PROVIDENTMUTUAL VARIABLE ANNUITY SEPARATE ACCOUNT
N-4, 1999-09-30
Previous: ARCADIA FINANCIAL LTD, S-8, 1999-09-30
Next: AMERICAN SKANDIA LIFE ASSURANCE CORP/CT, 424B3, 1999-09-30



<PAGE>   1

   AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON SEPTEMBER 30, 1999

                                                             FILE NO. 333-
                                                                        811-6484

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

                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                             ---------------------
                                    FORM N-4
                          REGISTRATION STATEMENT UNDER
                           THE SECURITIES ACT OF 1933                        [X]
                          PRE-EFFECTIVE AMENDMENT NO.                        [ ]
                          POST-EFFECTIVE AMENDMENT NO.                       [ ]

                                     AND/OR

                          REGISTRATION STATEMENT UNDER
                       THE INVESTMENT COMPANY ACT OF 1940                    [X]
                                 AMENDMENT NO.                               [ ]

                            PROVIDENTMUTUAL VARIABLE
                            ANNUITY SEPARATE ACCOUNT
                           (EXACT NAME OF REGISTRANT)

                        PROVIDENTMUTUAL LIFE AND ANNUITY
                               COMPANY OF AMERICA
                              (NAME OF DEPOSITOR)

                             300 CONTINENTAL DRIVE
                                NEWARK, DE 19713
              (ADDRESS OF DEPOSITOR'S PRINCIPAL EXECUTIVE OFFICES)

       DEPOSITOR'S TELEPHONE NUMBER, INCLUDING AREA CODE: (302) 454-5260

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

                          JAMES G. POTTER, JR., ESQ.,
                                PROVIDENT MUTUAL
                             LIFE INSURANCE COMPANY
                              1050 WESTLAKES DRIVE
                                BERWYN, PA 19312
                    (NAME AND ADDRESS OF AGENT FOR SERVICE)
                                    COPY TO:
                             STEPHEN E. ROTH, ESQ.
                        SUTHERLAND ASBILL & BRENNAN LLP
                         1275 PENNSYLVANIA AVENUE, N.W.
                              WASHINGTON, DC 20004

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

                 APPROXIMATE DATE OF PROPOSED PUBLIC OFFERING:
 As soon as practicable after the effective date of this Registration Statement

     TITLE OF SECURITIES BEING OFFERED:  Individual Flexible Premium Deferred
Variable Annuity Contracts.

     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 the Registration Statement shall become
effective on such date as the Commission, acting pursuant to said Section 8(a),
may determine.

- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>   2

                             CROSS REFERENCE SHEET

                              PURSUANT TO RULE 495

     Showing Location in Part A (Prospectus) and Part B (Statement of Additional
Information) of Registration Statement of Information Required By Form N-4.

                                     PART A

<TABLE>
<CAPTION>
                  ITEM OF FORM N-4                            PROSPECTUS CAPTION
                  ----------------                            ------------------
<C>  <S>                                          <C>
 1.  Cover Page.................................  Cover Page
 2.  Definitions................................  Definitions
 3.  Synopsis...................................  Table of Expenses; Summary
 4.  Condensed Financial Information............  Financial Highlights
 5.  General Description of Registrant,
       Depositor and Portfolio Companies........  PLACA, the Variable Account and Funds
     a. Depositor...............................  PLACA, the Variable Account and Funds
                                                    --Providentmutual Life and Annuity
                                                    Company of America
     b. Registrant..............................  PLACA, the Variable Account and Funds
                                                    --Providentmutual Variable Annuity
                                                    Separate Account
     c. Portfolio Company.......................  PLACA, the Variable Account and the Funds
     d. Fund Prospectus.........................  PLACA, the Variable Account and the Funds
     e. Voting Rights...........................  Voting Rights
     f. Administrators..........................  Administrative Charges
 6.  Deductions and Expenses....................  Charges and Deductions
     a. General.................................  Charges and Deductions
     b. Sales Load %............................  Charges and Deductions
     c. Special Purchase Plan...................  N/A
     d. Commissions.............................  Distribution of Contracts
     e. Expenses--Registrant....................  Charges and Deductions
     f. Fund Expenses...........................  Charges and Deductions
     g. Organizational Expenses.................  N/A
 7.  General Description of Variable Annuity
       Contracts................................  Description of Annuity Contract
     a.  (i) Allocation of Premium Payments.....  Premiums; Allocation of Premiums
     (ii) Transfers.............................  Description of Annuity Contract--Transfer
                                                    Privilege
     (iii) Exchanges............................  N/A
     b. Changes.................................  Description of Annuity Contract
                                                    --Modification
     c. Inquiries...............................  Description of Annuity Contract--Contract
                                                    Inquiries
 8.  Annuity Period.............................  Payment Options
 9.  Death Benefit..............................  Description of Annuity Contract--Death
                                                  Benefit Before Maturity Date; Payments
</TABLE>
<PAGE>   3

<TABLE>
<CAPTION>
                  ITEM OF FORM N-4                            PROSPECTUS CAPTION
                  ----------------                            ------------------
<C>  <S>                                          <C>
10.  Purchases and Contract Value...............  Description of Annuity Contract
     a. Purchases...............................  Description of Annuity Contract--Premiums
     b. Valuation...............................  Description of Annuity Contract--Variable
                                                    Account Value
     c. Daily Calculation.......................  Description of Annuity Contract--Variable
                                                    Account Value
     d. Underwriter.............................  Distribution of Contracts
11.  Redemptions................................  Description of Annuity Contract
     a. --By Owners.............................  Description of Annuity Contract--
                                                    Withdrawals and Surrenders; Payments
     --By Annuitant.............................  Description of Annuity Contract--Proceeds
                                                  on Maturity Date; Payment Options
     b. Texas ORP...............................  N/A
     c. Delay in Payment........................  Description of Annuity Contract--Payments
     d. Lapse...................................  Description of Annuity Contract--Contract
                                                    Termination
     e. Free Look...............................  Description of Annuity
                                                  Contract--Cancellation
12.  Taxes......................................  Federal Tax Status
13.  Legal Proceedings..........................  Legal Proceedings
14.  Table of Contents of the Statement of
       Additional Information...................  Statement of Additional Information Table
                                                  of Contents
</TABLE>

                                     PART B

<TABLE>
<CAPTION>
                  ITEM OF FORM N-4                STATEMENT OF ADDITIONAL INFORMATION CAPTION
                  ----------------                -------------------------------------------
<C>  <S>                                          <C>
15.  Cover Page.................................  Cover Page
16.  Table of Contents..........................  Statement of Additional Information Table
                                                  of Contents
17.  General Information and History............  See Prospectus--PLACA, the Variable Account
                                                    and the Funds
18.  Services
     a. Fees and Expenses of Registrant.........  N/A
     b. Management Contract.....................  See Prospectus--Administrative Charges
     c. Custodian...............................  Safekeeping of Account Assets
     d. Independent Public Accountant...........  Experts
     e. Assets of Registration..................  Safekeeping of Account Assets
     f. Affiliated Persons......................  N/A
     g. Principal Underwriter...................  See Prospectus--Distribution of Contracts
19.  Purchase of Securities Being Offered.......  See Prospectus--Distribution of Contracts
20.  Underwriter................................  See Prospectus--Distribution of Contracts
21.  Calculation of Performance Data............  Calculation of Yields and Total Returns
22.  Annuity Payments...........................  See Prospectus--Payment Options
23.  Financial Statements.......................  Financial Statements
</TABLE>
<PAGE>   4

                                     PART A

                  INFORMATION REQUIRED TO BE IN THE PROSPECTUS
<PAGE>   5

         INDIVIDUAL FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT

                                   ISSUED BY
              PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY OF AMERICA

                                   PROSPECTUS
                               NOVEMBER    , 1999

Please read this prospectus carefully before investing and keep it for future
reference. It contains important information about this variable annuity
contract that you should know before investing.

To learn more about this variable annuity contract, you should consult the
Statement of Additional Information ("SAI") dated October   , 1999. For a free
copy of the SAI, please contact us at:

  Providentmutual Life and Annuity Company of America
  300 Continental Drive
  Newark, Delaware 19713
  Telephone: 1-800-688-5177

Providentmutual Life and Annuity Company of America ("PLACA") has filed the SAI
with the Securities and Exchange Commission and incorporates the SAI by
reference into this prospectus. The Table of Contents for the SAI appears on
page   of this prospectus. The Securities and Exchange Commission maintains an
Internet website (http://www.sec.gov) that contains the SAI, material
incorporated by reference, and other information.

Variable annuity contracts involve certain risks, and you may lose some or all
of your investment. The investment performance of the subaccounts will vary, and
you bear the entire investment risk of amounts allocated to the subaccounts.

The contract is not a deposit or obligation of any bank, and no bank endorses or
guarantees the contract. Neither the Federal Deposit Insurance Corporation nor
any federal agency insures your investment in the contract.

The Securities and Exchange Commission has not approved or disapproved these
securities or determined if this prospectus is truthful or complete. Any
representation to the contrary is a criminal offense.

This variable annuity contract has 24 funding choices -- one fixed account
(paying a guaranteed minimum fixed rate of interest) and 23 subaccounts of the
Providentmutual Variable Annuity Separate Account which invest in the following
portfolios:

MARKET STREET FUND, INC.
- - Money Market Portfolio
- - Growth Portfolio
- - Bond Portfolio
- - Managed Portfolio
- - Aggressive Growth Portfolio
- - International Portfolio
- - All Pro Large Cap Growth Portfolio
- - All Pro Small Cap Growth Portfolio
- - All Pro Large Cap Value Portfolio
- - All Pro Small Cap Value Portfolio
VARIABLE INSURANCE PRODUCTS FUND
- - VIP High Income Portfolio
- - VIP Equity-Income Portfolio
- - VIP Growth Portfolio
VARIABLE INSURANCE PRODUCTS FUND II
- - VIP II Asset Manager Portfolio
- - VIP II Contrafund Portfolio
- - VIP II Index 500 Portfolio
OCC ACCUMULATION TRUST
- - Equity Portfolio
- - Small Cap Portfolio
- - Managed Portfolio
VAN ECK WORLDWIDE INSURANCE TRUST
- - Van Eck Worldwide Hard Assets Portfolio
- - Van Eck Worldwide Bond Portfolio
- - Van Eck Worldwide Emerging Markets Portfolio
- - Van Eck Worldwide Real Estate Portfolio
<PAGE>   6

                               TABLE OF CONTENTS

<TABLE>
<CAPTION>
                                                              PAGE
                                                              ----
<S>                                                           <C>
Definitions.................................................    1
Table of Expenses...........................................    3
Summary.....................................................    7
     The Contract...........................................    7
     Charges and Deductions.................................    9
     Annuity Provisions.....................................   10
     Federal Tax Status.....................................   10
PLACA, the Variable Account and the Funds...................   11
     Providentmutual Life and Annuity Company of America....   11
     Providentmutual Variable Annuity Separate Account......   11
     The Funds..............................................   12
          The Market Street Fund, Inc. .....................   12
          Variable Insurance Products Fund and Variable
         Insurance Products Fund II.........................   14
          OCC Accumulation Trust............................   15
          Van Eck Worldwide Insurance Trust.................   15
     Resolving Material Conflicts...........................   17
     Addition, Deletion or Substitution of Investments......   17
Description of Annuity Contract.............................   17
     Issuance of a Contract.................................   17
     Premiums...............................................   18
     Cancellation Period....................................   18
     Allocation of Premiums.................................   18
     Credit Amounts.........................................   19
     Variable Account Value.................................   19
     Transfer Privilege.....................................   20
     Dollar Cost Averaging..................................   21
     Withdrawals and Surrender..............................   22
     Death Benefit Before Annuity Date......................   24
     The Annuity Date.......................................   26
     Payments...............................................   26
     Modification...........................................   26
     Reports to Contract Owners.............................   27
     Contract Inquiries.....................................   27
The Guaranteed Account......................................   27
     Minimum Guaranteed and Current Interest Rates..........   27
     Transfers from Guaranteed Account......................   27
     Payment Deferral.......................................   28
Charges and Deductions......................................   28
     Surrender Charge (Contingent Deferred Sales Charge)....   28
     Death Benefit Charge...................................   29
     Administrative Charges.................................   29
     Daily Annuity Charge...................................   29
     Investment Advisory Fees and Other Expenses of the
      Funds.................................................   30
     Charges For Optional Death Benefit Riders..............   30
     Premium Taxes..........................................   30
     Other Taxes............................................   30
     Charge Discounts For Sales to Certain Groups...........   30
Payment Options.............................................   31
     Election of Payment Options............................   31
     Description of Payment Options.........................   31
</TABLE>
<PAGE>   7

<TABLE>
<CAPTION>
                                                              PAGE
                                                              ----
<S>                                                           <C>
Yields and Total Returns....................................   32
Federal Tax Status..........................................   33
     Introduction...........................................   33
     Tax Status of the Contracts............................   34
     The Treatment of Annuities.............................   34
     Taxation of Non-Qualified Contracts....................   34
     Taxation of Qualified Contracts........................   35
     Withholding............................................   37
     Possible Changes in Taxation...........................   37
     Other Tax Consequences.................................   37
Distribution of Contracts...................................   37
Preparing for Year 2000.....................................   38
Legal Proceedings...........................................   38
Voting Rights...............................................   38
Financial Statements........................................   39
Appendix A--Financial Highlights............................  A-1
Appendix B--Plan of Conversion..............................  B-1
</TABLE>
<PAGE>   8

                                  DEFINITIONS

ACCUMULATION UNIT.......... A unit of measure used to calculate Subaccount
                            Value.

ANNUITANT.................. The person or persons upon whose life (or lives)
                            determines the annuity payments payable under the
                            Contract.

ANNUITY DATE............... The date as of which Surrender Value is applied to a
                            Payment Option.

BENEFICIARY................ The person to whom we pay the death benefit on the
                            death of the Owner (or the Annuitant if the Owner is
                            not a natural person). If the Contract has joint
                            Owners, then the surviving joint Owner is the
                            Beneficiary.

CANCELLATION PERIOD........ Period described in this prospectus during which the
                            Owner may return this Contract for a refund.

CODE....................... The Internal Revenue Code of 1986, as amended.

CONTRACT................... The individual flexible premium deferred variable
                            annuity contract issued by PLACA and offered in this
                            prospectus.

CONTRACT ACCOUNT VALUE..... The sum of the Variable Account Value and the
                            Guaranteed Account Value.

CONTRACT ANNIVERSARY....... The same date in each Contract Year as the Contract
                            Date.

CONTRACT DATE.............. The date as of which We issue the Contract and upon
                            which the Contract becomes effective. The Contract
                            Date is used to determine Contract Years and
                            Contract Anniversaries.

CONTRACT YEAR.............. A twelve-month period beginning on the Contract Date
                            or on a Contract Anniversary.

CREDIT AMOUNT.............. An additional amount that we add to Your Contract
                            Account Value when We apply Net Premium under a
                            Contract.

FUND....................... Any open-end management investment company in which
                            a Subaccount invests.

GENERAL ACCOUNT............ The assets of the Company other than those allocated
                            to the Variable Account or any other separate
                            account of the Company.

GUARANTEED ACCOUNT......... An account that is part of Our General Account and
                            not part of nor is it dependent upon the investment
                            performance of the Variable Account.

GUARANTEED ACCOUNT
OPTION..................... An allocation option under the Contract supported by
                            the General Account.

GUARANTEED ACCOUNT VALUE... Net Premiums allocated and Contract Account Value
                            transferred to the Guaranteed Account, plus interest
                            credited to the Guaranteed Account, minus amounts
                            deducted, transferred, or withdrawn from the
                            Guaranteed Account.

MATURITY DATE.............. The last possible Annuity Date. In most states, it
                            is the later of the Contract Anniversary nearest the
                            Annuitant's age 90, or 10 years after the Contract
                            Date (unless We consent to a later Maturity Date).
                            Notwithstanding the Maturity Date, Qualified
                            Contracts may require that distributions begin at an
                            earlier date.

MONEY MARKET SUBACCOUNT.... The Subaccount that holds shares of the Money Market
                            Portfolio of Market Street Fund, Inc.

NET ASSET VALUE PER
SHARE...................... The value per share of any Fund on any Valuation
                            Day. The method of computing the Net Asset Value Per
                            Share is described in the prospectus for each Fund.

NET PREMIUM................ The premium paid less any premium tax deducted from
                            the premium.

NON-QUALIFIED CONTRACT..... A Contract that is not a "Qualified Contract."

NOTICE..................... A request or notice in writing or otherwise in a
                            form satisfactory to PLACA that is signed by the
                            Owner and received at the Service Center.

                                        1
<PAGE>   9

OWNER...................... The person or persons who owns (or own) the Contract
                            and who is (are) entitled to exercise all rights and
                            privileges provided in the Contract. Provisions
                            relating to action by the Owner mean, in the case of
                            joint Owners, both Owners acting jointly. Joint
                            Owners must be spouses.

PAYEE...................... The person entitled to receive Annuity Payments
                            under the Contract. the Annuitant is the Payee
                            unless the Owner designates a different person as
                            Payee.

PAYMENT OPTION............. One of the three annuity payment options available
                            under the Contract.

PORTFOLIO.................. An investment portfolio of a Fund.

PLACA, WE, OUR, US......... Providentmutual Life and Annuity Company of America.

QUALIFIED CONTRACT......... A Contract issued in connection with retirement
                            plans that qualify for special federal income tax
                            treatment under the Code.

SEC........................ The U.S. Securities and Exchange Commission.

SERVICE CENTER............. Providentmutual's office at 300 Continental Drive,
                            Newark, Delaware 19713.

SUBACCOUNT................. A subdivision of the Variable Account.

SUBACCOUNT VALUE........... Before the Annuity Date, the amount equal to that
                            part of any Net Premium and associated Credits
                            Amounts allocated to the Subaccount plus any
                            Contract Value transferred to that Subaccount as
                            adjusted by any interest income, dividends, net
                            capital gains or losses, realized or unrealized, and
                            decreased by withdrawals (including any applicable
                            surrender charges and premium tax charge), charges
                            and any Contract Value transferred out of that
                            Subaccount.

SURRENDER VALUE............ The Contract Value less: (1) any applicable
                            surrender charge, (2) premium tax charges not
                            previously deducted, and (3) the annual contract
                            maintenance fee.

VALUATION DAY.............. For each Subaccount, each day that the New York
                            Stock Exchange is open for business except for
                            certain holidays listed in this prospectus and days
                            that a Subaccount's corresponding Portfolio does not
                            value its shares.

VALUATION PERIOD........... The period that starts at the close of regular
                            trading on the New York Stock Exchange on any
                            Valuation Day and ends at the close of regular
                            trading on the next succeeding Valuation Day.

VARIABLE ACCOUNT........... Providentmutual Variable Annuity Separate Account.

VARIABLE ACCOUNT VALUE..... The sum of all Subaccount Values.

YOU OR YOUR................ The Owner.

                                        2
<PAGE>   10

                               TABLE OF EXPENSES

     The following information regarding expenses assumes that the entire
Contract Account Value is in the Variable Account.

CONTRACT OWNER TRANSACTION EXPENSES

<TABLE>
<S>                                <C>             <C>         <C>         <C>         <C>         <C>
Sales Load Imposed on Premiums...  None
Maximum Contingent Deferred Sales
  Charge (as a percentage of each
  premium payment surrendered,
  withdrawn or annuitized)(1)....         8%
Death Benefit Charge (as a
  percentage of each premium
  payment)(2)....................         8%       (up to the amount of Credit Amounts received during the prior
                                                   12 months)
Transfer Processing Fee..........  No fee for first twelve transfers in Contract Year.
                                   $25 fee for each transfer thereafter during Contract Year.
ANNUAL ADMINISTRATION FEE(3).....  $40 per Contract Year
VARIABLE ACCOUNT ANNUAL EXPENSES
  (as a percentage of Variable
  Account Value)
Annual Annuity Charge............      1.40%
</TABLE>

<TABLE>
<CAPTION>
                                     MONEY                                             AGGRESSIVE
                                    MARKET        GROWTH         BOND       MANAGED      GROWTH     INTERNATIONAL
                                   PORTFOLIO     PORTFOLIO     PORTFOLIO   PORTFOLIO   PORTFOLIO      PORTFOLIO
                                   ---------   -------------   ---------   ---------   ----------   -------------
<S>                                <C>         <C>             <C>         <C>         <C>          <C>
MARKET STREET FUND, INC.
ANNUAL EXPENSES
  (as a percentage of average
  net assets)
Management Fees
  (Investment Advisory Fees).....    0.25%         0.32%         0.35%       0.40%        0.41%         0.75%
Other Expenses...................    0.17%         0.15%         0.20%       0.18%        0.21%         0.25%
                                     ----          ----          ----        ----         ----          ----
Total Fund Annual Expenses.......    0.42%         0.47%         0.55%       0.58%        0.62%         1.00%
</TABLE>

<TABLE>
<CAPTION>
                                      ALL PRO       ALL PRO     ALL PRO     ALL PRO
                                     LARGE CAP     LARGE CAP   SMALL CAP   SMALL CAP
                                      GROWTH         VALUE      GROWTH       VALUE
                                     PORTFOLIO     PORTFOLIO   PORTFOLIO   PORTFOLIO
                                   -------------   ---------   ---------   ---------
<S>                                <C>             <C>         <C>         <C>         <C>         <C>
MARKET STREET FUND, INC.
ANNUAL EXPENSES
  (as a percentage of average
  net assets)
Management Fees
  (Investment Advisory Fees).....      0.70%         0.70%       0.90%       0.90%
Other Expenses...................      0.22%         0.27%       0.35%       0.39%
                                       ----          ----        ----        ----
Total Fund Annual Expenses(4)....      0.92%         0.97%       1.25%       1.29%
</TABLE>

                                        3
<PAGE>   11

<TABLE>
<CAPTION>
                                       HIGH         EQUITY-
                                      INCOME        INCOME      GROWTH
                                     PORTFOLIO     PORTFOLIO   PORTFOLIO
                                   -------------   ---------   ---------
<S>                                <C>             <C>         <C>         <C>         <C>         <C>
VARIABLE INSURANCE PRODUCTS FUND
("VIP FUND") ANNUAL EXPENSES(5)
  (as a percentage of average
  net assets)
Management Fees
  (Investment Advisory Fees).....      0.58%         0.49%       0.59%
Other Expenses (after
  reimbursement).................      0.12%         0.08%       0.07%
                                       ----          ----        ----
Total Fund Annual Expenses (after
  reimbursement)(4)..............      0.70%         0.57%       0.66%
</TABLE>

<TABLE>
<CAPTION>
                                       ASSET         INDEX
                                      MANAGER         500      CONTRAFUND
                                     PORTFOLIO     PORTFOLIO   PORTFOLIO
                                   -------------   ---------   ----------
<S>                                <C>             <C>         <C>          <C>         <C>         <C>
VARIABLE INSURANCE PRODUCTS FUND
II
("VIP II FUND")
ANNUAL EXPENSES(5)
  (as a percentage of average
  net assets)
Management Fees
  (Investment Advisory Fees).....      0.54%         0.24%        0.59%
Other Expenses (after
  reimbursement).................      0.09%         0.04%        0.07%
                                       ----          ----         ----
Total Fund Annual Expenses (after
  reimbursement)(4)..............      0.63%         0.28%        0.66%
</TABLE>

<TABLE>
<CAPTION>
                                                   GROWTH &
                                       BOND         INCOME     INTERNATIONAL
                                     PORTFOLIO     PORTFOLIO     PORTFOLIO
                                   -------------   ---------   -------------
<S>                                <C>             <C>         <C>             <C>         <C>         <C>
OCC ACCUMULATION TRUST
ANNUAL EXPENSES(5)
  (as a % of average
  net assets)
Management Fees
  (Investment Advisory Fees).....      0.80%         0.80%          0.78%
Other Expenses (after
  reimbursement).................      0.14%         0.07%          0.04%
                                       ----          ----           ----
Total Fund Annual Expenses (after
  reimbursement)(4)(6)...........      0.94%         0.87%          0.82%
</TABLE>

<TABLE>
<CAPTION>
                                                   WORLDWIDE   WORLDWIDE   WORLDWIDE
                                     WORLDWIDE       HARD      EMERGING      REAL
                                       BOND         ASSETS      MARKETS     ESTATE
                                     PORTFOLIO     PORTFOLIO   PORTFOLIO   PORTFOLIO
                                   -------------   ---------   ---------   ---------
<S>                                <C>             <C>         <C>         <C>         <C>         <C>
VAN ECK WORLDWIDE INSURANCE TRUST
ANNUAL EXPENSES(5)
  (as a percentage of average
  net assets)
Management Fees
  (Investment Advisory Fees).....      1.00%         1.00%       1.00%       1.00%
Other Expenses (after
  reimbursement).................      0.15%         0.16%       0.50%       0.50%
                                       ----          ----        ----        ----
Total Fund Annual Expenses
  (after reimbursement)(4).......      1.15%         1.16%       1.50%       1.50%
</TABLE>

     Premium taxes may be applicable, depending on various state laws.

