VARIABLE LIFE ACCOUNT B OF AETNA LIFE INSURANCE & ANNUITY CO
S-6EL24, 1996-11-08
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                                                  Registration No. 333-_______


                      SECURITIES AND EXCHANGE COMMISSION
                            Washington, D.C. 20549
       ----------------------------------------------------------------
                                   FORM S-6
                          REGISTRATION STATEMENT FOR
                 REGISTRATION UNDER THE SECURITIES ACT OF 1933
                    OF SECURITIES OF UNIT INVESTMENT TRUSTS
                           REGISTERED ON FORM N-8B-2
       ----------------------------------------------------------------
      Variable Life Account B of Aetna Life Insurance and Annuity Company
                             (Exact Name of Trust)

                   Aetna Life Insurance and Annuity Company
                              (Name of Depositor)

           151 Farmington Avenue, RC4A, Hartford, Connecticut 06l56
         (Complete Address of Depositor's Principal Executive Offices)
       ----------------------------------------------------------------
                           Susan E. Bryant, Counsel
                   Aetna Life Insurance and Annuity Company
           151 Farmington Avenue, RC4A, Hartford, Connecticut 06l56
               (Name and Complete Address of Agent for Service)
       ----------------------------------------------------------------

It is proposed that the public  offering will commence as soon as  practicable
after effectiveness of this filing.

The  securities  being  registered  hereby are interests  under  variable life
insurance  policies  or  certificates.   Pursuant  to  Rule  24f-2  under  the
Investment Company Act of 1940, Registrant has registered an indefinite number
of securities under the Securities Act of 1933.  Registrant filed a Rule 24f-2
Notice for the fiscal year ended December 31, 1995 on February 29, 1996.

The Registrant hereby amends this Registration  Statement on such 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>

                            VARIABLE LIFE ACCOUNT B
                                      OF
                   AETNA LIFE INSURANCE AND ANNUITY COMPANY

<TABLE>
                      REGISTRATION STATEMENT ON FORM S-6
                             CROSS REFERENCE SHEET


<CAPTION>
N-8B-2
ITEM NO.    PART 1 (PROSPECTUS)
<S>         <C>
1           Cover Page; The Separate Account; The Company and Management
2           Cover Page; The Separate Account; The Company and Management
3           Not Applicable
4           Distribution of the Certificates
5           The Separate Account; The Company and Management
6           The Separate Account; The Company and Management
7           Not Applicable
8           Not Applicable
9           Additional Information - Legal Matters
10          The Separate Account; Certificate Rights; Certificate Choices; Additional Information;
            Miscellaneous Certificate Provisions; Termination or Change in Coverage; Allocation of
            Premiums - Fund Additions, Deletions or Substitutions
11          Allocation of Premiums - The Funds
12          Allocation of Premiums - The Funds
13          Charges & Fees
14          Certificate Choices
15          Allocation of Premiums; Certificate Choices; Certificate Values
16          The Separate Account; Allocation of Premiums - The Funds; Certificate Values
17          Certificate Rights
18          The Separate Account
19          Additional Information - Reports to Owners
20          Not Applicable
21          Certificate Rights - Certificate Loans
22          Not Applicable
23          The Company and Management
24          Not Applicable
25          The Company and Management
26          Not Applicable
27          The Company and Management
28          The Company and Management
29          The Company and Management
30          Not Applicable
31          Not Applicable
32          Not Applicable
33          Not Applicable
34          Not Applicable
35          Additional Information - State Regulation
36          Not Applicable
37          Not Applicable
38          Additional Information - Distribution of the Certificates
39          The Company and Management
40          Not Applicable
41          The Company and Management
42          The Company and Management
43          Not Applicable
44          Charges & Fees; Certificate Values
45          Not Applicable
46          The Separate Account; Certificate Values
47          Not Applicable
48          Not Applicable
49          Not Applicable
50          The Separate Account
51          Cover Page; Certificate Choices
52          Allocation of Premiums - Fund Additions, Deletions or Substitutions; Termination or Change
            in Coverage
53          Tax Matters
54          Not Applicable
55          Not Applicable
56          Not Applicable
57          Not Applicable
58          Not Applicable
59          Financial Statements of Separate Account; Financial Statements of Insurance Company
</TABLE>


<PAGE>

Variable Life ACCOUNT B

AETNA LIFE INSURANCE AND ANNUITY COMPANY (THE "COMPANY")
151 Farmington Avenue
Hartford, Connecticut 06156
800-334-7586

PROSPECTUS Dated _____, 1997

FLEXIBLE  PREMIUM GROUP  VARIABLE  UNIVERSAL LIFE INSURANCE FOR NEW YORK STATE
UNITED TEACHERS ("NYSUT")

This  Prospectus  describes  Certificates  issued by the Company under a group
Policy to provide life  insurance  coverage  for certain  Members of NYSUT and
their relations.  The Certificates  allow flexible premium payments,  provided
that  sufficient  premiums  are paid to cover  charges or,  during the first 5
years  after  issuance  or  after a  coverage  increase,  to  qualify  for the
Certificate's No Lapse Coverage.

You may choose (and later change)  whether the benefit  payable upon the death
of the insured  person will  generally  remain  constant or will vary with the
Certificate's  account value.  You may borrow from the  Certificate's  account
value,  surrender the  Certificate  for any unborrowed  value,  make a Partial
Surrender,  request  increases or decreases  in  coverage,  and elect  certain
optional  supplemental benefits (in each case subject to limitations described
further in this Prospectus).

The account  value is the amount of Net Premiums you have paid,  increased (or
decreased)  by the return  (positive or  negative)  earned  thereon,  after we
impose the charges  described  in this  Prospectus.  You decide  whether  your
account  value is  invested  in  Variable  Life  Account  B under  one or more
Variable  Options,  and/or in the Fixed  Account.  The value in each  Variable
Option is not guaranteed  and will vary with the investment  performance of an
associated  Fund. The Variable  Options are: Aetna Variable Fund; Aetna Income
Shares;  Aetna Variable Encore Fund;  Aetna  Investment  Advisers Fund,  Inc.;
Aetna Ascent Variable Portfolio;  Aetna Crossroads  Variable Portfolio;  Aetna
Legacy Variable Portfolio; Aetna Variable Index Plus Portfolio; Alger American
Small-Capitalization Portfolio; Fidelity VIP Equity-Income Portfolio; Fidelity
VIP II --  Contrafund  Portfolio;  Janus  Aspen  Series --  Aggressive  Growth
Portfolio,  Growth Portfolio,  Balanced Portfolio,  Worldwide Growth Portfolio
and  Short-Term  Bond  Portfolio;   Scudder   Variable  Life  Investment  Fund
- --International  Portfolio;  TCI Portfolios,  Inc. -- TCI Growth. Net Premiums
allocated  to the  Fixed  Account  will  accumulate  at rates of  interest  we
determine.  Such  rates will not be less than 4% a year.  Unless  specifically
mentioned, this Prospectus describes only the Variable Options.

Replacing  existing  insurance or supplementing  an existing  flexible premium
variable life


<PAGE>

insurance  policy  with a  Certificate  may  not  be to  your  advantage.  The
Certificates  have a "free  look"  period  during  which  you may  return  the
Certificate. (See Right of Certificate Examination)

The Policy and  outstanding  Certificates  (including  your  coverage)  may be
terminated  at any time,  without your  consent,  by NYSUT or in certain other
circumstances.  (See  Termination  or Change in  Coverage).  Also,  NYSUT,  by
agreement  with the  Company,  may make changes in the  Certificate  (and your
coverage), without your consent.

BOTH THIS PROSPECTUS AND THE ATTACHED PROSPECTUS FOR ANY APPLICABLE UNDERLYING
FUND SHOULD BE READ AND RETAINED FOR FUTURE  REFERENCE.  THESE SECURITIES HAVE
NOT BEEN APPROVED OR DISAPPROVED  BY THE  SECURITIES AND EXCHANGE  COMMISSION,
NOR  HAS  THE  COMMISSION  PASSED  UPON  THE  ACCURACY  OR  ADEQUACY  OF  THIS
PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.


                                      ii

<PAGE>

                               TABLE OF CONTENTS

                                                                          PAGE

Definitions................................................................ vi

The Separate Account.......................................................  1

Charges & Fees.............................................................  1
     Premium Load..........................................................  1
     Charges and Fees Assessed Against the Total Account Value.............  1
     Monthly Deduction.....................................................  2
         Cost of Insurance ................................................  2
         Certificate Fee   ................................................  3
         Charges for Supplemental Benefits.................................  3
     Transfer and Partial Surrender Charges................................  3
     Mortality and Expense Risk Charge.....................................  3
     Charges Assessed Against the Underlying Funds.........................  5

Allocation of Premiums.....................................................  6
     The Funds.............................................................  6
     Investment Advisers of the Funds:.....................................  8
     Mixed and Shared Funding; Conflicts of Interest.......................  9
     Fund Additions, Deletions or Substitutions............................  9
     Fixed Account.........................................................  9

Certificate Choices........................................................ 10
     Premium Payments...................................................... 10
     Commencement of Coverage.............................................. 11
     5-Year No Lapse Coverage Provision.................................... 12
     Death Benefit Options................................................. 12
     Transfers............................................................. 13
     Telephone Transfers................................................... 13
     Automated Transfers (Dollar Cost Averaging)........................... 13

Termination or Change in Coverage.......................................... 14

Certificate Values......................................................... 15
     Total Account Value................................................... 15
     Accumulation Unit Value............................................... 16
     Maturity Value........................................................ 16

Certificate Rights......................................................... 16
     Full Surrenders....................................................... 16


                                      iii

<PAGE>

     Partial Surrenders..................................................... 16
     Paid-Up Nonforfeiture Option........................................... 17
     Grace Period........................................................... 18
     Reinstatement of a Lapsed Certificate.................................. 18
     Certificate Loans...................................................... 18

Certificate Changes......................................................... 19
     Increase in Specified Amount........................................... 20
     Decrease in Specified Amount........................................... 20
     Change in Death Benefit Option......................................... 21
     Right of Certificate Examination....................................... 21
     Supplemental Benefits.................................................. 21

Certificate Settlement...................................................... 22
     Settlement Options..................................................... 23
     Calculation of Variable Payment Settlement Option Values............... 24

The Company and Management.................................................. 24

Additional Information...................................................... 27
     Reports to Owners...................................................... 27
     Right to Instruct Voting of Fund Shares................................ 27
     State Regulation....................................................... 28
     Legal Matters.......................................................... 28
     The Registration Statement............................................. 28
     Distribution of the Certificates....................................... 28
     Experts................................................................ 29

Tax Matters................................................................. 29
     Federal Tax Status of the Company...................................... 29
     Life Insurance Qualification........................................... 30
     General Rules.......................................................... 30
     Modified Endowment Contracts........................................... 30
     Diversification Standards.............................................. 31
     Withholding............................................................ 32
     Other Tax Considerations............................................... 32

Miscellaneous Certificate Provisions........................................ 33
     The Certificates....................................................... 33
     Payment and Deferral of Benefits....................................... 33
     Suicide and Incontestability........................................... 33
     Protection of Proceeds................................................. 34
     Nonparticipation....................................................... 34
     Changes in Owner and Beneficiary; Assignment........................... 34


                                      iv

<PAGE>

     Performance Reporting and Advertising................................. 34
     Illustrations of Death Benefit and Total Account Values............... 35

Financial Statements of the Separate Account............................... S-1
Financial Statements of the Company........................................ F-1



THIS PROSPECTUS DOES NOT CONSTITUTE AN OFFER IN ANY JURISDICTION IN WHICH SUCH
OFFERING  MAY NOT BE LAWFULLY  MADE.  NO DEALER,  SALESMAN OR OTHER  PERSON IS
AUTHORIZED TO GIVE ANY INFORMATION OR MAKE ANY  REPRESENTATIONS  IN CONNECTION
WITH THIS  OFFERING  OTHER THAN THOSE  CONTAINED IN THIS  PROSPECTUS,  AND, IF
GIVEN OR MADE, SUCH OTHER  INFORMATION OR  REPRESENTATIONS  MUST NOT BE RELIED
UPON.


THE  PURPOSE OF THE  CERTIFICATES  IS TO PROVIDE  INSURANCE  PROTECTION.  LIFE
INSURANCE IS A LONG-TERM  INVESTMENT.  OWNERS SHOULD  CONSIDER  THEIR NEED FOR
INSURANCE COVERAGE AND THE CERTIFICATES'  LONG-TERM INVESTMENT  POTENTIAL.  NO
CLAIM IS MADE THAT THE CERTIFICATES ARE IN ANY WAY SIMILAR OR COMPARABLE TO AN
INVESTMENT IN A MUTUAL FUND.


                                       v

<PAGE>

DEFINITIONS

ACCUMULATION UNIT: A unit used to measure the value of the Owner's interest in
each applicable Variable Option. An Accumulation Unit is used to calculate the
value of the  variable  portion  of a  Certificate  before the  election  of a
Settlement Option.

ATTAINED  AGE:  A  person's  age (as of his or her  closest  birthday)  on the
Certificate Issue Date, plus the number of full Certificate Years elapsed.

AMOUNT AT RISK:  The Death Benefit  under a Certificate  divided by 1.0032737,
minus the Certificate's Total Account Value.

ANNUITANT:  A person  whose  life  determines  the  amount of life  contingent
annuity payments.

ANNUITY: A series of payments for life or for a definite period.

BASIC  MONTHLY  PREMIUM:  The minimum  amount of premium  that must be paid to
maintain the 5-year No Lapse  Coverage in effect,  assuming there have been no
Certificate Loans or Partial Surrenders.

CERTIFICATE  LOAN:  The amount  received by borrowing  from the Total  Account
Value.

CERTIFICATE YEAR/CERTIFICATE ANNIVERSARY: The first Certificate Year is the 12
month period beginning on the Issue Date of the Certificate.  Your Certificate
Anniversary is the Certificate Issue Date plus 1 Year, 2 Years, etc.

COMPANY: Aetna Life Insurance and Annuity Company.

COST  OF  INSURANCE:  A  monthly  charge  related  to the  Company's  expected
mortality cost for an Insured's basic insurance  coverage under a Certificate,
not including any supplemental  benefit provision that you may elect through a
Certificate  rider.  It is equal to the Amount at Risk for the  Insured on the
Monthly Deduction Day,  multiplied by that Insured's monthly Cost of Insurance
rate.

DEATH BENEFIT:  The amount,  described in the Death Benefit  Options  section,
which is payable  following  an  Insured's  death,  subject to all  provisions
contained in the Certificate.

DEATH  BENEFIT  OPTION:  Either  of the two  methods  that you may  elect  for
determining a Death Benefit.

FIXED ACCOUNT: A non-variable  funding option available under the Certificates
that guarantees a minimum interest rate of 4% per year.


                                      vi

<PAGE>

FIXED ACCOUNT VALUE: The non-loaned  portion of a Certificate's  Total Account
Value  attributable to its  non-variable  portion.  The Fixed Account Value is
part of the general assets of the Company.

FULL SURRENDER:  Your right to terminate a Certificate in exchange for payment
of its Surrender Value.

FUND(S):  One or more of the open-end management  investment companies (mutual
fund),  or a  separate  series  thereof,  whose  shares are  purchased  by the
Separate Account to fund the benefits provided by the Certificates.

GRACE  PERIOD:  The 61-day  period  beginning on any Monthly  Deduction Day on
which a  Certificate's  Surrender  Value is  insufficient to cover the current
Monthly  Deduction.  A similar  Grace Period also applies if the amount of any
loan and any accrued  loan  interest  exceeds  the Total  Account  Value.  The
Certificate  will lapse without value at the end of the 61-day period unless a
sufficient  payment is  received  by the Company or unless the 5-year No Lapse
Coverage is in effect.

HOME OFFICE:  The  Company's  principal  executive  offices at 151  Farmington
Avenue, Hartford, Connecticut 06156.

INSURED:  The person on whose  life a  Certificate  is issued.  In order to be
eligible for coverage initially, or to continue to be covered, an Insured must
be (a) a Member (b) a Member's  unmarried  child or stepchild at least 14 days
old but less than age 25 (provided  that if the child is older than age 18, he
or she is going to school on a regular,  full time basis and depends mainly on
the Member for  support);  (c) an Insured  Member's  spouse;  or (d) any other
adult with whom the Insured Member has a spouse-like  relationship and who has
joined  with the  Insured  Member  in  signing a form  satisfactory  to us and
received at our Home Office  certifying to their  relationship.  The age limit
and school  requirement in clause (b), however,  will not apply if evidence is
provided  to us at the time or times  specified  in the  Certificate  that the
child is incapable  of  self-sustaining  employment  due to physical or mental
disability.  Moreover,  no coverage is  available  for  persons  described  in
clauses (c) or (d) above whose  Attained  Age is 80 or older at the Issue Date
of their Certificate.

ISSUE  DATE:  The Issue  Date for a  Certificate,  or for a  Specified  Amount
increase,  is  stated  in  the  Certificate   Specifications  or  Supplemental
Certificate Specifications in your Certificate.

LOAN  ACCOUNT  VALUE:  The sum of all  unpaid  Certificate  Loans.  The amount
necessary to repay  Certificate  Loans in full is the Loan Account  Value plus
any accrued interest.

LOAN VALUE: Is 90% of the Total Account Value of a Certificate.


                                      vii

<PAGE>

MATURITY DATE: The Certificate Anniversary on which the Insured's Attained Age
is 100.

MEMBER: An eligible member of NYSUT or an NYSUT agency fee payer.

MONTHLY DEDUCTION:  A monthly charge assessed against the Total Account Value,
which includes the Cost of Insurance,  the Certificate fee and any charges for
supplemental benefit riders.

MONTHLY  DEDUCTION  DAY: The first  Monthly  Deduction  Day is the Issue Date.
Monthly  Deduction  Days occur each  month  thereafter  on the same day as the
Issue Date of the Certificate.

NET  PREMIUM:  The Net Premium is equal to the amount of the premium paid less
the then-current Premium Load deduction.

NET SINGLE PREMIUM:  The amount  required to purchase a guaranteed  benefit if
allocated to the Fixed Account, using the Insured's Age and premium class. The
Net Single  Premium is determined  using a guaranteed  interest rate of 4% per
year and the Certificate's guaranteed maximum Cost of Insurance rates.

NO LAPSE COVERAGE: A provision in the Certificate  providing that, if at least
the Basic Monthly  Premiums are paid, a Certificate will remain in force for a
period of at least 5 years beginning on the Issue Date or the Issue Date of an
increase in Specified  Amount,  even if the Surrender Value is insufficient to
pay the current Monthly Deduction.

OWNER:  The person to whom a Certificate  is issued;  the Owner is entitled to
exercise all rights under the Certificate and is also referred to as "you".

PARTIAL  SURRENDER:  The amount you can receive in cash by surrendering a part
of a Certificate.

PLANNED PREMIUMS: Premiums we agree to bill.

POLICY:  The group life insurance  contract owned by NYSUT,  pursuant to which
the Certificates are issued.  The Certificates are subject to the terms of the
Policy.

PRO-RATA BASIS:  In the same proportion that each of the Variable  Options and
the Fixed Account Value under a Certificate  bear to the sum of  Certificate's
Separate Account Value and Fixed Account Value.

SEC: Securities and Exchange Commission.

SEPARATE ACCOUNT: A separate account maintained by the Company for the purpose
of funding the Certificates. Variable Life Account B.


                                     viii

<PAGE>

SEPARATE  ACCOUNT VALUE:  The portion of a  Certificate's  Total Account Value
attributable  to the  variable  portion of the  Certificate.  For any Variable
Option,  it is the Accumulation Unit Value for that Variable Option multiplied
by the number of  Accumulation  Units for that Variable Option credited to the
Certificate.

SETTLEMENT  OPTION(S):  The  method(s)  by  which  payment  may be  made  to a
beneficiary  due from a Death  Benefit or upon the  Maturity  Date or the Full
Surrender of a Certificate.

SPECIFIED  AMOUNT:  The amount chosen by the Owner at  enrollment  and used in
determining  the Death Benefit.  It may be increased or decreased as described
in this Prospectus.

SURRENDER  VALUE:  The Total Account Value on the date of surrender,  less the
Loan Account Value and less any accrued interest.

TOTAL ACCOUNT VALUE:  The sum of the Fixed Account Value, the Separate Account
Value and the Loan Account Value.

VALUATION  DATE:  Generally,  a day  on  which  the  Total  Account  Value  is
determined.  A Valuation  Date is any day on which the New York Stock Exchange
is open for trading and on which any relevant  Funds value their  shares.  The
Total  Account  Value will be determined as of the close of trading on the New
York Stock Exchange.

VALUATION PERIOD: The period of time commencing,  usually at 4:15 p.m. Eastern
Time on each Valuation  Date and ending at 4:15 p.m.  Eastern Time on the next
Valuation Date.

VARIABLE OPTION:  One or more of the variable funding options  available under
the Certificate as described in this Prospectus.

WE, OUR, US, COMPANY: Aetna Life Insurance and Annuity Company.

WRITTEN  REQUEST:  A request  in  writing,  in a form  satisfactory  to us and
received by us at the Home Office.

YOU,  YOUR:  The  person  entitled  to  purchase  or  exercise  any  rights or
privileges under a Certificate or a Settlement  Option.  This is generally the
Owner (or, during a Settlement Option, the payee).


                                      ix

<PAGE>

THE SEPARATE ACCOUNT

The Separate  Account that supports the Variable  Options is our Variable Life
Account B.  Amounts  allocated  to the  Separate  Account are  invested in the
Funds. Each of the Funds is an open-end management  investment company (mutual
fund),  or a  separate  series  thereof,  whose  shares are  purchased  by the
Separate Account to fund the benefits provided by the Certificates.  The Funds
currently  available under the Separate  Account,  including their  investment
objectives and their  investment  advisers,  are described in this Prospectus.
Complete descriptions of the Funds' investment objectives and restrictions and
other  material  information  relating  to an  investment  in  the  Funds  are
contained in the prospectuses for each of the Funds which are attached to this
Prospectus.

Variable Life Account B was established pursuant to a June 18, 1986 resolution
of the Board of Directors of the Company. Under Connecticut Insurance Law, the
income,  gains or losses of the Separate  Account are credited to the Separate
Account  without  regard to the other income,  gains or losses of the Company.
The  Separate  Account's  assets  are held  for the  Company's  variable  life
insurance  policies.  Any and all distributions made by the Funds with respect
to Fund shares held by the Separate  Account will be  reinvested in additional
Fund shares at net asset value. The assets  maintained in the Separate Account
that  are  not  in  excess  of  the  Separate  Account's  reserves  and  other
liabilities  attributable  to variable  life  insurance  policies  will not be
charged with any  liabilities  arising out of any other business  conducted by
the Company. The Company is, however,  responsible for meeting all obligations
under the Certificates to the Owners.

The Separate  Account is registered  with the SEC as a unit  investment  trust
under the Investment  Company Act of 1940 and meets the definition of separate
account under the federal  securities laws. Such registration does not involve
any  approval  or  disapproval  by  the  SEC of the  Separate  Account  or the
Company's management or investment practices or policies. The Company does not
guarantee the Separate Account's investment performance.

Charges & FEES

PREMIUM LOAD

Before a premium is allocated to the Certificate's  Total Account Value, 8% of
the premium is deducted to cover certain  expenses and taxes  associated  with
the sales, start-up and maintenance costs of the Certificates.  We reserve the
right to  increase  this  charge  to not  more  than  10%  under  both new and
previously-issued Certificates.

CHARGES AND FEES ASSESSED AGAINST THE TOTAL ACCOUNT VALUE

Charges and fees  assessed  against the Total  Account  Value will be deducted
from each of a Certificate's Variable Options and Fixed Account Value on a Pro
Rata Basis.


                                       1

<PAGE>

MONTHLY DEDUCTION

The Monthly Deduction  includes the Cost of Insurance,  a Certificate fee, and
any charges for supplemental  benefits.  Monthly Deductions begin on the Issue
Date, even if the Issue Date is earlier than the date the application form for
a Certificate is signed,  and occur on each Monthly  Deduction Day thereafter.
If the Certificate's issuance is delayed due to underwriting requirements, the
charges  will not be  assessed  until the  underwriting  is  complete  and the
application for the Certificate is approved.

As to when  insurance  coverage and  investment  performance  commence under a
Certificate, see Enrollment and Commencement of Coverage.

     COST OF INSURANCE

     The  Cost of  Insurance  charge  is  related  to the  Company's  expected
mortality  cost for your base  insurance  coverage  under a  Certificate,  not
including any  supplemental  benefits that you may elect through a Certificate
rider.  The Cost of Insurance charge is equal to the  Certificate's  Amount at
Risk on the Monthly  Deduction Day,  multiplied by a monthly Cost of Insurance
rate. Our Amount at Risk at any time is approximately  the difference  between
the Certificate's  then-applicable  Death Benefit and its Total Account Value.
An increase in the Total Account Value or a decrease in the Death Benefit will
result in a smaller  Cost of Insurance  charge,  while a decrease in the Total
Account Value or an increase in the Death Benefit will result in a larger Cost
of Insurance charge.

     The  Cost of  Insurance  rate  generally  increases  over  the  life of a
Certificate and is based on the Insured's  Attained Age and the Insured's risk
class.  The Cost of Insurance rates for standard risk Insureds will not exceed
those  based on a 50%  male/50%  female  blend  under  the 1980  Commissioners
Standard  Ordinary  Mortality  Table,   smoker  or  nonsmoker  (1980  Tables).
Substandard  risk  Insureds  will  have  monthly  deductions  based on Cost of
Insurance rates which may be higher than those set forth in the 1980 Tables. A
table of guaranteed  maximum Cost of Insurance  rates per $1,000 of the Amount
at Risk  will be  included  in each  Certificate.  Subject  to the  applicable
guaranteed  maximum rates, the monthly Cost of Insurance rates may be adjusted
by us from time to time.

     Current cost of insurance  rates are  generally  lowest for  Certificates
having Specified  Amounts of at least $250,000.  Therefore,  if your Specified
Amount for any reason  increases  above or decreases  below that amount,  your
Cost of  Insurance  rate may change.  We expect to review our current  cost of
insurance  rates on at least an annual basis in light of the actual  mortality
experience of  participants  under the NYSUT group Policy.  In many cases,  we
expect that these periodic reviews will result in upward or downward revisions
to the  current  Cost of  Insurance  rates that apply both to  previously  and
subsequently-issued Certificates. Cost of Insurance rates will be the same for
male and female insureds, and will generally be lower for non-smokers than for
smokers.  We also offer preferred Cost of Insurance rates for both smokers and
non-smokers who meet more stringent requirements than do standard


                                       2

<PAGE>

risk smokers and non-smokers,  respectively. If an Insured classified "smoker"
changes his smoking habits so as to fall within our non-smoker  category,  you
may make a Written Request for  reclassification  after the first  Certificate
Year.

     Cost of  Insurance  rates for an increase in  Specified  Amount for which
evidence of insurability has been provided will be based on the Insured's risk
class at the time of the increase.

     CERTIFICATE FEE

     The Monthly  Deduction  also  includes a  Certificate  fee of $14 a month
during the first  Certificate Year and $6 a month  thereafter.  This charge is
for  administrative  expenses,  such  as  risk  underwriting  and  Certificate
issuance,  premium  billing and  collection,  Certificate  value  calculation,
confirmation of Certificate  transactions,  and periodic reports to Owners. We
reserve the right to raise this  charge,  both for new and  previously  issued
Certificates,  to not more than $19 a month during the first  Certificate Year
and $11 a month  thereafter.  The monthly  Certificate  fee is not expected to
exceed our actual administrative costs.

     CHARGES FOR SUPPLEMENTAL BENEFITS

     If you elect  any  supplemental  benefits  through  adding  riders to the
Certificate,  a  supplemental  benefits  charge may be included in the Monthly
Deduction amount. The amount of any charge will vary depending upon the actual
supplemental benefits selected and is described on each applicable Certificate
rider.

TRANSFER AND PARTIAL SURRENDER CHARGES

We  reserve  the right to charge an  administrative  fee of up to $25 for each
transfer  between  investment  options in excess of 12 transfers per year. For
Partial Surrenders, we reserve the right to charge an administrative fee of up
to $25 or, if less, 2% of the surrender amount.

MORTALITY AND EXPENSE RISK CHARGE

A mortality and expense risk charge will be deducted from the Separate Account
Value to compensate the Company for the aggregate  mortality and expense risks
assumed in connection with the Certificates. The mortality risk assumed by the
Company is that  Insureds,  as a group,  may live for a shorter period of time
than estimated and that the Company will, therefore, pay Death Benefits before
it is able to collect  sufficient  amounts of Cost of Insurance  charges.  The
expense risk assumed is that  expenses  incurred in issuing and  administering
the  Certificates  and operating the Separate Account will be greater than the
administrative  charges  that the  Company  can impose for such  expenses.  We
expect to earn a profit from this charge.


                                       3

<PAGE>

The  mortality  and expense risk charge will be deducted  daily and  currently
equals an annual rate of 0.85% of the average daily net assets of the Separate
Account during the first 10 Certificate  years and 0% thereafter.  Because the
Certificates  were first offered for sale in 1997, the planned deduction after
the tenth year has not yet gone into effect for any  outstanding  Certificate.
The Company  reserves  the right to increase or  decrease  the  mortality  and
expense  risk charge if it believes  that  circumstances  have changed so that
current  charges  are no longer  appropriate.  However,  in no event  will the
charge exceed 0.90% of average daily net assets on an annual basis.

The Separate Account currently is not subject to any taxes.  However, if taxes
are  assessed  against the  Separate  Account,  we reserve the right to assess
taxes against the Separate Account Value.


