE       IF CONTRACT IS NOT SURRENDERED OR
                                                 END OF PERIOD SHOWN             ANNUITIZED AT END OF PERIOD SHOWN:
                                        -------------------------------------   -------------------------------------
    UNDERLYING FUNDING OPTIONS          1 YEAR   3 YEARS   5 YEARS   10 YEARS   1 YEAR   3 YEARS   5 YEARS   10 YEARS
<S>                                <C>  <C>      <C>       <C>       <C>        <C>      <C>       <C>       <C>
- ---------------------------------------------------------------------------------------------------------------------
 
<CAPTION>
<S>                                <C>  <C>      <C>       <C>       <C>        <C>      <C>       <C>       <C>
STRONG VARIABLE INSURANCE FUNDS,
  INC.
    Strong Schafer Value Fund
      II.......................... (a)   $70      $ 93      $118       $233      $20       $63      $108       $233
                                   (b)    75       106       141        279       25        76       131        279
TRAVELERS SERIES FUND, INC.
    Alliance Growth Portfolio..... (a)    66        81        98        192       16        51        88        192
                                   (b)    71        95       121        240       21        65       111        240
    MFS Total Return Portfolio.... (a)    67        82       100        197       17        52        90        197
                                   (b)    71        96       123        244       21        66       113        244
    Putnam Diversified Income
      Portfolio................... (a)    67        83       101        199       17        53        91        199
                                   (b)    72        97       124        246       22        67       114        246
    Smith Barney High Income
      Portfolio................... (a)    65        77        92        179       15        47        82        179
                                   (b)    70        91       115        227       20        61       105        227
    Smith Barney International
      Equity Portfolio............ (a)    68        87       108        213       18        57        98        213
                                   (b)    73       101       131        260       23        71       121        260
    Smith Barney Large
      Capitalization Growth
      Portfolio................... (a)    68        87       107        212       18        57        97        212
                                   (b)    73       100       130        258       23        70       120        258
THE TRAVELERS SERIES TRUST
    Disciplined Mid Cap Stock
      Portfolio................... (a)    68        85       105        206       18        55        95        206
                                   (b)    72        99       128        253       22        69       118        253
    Disciplined Small Cap Stock
      Portfolio................... (a)    68        87       107        212       18        57        97        212
                                   (b)    73       100       130        258       23        70       120        258
    Equity Income Portfolio....... (a)    68        85       105        206       18        55        95        206
                                   (b)    72        99       128        253       22        69       118        253
    Federated Stock Portfolio..... (a)    68        85       105        206       18        55        95        206
                                   (b)    72        99       128        253       22        69       118        253
    Large Cap Portfolio........... (a)    68        85       105        206       18        55        95        206
                                   (b)    72        99       128        253       22        69       118        253
    Lazard International Stock
      Portfolio................... (a)    71        94       120        238       21        64       110        238
                                   (b)    75       108       143        284       25        78       133        284
    MFS Mid Cap Growth Portfolio.. (a)    68        87       107        212       18        57        97        212
                                   (b)    73       100       130        258       23        70       120        258
    MFS Research Portfolio........ (a)    68        87       107        212       18        57        97        212
                                   (b)    73       100       130        258       23        70       120        258
    Social Awareness Stock
      Portfolio................... (a)    68        86       106        209       18        56        96        209
                                   (b)    73       100       129        256       23        70       119        256
    Strategic Stock Portfolio..... (a)    67        84       102        201       17        54        92        201
                                   (b)    72        97       125        248       22        67       115        248
    Travelers Quality Bond
      Portfolio................... (a)    66        79        94        185       16        49        84        185
                                   (b)    70        93       118        233       20        63       108        233
    U.S. Government Securities
      Portfolio................... (a)    64        74        86        166       14        44        76        166
                                   (b)    69        88       109        215       19        58        99        215
    Utilities Portfolio........... (a)    69        88       111        218       19        58       101        218
                                   (b)    73       102       134        265       23        72       124        265
WARBURG PINCUS TRUST
    Emerging Markets Portfolio.... (a)    72        99       128        253       22        69       118        253
                                   (b)    77       112       151        298       27        82       141        298
</TABLE>
    
 
<TABLE>
<S>  <C>
*    The Example should not be considered a representation of
     past or future expenses. Actual expenses may be greater or
     less than those shown.
(1)  Reflects expenses that would be incurred for those Contract
     Owners who DO NOT participate in the CHART Asset Allocation
     program.
(2)  Reflects expenses that would be incurred for those Contract
     Owners who DO participate in the CHART Asset Allocation
     program.
</TABLE>
 
                                        7
<PAGE>   17
 
                              THE ANNUITY CONTRACT
- --------------------------------------------------------------------------------
   
The Traveling Retirement Variable Annuity is a contract between you, the
contract owner, and Travelers Insurance Company (called "Us" or the "Company").
Under this Contract, you make purchase payments to us and we credit them to your
Contract. The Company promises to pay you an income, in the form of annuity
payments, beginning on a future date that you choose, the maturity date. The
purchase payments and any applicable credits accumulate tax deferred in the
funding option(s) of your choice. The contract owner assumes the risk of gain or
loss according to the performance of the funding options. The contract value is
the amount of purchase payments, plus any applicable credits, plus or minus any
investment experience or interest. The contract value also reflects all prior
surrenders made and charges deducted. There is generally no guarantee that at
the maturity date the contract value will equal or exceed the total purchase
payments made under the Contract, except as noted under the Death Benefit
provisions described in this prospectus. The date the contract and its benefits
became effective is referred to as the contract date. Each 12 month period
following this contract date is called a contract year.
    
 
   
Certain changes and elections must be made in writing to the Company. Where the
term "written request" is used, it means that written information must be sent
to the Company's Home Office in a form and content satisfactory to Us.
    
 
   
CONTRACT OWNER INQUIRIES
    
 
   
Any questions you have about your Contract should be directed to the Company's
Home Office at 1-800-842-9406.
    
 
PURCHASE PAYMENTS
 
The initial purchase payment must be at least $20,000. Additional payments of at
least $5,000 may be made under the Contract at any time. Under certain
circumstances, we may waive the minimum purchase payment requirement. Purchase
payments over $1,000,000 may be made with our prior consent.
 
   
We will apply the initial purchase payment within two business days after we
receive it at our Home Office in good order. Subsequent purchase payments
received in good order will be credited to a Contract within one business day.
Our business day ends when the New York Stock Exchange closes, usually 4:00 p.m.
Eastern time.
    
 
   
If the Optional Death Benefit is selected, we will add a credit to your Contract
with each purchase payment. Each credit is added to the contract value when the
applicable purchase payment is applied, and will equal 2% of each purchase
payment. These credits are applied pro rata to the same funding options to which
your purchase payment was applied.
    
 
CONSERVATION CREDIT
 
   
If you are purchasing this Contract with funds which originate from another
contract issued by Us or Our affiliate, you may receive a conservation credit to
your purchase payments. If applied, the amount of such credit will be determined
by Us.
    
 
ACCUMULATION UNITS
 
An accumulation unit is used to calculate the value of a Contract. An
accumulation unit works like a share of a mutual fund. Each funding option has a
corresponding accumulation unit value. The accumulation units are valued each
business day and may increase or decrease from day to day. The number of
accumulation units we will credit to your Contract once we receive a purchase
payment is determined by dividing the amount directed to each funding option by
the value of the accumulation unit. We calculate the value of an accumulation
unit for each funding option each day after the New York Stock Exchange closes.
After the value is calculated, your Contract is credited. During the annuity
period (i.e., after the maturity date), you are credited with annuity units.
 
                                        8
<PAGE>   18
 
THE FUNDING OPTIONS
 
You choose which of the following funding options, to have your purchase
payments allocated to. These funding options are subsections of the Separate
Account which invest in the underlying mutual funds which support the funding
options. You will find detailed information about the options and their inherent
risks in the current prospectuses for the funding options which must accompany
this prospectus. You are not investing directly in the underlying mutual funds,
but only through the Separate Account. Since each option has varying degrees of
risk, please read the prospectuses carefully before investing. Additional copies
of the prospectuses may be obtained by contacting your registered representative
or by calling 1-800-842-9406.
 
The current funding options are listed below, along with their investment
advisers and any subadviser:
 
<TABLE>
<CAPTION>
          FUNDING OPTION                         INVESTMENT OBJECTIVE               INVESTMENT ADVISER/SUB-ADVISER
- -------------------------------------------------------------------------------------------------------------------
<S>                                  <C>                                            <C>
High Yield Bond Trust                Seeks generous income. The assets of the High  TAMIC
                                     Yield Bond Trust will be invested in bonds
                                     which, as a class, sell at discounts from par
                                     value and are typically high risk securities.
Managed Assets Trust                 Seeks high total investment return through a   TAMIC
                                     fully managed investment policy in a           Subadviser: Travelers
                                     portfolio of equity, debt and convertible      Investment Management Company
                                     securities.                                    ("TIMCO")
Money Market Portfolio               Seeks high current income from short-term      TAMIC
(formerly "Cash Income Trust")       money market instruments while preserving
                                     capital and maintaining a high degree of
                                     liquidity.
AMERICAN ODYSSEY FUNDS, INC.
  Core Equity Fund                   Seeks maximum long-term total return by        American Odyssey Funds
                                     investing primarily in common stocks of well-  Management, Inc.
                                     established companies.                         Subadviser: Equinox Capital
                                                                                    Management, Inc.
  Emerging Opportunities Fund        Seeks maximum long-term total return by        American Odyssey Funds
                                     investing primarily in common stocks of        Management, Inc.
                                     small, rapidly growing companies.              Subadviser: Cowen Asset
                                                                                    Management and Chartwell
                                                                                    Investment Partners
  Global High-Yield Bond Fund        Seeks maximum long-term total return (capital  American Odyssey Funds
                                     appreciation and income) by investing          Management, Inc.
                                     primarily in high-yield debt securities from   Subadviser: BEA Associates
                                     the United States and abroad.
  Intermediate-Term Bond Fund        Seeks maximum long-term total return by        American Odyssey Funds
                                     investing primarily in intermediate-term       Management, Inc.
                                     corporate debt securities, U.S. government     Subadviser: TAMIC
                                     securities, mortgage-related securities and
                                     asset-backed securities, as well as money
                                     market instruments.
  International Equity Fund          Seeks maximum long-term total return by        American Odyssey Funds
                                     investing primarily in common stocks of        Management, Inc.
                                     established non-U.S. companies.                Subadviser: Bank of Ireland
                                                                                    Asset Management (U.S.) Limited
  Long-Term Bond Fund                Seeks maximum long-term total return by        American Odyssey Funds
                                     investing primarily in long-term corporate     Management, Inc.
                                     debt securities, U.S. government securities,   Subadviser: Western Asset
                                     mortgage-related securities, and asset-backed  Management Company
                                     securities, as well as money market
                                     instruments.
</TABLE>
 
                                        9
<PAGE>   19
 
   
<TABLE>
<CAPTION>
          FUNDING OPTION                         INVESTMENT OBJECTIVE               INVESTMENT ADVISER/SUB-ADVISER
- -------------------------------------------------------------------------------------------------------------------
<S>                                  <C>                                            <C>
DELAWARE GROUP PREMIUM
FUND, INC.
  REIT Series                        Seeks maximum long-term total return by        Delaware Management Company,
                                     investing in securities of companies           Inc.
                                     primarily engaged in the real estate           Subadviser: Lincoln Investment
                                     industry.                                      Management, Inc.
DELAWARE GROUP PREMIUM
FUND, INC., (CONT.)
  Small Cap Value Series             Seeks capital appreciation by investing        Delaware Management Company,
                                     primarily in common stocks whose market        Inc.
                                     values appear low relative to their
                                     underlying value or future potential.
DREYFUS VARIABLE
INVESTMENT FUND
  Capital Appreciation Portfolio     Seeks primarily to provide long-term capital   The Dreyfus Corporation
                                     growth consistent with the preservation of     Subadviser: Fayez Sarofim & Co.
                                     capital; current income is a secondary         ("Sarofim")
                                     investment objective. The portfolio invests
                                     primarily in the common stocks of domestic
                                     and foreign issuers.
  Small Cap Portfolio                Seeks to maximize capital appreciation.        The Dreyfus Corporation
GREENWICH STREET SERIES FUND
  Equity Index Portfolio             Seeks to replicate, before deduction of        TIMCO
  Class II(1)                        expenses, the total return performance of the
                                     S&P 500 Index.
MONTGOMERY FUNDS III
  Montgomery Variable Series:        Seeks capital appreciation. Under normal       Montgomery Asset Management
  Growth Fund                        conditions, it invests at least 65% of its
                                     assets in equity securities.
OCC ACCUMULATION TRUST               Seeks long-term capital appreciation through   Op Cap Advisors
  Equity Portfolio                   investment in a diversified portfolio of
                                     equity securities selected on the basis of a
                                     value oriented approach to investing.
SALOMON BROTHERS VARIABLE
SERIES FUND, INC.
  Salomon Brothers Variable          Seeks above-average income (compared to a      Salomon Brothers Asset
  Total Return Fund                  portfolio invested entirely in equity          Management ("SBAM")
                                     securities). Secondarily, seeks opportunities
                                     for growth of capital and income.
  Salomon Brothers Variable          Seeks long-term growth of capital. Current     SBAM
  Investors Fund                     income is a secondary objective.
  Salomon Brothers Variable          Seeks capital appreciation through             SBAM
  Capital Fund                       investments primarily in common stock, or
                                     securities convertible to common stocks,
                                     which are believed to have above-average
                                     price appreciation potential and which may
                                     also involve above-average risk.
STRONG VARIABLE INSURANCE
FUNDS, INC.
  Strong Shafer Value                Seeks primarily long-term capital              Strong Capital Management, Inc.
  Fund II                            appreciation. Current income is a secondary    Subadviser: Shafer Capital
                                     objective when selecting investments.          Management, Inc.
</TABLE>
    
 
                                       10
<PAGE>   20
 
<TABLE>
<CAPTION>
          FUNDING OPTION                         INVESTMENT OBJECTIVE               INVESTMENT ADVISER/SUB-ADVISER
- -------------------------------------------------------------------------------------------------------------------
<S>                                  <C>                                            <C>
TRAVELERS SERIES FUND, INC.
  Alliance Growth Portfolio          Seeks long-term growth of capital by           Travelers Investment Adviser
                                     investing predominantly in equity securities   ("TIA")
                                     of companies with a favorable outlook for      Subadviser: Alliance Capital
                                     earnings and whose rate of growth is expected  Management L.P.
                                     to exceed that of the U.S. economy over time.
                                     Current income is only an incidental
                                     consideration.
  MFS Total Return Portfolio         Seeks to obtain above-average income           TIA
                                     (compared to a portfolio entirely invested in  Subadviser: Massachusetts
                                     equity securities) consistent with the         Financial Services Company
                                     prudent employment of capital. Generally, at   ("MFS")
                                     least 40% of the Portfolio's assets will be
                                     invested in equity securities.
TRAVELERS SERIES FUND, INC.,
(CONT.)
  Putman Diversified Income          Seeks high current income consistent with      TIA
  Portfolio                          preservation of capital. The Portfolio will    Subadviser: Putnam Investment
                                     allocate its investments among the U.S.        Management, Inc.
                                     Government Sector, the High Yield Sector, and
                                     the International Sector of the fixed income
                                     securities markets.
  Smith Barney High Income           Seeks high current income. Capital             Mutual Management
  Portfolio                          appreciation is a secondary objective. The     Corporation ("MMC") (formerly
                                     Portfolio will invest at least 65% of its      Smith Barney Mutual Fund
                                     assets in high-yielding corporate debt         Management, Inc.)
                                     obligations and preferred stock.
  Smith Barney International         Seeks total return on assets from growth of    MMC
  Equity Portfolio                   capital and income by investing at least 65%
                                     of its assets in a diversified portfolio of
                                     equity securities of established non-U.S.
                                     issuers.
  Smith Barney Large                 Seeks long-term growth of capital by           MMC
  Capitalization Growth Portfolio    investing in equity securities of companies
                                     with large market capitalizations.
TRAVELERS SERIES TRUST
  Disciplined Mid Cap                Seeks growth of capital by investing           TAMIC
  Stock Fund                         primarily in a broadly diversified portfolio   Subadviser: TIMCO
                                     of common stocks.
  Disciplined Small Cap Fund         Seeks long term capital appreciation by        TAMIC
                                     investing primarily (at least 65% of its       Subadviser: TIMCO
                                     total assets) in the common stocks of U.S.
                                     Companies with relatively small market
                                     capitalizations at the time of investment.
  Equity Income Portfolio            Seeks reasonable income by investing at least  TAMIC
                                     65% in income-producing equity securities.     Subadviser: Fidelity Management
                                     The balance may be invested in all types of    & Research Company
                                     domestic and foreign securities, including
                                     bonds. The Portfolio seeks to achieve a yield
                                     that exceeds that of the securities
                                     comprising the S&P 500. The Subadviser also
                                     considers the potential for capital
                                     appreciation.
  Federated Stock Portfolio          Seeks growth of income and capital by          TAMIC
                                     investing principally in a professionally      Subadviser: Federated
                                     managed and diversified portfolio of common    Investment Counseling, Inc.
                                     stock of high-quality companies (i.e.,
                                     leaders in their industries and characterized
                                     by sound management and the ability to
                                     finance expected growth).
</TABLE>
 
                                       11
<PAGE>   21
 
   
<TABLE>
<CAPTION>
          FUNDING OPTION                         INVESTMENT OBJECTIVE               INVESTMENT ADVISER/SUB-ADVISER
- -------------------------------------------------------------------------------------------------------------------
<S>                                  <C>                                            <C>
  Large Cap Portfolio                Seeks long-term growth of capital by           TAMIC
                                     investing primarily in equity securities of    Subadviser: Fidelity Management
                                     companies with large market capitalizations.   & Research Company
  Lazard International Stock         Seeks capital appreciation by investing        TAMIC
  Portfolio                          primarily in the equity securities of          Subadviser: Lazard Asset
                                     non-United States companies (i.e.,             Management
                                     incorporated or organized outside the United
                                     States).
  MFS Mid Cap Growth                 Seeks to obtain long term growth of capital    TAMIC
  Portfolio                          by investing, under normal market conditions,  Subadviser: MFS
                                     at least 65% of its total assets in equity
                                     securities of companies with medium market
                                     capitalization which the investment adviser
                                     believes have above-average growth potential.
TRAVELERS SERIES TRUST,
(CONT.)
  MFS Research Portfolio             Seeks to provide long-term growth of capital   TAMIC
                                     and future income.                             Subadviser: MFS
  Social Awareness Stock             Seeks long-term capital appreciation and       MMC
  Portfolio                          retention of net investment income by
                                     selecting investments, primarily common
                                     stocks, which meet the social criteria
                                     established for the Portfolio. Social
                                     criteria currently excludes companies that
                                     derive a significant portion of their
                                     revenues from the production of tobacco,
                                     tobacco products, alcohol, or military
                                     defense systems, or in the provision of
                                     military defense related services or gambling
                                     services.
  Strategic Stock Portfolio          Seeks to provide an above-average total        TAMIC
                                     return through a combination of potential      Subadviser: TIMCO
                                     capital appreciation and dividend income by
                                     investing primarily in high dividend yield
                                     stocks periodically selected from the
                                     companies included in (i) the Dow Jones
                                     Industrial Average and (ii) the Standard &
                                     Poor's 100 Stock Index.
  Travelers Quality Bond             Seeks current income, moderate capital         TAMIC
  Portfolio(1)                       volatility and total return.
  U.S. Government                    Seeks to select investments from the point of  TAMIC
  Securities Portfolio(1)            view of an investor concerned primarily with
                                     highest credit quality, current income and
                                     total return. The assets of the U.S.
                                     Government Securities Portfolio will be
                                     invested in direct obligations of the United
                                     States, its agencies and instrumentalities.
  Utilities Portfolio                Seeks to provide current income by investing   MMC
                                     in equity and debt securities of companies in
                                     the utility industries.
WARBURG PINCUS TRUST
  Emerging Markets Portfolio         Seeks long-term growth of capital by           Warburg Pincus Asset
                                     investing primarily in equity securities of    Management, Inc.
                                     non-U.S. issuers consisting of companies in
                                     emerging market securities.
</TABLE>
    
 
(1) Currently available under Variable Annuitization Floor Benefit.
 
An asset allocation program is available for certain funding options under the
Contract. See "Asset Allocation Advice."
 
   
SUBSTITUTIONS AND ADDITIONS
    
 
   
If any of the funding options become unavailable for allocating purchase
payments or if we believe that further investment in a funding option is
inappropriate for the purposes of the Contract, we
    
 
                                       12
<PAGE>   22
 
   
may substitute another funding option. However, we will not make any
substitutions without notifying you and obtaining any applicable state and SEC
approval. From time to time we may make new funding options available.
    
 
                             CHARGES AND DEDUCTIONS
- --------------------------------------------------------------------------------
 
GENERAL
 
   
We deduct the charges described below. The charges are for the service and
benefits we provide, costs and expenses we incur, and risks we assume under the
Contracts. Services and benefits we provide include: the ability for you to make
withdrawals and surrenders under the Contracts; the death benefit paid on the
death of the annuitant, the available funding options and related programs,
including dollar-cost averaging, portfolio rebalancing, and managed distribution
program; administration of the annuity options available under the Contracts;
and the distribution of various reports to contract owners. Costs and expenses
we incur include those associated with various overhead and other expenses
associated with providing the services and benefits provided by the Contracts,
sales and marketing expenses, and other costs of doing business. Risks we assume
include the risks that annuitants may live longer than estimated when the
annuity factors under the Contracts were established, and that the amount of the
death benefit will be greater than the contract value. We may also deduct a
charge for taxes.
    
 
Unless otherwise specified, charges are deducted proportionately from all
funding options in which you are invested.
 
WITHDRAWAL CHARGE
 
No sales charges are deducted from purchase payments when they are applied under
the Contract. However, a withdrawal charge will be deducted if any or all of the
contract value is withdrawn during the first five years following a purchase
payment. The length of time from when we receive the purchase payment to the
time of withdrawal determines the amount of the charge.
 
The withdrawal charge is equal to a percentage of the amount of purchase
payments, plus any credits applied, which are withdrawn from the Contract and is
calculated as follows:
 
<TABLE>
<CAPTION>
    LENGTH OF TIME FROM
      PURCHASE PAYMENT                  WITHDRAWAL
     (NUMBER OF YEARS)                    CHARGE
<S>                                     <C>
             1                              5%
             2                              4%
             3                              3%
             4                              2%
             5                              1%
      6 and thereafter                      0%
</TABLE>
 
For purposes of the withdrawal charge calculation, withdrawals will be deemed to
be taken first from (a) any purchase payments and associated credits to which no
withdrawal charge applies; (b) next from any remaining free withdrawal amount
(as described below) after the reduction by the amount of (a); (c) next from
remaining purchase payments and associated credits (on a first-in, first-out
basis); and then (d) from contract earnings (in excess of any free withdrawal
amount). Unless you instruct us otherwise, we will deduct the withdrawal charge
from the amount requested.
 
   
Where permitted by state law, we will not deduct a withdrawal charge (1) from
payments we make due to the death of the annuitant; (2) if an annuity payout,
other than under the Liquidity Benefit Option, (see "Liquidity Benefit") has
begun; (3) if an income option of at least ten years' duration is elected; (4)
from amounts withdrawn which are deposited to other contracts issued by Us or
our affiliate (subject to Our approval); (5) if withdrawals are taken under our
Managed
    
 
                                       13
<PAGE>   23
 
Distribution Program, if elected by you (see "Access to Your Money"); or (6) if
you are confined to an Eligible Nursing Home, as described in Appendix B.
 
FREE WITHDRAWAL ALLOWANCE
 
There is a 20% free withdrawal allowance available each year. During the first
contract year, the available withdrawal amount will be 20% of the initial
purchase payment. After the first contract year, the available withdrawal amount
will be calculated as of the end of the previous contract year. The free
withdrawal allowance applies to partial withdrawals and to full withdrawals,
except those transferred directly to annuity contracts issued by other financial
institutions. In Washington state, the free withdrawal provision applies to all
withdrawals.
 
MORTALITY AND EXPENSE RISK CHARGE
 
Each business day, the Company deducts a mortality and expense risk charge. The
deduction is reflected in our calculation of accumulation and annuity unit
values. For the Standard Death Benefit, this charge equals, on an annual basis,
 .80% of the amounts held in each funding option. For the Optional Death Benefit
and Credit, the charge equals on an annual basis, 1.25%. We reserve the right to
lower the charge at any time.
 
   
FLOOR BENEFIT/LIQUIDITY BENEFIT CHARGES
    
 
   
If the Variable Annuitization Floor Benefit is selected, a charge is deducted
upon election of this benefit. This charge compensates us for guaranteeing a
minimum variable annuity payment regardless of the performance of the funding
options selected by you. This charge will vary based upon market conditions, but
will never increase your annual separate account charge by more than 3%. The
charge will be set at the time of election, and will remain level throughout the
term of annuitization. If the Liquidity Benefit is selected, there is a
surrender charge of 5% of the amount withdrawn. Please refer to "The Annuity
Period" for a description of these benefits.
    
 
   
CHART ASSET ALLOCATION PROGRAM CHARGES
    
 
   
Under the CHART Program, purchase payments and cash values are allocated among
the specified asset allocation funds. The charge for this advisory service is
equal to a maximum of .80% of the assets subject to the CHART Program. The CHART
Program fee will be paid by quarterly withdrawals from the cash values allocated
to the asset allocation funds. The Company will not treat these withdrawals as
taxable distributions. Please refer to "Miscellaneous Contract Provisions" for
further information.
    
 
FUNDING OPTION EXPENSES
 
The deductions from and expenses paid out of the assets of the various funding
options are summarized in the fee table and are described in the accompanying
prospectuses.
 
PREMIUM TAX
 
Certain state and local governments charge premium taxes ranging from 0% to 5%,
depending upon jurisdiction. The Company is responsible for paying these taxes
and will determine the method used to recover premium tax expenses incurred.
Where required, the Company will deduct any applicable premium taxes from the
contract value either upon death, surrender, annuitization, or at the time
purchase payments are made to the Contract, but no earlier than when the Company
has a tax liability under state law.
 
CHANGES IN TAXES BASED UPON PREMIUM OR VALUE
 
If there is any change in a law assessing taxes against the Company based upon
premiums, contract gains or value of the contract, we reserve the right to
charge you proportionately for this tax.
 
                                       14
<PAGE>   24
 
                              OWNERSHIP PROVISIONS
- --------------------------------------------------------------------------------
 
TYPES OF OWNERSHIP
 
   
Contract owner (you). The Contract belongs to the contract owner named in the
Contract (on the Specifications page). The annuitant is the individual upon
whose life the maturity date and the amount of monthly annuity payments depend.
Because this is a qualified contract, the contract owner and the annuitant must
always be the same person. You have sole power to exercise any rights and to
receive all benefits given in the contract provided you have not named an
irrevocable beneficiary.
    
 
   
Beneficiary.  The beneficiary is named by you in a written request.  The
beneficiary has the right to receive any remaining contractual benefits upon
your death. If more than one beneficiary survives the annuitant, they will share
equally in benefits unless different shares are recorded with the Company by
written request before your death.
    
 
Unless an irrevocable beneficiary has been named, you have the right to change
any beneficiary by written request and while the Contract continues.
 
                                   TRANSFERS
- --------------------------------------------------------------------------------
 
   
Up to 30 days before the maturity date, you may transfer all or part of the
contract value between funding options. Transfers are made at the value(s) next
determined after we receive your request at the Home Office. There are no
charges or restrictions on the amount or frequency of transfers currently;
however, we reserve the right to charge a per-transfer fee on transfers
exceeding 12 per year, and, to limit the number of transfers. We will always
allow at least one transfer in any six-month period. Since different funding
options have different expenses, a transfer of contract values from one funding
option to another could result in your investment becoming subject to higher or
lower expenses. After the maturity date, you may also make transfers between
funding options.
    
 
DOLLAR COST AVERAGING
 
Dollar cost averaging (or "automated transfers") allows you to transfer a set
dollar amount to other funding options on a monthly or quarterly basis so that
more accumulation units are purchased in a funding option if the cost per unit
is low and less accumulation units are purchased if the cost per unit is high.
Therefore, a lower-than-average cost per unit may be achieved over the long run.
 
You may elect automated transfers through written request or other method
acceptable to the Company. (For Contracts issued in New York, the election must
be made in writing.) You must have a minimum total Contract Value of $5,000 to
enroll in the Dollar Cost Averaging program. The minimum total automated
transfer amount is $100.
 
You may start or stop participation in the Dollar Cost Averaging program at any
time, but you must give the Company at least 30 days' notice to change any
automated transfer instructions that are currently in place. All provisions and
terms of the Contract apply to automated transfers, including provisions
relating to the transfer of money between funding options. We reserve the right
to suspend or modify transfer privileges at any time and to assess a processing
fee for this service.
 
                              ACCESS TO YOUR MONEY
- --------------------------------------------------------------------------------
 
Any time before the maturity date, you may redeem all or any portion of the
contract value, less any premium tax not previously deducted. You must submit a
written request specifying the funding option(s) from which amounts are to be
withdrawn. If no funding options are specified, the withdrawal will be made on a
pro rata basis. The contract value will be determined as of the close of
business after we receive your surrender request at the Home Office. The value
may be
 
                                       15
<PAGE>   25
 
more or less than the purchase payments made depending on the contract value at
the time of surrender.
 
We may defer payment of any cash surrender value (that is, contract value, less
charges for surrender and any premium taxes due) for a period of up to seven
days after the written request is received, but it is our intent to pay as soon
as possible. We cannot process requests for withdrawal that are not in good
order. We will contact you if there is a deficiency causing a delay and will
advise what is needed to act upon the withdrawal request.
 
We also provide access to your money during the annuitization period, which is
discussed in detail in the "Annuity Period" section of this prospectus.
 
SYSTEMATIC WITHDRAWALS
 
Before the maturity date, you may choose to withdraw a specified dollar amount
(at least $100) on a monthly, quarterly, semiannual or annual basis. Any
applicable withdrawal charges (in excess of the free withdrawal allowance) and
any applicable premium taxes will be deducted. To elect systematic withdrawals,
you must have a contract value of at least $15,000. We will surrender
accumulation units from all funding options in which you have an interest,
unless you instruct us otherwise. You may begin or discontinue systematic
withdrawals at any time by notifying us in writing, but at least 30 days' notice
must be given to change any systematic withdrawal instructions that are
currently in place.
 
We reserve the right to discontinue offering systematic withdrawals or to assess
a processing fee for this service upon 30 days' written notice to contract
owners (where allowed by state law).
 
   
Each systematic withdrawal is subject to federal income taxes on the taxable
portion. In addition, a 10% federal penalty tax may be imposed on systematic
withdrawals if the contract owner is under age 59 1/2. You should consult with
your tax adviser regarding the tax consequences of systematic withdrawals.
    
 
MANAGED DISTRIBUTION PROGRAM.  Under the Systematic Withdrawal option, you may
choose to participate in the Managed Distribution Program. At no cost to you,
you may instruct the Company to calculate and make minimum distributions that
may be required by the IRS upon reaching age 70 1/2. (See "Federal Tax
Considerations".) These payments will not be subject to the withdrawal charge
and will be in lieu of the 20% free withdrawal allowance. No Dollar Cost
Averaging will be permitted if you are participating in the Managed Distribution
Program.
 
                                 DEATH BENEFIT
- --------------------------------------------------------------------------------
 
DEATH PROCEEDS BEFORE THE MATURITY DATE
 
The person chosen as the beneficiary will receive a death benefit upon the first
death of any owner or the annuitant before the maturity date. You may select
either the Standard Death Benefit or the Optional Death Benefit and Credit at
the time of purchase:
 
STANDARD DEATH BENEFIT:
 
<TABLE>
<CAPTION>
 
- ------------------------------------------------------------------------------------------
    ANNUITANT'S AGE                              DEATH BENEFIT PAYABLE
  ON THE CONTRACT DATE                  (CALCULATED AS OF THE DEATH REPORT DATE)
- ------------------------------------------------------------------------------------------
<S>                           <C>
 Before age 80                Greater of:
                              (1) contract value, or
                              (2) total purchase payments less any withdrawals (and
                              related charges).
- ------------------------------------------------------------------------------------------
 On or after age 80           Contract value.
- ------------------------------------------------------------------------------------------
</TABLE>
 
OPTIONAL DEATH BENEFIT AND CREDIT
 
   
The Optional Death Benefit and Credit varies depending on the Annuitant's age on
the Contract Date.
    
 
                                       16
<PAGE>   26
 
   
<TABLE>
<CAPTION>
 
- ------------------------------------------------------------------------------------------
    ANNUITANT'S AGE                              DEATH BENEFIT PAYABLE
  ON THE CONTRACT DATE                  (CALCULATED AS OF THE DEATH REPORT DATE)
- ------------------------------------------------------------------------------------------
<S>                           <C>
 Under Age 70                 IF NOTIFIED WITHIN 6 MONTHS OF THE DEATH: Greatest of:
                              (1) contract value;
                              (2)
                              total purchase payments, less any withdrawals (and related charges), or
                              (3) maximum Step Up death benefit value (described below)
                              associated with contract date anniversaries beginning with
                                  the 5th, and ending with the last before the annuitant's
                                  76th birthday.
                              IF NOTIFIED 6 MONTHS OR MORE AFTER THE DEATH: Contract Value
                              (unless prohibited by state law)
- ------------------------------------------------------------------------------------------
 Age 70-75                    IF NOTIFIED WITHIN 6 MONTHS OF THE DEATH: Greatest of:
                              (1) above,
                              (2) above, or
                              (3) the Step Up death benefit value (described below)
                              associated with the 5th contract date anniversary.
                              IF NOTIFIED 6 MONTHS OR MORE AFTER THE DEATH: Contract Value
                              (unless prohibited by state law)
- ------------------------------------------------------------------------------------------
 Age 76-80                    Greater of (1) or (2) above.
- ------------------------------------------------------------------------------------------
 Age over 80                  The contract value.
- ------------------------------------------------------------------------------------------
</TABLE>
    
 
All death benefit values described above are calculated at the close of business
on the date the Company received due proof of death and written distribution
instructions (the death report date). The amounts will be reduced by any
applicable premium taxes due and any outstanding loans.
 
STEP-UP DEATH BENEFIT VALUE
 
   
A separate Step-Up death benefit value will be established on the fifth contract
date anniversary, and on each subsequent contract date anniversary on or before
the death report date and will initially equal the contract value on that
anniversary. After a Step-Up death benefit value has been established, it will
be recalculated each time a purchase payment is made or a partial surrender is
taken until the death report date. Step-Up death benefit values will be
recalculated by increasing them by the amount of each applicable purchase
payment and by reducing them by a Partial Surrender Reduction (as described
below) for each applicable partial surrender. Recalculations of Step-Up death
benefit values related to any purchase payments or any partial surrenders will
be made in the order that such purchase payments or partial surrenders occur.
    
 
The Partial Surrender Reduction referenced above is equal to:
 
        (1) the amount of a Step-Up death benefit value immediately prior to the
            reduction for the partial surrender, multiplied by
 
        (2) the amount of the partial surrender divided by the contract value
            immediately prior to the partial surrender.
 
DEATH PROCEEDS AFTER THE MATURITY DATE
 
If the death of the annuitant occurs on or after the maturity date, the Company
will pay the beneficiary a death benefit consisting of any benefit remaining
under the annuity option then in effect.
 
PAYMENT OF PROCEEDS
 
The process of paying death benefit proceeds is described below. Generally, the
person(s) receiving the benefit may request that the proceeds be paid in a lump
sum, or be applied to one of the settlement options available under the
Contract.
 
The Company will pay the proceeds to the beneficiary(ies), or if none, to the
contract owner's estate.
 
                                       17
<PAGE>   27
 
                               THE ANNUITY PERIOD
- --------------------------------------------------------------------------------
 
MATURITY DATE
 
Under the Contract, you can receive regular income payments (annuity payments).
You can choose the month and the year in which those payments begin (maturity
date). While the annuitant is alive, you can change your selection any time up
to 30 days prior the maturity date. Annuity payments will begin on the maturity
date requested by you unless the Contract has been fully surrendered or the
proceeds have been paid to the beneficiary before that date. Annuity payments
are a series of periodic payments (a) for life; (b) for life with either a
minimum number of payments or a specific amount assured; or (c) for the joint
lifetime of the annuitant and another person, and thereafter during the lifetime
of the survivor or (d) for a number of payments assured. We may require proof
that the annuitant is alive before annuity payments are made.
 
   
You may annuitize your contract immediately after purchase, or select a later
maturity date. Unless you elect otherwise, the maturity date will be the later
of the annuitant's 90th birthday, or ten years after the effective date of the
Contract. In certain states, the maturity date elected may not be later than the
annuitant's 90th birthday.
    
 
   
Certain annuity options taken at the maturity date may be used to meet the
minimum required distribution requirements of federal tax law, or a program of
partial surrenders may be used instead. Depending on your plan, these mandatory
distribution requirements take effect generally upon either the later of the
contract owner's attainment of age 70 1/2 or year of retirement; or the death of
the contract owner. Please refer to the optional, no-cost Managed Distribution
Program described in the "Access to Your Money" section of this prospectus.
Independent tax advice should be sought regarding the election of minimum
required distributions.
    
 
LIQUIDITY BENEFIT
 
   
Additionally, if you have selected any period certain option, you may elect to
surrender a payment equal to a portion or all of the present value of the
remaining period certain payments any time after the first contract year. There
is a surrender charge of 5% of the amount withdrawn under this option.
    
 
   
For variable annuity payments, the interest rate used to calculate the present
value is the Assumed Net Investment Factor, as shown in your Contract. If you
request a portion of the total amount available, your remaining payments for the
period certain will be reduced by that percentage. After the period certain
expires, your payments will increase to the level they would have been had no
liquidation taken place.
    
 
   
For fixed annuity payments, we calculate the present value of the remaining
period certain payments using a current interest rate. This interest rate is the
current rate of return offered by Us on new annuitizations for the amount of
time remaining in the certain period annuity option. If you request a percentage
of the total amount available, your remaining payments for the period chosen
will be reduced by that percentage. After the certain period expires, your
remaining payments will increase back to the level they would have been as if no
certain liquidation had taken place.
    
 
   
The market value adjustment formula for calculating the present value described
above for fixed annuity payments is as follows:
    
 
              Present Value =LOGO[Payment(s) X (1/1 + iC)(t/365)]
 
Where
 
<TABLE>
<S>  <C>  <C>
iC   =    the interest rate described above
n    =    the number of payments remaining in the contract owner's
          certain period at the time of request for this benefit
t    =    number of days remaining until that payment is made,
          adjusting for leap years.
</TABLE>
 
See Appendix C for examples of this market value adjustment.
 
                                       18
<PAGE>   28
 
ALLOCATION OF ANNUITY
 
   
If, at the time annuity payments begin, no election has been made to the
contrary, the cash surrender value will be applied to provide an annuity funded
by the same investment options selected during the accumulation period. At least
30 days before the maturity date, you may transfer the contract value among the
funding options in order to change the basis on which annuity payments will be
determined. (See "Transfers.")
    
 
   
ANNUITIZATION CREDIT.  This credit is applied to the contract value used to
purchase one of the Annuity Options described below. The credit equals 0.5% of
your contract value if you annuitize during contract years 2-5, 1% during
contract years 6-10, and 2% after contract year 10. There is no credit applied
to contracts held less than 1 year.
    
 
   
VARIABLE ANNUITY
    
 
   
You may choose an annuity payout that fluctuates depending on the investment
experience of the variable funding options. The number of annuity units credited
to the Contract is determined by dividing the first monthly annuity payment
attributable to each funding option by the corresponding unit value as of 14
days before the date annuity payments begin. An annuity unit is used to measure
the dollar value of an annuity payment. The number of annuity units (but not
their value) remains fixed during the annuity period.
    
 
   
DETERMINATION OF FIRST ANNUITY PAYMENT.  The Contract contains tables used to
determine the first monthly annuity payment.  The amount applied to effect a
variable annuity will be the value of the funding options as of 14 days before
the date annuity payments begin less any applicable premium taxes not previously
deducted.
    
 
   
The amount of the first monthly payment depends on the annuity option and
assumed net investment factor elected. At the time of annuitization, you may
choose between an Assumed Net Investment Factor ("ANIF") of 3% or 5%. An ANIF of
5% will result in higher initial payments, while the 3% ANIF provides payments
which increase more quickly. A formula for determining the adjusted age is
contained in the Contract. The total first monthly annuity payment is determined
by multiplying the benefit per $1,000 of value shown in the applicable tables of
the Contract by the number of thousands of dollars of value of the Contract
applied to that annuity option. The Company reserves the right to require
satisfactory proof of age of any person on whose life annuity payments are based
before making the first payment under any of the settlement options. If it would
produce a larger payment, the first variable annuity payment will be determined
using the Variable Life Annuity Tables in effect on the maturity date.
    
 
DETERMINATION OF SECOND AND SUBSEQUENT ANNUITY PAYMENTS.  The dollar amount of
the second and subsequent annuity payments is not predetermined and may change
from month to month based on the investment experience of the applicable funding
option. The total amount of each annuity payment will be equal to the sum of the
basic payments in each funding option. The actual amounts of these payments are
determined by multiplying the number of annuity units credited to each funding
option by the corresponding annuity unit value as of the date 14 days before the
date the payment is due.
 
FIXED ANNUITY
 
You may choose a fixed annuity that provides payments which do not vary during
the annuity period. We will calculate the dollar amount of the first fixed
annuity payment as described under "Variable Annuity," except that the amount
applied to effect the annuity will be determined as of the date annuity payments
begin. If it would produce a larger payment, the first fixed annuity payment
will be determined using the Fixed Life Annuity Tables in effect on the maturity
date.
 
If you have elected the Increasing Benefit Option, the payments will be
calculated as above, however, the initial payment will be less than that
reflected in the table and the subsequent payments will be increased by the
percentage you elected.
 
                                       19
<PAGE>   29
 
                                PAYMENT OPTIONS
- --------------------------------------------------------------------------------
 
ELECTION OF OPTIONS
 
While the annuitant is alive, you can change your annuity option selection any
time up to the maturity date. Once annuity payments have begun, no further
elections are allowed.
 
   
During the annuitant's lifetime, if you do not elect otherwise before the
maturity date, we will pay you (or another designated payee) the first of a
series of fixed monthly annuity payments based on the life of the annuitant, in
accordance with Annuity Option 2 (Life Annuity with 120 monthly payments
assured). For certain contracts, Annuity Option 4 (Joint and Last Survivor Joint
Life Annuity -- Annuity Reduced on Death of Primary Payee) will be the automatic
option as described in the contract.
    
 
The minimum amount that can be placed under an annuity option will be $2,000
unless we agree to a lesser amount. If any monthly periodic payment due is less
than $100, the Company reserves the right to make payments at less frequent
intervals, or to pay the contract value in a lump-sum.
 
   
On the maturity date, we will pay the amount due under the Contract as described
above. You must elect an option in writing, in a form satisfactory to the
Company. Any election made during the lifetime of the annuitant must be made by
the contract owner.
    
 
VARIABLE ANNUITIZATION FLOOR BENEFIT.  This benefit may not be available, or may
only be available under certain annuity options, if we determine the market
conditions so dictate. If available, the Company will guarantee that, regardless
of the performance of the funding options selected by you, your annuity payments
will never be less than a certain percentage of your first annuity payment. This
percentage will vary depending on market conditions, but will never be less than
50%. You may not elect this benefit if you are over age 80. Additionally, you
must select from certain funds available under this guarantee. Currently, these
funds are the Equity Index Portfolio Class II, the Travelers Quality Bond
Portfolio, and the U.S. Government Securities Portfolio. We may, at our
discretion increase or decrease the number of funds available under this
benefit. This benefit is not currently available under Option 5. The benefit is
not available with the 5% assumed net investment factor under any option. If you
select this benefit, you may not elect to liquidate any portion of your
contract.
 
   
There is a charge for this guarantee, which will begin upon election of this
benefit. This charge will vary based upon market conditions, and will be
established at the time the benefit is elected. Once established, the charge
will remain level throughout the remainder of the annuitization, and will never
increase your annual separate account charge by more than 3% per year.
    
 
We reserve the right to restrict the amount of contract value to be annuitized
under this benefit.
 
ANNUITY OPTIONS
 
Subject to the conditions described in "Election of Options" above, all or any
part of the contract value may be paid under one or more of the following
annuity options. We may offer additional options. Options 1-5 below may be
applied to either a Fixed or Variable Annuity.
 
INCREASING BENEFIT OPTION.  For Fixed Annuities, the annuity payment you receive
may be either level (except after death of Primary Payee in Option 4) or
increasing. If increasing payments are elected, the initial payment will be less
than the corresponding level payment for the same annuity option, but your
payments will increase on each contract date anniversary by a percentage chosen
by you. You may choose a whole number from 1 to 4%.
 
Option 1 -- Life Annuity -- No Refund. The Company will make annuity payments
during the lifetime of the annuitant ending with the last payment before death.
This option offers the maximum periodic payment, since there is no assurance of
a minimum number of payments or provision for a death benefit for beneficiaries.
 
                                       20
<PAGE>   30
 
Option 2 -- Life Annuity with 120, 180 or 240 Monthly Payments Assured. The
Company will make monthly annuity payments during the lifetime of the annuitant,
with the agreement that if, at the death of that person, payments have been made
for less than 120, 180 or 240 months as elected, we will continue making
payments to the beneficiary during the remainder of the period.
 
Option 3 -- Joint and Last Survivor Life Annuity -- No Refund. The Company will
make regular annuity payments during the lifetime of the annuitant and a second
person. When either person dies, we will continue making payments to the
survivor. No further payments will be made following the death of the survivor.
 
Option 4 -- Joint and Last Survivor Life Annuity -- Annuity Reduced on Death of
Primary Payee. The Company will make annuity payments during the lifetimes of
the annuitant and a second person. One will be designated the primary payee, the
other will be designated the secondary payee. On the death of the secondary
payee, the Company will continue to make monthly annuity payments to the primary
payee in the same amount that would have been payable during the joint lifetime
of the two persons. On the death of the primary payee, the Company will continue
to make annuity payments to the secondary payee in an amount equal to 50% of the
payments which would have been made during the lifetime of the primary payee. No
further payments will be made once both payees have died.
 
Option 5 -- Payment for a Fixed Period. The Company will make monthly payments
for the period selected.
 
                       MISCELLANEOUS CONTRACT PROVISIONS
- --------------------------------------------------------------------------------
 
RIGHT TO RETURN
 
   
You may return the Contract within ten days after you receive it for a full
refund of the purchase payment less any applicable credits applied. Where state
law requires a longer period or other variations of this provision, the Company
will comply. Refer to your Contract for any state-specific information.
    
 
TERMINATION
 
You do not need to make any purchase payments after the first to keep the
Contract in effect. However, we reserve the right to terminate the Contract on
any business day if the contract value as of that date is less than $2,000 and
no purchase payments have been made for at least two years, unless otherwise
specified by state law. Termination will not occur until 31 days after the
Company has mailed notice of termination to the contract owner's last known
address and to any assignee of record. If the Contract is terminated, we will
pay you the contract value, less any applicable contract or premium tax charges.
 
REQUIRED REPORTS
 
As often as required by law, but at least once in each contract year before the
due date of the first annuity payment, we will furnish a report showing the
number of accumulation units credited to the Contract and the corresponding
accumulation unit value(s) as of the date of the report for each funding option
to which the contract owner has allocated amounts during the applicable period.
The Company will keep all records required under federal or state laws.
 
SUSPENSION OF PAYMENTS
 
The Company reserves the right to suspend or postpone the date of any payment or
determination of values on any business day (1) when the New York Stock Exchange
("the Exchange") is closed; (2) when trading on the Exchange is restricted; (3)
when an emergency exists as determined by the SEC so that the sale of securities
held in the Separate Account may not reasonably occur or so that the Company may
not reasonably determine the value the Separate
 
                                       21
<PAGE>   31
 
Account's net assets; or (4) during any other period when the SEC, by order, so
permits for the protection of security holders.
 
   
ASSET ALLOCATION ADVICE
    
 
   
Owners may elect to enter into a separate advisory agreement with Copeland
Financial Services, Inc. ("Copeland"), an affiliate of the Company, if the
program is available. For a fee, Copeland provides asset allocation advice under
its CHART program, which is fully described in a separate disclosure statement.
The CHART Program may not be available in all marketing programs through which
this Contract is sold.
    
 
                              THE SEPARATE ACCOUNT
- --------------------------------------------------------------------------------
 
The Travelers Separate Account Five For Variable Annuities ("Separate Account
Five") was established on June 8, 1998 and is registered with the SEC as a unit
investment trust (separate account) under the Investment Company Act of 1940, as
amended (the "1940 Act"). The assets of Separate Account Five will be invested
exclusively in the shares of the variable funding options.
 
The assets of Separate Account Five are held for the exclusive benefit of the
owners of this separate account, according to the laws of Connecticut. The
assets held by Separate Account Five are not chargeable with liabilities arising
out of any other business which the Company may conduct. Obligations under the
Contract are obligations of the Company.
 
