FORTIS BENEFITS INSURANCE CO VARIABLE ACCOUNT C
S-6EL24/A, 1996-05-29
Previous: GOTTSCHALKS INC, DEF 14A, 1996-05-29
Next: SPORTSMANS GUIDE INC, 8-K, 1996-05-29



<PAGE>

   As filed with the Securities and Exchange Commission on May 29, 1996

                            Registration No. 33-65243
________________________________________________________________________________


                       SECURITIES AND EXCHANGE COMMISSION
                               Washington DC 20549
                       ___________________________________

                          Pre-Effective Amendment No. 2
                                       to
                                    FORM S-6
                             Registration Statement
                                      Under
                           THE SECURITIES ACT OF 1933
                       ___________________________________

                               VARIABLE ACCOUNT C
                      OF FORTIS BENEFITS INSURANCE COMPANY
                              (Exact name of trust)

                        FORTIS BENEFITS INSURANCE COMPANY
                    (formerly Western Life Insurance Company)
                               (Name of Depositor)

                              500 Bielenberg Drive
                            Woodbury, Minnesota 55125
          (Complete address of depositor's principal executive offices)
                     _______________________________________

                            RHONDA  J. SCHWARTZ, ESQ.
                                 P. O. Box 64284
                            St. Paul, Minnesota 55164
                (Name and complete address of agent for service)
                     _______________________________________

Securities Registered:  Interests in Variable Account C pursuant to variable
life insurance policies

             This filing is made pursuant to Rules 6c-3 and 6e-3(T)
                    under the Investment Company Act of 1940


<PAGE>

Registrant elects to be governed by Rule 6e-3(T)(b)(13)(i)(A) under the
Investment Company Act of 1940 with respect to the Policies described in the
Prospectus.


                       ___________________________________

An indefinite amount of the securities being offered has been registered
pursuant to a declaration under Rule 24f-2 under the Investment Company Act of
1940, set out in the Form S-6 Registration Statement contained in File No. 33-
03919.  The registrant filed its Rule 24f-2 notice for the year ended December
31, 1994 on February 27, 1995.

<PAGE>
 
<TABLE>
<S>                     <C>              <C>                   <C>
                        FORTIS BENEFITS INSURANCE COMPANY
WALL STREET             MAILING          STREET ADDRESS:       TELEPHONE: 1-(800) 800-2638
SURVIVOR SERIES         ADDRESS:         500 BIELENBERG DRIVE  EXTENSION 3028
(Flexible Premium       P.O. BOX 64284   WOODBURY
Survivorship            ST. PAUL         MINNESOTA 55125
Variable Life           MINNESOTA 55164
Insurance Policies)
</TABLE>
 
                        The   flexible   premium   survivorship   variable  life
                        insurance Policies offered by this Prospectus are issued
                        by Fortis Benefits Insurance Company and are designed to
                        provide (1) lifetime insurance  protection on the  joint
                        lives  of two insureds and (2) flexibility in connection
                        with  premium   payments   and  death   benefits.   This
                        flexibility  allows an owner of  a Policy to provide for
                        changing insurance needs with a single insurance policy.
                        The minimum Face Amount for a Policy is $100,000 and the
                        smallest initial annual premium is generally $2,000.
 
                        There are four face amount  bands. The face amount  band
                        of  the Policy affects the level of policy value bonuses
                        which may be paid, and the level of the policy  issuance
                        expense  charge. Policies with a  minimum face amount of
                        $5,000,000 are Band 4 Policies; Policies with a  minimum
                        face  amount of $1,000,000 are Band 3 Policies; Policies
                        with a  minimum  face  amount of  $500,000  are  Band  2
                        Policies; while Policies with a face amount of less than
                        $500,000 are Band 1 Policies.
 
                        The Policy provides for a death benefit payable upon the
                        death  of the second to die  of the two insured persons.
                        There is no benefit  payable on the  death of the  first
                        insured  to  die.  With  respect  to  the  Policy  Value
                        available for  investment  under a  Policy,  the  Policy
                        owner may elect to receive a rate of return based on one
                        or  more of the separate investment portfolios of Fortis
                        Series Fund, Inc. There is no guaranteed minimum  Policy
                        Value  with respect to these  portfolios, and the Policy
                        owner bears the entire  investment risk that this  value
                        (or   the   Surrender  Value)   may  decline   to  zero.
                        Alternatively, a Policy owner  may, with respect to  all
                        or  part  of the  Policy Value,  elect to  receive fixed
                        rates of return.
 
   
                        The Policy may be fully surrendered at any time for  its
                        Surrender Value. See "Surrender and Partial Withdrawal."
                        Generally  after the first Policy year, the Policy owner
                        may make a partial withdrawal of
PROSPECTUS DATED
                        Surrender Value once a year.  The Policy owner also  may
                        take out Policy loans and has considerable flexibility
May  , 1996
    
                        to  vary the  frequency and amount  of premium payments.
                        Payment  of   Planned   Periodic   Premiums   will   not
                        necessarily  keep a Policy from lapsing if the Surrender
                        Value is exhausted. However, the Policy is guaranteed to
                        stay in force  if certain Minimum  Premium payments  are
                        made.  The Policy owner can select a guarantee period of
                        10 years, 20 years or to the younger joint insured's Age
                        85. If the younger  joint insured is Age  65 or over  at
                        issue, the guarantee period is to the policy anniversary
                        following  the younger insured's Age  75 (or for 5 years
                        if age 71  or more  at issue). The  guarantee period  if
                        either  insured is  rated for  higher mortality  risk at
                        issue is 5 years.
 
                        This  prospectus  contains  detailed  information  about
                        these  and  other  Policy  features,  including  certain
                        restrictions   and   limitations   which   apply.   This
                        Prospectus  also discusses  the way in  which the return
                        earned by the Policy Value  can affect a Policy's  death
                        benefit and Surrender Value.
 
                        As  in the case of other life insurance policies, it may
                        not  be  advantageous   to  purchase  flexible   premium
                        survivorship  variable life  insurance as  a replacement
                        for, or  in addition  to, an  existing flexible  premium
                        variable or other life insurance policy.
 
                        THESE  POLICIES ARE NOT DEPOSITS  OR OBLIGATIONS OF, NOR
                        ARE THEY GUARANTEED OR ENDORSED BY, ANY BANK,
    [LOGO]
                        CREDIT   UNION,   BROKER-DEALER   OR   OTHER   FINANCIAL
                        INSTITUTION. THEY ARE NOT FEDERALLY INSURED BY THE
                        FEDERAL  RESERVE BOARD, OR ANY OTHER AGENCY; AND INVOLVE
                        INVESTMENT  RISKS,  INCLUDING   THE  POSSIBLE  LOSS   OF
                        PRINCIPAL.
 
   
                        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. THIS  PROSPECTUS IS  NOT VALID UNLESS
                        PRECEDED OR ACCOMPANIED  BY THE  CURRENT PROSPECTUS  FOR
                        FORTIS  SERIES  FUND,  INC.,  WHICH  CONTAINS ADDITIONAL
                        INFORMATION ABOUT  THAT  ENTITY.  INFORMATION  CONTAINED
                        HEREIN   IS  SUBJECT  TO   COMPLETION  OR  AMENDMENT.  A
                        REGISTRATION STATEMENT RELATING TO THESE SECURITIES  HAS
                        BEEN  FILED WITH THE SECURITIES AND EXCHANGE COMMISSION.
                        THESE SECURITIES MAY NOT BE  SOLD NOR MAY OFFERS TO  BUY
                        BE ACCEPTED PRIOR TO THE TIME THE REGISTRATOIN STATEMENT
                        BECOMES  EFFECTIVE. THIS PROSPECTUS SHALL NOT CONSTITUTE
                        AN OFFER TO SELL OR THE SOLICITATION OF AN OFFER TO  BUY
                        NOR  SHALL THERE BE ANY SALE  OF THESE SECURITIES IN ANY
                        STATE IN WHICH SUCH OFFER, SOLICITATION OR SALE WOULD BE
                        UNLAWFUL PRIOR  TO REGISTRATION  OR QUALIFICATION  UNDER
                        THE SECURITIES LAWS OF ANY SUCH STATE.
    
 
                        THIS  PROSPECTUS SHOULD BE READ  AND RETAINED FOR FUTURE
                        REFERENCE.
<PAGE>
TABLE OF CONTENTS
 
   
<TABLE>
<CAPTION>
                                                                           PAGE
<S>                                                                        <C>
Index of Defined Words and Phrases......................................      4
Summary.................................................................      5
    - Fortis Benefits/Fortis Financial Group Member.....................      5
    - Payment of Premiums...............................................      5
    - Guaranteed Death Benefit..........................................      5
    - Allocation of Premiums Among Various Alternatives.................      5
    - Policy Value; Premium Based Bonuses; Policy Value Bonuses.........      6
    - Surrenders........................................................      6
    - Charges...........................................................      7
    - Death Benefit.....................................................      7
    - Optional Insurance Benefits.......................................      8
    - Benefit at Maturity...............................................      8
    - Policy Loans......................................................      8
    - Settlement Options................................................      8
    - Taxes.............................................................      8
    - Right to Return a Policy..........................................      8
    - How to Exercise Your Rights Under a Policy........................      8
The Separate Account and Fortis Series Fund, Inc........................      9
    - The Separate Account..............................................      9
    - Financial and Performance Information.............................      9
    - Fortis Series Fund, Inc...........................................     10
Policy Benefits.........................................................     11
    - Death Benefit.....................................................     11
    - Death Benefit Options.............................................     11
    - Second-to-Die Rider...............................................     11
    - Accelerated Benefit Rider.........................................     11
    - Changes in Face Amount............................................     12
    - Change in Death Benefit Option....................................     13
    - Policy Split Option...............................................     13
    - Policy Value......................................................     14
    - Premium Based Bonuses and Policy Value Bonuses....................     14
    - Calculation of Separate Account Policy Value......................     16
    - Separate Account Net Investment Return............................     16
Payment and Allocation of Premiums......................................     16
    - Issuance of a Policy..............................................     16
    - Premiums..........................................................     17
    - Allocation of Premiums and Policy Value...........................     17
    - Guaranteed Death Benefit..........................................     18
    - Policy Lapse and Reinstatement....................................     19
Charges and Deductions..................................................     19
    - Premium Tax and Sales Charges; Policy Issuance Expense Charges....     19
    - Monthly Deduction from Policy Value...............................     21
    - Charge for Mortality and Expense Risks............................     22
    - Miscellaneous.....................................................     22
    - Guarantee of Certain Charges......................................     23
Loan Privileges.........................................................     23
    - Rate Charged on Policy Loans......................................     23
    - Credited Rate for Policy Loans....................................     23
    - Effect of a Policy Loan...........................................     23
    - Repayment of a Loan...............................................     23
Surrender and Partial Withdrawal........................................     24
Rights Reserved by Fortis Benefits......................................     24
    - Payment and Deferment.............................................     24
Distribution of the Policies............................................     25
Federal Tax Matters.....................................................     25
    - Tax Status of the Policy..........................................     25
    - Tax Status of Additional Insured Rider............................     26
    - Taxation of Policy Benefits.......................................     26
    - Taxation of Fortis Benefits.......................................     27
</TABLE>
    
<PAGE>
   
<TABLE>
<CAPTION>
                                                                           PAGE
<S>                                                                        <C>
Other Policy Provisions.................................................     27
Management..............................................................     29
Voting Privileges.......................................................     30
Reports.................................................................     30
State Regulation........................................................     30
Legal Matters...........................................................     30
Experts.................................................................     30
Ratings and Rankings....................................................     31
Financial Statements....................................................     31
Appendix A..............................................................    A-1
    - Optional Income Plans.............................................    A-1
    - Optional Insurance Benefits.......................................    A-1
Appendix B..............................................................    B-1
    - Illustrations of Death Benefits, Policy Values, Surrender Values
       and Accumulated Premium..........................................    B-1
Appendix C..............................................................    C-1
    - The General Account...............................................    C-1
    - General Description...............................................    C-1
    - General Account Policy Value......................................    C-1
    - Transfers, Surrenders and Policy Loans............................    C-1
Variable Universal Life Service Request Form
</TABLE>
    
 
THE  POLICIES  ARE  NOT  AVAILABLE  IN  ALL  STATES.  THIS  PROSPECTUS  DOES NOT
CONSTITUTE AN  OFFERING IN  ANY  JURISDICTION IN  WHICH  SUCH OFFERING  MAY  NOT
LAWFULLY  BE  MADE.  FORTIS  BENEFITS  DOES  NOT  AUTHORIZE  ANY  INFORMATION OR
REPRESENTATION REGARDING THE OFFERING DESCRIBED IN THIS PROSPECTUS WHICH IS  NOT
INCLUDED  IN THIS  PROSPECTUS OR ANY  SUPPLEMENT THERETO OR  IN ANY SUPPLEMENTAL
SALES MATERIAL AUTHORIZED BY FORTIS BENEFITS.
 
The purpose  of  the  Policies  is  to  provide  insurance  protection  for  the
beneficiary  named therein. No  claim is made  that the Policies  are in any way
similar or comparable to a systematic investment plan of a mutual fund.
<PAGE>
INDEX OF DEFINED WORDS AND PHRASES
 
Below are listed words  and phrases used in  this Prospectus, together with  the
page or pages of this Prospectus on which each is defined or explained.
 
   
<TABLE>
<CAPTION>
                                                                                                             PAGE
<S>                                                                                                        <C>
Adjusted Age.............................................................................................         21
Age......................................................................................................         28
Alternative Death Benefit................................................................................         11
Contingent Deferred Sales Charge.........................................................................         20
Date of Receipt..........................................................................................         27
Death Benefit Option A (Option "A")......................................................................         11
Death Benefit Option B (Option "B")......................................................................         11
Face Amount..............................................................................................         16
Fortis Benefits..........................................................................................          5
Fortis Series............................................................................................         10
General Account..........................................................................................        C-1
Grace Period.............................................................................................         19
Guaranteed Death Benefit.................................................................................          5
Home Office..............................................................................................          8
Maximum Bonus Premiums...................................................................................         14
Minimum Premium..........................................................................................         18
Monthly Deduction........................................................................................         21
Monthly Anniversary......................................................................................         16
Net Amount at Risk.......................................................................................         21
Net Cash Value...........................................................................................         19
NYSE.....................................................................................................         16
Planned Periodic Premium.................................................................................         17
Policy Anniversary.......................................................................................         16
Policy Band..............................................................................................         16
Policy Date..............................................................................................         16
Policy Value.............................................................................................         16
Policy Value Bonuses.....................................................................................         15
Portfolio................................................................................................         10
Premium Based Bonuses....................................................................................         14
Pro Rata Basis...........................................................................................         21
Separate Account.........................................................................................          9
Subaccount...............................................................................................         10
Surrender Charge.........................................................................................         20
Surrender Value..........................................................................................          6
Valuation Date...........................................................................................         16
Valuation Period.........................................................................................         16
1940 Act.................................................................................................          9
</TABLE>
    
 
                                       4
<PAGE>
SUMMARY
 
FORTIS BENEFITS/FORTIS FINANCIAL GROUP MEMBER
 
   
Fortis  Benefits  Insurance  Company  ("Fortis  Benefits"),  the  issuer  of the
Policies, was  founded  in  1910.  At  the end  of  1995,  Fortis  Benefits  had
approximately $86 billion of total life insurance in force. Fortis Benefits is a
Minnesota  Corporation  and  is qualified  to  sell life  insurance  and annuity
contracts in the District of Columbia and in all states except New York.  Fortis
Benefits  is an  indirectly wholly-owned  subsidiary of  Fortis, Inc.,  which is
itself indirectly owned 50% by  Fortis AMEV and 50%  by Fortis AG. Fortis,  Inc.
manages the United States operations for these two companies.
    
 
Fortis  Benefits is a  member of the  Fortis Financial Group,  a joint effort by
Fortis Benefits,  Fortis  Advisers,  Inc.,  Fortis  Investors,  Inc.,  and  Time
Insurance Company, offering financial products through the management, marketing
and servicing of mutual funds, annuities, and life insurance products.
 
   
Fortis  AMEV  is  a  diversified  financial  services  company  headquartered in
Utrecht, the Netherlands, where its  insurance operations began in 1847.  Fortis
AG  is  a  diversified  financial services  company  headquartered  in Brussels,
Belgium, where its insurance operations began in 1824. Fortis AMEV and Fortis AG
have merged their operating companies under the trade name of Fortis. The Fortis
group of companies is active in  insurance, banking and financial services,  and
real  estate development in the Netherlands, Belgium, the United States, Western
Europe, and the Pacific Rim. Fortis had approximately $140 billion in assets  as
of year-end 1995.
    
 
   
All of the guarantees and commitments under the Policies are general obligations
of Fortis Benefits, regardless of whether the Policy Value has been allocated to
the  Separate  Account  or to  the  General  Account. None  of  Fortis Benefits'
affiliated  companies  has  any  legal  obligation  to  back  Fortis   Benefits'
obligations under the Policies.
    
 
PAYMENT OF PREMIUMS
 
At  the time  of Policy issuance,  the Planned  Periodic Premium must  be, on an
annualized basis, at  least the  greater of (1)  $2,000, or  (2) twelve  monthly
Minimum  Premiums. The Planned Periodic Premiums are  assumed to be level in the
first Policy year. If the Planned Periodic Premium is paid monthly, the  initial
premium  must  at least  equal  two months'  Planned  Periodic Premiums.  If the
planned premium is on a different  frequency, the initial premium must at  least
equal all monthly Minimum Premiums to the next billing date. Thereafter, subject
to  the  limitations  described  under  "Payment  and  Allocation  of Premiums--
Premiums," premium payments  may be  made at  any time  and in  any amount.  All
Policies  will  specify  a Planned  Periodic  Premium,  but payment  of  this is
optional, except  to the  extent described  above with  respect to  the  initial
premium payment.
 
GUARANTEED DEATH BENEFIT
 
   
A  Policy is guaranteed to stay in force if, as of each Monthly Anniversary, (1)
the cumulative amount of  premiums paid to date,  less the cumulative amount  of
partial  withdrawals  taken  by  the  policy  owner,  less  the  amount  of  any
outstanding Policy loans,  at least  equals (2) the  cumulative monthly  Minimum
Premiums  for Policy months up  to and including that  beginning on that Monthly
Anniversary. For purposes of this calculation, premiums paid in any Policy year,
Minimum Premiums,  and  partial withdrawals  are  assumed to  accumulate  at  an
effective  annual rate of 4%. For this purpose premiums and Minimum Premiums for
any policy year are assumed to  commence accumulating interest at the  beginning
of the Policy year in which they are paid. Partial withdrawals are assumed to be
taken at the end of the policy year in which they are taken or at the end of the
current  monthly anniversary,  if earlier. The  Policy is guaranteed  to stay in
force if certain Minimum Premium payments are made. The Policy owner can  select
a  guarantee period of 10 years, 20 years  or to the younger joint insured's age
85. If the  younger joint  insured is  Age 65 or  over at  issue, the  guarantee
period  is to the policy anniversary following  the younger insured's Age 75 (or
for 5 years if Age 71 or more at issue). The guarantee period if either  insured
is rated for higher mortality risk at issue is 5 years. This guarantee period is
provided  by rider. The  guarantee period may  be shorter in  some states due to
state limitations. Subject to these conditions, there is in effect a "Guaranteed
Death Benefit" in the  amount of the Policy's  then-current Face Amount and  any
term  insurance riders.  The initial monthly  Minimum Premiums  are specified in
each Policy, and additional Minimum Premium  payments will be necessary to  keep
this  guarantee in effect if the Face Amount of the Policy or rider benefits are
increased. See  "Guaranteed  Death Benefit"  under  "Payment and  Allocation  of
Premiums-- Premiums."
    
 
If  the Guaranteed Death Benefit Rider is not  in effect, a Policy will lapse if
the Net  Cash Value  becomes  insufficient to  pay  the continuing  charges  and
deductions.   See  "Payment  and  Allocation  of  Premiums--  Policy  Lapse  and
Reinstatement" and "Charges and Deductions."  Premium payments in excess of  the
Planned Periodic Premium payments may therefore be necessary to keep a Policy in
force.
 
ALLOCATION OF PREMIUMS AMONG VARIOUS ALTERNATIVES
 
   
The  owner of a Policy may allocate premiums  paid under a Policy to one or more
of the  Subaccounts of  Variable Account  C, a  separate investment  account  of
Fortis Benefits (see "The Separate Account and Fortis Series Fund, Inc.") and/or
to  Fortis  Benefits'  General  Account.  The  assets  in  each  of  the current
Subaccounts are invested  in a  separate class (or  series) of  stock of  Fortis
Series  Fund, Inc. ("Fortis Series"), a "series" type of mutual fund. Each class
of stock represents a  separate investment Portfolio  within Fortis Series.  The
investment  Portfolios of  Fortis Series which  are currently  available are the
Aggressive Growth  Series,  the International  Stock  Series, the  Growth  Stock
Series,  the Global Growth Series, the Blue Chip Stock Series, the S&P 500 Index
Series, the Growth and Income Series,  the Value Stock Series, the Global  Asset
Allocation  Series,  the Asset  Allocation Series,  the  High Yield  Series, the
Global  Bond  Series,  the  Diversified  Income  Series,  the  U.S.   Government
Securities Series and the Money Market Series. Premiums allocated to the General
Account  are held  as part  of Fortis  Benefits' general  investment assets. See
Appendix C--"The General Account."
    
 
Each Portfolio has  a different investment  objective and is  managed by  Fortis
Advisers,  Inc. For providing investment  management services to the Portfolios,
Fortis Advisers, Inc. currently receives a fee from the Funds at an annual  rate
as  follows: for  Aggressive Growth  Series, .7%  of the  first $100  million of
average daily net assets and .6% thereafter;
 
                                       5
<PAGE>
   
for International Stock Series, .85% of  the first $100 million of such  assets,
and  .8% thereafter; for Global Growth Series,  .7% of the first $500 million of
average daily net assets,  and .6% thereafter; for  Growth Stock Series and  for
Growth  & Income  Series, .7%  of the  first $100  million of  average daily net
assets, and .6% thereafter;  for Blue Chip  Stock Series .9%  of the first  $100
million  of average  daily net  assets, and .85%  thereafter; for  S&P 500 Index
Series .4% of average daily net assets;  for Value Series .7% of the first  $100
million  of  average daily  net  assets, and  .6%  thereafter; for  Global Asset
Allocation Series,  .9% of  the first  $100  million of  such assets,  and  .85%
thereafter;  for Asset Allocation Series and High Yield Series, .5% of the first
$250 million of average daily net  assets, and .45% thereafter; for Global  Bond
Series,  .75% of the first $100 million of such assets, and .65% thereafter; for
Diversified Income Series and U.S. Government Securities Series .5% of the first
$50 million of average daily net  assets, and .45% thereafter; for Money  Market
Series,  .3% of  the first $500  million of  average daily net  assets, and .25%
thereafter. The Portfolios also bear most of their other expenses.
    
 
   
The International Stock Series,  the Blue Chip Stock  Series, the S&P 500  Index
Series,  the Global Asset Allocation Series and  the Global Bond Series has each
retained a sub-adviser  to provide investment  research, advice and  supervision
subject  to the  general control  of Fortis  Advisers, Inc.  Lazard Freres Asset
Management is the sub-adviser of the  International Stock Series; T. Rowe  Price
Associates,  Inc. is the sub-adviser of the  Blue Chip Stock Series; The Dreyfus
Corporation is the sub-adviser of the S&P 500 Index Series; Morgan Stanley Asset
Management Limited is the sub-adviser of the Global Asset Allocation Series; and
Warburg Investment  Management  International Ltd.  is  the sub-adviser  of  the
Global Bond Series.
    
 
From  its advisory fee, Fortis Advisers, Inc.  pays the sub-advisers a fee at an
annual rate as follows: For International  Stock Series, .45% of the first  $100
million of such Series' average daily net assets, and .375% thereafter; for Blue
Chip Stock Series .5% of the first $100 million of average daily net assets, and
 .45%  thereafter; for S&P 500 Index Series .17% of average daily net assets; for
Global Asset Allocation Series,  .5% of the first  $100 million of such  assets,
and  .4% thereafter;  and for  the Global  Bond Series,  .35% of  the first $100
million of such assets, and .225% thereafter.
 
For a full description of the  Portfolios, see the prospectus for Fortis  Series
which  accompanies this Prospectus  and the Statement  of Additional Information
referred to therein.
 
A Policy owner  may change allocations  of future premiums  at any time  without
charge  by submitting a  written request in form  acceptable to Fortis Benefits,
subject   to   certain   limitations.    See   "Payment   and   Allocation    of
Premium--Allocation   of   Premiums  and   Policy  Value."   Because  investment
performance of  a  Subaccount  (unlike  that of  the  General  Account)  is  not
guaranteed  by Fortis Benefits, allocation of premiums to a Subaccount increases
the amount of the  investment risk to  the Policy owner,  and allocation to  the
General  Account  decreases such  risk. However,  the  potential benefit  of the
General Account  is limited  to the  guaranteed return,  plus any  discretionary
return declared by Fortis Benefits.
 
TRANSFERS  OF  POLICY  VALUE. A  Policy  owner  may transfer  amounts  among the
Subaccounts at  any  time.  Transfers may  also  be  made at  any  time  from  a
Subaccount  to the  General Account.  The Policy  owner, under  Fortis Benefits'
current rules,  may transfer  up to  50% of  any unloaned  Policy Value  in  the
General  Account to one or more Subaccounts. This transfer may be made only once
during the Policy Year.
 
For additional  conditions  and  limitations  on  transfers,  see  "Payment  and
Allocation  of Premiums--Allocation of  Premiums and Policy  Value" and Appendix
C--"Transfers, Surrenders and Policy Loans."
 
POLICY VALUE; PREMIUM BASED BONUSES; POLICY VALUE BONUSES
 
POLICY VALUE. The "Policy Value"  is the amount "at  work" for the Policy  owner
earning  a return in the  Separate Account and/or in  the General Account at any
time. It is (1)  the cumulative amount  of premiums paid to  date, (2) less  any
withdrawals  and  less all  deductions  and charges  imposed  to date  under the
Policy, (3) plus the cumulative amount  of any Premium Based Bonuses and  Policy
Value  Bonuses,  (4) plus  the  cumulative net  amount  of positive  or negative
investment return earned to  date on amounts allocated  to the Separate  Account
under  the Policy, (5) plus the cumulative net amount of interest earned to date
on amounts held in the General Account under the Policy.
 
PREMIUM BASED BONUSES. In most  states a bonus will  be paid by Fortis  Benefits
starting at the end of the seventh Policy year based on the average premium paid
by  the Policy owner, the issue age of  the younger insured, and the policy year
in which the  bonus is  paid. See  "Policy Benefits--Premium  Based Bonuses  and
Policy Value Bonuses."
 
POLICY VALUE BONUSES. In most states Policy Value Bonuses will be paid by Fortis
Benefits  on each Monthly  Anniversary after the monthly  deduction is made. The
amount of the Policy Value Bonus is based on the Policy Value and certain  other
factors.  The Policy Value Bonuses in  effect partially offset the mortality and
expense risk charges.  See "Charges and  Deductions--Mortality and Expense  Risk
Charges."  After the 19th Policy year,  Fortis Benefits currently intends to add
 .35%  to  the  annual  rate  for  Policy  Value  Bonuses.  This  increase  would
substantially  offset any daily charge for  premium taxes and sales charges that
was then  being made.  See "Policy  Benefits--Premium Based  Bonuses and  Policy
Value Bonuses."
 
SURRENDERS
 
A Policy may be surrendered at any time for all of its Surrender Value, and part
of  the Surrender Value may be withdrawn up  to once a year, generally after the
first Policy year. See "Surrender  and Partial Withdrawal." The Surrender  Value
is  the  Policy Value,  less the  amount  of the  Surrender Charge  (referred to
below), less the amount of  any outstanding Policy loan  and plus the amount  of
any  policy loan  interest paid for  future periods (see  "Loan Privileges"). If
Death Benefit  Option A  is in  effect,  a partial  withdrawal will  reduce  the
Policy's Face Amount on a dollar-for-dollar basis.
 
CHARGES
 
In  addition to Fortis Series' expenses, the following charges are imposed under
the Policies:
 
                                       6
<PAGE>
PREMIUM TAX  CHARGE. The  current premium  tax  charge is  2.2% of  all  premium
payments.  Rather  than being  deducted from  premium  payments, this  charge is
currently assessed  through  periodic  deductions from  Policy  Value,  and  any
balance  of  the current  premium  tax charge  may be  deducted  as part  of the
Surrender Charge referred to below. Periodic deductions for the current  premium
tax  charge will not exceed $0.78 per  Policy each month, plus a daily deduction
at an annual rate of .1964% of the Policy's net assets in the Separate Account.
 
SALES CHARGES. The  maximum total sales  charge is 9%  of premiums paid.  Rather
than  being deducted from premiums, sales charges are currently assessed through
periodic deductions from Policy Value, and any balance of the sales charges  may
be deducted as a Contingent Deferred Sales Charge that would be included as part
of  the Surrender  Charge. The  periodic deductions  for sales  charges will not
exceed $3.22 per Policy each month plus  a daily deduction at an annual rate  of
 .8036% of the Policy's net assets in the Separate Account.
 
POLICY ISSUANCE EXPENSE CHARGES. A monthly Policy issuance expense charge at the
rates  set out below will  be deducted as part of  the Monthly Deduction for the
first ten years following issuance of the Policy and also for ten years after  a
Face Amount increase:
 
<TABLE>
<CAPTION>
           MONTHLY RATE PER $1,000 OF FACE
           AMOUNT AT ISSUE (OR FACE AMOUNT
                      INCREASE)
           -------------------------------
<S>        <C>
Band 1...             $     .10
Band 2...                   .08
Band 3...                   .05
Band 4...                   .03
</TABLE>
 
The  Band does not change in the event of a subsequent face amount decrease. For
purposes of calculating this charge, the Face Amount at the time of issuance  or
Face  Amount  increase is  used  to determine  the  Policy Band.  Upon  lapse or
surrender, any remaining uncollected charge is included as part of the surrender
charge.
 
SURRENDER CHARGE.  The  Surrender Charge  is  the  sum of  any  Policy  issuance
expense,  premium tax  and sales charges  not previously  deducted, as described
above. The Surrender Charge (a) is imposed only if the Policy is surrendered  in
full or lapses before the tenth Policy Anniversary and (b) is subject to certain
maximums  that decrease over time. See  "Charges and Deductions--Premium Tax and
Sales Charges."
 
ADDITIONAL CHARGES AS  A RESULT OF  FACE AMOUNT INCREASES.  If the Policy  owner
requests  a  Face Amount  increase,  the Policy  will  be subject  to additional
premium tax and sales charges and a charge for issuing the Face Amount increase.
These will be  imposed at the  same rates and  in the same  manner as  described
above  for  the similar  charges  in connection  with  the original  Policy. See
"Charges and Deductions--Premium  Tax and  Sales Charges"  and "Policy  Issuance
Expense Charges."
 
MONTHLY DEDUCTION. The Policy Value will be reduced by a Monthly Deduction equal
to  the sum of  (1) the monthly  deduction referred to  above under "Premium Tax
Charge" and  "Sales  Charges,"  (2)  the charge  for  Policy  issuance  expenses
discussed  above, (3) a monthly cost  of insurance charge, (4) an administrative
expense charge,  currently $6.00  per month,  and (5)  the monthly  cost of  any
optional insurance benefits added by rider. Fortis Benefits expects to derive no
profit from the charges set forth in (1), (2) and (4) above.
 
RISK  CHARGE. A daily charge at an annual rate of 1.00% of the average daily net
assets attributable to Policies  in each Subaccount of  the Separate Account  is
imposed  to compensate Fortis  Benefits for its  assumption of certain mortality
and expense risks. See "Charges and Deductions--Charge for Mortality and Expense
Risks."
 
Subject to certain limitations,  the charge for cost  of insurance, the  monthly
administrative  expense charge, the  premium tax charge,  the charge for certain
optional insurance riders, and the amount  of Minimum Premiums may be  increased
in  the future.  Fortis Benefits  also reserves the  right to  raise the current
premium tax charge assessed  through periodic deductions to  3.0% and to  impose
charges  for  other  taxes that  may  be  payable and  are  attributable  to the
policies. Although it has  no current plans to  do so, Fortis Benefits  reserves
the  right to deduct up to 5% as a sales  charge and up to 2.5% as a premium tax
charge directly  from premiums.  If Fortis  Benefits does  deduct these  charges
directly  from premiums, the  premium tax and  sales charges recoverable through
periodic deductions will be  reduced by at least  a corresponding amount. As  to
charges  that may be imposed or increased  in the future, see generally "Charges
and Deductions."
 
DEATH BENEFIT
 
The Policy provides for the payment of a benefit upon the death of the Surviving
Insured pursuant to one  of two options,  as selected in  advance by the  Policy
owner. Under Death Benefit Option A, the death benefit is the Face Amount of the
Policy.  Under Death Benefit Option  B, the death benefit  is the Face Amount of
the Policy plus the Policy Value on the date of death. If greater than the death
benefit otherwise  payable under  Option A  or Option  B, an  Alternative  Death
Benefit  equal to a  multiple (determined by  the Age of  the younger insured at
death) of the Policy Value will  be paid. See "Policy Benefits--Death  Benefit."
The  death benefit payable will in any case be reduced by any outstanding Policy
loan and any due and unpaid charges accrued during the Grace Period.
 
Subject to certain limitations and conditions, the Policy owner may (1) increase
or, after the third Policy year, decrease  the Face Amount of the Policy or  (2)
after the third Policy year change the death benefit, once a year, from Option A
to  Option B  or from Option  B to  Option A. See  "Changes in  Face Amount" and
"Change in Death Benefit  Option" under "Policy Benefits."  Any increase in  the
Face  Amount  or change  in death  benefit from  Option A  to Option  B requires
additional evidence of insurability satisfactory to Fortis Benefits. An increase
in Face Amount requested by the Policy owner will result in additional  charges.
See  "Premium  Tax  and  Sales Charges,""Policy  Issuance  Expense  Charges" and
"Monthly  Deduction  From  Policy  Value"  under  "Charges  and  Deductions."  A
requested  increase  in  Face  Amount will  also  increase  the  monthly Minimum
Premiums.  See   "Minimum   Premiums"   under   "Payment   and   Allocation   of
Premiums--Premiums."  Decreases  in  Face Amount  result  in a  decrease  in the
monthly Minimum Premium. See "Policy Benefits--Changes in Face Amount."
 
                                       7
<PAGE>
Subject to certain  limits a  Policy owner  may take  a portion  of the  initial
coverage  on the Surviving Insured pursuant  to our Second-To-Die term insurance
rider to the Policy. Coverage under the rider is generally less costly initially
than a comparable amount of coverage under the base Policy.
 
OPTIONAL INSURANCE BENEFITS
 
A Policy owner has the flexibility to add optional insurance benefits by  rider,
to the extent available in the Policy owner's state. These optional benefits are
described in Appendix A--"Optional Insurance Benefits."
 
BENEFIT AT MATURITY
 
Unless  the Policy owner exercises an option  to extend the maturity date of the
Policy, the Policy  matures on the  date the younger  insured reaches, or  would
have  reached,  Age  100. See  "Other  Policy Provisions--Option  to  Extend the
Maturity Date." When the  Policy matures, the Policy  Value, less the amount  of
any  outstanding Policy loan, will  be paid to the  Policy owner, upon return of
the Policy.
 
POLICY LOANS
 
A Policy owner may  in general borrow  up to 90% of  the difference between  the
Policy  Value and the amount of  any then-applicable Surrender Charge. After the
later of 12 years, or the younger insured's Age 70, the Policy owner may  borrow
up  to 100% of such difference. The  interest rate credited on loaned amounts is
4%, and  the interest  rate  charged on  loans is  5.66%  per year,  payable  in
advance, except to the extent that certain Policy owners may qualify for a lower
loan interest rate. See "Loan Privileges."
 
SETTLEMENT OPTIONS
 
Any  amount payable on death of the insured or other termination of a Policy may
be received in cash or pursuant to  one of several "settlement" options, at  the
election  of the Policy  owner or beneficiary.  See Appendix A--"Optional Income
Plans."
 
TAXES
 
For federal income  tax purposes,  under current law,  Fortis Benefits  believes
that  gains in Policy Value resulting  from positive net investment returns will
not be taxed to Policy owners until such gains are distributed to them.
 
Policy loan  interest  generally  is  not  deductible  for  federal  income  tax
purposes.   In  addition,  certain  Policy  loans,  Policy  pledges,  or  Policy
assignments may constitute taxable distributions.
 
Also, certain changes  under a  Policy (such as  changes in  Face Amount,  death
benefit  option, and perhaps other changes) or  payment of premiums in excess of
certain amounts  may  have  significant tax  consequences.  Accordingly,  Policy
owners are strongly encouraged to consult competent tax advisers in this regard.
 
For  a brief discussion of these and  certain other tax implications of owning a
Policy, see "Federal Tax Matters."
 
RIGHT TO RETURN A POLICY
 
The Policy owner  may return  the Policy by  delivery or  by mailing  postmarked
within  10 days after receipt  (except where the Policy  or state law requires a
longer period), within 45 days after he  or she signs Part I of the  application
for  insurance, or within 10 days after receipt of a Notice of Withdrawal Right,
whichever is the latest, and receive a refund within 7 days. Nevertheless, under
Fortis Benefits' current administrative practice, the Notice of Withdrawal Right
will continue to be  accepted if its Date  of Receipt is not  more than 20  days
after  Fortis Benefits releases the Policy to an active status in its processing
system, pursuant to its administrative  and underwriting procedures. The  amount
refunded  will be the amount of  premiums paid. See "Policy Benefits--Changes in
Face Amount" for a description of similar rights to cancel any increases in Face
Amount.
 
HOW TO EXERCISE YOUR RIGHTS UNDER A POLICY
 
To exercise rights under a Policy,  the owner must follow the procedures  stated
in  the Policy. To request  a loan, surrender, or  partial withdrawal, the owner
must utilize  forms prepared  by Fortis  Benefits for  each purpose;  and it  is
recommended that Fortis Benefits' forms also be used for making any other change
or  request.  The forms  are available  from your  sales representative  or from
Fortis Benefits  at  its  Home Office:  P.O.  Box  64582, St.  Paul,  MN  55164,
1-800-800-2638,  extension  3028.  Should  a request  be  received  for  a loan,
surrender or partial withdrawal that is not on Fortis Benefits' form, the proper
form will be sent to  the Policy owner, and, in  the case of a total  surrender,
the  owner will usually be  contacted, as well. The  completed forms, as well as
any premium payments, loan and  interest payments, and all other  communications
should also be submitted to Fortis Benefits' Home Office.
 
If  a Policy owner has  submitted a telephone authorization  form which has been
received by Fortis Benefits, transfers of Policy Value may be made by telephone.
The number  to  call for  this  purpose  is 1-800-800-2638,  extension  3028.  A
Telephone  Authorization Form is attached at  the end of this Prospectus. Fortis
Benefits will not be responsible for, and the Policy owner will bear the risk of
loss from,  oral  instructions,  including  fraudulent  instructions  which  are
reasonably  believed  to  be  genuine. Fortis  Benefits  will  employ reasonable
procedures to  confirm that  telephone  instructions are  genuine, but  if  such
procedures  are not  deemed reasonable,  Fortis Benefits  may be  liable for any
losses  due  to  unauthorized  or  fraudulent  instructions.  Fortis   Benefits'
procedures  are to  verify address and  social security number,  tape record the
telephone call  and  provide written  confirmation  of the  transaction.  Fortis
Benefits  reserves the  right to modify,  condition or  terminate this telephone
privilege at any time without prior notice.
 
Fortis Benefits reserves  the right  to require return  of the  Policy with  any
request  which  makes a  change  in the  Policy.  After effecting  the requested
change, Fortis  Benefits will  deliver a  revised Policy  to the  Policy  owner.
Currently,  however, Fortis Benefits requires the  Policy to be returned only on
maturity, total surrender or death of the Surviving Insured. If the Policy owner
is unable to return  the Policy because  it has been  lost or destroyed,  Fortis
Benefits  will accept a  written statement to  that effect signed  by the Policy
owner in lieu of return of the Policy.
 
                                       8
<PAGE>
Unless the context indicates otherwise, the foregoing Summary and the discussion
in the rest of this Prospectus assume that Net Cash Values are sufficient to pay
all charges deducted on Monthly Anniversaries and that no Policy loans have been
made.
 
THE SEPARATE ACCOUNT AND FORTIS SERIES FUND, INC.
 
THE SEPARATE ACCOUNT
 
The Separate  Account,  which  is  a segregated  investment  account  of  Fortis
Benefits,  was established as Variable Account  C by Fortis Benefits pursuant to
the insurance laws of Minnesota  as of March 13,  1986. The Separate Account  is
used  to fund  the Policies,  as well as  certain other  variable life insurance
policies issued by Fortis Benefits. The assets allocated to the Separate Account
are the  property  of Fortis  Benefits.  Although  the Separate  Account  is  an
integral  part of Fortis  Benefits, the Separate Account  is registered with the
Securities and  Exchange  Commission  as  a  unit  investment  trust  under  the
Investment  Company  Act of  1940 ("1940  Act").  Registration does  not involve
supervision of  the  management  or  investment practices  or  policies  of  the
Separate Account or of Fortis Benefits by the Commission.
 
All  income, gains and losses, whether or not realized, from assets allocated to
the Separate Account  are credited to  or charged against  the Separate  Account
without  regard to other income, gains or losses of Fortis Benefits. Each Policy
provides that assets in the Separate Account representing reserves for  variable
life  insurance policies shall not be chargeable with liabilities arising out of
any other  business of  Fortis Benefits.  Fortis Benefits  contributed funds  to
establish  various Subaccounts of  the Separate Account  and Fortis Benefits may
accumulate in the Separate Account proceeds from charges under the Policies  and
other  amounts  in excess  of the  Separate  Account assets  representing Policy
reserves. Fortis  Benefits  may  from  time to  time  transfer  to  its  general
investment  assets any Separate Account assets in excess of amounts attributable
to Policy reserves.
The assets in each Subaccount  are invested in a  distinct class (or series)  of
stock issued by Fortis Series, each representing a separate investment Portfolio
within  Fortis Series. New Subaccounts may be  added as new Portfolios are added
to Fortis Series and  made available to Policy  owners. Correspondingly, if  any
Portfolios are eliminated from Fortis Series, Subaccounts may be eliminated from
the Separate Account.
 
FINANCIAL AND PERFORMANCE INFORMATION
 
   
The  information  presented below  reflects  the performance  of  the underlying
investment portfolios  of the  Fortis Series  Fund. Please  refer to  "Financial
Highlights"  in the  attached prospectus for  the Fund and  "Performance" in the
related Fund statement of additional information  for a description of how  this
performance information is computed. Annual rates of return reflect expenses and
investment  gains and losses of the  portfolios. They do not reflect asset-based
charges against  the Separate  Account, consisting  of the  1.00% mortality  and
expense  risk charge and the .35% premium tax and sales charge. They also do not
reflect other current policy fees nor the cost of insurance or Surrender Charges
(See "Charges and Deductions"  for a full description  of these charges).  These
charges reduce the performance quoted. The example below shows the effect of all
applicable current charges that may apply to the Policy based on the performance
quoted.
    
 
   
NET ANNUAL RATES OF RETURN
    
   
<TABLE>
<CAPTION>
                                                                           FOR CALENDAR YEAR ENDED
                                                                                 DECEMBER 31
                                INCEPTION   -------------------------------------------------------------------------------------
                                  DATE        1987       1988       1989       1990       1991       1992       1993       1994
                                ---------   --------   --------   --------   --------   --------   --------   --------   --------
<S>                             <C>         <C>        <C>        <C>        <C>        <C>        <C>        <C>        <C>
Aggressive Growth.............    5/94          N/A        N/A        N/A        N/A        N/A        N/A        N/A      (1.89)%*
International Stock...........    1/95          N/A        N/A        N/A        N/A        N/A        N/A        N/A        N/A
Growth Stock..................    10/86       11.31%      4.49%     36.46%     (3.10)%    53.50%      2.94%      8.78%     (2.82)%
Global Growth.................    5/92          N/A        N/A        N/A        N/A        N/A      10.88%*    17.92%     (2.98)%
Blue Chip Stock...............    5/96          N/A        N/A        N/A        N/A        N/A        N/A        N/A        N/A
S&P 500 Index.................    5/96          N/A        N/A        N/A        N/A        N/A        N/A        N/A        N/A
Growth & Income...............    5/94          N/A        N/A        N/A        N/A        N/A        N/A        N/A       1.74%*
Value.........................    5/96          N/A        N/A        N/A        N/A        N/A        N/A        N/A        N/A
Global Asset Allocation.......    1/95          N/A        N/A        N/A        N/A        N/A        N/A        N/A        N/A
Asset Allocation..............    4/87        (6.12)%*    3.71%     23.75%      2.01%     27.65%      6.95%      9.79%      (.31)%
Global Bond...................    1/95          N/A        N/A        N/A        N/A        N/A        N/A        N/A        N/A
High Yield....................    5/94          N/A        N/A        N/A        N/A        N/A        N/A        N/A       (.75)%*
Diversified Income............    5/88          N/A       3.90%*    12.30%      8.87%     14.68%      7.08%     12.76%     (5.22)%
U.S. Gov't Securities.........    11/86        1.60%      6.36%     13.14%      7.93%     14.36%      6.14%      9.45%     (6.44)%
Money Market..................    11/86        5.80%      6.78%      9.42%      7.87%      5.91%      3.36%      2.77%      3.92%
 
<CAPTION>
                                                       THROUGH
                                                  DECEMBER 31, 1995            AVG
                                           -------------------------------    SINCE
                                  1995      1 YEAR     3 YEARS    5 YEARS    INCEPTION
                                --------   --------   ---------   --------   --------
<S>                             <C>        <C>        <C>         <C>        <C>
Aggressive Growth.............    29.89%     29.89%        N/A        N/A      15.64%
International Stock...........    14.35%*    14.35%*       N/A        N/A      14.35%
Growth Stock..................    27.66%     27.66%      10.51%     16.35%     11.24%
Global Growth.................    30.49%     30.49%      14.29%       N/A      14.73%
Blue Chip Stock...............      N/A        N/A         N/A        N/A        N/A
S&P 500 Index.................      N/A        N/A         N/A        N/A        N/A
Growth & Income...............    29.70%     29.70%        N/A        N/A      18.09%
Value.........................      N/A        N/A         N/A        N/A        N/A
Global Asset Allocation.......    17.47%*    17.47%*       N/A        N/A      17.47%
Asset Allocation..............    21.97%     21.97%      10.11%     12.75%      9.80%
Global Bond...................    19.02%*    19.02%*       N/A        N/A      19.02%
High Yield....................    12.73%     12.73%        N/A        N/A       6.97%
Diversified Income............    17.26%     17.26%       7.81%      9.00%      9.14%
U.S. Gov't Securities.........    18.78%     18.78%       6.75%      8.10%      7.69%
Money Market..................     5.71%      5.71%       4.13%      4.33%      5.70%
</TABLE>
    
 
- ------------------------
   
*Not annualized
    
 
   
Wall Street Series Last Survivor was not offered for sale prior to May 1996.
    
 
                                       9
<PAGE>
   
Example: If the insureds under the Policy were a male, Age 55, and a female, Age
53,  and the Policy owner invested $25,000  annually in a Death Benefit Option A
Policy, with a face  amount of $1,400,000 it  would have provided the  following
benefits as of December 31, 1995, for the time periods and subaccounts indicated
based on applicable current charges:
    
   
<TABLE>
<CAPTION>
                                              ONE YEAR ENDED DECEMBER 31, 1995         THREE YEARS ENDED DECEMBER 31, 1995
                                          ----------------------------------------   ----------------------------------------
                                             POLICY      SURRENDER       DEATH                      SURRENDER       DEATH
                                             VALUE         VALUE        BENEFIT      POLICY VALUE     VALUE        BENEFIT
                                          ------------   ---------   -------------   ------------   ---------   -------------
<S>                                       <C>            <C>         <C>             <C>            <C>         <C>
Aggressive Growth.......................     31,695        25,677      1,400,000            N/A          N/A            N/A
International Stock.....................     27,629        21,602      1,400,000            N/A          N/A            N/A
Growth Stock............................     31,498        25,483      1,400,000         97,313       86.226      1,400,000
Global Growth...........................     31,902        25,886      1,400,000        101,678       90,601      1,400,000
Blue Chip Stock.........................        N/A           N/A            N/A            N/A          N/A            N/A
S&P 500 Index...........................        N/A           N/A            N/A            N/A          N/A            N/A
Growth & Income.........................     30,555        24,533      1,400,000            N/A          N/A            N/A
Value...................................        N/A           N/A            N/A            N/A          N/A            N/A
Global Asset Allocation.................     27,048        21,020      1,400,000            N/A          N/A            N/A
Asset Allocation........................     27,959        21,935      1,400,000         89,432       78,328      1,400,000
Global Bond.............................     24,668        18,637      1,400,000            N/A          N/A            N/A
High Yield..............................     25,801        19,770      1,400,000            N/A          N/A            N/A
Diversified Income......................     25,866        19,837      1,400,000         80,085       68,949      1,400,000
U.S. Gov't Securities...................     26,023        19,995      1,400,000         79,253       68,112      1,400,000
Money Market............................     25,122        19,091      1,400,000         77,167       66,022      1,400,000
 
<CAPTION>
 
                                                                                       SINCE PORTFOLIO'S INCEPTION THROUGH
                                             FIVE YEARS ENDED DECEMBER 31, 1995                 DECEMBER 31, 1995
                                          ----------------------------------------   ----------------------------------------
                                             POLICY      SURRENDER       DEATH                      SURRENDER       DEATH
                                             VALUE         VALUE        BENEFIT      POLICY VALUE     VALUE        BENEFIT
                                          ------------   ---------   -------------   ------------   ---------   -------------
<S>                                       <C>            <C>         <C>             <C>            <C>         <C>
Aggressive Growth.......................        N/A           N/A            N/A         65,388       56,722      1,400,000
International Stock.....................        N/A           N/A            N/A         54,785       46,228      1,400,000
Growth Stock............................    174,926       162,956      1,400,000        460,737      458,061      1,427,000
Global Growth...........................        N/A           N/A            N/A        139,795      126,276      1,400,000
Blue Chip Stock.........................        N/A           N/A            N/A            N/A          N/A            N/A
S&P 500 Index...........................        N/A           N/A            N/A            N/A          N/A            N/A
Growth & Income.........................        N/A           N/A            N/A         63,353       54,678      1,400,000
Value...................................        N/A           N/A            N/A            N/A          N/A            N/A
Global Asset Allocation.................        N/A           N/A            N/A         54,334       45,778      1,400,000
Asset Allocation........................    161,157       149,187      1,400,000        356,754      352,764      1,427,000
Global Bond.............................        N/A           N/A            N/A         51,276       42,719      1,400,000
High Yield..............................        N/A           N/A            N/A         52,954       44,260      1,400,000
Diversified Income......................    143,572       131,602      1,400,000        260,765      254,780      1,427,000
U.S. Gov't Securities...................    139,903       127,933      1,400,000        321,878      319,203      1,427,000
Money Market............................    131,099       119,129      1,400,000        290,745      288,070      1,427,000
</TABLE>
    
 
These  benefits will  differ for other  insureds. They will  differ according to
differences in investment allocation, premium  timing and amount, death  benefit
type  and amount as well as Age and underwriting classification of the insureds.
Because the Policies are insurance policies, actual performance should always be
considered in context with the level of death benefit and cash values.
 
The performance data is historical; future performance will vary.
 
FORTIS SERIES FUND, INC.
 
Fortis Series is a  "series" type of  mutual fund which  is registered with  the
Securities   and  Exchange  Commission  as  a  diversified  open-end  management
investment company  under  the  1940  Act.  Fortis  Series  has  served  as  the
investment  medium for the Separate Account since the Separate Account commenced
operations. Fortis Series is also an investment medium for Variable Account D of
Fortis Benefits, through which variable  annuity contracts are issued.  Although
Fortis Benefits does not foresee any material conflicts between the interests of
Policy  owners and  variable annuity  contract owners,  Fortis Series'  Board of
Directors will monitor  to identify any  material irreconcilable conflicts  that
may  develop and to determine what action,  if any, should be taken in response.
If it  becomes necessary  for any  separate  account to  replace shares  of  any
Portfolio   with  another  investment,  the  Portfolio  may  have  to  liquidate
securities on a disadvantageous basis.
 
Fortis Benefits  purchases and  redeems Fortis  Series shares  for the  Separate
Account  at  their  net asset  value  without  the imposition  of  any  sales or
redemption charges. Such shares represent interests in the Portfolios of  Fortis
Series,  each of  which corresponds  to one of  the Subaccounts  of the Separate
Account. Any dividend or  capital gain distributions  received from a  Portfolio
that are attributable to Policies will be reinvested in shares of that Portfolio
at  net asset value as of the date paid. Such distributions will have the effect
of reducing the net asset  value of each share  of the Portfolio and  increasing
the  number of Portfolio shares outstanding.  However, the total Policy Value in
the  corresponding  Subaccount  will  not  change  as  a  result  of  any   such
distribution.
 
Fortis Series' Portfolios are the Aggressive Growth, International Stock Series,
Growth  Stock, Global Growth, Blue Chip Stock, S&P 500 Index, Growth and Income,
Value, Global Asset Allocation Series, Asset Allocation, High Yield, Global Bond
Series, Diversified Income, U.S. Government Securities and Money Market  Series.
A   full  description   of  the   Portfolios,  their   investment  policies  and
restrictions, their charges, the
 
                                       10
<PAGE>
risks attendant to investing in them,  and other aspects of their operations  is
contained in the prospectus for Fortis Series accompanying the Prospectus and in
the  Statement of Additional Information referred  to therein. The complete risk
disclosure in  the Prospectus  for  the Global  Asset Allocation  Series,  Asset
Allocation,  the High Yield Series, and  the Diversified Income Series should be
read before selection of them for Policy investment.
 
POLICY BENEFITS
 
DEATH BENEFIT
 
As long as the Policy remains in force, Fortis Benefits will, upon due proof  of
the  Surviving  Insured's death  and  return of  the  Policy, pay  the insurance
proceeds of  the Policy  to  the named  beneficiary.  Fortis Benefits  will  pay
interest  from the  date of death  to the  date of commencement  of any optional
income plan or to the date of distribution at a minimum of 3 1/2% per annum. See
Appendix A--"Optional Income Plans."
 
The insurance proceeds  are: (1) the  death benefit provided  under Option A  or
Option  B, whichever is in effect on the  date of death, plus (2) any additional
insurance on the Surviving Insured's life  that is provided by rider, minus  (3)
any  outstanding Policy loan  and any due  and unpaid charges  accruing during a
Grace Period, plus (4) any  loan interest paid by  the Policy owner for  periods
beyond the date of death.
 
DEATH BENEFIT OPTIONS
 
The Policy owner selects one of the two below-described death benefit options in
the  application and can,  after the third  Policy year, change  the option once
each Policy year,  by written  request. See  "Change in  Death Benefit  Option,"
below.
 
OPTION A. The death benefit is equal to the Face Amount of insurance.
 
OPTION  B. The death benefit  is equal to the Face  Amount of insurance plus the
Policy Value at the date of the Surviving Insured's death.
 
ALTERNATIVE DEATH  BENEFIT. Under  either Option  A  or Option  B, there  is  an
Alternative  Death Benefit which applies if  it provides a death benefit greater
than the  death  benefit option  chosen.  The  Alternative Death  Benefit  is  a
multiple  of the Policy  Value at the  date of death  as set forth  in the table
below.
 
<TABLE>
<CAPTION>
                    ATTAINED AGE OF   MULTIPLE OF
                    YOUNGER INSURED   POLICY VALUE
                    ----------------  ------------
                    <S>               <C>
                       40 or less         2.50
                           45             2.15
                           50             1.85
                           55             1.50
                           60             1.30
                           65             1.20
                           70             1.15
                           75             1.05
                           80             1.05
                           85             1.05
                           90             1.05
                           95             1.00
</TABLE>
 
For Ages not listed, the progression between the listed Ages is constant.
 
Both Option A  and Option B  provide insurance protection,  as well as  possible
build-up  of Policy Value. Under Option A, the insurance coverage remains level,
unless the  Alternative Death  Benefit applies.  Under Option  B, the  insurance
coverage varies as the Policy Value changes.
 
For  any Face Amount, the  death benefit under Option B  will be greater than or
equal to that under Option A, since the Policy Value is added to the Face Amount
and included  in the  death  benefit under  Option B  but  not under  Option  A.
However,  the cost of insurance included  in the Monthly Deduction (see "Charges
and Deductions--Monthly Deduction From Policy Value") will be greater, and  thus
the accumulation of Policy Value will be lower, under Option B than under Option
A,  assuming the same Face Amount and otherwise identical Policies. See Appendix
B--"Illustrations  of  Death  Benefits,  Policy  Values,  Surrender  Values  and
Accumulated Premiums."
 
SECOND-TO-DIE RIDER
 
Subject  to  certain limits,  coverage  payable on  the  death of  the Surviving
Insured may be taken  out under our Second-To-Die  term insurance rider,  rather
than  taking out  all of the  coverage under  Option A or  Option B  of the base
Policy described above. This  rider is available  only at the  time a Policy  is
first  issued, and  a charge  will be deducted  for it  as part  of each Monthly
Deduction.
 
Coverage under the Second-To-Die Rider is generally less costly initially than a
comparable amount  of coverage  obtained  under the  base Policy.  However,  the
Policy  owners who intend to retain  and make substantial premium payments under
their  Policies,  coverage  under  the   base  Policy  will  probably  be   more
economically advantageous over the long term.
 
Any  coverage under the  Second-To-Die Rider is not  considered in computing the
Alternative Death Benefit mentioned above. Therefore, if part of the coverage is
taken under the rider, the Alternative Death Benefit will apply at lower  levels
of  Policy Value than if all  of the coverage had been  taken out under the base
Policy. The  Alternative Death  Benefit,  when it  applies,  has the  effect  of
automatically  increasing the amount of insurance coverage under the base Policy
and, as a consequence, the amount  deducted for cost of insurance.  Accordingly,
it  is more likely that such increases will occur if coverage is taken out under
the Second-To-Die Rider, rather that under the base Policy.
 
For a more complete discussion of the Second-To-Die Rider and factors you should
consider in determining whether to apply for it, see "Second-To-Die Rider" under
"Optional Insurance Benefits--Joint Term Life Insurance Riders" in Appendix A at
the end of this prospectus.
 
ACCELERATED BENEFIT RIDER
 
The Accelerated Benefit Rider will be issued as a part of all Policies issued in
a state that  has approved such  rider. The Accelerated  Benefit Rider allows  a
Policy owner to receive benefits from the Policy that would be otherwise payable
upon the death of an insured. The benefit
 
                                       11
<PAGE>
may vary state-by-state and a Fortis Benefits representative should be consulted
as  to whether,  and to what  extent, the  rider is available  in any particular
state.
 
The Accelerated Benefit Rider  allows the Policy owner  to elect an  accelerated
payment  of all  or part  of the  death benefit  under the  Policy and  any term
insurance rider that  is less than  two years  prior to the  original expiry  or
maturity  date. For any survivorship benefit the election can only be made after
the death  of  one  of the  joint  insureds.  The accelerated  payment  will  be
discounted  for twelve months'  interest and will be  reduced by any outstanding
loan if not otherwise paid, multiplied by the percentage of the eligible  amount
which  is accelerated. The interest rate discount will be equal to the lesser of
(1) the applicable federal interest  rate determined under Section 846(c)(2)  of
the  Internal Revenue Code; (2) the  current maximum statutory adjustable policy
loan interest rate; or  (3) 10%. Fortis Benefits  can furnish details about  the
amount  of  the benefit  under  the Accelerated  Benefit  Rider available  to an
eligible Policy owner  under a particular  Policy. The benefits  paid under  the
Accelerated  Benefit  Rider  are  available when  Fortis  Benefits  has received
written notice  and satisfactory  proof (a  certificate by  a doctor)  that  the
insured  has a life expectancy  of twelve months or  less due to an irreversible
medical condition.  The benefit  will be  paid in  a lump  sum unless  otherwise
agreed to by Fortis Benefits.
 
The  payment  of  a benefit  must  be  approved in  writing  by  any irrevocable
beneficiary and  any  collateral  assignee.  No  benefit  is  available  if  the
insured's  irreversible medical condition results from self-inflicted injury and
such injury occurs within the first two  policy years (one year in Colorado  and
North  Dakota). If such injury occurs beyond such period, the amount that may be
requested may not include any part of the death benefit that was first effective
within a two year period (one year  in Colorado and North Dakota) prior to  such
injury.
 
All  or part  of the  eligible amount may  be accelerated  under the Accelerated
Benefit Rider. If the death benefit is only partially accelerated, a Face Amount
at least equal to the minimum Face Amount required for the Policy or rider  must
remain  under  the  Policy  or  rider. The  benefit  payable  must  be  at least
$2,500.00, or if  smaller the  entire eligible  amount. If  the entire  eligible
amount  is  accelerated,  the Policy  or  rider  will terminate.  If  the entire
eligible amount is paid on the person who is insured under the base Policy,  any
rider on the Policy that provides insurance on the life of any other person will
be administered according to the provisions in the rider concerning the death of
the person insured under the base Policy.
 
The  maximum amount of any accelerated death  benefit payable under a Policy and
all other policies issued by Fortis  Benefits with an Accelerated Benefit  Rider
is $500,000.
 
If  only a portion of the eligible amount  is paid, the Policy and/or rider will
remain in force.  The amount  of insurance, and  the loan  amount and  Surrender
Value  if the benefit is paid on the  death benefit provided by the base Policy,
of the Policy or rider will be reduced as of the date of approval of the benefit
request by the percentage  of the eligible amount  which is accelerated.  Future
monthly Minimum Premiums and cost of insurance will be adjusted as if (1) a loan
repayment  were made equal to the reduction in the loan amount, (2) a withdrawal
were made equal  to the  reduction in  Surrender Value,  and (3)  a Face  Amount
decrease  were made  equal to  the difference  between the  accelerated eligible
amount and the face amount decrease caused by withdrawal.
 
There is no charge for this rider  provision as a part of your policy.  However,
an  administrative fee  (not to  exceed $300)  will be  charged at  the time the
benefit is paid. The current fee is $50.
 
Fortis Benefits agrees that unless otherwise required by law, no benefit will be
paid if the Policy owner is required to elect it in order to meet the claims  of
creditors  or to obtain  a government benefit.  Receipt of payment  of a benefit
under the  Accelerated  Benefit  Rider may  affect  eligibility  for  government
sponsored  benefit programs, such as  Medicaid and Supplemental Security Income.
The rider can be terminated by request.
 
The Accelerated Benefit  Rider is not  a long  term care rider  or nursing  home
insurance  rider. The amount this rider pays may not be enough to cover medical,
nursing home or other bills. The benefit can be used for any purpose.
 
Having the Accelerated Benefit Rider as a part of the Policy has no adverse  tax
consequences.  However, electing to  use it could.  Although there currently are
proposed IRS  regulations  which  would  treat  a  benefit  received  under  the
Accelerated  Benefit Rider for income tax purposes like a death benefit received
by a beneficiary after the death of  an insured, receipt of a benefit under  the
Accelerated  Benefit Rider  may give rise  to a  Federal or State  income tax. A
competent tax adviser should be consulted for further information.
 
CHANGES IN FACE AMOUNT
 
INCREASE. A Policy owner may at any  time increase the Face Amount of a  Policy,
subject to the conditions discussed below.
 
The minimum Face Amount increase is currently $5,000, and all other requirements
are  as if the increase were a separate  Policy. Increases in Face Amount may be
made only if the Surrender Value after the increase is large enough to cover  at
least  the Monthly  Deduction for the  Policy month following  the increase. Any
increase may require that  additional evidence of  insurability be submitted  to
Fortis Benefits. No Face Amount increase will be permitted if benefits are being
paid  under the terms of  a Waiver of Monthly Deductions  Rider or the Waiver of
Selected Amount  Rider. See  Appendix A--"Optional  Insurance Benefits."  Fortis
Benefits  reserves the right  to establish different  maximum or minimum amounts
for future Face Amount increases.
 
   
Following a Face Amount increase requested by the Policy owner, additional sales
and issuance charges  will be applicable.  See "Charges and  Deductions--Premium
Tax  and Sales  Charges" and "Policy  Issuance Expense Charges."  An increase in
Face Amount requested by the Policy owner also will increase the monthly Minimum
Premium. See  "Minimum Premiums"  under "Payment  and Allocation  of  Premiums--
Premiums."
    
 
The  Policy owner may cancel the  Face Amount increase. The cancellation request
must be delivered or mailed to  Fortis Benefits by letter postmarked (1)  within
10  days after receipt  of a Policy schedule  amendment reflecting any requested
Face Amount increase, (2) within
 
                                       12
<PAGE>
45 days after the Policy change application for such increase is signed, or  (3)
within  10 days  after receipt  of a  Notice of  Withdrawal Right,  whichever is
latest. Upon such  a cancellation,  Monthly Deductions,  including rider  costs,
arising  from the increase  are credited to  the Policy Value.  No premiums paid
will be refunded, except that Fortis  Benefits will promptly refund premiums  to
the  extent necessary to cure any violation  of the then current maximum premium
limitations under Section 7702 of the Internal Revenue Code of 1986, as  amended
(the "Code"). See "Payment and Allocations of Premiums--Premiums." The Surrender
Charge  and the monthly Minimum Premium will be adjusted to the level they would
have been in the absence of the Face Amount increase.
 
   
Also, during the first two years following a Face Amount increase requested by a
Policy owner, the Policy owner may transfer  all or part of the Policy Value  to
the  General Account without charge. See "Policy Value Transfers" under "Payment
and Allocation of Premiums--Allocation  of Premiums and  Policy Values." Such  a
transfer to the General Account could be made, for example, in the amount of any
premiums  paid which are  deemed attributable to the  increase. See "Charges and
Deductions--Premium Tax and Sales Charges" and "Policy Issuance Expense Charges"
regarding the method of such attribution.
    
 
DECREASE. After the third Policy year,  the Policy owner may request a  decrease
in  the Face Amount of  the Policy. Also, no face  amount decrease is allowed in
the first year following a Face Amount increase requested by the Policy owner.
 
The Face Amount remaining in force after any requested decrease may not be  less
than  $100,000. No  decrease in the  Face Amount  will be permitted  if it would
result in any violation  of the then current  maximum premium limitations  under
Section  7702 of the Code. The monthly Minimum Premium will also be reduced. See
"Minimum Premiums" under "Payment and Allocation of Premiums--Premiums."
 
EFFECTIVE DATE. Any Face  Amount increase or decrease  will become effective  on
the  Monthly Anniversary  on or next  following (1)  the Date of  Receipt of the
request or (2) if evidence of insurability is required, the date Fortis Benefits
approves the request. Nevertheless,  there will be  no insurance coverage  under
any  change in  Face Amount  or other change  in benefits  requiring evidence of
insurability, unless, at  the time of  delivery of a  Policy schedule  amendment
reflecting  the change in benefits, the insureds' health remain as stated in the
application for the change.
 
Commencing on its  effective date, a  change in the  Face Amount generally  will
also affect the Net Amount at Risk and may affect the insureds' rate class, both
of  which affect a Policy owner's monthly  cost of insurance charge. (Net Amount
at Risk is the  difference in amount  between the death  benefit and the  Policy
Value.)  See "Rate Class" under  "Charges and Deductions--Monthly Deduction from
Policy Value." This in turn can affect the level of subsequent Policy Values and
death benefits.
 
CHANGE IN DEATH BENEFIT OPTION
 
After the third Policy year, the death  benefit option in effect may be  changed
once  each Policy year by sending a written request in form acceptable to Fortis
Benefits at its Home Office. The effective  date of any such change will be  the
Monthly  Anniversary on or following  (1) the Date of  Receipt of the request or
(2) if evidence of insurability is required, approval by Fortis Benefits.
 
A change from Option A to Option B requires evidence of insurability and results
in an automatic reduction in  the Face Amount by the  amount of Policy Value  on
the effective date of the change. This change may not be made if it would result
in  a Face Amount which is less than the minimum Face Amount, which is $100,000.
Nor will a  change in death  benefit option be  permitted if it  results in  any
violation  of the then current maximum premium limitations under Section 7702 of
the Code. See "Payment and Allocation of Premiums-- Premiums."
 
A change from Option A to Option B will not alter the death benefit at the  time
of  the change, but will affect the determination of the death benefit from then
on. Since, from then on, the Policy Value will be added to the new Face  Amount,
the death benefit will vary with the Policy Value. Moreover, under Option B, the
Net  Amount at  Risk will not  vary unless  the Alternative Death  Benefit is in
effect. Therefore,  after a  change  from Option  A to  Option  B, the  cost  of
insurance  will generally be higher if the  Policy Value increases, but lower if
the Policy Value decreases. See "Charges and Deductions--Monthly Deductions From
Policy Value."
 
Although a change from Option A to Option B results in an automatic reduction in
Face Amount, it will not  result in any change in  the charges for premium  tax,
sales or issuance expenses or in the monthly Minimum Premium.
 
If  the death benefit option changes from Option  B to Option A, the Face Amount
will be increased by the amount of the Policy Value on the effective date of the
change. The  death benefit  will  not be  altered at  the  time of  the  change.
However,  the  change  in  death  benefit option  will  continue  to  affect the
determination of the death benefit from  then on, because the Policy Value  will
no  longer  be  added to  the  Face  Amount in  determining  the  death benefit.
Therefore, after a  change from  Option B  to Option  A, the  cost of  insurance
charges  will generally be lower if the Policy Value increases but higher if the
Policy Value  decreases. See  "Charges and  Deductions--Monthly Deductions  From
Policy Value."
 
Although  a change from Option B to Option A results in an automatic increase in
the Face Amount of a Policy, no  additional sales charge or expense charge  will
be imposed as a result of such a change, and no evidence of insurability will be
required.  Nor will there be  any change in the  monthly Minimum Premium under a
Policy or any right to a refund of charges upon cancellation of the Face  Amount
increase.
 
POLICY SPLIT OPTION
 
POLICY SPLIT OPTION. The Policy owner may elect to split the Policy and purchase
two  individual Fortis Benefits VUL  policies; one on the  life of each insured.
This election may be exercised only  by written notice to Fortis Benefits'  Home
Office within 180 days following either: (1) The date of entry of a final decree
of  divorce with respect to  the joint insureds; or (2)  The effective date of a
change in  the  Federal estate  tax  laws that  would  reduce or  eliminate  the
unlimited  marital deduction; or (3) Written  confirmation of a dissolution of a
business partnership
 
                                       13
<PAGE>
   
or closely  held  corporation  in  which the  joint  insureds  are  partners  or
shareholders.  For Policies  issued in  the State  of Texas  there is  a monthly
charge of $.04 per $1,000 of Face Amount for this benefit.
    
 
There is a 60-day  waiting period after divorce  or business dissolution  before
the  option  can be  elected. The  new policies  will be  issued subject  to the
following terms and conditions:
 
1.  There will be no new evidence of insurability required.
 
2.  Premiums, charges, and  bonuses for the new policies  will be based on  each
    insured's attained age and current rate class.
 
3.   As of  the effective date  of the Policy  split policy value,  and the Face
    Amount of the Policy, excluding any riders, will be divided equally  between
    the  new policies, unless a different  percentage is specified in the Policy
    schedule for the Policy. An unequal split is allowed only at the  discretion
    of Fortis Benefits upon issuance of the Policy.
 
4.  Loans must be paid at the time of the Policy division.
 
5.   In no event may the combined death benefits of the new policies exceed that
    provided under the Policy. A withdrawal of policy value from the Policy will
    be made to prevent this from occurring.
 
6.  Riders  on the  new policies  will be allowed  at the  discretion of  Fortis
    Benefits, and only if evidence of insurability is provided.
 
7.   The owner and beneficiary of the new policies will be the same as under the
    Policy, unless the Policy owner specifies otherwise.
 
8.  Any existing incontestable or suicide period under the Policy will  continue
    under the two new policies.
 
The  Policy Split  Option is not  available if  any of the  following apply when
exercise of the option is sought:
 
1.  Either insured  is deceased or considered  "uninsurable" pursuant to  Fortis
    Benefits' underwriting guidelines.
 
2.  The combined rating of the insureds, as indicated in the Policy schedule, is
    more than Table 4.
 
3.  Either insured is older than the issue age of the new policy's maximum issue
    age.
4.  The Policy is in the grace period.
5.  The Policy is receiving benefits from any disability rider.
Exercise  of this option is  treated as a taxable  transaction. The Policy owner
should consult a tax adviser before exercising this option.
 
POLICY VALUE
 
   
The total Policy  Value at  any time  is the  sum of  the Policy  Values in  the
General  Account (see Appendix  C--"The General Account"  and "Loan Privileges")
and the Subaccounts of the Separate Account at such time.
    
 
The Policy  Value in  the Separate  Account  may increase  or decrease  on  each
Valuation  Date, depending on  the investment return  of the chosen Subaccounts.
See "Separate Account Net Investment  Return," below. "Valuation Dates" are  all
business days, except, with respect to any Subaccount, days on which the related
Fortis Series Portfolio does not value its shares. Valuations for any date other
than a Valuation Date will be determined as of the next Valuation Date.
 