                                       4

<PAGE>

CHARGES ASSESSED AGAINST THE UNDERLYING FUNDS

The following table  illustrates the investment  advisory fees, other expenses
and total  expenses  paid by each of the Funds as a percentage  of average net
assets based (except  otherwise  noted) on figures for the year ended December
31, 1995:
<TABLE>
<CAPTION>

                                                      INVESTMENT ADVISORY       OTHER EXPENSES          TOTAL FUND
                                                         FEES(1) (AFTER         (AFTER EXPENSE            ANNUAL
                                                            EXPENSE             REIMBURSEMENT)           EXPENSES
                                                         REIMBURSEMENT)
<S>                <C>                                       <C>                     <C>                   <C>  
Aetna Variable Fund(2)                                       0.50%                   0.06%                 0.56%
Aetna Income Shares(2)                                       0.40%                   0.08%                 0.48%
Aetna Variable Encore Fund(2)                                0.25%                   0.10%                 0.35%
Aetna Investment Advisers Fund, Inc.(2)                      0.50%                   0.08%                 0.58%
Aetna Ascent Variable Portfolio(2)                           0.60%                   0.15%                 0.75%
Aetna Crossroads Variable Portfolio(2)                       0.60%                   0.15%                 0.75%
Aetna Legacy Variable Portfolio(2)                           0.60%                   0.15%                 0.75%
Aetna Variable Index Plus Portfolio(2)                       0.35%                   0.15%                 0.50%
Alger American Small Cap Portfolio                           0.85%                   0.07%                 0.92%
Fidelity VIP II Contrafund Portfolio(3)                      0.61%                   0.11%                 0.72%
Fidelity VIP Equity-Income Portfolio                         0.51%                   0.10%                 0.61%
Janus Aspen Aggressive Growth Portfolio(4)                   0.75%                   0.11%                 0.86%
Janus Aspen Balanced Portfolio(4)                            0.82%                   0.55%                 1.37%
Janus Aspen Growth Portfolio(4)                              0.65%                   0.13%                 0.78%
Janus Aspen Short-Term Bond Portfolio(4)                     0.00%                   0.70%                 0.70%
Janus Aspen Worldwide Growth Portfolio(4)                    0.68%                   0.22%                 0.90%
Scudder International Portfolio Class A Shares               0.88%                   0.20%                 1.08%
TCI Growth(5)                                                1.00%                   0.00%                 1.00%

<FN>

(1)   Certain of the Fund  advisers that are not  affiliated  with the Company
      reimburse the Company for  administrative  costs  incurred in connection
      with  administering  the Funds as  variable  funding  options  under the
      Certificates.  These  reimbursements  are  paid  out of  the  investment
      advisory fees and are not charged to investors.
(2)   As of May 1, 1996, the Company provides  administrative  services to the
      Fund and assumes the Fund's  ordinary  recurring  direct  costs under an
      Administrative  Services  Agreement.  The Other  Expenses  shown are not
      based on figures for the year ended  December 31, 1995,  but reflect the
      fee payable under this Agreement.
(3)   A portion of the brokerage  commissions the Fund paid was used to reduce
      its expenses.  Without this reduction,  Total Fund Annual Expenses would
      have been 0.73% for the Contrafund Portfolio.
(4)   The  information  for each Portfolio is net of fee waivers or reductions
      from Janus Capital. Fee reductions for the Aggressive Growth,  Balanced,
      Growth and Worldwide Growth  Portfolios reduce the management fee to the
      level  of  the  corresponding  Janus  retail  fund.  Other  waivers,  if
      applicable,  are  first  applied  against  the  management  fee and then
      against  other  expenses.   Without  such  waivers  or  reductions,  the
      Investment  Advisory Fees, Other Expenses and Total Fund Annual Expenses
      would have been 0.82%,  0.11% and 0.93% for Aggressive Growth Portfolio;
      1.00%,  0.55% and 1.55% for Balanced  Portfolio;  0.85%, 0.13% and 0.98%
      for  Growth  Portfolio;  0.65%,  0.72%  and 1.37%  for  Short-Term  Bond
      Portfolio;  and 0.87%,  0.22% and 1.09% for Worldwide Growth  Portfolio,
      respectively.  Janus  Capital  may modify or  terminate  the  waivers or
      reductions at any time upon 90 days' notice to the Portfolios'  Board of
      Trustees.
(5)   The  Portfolio's  investment  adviser pays all expenses of the Portfolio
      except brokerage  commissions,  taxes,  interest,  fees, expenses of the
      non-interested   person   directors   (including   counsel   fees)   and
      extraordinary expenses.  These expenses have historically  represented a
      very small  percentage (less than 0.01%) of total net assets in a fiscal
      year.
</FN>
</TABLE>

For  further  details on each  Fund's  expenses,  please  refer to that Fund's
prospectus.


                                       5

<PAGE>

Allocation of PREMIUMS

You may  allocate  all or a part of your Net  Premiums to the Funds  currently
available through the Separate Account in connection with a Certificate and/or
you may allocate all or a part of your Net Premiums to the Fixed Account.

THE FUNDS

The investment results of the Funds, whose investment objectives are described
below, are likely to differ  significantly.  There is no assurance that any of
the Funds will achieve their respective investment  objectives.  Investment in
some of the  Funds  involves  special  risks,  which  are  described  in their
respective  prospectuses.  You should read the attached  prospectuses  for the
Funds  and  consider  carefully,  and on a  continuing  basis,  which  Fund or
combination of Funds is best suited to your long-term  investment  objectives.
Except where otherwise noted, all of the Funds are diversified,  as defined in
the Investment Company Act of 1940.

O    AETNA VARIABLE FUND seeks to maximize total return through investments in
     a diversified portfolio of common stocks and securities  convertible into
     common stocks.(1)

O    AETNA  INCOME  SHARES seeks to maximize  total  return,  consistent  with
     reasonable  risk,   through   investments  in  a  diversified   portfolio
     consisting primarily of debt securities.(1)

O    AETNA  VARIABLE  ENCORE  FUND  seeks  to  provide  high  current  return,
     consistent with preservation of capital and liquidity, through investment
     in high-quality money market  instruments.  An investment in this Fund is
     neither insured nor guaranteed by the U.S. Government.(1)

O    AETNA INVESTMENT  ADVISERS FUND, INC. seeks to maximize investment return
     consistent  with  reasonable  safety of  principal by investing in one or
     more of the following asset classes:  stocks,  bonds and cash equivalents
     based on the Company's  judgment of which of those sectors or mix thereof
     offers the best investment prospects.(1)

O    AETNA GENERATION PORTFOLIOS, INC. - AETNA ASCENT VARIABLE PORTFOLIO seeks
     to provide  capital  appreciation  by allocating  its  investments  among
     equities  and  fixed  income  securities.  Aetna  Ascent is  managed  for
     investors who generally  have an investment  horizon  exceeding 15 years,
     and who have a high level of risk  tolerance.  See the Fund's  prospectus
     for a discussion of the risks involved.(1)

O    AETNA GENERATION  PORTFOLIOS,  INC. - AETNA CROSSROADS VARIABLE PORTFOLIO
     seeks to provide  total return  (i.e.,  income and capital  appreciation,
     both  realized  and  unrealized)  by  allocating  its  investments  among
     equities and fixed income  securities.  Aetna  Crossroads  is managed for
     investors who generally have an investment horizon exceeding 10 years and
     who have a moderate level of risk tolerance.(1)


                                       6

<PAGE>

O    AETNA GENERATION PORTFOLIOS, INC. - AETNA LEGACY VARIABLE PORTFOLIO seeks
     to  provide  total  return  consistent  with  preservation  of capital by
     allocating its  investments  among equities and fixed income  securities.
     Aetna Legacy is managed for investors  who  generally  have an investment
     horizon   exceeding  five  years  and  who  have  a  low  level  of  risk
     tolerance.(1)

O    AETNA  VARIABLE  PORTFOLIOS,  INC. - AETNA  VARIABLE INDEX PLUS PORTFOLIO
     seeks to  outperform  the total  return  performance  of publicly  traded
     common  stocks  represented  by the S&P 500  Composite  Stock Price Index
     ("S&P  500"),  a broad based stock  market  index  composed of 500 common
     stocks selected by the Standard & Poor's Corporation.  The Portfolio uses
     the  S&P  500  as  a   comparative   benchmark   because  it   represents
     approximately  two-thirds  of the total market  value of all U.S.  common
     stocks, and is well known to investors.(1)

O    ALGER AMERICAN FUND - ALGER AMERICAN SMALL CAPITALIZATION PORTFOLIO seeks
     long-term  capital   appreciation.   Except  during  temporary  defensive
     periods, the Portfolio invests at least 65% of its total assets in equity
     securities of companies that, at the time of purchase of such securities,
     have total market  capitalization  within the range of companies included
     in the Russell 2000 Growth  Index,  updated  quarterly.  The Russell 2000
     Growth Index is designed to track the performance of small capitalization
     companies. At March 31, 1996, the range of market capitalization of these
     companies was $20 million to $3.0 billion.(2)

O    FIDELITY  INVESTMENTS'  VARIABLE  INSURANCE PRODUCTS FUND - EQUITY-INCOME
     PORTFOLIO   seeks   reasonable   income   by   investing   primarily   in
     income-producing  equity  securities.  In choosing these securities,  the
     Fund will also consider the potential for capital appreciation.(3)

O    FIDELITY  INVESTMENTS'  VARIABLE  INSURANCE PRODUCTS FUND II - CONTRAFUND
     PORTFOLIO  seeks maximum total return over the long term by investing its
     assets mainly in equity  securities of companies that are  undervalued or
     out-of-favor.(3)

O    JANUS ASPEN SERIES -  AGGRESSIVE  GROWTH  PORTFOLIO is a  non-diversified
     portfolio that seeks long-term growth of capital.  The Portfolio  pursues
     its investment objective by normally investing at least 50% of its equity
     assets  in  securities  issued by medium  sized  companies.  Medium-sized
     companies are those whose market capitalizations fall within the range of
     companies  in the S&P MidCap 400 Index,  which as of  December  29,  1995
     included  companies  with  capitalizations   between  approximately  $118
     million  and $7.5  billion,  but which is expected to change on a regular
     basis.(4)

O    JANUS ASPEN SERIES - GROWTH  PORTFOLIO seeks long-term  growth of capital
     consistent with the  preservation of capital.  The Portfolio  pursues its
     investment  objective by investing in common  stocks of a large number of
     issuers of any size.(4)


                                       7

<PAGE>

O    JANUS ASPEN SERIES - WORLDWIDE GROWTH PORTFOLIO seeks long-term growth of
     capital  consistent  with the  preservation  of  capital.  The  Portfolio
     pursues its investment  objective primarily through investments in common
     stocks of foreign and domestic issuers.(4)

O    JANUS ASPEN SERIES - BALANCED  PORTFOLIO seeks  long-term  capital growth
     consistent  with  preservation of capital and balanced by current income.
     The Portfolio  pursues its investment  objective by investing  40%-60% of
     its assets in securities  selected  primarily for their growth  potential
     and  40%-60% of its assets in  securities  selected  primarily  for their
     income potential.(4)

O    JANUS ASPEN SERIES - SHORT TERM BOND  PORTFOLIO  seeks as high a level of
     current  income  as is  consistent  with  preservation  of  capital.  The
     Portfolio  pursues its  investment  objective by  investing  primarily in
     short and intermediate-term fixed income securities.(4)

O    SCUDDER  VARIABLE LIFE INVESTMENT FUND - INTERNATIONAL  PORTFOLIO CLASS A
     SHARES seeks long term growth of capital  primarily  through  diversified
     holdings of marketable foreign equity investments.(5)

O    TCI  PORTFOLIOS,  INC.  - TCI GROWTH (a  Twentieth  Century  Fund)  seeks
     capital  growth.  The Fund seeks to achieve its objective by investing in
     common stocks (including  securities  convertible into common stocks) and
     other securities that meet certain fundamental and technical standards of
     selection,  and, in the opinion of TCI Growth's  management,  have better
     than average potential for appreciation.(6)

INVESTMENT ADVISERS OF THE FUNDS:

    (1) Aetna Life  Insurance  and Annuity  Company  (investment  adviser) and
        Aeltus Investment Management, Inc. (subadviser)
    (2) Fred Alger Management, Inc.
    (3) Fidelity Management & Research Company
    (4) Janus Capital Corporation
    (5) Scudder, Stevens & Clark, Inc.
    (6) Investors Research Corporation

Some of the above Funds may use  instruments  known as  derivatives as part of
their investment  strategies,  as described in their respective  prospectuses.
The use of certain  derivatives  such as inverse  floaters and principal  only
debt  instruments  may involve higher risk of volatility to a Fund. The use of
leverage in connection with derivatives can also increase risk of losses.  See
the prospectus for each Fund for a discussion of the risks  associated with an
investment in that Fund. You should also refer to the attached prospectuses of
the Funds for more complete  information  about their investment  policies and
restrictions.


                                       8

<PAGE>

MIXED AND SHARED FUNDING; CONFLICTS OF INTEREST

Shares of the Funds are available only to insurance  company separate accounts
which fund variable  annuity  contracts and variable life insurance  policies,
including  the  Certificates  described  in this  Prospectus.  Fund shares are
offered  to  separate  accounts  of the  Company  and  its  affiliates  and of
insurance   companies  that  are  not  affiliated  with  the  Company.  It  is
conceivable  that, in the future, it may not be advantageous for variable life
insurance  separate  accounts and variable annuity separate accounts to invest
in a Fund  simultaneously,  since the  interests of the  participants  in such
accounts  may differ.  Although  neither  the Company nor the Funds  currently
foresees  any such  disadvantages  either to  variable  life  insurance  or to
variable annuity  participants,  each Fund's Board of  Trustees/Directors  has
agreed to monitor  events in order to  identify  any  material  irreconcilable
conflicts  which may  possibly  arise and to determine  what  action,  if any,
should be taken in response thereto.  If such a conflict were to occur, one of
the separate  accounts  might  withdraw its  investment in a Fund.  This might
force that Fund to sell portfolio securities at disadvantageous prices.

FUND ADDITIONS, DELETIONS OR SUBSTITUTIONS

The Company  reserves the right,  subject to compliance with applicable  state
and  federal  laws,  to add  additional  Funds or cease  to make  Fund  shares
available  under the  Certificates  prospectively.  The Company may substitute
shares of one Fund for shares of another Fund if, in the  Company's  view,  it
has become inappropriate or inadvisable to continue investing in the shares of
the Fund,  in view of the purposes of the  Certificates.  Substitution  may be
made with  respect to both  existing  investments  and the  investment  of any
future premium payments.  However,  no substitution of securities will be made
without  notice to  Owners,  and  without  prior  approval  of any  regulatory
authorities as may be necessary,  all to the extent  required and permitted by
the Investment Company Act of 1940 or other applicable law.

FIXED ACCOUNT

Interests  in the Fixed  Account  have not been  registered  with the SEC,  in
reliance  upon  an  exclusion  under  the  Securities  Act of  1933.  However,
disclosures in this  Prospectus  regarding the Fixed Account may be subject to
certain  generally  applicable  provisions  of  the  federal  securities  laws
relating to the accuracy and  completeness  of the  statements.  Disclosure in
this  Prospectus  relating to the Fixed  Account has not been  reviewed by the
SEC.

The Fixed Account is a fixed funding option  available under the  Certificates
under which the Company  credits  interest at rates that it declares from time
to time.  These rates are in the Company's  sole  discretion,  except that the
Company  guarantees a 4% minimum annual  interest rate on amounts in the Fixed
Account (the Fixed Account Value),  compounded monthly. Current interest rates
may also vary depending on when an amount was allocated to the Fixed Account.


                                       9

<PAGE>

The Fixed  Account is  supported  by the general  assets of the  Company.  The
general  assets of the Company  include  all assets of the Company  other than
those held in legally-segregated separate accounts sponsored by the Company or
its affiliates.  The Company will invest the assets  attributable to the Fixed
Account in those assets chosen by the Company,  as allowed by  applicable  law
for investment of its general assets.  Such assets,  and any investment income
therefrom are solely the property of the Company.

Certificate CHOICES

PREMIUM PAYMENTS

The Certificates  are flexible  premium  variable  universal life insurance in
that,  within  limits,  the Owner has the right to decide when to make premium
payments and in what amounts.  Each Certificate specifies Planned Premiums and
Basic Monthly Premiums.  However, payment of Planned or Basic Monthly Premiums
will not, except as noted below,  guarantee that your  Certificate will remain
in force. Conversely,  failure to pay such premiums will not necessarily cause
your  Certificate to lapse. Not paying your Basic Monthly  premiums,  however,
may cause the  Certificate's  5-year No Lapse  Coverage not to be  applicable.
(See No Lapse Coverage)

Planned  Premiums  are those  premiums  you request and we agree to bill on an
annual,  semiannual,   quarterly  or  other  periodic  basis.   Pre-authorized
automatic monthly check payments or salary or pension  deduction  arrangements
through  the  Member's  employer  may also be  arranged.  You may change  your
Planned  Premium at any time by submitting a Written  Request to us.  Premiums
paid by payroll  deduction are generally  forwarded by your employer to NYSUT,
which forwards them to us. We are not responsible for errors and delays caused
by your employer or NYSUT.

We may  require  evidence  of  insurability  if payment of any  premium  would
increase the difference  between the Death Benefit and the Total Account Value
(thus increasing our Amount at Risk). If satisfactory evidence of insurability
is requested  and not  provided,  we will refund any refused  premium  without
interest and without  participation  of such amount in the Funds.  We may also
refuse to accept  any  premium  payment  (other  than one  required  to keep a
Certificate in force) if it would cause the  Certificate to fail to be treated
as life insurance for federal income tax purposes.  Finally,  premiums paid in
excess of the Planned Premium or an increase in your Planned Premium may cause
the  Certificate  to be  classified  as a "Modified  Endowment  Contract"  for
federal income tax purposes.  (See Tax Matters) In that case, we will mail you
a notification and, if you wish to avoid Modified  Endowment  Contract status,
we will refund the excess premium,  without interest and without participation
in the Funds.


                                      10

<PAGE>

COMMENCEMENT OF COVERAGE

The insurance  coverage  under a Certificate  starts when we have approved the
insurance based on the application  and any other  information  required to be
submitted by the Insured and we or our  representative  have received at least
the first Basic Monthly  Premium.  Therefore,  coverage may not commence until
some time after you submit an application for a Certificate.

If,  however,  you submit at least the first Basic  Monthly  Premium with your
application, and if certain other requirements are met, we may offer immediate
temporary  fixed  insurance   coverage.   For  more   information   about  the
availability,  terms and conditions of this coverage,  you should consult your
Aetna  representative,  who can also provide you with a copy of our  temporary
insurance agreement.

The Issue  Date of a  Certificate  is  generally  the date  that we  approve a
Certificate.   Under  limited  circumstances,   however,  we  may  backdate  a
Certificate, upon request, by assigning an Issue Date that is up to six months
earlier than otherwise would apply. Backdating may be desirable,  for example,
so that you can purchase  coverage at lower Cost of Insurance rates based on a
younger insurance Age. For a backdated  Certificate,  you must pay the cost of
insurance  and other  charges from the Issue Date to the Issue Date that would
have applied without backdating,  notwithstanding  that insurance coverage was
not in effect  and no  interest  or  investment  return is  credited  for that
period.

Your initial premium payment is credited to and begins to earn a return in the
Separate  Account or the Fixed Account on the Issue Date of the Certificate or
the date that at least the first Basic Monthly Premium is received at our Home
Office, whichever is later. After the first premium payment, all premiums must
be sent to our Home  Office.  These  and all  other  premiums  will be  deemed
received  when  actually  received  at  the  Home  Office  together  with  any
identifying  information we require from the Member's  employer or NYSUT. Your
premium payments will be allocated as you have directed,  effective at the end
of the Valuation Period in which each payment is received in the Home Office.

You may reallocate your future premium payments at any time.  Allocations must
be changed in whole  percentages.  The change will be effective  with the next
premium payment after we receive your request.  We will send you  confirmation
of the change. (See Transfers)

5-YEAR NO LAPSE COVERAGE PROVISION

A  Certificate  will  not  enter a Grace  Period  -- and  therefore  will  not
terminate  -- within the 5-year  period after its Issue Date or the Issue Date
of any Specified Amount increase that you have requested, if required premiums
are  paid.  The  Certificate  will not  enter a Grace  Period  on any  Monthly
Deduction Day within such a 5-year period,  if the sum of premiums paid within
that period  equals or exceeds (a) the sum of the Basic  Monthly  Premiums for
each  Certificate  Month from the start of the period,  including  the current
month; plus (b)


                                      11

<PAGE>

any Partial Surrenders since the start of the period; plus (c) any increase in
the Loan Account Value since the start of the period.

If these  requirements  are not met on any  Monthly  Deduction  Day within the
5-year period,  and the Surrender Value is less than the Monthly Deduction for
that day, the  Certificate  will enter the Grace  Period.  Additional  premium
payments must then be paid to prevent the termination of the Certificate. (See
Grace Period)

We will  accumulate any amounts of Monthly  Deduction that, as a result of the
No Lapse  Coverage,  we have not  collected,  and we will collect such amounts
from any Surrender  Value resulting from subsequent Net Premiums that you pay.
Also,  once  the  No  Lapse  Coverage  is no  longer  in  effect  as  to  your
Certificate,  your Certificate may lapse unless you pay sufficient premiums to
permit  us to  collect  the full  amount  of  previously  uncollected  Monthly
Deductions, if any. (See Grace Period)

DEATH BENEFIT OPTIONS

At the time of  enrollment,  you must choose  between the two available  Death
Benefit Options.

Under OPTION 1, the Death  Benefit  will be the greater of: (a) the  Specified
Amount  or (b) the  amount of  coverage  that the Total  Account  Value  would
purchase if applied as a Net Single Premium.

Under OPTION 2, the Death  Benefit  will be the greater of: (a) the  Specified
Amount plus the Total  Account  Value or (b) the amount of  coverage  that the
Total Account Value would purchase if applied as a Net Single Premium.  Option
2 provides a varying  Death Benefit  which  increases or decreases  over time,
depending upon the amount of premiums paid and the  investment  performance of
the Fund(s) you choose.

The Death  Benefit  payable  under either  Option will be calculated as of the
date of death and will be  reduced by (a) the  amount  necessary  to repay the
Loan Account Value in full with all accrued  interest,  (b) if the Certificate
is within the Grace Period,  the amount  required to keep the  Certificate  in
force  through  the date of death,  and (c) the  amount  of any other  Monthly
Deductions  that we were  unable to  collect.  (See  5-year No Lapse  Coverage
Provision)

TRANSFERS

At any time prior to the Maturity  Date,  you may transfer all or part of your
Separate  Account Value in any Variable Option to any other Variable Option or
to the Fixed Account.  We reserve the right to charge an administrative fee of
$25 for  each  transfer  over 12 per year and to limit  the  total  number  of
Variable Options you may elect to 15 over the lifetime of the Certificate.

Within the 45 days following the  Certificate  Anniversary,  you may request a
transfer  of a  portion  of the  Fixed  Account  Value  to one or  more of the
Variable  Options.  This type of transfer is allowed  only once within this 45
day period, and we must receive your request at the Home


                                      12

<PAGE>

Office within the 45 day period.  The transfer will be effective at the end of
the Valuation Period in which your request is received by the Home Office. The
amount of any such  transfer  cannot  exceed  the  greater of 25% of the Fixed
Account Value or $500.

TELEPHONE TRANSFERS

You may request a transfer of account values either by Written Request (as set
forth above) or by telephone.  In order to make telephone transfers, a written
telephone  transfer  authorization  form  must be  completed  by the Owner and
returned to the Company at its Home Office.  Once the form is  processed,  the
Owner may request a transfer by telephoning the Company. All transfers must be
in accordance with the terms of the Certificate.

Transfer  instructions  are currently  accepted on each Valuation  Date.  Once
instructions  have been  accepted,  they may not be  rescinded;  however,  new
telephone  instructions  may be given on the  following  day. If the  transfer
instructions  are not in good order, the Company will not execute the transfer
and you will be notified.

We will use reasonable procedures,  such as requiring identifying  information
from  callers,   recording  telephone  instructions,   and  providing  written
confirmation of transactions,  in order to confirm that telephone instructions
are genuine.  Any telephone  instructions  which we  reasonably  believe to be
genuine will be your responsibility,  including losses arising from any errors
in the communication of instructions. As a result of this procedure, the Owner
will bear the risk of loss. If the Company does not use reasonable procedures,
as  described  above,  it may be  liable  for  losses  that  result  from  any
unauthorized instructions.

AUTOMATED TRANSFERS (DOLLAR COST AVERAGING)

Dollar Cost  Averaging  describes a system of investing a uniform sum of money
at regular  intervals over a period of one, two or three years, as you select.
Dollar Cost Averaging is based on the principle  that  acquiring  Accumulation
Units with a constant  sum of money at fixed  intervals  results in  acquiring
more of the units when prices are low and fewer units when prices are high.

You may  establish  automated  transfers  of amounts on a monthly or quarterly
basis  from the  Aetna  Variable  Encore  Fund  Variable  Option  to any other
Variable  Option through a Written  Request or other method  acceptable to the
Company.  Dollar Cost Averaging is not permitted to or from the Fixed Account.
You must have a minimum of $5,000  allocated to the Aetna Variable Encore Fund
Variable Option in order to enroll in the Dollar Cost Averaging  program.  The
minimum  automated  transfer  amount is $50 per  month.  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.  Automated  transfers do not reduce
the number of charge-free transfers that you could otherwise make. The Company
reserves the right to suspend or modify automated  transfer  privileges at any
time.


                                      13

<PAGE>

Termination OR CHANGE IN COVERAGE

Even  if  the  5-year  No  Lapse  Coverage  is  still  in  effect  under  your
Certificate,  and  even if you have  paid  enough  premiums  to  prevent  your
Certificate from lapsing, your Certificate,  and all coverage thereunder,  may
be terminated  without your consent.  This may happen,  for example,  if NYSUT
notifies the Company that it wishes to terminate the group  Policy.  NYSUT has
agreed to give you at least 15 days notice in advance of any such termination.
Prior to the  termination  date, you could exercise your rights to make a Full
Surrender or to convert your Certificate to paid-up fixed life insurance. (See
Paid-Up Nonforfeiture Option)

The group Policy, and your Certificate,  may also terminate if NYSUT ceases to
cause  payroll  deduction  premiums  to be  remitted  to us.  This would occur
(following an opportunity to cure the problem in accordance  with the terms of
the group Policy)  regardless of whether  premiums for your  Certificate  were
being  paid by  payroll  deduction,  or the  amount of  premium  paid,  or the
available Surrender Value under your Certificate.

A Certificate  also will terminate  immediately if and when the Insured ceases
to be within at least one of the  categories  of persons that are eligible for
coverage under a Certificate.  Those  eligibility  requirements  are set forth
above under  Definitions--Insured  and  require  that the Insured at all times
either  remain a Member or be  related  to a Member  in one of the ways  there
specified. Additionally, an Insured person that is eligible only as the spouse
or  domestic  partner of a Member who is Insured  will cease to be eligible if
and when the Member who is Insured is no longer  covered under a  Certificate.
However,  if the Insured him/herself becomes a Member within 31 days after the
termination date, you may elect to continue the Certificate uninterrupted.

If  you do not  make  such  an  election  within  the  31-day  period,  or the
Certificate  terminates  because we or NYSUT  terminates  the group  Policy as
described  above,  you would then have the option of electing to convert  your
coverage to an  individual  policy as described in the  immediately  following
paragraph. Either of these elections must be received at the Home Office (and,
as the case may be, the  insured has become a Member or we have  received  the
required first premium under the conversion  policy at our Home Office) within
the 31-day period.  Otherwise,  with appropriate  spousal consent, we will pay
you the  Certificate's  Surrender  Value,  calculated  at the end of the  last
Valuation Period during which it was in force.

The conversion  privilege is available only within the 31-day period following
termination of the group Policy by NYSUT or us or termination of a Certificate
upon the  Insured's  ineligibility  for  continued  coverage  thereunder.  The
conversion  policy will be one or more  permanent  plans of insurance  that we
will  make  available  for that  purpose.  The  amount of  coverage  under the
conversion  policy  will  be  the  same  as  that  under  Certificate  at  its
termination date, and no additional evidence of insurability will be required.
We cannot provide assurance,  however, that the terms of the conversion policy
will not involve


                                      14

<PAGE>

additional   charges  or  otherwise  be  less   attractive  to  you  than  the
Certificates.  We reserve the right to permit only the initial premium for the
conversion  policy to be paid at the time of  conversion  and to distribute to
you the rest of the Surrender Value as of the Certificate's termination date.

Income taxes may be payable with respect to such partial  distribution  or any
other distribution of Surrender Value following  termination of a Certificate.
(See Tax Matters)

If a timely conversion request has been received,  and the Insured dies before
the new  policy is  issued,  we will pay a death  benefit in the amount of the
coverage that would have been converted.  If a conversion request has not been
received,  however,  we will pay that  benefit only if the insured dies within
the 31-day conversion period.

Also NYSUT,  by agreement with us, may make changes in your  Certificate  (and
your coverage), without your consent.

We reserve  the right at any time to cease  issuing  new  Certificates  to any
class or classes of Members or their relations.

Certificate VALUES

TOTAL ACCOUNT VALUE

Amounts  allocated  under a Certificate  to a Variable  Option of the Separate
Account  are  credited  in the form of  Accumulation  Units  of that  Variable
Option,  based on such units'  then  Accumulation  Unit  Value.  The number of
Accumulation  Units  credited  is  determined  by  dividing  the amount  being
allocated by the  appropriate  Accumulation  Unit Value.  Since each  Variable
Option has a unique Accumulation Unit Value, if you have elected a combination
of Variable Options you will have Accumulation Units credited to your Separate
Account Value for each Variable Option.

The Total Account Value of your  Certificate is determined by: (a) multiplying
the total number of  Accumulation  Units credited to the  Certificate for each
applicable Variable Option by its appropriate current Accumulation Unit Value;
(b) if you have  elected a  combination  of  Variable  Options,  totaling  the
resulting values;  and (c) adding any Fixed Account Value and any Loan Account
Value.

The number of Accumulation Units credited to a Certificate will not be changed
by  any  subsequent  change  in  the  value  of an  Accumulation  Unit  or the
investment  performance  of the related  Fund.  The number is increased by any
subsequent  allocation  of Net Premiums or other account value to the Variable
Option.  Similarly,  whenever  any account  value is removed from the Variable
Option (such as upon transfer, Full or Partial Surrender,  Certificate Loan or
Monthly Deduction allocated to that option), a number of Accumulation


                                      15

<PAGE>

Units in that Variable Option will be cancelled  whose aggregate  then-current
Accumulation  Unit Values  equal the amount  being  removed  from the Variable
Option.

The Fixed  Account Value  includes all amounts  allocated to the Fixed Account
under a Certificate and any interest credited thereon. The Fixed Account Value
is reduced by amounts removed from the Fixed Account, such as upon a transfer,
Full or Partial Surrender,  Certificate Loan or Monthly Deduction allocated to
the Fixed Account.

You will be advised at least annually as to the number of  Accumulation  Units
which  remain  credited to your  Certificate,  the current  Accumulation  Unit
Values,  the Separate  Account Value,  the Fixed Account Value,  and the Total
Account Value. (See Reports to Owners)

ACCUMULATION UNIT VALUE

The value of an  Accumulation  Unit for any Valuation  Period is determined by
multiplying  (a)  the  value  of an  Accumulation  Unit  for  the  immediately
preceding  Valuation  Period by (b) the sum of 1 plus the net investment  rate
for the current period for the appropriate Variable Option.