                                        4
<PAGE>   12

     The above tables are intended to assist the Owner in understanding the
costs and expenses that will be borne by the Contract Owner, directly or
indirectly. The tables reflect expenses of the Variable Account and the Funds
for the 1998 calendar year. For a more complete description of the various costs
and expenses, see "Charges and Deductions" and the prospectus for each Fund.
- ---------------
(1) A surrender charge is deducted only if a premium payment is withdrawn or
    surrendered or applied to a Payment Option within 9 years of its being made.
    The maximum total surrender charge will not exceed 8 1/2% of the total
    premiums paid under the Contract. Subject to certain restrictions, after the
    first Contract Year up to 10% of the Contract Account Value as of the
    beginning of a Contract Year may be surrendered or withdrawn without charge
    in such Contract Year (10% of the initial premium payment during the first
    Contract Year). (See "Surrender Charge.")
(2) The Death Benefit Charge is only deducted if a death benefit is paid and is
    limited to the amount of Credit Amounts during the 12 months prior to the
    owner's death.
(3) The Annual Administration Fee is waived where Contract Account Value is
    $50,000 or more.
(4) For certain portfolios, certain expenses were reimbursed or fees waived
    during 1998. It is anticipated that expense reimbursement and fee waiver
    arrangements will continue past the current year. Absent the expense
    reimbursement, the Total Annual Expenses would have been 1.36% for the
    Market Street Fund All-Pro Small Cap Value Portfolio, 0.58% for the VIP Fund
    Equity-Income Portfolio, 0.68% for the VIP Fund Growth Portfolio, 0.64% for
    the VIP II Fund Asset Manager Portfolio, 0.35% for the VIP II Fund Index 500
    Portfolio, 0.70% for the VIP II Fund Contrafund Portfolio, 0.88% for the OCC
    Small Cap Portfolio, 1.20% for the Van Eck Worldwide Hard Assets Portfolio,
    1.61% for the Van Eck Worldwide Emerging Markets Portfolio and 5.32% for the
    Van Eck Worldwide Real Estate Portfolio. Similar expense reimbursement and
    fee waiver arrangements were also in place for the other Portfolios and it
    is anticipated that such arrangements will continue past the current year.
    However, no expenses were reimbursed or fees waived during 1998 for these
    Portfolios because the level of actual expenses and fees never exceeded the
    thresholds at which the reimbursement and waiver arrangements would have
    become operative.
(5) The fee and expense information regarding the Funds was provided by those
    Funds. The VIP Fund, the VIP II Fund, the OCC Accumulation Trust, and the
    Van Eck Worldwide Insurance Trust are not affiliated with PLACA.
(6) The Advisers of the OCC Accumulation Trust Equity, Small Cap and Managed
    Portfolios are contractually obligated to waive that portion of the advisory
    fee and to assume any necessary expense to limit total operating expenses of
    the Portfolios to 1.00% of average net assets (net of expense offset) on an
    annual basis.

    EXAMPLES

     An Owner would pay the following expenses on a $1,000 investment, assuming
a 5% annual return on assets, assuming that no optional death benefit rider was
selected, and assuming the addition of a 3.0% Credit Amount added to the $1,000
investment for the purpose of determining asset-based expenses. These examples
do not show the offsetting effect of the Credit Amount on illustrated expenses.
The Credit Amount has the effect of offsetting some [or all] of the expenses
reflected in the illustrations.

     1. If the Contract is surrendered or annuitized at the end of the
applicable time period:

<TABLE>
<CAPTION>
SUBACCOUNT                                             1 YEAR    3 YEARS    5 YEARS    10 YEARS
- ----------                                             ------    -------    -------    --------
<S>                                                    <C>       <C>        <C>        <C>
MS Money Market......................................
MS Growth............................................  $         $          $          $
MS Bond..............................................
MS Managed...........................................
MS Aggressive Growth.................................
MS International.....................................
MS All Pro Large Cap Growth..........................
MS All Pro Large Cap Value...........................
MS All Pro Small Cap Growth..........................
</TABLE>

                                        5
<PAGE>   13

<TABLE>
<CAPTION>
SUBACCOUNT                                             1 YEAR    3 YEARS    5 YEARS    10 YEARS
- ----------                                             ------    -------    -------    --------
<S>                                                    <C>       <C>        <C>        <C>
MS All Pro Small Cap Value...........................
Fidelity High Income.................................
Fidelity Equity Income...............................
Fidelity Growth......................................
Fidelity Asset Manager...............................
Fidelity Index 500...................................
Fidelity Contrafund..................................
OCC Equity...........................................
OCC Small Cap........................................
OCC Managed..........................................
Van Eck Worldwide Bond...............................
Van Eck Worldwide Hard Assets........................
Van Eck Worldwide Emerging Markets...................
Van Eck Worldwide Real Estate........................
</TABLE>

     2. If the Contract is not surrendered or annuitized at the end of the
applicable time period:

<TABLE>
<CAPTION>
SUBACCOUNT                                              1 YEAR    3 YEARS    5 YEARS    10 YEARS
- ----------                                              ------    -------    -------    --------
<S>                                                     <C>       <C>        <C>        <C>
MS Money Market.......................................
MS Growth.............................................  $         $          $          $
MS Bond...............................................
MS Managed............................................
MS Aggressive Growth..................................
MS International......................................
MS All Pro Large Cap Growth...........................
MS All Pro Large Cap Value............................
MS All Pro Small Cap Growth...........................
MS All Pro Small Cap Value............................
Fidelity High Income..................................
Fidelity Equity Income................................
Fidelity Growth.......................................
Fidelity Asset Manager................................
Fidelity Index 500....................................
Fidelity Contrafund...................................
OCC Equity............................................
OCC Small Cap.........................................
OCC Managed...........................................
Van Eck Worldwide Bond................................
Van Eck Worldwide Hard Assets.........................
Van Eck Worldwide Emerging Markets....................
Van Eck Worldwide Real Estate.........................
</TABLE>

     The Examples provided above assume that no transfer charges or premium
taxes have been assessed. The Examples also assume that the Annual
Administration Fee is $40 and that the Contract Account Value per Contract is
$40,000, which translates the Annual Administration Fee into an assumed .10%
charge for purposes of the Examples based on a $1,000 investment.

     THE EXAMPLES SHOULD NOT BE CONSIDERED A REPRESENTATION OF PAST OR FUTURE
EXPENSES. ACTUAL EXPENSES MAY BE GREATER OR LESS THAN THOSE SHOWN. THE ASSUMED
5% ANNUAL RETURN IS HYPOTHETICAL AND SHOULD NOT BE CONSIDERED A REPRESENTATION
OF PAST OR FUTURE ANNUAL RETURNS, WHICH MAY BE GREATER OR LESS THAN THE ASSUMED
AMOUNT.

                                        6
<PAGE>   14

                                    SUMMARY

     This section is a summary of some of the more important points that you
should know and consider before purchasing this variable annuity contract. We
discuss each of these topics in greater detail further back in this prospectus.

THE CONTRACT

     Issuance of a Contract.  The Contract is an individual flexible premium
deferred variable annuity issued by us. The Contract allows you to invest on a
tax-deferred basis for your retirement or other long-term purposes. We may sell
these Contracts in connection with retirement plans which qualify for special
tax treatment (Qualified Contracts), as well as those which do not qualify for
special tax treatment (Non-Qualified Contracts).

To purchase a Contract, you must submit an application and pay the minimum
initial premium. We do not begin to make annuity payments until the Annuity
Date.

     Cancellation Period.  You have the right to return the Contract within 10
days after you receive it. If you return the Contract within the Cancellation
Period, we will return a refund amount to you. In most states, the amount we
return is:

     - the Contract Account Value as of the date that we receive the returned
       Contract.

       minus

     - any Credit Amounts applied to the Contract

       plus

     - any charges that we may have deducted from premium payments or Contract
       Account Value

In states where required, we will return the premiums that you paid.

     Premiums.  We require a minimum initial premium of at least $10,000. You
may pay subsequent premiums at any time. For Non-Qualified Contracts, the
minimum subsequent premium is $100. For Qualified Contracts, the minimum
subsequent premium is $50. You may also select a planned periodic premium
schedule, which specifies each planned premium amount and payment frequency.

     Credit Amounts.  We credit Your Contract Account Value with an additional
amount in most circumstances when a Net Premium is applied to the Contract. The
Credit Amount is a percentage of the premium that You pay (ranging from 1.5% to
5.0%) and is determined by the total amount of premiums received under a
Contract less the total amount of all withdrawals (including surrender charges).
The amount of the Credit Amount is calculated by multiplying this percentage by
the excess of (a) over (b) where:

          (a) is the total premiums paid under the Contract (including the
     current premium payment) less the total withdrawals (including surrender
     charges); and

          (b) is the amount computed for (a) at the time that the most recent
     previous Credit Amount calculation was made that resulted in a positive
     Credit Amount.

     On each of the first three Contract Anniversaries, We determine a
Calculated Credit Amount. To the extent that the Calculated Credit Amount
exceeds the amount of the actual Credit Amounts, we increase the Contract
Account Value by the amount of such excess.

     The Credit Amount and the Calculated Credit Amount is explained in more
detail later in this prospectus.

     Allocation of Net Premiums.  We will allocate Net Premiums and associated
Credit Amounts under a Contract as designated by you to one or more of the
Subaccounts or to the Guaranteed Account, or to both. (We do not offer the
Guaranteed Account in Oregon.) In states where you are guaranteed the return of
your premium if you cancel during the Cancellation Period, all Net Premiums and
associated Credit Amounts will be initially allocated to the Money Market
Subaccount for a 15-day period. At the end of

                                        7
<PAGE>   15

that period, we will allocate the amount in the Money Market Subaccount to your
designated Subaccounts.

We invest the assets of each Subaccount solely in a corresponding Portfolio. The
Contract Account Value (except for Guaranteed Account Value) will vary according
to the investment performance of the Portfolios in which the chosen Subaccounts
invest. We credit interest to amounts in the Guaranteed Account at a guaranteed
minimum rate of 3% per year, or at a higher current interest rate as we may
declare.

     Transfers.  On or before the Annuity Date, you may request a transfer of
all or part of the amount in a Subaccount or the Guaranteed Account to another
Subaccount or the Guaranteed Account, subject to certain restrictions. Each
transfer must be at least $500 or the entire amount in the Subaccount or
Guaranteed Account, if less. We only allow one transfer out of the Guaranteed
Account each Contract Year. You must make this transfer within 30 days of the
Contract Anniversary. We limit the amount that you can transfer from the
Guaranteed Account. After twelve transfers during a Contract Year, we deduct a
transfer processing fee of $25 for each additional transfer during that Contract
Year.

     Withdrawals.  At any time before the earlier of the death of an Owner or
the Annuity Date, You may withdraw part of the Surrender Value, subject to
certain limitations.

     Surrender.  Upon Notice received at the Service Center on or before the
earlier of the death of an Owner or the Annuity Date, You may surrender the
Contract which must include the proper form in full and receive its Surrender
Value.

     Death Benefit.  If any Owner dies before the Annuity Date, we will pay the
Beneficiary a death benefit. During the first nine Contract years, the death
benefit equals the greater of:

     - Contract Account Value less the Death Benefit Charge, or

     - aggregate premiums paid reduced by the amount of all withdrawals prior to
       the date of death.

In Contract Years ten and later, the death benefit equals the greatest of:

     - Contract Account Value less the Death Benefit Charge, or

     - aggregate premiums paid as of the ninth Contract Anniversary reduced by
       the amount of all withdrawals prior to the ninth Contract Anniversary
       plus aggregate premium paid since that Anniversary reduced, for each
       withdrawal since that Anniversary, by the Withdrawal Adjustment Amount.

     - Contract Account Value on the ninth Contract Anniversary plus aggregate
       premium paid since that Anniversary reduced, for each withdrawal since
       that Anniversary, by the Withdrawal Adjustment Amount.

The Withdrawal Adjustment Amount is determined by multiplying the death benefit
prior to the withdrawal by the ratio of the amount of the withdrawal (including
any Surrender Charge) to the Contract Account Value immediately prior to the
withdrawal.

Notwithstanding the foregoing, if the Owner is 90 years old or older at the date
of death, the death benefit is the Contract Account Value less the Death Benefit
Charge.

If any Owner dies before the Annuity Date, we must generally distribute the
death benefit to the Beneficiary within five years after the date of death.

     Step-Up Rider.  You may also elect a Step-up Rider, which provides a
guaranteed minimum death benefit. This guaranteed minimum death benefit
initially equals the Contract Account Value as of the First Contract
Anniversary. We will reset or "step-up" the guaranteed minimum death benefit to
the Contract Account Value, if greater, on the next Contract Anniversary. This
"step-up" continues until the Contract Anniversary on or before the Annuitant's
85th birthday. We will also increase the proceeds upon death by an amount equal
to aggregate Net Premiums paid since the last Contract Anniversary. In the event
of a withdrawal at any time, we reduce the guaranteed minimum death benefit by
the same percentage that the withdrawal reduces the Contract Account Value. At
no time will the death benefit proceeds be less than the Contract Account Value
on the date we receive due proof of the Owner's death, or
                                        8
<PAGE>   16

     Rising Floor Rider.  You may also elect a Rising Floor Rider, which
provides a guaranteed minimum death benefit. This guaranteed minimum death
benefit equals the sum of premiums paid less reductions for withdrawals, with
interest accumulating at an annual rate of 5% until the Contract Anniversary
prior to the Annuitant's 75th birthday. Thereafter, We add premiums and deduct
withdrawals from the guaranteed death benefit. We reduce the guaranteed minimum
death benefit for a withdrawal by the same percentage that the withdrawal
reduces Contract Account Value. At no time will the death benefit proceeds be
less than the Contract Account Value or more than 200% of premium payments less
200% of withdrawals (including any Surrender Charge).

CHARGES AND DEDUCTIONS

     Surrender Charge (Contingent Deferred Sales Charge).  We do not deduct any
charge for sales expenses from premiums. However, if you surrender or annuitize
your Contract or make certain withdrawals within nine years of making a premium
payment, we will deduct a Surrender Charge from the premium payment when it is
surrendered or withdrawn or applied to a Payment Option. The Surrender Charge is
a percentage of each such premium payment ranging from 8% to 2% during the first
nine years after the payment is made. The Surrender Charge applicable to each
premium payment diminishes as the payment ages. A premium payment ages by
Contract Year, such that it is in "year" 1 during the Contract Year in which it
is received and in "year" 2 throughout the subsequent Contract Year and in
"year" 3 throughout the Contract Year after that, etc.

Notwithstanding the foregoing, no Surrender Charge is applied to Contract
Account Value withdrawn or surrendered during any Contract Year up to an amount
equal to the Free Withdrawal Amount. During the first Contract Year, the Free
Withdrawal Amount is 10% of the Premium Payments. For all other Contract Years,
the Free Withdrawal Amount is 10% of the Contract Account Value at the start of
that Year. Also, no Surrender Charge applies if You annuitize Your Contract as
of the Maturity Date.

     Death Benefit Charge.  A Death Benefit Charge is deducted when computing
the death benefit upon the death of any Owner prior to the Annuity Date. The
Free Withdrawal Amount does not apply to the Death Benefit Charge. The Death
Benefit Charge is the same as the Surrender Charge except that it is capped at
an amount equal to the dollar amount of Credit Amounts granted under the
Contract during the twelve months preceding the Owner's death.

     Annual Administration Fee.  On each Contract Anniversary prior to and
including the Annuity Date, we deduct an Annual Administration Fee of $40 from
the Contract Account Value. We also deduct this charge on the Annuity Date if it
is not a Contract Anniversary and upon surrender if the surrender occurs at any
time other than on a Contract Anniversary. We currently do not charge this Fee
when Contract Account Value is $50,000 or more as of the date that the Fee would
have been charged.

     Transfer Processing Fee.  The first twelve transfers of amounts in the
Subaccounts and the Guaranteed Account during each Contract year are free. We
assess a $25 transfer charge for each additional transfer during such Contract
Year.

     Daily Annuity Charge.  We deduct a daily Annuity Charge to compensate us
for assuming certain mortality and expense risks and to cover some of the
expense of administering the Contracts. On or prior to the Annuity Date, we
deduct the charge from the assets of the Variable Account at an annual rate of
1.40%.

     Premium Taxes.  If state or other premium taxes apply to a Contract, we
deduct such taxes either:

     - from premiums as they are received, or

     - from the Contract Account Value, upon a withdrawal from or surrender of
       the Contract, upon application of the Surrender Value to a Payment
       Option, or upon payment of a death benefit.

     Investment Advisory Fees and Other Expenses of the Portfolios.  The
investment experience of each Subaccount reflects that of the Portfolio whose
shares it holds. The investment experience of each Portfolio, in turn, reflects
its investment advisory fees and other operating expenses. Please read the
prospectus for each Fund for details.

                                        9
<PAGE>   17

     Charges for Optional Death Benefit Riders.  If You elect a Step-Up Rider or
Rising Floor Rider, We deduct a charge from Contract Account Value on the
Contract Date and on the same day of each month thereafter. The charge is a
percent of Contract Account Value and is deducted proportionately from
Subaccount Values and Guaranteed Account Value under the Contract. The charge is
equal to 1/12 of the following annual rates: Step-Up Rider, 0.25%; Rising Floor
Rider, 0.40%.

ANNUITY PROVISIONS

     Annuity Date.  We will apply the Surrender Value to a Payment Option on the
Annuity Date unless You elect to receive the Surrender Value at that time.

     Payment Options.  The Contract offers three Payment Options. The amount of
the payments under them does not vary with the Variable Account's performance.
They are:

     - Life Annuity,

     - Life Annuity with 10 Years Guaranteed, and

     - Alternate Income Option.

FEDERAL TAX STATUS

     Generally, a distribution (including a surrender, withdrawal, or death
benefit payment) may result in adverse federal income tax consequences. In
certain circumstances, a penalty tax may apply.

                                       10
<PAGE>   18

                   PLACA, THE VARIABLE ACCOUNT AND THE FUNDS

PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY OF AMERICA

     The Contracts are issued by Providentmutual Life and Annuity Company of
America ("PLACA") which originated as a stock life insurance company
incorporated under the name of Washington Square Life Insurance Company in the
Commonwealth of Pennsylvania in 1958. The name of the Company was changed from
Washington Square to PLACA in 1991 and the Company was redomiciled as a Delaware
insurance company in December, 1992. PLACA is currently licensed to transact
life insurance business in 48 states and the District of Columbia. As of
December 31, 1998, PLACA had total assets of approximately $1.5 billion.

     PLACA is a wholly-owned subsidiary of Provident Mutual Life Insurance
Company ("PMLIC"). PMLIC was chartered by the Commonwealth of Pennsylvania in
1865 and at the end of 1998 had total assets of approximately $8.7 billion. More
information about PMLIC is provided in Appendix B. On December 31, 1997, PLACA
and PMLIC entered into a Support Agreement whereby PMLIC agrees to ensure that
PLACA's total adjusted capital will remain at the level of 200% of the company
action level for risk-based capital ("RBC") at the end of each calendar quarter
during the term of the agreement, agreeing to contribute to PLACA an amount of
capital sufficient to attain such level of total adjusted capital. RBC
requirements are used to monitor sufficient capitalization of insurance
companies based upon the types and mixtures of risk inherent in such companies'
operations.

     Further, PMLIC agrees to cause PLACA to maintain cash or cash equivalents
from time to time as may be necessary during the term of the agreement in an
amount sufficient for the payment of benefits and other contractual claims
pursuant to policies and other contracts issued by PLACA. This agreement will
remain in effect provided PLACA is, and remains, a subsidiary of PMLIC. Prior to
any material modification or termination of the agreement, a determination must
be made that such modification or termination will not have an adverse impact on
the policyholders of PLACA. Such determination shall be based on the ability of
PLACA at the time of such determination to maintain its own financial stability
according to the standards contained in the agreement. Other than this Support
Agreement, PMLIC is under no obligation to invest money in PLACA nor is it in
any way a guarantor of PLACA's contractual obligations or obligations under the
Contract.

     PLACA is subject to regulation by the Insurance Department of the State of
Delaware as well as by the insurance departments of all other states and
jurisdictions in which it does business. PLACA submits annual statements on its
operations and finances to insurance officials in such states and jurisdictions.
The forms for the Contract described in this Prospectus are filed with and
(where required) approved by insurance officials in each state and jurisdiction
in which Contracts are sold.

     PLACA is a member of the Insurance Marketplace Standards Association
("IMSA"), and as such may include the IMSA logo and information about IMSA
membership in its advertisements. Companies that belong to IMSA subscribe to a
set of ethical standards covering the various aspects of sales and service for
individually sold life insurance and annuities.

PROVIDENTMUTUAL VARIABLE ANNUITY SEPARATE ACCOUNT

     Providentmutual Variable Annuity Separate Account is a separate investment
account of PLACA, established by the Board of Directors of PLACA on May 9, 1991,
under Pennsylvania law. Because PLACA later redomesticated as a Delaware
Insurance Company, the Variable Account is now subject to regulation by the
Delaware Insurance Department. PLACA has caused the Variable Account to be
registered with the Securities and Exchange Commission (the "SEC") as a unit
investment trust under the Investment Company Act of 1940 (the "1940 Act"). Such
registration does not involve supervision by the SEC of the management or
investment policies or practices of the Variable Account.

     The assets of the Variable Account are owned by PLACA. However, these
assets are held separate from other assets and are not part of PLACA's General
Account. The portion of the assets of the Variable Account equal to the reserves
or other contract liabilities of the Variable Account are not chargeable with
liabilities that arise from any other business PLACA conducts. PLACA may
transfer to its General Account any assets of the Variable Account which exceed
the reserves and the contract liabilities of the
                                       11
<PAGE>   19

Variable Account (which will always be at least equal to the aggregate Contract
value allocated to the Variable Account under the Contracts).

     The income, gains and losses, realized or unrealized, from the assets of
each Subaccount of the Variable Account are credited to or charged against that
Subaccount without regard to any other income, gains or losses of PLACA. PLACA
may accumulate in the Variable Account the charge for expense and expense risks,
mortality gains and losses and investment results applicable to those assets
that are in excess of the net assets supporting the Contracts.

     The Variable Account currently has thirty-six Subaccounts twenty-three of
which are available under the Contracts. They are: Growth; Money Market; Bond;
Managed; Aggressive Growth; International; All Pro Large Cap Growth; All Pro
Large Cap Value; All Pro Small Cap Growth; All Pro Small Cap Value; Fidelity
High Income; Fidelity Equity-Income; Fidelity Growth; Fidelity Asset Manager;
Fidelity Index 500; Fidelity Contrafund; OCC Equity; OCC Small Cap; OCC Managed;
Van Eck Worldwide Bond; Van Eck Worldwide Hard Assets; Van Eck Worldwide
Emerging Mkts; and Van Eck Worldwide Real Estate. The assets of each Subaccount
are invested exclusively in shares of a corresponding Portfolio of a designated
Fund.

THE FUNDS

     The Variable Account currently invests in portfolios of five series-type
mutual funds: Market Street Fund, Inc.; Variable Insurance Products Fund;
Variable Insurance Products Fund II; OCC Accumulation Trust; and Van Eck
Worldwide Insurance Trust (collectively, the "Funds"). Each of these Funds is
registered with the SEC under the 1940 Act as an open-end diversified investment
company. The SEC does not, however, supervise the management or the investment
practices and policies of the Funds.

     The assets of each Fund Portfolio are separate from other Portfolios of
that Fund and each Portfolio has separate investment objective and policies. As
a result, each Portfolio operates as a separate investment Portfolio and the
investment performance of one portfolio has no effect on the investment
performance of any other Portfolio. Some of the Funds may, in the future, create
additional Portfolios. The investment experience of each of the Subaccounts of
the Variable Account depends on the investment performance of its corresponding
Portfolio.

