PENN TREATY AMERICAN CORP
S-3/A, 1999-11-18
LIFE INSURANCE
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<PAGE>



November 18, 1999



Securities and Exchange Commission
Judiciary Plaza
450 Fifth Street, N.W.
Washington, D.C.  20549
Attention: Carol McGee, Esquire

Re:  PENN TREATY AMERICAN CORPORATION
     REGISTRATION STATEMENT ON FORM S-3
     FILE NO. 333-72649

Ladies and Gentlemen:

     On behalf of Penn Treaty  American  Corporation,  I enclose a pre-effective
amendment to the Registration  Statement on Form S-3 (File No.  333-72649).  The
enclosed  pre-effective  amendment  has been  revised in response to the Staff's
comments  contained in the letter  dated March 19, 1999 from Jeffrey  Riedler to
Irving Levit.

     After the Staff has reviewed this letter and the enclosed materials, please
contact the  undersigned  to advise us whether the  Staff's  comments  have been
adequately  addressed  and  whether it is  appropriate  to file an  acceleration
request with respect to the above-captioned Registration Statement.

Sincerely,

/s/ Justin P. Klein
- -------------------
    Justin P. Klein


Enc.

cc:      Mr. Irving Levit


<PAGE>



     As filed with the Securities and Exchange Commission on November 18,1999
                                            Registration Statement No. 333-72649


                       SECURITIES AND EXCHANGE COMMISSION
                              Washington, DC 20549
                       ----------------------------------

                                   FORM S-3/A
                             REGISTRATION STATEMENT
                                      UNDER
                           THE SECURITIES ACT OF 1933
                           --------------------------


                        PENN TREATY AMERICAN CORPORATION
             (Exact name of registrant as specified in its charter)

       Pennsylvania                   6312                23-1664166
(State or other jurisdiction     (Primary Standard        (IRS Employer
    of incorporation          Industrial Identification  Identification
    or organization)            Classification Code)         Number)

                               3440 Lehigh Street
                          Allentown, Pennsylvania 18103
                                 (610) 965-2222
       (Address, including zip code, and telephone number, including area
               code, of registrant's principal executive offices)

                             Irving Levit, President
                        Penn Treaty American Corporation
                               3440 Lehigh Street
                          Allentown, Pennsylvania 18103
                                 (610) 965-2222
            (Name, address, including zip code, and telephone number,
                   including area code, of agent for service)
                           ---------------------------

                                   Copies to:

                            Justin P. Klein, Esquire
                     Ballard Spahr Andrews & Ingersoll, LLP
                         1735 Market Street, 51st Floor
                        Philadelphia, Pennsylvania 19103
                                 (215) 665-8500

     APPROXIMATE  DATE OF  COMMENCEMENT  OF PROPOSED SALE TO PUBLIC:  As soon as
practicable after the effective date of this Registration Statement.
     If the only  securities  being  registered  on this Form are being  offered
pursuant to dividend or interest  reinvestment plans, please check the following
box. [ ]
     If any of the securities being registered on this Form are being offered on
a delayed or continuous  basis  pursuant to Rule 415 under the Securities Act of
1933, other than securities offered only in connection with dividend or interest
reinvestment plans, check the following box. [X]
     If this Form is filed to  register  additional  securities  for an offering
pursuant to Rule 462(b) under the Securities Act, please check the following box
and list  the  Securities  Act  registration  statement  number  of the  earlier
effective registration statement for the same offering. [ ]
     If this Form is a  post-effective  amendment  filed pursuant to Rule 462(c)
under the  Securities  Act,  check the following box and list the Securities Act
registration  statement number of the earlier effective  registration  statement
for the same offering.  [ ] If delivery of the prospectus is expected to be made
pursuant to Rule 434, please check the following box. [ ]


<PAGE>


        THE REGISTRANT HEREBY AMENDS THIS REGISTRATION STATEMENT ON SUCH DATE OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE A FURTHER  AMENDMENT  WHICH  SPECIFICALLY  STATES  THAT  THIS  REGISTRATION
STATEMENT SHALL  THEREAFTER  BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(A) OF
THE SECURITIES  ACT OF 1933 OR UNTIL THIS  REGISTRATION  STATEMENT  SHALL BECOME
EFFECTIVE  ON SUCH  DATE  AS THE  SECURITIES  AND  EXCHANGE  COMMISSION,  ACTING
PURSUANT TO SAID SECTION 8(A), MAY DETERMINE.