The net investment rate equals (a) the value of the net assets of the Variable
Option held in the Separate Account at the end of a Valuation  Period,  before
any  adjustment for amounts  allocated to or removed from the Variable  Option
during  the  period;  minus  (b) the value of the net  assets of the  Variable
Option held in the Separate Account at the beginning of that Valuation Period,
adjusted by any taxes or provisions for taxes attributable to the operation of
the  Separate  Account;  divided  by (c) the  value of the  Variable  Option's
Accumulation  Units  held in the  Separate  Account  at the  beginning  of the
Valuation  Period;  minus  (d) the rate of any  applicable  daily  charge  for
mortality and expense risks.

MATURITY VALUE

The Maturity  Value of a Certificate  is the  Surrender  Value on the Maturity
Date. All or part of the Surrender  Value may be applied to one or more of the
Settlement Options. (See Certificate Settlement)

Certificate RIGHTS

FULL SURRENDERS

By Written Request, you may surrender a Certificate for its Surrender Value at
any time before the Maturity  Date while the Insured is alive.  All  insurance
coverage under the Certificate will end on the date of the Full Surrender. The
Surrender  Value will equal the Total  Account Value on the date of surrender,
less the Loan  Account  Value and less any  unpaid  accrued  interest.  We may
require return of the Certificate for a Full Surrender.


                                      16

<PAGE>

The Surrender Value is computed as of the end of the Valuation Period in which
we receive your Written Request (with appropriate spousal consent).

PARTIAL SURRENDERS

By Written Request (with appropriate  spousal  consent),  you may, at any time
after the first Certificate Year, partially surrender your Certificate.

The minimum  amount of any Partial  Surrender  is $500.  We may also charge an
administrative fee of up to $25 or, if less, 2% of the amount surrendered. Any
Partial Surrender and any related  administration charge will be deducted on a
Pro-Rata Basis from each investment option in use under the Certificate.

If the Death Benefit Option for a Certificate is Option 1, a Partial Surrender
will reduce the Total Account Value, Death Benefit,  and Specified Amount. The
Specified Amount and Total Account Value each will be reduced by the amount of
the surrender. However, we will not allow a Partial Surrender if the Specified
Amount  will be reduced  below the minimum  Specified  Amount set forth in the
Certificate  Specifications.  Nevertheless,  if  the  Death  Benefit  for  the
Certificate  immediately prior to the surrender is determined based on the Net
Single Premium,  the Partial  Surrender may not reduce the Specified Amount. A
reduction in the Specified Amount will cause a reduction in the required Basic
Monthly Premiums for the 5-year No Lapse Coverage and may cause an increase in
your  current  Cost of  Insurance  rate if a Specified  Amount is reduced from
$250,000 or more to an amount less than $250,000 (see Monthly Deduction).  The
future premium required to maintain the 5-year No Lapse Coverage will be based
on  the  new  Specified  Amount  and  will  be  set  forth  in a  supplemental
Certificate Specifications page that will be delivered to you.

If the Death Benefit Option for a Certificate is Option 2, a Partial Surrender
will reduce both the Total  Account  Value and the Death Benefit by the amount
of the surrender, but the Specified Amount will not be reduced.

PAID-UP NONFORFEITURE OPTION

By Written  Request,  you may elect,  at any time before the Maturity Date, to
continue your Certificate as fixed (non-variable) paid-up life insurance.

The Surrender  Value will be applied as a Net Single  Premium to determine the
Specified Amount of the paid-up  insurance.  The cost of the paid-up insurance
will be  based  on the  guaranteed  maximum  Cost of  Insurance  rates  in the
Certificate  and an interest  rate of 4%  compounded  annually.  However,  the
Specified  Amount of the paid-up  insurance  cannot  exceed the Death  Benefit
under the Certificate as of the effective date of the paid-up  insurance.  Any
excess  Surrender  Value will be  distributed  to you and will be treated as a
partial  distribution  for federal income tax purposes.  (See Tax Matters) The
effective date


                                      17

<PAGE>

of the paid-up coverage will be the first Monthly Deduction Day that occurs on
or after our receipt of your Written Request.

Full Surrenders and Certificate  Loans, as described in this Prospectus,  will
be allowed if the  Certificate  is  continued  in force as paid-up  insurance.
However,   all  supplemental   rider  benefits  will  terminate  and  will  be
unavailable  with the paid-up  coverage.  The surrender  value will be the Net
Single  Premium for the paid up insurance on the date of  surrender,  less any
outstanding loan balance. Partial Surrenders will not be available.

Proceeds  payable under this option upon death of the Insured or maturity will
equal the  Specified  Amount less any  Certificate  Loans and  accrued  unpaid
interest  under the paid up  insurance.  See "Tax Matters" for a discussion of
possible  tax   consequences   resulting   from  your   electing  the  paid-up
nonforfeiture option.

GRACE PERIOD

If the  Certificate  is  within  a 5-year  period  during  which  the No Lapse
Coverage could have been  maintained,  and the Surrender Value is insufficient
to allow a Monthly  Deduction on the Monthly  Deduction Day, we will allow you
61 days to pay a premium.  That premium must be at least  sufficient  to allow
the Monthly  Deduction,  although  we may in our  discretion  require  instead
payment  of a premium  that is at least the lesser of (a) the amount of unpaid
Basic  Monthly  Premiums  necessary to bring the No Lapse  Coverage  back into
effect or (b) an amount sufficient to cover all uncollected Monthly Deductions
(including  any that we were unable to collect while any No Lapse Coverage was
in effect).

If the  Certificate  is no longer within a 5-year period within which No Lapse
Coverage could have been  maintained,  and the Surrender Value is insufficient
to allow a Monthly  Deduction on the Monthly  Deduction Day, we will allow you
61 days to pay a premium  sufficient  to allow the Monthly  Deduction.  In our
discretion, we may also require payment of an additional premium in the amount
we  estimate  would be  necessary  to keep the  Certificate  in force  for two
additional months.

Written  notice will be mailed to your last known  address,  according  to our
records,  not less than 61 days before  termination of the  Certificate.  This
notice  will also be mailed  to the last  known  address  of any  assignee  of
record.  During the days of grace,  the Certificate will stay in force. If the
Insured dies during the grace period, we will pay a Death Benefit.  (See Death
Benefit)

If payment is not made within 61 days after the  Monthly  Deduction  Day,  the
Certificate will terminate  without value at the end of the Grace Period.  The
termination  will be  effective  on the  Monthly  Deduction  Day for the first
unpaid Monthly Deduction.


                                      18

<PAGE>

REINSTATEMENT OF A LAPSED CERTIFICATE

If  the  Certificate   terminates  following  its  Grace  Period,  it  may  be
reinstated. However, you must apply for reinstatement within 5 years after the
date of  termination  and before the  Maturity  Date.  Also,  we must  receive
evidence of the Insured's current  insurability that is satisfactory to us, as
well as a premium payment that at least equals the amount that we specify.

Monthly  Deductions and investment  performance will recommence on the Monthly
Deduction  Day on or  first  following  our  approval  of  the  reinstatement.
Nevertheless,  we will pay the  reinstated  Death  Benefit if the Insured dies
prior to that date but after we have received a reinstatement  request and all
payments and information required for us to grant the request.

Supplemental  benefit  riders will be  reinstated  only with our consent.  Any
Certificate  Loan  will  be  reinstated  and  any  prior  uncollected  Monthly
Deductions will remain due only if the  Certificate  lapsed within a 5-year No
Lapse Coverage  period that has not yet expired by the time of  reinstatement.
(See 5-year No Lapse Coverage Provisions) Any portion of the No Lapse Coverage
period that still remains by the time of reinstatement  will also be restored.
In that  case,  you may put the No Lapse  Coverage  into  effect  for any time
during such remaining period as of which you have paid at least the cumulative
amount  of all  Basic  Monthly  Premiums  required  to date for  this  purpose
(including  any amount of unpaid Basic Monthly  Premiums due for periods prior
to the reinstatement).

A reinstatement may result in restarting the test used for determining whether
the Certificate is a Modified Endowment Contract. (See Tax Matters)

CERTIFICATE LOANS

We will  grant  loans  at any  time  after  the  expiration  of the  Right  of
Certificate Examination and before the Maturity Date, with appropriate spousal
consent.  The amount of the loan will not be more than the Loan Value.  Unless
otherwise  required by state law,  the Loan Value is 90% of the Total  Account
Value. The amount of the loan will be transferred out of the Fixed Account and
any  Variable  Options on a Pro-Rata  Basis and be held instead as part of the
Loan Account Value.  Loans and loan  repayments will be effected as of the end
of the Valuation  Period in which we receive the Written  Request for the loan
or the repayment, respectively.

The loan may be  repaid in full or in part at any time  prior to the  Maturity
Date,  as long as the  Certificate  is in force and the Insured is alive.  The
amount necessary to repay all loans in full is the Loan Account Value plus any
accrued interest. Loan repayments will be allocated to the Fixed Account Value
and the Separate  Account  Value in the same  proportion in which the loan was
taken. The Loan Account Value will be reduced by


                                      19

<PAGE>

payments  you  identify  as  loan  repayments.  All  other  payments  will  be
considered premium payments.

The  amount of  interest  earned on the Loan  Account  Value and the amount of
interest  charged to you on a loan depends on whether the loan is considered a
hardship or education loan, as defined in our administrative procedures at the
time.  Beginning in the 11th  Certificate  Year,  the interest rate charged on
education or hardship loans and the interest rate credited to the related Loan
Account  Value is 4%. For all other  loans,  the current  loan  interest  rate
charged is 8% and the  related  Loan  Account  Value will earn  interest  at a
guaranteed  minimum rate of 4%;  however,  we may credit interest in excess of
this rate, in our sole discretion.

Accordingly,  even if the loan is repaid,  the amount of the Death Benefit and
the Certificate's Surrender Value may be permanently affected,  since the Loan
Account  Value is  credited  with  interest  rather  than with the  investment
experience of the Funds.

Interest  is due and  payable on each  Certificate  Anniversary,  the date the
Certificate  ends or upon  full  repayment  of the  Loan  Account  Value.  Any
interest  not paid  when due  will be added to the Loan  Account  Value on the
Certificate Anniversary and will itself bear interest on the same terms.

Federal income tax  consequences of Certificate  Loans are discussed under Tax
Matters.

Certificate CHANGES

You may make  certain  changes to your  Certificate,  as described  below,  by
submitting  a Written  Request to our Home  Office.  Supplemental  Certificate
Specifications  and/or a notice confirming the change will be sent to you once
the  change is  completed.  Any change  that  decreases  a $250,000  or larger
Specified  Amount to less than $250,000 (or  vice-versa) can cause an increase
(or decrease) in your current Cost of Insurance Rate. (See Monthly Deduction)

INCREASE IN SPECIFIED AMOUNT

Increases  will be  allowed  at any time  while a  Certificate  is in force if
satisfactory  evidence  of  insurability  for the  Insured  is  provided.  The
Surrender Value immediately after an increase must be at least three times the
sum of (a) the most recent Monthly  Deduction from the Total Account Value and
(b) the Specified Amount of the increase  multiplied by the applicable Cost of
Insurance rate divided by 1000.  Specified  Amount increases must be requested
in multiples of $1,000.  Any maximum limit on the Specified Amount will be set
forth in the Certificate Specifications.

The Issue Date for any increase will be shown in the supplemental  Certificate
Specifications.   The  5-year  period  of  the  No  Lapse  Coverage  provision
applicable to the increase will restart


                                      20

<PAGE>

on the Issue Date of the increase.  The Basic Monthly Premium for this purpose
will be adjusted when the Specified Amount is increased.

For possible tax  consequences  of an increase in  Specified  Amount,  see Tax
Matters.

DECREASE IN SPECIFIED AMOUNT

You  may  decrease  the  Specified  Amount  of a  Certificate  after  the  5th
Certificate  Year.  However,  we will not allow a  decrease  in the  Specified
Amount if the Specified  Amount would be reduced  below the minimum  Specified
Amount set forth in the  Certificate  Specifications  or if it would cause the
Certificate  to be  treated  as other  than  life  insurance  for  income  tax
purposes.

The Issue Date of the decrease  will be the Monthly  Deduction  Day on or next
following  the date on which your Written  Request is  received.  The decrease
will reduce any past  increases in the reverse  order in which they  occurred.
(This same order will also be  followed  for  decreases  in  Specified  Amount
resulting from changes in Death Benefit Option or a Partial Surrender.) If the
5-year No Lapse  Coverage  provision is still  applicable,  the Basic  Monthly
Premium for that purpose will be adjusted to be based on the reduced Specified
Amount.

A Specified  Amount decrease can cause a Certificate to be taxed as a Modified
Endowment. For a discussion of tax considerations in connection with Specified
Amount decreases, see Tax Matters.

CHANGE IN DEATH BENEFIT OPTION

Changes  from  Option 1 to  Option 2 will be  allowed  at any time  while  the
Certificate  is in force.  The  Specified  Amount will be reduced to equal the
Specified  Amount  less the  Total  Account  Value at the time of the  change.
Changes  from  Option 2 to Option 1 also will be allowed at any time while the
Certificate is in force.  The Specified  Amount will be increased to equal the
Specified Amount plus the Total Account Value as of the date of the change. If
the Death  Benefit  at the time of the change is  determined  based on the Net
Single Premium,  the new Specified  Amount may be calculated  differently from
the foregoing description.

We will not allow a change in the Death Benefit Option if the Specified Amount
will  be  reduced  below  the  minimum  Specified  Amount  set  forth  in  the
Certificate  Specifications or if it would cause the Certificate to be treated
as other than life  insurance  for  income tax  purposes.  Also,  evidence  of
insurability  may be  required.  The change  will take  effect on the  Monthly
Deduction Day on or next  following the date on which your Written  Request is
received and, in cases where evidence of insurability is required,  we approve
the increase.


                                      21

<PAGE>

Following any change in Death Benefit  Option,  the Basic Monthly Premium will
be adjusted so that it will be based on the new Specified  Amount. A change in
Death  Benefit  Option  may  restart  the  test  for  determining   whether  a
Certificate is a Modified  Endowment Contract for federal income tax purposes.
(See Tax Matters)

RIGHT OF CERTIFICATE EXAMINATION

The  Certificate  has a free look period  during  which you may  examine  your
Certificate. If for any reason you are dissatisfied,  it may be returned to us
or to our  representative  within 10 days of  receipt.  Upon its return to our
Home Office,  your  Certificate  will be deemed void from its  beginning.  The
amount  refunded will be (a) the premiums  paid,  adjusted for any positive or
negative investment performance in the Separate Account (but not deducting any
charges made under the  Certificate)  or (b) where  required by state law, all
payments made.

SUPPLEMENTAL BENEFITS

The supplemental  benefits currently  available as riders to a Certificate are
listed below.  The riders contain other terms and conditions,  about which you
can obtain information from your Aetna representative.

    DISABILITY  BENEFIT  RIDER  provides  for a credit of the  benefit  amount
    described in the rider in the event of the total disability of the covered
    Insured.  The Specified  Amount  generally may not be increased during the
    time while benefits are being provided under this rider.

    ACCELERATED  DEATH BENEFIT RIDER  provides for the advance  payment to the
    Owner  of a  portion  of the  Specified  Amount  if the  Insured  provides
    requisite  evidence of less than one year's life  expectancy.  There is no
    charge for this rider.

    ACCIDENTAL  DEATH BENEFIT RIDER provides for the payment of up to $250,000
    to provide a double  Death  Benefit if the Insured  dies as a result of an
    accident as defined in the rider.

Other  riders  for  supplemental  benefits  may  become  available  under  the
Certificate  from time to time.  The charges for such riders will be set forth
in your Certificate  Specifications.  Supplemental benefit riders may be added
or  cancelled  by the Owner at any time,  pursuant to our  procedures  then in
effect.  Any change you make in  supplemental  benefits may cause us to revise
the Basic Monthly Premium, in which case the new amount will be set forth in a
supplemental Certificate  Specifications page that we will provide to you. Any
change in supplemental  benefit rider coverage may also have tax consequences.
(See Tax Matters)


                                      22

<PAGE>

Certificate SETTLEMENT

Proceeds are generally  payable by the Company in a lump sum upon the death of
the  Insured or upon Full  Surrender  or upon  maturity.  As to Death  Benefit
proceeds (but not any other type of proceeds) you may elect one or more of the
Settlement  Options discussed below. We may agree to other Settlement  Options
in our discretion.

A Written Request may be made to elect,  change or revoke a Settlement  Option
before  payments  begin under any  Settlement  Option.  This request will take
effect upon its receipt at our Home Office.  If no Settlement  Option has been
elected by you when proceeds become payable,  the payee may make the election.
If the Certificate has been assigned,  we will pay any amount due the assignee
in a lump sum. Any excess Death Benefit due will be paid as elected. The payee
is entitled to exercise any rights and privileges  that are permitted  under a
Settlement Option.

No fixed or variable  Settlement  Option may be elected that would result in a
first  payment of less than $50 or that would result in total yearly  payments
of less than $250. If the proceeds payable are insufficient to elect an option
for these minimum amounts,  a lump-sum payment must be elected.  We may refuse
to permit a Settlement Option if the payee is not a natural person.  Also, the
Annuitant's  age (plus the  number of years for which any  payments  under the
annuity option chosen) may not exceed 95 years.

The several Settlement Options may differ in their tax consequences.

SETTLEMENT OPTIONS

The  Settlement  Options  listed below are available  under the  Certificates.
Options  1, 2 and 3 are  available  on either a fixed  payment  or a  variable
payment  basis.  The  amount of the first  payment  under  Options  1, 2 and 3
(whether  on a fixed or  variable  basis) is  determined,  based on the option
chosen, using the annuity rates specified in the Certificate. This rate is the
same regardless of whether an Annuitant is male or female.

For a fixed  Settlement  Option,  the amount of the first and each  subsequent
payment is the same.  That amount  will be based on an interest  rate at least
3%.

If our then current  settlement option rate would provide higher payments on a
comparable fixed premium annuity at the time payments  commence,  we also will
use the higher rate for fixed Settlement Options under a Certificate.

For a variable  Settlement  Option,  the first payment is determined  using an
assumed  interest rate of 3.5% or 5% whichever has been specified by the Owner
or payee,  as the case may be.  Subsequent  payments  will vary  based on Fund
performance  as  discussed  below  under   Calculation  of  Variable   Payment
Settlement Option Values.  The initial payment will be higher if 5% is elected
as the assumed interest rate; but subsequent payments will increase


                                      23

<PAGE>

less with favorable Fund  performance (and decrease more with unfavorable Fund
performance) than if 3.5% is elected.

Except to the extent noted below for Option 1, no withdrawals  from or changes
of a Settlement Option may be made under Options 1, 2 and 3.

    OPTION 1 - Payments for a stated number of years, but no more than thirty.
    The period must be for at least five years,  but if variable  payments are
    selected,  you may withdraw all or a portion of the remaining  payments at
    any time.

    OPTION 2 - Payments for the lifetime of the Annuitant.  If also chosen, we
    will  guarantee  payments  for a number  of years  from 5 to 30 or a "cash
    refund" upon the Annuitant's  death. The cash refund election is available
    only if all  amounts  allocated  to this Option 2 are on a fixed basis and
    are  subject  to that  election.  The  amount  of the cash  refund  is the
    difference  between the amount  applied to this annuity option at the time
    of settlement  and the total amount of payments  received under the option
    prior to the Annuitant's death.

    OPTION 3 - Life Income  Based Upon the Lives of Two  Annuitants - payments
    during the joint lifetimes of two Annuitants. Payments will continue until
    both Annuitants  have died.  When this option is chosen,  a choice must be
    made of (a) 100%,  66 2/3% or 50% of the  payment  to  continue  after the
    first death; (b) payments for a minimum of 5 to 30 years, with 100% of the
    payment to  continue  after the first  death;  (c) 100% of the  payment to
    continue to the surviving Annuitant if the survivor is the original payee,
    and 50% of the  payment  to  continue  to the  survivor  if the  surviving
    Annuitant  is the second  payee;  or (d) 100% of the  payment to  continue
    after the first death,  with a "cash  refund"  feature  comparable to that
    described for Option 2 above.

    OPTION 4 -  Payment  of  interest  on the sum  left  with us at 3% or such
    higher rate as we may, in our sole discretion, declare. After commencement
    of this option,  the payee may make a Written  Request to receive all or a
    portion  of the amount  held  under  this  option as a lump sum or have it
    applied to [one or more of] the other available Settlement Options.

Upon the death of the  Annuitant(s) (or the payee under Option 4), the current
value of the funds held under Option 4, and the present value of any remaining
guaranteed  payments  under  the other  Options  will be paid.  Any  remaining
guaranteed payments will continue to be received by the beneficiary unless the
beneficiary  elects to receive the present value of any  remaining  guaranteed
payments  in a lump sum. If the  beneficiary  subsequently  dies,  the present
value  of any  remaining  guaranteed  payments  will be paid in one sum to the
beneficiarys' estate.

Although the foregoing discussion of Settlement Options is in terms of monthly
payments,  an election also may be made to receive  quarterly,  semi-annual or
annual payments instead.


                                      24

<PAGE>

CALCULATION OF VARIABLE PAYMENT SETTLEMENT OPTION VALUES

Variable  Settlement  Options will be supported by the then available Funds of
the Company's  Variable Annuity Account B (Account B), a separate account very
similar to the  Separate  Account,  except  that  Account B supports  variable
annuity benefits, rather than variable life insurance benefits. We reserve the
right to impose a maximum  of four on the  number of Funds that can be used at
any one time for a Settlement  Option. We will provide an Account B prospectus
in connection  with selection of a Settlement  Option.  That  prospectus  will
describe  the  available  Funds,  the costs and expenses of such Funds and the
charges  imposed on Account B. Such Funds may be, and the  charges  imposed on
Account B are expected to be, different from those that relate to the Separate
Account prior to commencement of a Settlement Option. Accordingly,  you should
review the Account B prospectus,  as well as the  prospectuses for Account B's
underlying Funds, prior to selecting any variable payment Settlement Option.

The amount of each  variable  annuity  payment  after the first is  determined
pursuant to a formula  described in the Certificates that is generally used by
actuaries  for making  such  calculations.  Speaking  generally,  if the total
return of the Fund for any month, less a deduction currently  equivalent to an
annual rate of 1.25% for mortality and expense risks which we expect to result
in a profit to us, exceeds the Settlement Option's assumed interest rate (3.5%
or 5%, as discussed above),  the next variable payment will be larger than the
previous one. On the other hand, if the Fund's total return for any month,  as
so adjusted, is less than the assumed interest rate, the next variable payment
will be smaller  than the previous  one.  The amount of any such  increases or
decreases in variable annuity payments does not bear a direct  relationship to
the Fund's total returns.

You may make  transfers  among Funds under our  administrative  procedures  in
effect at the time.  Currently,  we limit the number of  transfers to four per
Calendar Year, but we can change this limit in the future.

The COMPANY AND MANAGEMENT

Aetna Life  Insurance and Annuity  Company is a stock life  insurance  company
organized  under  the  insurance  laws of the  State of  Connecticut  in 1976.
Through a merger,  it succeeded to the business of Aetna Variable Annuity Life
Insurance  Company  (formerly  Participating  Annuity Life  Insurance  Company
organized  in 1954).  The Company is engaged in the  business of issuing  life
insurance  policies and annuity  contracts in all states of the United States.
The Company is an indirect wholly-owned  subsidiary of Aetna, Inc., a publicly
traded financial  services  Company,  whose principal  offices are at the same
location as the Company's Home Office.

The Company serves as the principal  underwriter  for the  securities  offered
hereunder  and also acts as the  principal  underwriter  for Variable  Annuity
Accounts B, C and G  (separate  accounts  of the  Company  registered  as unit
investment trusts), and Variable Annuity


                                      25

<PAGE>

Account I (a separate account of Aetna Insurance Company of America registered
as a unit  investment  trust).  Additionally,  the  Company is the  investment
adviser for the following registered management  investment  companies:  Aetna
Variable  Fund,  Aetna  Income  Shares,  Aetna  Variable  Encore  Fund,  Aetna
Investment Advisers Fund, Inc., Series B and C of Aetna GET Fund, Aetna Series
Fund, Inc., Aetna Generation Portfolios,  Inc., and Aetna Variable Portfolios,
Inc. The Company is also the depositor of Variable  Annuity  Accounts B, C and
G.

The following are the Directors and Executive Officers of Aetna Life Insurance
and Annuity  Company.  Unless  otherwise  indicated,  the  principal  business
address for all individuals is the Company's Home Office.

<TABLE>
<CAPTION>
      NAME                 POSITION WITH THE COMPANY              PRINCIPAL OCCUPATION DURING PAST FIVE YEARS

<S>                        <C>                                    <C>
Daniel P. Kearney          Director, President and                President (since December 1993), Aetna Life
                           Chairman, Executive Committee          Insurance and Annuity Company; Executive Vice
                           (Principal Executive Officer)          President (since December 1993), and Group
                                                                  Executive, Financial Division (February 1991-
                                                                  December 1993), Aetna Life and Casualty
                                                                  Company.

Christopher J. Burns       Director and Senior Vice               Senior Vice President, Sales & Service (since
                           President                              February 1996) and Senior Vice President, Life
                                                                  (March 1991-February 1996), Aetna Life
                                                                  Insurance and Annuity Company.

Laura R. Estes             Director and Senior Vice               Senior Vice President, Manage/Design Products
                           President                              and Services (since February 1996), and Senior
                                                                  Vice  President,  Pensions  (March  1991-February
                                                                  1996), Aetna Life Insurance and Annuity Company.

Timothy A. Holt            Director, Senior Vice                  Senior Vice President, Strategy & Finance, and
                           President and Chief                    Chief Financial Officer (since February 1996),
                           Financial Officer                      Aetna Life  Insurance and Annuity  Company;  Vice
                                                                  President, Portfolio Management/Investment Group
                                                                  (August 1992-February 1996); Aetna Life and
                                                                  Casualty Company; Treasurer (February 1990-July
                                                                  1991), Aeltus Investment Management, Inc.


                                                         26

<PAGE>

Gail P. Johnson            Director and Vice President            Vice President, Service and Retain Customers
                                                                  (since February 1996); Vice President, Defined
                                                                  Benefit Services (September 1994-February 1996);
                                                                  Vice President, Plan Services, Pensions and
                                                                  Financial Services (December 1992-September
                                                                  1994); Managing Director, Business Strategy (July
                                                                  1991-December 1992); Assistant Vice President,
                                                                  Portfolio Management, Financial Division (June
                                                                  1987-July 1991), Aetna Life Insurance and Annuity
                                                                  Company. John Y. Kim Director and Senior Vice
                                                                  President (since December 1995), Aeltus President
                                                                  Investment Management, Inc.; Chief Investment
                                                                  Officer (since May 1994), Aetna Life and Casualty
                                                                  Company; Managing Director (September 1993-April
                                                                  1994), Mitchell Hutchins Institutional Investors
                                                                  (New York, New York); Vice President and Senior
                                                                  Portfolio Manager (October 1991-August 1993), and
                                                                  Vice President, Investor Relations (1990-1992),
                                                                  Aetna Life and Casualty Company.


John Y. Kim                Director and Senior Vice               President (since December 1995), Aeltus
                           President                              Investment Management, Inc.; Chief Investment
                                                                  Officer (since May 1994), Aetna Life and
                                                                  Casualty Company; Managing Director
                                                                  (September 1993-April 1994), Mitchell Hutchins
                                                                  Institutional Investors (New York, New York);
                                                                  Vice President and Senior Portfolio Manager
                                                                  (October 1991-August 1993), and Vice President,
                                                                  Investor Relations (1990-1992), Aetna Life and
                                                                  Casualty Company.


Shaun P. Mathews           Director and Vice President            Vice President, Products Group (since February
                                                                  1996); Senior Vice President, Strategic Markets
                                                                  and Products (February 1993-February 1996); and
                                                                  Senior Vice President, Mutual Funds (March
                                                                  1991-February 1993), Aetna Life Insurance and
                                                                  Annuity Company.

Glen Salow                 Director and Vice President            Vice President, Information Technology (since
                                                                  February 1996), Vice President, Information
                                                                  Technology, Investments and Financial Services
                                                                  (February 1995-February 1996); Vice President,
                                                                  Investment Systems (1992-1995), AIT--Aetna Life
                                                                  Insurance Company and Annuity Company; Senior
                                                                  Vice President (December 1986-August 1992),
                                                                  Lehman Brothers.

Creed R. Terry             Director and Vice President            Vice President, Select and Manage Markets (since
                                                                  February 1996), Market Strategist (August
                                                                  1995-February 1996)--Aetna Life Insurance and
                                                                  Annuity Company; President (1991-1995), Chemical
                                                                  Technology Corporation (a subsidiary of Chemical
                                                                  Bank).

Zoe Baird                  Senior Vice President and              Senior Vice President and General Counsel
                           General Counsel                        (since April 1992), Vice President and General
                                                                  Counsel (July 1990-April 1992), Aetna Life and
                                                                  Casualty Company.


                                                         27

<PAGE>

Deborah Koltenuk           Vice President, Treasurer, and         Vice President, Investment Planning and
                           Corporate Controller                   Financial Reporting (April 1996-July 1996) --
                                                                  Aetna Life Insurance Company; Vice President,
                                                                  Investment Planning and Financial Reporting
                                                                  (October 1994-April 1996) within the Aetna
                                                                  organization; Assistant Vice President, Finance
                                                                  and Administration (June 1994-October 1994)
                                                                  within the Aetna organization; Controller
                                                                  (September 1993-June 1994) Aetna Information
                                                                  Technology; Assistant Vice President (December
                                                                  1990-September 1993), within Aetna Organization.

Frederick D. Kelsven       Vice President and Chief               Director of Compliance (January 1985-
                           Compliance Officer                     September 1996) -- Nationwide Life Insurance
                                                                  Company.
</TABLE>

ADDITIONAL INFORMATION

REPORTS TO OWNERS

The Company will maintain all records relating to the Separate Account and the
Certificates.  At least once in each  Certificate  Year, the Company will send
you a report containing  Certificate Values (see Total Amount Value) as of the
most recent  Certificate  Anniversary.  If any  portion of your Total  Account
Value is allocated to the Separate  Account,  you will receive such additional
periodic reports as may be required by the SEC.
(See Right to Instruct Voting of Fund Shares)


                                      28

<PAGE>

RIGHT TO INSTRUCT VOTING OF FUND SHARES

In accordance with our view of present  applicable law, we will generally vote
the shares of each of the Funds  held in the  Separate  Account in  accordance
with instructions  received from variable life owners having a voting interest
in the Funds.  Owners  having such an interest will receive  periodic  reports
relating  to  the  Fund,   proxy   material  and  a  form  for  giving  voting
instructions. The number of shares which you have a right to vote with respect
to a Fund will be determined,  as of a record date established by the Fund, by
dividing the portion of your Total Account Value  attributable to that Fund by
the net asset value of one share in the Fund. Fund shares held by the Separate
Account for which no timely  instructions  are  received and Fund shares which
are not otherwise  attributable to variable life owners will be represented by
us at the meeting and voted in the same proportion as the voting  instructions
which are  received  from such owners  participating  in each Fund through the
Separate Account.