     Each of the Funds sells its shares to the Variable Account in accordance
with the terms of a participation agreement between the Fund and PLACA. The
termination provisions of those agreements vary. A summary of these termination
provisions may be found in the Statement of Additional Information. Should an
agreement between PLACA and a Fund terminate, the Variable Account will not be
able to purchase additional shares of that Fund. In that event, Owners will no
longer be able to allocate Account Values or premium payments to Subaccounts
investing in Portfolios of that Fund.

     Additionally, in certain circumstances, it is possible that a Fund or a
Portfolio may refuse to sell its shares to the Variable Account despite the fact
that the participation agreement between the Fund and PLACA has not been
terminated. Should a Fund or a Portfolio decide not to sell its shares to PLACA,
PLACA will not be able to honor requests of Owners to allocate their Account
Values or premium payments to Subaccounts investing in shares of that Fund or
Portfolio.

     Certain Subaccounts invest in Portfolios that have similar investment
objectives and/or policies; therefore before choosing Subaccounts, carefully
read the individual prospectuses for the Funds along with this prospectus.

THE MARKET STREET FUND, INC.

     The Money Market, Growth, Bond, Managed, Aggressive Growth, International,
All Pro Large Cap Growth, All Pro Small Cap Growth, All Pro Large Cap Value and
All Pro Small Cap Value Subaccounts invest in shares of the Market Street Fund,
Inc. The Fund currently issues ten "series" or classes of shares, each of which
represents an interest in a separate Portfolio within the Fund: the Growth,
Money Market, Bond, Managed, Aggressive Growth, International, All Pro Large Cap
Growth, All Pro Small Cap Growth, All Pro Large Cap Value and All Pro Small Cap
Value Portfolios. Shares of each Portfolio currently are purchased and redeemed
by the corresponding Subaccount.

                                       12
<PAGE>   20

     The investment objectives of the Portfolios are set forth below.

     The Growth Portfolio.  This Portfolio seeks intermediate and long-term
growth of capital by investing in common stocks of companies believed to offer
above-average growth potential over both the intermediate and the long-term. A
reasonable level of income is an important secondary objective.

     The Money Market Portfolio.  The Money Market Portfolio seeks to provide
maximum current income consistent with capital preservation and liquidity by
investing in high-quality money market instruments.

     The Bond Portfolio.  The Bond Portfolio seeks to generate a high level of
current income consistent with prudent investment risk. It seeks to achieve this
objective by investing in a diversified portfolio of marketable debt securities.

     The Managed Portfolio.  The Managed Portfolio seeks to realize as high a
level of long-term total rate of return as is consistent with prudent investment
risk. It seeks to achieve this objective by investing in stocks, bonds, money
market instruments or a combination thereof.

     The Aggressive Growth Portfolio.  The Aggressive Growth Portfolio seeks to
achieve a high level of long-term capital appreciation. It seeks to achieve this
objective by investing primarily in securities of companies in new or emerging
industries and in securities of small capitalization and/or unseasoned
companies.

     The International Portfolio.  The International Portfolio seeks long-term
growth of capital principally through investments in a diversified portfolio of
marketable equity securities of established foreign issuer companies.

     All Pro Large Cap Growth Portfolio seeks to achieve long-term capital
appreciation. The Portfolio pursues its objective by investing primarily in
common stock and other equity securities of companies among the 750 largest by
market capitalization at the time of purchase, which the Portfolio's advisers
believe show potential for growth in future earnings.

     All Pro Small Cap Growth Portfolio seeks to achieve long-term capital
appreciation. The Portfolio pursues its objective by investing primarily in
common stock and other equity securities of companies included in the Wilshire
4500 Equity Index at the time of purchase, which the Portfolio's advisers
believe show potential for growth in future earnings.

     All Pro Large Cap Value Portfolio seeks to provide long-term capital
appreciation. The Portfolio attempts to achieve this objective by investing
primarily in undervalued common stock and other equity securities of companies
among the 750 largest by market capitalizations at the time of purchase that the
Advisers believe offer above-average potential for growth in future earnings.

     All Pro Small Cap Value Portfolio seeks to provide long-term capital
appreciation. The Portfolio pursues this objective by investing primarily in
undervalued common stock and other equity securities of companies included in
the Wilshire 4500 Equity Index at the time of purchase, which the Portfolio's
advisers believe offer above-average potential for growth in future earnings.

     The Growth, Money Market, Bond, Managed, and Aggressive Growth Portfolios
are advised by Sentinel Advisors Company; and the International Portfolio is
advised by Providentmutual Investment Management Company ("PIMC"). PIMC employs
The Boston Company Asset Management, Inc. to provide investment advisory
services in connection with the International Portfolio. PIMC serves as
investment adviser for the All Pro Portfolios. PIMC uses a "manager of managers"
approach for the All Pro Portfolios under which PIMC allocates each Portfolio's
assets among one or more "specialist"

                                       13
<PAGE>   21

investment sub-advisers. As of the date of this prospectus, the assets of each
All Pro Portfolio are managed in part by the following:

<TABLE>
<CAPTION>
PORTFOLIO                                       SUBADVISERS
- ---------                                       -----------
<S>                                             <C>
All Pro Large Cap Growth                        Cohen, Klingenstein & Marks; Geewax, Terker
                                                & Co.
All Pro Small Cap Growth                        Standish, Ayer & Wood; Husic Capital
                                                Management.
All Pro Large Cap Value                         Equinox Capital Management, Inc.; Harris
                                                Associates, Inc.; Mellon Equity Associates.
All Pro Small Cap Value                         1838 Investment Advisors; Denver Investment
                                                Advisors.
</TABLE>

Each of these advisers is registered with the SEC as an investment adviser under
the Investment Advisers Act of 1940.

VARIABLE INSURANCE PRODUCTS FUND AND VARIABLE INSURANCE PRODUCTS FUND II

     The Fidelity High Income Subaccount, the Fidelity Equity-Income Subaccount
and the Fidelity Growth Subaccount invest in shares of their corresponding
portfolios of the Variable Insurance Products Fund ("VIP Fund"); the Fidelity
Asset Manager Subaccount, Fidelity Contrafund Subaccount and the Fidelity Index
500 Subaccount invest in shares of their corresponding portfolios of the
Variable Insurance Products Fund II ("VIP II Fund"). The VIP Fund and the VIP II
Fund each offer insurance companies a selection of investment vehicles for
variable annuity contracts and variable life insurance policies. The VIP Fund
issues a number of "series" or classes of shares, each of which represents an
interest in a separate portfolio within the VIP Fund or a VIP II Fund. Three of
the VIP Fund series are available for investment under the Contracts: VIP High
Income Portfolio; VIP Equity-Income Portfolio; and VIP Growth Portfolio. Three
of the VIP II Fund Series are available for investment under the Contracts: VIP
II Asset Manager Portfolio, VIP II Contrafund Portfolio and VIP II Index 500
Portfolio.

     The investment objectives of the pertinent Portfolios of the Funds are set
forth below.

     VIP High Income Portfolio.  This Portfolio seeks to obtain a high level of
current income by investing primarily in high-yielding, lower-rated,
fixed-income securities, while also considering growth of capital.

     VIP Equity-Income Portfolio.  This Portfolio seeks reasonable income by
investing primarily in income-producing equity securities. In choosing these
securities, the Portfolio considers the potential for capital appreciation. The
Portfolio's goal is to achieve a yield which exceeds the composite yield of the
securities comprising the Standard and Poor's 500 Composite Stock Price Index.

     VIP Growth Portfolio.  This Portfolio seeks to achieve capital
appreciation. The Portfolio normally purchases common stocks, although its
investments are not restricted to any one type of security. Capital appreciation
may also be found in other types of securities, including bonds and preferred
stocks.

     VIP II Asset Manager Portfolio.  This Portfolio seeks to obtain high total
return with reduced risk over the long-term by allocating its assets among
stocks, bonds and short-term money market instruments.

     VIP II Contrafund Portfolio.  This Portfolio seeks capital appreciation by
investing in securities of companies where value is not fully recognized by the
public.

     VIP II Index 500 Portfolio.  This Portfolio seeks to provide investment
results that correspond to the total return (i.e., the combination of capital
changes and income) of a broad range common stocks publicly traded in the United
States. In seeking this objective, the Portfolio attempts to duplicate the
composition and total return of the Standard and Poor's 500 Composite Stock
Price Index while keeping transaction costs and other expenses low. The
Portfolio is designed as a long-term investment option.

                                       14
<PAGE>   22

     The Portfolios of the VIP Fund and VIP II Fund are managed by Fidelity
Management & Research Company ("FMR"). On behalf of the Asset Manager Portfolio,
FMR has entered into sub-advisory agreements with Fidelity Management & Research
(U.K.) Inc. ("FMR (U.K.)") and Fidelity Management & Research (Far East) Inc.
("FMR Far East"), pursuant to which these entities provide research and
investment recommendations with respect to companies based outside the United
States. FMR (U.K.) primarily focuses on companies based in Europe while FMR Far
East focuses primarily on companies based in Asia and the Pacific Basin.

     Each Portfolio utilizes Fidelity Investments Institutional Operations
Company ("FIIOC"), an affiliate of FMR, to maintain the master accounts of the
participating insurance companies. Under the transfer agent agreement with
FIIOC, each Portfolio pays fees based on the type, size, and number of accounts
in each Portfolio and the number of transactions made by shareholders of each
Portfolio.

     Each Portfolio also has an agreement with Fidelity Service Co. ("Service"),
an affiliate of FMR under which each Portfolio pays Service to calculate its
daily share prices and to maintain the portfolio and general accounting records
of each Portfolio and to administer each Portfolio's securities lending program.

OCC ACCUMULATION TRUST

     The OCC Equity Subaccount, the OCC Small Cap Subaccount and the OCC Managed
Subaccount invest only in shares of their corresponding portfolios of the OCC
Accumulation Trust ("OCC Trust"). Shares of the OCC Trust are sold only to
separate accounts of life insurance companies established to fund variable
annuity contracts.

     The OCC Trust currently has seven Portfolios, three of which are available
for investment under the Contracts. The investment objectives of the Portfolios
available with the variable annuity Contracts issued by PLACA are described
below.

     Equity Portfolio.  Long term capital appreciation through investment in a
diversified portfolio of primarily equity securities selected on the basis of a
value-oriented approach to investing.

     Small Cap Portfolio.  Capital appreciation through investment in a
diversified portfolio of primarily equity securities of companies with market
capitalizations of under $1 billion.

     Managed Portfolio.  Growth of capital over time through investment in a
portfolio consisting of common stocks, bonds, and cash equivalents, the
percentages of which will vary over time based on the investment manager's
assessments of relative investment values.

     The OCC Trust receives investment advice with respect to each of its
Portfolios from OpCap Advisors, a subsidiary of Oppenheimer Capital which is a
subsidiary of PIMCO Advisors L.P. and which is registered as an investment
adviser under the Investment Advisers Act of 1940.

VAN ECK WORLDWIDE INSURANCE TRUST

     The Van Eck Worldwide Bond, the Van Eck Worldwide Hard Assets, the Van Eck
Worldwide Emerging Markets and the Van Eck Worldwide Real Estate Subaccounts of
the Variable Account invest in shares of the Van Eck Worldwide Bond, the Van Eck
Worldwide Hard Assets, the Van Eck Worldwide Emerging Markets, Van Eck Worldwide
Real Estate Portfolio, respectively, of the Van Eck Worldwide Insurance Trust
("Van Eck Trust"). Shares of the Van Eck Worldwide Bond Portfolio, the Worldwide
Hard Assets Portfolio, the Worldwide Emerging Markets Portfolio, and Van Eck
Worldwide Real Estate Portfolio are purchased and redeemed by the Variable
Account at net asset value without a sales charge.

     The investment objectives of the Portfolios of Van Eck Trust are set forth
below. The investment experience of each Subaccount depends upon the investment
performance of its corresponding Portfolio.

     Van Eck Worldwide Hard Assets Portfolio seeks long-term capital
appreciation by investing globally, primarily in "Hard Assets Securities." Hard
Assets Securities include equity securities of Hard Asset

                                       15
<PAGE>   23

Companies and securities, including structured notes, whose value is linked to
the price of a Hard Asset commodity or a commodity index. Hard Asset Companies
include companies that are directly or indirectly engaged to a significant
extent in the exploration, development, production or distribution of one or
more of the following (together, Hard Assets): (i) precious metals, (ii) ferrous
and non-ferrous metals, (iii) gas, petroleum, petrochemicals or other
hydrocarbons, (iv) forest products, (v) real estate and (vi) other basic
non-agricultural commodities. Income is a secondary consideration.

     Van Eck Worldwide Bond Portfolio seeks high total return through a flexible
policy of investing globally, primarily in debt securities. Total return is
comprised of current income and capital appreciation. The Portfolio attempts to
achieve its investment objective by taking advantage of investment opportunities
in the United States as well as in other countries throughout the world where
opportunities may be more rewarding and may emphasize either component of total
return.

     Van Eck Worldwide Emerging Markets Portfolio seeks long-term capital
appreciation by investing primarily in equity securities in emerging markets
around the world.

     Van Eck Worldwide Real Estate Portfolio seeks to maximize total return by
investing primarily in equity securities of domestic and foreign companies which
are principally engaged in the real estate industry or which own significant
real estate assets.

     The investment adviser for the Van Eck Worldwide Bond, the Van Eck
Worldwide Hard Assets and Worldwide Real Estate Portfolios is Van Eck Associates
Corporation ("Van Eck Associates"). The investment adviser for the Van Eck
Worldwide Emerging Markets Portfolio is Van Eck Global Asset Management (Asia)
Limited, a wholly-owned investment adviser subsidiary of Van Eck Associates.

     THERE IS NO ASSURANCE THAT THE STATED OBJECTIVES AND POLICIES OF ANY OF THE
PORTFOLIOS WILL BE ACHIEVED.

     More detailed information concerning the investment objectives, policies
and restrictions pertaining to the Funds and the expenses, investment advisory
services and charges and the risks attendant to investing in the Portfolios and
other aspects of their operations can be found in the current Prospectus for
each Fund which accompany this prospectus and the current Statement of
Additional Information for each Fund. The Fund prospectuses should be read
carefully before any decision is made concerning the allocation of premium
payments or transfers among the Subaccounts.

     You should note that, except for the Portfolios of the Market Street Fund,
not all of the Portfolios described in the prospectuses for the Funds are
available with the Contract. Moreover, PLACA cannot guarantee that each Fund
will always be available for the Contracts, but in the unlikely event that a
Fund is not available, PLACA will do everything reasonably practicable to secure
the availability of a comparable fund. Shares of each Portfolio are purchased
and redeemed at net asset value, without a sales charge.

     PLACA has entered into agreements with the investment advisers of several
of the Funds pursuant to which each such investment adviser will pay PLACA a
service fee based upon an annual percentage of average net assets invested by
PLACA on behalf of the Variable Account. These agreements cover administrative
services provided to the Funds by PLACA. Payments of such amounts by an
investment adviser do not increase the fees paid by the Portfolios or Owners
invested in the Portfolios.

     Certain Portfolios may have investment objectives and policies similar to
other investment portfolios or mutual funds managed by the same investment
adviser or manager. The investment results of the Portfolios, however, may be
higher or lower than those of such other investment portfolios or mutual funds.
PLACA does not guarantee or make any representation that the investment results
of any Portfolio will be comparable to that of any other investment portfolio or
mutual fund, even those with the same investment adviser or manager.

                                       16
<PAGE>   24

RESOLVING MATERIAL CONFLICTS

     The Market Street Fund, Inc., VIP Fund, VIP II Fund, OCC Trust, and Van Eck
Trust are now, or may be in the future, used as investment vehicles for variable
life insurance policies and variable annuity contracts issued by PLACA or PMLIC,
as well as registered separate accounts of other insurance companies offering
variable life and annuity contracts. In addition, certain Funds available with
the Contract may sell shares to retirement plans qualifying under Section 401 of
the Code ("Retirement Plans"). As a result, there is a possibility that a
material conflict may arise between the interests of Owners of Contracts,
generally, or certain classes of Owners, and such Retirement Plans or
participants in such Retirement Plans.

     PLACA currently does not foresee any disadvantages to Owners resulting from
the Funds selling shares to support products other than PLACA contracts or to
Retirement Plans. However, there is a possibility that a material conflict may
arise between Owners whose policy values are allocated to the Variable Account
and the owners of variable life insurance policies and variable annuity
contracts issued by such other companies whose values are allocated to one or
more other separate accounts investing in any one of the Funds. In the event of
a material conflict, PLACA will take any necessary steps, including removing the
Variable Account from that Fund, to resolve the matter. The board of directors
of each Fund also will monitor events in order to identify any material
conflicts that possibly may arise and determine what action, if any, should be
taken in response to those events or conflicts. See each individual Fund
prospectus for more information.

ADDITION, DELETION OR SUBSTITUTION OF INVESTMENTS

     PLACA reserves the right, subject to applicable law, to make additions to,
deletions from, or substitutions of the shares that are held in the Variable
Account or that the Variable Account may purchase. If the shares of any
Portfolio are no longer available for investment or for any other appropriate
reason, PLACA may redeem the shares, if any, of that Portfolio and substitute
shares of another registered open-end management company. PLACA will not
substitute any shares attributable to a Contract's interest in a Subaccount
without notice and prior approval of the SEC and state insurance authorities, to
the extent required by applicable law.

     PLACA also reserves the right to establish additional Subaccounts, each of
which would invest in shares corresponding to existing or new Portfolios.
Subject to applicable law and any required SEC approval, PLACA may, in its sole
discretion, establish new Subaccounts or eliminate one or more Subaccounts if
marketing needs, tax considerations or investment conditions warrant. Any new
Subaccounts may be made available to existing Contract Owners on a basis to be
determined by PLACA.

     If any of these substitutions or changes are made, PLACA may by appropriate
endorsement change the Contract to reflect the substitution or change. If PLACA
deems it to be in the best interest of Contract Owners and Annuitants, and
subject to any approvals that may be required under applicable law, the Variable
Account may be operated as a management company under the 1940 Act, it may be
deregistered under that Act if registration is no longer required, or it may be
combined with other PLACA separate accounts.

                        DESCRIPTION OF ANNUITY CONTRACT

ISSUANCE OF A CONTRACT

     In order to purchase a Contract, application must be made to PLACA through
a licensed representative of PLACA, who is also a registered representative of
1717 Capital Management Company ("1717") or a broker-dealer having a selling
agreement with 1717 or a broker/dealer having a selling agreement with such
broker/dealer. Contracts may be sold to or in connection with retirement plans
which do not qualify for special tax treatment as well as retirement plans that
qualify for special tax treatment

                                       17
<PAGE>   25

under the Internal Revenue Code. See "Federal Tax Status -- Taxation of
Qualified Contracts" for important information about purchasing a Qualified
Contract.

PREMIUMS

     The minimum initial premium which PLACA will normally accept is $10,000.
Subsequent premium payments may be paid under the Contract at any time during
the Owner's lifetime and before the Annuity Date and must be for at least $100
each for Non-Qualified Contracts and $50 each for Qualified Contracts.
Notwithstanding the foregoing, PLACA reserves the right to not accept subsequent
premium payments at any time for any reason.

     At the time of application, a planned periodic premium schedule may be
selected based on a periodic billing mode of annual, semi-annual, or quarterly
payment. The Owner will receive a premium reminder notice at the specified
interval. The Owner may change the planned periodic premium frequency and
amount. Also, under the automatic payment plan, the Owner can select a monthly
payment schedule pursuant to which premium payments will be automatically
deducted from a bank account or other source rather than being "billed."

CANCELLATION PERIOD

     The Contract provides for an initial cancellation or "free-look" period.
The Owner has the right to return the Contract within 10 days after such Owner
receives the Contract. When PLACA receives the returned Contract at its Service
Center, it will be canceled and, in most states, PLACA will refund to the Owner
an amount equal to: (a) Contract Account Value as of the date that we receive
the returned Contract, minus (b) any Credit Amounts applied under the contract,
plus (c) any charges that we may have deducted from premium payments or Contract
Account Value. In states that require it, PLACA will refund the premiums paid.

ALLOCATION OF PREMIUMS

     If the application for a Contract is properly completed and is accompanied
by all the information necessary to process it, including payment of the initial
premium, the initial Net Premium and any associated Credit Amounts are allocated
among the Subaccounts and the Guaranteed Account (as designated by the Owner in
the application) within two business days of receipt of such premium by PLACA at
its Service Center. If the application is not properly completed, PLACA may
retain the premium for up to five business days while it attempts to complete
the application. If the application is not complete at the end of the 5-day
period, PLACA will inform the applicant of the reason for the delay and return
the initial premium immediately, unless the applicant specifically consents to
PLACA retaining the premium until the application is complete.

     The Owner designates in the application how the initial Net Premium and
associated Credit Amounts are to be allocated among the Subaccounts and the
Guaranteed Account. In states where the Owner, as described above, is guaranteed
a refund of premiums paid for cancellation during the Cancellation Period, the
portion of the initial Net Premium which is to be allocated to the Subaccounts
is allocated to the Money Market Subaccount for a 15-day period. After the
expiration of such 15-day period, the amount in the Money Market Subaccount is
allocated to the chosen Subaccounts based on the proportion that the allocation
percentage for such Subaccount bears to the sum of the Subaccount allocation
percentages. Any subsequent Net Premiums and associated Credit Amounts are
allocated at the end of the Valuation Period in which the subsequent premium is
received by PLACA in the same manner, unless the allocation percentages are
changed. Premiums and associated Credit Amounts are allocated in accordance with
the allocation schedule in effect at the time the premium payment is received.

     Subaccount Values vary with the investment experience of the Subaccounts,
and the Owner bears the entire investment risk. Owners should periodically
review their allocation schedule for Net Premiums and associated Credit Amounts
in light of market conditions and the Owner's overall financial objectives.

                                       18
<PAGE>   26

CREDIT AMOUNTS

     Credit Amounts.  We credit your Contract Account Value with an additional
amount in most circumstances when a Net Premium is applied to the Contract. The
Credit Amount is a percentage of the premium that you pay as shown in the table
below. The percentage is determined by the total amount of premiums received
under a Contract less the total amount of all withdrawals (including any
Surrender Charges). The Credit Amount is calculated by multiplying the
percentage by the excess of (a) over (b), where:

          (a) equals total premiums paid under the Contract (including the
     current premium payment) less the total withdrawals (including Surrender
     Charges);

          (b) equals the amount computed for (a) at the time that the most
     recent previous Credit Amount calculation was made that resulted in a
     Credit Amount being applied.

<TABLE>
<CAPTION>
TOTAL PREMIUM LESS WITHDRAWALS (INCLUDING SURRENDER CHARGES)  CREDIT AMOUNT
- ------------------------------------------------------------  -------------
<S>                                                           <C>
From $10,000 to $24,999.....................................       1.5%
From $25,000 to $99,999.....................................       3.0%
From $100,000 to $499,999...................................       4.0%
From $500,000 to $999,999...................................       4.5%
$1,000,000 or more..........................................       5.0%
</TABLE>

The Credit Amount is allocated among the Subaccounts and the Guaranteed Account
Options based on the premium allocation in effect at the time of the Credit
Amount.

     Look Back Provision.  On each of the first three Contract Anniversaries, We
determine a Calculated Credit Amount. To the extent that the Calculated Credit
Amount exceeds the amount of actual Credit Amounts, We increase the Contract
Account Value by a Credit Amount for such excess. The excess Credit Amount is
allocated among the Subaccounts and the Guaranteed Account Options based on the
premium allocation in effect at the time of the Credit Amount.

     The Calculated Credit Amount is determined by multiplying (1) by (2) where:

          (1) the aggregate premiums paid under the Contract minus the amount of
              withdrawals (including any Surrender Charges);

          (2) The Credit Amount percentage for (1) as shown on the table.

VARIABLE ACCOUNT VALUE

     The Variable Account Value reflects the investment experience of the
Subaccounts selected by the Owner, any Net Premiums Payments, any Credit
Amounts, any withdrawals, any surrenders, any transfers, and any charges
assessed in connection with the Contract. There is no guaranteed minimum
Variable Account Value, and, because a Contract's Variable Account Value on any
future date depends upon a number of variables, it cannot be predetermined.

     Calculation of Variable Account Value.  The Variable Account Value is
determined on each Valuation Day. The value is the aggregate of the values
attributable to the Contract in each of the Subaccounts, determined for each
Subaccount by multiplying the Subaccount's Accumulation Unit value on the
relevant Valuation Date by the number of Subaccount units allocated to the
Contract.

