OMB Approval
OMB 3235-0330
Report for six month period ending:
or fiscal year ending: 12/31/97
Is this an amendment to a previous filing? (Y/N)
N
Those items or sub-items with a box "/Z/" after the
item number should be completed only if the answer has
changed from the previous filing on this form.
1. A. Registrant Name:
Fortis Benefits Insurance Company
Separate Account C
B. File Number: 811-4613
C. Telephone Number: 612-738-4000
2. A. Street: 500 Bielenberg Drive
B. City: Woodbury
C. State: Minnesota Zip Code: 55125
3. Is this the first filing on this form by
Registrant? (Y/N) N
4. Is this the last filing on this form by
Registrant? (Y/N) N
5. Is Registrant a small business investment company
("SBIC")? (Y/N) N
6. Is Registrant a unit investment trust? (UIT)?
(Y/N) Y
[If the answer if "Y" (Yes) complete only items
111 through 132]
7. A. Is Registrant a series or multiple portfolio
company? (Y/N)
[If answer is "N" (No), go to item 8]
B. How many separate series or portfolios did
Registrant have at the end of the period?
SCREEN NUMBER: 01<PAGE>
For period ending If filing more than one
File Number: 811-4613 Page 43, "X" box
UNIT INVESTMENT TRUSTS
111. A. /Z/ Depositor Name: Fortis Benefits
Insurance Company
B. /Z/ File Number (If any)
C. /Z/ City: Woodbury State: MN
Zip Code: 55125
112. A. /Z/ Sponsor Name: Fortis Benefits Insurance
Company
B. /Z/ File Number:
C. /Z/ City: Woodbury State: MN
Zip Code 55125
113. A. /Z/ Trustee Name:
B. /Z/ City State Zip
114. A. /Z/ Principal Underwriter Name:
Fortis Investors, Inc.
B. /Z/ File Number: 8-13846
C. /Z/ City: Woodbury State: MN Zip: 55125
115. A. /Z/ Independent Public Accountant Name:
Ernst & Young LLP
B. /Z/ City: Minneapolis State: MN Zip
55402
116. A. /Z/ Is Registrant part of a family of
investment companies? (Y/N) Y
B. /Z/ Identify the family in 10 letters:
F O R T I S F U N D
(Note: In filing this form, use this identification
consistently for all investment companies in family.
This designation is for purposes of this form only.)
117. A. /Z/ Is Registrant a separate account of an
insurance company? (Y/N) Y
If answer is "Y" (Yes), are any of the
following types of contracts funded by the
Registrant:
B. /Z/ Variable annuity contracts? (Y/N) N
C. /Z/ Scheduled premium variable life
contracts? (Y/N) Y
D. /Z/ Flexible premium variable life
contracts? (Y/N) Y
E. /Z/ Other types of insurance products
registered under the Securities Act of
1993? (Y/N) N
118. /Z/ State the number of series existing at the
end of the period that had securities
registered under the Securities Act of 1933.
1
119. /Z/ State the number of new series for which
registration statements under the Securities
Ace of 1933 became effective during the
period. 0
120. /Z/ State the total value of the portfolio
securities on the date of deposit for the new
series included in item 119. 0
121. /Z/ State the number of series for which a
current prospectus was in existence at the
end of the period. 1
122. /Z/ State the number of existing series for which
additional units were registered under the
Securities Act of 1933 during the current
period. 1
123. /Z/ State the total value of the additional units
considered in answering item 122 ($000's
omitted) $80,852
124. /Z. State the total value of units of prior
series that were placed in the portfolios of
subsequent series during the current period
(the value of these units is to be measured
on the date they were placed in the
subsequent series) ($000's omitted). $0
125. /Z/ State the total dollar amount of sales loads
collected (before reallowances to other
brokers or dealers) by Registrant's principal
underwriter and any underwriter which is an
affiliated person of the principal
underwriter during the current period solely
from the sale of units of all series of