PREMIUM BASED BONUSES AND POLICY VALUE BONUSES
 
   
PREMIUM  BASED BONUSES.  In most states  a premium  based bonus will  be paid by
Fortis Benefits starting  on the  last day of  the seventh  and each  subsequent
Policy  year and continuing for the life of  the Policy or, if earlier, the date
the younger insured would  have reached age  100. The amount of  the bonus is  a
percentage  of the  lesser of (a)  or (b), the  result divided by  the number of
years that the Policy has  been in force where: (a)  is the sum of all  premiums
paid  less any withdrawals and loans; and (b)  is the sum of all monthly Maximum
Bonus Premiums to date. The current percentages and durations are as follows:
    
 
                    CURRENT PREMIUM BASED BONUS PERCENTAGES
 
<TABLE>
<CAPTION>
                           END OF POLICY YEAR
                           -------------------
                                           9
                                          AND
                                          LATER
                                          TO
                                          ORIGINAL
                                          MATURITY
AGE OF                                    DATE
YOUNGER INSURED                            OF
AT ISSUE                   0-6   7    8   POLICY
- -------------------------  ---  ---  ---  ----
<S>                        <C>  <C>  <C>  <C>
18-50....................    0%   2%   4% 4   %
51-60....................    0    2    4  7
61-70....................    0    5    7  10
71-85....................    0    5    5  5
</TABLE>
 
Maximum Bonus Premiums with respect to a policy or a benefit change generally is
the estimated premium payment which would keep the policy (a benefit change)  in
force  to the younger insured's  Age 85, without regard  to substandard risks or
riders. A Face Amount  increase or decrease requested  by the Policy owner  will
cause an increase or decrease, respectively, in the size of future Maximum Bonus
Premiums.
 
Subject to the guaranteed minimums set forth below, Fortis Benefits reserves the
right in its sole discretion to reduce the rate of Premium Based Bonuses. Policy
owners  will be given one year's notice  before any such reduction takes effect.
Fortis Benefits  guarantees  Premium  Based Bonuses  for  eligible  Policies  at
specified  rates. The guaranteed rates are based on the younger insured's Age at
Policy issue, as follows:
 
                                       14
<PAGE>
                  GUARANTEED PREMIUM BASED BONUSES PERCENTAGES
 
<TABLE>
<CAPTION>
                           END OF POLICY YEAR
                           -------------------
                                           9
                                          AND
                                          LATER
                                          TO
                                          ORIGINAL
                                          MATURITY
AGE OF                                    DATE
YOUNGER INSURED                            OF
AT ISSUE                   0-6   7    8   POLICY
- -------------------------  ---  ---  ---  ----
<S>                        <C>  <C>  <C>  <C>
18-50....................    0%   2%   4% 4   %
51-60....................    0    2    4  7
61-70....................    0    2    4  7
71-85....................    0    2    4  5
</TABLE>
 
Premium Based Bonuses are  offered or guaranteed only  to the extent allowed  by
the state in which the Policy is issued.
 
POLICY  VALUE BONUSES. In  most states Fortis Benefits  intends to credit Policy
Value Bonuses on each monthly anniversary  after the monthly deduction is  made,
at an annual rate, as set forth below:
 
       ANNUAL RATE OF POLICY VALUE BONUSES AS A PERCENT OF NET CASH VALUE
<TABLE>
<CAPTION>
                                                           OPTION A ANNUAL BONUSES
                                          ---------------------------------------------------------
            SURRENDER VALUE                  BAND 1         BAND 2         BAND 3         BAND 4
- ----------------------------------------     ------         ------         ------         ------
<S>                                       <C>            <C>            <C>            <C>
$0 - $9,999                                  0.00%          0.00%          0.00%          0.00%
$10,000 - $49,999                            0.00%          0.00%          0.05%          0.05%
$50,000 - $99,999                            0.05%          0.05%          0.10%          0.10%
$100,000 +                                   0.10%          0.10%          0.15%          0.20%
 
<CAPTION>
                                                           OPTION B ANNUAL BONUSES
                                          ---------------------------------------------------------
            SURRENDER VALUE                  BAND 1         BAND 2         BAND 3         BAND 4
- ----------------------------------------     ------         ------         ------         ------
<S>                                       <C>            <C>            <C>            <C>
$0 - $9,999                                  0.00%          0.00%          0.00%          0.00%
$10,000 - $49,999                            0.30%          0.30%          0.35%          0.35%
$50,000 - $99,999                            0.35%          0.35%          0.40%          0.40%
$100,000 +                                   0.40%          0.40%          0.45%          0.50%
</TABLE>
 
If  the death benefit option is changed  the rate is computed using the weighted
average of the rates based on the number of months each death benefit option  is
in effect.
 
For  purposes of calculating the Policy Value Bonus percentage, the average Face
Amount of the Policy  from issuance to  the point of the  bonus payment will  be
used  to determine the Policy Band. For example, if the Policy had a Face Amount
of $1  million for  18 months,  $500,000 for  60 months,  and $2  million for  6
months,  the policy  has an  average Face Amount  of (18  x $1,000,000)  + (60 x
$500,000) + (6 x $2,000,000) DIVIDED BY 84= $714,285, a Band 2 Policy.
 
Fortis Benefits intends to add .35% to the annual rate for Policy Value  Bonuses
after  the 19th  Policy year.  This increase  is not  guaranteed. To  the extent
implemented, however, the increase would  substantially offset any daily  charge
for premium taxes and sales charges that is then being made.
 
Policy Value Bonuses are offered or guaranteed only to the extent allowed by the
state in which the Policy is issued.
 
ALLOCATION  AND EFFECTS. Any Premium Based Bonus  and Policy Value Bonus will be
allocated among the General Account and the Subaccounts of the Separate  Account
on  a Pro Rata Basis. Following such  allocation, these amounts will be credited
with investment  performance and  otherwise be  treated the  same as  any  other
amounts allocated to the Subaccounts or the General Account, as the case may be.
Thus,  for example, any Premium Based Bonus  or Policy Value Bonus will increase
the Option B (but  not the Option  A) death benefit under  the Policy. Under  an
Option A death benefit, Premium Based Bonus and Policy Value Bonuses will result
in reduced cost of insurance charges.
 
                                       15
<PAGE>
CALCULATION OF SEPARATE ACCOUNT POLICY VALUE
 
On each Valuation Date, the Policy Value in a Subaccount of the Separate Account
will be:
 
(1) The cumulative amount of premiums allocated to the Subaccount; plus
 
(2) The amount of all Premium Based Bonuses and Policy Value Bonuses credited to
    the  Subaccount  (see "Policy  Benefits-- Premium  Based Bonuses  and Policy
    Value Bonuses"); plus
 
(3) All amounts transferred to the  Subaccount from the General Account or  from
    another Subaccount; minus
 
(4)  Any amounts transferred  from the Subaccount  to the General  Account or to
    another Subaccount; minus
 
(5) Any partial withdrawal from the Subaccount; minus
 
(6) The amount of any  daily deductions for premium  tax and sales charges  (see
    "Charges  and Deductions -- Premium Tax and Sales Charges") allocated to the
    Subaccount; minus
 
(7) The portion of the cumulative Monthly Deductions allocated to the Subaccount
    (see "Charges  and Deductions--Monthly  Deductions  From Policy  Value"  and
    "Policy Issuance Expense Charges"); plus
 
(8)  The cumulative  net investment  return (discussed  below) on  the amount of
    Policy Value in the Subaccount from time to time.
 
The Policy's total Policy Value in the Separate Account is the sum of the Policy
Values in each Subaccount, which have no guaranteed minimum.
 
SEPARATE ACCOUNT NET INVESTMENT RETURN
 
The net asset value  for each Fortis  Series Portfolio is  determined as of  the
close  of  regular trading  on the  New  York Stock  Exchange ("NYSE"),  on each
Valuation  Date.  The  net  investment  return  for  each  Subaccount  and   all
transactions  and calculations with respect to  the Policies as of any Valuation
Date are determined as of that time.
 
Each Subaccount is credited with  a rate of net  investment return equal to  its
gross  rate  of  investment return  during  each  Valuation Period  less  (1) an
adjustment for the Separate Account's charge for mortality and expense risks (at
an annual rate of 1.00%) and (2) a charge for Fortis Benefits' income taxes,  if
any  such  tax  charge  becomes  necessary  in  the  future  (see  "Federal  Tax
Matters--Taxation  of  Fortis  Benefits").  Each  Subaccount's  gross  rate   of
investment  return during a Valuation Period is the rate of increase or decrease
in the per share net asset value of the underlying Fortis Series Portfolio  over
the  Valuation  Period,  adjusted  upward to  take  appropriate  account  of any
dividends or distributions paid by the Portfolio during this period.
 
A "Valuation  Period" is  the  period between  two successive  Valuation  Dates,
commencing  at the close of  regular trading on the  NYSE on each Valuation Date
and ending at the close  of regular trading on the  NYSE on the next  succeeding
Valuation  Date.  Depending  primarily  on  the  investment  experience  of  the
underlying Portfolio, a Separate Account Subaccount's net investment return  may
be  either positive or negative during a Valuation Period. Subject to applicable
legal requirements, Fortis Benefits  reserves the right to  change the times  of
day when values under a Policy are determined.
 
PAYMENT AND ALLOCATION OF PREMIUMS
 
ISSUANCE OF A POLICY
 
Individuals wishing to purchase a Policy must complete an application which will
be  sent to Fortis Benefits'  Home Office. Currently the  minimum Face Amount of
insurance for which a Band  1 Policy may be issued  is $100,000, $500,000 for  a
Band  2 Policy,  $1,000,000 for  a Band 3  Policy, and  $5,000,000 for  a Band 4
Policy. A  Policy will  generally be  issued to  insureds Age  18-85 who  supply
evidence of insurability satisfactory to Fortis Benefits.
 
Acceptance  of  an  application  is  subject  to  Fortis  Benefits' underwriting
guidelines and Policy  approval procedures.  Any premium payments  for a  Policy
that  never goes into effect, or that  is subsequently revoked, will be returned
without interest.
 
If the proposed insureds meet certain health requirements, Fortis Benefits  will
issue  temporary term life insurance to cover  the period before the Policy goes
into effect. Temporary  insurance will  be issued  only if  the initial  premium
payment has been paid with the application and the amount of temporary insurance
coverage  will  not  exceed $250,000  under  all applications  for  the proposed
insureds pending with  Fortis Benefits and  any other insurers.  If a  temporary
insurance  benefit is paid, a premium for  the amount of temporary coverage from
the date of its issue to the  date of death will be charged. Temporary  coverage
is  subject to certain other conditions,  including special limits for temporary
coverage of certain optional benefits provided by rider, and is for a maximum of
ninety days. Except as otherwise provided in any temporary insurance  agreement,
there will be no insurance coverage under a Policy unless at the time the Policy
is delivered the insureds' health is the same as stated in the application.
 
The  Policy Date is the date used  to determine Policy Anniversaries and Monthly
Anniversaries, regardless of when  the Policy is delivered.  The Policy Date  is
also  when  Monthly  Deductions  commence.  When  temporary  insurance  has been
provided, the  Policy  Date  will ordinarily  be  the  date of  part  I  of  the
application, except that if that date is the 29th through the 31st of any month,
the Policy Date will be the first of the next month. When no temporary insurance
has  been provided, the Policy Date will ordinarily be three days after the date
the application is approved, except that if  that date is the 29th through  31st
of  any month,  the Policy Date  will be  the first of  the next  month. A later
Policy Date  will  result  in  monthly deductions  being  taken  out  later  and
investment  performance on any  premium payment being  reflected in the Separate
Account later. A prospective purchaser may request a Policy Date later than that
which otherwise would apply, subject to Fortis Benefits' current  administrative
policies. No interest or other return on premium payments will be credited prior
to the Policy Date, however.
 
Notwithstanding  the  general  procedures  outlined  above,  the  purchaser may,
subject to Fortis Benefits' current administrative policies and state  insurance
law  requirements, request a Policy Date up to  six months prior to the date the
Policy is issued, for the purpose of
 
                                       16
<PAGE>
preserving a younger Age of an insured person under the Policy. In many cases, a
younger Age will  result in  a smaller monthly  Minimum Premium,  lower cost  of
insurance  rates and lower  Surrender Charges. An earlier  Policy Date will also
result in a correspondingly earlier  commencement of Monthly Deductions and,  in
some cases, lower Premium Based Bonuses. If an earlier Policy Date is requested,
all  monthly  Minimum Premiums  commencing with  that date,  plus the  amount of
initial premium payment that  otherwise would be required,  must be paid  before
the Policy will be issued.
 
In  other  cases, unless  otherwise requested,  if  an insured's  birthday falls
between the date  of an application  and the  date the Policy  is approved,  the
Policy Date will generally be set early enough to preserve the younger Age.
 
PREMIUMS
 
PAYMENT  OF  PREMIUMS. At  the  time of  Policy  issuance, the  Planned Periodic
Premium must be, on an annualized basis, at least the greater of (1) $2,000,  or
(2)  twelve  monthly Minimum  Premiums. For  purposes  of this  requirement, the
Planned Periodic Premiums are assumed to be level in the first policy year.  The
initial  premium payment must cover all monthly Minimum Premiums from the Policy
Date to  the  next  billing date,  generally  after  the Policy  is  mailed  for
delivery,  and must  be paid before  a Policy  will take effect.  If the Planned
Periodic Premium is paid monthly, at least two months' Planned Periodic Premiums
must be paid.
 
Subject to  Fortis Benefits'  guidelines,  each Policy  owner will  determine  a
Planned  Periodic  Premium  schedule  that provides  for  the  payment  of level
premiums at specified intervals for the  life of the Policy. (If desired,  these
may  be paid by means of automatic monthly drafts on the Policy owner's checking
account.) The  Policy  owner,  however,  is not  required  to  pay  premiums  in
accordance  with the  Planned Periodic  Premium schedule,  except to  the extent
described above with  respect to  the initial  premium payment.  THE PAYMENT  OF
PLANNED  PERIODIC PREMIUMS WILL NOT GUARANTEE  THAT THE POLICY REMAINS IN FORCE.
Instead, the  duration  of the  Policy  depends upon  the  Net Cash  Value.  See
"Payment and Allocation of Premiums--Policy Lapse and Reinstatement."
 
Subject  to the limitations described below,  a Policy owner may make additional
premium payments at any time in any amount.
 
The total of all premiums paid may never exceed the then current maximum premium
limitations under Section 7702  of the Code.  If at any time  a premium is  paid
that  would  result  in  any  violation  of  the  then  current  maximum premium
limitations, Fortis Benefits will accept only  that portion of the premium  that
will  make  total premiums  equal to  the limit.  Fortis Benefits  will promptly
refund any such excess, unless the Policy owner directs otherwise. Any amount so
refunded will include  any positive net  investment performance attributable  to
such  amount  prior  to  refund.  The  amount  of  any  positive  net investment
performance refunded will  constitute ordinary  income to the  Policy owner  for
federal income tax purposes.
 
Fortis  Benefits reserves the right to impose additional limits on the number or
amount of  premium  payments. Fortis  Benefits  currently has  no  intention  of
imposing such limits except when the Alternative Death Benefit is in effect. See
"Policy Benefits--Death Benefit Options."
 
ALLOCATION OF PREMIUMS AND POLICY VALUE
 
ALLOCATION  OF  PREMIUMS. In  the  application for  a  Policy, the  Policy owner
indicates the initial allocation of premiums  among the General Account and  the
Subaccounts  of the Separate Account. (As  discussed below, this allocation will
generally take  effect 20  days following  the  date the  Policy is  mailed  for
delivery  to the Policy owner.) Allocation percentages must be in whole numbers.
The Policy owner may change the allocation of future premiums without charge  at
any time (other than during any Grace Period) by submitting a written request in
a  form acceptable  to Fortis Benefits  at its  Home Office. The  change will be
effective as of the Date of Receipt of such form.
 
   
The first premium payment will be allocated automatically to the General Account
as of the later of  the Policy Date or Date  of Receipt, and, assuming a  Policy
goes  into effect, will earn  a return for the  Policy owner. Any other premiums
will be allocated to the General Account as  of the later of the Policy Date  or
the  Date  of  Receipt. These  payments  will  be held  in  the  General Account
generally until the twentieth day after the Policy is mailed for delivery. Then,
all premiums, plus any other amounts  previously earned in the General  Account,
will be re-allocated among the General Account and the Subaccounts in accordance
with  the  premium allocation  percentage established  by  the Policy  owner. If
either insured is in  a substandard risk class,  the reallocation will occur  on
the  twentieth day  after the Date  of Receipt  by Fortis Benefits  of all items
necessary under its  administrative and underwriting  procedures to release  the
Policy to an active status in its processing system.
    
 
Each  premium  payment  accepted  after this  reallocation  is  credited  to the
Subaccounts or General Account as of the Date of Receipt. There is an  exception
to  this  rule,  however, with  respect  to  any premium  payments  as  to which
underwriting requirements apply or  where Fortis Benefits obtains  authorization
of  the Policy owner  to delay acceptance  of the premium  until permitted under
Section 7702 of the Code. In such  cases, the premium is held in a  non-interest
bearing  account until it is allocated to  the Subaccounts or General Account as
of the later of the Date of Receipt of the premium or the date of acceptance  of
such premium by Fortis Benefits.
 
POLICY  VALUE TRANSFERS. After the initial  allocation of premiums has occurred,
and subject to the  limitations described below, the  Policy owner may  transfer
Policy  Value between  the General Account  and the Subaccounts  of the Separate
Account and among the Subaccounts, except during any Grace Period.
 
Transfers from the General  Account to the Separate  Account are limited to  one
transfer  in each Policy Year,  which currently may not be  for more than 50% of
the General Account Policy Value at  the date of transfer (excluding the  amount
of  any General Account Policy Value  attributable to Policy loans). However, if
the unloaned General Account Policy Value at  the date of transfer is less  than
$1,000,  the  Policy owner  may transfer  the entire  unloaned balance  from the
General Account to
 
                                       17
<PAGE>
the Separate Account. Fortis Benefits reserves the right to review these  limits
on an annual basis and, subject to the limits in the Policy, to reduce them.
 
Fortis  Benefits will determine all  values in connection with  a transfer as of
the Date  of  Receipt  of the  transfer  request.  Fortis Benefits  may  in  its
discretion  permit  a  continuing  request for  transfers  of  specified amounts
automatically on  a  periodic  basis.  Fortis Benefits  reserves  the  right  to
restrict  the number  and amount  of transfers,  but currently  has no  plans to
impose any such restrictions. At least four transfers per Policy year among  the
Subaccounts  or to the General Account will always be permitted. Fortis Benefits
will give Policy owners advance notice of any such restrictions.
 
Transfers are not taxable under current law. Except as discussed below, transfer
requests must be in writing, in  a form acceptable to Fortis Benefits.  Although
it currently has no plans to do so, Fortis Benefits may impose a charge of up to
$25  on  transfers.  Any  such  charge  would  be  designed  only  to  cover the
administrative cost of effecting transfers. Telephone transfers may be made if a
telephone authorization form  has been received.  See "Summary--How to  Exercise
Your Rights Under a Policy."
 
In no event will Fortis Benefits restrict or prohibit any transfer of all Policy
Value  to the General Account (1) during  the first two Policy years, (2) within
the first two years after a Face Amount increase requested by the Policy  owner,
or  (3) within 60  days after the  Policy owner receives  notice of any material
change in  a Portfolio's  investment policy.  Nor will  any transfer  charge  be
imposed on such transfers, except that a charge may be imposed subsequent to the
first  full  transfer  after issue,  a  Face  Amount increase,  or  a  change in
investment policy.
 
LIMITATION. Under the Policy, Fortis Benefits reserves the right to control  the
amount  of any assets in any investment alternative. Pursuant to this authority,
Fortis Benefits has established the following administrative procedures for  the
protection  of the  interest of  all investors  participating in  Fortis Series'
Portfolios: a Policy owner may not invest, allocate, transfer or exchange Policy
Value into any Subaccount  if the value allocated  to that Subaccount under  the
Policy (and under any other insurance or annuity contract directly or indirectly
controlled  by  the  same  person, jointly  or  individually)  would immediately
thereafter equal  25% or  more  of the  related  Fortis Series  Portfolio's  net
assets.  Fortis Benefits  reserves the right  to modify these  procedures at any
time.
 
GUARANTEED DEATH BENEFIT
 
   
GUARANTEED DEATH BENEFIT. A Policy is guaranteed to stay in force if, as of each
Monthly Anniversary, the cumulative  amount of premiums paid  to date, less  the
amount  of any outstanding Policy loans and cumulative partial withdrawals taken
by the Policy owner, at least equals the cumulative monthly Minimum Premiums for
Policy months up to  and including that beginning  on that Monthly  Anniversary.
For  purposes of  this calculation,  premiums paid  in any  Policy year, Minimum
Premiums, and  partial withdrawals  are assumed  to accumulate  at an  effective
annual rate of 4%. For this purpose premiums and Minimum Premiums for any Policy
year  are  assumed to  commence accumulating  interest at  the beginning  of the
Policy year in which they are paid. Partial withdrawals are assumed to be  taken
at  the end of  the year or  at the end  of the current  monthly anniversary, if
earlier. This benefit is provided by  the Guaranteed Death Benefit rider  issued
as  a part of all Policies  issued in a state that  has approved such rider. The
Policy owner can choose at issue a guarantee period of 10 years, 20 years, or to
Age 85 of the younger insured. The choice cannot be changed after the Policy  is
issued.  If the issue age  of the younger insured is  65 or older, the guarantee
will be for the  lesser of 10 years  from the Policy Date  or until the  younger
insured's  Age 75 (or for  5 years if the  younger insured is Age  71 or more at
issue). The guarantee  if either insured  is rated for  higher mortality is  for
five  years. The  guarantee period may  be shorter  in some states  due to state
limitations. There is no charge  for the benefit in  the first ten years.  After
the  tenth Policy year, the monthly charge for the 20 year guarantee is $.02 per
thousand dollars  of  Face  Amount in  effect  under  the Policy  or  under  any
supplemental term insurance rider described in Appendix A, and $.04 per thousand
of  such Face amount for the guarantee period  to Age 85 of the younger insured.
The initial charge is set forth in  the Policy schedule. For Policies issued  in
the  State of Texas there  is no charge for  this extended benefit. A subsequent
increase or decrease  in Face  Amount will result  in an  increase or  decrease,
respectively, in the level of charges for the Guaranteed Death Benefit. The same
is  true of the addition or cancellation  of any benefits under any supplemental
term insurance rider  described in  "Appendix A." The  new charges  will be  set
forth  in the Policy  schedule amendment delivered following  any change. If the
Guaranteed Death  Benefit terminates  for any  reason, the  charge for  it  will
terminate at the same time.
    
 
The  minimum amount must be  paid prior to the  next Monthly Anniversary for the
rider to stay in force. Fortis Benefits  will send the Policy owner a notice  of
the  minimum  amount required  to  be paid.  The  Guaranteed Death  Benefit will
terminate if at  least this amount  is not paid,  or if the  Date of Receipt  by
Fortis Benefits of this amount is not prior to the next Monthly Anniversary. Any
Grace  Period under the  Policy will end  on the date  otherwise provided in the
Policy, but in no event earlier than the Monthly Anniversary following lapse  of
the  Guaranteed Death Benefit. Once the  Guaranteed Death Benefit terminates, it
may not be reinstated.
 
MINIMUM PREMIUMS. For  the 10  year and 20  year guarantee  periods the  monthly
Minimum  Premium with  respect to  a Policy or  benefit change  generally is the
estimated monthly  premium  payment which  would  keep the  Policy  (or  benefit
change) in force for 20 years based on (1) the insureds' then-current Ages, sex,
and  smoking  habits  and  (2) reasonable  assumptions  for  interest,  costs of
insurance, and other charges. If the guarantee  period to Age 85 of the  younger
insured  is selected, the monthly Minimum Premium will be one that is sufficient
to keep the Policy in  force for the extended  guarantee period provided for  by
the  rider, based on  the assumptions set  out above. However,  in the event the
premium requirements for a  longer period are  not met, the  rider will stay  in
force  for the  shorter guarantee  period, i.e. 20  or 10  years so  long as the
premium requirements for that  shorter guarantee period continue  to be met.  If
the younger insured is Age 65 or over at issue, the monthly Minimum Premium will
be one that is sufficient to keep the Policy in force for 10 years. For insureds
rated for higher mortality, it will be reduced to one that is sufficient to keep
the  Policy in force for five years.  The smallest monthly Minimum Premium for a
Policy  without   substandard  risks   or  optional   riders  is   $25.   Fortis
 
                                       18
<PAGE>
Benefits  reserves the right to change the monthly Minimum Premium, although any
such change  would  affect only  subsequent  increases in  the  monthly  Minimum
Premium due to changes in benefits.
 
Starting with the Monthly Anniversary when any Face Amount increase requested by
the  Policy owner becomes effective, the monthly Minimum Premium will include an
additional amount attributable to  the increase above the  Face Amount on  which
the previous monthly Minimum Premium was computed.
 
Starting with the Monthly Anniversary when any Face Amount decrease requested by
the  Policy owner becomes effective, the monthly Minimum Premium will be reduced
by an amount attributable  to the decrease  below the Face  Amount on which  the
previous monthly Minimum Premium was computed. (The Monthly Minimum Premium will
not  be reduced  for any  prior periods,  however.) If  there have  been no Face
Amount increases, the decrease in any subsequent monthly Minimum Premium will be
(1) the  monthly  Minimum Premium  before  the  change, multiplied  by  (2)  the
proportion that the decrease represents of the Face Amount before the change. If
there have been any Face Amount increases, the decrease will be deemed to reduce
the most recent increase first.
 
The initial monthly Minimum Premium that must be paid to ensure the availability
of  the  Guaranteed Death  Benefit Rider  is  set forth  in the  Policy schedule
included in the Policy. Any increased  or decreased monthly Minimum Premium  for
these purposes will be set forth in a Policy schedule amendment delivered to the
Policy  owner following  the change.  Except as  otherwise discussed  below, the
monthly Minimum  Premium for  the Face  Amount or  any Face  Amount change  will
include  an amount necessary  to support certain  substandard rate class charges
and any optional insurance benefits  pursuant to Policy riders. Accordingly,  in
such  cases any increase or decrease in optional benefits provided by rider will
result in  a higher  or lower  monthly Minimum  Premium. For  this purpose,  the
amount  of additional  monthly Minimum  Premium attributable  to an  increase in
benefits will be based on the most recent rate class if an insured's rate  class
has  worsened. On the  other hand, the  monthly Minimum Premium  will be reduced
starting with the first Monthly  Anniversary after Fortis Benefits approves  any
new  rate class for  an insured which is  more favorable than  that on which the
previous monthly Minimum Premium was based.
 
POLICY LAPSE AND REINSTATEMENT
 
LAPSE. A Policy may lapse  if the Net Cash Value  on any Monthly Anniversary  is
insufficient  to pay the Monthly  Deduction. The "Net Cash  Value" is the Policy
Value less any outstanding Policy loan,  plus any loan interest paid for  future
periods. Fortis Benefits will notify the Policy owner and any assignee of record
of  any Net Cash Value shortfall unless the Guaranteed Death Benefit Rider is in
effect. If the Guaranteed Death Benefit Rider  is in effect, we will still  send
the  notification if the  Minimum Premium payment requirement  has not been met.
See   "Guaranteed   Death   Benefit"   under   "Payment   and   Allocation    of
Premiums--Premiums," above. The Policy owner will have a Grace Period of 61 days
to  make  a premium  payment sufficient  to cover  at least  the amount  of such
shortfall, plus any  additional Monthly Deductions  until the end  of the  Grace
Period. Failure to make a sufficient payment within the Grace Period will result
in  termination of the Policy, with no  remaining Surrender Value, except to the
extent otherwise provided pursuant to the Guaranteed Death Benefit Rider.
 
If the Surviving Insured  dies during the Grace  Period, the insurance  proceeds
payable  will be the Death  Benefit in effect immediately  prior to entering the
Grace Period, but any  due and unpaid Monthly  Deductions will be deducted  from
the proceeds.
 
REINSTATEMENT.  A lapsed Policy may be reinstated  at any time within five years
after the end of the Grace Period while both joint insureds are alive (or if the
Policy lapsed after the first death,  while the surviving insured is alive)  and
before  the maturity date by submitting  the following items to Fortis Benefits:
(1) a  written  application  for reinstatement;  (2)  evidence  of  insurability
satisfactory  to Fortis Benefits; (3) a premium that, net of any premium charges
that Fortis Benefits may in the future deduct from premiums, at least equals the
sum of (a) an amount necessary to keep the Policy in force for at least the  two
Policy  months  commencing  with  the  effective  date  of  reinstatement, which
consists of two  Monthly Deductions  and any  increase in  the Surrender  Charge
attributable  to such premium, and  (b) the balance needed  to cover any due and
unpaid Monthly Deductions through the end of the Grace Period.
 
   
Any Policy  loan on  the  date of  termination  will be  automatically  canceled
(except  in jurisdictions where such cancellation  is not permitted) and in that
case need not otherwise be repaid or  reinstated. The amount of Policy Value  on
the  date of reinstatement will  be equal to the  premium paid at reinstatement,
less any premium charge deducted from premiums, less the first Monthly Deduction
paid in accordance with (a) above, and less the amounts paid in accordance  with
(b)  above. This Policy Value will be  allocated according to the Policy owner's
most recent allocation designation. If the  Policy loan must be reinstated,  the
Policy  Value will be increased  by the amount of the  loan, and that portion of
the Policy Value will be held in the General Account and credited with  interest
at a rate of 4% per annum.
    
 
   
The  date of reinstatement will be the first Monthly Anniversary on or following
approval of  the application  for reinstatement.  The Guaranteed  Death  Benefit
Rider will not be reinstated. Following reinstatement, the Surrender Charge will
be  reinstated and will  be calculated using  the original Policy  Date and Face
Amount increase dates as appropriate.  See "Charges and Deductions--Premium  Tax
and Sales Charges; Policy Issuance Expense Charges." The Policy Issuance Expense
Charges  will also  be reinstated.  However, credit will  be given  for the time
period prior to the Policy's lapse.
    
 
CHARGES AND DEDUCTIONS
 
PREMIUM TAX AND SALES CHARGES
 
PREMIUM TAX CHARGES. Premium tax charges are not deducted from premium payments.
This allows more of each premium payment to be put to work earning a return  for
the  Policy owner. Currently, a premium tax charge  in the amount of 2.2% of all
premium payments is assessed  through monthly and  daily deductions from  Policy
Value,  as described below. Any portion of  such amount that is not recovered by
Fortis Benefits pursuant to the monthly and daily deductions may be deducted  as
part of the Surrender Charge discussed below. The charge
 
                                       19
<PAGE>
for  premium taxes  is to  reimburse Fortis Benefits  for taxes  on premiums and
similar assessments  that are  imposed by  most, but  not all,  state and  local
governmental  entities at various rates. The charge for premium taxes is imposed
on all  Policies  even though  there  may be  no  premium tax  assessed  by  the
jurisdiction in which the Policy is purchased. Rather, the current rate at which
the  charge is imposed is an average rate that Fortis Benefits estimates will be
paid on premiums in all jurisdictions.  In order to more fully reimburse  itself
for  premium taxes or similar charges that it has paid or expects to pay, Fortis
Benefits reserves the  right to raise  the current premium  tax charge  assessed
through  periodic deductions to 3.0%. Fortis Benefits also reserves the right to
assess a charge for premium taxes directly  from premiums to a maximum of  2.5%,
in which case the amount of premium tax charges recoverable through the periodic
deductions  therefor would be reduced by at least a corresponding amount. Fortis
Benefits also reserves the right to impose  charges for other taxes that may  be
payable and are attributable to the policies. Fortis Benefits does not expect to
make a profit from the premium tax charge.
 
SALES  CHARGES. A sales  charge in the amount  of 9% of  all premium payments is
also assessed through the  monthly and daily deductions  from Policy Value.  Any
amount  of this sales  charge that is  not recovered by  Fortis Benefits through
these deductions may be deducted as  a Contingent Deferred Sales Charge that  is
included  as part of the Surrender Charge. It  is not possible to state how long
it would  take  for  the  full  sales  charge  to  be  recovered  through  these
deductions.  First,  the cumulative  sales charge  will  increase with  each new
premium payment, and the Policy owner  has considerable flexibility to vary  the
amount  and timing of premium payments. Second,  the actual dollar amount of the
daily deduction to recover the sales charge depends on a number of factors  that
will  differ for each Policy, including the amount of premium payments made, the
performance of the investment options the  Policy owner chooses, the amount  and
timing  of Premium  Based Bonuses  and Policy  Value Bonuses  or loans  and loan
repayments, and the Age, sex and rate class of the insureds.
 
Fortis Benefits reserves the  right to deduct total  sales charges from  premium
payments, up to a maximum of 5%, in which case the amount of premium tax charges
recoverable  through the  periodic deductions  therefor would  be reduced  by at
least a  corresponding amount.  The sales  charges under  the Policies  help  to
defray sales expenses, including sales commissions and the cost of prospectuses,
other  sales material and  advertising. The amount of  sales charges deducted in
any year, however, cannot be specifically  related to actual sales expenses  for
that  year. Fortis Benefits does not expect to recover all of its sales expenses
from the  sales charges.  The  balance will  be  recovered from  other  sources,
including  any  profits  attributable to  cost  of insurance  and  mortality and
expense risk charges under the Policies and Fortis Benefits' general assets  and
surplus.
 
The aggregate monthly deduction for premium tax and sales charges total is $4.00
per  policy (as part of the Monthly  Deduction referred to below), and the daily
deduction for these purposes is  at an annual rate of  .35% of the value of  the
Policy's net assets in the Separate Account. These monthly and daily deductions,
however,  will be waived  to the extent  that the cumulative  amount of all such
deductions and premium charges would exceed  the current charge of 11.2% of  all
premium  payments made to date (or 12%  if the premium tax charge were increased
to its 3% maximum).  Any daily deductions after  the nineteenth policy year  for
sales  charges and  premium taxes would  be substantially  offset, assuming that
Fortis Benefits implements the full Policy Value Bonus in the 20th Policy  year,
as  currently planned.  See "Policy  Benefits--Premium Based  Bonuses and Policy
Value Bonuses."
 
   
Any amount of premium  tax charges and sales  charges not recovered through  the
monthly or daily deductions and premium charges are deducted, if at all, ONLY as
part  of  the Surrender  Charge  discussed below.  The  Surrender Charge  (1) is
imposed only in the event the Policy lapses or is surrendered in full before the
tenth Policy Anniversary and (2) is subject  to an overall upper limit or  "cap"
that  decreases  over time.  Accordingly,  Fortis Benefits'  method  of imposing
premium tax charges  and sales  charges under the  Policies in  many cases  will
result in substantially less than the full amount of such charges being imposed.
    
 
POLICY ISSUANCE EXPENSE CHARGE
 
POLICY ISSUANCE EXPENSE CHARGES. A monthly policy issuance expense charge at the
rates  set out below will  be deducted as part of  the Monthly Deduction for the
first ten Policy Years following issuance of the Policy:
 
<TABLE>
<CAPTION>
                                              MONTHLY RATE
                                              PER $1,000 OF
                                               FACE AMOUNT
                                            -----------------
<S>                                         <C>
Band 1....................................            .10
Band 2....................................            .08
Band 3....................................            .05
Band 4....................................            .03
</TABLE>
 
This charge also  will be  imposed for ten  years following  any requested  Face
Amount  increase, the additional "per thousand" charge being based on the dollar
amount of the increase. If the Policy is surrendered or lapses within ten  years
after  issuance or a Face  Amount increase, all or  part of the remaining Policy
issuance expense charge for such ten year period will be deducted as part of the
Surrender Charge.
 
This charge is designed primarily to compensate Fortis Benefits for underwriting
and other start-up expenses  incurred in connection with  issuing the Policy  or
Face Amount increase. Such expenses include the cost of processing applications,
conducting medical examinations, determining insurability and the insureds' risk
class, and establishing Policy records (including computer set up costs). Fortis
Benefits  does not expect its revenues from  this charge to exceed its costs and
expenses of issuing and underwriting the Policies and Face Amount increases.
 
SURRENDER CHARGE.
 
SURRENDER CHARGE. A Surrender Charge may be assessed on lapse or full  surrender
of  a Policy before the tenth Policy  Anniversary (or the tenth anniversary of a
Face Amount increase requested by the Policy owner). The Surrender Charge is (1)
any amount of the  Policy issuance expense charge  discussed below that has  not
yet  been recovered plus (2)  any portion of the  current premium tax charge and
the sales charge referred to above that  has not yet been collected through  the
 
                                       20
<PAGE>
monthly  and daily deductions  therefor or through  any deductions from premiums
that Fortis Benefits may make in the future for these purposes.
 
The entire Surrender Charge is subject to an overall upper limit or "cap" as set
forth in the table  below. The table  below also shows the  amount by which  the
overall  cap is  increased by  a Face  Amount increase  requested by  the Policy
owner. The overall cap (and each amount of increase therein) also decreases at a
constant rate on the first and  each subsequent Policy Anniversary (or  increase
anniversary,  as the  case may  be) until  it reaches  zero on  the tenth Policy
Anniversary (or increase anniversary). Accordingly,  there will be no  Surrender
Charge  on surrenders or lapses as of  the later of the tenth Policy Anniversary
or the tenth anniversary of any Face Amount increase.
 
<TABLE>
<CAPTION>
     ADJUSTED           OVERALL "CAP" ON
  AGE AT TIME OF        SURRENDER CHARGE
POLICY ISSUANCE OR    (PER THOUSAND DOLLARS
    FACE AMOUNT         OF FACE AMOUNT OR
     INCREASE         FACE AMOUNT INCREASE)
- -------------------  -----------------------
<S>                  <C>
      18 - 24                    1.90
      25 - 29                    3.30
      30 - 34                    4.50
      35 - 39                    6.00
      40 - 44                    8.25
      45 - 49                   10.75
      50 - 54                   14.25
      55 - 59                   19.00
      60 - 64                   25.20
      65 - 69                   33.60
      70 - 85                   41.00
</TABLE>
 
The Adjusted Age, for purposes of  calculating the surrender charge cap, is  the
Age  of the younger insured plus 1/3 of  the lesser of (a) the difference in Age
between the younger and older insured or  (b) 20. If both insureds are over  Age
80, the "cap" per thousand is $33.
 
No  Surrender Charge is deducted upon a  partial withdrawal of Policy Value or a
Face Amount  decrease. However,  when  a Policy  owner  requests a  Face  Amount
decrease  (or a partial  withdrawal that results  in a Face  Amount decrease), a
portion of the overall "cap"  referred to above is  reduced: the portion of  the
cap  that is attributable to the cancelled  Face Amount is reduced to the extent
that it  exceeds the  amount of  the Surrender  Charge then  in effect  that  is
attributable  to the  cancelled Face Amount.  For this purpose,  the most recent
Face Amount increases are deemed to be cancelled first.
 
It is not possible to state, as a general matter, what the Surrender Charge will
be as a  percentage of  premiums paid.  This is  because the  components of  the
Surrender  Charge vary based on factors other  than the amount of premiums paid.
For example,  the  amount of  the  premium tax  and  sales charge  that  remains
uncollected  at the time  of surrender or  lapse depends on  such factors as the
period of time the Policy has been  in force, the performance of the  investment
options  the Policy owner  chooses, the amount  and timing of  any Premium Based
Bonuses, Policy Value Bonuses  or loans and loan  repayments, and the Age,  sex,
and  rate  class  of the  insureds.  Also,  the overall  Surrender  Charge "cap"
referred to  above is  not based  on the  amount of  premiums paid,  but on  the
Policy's Face Amount and the number of years since the Policy was issued.
 
MONTHLY DEDUCTION FROM POLICY VALUE
 
The  Monthly  Deduction  from  Policy Value  includes  (1)  the  monthly charges
described above  under "Premium  Tax  and Sales  Charges," (2)  policy  issuance
expense  charges discussed above, (3) the  cost of insurance charge, (4) certain
monthly  administrative  expense  charges,  and  (5)  the  charge  for  optional
insurance   benefits  added  by  rider   (see  Appendix  A--"Optional  Insurance
Benefits"). The cost  of insurance  charges and  monthly administrative  expense
charges, are discussed separately in the paragraphs that follow.
 
The Monthly Deduction will be deducted as of each Monthly Anniversary commencing
with  the Policy Date. The Monthly Deduction will be allocated among the General
Account and  each Subaccount  of the  Separate Account  selected by  the  Policy
owner.  If no such selection is made, or  if there are insufficient funds in the
selected subaccounts, then the  allocation will be made  in the proportion  that
the  Policy Value in  the General Account  (excluding the amount  of any General
Account Policy Value attributable to Policy loans) and the Policy Value in  each
Subaccount, respectively, bear to the Policy's total Policy Value (excluding the
amount  of any General Account Policy Value  attributable to Policy Loans) as of
the date of the transaction (that is, on a "Pro Rata Basis").
 
If any part of a  Monthly Deduction is not  made because of insufficient  Policy
Value, and if the Policy nevertheless does not lapse, the undeducted amount will
be deducted on receipt of any subsequent premium payment.
 
COST  OF  INSURANCE. Because  the cost  of  insurance depends  upon a  number of
variables, it can vary from month  to month. Fortis Benefits will determine  the
monthly cost of insurance charge by multiplying the applicable cost of insurance
rate or rates by the Net Amount at Risk for each Policy month. The Net Amount at
Risk  for a Policy month is (1) the death benefit, divided by 1.00327374, at the
beginning of the Policy month, less (2) the Policy Value at the beginning of the
Policy month.  Additional amounts  may be  charged  if the  rate class  is  less
favorable than standard.
 
After  the later of  twenty years from issue  or attained age  65 of the younger
insured, the cost of insurance charges will be calculated using an Adjusted  Net
Amount  at Risk. The  Adjusted Net Amount at  Risk is the lesser  of (a) the Net
Amount at Risk or (b) a percentage  of the remaining initial Face Amount of  the
Policy.  The percentage  is 70% at  attained age  65 of the  younger insured and
grades down linearly to 50% at attained age 85 of the younger insured.
 
Cost  of  insurance  charges  for  Face  Amount  increases  will  be  calculated
separately using the same method described above.
 
If  two Policies are  otherwise identical, a  Option A Policy  will have a lower
death benefit, higher Policy Value, and  lower cost of insurance charges than  a
Option B Policy. Since the death benefit payable under Option A remains constant
while  the death benefit  payable under Option  B varies with  the Policy Value,
Policy Value increases will generally reduce the Net Amount at Risk under Option
A but not under  Option B. If  the Net Amount  at Risk is  greater, the cost  of
insurance  will be greater. If  the Alternative Death Benefit  is in effect (see
"Policy Benefits--Death  Benefit  Options"), the  cost  of insurance  will  vary
 
                                       21
<PAGE>
directly  with the  Policy Value  under both  death benefit  options. While both
joint insureds are alive, the  Alternative Death Benefit multiple is  determined
based on the younger insured's Age.
 
Cost of insurance rates are based on the Issue Age, sex, duration and rate class
of  each joint insured. The actual monthly  cost of insurance deductions will be
based on Fortis Benefits'  expectations as to  future experience, and  generally
increase each year as the Ages of the insureds increase. They will not, however,
be  greater than the guaranteed cost of insurance rates set forth in the Policy.
The maximum cost of insurance rates  for standard risk insureds will not  exceed
the  rates calculated from  certain of the  1980 Commissioners Standard Ordinary
Mortality Tables and the sex, Age and rate class of each joint insured. The rate
class of each joint insured will affect the cost of insurance rate. These tables
set forth different mortality  estimates for males and  females and for  smokers
and  non-smokers.  The  maximum  cost  of  insurance  rates  for  a  table-rated
substandard insured are based on a multiple (shown on the Policy schedule  page)
of the above rates. Additional level amounts per thousand dollars of Face Amount
are charged if a substandard insured is assigned a flat extra rating.
 
Any  change in the cost of insurance rates or charges will apply to all insureds
of the same Age, sex, duration and rate class.
 
Cost of insurance rates that differ as between male and female insureds are  not
permitted  under  current  law  in  Montana,  and  perhaps  other  states  or in
connection  with  certain  employee   benefit  arrangements.  Employers   should
therefore seek legal advice as to any questions they may have in this regard. To
the  extent legally necessary, Fortis Benefits may make available gender-neutral
cost of insurance rates, and affected  purchasers should inquire of their  sales
representative  whether  these  are  currently available  in  their  states. The
gender-neutral rates will be higher  than those otherwise applicable to  females
and  lower than those otherwise applicable  to males. Where gender-neutral rates
are required, Minimum Premiums also will be gender-neutral.
 
   
RATE CLASS. Fortis Benefits currently places  insureds into one of several  rate
classes  depending on  the mortality risk.  Fortis Benefits has  both smoker and
non-smoker rate  classes.  For an  otherwise  identical Policy,  insureds  in  a
non-smoker rate class will have a lower cost of insurance than those in a smoker
rate class.
    
 
If  a Policy owner requests a Face Amount increase at a time when either insured
is in a less favorable  rate class than previously,  a higher cost of  insurance
deduction  will apply to that portion of  the Net Amount at Risk attributable to
the  increase.  (This  does  not  apply  to  Face  Amount  increases   resulting
automatically  from  a  change from  Death  Benefit  Option B  to  Option  A, as
described under "Policy  Benefits--Change in  Death Benefit  Option.") When  the
Alternative  Death Benefit is in  effect, the Net Amount  at Risk can exceed the
Policy's Face Amount, in which case the rate used for such excess  approximately
equals  the blended rate for the other portion  of the Net Amount at Risk. If an
insured's rate class improves, the lower cost of insurance deduction will  apply
to  the entire Net Amount  at Risk, commencing on  the Monthly Anniversary on or
after Fortis Benefits approves the new rate class.
 
   
A Policy  owner may  request a  change in  smoking status.  The change  will  be
allowed  only if  the insured would  not otherwise  be in a  less favorable rate
class. Any change from smoker to non-smoker  rate class will take effect on  the
next  Monthly Anniversary,  and the resulting  rates for the  coverage under the
base policy will  be applicable for  the previous 12  months from the  effective
date  of  the change.  Such reduced  rates for  the previous  12 months  will be
implemented by a refund credited at the effective date of the change.
    
 
For purposes of determining  the cost of insurance  charge, any decrease in  the
Face  Amount will reduce  the Face Amount  in the following  order: (1) the Face
Amount provided by the most recent increase; (2) the next most recent  increases
successively; and (3) the Face Amount when the Policy was issued.
 
MONTHLY ADMINISTRATIVE EXPENSE CHARGES. A monthly administrative charge of $6.00
per  Policy will be deducted from Policy  Value as part of the Monthly Deduction
for each  Policy  Month. Fortis  Benefits  reserves  the right  to  change  this
administrative charge, but it will never exceed $7.50 per month. Fortis Benefits
also  reserves the right to impose  an additional monthly administrative expense
charge of up to $.13  per thousand dollars of Face  Amount then in force.  These
charges  compensate Fortis Benefits  for expenses incurred  in administering the
Policy.
 
Fortis Benefits does  not expect  its revenues from  the monthly  administrative
expense charges to exceed its costs and expenses in administering the Policies.
 
CHARGE FOR MORTALITY AND EXPENSE RISKS
 
A  daily  charge is  made  for mortality  and  expense risks  assumed  by Fortis
Benefits. The charge is at an annual rate of 1.00% of the average daily value of
the net assets in the Separate Account that are attributable to the Policies.
 
The mortality risk assumed is that the insureds may live for a shorter period of
time than estimated. It also covers the risks underlying the first ten years  of
the   Guaranteed  Death  Benefit   Rider  and  the   Policy  Split  Option.  See
"Premium--Guaranteed Death Benefits" and "Policy Split Option." The expense risk
assumed is that expenses incurred in issuing and administering the Policies will
be greater than estimated.  Fortis Benefits will realize  a gain if the  charges
under the Policies prove to be more than sufficient to cover the actual costs of
its  mortality and expense  commitments. If the charges  are not sufficient, the
loss will fall on Fortis Benefits.
 
MISCELLANEOUS
 
As discussed under "Payment and  Allocation of Premiums--Allocation of  Premiums
and  Policy  Value"  and  "Surrender and  Partial  Withdrawal,"  Fortis Benefits
reserves the right to  impose charges to defray  its administrative expenses  in
effecting  transfers of  Policy Value  and partial  withdrawals. Fortis Benefits
currently has no plans to impose any such charges, which in any event would  not
be  designed to  yield revenues  to Fortis  Benefits in  excess of  its costs of
effecting such transactions.  Neither these charges  nor any additional  charges
referred  to above under "Policy Issuance Expense Charge" and "Monthly Deduction
from Policy Value--Monthly Administrative
 
                                       22
<PAGE>
Expense Charges"  will  be  imposed  if  such  revenues,  together  with  Fortis
Benefits'  revenues from all other administrative  and expense charges under the
Policies, are expected  to exceed Fortis  Benefits' total costs  of issuing  and
administering the Policies.
 
CHARGE  FOR  INCOME TAXES.  Currently, no  charge is  made against  the Separate
Account for income taxes  deemed attributable to  the Policies. However,  Fortis
Benefits may decide to make such a charge in the future.
 
GUARANTEE OF CERTAIN CHARGES
 
Fortis  Benefits guarantees, and may not increase, the monthly and daily charges
for sales expenses  and premium  taxes; the maximum  rates for  premium tax  and
sales  charges  deducted through  such periodic  charges; the  maximum Surrender
Charge rates; the maximum  monthly administrative expense  charges; the rate  of
the charge to cover the costs of issuing a Policy or a Face Amount increase; the
charge against the Separate Account for mortality and expense risks with respect
to  the Policies; the maximum cost of insurance rates; and the maximum amount of
any charges  for  transfers  or  partial withdrawals  of  Policy  Value.  Fortis
Benefits  reserves the  right to  change the  monthly Minimum  Premium. Any such
change will affect only subsequent increases in the monthly Minimum Premium  due
to  changes  in benefits.  Fortis  Benefits also  reserves  the right  to deduct
premium taxes and  sales charges  from premium payments,  subject to  guaranteed
maximums  that may  not be  increased. Sales  charges from  periodic and premium
deductions will not exceed 9% of premiums.
 
LOAN PRIVILEGES
 
The Policy owner may borrow money from  Fortis Benefits using the Policy as  the
only security for the loan.
 
   
The  maximum amount that  may be borrowed at  any time is  90% of the difference
between the Policy Value and the amount of any Surrender Charge then in  effect.
After the later of 10 years from the issue date or the younger insured's Age 70,
it is 100% of such difference. Fortis Benefits will allocate a Policy loan among
the  General Account and the Subaccounts of the Separate Account selected by the
Policy owner. If no selection is made then the allocation will be on a Pro  Rata
Basis.
    
 
RATE CHARGED ON POLICY LOANS
 
Except  as noted  below, interest  on Policy  loans is  charged at  an effective
annual rate of 5.66%  per year, payable  annually in advance.  If not paid  when
due,  loan interest at the same rate will  be added to the loan. An amount equal
to the loan  interest accrued  to the end  of the  year will be  taken from  the
General  Account  and  the  Subaccounts  on  the  same  basis  that  the Monthly
Deductions are allocated, and transferred to the General Account.
 
   
Fortis Benefits will charge interest at a reduced effective annual rate of 3.85%
per year, payable in  advance, if the Policy  owner meets certain  requirements.
Qualifying  Policy owners may be charged the reduced interest rate on one Policy
loan in each Policy year of up to 10%  of the Surrender Value as of the date  of
the  loan, provided  that the  generally applicable  limitations on  the overall
amount of  Policy loans  (described  above) are  not  exceeded. A  Policy  owner
qualifies  for this reduced interest  rate if (1) the Policy  is in the third or
subsequent Policy year and the  Surrender Value is at  least $10,000, or (2)  in
any  event, after the  policy has been in  force for at least  10 years. The 10%
limitation of such loans is  increased to 15% of  the Surrender Value for  loans
obtained in Policy years in which the insured is age 59 1/2 or older.
    
 
CREDITED RATE FOR POLICY LOANS
 
As  of the Date of  Receipt at Fortis Benefits' Home  Office of the loan request
form and  assignment of  the Policy  for  security, Policy  Value equal  to  the
portion of the Policy loan allocated to each Subaccount will be transferred from
such  Subaccount to the  General Account. This  amount, plus the  portion of the
Policy loan allocable to Policy Value already being held in the General Account,
will be credited with interest at an effective rate of 4% per annum.
 
NO INTEREST IN ADDITION  TO THAT REFERRED  TO ABOVE WILL  BE CREDITED TO  LOANED
POLICY  VALUES NOR WILL POLICY VALUES IN  THE GENERAL ACCOUNT PARTICIPATE IN ANY
INVESTMENT EXPERIENCE APPLICABLE TO THE SEPARATE ACCOUNT.
 
EFFECT OF A POLICY LOAN
 
A loan, whether or not repaid, will have a permanent effect on Policy Value,  to
the  extent  that the  investment  results of  the  Subaccounts differ  from the
interest rate  credited to  loaned amounts.  A loan  may also  have a  permanent
effect on the amount of Premium Based Bonuses and Policy Value Bonuses paid; and
on  the death benefit, since a Option B benefit varies with the Policy Value and
a Option A benefit may have resulted in an Alternative Death Benefit coming into
effect if no  loans were  made. A  loan may also  cause the  termination of  the
Guaranteed Death Benefit Rider.
 
A  loan  may  also cause  the  Policy to  lapse  if projected  earnings  are not
achieved. Adverse tax consequences may result  if the Policy lapses, matures  or
is  surrendered  with  loans outstanding.  For  Policies that  are  not modified
endowment contracts, loans will be treated  as ordinary income to the extent  of
the  gain upon  lapse, surrender  or maturity.  For Policies  which are modified
endowment contracts, loans  are taxable distributions  when taken. See  "Federal
Tax Matters--Taxation of Policy Benefits."
 
The  loaned  Policy  Value on  any  Valuation Date  will  be the  amount  of the
outstanding loan plus any interest credited on loaned Policy Value which has not
yet been reallocated to the  unloaned portion of the  General Account or to  the
Subaccounts  of the Separate Account as of the Valuation Date. Interest credited
to loaned Policy Values will be reallocated upon each Policy Anniversary on  the
same  basis that  the Monthly Deductions  are allocated.  Interest credited will
also be reallocated upon full  repayment of the loan in  the same manner as  the
repayment is allocated.
 
REPAYMENT OF A LOAN
 
Indebtedness may be repaid in whole or in part any time before the Maturity Date
while  the  surviving  insured is  living.  As of  the  Date of  Receipt  of the
repayment, unless  the Policy  owner specifies  otherwise, loaned  Policy  Value
equal  to the  amount of  the repayment will  be reallocated  among the unloaned
portion of the General  Account and the Subaccounts  of the Separate Account  in
the same proportion as
 
                                       23
<PAGE>
premiums  are  then being  allocated to  those accounts.  The Policy  owner must
designate whether  a payment  is intended  as a  loan payment  or as  a  premium
payment.  Any payment  for which  no designation  is made  will be  treated as a
premium payment.
 
SURRENDER AND PARTIAL WITHDRAWAL
 
   
Full surrender of the  Policy for the  Surrender Value may be  made at any  time
while  the Policy  is in effect.  A Surrender  Charge will be  deducted from the
Policy Value on any full  surrender within ten years  after the Policy Date.  An
additional amount of Surrender Charge may also be deducted on any full surrender
within  ten years after the date of any Face Amount increase above the amount on
which such  charge  was  previously calculated.  See  "Surrender  Charge"  under
"Charges and Deductions--Premium Tax and Sales Charges." (This does not apply to
a  Face Amount increase occurring automatically upon a change from a Option B to
a Option A death benefit.)
    
 
Partial withdrawals of Surrender Value may  be made once each Policy year  after
the  first  Policy  year during  the  Surviving Insured's  lifetime.  The amount
withdrawn will be deducted from the  General Account and the Subaccounts of  the
Separate  Account as selected by the Policy  owner. If no selection is made then
the amount will be withdrawn on a  Pro Rata Basis. Fortis Benefits reserves  the
right  to deduct a  withdrawal charge from the  proceeds of partial withdrawals,
although it has no current plans to do so. Any such charge would not be  imposed
on a full surrender, would not be designed to yield a profit to Fortis Benefits,
and  would  not  exceed  $25 per  withdrawal  (or,  if less,  2%  of  the amount
withdrawn).
 
When Death Benefit Option A is in effect, any partial withdrawal will reduce the
Face Amount  and  thus the  death  benefit, by  the  amount withdrawn.  Such  an
automatic  reduction in Face Amount does not result in any change in the monthly
Minimum Premium,  but  may  result  in a  distribution  (as  a  further  partial
withdrawal)  of  any  additional amount  necessary  to comply  with  the maximum
premium limitation under Section 7702 of  the Code. See "Payment and  Allocation
of Premiums--Premiums."
 
When  Death Benefit Option B is in  effect, the amount withdrawn will not reduce
the Face  Amount. However,  the death  benefit  will be  reduced by  the  amount
withdrawn, because Policy Value is reduced by the amount withdrawn. Under either
Option A or Option B, when the Alternative Death Benefit is in effect, a partial
withdrawal  will reduce  the death  benefit by  a greater  amount than otherwise
would be the case.
 
A partial withdrawal  may also  cause the  termination of  any Guaranteed  Death
Benefit Rider or reduce the amount of any Premium Based Bonuses and Policy Value
Bonuses.
 
A  Policy owner will not be permitted  to make any partial withdrawal that would
reduce the Face Amount of the Policy below the minimum Face Amount of  $100,000.
If  a request for  a partial withdrawal  is received that  would reduce the Face
Amount below  the  minimum,  Fortis  Benefits will  not  implement  the  partial
withdrawal  request, but will contact the Policy owner as to whether the request
should be disregarded, reduced to a smaller amount or changed to a request for a
full surrender.
 
Surrenders or  partial withdrawals  are made  by sending  a written  request  on
Fortis  Benefits' form to its Home Office, together with the Policy, in the case
of total surrender. See "Summary--How to  Exercise Your Rights Under a  Policy."
The  surrender or withdrawal,  and any related  automatic Face Amount reduction,
will be effective as of the Date of Receipt by Fortis Benefits of the request on
its form and, if required, the Policy.
 
RIGHTS RESERVED BY FORTIS BENEFITS
 
Fortis Benefits reserves the right to make certain changes if, in its judgement,
they would best serve the interests of the Policy owners or would be appropriate
in carrying out the purposes of the  Policies. Any changes will be made only  to
the  extent and in the manner permitted  by applicable laws. Also, when required
by law, Fortis  Benefits will obtain  Policy owner approval  of the changes  and
approval  from any  appropriate regulatory authority.  Such approval  may not be
required in all cases, however. Examples of the changes Fortis Benefits may make
include:
 
    - To operate the Separate Account in  any form permitted under the 1940  Act
      or in any other form permitted by law.
 
    - To  take any action  necessary to comply  with or obtain  and continue any
      exemptions from the  1940 Act  or otherwise  to comply  with laws,  rules,
      regulations, interpretations, holdings, order or rulings which necessarily
      or  appropriately must  be complied with  for the Policies  to serve their
      intended purposes.
 
    - To transfer or limit any assets  in any Subaccount to another  Subaccount,
      or to one or more separate accounts, or to the General Account; or to add,
      combine or remove Subaccounts in the Separate Account.
 
    - To substitute, for the Portfolio shares held in any Subaccount, the shares
      of  another Portfolio of Fortis Series or the shares of another investment
      company or any other investment permitted by law.
 
    - To make any other  necessary technical changes in  the Policy in order  to
      conform  with any  action the above  provisions permit  Fortis Benefits to
      take, including to change  the way Fortis  Benefits assesses charges,  but
      without  increasing as to any then outstanding Policy the aggregate amount
      of the types of charges which Fortis Benefits has guaranteed. See "Charges
      and Deductions--Guarantee of Certain Charges."
 
If any Portfolio materially changes its  investment policy, a Policy owner  will
have  sixty days  after receiving notice  of the  change to transfer  all of the
Policy Value to the General Account, as described under "Payment and  Allocation
of Premiums--Allocation of Premiums and Policy Value."
 
PAYMENT AND DEFERMENT
 
With  respect to amounts in the Subaccounts  of the Separate Account, payment of
the maturity  proceeds,  death benefit,  accelerated  death benefit,  all  or  a
portion    of    the   Surrender    Value    or   a    loan    will   ordinarily
 
                                       24
<PAGE>
be made within five days after the Date of Receipt of all documents required for
such payment. Also,  death benefit payments  will be made  only after all  state
insurance  law requirements (including  receipt of any  required tax waiver) are
satisfied.
 
However, Fortis Benefits may defer the determination, application or payment  of
any   death  benefit,  accelerated  death  benefit,  loan,  partial  withdrawal,
surrender or any transfer of  Policy Value for any  period during which the  New
York  Stock  Exchange  is  closed  (other  than  customary  weekend  and holiday
closings), for any period during which any emergency exists as a result of which
it is not reasonably practicable for Fortis Benefits to determine the investment
experience for  a  Policy, or  for  such other  periods  as the  Securities  and
Exchange Commission may by order permit for the protection of Policy owners.
 
As  with traditional  life insurance, Fortis  Benefits may delay  payment of the
entire insurance proceeds or other Policy benefits if entitlement to payment  is
being  questioned.  Fortis Benefits  may also  defer the  payment of  any amount
attributable to a premium  payment made by check  to allow the check  reasonable
time  to clear. To the extent permitted  under the Policies and applicable state
insurance laws, Fortis Benefits may also defer payment of Policy loans,  partial
withdrawals or other proceeds payable out of the General Account for a period of
up to 6 months, although no such deferrals will be made of amounts to be used to
pay premiums on insurance policies issued by Fortis Benefits.
 
DISTRIBUTION OF THE POLICIES
 
The  Policies will be sold by individuals  who, in addition to being licensed by
state insurance authorities to  sell the policies of  Fortis Benefits, are  also
registered   representatives  of  Fortis   Investors,  Inc.  ("Investors"),  the
principal underwriter of  the Policies, or  registered representatives of  other
broker-dealer   firms  or  representatives   of  firms  that   are  exempt  from
broker-dealer regulation. Investors and any  such other broker-dealer firms  are
registered  with  the Securities  and Exchange  Commission under  the Securities
Exchange Act  of  1934  as  broker-dealers  and  are  members  of  the  National
Association of Securities Dealers, Inc.
 
   
Commissions  and other  compensation are  paid by  Fortis Benefits  to Investors
under a distribution agreement entered  into by them as  of January 1, 1994  and
amended  September  30, 1995.  As  compensation for  distributing  the Policies,
Fortis Benefits pays Investors 90% of all premiums, regardless of when paid,  up
to  the first twelve  monthly Minimum Premiums  (and up to  the amount of twelve
months' Minimum Premium attributable  to Face Amount increases);  and 4% of  all
other  premiums paid during the first six years  after the Policy Date and 2% of
such excess premiums  paid in Policy  years seven through  ten. Fortis  Benefits
also  pays Investors .25% of the unloaned Policy Value annually as a service fee
from the eleventh  Policy year. Fortis  Benefits also pays  a general  marketing
allowance  to Fortis Investors equal to 20%  of the first twelve monthly Minimum
Premiums, not to exceed an  amount agreed to in  advance by Fortis Benefits  and
Fortis  Investors ($1,812,000 in  calendar year 1996  for all Variable Universal
Life Policies  issued  by  Fortis  Benefits). The  Minimum  Premiums  for  these
purposes  are generally those  used to determine  availability of the Guaranteed
Death Benefit period to  Age 85 of  the younger insured,  decreased by any  term
conversion  credit. Investors  pays a selling  allowance not in  excess of those
amounts to other  broker dealer  firms or exempt  firms who  sell the  Policies.
Fortis  Benefits  may,  under certain  flexible  compensation  arrangements, pay
Fortis Investors different selling allowances and service fees than as set forth
above, and Fortis  Investors may in  turn pay different  selling allowances  and
larger  service fees to  its registered representatives  and other broker-dealer
firms than as set forth above. However, in such case, such flexible compensation
arrangements will have actuarially equivalent  present values to the amounts  of
the  selling  allowances  and  service  fees set  forth  above.  In  many cases,
registered representatives,  broker-dealers or  exempt  firms are  eligible  for
additional  compensation, and  general agents  and managing  general agents also
receive  additional  compensation,  based  on  meeting  certain  production   or
mortality  experience  standards.  Commissions and  other  compensation  do not,
however, represent a charge or deduction  against Policies in addition to  those
set forth under "Charges and Deductions." Such compensation for the Policies and
for all other variable universal life policies issued by Fortis Benefits totaled
$26,084,059   for  1995,  $24,147,115  for   1994,  and  $15,961,921  for  1993.
Commissions with respect to  premium payments which  are refunded are  returned.
The  distribution  agreement may  be terminated  by either  party upon  60 days'
notice to the other.
    
 
Investors is a Minnesota corporation engaged primarily in the sale of investment
company securities. Investors  is the  principal underwriter  for the  following
registered  investment companies (in addition to the Separate Account and Fortis
Series): Variable  Account D  of Fortis  Benefits, First  Fortis Life  Insurance
Company's   Separate  Account  A  and   Variable  Account  C,  Fortis  Advantage
Portfolios, Inc., Fortis Capital  Fund, Inc., Fortis  Growth Fund, Inc.,  Fortis
Fiduciary Fund, Inc., Fortis Tax-Free Portfolios, Inc., Fortis Money Fund, Inc.,
Fortis  Income Portfolios, Inc., Fortis  Worldwide Portfolios, Inc., and Special
Portfolios,  Inc.  Investors'  address   is  500  Bielenberg  Drive,   Woodbury,
Minnesota, 55125.
 
Officers,  directors, and employees  of Fortis Benefits  and Investors, together
with those of Fortis, Inc. and its other subsidiaries, are bonded pursuant to  a
joint  fidelity bond, in  the amount of  $5,000,000 per occurrence,  in favor of
such companies.
 
FEDERAL TAX MATTERS
 
The following description is a brief summary of the tax rules, primarily related
to federal income and estate taxes, which in the opinion of Fortis Benefits  are
currently in effect.
 
The  following discussion  is intended to  provide a general  description of the
federal income  tax  considerations associated  with  the Policy.  It  does  not
purport either to be complete or to cover all situations; this discussion is not
intended  to be taken  as tax advice.  Consult a qualified  tax adviser for more
complete  information.   This  discussion   is  based   upon  Fortis   Benefits'
understanding  of  the present  federal income  tax laws  as they  are currently
interpreted by the Internal Revenue Service. No representation is made as to the
likelihood of continuation  of the  present federal income  tax laws  or of  the
current interpretation by the Internal Revenue Service.
 
TAX STATUS OF THE POLICY
 
Section  7702 of  the Internal  Revenue Code of  1986, as  amended, (the "Code")
includes a definition of  life insurance for federal  income tax purposes.  This
definition  can be satisfied by complying with  either of two tests set forth in
Section 7702. Although the secretary of the Treasury is authorized to  prescribe
regulations interpreting the manner in which the tests under Section 7702 are to
be  applied, such regulations  have not been issued.  In addition, the Technical
and
 
                                       25
<PAGE>
Miscellaneous Revenue Act  of 1988 (TAMRA)  provides certain requirements  under
Section  7702  of the  Code  for mortality  and  other expense  charges  of life
insurance contracts.  The  Treasury  issued proposed  regulations  on  mortality
charges in 1991. Guidance on these requirements is extremely limited, but Fortis
Benefits  believes the  Policies qualify  as life  insurance under  the proposed
regulations.
 
If it is subsequently  determined that a Policy  does not satisfy Section  7702,
Fortis  Benefits reserves the right to modify  the Policy as appropriate, and to
the extent possible, to  qualify it as a  life insurance contract under  Section
7702.  If  a Policy  were determined  not to  be a  life insurance  contract for
Section 7702 purposes, such Policy would  not provide any of the tax  advantages
normally provided by a life policy.
 
Section  817(h) of the Code  also authorizes the Secretary  of the Treasury (the
"Treasury") to set standards by regulation  or otherwise for investments of  the
Separate  Account to be "adequately  diversified" in order for  the Policy to be
treated as  life  insurance for  federal  tax purposes.  The  Separate  Account,
through  Fortis Series, intends to  comply with the diversification requirements
prescribed in Regulations Section 1.817-5, which affect how the assets of Fortis
Series may be  invested. Fortis  Benefits believes  that Fortis  Series will  be
operated in compliance with the requirements prescribed by the Treasury.
 
In  connection with the issuance of the temporary regulations on diversification
requirements, the  Treasury  announced  that such  regulations  do  not  provide
guidance  concerning  the  extent  to  which  Policy  owners  may  direct  their
investments to  particular  Subaccounts  of  the  Separate  Account.  Additional
guidance  may come from the  Treasury in the future.  In that case, the Treasury
might treat a Policy owner as the owner  of assets of the Separate Account if  a
Fortis Series Portfolio is too narrow in its investment strategy, even though it
technically  meets  the diversification  requirements. It  is not  clear whether
Treasury's position, if  promulgated, would  be applied on  a prospective  basis
only.  While  Fortis Benefits  believes that  the  investment strategies  of the
Policy's Portfolios are sufficiently broad, it reserves the right to modify  the
Policy  as necessary to prevent the Policy owner from being considered the owner
of the assets of the Separate Account.
 
The following  discussion  assumes  that  the Policy  will  qualify  as  a  life
insurance contract for federal income tax purposes.
 
TAX STATUS OF ADDITIONAL INSURED RIDER PLUS
 
The  coverage under the Additional Insured Rider Plus for a non-family member is
not a qualified additional benefit as defined in Section 7702 of the Code. As  a
result, the Monthly Deductions attributable to such coverage may be deemed to be
distributions  from the  policy for tax  purposes. However,  the benefit payable
under the rider should be excludible  from the gross income of the  beneficiary.
Before  purchasing such coverage you should consult with a qualified tax adviser
for more complete information.
 
TAXATION OF POLICY BENEFITS
 
   
IN GENERAL.  Fortis  Benefits  believes  that  the  proceeds  and  Policy  Value
increases  of  a  Policy  should  be  treated  in  a  manner  consistent  with a
fixed-benefit life insurance policy for  federal income tax purposes. Thus,  the
death benefit under the Policy should be excludable from the gross income of the
beneficiary  under Section 101(a)(1) of the Code. The tax results are unclear if
the Policy is continued beyond the  original maturity date. It is possible  that
the  Policy owner will be treated as being in constructive receipt of the Policy
surrender value after  the original  maturity date  and subject  to tax.  Policy
owners  should consult  with their tax  advisor before exercising  the option to
extend the maturity date.
    
 
The exchange of the Policy for another  life insurance policy, the payment of  a
premium,  a change in Face Amount or  death benefit option, an accelerated death
benefit payment, a transfer or  assignment of a Policy,  a Policy loan, a  lapse
with  an outstanding  indebtedness, a partial  withdrawal or the  surrender of a
Policy may have tax consequences depending on the circumstances. Federal  estate
and  state and local estate, inheritance and other tax consequences of ownership
or receipt of  Policy proceeds depend  upon the circumstances  of each owner  or
beneficiary.
 
   
If  a Policy is part of a  collateral assignment equity split dollar arrangement
with an employer,  any increase in  Policy Value may  be taxable annually.  This
type  of arrangement involves premium advances  by an employer which are secured
through a collateral assignment of the Policy. A tax advisor should be consulted
with respect to any type of split dollar arrangement involving the Policy.
    
 
Generally, the Policy owner will not be deemed to be in constructive receipt  of
the  Policy Value, including increments thereof, under the Policy until there is
a distribution. The tax consequences of a distribution from a Policy depend,  in
part,  on whether  the Policy is  classified as a  "modified endowment contract"
under Section 7702A.
 
MODIFIED ENDOWMENT CONTRACTS. A  Policy may be treated  as a modified  endowment
contract depending upon the amount of premiums paid for such Policy. The premium
limitation  rules for determining whether a Policy will be treated as a modified
endowment  contract  are  extremely  complex.  Moreover,  due  to  the  Policy's
flexibility,  classification as a modified endowment contract will depend on the
circumstances of each Policy. Accordingly, a current or prospective Policy owner
is strongly  advised to  contact a  competent tax  adviser before  purchasing  a
Policy  or paying a premium or making any other change in any existing Policy to
determine whether the Policy would be treated as a modified endowment contract.
 
DISTRIBUTIONS FROM MODIFIED ENDOWMENT CONTRACTS. Policies classified as modified
endowment  contracts  are  subject  to  the  following  tax  rules:  First,  all
distributions from such a Policy are treated as taxable up to an amount equal to
the excess (if any) of the Policy Value immediately before the distribution over
the investment in the Policy (described below) at such time. Second, loans taken
from  or  secured by  such  a Policy,  and  assignments as  well  as surrenders,
withdrawals and benefits paid at maturity, are treated as taxable distributions.
Third, a 10% additional income tax is imposed on the portion of any distribution
or deemed distribution  from such  a Policy that  is included  in income  except
where  the distribution,  loan, assignment  or pledge  is made  on or  after the
Policy owner attains age  59 1/2, is attributable  to the Policy owner  becoming
disabled,  or is a part of a series of substantially equal periodic payments for
the life of the Policy owner or the  joint lives of the Policy owner and  Policy
owner's beneficiary.
 