     Accumulation Units.  For each Subaccount, Net Premium and associated Credit
Amounts are allocated to a Subaccount or amounts of Contract Value transferred
to a Subaccount, are converted into Accumulation Units. The number of
Accumulation Units credited to a Contract is determined by dividing the dollar
amount directed to each Subaccount by the value of the Accumulation Unit for
that Subaccount for the Valuation Day as of which the allocation or transfer is
invested in the Subaccount. Allocations and transfers to a Subaccount increase
the number of Accumulation Units of that Subaccount credited to a Contract.

                                       19
<PAGE>   27

     Certain events reduce the number of Accumulation Units of a Subaccount
credited to a Contract. Withdrawals or transfers of Subaccount Values from a
Subaccount result in the cancellation of an appropriate number of Accumulation
Units of that Subaccount as does surrender of the Contract, payment of a death
benefit, the application of Variable Account Value to an Payment Option on the
Annuity Date, and the deduction of the Annual Administration Fee or other
charges. Accumulation Units are canceled as of the end of the Valuation Period
in which PLACA receives Notice regarding the event.

     Accumulation Unit Value.  The Accumulation Unit value for each Subaccount
was arbitrarily set initially when the Subaccount began operations. Thereafter,
the Accumulation Unit value at the end of every Valuation Day is the
Accumulation Unit value at the end of the previous Valuation Day multiplied by
the net investment factor, as described below. The Subaccount Value for a
Contract is determined on any day by multiplying the number of Accumulation
Units of that Subaccount attributable to the Contract by the Accumulation Unit
value for that Subaccount.

     Net Investment Factor.  The net investment factor is an index applied to
measure the investment performance of a Subaccount from one Valuation Period to
the next. The net investment factor for any Subaccount for any Valuation Period
is determined by dividing (1) by (2) and subtracting (3) from the result, where:

     (1) is the result of:

        (a) the Net Asset Value Per Share of the Portfolio held in the
            Subaccount, determined at the end of the current Valuation Period;
            plus

        (b) the per share amount of any dividend or capital gain distributions
            made by the Portfolio held in the Subaccount, if the "ex-dividend"
            date occurs during the current Valuation Period; plus or minus

        (c) a per share charge or credit for any taxes reserved for, which is
            determined by Us to have resulted from the operations of the
            Subaccount.

     (2) is the Net Asset Value Per Share of the Portfolio held in the
         Subaccount, determined at the end of the last prior Valuation Period.

     (3) is a daily factor representing the Annual Annuity Charge deducted from
         the Subaccount, adjusted for the number of days in the Valuation
         Period.

TRANSFER PRIVILEGE

     Before the Annuity Date, an Owner may transfer all or a part of a
Subaccount Value to another Subaccount(s) or to the Guaranteed Account, or
transfer a part of an amount in the Guaranteed Account to the Subaccount(s),
subject to these general restrictions and the additional restrictions below. The
minimum transfer amount is the lesser of $500 or the entire Subaccount Value or
the Guaranteed Account Value. A transfer request that would reduce the amount in
a Subaccount or the Guaranteed Account below $500 is treated as a transfer
request for the entire amount in that Subaccount or the Guaranteed Account.

     Transfers are made as of the day Notice requesting such transfer is
received by PLACA. There is no limit on the number of transfers which can be
made between Subaccounts or from a Subaccount to the Guaranteed Account.
However, only one transfer may be made from the Guaranteed Account each Contract
Year (See "Transfers from Guaranteed Account"). The first twelve transfers
during each Contract Year are free. Any unused free transfers do not carry over
to the next Contract Year. A $25 Transfer Processing Fee will be assessed for
the thirteenth and subsequent transfers during a Contract Year. For the purpose
of assessing the fee, each request is considered to be one transfer, regardless
of the number of Subaccounts or the Guaranteed Account affected by the transfer.
The Transfer Processing Fee is deducted from the amount being transferred.

                                       20
<PAGE>   28

     Telephone Transfers.  Transfers will be made based upon instructions given
by telephone, provided the appropriate election has been made at the time of
application or proper authorization is provided to PLACA. PLACA reserves the
right to suspend telephone transfer privileges at any time, for any class of
Contracts, for any reason.

     PLACA will employ reasonable procedures to confirm that instructions
communicated by telephone are genuine and if it follows such procedures it is
not liable for any losses due to unauthorized or fraudulent instructions. PLACA,
however, may be liable for such losses if it does not follow those reasonable
procedures. The procedures PLACA follows for telephone transfers include
requiring some form of personal identification prior to acting on instructions
received by telephone, providing written confirmation of the transaction and
making a tape-recording of the instructions given by telephone.

     Automatic Asset Rebalancing.  Automatic Asset Rebalancing is a feature
which, if elected, authorizes periodic transfers of Variable Account Values
among the Subaccounts in order to achieve a particular percentage allocation of
Variable Account Values among such Subaccounts. Such percentage allocations must
be in whole numbers and must allocate amounts only among the Subaccounts. No
amounts may be transferred to the Guaranteed Account as a part of Automatic
Asset Rebalancing. The percentage allocation of your Contract Account Value for
rebalancing is based on your premium allocation instructions in effect at the
time of rebalancing. Any premium allocation instructions that you give us that
differ from your then current premium allocation instructions are treated as a
request to change such premium allocation instructions.

     Once elected Automatic Asset Rebalancing begins at the end of the next
calendar quarter or calendar year following election. You may change or
terminate Automatic Asset Rebalancing by written instruction to PLACA, or by
telephone if you have previously authorized us to take telephone instructions.
PLACA reserves the right to suspend Automatic Asset Rebalancing at any time for
any class of Contracts for any reason upon written notice to you.

     Advance Orders of Transfers.  Owners may elect to request transfers of
Subaccount Values (other than the Money Market Subaccount) out of a Subaccount
to the Money Market Subaccount in advance of the time that they want the
transfers executed. To make this election, Owners must submit a written Advance
Order to the Service Center specifying a percentage amount by which they want
their Subaccount Value to increase (or decrease) above (or below) the value as
of the Valuation Period next ended after receipt of the Advance Order at the
Service Center. PLACA measures the percentage change in such Subaccount Value by
reference to the net investment factor for the specified Subaccount as measured
using the Accumulation Unit value as of the Valuation Period next ended after
receipt of the Advance Order at the Service Center and executes the transfer
when the Accumulation Unit value for that Subaccount increases or decreases by
at least the percentage specified by the Owner.

     Once received at the Service Center, an Advance Order remains in effect
until executed, cancelled, or superseded by subsequent Advance Order for a
transfer out of the same Subaccount. PLACA does not currently asses a charge for
Advance Orders, but reserves the right to charge for this service. In addition,
PLACA may terminate the Advance Order privilege or change its terms at any time
by providing written notice to Owners at least 15 days in advance of such
termination or modification.

DOLLAR COST AVERAGING

     Dollar Cost Averaging is a program which, if elected, enables the Owner of
a Contract to systematically and automatically transfer, on a monthly basis,
specified dollar amounts from the designated Subaccount to the Contract's other
Subaccounts. By allocating on a regularly scheduled basis as opposed to
allocating the total amount at one particular time, an Owner may be less
susceptible to the impact of market fluctuations. PLACA, however, makes no
guarantee that Dollar Cost Averaging will result in a profit or protect against
loss.

     Dollar Cost Averaging may be elected for a period from 6 to 36 months. To
qualify for Dollar Cost Averaging, the following minimum amount must be
allocated to the designated Subaccount: 6 months --

                                       21
<PAGE>   29

$3,000; 12 months -- $6,000; 18 months -- $9,000; 24 months -- $12,000; 30
months -- $15,000; 36 months -- $18,000. At least $500 must be transferred from
the designated Subaccount each month. The amount required to be allocated to the
designated Subaccount can be made as an initial or subsequent investment or by
transferring amounts into the designated Subaccount from the other Subaccounts
or from the Guaranteed Account (which may be subject to certain restrictions).
(See "Transfers from Guaranteed Account.")

     Election into this program may occur at the time of application by
completing the authorization on the application or at any time after the
Contract is issued by properly completing the election form and returning it to
the Company by the beginning of the month and ensuring that the required minimum
amount is in the designated Subaccount. Dollar Cost Averaging transfers may not
commence until the later of (a) 30 days after the Contract Date and (b) five
days after the end of the Cancellation Period.

     Once elected, transfers from a Subaccount are processed monthly until the
number of designated transfers have been completed, or the value of the
Subaccount is completely depleted, or the Owner instructs PLACA in writing to
cancel the monthly transfers.

     Transfers made under the Dollar Cost Averaging program do not count toward
the twelve transfers permitted each Contract Year without the Transfer
Processing Fee. PLACA reserves the right to discontinue offering automatic
transfers upon 30 days' written notice to the Owner.

WITHDRAWALS AND SURRENDER

     Withdrawals.  At any time before the earlier of the death of an Owner or
the Annuity Date, an Owner may withdraw part of the Surrender Value. The minimum
amount which may be withdrawn is $500; the maximum amount is that which would
leave a Surrender Value of not less than $10,000. A withdrawal request which
would reduce the amount in a Subaccount or in the Guaranteed Account below $500
is treated as a request for full withdrawal of the amount in that Subaccount or
the Guaranteed Account. PLACA withdraws the amount requested from the Contract
Account Value as of the day Notice for the withdrawal is received at its Service
Center. Any applicable Surrender Charge is deducted from the remaining Contract
Account Value. (See "Surrender Charge.")

     The Owner may specify the amount to be withdrawn from certain Subaccounts
or the Guaranteed Account for the withdrawal. If the Owner does not so specify
or the amount in the designated Subaccounts or Guaranteed Account is inadequate
to comply with the request, the withdrawal is made from each Subaccount and the
Guaranteed Account based on the proportion that the value in such account bears
to the Contract Account Value immediately prior to the withdrawal.

     A withdrawal may have adverse federal income tax consequences. (See
"Federal Tax Status.")

     Systematic Withdrawals.  The Systematic Withdrawal Plan enables the Owner
to pre-authorize a periodic exercise of the withdrawal right described in the
Contract. The Owner may elect the plan at the time of application by completing
the authorization on the application form and making a minimum initial premium
payment of $15,000 or by properly completing the election form after a Contract
is issued if it has a Contract Account Value of $15,000. Certain federal income
tax consequences may apply to systematic withdrawals from the Contract and the
Owner should, therefore, consult with his or her tax adviser before requesting
any Systematic Withdrawal Plan.

     Contract Owners entering into the plan instruct PLACA to withdraw a level
dollar amount from the Contract on a monthly or quarterly basis. Distributions
begin on the next designated monthly or quarterly date following the receipt of
the request. The minimum distribution is $100 monthly or at least $300
quarterly. The maximum amount which may be withdrawn under the plan each year is
10% of the Contract Account Value as of the beginning of the Contract Year in
which the plan is elected or 10% of the premiums paid in the first year if
elected at the time of application. PLACA will notify the Owner if the total
amount to be withdrawn in a subsequent Contract Year exceeds 10% of the Contract
Account Value as of the beginning of such Contract Year. Unless the Owner
instructs PLACA to reduce the withdrawal amount for that year so that it does
not exceed the 10% limit, PLACA will continue to process
                                       22
<PAGE>   30

withdrawals for the designated amount. Once the amount of the withdrawals
exceeds the 10% limit, PLACA will deduct the applicable Surrender Charge from
the remaining Contract Account Value. (See "Surrender Charge.")

     PLACA will pay the Owner the amount requested each month or quarter and
cancel Accumulation Units equal to the amount withdrawn from the Subaccounts
based on the proportion that the value in such Subaccount or Guaranteed Account
bears to the Contract Account Value immediately prior to the withdrawal.

     Each payment under the Systematic Withdrawal Plan of less than 10% of the
Contract Account Value as of the beginning of such Contact Year is not subject
to a Surrender Charge. However, notwithstanding the Surrender Charge (see
"Surrender Charge") rules, any other withdrawal in a year when the Systematic
Withdrawal Plan has been utilized is subject to the Surrender Charge. If an
additional withdrawal is made from a Contract participating in the plan,
systematic withdrawals will automatically terminate and may only be reinstated
on or after the beginning of the next Contract Year pursuant to a new request.

     Systematic withdrawals may be discontinued by the Owner at any time upon
written request to PLACA. PLACA reserves the right to discontinue offering
systematic withdrawals upon 30 days' written notice to Owners.

     Charitable Remainder Trust Rider.  Contract Owner may elect a Charitable
Remainder Trust Rider, which combines an extended Maturity Date to the Contract
Anniversary nearest the Annuitant's age 100, unless a lump sum payment of
Surrender Value is elected, with a replacement of the surrender
charge/withdrawal provision for contracts issued in a Charitable Remainder
Trust. A Charitable Remainder Trust allows for income to be distributed and for
the payment of trustee fees and charges. The rider would only apply the
appropriate Surrender Charge to withdrawals or surrenders during a Contract Year
that exceed the greater of: (1) 10% of the Contract Account Value as of the
beginning of the Contract Year; or (2) any amounts in excess of the total
premiums paid. There will be no limit on the number of withdrawals occurring in
any Contract Year.

     Surrender.  At any time before the earlier of the death of the Owner or the
Annuity Date, the Owner may request a surrender of the Contract for its
Surrender Value. The surrender request must be on the proper form which can be
requested from the Service Center. The proceeds paid to the Owner will equal the
Surrender Value less any withholding or premium taxes. (See "Surrender Charge.")
The Surrender Value is determined on the date Notice of surrender and the
Contract are received at PLACA's Service Center. The Surrender Value is paid in
a lump sum unless the Owner requests payment under a Payment Option. A surrender
may have adverse federal income tax consequences. (See "Federal Tax Status.")

     Restrictions on Distributions from Certain Contracts.  There are certain
restrictions on surrenders of and withdrawals from Contracts used as funding
vehicles for Code Section 403(b) retirement plans. Section 403(b)(11) of the
Code restricts the distribution under Section 403(b) annuity contracts of: (i)
elective contributions made in years beginning after December 31, 1988; (ii)
earnings on those contributions; and (iii) earnings in such years on amounts
held as of the last year beginning before January 1, 1989. Distributions of
those amounts may only occur upon the death of the employee, attainment of age
59 1/2, separation from service, disability, or financial hardship. In addition,
income attributable to elective contributions may not be distributed in the case
of hardship.

     In the case of other types of Qualified Contracts, federal tax law imposes
other restrictions on the form and manner in which benefits may be paid.
Likewise, the terms of employee benefit plans funded by Qualified Contracts also
may impose restrictions on ability of participants to take distributions from
the Contracts.

     Contract Termination.  PLACA may end this Contract and pay the Surrender
Value to the Owner if, before the Annuity Date, all of these events
simultaneously exist;

     1. no premiums have been paid for at least two years;

                                       23
<PAGE>   31

     2. the Contract Account Value is less than $2,000; and

     3. the total premiums paid, less any partial withdrawals, is less than
$2,000.

     PLACA will mail the Owner a notice of its intention to end the Contract at
least six months in advance. The Contract will automatically terminate on the
date specified in the notice, unless PLACA receives an additional premium
payment before the termination date specified in the notice. This additional
premium payment must be for at least the minimum additional amount required by
PLACA. (Termination of the Contract under this provision is not permitted in New
Jersey.)

DEATH BENEFIT BEFORE ANNUITY DATE

     Death of Annuitant.  If an Annuitant dies before the Annuity Date, the
Owner becomes the new Annuitant. If more than one individual owns the Contract,
the youngest Owner becomes the Annuitant. If any Owner is not an individual,
then the death of an Annuitant is treated as the death of an Owner (see below).

     Death of Owner.  If an Owner dies on or after the Annuity Date, any
surviving joint Owner becomes the sole Owner. If there is no surviving Owner,
the Beneficiary becomes the new Owner. If an Owner dies on or after the Annuity
Date, any remaining payments must be distributed at least as rapidly as under
the Payment Option in effect on the date of such death.

     If an Owner dies before the Annuity Date, any surviving joint Owner becomes
the Beneficiary. We pay the Beneficiary a death benefit. Beneficiaries have the
following options with regard to the death benefit:

     1.  to receive the death benefit in a single lump sum within 5 years of the
         deceased Owner's death; or

     2.  elect to have the death benefit paid under a Payment Option provided
         that: (a) annuity payments begin within 1 year of the deceased Owner's
         death, and (b) annuity payments are made in substantially equal
         installments over the life of the Beneficiary or over a period not
         greater than the life expectancy of the Beneficiary; or

     3.  if the Beneficiary is the spouse of the deceased Owner, he or she may
         (by Notice within one year of the Owner's death), elect to continue the
         Contract as the new Owner. If the spouse so elects, all his or her
         rights as a Beneficiary cease and if the deceased Owner was also the
         sole Annuitant, he or she becomes the Annuitant. The spouse is deemed
         to have made the election to continue the Contract if he or she makes
         no election before the expiration of the one year period or if he or
         she makes any premium payments under the Contract.

With regard to Beneficiaries who are not the spouse of the deceased Owner: (a)
options 1 and 2 apply even if the Annuitant is alive at the time of the deceased
Owner's death, (b) if the new Owner is not a natural person, only option 1 is
available, (c) if no election is made within 60 days of the deceased Owner's
death, option 1 is deemed to have been elected, and (d) if the Beneficiary dies
before the distributions required by options 1 or 2 are complete, the entire
remaining Contract Account Value is distributed in one sum immediately.

     If there is more than one Beneficiary, the foregoing provisions apply
independently to each Beneficiary.

     If the Owner is not an individual, the Annuitant, as determined in
accordance with Section 72(s) of the Code, is treated as Owner for purposes of
these distribution requirements, and any changes in the Annuitant are treated as
the death of the Owner.

     Other rules may apply to a Qualified Contract.

                                       24
<PAGE>   32

     Death Benefit.  Upon the death of any Owner, we will pay the Beneficiary a
death benefit. During the first nine Contract Years, the death benefit equals
the greater of:

     - Contract Account Value less the Death Benefit Charge, or

     - aggregate premiums paid reduced by the amount of all withdrawals prior to
       the date of death.

In Contract Years ten and later, the death benefit equals the greatest of:

     - Contract Account Value less the Death Benefit Charge, or

     - aggregate premiums paid as of the ninth Contract Anniversary reduced by
       the amount of all withdrawals prior to the ninth Contract Anniversary
       plus aggregate premium paid since that Anniversary reduced, for each
       withdrawal since that Anniversary, by the Withdrawal Adjustment Amount.

     - Contract Account Value on the ninth Contract Anniversary plus aggregate
       premium paid since that Anniversary reduced, for each withdrawal since
       that Anniversary, by the Withdrawal Adjustment Amount.

The Withdrawal Adjustment Amount is determined by multiplying the death benefit
prior to the withdrawal by the ratio of the amount of the withdrawal (including
any Surrender Charge) to the Contract Account Value immediately prior to the
withdrawal.

     Notwithstanding the foregoing, if the Owner is 90 years old or older at the
date of death, the death benefit is the Contract Account Value less the Death
Benefit Charge.

     If there are multiple Owners, then the age of the oldest Owner is used to
determine the death benefit. Also, if there are multiple Owners, then upon the
death of one such Owner, the surviving Owner becomes the Beneficiary. Where a
Contract has only one Owner, and either the designated Beneficiary has died
before that Owner or that Owner did not designate a Beneficiary, then the
Owner's estate is the Beneficiary.

     The death benefit is computed as of the date on which we receive Notice and
proof of death and all necessary claim forms at the Service Center. Any excess
of the death benefit over the Contract Account Value is allocated among the
Subaccounts and the Guaranteed Account Options according to the premium
allocation schedule in effect until the Beneficiary elects option 1, 2, or 3
above.

     Alternate Death Benefit Riders.  In lieu of the death benefit described
above, for an additional charge, and Owner may, when the Contract is issued,
elect one of the following optional death benefit riders.

     Step Up Rider.  A Contract Owner may elect the Step-up Rider for an Owner
who is age 0-70. The Step-up Rider provides a guaranteed minimum death benefit
equal to the Contract Account Value as of the Contract Anniversary and is reset
every year to the Contract Account Value on the next Contract Anniversary, if
greater. This reset continues until the Contract Anniversary on or before the
Owner's 85th birthday. Premiums paid since the last Contract Anniversaries are
also included in the death benefit proceeds. A reduction in the guaranteed
minimum death benefit for any withdrawal will be based on the proportion of the
withdrawal to the Contract Account Value. At no time will the death benefit
proceeds be less than either the Contract Account Value on the date PLACA
receives due proof of the Owner's death or the sum of premiums paid, less any
withdrawals, including applicable Surrender Charges.

     Rising Floor Rider.  A Contract Owner also may elect the Rising Floor Rider
for an Owner who is age 0-70. The Rider provides a guaranteed minimum death
benefit equal to the sum of premiums paid less reductions for withdrawals
accumulating at 5% interest until the contract anniversary prior to the Owner's
75th birthday. Thereafter, premiums are added and reductions for withdrawals are
deducted for the guaranteed death benefit. A reduction in the guaranteed minimum
death benefit for any withdrawal will be based on the proportion of the
withdrawal to the Contract Account Value. At no time will the death benefit
proceeds be less than the Contract Account Value or more than 200% of the
premium payments less 200% of any withdrawals, including any applicable
Surrender Charges.

                                       25
<PAGE>   33

THE ANNUITY DATE

     Subject to PLACA's approval and state law You select the Annuity Date. The
latest Annuity Date is the Maturity Date. If You do not select an Annuity Date,
the Maturity Date is the Annuity Date.

     Surrender Value is applied to purchase a Payment Option as of the Annuity
Date. If, however, the Maturity Date is the Annuity Date, then Contract Account
Value is applied to purchase a Payment Option. In the event that You do not
select a Payment Option, Surrender Value is applied under the Life Annuity with
Ten Year Certain Payment Option.

     You may change the Annuity Date subject to these limitations:

     1. Notice is received at least 30 days before the Maturity Date;

     2. The new Annuity Date is at least 30 days after We receive the change
        request;

     3. The new Annuity Date is not the 29th, 30th or 31st day of a month; and

     4. The new Annuity Date is not later than the Maturity Date.

PAYMENTS

     Any withdrawal, Surrender Value, or death benefit will usually be paid
within seven days of receipt of written request or receipt and filing of any
necessary due proof of death. However, payments may be postponed if:

     1. the New York Stock Exchange is closed, other than customary weekend and
        holiday closings, or trading on the exchange is restricted as determined
        by the SEC; or

     2. the SEC permits by an order the postponement for the protection of
        policyowners; or

     3. the SEC determines that an emergency exists that would make the disposal
        of securities held in the Variable Account or the determination of the
        value of the Variable Account's net assets not reasonably practicable.

     If a recent check or draft has been submitted, We have the right to defer
payment until such check or draft has been honored.

     We have the right to defer payment of any withdrawal, surrender, or
transfer from the Guaranteed Account for up to six months from the date of
receipt of Notice for a withdrawal, surrender, or transfer.

     If payment is not made within 30 days after receipt of documentation
necessary to complete the transaction, or such shorter period required by a
particular jurisdiction, interest will be added to the amount paid from the date
of receipt of documentation at an annual rate of 3% or such higher rate required
for a particular state.

MODIFICATION

     Upon notice to the Owner, We may modify the Contract if such modification:

     1. is necessary to make the Contract or our operations or those of the
        Variable Account comply with any law or regulation issued by a
        government agency to which We, the Contract or the Variable Account is
        subject; or

     2. is necessary to assure continued qualification of the Contract under the
        Code or other federal or state laws relating to retirement annuities or
        variable annuity contracts; or

     3. is necessary to reflect a change in the operation of the Variable
        Account; or

     4. provides other Subaccounts and/or Guaranteed Account options.

     In the event of any such modifications, we will make appropriate
endorsement to the Contract.

                                       26
<PAGE>   34

REPORTS TO CONTRACT OWNERS

     At least quarterly, we will mail to each Contract Owner, at such Owner's
last known address of record, a report containing the Contract Account Value and
Surrender Value of the Contract and any further information required by and
applicable law or regulation.

CONTRACT INQUIRIES

     Inquiries regarding a Contract may be made by writing to us at our Service
Center.

                             THE GUARANTEED ACCOUNT

     An Owner may allocate some or all of the Net Premiums and transfer some or
all of the Contract Account Value to the Guaranteed Account, which is part of
PLACA's General Account and pays interest at declared rates guaranteed for each
calendar year (subject to a minimum guaranteed interest rate of 3%). The
principal, after deductions, is also guaranteed. PLACA's General Account
supports its insurance and annuity obligations. The Guaranteed Account Options
and interests therein have not, and are not required to be, registered with the
SEC under the Securities Act of 1933, and neither the Guaranteed Account nor
PLACA's General Account has been registered as an investment company under the
Investment Company Act of 1940. Therefore, neither PLACA's General Account, the
Guaranteed Account, nor any interests therein are generally subject to
regulation under these laws. The disclosures relating to these accounts which
are included in this prospectus are for your information and have not been
reviewed by the SEC. However, such disclosures may be subject to certain
generally applicable provisions of federal securities laws relating to the
accuracy and completeness of statements made in prospectuses.