All investment income and other distributions of the funding options are payable
to Separate Account Five. All such income and/or distributions are reinvested in
shares of the respective funding option at net asset value. Shares of the
funding options are currently sold only to life insurance company separate
accounts to fund variable annuity and variable life insurance contracts.
 
PERFORMANCE INFORMATION
 
From time to time, we may advertise several types of historical performance for
the Contract's funding options. We may advertise the "standardized average
annual total returns" of the funding option, calculated in a manner prescribed
by the SEC, as well as the "nonstandardized total return," as described below.
Specific examples of the performance information appear in the SAI.
 
STANDARDIZED METHOD.  Quotations of average annual total returns are computed
according to a formula in which a hypothetical initial investment of $1,000 is
applied to the funding option, and then related to ending redeemable values over
one-, five-, and ten-year periods, or for a period covering the time during
which the funding option has been in existence, if less. These quotations
reflect the deduction of all recurring charges during each period (on a pro rata
basis in the case of fractional periods). Each quotation assumes a total
redemption at the end of each period.
 
NONSTANDARDIZED METHOD.  Nonstandardized "total returns" will be calculated in a
similar manner based on the performance of the funding options over a period of
time, usually for the calendar year-to-date, and for the past one-, three-,
five- and ten-year periods. The withdrawal charge is not reflected because the
contract is designed for long-term investment.
 
For underlying funds that were in existence prior to the date they became
available under the Separate Account, the standardized average annual total
return quotations may be accompanied by returns showing the investment
performance that such underlying funds would have achieved (reduced by the
applicable charges) had they been held under the Contract for the period quoted.
The total return quotations are based upon historical earnings and are not
necessarily representative of future performance.
 
GENERAL  Within the guidelines prescribed by the SEC and the National
Association of Securities Dealers, Inc. ("NASD"), performance information may be
quoted numerically or may be presented in a table, graph or other illustration.
Advertisements may include data comparing
 
                                       22
<PAGE>   32
 
performance to well-known indices of market performance (including, but not
limited to, the Dow Jones Industrial Average, the Standard & Poor's (S&P) 500
Index and the S&P 400 Index, the Lehman Brothers Long T-Bond Index, the Russell
1000, 2000 and 3000 Indices, the Value Line Index, and the Morgan Stanley
Capital International's EAFE Index). Advertisements may also include published
editorial comments and performance rankings compiled by independent
organizations (including, but not limited to, Lipper Analytical Services, Inc.
and Morningstar, Inc.) and publications that monitor the performance of the
Separate Account and the variable funding options.
 
                           FEDERAL TAX CONSIDERATIONS
- --------------------------------------------------------------------------------
 
The following general discussion of the federal income tax consequences under
this Contract is not intended to cover all situations, and is not meant to
provide tax advice. Because of the complexity of the law and the fact that the
tax results will vary depending on many factors, you should consult your tax
adviser regarding your personal situation. For your information, a more detailed
tax discussion is contained in the SAI.
 
GENERAL TAXATION OF ANNUITIES
 
   
Congress has recognized the value of saving for retirement by providing certain
tax benefits, in the form of tax deferral, for money put into an annuity. The
Internal Revenue Code (Code) governs how this money is ultimately taxed,
depending upon the type of contract, qualified or non-qualified, and the manner
in which the money is distributed, as briefly described below. This contract is
intended primarily for use as a qualified annuity, therefore this tax discussion
will be limited to such contracts.
    
 
QUALIFIED CONTRACTS
 
If you purchase an annuity contract with proceeds of an eligible rollover
distribution from any pension plan, specially sponsored program, or individual
retirement annuity (IRA) with pre-tax dollars, your contract is referred to as a
qualified contract. Some examples of qualified contracts are: IRAs, 403(b)
annuities, pension and profit-sharing plans (including 401(k) plans), Keogh
Plans, and certain other qualified deferred compensation plans.
 
Under a qualified annuity, since amounts paid into the contract have not yet
been taxed, the full amount of all distributions, including lump-sum withdrawals
and annuity payments, are taxed at the ordinary income tax rate unless the
distribution is transferred to an eligible rollover account or contract. The
Contract is available as a vehicle for IRA rollovers and for other qualified
contracts. There are special rules which govern the taxation of qualified
contracts, including withdrawal restrictions, requirements for mandatory
distributions, and contribution limits. We have provided a more complete
discussion in the SAI.
 
PENALTY TAX FOR PREMATURE DISTRIBUTIONS
 
Taxable distributions taken before the contract owner has reached the age of
59 1/2 will be subject to a 10% additional tax penalty unless the distribution
is taken in a series of periodic distributions, for life or life expectancy, or
unless the distribution follows the death or disability of the contract owner.
Other exceptions may be available in certain qualified plans.
 
TAXATION OF SURRENDERS UNDER LIQUIDITY FEATURE
 
   
As discussed above, no taxable income is recognized prior to the distribution of
proceeds to the Contract Owner. The Liquidity Benefit available under this
Contract is a distribution under the Code, and is therefore subject to ordinary
income tax as well as the penalty tax for premature distributions, if
applicable.
    
 
                                       23
<PAGE>   33
 
OWNERSHIP OF THE INVESTMENTS
 
Assets in the separate accounts, also referred to as segregated asset accounts,
must be owned by the Company and not by the Contract Owner for federal income
tax purposes. Otherwise, the deferral of taxes is lost and income and gains from
the accounts would be includable annually in the Contract Owner's gross income.
 
The Internal Revenue Service has stated in published rulings that a variable
contract owner will be considered the owner of the assets of a segregated asset
account if the owner possesses an incident of ownership in those assets, such as
the ability to exercise investment control over the assets. The Treasury
Department announced, in connection with the issuance of temporary regulations
concerning investment diversification, that those regulations "do not provide
guidance concerning the circumstances in which investor control of the
investments of a segregated asset account may cause the investor, rather than
the insurance company, to be treated as the owner of the assets of the account."
This announcement, dated September 15, 1986, also stated that the guidance would
be issued by way of regulations or rulings on the "extent to which policyholders
may direct their investments to particular subaccounts [of a segregated asset
account] without being treated as owners of the underlying assets." As of the
date of this prospectus, no such guidance has been issued.
 
The Company does not know if such guidance will be issued, or if it is, what
standards it may set. Furthermore, the Company does not know if such guidance
may be issued with retroactive effect. New regulations are generally issued with
a prospective-only effect as to future sales or as to future voluntary
transactions in existing contracts. The Company therefore reserves the right to
modify the contract as necessary to attempt to prevent Contract Owners from
being considered the owner of the assets of the separate account.
 
MANDATORY DISTRIBUTIONS FOR QUALIFIED PLANS
 
Federal tax law requires that minimum annual distributions begin by April 1st of
the calendar year following the calendar year in which an IRA owner attains age
70 1/2. Participants in qualified plans and 403(b) annuities may defer minimum
distributions until the later of April 1st of the calendar year following the
calendar year in which they attain age 70 1/2. Distributions must begin or be
continued according to required patterns following the death of the contract
owner or annuitant of qualified annuities.
 
                               OTHER INFORMATION
- --------------------------------------------------------------------------------
 
THE INSURANCE COMPANY
 
   
The Travelers Insurance Company is a stock insurance company chartered in 1864
in Connecticut and continuously engaged in the insurance business since that
time. It is licensed to conduct life insurance business in all states of the
United States, the District of Columbia, Puerto Rico, Guam, the U.S. and British
Virgin Islands and the Bahamas. The Company is an indirect wholly owned
subsidiary of Citigroup, Inc. The Company's Home Office is located at One Tower
Square, Hartford, Connecticut 06183.
    
 
YEAR 2000 COMPLIANCE
 
   
The Company is highly dependent on computer systems and system applications for
conducting its ongoing business functions. In 1996, the Company began the
process of identifying, assessing and implementing changes to computer programs
to address the year 2000 issue and developed a comprehensive plan to address the
issue. The issue involves the ability of computer systems that have time
sensitive programs to recognize properly the year 2000. The inability to do so
could result in major failures or miscalculations that would disrupt the
Company's ability to meet its customer and other obligations on a timely basis.
    
 
                                       24
<PAGE>   34
 
   
The Company is in the process of implementing necessary changes, in accordance
with its Year 2000 plan, to bring all its critical business systems into year
2000 compliance by yearend 1998. As part of, and following achievement of year
2000 compliance, systems have been, and will continue to be, subjected to a
certification process which validates the renovated code before it is certified
for use in production. In addition, the Company is developing contingency plans
to be used in the event of an unexpected failure, which may result from the
complex interrelationships among our clients, business partners, and other
parties upon whom it relies.
    
 
   
The total cost associated with the required modifications and conversions, which
are expensed as incurred, is not expected to have a material effect on its
financial position, results of operations or liquidity. The Company also has
third party customers, financial institutions, vendors and others with which it
conducts business and has communicated with them on their plans to address and
resolve year 2000 issues on a timely basis. While it is likely that these
efforts by third party vendors will be successful, it is possible that a series
of failures by third parties could have a material adverse effect on the
Company's results of operations in future years.
    
 
DISTRIBUTION OF VARIABLE ANNUITY CONTRACTS
 
The Company intends to sell the Contracts in all jurisdictions where it is
licensed to do business and where the Contract is approved. The Contracts will
be sold by life insurance sales agents who represent the Company, or certain
other registered broker-dealers. The compensation paid to sales representatives
will not exceed 6.5% of the payments made under the Contracts.
 
From time to time, the Company may pay or permit other promotional incentives,
in cash, credit or other compensation.
 
   
Any sales representative or employee will have been qualified to sell variable
annuities under applicable federal and state laws. Each broker-dealer is
registered with the SEC under the Securities Exchange Act of 1934, and all are
members of the NASD. The principal underwriter for the Contracts is CFBDS, Inc.,
an unaffiliated company, 21 Milk Street, Boston, Massachusetts 02109.
    
 
CONFORMITY WITH STATE AND FEDERAL LAWS
 
The Contract is governed by the laws of the state in which it is delivered. Any
paid-up annuity, contract value or death benefits that are available under the
Contract are not less than the minimum benefits required by the statutes of the
state in which the Contract is delivered. We reserve the right to make any
changes, including retroactive changes, in the Contract to the extent that the
change is required to meet the requirements of any law or regulation issued by
any governmental agency to which the Company, the Contract or the contract owner
is subject.
 
VOTING RIGHTS
 
The Company is the legal owner of the shares of the funding options. However, we
believe that when a funding option solicits proxies in conjunction with a vote
of shareholders we are required to obtain from you and from other owners
instructions on how to vote those shares. When we receive those instructions, we
will vote all of the shares we own in proportion to those instructions. This
will also include any shares we own on our own behalf. Should we determine that
we are no longer required to comply with the above, we will vote on the shares
in our own right.
 
LEGAL PROCEEDINGS AND OPINIONS
 
There are no pending material legal proceedings affecting the Separate Account.
There is one material pending legal proceeding, other than ordinary routine
litigation incidental to the business, to which the Company is a party. In March
1997, a purported class action entitled Patterman v. The Travelers, Inc. was
commenced in the Superior Court of Richmond County, Georgia, alleging, among
other things, violations of the Georgia RICO statute and other state laws by an
affiliate of the Company, Primerica Financial Services, Inc. and certain of its
affiliates. Plaintiffs seek unspecified compensatory and punitive damages and
other relief. In April 1997, the lawsuit was
 
                                       25
<PAGE>   35
 
removed to the U.S. District Court for the Southern District of Georgia, and in
October, 1997, the lawsuit was remanded to the Superior Court of Richmond
County. Later in October 1997, the defendants, including the Company, answered
the complaint, denied liability and asserted numerous affirmative defenses. In
February 1998, the Superior Court of Richmond County transferred the lawsuit to
the Superior Court of Gwinnett County, Georgia, and certified the transfer order
for immediate appellate review. Also in February 1998, plaintiffs served an
application for appellate review of the transfer order; defendants subsequently
opposed that application; and later in February 1998, the Court of Appeals of
the State of Georgia granted plaintiffs' application for appellate review.
Pending appeal proceedings in the trial court have been stayed. The Company
intends to vigorously contest the litigation.
 
   
Legal matters in connection with the federal laws and regulations affecting the
issue and sale of the Contract described in this prospectus, as well as the
organization of the Company, its authority to issue variable annuity contracts
under Connecticut law and the validity of the forms of the variable annuity
contracts under Connecticut law, have been reviewed by the General Counsel of
the Company.
    
 
   
                             AVAILABLE INFORMATION
    
- --------------------------------------------------------------------------------
 
   
The Company is subject to the information requirements of the Securities
Exchange Act of 1934 (the "1934 Act"), as amended, and files reports and other
information with the Securities and Exchange Commission (the "Commission"). Such
reports and other information can be inspected and copied at the public
reference facilities of the Commission at Room 1024, 450 Fifth Street, N.W.,
Washington, D.C. and at the Commission's Regional Offices located at Seven World
Trade Center, New York, New York 10048, and Northwestern Atrium Center, 500 West
Madison Street, Suite 1400, Chicago, Illinois 60661. Copies of such materials
can also be obtained from the Public Reference Section of the Commission at 450
Fifth Street, N.W., Washington, D.C. 20549, at prescribed rates.
    
 
   
Under the Securities Act of 1933, the Company has filed with the Commission a
registration statement (the "Registration Statement") relating to the Contracts
offered by this Prospectus. This Prospectus has been filed as a part of the
Registration Statement and does not contain all of the information set forth in
the Registration Statement and the exhibits, and reference is hereby made to
such Registration Statement and exhibits for further information relating to the
Company and the Contracts. The Registration Statement and the exhibits may be
inspected and copied as described above. Although the Company does furnish the
Annual report on Form 10-K for the year ended December 31, 1997 to owners of
contracts or certificates, the Company does not plan to furnish subsequent
annual reports containing financial information to the owners of contracts or
certificates described in this Prospectus.
    
 
   
                INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE
    
- --------------------------------------------------------------------------------
 
   
The Company's latest Annual Report on Form 10-K has been filed with the
Commission pursuant to Section 15(d) of the 1934 Act. The Company's most recent
Form 10-Q and Form 8-K, in addition to Form 10-K, are incorporated by reference
into this Prospectus and copies must accompany this Prospectus.
    
 
   
The Form 10-K for the fiscal year ended December 31, 1997 contains additional
information about the Company, including audited financial statements for the
Company's latest fiscal year. It was filed on March 24, 1998 via Edgar; File No.
33-03094.
    
 
   
The Form 10-Q for the fiscal quarter ended September 30, 1998 includes updated
audited financial statements, and was filed via Edgar; File No. 33-03094. The
Form 8-K includes information
    
 
                                       26
<PAGE>   36
 
   
regarding recent material events affecting the Company, and was filed on April
22, 1998 via Edgar; File No. 33-03094.
    
 
   
If requested, the Company will furnish, without charge, to each person to whom a
copy of this Prospectus is delivered, a copy of the documents referred to above
which have been incorporated by reference in the Prospectus, other than exhibits
to the documents (unless such exhibits are specifically incorporated by
reference in such documents). Any such requests should be directed to The
Travelers Insurance Company, One Tower Square, Hartford, Connecticut 06183-5030,
Attention: Annuity Services. The telephone number is (860) 422-3985. You may
also obtain copies of any documents, incorporated by reference into this
prospectus by accessing the SEC's website (http://www.sec.gov).
    
 
   
                              FINANCIAL STATEMENTS
    
- --------------------------------------------------------------------------------
 
   
The Financial Statements for the Company are located in the Statement of
Additional Information. Because Separate Account Five is new, it does not yet
have a financial statement.
    
 
                                       27
<PAGE>   37
 
                                   APPENDIX A
- --------------------------------------------------------------------------------
 
          TABLE OF CONTENTS OF THE STATEMENT OF ADDITIONAL INFORMATION
 
The Statement of Additional Information contains more specific information and
financial statements relating to The Travelers Insurance Company. A list of the
contents of the Statement of Additional Information is set forth below:
 
     The Insurance Company
     Principal Underwriter
     Distribution and Management Agreement
     Valuation of Assets
   
     Mixed and Shared Funding
    
     Performance Information
     Federal Tax Considerations
     Independent Accountants
     Financial Statements
 
- --------------------------------------------------------------------------------
 
   
Copies of the Statement of Additional Information dated November 18, 1998 (Form
No. 21256S) are available without charge. To request a copy, please clip this
coupon on the dotted line above, enter your name and address in the spaces
provided below, and mail to: The Travelers Insurance Company, Annuity Services,
One Tower Square, Hartford, Connecticut 06183-9061.
    
 
Name:
 
Address:
 
                                       A-1
<PAGE>   38
 
                                   APPENDIX B
- --------------------------------------------------------------------------------
 
            WAIVER OF WITHDRAWAL CHARGE FOR NURSING HOME CONFINEMENT
 
If, after the first contract year and prior to the maturity date of the
Contract, the annuitant begins confinement in an Eligible Nursing Home, and
remains confined for the qualifying period, you may make a total or partial
withdrawal, subject to the maximum withdrawal amount described below, without
incurring a Withdrawal Charge. In order for the Withdrawal Charge to be waived,
the withdrawal must be made during continued confinement in an Eligible Nursing
Home after the qualifying period has been satisfied, or within sixty (60) days
after such confinement ends. The qualifying period is confinement in an Eligible
Nursing Home for ninety (90) consecutive days. We will require proof of
confinement in a form satisfactory to us, which may include certification by a
licensed physician that such confinement is medically necessary.
 
An Eligible Nursing Home is defined as an institution or special nursing unit of
a hospital which:
 
(a) is Medicare approved as a provider of skilled nursing care services; and
 
(b) is not, other than in name only, an acute care hospital, a home for the
    aged, a retirement home, a rest home, a community living center, or a place
    mainly for the treatment of alcoholism, mental illness or drug abuse.
 
                                       OR
 
Meets all of the following standards:
 
(a) is licensed as a nursing care facility by the state in which it is licensed;
 
(b) is either a freestanding facility or a distinct part of another facility
    such as a ward, wing, unit or swing-bed of a hospital or other facility;
 
(c) provides nursing care to individuals who are not able to care for themselves
    and who require nursing care;
 
(d) provides, as a primary function, nursing care and room and board; and
    charges for these services;
 
(e) care is provided under the supervision of a licensed physician, registered
    nurse (RN) or licensed practical nurse (LPN);
 
(f) may provide care by a licensed physical, respiratory, occupational or speech
    therapist; and
 
(g) is not, other than in name only, an acute care hospital, a home for the
    aged, a retirement home, a rest home, a community living center, or a place
    mainly for the treatment of alcoholism, mental illness or drug abuse.
 
FILING A CLAIM:  You must provide the Company with written notice of a claim
during continued confinement following completion of the qualifying period, or
within sixty days after such confinement ends.
 
The maximum withdrawal amount available without incurring a Withdrawal Charge is
the contract value on the next valuation date following written proof of claim,
less any purchase payments made within a one year period prior to the date
confinement in an Eligible Nursing Home begins, less any additional purchase
payments made on or after the Annuitant's 71st birthday.
 
Any withdrawal requested which falls under the scope of this waiver will be paid
as soon as we receive proper written proof of your claim, and will be paid in a
lump sum. You should consult with your personal tax adviser regarding the
taxable nature of any withdrawals taken from your contract.
 
                                       B-1
<PAGE>   39
 
                                   APPENDIX C
- --------------------------------------------------------------------------------
 
MARKET VALUE ADJUSTMENT
 
   
If you (the Annuitant) have selected any period certain option, you may elect to
surrender a payment equal to a portion or all of the present value of the
remaining period certain payments any time after the first contract year. There
is a surrender charge of 5% of the amount withdrawn under this option.
    
 
   
For fixed annuity payments, we calculate the present value of the remaining
period certain payments using a current interest rate. The current interest rate
is the then current annual rate of return offered by Us on new Fixed Annuity
period certain only annuitizations for the amount of time remaining in the
certain period. If the period of time remaining is less than the minimum length
of time for which we offer a new Fixed Annuity Period Certain Only
Annuitization, then the interest rate will be the rate of return for that
minimum length of time.
    
 
   
The formula for calculating the Present Value is as follows:
    
 
   
              Present Value =LOGO[Payment(s) X (1/1 + iC)(t/365)]
    
   
Where
    
   
        iC = the interest rate described above
    
   
        n = the number of payments remaining in the contract owner's certain
            period at the time of request for this benefit
    
   
        t  = number of days remaining until that payment is made, adjusting for
leap years.
    
 
   
If you request a percentage of the total amount available, the remaining period
certain payments will be reduced by that percentage for the remainder of the
certain period. After the certain period expires, any remaining payments will
increase to the level they would have been had no liquidation taken place.
    
 
   
Illustration:
    
 
   
<TABLE>
<S>                 <C>
Amount Annuitized:  $12,589.80
Annuity Option:     Life w/10 Year Certain
                    $1,000 Annually--first payment
Annuity Payments:   immediately
</TABLE>
    
 
   
For the purposes of this illustration, assume after two years (immediately
preceding the third payment), you choose to receive full liquidity, and the
current rate of return which we are then crediting for 8 year fixed Period
Certain Only Annuitizations is 4.00%. The total amount available for liquidity
is calculated as follows:
    
 
   
1000 + (1000/1.04) + (1000/1.04)( 7/8)2 + (1000/1.04)( 7/8)3 + 
(1000/1.04)( 7/8)4 + (1000/1.04)( 7/8)5
    
 
   
+ (1000/1.04)( 7/8)6 + (1000/1.04)( 7/8)7 = $7002.06
    
 
   
The surrender penalty is calculated as 5% of $7,002.06, or $350.10.
    
 
   
The net result to you after subtraction of the surrender penalty of $350.10
would be $6,651.95.
    
 
   
You would receive no more payments for 8 years. After 8 years, if you are still
living, you will receive $1000 annually until your death.
    
 
                                       C-1
<PAGE>   40















                                     PART B

          Information Required in a Statement of Additional Information


<PAGE>   41
                             TRAVELERS RETIREMENT
                                VARIABLE ANNUITY


                      STATEMENT OF ADDITIONAL INFORMATION

                                     dated

                               November 18, 1998

                                      for

                      THE TRAVELERS SEPARATE ACCOUNT FIVE
                             FOR VARIABLE ANNUITIES

                                   ISSUED BY

                        THE TRAVELERS INSURANCE COMPANY

This Statement of Additional Information ("SAI") is not a prospectus but
relates to, and should be read in conjunction with, the Variable Annuity
Contract Prospectus dated November 18, 1998.  A copy of the Prospectus may be
obtained by writing to The Travelers Insurance Company, Annuity Services, One
Tower Square, Hartford, Connecticut 06183-8036, or by calling (800) 842-9406 .




                               TABLE OF CONTENTS

<TABLE>
<S>                                                                                                                       <C>
THE INSURANCE COMPANY  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  1
                                                                                                                    
PRINCIPAL UNDERWRITER  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  1
                                                                                                                    
DISTRIBUTION AND MANAGEMENT AGREEMENT  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  2
                                                                                                                    
VALUATION OF ASSETS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
                                                                                                                    
MIXED AND SHARED FUNDING  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
                                                                                                                    
PERFORMANCE INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
                                                                                                                    
FEDERAL TAX CONSIDERATIONS  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
                                                                                                                    
INDEPENDENT ACCOUNTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
                                                                                                                    
FINANCIAL STATEMENTS  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-1
</TABLE>
<PAGE>   42
                             THE INSURANCE COMPANY


The Travelers Insurance Company (the "Company") is a stock insurance company
chartered in 1864 in Connecticut and continuously engaged in the insurance
business since that time.  The Company is licensed to conduct life insurance
business in all states of the United States, the District of Columbia, Puerto
Rico, Guam, the U.S. and British Virgin Islands and the Bahamas.  The Company's
Home Office is located at One Tower Square, Hartford, Connecticut 06183. It is
a wholly owned subsidiary of Citigroup, Inc. Citigroup consists of businesses
that produce a broad range of financial services, including asset management,
banking and consumer finance, credit and charge cards, insurance, investments,
investment banking and trading. Among its businesses are Citibank, Commercial
Credit, Primerica Financial Services, Salomon Smith Barney, Salomon Smith
Barney Asset Management, and Travelers Property Casualty.

STATE REGULATION.  The Company is subject to the laws of the state of
Connecticut governing insurance companies and to regulation by the Insurance
Commissioner of the state of Connecticut. An annual statement covering the
operations of the Company for the preceding year, as well as its financial
conditions as of December 31 of such year, must be filed with the Commissioner
in a prescribed format on or before March 1 of each year.  The Company's books
and assets are subject to review or examination by the Commissioner or his
agents at all times, and a full examination of its operations is conducted at
least once every four years.

         The Company is also subject to the insurance laws and regulations of
all other states in which it is licensed to operate.  However, the insurance
departments of each of these states generally apply the laws of the home state
(jurisdiction of domicile) in determining the field of permissible investments.

THE SEPARATE ACCOUNT.  Separate Account Five meets the definition of a separate
account under the federal securities laws, and will comply with the provisions
of the 1940 Act.  Additionally, the operations of Separate Account Five are
subject to the provisions of Section 38a-433 of the Connecticut General
Statutes which authorizes the Connecticut Insurance Commissioner to adopt
regulations under it. Section 38a-433 contains no restrictions on the
investments of the Separate Account, and the Commissioner has adopted no
regulations under the Section that affect the Separate Account.

                             PRINCIPAL UNDERWRITER

         CFBDS, Inc. serves as principal underwriter for Separate Account Five
and the Contracts.  The offering is continuous.  CFBDS, Inc.'s principal
executive offices are located at 21 Milk Street, Boston, MA 02116.

                     DISTRIBUTION AND MANAGEMENT AGREEMENT

         Under the terms of the Distribution and Management Agreement among
Separate Account Five, the Company and CFBDS, the Company provides all
administrative services and mortality and expense risk guarantees related to
variable annuity contracts sold by the Company in connection with Separate
Account Five.  CFBDS performs the sales functions related to the Contracts.
The Company reimburses CFBDS for commissions paid, other sales expenses and
certain overhead expenses connected with sales functions.  The Company also
pays all costs (including costs associated with the





                                       1
<PAGE>   43
preparation of sales literature); all costs of qualifying Separate Account Five
and the variable annuity contract with regulatory authorities; the costs of
proxy solicitation; and all custodian, accountant's and legal fees.  The
Company also provides without cost to Separate Account Five all necessary
office space, facilities, and personnel to manage its affairs.


                              VALUATION OF ASSETS

FUNDING OPTIONS:  The value of the assets of each funding option is determined
on each business day as of the close of the New York Stock Exchange.  Each
security traded on a national securities exchange is valued at the last
reported sale price on the business day.  If there has been no sale on that
day, then the value of the security is taken to be the mean between the
reported bid and asked prices on the business day or on the basis of quotations
received from a reputable broker or any other recognized source.

         Any security not traded on a securities exchange but traded in the
over-the-counter-market and for which market quotations are readily available
is valued at the mean between the quoted bid and asked prices on the business
day or on the basis of quotations received from a reputable broker or any other
recognized source.

         Securities traded on the over-the-counter-market and listed securities
with no reported sales are valued at the mean between the last reported bid and
asked prices or on the basis of quotations received from a reputable broker or
other recognized source.

         Short-term investments for which a quoted market price is available
are valued at market. Short-term investments maturing in more than sixty days
for which there is no reliable quoted market price are valued by "marking to
market" (computing a market value based upon quotations from dealers or issuers
for securities of a similar type, quality and maturity.)  "Marking to market"
takes into account unrealized appreciation or depreciation due to changes in
interest rates or other factors which would influence the current fair values
of such securities. Short-term investments maturing in sixty days or less for
which there is no reliable quoted market price are valued at amortized cost
which approximates market.

THE CONTRACT VALUE:  The value of an accumulation unit on any business day is
determined by multiplying the value on the preceding business day by the net
investment factor for the valuation period just ended.  The net investment
factor is used to measure the investment performance of a funding option from
one valuation period to the next.  The net investment factor for a funding
option for any valuation period is equal to the sum of 1.000000 plus the net
investment rate (the gross investment rate less any applicable funding option
deductions during the valuation period relating to the mortality and expense
risk charge and the administrative expense charge).  The gross investment rate
of a funding option is equal to (a) minus (b), divided by (c) where:

    (a) = investment income plus capital gains and losses (whether realized or
          unrealized);
    (b) = any deduction for applicable taxes (presently zero); and
    (c) = the value of the assets of the funding option at the beginning of the
          valuation period.

         The gross investment rate may be either positive or negative.  A
funding option's investment income includes any distribution whose ex-dividend
date occurs during the valuation period.





                                       2
<PAGE>   44
ACCUMULATION UNIT VALUE.  The value of the accumulation unit for each funding
option was initially established at $1.00.  The value of an accumulation unit
on any business day is determined by multiplying the value on the preceding
business day by the net investment factor for the valuation period just ended.
The net investment factor is calculated for each funding option and takes into
account the investment performance, expenses and the deduction of certain
expenses.

ANNUITY UNIT VALUE.  The initial Annuity Unit Value applicable to each funding
option was established at $1.00.  An annuity unit value as of any business day
is equal to (a) the value of the annuity unit on the preceding business day,
multiplied by (b) the corresponding net investment factor for the valuation
period just ended, divided by (c) the assumed net investment factor for the
valuation period.  (For example, the assumed net investment factor based on an
annual assumed net investment rate of 3.0% for a Valuation Period of one day is
1.000081 and, for a period of two days, is 1.000081 x 1.000081.)

                            MIXED AND SHARED FUNDING

         Certain variable annuity separate accounts and variable life insurance
separate accounts may invest in the funding options simultaneously (called
"mixed" and "shared" funding). It is conceiveable that in the future it may be
disadvantageous to do so.  Although the Company and the funding options do not
currently forsee any such disadvantages either to variable annuity contract
owners or variable life policy owners, each funding option's Board of Directors
intends to monitor events in order to identify any material conflicts between
them and to determine what action, if any, should be taken. If a Board of
Directors was to conclude that separate funds should be established for
variable life and variable annuity separate accounts, the variable annuity
contract owners would not bear any of the related expenses, but variable
annuity contract owners and variable life insurance policy owners would no
longer have the economies of scale resulting from a larger combined fund.


                            PERFORMANCE INFORMATION

         From time to time, the Company may advertise several types of
historical performance for the Funding Options of Separate Account Five.  The
Company may advertise the "standardized average annual total returns" of the
Funding Option, calculated in a manner prescribed by the Securities and
Exchange Commission, as well as the "nonstandardized total returns," as
described below:

         STANDARDIZED METHOD.  Quotations of average annual total returns are
computed according to a formula in which a hypothetical initial investment of
$1,000 is applied to the Funding Option, and then related to ending redeemable
values over one-, five-, and ten-year periods, or for a period covering the
time during which the Funding Option has been in existence, if less.  If a
Funding Option has been in existence for less than one year, the "since
inception" total return performance quotations are year-to-date and are not
average annual total returns.  These quotations reflect the deduction of all
recurring charges during each period (on a pro rata basis in the case of
fractional periods). Each quotation assumes a total redemption at the end of
each period with the assessment of any applicable withdrawal charge at that
time.





                                       3
<PAGE>   45
         NONSTANDARDIZED METHOD.  Nonstandardized "total returns" will be
calculated in a similar manner based on the performance of the Funding Options
over a period of time, usually for the calendar year-to-date, and for the past
one-, three-, five- and ten-year periods.  Nonstandardized total returns will
not reflect the deduction of any applicable withdrawal charge which, if
reflected, would decrease the level of performance shown.  The withdrawal
charge is not reflected because the Contract is designed for long-term
investment.

         For Funding Options that were in existence prior to the date they
became available under Separate Account Five, the standardized average annual
total return quotations may be accompanied by returns showing the investment
performance that such Funding Options would have achieved (reduced  by the
applicable charges) had they been held under the Contract for the period
quoted.  The total return quotations are based upon historical earnings and are
not necessarily representative of future performance.  An Owner's Contract
Value at redemption may be more or less than original cost.

         GENERAL.  Within the guidelines prescribed by the SEC and the National
Association of Securities Dealers, Inc. ("NASD"), performance information may
be quoted numerically or may be presented in a table, graph or other
illustration.  Advertisements may include data comparing performance to
well-known indices of market performance (including, but not limited to, the
Dow Jones Industrial Average, the Standard & Poor's (S&P) 500 Index and the S&P
400 Index, the Lehman Brothers Long T-Bond Index, the Russell 1000, 2000 and
3000 Indices, the Value Line Index, and the Morgan Stanley Capital
International's EAFE Index).  Advertisements may also include published
editorial comments and performance rankings compiled by independent
organizations (including, but not limited to, Lipper Analytical Services, Inc.
and Morningstar, Inc.) and publications that monitor the performance of
Separate Account Six and the Funding Options.

Average annual total returns have been calculated using each funding option's
investment performance since inception.  The returns were computed according to
the nonstandardized method for the period ending December 31, 1997 as if they
had been available under Separate Account Five during that time.  They are set
forth in the following tables.  No standardized information is currently
available.





                                       4
<PAGE>   46
<TABLE>
<CAPTION>
        M & E CHARGE = 1.25%                NONSTANDARDIZED                           NONSTANDARDIZED
                                            ---------------                           ---------------
                                        (taking into account all      (taking into account all charges and fees except
                                            charges and fees)                      deferred sales charge)
- ------------------------------------------------------------------------------------------------------------------------------------
                    PORTFOLIO                     1 YEAR   5 YEAR    10 YEAR     1 YEAR     3 YEAR    5 YEAR   10 YEAR       FUND
                                                                       OR                                         OR       INCEPTION
                                                                    INCEPTION                                 INCEPTION      DATE
- ------------------------------------------------------------------------------------------------------------------------------------
 <S>                                              <C>      <C>       <C>         <C>        <C>       <C>       <C>         <C>
 High Yield Bond Trust                            15.12%   10.56%     8.91%      15.12%     14.59%    10.56%     8.91%        6/83
- ------------------------------------------------------------------------------------------------------------------------------------
 Managed Assets Trust                             19.78%   11.98%     1.66%      19.78%     19.09%    11.98%     1.66%        6/83
- ------------------------------------------------------------------------------------------------------------------------------------
 Money Market Portfolio                            3.76%    2.79%     3.99%       3.76%     3.19%      2.79%     3.99%       12/87
- ------------------------------------------------------------------------------------------------------------------------------------
 AMERICAN ODYSSEY FUNDS  (1):
- ------------------------------------------------------------------------------------------------------------------------------------
     Core Equity Fund                             30.27%      -      17.76%      30.27%     29.40%      -       17.76%       5/93
- ------------------------------------------------------------------------------------------------------------------------------------
     Emerging Opportunities Fund                   5.71%      -       9.74%       5.71%     9.71%       -        9.74%       5/93
- ------------------------------------------------------------------------------------------------------------------------------------
     Global High Yield Bond Fund *                   -        -         -           -         -         -         -          5/93
- ------------------------------------------------------------------------------------------------------------------------------------
     Intermediate-Term Bond Fund                   6.17%      -       4.51%       6.17%     7.37%       -        4.51%       5/93
- ------------------------------------------------------------------------------------------------------------------------------------
     International Equity Fund                     3.74%      -      10.46%       3.74%     13.63%      -       10.46%       5/93
- ------------------------------------------------------------------------------------------------------------------------------------
     Long-Term Bond Fund                          10.65%      -       6.66%      10.65%     10.21%      -        6.66%       5/93
- ------------------------------------------------------------------------------------------------------------------------------------
 AMERICAN ODYSSEY FUNDS (2):
- ------------------------------------------------------------------------------------------------------------------------------------
     Core Equity Fund                             28.65%      -      16.31%      28.65%     27.81%      -       16.31%       5/93
- ------------------------------------------------------------------------------------------------------------------------------------
     Emerging Opportunities Fund                   4.39%      -       8.38%       4.39%     8.36%       -        8.38%       5/93
- ------------------------------------------------------------------------------------------------------------------------------------
     Global High Yield Bond Fund *                   -        -         -           -         -         -         -          5/93
- ------------------------------------------------------------------------------------------------------------------------------------
     Intermediate-Term Bond Fund                   4.85%      -       3.22%       4.85%     6.04%       -        3.22%       5/93
- ------------------------------------------------------------------------------------------------------------------------------------
     International Equity Fund                     2.45%      -       9.09%       2.45%     12.23%      -        9.09%       5/93
- ------------------------------------------------------------------------------------------------------------------------------------
     Long-Term Bond Fund                           9.28%      -       5.34%       9.28%     8.84%       -        5.34%       5/93
- ------------------------------------------------------------------------------------------------------------------------------------
 DELAWARE GROUP PREMIUM FUND, INC.
- ------------------------------------------------------------------------------------------------------------------------------------
     REIT Series                                     -                  -           -         -                   -          5/98
- ------------------------------------------------------------------------------------------------------------------------------------
     Small Cap Value Series                       31.30%      -      17.79%      31.30%     23.88%      -       17.79%      12/93
- ------------------------------------------------------------------------------------------------------------------------------------
 DREYFUS VARIABLE INVESTMENT FUND
- ------------------------------------------------------------------------------------------------------------------------------------
     Capital Appreciation Portfolio               26.49%      -      18.39%      26.49%     27.40%      -       18.39%       4/93
- ------------------------------------------------------------------------------------------------------------------------------------
     Small Cap Portfolio                          15.31%   24.58%    42.22%      15.31%     19.26%    24.58%    42.22%       8/90
- ------------------------------------------------------------------------------------------------------------------------------------
 GREENWICH STREET SERIES FUND
- ------------------------------------------------------------------------------------------------------------------------------------
    Equity Index Portfolio Class II               31.46%   18.92%    18.37%      31.46%     29.47%    18.92%    18.37%      11/91
- ------------------------------------------------------------------------------------------------------------------------------------
 MONTGOMERY VARIABLE SERIES
- ------------------------------------------------------------------------------------------------------------------------------------
     Growth Fund                                  27.00%      -      28.10%      27.00%                 -       28.10%       2/96
- ------------------------------------------------------------------------------------------------------------------------------------
 OCC ACCUMULATION TRUST
- ------------------------------------------------------------------------------------------------------------------------------------
     Equity Portfolio                             25.08%   17.94%    16.33%      25.08%     27.84%    17.94%    16.33%       8/88
- ------------------------------------------------------------------------------------------------------------------------------------
 SALOMON BROTHERS VARIABLE SERIES FUNDS, INC.
- ------------------------------------------------------------------------------------------------------------------------------------
     Salomon Brothers Variable Capital Fund          -        -         -           -         -         -         -          2/98
- ------------------------------------------------------------------------------------------------------------------------------------
     Salomon Brothers Variable Investors Fund        -        -         -           -         -         -         -          2/98
- ------------------------------------------------------------------------------------------------------------------------------------
     Salomon Brothers Variable Total Return Fund     -        -         -           -         -         -         -          2/98
- ------------------------------------------------------------------------------------------------------------------------------------
 STRONG VARIABLE INSURANCE FUNDS, INC.
- ------------------------------------------------------------------------------------------------------------------------------------
    Strong Schafer Value Fund II                     -        -      -5.56%         -         -         -      -5.56%       10/97
- ------------------------------------------------------------------------------------------------------------------------------------
 TRAVELERS SERIES FUND, INC.
- ------------------------------------------------------------------------------------------------------------------------------------
    Alliance Growth Portfolio                     27.43%      -      26.11%      27.43%    29.41%       -      26.11%        6/94
- ------------------------------------------------------------------------------------------------------------------------------------
    MFS Total Return Portfolio                    19.69%      -      15.10%      19.69%    18.87%       -      15.10%        6/94
- ------------------------------------------------------------------------------------------------------------------------------------
    Putnam Diversified Income Portfolio            6.36%      -       8.37%       6.36%     9.63%       -       8.37%        6/94
- ------------------------------------------------------------------------------------------------------------------------------------
    Smith Barney High Income Portfolio            12.46%      -      11.30%      12.46%    13.90%       -      11.30%        6/94
- ------------------------------------------------------------------------------------------------------------------------------------
    Smith Barney International Equity Portfolio    1.44%      -       6.20%      1.44%      9.02%       -       6.20%        6/94
- ------------------------------------------------------------------------------------------------------------------------------------
    Smith Barney Large Cap Growth Portfolio          -        -         -          -          -         -         -          5/98
- ------------------------------------------------------------------------------------------------------------------------------------
</TABLE>





                                      5
<PAGE>   47
<TABLE>
<CAPTION>
- ------------------------------------------------------------------------------------------------------------------------------------
        M & E CHARGE = 1.25%              NONSTANDARDIZED                       NONSTANDARDIZED    
                                          ---------------                       ---------------
                                       (taking into account all        (taking into account all charges and
                                       ------------------------                                           
                                           charges and fees             fees except deferred sales charge)
- ------------------------------------------------------------------------------------------------------------------------------------
                    PORTFOLIO                    1 YEAR   5 YEAR    10 YEAR     1 YEAR     3 YEAR    5 YEAR   10 YEAR       FUND
                                                                      OR                                         OR       INCEPTION
                                                                   INCEPTION                                 INCEPTION      DATE
- ------------------------------------------------------------------------------------------------------------------------------------
  <S>                                            <C>      <C>       <C>         <C>        <C>       <C>       <C>         <C>
  THE TRAVELERS SERIES TRUST
- ------------------------------------------------------------------------------------------------------------------------------------
      Disciplined Mid Cap Stock Portfolio           -        -      46.43%         -         -         -       46.43%       4/97
- ------------------------------------------------------------------------------------------------------------------------------------
      Disciplined Small Cap Stock Portfolio         -        -         -           -         -         -         -          5/98
- ------------------------------------------------------------------------------------------------------------------------------------
      Equity Income Portfolio                    30.06%      -      31.80%      30.06%       -         -       31.80%       8/96
- ------------------------------------------------------------------------------------------------------------------------------------
      Federated Stock Portfolio                  31.78%      -      33.92%      31.78%       -         -       33.92%       8/96
- ------------------------------------------------------------------------------------------------------------------------------------
      Large Cap Portfolio                        20.49%      -      25.81%      20.49%       -         -       25.81%       8/96
- ------------------------------------------------------------------------------------------------------------------------------------
      Lazard International Stock Portfolio        6.89%      -      10.31%       6.89%       -         -       10.31%       8/96
- ------------------------------------------------------------------------------------------------------------------------------------
      MFS Mid Cap Growth Portfolio                  -        -         -           -         -         -         -          3/98
- ------------------------------------------------------------------------------------------------------------------------------------
      MFS Research Portfolio                        -        -         -           -         -         -         -          3/98
- ------------------------------------------------------------------------------------------------------------------------------------
      Social Awareness Stock Portfolio           25.72%   14.91%    14.70%      25.72%     25.18%    14.91%    14.70%       5/92
- ------------------------------------------------------------------------------------------------------------------------------------
      Strategic Stock Portfolio                     -        -         -           -                   -         -          5/98
- ------------------------------------------------------------------------------------------------------------------------------------
      Travelers Quality Bond Portfolio            5.81%      -       6.73%       5.81%       -         -        6.73%       8/96
- ------------------------------------------------------------------------------------------------------------------------------------
      U.S. Government Securities Portfolio       11.24%    6.66%     6.73%      11.24%     11.06%     6.66%     6.73%       1/92
- ------------------------------------------------------------------------------------------------------------------------------------
      Utilities Portfolio                        23.74%      -      14.31%      23.74%     18.79%      -       14.31%       2/94
- ------------------------------------------------------------------------------------------------------------------------------------
  WARBURG PINCUS TRUST
- ------------------------------------------------------------------------------------------------------------------------------------
      Warburg Pincus Emerging Markets               -        -         -           -         -         -         -         12/97
Portfolio                                           
- ------------------------------------------------------------------------------------------------------------------------------------
</TABLE>

(1) Without Chart Fees
(2) With Chart Fees of 1.25%


*Formerly American Odyssey Short-Term Bond Fund.  The name, investment
objective and investment adviser of this fund were changed pursuant to a
shareholder vote effective May 1, 19982

                           FEDERAL TAX CONSIDERATIONS

         The following description of the federal income tax consequences under
this Contract is not exhaustive and is not intended to cover all situations.
Because of the complexity of the law and the fact that the tax results will
vary according to the factual status of the individual involved, tax advice may
be needed by a person contemplating purchase of an annuity contract and by a
contract owner or beneficiary who may make elections under a contract.  For
further information, please consult a qualified tax adviser.

MANDATORY DISTRIBUTIONS FOR QUALIFIED PLANS

         Federal tax law requires that minimum annual distributions begin by
April 1st of the calendar year following the calendar year in which a
participant under a qualified plan, a Section 403(b) annuity, or an IRA attains
age 70 1/2.  Distributions must also begin or be continued according to required
patterns following the death of the contract owner or the annuitant.

INDIVIDUAL RETIREMENT ANNUITIES

         To the extent of earned income for the year and not exceeding $2,000
per individual, an individual may make deductible contributions to an
individual retirement annuity (IRA).  There are certain limits on the
deductible amount based on the adjusted gross income of the individual and
spouse and based on their participation in a retirement plan.  If an individual
is married and the spouse does not have earned income, the individual may
establish IRAs for the individual and spouse.





                                      6
<PAGE>   48
Purchase payments may then be made annually into IRAs for both spouses in the
maximum amount of 100% of earned income up to a combined limit of $4,000.

         The Code provides for the purchase of a Simplified Employee Pension
(SEP) plan.  A SEP is funded through an IRA with an annual employer
contribution limit of 15% of compensation up to $30,000 for each participant.

SIMPLE PLAN IRA FORM

         Effective January 1, 1997, employers may establish a savings incentive
match plan for employees ("SIMPLE plan") under which employees can make
elective salary reduction contributions to an IRA based on a percentage of
compensation of up to $6,000.  (Alternatively, the employer can establish a
SIMPLE cash or deferred arrangement under IRS Section 401(k)).  Under a SIMPLE
plan IRA, the employer must either make a matching contribution of 100% on the
first 3% or 7% contribution for all eligible employees.  Early withdrawals are
subject to the 10% early withdrawal penalty generally applicable to IRAs,
except that an early withdrawal by an employee under a SIMPLE plan IRA, within
the first two years of participation, shall be subject to a 25% early
withdrawal tax.

ROTH IRAS

         Effective January 1, 1998, Section 408A of the Code permits certain
individuals to contribute to a Roth IRA. Eligibility to make contributions is
based upon income, and the applicable limits vary based on marital status
and/or whether the contribution is a rollover contribution from another IRA or
an annual contribution. Contributions to a Roth IRA, which are subject to
certain limitations ($2,000 per year for annual contributions), are not
deductible and must be made in cash or as a rollover or transfer from another
Roth IRA or other IRA.  A conversion of a "traditional" IRA to a Roth IRA may
be subject to tax and other special rules apply.  You should consult a tax
adviser before combining any converted amounts with other Roth IRA
contributions, including any other conversion amounts from other tax years.

         Qualified distributions from a Roth IRA are tax-free.  A qualified
distribution requires that the Roth IRA has been held for at least 5 years, and
the distribution is made after age 59 1/2, on death or disability of the owner,
or for a limited amount ($10,000) for a qualified first time home purchase for
the owner or certain relatives. Income tax and a 10% penalty tax may apply to
distributions made (1) before age  59 1/2 (subject to certain exceptions) or
(2) during five taxable years starting with the year in which the first
contribution is made to the Roth IRA.

QUALIFIED PENSION AND PROFIT-SHARING PLANS

         Under a qualified pension or profit-sharing plan, purchase payments
made by an employer are not currently taxable to the participant and increases
in the value of a contract are not subject to taxation until received by a
participant or beneficiary.

         Distributions are taxable to the participant or beneficiary as
ordinary income in the year of receipt.  Any distribution that is considered
the participant's "investment in the contract" is treated as a return of
capital and is not taxable.  Certain lump-sum distributions may be eligible for
special forward averaging tax treatment for certain classes of individuals.

FEDERAL INCOME TAX WITHHOLDING

         The portion of a distribution which is taxable income to the recipient
will be subject to federal income tax withholding as follows:





                                      7
<PAGE>   49
1.   ELIGIBLE ROLLOVER DISTRIBUTION FROM SECTION 403(b) PLANS OR
     ARRANGEMENTS OR FROM QUALIFIED PENSION AND PROFIT-SHARING PLANS

         There is a mandatory 20% tax withholding for plan distributions that
are eligible for rollover to an IRA or to another retirement plan but that are
not directly rolled over.  A distribution made directly to a participant or
beneficiary may avoid this result if:

     (a)   a periodic settlement distribution is elected based upon a life or
           life expectancy calculation, or

     (b)   a term-for-years settlement distribution is elected for a period of
           ten years or more, payable at least annually, or

     (c)   a minimum required distribution as defined under the tax law is
           taken after the attainment of the age of 701/2 or as otherwise
           required by law.

         A distribution including a rollover that is not a direct rollover will
be subject to the 20% withholding, and a 10% additional tax penalty may apply
to any amount not added back in the rollover. The 20% withholding may be
recovered when the participant or beneficiary files a personal income tax
return for the year if a rollover was completed within 60 days of receipt of
the funds, except to the extent that the participant or spousal beneficiary is
otherwise underwithheld or short on estimated taxes for that year.