                                       26
<PAGE>
DISTRIBUTIONS  FROM  POLICIES THAT  ARE  NOT MODIFIED  ENDOWMENT  CONTRACTS. The
distribution rules for Policies  that are not  modified endowment contracts  are
the  same as those that applied to all life insurance contracts before TAMRA was
enacted. Thus, distributions from Policies  that are not classified as  modified
endowment  contracts are generally treated as first recovering the investment in
the Policy (see below) and then only after the return of all such investment  in
the  Policy  as disbursing  taxable income.  An exception  to this  general rule
occurs in the  case of a  decrease in the  Policy's death benefit  or any  other
change  that reduces benefits under  the Policy in the  first 15 years after the
Policy is issued and that results in  a cash distribution to the owner in  order
for  the Policy to continue complying with the Section 7702 definitional limits.
Such cash distribution will be taxed in whole or in part as ordinary income  (to
the extent of any gain in the Policy) under rules prescribed in Section 7702.
 
Loans from Policies that are not modified endowment contracts are not treated as
distributions. Instead, such loans are treated as indebtedness of an owner.
 
In  addition, upon  a complete  surrender or  lapse of  a Policy  that is  not a
modified endowment  contract, or  when  benefits are  paid  at such  a  Policy's
maturity  date, if the  amount received plus the  amount of indebtedness exceeds
the total investment  in the  Policy, the excess  will generally  be treated  as
ordinary income.
 
Finally,  neither distributions  nor loans from  Policies that  are not modified
endowments are subject to the 10% additional income tax.
 
POLICY LOAN INTEREST. Generally, interest paid on any loan under a Policy  which
is  owned by an individual is not  deductible. In addition, interest on any loan
under a Policy owned by a taxpayer  and covering the life of any individual  who
is  an officer or is  financially interested in the  business carried on by that
taxpayer will not be tax deductible to  the extent the aggregate amount of  such
loans  with respect to contracts covering such individual exceeds $50,000. There
is however  pending  legislation  that  would  eliminate  the  deductibility  of
interest  paid even  on loans $50,000  and under,  with respect to  both new and
previously issued policies.
 
No amount of Policy  loan interest is,  in any event,  deductible if the  Policy
were  deemed for  federal tax  purposes to  be a  single premium  life insurance
contract. The Policy owner should consult a tax adviser as to whether the Policy
would be so deemed.
 
INVESTMENT IN  THE POLICY.  Investment in  the Policy  means (i)  the  aggregate
amount  of any premiums or other consideration paid for the Policy including the
amount of any  loan received under  the Policy to  the extent that  the loan  is
included in the gross income of the Policy owner minus (ii) the aggregate amount
received under the Policy which was excluded from the gross income of the Policy
owner,  except that the  amount of any  loan received under  the policy which is
excluded from gross income shall be disregarded.
 
If there is a non-family member insured under the Additional Insured Rider Plus,
the Investment  in  the  Policy  is  reduced by  the  total  amount  of  Monthly
Deductions attributable to that insured.
 
MULTIPLE  CONTRACTS.  Under TAMRA,  all  modified endowment  contracts  that are
issued by Fortis Benefits or its affiliates,  to the same Policy owner during  a
calendar  year are  treated as one  modified endowment contract  for purposes of
determining the amount  includible in gross  income under Section  72(e) of  the
Code.
 
EXCHANGES.  TAMRA  also  provides that  a  life insurance  contract  received in
exchange for a Policy classified as  a modified endowment contract will also  be
treated  as a  modified endowment contract.  Accordingly, a  Policy owner should
consult a tax adviser before effecting an exchange of a Policy.
 
TAXATION OF FORTIS BENEFITS
 
Fortis Benefits does not initially expect  to incur any federal income tax  upon
the  earnings or capital gains attributable  to the Separate Account. Based upon
these expectations,  no charge  is  currently being  made against  the  Separate
Account  for  federal income  taxes which  may be  attributable to  the Separate
Account. If, however, Fortis Benefits determines  that it may incur such  taxes,
it may assess a charge against the Separate Account for those taxes, which would
reduce a Policy's net investment return.
 
Under present laws, Fortis Benefits may incur state and local taxes (in addition
to   premium  taxes)  in  several  states.  At  present,  these  taxes  are  not
significant. If  they increase,  however,  Fortis Benefits  may decide  to  make
charges  for  such  taxes or  provisions  for  such taxes  against  the Separate
Account.
 
OTHER POLICY PROVISIONS
 
OWNER. The owner of a  Policy is the individual or  entity named as such in  the
application for the Policy. The owner is entitled to exercise all rights under a
Policy,  including the right to name a new owner or a successor who would become
the Policy owner  if the  owner should die  before the  Surviving Insured  dies.
Otherwise the owner's estate would become the owner.
 
BENEFICIARY.  The beneficiary  is the  person or  persons to  whom the insurance
proceeds are payable upon  the Surviving Insured's death.  The owner may name  a
contingent  beneficiary to become  the beneficiary if  all the beneficiaries die
while  the  Surviving  Insured  is  alive.  If  no  beneficiary  or   contingent
beneficiary  is alive when the Surviving Insured dies, the owner (or the owner's
estate) will be the beneficiary. While the Surviving Insured is alive, the owner
may change any beneficiary or contingent beneficiary.
 
COLLATERAL ASSIGNMENT. The owner may assign a Policy as collateral. Rights under
the Policy will be transferred to the extent of the assignee's interest.  Fortis
Benefits  is not  bound by  an assignment  or release  thereof, unless  it is in
writing and is recorded at its  Home Office. Fortis Benefits is not  responsible
for the validity of any assignment or release thereof.
 
DATE  OF RECEIPT. The Date of Receipt by Fortis Benefits of any payment or other
communication is the actual date it is received at Fortis Benefits' Home  Office
in proper form unless received (1) after the close of the NYSE, or (2) on a date
which is not a Valuation Date. In either of these two cases, the Date of Receipt
will be deemed to be the next Valuation Date.
 
DATE  OF  CERTAIN CHANGES.  Changes in  beneficiaries  and successor  owners and
assignments   take    effect    as    of   the    date    the    owner    signed
 
                                       27
<PAGE>
the change request, subject to any actions taken by Fortis Benefits prior to the
Date  of Receipt of written notice of  the change in form satisfactory to Fortis
Benefits or, in the case of an assignment, recording by Fortis Benefits.
 
SUICIDE. The  insurance proceeds  will not  be paid  if either  insured  commits
suicide within two years (one year in Colorado and North Dakota) from the Policy
Date.  Instead, Fortis Benefits will pay the  beneficiary an amount equal to all
premiums paid  for the  Policy, without  interest, less  any outstanding  Policy
loan, plus any loan interest paid for periods beyond the date of death, and less
any  partial withdrawals. If either insured  commits suicide more than two years
after the Policy  Date but  within two  years (one  year in  Colorado and  North
Dakota)  from the effective date of any reinstatement or increase in Face Amount
requested by the Policy owner, Fortis  Benefits' liability with respect to  such
increase  or reinstatement will be limited to the cost of insurance attributable
to such  increase  or reinstatement  since  that date.  In  states where  it  is
required, the Policy owner is given the option to have the Policy reissued as an
individual  policy on the Surviving Insured if the first death is a suicide. The
new policy will be  on a form  then available and will  have the same  effective
date  as this Policy. This  option is not available  if the Surviving Insured is
considered uninsurable. Riders may be added  if Fortis Benefits agrees to  issue
such Riders.
 
AGE  AND SEX. If either insured's Age or sex as stated in the application is not
correct, the death benefit under a Policy will be adjusted to reflect the amount
of insurance  coverage which  the  most recent  cost  of insurance  charges  and
deductions  for riders would have purchased at  the correct Age and sex. As used
herein,  "Age"  is  each  insured's  actual  age  on  the  most  recent   Policy
Anniversary.
 
INCONTESTABILITY. Fortis Benefits may contest the validity of a Policy, any Face
Amount  increase, or any optional insurance benefit based on other misstatements
in the application  therefor. However,  any such statements  will be  considered
representations  and  not  warranties.  Fortis  Benefits  will  not  contest the
validity of a  Policy after it  has been in  force during the  lifetime of  each
insured for two years from the Policy Date. Fortis Benefits will not contest the
validity  of any optional  insurance benefit, reinstatement  or increase in Face
Amount after it has been  in force during the lifetime  of each insured for  two
years from its effective date.
 
The  Policy owner must  notify Fortis Benefits  of the death  of the first joint
insured to die  as soon as  it is possible  to do so.  Failure to notify  Fortis
Benefits  of an insured's death will not prevent Fortis Benefits from contesting
the validity of the Policy should there be a basis upon which to do so.
 
OPTION TO EXTEND  MATURITY DATE. This  option is available  as part of  Policies
issued  in a state that has  approved the endorsement containing this provision.
This option allows the  Policy owner to  request a later  maturity date, if  the
Policy Value is at least $2,000. The request must be in writing and must be made
within  60 days of  the current maturity  date. If this  option is exercised the
Policy owner  will not  be permitted  to 1)  make any  further premium  payments
except  if necessary to prevent  lapse of the Policy 2)  make any Face Amount or
death benefit  option changes  or 3)  make any  partial withdrawals  that  would
reduce the Policy Value below $2,000.
 
Also,  upon exercise of this  option the following occurs:  1) The Death Benefit
becomes the Alternative Death  Benefit (see "Death Benefit  Options--Alternative
Death  Benefit")  2)  No  further  Premium Based  Bonuses  are  credited  3) All
supplemental  riders  (including   those  in  disability   status)  except   the
Accelerated  Benefit  Rider terminate  and 4)  Any Policy  loan will  be charged
interest at an effective annual rate of 3.85% per year payable in advance.
 
DIVIDENDS. The  Policies are  nonparticipating.  This means  that they  are  not
eligible for dividends and they do not participate in any distribution of Fortis
Benefits' surplus.
 
ADDITIONAL  CREDITS FOR CERTAIN GROUPS. The credits described below will be made
under Policies owned by  Fortis, Inc., its subsidiaries,  any individual who  at
the  time  of  purchase is  an  officer,  director, employee,  retiree  or sales
representative of any such company, any Fortis Series director, any director  of
any  of the other mutual funds managed by  Fortis Advisers, Inc., or a spouse or
child under Age  21 of any  such person, or  a representative or  employee of  a
broker-dealer that has a selling agreement with Fortis Investors, Inc. No credit
will  be made for any Policy for which sales compensation is paid. Additionally,
in Fortis Benefits' discretion,  certain charges may also  be reduced or  waived
for these categories of persons.
 
Fortis  Benefits will credit 40% of the first year Planned Periodic Premium (not
to exceed the Maximum Bonus  Premium for that year) and  25% of the sum of  such
premium  in the  second Policy  year. The first  credit, after  deduction of any
premium tax  that Fortis  Benefits may  determine  in the  future to  impose  on
premium  payments, will be applied  as if it were  a premium payment received on
the date the Policy is  released by Fortis Benefits to  an active status in  its
processing  system. The  second credit  will be  applied similarly  on the first
Policy Anniversary. The  premium returned  upon exercise of  the Policy  owner's
right to cancel a Policy will not include the amount of any credit.
 
Additionally, for a Face Amount increase, Fortis Benefits will credit 40% of the
first  year Planned  Periodic Premium (not  to exceed the  Maximum Bonus Premium
attributable to the Face  Amount increase) attributable to  the increase on  the
effective  date of such Face Amount increase if the Policy owner is at that time
a member of the  above described group.  On the first  anniversary of such  Face
Amount  increase, 25% of  such premium attributable to  the Face Amount increase
still in effect will be credited to  the Policy. These credits are granted  only
if  the Face  Amount increase  is at  least $25,000  and the  annualized planned
periodic premium is  equal to  twelve monthly  Minimum Premiums  for the  entire
Policy.  The credit is granted  only on the portion  of the Face Amount increase
that equals the excess of the current  face amount over the largest face  amount
that has ever been in force on the Policy.
 
If  a Policy  is issued  in exchange  for another  policy or  policies issued by
Fortis Benefits or  Time Insurance Company  within the last  5 years and  Fortis
Benefits  relies on the evidence of insurability previously provided, no credits
will be paid for the transferred Face  Amount. If such exchange is made after  5
years,  the credit is 50% of the  amount above for the transferred coverage. The
full credit  amount will  be  paid on  any increase  in  Face Amount  above  the
transferred coverage.
 
                                       28
<PAGE>
The  foregoing program is subject to termination at any time without notice. All
variations will reflect  differences in Fortis  Benefits' expected  commissions,
sales  or administrative  expenses or mortality  experience with  respect to the
group of persons  to whom  such variations apply.  All such  variations will  be
pursuant  to administrative rules and  procedures established by Fortis Benefits
from  time  to  time   and  will  be  designed   to  be  fair,  reasonable   and
non-discriminatory with respect to each group of Policy owners.
 
PURCHASES  BY LIFE INSURANCE POLICY HOLDERS. When issuing a Policy or increasing
the Face Amount  for an insured  who is already  covered by one  of its or  Time
Insurance  Company's life  insurance policies, Fortis  Benefits may  rely on the
evidence of  insurability  previously  provided,  rather  than  relying  on  new
evidence,  in which case,  the suicide and contestability  periods will run from
the original date of  coverage. This procedure applies  only to that portion  of
the  Policy's  Face Amount  which is  not in  excess of  the amount  of existing
insurance coverage,  and the  insurance  will terminate  when the  new  coverage
becomes effective.
 
If  the value of  an existing life  insurance policy which  was issued by Fortis
Benefits Insurance Company is transferred to a Policy, then neither the  premium
tax charge nor the sales charge will be assessed against the amount transferred.
 
Also,  for its or Time Insurance Company's term insurance policy holders, if the
term policy has  been outstanding for  at least one  year, Fortis Benefits  will
give  the Policy owner a "conversion credit" in  the amount of the lesser of the
prior twelve  months' premiums  on the  term  policy or  25% of  the  annualized
Planned  Periodic  Premium  (not to  exceed  the  Maximum Bonus  Premium  at the
attained Ages  of the  joint insureds)  for  the amount  of Policy  Face  Amount
established  by the conversion. The  conversion credit will be  applied as if it
were a premium  payment received by  us on the  date the Policy  is released  by
Fortis Benefits to an active status in its processing system (or, in the case of
an  existing Policy,  on the  effective date  of the  Face Amount  increase). No
premium tax charges will be assessed against the conversion credit. The Policy's
Surrender Value  and Policy  loan  value during  the  first year  following  the
conversion  do not  include the  amount of the  conversion credit,  nor does the
amount paid upon an exercise of the  Policy owner's right to cancel a Policy  or
Face Amount increase.
 
The foregoing procedures are subject to Fortis Benefits' administrative rules as
in effect from time to time and may be terminated at any time.
 
MANAGEMENT
 
The  directors and  executive officers, to  the extent  responsible for variable
life insurance operations, of  Fortis Benefits are  listed below, together  with
their principal occupations and business experience for the past five years:
 
   
<TABLE>
<S>                          <C>
OFFICER-DIRECTORS
Robert Brian Pollock (4)     President and Chief Executive Officer; before then
                             Senior Vice President--Life and Disability.
Thomas Michael Keller (5)    Executive  Vice President; before then Senior Vice
                             President of Fortis, Inc.
Dean C. Kopperud (1)         Senior Vice President--also officer of  affiliated
                             companies.
 
OTHER DIRECTORS
Allen Royal Freedman (2)     Chairman  and Chief  Executive Officer  of Fortis,
                             Inc.
Henry Carroll Mackin (2)     Executive Vice President of Fortis, Inc.
Arie Aristide Fakkert (3)    Assistant General Manager of Fortis  International
                             N.V.
 
EXECUTIVE OFFICERS
Larry A. Medin (1)           Senior  Vice President--Sales;  before then Senior
                             Vice   President--Western   Divisional    Officer,
                             Colonial Group, Inc.
Anthony J. Rotondi (1)       Senior Vice President--Manufacturing and
                             Information Technology, also officer of affiliated
                             companies.
Rhonda Schwartz (1)          Senior  Vice  President and  General Counsel--Life
                             and Investment Products; before then Secretary and
                             General  Counsel  of  Fortis,  Inc.;  before  then
                             Norris, McLaughlin, Marcus--attorneys.
Michael John Peninger (4)    Senior Vice President and Chief Financial Officer
Jon H. Nicholson (1)         Senior  Vice  President--Product  Development  and
                             Marketing
</TABLE>
    
 
- ------------------------
   
(1) Address: Fortis Benefits  Insurance Company,  P.O. Box 64271,  St. Paul,  MN
    55164.  Fortis  Benefits  is  a wholly-owned  subsidiary  of  Time Insurance
    Company,  501  West   Michigan,  Milwaukee,  WI   53201,  which  is   itself
    wholly-owned by Fortis, Inc.
    
 
(2) Address:  Fortis,  Inc.,  One Chase  Manhattan  Plaza, New  York,  NY 10005.
    Fortis, Inc. is wholly owned by Fortis International, N.V., which is  itself
    wholly  owned by AMEV/VSB 1990 N.V. The  latter two companies share the same
    address as Fortis AMEV N.V. AMEV/VSB 1990  N.V. is 50% owned by Fortis  AMEV
    N.V.  and 50%  owned by  Fortis AG,  Boulevard Emile  Jacqmain 53, Brussels,
    Belgium.
 
(3) Address: Fortis AMEV, Archimedeslaan 10, 3584 BA Utrecht, The Netherlands.
 
(4) Address: 2323 Grand Avenue, Kansas City, MO 64108.
 
   
(5) Address: 501 West Michigan, Milwaukee WI 53201.
    
 
                                       29
<PAGE>
VOTING PRIVILEGES
 
In accordance with  its view of  current applicable law,  Fortis Benefits  will,
with   respect  to  certain  matters,  vote  each  Subaccount's  shares  in  the
corresponding Portfolio at regular and  special meetings of the shareholders  of
Fortis  Series in  proportion to instructions  received from  persons having the
voting interest  in  the  corresponding  Subaccount  of  the  Separate  Account.
However,  if the 1940  Act or any rules  thereunder should be  amended or if the
present interpretation thereof should  change, and as  a result Fortis  Benefits
determines that it is permitted to vote such shares of the Portfolios in its own
right, it may elect to do so.
 
Each  Policy owner participating  in a Subaccount  will be entitled  to cast one
vote with respect  to that  Subaccount for  each $100  of Policy  Value in  that
Subaccount  as of the  date stock ownership is  determined for the corresponding
Fortis Series  shareholder  meeting. (Fractional  votes  will be  counted.)  All
shares  of the Portfolio held by that  Subaccount will be voted in proportion to
the votes of Policy owners participating in the Subaccount. Shares held in other
separate accounts will in  general be voted in  accordance with instructions  of
the  participants therein. This tends to  diminish the relative voting influence
of the Policies.  Any shares  of a  Portfolio owned  by Fortis  Benefits in  its
General  Account or by affiliated companies of  Fortis Benefits will be voted in
the same proportion as instructions for  that Portfolio which are received  from
persons  having the voting interest in all separate accounts investing in Fortis
Series.
 
The Policy owners may give instructions  regarding the election of the Board  of
Directors  of Fortis  Series, ratification of  the selection  of its independent
auditors, the approval  of the  investment adviser  of a  Portfolio, changes  in
fundamental  investment policies of a Portfolio,  and all other matters that are
put to a vote by Fortis Series shareholders.
 
Notwithstanding contrary Policy owner  voting instructions, Fortis Benefits  may
vote  Portfolio shares in  any manner necessary  to enable any  Portfolio to (1)
make or refrain from making any change in the investments or investment policies
of any Portfolio, if required by any insurance regulatory authority; (2) refrain
from making any change in the  investment policies or any investment adviser  or
principal  underwriter of any Portfolio which  may be initiated by Policy owners
or the  Fortis  Series  Board  of  Directors,  provided  that  Fortis  Benefits'
disapproval  of  the  change is  reasonable  and, in  the  case of  a  change in
investment policies or investment adviser,  based on a good faith  determination
that  such change would be  contrary to state law  or otherwise inappropriate in
light of the Portfolio's  objective and purposes; or  (3) enter into or  refrain
from  entering into any advisory agreement or underwriting contract, if required
by any insurance regulatory authority. If Fortis Benefits does disregard  Policy
owner  voting instructions, an explanation of this action and the reasons for it
will be included in the next semi-annual report to Policy owners.
 
REPORTS
 
Policy owners will receive promptly statements of significant transactions  such
as  changes in  Face Amount,  changes in  death benefit  option, transfers among
Subaccounts, partial withdrawals, Policy loans, loan repayments, termination for
any reason, reinstatement, premium payments  (except as noted below) and  unpaid
loan  interest  added  to  loan  principal.  These  transactions  will  also  be
summarized in an annual statement sent to the Policy owner. The annual statement
will be as  of a date  not more  than 60 days  prior to mailing,  and will  also
summarize  the following other items: premiums paid by use of a plan selected by
the Policy owner  authorizing monthly  withdrawals of premiums  from the  Policy
owner's  checking  account, paycheck  or  government payment  during  the annual
period, deductions of charges occurring  during that annual period, any  Premium
Based  Bonuses  and Policy  Value Bonuses  credited during  that period  and the
status of the death benefit, Policy Value  (both total and net of any  Surrender
Charge), amounts in the Subaccounts and General Account, and any Policy loan. In
addition,  an  owner  will  be  sent  semiannual  reports  containing  financial
statements for Fortis  Series, as  required by  the 1940  Act. Fortis  Benefits'
current  policy is to  honor requests for  statements of Policy  values during a
Policy year, although Fortis  Benefits reserves the right  at any time to  cease
offering or to charge for this service. Such statements may be requested through
the phone number on the cover of this Prospectus.
 
STATE REGULATION
 
Fortis  Benefits  is  subject  to regulation  and  supervision  by  the Commerce
Department of the State of  Minnesota, which periodically examines its  affairs.
It  is also subject to  the insurance laws and  regulations of all jurisdictions
where it is authorized  to do business. Fortis  Benefits intends to satisfy  the
necessary  requirements to sell the policies in all states, other than New York,
as soon as possible.
 
LEGAL MATTERS
 
The legality of the Policies described  in this Prospectus has been passed  upon
by  Douglas  R.  Lowe, Associate  General  Counsel of  Fortis  Benefits. Messrs.
Freedman, Levy, Kroll & Simonds, Washington, D.C., have advised Fortis  Benefits
on certain federal securities law matters.
 
EXPERTS
 
The  financial  statements  of  Fortis  Benefits  Insurance  Company  and Fortis
Benefits Insurance Company Variable Account C appearing in this Prospectus  have
been  audited by Ernst & Young LLP,  independent auditors, as set forth in their
reports thereon appearing elsewhere  herein, and are  included in reliance  upon
such  reports given upon the authority of such firm as experts in accounting and
auditing.
 
Actuarial matters included  in this Prospectus  have been examined  by Renee  C.
West,  FSA, MAAA, Actuarial  Officer, Individual Actuarial  Department of Fortis
Benefits, as  stated in  her opinion  filed as  an exhibit  to the  registration
statement.
 
                                       30
<PAGE>
RATINGS AND RANKINGS
 
Fortis  Benefits may advertise  its relative performance  as compiled by outside
organizations. Following is a list of ratings services which may be referred  to
in advertisements, along with the category in which the applicable Subaccount is
included:
<TABLE>
<CAPTION>
            RATING SERVICE                     CATEGORY
- --------------------------------------  ----------------------
<S>                                     <C>
AGGRESSIVE GROWTH SUBACCOUNT
Morningstar Publications, Inc.            aggressive growth
Lipper Analytical Services, Inc.         small company growth
INTERNATIONAL STOCK SUBACCOUNT
Morningstar Publications, Inc.           international stock
Lipper Analytical Services, Inc.         international equity
GLOBAL GROWTH SUBACCOUNT
Morningstar Publications, Inc.           international stock
Lipper Analytical Services, Inc.                global
GROWTH STOCK SUBACCOUNT
Morningstar Publications, Inc.                  growth
Lipper Analytical Services, Inc.         capital appreciation
GLOBAL ASSET ALLOCATION SUBACCOUNT
Morningstar Publications, Inc.                 balanced
Lipper Analytical Services, Inc.           global flexible
GROWTH AND INCOME SUBACCOUNT
Morningstar Publications, Inc.            growth and income
Lipper Analytical Services, Inc.          growth and income
ASSET ALLOCATION SUBACCOUNT
Morningstar Publications, Inc.                 balanced
Lipper Analytical Services, Inc.         flexible portfolios
 
<CAPTION>
            RATING SERVICE                     CATEGORY
- --------------------------------------  ----------------------
<S>                                     <C>
HIGH YIELD SUBACCOUNT
Morningstar Publications, Inc.                high yield
Lipper Analytical Services, Inc.          high current yield
GLOBAL BOND SUBACCOUNT
Morningstar Publications, Inc.            international bond
Lipper Analytical Services, Inc.             world income
DIVERSIFIED INCOME SUBACCOUNT
Morningstar Publications, Inc.              corporate bond
Lipper Analytical Services, Inc.             general bond
U.S. GOVERNMENT SUBACCOUNT
Morningstar Publications, Inc.           U.S. government bond
Lipper Analytical Services, Inc.           U.S. government
MONEY MARKET SUBACCOUNT
Morningstar Publications, Inc.               money market
Lipper Analytical Services, Inc.             money market
</TABLE>
 
FINANCIAL STATEMENTS
 
The  financial statements of Fortis Benefits  included in this Prospectus should
be considered only as bearing  upon the ability of  Fortis Benefits to meet  its
obligations under the Policies.
 
   
Fortis  Benefits generally reinsures risks for  non-group insurance in excess of
$500,000 per  insured with  other insurance  companies. See  Notes 2  and 11  to
Fortis Benefits' financial statements.
    
 
                                       31
<PAGE>
REPORT OF INDEPENDENT AUDITORS
 
The Board of Directors
Fortis Benefits Insurance Company
 
We  have audited  the accompanying balance  sheets of  Fortis Benefits Insurance
Company as of December 31, 1995 and 1994, and the related statements of  income,
shareholder's  equity and cash flows  for each of the  three years in the period
ended December 31, 1995.  These financial statements  are the responsibility  of
the  Company's management. Our responsibility is  to express an opinion on these
financial statements based on our audits.
 
We  conducted  our  audits  in  accordance  with  generally  accepted   auditing
standards.  Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence  supporting
the  amounts and disclosures in the financial statements. An audit also includes
assessing the  accounting  principles used  and  significant estimates  made  by
management,  as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.
 
In our opinion, the  financial statements referred to  above present fairly,  in
all  material  respects, the  financial  position of  Fortis  Benefits Insurance
Company at December 31, 1995 and 1994, and the results of its operations and its
cash flows for each of the three years in the period ended December 31, 1995, in
conformity with generally accepted accounting principles.
 
In 1993, as discussed in Note 2 to the financial statements, the Company changed
its method of accounting  for income taxes,  postretirement benefits other  than
pensions and certain investments in debt and equity securities.
 
/s/ Ernst & Young LLP
Minneapolis, Minnesota
February 14, 1996
 
                                       32
<PAGE>
BALANCE SHEETS
FORTIS BENEFITS INSURANCE COMPANY
(IN THOUSANDS, EXCEPT SHARE AMOUNTS)
 
<TABLE>
<CAPTION>
                                                                                   DECEMBER 31
                                                                           ---------------------------
                                                                               1995           1994
                                                                           ------------   ------------
<S>                                                                        <C>            <C>
ASSETS
Investments--Note 4
  Fixed maturities, at fair value (amortized cost 1995--$1,951,204;
   1994--$1,749,347).....................................................  $  2,075,624   $  1,674,782
  Equity securities, at fair value (cost 1995--$60,935; 1994--$59,010)...        78,852         64,552
  Mortgage loans on real estate, less allowance for possible losses
   (1995--$8,353;
   1994--$7,429).........................................................       562,697        452,547
  Policy loans...........................................................        53,863         49,221
  Short-term investments.................................................       153,499        117,562
  Real estate and other investments......................................        11,918         13,441
                                                                           ------------   ------------
                                                                              2,936,453      2,372,105
 
Cash.....................................................................             1         10,888
 
Receivables:
  Uncollected premiums...................................................        55,992         40,667
  Reinsurance recoverable on unpaid and paid losses......................        11,812         15,181
  Due from affiliates....................................................           388          2,220
  Other..................................................................        14,581         12,593
                                                                           ------------   ------------
                                                                                 82,773         70,661
 
Accrued investment income................................................        41,209         38,584
Deferred policy acquisition costs--Note 5................................       237,509        232,198
Property and equipment at cost, less accumulated depreciation--Note 6....        60,031         56,939
Deferred federal income taxes--Note 8....................................            --         48,509
Other assets.............................................................         3,551          1,120
Assets held in separate accounts--Note 9.................................     1,781,485      1,212,910
                                                                           ------------   ------------
TOTAL ASSETS.............................................................  $  5,143,012   $  4,043,914
                                                                           ------------   ------------
                                                                           ------------   ------------
</TABLE>
 
                       See notes to financial statements.
 
                                       33
<PAGE>
BALANCE SHEETS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
(IN THOUSANDS, EXCEPT SHARE AMOUNTS)
 
<TABLE>
<CAPTION>
                                                                                      DECEMBER 31
                                                                              ---------------------------
                                                                                  1995           1994
                                                                              ------------   ------------
<S>                                                                           <C>            <C>
POLICY RESERVES, LIABILITIES, AND SHAREHOLDER'S EQUITY
 
POLICY RESERVES AND LIABILITIES
  Future policy benefit reserves:
    Traditional life insurance..............................................  $    407,706   $    375,257
    Interest sensitive and investment products..............................     1,101,931        912,653
    Accident and health.....................................................       832,925        798,293
                                                                              ------------   ------------
                                                                                 2,342,562      2,086,203
 
  Unearned premiums.........................................................        13,044         16,145
  Other policy claims and benefits payable..................................       196,403        169,864
  Policyholder dividends payable............................................         7,930          6,793
                                                                              ------------   ------------
                                                                                 2,559,939      2,279,005
  Accrued expenses..........................................................        68,441         45,905
  Current income taxes payable..............................................         5,375          4,352
  Deferred federal income taxes--Note 8.....................................         9,538             --
  Other liabilities.........................................................        31,145         32,416
  Liabilities related to separate accounts..................................     1,757,476      1,208,039
                                                                              ------------   ------------
TOTAL POLICY RESERVES AND LIABILITIES.......................................     4,431,914      3,569,717
 
SHAREHOLDER'S EQUITY--Notes 1, 10 and 12
  Common stock, $5 par value, 1,000,000 shares authorized, issued and
   outstanding..............................................................         5,000          5,000
  Additional paid-in capital................................................       408,000        358,000
  Retained earnings.........................................................       207,421        153,551
  Unrealized gains (losses) on investments, net--Note 4.....................        88,131        (42,908)
  Unrealized gains on assets held in separate accounts net of deferred taxes
   of $1,371 in 1995
   and $298 in 1994.........................................................         2,546            554
                                                                              ------------   ------------
TOTAL SHAREHOLDER'S EQUITY..................................................       711,098        474,197
                                                                              ------------   ------------
TOTAL RESERVES, LIABILITIES, AND SHAREHOLDER'S EQUITY.......................  $  5,143,012   $  4,043,914
                                                                              ------------   ------------
                                                                              ------------   ------------
</TABLE>
 
                       See notes to financial statements.
 
                                       34
<PAGE>
STATEMENTS OF INCOME
FORTIS BENEFITS INSURANCE COMPANY
(IN THOUSANDS)
 
<TABLE>
<CAPTION>
                                                                             YEAR ENDED DECEMBER 31
                                                                   ------------------------------------------
                                                                       1995           1994           1993
                                                                   ------------   ------------   ------------
<S>                                                                <C>            <C>            <C>
REVENUES
  Insurance operations
    Traditional life insurance premiums..........................  $    251,353   $    207,824   $    187,863
    Interest sensitive and investment product policy charges.....        46,076         37,823         28,778
    Accident and health premiums.................................       934,900        776,799        738,412
                                                                   ------------   ------------   ------------
                                                                      1,232,329      1,022,446        955,053
  Net investment income--Note 4..................................       203,537        162,514        153,657
  Realized gains (losses) on investments--Note 4.................        55,080        (28,815)        73,623
  Other income...................................................        33,085         35,958         27,100
                                                                   ------------   ------------   ------------
      TOTAL REVENUES.............................................     1,524,031      1,192,103      1,209,433
BENEFITS AND EXPENSES
  Benefits to policyholders:
    Traditional life insurance...................................       202,911        162,168        145,958
    Interest sensitive and investment products...................        73,676         55,026         50,935
    Accident and health..........................................       769,588        620,367        598,146
                                                                   ------------   ------------   ------------
                                                                      1,046,175        837,561        795,039
  Policyholder dividends.........................................         4,305          1,986          5,855
  Amortization of deferred policy acquisition costs--Note 5......        41,291         34,566         36,503
  Insurance commissions..........................................        95,559         86,111         76,816
  General and administrative expenses............................       254,940        197,427        185,986
                                                                   ------------   ------------   ------------
      TOTAL BENEFITS AND EXPENSES................................     1,442,270      1,157,651      1,100,199
                                                                   ------------   ------------   ------------
Income before federal income taxes and cumulative effect of
 accounting changes..............................................        81,761         34,452        109,234
Federal income taxes--Note 8.....................................        27,891         11,595         31,090
                                                                   ------------   ------------   ------------
Income before cumulative effect of accounting changes............        53,870         22,857         78,144
  Cumulative effect of change in accounting for income
   taxes--Note 2.................................................            --             --          4,814
  Cumulative effect of change in accounting for postretirement
   benefits other than pensions, net of tax--Note 2..............            --             --         (1,251)
                                                                   ------------   ------------   ------------
      NET INCOME.................................................  $     53,870   $     22,857   $     81,707
                                                                   ------------   ------------   ------------
                                                                   ------------   ------------   ------------
</TABLE>
 
                       See notes to financial statements.
 
                                       35
<PAGE>
STATEMENT OF CHANGES IN SHAREHOLDER'S EQUITY
FORTIS BENEFITS INSURANCE COMPANY
(IN THOUSANDS)
 
<TABLE>
<CAPTION>
                                                                                         UNREALIZED
                                                                           UNREALIZED     GAINS ON
                                                 ADDITIONAL                   GAINS      ASSETS HELD
                                      COMMON       PAID-IN     RETAINED    (LOSSES) ON   IN SEPARATE
                                       STOCK       CAPITAL     EARNINGS    INVESTMENTS    ACCOUNTS       TOTAL
                                    -----------  -----------  -----------  -----------  -------------  ---------
<S>                                 <C>          <C>          <C>          <C>          <C>            <C>
Balance January 1, 1993...........   $   5,000    $ 345,000    $  52,634    $   4,263     $     657    $ 407,554
Net income........................          --           --       81,707           --            --       81,707
Dividends to shareholder..........          --           --       (4,000)          --            --       (4,000)
Other.............................          --           --          353           --            --          353
Change in unrealized gains on
 investments, net.................          --           --           --        2,099            --        2,099
Change in unrealized gains on
 investments, net, resulting from
 initial adoption of FASB
 115--Note 1......................          --           --           --       43,782            --       43,782
Change in unrealized gain on
 assets held in separate account,
 net of deferred tax expense of
 $238.............................          --           --           --           --           413          413
                                         -----   -----------  -----------  -----------        -----    ---------
Balance December 31, 1993.........       5,000      345,000      130,694       50,144         1,070      531,908
Net income........................          --           --       22,857           --            --       22,857
Additional paid-in capital........          --       13,000           --           --            --       13,000
Change in unrealized losses on
 investments, net.................          --           --           --      (93,052)           --      (93,052)
Change in unrealized gain on
 assets held in separate account,
 net of deferred tax benefit of
 $277.............................          --           --           --           --          (516)        (516)
                                         -----   -----------  -----------  -----------        -----    ---------
Balance December 31, 1994.........       5,000      358,000      153,551      (42,908)          554      474,197
Net income........................          --           --       53,870           --            --       53,870
Additional paid-in capital........          --       50,000           --           --            --       50,000
Change in unrealized gains on
 investments, net.................          --           --           --      131,039            --      131,039
Change in unrealized gain on
 assets held in separate account,
 net of deferred tax expense of
 $1,073...........................          --           --           --           --         1,992        1,992
                                         -----   -----------  -----------  -----------        -----    ---------
Balance December 31, 1995.........   $   5,000    $ 408,000    $ 207,421    $  88,131     $   2,546    $ 711,098
                                         -----   -----------  -----------  -----------        -----    ---------
                                         -----   -----------  -----------  -----------        -----    ---------
</TABLE>
 
                                       36
<PAGE>
STATEMENT OF CASH FLOWS
FORTIS BENEFITS INSURANCE COMPANY
(IN THOUSANDS)
 
<TABLE>
<CAPTION>
                                                                            YEAR ENDED DECEMBER 31
                                                                 ---------------------------------------------
                                                                     1995            1994            1993
                                                                 -------------   -------------   -------------
<S>                                                              <C>             <C>             <C>
OPERATING ACTIVITIES
  Net income...................................................  $      53,870   $      22,857   $      81,707
  Adjustments to reconcile net income to net cash provided by
   operating activities:
    Cumulative effect of accounting changes....................             --              --          (3,563)
    Increase in future policy benefit reserves for traditional,
     interest sensitive and accident and health policies.......         80,478          79,014          58,299
    Increase (decrease) in other policy claims and benefits and
     policyholder dividends payable............................         27,676          10,075         (15,868)
    Decrease in deferred federal income taxes..................        (13,584)         (2,356)         (9,776)
    Increase (decrease) in income taxes payable................          1,023           3,283         (12,733)
    Amortization of policy acquisition costs...................         41,291          34,566          36,503
    Policy acquisition costs deferred..........................        (56,391)        (54,349)        (45,841)
    Provision for mortgage loan losses.........................            924           1,105           1,648
    Provision for depreciation.................................         15,654          12,267           9,399
    Accrual of discount, net...................................           (239)           (914)             72
    Change in receivables, accrued investment income, unearned
     premiums, accrued expenses and other liabilities..........          3,427         (36,650)          5,751
    Net realized (gains) losses on investments.................        (55,080)         28,815         (73,623)
    Other......................................................         (2,431)           (135)            164
                                                                 -------------   -------------   -------------
      NET CASH PROVIDED BY OPERATING ACTIVITIES................         96,618          97,578          32,139
INVESTING ACTIVITIES
  Purchase of fixed maturity investments.......................     (2,151,133)     (1,943,697)     (2,337,842)
  Sales or maturities of fixed maturity investments............      2,000,068       1,798,184       2,358,288
  (Increase) decrease in short-term investments................        (35,908)        (44,266)         28,756
  Purchase of other investments................................       (240,264)       (211,836)       (201,601)
  Sales or maturities of other investments.....................        112,598         104,399          75,539
  Purchase of property and equipment...........................        (19,975)        (16,164)        (13,155)
  Purchase of group insurance business.........................             --          (6,644)         (5,521)
  Other........................................................          1,229             500              49
                                                                 -------------   -------------   -------------
      NET CASH USED BY INVESTING ACTIVITIES....................       (333,385)       (319,524)        (95,487)
FINANCING ACTIVITIES
  Activities related to investment products:
    Considerations received....................................        187,484         200,499          68,943
    Surrenders and death benefits..............................        (60,522)        (19,207)        (37,262)
    Interest credited to policyholders.........................         48,918          31,867          30,024
  Additional paid-in capital from shareholder..................         50,000          13,000              --
  Dividends paid to shareholder................................             --              --          (4,000)
                                                                 -------------   -------------   -------------
      NET CASH PROVIDED BY FINANCING ACTIVITIES................        225,880         226,159          57,705
                                                                 -------------   -------------   -------------
      INCREASE (DECREASE) IN CASH..............................        (10,887)          4,213          (5,643)
Cash at beginning of year......................................         10,888           6,675          12,318
                                                                 -------------   -------------   -------------
      CASH AT END OF YEAR......................................  $           1   $      10,888   $       6,675
                                                                 -------------   -------------   -------------
                                                                 -------------   -------------   -------------
</TABLE>
 
                       See notes to financial statements.
 
                                       37
<PAGE>
NOTES TO FINANCIAL STATEMENTS
FORTIS BENEFITS INSURANCE COMPANY
 
DECEMBER 31, 1995
 
1.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
 
NATURE  OF OPERATIONS:  Fortis Benefits  Insurance Company  (the Company)  is an
affiliate of the worldwide Fortis group of companies owned by Fortis AMEV of the
Netherlands and Fortis AG of Belgium.  The Company is incorporated in  Minnesota
and  distributes  its products  in  all states  except  New York.  To  date, the
majority of  the  Company's  revenues  have been  derived  from  group  employee
benefits products and the remainder from individual life and annuity products.
 
BASIS  OF  STATEMENT PRESENTATION:  The  financial statements  are  presented in
conformity  with  generally  accepted  accounting  principles.  Certain  amounts
included  in the  1993 and 1994  financial statements have  been reclassified to
conform to the 1995 presentation.
 
RECOGNITION OF REVENUES, POLICY RESERVES AND LIABILITIES AND POLICY  ACQUISITION
COSTS: The Company follows generally accepted accounting principles which differ
in  certain respects from statutory accounting practices prescribed or permitted
by regulatory authorities. The more significant of these principles are:
 
    Premiums for  long-duration  traditional  life policies  are  recognized  as
    revenues  when due  over the  premium-paying period.  Liabilities for future
    policy benefits and  expenses are computed  using the net  level method  and
    include investment yield, mortality, withdrawal, and other assumptions based
    on  the Company's experience,  modified as necessary  to reflect anticipated
    trends and to include provisions for possible unfavorable deviations.
 
    Revenues for  universal  life and  investment  products consist  of  charges
    assessed  against policy account balances during  the period for the cost of
    insurance, policy  administration,  and  surrender  charges.  Future  policy
    benefit  reserves are  computed under  the retrospective  deposit method and
    consist of policy account balances  before applicable surrender charges  and
    certain  deferred policy initiation fees that are being recognized in income
    over the term of the policies. Policy benefits charged to expense during the
    period include  amounts  paid  in  excess of  policy  account  balances  and
    interest  credited  to policy  account balances.  Interest credit  rates for
    universal life and investment products ranged  from 4% to 7.80% in 1995  and
    1994.
 
    Premiums for long-term disability, short-term traditional life, and accident
    and  health are recognized  as revenues ratably over  the contract period in
    proportion to the  risk insured.  Liabilities for  future disability  income
    policy  benefits are based  on the 1964 Commissioners  Disability Table at 6
    percent interest. Calculated  reserves are modified  based on the  Company's
    actual experience. Claims and benefits payable for reported and incurred but
    not  reported  losses and  related loss  adjustment expenses  are determined
    using case-basis estimates and past  experience. The methods of making  such
    estimates  and establishing the related liabilities are continually reviewed
    and updated. Any adjustments resulting  therefrom are reflected in  earnings
    currently.
 
    For  interest sensitive and investment products, deferred policy acquisition
    costs are amortized  in relation to  profits. For group  life, accident  and
    health,  disability, and  dental insurance  business acquired  on October 1,
    1991 (see Note 3), the Company recorded the present value of future  profits
    as   deferred  policy  acquisition  costs.  These  costs  are  amortized  in
    proportion to premium revenue  over the estimated  premium paying period  of
    the  related policies  and, if  required, are  expensed when  such costs are
    deemed not  to be  recoverable from  future policy  revenues, including  the
    related investment income.
 
    For  insurance products issued subsequent to December 31, 1984, the costs of
    acquiring new business,  which vary  with and  are directly  related to  the
    production  of new  business, are deferred,  to the  extent recoverable from
    future profits, and  amortized against  income. The  period of  amortization
    varies depending upon the product. For traditional life products, the policy
    acquisition  costs are deferred and amortized over the premium paying period
    of the contracts. For interest sensitive and investment products, the policy
    acquisition costs  are deferred  and amortized  in relation  to the  present
    value of estimated future gross profits.
 
                                       38
<PAGE>
1.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
INVESTMENTS:  The  Company's  investment  strategy is  developed  based  on many
factors including insurance liability matching, rate of return, maturity, credit
risk, tax considerations and regulatory requirements.
 
Prior to December 31, 1993, the Company classified fixed maturity investments as
available-for-sale recorded at the lower  of amortized cost or market,  computed
on  a portfolio basis. Equity securities were carried at fair value. At December
31, 1993, all  fixed maturity securities  were classified as  available-for-sale
and  carried at fair value. The effect of adopting Statement 115 at December 31,
1993 was to  increase the carrying  amount of fixed  maturities by  $76,309,000,
policyholder   dividends  payable  by  $2,684,000,   deferred  income  taxes  by
$23,575,000 and shareholder's equity by  $43,782,000 and to reduce the  carrying
amount  of deferred policy  acquisition costs by  $6,268,000. Beginning in 1994,
the classification of fixed  maturity investments between available-for-sale  or
held  to maturity is made at the  time of each purchase and, prospectively, that
classification is reevaluated as of each balance sheet date.
 
Changes in market values of available-for-sale securities, after deferred income
taxes and after adjustment for  the amortization of deferred policy  acquisition
costs,  and  participating  policyholders'  share of  earnings  are  reported as
unrealized gains (losses) on investments  directly in shareholder's equity  and,
accordingly,  have  no  effect on  net  income.  The offsets  to  the unrealized
appreciation or depreciation represent valuation adjustments relating to amounts
of additional  deferred policy  acquisition costs  or amortization  of  deferred
policy  acquisition costs and the  additional liabilities established for future
policyholder benefits and  participating policyholders' share  of the  Company's
earnings  that would have been required as  a charge or credit to operations had
such unrealized amounts been realized.
 
Mortgage loans constitute first liens on commercial real estate and other income
producing properties. The insurance statutes in Minnesota generally require that
the initial  principal loaned  not exceed  80%  of the  appraised value  of  the
property  securing  the  loan. The  Company's  policy fully  complies  with this
statute. Mortgage loans on real estate are reported at unpaid balances, adjusted
for amortization of premium or discount, less allowance for possible losses. The
change in the allowance for possible losses is recorded with realized gains  and
losses on investments. Policy loans are reported at unpaid balance.
 
Realized  gains and losses on sales of investments, and declines in value judged
to be other-than-temporary, are recognized on the specific identification basis.
Investment income is recorded as earned.
 
PROPERTY AND  EQUIPMENT:  Property  and  equipment are  recorded  at  cost  less
accumulated  depreciation. The Company provides  for depreciation principally on
the straight  line  method  over  the estimated  useful  lives  of  the  related
property.
 
INCOME  TAXES: Income  taxes have  been provided  using the  liability method in
accordance with  Financial Accounting  Standards Board  ("FASB") Statement  109,
ACCOUNTING  FOR INCOME TAXES. Deferred tax assets and liabilities are determined
based on the differences between the  financial reporting and the tax bases  and
are measured using the enacted tax rates.
 
SEPARATE  ACCOUNTS:  Assets and  liabilities  associated with  separate accounts
relate to  premium and  annuity  considerations for  variable life  and  annuity
products  for  which the  contract holder,  rather than  the Company,  bears the
investment risk. Separate account assets are reported at fair value.
 
GUARANTY FUND ASSESSMENTS: The economy and other factors have caused an increase
in the number of insurance companies that are under regulatory supervision. This
circumstance may result in an increase  in assessments by state guaranty  funds,
or  voluntary  payments  by  solvent insurance  companies,  to  cover  losses to
policyholders of insolvent or rehabilitated companies. Mandatory assessments can
be partially  recovered through  a reduction  in future  premium taxes  in  some
states.  The Company  is not  able to reasonably  estimate the  impact of future
assessments on its financial position but does not believe that the impact  will
be material.
 
USE  OF  ESTIMATES: The  preparation of  financial  statements in  conformity of
generally accepted accounting principles  requires management to make  estimates
and assumptions that affect the amounts reported in the financial statements and
accompanying notes. Actual results could differ from those estimates.
 
                                       39
<PAGE>
2.  CHANGES IN ACCOUNTING PRINCIPLES
 
EMPLOYERS' ACCOUNTING FOR POSTRETIREMENT BENEFITS OTHER THAN PENSIONS: Effective
January  1, 1993, the Company adopted  FASB Statement 106, EMPLOYERS' ACCOUNTING
FOR  POSTRETIREMENT  BENEFITS  OTHER  THAN  PENSIONS.  The  Company  elected  to
immediately  recognize the  cumulative effect of  this change  in accounting for
postretirement benefits of  $1,895,000 ($1,251,000  net of  deferred income  tax
benefit),  which  represents the  accumulated postretirement  benefit obligation
existing at January 1,  1993. The impact of  Statement 106 on operating  results
for 1993 was not material.
 
ACCOUNTING FOR INCOME TAXES: Effective January 1, 1993, the Company adopted FASB
Statement 109, ACCOUNTING FOR INCOME TAXES. Statement 109 provides for a balance
sheet  approach in determining  deferred income tax  assets and liabilities. The
cumulative effect of adopting Statement 109 increased the Company's deferred tax
asset and net income by approximately $4,814,000 in 1993.
 
ACCOUNTING AND  REPORTING FOR  REINSURANCE OF  SHORT-DURATION AND  LONG-DURATION
CONTRACTS:  In  1993, the  Company adopted  FASB  Statement 113,  ACCOUNTING AND
REPORTING FOR REINSURANCE OF  SHORT-DURATION AND LONG-DURATION CONTRACTS.  Under
Statement  113,  amounts  paid  or  deemed to  have  been  paid  for reinsurance
contracts are recorded as reinsurance recoverables.
 
ACCOUNTING FOR  CERTAIN DEBT  AND EQUITY  SECURITIES: The  Company adopted  FASB
Statement 115, ACCOUNTING FOR CERTAIN DEBT AND EQUITY SECURITIES, as of December
31,   1993.  Under  Statement  115,  all  fixed  maturities  are  classified  as
available-for-sale and carried at fair  value, while equity securities  continue
to  be carried  at fair value.  Adoption of Statement  115 had no  effect on net
income in 1993.
 
3.  ACQUIRED BUSINESS
In October,  1991, the  Company  purchased certain  assets and  assumed  certain
liabilities  from The  Mutual Benefit  Life Insurance  Company in Rehabilitation
(MBL). The  seller  transferred  to  the Company,  the  assets  and  liabilities
relating to the group life, accident and health, disability and dental insurance
business  of MBL. The acquisition  was accounted for as  a purchase. The Company
purchased this business for $318,000,000. Per contractual agreement,  additional
payments were paid to MBL based upon the persistency of the long term disability
portion  of  the  business. Under  terms  of  this agreement,  the  Company paid
$6,644,000, $5,521,000 and  $8,685,000 in  1994, 1993,  and 1992,  respectively.
This  additional purchase price was accounted for as deferred policy acquisition
costs. No additional payments will be made.
 
                                       40
<PAGE>
4.  INVESTMENTS
 
AVAILABLE FOR SALE SECURITIES: The following  is a summary of the available  for
sale securities (in thousands):
 
<TABLE>
<CAPTION>
                                                        GROSS          GROSS
                                       AMORTIZED      UNREALIZED     UNREALIZED
                                          COST           GAIN           LOSS        FAIR VALUE
                                      ------------   ------------   ------------   ------------
<S>                                   <C>            <C>            <C>            <C>
December 31, 1995:
  Fixed Income Securities:
    Governments.....................  $   453,406    $    36,938    $       142    $   490,202
    Public utilities................       55,793          4,617             --         60,410
    Industrial & miscellaneous......    1,420,374         82,705          1,282      1,501,797
    Other...........................       21,631          1,586              2         23,215
                                      ------------   ------------        ------    ------------
      Total.........................    1,951,204        125,846          1,426      2,075,624
  Equity Securities.................       60,935         20,321          2,404         78,852
                                      ------------   ------------        ------    ------------
      Total.........................  $ 2,012,139    $   146,167    $     3,830    $ 2,154,476
                                      ------------   ------------        ------    ------------
                                      ------------   ------------        ------    ------------
December 31, 1994:
  Fixed Income Securities:
    Governments.....................  $   829,607    $     1,129    $    40,642    $   790,094
    Public utilities................       60,885          1,132          1,389         60,628
    Industrial & miscellaneous......      847,018          3,184         38,505        811,697
    Other...........................       11,837            764            238         12,363
                                      ------------   ------------        ------    ------------
      Total.........................    1,749,347          6,209         80,774      1,674,782
  Equity Securities.................       59,010          9,896          4,354         64,552
                                      ------------   ------------        ------    ------------
      Total.........................  $ 1,808,357    $    16,105    $    85,128    $ 1,739,334
                                      ------------   ------------        ------    ------------
                                      ------------   ------------        ------    ------------
</TABLE>
 
The  amortized cost  and fair value  of available-for-sale  investments in fixed
maturities at December 31,  1995, by contractual maturity,  are shown below  (in
thousands).  Expected maturities will differ from contractual maturities because
borrowers may have the right to call or prepay obligations with or without  call
or prepayment penalties.
 
<TABLE>
<CAPTION>
                                                              AMORTIZED
                                                                 COST        FAIR VALUE
                                                             ------------   ------------
<S>                                                          <C>            <C>
Due in one year or less....................................  $    80,474    $    80,960
Due after one year through five years......................      472,741        487,764
Due after five years through ten years.....................      687,374        727,723
Due after ten years........................................      710,615        779,177
                                                             ------------   ------------
    Total..................................................  $ 1,951,204    $ 2,075,624
                                                             ------------   ------------
                                                             ------------   ------------
</TABLE>
 
MORTGAGE  LOANS: The Company has issued  commercial mortgage loans on properties
located throughout the  country. Approximately 35%  of outstanding principal  is
concentrated  in the states of California, Florida  and New York at December 31,
1995 as compared to concentrated interests in California, Florida, and Texas  of
34%  at December 31,  1994. Loan commitments  outstanding totaled $10,030,000 at
December 31, 1995.
 
In May 1993, FASB issued Statement  114, ACCOUNTING BY CREDITORS FOR  IMPAIRMENT
OF A LOAN, which becomes effective for fiscal years beginning after December 15,
1994,  and  which  the Company  adopted  in  1995. Statement  114  requires that
impaired loans are to  be valued at  the present value  of expected future  cash
flows  discounted  at the  loan's effective  interest rate,  or, as  a practical
expedient, at the loan's  observable market price, or  the fair market value  of
the  collateral if the loan is collateral  dependent. The impact of adoption was
not material to the Company's financial position or operating results.
 
                                       41
<PAGE>
4.  INVESTMENTS (CONTINUED)
INVESTMENTS ON DEPOSIT: The Company had  fixed maturities and mortgage loans  on
real  estate carried at $2,385,000 and $8,132,000, respectively, at December 31,
1995, and  $2,635,000  and $8,132,000  respectively,  at December  31,  1994  on
deposit with various governmental authorities as required by law.
 
NET  UNREALIZED  GAINS  (LOSSES):  The adjusted  net  unrealized  gains (losses)
recorded in shareholder's equity were as follows (in thousands):
 
<TABLE>
<CAPTION>
                                                                   1995           1994           1993
                                                               ------------   ------------   ------------
<S>                                                            <C>            <C>            <C>
Change in unrealized gains (losses) before adjustment for the
 following items:............................................  $    214,452   $   (155,923)  $     80,288
  Capitalization (amortization) of deferred policy
   acquisition costs.........................................        (9,789)         9,288         (6,268)
  Participating policyholders' share of earnings.............            --          2,684         (2,684)
  Deferred income taxes......................................       (71,632)        50,383        (25,042)
                                                               ------------   ------------   ------------
Change in net unrealized gains (losses)......................       133,031        (93,568)        46,294
Net unrealized gains, beginning of the year..................       (42,354)        51,214          4,920
                                                               ------------   ------------   ------------
Net unrealized gains (losses), end of year...................  $     90,677   $    (42,354)  $     51,214
                                                               ------------   ------------   ------------
                                                               ------------   ------------   ------------
</TABLE>
 
NET  INVESTMENT  INCOME  AND  REALIZED  GAINS  (LOSSES)  ON  INVESTMENTS:  Major
categories  of net investment income and  realized gains (losses) on investments
for each year were as follows (in thousands):
 
<TABLE>
<CAPTION>
                                                                                   REALIZED GAINS (LOSSES)
                                                   NET INVESTMENT INCOME               ON INVESTMENTS
                                              -------------------------------  -------------------------------
                                                1995       1994       1993       1995       1994       1993
                                              ---------  ---------  ---------  ---------  ---------  ---------
<S>                                           <C>        <C>        <C>        <C>        <C>        <C>
Fixed maturities............................  $ 139,062  $ 119,668  $ 120,844  $  50,393  $ (27,854) $  70,626
Equity securities...........................      2,026      1,937      1,490      2,830      1,352      3,955
Mortgage loans on real estate...............     49,227     36,816     28,370       (242)    (2,992)    (1,805)
Policy loans................................      2,797      2,731      3,004         --         --         --
Short-term investments......................     11,863      4,671      4,282         (3)       (60)         1
Real estate & other investments.............      4,750      2,138      1,171      2,102        739        846
                                              ---------  ---------  ---------  ---------  ---------  ---------
    Tota1...................................    209,725    167,961    159,161  $  55,080  $ (28,815) $  73,623
                                                                               ---------  ---------  ---------
                                                                               ---------  ---------  ---------
Expenses....................................     (6,188)    (5,447)    (5,504)
                                              ---------  ---------  ---------
                                              $ 203,537  $ 162,514  $ 153,657
                                              ---------  ---------  ---------
                                              ---------  ---------  ---------
</TABLE>
 
Proceeds from  sales of  investments in  fixed maturities  were  $2,000,068,000,
$1,798,185,000,  and $2,335,230,000 in 1995,  1994 and 1993, respectively. Gross
gains  of  $61,070,000,  $16,618,000,  and  $75,133,000  and  gross  losses   of
$10,677,000,  $44,472,000, and  $4,507,000 were realized  on the  sales in 1995,
1994, and 1993, respectively.
 
                                       42
<PAGE>
5.  DEFERRED POLICY ACQUISITION COSTS
The changes in deferred policy acquisition costs by product were as follows  (in
thousands):
 
<TABLE>
<CAPTION>
                                                          INTEREST
                                                        SENSITIVE AND
                                           TRADITIONAL   INVESTMENT    ACCIDENT AND
                                              LIFE        PRODUCTS        HEALTH        TOTAL
                                           -----------  -------------  -------------  ---------
<S>                                        <C>          <C>            <C>            <C>
Balance January 1, 1994..................   $  61,474     $  87,946      $  47,063    $ 196,483
Acquisition costs deferred:
  Acquired business......................          --            --          6,644        6,644
  Other business.........................          --        54,349             --       54,349
Acquisition costs amortized..............     (11,564)      (10,274)       (12,728)     (34,566)
Allowance for additional amortization
 from unrealized gains on
 available-for-sale securities...........          --         9,288             --        9,288
                                           -----------  -------------  -------------  ---------
Balance December 31, 1994................   $  49,910     $ 141,309      $  40,979    $ 232,198
Acquisition costs deferred:
  Other business.........................          --        56,391             --       56,391
Acquisition costs amortized..............     (11,378)      (17,071)       (12,842)     (41,291)
Additional amortization of deferred
 acquisition costs from unrealized losses
 on available-for-sale securities........          --        (9,789)            --       (9,789)
                                           -----------  -------------  -------------  ---------
Balance December 31, 1995................   $  38,532     $ 170,840      $  28,137    $ 237,509
                                           -----------  -------------  -------------  ---------
                                           -----------  -------------  -------------  ---------
</TABLE>
 
Included  within total deferred policy acquisition costs at December 31, 1995 is
$46,750,000 of present value of future profits (PVP) resulting from acquisitions
accounted for as a purchase. The estimated amount of PVP to be amortized  during
each   of   the   next   three   years   is   as   follows:   1996--$19,210,000;
1997--$17,262,000; 1998--$10,278,000.
 
During 1995,  1994,  and 1993,  the  Company  sold portions  of  its  investment
portfolio  and  in accordance  with FASB  Statement 97,  the recognition  of the
realized capital (losses) gains resulted in (reduced) additional amortization of
acquisition  costs   deferred  of   $4,825,000,  $(935,000),   and   $5,400,000,
respectively. In addition, the Company (reduced) recorded policyholder dividends
payable of $1,095,000 in 1995, $(761,000) in 1994 and $2,800,000 in 1993.
 
6.  PROPERTY AND EQUIPMENT
A summary of property and equipment for each year follows (in thousands):
 
<TABLE>
<CAPTION>
                                                                           1995       1994
                                                                         ---------  ---------
<S>                                                                      <C>        <C>
Land...................................................................  $   1,900  $   1,900
Building and improvements..............................................     23,319     23,084
Furniture and equipment................................................     85,592     68,017
                                                                         ---------  ---------
                                                                           110,811     93,001
Less accumulated depreciation..........................................    (50,780)   (36,062)
                                                                         ---------  ---------
Net property and equipment.............................................  $  60,031  $  56,939
                                                                         ---------  ---------
                                                                         ---------  ---------
</TABLE>
 
                                       43
<PAGE>
7.  UNPAID LOSSES AND LOSS ADJUSTMENT EXPENSES
Activity  for the  liability for  unpaid accident  and health  claims and claims
adjustment expense is summarized as follows (in thousands):
 
<TABLE>
<CAPTION>
                                                                   YEAR ENDED DECEMBER 31
                                                               -------------------------------
                                                                 1995       1994       1993
                                                               ---------  ---------  ---------
<S>                                                            <C>        <C>        <C>
Balance as of January 1, net of reinsurance recoverables.....  $ 838,810  $ 806,538  $ 776,194
Add: Incurred losses related to:
  Current year...............................................    827,261    656,052    612,621
  Prior years................................................    (28,520)   (58,218)   (41,619)
                                                               ---------  ---------  ---------
    Total incurred losses....................................    798,741    597,834    571,002
Deduct: Paid losses related to:
  Current year...............................................    492,460    377,595    353,124
  Prior years................................................    216,259    187,967    187,534
                                                               ---------  ---------  ---------
    Total paid losses........................................    708,719    565,562    540,658
                                                               ---------  ---------  ---------
Balance as of December 31, net of reinsurance recoverables...  $ 928,832  $ 838,810  $ 806,538
                                                               ---------  ---------  ---------
                                                               ---------  ---------  ---------
</TABLE>
 
In 1995,  the accident/health  business experienced  overall unfavorable  claims
experience. The unfavorable experience was the result of medical cost trends and
the  negative impact of medical premium  rate restrictions in certain states. In
1994 and  1993,  the  accident/health  business  experienced  overall  favorable
development  on claims  reserves established  as of  the previous  year end. The
favorable  development  was  a  result  of  lower  medical  costs  due  to  less
uncertainty  in  the  health  business,  a  reduction  of  loss  reserves  which
considered historically  high  inflation  in  medical  costs  and,  in  1994,  a
refinement in the claims reserve estimates.
 
8.  FEDERAL INCOME TAXES
The  Company reports  its taxable  income in  a consolidated  federal income tax
return along  with other  affiliated  subsidiaries of  Fortis, Inc.  Income  tax
expense  or credits are allocated among  the affiliated subsidiaries by applying
corporate income tax rates  to taxable income or  loss determined on a  separate
return basis according to a Tax Allocation Agreement.
 
The  cumulative effect of  adopting Statement 109  as of January  1, 1993 was to
increase net income for 1993 by $4,814,000. An increase in the tax rate from 34%
to 35% was effective  in the third  quarter of 1993 and  resulted in a  $305,000
increase in net income from the recalculation of the deferred liability account.
 
Deferred  income  taxes reflect  the net  tax  effects of  temporary differences
between the basis of assets and liabilities for financial statement purposes and
for income tax purposes.
 
                                       44
<PAGE>
8.  FEDERAL INCOME TAXES (CONTINUED)
The significant components of the Company's deferred tax liabilities and  assets
as of December 31, 1995 and 1994 are as follows (in thousands):
 
<TABLE>
<CAPTION>
                                                          1995       1994
                                                        ---------  ---------
<S>                                                     <C>        <C>
Deferred tax assets:
  Reserves............................................  $  54,346  $  42,715
  Separate account assets/liabilities.................     34,386     27,663
  Unrealized losses...................................         --     22,806
  Accrued liabilities.................................     13,781     14,565
  Claims and benefits payable.........................      2,626      1,976
  Other...............................................        123      1,393
                                                        ---------  ---------
    Total deferred tax assets.........................    105,262    111,118
Deferred tax liabilities:
  Unrealized gains....................................     48,826         --
  Deferred policy acquisition costs...................     60,930     55,329
  Investments.........................................         --      1,194
  Fixed assets........................................      5,044      6,086
                                                        ---------  ---------
    Total deferred tax liabilities....................    114,800     62,609
                                                        ---------  ---------
    Net deferred tax asset (liability)................  $  (9,538) $  48,509
                                                        ---------  ---------
                                                        ---------  ---------
</TABLE>
 
The  Company is required to  establish a valuation allowance  for any portion of
the deferred tax  asset that management  believes will not  be realized. In  the
opinion  of management, it is more likely than not that the Company will realize
the benefit  of the  deferred  tax assets,  and,  therefore, no  such  valuation
allowance has been established.
 
The  Company's tax  expense before  cumulative effect  of accounting  changes is
shown as follows (in thousands):
 
<TABLE>
<CAPTION>
                                                   1995       1994       1993
                                                 ---------  ---------  ---------
<S>                                              <C>        <C>        <C>
Current........................................  $  39,660  $  15,046  $  35,747
Deferred.......................................    (11,769)    (3,451)    (4,657)
                                                 ---------  ---------  ---------
                                                 $  27,891  $  11,595  $  31,090
                                                 ---------  ---------  ---------
                                                 ---------  ---------  ---------
</TABLE>
 
Tax payments  were made  of $47,711,000,  $18,080,000 and  $53,600,000 in  1995,
1994,  and  1993,  respectively. Tax  refunds  were received  of  $7,258,000 and
$7,729,000 in 1995 and 1994, respectively.
 
The Company's effective income tax rate varied from the statutory federal income
tax rate as follows:
 
<TABLE>
<CAPTION>
                                                          1995        1994        1993
                                                         -----       -----       -----
<S>                                                    <C>         <C>         <C>
Statutory income tax rate............................       35.0%       35.0%       35.0%
Tax audit provision..................................        0.0%        0.8%       (4.6)%
Other, net...........................................       (0.9)%      (2.1)%      (1.9)%
                                                             ---         ---         ---
                                                            34.1%       33.7%       28.5%
                                                             ---         ---         ---
                                                             ---         ---         ---
</TABLE>
 
                                       45
<PAGE>
9.  ASSETS HELD IN SEPARATE ACCOUNTS
Separate account assets were as follows (in thousands):
 
<TABLE>
<CAPTION>
                                                          1995           1994
                                                      ------------   ------------
<S>                                                   <C>            <C>
Premium and annuity considerations for the variable
 annuity products and variable universal life
 product for which the contract holder, rather than
 the Company, bears the investment risk.............  $  1,757,476   $  1,208,038
Assets of the separate accounts owned by the
 Company, at fair value.............................        24,009          4,872
                                                      ------------   ------------
                                                      $  1,781,485   $  1,212,910
                                                      ------------   ------------
                                                      ------------   ------------
</TABLE>
 
10. STATUTORY ACCOUNTING PRACTICES
Reconciliations of net income and shareholder's equity on the basis of statutory
accounting to the related amounts presented in the accompanying statements  were
as follows (in thousands):
 
<TABLE>
<CAPTION>
                                                                                      SHAREHOLDER'S EQUITY
                                                               NET INCOME
                                                     -------------------------------  --------------------
                                                       1995       1994       1993       1995       1994
                                                     ---------  ---------  ---------  ---------  ---------
<S>                                                  <C>        <C>        <C>        <C>        <C>
Based on statutory accounting practices............  $  30,576  $  49,759  $  46,605  $ 377,040  $ 304,231
Deferred policy acquisition costs..................     15,100     19,783      9,338    237,509    232,198
Investment valuation differences...................        330        370        520    114,413    (85,944)
Deferred and uncollected premiums..................        303        (14)     1,655     (7,372)    (8,393)
Unearned premiums..................................      1,829      1,126      7,035    (11,179)   (13,008)
Loading and equity in unearned premiums............        (56)       316       (179)        94         85
Property and equipment.............................       (178)      (204)       (63)    27,172     22,027
Policy reserves....................................    (31,011)   (26,655)   (38,558)  (103,174)   (72,192)
Current income taxes payable.......................     (1,294)        --      4,656     (7,895)    (4,786)
Deferred income taxes..............................     11,769      2,356      9,776     (9,538)    48,509
Realized gains (losses) on investments.............      1,938     (1,052)     3,651         --         --
Realized gains (losses) transferred to the Interest
 Maintenance Reserve (IMR), net of tax.............     31,711    (18,456)    40,459         --         --
Amortization of IMR, net of tax....................     (5,261)    (5,479)    (3,777)        --         --
Interest maintenance reserve.......................         --         --         --     53,814     27,364
Asset valuation reserve............................         --         --         --     48,507     32,011
Cumulative effect of accounting changes............         --         --      3,563         --         --
Other, net.........................................     (1,886)     1,007     (2,974)    (8,293)    (7,905)
                                                     ---------  ---------  ---------  ---------  ---------
                                                     $  53,870  $  22,857  $  81,707  $ 711,098  $ 474,197
                                                     ---------  ---------  ---------  ---------  ---------
                                                     ---------  ---------  ---------  ---------  ---------
</TABLE>
 
11. REINSURANCE
The  maximum amount that the Company retains on any one life is $750,000 of life
insurance  including  accidental  death.  Amounts  in  excess  of  $750,000  are
reinsured with other life insurance companies on a yearly renewable term basis.
 
Ceded reinsurance premiums were as follows (in thousands):
 
<TABLE>
<CAPTION>
                                                    1995       1994       1993
                                                  ---------  ---------  ---------
<S>                                               <C>        <C>        <C>
Life Insurance..................................  $   4,661  $   5,571  $   4,366
Accident & Health Insurance.....................      3,410     36,782     37,088
                                                  ---------  ---------  ---------
                                                  $   8,071  $  42,353  $  41,454
                                                  ---------  ---------  ---------
                                                  ---------  ---------  ---------
</TABLE>
 
                                       46
<PAGE>
11. REINSURANCE (CONTINUED)
Recoveries under reinsurance contracts were as follows (in thousands):
 
<TABLE>
<CAPTION>
                                                    1995       1994       1993
                                                  ---------  ---------  ---------
<S>                                               <C>        <C>        <C>
Life Insurance..................................  $   2,489  $   1,650  $   6,963
Accident & Health Insurance.....................      8,807     19,913     15,448
                                                  ---------  ---------  ---------
                                                  $  11,296  $  21,563  $  22,411
                                                  ---------  ---------  ---------
                                                  ---------  ---------  ---------
</TABLE>
 
Reinsurance  ceded would  become a  liability of  the Company  in the  event the
reinsurers are  unable to  meet the  obligations assumed  under the  reinsurance
agreements.  To  minimize its  exposure to  significant losses  from reinsurance
insolvencies, the Company  evaluates the financial  condition of its  reinsurers
and  monitors  concentrations of  credit  risk arising  from  similar geographic
regions, activities or economic characteristics of the reinsurers.
 
12. STATUTORY INFORMATION
Dividend distributions to parent are restricted as to amount by state regulatory
requirements. The  Company  had  $37,204,000  free  from  such  restrictions  at
December  31,  1995.  Distributions  in  excess  of  this  amount  would require
regulatory approval.
 
Statutory-basis financial statements are prepared in accordance with  accounting
practices prescribed or permitted by Minnesota Insurance regulatory authorities.
Prescribed  statutory accounting practices include  a variety of publications of
the National Association of Insurance  Commissioners ("NAIC"), as well as  state
laws,   regulations  and  general   administrative  rules.  Permitted  statutory
accounting practices encompass all accounting practices not so prescribed;  such
practices  may differ from  state to state,  may differ from  company to company
within a state,  and may  change in  the future. The  NAIC is  currently in  the
process  of  codifying statutory  accounting practices.  This project,  which is
expected to  be completed  in 1996,  may  result in  changes to  the  accounting
practices  that  insurance  enterprises  use  to  prepare  their statutory-basis
financial statements.
 
Insurance enterprises are required by  State Insurance Departments to adhere  to
minimum  risk-based capital ("RBC")  requirements developed by  the NAIC. All of
the Company's insurance subsidiaries exceed minimum RBC requirements.
 
13. TRANSACTIONS WITH AFFILIATED COMPANIES
The Company receives various services  from Fortis, Inc. These services  include
assistance in benefit plan administration, corporate insurance, accounting, tax,
auditing,  investment  and  other  administrative functions.  The  fees  paid to
Fortis, Inc. for these services for the years ended December 31, 1995, 1994, and
1993, were $10,074,000 , $8,944,000, and $8,595,000 respectively.
 
In conjunction with the marketing of its variable annuity products, the  Company
paid $59,308,000, $57,307,000, and $27,931,000, in commissions to its affiliate,
Fortis  Investors, Inc. for the  years ended December 31,  1995, 1994, and 1993,
respectively.
 
14. FAIR VALUE DISCLOSURES
 
VALUATION METHODS AND ASSUMPTIONS: Investments are reported in the  accompanying
balance sheets on the following basis:
 
The fair values for fixed maturity securities and equity securities are based on
quoted  market  prices,  where  available.  For  fixed  maturity  securities not
actively  traded,  fair  values  are   estimated  using  values  obtained   from
independent  pricing  services  or,  in  the  case  of  private  placements, are
estimated by discounting expected future cash flows using a current market  rate
applicable to the yield, credit quality, and maturity of the investments.
 