     The portion of the Contract Account Value allocated to the Guaranteed
Account will be credited with rates of interest, as described below. Since the
Guaranteed Account is part of PLACA's General Account, PLACA assumes the risk of
investment gain or loss on this amount. All assets in the General Account are
subject to PLACA's general liabilities from business operations.

MINIMUM GUARANTEED AND CURRENT INTEREST RATES

     The Guaranteed Account Value is guaranteed to accumulate at a minimum
effective annual interest rate of 3%. PLACA may credit the Guaranteed Account
Value with current rates in excess of the minimum guarantee but is not obligated
to do so. These current interest rates are influenced by, but do not necessarily
correspond to, prevailing general market interest rates. Since PLACA, in its
sole discretion, anticipates changing the current interest rate from time to
time, different allocations to the Guaranteed Account Value are credited with
different current interest rates. The interest rate credited to each amount
allocated or transferred to the Guaranteed Account will apply to the end of the
12-month period beginning on the day such amount is received or transferred. At
the end of the 12-month period, PLACA will determine a new current interest rate
on such amount and accrued interest thereon (which may be a different current
interest rate from the current interest rate on new allocations to the
Guaranteed Account on that date). The rate declared on such amount and accrued
interest thereon at the end of each 12-month period is guaranteed for the
subsequent 12-month period. Any interest credited on the amounts in the
Guaranteed Account in excess of the minimum guaranteed rate of 3% per year will
be determined in the sole discretion of PLACA. The Owner assumes the risk that
interest credited may not exceed the guaranteed minimum rate.

     For purposes of crediting interest and deducting charges, all Guaranteed
Account Options use a last-in, first-out method of accounting for allocations of
Net Premium Payments and associated Credit Amounts and for transfers of Contract
Account Value.

TRANSFERS FROM GUARANTEED ACCOUNT

     Within 30 days prior to or following any Contract Anniversary, one transfer
is allowed from the Guaranteed Account to any or all of the Subaccounts. The
amount transferred from the Guaranteed
                                       27
<PAGE>   35

Account may not exceed 25% of the Guaranteed Account Value on the date of
transfer, unless the balance after the transfer is less than $500, in which case
the entire amount will be transferred. If the written request for such transfer
is received prior to the Contract Anniversary, the transfer will be made as of
the Contract Anniversary; if the written request is received after the Contract
Anniversary, the transfer will be made as of the date PLACA receives the written
request at its Service Center.

PAYMENT DEFERRAL

     PLACA has the right to defer payment of any withdrawal, cash surrender, or
transfer from the Guaranteed Account for up to six months from the date of
receipt of the Notice for withdrawal, surrender, or transfer.

                             CHARGES AND DEDUCTIONS

SURRENDER CHARGE (CONTINGENT DEFERRED SALES CHARGE)

     General.  No charge for sales expense is deducted from premiums at the time
premiums are paid. However, within certain time limits described below, a
Surrender Charge (contingent deferred sales charge) may be deducted from the
Contract Account Value if a withdrawal is made or a Contract is surrendered
before the Annuity Date or if Contract Account Value is applied to a Payment
Option. In the event surrender charges are not sufficient to cover sales
expenses, the loss will be borne by PLACA; conversely, if the amount of such
charges proves more than enough, the excess will be retained by PLACA. PLACA
does not currently believe that the surrender charges imposed will cover the
expected costs of distributing the Contracts. Any shortfall will be made up from
PLACA's general assets.

     Charges For Withdrawal or Surrender.  The Surrender Charge is equal to the
percentage of each premium payment surrendered or withdrawn (or applied to a
Payment Option on the Annuity Date) as specified in the table below. The
Surrender Charge is separately calculated and applied to each premium payment at
any time that the payment (or part of the payment) is surrendered or withdrawn
(or applied to a Payment Option on the Annuity Date). No Surrender Charge
applies to premium payments applied to a Payment Option on the Maturity Date. No
Surrender Charge applies to Contract Account Value representing the Free
Withdrawal Amount or to Contract Value in excess of aggregate premium payments
(less prior withdrawals of premium payments). The Surrender Charge is calculated
using the assumption that Contract Account Value is withdrawn in the following
order: (1) the Free Withdrawal Amount for that Contract Year, (2) premium
payments, and (3) any remaining Contract Account Value. In addition, the
Surrender Charge is calculated using the assumption that premium payments are
withdrawn on a first-in, first-out basis.

     The Surrender Charge applicable to each premium payment diminishes as the
payment ages. A premium payment ages by Contract Year, such that it is in "year"
1 during the Contract Year in which it is received and in "year" 2 throughout
the subsequent Contract Year and in "year" 3 throughout the Contract Year after
that etc.

<TABLE>
<CAPTION>
             AGE OF EACH PREMIUM
          PAYMENT IN CONTRACT YEARS                               CHARGE
          -------------------------                               ------
<S>                                            <C>
                      1                                            8.0%
                      2                                            8.0%
                      3                                            8.0%
                      4                                            8.0%
                      5                                            8.0%
                      6                                            6.5%
                      7                                            5.0%
                      8                                            3.5%
                      9                                            2.0%
                 10 and over                                       0.0%
</TABLE>

                                       28
<PAGE>   36

     In no event will the total Surrender Charges assessed under a Contract
exceed 8 1/2% of the total gross premiums paid under that contract.

     If the Contract is being surrendered, the Surrender Charge is deducted from
the Contract Account Value in determining the Cash Surrender Value. For a
withdrawal, the Surrender Charge is deducted from the Contract Account Value
remaining after the amount requested is withdrawn.

     Free Withdrawal Amount.  During the first Contract Year, the Free
Withdrawal Amount is 10% of the premium payments. For all other Contract Years,
the Free Withdrawal Amount is 10% of the Contract Value at the start of that
Year.

     The Free Withdrawal Amount is not cumulative from Contract Year to Contract
Year. If the Contract is surrendered and there have been no prior withdrawals
during such Contract Year, no Surrender Charge applies to the amount of the
surrender up to 10% of the Contract Value as of the beginning of that Contract
Year. If a withdrawal is made during a Contract Year in which one or more
withdrawals have been made, the remaining Free Withdrawal Amount is equal to 10%
of the Contract Value as of the beginning of the Contract Year less the total
amount previously withdrawn during such Contract Year without imposition of the
Surrender Charge.

DEATH BENEFIT CHARGE

     A Death Benefit Charge is deducted when computing the death benefit upon
the death of any Owner prior to the Annuity Date. The Free Withdrawal Amount
does not apply to the Death Benefit Charge. The Death Benefit Charge is the same
as the Surrender Charge except that it is capped at an amount equal to the
dollar amount of Credit Amounts granted under the Contract during the twelve
months preceding the Owner's death.

ADMINISTRATIVE CHARGES

     Annual Administration Fee.  On each Contract Anniversary prior to and
including the Annuity Date, and upon surrender of the Contract or on the Annuity
Date (other than on a Contract Anniversary), PLACA deducts from the Contract
Account Value an Annual Administration Fee of $40 to reimburse it for
administrative expenses relating to the Contract. We currently do not charge
this Fee when Contract Account Value is $50,000 or more as of the date that the
Fee would have been charged. The charge will be deducted from each Subaccount
and the Guaranteed Account based on the proportion that the value in each such
account bears to the total Contract Account Value. No Annual Administration Fee
is payable after the Annuity Date.

     Transfer Processing Fee.  The first twelve transfers during each Contract
Year are free. A $25 Transfer Processing Fee will be assessed for each
additional transfer during such Contract Year. For the purpose of assessing the
fee, each Notice of transfer is considered to be one transfer, regardless of the
number of Subaccounts or accounts affected by the transfer. The Transfer
Processing Fee will be deducted from the amount being transferred. PLACA does
not expect a profit from this fee.

DAILY ANNUITY CHARGE

     To compensate PLACA for assuming mortality and expense risks and for
administering the Contracts, prior to the Annuity Date PLACA deducts a daily
Annuity Charge from the assets of the Variable Account. PLACA will impose a
charge in an amount that is equal to an annual rate of 1.40% (daily rate of
 .003835616%).

     The mortality risk PLACA assumes is that Annuitants may live for a longer
period of time than estimated when the guarantees in the contract were
established. Because of these guarantees, each Payee is assured that longevity
will not have an adverse effect on the annuity payments received. The mortality
risk PLACA assumes also includes a guarantee to pay a death benefit if an Owner
dies before the Annuity Date. The expense risk PLACA assumes is the risk that
the Surrender Charges, Administration Fees, and Transfer Processing Fees may be
insufficient to cover actual future expenses. In the event that there are
                                       29
<PAGE>   37

any profits from fees and charges deducted under the Contract, including but not
limited to the Annuity Charge, such profits could be used to finance the
distribution of the Contracts.

     The Contracts are administered by PMLIC pursuant to a service agreement
between PLACA and PMLIC. Under the agreement, PMLIC also maintains records of
transactions relating to the Contracts and provides other services.

INVESTMENT ADVISORY FEES AND OTHER EXPENSES OF THE FUNDS

     Because the Variable Account purchases shares of the Funds, the net assets
of each Subaccount reflect the investment advisory fees and other operating
expense incurred by the Funds. For each Portfolio, an investment adviser is paid
a fee that is a percentage of a Portfolio's average daily net assets, and thus
the actual size of the fee paid depends on size of the Portfolio. Each Portfolio
also pays most or all of its operating expenses. See the accompanying current
Prospectuses for the Funds for further details.

CHARGES FOR OPTIONAL DEATH BENEFIT RIDERS

     PLACA deducts a monthly charge from Contract Account Value for both the
Step-Up Rider and the Rising Floor Rider. The charge is deducted on the Contract
Date and on the same day of each month thereafter. The charge is a percent of
Contract Account Value and is deducted proportionately from Subaccount Values
and Guaranteed Account Value under the Contract. The charge is equal to 1/12 of
the following annual rates: Step-Up Rider, 0.25%; Rising Floor Rider, 0.40%.

PREMIUM TAXES

     Various states and other governmental entities levy a premium tax on
annuity contracts issued by insurance companies. Premium tax rates are subject
to change from time to time by legislative and other governmental action. In
addition, other governmental units within a state may levy such taxes.

     The timing of tax levies varies from one taxing authority to another. If
premium taxes are applicable to a Contract, they will be deducted, depending on
when such taxes are paid to the taxing authority, either (a) from premiums as
they are received, or (b) from the Contract proceeds upon (i) a withdrawal from
or surrender of the Contract, (ii) application of the proceeds to a Payment
Option, or (iii) payment of a death benefit.

OTHER TAXES

     Currently, PLACA makes no charge against the Variable Account for any
federal, state or local taxes. PLACA may, however, make such a charge in the
future if income or gains within the Variable Account will result in any such
tax liability to PLACA.

CHARGE DISCOUNTS FOR SALES TO CERTAIN GROUPS

     We may reduce or waive charges under Contracts sold to certain groups of
purchasers where such sales entail less than lower than normal expenses and/or
fewer risks to PLACA. Generally, We reduce or waive charges based on factor such
as the following:

     - the size of the group of purchasers

     - the total amount of premium anticipated from the group

     - the nature of the group and/or the purpose for which the Contracts are
       purchased (e.g., Contracts purchased by an employer to fund an employee
       benefit plan, usually have fewer surrenders and are less expensive to
       administer than individually sold Contracts)

We also may reduce or waive charges on Contracts sold to officers, directors and
employees of PLACA and its affiliates. Reductions or waivers of charges will not
discriminate unfairly among applicants. Contact Your sales representative for
more information about charge reductions or waivers.

                                       30
<PAGE>   38

                                PAYMENT OPTIONS

ELECTION OF PAYMENT OPTIONS

     As of the Annuity Date, Surrender Value is applied to purchase a Payment
Option, unless You elect to receive the Surrender Value in a single sum. In the
event that You do not select a Payment Option, Surrender Value is applied to
Option B, described below. Beneficiaries also may elect to receive the Death
Benefit in the form of a Payment Option unless You have already selected an
Option for the Beneficiary.

     Before beginning annuity payments under a Payment Option, We require that
You return the Contract to the Service Center. We will issue a supplementary
Contract stating the terms of payment under the Payment Option selected. We also
reserve the right to require satisfactory evidence of the identity, birth date
and sex of any Annuitant, and satisfactory evidence that any Annuitant is alive.
Before making each annuity payment under a life-contingent Payment Option, We
reserve the right to require satisfactory evidence that any Annuitant is still
alive.

     An option may be elected, revoked, or changed at any time before the
Annuity Date while the Owner is living. If the Payee is other than the Owner,
the election of a Payment Option requires the consent of PLACA. An election of
option and any revocation or change must be made by Notice.

     An option may not be elected if any periodic payment under the election
would be less than $50. Subject to this condition, payments may be made
annually, semi-annually, quarterly, or monthly and are made at the beginning of
such period.

     The Payment Options available are described below. The Payment Options are
fixed, which means that each option has a fixed and guaranteed amount to be paid
during the annuity period that is not in any way dependent upon the investment
experience of the Variable Account.

DESCRIPTION OF PAYMENT OPTIONS

     Option A -- Life Annuity Option.  To have payments made in equal amounts
each month during the Annuitant's lifetime with payments ceasing with the last
payment prior to the death of the Annuitant. No amounts are payable after the
Annuitant dies. Therefore, if the Annuitant dies immediately following the date
of the first payment, the Payee will receive one monthly payment only.

     Option B -- Life Annuity Option with 10 Years Guaranteed.  To have payments
made in equal amounts each month during the Annuitant's lifetime with the
guarantee that payments will be made for a period of not less than ten years.
Under this option, if any Beneficiary dies while receiving payment, the present
value of the current dollar amount on the date of death of any remaining
guaranteed payments will be paid in one sum to the executors or administrators
of the Beneficiary unless otherwise provided in writing. Calculation of such
present value shall be at 3% which is the rate of interest assumed in computing
the amount of annuity payments.

     The amount of each payment is determined from the tables in the Contract
which apply to the particular option using the Annuitant's age and sex. If the
Contract is sold in a group or employer-sponsored arrangement, the amount of the
payments will be based on the Annuitant's age, only. Age is determined from the
nearest birthday at the due date of the first payment.

     Alternate Income Option.  In lieu of one of the above options, the
Surrender Value or death benefit may be taken under an alternate income option
based on PLACA's single premium immediate annuity rates in effect at the time of
settlement. Such rates will be adjusted to a due basis. The first payment will
be made immediately (at the beginning of the first month, rather than at the end
of the month) which will result in receiving one additional payment. The income
will be increased by 4%. In no case will the income be less than that which
would be payable if the amount were used to purchase a single premium immediate
annuity adjusted to a due basis.

                                       31
<PAGE>   39

                            YIELDS AND TOTAL RETURNS

     From time to time, PLACA may advertise or include in sales literature
historic performance data for the Variable Accounts, including yields, effective
yields, standard annual total returns and nonstandard measures of performance
for the Subaccounts. These figures are based on historical earnings and do not
indicate or project future performance. Each Subaccount may, from time to time,
advertise or include in sales literature performance relative to certain
performance rankings and indices compiled by independent organizations. More
detailed information as to the calculation of performance information, as well
as comparisons with unmanaged market indices, appears in the Statement of
Additional Information.

     Effective yields and total returns for the Subaccounts are based on the
investment performance of the corresponding Portfolio. The Portfolios'
performance in part reflects the Funds' expenses. See the Prospectuses for the
Funds.

     The yield of the Money Market Subaccount refers to the annualized
investment income generated by an investment in the Subaccount over a specified
seven-day period. The yield is calculated by assuming that the income generated
for that seven-day period is generated each seven-day period over a 52-week
period and is shown as a percentage of the investment. The effective yield is
calculated similarly but, when annualized, the income earned by an investment in
the Subaccount is assumed to be reinvested. The effective yield will be slightly
higher than the yield because of the compounding effect of this assumed
reinvestment.

     The yield of a Subaccount (except the Money Market Subaccount) refers to
the annualized income generated by an investment in the Subaccount over a
specified 30-day or one-month period. The yield is calculated by assuming that
the income generated by the investment during that 30-day or one-month period is
generated each period over a 12-month period and is shown as a percentage of the
investment.

     The total return of a Subaccount refers to return quotations assuming an
investment under a Contract has been held in the Subaccount for various periods
of time including, but not limited to, a period measured from the date the
Subaccount commenced operations. When a Subaccount has been in operation for
one, five, and ten years, respectively, the total return for these periods is
provided. For periods prior to the date that a Subaccount commenced operations,
performance information for Contracts funded by that Subaccount is calculated
based on the performance of the corresponding Portfolio and the assumption that
the Subaccount was in existence for the same periods as those indicated for the
Portfolio, with the current level of Contract charges.

     The average annual total return quotations represent the average annual
compounded rates of return that would equate an initial investment of $1,000
under a Contract to the redemption value of that investment as of the last day
of each of the periods for which total return quotations are provided. Average
annual total return information shows the average percentage change in the value
of an investment in the Subaccount from the beginning date of the measuring
period to the end of that period. This standardized version of average annual
total return reflects all historical investment results, less all charges and
deductions applied against the Subaccount (including any Surrender Charge that
would apply if an Owner terminated the Contract at the end of each period
indicated, but excluding any deductions for premium taxes).

     In addition to the standard version described above, total return
performance information computed on several different non-standard bases may be
used in advertisements and sales literature. Average annual total return
information may be presented, computed on the same basis as described above,
except deductions will not include the Surrender Charge. PLACA also may disclose
cumulative total return with and without deductions for the Surrender Charge. In
addition to the foregoing, PLACA may present average annual total returns and
cumulative total returns, with and without deductions for Surrender Charges,
computed to reflect the effect of a Credit Amount. In such presentations, the
Credit Amount may be of any percentage currently available under the Contract.

                                       32
<PAGE>   40

     Non-standard performance data will only be disclosed if the standard
performance data for the required periods is also disclosed. For additional
information regarding the calculation of other performance data, please refer to
the Statement of Additional Information.

     In advertising and sales literature, the performance of each Subaccount may
be compared to the performance of other variable annuity issuers in general or
to the performance of particular types of variable annuities investing in mutual
funds, or investment series of mutual funds with investment objectives similar
to each of the Subaccounts. Lipper Analytical Services, Inc. ("Lipper") and the
Variable Annuity Research Data Service ("VARDS") are independent services which
monitor and rank the performance of variable annuity issuers in each of the
major categories of investment objectives on an industry-wide basis.

     Lipper's rankings include variable life insurance issuers as well as
variable annuity issuers. VARDS rankings compare only variable annuity issuers.
The performance analyses prepared by Lipper and VARDS each rank such issuers on
the basis of total return, assuming reinvestment of distributions, but do not
take sales charges, redemption fees, or certain expense deductions at the
separate account level into consideration. In addition, VARDS prepares risk
adjusted rankings, which consider the effects of market risk on total return
performance. This type of ranking provides data as to which funds provide the
highest total return within various categories of funds defined by the degree of
risk inherent in their investment objectives.

     Advertising and sales literature may also compare the performance of each
Subaccount to the Standard & Poor's Index of 500 Common Stocks, a widely used
measure of stock performance. This unmanaged index assumes the reinvestment of
dividends but does not reflect any "deduction" for the expense of operating or
managing an investment portfolio. Other independent ranking services and indices
may also be used as a source of performance comparison.

     PLACA may also report other information including the effect of
tax-deferred compounding on a Subaccount's investment returns, or returns in
general, which may be illustrated by tables, graphs, or charts. All income and
capital gains derived from Subaccount investments are reinvested and can lead to
substantial long-term accumulation of assets, provided that the underlying
Portfolio's investment experience is positive.

                               FEDERAL TAX STATUS

     THE FOLLOWING DISCUSSION IS GENERAL AND IS NOT INTENDED AS TAX ADVICE

INTRODUCTION

     The following summary provides a general description of the federal income
tax considerations associated with the Contract and does not purport to be
complete or to cover all tax situations. This discussion is not intended as tax
advice. Counsel or other competent tax advisers should be consulted for more
complete information. This discussion is based upon PLACA's understanding of the
present federal income tax laws. No representation is made as to the likelihood
of continuation of the present federal income tax laws or as to how they may be
interpreted by the Internal Revenue Service (the "IRS").

     The Contract may be purchased on a tax-qualified basis or on a
non-tax-qualified basis. Qualified Contracts are designed for use by individuals
whose premium payments are comprised solely of proceeds from and/or
contributions under retirement plans that are intended to qualify as plans
entitled to special income tax treatment under Sections 401(a), 403(b), 408, or
408A of the Code. The ultimate effect of federal income taxes on the amounts
held under a Contract, or annuity payments, depends on the type of retirement
plan, on the tax and employment status of the individual concerned, and on
PLACA's tax status. In addition, certain requirements must be satisfied in
purchasing a Qualified Contract with proceeds from a tax-qualified plan and
receiving distributions from a Qualified Contract in order to continue receiving
favorable tax treatment. Some retirement plans are subject to distribution and
other requirement that are not incorporated into our Contract administration
procedures. Owners, participants, Beneficiaries,
                                       33
<PAGE>   41

and Payees are responsible for determining that contributions, distributions and
other transactions with respect to the Contracts comply with applicable law.
Therefore, purchasers of Qualified Contracts should seek competent legal and tax
advice regarding the suitability of a Contract for their situation. The
following discussion assumes that Qualified Contracts are purchased with
proceeds from and/or contributions under retirement plans that qualify for the
intended special federal income tax treatment.

TAX STATUS OF THE CONTRACTS

     Diversification Requirements.  The Code requires that the investments of
the Variable Account be "adequately diversified" in order for the Contracts to
be treated as annuity contracts for federal income tax purposes. It is intended
that the Variable Account, through the Funds, will satisfy these diversification
requirements.

     Owner Control.  In certain circumstances, owners of variable annuity
contracts have been considered for federal income tax purposes to be the owners
of the assets of the Variable Account supporting their contracts due to their
ability to exercise investment control over those assets. When this is the case,
the contract owners have been currently taxed on income and gains attributable
to the variable account assets. There is little guidance in this area, and some
features of the Contracts, such as the flexibility of an Owner to allocate
premium payments and transfer Contract Account Value, have not been explicitly
addressed in published rulings. While PLACA believes that the Contracts do not
give Owners investment control over Variable Account assets, PLACA reserves the
right to modify the Contracts as necessary to prevent an Owner from being
treated as the owner of the Variable Account assets supporting the Contracts.

     Required Distributions.  In order to be treated as an annuity contract for
federal income tax purposes, the Code requires any Non-Qualified Contract to
contain certain provisions specifying how Your interest in the Contract will be
distributed in the event of Your death. The Non-Qualified Contracts contain
provisions that are intended to comply with these Code requirements, although no
regulations interpreting these requirements have yet been issued. We intend to
review such provisions and modify them if necessary to assure that they comply
with the applicable requirements when such requirements are clarified by
regulation or otherwise.

     Other rules may apply to Qualified Contracts.

     The following discussion assumes that the Contracts will qualify as annuity
contracts for federal income tax purposes.

THE TREATMENT OF ANNUITIES

     In General.  PLACA believes that if You are a natural person you will not
be taxed on increases in the value of a Contract until a distribution occurs or
until annuity payments begin. (For these purposes, an agreement to assign or
pledge any portion of the Contract Account Value, and, in the case of a
Qualified Contract, any portion of an interest in the qualified plan, generally
is treated as a distribution.)

TAXATION OF NON-QUALIFIED CONTRACTS

     Non-Natural Person.  The Owner of Contract who is not a natural person
generally must include in income any increase in the excess of the Contract
Account Value over the "investment in the contract" (generally, the premiums or
other consideration paid for the Contract) during the taxable year. There are
some exceptions to this rule and a prospective Owner that is not a natural
person may wish to discuss these with a tax adviser. The following discussion
generally applies to Contracts owned by natural persons.

     Withdrawals.  When a withdrawal from a Non-Qualified Contract occurs, the
amount received will be treated as ordinary income subject to tax up to an
amount equal to the excess (if any) of the Contract Account Value immediately
before the distribution over the Owner's investment in the Contract at that
time. In the case of a surrender under a Non-Qualified Contract, the amount
received generally will be taxable only to the extent it exceeds the Owner's
investment in the Contract.