The  information in this  Prospectus is not complete and may be changes.  We may
not sell  these  securities  until the  registration  statement  filed  with the
Securities and Exchange Commission is effective. This Prospectus is not an offer
to  sell  these  securities  and it is not  solociting  an  offer  to buy  these
securities in any state where the offer or sale is not permitted.


<PAGE>


                                                        Subject to Completion
                                                           November 18,1999




                                 298,900 Shares
                        PENN TREATY AMERICAN CORPORATION

                                  Common Stock



     Insurance agents under contract with Penn Treaty American Corporation,  but
who are not  full-time  employees,  are eligible to receive  options to purchase
shares of Penn Treaty's  common stock under the 1995  Participating  Agent Stock
Option Plan.

     The purchase  price for these shares of common stock will be  determined at
the time the  option  is  granted,  but will not be less  than  100% of the fair
market value of the common stock at that time.

     Penn Treaty has listed  these  shares of common stock on the New York Stock
Exchange under the symbol "PTA".

     YOU SHOULD  ALSO  CAREFULLY  CONSIDER  THE RISK  FACTORS  RELATING TO THESE
SHARES OF COMMON STOCK THAT WE DESCRIBE STARTING ON PAGE 1 OF THIS PROSPECTUS.



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



NEITHER  THE  SECURITIES  AND  EXCHANGE  COMMISSION  NOR  ANY  STATE  SECURITIES
COMMISSION HAS APPROVED OR DISAPPROVED THESE SHARES NOR PASSED UPON THE ACCURACY
OR ADEQUACY OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL
OFFENSE.


                The date of this Prospectus is November 18, 1999


<PAGE>


                                TABLE OF CONTENTS



                                                          PAGE
                                                          ----


RISK FACTORS                                                4


WHERE YOU CAN FIND MORE INFORMATION                         6


PENN TREATY AMERICAN CORPORATION                            7


1995 PARTICIPATING AGENT STOCK OPTION PLAN                  8


USE OF PROCEEDS                                             11


PLAN OF DISTRIBUTION                                        11

EXPERTS                                                     11


LEGAL OPINION                                               11




<PAGE>


RISK FACTORS

     You should carefully  consider the following  factors and other information
in this prospectus before deciding to invest in Penn Treaty's common stock.

Reserves may not be adequate to cover actual losses and expenses

     Penn  Treaty's  reserves for losses and expenses are  estimates for actual,
future reported and unreported  claims and their  expenses.  The amount of these
reserves is based on facts and circumstances  known at the time the reserves are
established.  Reserves  are based on  historical  claims  information,  industry
statistics  and other  factors.  Penn Treaty  would be severely  affected if its
reserves could not cover its actual losses and expenses.

Loss ratios may be too high or too low for new products

     New  insurance  products  involve a greater risk because Penn Treaty cannot
estimate  policy  claims  as well for new  products.  If as a result  of  actual
claims,  Penn Treaty does not meet state mandated loss ratios for a new product,
state  insurance  regulators  may  require  Penn  Treaty to reduce or refund the
premiums on these new  products.  Because of Penn  Treaty's  relatively  limited
claims  experience  with newer  product areas and the  introduction  of existing
products in new markets,  Penn Treaty may also incur higher than  expected  loss
ratios and may be  required to further  adjust its reserve  levels for these new
products. Failure to anticipate the need for or to secure regulatory approval of
these reserve increases could have an adverse effect on Penn Treaty.

Projections used to spread policy costs over term of policy may be inaccurate

     In  its  sale  of  insurance  policies,  Penn  Treaty  spreads  the  policy
acquisition costs over the life of the policy.  These costs include all expenses
directly  related  to the  acquisition  of  the  policy,  including  commission,
underwriting and other expenses. Actuarial assumptions are used to determine the
time  period  over  which to  spread  these  policy  costs.  If these  actuarial
assumptions  are  inaccurate,  the result could  adversely  affect Penn Treaty's
results of operations in future periods.  In addition,  these  acquisition costs
cannot be spread over time if the policy is terminated early.