Mortgage  loans are  reported at  unpaid principal  balance less  allowances for
possible  losses.  The  fair  values  of  mortgage  loans  are  estimated  using
discounted  cash flow analyses, using interest rates currently being offered for
similar loans  to borrowers  with  similar credit  ratings. Loans  with  similar
characteristics are aggregated for purposes of the calculations. The fair values
for the Company's policy reserves under investment products are determined using
cash surrender value.
 
                                       47
<PAGE>
14. FAIR VALUE DISCLOSURES (CONTINUED)
The  fair values under  all insurance contracts are  taken into consideration in
the Company's overall management of interest rate risk, such that the  Company's
exposure  to  changing  interest  rates is  minimized  through  the  matching of
investment maturities with amounts due under insurance contracts.
 
<TABLE>
<CAPTION>
                                                                DECEMBER 31
                                         ---------------------------------------------------------
                                                    1995                          1994
                                         ---------------------------   ---------------------------
                                           CARRYING                      CARRYING
                                            AMOUNT       FAIR VALUE       AMOUNT       FAIR VALUE
                                         ------------   ------------   ------------   ------------
<S>                                      <C>            <C>            <C>            <C>
Assets:
  Investments:
    Securities available-for-sale:
      Fixed maturities.................  $  2,075,624   $  2,075,624   $  1,674,782   $  1,674,782
      Equity securities................        78,852         78,852         64,552         64,552
    Mortgage loans on real estate......       562,697        605,501        452,547        434,503
    Policy loans.......................        53,863         53,863         49,221         49,221
    Short-term investments.............       153,499        153,499        117,562        117,562
    Cash...............................             1              1         10,888         10,888
    Assets held in separate accounts...     1,781,485      1,781,485      1,212,910      1,212,910
Liabilities:
  Individual and group annuities
   (subject to discretionary
   withdrawal).........................       865,623        834,621        692,196        657,454
</TABLE>
 
15. COMMITMENTS AND CONTINGENCIES
The Company  is named  as  a defendant  in a  number  of legal  actions  arising
primarily  from claims  made under insurance  policies. These  actions have been
considered in establishing policy benefit and loss reserves. Management and  its
legal  counsel are of the opinion that  the settlement of these actions will not
have a material adverse effect on the Company's financial position or results of
operations.
 
16. RETIREMENT AND OTHER EMPLOYEE BENEFITS
The Company participates  in the  Fortis, Inc.  noncontributory defined  benefit
pension  plan covering substantially all of its employees. Benefits are based on
years of service and the employee's  compensation during such years of  service.
Fortis,  Inc. is not  able to segregate Company  specific benefit obligations or
plan assets. On an aggregate basis, the  fair value of plan assets exceeded  the
accumulated benefit obligations as of December 31, 1995.
 
The Company has a profit sharing plan covering substantially all employees which
provides  benefits payable  to participants on  retirement or  disability and to
beneficiaries of  participants  in event  of  the participant's  death.  Amounts
contributed  to the plan and expensed by the Company were $3,765,000, $3,536,000
and $3,399,000 in 1995, 1994, and 1993, respectively.
 
                                       48
<PAGE>
BALANCE SHEETS
FORTIS BENEFITS INSURANCE COMPANY
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
 
<TABLE>
<CAPTION>
                                                                                             MARCH 31     DECEMBER 31,
                                                                                               1996           1995
                                                                                            -----------   ------------
                                                                                            (UNAUDITED)
<S>                                                                                         <C>           <C>
ASSETS
Investments
  Fixed maturities, at fair value (amortized cost: $2,012,573 at March 31, 1996 $1,951,204
   at December 31, 1995)..................................................................  $2,042,316     $2,075,624
  Equity securities, at fair value (cost: $77,223 at March 31, 1996, $60,935 at December
   31, 1995)..............................................................................      97,359         78,852
  Mortgage loans on real estate...........................................................     556,903        562,697
  Policy loans............................................................................      55,408         53,863
  Short-term investments..................................................................      92,906        153,499
  Real estate and other investments.......................................................      16,736         11,918
                                                                                            -----------   ------------
                                                                                             2,861,628      2,936,453
 
Cash......................................................................................       2,877              1
Receivables:
  Uncollected premium.....................................................................      61,046         55,992
  Reinsurance recoverable on paid and unpaid losses.......................................      11,169         11,812
  Due from affiliates.....................................................................         148            388
  Other...................................................................................      18,066         14,581
                                                                                            -----------   ------------
                                                                                                90,429         82,773
 
Accrued investment income.................................................................      42,706         41,209
Deferred policy acquisition costs.........................................................     244,092        237,509
Property and equipment, at cost, less accumulated depreciation............................      59,815         60,031
Recoverable federal income taxes..........................................................      19,127             --
Deferred federal income taxes.............................................................      26,202             --
Other assets..............................................................................       2,773          3,551
Assets held in separate accounts..........................................................   1,928,571      1,781,485
                                                                                            -----------   ------------
                                                                                            $5,278,220     $5,143,012
                                                                                            -----------   ------------
                                                                                            -----------   ------------
</TABLE>
 
                            See accompanying notes.
 
                                       49
<PAGE>
BALANCE SHEETS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
(IN THOUSANDS, EXCEPT SHARE AMOUNTS)
 
   
<TABLE>
<CAPTION>
                                                                                             MARCH 31,    DECEMBER 31,
                                                                                               1996           1995
                                                                                            -----------   ------------
                                                                                            (UNAUDITED)
<S>                                                                                         <C>           <C>
RESERVES, LIABILITIES AND SHAREHOLDER'S EQUITY
  POLICY RESERVES AND LIABILITIES AND SHAREHOLDER'S EQUITY
  Future policy benefit reserves:
    Traditional life insurance............................................................  $  404,071     $  407,706
    Interest sensitive and investment products............................................   1,117,337      1,101,931
    Accident and health...................................................................     820,066        832,925
                                                                                            -----------   ------------
                                                                                             2,341,474      2,342,562
 
  Unearned premiums.......................................................................      11,847         13,044
  Other policy claims and benefits payable................................................     234,562        196,403
  Policyholder dividends payable..........................................................       8,217          7,930
                                                                                            -----------   ------------
                                                                                             2,596,100      2,559,939
  Accrued expenses........................................................................      46,237         68,441
  Current income taxes payable............................................................          --          5,375
  Deferred federal income taxes...........................................................          --          9,538
  Other liabilities.......................................................................      81,596         31,145
  Liabilities related to separate accounts................................................   1,903,941      1,757,476
                                                                                            -----------   ------------
                                                                                             4,627,874      4,431,914
 
SHAREHOLDER'S EQUITY
  Common stock, $5 par value, 1,000,000 shares authorized, issued and outstanding.........       5,000          5,000
  Additional paid-in capital..............................................................     408,000        408,000
  Retained earnings.......................................................................     206,972        207,421
  Unrealized gain on available-for-sale securities, net of deferred tax expense of $15,750
   at March 31, 1996 and tax benefit of $47,455 at December 31, 1995......................      29,250         88,131
  Unrealized gain on assets held in separate accounts, net of deferred taxes of $605 at
   March 31, 1996 and $1,371 at December 31, 1995.........................................       1,124          2,546
                                                                                            -----------   ------------
                                                                                               650,346        711,098
                                                                                            -----------   ------------
                                                                                            $5,278,220     $5,143,012
                                                                                            -----------   ------------
                                                                                            -----------   ------------
</TABLE>
    
 
                            See accompanying notes.
 
                                       50
<PAGE>
STATEMENTS OF INCOME
FORTIS BENEFITS INSURANCE COMPANY
(IN THOUSANDS)
(UNAUDITED)
 
<TABLE>
<CAPTION>
                                                                        THREE MONTHS ENDED
                                                                            MARCH 31,
                                                                       --------------------
                                                                         1996       1995
                                                                       ---------  ---------
<S>                                                                    <C>        <C>
REVENUES
  Insurance operations:
    Traditional life insurance premiums..............................  $  61,744  $  57,095
    Interest sensitive and investment product policy charges.........     13,575     11,205
    Accident and health premiums.....................................    251,577    215,084
                                                                       ---------  ---------
                                                                         326,896    283,384
  Net investment income..............................................     50,539     47,519
  Realized gains (losses) on investments.............................      6,866       (492)
  Other income.......................................................      8,444      8,320
                                                                       ---------  ---------
      TOTAL REVENUES.................................................    392,745    338,731
 
BENEFITS AND EXPENSES
  Benefits to policyholders:
    Traditional life insurance.......................................     59,258     46,355
    Interest sensitive and investment products.......................     23,506     16,155
    Accident and health..............................................    210,176    169,382
                                                                       ---------  ---------
                                                                         292,940    231,892
  Policyholder dividends.............................................      1,134        748
  Amortization of deferred policy acquisition costs..................     10,941      8,746
  Insurance commissions..............................................     25,481     22,862
  General and administrative expenses................................     63,122     57,815
                                                                       ---------  ---------
      TOTAL BENEFITS AND EXPENSES....................................    393,618    322,063
                                                                       ---------  ---------
INCOME BEFORE INCOME TAX EXPENSE.....................................       (873)    16,668
INCOME TAX EXPENSE (BENEFITS)
  Current............................................................      2,845      6,578
  Deferred...........................................................     (3,269)    (1,079)
                                                                            (424)     5,499
                                                                       ---------  ---------
      NET INCOME.....................................................  $    (449) $  11,169
                                                                       ---------  ---------
                                                                       ---------  ---------
</TABLE>
 
                            See accompanying notes.
 
                                       51
<PAGE>
STATEMENTS OF CASH FLOW
FORTIS BENEFITS INSURANCE COMPANY
(IN THOUSANDS)
(UNAUDITED)
 
   
<TABLE>
<CAPTION>
                                                                      THREE MONTHS ENDED
                                                                          MARCH 31,
                                                                     --------------------
                                                                       1996       1995
                                                                     ---------  ---------
<S>                                                                  <C>        <C>
OPERATING ACTIVITIES
  Net income.......................................................  $    (449) $  11,169
  Adjustments to reconcile net income to net cash provided by
   operating activities:
    Increase in future policy benefit reserves for traditional and
     interest sensitive products...................................    (62,021)    29,206
    Increase in other policy claims, benefits and policyholder
     dividends payable.............................................     38,446      2,085
    Decrease in deferred federal income taxes......................     (3,269)    (1,079)
    Increase (decrease) in income taxes payable....................    (24,502)    (2,212)
    Amortization of policy acquisition costs.......................     10,941      8,746
    Policy acquisition costs deferred..............................    (15,704)   (16,715)
    Provision for depreciation.....................................      4,593      3,558
    Accrual of discount, net.......................................        676       (972)
    Change in uncollected premiums, accrued investment income,
     other receivables, unearned premiums, accrued expenses, and
     other liabilities.............................................     17,897     36,699
    Realized (gains) losses on investments.........................     (6,866)       492
    Other..........................................................        778        293
                                                                     ---------  ---------
      NET CASH PROVIDED BY OPERATING ACTIVITIES....................    (39,480)    71,270
INVESTING ACTIVITIES
  Purchases of fixed maturity investments..........................   (625,023)  (426,066)
  Sales or maturities of fixed maturity investments................    564,633    365,312
  (Increase) decrease in short-term investments....................     60,693    (21,534)
  Purchase of other investments....................................    (46,828)  (102,940)
  Sales or maturities of other investments.........................     31,979     17,241
  Purchase of property and equipment...............................     (4,395)    (3,299)
  Other............................................................        364         --
                                                                     ---------  ---------
      NET CASH USED BY INVESTING ACTIVITIES........................    (18,577)  (171,286)
FINANCING ACTIVITIES
  Activities related to investment products:
    Considerations received........................................     58,767     90,987
    Surrenders and death benefits..................................    (13,369)    (9,698)
    Interest credited to policyholders.............................     15,535     11,269
  Dividends paid to shareholder....................................          0         --
                                                                     ---------  ---------
      NET CASH PROVIDED BY FINANCING ACTIVITIES....................     60,933     92,558
                                                                     ---------  ---------
      INCREASE IN CASH.............................................      2,876     (7,458)
Cash and cash equivalents at beginning of period...................          1     10,888
                                                                     ---------  ---------
      CASH AND CASH EQUIVALENTS AT END OF PERIOD...................  $   2,877  $   3,430
                                                                     ---------  ---------
                                                                     ---------  ---------
</TABLE>
    
 
                            See accompanying notes.
 
                                       52
<PAGE>
NOTES TO FINANCIAL STATEMENTS
FORTIS BENEFITS INSURANCE COMPANY
MARCH 31, 1996
(UNAUDITED)
 
GENERAL:  The  accompanying unaudited  financial  statements of  Fortis Benefits
Insurance Company  contain  all  adjustments necessary  to  present  fairly  the
balance  sheet as of March 31, 1996 and  the related statement of income for the
three months ended March  31, 1996, and  cash flows for  the three months  ended
March 31, 1996 and 1995.
 
ACQUIRED  BUSINESS: In  October, 1991 the  Company purchased  certain assets and
assumed certain liabilities from  the Mutual Benefit  Life Insurance Company  in
Rehabilitation  (MBL). The seller transferred to  Fortis Benefits the assets and
liabilities relating  to the  group life,  accident and  health, disability  and
dental  insurance  business  of MBL.  The  acquisition  was accounted  for  as a
purchase.
 
Fortis Benefits purchased this business for $318 million and issued a promissory
note in the  maximum amount  of $200  million. Most  of the  purchase price  was
funded by a capital contribution of $225 million from Fortis, Inc.
 
In  accordance with the contractual agreement,  additional payments were paid to
MBL based  upon the  persistency of  the  long term  disability portion  of  the
business. Under terms of this agreement, the Company paid $6,644,000, $5,521,000
and  $8,685,000 in 1994, 1993, and  1992, respectively. This additional purchase
price was  accounted for  as deferred  policy acquisition  costs. No  additional
payments will be made.
 
Income tax payments for the three months ended March 31, 1996 and March 31, 1995
were $27,347,000 and $8,790,000 respectively.
 
The  classification of fixed maturity  investments is to be  made at the time of
purchase and, prospectively, that classification  is expected to be  reevaluated
as  of each balance sheet date. At March 31, 1996, all fixed maturity and equity
securities are classified as available-for-sale and carried at fair value.
 
The amortized cost  and fair  values of investments  available-for-sale were  as
follows at March 31, 1996 (in thousands):
 
<TABLE>
<CAPTION>
                                              AMORTIZED   UNREALIZED   UNREALIZED     FAIR
                                                COST         GAIN         LOSS        VALUE
                                             -----------  -----------  -----------  ---------
<S>                                          <C>          <C>          <C>          <C>
Fixed Income Securities:
  Governments..............................   $ 517,801    $   6,889    $   4,431   $ 520,259
  Public Utilities.........................      67,593        3,170          632      70,131
  Industrial and miscellaneous.............   1,418,231       34,880       10,939   1,442,172
  Other....................................       8,948          894           88       9,754
                                             -----------  -----------  -----------  ---------
      Total................................   2,012,573       45,833       16,090   2,042,316
  Equity Securities........................      77,223       21,943        1,807      97,359
                                             -----------  -----------  -----------  ---------
                                              $2,089,796   $  67,776    $  17,897   $2,139,675
                                             -----------  -----------  -----------  ---------
                                             -----------  -----------  -----------  ---------
</TABLE>
 
                                       53
<PAGE>
The  amortized cost  and fair value  of fixed  maturities at March  31, 1996, by
contractual maturity, are shown below  (in thousands). Expected maturities  will
differ  from contractual maturities because borrower  may have the right to call
or prepay obligations with or without call or prepayment penalties.
 
<TABLE>
<CAPTION>
                                                     AMORTIZED     FAIR
                                                       COST        VALUE
                                                    -----------  ---------
<S>                                                 <C>          <C>
Due in one year or less...........................   $  41,610   $  41,784
Due after one year through five years.............     551,455     557,967
Due after five years through ten years............     738,868     749,600
Due after ten years...............................     680,640     692,965
                                                    -----------  ---------
                                                     $2,012,573  $2,042,316
                                                    -----------  ---------
                                                    -----------  ---------
</TABLE>
 
Proceeds from sales  and maturities of  investments in fixed  maturities in  the
three  month  period ended  March 31,  1996  were $546,685,950,  and $17,948,000
respectively. Gross gains  of $13,094,428  and gross losses  of $8,949,756  were
realized on sales.
 
MORTGAGE  LOANS: The Company has issued  commercial mortgage loans on properties
located throughout  the country.  Currently,  approximately 27%  of  outstanding
principal is concentrated in the states of California, Florida and Illinois. The
Company  has  a diversified  loan  portfolio with  a  small average  size, which
greatly reduces any  loss exposure. The  Company has established  a reserve  for
mortgage loans.
 
In  1995 the  Company adopted  FASB 114  and 118,  "Accounting by  Creditors for
Impairment of a Loan." Statements 114 and 118 require that impaired loans are to
be valued at the present value of  expected future cash flows discounted at  the
loan's  effective interest  rate, or,  as a  practical expedient,  at the loan's
observable market price, or the fair market value of the collateral if the  loan
is  collateral dependent. Adoption of these statements did not materially impact
the financial position or operating results of the Company.
 
NET  INVESTMENT  INCOME  AND  REALIZED  GAINS  (LOSSES)  ON  INVESTMENTS:  Major
categories of net investment income and realized gains and losses on investments
for the first three months of each year were as follows (in thousands):
 
<TABLE>
<CAPTION>
                                                                             REALIZED GAIN (LOSS)
                                                        INVESTMENT INCOME
                                                                                ON INVESTMENTS
                                                       --------------------  --------------------
                                                         1996       1995       1996       1995
                                                       ---------  ---------  ---------  ---------
<S>                                                    <C>        <C>        <C>        <C>
Fixed maturities.....................................  $  35,421  $  33,456  $   1,628  $  (1,002)
Preferred stocks.....................................         51        186        250
Common stocks........................................        620        415      2,266        264
Mortgage loans on real estate........................     13,351     11,066       (144)
Policy loans.........................................        818        784
Short-term investments...............................      2,102      2,415         57
Real estate and other investments....................        239        844      2,809        246
                                                       ---------  ---------  ---------  ---------
                                                          52,602     49,166  $   6,866  $    (492)
                                                       ---------  ---------  ---------  ---------
Expenses.............................................     (2,063)    (1,647)
                                                       ---------  ---------  ---------  ---------
                                                                             ---------  ---------
                                                       $  50,539  $  47,519
                                                       ---------  ---------
                                                       ---------  ---------
</TABLE>
 
                                       54
<PAGE>
REPORT OF INDEPENDENT AUDITORS
 
Board of Directors
Fortis Benefits Insurance Company
 
We  have audited  the accompanying  statement of  net assets  of Fortis Benefits
Insurance Company  Variable  Account  C (comprising,  respectively,  the  Fortis
Series  Fund,  Inc.'s Growth  Stock, U.S.  Government Securities,  Money Market,
Asset Allocation, Diversified Income, Global Growth, Aggressive Growth, Growth &
Income, High  Yield, Global  Asset Allocation,  Global Bond,  and  International
Stock  Subaccounts and the Norwest Select Fund's Small Company Stock Subaccount)
as of December 31, 1995, and the related statements of changes in net assets for
each of the three years  then ended, except for  the Fortis Series Fund,  Inc.'s
Aggressive Growth, Growth & Income, and High Yield Subaccounts which are for the
years  ended December  31, 1995  and 1994,  and the  Fortis Series  Fund, Inc.'s
Global Asset Allocation,  Global Bond, and  International Stock Subaccounts  and
the  Norwest Select Fund's Small Company Stock Subaccount which are for the year
ended December 31, 1995.  These financial statements  are the responsibility  of
the  management of Fortis  Benefits Insurance Company.  Our responsibility is to
express an opinion on these financial statements based on our audits.
 
We  conducted  our  audits  in  accordance  with  generally  accepted   auditing
standards.  Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence  supporting
the amounts and disclosures in the financial statements. Our procedures included
confirmation  of securities owned as of December 31, 1995 by correspondence with
the custodian. An audit also  includes assessing the accounting principles  used
and  significant estimates made by management, as well as evaluating the overall
financial  statement  presentation.  We  believe  that  our  audits  provide   a
reasonable basis for our opinion.
 
In  our opinion, the  financial statements referred to  above present fairly, in
all material  respects,  the financial  position  of Fortis  Benefits  Insurance
Company  Variable Account  C at December  31, 1995,  and the changes  in the net
assets for the  periods described  in the  first paragraph,  in conformity  with
generally accepted accounting principles.
 
         [SIGNATURE]
March 22, 1996
 
                                       55
<PAGE>
STATEMENT OF NET ASSETS
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
DECEMBER 31, 1995
 
<TABLE>
<CAPTION>
                                              ATTRIBUTABLE   ATTRIBUTABLE                   NET ASSET VALUE
                                                TO FORTIS     TO VARIABLE                  FOR VARIABLE LIFE
                                                BENEFITS         LIFE       ACCUMULATION       INSURANCE
                                                INSURANCE      INSURANCE        UNITS        POLICIES PER
                                  NET ASSETS     COMPANY       POLICIES      OUTSTANDING   ACCUMULATION UNIT
                                  ----------  -------------  -------------  -------------  -----------------
<S>                               <C>         <C>            <C>            <C>            <C>
Investments in Fortis Series
 Fund, Inc., at market value
 (Note 2):
  Growth Stock Series (4,069,900
   shares; cost--$85,836,221)...  $114,336,114   $1,626,134   $112,709,980    5,597,835         $20.13
  U.S. Government Securities
   Series (773,801 shares;
   cost-- $8,216,067)...........   8,637,241           --       8,637,241       563,792          15.32
  Money Market Series (448,336
   shares; cost--$4,872,591)....   4,853,912           --       4,853,912       380,101          12.77
  Asset Allocation Series
   (1,517,676 shares;
   cost--$20,665,868)...........  24,130,134      783,299      23,346,835     1,319,746          17.69
  Diversified Income Series
   (408,851 shares;
   cost--$4,732,097)............   4,986,624           --       4,986,624       317,914          15.69
  Global Growth Series
   (2,326,115 shares;
   cost--$29,749,600)...........  37,150,378      650,869      36,499,509     2,298,743          15.88
  Aggressive Growth Series
   (724,997 shares;
   cost--$7,999,913)............   9,189,333      760,602       8,428,731       672,460          12.53
  Growth & Income Series
   (387,727 shares;
   cost--$4,356,563)............   4,975,884      770,231       4,205,653       322,904          13.02
  High Yield Series (285,845
   shares; cost--$2,860,695)....   2,783,523    1,266,202       1,517,321       137,850          11.01
  Global Asset Allocation Series
   (627,400 shares;
   cost--$6,424,554)............   7,167,294    5,712,197       1,455,097       125,237          11.62
  Global Bond Series (576,688
   shares; cost--$5,900,696)....   6,508,904    5,643,468         865,436        73,311          11.81
  International Stock Series
   (737,128 shares;
   cost--$7,533,474)............   8,308,832    5,636,625       2,672,207       236,244          11.31
Investment in Norwest Select
 Fund, at market value (Note 2):
  Small Company Stock Fund
   (103,433 shares;
   cost--$1,038,350)............   1,159,487    1,159,487              --            --           --
</TABLE>
 
                       See notes to financial statements.
 
                                       56
<PAGE>
STATEMENTS OF CHANGES IN NET ASSETS
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
<TABLE>
<CAPTION>
                                                                                           YEAR ENDED DECEMBER 31
                                                                                      1995          1994          1993
                                                                                  ------------  ------------  ------------
<S>                                                                               <C>           <C>           <C>
GROWTH STOCK SUBACCOUNT
Investment income:
  Dividend income...............................................................  $    510,059  $    524,850  $    186,295
  Mortality and expense and policy advance charges (Note 3).....................    (1,093,454)     (630,146)     (406,385)
                                                                                  ------------  ------------  ------------
    NET INVESTMENT LOSS.........................................................      (583,395)     (105,296)     (220,090)
  Net realized gain on redemption of Fortis Series Fund, Inc. portfolio
   shares.......................................................................       542,606       193,238       315,227
  Net change in unrealized appreciation (depreciation) on investments...........    20,881,118    (1,837,695)    3,121,509
                                                                                  ------------  ------------  ------------
    NET INCREASE (DECREASE) IN NET ASSETS FROM OPERATIONS.......................    20,840,329    (1,749,753)    3,216,646
Capital transactions:
  Purchase of Variable Account C units..........................................    23,231,047    24,347,849    18,848,153
  Redemption of Variable Account C units........................................    (2,402,006)   (1,554,311)   (1,856,898)
  Mortality and expense charge redeemed from Fortis Series Fund, Inc............     1,093,454       630,146            --
  Mortality and expense charge due from Fortis Series Fund, Inc.................            --            --       406,385
  Dividend income distribution to Fortis Benefits Insurance Company.............        (7,237)       (9,364)           --
                                                                                  ------------  ------------  ------------
    NET INCREASE IN NET ASSETS FROM CAPITAL TRANSACTIONS........................    21,915,258    23,414,320    17,397,640
                                                                                  ------------  ------------  ------------
    TOTAL INCREASE IN NET ASSETS................................................    42,755,587    21,664,567    20,614,286
Net assets, beginning of year...................................................    71,580,527    49,915,960    29,301,674
                                                                                  ------------  ------------  ------------
    NET ASSETS, END OF YEAR.....................................................  $114,336,114  $ 71,580,527  $ 49,915,960
                                                                                  ------------  ------------  ------------
                                                                                  ------------  ------------  ------------
 
<CAPTION>
 
                                                                                           YEAR ENDED DECEMBER 31
                                                                                      1995          1994          1993
                                                                                  ------------  ------------  ------------
<S>                                                                               <C>           <C>           <C>
U.S. GOVERNMENT SECURITIES SUBACCOUNT
Investment income:
  Dividend income...............................................................  $        379  $    607,364  $    523,262
  Mortality and expense and policy advance charges (Note 3).....................       (95,405)      (79,454)      (51,142)
                                                                                  ------------  ------------  ------------
  Net investment (loss) income..................................................       (95,026)      527,910       472,120
  Net realized (loss) gain on redemption of Fortis Series Fund, Inc. portfolio
   shares.......................................................................       (54,024)     (126,731)       56,486
  Net change in unrealized appreciation (depreciation) on investments...........     1,463,356      (967,547)     (133,072)
                                                                                  ------------  ------------  ------------
    NET INCREASE (DECREASE) IN NET ASSETS FROM OPERATIONS.......................     1,314,306      (566,368)      395,534
Capital transactions:
  Purchase of Variable Account C units..........................................     2,331,839     1,951,506     4,101,566
  Redemption of Variable Account C units........................................    (2,234,298)   (1,984,288)     (971,887)
  Mortality and expense charge redeemed from Fortis Series Fund, Inc............        95,405        79,454            --
  Mortality and expense charge due from Fortis Series Fund, Inc.................            --            --        51,142
                                                                                  ------------  ------------  ------------
    NET INCREASE IN NET ASSETS FROM CAPITAL TRANSACTIONS........................       192,946        46,672     3,180,821
                                                                                  ------------  ------------  ------------
    TOTAL INCREASE (DECREASE) IN NET ASSETS.....................................     1,507,252      (519,696)    3,576,355
Net assets, beginning of year...................................................     7,129,989     7,649,685     4,073,330
                                                                                  ------------  ------------  ------------
    NET ASSETS, END OF YEAR.....................................................  $  8,637,241  $  7,129,989  $  7,649,685
                                                                                  ------------  ------------  ------------
                                                                                  ------------  ------------  ------------
</TABLE>
 
                       See notes to financial statements.
 
                                       57
<PAGE>
STATEMENTS OF CHANGES IN NET ASSETS
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
<TABLE>
<CAPTION>
                                                                     YEAR ENDED DECEMBER 31
                                                                   1995       1994       1993
                                                                ----------  ---------  ---------
<S>                                                             <C>         <C>        <C>
GROWTH STOCK SUBACCOUNT
Investment income:
  Dividend income.............................................  $  510,059  $ 524,850  $ 186,295
  Mortality and expense and policy advance charges (Note 3)...  (1,093,454)  (630,146)  (406,385)
                                                                ----------  ---------  ---------
    NET INVESTMENT LOSS.......................................    (583,395)  (105,296)  (220,090)
  Net realized gain on redemption of Fortis Series Fund, Inc.
   portfolio shares...........................................     542,606    193,238    315,227
  Net change in unrealized appreciation (depreciation) on
   investments................................................  20,881,118  (1,837,695) 3,121,509
                                                                ----------  ---------  ---------
    NET INCREASE (DECREASE) IN NET ASSETS FROM OPERATIONS.....  20,840,329  (1,749,753) 3,216,646
Capital transactions:
  Purchase of Variable Account C units........................  23,231,047  24,347,849 18,848,153
  Redemption of Variable Account C units......................  (2,402,006) (1,554,311) (1,856,898)
  Mortality and expense charge redeemed from Fortis Series
   Fund, Inc..................................................   1,093,454    630,146         --
  Mortality and expense charge due from Fortis Series Fund,
   Inc........................................................          --         --    406,385
  Dividend income distribution to Fortis Benefits Insurance
   Company....................................................      (7,237)    (9,364)        --
                                                                ----------  ---------  ---------
    NET INCREASE IN NET ASSETS FROM CAPITAL TRANSACTIONS......  21,915,258  23,414,320 17,397,640
                                                                ----------  ---------  ---------
    TOTAL INCREASE IN NET ASSETS..............................  42,755,587  21,664,567 20,614,286
Net assets, beginning of year.................................  71,580,527  49,915,960 29,301,674
                                                                ----------  ---------  ---------
    NET ASSETS, END OF YEAR...................................  $114,336,114 $71,580,527 $49,915,960
                                                                ----------  ---------  ---------
                                                                ----------  ---------  ---------
 
<CAPTION>
 
                                                                     YEAR ENDED DECEMBER 31
                                                                   1995       1994       1993
                                                                ----------  ---------  ---------
<S>                                                             <C>         <C>        <C>
U.S. GOVERNMENT SECURITIES SUBACCOUNT
Investment income:
  Dividend income.............................................  $      379  $ 607,364  $ 523,262
  Mortality and expense and policy advance charges (Note 3)...     (95,405)   (79,454)   (51,142)
                                                                ----------  ---------  ---------
  Net investment (loss) income................................     (95,026)   527,910    472,120
  Net realized (loss) gain on redemption of Fortis Series
   Fund, Inc. portfolio shares................................     (54,024)  (126,731)    56,486
  Net change in unrealized appreciation (depreciation) on
   investments................................................   1,463,356   (967,547)  (133,072)
                                                                ----------  ---------  ---------
    NET INCREASE (DECREASE) IN NET ASSETS FROM OPERATIONS.....   1,314,306   (566,368)   395,534
Capital transactions:
  Purchase of Variable Account C units........................   2,331,839  1,951,506  4,101,566
  Redemption of Variable Account C units......................  (2,234,298) (1,984,288)  (971,887)
  Mortality and expense charge redeemed from Fortis Series
   Fund, Inc..................................................      95,405     79,454         --
  Mortality and expense charge due from Fortis Series Fund,
   Inc........................................................          --         --     51,142
                                                                ----------  ---------  ---------
    NET INCREASE IN NET ASSETS FROM CAPITAL TRANSACTIONS......     192,946     46,672  3,180,821
                                                                ----------  ---------  ---------
    TOTAL INCREASE (DECREASE) IN NET ASSETS...................   1,507,252   (519,696) 3,576,355
Net assets, beginning of year.................................   7,129,989  7,649,685  4,073,330
                                                                ----------  ---------  ---------
    NET ASSETS, END OF YEAR...................................  $8,637,241  $7,129,989 $7,649,685
                                                                ----------  ---------  ---------
                                                                ----------  ---------  ---------
</TABLE>
 
                       See notes to financial statements.
 
                                       58
<PAGE>
STATEMENTS OF CHANGES IN NET ASSETS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
<TABLE>
<CAPTION>
                                                                                           YEAR ENDED DECEMBER 31
                                                                                  ----------------------------------------
                                                                                      1995          1994          1993
                                                                                  ------------  ------------  ------------
<S>                                                                               <C>           <C>           <C>
MONEY MARKET SUBACCOUNT
Investment income:
  Dividend income...............................................................  $    180,105  $         --  $     35,403
  Mortality and expense and policy advance charges (Note 3).....................       (52,173)      (21,446)      (14,578)
                                                                                  ------------  ------------  ------------
    NET INVESTMENT INCOME (LOSS)................................................       127,932       (21,446)       20,825
  Net realized gain on redemption of Fortis Series Fund, Inc. portfolio
   shares.......................................................................       176,710        13,988         4,990
  Net change in unrealized (depreciation) appreciation on investments...........       (98,436)      100,566        (3,006)
                                                                                  ------------  ------------  ------------
    NET INCREASE IN NET ASSETS FROM OPERATIONS..................................       206,206        93,108        22,809
Capital transactions:
  Purchase of Variable Account C units..........................................     5,764,979     4,963,584     3,163,424
  Redemption of Variable Account C units........................................    (5,395,064)   (2,269,774)   (3,233,030)
  Mortality and expense charge redeemed from Fortis Series Fund, Inc............        52,173        21,446            --
  Mortality and expense charge due from Fortis Series Fund, Inc.................            --            --        14,578
                                                                                  ------------  ------------  ------------
    NET INCREASE (DECREASE) IN NET ASSETS FROM CAPITAL TRANSACTIONS.............       422,088     2,715,256       (55,028)
                                                                                  ------------  ------------  ------------
    TOTAL INCREASE (DECREASE) IN NET ASSETS.....................................       628,294     2,808,364       (32,219)
Net assets, beginning of year...................................................     4,225,618     1,417,254     1,449,473
                                                                                  ------------  ------------  ------------
    NET ASSETS, END OF YEAR.....................................................  $  4,853,912  $  4,225,618  $  1,417,254
                                                                                  ------------  ------------  ------------
                                                                                  ------------  ------------  ------------
 
<CAPTION>
 
                                                                                           YEAR ENDED DECEMBER 31
                                                                                  ----------------------------------------
                                                                                      1995          1994          1993
                                                                                  ------------  ------------  ------------
<S>                                                                               <C>           <C>           <C>
ASSET ALLOCATION SUBACCOUNT
Investment income:
  Dividend income...............................................................  $    924,340  $    626,408  $    363,460
  Mortality and expense and policy advance charges (Note 3).....................      (231,545)     (146,296)      (91,158)
                                                                                  ------------  ------------  ------------
    NET INVESTMENT INCOME.......................................................       692,795       480,112       272,302
  Net realized gain on redemption of Fortis Series Fund, Inc. portfolio
   shares.......................................................................       184,857        42,277        67,563
  Net change in unrealized appreciation (depreciation) on investments...........     2,815,928      (678,881)      432,499
                                                                                  ------------  ------------  ------------
    NET INCREASE (DECREASE) IN NET ASSETS FROM OPERATIONS.......................     3,693,580      (156,492)      772,364
Capital transactions:
  Purchase of Variable Account C units..........................................     5,135,857     5,042,184     5,311,744
  Redemption of Variable Account C units........................................    (1,383,622)     (488,270)     (572,086)
  Mortality and expense charge redeemed from Fortis Series Fund, Inc............       231,545       146,296            --
  Mortality and expense charge due from Fortis Series Fund, Inc.................            --            --        91,158
  Dividend income distribution to Fortis Benefits Insurance Company.............       (31,040)      (26,122)           --
                                                                                  ------------  ------------  ------------
    NET INCREASE IN NET ASSETS FROM CAPITAL TRANSACTIONS........................     3,952,740     4,674,088     4,830,816
                                                                                  ------------  ------------  ------------
    TOTAL INCREASE IN NET ASSETS................................................     7,646,320     4,517,596     5,603,180
Net assets, beginning of year...................................................    16,483,814    11,966,218     6,363,038
                                                                                  ------------  ------------  ------------
    NET ASSETS, END OF YEAR.....................................................  $ 24,130,134  $ 16,483,814  $ 11,966,218
                                                                                  ------------  ------------  ------------
                                                                                  ------------  ------------  ------------
</TABLE>
 
                       See notes to financial statements.
 
                                       60
<PAGE>
STATEMENTS OF CHANGES IN NET ASSETS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
<TABLE>
<CAPTION>
                                                                                           YEAR ENDED DECEMBER 31
                                                                                  ----------------------------------------
                                                                                      1995          1994          1993
                                                                                  ------------  ------------  ------------
<S>                                                                               <C>           <C>           <C>
DIVERSIFIED INCOME SUBACCOUNT
Investment income:
  Dividend income...............................................................  $        155  $    257,570  $    120,019
  Mortality and expense and policy advance charges (Note 3).....................       (49,814)      (29,757)      (11,358)
                                                                                  ------------  ------------  ------------
    NET INVESTMENT (LOSS) INCOME................................................       (49,659)      227,813       108,661
  Net realized gain (loss) on redemption of Fortis Series Fund, Inc. portfolio
   shares.......................................................................        10,234       (32,443)       16,707
  Net change in unrealized appreciation (depreciation) on investments...........       639,984      (335,368)      (49,202)
                                                                                  ------------  ------------  ------------
    NET INCREASE (DECREASE) IN NET ASSETS FROM OPERATIONS.......................       600,559      (139,998)       76,166
Capital transactions:
  Purchase of Variable Account C units..........................................     2,234,605     2,099,560     1,934,554
  Redemption of Variable Account C units........................................    (1,087,689)     (601,619)     (509,368)
  Mortality and expense charge redeemed from Fortis Series Fund, Inc............        49,814        29,757            --
  Mortality and expense charge due from Fortis Series Fund, Inc.................            --            --        11,358
                                                                                  ------------  ------------  ------------
    NET INCREASE IN NET ASSETS FROM CAPITAL TRANSACTIONS........................     1,196,730     1,527,698     1,436,544
                                                                                  ------------  ------------  ------------
    TOTAL INCREASE IN NET ASSETS................................................     1,797,289     1,387,700     1,512,710
Net assets, beginning of year...................................................     3,189,335     1,801,635       288,925
                                                                                  ------------  ------------  ------------
    NET ASSETS, END OF YEAR.....................................................  $  4,986,624  $  3,189,335  $  1,801,635
                                                                                  ------------  ------------  ------------
                                                                                  ------------  ------------  ------------
 
<CAPTION>
 
                                                                                           YEAR ENDED DECEMBER 31
                                                                                  ----------------------------------------
                                                                                      1995          1994          1993
                                                                                  ------------  ------------  ------------
<S>                                                                               <C>           <C>           <C>
GLOBAL GROWTH SUBACCOUNT
Investment income:
  Dividend income...............................................................  $    194,924  $    144,687  $     25,615
  Mortality and expense and policy advance charges (Note 3).....................      (352,145)     (157,000)      (35,224)
                                                                                  ------------  ------------  ------------
    NET INVESTMENT LOSS.........................................................      (157,221)      (12,313)       (9,609)
  Net realized gain on redemption of Fortis Series Fund, Inc. portfolio
   shares.......................................................................       155,887       490,813        33,810
  Net change in unrealized appreciation (depreciation) on investments...........     7,220,951    (1,089,277)      930,476
                                                                                  ------------  ------------  ------------
    NET INCREASE (DECREASE) IN NET ASSETS FROM OPERATIONS.......................     7,219,617      (610,777)      954,677
Capital transactions:
  Purchase of Variable Account C units..........................................     9,569,763    14,421,587     6,887,276
  Redemption of Variable Account C units........................................    (1,321,205)     (698,757)     (722,115)
  Mortality and expense charge redeemed from Fortis Series Fund, Inc............       352,145       157,000            --
  Mortality and expense charge due from Fortis Series Fund, Inc.................            --            --        35,224
  Redemption of Fortis Benefits Insurance Company investment in subaccount......            --    (2,500,000)           --
  Dividend income distributed to Fortis Benefits Insurance Company..............        (3,423)       (3,407)           --
                                                                                  ------------  ------------  ------------
    NET INCREASE IN NET ASSETS FROM CAPITAL TRANSACTIONS........................     8,597,280    11,376,423     6,200,385
                                                                                  ------------  ------------  ------------
    TOTAL INCREASE IN NET ASSETS................................................    15,816,897    10,765,646     7,155,062
Net assets, beginning of year...................................................    21,333,481    10,567,835     3,412,773
                                                                                  ------------  ------------  ------------
    NET ASSETS, END OF YEAR.....................................................  $ 37,150,378  $ 21,333,481  $ 10,567,835
                                                                                  ------------  ------------  ------------
                                                                                  ------------  ------------  ------------
</TABLE>
 
                       See notes to financial statements.
 
                                       61
<PAGE>
STATEMENTS OF CHANGES IN NET ASSETS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
<TABLE>
<CAPTION>
                                                                                    YEAR ENDED DECEMBER 31
                                                                                  --------------------------
                                                                                      1995          1994
                                                                                  ------------  ------------
<S>                                                                               <C>           <C>
AGGRESSIVE GROWTH SUBACCOUNT
Investment income:
  Dividend income...............................................................  $     32,999  $      8,878
  Mortality and expense and policy advance charges (Note 3).....................       (55,105)       (4,484)
                                                                                  ------------  ------------
    NET INVESTMENT (LOSS) INCOME................................................       (22,106)        4,394
  Net realized gain (loss) on redemption of Fortis Series Fund, Inc. portfolio
   shares.......................................................................        87,207        (2,388)
  Net change in unrealized appreciation on investments..........................     1,158,725        30,648
                                                                                  ------------  ------------
    NET INCREASE IN NET ASSETS FROM OPERATIONS..................................     1,223,826        32,654
Capital transactions:
  Purchase of Variable Account C units..........................................     6,246,152     1,858,035
  Redemption of Variable Account C units........................................      (621,660)     (204,115)
  Mortality and expense charge redeemed from Fortis Series Fund, Inc............        55,105         4,484
  Funding of subaccount by Fortis Benefits Insurance Company....................            --       600,000
  Dividend income distributed to Fortis Benefits Insurance Company..............        (2,760)       (2,388)
                                                                                  ------------  ------------
    NET INCREASE IN NET ASSETS FROM CAPITAL TRANSACTIONS........................     5,676,837     2,256,016
                                                                                  ------------  ------------
    TOTAL INCREASE IN NET ASSETS................................................     6,900,663     2,288,670
Net assets, beginning of year...................................................     2,288,670            --
                                                                                  ------------  ------------
    NET ASSETS, END OF YEAR.....................................................  $  9,189,333  $  2,288,670
                                                                                  ------------  ------------
                                                                                  ------------  ------------
 
<CAPTION>
 
                                                                                    YEAR ENDED DECEMBER 31
                                                                                  --------------------------
                                                                                      1995          1994
                                                                                  ------------  ------------
<S>                                                                               <C>           <C>
GROWTH & INCOME SUBACCOUNT
Investment income:
  Dividend income...............................................................  $     83,612  $     12,968
  Mortality and expense and policy advance charges (Note 3).....................       (24,640)       (1,404)
                                                                                  ------------  ------------
    NET INVESTMENT INCOME.......................................................        58,972        11,564
  Net realized gain on redemption of Fortis Series Fund, Inc. portfolio
   shares.......................................................................        40,572           124
  Net change in unrealized appreciation (depreciation) on investments...........       619,472          (222)
                                                                                  ------------  ------------
    NET INCREASE IN NET ASSETS FROM OPERATIONS..................................       719,016        11,466
Capital transactions:
  Purchase of Variable Account C units..........................................     3,356,014       656,805
  Redemption of Variable Account C units........................................      (366,822)       (6,999)
  Mortality and expense charge redeemed from Fortis Series Fund, Inc............        24,640         1,404
  Funding of subaccount by Fortis Benefits Insurance Company....................            --       600,000
  Dividend income distributed to Fortis Benefits Insurance Company..............       (13,202)       (6,438)
                                                                                  ------------  ------------
    NET INCREASE IN NET ASSETS FROM CAPITAL TRANSACTIONS........................     3,000,630     1,244,772
                                                                                  ------------  ------------
    TOTAL INCREASE IN NET ASSETS................................................     3,719,646     1,256,238
Net assets, beginning of year...................................................     1,256,238            --
                                                                                  ------------  ------------
    NET ASSETS, END OF YEAR.....................................................  $  4,975,884  $  1,256,238
                                                                                  ------------  ------------
                                                                                  ------------  ------------
</TABLE>
 
                       See notes to financial statements.
 
                                       62
<PAGE>
STATEMENTS OF CHANGES IN NET ASSETS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
 
<TABLE>
<CAPTION>
                                                                                    YEAR ENDED DECEMBER 31
                                                                                  --------------------------
                                                                                      1995          1994
                                                                                  ------------  ------------
<S>                                                                               <C>           <C>
HIGH YIELD SUBACCOUNT
Investment income:
  Dividend income...............................................................  $    252,046  $     81,918
  Mortality and expense and policy advance charges (Note 3).....................       (11,638)       (1,463)
                                                                                  ------------  ------------
    NET INVESTMENT INCOME.......................................................       240,408        80,455
  Net realized gain (loss) on redemption of Fortis Series Fund, Inc. portfolio
   shares.......................................................................         7,233        (3,503)
  Net change in unrealized appreciation (depreciation) on investments...........        11,854       (88,789)
                                                                                  ------------  ------------
    NET INCREASE (DECREASE) IN NET ASSETS FROM OPERATIONS.......................       259,495       (11,837)
Capital transactions:
  Purchase of Variable Account C units..........................................     1,244,092       733,981
  edemption of Variable Account C units.........................................      (346,228)     (229,014)
  Mortality and expense charge redeemed from Fortis Series Fund, Inc............        11,638         1,463
  Funding of subaccount by Fortis Benefits Insurance Company....................            --     1,300,000
  Dividend income distributed to Fortis Benefits Insurance Company..............      (120,917)      (59,150)
                                                                                  ------------  ------------
    NET INCREASE IN NET ASSETS FROM CAPITAL TRANSACTIONS........................       788,585     1,747,280
                                                                                  ------------  ------------
    TOTAL INCREASE IN NET ASSETS................................................     1,048,080     1,735,443
Net assets, beginning of year...................................................     1,735,443            --
                                                                                  ------------  ------------
    NET ASSETS, END OF YEAR.....................................................  $  2,783,523  $  1,735,443
                                                                                  ------------  ------------
                                                                                  ------------  ------------
</TABLE>
 
<TABLE>
<CAPTION>
                                                                                   YEAR ENDED
                                                                                  DECEMBER 31
                                                                                  ------------
                                                                                      1995
                                                                                  ------------
<S>                                                                               <C>           <C>
GLOBAL ASSET ALLOCATION SUBACCOUNT
Investment income:
  Dividend income...............................................................  $   199,139
  Mortality and expense and policy advance charges (Note 3).....................       (7,642 )
                                                                                  ------------
    NET INVESTMENT INCOME.......................................................      191,497
  Net realized gain on redemption of Fortis Series Fund, Inc. portfolio
   shares.......................................................................       21,531
  Net change in unrealized appreciation on investments..........................      742,740
                                                                                  ------------
    NET INCREASE IN NET ASSETS FROM OPERATIONS..................................      955,768
Capital transactions:
  Purchase of Variable Account C units..........................................    1,423,812
  Redemption of Variable Account C units........................................      (59,928 )
  Mortality and expense charge redeemed from Fortis Series Fund, Inc............        7,642
  Funding of subaccount by Fortis Benefits Insurance Company....................    5,000,000
  Dividend income distributed to Fortis Benefits Insurance Company..............     (160,000 )
                                                                                  ------------
    NET INCREASE IN NET ASSETS FROM CAPITAL TRANSACTIONS........................    6,211,526
                                                                                  ------------
    TOTAL INCREASE IN NET ASSETS................................................    7,167,294
Net assets, beginning of year...................................................           --
                                                                                  ------------
    NET ASSETS, END OF YEAR.....................................................  $ 7,167,294
                                                                                  ------------
                                                                                  ------------
</TABLE>
 
                       See notes to financial statements.
 
                                       63
<PAGE>
STATEMENTS OF CHANGES IN NET ASSETS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
<TABLE>
<CAPTION>
                                                                                      YEAR ENDED
                                                                                     DECEMBER 31,
                                                                                         1995
                                                                                     ------------
<S>                                                                                  <C>
GLOBAL BOND SUBACCOUNT
Investment income:
  Dividend income..................................................................   $  349,572
  Mortality and expense and policy advance charges (Note 3)........................       (5,019)
                                                                                     ------------
    NET INVESTMENT INCOME..........................................................      344,553
  Net realized gain on redemption of Fortis Series Fund, Inc. portfolio shares.....       37,910
  Net change in unrealized appreciation on investments.............................      608,208
                                                                                     ------------
    NET INCREASE IN NET ASSETS FROM OPERATIONS.....................................      990,671
Capital transactions:
  Purchase of Variable Account C units.............................................    1,061,190
  Redemption of Variable Account C units...........................................     (242,976)
  Mortality and expense charge redeemed from Fortis Series Fund, Inc...............        5,019
  Funding of subaccount by Fortis Benefits Insurance Company.......................    5,000,000
  Dividend income distributed to Fortis Benefits Insurance Company.................     (305,000)
                                                                                     ------------
    NET INCREASE IN NET ASSETS FROM CAPITAL TRANSACTIONS...........................    5,518,233
                                                                                     ------------
    TOTAL INCREASE IN NET ASSETS...................................................    6,508,904
Net assets, beginning of year......................................................           --
                                                                                     ------------
    NET ASSETS, END OF YEAR........................................................   $6,508,904
                                                                                     ------------
                                                                                     ------------
 
<CAPTION>
 
                                                                                      YEAR ENDED
                                                                                     DECEMBER 31,
                                                                                         1995
                                                                                     ------------
<S>                                                                                  <C>
INTERNATIONAL STOCK SUBACCOUNT
Investment income:
  Dividend income..................................................................   $  117,200
  Mortality and expense and policy advance charges (Note 3)........................      (13,805)
                                                                                     ------------
    NET INVESTMENT INCOME..........................................................      103,395
  Net realized gain on redemption of Fortis Series Fund, Inc. portfolio shares.....       13,134
  Net change in unrealized appreciation on investments.............................      775,358
                                                                                     ------------
    NET INCREASE IN NET ASSETS FROM OPERATIONS.....................................      891,887
Capital transactions:
  Purchase of Variable Account C units.............................................    2,584,243
  Redemption of Variable Account C units...........................................     (101,103)
  Mortality and expense charge redeemed from Fortis Series Fund, Inc...............       13,805
  Funding of subaccount by Fortis Benefits Insurance Company.......................    5,000,000
  Dividend income distributed to Fortis Benefits Insurance Company.................      (80,000)
                                                                                     ------------
    NET INCREASE IN NET ASSETS FROM CAPITAL TRANSACTIONS...........................    7,416,945
                                                                                     ------------
    TOTAL INCREASE IN NET ASSETS...................................................    8,308,832
Net assets, beginning of year......................................................           --
                                                                                     ------------
    NET ASSETS, END OF YEAR........................................................   $8,308,832
                                                                                     ------------
                                                                                     ------------
</TABLE>
 
                       See notes to financial statements.
 
                                       64
<PAGE>
STATEMENTS OF CHANGES IN NET ASSETS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
 
<TABLE>
<CAPTION>
                                                                                      YEAR ENDED
                                                                                     DECEMBER 31,
                                                                                         1995
                                                                                     ------------
<S>                                                                                  <C>
SMALL COMPANY STOCK SUBACCOUNT
Investment income:
  Dividend income..................................................................   $   38,350
  Mortality and expense and policy advance charges (Note 3)........................           --
                                                                                     ------------
    NET INVESTMENT INCOME..........................................................       38,350
  Net realized gain (loss) on redemption of Norwest Select Fund portfolio shares...           --
  Net change in unrealized appreciation on investments.............................      121,137
                                                                                     ------------
    NET INCREASE IN NET ASSETS FROM OPERATIONS.....................................      159,487
Capital transactions:
  Purchase of Variable Account C units.............................................           --
  Redemption of Variable Account C units...........................................           --
  Mortality and expense charge redeemed from Norwest Select Fund...................           --
  Funding of subaccount by Fortis Benefits Insurance Company.......................    1,000,000
                                                                                     ------------
    NET INCREASE IN NET ASSETS FROM CAPITAL TRANSACTIONS...........................    1,000,000
                                                                                     ------------
    TOTAL INCREASE IN NET ASSETS...................................................    1,159,487
Net assets, beginning of year......................................................           --
                                                                                     ------------
    NET ASSETS, END OF YEAR........................................................   $1,159,487
                                                                                     ------------
                                                                                     ------------
</TABLE>
 
                       See notes to financial statements.
 
                                       65
<PAGE>
NOTES TO FINANCIAL STATEMENTS
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
DECEMBER 31, 1995
 
1.  GENERAL
Fortis   Benefits  Insurance  Company  Variable  Account  C  (the  Account)  was
established as a segregated asset  account of Fortis Benefits Insurance  Company
(Fortis  Benefits)  on  March  13,  1986 under  Minnesota  law.  The  Account is
registered under the Investment Company Act of 1940 as a unit investment trust.
 
Fortis Benefits was founded  in 1910. At  the end of  1995, Fortis Benefits  had
approximately $86 billion of total life insurance in force. Fortis Benefits is a
Minnesota  corporation  and  is qualified  to  sell life  insurance  and annuity
contracts in the District of Columbia and in all states except New York.  Fortis
Benefits  is an  indirectly wholly-owned  subsidiary of  Fortis, Inc.,  which is
itself indirectly owned 50% by N.V. AMEV  and 50% by Compagnie Financiere et  de
Reassurance  du Group  AG ("Group AG").  Fortis, Inc. manages  the United States
operations for these two companies.
 
N.V. AMEV is a diversified financial services company headquartered in  Utrecht,
The  Netherlands, where its  insurance operations began  in 1847. Group  AG is a
diversified financial services company headquartered in Brussels, Belgium, where
its insurance operations began in 1824. N.V. AMEV and Group AG have merged their
operating companies  under  the  trade  name of  Fortis.  The  Fortis  group  of
companies  is  active in  insurance, banking  and  financial services,  and real
estate development  in  The Netherlands,  Belgium,  the United  States,  Western
Europe, and the Pacific Rim. The Fortis group of companies had over $140 billion
in assets at the end of 1995.
 
Fortis  Advisers,  Inc. (a  wholly-owned  subsidiary of  Fortis,  Inc.) provides
investment management  services to  the portfolios  in exchange  for  investment
advisory  and management fees. Investment advisory and management fees are based
on each portfolio's  daily net  assets and  decrease in  reduced percentages  as
average  daily net assets increase. The  fees represent an investment expense to
Fortis Series Fund, Inc.  which reduces the portfolios'  net assets. These  fees
charged  by Fortis  Advisers, Inc. are  not available on  an individual variable
account basis. Fees  for all variable  accounts to which  Fortis Advisers,  Inc.
provided  investment management services amounted  to $7,819,224, $5,839,044 and
$3,748,274 in 1995, 1994 and 1993, respectively.
 
There are thirteen subaccounts within the Account. The investment objectives and
policies of each of the Account's subaccounts are as follows:
 
     - GROWTH STOCK SUBACCOUNT--seeks growth  of capital through short-term  and
       long-term appreciation.
 
     - U.S.  GOVERNMENT  SECURITIES SUBACCOUNT--seeks  to earn  a high  level of
       current income consistent with prudent investment risk.
 
     - MONEY MARKET  SUBACCOUNT--seeks  high  levels of  capital  stability  and
       liquidity  and, to  the extent consistent  with these  objectives, a high
       level of current income.
 
     - ASSET ALLOCATION SUBACCOUNT--seeks favorable  overall rates of return  on
       capital primarily through increased ownership of equity securities during
       periods  when stock market conditions appear favorable and short-term and
       long-term debt instruments  during periods when  stock market  conditions
       are less favorable.
 
     - DIVERSIFIED  INCOME  SUBACCOUNT--seeks high  level  of current  income by
       investing primarily in a  diversified portfolio of government  securities
       and investment-grade corporate bonds.
 
     - GLOBAL  GROWTH SUBACCOUNT--seeks long-term capital appreciation in equity
       securities that are allocated among diverse international markets.
 
     - AGGRESSIVE GROWTH  SUBACCOUNT--seeks  long-term capital  appreciation  in
       equity securities.
 
     - GROWTH  & INCOME SUBACCOUNT--seeks  growth of capital  and current income
       through ownership of equity securities  that provide an income  component
       and the potential for growth.
 
                                       66
<PAGE>
1.  GENERAL (CONTINUED)
     - HIGH  YIELD SUBACCOUNT--seeks maximum total return through current income
       from,  and   capital  appreciation   of,  a   diversified  portfolio   of
       high-yielding fixed-income securities.
 
     - GLOBAL  ASSET  ALLOCATION  SUBACCOUNT--seeks favorable  overall  rates of
       return through ownership of foreign  and domestic equity securities  when
       stock  market conditions  appear favorable  and short-term  and long-term
       foreign and domestic  debt instruments when  stock market conditions  are
       less favorable.
 
     - GLOBAL  BOND  SUBACCOUNT--seeks  total  return  from  current  income and
       capital appreciation by investing in  a global portfolio of  high-quality
       fixed-income securities.
 
     - INTERNATIONAL  STOCK SUBACCOUNT--seeks capital  appreciation by investing
       primarily in equity securities of non-United States companies.
 
     - SMALL COMPANY  STOCK SUBACCOUNT--seeks  growth  of capital  by  investing
       primarily in the common stock of small and medium-size domestic companies
       that  are either in the early stages of development or that produce goods
       and services having a favorable prospect for growth.
 
Certain 1994 amounts have been reclassified to conform to the 1995 presentation.
 
2.  INVESTMENTS
Investments in shares of  Fortis Series Fund, Inc.  and the Norwest Select  Fund
(the  Funds) are stated at market value,  which is based on the percentage owned
by the Account of the net asset value of the respective portfolios of the Funds.
The Funds' net asset value is based on market quotations of the securities  held
in the portfolios. The cost of investments sold and redeemed is determined using
the  average cost method. Unrealized appreciation or depreciation of investments
represents the Account's share of the mutual fund's undistributed net investment
income, undistributed realized gains and  losses and unrealized appreciation  or
depreciation in the Funds' investments.
 
                                       67
<PAGE>
2.  INVESTMENTS (CONTINUED)
Purchases  and sales of shares of the Funds  are recorded on the trade date. The
number of shares  and aggregate  cost of purchases  and proceeds  from sales  of
shares were as follows:
 
<TABLE>
<CAPTION>
                                                                    SHARES
                                                              ------------------    COST OF     PROCEEDS
                                                              PURCHASED   SOLD     PURCHASES   FROM SALES
                                                              ---------  -------  -----------  ----------
<S>                                                           <C>        <C>      <C>          <C>
Year ended December 31, 1995:
Fortis Series Fund, Inc.:
  Growth Stock Series.......................................   903,891    90,700  $23,231,047  $2,409,243
  U.S. Government Securities Series.........................   228,211   213,159    2,331,839  2,234,298
  Money Market Series.......................................   540,043   506,551    5,764,979  5,395,064
  Asset Allocation Series...................................   333,531    90,515    5,135,857  1,414,662
  Diversified Income Series.................................   197,390    95,167    2,234,605  1,087,689
  Global Growth Series......................................   673,847    93,947    9,569,763  1,324,628
  Aggressive Growth Series..................................   537,853    49,233    6,246,152    624,420
  Growth & Income Series....................................   287,048    30,747    3,356,014    380,024
  High Yield Series.........................................   122,624    46,105    1,244,092    467,145
  Global Asset Allocation Series............................   629,303    19,414    6,423,812    219,928
  Global Bond Series........................................   593,769    48,334    6,061,190    547,976
  International Stock Series................................   742,827    16,307    7,584,243    181,103
Norwest Select Fund:
  Small Company Stock Fund..................................   100,000        --    1,000,000         --
</TABLE>
 
<TABLE>
<S>                                                           <C>        <C>      <C>          <C>
Year ended December 31, 1994:
Fortis Series Fund, Inc.:
  Growth Stock Series.......................................  1,106,287   70,314  $24,347,849  $1,563,675
  U.S. Government Securities Series.........................   188,049   192,822    1,951,506  1,984,288
  Money Market Series.......................................   476,828   217,878    4,963,584  2,269,774
  Asset Allocation Series...................................   361,546    37,257    5,042,184    514,392
  Diversified Income Series.................................   183,908    53,081    2,099,560    601,619
  Global Growth Series......................................  1,156,826  261,960   14,421,587  3,202,164
  Aggressive Growth Series..................................   254,672    21,957    2,458,035    206,503
  Growth & Income Series....................................   124,784     1,316    1,256,805     13,437
  High Yield Series.........................................   203,595    28,990    2,033,981    288,164
</TABLE>
 
<TABLE>
<S>                                                           <C>        <C>      <C>          <C>
Year ended December 31, 1993:
Fortis Series Fund, Inc.:
  Growth Stock Series.......................................   870,748    86,741  $18,848,153  $1,856,898
  U.S. Government Securities Series.........................   356,363    84,648    4,101,566    971,887
  Money Market Series.......................................   305,838   312,668    3,163,424  3,233,030
  Asset Allocation Series...................................   383,082    41,515    5,311,744    572,086
  Diversified Income Series.................................   156,725    41,226    1,934,554    509,368
  Global Growth Series......................................   573,601    62,506    6,887,276    722,115
</TABLE>
 
                                       68
<PAGE>
2.  INVESTMENTS (CONTINUED)
The  number of shares and  cost of shares issued  from reinvestment of dividends
with the Funds were as follows:
 
<TABLE>
<CAPTION>
                                                                     COST OF
                                                         SHARES      SHARES
                                                       -----------  ---------
<S>                                                    <C>          <C>
Year ended December 31, 1995:
Fortis Series Fund, Inc.:
  Growth Stock Series................................      18,797   $ 510,059
  U.S. Government Securities Series..................          38         379
  Money Market Series................................      17,356     180,105
  Asset Allocation Series............................      59,192     924,340
  Diversified Income Series..........................          14         155
  Global Growth Series...............................      12,645     194,924
  Aggressive Growth Series...........................       2,746      32,999
  Growth & Income Series.............................       6,670      83,612
  High Yield Series..................................      26,030     252,046
  Global Asset Allocation Series.....................      17,511     199,139
  Global Bond Series.................................      31,253     349,572
  International Stock Series.........................      10,608     117,200
Norwest Select Fund:
  Small Company Stock Fund...........................       3,433      38,350
</TABLE>
<TABLE>
<CAPTION>
                                                                     COST OF
                                                         SHARES      SHARES
                                                       -----------  ---------
<S>                                                    <C>          <C>
Year ended December 31, 1994:
Fortis Series Fund, Inc.:
  Growth Stock Series................................      23,983   $ 524,850
  U.S. Government Securities Series..................      64,492     607,364
  Money Market Series................................          --          --
  Asset Allocation Series............................      46,335     626,408
  Diversified Income Series..........................      24,758     257,570
  Global Growth Series...............................      11,872     144,687
  Aggressive Growth Series...........................         915       8,878
  Growth & Income Series.............................       1,288      12,968
  High Yield Series..................................       8,691      81,918
 
<CAPTION>
 
                                                                     COST OF
                                                         SHARES      SHARES
                                                       -----------  ---------
<S>                                                    <C>          <C>
Year ended December 31, 1993:
Fortis Series Fund, Inc.:
  Growth Stock Series................................       8,199   $ 186,295
  U.S. Government Securities Series..................      47,700     523,262
  Money Market Series................................       3,462      35,403
  Asset Allocation Series............................      25,803     363,460
  Diversified Income Series..........................      10,051     120,019
  Global Growth Series...............................       2,026      25,615
</TABLE>
 
                                       69
<PAGE>
2.  INVESTMENTS (CONTINUED)
Fortis Benefits' investment in the subaccounts represented the following  number
of  shares of the Funds held and  aggregate cost of amounts invested at December
31, 1995:
 
<TABLE>
<CAPTION>
                                                        NUMBER      COST OF
                                                       OF SHARES    SHARES
                                                      -----------  ---------
<S>                                                   <C>          <C>
Fortis Series Fund, Inc.:
  Growth Stock Series...............................      57,884   $ 606,788
  Asset Allocation Series...........................      49,266     520,632
  Global Growth Series..............................      40,753     411,018
  Aggressive Growth Series..........................      60,008     600,471
  Growth & Income Series............................      60,017     602,897
  High Yield Series.................................     130,028   1,293,213
  Global Asset Allocation Series....................      57,884   5,018,346
  Global Bond Series................................      49,266   5,030,752
  International Stock Series........................      40,753   5,008,084
Norwest Select Fund:
  Small Company Stock Fund..........................     103,433   1,038,350
</TABLE>
 
3.  ORGANIZATIONAL EXPENSES AND OTHER CHARGES
 
ORGANIZATIONAL EXPENSES
 
Fortis Benefits assumes all organizational expenses of the Account.
 
PREMIUM EXPENSE CHARGE
 
For Harmony Investment Life policies a 5% sales charge and a 2.2% state  premium
tax  is  deducted from  each premium  payment received  by Fortis  Benefits. The
resulting net premiums are allocated to the subaccounts of the Account and/or to
the Fortis Benefits General  Accounts. For Wall Street  Series VUL 100, VUL  220
and  VUL 500 policies, Fortis Benefits reserves  the right to impose a charge up
to 2.5% of each premium  payment to be reimbursed  for premium taxes or  similar
charges it expects to pay.
 
MONTHLY DEDUCTIONS FROM POLICY VALUE
 
Monthly deductions from the net assets attributed to each policy are as follows:
 
     - Monthly cost of insurance.
 
     - Monthly cost of any optional insurance benefits added by rider.
 
For Harmony Investment Life Policies:
 
     - Monthly  administrative charge  of $5.00  per policy  ($3.00 for policies
       applied for prior to July 1, 1988).
 
     - For policies issued subsequent to July 1, 1988, Fortis Benefits  reserves
       the  right to impose an expense charge  of not more than $15.00 per month
       and an additional  per-thousand-of-face expense charge  of not more  than
       $.08  per  month for  insureds  age 29  or less  and  $.25 per  month for
       insureds age 30 and  over during the first  twelve policy months.  Fortis
       Benefits  currently does not impose any  of the expense charges described
       in the preceding sentence.
 
     - For policies  issued prior  to July  1, 1988,  Fortis Benefits  currently
       imposes  an  expense  charge  of  $10.00  per  month  and  an  additional
       per-thousand-of-face expense charge of $.06 per month for insureds age 29
       or less and $.20 per month for insureds age 30 and over during the  first
       twelve policy months.
 
For Wall Street Series VUL 100, VUL 220 and VUL 500 Policies:
 
     - Monthly  administrative  charge  of  $4.50  per  policy.  Fortis Benefits
       reserves the  right to  change this  administrative charge,  but it  will
       never exceed $7.50 per month.
 
                                       70
<PAGE>
3.  ORGANIZATIONAL EXPENSES AND OTHER CHARGES (CONTINUED)
     - For  VUL 220 and VUL 500, a monthly sales, premium tax and policy advance
       charge of $4.00 per policy.
 
MORTALITY AND EXPENSE RISK AND POLICY ADVANCE CHARGES
 
Fortis Benefits  deducts a  daily mortality  and expense  risk charge  from  the
Account  at an  annual rate  of .75%  of the  net assets  representing equity of
Harmony Investment Life policyholders  and .90% of  the net assets  representing
equity  of Wall Street Series VUL 100, VUL 220 and VUL 500 policyholders held in
each account. These charges  will be deducted by  Fortis Benefits in return  for
its  assumption of expenses arising from  adverse mortality experience or excess
administrative expenses in connection with policies issued. Fortis Benefits also
deducts a sales, premium tax  and policy advance charge  from the Account at  an
annual  rate of .27% of net assets representing equity of Wall Street Series VUL
100, VUL  220 and  VUL 500  policyholders.  These charges  are included  in  the
statements  of changes  in net  assets as a  component of  net investment income
(loss).
 
SURRENDER CHARGES
 
For Wall Street Series VUL 100, VUL 220 and VUL 500 policies surrendered  within
the first eleven years of issuance, Fortis Benefits assesses a surrender charge.
The  charge is the sum of any sales, premium tax, and policy advance charges not
previously deducted on a monthly or daily basis. For VUL 220 and VUL 500,  there
is  an additional surrender charge of $5.00 per thousand of the policy's initial
face amount plus a  maximum percentage of the  annualized net minimum  premiums.
The  percentage is 12% for VUL 220 and 22% for VUL 500. The surrender charge for
all Wall Street  policies is limited  to certain maximums  based on the  insured
person's  age at the  time of issuance and  decreases at a  constant rate on the
fifth and subsequent anniversary  until it reaches zero  on the eleventh  policy
anniversary.  A  similar  schedule  of  surrender  charges  is  imposed  on face
increases.
 
For Harmony Investment Life policies surrendered within the first nine years  of
issuance  of the policy  or face increase,  a surrender charge  is assessed. The
charge is a  maximum of 25%  of the annualized  net premium and  decreases at  a
constant  rate on the fifth and subsequent  anniversary until it reaches zero on
the ninth policy anniversary.
 
Surrender charges collected by Fortis  Benefits were $2,057,483, $1,475,321  and
$730,008 in 1995, 1994 and 1993, respectively.
 
4.  FEDERAL INCOME TAXES
The operations of the Account form a part of, and are taxed with, the operations
of  Fortis  Benefits, which  is  taxed as  a  life insurance  company  under the
Internal Revenue Code. As a result, the net asset values of the subaccounts  are
not  affected by  federal income taxes  on income distributions  received by the
subaccounts.
 
                                       71
<PAGE>
STATEMENT OF NET ASSETS
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
MARCH 31, 1996
(UNAUDITED)
<TABLE>
<CAPTION>
                                                                                 ATTRIBUTABLE
                                                                                  TO FORTIS      ATTRIBUTABLE
                                                                                   BENEFITS      TO VARIABLE    ACCUMULATION
                                                                                  INSURANCE     LIFE INSURANCE     UNITS
                                                                   NET ASSETS      COMPANY         POLICIES     OUTSTANDING
                                                                   -----------  --------------  --------------  ------------
<S>                                                                <C>          <C>             <C>             <C>
Investments in Fortis Series Fund, Inc., at market value (Note
 2):
  Growth Stock Series (4,234,610 shares; cost--$90,810,185)......  $125,684,704   $       --     $125,684,704    $5,943,928
  U.S. Government Securities Series (795,616 shares;
   cost--$8,580,928).............................................    8,640,162            --        8,640,162       578,875
  Money Market Series (483,504 shares; cost--$5,063,532).........    5,300,416            --        5,300,416       406,405
  Asset Allocation Series (1,549,233 shares;
   cost--$21,169,480)............................................   25,093,553            --       25,093,553     1,395,168
  Diversified Income Series (402,310 shares; cost--$4.657,229)...    4,822,816            --        4,822,816       312,808
  Global Growth Series (2,513,105 shares; cost -- $32,910,165)...   42,891,413            --       42,891,413     2,528,447
  Aggressive Growth Series (877,281 shares; cost--$10,015,398)...   11,942,861            --       11,942,861       888,049
  Growth & Income Series (404,231 shares; cost--$4,740,523)......    5,484,643            --        5,484,643       398,899
  High Yield Series (177,214 shares; cost--$1,771,019)...........    1,782,636            --        1,782,636       156,860
  Global Asset Allocation Series (171,747 shares;
   cost--$1,915,609).............................................    2,023,302            --        2,023,302       168,951
  Global Bond Series (113,995 shares; cost--$1,280,808)..........    1,253,228            --        1,253,228       109,292
  International Stock Series (350,719 shares;
   cost--$3,816,758).............................................    4,115,441            --        4,115,441       349,734
  Value Series (29,000 shares; cost--$290,000)...................      290,000       290,000               --            --
  S & P 500 Series (145,000 shares; cost--$1,450,000)............    1,450,000     1,450,000               --            --
  Blue Chip Series (145,000 shares; cost--$1,450,000)............    1,450,000     1,450,000               --            --
                                                                   -----------  --------------  --------------  ------------
TOTAL NET ASSETS.................................................  $242,225,176   $3,190,000     $239,035,176    $13,237,416
                                                                   -----------  --------------  --------------  ------------
                                                                   -----------  --------------  --------------  ------------
 
<CAPTION>
 
                                                                    NET ASSET VALUE FOR
                                                                       VARIABLE LIFE
                                                                    INSURANCE POLICIES
                                                                   PER ACCUMULATION UNIT
                                                                   ---------------------
<S>                                                                <C>
Investments in Fortis Series Fund, Inc., at market value (Note
 2):
  Growth Stock Series (4,234,610 shares; cost--$90,810,185)......        $   21.15
  U.S. Government Securities Series (795,616 shares;
   cost--$8,580,928).............................................            14.93
  Money Market Series (483,504 shares; cost--$5,063,532).........            13.04
  Asset Allocation Series (1,549,233 shares;
   cost--$21,169,480)............................................            17.99
  Diversified Income Series (402,310 shares; cost--$4.657,229)...            15.42
  Global Growth Series (2,513,105 shares; cost -- $32,910,165)...            16.96
  Aggressive Growth Series (877,281 shares; cost--$10,015,398)...            13.45
  Growth & Income Series (404,231 shares; cost--$4,740,523)......            13.75
  High Yield Series (177,214 shares; cost--$1,771,019)...........            11.36
  Global Asset Allocation Series (171,747 shares;
   cost--$1,915,609).............................................            11.98
  Global Bond Series (113,995 shares; cost--$1,280,808)..........            11.47
  International Stock Series (350,719 shares;
   cost--$3,816,758).............................................            11.77
  Value Series (29,000 shares; cost--$290,000)...................               --
  S & P 500 Series (145,000 shares; cost--$1,450,000)............               --
  Blue Chip Series (145,000 shares; cost--$1,450,000)............               --
                                                                            ------
TOTAL NET ASSETS.................................................        $
                                                                            ------
                                                                            ------
</TABLE>
 
                            See accompanying notes.
 