                                       34
<PAGE>   42

     Penalty Tax on Certain Withdrawals.  In the case of a distribution from a
Non-Qualified Contract, there may be imposed a federal tax penalty equal to ten
percent of the amount treated as income. In general, however, there is no
penalty on distributions:

     - made on or after the taxpayer reaches age 59 1/2;

     - made on or after the death of an Owner;

     - attributable to the taxpayer's becoming disabled; or

     - made as part of a series of substantially equal periodic payments for the
       life (or life expectancy) of the taxpayer.

     Other exceptions may be applicable under certain circumstances and special
rules may be applicable in connection with the exceptions enumerated above. A
tax adviser should be consulted with regard to exceptions from the penalty tax.
Other penalties may apply to Qualified Contracts.

     Annuity Payments.  Although tax consequences may vary depending on the
Payment Option elected under an annuity contract, a portion of each annuity
payment is generally not taxed and the remainder is taxed as ordinary income.
The non-taxable portion of an annuity payment is generally determined in a
manner that is designed to allow an Owner to recover his or her investment in
the Contract ratably on a tax-free basis over the expected stream of annuity
payments, as determined when annuity payments start. Once an investment in the
Contract has been fully recovered, however, the full amount of each annuity
payment is subject to tax as ordinary income.

     Taxation of Death Benefit Proceeds.  Amounts may be distributed from a
Contract because of an Owner's or an Annuitant's death. Generally, such amounts
are includible in the income of the recipient as follows: (a) if distributed in
a lump sum, they are taxed in the same manner as a surrender of the Contract, or
(b) if distributed under a Payment Option, they are taxed in the same way as
annuity payments.

     Transfers, Assignments or Exchanges of a Contract.  A transfer or
assignment of ownership of a Contract, the designation of an Annuitant, the
selection of certain Maturity Dates, or the exchange of a Contract may result in
certain tax consequences to Owners that are not discussed herein. An Owner
contemplating any such transfer, assignment or exchange, should consult a tax
adviser as to the tax consequences.

     Multiple Contracts.  All annuity contracts that are issued by PLACA (or its
affiliates) to the same Owner during any calendar year are treated as one
annuity contract for purposes of determining the amount includible in such
Owner's income when a taxable distribution occurs.

TAXATION OF QUALIFIED CONTRACTS

     The Contracts are designed for use with several types of qualified plans.
The tax rules applicable to participants in these qualified plans vary according
to the type of plan and the terms and conditions of the plan itself. Special
favorable tax treatment may be available for certain types of contributions and
distributions. Adverse tax consequences may result from contributions in excess
of specified limits; distributions prior to age 59 1/2 (subject to certain
exceptions); distributions that do not conform to specified commencement and
minimum distribution rules; and in other specified circumstances. Therefore, no
attempt is made to provide more than general information about the use of the
Contracts with the various types of qualified retirement plans. Owners,
Annuitants, Beneficiaries and Payees are cautioned that the rights of any person
to any benefits under these qualified retirement plans may be subject to the
terms and conditions of the plans themselves, regardless of the terms and
conditions of the Contract, but PLACA is not bound by the terms and conditions
of such plans to the extent such terms contradict the Contract, unless PLACA
consents.

     The Owner may wish to consult a qualified tax and/or financial adviser
regarding the use of the Contract within a qualified plan or in connection with
other employee benefit plans or arrangements that

                                       35
<PAGE>   43

receive favorable tax treatment, since many such plans or arrangements provide
the same type of tax deferral as provided by the Contract. The Contract provides
a number of extra benefits and features not provided by employee benefit plans
or arrangements alone, although there are costs and expenses under the Contract
related to these benefits and features. Owners should carefully consider these
benefits and features in relation to their costs as they apply to the Owner's
particular situation.

     Distributions.  Annuity payments under a Qualified Contract are generally
taxed in a manner similar to a Non-Qualified Contract. When a withdrawal from a
Qualified Contract occurs, a pro rata portion of the amount received is taxable,
generally based on the relationship between the Owner's investment in the
Contract to the participant's total accrued benefit balance under the retirement
plan. For Qualified Contracts, the investment in the Contract will generally be
zero unless nondeductible contributions have previously been made to the
relevant plan or employer contributions or investment earnings have previously
been includible in the income of the employee.

     Brief descriptions follow of the various types of qualified retirement
plans in connection with a Contract. PLACA will endorse the Contract as
necessary to conform it to the requirements of such plan.

     Corporate and Self-Employed Pension and Profit Sharing Plans.  Section
401(a) of the Code permits corporate employers to establish various types of
retirement plans for employees, and permits self-employed individuals to
establish these plans for themselves and their employees. These retirement plans
may permit the purchase of the Contracts to accumulate retirement savings under
the plans. Adverse tax or other legal consequences to the plan, to the
participant, or to both may result if this Contract is assigned or transferred
to any individual as a means to provide benefit payments, unless the plan
complies with all legal requirements applicable to such benefits prior to
transfer of the Contract. Employers intending to use the Contract with such
plans should seek competent tax advice.

     Individual Retirement Annuities.  Section 408(b) of the Code permits
eligible individuals to contribute to an individual retirement program known as
an "Individual Retirement Annuity" or "IRA." There may be limitations on the
amount of the premiums under an IRA, the deductible amount of such premiums, the
persons who may be eligible, and the time when distributions commence. Also,
distributions from certain other types of qualified retirement plans may be
"rolled over" or transferred on a tax-deferred basis into an IRA. There are
significant restrictions on rollover or transfer contributions from savings
incentive match plans for employees (SIMPLE), Plans which permit certain small
employers to make contributions to IRAs on behalf of their employees. Employers
may establish simplified employee pension (SEP) plans to make IRA contributions
on behalf of their employees. The Code may impose additional requirements on
sales of the Contract for use with IRAs.

     Roth IRAs.  Effective January 1, 1998, section 408A of the Code permits
certain eligible individuals to contribute to a Roth IRA. Contributions to a
Roth IRA, which are subject to certain limitations, are not deductible, and must
be made in cash or as a rollover or transfer from another Roth IRA or other IRA.
A rollover from or conversion of an IRA to a Roth IRA may be subject to tax, and
other special rules may apply. Generally, income on undistributed amounts
accumulated under Roth IRAs is exempt from federal income tax. "Qualified
distributions" from a Roth IRA, as well as distributions which are the return of
the Owner's contribution to the Roth IRA, are also not subject to tax.
"Qualified distributions" are distributions made (1) on or after the Owner
reaches age 59 1/2, (2) to the beneficiary of the Owner after the Owner's death,
(3) on account of the Owner's disability, or (4) to pay for first-time
home-buying expenses. Federal income tax, as well as a 10% penalty tax, will
generally apply to distributions which are not "qualified distributions."

     Tax Sheltered Annuities.  Section 403(b) of the Code allows employees of
certain section 501(c)(3) organizations and public schools to exclude from their
gross income the premium payments made, within certain limits, on a Contract
that will provide an annuity for the employee's retirement. These premium
payments may be subject to FICA (social security ) tax.

     The following amounts may not be distributed from Code section 403(b)
annuity contracts prior to the employee's death, attainment of age 59 1/2,
separation from service, disability, or financial hardship:

                                       36
<PAGE>   44

(1) elective contributions made in years beginning after December 31, 1988; (2)
earnings on those contributions; and (3) earnings in such years on amounts held
as of the last year beginning before January 1, 1989. In addition, earnings on
elective contributions may not be distributed in the case of hardship.

WITHHOLDING

     Distributions from Contracts generally are subject to withholding for the
Owner's federal income tax liability. The withholding rate varies according to
the type of distribution and the Owner's tax status. The Owner will be provided
the opportunity to elect not have tax withheld from distributions.

     "Eligible rollover distributions" from section 401(a) plans and section
403(b) tax-sheltered annuities are subject to a mandatory federal income tax
withholding of 20%. Generally, an eligible rollover distribution is the taxable
portion of any distribution from such a plan, except for certain distributions
such as minimum distributions required by the Code, distributions paid in the
form of an annuity, or hardship withdrawals. The 20% withholding does not apply,
however, if the Owner chooses a "direct rollover" from the plan to another
tax-qualified plan or IRA.

POSSIBLE CHANGES IN TAXATION

     Although the likelihood of legislative change is uncertain, there is always
the possibility that the tax treatment of the Contracts could change by
legislation or other means. It is also possible that any change could be
retroactive (that is, effective prior to the date of the change). A tax adviser
should be consulted with respect to legislative developments and their effect on
the Contract.

OTHER TAX CONSEQUENCES

     As noted above, the foregoing comments about the federal tax consequences
under the Contracts are not exhaustive, and special rules are provided with
respect to other tax situations not discussed in this prospectus. Further, the
federal income tax consequences discussed herein reflect PLACA's understanding
of current law, and the law may change. Federal estate and state and local
estate, inheritance and other tax consequences of ownership or receipt of
distributions under a Contract depend on the individual circumstances of each
Owner or recipient of the distribution. A competent tax adviser should be
consulted for further information.

                           DISTRIBUTION OF CONTRACTS

     The Contracts will be offered to the public on a continuous basis, and
PLACA does not anticipate discontinuing the offering of the Contracts. However,
PLACA reserves the right to discontinue the offering. Applications for Contracts
are solicited by agents who are licensed by applicable state insurance
authorities to sell PLACA's variable annuity contracts and who are also
registered representatives of 1717 or broker/dealers. 1717 is a wholly owned
indirect subsidiary of PMLIC and is registered with the SEC under the Securities
Exchange Act of 1934 as a broker-dealer and is a member of the National
Association of Securities Dealers, Inc.

     1717 acts as the Principal Underwriter, as defined in the Investment
Company Act of 1940, of the Contracts for the Variable Account pursuant to an
Underwriting Agreement between PLACA and 1717. 1717 is not obligated to sell any
specific number of Contracts. 1717's principal business address is Christiana
Executive Campus, P.O. Box 15626, Wilmington, Delaware 19850. The Contracts may
also be sold through other broker-dealers registered under the Securities
Exchange Act of 1934 whose representatives are authorized by applicable law to
sell variable annuity contracts. 1717 will also enter into selling agreements
with other broker-dealers with respect to distribution of the Contracts. 1717
and receives the full commissions on Contracts sold by its registered
representatives. Nonaffiliated broker-dealers receive full commissions on
Contracts sold by their registered representatives, less a nominal charge by
1717 for expenses incurred. The commissions paid are no greater than 6% of
premiums plus 0.60% of the Contract Account Value beginning in the tenth
Contract Year. Alternative commission scales
                                       37
<PAGE>   45

are available with a lower percent of premiums and a percentage of Contract
Account Value beginning in Contract Year 2.

                            PREPARING FOR YEAR 2000

     Like all financial services providers, PLACA and its affiliates utilize
systems that may be affected by Year 2000 transition issues and they rely on
service providers, including banks, custodians, administrators, and investment
managers that also may be affected. PLACA and its affiliates have developed, and
are in the process of implementing, a Year 2000 transition plan, and are
confirming that its service providers are also so engaged. The resources that
are being devoted to this effort are substantial. It is difficult to predict
with precision whether the amount of resources ultimately devoted, or the
outcome of these efforts, will have any negative impact on PLACA and its
affiliates. However, as of the date of this prospectus, it is not anticipated
that Owners will experience negative effects on their investment, or on the
services provided in connection therewith, as a result of Year 2000 transition
implementation. PLACA and its affiliates currently anticipate that their systems
will be Year 2000 compliant before December 31, 1999 but there can be no
assurance that PLACA and its affiliates will be successful, or that interaction
with other service providers will not impair PLACA or its affiliates' services
at that time.

                               LEGAL PROCEEDINGS

     PLACA, like other life insurance companies, are involved in lawsuits,
including class action lawsuits. In some class action and other lawsuits
involving insurers, substantial damages have been sought and/or material
settlement payments have been made. Although the outcome of any litigation
cannot be predicted with certainty, PLACA believes that at the present time
there are not pending or threatened lawsuits that are reasonable likely to have
a material adverse impact on the Separate Account or PLACA.

                                 VOTING RIGHTS

     In accordance with its view of present applicable law, PLACA will vote the
Portfolio shares held in the Variable Account at special shareholder meetings of
the Funds in accordance with instructions received from persons having voting
interests in the corresponding Subaccounts. If, however, the Investment Company
Act of 1940 or any regulation thereunder should be amended, or if the present
interpretation thereof should change, or PLACA determines that it is allowed to
vote the Portfolio shares in its own right, it may elect to do so.

     The number of votes which are available to an Owner will be calculated
separately for each Subaccount of the Variable Account, and may include
fractional votes. The number of votes attributable to a Subaccount will be
determined by applying an Owner's percentage interest, if any, in a particular
Subaccount to the total number of votes attributable to that Subaccount. An
Owner holds a voting interest in each Subaccount to which the Variable Account
Value is allocated. The Owner only has voting interest prior to the Annuity
Date.

     The number of votes of a Portfolio which are available to the Contract
Owner will be determined as of the date coincident with the date established by
that Portfolio for determining shareholders eligible to vote at the relevant
meeting of each Fund. Voting instructions will be solicited by written
communication prior to such meeting in accordance with procedures established by
the Funds.

     Fund shares as to which no timely instructions are received and shares held
by PLACA in a Subaccount as to which an Owner has no beneficial interest will be
voted in proportion to the voting instructions which are received with respect
to all Contracts participating in that Subaccount. Voting instructions to
abstain on any item to be voted upon will be applied on a pro rata basis to
reduce the votes eligible to be cast.

                                       38
<PAGE>   46

                              FINANCIAL STATEMENTS

     The audited statements of financial condition for PLACA as of December 31,
1998 and 1997 and the related statements of operations, changes in capital and
surplus and cash flows for each of the three years in the period ended December
31, 1998 as well as the Report of Independent Accountants are contained in the
Statement of Additional Information. The audited statements of assets and
liabilities for the Variable Account as of December 31, 1998 and the related
statements of operations for the year then ended and the statements of changes
in net assets for each of the two years in the period then ended are included in
the Statement of Additional Information for the Variable Account.

                                       39
<PAGE>   47

                                   APPENDIX A
                              FINANCIAL HIGHLIGHTS

     The following condensed financial information is derived from the financial
statements of the Variable Account. The data should be read in conjunction with
the financial statements, related notes and other financial information included
in the Statement of Additional Information. See "Financial Statements,"
concerning financial statements contained in the Statement of Additional
Information.

     The table below sets forth certain information regarding the Subaccounts as
of December 31, 1998.
<TABLE>
<CAPTION>
                                                  UNIT VALUE    NUMBER OF UNITS    UNIT VALUE    NUMBER OF UNITS    UNIT VALUE
                                                    AS OF      OUTSTANDING AS OF     AS OF      OUTSTANDING AS OF     AS OF
                   SUBACCOUNT                      12/31/98        12/31/98         12/31/97        12/31/97         12/31/96
                   ----------                     ----------   -----------------   ----------   -----------------   ----------
<S>                                               <C>          <C>                 <C>          <C>                 <C>
MS Money Market.................................     598.06        62,328.14          575.95        45,925.41         554.47
MS Growth.......................................   1,065.67        34,680.05          950.55        32,051.38         775.34
MS Bond.........................................     637.92        18,437.76          597.74        10,217.64         553.59
MS Managed......................................     866.94        18,219.44          781.27        16,899.90         653.55
MS Aggressive Growth............................     887.21        12,301.49          833.15        11,389.39         697.07
MS International................................     764.54        22,728.56          704.02        23,495.92         651.04
MS All Pro Large Cap Growth.....................     583.02         3,398.61
MS All Pro Small Cap Growth.....................     485.44         2,787.56
MS All Pro Large Cap Value......................     490.39         3,752.20
MS All Pro Small Cap Value......................     408.65         2,343.81
Fidelity High Income............................     743.43        26,474.33          788.02        21,860.95         679.15
Fidelity Equity Income..........................   1,113.96        78,563.14        1,011.99        73,730.38         801.08
Fidelity Growth.................................   1,245.95        74,160.15          905.80        67,965.10         743.89
Fidelity Asset Manager..........................     866.16        42,506.75          763.46        37,474.25         641.70
Fidelity Index 500..............................   1,377.32        61,689.14        1,088.42        48,054.18         831.78
Fidelity Contrafund.............................   1,127.92        46,442.16          879.99        38,683.95         718.85
OCC Equity......................................   1,181.96        19,823.89        1,071.54        19,067.19         858.13
OCC Small Cap...................................     724.89        22,809.77          808.05        22,411.36         670.35
OCC Managed.....................................   1,117.54        53,641.58        1,057.94        54,119.40         877.27
Van Eck Worldwide Hard Assets...................     345.27           791.04
Van Eck Worldwide Bond..........................     588.75           430.59
Van Eck Worldwide Emerging Markets..............     297.26         1,094.81
Van Eck Worldwide Real Estate...................     425.72           396.85

<CAPTION>
                                                   NUMBER OF UNITS    UNIT VALUE    NUMBER OF UNITS    UNIT VALUE
                                                  OUTSTANDING AS OF     AS OF      OUTSTANDING AS OF     AS OF
                   SUBACCOUNT                         12/31/96         12/31/95        12/31/95         12/31/94
                   ----------                     -----------------   ----------   -----------------   ----------
<S>                                               <C>                 <C>          <C>                 <C>
MS Money Market.................................      45,000.79         534.58         30,689.17         513.30
MS Growth.......................................      26,301.47         657.63         18,875.42         511.45
MS Bond.........................................       7,672.67         545.35          4,938.33         459.55
MS Managed......................................      13,564.35         592.07          9,803.13         482.84
MS Aggressive Growth............................       9,335.43         584.65          6,154.75         522.44
MS International................................      23,424.42         595.43         17,907.81         528.22
MS All Pro Large Cap Growth.....................
MS All Pro Small Cap Growth.....................
MS All Pro Large Cap Value......................
MS All Pro Small Cap Value......................
Fidelity High Income............................      14,990.01         604.03          7,048.75         507.88
Fidelity Equity Income..........................      61,560.52         710.92         38,336.60         533.64
Fidelity Growth.................................      59,854.74         657.74         34,695.62         492.73
Fidelity Asset Manager..........................      32,768.43         567.88         28,966.21         492.38
Fidelity Index 500..............................      27,336.06         686.84         10,498.25         507.68
Fidelity Contrafund.............................      23,454.47         601.00          7,495.00             --
OCC Equity......................................      12,563.72         572.66         11,392.30         515.26
OCC Small Cap...................................      16,021.07         724.69         27,336.42         503.97
OCC Managed.....................................      43,626.63         545.82          6,615.25
Van Eck Worldwide Hard Assets...................
Van Eck Worldwide Bond..........................
Van Eck Worldwide Emerging Markets..............
Van Eck Worldwide Real Estate...................

<CAPTION>
                                                   NUMBER OF UNITS    UNIT VALUE    NUMBER OF UNITS
                                                  OUTSTANDING AS OF     AS OF      OUTSTANDING AS OF
                   SUBACCOUNT                         12/31/94         12/31/93        12/31/93
                   ----------                     -----------------   ----------   -----------------
<S>                                               <C>                 <C>          <C>
MS Money Market.................................      16,531.43         501.47          4,652.76
MS Growth.......................................      12,476.41         506.46          3,168.61
MS Bond.........................................       3,487.30         493.74          1,656.64
MS Managed......................................       8,582.76         498.70          2,536.72
MS Aggressive Growth............................       2,846.86         529.79            452.21
MS International................................      15,548.80         534.25          2,539.74
MS All Pro Large Cap Growth.....................
MS All Pro Small Cap Growth.....................
MS All Pro Large Cap Value......................
MS All Pro Small Cap Value......................
Fidelity High Income............................       4,060.78         523.11            298.26
Fidelity Equity Income..........................      16,111.04         505.43          2,674.86
Fidelity Growth.................................      19,272.81         499.75          2,368.98
Fidelity Asset Manager..........................      28,637.01         531.69          2,806.80
Fidelity Index 500..............................       3,571.24         509.51            818.51
Fidelity Contrafund.............................             --             --                --
OCC Equity......................................       2,813.10         503.29            313.68
OCC Small Cap...................................       8,553.37         516.26            842.45
OCC Managed.....................................
Van Eck Worldwide Hard Assets...................
Van Eck Worldwide Bond..........................
Van Eck Worldwide Emerging Markets..............
Van Eck Worldwide Real Estate...................
</TABLE>

                                       A-1
<PAGE>   48

                                                                      APPENDIX B

                               PLAN OF CONVERSION

     PMLIC, a Pennsylvania mutual life insurance corporation, is currently
pursuing a Plan of Conversion ("Plan") pursuant to which it will be reorganized
and continue its corporate existence ("Conversion") as Provfirst American Life
Insurance Company, a Pennsylvania stock life insurance corporation ("Provfirst
Life"). The Plan was adopted by PMLIC's board of directors on October 13, 1998.
The Plan was approved by the Pennsylvania Deputy Insurance Commissioner by a
Decision and Order dated November 6, 1998 ("Order"). The PMLIC policyholders
entitled to vote on the Plan duly adopted the Plan at a special meeting held on
February 9, 1999. On February 11, 1999, the Court of Common Pleas of
Philadelphia County issued an order granting a preliminary injunction in,
Butler, et al. v. Provident Mutual Life Insurance Company, et al., Philadelphia
County Court of Common Pleas, Civil Trial Division, No. 9901-0780, which
postponed completion of the Conversion.

     Currently, PLACA is a wholly-owned subsidiary of PMLIC. If the Conversion
occurs, PLACA will remain a wholly-owned subsidiary of Provfirst, and PLACA's
name will be changed to Provfirst America Life and Annuity Company ("Provfirst
Life and Annuity"). No other changes to PLACA are anticipated to occur as a
result of the Conversion. THE CURRENT AND FUTURE RIGHTS AND INTERESTS OF OWNERS
OF PLACA INSURANCE AND ANNUITY CONTRACTS, INCLUDING THE CONTRACTS, WILL NOT
CHANGE AS A RESULT OF THE CONVERSION, AND THE CONVERSION WILL NOT INCREASE
PREMIUMS OR REDUCE CONTRACT BENEFITS, VALUES, GUARANTEES OR OTHER CONTRACT
OBLIGATIONS TO OWNERS. THE CONVERSION WILL NOT CHANGE THE OPERATIONS OF THE
VARIABLE ACCOUNT AND WILL NOT RESULT IN ANY MATERIAL DISRUPTION OF THE SERVICES
PROVIDED TO OWNERS.

     Before the Conversion, PLACA will continue to conduct business in all
jurisdictions under the name "Providentmutual Life and Annuity Company of
America." After the Conversion it is anticipated that PLACA will conduct
business in all jurisdictions under the name "Provfirst America Life and Annuity
Company," except in those jurisdictions in which regulators have not yet
approved use of this name. In those jurisdictions, PLACA will continue to do
business using the name "Providentmutual Life and Annuity Company of America"
until it receives approval to use the new name. Likewise, the name of the
Variable Account will be changed to Provfirst Variable Annuity Separate Account.
Use of the new Variable Account name in each jurisdiction will begin
concurrently with the use of PLACA's new name in such jurisdiction subject to
receipt of any required regulatory approvals.

     Pursuant to the Plan, PMLIC will also form Provident Mutual Holding
Company, a Pennsylvania nonstock corporation, and Provfirst America Corporation,
a Pennsylvania business corporation. If the Conversion occurs, all the shares of
voting stock of Provfirst Life will be issued to the Provfirst America
Corporation, and all the shares of voting stock of Provfirst America Corporation
will be issued to Provident Mutual Holding Company, except for approximately 1%
of the then-issued shares of voting stock of Provfirst America Corporation,
which will be issued to an employee stock ownership plan to be formed by
Provfirst Life. Pursuant to the Order and as set forth in the Plan, Provident
Mutual Holding Company will at all times, directly or indirectly, control
Provfirst Life through the ownership of at least a majority of the voting
authority of Provfirst America Corporation, which will hold, directly or
indirectly, all the outstanding voting stock of Provfirst Life. If the
Conversion occurs, the directors and executive officers of Provfirst Life
serving immediately prior to the Effective Date of the Conversion will remain as
the directors and executive officers of each of Provident Mutual Holding
Company, Provfirst America Corporation and Provfirst Life after the Effective
Date.

     Before the Conversion, PMLIC policyholders have (1) contract rights under
their insurance policies and annuity contracts, and (2) certain membership
rights in PMLIC. The principal contract right of policyholders is the right to
receive the type and amount of benefits specified in their policies or contracts
in accordance with their terms and conditions, including the right to receive
policy dividends when, if, and as declared by the board of directors of PMLIC in
accordance with the terms and conditions of such policies. The membership rights
of policyholders include the right to vote at annual or special meetings of
PMLIC, and certain rights as provided by law in any remaining surplus of PMLIC
in the event of the insolvency, winding-up or liquidation of PMLIC, after the
discharge of all other liabilities.