2.   OTHER NON-PERIODIC DISTRIBUTIONS (FULL OR PARTIAL REDEMPTIONS)

         To the extent not described as requiring 20% withholding in 1 above,
the portion of a non-periodic distribution which constitutes taxable income
will be subject to federal income tax withholding, if the aggregate
distributions exceed $200 for the year, unless the recipient elects not to have
taxes withheld.  If no such election is made, 10% of the taxable distribution
will be withheld as federal income tax.  Election forms will be provided at the
time distributions are requested.  This form of withholding applies to all
annuity programs.

3.   PERIODIC DISTRIBUTIONS (DISTRIBUTIONS PAYABLE OVER A PERIOD GREATER THAN
     ONE YEAR)

         The portion of a periodic distribution which constitutes taxable
income will be subject to federal income tax withholding under the wage
withholding tables as if the recipient were married claiming three exemptions.
A recipient may elect not to have income taxes withheld or have income taxes
withheld at a different rate by providing a completed election form.  Election
forms will be provided at the time distributions are requested.  This form of
withholding applies to all annuity programs.  As of January 1, 1998, a
recipient receiving periodic payments (e.g., monthly or annual payments under
an annuity option) which total $15,200 or less per year, will generally be
exempt from periodic withholding.

         Recipients who elect not to have withholding made are liable for
payment of federal income tax on the taxable portion of the distribution.  All
recipients may also be subject to penalties under the estimated tax payment
rules if withholding and estimated tax payments are not sufficient to cover tax
liabilities.

         Recipients who do not provide a social security number or other
taxpayer identification number will not be permitted to elect out of
withholding.  Additionally, U.S citizens residing outside of the





                                      8
<PAGE>   50
country, or U.S. legal residents temporarily residing outside the country, are
not permitted to elect out of withholding.


                            INDEPENDENT ACCOUNTANTS

         The consolidated financial statements of the Travelers Insurance
Company and Subsidiaries as of December 31, 1997 and 1996, and for each of the
years in the three-year period ended December 31, 1997, have been included
herein in reliance upon the report of KPMG Peat Marwick LLP, independent
certified public accountants, appearing elsewhere herein, and upon the
authority of said firm as experts in accounting and auditing.





                                      9
<PAGE>   51
                             TRAVELERS RETIREMENT
                                VARIABLE ANNUITY




                      STATEMENT OF ADDITIONAL INFORMATION
                             SEPARATE ACCOUNT FIVE





                              INDIVIDUAL AND GROUP
                           VARIABLE ANNUITY CONTRACT
                                   ISSUED BY





                        THE TRAVELERS INSURANCE COMPANY
                                ONE TOWER SQUARE
                          HARTFORD, CONNECTICUT 06183





L-21256S                                                       NOVEMBER 18, 1998




                                      10
<PAGE>   52
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES

                          INDEPENDENT AUDITORS' REPORT


The Board of Directors and Shareholder
The Travelers Insurance Company and Subsidiaries:

We have audited the accompanying consolidated balance sheets of The Travelers
Insurance Company and Subsidiaries as of December 31, 1997 and 1996, and the
related consolidated statements of income and retained earnings and cash flows
for each of the years in the three-year period ended December 31, 1997. These
consolidated financial statements are the responsibility of the Company's
management. Our responsibility is to express an opinion on these consolidated
financial statements based on our audits.

We conducted our audits in accordance with generally accepted auditing
standards. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the consolidated financial statements referred to above present
fairly, in all material respects, the financial position of The Travelers
Insurance Company and Subsidiaries as of December 31, 1997 and 1996, and the
results of their operations and their cash flows for each of the years in the
three-year period ended December 31, 1997, in conformity with generally accepted
accounting principles.


                                                       /s/ KPMG Peat Marwick LLP
Hartford, Connecticut
January 26, 1998


                                       F-1
<PAGE>   53
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
             CONSOLIDATED STATEMENTS OF INCOME AND RETAINED EARNINGS
                                ($ IN MILLIONS)


<TABLE>
<CAPTION>
FOR THE YEAR ENDED DECEMBER 31,                                   1997      1996      1995
                                                                 ------    ------    ------
<S>                                                              <C>       <C>       <C>
REVENUES
Premiums                                                         $1,583    $1,387    $1,504
Net investment income                                             2,037     1,950     1,884
Realized investment gains                                           199        65       106
Other revenues                                                      354       284       204
- -------------------------------------------------------------------------------------------
   Total Revenues                                                $4,173    $3,686    $3,698
- -------------------------------------------------------------------------------------------

BENEFITS AND EXPENSES
Current and future insurance benefits                             1,341     1,187     1,206
Interest credited to contractholders                                829       863       997
Amortization of deferred acquisition costs and value of             
  insurance in force                                                293       281       290
General and administrative expenses                                 427       380       368
- -------------------------------------------------------------------------------------------
   Total Benefits and Expenses                                    2,890     2,711     2,861
- -------------------------------------------------------------------------------------------

Income from continuing operations before federal income taxes     1,283       975       837
- -------------------------------------------------------------------------------------------

Federal income taxes:
   Current expense                                                  434       284       233
   Deferred                                                          10        58        57
- -------------------------------------------------------------------------------------------
   Total Federal Income Taxes                                       444       342       290
- -------------------------------------------------------------------------------------------

Income from continuing operations                                   839       633       547
- -------------------------------------------------------------------------------------------
Discontinued operations, net of income taxes
   Income from operations (net of taxes of $0, $0 and $18)           --        --        72
   Gain on disposition (net of taxes of $0, $14 and $68)             --        26       131
- -------------------------------------------------------------------------------------------
   Income from Discontinued Operations                               --        26       203
- -------------------------------------------------------------------------------------------

Net income                                                          839       659       750
Retained earnings beginning of year                               2,471     2,312     1,562
Dividends to parent                                                 500       500        --
- -------------------------------------------------------------------------------------------
   Retained Earnings End of Year                                 $2,810    $2,471    $2,312
===========================================================================================
</TABLE>

                 See Notes to Consolidated Financial Statements.


                                       F-2
<PAGE>   54
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                           CONSOLIDATED BALANCE SHEETS
                                 ($ IN MILLIONS)


<TABLE>
<CAPTION>
December 31,                                                      1997       1996
- ----------------------------------------------------------------------------------
<S>                                                             <C>        <C>
ASSETS
Fixed maturities, available for sale at fair value (cost,       
$20,682; $19,284)                                               $21,511    $19,637
Equity securities, at fair value (cost, $480; $330)                 512        338
Mortgage loans                                                    2,869      2,920
Real estate held for sale                                           134        297
Trading securities, at market value                                 800         --
Policy loans                                                      1,872      1,910
Short-term securities                                             1,102        902
Other invested assets                                             1,702      1,253
- ----------------------------------------------------------------------------------
   Total Investments                                            $30,502    $27,257
- ----------------------------------------------------------------------------------

Cash                                                                 58         74
Investment income accrued                                           338        355
Premium balances receivable                                         106        105
Reinsurance recoverables                                          4,339      3,858
Deferred acquisition costs and value of insurance in force        2,312      2,133
Separate and variable accounts                                   11,319      8,127
Other assets                                                      1,052      1,064
- ----------------------------------------------------------------------------------
   Total Assets                                                 $50,026    $42,973
- ----------------------------------------------------------------------------------

LIABILITIES
Contractholder funds                                             14,913     14,189
Future policy benefits                                           12,569     11,762
Policy and contract claims                                          378        536
Trading securities sold not yet purchased, at market value          462         --
Separate and variable accounts                                   11,309      8,115
Commercial paper                                                     --         50
Deferred federal income taxes                                       409         57
Other liabilities                                                 2,661      1,936
- ----------------------------------------------------------------------------------
   Total Liabilities                                            $42,701    $36,645
- ----------------------------------------------------------------------------------

SHAREHOLDER'S EQUITY
Common stock, par value $2.50; 40 million shares authorized,        
  issued and outstanding                                            100        100
Additional paid-in capital                                        3,187      3,170
Retained earnings                                                 2,810      2,471
Unrealized investment gains, net of taxes                         1,228        587
- ----------------------------------------------------------------------------------
   Total Shareholder's Equity                                   $ 7,325    $ 6,328
- ----------------------------------------------------------------------------------

   Total Liabilities and Shareholder's Equity                   $50,026    $42,973
==================================================================================
</TABLE>

                 See Notes to Consolidated Financial Statements.


                                       F-3
<PAGE>   55
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                      CONSOLIDATED STATEMENTS OF CASH FLOWS
                           INCREASE (DECREASE) IN CASH
                                 ($ IN MILLIONS)


<TABLE>
<CAPTION>
FOR THE YEAR ENDED DECEMBER 31,                                                        1997         1996         1995
- ----------------------------------------------------------------------------------------------------------------------
<S>                                                                                  <C>         <C>          <C>
CASH FLOWS FROM OPERATING ACTIVITIES
   Premiums collected                                                                $  1,519    $  1,387     $  1,346
   Net investment income received                                                       2,059       1,910        1,855
   Other revenues received                                                                180         131           90
   Benefits and claims paid                                                            (1,230)     (1,060)        (846)
   Interest credited to contractholders                                                  (853)       (820)        (960)
   Operating expenses paid                                                               (445)       (343)        (615)
   Income taxes paid                                                                     (368)       (328)         (63)
   Trading account investments, (purchases) sales, net                                    (54)         --           --
   Other                                                                                   18         (70)        (137)
- ----------------------------------------------------------------------------------------------------------------------
      Net cash provided by operating activities                                           826         807          670
      Net cash used in discontinued operations                                             --        (350)        (596)
- ----------------------------------------------------------------------------------------------------------------------
      Net Cash Provided by Operations                                                $    826    $    457     $     74
- ----------------------------------------------------------------------------------------------------------------------

CASH FLOWS FROM INVESTING ACTIVITIES
   Proceeds from maturities of investments
      Fixed maturities                                                                  2,259       1,928        1,974
      Mortgage loans                                                                      663         917          680
   Proceeds from sales of investments
      Fixed maturities                                                                  7,592       9,101        6,773
      Equity securities                                                                   341         479          379
      Mortgage loans                                                                      207         178          704
      Real estate held for sale                                                           169         210          253
   Purchases of investments
      Fixed maturities                                                                (11,143)    (11,556)     (10,748)
      Equity securities                                                                  (483)       (594)        (305)
      Mortgage loans                                                                     (771)       (470)        (144)
   Policy loans, net                                                                       38         (23)        (325)
   Short-term securities, (purchases) sales, net                                           (2)        498          291
   Other investments, (purchases) sales, net                                             (260)       (137)        (267)
   Securities transactions in course of settlement                                        311         (52)         258
   Net cash provided by investing activities of discontinued operations                    --         348        1,425
- ----------------------------------------------------------------------------------------------------------------------
   Net Cash Provided by (used in) Investing Activities                               $ (1,079)   $    827     $    948
- ----------------------------------------------------------------------------------------------------------------------

CASH FLOWS FROM FINANCING ACTIVITIES
   Redemption of commercial paper, net                                                    (50)        (23)          (1)
   Contractholder fund deposits                                                         3,544       2,493        2,705
   Contractholder fund withdrawals                                                     (2,757)     (3,262)      (3,755)
   Dividends to parent company                                                           (500)       (500)          --
   Other                                                                                   --           9           --
- ----------------------------------------------------------------------------------------------------------------------
      Net Cash Provided by (used in) Financing Activities                            $    237    $ (1,283)    $ (1,051)
- ----------------------------------------------------------------------------------------------------------------------
Net increase (decrease) in cash                                                      $    (16)   $      1     $    (29)
- ----------------------------------------------------------------------------------------------------------------------
Cash at December 31,                                                                 $     58    $     74     $     73
======================================================================================================================
</TABLE>

                 See Notes to Consolidated Financial Statements.


                                       F-4
<PAGE>   56
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS


1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

   Significant accounting policies used in the preparation of the accompanying
   financial statements follow.

   Basis of Presentation

   The Travelers Insurance Company and Subsidiaries (the Company) is a wholly
   owned subsidiary of The Travelers Insurance Group Inc. (TIGI), an indirect
   wholly owned subsidiary of Travelers Group Inc. (Travelers Group). The
   consolidated financial statements include the accounts of the Company and its
   insurance and non-insurance subsidiaries on a fully consolidated basis. The
   primary insurance subsidiaries of the Company are The Travelers Life and
   Annuity Company (TLAC) and Primerica Life Insurance Company (Primerica Life)
   and its subsidiary National Benefit Life Insurance Company (NBL).

   -  TRAVELERS LIFE AND ANNUITY offers fixed and variable deferred annuities,
      payout annuities and term, universal and variable life and long-term care
      insurance to individuals and small businesses. It also provides group
      pension products, including guaranteed investment contracts and group
      annuities for employer-sponsored retirement and savings plans. These
      products are primarily marketed through The Copeland Companies (Copeland),
      an indirect, wholly owned subsidiary of the Company, the Financial
      Consultants of Salomon Smith Barney, an affiliate of the Company, and a
      nationwide network of independent agents. The Company's Corporate and
      Other Segment was absorbed into Travelers Life and Annuity during the
      second quarter of 1996.

   -  PRIMERICA LIFE INSURANCE offers individual life products, primarily term
      insurance, to consumers through a nationwide sales force of approximately
      80,000 full and part-time independent agents.

   As discussed in Note 2 of Notes to Consolidated Financial Statements, in
   January 1995 the group life insurance and related businesses of the Company
   were sold to Metropolitan Life Insurance Company (MetLife). Also in January
   1995, the group medical component was exchanged for a 42% interest in The
   MetraHealth Companies, Inc. (MetraHealth). The Company's interest in
   MetraHealth was sold on October 2, 1995 and through that date was accounted
   for on the equity method. The Company's discontinued operations reflect the
   results of the medical insurance business not transferred, the equity
   interest in the earnings of MetraHealth through October 2, 1995 (date of
   sale) and the gains from the sales of these businesses.

   In September 1995, Travelers Group made a pro rata distribution to its
   stockholders of shares of Class A Common Stock of Transport Holdings Inc.,
   which at the time was a wholly owned subsidiary of Travelers Group and was
   the indirect owner of the business of Transport Life Insurance Company
   (Transport Life). Immediately prior to this distribution, the Company
   distributed Transport Life, an indirect wholly owned subsidiary of the
   Company, to TIGI, as a return of capital.

   The preparation of financial statements in conformity with generally accepted
   accounting principles requires management to make estimates and assumptions
   that affect the reported amounts of assets and liabilities and disclosure of
   contingent assets and liabilities at the date of the financial statements and
   the reported amounts of revenues and benefits and expenses during the
   reporting period. Actual results could differ from those estimates.

   Certain prior year amounts have been reclassified to conform with the 1997
   presentation.
                                       F-5
<PAGE>   57
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)

   
   Accounting Changes

   EMPLOYERS' DISCLOSURES ABOUT PENSIONS AND OTHER POSTRETIREMENT BENEFITS

   In February, 1998, the Financial Accounting Standards Board (FASB) issued
   Statement of Financial Accounting Standards No. 132, "Employers' Disclosures
   about Pensions and Other Postretirement Benefits" (FAS 132). FAS 132
   supersedes the disclosure requirements in FASB Statements No. 87, "Employers'
   Accounting for Pensions," No. 88, "Employers' Accounting for Settlements and
   Curtailments of Defined Benefits Pension Plans and Termination of Benefits,"
   and No. 106, "Employers' Accounting for Postretirement Benefits Other Than
   Pensions." FAS 132 addresses disclosure only and does not address measurement
   or recognition. In addition to other disclosure changes, FAS 132 allows
   employers to disclose total contributions to multi-employer plans without
   disaggregating the amounts attributable to pensions and other postretirement
   benefits. This statement is effective for fiscal years beginning after
   December 15, 1997. Earlier application is encouraged. Effective December 31,
   1997, the Company adopted FAS 132. The adoption of this standard did not have
   any impact on results of operations, financial condition or liquidity.

   ACCOUNTING FOR TRANSFERS AND SERVICING OF FINANCIAL ASSETS AND
   EXTINGUISHMENTS OF LIABILITIES

   Effective January 1, 1997, the Company adopted Statement of Financial
   Accounting Standards No. 125, "Accounting for Transfers and Servicing of
   Financial Assets and Extinguishments of Liabilities" (FAS 125). FAS 125
   establishes accounting and reporting standards for transfers and servicing of
   financial assets and extinguishments of liabilities. These standards are
   based on an approach that focuses on control. Under this approach, after a
   transfer of financial assets, an entity recognizes the financial and
   servicing assets it controls and the liabilities it has incurred,
   derecognizes financial assets when control has been surrendered, and
   derecognizes liabilities when extinguished. FAS 125 provides standards for
   distinguishing transfers of financial assets that are sales from transfers
   that are secured borrowings. The requirements of FAS 125 are effective for
   transfers and servicing of financial assets and extinguishments of
   liabilities occurring after December 31, 1996, and are to be applied
   prospectively. However, in December 1996 the FASB issued Statement of
   Financial Accounting Standards No. 127, "Deferral of the Effective Date of
   Certain Provisions of FASB Statement No. 125," which delays until January 1,
   1998 the effective date for certain provisions. Application of FAS 125 prior
   to the effective date or retroactively is not permitted. The adoption of the
   provisions of FAS 125 effective January 1, 1997 did not have a material
   impact on results of operations, financial condition or liquidity. The
   adoption of the provisions of FAS 127 effective January, 1998 are
   not expected to have a material impact on the results of operations,
   financial condition or liquidity.

   ACCOUNTING FOR THE IMPAIRMENT OF LONG-LIVED ASSETS AND FOR LONG-LIVED ASSETS
   TO BE DISPOSED OF

   Effective January 1, 1996, the Company adopted Statement of Financial
   Accounting Standards No. 121, "Accounting for the Impairment of Long-Lived
   Assets and for Long-Lived Assets to Be Disposed Of." This statement
   establishes accounting standards for the impairment of long-lived assets and
   certain identifiable intangibles to be disposed. This statement requires a
   write down to fair value when long-lived assets to be held and used are
   impaired. The statement also requires long-lived assets to be disposed (e.g.,
   real estate held for sale) be carried at the lower of cost or fair value less
   cost to sell, and does not allow such assets to be depreciated. The adoption
   of this standard did not have a material impact on the Company's financial
   condition, results of operations or liquidity.

                                       F-6
<PAGE>   58
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)

   
   ACCOUNTING FOR STOCK-BASED COMPENSATION

   In October 1995, the FASB issued Statement of Financial Accounting Standards
   No. 123, "Accounting for Stock-Based Compensation" (FAS 123). This statement
   establishes financial accounting and reporting standards for stock-based
   employee compensation plans as well as transactions in which an entity issues
   its equity instruments to acquire goods or services from non-employees. This
   statement defines a fair value-based method of accounting for employee stock
   options or similar equity instruments, and encourages all entities to adopt
   this method of accounting for all employee stock compensation plans. However,
   it also allows an entity to continue to measure compensation cost for those
   plans using the intrinsic value-based method of accounting prescribed by
   Accounting Principles Board Opinion No. 25, "Accounting for Stock Issued to
   Employees" (APB 25). Entities electing to remain with the accounting method
   prescribed in APB 25 must make pro-forma disclosures of net income and
   earnings per share, as if the fair value-based method of accounting defined
   by FAS 123 had been applied. FAS 123 is applicable to fiscal years beginning
   after December 15, 1995. The Company has elected to continue to account for
   its stock-based employee compensation plans using the accounting method
   prescribed by APB 25 and has included in the notes to consolidated financial
   statements the pro-forma disclosures required by FAS 123. See Note 9. The
   Company has adopted FAS 123 for its stock-based non-employee compensation
   plans.

   Accounting Policies

   INVESTMENTS

   Fixed maturities include bonds, notes and redeemable preferred stocks. Fair
   values of investments in fixed maturities are based on quoted market prices
   or dealer quotes or, if these are not available, discounted expected cash
   flows using market rates commensurate with the credit quality and maturity of
   the investment. Also included in fixed maturities are loan-backed and
   structured securities, which are amortized using the retrospective method.
   Fixed maturities are classified as "available for sale" and are reported at
   fair value, with unrealized investment gains and losses, net of income taxes,
   charged or credited directly to shareholder's equity.

   Equity securities, which include common and nonredeemable preferred stocks,
   are classified as "available for sale" and carried at fair value based
   primarily on quoted market prices. Changes in fair values of equity
   securities are charged or credited directly to shareholder's equity, net of
   income taxes.

   Mortgage loans are carried at amortized cost. A mortgage loan is considered
   impaired when it is probable that the Company will be unable to collect
   principal and interest amounts due. For mortgage loans that are determined to
   be impaired, a reserve is established for the difference between the
   amortized cost and fair market value of the underlying collateral. In
   estimating fair value, the Company uses interest rates reflecting the higher
   returns required in the current real estate financing market. Impaired loans
   were insignificant at December 31, 1997 and 1996.

   Real estate held for sale is carried at the lower of cost or fair value less
   estimated cost to sell. Fair value of foreclosed properties is established at
   the time of foreclosure by internal analysis or external appraisers, using
   discounted cash flow analyses and other accepted techniques. Thereafter, an
   allowance for losses on real estate held for sale is established if the
   carrying value of the property exceeds its current fair value less estimated
   costs to sell. There was no such allowance at December 31, 1997 and 1996.

                                       F-7
<PAGE>   59
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)

   
   Trading securities are carried at market value. Realized and unrealized gains
   and losses on trading securities are included in investment income.

   Short-term securities, consisting primarily of money market instruments and
   other debt issues purchased with a maturity of less than one year, are
   carried at amortized cost which approximates market.

   Accrual of income, included in other assets, is suspended on fixed maturities
   or mortgage loans that are in default, or on which it is likely that future
   payments will not be made as scheduled. Interest income on investments in
   default is recognized only as payment is received.

   DERIVATIVE FINANCIAL INSTRUMENTS

   The Company uses derivative financial instruments, including financial
   futures contracts, equity options, forward contracts and interest rate swaps
   and caps, as a means of hedging exposure to interest rate, equity price and
   foreign currency risk. Hedge accounting is used to account for derivatives.
   To qualify for hedge accounting the changes in value of the derivative must
   be expected to substantially offset the changes in value of the hedged item.
   Hedges are monitored to ensure that there is a high correlation between the
   derivative instruments and the hedged investment.

   Gains and losses arising from financial futures contracts are used to adjust
   the basis of hedged investments and are recognized in net investment income
   over the life of the investment.

   Forward contracts, equity options, and interest rate swaps and caps were not
   significant at December 31, 1997 and 1996. Information concerning derivative
   financial instruments is included in Note 6.

   INVESTMENT GAINS AND LOSSES

   Realized investment gains and losses are included as a component of pretax
   revenues based upon specific identification of the investments sold on the
   trade date. Also included are gains and losses arising from the remeasurement
   of the local currency value of foreign investments to U.S. dollars, the
   functional currency of the Company. The foreign exchange effects of Canadian
   operations are included in unrealized gains and losses.

   POLICY LOANS

   Policy loans are carried at the amount of the unpaid balances that are not in
   excess of the net cash surrender values of the related insurance policies.
   The carrying value of policy loans, which have no defined maturities, is
   considered to be fair value.

   DEFERRED ACQUISITION COSTS AND VALUE OF INSURANCE IN FORCE

   Costs of acquiring individual life insurance, annuities and long-term care
   business, principally commissions and certain expenses related to policy
   issuance, underwriting and marketing, all of which vary with and are
   primarily related to the production of new business, are deferred.
   Acquisition costs relating to traditional life insurance, including term
   insurance and long-term care insurance, are amortized in relation to
   anticipated premiums; universal life in relation to estimated gross profits;
   and annuity contracts employing a level yield method. For life insurance, a
   10- to 25-year amortization period is used; for long-term care business, a
   10- to 20-year period is used, and a 10- to 20-year period is employed for
   annuities. Deferred acquisition costs are reviewed periodically for
   recoverability to determine if any adjustment is required.

                                       F-8
<PAGE>   60
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)

  
   The value of insurance in force is an asset recorded at the time of
   acquisition of an insurance company. It represents the actuarially determined
   present value of anticipated profits to be realized from life insurance,
   annuities and health contracts at the date of acquisition using the same
   assumptions that were used for computing related liabilities where
   appropriate. The value of insurance in force was the actuarially determined
   present value of the projected future profits discounted at interest rates
   ranging from 14% to 18%. Traditional life insurance and guaranteed renewable
   health policies are amortized in relation to anticipated premiums; universal
   life is amortized in relation to estimated gross profits; and annuity
   contracts are amortized employing a level yield method. The value of
   insurance in force is reviewed periodically for recoverability to determine
   if any adjustment is required.

   SEPARATE AND VARIABLE ACCOUNTS

   Separate and variable accounts primarily represent funds for which investment
   income and investment gains and losses accrue directly to, and investment
   risk is borne by, the contractholders. Each account has specific investment
   objectives. The assets of each account are legally segregated and are not
   subject to claims that arise out of any other business of the Company. The
   assets of these accounts are carried at market value. Certain other separate
   accounts provide guaranteed levels of return or benefits and the assets of
   these accounts are primarily carried at market value. Amounts assessed to the
   contractholders for management services are included in revenues. Deposits,
   net investment income and realized investment gains and losses for these
   accounts are excluded from revenues, and related liability increases are
   excluded from benefits and expenses.

   GOODWILL

   Goodwill represents the cost of acquired businesses in excess of net assets
   and is being amortized on a straight-line basis principally over a 40-year
   period. The carrying amount is regularly reviewed for indication of
   impairment in value that in the view of management would be other than
   temporary. Impairments would be recognized in operating results if a
   permanent diminution in value is deemed to have occurred.

   CONTRACTHOLDER FUNDS

   Contractholder funds represent receipts from the issuance of universal life,
   pension investment and certain deferred annuity contracts. Contractholder
   fund balances are increased by such receipts and credited interest and
   reduced by withdrawals, mortality charges and administrative expenses charged
   to the contractholders. Interest rates credited to contractholder funds range
   from 3.5% to 9.45%.

   FUTURE POLICY BENEFITS

   Benefit reserves represent liabilities for future insurance policy benefits.
   Benefit reserves for life insurance and annuities have been computed based
   upon mortality, morbidity, persistency and interest assumptions applicable to
   these coverages, which range from 2.5% to 10.0%, including adverse deviation.
   These assumptions consider Company experience and industry standards. The
   assumptions vary by plan, age at issue, year of issue and duration.
   Appropriate recognition has been given to experience rating and reinsurance.

                                       F-9
<PAGE>   61
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


   PERMITTED STATUTORY ACCOUNTING PRACTICES

   The Company, whose insurance subsidiaries are domiciled principally in
   Connecticut and Massachusetts, prepares statutory financial statements in
   accordance with the accounting practices prescribed or permitted by the
   insurance departments of those states. Prescribed statutory accounting
   practices include certain publications of the National Association of
   Insurance Commissioners as well as state laws, regulations, and general
   administrative rules. Permitted statutory accounting practices encompass all
   accounting practices not so prescribed. The impact of any permitted
   accounting practices on statutory surplus of the Company is not material.

   PREMIUMS

   Premiums are recognized as revenues when due. Reserves are established for
   the portion of premiums that will be earned in future periods and for
   deferred profits on limited-payment policies that are being recognized in
   income over the policy term.

   OTHER REVENUES

   Other revenues include surrender, mortality and administrative charges and
   fees as earned on investment, universal life and other insurance contracts.
   Other revenues also include gains and losses on dispositions of assets and
   operations other than realized investment gains and losses and revenues of
   non-insurance subsidiaries.

   INTEREST CREDITED TO CONTRACTHOLDERS

   Interest credited to contractholders represents amounts earned by universal
   life, pension investment and certain deferred annuity contracts in accordance
   with contract provisions.

   FEDERAL INCOME TAXES

   The provision for federal income taxes is comprised of two components,
   current income taxes and deferred income taxes. Deferred federal income taxes
   arise from changes during the year in cumulative temporary differences
   between the tax basis and book basis of assets and liabilities. The deferred
   federal income tax asset is recognized to the extent that future realization
   of the tax benefit is more likely than not, with a valuation allowance for
   the portion that is not likely to be recognized.

   Future Application of Accounting Standards

   In December 1997, the Accounting Standards Executive Committee of the
   American Institute of Certified Public Accountants issued Statement of
   Position 97-3, "Accounting by Insurance and Other Enterprises for
   Insurance-Related Assessments" (SOP 97-3). SOP 97-3 provides guidance for
   determining when an entity should recognize a liability for guaranty-fund and
   other insurance-related assessments, how to measure that liability, and when
   an asset may be recognized for the recovery of such assessments through
   premium tax offsets or policy surcharges. This SOP is effective for financial
   statements for fiscal years beginning after December 15, 1998, and the effect
   of initial adoption is to be reported as a cumulative catch-up adjustment.
   Restatement of previously issued financial statements is not allowed. The
   Company has not yet determined when it will implement this SOP and does not
   anticipate any material impact on the Company's financial condition, results
   of operations or liquidity.

                                       F-10
<PAGE>   62
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


   In June 1997, the FASB issued Statement of Financial Accounting Standards No.
   130, "Reporting Comprehensive Income" (FAS 130). FAS 130 establishes
   standards for the reporting and display of comprehensive income and its
   components in a full set of general-purpose financial statements. All items
   that are required to be recognized under accounting standards as components
   of comprehensive income are to be reported in a financial statement that is
   displayed with the same prominence as other financial statements. FAS 130
   stipulates that comprehensive income reflect the change in equity of an
   enterprise during a period from transactions and other events and
   circumstances from non-owner sources. Comprehensive income will thus
   represent the sum of net income and other comprehensive income, although FAS
   130 does not require the use of the terms comprehensive income or other
   comprehensive income. The accumulated balance of other comprehensive income
   shall be displayed separately from retained earnings and additional paid-in
   capital in the statement of financial position. FAS 130 is effective for
   fiscal years beginning after December 15, 1997. The Company anticipates that
   the adoption of FAS 130 will result primarily in reporting unrealized gains
   and losses on investments in debt and equity securities in comprehensive
   income.

   In June 1997, the FASB also issued Statement of Financial Accounting
   Standards No. 131, "Disclosures About Segments of an Enterprise and Related
   Information" (FAS 131). FAS 131 establishes standards for the way that public
   enterprises report information about operating segments in annual financial
   statements and requires that selected information about those operating
   segments be reported in interim financial statements. FAS 131 supersedes
   Statement of Financial Accounting Standards No. 14, "Financial Reporting for
   Segments of a Business Enterprise" (FAS 14). FAS 131 requires that all
   public enterprises report financial and descriptive information about its
   reportable operating segments. Operating segments are defined as components
   of an enterprise about which separate financial information is available that
   is evaluated regularly by the chief operating decision maker in deciding how
   to allocate resources and in assessing performance. FAS 131 is effective for
   fiscal years beginning after December 15, 1997. The Company is currently
   determining the impact of the adoption of FAS 131.

2. DISPOSITIONS AND DISCONTINUED OPERATIONS

   On January 3, 1995, the Company and its affiliates completed the sale of
   their group life and related non-medical group insurance businesses to
   MetLife for $350 million and recognized in the first quarter of 1995 a gain
   of $20 million net of taxes. In connection with the sale, the Company ceded
   100% of its risks in the group life and related businesses to MetLife on an
   indemnity reinsurance basis, effective January 1, 1995. In connection with
   the reinsurance transaction, the Company transferred assets with a fair
   market value of approximately $1.5 billion to MetLife, equal to the statutory
   reserves and other liabilities transferred.

   On January 3, 1995, the Company and MetLife and certain of their affiliates,
   formed the MetraHealth joint venture by contributing their group medical
   businesses to MetraHealth, in exchange for shares of common stock of
   MetraHealth. No gain was recognized as a result of this transaction . Upon
   formation of the joint venture, the Company owned 42% of the outstanding
   capital stock of MetraHealth, TIGI owned 8% and the other 50% was owned by
   MetLife and its affiliates. In March 1995, MetraHealth acquired HealthSpring,
   Inc. for common stock of MetraHealth resulting in a reduction in the
   participation of the Company and TIGI, and MetLife in the MetraHealth venture
   to 48.25% each. As the medical insurance business of the Company came due for
   renewal, the risks were transferred to MetraHealth and the related operating
   results for this medical insurance business were reported by the Company in
   1995 as part of discontinued operations.

                                       F-11
<PAGE>   63
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


   On October 2, 1995, the Company and its affiliates completed the sale of
   their ownership in MetraHealth to United HealthCare Corporation and through
   that date had accounted for its interest in MetraHealth on the equity method.
   Gross proceeds to the Company in 1995 were $708 million in cash, an after-tax
   gain of $111 million was recognized. During 1996 the Company received a
   contingency payment based on MetraHealth's 1995 results. In conjunction with
   this payment, certain reserves associated with the group medical business and
   exit costs related to the discontinued operations were reevaluated resulting
   in a final after-tax gain of $26 million.

   All of the businesses sold to MetLife or contributed to MetraHealth were
   included in the Company's Managed Care and Employee Benefit Operations
   (MCEBO) segment prior to 1995. The Company's discontinued operations in 1996
   and 1995 reflect the results of the medical insurance business not
   transferred, the equity interest in the earnings of MetraHealth through
   October 2, 1995 (date of sale) and the gains from sales of these businesses.
   Revenues from discontinued operations were insignificant for the year ended
   December 31, 1996 and $1.2 billion for the year ended December 31, 1995.

   In September 1995, Travelers Group made a pro rata distribution to its
   stockholders of shares of Class A Common Stock of Transport Holdings Inc.,
   which at the time was a wholly owned subsidiary of Travelers Group and was
   the indirect owner of the business of Transport Life. Immediately prior to
   this distribution, the Company distributed Transport, an indirect wholly
   owned subsidiary of the Company, to TIGI as a return of capital, resulting in
   a reduction in additional paid-in capital of $334 million. The results of
   Transport through September 1995 are included in income from continuing
   operations.

3. COMMERCIAL PAPER AND LINES OF CREDIT

   The Company issues commercial paper directly to investors. No commercial
   paper was outstanding at December 31, 1997 and $50 million was outstanding at
   December 31, 1996. The Company maintains unused credit availability under
   bank lines of credit at least equal to the amount of the outstanding
   commercial paper. Interest expense related to the commercial paper was not
   significant in 1997 or 1996.

   Travelers Group, Commercial Credit Company (CCC) (an indirect wholly owned
   subsidiary of Travelers Group) and the Company have an agreement with a
   syndicate of banks to provide $1.0 billion of revolving credit, to be
   allocated to any of Travelers Group, CCC or the Company. The Company's
   participation in this agreement is limited to $250 million. The revolving
   credit facility consists of a five-year revolving credit facility that
   expires in 2001. At December 31, 1997, $50 million was allocated to the
   Company. Under this facility the Company is required to maintain certain
   minimum equity and risk-based capital levels. At December 31, 1997, the
   Company was in compliance with these provisions. There were no amounts
   outstanding under this agreement at December 31, 1997 and 1996. If the
   Company had borrowings on this facility, the interest rate would be based
   upon LIBOR plus a negotiated margin.

                                       F-12
<PAGE>   64
\                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


4. REINSURANCE

   The Company participates in reinsurance in order to limit losses, minimize
   exposure to large risks, provide additional capacity for future growth and to
   effect business-sharing arrangements. Reinsurance is accomplished through
   various plans of reinsurance, primarily yearly renewable term coinsurance and
   modified coinsurance. The Company remains primarily liable as the direct
   insurer on all risks reinsured. During 1997, new universal life business was
   reinsured under an 80%/20% quota share reinsurance program and new term life
   business was reinsured under a 90%/10% quota share reinsurance program.
   Maximum retention of $1.5 million is generally reached on policies in excess
   of $7.5 million. For other plans of insurance, it is the policy of the
   Company to obtain reinsurance for amounts above certain retention limits on
   individual life policies, which limits vary with age and underwriting
   classification. Generally, the maximum retention on an ordinary life risk is
   $1.5 million.

   The Company writes workers' compensation business through its Accident
   Department. This business is ceded 100% to an affiliate, The Travelers
   Indemnity Company.

   A summary of reinsurance financial data reflected within the consolidated
   statement of operations and retained earnings is presented below ($ in
   millions):

<TABLE>
<CAPTION>
       ---------------------------------------------------------------------
       WRITTEN PREMIUMS                         1997      1996       1995
       ---------------------------------------------------------------------
       <S>                                     <C>       <C>       <C>   
       Direct                                  $2,148    $1,982    $2,166
       Assumed from:
          Non-affiliated companies                  1         5        --
       Ceded to:
          Affiliated companies                   (280)     (284)     (374)
          Non-affiliated companies               (273)     (309)     (302)
       ---------------------------------------------------------------------
       Total Net Written Premiums              $1,596    $1,394    $1,490
       =====================================================================

<CAPTION>
       ---------------------------------------------------------------------
       EARNED PREMIUMS                          1997      1996       1995
       ---------------------------------------------------------------------
       <S>                                     <C>       <C>       <C>   
       Direct                                  $2,170    $1,897    $2,067
       Assumed from:
          Non-affiliated companies                  1         5        --
       Ceded to:
          Affiliated companies                   (321)     (219)     (283)
          Non-affiliated companies               (291)     (315)     (298)
       ---------------------------------------------------------------------
       Total Net Earned Premiums               $1,559    $1,368    $1,486
       =====================================================================
</TABLE>


                                       F-13
<PAGE>   65
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


   Reinsurance recoverables at December 31, 1997 and 1996 include amounts
   recoverable on unpaid and paid losses and were as follows ($ in millions):

<TABLE>
<CAPTION>
       ----------------------------------------------------------
       REINSURANCE RECOVERABLES                1997      1996
       ----------------------------------------------------------
       <S>                                     <C>       <C>
       Life and Accident and Health
       Business:
          Non-affiliated companies             $1,362    $1,497
       Property-Casualty Business:
          Affiliated companies                  2,977     2,361
       ----------------------------------------------------------
       Total Reinsurance Recoverables          $4,339    $3,858
       ==========================================================
</TABLE>

   Total reinsurance recoverables at December 31, 1997 and 1996 include $697
   million and $720 million, respectively, from MetLife in connection with the
   sale of the Company's group life and related businesses. See Note 2.

5. SHAREHOLDER'S EQUITY

   Additional Paid-In Capital

   The increase of $17 million in additional paid-in capital during 1997 is due
   to tax benefits related to exercising Travelers Group stock options by the
   Company's employees.

   Unrealized Investment Gains (Losses)

   An analysis of the change in unrealized gains and losses on investments is
   shown in Note 13.

   Shareholder's Equity and Dividend Availability

   The Company's statutory net income, which includes all insurance
   subsidiaries, was $754 million, $656 million, and $235 million for the years
   ended December 31, 1997, 1996 and 1995, respectively.

   The Company's statutory capital and surplus was $4.12 billion and $3.44
   billion at December 31, 1997 and 1996, respectively.

   The Company is currently subject to various regulatory restrictions that
   limit the maximum amount of dividends available to be paid to its parent
   without prior approval of insurance regulatory authorities. Statutory surplus
   of $551 million is available in 1998 for dividend payments by the Company
   without prior approval of the Connecticut Insurance Department. In addition,
   under a revolving credit facility, the Company is required to maintain
   certain minimum equity and risk based capital levels. The Company is in
   compliance with these covenants at December 31, 1997 and 1996.

                                       F-14
<PAGE>   66
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


6. DERIVATIVE FINANCIAL INSTRUMENTS AND FAIR VALUE OF FINANCIAL INSTRUMENTS

   Derivative Financial Instruments

   The Company uses derivative financial instruments, including financial
   futures, equity options, forward contracts and interest rate swaps as a means
   of hedging exposure to foreign currency, equity price changes and/or interest
   rate risk on anticipated transactions or existing assets and liabilities. The
   Company does not hold or issue derivative instruments for trading purposes.

   These derivative financial instruments have off-balance sheet risk. Financial
   instruments with off-balance sheet risk involve, to varying degrees, elements
   of credit and market risk in excess of the amount recognized in the balance
   sheet. The contract or notional amounts of these instruments reflect the
   extent of involvement the Company has in a particular class of financial
   instrument. However, the maximum loss of cash flow associated with these
   instruments can be less than these amounts. For forward contracts and
   interest rate swaps, credit risk is limited to the amounts calculated to be
   due the Company on such contracts. Financial futures contracts and purchased
   listed option contracts have little credit risk since organized exchanges are
   the counterparties.

   The Company monitors creditworthiness of counterparties to these financial
   instruments by using criteria of acceptable risk that are consistent with
   on-balance sheet financial instruments. The controls include credit
   approvals, limits and other monitoring procedures.

   The Company uses exchange traded financial futures contracts to manage its
   exposure to changes in interest rates which arise from the sale of certain
   insurance and investment products, or the need to reinvest proceeds from the
   sale or maturity of investments. To hedge against adverse changes in interest
   rates, the Company enters long or short positions in financial futures
   contracts to offset asset price changes resulting from changes in market
   interest rates until an investment is purchased or a product is sold.

   Margin payments are required to enter a futures contract and contract gains
   or losses are settled daily in cash. The contract amount of futures contracts
   represents the extent of the Company's involvement, but not future cash
   requirements, as open positions are typically closed out prior to the
   delivery date of the contract.

   At December 31, 1997 and 1996, the Company held financial futures contracts
   with notional amounts of $625 million and $169 million, respectively, and a
   deferred gain of $.7 million and a deferred loss of $4.1 million and a
   deferred gain of $1.2 million, and a deferred loss of $.1 million,
   respectively. Total losses of $5.8 million and gains of $2.0 million from
   financial futures were deferred at December 31, 1997 and 1996, respectively,
   relating to anticipated investment purchases and investment product sales,
   and are reported as other liabilities. At December 31, 1997 and 1996, the
   Company's futures contracts had no fair value because these contracts were
   marked to market and settled in cash daily.

   The off-balance sheet risks of equity options, forward contracts, and
   interest rate swaps were not significant at December 31, 1997 and 1996.



                                       F-15
<PAGE>   67
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


   The Company purchased a 5-year interest rate cap, with a notional amount of
   $200 million, from Travelers Group in 1995 to hedge against losses that could
   result from increasing interest rates. This instrument, which does not have
   off-balance sheet risk, gives the Company the right to receive payments if
   interest rates exceed specific levels at specific dates. The premium of $2
   million paid for this instrument is being amortized over its life. The
   interest rate cap asset is reported at fair value which is $0 and $1 million
   at December 31, 1997 and 1996, respectively.

   Financial Instruments with Off-Balance Sheet Risk

   In the normal course of business, the Company issues fixed and variable rate
   loan commitments and has unfunded commitments to partnerships. The
   off-balance sheet risk of these financial instruments was not significant at
   December 31, 1997 and 1996.

   Fair Value of Certain Financial Instruments

   The Company uses various financial instruments in the normal course of its
   business. Fair values of financial instruments that are considered insurance
   contracts are not required to be disclosed and are not included in the
   amounts discussed.

   At December 31, 1997 and 1996, investments in fixed maturities had a carrying
   value and a fair value of $21.5 billion and $19.6 billion, respectively.  See
   Notes 1 and 13.

   At December 31, 1997 and 1996, mortgage loans had a carrying value of $2.9
   billion, which approximated fair value. In estimating fair value, the Company
   used interest rates reflecting the higher returns required in the current
   real estate financing market.

   The carrying values of $143 million and $174 million of financial instruments
   classified as other assets approximated their fair values at December 31,
   1997 and 1996, respectively. The carrying values of $2.0 billion and $850
   million of financial instruments classified as other liabilities also
   approximated their fair values at December 31, 1997 and 1996, respectively.
   Fair value is determined using various methods, including discounted cash
   flows, as appropriate for the various financial instruments.

   At December 31, 1997, contractholder funds with defined maturities had a
   carrying value of $2.3 billion and a fair value of $2.3 billion, compared
   with a carrying value of $1.4 billion and a fair value of $1.5 billion at
   December 31, 1996. The fair value of these contracts is determined by
   discounting expected cash flows at an interest rate commensurate with the
   Company's credit risk and the expected timing of cash flows. Contractholder
   funds without defined maturities had a carrying value of $9.7 billion and a
   fair value of $9.5 billion at December 31, 1997, compared with a carrying
   value of $9.1 billion and a fair value of $8.8 billion at December 31, 1996.
   These contracts generally are valued at surrender value.

   The assets of separate accounts providing a guaranteed return had a carrying
   value and a fair value of $260 million and $260 million, respectively, at
   December 31, 1997, compared with a carrying value and a fair value of $217
   million and $217 million, respectively, at December 31, 1996. The liabilities
   of separate accounts providing a guaranteed return had a carrying value and a
   fair value of $209 million and $206 million, respectively, at December 31,
   1997, compared with a carrying value and a fair value of $208 million and
   $204 million, respectively, at December 31, 1996.

                                       F-16
<PAGE>   68
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


   The carrying values of cash, short-term securities, trading securities,
   investment income accrued, trading securities sold not purchased, and
   commercial paper approximated their fair values.

   The carrying value of policy loans, which have no defined maturities, is
   considered to be fair value.


7. COMMITMENTS AND CONTINGENCIES

   Financial Instruments with Off-Balance Sheet Risk

   See Note 6 for a discussion of financial instruments with off-balance sheet
   risk.

   Litigation

   In March 1997, a purported class action entitled Patterman v. The Travelers,
   Inc. was commenced in the Superior Court of Richmond County, Georgia,
   alleging, among other things, violations of the Georgia RICO statute and
   other state laws by an affiliate of the Company, Primerica Financial
   Services, Inc. and certain of its affiliates. Plaintiffs seek unspecified
   compensatory and punitive damages and other relief. In April 1997, the
   lawsuit was removed to the U.S. District Court for the Southern District of
   Georgia, and in October 1997, the lawsuit was remanded to the Superior Court
   of Richmond County. Later in October 1997, the defendants answered the
   complaint, denied liability and asserted numerous affirmative defenses. In
   February 1998, the Superior Court of Richmond County transferred the lawsuit
   to the Superior Court of Gwinnett County, Georgia, and certified the transfer
   order for immediate appellate review. Also in February 1998, plaintiffs
   served an application for appellate review of the transfer order; defendants
   subsequently opposed that application; and later in February 1998, the Court
   of Appeals of the State of Georgia granted plaintiffs' application for
   appellate review. Pending appeal proceedings in the trial court have been
   stayed. The Company intends to vigorously contest the litigation.

   The Company is also a defendant or co-defendant in various other litigation
   matters in the normal course of business. Although there can be no
   assurances, as of December 31, 1997, the Company believes, based on
   information currently available, that the ultimate resolution of these legal
   proceedings would not be likely to have a material adverse effect on its
   results of operations, financial condition or liquidity.


8. BENEFIT PLANS

   Pension and Other Postretirement Benefits

   The Company participates in a qualified, noncontributory defined benefit
   pension plan sponsored by an affiliate. In addition, the Company provides
   certain other postretirement benefits to retired employees through a plan
   sponsored by an affiliate. The Company's share of net expense for the
   qualified pension and other postretirement benefit plans was not significant
   for 1997, 1996 and 1995. Beginning January 1, 1996, the Company's other
   postretirement benefit plans were amended to restrict benefit eligibility to
   retirees and certain retiree-eligible employees. Previously, covered
   employees could become eligible for postretirement benefits if they reached
   retirement age while working for the Company.

                                       F-17
<PAGE>   69
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


   Through plans sponsored by TIGI, the Company also provides defined
   contribution pension plans for certain agents. Company contributions are
   primarily a function of production. The expense for these plans was not
   significant in 1997, 1996 and 1995.

   401(k) Savings Plan

   Substantially all of the Company's employees are eligible to participate in a
   401(k) savings plan sponsored by Travelers Group. Prior to January 1, 1996,
   the Company made matching contributions to the 401(k) savings plan on behalf
   of participants in the amount of 50% of the first 5% of pre-tax contributions
   made by the employee, plus an additional variable matching contribution based
   on the profitability of TIGI and its subsidiaries. During 1996, the Company
   made matching contributions in an amount equal to the lesser of 100% of the
   pre-tax contributions made by the employee or $1,000. Effective January 1,
   1997, the Company discontinued matching contributions for the majority of its
   employees. The Company's expenses in connection with the 401(k) savings plan
   were not significant in 1997, 1996 and 1995.


9. RELATED PARTY TRANSACTIONS

   The principal banking functions, including payment of salaries and expenses,
   for certain subsidiaries and affiliates of TIGI are handled by two companies.
   The Travelers Insurance Company (Life Department) handles banking functions
   for the life and annuity operations of Travelers Life and Annuity and some of
   its non-insurance affiliates. The Travelers Indemnity Company handles banking
   functions for the property-casualty operations, including most of its
   property-casualty insurance and non-insurance affiliates. Settlements between
   companies are made at least monthly. The Company provides various employee
   benefits coverages to employees of certain subsidiaries of TIGI. The premiums
   for these coverages were charged in accordance with cost allocation
   procedures based upon salaries or census. In addition, investment advisory
   and management services, data processing services and claims processing
   services are shared with affiliated companies. Charges for these services are
   shared by the companies on cost allocation methods based generally on
   estimated usage by department.

   The Company maintains a short-term investment pool in which its insurance
   affiliates participate. The position of each company participating in the
   pool is calculated and adjusted daily. At December 31, 1997 and 1996, the
   pool totaled approximately $2.6 billion and $2.9 billion, respectively. The
   Company's share of the pool amounted to $725 million and $196 million at
   December 31, 1997 and 1996, respectively, and is included in short-term
   securities in the consolidated balance sheet.