State minimum loss ratios are subject to change

     Penn Treaty is licensed in a number of states.  These states may change the
minimum mandated statutory loss ratios required for insurance companies, like to
Penn Treaty,  to maintain.  These state  regulations  also mandate the manner in
which these ratios are computed  and the manner in which  compliance  with these
ratios is measured and enforced. Penn Treaty is unable to predict the impact of:

     o    any changes in the mandatory  statutory  loss ratios for individual or
          group long-term care policies;

     o    any  changes  in the  minimum  loss  ratios  for  individual  or group
          long-term care or Medicare supplement policies; or

     o    any change in the  manner in which  these  minimums  are  computed  or
          enforced in the future.

                                       4
<PAGE>

     If policies offered by Penn Treaty are not in compliance with state minimum
statutory loss ratios, Penn Treaty may be required to reduce or refund premiums,
which could have an adverse effect on Penn Treaty.

Government regulation of the insurance industry is subject to change

     Penn  Treaty  is  subject  to  stringent  state  governmental  requirements
including:

     o    licensure;

     o    benefit structure;

     o    payment of dividends;

     o    settlement of claims;

     o    capital levels;

     o    premium increases; and

     o    transfer of control of insurers.

     Changes in these laws and regulations could adversely affect the operations
of Penn Treaty and may include:

     o    rate rollback legislation;

     o    legislation to control premiums; and

     o    policy terminations and other policy terms, including premium levels.

     In  addition,  from time to time there are  significant  federal  and state
legislative  developments in long-term care and Medicare coverage which may have
an effect on Penn  Treaty.  Among the  proposals  currently  pending in the U.S.
Congress are the  implementation  of minimum consumer  protection  standards for
inclusion in all long-term care policies, including:

     o    guaranteed renewability of policies;

     o    protection against inflation;

     o    limitations on waiting periods for pre-existing conditions;

     o    prohibiting   "high   pressure"   sales  tactics  for  long-term  care
          insurance;

     o    guaranteed  consumer access to information  about insurers,  including
          lapse and replacement  rates for policies and the percentage of claims
          denied; and

     o    permitting premiums paid for long-term care insurance to be treated as
          deductible  medical  expenses,   with  the  amount  of  the  deduction
          increasing with the age of the taxpayer.

                                       5
<PAGE>

Insurance industry is highly competitive

     Penn Treaty sells its products in highly competitive markets.

     Penn Treaty competes with large national and smaller regional insurers,  as
well as specialty  insurers.  Many insurers are larger,  have greater resources,
larger  networks of agents and higher  ratings  than Penn  Treaty.  In addition,
competition may take several other forms,  including  breadth and flexibility of
coverage,  pricing and the quality  and level of services  provided.  Additional
competition  may result from changes in Medicare  benefits,  as well as from the
introduction  of products  similar to those offered by Penn Treaty by additional
private  insurance  carriers.  In  addition,  Penn  Treaty  competes  with other
insurance companies for producing agents to market and sell its products.

     Over the past three fiscal years,  more than half of Penn Treaty's premiums
are from sales of policies in Florida and Pennsylvania.  Competitive  changes in
such markets could have an adverse effect on Penn Treaty.

Success depends on the ability to recruit and retain insurance agents

     Penn Treaty  continuously  recruits and trains independent agents to market
and sell its  products.  Penn  Treaty may not be able to continue to attract and
retain independent agents to sell Penn Treaty's products.

     Penn  Treaty also  engages  marketing  general  agents from time to time to
recruit independent agents and develop networks of agents in various states. The
loss of the  services  provided  by the  marketing  agent  could have a material
adverse effect on Penn Treaty.

Reliance on third party reinsurers and acting as a reinsurer  presents  possible
liability

     Penn Treaty gets  reinsurance from  unaffiliated  reinsurers on some of its
policies to:

     o    increase the number and size of the policies it may underwrite; and

     o    reduce the risk to which Penn Treaty is exposed.

     If a third party insurer becomes  insolvent or otherwise fails to honor its
obligations to Penn Treaty under any of its reinsurance agreements,  Penn Treaty
remains fully liable to the policyholder.

     Penn Treaty also acts as reinsurer  on some  in-force  policies  which have
been acquired from unrelated  insurance  companies.  Penn Treaty's  liability on
this reinsurance may exceed anticipated levels.

