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[LOGO APPEARS HERE]
CANADA LIFE
INSURANCE COMPANY OF NEW YORK
RONALD E. BEETTAM, F.S.A., F.C.I.A.
President
410 Saw Mill River Road
Ardsley, New York 10502
(914) 693-2300
FAX: (914) 674-2535
August, 1999
Dear VariFund(R) Policyholder:
Enclosed is the VariFund Semi-Annual Report for the period ending June 30, 1999.
We encourage you to review this information and to refer to it as needed
throughout the year.
Please call your Registered Representative or Canada Life if you have any
questions.
Thank you for selecting VariFund for your financial needs.
Sincerely,
/s/ Ronald E. Beettam
Ronald E. Beettam
Encl.
Canada Life Insurance Company of New York Home Office
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[LOGO OF CANADA LIFE
APPEARS HERE]
VARIFUND(R)
A Variable Annuity INSURANCE COMPANY OF NEW YORK
410 Saw Mill River Road
Ardsley, NY 10502
ADDITIONAL PREMIUM PAYMENT FORM (914) 693-2300
Please complete the following information:
OWNER: _________________ AMOUNT OF PREMIUM PAYMENT :
ANNUITANT: _________________ $____________
POLICY NO.: _________________
OWNER'S SSN/TIN:_____________
IF YOU ARE CHANGING ALLOCATION
PLEASE COMPLETE THE FOLLOWING:
________ THIS PAYMENT ONLY
________ THIS PAYMENT AND ALL
FUTURE PYMTS
________ RE-ALLOCATE ALL
CURRENT ASSETS
<TABLE>
<CAPTION>
<S> <C> <C> <C> <C> <C>
CLASF INT'L EQUITY 10/30 ____% FIDELITY HIGH INCOME 18/38 ____% DREYFUS GROWTH & INC 80/90 ____%
CLASF MONEY MARKET 11/31 ____% FIDELITY INDEX 500 20/40 ____% DREYFUS SOCIAL RESPON 81/91 ____%
CLASF MANAGED 12/32 ____% FIDELITY OVERSEAS 19/39 ____% MONTGOMERY EMERG MKT 86/96 ____%
CLASF BOND 13/33 ____% ALGER GROWTH 83/93 ____% MONTGOMERY GROWTH 87/97 ____%
CLASF VALUE EQUITY 14/34 ____% ALGER LEVER ALLCAP 85/95 ____% SELIGMAN COMM & INFO 50/70 ____%
CLASF CAPITAL 15/35 ____% ALGER MIDCAP 84/94 ____% SELIGMAN FRONTIER 51/71 ____%
FIDELITY ASSET MGR 16/36 ____% ALGER SMALL CAP 82/92 ____%
FIDELITY CONTRAFUND 52/72 ____% BERGER/BIAM IPT INT'L 88/98 ____%
FIDELITY GROWTH 17/37 ____% BERGER/BIAM SM. CO GR 89/99 ____%
FIDELITY GROWTH OPPS 53/73 ____% DREYFUS CAP'L APPR. 46/47 ____%
</TABLE>
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Fixed Account Options
_____% 1 Yr. (301)
- --------------------------------------------------------------------------------
Total allocation must equal 100%
OWNER'S SIGNATURE __________________________ DATE _______________
JOINT OWNER'S SIGNATURE __________________________ DATE _______________
PLEASE MAKE CHECKS PAYABLE TO CANADA LIFE INSURANCE COMPANY OF NEW YORK
INFORMATION FOR QUALIFIED POLICY CONTRIBUTIONS
(THIS SECTION MUST BE COMPLETED)
IS THIS A ROLLOVER? _____YES _____NO
IF YES, WHAT TYPE? _____________________ PLEASE NOTE: CONTRIBUTIONS FOR
PRIOR TAX YEAR
CANNOT BE MADE
CONTRIBUTION $___________ FOR __________ AFTER APRIL 15TH OF
THE CURRENT TAX
YEAR.
CONTRIBUTION $___________ FOR __________
PLEASE DIRECT ANY QUESTIONS REGARDING YOUR POLICY TO YOUR REGISTERED
REPRESENTATIVE OR TO OUR VARIABLE ANNUITY DEPARTMENT AT (800) 905-1959.
Our Variable Annuity Administrators cannot advise you on the suitability of your
payment. Please contact your Registered Representative to discuss suitability
issues prior to submitting your additional premium payment.
Variable Annuities are issued by Canada Life Insurance Company of New York and
offered through its affiliate,
Canada Life of America Financial Services, Inc. (member NASD).
Please note that we cannot accept additional premium for policies issued on or
after January 26, 1996 2/15/99
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The attached are incorporated by reference herein to the semi-annual reports
filed by and on behalf of the following:
The Alger American Fund, filed June 30,1999
Portfolios which include: Alger American Small Capitalization; Alger
American Growth; Alger American MidCap Growth; and Alger American
Leveraged AllCap
Berger Institutional Products Trust, filed August 20, 1999
Portfolios which include: Berger/BIAM IPT-International Fund; Small
Company Growth
Canada Life of America Series Fund, Inc., filed August 20, 1999
Portfolios which include: Money Market; Managed; Bond; Value Equity,
International Equity; and Capital.
Dreyfus Variable Investment Fund, filed August 30, 1999
Portfolios which include: Dreyfus Growth and Income; Dreyfus Capital
Appreciation
The Dreyfus Socially Responsible Growth Fund, Inc., filed August 30, 1999
Portfolios which include: Dreyfus Socially Responsible
Fidelity Investments Variable Insurance Products Fund, filed August 25, 1999
Portfolios which include: Fidelity VIP Growth
Fidelity Investments Variable Insurance Products Fund, filed August 25, 1999
Portfolios which include: Fidelity VIP High Income
Fidelity Investments Variable Insurance Products Fund, filed August 25, 1999
Portfolios which include: Fidelity VIP Overseas
Fidelity Investments Variable Insurance Products Fund II, filed August 25, 1999
Portfolios which include: Fidelity VIP II Asset Manager
Fidelity Investments Variable Insurance Products Fund II, filed August 25, 1999
Portfolios which include: Fidelity VIP II Index 500; Fidelity VIP II
Contrafund
Seligman Portfolios, Inc., filed August 31, 1999
Portfolios which include: Communications and Information; and Frontier
The Montgomery Funds III, filed August 30, 1999
Portfolios which include: Montgomery Variable Series Emerging Markets
Fund; and Montgomery Variable Series Growth Fund