                                       B-1
<PAGE>   49

     If the Conversion occurs, the contract rights and the membership rights of
policyholders of PMLIC policies will be separated. The contract rights will
remain with PMLIC and the membership rights in PMLIC will be extinguished. Each
policyholder will then receive, by operation of law, membership rights in
Provident Mutual Holding Company. Each future policyholder of PMLIC will become
a member of Provident Mutual Holding Company, and each member will remain a
member of Provident Mutual Holding Company as long as the policy or policies
conferring such membership remain in force.

                                       B-2
<PAGE>   50

              PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY OF AMERICA
                         A STOCK LIFE INSURANCE COMPANY
                             300 CONTINENTAL DRIVE
                             NEWARK, DELAWARE 19713
                                 1-800-688-5177

                      STATEMENT OF ADDITIONAL INFORMATION
               PROVIDENTMUTUAL VARIABLE ANNUITY SEPARATE ACCOUNT
         INDIVIDUAL FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT

     This Statement of Additional Information contains information in addition
to the information described in the Prospectus for the individual flexible
premium deferred variable annuity contract (the "Contract") offered by
Providentmutual Life and Annuity Company of America. This Statement of
Additional Information is not a prospectus, and it should be read only in
conjunction with the prospectuses for the Contract and the Market Street Fund,
Inc., the Variable Insurance Products Fund, the Variable Insurance Products Fund
II, the OCC Accumulation Trust, and the Van Eck Worldwide Insurance Trust. The
Prospectus is dated the same as this Statement of Additional Information. You
may obtain a copy of the Prospectus by writing or calling us at our address or
phone number shown above.

   THE DATE OF THIS STATEMENT OF ADDITIONAL INFORMATION IS NOVEMBER   , 1999

                      STATEMENT OF ADDITIONAL INFORMATION

                               TABLE OF CONTENTS*

<TABLE>
  <S>                                                           <C>
  ADDITIONAL CONTRACT PROVISIONS (17-27)......................   S-2
       The Contract...........................................   S-2
       Incontestability.......................................   S-2
       Misstatement of Age or Sex.............................   S-2
       Non-Participation......................................   S-2
  CALCULATION OF YIELDS AND TOTAL RETURNS (31)................   S-2
       Money Market Subaccount Yields.........................   S-2
       Other Subaccount Yields................................   S-3
       Average Annual Total Returns...........................   S-4
       Other Average Annual Total Returns.....................   S-7
       Other Total Returns....................................   S-8
       Effect of the Administration Fee on Performance Data...   S-9
  TERMINATION OF PARTICIPATION AGREEMENTS.....................   S-9
  SAFEKEEPING OF ACCOUNT ASSETS...............................  S-10
  STATE REGULATION (Appendix B)...............................  S-11
  RECORDS AND REPORTS.........................................  S-11
  LEGAL MATTERS (38)..........................................  S-11
  EXPERTS.....................................................  S-11
  OTHER INFORMATION...........................................  S-11
  FINANCIAL INFORMATION.......................................  S-11
  FINANCIAL STATEMENTS........................................   F-1
</TABLE>

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

* Numbers in parentheses refer to corresponding pages of the Prospectus.
<PAGE>   51

                         ADDITIONAL CONTRACT PROVISIONS

THE CONTRACT

     The entire contract is made up of the policy and the application. The
statements made in the application are deemed representations and not
warranties. PLACA cannot use any statement in defense of a claim or to void the
Contract unless it is contained in the application and a copy of the application
is attached to the Contract at issue.

INCONTESTABILITY

     PLACA will not contest the Contract after it has been in force during the
Annuitant's lifetime for two years from the Issue Date of the Contract.

MISSTATEMENT OF AGE OR SEX

     If the age or sex of any Annuitant, Owner or Beneficiary has been
misstated, the amount which will be paid is that which the proceeds would have
purchased at the correct age and sex.

     If an overpayment is made because of an error in age or sex, the
overpayment plus interest at 3% compounded annually will be a debt against the
Contract. If the debt is not repaid, future payments will be reduced
accordingly.

     If an underpayment is made because of an error in age or sex, any annuity
payments will be recalculated at the correct age and sex and future payments
will be adjusted. The underpayment with interest at 3% compounded annually will
be paid in a single sum.

NON-PARTICIPATION

     The Contract is not eligible for dividends and will not participate in
PLACA's divisible surplus.

                    CALCULATION OF YIELDS AND TOTAL RETURNS

     From time to time, PLACA may disclose historic performance data for the
subaccounts including yields, standard annual total returns, and other
nonstandard measures of performance. Such performance data will be computed, or
accompanied by performance data computed, in accordance with the standards
defined by the SEC.

     Because of the charges and deductions imposed under a Contract, the yield
for the Subaccounts will be lower than the yield for their respective
Portfolios. The calculations of yields, total returns, and other performance
data do not reflect the effect of any premium tax that may be applicable to a
particular Contract. Premium taxes currently range from 0% to 3.5% of premium
based on the state in which the Contract is sold.

MONEY MARKET SUBACCOUNT YIELDS

     From time to time, advertisements and sales literature may quote the
current annualized yield of the Money Market Subaccount for a seven-day period
in a manner which does not take into consideration any realized or unrealized
gains or losses or income other than investment income on shares of the Money
Market Portfolio or on its portfolio securities.

     This current annualized yield is computed by determining the net change
(exclusive of realized gains and losses on the sale of securities and unrealized
appreciation and depreciation and exclusive of income other than investment
income) at the end of the seven-day period in the value of a hypothetical
account under a Contract having a balance of 1 unit of the Money Market
Subaccount at the beginning of the period, dividing such net change in account
value by the value of the hypothetical account at the beginning of the period to
determine the base period return, and annualizing this quotient on a 365-day

                                       S-2
<PAGE>   52

basis. The net change in account value reflects: 1) net income from the
Portfolio attributable to the hypothetical account; and 2) charges and
deductions imposed under the Contract which are attributable to the hypothetical
account. The charges and deductions include the per unit charges for the
hypothetical account for: 1) the Annual Administration Fee and 2) the Annual
Annuity Charge. For purposes of calculating current yields for a Contract, an
average per unit administration fee is used based on the $40 administration fee
deducted at the end of each Contract Year. Current Yield will be calculated
according to the following formula:

     Current Yield = ((NCS - ES)/UV) X (365/7)

     Where:

     NCS = the net change in the value of the Portfolio (exclusive of realized
           gains or losses on the sale of securities and unrealized appreciation
           and depreciation and exclusive of income other than investment
           income) for the seven-day period attributable to a hypothetical
           account having a balance of 1 Subaccount unit.

     ES   = per unit expenses attributable to the hypothetical account for the
            seven-day period.

     UV  = The unit value on the first day of the seven-day period.

     The effective yield of the Money Market Subaccount determined on a
compounded basis for the same seven-day period may also be quoted.

     The effective yield is calculated by compounding the unannualized base
period return according to the following formula:

     Effective Yield = (1 + ((NCS - ES)/UV))365/7 - 1

     Where:

     NCS = the net change in the value of the Portfolio (exclusive of realized
           gains or losses on the sale of securities and unrealized appreciation
           and depreciation and exclusive of income other than investment
           income) for the seven-day period attributable to a hypothetical
           account having a balance of 1 Subaccount unit.

     ES   = per unit expenses attributable to the hypothetical account for the
            seven-day period.

     UV  = The unit value on the first day of the seven-day period.

     Because of the charges and deductions imposed under the contract, the yield
for the Money Market Subaccount will be lower than the yield for the Money
Market Portfolio.

     The current and effective yields on amounts held in the Money Market
Subaccount normally will fluctuate on a daily basis. THEREFORE, THE DISCLOSED
YIELD FOR ANY GIVEN PAST PERIOD IS NOT AN INDICATION OR REPRESENTATION OF FUTURE
YIELDS OR RATES OF RETURN. The Money Market Subaccount's actual yield is
affected by changes in interest rates on money market securities, average
portfolio maturity of the Money Market Portfolio, the types of quality of
portfolio securities held by the Money Market Portfolio and the Money Market
Portfolio's operating expenses. Yields on amounts held in the Money Market
Subaccount may also be presented for periods other than a seven-day period.

OTHER SUBACCOUNT YIELDS

     From time to time, sales literature or advertisements may quote the current
annualized yield of one or more of the Subaccounts (except the Money Market
Subaccount) for a Contract for 30-day or one-month periods. The annualized yield
of a Subaccount refers to income generated by the Subaccount over a specific
30-day or one-month period. Because the yield is annualized, the yield generated
by a Subaccount during a 30-day or one-month period is assumed to be generated
each period over a 12-month period.

     The yield is computed by: 1) dividing the net investment income of the
Portfolio attributable to the Subaccount units less Subaccount expenses for the
period; by 2) the maximum offering price per unit on
                                       S-3
<PAGE>   53

the last day of the period times the daily average number of units outstanding
for the period; by 3) compounding that yield for a six-month period; and by 4)
multiplying that result by 2. Expenses attributable to the Subaccount include
the Annual Administration Fee, the Annual Annuity Charge. The yield calculation
assumes an administration fee of $40 per year per Contract deducted at the end
of each Contract Year. For purposes of calculating the 30-day or one-month
yield, an average administration fee per dollar of Contract value in the
Variable Account is used to determine the amount of the charge attributable to
the Subaccount for the 30-day or one-month period. The 30-day or one-month yield
is calculated according to the following formula:

     Yield = 2 (((NI - ES)/(U X UV)) + 1)(6)

     Where:

     NI   = net income of the Portfolio for the 30-day or one-month period
            attributable to the Subaccount's units.

     ES   = expenses of the Subaccount for the 30-day or one-month period.

     U    = the average number of units outstanding.

     UV  = the unit value at the close (highest) of the last day in the 30-day
           or one-month period.

     Because of the charges and deductions imposed under the Contracts, the
yield for the Subaccount will be lower than the yield for the corresponding Fund
Portfolio.

     The yield on the amounts held in the Subaccounts normally will fluctuate
over time. Therefore, the disclosed yield for any given past period is not an
indication or representation of future yields or rates of return. The
Subaccount's actual yield is affected by the types and quality of portfolio
securities held by the Portfolio and its operating expenses.

     Yield calculations do not take into account the Surrender Charge under the
Contract equal to 2% to 8% of premiums paid during the nine years prior to the
surrender or withdrawal (including the year in which the surrender is made) on
amounts surrendered or withdrawn under the contract. A Surrender Charge will not
be imposed in any Contract Year on an amount up to 10% of the Contract Account
Value as of the beginning of such Year (10% of the initial premium in the first
Contract Year).

AVERAGE ANNUAL TOTAL RETURNS

     From time to time, sales literature or advertisements may also quote
average annual total returns for one or more of the Subaccounts for various
periods of time.

     Until a Subaccount has been in operation for 10 years, PLACA will always
include quotes of average annual total return for the period measured from the
date the Contracts were first offered for sale. When a Subaccount has been in
operation for 1, 5, and 10 years, respectively, the average annual total return
for these periods will be provided. Average annual total returns for other
periods of time may, from time to time, also be disclosed.

     Average annual total returns represent the average annual compounded rates
of return that would equate an initial investment of $1,000 under a Contract to
the redemption value of that investment as of the last day of each of the
periods. The ending date for each period for which total return quotations are
provided will be for the most recent month-end practicable, considering the type
and media of the communication and will be stated in the communication.

     Average annual total returns will be calculated using Subaccount unit
values which PLACA calculates on each Valuation Day based on the performance of
the Subaccount's underlying Portfolio, the deductions for the Annual Annuity
Charge, and the Annual Administration Fee. The calculation assumes that the
administration fee is $40 per year per contract deducted at the end of each
Contract Year. For purposes of calculating average annual total return, an
average per dollar administration fee attributable to the hypothetical account
for the period is used. The calculation also assumes surrender of the Contract
at

                                       S-4
<PAGE>   54

the end of the period for the return quotation. Total returns will therefore
reflect a deduction of the Surrender Charge for any period less than nine years.
The total return will then be calculated according to the following formula:

     TR  = ((ERV/P)1/N) - 1

     Where:

     TR  = the average annual total return.

     ERV = the ending redeemable value (net of any Subaccount recurring charges
           and applicable surrender charges) of the hypothetical account at the
           end of the period.

     P    = a hypothetical initial payment of $1,000.

     N    = the number of years in the period.

     From time to time, sales literature or advertisements may also quote
average annual total returns for periods prior to the date the Variable Account
or particular Subaccounts commenced operations. Such performance information for
the Subaccounts will be calculated based on the performance of the Portfolios
and the assumption that the Subaccounts were in existence for the same periods
as those indicated for the Portfolios, with the level of Contract charges
currently in effect.

                                       S-5
<PAGE>   55

     Such average annual total return information for the Subaccounts is as
follows:

<TABLE>
<CAPTION>
                                                                                       FOR THE 10-YEAR PERIOD
                                                                                           ENDED 12/31/98
                                                     FOR THE 1-YEAR   FOR THE 5-YEAR        (OR DATE OF
                                                      PERIOD ENDED     PERIOD ENDED      INCEPTION IF LESS
     SUBACCOUNT (DATE OF PORTFOLIO INCEPTION)           12/31/98         12/31/98          THAN 10 YEARS)
     ----------------------------------------        --------------   --------------   ----------------------
<S>                                                  <C>              <C>              <C>
MARKET STREET FUND
  Growth (December 12, 1985).......................            %               %                     %
  Money Market (December 12, 1985).................          ( %)              %                     %
  Bond (December 12, 1985).........................            %               %                     %
  Managed (December 12, 1985)......................            %               %                     %
  Aggressive Growth (May 1, 1989)..................            %               %                     %
  International (November 1, 1991).................            %               %                     %

MARKET STREET FUND
  All Pro Large Cap Growth (May 4, 1998)...........            %                                     %
  All Pro Large Cap Value (May 4, 1998)............          ( %)                                  ( %)
  All Pro Small Cap Growth (May 4, 1998)...........          ( %)                                  ( %)
  All Pro Small Cap Value (May 4, 1998)............          ( %)                                  ( %)

VARIABLE INSURANCE PRODUCTS FUND AND
  VARIABLE INSURANCE PRODUCTS FUND II
  High Income (September 19, 1985).................          ( %)              %                     %
  Equity Income (October 9, 1986)..................            %               %                     %
  Growth (October 9, 1986).........................            %               %                     %
  Asset Manager (September 6, 1989)................            %               %                     %
  Index 500 (August 27, 1992)......................            %               %                     %
  Contrafund (July 3, 1995)........................            %                                     %

OCC ACCUMULATION TRUST
  Equity (August 1, 1988)..........................            %               %                     %
  Small Cap (August 1, 1988).......................          ( %)              %                     %
  Managed (August 1, 1988).........................            %               %                     %

VAN ECK WORLDWIDE INSURANCE TRUST
  Worldwide Bond (September 1, 1989)...............            %               %                     %
  Worldwide Hard Assets (September 1, 1989)........          ( %)            ( %)                    %
  Worldwide Emerging Markets (December 27, 1995)...          ( %)                                  ( %)
  Worldwide Real Estate (June 23, 1997)............          ( %)                                    %
</TABLE>

                                       S-6
<PAGE>   56

OTHER AVERAGE ANNUAL TOTAL RETURNS

     From time to time, sales literature or advertisements may also quote
average annual total returns that do not reflect the Surrender Charge. These are
calculated in exactly the same way as average annual total returns described
above, except that the ending redeemable value of the hypothetical account for
the period is replaced with an ending value for the period that does not take
into account any charges on amounts surrendered or withdrawn. Such information
is as follows:

<TABLE>
<CAPTION>
                                                                                       FOR THE 10-YEAR PERIOD
                                                                                           ENDED 12/31/98
                                                     FOR THE 1-YEAR   FOR THE 5-YEAR        (OR DATE OF
                                                      PERIOD ENDED     PERIOD ENDED      INCEPTION IF LESS
     SUBACCOUNT (DATE OF PORTFOLIO INCEPTION)           12/31/98         12/31/98          THAN 10 YEARS)
     ----------------------------------------        --------------   --------------   ----------------------
<S>                                                  <C>              <C>              <C>
MARKET STREET FUND
  Growth (December 12, 1985).......................            %               %                     %
  Money Market (December 12, 1985).................            %               %                     %
  Bond (December 12, 1985).........................            %               %                     %
  Managed (December 12, 1985)......................            %               %                     %
  Aggressive Growth (May 1, 1989)..................            %               %                     %
  International (November 1, 1991).................            %               %                     %

MARKET STREET FUND
  All Pro Large Cap Growth (May 4, 1998)...........            %                                     %
  All Pro Large Cap Value (May 4, 1998)............          ( %)                                  ( %)
  All Pro Small Cap Growth (May 4, 1998)...........          ( %)                                  ( %)
  All Pro Small Cap Value (May 4, 1998)............          ( %)                                  ( %)

VARIABLE INSURANCE PRODUCTS FUND AND
  VARIABLE INSURANCE PRODUCTS FUND II
  High Income (September 19, 1985).................          ( %)              %                     %
  Equity Income (October 9, 1986)..................            %               %                     %
  Growth (October 9, 1986).........................            %               %                     %
  Asset Manager (September 6, 1989)................            %               %                     %
  Index 500 (August 27, 1992)......................            %               %                     %
  Contrafund (July 3, 1995)........................            %                                     %

OCC ACCUMULATION TRUST
  Equity (August 1, 1988)..........................            %               %                     %
  Small Cap (August 1, 1988).......................          ( %)              %                     %
  Managed (August 1, 1988).........................            %               %                     %

VAN ECK WORLDWIDE INSURANCE TRUST
  Worldwide Bond (September 1, 1989)...............            %               %                     %
  Worldwide Hard Assets (September 1, 1989)........          ( %)            ( %)                    %
  Worldwide Emerging Markets (December 27, 1995)...          ( %)                                  ( %)
  Worldwide Real Estate (June 23, 1997)............          ( %)                                    %
</TABLE>

     From time to time, PLACA may publish sales literature or advertisements
showing average annual total returns that reflect the effect of Credit Amounts
at various percentage rates available at the time of publication.

                                       S-7
<PAGE>   57

     From time to time, sales literature or advertisements may also quote
average annual total returns that reflect the impact of Credit Amounts. These
are calculated in exactly the same way as average annual total returns described
above (with or without the Surrender Charge), except that Credit Amounts are
reflected as an increase in Contract Account Value immediately after such
amounts are applied. Such information is as follows:

<TABLE>
<CAPTION>
                                                                                       FOR THE 10-YEAR PERIOD
                                                                                           ENDED 12/31/98
                                                     FOR THE 1-YEAR   FOR THE 5-YEAR        (OR DATE OF
                                                      PERIOD ENDED     PERIOD ENDED      INCEPTION IF LESS
     SUBACCOUNT (DATE OF PORTFOLIO INCEPTION)           12/31/98         12/31/98          THAN 10 YEARS)
     ----------------------------------------        --------------   --------------   ----------------------
<S>                                                  <C>              <C>              <C>
MARKET STREET FUND
  Growth (December 12, 1985).......................            %               %                     %
  Money Market (December 12, 1985).................            %               %                     %
  Bond (December 12, 1985).........................            %               %                     %
  Managed (December 12, 1985)......................            %               %                     %
  Aggressive Growth (May 1, 1989)..................            %               %                     %
  International (November 1, 1991).................            %               %                     %

MARKET STREET FUND
  All Pro Large Cap Growth (May 4, 1998)...........            %                                     %
  All Pro Large Cap Value (May 4, 1998)............          ( %)                                  ( %)
  All Pro Small Cap Growth (May 4, 1998)...........          ( %)                                  ( %)
  All Pro Small Cap Value (May 4, 1998)............          ( %)                                  ( %)

VARIABLE INSURANCE PRODUCTS FUND AND
  VARIABLE INSURANCE PRODUCTS FUND II
  High Income (September 19, 1985).................          ( %)              %                     %
  Equity Income (October 9, 1986)..................            %               %                     %
  Growth (October 9, 1986).........................            %               %                     %
  Asset Manager (September 6, 1989)................            %               %                     %
  Index 500 (August 27, 1992)......................            %               %                     %
  Contrafund (July 3, 1995)........................            %                                     %

OCC ACCUMULATION TRUST
  Equity (August 1, 1988)..........................            %               %                     %
  Small Cap (August 1, 1988).......................          ( %)              %                     %
  Managed (August 1, 1988).........................            %               %                     %

VAN ECK WORLDWIDE INSURANCE TRUST
  Worldwide Bond (September 1, 1989)...............            %               %                     %
  Worldwide Hard Assets (September 1, 1989)........          ( %)            ( %)                    %
  Worldwide Emerging Markets (December 27, 1995)...          ( %)                                  ( %)
  Worldwide Real Estate (June 23, 1997)............          ( %)                                    %
</TABLE>

OTHER TOTAL RETURNS

     PLACA may disclose cumulative total returns in conjunction with the
standard formats described above. The Cumulative Total Returns will be
calculated using the following formula:

     CTR = (ERV/P) - 1

     Where:

     CTR = The Cumulative Total Return net of Subaccount recurring charges for
           the period.

     ERV = The ending redeemable value of the hypothetical investment at the end
           of the period.

     P    = A hypothetical single payment of $1,000.
                                       S-8
<PAGE>   58

EFFECT OF THE ADMINISTRATION FEE ON PERFORMANCE DATA

     The Contract provides for a $40 Annual Administration Fee to be deducted
annually at the end of each Contract Year, from the Subaccounts and the
Guaranteed Account based on the proportion that the value of each such account
bears to the total Contract Account Value. For purposes of reflecting the
administration fee in yield and total return quotations, the annual charge is
converted into a per-dollar per-day charge based on the average contract value
in the Variable Account of all Contracts on the last day of the period for which
quotations are provided. The per-dollar per-day average charge will then be
adjusted to reflect the basis upon which the particular quotation is calculated.

                    TERMINATION OF PARTICIPATION AGREEMENTS

     The participation agreements pursuant to which the Funds sell their shares
to the Variable Account contain varying provisions regarding termination. The
following summarizes those provisions:

     Market Street Fund, Inc.  This agreement provides for termination: (1) on
one year's advance notice by any party; (2) at PLACA's option if shares of the
Fund are not reasonably available to meet the requirements of the Contracts; (3)
at the option of the Fund or PLACA if certain enforcement proceedings are
instituted against the other; (4) upon receipt of regulatory approvals and/or
the vote of the Owners of Contracts to substitute shares of another mutual fund;
(5) at PLACA's option if the Fund ceases to qualify as a regulated investment
company under the Code or fails to meet the diversification requirements
thereunder; (6) at the option of PLACA or the Fund upon a determination that an
irreconcilable material conflict exists between Owners of variable insurance
products of all the separate accounts or the interests of participating
insurance companies investing in the Fund; (7) at the option of PLACA if it has
withdrawn the Variable Account's investment in the Fund; (8) at the option of
PLACA if PLACA has withdrawn the Account or Accounts investment in the Fund
because a particular state insurance regulator's decision applicable to the
PLACA conflicts with the majority of other state insurance regulators; (9) at
the option of the PLACA if the Fund ceases to qualify as a Regulated Investment
Company under Subchapter M of the Internal Revenue Code of 1986, or under any
successor or similar provision, or if the PLACA reasonably believes that the
Fund may fail to so qualify; (10) at the option of the PLACA if the Fund fails
to meet the diversification requirements specified in Article VI hereof; or (11)
at the option of any party upon another party's material breach of any provision
of the agreement.

     Variable Insurance Products Fund and Variable Insurance Products Fund
II.  These agreements provide for termination: (1) on six months' advance notice
by any party; (2) at PLACA's option if shares of the Fund are not reasonably
available to meet the requirements of the Contracts; (3) at PLACA's option if
shares of the Fund are not registered, issued or sold in accordance with
applicable laws, if the Fund ceases to qualify as a regulated investment company
under the Code or fails to meet the diversification requirements thereunder; (4)
at the option of the Fund or its principal underwriter if it determines that
PLACA has suffered material adverse changes in its business or financial
conditions or is the subject to material adverse publicity; (5) at the option of
PLACA if the Fund has suffered material adverse changes in its business or
financial condition or is the subject of material adverse publicity; or (6) at
the option of the Fund or its principal underwriter if PLACA decides to make
another mutual fund available as a funding vehicle for its Contracts; (7) by
PLACA by written notice to the Fund and its principal underwriter with respect
to any portfolio in the event that such portfolio ceases to qualify as a
regulated investment company under Subchapter M of the Code of under any
successor or similar provision, or if the PLACA reasonably believes that the
PLACA may fail to so qualify; (8) termination by PLACA by written notice to the
Fund and its principal underwriter with respect to any portfolio in the event
that such portfolio fails to meet specified diversification requirements.