                                       72
<PAGE>
STATEMENT OF CHANGES IN NET ASSETS
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
PERIOD ENDED MARCH 31, 1996
(UNAUDITED)
<TABLE>
<CAPTION>
                                                   U.S.
                                                GOVERNMENT                      ASSET       DIVERSIFIED      GLOBAL
                                GROWTH STOCK    SECURITIES    MONEY MARKET    ALLOCATION      INCOME         GROWTH
OPERATIONS                         SERIES         SERIES         SERIES         SERIES        SERIES         SERIES
- ------------------------------  -------------   -----------   ------------   ------------   -----------   ------------
<S>                             <C>             <C>           <C>            <C>            <C>           <C>
Dividend Income...............  $         --    $       --    $         --   $         --   $       --    $         --
Mortality and expense and
 policy advance charges (Note
 3)...........................      (374,700)      (25,904)        (14,885)       (75,411)     (15,611)       (129,569)
Net realized gain (loss) on
 investments..................     1,276,254        12,206          77,406        303,074       29,687         332,503
Net change in unrealized
 appreciation or
 (depreciation) of
 investments..................     5,163,466      (249,875)        (17,531)       159,501     (113,125)      2,373,945
                                -------------   -----------   ------------   ------------   -----------   ------------
Net increase (decrease) in net
 assets resulting from
 operations...................  $  6,065,020    $ (263,573)   $     44,990   $    387,164   $  (99,049)   $  2,576,879
                                -------------   -----------   ------------   ------------   -----------   ------------
                                -------------   -----------   ------------   ------------   -----------   ------------
CAPITAL TRANSACTIONS
Purchase of Variable Account
 units........................  $  7,253,275    $  692,717    $  2,570,612   $  1,496,537   $  406,377    $  3,994,503
Redemption of Variable Account
 units........................      (633,952)     (452,127)     (2,183,983)      (199,860)    (486,747)       (268,249)
Mortality and expense charge
 redeemed.....................       374,700        25,904          14,885         75,411       15,611         129,569
Funding of subaccount by
 Fortis Benefits Insurance
 Company......................            --            --              --             --           --              --
Redemption of Fortis Benefits
 Insurance Company investment
 in subaccount................    (1,710,453)           --              --       (795,833)          --        (691,667)
Dividend income distribution
 to Fortis Benefits Insurance
 Company......................            --            --              --             --           --              --
                                -------------   -----------   ------------   ------------   -----------   ------------
Increase from Capital
 Transactions.................     5,283,570       266,494         401,514        576,255      (64,759)      3,164,156
                                -------------   -----------   ------------   ------------   -----------   ------------
Net Assets at beginning of
 year.........................   114,336,114     8,637,241       4,853,912     24,130,134    4,986,624      37,150,378
                                -------------   -----------   ------------   ------------   -----------   ------------
Net Assets at end of year.....  $125,684,704    $8,640,162    $  5,300,416   $ 25,093,553   $4,822,816    $ 42,891,413
                                -------------   -----------   ------------   ------------   -----------   ------------
                                -------------   -----------   ------------   ------------   -----------   ------------
 
<CAPTION>
 
                                 AGGRESSIVE
                                   GROWTH
OPERATIONS                         SERIES
- ------------------------------  ------------
<S>                             <C>
Dividend Income...............  $         --
Mortality and expense and
 policy advance charges (Note
 3)...........................       (33,031)
Net realized gain (loss) on
 investments..................       266,646
Net change in unrealized
 appreciation or
 (depreciation) of
 investments..................       598,179
                                ------------
Net increase (decrease) in net
 assets resulting from
 operations...................  $    831,794
                                ------------
                                ------------
CAPITAL TRANSACTIONS
Purchase of Variable Account
 units........................  $  3,239,639
Redemption of Variable Account
 units........................      (536,987)
Mortality and expense charge
 redeemed.....................        33,031
Funding of subaccount by
 Fortis Benefits Insurance
 Company......................            --
Redemption of Fortis Benefits
 Insurance Company investment
 in subaccount................      (813,949)
Dividend income distribution
 to Fortis Benefits Insurance
 Company......................            --
                                ------------
Increase from Capital
 Transactions.................     1,921,734
                                ------------
Net Assets at beginning of
 year.........................     9,189,333
                                ------------
Net Assets at end of year.....  $ 11,942,861
                                ------------
                                ------------
</TABLE>
 
                            See accompanying notes.
 
                                       73
<PAGE>
STATEMENT OF CHANGES IN NET ASSETS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
PERIOD ENDED MARCH 31, 1996
(UNAUDITED)
<TABLE>
<CAPTION>
                                                   GROWTH &                GLOBAL ASSET
                                                    INCOME     HIGH YIELD   ALLOCATION   GLOBAL BOND  INTERNATIONAL   VALUE
OPERATIONS                                          SERIES       SERIES       SERIES       SERIES     STOCK SERIES   SERIES
- -----------------------------------------------  ------------  ----------  ------------  -----------  ------------  ---------
<S>                                              <C>           <C>         <C>           <C>          <C>           <C>
Dividend Income................................   $       --   $       --   $       --    $      --    $       --   $      --
Mortality and expense and policy advance
 charges (Note 3)..............................      (15,150)      (5,373)      (5,542)      (3,461)      (10,736)         --
Net realized gain (loss) on investments........      238,171       12,587      366,828         (231)      350,622          --
Net change in unrealized appreciation or
 (depreciation) of investments.................       63,096       78,685     (134,980)    (176,501)       20,296          --
                                                 ------------  ----------  ------------  -----------  ------------  ---------
Net increase (decrease) in net assets resulting
 from operations...............................   $  286,117   $   85,899   $  226,306    $(180,193)   $  360,182   $      --
                                                 ------------  ----------  ------------  -----------  ------------  ---------
                                                 ------------  ----------  ------------  -----------  ------------  ---------
CAPITAL TRANSACTIONS
Purchase of Variable Account units.............   $1,281,982   $  303,232   $  517,154    $ 432,375    $1,302,935   $      --
Redemption of Variable Account units...........     (257,397)     (88,919)      (4,570)     (14,354)       (6,501)         --
Mortality and expense charge redeemed..........       15,150        5,373        5,542        3,461        10,736          --
Funding of subaccount by Fortis Benefits
 Insurance Company.............................           --           --           --           --            --     290,000
Redemption of Fortis Benefits Insurance Company
 investment in subaccount......................     (817,093)  (1,306,472)  (5,888,424)  (5,496,965)   (5,860,743)         --
Dividend income distribution to Fortis Benefits
 Insurance Company.............................           --           --           --           --            --          --
                                                 ------------  ----------  ------------  -----------  ------------  ---------
Increase from Capital Transactions.............      222,642   (1,086,786)  (5,370,298)  (5,075,483)   (4,553,573)    290,000
                                                 ------------  ----------  ------------  -----------  ------------  ---------
Net Assets at beginning of year................    4,975,884    2,783,523    7,167,294    6,508,904     8,308,832          --
                                                 ------------  ----------  ------------  -----------  ------------  ---------
Net Assets at end of year......................   $5,484,643   $1,782,636   $2,023,302    $1,253,228   $4,115,441   $ 290,000
                                                 ------------  ----------  ------------  -----------  ------------  ---------
                                                 ------------  ----------  ------------  -----------  ------------  ---------
 
<CAPTION>
 
                                                  S & P 500
OPERATIONS                                         SERIES
- -----------------------------------------------  -----------
<S>                                              <C>
Dividend Income................................   $      --
Mortality and expense and policy advance
 charges (Note 3)..............................          --
Net realized gain (loss) on investments........          --
Net change in unrealized appreciation or
 (depreciation) of investments.................          --
                                                 -----------
Net increase (decrease) in net assets resulting
 from operations...............................   $      --
                                                 -----------
                                                 -----------
CAPITAL TRANSACTIONS
Purchase of Variable Account units.............   $      --
Redemption of Variable Account units...........          --
Mortality and expense charge redeemed..........          --
Funding of subaccount by Fortis Benefits
 Insurance Company.............................   1,450,000
Redemption of Fortis Benefits Insurance Company
 investment in subaccount......................          --
Dividend income distribution to Fortis Benefits
 Insurance Company.............................          --
                                                 -----------
Increase from Capital Transactions.............   1,450,000
                                                 -----------
Net Assets at beginning of year................          --
                                                 -----------
Net Assets at end of year......................   $1,450,000
                                                 -----------
                                                 -----------
</TABLE>
 
                             See accompanying notes
 
                                       74
<PAGE>
STATEMENT OF CHANGES IN NET ASSETS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
PERIOD ENDED MARCH 31, 1996
(UNAUDITED)
<TABLE>
<CAPTION>
                                                                                                        BLUE CHIP     SMALL
                                                                                                          STOCK      COMPANY
OPERATIONS                                                                                               SERIES       STOCK
- -----------------------------------------------------------------------------------------------------  -----------  ----------
<S>                                                                                                    <C>          <C>
Dividend Income......................................................................................   $      --   $       --
Mortality and expense and policy advance charges (Note 3)............................................          --           --
Net realized gain (loss) on investments..............................................................          --           --
Net change in unrealized appreciation or (depreciation) of investments...............................          --       88,953
                                                                                                       -----------  ----------
Net increase (decrease) in net assets resulting from operations......................................   $      --   $   88,953
                                                                                                       -----------  ----------
                                                                                                       -----------  ----------
CAPITAL TRANSACTIONS
Purchase of Variable Account units...................................................................   $      --   $       --
Redemption of Variable Account units.................................................................          --           --
Mortality and expense charge redeemed................................................................          --           --
Funding of subaccount by Fortis Benefits Insurance Company...........................................   1,450,000           --
Redemption of Fortis Benefits Insurance Company investment in subaccount.............................          --   (1,248,440)
Dividend income distribution to Fortis Benefits Insurance Company....................................          --           --
                                                                                                       -----------  ----------
Increase from Capital Transactions...................................................................   1,450,000   (1,248,440)
                                                                                                       -----------  ----------
Net Assets at beginning of year......................................................................          --    1,159,487
                                                                                                       -----------  ----------
Net Assets at end of year............................................................................   $1,450,000  $       --
                                                                                                       -----------  ----------
                                                                                                       -----------  ----------
 
<CAPTION>
                                                                                                        COMBINED
                                                                                                        VARIABLE
OPERATIONS                                                                                               ACCOUNT
- -----------------------------------------------------------------------------------------------------  -----------
<S>                                                                                                    <C>
Dividend Income......................................................................................  $        --
Mortality and expense and policy advance charges (Note 3)............................................     (709,373)
Net realized gain (loss) on investments..............................................................    3,265,753
Net change in unrealized appreciation or (depreciation) of investments...............................    7,854,109
                                                                                                       -----------
Net increase (decrease) in net assets resulting from operations......................................  $10,410,489
                                                                                                       -----------
                                                                                                       -----------
CAPITAL TRANSACTIONS
Purchase of Variable Account units...................................................................  $23,491,338
Redemption of Variable Account units.................................................................   (5,133,646)
Mortality and expense charge redeemed................................................................      709,373
Funding of subaccount by Fortis Benefits Insurance Company...........................................    3,190,000
Redemption of Fortis Benefits Insurance Company investment in subaccount.............................  (24,630,039)
Dividend income distribution to Fortis Benefits Insurance Company....................................           --
                                                                                                       -----------
Increase from Capital Transactions...................................................................   (2,372,974)
                                                                                                       -----------
Net Assets at beginning of year......................................................................  234,187,660
                                                                                                       -----------
Net Assets at end of year............................................................................  $242,225,176
                                                                                                       -----------
                                                                                                       -----------
</TABLE>
 
See accompanying notes
 
                                       75
<PAGE>
STATEMENT OF CHANGES IN NET ASSETS
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
YEAR ENDED DECEMBER 31, 1995
<TABLE>
<CAPTION>
                                                        U.S.
                                                     GOVERNMENT       MONEY         ASSET       DIVERSIFIED      GLOBAL
                                     GROWTH STOCK    SECURITIES      MARKET       ALLOCATION      INCOME         GROWTH
OPERATIONS                              SERIES         SERIES        SERIES         SERIES        SERIES         SERIES
- -----------------------------------  -------------   -----------   -----------   ------------   -----------   ------------
<S>                                  <C>             <C>           <C>           <C>            <C>           <C>
Dividend Income....................  $    510,059    $      379    $   180,105   $    924,340   $      155    $    194,924
Mortality and expense and policy
 advance charges (Note 3)..........    (1,093,454)      (95,405)       (52,173)      (231,545)     (49,814)       (352,145)
Net realized gain (loss) on
 investments.......................       542,606       (54,024)       176,710        184,857       10,234         155,887
Net change in unrealized
 appreciation or (depreciation) of
 investments.......................    20,881,118     1,463,356        (98,436)     2,815,928      639,984       7,220,951
                                     -------------   -----------   -----------   ------------   -----------   ------------
Net increase (decrease) in net
 assets resulting from
 operations........................  $ 20,840,329    $1,314,306    $   206,206   $  3,693,580   $  600,559    $  7,219,617
                                     -------------   -----------   -----------   ------------   -----------   ------------
                                     -------------   -----------   -----------   ------------   -----------   ------------
CAPITAL TRANSACTIONS
Purchase of Variable Account
 units.............................  $ 23,231,047    $2,331,839    $ 5,764,979   $  5,135,857   $2,234,605    $  9,569,763
Redemption of Variable Account
 units.............................    (2,402,006)   (2,234,298)    (5,395,064)    (1,383,622)  (1,087,689)     (1,321,205)
Mortality and expense charge
 redeemed..........................     1,093,454        95,405         52,173        231,545       49,814         352,145
Funding of subaccount by Fortis
 Benefits Insurance Company........            --            --             --             --           --              --
Dividend income distribution to
 Fortis Benefits Insurance
 Company...........................        (7,237)           --             --        (31,040)          --          (3,423)
                                     -------------   -----------   -----------   ------------   -----------   ------------
Increase from Capital
 Transactions......................    21,915,258       192,946        422,088      3,952,740    1,196,730       8,597,280
                                     -------------   -----------   -----------   ------------   -----------   ------------
Net Assets at beginning of year....    71,580,527     7,129,989      4,225,618     16,483,814    3,189,335      21,333,481
                                     -------------   -----------   -----------   ------------   -----------   ------------
Net Assets at end of year..........  $114,336,114    $8,637,241    $ 4,853,912   $ 24,130,134   $4,986,624    $ 37,150,378
                                     -------------   -----------   -----------   ------------   -----------   ------------
                                     -------------   -----------   -----------   ------------   -----------   ------------
 
<CAPTION>
 
                                     AGGRESSIVE
                                       GROWTH
OPERATIONS                             SERIES
- -----------------------------------  -----------
<S>                                  <C>
Dividend Income....................  $   32,999
Mortality and expense and policy
 advance charges (Note 3)..........     (55,105)
Net realized gain (loss) on
 investments.......................      87,207
Net change in unrealized
 appreciation or (depreciation) of
 investments.......................   1,158,725
                                     -----------
Net increase (decrease) in net
 assets resulting from
 operations........................  $1,223,826
                                     -----------
                                     -----------
CAPITAL TRANSACTIONS
Purchase of Variable Account
 units.............................  $6,246,152
Redemption of Variable Account
 units.............................    (621,660)
Mortality and expense charge
 redeemed..........................      55,105
Funding of subaccount by Fortis
 Benefits Insurance Company........          --
Dividend income distribution to
 Fortis Benefits Insurance
 Company...........................      (2,760)
                                     -----------
Increase from Capital
 Transactions......................   5,676,837
                                     -----------
Net Assets at beginning of year....   2,288,670
                                     -----------
Net Assets at end of year..........  $9,189,333
                                     -----------
                                     -----------
</TABLE>
 
See accompanying notes
 
                                       76
<PAGE>
STATEMENT OF CHANGES IN NET ASSETS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
YEAR ENDED DECEMBER 31, 1995
<TABLE>
<CAPTION>
                                                  GROWTH &                GLOBAL ASSET                               SMALL
                                                   INCOME    HIGH YIELD    ALLOCATION   GLOBAL BOND  INTERNATIONAL  COMPANY
OPERATIONS                                         SERIES      SERIES        SERIES       SERIES     STOCK SERIES    STOCK
- ------------------------------------------------  ---------  -----------  ------------  -----------  ------------  ---------
<S>                                               <C>        <C>          <C>           <C>          <C>           <C>
Dividend Income.................................  $  83,612   $ 252,046    $  199,139    $ 349,572    $  117,200   $  38,350
Mortality and expense and policy advance charges
 (Note 3).......................................    (24,640)    (11,638)       (7,642)      (5,019)      (13,805)         --
Net realized gain (loss) on investments.........     40,572       7,233        21,531       37,910        13,134          --
Net change in unrealized appreciation or
 (depreciation) of investments..................    619,472      11,854       742,740      608,208       775,358     121,137
                                                  ---------  -----------  ------------  -----------  ------------  ---------
Net increase (decrease) in net assets resulting
 from operations................................  $ 719,016   $ 259,495    $  955,768    $ 990,671    $  891,887   $ 159,487
                                                  ---------  -----------  ------------  -----------  ------------  ---------
                                                  ---------  -----------  ------------  -----------  ------------  ---------
CAPITAL TRANSACTIONS
Purchase of Variable Account units..............  $3,356,014  $1,244,092   $1,423,812    $1,061,190   $2,584,243   $      --
Redemption of Variable Account units............   (366,822)   (346,228)      (59,928)    (242,976)     (101,103)         --
Mortality and expense charge redeemed...........     24,640      11,638         7,642        5,019        13,805          --
Funding of subaccount by Fortis Benefits
 Insurance Company..............................         --          --     5,000,000    5,000,000     5,000,000   1,000,000
Dividend income distribution to Fortis Benefits
 Insurance Company..............................    (13,202)   (120,917)     (160,000)    (305,000)      (80,000)         --
                                                  ---------  -----------  ------------  -----------  ------------  ---------
Increase from Capital Transactions..............  3,000,630     788,585     6,211,526    5,518,233     7,416,945   1,000,000
                                                  ---------  -----------  ------------  -----------  ------------  ---------
Net Assets at beginning of year.................  1,256,238   1,735,443            --           --            --          --
                                                  ---------  -----------  ------------  -----------  ------------  ---------
Net Assets at end of year.......................  $4,975,884  $2,783,523   $7,167,294    $6,508,904   $8,308,832   $1,159,487
                                                  ---------  -----------  ------------  -----------  ------------  ---------
                                                  ---------  -----------  ------------  -----------  ------------  ---------
 
<CAPTION>
                                                   COMBINED
                                                   VARIABLE
OPERATIONS                                          ACCOUNT
- ------------------------------------------------  -----------
<S>                                               <C>
Dividend Income.................................  $ 2,882,880
Mortality and expense and policy advance charges
 (Note 3).......................................   (1,992,385)
Net realized gain (loss) on investments.........    1,223,857
Net change in unrealized appreciation or
 (depreciation) of investments..................   36,960,395
                                                  -----------
Net increase (decrease) in net assets resulting
 from operations................................  $39,074,747
                                                  -----------
                                                  -----------
CAPITAL TRANSACTIONS
Purchase of Variable Account units..............  $64,183,593
Redemption of Variable Account units............  (15,562,601)
Mortality and expense charge redeemed...........    1,992,385
Funding of subaccount by Fortis Benefits
 Insurance Company..............................   16,000,000
Dividend income distribution to Fortis Benefits
 Insurance Company..............................     (723,579)
                                                  -----------
Increase from Capital Transactions..............   65,889,798
                                                  -----------
Net Assets at beginning of year.................  129,223,115
                                                  -----------
Net Assets at end of year.......................  $234,187,660
                                                  -----------
                                                  -----------
</TABLE>
 
See accompanying notes
 
                                       77
<PAGE>
STATEMENT OF CHANGES IN NET ASSETS
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
YEAR ENDED DECEMBER 31, 1994
<TABLE>
<CAPTION>
                                                            U.S. GOVERNMENT    MONEY       ASSET     DIVERSIFIED    GLOBAL
                                              GROWTH STOCK    SECURITIES       MARKET    ALLOCATION    INCOME       GROWTH
OPERATIONS                                       SERIES         SERIES         SERIES      SERIES      SERIES       SERIES
- --------------------------------------------  ------------  ---------------  ----------  ----------  -----------  ----------
<S>                                           <C>           <C>              <C>         <C>         <C>          <C>
Dividend Income.............................   $  524,850     $   607,364    $       --  $  626,408   $ 257,570   $  144,687
Mortality and expense and policy advance
 charges (Note 3)...........................     (630,146)        (79,454)      (21,446)   (146,296)    (29,757)    (157,000)
Net realized gain (loss) on investments.....      193,238        (126,731)       13,988      42,277     (32,443)     490,813
Net change in unrealized appreciation or
 (depreciation) of investments..............   (1,837,695)       (967,547)      100,566    (678,881)   (335,368)  (1,089,277)
                                              ------------  ---------------  ----------  ----------  -----------  ----------
Net increase (decrease) in net assets
 resulting from operations..................   $(1,749,753)   $  (566,368)   $   93,108  $ (156,492)  $(139,998)  $ (610,777)
                                              ------------  ---------------  ----------  ----------  -----------  ----------
                                              ------------  ---------------  ----------  ----------  -----------  ----------
CAPITAL TRANSACTIONS
Purchase of Variable Account units..........   $24,347,849    $ 1,951,506    $4,963,584  $5,042,184   $2,099,560  $14,421,587
Redemption of Variable Account units........   (1,554,311)     (1,984,288)   (2,269,774)   (488,270)   (601,619)    (698,757)
Mortality and expense charge redeemed.......      630,146          79,454        21,446     146,296      29,757      157,000
Funding of subaccount by Fortis Benefits
 Insurance Company..........................           --              --            --          --          --           --
Redemption of Fortis Benefits Insurance
 Company investment in subaccount...........           --              --            --          --          --   (2,500,000)
Dividend income distribution to Fortis
 Benefits Insurance Company.................       (9,364)             --            --     (26,122)         --       (3,407)
                                              ------------  ---------------  ----------  ----------  -----------  ----------
Increase from Capital Transactions..........   23,414,320          46,672     2,715,256   4,674,088   1,527,698   11,376,423
                                              ------------  ---------------  ----------  ----------  -----------  ----------
Net Assets at beginning of year.............   49,915,960       7,649,685     1,417,254  11,966,218   1,801,635   10,567,835
                                              ------------  ---------------  ----------  ----------  -----------  ----------
Net Assets at end of year...................   $71,580,527    $ 7,129,989    $4,225,618  $16,483,814  $3,189,335  $21,333,481
                                              ------------  ---------------  ----------  ----------  -----------  ----------
                                              ------------  ---------------  ----------  ----------  -----------  ----------
 
<CAPTION>
                                              AGGRESSIVE
                                                GROWTH
OPERATIONS                                      SERIES
- --------------------------------------------  -----------
<S>                                           <C>
Dividend Income.............................   $   8,878
Mortality and expense and policy advance
 charges (Note 3)...........................      (4,484)
Net realized gain (loss) on investments.....      (2,388)
Net change in unrealized appreciation or
 (depreciation) of investments..............      30,648
                                              -----------
Net increase (decrease) in net assets
 resulting from operations..................   $  32,654
                                              -----------
                                              -----------
CAPITAL TRANSACTIONS
Purchase of Variable Account units..........   $1,858,035
Redemption of Variable Account units........    (204,115)
Mortality and expense charge redeemed.......       4,484
Funding of subaccount by Fortis Benefits
 Insurance Company..........................     600,000
Redemption of Fortis Benefits Insurance
 Company investment in subaccount...........          --
Dividend income distribution to Fortis
 Benefits Insurance Company.................      (2,388)
                                              -----------
Increase from Capital Transactions..........   2,256,016
                                              -----------
Net Assets at beginning of year.............           0
                                              -----------
Net Assets at end of year...................   $2,288,670
                                              -----------
                                              -----------
</TABLE>
 
See accompanying notes
 
                                       78
<PAGE>
STATEMENT OF CHANGES IN NET ASSETS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
YEAR ENDED DECEMBER 31, 1994 (CONTINUED)
<TABLE>
<CAPTION>
                                                                                                        GROWTH &
                                                                                                         INCOME    HIGH YIELD
OPERATIONS                                                                                               SERIES      SERIES
- ------------------------------------------------------------------------------------------------------  ---------  -----------
<S>                                                                                                     <C>        <C>
Dividend Income.......................................................................................  $  12,968   $  81,918
Mortality and expense and policy advance charges (Note 3).............................................     (1,404)     (1,463)
Net realized gain (loss) on investments...............................................................        124      (3,503)
Net change in unrealized appreciation or (depreciation) of investments................................       (222)    (88,789)
                                                                                                        ---------  -----------
Net increase (decrease) in net assets resulting from operations.......................................  $  11,466   $ (11,837)
                                                                                                        ---------  -----------
                                                                                                        ---------  -----------
CAPITAL TRANSACTIONS
Purchase of Variable Account units....................................................................  $ 656,805   $ 733,981
Redemption of Variable Account units..................................................................     (6,999)   (229,014)
Mortality and expense charge redeemed.................................................................      1,404       1,463
Funding of subaccount by Fortis Benefits Insurance Company............................................    600,000   1,300,000
Redemption of Fortis Benefits Insurance Company investment in subaccount..............................         --          --
Dividend income distribution to Fortis Benefits Insurance Company.....................................     (6,438)    (59,150)
                                                                                                        ---------  -----------
Increase from Capital Transactions....................................................................  1,244,772   1,747,280
                                                                                                        ---------  -----------
Net Assets at beginning of year.......................................................................          0           0
                                                                                                        ---------  -----------
Net Assets at end of year.............................................................................  $1,256,238  $1,735,443
                                                                                                        ---------  -----------
                                                                                                        ---------  -----------
 
<CAPTION>
                                                                                                         COMBINED
                                                                                                         VARIABLE
OPERATIONS                                                                                                ACCOUNT
- ------------------------------------------------------------------------------------------------------  -----------
<S>                                                                                                     <C>
Dividend Income.......................................................................................  $ 2,264,643
Mortality and expense and policy advance charges (Note 3).............................................   (1,071,450)
Net realized gain (loss) on investments...............................................................      575,375
Net change in unrealized appreciation or (depreciation) of investments................................   (4,866,565)
                                                                                                        -----------
Net increase (decrease) in net assets resulting from operations.......................................  $(3,097,997)
                                                                                                        -----------
                                                                                                        -----------
CAPITAL TRANSACTIONS
Purchase of Variable Account units....................................................................  $56,075,091
Redemption of Variable Account units..................................................................   (8,037,147)
Mortality and expense charge redeemed.................................................................    1,071,450
Funding of subaccount by Fortis Benefits Insurance Company............................................    2,500,000
Redemption of Fortis Benefits Insurance Company investment in subaccount..............................   (2,500,000)
Dividend income distribution to Fortis Benefits Insurance Company.....................................     (106,869)
                                                                                                        -----------
Increase from Capital Transactions....................................................................   49,002,525
                                                                                                        -----------
Net Assets at beginning of year.......................................................................   83,318,587
                                                                                                        -----------
Net Assets at end of year.............................................................................  $129,223,115
                                                                                                        -----------
                                                                                                        -----------
</TABLE>
 
See accompanying notes
 
                                       79
<PAGE>
NOTES TO FINANCIAL STATEMENTS
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
MARCH 31, 1996
(UNAUDITED)
 
1.  GENERAL
 
FORTIS BENEFITS INSURANCE COMPANY
 
Variable  Account C (the Account) was  established as a segregated asset account
of Fortis Benefits Insurance Company (Fortis  Benefits) on March 13, 1986  under
Minnesota  law. The  Account is registered  under the Investment  Company Act of
1940 as a unit investment trust.
 
Fortis Benefits was founded  in 1910. At  the end of  1995, Fortis Benefits  had
approximately $86 billion of total life insurance in force. Fortis Benefits is a
Minnesota  corporation  and  is qualified  to  sell life  insurance  and annuity
contracts in the District of Columbia and in all states except New York.  Fortis
Benefits  is an  indirectly wholly-owned  subsidiary of  Fortis, Inc.,  which is
itself indirectly owned 50% by N.V. AMEV  and 50% by Compagnie Financiere et  de
Reassurance  du Group  AG ("Group AG").  Fortis, Inc. manages  the United States
operations for these two companies.
 
N.V. AMEV is a diversified financial services company headquartered in  Utrecht,
The  Netherlands, where its  insurance operations began  in 1847. Group  AG is a
diversified financial services company headquartered in Brussels, Belgium, where
its insurance operations began in 1824. N.V. AMEV and Group AG have merged their
operating companies  under  the  trade  name of  Fortis.  The  Fortis  group  of
companies  is active  in insurance,  banking, and  financial services,  and real
estate development  in  the Netherlands,  Belgium,  The United  States,  Western
Europe, and the Pacific Rim. The Fortis group of companies had over $155 billion
in assets at the end of 1995.
 
Fortis  Advisers,  Inc. (a  wholly-owned  subsidiary of  Fortis,  Inc.) provides
investment management  services to  the portfolios  in exchange  for  investment
advisory  and management fees. Investment advisory and management fees are based
on each portfolio's  daily net  assets and  decrease in  reduced percentages  as
average  daily net assets increase. The  fees represent an investment expense to
Fortis Series Fund, Inc.  which reduces the portfolios'  net assets. These  fees
charged  by Fortis  Advisers, Inc. are  not available on  an individual variable
account basis. Fees  for all variable  accounts to which  Fortis Advisers,  Inc.
provided  investment management  services amounted  to $2,615,567  for the three
months ended March  31, 1996, and  $7,819,224 and $5,839,044  for the 12  months
ended December 31, 1995 and 1994, respectively.
 
There  are fifteen subaccounts within the Account, each of which invests only in
a corresponding portfolio of Fortis Series Fund, Inc. (the Fund). The investment
objectives and policies of each of the Account's subaccounts are as follows.
 
     - GROWTH  STOCK  PORTFOLIO  SUBACCOUNT--seeks  growth  of  capital  through
       short-term and long-term appreciation.
 
     - U.S.  GOVERNMENT SECURITIES  PORTFOLIO SUBACCOUNT--seeks  to earn  a high
       level of current income consistent with prudent investment risk.
 
                                       80
<PAGE>
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
MARCH 31, 1996
(UNAUDITED)
 
1.  GENERAL (CONTINUED)
     - MONEY MARKET PORTFOLIO SUBACCOUNT--seeks high level of capital  stability
       and liquidity and, to the extent consistent with these objectives, a high
       level of current income.
 
     - ASSET  ALLOCATION PORTFOLIO SUBACCOUNT--seeks  favorable overall rates of
       return on  capital,  primarily  through  increased  ownership  of  equity
       securities  during periods when stock market conditions appear favorable,
       and short-term and long-term debt  instruments during periods when  stock
       market conditions are less favorable.
 
     - DIVERSIFIED  INCOME  PORTFOLIO  SUBACCOUNT--seeks high  level  of current
       income by investing  primarily in a  diversified portfolio of  government
       securities and investment grade corporate bonds.
 
     - GLOBAL  GROWTH  PORTFOLIO  SUBACCOUNT--seeks  growth  of  capital through
       long-term capital appreciation, through  ownership of equity  securities,
       allocated among diverse international markets.
 
     - AGGRESSIVE   GROWTH   PORTFOLIO   SUBACCOUNT--seeks   long-term   capital
       appreciation in equity securities.
 
     - GROWTH AND  INCOME  PORTFOLIO  SUBACCOUNT--seeks growth  of  capital  and
       current  income, through ownership  of equity securities  that provide an
       income component and the potential for growth.
 
     - HIGH YIELD  PORTFOLIO  SUBACCOUNT--seeks  maximum  total  return  through
       current   income  and  capital  appreciation,   through  ownership  of  a
       diversified portfolio of high-yielding fixed-income securities.
 
     - GLOBAL ASSET  ALLOCATION  SUBACCOUNT--seeks favorable  overall  rates  of
       return  on capital,  primarily through  increased ownership  of foreign &
       domestic equity securities  during periods when  stock market  conditions
       appear  favorable, and short-term  and long-term foreign  & domestic debt
       instruments  during  periods  when  stock  market  conditions  are   less
       favorable.
 
     - GLOBAL  BOND  SUBACCOUNT--seeks  total  return  from  current  income and
       capital appreciation, by investing in a global portfolio of high  quality
       fixed income securities.
 
     - INTERNATIONAL  STOCK SUBACCOUNT--seeks capital  appreciation by investing
       primarily in equity securities of non-United States companies.
 
     - VALUE SUBACCOUNT--seeks  growth of  capital through  short and  long-term
       capital appreciation. Investing in equity securities based on the "Value"
       philosophy.
 
     - S&P  500  INDEX SUBACCOUNT--seeks  growth of  capital by  replicating the
       total return of the Standard & Poor's 500 Composite Stock Price Index.
 
     - BLUE CHIP  STOCK  SUBACCOUNT--seeks  capital  appreciation  by  investing
       primarily in large and medium-sized blue chip companies.
 
Certain 1995 amounts have been reclassified to conform to the 1996 presentation
 
                                       81
<PAGE>
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
MARCH 31, 1996
(UNAUDITED)
 
2.  INVESTMENTS
Investments  in shares of Fortis  Series Fund, Inc. are  stated at market value,
which is based on the percentage owned by the Account of the net asset value  of
the  respective portfolios of the Funds. The  Funds' net asset value is based on
market quotations  of  the  securities  held in  the  portfolios.  The  cost  of
investments  sold  and redeemed  is determined  using  the average  cost method.
Unrealized appreciation or depreciation of investments represents the  Account's
share  of the mutual  fund's undistributed net  investment income, undistributed
realized gains and  losses and  unrealized appreciation or  depreciation in  the
Funds' investments.
 
Purchases  and sales of shares of the Funds  are recorded on the trade date. The
number of shares  and aggregate  cost of purchases  and proceeds  from sales  of
shares were as follows:
 
Period ended March 31, 1996:
 
<TABLE>
<CAPTION>
                                                          SHARES
                                                    -------------------    COST OF     PROCEEDS
                                                    PURCHASED    SOLD     PURCHASES   FROM SALES
                                                    ----------  -------  -----------  ----------
<S>                                                 <C>         <C>      <C>          <C>
Fortis Series Fund, Inc.:
  Growth Stock Series.............................    253,125    79,415  $ 7,253,275  $2,344,405
  U.S. Government Securities Series...............     62,834    41,018      692,717    452,127
  Money Market Series.............................    235,755   200,587    2,570,612  2,183,983
  Asset Allocation Series.........................     93,198    61,641    1,496,537    995,693
  Diversified Income Series.......................     33,450    39,990      406,377    486,747
  Global Growth Series............................    244,396    57,406    3,994,503    959,916
  Aggressive Growth Series........................    255,740   103,456    3,239,639  1,350,936
  Growth & Income Series..........................     96,921    80,417    1,281,982  1,074,489
  High Yield Series...............................     30,312   138,941      303,232  1,395,390
  Global Asset Allocation Series..................     44,774   500,429      517,154  5,892,994
  Global Bond Series..............................     38,605   501,299      432,375  5,511,319
  International Stock Series......................    109,830   496,238    1,251,499  5,867,244
  Value Series....................................     29,000        --      290,000         --
  S&P 500 Series..................................    145,000        --    1,450,000         --
  Blue Chip Stock Series..........................    145,000        --    1,450,000         --
Norwest Select Fund:
  Small Company Stock Fund........................         --   103,433           --  1,248,440
</TABLE>
 
                                       82
<PAGE>
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
MARCH 31, 1996
(UNAUDITED)
 
2.  INVESTMENTS (CONTINUED)
<TABLE>
<S>                                                 <C>         <C>      <C>          <C>
Year ended December 31, 1995:
<CAPTION>
 
                                                          SHARES
                                                    -------------------    COST OF     PROCEEDS
                                                    PURCHASED    SOLD     PURCHASES   FROM SALES
                                                    ----------  -------  -----------  ----------
<S>                                                 <C>         <C>      <C>          <C>
Fortis Series Fund, Inc.:
  Growth Stock Series.............................    903,891    90,700  $23,231,047  $2,409,243
  U.S. Government Securities Series...............    228,211   213,159    2,331,839  2,234,298
  Money Market Series.............................    540,043   506,551    5,764,979  5,395,064
  Asset Allocation Series.........................    333,531    90,515    5,135,857  1,414,662
  Diversified Income Series.......................    197,390    95,167    2,234,605  1,087,689
  Global Growth Series............................    673,847    93,947    9,569,763  1,324,628
  Aggressive Growth Series........................    537,853    49,233    6,246,152    624,420
  Growth & Income Series..........................    287,048    30,747    3,356,014    380,024
  High Yield Series...............................    122,624    46,105    1,244,092    467,145
  Global Asset Allocation Series..................    629,303    19,414    6,423,812    219,928
  Global Bond Series..............................    593,769    48,334    6,061,190    547,976
  International Stock Series......................    742,827    16,307    7,584,243    181,103
Norwest Select Fund:
  Small Company Stock Fund........................    100,000        --    1,000,000         --
Year ended December 31, 1994:
<CAPTION>
 
                                                          SHARES
                                                    -------------------    COST OF     PROCEEDS
                                                    PURCHASED    SOLD     PURCHASES   FROM SALES
                                                    ----------  -------  -----------  ----------
<S>                                                 <C>         <C>      <C>          <C>
Fortis Series Fund, Inc.:
  Growth Stock Series.............................  1,106,287    70,314  $24,347,849  $1,563,675
  U.S. Government Securities Series...............    188,049   192,822    1,951,506  1,984,288
  Money Market Series.............................    476,828   217,878    4,963,584  2,269,774
  Asset Allocation Series.........................    361,546    37,257    5,042,184    514,392
  Diversified Income Series.......................    183,908    53,081    2,099,560    601,619
  Global Growth Series............................  1,156,826   261,960   14,421,587  3,202,164
  Aggressive Growth Series........................    254,672    21,957    2,458,035    206,503
  Growth & Income Series..........................    124,784     1,316    1,256,805     13,437
  High Yield Series...............................    203,595    28,990    2,033,981    288,164
</TABLE>
 
                                       83
<PAGE>
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
MARCH 31, 1996
(UNAUDITED)
 
2.  INVESTMENTS (CONTINUED)
The  number of shares and  cost of shares issued  from reinvestment of dividends
with the Funds were as follows:
<TABLE>
<CAPTION>
                                                                                                     COST OF
                                                                                          SHARES     SHARES
                                                                                         ---------  ---------
 
<S>                                                                                      <C>        <C>
Year ended December 31, 1995:
Fortis Series Fund, Inc.:
  Growth Stock Series..................................................................     18,797  $ 510,059
  U.S. Government Securities Series....................................................         38        379
  Money Market Series..................................................................     17,356    180,105
  Asset Allocation Series..............................................................     59,192    924,340
  Diversified Income Series............................................................         14        155
  Global Growth Series.................................................................     12,645    194,924
  Aggressive Growth Series.............................................................      2,746     32,999
  Growth & Income Series...............................................................      6,670     83,612
  High Yield Series....................................................................     26,030    252,046
  Global Asset Allocation Series.......................................................     17,511    199,139
  Global Bond Series...................................................................     31,253    349,572
  International Stock Series...........................................................     10,608    117,200
Norwest Select Fund:
  Small Company Stock Fund.............................................................      3,433     38,350
 
Year ended December 31, 1994:
 
<CAPTION>
 
                                                                                                     COST OF
                                                                                          SHARES     SHARES
                                                                                         ---------  ---------
<S>                                                                                      <C>        <C>
Fortis Series Fund, Inc.:
  Growth Stock Series..................................................................     23,983  $ 524,850
  U.S. Government Securities Series....................................................     64,492    607,364
  Money Market Series..................................................................         --         --
  Asset Allocation Series..............................................................     46,335    626,408
  Diversified Income Series............................................................     24,758    257,570
  Global Growth Series.................................................................     11,872    144,687
  Aggressive Growth Series.............................................................        915      8,878
  Growth & Income Series...............................................................      1,288     12,968
  High Yield Series....................................................................      8,691     81,918
</TABLE>
 
                                       84
<PAGE>
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
MARCH 31, 1996
(UNAUDITED)
 
2.  INVESTMENTS (CONTINUED)
Fortis Benefits' investment in the subaccounts represented the following  number
of  shares of the Funds held and aggregate cost of amounts invested at March 31,
1996:
 
<TABLE>
<CAPTION>
                                                                                       NUMBER OF   COST OF
                                                                                        SHARES      SHARES
                                                                                       ---------  ----------
<S>                                                                                    <C>        <C>
Fortis Series Fund, Inc.:
  Value Series.......................................................................     29,000  $  290,000
  S&P 500 Series.....................................................................    145,000   1,450,000
  Blue Chip Stock Series.............................................................    145,000   1,450,000
</TABLE>
 
3.  ORGANIZATIONAL EXPENSES AND OTHER CHARGES
 
ORGANIZATIONAL EXPENSES
 
Fortis Benefits assumes all organizational expenses of the Account.
 
PREMIUM EXPENSE CHARGE
 
For Harmony Investment Life policies a 5% sales charge and a 2.2% state  premium
tax  is  deducted from  each premium  payment received  by Fortis  Benefits. The
resulting net premiums are allocated to the subaccounts of the Account and/or to
the Fortis Benefits General  Accounts. For Wall Street  Series VUL 100, VUL  220
and  VUL 500 policies, Fortis Benefits reserves  the right to impose a charge up
to 2.5% of each premium  payment to be reimbursed  for premium taxes or  similar
charges it expects to pay.
 
MONTHLY DEDUCTIONS FROM POLICY VALUE
 
Monthly deductions from the net assets attributed to each policy are as follows:
 
     - Monthly cost of insurance.
 
     - Monthly cost of any optional insurance benefits added by rider.
 
For Harmony Investment Life Policies:
 
     - Monthly  administrative charge  of $5.00  per policy  ($3.00 for policies
       applied for prior to July 1, 1988).
 
     - For policies issued subsequent to July 1, 1988, Fortis Benefits  reserves
       the  right to impose an expense charge  of not more than $15.00 per month
       and an additional  per-thousand-of-face expense charge  of not more  than
       $.08  per  month for  insureds  age 29  or less  and  $.25 per  month for
       insureds age 30 and  over during the first  twelve policy months.  Fortis
       Benefits  currently does not impose any  of the expense charges described
       in the preceding sentence.
 
                                       85
<PAGE>
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
MARCH 31, 1996
(UNAUDITED)
 
3.  ORGANIZATIONAL EXPENSES AND OTHER CHARGES (CONTINUED)
     - For policies  issued prior  to July  1, 1988,  Fortis Benefits  currently
       imposes  an  expense  charge  of  $10.00  per  month  and  an  additional
       per-thousand-of-face expense charge of $.06 per month for insureds age 29
       or less and $.20 per month for insureds age 30 and over during the  first
       twelve policy months.
 
For Wall Street Series VUL 100, VUL 220 and VUL 500 Policies:
 
     - Monthly  administrative  charge  of  $4.50  per  policy.  Fortis Benefits
       reserves the  right to  change this  administrative charge,  but it  will
       never exceed $7.50 per month.
 
     - For  VUL 220 and VUL 500, a monthly sales, premium tax and policy advance
       charge of $4.00 per policy.
 
MORTALITY AND EXPENSE RISK AND POLICY ADVANCE CHARGES
 
Fortis Benefits  deducts a  daily mortality  and expense  risk charge  from  the
Account  at an  annual rate  of .75%  of the  net assets  representing equity of
Harmony Investment Life policyholders  and .90% of  the net assets  representing
equity  of Wall Street Series VUL 100, VUL 220 and VUL 500 policyholders held in
each account. These charges  will be deducted by  Fortis Benefits in return  for
its  assumption of expenses arising from  adverse mortality experience or excess
administrative expenses in connection with policies issued. Fortis Benefits also
deducts a sales, premium tax  and policy advance charge  from the Account at  an
annual  rate of .27% of net assets representing equity of Wall Street Series VUL
100, VUL  220 and  VUL 500  policyholders.  These charges  are included  in  the
statements  of changes  in net  assets as a  component of  net investment income
(loss).
 
SURRENDER CHARGES
 
For Wall Street Series VUL 100, VUL 220 and VUL 500 policies surrendered  within
the first eleven years of issuance, Fortis Benefits assesses a surrender charge.
The  charge is the sum of any sales, premium tax, and policy advance charges not
previously deducted on a monthly or daily basis. For VUL 220 and VUL 500,  there
is  an additional surrender charge of $5.00 per thousand of the policy's initial
face amount plus a  maximum percentage of the  annualized net minimum  premiums.
The  percentage is 12% for VUL 220 and 22% for VUL 500. The surrender charge for
all Wall Street  policies is limited  to certain maximums  based on the  insured
person's  age at the  time of issuance and  decreases at a  constant rate on the
fifth and subsequent anniversary  until it reaches zero  on the eleventh  policy
anniversary.  A  similar  schedule  of  surrender  charges  is  imposed  on face
increases.
 
For Harmony Investment Life policies surrendered within the first nine years  of
issuance  of the policy  or face increase,  a surrender charge  is assessed. The
charge is a  maximum of 25%  of the annualized  net premium and  decreases at  a
constant  rate on the fifth and subsequent  anniversary until it reaches zero on
the ninth policy anniversary.
 
Surrender charges  collected by  Fortis  Benefits were  $643,197 for  the  three
months  ended March 31, 1996  and $2,057,483, and $1,475,321  for the year ended
December 31, 1995, and 1994, respectively.
 
                                       86
<PAGE>
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
FORTIS BENEFITS INSURANCE COMPANY
VARIABLE ACCOUNT C
MARCH 31, 1996
(UNAUDITED)
 
4.  FEDERAL INCOME TAXES
The operations of the Account form a part of, and are taxed with, the operations
of Fortis  Benefits,  which is  taxed  as a  life  insurance company  under  the
Internal  Revenue Code. As a result, the net asset values of the subaccounts are
not affected by  federal income taxes  on income distributions  received by  the
subaccounts.
 
                                       87
<PAGE>
                                   APPENDIX A
 
OPTIONAL INCOME PLANS
 
The  insurance proceeds  when the  insured dies  or the  Surrender Value  on the
maturity date or on full surrender of  the Policy, instead of being paid in  one
lump  sum, may be applied under one or more of the following income plans. A tax
adviser should be  consulted as  to the differing  tax consequences  of each  of
these  plans. Values under  the income plans  do not depend  upon the investment
experience of a  separate account.  Under options 3  or 4,  unless a  guaranteed
period  or refund alternative is selected, it  would be possible to receive only
one payment, in the case of the payee's early death.
 
OPTION 1.  INTEREST PAYMENTS
 
Fortis Benefits will pay interest at  twelve, six, three or one month  intervals
for  a specified  period, as  selected by the  Policy owner.  At the  end of the
selected period, Fortis Benefits will pay the proceeds in a single sum or  under
any other option selected when this option is chosen.
 
OPTION 2.  PAYMENTS OF A FIXED AMOUNT OR FOR A FIXED PERIOD
 
Fortis  Benefits will make payments  in an amount the  Policy owner selects when
choosing this option or equal payments for a period of from one to thirty years,
at the choice of the Policy owner. In either case, the Policy owner may  request
payments at twelve, six, three or one month intervals.
 
OPTION 3.  LIFE INCOME PAYMENTS
 
(1) Life Annuity: a monthly income during the lifetime of the payee; or
 
(2)  Life  Annuity with  a  Guaranteed Period:  a  monthly income  with payments
    guaranteed for either  ten or  twenty years,  as the  Policy owner  chooses,
    continuing during the payee's lifetime; or
 
(3)  Refund  Life Annuity:  a monthly  income with  payments guaranteed  for the
    number of months determined  by dividing the proceeds  by the first  monthly
    payment. The payments continue during the payee's lifetime.
 
OPTION 4.  JOINT LIFE INCOME PAYMENTS
 
The  Policy owner  names two  payees to  whom Fortis  Benefits will  pay a joint
monthly income during their joint  lifetime. After either payee's death,  Fortis
Benefits  will make monthly payments  equal to 2/3 of  the joint monthly payment
during the survivor's lifetime.
 
For options 3 and 4, the amount of  the monthly payments depends on the type  of
income selected, the Ages of the payees on the settlement date and the amount of
the proceeds. The minimum amounts payable for selected Ages are set forth in the
Policy.
 
APPLICABLE  RATES. The  interest rate  under options  1, 2,  3 and  4 above will
effectively be at least 3 1/2% per year. If option 1 is chosen, Fortis  Benefits
may  pay excess  interest. If  options 2,  3, or  4 are  chosen and  the monthly
payments are less than those provided by Fortis Benefits under settlement  rates
that  Fortis Benefits is  then currently offering, Fortis  Benefits will pay the
larger amount.
 
OTHER TERMS AND CONDITIONS.  The Policy owner may  also choose any other  option
agreed  to by  Fortis Benefits.  The Policy  owner may  also change  or revoke a
choice of options  under which payments  have not yet  commenced. If the  Policy
owner  does not choose an  option before the insured  dies, the beneficiary will
have the right to choose an option.
 
No payee  has  the right  to  change the  settlement  option chosen  before  the
insured's death. Payments may not be assigned or commuted.
 
If  the payee dies  before receiving all proceeds  payable, Fortis Benefits will
pay any amount still due to the payee's estate. Fortis Benefits has the right to
pay the proceeds  in a  single sum  if (1) the  proceeds payable  are less  than
$2,000;  or (2) payments under  the settlement option chosen  would be less than
$20 each.  When  an income  plan  starts, a  separate  contract will  be  issued
describing  the terms of the plan, and the Policy must be returned to us at this
time. Specimen  plans may  be obtained  from Fortis  Benefits' Home  Office  and
reference should be made to these forms for further details.
 
OPTIONAL INSURANCE BENEFITS
 
Optional  insurance  benefit riders  may  be attached  to  a Policy,  subject to
certain insurance underwriting  requirements, approval  in the  state where  the
Policy  is  sold,  and  the  payment of  additional  charges.  These  riders are
described in general terms  below. Limitations and  conditions are contained  in
the  riders, and the description  below is subject to  the specific terms of the
riders. A prospective purchaser may obtain specimen riders from Fortis Benefits'
Home Office. The charges for these riders are deducted each month as part of the
Monthly Deduction from Policy Value.
 
                                      A-1
<PAGE>
Any rider selected becomes a part of the  Policy and is subject to all terms  of
the  Policy  which are  not inconsistent  with  the terms  of the  rider. Fortis
Benefits may  decline  to  issue  any  optional  insurance  rider  in  its  sole
discretion  based  on  current  underwriting  guidelines  and  other  regulatory
restrictions. Riders may be  cancelled by Policy owners  in accordance with  the
procedures established by Fortis Benefits from time to time.
 
DISABILITY  RIDERS. There are four disability benefit riders available under the
Policy. The Policy  owner can select  either an individual  rider which  insures
only  one  of the  joint insureds,  or a  joint insured  rider which  provides a
benefit if either  or both of  the joint insureds  becomes disabled. The  Policy
owner  can select either a Waiver of  Selected Amount rider which provides for a
monthly payment to  the Policy Value  during disability or  a Waiver of  Monthly
Deductions  rider  which waives  the  monthly deduction  during  disability. The
Policy owner can only select one of these four riders.
 
If a joint insured rider  is in effect and one  of the joint insureds dies,  the
joint  insured rider  will terminate  and an  individual rider  on the Surviving
Insured will be issued in its place.
 
JOINT INSURED WAIVER OF MONTHLY DEDUCTIONS RIDER. If either or both of the joint
insureds are totally disabled for  more than six months  while this rider is  in
effect, Fortis Benefits will waive subsequent Monthly Deductions, so long as the
total  disability continues  until Age 95  of the disabled  insured. Any monthly
charges deducted after disability begins but before Fortis Benefits approves the
disability claim will be added to the Policy Value in a lump sum as of the  date
of  approval, based on the premium allocation percentage then in effect. For any
month that  deductions are  waived, otherwise  applicable requirements  to  make
additional  Minimum Premium  payments will be  waived. The rider  does not cover
preexisting disabilities and  terminates on the  first Policy anniversary  after
the younger insured reaches Age 60, except as to any disability commencing prior
to  that time. The  charges for this rider  are based on the  Net Amount at Risk
under a Policy from time to time and the insureds' Age and rate class. The rates
of charges for this rider are set forth in the Policy Schedule, and the rate  at
which the charge is imposed increases from year to year. An increase or decrease
in the Net Amount at Risk, or the addition or cancellation of any benefits under
riders  the charges for  which are covered  under this rider,  will result in an
increase or decrease in the charges for  this rider. The charges for this  rider
will  also be decreased if Fortis Benefits  approves a more favorable rate class
for the insureds.
 
JOINT INSURED WAIVER OF SELECTED  AMOUNT RIDER. If either  or both of the  joint
insureds  is totally disabled  for more than  six months while  this rider is in
effect, Fortis  Benefits will  apply a  premium payment  to the  Policy on  each
subsequent  Monthly Anniversary and while  that insured remains totally disabled
until Age 95 of the disabled insured.
 
The amount of the premium payment is equal to the Selected Amount chosen by  the
applicant  at the  time of  application, and shown  in the  Policy schedule. The
minimum Selected Amount that can be  chosen is $25. The maximum Selected  Amount
that can be chosen is the lesser of (1) the monthly Minimum Premium used for the
Guaranteed  Death Benefit Rider's guarantee  period to Age 85  or (2) $5,000. If
the Face Amount of  the Policy is  decreased so that  the annualized benefit  is
greater  than the guideline  annual premium, as  defined by Section  7702 of the
Code, the benefit will be reduced.
 
The rider does  not cover  preexisting conditions  and terminates  on the  first
Policy  anniversary after the younger  insured reaches Age 60,  except as to any
disability commencing prior to that  time. Monthly Deductions will be  increased
to include the cost of the rider which is a specified percentage of the Selected
Amount  based on the insureds' Age. In  most states, the current charges will be
shown in the  Policy schedule. The  charges increase from  year to year.  Fortis
Benefits  may change the rates, up to  the guaranteed maximum rates set forth in
the rider.
 
INDIVIDUAL WAIVER OF MONTHLY DEDUCTIONS RIDER AND INDIVIDUAL WAIVER OF  SELECTED
AMOUNT  RIDER. These  riders are in  most respects similar  to the corresponding
Joint Insured Waiver  of Monthly  Deductions Rider  or Joint  Insured Waiver  of
Selected Amount Rider described above, except that the individual riders, rather
than  covering both  joint insureds,  cover only one  of the  joint insureds, as
selected by  the Policy  owner in  the  application for  the Policy.  Also,  the
individual  rider  terminates on  the  Policy anniversary  after  the individual
insured under the rider reaches Age 60.
 
JOINT TERM LIFE INSURANCE RIDERS. There are three different term life  insurance
riders  available  to provide  additional  coverage on  the  lives of  the joint
insureds. The  Second-To-Die Rider  provides a  benefit upon  the death  of  the
Surviving Insured. The First-To-Die Rider is payable upon the death of the first
joint  insured. The Estate Protection Rider  provides additional coverage in the
event that both joint insureds die during the first four Policy years.
 
The maximum combined  rider coverage available  on the  life of any  one of  the
joint  insureds under  these riders is  7.25 times  the face amount  of the base
Policy. The maximum coverage under the Second-To-Die and the First-To-Die riders
is 6.0  times the  Policy Face  Amount. The  maximum coverage  under the  estate
protection rider is 1.25 times the Policy Face Amount.
 
The  charges for these  riders increase from  year to year.  Fortis Benefits may
change the rates at which the charges for these riders are imposed, although the
resulting charges will not exceed the  guaranteed maximum charges for the  rider
set forth in the Policy schedule.
 
                                      A-2
<PAGE>
SECOND-TO-DIE  RIDER. This rider  provides coverage payable on  the death of the
Surviving Insured until the younger insured's  Age 100. The minimum face  amount
of  this rider is $100,000. It is  available for issue on any Policy anniversary
up to Age 70 of the younger insured while both joint insureds are alive.
 
At any time before the earlier of the  end of the tenth year after the rider  is
issued,  or the younger  insured's 65th birthday, the  Policy owner may exchange
all or part of the coverage under this  rider for a Face Amount increase in  the
same amount under the base Policy.
 
As  discussed further below, coverage obtained  under the Second-To-Die Rider is
generally less costly initially than a comparable amount of additional  coverage
obtained  under the base Policy. However, for Policy owners who intend to retain
and make substantial premium payments  under their Policies, coverage under  the
base Policy will probably be more economical over the long term.
 
Fortis  Benefits  permits exchanges  of less  than the  full coverage  under the
Second-To-Die Rider, subject to a $25,000 minimum. Such partial exchanges may be
elected only once each Policy  year, as of the  Policy Anniversary, and only  if
remaining  coverage  on the  joint insureds  under  the rider  will be  at least
$100,000.
 
Fortis Benefits will waive its  usual requirements for evidence of  insurability
with  respect to the Face Amount increase, and the increase will be based on the
same rate class as  the rider. The suicide  and contestability periods will  run
from the original date of the transferred coverage. The coverage under the rider
will terminate when the Face Amount increase becomes effective.
 
Except  as noted above, a Face Amount increase implemented upon an exchange from
the Second-To-Die Rider will be subject  to the same procedures and charges  and
in all respects have the same effect as any other Face Amount increase.
 
The  current rates  of charges  for coverage  under the  Second-To-Die Rider are
expected to be  lower than  the rates  of the cost  of insurance  charges for  a
comparable  amount of  coverage under  the base  Policy. The  maximum guaranteed
charges for coverage under the Second-To-Die Rider, however, are the same as the
maximum guaranteed cost of insurance rates under the base Policy.
 
If coverage on the joint insureds is taken pursuant to the Second-To-Die  Rider,
the  monthly  Minimum Premium  will generally  be lower  (unless and  until such
coverage is exchanged for a Face Amount increase as described above) than if the
same amount of Face Amount were purchased under the base Policy. This means that
a smaller  amount  of  premiums  will generally  be  required  to  maintain  the
Guaranteed  Death Benefit Rider. See  "Minimum Premiums" under "Guaranteed Death
Benefit." Reduced premium  payments, of  course, will  tend to  result in  lower
amounts  of charges  that are  based on  premium payments  or a  Policy's Policy
Value. See "Charges and  Deductions." However, reducing  the amount of  premiums
paid  under a Policy has a number  of potential disadvantages: (1) the amount of
Policy Value  available to  participate  in the  investment performance  of  the
Separate Account or each a return in the General Account is reduced; (2) the tax
advantages  afforded under the Policy to any such positive investment results or
return are correspondingly reduced; (3) the amount of any Premium Based  Bonuses
and  Policy Value Bonuses will  be reduced; (4) under  an Option A death benefit
the dollar amount of cost of insurance  charges for the base Policy Face  Amount
will be higher; (5) under an Option B death benefit, the amount of death benefit
proceeds  will increase  more slowly;  (6) if less  than the  Minimum Premium is
paid, the  likelihood  that the  Policy  will lapse  during  the period  of  any
Guaranteed  Death Benefit is increased; (7) payment of lower amounts of premiums
also increases the likelihood that the Policy will lapse during any period  when
no  Guaranteed Death Benefit is  in effect under the  Policy. Accordingly, we do
not recommend use of the Second-To-Die Rider  solely as a means of paying  lower
premiums.
 
Moreover,  although, as discussed above, use of a Second-To-Die Rider can reduce
certain charges, this may not be  in the Policy owner's long-term interest.  For
example,  the amount of  cumulative premiums on which  Premium Based Bonuses are
based is limited to the cumulative amount of Maximum Bonus Premiums. Because the
Maximum Bonus Premiums are not increased by any coverage under the Second-To-Die
Rider, taking coverage  under that  rider, rather  than under  the base  Policy,
reduces  the potential amount of Premium  Based Bonuses. Similarly, Policy Value
Bonuses are  based on  the Policy's  size band,  which is  not affected  by  the
Second-To-Die  Rider. Accordingly, taking coverage  under the rider, rather than
under the  base Policy,  can  place the  Policy in  a  smaller size  band,  thus
reducing  somewhat the potential Policy Value Bonuses. Therefore, coverage under
the base Policy  can be  economically more advantageous,  in the  long run,  for
Policy  owners who  plan to  retain their  coverage, especially  for those whose
premiums are at least at  the level of the Maximum  Bonus Premium. On the  other
hand, purchasers who require only temporary coverage or who wish to pay premiums
at  relatively low  levels should  consider taking  a portion  of their coverage
under the Second-To-Die Rider.  It should be noted,  however, that the  coverage
that is taken under the Second-To-Die Rider is not eligible for the Policy Split
Opinion.
 
FIRST-TO-DIE  RIDER. This  rider provides coverage  upon the death  of the first
joint insured. It is available for issue on any Policy anniversary up to Age  70
of the older insured while both joint insureds are alive. In most other respects
it  is similar to the Second-To-Die Rider described above. The other significant
difference is that this rider cannot be exchanged or converted to coverage under
the base Policy or to  another Fortis Benefit life  insurance policy. It is  not
available  if the combined rating under the base  Policy is in excess of 400% of
the standard rating.
 
ESTATE PROTECTION RIDER. This rider is available only at issuance of the  Policy
for  estate planning purposes, and cannot be converted or exchanged. The maximum
amount of  coverage under  the rider  is 125%  of the  face amount  of the  base
policy. The minimum face amount is $100,000.
 
                                      A-3
<PAGE>
The  term of this  rider is four  years from the  issue date of  the Policy. Its
purpose is to provide an additional death  benefit in the early Policy years  in
order  to pay any  estate tax liability  that may arise  from having established
ownership of the Policy in a trust in anticipation of death.
 
ADDITIONAL INSURED RIDER PLUS
 
This rider provides fixed amounts of insurance  until Age 95 on the life of  one
or  more persons other  than the joint  insureds who are  members of the primary
insureds' immediate family, or  individuals in whom the  owner has an  insurable
interest.  In the  event an  insured under  this rider  is not  a family member,
certain special tax rules will apply. For a brief description of these tax rules
see "Federal Tax Matters." The  number of insureds that  may be covered by  this
rider is limited to five. Subject to Fortis Benefits' underwriting requirements,
coverage  on persons not already  insured may be added  on a Policy Anniversary.
Combined coverage for all  additional insureds under this  rider may not  exceed
six  times the base  Policy's Face Amount. Coverage  on additional insureds will
automatically be reduced pro-rata, to the  extent necessary to ensure that  this
limit is not exceeded.
 
The  charges increase from year to year. Fortis Benefits may change the rates at
which the charges  for this rider  are imposed, although  the resulting  charges
will  not exceed the guaranteed maximum charges  for this rider set forth in the
Policy schedule.
 
The Policy owner may convert the coverage on an additional insured to a variable
universal life insurance policy offered  by us at any  time before the later  of
the  end of the fifth Policy year or the additional insured's 65th birthday. The
conversion is not available more than 31  days after the death of the  Surviving
Insured. Fortis Benefits permits conversion of less than the full coverage on an
additional  insured.  However,  partial  conversions are  subject  to  a $25,000
minimum and may be elected only on the Policy Anniversary, and only if remaining
coverage on the additional insured under the Rider will be at least $25,000.
 
Fortis Benefits will waive  its usual requirement  for evidence of  insurability
with  respect to an amount of the new policy's Face Amount that is not in excess
of the amount of rider coverage canceled, and the new coverage will be based  on
the  same rate class as under the  rider. The suicide and contestability periods
will run from the original date of the transferred coverage. The coverage  under
the  rider will terminate  when the new coverage  becomes effective. Any amounts
deducted for the rider coverage for  periods beyond such time will be  refunded.
Except  as noted above, the  customary procedures and charges  for issuing a new
policy will apply to a conversion from the Additional Insured Rider Plus.
 
PRIMARY INSURED RIDER PLUS
 
This rider is  in most  respects similar to  the Additional  Insured Rider  Plus
described  immediately above, except that is provides fixed amounts of insurance
until Age 95 on  the individual life  of either of both  of the joint  insureds.
Also,  this rider  is available  only at  the time  the Policy  is first issued.
Combined coverage under this rider for all insureds may not exceed six times the
base Policy's Face Amount. Coverage  will automatically be reduced pro-rata,  to
the extent necessary to ensure that this limit is not exceeded.
 
                                      A-4
<PAGE>
APPENDIX B--ILLUSTRATIONS OF DEATH BENEFITS, POLICY VALUES, SURRENDER VALUES AND
ACCUMULATED PREMIUMS
 
The  tables on  pages B-3 to  B-6 illustrate the  way in which  a Policy's death
benefit, Policy Value and Surrender Value could vary over an extended period  of
time,  assuming  that  all premiums  are  allocated  to the  Subaccounts  of the
Separate Account for  the entire  period shown and  assuming hypothetical  gross
investment  rates of return  for the underlying  Fortis Series Portfolios (i.e.,
investment income  and  capital  gains  and  losses,  realized  and  unrealized)
equivalent to constant gross annual rates of 0%, 4%, 8% and 12%.
 
   
The  tables are based  on a Face  Amount of $1,000,000  for a male  Age 55 and a
female Age 53. Each illustration assumes that the insureds are in the non-smoker
underwriting risk classification. Illustrations for insureds in the smoker or  a
substandard  underwriting risk classification  would show, for  the same Age and
premium payments, lower  Policy Values  and, therefore,  lower Surrender  Values
and,  for the Alternative Death Benefit and  Death Benefit Option B, lower death
benefits. These values  would be  higher, however, for  an otherwise  comparable
Policy  on the joint lives of  a non-smoker female Age 55  and a male Age 53. An
otherwise comparable Policy  using gender-neutral  cost of  insurance rates  may
also show higher values than the Policies illustrated in the tables that follow.
    
 
The  amounts shown  for the death  benefits, Policy Values  and Surrender Values
take into account  the deductions from  premiums and the  Monthly Deduction,  as
well  as the  daily deductions  from the Separate  Account for  premium tax, and
sales expenses equivalent to an annual  rate of .35%, for mortality and  expense
risks  equivalent to an annual rate of 1.00% of the Policy Value in the Separate
Account, for assumed Portfolio investment advisory fees equivalent to an  annual
rate  of .62% and for other Portfolio operating expenses equivalent to an annual
rate of .08%  of the  average daily  value of the  aggregate net  assets of  the
Portfolio.  (.62% is the average of the advisory fee rates paid by the currently
available Portfolios and .08% is the actual amount of other expenses that  those
Portfolios incurred in 1995).
 
Taking  account  of the  daily deductions  for premium  tax and  sales expenses,
mortality and expense risks and assumed Portfolio operating expenses, the  gross
annual investment rates of return of 0%, 4%, 8% and 12% correspond to actual (or
net) annual rates of: -2.05%, 1.95%, 5.95% and 9.95%, respectively.
 
The  hypothetical returns in  the tables do  not reflect any  charges for income
taxes against the Separate  Account, since no such  charges are currently  made.
However,  if in the future such charges are  made, in order to produce the death
benefits, Policy  Values  and Surrender  Values  illustrated, the  gross  annual
investment rate of return would have to exceed 0%, 4%, 8% or 12% by a sufficient
amount  to cover the  tax charges. See "Federal  Tax Matters--Taxation of Fortis
Benefits."
 
The second column of the tables shows the amount which would accumulate if  each
year  an amount equal to the sum  of twelve monthly Minimum Premiums (calculated
using the Guarantee Death Benefit period to Age 85 of the younger insured)  were
invested  to  earn  interest,  after  taxes,  at  5%  compounded  annually.  The
difference between Policy Values  and Surrender Values  during the first  eleven
Policy years, as shown in the tables, is the amount of Surrender Charge.
 
Upon  request,  Fortis  Benefits  will furnish  an  illustration  reflecting the
proposed insureds' Age and sex, the  Face Amount and premium amounts  requested,
frequency  of premium payments, the death benefit option and any available rider
requested.
 
TABLE OF CONTENTS FOR ILLUSTRATIONS OF DEATH BENEFITS, POLICY VALUES, SURRENDER
VALUES AND ACCUMULATED PREMIUMS
 
<TABLE>
<CAPTION>
                                                                        PAGE
                                                                        ----
<S>                                                                     <C>
Illustrations Based on CURRENT Charge and Bonus Schedules:
  Death Benefit Option A..............................................  B-2
  Death Benefit Option B..............................................  B-3
Illustrations Based on GUARANTEED Charge and Bonus Schedules:
  Death Benefit Option A..............................................  B-4
  Death Benefit Option B..............................................  B-5
</TABLE>
 
                                      B-1
<PAGE>
   
MALE ISSUE AGE 55, FEMALE ISSUE AGE 53
NONSMOKER UNDERWRITING RISK
FACE AMOUNT: $1,400,000--DEATH BENEFIT OPTION A
CURRENT CHARGE, POLICY VALUE BONUS AND PREMIUM BASED BONUS SCHEDULES
    
   
<TABLE>
<CAPTION>
                     PREMIUMS
                  ACCUMULATED AT
 END OF POLICY     5% INTEREST       DEATH    POLICY   SURRENDER   DEATH   POLICY   SURRENDER
      YEAR         PER YEAR (1)     BENEFIT    VALUE    VALUE    BENEFIT    VALUE     VALUE
     ------       --------------   ---------  -------  -------  ---------  -------  ----------
                                         0% (1)(2)(3)(4)               4% (1)(2)(3)(4)
                                   ---------------------------  ------------------------------
                                        VALUES BASED ON ASSUMED HYPOTHETICAL GROSS ANNUAL
                                                  INVESTMENT RATES OF RETURN OF
                                   -----------------------------------------------------------
<S>               <C>              <C>        <C>      <C>      <C>        <C>      <C>
               1    $    26,250    1,400,000   23,505  13,277   1,400,000   24,483     14,258
               2         53,813    1,400,000   46,435  34,461   1,400,000   49,350     37,386
               3         82,753    1,400,000   68,814  55,174   1,400,000   74,624     61,008
               4        113,141    1,400,000   90,607  76,642   1,400,000  100,265     86,300
               5        145,048    1,400,000  111,854  99,884   1,400,000  126,317    114,347
               6        178,550    1,400,000  132,489  122,514  1,400,000  152,712    142,737
               7        213,728    1,400,000  152,927  144,947  1,400,000  179,861    171,881
               8        250,664    1,400,000  173,124  167,139  1,400,000  207,735    201,750
               9        289,447    1,400,000  193,241  189,251  1,400,000  236,515    232,525
              10        330,170    1,400,000  212,546  210,551  1,400,000  265,493    263,498
              15        566,437    1,400,000  295,545  295,545  1,400,000  412,225    412,225
              20        867,981    1,400,000  347,043  347,043  1,400,000  555,443    555,443
              25      1,252,836    1,400,000  358,197  358,197  1,400,000  681,135    681,135
              40      3,170,994            0        0       0   1,400,000  203,658    203,658
 
<CAPTION>
 
 END OF POLICY      DEATH     POLICY    SURRENDER     DEATH       POLICY    SURRENDER
      YEAR         BENEFIT     VALUE      VALUE      BENEFIT      VALUE       VALUE
     ------       ---------  ---------  ----------  ----------  ----------  ----------
                          8% (1)(2)(3)(4)                    12% (1)(2)(3)(4)
                  --------------------------------  ----------------------------------
 
<S>               <C>        <C>        <C>         <C>         <C>         <C>
               1  1,400,000     25,462     15,239    1,400,000      26,441     16,220
               2  1,400,000     52,345     40,389    1,400,000      55,418     43,472
               3  1,400,000     80,751     67,161    1,400,000      87,205     73,641
               4  1,400,000    110,725     96,760    1,400,000     122,082    108,117
               5  1,400,000    142,407    130,437    1,400,000     160,325    148,355
               6  1,400,000    175,822    165,847    1,400,000     202,236    192,261
               7  1,400,000    211,482    203,502    1,400,000     248,599    240,619
               8  1,400,000    249,488    243,503    1,400,000     299,835    293,850
               9  1,400,000    290,155    286,165    1,400,000     356,624    352,634
              10  1,400,000    332,934    330,939    1,400,000     418,833    416,838
              15  1,400,000    583,065    583,065    1,400,000     833,974    833,974
              20  1,400,000    909,699    909,699    1,679,295   1,512,878  1,512,878
              25  1,439,764  1,371,204  1,371,204    2,783,581   2,651,030  2,651,030
              40  4,018,796  3,901,744  3,901,744   12,269,662  11,912,293  11,912,293
</TABLE>
    
 
- ------------------------
   
(1) Assumes annual premium  of $25,000  paid in full  at the  beginning of  each
    Policy  year. The values vary from those shown if the amount or frequency of
    payments vary.
    
 
(2) Assumes that  no Policy  loan or  partial withdrawal  has been  made and  no
    optional  insurance  riders have  been selected.  Zero  values in  the Death
    Benefit column indicate Policy lapse in the absence of sufficient additional
    premium payments.
 