Sale of insurance products is dependent on senior citizen market

     Penn Treaty's insurance products are designed primarily for sale to persons
age 65 and over.  Many of these  persons live on fixed incomes and, as a result,
are highly  sensitive to inflation and interest rate  fluctuations  which affect
their buying power. In periods of low interest rates,  renewal  premiums on Penn
Treaty's products have decreased. Adverse economic conditions and lower interest
rates may have a material  impact on the  ability of senior  citizens  to afford
Penn Treaty's  products  which,  in turn,  could have an adverse  impact on Penn
Treaty.

                                       6
<PAGE>

WHERE YOU CAN FIND MORE INFORMATION

     Penn  Treaty  has filed  with the SEC a  registration  statement  under the
Securities Act for the shares of common stock to be issued under the Plan.  This
prospectus,  which is part of the registration  statement,  omits information in
the  registration  statement and its exhibits and  schedules.  Penn Treaty files
annual,  quarterly and special reports,  proxy statements and other  information
with the SEC which may be read and copied at the SEC's  public  reference  rooms
located at 450 Fifth Street,  N.W.,  Washington,  D.C. 20549, 75 Park Place, New
York, New York 10007 and 219 South Dearborn  Street,  Chicago,  Illinois  60604.
Please  call the SEC at  1-800-SEC-0330  for further  information  on the public
reference rooms. Copies of Penn Treaty's filings with the SEC are also available
to the public over the Internet at the SEC's web site at http://www.sec.gov. The
common  stock is listed on the NYSE and,  as a result,  Penn  Treaty  also files
reports, proxy statements and other information with the NYSE.

     The SEC allows Penn Treaty to  "incorporate  by reference" the  information
that Penn Treaty  files,  which means that Penn  Treaty can  disclose  important
information by referring to those  documents.  The  information  incorporated by
reference is an important part of this  prospectus,  and  information  that Penn
Treaty files later with the SEC will  automatically  supersede this information.
Penn Treaty incorporates by reference the documents filed with the SEC (File No.
0-15972)  listed below and any future  filings made with the SEC under  Sections
13(a),  13(c),  14 and  15(d)  of the  Exchange  Act,  until  this  offering  is
terminated:

     o    Penn Treaty's  Annual Report on Form 10-K for the year ended  December
          31, 1998;

     o    Penn Treaty's  Quarterly  Reports on Form 10-Q for the quarters  ended
          March 31, 1999, June 30, 1999 and September 30, 1999;

     o    Penn Treaty's Current Report on Form 8-K filed January 15, 1999; and

     o    the  description  of the  common  stock  contained  in  Penn  Treaty's
          registration statement on Form 8-A for the common stock, including any
          amendments   or  reports  filed  for  the  purpose  of  updating  this
          description.

     Penn Treaty will  provide at no cost to each person who  receives a copy of
this  prospectus,  upon  written or oral  request,  a copy of any and all of the
documents  (without  exhibits)  incorporated  by reference  in this  prospectus.
Requests for copies should be directed to Penn Treaty American Corporation, 3440
Lehigh Street, Allentown, Pennsylvania 18103, Attention: Cameron B. Waite, Chief
Financial Officer (telephone number (610) 965-2222).

PENN TREATY AMERICAN CORPORATION

     Penn Treaty is one of the leading  providers of long-term nursing home care
and home health care  insurance.  Penn Treaty markets its products  primarily to
persons age 65 and over through independent insurance agents and underwrites its
policies  through three  insurance  company  subsidiaries;  Penn Treaty  Network
America  Insurance  Company;  American  Network  Insurance  Company and American
Independent  Network  Insurance  Company of New York.  Penn  Treaty's  principal
products are individual  fixed,  defined benefit  accident and health  insurance
policies  covering  long-term  skilled,  intermediate and custodial nursing home
care and home health care.  Policies are designed to make the  administration of
claims  simple,  quick and  sensitive to the needs of the  policyholders.  As of
December 31,  1998,  long-term  nursing home care and home health care  policies
accounted for  approximately  91% of Penn  Treaty's  total  annualized  premiums
in-force.