Notwithstanding  the foregoing,  if the Investment  Company Act of 1940 or any
regulations  thereunder  should be  amended or if the  present  interpretation
thereof should  change,  and as a result we determine that we are permitted to
vote the  shares of the Fund in our own  right,  we may elect to do so.  Also,
under  certain  limited  circumstances,  current law  permits us to  disregard
voting  instructions.  In that  event,  a summary of and the  reasons for such
action will be included in the next annual report to Owners.

STATE REGULATION

The  Certificates  will be offered for sale in states selected by the Company,
in its sole  discretion,  where one or more eligible  purchasers  reside.  The
Company is subject to regulation and  supervision by the Insurance  Department
of the State of  Connecticut,  which  periodically  examines its affairs.  The
Company is also subject to the  insurance  laws and  regulations  of all other
jurisdictions where it is authorized to do business. We are required to submit
annual statements of our operations,  including financial  statements,  to the
insurance departments of those jurisdictions,  for the purposes of determining
solvency and compliance with local insurance laws and regulations.


                                      29

<PAGE>

LEGAL MATTERS

The Company knows of no material legal proceedings pending to which either the
Separate  Account or the Company is a party or which would  materially  affect
the Separate Account.  The legal validity of the securities  described in this
Prospectus  has been passed on by Susan E. Bryant,  Counsel with the Company's
Law Department.

THE REGISTRATION STATEMENT

A Registration  Statement under the Securities Act of 1933 has been filed with
the SEC relating to the offering described in this Prospectus. This Prospectus
does  not  include  all of  the  information  set  forth  in the  Registration
Statement,  certain  portions of which have been omitted pursuant to the rules
and  regulations  of the SEC. The omitted  information  may be obtained at the
SEC's  principal  office  in  Washington,  D.C.,  upon  payment  of the  SEC's
prescribed fees.

DISTRIBUTION OF THE CERTIFICATES

The Company  will serve as principal  underwriter  of the  securities  offered
hereunder, as defined by the federal securities laws. The Certificates will be
distributed by Aetna Investment Services, Inc. ("Aetna Services"), which is an
affiliate of the Company.  The Company and Aetna  Services are  registered  as
broker-dealers  with the SEC and are members of the  National  Association  of
Securities Dealers, Inc. All persons offering or selling the Certificates will
be registered  representatives of Aetna Services, and will also be licensed as
the Company's insurance agents to sell variable life insurance.

Salespersons  will be compensated  for sales of the  Certificates  on salaried
basis  or on a  commission.  The  maximum  sales  commission  to be  paid  for
Certificate  distribution  is 25% of the  first  year  premium  up to 12 Basic
Monthly Premiums. In the event of an increase in Specified Amount, the maximum
sales  commission  will be 25% of 12 times the amount of Basic Monthly Premium
attributable  to the  increase.  The  maximum  sales  commission  on all other
premiums is 2% through the 15th Certificate year, or the 15th year following a
Specified Amount increase.

EXPERTS

KPMG  Peat  Marwick,  LLP,  CityPlace  II,  Hartford,   Connecticut,  are  the
independent  auditors  for the  Separate  Account  and for  the  Company.  The
services provided to the Separate Account include primarily the examination of
the Separate  Account's  financial  statements  and the review of filings made
with the SEC.  [The  financial  statements  of the  Separate  Account  and the
Company  will be provided in a  Pre-Effective  Amendment  to the  Registration
Statement.]


                                      30

<PAGE>

Actuarial  matters in this Prospectus have been examined by Gregory  Chicares,
FSA, MAAA, Pricing Actuary of the Company.  His opinion is filed as an exhibit
to the Registration Statement filed by the Company with the SEC.

Tax MATTERS

The following is a discussion  of certain  federal  income tax  considerations
relating  to the  Certificates.  This  discussion  is based  on the  Company's
understanding  of federal  income tax laws and  regulations as they now exist.
These  laws and  regulations  are  complex,  and tax  results  may vary  among
individuals.  A  person  contemplating  the  purchase  of or the  exercise  of
elections  under a  Certificate  described  in  this  Prospectus  should  seek
competent tax advice.

FEDERAL TAX STATUS OF THE COMPANY

The  Company  is taxed as a life  insurance  company  in  accordance  with the
Internal  Revenue Code of 1986, as amended  ("Code").  For federal  income tax
purposes,  the operations of the Separate Account form a part of the Company's
total  operations  and are not taxed  separately,  although  operations of the
Separate Account are treated separately for accounting and financial statement
purposes.

Both  investment  income and realized  capital  gains of the Separate  Account
(i.e., income, capital gains and dividends distributed to the Separate Account
by the Funds) are reinvested without tax, since the Code does not impose a tax
on the Separate  Account for these  amounts.  The Company  reserves the right,
however,  to make a  deduction  for such taxes  should  they be imposed in the
future.

LIFE INSURANCE QUALIFICATION

Section  7702 of the Code  provides a  definition  of life  insurance  for tax
purposes.  The Company  believes  that the  Certificates  meet this  statutory
definition  of  life  insurance.  As a  result,  and  if  the  diversification
standards of Section 817(h) of the Code (discussed  below) are also satisfied,
then (a) Death  Benefits paid under a  Certificate,  as well as benefits under
the  Accelerated  Death Benefit and Accidental  Death Benefit  riders,  should
generally  be  excluded  from the gross  income of the  recipient  for federal
income tax  purposes,  and (b) an Owner  should not  generally be taxed on any
increase  in the Total  Account  Value  under a  Certificate,  prior to actual
receipt by the Owner of a distribution thereof.

The Company  intends to comply with  Sections  7702 and 817(h) of the Code and
therefore  reserves  the right to make such  changes as it deems  necessary to
ensure such  compliance.  Any such  changes  will apply  uniformly to affected
Owners and will be made only after  advance  written  notice.  In some  cases,
moreover,  in order to assure that a  Certificate  continues to qualify and be
taxed as life insurance,  the Company may need to distribute  amounts that may
be includible in the Certificate Owner's taxable income.


                                      31

<PAGE>

GENERAL RULES

Upon the Full Surrender, maturity or cancellation of any Certificate,  whether
or not it is a Modified Endowment  Contract  (discussed below), the Owner will
be taxed on the  Surrender  Value to the  extent  that it  exceeds  the  total
premiums  paid less prior  untaxed  distributions  from the  Certificate.  The
amount of any unpaid  Certificate  Loan will, upon surrender,  be added to the
Surrender Value for tax purposes and will be treated for this purpose as if it
had been  received  as a  distribution.  For tax  purposes,  amounts  an Owner
receives in return for assigning  any interest in, or  designating a new Owner
of, a Certificate also would be treated as a distribution.

If the Certificate is not a Modified Endowment  Contract,  the proceeds of any
full or Partial Surrenders or other partial distributions made after the first
15  Certificate  Years are  generally  not  taxable,  unless the total  amount
received due to such  surrenders or other  distributions  from the Certificate
exceeds  total  premiums  paid  less  prior  untaxed  distributions  from  the
Certificate.  However, Partial Surrenders and other partial distributions made
within the first 15  Certificate  Years may be  taxable,  under a  complicated
formula,  if the Surrender Value plus any unpaid  Certificate debt exceeds the
total premiums paid less the untaxed portion of any prior  distributions  from
the  Certificate.   This  result  may  occur  even  if  the  total  amount  of
distributions from the Certificate to that date does not exceed total premiums
paid to that date.

Loans received under a Certificate will ordinarily be considered  indebtedness
of the Owner,  and,  assuming  the  Certificate  is not  considered a Modified
Endowment  Contract,  Certificate Loans will not be treated as current partial
distributions  subject to tax.  Generally,  amounts of loan  interest  paid by
Owners will be considered nondeductible "personal interest."

MODIFIED ENDOWMENT CONTRACTS

A Certificate will be considered a Modified Endowment Contract if it fails the
"7-pay test." A Certificate  fails the 7-pay test if, at any time in the first
seven  Certificate  Years,  the amount paid into the  Certificate  exceeds the
amount that would have been paid had the  Certificate  been designed to become
paid up after payment of seven equal annual premiums.  A new 7-pay test begins
at any time a material change takes effect.  A material  change,  for example,
may  include  a change  in Death  Benefit  Option,  reinstatement  of a lapsed
Certificate,  an assignment or change of Owner, an increase or decrease in the
Specified Amount  (including a decrease  resulting from a Partial  Surrender),
the addition or cancellation  of benefits under a Disability  Benefit Rider or
Accidental  Death  Benefit  Rider,  or payment of  premiums at a time when the
Death Benefit is computed based on the Net Single Premium.

In the  event of a  reduction  in  future  benefits  during  the  first  seven
Certificate  Years  (or  within  the first  seven  Certificate  Years  after a
material change),  the 7-pay test will be recalculated  retroactively based on
the reduced level of benefits. (For example, a reduction


                                      32

<PAGE>

in future benefits could result if you request a decrease in Specified Amount,
Partial  Surrender or cancellation of certain rider benefits.) If the premiums
previously  paid are  greater  than the  recalculated  7-pay test  limit,  the
Certificate will be a Modified Endowment Contract.

A Certificate received in exchange for a Modified Endowment Contract will also
be a Modified Endowment Contract.

If the Certificate is a Modified Endowment Contract,  the proceeds of any full
or Partial  Surrenders,  Certificate  Loans, or other  distributions  from the
Certificate will be currently  includible in the Certificate Owner's income to
the extent that the  Certificate's  Total  Account  Value  immediately  before
payment exceeds total premiums paid (increased by the amount of  distributions
previously  taxed and reduced by untaxed amounts  previously  distributed from
the Certificate).  All Modified Endowment  Contracts purchased by you from the
Company (and its affiliates) during the same calendar year, will be aggregated
for purposes of  determining  the taxable  portion of  distributions  from the
Certificate.

Distributions  during any  Certificate  year in which a Certificate  becomes a
Modified Endowment Contract and any subsequent  Certificate Year will be taxed
as described above. In addition,  distributions  from a Certificate within two
years before it becomes  Modified  Endowment  Contract also will be subject to
tax in this manner. Thus, a distribution made from a Certificate that is not a
Modified  Endowment Contract could later become taxable as a distribution from
a Modified Endowment Contract.

If the Certificate is a Modified  Endowment  Contract,  a penalty tax equal to
10% of the amount, if any,  includible in the Certificate  Owner's income will
also  apply  to the  proceeds  of any  Certificate  surrender,  loan or  other
complete or partial  distribution,  unless the Owner has reached the age of 59
1/2.  The  penalty  tax  does  not,  however,  apply  to any  full or  partial
distributions that are made while the Owner is disabled (within the meaning of
the Code) or that are part of a series  of equal  periodic  payments  made not
less frequently than annually for the life or life expectancy of such Owner or
the joint  lives (or joint  life  expectancies)  of such  Owner and his or her
beneficiary (i.e., an annuity).

DIVERSIFICATION STANDARDS

Section  817(h) of the Code  provides  that the  investment  portfolios of the
Funds must be "adequately diversified."

The Internal Revenue Service  ("Service") has stated that a variable  contract
owner will be  considered  the owner of separate  account  assets (such as the
Fund shares  supporting a Certificate),  if the owner  possesses  incidents of
ownership in those assets (such as the ability to exercise  investment control
over the assets).  The Service has also stated it would issue guidance through
regulations  or  rulings  on the  extent  to which  Owners  may  direct  their
investments  to  particular  Funds  without  being  treated  as  owners of the
underlying assets.


                                      33

<PAGE>

As of the date of this Prospectus,  no such guidance has been issued, although
the Service has informally indicated that any regulations could well limit the
number of Funds or the  frequency  of  transfers  among  Funds.  The  Company,
therefore,  reserves  the right to modify the  Certificates  as  necessary  to
attempt to prevent a Certificate  Owner from being considered the owner of the
underlying Fund shares supporting his or her Certificate.

If the investments were not adequately diversified,  or if the Owner otherwise
were considered to be the owner of such Fund shares, income and gains realized
by the Separate Account with respect to such shares would be includible in the
Owner's  income  commencing  with the year of  non-compliance  and  continuing
unless and until the  Company  reaches a  settlement  of the  matter  with the
Service.

WITHHOLDING

Generally,  unless you  provide  us with a written  election  to the  contrary
before we make the  distribution,  we are required to withhold income tax from
any  portion  of a  distribution  we make to you  that is  includible  in your
income.  If you do not wish us to withhold tax from the payment,  or if enough
is not withheld, you may have to pay later. You may also have to pay penalties
if your withholding and estimated tax payments are insufficient.

OTHER TAX CONSIDERATIONS

The exchange of any other life insurance for a  Certificate,  depending on the
circumstances,  may result in taxable income to the Owner, even in cases where
the Owner receives no cash in the transaction. In addition, there may be state
and local  income tax,  and also  federal and state  transfer,  estate,  gift,
inheritance  and other tax  consequences  of  Certificate  ownership,  premium
payments and receipt of Certificate proceeds depending on the circumstances of
each  Owner or  beneficiary.  The  foregoing  summary  does not  purport to be
complete  or to cover all  situations.  Counsel and other  advisors  should be
consulted for more complete information.


Miscellaneous CERTIFICATE PROVISIONS

THE CERTIFICATES

The  Certificate  which you receive,  the related  group Policy owned by NYSUT
pursuant  to which the  Certificates  are  issued,  the  application  form you
complete when you purchase the  Certificate,  any applications for any changes
approved by us, and any riders  constitute the whole  contract.  Copies of all
applications  are  attached  to and made a part of the  Certificate.  Only the
President,  Executive Vice President or the Corporate Secretary may agree with
you to a change in the Certificate or the Policy, and then only in writing.


                                      34

<PAGE>

PAYMENT AND DEFERRAL OF BENEFITS

All benefits are payable at our Home Office. We may require  submission of the
Certificate before we grant Certificate Loans, make changes or pay benefits.

Payments of any Separate  Account  Value will  ordinarily  be made with 7 days
after our receipt of your Written Request.  However,  the Company reserves 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
(except holidays or weekends); (2) when trading on the Exchange is restricted;
(3) when an emergency  exists as determined by the SEC so that disposal of the
securities  held  in the  Funds  is not  reasonably  practicable  or it is not
reasonably practicable to determine the value of the Funds' net assets; or (4)
during any other period when the SEC, by order,  so permits for the protection
of security holders.  For payment from the Separate Account in such instances,
we may defer payment of Full Surrender and Partial Surrender Values, any Death
Benefit in excess of the  current  Specified  Amount,  any portion of the Loan
Value.

Payment  of any Fixed  Account  Value may be  deferred  for up to six  months,
except when used to pay amounts due us.

Payment of the Death Benefit also may be delayed if the  Certificate  is being
contested.

SUICIDE AND INCONTESTABILITY

In most states, if the Insured dies by suicide, while sane or insane, within 2
years  from the  Issue  Date of a  Certificate,  we will  pay  only a  limited
benefit.  Generally,  the benefit will  consist of a refund of premiums  paid,
subject to a positive or negative adjustment to reflect investment performance
in the Separate Account.  In most states, if the Insured dies by suicide while
sane or  insane,  within  2 years  from  the  Issue  Date of any  increase  in
coverage,  we will pay as to that  increase  only the amount of prior  Monthly
Deductions that were attributable to that increase.

In most states,  with respect to  statements  made in the initial  application
form or any subsequent  application,  we will not contest any coverage under a
Certificate  after it has  been in force  for 2 years  from  its  Issue  Date.
Notwithstanding  the  foregoing,  if  the  Age of the  Insured  is  misstated,
regardless  how long the coverage has been in effect,  the amount of the Death
Benefit  will be  adjusted  to  reflect  the  coverage  that  would  have been
purchased  by the most  recent  pre-Maturity  Date  Monthly  Deduction  at the
correct Age.


                                      35

<PAGE>

PROTECTION OF PROCEEDS

To the extent  provided by law,  the proceeds of the  Certificate  are subject
neither  to  claims by a  beneficiary's  creditors  nor to any  legal  process
against any beneficiary.

NONPARTICIPATION

The  Certificate  is not  entitled  to share in the  divisible  surplus of the
Company. No dividends are payable.

CHANGES IN OWNER AND BENEFICIARY; ASSIGNMENT

Unless otherwise  stated in the  Certificate,  you may change the Owner and/or
the beneficiary or  beneficiaries,  or both, at any time while the Certificate
is in force. A request for such change must be made by Written Request.  After
we have agreed, in writing,  to the change, it will take effect as of the date
on which your Written Request was signed.  Death Benefit  proceeds  payable on
death of the Insured  will be paid to each named  beneficiary  as specified in
your then effective beneficiary designation. If no named beneficiary is living
at the date of the Insured's  death, all proceeds will be payable to the Owner
or the Owner's estate.

A Certificate  may also be assigned.  No  assignment of a Certificate  will be
binding on us unless  made in writing and sent to us at our Home  Office.  The
Company  will use  reasonable  procedures  to confirm that the  assignment  is
authentic, including verification of signature. If the Company fails to follow
its  procedures,  it would be liable for any losses to you directly  resulting
from the failure.  Otherwise,  we are not  responsible for the validity of any
assignment.  The rights of the Owner and the interest of the beneficiary  will
be subject to the rights of any assignee of record.

Assignment  or change  of Owner can have  adverse  tax  consequences.  See Tax
Matters.

PERFORMANCE REPORTING AND ADVERTISING

From time to time,  the Company may  advertise  different  types of historical
performance for the Variable Options of the Separate  Account  available under
the  Certificates.  We may also distribute  sales literature that compares the
percentage  change in Accumulation Unit Values for any of the variable options
to  established  market  indices such as the Standard & Poor's 500 Stock Index
and the Dow Jones Industrial  Average or to the percentage change in values of
other mutual  funds that have  investment  objectives  similar to the Variable
Option being compared.


                                      36

<PAGE>

ILLUSTRATIONS OF DEATH BENEFIT AND TOTAL ACCOUNT VALUES

The following  pages provide a hypothetical  illustration  of how the Option 1
Death Benefit and Total Account  Values can change over time for a Certificate
issued  to an Age  45  preferred  risk  non-smoker  Insured  if  premiums  are
accumulated  at 5% interest  per year or the  investment  return on the assets
held in each  Fund  were a  uniform  gross  annual  rate of 0%,  6%,  and 12%,
respectively, based upon a number of assumptions.

There are two pages of values.  The first page illustrates the assumption that
the  guaranteed  maximum Cost of Insurance  rates and other charges at maximum
rates are charged in all years.  The second page  illustrates  the  assumption
that the current scale of Cost of Insurance rates for a $__________  Specified
Amount and other charges at current rates are charged in all years.

The values shown in these illustrations vary according to assumptions used for
charges and gross rates of investment  return.  The actual investment  returns
experienced  by the  Certificates  and the charges  deducted  may be higher or
lower than those illustrated.  The charges reflected on the first page consist
of the maximum  allowable  charges under the Certificate,  including 0.90% for
mortality and expense risks in all  Certificate  Years and _____% for expenses
of the Funds. The charges  reflected on the second page consist of the current
charges  imposed  under the  Certificates,  including  0.85% for mortality and
expense  risks in  Certificate  Years 1 through  10 only and (as is  currently
planned)  0%  thereafter,  and _____% for Fund  expenses.  The charge for Fund
expenses reflected in the illustrations assumes that Total Account Values have
been  allocated  equally  among all Funds and  represent  a fixed,  unweighted
average of the  investment  advisory  fees  charged to each of the Funds as of
December 31, 1996 (after expense  reimbursements) and other operating expenses
(after expense reimbursements) for the year then ended.

After  deduction of these amounts,  the  illustrated  gross annual  investment
rates of return of 0%, 6% and 12% correspond to  approximate  net annual rates
of _____%, _____% and ______%,  respectively,  during the first 10 Certificate
Years, and _____%, _____% and ______%,  respectively,  thereafter on a current
basis. On a guaranteed basis, the illustrated gross annual investment rates of
return  of 0%,  6% and 12%  correspond  to  approximate  net  annual  rates of
______%, _____% and ______%, respectively.

The Death Benefit and Total Account Values would be different from those shown
if the gross annual investment rates of return averaged 0%, 6%, and 12% over a
period of years,  but fluctuated above and below those averages for individual
Certificate  Years.  The  illustrations  also  assume  payment of  premiums as
indicated,  no  Certificate  Loans,  no  increases  or  decreases in Specified
Amount,  no  Death  Benefit  Option  changes,  no  Partial  Surrenders  and no
supplemental rider benefits.

The  hypothetical  values  shown in the  tables do not  reflect  any  Separate
Account  charges for federal income taxes,  since we are not currently  making
such charges. However, such


                                      37

<PAGE>

charges  may be made in the  future,  and,  in that  event,  the gross  annual
investment  rate of return  would  have to exceed  0%, 6%, or 12% by an amount
sufficient  to cover the tax charges in order to produce the Death Benefit and
Total Account Values shown.

Upon request,  we will provide a comparable  personalized  illustration  based
upon  the  Age  and  underwriting  classification  of  the  proposed  Insured,
including the Specified Amount and premium  requested,  the proposed frequency
of premium  payments and any available riders  requested.  A fee of $25 may be
charged for each such  illustration.  The hypothetical gross annual investment
return assumed in such an illustration will not exceed 12%.


                                      38

<PAGE>

<TABLE>
                       FLEXIBLE PREMIUM GROUP UNIVERSAL
                      VARIABLE LIFE INSURANCE CERTIFICATE
                    UNISEX AGE 45 PREFERRED NONSMOKER RISK
                            $ BASIC MONTHLY PREMIUM
                              SPECIFIED AMOUNT $
                            DEATH BENEFIT OPTION 1
                                MAXIMUM CHARGES
<CAPTION>

                     PREMIUMS
                    ACCUMULATED                 DEATH BENEFIT
                        AT                  GROSS ANNUAL INVESTMENT                  TOTAL ACCOUNT VALUE
                    5% INTEREST                   RETURN OF                     ANNUAL INVESTMENT RETURN OF
       YEAR           PER YEAR      GROSS 0%      GROSS 6%       GROSS 12%      GROSS 0%      GROSS 6%       GROSS 12%
       ----          ----------     --------      --------       ---------      --------      --------       ---------
<S>                 <C>             <C>           <C>            <C>            <C>           <C>            <C>
         1

         2

         3

         4

         5



         6

         7

         8

         9

        10



        15

        20

        25

        30
</TABLE>


                                      39

<PAGE>

Assumes no Policy loan has been made and no  supplemental  rider benefits have
been elected.  If premiums are paid more frequently  than annually,  the Death
Benefit  could be,  and the Total  Account  Values  would be,  less than those
illustrated.

These investment  results are illustrative only and should not be considered a
representation of past or future investment results.

Actual investment results may be more or less than those shown and will depend
on a number of factors including the Owner's allocations, and the Funds' rates
of return.  The Total Account Values for a Certificate would be different from
those shown if the actual  investment  rates of return averaged 0%, 6% and 12%
over a period of years,  but  fluctuated  above or below  those  averages  for
individual years.


                                      40

<PAGE>


AETNA LIFE INSURANCE AND ANNUITY COMPANY
Individual Life
151 Farmington Avenue
Hartford, CT 06156
800-334-7586

VARIABLE LIFE ACCOUNT B

NYSUT Prospectus
Aetna Variable Fund
Aetna Income Shares
Aetna Variable Encore Fund Aetna  Investment  Advisers Fund, Inc. Aetna Ascent
Variable  Portfolio Aetna Crossroads  Variable Portfolio Aetna Legacy Variable
Portfolio  Aetna  Variable  Index  Plus  Portfolio  Alger  American  Small Cap
Portfolio  Fidelity  VIP  Equity-Income   Portfolio  Fidelity  VIP  Contrafund
Portfolio Janus Aspen Growth Portfolio Janus Aspen Aggressive Growth Portfolio
Janus Aspen Worldwide  Growth  Portfolio Janus Aspen Balanced  Portfolio Janus
Aspen Short-Term Bond Portfolio Scudder International Portfolio TCI Growth

Prospectus Dated [GRAPHIC OMITTED]


<PAGE>

                                    PART II

                    INFORMATION NOT REQUIRED IN PROSPECTUS


                          UNDERTAKING TO FILE REPORTS

Subject  to the  terms  and  conditions  of  Section  15(d) of the  Securities
Exchange Act of 1934, the  undersigned  registrant  hereby  undertakes to file
with the Securities and Exchange  Commission such  supplementary  and periodic
information,  documents  and  reports  as may be  prescribed  by any  rule  or
regulation of the Commission  heretofore or hereafter duly adopted pursuant to
authority conferred in that section.


                       UNDERTAKING PURSUANT TO RULE 484

Insofar as  indemnification  for liability arising under the Securities Act of
1933 may be permitted to directors,  officers and  controlling  persons of the
Registrant,  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  liabilities  (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 of 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.


              REPRESENTATION, PURSUANT TO SECTION 26(E)(2)(A) OF
                      THE INVESTMENT COMPANY ACT OF 1940

REGISTRANT MAKES THE FOLLOWING REPRESENTATION:

[To be filed by amendment.]


                                  CONTENTS OF
                            REGISTRATION STATEMENT

This Registration Statement comprises the following papers and documents:

     The facing sheet.
     A cross-reference sheet
     One  Prospectus for the Flexible  Premium Group  Variable  Universal Life
       Insurance Policy consisting of 50 pages
     The undertaking to file reports The undertaking pursuant to Rule 484
     Representation pursuant to Section 26(e)(2)(A) The signatures
Written consents of the following persons:
         A.   Consent of Independent Auditors (Included as Exhibit 8 below)
         B.   Consent of Counsel (Included as part of Exhibit 2 below)
         C.   Consent of Actuary (Included as part of Exhibit 6 below)

     The following Exhibits:

         1. Exhibits  required by paragraph A of  instructions to exhibits for
            Form N-8B-2:

          (1)       Resolution establishing Variable Life Account B(1)
          (2)       Not Applicable
          (3)(i)    Master General Agent Agreement(1)
          (3)(ii)   Life Insurance General Agent Agreement(1)
          (3)(iii)  Broker Agreement(1)
          (3)(iv)   Life Insurance Broker-Dealer Agreement(1)
          (3)(v)    Restated  and  Amended  Third  Party   Administration  and
                    Transfer Agent Agreement(2)
          (4)       Not Applicable
          (5)(i)    Form of Group Policy
          (5)(ii)   Form of Certificate Under Group Policy
          (5)(iii)  Form of Disability Benefit Rider*
          (5)(iv)   Form of Accelerated Death Benefit Rider*
          (5)(v)    Form of Accidental Death Benefit Rider*
          (5)(vi)   Accelerated Death Benefit Disclosure Statement*
          (6)       Certificate  of  Incorporation  and  By-laws of Aetna Life
                    Insurance and Annuity Company, Depositor(3) 
          (7)       Not Applicable
          (8)(i)    Fund   Participation   Agreement  (Amended  and  Restated)
                    between Aetna Life  Insurance and Annuity  Company,  Alger
                    American Fund and Fred Alger Management, Inc., dated as of
                    March 31, 1995(4)
          (8)(ii)   Fund Participation  Agreement between Aetna Life Insurance
                    and Annuity Company and Fidelity Distributors  Corporation
                    (Variable  Insurance Products Fund) dated February 1, 1994
                    and amended March 1, 1996(4)
          (8)(iii)  Fund Participation  Agreement between Aetna Life Insurance
                    and Annuity Company and Fidelity Distributors  Corporation
                    (Variable  Insurance  Products Fund II) dated  February 1,
                    1994 and amended March 1, 1996(4)
          (8)(iv)   Fund Participation  Agreement between Aetna Life Insurance
                    and Annuity Company and Janus Aspen Series dated April 19,
                    1994 and amended March 1, 1996(4)
          (8)(v)    Fund Participation  Agreement between Aetna Life Insurance
                    and Annuity  Company and Scudder  Variable Life Investment
                    Fund dated April 27, 1992 and  amended  February  19, 1993
                    and August 13, 1993(4)
          (8)(vi)   Amendment   dated  as  of   February   20,  1996  to  Fund
                    Participation  Agreement  between Aetna Life Insurance and
                    Annuity Company and Scudder  Variable Life Investment Fund
                    dated  April 27,  1992 as amended  February  19,  1993 and
                    August 13, 1993(5)
          (8)(vii)  Fund Participation  Agreement between Aetna Life Insurance
                    and Annuity Company,  Investors  Research  Corporation and
                    TCI  Portfolios,  Inc.,  dated July 29,  1992 and  amended
                    December 22, 1992 and June 1, 1994(4)


<PAGE>

          (9)       Not Applicable
          (10)(i)   Form of Application
          (10)(ii)  Supplements to Form of Application
          (11)      Issuance, Transfer and Redemption Procedures*

         2.   Opinion and Consent of Counsel*
         3.   Not Applicable
         4.   Not Applicable
         5.   Not Applicable
         6.   Actuarial Opinion and Consent*
         7.   Copy of Power of Attorney(8)
         8.   Consent of Independent Auditors*

*To be filed by Amendment
1.   Incorporated   by  reference  to   Post-Effective   Amendment  No.  2  to
     Registration  Statement  on  Form  S-6  (File  No.  33-76004),  as  filed
     electronically on February 16, 1996.
2.   Incorporated   by  reference  to   Post-Effective   Amendment  No.  1  to
     Registration Statement on Form S-6 (File No. 33-75248), as filed on April
     25, 1995.
3.   Incorporated   by  reference  to   Post-Effective   Amendment  No.  1  to
     Registration  Statement  on  Form  S-1  (File  No.  33-60477),  as  filed
     electronically on April 15, 1996.
4.   Incorporated   by  reference  to   Post-Effective   Amendment  No.  6  to
     Registration  Statement  on  Form  N-4  (File  No.  33-75986),  as  filed
     electronically on April 12, 1996.
5.   Incorporated   by  reference  to   Post-Effective   Amendment  No.  3  to
     Registration  Statement  on  Form  N-4  (File  No.  33-88720),  as  filed
     electronically on June 28, 1996.
6.   Incorporated   by  reference  to   Post-Effective   Amendment  No.  4  to
     Registration  Statement on Form S-6 (File No. 33-2339), as filed on April
     25, 1995.
7.   Incorporated by reference to Registration Statement on Form S-6 (File No.
     33-64277), as filed electronically on November 15, 1995
8.   Included on the signature page of this Registration Statement


<PAGE>


                                  SIGNATURES

     As required by the  Securities Act of 1933, as amended,  the  Registrant,
Variable Life Account B of Aetna Life Insurance and Annuity Company,  has duly
caused this  Registration  Statement on Form S-6 to be signed on its behalf by
the undersigned,  thereunto duly authorized,  and the seal of the Depositor to
be hereunto  affixed and attested,  all in the City of Hartford,  and State of
Connecticut, on this 8th day of November, 1996.