   The Company sells structured settlement annuities to The Travelers Indemnity
   Company in connection with the settlement of certain policyholder
   obligations. Such deposits were $88 million, $40 million, and $38 million for
   1997, 1996 and 1995, respectively.

   The Company markets deferred annuity products and life and health insurance
   through its affiliate, Salomon Smith Barney. Premiums and deposits related to
   these products were $1.0 billion, $820 million, and $583 million in 1997,
   1996 and 1995, respectively.

   At December 31, 1996, the Company had an investment of $22 million in bonds
   of its affiliate, CCC. This was included in fixed maturities in the
   consolidated balance sheet.

                                       F-18
<PAGE>   70
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


   The Company had an investment of $1.15 billion and $648 million in common
   stock of Travelers Group at December 31, 1997 and 1996, respectively. This
   investment is carried at fair value.

   The Company participates in a stock option plan sponsored by Travelers Group
   that provides for the granting of stock options in Travelers Group common
   stock to officers and key employees. To further encourage employee stock
   ownership, during 1997 Travelers Group introduced the WealthBuilder stock
   option program. Under this program all employees meeting certain requirements
   have been granted Travelers Group stock options.

   The Company applies APB 25 and related interpretations in accounting for
   stock options. Since stock options under the Travelers Group plans are issued
   at fair market value on the date of award, no compensation cost has been
   recognized for these awards. FAS 123 provides an alternative to APB 25
   whereby fair values may be ascribed to options using a valuation model and
   amortized to compensation cost over the vesting period of the options.

   Had the Company applied FAS 123 in accounting for Travelers Group stock
   options, net income would have been the pro forma amounts indicated below:

<TABLE>
<CAPTION>
      -----------------------------------------------------------------------
      YEAR ENDING DECEMBER 31,             1997        1996         1995
      ($ IN MILLIONS)
      -----------------------------------------------------------------------
     <S>                                   <C>          <C>         <C> 
      Net income, as reported              $839         $659        $750
      -----------------------------------------------------------------------
      FAS 123 pro forma adjustments,         (9)          (3)         (1)
      after tax
      -----------------------------------------------------------------------
      Net income, pro forma                $830         $656        $749
</TABLE>

   The Company has an interest rate cap agreement with Travelers Group. See Note
   6.

10. LEASES

   Most leasing functions for TIGI and its subsidiaries are administered by TAP.
   In 1996, TAP assumed the obligations for several leases. Rent expense related
   to all leases are shared by the companies on a cost allocation method based
   generally on estimated usage by department. Rent expense was $15 million, $24
   million, and $22 million in 1997, 1996 and 1995, respectively.

<TABLE>
<CAPTION>
       --------------------------------------------------
       YEAR ENDING DECEMBER 31,       MINIMUM OPERATING
       ($ in millions)                 RENTAL PAYMENTS
       --------------------------------------------------
      <S>                                  <C>  
       1998                                 $  49
       1999                                    44
       2000                                    43
       2001                                    45
       2002                                    43
       Thereafter                             337
       --------------------------------------------------
       Total Rental Payments                 $561
       ==================================================
</TABLE>

                                       F-19
<PAGE>   71
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


   Future sublease rental income of approximately $73 million will partially
   offset these commitments. Also, the Company will be reimbursed for 50% of the
   rental expense for a particular lease totaling $218 million, by an affiliate.
   Minimum future capital lease payments are not significant.

   The Company is reimbursed for use of furniture and equipment through cost
   sharing agreements by its affiliates.

11. FEDERAL INCOME TAXES

<TABLE>
<CAPTION>
       EFFECTIVE TAX RATE
       ---------------------------------------------------------------------
       For The Year Ended December 31,         1997      1996       1995
       ($ in millions)
       ---------------------------------------------------------------------
      <S>                                     <C>        <C>        <C>  
       Income Before Federal Income Taxes     $1,283     $ 975      $ 837
       Statutory Tax Rate                        35%        35%        35%
       ---------------------------------------------------------------------
       Expected Federal Income Taxes            449        341        293
       Tax Effect of:
          Non-taxable investment income          (4)        (3)        (4)
          Other, net                             (1)         4          1
       =====================================================================
       Federal Income Taxes                   $ 444      $ 342      $ 290
       =====================================================================
       Effective Tax Rate                        35%        35%        35%
       ---------------------------------------------------------------------

       COMPOSITION OF FEDERAL INCOME TAXES
       Current:
          United States                       $ 410       $ 263     $ 220
          Foreign                                24          21        13
       ---------------------------------------------------------------------
          Total                                 434         284       233
       ---------------------------------------------------------------------
       Deferred:
          United States                          10          57        52
          Foreign                                --           1         5
       ---------------------------------------------------------------------
          Total                                  10          58        57
       ---------------------------------------------------------------------
       Federal Income Taxes                   $ 444       $ 342     $ 290
       =====================================================================
</TABLE>

   Tax benefits allocated directly to shareholder's equity for the years ended
   December 31, 1997, 1996 and 1995 were $17 million, $8 million and $7 million,
   respectively.


                                       F-20
<PAGE>   72
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


   The net deferred tax liabilities at December 31, 1997 and 1996 were comprised
   of the tax effects of temporary differences related to the following assets
   and liabilities:

<TABLE>
<CAPTION>
($ in millions)                                                  1997        1996
                                                                -------     -------
<S>                                                             <C>         <C>
Deferred Tax Assets:
   Benefit, reinsurance and other reserves                       $  550      $  510
   Contractholder funds                                              11          32
   Operating lease reserves                                          68          71
   Other employee benefits                                          102         104
   Other                                                            139         121
- -----------------------------------------------------------------------------------
      Total                                                         870         838
- -----------------------------------------------------------------------------------
Deferred Tax Liabilities:
   Deferred acquisition costs and value of                          608         571
   insurance in force
   Investments, net                                                 484         131
   Other                                                             87          93
- -----------------------------------------------------------------------------------
      Total                                                       1,179         795
- -----------------------------------------------------------------------------------
Net Deferred Tax (Liability) Asset Before Valuation Allowance      (309)         43
Valuation Allowance for Deferred Tax Assets                        (100)       (100)
- -----------------------------------------------------------------------------------
Net Deferred Tax Liability After Valuation Allowance             $ (409)     $  (57)
- -----------------------------------------------------------------------------------
</TABLE>

   Starting in 1994 and continuing for at least five years, the Company and its
   life insurance subsidiaries will file a consolidated federal income tax
   return. Federal income taxes are allocated to each member of the consolidated
   group on a separate return basis adjusted for credits and other amounts
   required by the consolidation process. Any resulting liability will be paid
   currently to the Company. Any credits for losses will be paid by the Company
   to the extent that such credits are for tax benefits that have been utilized
   in the consolidated federal income tax return.

   A net deferred tax asset valuation allowance of $100 million has been
   established to reduce the deferred tax asset on investment losses to the
   amount that, based upon available evidence, is more likely than not to be
   realized. Reversal of the valuation allowance is contingent upon the
   recognition of future capital gains in the Company's consolidated life
   insurance company federal income tax return through 1998, and if
   life/non-life consolidation is elected in 1999, the consolidated federal
   income tax return of Travelers Group commencing in 1999, or a change in
   circumstances which causes the recognition of the benefits to become more
   likely than not. There was no change in the valuation allowance during 1997.
   The initial recognition of any benefit produced by the reversal of the
   valuation allowance will be recognized by reducing goodwill.

   At December 31, 1997, the Company had no ordinary or capital loss 
   carryforwards.

   The policyholders surplus account, which arose under prior tax law, is
   generally that portion of the gain from operations that has not been
   subjected to tax, plus certain deductions. The balance of this account,
   which, under provisions of the Tax Reform Act of 1984, will not increase
   after 1983, is estimated to be $932 million. This amount has not been
   subjected to current income taxes but, under certain conditions that
   management considers to be remote, may become subject to income taxes in
   future years. At current rates, the maximum amount of such tax (for which no
   provision has been made in the financial statements) would be approximately
   $326 million.

                                       F-21
<PAGE>   73
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)





12. NET INVESTMENT INCOME

<TABLE>
<CAPTION>
       ---------------------------------------------------------------------
       FOR THE YEAR ENDED DECEMBER 31,         1997      1996       1995
       ($ in millions)
       ---------------------------------------------------------------------
<S>                                            <C>      <C>        <C>
       GROSS INVESTMENT INCOME
          Fixed maturities                     $1,460   $1,387     $1,248
          Mortgage loans                          291      334        419
          Policy loans                            137      156        166
          Real estate held for sale                88       94        111
          Other, including trading                150       77         97
          securities
       ---------------------------------------------------------------------
                                                2,126    2,048      2,041
       ---------------------------------------------------------------------
       Investment expenses                         89       98        157
       ---------------------------------------------------------------------
       Net investment income                   $2,037   $1,950     $1,884
       ---------------------------------------------------------------------
</TABLE>


13. INVESTMENTS AND INVESTMENT GAINS (LOSSES)

   Realized investment gains (losses) for the periods were as follows:
 
<TABLE>
<CAPTION>
       ---------------------------------------------------------------------
       FOR THE YEAR ENDED DECEMBER 31,         1997      1996       1995
       ($ in millions)
       ---------------------------------------------------------------------
<S>                                            <C>       <C>        <C>
       REALIZED INVESTMENT GAINS
          Fixed maturities                       $71      $(63)      $(43)
          Equity securities                       (9)       47         36
          Mortgage loans                          59        49         47
          Real estate held for sale               67        33         18
          Other                                   11        (1)        48
       ---------------------------------------------------------------------
             Total Realized Investment Gains    $199       $65       $106
       ---------------------------------------------------------------------
</TABLE>


                                       F-22
<PAGE>   74
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


   Changes in net unrealized investment gains (losses) that are included as a
   separate component of shareholder's equity were as follows:

<TABLE>
<CAPTION>
       -------------------------------------------------------------------------
       FOR THE YEAR ENDED DECEMBER 31,              1997      1996      1995
       ($ in millions)
       -------------------------------------------------------------------------
<S>                                                <C>       <C>        <C>
       UNREALIZED INVESTMENT GAINS
          Fixed maturities                         $  446    $ (323)    $1,974
          Equity securities                            25       (35)        46
          Other                                       520       220        200
       -------------------------------------------------------------------------
             Total Realized Investment Gains          991      (138)     2,220
       -------------------------------------------------------------------------

          Related taxes                               350       (43)       778
       -------------------------------------------------------------------------
          Change in unrealized investment gains       
          (losses)                                    641       (95)     1,442
          Balance beginning of year                   587       682       (760)
       -------------------------------------------------------------------------
             Balance End of Year                   $1,228    $  587     $  682
       -------------------------------------------------------------------------
</TABLE>

   Included in Other are gains of $506 million, $203 million and $214 million
   for 1997, 1996 and 1995, respectively, related to appreciation of Travelers
   Group stock.

   Fixed Maturities

   Proceeds from sales of fixed maturities classified as available for sale were
   $7.6 billion, $10.2 billion and $6.8 billion in 1997, 1996 and 1995,
   respectively. Gross gains of $170 million, $107 million and $80 million and
   gross losses of $99 million, $175 million and $124 million in 1997, 1996 and
   1995, respectively, were realized on those sales.

   Fair values of investments in fixed maturities are based on quoted market
   prices or dealer quotes or, if these are not available, discounted expected
   cash flows using market rates commensurate with the credit quality and
   maturity of the investment. The fair value of investments for which a quoted
   market price or dealer quote are not available amounted to $5.1 billion and
   $4.6 billion at December 31, 1997 and 1996, respectively.


                                       F-23
<PAGE>   75
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


   The amortized cost and fair value of investments in fixed maturities were as
   follows:

<TABLE>
<CAPTION>
- ---------------------------------------------------------------------------------------
DECEMBER 31, 1997                                         GROSS       GROSS
($ in millions)                              AMORTIZED  UNREALIZED  UNREALIZED   FAIR
                                                COST      GAINS       LOSSES     VALUE
- ---------------------------------------------------------------------------------------
<S>                                          <C>        <C>         <C>         <C>
AVAILABLE FOR SALE:
   Mortgage-backed securities - CMOs and
   pass-through securities                     $ 3,842    $   124    $     2    $ 3,964
   U.S. Treasury securities and obligations
   of U.S. Government and government
   agencies and authorities                      1,580        149          1      1,728
   Obligations of states, municipalities
   and political subdivisions                       78          8         --         86
   Debt securities issued by
   foreign governments                             622         31          4        649
   All other corporate bonds                    14,548        547         24     15,071
   Redeemable preferred stock                       12          1         --         13
- ---------------------------------------------------------------------------------------
      Total Available For Sale                 $20,682        860         31    $21,511
- ---------------------------------------------------------------------------------------

<CAPTION>
- ----------------------------------------------------------------------------------------
DECEMBER 31, 1996                                           GROSS      GROSS 
($ in millions)                               AMORTIZED  UNREALIZED  UNREALIZED   FAIR
                                                 COST       GAINS      LOSSES     VALUE
- ----------------------------------------------------------------------------------------
<S>                                           <C>        <C>         <C>         <C>
AVAILABLE FOR SALE:
   Mortgage-backed securities - CMOs and
   pass-through securities                      $ 3,821    $    71    $    23    $ 3,869
   U.S. Treasury securities and obligations
   of U.S. Government and government
   agencies and authorities                       1,329         56          4      1,381
   Obligations of states, municipalities and
   political subdivisions                            89          1          1         89
   Debt securities issued by foreign
   governments                                      618         26          3        641
   All other corporate bonds                     13,421        273         43     13,651
   Redeemable preferred stock                         6         --         --          6
- ----------------------------------------------------------------------------------------
      Total Available For Sale                  $19,284    $   427    $    74    $19,637
- ----------------------------------------------------------------------------------------
</TABLE>


                                       F-24
<PAGE>   76

                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


   The amortized cost and fair value of fixed maturities at December 31, 1997,
   by contractual maturity, are shown below. Actual maturities will differ from
   contractual maturities because borrowers may have the right to call or prepay
   obligations with or without call or prepayment penalties.

<TABLE>
<CAPTION>
       ----------------------------------------------------------
       ($ in millions)                       AMORTIZED   FAIR
                                               COST      VALUE
       ----------------------------------------------------------
<S>                                          <C>         <C>
       MATURITY:
          Due in one year or less            $ 1,184     $ 1,191
          Due after 1 year through 5 years     5,200       5,335
          Due after 5 years through 10 years   5,332       5,515
          Due after 10 years                   5,124       5,506
       ---------------------------------------------------------
                                              16,840      17,547
       ---------------------------------------------------------
          Mortgage-backed securities           3,842       3,964
       ---------------------------------------------------------
             Total Maturity                  $20,682     $21,511
       ---------------------------------------------------------
</TABLE>

   The Company makes investments in collateralized mortgage obligations (CMOs).
   CMOs typically have high credit quality, offer good liquidity, and provide a
   significant advantage in yield and total return compared to U.S. Treasury
   securities. The Company's investment strategy is to purchase CMO tranches
   which are protected against prepayment risk, including planned amortization
   class (PAC) tranches. Prepayment protected tranches are preferred because
   they provide stable cash flows in a variety of interest rate scenarios. The
   Company does invest in other types of CMO tranches if a careful assessment
   indicates a favorable risk/return tradeoff. The Company does not purchase
   residual interests in CMOs.

   At December 31, 1997 and 1996, the Company held CMOs classified as available
   for sale with a fair value of $2.1 billion and $2.0 billion, respectively.
   Approximately 72% and 88%, respectively, of the Company's CMO holdings are
   fully collateralized by GNMA, FNMA or FHLMC securities at December 31, 1997
   and 1996. In addition, the Company held $1.9 billion and $1.9 billion of
   GNMA, FNMA or FHLMC mortgage-backed pass-through securities at December 31,
   1997 and 1996, respectively. Virtually all of these securities are rated AAA.




                                       F-25
<PAGE>   77
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)

   Equity Securities
   The cost and fair values of investments in equity securities were as follows:

<TABLE>
<CAPTION>
   -----------------------------------------------------------------------------
   EQUITY SECURITIES:
                                                   GROSS      GROSS
   ($ in millions)                              UNREALIZED  UNREALIZED     FAIR
                                         COST      GAINS      LOSSES       VALUE
   -----------------------------------------------------------------------------
<S>                                      <C>    <C>         <C>            <C>
   DECEMBER 31, 1997
      Common stocks                      $179       $ 34       $ 11        $202
      Non-redeemable preferred stocks     301         13          4         310
   -----------------------------------------------------------------------------
         Total Equity Securities         $480       $ 47       $ 15        $512
   -----------------------------------------------------------------------------

   DECEMBER 31, 1996
      Common stocks                      $212       $ 39       $ 30        $221
      Non-redeemable preferred stocks     118          2          3         117
   -----------------------------------------------------------------------------
         Total Equity Securities         $330       $ 41       $ 33        $338
   -----------------------------------------------------------------------------
</TABLE>

   Proceeds from sales of equity securities were $341 million, $487 million and
   $379 million in 1997, 1996 and 1995, respectively. Gross gains of $53
   million, $64 million and $27 million and gross losses of $62 million, $11
   million and $2 million in 1997, 1996 and 1995, respectively, were realized on
   those sales.

   Mortgage Loans and Real Estate Held For Sale

   Underperforming assets include delinquent mortgage loans, loans in the
   process of foreclosure, foreclosed loans and loans modified at interest rates
   below market.

   At December 31, 1997 and 1996, the Company's mortgage loan and real estate
   held for sale portfolios consisted of the following ($ in millions):

<TABLE>
<CAPTION>
       ----------------------------------------------------------
                                               1997      1996
       ----------------------------------------------------------
<S>                                          <C>        <C>   
       Current Mortgage Loans                $2,866     $2,869
       Underperforming Mortgage Loans             3         51
       ----------------------------------------------------------
          Total                               2,869      2,920
       ----------------------------------------------------------

       Real Estate Held For Sale                134        297
       ----------------------------------------------------------
          Total                              $3,003     $3,217
       ----------------------------------------------------------
</TABLE>



                                       F-26
<PAGE>   78
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)

   Aggregate annual maturities on mortgage loans at December 31, 1997 are as
   follows:

<TABLE>
<CAPTION>
       ------------------------------------------------
       YEAR ENDING DECEMBER 31,
       ($ in millions)
       ------------------------------------------------
<S>                                           <C>   
       Past Maturity                          $   54
       1998                                      243
       1999                                      252
       2000                                      321
       2001                                      393
       2002                                      121
       Thereafter                              1,485
       ------------------------------------------------
          Total                               $2,869
       ================================================
</TABLE>

   Joint Venture

   In October 1997, the Company and Tishman Speyer Properties (Tishman), a
   worldwide real estate owner, developer and manager, formed a joint real
   estate venture with an initial equity commitment of $792 million. The Company
   and certain of its affiliates committed $420 million in real estate equity
   and $100 million in cash while Tishman committed $272 million in properties
   and cash. Both companies are serving as asset managers for the venture and
   Tishman is primarily responsible for the venture's real estate acquisition
   and development efforts.

   Trading Securities

   Trading securities are held in a special purpose subsidiary, Tribeca
   Investments LLC.

<TABLE>
<CAPTION>
       -----------------------------------------------------
       TRADING SECURITIES OWNED                      1997
<S>                                                  <C>
       Merger arbitrage                              $352
       Convertible bond arbitrage                     370
       Other                                           78
       -----------------------------------------------------
          Total                                      $800
       -----------------------------------------------------

       TRADING SECURITIES SOLD NOT YET PURCHASED

       Merger arbitrage                              $213
       Convertible bond arbitrage                     249
       -----------------------------------------------------
          Total                                      $462
       -----------------------------------------------------
</TABLE>

   The Company's trading portfolio investments and related liabilities are
   normally held for periods less than six months. Therefore, expected future
   cash flows for these assets and liabilities are expected to be realized in
   less than one year.


                                       F-27
<PAGE>   79
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)

   Concentrations

   At December 31, 1997 and 1996, the Company had no concentration of credit
   risk in a single investee exceeding 10% of consolidated shareholder's equity.

   The Company participates in a short-term investment pool maintained by an
   affiliate.  See Note 9.

   Included in fixed maturities are below investment grade assets totaling $1.4
   billion and $1.1 billion at December 31, 1997 and 1996, respectively. The
   Company defines its below investment grade assets as those securities rated
   "Ba1" or below by external rating agencies, or the equivalent by internal
   analysts when a public rating does not exist. Such assets include publicly
   traded below investment grade bonds and certain other privately issued bonds
   that are classified as below investment grade loans.

   The Company had concentrations of investments, primarily fixed maturities, in
   the following industries:

<TABLE>
<CAPTION>
       -------------------------------------------------
       ($ in millions)                1997      1996
       -------------------------------------------------
<S>                                   <C>      <C>   
       Banking                        $2,215   $1,959
       Finance                         1,556    1,823
       Electric Utilities              1,377    1,093
       Asset-Backed Credit Cards         778      688
       -------------------------------------------------
</TABLE>

   Below investment grade assets included in the preceding table were not
   significant.

   At December 31, 1997 and 1996, concentrations of mortgage loans were for
   properties located in highly populated areas in the states listed below:

<TABLE>
<CAPTION>
       -------------------------------------------------
       ($ in millions)                 1997      1996
       -------------------------------------------------
<S>                                    <C>       <C> 
       California                       $794     $643
       New York                          310      297
       -------------------------------------------------
</TABLE>

   Other mortgage loan investments are relatively evenly dispersed throughout
   the United States, with no holdings in any state exceeding $284 million and
   $258 million at December 31, 1997 and 1996, respectively.

   Concentrations of mortgage loans by property type at December 31, 1997 and
   1996 were as follows:

<TABLE>
<CAPTION>
       -------------------------------------------------
       ($ in millions)                 1997     1996
       -------------------------------------------------
<S>                                   <C>      <C>   
       Office                         $1,382   $1,208
       Agricultural                      771      693
       Apartment                         204      291
       Hotel                             201      217
       -------------------------------------------------
</TABLE>


                                       F-28
<PAGE>   80
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)

   The Company monitors creditworthiness of counterparties to all financial
   instruments by using controls that include credit approvals, limits and other
   monitoring procedures. Collateral for fixed maturities often includes pledges
   of assets, including stock and other assets, guarantees and letters of
   credit. The Company's underwriting standards with respect to new mortgage
   loans generally require loan to value ratios of 75% or less at the time of
   mortgage origination.

   Non-Income Producing Investments

   Investments included in the consolidated balance sheets that were non-income
   producing for the preceding 12 months were insignificant.

   Restructured Investments

   The Company had mortgage loans and debt securities that were restructured at
   below market terms totaling approximately $7 million and $18 million at
   December 31, 1997 and 1996, respectively. The new terms typically defer a
   portion of contract interest payments to varying future periods. The accrual
   of interest is suspended on all restructured assets, and interest income is
   reported only as payment is received. Gross interest income on restructured
   assets that would have been recorded in accordance with the original terms of
   such loans amounted to $.9 million in 1997 and $5 million in 1996. Interest
   on these assets, included in net investment income, aggregated $.2 million
   and $2 million in 1997 and 1996, respectively.

14. DEPOSIT FUNDS AND RESERVES

   At December 31, 1997, the Company had $24.0 billion of life and annuity
   deposit funds and reserves. Of that total, $13.0 billion is not subject to
   discretionary withdrawal based on contract terms. The remaining $11.0 billion
   is for life and annuity products that are subject to discretionary withdrawal
   by the contractholder. Included in the amount that is subject to
   discretionary withdrawal is $2.0 billion of liabilities that are
   surrenderable with market value adjustments. Also included are an additional
   $5.2 billion of the life insurance and individual annuity liabilities which
   are subject to discretionary withdrawals, and have an average surrender
   charge of 4.8%. In the payout phase, these funds are credited at
   significantly reduced interest rates. The remaining $3.8 billion of
   liabilities are surrenderable without charge. More than 16.8% of these relate
   to individual life products. These risks would have to be underwritten again
   if transferred to another carrier, which is considered a significant
   deterrent against withdrawal by long-term policyholders. Insurance
   liabilities that are surrendered or withdrawn are reduced by outstanding
   policy loans and related accrued interest prior to payout.




                                       F-29
<PAGE>   81
                THE TRAVELERS INSURANCE COMPANY AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (CONTINUED)


15. RECONCILIATION OF NET INCOME TO NET CASH PROVIDED BY OPERATING ACTIVITIES

   The following table reconciles net income to net cash provided by operating
   activities:

<TABLE>
<CAPTION>
- --------------------------------------------------------------------------------
FOR THE YEAR ENDED DECEMBER 31,                       1997       1996      1995
($ in millions)
- --------------------------------------------------------------------------------
<S>                                                   <C>       <C>       <C>  
Net Income From Continuing Operations                 $ 839     $ 633     $ 547
   Adjustments to reconcile net income to
   net cash provided by operating activities:
      Realized gains                                   (199)      (65)     (106)
      Deferred federal income taxes                      10        58        57
      Amortization of deferred policy
      acquisition costs and value of                    
      insurance in force                                293       281       290
      Additions to deferred policy                     
      acquisition costs                                (471)     (350)     (454)
      Investment income accrued                          14         2        (9)
      Premium balances receivable                         3        (6)       (8)
      Insurance reserves and accrued expenses           131        (1)      291
      Other                                             206       255        62
- --------------------------------------------------------------------------------
      Net cash provided by operating activities         826       807       670
      Net cash used in discontinued operations           --      (350)     (596)                                 
      Net cash provided by operations                 $ 826     $ 457     $  74
- --------------------------------------------------------------------------------
</TABLE>


16. NON-CASH INVESTING AND FINANCING ACTIVITIES

   Significant noncash investing and financing activities include: a) the
   conversion of $119 million of real estate held for sale to other invested
   assets as a joint venture in 1997; b) the 1995 transfer of assets with a fair
   market value of approximately $1.5 billion and statutory reserves and other
   liabilities of approximately $1.5 billion to MetLife (see Note 2); c) the
   1995 return of capital of Transport to TIGI (see Note 2); d) the acquisition
   of real estate through foreclosures of mortgage loans amounting to $10
   million, $117 million and $97 million in 1997, 1996 and 1995, respectively;
   e) the acceptance of purchase money mortgages for sales of real estate
   aggregating $4 million, $23 million and $27 million in 1997, 1996 and 1995,
   respectively.


                                       F-30
<PAGE>   82


                                     PART C

                                Other Information

Item 24.  Financial Statements and Exhibits

(a)   The financial statements of the Registrant will not be provided since the
      Registrant will have no assets as of the effective date of the Registrant
      Statement.

      The consolidated financial statements of The Travelers Insurance Company
      and Subsidiaries and the report of Independent Accountants are contained
      in the Prospectus. The consolidated financial statements of The Travelers
      Insurance Company and Subsidiaries include:

      Consolidated Statements of Income and Retained Earnings for the
          years ended December 31, 1997, 1996 and 1995
      Consolidated Balance Sheets as of December 31, 1997 and 1996
      Consolidated Statements of Cash Flows for the years ended 
          December 31, 1997, 1996 and 1995
      Notes to Consolidated Financial Statements


(b)  Exhibits

1.    Resolution of The Travelers Insurance Company Board of Directors
      authorizing the establishment of the Registrant. (Incorporated herein by
      reference to Exhibit 1 to the Registration Statement on Form N-4, filed
      July 9, 1998.)

2.    Not Applicable.

3(a). Form of Distribution and Principal Underwriting Agreement among the 
      Registrant, The Travelers Insurance Company and CFBDS, Inc.

3(b). Form of Selling Agreement. (Incorporated herein by reference to Exhibit
      3(b) to the Registration Statement on Form N-4, filed July 9, 1998.)

4.    Variable Annuity Contract.

5.    Application.

6(a). Charter of The Travelers Insurance Company, as amended on October 19,
      1994. (Incorporated herein by reference to Exhibit 6(a) to the
      Registration Statement on Form N-4, File No. 333-40193, filed November 13,
      1998.)

6(b). By-Laws of The Travelers Insurance Company, as amended on October 20,
      1994. (Incorporated herein by reference to Exhibit 6(b) to the
      Registration Statement on Form N-4, File No. 333-40193, filed November 13,
      1998.)

9.    Opinion of Counsel as to the legality of securities being registered.
      (Incorporated herein by reference to Exhibit 9 to the Registration
      Statement on Form N-4, filed July 9, 1998.)

10.   Consent of KPMG Peat Marwick LLP, Independent Certified Public
      Accountants.


13.   Computation of Total Return Calculations - Standardized and
      Non-Standardized.

<PAGE>   83

15.   Powers of Attorney authorizing Ernest J. Wright or Kathleen A. McGah as
      signatory for Michael A. Carpenter, Jay S. Benet, George C. Kokulis,
      Robert I. Lipp, Ian R. Stuart, Katherine M. Sullivan and Marc P. Weill.
      (Incorporated herein by reference to Exhibit 15 to the Registration
      Statement on Form N-4, filed July 9, 1998.)


Item 25.  Directors and Officers of the Depositor

<TABLE>
<CAPTION>
Name and Principal                 Positions and Offices
Business Address                   with Insurance Company
- ----------------                   ----------------------

<S>                                <C>
Michael A. Carpenter*              Director, Chairman of the Board
                                   President and Chief Executive Officer
Jay S. Benet*                      Director and Senior Vice President         
George C. Kokulis*                 Director and Senior Vice President         
Robert I. Lipp*                    Director                                   
Ian R. Stuart*                     Director, Senior Vice President,           
                                   Chief Financial Officer, Chief             
                                   Accounting Officer and Controller          
Katherine M. Sullivan*             Director and Senior Vice President         
                                   and General Counsel                        
Marc P. Weill***                   Director and Senior Vice President         
Stuart Baritz**                    Senior Vice President                      
Jay S. Fishman*                    Senior Vice President
Elizabeth C. Georgakopoulos*       Senior Vice President
Barry Jacobson*                    Senior Vice President 
Russell H. Johnson*                Senior Vice President 
Warren H. May*                     Senior Vice President 
Christine M. Modie*                Senior Vice President 
David A. Tyson*                    Senior Vice President 
F. Denney Voss*                    Senior Vice President 
Paula Burton*                      Vice President
Virginia M. Meany*                 Vice President         
Ambrose J. Murphy*                 Deputy General Counsel 
Selig Ehrlich*                     Vice President and Actuary
Donald R. Munson, Jr.*             Second Vice President
Ernest J. Wright*                  Vice President and Secretary
Kathleen A. McGah*                 Assistant Secretary and Counsel
</TABLE>


     Principal Business Address:
*    The Travelers Insurance Company           ***  Citigroup Inc.
     One Tower Square                               399 Park Avenue
     Hartford, CT  06183                            New York, N.Y. 10043

**   Travelers Portfolio Group
     1345 Avenue of the Americas
     New York, NY 10105


Item 26. Persons Controlled by or Under Common Control with the Depositor or
Registrant

      Incorporated herein by reference to Item 26 to Post-Effective Amendment
No. 5 to the Registration Statement on Form N-4, File No. 33-73466 filed April
10, 1998.

<PAGE>   84

Item 27.  Number of Contract Owners

Not applicable.


Item 28.  Indemnification

Section 33-770 of the Connecticut General Statutes ("C.G.S.") regarding
indemnification of directors and officers of Connecticut corporations provides
in general that Connecticut corporations shall indemnify their officers,
directors and certain other defined individuals against judgments, fines,
penalties, amounts paid in settlement and reasonable expenses actually incurred
in connection with proceedings against the corporation. The corporation's
obligation to provide such indemnification generally does not apply unless (1)
the individual is successful on the merits in the defense of any such
proceeding; or (2) a determination is made (by persons specified in the statute)
that the individual acted in good faith and in the best interests of the
corporation; or (3) the court, upon application by the individual, determines in
view of all of the circumstances that such person is fairly and reasonably
entitled to be indemnified, and then for such amount as the court shall
determine. With respect to proceedings brought by or in the right of the
corporation, the statute provides that the corporation shall indemnify its
officers, directors and certain other defined individuals, against reasonable
expenses actually incurred by them in connection with such proceedings, subject
to certain limitations.

C.G.S. Section 33-770 provides an exclusive remedy; a Connecticut corporation
cannot indemnify a director or officer to an extent either greater or less than
that authorized by the statute, e.g., pursuant to its certificate of
incorporation, by-laws, or any separate contractual arrangement. However, the
statute does specifically authorize a corporation to procure indemnification
insurance to provide greater indemnification rights. The premiums for such
insurance may be shared with the insured individuals on an agreed basis.

Citigroup Inc. also provides liability insurance for its directors and officers
and the directors and officers of its subsidiaries, including the Depositor.
This insurance provides for coverage against loss from claims made against
directors and officers in their capacity as such, including, subject to certain
exceptions, liabilities under the Federal securities laws.

Rule 484 Undertaking

Insofar as indemnification for liability arising under the Securities Act of
1933 may be permitted to directors, officers and controlling persons of the
registrant pursuant to the foregoing provisions, or otherwise, the registrant
has been advised that in the opinion of the Securities and Exchange Commission
such indemnification is against public policy as expressed in the Act and is,
therefore, unenforceable. In the event that a claim for indemnification against
such liability (other than the payment by the registrant of expenses incurred or
paid by a director, officer or controlling person of the registrant in the
successful defense of any action, suit or proceeding) is asserted by such
director, officer or controlling person in connection with the securities being
registered, the registrant will, unless in the opinion of its counsel the matter
has been settled by controlling precedent, submit to a court of appropriate
jurisdiction the question whether such indemnification by it is against public
policy as expressed in the Act and will be governed by the final adjudication of
such issue.


<PAGE>   85


Item 29.  Principal Underwriter

(a)  CFBDS, Inc.
     21 Milk Street
     Boston, MA 02109

CFBDS, Inc. also serves as principal underwriter for the following :

The Travelers Growth and Income Stock Account for Variable Annuities
The Travelers Quality Bond Account for Variable Annuities
The Travelers Money Market Account for Variable Annuities
The Travelers Timed Growth and Income Stock Account for Variable Annuities
The Travelers Timed Short-Term Bond Account for Variable Annuities
The Travelers Timed Aggressive Stock Account for Variable Annuities
The Travelers Timed Bond Account for Variable Annuities
The Travelers Fund U for Variable Annuities
The Travelers Fund VA for Variable Annuities
The Travelers Fund BD for Variable Annuities
The Travelers Fund BD II for Variable Annuities
The Travelers Fund BD III for Variable Annuities
The Travelers Fund BD IV for Variable Annuities
The Travelers Fund ABD for Variable Annuities
The Travelers Fund ABD II for Variable Life Insurance
The Travelers Separate Account QP for Variable Annuities
The Travelers Separate Account PF for Variable Annuities
The Travelers Separate Account PF II for Variable Annuities
The Travelers Separate Account TM for Variable Annuities
The Travelers Separate Account TM II for Variable Annuities
The Travelers Separate Account Six for Variable Annuities
The Travelers Separate Account Seven for Variable Annuities
The Travelers Separate Account Eight for Variable Annuities
The Travelers Fund UL for Variable Life Insurance
The Travelers Fund UL II for Variable Life Insurance
The Travelers Variable Life Insurance Separate Account One
The Travelers Variable Life Insurance Separate Account Two
The Travelers Variable Life Insurance Separate Account Three
The Travelers Variable Life Insurance Separate Account Four

CitiFunds Trust I
CitiFunds Trust II
CitiFunds Trust III
CitiFunds International Trust
CitiFunds Fixed Income Trust
CitiFunds Tax Free Income Trust
CitiFunds Tax Free Reserves
CitiFunds Multi-State Tax Free Trust
CitiFunds Premium Trust
CitiFunds Institutional Trust
CitiVariable Annuity
CitiVariable Annuity Plus
Variable Annuity Portfolios
The Premium Portfolios
Asset Allocation Portfolios
Cash Reserve Portfolio
Tax Free Reserves Portfolio
U.S. Treasury Reserves Portfolio


<PAGE>   86


CONCERT INVESTMENT SERIES:
Emerging Growth Fund
Government Fund
Growth and Income Fund
International Equity Fund
Municipal Fund
CONSULTING GROUP CAPITAL MARKETS FUNDS:
Balanced Investments
Emerging Markets Equity Investments
Government Money Investments
High Yield Investments
Intermediate Fixed Income Investments
International Equity Investments
International Fixed Income Investments
Large Capitalization Growth Investments
Large Capitalization Value Equity Investments
Long-Term Bond Investments
Mortgage Backed Investments
Municipal Bond Investments
Small Capitalization Growth Investments
Small Capitalization Value Equity Investments
GREENWICH STREET SERIES FUND:
Appreciation Portfolio
Diversified Strategic Income Portfolio
Emerging Growth Portfolio
Equity Income Portfolio (Class I)
Equity Income Portfolio (Class II)
Equity Index Portfolio
Growth & Income Portfolio
Intermediate High Grade Portfolio
International Equity Portfolio
Money Market Portfolio
Total Return Portfolio
SMITH BARNEY ADJUSTABLE RATE GOVERNMENT INCOME FUND
SMITH BARNEY AGGRESSIVE GROWTH FUND INC.
SMITH BARNEY APPRECIATION FUND
SMITH BARNEY ARIZONA MUNICIPALS FUND INC.
SMITH BARNEY CALIFORNIA MUNICIPALS FUND INC.
SMITH BARNEY CONCERT ALLOCATION SERIES INC.:
Balanced Portfolio
Conservative Portfolio
Growth Portfolio
High Growth Portfolio
Income Portfolio
Global Portfolio
Select Balanced Portfolio
Select Conservative Portfolio
Select Growth Portfolio
Select High Growth Portfolio
Select Income Portfolio
SMITH BARNEY EQUITY FUNDS:
Concert Social Awareness Fund
Smith Barney Large Cap Blend Fund
SMITH BARNEY FUNDAMENTAL VALUE FUND INC.

<PAGE>   87


SMITH BARNEY FUNDS, INC.:
Large Cap Value Fund
Short-Term High Grade Bond Fund
U.S. Government Securities Fund
SMITH BARNEY INCOME FUNDS:
Smith Barney Convertible Fund
Smith Barney Diversified Strategic Income Fund
Smith Barney Exchange Reserve Fund
Smith Barney High Income Fund
Smith Barney Municipal High Income Fund
Smith Barney Premium Total Return Fund
Smith Barney Total Return Bond Fund
SMITH BARNEY INSTITUTIONAL CASH MANAGEMENT FUND, INC.:
Cash Portfolio
Government Portfolio
Municipal Portfolio
SMITH BARNEY INVESTMENT FUNDS INC.:
Concert Peachtree Growth Fund
Smith Barney Contrarian Fund
Smith Barney Government Securities Fund
Smith Barney Hansberger Global Small Cap Value Fund
Smith Barney Hansberger Global Value Fund
Smith Barney Investment Grade Bond Fund
Smith Barney Special Equities Fund
SMITH BARNEY INVESTMENT TRUST:
Smith Barney Intermediate Maturity California Municipals Fund
Smith Barney Intermediate Maturity New York Municipals Fund
Smith Barney Large Cap Capitalization Growth Fund
Smith Barney S&P 500 Index Fund
Smith Barney Mid Cap Blend Fund
SMITH BARNEY MANAGED GOVERNMENTS FUND INC.
SMITH BARNEY MANAGED MUNICIPALS FUND INC.
SMITH BARNEY MASSACHUSETTS MUNICIPALS FUND
SMITH BARNEY MONEY FUNDS, INC.:
Cash Portfolio
Government Portfolio
Retirement Portfolio
SMITH BARNEY MUNI FUNDS:
California Money Market Portfolio
Florida Portfolio
Georgia Portfolio
Limited Term Portfolio
New York Money Market Portfolio
New York Portfolio
Pennsylvania Portfolio
SMITH BARNEY MUNICIPALS MONEY MARKET FUND, INC.
SMITH BARNEY NATURAL RESOURCES FUND INC.
SMITH BARNEY NEW JERSEY MUNICIPALS FUND INC.
SMITH BARNEY OREGON MUNICIPALS FUND
SMITH BARNEY PRINCIPAL RETURN FUND:
Zeros Plus Emerging Growth Series 2000
Smith Barney Security and Growth Fund
SMITH BARNEY SMALL CAP BLEND FUND, INC.
SMITH BARNEY TELECOMMUNICATIONS TRUST:
Smith Barney Telecommunications Income Fund


<PAGE>   88



SMITH BARNEY VARIABLE ACCOUNT FUNDS:
Income and Growth Portfolio
Reserve Account Portfolio
U.S. Government/High Quality Securities Portfolio
SMITH BARNEY WORLD FUNDS, INC.:
Emerging Markets Portfolio
European Portfolio
Global Government Bond Portfolio
International Balanced Portfolio
International Equity Portfolio
Pacific Portfolio
TRAVELERS SERIES FUND INC.:
AIM Capital Appreciation Portfolio
Alliance Growth Portfolio
GT Global Strategic Income Portfolio
MFS Total Return Portfolio
Putnam Diversified Income Portfolio
Smith Barney High Income Portfolio
Smith Barney Large Cap Value Portfolio
Smith Barney International Equity Portfolio
Smith Barney Large Capitalization Growth Portfolio
Smith Barney Money Market Portfolio
Smith Barney Pacific Basin Portfolio
TBC Managed Income Portfolio
Van Kampen American Capital Enterprise Portfolio
CENTURION FUNDS, INC.:
Centurion Tax-Managed U.S. Equity Fund
Centurion Tax-Managed International Equity Fund
Centurion U.S. Protection Fund
Centurion International Protection Fund
AMERICAN ODYSSEY FUNDS:
Global High-Yield Bond Fund
International Equity Fund
Emerging Opportunities Fund
Core Equity Fund
Long-Term Bond Fund
Intermediate-Term Bond Fund
SALOMON BROTHERS VARIABLE SERIES FUND:
Salomon Brothers Total Return Fund
Salomon Brothers Capital Fund
Salomon Brothers High Yield Bond Fund
Salomon Brothers Variable Investors Fund
Salomon Brothers Strategic Bond Fund

<PAGE>   89

<TABLE>
<CAPTION>
(b)   Name and Principal             Positions and Offices
      Business Address *             With Underwriter
      ------------------             ----------------

      <S>                            <C>    
      Phillip W. Coolidge            Chairman of the Board, Director
                                        Chief Executive Officer, and President
      Linda T. Gibson                Secretary
      Molly S. Mugler                Assistant Secretary
      Linwood C. Downs               Treasurer
      John R. Elder                  Assistant Treasurer
      Susan Jakuboski                Assistant Treasurer
      Donald S. Chadwick             Director
      Robert G. Davidoff             Director
      Leeds Hackett                  Director
      Laurence E. Levine             Director
</TABLE>


      *   Principal business address:  21 Milk Street, Boston, MA 02109

(c)   Not Applicable


Item 30.  Location of Accounts and Records

(1)   The Travelers Insurance Company 
      One Tower Square 
      Hartford, Connecticut 06183


Item 31.  Management Services

Not Applicable.


Item 32.  Undertakings

The undersigned Registrant hereby undertakes:

(a)   To file a post-effective amendment to this registration statement as
      frequently as is necessary to ensure that the audited financial statements
      in the registration statement are never more than sixteen months old for
      so long as payments under the variable annuity contracts may be accepted;

(b)   To include either (1) as part of any application to purchase a contract
      offered by the prospectus, a space that an applicant can check to request
      a Statement of Additional Information, or (2) a post card or similar
      written communication affixed to or included in the prospectus that the
      applicant can remove to send for a Statement of Additional Information;
      and

(c)   To deliver any Statement of Additional Information and any financial
      statements required to be made available under this Form N-4 promptly upon
      written or oral request.

The Company hereby represents:

(a).  That the aggregate charges under the Contracts of the Registrant described
      herein are reasonable in relation to the services rendered, the expenses
      expected to be incurred, and the risks assumed by the Company.


<PAGE>   90

                                   SIGNATURES
   
As required by the Securities Act of 1933 and the Investment Company Act of
1940, the Registrant has duly caused this Pre-Effective Amendment No. 1 to the
Registration Statement to be signed on its behalf in the City of Hartford, State
of Connecticut, on November 3, 1998.
    
           THE TRAVELERS SEPARATE ACCOUNT FIVE FOR VARIABLE ANNUITIES
                                       (Registrant)


                         THE TRAVELERS INSURANCE COMPANY
                                       (Depositor)

                             By: *IAN R. STUART
                                 --------------------------
                                 Ian R. Stuart
                                 Senior Vice President, Chief Financial Officer,
                                 Chief Accounting Office and Controller

   
Pursuant to the requirements of the Securities Act of 1933, this Pre-Effective
Amendment No. 1 to the Registration Statement has been signed below by the
following persons in the capacities indicated on November 3, 1998.
    


<TABLE>
<CAPTION>
<S>                                     <C>
*MICHAEL A. CARPENTER                   Director, Chairman of the Board,
                                        President and Chief Executive Officer
(Michael A. Carpenter)

*JAY S. BENET                           Director and Senior Vice President
- -----------------------
(Jay S. Benet)

*GEORGE C. KOKULIS                      Director and Senior Vice President
- -----------------------
(George C. Kokulis

*ROBERT I. LIPP                         Director
- -----------------------
(Robert I. Lipp)

*IAN R. STUART                          Director, Senior Vice President and
- -----------------------                 Chief Financial Officer,
(Ian R. Stuart)

*KATHERINE M. SULLIVAN                  Director, Senior Vice President and
- -----------------------                 General Counsel
(Katherine M. Sullivan)

*MARC P. WEILL                          Director
- -----------------------
(Marc P. Weill)
</TABLE>



*By: /s/  Ernest J. Wright, Attorney-in-Fact


<PAGE>   91

                                  EXHIBIT INDEX
   
<TABLE>
<CAPTION>
Exhibit
No.          Description                                                                     Method of Filing
- ---          -----------                                                                     ----------------

<S>          <C>                                                                             <C>
   1         Resolution of The Travelers Insurance Company Board
             of Directors authorizing the establishment of the Registrant.
             (Incorporated herein by reference to Exhibit 1 to the Registration
             Statement on Form N-4, filed July 9, 1998.)

   3(a)      Form of Distribution and Principal Underwriting Agreement                       Electronically
             among the Registrant, The Travelers Insurance Company and
             CFBDS, Inc.

   3(b)      Form of Selling Agreement. (Incorporated herein by
             reference to Exhibit 3(b) to the Registration Statement on
             Form N-4, filed July 9, 1998.)

   4         Form of Variable Annuity Contract.                                              Electronically

   5         Application.                                                                    Electronically


   6(a)      Charter of The Travelers Insurance Company, as amended on
             October 19, 1994. (Incorporated herein by reference to
             Exhibit 6(a) to the Registration Statement on Form N-4,
             File No. 333-40193, filed November 13, 1998.)

   6(b)      By-Laws of The Travelers Insurance Company, as amended on
             October 20, 1994. (Incorporated herein by reference to
             Exhibit 6(a) to the Registration Statement on Form N-4,
             File No. 333-40193, filed November 13, 1998.)

   9         Opinion of Counsel as to the legality of securities being
             registered by Registrant.  (Incorporated herein by reference to
             Exhibit 9 to the Registration Statement on Form N-4,
             filed July 9, 1998.)

   10        Consent of KPMG Peat Marwick LLP, Independent                                   Electronically
             Certified Public Accountants.

   13        Schedule for Computation of Total Return                                        Electronically
             Calculations - Standardized and Non-Standardized.

   15        Powers of Attorney authorizing Ernest J. Wright or
             Kathleen A. McGah as signatory for Michael A. Carpenter,
             Jay S. Benet, George C. Kokulis, Robert I. Lipp, Ian R.
             Stuart, Katherine M. Sullivan and Marc P. Weill.
             (Incorporated herein by reference to Exhibit 15 to the Registration
             Statement on Form N-4, filed July 9, 1998.)
</TABLE>
    



<PAGE>   1
                                                                 EXHIBIT 3(a)

                DISTRIBUTION AND PRINCIPAL UNDERWRITING AGREEMENT


      THIS AGREEMENT is made this 8th day of October, 1998, by and among The
Travelers Insurance Company ("The Travelers"), a Connecticut stock insurance
company, with its principal offices in Hartford, Connecticut and each of the
investment companies as set forth in Schedule A attached hereto, as the same may
be amended from time to time, each acting on its own behalf and not on behalf of
any other investment company and each being solely responsible for its
obligations, (each, a "Separate Account" and collectively, the "Separate
Accounts"), each of which is a registered, open-end management investment
company under the Investment Company Act of 1940, as amended (the "1940 Act") of
The Travelers established pursuant to Connecticut State Insurance Law with its
principal offices in Hartford. Connecticut, and CFBDS, Inc. (the "Distributor")
a Massachusetts general business corporation.