                                       7
<PAGE>

1995 PARTICIPATING AGENT STOCK OPTION PLAN

Purpose of the plan

     The purpose of the plan is:

     o    to permit  insurance agents under contract with Penn Treaty to receive
          options  to  purchase  shares  of  common  stock and to have an equity
          interest in Penn Treaty; and

     o    to give these  insurance  agents an additional  incentive to sell Penn
          Treaty's products.

Advantages of the plan

     Optionees  may  receive  shares of common  stock upon  exercise  of options
without paying any brokerage commissions or service charges.

Administration of the plan

     The plan is  administered by a stock option  committee.  This committee has
the authority to:

     o    construe and interpret the plan;

     o    define terms of the plan;

     o    change rules and regulations for administration of the plan; and

     o    take all other actions to administer the plan.

Participation in the plan

     Individuals who are participating insurance agents under contract with Penn
Treaty,  but who are not full-time  employees,  are eligible to receive  options
under the plan. The committee makes decisions about the criteria for eligibility
and grants of  options.  This  criteria  is tied to the best  interests  of Penn
Treaty,  including  the  amount  of  insurance  policies  sold  by the  eligible
participants.  Eligible  participants  that are  granted  and  choose to receive
options under the plan are required to sign a stock options  agreement with Penn
Treaty, the terms of which are determined by the committee.

Additional information about the plan

     Eligible  participants  can get  additional  information  about the plan by
contacting Cameron B. Waite,  Chief Financial  Officer,  at Penn Treaty American
Corporation, 3440 Lehigh Street, Allentown, Pennsylvania 18103, telephone number
(610) 965-2222.

Term of the plan

     The plan has been effective  since May 26, 1995 and will continue until the
board of directors  terminates  it. Each option  granted  under the plan and all

                                       8
<PAGE>

rights or obligations under the option will expire on a date to be determined by
the committee, but not later than ten years from the date the option is granted.

     The plan is also subject to earlier termination upon the following events:

     o    dissolution or liquidation of Penn Treaty;

     o    a  reorganization,  merger or consolidation and Penn Treaty is not the
          surviving corporation; or

     o    a sale of substantially  all of the assets and property of Penn Treaty
          to another person.

     The  committee  will notify each  optionee if any of these  events  occurs.
Thirty days after  delivery of this  notice,  any option or portion of an option
not exercised will terminate.

Options under the plan may not be transferred

     Optionees may not sell, transfer, assign, pledge or otherwise dispose of an
option,   right  or  privilege  granted  under  the  plan,  except  by  will  or
inheritance. An option may be exercised, during the optionee's lifetime, only by
the  optionee.  Any attempted  transfer or sale will cause the option,  right or
privilege to immediately terminate and be forfeited to Penn Treaty.

Purchasing shares at no expense

     Optionees  will not be obligated to pay any brokerage  commissions or other
charges for purchasing shares under the plan.

Number of shares available to be purchased under the plan

     There are 298,000 shares of common stock  available  under the plan. If any
option  expires,  terminates or is canceled for any reason  without  having been
exercised in full, the unpurchased shares may again be available under the plan,
provided the plan is still in effect.

Price of shares

     The committee  determines  the purchase  price of shares under each option.
The purchase  price may not be less than 100% of the fair market value of shares
of common stock at the time the option is granted.  Unless otherwise required by
the Tax Code, or other  applicable  regulations  issued under the Tax Code,  the
fair market value of shares under the plan will be, as of any date,  the average
of the closing  sales  price of a share of common  stock for the  preceding  ten
trading  days as reported  on the NYSE or other  principal  national  securities
exchange on which the common stock is then listed or traded. If the common stock
is not listed or traded on any exchange,  the Nasdaq Stock Market, or if closing
sales prices of the shares are not available,  then the fair market value of the
shares will be determined by the board of directors.

Exercising options

         Optionees may exercise each option in equal or unequal installments and
     under conditions determined at the time the option is granted. At least ten


                                       9
<PAGE>

shares must be purchased at any one time unless the optionee is only entitled to
purchase a fewer number of shares. Optionees may only purchase whole shares, and
fractional  interests  will be  disregarded  until they together  constitute one
share. If an optionee does not purchase all the shares subject to the option, or
a fractional  interest  remains,  the optionee's right to purchase the remaining
shares or fractional shares will continue until the option expires.