                                                    VARIABLE LIFE ACCOUNT B OF
                                                    AETNA LIFE INSURANCE AND
                                                    ANNUITY COMPANY
                                                     (Registrant)

(SEAL)

ATTEST: /s/DEANN S. ANASTASIO              By:        AETNA LIFE INSURANCE AND
        ---------------------                           ANNUITY COMPANY
        DeAnn S. Anastasio                               (Depositor)
        Assistant Corporate Secretary


                                           By: /s/DANIEL P. KEARNEY
                                               ---------------------
                                               Daniel P. Kearney
                                               Principal Executive Officer


     Pursuant  to  the  requirements  of the  Securities  Act  of  1933,  this
Registration  Statement has been signed below by the following  persons in the
capacities  indicated and on the dates indicated.  Each person whose signature
appears  below  constitutes  Susan E. Bryant,  Kirk P.  Wickman,  and Julie E.
Rockmore  and  each  of them  individually,  such  person's  true  and  lawful
attorneys, and agents with full power of substitution and resubstitution,  for
him or her and in his or her name, place and stead, in any and all capacities,
to sign for such  person  and in such  person's  name and  capacity  indicated
below, any and all amendments to this Registration Statement, hereby ratifying
and confirming  such person's  signature as it may be signed by said attorneys
to any and all amendments.

<TABLE>
Signature                             Title                           Date

<S>                                   <C>                              <C>
 /s/DANIEL P. KEARNEY                 Director and President                 )
 ----------------------               (Principal Executive Officer           )
 Daniel P. Kearney                                                           )
                                                                             )
                                                                             )
 /s/CHRISTOPHER J. BURNS              Director                               ) November 8, 1996
 -----------------------                                                     )
 Christopher J. Burns                                                        )
                                                                             )
                                                                             )
<PAGE>
                                                                             )
 /s/LAURA R. ESTES                    Director                               )
 -----------------                                                           )
 Laura R. Estes                                                              )
                                                                             )
                                                                             )
<PAGE>
                                                                             )
                                                                             )
                                                                             )
 /s/ Timothy A. Holt                  Director and Chief Financial Officer   )
 -------------------                                                         )
 Timothy A. Holt                                                             )
                                                                             )
                                                                             )
 /s/ Gail P. Johnson                  Director                               )
 -------------------                                                         )
 Gail P. Johnson                                                             )
                                                                             )
                                                                             )
 /s/ John Y. Kim                      Director                               )
 ---------------                                                             )
 John Y. Kim                                                                 )
                                                                             )
                                                                             )
 /s/Shaun P. Mathews                  Director                               )
 --------------------                                                        )
 Shaun P. Mathews                                                            )
                                                                             )
                                                                             )
 /s/Glen Salow                        Director                               )
 -------------                                                               )
 Glen Salow                                                                  }
                                                                             )
                                                                             )
 /s/ Creed R. Terry                   Director                               )
 ------------------                                                          )
 Creed R. Terry                                                              )
                                                                             )
 /s/ Deborah Koltenuk                 Vice President and Treasurer,          )
 --------------------                 Corporate Controller                   )
 Deborah Koltenuk                                                            )
</TABLE>


<PAGE>


<TABLE>
                            VARIABLE LIFE ACCOUNT B
                                 EXHIBIT INDEX


<CAPTION>
Exhibit No.         Exhibit

<S>                 <C>
99-1.5(i)           Form of Group Policy

99-1.5(ii)          Form of Certificate Under Group Policy

99-1.10(i)          Form of  Certificate Application

99-1.10(ii)         Supplements to Form of  Certificate Application
</TABLE>



                                                                  EXHIBIT 5(i)


        Flexible Premium Group Variable Universal Life Insurance Policy

                              a contract between

                   Aetna Life Insurance and Annuity Company
                             (herein called Aetna)

                                      and

                        New York State United Teachers

                                (Policyholder)


      Policy Number:    [           ]      Signed at Aetna's Home Office in
                                           Hartford, Connecticut
      Date of issue:    [           ]      on the date of issue.

     To take effect:    [           ]

  Policy delivered in:    New York

This policy will be construed in                         [
line with the law of the State of delivery.                      President]

Based on timely premium payments
Aetna agrees with the New York State United
Teachers, to pay benefits in accordance with             [
the policy terms.                                                Secretary]

The duties and the rights of the
policyholder will be based solely on
the terms of this policy.  This                          [
policy is non-participating.                                     Registrar]


RIGHT OF EXAMINATION

This  policy may be  returned  to Aetna or its  representative  within 10 days
after its  receipt.  Return  this  policy to Aetna at 151  Farmington  Avenue,
Hartford,  Connecticut  06156.  Upon its  return,  all  insurance  under  this
Certificate will then be deemed void from its beginning.



70262-96                                                                Page 1


<PAGE>

                                     INDEX


                                    PART I

                                  CONTRACT --
                                 CERTIFICATES

                                    PART II

                         ELIGIBILITY/ELIGIBLE PERSONS

                                   PART III

                            CANCELLATION OF POLICY

                                    PART IV

                             PREMIUM PROVISIONS --
                            GRACE PERIOD PROVISIONS

                                    PART V

                          POLICYHOLDER AND INSURANCE
                                COMPANY MATTERS

                                    PART VI

                           MISCELLANEOUS PROVISIONS
                              COPY OF APPLICATION


70262-96                                                                Page 2

<PAGE>


                                    PART I

                                  CONTRACT --
                                 CERTIFICATES


CONTRACT 
This policy, any attached endorsements, the Policyholder's application and the
Certificate  constitute  the  entire  contract.  A copy of the  Policyholder's
application  is  attached.  All  statements  made by the New York State United
Teachers or an Insured  shall be deemed  representations  and not  warranties.
Aetna will not use such  statements to void this contract or defend  against a
claim  unless  it is  contained  in  the  initial  application  or  subsequent
applications.


CERTIFICATES
Aetna will prepare a Certificate  setting forth a description  of coverage for
each Insured under this policy. All such Certificates are hereby  incorporated
into and made a part of this policy.  Certificates will be issued for delivery
to each Owner.

Each  Certificate  incorporated  into and made a part of this  policy  will be
identified by:

   The form number 70263-96;
   The name of the Insured.

If Aetna receives a request from the New York State United  Teachers to change
any of the provisions of a  Certificate,  such change(s) that are agreed to by
Aetna  will be made on future  Certificates  and in  accordance  with  written
instructions from the New York State United Teachers,  until a new Certificate
reflecting such change(s) is issued and  incorporated  into and made a part of
this policy.

                                    PART II

                         ELIGIBILITY/ELIGIBLE PERSONS


ELIGIBILITY
The New York  State  United  Teachers  and the  eligible  class or  classes of
Members  will be those which are:  (a)  designated  to Aetna in  writing;  (b)
accepted by Aetna;  and (c) placed on file with Aetna.  With Aetna's  consent,
any class or  classes  of  eligible  Members  may be  changed  without  formal
amendment  of this  policy by written  notice  from the New York State  United
Teachers to Aetna.

Aetna will keep,  in a file set up for the New York State United  Teachers,  a
copy of the rates that apply to its eligible class or classes of Members.

The New York State United  Teachers may act on all policy  matters.  Each such
act, or agreement  made between Aetna and the New York State United  Teachers,
or notice given by one to the other will be binding.


70262-96                                                                Page 3


<PAGE>

ELIGIBLE PERSONS
All Members of the New York State United Teachers and their Domestic  Partners
and  Dependents  are  eligible to apply for  coverage  under this  policy.  An
eligible  person may become  insured under only one eligible  class at a time,
even if he/she is a member of more than one class. An eligible person may only
become  covered for that  insurance  which he/she  elects and for which he/she
pays the required premium and provide evidence of insurability satisfactory to
Aetna.

A Member is eligible on the latest of:

o    the Issue Date of the policy; or

o    the date he/she enters an eligible class of Members.

The Domestic Partner of an eligible Member is eligible on the later of:

o    the date the Member becomes insured under the Certificate; or

o    the date he/she becomes the Domestic Partner of an eligible Member;

but only if the Domestic Partner is less than 80 years of age on that date.

The Dependent of an eligible Member is eligible on the later of:

o    the date the Member becomes eligible to be insured; and

o    the date he/she becomes the Dependent of an eligible Member;

but only if the  Dependent  is at least  14 days but less  than 25 years  old,
provided that the Dependent  depends mainly on the Member for support  because
he/she  goes to  school  on a  regular,  full time  basis or is  incapable  of
self-sustaining employment due to physical or mental disability.


                                   PART III

                            CANCELLATION OF POLICY


The New York State United  Teachers may cancel this policy with respect to all
or any class or  classes of Members  by giving  Aetna  written  notice 31 days
before the  cancellation  date.  Coverage under the Certificate will terminate
or, at the option of the Certificate Owner, may be converted.

The New York State United  Teachers will provide each of its Members and their
Domestic Partners and/or Dependents with advance notice of policy cancellation
or  discontinuance.  Such notice must be mailed or delivered to such Member at
least 15 days before the date plan  cancellation or  discontinuance is to take
effect.

Subject to any applicable laws or  regulations,  Aetna has the right to cancel
this policy as to all or any class of Members at any time after the end of the
Grace Period if the policy  premium has not been paid.  Written  notice of the
termination date must be given by Aetna.

Aetna reserves the right to discontinue  accepting new enrollments  under this
policy or as to any or all  coverage of all or any class or classes of Members
by giving the New York State United Teachers advance written notice of when it
will be  canceled.  This date will not be earlier than 31 days after Aetna has
given  written  notice,  unless it is agreed to by the New York  State  United
Teachers and Aetna.


70262-96                                                                Page 4

<PAGE>

                                    PART IV

                             PREMIUM PROVISIONS--
                            GRACE PERIOD PROVISIONS


PAYMENT OF PREMIUMS BY INSUREDS
The amount  and  frequency  of each  Certificate  Owner's  premium is shown on
his/her Certificate  Specifications.  The amount may be adjusted by Aetna from
time to time, as described therein.


GRACE PERIOD FOR CERTIFICATE
The 61-day Grace Period granted to a Certificate  Owner for payment of his/her
premium is described in his or her Certificate.


PAYMENT OF PREMIUM BY NEW YORK STATE UNITED TEACHERS
The total policy premium payable by the New York State United Teachers will be
the sum of all  premiums  remitted  for  persons  insured  under this  policy,
excluding  premiums  that are not  payable by payroll  deduction.  The initial
policy  premium  will be due on the Issue  Date of this  policy.  After  that,
policy  premiums will be due on each premium due date,  which is the first day
of such calendar  month,  unless the New York State United  Teachers and Aetna
agree on some other  method of  premium  payment.  The New York  State  United
Teachers and Aetna may agree to change the method of premium payment from time
to time.  The policy  premiums  are  payable at Aetna's  Home  Office or to an
authorized agent.

If any policy premium is not paid when due, this policy will be canceled as of
the premium due date;  except as provided in the section  called  Policy Grace
Period.


POLICY GRACE PERIOD
A policy  Grace Period of 61 days from the premium due date will be granted to
the New York State United Teachers for the payment of premiums  required under
this  policy.  The policy will be in force during such Grace  Period.  If such
premium is not paid in such Grace  Period,  this policy will cancel at the end
of that Grace Period. This policy will cancel before that date if the New York
State United  Teachers  gives  written  notice of  cancellation  in advance to
Aetna.  If this policy  cancels,  the New York State United  Teachers  will be
jointly and  severally  liable to Aetna for all unpaid  premiums for insurance
which was in force.

                                    PART V

                  POLICYHOLDER AND INSURANCE COMPANY MATTERS

DECLARATIONS  
The first "policy month" starts on [        ].  Each  subsequent  policy month
starts on the [         ] of a calendar month.  The first "policy year" starts
on [        ] and ends on [        ].  Each subsequent policy year starts on a
[        ] and ends on a [        ].


DATA REQUIRED
The New York State  United  Teachers  must give Aetna all data  required as to
policy  matters.  All data which may have a bearing on  insurance  or premiums
will be open for Aetna to inspect  while this policy is in force.  Also,  such
data must be open until the final  rights and duties  under this  policy  have
been resolved.

70262-96                                                                Page 5

<PAGE>

CLERICAL ERROR
Any  clerical  error by anyone  in  keeping  records,  or a delay in making an
entry, will not be the sole determination of the coverage's  validity.  A fair
change in premiums will be made when the error or delay is found.


MISSTATEMENTS
If the  Insured's  age is  misstated,  the amount of the Death Benefit will be
adjusted to reflect the  coverage  that would have been  purchased by the most
recent Monthly Deduction at the correct age.


INCONTESTABILITY
The validity of this policy shall not be contested,  except for non-payment of
premiums,  after it has been in force for 2 years.  All statements  made by or
for the Insured are representations and not warranties. Aetna will not use any
such  statement  to void the  insurance  or defend  against a claim unless the
statement is attached to and made a part of the policy or Certificate.


NON-DISCRIMINATION
In the management of this policy,  the New York State United Teachers will act
so as not to  discriminate  unfairly  between person in like situations at the
time of the action. Aetna can rely on such action.


POLICY CHANGES
This policy may be changed at any time by written  agreement between Aetna and
the New York State United  Teachers.  The consent of any Certificate  Owner is
not needed.  All  agreements  made by Aetna are signed by one of its executive
officers.  No other person can change or waive any of the policy terms or make
any agreement  binding Aetna. The New York State United Teachers will not have
to give written approval of a change in the policy if:

     The New York  State  United  Teachers  asked for the change and Aetna has
     agreed to it.

     The  change  is  needed  so that  the  policy  will  conform  to any law,
     regulation or ruling of:

          A jurisdiction that affects a person covered under this policy; or

          The federal government.


DEATH BENEFIT
If the Insured dies while the  Certificate  is in force,  the Aetna will pay a
death  benefit  based upon the Death  Benefit  Option in effect on the date of
death,  less  the  Loan  Account  Value  plus any  accrued  interest  less any
outstanding payment required keep the Certificate in force through the date of
death.

The  individual(s)  or entity(ies) that will receive any Proceeds on the death
of the  Insured  is the  Beneficiary  named by the  Certificate  Owner.  If no
Beneficiary has been named,  or if no named  Beneficiary is living at the time
of the Insured's death, all Proceeds will be paid to the Certificate  Owner or
the Certificate Owner's executors, administrators or assigns.


CONVERSION
If a Certificate  terminates  because (a) an Insured  ceases to be a member of
the New York State United  Teachers,  or (b) the insured is no longer eligible
for coverage under the  Certificate  as a Domestic  Partner or a Dependent and
declines membership in the New York State United Teachers, or (c) the New York
State United Teachers  discontinues the group policy,  the amount of insurance
which ceases may be converted to any permanent plan of life insurance that the
Aetna makes available for such purpose and according to the Certificate terms.
Aetna  will  send  notice  of this  right  to  convert  within  the  statutory
timeframes. No evidence of insurability will be required.

70262-96                                                                Page 6

<PAGE>

NONFORFEITURE PROVISIONS
By Written Request the Certificate  Owner may, at any time while the policy is
in force and according to the terms of the Certificate, elect to (a) surrender
or partially surrender his/her Certificate in exchange for payment of its full
Surrender  Value, (b) continue the coverage in effect as paid up or (c) borrow
up to 90% of the sum of the  Certificate's  Separate  Account  Value and Fixed
Account  Value.  Aetna  reserves the right to defer payments as provided under
the Certificate's Right to Defer Payment provision.


THE SEPARATE ACCOUNT
The Separate Account established for the purpose of providing Variable Options
to fund this insurance is Variable Life Account B. Variable Life Account B was
established pursuant to a June 18, 1986,  resolution of the Board of Directors
of the  Aetna.  The  Separate  Account  is  registered  with the SEC as a unit
investment  trust  under  the  Investment  Company  Act of 1940 and  meets the
definition  of  separate  account  under the  federal  securities  laws.  Such
registration does not involve any approval or disapproval by the Commission of
the Separate  Account or the Aetna's  management  or  investment  practices or
policies.   Aetna  does  not  guarantee  the  Separate  Account's   investment
performance.

70262-96                                                                Page 7
<PAGE>

                                                                 EXHIBIT 5(ii)


                               [GRAPHIC OMITTED]

                   AETNA LIFE INSURANCE AND ANNUITY COMPANY
                             151 Farmington Avenue
                          Hartford, Connecticut 06156
                               (A STOCK COMPANY)

                                By Group Policy
                                [GVUL - 000000]

Issued to  Certain  Members of the New York State  United  Teachers  and their
Dependents.

The insurance  described in this Certificate is provided under and is subject,
in every  respect,  to all of the terms of the group policy.  The group policy
may be changed or  discontinued,  in whole or in part, in accordance  with its
terms, without the consent of any Insured.

The  insurance  described  in this  Certificate  replaces and  supersedes  any
insurance previously in force under the group policy specified above.

                             RIGHT OF EXAMINATION

This Certificate may be returned to Aetna or its representative within 10 days
after its receipt.  Return this Certificate to Aetna at 151 Farmington Avenue,
Hartford,  Connecticut  06156. Upon its return this Certificate will be deemed
void from its beginning.  The amount refunded will be: The difference  between
payments made and amounts allocated to Variable Life Account B; plus the value
of amounts  allocated  to  Variable  Life  Account B on the date the  returned
Certificate   is  received  by  Aetna;   plus  any  charges  made  under  this
Certificate's terms on the amount allocated to Variable Life Account B.

Signed for Aetna on its Issue Date.

                                       /s/Dan Kearney
                                       President

     FLEXIBLE PREMIUM GROUP VARIABLE UNIVERSAL LIFE INSURANCE CERTIFICATE

O    FLEXIBLE PREMIUMS PAYABLE UNTIL MATURITY DATE OR DEATH
O    PROCEEDS PAYABLE UPON THE FIRST EVENT TO OCCUR - SURRENDER, MATURITY OR
     DEATH
O    NON-PARTICIPATING - NO DIVIDENDS PAYABLE

     THE AMOUNT OR DURATION OF THE DEATH  BENEFIT MAY BE FIXED OR VARIABLE AND
     MAY  INCREASE OR DECREASE.  THE DEATH  BENEFIT IS PAYABLE AS DESCRIBED IN
     THE DEATH BENEFIT OPTIONS AND PROCEEDS SECTIONS OF THIS CERTIFICATE.

     VALUES IN EACH FUND HELD IN A SEPARATE  ACCOUNT MAY  INCREASE OR DECREASE
     DAILY.  SUCH VALUES ARE NOT GUARANTEED AS TO DOLLAR AMOUNT.  REFER TO THE
     CERTIFICATE VALUES SECTION OF THIS CERTIFICATE FOR MORE INFORMATION.


70263-96

<PAGE>

                               TABLE OF CONTENTS


                  CERTIFICATE SPECIFICATIONS

PART I            DEFINITIONS

PART II           GENERAL PROVISIONS

PART III          SUICIDE AND INCONTESTABILITY

PART IV           PREMIUMS AND REINSTATEMENT

PART V            DEATH BENEFIT

PART VI           CERTIFICATE VALUES

PART VII          NONFORFEITURE PROVISIONS

PART VIII         LOANS

PART IX           CHANGES IN INSURANCE COVERAGE

PART X            SETTLEMENT OPTIONS

                  APPLICATION


<PAGE>

                C E R T I F I C A T E     S P E C I F I C A T I O N S


NAME OF
INSURED       JOHN DOE


CERTIFICATE
NUMBER:       F 2 222 000        September 1, 1997     DATE OF ISSUE

    INSURED           SEX              AGE                    PREMIUM CLASS
       A              MALE              45                 PREFERRED NONSMOKER


BENEFICIARY - SEE ATTACHED BENEFICIARY AND OWNER ENDORSEMENT SHEET.


OWNER - THE INSURED.


SPONSORING ORGANIZATION - NEW YORK STATE UNITED TEACHERS UNION


PLAN - FLEXIBLE PREMIUM VARIABLE UNIVERSAL LIFE INSURANCE CERTIFICATE - UNISEX


INITIAL SPECIFIED AMOUNT:  $175,000            DEATH BENEFIT OPTION:  1

MINIMUM SPECIFIED AMOUNT:  $50,000

MATURITY DATE: SEPTEMBER 1, 2052

INITIAL PLANNED PREMIUM:                   $      XX.00
INITIAL PREMIUM MODE:                           Monthly

BASIC MONTHLY PREMIUM                      $      XX.00   MONTHLY DEDUCTION DAY
     BASIC CERTIFICATE ONLY                $      XX.00   THE 1ST OF EACH MONTH
     DISABILITY BENEFIT RIDER              $       0.00
     ACCELERATED BENEFIT RIDER             $       0.00
     ACCIDENTAL DEATH BENEFIT RIDER        $       0.00

NO LAPSE COVERAGE EXPIRATION DATE:  September 1, 2002


<PAGE>

F 2 222 000                                           JOHN DOE   Page 2 of 3


NET PREMIUM INITIAL ALLOCATION PERCENTAGES:
         FIXED ACCOUNT                                100%

GUARANTEED CERTIFICATE FEE:
     1) $ 19.00 PER MONTH FOR THE FIRST  CERTIFICATE YEAR; AND
     2) $ 11.00 PER MONTH FOR EACH CERTIFICATE YEAR AFTER THE FIRST.

MAXIMUM PREMIUM LOAD:    10.0%



GUARANTEED  INTEREST  RATE FOR  FIXED  ACCOUNT  VALUE:  4.0%  PER YEAR  EXCESS
INTEREST  WILL BE AS PROVIDED BY AETNA.  FOR ANY PORTION OF THE FIXED  ACCOUNT
VALUE  SECURED BY A LOAN,  THE INTEREST  CREDITED WILL NEVER BE LESS THAN 4.0%
PER YEAR.

GUIDELINE ANNUAL PREMIUM:                   $X.XXX.00

THE PLANNED  PREMIUM  AMOUNT SHOWN ABOVE MAY NOT CONTINUE THE  CERTIFICATE  IN
FORCE TO THE  MATURITY  DATE  EVEN IF THIS  AMOUNT IS PAID AS  SCHEDULED.  THE
PERIOD FOR WHICH THE CERTIFICATE WILL CONTINUE WILL DEPEND ON:

     1.  THE AMOUNT, TIMING AND FREQUENCY OF PREMIUM PAYMENTS;

     2.  CHANGES IN THE SPECIFIED AMOUNT AND THE DEATH BENEFIT OPTIONS;

     3.  CHANGES  IN  INTEREST   CREDITED,   FUND  PERFORMANCE  AND  MORTALITY
         DEDUCTIONS;

     4.  DEDUCTIONS FOR RIDERS AND BENEFITS;

     5.  PARTIAL SURRENDERS AND LOANS.

AN ADMINISTRATIVE FEE OF $25 MAY APPLY FOR EACH PARTIAL SURRENDER.


<PAGE>

F 2 222 000                                           JOHN DOE   Page 3 of 3


<TABLE>
                                                     TABLE OF
                                        GUARANTEED MAXIMUM INSURANCE RATES
                                         PER $1,000 OF THE AMOUNT AT RISK

<CAPTION>
     ATTAINED            MONTHLY            ATTAINED          MONTHLY           ATTAINED             MONTHLY
       AGE                RATE                AGE             RATE                AGE                RATE
<S>                      <C>
</TABLE>


<PAGE>

PART I - DEFINITIONS

ANNUITANT
The person whose life determines the amount of life-contingent payments.

ATTAINED AGE
Issue age of the Insured as shown in the Certificate Specifications, increased
by the number of Certificate Years elapsed.  Issue Age is the Insured's Age on
his/her birthday nearest this Certificate's Date of Issue.

BASIC MONTHLY PREMIUM
The amount of premium  that must be paid to  continue  coverage in force under
the No Lapse Coverage provision.

CERTIFICATE MONTH
The  Certificate  Month  begins each month on the same day of the month as the
Issue Date.

CERTIFICATE YEAR/CERTIFICATE ANNIVERSARY
The first Certificate Year is the 12-month period beginning on the Issue Date.
Each Certificate  Anniversary is equal to the Issue Date plus 1 year, 2 years,
etc.

DEPENDENT
A Member's unmarried child,  unmarried  legally-adopted  child or stepchild at
least 14 days of age but under 19 years of age.

A Member's unmarried child,  unmarried  legally-adopted  child or stepchild at
least 14 days of age but under 25 years of age, if that child: (1) is going to
school on a regular, full-time basis; and (2) depends mainly on the Member for
support.

A Member's unmarried child,  unmarried  legally-adopted  child or stepchild at
least 19 years of age if that  child:  (1)  depends  mainly on the  Member for
support;  and (2) is  incapable  of  self-sustaining  employment  by reason of
mental or physical disability.  Proof of the child's disability and dependence
must be  submitted  to Us  within  31 days  after  the  date the  child  would
otherwise  cease to be a Dependent.  For 2 years after that, We may, from time
to time,  require proof of the  continuation of such condition and dependence.
After that, We may require proof no more than once a year.

DOMESTIC PARTNERS
Married  adults or two  adults,  of the same or  different  sex,  engaged in a
spouse-like  relationship  characterized by mutual caring and dependency,  who
have  signed a form,  satisfactory  to Us and  received  at our  Home  Office,
certifying to their relationship.

FIXED ACCOUNT
A non-variable  funding option available on this Certificate that guarantees a
minimum interest rate of 4% per year.

FIXED ACCOUNT VALUE
The non-loaned portion of this Certificate's  Total Account Value attributable
to the non-variable  portion of this  Certificate.  The Fixed Account Value is
part of the general assets of the Company.

FUND(S)
One or more of the underlying  variable  funding options  available under this
Certificate.  Each of the  funds  is a  separate  investment  portfolio  of an
open-end  management   investment  company  (mutual  fund)  whose  shares  are
purchased  by the  Separate  Account  to fund the  benefits  provided  by this
Certificate.

HOME OFFICE
Our main  office,  located at 151  Farmington  Avenue,  Hartford,  Connecticut
06156.


70263-96
                                       1

<PAGE>

INSURABILITY REQUIREMENT
A person  satisfies the  Insurability  Requirement  only if and when We accept
that person as insurable.  To decide  whether a person is  insurable,  We will
require proof of good health. The proof may include a health questionnaire,  a
physical exam and other types of information  and tests and will vary based on
the amount of coverage requested and Our standard practices at the time.

INSURED
The person covered for life insurance under this Certificate.  An Insured must
be (a) an  eligible  Member or agency fee payer of the New York  State  United
Teachers (a 'Member');  (b) a Member's  Dependent;  or (c) a Member's Domestic
Partner.

ISSUE DATE
The date shown on the Certificate  Specifications or supplemental  Certificate
Specifications.  Coverage is contingent  upon payment of the first premium and
issue of this Certificate as provided in the application.

LOAN ACCOUNT VALUE
The sum of all unpaid loans.  The amount  necessary to repay all loans in full
is the Loan Account Value plus any accrued loan interest.

MATURITY DATE
The Certificate Anniversary on which the Insured's Attained Age is 100.

MEMBER
A member or agency  fee payer of the New York  State  United  Teachers  who is
eligible for coverage under the group policy.

MINIMUM SPECIFIED AMOUNT
The  Specified  Amount  cannot be  decreased  below this  amount.  The Minimum
Specified Amount is shown in the Certificate Specifications.

MONTHLY DEDUCTION
A charge  assessed  against the Total Account Value which includes the Cost of
Insurance,  a monthly Certificate fee and any charges for supplemental benefit
riders.  Monthly  Deductions begin on the Issue Date and occur on each Monthly
Deduction Day thereafter.

MONTHLY DEDUCTION DAY
The first Monthly  Deduction  Day is the Issue Date.  Monthly  Deduction  Days
occur each month thereafter on the same day of the month as the Issue Date.

NET PREMIUM
Equal to the premium paid, less the deduction for the premium load.

NET SINGLE PREMIUM
The  amount   required  to  purchase  a   guaranteed   benefit   assuming  the
Certificate's  Surrender  Value is allocated to the Fixed  Account,  using the
Insured's Attained Age and premium class. The Net Single Premium is determined
using  guaranteed  interest of 4.0% per year and guaranteed  Cost of Insurance
Rates.

PAYEE
The person who receives annuity payments.

PROCEEDS
The amount that We will pay upon the Death of the Insured,  the Maturity  Date
or upon surrender as described in the Proceeds provision.


70263-96
                                       2

<PAGE>

SEPARATE ACCOUNT(S)
Variable  Life  Account  B; or,  when  referring  to a  settlement  option  as
described in the Settlement Options  provisions of this Certificate,  Variable
Annuity Account B.

SEPARATE ACCOUNT VALUE
The portion of this  Certificate's  Total  Account Value  attributable  to the
variable  portion of this  Certificate.  This  Certificate's  Separate Account
Value is held in Variable Life Account B.

SPECIFIED AMOUNT
The amount chosen by the Owner and used in determining  the Death Benefit.  It
may be decreased or increased as described in this Certificate.  The Specified
Amount  is  shown in the  Certificate  Specifications  or in the  supplemental
Certificate  Specifications,  if later changed.  The Specified  Amount must be
elected in  increments  of $1,000 and cannot be  decreased  below the  Minimum
Specified Amount.

SUBSEQUENT APPLICATION(S)
Any application after the initial application initiated by You or by Us.

TOTAL ACCOUNT VALUE

The sum of the Fixed Account  Value,  the Separate  Account Value and the Loan
Account Value.

VALUATION DATE
Any day on which the New York Stock  Exchange is open for trading and on which
any relevant Funds value their shares.

VALUATION PERIOD
The  period of time  commencing,  usually  at 4:15 p.m.  Eastern  Time on each
Valuation Date and ending 4:15 p.m. Eastern Time on the next Valuation Date.

VARIABLE ANNUITY ACCOUNT B
A Separate  Account  which  segregates  assets  attributable  to the  variable
portion of annuity contracts and life insurance  settlement options from other
assets of the  Company.  Its  assets  are  invested  in  shares of the  Funds.
Variable  Annuity  Account  B  holds  all or a  portion  of the  Certificate's
Proceeds if a variable settlement option is elected.

VARIABLE LIFE ACCOUNT B
A Separate  Account  which  segregates  assets  attributable  to the  variable
portion of life  insurance  from other assets of the  Company.  Its assets are
invested in shares of the Funds.

VARIABLE OPTION
One or more of the variable funding options available under this Certificate.