      WHEREAS, the Distributor is engaged principally in the business of
distributing variable insurance products and investment company shares, is
registered as a broker-dealer under the Securities Exchange Act of 1934, as
amended (the "1934 Act"), and is a member of the National Association of
Securities Dealers, Inc. ("NASD");

      WHEREAS, The Travelers and each Separate Account have registered variable
annuity contracts (the "Contracts") under the Securities Act of 1933, as amended
(the "1933 Act"), and desire to retain the Distributor to distribute the
Contracts and the Distributor is willing to distribute the Contracts in the
manner and on the terms set forth herein;

      NOW, THEREFORE, in consideration of the premises and the mutual covenants
herein contained, The Travelers, each Separate Account, and the Distributor
hereby agree as follows:

      1. Definitions. The terms "affiliated person," "assignment," "interested
person," and "majority of the outstanding voting securities," when used in this
Agreement, shall have the respective meanings specified under the 1940 Act and
rules thereunder. In addition, the term "representative," when used in this
Agreement shall have the meaning specified under the 1934 Act and rules
thereunder.

      2. Distribution and Principal Underwriting of the Contracts.

         (a) Right to Distribute Contracts. The Travelers and each Separate 
Account hereby grant to the Distributor the exclusive right, subject to the
requirements of the 1933 Act, the 1934 Act, and the 1940 Act, and the terms set
forth herein, to act as agent for distribution of the Contracts and as principal
underwriter during the term of this Agreement. The Distributor shall at all
times function as and be deemed to be an independent contractor and nothing
herein contained shall constitute the Distributor or its agents, officers, or
employees as agents, officers, or employees of The Travelers solely by virtue of
their activities in connection with the sale of the Contracts hereunder. The
Distributor will use its best efforts to distribute the Contracts in accordance
with applicable laws, including the rules of the NASD.

<PAGE>   2

         The Travelers and each Separate Account hereby authorize the
Distributor to enter into written sales or service agreements, on such terms and
conditions as the Distributor may determine are consistent with this Agreement,
with broker-dealers that are registered under the 1934 Act and are members of
the NASD and who agree to distribute the Contracts. Distributor shall not be
obligated or authorized to make retail sales to the public.

         (b) Limits on Authority. This Agreement notwithstanding, The Travelers
retains the ultimate right to control the sale of the Contracts, including the
right to suspend sales in any jurisdiction or jurisdictions, to appoint and
discharge agents of The Travelers, or to refuse to sell a Contract to any
applicant for any reason whatsoever. Furthermore, the Distributor and its
representatives shall not have authority, on behalf of The Travelers: to make,
alter, or discharge any Contract or other variable contract entered into
pursuant to a Contract; to waive any Contract forfeiture provision; to extend
the time of paying any premium, or to receive any monies or premiums. The
Distributor shall not expend, nor contract for the expenditure of, the funds of
The Travelers. The Distributor shall not possess or exercise any authority on
behalf of The Travelers other than that expressly conferred on the Distributor
by this Agreement.

         (c). Registration; Compliance with NASD Conduct Rules. To the extent
necessary to distribute the Contracts, the Distributor shall be duly registered
or otherwise qualified under all applicable securities laws of any state or
other jurisdiction in which the Distributor is licensed or otherwise authorized
to distribute the Contracts, if required. The Distributor shall be responsible
for the training, supervision, and control of its representatives for the
purpose of the NASD Conduct Rules and all applicable federal and state
securities law requirements.

         (d) Representations and Warranties of the Distributor. The Distributor
represents and warrants to The Travelers that the Distributor is, and during the
term of this Agreement shall remain, registered as a broker-dealer under the
1934 Act, admitted as a member with the NASD, and duly registered under
applicable state securities laws, and that the Distributor is and shall remain
during the term of this Agreement in compliance with Section 9(a) of the 1940
Act.

         (e) Marketing Materials; Preparation and Filing. The Travelers shall
design and develop all promotional, sales, and advertising material relating to
the Contracts and any other marketing-related documents for use in the sale of
the Contracts, subject to review and approval by Distributor of such material
and documents in accordance with Section 2210 of the NASD Conduct Rules. The
Distributor shall be responsible for filing such material with the NASD and any
state securities regulatory authorities requiring such filings. The Travelers
shall be responsible for filing all promotional, sales, or advertising material,
as required, with any state insurance regulatory authorities. The Travelers
shall be responsible for preparing the Contract forms and filing them with
applicable state insurance regulatory authorities, and for preparing the
prospectuses and registration statements for the Contracts and filing them with
the Securities and Exchange Commission (the "SEC") and state regulatory
authorities, to the extent required. The parties shall notify each other
expeditiously of any comments provided by the SEC, NASD, or any securities or
insurance regulatory authority on such material, and will cooperate
expeditiously in resolving and implementing any comments, as applicable.


                                       2
<PAGE>   3

      3. Books and Records.

         (a) The Travelers, each Separate Account, and the Distributor shall
cause to be maintained and preserved all books of account and related financial
records as are required by the 1934 Act, the NASD, and any other applicable laws
and regulations. These books and records as to all transactions hereunder shall
be maintained so as to disclose clearly and accurately the nature and details of
the transactions. All the books and records maintained by The Travelers on
behalf of the Distributor, or by any person on behalf of The Travelers, or by
the Distributor directly, in connection with the offer and sale of the
Contracts, shall be maintained and preserved in conformity with the requirements
of Rules 17a-3 and 17a-4 under the 1934 Act or the corresponding provisions of
any future federal securities laws or regulations. All such books and records
shall be maintained and held by The Travelers or by any person on behalf of The
Travelers on behalf of and as agent for the Distributor, whose property they are
and shall remain. Such books and records shall be at all times subject to
inspection by the SEC in accordance with Section 17(a) of the 1934 Act. The
Travelers shall have access to all records maintained in connection with the
Contracts.

         (b) The Travelers, as agent for the Distributor, shall confirm to each
purchaser of a Contract, in accordance with Rule 10b-10 under the 1934 Act,
acceptance of premiums and such other transactions as are required by and in
accordance with Rule 10b-10 and administrative interpretations thereunder.

      4. Reports.

         (a) The Distributor shall cause The Travelers and each Separate Account
to be furnished with such reports as either or both may reasonably request for
the purpose of meeting reporting and record keeping requirements under the 1933
Act, the 1934 Act, and the 1940 Act and rules thereunder, as well as the
insurance laws of the State of Connecticut and any other applicable states or
jurisdictions.

         (b) The Distributor and The Travelers shall submit to all regulatory
and administrative bodies having jurisdiction over the present and future
operations of each Separate Account, any information, reports, or other material
which any such body by reason of this Agreement may request or require pursuant
to applicable laws or regulations.

      5. Maintaining Registration and Approvals. The Travelers shall be
responsible for maintaining the registration of the Contracts with the SEC and
any state securities regulatory authority with which such registration is
required, and for gaining and maintaining approval of the Contract forms where
required under the insurance laws and regulations of each state or other
jurisdiction in which the Contracts are to be offered.

      6. Issuance and Administration of Contracts. The Travelers shall be
responsible for issuing the Contracts and administering the Contracts and each
Separate Account and a Travelers affiliated broker-dealer shall have full
responsibility for the securities activities of all persons employed by The
Travelers, engaged directly or indirectly in the Contract operations, and for
the training, supervision, and control of such persons to the extent of such
activities.


                                       3
<PAGE>   4

      7. Non-Exclusivity. The Travelers and each Separate Account agree that the
services to be provided by the Distributor hereunder are not to be deemed
exclusive and the Distributor is free to act as distributor of other variable
insurance products or investment company shares.

      8. Affiliated Persons. It is understood that any Contract owner or agent
of each Separate Account may be a Contract owner, shareholder, director,
officer, employee, or agent of, or be otherwise interested in, the Distributor,
any affiliated person of the Distributor, any organization in which the
Distributor may have an interest or any organization which may have an interest
in the Distributor; that the Distributor, any such affiliated person, or any
such organization may have an interest in each Separate Account and that the
existence of any such dual interest shall not affect the validity hereof or any
transaction thereunder except as may otherwise be provided in the articles of
organization or by-laws of the Distributor or by specific provisions of
applicable law.

      9. Indemnification.

         (a) By The Travelers. The Travelers on its behalf and on behalf of each
Separate Account shall indemnify and hold harmless the Distributor and any
officer, director, or employee of the Distributor against any and all losses,
claims, damages, or liabilities, joint or several (including any investigative,
legal, and other expenses reasonably incurred in connection with, and any
amounts paid in settlement of, any action, suit, or proceeding or any claim
asserted), to which the Distributor and/or any such person may become subject,
under any statute or regulation, any NASD rule or interpretation, at common law
or otherwise, insofar as such losses, claims, damages, or liabilities:

             (i) arise out of or are based upon any untrue statement or alleged
untrue statement of a material fact or omission or alleged omission to state a
material fact required to be stated therein or necessary to make the statements
therein not misleading, in light of the circumstances in which they were made,
contained in any registration statement or in any prospectus for the Contracts;
provided that The Travelers shall not be liable in any such case to the extent
that such loss, claim, damage, or liability arises out of, or is based upon, an
untrue statement or alleged untrue statement or omission or alleged omission
made in reliance upon information furnished in writing to The Travelers by the
Distributor specifically for use in the preparation of any such registration
statement or any amendment thereof or supplement thereto; or 

             (ii) result from any breach by The Travelers of any provision of
this Agreement.

This indemnification agreement shall be in addition to any liability that The
Travelers may otherwise have; provided, however, that no person shall be
entitled to indemnification pursuant to this provision if such loss, claim,
damage, or liability is due to the willful misfeasance, bad faith, gross
negligence, or reckless disregard of duty by the person seeking indemnification.

         (b) By The Distributor. The Distributor shall indemnify and hold
harmless The Travelers on its behalf and on behalf of each Separate Account and
any officer, director, or 


                                       4
<PAGE>   5

employee of The Travelers or each Separate Account against any and all losses,
claims, damages, or liabilities, joint or several (including any investigative,
legal, and other expenses reasonably incurred in connection with, and any
amounts paid in settlement of, any action, suit, or proceeding or any claim
asserted), to which The Travelers and/or any such person may become subject
under any statute or regulation, any NASD rule or interpretation, at common law
or otherwise, insofar as such losses, claims, damages, or liabilities:

             (i) arise out of or are based upon any untrue statement or alleged
untrue statement of a material fact or omission or alleged omission to state a
material fact required to be stated therein or necessary in order to make the
statements therein not misleading, in light of the circumstances in which they
were made, contained in any registration statement or in any prospectus for the
Contracts; in each case to the extent, but only to the extent, that such untrue
statement or alleged untrue statement or omission or alleged omission was made
in reliance upon information furnished in writing by the Distributor to The
Travelers specifically for use in the preparation of any such registration
statement or any amendment thereof or supplement thereto; or 

             (ii) result from any breach by the Distributor of any provision of
this Agreement; or 

             (iii) result from the Distributor's own misconduct or negligence.


This indemnification agreement shall be in addition to any liability that the
Distributor may otherwise have; provided, however, that no person shall be
entitled to indemnification pursuant to this provision if such loss, claim,
damage, or liability is due to the willful misfeasance, bad faith, gross
negligence, or reckless disregard of duty by the person seeking indemnification.

         (c) General. Promptly after receipt by a party entitled to
indemnification ("indemnified person") under this Paragraph 9 of notice of the
commencement of any action as to which a claim will be made against any person
obligated to provide indemnification under this Paragraph 9 ("indemnifying
party"), such indemnified person shall notify the indemnifying party in writing
of the commencement thereof as soon as practicable thereafter, but failure to so
notify the indemnifying party shall not relieve the indemnifying party from any
liability which it may have to the indemnified person otherwise than on account
of this Paragraph 9. The indemnifying party will be entitled to participate in
the defense of the indemnified person but such participation will not relieve
such indemnifying party of the obligation to reimburse the indemnified person
for reasonable legal and other expenses incurred by such indemnified person in
defending himself or itself.

      The indemnification provisions contained in this Paragraph 9 shall remain 
operative in full force and effect, regardless of any termination of this
Agreement. A successor by law of the Distributor or The Travelers, as the case
may be, shall be entitled to the benefits of the indemnification provisions
contained in this Paragraph 9.

      10. Regulation. This Agreement shall be subject to the provisions of the
1933 Act, the 1934 Act, and the 1940 Act and the rules, regulation, and rulings
thereunder, and of the NASD, as in effect from time to time, including such
exemptions and other relief as the SEC, its 



                                       5
<PAGE>   6

staff, or the NASD may grant, and the terms hereof shall be interpreted and
construed in accordance therewith.

     11. Investigation and Proceedings.

         (a) Each party hereto shall advise the other promptly of (i) any action
of the SEC or any authorities of any state or territory, of which it has
knowledge, affecting registration or qualification of each Separate Account and
the Contracts, or the right to offer the Contracts for sale, and (ii) the
happenings of any event that makes untrue any statement or which requires the
making of any change, in the registration statement or prospectus for the
Contracts in order to make the statements therein not misleading.

         (b) The Travelers, each Separate Account, and the Distributor agree to
cooperate fully in any regulatory inspection, inquiry, investigation, or
proceeding or any judicial proceeding with respect to The Travelers, each
Separate Account, or the Distributor, their affiliates and their representatives
to the extent that such inspection, inquiry, investigation, or proceeding is in
connection with the Contracts distributed under this Agreement.

     12. Duration and Termination of the Agreement.

         (a) This Agreement shall become effective with respect to the Contracts
as of the date first written above, and shall continue in full force and effect
until termination or expiration. This Agreement may be amended at any time by
mutual agreement of the parties hereto. 

         (b) This Agreement shall continue in effect for two years from the date
of its execution, and thereafter from year to year, but only so long as such
continuance is specifically approved at least annually by (i) each Separate
Account's Board of Managers (the "Board"), or by a vote of the majority of the
outstanding voting securities of each Separate Account, and (ii) a vote of a
majority of those members of the Board who are not parties to this Agreement nor
interested persons of such parties, cast in person at a meeting called for the
purpose of voting on such approval.

         (c) This Agreement may be terminated at any time for any reason by
either party upon 60 days' written notice to the other party, without payment of
any penalty. This Agreement may be terminated immediately at the option of
either party to this Agreement upon the other party's material breach of any
provision of this Agreement, unless such breach has been cured within 10 days
after receipt of notice from the non-breaching party of such breach.

         (d) This Agreement shall automatically terminate in the event of its
assignment. (The term "assigned" shall not include any transaction exempted from
Section 15(b)(2) of the 1940 Act).

         (e) Upon termination of this Agreement, all authorizations, rights and
obligations shall cease except the obligation to settle accounts, and the
provisions contained in Paragraph 9 regarding indemnification agreements.



                                       6
<PAGE>   7

      13. Rights, Remedies, etc. are Cumulative. The rights, remedies, and
obligations contained in this Agreement are cumulative and are in addition to
any and all rights, remedies, and obligations, at law or in equity, which the
parties hereto are entitled to under state and federal laws. Failure of either
party to insist upon strict compliance with any of the conditions of this
Agreement shall not be construed as a waiver of any of the conditions, but the
same shall remain in full force and effect. No waiver of any of the provisions
of this Agreement shall be deemed, or shall constitute, a waiver of any other
provisions, whether or not similar, nor shall any waiver constitute a continuing
waiver.

      14. Interpretation. This Agreement constitutes the whole agreement between
the parties hereto with respect to the subject matter hereof, and supersedes all
prior oral or written understandings, agreements, or negotiations between the
parties with respect to such matter. No prior writing by or between the parties
with respect to the subject matter hereof shall be used by either party in
connection with the interpretation of any provisions of this Agreement.

      15. Severability. This is a severable Agreement. In the event that any
provision of this Agreement would require a party to take action prohibited by
applicable federal or state law or prohibit a party from taking action required
by applicable federal or state law, then it is the intention of the parties
hereto that such provision shall be enforced to the extent permitted under the
law, and, in any event, that all other provisions of this Agreement shall remain
valid and duly enforceable as if the provision at issue had never been a part
hereof.

      16. Counterparts. This Agreement may be executed in any number of
counterparts, each of which shall be deemed an original and all of which shall
be deemed one instrument.

      17. Notices. All notices and other communications provided for hereunder
shall be in writing and shall be either hand-delivered, transmitted by
registered or certified United States mail with return receipt requested, or by
overnight mail by a nationally recognized courier. All notices shall be
effective upon delivery and shall be addressed as follows:

          (a)   If to The Travelers -

                The Travelers Insurance Company
                One Tower Square
                Hartford, CT 01683
                Attention:  General Counsel

          (b)   If to the Separate Accounts

                The Travelers Insurance Company, Separate Accounts
                One Tower Square
                Hartford, CT 06183
                Attention:  General Counsel



                                       7
<PAGE>   8



          (c)   If to the Distributor -

                CFBDS, Inc.
                21 Milk Street
                Boston, MA 02109
                Attention:
                          ------------------

or to such other address as The Travelers, the Separate Accounts, or the
Distributor shall designate by written notice to the other parties.

      18. Miscellaneous. Captions in this Agreement are included for convenience
or reference only and in no way define or limit any of the provisions hereof or
otherwise affect their construction or effect.

      IN WITNESS WHEREOF, The Travelers, each Separate Account, and the
Distributor have caused this Agreement to be executed in their names and on
their behalf by and through their duly authorized officer on the day and year
first above written.


                                THE TRAVELERS INSURANCE COMPANY

Attest:                         By:
       ------------------           -----------------------

                                Name:
                                      ---------------------
                                Title:
                                       --------------------

                                EACH OF THE SEPARATE ACCOUNTS
                                LISTED ON SCHEDULE A, ATTACHED HERETO.


Attest:                         By:
       ------------------           -----------------------

                                Name:
                                      ---------------------

                                Title:
                                       --------------------


                                CFBDS, INC.

Attest:                         By:
       ------------------           -----------------------

                                Name:
                                      ---------------------

                                Title:
                                       --------------------



                                       8
<PAGE>   9



                                   SCHEDULE A
                                     TO THE

                DISTRIBUTION AND PRINCIPAL UNDERWRITING AGREEMENT

                            LIST OF SEPARATE ACCOUNTS



1.       The Travelers Fund U for Variable Annuities
2.       The Travelers Fund BD for Variable Annuities
3.       The Travelers Fund BD III for Variable Annuities
4.       The Travelers Fund ABD for Variable Annuities
5.       The Travelers Separate Account QP for Variable Annuities
6.       The Travelers Separate Account PF for Variable Annuities
7.       The Travelers Separate Account TM for Variable Annuities
8.       The Travelers Separate Account Five for Variable Annuities
9.       The Travelers Separate Account Seven for Variable Annuities

10.      The Travelers Fund UL for Variable Life Insurance
11.      The Travelers Variable Life Insurance Separate Account Three
12.      The Travelers Variable Life Insurance Separate Account Four

13.      The Travelers Separate Account MGA

<PAGE>   1

                                                                Exhibit 4


              THE TRAVELERS INSURANCE COMPANY - ONE TOWER SQUARE -
                         HARTFORD, CONNECTICUT - 06183

                                A STOCK COMPANY

          Please read Your Contract and all attached forms carefully.


   IF YOU HAVE ANY QUESTIONS CONCERNING YOUR CONTRACT, PLEASE CONTACT US AT
                                1-800-842-9406.

                                RIGHT TO EXAMINE

   IF ANY CERTIFICATE IS RETURNED TO US AT OUR OFFICE OR TO OUR AGENT TO BE
   CANCELED WITHIN 10 DAYS AFTER ITS DELIVERY TO THE CERTIFICATE OWNER, WE WILL
   REFUND TO THE CERTIFICATE OWNER THE FULL AMOUNT OF ANY PURCHASE PAYMENTS
   PAID, WITHOUT ADJUSTMENT FOR ANY PREMIUM TAX OR CERTIFICATE CHARGES PAID,
   AFTER WE RECEIVE THE REQUEST AT OUR OFFICE. AFTER THE CERTIFICATE IS
   RETURNED, IT WILL BE CONSIDERED AS NEVER IN EFFECT.


   This Contract is issued in consideration of the master application.  It is
   subject to the terms and conditions stated on the attached pages, and in
   Certificates issued pursuant to this Contract.  It is made effective as
   stated in the master application.


                       Executed at Hartford, Connecticut

                                /s/ M.A. CARPENTER

                                   President

  This is a legal Contract between You and Us.  READ YOUR CONTRACT CAREFULLY.

        DEFERRED FLEXIBLE PREMIUM VARIABLE ANNUITY MASTER GROUP CONTRACT



                                 TAX QUALIFIED
ELECTIVE OPTIONS                                           NON-PARTICIPATING



   ANNUITY PAYMENTS AND OTHER VALUES PROVIDED BY RELATED CERTIFICATES, WHEN
   BASED ON THE INVESTMENT EXPERIENCE OF THE SEPARATE ACCOUNT, ARE VARIABLE AND
   ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT.

<PAGE>   2
 


                               TABLE OF CONTENTS


<TABLE>
<S>                                                                       <C>
Right to Examine                                                          Cover Page

Contract Specifications                                                   Page 3

Definitions                                                               Page 5

Owner, Beneficiary and Annuitant Provisions                               Page 7

Purchase Payment, Credits and Valuation Provisions                        Page 8

Death Benefit Provisions                                                  Page 10

Settlement Provisions                                                     Page 11

General Provisions                                                        Page 14

Annuity Tables                                                            Page 16
</TABLE>





       Any Amendments, Riders or Endorsements follow the Annuity Tables.
The provisions of any rider or endorsement supersede any contrary provisions in
                                 the Contract.

                                       2

<PAGE>   3

================================================================================
                            CONTRACT SPECIFICATIONS
================================================================================

<TABLE>
<S>                          <C>
CONTRACT NUMBER
CONTRACT OWNER               [THE TRAVELERS RETIREMENT TRUST FOR VARIABLE ANNUITIES]

CONTRACT DATE
- -------------------------------------------------------------------------------
</TABLE>

MINIMUM PURCHASE PAYMENT:   $20,000.00 PER CERTIFICATE
MINIMUM SUBSEQUENT PURCHASE PAYMENT:  $5,000 PER CERTIFICATE
MAXIMUM PURCHASE PAYMENT:  $1,000,000 PER CERTIFICATE UNLESS WE CONSENT TO A
LARGER AMOUNT.

CERTIFICATE FEE:  NONE

WITHDRAWAL CHARGES DEDUCTED ON SURRENDER BEFORE THE MATURITY DATE OF
THE CERTIFICATE:
Prior to the Maturity Date, the Withdrawal Charge is calculated as a percentage
of the Purchase Payments and associated credits withdrawn on a first in, first
out basis.  For the purpose of determining the withdrawal charges, the order of
withdrawal will be deemed to be taken first from (a) any Purchase Payments and
associated credits to which no withdrawal charge applies; (b) next from any
remaining free withdrawal amount (as described below) after the reduction by
the amount of (a); (c) next from remaining Purchase Payments and associated
credits (on a first-in, first-out basis); and then (d) from Certificate
earnings.

<TABLE>
<CAPTION>
  YEARS SINCE PURCHASE              PERCENT OF PURCHASE PAYMENTS AND ASSOCIATED CREDITS
    PAYMENT WAS MADE                          (NOT PREVIOUSLY SURRENDERED)

           <S>                                         <C>
           1                                              5%
           2                                              4%
           3                                              3%
           4                                              2%
           5                                              1%
           6 AND THEREAFTER                               0%
</TABLE>

Withdrawals prior to or at the Certificate Maturity Date are not subject to
withdrawal charges if:

- -  a life Annuity option payment is begun;
- -  payments for a  period certain of at least 10 years duration are begun;
- -  the Annuitant dies;
- -  subject to Our approval, withdrawals of a specified amount are taken from a
   Certificate to be deposited to other contracts/certificates issued by Us or
   Our affiliate.  Such withdrawals will be processed upon Our receipt of a
   Written Request.  The withdrawn amount will be subject to the provisions of
   that contract/certificate.
- -  Withdrawals are taken under Our managed distribution program then in effect
   if elected by the Certificate Owner by a Written Request.

During the first Certificate Year, the Certificate Owner may take withdrawals
of up to 20% of his/her initial Purchase Payment, without imposition of
withdrawal charges.  Each Certificate Year thereafter, the Certificate Owner
may take withdrawals of up to 20% of his/her Certificate Value as of the end of
the previous Certificate Year, without imposition of withdrawal charges.  This
free withdrawal allowance applies to partial withdrawals of any amount and to
full withdrawals, except those full withdrawals going to annuity contracts
issued by other financial institutions.  We reserve the right to modify the
free withdrawal allowance.

TRANSFER CHARGE:  $0
We reserve the right to assess a Transfer Charge of up to $10.00 Per transfer
on transfers exceeding 12 per year.  We will notify the Certificate Owner In
Writing at his/her last known address at least 31 day's prior to the imposition
of any such Transfer Charge.

TERMINATION:  We reserve the right to terminate any Certificate when the
Certificate Value is less than $2,000 and no Purchase Payments have been made
for two years.

                                       3

<PAGE>   4

================================================================================
                            CONTRACT SPECIFICATIONS
================================================================================

          THE TRAVELERS SEPARATE ACCOUNT [FIVE] FOR VARIABLE ANNUITIES
                                UNDERLYING FUNDS

<TABLE>
<S>                                                  <C>
High Yield Bond Trust                                The Travelers Series Trust
Managed Assets Trust                                   Equity Income Portfolio
Money Market Portfolio                                 Federated Stock Portfolio
American Odyssey Funds, Inc.                           Large Cap Portfolio
  American Odyssey Core Equity Fund                    Lazard International Stock Portfolio
  American Odyssey Emerging Opportunities Fund         MFS Mid Cap Growth Portfolio
  American Odyssey Global High-Yield Bond Fund         MFS Research Portfolio
  American Odyssey Intermediate-Term Bond Fund         Social Awareness Stock Portfolio
  American Odyssey International Equity Fund           Strategic Stock Portfolio
  American Odyssey Long-Term Bond Fund                 Disciplined Mid Cap Stock Portfolio
Delaware Group Premium Fund, Inc.                      Disciplined Small Cap Stock Portfolio
  REIT Series                                          Travelers Quality Bond Portfolio
  Small Cap Value Series                               U.S. Government Securities Portfolio
Dreyfus Variable Investment Fund                       Utilities Portfolio
  Capital Appreciation Portfolio                     Travelers Series Fund, Inc.
  Small Cap Portfolio                                  Alliance Growth Portfolio
OCC Accumulation Trust                                 MFS Total Return Portfolio
  Equity Portfolio                                     Putnam Diversified Income Portfolio
Salomon Brothers Variable Series Funds, Inc.           Smith Barney High Income Portfolio
  Salomon Brothers Variable Capital Fund               Smith Barney International Equity Portfolio
  Salomon Brothers Variable Investors Fund             Smith Barney Large Capitalization Growth Portfolio
  Salomon Brothers Variable Total Return Fund        Warburg Pincus Trust
Strong Variable Insurance Funds, Inc.                  Emerging Markets Portfolio
  Strong Schafer Value Fund II                       Greenwich Street Series Fund
The Montgomery Funds III                               Equity Index Portfolio Class II
  Montgomery Variable Series: Growth Fund
</TABLE>


FUNDING OPTION DEDUCTIONS
The annual mortality and expense risk deduction is .80% for all funds
listed above and is deducted on a pro rata basis from all Underlying
Funds in the Certificate Owner's Accounts.  This amounts to a daily
deduction of .00002192 per fund.

ASSUMED NET INVESTMENT FACTOR
Upon each partial or full annuitization, the Certificate Owner may
select one of the Assumed Net Investment Factors shown below:

A.  The Assumed Net Investment Factor is 1.000081 for all Underlying Funds.
    When expressed on an annual basis this equals 3%.

B.  The Assumed Net Investment Factor is 1.000134 for all Underlying Funds.
    When expressed on an annual basis this equals 5%.

                                       4








<PAGE>   5
================================================================================
                                  DEFINITIONS
================================================================================

ACCUMULATION UNIT - an accounting unit of measure used to calculate the value
of a Certificate before Annuity payments begin.

AGE - age last birthday.

ANNUITANT - the person on whose life the Maturity Date and Annuity payments
depend.

ANNUITY UNIT - an accounting unit of measure used to calculate the amount of
Annuity Payments.

CERTIFICATE - the individual Certificate provided to the Certificate Owner,
which describes the benefits, rights and obligations of the Certificate Owner
and Us.

CERTIFICATE DATE - the date on which a Certificate is issued.

CERTIFICATE OWNER - a person who participates under this Contract and is given
a Certificate.

CERTIFICATE YEAR(S) - the twelve month period(s) beginning with the Certificate
Date.

CODE - the Internal Revenue Code of 1986, as amended, and all related laws and
regulations which are in effect during the term of this Contract and related
Certificates.

CONTRACT - a Contract which describes the benefits, rights and obligations of
the Owner and Us.

CONTRACT DATE - the date shown on the Contract Specifications page on which the
Contract is issued.

CONTRACT OWNER - the party indicated in the Contract Specifications or any
party subsequently named.

CONTRACT YEARS - twelve month periods beginning with the Contract Date.

DEATH REPORT DATE - the Valuation Date coincident with or next following the
day on which We have received 1) Due Proof of Death and 2) a Written Request
for an election of a single sum payment or an alternate Settlement Option as
described in the Contract.

DUE PROOF OF DEATH - (i) a copy of a certified death certificate; (ii) a copy
of a certified decree of a court of competent jurisdiction as to the finding of
death; (iii) a written statement by a medical doctor who attended the deceased;
or (iv) any other proof satisfactory to Us.

FUNDING OPTIONS - subsections of the Separate Account which invest in the
Underlying Funds for this Contract.

MATURITY DATE - the date on which the Annuity payments are to begin.

OUR OFFICE - the Home Office of The Travelers Insurance Company or any other
office which We may designate for the purpose of administering this Contract.

PREMIUM TAX - the amount of tax, if any, charged by a state or municipality. We
will deduct any applicable Premium Tax from the Certificate Value either upon
surrender, annuitization, death, or at the time a Purchase Payment is made, but
no earlier than when We have the liability under state law.

PURCHASE PAYMENTS - payments of premium a Certificate Owner makes to Us under a
Certificate.

QUALIFIED CONTRACT - a Contract used in a retirement plan or program whereby
the Purchase Payments and any gains are intended to qualify under Sections 401,
403, 408, 414(d) or 457 of the Code.

RECORDED - a Written Request is Recorded when the information is noted in Our
file for this Contract and related Certificates.

                                       5

<PAGE>   6
 
SEPARATE ACCOUNT- the Separate Account indicated in the Contract Specifications
which We established for this class of Contracts, Certificates and certain
other Contracts.

TERMINATION - discontinuance of this Contract and/or related Certificates by Us
or by Your Written Request.

UNDERLYING FUND - an open-end diversified management investment company or
portfolio thereof, indicated in the Contract Specifications, which serves as a
variable investment option under the Separate Account.

VALUATION DATE -a date on which a Funding Option is valued, which is every day
the New York Stock Exchange is open for trading (except for when trading is
restricted due to an emergency as defined by the Securities and Exchange
Commission.)

VALUATION PERIOD - the period beginning at the close of business of the New
York Stock Exchange on each Valuation Date and ending at the close of business
for the next succeeding Valuation Date.  Also referred to as the period between
successive valuations.

WE, US, OUR - The Travelers Insurance Company.

WRITTEN REQUEST - written information including requests for
Contract/Certificate changes sent to Us in a form and content satisfactory to
Us and received at Our Office.

YOU, YOUR - The Contract Owner.  The Contract Owner is the person or entity
named as such on the Contract Specifications page.

                                       6



<PAGE>   7

================================================================================
                  OWNER, BENEFICIARY AND ANNUITANT PROVISIONS
================================================================================

OWNER
This Contract belongs to the Contract Owner shown in the Contract
Specifications or to any person subsequently named in a Written Request.  The
Certificate belongs to the Certificate Owner. A Certificate Owner has sole
power during the Annuitant's lifetime to exercise any rights and to receive all
benefits given in the Certificate.

The Certificate Owner will be the recipient of all payments while the Annuitant
is alive unless he/she directs them to an alternate recipient under a Recorded
payment direction.  An alternate recipient under a payment direction does not
become the Certificate Owner.  A payment direction is revocable by the
Certificate Owner at any time by Written Request giving 30 days' advance
notice.

CREDITOR CLAIMS
To the extent permitted by law, no right or benefit of the Certificate Owner or
Beneficiary under any Certificate shall be subject to the claims of creditors
or any legal process.

BENEFICIARY
The Beneficiary is the party named in a Written Request.  The Beneficiary has
the right to receive any remaining Certificate benefits upon the death of the
Annuitant, or under certain circumstances, upon the death of the Certificate
Owner.  If there is more than one Beneficiary surviving the Annuitant, the
Beneficiaries will share equally in benefits unless different shares are
Recorded with Us by Written Request prior to the death of the Annuitant.

Unless an irrevocable Beneficiary has been named, the Certificate Owner has the
right to change any Beneficiary by Written Request during the lifetime of the
Annuitant and while the Certificate continues.

Once a change in Beneficiary is Recorded by Us, it will take effect as of the
date of the Written Request, subject to any payments made or other actions
taken by Us before the recording.

If no Beneficiary has been named by the Certificate Owner, or if no Beneficiary
is living when the Annuitant dies, the interest of any Beneficiary will pass
to:
     a)  the Certificate Owner or to the Certificate Owner's estate, or
     b)  to the trustee or plan administrator of a trusteed Tax Qualified plan
           certificate for further distribution in accord with the plan.

ANNUITANT
The Annuitant is the individual shown in the Certificate Specifications on
whose life Annuity payments are based.  The Annuitant may not be changed after
the Certificate Date.

                                       7



<PAGE>   8

================================================================================
               PURCHASE PAYMENT, CREDITS AND VALUATION PROVISIONS
================================================================================

PURCHASE PAYMENT

PURCHASE PAYMENT
A Purchase Payment is any payment the Certificate Owner makes for a Certificate
and the benefits it provides.  An initial lump sum Purchase Payment must be
made to the Certificate and is due and payable before the Certificate becomes
effective.  Each Purchase Payment is payable as shown in the Contract
Specifications to Us at Our Office or to one of Our authorized representatives.
No Purchase Payment after the initial Purchase Payment is required to continue
a Certificate in force, except as provided in the Termination provision.

Net Purchase Payments are that part of the Certificate Owner's Purchase
Payments applied to the Certificate Value.  A net Purchase Payment is equal to
the Purchase Payment less any applicable Premium Tax.

ALLOCATION OF PURCHASE PAYMENT
We will apply any net Purchase Payment to provide Accumulation Units in
selected Funding Options.  The Purchase Payment will be applied within two
business days following its receipt at Our Office.  The net Purchase Payment
will be allocated to the Funding Options in the proportion specified by the
Certificate Owner for a Certificate.  The available Underlying Funds to which
Funding Option assets are allocated are shown in the Contract Specifications;
Underlying Funds may be subsequently added or deleted.

CONSERVATION CREDITS
We may apply conservation credits under this Contract and related Certificates
to funds received as Purchase Payments where such funds originated from other
contracts/certificates issued by Us or Our affiliates.  Any such credits will
be computed as decided by Us.

FUNDING OPTION VALUATION

NUMBER OF ACCUMULATION UNITS
The number of Accumulation Units to be credited to each Funding Option once a
Purchase Payment has been received by Us will be determined by dividing the net
Purchase Payment applied to that Funding Option by the then Accumulation Unit
Value of that Funding Option.

ACCUMULATION UNIT VALUE
We determine the value of an Accumulation Unit in each Funding Option on each
Valuation Date by multiplying the value on the preceding Valuation Date by the
net investment factor for that Funding Option for the Valuation Period just
ended.

The value of an Accumulation Unit on any date other than a Valuation Date will
be equal to its value as of the next Valuation Date.

NET INVESTMENT FACTOR
The net investment factor is a factor applied to measure the investment
performance of a Funding Option from one Valuation Period to the next.  The net
investment factor for a Funding Option for any Valuation Period is equal to the
sum of 1.0000 plus the net investment rate.

Each Funding Option's net investment rate for a Valuation Period is equal to
the gross investment rate for that Funding Option, less the applicable Funding
Option deduction for the Valuation Period.

All Funding Option deductions are shown in the Contract Specifications and the
applicable attached riders.

The gross investment rate of a Funding Option for a Valuation Period is equal
to (1) divided by (2):
   where (1) is:
    a)  investment income, plus
    b)  capital gains and losses, whether realized or unrealized, less
    c)  a deduction for any tax levied against the Separate Account and its
        Underlying Funds;

                                       8



<PAGE>   9

   and (2) is the value of the net assets at the beginning of the Valuation
   Period.

The gross investment rate is based on the net asset value of the Underlying
Fund and may be either positive or negative.  Investment income includes any
distribution whose ex-dividend date occurs during the Valuation Period.

TRANSFER AMONG FUNDING OPTIONS

A Certificate Owner  may transfer all or any part of the Certificate Value from
one Funding Option to any other Funding Option at any time up to [30] days
before the due date of the first Annuity payment.  We reserve the right to
limit the number of transfers from one Funding Option to any other Funding
Option.  We will always allow at least one transfer in any six month period.

Transfers among Funding Options will result in the addition or deletion of
Accumulation Units having a total value equal to the dollar amount being
transferred to or from a particular Funding Option.  The number of Accumulation
Units will be determined by using the Accumulation Unit Value of the Funding
Options involved as of the next Valuation Date after We receive notification of
request for transfer.  Transfers will be subject to any applicable Transfer
Charge stated in the Contract Specifications.

CERTIFICATE VALUES PRIOR TO MATURITY DATE

CERTIFICATE VALUE
Before the Maturity Date, the Certificate Value on any date equals the sum of
the accumulated values in the Funding Options.  The accumulated value in a
Funding Option equals the number of outstanding Accumulation Units credited to
that Funding Option, multiplied by the then current Accumulation Unit Value for
that Funding Option.

CERTIFICATE FEE
A Certificate Fee in the amount and for the period shown in the Contract
Specifications will be deducted from the Certificate Value to reimburse Us for
administrative expenses relating to the Contract and Certificates.  The
Certificate Fee will be deducted by surrendering on a pro rata basis
Accumulation Units from all Funding Options in which the Certificate Owner has
an interest.

We will deduct the charge on a pro rata basis if the Certificate has been in
effect for less than a full period on the date a Certificate Fee is deducted.
The Certificate Fee will also be pro rated upon full surrender or Termination
of the Certificate.

CERTIFICATE CASH SURRENDER VALUE
Before the Maturity Date, the Certificate Cash Surrender Value is equal to the
Certificate Value less any applicable charges, fees or taxes deducted upon
surrender.

CASH SURRENDER
A Certificate Owner may elect by Written Request to receive the Cash Surrender
Value at or before the due date of the first Annuity payment and without the
consent of any Beneficiary unless irrevocably named.  In the case of a full
surrender,  the Certificate will be canceled.  A partial surrender will reduce
the Certificate Value.  If a Certificate Owner has a balance in more than one
Funding Option, his/her Certificate Value will be reduced from all of his/her
Funding Options on a pro rata basis, unless the Certificate Owner requests
otherwise.

The Certificate Cash Surrender Value will be determined as of the next
Valuation Date following receipt of the Certificate Owner's Written Request. We
may delay payment of the Certificate Cash Surrender Value of the Funding
Options for a period of not more than five business days after We receive the
Certificate Owner's Written Request.

CERTIFICATE CONTINUATION

Except as provided in the Termination provision, a Certificate does not require
continuing Purchase Payments and will automatically continue as a paid-up
Certificate during the lifetime of the Annuitant until the Maturity Date, or
until it is surrendered.

                                       9



<PAGE>   10

================================================================================
                            DEATH BENEFIT PROVISIONS
================================================================================

DEATH OF ANNUITANT
A death benefit is payable to the Beneficiary upon the death of the Annuitant
before the Maturity Date.  A death benefit is also payable under those
Settlement Options which provide for death benefits.  We will pay the
Beneficiary the death benefit in a single sum as described below upon receiving
Due Proof of Death.  A Beneficiary may request that a death benefit payable
under  a Certificate be applied to a Settlement Option subject to the
provisions of a Certificate and the current tax laws.

DEATH OF CERTIFICATE OWNER WITH ANNUITANT SURVIVING
If the Certificate Owner is not the Annuitant, and the Certificate Owner dies
before the Maturity Date with the Annuitant surviving, We will recalculate the
value of the death benefit under the provisions of Death Proceeds Prior To The
Maturity Date below; by replacing all references to "Annuitant" with "
Certificate Owner."  The value of the death benefit, as recalculated, will be
paid in a single lump sum or by other election to the party taking proceeds
under the current tax laws.  The party must take distributions no later than
under the applicable elections of that provision.

DEATH PROCEEDS PRIOR TO THE MATURITY DATE
If the Annuitant is Age 80 or younger on the Certificate Date and dies before
the Maturity Date, We will pay the Beneficiary the greater of a) or b) below,
less any applicable Premium Tax as of the Death Report Date:

     a)  the Certificate Value on the Death Report Date; or

     b)  the total Purchase Payments less the total amount of any partial
         surrenders (including associated charges, if any) made under the
         Certificate.

We must be notified of the Annuitant's death no later than six months from the
Annuitant's date of death in order for Us to make payment of death proceeds as
described above.  If notification is received more than six months after the
Annuitant's death, We will make payment of death proceeds equal to the
Certificate Value on the Death Report Date less any applicable Premium Tax.

If the Annuitant is older than Age 80 on the Certificate Date and dies before
the Maturity Date, We will pay the Beneficiary the Certificate Value on the
Death Report Date less any applicable Premium Tax.

DEATH PROCEEDS AFTER THE MATURITY DATE
If the Annuitant dies on or after the Maturity Date, We will pay the
Beneficiary a death benefit consisting of any benefit remaining under the
Annuity option then in effect.

INTEREST ON DEATH PROCEEDS
Any interest on death proceeds will be paid in accordance with rules in effect
in the state of issue of the Certificate Owner at the time of death.

                                       10



<PAGE>   11

================================================================================
                             SETTLEMENT PROVISIONS
================================================================================

MATURITY DATE

The Maturity Date is shown in the Certificate Owner's Certificate
Specifications.  This is the date on which We will begin paying to the
Certificate Owner the first of a series of Annuity payments in accordance with
an Annuity Option elected by the Certificate Owner.  Annuity payments will
begin under a Certificate on the Maturity Date unless the Certificate has been
fully surrendered or the proceeds have been paid to the Beneficiary prior to
that date.  We may require proof that the Annuitant is alive before Annuity
payments are made.  If no Maturity Date is specified, the automatic Maturity
Date will be the later of when the Annuitant reaches Age 90 or ten years after
the Certificate Date.

Additionally, to the extent permitted by law, at least 30 days before the
original Maturity Date, the Certificate Owner may change the Maturity Date by
Written Request to any time prior to the Annuitant's 90th birthday, or to a
later date with Our consent.

ELECTION OF SETTLEMENT OPTIONS

On the Maturity Date, or other agreed upon date, We will pay the amount payable
under a Certificate to the Certificate Owner in one lump sum or in accordance
with an Annuity Option elected.  While the Annuitant is alive, the Certificate
Owner may change his/her Settlement Option election by Written Request, but
only before the Maturity Date.  We reserve the right to require satisfactory
proof of the Age of any person on whose life Annuity payments are based before
making the first payment under any Annuity Option.

During the Annuitant's lifetime, if no election has been made on the Maturity
Date, We will pay to the Certificate Owner the first of a series of periodic
Annuity payments based on the life of the Annuitant, in accordance with Annuity
Option 2, with 120 monthly payments assured.

Once Annuity payments have commenced, no election changes are allowed.

MINIMUM AMOUNTS

The minimum amount that can be placed under a Settlement Option is $2,000
unless We consent to a lesser amount.  If any periodic payments due are less
than $100, We reserve the right to change the frequency to an interval
resulting in a payment of at least $100.00.

ALLOCATION OF ANNUITY

At the time an election of one of the Annuity Options is made, the person
electing the option may elect to have all or part of the Certificate Value
applied to provide a Variable Annuity, a Fixed Annuity or a combination of
both.

If no election is made to the contrary, the value of a Funding Option will be
applied when Annuity payments start to provide an Annuity which varies with the
investment experience of that same Funding Option.

A Certificate Owner may elect to transfer Certificate Value from one Funding
Option to another, as described in the provision Transfer Between Funding
Options, in order to reallocate the basis on which Annuity payments will be
determined.  After Annuity payments start, the Certificate Owner may, with Our
consent, change the allocation of his/her values in each Funding Option.

Transfers among Funding Options will result in the addition or deletion of
Annuity Units having a total value equal to the dollar amount being transferred
to or from a particular Funding Option.  The number of Annuity Units will be
determined by using the Annuity Unit Value of the Funding Options involved as
of the next Valuation Day after We receive notification of request for
transfer.  Transfers will be subject to any applicable Transfer Charge stated
in the Contract Specifications.

VARIABLE ANNUITY

AMOUNT OF FIRST PAYMENT
The Certificate Owner may select one of the Assumed Net Investment Factors
shown on the Contract Specifications.  The Life Annuity Tables for the Assumed
Net Investment Factor selected are used to determine the first monthly Annuity
payment.  They show the dollar amount of the first monthly Annuity payment
which can be purchased with each $1,000 applied.  The amount

                                       11



<PAGE>   12

applied to a Variable Annuity will be the Certificate Value as of 14 days
before the date Annuity payments start. If it would produce a larger first
Annuity payment, the Variable Annuity payment will be determined using the
Variable Life Annuity tables in effect on the Maturity Date.

ANNUITY UNIT VALUE
On any Valuation Date, the Annuity Unit Value for a Funding Option equals the
Funding Option Annuity Unit Value on the preceding Valuation Date, multiplied
by the net investment factor for that Funding Option for the Valuation Period
just ended, divided by the Assumed Net Investment Factor chosen by the
Certificate Owner.  The Assumed Net Investment Factors are shown in the
Contract Specifications.  The Value of an Annuity Unit on any date other than a
Valuation Date will be equal to its value as of the next Valuation Date.

NUMBER OF ANNUITY UNITS
We determine the number of Annuity Units credited to a Certificate in each
Funding Option by dividing the first monthly Annuity payment attributable to
that Funding Option by the Funding Option's Unit Value as of [14] days before
the due date of the first Annuity payment.

AMOUNT OF SECOND AND SUBSEQUENT PAYMENTS
The dollar amount of the second and subsequent payments may change from month
to month.  The amount of the Annuity payment for each Funding Option is found
by multiplying the number of Annuity Units credited to the Certificate for that
Funding Option by the Annuity Unit Value for that Funding Option.  The total
amount of each Annuity Payment will be equal to the sum of the payments in each
Funding Option.

FIXED ANNUITY

A Fixed Annuity is an Annuity with payments which do not vary with the
investment performance of an underlying fund.  The Fixed Life Annuity Tables
are used to determine level monthly Annuity payments. They show the dollar
amount of level monthly Annuity payments which can be purchased with each
$1,000 applied.  The amount applied to a Fixed Annuity will be the Certificate
Value applied to the Fixed Annuity as of the day Fixed Annuity payments begin.
If it would produce a larger payment, the Fixed Annuity payment will be
determined using the Fixed Life Annuity Tables in effect on the Maturity Date.

ANNUITIZATION CREDIT

Upon each election of one of the Annuity Options described below,
an annuitization credit will be applied to the Certificate Value used
to purchase the Fixed or Variable Annuity.  The credit will be
calculated as a percentage of the Certificate Value applied to the
Fixed or Variable Annuity.

The credit will be :
         For Certificate Years 2-5          0.5%
         For Certificate Years 6-10         1.0%
         For Certificate Years 11+          2.0%
There is no annuitization credit during Certificate Year 1.

ANNUITY OPTIONS

Subject to conditions stated in Elections Of Settlement Options and Minimum
Amounts, all or any part of the Certificate Value may be applied to one or more
of the Annuity Options below.  We may offer additional options.

Options 1 - 5 below may be applied to either a Fixed or Variable Annuity.  If a
Fixed Annuity is elected, the periodic Annuity payments may be either level
(except after the primary payee's death in Option 4) or increasing.  If
increasing payments are elected, the payments will increase on each Certificate
Date anniversary by the percentage the Certificate Owner chooses.  The
Certificate Owner may choose a whole number percentage from 1 to 4%.  If
payments are received more frequently than on an annual basis, payments will
remain level between Certificate Date anniversaries.  If increasing payments
are elected, the initial payment will be less than the corresponding level
payment for the same Annuity Option.  The Fixed Life Annuity tables are used to
determine the level monthly annuity payments.  The equivalent values for
initial increasing payments will be less than the values shown for level
payments.  The difference will be calculated in an actuarially equivalent
manner.

                                       12



<PAGE>   13
 
OPTION 1.  LIFE ANNUITY - NO REFUND
We will make periodic Annuity payments during the lifetime of the person on
whose life the payments are based, ending with the last payment preceding
death.

OPTION 2.  LIFE ANNUITY WITH PERIOD CERTAIN
We will make periodic Annuity payments during the lifetime of the person on
whose life the payments are based.  If at the death of that person, payments
have been made for less than 120, 180, or 240 months, as elected, We will
continue to make payments to the designated Beneficiary during the remainder of
the period.

OPTION 3.  JOINT AND LAST SURVIVOR LIFE ANNUITY
We will make periodic Annuity payments during the Joint lifetime of two persons
on whose lives payments are based and during the lifetime of the survivor.  No
more payments will be made after the death of the survivor.