Paying for shares

     An optionee may pay for shares purchased as follows:

     o    a lump sum payment of cash;

     o    shares of common  stock that have a fair  market  value on the date of
          exercise equal to the purchase  price,  if permitted by the committee;
          or

     o    any combination of cash and shares.

Termination of service

     If an optionee  notifies  Penn Treaty that he/she will no longer serve Penn
Treaty as a  participating  insurance agent or if an optionee ceases to be under
contract with Penn Treaty for any reason, with or without cause, the optionee is
no longer an  eligible  participant  under  the  plan.  As a result,  all of the
optionee's exercisable and unexercisable options will terminate.

Changes in the common stock of Penn Treaty

     If the outstanding  common stock is increased,  decreased,  changed into or
exchanged for a different number or kind of shares or securities, an appropriate
and  proportionate  adjustment will be made in the number and kind of shares for
which options may be granted  under the plan. A  corresponding  adjustment  will
also be made to change  the number  and kind of shares  and  exercise  price per
share of any  outstanding  options,  or portions of options,  which were granted
prior to any  changes.  Any  adjustments  will be made by the  committee,  whose
determination will be final and conclusive. No fractional shares of common stock
will be issued under the plan as a result of any adjustment.

Changes in and termination of the plan

     The board of directors  has the power to suspend,  amend or  terminate  the
plan at any time. No amendment,  suspension or termination of the plan, however,
may,  without  the  consent  of the  optionee,  alter or  impair  any  rights or
obligations of any outstanding option.

     The committee may grant an optionee  additional  options if the optionee is
then an  eligible  participant.  The  committee  may,  with the  consent  of the
optionee,  grant a new option as a substitute  for an outstanding  option,  at a
purchase  price and for a term  which is  greater  or less than the  outstanding
option.

Rights as a shareholder

     An optionee is not  considered  to be an actual  holder of common stock and
does not have any  rights  as a  shareholder  unless  and  until  the  option is
exercised  and a stock  certificate  representing  the shares of common stock is
issued to the optionee.

                                       10
<PAGE>

Not subject to ERISA

     The plan is not subject to the provisions of ERISA.

Federal income tax consequences

     No  income  is  recognized  on the  date an  option  is  granted;  however,
optionees  will  recognize  ordinary  income on the exercise of an option in the
amount  by which the fair  market  value of the  shares at the time of  exercise
exceed the option  exercise  price.  For the purpose of any later sale of stock,
the  optionee's  cost basis will be equal to the option  exercise price plus any
amount previously  recognized as ordinary income. The same consequences apply in
determining  the alternative  minimum taxable income  recognized by the optionee
upon the exercise of an option.

     The board of  directors  may consider  the  expected  tax  consequences  in
determining  from time to time the  particular  terms and  conditions of various
options.  Options granted under the plan are not incentive stock options and are
not entitled to special tax treatment under the Tax Code.

     THIS GENERAL DESCRIPTION OF THE POSSIBLE FEDERAL INCOME TAX CONSEQUENCES OF
EXERCISING  OPTIONS OR SELLING SHARES PURCHASED  THROUGH THE EXERCISE OF OPTIONS
IS BASED ON THE TAX CODE, AS IT HAS BEEN  INTERPRETED  TO DATE AND THEREFORE MAY
NOT BE A SUFFICIENT  DESCRIPTION OF THE  CONSEQUENCES  IF THERE WERE A CHANGE IN
THE TAX CODE AS IT IS CURRENTLY WRITTEN OR INTERPRETED. BECAUSE THE CONSEQUENCES
MAY VARY WITH EACH OPTIONEE, IT IS RECOMMENDED THAT OPTIONEES CONSULT WITH THEIR
OWN TAX ADVISORS TO DETERMINE THE TAX  CONSEQUENCES,  INCLUDING STATE,  LOCAL OR
NON-U.S. INCOME TAX CONSEQUENCES.

USE OF PROCEEDS

     The proceeds to Penn Treaty from sales of shares under the plan will be
used for general  corporate  purposes,  including  investment in and advances to
Penn Treaty's subsidiaries.

PLAN OF DISTRIBUTION

     Upon proper exercise of options by any optionee and payment by the optionee
of the exercise  price,  Penn Treaty will issue the underlying  shares of common
stock to the optionee  without the optionee paying any brokerage  commissions or
service charges.