WE, OUR, US, COMPANY
Refers to Aetna Life Insurance and Annuity Company, its successors or assigns.

WRITTEN REQUEST
A request in writing,  in a form  satisfactory to Us and received by Us at the
Home Office.

YOU/YOUR
Refers to the Owner of this Certificate.


70263-96
                                       3

<PAGE>

PART II - GENERAL PROVISIONS

OWNER
Unless otherwise specified in the Certificate or on the application form or as
later changed, this Certificate is owned by the Insured.

All rights granted by this Certificate or allowed by Us belong to the Owner.

BENEFICIARY
The  individual(s)  or entity(ies) that will receive any Proceeds on the death
of the  Insured  is the  Beneficiary.  The  Beneficiary  is as  stated  in the
application form, unless later changed.

If no Beneficiary has been named, or if no named  Beneficiary is living at the
time of the  Insured's  death,  all Proceeds  will be paid to the Owner or the
Owner's executors, administrators, or assigns.

CHANGES IN OWNER AND BENEFICIARY
Unless this Certificate  states otherwise,  the Owner and the Beneficiary,  or
both, may be changed.  This may be done as often as desired by the Owner while
this Certificate is in force.

To change the Owner or  Beneficiary  Your Written  Request must be sent to Us.
When We give Our  written  acceptance,  the change  will take effect as of the
date Your Written Request was signed. The change will be subject to any action
We take before Our written acceptance of the change.

ASSIGNMENT
A copy of an Assignment  must be on file at the Home Office.  Until We receive
such notice, We will not be required to take notice of, or be responsible for,
any transfer of any interest in this Certificate by Assignment,  agreement, or
otherwise.

We are not responsible  for the validity of any Assignment.  The rights of the
Owner and the interest of the Beneficiary will be subject to the rights of any
assignee of record.

NON-PARTICIPATING No dividends will be paid.

CERTIFICATE SETTLEMENT
All amounts payable by Us will be paid by the Home Office. We will deduct from
the amount payable at settlement any Loan Account Value plus accrued  interest
and any overdue  amount  necessary  to keep the  coverage in force to the date
that Proceeds are payable. We may require return of this Certificate.

MISSTATEMENT OF AGE
If the  Insured's  age is  misstated,  the amount of the Death Benefit will be
adjusted to reflect the  coverage  that would have been  purchased by the most
recent Monthly Deduction for the correct age.

CHANGE OF ADDRESS
You must notify Us at the Home Office of a change in Your mailing address. All
notices will be sent to the last known address of record.

ANNUAL REPORT
At least once after each  Certificate  Anniversary  We will send You a report.
The report will show the Total  Account  Value,  the  Surrender  Value and the
Death  Benefit on the date of the  report.  It will also show,  since the last
report, at least the following information:

o   gross premiums paid;

o   the Cost of Insurance and the cost of riders;

70263-96
                                       4

<PAGE>



o   interest and investment return credited to the Total Account Value;

o   the amount of any surrenders or Partial Surrenders;

o   a summary of loan activity;

o   a projection of the Total Account Value,  Loan Account Value and Surrender
    Value as of the succeeding Certificate Anniversary; and

o   any other  information  required  by the State of New York or by any other
    jurisdiction.

ILLUSTRATION OF BENEFITS
We will provide an  illustration  of future Death  Benefits and Total  Account
Values,  based on stated  assumptions,  at any time upon Written  Request.  We
reserve the right to charge a fee for this service.

PROCEEDS
Proceeds on the Insured's death will equal:

o   the Death Benefit; less

o   the Loan Account Value plus any accrued interest; less

o   any payment  required to keep the Certificate in force through the date of
    death.

Proceeds on death are  computed as of the date of death and are payable  after
receipt at the Home Office of due proof of the  Insured's  death and all other
information necessary for such payment to be made.

Proceeds on the Maturity Date will equal:

o   the Total Account Value on the Maturity Date; less

o   the Loan Account Value on the Maturity Date plus any accrued interest.

Proceeds on surrender are as described in the Surrender Value provision.

All  Proceeds  are  subject  to  adjustment  under  the  Misstatement  of Age,
Incontestability, Suicide Exclusion and Grace Period provisions.

RIGHT TO DEFER PAYMENT
Payments of any  Separate  Account  Value will be made within 7 days after Our
receipt of Your Written  Request.  However,  the Company reserves 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  (except
holidays or  weekends);  (2) when trading on the Exchange is  restricted;  (3)
when  an  emergency  exists  as  determined  by the  Securities  and  Exchange
Commission  (SEC) so that disposal of the securities  held in the Funds is not
reasonably  practicable or it is not  reasonably  practicable to determine the
value of the Funds' net assets;  or (4) during any other  period when the SEC,
by order, so permits for the protection of security holders.  For payment from
the Separate Account in such instances, We may defer payment of:

o   Surrender or Partial Surrender Values;

o   any Proceeds on death in excess of the current Specified Amount; or

o   any portion of the loan value.

70263-96
                                       5

<PAGE>

Payment  of any Fixed  Account  Value may be  deferred  for up to six  months,
except when used to pay premiums due Us.

TERMINATION OF COVERAGE
Coverage under this Certificate will terminate on the earliest to occur of:

o   the death of the Insured; or

o   the date coverage terminates as provided under the Grace Period provision;
    or

o   the Maturity Date; or

o   the date coverage is surrendered; or

o   the date the  Insured  ceases to be a Member of the New York State  United
    Teachers, or

o   the  date the  Insured  is no  longer  eligible  for  coverage  under  the
    Certificate as a Domestic  Partner or a Dependent and declines  membership
    in the New York State United Teachers; or

o   the date the New York State United Teachers discontinues the group policy.

CONVERSION PRIVILEGE
If coverage under the Certificate terminates because (a) the Insured ceases to
be a Member of the New York State  United  Teachers;  or (b) the Insured is no
longer  eligible for coverage under the  Certificate as a Domestic  Partner or
Dependent and declines  membership in the New York State United  Teachers;  or
(c) the New York State United  Teachers  discontinues  the group  policy,  the
amount of insurance  which ceases may be  converted to any  permanent  plan of
life insurance that We make available for such purpose.  Your Written  Request
to convert must be received by Us and the first premium paid on the new policy
within 31 days from the date of termination of coverage.

If the Insured  dies during that 31-day  period,  the amount that he/she could
have converted will be payable as a death benefit to the Beneficiary.

The new policy will be issued:

o   based on the  Insured's  Attained Age and sex at Our current  rates at the
    time of conversion;

o   with the same premium class as would have been assigned to the Insured for
    the new policy had it been issued on this Certificate's Issue Date;

o   subject to any limitations of risk or assignments outstanding against this
    Certificate.

Extra benefit  riders in force on this  Certificate  at the time of conversion
can  be  issued  on  the  new  policy  without   satisfying  the  Insurability
Requirement  only with Our  consent.  Extra  benefit  riders must be currently
available for sale with the new policy.

After an individual policy becomes effective for any person,  that policy will
be in exchange  for all  benefits  and  privileges  under the group  policy as
regards the person involved and the amount that could have been converted.

The new policy  will not take effect if the Insured is not living on the issue
date of the new policy.

If the Conversion Privilege is not exercised, the Owner would receive the full
Surrender  Value.  The Surrender  Value would be effected as of the end of the
Valuation Period in which coverage terminates.


PART III - SUICIDE AND INCONTESTABILITY

SUICIDE EXCLUSION
If the  Insured  dies by  suicide  within 2 years  from the  Issue  Date,  the
insurance will end and We will pay:


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                                       6

<PAGE>

o   the difference between payments made and amounts allocated to the Separate
    Account; plus

o   the Separate Account Value; plus

o   any charges made under this  Certificate's  terms on the Separate  Account
    Value; less

o   the sum of:

    o   the Loan Account Value transferred from the Fixed Account Value; plus

    o   the interest due on the Loan Account Value; plus

    o   the value of any Partial Surrenders from the Fixed Account Value; plus

    o   any  interest  earned on the Loan  Account  Value  transferred  to the
        Separate Account Value.


If the  Insured  dies by  suicide  within 2 years  from the Issue  Date of any
increase in coverage, We will pay only the Monthly Deductions for the increase
in coverage.

If the  Insured  dies by  suicide  more than 2 years  from the Issue  Date but
within 2 years from the Issue Date of any increase in coverage, We will pay:

o   the  Proceeds  on death for any  coverage in effect more than 2 years from
    the Issue Date of coverage; plus

o   the Monthly Deduction charges for the increase in coverage.

All amounts will be calculated as of the date of the suicide.

INCONTESTABILITY
With respect to statements  made by or on behalf of the Insured in the initial
application form(s) or in any subsequent  Application Form(s) for the Insured:
We will not contest coverage under this Certificate after it has been in force
during the lifetime of the Insured for 2 years from the Issue Date.

With respect to statements made in any Subsequent  Enrollment  Form(s) for the
Insured:  We will not  contest  coverage  relating to  Subsequent  Application
Form(s)  after  coverage  has been in force during the lifetime of the Insured
for 2 years from the Issue Date of such coverage or from the Issue Date of any
reinstatement.

If  coverage  under  this  Certificate  is  contested,   Your  rights  or  the
Beneficiary's rights may be affected.


PART IV - PREMIUMS AND REINSTATEMENT
GENERAL
Sufficient  premiums must be paid to continue this  Certificate in force.  The
initial premium is due on the Issue Date.  Premium due dates are measured from
the Issue Date.

We may apply limits for Planned premiums and Additional  Premiums as necessary
to preserve the status of this Certificate as life insurance under federal tax
law.

We may  require  that the  Insured  satisfy the  Insurability  Requirement  if
payment of a new Planned  Premium or an Additional  Premium during the current
Certificate  Year would increase the difference  between the Death Benefit and
the Total Account Value.


70263-96
                                       7

<PAGE>

PREMIUM LOAD
Before a premium is  allocated to the Total  Account  Value,  a percentage  of
premium,  guaranteed  not to exceed 10%,  will be  deducted  to cover  certain
expenses  associated  with  sales,  start-up  and  maintenance  costs  of this
Certificate.

PLANNED PREMIUMS
A Planned  Premium is the premium  amount that the Member agrees to pay and We
agree to bill. The frequency of the Planned  Premiums (for example,  bi-weekly
or monthly) will be determined by the billing  arrangement agreed to by Us and
the New York State United  Teachers.  The amount and  frequency of the Planned
Premium as of the Issue Date are shown in the Certificate Specifications.

ADDITIONAL PREMIUMS
Additional  Premiums  are  premium  payments  in excess of  Planned  Premiums.
Additional Premiums may be paid at any time while this Certificate is in force
and before the Maturity Date.

ALLOCATION OF PREMIUM
Each Net Premium will be allocated to the Funds You select under Variable Life
Account  B and/or  the  Fixed  Account  in the  percentages  indicated  in the
Certificate  Specifications.  If these  percentages  are changed in accordance
with the Changes in Allocation  Percentages provision of this Certificate,  We
will send notification to You confirming the change.

CHANGES IN ALLOCATION PERCENTAGES
Allocation  percentages  may be changed at any time by Your Written Request to
Us.  Allocations  must be changed  in whole  percentages.  The change  will be
effective as of the date of the next premium payment after You notify Us.

NO LAPSE COVERAGE
This  Certificate  will not terminate within the 5-year period after the Issue
Date or the Issue Date of any increase if on each Monthly Deduction Day within
that period the sum of premiums paid within that period equals or exceeds:

o   The sum of the Basic Monthly Premiums, for each Certificate Month from the
    start of the period, including the current month; plus

o   Any Partial Surrenders; plus

Any increase in the Loan Account Value since the start of the period.

If on any Monthly  Deduction  Day within the 5-year period the sum of premiums
paid is less than the sum of the above  and  there is  insufficient  Surrender
Value, the Grace Period provision will apply.

After the 5-year period  expires,  the Surrender  Value may be insufficient to
keep this  Certificate  in force.  Payment  of an  Additional  Premium  may be
necessary.

The  Basic  Monthly  Premium  is shown in the  Certificate  Specifications  or
Supplemental Certificate Specifications if later changed.

GRACE PERIOD
If this  Certificate is within the No Lapse Coverage  period and the Surrender
Value is  insufficient to allow a Monthly  Deduction on the Monthly  Deduction
Day, We will allow You 61 days of grace for payment of an amount sufficient to
allow the Monthly Deduction. We may require payment of the amount equal to the
lesser of (1) or (2) where:

    (1) is the  amount  necessary  to  meet  the  conditions  of the No  Lapse
        Coverage provision; or


70263-96
                                       8

<PAGE>

    (2) is an amount  sufficient to cover the Monthly  Deduction(s) that would
        result in the Surrender Value being greater than zero.

If this  Certificate is no longer within the No Lapse Coverage  period and the
Surrender  Value is  insufficient  to allow a Monthly  Deduction  on a Monthly
Deduction  Day,  We will  allow You 61 days of grace for  payment of an amount
sufficient  to allow the  Monthly  Deduction.  We may  require  payment of the
amount  necessary to keep the coverage under this Certificate in force for the
current month plus two additional months.

If payment is not made within 61 days after the  Monthly  Deduction  Day,  the
Certificate will terminate  without value at the end of the Grace Period.  The
termination  will be  effective  on the  Monthly  Deduction  Day for the first
unpaid Monthly Deduction.

Written  notice will be mailed to Your last known  address,  according  to Our
records,  not less than 61 days before  termination of this Certificate.  This
notice  will also be mailed  to the last  known  address  of any  assignee  of
record.

During  the  days of  grace,  this  Certificate  will  stay in  force.  If the
Insured's  Death  occurs  during the days of grace,  We will  deduct an amount
required to keep this Certificate in force from that Death Benefit.

REINSTATEMENT
If this Certificate  terminates as provided in the Grace Period provision,  it
may be reinstated. To reinstate, the following conditions must be met:

o   You must apply for reinstatement within 5 years of the date of termination
    and before the Certificate's Maturity Date.

o   We must  receive  evidence  that the Insured  satisfies  the  Insurability
    Requirement.

o   We must receive a premium payment  sufficient to keep this  Certificate in
    force for the current month plus two additional months.

If this  Certificate  is reinstated  within a No Lapse  Coverage  period,  all
values  including  the Loan Account Value would be reinstated as they were the
date of lapse.

If this  Certificate  is  reinstated  after a No  Lapse  Coverage  period  has
expired,  the  coverage  would be  reinstated  on the  Monthly  Deduction  Day
following Our approval.  The Total Account Value at reinstatement would be the
Net Premium  paid less the Monthly  Deduction  for that day.  Any Loan Account
Value would not be reinstated.

If this  Certificate has been  surrendered in exchange for payment of its full
Surrender Value, it cannot be reinstated.

Extra benefit riders will be reinstated only with Our consent.


70263-96
                                       9

<PAGE>

PART V - DEATH BENEFIT
DEATH BENEFIT OPTIONS
GENERAL
The Proceeds  payable upon the  Insured's  Death will be based upon one of the
following Death Benefit Options You choose. The Death Benefit Option as of the
Issue Date will be shown on the Certificate  Specifications or, if changed, on
the Supplemental Certificate Specifications.

OPTION 1
The Specified Amount includes the Total Account Value.  Under this option, the
Death Benefit will be the greater of the  Specified  Amount or a percentage of
the Total Account Value. This percentage is described in the table below.

OPTION 2
The  Specified  Amount is in addition to the Total Account  Value.  Under this
option, the Death Benefit will be the greater of the Specified Amount plus the
Total  Account Value on the date of death or a percentage of the Total Account
Value. This percentage is described in the table below.

<TABLE>
<CAPTION>
 ---------------------------------------------------------------------------------------------------------------------------------
                      ACCOUNT                          ACCOUNT                          ACCOUNT                           ACCOUNT
   ATTAINED            VALUE        ATTAINED            VALUE       ATTAINED            VALUE         ATTAINED             VALUE
      AGE                %            AGE                 %           AGE                 %             AGE                  %
 ---------------------------------------------------------------------------------------------------------------------------------
<S>                     <C>             <C>             <C>              <C>            <C>             <C>               <C> 
      0-40              250%
        41              243             51              178%             61             128%              71              113%
        42              236             52              171              62             126               72              111
        43              229             53              164              63             124               73              109
        44              222             54              157              64             122               74              107
        45              215             55              150              65             120             75-90             105
        46              209             56              146              66             119               91              104
        47              203             57              142              67             118               92              103
        48              197             58              138              68             117               93              102
        49              191             59              134              69             116               94              101
        50              185             60              130              70             115              95 +             100
 ---------------------------------------------------------------------------------------------------------------------------------
</TABLE>


PART VI - CERTIFICATE VALUES
BASIS OF CALCULATION
The values of this  Certificate  equal or exceed those  required by law in the
state where this Certificate is delivered. A detailed statement has been filed
with the State that shows how to compute those values.

INTEREST CREDITED
We will credit  interest on the Fixed Account Value at the guaranteed  rate of
4.0% per year.  This guaranteed rate equals  0.32737%,  per month,  compounded
monthly. We may credit interest in excess of the guaranteed rate.

Beginning in  Certificate  Year 11 the interest  earned by that portion of the
Loan Account  Value equal to a  hardship/education  loan will be credited at a
rate  equal to the  guaranteed  loan  interest  rate.  Interest,  at the rates
specified,  will be earned by the Loan Account Value and credited to the Fixed
Account Value and the Separate  Account Value in the same  proportion in which
the Loan Account Value was originally deducted from these values.

Interest  credited to the Loan Account  Value will never be less than 4.0% per
year.

FIXED ACCOUNT VALUE
The Fixed Account Value will be:

o   the value of the Net Premiums credited to the Fixed Account Value; less


70263-96
                                      10

<PAGE>



o   the portion of Monthly Deductions taken from the Fixed Account Value; plus

o   interest credited; less

o   any transfers of value out of the Fixed Account Value; plus

o   any transfers from the Fund(s) to the Fixed Account Value; plus

o   interest  earned  on the Loan  Account  Value  attributable  to the  Fixed
    Account Value; plus

o   any loan repayments credited to the Fixed Account Value.

SEPARATE ACCOUNT VALUE
The Separate Account Value will be the sum of the Fund Account Values.

A.  Fund Account Value

    The portion of each Net Premium,  transfer, or loan repayment allocated to
    a Fund  plus any  interest  earned  on the  Loan  Account  Value  which is
    attributable  to that Fund is credited to this  Certificate in the form of
    accumulation units.  Accumulation units measure the value of Your interest
    in each  applicable  Variable  Option.  The number of  accumulation  units
    credited  is equal to that  Fund's  portion of the amount  being  credited
    divided by the  Accumulation  Unit Value for that Variable  Option for the
    Valuation   Period  in  which  the  amount  being   credited.   Similarly,
    accumulation units are canceled as surrenders,  Partial Surrenders, loans,
    transfers and deductions are made from that variable option.

    The Fund Account Value of each Variable Option will equal the Accumulation
    Unit Value for a Variable Option  multiplied by the number of accumulation
    units for that Variable Option credited to this Certificate.


B.  Accumulation Unit Value

    The Accumulation  Unit Value is determined by multiplying the value of the
    Variable  Option's   accumulation  unit  for  the  immediately   preceding
    Valuation Period by the net investment factor for the current period.

    The net investment factor equals the net investment rate plus 1.0. The net
    investment rate is determined  separately for each Variable Option held in
    Variable Life Account B as follows:

o   the value of the  Variable  Option's  accumulation  units held in Variable
    Life Account B at the end of a Valuation Period; less

o   the value of the  Variable  Option's  accumulation  units held in Variable
    Life Account B at the beginning of that Valuation Period,  adjusted by any
    taxes or provisions  for taxes  attributable  to the operation of Variable
    Life Account B; divided by

o   the value of the  Variable  Option's  accumulation  units held in Variable
    Life Account B at the beginning of the Valuation Period; less


70263-96
                                      11

<PAGE>


    o   a daily  charge at an annual  rate not to exceed .90% of net assets of
        the Fund for  mortality  and expense  risks  attributable  to policies
        funded through Variable Life Account B.

CHARGES TO CERTIFICATE VALUES
Charges and deductions made according to this Certificate's provisions will be
deducted  from the Separate  Account  Value and the Fixed Account Value in the
same  proportion  that these Values bear to the sum of the Fixed Account Value
and the Separate Account Value on the date of the deduction.

The portion of the deduction  attributable to the Separate  Account Value will
reduce each Fund Account Value  proportionately.  The value deducted from each
Fund is  determined by dividing the amount of the  deduction  attributable  to
that Fund by the Variable  Option's  Accumulation Unit Value for the Valuation
Period  when the charge was made.  The  resulting  number of  Variable  Option
accumulation units will be deducted from the total accumulation units for that
Fund.

The portion of the deduction  attributable  to the Fixed Account Value will be
deducted from that Value as a dollar amount.

TRANSFERS WITHIN ACCOUNTS
At any time prior to the Maturity  Date,  You may transfer all or part of each
Fund  Account  Value to any other  Fund or to the Fixed  Account  Value at any
time.  Funds  may be  transferred  between  the Funds or from the Funds to the
Fixed Account.  We reserve the right to charge an administrative  fee for more
than 12 transfers per year.

We reserve the right to limit the total number of Funds You may elect over the
Certificate's lifetime to 15.

Within the  forty-five  days  following  a  Certificate  Anniversary,  You may
request a transfer of a portion of the Fixed  Account  Value to one or more of
the Funds.  This type of transfer is allowed only once within these forty-five
days and We must receive Your request at the Home Office within the forty-five
days.  The transfer will be effective on the Valuation  Date that Your request
is received by the Home Office.  The amount of such transfer cannot exceed the
greater of 25% of the Fixed Account Value or $500. If the Fixed Account Values
is less than or equal to $500,  You may transfer all or a portion of the Fixed
Account Value. We may increase this limit from time to time.

Accumulation  units for each  Variable  Option will be added to or  subtracted
from Your Separate Account Value, based on each Variable Option's Accumulation
Unit Value at the end of the  Valuation  Period when request for such transfer
is received by Us. A dollar  amount  will be added to or  subtracted  from the
Fixed Account Value according to the terms of Your request for transfer.

MONTHLY DEDUCTIONS
Monthly Deductions will be deducted as described in the Charges to Certificate
Values provision.

o   the Cost of Insurance as calculated below; plus

o   a monthly Certificate fee, shown in the Policy Specifications; plus

o   any charge for rider benefits

COST OF INSURANCE
The Cost of Insurance on any Monthly  Deduction Day will be (1)  multiplied by
the result of (2) minus (3) where:

    (1) equals the Cost of Insurance Rate on that date divided by 1,000;

    (2) equals the Death Benefit on that date divided by 1.0032737;


70263-96
                                      12

<PAGE>

    (3) equals  the Total  Account  Value on that date  before  computing  the
        Monthly Deductions for the Cost of Insurance for this Certificate.

COST OF INSURANCE RATE
The monthly Cost of Insurance rate is based on the Insured's issue age, number
of Certificate  Years  elapsed,  Specified  Amount and premium  class.  For an
increase in the Specified Amount,  the premium class for that increase will be
used. If the Insured is assigned a premium class which designates "smoker" and
this  classification  changes,  You may, by Written  Request,  reclassify  the
Insured any time after the first Certificate Anniversary.  Upon Our acceptance
of the change, supplemental Certificate Specifications will be sent to You.

The monthly Cost of  Insurance  Rates may be adjusted by Us from time to time.
Adjustments  will be on a class basis and will be based on Our  estimates  for
future factors such as mortality,  investment income, expenses, and the length
of time the  Certificates  stay in force.  Any  adjustments  will be made on a
nondiscriminatory basis.

The rate during any Certificate Year will never exceed the rate shown for that
year in the Table of Guaranteed  Maximum  Insurance  Rates in the  Certificate
Specifications.  Those  rates  are  based on the 1980  Commissioners  Standard
Ordinary Mortality Table D, unisex, 50% male, 50% female, Smoker or Nonsmoker.


PART VII - NONFORFEITURE PROVISIONS
CONTINUATION OF COVERAGE
Coverage under this  Certificate will continue to the Maturity Date as long as
the  Surrender  Value is sufficient  to cover each Monthly  Deduction.  If the
Surrender Value is insufficient to cover a Monthly Deduction, the Grace Period
provision will apply except as provided under the No Lapse Coverage provision.

SURRENDER VALUE
By Written  Request  You may, at any time while the  Certificate  is in force,
surrender the coverage in effect in exchange for payment of its full Surrender
Value.  Partial Surrenders will also be allowed. We reserve the right to defer
payments as provided under the Right to Defer Payment provision.

The full Surrender Value under this  Certificate  will equal the Total Account
Value on the date of surrender  less the Loan  Account  Value plus any accrued
interest.

PARTIAL SURRENDERS
Partial  Surrenders  may be made  beginning in the 2nd  Certificate  Year. The
minimum  amount  of any  Partial  Surrender  is $500.  We may also  charge  an
administrative fee of $25.

If the Death Benefit  option in effect is Option 1, a Partial  Surrender  will
reduce the Total Account  Value,  Death  Benefit,  and Specified  Amount.  The
Specified  Amount and Total  Account  Value will be reduced by equal  amounts.
However, We will not allow a Partial Surrender if the Specified Amount will be
reduced below the Minimum Specified Amount.

If the Death Benefit  option in effect is Option 2, a Partial  Surrender  will
reduce the Total Account  Value and the Death  Benefit.  The Specified  Amount
will not be reduced.

If the Death  Benefit  option in effect is  determined  as a percentage of the
Total  Account  Value,  the  Partial  Surrender  may not reduce the  Specified
Amount.


70263-96
                                      13

<PAGE>

PAID-UP NONFORFEITURE OPTION
By Written  Request You may elect,  at any time,  to continue  the coverage in
effect as paid-up life insurance.

The Surrender  Value will be applied as a Net Single  Premium to determine the
Specified Amount of the paid-up  insurance.  The cost of the paid-up insurance
will be  based  on the  guaranteed  maximum  Cost of  Insurance  Rates in this
Certificate and an interest rate of 4.0%  compounded  annually.  However,  the
Specified  Amount of the paid-up  insurance  cannot  exceed the Death  Benefit
under this  Certificate  as of the Issue Date of the  paid-up  insurance.  Any
excess Surrender Value will be refunded to You.

The paid-up  insurance may be surrendered at any time for its Surrender Value,
less any  outstanding  loan balance.  The Surrender Value will be equal to the
Net Single Premium for the paid-up insurance on the date of surrender.

The Issue Date of the  paid-up  insurance  will be the Monthly  Deduction  Day
which occurs on or immediately after the date Your request is received by Us.

As of the Issue date:

o   no further premium payments,  Monthly Deductions,  excess interest credits
    or changes in coverage may be made;

o   Loans as described in this Certificate will be allowed; and

o   all extra benefit riders will terminate.


PART VIII - LOANS
GENERAL
We will  grant  loans.  The amount of all loans will not be more than the Loan
Value.  The Loan Value is 90% of the sum of the Separate Account Value and the
Fixed Account Value.

The  amount  of the loan will be  transferred  out of the  Fixed  Account  and
Separate Account Values as described in the Certificate Values provision.  The
loan amount increases the Loan Account Value.

The Loan Account Value plus accrued interest will reduce any Proceeds.  If the
Loan Account Value exceeds the sum of the Separate Account Value and the Fixed
Account Value, the Grace Period provision will apply.

Loans and loan  repayments  will be  effected  as of the end of the  Valuation
Period in which We receive the Written  Request for the loan or the repayment,
respectively.

HARDSHIP/EDUCATION LOANS
Beginning in the 11th  Certificate  Year and on each  Certificate  Anniversary
thereafter,  that  portion  of the Loan  Value  attributable  to the  Separate
Account  Value may be available  for a hardship  and/or  education  loan.  The
interest  rate  charged on a  hardship  and/or  education  loan will equal the
interest  rate  credited to the portion of the Loan Account Value equal to the
hardship and/or education loan.

LOAN INTEREST RATE CHARGED
Interest,  at an annual  effective  rate,  will be charged on the Loan Account
Value. The Loan Interest Rate is 8% per year on the Loan Account Value that is
not treated as a hardship and/or education loan The Loan Interest Rate charged
on a hardship and/or  education loan is 4%. Interest is due and payable on the
next  Certificate  Anniversary,  the  date a  Certificate  ends or  upon  full
repayment of the Loan Account Value.


70263-96
                                      14

<PAGE>

Any interest not paid when due will be added to the Loan Account  Value on the
Certificate Anniversary and will itself bear interest on the same terms.

REPAYMENT
A loan may be repaid in full or in part at any time prior to the Maturity Date
as long as the  coverage  is in force and the  Insured  is alive.  The  amount
necessary  to  repay  all  loans in full is the Loan  Account  Value  plus any
accrued  interest.  Any  payment  We  receive  will be  deemed to be a premium
payment unless You specifically designate it as a loan repayment.

Loan  repayments will be allocated to the Fixed Account Value and the Separate
Account  Value in the same  proportion  in which the loan was taken.  The Loan
Account Value will be reduced by the amount of any loan repayment.


PART IX - CHANGES IN INSURANCE COVERAGE

GENERAL
For any change in coverage We will require Your Written Request.  Supplemental
Certificate  Specifications and/or a notice confirming the change will be sent
to You once the change is completed.

Although We are under no  obligation to identify  transactions  that may cause
this  Certificate  to become a Modified  Endowment  Contract,  if We do so, We
reserve the right,  but are not obligated to,  refrain from  implementing  the
transaction pending advice from You.

INCREASE IN SPECIFIED AMOUNT
You may increase the Specified Amount at any time.

The Insured will be required to satisfy the Insurability Requirement.

The Issue Date for any increase will be shown in the Supplemental  Certificate
Specifications.

The Surrender Value immediately after an increase must be at least three times
the sum of:

o   the most recent Monthly Deduction from the Total Account Value; and

o   the Specified Amount of the increase  multiplied by the applicable Cost of
    Insurance Rate divided by 1000.

The 5-year period as described in the No Lapse Coverage provision will restart
for the increase on the Issue Date of the increase.

The  Basic  Monthly  Premium  after  the  increase  will be  based  on the new
Specified Amount.

DECREASE IN SPECIFIED AMOUNT
You may decrease the  Specified  Amount at any time after the 5th  Certificate
Year.  We will not allow a decrease in the  Specified  Amount if the Specified
Amount would be reduced below the Minimum Specified Amount.

For a decrease  in the  Specified  Amount,  the Issue Date will be the Monthly
Deduction Day on or next  following the date on which Your Written  Request is
received.

The decrease, including any decrease in connection with a Partial Surrender or
a change in Death  Benefit  Option,  will  reduce  any past  increases  in the
reverse order in which they occurred.