OPTION 4.  JOINT AND LAST SURVIVOR LIFE ANNUITY - ANNUITY REDUCED ON
DEATH OF PRIMARY PAYEE
We will make periodic Annuity payments during the Joint lifetime of two persons
on whose lives payments are based. One of the two persons will be designated as
the primary payee.  The other will be designated as the secondary payee.  On
the death of the secondary payee, if survived by the primary payee, We will
continue to make periodic Annuity payments to the primary payee in the same
amount that would have been payable during the Joint lifetime of the two
persons.  On the death of the primary payee, if survived by the secondary
payee, We will continue to make periodic Annuity payments to the secondary
payee in an amount equal to 50% of the payments which would have been made
during the lifetime of the primary payee. No further payments will be made
following the death of the survivor.

OPTION 5.  PERIOD CERTAIN ANNUITY
We will make periodic payments for the period selected.

OPTION 6 .  OTHER ANNUITY OPTIONS
We will make any other arrangements for Annuity payments as may be mutually
agreed upon by Us and a Certificate Owner.

                                       13



<PAGE>   14
 
================================================================================
                               GENERAL PROVISIONS
================================================================================

CONTRACT
The entire Contract between the Contract Owner and Us consists of the
Contract, together with the application, if a copy of such application is
attached to the Contract when issued and any Amendments, Riders or
Endorsements.

CERTIFICATE
Each Certificate Owner will receive an individual Certificate stating in
substance the benefits he/she is entitled to under the Certificate and
Contract.  The Certificate does not constitute a part of the Contract.  The
entire Certificate consists of the Certificate, together with the data
collection form, if a copy of such data collection form is attached to the
Certificate when issued and any Amendments, Riders or Endorsements.

CONTRACT/CERTIFICATE CHANGES
The only way this Contract and related Certificates may be changed is by a
written Amendment, Rider or Endorsement signed by one of Our officers.

INCONTESTABILITY
We will not contest a Contract/Certificate from its Contract/Certificate Date.

MISSTATEMENT
If an Annuitant's date of birth was misstated, all benefits of the Certificate
are what the Purchase Payment(s) paid would have purchased at the correct Age.
Proof of the Annuitant's Age may be filed at any time at Our Office.

SUBSTITUTION OF UNDERLYING FUNDS
If it is not possible to continue to offer an Underlying Fund, or in Our
judgment becomes inappropriate for the purposes of  a Certificate, We may
substitute another Underlying Fund without a Certificate Owner's consent.
Substitution may be made with respect to both existing investments and
investment of future Purchase Payments and associated credits.  However, no
such substitution will be made without notice to the Certificate Owner and
without prior approval of the Securities and Exchange Commission, to the extent
required by law.

TERMINATION
We reserve the right to terminate any Certificate on any Valuation Date if the
Certificate Value is less than the Termination Amount stated on the Certificate
Specifications page.  Termination will not occur until 31 days after We have
mailed notice of Termination to the Certificate Owner at his/her last known
address.  If a Certificate is terminated, We will pay the Certificate Owner the
Certificate Cash Surrender Value, if any, no later than five business days
following Our mailing the written notice of Termination to the Certificate
Owner at the most current address available on Our records.  Termination of a
Certificate will not affect payments We are making under any Annuity options
which began before the Termination date.

REQUIRED REPORTS
We will furnish a report to the Certificate Owner as often as required by law,
but at least once in each Certificate Year before the due date of the first
Annuity payment.  The report will show the number of Accumulation Units
credited to the Certificate  in each Funding Option and the corresponding
Accumulation Unit Value as of the date of the report.

VOTING RIGHTS
If required by federal law, the Certificate Owner may have the right to vote at
the meetings of the shareholders of the Underlying Funds. If the Certificate
Owner has voting rights, We will send a notice to the Certificate Owner telling
him/her the time and place of a meeting.  The notice will also explain matters
to be voted upon and how many votes the Certificate Owner may exercise.

MORTALITY AND EXPENSES
Our actual mortality and expense experience will not affect the amount of any
Annuity payments or any other values under this Contract.

NON-PARTICIPATING
This Contract and related Certificates do not share in Our surplus earnings, so
the Contract and Certificate Owners will receive no dividends under them.

                                       14



<PAGE>   15

TAXES BASED UPON PREMIUM OR VALUE
If there is a law or change in law assessing taxes against Us based upon the
premium or value of the Certificates, We reserve the right to charge the
Certificate Owner proportionately for that tax.  This would include, but is not
limited to, a tax based upon Our realized net capital gains in the Funding
Options, on which We are not currently taxed.

CONFORMITY WITH STATE AND FEDERAL LAWS
This Contract is governed by the law of the state in which it is delivered.  A
Certificate is governed by the law of the state in which it is delivered.  Any
paid-up Annuity, Certificate Cash Surrender Value or death benefits that are
available under related Certificates are not less than the minimum benefits
required by the statutes of the state in which the Certificates are delivered.

Upon receiving appropriate state approval, We may at any time make any changes,
including retroactive changes, in this Contract and related Certificates to the
extent that the change is required to meet the requirements of any law or
regulation issued by a governmental agency to which We, You, or the Certificate
Owner are subject.

EMERGENCY PROCEDURE
We reserve the right to suspend or postpone the date of any payment of any
benefit or values for any Valuation Period (1) when the New York Stock Exchange
is closed; (2) when trading on the Exchange is restricted; (3) when an
emergency exists as determined by the Securities and Exchange Commission so
that disposal of the securities held in the Funding Options is not reasonably
practicable or it is not reasonably practicable to determine the value of the
Funding Option's net assets, or (4) during any other period when the Securities
and Exchange Commission, by order, so permits for the protection of security
holders.  Any provision of  related Certificates which specifies a Valuation
Date will be superseded by this Emergency Procedure.

RELATION OF THIS CONTRACT TO THE SEPARATE ACCOUNT AND FUNDING OPTIONS
We will have exclusive and absolute ownership and control of the assets of Our
Separate Account and the Funding Options.  That portion of the assets of a
Separate Account or Funding Option equal to the reserves and other Contract
liabilities with respect to such Separate Account or Funding Option shall not
be chargeable with liabilities arising out of any other business We conduct.
Our determination of the value of an Accumulation Unit and an Annuity Unit by
the method described in this Contract will be conclusive.

REDUCTION OR ELIMINATION OF CERTIFICATE CHARGES
All charges and fees under the Certificates may be reduced or eliminated when
certain sales or administration of the Certificates result in savings or
reduction of expenses, and/or risks.

                                       15



<PAGE>   16

                          FIXED LIFE ANNUITY TABLES &
        VARIABLE LIFE ANNUITY TABLES AT 3% ASSUMED NET INVESTMENT FACTOR
                                   (A.N.I.F.)
                 GUARANTEED AMOUNT OF MONTHLY ANNUITY PAYMENTS
                 PURCHASED WITH EACH $1,000 OF PROCEEDS APPLIED

                    OPTIONS 1, AND 2- SINGLE LIFE ANNUITIES

<TABLE>
<CAPTION>
          UNISEX       NUMBER OF MONTHLY PAYMENTS GUARANTEED
         ADJUSTED     NONE       120        180        240
           AGE
            <S>       <C>        <C>        <C>        <C>
            45        3.44       3.43       3.42       3.40
            46        3.48       3.47       3.46       3.44
            47        3.53       3.52       3.50       3.48
            48        3.58       3.57       3.55       3.53
            49        3.63       3.61       3.60       3.57
            50        3.68       3.67       3.65       3.62
            51        3.74       3.72       3.70       3.67
            52        3.80       3.78       3.75       3.72
            53        3.86       3.84       3.81       3.77
            54        3.93       3.90       3.87       3.83
            55        4.00       3.97       3.94       3.88
            56        4.07       4.04       4.00       3.94
            57        4.15       4.12       4.07       4.01
            58        4.24       4.20       4.15       4.07
            59        4.33       4.28       4.22       4.14
            60        4.42       4.37       4.30       4.20
            61        4.52       4.47       4.39       4.28
            62        4.63       4.57       4.48       4.35
            63        4.75       4.67       4.57       4.42
            64        4.87       4.78       4.67       4.49
            65        5.01       4.90       4.77       4.57
            66        5.15       5.03       4.87       4.65
            67        5.30       5.16       4.98       4.72
            68        5.46       5.30       5.09       4.80
            69        5.64       5.45       5.20       4.87
            70        5.83       5.60       5.31       4.94
            71        6.04       5.76       5.43       5.01
            72        6.26       5.93       5.55       5.07
            73        6.50       6.11       5.66       5.13
            74        6.75       6.29       5.78       5.19
            75        7.03       6.49       5.89       5.24
</TABLE>

Dollar amounts of the monthly Annuity payments for the first and second options
are based on the Annuity 2000 Table (blended 80%/20% female/male).  The above
tables assume a year 2000 issue, and project mortality improvements into the
future using Projection Scale G.  These tables assume a net investment rate of
3% per Annum.

Calendar Year in which 1st payment is due:
Adjusted Age is Actual Age:

1998-2000     2001-2005    2006-2010    2011-2015      2016-2020
minus 0       minus 1      minus 2      minus 3        minus 4

2021-2025     2026-2030    2031-2035    2036 AND LATER
minus 5       minus 6      minus 7      minus 8

                                       16

<PAGE>   17

                          FIXED LIFE ANNUITY TABLES &
                  VARIABLE LIFE ANNUITY TABLES AT 3% A.N.I.F.
                 GUARANTEED AMOUNT OF MONTHLY ANNUITY PAYMENTS
                 PURCHASED WITH EACH $1,000 OF PROCEEDS APPLIED



                OPTION 3 -  JOINT AND LAST SURVIVOR LIFE ANNUITY
<TABLE>
<CAPTION>
         UNISEX
        ADJUSTED
          AGES      45       50       55       60       65       70       75
           <S>     <C>      <C>      <C>      <C>      <C>      <C>      <C>
           45      3.17     3.23     3.29     3.34     3.37     3.39     3.41
           50      3.23     3.33     3.42     3.50     3.56     3.60     3.63
           55      3.29     3.42     3.55     3.67     3.77     3.85     3.91
           60      3.34     3.50     3.67     3.85     4.01     4.15     4.25
           65      3.37     3.56     3.77     4.01     4.25     4.47     4.66
           70      3.39     3.60     3.85     4.15     4.47     4.81     5.13
           75      3.41     3.63     3.91     4.25     4.66     5.13     5.62
</TABLE>





                OPTION 4 - JOINT AND LAST SURVIVOR LIFE ANNUITY
                    REDUCED BY 50% ON DEATH OF PRIMARY PAYEE


<TABLE>
<CAPTION>
          UNISEX ADJUSTED AGE
               OF PRIMARY
          AND SECONDARY PAYEE       DOLLAR AMOUNT

                <S>                      <C>
                45                       3.30
                50                       3.50
                55                       3.76
                60                       4.12
                65                       4.60
                70                       5.27
                75                       6.25
</TABLE>

Dollar amounts of the monthly Annuity payments for the third and fourth options
are based on the Annuity 2000 Table (blended 80%/20% female/male).  The above
tables assume a year 2000 issue, and project mortality improvements into the
future using Projection Scale G. These tables assume a net investment rate of
3% per Annum.

Calendar Year in which 1st payment is due:
Adjusted Age is Actual Age:


1998-2000      2001-2005      2006-2010      2011-2015      2016-2020
minus 0        minus 1        minus 2        minus 3        minus 4

2021-2025      2026-2030      2031-2035      2036 AND LATER
minus 5        minus 6        minus 7        minus 8

                                       17




<PAGE>   18

          FIXED ANNUITY TABLE & VARIABLE ANNUITY TABLE AT 3% A.N.I.F.
                 GUARANTEED AMOUNT OF MONTHLY ANNUITY PAYMENTS
                 PURCHASED WITH EACH $1,000 OF PROCEEDS APPLIED

                   OPTION 5 - PAYMENTS FOR A PERIOD CERTAIN


                                        .

<TABLE>
<CAPTION>
                                MONTHLY                     MONTHLY
                 NUMBER OF      PAYMENT        NUMBER OF    PAYMENT
                   YEARS        AMOUNT           YEARS      AMOUNT
                    <S>         <C>               <C>        <C>
                    10           9.61             21         5.32
                    11           8.86             22         5.15
                    12           8.24             23         4.99
                    13           7.71             24         4.84
                    14           7.26             25         4.71
                    15           6.87             26         4.59
                    16           6.53             27         4.47
                    17           6.23             28         4.37
                    18           5.96             29         4.27
                    19           5.73             30         4.18
                    20           5.51
</TABLE>


The dollar amounts of the monthly Annuity payments for the fifth option are
based on a net investment rate of 3% per annum.

                                       18



<PAGE>   19

                  VARIABLE LIFE ANNUITY TABLES AT 5% A.N.I.F.
                 GUARANTEED AMOUNT OF MONTHLY ANNUITY PAYMENTS
                 PURCHASED WITH EACH $1,000 OF PROCEEDS APPLIED

                    OPTIONS 1, AND 2- SINGLE LIFE ANNUITIES



<TABLE>
<CAPTION>
          UNISEX      NUMBER OF MONTHLY PAYMENTS GUARANTEED
         ADJUSTED
           AGE        NONE       120        180        240
            <S>       <C>        <C>        <C>        <C>
            45        4.71       4.70       4.68       4.66
            46        4.75       4.73       4.71       4.69
            47        4.79       4.77       4.75       4.73
            48        4.83       4.81       4.79       4.76
            49        4.88       4.86       4.83       4.80
            50        4.93       4.90       4.88       4.84
            51        4.98       4.95       4.92       4.88
            52        5.03       5.00       4.97       4.92
            53        5.09       5.06       5.02       4.97
            54        5.15       5.12       5.07       5.02
            55        5.22       5.18       5.13       5.07
            56        5.29       5.24       5.19       5.12
            57        5.36       5.31       5.25       5.17
            58        5.44       5.39       5.32       5.23
            59        5.53       5.46       5.39       5.29
            60        5.62       5.55       5.46       5.35
            61        5.72       5.64       5.54       5.41
            62        5.82       5.73       5.62       5.47
            63        5.94       5.83       5.70       5.54
            64        6.06       5.94       5.79       5.61
            65        6.19       6.05       5.88       5.67
            66        6.33       6.17       5.98       5.74
            67        6.48       6.29       6.08       5.81
            68        6.64       6.42       6.18       5.87
            69        6.82       6.57       6.28       5.94
            70        7.00       6.71       6.39       6.00
            71        7.21       6.87       6.49       6.06
            72        7.43       7.03       6.60       6.12
            73        7.67       7.20       6.71       6.17
            74        7.93       7.38       6.82       6.22
            75        8.21       7.56       6.92       6.27
</TABLE>

Dollar amounts of the monthly Annuity payments for the first and second options
are based on the Annuity 2000 Table (blended 80%/20% female/male).  The above
tables assume a year 2000 issue, and project mortality improvements into the
future using Projection Scale G. These tables assume a net investment rate of
5% per Annum.

Calendar Year in which 1st payment is due:
Adjusted Age is Actual Age:

1998-2000      2001-2005      2006-2010      2011-2015      2016-2020
minus 0        minus 1        minus 2        minus 3        minus 4

2021-2025      2026-2030      2031-2035      2036 AND LATER
minus 5        minus 6        minus 7        minus 8

                                       19



<PAGE>   20

                  VARIABLE LIFE ANNUITY TABLES AT 5% A.N.I.F.
                 GUARANTEED AMOUNT OF MONTHLY ANNUITY PAYMENTS
                 PURCHASED WITH EACH $1,000 OF PROCEEDS APPLIED



                OPTION 3 -  JOINT AND LAST SURVIVOR LIFE ANNUITY

<TABLE>
<CAPTION>
 UNISEX
ADJUSTED
  AGE       45       50       55       60       65       70       75
   <S>     <C>      <C>      <C>      <C>      <C>      <C>      <C>
   45      4.44     4.50     4.55     4.59     4.62     4.65     4.67
   50      4.50     4.58     4.65     4.72     4.78     4.82     4.86
   55      4.55     4.65     4.76     4.87     4.96     5.04     5.10
   60      4.59     4.72     4.87     5.02     5.17     5.30     5.41
   65      4.62     4.78     4.96     5.17     5.39     5.60     5.79
   70      4.65     4.82     5.04     5.30     5.60     5.92     6.23
   75      4.67     4.86     5.10     5.41     5.79     6.23     6.71
</TABLE>





                OPTION 4 - JOINT AND LAST SURVIVOR LIFE ANNUITY
                    REDUCED BY 50% ON DEATH OF PRIMARY PAYEE


<TABLE>
<CAPTION>
        UNISEX ADJUSTED AGE OF
              PRIMARY
        AND SECONDARY PAYEE       DOLLAR AMOUNT
                <S>                    <C>
                45                     4.57
                50                     4.74
                55                     4.98
                60                     5.30
                65                     5.76
                70                     6.42
                75                     7.39
</TABLE>



Dollar amounts of the monthly Annuity payments for the third and fourth options
are based on the Annuity 2000 Table (blended 80%/20% female/male).  The above
tables assume a year 2000 issue, and project mortality improvements into the
future using Projection Scale G. These tables assume a net investment rate of
5% per Annum.

Calendar Year in which 1st payment is due:
Adjusted Age is Actual Age:

1998-2000      2001-2005      2006-2010      2011-2015      2016-2020
minus 0        minus 1        minus 2        minus 3        minus 4

2021-2025      2026-2030      2031-2035      2036 AND LATER
minus 5        minus 6        minus 7        minus 8

                                       20

<PAGE>   21

                     VARIABLE ANNUITY TABLE AT 5% A.N.I.F.
                 GUARANTEED AMOUNT OF MONTHLY ANNUITY PAYMENTS
                 PURCHASED WITH EACH $1,000 OF PROCEEDS APPLIED

                   OPTION 5 - PAYMENTS FOR A PERIOD CERTAIN


                                        .

<TABLE>
<CAPTION>
                               MONTHLY                      MONTHLY
                 NUMBER OF     PAYMENT         NUMBER OF    PAYMENT
                   YEARS       AMOUNT            YEARS      AMOUNT
                    <S>         <C>               <C>        <C>
                    10          10.51             21         6.33
                    11           9.77             22         6.17
                    12           9.16             23         6.02
                    13           8.64             24         5.88
                    14           8.20             25         5.76
                    15           7.82             26         5.65
                    16           7.49             27         5.54
                    17           7.20             28         5.45
                    18           6.94             29         5.36
                    19           6.71             30         5.28
                    20           6.51
</TABLE>


The dollar amounts of the monthly Annuity payments for the fifth option are
based on a net investment rate of 5% per annum.

                                       21



<PAGE>   22

                  This page has been left intentionally blank.





<PAGE>   23

                  This page has been left intentionally blank.
<PAGE>   24

        DEFERRED FLEXIBLE PREMIUM VARIABLE ANNUITY MASTER GROUP CONTRACT
                                 TAX QUALIFIED





ELECTIVE OPTIONS                          NON-PARTICIPATING






<PAGE>   25

              THE TRAVELERS INSURANCE COMPANY - ONE TOWER SQUARE -
                         HARTFORD, CONNECTICUT - 06183

                                A STOCK COMPANY

         Please read Your Certificate and all attached forms carefully.


         IF YOU HAVE ANY QUESTIONS CONCERNING YOUR CERTIFICATE, PLEASE
                         CONTACT US AT 1-800-842-9406.

                                RIGHT TO EXAMINE

         IF THIS CERTIFICATE IS RETURNED TO US AT OUR OFFICE OR TO OUR AGENT TO
         BE CANCELED WITHIN 10 DAYS AFTER ITS DELIVERY TO YOU, WE WILL REFUND
         TO YOU THE FULL AMOUNT OF ANY PURCHASE PAYMENTS PAID, WITHOUT
         ADJUSTMENT FOR ANY PREMIUM TAX OR CERTIFICATE CHARGES PAID, AFTER WE
         RECEIVE THE REQUEST AT OUR OFFICE.  AFTER THE CERTIFICATE IS RETURNED,
         IT WILL BE CONSIDERED AS NEVER IN EFFECT.


         This Certificate is issued in consideration of the initial Purchase
         Payment.  It is subject to the terms and conditions stated on the
         attached pages, all of which are made a part of it.  It is made
         effective as stated in the Certificate.


                       Executed at Hartford, Connecticut

                                /s/ M. A. CARPENTER

                                   President

            This is a legal contract between You and Us.  READ YOUR
                             CERTIFICATE CAREFULLY.

         CERTIFICATE OF PARTICIPATION UNDER A DEFERRED FLEXIBLE PREMIUM
                        VARIABLE ANNUITY GROUP CONTRACT



                                 TAX QUALIFIED
         ELECTIVE OPTIONS                             NON-PARTICIPATING


         ANNUITY PAYMENTS AND OTHER VALUES PROVIDED BY THIS CERTIFICATE, WHEN
         BASED ON THE INVESTMENT EXPERIENCE OF THE SEPARATE ACCOUNT, ARE
         VARIABLE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT.

                                       5

<PAGE>   26

                               TABLE OF CONTENTS


<TABLE>
<S>                                                                       <C>
Right to Examine                                                          Cover Page

Certificate Specifications                                                Page 3

Definitions                                                               Page 5

Owner, Beneficiary and Annuitant Provisions                               Page 7

Purchase Payment, Credits and Valuation Provisions                        Page 8

Death Benefit Provisions                                                  Page 10

Settlement Provisions                                                     Page 11

General Provisions                                                        Page 14

Annuity Tables                                                            Page 16
</TABLE>





       Any Amendments, Riders or Endorsements follow the Annuity Tables.
       The provisions of any rider or endorsement supersede any contrary
                         provisions in the Certificate.

                                       6


<PAGE>   27

================================================================================
                           CERTIFICATE SPECIFICATIONS
================================================================================

CERTIFICATE OWNER                          ANNUITANT
                                         
CERTIFICATE NUMBER                        CERTIFICATE
DATE

MATURITY DATE

CONTRACT NUMBER

CONTRACT OWNER           [THE TRAVELERS RETIREMENT TRUST FOR VARIABLE ANNUITIES]
- --------------------------------------------------------------------------------


MINIMUM PURCHASE PAYMENT:   $20,000.00 PER CERTIFICATE
MINIMUM SUBSEQUENT PURCHASE PAYMENT: $5,000 PER CERTIFICATE
MAXIMUM PURCHASE PAYMENT:  $1,000,000 PER CERTIFICATE UNLESS WE CONSENT TO A
LARGER AMOUNT.

CERTIFICATE FEE:  None

WITHDRAWAL CHARGES DEDUCTED ON SURRENDER BEFORE THE MATURITY DATE OF
THE CERTIFICATE:
Prior to the Maturity Date, the Withdrawal Charge is calculated as a percentage
of the Purchase Payments and  associated credits withdrawn on a first in, first
out basis.  For the purpose of determining the withdrawal charges, the order of
withdrawal will be deemed to be taken first from (a) any Purchase Payments and
associated credits to which no withdrawal charge applies; (b) next from any
remaining free withdrawal amount (as described below) after the reduction by
the amount of (a); (c) next from remaining Purchase Payments and associated
credits (on a first- in, first-out basis); and then (d) from Certificate
earnings.

<TABLE>
<CAPTION>
                  YEARS SINCE PURCHASE              PERCENT OF PURCHASE PAYMENTS AND ASSOCIATED CREDITS
                    PAYMENT WAS MADE                           (NOT PREVIOUSLY SURRENDERED)
                          <S>                                            <C>
                          1                                                 5%
                          2                                                 4%
                          3                                                 3%
                          4                                                 2%
                          5                                                 1%
                          6 and thereafter                                  0%
</TABLE>

Withdrawals prior to or at the Certificate Maturity Date are not subject to
withdrawal charges if:
- -  a life Annuity option payment is begun;
- -  payments for a  period certain of at least 10 years duration are begun;
- -  the Annuitant dies;
- -  subject to Our approval, withdrawals of a specified amount are taken from
   this Certificate to be deposited to other contracts/certificates issued by
   Us or Our affiliate.  Such withdrawals will be processed upon Our receipt of
   a Written Request.  The withdrawn amount will be subject to the provisions
   of that contract/certificate.
- -  Withdrawals are taken under Our managed distribution program then in effect
   if elected by You by a Written Request.

During the first Certificate Year, You may take withdrawals of up to 20% of
Your initial Purchase Payment, without imposition of withdrawal charges.  Each
Certificate Year thereafter, You may take withdrawals of up to 20% of Your
Certificate Value as of the end of the previous Certificate Year, without
imposition of withdrawal charges.  This free withdrawal allowance applies to
partial withdrawals of any amount and to full withdrawals, except those full
withdrawals going to annuity contracts/certificates issued by other financial
institutions.  We reserve the right to modify the free withdrawal allowance.

TRANSFER CHARGE:  $0
We reserve the right to assess a Transfer Charge of up to $10.00 per transfer
on transfers exceeding 12 per year.  We will notify You In Writing at Your last
known address at least 31 day's prior to the imposition of any such Transfer
Charge.

                                       7



<PAGE>   28

TERMINATION:  We reserve the right to terminate this Certificate when the
Certificate Value is less than $2,000 and no Purchase Payments have been made
for two years.

                                       8



<PAGE>   29

================================================================================
                           CERTIFICATE SPECIFICATIONS
================================================================================

           THE TRAVELERS SEPARATE ACCOUNT FIVE FOR VARIABLE ANNUITIES
                                UNDERLYING FUNDS

<TABLE>
<S>                                                  <C>
High Yield Bond Trust                                The Travelers Series Trust
Managed Assets Trust                                   Equity Income Portfolio
Money Market Portfolio                                 Federated Stock Portfolio
American Odyssey Funds, Inc.                           Large Cap Portfolio
  American Odyssey Core Equity Fund                    Lazard International Stock Portfolio
  American Odyssey Emerging Opportunities Fund         MFS Mid Cap Growth Portfolio
  American Odyssey Global High-Yield Bond Fund         MFS Research Portfolio
  American Odyssey Intermediate-Term Bond Fund         Social Awareness Stock Portfolio
  American Odyssey International Equity Fund           Strategic Stock Portfolio
  American Odyssey Long-Term Bond Fund                 Disciplined Mid Cap Stock Portfolio
Delaware Group Premium Fund, Inc.                      Disciplined Small Cap Stock Portfolio
  REIT Series                                          Travelers Quality Bond Portfolio
  Small Cap Value Series                               U.S. Government Securities Portfolio
Dreyfus Variable Investment Fund                       Utilities Portfolio
  Capital Appreciation Portfolio                     Travelers Series Fund, Inc.
  Small Cap Portfolio                                  Alliance Growth Portfolio
OCC Accumulation Trust                                 MFS Total Return Portfolio
  Equity Portfolio                                     Putnam Diversified Income Portfolio
Salomon Brothers Variable Series Funds, Inc.           Smith Barney High Income Portfolio
  Salomon Brothers Variable Capital Fund               Smith Barney International Equity Portfolio
  Salomon Brothers Variable Investors Fund             Smith Barney Large Capitalization Growth Portfolio
  Salomon Brothers Variable Total Return Fund        Warburg Pincus Trust
Strong Variable Insurance Funds, Inc.                  Emerging Markets Portfolio
  Strong Schafer Value Fund II                       Greenwich Street Series Fund
The Montgomery Funds III                               Equity Index Portfolio Class II
  Montgomery Variable Series: Growth Fund

</TABLE>


FUNDING OPTION DEDUCTIONS
The annual mortality and expense risk deduction is.80% for all funds listed
above and is deducted on a pro rata basis from all Underlying Funds in Your
Accounts.  This amounts to a daily deduction of .00002192 per fund.

ASSUMED NET INVESTMENT FACTOR
Upon each partial or full annuitization, you may select one of the Assumed Net
Investment Factors shown below:
A.  The Assumed Net Investment Factor is 1.000081 For all Underlying Funds.
    When expressed on an annual basis this equals 3%.

B.  The Assumed Net Investment Factor is 1.000134 for all Underlying Funds.
    When expressed on an annual basis this equals 5%.

                                       9




<PAGE>   30

================================================================================
                                  DEFINITIONS
================================================================================

ACCUMULATION UNIT - an accounting unit of measure used to calculate the value
of a Certificate before Annuity payments begin.

AGE - age last birthday.

ANNUITANT - the person on whose life the Maturity Date and Annuity payments
depend.

ANNUITY UNIT - an accounting unit of measure used to calculate the amount of
Annuity Payments.

CERTIFICATE - the individual Certificate provided to You, which describes the
benefits, rights and obligations of You and Us.

CERTIFICATE DATE - the date on which this Certificate is issued.

CERTIFICATE OWNER - the person indicated in the Certificate Specifications.

CERTIFICATE YEAR(s) - the twelve month period(s) beginning with the Certificate
Date.

CODE - the Internal Revenue Code of 1986, as amended, and all related laws and
regulations which are in effect during the term of this Certificate.

CONTRACT - a Contract which describes the benefits, rights and obligations of
the Contract Owner and Us.

CONTRACT OWNER - the party indicated in the Certificate Specifications or any
party subsequently named.

DEATH REPORT DATE - the Valuation Date coincident with or next following the
day on which We have received 1) Due Proof of Death and 2) a Written Request
for an election of a single sum payment or an alternate Settlement Option as
described in the Certificate.

DUE PROOF OF DEATH - (i) a copy of a certified death certificate; (ii) a copy
of a certified decree of a court of competent jurisdiction as to the finding of
death; (iii) a written statement by a medical doctor who attended the deceased;
or (iv) any other proof satisfactory to Us.

FUNDING OPTIONS - subsections of the Separate Account which invest in the
Underlying Funds for this Certificate.

MATURITY DATE - the date on which the Annuity payments are to begin.

OUR OFFICE - the Home Office of The Travelers Insurance Company or any other
office which We may designate for the purpose of administering this
Certificate.

PREMIUM TAX - the amount of tax, if any, charged by a state or municipality.
We will deduct any applicable Premium Tax from the Certificate Value either
upon surrender, annuitization, death, or at the time a Purchase Payment is
made, but no earlier than when We have the liability under state law.

PURCHASE PAYMENTS - payments of premium You make to Us under this Certificate.

QUALIFIED CERTIFICATE - a Certificate used in a retirement plan or program
whereby the Purchase Payments and any gains are intended to qualify under
Sections 401, 403, 408, 414(d) or 457 of the Code.

RECORDED - a Written Request is Recorded when the information is noted in Our
file for this Certificate.

SEPARATE ACCOUNT- the Separate Account indicated in the Certificate
Specifications which We established for this class of Certificates and certain
other Certificates.

TERMINATION - discontinuance of this Certificate by Us or by Your Written
Request.





                                       10
<PAGE>   31
UNDERLYING FUND - an open-end diversified management investment company or
portfolio thereof, indicated in the Certificate Specifications, which serves as
a variable investment option under the Separate Account.

VALUATION DATE -a date on which a Funding Option is valued, which is every day
the New York Stock Exchange is open for trading (except for when trading is
restricted due to an emergency as defined by the Securities and Exchange
Commission.)

VALUATION PERIOD - the period beginning at the close of business of the New
York Stock Exchange on each Valuation Date and ending at the close of business
for the next succeeding Valuation Date.  Also referred to as the period between
successive valuations.

WE, US, OUR - The Travelers Insurance Company.

WRITTEN REQUEST - written information including requests for
Contract/Certificate changes sent to Us in a form and content satisfactory to
Us and received at Our Office.

YOU, YOUR - The Certificate Owner.





                                       11
<PAGE>   32
================================================================================
                  OWNER, BENEFICIARY AND ANNUITANT PROVISIONS
================================================================================

OWNER
The Contract belongs to the Contract Owner shown in the Certificate
Specifications or to any person subsequently named in a Written Request.  The
Certificate belongs to the Certificate Owner.  As Certificate Owner, You have
sole power during the Annuitant's lifetime to exercise any rights and to
receive all benefits given in the Certificate.

You will be the recipient of all payments while the Annuitant is alive unless
You direct them to an alternate recipient under a Recorded payment direction.
An alternate recipient under a payment direction does not become the
Certificate Owner.  A payment direction is revocable by You at any time by
Written Request giving 30 days' advance notice.

CREDITOR CLAIMS
To the extent permitted by law, no right or benefit of the Certificate Owner or
Beneficiary under this Certificate shall be subject to the claims of creditors
or any legal process.

BENEFICIARY
The Beneficiary is the party named in a Written Request.  The Beneficiary has
the right to receive any remaining Certificate benefits upon the death of the
Annuitant, or under certain circumstances, upon Your death.  If there is more
than one Beneficiary surviving the Annuitant, the Beneficiaries will share
equally in benefits unless different shares are Recorded with Us by Written
Request prior to the death of the Annuitant.

Unless an irrevocable Beneficiary has been named, You have the right to change
any Beneficiary by Written Request during the lifetime of the Annuitant and
while the Certificate continues.

Once a change in Beneficiary is Recorded by Us, it will take effect as of the
date of the Written Request, subject to any payments made or other actions
taken by Us before the recording.

If no Beneficiary has been named by You, or if no Beneficiary is living when
the Annuitant dies, the interest of any Beneficiary will pass to:
         a)  You or to Your estate, or
         b)  to the trustee or plan administrator of a trusteed Tax Qualified
             plan certificate for further distribution in accord with the plan.

ANNUITANT
The Annuitant is the individual shown in the Certificate Specifications on
whose life Annuity payments are based.  The Annuitant may not be changed after
the Certificate Date.





                                       12
<PAGE>   33
================================================================================
               PURCHASE PAYMENT, CREDITS AND VALUATION PROVISIONS
================================================================================

PURCHASE PAYMENT

PURCHASE PAYMENT
A Purchase Payment is any payment You make for this Certificate  and the
benefits it provides.  An initial lump sum Purchase Payment must be made to the
Certificate and is due and payable before the Certificate becomes effective.
Each Purchase Payment is payable as shown in the Certificate Specifications to
Us at Our Office or to one of Our authorized representatives.  No Purchase
Payment after the initial Purchase Payment is required to continue a
Certificate in force, except as provided in the Termination provision.

Net Purchase Payments are that part of Your Purchase Payments applied to the
Certificate Value.  A net Purchase Payment is equal to the Purchase Payment
less any applicable Premium Tax.

ALLOCATION OF PURCHASE PAYMENT
We will apply any net Purchase Payment to provide Accumulation Units in
selected Funding Options.  The Purchase Payment will be applied within two
business days following its receipt at Our Office.  The net Purchase Payment
will be allocated to the Funding Options in the proportion specified by You.
The available Underlying Funds to which Funding Option assets are allocated are
shown in the Certificate Specifications; Underlying Funds may be subsequently
added or deleted.

CONSERVATION CREDITS
We may apply conservation credits under this Certificate to funds received as
Purchase Payments where such funds originated from other contracts/certificates
issued by Us or Our affiliates.  Any such credits will be computed as decided
by Us.

FUNDING OPTION VALUATION

NUMBER OF ACCUMULATION UNITS
The number of Accumulation Units to be credited to each Funding Option once a
Purchase Payment has been received by Us will be determined by dividing the net
Purchase Payment applied to that Funding Option by the then Accumulation Unit
Value of that Funding Option.

ACCUMULATION UNIT VALUE
We determine the value of an Accumulation Unit in each Funding Option on each
Valuation Date by multiplying the value on the preceding Valuation Date by the
net investment factor for that Funding Option for the Valuation Period just
ended.

The value of an Accumulation Unit on any date other than a Valuation Date will
be equal to its value as of the next Valuation Date.

NET INVESTMENT FACTOR
The net investment factor is a factor applied to measure the investment
performance of a Funding Option from one Valuation Period to the next.  The net
investment factor for a Funding Option for any Valuation Period is equal to the
sum of 1.0000 plus the net investment rate.

Each Funding Option's net investment rate for a Valuation Period is equal to
the gross investment rate for that Funding Option, less the applicable Funding
Option deduction for the Valuation Period.

All Funding Option deductions are shown in the Certificate Specifications and
the applicable attached riders.

The gross investment rate of a Funding Option for a Valuation Period is equal
to (1) divided by (2):

    where (1) is:

     a) investment income, plus
     b) capital gains and losses, whether realized or unrealized, less
     c) a deduction for any tax levied against the Separate Account and its
        Underlying Funds;

    and (2) is the value of the net assets at the beginning of the Valuation
    Period.





                                       13
<PAGE>   34
The gross investment rate is based on the net asset value of the Underlying
Fund and may be either positive or negative. Investment income includes any
distribution whose ex-dividend date occurs during the Valuation Period.

TRANSFER AMONG FUNDING OPTIONS 

You may transfer all or any part of the Certificate Value from one Funding
Option to any other Funding Option at any time up to [30] days before the due
date of the first Annuity payment.  We reserve the right to limit the number of
transfers from one Funding Option to any other Funding Option.  We will always
allow at least one transfer in any six month period.

Transfers among Funding Options will result in the addition or deletion of
Accumulation Units having a total value equal to the dollar amount being
transferred to or from a particular Funding Option.  The number of Accumulation
Units will be determined by using the Accumulation Unit Value of the Funding
Options involved as of the next Valuation Date after We receive notification of
request for transfer.  Transfers will be subject to any applicable Transfer
Charge stated in the Certificate Specifications.

CERTIFICATE VALUES PRIOR TO MATURITY DATE

CERTIFICATE VALUE
Before the Maturity Date, the Certificate Value on any date equals the sum of
the accumulated values in the Funding Options.  The accumulated value in a
Funding Option equals the number of outstanding Accumulation Units credited to
that Funding Option, multiplied by the then current Accumulation Unit Value for
that Funding Option.

CERTIFICATE FEE
A Certificate Fee in the amount and for the period shown in the Certificate
Specifications will be deducted from the Certificate Value to reimburse Us for
administrative expenses relating to the Contract and Certificates.  The
Certificate Fee will be deducted by surrendering on a pro rata basis
Accumulation Units from all Funding Options in which You have an interest.

We will deduct the charge on a pro rata basis if the Certificate has been in
effect for less than a full period on the date a Certificate Fee is deducted.
The Certificate Fee will also be pro rated upon full surrender or Termination
of the Certificate.

CERTIFICATE CASH SURRENDER VALUE
Before the Maturity Date, the Certificate Cash Surrender Value is equal to the
Certificate Value less any applicable charges, fees or taxes deducted upon
surrender.

CASH SURRENDER
You may elect by Written Request to receive the Cash Surrender Value at or
before the due date of the first Annuity payment and without the consent of any
Beneficiary unless irrevocably named.  In the case of a full surrender,  the
Certificate will be canceled.  A partial surrender will reduce the Certificate
Value.  If You have a balance in more than one Funding Option, Your Certificate
Value will be reduced from all of Your Funding Options on a pro rata basis,
unless You request otherwise.

The Certificate Cash Surrender Value will be determined as of the next
Valuation Date following receipt of  Your Written Request.  We may delay
payment of the Certificate Cash Surrender Value of the Funding Options for a
period of not more than five business days after We receive Your Written
Request.

CERTIFICATE CONTINUATION

Except as provided in the Termination provision, this Certificate does not
require continuing Purchase Payments and will automatically continue as a
paid-up Certificate during the lifetime of the Annuitant until the Maturity
Date, or until it is surrendered.





                                       14
<PAGE>   35
================================================================================
                            DEATH BENEFIT PROVISIONS
================================================================================

DEATH OF ANNUITANT
A death benefit is payable to the Beneficiary upon the death of the Annuitant
before the Maturity Date.  A death benefit is also payable under those
Settlement Options which provide for death benefits.  We will pay the
Beneficiary the death benefit in a single sum as described below upon receiving
Due Proof of Death.  A Beneficiary may request that a death benefit payable
under  this Certificate be applied to a Settlement Option subject to the
provisions of this Certificate and the current tax laws.

DEATH OF CERTIFICATE OWNER WITH ANNUITANT SURVIVING
If You are not the Annuitant, and You die before the Maturity Date with the
Annuitant surviving, We will recalculate the value of the death benefit under
the provisions of Death Proceeds Prior To The Maturity Date below; by replacing
all references to "Annuitant" with "Certificate Owner."  The value of the
death benefit, as recalculated, will be paid in a single lump sum or by other
election to the party taking proceeds under the current tax laws.  The party
must take distributions no later than under the applicable elections of that
provision.

DEATH PROCEEDS PRIOR TO THE MATURITY DATE
If the Annuitant is Age 80 or younger on the Certificate Date and dies before
the Maturity Date, We will pay the Beneficiary the greater of a) or b) below,
less any applicable Premium Tax as of the Death Report Date:

      a) the Certificate Value on the Death Report Date; or
      b) the total Purchase Payments less the total amount of any partial
         surrenders (including associated charges, if any) made under this
         Certificate.

We must be notified of the Annuitant's death no later than six months from the
Annuitant's date of death in order for Us to make payment of death proceeds as
described above.  If notification is received more than six months after the
Annuitant's death, We will make payment of death proceeds equal to the
Certificate Value on the Death Report Date less any applicable Premium Tax.

If the Annuitant  is older than Age 80 on the Certificate Date and dies before
the Maturity Date, We will pay the Beneficiary the Certificate Value on the
Death Report Date less any applicable Premium Tax.

DEATH PROCEEDS AFTER THE MATURITY DATE
If the Annuitant dies on or after the Maturity Date, We will pay the
Beneficiary a death benefit consisting of any benefit remaining under the
Annuity option then in effect.

INTEREST ON DEATH PROCEEDS
Any interest on death proceeds will be paid in accordance with rules in effect
in the state of issue of the Certificate Owner at the time of death.





                                       15
<PAGE>   36
================================================================================
                             SETTLEMENT PROVISIONS
================================================================================

MATURITY DATE

The Maturity Date is shown in the Certificate Specifications.  This is the date
on which We will begin paying to You the first of a series of Annuity payments
in accordance with an Annuity Option elected by You.  Annuity payments will
begin under this Certificate on the Maturity Date unless the Certificate has
been fully surrendered or the proceeds have been paid to the Beneficiary prior
to that date.  We may require proof that the Annuitant is alive before Annuity
payments are made.  If no Maturity Date is specified, the automatic Maturity
Date will be the later of when the Annuitant reaches Age 90 or ten years after
the Certificate Date.  

Additionally, to the extent permitted by law, at least
30 days before the original Maturity Date, You may change the Maturity Date by
Written Request to any time prior to the Annuitant's 90th birthday, or to a
later date with Our consent.

ELECTION OF SETTLEMENT OPTIONS

On the Maturity Date, or other agreed upon date, We will pay the amount payable
under this Certificate to You in one lump sum or in accordance with an Annuity
Option elected.  While the Annuitant is alive, You may change Your Settlement
Option election by Written Request, but only before the Maturity Date.  We
reserve the right to require satisfactory proof of the Age of any person on
whose life Annuity payments are based before making the first payment under any
Annuity Option.

During the Annuitant's lifetime, if no election has been made on the Maturity
Date, We will pay You the first of a series of periodic Annuity payments based
on the life of the Annuitant, in accordance with Annuity Option 2, with 120
monthly payments assured.

Once Annuity payments have commenced, no election changes are allowed.

MINIMUM AMOUNTS

The minimum amount that can be placed under a Settlement Option is $2,000
unless We consent to a lesser amount.  If any periodic payments due are less
than $100, We reserve the right to change the frequency to an interval
resulting in a payment of at least $100.00.

ALLOCATION OF ANNUITY

At the time an election of one of the Annuity Options is made, the person
electing the option may elect to have all or part of the Certificate Value
applied to provide a Variable Annuity, a Fixed Annuity or a combination of
both.

If no election is made to the contrary, the value of a Funding Option will be
applied when Annuity payments start to provide an Annuity which varies with the
investment experience of that same Funding Option.

You may elect to transfer Certificate Value from one Funding Option to another,
as described in the provision Transfer Between Funding Options, in order to
reallocate the basis on which Annuity payments will be determined.  After
Annuity payments start, You may, with Our consent, change the allocation of
Your values in each Funding Option.

Transfers among Funding Options will result in the addition or deletion of
Annuity Units having a total value equal to the dollar amount being transferred
to or from a particular Funding Option.  The number of Annuity Units will be
determined by using the Annuity Unit Value of the Funding Options involved as
of the next Valuation Day after We receive notification of request for
transfer.  Transfers will be subject to any applicable Transfer Charge stated
in the Certificate Specifications.

VARIABLE ANNUITY

AMOUNT OF FIRST PAYMENT
You may select one of the Assumed Net Investment Factors shown on the
Certificate Specifications.  The Life Annuity Tables for the Assumed Net
Investment Factor selected are used to determine the first monthly Annuity
payment.  They show the dollar amount of the first monthly Annuity payment
which can be purchased with each $1,000 applied.  The amount applied to a
Variable Annuity will be the Certificate Value as of 14 days before the date
Annuity payments start. If it would produce a larger first Annuity payment, the
Variable Annuity payment will be determined using the Variable Life Annuity
tables in effect on the Maturity Date.





                                       16
<PAGE>   37


ANNUITY UNIT VALUE
On any Valuation Date, the Annuity Unit Value for a Funding Option equals the
Funding Option Annuity Unit Value on the preceding Valuation Date, multiplied
by the net investment factor for that Funding Option for the Valuation Period
just ended, divided by the Assumed Net Investment Factor chosen by You.  The
Assumed Net Investment Factors are shown in the Certificate Specifications.
The Value of an Annuity Unit on any date other than a Valuation Date will be
equal to its value as of the next Valuation Date.

NUMBER OF ANNUITY UNITS
We determine the number of Annuity Units credited to this Certificate in each
Funding Option by dividing the first monthly Annuity payment attributable to
that Funding Option by the Funding Option's Unit Value as of 14 days before the
due date of the first Annuity payment.

AMOUNT OF SECOND AND SUBSEQUENT PAYMENTS
The dollar amount of the second and subsequent payments may change from month
to month.  The amount of the Annuity payment for each Funding Option is found
by multiplying the number of Annuity Units credited to the Certificate for that
Funding Option by the Annuity Unit Value for that Funding Option.  The total
amount of each Annuity Payment will be equal to the sum of the payments in each
Funding Option.

FIXED ANNUITY

A Fixed Annuity is an Annuity with payments which do not vary with  the
investment performance of an underlying fund.  The Fixed Life Annuity Tables
are used to determine level monthly Annuity payments.  They show the dollar
amount of level monthly Annuity payments which can be purchased with each
$1,000 applied.  The amount applied to a Fixed Annuity will be the Certificate
Value applied to the Fixed Annuity as of the day Fixed Annuity payments begin.
If it would produce a larger payment, the Fixed Annuity payment will be
determined using the Fixed Life Annuity Tables in effect on the Maturity Date.

ANNUITIZATION CREDIT

Upon each election of one of the Annuity Options described below, an
annuitization credit will be applied to the Certificate Value used to purchase
the Fixed or Variable Annuity.  The credit will be calculated as a percentage
of the Certificate Value applied to the Fixed or Variable Annuity.

The credit will be:
         For Certificate Years 2-5           0.5%
         For Certificate Years 6-10          1.0%
         For Certificate Years 11+           2.0%
There is no annuitization credit during Certificate Year 1.

ANNUITY OPTIONS

Subject to conditions stated in Elections Of Settlement Options and Minimum
Amounts, all or any part of the Certificate Value may be applied to one or more
of the Annuity Options below.  We may offer additional options.

Option 1 - 5 below may be applied to either a Fixed or Variable Annuity.  If a
Fixed Annuity is elected, the periodic Annuity payments may be either level
(except after the primary payee's death in Option 4) or increasing.  If
increasing payments are elected, the payments will increase on each Certificate
Date anniversary by the percentage You choose.  You may choose a whole number
percentage from 1 to 4%.  If payments are received more frequently than on an
annual basis, payments will remain level between Certificate Date
anniversaries.  If increasing payments are elected, the initial payment will be
less than the corresponding level payment for the same Annuity Option.  The
Fixed Life Annuity tables are used to determine the level monthly annuity
payments.  The equivalent values for initial increasing payments will be less
than the values shown for level payments.  The difference will be calculated in
an actuarially equivalent manner.





                                       17
<PAGE>   38

OPTION 1.  LIFE ANNUITY - NO REFUND
We will make periodic Annuity payments during the lifetime of the person on
whose life the payments are based, ending with the last payment preceding
death.

OPTION 2.  LIFE ANNUITY WITH PERIOD CERTAIN
We will make periodic Annuity payments during the lifetime of the person on
whose life the payments are based.  If at the death of that person, payments
have been made for less than 120, 180, or 240 months, as elected, We will
continue to make payments to the designated Beneficiary during the remainder of
the period.

OPTION 3.  JOINT AND LAST SURVIVOR LIFE ANNUITY
We will make periodic Annuity payments during the Joint lifetime of two persons
on whose lives payments are based and during the lifetime of the survivor.  No
more payments will be made after the death of the survivor.

OPTION 4.  JOINT AND LAST SURVIVOR LIFE ANNUITY - ANNUITY REDUCED ON DEATH OF
PRIMARY PAYEE We will make periodic Annuity payments during the Joint lifetime
of two persons on whose lives payments are based.  One of the two persons will
be designated as the primary payee.  The other will be designated as the
secondary payee.  On the death of the secondary payee, if survived by the
primary payee, We will continue to make periodic Annuity payments to the
primary payee in the same amount that would have been payable during the Joint
lifetime of the two persons.  On the death of the primary payee, if survived by
the secondary payee, We will continue to make periodic Annuity payments to the
secondary payee in an amount equal to 50% of the payments which would have been
made during the lifetime of the primary payee.  No further payments will be
made following the death of the survivor.