(3) Reflects Premium Based Bonuses credited according to the following schedule:
 
<TABLE>
<CAPTION>
                              END OF POLICY YEAR
                            -----------------------
                                                9
                                               AND
                                               LATER
                                               TO
                                               ORIGINAL
                                               MATURITY
            ISSUE AGE OF                       DATE OF
          YOUNGEST INSURED  0-6     7     8    POLICY
          ----------------  ----   ---   ---   ----
          <S>               <C>    <C>   <C>   <C>    <C>
               18-50         0%     2%    2%    4%
               51-60         0      2     4     7
               61-70         0      5     7    10
               71-85         0      5     5     5
</TABLE>
 
(4) Reflects Policy Value Bonuses credited on each monthly Anniversary after the
    monthly deduction is made according to the following schedule:
 
ANNUAL RATE OF POLICY VALUE BONUSES AS A PERCENT OF NET CASH VALUE
<TABLE>
<CAPTION>
                            BAND 1
                   -------------------------
                                    POLICY                BAND 2                          BAND 3                  BAND 4
 SURRENDER VALUE                     YEARS     -----------------------------   -----------------------------   -------------
   ON DATE OF      POLICY YEARS     20 AND     POLICY YEARS    POLICY YEARS    POLICY YEARS    POLICY YEARS    POLICY YEARS
  MONTHLY BONUS       1 - 19         LATER        1 - 19       20 AND LATER       1 - 19       20 AND LATER       1 - 19
- -----------------  -------------   ---------   -------------   -------------   -------------   -------------   -------------
<S>                <C>             <C>         <C>             <C>             <C>             <C>             <C>
$0 - $9,999              .00%            .35%        .00%            .35%            .00%            .35%            .00%
$10,000 - $49,999        .00%            .35%        .00%            .35%            .05%            .40%            .05%
$50,000 - $99,999        .05%            .40%        .05%            .40%            .10%            .45%            .10%
$100,000 or more         .10%            .45%        .10%            .45%            .15%            .50%            .20%
 
<CAPTION>
 
 SURRENDER VALUE
   ON DATE OF      POLICY YEARS
  MONTHLY BONUS    20 AND LATER
- -----------------  -------------
<S>                <C>
$0 - $9,999              .35%
$10,000 - $49,999        .40%
$50,000 - $99,999        .45%
$100,000 or more         .55%
</TABLE>
 
(5) Alternative  Death  Benefit  applies: See  "Policy  Benefits--Death  Benefit
    Options" for further details.
 
IT  IS EMPHASIZED THAT  THE HYPOTHETICAL INVESTMENT RATES  OF RETURN SHOWN ABOVE
ARE ILLUSTRATIVE  ONLY AND  SHOULD NOT  BE DEEMED  A REPRESENTATION  OF PAST  OR
FUTURE INVESTMENT RATES OF RETURN. ACTUAL INVESTMENT RATES OF RETURN MAY BE MORE
OR  LESS THAN THOSE SHOWN AND WILL DEPEND UPON A NUMBER OF FACTORS INCLUDING THE
PREMIUM AND POLICY VALUE ALLOCATIONS MADE BY AN OWNER AND THE DIFFERENT RATES OF
RETURN OF THE PORTFOLIOS.  THE DEATH BENEFIT, POLICY  VALUE AND SURRENDER  VALUE
FOR  A POLICY WOULD BE DIFFERENT FROM THOSE SHOWN IF THE ACTUAL INVESTMENT RATES
OF RETURN AVERAGED 0%, 4%,  8%, AND 12% OVER A  PERIOD OF YEARS, BUT  FLUCTUATED
ABOVE  OR BELOW THOSE  AVERAGES FOR INDIVIDUAL  POLICY YEARS OR  IF ANY PREMIUMS
WERE  ALLOCATED  OR  POLICY  VALUE  TRANSFERRED  TO  THE  GENERAL  ACCOUNT.   NO
REPRESENTATIONS  CAN  BE MADE  BY FORTIS  BENEFITS OR  FORTIS SERIES  THAT THESE
HYPOTHETICAL RATES OF RETURN CAN BE ACHIEVED FOR ANY ONE YEAR OR SUSTAINED  OVER
ANY PERIOD OF TIME.
 
                                      B-2
<PAGE>
   
MALE ISSUE AGE 55, FEMALE ISSUE AGE 53
STANDARD NONSMOKER UNDERWRITING RISK
FACE AMOUNT: $1,400,000--DEATH BENEFIT OPTION B
CURRENT CHARGE, POLICY VALUE BONUS AND PREMIUM BASED BONUS SCHEDULES
    
   
<TABLE>
<CAPTION>
                     PREMIUMS
                  ACCUMULATED AT
 END OF POLICY     5% INTEREST       DEATH    POLICY   SURRENDER     DEATH    POLICY   SURRENDER
      YEAR         PER YEAR (1)     BENEFIT    VALUE     VALUE      BENEFIT    VALUE     VALUE
     ------       --------------   ---------  -------  ---------   ---------  -------  ---------
                                          0% (1)(2)(3)(4)                 4% (1)(2)(3)(4)
                                   -----------------------------   -----------------------------
                                   VALUES BASED ON ASSUMED HYPOTHETICAL GROSS ANNUAL INVESTMENT
                                                        RATES OF RETURN OF
                                   -------------------------------------------------------------
<S>               <C>              <C>        <C>      <C>         <C>        <C>      <C>
               1    $   26,250     1,423,576   23,576    13,349    1,424,557   24,557    14,332
               2        53,813     1,446,640   46,640    34,667    1,449,570   49,570    37,606
               3        82,753     1,469,210   69,210    55,571    1,475,059   75,059    61,445
               4       113,141     1,491,240   91,240    77,275    1,500,980  100,980    87,015
               5       145,048     1,512,761  112,761   100,791    1,527,371  127,371   115,401
               6       178,550     1,533,696  133,696   123,721    1,554,152  154,152   144,177
               7       213,728     1,554,444  154,444   146,464    1,581,723  181,723   173,743
               8       250,664     1,574,944  174,944   168,959    1,610,035  210,035   204,050
               9       289,447     1,595,335  195,335   191,345    1,639,242  239,242   235,252
              10       330,170     1,614,857  214,857   212,862    1,668,599  268,599   266,604
              15       566,437     1,696,808  296,808   296,808    1,814,523  414,523   414,523
              20       867,981     1,738,675  338,675   338,675    1,942,652  542,652   542,652
              25     1,252,836     1,755,706  355,706   355,706    2,067,480  667,480   667,480
              40     3,170,994             0        0         0    1,562,048  162,048   162,048
 
<CAPTION>
 
 END OF POLICY      DEATH     POLICY    SURRENDER     DEATH       POLICY    SURRENDER
      YEAR         BENEFIT     VALUE      VALUE      BENEFIT      VALUE       VALUE
     ------       ---------  ---------  ----------  ----------  ----------  ----------
                          8% (1)(2)(3)(4)                    12% (1)(2)(3)(4)
                  --------------------------------  ----------------------------------
 
<S>               <C>        <C>        <C>         <C>         <C>         <C>
               1  1,425,539     25,539     15,316    1,426,521      26,521     16,300
               2  1,452,579     52,579     40,625    1,455,668      55,668     43,722
               3  1,481,228     81,228     67,640    1,487,727      87,727     74,164
               4  1,511,530    111,530     97,565    1,522,991     122,991    109,026
               5  1,543,626    143,626    131,656    1,561,736     161,736    149,766
               6  1,577,535    177,535    167,560    1,604,272     204,272    194,297
               7  1,613,760    213,760    205,780    1,651,383     251,383    243,403
               8  1,652,384    252,384    246,399    1,703,477     303,477    297,492
               9  1,693,694    293,694    289,704    1,761,207     361,207    357,217
              10  1,737,094    337,094    335,099    1,824,390     424,390    422,395
              15  1,987,060    587,060    587,060    2,240,713     840,713    840,713
              20  2,289,813    889,813    889,813    2,884,602   1,484,602  1,484,602
              25  2,690,421  1,290,421  1,290,421    3,946,531   2,546,531  2,546,531
              40  3,857,970  2,457,970  2,457,970   12,107,425  10,707,425  10,707,425
</TABLE>
    
 
- ------------------------
   
(1) Assumes  annual premium  of $25,000  paid in full  at the  beginning of each
    Policy year. The values vary from those shown if the amount or frequency  of
    payments vary.
    
 
(2) Assumes  that no  Policy loan  or partial  withdrawal has  been made  and no
    optional insurance  riders have  been  selected. Zero  values in  the  Death
    Benefit column indicate Policy lapse in the absence of sufficient additional
    premium payments.
 
(3) Reflects Premium Based Bonuses credited according to the following schedule:
 
<TABLE>
<CAPTION>
                              END OF POLICY YEAR
                            -----------------------
                                                9
                                               AND
                                               LATER
                                               TO
                                               ORIGINAL
                                               MATURITY
               AGE OF                          DATE OF
          YOUNGEST INSURED  0-6     7     8    POLICY
          ----------------  ----   ---   ---   ----
          <S>               <C>    <C>   <C>   <C>
               18-50         0%     2%    2%    4%
               51-60         0      2     4     7
               61-70         0      5     7    10
               71-85         0      5     5     5
</TABLE>
 
(4) Reflects Policy Value Bonuses credited on each monthly Anniversary after the
    monthly deduction is made.
 
ANNUAL RATE OF CASH VALUE BONUSES AS A PERCENT OF NET CASH VALUE
<TABLE>
<CAPTION>
                            BAND 1
                   -------------------------
                                    POLICY                BAND 2                          BAND 3                  BAND 4
 SURRENDER VALUE                     YEARS     -----------------------------   -----------------------------   -------------
   ON DATE OF      POLICY YEARS     20 AND     POLICY YEARS    POLICY YEARS    POLICY YEARS    POLICY YEARS    POLICY YEARS
  MONTHLY BONUS       1 - 19         LATER        1 - 19       20 AND LATER       1 - 19       20 AND LATER       1 - 19
- -----------------  -------------   ---------   -------------   -------------   -------------   -------------   -------------
<S>                <C>             <C>         <C>             <C>             <C>             <C>             <C>
$0 - $9,999              .00%            .35%        .00%            .35%            .00%            .35%            .00%
$10,000 - $44,999        .30%            .65%        .30%            .65%            .35%            .70%            .35%
$50,000 - $99,999        .35%            .70%        .35%            .70%            .40%            .75%            .40%
$100,000 or more         .40%            .75%        .40%            .75%            .45%            .80%            .50%
 
<CAPTION>
 
 SURRENDER VALUE
   ON DATE OF      POLICY YEARS
  MONTHLY BONUS    20 AND LATER
- -----------------  -------------
<S>                <C>
$0 - $9,999              .35%
$10,000 - $44,999        .70%
$50,000 - $99,999        .75%
$100,000 or more         .85%
</TABLE>
 
(5)  Alternative  Death  Benefit applies:  See  "Policy  Benefits--Death Benefit
    Options" for further details.
 
IT IS EMPHASIZED THAT  THE HYPOTHETICAL INVESTMENT RATES  OF RETURN SHOWN  ABOVE
ARE  ILLUSTRATIVE ONLY  AND SHOULD  NOT BE  DEEMED A  REPRESENTATION OF  PAST OR
FUTURE INVESTMENT RATES OF RETURN. ACTUAL INVESTMENT RATES OF RETURN MAY BE MORE
OR LESS THAN THOSE SHOWN AND WILL DEPEND UPON A NUMBER OF FACTORS INCLUDING  THE
PREMIUM AND POLICY VALUE ALLOCATIONS MADE BY AN OWNER AND THE DIFFERENT RATES OF
RETURN  OF THE PORTFOLIOS.  THE DEATH BENEFIT, POLICY  VALUE AND SURRENDER VALUE
FOR A POLICY WOULD BE DIFFERENT FROM THOSE SHOWN IF THE ACTUAL INVESTMENT  RATES
OF  RETURN AVERAGED 0%, 4%,  8%, AND 12% OVER A  PERIOD OF YEARS, BUT FLUCTUATED
ABOVE OR BELOW  THOSE AVERAGES FOR  INDIVIDUAL POLICY YEARS  OR IF ANY  PREMIUMS
WERE   ALLOCATED  OR  POLICY  VALUE  TRANSFERRED  TO  THE  GENERAL  ACCOUNT.  NO
REPRESENTATIONS CAN  BE MADE  BY FORTIS  BENEFITS OR  FORTIS SERIES  THAT  THESE
HYPOTHETICAL  RATES OF RETURN CAN BE ACHIEVED FOR ANY ONE YEAR OR SUSTAINED OVER
ANY PERIOD OF TIME.
 
                                      B-3
<PAGE>
   
MALE ISSUE AGE 55, FEMALE AGE 53
STANDARD NONSMOKER UNDERWRITING RISK
FACE AMOUNT: $1,400,000--DEATH BENEFIT OPTION A
GUARANTEED CHARGE, POLICY VALUE BONUS AND PREMIUM BASED BONUS SCHEDULES
    
   
<TABLE>
<CAPTION>
                     PREMIUMS
                  ACCUMULATED AT
 END OF POLICY     5% INTEREST       DEATH    POLICY   SURRENDER   DEATH    POLICY   SURRENDER
      YEAR         PER YEAR (1)     BENEFIT    VALUE    VALUE     BENEFIT    VALUE    VALUE
     ------       --------------   ---------  -------  --------  ---------  -------  --------
                                         0% (1)(2)(3)(4)               4% (1)(2)(3)(4)
                                   ----------------------------  ----------------------------
                                       VALUES BASED ON ASSUMED HYPOTHETICAL GROSS ANNUAL
                                                 INVESTMENT RATES OF RETURN OF
                                   ----------------------------------------------------------
<S>               <C>              <C>        <C>      <C>       <C>        <C>      <C>
               1        26,250     1,400,000   19,469    9,031   1,400,000   20,328    9,892
               2        53,813     1,400,000   38,413   26,004   1,400,000   40,921   28,520
               3        82,753     1,400,000   56,808   42,494   1,400,000   61,754   47,460
               4       113,141     1,400,000   74,671   60,706   1,400,000   82,840   68,875
               5       145,048     1,400,000   91,945   79,975   1,400,000  104,118   92,148
               6       178,550     1,400,000  108,644   98,669   1,400,000  125,615  115,640
               7       213,728     1,400,000  125,146  117,166   1,400,000  147,675  139,695
               8       250,664     1,400,000  141,375  135,390   1,400,000  170,248  164,263
               9       289,447     1,400,000  157,473  153,483   1,400,000  193,485  189,495
              10       330,170     1,400,000  172,676  170,681   1,400,000  216,645  214,650
              15       566,437     1,400,000  231,813  231,813   1,400,000  327,742  327,742
              20       867,981     1,400,000  244,043  244,043   1,400,000  412,770  412,770
              25     1,252,836     1,400,000  200,762  200,762   1,400,000  438,562  438,562
              40     3,170,994             0        0        0           0        0        0
 
<CAPTION>
 
 END OF POLICY      DEATH     POLICY    SURRENDER     DEATH     POLICY    SURRENDER
      YEAR         BENEFIT     VALUE      VALUE      BENEFIT     VALUE      VALUE
     ------       ---------  ---------  ----------  ---------  ---------  ----------
                          8% (1)(2)(3)(4)                   12% (1)(2)(3)(4)
                  --------------------------------  --------------------------------
 
<S>               <C>        <C>        <C>         <C>        <C>        <C>
               1  1,400,000     21,186     10,751   1,400,000     22,043     11,610
               2  1,400,000     43,497     31,104   1,400,000     46,142     33,757
               3  1,400,000     67,007     52,736   1,400,000     72,512     58,263
               4  1,400,000     91,733     77,768   1,400,000    101,325     87,360
               5  1,400,000    117,774    105,804   1,400,000    132,861    120,891
               6  1,400,000    145,126    135,151   1,400,000    167,311    157,336
               7  1,400,000    174,266    166,286   1,400,000    205,369    197,389
               8  1,400,000    205,245    199,260   1,400,000    247,353    241,368
               9  1,400,000    238,326    234,336   1,400,000    293,824    289,834
              10  1,400,000    272,898    270,903   1,400,000    344,518    342,523
              15  1,400,000    469,102    469,102   1,400,000    677,388    677,388
              20  1,400,000    703,964    703,964   1,400,000  1,207,313  1,207,313
              25  1,400,000    982,416    982,416   2,185,713  2,081,631  2,081,631
              40  2,653,333  2,576,052  2,576,052   8,979,003  8,717,478  8,717,478
</TABLE>
    
 
- ------------------------
   
(1) Assumes annual premium  of $25,000  paid in full  at the  beginning of  each
    Policy  year. The values vary from those shown if the amount or frequency of
    payments vary.
    
 
(2) Assumes that  no Policy  loan or  partial withdrawal  has been  made and  no
    optional  insurance  riders have  been selected.  Zero  values in  the Death
    Benefit column indicate Policy lapse in the absence of sufficient additional
    premium payments.
 
(3) Reflects Premium Based Bonuses credited according to the following schedule:
 
<TABLE>
<CAPTION>
                             OPTION A PERCENTAGES
                              END OF POLICY YEAR
                            -----------------------
                                                9
                                               AND
                                               LATER
                                               TO
                                               ORIGINAL
                                               MATURITY
               AGE OF                          DATE OF
          YOUNGEST INSURED  0-6     7     8    POLICY
          ----------------  ----   ---   ---   ----
          <S>               <C>    <C>   <C>   <C>
               18-50         0%     2%    2%    4%%
               51-60         0      2     4     7
               61-70         0      2     4     7
               71-85         0      2     4     5
</TABLE>
 
(4) Reflects Policy Value Bonuses credited on each monthly Anniversary after the
    monthly deduction is made.
 
ANNUAL RATE OF CASH VALUE BONUSES AS A PERCENT OF NET CASH VALUE
<TABLE>
<CAPTION>
                            BAND 1
                   -------------------------
                                    POLICY                BAND 2                          BAND 3                  BAND 4
 SURRENDER VALUE                     YEARS     -----------------------------   -----------------------------   -------------
   ON DATE OF      POLICY YEARS     20 AND     POLICY YEARS    POLICY YEARS    POLICY YEARS    POLICY YEARS    POLICY YEARS
  MONTHLY BONUS       1 - 19         LATER        1 - 19       20 AND LATER       1 - 19       20 AND LATER       1 - 19
- -----------------  -------------   ---------   -------------   -------------   -------------   -------------   -------------
<S>                <C>             <C>         <C>             <C>             <C>             <C>             <C>
$0 - $9,999              .00%            .00%        .00%            .00%            .00%            .00%            .00%
$10,000 - $49,999        .00%            .00%        .00%            .00%            .05%            .05%            .05%
$50,000 - $99,999        .05%            .05%        .05%            .05%            .10%            .10%            .10%
$100,000 or more         .10%            .10%        .10%            .10%            .15%            .15%            .20%
 
<CAPTION>
 
 SURRENDER VALUE
   ON DATE OF      POLICY YEARS
  MONTHLY BONUS    20 AND LATER
- -----------------  -------------
<S>                <C>
$0 - $9,999              .00%
$10,000 - $49,999        .05%
$50,000 - $99,999        .10%
$100,000 or more         .20%
</TABLE>
 
IT IS EMPHASIZED THAT  THE HYPOTHETICAL INVESTMENT RATES  OF RETURN SHOWN  ABOVE
ARE  ILLUSTRATIVE ONLY  AND SHOULD  NOT BE  DEEMED A  REPRESENTATION OF  PAST OR
FUTURE INVESTMENT RATES OF RETURN. ACTUAL INVESTMENT RATES OF RETURN MAY BE MORE
OR LESS THAN THOSE SHOWN AND WILL DEPEND UPON A NUMBER OF FACTORS INCLUDING  THE
PREMIUM AND POLICY VALUE ALLOCATIONS MADE BY AN OWNER AND THE DIFFERENT RATES OF
RETURN  OF THE PORTFOLIOS.  THE DEATH BENEFIT, POLICY  VALUE AND SURRENDER VALUE
FOR A POLICY WOULD BE DIFFERENT FROM THOSE SHOWN IF THE ACTUAL INVESTMENT  RATES
OF  RETURN AVERAGED 0%, 4%,  8%, AND 12% OVER A  PERIOD OF YEARS, BUT FLUCTUATED
ABOVE OR BELOW  THOSE AVERAGES FOR  INDIVIDUAL POLICY YEARS  OR IF ANY  PREMIUMS
WERE   ALLOCATED  OR  POLICY  VALUE  TRANSFERRED  TO  THE  GENERAL  ACCOUNT.  NO
REPRESENTATIONS CAN  BE MADE  BY FORTIS  BENEFITS OR  FORTIS SERIES  THAT  THESE
HYPOTHETICAL  RATES OF RETURN CAN BE ACHIEVED FOR ANY ONE YEAR OR SUSTAINED OVER
ANY PERIOD OF TIME.
 
                                      B-4
<PAGE>
   
MALE ISSUE AGE 55, FEMALE ISSUE AGE 53
NONSMOKER UNDERWRITING RISK
FACE AMOUNT: $1,400,000--DEATH BENEFIT OPTION B
GUARANTEED CHARGE, POLICY VALUE BONUS AND PREMIUM BASED BONUS SCHEDULES
    
   
<TABLE>
<CAPTION>
                     PREMIUMS
                  ACCUMULATED AT
 END OF POLICY     5% INTEREST       DEATH     POLICY    SURRENDER   DEATH    POLICY   SURRENDER
      YEAR         PER YEAR (1)     BENEFIT     VALUE     VALUE     BENEFIT    VALUE    VALUE
     ------       --------------   ---------  ---------  --------  ---------  -------  --------
                                          0% (1)(2)(3)(4)                4% (1)(2)(3)(4)
                                   ------------------------------  ----------------------------
                                   VALUES BASED ON ASSUMED HYPOTHETICAL GROSS ANNUAL INVESTMENT
                                                        RATES OF RETURN OF
                                   ------------------------------------------------------------
<S>               <C>              <C>        <C>        <C>       <C>        <C>      <C>
               1    $   26,250     1,419,506     19,506    9,068   1,420,388   20,388    9,951
               2        53,813     1,438,563     38,563   26,155   1,441,103   41,103   28,703
               3        82,753     1,457,115     57,115   42,802   1,462,112   62,112   47,821
               4       113,141     1,475,168     75,168   61,203   1,483,424   83,424   69,459
               5       145,048     1,492,657     92,657   80,687   1,504,967  104,967   92,997
               6       178,550     1,509,590    109,590   99,615   1,526,758  126,758  116,783
               7       213,728     1,526,313    126,313  118,333   1,549,124  149,124  141,144
               8       250,664     1,542,742    142,742  136,757   1,571,994  171,994  166,009
               9       289,447     1,558,994    158,994  155,004   1,595,490  195,490  191,500
              10       330,170     1,574,278    174,278  172,283   1,618,830  218,830  216,835
              15       566,437     1,631,220    231,220  231,220   1,727,260  327,260  327,260
              20       867,981     1,631,638    231,638  231,638   1,792,506  392,506  392,506
              25     1,252,836     1,592,766    192,766  192,766   1,822,784  422,784  422,784
              40     3,170,994             0          0        0           0        0        0
 
<CAPTION>
 
 END OF POLICY      DEATH    POLICY   SURRENDER   DEATH     POLICY    SURRENDER
      YEAR         BENEFIT    VALUE    VALUE     BENEFIT     VALUE      VALUE
     ------       ---------  -------  --------  ---------  ---------  ----------
                        8% (1)(2)(3)(4)                 12% (1)(2)(3)(4)
                  ----------------------------  --------------------------------
 
<S>               <C>        <C>      <C>       <C>        <C>        <C>
               1  1,421,253   21,253   10,818   1,422,113     22,113     11,680
               2  1,443,697   43,697   31,305   1,446,356     46,356     33,971
               3  1,467,407   67,407   53,137   1,472,950     72,950     58,703
               4  1,492,398   92,398   78,433   1,502,072    102,072     88,107
               5  1,518,765  118,765  106,795   1,534,006    134,006    122,036
               6  1,546,496  146,496  136,521   1,568,938    168,938    158,963
               7  1,576,052  176,052  168,072   1,607,553    207,553    199,573
               8  1,607,462  207,462  201,477   1,650,145    250,145    244,160
               9  1,640,953  240,953  236,963   1,697,238    297,238    293,248
              10  1,675,861  275,861  273,866   1,748,497    348,497    346,502
              15  1,868,913  468,913  468,913   2,077,792    677,792    677,792
              20  2,070,413  670,413  670,413   2,551,221  1,151,221  1,151,221
              25  2,297,986  897,986  897,986   3,276,915  1,876,915  1,876,915
              40  1,991,343  591,343  591,343   7,614,935  6,214,935  6,214,935
</TABLE>
    
 
- ------------------------
   
(1) Assumes annual premium  of $25,000  paid in full  at the  beginning of  each
    Policy  year. The values vary from those shown if the amount or frequency of
    payments vary.
    
 
(2) Assumes that  no Policy  loan or  partial withdrawal  has been  made and  no
    optional  insurance  riders have  been selected.  Zero  values in  the Death
    Benefit column indicate Policy lapse in the absence of sufficient additional
    premium payments.
 
(3) Reflects Premium Based Bonuses credited according to the following schedule:
 
<TABLE>
<CAPTION>
                              END OF POLICY YEAR
                            -----------------------
                                                9
                                               AND
                                               LATER
                                               TO
                                               ORIGINAL
                                               MATURITY
               AGE OF                          DATE OF
          YOUNGEST INSURED  0-6     7     8    POLICY
          ----------------  ----   ---   ---   ----
          <S>               <C>    <C>   <C>   <C>
               18-50         0%     2%    2%    4%
               51-60         0      2     4     7
               61-70         0      2     4     7
               71-85         0      2     4     5
</TABLE>
 
(4) Reflects Policy Value Bonuses credited on each monthly Anniversary after the
    monthly deduction is made.
 
ANNUAL RATE OF CASH VALUE BONUSES AS A PERCENT OF NET CASH VALUE
<TABLE>
<CAPTION>
                            BAND 1
                   -------------------------
                                    POLICY                BAND 2                          BAND 3                  BAND 4
 SURRENDER VALUE                     YEARS     -----------------------------   -----------------------------   -------------
   ON DATE OF      POLICY YEARS     20 AND     POLICY YEARS    POLICY YEARS    POLICY YEARS    POLICY YEARS    POLICY YEARS
  MONTHLY BONUS       1 - 19         LATER        1 - 19       20 AND LATER       1 - 19       20 AND LATER       1 - 19
- -----------------  -------------   ---------   -------------   -------------   -------------   -------------   -------------
<S>                <C>             <C>         <C>             <C>             <C>             <C>             <C>
$0 - $9,999              .00%            .00%        .00%            .00%            .00%            .00%            .00%
$10,000 - $49,999        .30%            .30%        .30%            .30%            .35%            .35%            .35%
$50,000 - $99,999        .35%            .35%        .35%            .35%            .40%            .40%            .45%
$100,000 or more         .40%            .40%        .40%            .40%            .45%            .45%            .50%
 
<CAPTION>
 
 SURRENDER VALUE
   ON DATE OF      POLICY YEARS
  MONTHLY BONUS    20 AND LATER
- -----------------  -------------
<S>                <C>
$0 - $9,999              .00%
$10,000 - $49,999        .35%
$50,000 - $99,999        .45%
$100,000 or more         .50%
</TABLE>
 
IT IS EMPHASIZED THAT  THE HYPOTHETICAL INVESTMENT RATES  OF RETURN SHOWN  ABOVE
ARE  ILLUSTRATIVE ONLY  AND SHOULD  NOT BE  DEEMED A  REPRESENTATION OF  PAST OR
FUTURE INVESTMENT RATES OF RETURN. ACTUAL INVESTMENT RATES OF RETURN MAY BE MORE
OR LESS THAN THOSE SHOWN AND WILL DEPEND UPON A NUMBER OF FACTORS INCLUDING  THE
PREMIUM AND POLICY VALUE ALLOCATIONS MADE BY AN OWNER AND THE DIFFERENT RATES OF
RETURN  OF THE PORTFOLIOS.  THE DEATH BENEFIT, POLICY  VALUE AND SURRENDER VALUE
FOR A POLICY WOULD BE DIFFERENT FROM THOSE SHOWN IF THE ACTUAL INVESTMENT  RATES
OF  RETURN AVERAGED 0%, 4%,  8%, AND 12% OVER A  PERIOD OF YEARS, BUT FLUCTUATED
ABOVE OR BELOW  THOSE AVERAGES FOR  INDIVIDUAL POLICY YEARS  OR IF ANY  PREMIUMS
WERE   ALLOCATED  OR  POLICY  VALUE  TRANSFERRED  TO  THE  GENERAL  ACCOUNT.  NO
REPRESENTATIONS CAN  BE MADE  BY FORTIS  BENEFITS OR  FORTIS SERIES  THAT  THESE
HYPOTHETICAL  RATES OF RETURN CAN BE ACHIEVED FOR ANY ONE YEAR OR SUSTAINED OVER
ANY PERIOD OF TIME.
 
                                      B-5
<PAGE>
APPENDIX C--THE GENERAL ACCOUNT
 
A  POLICY OWNER MAY  ALLOCATE PREMIUMS OR  TRANSFER POLICY VALUE  TO THE GENERAL
ACCOUNT, WHICH CONSISTS OF ALL FORTIS BENEFITS' ASSETS NOT HELD IN THE  SEPARATE
ACCOUNT   OR  OTHER  SEGREGATED   ASSET  ACCOUNTS.  BECAUSE   OF  EXEMPTIVE  AND
EXCLUSIONARY  PROVISIONS,  INTERESTS  IN  THE  GENERAL  ACCOUNT  HAVE  NOT  BEEN
REGISTERED  UNDER THE SECURITIES  ACT OF 1933,  AND THE GENERAL  ACCOUNT HAS NOT
BEEN REGISTERED  AS  AN INVESTMENT  COMPANY  UNDER THE  1940  ACT.  ACCORDINGLY,
NEITHER  THE GENERAL ACCOUNT NOR ANY  INTERESTS THEREIN ARE GENERALLY SUBJECT TO
THE PROVISIONS OF THOSE ACTS AND FORTIS BENEFITS HAS BEEN ADVISED THAT THE STAFF
OF THE SECURITIES AND  EXCHANGE COMMISSION HAS NOT  REVIEWED THE DISCLOSURES  IN
THIS  PROSPECTUS  RELATING TO  THE  GENERAL ACCOUNT.  DISCLOSURES  REGARDING THE
GENERAL ACCOUNT  MAY,  HOWEVER,  BE  SUBJECT  TO  CERTAIN  GENERALLY  APPLICABLE
PROVISIONS  OF  THE  FEDERAL  SECURITIES  LAWS  RELATING  TO  THE  ACCURACY  AND
COMPLETENESS OF STATEMENTS MADE IN PROSPECTUSES.
 
This prospectus is generally intended to serve as a disclosure document only for
the aspects  of the  Policy involving  the Separate  Account and  contains  only
selected  information regarding the General  Account. More information regarding
the General Account may  be obtained from Fortis  Benefits' Home Office or  from
your sales representatives.
 
GENERAL DESCRIPTION
 
Subject  to  applicable  law,  Fortis  Benefits  has  sole  discretion  over the
investment of  the assets  of the  General  Account. Unlike  the assets  of  the
Separate  Account,  the  assets  of  the  General  Account  are  chargeable with
liabilities arising out of any other business of Fortis Benefits.
 
The allocation or transfer of amounts to the General Account does not entitle  a
Policy  owner  to share  in the  investment experience  of the  General Account.
Instead, Fortis Benefits  guarantees that  Policy Value in  the General  Account
will  accrue interest at an effective annual rate of at least 4%, independent of
the actual investment experience of the General Account. Fortis Benefits is  not
obligated  to credit interest  at any higher rate,  although Fortis Benefits, in
its sole discretion, may do so. The  rates of interest actually credited to  any
amount  in the General Account from time to time may vary depending on when that
amount was first allocated to the General Account.
 
The Policy owner may select either Death Benefit Option A or B under the  Policy
and  may change such option or the Policy's Face Amount, subject to satisfactory
evidence of insurability where  required and subject to  all the conditions  and
limitations applicable to such transactions generally. See "Policy Benefits."
 
GENERAL ACCOUNT POLICY VALUE
 
The Policy Value in the General Account will reflect the amount and frequency of
premium  payments allocated to  the General Account, the  amount of interest and
any Premium Based Bonuses  and Policy Value Bonuses  credited to amounts in  the
General Account, any partial withdrawals, or accelerated death benefit payments,
any  transfers from or to the Separate Account, any Policy loans and the Monthly
Deduction imposed  on amounts  in the  General Account  in connection  with  the
Policy.  Charges under  a Policy are  the same  as when the  Separate Account is
being used,  except that  no daily  charges for  mortality and  expense risk  or
premium  tax and sales  expenses are imposed  on amounts of  Policy Value in the
General Account. See "Charges and Deductions."
 
TRANSFERS, SURRENDERS AND POLICY LOANS
 
Amounts in the  General Account  are generally subject  to the  same rights  and
limitations  and will be subject to the same charges as are amounts allocated to
the Subaccounts  of  the  Separate  Account with  respect  to  transfers,  total
surrenders,  partial withdrawals, and Policy  loans. See "Payment and Allocation
of Premiums--Allocation of  Premiums and Policy  Value," "Loan Privileges,"  and
"Surrender  and Partial Withdrawal." One exception  is that transfers out of the
General Account are limited to one transfer  in each Policy year, which may  not
be  for more than 50% of the Policy  Value in the General Account (excluding the
amount of General Account Policy Value attributable to Policy loans) at the date
of transfer. However, if the unloaned  General Account Policy Value at the  date
of  transfer is less than $1,000, the entire unloaned balance may be transferred
from the General Account to the Separate Account. See "Payment and Allocation of
Premiums--Allocation of Premiums and Policy Value." Fortis Benefits reserves the
right to review these limits  on an annual basis and,  subject to the limits  in
the Policy, to reduce them.
 
                                      C-1
<PAGE>

                VARIABLE UNIVERSAL LIFE SERVICE REQUEST


*  The Policy owner(s) may use this form to request services for a NEW or 
   EXISTING policy.

*  CONTRACT INFORMATION and SIGNATURES must be completed to allow us to 
   complete the service request.

1. TELEPHONE TRANSFER AUTHORIZATION

   / /  Check this box to authorize telephone transfer by owner(s) or 
        registered representative.

   / /  Check this box to authorize telephone transfer by owner(s) only.

   The owner(s) and/or registered representative may transfer by telephone 
   amount investment choices. I have read the telephone transfer authorization
   terms in the prospectus and elect telephone transfers.

2. TRANSFER REQUEST

   Move all or part of your existing asset balances from one subaccount to 
   another.

   *  Specify dollar amounts OR whole percentages

   *  Transfers from the General Account to the Separate Account ONLY are 
      subject to the following:

      1.  Maximum transfer is 50% of your unloaned General Account value once
          per policy year.

      2.  If unloaned General Account value is less than $1,000, you may 
          transfer the entire unloaned balance.

TRANSFER FROM                                 TRANSFER TO
                    BOND INVESTMENTS
$_________________  General Account           $_____________%
$_________________  Money Market              $_____________%
$_________________  U.S. Government           $_____________%
$_________________  Diversified Income        $_____________%
$_________________  Global Bond               $_____________%
$_________________  High Yield                $_____________%

                    STOCK INVESTMENTS
$_________________  Asset Allocation          $_____________%
$_________________  Global Asset Allocation   $_____________%
$_________________  Value                     $_____________%
$_________________  Growth & Income           $_____________%
$_________________  S&P 500 Index             $_____________%
$_________________  Blue Chip Stock           $_____________%
$_________________  Global Growth             $_____________%
$_________________  Growth Stock              $_____________%
$_________________  International Stock       $_____________%
$_________________  Aggressive Growth         $_____________%


CONTRACT INFORMATION:

Policy Number _______________________________________________
/ / New Policy    / / Existing

_____________________________________________________________
Name of Policy Owner

_____________________________________________________________
Name of Joint Owner (if applicable)

_____________________________________________________________
Social Security Number of Owner

_____________________________________________________________
Address

_____________________________________________________________
City                              State       Zip Code

Telephone Number (_______) __________________________________

/ /  Citizen of U.S.    / / Resident Alien of U.S.
/ /  Other __________________________________________________

3. SYSTEMATIC TRANSFER (DOLLAR COST AVERAGING):

   Automatically move assets among investment choices.

   *  Specify dollar amounts only

   *  $5,000 minimum beginning balance, minimum transfer: $50

   * General Account: Monthly amount must be less than or equal to 1/36 of the
     principal.

   * Frequency: Monthly

   TRANSFER $___________________ on the 1st day of each month from the 
   ____________________________ account to the following accounts:


                          BOND INVESTMENTS          
      $_________________  General Account           
      $_________________  Money Market              
      $_________________  U.S. Government           
      $_________________  Diversified Income        
      $_________________  Global Bond               
      $_________________  High Yield                
                                              
                          STOCK INVESTMENTS         
      $_________________  Asset Allocation          
      $_________________  Global Asset Allocation   
      $_________________  Value                     
      $_________________  Growth & Income           
      $_________________  S&P 500 Index             
      $_________________  Blue Chip Stock           
      $_________________  Global Growth             
      $_________________  Growth Stock              
      $_________________  International Stock       
      $_________________  Aggressive Growth         


<PAGE>

             VARIABLE UNIVERSAL LIFE SERVICE REQUEST, CONTINUED

INSTRUCTIONS FOR SECTIONS 4, 5 & 6:

   A. Use whole percentages
   B. Must equal 100%

4. CHANGE OF PREMIUM ALLOCATION:

   Indicate which subaccount(s) incoming premium dollars should be allocated 
   to future payments.

   *  Specify future premium allocations.

   BOND INVESTMENTS
   ____% General Account
   ____% Money Market
   ____% U.S. Government
   ____% Diversified Income
   ____% Global Bond
   ____% High Yield

   STOCK INVESTMENTS
   ____% Asset Allocation
   ____% Global Asset Allocation
   ____% Value
   ____% Growth & Income
   ____% S&P 500 Index
   ____% Blue Chip Stock
   ____% Global Growth
   ____% Growth Stock
   ____% International Stock
   ____% Aggressive Growth
   100 % TOTAL


5. PRIVILEGED ACCOUNT SERVICE:

   Automatically rebalances the assets within your policy.
   Note: This does not change future Premium Allocations.

   * $2,000 minimum policy value.

   FREQUENCY
   / / Quarterly (3/31, 6/30, 9/30, 12/31)
   / / Semi-Annual (6/30, 12/31)
   / / Annual (12/31)

   BOND INVESTMENTS
   ____% General Account
   ____% Money Market
   ____% U.S. Government
   ____% Diversified Income
   ____% Global Bond
   ____% High Yield

   STOCK INVESTMENTS
   ____% Asset Allocation
   ____% Global Asset Allocation
   ____% Value
   ____% Growth & Income
   ____% S&P 500 Index
   ____% Blue Chip Stock
   ____% Global Growth
   ____% Growth Stock
   ____% International Stock
   ____% Aggressive Growth
   100 % TOTAL


6. SPECIFY MONTHLY DEDUCTIONS

   Indicate which subaccount you want the monthly deductions from.

   * Loans and withdrawals will also follow this unless otherwise stated.

   * If the subaccount chosen does not have sufficient amount to cover 
     monthly charges, pro rata allocation will be automatically used.

   BOND INVESTMENTS
   ____% General Account
   ____% Money Market
   ____% U.S. Government
   ____% Diversified Income
   ____% Global Bond
   ____% High Yield

   STOCK INVESTMENTS
   ____% Asset Allocation
   ____% Global Asset Allocation
   ____% Value
   ____% Growth & Income
   ____% S&P 500 Index
   ____% Blue Chip Stock
   ____% Global Growth
   ____% Growth Stock
   ____% International Stock
   ____% Aggressive Growth
   100 % TOTAL


_____________________________________________________________________________

SIGNATURES:

___________________________________________ _________ 
Policy Owner's Signature         Date     

___________________________________________ _________ 
Joint Owner's Signature          Date     

(______) ____________________________________________
Daytime Telephone Number


REPRESENTATIVE INFORMATION (IF KNOWN):

___________________________________________ _________ 
Registered Representative's Signature       Date


_____________________________________________________ 
Registered Representative's Name (please print)

_____________________________________________________ 
Representative's Contract Number


(______) ____________________________________________
Registered Representative's Telephone Number



FORTIS-Registered Trademark-

FORTIS BENEFITS INSURANCE COMPANY
VARIABLE UNIVERSAL LIFE
P.O. BOX 64582
ST. PAUL, MN 55164
(800) 800-2638                                              98009 (4/96)


<PAGE>

                      CONTENTS OF REGISTRATION STATEMENT

This Registration Statement comprises the following papers and
documents:

      Facing Sheet.

      Cross-Reference Table. (Filed as a part of the initial Form S-6
      Registration Statement on December 21, 1995).

      Prospectus, consisting of 97 pages.

      Undertaking to File Reports. (Filed as a part of the initial Form S-6
      Registration Statement on December 21, 1995).

      Undertaking pursuant to Rule 484(b)(1) under the Securities
      Act of 1933. (Filed as a part of the initial Form S-6
      Registration Statement on December 21, 1995).

      Representations and Undertakings pursuant to Rule 6e-
      3(T)(b)(13) (iii)(F) under the Investment Company Act of
      1940. (Filed as a part of the initial Form S-6
      Registration Statement on December 21, 1995).

      Signatures.

      Written Consents of the following persons:

            Renee C. West, FSA, MAAA.

            Douglas R. Lowe, Esq. (filed with Exhibit 3 below).

            Ernst & Young LLP, Independent Auditors.

      The following exhibits:

      1A.   (1)   --Resolution of Board of Directors of Fortis
                  Benefits (under its prior name, Western Life
                  Insurance Company) effecting the establishment of
                  Variable Account C (incorporated by reference from
                  Exhibit 1.A(1) to registrant's Form S-6
                  Registration Statement, File No. 33-28551, filed
                  on May 5, 1989).

            (2)   --Not applicable

            (3)   --(a) Distribution Agreement between Fortis
                  Benefits and Fortis Investors, Inc.  (incorporated
                  by reference from Exhibit No. 3(a) to Post-
                  Effective Amendment No. 9 to registrant's Form S-6
                  registration statement, File No. 33-28551, filed
                  April 29, 1994).

                  --(b) Form of Dealer Sales Agreement (incorporated
                  by reference from Post-Effective Amendment No. 12
                  to registrant's Form N-4 registration statement,
                  File No. 33-19421, filed December 22, 1994).

                  --(c) Schedule of sales commissions (incorporated
                  by reference from "Distribution of the Policies"
                  in the attached prospectus).

            (4)   --Not applicable


<PAGE>

            (5)   --(a) Specimen Flexible Premium Survivorship
                  Variable Life Insurance Policy.

                  --(b) Form of Guaranteed Benefit Rider,
                  Joint Insured Waiver of Monthly Deductions Rider,
                  Joint Insured Waiver of Selected Amount Rider,
                  Second-To-Die Rider, First-To-Die Rider,
                  Estate Protector Rider, Extended Maturity Option
                  Endorsement, Joint Aviation Exclusion Rider,
                  Accelerated Benefit Rider, Additional Insured
                  Rider, and Primary Insured Rider.

                  --(c) Form of Waiver of Monthly Deductions Rider
                  (incorporated by reference from Exhibit 1.A(5)(c)
                  to Pre-Effective Amendment No. 1 to registrant's
                  Form S-6 Registration Statement, File No. 33-
                  28551, filed on August 18, 1989).

                  --(d) Form of Waiver of Selected Amount Rider 
                  (incorporated by reference from Exhibit 5(d) to 
                  Post-Effective Amendment No. 9 to the registrant's 
                  Form S-6 Registration Statement, File No. 33-28551, 
                  filed April 29, 1994).

            (6)   --(a) Articles of Incorporation of Fortis Benefits
                  (incorporated by reference from Exhibit 1.A(6)(a)
                  to the initial filing of registrant's Form S-6
                  Registration Statement, File No. 33-03919, filed
                  on March 17, 1986).

                  --(b) Bylaws of Fortis Benefits (incorporated by
                  reference from Exhibit 1.A(6)(b) to the initial
                  filing of registrant's Form S-6 Registration
                  Statement, File No. 33-03919, filed on March 17,
                  1986).

                  --(c) Amendment to Articles of Incorporation and
                  Bylaws dated November 21, 1991  (incorporated by
                  reference from Exhibit 1.A(6)(c) to registrant's
                  Post-Effective Amendment No. 4 to Form S-6
                  Registration Statement, File No. 33-28551, filed
                  on March 2, 1992).

            (7)   --Not applicable.

            (8)   --Not applicable.

            (9)   --Not applicable.

            (10)  --(a) Application Form for Flexible Premium
                  Survivorship Variable Life Insurance Policy and
                  Form of Temporary Insurance Agreement.

                  --(b) Policy Change Application, Transfer Request
                  Form, and Change of Premium Allocation Form
                  (incorporated by reference from Exhibit 1.A(10)(b)
                  to registrant's Post-Effective Amendment No. 4 to
                  Form S-6 Registration Statement, File 33-28851,
                  filed on March 2, 1992).

<PAGE>

      2.    --See Exhibit 1.A(5) above.

      3.    --Opinion and consent of counsel as to the legality of
            Securities being registered. (Filed as part of 
            Pre-Effective Amendment No. 1 to this Form S-6 Registration 
            Statement on February 16, 1996).

      4.    --Not applicable.

      5.    --Not applicable.

      6.    --Opinion and consent of actuary (Filed as part of the initial
            filing of this Form S-6 Registration Statement on December 21, 
            1995).

      7.    --Forms of Notice of Cancellation Right and Request for
            Cancellation pursuant to Rule 6e-3(T)(b)(13)(viii)
            under the Investment Company Act of 1940. 

      8.    --Method of computing exchange pursuant to Rule 6e-
            3(T)(b)(13) (v)(B) under the Investment Company Act of
            1940. (Not required because there will be no cash value
            adjustments in connection with the right to transfer
            Policy Value to the General Account, which registrant
            intends to satisfy the requirements of said provision.)

      9.    --Undertaking of Fortis Benefits required by Rule 27d-2
            under the Investment Company Act of 1940 (part of
            Exhibit 1.A(3)(a)).

      10.   --Memorandum of Certain Procedures with Respect to
            Pricing and Processing of Transactions Pursuant to Rule
            6e-3(T)(b)(12) (iii).

      11.   --Power of Attorney for Messrs, Freedman, Gaddy,
            Mackin, Keller, Clayton, Mahoney, Clancy, Meler and
            Greiter (incorporated by reference from Exhibit 11 to
            registrant's Form S-6 Registration Statement, File No.
            33-73138, filed on December 17, 1993).

      12.   --Statement of Fortis Benefits Insurance Company
            pursuant to Rule 27d-2 under the Investment Company Act
            of 1940.

<PAGE>
                                   SIGNATURES

Pursuant to the requirements of the Securities Act of 1933, FORTIS BENEFITS
INSURANCE COMPANY has duly caused this amended Registration Statement to be
signed on its behalf by the undersigned thereunto duly authorized, and its seal
to be hereunto affixed and attested all in the City of St. Paul, State of
Minnesota, this 24th day of May, 1996.

                                   FORTIS BENEFITS INSURANCE COMPANY


                                   By:  /s/ Robert Brian Pollock
                                        ---------------------------------
                                        Robert Brian Pollock, President

     Attest:   /s/ Douglas R. Lowe
               -----------------------------
               Douglas R. Lowe
               Associate General Counsel --
               Life and Investment Products

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 on May 24, 1996.

/s/ Robert Brian Pollock
- ---------------------------------------------
Robert Brian Pollock, President and Director
(Chief Executive Officer)

/s/ Michael John Peninger
- ---------------------------------------------
Michael John Peninger, Senior Vice President,
Chief Financial Officer and Director
(Principal Financial and Accounting Officer)

/s/ Dean Conrad Kopperud
- ---------------------------------------------
Dean Conrad Kopperud, Director

*
 --------------------------------------------
 Allen Royal Freedman, Chairman of the Board

*
 --------------------------------------------
 Thomas Michael Keller, Director

 --------------------------------------------
 Arie Aristide Fakkert, Director

*
 --------------------------------------------
 Henry Carroll Mackin, Director



* By: /s/ Robert Brian Pollock
     ----------------------------------------
     Robert Brian Pollock -- Attorney-in-Fact

<PAGE>

Pursuant to the requirements of the Securities Act of 1933, the registrant,
VARIABLE ACCOUNT C of Fortis Benefits Insurance Company, has duly caused this
amended Registration Statement to be signed on its behalf by the undersigned
thereunto duly authorized, and its seal to be hereunto affixed and attested, all
in the City of St. Paul, State of Minnesota this 24th day of May, 1996.

                              VARIABLE ACCOUNT C
                              OF FORTIS BENEFITS INSURANCE COMPANY

                              By: FORTIS BENEFITS INSURANCE COMPANY
                                   (Depositor)




                              By:  /s/ Robert Brian Pollock
                                  ------------------------------------
                                   Robert Brian Pollock, President



                         Attest:    /s/ Douglas R. Lowe
                                   ------------------------------------
                                   Douglas R. Lowe,
                                   Associate General Counsel-
                                   Life and Investment Products
<PAGE>

                       CONSENT OF INDEPENDENT AUDITORS



We consent to the reference to our firm under the caption "Experts" and to 
the use of our report dated February 14, 1996 on the financial statements of 
Fortis Benefits Insurance Company and our report dated March 22, 1996 on the 
financial statements of Fortis Benefits Insurance Company Variable Account C 
(Account C) in Pre-Effective Amendment No. 2 to the Registration Statement 
(Form S-6 No. 33-65243) and the related Prospectus being filed under the 
Securities Act of 1933 for the registration of an indefinite amount of 
interests in Account C pursuant to variable life insurance policies.

/s/ Ernst & Young LLP

Minneapolis, Minnesota
May 24, 1996
<PAGE>


                                INDEX TO EXHIBITS




 1A. (5)(a)  Specimen Policy

     (5)(b)  Specimen Riders

    (10)(a)  Specimen Application

  6.         Opinion and Consent of Actuary

  7.         Notice of Cancellation Right and
             Request for Cancellation

 10.         Memorandum of Certain Procedures with Respect to
             Pricing and Processing Pursuant to 
             Rule 6c-3(T)(b)(12)(iii) 

 12.         Rule 27d-2 Statement


<PAGE>

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

                                 FORTIS BENEFITS
                                INSURANCE COMPANY

                               St. Paul, Minnesota
                                 A Stock Company

                           WALL STREET SURVIVOR SERIES
                      VARIABLE UNIVERSAL LIFE-LAST SURVIVOR


We will pay the proceeds if we receive due proof that both the first and
surviving insureds died while this policy was in force. THE AMOUNT AND DURATION
OF THE DEATH BENEFIT MAY INCREASE OR DECREASE DEPENDING ON INVESTMENT RESULTS OF
THE SUBACCOUNTS OF THE SEPARATE ACCOUNT AND ON THE DEATH BENEFIT OPTION SELECTED
AS DESCRIBED IN THE DEATH BENEFIT SECTION.  SEE THE POLICY VALUES PROVISION FOR
THE DETAILS OF YOUR VARIABLE BENEFITS.

THE SURRENDER VALUE UNDER THIS POLICY INCREASES OR DECREASES DEPENDING ON
INVESTMENT RESULTS OF THE SUBACCOUNTS OF THE SEPARATE ACCOUNT.  THERE IS NO
GUARANTEED MINIMUM SURRENDER VALUE IN THE SEPARATE ACCOUNT.  THE
GENERAL ACCOUNT DOES HAVE GUARANTEED MINIMUM SURRENDER VALUES.

                             RIGHT TO RETURN POLICY

This policy may be returned to us any time prior to the latest of: (a) 10 days
after its delivery to you; or (b) 10 days after delivery of a Notice of
Withdrawal Right.  The policy may be returned by delivery or
mail, to our Home Office along with a written notice to cancel it.  We will
refund the premium paid.

Signed for Fortis Benefits Insurance Company, St. Paul, Minnesota, to take
effect on the policy date.



     /s/ Dean Kopperud                  /s/ Tony Rotondi
     ---------------------              ---------------------
     Dean Kopperud                      Tony Rotondi
     Senior Vice President              Senior Vice President


FLEXIBLE PREMIUM SURVIVORSHIP VARIABLE LIFE POLICY.  FLEXIBLE PREMIUMS PAYABLE
DURING THE LIFETIME OF THE SURVIVING INSURED UNTIL THE MATURITY DATE.  DEATH
BENEFIT PAYABLE AT DEATH OF SURVIVING INSURED PRIOR TO MATURITY DATE. 
ADJUSTABLE DEATH BENEFIT.  SURRENDER VALUE PAYABLE ON MATURITY DATE. 
NONPARTICIPATING.  SOME BENEFITS REFLECT INVESTMENT RESULTS.

ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR
OTHER PERSON, FILES AN APPLICATION OR STATEMENT OF CLAIM CONTAINING ANY
MATERIALLY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE
OF MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO COMMITS A
FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS SUCH PERSON TO CRIMINAL
AND CIVIL PENALTIES.

L28                                                                        56708

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

<PAGE>

                           READ YOUR POLICY CAREFULLY


This policy is a legal contract between the owner and Fortis Benefits Insurance
Company

                                TABLE OF CONTENTS

                                Page #                                 Page #

Annual Report. . . . . . . . .    5     Policy Split Option  . . . . .   19
Assignments. . . . . . . . . .    4     Policy Values. . . . . . . . .   10
Beneficiary. . . . . . . . . .    4     Policy Value Bonus . . . . . .   13
Cost of Insurance. . . . . . .   10     Premium Based Bonuses. . . . .   13
Death Benefit. . . . . . . . .    8     Premiums . . . . . . . . . . .    6
Deductions . . . . . . . . . .   10     Reinstatement. . . . . . . . .    6
Definitions. . . . . . . . . .    2     Rights Reserved by Us. . . . .    8
Grace Period . . . . . . . . .    6     Separate Account . . . . . . .    7
Incontestable. . . . . . . . .    5     Settlement Options . . . . . .   16
Maturity Date. . . . . . . . .   19     Suicide. . . . . . . . . . . .    5
Policy Issuance Expense. . . .   10     Surrenders . . . . . . . . . .   14
Policy Loans . . . . . . . . .   14     Transfers. . . . . . . . . . .    8
Policy Owner . . . . . . . . .    4     Withdrawals. . . . . . . . . .   15

Any policy amendments or endorsements follow the policy schedule. Additional
benefits added by rider follow the Policy Split Option. The application is the
last page of this policy.


You, Your
  The owner of this policy.

We, Us, Our
  Fortis Benefits Insurance Company.

<PAGE>

                                   POLICY SCHEDULE
Policy Number: WMH80003


L28      Flexible Premium Survivorship Variable Life
Additional Coverage                           Insured         Coverage Amount
- -------------------                           -------         ---------------
L111     Guaranteed Death Benefit Rider
L108     Estate Protection Rider              Joint                $1,000,000
L107     Joint 2nd-To-Die Term Rider          Joint                $1,500,000
L109     Joint 1st-To-Die Term Rider          Joint                  $250,000
L113     Primary Insured Rider                John Doe               $750,000
L112     Additional Insured Rider             James Doe              $250,000
L112     Additional Insured Rider             Jill Doe               $250,000
L101     Waiver of Monthly Deductions Rider   Joint
L110     Accelerated Benefit Rider



Owner(s): John Doe
          Jane Doe

Joint Insured   Issue Age   Sex      Premium Class      Policy Split Option %
- -------------   ---------   ---      -------------      ---------------------
John Doe           35       Male     Non-Smoker                 50%
Jane Doe           33       Female   Smoker                     50%



<TABLE>

<S>                          <C>                <C>                            <C>
Policy Date:                 February 10, 1996  Initial Face Amount:           $1,500,000

Original Maturity Date(OMD): February 10, 2063  Initial Death Benefit Option:    A

Maturity Date:               February 10, 2063

</TABLE>






Maturity Date is the policy anniversary following the younger Joint Insured's
100th birthday. It is possible that coverage will expire prior to the date shown
if either: Premiums paid following payment of the initial premium, or investment
results on the designated subaccounts, and interest credited on the General
Account are insufficient to continue coverage to such date.

<PAGE>

Policy Number: WMH80003


Face Amount Bands:        Band 1  $  100,000-$  499,999
                          Band 2  $  500,000-$  999,999
                          Band 3  $1,000,000-$4,999,999
                          Band 4  $5,000,000+

Minimum Face Amount:                $100,000
Minimum Face Amount Increase:        $25,000

Initial Premium:                  $10,000.00
Planned Periodic Premium:          $1,400.00
Premium Frequency:                   Monthly


DETAIL ON MONTHLY PREMIUMS:
                                     Current               Guaranteed
                                     -------               ----------
Initial Monthly Minimum Premium:   $1,117.13                $1,213.47
Base Policy:                         $828.13                  $828.13
Riders:                              $289.00                  $385.34

The initial monthly minimum premium increases each year by all rider's cost of
insurance charges. If the cumulative minimum premium requirement is met, the
Guaranteed Death Benefit will remain in effect until February 10, 2048.

ANNUAL MAXIMUM BONUS PREMIUM:     $9,937.50.     This is used in determining
                                                 the Premium Based Bonuses and
                                                 will change when the Face
                                                 Amount is changed.


<TABLE>
<CAPTION>

PREMIUM BASED BONUS PERCENTAGE:
  Younger Joint Insured        Year 7                Year 8            Year 9 to OMD
       Age At Issue       Current  Guaranteed   Current  Guaranteed  Current  Guaranteed
       ------------       -------  ----------   -------  ----------  -------  ----------
<S>                      <C>        <C>        <C>       <C>         <C>      <C>     
         18 - 50             2%         2%       2%          2%        4%         4%
         51 - 60             2%         2%       4%          4%        7%         7%
         61 - 70             5%         2%       7%          4%       10%         7%
         71 - 85             5%         2%       5%          4%        5%         5%

</TABLE>


Policy Loan Interest Rate:   5.66% payable in advance.
Lower Rate on Certain Loans: 3.85% payable in advance.
Lower Rate is available if Surrender Value is greater than $10,000 after the 2nd
policy year or after 12 years.

<PAGE>

Policy Number: WMH80003


<TABLE>
<CAPTION>

POLICY VALUE BONUSES:                      Annual Bonus Rate as a Percentage of Net Cash Value
                                      Death Benefit Option A                  Death Benefit Option B
Surrender Value Minimum        Band 1    Band 2    Band 3    Band 4    Band 1    Band 2    Band 3    Band 4
- -----------------------        ------    ------    ------    ------    ------    ------    ------    ------
<S>                            <C>       <C>       <C>       <C>       <C>       <C>       <C>       <C>
      $0 - $9,999               .00%      .00%      .00%      .00%      .00%      .00%      .00%      .00%
  $10,000 - $49,999             .00%      .00%      .05%      .05%      .30%      .30%      .35%      .35%
  $50,000 - $99,999             .05%      .05%      .10%      .10%      .35%      .35%      .40%      .40%
 $100,000 +                     .10%      .10%      .15%      .20%      .40%      .40%      .45%      .50%

</TABLE>


In the Policy Years 20 to OMD, an additional .35% will be added to the Bonus
Rate for both Death Benefit Options A and B but this percentage is NOT
guaranteed.

When the Death Benefit Option is changed, the Policy Value Bonus will be a
weighted average of bonus rates based on the number of months the policy was
under each Death Benefit Option. When the Face Amount is changed, the
appropriate band will be determined by using a weighted average of Face Amounts
based on the number of months the policy was under each Face Amount.


INITIAL PREMIUM ALLOCATIONS:
    Aggressive Growth Subaccount               5%
    International Stock Subaccount             5%
    Growth Stock Subaccount                    5%
    Global Growth Subaccount                   5%
    Blue Chip Stock Subaccount                 5%
    S&P 500 Index Subaccount                  15%
    Growth and Income Subaccount               5%
    Value Subaccount                          15%
    Global Asset Allocation Subaccount         5%
    Asset Allocation Subaccount                5%
    High Yield Subaccount                      5%
    Global Bond Subaccount                     5%
    Diversified Income Subaccount              5%
    U.S. Government Securities Subaccount      5%
    Money Market Subaccount                    5%
    General Account                            5%
                                            -----
    TOTAL                                    100%

Information on this Policy Schedule applies to the Initial Face Amount and Rider
Coverage Amounts.  If you make a Policy Change that affects these benefits, 
we will send you an amendment.

As declared by the Company, the initial General Account Interest Rate as of
February 10, 1996 is 6.5%

<PAGE>


                                    POLICY CHARGES

Policy Number: WMH80003

<TABLE>
<CAPTION>
                                                                     Guaranteed
                                                       Current       Maximum
                                                       -------       ----------
<S>                                                    <C>           <C>

Premium Expense Charge:                                0.0%           7.5%
Monthly Deductions: Administrative Charge              $6.00         $ 7.50
                    Administrative Charge              $0.00         $195.00*
                    Policy Issuance Expense Charge     $75.00        $75.00**
                    Sales and Premium Tax Charges      $4.00         $ 4.00***
Other Deductions:   Transfer Charge                    $0.00         $25.00
                    Withdrawal Charge                  $0.00         $25.00

</TABLE>

*  Charge is calculated as $0.13 per $1,000 of Face Amount.  If the Face Amount
changes, this charge is recalculated.
** A charge per $1,000 of Initial Face Amount that varies by band and remains in
effect for 10 years.  If the Face Amount increases, an additional layer of
charges will be assessed using the same schedule determined by the new Total
Face Amount Band In Force at the effective date of increase.  The charges are
$0.10 per $1000 of Face Increase for Band 1, $0.08 per $1000 of Face Increase
for Band 2, $0.05 per $1000 of Face Increase for Band 3, and $0.03 per $1000 of
Face Increase for Band 4.  Face decreases do NOT reduce these expense charges.
***Sales and Premium Tax Monthly and Daily Deductions are waived when they
exceed 11.2% of premiums paid.  This percentage may be increased by the company,
but in no event will it exceed 12%.  Daily Deductions will not exceed .0027398%
(1.00% per year) of the separate account value for mortality and expense risks,
and .0009589% (0.35% per year) for sales and premium tax.

MONTHLY CHARGES FOR RIDERS: SEE RIDER CHARGES AND BENEFITS SECTION

<TABLE>
<CAPTION>
SURRENDER CHARGES:
                        Maximum Surrender             Surrender
Policy Year             Charge@                       Charge@
- -----------             -------                       -------
<S>                     <C>                           <C>
  1                      $15,750.00                   =the sum of the
  2                      $14,175.00                   remaining Policy
  3                      $12,600.00                   Issuance Expense
  4                      $11,025.00                   Charge still uncollected
  5                       $9,450.00                   plus 12% of all
  6                       $7,875.00                   premiums paid less
  7                       $6,300.00                   monthly and daily
  8                       $4,725.00                   deductions already
  9                       $3,150.00                   charged for sales
 10                       $1,575.00                   premium tax charges.
 11+                          $0.00

</TABLE>

@ The actual surrender charge is the lesser of the maximum surrender charge and
the surrender charge shown above.

The above table applies to the Initial Face Amount for the first 11 years.
Additional Charges will apply to each increase in the Face Amount for 11 years
after the effective date of increase.  A decrease in Face Amount reduces the
amount of maximum surrender charge by the difference between the maximum
surrender charge and the actual surrender charge multiplied by the proportion of
the amount of decrease to the original Face Amount.

Information on this Policy Schedule applies to the Initial Face Amount and Rider
Coverage Amounts.  If you make a policy change that affects these charges, we
will send you an amendment.

<PAGE>


                  TABLE OF MAXIMUM COST OF INSURANCE RATES
                 FLEXIBLE PREMIUM SURVIVORSHIP VARIABLE LIFE

Policy Number: WMH80003

The Monthly Rate reflects the maximum cost of insurance per $1,000 of Net Amount
at Risk.  The monthly cost of insurance calculations will use these rates.
These rates do not include possible Combined Flat Ratings.

<TABLE>
<CAPTION>

Policy year           Monthly Rate       Policy Year      Monthly Rate
- -----------           ------------       -----------      ------------
<S>                   <C>                <C>              <C>
     1                $0.000389             42            $3.697507
     2                 0.001249             43             4.242710
     3                 0.002262             44             4.834032
     4                 0.003502             45             5.470720
     5                 0.005016             46             6.159632
     6                 0.006894             47             6.914621
     7                 0.009171             48             7.752261
     8                 0.011995             49             8.680734
     9                 0.015392             50             9.701785
    10                 0.019414             51             10.831636
    11                 0.024169             52             12.028548
    12                 0.029671             53             13.273678
    13                 0.036149             54             14.559373
    14                 0.043698             55             15.881600
    15                 0.052448             56             17.254552
    16                 0.062778             57             18.688400
    17                 0.075061             58             20.301580
    18                 0.089618             59             22.088620
    19                 0.107098             60             24.151177
    20                 0.127473             61             26.684798
    21                 0.151899             62             30.250473
    22                 0.180113             63             35.903078
    23                 0.212353             64             45.745986
    24                 0.249218             65             66.318676
    25                 0.290956             66             83.333333
    26                 0.338407
    27                 0.392876
    28                 0.457448
    29                 0.534678
    30                 0.627702
    31                 0.738426
    32                 0.866912
    33                 1.012673
    34                 1.176173
    35                 1.357137
    36                 1.560125
    37                 1.791920
    38                 2.063476
    39                 2.386843
    40                 2.766044
    41                 3.203291

</TABLE>


<PAGE>

                           RIDER CHARGES AND BENEFITS

Policy Number:      WMH80003

Maximum Individual Insured Term Rider Ratio = 6 times Base Policy Face Amount
Maximum Combined Rider Ratio                = 6 times Base Policy Face Amount



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

GUARANTEED DEATH BENEFIT RIDER:
     Effective Date:                              February 10, 1996
     Expiry Date:                                 February 10, 2048
     Monthly Charge for first 10 Policy Years:    $0.00
     Monthly Charge after 10th Policy Year:       $15.83



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

PRIMARY INSURED RIDER (PIR):  $750,000  See PIR/AIR Rider Cost of Insurance
                                        Rates
     Name:     John Doe                 Effective Date:        February 10, 1996
     Age:      35                       Expiry Date:           February 10, 2056
     Sex:      Male
     Class:    Non-Smoker



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

ADDITIONAL INSURED RIDER (AIR):    $250,000  See PIR/AIR Rider Cost of Insurance
                                             Rates
     Name:     James Doe                     Effective Date:   February 10, 1996
     Age:      10                            Expiry Date:      February 10, 2063
     Sex:      Male
     Class:    Non-Smoker



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

<PAGE>

                           RIDER CHARGES AND BENEFITS

Policy Number:      WMH80003

Maximum Individual Insured Term Rider Ratio = 6 times Base Policy Face Amount
Maximum Combined Rider Ratio                = 6 times Base Policy Face Amount



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

ADDITIONAL INSURED RIDER (AIR):    $250,000  See PIR/AIR Rider Cost of Insurance
                                             Rates
     Name:     Jill Doe                      Effective Date:   February 10, 1996
     Age:      12                            Expiry Date:      February 10, 2063
     Sex:      Female
     Class:    Non-Smoker




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

ACCELERATED BENEFIT RIDER:
     Monthly Charge:                                           $0.00
     Administrative Claim Charge:       Current:              $50.00
                                        Guaranteed:          $300.00



- --------------------------------------------------------------------------------
<PAGE>
                   RIDER SCHEDULE PAGE FOR ESTATE PROTECTION RIDER

Policy Number:   WMH 80003

Joint Insureds:  Refer to the Policy Schedule  Face Amount:     $1,000,000
Effective Date:  February 10, 1986             Maximum Estate Protection Rider
                                               ------------------------------
                                               Ratio
                                               -----

Expiry Date:     February 10, 2000             1.25 times Base Policy Face
                                               Amount

The Monthly Rate reflects the cost of insurance per $1,000.  The monthly cost of
insurance calculations will use these rates.



                    Guaranteed                              Guaranteed
Policy Year        Monthly Rate        Policy Year         Monthly Rate
- -----------        ------------        -----------         ------------

    1              $0.020833                3              $0.020833
    2               0.020833                4               0.020833

<PAGE>

                 RIDER SCHEDULE PAGE FOR JOINT 2ND-TO-DIE TERM RIDER

Policy Number:   WMH80003

Joint Insureds:  Refer to the Policy Schedule        Face Amount: $1,500,000
Effective Date:  February 10, 1996
Expiry Date:     February 10, 2063



The Monthly Rate reflects the cost of insurance per $1,000.  The monthly cost of
insurance calculations will use these rates.

                         Guaranteed                              Guaranteed
Policy Year             Monthly Rate        Policy Year         Monthly Rate
- -----------             ------------        -----------         -------------
     1                   $0.020833               42               3.610154
     2                    0.020833               43               4.127986
     3                    0.020833               44               4.685506
     4                    0.020833               45               5.281050
     5                    0.020833               46               5.919943
     6                    0.020833               47               6.613617
     7                    0.020833               48               7.375358
     8                    0.020833               49               8.210140
     9                    0.020833               50               9.116697
    10                    0.020833               51              10.106062
    11                    0.024165               52              11.138587
    12                    0.029666               53              12.195994
    13                    0.036140               54              13.270267
    14                    0.043685               55              14.356759
    15                    0.052430               56              15.465646
    16                    0.062752               57              16.603134
    17                    0.075024               58              17.858252
    18                    0.089565               59              19.218854
    19                    0.107023               60              20.751262
    20                    0.127367               61              22.579571
    21                    0.015750               62              25.055301
    22                    0.179902               63              28.758895
    23                    0.212060               64              34.613670
    24                    0.248814               65              44.770000
    25                    0.290407               66              61.996667
    26                    0.337663
    27                    0.391874
    28                    0.456090
    29                    0.532825
    30                    0.625148
    31                    0.734893
    32                    0.862047
    33                    1.006038
    34                    1.167230
    35                    1.345241
    36                    1.544419
    37                    1.771222
    38                    2.036064
    39                    2.350221
    40                    2.716948

<PAGE>

                 RIDER SCHEDULE PAGE FOR JOINT 1ST-TO-DIE TERM RIDER

Policy Number:   WMH80003

Joint Insureds:  Refer to the Policy Schedule         Face Amount $250,000
Effective Date:  February 10, 1996
Expiry Date:     February 10, 2063



The Monthly Rate reflects the cost of insurance per $1,000.  The monthly cost of
insurance calculations will use these rates.

                          Guaranteed                              Guaranteed
Policy Year              Monthly Rate        Policy Year         Monthly Rate
- -----------              ------------        -----------         -------------
     1                   $0.383322               42             $12.376371
     2                    0.404108               43              13.603234
     3                    0.429048               44              14.885541
     4                    0.460632               45              16.243292
     5                    0.496778               46              17.709183
     6                    0.537900               47              19.322692
     7                    0.583995               48              21.118475
     8                    0.634642               49              23.098291
     9                    0.690252               50              25.236463
    10                    0.747505               51              27.510447
    11                    0.809301               52              29.857352
    12                    0.873977               53              32.232638
    13                    0.942357               54              34.619716
    14                    1.015682               55              37.026999
    15                    1.093116               56              39.476059
    16                    1.180448               57              41.997007
    17                    1.279733               58              44.694900
    18                    1.388885               59              47.704017
    19                    1.512432               60              51.398260
    20                    1.649515               61              56.403327
    21                    1.803403               62              63.853009
    22                    1.966647               63              75.306582
    23                    2.137574               64              91.402080
    24                    2.321124               65             101.549167
    25                    2.516057               66              92.525417
    26                    2.727279
    27                    2.960068
    28                    3.229072
    29                    3.541470
    30                    3.902652
    31                    4.308226
    32                    4.750639
    33                    5.221198
    34                    5.721034
    35                    6.253817
    36                    6.838650
    37                    7.493509
    38                    8.253807
    39                    9.134323
    40                   10.125651
    41                   11.210006

<PAGE>

  RIDER SCHEDULE PAGE FOR WAIVER OF MONTHLY DEDUCTIONS RIDER (LAST SURVIVOR)

Policy Number: WMH80003

Joint Insureds:  Refer to the Policy Schedule
Effective Date:  February 10, 1996
Expiry Date:     February 10, 2023



The Monthly Rate reflects the cost of insurance per $1,000 of Net Amount at
Risk.  The monthly cost of insurance calculations will use these rates.