70263-96
                                      15

<PAGE>

The Basic  Monthly  Premium will after a decrease,  including  any decrease in
connection  with a  Partial  Surrender,  will be  based  on the new  Specified
Amount.

CHANGE IN DEATH BENEFIT OPTION
Any change in the Death Benefit option is subject to the following conditions:

o   We will not allow a change in the Death  Benefit  option if the  Specified
    Amount will be reduced below the Minimum Specified Amount.

o   The  change  will take  effect  on the  Monthly  Deduction  Day on or next
    following the date on which Your Written Request is received.

o   Evidence of insurability may be required.

CHANGE FROM OPTION 1 TO 2
Changes from Option 1 to 2 will be allowed at any time.  The Specified  Amount
will be reduced to equal the Specified  Amount less the Total Account Value at
the time of the change.

The Basic  Monthly  Premiums  following  the  change  will be based on the new
Specified Amount.

CHANGE FROM OPTION 2 TO 1
Changes  from  Option 2 to 1 will be  allowed at any time.  The new  Specified
Amount will equal the Specified  Amount plus the Total Account Value as of the
date of the change.

The Basic  Monthly  Premiums  following  the  change  will be based on the new
Specified Amount.

CHANGE OF FUND(S)
If shares of any Fund are no longer  available for  investment by the Separate
Account or, in Our judgment,  further  investment in such shares should become
inadvisable or inappropriate in view of the purpose of the Certificate, We may
cease to make such Fund shares available under the Certificate  prospectively,
or we may substitute shares of other Fund(s) for shares already  acquired.  We
may  also,  from  time  to  time,  add  additional   Funds.  Any  elimination,
substitution  or addition of Funds will be done in accordance  with applicable
state or federal securities laws. We reserve the right to substitute shares of
another Fund for shares already acquired without a proxy vote.

The  investment  policy of a Separate  Account may not be changed  without the
approval of the Insurance  Commissioner  of the State of  Connecticut  and the
approval of the  Superintendent of the State of New York. The approval process
has been filed with the Commissioner.

We will notify You of any change.

SEPARATE ACCOUNT
Variable Life Account B is a Separate Account  established by Us in accordance
with the laws of the State of Connecticut  and the State of New York.  Income,
realized  and  unrealized  gains and losses from the assets of  Variable  Life
Account B will be  credited  to or charged  against  Variable  Life  Account B
without regard to Our other income,  gains,  or losses.  Variable Life Account
B's  liabilities  arise from the  variable  life  insurance  policies  that it
supports.  The assets of Variable  Life  Account B are  available to cover the
liabilities  of the  General  Account  only to the extent that  Variable  Life
Account B's assets exceed its liabilities.

The value of the assets of Variable Life Account B is determined  whenever the
Certificate's benefits vary and at the end of every Valuation Period.


70263-96
                                      16

<PAGE>

PART X - SETTLEMENT OPTIONS

CONDITIONS

All or part of the Proceeds of this  Certificate  may be applied  under one or
more of the options  described  below.  An  election  shall be made by Written
Request  filed  with the Home  Office.  The  Payee of  Proceeds  may make this
election if no prior election has been made. Our consent to the election of an
option is required if:

    o   the Payee is not a natural person receiving payments in his or her own
        right; or

    o   the Payee is an assignee of this Certificate.

When any option is chosen, the Payee must designate whether the annuity will be:
     (a) a fixed annuity

     (b) a variable annuity, or

     (c) a combination of (a) and (b).

If a fixed annuity is chosen,  the annuity purchase rate for the option chosen
will reflect at least the minimum guaranteed interest rate of 3.0%.

Where a variable annuity is chosen, the Payee must elect an assumed annual net
return rate of 3.5% or 5.0%. If not elected, We will use an assumed annual net
return rate of 3.5%.  The assumed  annual net return rate is the interest rate
used to determine  the amount of the first  annuity  payment  under a variable
annuity.

If a variable annuity is chosen,  the Payee must allocate the amount among the
allowable  Funds.  We reserve the right to allow no more than four funds to be
selected at any one time.

FUND ANNUITY UNITS:
The  number  of  Fund(s)  annuity  units is based on the  amount  of the first
variable annuity payment which is equal to:

     (a) the portion of the proceeds  (minus any premium tax) applied to pay a
         variable annuity; divided by

     (b) 1,000; multiplied by

     (c) the payment rate for the option chosen.

Such  amount,  or  portion,  of the  variable  payment  will be divided by the
appropriate  Fund(s) annuity unit value on the tenth Valuation Date before the
due date of the first  payment to  determine  the number of each Fund  annuity
units.  The number of each Fund  annuity  units  remains  fixed.  Each  future
payment is equal to the sum of the  products of each Fund  annuity  unit value
multiplied by the appropriate  number of units. The Fund annuity unit value on
the tenth Valuation Date prior to the due date of the payment is used.

FUND ANNUITY UNIT VALUE:
For any Valuation Date, a Fund(s) annuity unit value is equal to:

     (a) the value for the previous Valuation Date; multiplied by

     (b) the annuity net return factor(s) for the period; multiplied by

     (c) a factor to reflect the assumed annual net return rate.

The daily net return rate factor for an assumed annual net return rate of 3.5%
per year is 0.9999058.  The daily net return rate factor for an assumed annual
net return rate of 5.0% is 0.9998663.


70263-96
                                      17

<PAGE>

The dollar value of a Fund annuity unit values and annuity  payments may go up
or down due to investment  gain or loss.  Payments shall not be changed due to
changes in the mortality or expense results or administrative charges.

FUND ANNUITY NET RETURN FACTOR:  The Annuity net return  factor(s) are used to
compute all Separate Account Annuity payments for any Fund.

The Annuity net return  factor(s) for each Fund is equal to 1.0000000 plus the
net return rate. The net return rate is equal to:

     (a) the value of the shares of the Fund held by the  Separate  Account at
         the end of a Valuation Period, minus

     (b) the value of the shares of the Fund held by the  Separate  Account at
         the start of the Valuation Period, plus or minus

     (c) taxes (or  reserves  for  taxes) on the  Separate  Account  (if any);
         divided by

     (d) the total value of the Fund(s) record units and Fund(s) annuity units
         of the Separate Account at the start of the Valuation Period; minus

     (e) a daily charge for annuity  mortality  and expense  risks,  which may
         include profit, of 1.25%.

A Net  Return  Rate may be more or less  than 0%.  The value of a share of the
Fund is equal to the net  assets of the Fund  divided  by the number of shares
outstanding.

FUND TRANSFERS DURING THE ANNUITY PERIOD:
At the request of the Payee,  all or any portion of amount allocated to a Fund
may be  transferred  from any Fund to any other  allowable  Fund.  During  the
annuity period,  the maximum number of allowable  transfers in a calendar year
is four. We reserve the right to change the number of allowable transfers.

Transfer  requests must be expressed as a percentage of the  allocation  among
the Funds of the amount upon which the variable  annuity will be based. We may
establish a minimum  transfer  amount.  Transfers  will be processed as of the
Valuation  Date next  following  when a transfer  request is  received in good
order at Our Home Office.

70263-96
                                      18

<PAGE>

ANNUITY OPTIONS:
OPTION 1 -- PAYMENTS  FOR A STATED  PERIOD OF TIME -- An annuity  will be paid
for 5 to 30 years.  If  payments  for this  option  are made  under a variable
annuity,  the present  value of all or a portion of any  remaining  guaranteed
payments may be withdrawn at any time. If a withdrawal  is requested  within 5
years after the start of payments, it will be treated as a surrender.

<TABLE>
                                   OPTION 1
                     PAYMENTS FOR A STATED PERIOD OF TIME
                   AMOUNT OF MONTHLY PAYMENT FOR EACH $1,000
                AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
        Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%

<CAPTION>
 ---------------------------------------------------------------------
                  Monthly                                     Monthly
  YEARS           Payment               Years                 Payment
 =====================================================================
<S>                <C>                   <C>                   <C> 
   5               17.91                 18                    5.96
   6               15.14                 19                    5.73
   7               13.16                 20                    5.51
   8               11.68                 21                    5.32
   9               10.53                 22                    5.15
  10                9.61                 23                    4.99
  11                8.86                 24                    4.84
  12                8.24                 25                    4.71
  13                7.71                 26                    4.59
  14                7.26                 27                    4.47
  15                6.87                 28                    4.37
  16                6.53                 29                    4.27
  17                6.23                 30                    4.18
 ---------------------------------------------------------------------
</TABLE>


70263-96
                                      19

<PAGE>

<TABLE>
                                   OPTION 1
                     PAYMENTS FOR A STATED PERIOD OF TIME
                AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000
                AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
       Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

<CAPTION>
 ---------------------------------------------------------------------
                  Monthly                                     Monthly
  YEARS           Payment               Years                 Payment
 =====================================================================
<S>                <C>                   <C>                   <C> 
  5                18.12                 18                    6.20
  6                15.35                 19                    5.97
  7                13.38                 20                    5.75
  8                11.90                 21                    5.56
  9                10.75                 22                    5.39
 10                 9.83                 23                    5.24
 11                 9.09                 24                    5.09
 12                 8.46                 25                    4.96
 13                 7.94                 26                    4.84
 14                 7.49                 27                    4.73
 15                 7.10                 28                    4.63
 16                 6.76                 29                    4.53
 17                 6.47                 30                    4.45
 ---------------------------------------------------------------------
</TABLE>

<TABLE>
       Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

<CAPTION>
 ---------------------------------------------------------------------
                  Monthly                                     Monthly
  YEARS           Payment               Years                 Payment
 =====================================================================
<S>                <C>                   <C>                   <C> 
  5                18.74                 18                    6.94
  6                15.99                 19                    6.71
  7                14.02                 20                    6.51
  8                12.56                 21                    6.33
  9                11.42                 22                    6.17
 10                10.51                 23                    6.02
 11                 9.77                 24                    5.88
 12                 9.16                 25                    5.76
 13                 8.64                 26                    5.65
 14                 8.20                 27                    5.54
 15                 7.82                 28                    5.45
 16                 7.49                 29                    5.36
 17                 7.20                 30                    5.28
 ---------------------------------------------------------------------
</TABLE>

OPTION 2 -- LIFE INCOME BASED ON THE LIFE OF THE ANNUITANT--  Payments will be
made until the death of the  Annuitant.  When this option is chosen,  a choice
from the following must be made:

     (a)  payments cease at the death of the Annuitant;

     (b)  payments may be guaranteed for 5-30 years; or


70263-96
                                      20

<PAGE>

     (c) cash refund:  If the Annuitant dies, the  Beneficiary  will receive a
         lump sum payment  equal to the amount  applied to the annuity  option
         (less any premium tax) allocated to the fixed annuity option less the
         total amount of fixed annuity payments paid prior to such death. This
         cash refund  feature is only available if the total amount applied to
         the annuity option is allocated to this feature.

<TABLE>
                                   OPTION 2
                                  LIFE INCOME
                   AMOUNT OF MONTHLY PAYMENT FOR EACH $1,000
                AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
        Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
               PAYMENTS GUARANTEED FOR A STATED PERIOD OF YEARS
<CAPTION>

 --------------------------------------------------------------------------------------------------
    Adjusted
     Age of          None            5            10             15            20           Cash
    Annuitant                                                                              Refund
 ==================================================================================================

<S>                 <C>           <C>           <C>            <C>           <C>           <C>   
       50           $ 4.05        $ 4.05        $ 4.03         $ 3.99        $ 3.93        $ 3.89
       51             4.12          4.11          4.09           4.05          3.99          3.94
       52             4.19          4.19          4.16           4.11          4.04          4.00
       53             4.27          4.26          4.23           4.18          4.10          4.06
       54             4.35          4.34          4.31           4.25          4.16          4.12

       55             4.44          4.42          4.39           4.32          4.22          4.19
       56             4.53          4.51          4.47           4.40          4.29          4.26
       57             4.62          4.61          4.56           4.48          4.35          4.33
       58             4.72          4.71          4.65           4.56          4.42          4.41
       59             4.83          4.81          4.75           4.64          4.49          4.49

       60             4.95          4.93          4.86           4.73          4.55          4.57
       61             5.07          5.05          4.97           4.83          4.62          4.66
       62             5.20          5.17          5.08           4.92          4.69          4.76
       63             5.34          5.31          5.20           5.02          4.76          4.85
       64             5.49          5.45          5.33           5.12          4.83          4.96

       65             5.65          5.61          5.47           5.22          4.89          5.06
       66             5.82          5.77          5.61           5.33          4.96          5.18
       67             6.01          5.94          5.75           5.44          5.02          5.30
       68             6.20          6.13          5.91           5.54          5.08          5.42
       69             6.41          6.33          6.07           5.65          5.14          5.56

       70             6.64          6.54          6.23           5.76          5.19          5.70
       71             6.88          6.76          6.41           5.86          5.24          5.84
       72             7.14          7.00          6.59           5.97          5.28          6.00
       73             7.43          7.26          6.77           6.06          5.32          6.16
       74             7.73          7.53          6.96           6.16          5.35          6.33

       75             8.06          7.82          7.14           6.25          5.38          6.51
 --------------------------------------------------------------------------------------------------
</TABLE>

 RATES ARE BASED ON MORTALITY FROM 1983 TABLE A. THE RATES DO NOT DIFFER BY SEX.
   RATES FOR AGES NOT SHOWN WILL BE PROVIDED ON REQUEST AND WILL BE COMPUTED
           ON A BASIS CONSISTENT WITH THE RATES IN THE ABOVE TABLES.


70263-96
                                      21

<PAGE>

<TABLE>
                                   OPTION 2
                                  LIFE INCOME
                AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000
                AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
       Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%
               PAYMENTS GUARANTEED FOR A STATED PERIOD OF YEARS

<CAPTION>
 -----------------------------------------------------------------------------------
    Adjusted
     Age of          None            5            10             15            20
    Annuitant
 ===================================================================================

<S>                 <C>           <C>           <C>            <C>           <C>
       50           $ 4.34        $ 4.34        $ 4.31         $ 4.27        $ 4.22
       51             4.41          4.40          4.38           4.33          4.27
       52             4.48          4.47          4.45           4.40          4.32
       53             4.56          4.55          4.52           4.46          4.38
       54             4.64          4.63          4.59           4.53          4.44

       55             4.72          4.71          4.67           4.60          4.50
       56             4.81          4.80          4.75           4.67          4.56
       57             4.91          4.89          4.84           4.75          4.62
       58             5.01          4.99          4.93           4.83          4.69
       59             5.12          5.10          5.03           4.92          4.75

       60             5.23          5.21          5.13           5.00          4.82
       61             5.36          5.33          5.24           5.09          4.88
       62             5.49          5.45          5.35           5.19          4.95
       63             5.63          5.59          5.47           5.28          5.02
       64             5.78          5.73          5.60           5.38          5.08

       65             5.94          5.89          5.73           5.48          5.15
       66             6.11          6.05          5.87           5.58          5.21
       67             6.29          6.22          6.02           5.69          5.27
       68             6.49          6.41          6.17           5.79          5.33
       69             6.70          6.60          6.33           5.90          5.38

       70             6.92          6.81          6.49           6.00          5.43
       71             7.17          7.04          6.66           6.10          5.48
       72             7.43          7.27          6.84           6.20          5.52
       73             7.71          7.53          7.02           6.30          5.55
       74             8.02          7.80          7.20           6.39          5.59

       75             8.35          8.08          7.38           6.48          5.62
 -----------------------------------------------------------------------------------
</TABLE>

RATES ARE BASED ON MORTALITY FROM 1983 TABLE A. THE RATES DO NOT DIFFER BY SEX.
   RATES FOR AGES NOT SHOWN WILL BE PROVIDED ON REQUEST AND WILL BE COMPUTED
           ON A BASIS CONSISTENT WITH THE RATES IN THE ABOVE TABLES.


70263-96
                                      22

<PAGE>


<TABLE>
                                   OPTION 2
                                  LIFE INCOME
                AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000
                AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
       Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%
               PAYMENTS GUARANTEED FOR A STATED PERIOD OF YEARS

<CAPTION>
 -----------------------------------------------------------------------------------
    Adjusted
     Age of          None            5            10             15            20
    Annuitant
 ===================================================================================

<S>                 <C>           <C>           <C>            <C>           <C>
       50           $ 5.26        $ 5.25        $ 5.22         $ 5.17        $ 5.11
       51             5.33          5.32          5.28           5.23          5.15
       52             5.40          5.38          5.34           5.29          5.20
       53             5.47          5.45          5.41           5.35          5.26
       54             5.54          5.53          5.48           5.41          5.31

       55             5.63          5.61          5.56           5.47          5.36
       56             5.71          5.69          5.63           5.54          5.42
       57             5.80          5.78          5.72           5.61          5.47
       58             5.90          5.88          5.81           5.69          5.53
       59             6.01          5.98          5.90           5.77          5.59

       60             6.12          6.09          6.00           5.85          5.65
       61             6.24          6.21          6.10           5.93          5.71
       62             6.37          6.33          6.21           6.02          5.77
       63             6.51          6.46          6.33           6.11          5.83
       64             6.66          6.60          6.45           6.20          5.89

       65             6.82          6.75          6.57           6.30          5.95
       66             6.99          6.91          6.71           6.39          6.01
       67             7.17          7.08          6.85           6.49          6.06
       68             7.36          7.27          6.99           6.59          6.12
       69             7.57          7.46          7.15           6.69          6.17

       70             7.80          7.67          7.30           6.78          6.21
       71             8.05          7.89          7.47           6.88          6.25
       72             8.31          8.13          7.64           6.97          6.29
       73             8.59          8.38          7.81           7.06          6.33
       74             8.90          8.64          7.99           7.15          6.36

       75             9.23          8.93          8.16           7.23          6.38
 -----------------------------------------------------------------------------------
</TABLE>

RATES ARE BASED ON MORTALITY FROM 1983 TABLE A. THE RATES DO NOT DIFFER BY SEX.
   RATES FOR AGES NOT SHOWN WILL BE PROVIDED ON REQUEST AND WILL BE COMPUTED
           ON A BASIS CONSISTENT WITH THE RATES IN THE ABOVE TABLES.


70263-96
                                      23

<PAGE>

OPTION 3 -- LIFE INCOME  BASED UPON THE LIVES OF TWO  ANNUITANTS--  An annuity
will be paid  during  the  lives  of the  Annuitant  and a  second  Annuitant.
Payments will continue until both Annuitants have died.
When this option is chosen, a choice of the following must be made:

     (a)  100% of the payment to continue after the first death;

     (b)  66 2/3% of the payment to continue after the first death;

     (c)  50% of the payment to continue after the first death;

     (d)  100% of the  payment  to  continue  after  the  first  death  with a
          guarantee of 5-30 years:

     (e)  100% of the payment to continue at the death of the second annuitant
          and 50% of the payment to continue at the death of the Annuitant; or

     (f)  100% of the  payment to  continue  after the first death with a cash
          refund  feature.  If the  Annuitant  and joint  Annuitant  die,  the
          Beneficiary  will  receive a lump sum  payment  equal to the  amount
          applied to the annuity  option (less any premium tax) less the total
          amount of fixed annuity payments paid prior to such death. This cash
          refund  feature is only available if the total amount applied to the
          annuity option is allocated to this feature.

<TABLE>
                                   OPTION 3
                        LIFE INCOME FOR TWO ANNUITANTS
                   AMOUNT OF MONTHLY PAYMENT FOR EACH $1,000
                AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
        Rates for a Fixed Annuity with Guaranteed Interest Rate of 3.0%
<CAPTION>
 -----------------------------------------------------------------------------------------------------------------------------
        ADJUSTED AGES
 --------------------------------                                                Option 3d
   Annuitant          Second       Option 3a      Option 3b      Option 3c        10 Years         Option      Option 3f
                    Annuitant                                                    Guaranteed          3e
 =============================================================================================================================
<S>                    <C>          <C>             <C>            <C>             <C>              <C>           <C>   
     55                50           $ 3.69          $ 4.05         $ 4.27          $ 3.69           $ 4.03        $ 3.69
     55                55             3.88            4.25           4.47            3.87             4.14          3.87
     55                60             3.99            4.44           4.71            3.98             4.20          3.98

     60                55             3.99            4.44           4.71            3.98             4.42          3.98
     60                60             4.24            4.71           4.99            4.23             4.57          4.23
     60                65             4.38            4.97           5.32            4.38             4.65          4.38

     65                60             4.38            4.97           5.32            4.38             4.93          4.38
     65                65             4.72            5.33           5.70            4.71             5.14          4.72
     65                70             4.93            5.68           6.15            4.91             5.27          4.91

     70                65             4.93            5.68           6.15            4.91             5.66          4.91
     70                70             5.40            6.21           6.70            5.36             5.96          5.38
     70                75             5.69            6.68           7.32            5.62             6.13          5.66

     75                70             5.69            6.68           7.32            5.62             6.67          5.66
     75                75             6.37            7.45           8.15            6.23             7.12          6.33
     75                80             6.78            8.11           8.99            6.54             7.36          6.71
 -----------------------------------------------------------------------------------------------------------------------------
</TABLE>

RATES ARE BASED ON MORTALITY FROM 1983 TABLE A. THE RATES DO NOT DIFFER BY SEX.
   RATES FOR AGES NOT SHOWN WILL BE PROVIDED ON REQUEST AND WILL BE COMPUTED
           ON A BASIS CONSISTENT WITH THE RATES IN THE ABOVE TABLES.


70263-96
                                      24

<PAGE>

<TABLE>
                                   OPTION 3
                        LIFE INCOME FOR TWO ANNUITANTS
                AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000
                AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
       Rates for a Variable Annuity with Assumed Net Return Rate of 3.5%

<CAPTION>
 ----------------------------------------------------------------------------------------------------------
        ADJUSTED AGES
 --------------------------------                                                Option 3d
   Annuitant          Second       Option 3a      Option 3b      Option 3c        10 Years         Option  
                    Annuitant                                                    Guaranteed          3e
 ==========================================================================================================
<S>                    <C>          <C>             <C>            <C>             <C>              <C>

       55              50           $ 3.97          $ 4.35         $ 4.56          $ 3.97           $ 4.31
       55              55             4.16            4.54           4.76            4.15             4.42
       55              60             4.27            4.73           5.00            4.26             4.48

       60              55             4.27            4.73           5.00            4.26             4.70
       60              60             4.51            4.99           5.27            4.50             4.84
       60              65             4.66            5.25           5.61            4.65             4.93

       65              60             4.66            5.25           5.61            4.65             5.22
       65              65             4.99            5.61           5.99            4.98             5.42
       65              70             5.19            5.97           6.44            5.17             5.54

       70              65             5.19            5.97           6.44            5.17             5.93
       70              70             5.67            6.49           6.99            5.62             6.23
       70              75             5.95            6.96           7.61            5.87             6.40

       75              70             5.95            6.96           7.61            5.87             6.95
       75              75             6.64            7.73           8.43            6.48             7.40
       75              80             7.04            8.39           9.29            6.79             7.64
 ----------------------------------------------------------------------------------------------------------
</TABLE>

RATES ARE BASED ON MORTALITY FROM 1983 TABLE A. THE RATES DO NOT DIFFER BY SEX.
   RATES FOR AGES NOT SHOWN WILL BE PROVIDED ON REQUEST AND WILL BE COMPUTED
           ON A BASIS CONSISTENT WITH THE RATES IN THE ABOVE TABLES.


70263-96
                                      25

<PAGE>

<TABLE>
                                   OPTION 3
                        LIFE INCOME FOR TWO ANNUITANTS
                AMOUNT OF FIRST MONTHLY PAYMENT FOR EACH $1,000
                AFTER DEDUCTION OF ANY CHARGE FOR PREMIUM TAXES
       Rates for a Variable Annuity with Assumed Net Return Rate of 5.0%

<CAPTION>
 ----------------------------------------------------------------------------------------------------------
        ADJUSTED AGES
 --------------------------------                                                Option 3d
   Annuitant          Second       Option 3a      Option 3b      Option 3c        10 Years         Option  
                    Annuitant                                                    Guaranteed          3e
 ==========================================================================================================
<S>                    <C>          <C>             <C>            <C>             <C>              <C>

       55              50           $ 4.88          $ 5.26         $ 5.48          $ 4.88           $ 5.23
       55              55             5.04            5.44           5.66            5.04             5.32
       55              60             5.15            5.63           5.91            5.14             5.38

       60              55             5.15            5.63           5.91            5.14             5.59
       60              60             5.37            5.87           6.16            5.37             5.72
       60              65             5.52            6.14           6.51            5.51             5.80

       65              60             5.52            6.14           6.51            5.51             6.10
       65              65             5.83            6.49           6.87            5.82             6.29
       65              70             6.04            6.84           7.34            6.00             6.41

       70              65             6.04            6.84           7.34            6.00             6.81
       70              70             6.49            7.35           7.87            6.44             7.08
       70              75             6.77            7.84           8.51            6.68             7.25

       75              70             6.77            7.84           8.51            6.68             7.81
       75              75             7.45            8.60           9.33            7.27             8.25
       75              80             7.86            9.28          10.20            7.57             8.49
 ----------------------------------------------------------------------------------------------------------
</TABLE>

RATES ARE BASED ON MORTALITY FROM 1983 TABLE A. THE RATES DO NOT DIFFER BY SEX.
   RATES FOR AGES NOT SHOWN WILL BE PROVIDED ON REQUEST AND WILL BE COMPUTED
           ON A BASIS CONSISTENT WITH THE RATES IN THE ABOVE TABLES.


OPTION 4 - PAYMENT OF INTEREST ON PROCEEDS  LEFT WITH US.  Proceeds held under
this  option  may be left with Us after  the Death of the Payee  only with Our
consent. By Written Request, the Payee may later elect to:

o   receive all or a portion of the amount held under this option; or

o   apply all or a portion  of this  amount to Options  1,2 or 3 as  described
    above.

Other Options -- We may make other options available as allowed by the laws of
the state in which this Certificate is delivered.

OTHER TERMS OF ANNUITY OPTIONS:

    (a) Generally,  the first  annuity  payment  must be made as  required  by
        federal law.

    (b) Payments  will be made on a monthly  basis  unless the Payee  requests
        otherwise.

    (c) No choice of any annuity option may be made if the first payment would
        be less than $50 or if the total payments in a year would be less than
        $250 (unless otherwise required by state law).


70263-96
                                      26

<PAGE>

    (d) For purposes of calculating the guaranteed first payment of a variable
        annuity or the  payments  for a fixed  annuity,  the  Annuitant's  and
        second  Annuitant's  adjusted age will be used.  The  Annuitant's  and
        second  Annuitant's  adjusted age is his or her age as of the birthday
        closest  to the  annuity  commencement  date  reduced  by one year for
        annuity  commencement  dates occurring  during the period of time from
        July 1, 1992 through  December 31, 1999.  
            The Annuitant's and second  Annuitant's age will be reduced by two
            years for annuity  commencement  dates occurring during the period
            of time from  January  1, 2000  through  December  31,  2009.  The
            Annuitant's  and  second  Annuitant's  age will be  reduced by one
            additional year for annuity  commencement  dates occurring in each
            succeeding decade.

    (e) If a fixed annuity under Option 1, 2 or 3 is elected,  We will use the
        applicable  current  settlement  option rate if it will provide higher
        fixed annuity payments.

    (f) When annuity  payments start, the age of the Annuitant plus the number
        of years for which payments are guaranteed must not exceed 95.

DEATH BENEFIT:
Upon the death of the  Annuitant(s),  any remaining  guaranteed  payments will
continue  to the  beneficiary  unless the  beneficiary  elects to receive  the
present  value  of any  remaining  guaranteed  payments  in a lump  sum.  Such
payments will be paid at least as rapidly as under the method of  distribution
then in effect. If the beneficiary dies while receiving payments,  the present
value  of any  remaining  guaranteed  payments  will be paid in one sum to the
beneficiary's estate.

The interest rate used to determine the first annuity  payment will be used to
calculate  the present  value.  The present value will be determined as of the
Valuation  Period in which proof of death  acceptable  to Us and a request for
payment is received at Our Home Office.


70263-96
                                      27

<PAGE>

    FLEXIBLE PREMIUM GROUP VARIABLE UNIVERSAL LIFE INSURANCE CERTIFICATE

o   FLEXIBLE PREMIUMS PAYABLE UNTIL MATURITY DATE OR DEATH
o   PROCEEDS  PAYABLE UPON THE FIRST EVENT TO OCCUR -  SURRENDER,  MATURITY OR
    DEATH
o   NON-PARTICIPATING - NO DIVIDENDS PAYABLE

    THE AMOUNT OR DURATION OF THE DEATH  BENEFIT MAY BE FIXED OR VARIABLE  AND
    MAY INCREASE OR DECREASE. THE DEATH BENEFIT IS PAYABLE AS DESCRIBED IN THE
    DEATH BENEFIT OPTIONS AND PROCEEDS SECTIONS OF THIS CERTIFICATE.

    VALUES IN EACH FUND HELD IN A SEPARATE  ACCOUNT  MAY  INCREASE OR DECREASE
    DAILY.  SUCH VALUES ARE NOT GUARANTEED AS TO DOLLAR  AMOUNT.  REFER TO THE
    CERTIFICATE VALUES SECTION OF THIS CERTIFICATE FOR MORE INFORMATION.


70263-96
                                      28

<PAGE>


                                                                 EXHIBIT 10(i)


Application for an               INDIVIDUAL
                                 LIFE POLICY
                                 for the state of
                                 (NEW YORK)


                                 [Aetna Logo]


                                 Aetna Life Insurance and Annuity Company


<PAGE>

When completing the application     PLEASE:

                                    PRINT  LEGIBLY.  (If  possible,  use black
                                    ink.)  This  will   ensure   that   policy
                                    information   is  accurate   and  easy  to
                                    photocopy.

                                    If blood or urine is required, PLEASE SIGN
                                    THE  CONSENT  FORM.  (State  of  residence
                                    determines  appropriate consent form to be
                                    used.

                                    INCLUDE ANY SPECIAL  SUPPLEMENTS  that may
                                    be   required,   (e.g.   aviation   and/or
                                    avocation,   child  rider,  Variable  Life
                                    supplement.

                                    Ensure that automatic requirements (blood,
                                    exam, etc.) are completed.

                                    COMPLETE ENCLOSED  TRANSMITTAL  LETTER for
                                    applications  of $1,000,000 to $5,000,000,
                                    or if there is  special  information  that
                                    would    assist   the    underwriter    in
                                    underwriting    the   case.   CASES   OVER
                                    $5,000,000    PLEASE   SUBMIT   SUPPORTING
                                    DOCUMENTATIONS  SUCH AS AUDITED  FINANCIAL
                                    STATEMENTS, INCOME TAX RETURNS, ETC.

                                    Ask all questions of the proposed insured.
                                    DO NOT ASSUME ANYTHING.