OPTION 5.  PERIOD CERTAIN ANNUITY
We will make periodic payments for the period selected.

OPTION 6.  OTHER ANNUITY OPTIONS
We will make any other arrangements for Annuity payments as may be mutually
agreed upon by You and Us.





                                       18
<PAGE>   39
================================================================================
                               GENERAL PROVISIONS
================================================================================

CONTRACT
The entire Contract between the Contract Owner  and Us consists of the
Contract, together with the application, if a copy of such application is
attached to the Contract when isssued and any Amendments, Riders or
Endorsements.

CERTIFICATE
You will receive an individual Certificate stating in substance the benefits
You are entitled to under the Certificate. The Certificate does not constitute
a part of the Contract.  The entire Certificate consists of the Certificate,
together with the data collection form, if a copy of such data collection form
is attached to the Certificate when issued and any Amendments, Riders or
Endorsements.

CERTIFICATE CHANGES
The only way this Certificate may be changed is by a written Amendment, Rider
or Endorsement signed by one of Our officers.

INCONTESTABILITY
We will not contest this Certificate from its Certificate Date.

MISSTATEMENT
If an Annuitant's date of birth was misstated, all benefits of this Certificate
are what the Purchase Payment(s) paid would have purchased at the correct Age.
Proof of the Annuitant's Age may be filed at any time at Our Office.

SUBSTITUTION OF UNDERLYING FUNDS
If it is not possible to continue to offer an Underlying Fund, or in Our
judgment becomes inappropriate for the purposes of  a Certificate, We may
substitute another Underlying Fund without Your consent.  Substitution may be
made with respect to both existing investments and investment of future
Purchase Payments and associated credits.  However, no such substitution will
be made without notice to You and without prior approval of the Securities and
Exchange Commission, to the extent required by law.

TERMINATION
We reserve the right to terminate this Certificate on any Valuation Date if the
Certificate Value is less than the Termination Amount stated on the Certificate
Specifications page.  Termination will not occur until 31 days after We have
mailed notice of Termination to You at Your last known address.  If this
Certificate is terminated, We will pay You the Certificate Cash Surrender
Value, if any, no later than five business days following Our mailing the
written notice of Termination to You at the most current address available on
Our records.  Termination of this Certificate will not affect payments We are
making under any Annuity options which began before the Termination date.

REQUIRED REPORTS
We will furnish a report to You as often as required by law, but at least once
in each Certificate Year before the due date of the first Annuity payment.  The
report will show the number of Accumulation Units credited to the Certificate
in each Funding Option and the corresponding Accumulation Unit Value as of the
date of the report.

VOTING RIGHTS
If required by federal law, You may have the right to vote at the meetings of
the shareholders of the Underlying Funds. If You have voting rights, We will
send a notice to You telling You the time and place of a meeting.  The notice
will also explain matters to be voted upon and how many votes You may exercise.

MORTALITY AND EXPENSES
Our actual mortality and expense experience will not affect the amount of any
Annuity payments or any other values under this Certificate.

NON-PARTICIPATING
This Certificate does not share in Our surplus earnings, so You will receive no
dividends under it.





                                       19
<PAGE>   40

TAXES BASED UPON PREMIUM OR VALUE
If there is a law or change in law assessing taxes against Us based upon the
premium or value of the Certificate, We reserve the right to charge You
proportionately for that tax.  This would include, but is not limited to, a tax
based upon Our realized net capital gains in the Funding Options, on which We
are not currently taxed.

CONFORMITY WITH STATE AND FEDERAL LAWS
This Certificate is governed by the law of the state in which it is delivered.
Any paid-up Annuity, Certificate Cash Surrender Value or death benefits that
are available under this Certificate is not less than the minimum benefits
required by the statutes of the state in which the Certificate is delivered.

Upon receiving appropriate state approval, We may at any time make any changes,
including retroactive changes, in this Certificate to the extent that the
change is required to meet the requirements of any law or regulation issued by
a governmental agency to which We or You are subject.

EMERGENCY PROCEDURE
We reserve the right to suspend or postpone the date of any payment of any
benefit or values for any Valuation Period (1) when the New York Stock Exchange
is closed; (2) when trading on the Exchange is restricted; (3) when an
emergency exists as determined by the Securities and Exchange Commission so
that disposal of the securities held in the Funding Options is not reasonably
practicable or it is not reasonably practicable to determine the value of the
Funding Option's net assets, or (4) during any other period when the Securities
and Exchange Commission, by order, so permits for the protection of security
holders.  Any provision of  this Certificate which specifies a Valuation Date
will be superseded by this Emergency Procedure.

RELATION OF THIS CERTIFICATE TO THE SEPARATE ACCOUNT AND FUNDING OPTIONS
We will have exclusive and absolute ownership and control of the assets of Our
Separate Account and the Funding Options. That portion of the assets of a
Separate Account or Funding Option equal to the reserves and other Certificate
liabilities with respect to such Separate Account or Funding Option shall not
be chargeable with liabilities arising out of any other business We conduct.
Our determination of the value of an Accumulation Unit and an Annuity Unit by
the method described in this Certificate will be conclusive.

REDUCTION OR ELIMINATION OF CERTIFICATE CHARGES
All charges and fees under the Certificate may be reduced or eliminated when
certain sales or administration of the Certificate result in savings or
reduction of expenses, and/or risks.





                                       20
<PAGE>   41
                          FIXED LIFE ANNUITY TABLES &
  VARIABLE LIFE ANNUITY TABLES AT 3% ASSUMED NET INVESTMENT FACTOR (A.N.I.F.)
                 GUARANTEED AMOUNT OF MONTHLY ANNUITY PAYMENTS
                 PURCHASED WITH EACH $1,000 OF PROCEEDS APPLIED

                    OPTIONS 1, AND 2- SINGLE LIFE ANNUITIES

<TABLE>
<CAPTION>
       UNISEX               NUMBER OF MONTHLY PAYMENTS GUARANTEED
      ADJUSTED          NONE          120          180          240
        AGE
         <S>            <C>           <C>          <C>          <C>
         45             3.44          3.43         3.42         3.40
         46             3.48          3.47         3.46         3.44
         47             3.53          3.52         3.50         3.48
         48             3.58          3.57         3.55         3.53
         49             3.63          3.61         3.60         3.57
         50             3.68          3.67         3.65         3.62
         51             3.74          3.72         3.70         3.67
         52             3.80          3.78         3.75         3.72
         53             3.86          3.84         3.81         3.77
         54             3.93          3.90         3.87         3.83
         55             4.00          3.97         3.94         3.88
         56             4.07          4.04         4.00         3.94
         57             4.15          4.12         4.07         4.01
         58             4.24          4.20         4.15         4.07
         59             4.33          4.28         4.22         4.14
         60             4.42          4.37         4.30         4.20
         61             4.52          4.47         4.39         4.28
         62             4.63          4.57         4.48         4.35
         63             4.75          4.67         4.57         4.42
         64             4.87          4.78         4.67         4.49
         65             5.01          4.90         4.77         4.57
         66             5.15          5.03         4.87         4.65
         67             5.30          5.16         4.98         4.72
         68             5.46          5.30         5.09         4.80
         69             5.64          5.45         5.20         4.87
         70             5.83          5.60         5.31         4.94
         71             6.04          5.76         5.43         5.01
         72             6.26          5.93         5.55         5.07
         73             6.50          6.11         5.66         5.13
         74             6.75          6.29         5.78         5.19
         75             7.03          6.49         5.89         5.24

</TABLE>
Dollar amounts of the monthly Annuity payments for the first and second options
are based on the Annuity 2000 Table (blended 80%/20% female/male).  The above
tables assume a year 2000 issue, and project mortality improvements into the
future using Projection Scale G.  These tables assume a net investment rate of
3% per Annum.

Calendar Year in which 1st payment is due:
Adjusted Age is Actual Age:

<TABLE>
<S>              <C>              <C>              <C>              <C>
1998-2000        2001-2005        2006-2010        2011-2015        2016-2020
minus 0          minus 1          minus 2          minus 3          minus 4

2021-2025        2026-2030        2031-2035        2036 AND LATER
minus 5          minus 6          minus 7          minus 8
</TABLE>





                                       21
<PAGE>   42


                          FIXED LIFE ANNUITY TABLES &
                  VARIABLE LIFE ANNUITY TABLES AT 3% A.N.I.F.
                 GUARANTEED AMOUNT OF MONTHLY ANNUITY PAYMENTS
                 PURCHASED WITH EACH $1,000 OF PROCEEDS APPLIED

                OPTION 3 -  JOINT AND LAST SURVIVOR LIFE ANNUITY
<TABLE>
<CAPTION>
 UNISEX
ADJUSTED
  AGES         45          50          55          60          65          70          75
   <S>        <C>         <C>         <C>         <C>         <C>         <C>         <C>
   45         3.17        3.23        3.29        3.34        3.37        3.39        3.41
   50         3.23        3.33        3.42        3.50        3.56        3.60        3.63
   55         3.29        3.42        3.55        3.67        3.77        3.85        3.91
   60         3.34        3.50        3.67        3.85        4.01        4.15        4.25
   65         3.37        3.56        3.77        4.01        4.25        4.47        4.66
   70         3.39        3.60        3.85        4.15        4.47        4.81        5.13
   75         3.41        3.63        3.91        4.25        4.66        5.13        5.62
</TABLE>




                OPTION 4 - JOINT AND LAST SURVIVOR LIFE ANNUITY
                    REDUCED BY 50% ON DEATH OF PRIMARY PAYEE



<TABLE>
<CAPTION>
                UNISEX ADJUSTED AGE
                    OF PRIMARY
                AND SECONDARY PAYEE            DOLLAR AMOUNT
                        <S>                        <C>
                        45                         3.30
                        50                         3.50
                        55                         3.76
                        60                         4.12
                        65                         4.60
                        70                         5.27
                        75                         6.25
</TABLE>


Dollar amounts of the monthly Annuity payments for the third and fourth options
are based on the Annuity 2000 Table (blended 80%/20% female/male).  The above
tables assume a year 2000 issue, and project mortality improvements into the
future using Projection Scale G.  These tables assume a net investment rate of
3% per Annum.

Calendar Year in which 1st  payment is due:
Adjusted Age is Actual Age:

<TABLE>
<S>              <C>              <C>              <C>              <C>
1998-2000        2001-2005        2006-2010        2011-2015        2016-2020
minus 0          minus 1          minus 2          minus 3          minus 4

2021-2025        2026-2030        2031-2035        2036 AND LATER
minus 5          minus 6          minus 7          minus 8
</TABLE>





                                       22
<PAGE>   43

          FIXED ANNUITY TABLE & VARIABLE ANNUITY TABLE AT 3% A.N.I.F.
                 GUARANTEED AMOUNT OF MONTHLY ANNUITY PAYMENTS
                 PURCHASED WITH EACH $1,000 OF PROCEEDS APPLIED

                   OPTION 5 - PAYMENTS FOR A PERIOD CERTAIN


<TABLE>
<CAPTION>
                             MONTHLY                                 MONTHLY
          NUMBER OF          PAYMENT              NUMBER OF          PAYMENT
            YEARS            AMOUNT                 YEARS            AMOUNT
             <S>              <C>                     <C>             <C>
             10               9.61                    21              5.32
             11               8.86                    22              5.15
             12               8.24                    23              4.99
             13               7.71                    24              4.84
             14               7.26                    25              4.71
             15               6.87                    26              4.59
             16               6.53                    27              4.47
             17               6.23                    28              4.37
             18               5.96                    29              4.27
             19               5.73                    30              4.18
             20               5.51
</TABLE>


    The dollar amounts of the monthly Annuity payments for the fifth
    option are based on a net investment rate of 3% per annum.





                                       23
<PAGE>   44




                  VARIABLE LIFE ANNUITY TABLES AT 5% A.N.I.F.
                 GUARANTEED AMOUNT OF MONTHLY ANNUITY PAYMENTS
                 PURCHASED WITH EACH $1,000 OF PROCEEDS APPLIED

                    OPTIONS 1, AND 2- SINGLE LIFE ANNUITIES

<TABLE>
<CAPTION>
       UNISEX                NUMBER OF MONTHLY PAYMENTS GUARANTEED
      ADJUSTED
        AGE            NONE           120           180            240
         <S>           <C>            <C>           <C>            <C>
         45            4.71           4.70          4.68           4.66
         46            4.75           4.73          4.71           4.69
         47            4.79           4.77          4.75           4.73
         48            4.83           4.81          4.79           4.76
         49            4.88           4.86          4.83           4.80
         50            4.93           4.90          4.88           4.84
         51            4.98           4.95          4.92           4.88
         52            5.03           5.00          4.97           4.92
         53            5.09           5.06          5.02           4.97
         54            5.15           5.12          5.07           5.02
         55            5.22           5.18          5.13           5.07
         56            5.29           5.24          5.19           5.12
         57            5.36           5.31          5.25           5.17
         58            5.44           5.39          5.32           5.23
         59            5.53           5.46          5.39           5.29
         60            5.62           5.55          5.46           5.35
         61            5.72           5.64          5.54           5.41
         62            5.82           5.73          5.62           5.47
         63            5.94           5.83          5.70           5.54
         64            6.06           5.94          5.79           5.61
         65            6.19           6.05          5.88           5.67
         66            6.33           6.17          5.98           5.74
         67            6.48           6.29          6.08           5.81
         68            6.64           6.42          6.18           5.87
         69            6.82           6.57          6.28           5.94
         70            7.00           6.71          6.39           6.00
         71            7.21           6.87          6.49           6.06
         72            7.43           7.03          6.60           6.12
         73            7.67           7.20          6.71           6.17
         74            7.93           7.38          6.82           6.22
         75            8.21           7.56          6.92           6.27
</TABLE>

Dollar amounts of the monthly Annuity payments for the first and second options
are based on the Annuity 2000 Table (blended 80%/20% female/male).  The above
tables assume a year 2000 issue, and project mortality improvements into the
future using Projection Scale G.  These tables assume a net investment rate of
5% per Annum.

Calendar Year in which 1st payment is due:
Adjusted Age is Actual Age:

<TABLE>
<S>              <C>              <C>              <C>              <C>
1998-2000        2001-2005        2006-2010        2011-2015        2016-2020
minus 0          minus 1          minus 2          minus 3          minus 4

2021-2025        2026-2030        2031-2035        2036 AND LATER
minus 5          minus 6          minus 7          minus 8
</TABLE>





                                       24
<PAGE>   45
                  VARIABLE LIFE ANNUITY TABLES AT 5% A.N.I.F.
                 GUARANTEED AMOUNT OF MONTHLY ANNUITY PAYMENTS
                 PURCHASED WITH EACH $1,000 OF PROCEEDS APPLIED

                OPTION 3 -  JOINT AND LAST SURVIVOR LIFE ANNUITY

<TABLE>
<CAPTION>
   UNISEX
    ADJUSTED
       AGE        45         50         55         60         65          70          75
       <S>       <C>        <C>        <C>        <C>        <C>         <C>         <C>
       45        4.44       4.50       4.55       4.59       4.62        4.65        4.67
       50        4.50       4.58       4.65       4.72       4.78        4.82        4.86
       55        4.55       4.65       4.76       4.87       4.96        5.04        5.10
       60        4.59       4.72       4.87       5.02       5.17        5.30        5.41
       65        4.62       4.78       4.96       5.17       5.39        5.60        5.79
       70        4.65       4.82       5.04       5.30       5.60        5.92        6.23
       75        4.67       4.86       5.10       5.41       5.79        6.23        6.71
</TABLE>





                OPTION 4 - JOINT AND LAST SURVIVOR LIFE ANNUITY
                    REDUCED BY 50% ON DEATH OF PRIMARY PAYEE


<TABLE>
<CAPTION>
               UNISEX ADJUSTED AGE OF
                      PRIMARY
                AND SECONDARY PAYEE           DOLLAR AMOUNT
                         <S>                       <C>
                         45                        4.57
                         50                        4.74
                         55                        4.98
                         60                        5.30
                         65                        5.76
                         70                        6.42
                         75                        7.39
</TABLE>


Dollar amounts of the monthly Annuity payments for the third and fourth options
are based on the Annuity 2000 Table (blended 80%/20% female/male).  The above
tables assume a year 2000 issue, and project mortality improvements into the
future using Projection Scale G.  These tables assume a net investment rate of
5% per Annum.

Calendar Year in which 1st payment is due:
- -Adjusted Age is Actual Age:

<TABLE>
<S>              <C>              <C>              <C>              <C>
1998-2000        2001-2005        2006-2010        2011-2015        2016-2020
minus 0          minus 1          minus 2          minus 3          minus 4

2021-2025        2026-2030        2031-2035        2036 AND LATER
minus 5          minus 6          minus 7          minus 8
</TABLE>





                                       25
<PAGE>   46

                     VARIABLE ANNUITY TABLES AT 5% A.N.I.F.
                 GUARANTEED AMOUNT OF MONTHLY ANNUITY PAYMENTS
                 PURCHASED WITH EACH $1,000 OF PROCEEDS APPLIED

                   OPTION 5 - PAYMENTS FOR A PERIOD CERTAIN


<TABLE>
<CAPTION>
                              MONTHLY                                 MONTHLY
             NUMBER OF        PAYMENT               NUMBER OF         PAYMENT
              YEARS           AMOUNT                  YEARS           AMOUNT
                <S>            <C>                     <C>             <C>
                10             10.51                   21              6.33
                11              9.77                   22              6.17
                12              9.16                   23              6.02
                13              8.64                   24              5.88
                14              8.20                   25              5.76
                15              7.82                   26              5.65
                16              7.49                   27              5.54
                17              7.20                   28              5.45
                18              6.94                   29              5.36
                19              6.71                   30              5.28
                20              6.51
</TABLE>


        The dollar amounts of the monthly Annuity payments for the fifth
        option are based on a net investment rate of 5% per annum.



                  This page has been left intentionally blank.



                                       26
<PAGE>   47





                  This page has been left intentionally blank.









                                       2
<PAGE>   48

 CERTIFICATE OF PARTICIPATION UNDER A DEFERRED FLEXIBLE PREMIUM VARIABLE ANNUITY
                                 GROUP CONTRACT
                                  TAX QUALIFIED





    ELECTIVE OPTIONS                                  NON-PARTICIPATING











                                       3
<PAGE>   49






                 OPTIONAL DEATH BENEFIT AND CREDIT ENDORSEMENT


This rider is made a part of the Contract/Certificate to which it is attached
and is effective as of the date it is attached to the Contract/Certificate.
This rider supersedes any existing language contained in the
Contract/Certificate or any attached rider/endorsement.  The
Contract/Certificate is hereby endorsed as follows:

I.  The section entitled "Funding Option Deductions" on the
Contract/Certificate Specifications is deleted and replaced with the following:

FUNDING OPTION DEDUCTIONS
The annual mortality and expense risk deduction is 1.25% for all Funding
Options listed on the Contract/Certificate Specifications and is deducted on a
pro rata basis from all Underlying Funds in a Certificate.  This amounts to a
daily deduction of 0.00003425.

II. A new section is added to the "PURCHASE PAYMENT" provision of the
Contract/Certificate as follows:

CREDITS
We will add a credit to a Certificate with each Purchase Payment.  Each credit
is added to the Certificate Value when the applicable Purchase Payment is
applied to a Certificate.  The credit will be equal to 2% of each Purchase
Payment.

Credits are applied pro rata to the Funding Options in the same ratio as the
applicable Purchase Payment.

III. The section entitled "DEATH PROCEEDS PRIOR TO THE MATURITY DATE" is
deleted from the Contract/Certificate and replaced with the following:

                   DEATH PROCEEDS PRIOR TO THE MATURITY DATE

WHERE THE ANNUITANT WAS YOUNGER THAN AGE 70 ON THE CERTIFICATE DATE
The death benefit payable as of the Death Report Date will be the greatest of
(a), (b) or (c) below, less any applicable premium tax:

     (a) the Certificate Value on the Death Report Date;
     (b) the total Purchase Payments made under a Certificate, less the total
         amount of any partial surrenders; or
     (c) the maximum of all Step-Up Death Benefit Values (as described below)
         in effect on the Death Report Date which are associated with
         Certificate Date anniversaries beginning with the fifth Certificate
         Date anniversary, and ending with the last Certificate Date
         anniversary occurring on or before the Annuitant's 76th birthday.

We must be notified no later than six months from the date of death in order
for Us to make payment of proceeds as described above.  If notification is
received more than six months after the date of death, the death benefit
payable will be the Certificate Value on the Death Report Date, less any
applicable premium tax.

WHERE THE ANNUITANT WAS AGE 70 THROUGH 75 ON THE CERTIFICATE DATE
The death benefit payable as of the Death Report Date will be the greatest of
(a), (b) or (c) below, less any applicable premium tax:

     (a) the Certificate Value on the Death Report Date;
     (b) the total Purchase Payments made under a Certificate, less the total
         amount of any partial surrenders; or
     (c) the Step-Up Death Benefit Value (as described below) in effect on the
         Death Report associated with the fifth Certificate Date anniversary.

We must be notified no later than six months from the date of death in order
for Us to make payment of proceeds as described above.  If notification is
received more than six months after the date of death, the death benefit
payable will be the Certificate Value on the Death Report Date, less any
applicable premium tax.

WHERE THE ANNUITANT WAS AGE 76 THROUGH 80 ON THE CERTIFICATE DATE
The death benefit payable as of the Death Report Date will be the greatest of
(a) or (b) below, less any applicable premium tax:


                                       4
<PAGE>   50
     (a) the Certificate Value on the Death Report Date;
     (b) the total Purchase Payments made under a Certificate, less the total
         amount of any partial surrenders.

We must be notified no later than six months from the date of death in order
for Us to make payment of proceeds as described above.  If notification is
received more than six months after the date of death, the death benefit
payable will be the Certificate Value on the Death Report Date, less any
applicable premium tax.

WHERE THE ANNUITANT WAS OLDER THAN AGE 80 ON THE CERTIFICATE DATE
The death benefit payable as of the Death Report Date will be Certificate Value
on the Death Report Date less any applicable premium tax.

STEP-UP DEATH BENEFIT VALUE

A separate Step-Up Death Benefit Value will be established on the fifth
Certificate Date anniversary, and on each Certificate Date anniversary
thereafter which occurs on or prior to the Death Report Date, and will
initially equal the Certificate Value on that anniversary.  After a Step-Up
Death Benefit Value has been established, it will be recalculated each time a
Purchase Payment is made or a partial surrender is taken until the Death Report
Date.  Step-Up Death Benefit Values will be recalculated by increasing them by
the amount of each applicable Purchase Payment and by reducing them by a
Partial Surrender Reduction (as described below) for each applicable partial
surrender.  Recalculations of Step-Up Death Benefit Values related to any
Purchase Payments or any partial surrenders will be made in the order that such
Purchase Payments or partial surrenders occur.

PARTIAL SURRENDER REDUCTION

The Partial Surrender Reduction referenced above is equal to:

     (a) the amount of a Step-Up Death Benefit Value immediately prior to the
         reduction for the partial surrender, multiplied by
     (b) the amount of the partial surrender divided by the Certificate Value
         immediately prior to the partial surrender.

                                THE TRAVELERS INSURANCE COMPANY

                                        /s/ M.A. CARPENTER

                                         President






                                       5
<PAGE>   51

                             ANNUITY BENEFITS RIDER

This rider is made part of the Contract/Certificate to which it is attached and
is effective as of the date it is attached to the Contract/Certificate.  The
following Annuity benefits are available in conjunction with the Annuity
options as described in the Settlement Provisions of the Contract/Certificate.

VARIABLE ANNUITIZATION FLOOR BENEFIT
We reserve the right to not offer this benefit if market conditions dictate.

Upon a variable annuitization, we guarantee that regardless of the performance
of the Underlying Fund(s), the Certificate Owner's periodic Annuity payments
associated with such annuitization will never be less than a percentage of the
first Annuity payment associated with such annuitization.  For each
annuitization, this percentage will be set at the time of annuitization, and
will not change throughout the term of the annuitization.  From time to time,
this percentage may vary for new annuitizations based upon the market cost of
offering this benefit, but this percentage will never be less than 50%.

For any annuitization where the Certificate Owner has elected this benefit,
he/she may allocate the amount applied to the Annuity only among Underlying
Funds which are available with the Floor Benefit.  Once Annuity payments have
begun, the Certificate Owner may transfer all or any part of his/her Annuity
Units only among Underlying Funds which are available with the Floor Benefit.

Upon election of this benefit, the Funding Option Deduction for each Underlying
Fund available with the Floor Benefit will be increased by a Floor Benefit
Charge.  For each annuitization, this charge will be set at the time of
annuitization for each Underlying Fund and will not change throughout the term
of the annuitization.   From time to time, this charge may vary for new
annuitizations based upon the market cost of offering this benefit, but the
Floor Benefit Charge will never increase the Funding Option Deduction for each
Underlying Fund by more than 3% when expressed on an annualized basis.


We reserve the right to:
1.  make available more or fewer Underlying funds with this benefit at Our
    discretion;
2.  not offer this benefit in conjunction with various Annuity Options
    available in the Contract/Certificate;
3.  restrict the choice of Assumed Net Investment Factor available for this
    benefit;
4.  limit the availability of this benefit based on the Annuitant's age at the
    time of annuitization; and
5.  restrict the amount of Certificate Value to be annuitized under this
    benefit.

VARIABLE LIQUIDITY BENEFIT
This benefit is only offered with Annuity Options with period certain payments.
This benefit is not offered in conjunction with the Variable Annuitization
Floor Benefit.

At any time after the first Certificate Year, the Certificate Owner may receive
a payment equal to a portion of, or all of, the present value of the remaining
period certain payments, less a surrender charge of 5% of the amount withdrawn.
The interest rate used to calculate the present value is the Assumed Net
Investment Factor chosen by the Certificate Owner for that annuitization.  The
remaining period certain payments are assumed to be level payments equal to the
most recent period certain payment prior to the request for this liquidity
benefit.  If the Certificate Owner requests a percentage of the total amount
available, then the remaining period certain payments will be reduced by that
percentage for the remainder of the certain period.  After the certain period
expires,  any remaining payments, if applicable, will not be affected by the
utilization of this benefit.

FIXED LIQUIDITY BENEFIT
This benefit is only offered with Annuity Options with period certain payments.

At any time after the first Certificate Year, the Certificate Owner may receive
a payment equal to a portion of, or all of, the present value of the remaining
period certain payments, less a surrender charge of 5% of the amount withdrawn.
The interest rate used to calculate the present value is the then current
annual rate of return offered by Us on new Fixed Annuity period certain only
annuitizations for a period of time equal to the number of days remaining in
the Certificate Owner's certain period at the time of request for this benefit.
If the number of days remaining is less than the minimum length of time for
which We offer a new Fixed Annuity period certain only annuitization, then the
interest rate will be the rate of return for that minimum length of time.  The
current rate of return offered by Us is the implicit rate of return based upon
the amount applied to annuitization, and the periodic payments paid by Us.  The
formula for calculating the present value is as follows:



                                       6
<PAGE>   52
                          n                             
          Present Value = (SIGMA) [Payment(s) x (1/1 + ic) (t/365)]
                          s=1

          where:  ic = the interest rate described above, and

                  n  = the number of payments remaining in the Certificate
                       Owner's certain period at the time of request for
          this benefit

                  t  = the number of days remaining until that payment is made,
                       adjusting for leap years.

If the Certificate Owner requests a percentage of the total amount available,
then the remaining period certain payments will be reduced by that percentage
for the remainder of the certain period. After the certain period expires, any
remaining payments, if applicable, will not be affected by the utilization of
this benefit.


                             THE TRAVELERS INSURANCE COMPANY

                                      /s/ M.A. CARPENTER

                                      President





                                       7
<PAGE>   53




                                     RIDER
           WAIVER OF WITHDRAWAL OR SURRENDER CHARGE FOR NURSING HOME
                                  CONFINEMENT

This rider is made a part of the Contract/Certificate to which it is attached.
The effective date of this Rider is one year after the Certificate Date shown
on the Certificate Specifications page of the Certificate.  This Rider
supersedes any existing language contained in the Contract/ Certificate or any
attached rider/endorsement.

If after the effective date of this Rider, and prior to the Maturity Date of
the Certificate, the Annuitant begins confinement in an Eligible Nursing Home,
and remains confined for the Qualifying Period, the Certificate Owner may make
a total or partial withdrawal, subject to the Maximum Withdrawal Amount,
without incurring a Withdrawal or Surrender Charge.  We will waive the
Withdrawal or Surrender Charge only for withdrawals made during continued
confinement in an Eligible Nursing Home after the Qualifying Period has been
satisfied, or within sixty (60) days after such confinement ends.  We will
require proof of confinement in a form satisfactory to Us.  Part of the proof
may be certification by a licensed physician that such confinement is medically
necessary.

DEFINITIONS:

An ELIGIBLE NURSING HOME is an institution or special nursing unit of a
hospital which:

         (a)  Is Medicare approved as a provider of skilled nursing care
              services; and

         (b)  Is not, other than in name only, an acute care hospital, a home
              for the aged, a retirement home, a rest home, a community living
              center, or a place mainly for the treatment of alcoholism, mental
              illness or drug abuse.

                                       OR

Meets all of the following standards:

         (a)  It is licensed as a Nursing Care Facility by the state in which
              it is located;

         (b)  It is either a freestanding facility or a distinct part of
              another facility such as a ward, wing, unit or swing-bed of a
              hospital or other facility;

         (c)  It provides nursing care to individuals who are not able to care
              for themselves and who require nursing care;

         (d)  Its primary function is to provide nursing care and room and
              board; and the facility charges for these services.  The care
              must be performed under the direction of a licensed physician,
              or registered nurse (RN), or licensed practical nurse (LPN);

         (e)  It may include care provided by a licensed physical, respiratory,
              occupational or speech therapist; and

         (f)  It is not, other than in name only, an acute care hospital, a
              home for the aged, a retirement home, a rest home, a community
              living center, or a place mainly for the treatment of alcoholism,
              mental illness or drug abuse.

QUALIFYING PERIOD is confinement in an Eligible Nursing Home for 90 consecutive
days.



                                       8
<PAGE>   54



MAXIMUM WITHDRAWAL AMOUNT
The Maximum Withdrawal Amount available without incurring a Withdrawal or
Surrender Charge is the Certificate Value on the next Valuation Date following
written proof of claim, minus any Purchase Payments and associated credits made
within a one year period prior to the date confinement in an Eligible Nursing
Home begins, minus any additional Purchase Payments and associated credits made
on or after the Annuitant's 71st birthday.

NOTICE OF CLAIM
Written notice of claim must be given to Us following completion of the
Qualifying Period, and either while the Annuitant continues to be confined or
within 60 days after discharge from the Eligible Nursing Home.  If notice
cannot be given to Us within 60 days, it must be given as soon as reasonably
possible.

PAYMENT OF CLAIMS
Benefits payable under this Rider will be paid as soon as We receive proper
written proof of claim.  The portion of the Certificate Value that is
surrendered will be paid in a lump sum to the Certificate Owner.

TAX IMPLICATIONS
Receipt of any portion of the Certificate Value may be taxable.  The
Certificate Owner should consult with his/her tax advisor.


                                 THE TRAVELERS INSURANCE COMPANY

                                            /s/ M.A. CARPENTER
    
                                            President








                                       9
<PAGE>   55




               INDIVIDUAL RETIREMENT ANNUITY QUALIFICATION RIDER

As requested by the Contract/Certificate Owner (hereinafter referred to as You
or Your), this Contract/Certificate (hereinafter referred to as Certificate) is
amended as follows to qualify as an Individual Retirement Annuity (IRA) under
Section 408(b) of the Code of 1986, as amended.  The provisions of this rider
supersede any contrary provisions in the Certificate.

EXCLUSIVE BENEFIT

This Certificate is established for the exclusive benefit of You or Your
Beneficiaries.

OWNER

This Certificate belongs to the Certificate Owner shown on the CERTIFICATE
SPECIFICATIONS.  As Certificate Owner, You have the sole power to exercise
rights and receive benefits under this Certificate during the Annuitant's
lifetime.  In order to maintain tax qualification, this Certificate may not be
sold, assigned, transferred, discounted or pledged as collateral for a loan or
as security for the performance of an obligation or for any other purpose
except as may be required or permitted under applicable sections of the Code.
We will administer this Certificate only as an Individual Retirement Annuity.

You will be the recipient of all payments while the Annuitant is alive unless
You direct them to an alternative recipient under a Recorded payment direction.
An alternative recipient under a payment direction does not become the
Certificate Owner.  A payment direction is revocable by You at any time by
Written Request giving 30 days advance notice.

Joint ownership is not permitted under this Certificate.

TRANSFER OF OWNERSHIP/ASSIGNMENT

This Certificate shall not be pledged or otherwise encumbered and it shall not
be sold, assigned, or otherwise transferred to any other person or entity other
than us.  No loans shall be made under this Certificate.

CREDITOR CLAIMS

To the extent permitted by law, no right or benefit of the Certificate Owner,
Annuitant or Beneficiary under this Certificate shall be subject to the claims
or creditors or any legal process.

BENEFICIARY

The Beneficiary is the party named in a Written Request.  The Beneficiary
receives any remaining contractual benefits upon the death of the Annuitant.
You may change or add a Beneficiary by Written Request during the lifetime of
the Annuitant and while this Certificate continues.  Once a change of
Beneficiary is Recorded by Us, it will be effect as of the date of the request,
subject to any payments made or other actions taken by Us before the recording.

If no Beneficiary has been named by You, or none survives when the Annuitant
dies, the interest of any Beneficiary will pass to the estate of the
Certificate Owner.

ANNUITANT/CONTINGENT ANNUITANT

The Annuitant is the individual shown on the CERTIFICATE SPECIFICATIONS on
whose life the first Annuity payment is made.  The Annuitant may not be changed
after the Certificate Date except as may be provided hereunder.

No contingent annuitant is permitted under this Certificate.

DEATH OF ANNUITANT/DEATH OF CERTIFICATE OWNER WITH ANNUITANT SURVIVING

A death benefit is payable to the Beneficiary upon the death of the Annuitant
before the Maturity Date.  A death benefit is also payable under those
Settlement Options which provide for death benefits.  We will pay the
Beneficiary the death benefit in a single sum as described below upon receiving
Due Proof of Death.  A Beneficiary may request that a death benefit payable
under this Certificate be applied to a Settlement Option subject to the
provisions of this Certificate.



                                       10
<PAGE>   56

ELECTION OF SETTLEMENT OPTIONS

On the Maturity Date, or other agreed upon date, We will pay the amount payable
under this Certificate in one lump sum or in accordance with the Option elected
by You.  While the Annuitant is alive You may change Your Settlement Option
election by Written Request, but only before the Maturity Date.  Once Annuity
payments have commenced, no further election changes are allowed.

If no election has been made on the Maturity Date and if the Annuitant is
living and has a spouse, We will pay to You the first of a series of Fixed
level monthly Annuity payments based on the life of the Annuitant as primary
payee and the Annuitant's spouse as secondary payee in accordance with Annuity
Option 4.  During the Annuitant's lifetime, if no election has been made and
the Annuitant has no spouse on the Maturity Date, We will pay to You the first
of a series of Fixed level monthly Annuity payments based on the life of the
Annuitant, in accordance with Annuity Option 2, with 120 monthly payments
assured.


LIMITATION ON PURCHASE PAYMENTS

Notwithstanding the provisions of the Certificate and except in the case of a
rollover contribution (as permitted by Section 402(c), 403(a)(4), 403(b)(8), or
408(d)(3) of the Code) or a contribution made in accordance with the terms of a
Simplified Employee Pension (SEP) program as described in Section 408(k) of the
Code, the total contributions shall not exceed the lesser of $2,000 or 100% of
compensation for any taxable year.  In the case of a spousal IRA, the maximum
contribution shall not exceed the lesser of $4,000 or 100% of compensation, but
no more than $2,000 can be contributed to either spouse's IRA.  In the case of
a Simplified Employee Pension Plan qualifying under Section 408(k), the annual
contribution under the Certificate may not exceed the lesser of $30,000 or 15%
of compensation.  No contributions will be accepted unless they are in cash.

The amount of purchase payments beyond the minimum purchase payment under this
Certificate is not fixed.  The minimum purchase payment must be received as a
rollover (see Section X).  Payment of purchase payments beyond the first will
not be required to continue this Certificate.

Purchase payments after the first will not be required to continue this
Certificate in force.  We reserve the right, however, to terminate this
Certificate when no purchase payments have been made for at least two
consecutive years and the Certificate Value is less than the Termination amount
of $2,000 or the paid up Annuity benefit at maturity would be less than $20 per
month.  If this Certificate is terminated, We will pay You the Certificate Cash
Surrender Value, if any.

COMPENSATION

Compensation means wages, salaries, professional fees, or other amounts derived
from or received from personal service actually rendered (including, but not
limited to, commissions) and includes earned income as defined in Code Section
401(c)(2).  Compensation does not include amounts received as earnings or
profits from property or amounts not includable in gross income.  Compensation
also does not include any amount received as a pension or Annuity or as
deferred compensation.  The term compensation shall include any amount
includible in the individual's gross income under Code Section 71 with respect
to a divorce or separation instrument.

DISTRIBUTION OF BENEFITS

Notwithstanding any provision of this Certificate to the contrary, the
distribution of an individual's interest shall be made in accordance with the
minimum distribution requirements of Section 408(a)(6) or Section 408(b)(3) of
the Code and the regulations thereunder, including the incidental death benefit
provisions of Section 1.401(a)(9)-2 of the proposed regulations, all of which
are herein incorporated by reference.

Your entire interest in the account must be distributed, or begin to be
distributed, by Your required beginning date, which is the April 1 following
the calendar year in which You reach age 70 1/2.  For each succeeding year, a
distribution must be made on or before December 31.  By the required beginning
date You may elect to have the balance in the account distributed in one of the
following forms:

         1. a single sum payment;





                                       11
<PAGE>   57
         2. equal or substantially equal payments over Your life;

         3. equal or substantially equal payments over the lives of You and
            Your designated Beneficiary;

         4. equal or substantially equal payments over a specified period that
            may not be longer than Your life expectancy;

         5. equal or substantially equal payments over a specified period that
            may not be longer than the joint life and last survivor expectancy
            of You and Your designated Beneficiary.

MINIMUM AMOUNTS TO BE DISTRIBUTED

If Your interest is to be distributed in other than a lump sum or substantially
equal amounts as discussed above, then the amount to be distributed each year,
commencing at Your required beginning date, must be at least an amount equal to
the quotient obtained by dividing Your entire interest by Your life expectancy
or the joint and survivor expectancy of You and Your designated Beneficiary.

Life expectancy and joint and last survivor expectancy are computed by use of
the return multiples contained in section 1.72-9 of the Income Tax Regulations.
For purposes of this computation, the Certificate Owner's life expectancy may
be recalculated no more frequently than annually; however, the life expectancy
of a non-spouse Beneficiary may not be recalculated.

If Your designated Beneficiary is not Your spouse, then the minimum amount
required to be distributed shall be the greater of the amount determined above,
or the amount determined under the incidental benefit rules set forth in
Treasury Regulation Section 1.401(a)(9)-2.

DEATH

If You die before Your entire interest is distributed, the entire remaining
interest will be distributed as follows:

         1. If You die on or after distributions have begun under the
            DISTRIBUTION OF BENEFITS section, the entire remaining interest must
            be distributed at least as rapidly as provided under the
            DISTRIBUTION OF BENEFITS section.

         2. If You die before distributions have begun under the DISTRIBUTION
            OF BENEFITS section, the entire remaining interest must be
            distributed as elected by You, or, if You have not so elected, as
            elected by the Beneficiary or Beneficiaries, as follows:

                 a) by December 31st of the year containing the fifth
                    anniversary of Your death; or
                 b) in equal or substantially equal payments over the life or
                    life expectancy of the designated Beneficiary or
                    Beneficiaries starting by December 31st of the year
                    following the year of Your death.  If the Beneficiary is
                    Your surviving spouse and he or she elects to treat this
                    contract as his or her own, this distribution may be
                    deferred until December 31st of the year You would have
                    turned age 70 1/2.

If Your surviving spouse dies before distributions begin, the restrictions in
paragraphs 2 (a) and (b) above shall apply.

Unless otherwise elected by You prior to the commencement of distributions
under the DISTRIBUTION OF BENEFITS section, or, if applicable, by the surviving
spouse where You die before distributions have commenced, life expectancies of
You or Your spousal Beneficiary shall be recalculated annually for purposes of
distributions under the DISTRIBUTION OF BENEFITS section and the DEATH section.
An election not to recalculate shall be irrevocable and shall apply to all
subsequent years.  The life expectancy of a non-spouse Beneficiary shall not be
recalculated.

ALTERNATIVE CALCULATION METHOD

An individual may satisfy the minimum distribution requirements under section
408(a)(6) and 408(b)(3) of the Code by receiving a distribution for one IRA
that is equal to the amount required to satisfy the minimum distribution
requirements for two or more IRAs.  For this purpose, the owner of two or more
IRAs may use the alternative method described in Notice 88-38, 1988-1 C.B. 524,
to satisfy the minimum distribution requirements described above.

NONFORFEITABILITY





                                       12
<PAGE>   58
Your entire interest in this Certificate is nonforfeitable.





ROLLOVERS

A.  Subject to subparagraphs (B) and (C) hereof, and the limitations stated in
    the Certificate, You may transfer to this Certificate Your interest in any
    of the following:

    1.  the entire amount, or any portion thereof, under any other individual
        retirement account or individual retirement  Annuity qualified under
        Section 408 of the Code;

    2.  the entire amount, or any portion thereof, excluding nondeductible
        employee voluntary contributions, under a trust described in Section
        401(a) of the Code which is exempt from tax under Section 501(a) of the
        Code or under a qualified annuity plan described in Section 403(a) of
        the Code.

    3.  the entire amount or any portion thereof, excluding nondeductible
        employee voluntary contributions, to which You are entitled under a tax
        sheltered annuity described in Section 403(b) of the Code.

    Distributions You roll over from retirement plans or arrangements described
    in A.2. and A.3. above to this Certificate must be completed by means of a
    direct transfer or rollover in accordance with Code Section 401(a)(31) in
    order to avoid the mandatory 20% income tax withholding from the
    distribution and a possible 10% additional tax penalty under Code Section
    72(t).  You may replace amounts withheld from other sources to complete the
    full rollover, but the 10% penalty may continue to be due if You do not
    specify that the transfer of the distribution be conducted by direct
    transfer or rollover.

B.  You shall not make a rollover under subparagraph (A)(1) hereof during the
    12 month period commencing on the date You last made a rollover
    contribution of the type described in subparagraph (A)(1).

C.  We must receive any amount which qualifies for a rollover within 60 days
    after You receive the distribution.

DISTRIBUTIONS PRIOR TO AGE 59 1/2

Except in the event of Your death, disability or attainment of age 59 1/2, we
shall receive from you a declaration of Your intention as to the disposition of
the amounts distributed before making any distribution from this Certificate.

REPORTS

As the issuer of this Certificate, we will furnish reports concerning the
status of the Annuity at least annually.

DISABILITY PAYMENTS

If the Certificate contains a Rider for waiver of premium and disability
payment benefits, any disability payments provided for in the CERTIFICATE
SPECIFICATIONS will be applied as purchase payments under the Certificate.

AMENDMENT

This Certificate may be amended by Us at any time to maintain its qualified
status under Section 408(b) of the Code, following all regulatory approvals.
Any such amendment may be made retroactively effective if necessary or
appropriate to conform to the requirements of the Code (or any State law
granting IRA tax benefits).


                                        THE TRAVELERS INSURANCE COMPANY
     
                                              /s/ M.A. CARPENTER

                                              President





                                       13
<PAGE>   59





                   TAX-SHELTERED ANNUITY QUALIFICATION RIDER


If the Certificate/Contract Owner (hereinafter referred to as You or Your) of
this Certificate/Contract (hereinafter referred to as Certificate) requested
that it be issued to comply with Section 403(b) of the Code, the following
conditions, restrictions and limitations to this Certificate.  The provisions
in this rider supersede any contrary provisions in the Certificate.

OWNER

This Certificate belongs to the Certificate Owner shown on the CERTIFICATE
SPECIFICATIONS.  As Certificate Owner, You have the sole power to exercise
rights and receive benefits under this Certificate during the Annuitant's
lifetime.  In order to maintain tax qualification, this Certificate may not be
sold, assigned, transferred, discounted or pledged as collateral for a loan or
as security for the performance of an obligation or for any other purpose
except as may be required or permitted under applicable sections of the Code.
We will administer this Certificate only as a Tax Qualified Certificate under
Section 403(b) of the Code.

You will be the recipient of all payments while the Annuitant is alive unless
You direct them to an alternative recipient under a Recorded payment direction.
An alternative recipient under a payment direction does not become the
Certificate Owner.  A payment direction is revocable by You at any time by
Written Request giving 30 days advance notice.

Joint ownership is not permitted under this Certificate.

TRANSFER OF OWNERSHIP/ASSIGNMENT

This Certificate shall not be pledged or otherwise encumbered and it shall not
be sold, assigned, pledged as collateral for a loan, or otherwise transferred
to any other person or entity other than Us.

CREDITOR CLAIMS

To the extent permitted by law, no right or benefit of the Certificate Owner,
Annuitant or Beneficiary under this Certificate shall be subject to the claims
of creditors or any legal process.

BENEFICIARY

The Beneficiary is the party named in a Written Request.  The Beneficiary
receives any remaining contractual benefits upon the death of the Annuitant.
You may change or add a Beneficiary by Written Request during the lifetime of
the Annuitant and while this Certificate continues, subject to the Annuitant's
provided in this rider.  Once a change of Beneficiary is Recorded by Us, it
will be effect as of the date of the request, subject to any payments made or
other actions taken by Us before the recording.

If no Beneficiary has been named by You, or none survives when the Annuitant
dies, the interest of any Beneficiary will pass:

         a)  to Your estate; or
         b)  to the trustee or plan administrator of a trusteed Tax Qualified
             plan certificate for further distribution in accordance with the
             plan.

ANNUITANT/CONTINGENT ANNUITANT

The Annuitant is the individual shown on the CERTIFICATE SPECIFICATIONS on
whose life the first Annuity payment is made.  The Annuitant may not be changed
after the Certificate Date except as may be provided hereunder.

No contingent Annuitant is permitted under this Certificate.

DEATH OF ANNUITANT/DEATH OF CERTIFICATE OWNER WITH ANNUITANT SURVIVING

A death benefit is payable to the Beneficiary upon the death of the Annuitant
before the Maturity Date.  A death benefit is also payable under those
Settlement Options which provide for death benefits.  We will pay the
Beneficiary the death benefit in a single sum as described below upon receiving
Due Proof of Death.  A Beneficiary may request that a death benefit payable
under this Certificate be applied to a Settlement Option subject to the
provisions of this Certificate.



                                       14
<PAGE>   60





ELECTION OF SETTLEMENT OPTIONS

On the Maturity Date, or other agreed upon date, We will pay the amount payable
under this Certificate in one lump sum or in accordance with the Option elected
by You.  While the Annuitant is alive You may change Your Settlement Option
election by Written Request, but only before the Maturity Date.  Once Annuity
payments have commenced, no further election changes are allowed.

If no election has been made on the Maturity Date and if the Annuitant is
living and has a spouse, We will pay to You the first of a series of Fixed
level monthly Annuity payments based on the life of the Annuitant as primary
payee and the Annuitant's spouse as secondary payee in accordance with Annuity
Option 4.  During the Annuitant's lifetime, if no election has been made and
the Annuitant has no spouse on the Maturity Date, We will pay to You the first
of a series of Fixed level monthly Annuity payments based on the life of the
Annuitant, in accordance with Annuity Option 2, with 120 monthly payments
assured.

ELECTIVE DEFERRAL CONTRIBUTION LIMITS

In order to meet the qualification requirements of Code Section 403(b),
elective deferral contributions may not exceed the limitations in effect under
Code Section 402(g).

This rule is an individual limitation that applies to all elective deferral
plans, contracts or arrangements in the aggregate.

WITHDRAWAL RESTRICTIONS

To qualify as a Certificate which can defer compensation under a Code Section
403(b) plan or arrangement, the withdrawal restrictions under Code Section
403(b)(11) must be met.

Withdrawals attributable to contributions made pursuant to a salary reduction
agreement may be paid only upon or after attainment of age 59 1/2, separation
from service, death, total or permanent disability (as defined in Code Section
72(m)(7)) or in the case of hardship (as defined in the Treasury Regulations).
The hardship exception applies only to the salary reduction contributions and
not to any income attributable to such contribution.

These withdrawal restrictions apply to years beginning after December 31, 1988
but only with respect to assets other than those assets held as of the close of
the last year beginning before January 1, 1989.

If contributions attributable to a custodial account described in Section
403(b)(7) of the Code are transferred to this Certificate, the following
conditions, restrictions, and limitations apply:

         Withdrawals attributable to these transferred contributions may be
         paid only upon or after attainment of age 59 1/2, separation from
         service, death, or total and permanent disability (as defined in Code
         Section 72(m)(7)).