                          Guaranteed                              Guaranteed
Policy Year              Monthly Rate        Policy Year         Monthly Rate
- -----------              ------------        -----------         -------------
     1                   $0.393317               19              $2.065387
     2                    0.419981               20               2.581335
     3                    0.456645               21               3.246835
     4                    0.501641               22               4.053396
     5                    0.554969               23               5.009119
     6                    0.608295               24               6.113746
     7                    0.661621               25               6.320000
     8                    0.714946               26               6.320000
     9                    0.786601
    10                    0.876587
    11                    0.984901
    12                    1.119874
    13                    1.281502
    14                    1.478113
    15                    1.719700
    16                    2.014586
    17                    2.372759
    18                    2.864159

<PAGE>

                      AIR/PIR RIDER COST OF INSURANCE RATES
                   GUARANTEED MONTHLY COST OF INSURANCE RATES
                             SMOKER RATES PER $1,000
<TABLE>
<CAPTION>

                    MONTHLY                     MONTHLY                 MONTHLY
                  GUARANTEED                  GUARANTEED              GUARANTEED
            AGE      RATE          AGE           RATE           AGE      RATE
- --------------------------------------------------------------------------------
<S>         <C>   <C>              <C>        <C>               <C>   <C>
MALE        21      0.20250        46          0.62250          71      5.38000
            22      0.19917        47          0.67750          72      5.86500
            23      0.19583        48          0.73667          73      6.40167
            24      0.19000        49          0.80167          74      6.99000
            25      0.18417        50          0.87333          75      7.61917
            26      0.18083        51          0.95417          76      8.26167
            27      0.17917        52          1.04583          77      8.90667
            28      0.17917        53          1.15000          78      9.55833
            29      0.18167        54          1.26333          79     10.24083
            30      0.18583        55          1.38500          80     10.97500
            31      0.19167        56          1.51333          81     11.78250
            32      0.20000        57          1.64833          82     12.67667
            33      0.21000        58          1.79083          83     13.64417
            34      0.22250        59          1.94333          84     14.65167
            35      0.23750        60          2.11333          85     15.66500
            36      0.25500        61          2.30583          86     16.66083
            37      0.27667        62          2.52250          87     17.68167
            38      0.30083        63          2.76417          88     18.74667
            39      0.32917        64          3.02833          89     19.80417
            40      0.36167        65          3.30833          90     20.87167
            41      0.39667        66          3.60167          91     21.98250
            42      0.43500        67          3.90583          92     23.27000
            43      0.47667        68          4.22417          93     24.92167
            44      0.52333        69          4.57000          94     27.17417
            45      0.57167        70          4.95167
- --------------------------------------------------------------------------------
FEMALE      21      0.10417        46          0.44750          71      2.79167
            22      0.10667        47          0.47917          72      3.09167
            23      0.10917        48          0.51333          73      3.44750
            24      0.11167        49          0.55083          74      3.85333
            25      0.11417        50          0.59083          75      4.29667
            26      0.11833        51          0.63417          76      4.76833
            27      0.12250        52          0.68250          77      5.26083
            28      0.12667        53          0.73667          78      5.78083
            29      0.13167        54          0.79167          79      6.34750
            30      0.13833        55          0.84833          80      6.98250
            31      0.14333        56          0.90417          81      7.70250
            32      0.14917        57          0.95667          82      8.52167
            33      0.15750        58          1.00833          83      9.46667
            34      0.16583        59          1.06333          84     10.49167
            35      0.17583        60          1.12917          85     11.58083
            36      0.19000        61          1.21083          86     12.72417
            37      0.20750        62          1.31667          87     13.91167
            38      0.22750        63          1.44500          88     15.14833
            39      0.25000        64          1.58833          89     16.43417
            40      0.27583        65          1.73917          90     17.86000
            41      0.30417        66          1.89250          91     19.39500
            42      0.33167        67          2.04083          92     21.09750
            43      0.36000        68          2.19167          93     23.09667
            44      0.38750        69          2.35417          94     25.77417
            45      0.41750        70          2.54750
</TABLE>


For insureds with other than a standard rating classification, the guaranteed
monthly cost of insurance rates are the above rates multiplied by the
substandard rating factor shown in the policy schedule.

56949

<PAGE>

                      AIR/PIR RIDER COST OF INSURANCE RATES

                   GUARANTEED MONTHLY COST OF INSURANCE RATES
                           NON-SMOKER RATES PER $1,000

<TABLE>
<CAPTION>

                    MONTHLY                     MONTHLY                 MONTHLY
                  GUARANTEED                  GUARANTEED              GUARANTEED
            AGE      RATE          AGE           RATE           AGE      RATE
- --------------------------------------------------------------------------------
<S>         <C>   <C>              <C>        <C>               <C>   <C>
MALE        21      0.14500        46          0.32583          71      3.52583
            22      0.14250        47          0.35167          72      3.92417
            23      0.13917        48          0.38083          73      4.37500
            24      0.13500        49          0.41167          74      4.87000
            25      0.13083        50          0.44750          75      5.39833
            26      0.12833        51          0.48917          76      5.95750
            27      0.12667        52          0.53583          77      6.54167
            28      0.12583        53          0.59000          78      7.15417
            29      0.12583        54          0.65000          79      7.81500
            30      0.12667        55          0.71750          80      8.54500
            31      0.12917        56          0.79083          81      9.36333
            32      0.13250        57          0.86833          82     10.28583
            33      0.13833        58          0.95500          83     11.30917
            34      0.14417        59          1.05167          84     12.41250
            35      0.15083        60          1.16000          85     13.57083
            36      0.15917        61          1.28083          86     14.77000
            37      0.16917        62          1.41917          87     15.99000
            38      0.18083        63          1.57667          88     17.22750
            39      0.19333        64          1.75167          89     18.49833
            40      0.20750        65          1.94250          90     19.82167
            41      0.22333        66          2.14917          91     21.22833
            42      0.24000        67          2.37083          92     22.77000
            43      0.25833        68          2.61167          93     24.59750
            44      0.27833        69          2.87917          94     27.04833
            45      0.30083        70          3.18167
- --------------------------------------------------------------------------------
FEMALE      21      0.09000        46          0.28833          71      2.15167
            22      0.09083        47          0.30833          72      2.40750
            23      0.09250        48          0.32917          73      2.71417
            24      0.09417        49          0.35250          74      3.06667
            25      0.09583        50          0.37917          75      3.46083
            26      0.09833        51          0.40750          76      3.88667
            27      0.10000        52          0.44083          77      4.34333
            28      0.10333        53          0.47750          78      4.83750
            29      0.10667        54          0.51500          79      5.38500
            30      0.10917        55          0.55500          80      6.00750
            31      0.11250        56          0.59500          81      6.72333
            32      0.11583        57          0.63500          82      7.54833
            33      0.12083        58          0.67417          83      8.47833
            34      0.12583        59          0.71833          84      9.50417
            35      0.13167        60          0.77083          85     10.61417
            36      0.14083        61          0.83583          86     11.80000
            37      0.15083        62          0.91583          87     13.05917
            38      0.16250        63          1.01417          88     14.39417
            39      0.17500        64          1.12500          89     15.81500
            40      0.18917        65          1.24500          90     17.33167
            41      0.20500        66          1.36917          91     18.98083
            42      0.22083        67          1.49583          92     20.82417
            43      0.23667        68          1.62667          93     22.99083
            44      0.25250        69          1.77250          94     25.77417
            45      0.27000        70          1.94333
</TABLE>

For insureds with other than a standard rating classification, the guaranteed
monthly cost of insurance rates are the above rates multiplied by the
substandard rating factor shown in the policy schedule.



<PAGE>

                      AIR/PIR RIDER COST OF INSURANCE RATES

                   GUARANTEED MONTHLY COST OF INSURANCE RATES
                            STANDARD RATES PER $1,000

<TABLE>
<CAPTION>

                    MONTHLY                     MONTHLY                 MONTHLY
                  GUARANTEED                  GUARANTEED              GUARANTEED
            AGE      RATE          AGE           RATE           AGE      RATE
- --------------------------------------------------------------------------------
<S>         <C>   <C>              <C>        <C>               <C>   <C>
MALE         0      0.23000        32          0.16333          64      2.11917
             1      0.09000        33          0.17000          65      2.32417
             2      0.08667        34          0.17917          66      2.54333
             3      0.08500        35          0.18917          67      2.77500
             4      0.08083        36          0.20250          68      3.02500
             5      0.07667        37          0.21750          69      3.30083
             6      0.07250        38          0.23417          70      3.61167
             7      0.06833        39          0.25333          71      3.96583
             8      0.06583        40          0.27500          72      4.37167
             9      0.06500        41          0.29833          73      4.83167
            10      0.06583        42          0.32417          74      5.33417
            11      0.07083        43          0.35167          75      5.87083
            12      0.08000        44          0.38167          76      6.43417
            13      0.09333        45          0.41333          77      7.01667
            14      0.10833        46          0.44667          78      7.62333
            15      0.12417        47          0.48250          79      8.27250
            16      0.13917        48          0.52083          80      8.98667
            17      0.15000        49          0.56417          81      9.78583
            18      0.15917        50          0.61083          82     10.68667
            19      0.16417        51          0.66583          83     11.68417
            20      0.16583        52          0.72750          84     12.75667
            21      0.16583        53          0.79667          85     13.87917
            22      0.16417        54          0.87417          86     15.03417
            23      0.16083        55          0.95667          87     16.21417
            24      0.15750        56          1.04500          88     17.41917
            25      0.15250        57          1.13833          89     18.65583
            26      0.15000        58          1.23833          90     19.94250
            27      0.14917        59          1.34583          91     21.31083
            28      0.14833        60          1.46667          92     22.82333
            29      0.15000        61          1.60250          93     24.63000
            30      0.15250        62          1.75667          94     27.06083
            31      0.15750        63          1.92833
</TABLE>


Female rates on reserve side.


For insureds with other than a standard rating classification, the guaranteed
monthly cost of insurance rates are the above
rates multiplied by the substandard rating factor shown in the policy schedule.



56951

<PAGE>

                      AIR/PIR RIDER COST OF INSURANCE RATES

                   GUARANTEED MONTHLY COST OF INSURANCE RATES
                            STANDARD RATES PER $1,000

<TABLE>
<CAPTION>

                    MONTHLY                     MONTHLY                 MONTHLY
                  GUARANTEED                  GUARANTEED              GUARANTEED
            AGE      RATE          AGE           RATE           AGE      RATE
- --------------------------------------------------------------------------------
<S>         <C>   <C>              <C>        <C>               <C>   <C>
FEMALE       0      0.16417        32          0.12833          64      1.21500
             1      0.07333        33          0.13417          65      1.33500
             2      0.07000        34          0.14083          66      1.45917
             3      0.06833        35          0.14833          67      1.58250
             4      0.06750        36          0.15917          68      1.71000
             5      0.06583        37          0.17083          69      1.85333
             6      0.06333        38          0.18583          70      2.02167
             7      0.06167        39          0.20250          71      2.22917
             8      0.06083        40          0.22083          72      2.48583
             9      0.06000        41          0.24000          73      2.79250
            10      0.05917        42          0.26000          74      3.14750
            11      0.06083        43          0.27917          75      3.54083
            12      0.06333        44          0.30000          76      3.96750
            13      0.06750        45          0.32167          77      4.42417
            14      0.07167        46          0.34250          78      4.91667
            15      0.07583        47          0.36583          79      5.46250
            16      0.08000        48          0.39083          80      6.08250
            17      0.08417        49          0.41833          81      6.79500
            18      0.08750        50          0.44750          82      7.61667
            19      0.09000        51          0.48000          83      8.54667
            20      0.09250        52          0.51667          84      9.57000
            21      0.09417        53          0.55667          85     10.67583
            22      0.09583        54          0.59833          86     11.85750
            23      0.09750        55          0.64000          87     13.11083
            24      0.10000        56          0.68083          88     14.43833
            25      0.10250        57          0.72000          89     15.84833
            26      0.10500        58          0.75917          90     17.36000
            27      0.10833        59          0.80333          91     19.00417
            28      0.11167        60          0.85583          92     20.83833
            29      0.11500        61          0.92000          93     22.99583
            30      0.12000        62          1.00333          94     25.77417
            31      0.12417        63          1.10250
</TABLE>


<PAGE>

                                   DEFINITIONS

AGE

     An insured's age as of his or her last birthday.

FUND
     
     Each fund is a separate investment portfolio of Fortis Series Funds, Inc.,
a "series" type management investment company registered under the Investment
Company Act of 1940.

GENERAL ACCOUNT

     Amounts allocated to the General Account will be invested with all of our
assets, which are not allocated to a segregated investment account.

HOME OFFICE

     Our Office at 500 Bielenberg Drive, Woodbury, Minnesota 55125 (mailing
address: P.O. Box 64582, St. Paul, MN 55164). Payments and other communications
received at the Home Office after the end of a valuation date will be deemed to
have been received on the next valuation date.

JOINT INSUREDS

     The persons named as joint insureds shown in the policy schedule.

LAPSE

     Termination of the policy at the end of the Grace Period.

NET PREMIUM

     The net premium is the premium paid less the premium expense charges shown
in your policy schedule.

POLICY DATE

     The date shown in the policy schedule which is used to determine policy
anniversaries, monthly anniversaries, and policy years.

PRO-RATA BASIS

     Allocation among the general account and the subaccounts in the same
proportion that the unloaned policy value in the general account and the policy
value in each subaccount bears to the total unloaned policy value.

REALLOCATION DATE

     The reallocation date is 20 days after we release the policy to an active
status in our processing system.


SEPARATE ACCOUNT

     A segregated investment account entitled Variable Account C. This account
was established by us pursuant to applicable law.

56923


                                        2

<PAGE>

SUBACCOUNT

     The subaccounts of the separate account to which policy value may be
     allocated and may earn a return. Each subaccount invests all of its 
     assets in a portfolio having the same investment policies and 
     objectives as that subaccount.

SURVIVING INSURED

     The joint insured who remains alive after the other joint insured has died.

VALUATION DATE

     Each Fortis Benefits business day that the New York Stock Exchange is open
     for trading.

VALUATION PERIOD

     The period commencing at the close of the New York Stock Exchange on one
     valuation date and continuing to the close of the New York Stock Exchange 
     on the next succeeding valuation date.


                                        3

<PAGE>

THE CONTRACT

THE CONTRACT
This policy, the attached application, amendments, endorsements, and riders 
make up the entire contract. Any statements made by you or any insured in the 
application will be considered representations and not warranties. No 
statement made by you or any insured will be used by us to defend against a 
claim under this policy unless it is contained in the application.

POLICY CHANGES
Any change or waiver of this policy or its provisions must be made in writing
and signed by an Officer of the Company. No agent has the right to change or
waive any provision of this policy.

POLICY OWNER
The owner is as shown in the policy schedule, unless later changed as provided
in this policy. As owner, you have all rights, privileges and benefits under
this policy while any insured is living. If there is more than one owner named,
all owners must consent to the exercise of any of the rights, privileges and
benefits under this policy. If a successor owner is not named, and all owners
die while either insured is alive, the estate of the last surviving owner will
become the owner. All notices will be sent to you at the address of record.
Please notify us of any change of address.

SUCCESSOR OWNER
You may name a successor owner who will take over your rights under this policy
at your death.

BENEFICIARY
When the surviving insured dies, we will pay the proceeds of this policy to the
beneficiary. The beneficiary will be as shown in the application unless you have
changed the beneficiary. Benefits added by rider are subject to the beneficiary
provisions of that rider.

The proceeds will be paid to you or your estate if the surviving insured dies
and (1) no beneficiary survives the surviving insured; or (2) no beneficiary was
ever named.

CHANGE OF BENEFICIARY OR SUCCESSOR OWNER
While either insured is living, you may change or revoke the beneficiary or
successor owner. You must make the change in writing in a form satisfactory to
us. The change won't take effect unless we receive and record it at our Home
Office.

When we record it, the change will take effect as of the date you sign it,
whether or not either insured is living. The change will be subject to any
action we take before we record the change.

ASSIGNMENTS
You may assign this policy while either insured is alive. No assignment will
take effect unless it is in writing and a copy is sent to our Home Office.

When we record it, the assignment will take effect as of the date you sign it,
whether or not you are living. The assignment will be subject to any action we
take before we record it.

We are not responsible for the validity of any assignment. Any unpaid loans and
interest due against this policy will be paid before we pay any claim made by
the person to whom you have assigned this policy.

If you want the beneficiary or successor owner changed when you assign this
policy, you must make the change in writing with the assignment.

56924


                                        4

<PAGE>


MISSTATEMENT OF AGE OR SEX
If either the age or sex is misstated for any insured, the amount we will pay 
will be the amount that the last cost of insurance deductions would have 
purchased using the most recent cost of insurance rates at the correct 
attained age and sex for each insured.

CLAIMS ON PROCEEDS
To the extent permitted by law, no payment we make will be subject to claims
against any payee. No payee has any ownership rights to the payments before they
are received.

PAYMENTS BY US
All benefits under this policy are payable at our Home Office.

INCONTESTABLE
This policy will be incontestable after it has been in force for two years from
the policy date during the lifetime of each insured. Two years from the date of
issue, we will provide the policyowner a notice to verify that both insureds are
living.

Any increase in face amount or any reinstatement will be incontestable after
that increase or reinstatement has been in force two years from its effective
date during the lifetime of each insured. If this policy lapses, we will
reinstate it within five years of lapse, only while both insureds are living, or
if one insured is alive and the policy lapsed after the first death. Any contest
will then be based on only the application for the increase or reinstatement.

Failure to notify us of an insured's death will not prevent us from contesting
the validity of this policy.

SUICIDE
If either insured commits suicide, while sane or insane, within two years of the
policy date (one year in Colorado and North Dakota), our total liability under
this policy will be the premiums paid, minus any policy loan, plus any unearned
loan interest, minus any prior withdrawals.

If either insured commits suicide, while sane or insane, within two years (one
year in Colorado and North Dakota), from the effective date of any increase in
face amount or reinstatement, our total liability with respect to such increase
or reinstatement will be the cost of insurance for the increase or
reinstatement.

ANNUAL REPORT
Once a year we will send you an annual report free of charge. This report will
show your policy status as of a date no more than 60 days earlier than the date
of mailing. It will include (1) your policy value, surrender value, and death
benefit as of the date of the report; and (2) the premiums paid, performance of
your subaccounts, interest credited to the general account, premium based
bonuses, policy value bonuses and the loans, withdrawals, transfers, and charges
since the last report.


                                        5

<PAGE>

PREMIUMS, GRACE PERIOD AND REINSTATEMENT

PAYMENT OF PREMIUMS
The first monthly minimum premium is due on the policy date. The amount and 
frequency of planned periodic premium payments are shown in the policy 
schedule. You may make changes in frequency and you may increase or decrease 
the amount of planned periodic premium payments subject to our guidelines.

This policy will not take effect until it has been delivered and the first
premium has been paid prior to either insured's death and prior to any change in
health as shown in the application. All premiums are payable at the Home Office.
We will send you premium payment reminder notices.

Additional premium payments may be made at any time prior to the original
maturity date of this policy. We reserve the right to limit the number and
amount of additional premium payments. Premiums will be credited on the
valuation date they are received at our Home Office. All net premiums credited
to this policy prior to the reallocation date will be allocated to the general
account.

On the reallocation date, the value in the general account will be allocated to
the various subaccounts or the general account according to your requested
premium allocation. If we do not receive a premium allocation request, the money
will stay in the general account until we receive other insstructions.

Section 101(a) of the Internal Revenue Code of 1986, (hereinafter referred to 
as "The Code") as amended, provides for the exclusion of death benefits from 
gross income for life insurance contracts. Section 7702 of the Code defines 
the term "life insurance contract." It provides a maximum limitation of 
premiums which may not be exceeded if this policy is to qualify for the 
exclusion. Any portion of a premium payment received by us in excess of that 
limitation will be refunded with any interest or applied as otherwise agreed 
to. However, premium is always accepted to avoid policy lapse.

GRACE PERIOD
If the net cash value on a monthly anniversary is not enough to cover the
monthly deductions for the following month, a grace period of 61 days after the
date of monthly deduction was due will be allowed for the payment of a premium
sufficient to cover the monthly deductions until the end of the grace period. 

We will notify you when a premium payment is necessary to cover the monthly 
deductions. The notice will be mailed to your last known address on any 
monthly anniversary day on which there is not enough net cash value to pay 
the monthly deductions. If such premium is not paid within the grace period, 
all coverage under this policy will lapse with no value. If a death claim 
becomes payable under this policy during the grace period, any overdue 
monthly deductions will be subtracted from the proceeds.

REINSTATEMENT
If this policy lapses, we will reinstate it within five years after the date of
lapse, only while both insureds are living, or if one insured is alive and the
policy lapsed after the first death. The reinstatement is subject to:

1.   Receipt of proof of insurability which is satisfactory to us; and
2.   Payment of a premium large enough to cover:
     a.   an amount sufficient to keep the policy in force for at least two
          months from the reinstatement date;
     b.   the balance needed for the monthly deductions on the monthly
          anniversary date immediately before the start of the grace period, and
          for the monthly deduction on any monthly anniversary date occurring
          during the grace period.
3.   Resumption of remaining policy issue expenses; if the policy had lapsed
before the full amount of policy issuance charges for the original face amount
or a face amount increase expense have been made, the remaining policy issuance
charges that would have been charged during the period of noncoverage. 

56925


                                        6

<PAGE>


If this policy is reinstated, a new Incontestable and Suicide Exclusion
provision will begin on both insureds. The contestable period and the suicide
exclusion will begin on the date this policy is reinstated and will be based on
the application taken at that time.

The effective date of a reinstatement will be the first monthly anniversary 
following the day we approve the application for reinstatement. Policy value 
after reinstatement will be allocated according to your instructions or to 
the general account if no instructions are received.

SEPARATE ACCOUNT
SEPARATE ACCOUNT
The separate account (referred to as "the account") was established under and is
subject to the insurance laws of Minnesota. The assets of the account are owned
by us, but are kept separate from our general investment assets.

SUBACCOUNTS
The separate account has several subaccounts, each investing in one of the 
corresponding funds. The subaccounts initially selected by you are listed in 
the policy schedule. Premium amounts after certain deductions will be 
allocated among the subaccounts and the general account according to the 
percentages selected by you. Any allocation must be in whole percents. We 
reserve the right to impose limitations on the amount that may be allocated 
to any subaccount.

The allocation of future invested premium amounts may be changed at any time if
the policy is not in the grace period. The request for change must be in a form
suitable to us. The change will take effect on the date the request is received
in our Home Office.

The value of the assets in each subaccount will be determined on the valuation
date. If the value of the assets is needed on a day that the subaccount has not
been valued, the value on the next valuation date will be used.

SEPARATE ACCOUNT ASSETS
The value of the assets in the separate account will always be at least equal 
to the sum of all policy values under policies allocating values to the 
account. To the extent those assets do not exceed this amount, they are used 
to support those policies; those assets are not chargeable with liabilities 
arising out of and are not used to support any other business conducted by 
us. The excess of this amount may be used in any other way.

CHANGE OF INVESTMENT ADVISER OR INVESTMENT POLICY
Unless otherwise required by law or regulation, the investment adviser or any 
investment policy may not be changed without our consent. If required, 
approval of or change of any material investment objective will be filed with 
the Insurance Department of the state where this policy is delivered.

You will be notified of any material investment policy change which has been
approved. Notifiction of an investment policy change will be given in advance if
you have the right to comment on or vote on such changes.

Any substitution of the underlying investments of any subaccount will comply
with all applicable requirements of the Investment Company Act of 1940 and rules
thereunder.


                                        7


<PAGE>

RIGHTS RESERVED BY US
When required by law, we will obtain your approval of changes and we will gain
approval from any appropriate regulatory authority. Such approval may not be
required in all cases, however. Examples of the changes we may make include:

1.   To operate the separate account in any form permitted under the Investment
     Company Act of 1940 or in any other form permitted by law.
2.   To take any action necessary to keep this policy in compliance with all
     applicable laws, rules, regulations, interpretations, holdings or orders.
3.   To transfer or limit any assets in any subaccount to another subaccount, or
     to one or more separate accounts, or to the general account.
4.   To add, combine or remove subaccounts in the separate account.
5.   To substitute for the fund shares held in any subaccount, the shares of
     another fund of Fortis Series or the shares of another investment company
     or any other investment permitted by law.
6.   To make any other necessary technical changes in the policy in order to
     conform with any action the above provisions permit us to take.

TRANSFERS

You may transfer amounts among the subaccounts or to and from the general 
account if the policy is not in the grace period. The request to transfer 
amounts must be in a form suitable to us. The transfer will take effect on 
the day we receive the notice at our Home Office provided such notice is 
received before the New York Stock Exchange closes. We may also permit 
continuing automatic periodic transfers. The maximum transfer charge is shown 
in the policy schedule. We reserve the right to limit the number and amount 
of transfers or to impose charges upon transfers. If we limit transfers, the 
limit will never be less than 4 transfers per policy year.

You may transfer all your policy value to the general account once without
charge within 2 years of the policy date or the date of any increase, or within
60 days of any change in the investment policies of the Fund.

TRANSFERS FROM THE GENERAL ACCOUNT
Transfers from the general account to the separate account are subject to the 
following: (1) the maximum amount per account transfer is 50% of your 
unloaned general account value, and (2) only one transfer may take place each 
policy year. If your unloaned general account value is less than $1,000, you 
may transfer the entire unloaned balance to the separate account.

DEATH BENEFIT

All proceeds are payable at the death of the surviving insured. The amount of
the death benefit payable will be the death benefit in force on the date of the
surviving insured's death, plus any premiums received after the date of death,
minus any policy loans, minus any overdue monthly deductions if death occurs
during the grace period.

The initial death benefit option and initial face amount is found in the policy
schedule. Proof of the first death must be given to us when it occurs, even if
no insurance benefits are to be paid at such time.

OPTION A (LEVEL AMOUNT)
The death benefit will be the larger of (a) the face amount or (b) the policy
value multiplied by the percentage from the table below.

OPTION B (ADDITIONAL AMOUNT)
The death benefit will be the larger of (a) the face amount plus the policy
value or (b) the policy value multiplied by the percentage from the table below.

56926


                                        8

<PAGE>


                           PERCENTAGE OF POLICY VALUE
<TABLE>
<CAPTION>

IF ATTAINED AGE OF YOUNGER INSURED AT        THEN THE PERCENT WILL DECREASE BY
BEGINNING OF THE CONTRACT YEAR IS:           EQUAL STEPS FOR FOR EACH YEAR:
<S>                 <C>                      <C>                      <C>
More Than           But not more than             From                To
0                   40                            250%                250%
40                  45                            250                 215
45                  50                            215                 185
50                  55                            185                 150
55                  60                            150                 130
60                  65                            130                 120
65                  70                            120                 115
70                  75                            115                 105
75                  90                            105                 105
90                  95                            105                 100
</TABLE>

The initial death benefit option is found in the policy schedule.

CHANGES IN DEATH BENEFIT OPTION
After the third policy year you may change the death benefit option once each
policy year. The change will take effect on the first monthly anniversary
following the day we approve your written request at the Home Office. If you are
changing from Option A to Option B death benefit, both insureds must be alive
and we will need evidence of insurability. No change in the type of death
benefit will be allowed (1) if the resulting face amount would be less than the
minimum face amount shown in the policy schedule; or (2) if the change will 
cause the policy to fail to qualify as life insurance under Section 7702 of 
the Code.

If the change is from Option A to Option B, the face amount will be reduced by
the amount of the policy value on the effective date of the change. If the
change is from Option B to Option A, the face amount will be increased by the
amount of the policy value on the effective date of the change.

CHANGES IN FACE AMOUNT
The face amount may be increased at any time. It may be decreased at any time
after the third policy year, but not within one year of a face amount increase.
You must request a change in writing. Any increase or decrease will take effect
on the first monthly anniversary following the day we approve the request.
Changes are subject to the following:

1.   The decrease will be applied to the initital face amount, and any increase
     in face amount in reverse order in which the increases became effective.

     The face amount after any requested decrease may not be less than the
     minimum face amount shown in the policy schedule. It will not be allowed if
     it would cause the policy to fail to qualify as life insurance under
     Section 7702 of the Code.

2.   Any request for a face amount increase will require proof of insurability
     for both insureds which is satisfactory to us. An increase will also
     require sufficient surrender value to cover the first new monthly
     deduction. The minimum increase is shown in the policy schedule and is
     subject to our issue rules and limits at the time of increase. Increases
     will not be allowed if any disability benefit is paid under the terms of a
     rider, or if there is only one surviving insured.


                                        9

<PAGE>

DEDUCTIONS

MONTHLY DEDUCTION
Unless indicated otherwise, the monthly deduction for a policy month will be
allocated on a pro-rata basis.

The monthly deduction for a policy month will be equal to the sum of:

1.   the cost of insurance (as described below) and the cost of additional
     benefits provided by rider for the policy month;
2.   monthly administrative and other expense charges shown in the policy
     schedule;
3.   a monthly charge shown in the policy schedule for sales and premium tax
     charges; and
4.   a monthly charge (as described below) for policy issuance expense.

COST OF INSURANCE
We determine the cost of insurance on a monthly basis. The cost of insurance is
determined separately for the initial face amount and any increases made later.
The policy value is considered a pro-rata portion of the initial face amount and
any subsequent face amount increases.

The cost of insurance is equal to:

a.   the death benefit on the monthly anniversary divided by 1.00327374; MINUS
     the policy value (or zero, if greater) on the monthly anniversary;
     MULTIPLIED BY
b.   the cost of insurance rate as described below; THE RESULT PLUS
c.   any amount of flat extra insurance charges shown in the policy schedule.

COST OF INSURANCE RATES
The monthly cost of insurance rate is a blend of the single rates based on the
sex, issue age, duration, and risk class of both insureds. The monthly cost of
insurance rates may be changed by us from time to time. A change in the
underlying single life cost of insurance rates will apply to all persons of the
same sex, issue age, duration, and risk class. The maximum cost of insurance
rates are found in the policy schedule.

POLICY ISSUANCE EXPENSE

The initial monthly policy issuance expense charge is calculated by multiplying
the monthly policy issuance expense rate by the face amount at issue. The policy
issuance expense rate, the initial face amount, and the length of time the
charge is assessed are shown in the policy schedule.

POLICY VALUES

POLICY VALUES
Your policy value is equal to the sum of your separate account value and your
general account value.

SEPARATE ACCOUNT VALUE
The value in each subaccount as of the reallocation date is equal to the amount
of all policy values transferred from the general account to that subaccount.

At the end of each valuation period after the reallocation date, the value in a
subaccount is equal to
THE SUM OF:

1.   your value in the subaccount at the last valuation;
2.   your value in the subaccount at the last valuation multiplied by the net
     investment factor;
3.   any net premium received during the current valuation period which is
     allocated to the subaccount;
4.   all values transferred to the subaccount during the current valuation
     period;
5.   any premium based bonus or policy value bonus paid to the subaccount during
     the current valuation period;

56928


                                       10

<PAGE>


MINUS THE FOLLOWING:

6.   all values transferred to another subaccount or the general account, and
     values transferred to secure a policy loan during the current valuation
     period; and
7.   all partial withdrawals from the subaccount during the current valuation
     period.

In addition, whenever a valuation period includes the monthly anniversary day,
the subaccount value at the end of such period is reduced by the portion of the
monthly deduction allocated to the subaccount.

NET INVESTMENT RETURN
The next investment return for each subaccount for the valuation period is
calculated as:

1.   the investment income and capital gains, realized and unrealized, credited
     to the subaccount assets since the last valuation;

MINUS THE FOLLOWING:

2.   the capital losses, realized and unrealized, charged to the subaccount
     assets since the last valuation;
3.   the amount charged each subaccount for taxes attributable to the operation
     of the subaccount; and
4.   all fund expenses including investment management service fees paid to the
     investment adviser.

NET INVESTMENT FACTOR
The net investment factor measures the net investment return of a subaccount
during a valuation period. The net investment factor is calculated as follows:

1.   The net investment return for the subaccount for the valuation period;
     DIVIDED BY
2.   the value of the subaccount assets at the last valuation: THE RESULT MINUS
3.   a charge assessed for mortality and expense risks for each day of the
     valuation period, not to exceed the percentage shown in the policy schedule
     page; and
4.   a charge assessed for sales and premium tax charges for each day of the
     valuation period, not to exceed the percentage shown in the policy
     schedule.


                                       11

<PAGE>

GENERAL ACCOUNT VALUE
Your value in the general account on the policy date is equal to the net premium
less the initial monthly deduction allocated to the general account. On each
monthly anniversary date, the value in the general account is equal to
THE SUM OF:

1.   the value in the general acccount on the last monthly anniversary date plus
     interest from the last monthly anniversary date;

2.   any net premium received since the last monthly anniversary date which is
     allocated to the general account plus interest from the date the net
     premium is received to the monthly anniversary date;

3.   all values transferred to the general account from a subaccount since the
     last monthly anniversary date plus interest from the date the value is
     transferred to the monthly anniversary date; and

4.   any premium based bonus or policy value bonus paid to the general account
     on the monthly anniversary;

MINUS the following:

5.   all values transferred from the general account to a subaccount since the
     last monthly anniversary day plus interest from the date the value is
     transferred to the monthly anniversary date;

6.   all partial withdrawals from the general account since the last monthly
     anniversary date plus interest from the date of the partial withdrawal to
     the monthly anniversary date; and

7.   the portion of the monthly deduction allocated to the value in the general
     account, to cover the policy month following the monthly anniversary date.


On any date other than a monthly anniversary date, your value will be calculated
on the same basis as on the monthly anniversary date.

GENERAL ACCOUNT INTEREST RATE
Value held in the general account will earn interest daily at an effective
annual guaranteed rate of 4%. Interest in excess of the guaranteed rate may be
applied in the calculation of the value at such increased rates as we may
determine.

No interest in excess of the guaranteed rate will be applied to any portion of
your policy value in the general account which equals any loan.

56929


                                       12

<PAGE>


PREMIUM BASED BONUSES

On certain policy anniversaries, we will credit a premium based bonus to your
policy value. The amount of the bonus is expressed as a percentage of the lesser
of (a) or (b), the result divided by the policy duration, where:

(a)  is the sum of all premiums paid less any cash withdrawals and less any
     policy loans, and
(b)  is the sum of the maximum bonus premium to date.

The percentages, durations and maximum bonus premiums are shown in the policy
schedule. These credits are applied to your policy value on a pro-rata basis
unless other options become available.

For any month during which the policy is in lapse, the maximum bonus premium
will be zero.

POLICY VALUE BONUS

We will credit a policy value bonus to your policy value on certain monthly
anniversaries. The amount of the bonus is expressed as a percentage of your
policy value. The percentages and durations are shown in the policy schedule.
These bonuses are applied to your policy value on a pro-rata basis unless other
options become available.

BASIS OF COMPUTATIONS
Minimum surrender values in the general account are based on the Commissioner's
1980 Standard Ordinary Smoker or Nonsmoker Mortality Table, Age Last Birthday,
with interest at 4% per year.

The method used in computing surrender values in the Separate Account is in
accordance with actuarial procedures that recognize the variable nature of the
Separate Account. The method used is such that if the Net Investment Factor, for
all subaccounts at all times from the policy date, is equal to an effective
annual interest rate of 4%, and if the cost of insurance rates are based on the
Commissioner's 1980 Standard Ordinary Smoker or Nonsmoker Mortality Table, Age
Last Birthday, then the surrender values in the separate account will be at
least equal to the minimum surrender values which would have been required by
the law of the state in which this policy is delivered of an equivalent policy
in which all net premiums have been allocated to the general account.

Reserves are not less than the surrender value. Interest on reserves in the
General Account will not exceed the guaranteed rate of 4%. Reserves are based on
the Commissioner's 1980 Standard Ordinary Smoker or Non-smoker Mortality Table,
Age Last Birthday.

All values under this policy are not less than the values required by the state
in which this policy was delivered. A detailed statement of the method of
computation of surrender values and reserves under this policy has been filed
with the insurance department of the state in which the policy was delivered.


                                       13

<PAGE>

SURRENDERS, LOANS AND WITHDRAWALS

NET CASH VALUE
The net cash value as of any date is equal to:

1.   the cash value; minus
2.   any unpaid policy loan; plus
3.   any unearned loan interest.

SURRENDER CHARGE
The surrender charge is shown in the policy schedule. The surrender charge will
not exceed the maximum shown in the policy schedule.

SURRENDER VALUE
The surrender value is the net cash value less the surrender charge.

SURRENDER
Upon written request, you may surrender this policy for the surrender value. It
may be surrendered at any time during the lifetime of either insured. The
surrender value will be determined as of the date we receive the request at our
Home Office.

POLICY LOANS
During the continuance of this policy, we will grant a loan against this policy
provided (1) we have received a signed loan agreement, if requested, and (2)
this policy is assigned to us.

You may borrow up to 90% of the surrender value. This policy will be the sole
security for the loan.

An amount equal to the loan will be withdrawn from the subaccounts and the
unloaned portion of the general account. This amount will be held as collateral
on a restricted basis in the general account until the loan is repaid. Unless
you specify otherwise, the loan amount will be withdrawn on a pro-rata basis.

The loan amount held in the general account will be credited interest at an
effective annual rate of 4%.

INTEREST ON POLICY LOANS
Interest on loans will be charged at the policy loan rate shown in the policy
schedule. Interest not paid when due will be added to the loan and bear interest
at the same rate.

If this policy (a) has been in force for 2 years from the policy date and has a
surrender value at least equal to that shown in the policy schedule; or (b) has
been in force for 12 years, you may borrow up to 10% of your surrender value
once each year at the lower policy loan interest rate shown in the policy
schedule.

If the policy qualifies for the lower policy loan interest rate and either of
the joint insured's age is 59 1/2 or over, you may borrow up to 15% of the
surrender value at that lower interest rate once each year. The remaining
surrender value is available at the regular loan interest rate shown in the
policy schedule, subject to the overall loan limit as stated above.

56930


                                       14

<PAGE>

LOAN REPAYMENT

While the policy is in force before the death of the surviving insured or before
surrender, any indebtedness may be repaid. Any amounts received on this policy
will be considered premiums unless they are clearly marked as loan repayments.
As the loan is repaid, the amount repaid will be transferred from the loaned
portion of the general account to the subaccounts and the unloaned portion of
the general account in the same manner as premiums are allocated, unless you
direct otherwise.

WITHDRAWALS

Cash withdrawals may not be made during the first policy year. Only one
withdrawal is allowed during a policy year. You must request a withdrawal in
writing. The request will be effective on the date we receive it at our Home
Office.

A withdrawal charge may be deducted from each withdrawal amount and the balance
will be paid to you. This withdrawal charge will not exceed the charge shown in
the policy schedule.

When a withdrawal is made, the policy value shall be reduced by the amount of
the withdrawal. For death benefit Option A, the face amount will also be reduced
by the amount of the withdrawal. No withdrawal will be allowed if the resulting
face amount would be less than the minimum face amount shown in the policy
schedule. Unless otherwise specified, withdrawals will be taken on a pro-rata
basis.

DEFERRAL OF PAYMENTS
The payment of surrender value, policy loan, partial withdrawal (except when
used to pay the premiums), or variable death benefits in excess of any minimum
death benefit may be deferred:

1.   for up to two months for death benefit payments or six months for all other
     payments from the date of request, if such payments are based on policy
     values which do not depend on the investment performances of the separate
     accounts; or

2.   for any period during which the New York Stock Exchange is closed for
     trading (except for customary weekend and holiday closings) and for any
     period during which a state of emergency exists which may make such payment
     impractical or for such other periods as the Securities and Exchange
     Commission may by order permit for the protection of investors.


                                       15

<PAGE>

SETTLEMENT OPTIONS

CHOICE OF OPTIONS
We will pay the proceeds of this policy in a single sum unless you choose one of
the settlement options described below. You may also choose any other option
that is agreeable to both you and us. You may change your choice of option
later. If you do not choose an option before the surviving insured dies, the
beneficiary will have the right to choose an option.

We will pay interest on proceeds paid in a single sum from the date of the
surviving insured's death until the date of payment. The interest rate on these
payments and any proceeds we hold under options 1, 2, 3, and 4 below will be at
least at an effective rate of 3.5% per year.

SETTLEMENT DATE
The settlement date of this policy is the date of the surviving insured's death
or the date of any other termination of this policy.

OPTION 1. INTEREST PAYMENTS
You may leave the proceeds with us for a period of time you select when you
choose this option. Interest begins to accrue on the settlement date. We will
pay the interest at 12, 6, 3, or 1 month intervals, as you choose. At the end of
the selected period, we will pay the proceeds in a single sum or under any other
option selected when you choose this option.

OPTION 2. PAYMENTS OF A FIXED AMOUNT OR FOR A FIXED PERIOD
You may leave the proceeds with us and we will make payments in one of the ways
shown below. You may request us to make these payments at 12, 6, 3, or 1 month
intervals.

1.   We will make payments in an amount you select when you choose this option;
     or
2.   We will make equal payments over any period of from 1 to 30 years, as you
     select when you choose this option. Table 1 shows minimum payments for each
     $1,000 of proceeds held under this option. Payments for any period not
     shown will be furnished at your request.

<TABLE>
<CAPTION>

          TABLE 1.  Payments for each $1,000 of
                    proceeds under Option 2

             No. of      Annual         Monthly
              Years     Payments       Payments
             Payable
             -------    --------       --------
<S>          <C>        <C>            <C>
               5         $213.99        $18.12
               10        116.18           9.83
               15        83.89            7.10
               20        67.98            5.75
               25        58.62            4.96
</TABLE>

56931


                                       16

<PAGE>

OPTION 3. LIFE INCOME PAYMENTS
We will pay the proceeds in one of the following ways:

1.   Life Annuity: A monthly income during the life of the payee; or
2.   Life Annuity with a Guaranteed Period: A monthly income with payments
     guaranteed for either 10 or 20 years, as you choose, continuing during the
     payee's lifetime; or
3.   Refund Life Annuity: A monthly income with payments guaranteed for the
     number of months determined by dividing the proceeds by the first monthly
     payment. The payments continue during the payee's lifetime.

The payee is the person who will receive the income payments under Options 3 and
4. The amount of the monthly payments depends on the type of income you select,
the age of the payee on the settlement date and the amount of the proceeds.

Table 2 shows monthly minimum payments for each $1,000 of proceeds held under
this option. Monthly payments not shown will be furnished at your request.

<TABLE>
<CAPTION>

               TABLE 2. Monthly Payments for each $1,000
                        of Proceeds under Option 3

                                      MALE

                 Age of    Refund   Life Annuity Certain for     Life
                 Payee      Life        10 Yr.      20Yr.
                           Annuity                             Annuity
                 ------    -------  ------------------------   -------
<S>                        <C>      <C>            <C>         <C>
                   50       $4.54       $4.71      $4.50        $4.79
                   55        4.92        5.14       4.79         5.27
                   60        5.39        5.68       5.10         5.91
                   65        6.01        6.35       5.38         6.77
                   70        6.83        7.17       5.63         8.00

<CAPTION>
                                     FEMALE

                 Age of    Refund   Life Annuity Certain for     Life
                 Payee      Life        10 Yr.      20Yr.
                           Annuity                             Annuity
                 ------    -------  ------------------------   -------
<S>                        <C>      <C>            <C>         <C>
                   50       $4.23     $4.33        $4.23        $4.35
                   55        4.56      4.70         4.53         4.75
                   60        4.99      5.17         4.87         5.27
                   65        5.55      5.80         5.22         5.98
                   70        6.32      6.63         5.51         7.04
</TABLE>


                                       17
<PAGE>

OPTION 4. JOINT LIFE INCOME PAYMENTS
You may name two payees to whom we will pay a joint monthly income during their
joint lifetime. After either payee's death, we will make monthly payments equal
to 2/3 of the joint monthly payment during the surviving payee's lifetime. The
amount of the monthly payment depends on the age of each payee on the settlement
date, and the amount of the proceeds.

Table 3 shows monthly minimum payments for each $1,000 of proceeds held under
this option. Amounts not shown will be furnished at your request.

<TABLE>
<CAPTION>

          TABLE 3. Monthly Payments for each
                   $1,000 of Proceeds under Option 4

                                 Age of Male Payee
           Age of        --------------------------------
           Female        5 Years      Same        5 Years
            Payee        Younger       Age         Older
           ------        -------      -----       -------
<S>                      <C>          <C>         <C>
             50           $4.19       $4.36        $4.55
             55            4.52        4.75         4.99
             60            4.96        5.25         5.59
             65            5.53        5.94         6.43
             70            6.33        6.94         7.66
</TABLE>

If you choose Options 2, 3, or 4 and the monthly payments are less than those
provided by our then current settlement rates, we will pay the larger amount.

MINIMUM AMOUNT
We have the right to pay the proceeds in a single sum if: (1) the proceeds
payable are less than $2,000; or (2) payments under the settlement option you
have chosen would be less than $50. 

SUPPLEMENTARY CONTRACT
If you request a settlement option, we will prepare an agreement stating the
terms under which payment will be made. This agreement will replace this policy
when proceeds become payable. You must surrender this policy to us at our Home
Office at that time.

PROOF OF AGE
We will require proof of any payee's age under Options 3 and 4.

EXCESS INTEREST
The interest rates stated in this section of the policy are the guaranteed
minimum rates we will pay on proceeds we hold. We have the option to pay excess
interest.

COMMUTATION
No payee has the right to change the settlement option chosen before the
insured's death, unless we provide that right in this policy. Payments may not
be assigned or commuted.

DEATH OF PAYEE
If the payee dies before receiving all proceeds payable, we will pay the amount
still due to the payee's estate, unless we approve other arrangements.

56932


                                       18

<PAGE>


MATURITY DATE
The maturity date is the last date insurance coverage can remain in force and
the date on which any remaining surrender value will be paid to you. The date is
shown in the policy schedule. Coverage will end prior to the maturity date if
the net cash value isn't sufficient to continue coverage to such date.

POLICY SPLIT
The policyowner may elect to split the policy and purchase two individual single
insured life policies on a form we make available. One policy will be issued on
each insured. This election may be exercised only by written notice to Fortis
Benefits' Home Office within 180 days following either:

1)   the date of entry of a final decree of divorce with respect to the joint
     insureds; or
2)   the effective date of a change in the Federal estate tax laws that would
     reduce or eliminate the unlimited marital deduction; or
3)   written confirmation of a dissolution of a business partnership or closely
     held corporation in which the joint insureds are partners or shareholders.

No request will be granted for events listed in items 1) and 3) above, until 60
days after the date of occurrance of the event.

1)   There will be no new evidence of insurability required.
2)   Premiums, charges, and bonuses for the new policies will be based on each
     insured's attained age and current rate class.
3)   Unloaned policy values, and the face amount of the policy, excluding any
     riders, will be divided between the new policies, as indicated by the
     percentages specified in the policy schedule.
4)   Loans must be paid or assumed to be distributions at the time of the policy
     division.
5)   In no event may the combined death benefits of the new policies exceed that
     provided under the policy. A return of policy value from the new policy
     which results in more than its percentage share of the death benefit will
     be made if necessary, to prevent this from occurring.
6)   Riders on the new policies will be allowed at the discretion of Fortis
     Benefits, and only if evidence of insurability is provided.
7)   The owner and beneficiary of the new policies will be the same as under the
     policy, unless the policyowner specifies otherwise.
8)   Any existing incontestable or suicide period under the policy will continue
     under the two new policies.

The Policy Split Option is NOT available under any of the following conditions:

1)   Either insured is deceased or considered "uninsurable" according to Fortis
     Benefits' underwriting guidelines.
2)   If the individual Table ratings of the insureds when added together, exceed
     Table 4. Each insured's Table rating is shown in the policy schedule.
3)   Either insured is older than the issue age of the new policy's maximum
     issue age.
4)   The policy is in the grace period.
5)   The policy is receiving benefits from any disability rider.

EXERCISING THIS OPTION MAY HAVE ADVERSE TAX CONSEQUENCES. THE POLICYOWNER SHOULD
CONSULT A TAX ADVISER BEFORE EXERCISING THIS OPTION.


                                       19


<PAGE>

                        FORTIS BENEFITS INSURANCE COMPANY
                                 P.O. BOX 64271
                            ST. PAUL, MINNESOTA 55164

                         GUARANTEED DEATH BENEFIT RIDER
                                 (LAST SURVIVOR)

This rider is a part of your policy.  It is subject to the provisions of
the policy which apply and are consistent with the provisions of this
rider.  While this rider is in force, the policy will not lapse as long
as the premium requirements are met.  The effective date and expiry date
of this rider are shown in the policy schedule.

PREMIUM REQUIREMENTS
The premium requirements on each monthly anniversary are met if (a) is
equal to or greater than (b) where:

(a)  is all premiums paid less any cash withdrawals, accumulated at an
     effective annual rate of 4%, and less any loans; all premiums paid
     in a policy year are deemed to be paid in the beginning of that policy
     year; withdrawals made in prior policy years are assumed taken at the
     end of the policy year in which they are taken; withdrawals in the current
     policy year are subtracted without interest.

(b)  is the monthly minimum premiums including the premium due on the
     current monthly anniversary, accumulated at an effective annual rate of
     4%.  The minimum monthly premium for any given year is deemed to have been
     paid in the beginning of that year.

The initial schedule of monthly minimum premiums is based on the joint
insureds' issue ages and risk classes, and riders if any, and is shown
in the policy schedule.  The monthly minimum premium is the premium for
the base policy plus the premium for the riders.

For any month is which the deductions are being waived by our Waiver of
Monthly Deductions rider, the monthly minimum premium will be zero.

CHANGES THAT AFFECT THE PREMIUM REQUIREMENT
The monthly minimum premium will change if: (1) the face amount is
increased or decreased, but not if the change in face amount is due to a
partial withdrawal or a change in death benefit option, (2) certain
riders are added, deleted, or changed, or (3) rating classifications
change.

As stated above, the premium requirement is affected by any cash
withdrawals or loans on your policy.  If the monthly minimum premium
changes, we will send you an amended policy schedule.  Also, additional
premiums may be required on the date of change in order to meet the new
premium requirement.

NOTICE
If on any monthly anniversary day the premium requirement is not met, we
will send you a notice of the premium required.  If the premium is not
received by us at our Home Office prior to the next monthly anniversary
day, the guaranteed death benefit will terminate.  On a guaranteed
basis, the policy value at the end of the guarantee period may be
insufficient to keep the policy in force unless an additional payment is
made at that time.


L111                                                                       56816

<PAGE>


DEDUCTION
A charge for this rider is included in the monthly deductions.  The
charge will not be taken if this rider is no longer in effect.  The
charges based on the initial policy and rider face amounts are shown in
the policy schedule.  It will change if the face amount is increased or
decreased, or if certain riders are added, changed, or terminated.

DISABILITY WAIVER
If monthly deductions on the policy are waived under the terms of any
disability benefit rider, the charges for this rider, if any, will also
be waived.

REINSTATEMENT
If this rider terminates, it may not be reinstated.

TERMINATION
This rider will terminate on the earliest of the following dates:
1.   The monthly anniversary date on or next following our receipt at our
     home office of your written request for termination;
2.   The monthly anniversary date following the date the premium
     requirement was not met;
3.   When the policy terminates;
4.   The policy anniversary date on or after the rider expiry date shown
     in the policy schedule.

NONPARTICIPATING
This rider is nonparticipating and has no cash value.


Signed for the Company to take effect on the rider effective date.



          /s/Dean C. Kopperud           /s/Anthony Rotundi
          SENIOR VICE PRESIDENT         SENIOR VICE PRESIDENT


L111                                                                       56816

<PAGE>


                        FORTIS BENEFITS INSURANCE COMPANY
                                 P.O. BOX 64271
                            ST. PAUL, MINNESOTA 55164

                       WAIVER OF MONTHLY DEDUCTIONS RIDER
                                 (LAST SURVIVOR)

This rider is part of your policy.

JOINT INSUREDS
The joint insureds are named in the policy schedule.

TOTAL DISABILITY
Total disability means a disability resulting from an injury sustained
or disease first manifested after the effective date of this rider.  The
disability must continuously prevent either joint insured from engaging
in an occupation for compensation or profit.  During the first 24 months
of total disability, "occupation" means an inability to perform the
substantial and material duties of that insured's regular occupation.
After 24 months, "occupation" means any job suited to that insured's
education, training, or experience.

WAIVER BENEFITS
We will pay the monthly deductions for the policy as long as either
joint insured is totally disabled until that insured's attained age is
95.

In order to obtain waiver benefits, you must give us proof that the
joint insured's total disability:
1)   began while the policy and this rider were in force;
2)   began before the first policy anniversary after the disabled joint
     insured's 60th birthday; and
3)   was continuous for six months or more.

Before we pay the monthly deductions, the policy and this rider must be
in force during the first six months of total disability.  If the policy
enters the grace period during this six month period, you must pay the
required premium to keep the policy in force.  If we approve your claim,
our payment of monthly deductions begins with the first one due after
the date we approve your claim.  In the event that both insureds become
totally disabled at any time while the policy and rider are in force,
the benefit will continue as long as either joint insured meets the
conditions above.

Any monthly deductions that were deducted from the policy value of the
policy before our approval of your claim, and after the disability
began, will be added back to the policy value when your claim is
approved.

If a joint insured is totally disabled and we are paying the monthly
deductions for this policy, the policy value of the policy is calculated
as shown in the policy, except that we will not subtract the monthly
deductions.

MONTHLY DEDUCTIONS
The monthly deductions covered by this rider include the following:
1)   the cost of insurance for the policy;
2)   the monthly administrative and expense charges;
3)   any monthly sales, premium tax, or other charges except charges based
     on the separate account value;
4)   The total monthly deductions for this rider and any riders which are
     covered by this rider.


L101                                                                       56773

<PAGE>

MONTHLY RATE
The monthly rider rates are based on the joint insureds' attained ages
and premium class and are shown in the policy schedule.  The monthly
deduction is equal to the monthly rate multiplied by the net amount at
risk and divided by 1,000.  The net amount at risk is the death benefit
of the policy minus the policy value, plus the face amount of any term
riders.  The rates will change at the earlier of the first death, or the
policy anniversary following the older joint insured's attained age 60.
At that time, rates will be based on the attained age and risk
classification of the joint insured still alive and under age 60.

NOTICE OF CLAIM
We must receive written notice of claim at our Home Office:

1)   while the joint insured is living and is totally disabled;
2)   no later than 1 year after this rider terminates; and
3)   within 1 year after the due date of the benefit amount to be paid.

If you cannot give us notice within 1 year, your claim may still be
valid if you show that you gave us notice as soon as you could.

PROOF OF CONTINUED DISABILITY
We may at reasonable intervals require proof that the joint insured
continues to be totally disabled.  After the joint insured has been
totally disabled for 2 years, we will not ask for proof more than once
per year.  If the insured does not provide this proof, or ceases to be
totally disabled, a waiver benefit will no longer be paid.

RISKS NOT COVERED
We will not pay a benefit if total disability results from:
1)   injuries intentionally self-inflicted; or
2)   service in the military of any country at war, declared or
     undeclared.

TERMINATION
This rider terminates on the earliest of:
1)   the monthly anniversary date on or next following our receipt at our
     Home Office of your written request for termination;
2)   the date the policy terminates;
3)   the policy anniversary following the younger joint insured's 60th
     birthday;
4)   the policy anniversary following the surviving insured's age 60.

After this rider terminates, we are not liable for its benefits even if
we continued to deduct the cost of insurance for this rider.  Any cost
of insurance we have deducted for this rider after it terminates, will
be added to your policy value.

GENERAL PROVISIONS
All provisions in the policy which are consistent with this rider, apply
to this rider.

INCONTESTABLE
This rider will be incontestable after it has been in force for two
years (one year in Colorado and North Dakota) during the lifetime of
each insured from the later of the rider effective date or the date of
its last reinstatement.  Failure to notify us of an insured's death will
not prevent us from contesting the validity of this rider.


L101                                                                       56773

<PAGE>

Signed for the Company to take effect on the rider effective date.


          /s/Dean C. Kopperud           /s/Anthony Rotundi
          SENIOR VICE PRESIDENT         SENIOR VICE PRESIDENT


L101                                                                       56773

<PAGE>

                        FORTIS BENEFITS INSURANCE COMPANY
                                 P.O. BOX 64271
                            ST. PAUL, MINNESOTA 55164

                         WAIVER OF SELECTED AMOUNT RIDER
                                 (LAST SURVIVOR)

This rider is part of your policy.

JOINT INSUREDS
The joint insureds are named in the policy schedule.

THE WAIVER BENEFIT
If either joint insured's total disability has continued for six
consecutive months and meets the conditions stated below, we will credit
the policy once each month with the Monthly Benefit shown in the policy
schedule for each subsequent month that the disabled joint insured
remains totally disabled until that insured's attained age 95.  In the
event that both joint insureds become disabled at any time while the
policy and rider are in force, the benefit under this rider will
continue as long as either joint insured meets the conditions for
benefits.  In no event will more than the selected amount be credited
under this rider in any month, even if both joint insureds are disabled.

In order to obtain waiver benefits, you must give us proof that the
joint insured's total disability:

1)   began while the policy and this rider were in force;
2)   began before the first policy anniversary after the disabled joint
     insured's 60th birthday; and
3)   was continuous for six months or more.

Before we credit the Monthly Benefit, the policy and this rider must be
in force during the first six months of total disability.  If the policy
enters the grace period, you must pay the required premium to keep the
policy in force until the claim is approved.  There is no benefit
credited for the first six months of total disability.  If the face
amount of the policy or the benefit of another rider is reduced, the
waiver benefit will be reduced so that the waiver benefit is not greater
than the new monthly minimum premium.

DEFINITION OF TOTAL DISABILITY
Total disability is a disability of either joint insured:

1)   which results from bodily injury sustained or disease which first
     appears while both this policy and this rider are in force;

2)   which completely prevents that insured from engaging in an
     occupation for compensation or profit.  During the first 36 months of
     total disability, "occupation" means the inability to perform the
     substantial and material dutires of that insured's regular occupation.
     After 36 months, "occupation" means any job suited to that insured's
     education, training, or experience.

MONTHLY COST
The monthly rates for this rider are based on the joint insured's
attained ages and premium classes.  The monthly rates are shown in the
policy schedule.  The Monthly Deduction is the applicable rate
multiplied by the Monthly Benefit and divided by 100.  The cost for this
rider will change if the waiver benefit is changed.  It will also change
after the first death, or at the policy anniversary of the older joint
insured's attained age 60.  At that time, rates will be based only on
the attained age and risk classification of the joint insured still
alive and under age 60.


L100                                                                       56774

<PAGE>

NOTICE OF CLAIM
We must receive written notice of claim at our Home Office:

1)   while the joint insured is living and is totally disabled;
2)   no later than one year after this rider terminates; and
3)   within one year after the due date of the benefit amount to be paid.

If you cannot give us notice within one year, your claim may still be
valid if you show that you gave us notice as soon as you could.

PROOF OF CONTINUED DISABILITY
We may at reasonable intervals require proof that the joint insured
continues to be totally disabled.  After the joint insured has been
totally disabled for three years, we will not ask for proof more than
once per year.  If the joint insured does not provide this proof or
ceases to be totally disabled, a waiver benefit will no longer be paid.

RISKS NOT COVERED
We will not pay a benefit if total disability results from:
1)   injuries intentionally self-inflicted; or
2)   service in the military of any country at war, declared or
     undeclared.

TERMINATION
This rider terminates the earliest of:
1)   the monthly anniversary date on or next following our receipt at our
     Home Office of your written request for termination.
2)   the date the policy terminates;
3)   the policy anniversary following the younger joint insured's 60th
     birthday; or
4)   the policy anniversary after the surviving insured's 60th birthday.

After this rider terminates, we are not liable for its benefits even if
we continued to deduct the cost of insurance for this rider.  Any cost
of insurance we have deducted for this rider after it terminates, will
be added to your policy value.

GENERAL PROVISIONS
All provisions in the policy which are consistent with this rider apply
to this rider.

INCONTESTABLE
This rider will be incontestable after it has been in force for two
years (one year in Colorado and North Dakota) during the lifetime of
each insured from the later of the rider effective date or the date of
its last reinstatement.  Failure to notify us of an insured's death will
not prevent us from contesting the validity of this rider.

Signed for the Company to take effect on the rider effective date.


          /s/Dean C. Kopperud           /s/Anthony Rotundi
          SENIOR VICE PRESIDENT         SENIOR VICE PRESIDENT


L100                                                                       56774

<PAGE>


                        FORTIS BENEFITS INSURANCE COMPANY
                                 P.O. BOX 64271
                            ST. PAUL, MINNESOTA 55164

                           JOINT 2ND-TO-DIE TERM RIDER
                                 (LAST SURVIVOR)

This rider is a part of your policy.  It is subject to the provisions of
the policy which apply and are consistent with the provisions of this
rider.  It is an annually renewable term rider providing coverage to the
younger insured's age 100, payable on the death of the second insured to
die.  The effective date and expiry date of this rider are shown in the
policy schedule.

JOINT INSUREDS
The joint insureds are named in the policy schedule.

RIDER BENEFIT
We will pay the current face amount of this rider to the beneficiary at
the death of the surviving insured upon our receipt of due proof that
both joint insureds died while this rider was in force.

Proof of the first death must be given to us when it occurs, even if no
insurance benefits are to be paid at such time.

FACE AMOUNT
The face amount is the amount of the death benefit provided by this
rider.  The face amount for this rider is shown in the policy schedule.
The face amount may be changed at any policy anniversary.

The maximum combined rider coverage on the life of any person insured
under an optional term rider (except for the Estate Protection rider)
may not exceed the maximum individual insured term rider ratio shown in
the policy schedule.  The maximum combined rider ratio on all persons
insured under an optional term rider (except for the Estate Protection
Rider) may not exceed the maximum combined term rider ratio.  If the
base policy face amount is decreased, then the rider face amount will be
decreased if necessary, so that the rider maximum combined ratios set
forth above are not exceeded.

MONTHLY RATE
The monthly rider rates are based on the joint insureds' attained ages
and premium class and are shown in the policy schedule.  The monthly
deduction is equal to the monthly rate multiplied by the face amount of
the rider divided by 1,000.

DISABILITY WAIVER
If monthly deductions on the policy are waived under the terms of any
disability benefit rider, the charges for this rider will also be
waived.

EXCHANGE PRIVILEGE
For the purposes of this rider, the term "exchange" will refer to an
amount of coverage being terminated under this rider and added to the
base policy as a face amount increase.

You may exchange all or part of the coverage under this rider subject to
the limits outlined below.  Partial exchanges are subject to a $25,000
minimum and may be elected only on the policy anniversary and only if
remaining coverage under the rider will be at least $100,000.  The face
amount increase in exchange for rider coverage will be at the same risk
classification as the joint insureds at issue.


L107                                                                       56812

<PAGE>

Coverage may be exchanged only under the following conditions:

1.   While this rider and the base policy are in force;
2.   While both insureds are alive;
3.   Before the earlier of the younger insured's age 65 or the end of the
     10th policy year.

Application for the exchange must be made by written request while both
insureds are living.

INCONTESTABLE
This rider will be incontestable after it has been in force for 2 years
from the effective date of this rider during the lifetime of each
insured.

Any reinstatement will be incontestable after that reinstatement has
been in force for 2 years from its effective date during the lifetime of
the insured or each of the joint insureds.  Any contest will then be
based only on the information provided on the application for
reinstatement.

Failure to notify us of an insured's death will not prevent us from
contesting the validity of this rider.

SUICIDE
If either insured dies by suicide, while sane or insane, within two
years after the effective date of this rider, (one year in Colorado and
North Dakota), our liability will be limited to an amount equal to the
total monthly deductions for this rider.  In no event will this increase
the total liability set forth in the Suicide Provision of the attached
policy.

TERMINATION
This rider will terminate at the earliest of:

     1.   the expiry date of the rider.
     2.   the date the policy terminates.
     3.   the monthly anniversary date on or next following the date we
          receive your written request to terminate this rider.
     4.   the date of full exchange of the coverage under this rider, as
          described in Exchange Privilege.

NONPARTICIPATING
This rider is nonparticipating and has no cash value.

Signed for the Company to take effect on the rider effective date.


          /s/Dean C. Kopperud           /s/Anthony Rotundi
          SENIOR VICE PRESIDENT         SENIOR VICE PRESIDENT


L107                                                                       56812

<PAGE>


                        FORTIS BENEFITS INSURANCE COMPANY
                                 P.O. BOX 64271
                            ST. PAUL, MINNESOTA 55164

                           JOINT 1ST TO DIE TERM RIDER
                                 (LAST SURVIVOR)

This rider is part of your policy.  It is subject to the provisions of
the policy which apply and are consistent with the provisions of this
rider.  It is an annually renewable term rider providing coverage to the
younger insured's age 100, payable at the death of the first insured to
die.  The effective date and expiry date of this rider are shown in the
policy schedule.

JOINT INSUREDS
The joint insureds are named in the policy schedule.

RIDER BENEFIT
We will pay the current face amount of this rider to the beneficiary
upon our receipt of due proof of the death of the first joint insured to
die while this rider was in force.

FACE AMOUNT
The face amount is the amount of the death benefit provided by this
rider.  The face amount for this rider is shown in the policy schedule.
The face amount may be changed at any policy anniversary.

The maximum combined rider coverage on the life of any one person
insured under an optional term rider (except for the Estate Protection
rider) may not exceed the maximum individual insured term rider ratio
shown in the policy schedule.  The maximum combined rider coverage on
all persons insured under an optional term rider (except for Estate
Protection rider) may not exceed the maximum combined rider ratio.  If
the base policy face amount is decreased, then the rider face amount
will be decreased if necessary, so that the rider maximum ratios set
forth above are not exceeded.

MONTHLY RATE
The monthly rider rates are based on the joint insureds' attained ages
and premium classes and are shown in the policy schedule.  The monthly
deduction is equal to the monthly rate multiplied by the face amount of
the rider, divided by 1,000.

DISABILITY WAIVER
If monthly deductions on the policy are waived under the terms of any
disability benefit rider, the charges for this rider will also be
waived.

INCONTESTABLE
This rider will be incontestable after it has been in force for 2 years
from the effective date of this rider during the lifetime of each
insured.

Any reinstatement will be incontestable after that reinstatement has
been in force for 2 years from its effective date during the lifetime of
each insured.  Any contest will then be based only on the information
provided on the application for reinstatement.


L109                                                                       56814

<PAGE>


SUICIDE
If either insured commits suicide, while sane or insame, within 2 years
after the effective date of this rider, (one year in Colorado and North
Dakota), our liability will be limited to an amount equal to the total
monthly deductions for this rider.  In no event will this increase the
total liability set forth in the Suicide Provision of the attached
policy.

TERMINATION
This rider will terminate on the earliest of:

1.   the expiry date of the rider,
2.   the date the policy terminates,
3.   the monthly anniversary date on or next following the date we receive
     your written request
     to terminate this rider, or
4.   the payment of the death benefit upon the death of the first joint
     insured to die.

NONPARTICIPATING
This rider is nonparticipating and has no cash value.


Signed for the Company to take effect on the rider effective date.


          /s/Dean C. Kopperud           /s/Anthony Rotundi
          SENIOR VICE PRESIDENT         SENIOR VICE PRESIDENT


L109                                                                       56814

<PAGE>


                        FORTIS BENEFITS INSURANCE COMPANY
                                 P.O. BOX 64271
                            ST. PAUL, MINNESOTA 55164


                             ESTATE PROTECTION RIDER
                                 (LAST SURVIVOR)

This rider is a part of your policy.  It is subject to the provisions of
the policy which apply and are consistent with the provisions of this
rider.  It is an annually renewable term rider providing coverage for 4
years, payable at the death of the second insured to die.  The effective
date and expiry date of this rider are shown in the policy schedule.

JOINT INSUREDS
The joint insureds are named in the policy schedule.

RIDER BENEFIT
We will pay the face amount of this rider to the beneficiary at the
death of the surviving insured upon receipt of due proof that both joint
insureds died while this rider was in force.  Proof of the first death
must be given to us when it occurs, even if no insurance benefits are to
be paid at such time.

FACE AMOUNT
The face amount is the amount of the death benefit provided by this
rider.  The face amount for this rider is shown in the policy schedule.

The ratio of the face amount for this rider to the base policy face
amount may not be more than the Maximum Estate Protection Rider Ratio
shown in the policy schedule. If the base policy face amount is decreased,
then the rider face amount will be decreased if necessary, so that the Maximum
Estate Protection Rider Ratio is not exceeded.

DISABILITY WAIVER
If monthly deductions on the policy are waived under the terms of any
disability benefit rider, the charges for this rider will also be
waived.

MONTHLY RATE
The monthly rider rates are based on the joint insured's attained ages
and premium class and are shown in the policy schedule.  The monthly
deduction is equal to the monthly rate multiplied by the face amount of
the rider, divided by 1,000.


INCONTESTABLE
This rider will be incontestable after it has been in force for 2 years
from the effective date of this rider during the lifetime of each
insured.

Any reinstatement will be incontestable after that reinstatement has
been in force for 2 years from its effective date during the lifetime of
the insured or of each of the joint insureds.  Any contest will then be
based only on the information provided on the application for
reinstatement.

Failure to notify us of an insured's death will not prevent us from
contesting the validity of this rider.


L108                                                                       56813

<PAGE>


SUICIDE
If either insured dies by suicide, while sane or insane, within 2 years
after the effective date of this rider, (one year in Colorado and North
Dakota), our liability will be limited to an amount equal to the total
monthly deductions for this rider.  In no event will this increase the
total liability set forth in the Suicide Provision of the attached
policy.

TERMINATION
This rider will terminate on the earliest of:

     1.   the date the policy terminates.
     2.   the fourth anniversary of this policy.
     3.   the monthly anniversary date on or next following the date we receive
          your written request to terminate this rider.

NONPARTICIPATING
This rider is nonparticipating and has no cash value.


Signed for the Company to take effect on the rider effective date.


          /s/Dean C. Kopperud           /s/Anthony Rotundi
          SENIOR VICE PRESIDENT         SENIOR VICE PRESIDENT


L108                                                                      56813
<PAGE>


                        FORTIS BENEFITS INSURANCE COMPANY
                                 P.O. BOX 64271
                            ST. PAUL, MINNESOTA 55164


                      EXTENDED MATURITY OPTION ENDORSEMENT
                                 (LAST SURVIVOR)

The attached policy is hereby amended to include the following:

EXTENDED MATURITY DATE OPTION
You can extend the maturity date by submitting a written request to us
within 60 days prior to the existing maturity date.  This option is
available only if your policy value is at least $2,000.

During the extension beyond the original maturity date, the following
conditions will apply:

1.   The monthly minimum premium will be zero.
2.   No premium payments may be made except to keep the policy in force.
3.   The death benefit will be equal to the policy value multiplied by
     the percentage, as stated in the death benefit provision of the policy.
4.   No face amount increase or decrease, or death benefit option change
     will be allowed.
5.   New and existing loans will be charged at the reduced rate or
     credited with the higher rate shown in the policy schedule.
6.   Partial withdrawals of the surrender value are permitted as long as
     the policy value remains above $2,000.
7.   No bonuses other than policy value bonuses will be paid.
8.   All term life or other insurance riders under the policy will
     terminate on the earlier of their expiry dates or the original policy
     maturity date.
9.   Rider references to the policy maturity date mean the original
     policy maturity date.


Expiration of this extension will be the earlier of:

1.   the date specified by you;
2.   the date of any written request by you to surrender the policy;
3.   the date of death of the insured under an individual life policy or
     the surviving insured under a joint last survivor policy.

We will pay you the surrender value as of the new maturity date
specified in the amended policy schedule.

Signed for the Company to take effect on the rider effective date.



          /s/Dean C. Kopperud           /s/Anthony Rotundi
          SENIOR VICE PRESIDENT         SENIOR VICE PRESIDENT


L104                                                                       56780

<PAGE>

                        FORTIS BENEFITS INSURANCE COMPANY
                                 P.O. BOX 64271
                            ST. PAUL, MINNESOTA 55164


                         JOINT AVIATION EXCLUSION RIDER
                                

THIS RIDER IS A PART OF YOUR POLICY.

CONDITIONS FOR PAYMENT
The death benefit payable on this policy and on any attached riders will
be limited to the amount stated in this rider if the insured's death
results from operating or riding in or descending from any kind of
aircraft if the insured, insured's spouse, joint insured, or joint
insured's spouse:

(1)  is a pilot, officer, or crew member of that aircraft; or
(2)  gives or receives any kind of training; or
(3)  has any duties which take place on board the aircraft or which
     require descending from it.

AMOUNT OF PAYMENT
If the insured's death occurred under any of the above conditions, and
the insured is covered under a term life rider attached to this policy,
the rider death benefit will be limited to the premiums paid for that
insured under that term life rider.

If the insured's death would make the death benefit payable under the
base policy, the policy death benefit will be limited to the greater of:

1.   the premiums paid on this policy, less any outstanding loan or
     partial withdrawal on the policy; or
2.   the surrender value under this policy.

This exclusion rider will be a part of any new policy issued as a result
of any change or conversion of this policy or attached riders.

NONPARTICIPATING
This rider is nonparticipating and has no cash value.

Signed for the Company to take effect on the rider date.



          /s/Dean C. Kopperud           /s/Anthony Rotundi
          SENIOR VICE PRESIDENT         SENIOR VICE PRESIDENT


L105                                                                       56781

<PAGE>


                        FORTIS BENEFITS INSURANCE COMPANY
                                 P.O. BOX 64271
                           ST. PAUL, MINNESOTA  55164


                            ACCELERATED BENEFIT RIDER
                                 (LAST SURVIVOR)

BENEFITS PAID UNDER THE RIDER OR POLICY MAY BE TAXABLE.  IF SO, YOU MAY
INCUR A TAX OBLIGATION.  AS WITH ALL TAX MATTERS, YOU SHOULD CONSULT
YOUR PERSONAL TAX ADVISOR TO ASSESS THE IMPACT OF THIS BENEFIT.