Registration ($000's omitted). $7,345
126. /Z/ Of the amount shown in item 125, state the
total dollar amount of sales loads collected
from secondary market operations in
Registrant's unite (include the sales loads,
if any, collected on units of a prior series
placed in the portfolio of a subsequent
series.) ($000's omitted) 0
127. /Z/ List opposite the appropriate description
before the number of series whose portfolios
are invested primarily (based upon a
percentage of NAV) in each type of securities
shown, the aggregate total assets at market
value as of a date at or near the end of the
current period of each such group of series
and the total income distribution made by
each such group of series during the current
period (excluding distributions of realized
gains, if any):
A. U.S. Treasury direct issue
B. U.S. Government agency
C. State and municipal tax-free
D. Public utility debt
E. Brokers or dealers debt or debt
of brokers' or dealers' parent
F. All other coporate inter. & long
term debt
G. All other corporate short term debt
H. Equity securities of brokers or
dealers or parents of brokers
or dealers
I. Investment company equity securities
J. All other equity securities
Number of series investing 1
Total Assets ($000,000) $452
Total Income Distributions
($000,000s omitted) $4,535
K. Other securities
L. Total assets of all series of Registrant $452
128. /Z/ Is the timely payment of principal and
interest on any of the portfolio securities
held by any of Registrant's series at the end
of the current period insured or guaranteed
by an entity other than the issuer? (Y/N)
N
[If answer is "N" (No), go to item 131]
129. /Z/ Is the issuer of any instrument identified in
item 128 delinquent or in default as to
payment of principal or interest at the end
of the current period? (Y/N) N
[If answer is "N" (No), go to item 131]
130. /Z/ In computations of NAV or offering price per
unit, is any part of the value attributed to
instruments identified in item 129 derived
from insurance or guarantees? (Y/N)
131. /Z/ Total expenses incurred by all series of
Registrant during the current reporting
period ($000's omitted) $4,457
132. /Z/ List the "811" (Investment Company Act of
1940) registration number for all series or
Registration that are being included in this
filing: None
This report is signed on behalf of the registrant (or
depositor or trustee in the City of Woodbury and State
of Minnesota on the 25th day of February 1998.
Fortis Benefits Insurance company
(Name of Registrant)
By:
Melinda Urion
Title: Senior Vice President, CFO
Witness:
Douglas R. Lowe
Vice President
Associate General Counsel
WARNING: THE EDGAR SYSTEM ENCOUNTERED ERROR(S) WHILE PROCESSING THIS SCHEDULE.
<TABLE> <S> <C>
<ARTICLE> 7
<CIK> 0000790531
<NAME> FORTIS BENEFITS INSURANCE COMPANY
- - VARIABLE LIFE FUND C
<MULTIPLIER> 1000
<S> <C>
<PERIOD-TYPE> 12-MOS
<FISCAL-YEAR-END> DEC-31-1997
<PERIOD-START> JAN-01-1997
<PERIOD-END> DEC-31-1997
<DEBT-HELD-FOR-SALE> 0
<DEBT-CARRYING-VALUE> 0
<DEBT-MARKET-VALUE> 0
<EQUITIES> 451,888
<MORTGAGE> 0
<REAL-ESTATE> 0
<TOTAL-INVEST> 451,888
<CASH> 0
<RECOVER-REINSURE> 0
<DEFERRED-AQUISITION>
<TOTAL-ASSETS> 451,888
<POLICY-LOSSES> 447,194
<UNEARNED-PREMIUMS> 0
<POLICY-OTHER> 0
<POLICY-HOLDER-FUNDS> 0
<NOTES-PAYABLE> 0
<COMMON> 0
0
0
<OTHER-SE> 4,694
<TOTAL-LIABILITY-AND-EQUITY> 451,888
159,025
<INVESTMENT-INCOME> 44,708
<INVESTMENT-GAINS> 0
<OTHER-INCOME> 350
<BENEFITS> 78,524
<UNDERWRITING-AMORTIZATION> 0
<UNDERWRITING-OTHER> 125,559
<INCOME-PRETAX> 0
<INCOME-TAX> 0
<INCOME-CONTINUING> 0
<DISCONTINUED> 0
<EXTRAORDINARY> 0
<CHANGES> 0
<NET-INCOME> 0
<EPS-PRIMARY> 0
<EPS-DILUTED> 0
<RESERVE-OPEN> 0
<PROVISION-CURRENT> 0
<PROVISION-PRIOR> 0
<PAYMENTS-CURRENT> 0
<PAYMENTS-PRIOR> 0
<RESERVE-CLOSE> 0
<CUMULATIVE-DEFICIENCY> 0
</TABLE>