         Withdrawals on account of hardship may be made only with respect to
         assets attributable to a custodial account as of the close of the last
         year beginning before January 1, 1989 and amounts contributed
         thereafter under a salary reduction agreement but not to any income
         attributable to such conditions.


ELIGIBLE ROLLOVERS

To the extent You are otherwise eligible for a distribution under this
Certificate, and provided the distribution is an eligible rollover
distribution, You may elect to have such distribution or a portion of it paid
directly to an eligible retirement plan.  You must specify the eligible
retirement plan to which such distribution is to be paid in a form and at such
time acceptable to Us.





                                       15
<PAGE>   61
Such distribution shall be made as of a direct transfer to the eligible
retirement plan so specified. Certificate surrender penalties may apply to all
rollovers.

Previously taxed amounts in this Certificate are not eligible for rollover.
Amounts that are rolled over are taxed generally until later distributed.  An
eligible rollover distribution includes generally any taxable distribution or
portion thereof from this Certificate except:

         a.    any distribution which is one of a series of substantially
               equal periodic payments made not less frequently than annually
               and made to You for life or life expectancy or to You or Your
               joint life beneficiary for joint lives or life expectancies,
               or for a specified period of 10 years or more, or


         b.    any distribution which is a required distribution as described
               below under "MANDATORY DISTRIBUTION REQUIREMENTS."

An eligible retirement plan includes an individual retirement annuity or
account described in Code Section 408.  It also includes a tax sheltered
annuity plan or arrangement under Code Section 403(b), provided it accepts
eligible rollovers and is a defined contribution plan.

If You receive a distribution that is eligible for rollover, but You receive
the check directly, then mandatory income tax withholding will be taken from
the distribution.  You may roll over the balance to an individual retirement
annuity or account within 60 days of receipt, and may make up the amount
withheld from other sources in the rollover in order to roll over the maximum
without possible early distribution tax penalty on the amount of the tax
withholding.

MANDATORY DISTRIBUTION REQUIREMENTS

In order to meet the qualification requirements of Code Section 403(b), all
plans must meet the required mandatory distribution rules in Code Section
401(a)(9).

Code Section 401(a)(9) states that a plan will not be qualified unless the
entire interest of each employee is distributed to such employee not later than
the "required beginning date" or over the life or life expectancy of such
employee or over the lives or joint life expectancy of such employee and a
designated Beneficiary.  Generally, the "required beginning date" means April 1
of the calendar year following the later of (1) the calendar year in which the
employee attains age 70 1/2, or (2) the calendar year in which the employee
retires, except that in the event that the employee is a 5% owner, the
"required beginning date" is April 1 of the calendar year in which the employee
attains age 70 1/2.

If the employee dies after the distribution has begun but before his/her entire
interest has been distributed, the remaining interest must be paid out at least
as rapidly as it was being paid out under the method of payment in effect at
the time of death.  If the employee dies before the distribution of his/her
entire interest has begun, the entire interest must be distributed within five
years after the employee's death or an Annuity payable over no longer than life
or life expectancy must be distributed to an electing designated Beneficiary
starting within one year of the employee's death.  A spousal designated
Beneficiary may elect to defer distributions until the employee would have
attained the age of 70 1/2.

ADMINISTRATIVE COMPLIANCE

If changes in the Code and related law, regulations and rulings require a
distribution greater than described above in order to keep this Certificate
qualified under the Code, we will administer the Certificate in accordance with
these laws, regulations and rulings.  We will provide You with a revised rider
describing any necessary changes, following all regulatory approvals.

AMENDMENT

Notwithstanding any provision in this Certificate or in the 403(b) plan of
which this Certificate is a part, we reserve the right to amend or modify the
Certificate or any rider or any endorsement thereto, to the extent necessary to
comply with any law, regulation or other requirement in order to establish or
maintain the qualified status of such plan. Any such amendment or modification
may be made retroactively to conform to the requirements of such law,
regulation or other requirement.


                                        THE TRAVELERS INSURANCE COMPANY

                                              
                                                   /s/ M.A. CARPENTER

                                                   President










                                       16
<PAGE>   62

                PENSION/PROFIT SHARING PLAN QUALIFICATION RIDER

If the Certificate/Contract Owner (hereinafter referred to as You or Your) of
this Certificate/Contract (hereinafter referred to as Certificate) requested
that it be issued to comply with Section 401(a) of the Code, the following
conditions, restrictions and limitations apply to this Certificate.  The
Certificate shall constitute an asset of the qualified pension or
profit-sharing plan established under Code Section 401(a) and the regulations
thereunder and the Certificate shall be subject to the provisions, terms and
conditions of such qualified plan.  The amounts held under this Certificate
will be used for the exclusive benefit of the employees and their
beneficiaries.  The provisions in this rider supersede any contrary provisions
in the Certificate.

OWNER

This Certificate belongs to the Certificate Owner shown on the CERTIFICATE
SPECIFICATIONS.  As Certificate Owner, You have the sole power to exercise
rights and receive benefits under this Certificate during the Annuitant's
lifetime.  In order to maintain tax qualification, this Certificate may not be
sold, assigned, transferred, discounted or pledged as collateral for a loan or
as security for the performance of an obligation or for any other purpose
except as may be required or permitted under applicable sections of the Code.
We will administer this Certificate only as a Tax Qualified Certificate.

You will be the recipient of all payments while the Annuitant is alive unless
You direct them to an alternative recipient under a Recorded payment direction.
An alternative recipient under a payment direction does not become the
Certificate Owner.  A payment direction is revocable by You at any time by
Written Request giving 30 days advance notice.

Joint ownership is not permitted under this Certificate.

TRANSFER OF OWNERSHIP ASSIGNMENT

This Certificate shall not be pledged or otherwise encumbered and it shall not
be sold, assigned, or otherwise transferred to any other person or entity other
than Us.

CREDITOR CLAIMS

To the extent permitted by law, no right or benefit of the Certificate Owner,
Annuitant or Beneficiary under this Certificate shall be subject to the claims
of creditors or any legal process.

BENEFICIARY

The Beneficiary is the party named in a Written Request.  The Beneficiary
receives any remaining contractual benefits upon the death of the Annuitant.
You may change or add a Beneficiary by Written Request during the lifetime of
the Annuitant and while this Certificate continues, subject to the limitations
provided in this rider.  Once a change of Beneficiary is Recorded by Us, it
will be effect as of the date of the request, subject to any payments made or
other actions taken by Us before the recording.

If no Beneficiary has been named by You, or none survives when the Annuitant
dies, the interest of any Beneficiary will pass:

a)  to Your estate; or
b)  to the trustee or plan administrator of a trusteed Tax Qualified plan
    certificate for further distribution in accordance with the plan.

ANNUITANT/CONTINGENT ANNUITANT

The Annuitant is the individual shown on the CERTIFICATE SPECIFICATIONS on
whose life the first Annuity payment is made.  The Annuitant may not be changed
after the Certificate Date except as may be provided hereunder.

No contingent annuitant is permitted under this Certificate.

DEATH OF ANNUITANT/DEATH OF CERTIFICATE OWNER WITH ANNUITANT SURVIVING

A death benefit is payable to the Beneficiary upon the death of the Annuitant
before the Maturity Date.  A death benefit is also payable under those
Settlement Options which provide for death benefits.  We will pay the
Beneficiary the death benefit in a



                                       17
<PAGE>   63
single sum as described below upon receiving Due Proof of Death.  A Beneficiary
may request that a death benefit payable under this Certificate be applied to a
Settlement Option subject to the provisions of this Certificate.





ELECTION OF SETTLEMENT OPTIONS

On the Maturity Date, or other agreed upon date, We will pay the amount payable
under this Certificate in one lump sum or in accordance with the Option elected
by You.  While the Annuitant is alive You may change Your Settlement Option
election by Written Request, but only before the Maturity Date.  Once Annuity
payments have commenced, no further election changes are allowed.

If no election has been made on the Maturity Date and if the Annuitant is
living and has a spouse, We will pay to You the first of a series of Fixed
level monthly Annuity payments based on the life of the Annuitant as primary
payee and the Annuitant's spouse as secondary payee in accordance with Annuity
Option 4.  During the Annuitant's lifetime, if no election has been made and
the Annuitant has no spouse on the Maturity Date, We will pay to You the first
of a series of Fixed level monthly Annuity payments based on the life of the
Annuitant, in accordance with Annuity Option 2, with 120 monthly payments
assured.

MANDATORY DISTRIBUTION RESTRICTIONS

In order to meet the qualification requirements of Code Section 401(a), all
plans must meet the required mandatory distribution rules in Code Section
401(a)(9).

Code Section 401(a)(9) states that a plan will not be qualified unless the
entire interest of each employee is distributed to such employee not later than
the "required beginning date" or over no longer than the life or life
expectancy of such employee or the lives or joint life expectancy of such
employee and a designated Beneficiary.  Generally, the "required beginning
date" means April 1 of the calendar year following the later of (1) the
calendar year in which the employee attains age 70 1/2, or (2) the calendar
year in which the employee retires, except that in the event the employee is a
5% owner, the "required beginning date" is April 1 of the calendar year
following the calendar year in which the employee attains age 70 1/2.

If the employee dies before his/her entire interest has been distributed, the
remaining interest must be paid out at least as rapidly as under the method of
payment in effect at the time of death.  If the employee dies before the
distribution of his/her entire interest has begun, the entire interest must be
distributed within five years after the employee's death or an Annuity payable
over no longer than life or life expectancy must be distributed to an electing
designated Beneficiary starting within one year of the employee's death.  A
spousal designated Beneficiary may elect to defer distributions until the
employee would have attained the age of 70 1/2.

ANNUITIES DISTRIBUTED UNDER QUALIFIED PLANS

If the applicant for this Certificate requested that it be issued to comply
with Section 401(a) of the Code, and this Certificate has subsequently been
transferred to the Annuitant, the following conditions, restrictions and
limitations apply to this Certificate in addition to the above.

SPOUSAL CONSENT

Death Benefit - If the Annuitant dies while the Certificate continues and the
Annuitant has a spouse at the time of the Annuitant's death, We will pay the
death benefit to a person other than the current spouse of the Annuitant only
if proof of spousal consent, which meets the requirements of Section 417 of the
Code, is furnished to Us.

If the Beneficiary is not the current spouse and such spousal consent is not
furnished, we will pay 50% of the death benefit to the current spouse.  We will
pay the balance of the death benefit to the Beneficiary.





                                       18
<PAGE>   64
Cash Surrender - Before the due date of the first Annuity Payment, 1) if You do
not have a spouse and without the consent of any Beneficiary; or, 2) if You do
have a current spouse then only with the written consent of Your spouse, as
required by Section 417 of the Code; We will pay to You all or any portion of
the Certificate Cash Surrender Value upon receipt of Your Written Request for
it.

Settlement Option - If the Annuitant is living on the Maturity Date, payment
must be made in accordance with Option 4 under ANNUITY OPTIONS unless You elect
another form of Annuity Option and furnish Us a qualified election which meets
the requirements of Section 417 of the Code.




AMENDMENT

Notwithstanding any provision to the contrary in this Certificate or the
qualified pension or profit-sharing plan of which this Certificate is a part,
we reserve the right to amend or modify the Certificate or any rider or
endorsement thereto, to the extent necessary to comply with any law, regulation
or other requirement in order to establish or maintain the qualified status of
the plan.  Any such amendment or modification may be made retroactively
effective if necessary or appropriate to conform to the conditions imposed by
such law, regulation or other requirement.


                                        THE TRAVELERS INSURANCE COMPANY

                                                  /s/ M.A. CARPENTER

                                                  President












                                       19
<PAGE>   65





                           IRC SECTION 457 PLAN RIDER


This Rider modifies the contract/certificate to which it is attached for use in
connection with a deferred compensation plan (the "Plan") qualified under
Section 457 of the Internal Revenue Code of 1986, as amended (the "IRC").  In
the case of a conflict with any provision in the contract/certificate, the
provisions of this Rider will control.  This Rider applies and is made a part
of the contract/certificate as of the earliest date permitted by applicable
law.

The contract/certificate is modified as follows:

1.  The contract/certificate shall constitute an asset of the Plan qualified
    under IRC Section 457.

2.  The amounts held under this contract/certificate will be used for the
    exclusive benefit of the participants and their beneficiaries, and no
    portion of the amounts held under this contract/certificate or the proceeds
    thereof, nor any interests or rights under this contract/certificate shall
    be subject to the claims of the general creditors of the
    contract/certificate owner.

3.  All distributions under this contract/certificate shall be made in
    accordance with the requirements of IRC Sections 457 and 401(a)(9),
    including the incidental death benefit requirements of IRC Section
    401(a)(9)(G) and Treasury Regulations thereunder, and shall be subject to
    the provisions, terms and conditions of such Plan regarding distributions.



                     THE TRAVELERS LIFE AND ANNUITY COMPANY


                                   /s/ M.A. CARPENTER

                                   PRESIDENT










                                       20

<PAGE>   1
                                                                Exhibit 5


[TRAVELERS LIFE & ANNUITY LOGO]                   MASTER APPLICATION FOR GROUP
                                                     DEFERRED VARIABLE ANNUITY


One Tower Square - Annuity Services - Hartford, CT 06183-5030


                                     [ ] The Travelers Insurance Company
                                     [ ] The Travelers Life and Annuity Company

- --------------------------------------------------------------------------------
1. NAME OF OWNER (PLEASE PRINT)            2. TAXPAYER I.D. NUMBER

- --------------------------------------------------------------------------------
3. ADDRESS (NUMBER, STREET, CITY, STATE, ZIP CODE)

- --------------------------------------------------------------------------------
4. MARKETING PROGRAM (CHECK ONE)

[ ] PENSION/PROFIT SHARING PLAN         [ ] IRA ROLLOVER

[ ] TSA                                 [ ] OTHER:
                                                  ------------------

[ ] TSA ERISA
- --------------------------------------------------------------------------------
5. IS RECORD KEEPING BY THE TRAVELERS REQUESTED?     [ ] YES     [ ] NO
- --------------------------------------------------------------------------------
6. ADDITIONAL INFORMATION







- --------------------------------------------------------------------------------
7. REPLACEMENT INFORMATION
Will this annuity replace any existing life insurance 
or annuity contract?                                 [ ] YES     [ ] NO
If yes, please give name of company and contract number.


- --------------------------------------------------------------------------------
8. ACKNOWLEDGEMENT 
I understand that the contract will take effect when the first premium is 
received, and the application is approved in the Home Office of The Travelers.
All payments and values provided by the contract applied for, when based on 
investment experience of a separate account, are variable and are not 
guaranteed as to a fixed dollar. No agent is authorized to make changes to the 
contract or application. I understand that The Travelers may amend this 
contract to comply with changes in the Internal Revenue Code and related 
regulations.
PLEASE NOTE: Any person who, knowingly and with intent to defraud any insurance
company or other person, files an application for insurance or statement of 
claim containing any materially false information or conceals, for the purpose
of misleading, information concerning any fact material thereto, commits a 
fradulent act which may be a crime subjecting such person to criminal and civil
penalties.

[ ] I ACKNOWLEDGE THE RECEIPT OF A CURRENT PROSPECTUS.

- --------------------------------------------------------------------------------
SIGNATURE OF OWNER

- --------------------------------------------------------------------------------
APPLICATION SIGNED AT (CITY & STATE)             DATE

- --------------------------------------------------------------------------------
[ ] I acknowledge that all data representations and signatures recorded by me 
    or in my presence in response to my request and all such presentations and 
    signatures are accurate and valid to the best of my knowledge and belief.
    Will the contract applied for replace any existing annuity contract or life
    insurance policy?
    [ ] YES    [ ] NO
- --------------------------------------------------------------------------------
SIGNATURE OF AGENT/REPRESENTATIVE         SS#           TELEPHONE#


- --------------------------------------------------------------------------------
PRINT NAME OF AGENT/REPRESENTATIVE        DATE          LICENSE#


- --------------------------------------------------------------------------------

L-22212                                                               Rev. 7-98

<PAGE>   2

[TRAVELERS LIFE & ANNUITY LOGO]                           GROUP DEFERRED ANNUITY
                                                            DATA COLLECTION FORM


One Tower Square - Annuity Services - Hartford, CT 06183-5030


                                     [ ] The Travelers Insurance Company
                                     [ ] The Travelers Life and Annuity Company


- --------------------------------------------------------------------------------
CERTIFICATE OWNER/ANNUITANT INFORMATION
- --------------------------------------------------------------------------------
Name                                      Address

- --------------------------------------------------------------------------------
Date of Birth (DOB)

- --------------------------------------------------------------------------------
SS#                           Sex [ ]M  [ ]F

- --------------------------------------------------------------------------------
U.S. Citizen  [ ] Y  [ ] N     Telephone (Daytime)
                               (    )
- --------------------------------------------------------------------------------
BENEFICIARY INFORMATION
- --------------------------------------------------------------------------------
Full Name                    SS#       DOB       Relationship     % to Receive
- --------------------------------------------------------------------------------
Primary


- --------------------------------------------------------------------------------
Primary [ ]  Contingent [ ]


- --------------------------------------------------------------------------------
Primary [ ]  Contingent [ ]


- --------------------------------------------------------------------------------
MATURITY DATE:    /    /    .
              ---- ---- ----
- --------------------------------------------------------------------------------
MARKETING PROGRAM                  REPLACEMENT INFORMATION
- --------------------------------------------------------------------------------
[ ] PENSION/PROFIT SHARING         Will the certificate applied for replace any
                                   existing annuity contract or life insurance
                                   policy
[ ] TSA                            [ ] Y  [ ] N

[ ] TSA ERISA                      If Yes, specify company name and contract 
                                   number in the "Remarks" section on the next
                                   page.
[ ] IRA ROLLOVER

[ ] OTHER:
          -------------
- --------------------------------------------------------------------------------
Please check the following if choosing the Optional Death Benefit and Credit
Endorsement:
[ ] Yes, I elect the Optional Death Benefit (if not, you will receive the 
    Standard Death Benefit)
- --------------------------------------------------------------------------------
<TABLE>
<CAPTION>
- ------------------------------------------------------------------------------------------------------
ALLOCATION SCHEDULE
- ------------------------------------------------------------------------------------------------------
INVESTMENT SELECTION           PERCENTAGE           INVESTMENT SELECTION           PERCENTAGE
                         (Total must equal 100%)                              (Total must equal 100%)
- ------------------------------------------------------------------------------------------------------
<S>                      <C>                        <C>                       <C>                     
                                               %                                                    %
- ------------------------------------------------------------------------------------------------------
                                               %                                                    %
- ------------------------------------------------------------------------------------------------------
                                               %                                                    %
- ------------------------------------------------------------------------------------------------------
                                               %                                                    %
- ------------------------------------------------------------------------------------------------------
                                               %                                                    %
- ------------------------------------------------------------------------------------------------------
                                               %                                                    %
- ------------------------------------------------------------------------------------------------------
                                               %                                                    %
- ------------------------------------------------------------------------------------------------------
                                               %                                                    %
- ------------------------------------------------------------------------------------------------------
                                               %                                                    %
- ------------------------------------------------------------------------------------------------------
                                               %                                                    %
- ------------------------------------------------------------------------------------------------------
                                               %                                                    %
- ------------------------------------------------------------------------------------------------------
                                               %                                                    %
- ------------------------------------------------------------------------------------------------------
TOTAL                                       100%    TOTAL                                        100%
- ------------------------------------------------------------------------------------------------------
</TABLE>

L-22213                                                               Rev. 7-98

<PAGE>   1

                                                                     EXHIBIT 10

               Consent of Independent Certified Public Accountants




The Board of Directors
The Travelers Insurance Company


We consent to the use of our report included herein and to the reference to our
firm as experts under the heading "Independent Accountants."


                                          KPMG Peat Marwick LLP


Hartford, Connecticut
November 2, 1998

<PAGE>   1
                                                                      EXHIBIT 13


           THE TRAVELERS SEPARATE ACCOUNT FIVE FOR VARIABLE ANNUITIES

              SCHEDULE FOR COMPUTATION OF TOTAL RETURN CALCULATIONS


The standardized and nonstandardized average annual total returns are computed
according to the formula described below. A hypothetical initial investment of
$1,000 is applied to the Funding Option, and then related to ending reedemable
values as of the most recent fiscal year end, for the calendar year-to-date
(nonstandardized only), and over a 1-year, 3-year (nonstandardized only),
5-year, and 10-year period, or since inception if a Funding Option has not been
in existence for one of the prescribed periods.

T = (ERV/P) 1/n -1 where:

            T       =    average annual total return
            P       =    a hypothetical initial payment of $1,000
            n       =    the applicable year (1, 3, 5, 10) or portion thereof
            ERV     =    ending redeemable value of a hypothetical $1,000 
                         payment made at the beginning of each of the periods

Both the standardized and nonstandardized performance returns reflect the
deduction for the management fees and other expenses for a Funding Option, the
mortality and expense risk charge and the administrative expense charge.

For Funding Options that were in existence prior to the date they became
available under the Separate Account, the standardized average total return
quotations may be accompanied by returns showing the investment performance that
such Fund Options would have achieved (reduced by applicable charges/fees had
they been held under the Contract for the period quoted. The total return
quotations are based on historical earnings and are not necessarily
representative of future performance.

Standardized Method
The standardized returns take into consideration all fees and/or charges
applicable to the Funding Option or contract, for both the standard death
benefit and the enhanced death benefit.

Nonstandardized Method
Nonstandardized returns do not reflect the deduction of any fees or charges,
except the contingent deferred sales charge, which, if reflected, would decrease
the level of performance shown.

For a Schedule of the Computation of the Historical Total Return Quotations, see
attached.
<PAGE>   2
                                                                      EXHIBIT 13

Travelers Retirement Product Nonstandardized Performance (Minus Fees and
Deferred Sales Charge)

<TABLE>
<CAPTION>
                                                                                 Cummulative
                                                                                 Performance
                                                                                plus 1, minus                             Inception
    M & E Charge 1.25%               Date       Unit Value   yyyy  Admin Fee       Amin Fee   1 Year   5 Year   10 Year     Date   
<S>                                <C>         <C>           <C>   <C>          <C>            <C>      <C>     <C>      <C>
    High Yield Bond Trust          12/31/87    1.292111434   1983  0.0000%            1                        
                                   12/31/88    1.462544815   1988  0.0000%       1.131903005                   
                                   12/31/89    1.464464665   1989  0.0000%       1.133388828                   
                                   12/31/90    1.305169565   1990  0.0000%        1.01010604                   
                                   12/31/91    1.644605451   1991  0.0000%       1.272804657                   
                                   12/31/92    1.837571906   1992  0.0000%       1.422146618                   
                                   12/31/93    2.068910059   1993  0.0000%       1.601185474                   
                                   12/31/94    2.017230742   1994  0.0000%       1.561189452                   
                                   12/31/95    2.301535522   1995  0.0000%       1.781220614                   
                                   12/31/96    2.637498432   1996  0.0000%        2.0412314                    
                                   12/31/97    3.036176126   1997  0.0000%       2.349778854                   
                                                                               Account Value   $1,151   $1,652  $2,350
                                                                             Surrender Value   $1,101   $1,642  $2,350
                                                                                     Returns   10.12%   10.42%  8.91%    12/31/87
                                                                                                               
    Managed Assets Trust           12/31/87    1.233795827   1983  0.0000%            1                        
                                   12/31/88    1.330979406   1988  0.0000%       1.078767959                   
                                   12/31/89    1.671332188   1989  0.0000%       1.354626229                   
                                   12/31/90    1.683831439   1990  0.0000%       1.364756958                   
                                   12/31/91    2.034542645   1991  0.0000%       1.649010801                   
                                   12/31/92    2.112243871   1992  0.0000%       1.711988179                   
                                   12/31/93    2.281506772   1993  0.0000%       1.849176924                   
                                   12/31/94    2.202156273   1994  0.0000%       1.784862799                   
                                   12/31/95    2.764770757   1995  0.0000%       2.240865706                   
                                   12/31/96    3.106548636   1996  0.0000%       2.517879027                   
                                   12/31/97    3.721122518   1997  0.0000%       3.015995384                   
                                                                               Account Value   $1,198   1,762  $3,016
                                                                             Surrender Value   $1,148   1,752  $3,016
                                                                                     Returns   14.78%  11.86%  11.66%   12/31/87
                                                                                                               
    Money Market Portfolio         12/31/87         1        1987  0.0000%            1                        
                                   12/31/88     1.0577583    1988  0.0000%        1.0577583                    
                                   12/31/89    1.124811424   1989  0.0000%       1.124811424                   
                                   12/31/90    1.200203675   1990  0.0000%       1.200203675                   
                                   12/31/91    1.264203102   1991  0.0000%       1.264203102                   
                                   12/31/92    1.289070166   1992  0.0000%       1.289070166                   
                                   12/31/93    1.301106581   1993  0.0000%       1.301106581                   
                                   12/31/94    1.346384626   1994  0.0000%       1.346384626                   
                                   12/31/95    1.385992559   1995  0.0000%       1.385992559                   
                                   12/31/96    1.425765925   1996  0.0000%       1.425765925                   
                                   12/31/97    1.479319651   1997  0.0000%       1.479319651                   
                                                                               Account Value   $1,038   1,148  $1,479 
                                                                             Surrender Value    $988    1,138  $1,479 
                                                                                     Returns   -1.24%   2.61%  3.99%    12/31/87
- ----------------------------------------------------------------------------------------------------------------------------------
American Odyssey Funds 1.                                                                                              
    Core Equity Fund                5/1/93          1        1993  0.0000%            1                                
                                   12/31/93    1.012381323   1993  0.0000%       1.012381323                           
                                   12/31/94    0.989669139   1994  0.0000%       0.989669139                           
                                   12/31/95    1.354532914   1995  0.0000%       1.354532914                           
                                   12/31/96    1.647371135   1996  0.0000%       1.647371135                           
                                   12/31/97    2.146049653   1997  0.0000%       2.146049653                           
                                                                               Account Value   $1,303          $2,146 
                                                                             Surrender Value   $1,253          $2,126 
                                                                                     Returns   25.27%          17.52%   5/1/93
</TABLE>



                                                                               1
<PAGE>   3
Travelers Retirement Product Nonstandardized Performance (Minus Fees and
Deferred Sales Charge)

<TABLE>
<CAPTION>
                                                                                 Cummulative  
                                                                                 Performance  
                                                                                plus 1, minus                             Inception
    M & E Charge 1.25%               Date       Unit Value   yyyy  Admin Fee      Amin Fee      1 Year   5 Year  10 Year      Date  
<S>                                <C>         <C>           <C>   <C>         <C>              <C>      <C>     <C>       <C>      
    Emerging Opportunities                                                                                                          
        Fund                        5/1/93          1        1993  0.0000%           1                                              
                                   12/31/93     1.07883153   1993  0.0000%       1.07883153                                         
                                   12/31/94    1.168544316   1994  0.0000%      1.168544316                                         
                                   12/31/95    1.526376468   1995  0.0000%      1.526376468                                         
                                   12/31/96    1.460035427   1996  0.0000%      1.460035427                                         
                                   12/31/97    1.543368887   1997  0.0000%      1.543368887                                         
                                                                              Account Value     $1,057            $1,543            
                                                                            Surrender Value     $1,007            $1,523            
                                                                                    Returns     0.71%             9.43%     5/1/93  
                                                                                                                                    
    Global High-Yield                                                                                                               
        Bond Fund *                 5/1/98                                                         -        -        -      5/1/98  
                                                                                                                                    
    Intermediate-Term                                                                                                               
        Bond Fund                   5/1/93          1        1993  0.0000%           1                                              
                                   12/31/93    1.034787102   1993  0.0000%      1.034787102                                         
                                   12/31/94    0.992819712   1994  0.0000%      0.992819712                                         
                                   12/31/95    1.127829494   1995  0.0000%      1.127829494                                         
                                   12/31/96    1.157584094   1996  0.0000%      1.157584094                                         
                                   12/31/97    1.229034395   1997  0.0000%      1.229034395                                         
                                                                              Account Value     $1,062            $1,229            
                                                                            Surrender Value     $1,012            $1,209            
                                                                                    Returns     1.17%             4.15%     5/1/93  
                                                                                                                                    
    International Equity                                                                                                            
        Fund                        5/1/93          1        1993  0.0000%           1                                              
                                   12/31/93    1.180445504   1993  0.0000%      1.180445504                                         
                                   12/31/94    1.084352304   1994  0.0000%      1.084352304                                         
                                   12/31/95    1.274484489   1995  0.0000%      1.274484489                                         
                                   12/31/96    1.534043962   1996  0.0000%      1.534043962                                         
                                   12/31/97    1.591401076   1997  0.0000%      1.591401076                                         
                                                                              Account Value     $1,037            $1,591            
                                                                            Surrender Value      $987             $1,571            
                                                                                    Returns     -1.26%            10.16%    5/1/93  
                                                                                                                                    
    Long-Term Bond Fund             5/1/93          1        1993  0.0000%           1                                              
                                   12/31/93    1.084797668   1993  0.0000%      1.084797668                                         
                                   12/31/94    1.009605722   1994  0.0000%      1.009605722                                         
                                   12/31/95    1.221077239   1995  0.0000%      1.221077239                                         
                                   12/31/96    1.221574612   1996  0.0000%      1.221574612                                         
                                   12/31/97    1.351696456   1997  0.0000%      1.351696456                                         
                                                                              Account Value     $1,107            $1,352            
                                                                            Surrender Value     $1,057            $1,332            
                                                                                    Returns     5.65%             6.32%     5/1/93  
- ----------------------------------------------------------------------------------------------------------------------------------- 
American Odyssey Funds 2.                                                                                                           
    Core Equity Fund                                                                                                                
        w/chart fee                 5/1/93          1        1993  0.0000%           1                                              
                                   12/31/93    1.003966218   1993  0.0000%      1.003966218                                         
                                   12/31/94    0.969221016   1994  0.0000%      0.969221016                                         
                                   12/31/95    1.310477153   1995  0.0000%      1.310477153                                         
                                   12/31/96    1.574104505   1996  0.0000%      1.574104505                                         
                                   12/31/97    2.025163744   1997  0.0000%      2.025163744                                         
                                                                              Account Value     $1,287            $2,025            
                                                                            Surrender Value     $1,237            $2,005            
                                                                                    Returns     23.65%            16.06%    5/1/93  
                                                                                                                                    
    Emerging Opportunities                                                                                                          
        Fund w/chart fee            5/1/93          1        1993  0.0000%           1                                              
                                   12/31/93    1.069930181   1993  0.0000%      1.069930181                                         
                                   12/31/94     1.14458642   1994  0.0000%       1.14458642                                         
                                   12/31/95    1.476883839   1995  0.0000%      1.476883839                                         
                                   12/31/96    1.395171258   1996  0.0000%      1.395171258                                         
                                   12/31/97    1.456483702   1997  0.0000%      1.456483702                                         
                                                                              Account Value     $1,044            $1,456            
                                                                            Surrender Value      $994             $1,436            
                                                                                    Returns     -0.61%            8.06%     5/1/93  
</TABLE>




                                                                               2
<PAGE>   4
Travelers Retirement Product Nonstandardized Performance (Minus Fees and
Deferred Sales Charge)

<TABLE>
<CAPTION>
                                                                               Cummulative
                                                                               Performance
                                                                              plus 1, minus                             Inception
    M & E Charge 1.25%               Date       Unit Value   yyyy  Admin Fee    Amin Fee    1 Year   5 Year  10 Year      Date
<S>                                <C>         <C>           <C>   <C>     <C>              <C>      <C>     <C>       <C>
    Global High-Yield Bond                                                                    
        Fund w/chart fee *          5/1/98          1        1998  0.0000%          1         -         -       -       5/1/98
                                                                                              
    Intermediate-Term Bond                                                                    
        Fund w/chart fee            5/1/93          1        1993  0.0000%          1         
                                   12/31/93     1.02620843   1993  0.0000%      1.02620843    
                                   12/31/94    0.972310996   1994  0.0000%     0.972310996    
                                   12/31/95    1.090947522   1995  0.0000%     1.090947522    
                                   12/31/96    1.105783465   1996  0.0000%     1.105783465    
                                   12/31/97    1.159455486   1997  0.0000%     1.159455486    
                                                                             Account Value  $1,049            $1,159
                                                                           Surrender Value   $999             $1,139
                                                                                   Returns  -0.15%            2.83%     5/1/93

    International Equity
        Fund w/chart fee            5/1/93          1        1993  0.0000%          1      
                                   12/31/93    1.170812605   1993  0.0000%     1.170812605 
                                   12/31/94    1.062040389   1994  0.0000%     1.062040389 
                                   12/31/95    1.232944515   1995  0.0000%     1.232944515 
                                   12/31/96    1.465701278   1996  0.0000%     1.465701278 
                                   12/31/97    1.501617751   1997  0.0000%     1.501617751 
                                                                             Account Value   $1,025            $1,502
                                                                           Surrender Value    $975             $1,482
                                                                                   Returns   -2.55%            8.78%     5/1/93

    Long-Term Bond Fund
        w/chart fee                 5/1/93          1        1993  0.0000%          1       
                                   12/31/93    1.075856975   1993  0.0000%     1.075856975  
                                   12/31/94    0.988767267   1994  0.0000%     0.988767267  
                                   12/31/95    1.181241491   1995  0.0000%     1.181241491  
                                   12/31/96    1.166958629   1996  0.0000%     1.166958629  
                                   12/31/97     1.27522801   1997  0.0000%      1.27522801  
                                                                             Account Value  $1,093            $1,275
                                                                           Surrender Value  $1,043            $1,255
                                                                                   Returns  4.28%             4.99%     5/1/93
- ----------------------------------------------------------------------------------------------------------------------------------
Delaware Group Premium
  Fund, Inc.
    Investments REIT
        Series *                    5/6/98                                                    -         -        -      5/6/98

    Small Cap Value Series         12/23/93         1        1993  0.0000%          1      
                                   12/31/93    1.020726027   1993  0.0000%     1.020726027 
                                   12/31/94    1.015981391   1994  0.0000%     1.015981391 
                                   12/31/95     1.2161941    1995  0.0000%      1.2161941  
                                   12/31/96    1.471988529   1996  0.0000%     1.471988529 
                                   12/31/97    1.932703638   1997  0.0000%     1.932703638 
                                                                             Account Value  $1,313            $1,933
                                                                           Surrender Value  $1,263            $1,913
                                                                                   Returns  26.30%            17.48%   12/23/93
- ----------------------------------------------------------------------------------------------------------------------------------
Dreyfus Variable
  Investment Funds
    Capital Appreciation
        Portfolio                   4/5/93          1        1993  0.0000%          1      
                                   12/31/93    1.057605574   1993  0.0000%     1.057605574 
                                   12/31/94    1.076244656   1994  0.0000%     1.076244656 
                                   12/31/95    1.419564038   1995  0.0000%     1.419564038 
                                   12/31/96    1.760562942   1996  0.0000%     1.760562942 
                                   12/31/97    2.226875581   1997  0.0000%     2.226875581 
                                                                             Account Value  $1,265            $2,227
                                                                           Surrender Value  $1,215            $2,207
                                                                                   Returns  21.49%            18.17%    4/5/93
</TABLE>




                                                                               3
<PAGE>   5
Travelers Retirement Product Nonstandardized Performance (Minus Fees and
Deferred Sales Charge)

<TABLE>
<CAPTION>
                                                                               Cummulative
                                                                               Performance
                                                                              plus 1, minus                             Inception
    M & E Charge 1.25%               Date       Unit Value   yyyy  Admin Fee    Amin Fee    1 Year   5 Year  10 Year      Date
<S>                                <C>         <C>           <C>   <C>     <C>              <C>      <C>     <C>       <C>

    Small Cap Portfolio             8/31/90         1        1990  0.0000%          1      
                                   12/31/90     1.01676291   1990  0.0000%      1.01676291 
                                   12/31/91    2.610309949   1991  0.0000%     2.610309949 
                                   12/31/92    4.417307076   1992  0.0000%     4.417307076 
                                   12/31/93    7.345977124   1993  0.0000%     7.345977124 
                                   12/31/94    7.817394349   1994  0.0000%     7.817394349 
                                   12/31/95    9.990805728   1995  0.0000%     9.990805728 
                                   12/31/96    11.50464188   1996  0.0000%     11.50464188 
                                   12/31/97    13.26602042   1997  0.0000%     13.26602042 
                                                                             Account Value  $1,153   $3,003  $13,266
                                                                           Surrender Value  $1,103   $2,993  $13,266
                                                                                   Returns  10.31%   24.50%   42.22%    8/31/90
- ----------------------------------------------------------------------------------------------------------------------------------
Greenwich Street Series Fund
    Equity Index Portfolio         11/30/91         1        1991  0.0000%          1     
                                   12/31/91       1.0994     1991  0.0000%        1.0994  
                                   12/31/92    1.173538337   1992  0.0000%     1.173538337
                                   12/31/93    1.275065479   1993  0.0000%     1.275065479
                                   12/31/94    1.285899234   1994  0.0000%     1.285899234
                                   12/31/95    1.746194511   1995  0.0000%     1.746194511
                                   12/31/96    2.124423698   1996  0.0000%     2.124423698
                                   12/31/97    2.792791986   1997  0.0000%     2.792791986
                                                                             Account Value  $1,315   $2,380   $2,793
                                                                           Surrender Value  $1,265   $2,370   $2,793
                                                                                   Returns  26.46%   18.82%   18.37%   11/30/91
- ----------------------------------------------------------------------------------------------------------------------------------
Montgomery Variable Series
    Growth Fund                     2/9/96          1        1996  0.0000%          1      
                                   12/31/96    1.258404431   1996  0.0000%     1.258404431 
                                   12/31/97    1.598117769   1997  0.0000%     1.598117769 
                                                                             Account Value  $1,270            $1,598
                                                                           Surrender Value  $1,220            $1,548
                                                                                   Returns  22.00%            25.97%    2/9/96
- ----------------------------------------------------------------------------------------------------------------------------------
OCC Accumulation Trust
    Equity Portfolio                8/1/88          1        1988  0.0000%          1     
                                   12/31/88    1.013726708   1988  0.0000%     1.013726708
                                   12/31/89    1.228334684   1989  0.0000%     1.228334684
                                   12/31/90    1.206571963   1990  0.0000%     1.206571963
                                   12/31/91     1.56395777   1991  0.0000%      1.56395777
                                   12/31/92    1.821241825   1992  0.0000%     1.821241825
                                   12/31/93    1.939923172   1993  0.0000%     1.939923172
                                   12/31/94    1.988912996   1994  0.0000%     1.988912996
                                   12/31/95    2.728245611   1995  0.0000%     2.728245611
                                   12/31/96    3.324377909   1996  0.0000%     3.324377909
                                   12/31/97    4.158263461   1997  0.0000%     4.158263461
                                                                             Account Value  $1,251   $2,283   $4,158
                                                                           Surrender Value  $1,201   $2,273   $4,158
                                                                                   Returns  20.08%   17.84%   16.33%    8/1/88
- ----------------------------------------------------------------------------------------------------------------------------------
Salomon Brothers Variable
  Series Funds, Inc.
    Capital Fund *                  2/17/98                                                    -        -       -

    Investors Fund *                2/17/98                                                    -        -       -

    Total Return Fund *             2/17/98                                                    -        -       -
- ----------------------------------------------------------------------------------------------------------------------------------
Strong Schafer Trust

    Strong Schafer Value
        Fund II                    10/10/97         1        1997  0.0000%          1     
                                   12/31/97    0.987226041   1997  0.0000%     0.987226041
                                                                             Account Value   $987
                                                                           Surrender Value   $938
                                                                                   Returns  -6.21%                     10/10/97
- ----------------------------------------------------------------------------------------------------------------------------------
</TABLE>




                                                                               4
<PAGE>   6
Travelers Retirement Product Nonstandardized Performance (Minus Fees and
Deferred Sales Charge)

<TABLE>
<CAPTION>
                                                                               Cummulative
                                                                               Performance
                                                                              plus 1, minus                             Inception
    M & E Charge 1.25%               Date       Unit Value   yyyy  Admin Fee    Amin Fee    1 Year   5 Year  10 Year      Date
<S>                                <C>         <C>           <C>   <C>      <C>             <C>      <C>     <C>       <C>
The Travelers Series Trust
    Disciplined Mid Cap
        Stock Portfolio              4/1/97          1        1997  0.0000%          1      
                                   12/31/97    1.331461867    1997  0.0000%     1.331461867 
                                                                              Account Value $1,331
                                                                            Surrender Value $1,281
                                                                                    Returns 28.15%                      4/1/97

    Disciplined Small Cap
        Stock Portfolio *           5/1/98                                                     -         -       -

    Equity Income Portfolio         8/30/96         1        1996  0.0000%          1      
                                   12/31/96    1.112177358   1996  0.0000%     1.112177358 
                                   12/31/97    1.446486368   1997  0.0000%     1.446486368 
                                                                             Account Value  $1,301            $1,446
                                                                           Surrender Value  $1,251            $1,396
                                                                                   Returns  25.06%            28.37%    8/30/96

    Federated Stock
        Portfolio                   8/30/96         1        1996  0.0000%          1       
                                   12/31/96    1.121273566   1996  0.0000%     1.121273566  
                                   12/31/97     1.47765291   1997  0.0000%      1.47765291  
                                                                             Account Value  $1,318            $1,478
                                                                           Surrender Value  $1,268            $1,428
                                                                                   Returns  26.78%            30.51%    8/30/96

    Large Cap Portfolio             8/30/96         1        1996  0.0000%          1       
                                   12/31/96    1.128198358   1996  0.0000%     1.128198358  
                                   12/31/97    1.359367432   1997  0.0000%     1.359367432  
                                                                             Account Value  $1,205            $1,359
                                                                           Surrender Value  $1,155            $1,309
                                                                                   Returns  15.49%            22.34%    8/30/96

    Lazard International
        Stock Portfolio             8/1/96           1       1996  0.0000%           1     
                                   12/31/96     1.07503649   1996  0.0000%      1.07503649 
                                   12/31/97    1.149119735   1997  0.0000%     1.149119735 
                                                                             Account Value  $1,069            $1,149
                                                                           Surrender Value  $1,019            $1,099
                                                                                   Returns  1.89%             6.90%     8/1/96

    MFS Mid Cap Growth
        Portfolio *                 3/23/98                                                   -         -       -

    MFS Research
        Portfolio *                 3/23/98                                                   -         -       -

    Quality Bond
        Portfolio                   8/30/96         1        1996  0.0000%          1       
                                   12/31/96    1.031140842   1996  0.0000%     1.031140842  
                                   12/31/97    1.091029277   1997  0.0000%     1.091029277  
                                                                             Account Value  $1,058            $1,091
                                                                           Surrender Value  $1,008            $1,041
                                                                                   Returns  0.81%             3.05%     8/30/96

    Social Awareness
        Stock Portfolio             5/1/92          1        1992  0.0000%          1      
                                   12/31/92    1.085941607   1992  0.0000%     1.085941607 
                                   12/31/93    1.153068335   1993  0.0000%     1.153068335 
                                   12/31/94     1.10889801   1994  0.0000%      1.10889801 
                                   12/31/95    1.461127016   1995  0.0000%     1.461127016 
                                   12/31/96    1.731243192   1996  0.0000%     1.731243192 
                                   12/31/97    2.176600522   1997  0.0000%     2.176600522 
                                                                             Account Value  $1,257   $2,004   $2,177
                                                                           Surrender Value  $1,207   $1,994   $2,167
                                                                                   Returns  20.72%   14.80%   14.61%    5/1/92
</TABLE>



                                                                               5
<PAGE>   7
Travelers Retirement Product Nonstandardized Performance (Minus Fees and
Deferred Sales Charge)

<TABLE>
<CAPTION>
                                                                               Cummulative
                                                                               Performance
                                                                              plus 1, minus                             Inception
    M & E Charge 1.25%               Date       Unit Value   yyyy  Admin Fee    Amin Fee    1 Year   5 Year  10 Year      Date
<S>                                <C>         <C>           <C>   <C>      <C>             <C>      <C>     <C>       <C>
    Strategic Stock
        Portfolio *                 5/1/98                                                    -         -       -

    U.S. Government
        Securities Portfolio        1/24/92         1        1992  0.0000%          1      
                                   12/31/92    1.066307108   1992  0.0000%     1.066307108 
                                   12/31/93    1.153156828   1993  0.0000%     1.153156828 
                                   12/31/94    1.074454734   1994  0.0000%     1.074454734 
                                   12/31/95    1.321046115   1995  0.0000%     1.321046115 
                                   12/31/96    1.323444527   1996  0.0000%     1.323444527 
                                   12/31/97    1.472167899   1997  0.0000%     1.472167899 
                                                                             Account Value  $1,112   $1,381   $1,472
                                                                           Surrender Value  $1,062   $1,371   $1,462
                                                                                   Returns  6.24%    6.50%    6.61%     1/24/92

    Utilities Portfolio
        (Smith Barney)              2/4/94          1        1994  0.0000%          1      
                                   12/31/94    1.005518814   1994  0.0000%     1.005518814 
                                   12/31/95    1.284105577   1995  0.0000%     1.284105577 
                                   12/31/96    1.362844677   1996  0.0000%     1.362844677 
                                   12/31/97    1.686422304   1997  0.0000%     1.686422304 
                                                                             Account Value  $1,237            $1,686
                                                                           Surrender Value  $1,187            $1,656
                                                                                   Returns  18.74%            13.79%    2/4/94
- ----------------------------------------------------------------------------------------------------------------------------------
Travelers Series Fund, Inc.
    Alliance Growth Portfolio       6/20/94         1        1994  0.0000%          1     
                                   12/31/94    1.046755656   1994  0.0000%     1.046755656
                                   12/31/95    1.394301259   1995  0.0000%     1.394301259
                                   12/31/96    1.781439328   1996  0.0000%     1.781439328
                                   12/31/97    2.270099623   1997  0.0000%     2.270099623
                                                                             Account Value  $1,274            $2,270
                                                                           Surrender Value  $1,224            $2,240
                                                                                   Returns  22.43%            25.63%    6/20/94

    MFS Total Return Portfolio      6/20/94         1        1994  0.0000%          1     
                                   12/31/94    0.978329645   1994  0.0000%     0.978329645
                                   12/31/95    1.214526097   1995  0.0000%     1.214526097
                                   12/31/96    1.373488094   1996  0.0000%     1.373488094
                                   12/31/97    1.643986977   1997  0.0000%     1.643986977
                                                                             Account Value  $1,197            $1,644
                                                                           Surrender Value  $1,147            $1,614
                                                                                   Returns  14.69%            14.50%    6/20/94

    Putnam Diversified
        Income Portfolio            6/20/94         1        1994  0.0000%          1     
                                   12/31/94    1.008069678   1994  0.0000%     1.008069678
                                   12/31/95    1.168727598   1995  0.0000%     1.168727598
                                   12/31/96    1.249232516   1996  0.0000%     1.249232516
                                   12/31/97    1.328639001   1997  0.0000%     1.328639001
                                                                             Account Value  $1,064            $1,329
                                                                           Surrender Value  $1,014            $1,299
                                                                                   Returns  1.36%             7.67%     6/20/94

    Smith Barney High
        Income Portfolio            6/22/94         1        1994  0.0000%          1      
                                   12/31/94    0.987153991   1994  0.0000%     0.987153991 
                                   12/31/95    1.161002742   1995  0.0000%     1.161002742 
                                   12/31/96     1.29738242   1996  0.0000%      1.29738242 
                                   12/31/97    1.459099751   1997  0.0000%     1.459099751 
                                                                             Account Value  $1,125            $1,459
                                                                           Surrender Value  $1,075            $1,429
                                                                                   Returns  7.46%             10.65%    6/22/94
</TABLE>



                                                                               6
<PAGE>   8
Travelers Retirement Product Nonstandardized Performance (Minus Fees and
Deferred Sales Charge)

<TABLE>
<CAPTION>
                                                                               Cummulative
                                                                               Performance
                                                                              plus 1, minus                             Inception
  M & E Charge 1.25%                 Date       Unit Value   yyyy  Admin Fee    Amin Fee    1 Year   5 Year  10 Year      Date
<S>                                <C>         <C>           <C>   <C>      <C>             <C>      <C>     <C>       <C>
  Smith Barney
    International  
      Equity Portfolio              6/20/94         1        1994  0.0000%          1      
                                   12/31/94    0.954490255   1994  0.0000%     0.954490255 
                                   12/31/95    1.048977625   1995  0.0000%     1.048977625 
                                   12/31/96    1.219462605   1996  0.0000%     1.219462605 
                                   12/31/97    1.237075768   1997  0.0000%     1.237075768 
                                                                             Account Value  $1,014            $1,237
                                                                           Surrender Value   $964             $1,207
                                                                                   Returns  -3.56%            5.47%     6/20/94

  Smith Barney Large
    Cap Growth Portfolio *          5/1/98                                                     -        -       -
- ----------------------------------------------------------------------------------------------------------------------------------
  Warburg Pincus Trust
    Emerging Markets Portfolio *   12/31/97                                                    -        -       -
</TABLE>


* Fund with an inception date on or after 12/31/97 does not have performance
  Information

  Returns for periods one year or less are cumulative.




                                                                               7


© 2022 IncJournal is not affiliated with or endorsed by the U.S. Securities and Exchange Commission