                                    If you must change application information
                                    prior to  submission,  draw a line through
                                    it, enter the correct information and HAVE
                                    THE PROPOSED INSURED INITIAL THE CHANGE.

                                    SIGNATURES REQUIRED ON:  application,  ACP
                                    form  if  requested,   MIB  authorization,
                                    Policyowner/Taxpayer  form and TIA.  Agent
                                    must   also  sign  the   application   and
                                    transmittal letter.

                                    AGENT  SIGNATURE  MUST  INCLUDE  THE AGENT
                                    LICENSE  NUMBER  AND  NOT THE  AGENT  CODE
                                    NUMBER.

                                       2


<PAGE>

 [Aetna Logo]   LIFE INSURANCE APPLICATION
                Aetna Life Insurance and Annuity Co.
                151 Farmington Avenue
                Hartford, CT  06156-1961
 -----------------------------------------------------------------------------
 GENERAL        ANSWER ALL QUESTIONS IF:
 INFORMATION    [X] New Insurance  [ ] Increase Amount  $___________
                [ ] Policy No. __________
                ANSWER QUESTIONS 1, 8 (if applicable), 4, 20, 21 & Policyowner/
                Taxpayer Id. Number
                [ ] Term Conversion/Guaranteed Option   $___________
                Continue $___________ as term
                Other Policy Change _____________   ANSWER APPLICABLE QUESTIONS
                [ ] Policy Number to be changed/converted
 -----------------------------------------------------------------------------
 ST OF DEL      [ ] STATE OF DELIVERY     NY
 -----------------------------------------------------------------------------
 (PROPOSED)     1. Print Full Legal Name  (First, Middle, Last)
 INSURED            JOHN J. DOE
 -----------------------------------------------------------------------------
 INFORMATION    Residence Address (Number, Street) P. O. Box
                12 MAIN STREET
 -----------------------------------------------------------------------------
                City, State and Zip Code
                ALBANY, NY 12257
 -----------------------------------------------------------------------------
                Sex      Date of Birth (mm/dd/yy)   Place of Birth
                MALE     01/01/62                   AVON, CT

                MVR License # and License State
                0812345    NY
 -----------------------------------------------------------------------------
                2a. Occupation (Title & Give Exact Duties)
                TEACHER
 -----------------------------------------------------------------------------
                2b. Employer's Name and Address         2c. Annual Income
                CITY OF NEW YORK                            $75,000
 -----------------------------------------------------------------------------
                2d. Amount of life insurance presently in force:
                Aetna $0.00        ADB $0.00        Other Companies $0.00
                ADB   $0.00
                Are there current negotiations with other companies?[ ]Yes[ ]No
                If Yes, advise Company and results.
 -----------------------------------------------------------------------------
                3. Will life insurance or annuity in any Company be replaced or
                changed if insurance applied for is issued? [ ]Yes  [ ]No
                Explain
 -----------------------------------------------------------------------------
 POLICY         4. Basic Plan  GROUP VARIABLE UL       Face Amount $50,000
 INFORMATION    Death Benefit Option (if applicable) OPTION 1
                Dividend Option [ ]  Pay in Cash [ ]
                Reduce premium (not for salary deduction) [ ]   Other [ ]
                Specify _______________________
                Direct Billing Frequency   [ ] Annual     [ ] Semi-Annual
                                           [ ] Quarterly  [ ] Monthly (ACP/
                                                              List Bill) Plan
               List Supplemental Benefits/Riders & Amounts (e.g. WP, ADB, EPOR,
               ROPR)
               ___________________   ___________________   ___________________
               ___________________   ___________________   ___________________
               ___________________   ___________________   ___________________

                                       3

<PAGE>

 70059-96         * For CIR - Submit application supplement(1)
 -----------------------------------------------------------------------------
 (PROPOSED)       NON MEDICAL - QUESTIONS 5-19 SHOULD NOT BE COMPLETED FOR TERM
 INSURED          CONVERSIONS OR  EXERCISE OF GUARANTEED INSURABILITY  OPTION
 INFORMATION      5. HAVE YOU WITHIN 2 YEARS: (IF YES, EXPLAIN)
                     a. Flown as a pilot or crew member
                        or intend to do so? (If Yes,
                        furnish Aviation  supplement) . . . . . [ ]Yes   [X]No
                     b. Engaged in motor vehicle or
                        boat racing, rock or mountain
                        climbing, hang gliding or sky,
                        skin or scuba diving or intend
                        such activities? (If Yes, furnish
                        Avocation supplement) . . . . . . . . . [ ]Yes   [X]No
                     c. Had your license suspended or
                        revoked, had 3 or more moving
                        violations, or been charged
                        with driving under the influence
                        of alcohol or drugs?. . . . . . . . . . [ ]Yes   [X]No
                     d. Frequently traveled outside of
                        the United States or intend to do so? . [ ]Yes   [X]No
                  6. HAVE YOU EVER:
                     a. Had insurance refused, or offered
                        only with an extra premium? . . . . . . [ ]Yes   [X]No
                     b. Been arrested and convicted
                        for a felony offense? . . . . . . . . . [ ]Yes   [X]No
                  7. HAVE YOU IN THE LAST 5 YEARS:
                     (IF YES, EXPLAIN)
                     a. Used hallucinogenic or narcotic drugs
                        not prescribed by a doctor? . . . . . . [ ]Yes   [X]No
                     b. Used alcoholic beverages?
                        (Note type, quantity and frequency) . . [ ]Yes   [X]No
                     c. Had or been advised to have medical
                        treatment or counseling from a
                        commonly recognized practitioner or
                        organization for alcohol or drug use? . [ ]Yes   [X]No
 SMOKING          8. a. Have you smoked cigarettes within
                        the past 12 months? . . . . . . . . . . [ ]Yes   [X]No
                        If Yes, how much? . . . . . . . . . . . ______________
                     b. If No, have you used any other
                        tobacco products within the past
                        12 months (e.g. cigar, pipe,
                        smokeless tobacco)? . . . . . . . . . . [ ]Yes   [X]No
                        If Yes, have you smoked cigarettes
                        within the past 10 years? . . . . . . . [ ]Yes   [X]No
                     c. Have you used any nicotine
                        substitutes within the past 12 months
                        (e.g. patch, gum)?. . . . . . . . . . . [ ]Yes   [X]No
 HEIGHT &         9. a. What is your current height?. . . . . .       6'0"
 WEIGHT              b. What is your current weight?. . . . . .      200lbs
                     c. If under age 2, birth weight? . . . . . ______________
 HISTORY         10. Have you had a history of heart, lung or
                     liver disorder, stroke, diabetes or
                     cancer?. . . . . . . . . . . . . . . . . . [ ]Yes   [X]No
 -----------------------------------------------------------------------------
 ATTENDING       11. Name, address and phone number of personal physician, date,
 PHYSICIAN           reason last seen and results.
 INFORMATION         DR. JONES
                     10 SUMMER STREET, ALBANY, NY 12257 (666) 275-0121
                     ROUTINE PHYSICAL ON 9/30/96.
 -----------------------------------------------------------------------------
                 ADDITIONAL INFORMATION (GIVE DETAILS OF YES ANSWERS, DATES
                 AND RESULTS) FOR ADDITIONAL SPACE PLEASE USE ADDENDUM SHEET.
 QUES. #         ____________________________________________________________
                 ____________________________________________________________
                 ____________________________________________________________
                 ____________________________________________________________
 IF AN EXAM IS REQUIRED AND QUESTION 10 IS ANSWERED "YES" AN MD EXAM IS REQUIRED

                                       4

<PAGE>

 70059-96


                                       5

<PAGE>

  (PROPOSED)      PART II - QUESTIONS 12-19 REQUIRED EVEN FOR EXAMINED BUSINESS
  INSURED         12. HAVE YOU EVER IN THE LAST 10 YEARS HAD OR BEEN TREATED
  INFORMATION         FOR: (IF YES, EXPLAIN)
                      a. Mental or nervous disorder? . . . . . . . [ ]Yes [X]No
                      b. Disease of the nervous system or brain? . [ ]Yes [X]No
                      c. Fainting, seizures, paralysis or stroke?. [ ]Yes [X]No
                      d. Shortness of breath, persistent cough?. . [ ]Yes [X]No
                      e. Emphysema or other lung disease?. . . . . [ ]Yes [X]No
                      f. Chest pain, high blood pressure, heart
                         attack, heart murmur, disease of the
                         heart or blood vessels? . . . . . . . . . [ ]Yes [X]No
                      g. Hepatitis, cirrhosis, or other disease
                         of the liver or pancreas? . . . . . . . . [ ]Yes [X]No
                      h. Ulcer, colitis, chronic diarrhea, or
                         other disorder of the stomach or
                         intestines? . . . . . . . . . . . . . . . [ ]Yes [X]No
                      i. Sugar, albumin, blood or pus in urine?. . [ ]Yes [X]No
                      j. Disease of the kidneys, reproductive
                         organs or sexually transmitted disease
                         (other than AIDS)?. . . . . . . . . . . . [ ]Yes [X]No
                      k. Diabetes, thyroid or glandular disease? . [ ]Yes [X]No
                      l. Arthritis, disease or injury of the
                         muscles, bones or joints? . . . . . . . . [ ]Yes [X]No
                      m. Cancer, tumor, cyst, disease of skin or
                         lymph glands? . . . . . . . . . . . . . . [ ]Yes [X]No
                  13. HAVE YOU IN THE LAST 10 YEARS
                      (IF YES, EXPLAIN):
                      a. Been diagnosed or treated for immune
                         deficiency (other than AIDS), anemia
                         or other blood disorder by a member
                         of the medical profession?. . . . . . . . [ ]Yes [X]No
                      b. Had recurrent fever, fatigue or
                         unexplained weight loss?. . . . . . . . . [ ]Yes [X]No
                  14.  Have you in the last 10 years been
                       diagnosed or treated for AIDS/ARC or
                       had a positive HIV (AIDS virus)
                       antibody test?. . . . . . . . . . . . . . . [ ]Yes [X]No
                  15. OTHER THAN ABOVE, HAVE YOU WITHIN THE PAST
                      5 YEARS? (IF YES, EXPLAIN)
                      a. Had a checkup, consultation, illness,
                         injury, surgery or diagnostic test. . . . [ ]Yes [X]No
                      b. Been advised to have any diagnostic
                         test, hospitalization or surgery which
                         was not completed?. . . . . . . . . . . . [ ]Yes [X]No
                  16. a. Are you now under observation or
                         treatment?. . . . . . . . . . . . . . . . [ ]Yes [X]No
                      b. Do you need assistance, supervision or
                         use of medical appliances of any kind?. . [ ]Yes [X]No
                  17.  Have you within 90 days had or been
                       advised to have surgery or to be admitted
                       to a medical facility or within 2 years
                       been treated or diagnosed by a physician
                       for heart disease, stroke, immune disorder
                       (other than AIDS) or cancer?. . . . . . . . [ ]Yes [X]No
 FAMILY           18. a. Do you have a family history of
 HISTORY                 diabetes, heart disease or hereditary
                         disease? (If Yes, explain). . . . . . . . [ ]Yes [X]No

                      b. Father, age: 68    health status: HEALTHY
                         if deceased, cause: _____________________
                      c. Mother, age: 65    health status: HEALTHY
                         if deceased, cause: _____________________
 EXPLANATIONS     19. EXPLANATIONS: Include, nature and severity of condition,
                      frequency of attacks, treatments received, medication,
                      dates, name, address & phone number of medical attendants
                      and hospitals.
                      FOR ADDITIONAL SPACE PLEASE USE ADDENDUM SHEET.
 -----------------------------------------------------------------------------
 QUESTION #
 -----------------------------------------------------------------------------
 15A              ROUTINE PHYSICAL
                  ____________________________________________________________
                  ____________________________________________________________
                  ____________________________________________________________
 -----------------------------------------------------------------------------

 70059-96

                                       6

<PAGE>

                         BENEFICIARY/OWNER INFORMATION

 BENEFICIARY      20 A. PRIMARY (provide full name and relationship)
 INFORMATION            MARY J. DOE, WIFE
                  SOC. SEC. #  ###-##-####
 -----------------------------------------------------------------------------
                     B. SECONDARY (If any, provide full name and relationship)
 -----------------------------------------------------------------------------
                  Unless otherwise requested, if more than one beneficiary is
                  named,  payment  will  be  made  in  equal  shares.  If  no
                  beneficiary  survives the insured,  payment will be made to
                  the executors or administrators of the insured.
                     C. OTHER [ ] (e.g. Mode Settlement, Trustee under the Will,
                        Individual Creditor. If Creditor - who will receive any
                        balance.
                  SOC. SEC. #
 -----------------------------------------------------------------------------
                     D. FINAL (CHECK ONE)  [X]Estate of the Insured
                                           [ ]Executors or Administrators of the
                                              Survivor of the Beneficiary(ies)
 -----------------------------------------------------------------------------
 OWNER            POLICYOWNER: THE (PROPOSED) INSURED IS POLICYOWNER UNLESS
                  UNDER AGE 15 OR OTHERWISE REQUESTED.
                  21 A. PRIMARY (Provide full name, address, relationship and
                        Date of Birth, mm/dd/yy)

                     B. SECONDARY (If any, provide full name, address,
                        relationship and Date of Birth, mm/dd/yy)

                     C. OTHER [ ]
                     D. FINAL:(CHECK ONE)  [ ]Insured
                                           [ ]Insured at legal age in policy
                                              delivery state
                                           [X]Executors or Administrators of
                                              the Survivor of the Owner(s)

 70059-96

                                       7

<PAGE>

 -----------------------------------------------------------------------------

 22. ANY PAYMENT IS SUBJECT TO THE TERMS AND CONDITIONS OF THE TEMPORARY
     INSURANCE  AGREEMENT.  IF PAYMENT IS MADE, THE TEMPORARY INSURANCE
     AGREEMENT MUST BE PROVIDED AND EXPLAINED.

 23. IF AUTOMATIC PAYMENT FROM CHECKING ACCOUNT IS SELECTED:
     I (we)  authorize  Aetna Life  Insurance and Annuity  Company  (ALIAC) to
     debit my (our) checking account electronically,  by paper means or by any
     other commercially  accepted method, to cover premiums and other payments
     for my policy(ies).  I (we) also authorize my financial institution named
     on the voided check attached to charge my account for such  payments.  If
     my/our account number or financial  institution  change, I (we) authorize
     ALIAC to accept verbal  instructions from me regarding such changes,  and
     to change this authorization accordingly. This authorization is to remain
     in full force and effect  until ALIAC has received  written  notification
     from me (or either of us) of its termination  within a reasonable time to
     take action.

 [ ] ATTACH "VOID" CHECK         Date of draw (8th, 20th or 28th) ____________

 SIGNATURE OF PAYOR __________________________________________________________

 24. Any  person  who,  knowingly  presents  a false or  fraudulent  claim for
     payment of a loss or benefit or knowingly  presents false  information in
     an  application  for insurance is guilty of a crime and may be subject to
     fines and confinement in prison.

     The  answers  above are true and  complete to the best of  knowledge  and
     belief.

     I agree  that no  producer  may alter the terms of the  application,  the
     Temporary  Insurance  Agreement or the policy, nor can the producer waive
     any of Aetna's rights or requirements.

     I agree that  coverage  can take effect only if the  proposed  insured is
     alive, and all answers in this application material to the risk are still
     true and  complete  when the policy is  delivered  and the  entire  first
     premium is paid.

     I agree to advise  the  Company  or  producer  in writing of any known or
     suspected  changes  in the  health  of the  proposed  insured,  or of any
     changes to any  answers on this  application,  prior to  delivery of this
     policy.

 -----------------------------------------------------------------------------
 SIGNATURE OF (PROPOSED) INSURED (Required if age 10 or over)        Date

 JOHN J. DOE                                                         09/01/97
 -----------------------------------------------------------------------------
 (SIGNATURE OF PARENT IF JUVENILE UNDER AGE 10)                      Date

 -----------------------------------------------------------------------------
 SIGNATURE OF APPLICANT/POLICYOWNER, IF OTHER THAN PROPOSED INSURED  Date

 -----------------------------------------------------------------------------
 SIGNATURE OF ASSIGNEE, if applicable                                Date

 -----------------------------------------------------------------------------
 City                                          State                 Zip

 ALBANY                                         NY                   12257
 -----------------------------------------------------------------------------
 Signature of Agent  I M AGENT                 Agent License    #Date 09-01-97

 70059-96

                                       8

                                                                EXHIBIT 10(ii)


 [Aetna Graphic]                                       [Aetna Express Graphic]
 LIFE INSURANCE PRE-APP

                     Aetna Life Insurance and Annuity Co.
                     151 Farmington Avenue
                     Hartford, CT  06156-1961
 -----------------------------------------------------------------------------
 File No.               State of Delivery                 TIA Form if required
                                                          [ ]Yes  [ ]No
 -----------------------------------------------------------------------------
 Cash with App       Amount
 [ ]Yes [ ]No        $
 -----------------------------------------------------------------------------
 1.  PROPOSED INSURED
 Print Full Legal Name (First, Middle, Last)    Sex:      Date of Birth:   SSN:
                                                [ ]M [ ]F

 Residence Address, City, State and Zip Code              Place of Birth:
 -----------------------------------------------------------------------------
 2.  OCCUPATION INFORMATION
 Employer Name:                  Occupation:            Annual Income:
                                                        $
 -----------------------------------------------------------------------------
 3.  REPLACEMENT INFORMATION
 Will life insurance or annuity in any Company  be replaced or changed if
 insurance applied for is issued: [ ]Yes  [ ]No
 If Yes,  [ ]Internal   [ ]External   [ ]Internal 1035   [ ]External 1035
 -----------------------------------------------------------------------------
 4.  PLAN INFORMATION
     Basic Plan________________________     Face Amount $_____________________
     Death Benefit Option (if applicable)_____________________
             Modal Premium $_______________  Planned Premium $______________
     List Supplemental Benefits/Riders & Amounts (e.g. WP, ADB, EPOR, ROPR, for
     CIR submit app supplement)
     ______________________   _______________________   ______________________
     ______________________   _______________________   ______________________
     ______________________   _______________________   ______________________
 -----------------------------------------------------------------------------
 5.  BILLING INFORMATION
     [ ]Direct Bill         [ ]ACP (Bank Draft)  [ ]Annual     [ ]Semi-Annual
     [ ]Aetna Salary Budget [ ]List Bill         [ ]Quarterly  [ ]Monthly (ACP/
                                                                  List Bill)
                                                                  Plan
 -----------------------------------------------------------------------------
 6.  BENEFICIARY INFORMATION
 Primary - Name:            SSN:       Relationship:      Share/Proceed Amount

 Secondary (if any):        SSN:       Relationship:      Share/Proceed Amount

 Final Designation:
 [ ]Estate of the Insured
 [ ]Executors or Administrators of the Survivor of the Beneficiary (ies).
 -----------------------------------------------------------------------------
 7.  OWNER INFORMATION (IF OTHER THAN THE PROPOSED INSURED)
 Primary - Name/DOB:        SSN:       Relationship:      Share/Proceed Amount

 Secondary (if any):        SSN:       Relationship:      Share/Proceed Amount
 Final Designation:
 [ ]Insured  [ ]Insured at legal age in delivery state
 [ ]Executors or Administrators of the Survivor of the Owner(s).
 -----------------------------------------------------------------------------
 8.  PAYOR INFORMATION
 [ ]Same as Owner (Provide address information)   [ ]Other (if other complete)
 Name:                      Relationship                  SSN/TIN:

 Residence Address, City, State and Zip Code

 -----------------------------------------------------------------------------
 9.  TOBACCO & HEALTH INFORMATION
 In the past twelve (12) months have you used tobacco in any form?
 [ ]Y   [ ]N
 Have you in the last ten (10) years had or been treated for diabetes, cancer,
 heart disease, alcoholism, drug abuse or high blood pressure?
 [ ]Y   [ ]N
 -----------------------------------------------------------------------------
 70258-96                                                          Page 1 of 2

<PAGE>

 10.  CONTACT INFORMATION
 Contact me at:            Home Phone:               Business Phone:
 [ ]Home [ ]Work [ ]Both   (   )                     (   )
 Best Time to Call:        From/AM-PM   To/AM-PM     From/AM-PM    To/AM-PM

 -----------------------------------------------------------------------------
 11.  AGENT INFORMATION
 Is the proposed insurance for business purposes?             [ ]Y   [ ]N
 If Yes, are other principals commensurately insured?         [ ]Y   [ ]N
 Is application in Lieu of Group?                             [ ]Y   [ ]N
 If Proposed insured is under age 15, are parents/guardians
      and all siblings insured?                               [ ]Y   [ ]N
 If Yes, please provide amounts:  $___________________________________________
 Besides yourself will any other third party be compensated to influence the 
 applicant's decision to purchase this policy? [ ]Yes  [ ]No.
 If yes, provide the name of that third party ________________________________

 Agency  Code  Agent  Life Code Agent Name  (print)  Agent  Split  Information
 _____________  _________________  __________________  _______________________
 _____________  _________________  __________________  _______________________
 _____________  _________________  __________________  _______________________
 Agent          Address:          Phone          Number:          (          )
 -----------------------------------------------------------------------------
 ANY PERSON WHO KNOWINGLY  PRESENTS A FALSE OR FRAUDULENT CLAIM FOR PAYMENT OF
 A LOSS OR BENEFIT OR KNOWINGLY  PRESENTS FALSE  INFORMATION IN AN APPLICATION
 FOR  INSURANCE  IS  GUILTY  OF A  CRIME  AND  MAY BE  SUBJECT  TO  FINES  AND
 CONFINEMENT IN PRISON.
 The  answers  above are true and  complete  to the best of my  knowledge  and
 belief. I agree that coverage can take effect only if the proposed insured is
 alive,  all  answers in the Life  Application  material to the risk are still
 true and complete  when the policy is delivered  and the entire first premium
 is paid. I agree to advise the Company or producer in writing of any known or
 suspected  changes in the health of the proposed insured or of any changes to
 any answers on this Pre-App or the Life Application  prior to delivery of the
 policy.
 -----------------------------------------------------------------------------
 SIGNATURE OF (PROPOSED) INSURED                                        DATE

 -----------------------------------------------------------------------------
 SIGNATURE OF APPLICANT/POLICYOWNER, IF OTHER THAN PROPOSED INSURED     DATE

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 SIGNATURE OF AGENT                       AGENT LICENSE#                DATE

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 SIGNED AT (CITY, STATE)

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 AUTHORIZATION TO OBTAIN AND DISCLOSE INFORMATION
 On behalf of myself or any minor  children  proposed  for  insurance  in this
 application,   I  hereby   authorize:   any   licensed   physician,   medical
 practitioner,  hospital,  clinic or  medically  related  facility,  insurance
 company,  consumer  reporting agency,  and MIB, Inc. to release to Aetna Life
 Insurance and Annuity  Company for purposes of  determining  eligibility  for
 life  insurance  coverage or claim for benefits:  Any  information or records
 concerning the mental and physical history, condition and treatment,  general
 character, habits, reputation, mode of living, occupation,  income, financial
 status, aviation activities, and hazardous hobbies of any proposed insured. I
 understand that the  information  released under this  authorization  will be
 used for purposes of determining  eligibility for life coverage or claims for
 benefits  and I  authorize  Aetna to  redisclose  the  information  for those
 purposes to MIB, Inc, to any reinsurer and to other life insurance  companies
 with whom I have or may apply for  coverage  or to whom a claim for  benefits
 may be  submitted.  This  authorization  is  valid  until 2 years  after  the
 effective date of any policy issued in connection with this authorization, or
 for use in an investigation of a claim for benefits that is submitted on this
 policy within this two year period.  A photocopy of this  authorization is as
 valid as the original.

 I have received Aetna's  Underwriting  Notice,  which includes the MIB, Inc.,
 and  Fair  Credit  Reporting  Act  Notices.  I  understand  that  information
 pertaining  to me will not be disclosed  without my  authorization  except as
 described  under  "Disclosure of  Information to Others" in the  accompanying
 Underwriting Notice, or as otherwise permitted or required by law.

 -----------------------------------------------------------------------------
 SIGNATURE OF (PROPOSED) INSURED                          Date

 70258-96                                                          Page 2 of 2

<PAGE>

[GRAPHIC OMITTED]

                   AETNA LIFE INSURANCE AND ANNUITY COMPANY
                          HARTFORD, CONNECTICUT 06156
                         SUPPLEMENT TO APPLICATION FOR
           FLEXIBLE PREMIUM GROUP VARIABLE UNIVERSAL LIFE INSURANCE

 1.  Proposed Insured A:    JOHN                 J.                    DOE
                        ------------------------------------------------------
                           First              Middle                   Last
     Proposed Insured B:
                        ------------------------------------------------------
                           First              Middle                   Last

 2.  Initial Specified Amount: $ 50,000   3.  Death Benefit:
                                              [X]Option 1 (The policy value is
                                                 included in the Specified
                                                 Amount)
                                              [ ]Option 2 (The policy value is
                                                 in addition to the Specified
                                                 Amount)

 4.  Premiums:
     Billing Frequency: [ ] Direct Annual  [ ] Direct Semi-Annual
                        [ ] Direct Quarterly
                        [X] Payroll Deduction
                        [ ] Automatic Check Plan (ACP)
                        [ ] Add to Existing ACP No: ______________
                        [ ] Other:   _____________________________
                        [ ] Other:   _____________________________

    Premium to be billed:[X] Basic Modal Premium: $XXX.XX or
                         [ ] Planned Model Premium:  $__________
    Additional payment submitted with application:  $___________
<TABLE>
<CAPTION>
 5. Premium Payment Allocation (whole %)
<S>             <C>                                     <C>        <C>
 [  100%        General Fixed Account                              Janus Aspen Aggressive Growth Portfolio
    --------                                            --------
                Aetna Variable Fund                                Janus Aspen Worldwide Growth Portfolio
    --------                                            --------
                Aetna Income Shares                                Janus Aspen Balanced Portfolio
    --------                                            --------
                Aetna Variable Encore Fund                         Janus Aspen Short-Term Bond Portfolio
    --------                                            --------
                Aetna Investment Advisers Fund, Inc.               Aetna Ascent Variable Portfolio
    --------                                            --------
                TCI Growth                                         Aetna Crossroads Variable Portfolio
    --------                                            --------
                Scudder International Portfolio                    Aetna Legacy Variable Portfolio
    --------                                            --------
                Alger American Small Cap Portfolio                 Fidelity VIP Equity-Income Portfolio
    --------                                            --------
                Janus Aspen Growth Portfolio                       Fidelity VIP Contrafund Portfolio]
    --------                                            --------
</TABLE>
 6. Supplemental Benefits:
      Disability Benefit Rider: Insured A: [ ]Yes  Insured B: [ ] Yes
      Split Option Amendment Rider: Insured A: ____% Split,
                                    Insured B: ____% Split Total = 100%
      Four Year Term Rider: [ ]Yes   [ ]No
      Accelerated Benefit Rider: [ ]Yes   [ ]No
      Accidental Death Benefit Rider: [ ] Yes   [ ]No
      Others:  _______________________________________________
               _______________________________________________
               _______________________________________________

                                  SUITABILITY

 The rules of the National  Association of Securities  Dealers,  Inc.  require
 that the Sales  Representative  have  reasonable  grounds to believe that the
 sale is suitable for the OWNER, based on information provided by the OWNER as
 shown on this form and on information known by the Sales Representative.

 7. Owner Taxpayer Identification Number:     [ ]Individual   ###-##-####
    [ ]Partnership   [ ]Corporation   [ ]Trustee  
    [ ]Other [ ][ ]-[ ][ ][ ][ ][ ][ ][ ]

 8. Age(s) - Insured A: 35, Insured B:___ 
 9. Citizenship(s) - Insured A: US    Insured B:  __________

 70267-96

<PAGE>

 10. Marital Status - Insured A: M, Insured B:____
 11. Number of Dependents - Insured A: 0, Insured B:____
 12. Occupation - Insured A: TEACHER,  Insured B:_____________________________
 13. Employer's Name(s) & Address(es): CITY OF NEW YORK
 14. Investment Objectives (check all applicable objectives)
     [ ] Retirement Income
     [ ] Long-Term Growth
     [ ] Conservation of Principal
 15. Insurance Objectives (check all applicable objectives)
     [ ] Estate Creation
     [ ] Estate Conservation
 16. Is the Certificate in accord with your insurance objectives and
     anticipated financial need   [ ]Yes  [ ]No
 17. Total Income of Immediate Family
     [ ] $ 250,000+
     [X] $ 100,000 - $ 249,999
     [ ] $  50,000 - $  99,999
     [ ] $  35,000 - $  49,999
     [ ] $  25,000 - $  34,999
     [ ] $  20,000 - $  24,999
     [ ] $  15,000 - $  19,999
     [ ] $  10,000 - $  14,999
     [ ] Under $10,000

 18: Estimated Net Worth of Immediate Family
     [ ] $1,000,000+
     [ ] $  500,000 - $ 1,000,000
     [X] $  250,000 - $   500,000
     [ ] $  100,000 - $   250,000
     [ ] Under $100,000

 19. Is the Owner associated with an National Association of Securities Dealers,
     Inc. firm?  [ ]Yes   [X]No

 20. If Certificate is jointly, or business, owned, please provide the name(s)
     and  signature(s)  of the person(s)  authorized to exercise  rights under
     this Certificate:________________________________________________________

 I UNDERSTAND THAT:
     THE AMOUNT AND  DURATION OF THE DEATH  BENEFIT  MAY VARY UNDER  SPECIFIED
     CONDITIONS.

     POLICY  VALUES NOT IN THE FIXED  ACCOUNT  MAY  INCREASE  OR  DECREASE  IN
     ACCORDANCE WITH THE EXPERIENCE OF THE SEPARATE ACCOUNT.

     THE AMOUNT OF THE  MATURITY  BENEFIT IS NOT  GUARANTEED  BUT IS DEPENDENT
     UPON THE THEN SURRENDER VALUE.

     ILLUSTRATIONS OF BENEFITS, INCLUDING DEATH BENEFITS,  CERTIFICATE VALUES,
     AND SURRENDER VALUES ARE AVAILABLE UPON REQUEST.

I hereby acknowledge  receipt of Prospectus dated MAY, 1997 for all applicable
prospectus(es)  pertaining  to the  Separate  Account and all of the  variable
options under the Certificate.

                     Signed at    HARTFORD, CONNECTICUT      on    07/15/97
                              ------------------------------    --------------
                                     (City, State)                (Mo/Day/Yr)

                            by        JOHN J. DOE
                              ------------------------------
                                   Signature of Owner
                            by
                              ------------------------------
                                   Signature of Owner

                                      I. M. AGENT
                       ------------------------------------------
                         Signature of Registered Representative

 70267-96



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