EXPERTS

     The  consolidated  financial  statements  of Penn Treaty as of December 31,
1998 and 1997, incorporated by reference in this prospectus have been audited by
PricewaterhouseCoopers,  LLP, independent public accountants, as stated in their
report incorporated by reference in this prospectus.  These financial statements
are  incorporated by reference in this prospectus in reliance upon the report of
PricewaterhouseCoopers  given  upon the  authority  of that firm as  experts  in
accounting and auditing.

LEGAL OPINION

     The  validity of the issuance of shares under the plan has been passed upon
for Penn  Treaty by  Ballard  Spahr  Andrews  &  Ingersoll,  LLP,  Philadelphia,
Pennsylvania.


                                       11
<PAGE>

                                     PART II

                     INFORMATION NOT REQUIRED IN PROSPECTUS

ITEM 16.  EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

Exhibit
Number    Description
- ------    -----------

3.1(a)    Restated  and  Amended  Articles  of  Incorporation  (incorporated  by
          reference to Exhibit 3.1 to Registration  Statement on Form  S-1, Reg.
          No. 33-92690).

3.1(b)    Amendment  to   Restated   and  Amended   Articles  of   Incorporation
          (incorporated by reference to Exhibit 3.1(b) to Registration Statement
          on Form S-3, No. 333-22125).

3.2       Amended and Restated By-laws, as amended (incorporated by reference to
          Exhibit 3.2 to Registration Statement on Form S-3, No. 333-22125).

4.1       Specimen copy of Common stock Certificate  (incorporated by  reference
          to  Exhibit  4  to  Registration  Statement  on  Form  S-1,  Reg.  No.
          33-92690).

5.1       Opinion of Ballard Spahr Andrews & Ingersoll, LLP.*

10.1      The Penn Treaty American  Corporation 1995  Participating  Agent Stock
          option plan  (incorporated  by  reference to  Exhibit  10.2 to  Annual
          Report on Form 10-K for year  ended  December  31, 1997).

23.1      Consent of PricewaterhouseCoopers, LLP

23.2      Consent  of Ballard  Spahr  Andrews &  Ingersoll,  LLP  (contained  in
          Exhibit 5.1).*

24.1      Power of Attorney (included on signature page).











*    Prevouusly filed.


                                       12
<PAGE>


                                   SIGNATURES


     Pursuant to the  requirements of the Securities Act of 1933, the registrant
certifies  that it has  reasonable  grounds  to  believe  that it meets  all the
requirements  for filing on Form S-3 and has duly caused this amendment no. 1 to
the  registration  statement  to be  signed on its  behalf  by the  undersigned,
thereunto  duly   authorized,   in  the  City  of  Allentown,   Commonwealth  of
Pennsylvania, on November 18, 1999.



                               PENN TREATY AMERICAN CORPORATION


                                By:  /s/ Irving Levit
                                     -----------------------------------------
                                         Irving Levit
                                         President and Chief Executive Officer


     This amendment no. 1 to the registration  statement has also been signed by
Irving Levit, attorney-in-fact, on behalf of the following directors on November
18, 1999:

                  Irving Levit
                  Michael F. Grill
                  A.J. Carden
                  Domenic P. Stangherlin
                  Jack D. Baum
                  Glen A. Levit
                  Cameron Waite
                  Emile G. Ilchuk
                  C. Mitchell Goldman
                  David B. Trindle



                                By:  /s/ Irving Levit
                                     --------------------
                                         Irving Levit
                                         Attorney-in-fact



                                       13
<PAGE>

                                                                    EXHIBIT 23.1


                       CONSENT OF INDEPENDENT ACCOUNTANTS




We  hereby  consent  to the  incorporation  by  reference  in this  Registration
Statement  on Form  S-3/A of our  report  dated  March 8, 1999  relating  to the
financial  statements and financial statement  schedules,  which appears in Penn
Treaty  American  Corporation's  Annual  Report on Form 10-K for the year  ended
December 31, 1998.  We also consent to the  references  to us under the headings
"Experts" in such Registration Statement.


/s/  PricewaterhouseCoopers LLP
- -------------------------------
     PricewaterhouseCoopers LLP


Philadelphia, Pennsylvania
November 18, 1999






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