THIS RIDER PROVIDES AN ACCELERATED PAYMENT OF LIFE INSURANCE PROCEEDS
UNDER CONDITIONS SPECIFIED IN THIS RIDER.  IT IS NOT INTENDED TO PROVIDE
HEALTH, NURSING HOME OR LONG TERM CARE INSURANCE.  CASH VALUES, LOAN
VALUES, IF ANY, AND DEATH BENEFITS WILL BE REDUCED IF YOU RECEIVE AN
ACCELERATED BENEFIT.  BENEFIT PAYMENTS MAY AFFECT QUALIFICATIONS FOR
ENTITLEMENT PAYMENTS.

This rider is part of your policy.  All definitions, provisions, and
exceptions of the policy apply to this rider unless changed by this
rider.  The effective date of the rider is the same as the policy date
unless a different date is shown in the policy schedule.

DEFINITIONS

INSURED
The Insured is the surviving insured under any last survivor coverage or
any insured under any attached individual or first to die riders.  For
any last survivor coverage, the rider benefit may be exercised only
after one insured has died.

TERMINAL CONDITION
A Terminal Condition is an irreversible medical condition that, with
reasonable medical certainty, can be expected to result in the Insured's
death, notwithstanding appropriate medical care, within twelve months
from the date of certification by a Physician.

ELIGIBLE AMOUNT
The Eligible Amount is the death benefit of the policy and any term
insurance rider attached to the policy that is not within two years of
original expiry and that would be payable upon the death of the insured
with the terminal condition.


PHYSICIAN
A Physician is a medical doctor or osteopath in the jurisdiction in
which the diagnosis or prognosis is rendered who is performing an act
within the scope of his or her license, and is qualified to treat the
type of condition stated.  This person may not be yourself, an Insured
or a member of either's family.  We reserve the right to obtain a second
medical opinion at our expense.  The opinion of our Physician will
control in the event of conflicting opinions.

ADMINISTRATIVE FEES
We reserve the right to charge an administrative fee at the time we
receive the request for a Benefit.  The fee will not exceed $300.

BENEFIT PERCENTAGE
The percentage of the Eligible Amount used to calculate the Benefit.
This amount is indicated by you when you apply for the Benefit.


L110                                                                       56815

<PAGE>

BENEFIT
If an Insured has a Terminal Condition, you may, by written request
while this policy is in force, request acceleration of payment of all or
a portion of the Eligible Amount.  The Eligible Amount will be
determined as of the date we approve your written request for the
Benefit.
Approval of your request is subject to the following limitations:

(1)  The maximum amount you may request is $500,000.  The sum of the
     Benefit you may request under this and any other policies issued by
     us on the life of an Insured may not exceed $500,000.

(2)  The Benefit will be paid in a lump sum and must be at least $2,500.

(3)  Only one Benefit will be paid to you for each Insured.

(4)  The face amount of the policy or rider that will remain after a
     partial Benefit payment is made must be at least the minimum face
     amount required under the policy or rider.

(5)  No accidental death benefit will be available for acceleration.

(6)  For a Benefit request on a base policy Insured, we may require you
     to make a withdrawal from the policy before acceleration if the request
     portion of the eligible amount plus the remaining death benefit exceeds
     the death benefit prior to acceleration due to the requirement of an
     increase in the remaining death benefit to comply with Section 7702 of
     the Code.  In such case the sum of the withdrawal, the requested portion
     of the Eligible Amount, and the remaining death benefit will be equal to
     the death benefit prior to the withdrawal or acceleration.

The requested portion of the Eligible Amount will be subject to
following adjustments:

(1)  A 12-month discount will apply to the requested portion of the
     Eligible Amount.  This discount reflects the early payment of proceeds
     under your policy.  It will be based on an annual interest rate equal
     to the lesser of the following:

     (a)  the applicable federal interest rate determined under Section
          846(c)(2) of the Internal Revenue Code;

     (b)  the current maximum statutory adjustable policy loan interest rate;
          or

     (c)  10%.

(2)  If, on the date we approve your written request, there is a policy
     loan outstanding on the policy and the acceleration relates to insurance
     on the life of the Insured under the base policy, a reduction to the
     requested portion of the Eligible Amount will apply.  This reduction
     serves to repay a portion of the policy loan and is equal to the
     outstanding loan multiplied by the Benefit Percentage.

(3)  A deduction will be made for the Administrative Fee that is in
     effect at the time we receive your written request.
     

L110                                                                       56815

                                     Page 2

<PAGE>

The Benefit payable to you will be equal to the requested portion of the
Eligible Amount as may be reduced by the maximums and limitations of
this rider, (the Benefit Percentage) minus 1 through 3 immediately
above.  Rather than having your Benefit reduced by 2 and 3 immediately
above, you may elect to pay these amounts.

EFFECT ON YOUR POLICY

IF THE ELIGIBLE AMOUNT INCLUDES BASE POLICY DEATH BENEFIT
If your Eligible Amount is $500,000 or less, and you request all of the
Eligible Amount as the Benefit, this policy will terminate.  Any riders
on this policy that provide insurance on the life of any other person
will be administered according to the rider provisions regarding the
death of the second joint insured to die.

If your Eligible Amount is over $500,000 or only a portion of the
Eligible Amount is requested as the Benefit, this policy will remain in
force.  The face amount of the base policy, face amount of any
applicable riders, loan amount and surrender value will be reduced by
the Benefit Percentage.  The policy value will be reduced by the same
amount as the surrender value.  The policy value in each subaccount, if
any, will be reduced on a pro-rata basis.  The cost of insurance and
minimum premium will be reduced as if a loan repayment, a withdrawal and
a face decrease were made to the policy.  These reductions will be made
as of the date we approve the written request for the Benefit.

IF THE ELIGIBLE AMOUNT DOES NOT INCLUDE BASE POLICY DEATH BENEFIT
If you accelerate the entire Eligible Amount with respect to an Insured,
all insurance on such Insured's life will terminate.  If only a portion
of the Eligible Amount is accelerated, the amount and cost of insurance
for that Insured will be reduced by the Benefit Percentage.  For any
first-to-die insurance coverage, acceleration of the entire eligible
amount will terminate such coverage.  If only a portion of the eligible
amount is accelerated, the face amount and cost of insurance for the
first-to-die coverage will be reduced by the benefit percentage
requested.

We will send you information for the policy and/or rider showing the new
monthly cost and the new amount of insurance.

CLAIMS
We must receive your written request for an accelerated benefit in a
form acceptable to us.  Upon receipt of your request, we will provide a
claim form within 10 working days.


CONDITIONS

The payment of any accelerated benefit is subject to the following
conditions:

(1)  No Benefit is payable under this rider when the base policy or rider
     for which accelerated benefits are requested is less than two years
     from the original maturity date of the policy or rider.

(2)  The payment of a Benefit must be approved in writing, in a form
     acceptable to us, by an irrevocable beneficiary and any collateral
     assignee.  At our discretion, we may require written approval from
     any other party whom we believe has a potential interest in the
     proceeds of this policy or riders.


L110                                                                       56815

                                     Page 3

<PAGE>

(3)  This rider provides for the accelerated payment of the death benefit
     of your policy or riders.  This is not meant to cause you to involuntarily
     access proceeds ultimately payable to the beneficiary.  Therefore, you are
     not eligible for this Benefit:

     (a)  If you are required by law to use this Benefit to meet the claims of
          creditors, whether in bankruptcy or otherwise; or

     (b)  If you are required by a government agency to use this Benefit in     
          order to apply for, obtain, or otherwise keep a government benefit.

(4)  We may take any action necessary to keep this rider in compliance
     with all applicable laws, rules, regulations, interpretations, holdings or
     orders.  When required by law, we will obtain your approval of these
     changes and gain approval from any appropriate regulatory authority.

(5)  No Benefit is available if an Insured's Terminal Condition results
     from a self-inflicted injury and such injury occurs within a two year
     period (one year in Colorado and North Dakota) following the policy date.
     If such injury occurs beyond such period, the amount that may be requested
     with respect to such Insured may not include any part of the death benefit
     that was first effective within a two year period (one year in Colorado
     and North Dakota) prior to such injury.

TERMINATION

This rider ends on the first of:

(1)  the termination of the policy to which this rider is attached; or

(2)  our receipt, prior to the payment of a Benefit, of your written
     request in a form acceptable to us to cancel this rider.

REINSTATEMENT

You may reinstate this rider as part of your policy if it is terminated.



Signed for the Company to take effect on the rider effective date.


          /s/Dean C. Kopperud           /s/Anthony Rotundi
          SENIOR VICE PRESIDENT         SENIOR VICE PRESIDENT


L110                                                                       56815

                                     Page 4

<PAGE>


                        FORTIS BENEFITS INSURANCE COMPANY
                                 P.O. BOX 64271
                            ST. PAUL, MINNESOTA 55164

                            ADDITIONAL INSURED RIDER
                (ANNUAL RENEWABLE TERM INSURANCE - LAST SURVIVOR)

This rider is a part of your policy.  It is subject to the provisions of
the policy which apply to and aren't inconsistent with the provisions of
this rider.  It provides annually renewable term coverage for each
Additional Insured.  There is no policy value under this rider.

The effective date for the coverage of each Additional Insured under
this rider is shown on the policy schedule.  Coverage for an Additional
Insured under this rider will not become effective unless, on the date
coverage is to commence, the health of the Additional Insured remains as
described in the application to the best of his or her knowledge.

ADDITIONAL INSURED

Additional Insured means each person whose life is insured by this
rider.  Each Additional Insured is listed on the policy schedule.  If
there is more than one Additional Insured, the provisions of this rider
will apply individually as to each Additional Insured.

The face amount is the amount of the death benefit provided by this
rider.  The face amount for each additional insured is shown in the
policy schedule.

The maximum combined rider coverages on the life of any one person
insured under an optional term rider (except for the Estate Protection
Rider) may not exceed the maximum individual insured term rider ratio
shown in the policy schedule.  The maximum coverage provided by this
rider for all persons covered under this rider may not exceed the
maximum combined rider ratio shown in the policy schedule.  If the base
policy face amount is decreased or if other rider changes are made, the
rider face amount for each Additional Insured will be decreased if
necessary, so that the ratios set forth above are not exceeded.

RIDER BENEFIT
If we receive proof satisfactory to us that an Additional Insured died
while this rider was in force, we will pay a death benefit to the
beneficiary of this rider.  The death benefit will be the face amount in
force as of the date of death of an Additional Insured.  If an
Additional Insured dies during the grace period, and a death claim is
payable, any overdue charges for this rider will be subtracted from the
proceeds.

COST OF RIDER BENEFITS
The cost of this rider's benefit is the face amount divided by 1,000
times the monthly cost of insurance rate which is shown in the policy
schedule.  This rate is based on the sex, issue age, duration and risk
class of the Additional Insured.  Monthly cost of insurance rates may be
changed by us from time to time.  A change in the cost of insurance
rates will apply to all persons of the same sex, issue age, duration and
risk class.

DISABILITY WAIVER
If monthly deductions on the policy are waived under the terms of any
disability benefit rider, the charges for this rider will also be
waived.


L112                                                                       56782

<PAGE>

CONVERSION
You may convert the coverage for a particular additional insured under
this rider without evidence of insurability to an individual variable
universal life policy offered by us subject to the limits outlined
below.  The face amount of the new policy cannot exceed the face amount
of the coverage for the Additional Insured at the time of conversion.
The new policy will be at the same risk classification as the additional
insured's class under this rider.

Coverage may be converted only under the following conditions:

1.   the monthly anniversary date on or next following receipt of your
     written request for coverage to end; or
2.   before the later of the Additional Insured's age 65 or the end of
     the fifth policy year; and
3.   while the base policy is in force.

TERMINATION
Coverage for an Additional Insured under this rider will terminate on
the earliest of the following:

1.   the monthly anniversary date on or next following receipt of your
     written request for coverage to end; or
2.   the date the policy terminates for reasons other than the surviving
     joint insured's death; or
3.   31 days after the surviving joint insured's death.  During these 31
     days we will not charge you for coverage under this rider; or
4.   the date of full conversion of that coverage as provided in this
     rider.

Unless terminated for some other reason, the coverage provided by this
rider will terminate on the rider expiry date shown in the policy
schedule.

REINSTATEMENT
If the policy and this rider lapse as provided in the policy's Grace
Period provision, this rider may be reinstated within five years of the
date of lapse if:

1.   this rider was in effect when the policy lapsed;
2.   the policy is reinstated;
3.   the reinstatement date is not beyond the rider expiry date; and
4.   the requirements stated below are met.

In order to reinstate coverage under this rider you must:

1.   furnish satisfactory evidence of insurability for each Additional
     Insured;
2.   pay a premium sufficient to keep this rider in force for at least 2 months
     from the  reinstatement date; and
3.   pay the monthly deductions that were not collected during the grace
     period.

The effective date of reinstatement will be the monthly anniversary date
on or next following the date we approve the application for
reinstatement.

MISSTATEMENT OF AGE OR SEX
If the Additional Insured's age or sex is misstated, the amount we will
pay will be the amount that the last cost of insurance deductions would
have purchased using the most recent cost of insurance rates and the
correct attained age and sex.


L112                                                                       56782

<PAGE>

INCONTESTABLE
Coverage under this rider for an Additional Insured will be
incontestable after such coverage has been in force for two years from
the rider coverage effective date during the lifetime of the Additional
Insured.

Any reinstatement will be incontestable after that reinstatement has
been in force for two years from its coverage effective date during the
lifetime of the Additional Insured.  Any contest will then be based only
on the information provided on the application for reinstatement.

SUICIDE
Suicide while sane or insane, within two years from the effective date
of coverage, is not covered (one year in Colorado and North Dakota).  In
this event, our total liability under this rider will equal the rider
costs for that Additional Insured's coverage.

If the Additional Insured commits suicide while sane or insane within
two years after the effective date of any reinstatement (one year in
Colorado and North Dakota), our liability will equal the rider costs for
that Additional Insured taken after the reinstatement.

If the additional insured is also a joint insured, in no event will this
increase the total liability set forth in the suicide provision of the
base policy.

NON-PARTICIPATING
This rider does not participate in our profits or surplus earnings.

Signed for the Company to take effect on the rider effective date.



          /s/Dean C. Kopperud           /s/Anthony Rotundi
          SENIOR VICE PRESIDENT         SENIOR VICE PRESIDENT


L112                                                                       56782

<PAGE>

                        FORTIS BENEFITS INSURANCE COMPANY
                                 P.O. BOX 64271
                            ST. PAUL, MINNESOTA 55164

                              PRIMARY INSURED RIDER
                (ANNUAL RENEWABLE TERM INSURANCE - LAST SURVIVOR)


This rider is part of your policy.  It is subject to the provisions of the
policy which apply to and aren't inconsistent with the provisions of this rider.
It is an annually renewable term rider.  The effective date of this rider is
also shown in the policy schedule.  There is no policy value under this rider.

PRIMARY INSURED
The Primary Insured is the person or persons insured by this rider and
the base policy and is named as such in the policy schedule.

FACE AMOUNT
The face amount is the amount of the death benefit provided by this
rider.  The face amount for each primary insured under this rider is
shown on the policy schedule.

The maximum combined rider coverage on the life of any person insured
under an optional term rider (except for the Estate Protection Rider)
may not exceed the maximum individual insured term rider ratio shown in
the policy schedule.  The maximum coverage provided by this rider for
all persons covered under this rider may not exceed the maximum combined
rider ratio shown in the policy schedule.  If the base policy face
amount is decreased or if other rider changes are made, then the rider
face amount will be decreased if necessary, so that the ratios set forth
above are not exceeded.

RIDER BENEFIT
If we receive proof satisfactory to us that a Primary Insured died while
this rider was in force, we will pay a death benefit to the beneficiary
of the policy.  The death benefit will be the rider face amount in force
for that insured as of the date of death of the Primary Insured.  If the
Primary Insured dies during the Grace Period, and a death claim is
payable, any overdue charges for this rider will be subtracted from the
death proceeds.

COST OF RIDER BENEFITS
The cost of this rider's benefit is the face amount divided by 1,000,
times the monthly cost of insurance rate for each primary insured.  The
rates are based on the sex, issue age, duration and risk class of the
Primary Insured.  The monthly cost of insurance rates may be changed by
us from time to time.  A change in the cost of insurance rates will
apply to all persons of the same sex, issue age, duration and risk
class.  The guaranteed Maximum Monthly Cost of Insurance Rates are shown
in the Rider Cost of Insurance Rates Table.

DISABILITY WAIVER
If monthly deductions on the policy are waived under the terms of any
disability benefit rider, the charges for this rider will also be
waived.

CONVERSION PRIVILEGES
You may convert the coverage for a particular primary insured under this
rider without evidence of insurability to an individual variable
universal life policy offered by us subject to the limits outlined
below.  The face amount of the new policy cannot exceed the face amount
of the coverage for that insured under this rider at the time of
conversion.


L113                                                                       56937

<PAGE>

The new policy will be the same risk classification as the primary
insured at issue.

Coverage may be converted only under the following conditions:

1.   while this rider is in force with respect to the Primary Insured;
     and
2.   before the later of the primary insured's age 65 or the end of the
     fifth policy year; and
3.   while the base policy is in force.

TERMINATION
Coverage for a particular Primary Insured under this rider will
terminate on the earliest of the following:

1.   the monthly anniversary date on or next following receipt of your
     written request for coverage to end; or
2.   the date the policy terminates for reasons other than the surviving
     joint Insured's death; or
3.   the date of the full conversion of that coverage as provided in this
     rider.

Unless terminated for some other reason, the coverage provided by this
rider will terminate on the expiry date shown on the policy schedule.

REINSTATEMENT
If the policy and this rider lapse as provided in the policy's Grace
Period provision, this rider may be reinstated within five years of the
date of lapse, if:

1.   this rider was in effect when the policy lapsed;
2.   the policy is reinstated;
3.   the reinstatement date is not beyond the rider expiry date; and
4.   the requirements stated below are met.

In order to reinstate coverage under this rider, you must:

1.   furnish satisfactory evidence of insurability for each Primary
     Insured;
2.   pay a premium sufficient to keep this rider in force for at least
     two months from the reinstatement date; and
3.   pay the monthly deductions that were not collected during the grace
     period.

The effective date of reinstatement will be the monthly anniversary date
on or next following the date we approve the application for
reinstatement.

MISSTATEMENT OF AGE OR SEX
If a Primary Insured's age or sex is misstated, the amount we will pay
will be the amount that the last cost of insurance deductions would have
purchased using the most recent cost of insurance rates and the correct
attained age and sex for that insured.


L113                                                                       56937

<PAGE>

INCONTESTABLE
This rider will be incontestable after it has been in force for two
years from the effective date of this rider during the lifetime of each
Primary Insured.

Any reinstatement will be incontestable after that reinstatement has
been in force for two years from its effective date during the lifetime
of each Primary Insured.  Any contest will then be based only on the
information provided on the application for reinstatement.

SUICIDE
Suicide while sane or insane, within two years from the effective date
of this rider, is not covered (one year in Colorado and North Dakota).
In this event, our total liability with respect to that Primary Insured
under this rider will equal the rider costs for that Primary Insured's
coverage.

If the Primary Insured commits suicide while sane or insane within two
years after the effective date of any reinstatement (one year in
Colorado and North Dakota), our liability will equal the rider costs for
that primary insured from the date of reinstatement.

In no event will this increase the total liability set forth in the
suicide provision of the attached policy for that primary insured.

NON-PARTICIPATING
This rider does not participate in our profits or surplus earnings.

Signed for the Company to take effect on the rider effective date.


          /s/Dean C. Kopperud           /s/Anthony Rotundi
          SENIOR VICE PRESIDENT         SENIOR VICE PRESIDENT


<PAGE>





                              Exhibit No. 1A(10)(a)

<PAGE>

<TABLE>

(Please Print)               FORTIS BENEFITS INSURANCE COMPANY, P.O. BOX 64582, ST. PAUL, MN 55164              FORTIS
- ------------------------------------------------------------------------------------------------------------------------------------
<S>                                                               <C>
1. 1st Joint Insured                                              6. 2nd Joint Insured

                          John Doe                                                           Jane Doe
- ----------------------------------------------------------------  ------------------------------------------------------------------
          Date of Birth   Height   Wt.  Birth-   Social Security            Date of Birth   Height   Wt.  Birth-   Social Security
Sex  Age  -------------  --------  ---  place        Number       Sex  Age  -------------  --------  ---  place        Number
          Mo.  Day  Yr.  Ft.  In.  Lb.                                      Mo.  Day  Yr.  Ft.  In.  Lb.
- ---  ---  ---  ---  ---  ---  ---  ---  -------  ---------------  ---  ---  ---  ---  ---  ---  ---  ---  -------  ---------------
 M   40    3    22  56    6    0   180  Mpls MN    XXX-XX-XXXX      F   40    3   22   56   5    5   130  Mpls MN    XXX-XX-XXXX
- ----------------------------------------------------------------  ------------------------------------------------------------------
2. Residence Address                                              7. Residence Address  (Same as Item 2. /X/)

   123 Anystreet, Anytown USA                                        
- ----------------------------------------------------------------  ------------------------------------------------------------------
3. Employer's Name and Address                                    8. Employer's Name and Address

   Bell Telephone                                                    AT&T
- ----------------------------------------------------------------  ------------------------------------------------------------------
4. Occupation/Duties                                              9. Occupation/Duties

   Lineman                                                           Programmer
- ----------------------------------------------------------------  ------------------------------------------------------------------
5.A. Daytime telephone number    B. Home telephone number         10.A. Daytime telephone number     B. Home telephone number

     (XXX) XXX-XXXX                 (XXX) XXX-XXXX                   (XXX) XXX-XXXX                     (XXX) XXX-XXXX
- ----------------------------------------------------------------  ------------------------------------------------------------------
11.A. Name of Primary Beneficiary     Relationship    TAX ID #    B. Name of Contingent Beneficiary      Relationship     TAX ID #
             (if living)

          Jane Doe                      Spouse                          Timmy Doe                             Son
- ----------------------------------------------------------------  ------------------------------------------------------------------
12.A. Name of Owner                                               C. Social Security # (Tax ID #)
                                                                       XXX-XX-XXXX
          John Doe                                                ------------------------------------------------------------------
                                                                  D. Relationship to Insured(s)
- ----------------------------------------------------------------
   B. Address                                                                       self
                                                                  ------------------------------------------------------------------
          123 Anystreet, Anytown USA                              E. Daytime telephone number            F. Home telephone number

                                                                  (    )                                 (    )                    
                                                                   ----  ----------------------           ----  --------------------
- ----------------------------------------------------------------  ------------------------------------------------------------------
13. VARIABLE UNIVERSAL LIFE COVERAGE                              14. Allocation of Net Premium (Whole % Only)

    A. Plan    UUL Last Survivor                                        STOCK INVESTMENTS                BOND INVESTMENTS
           -----------------------------------------------------
    B. Face Amount        $500,000                                     25% A. Aggressive Growth         % H. High Yield
                  ----------------------------------------------      ---                              ---
    C. Planned Annual Premium       $1,000                               % B. International Stock         % I. Global Bond
                             -----------------------------------      ---                              ---
    D. Death Benefit Option  /X/ A (level)  / / B (increasing)         25% C. Growth Stock                % J. Diversified Income
                                                                      ---                              ---
    E. Riders                                                          25% D. Global Growth               % K. U.S. Government
          Jt First-To-Die Term Rider       Amount $                   ---                              ---
       ---                                         -------------         % E. Growth & Income             % L. Money Market
          Jt Second-To-Die Term Rider      Amount $                   ---                              ---
       ---                                         -------------       25% F. Global Asset Allocation     % M. General Account
        X Estate Protection Rider          Amount $                   ---                              ---
       ---                                         -------------         % G. Asset Allocation            % 
          1st Jt Primary Insured Rider +   Amount $                   ---                              ---  ------------------------
       ---                                         -------------         %                                %
          2nd Jt Primary Insured Rider +   Amount $                   ---  --------------------------  ---  ------------------------
       ---                                         -------------         %                                %
          Additional Insured Rider (Complete form(s) 56941)           ---  --------------------------  ---  ------------------------
       ---                                                               %                                %
          Number of Additional Riders Attached                        ---  --------------------------  ---  ------------------------
                                              ------------------         %                                %
          Waiver of Selected Amount        Amount $                   ---  --------------------------  ---  ------------------------
       ---                                         -------------         %                                %
          Covering:                                                   ---  --------------------------  ---  ------------------------
       --- / / 1st Jt Insured / /2nd Jt Insured / / Both Jt Insureds     %                                %
        X Waiver of Monthly Deductions                                ---  --------------------------  ---  ------------------------
       ---                                                               %                                %
          Covering:                                                   ---  --------------------------  ---  ------------------------
       --- / / 1st Jt Insured / /2nd Jt Insured / / Both Jt Insureds     %                                %
          NOTE: ONLY ONE WAIVER RIDER PER POLICY, SINGLE OR BOTH      ---  --------------------------  ---  ------------------------
                JT INSUREDS                                                         COMBINED ALLOCATIONS MUST TOTAL 100%
        X Guaranteed Death Benefit:                               ------------------------------------------------------------------
       ---        /X/ 10 Yr. (No Charge)    / / 20. Yr.           15.A. Mode of Payment
                  / / to age 85             / /                         / / Annual              / / Semi-Annual        / / Quarterly
        X Policy Split Option                                           /X/ Monthly Bank Draft  / /Special Billing
       ---     50% 1st Jt Insured    50% 2nd Jt Insured           ------------------------------------------------------------------
               ---                   ---                             B. Send mail to address in question number:
          Other                            Amount $                     /X/ 2   / / 3   / / 7   / / 8   / / 12.B.
       ---                                         -------------                                                 -------------------
          Other                            Amount $
       ---                                         -------------
- ------------------------------------------------------------------------------------------------------------------------------------
56940

<PAGE>
                                              1st Jt    2nd Jt                                                    1st Jt    2nd Jt
                                              Insured   Insured                                                   Insured   Insured
- ----------------------------------------------------------------  ------------------------------------------------------------------
16.A. Is this insurance applied for to        Yes   No  Yes   No  21. During the past 10 years has any            Yes   No  Yes   No
      replace or change insurance or                                  proposed insured had or received advice
      annuity in this or any other company?   / /  /X/  / /  /X/      or treatment for:
   B. Is any life insurance now pending                               A. chest pain, heart disease, heart
      elsewhere?                              / /  /X/  / /  /X/         attack, heart murmur, palpitions, 
- ----------------------------------------------------------------         angina, stroke, high blood pressure,
   C. If Yes, Explain.                                                   or other circulatory disorder?           / /  /X/  / /  /X/
                                                                      B. ulcer, colitis, hepatitis, disorder
                                                                         of liver, stomach or intestines?         / /  /X/  / /  /X/
                                                                      C. kidney, bladder, prostate, or other
- ----------------------------------------------------------------         urinary disorder, or reproductive        / /  /X/  / /  /X/
17. Life Insurance in Force             Type: P=Personal G=Group         organs?
    (if none, state "None")     None          B=Business              D. emphysema, tuberculosis, asthma, lung
- ----------------------------------------------------------------         or respiratory disorder?                 / /  /X/  / /  /X/
                   Covering   Policy                      Year        E. cancer, tumor, growth, arthritis,
     Company       Insured     #(s)    Type    Amount    Issued          disorder of muscle or skin?              / /  /X/  / /  /X/
- -----------------  ---------  -------  ----  ----------  ------       F. diabetes, disorder of thyroid,
- -----------------  ---------  -------  ----  ----------  ------          endocrine glands, or sugar in urine?     / /  /X/  / /  /X/
- -----------------  ---------  -------  ----  ----------  ------       G. anemia or other disorder of blood or
- -----------------  ---------  -------  ----  ----------  ------          blood vessels?                           / /  /X/  / /  /X/
- -----------------  ---------  -------  ----  ----------  ------       H. anxiety or depression, epilepsy,
- -----------------  ---------  -------  ----  ----------  ------          paralysis, suicide attempt, nervous
- -----------------  ---------  -------  ----  ----------  ------          or brain disorder, Alzheimer's or any
- -----------------  ---------  -------  ----  ----------  ------          senility disorder?                       / /  /X/  / /  /X/
- ----------------------------------------------------------------      I. any disorder of eyes, ears, amputation
18. Has any person named in Items 1 or 6:     1st Jt    2nd Jt           or joint disorder?                       / /  /X/  / /  /X/
                                              Insured   Insured       J. alcohol or drug use or abuse; received
                                              --------  --------         counseling or treatment recommended; 
                                              Yes   No  Yes   No         or joined any organization for 
   A. flown or plan to fly as a pilot or                                 alcohol or drug abuse?                   / /  /X/  / /  /X/
      crew member?  If Yes, complete          / /  /X/  / /  /X/      K. used cocaine, heroin, marijuana, or any
      questionnaire on page 7.                                           other illegal restricted or controlled
   B. done any land or water vehicle                                     substance except as prescribed by a 
      competition or racing, skydiving,       / /  /X/  / /  /X/         physician?                               / /  /X/  / /  /X/
      underwater diving, or rock climbing?                            L. unexplained weight loss, recurrent 
      If Yes, complete questionnaire on                                  fever, or chronic fatigue or diarrhea?   / /  /X/  / /  /X/
      page 7.                                                     ------------------------------------------------------------------
   C. any plans to travel or live outside                         22. During the past 10 years has any proposed   Yes   No  Yes   No
      U.S.?                                   / /  /X/  / /  /X/      insured:
   D. been released from the military for                             A. had or been told he or she had Acquired
      medical reasons?                        / /  /X/  / /  /X/         Immune Deficiency Syndrome ("AIDS"),
   E. had any life insurance declined,                                   AIDS Related Complex ("ARC"), or AIDS
      postponed, or had extra premium added?  / /  /X/  / /  /X/         related conditions?                      / /  /X/  / /  /X/
   F. received payment for disability,                                B. received treatment in connection with
      illness or injury?                      / /  /X/  / /  /X/         any of the categories named in (A.)      / /  /X/  / /  /X/
   G. been convicted of moving violations                             C. tested positive for antibodies to the
      or had driver's license revoked or      / /  /X/  / /  /X/         AIDS (Human T-cell Lymphotropic, HIV)
      suspended in the last 5 years?                                     virus?                                   / /  /X/  / /  /X/
      If Yes, list driver's license number and                    ------------------------------------------------------------------
      state                                                       23. Within the past 5 years has any proposed    Yes   No  Yes   No
           --------------------------------                           insured:
   H. been convicted of a felony?             / /  /X/  / /  /X/      A. had a physical examination, 
- ----------------------------------------------------------------         electrocardiogram, x-ray, blood test, or
19.A. Does any proposed insured                         Yes   No         diagnostic test?                         /X/  / /  /X/  / /
      currently smoke cigarettes?                       /X/  / /      B. had or been advised to have surgery or
   B. If yes, list name(s):      John Doe                                any diagnostic testing?                  / /  /X/  / /  /X/
                           --------------------------                 C. had any medical treatment, consultation
      -----------------------------------------------                    or exam, medication or prescribed diet,
   C. If no, has any proposed insured ever smoked                        or health impairment not mentioned
      cigarettes?                                       / /  / /         above?                                   / /  /X/  / /  /X/
   D. If yes, list name(s):                                       ------------------------------------------------------------------
                           --------------------------             24. Name and address of last doctor consulted by:
      -----------------------------------------------
   E. Date ceased smoking        n/a                                  A. First Joint Insured:
                         ----------------------------
   F. Does any proposed insured use tobacco in any                
      form?                                             /X/  / /      Date:  Dr. Jones                 Reason & Results
   G. If yes, list names and type of tobacco used:                         ----------------------------
            John Doe - Marlboro Lights                                       456 Alpine St
      -----------------------------------------------                        Anytown, USA
      -----------------------------------------------
- ----------------------------------------------------------------
20. Questions for Temporary Insurance Agreement.        Yes   No
    Complete only if premium is collected                         
    (see receipt).                                                ------------------------------------------------------------------
    Has any person(s) listed in Items 1 or 6:                         B. Second Joint Insured:
    A. Within the past 90 days, been admitted to a 
       hospital or other medical facility, been 
       advised to be admitted or had surgery                          Date:  Dr. Jones                 Reason & Results
       performed or recommended?                        / /  /X/           ----------------------------
    B. Within the past 12 consecutive months, been                           456 Alpine St
       absent from work a total of 10 working days                           Anytown, USA
       or more for health reasons?                      / /  /X/
    C. Within the past 2 years had or been treated
       for heart disease, stroke, cancer, or had such
       treatment recommended by a physician or other
       medical practitioner?                            / /  /X/

If any of the above questions are answered Yes for any insureds,
NO COVERAGE will take effect under this agreement. None of our
representatives is authorized to accept money for the above
persons, and NO COVERAGE will take effect under this agreement
for any proposed insureds. If any of the above questions are left
blank, NO COVERAGE will take effect for any persons listed above
as proposed insureds.
- ------------------------------------------------------------------------------------------------------------------------------------
<PAGE>

- ------------------------------------------------------------------------------------------------------------------------------------
25. Requested effective date or any additional request            27. DETAILS OF "YES" ANSWERS IN QUESTIONS 18-23. Include details
    or statement:                                                     such as dates; names and addresses of insurance companies,
                                                                      policy numbers, doctors, hospitals; nature of any illness or
                                                                      disorder; episodes; duration; residual effects; reasons for
                                                                      prior adverse insurability decisions.

                                                                      Question #       Name of Person          Explanation
- ----------------------------------------------------------------
26. Home Office Corrections and Additions: This space will not
    be used when such use is not allowed by state statutes or 
    insurance department regulations.













- ----------------------------------------------------------------
Changes or corrections made by the Company and noted in Item 26 
are ratified by the owner upon acceptance of a contract 
containing this application with the noted changes or 
corrections. In those states where written consent is required 
by statute or State Insurance Department regulation. (including 
Maryland) amendment as to plan, amount, classification or 
benefits will be made only with the owner's written consent.
- ------------------------------------------------------------------------------------------------------------------------------------
REPRESENTATIONS: To the best of my knowledge and belief, the statements and answers in this application are full, complete and true.
I acknowledge that this Part I application, along with any examination supplement or amendment make up the entire application and
will be the basis of and become part of any policy issued. I acknowledge that except as may be provided by the terms of the
Temporary Insurance Agreement, the insurance applied for will not become effective unless (1) the first full modal premium has been
paid and (2) the policy has been issued and delivered to the owner while to the best of his or her knowledge the health of the
insureds remains as described in this application. I have read and received the NOTICE OF INFORMATION PRACTICES.

I BELIEVE THAT A FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE POLICY IS CONSISTENT WITH MY INVESTMENT OBJECTIVES AND FINANCIAL NEEDS.

I UNDERSTAND THAT THE DEATH BENEFIT FOR THE FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE POLICY APPLIED FOR MAY INCREASE OR DECREASE
BASED ON THE INVESTMENT EXPERIENCE OF THE POLICY AND ON THE DEATH BENEFIT OPTION CHOSEN. I HAVE RECEIVED THE CURRENT PROSPECTUS FOR
FLEXIBLE PREMIUM VARIABLE LIFE; I AM AWARE THAT THE PROSPECTUS INCLUDES A DISCLOSURE ON THE ACCELERATED BENEFIT RIDER INCLUDED IN
THIS POLICY.

I UNDERSTAND THAT THE SURRENDER VALUE FOR THE FLEXIBLE PREMIUM VARIABLE LIFE INSURANCE POLICY APPLIED FOR MAY INCREASE OR DECREASE
BASED ON THE INVESTMENT EXPERIENCE OF THE POLICY AND IS NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT. THERE IS NO GUARANTEED MINIMUM
SURRENDER VALUE IN THE SEPARATE ACCOUNT. THE DEATH BENEFIT WILL NEVER BE LESS THAN THE FACE AMOUNT OF THE POLICY.

AUTHORIZATION TO RELEASE INFORMATION: For underwriting and claim purposes I give my permission to:

Any physician or other medical practitioner, hospital, clinic, insurance company, consumer reporting agency, MIB, Inc., or any other
organization to give Fortis Benefits or its reinsurers ALL INFORMATION on my behalf including findings on medical care, alcohol or
drug abuse information, psychiatric or psychological care or examination, or surgery, as they apply to me or any of my children who
are to be insured.

I give my permission to Fortis Benefits or its reinsurers, to:

   (1)  Release any information to the MIB, Inc., and to other life insurance companies I may come in contact with.
   (2)  Obtain an investigative consumer report on me. (By checking this box, / /, I request a personal interview by the consumer
        reporting agency.) I know that I am entitled to a copy of this consumer report.
   (3)  Obtain personal history information on me.
   (4)  Obtain medical history information from my attending physician, clinic or hospital.

So that I can receive information on other insurance or investment products and services that may be of interest to me, you may
provide information about me to your affiliates. (By checking this box, / /, I do not want this information disclosed.)

I know that I have a right to a copy of this authorization. A photocopy will be as valid as the original. This authorization will be
valid for two and one half years from the date shown below.
- ------------------------------------------------------------------------------------------------------------------------------------
  THE UNDERSIGNED APPLICANT(S) AND AGENT CERTIFY THAT THE APPLICANT(S) HAS READ, OR HAD READ TO, THE COMPLETED APPLICATION AND THAT
     THEY REALIZE THAT ANY FALSE STATEMENT OR MISREPRESENTATION THEREIN MAY RESULT IN LOSS OF COVERAGE UNDER THE APPLIED FOR POLICY.

Dated    May 1                   1996       City    Mpls                                  State     MN
     ------------------------   -------             -----------------------------------------      ------------------------
                                                                                                    (Please Print)
Agent: Does this insurance replace any life insurance or
       annuity in this or any other company? / / Yes /X/ No       X                      John Doe
                                                                   -----------------------------------------------
                                                                          Signature of First Joint Insured

X                     John Q. Agent                               X                      Jane Doe
 --------------------------------------------------------          -----------------------------------------------
 Agent (Licensed agent must sign where            Agent #                 Signature of Second Joint Insured     
 required by law)                                                 X
                                                                   ------------------------------------------------
                                                                   Signature of Owner (if other than joint insured)

</TABLE>
<PAGE>


                            TEMPORARY INSURANCE AGREEMENT
            (TO BE GIVEN TO THE APPLICANTS IF FULL MODAL PREMIUM IS MADE)

This agreement provides a LIMITED AMOUNT of insurance coverage, for a LIMITED
PERIOD of time, subject to the terms of this agreement.

AMOUNT OF LIFE INSURANCE COVERAGE -- $250,000 MAXIMUM PER LIFE

If both joint insureds and/or person(s) covered under the additional insured
rider die, while this temporary insurance is in effect, we will pay to the named
beneficiary the lesser of (a) the amount of all the death benefits applied for
in the application, including any optional benefits, if applicable, or (b) 
$250,000 per life.  This total benefit limit applies to all insurance applied 
for under conditional receipts and temporary insurance agreements with us and 
any other companies.

Temporary coverage under this agreement will provide the same benefits, and be
subject to the same terms as would apply under the policy had it become
effective, except for the following limitations on our aggregate liability.

WHEN COVERAGE BEGINS

Temporary insurance under this agreement will begin on the date this agreement
is signed but only if (1) Part I of the application has been completed on the
same date or prior to the date of this agreement,  (2) Health Questions 20.A, B
and C are answered No, and (3) the full modal premium is collected.


Received $  1,000    for insurance on     /s/  John Doe
         -----------                 ------------------------------------------
                                          Name of First Joint Insured

                                          /s/  Jane Doe
                                     ------------------------------------------
                                          Name of Second Joint Insured


                                     ------------------------------------------
                                          Name of Other Insured



Signed this    1st    day of   May    19 96          /s/  John Q. Agent
           ---------       ----------  ----   ---------------------------------
                                                     Signature of Agent
56940
- --------------------------------------------------------------------------------
NOTE: THIS FORM MUST BE GIVEN TO THE APPLICANT BEFORE THE APPLICATION IS SIGNED

                           NOTICE OF INFORMATION PRACTICES

To underwrite and service your insurance coverage, we need certain information
about you.  The amount and type of information we collect may vary depending on
the amount and type of coverage you have applied for.  In general, we will seek
information about your age, occupation, physical condition, health history, mode
of living, activities, and other personal characteristics.  We may collect
information by letter, phone or personal contact.

Your application gives us most of the information we need to underwrite your
coverage.  We may, however, collect or verify information by contacting other
parties.  Typically, these are physicians, clinics or hospitals that have
provided care for you (or family members proposed for coverage), other insurers
to whom you may have applied for coverage, and MIB, Inc.

Your agent will complete a report giving us information about your financial
status and the purpose of the coverage.  He or she may also collect information
for updating and improving your insurance or investment program.

                            INVESTIGATIVE CONSUMER REPORT

To verify or add to information you have given us, we may request an
investigative report for a consumer reporting agency.  The report may include
information about your character, habits, residence, occupation, income,
financial status, aviation and hazardous activities, and medical history
including mental illness and the use of drugs and alcohol.  Sources of this
information may include your friends, neighbors, and associates.  The consumer
reporting agency may keep a copy of the report.  They may disclose its contents
to others for whom they perform similar services.  If you request it, we will
supply the name, address, and telephone number of the nearest disclosing unit of
the consumer reporting agency through which you may obtain a copy of the report.

Instead of requesting a commercial consumer report, we may contact you directly
to obtain information.

              DISCLOSURE NOTICE -- MIB, INC. (MEDICAL INFORMATION BUREAU)

Information regarding your insurability will be treated as confidential.  Fortis
benefits or its reinsurer(s) may, however, make a brief report to the MIB, 
Inc., a non-profit membership organization of life insurance companies, which 
operates an information exchange on behalf of its members.  If you apply to 
another Bureau member company for life or health insurance coverage, or a 
claim for benefits is submitted to such a company, the Bureau, upon request 
will supply that Company with the information in its file.

Upon receipt of a request from you, the Bureau will arrange disclosure of any
information it may have in your file.  If you question the accuracy of
information in the Bureau's file, you may contact the Bureau and seek a
correction in accordance with the procedures set forth in the Federal Fair
Credit Reporting Act.  The address of the Bureau's information office is Post
Office Box 105, Essex Station, Boston, Massachusetts 02112, telephone number
(617) 426-3660.

Fortis Benefits or its reinsurer(s) may also release information in its file to
other life insurance companies to whom you may apply for life or health
insurance, or to whom a claim for benefits may be submitted.

56940
<PAGE>

WHEN COVERAGE TERMINATES -- 90 DAY MAXIMUM

Temporary insurance under this agreement will terminate automatically on the
earliest of:
1. 90 days from the date of this agreement, or
2. the date that insurance begins under the policy applied for, or
3. the date a policy, other than as applied for, is offered to the applicant(s),
   or
4. the date we mail the notice of termination of coverage to the premium notice
   address stated in Part I of the application.

PREMIUMS
1. We will first apply premiums to all policies which become effective as a
   result of the application.
2. We will refund the premiums if ALL these conditions are met:
   a. No claim is paid under this agreement, and
   b. No coverage becomes effective under the policy(ies) applied for, and
   c. No coverage becomes effective under the policy(ies) we offer other than
      the policy applied for.
3. We will keep part of the premium equal to the premium for the kind, amount,
   and period of coverage (but not less than one month) given under this
   agreement, if a benefit is paid under this agreement.  Any remaining premium
   will be refunded.
4. ALL PREMIUM CHECKS MUST BE MADE PAYABLE TO THE COMPANY.  DO NOT MAKE CHECK
   PAYABLE TO THE AGENT OR LEAVE THE PAYEE BLANK.

SPECIAL LIMITATIONS
1. If benefits are payable under this agreement, then no benefit relating to
   that loss will be payable under any policy which is applied for.
2. Material misrepresentations or fraud in the application or in the answers to
   the health questions invalidate this agreement and our only liability is
   for refund of payment made.
3. No one is authorized to accept money on proposed insured(s) under 15 days of
   age or over age 65 (last birthday) on the date this agreement is signed, nor
   will any coverage take effect.
4. If the insured dies by suicide (in Missouri -- which we can prove was
   contemplated when this application was signed) our liability under this
   agreement is limited to a refund of the payment made.
5. There is no coverage under this agreement if the check or draft submitted as
   payment is not honored on first presentation to the bank.
6. No one is authorized to waive or modify any of the provisions of this
   agreement.

This Temporary Insurance Agreement may only be issued if (1) Part I of the
application is completed, (2) Health Questions 20.A, B and C are answered No,
and (3) the full modal premium is collected.

FORTIS BENEFITS INSURANCE COMPANY, P.O. BOX 64582, ST. PAUL, MN 55164
56940
- --------------------------------------------------------------------------------



                              DISCLOSURE OF INFORMATION

We treat the information we have about you as confidential.  The authorization
form that you sign will permit us to send the information to MIB, to our
reinsurers, to an organization that may do a claim investigation for us, and to
other life insurance companies to whom you may apply for life or health
insurance or to whom a claim for benefits may be submitted.  Only in rare cases
will we send some or all of the information to third parties without your
consent.  For example, we may make it available to State Insurance Departments
in connection with their regulation of our business, or to law enforcement
officials in response to a summons or subpoena.

                                 YOUR INSURANCE FILES

You have the right to know what information we keep in our files about you, to
have access to the information, and to obtain a copy. We are not required to
give you access to some types of information.  Generally, this is information
collected in connection with a claim or when the possibility of a lawsuit
exists.

We will tell you the general nature of information in an interview report
obtained from a consumer reporting agency.  If you wish, that agency will
provide you with more specific details or a copy of the report.  If we contact
you directly for information, we will send you a copy of our report.

We will provide medical information through a physician that you choose.

If you want information from your files contact us.  There may be a reasonable
charge for supplying copies of your records.  If you want access to medical
information, give us the name of a physician we may contact.

If you think your file contains incorrect information, notify us indicating what
you believe is incorrect and your reasons.  We will reinvestigate the matter and
either correct our records or place a statement from you in our files explaining
why you believe the information is incorrect.  We will also notify persons or
organizations to whom we previously disclosed the information of the change or
your statement.

If you need further information or have any questions about our information
practices or your access rights contact:

FORTIS BENEFITS INSURANCE COMPANY, P.O. BOX 64582, ST. PAUL, MN 55164

56940
<PAGE>


<TABLE>
<CAPTION>


                                             ADDITIONAL COVERAGE SUPPLEMENT
                                           FORTIS BENEFITS INSURANCE COMPANY
                                           P.O. BOX 64582, ST. PAUL, MN 55164
                                                                                                                      [LOGO]Fortis
<S>                                                        <C>
- -----------------------------------------------------------------------------------------------------------------------------------
1.  Name of Additional Insured                             |Sex |Age| Date of Birth |Height | Wt.| Birth- | Social Security Number
                                                                     --------------  ------   --- 
                                                           |    |   | Mo.| Day| Yr. |Ft.|In.| Lb.| Place  |
    Tim Doe                                                |------------------------------------------------------------------
                                                           |    |   |    |    |    |     |  |    | Mpls   |
                                                           | m  |20 | 3  | 22 | 52 |  6  |1"| 170| MN     |     xxx-xx-xxxx
- -----------------------------------------------------------------------------------------------------------------------------------
2.  Residence Address                                                       Zip Code    | 3. Occupation/Duties
    123 Anystreet, Anytown, USA                                                         |       Plumber
- ------------------------------------------------------------------------------------------------------------------------------------
4.  Employer's Name and Address                                             Zip Code    | 5. A. Daytime telephone number
                                                                                        |       Area Code                Number
     ACME Plumbing, 456 Main, Mpls                                                      |       (xxx    )            xxx-xxxx
- ------------------------------------------------------------------------------------------------------------------------------------
6.  Relationship to Primary Insureds                                                    |    B. Home telephone number
                                                                                        |       Area Code                Number
      Son                                                                               |       (xxx   )             xxx-xxxx
- ------------------------------------------------------------------------------------------------------------------------------------
7.  Name of Primary Beneficiary Other Insured (if living)   Relationship |Name of Contingent Beneficiary Other Insured  Relationship
                                                                         |
       Laura Doe                                             Spouse      |      Mickey Doe                              son
- ------------------------------------------------------------------------------------------------------------------------------------
8.  Additional Coverage Rider Amount                                     |12.A  Does the additional insured             Yes    No
                                                                         |      currently smoke cigarettes?             / /    /x/
                                                                         |   B. If no, has the additional insured ever             
      $100,000                                                           |      smoked cigarettes?                      / /    /x/ 
- --------------------------------------------------------------------------   C. Date ceased smoking ___________________            
9.A.Is this insurance applied for to replace or change          Yes    No|                                                         
    insurance or annuity in this or any other company?          / /   /x/|   D. Does the additional insured use tobacco            
  B.Is any life insurance now pending elsewhere?                / /   /x/|      in any form?                            / /    /x/ 
- --------------------------------------------------------------------------
  C.If yes, Explain                                                      |   E. If yes, what is used?__________________
                                                                         |                                             
- -------------------------------------------------------------------------|      _______________________________________
10. Life Insurance in Force (if none, state "None") Type:  P=Personal    |
                                                   G=Group   B=Business  |      _______________________________________
- -------------------------------------------------------------------------|----------------------------------------------------------
        Name of Insurance    |  Policy   |   Amount   |  Type |  Year    |13. During the past 10 years has the additional
             Company         |   #(S)    |            |       |  Issued  |    insured had or received advice or treatment
- -----------------------------|-----------|------------|-------|----------|    for:                                           Yes  No
              None           |           |            |       |          |  A.chest pain, heart disease, heart attack, heart
- -----------------------------|-----------|------------|-------|----------|    murmur, palpitations, angina, stroke, high blood
                             |           |            |       |          |    pressure, or other circulatory disorder?      / /  /x/
                             |           |            |       |          |  B.ulcer, colitis, hepatitis, disorder of liver,
- -----------------------------|-----------|------------|-------|----------|    stomach or intestines?                        / /  /x/
                             |           |            |       |          |  C.kidney, bladder, prostate, or other urinary
                             |           |            |       |          |    disorder, or reproductive organs?             / /  /x/
- -----------------------------|-----------|------------|-------|----------|  D.emphysema, tuberculosis, asthma, lung or
                             |           |            |       |          |    respiratory disorder?                         / /  /x/
                             |           |            |       |          |  E.cancer, tumor, growth, arthritis, disorder of
- -----------------------------|-----------|------------|-------|----------|    muscle or skin?                               / /  /x/
                             |           |            |       |          |  F.diabetes, disorder of thyroid, endocrine glands,      
                             |           |            |       |          |    or sugar in urine?                            / /  /x/
- -------------------------------------------------------------------------   G.anemia or other disorder of blood or                  
11.Has the additional insured:                                  Yes   No |    blood vessels?                                / /  /x/
   A.flown or plan to fly as a pilot or crew member?            / /  /x/ |  H.anxiety or depression, epilepsy, paralysis,           
     If Yes, complete questionnaire on page 5.                           |    suicide attempt, nervous or brain disorder,           
   B.done any land or water vehicle competition or racing,               |    Alzheimer or any other senility disorder?     / /  /x/
     skydiving, underwater diving, or rock climbing?            / /  /x/ |  I.any disorder of eyes or ears, amputation or           
     If Yes, complete questionnaire on page 5.                           |    joint disorder?                               / /  /x/
   C.any plans to travel or live outside    U.S.?               / /  /x/ |  J.alcohol or drug use or abuse; received                
   D.been released from the military for medical reasons?       / /  /x/ |    counseling or treatment recommended; or               
   E.had any life insurance declined, postponed, or                      |    joined any organization for alcohol or                
     had extra premium added?                                   / /  /x/ |    drug abuse?                                   / /  /x/
   F.received payment for disability, illness or injury?        / /  / / |  K.used cocaine, heroin, marijuana, or any other         
   G.been convicted of any moving violations or had driver's             |    illegal, restricted or controlled substance           
     license revoked or suspended in the past 5 years?          / /  /x/ |    except as prescribed by a physician?          / /  /x/
     If Yes, list driver's license number and state __________           |  L.unexplained weight loss, recurrent fever, or          
     _________________________________________________________           |    chronic fatigue or diarrhea?                  / /  /x/
     _________________________________________________________           |  
   H.been convicted of a felony?                                / /  /x/ |  
                                                                         |  
- ------------------------------------------------------------------------------------------------------------------------------------
<PAGE>

14. During the past 10 years has any proposed insured:          Yes  No  |17.DETAILS OF "YES" ANSWERS IN QUESTIONS 10-15. Include
  A.had or been told he or she had Acquired Immune                       |   details such as dates; names and addresses of insurance
    Deficiency Syndrome ("AIDS"), AIDS Related Complex                   |   companies, policy numbers, doctors, hospitals; nature
    ("ARC"), or AIDS related conditions?                        / /  /x/ |   of any illness or disorder; episodes; duration;
  B.received treatment in connection with any of the                     |   residual effects; reasons for prior adverse 
    categories named in (A.)                                    / /  /x/ |   insurability decisions.
  C.tested positive for antibodies to the AIDS                           |
    (Human T-cell Lymphotropic, HIV) virus?                     / /  /x/ |    Question #                 Explanation
- -------------------------------------------------------------------------|
15. Within the past 5 years has the additional insured:         Yes  No  |
  A.had a physical examination, electrocardiogram, x-ray,                |
    blood test, or diagnostic test?                             / /  /x/ |
  B.had or been advised to have surgery or any                           |
    diagnostic testing?                                         / /  /x/ |
  C.had any medical treatment, consultation or exam,                     |
    medication or prescribed diet, or health impairment                  |
    not mentioned above?                                        / /  /x/ |
- -------------------------------------------------------------------------|
16. Name and address of last doctor consulted by:                        |
                                                                         |
  A.    Dr. Jones                                                        |
                                                                         |
  B.Date:   01-01-96                 C. Reason      Physical             |
                                                                         |
  D.Results                                                              |
                                                                         |
                Normal limits                                            |
                                                                         |
                                                                         |
                                                                         |
                                                                         |
                                                                         |
                                                                         |
                                                                         |
                                                                         |
- -----------------------------------------------------------------------------------------------------------------------------------
</TABLE>

AUTHORIZATION TO RELEASE INFORMATION:  For underwriting and claim purposes I
give my permission to:

Any physician or other medical practitioner, hospital, clinic, insurance
company, consumer reporting agency, MIB, Inc., or any other organization to give
Fortis Benefits or its reinsurers ALL INFORMATION on my behalf including 
findings on medical care, alcohol or drug abuse information, psychiatric or 
psychological care or examination, or surgery, as they apply to me or any of 
my children who are to be insured.

I give my permission to Fortis Benefits or its reinsurers, to:
    (1)  Release any information to the MIB, Inc., and to other life insurance
         companies I may come in contact with.
    (2)  Obtain an investigative consumer report on me. (By checking this box,
         / /, I request a personal interview by the consumer reporting agency.)
         I know that I am entitled to a copy of this consumer report.
    (3)  Obtain personal history information on me.
    (4)  Obtain medical history information from my attending physician, clinic
         or hospital.

So that I can receive information on other insurance or investment products and
services that may be of interest to me, you may provide information about me to
your affiliates.  (By checking this box, / /, I do not want this information
disclosed.)

I know that I have a right to a copy of this authorization.  A Photocopy will be
as valid as the original.  This authorization will be valid for two and one half
years from the date shown below.
- -------------------------------------------------------------------------------
    THE UNDERSIGNED APPLICANT(S) AND AGENT CERTIFY THAT THE APPLICANT(S) HAS
    READ, OR HAD READ TO, THE COMPLETED APPLICATION AND THAT THEY REALIZE THAT
    ANY FALSE STATEMENT OR MISREPRESENTATION THEREIN MAY RESULT IN LOSS OF
    COVERAGE UNDER THE APPLIED FOR POLICY.

Dated        May 1      1996       City        Mpls         State        MN
     ----------------  -----            -------------------       -------------
                                                                  (Please Print)

Agent:   Does this insurance replace any life insurance or
         annuity in this or any other company?  / / Yes  / / No

                                      /s/   Timothy Doe
                                x--------------------------------------------
                                  Signature of Additional Insured (Over Age 15)
     /s/  John Q. Agent
X --------------------------- 
     Agent
                                      /s/   John Doe
                                x--------------------------------------------
                                               Signature of Owner

                                --------------------------------------------
                                               Signature of Owner



<PAGE>







                                  Exhibit No. 6








<PAGE>

April 26, 1996



Fortis Benefits Insurance Company
P.O. Box 64271
St. Paul, Minnesota 55164



Gentlemen:

This opinion is furnished in connection with the offering by Fortis Benefits
Insurance Company of a Flexible Premium Survivorship Variable Life Insurance
Policy ("Policy"), under the Securities Act of 1933.  The prospectus included in
our registration statement on Form S-6 describes the policy.  I have reviewed
the Policy form and I am familiar with the registration statement, and the
exhibits thereto, as proposed to be filed.

     1.   The hypothetical illustrations of the Policy values, cash surrender
          values, and death benefits included in Appendix B to the prospectus
          are based on assumptions stated in the illustrations and are
          consistent with the provisions of the Policy.

     2.   The Policy has not been designed so as to make the relationship
          between premiums and benefits, as shown in the illustrations, appear
          disproportionately more favorable to a prospective purchaser of a
          Policy for a male age 55 and a female age 53, than to a prospective
          purchaser of Policies for males of other ages or underwriting classes,
          or for females.  Nor have the particular examples set forth in the
          illustrations been selected for the purpose of making this
          relationship appear more favorable.

I hereby consent to the use of this opinion as an exhibit to the registration
statement and to the use of my name under the heading of "Experts" in the
prospectus.

Sincerely,


/s/ Renee C. West

Renee C. West, FSA, MAAA
Actuarial Officer
Fortis Benefits Insurance Company

/cln

<PAGE>






                                 Exhibit No. 7











<PAGE>

                           NOTICE OF WITHDRAWAL RIGHT
                              Right of Cancellation

Owner and Address:                           Policy Number:WMH80003
John Doe                                     Joint Insureds:    John Doe
Jane Doe                                     Jane Doe
5805 Clover Drive
Odessa, Texas 79760                          Face Amount:   $1,500,000

Date of Notice: February 10, 1996            Monthly Minimum Premium: $1,117.12

This notice is legally required by the Securities and Exchange Commission ( SEC
). Please read it carefully and retain it with your important records.  Keep it
with your Flexible Premium Survivorship Variable Life Insurance Policy.

Benefits under this Policy depend on the investment experience of Variable
Account C, to the extent that net premiums are allocated to its Subaccounts.

You have the right to examine and to return this Policy to us.  You may return
the Policy and the enclosed form to us by delivery or by mail postmarked within
10 days from receipt of this notice, 10 days from receipt of  the Policy or 45
days from the date of the Part 1 of the application, whichever is latest.  Upon
its return, you will receive within 7 days a refund equal to the premiums paid.
Such refund will not include any term conversion credits or credits for
certain groups.

PLEASE SEE THE NEXT PAGE FOR DETAILS YOU MAY WISH TO CONSIDER IN DETERMINING
WHETHER OR NOT TO EXERCISE YOUR RIGHT OF CANCELLATION.

In the event that you decide to exercise this right, complete the enclosed form
and return your Policy, as outlined in the instructions on the form, by delivery
to the Home Office or by mail postmarked on or before the latest date permitted
for cancellation as described above.

In determining whether or not to exercise your right of cancellation, you should
consider, among other things, the projected cost of your Policy and your ability
to make the payments necessary to keep it in force.

   Your Policy provides a Guaranteed Death Benefit Rider.  This provision
   provides a no lapse guarantee until February 10, 2048. If your accumulated
   premiums less withdrawals and less loans are at least equal to the
   accumulation of the Monthly Minimum Premiums to date at all times within this
   period, your Policy is guaranteed not to lapse during this period, regardless
   of the investment performance of the Subaccounts.  Accumulation of premiums
   is at an effective annual rate of 4% assuming payment of all premiums at the
   beginning of each policy year.  Withdrawals taken in a policy year are
   accumulated at 4% assuming they are taken at the earlier of the end of that
   policy year or the current date.

   Your policy also provides for Planned Periodic Premiums.  Since the Policy is
   a flexible premium policy, you can vary the premium amount or frequency of
   payments. Your Policy will not lapse provided there is sufficient Net Cash
   Value in the Policy to keep it in force or the Guaranteed Death Benefit
   described above is in effect.

<PAGE>

The Prospectus which you have been furnished describes the charges in connection
with the Policy, including the following:

   A Policy Issuance Expense Charge of $9,000.00

   Sales Charges capped at 9% of premiums paid are collected as follows:
   ( a ) a 0% (maximum of 5%) direct assessment against premiums paid.
   ( b ) a monthly deduction of $4.00.
   ( c ) a daily asset charge at an annual rate of .35% of the net assets of the
   Policy in the Separate Account.
   The difference between 9% of premiums paid and the charges ( a ) through ( c
   ) above plus the remaining Policy Issuance Expense Charge will be collected
   as part of a Surrender Charge.

   The maximum Surrender Charge of $15,750.00 decreases linearly to zero in the
   eleventh Policy year. The Actual Surrender Charge for the Policy is the
   lesser of the applicable Maximum Surrender Charge or the Surrender Charge
   indicated above.

   The Prospectus describes additional administration expenses and other
   charges, including a monthly administration charge of $6.00 (maximum $7.50
   plus $0.13 per $1,000), service charges of $0.00 (maximum $25.00) that may be
   assessed in connection with either transfers or partial withdrawals and a
   2.2% (maximum 3.0%) premium tax charge that may be assessed against premiums.

<PAGE>

                            REQUEST FOR CANCELLATION

Policy Number:      WMH00033

Joint Insureds:     Gene Kelly
                    Audrey Meadows

Owner:              Gene Kelly
                    Audrey Meadows

If after reading the enclosed notice you choose to return your Policy for
cancellation, you must:

       1. Sign and date the bottom portion of this form.

       2. Mail this form together with your Policy to the above address or
          deliver them to the Home Office - VUL Underwriting at

          Fortis Financial Group
          500 Bielenberg Drive
          Woodbury, MN 55125

       3. Make certain that the form is delivered or that the postmark date on
          the return envelope is on or before the last date permitted for
          cancellation as described in the Notice of Withdrawal Right.

In accordance with the terms of the Notice of Withdrawal Right furnished me, I
hereby return the Policy identified above for cancellation and request for the
refund described in the Notice.  I hereby release the Company from all claims
arising out of or in connection with the sale or issuance of the Policy and I
acknowledge that the Company's sole liability with respect to the Policy is the
refund to me.


__________________________              ___________________________
Signature of Owner                      Date


__________________________
Signature of Owner

<PAGE>

                                                                 May ___, 1996

                        MEMORANDUM OF CERTAIN PROCEDURES
                           WITH RESPECT TO PRICING AND
                           PROCESSING OF TRANSACTIONS
                      PURSUANT TO RULE 6e-3(t)(b)(12)(iii)


Rule 6e-3(T)(b)(12)(iii) under the Investment Company Act of 1940 (the "1940
Act") exempts separate accounts, their investment advisers, principal
underwriters and sponsoring insurance companies from Sections 22(d), 22(e) and
27(c)(1) of the 1940 Act, and Rule 22c-1 promulgated thereunder, as necessary to
comply with Rule 6e-3(T) or with insurance laws and regulations and established
administrative procedures of the insurance company for issuance, transfer and
redemption of flexible premium variable life insurance policies, including, but
not limited to, premium rate structure and premium processing, insurance
underwriting standards and the particular benefit afforded by the policy.  In
order to qualify for the exemption, the procedures must be reasonable, fair and
not discriminatory to the interests of the affected policy owners and to all
other owners of policies of the same class or series, and the procedures must be
disclosed in the registration statement filed by the separate account.

This memorandum is for the purpose of satisfying said disclosure requirement
with respect to certain procedures to be followed by Fortis Benefits Insurance
Company ("Fortis Benefits") with respect to its flexible premium variable life
insurance policies ("Policies").  Most of Fortis Benefits' procedures for
matters within the scope of Rule 6e-3(T)(b)(12)(iii), including some of the
procedures described in this memorandum, are disclosed in the prospectus forming
a part of the Form S-6 registration statement filed by Fortis Benefits and its
Variable Account C (the "Separate Account"), as amended.  Accordingly, the
disclosures contained in this memorandum are supplemental in nature.

Fortis Benefits believes its procedures meet the requirements of Rule 6e-
3(T)(b)(12)(iii) and states the following:

     1.   Because of the insurance nature of the Policies, and due to the
          requirements of state insurance law, the procedures necessarily differ
          in significant respects from procedures of mutual funds and
          contractual plans for which the 1940 Act and rules thereunder were
          designed.

     2.   Many of the procedures used by Fortis Benefits have been adapted from
          procedures for fixed benefit flexible premium life insurance policies
          formerly issued by Fortis Benefits.

     3.   In structuring its procedures, Fortis Benefits has attempted to comply
          with the intent and policies of the 1940 Act, and rules thereunder, to
          the extent deemed feasible.

                                        1

<PAGE>

     4.   In general, state insurance laws and regulations require that Fortis
          Benefits' procedures be reasonable, fair and not discriminatory.


I.   ISSUANCE OF POLICIES

Upon receipt of a completed application from a prospective Policy owner, Fortis
Benefits will follow certain insurance underwriting (i.e., evaluation of risks)
procedures designed to determine whether the proposed insured is insurable. 
This process may involve such verification procedures as medical examinations
and may require that further information be provided by the proposed insured
before a determination can be made.  An application cannot be accepted until
this underwriting procedure has been completed.

Where temporary insurance is provided, the "Policy Date" is generally the 
date that Part I of the application or the short form application for 
insurance is completed.  Otherwise, the Policy Date is generally the date 
three days after the application for a Policy is accepted by Fortis Benefits, 
unless a different date is requested by the applicant.  As of the Policy 
Date, the first monthly deduction of administrative and insurance charges is 
made for the Policy and any riders, and the daily deduction commence to 
accrue for mortality and expense risks and any other asset-based charges, 
such daily deduction being a percentage of amounts earning a return for the 
Policy owner in the Separate Account.  The suicide and non-contestability 
periods under the Policy and under any riders issued at the same time as the 
Policy also commence on the Policy Date, as do the periods for reductions in 
the Policies' contingent deferred sales load and for non-lapse or guaranteed 
death benefit provisions.  The Policy Date also establishes the basis on 
which the insured's age for most purposes under the Policy is computed.  The 
use of the Policy Date for these purposes is consistent with Fortis Benefits' 
established insurance procedures and the annual cycle on which insured 
policies are usually administered.  This annual cycle is recognized, 
interalia, in Rule 6e-3(T)(c)(5) under the 1940 Act.

If the intitial premium payment is paid with the application for a Policy,
temporary term insurance applies to qualified insureds, subject to the limits
and conditions in the temporary term insurance agreement.  Also, the Policy
owner is credited with interest at the rate credited to the General Account from
the later of the Policy Date and the date of receipt of the premium payment.(1)
If the Policy never becomes effective, however, the applicant will be refunded
the amount of premiums paid, without crediting any interest.  If a benefit is
paid under the temporary term insurance agreement, an amount will be deducted
from the returned premium as a charge for the temporary term insurance.



- --------------------
(1)  This does not apply with respect to the application of certain premium
amounts as described in Part IV, or with respect to a premium paid to reinstate
a Policy.  Premium payment checks for reinstatements are not cashed until the
effective date of the reinstatement.

                                        2

<PAGE>

Unless otherwise required by state insurance law or concepts such as
"conditional receipt," insurance coverage under a Policy and riders commences
upon delivery of the Policy to the owner, provided that (1) the insured's health
is the same as stated in the application for insurance and (2) the first premium
payment has been paid.  This is consistent with Fortis Benefit's previously-
established procedures for flexible premium life insurance policies.  Fortis
Benefits expects the Policies to be delivered promptly after the Policy Date in
most cases.


II.  CERTAIN POLICY BENEFIT CHANGES

Increases in face amount and certain changes in death benefit options requested
by Policy owners require evidence of insurability to be submitted to Fortis
Benefits.  In general, these changes are effective as of the first monthly
anniversary following Fortis Benefits' approval of the change.  The cost of
insurance charges attributable to the change commence on said effective date.

In the case of a requested increase in face amount, the following also commence
on said effective date: (1) any monthly expense charges attributable to the
increase, (2) the suicide and non-contestability periods with respect to the
increase, and (3) the period for reduction in the contingent load attributable
to the increase.  Said effective date also establishes the insured's age for
purposes of computing the cost of insurance attributable to the increase.

Unless otherwise required by state insurance law or concepts such as
"conditional receipt," insurance coverage under any face amount increase or
death benefit option change requiring evidence of insurability commences upon
delivery by Fortis Benefits' agent of a Policy schedule amendment to the Policy
owner reflecting the change, provided that the insured's health is the same as
stated in the application for the change.  Fortis Benefits expects the Policy
schedule amendment to be delivered promptly after the effective date of the
change in most cases.


III. IMPOSSIBLE OR IMPERMISSIBLE TRANSACTIONS

In most cases, if a Policy owner requests a transaction which is impossible
(i.e., allocation of a loan or partial withdrawal to Separate Account
subaccounts which have insufficient assets to support said allocation) or
impermissible (such as a reduction in face amount below the minimum required
face amount or the taking of any action, other than the payment of a premium,
which would cause the maximum premium limitations for federal tax law purposes
to be exceeded), Fortis Benefits will notify the Policy owner to determine what
action, if any, the Policy owner wishes to take instead.

                                        3

<PAGE>

IV.  TAX LIMITATIONS

If Fortis Benefits identifies a premium payment that would cause a Policy to be
a "modified endowment contract" under the Internal Revenue Code ("MEC"), it is
Fortis Benefits' administrative policy to notify the agent for the Policy owner
and offer the option of (1) accepting MEC status or (2) receiving a refund of
the disqualifying premium.

If option (2) is selected, the returned premium will include any related premium
expense or other premium tax charge, and the refunded amount will reflect any
positive net investment performance attributable to such amount prior to refund.

The total refund proceeds under option (2) will, at the election of the Policy
owner, be (a) returned to the Policy owner or (b) held by Fortis Benefits
without interest for application to the Policy upon effectiveness of a Face
Amount increase requested by the Policy owner that is sufficient to avoid MEC
status.  Fortis Benefits' usual requirements and conditions for Face Amount
increases apply.  If Fortis Benefits does not receive instructions within three
days, the total refund proceeds will be returned to the Policy owner.

Procedures comparable to the preceding paragraph (2), above, will also apply if
a premium payment is made in excess of amounts permitted under Section 7702 of
the Internal Revenue Code.

V.   WAIVER OF MONTHLY DEDUCTIONS RIDER

For any month that Monthly Deductions are waived under the Waiver of Monthly
Deductions Rider, the Minimum Premium is deemed to be zero for all purposes,
except as noted below.  The monthly Minimum Premium for computing the amount of
sales charges and additional credits to certain groups on the first Policy
Anniversary is not affected by the waiver of Monthly Deductions.  At any time
while the Monthly Deduction is being waived, Face Amount decreases and partial
withdrawals will be permitted whether or not sufficient premiums have been paid
for the Policy to be otherwise eligible for these transactions.

                                        4

<PAGE>

VI.  VARIATIONS OF POLICY MINIMUMS, CHARGES AND CREDITS -- VUL500

Subparagraph (b)(12)(iii) of Rule 6e-3(T) (the "Rule") provides an exemption 
from the necessity of maintaining a uniform offering price as set forth in 
Section 22(d) of the Investment Company Act of 1940 to the extent necessary 
to comply with the Rule and administrative procedures of the life insurer, 
provided that any procedure or action shall be reasonable, fair, and not 
discriminatory to the interests of the affected contract holder and to all 
other holders of contracts of the same class or series funded by a separate 
account.

The adopting release of the Rule by the SEC indicates the concurrence of the 
SEC in the proposition that the above referenced sub-paragraph (b)(12)(iii) 
permits variations in sales loads and charges that meet the principles of 
Rule 22d-2 under the Investment Company Act of 1940.

In order to avail of the exemptions provided by Rule 22d-2, that Rule 
provides that the prospectus must disclose as precisely as possible the basis 
of such variations and the manner in which such entitlement shall be 
determined, and it further provides that any such variations must reflect 
differences in costs or services and may not unfairly discriminate against 
any person.

Fortis Benefits has adopted such variation standards, as set forth in the 
prospectus for its policy known as VUL 500 under the heading of "Variations 
of Policy Minimums, Charges and Credits". Set forth below are the variations 
which have been adopted by Fortis Benefits pursuant to the described basis of 
such variations as set forth in the prospectus for VUL 500.

                                        5


<PAGE>




                Statement of Fortis Benefits Insurance Company
                       Pursuant to Rule 27d-2 Under the
                        Investment Company Act of 1940



The undersigned hereby states that on a monthly basis throughout its fiscal 
year ended December 31, 1995, it has met the requirements of Rule 27d-2(2)(1) 
under the Investment Company Act of 1940 in that it has a combined capital 
paid-up, gross paid-in and contributed surplus and unassigned surplus at 
least equal to $1,000,000.  Such capitalization was larger than 200 percent 
of the amount of the total refund obligations of Fortis Investors, Inc. 
pursuant to Sections 27(d) and 27(f) under the Investment Company Act of 
1940, less any liability reserve established by Fortis Benefits Insurance 
Company to meet such obligations.



                                        FORTIS BENEFITS INSURANCE COMPANY


                                        By:    /s/ John V. Egan
                                           -------------------------------------
                                        Name:         John V. Egan
                                        Title:        Vice President - Finance,
                                                      Life Products






April 25, 1996



© 2022 IncJournal is not affiliated with or endorsed by the U.S. Securities and Exchange Commission