     OCC Accumulation Trust.  This agreement provides for termination: (1) on
one year's advance notice by any party; (2) at PLACA's option if shares of the
Fund are not reasonably available to meet the requirements of the Contracts; (3)
at the option of the Fund or PLACA if certain enforcement proceedings are
instituted against the other; (4) upon vote of the Owners of Contracts to
substitute shares of another mutual fund; (5) at PLACA's option if the Fund
ceases to qualify as a regulated investment company under the Code or fails to
meet the diversification requirements thereunder; (6) at the option of

                                       S-9
<PAGE>   59

PLACA or the Fund upon a determination that an irreconcilable material conflict
exists between Owners of variable insurance products of all the separate
accounts or the interests of participating insurance companies investing in the
Fund; (7) at the option of PLACA if it has withdrawn the Variable Account's
investment in the Fund; (8) at the option of any party upon another party's
material breach of any provision of the agreement; or (9) at PLACA's option or
the Fund's if it determines that the other party has suffered a material adverse
change in its business, operations or financial condition or is the subject of
material adverse publicity.

     Van Eck Worldwide Insurance Trust.  The agreement with Van Eck Worldwide
Insurance Trust ("Van Eck Trust") provides for termination (1) by PLACA, Van Eck
Trust or Van Eck Trust's Distributor upon six months prior written notice; (2)
at the option of PLACA, if Fund shares are not available for any reason to meet
the requirements of Contracts as determined by PLACA, reasonable advance notice
of election to terminate shall be furnished by PLACA; (3) at the option of
PLACA, the Fund or its principal underwriter, upon institution of formal
proceedings against the broker-dealer marketing the Contracts, the Variable
Accounts, PLACA or the Fund by any regulatory body; (4) upon a decision by
PLACA, in accordance with regulations of the SEC, to substitute Fund shares with
the shares of Contracts for which the shares have been selected to serve as the
underlying investment medium PLACA on 60 days' written notice replace Fund
shares; (5) upon assignment of the agreement unless made with the written
consent of each other party; (6) in the event Fund shares are not registered,
issued or sold in conformance with Federal law or such law precludes the use of
Fund shares as an underlying investment medium of Contracts issued or to be
issued by PLACA; (7) at the option of PLACA by written notice to the Fund and
its principal underwriter with respect to any portfolio in the event that such
portfolio fails to meet specified diversification requirements or if reasonably
believes that the portfolio may fail to meet either of those requirements; (8)
at the option of PLACA by written notice to the Fund and its principal
underwriter, if PLACA shall determine, in its sole judgment exercised in good
faith, that the Fund or its principal underwriter has suffered a material
adverse change in its business, operations, financial condition or prospects
since the date of this Agreement or is the subject of material adverse
publicity; or (9) at the option of the Fund or its principal underwriter by
written notice to PLACA, if the Fund or its principal underwriter shall
determine, in its sole judgment exercised in good faith, that the Fund or
underwriter has suffered a material adverse change in its business operations,
financial condition or prospects since the date of this Agreement or is the
subject of material adverse publicity.

     Should an agreement between PLACA and a Fund terminate, the Subaccounts
which invest in that Fund will not be able to purchase additional shares of such
Fund. In that event, Owners will no longer be able to allocate cash values or
net premiums to Subaccounts investing in Portfolios of such Fund.

     Additionally, in certain circumstances, it is possible that a Fund or a
portion of a Fund may refuse to sell its shares to a Subaccount despite the fact
that the participation agreement between the Fund and PLACA has not been
terminated. Should a Fund or portfolio of such Fund decide not to sell its
shares to PLACA, PLACA will not be able to honor requests by Owners to allocate
cash values or net premiums to Subaccounts investing in shares of that Fund or
portfolio.

                         SAFEKEEPING OF ACCOUNT ASSETS

     PLACA holds the title to the assets of the Variable Account. The assets are
kept physically segregated and held separate and apart from the Company's
General Account assets and from the assets in any other separate account.

     Records are maintained of all purchases and redemptions of Portfolio shares
held by each of the Subaccounts.

     The officers and employees of PLACA are covered by an insurance company
blanket bond issued by Reliance Insurance Company to Provident Mutual Life
Insurance Company ("PMLIC") in the amount of ten million dollars. The bond
insures against dishonest and fraudulent acts of officers and employees.

                                      S-10
<PAGE>   60

                                STATE REGULATION

     PLACA is subject to regulation and supervision by the Insurance Department
of the State of Delaware 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. A copy of the Contract form has been filed with, and
where required approved by, insurance officials in each jurisdiction where the
Contracts are sold. PLACA is required to submit annual statements of its
operations, including financial statements, to the insurance departments of the
various jurisdictions in which it does business for the purposes of determining
solvency and compliance with local insurance laws and regulations.

                              RECORDS AND REPORTS

     PLACA will maintain all records and accounts relating to the Variable
Account. As presently required by the Investment Company Act of 1940 and
regulations promulgated thereunder, reports containing such information as may
be required under the Act or by any other applicable law or regulation will be
sent to Contract Owners semi-annually at the last address known to the Company.

                                 LEGAL MATTERS

     James G. Potter, Jr., Esquire, Legal Officer of PMLIC, has provided advice
on certain matters relating to the laws of Delaware regarding the Contracts and
PLACA's issuance of the Contracts. Sutherland Asbill & Brennan LLP, of
Washington, D.C. has provided advice on certain matters relating to the federal
securities laws.

                                    EXPERTS

     The statements of financial condition for PLACA as of December 31, 1998 and
1997 and the related statements of operations, equity and cash flows for each of
the three years in the period ended December 31, 1998 and the audited statements
of assets and liabilities of the PLACA Variable Annuity Separate Account as of
December 31, 1998 and the related statements of operations for the year then
ended and the statements of changes in net assets for each of the two years in
the period then ended, which are included in this Statement of Additional
Information and in the registration statement have been audited by
PricewaterhouseCoopers LLP as set forth in their report included herein, and are
included herein in reliance upon such report and upon the authority of such firm
as experts in accounting and auditing.

                               OTHER INFORMATION

     A registration statement has been filed with the SEC under the Securities
Act of 1933 as amended, with respect to the Contracts discussed in this
Statement of Additional Information. Not all the information set forth in the
registration statement, amendments and exhibits thereto has been included in
this Statement of Additional Information. Statements contained in this Statement
of Additional Information concerning the content of the Contracts and other
legal instruments are intended to be summaries. For a complete statement of the
terms of these documents, reference should be made to the instruments filed with
the SEC at 450 Fifth Street, N.W., Washington, DC 20549.

                             FINANCIAL INFORMATION

     This Statement of Additional Information contains the audited statements of
assets and liabilities of the PLACA Variable Annuity Separate Account as of
December 31, 1998 and the related statements of operations for the year then
ended and the statements of changes in net assets for each of the two years in
the period then ended. PricewaterhouseCoopers LLP serves as independent
accountants for the PLACA Variable Annuity Separate Account.

                                      S-11
<PAGE>   61

     PLACA's statements of financial condition as of December 31, 1998 and 1997
and the related statements of operations, capital and surplus, and cash flows
for each of the three years in the period ended December 31, 1998, which are
included in this Statement of Additional Information, should be considered only
as bearing PLACA's ability to meet its obligations under the Contracts. They
should not be considered as bearing on the investment performance of the assets
held in the PLACA Variable Annuity Separate Account.

                                      S-12
<PAGE>   62

                              FINANCIAL STATEMENTS

<TABLE>
<CAPTION>
                                                              PAGE
                                                              ----
<S>                                                           <C>
Providentmutual Variable Annuity Separate Account
     Report of Independent Accountants......................   F-2
     Statements of Assets and Liabilities, December 31,
      1998..................................................   F-3
     Statements of Operations for the Year Ended December
      31, 1998..............................................  F-10
     Statements of Changes in Net Assets for the Year Ended
      December 31, 1998.....................................  F-17
     Statements of Changes in Net Assets for the Year Ended
      December 31, 1997.....................................  F-24
     Notes to Financial Statements..........................  F-30
Providentmutual Life and Annuity Company of America
     Report of Independent Accountants......................  F-56
     Statements of Financial Condition as of December 31,
      1998 and 1997.........................................  F-57
     Statements of Operations for the Years Ended December
      31, 1998, 1997, and 1996..............................  F-58
     Statements of Equity for the Years Ended December 31,
      1998, 1997, and 1996..................................  F-59
     Statements of Cash Flows for the Years Ended December
      31, 1998, 1997, and 1996..............................  F-60
     Notes to Financial Statements..........................  F-61
</TABLE>

                                       F-1
<PAGE>   63

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Report of Independent Accountants

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

To the Contractholders and
  Board of Directors of
Providentmutual Life and Annuity Company of America:

In our opinion, the accompanying statements of assets and liabilities of the
Providentmutual Variable Annuity Separate Account (comprising thirty-nine
subaccounts, hereafter collectively referred to as the "Separate Account") and
the related statements of operations and changes in net assets present fairly,
in all material respects, the financial position of the Separate Account at
December 31, 1998, and the results of its operations for the year then ended and
the changes in its net assets for each of the two years in the period then
ended, in conformity with generally accepted accounting principles. These
financial statements are the responsibility of the management of the Separate
Account; our responsibility is to express an opinion on these financial
statements based on our audits. We conducted our audits of these statements in
accordance with generally accepted auditing standards which 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, assessing the accounting principles used and significant estimates
made by management, and evaluating the overall financial statement presentation.
We believe that our audits, which included confirmation of securities owned at
December 31, 1998 by correspondence with the transfer agents, provide a
reasonable basis for the opinion expressed above.

PRICEWATERHOUSECOOPERS LLP
Philadelphia, Pennsylvania
February 26, 1999

                                       F-2
<PAGE>   64

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Assets and Liabilities, December 31, 1998

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

<TABLE>
<CAPTION>
                                                               MONEY                                  AGGRESSIVE
                                                GROWTH        MARKET         BOND         MANAGED       GROWTH      INTERNATIONAL
                                              SUBACCOUNT    SUBACCOUNT    SUBACCOUNT    SUBACCOUNT    SUBACCOUNT     SUBACCOUNT
- ---------------------------------------------------------------------------------------------------------------------------------
<S>                                           <C>           <C>           <C>           <C>           <C>           <C>
ASSETS
Investment in the Market Street Fund, Inc.,
  at market value:
  Growth Portfolio..........................  $47,858,933
  Money Market Portfolio....................                $40,359,766
  Bond Portfolio............................                              $15,203,142
  Managed Portfolio.........................                                            $19,429,859
  Aggressive Growth Portfolio...............                                                          $12,484,988
  International Portfolio...................                                                                         $19,698,014
Dividends receivable........................                    166,127
Receivable from Providentmutual Life and
  Annuity Company of America................                  1,931,561
                                              -----------   -----------   -----------   -----------   -----------    -----------
NET ASSETS..................................  $47,858,933   $42,457,454   $15,203,142   $19,429,859   $12,484,988    $19,698,014
                                              ===========   ===========   ===========   ===========   ===========    ===========
Held for the benefit of contractholders.....  $47,788,559   $42,411,955   $15,163,134   $19,391,137   $12,414,832    $19,645,061
Attributable to Providentmutual Life and
  Annuity Company of America................       70,374        45,499        40,008        38,722        70,156         52,953
                                              -----------   -----------   -----------   -----------   -----------    -----------
                                              $47,858,933   $42,457,454   $15,203,142   $19,429,859   $12,484,988    $19,698,014
                                              ===========   ===========   ===========   ===========   ===========    ===========
</TABLE>

See accompanying notes to financial statements

                                       F-3
<PAGE>   65

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Assets and Liabilities, December 31, 1998

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

<TABLE>
<CAPTION>
                                                              ALL PRO LARGE   ALL PRO LARGE   ALL PRO SMALL   ALL PRO SMALL
                                                               CAP GROWTH       CAP VALUE      CAP GROWTH       CAP VALUE
                                                               SUBACCOUNT      SUBACCOUNT      SUBACCOUNT      SUBACCOUNT
- ---------------------------------------------------------------------------------------------------------------------------
<S>                                                           <C>             <C>             <C>             <C>
ASSETS
Investment in the Market Street Fund, Inc., at market value:
  All Pro Large Cap Growth Portfolio........................   $2,296,724
  All Pro Large Cap Value Portfolio.........................                   $2,084,201
  All Pro Small Cap Growth Portfolio........................                                   $1,668,424
  All Pro Small Cap Value Portfolio.........................                                                   $1,314,681
                                                               ----------      ----------      ----------      ----------
NET ASSETS..................................................   $2,296,724      $2,084,201      $1,668,424      $1,314,681
                                                               ==========      ==========      ==========      ==========
Held for the benefit of contractholders.....................   $2,268,888      $2,059,187      $1,645,316      $1,292,614
Attributable to Providentmutual Life and Annuity Company of
  America...................................................       27,836          25,014          23,108          22,067
                                                               ----------      ----------      ----------      ----------
                                                               $2,296,724      $2,084,201      $1,668,424      $1,314,681
                                                               ==========      ==========      ==========      ==========
</TABLE>

See accompanying notes to financial statements

                                       F-4
<PAGE>   66

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Assets and Liabilities, December 31, 1998

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

<TABLE>
<CAPTION>
                                              FIDELITY      FIDELITY                                  FIDELITY
                                                HIGH         EQUITY-       FIDELITY      FIDELITY       ASSET        FIDELITY
                                               INCOME        INCOME         GROWTH       OVERSEAS      MANAGER       INDEX 500
                                             SUBACCOUNT    SUBACCOUNT     SUBACCOUNT    SUBACCOUNT   SUBACCOUNT     SUBACCOUNT
- --------------------------------------------------------------------------------------------------------------------------------
<S>                                          <C>           <C>           <C>            <C>          <C>           <C>
ASSETS
Investment in the Variable Insurance
  Products Fund, at market value:
  High Income Portfolio....................  $21,941,333
  Equity-Income Portfolio..................                $95,994,948
  Growth Portfolio.........................                              $101,771,312
  Overseas Portfolio.......................                                             $3,459,303
Investment in the Variable Insurance
  Products Fund II, at market value:
  Asset Manager Portfolio..................                                                          $41,654,028
  Index 500 Portfolio......................                                                                         $99,729,620
                                             -----------   -----------   ------------   ----------   -----------    -----------
NET ASSETS.................................  $21,941,333   $95,994,948   $101,771,312   $3,459,303   $41,654,028    $99,729,620
                                             ===========   ===========   ============   ==========   ===========    ===========
Held for the benefit of contractholders....  $21,908,598   $95,932,993   $101,692,038   $3,426,276   $41,581,094    $99,662,023
Attributable to Providentmutual Life and
  Annuity Company of America...............       32,735        61,955         79,274      33,027         72,934         67,597
                                             -----------   -----------   ------------   ----------   -----------    -----------
                                             $21,941,333   $95,994,948   $101,771,312   $3,459,303   $41,654,028    $99,729,620
                                             ===========   ===========   ============   ==========   ===========    ===========
</TABLE>

See accompanying notes to financial statements

                                       F-5
<PAGE>   67

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Assets and Liabilities, December 31, 1998

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

<TABLE>
<CAPTION>
                                                                       FIDELITY
                                                         FIDELITY     INVESTMENT       OCC           OCC           OCC
                                                        CONTRAFUND    GRADE BOND     EQUITY       SMALL CAP      MANAGED
                                                        SUBACCOUNT    SUBACCOUNT   SUBACCOUNT    SUBACCOUNT    SUBACCOUNT
- --------------------------------------------------------------------------------------------------------------------------
<S>                                                     <C>           <C>          <C>           <C>           <C>
ASSETS
Investment in the Variable Insurance Products Fund II,
  at market value:
  Contrafund Portfolio................................  $59,330,973
  Investment Grade Bond Portfolio.....................                $2,530,093
Investment in the OCC Accumulation Trust, at market
  value:
  Equity Portfolio....................................                             $23,494,162
  Small Cap Portfolio.................................                                           $16,579,552
  Managed Portfolio...................................                                                         $60,000,044
                                                        -----------   ----------   -----------   -----------   -----------
NET ASSETS............................................  $59,330,973   $2,530,093   $23,494,162   $16,579,552   $60,000,044
                                                        ===========   ==========   ===========   ===========   ===========
Held for the benefit of contractholders...............  $59,253,284   $2,500,753   $23,431,003   $16,534,495   $59,946,648
Attributable to Providentmutual Life and Annuity
  Company of America..................................       77,689      29,340         63,159        45,057        53,396
                                                        -----------   ----------   -----------   -----------   -----------
                                                        $59,330,973   $2,530,093   $23,494,162   $16,579,552   $60,000,044
                                                        ===========   ==========   ===========   ===========   ===========
</TABLE>

See accompanying notes to financial statements

                                       F-6
<PAGE>   68

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Assets and Liabilities, December 31, 1998

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

<TABLE>
<CAPTION>
                                                             SCUDDER                                      DREYFUS       DREYFUS
                                               SCUDDER     GROWTH AND       SCUDDER      DREYFUS ZERO     GROWTH       SOCIALLY
                                                BOND         INCOME      INTERNATIONAL   COUPON 2000    AND INCOME    RESPONSIBLE
                                             SUBACCOUNT    SUBACCOUNT     SUBACCOUNT      SUBACCOUNT    SUBACCOUNT    SUBACCOUNT
- ---------------------------------------------------------------------------------------------------------------------------------
<S>                                          <C>           <C>           <C>             <C>            <C>           <C>
ASSETS
Investment in the Scudder Variable Life
  Investment Fund, at market value:
  Bond Portfolio...........................  $10,868,157
  Growth and Income Portfolio..............                $21,802,912
  International Portfolio..................                               $14,525,316
Investment in the Dreyfus Variable
  Investment Fund, at market value:
  Zero Coupon 2000 Portfolio...............                                               $7,450,796
  Growth and Income Portfolio..............                                                             $19,640,705
Investment in the Dreyfus Socially
  Responsible Growth Fund, Inc., at market
  value:
  Socially Responsible Portfolio...........                                                                           $11,010,184
                                             -----------   -----------    -----------     ----------    -----------   -----------
NET ASSETS.................................  $10,868,157   $21,802,912    $14,525,316     $7,450,796    $19,640,705   $11,010,184
                                             ===========   ===========    ===========     ==========    ===========   ===========
Held for the benefit of contractholders....  $10,835,622   $21,733,752    $14,464,625     $7,420,427    $19,584,714   $10,971,508
Attributable to Providentmutual Life and
  Annuity Company of America...............       32,535       69,160          60,691         30,369         55,991        38,676
                                             -----------   -----------    -----------     ----------    -----------   -----------
                                             $10,868,157   $21,802,912    $14,525,316     $7,450,796    $19,640,705   $11,010,184
                                             ===========   ===========    ===========     ==========    ===========   ===========
</TABLE>

See accompanying notes to financial statements

                                       F-7
<PAGE>   69

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Assets and Liabilities, December 31, 1998

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

<TABLE>
<CAPTION>
                                         FEDERATED                                                    NEUBERGER
                                         FUND FOR          FEDERATED      NEUBERGER    NEUBERGER      & BERMAN      NEUBERGER
                                      U.S. GOVERNMENT       UTILITY        & BERMAN     & BERMAN       LIMITED       & BERMAN
                                       SECURITIES II        FUND II        BALANCED      GROWTH     MATURITY BOND    PARTNERS
                                        SUBACCOUNT        SUBACCOUNT      SUBACCOUNT   SUBACCOUNT    SUBACCOUNT     SUBACCOUNT
- ------------------------------------------------------------------------------------------------------------------------------
<S>                                   <C>               <C>               <C>          <C>          <C>             <C>
ASSETS
Investment in the Federated
  Insurance Series, at market value:
  Fund for U.S. Government
    Securities II Portfolio.........    $9,318,436
  Utility Fund II Portfolio.........                      $10,201,206
Investment in the Neuberger & Berman
  Advisers Management Trust, at
  market value:
  Balanced Portfolio................                                       $775,638
  Growth Portfolio..................                                                    $994,739
  Limited Maturity Bond Portfolio...                                                                 $1,433,927
  Partners Portfolio................                                                                                 $408,652
                                        ----------        -----------      --------     --------     ----------      --------
NET ASSETS..........................    $9,318,436        $10,201,206      $775,638     $994,739     $1,433,927      $408,652
                                        ==========        ===========      ========     ========     ==========      ========
Held for the benefit of
  contractholders...................    $9,284,944        $10,152,016      $740,239     $955,279     $1,404,964      $385,194
Attributable to Providentmutual Life
  and Annuity Company of America....        33,492             49,190        35,399       39,460         28,963        23,458
                                        ----------        -----------      --------     --------     ----------      --------
                                        $9,318,436        $10,201,206      $775,638     $994,739     $1,433,927      $408,652
                                        ==========        ===========      ========     ========     ==========      ========
</TABLE>

See accompanying notes to financial statements

                                       F-8
<PAGE>   70

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Assets and Liabilities, December 31, 1998

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

<TABLE>
<CAPTION>
                                             AMERICAN                                 VAN ECK
                                            CENTURY VP     VAN ECK       VAN ECK     WORLDWIDE      VAN ECK     ALGER AMERICAN
                                             CAPITAL      WORLDWIDE     WORLDWIDE     EMERGING     WORLDWIDE        SMALL
                                           APPRECIATION      BOND      HARD ASSETS    MARKETS     REAL ESTATE   CAPITALIZATION
                                            SUBACCOUNT    SUBACCOUNT   SUBACCOUNT    SUBACCOUNT   SUBACCOUNT      SUBACCOUNT
- ------------------------------------------------------------------------------------------------------------------------------
<S>                                        <C>            <C>          <C>           <C>          <C>           <C>
ASSETS
Investment in American Century Variable
  Portfolios Inc., at market value:
  American Century VP Capital
    Appreciation Portfolio...............    $209,599
Investment in Van Eck Worldwide Insurance
  Trust, at market value:
  Van Eck Worldwide Bond Portfolio.......                 $1,669,654
  Van Eck Worldwide Hard Assets
    Portfolio............................                               $428,820
  Van Eck Worldwide Emerging Markets
    Portfolio............................                                            $1,374,304
  Van Eck Worldwide Real Estate
    Portfolio............................                                                          $279,755
Investment in the Alger American Fund, at
  market value:
  Alger American Small Capitalization
    Portfolio............................                                                                         $3,782,524
                                             --------     ----------    --------     ----------    --------       ----------
NET ASSETS...............................    $209,599     $1,669,654    $428,820     $1,374,304    $279,755       $3,782,524
                                             ========     ==========    ========     ==========    ========       ==========
Held for the benefit of
  contractholders........................    $186,642     $1,631,689    $401,261     $1,345,409    $257,330       $3,749,591
Attributable to Providentmutual Life and
  Annuity Company of America.............      22,957        37,965       27,559        28,895       22,425           32,933
                                             --------     ----------    --------     ----------    --------       ----------
                                             $209,599     $1,669,654    $428,820     $1,374,304    $279,755       $3,782,524
                                             ========     ==========    ========     ==========    ========       ==========
</TABLE>

See accompanying notes to financial statements

                                       F-9
<PAGE>   71

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Operations for the Year Ended December 31, 1998

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

<TABLE>
<CAPTION>
                                                                 MONEY                                AGGRESSIVE
                                                   GROWTH        MARKET        BOND       MANAGED       GROWTH     INTERNATIONAL
                                                 SUBACCOUNT    SUBACCOUNT   SUBACCOUNT   SUBACCOUNT   SUBACCOUNT    SUBACCOUNT
- --------------------------------------------------------------------------------------------------------------------------------
<S>                                              <C>           <C>          <C>          <C>          <C>          <C>
INVESTMENT INCOME
Dividends......................................  $   678,062   $1,927,975    $565,191    $ 562,813    $  87,941     $  139,749
EXPENSES
Mortality and expense risks....................      597,986     520,330      147,914      241,665      159,423        272,622
                                                 -----------   ----------    --------    ----------   ----------    ----------
Net investment income (loss)...................       80,076   1,407,645      417,277      321,148      (71,482)      (132,873)
                                                 -----------   ----------    --------    ----------   ----------    ----------
NET REALIZED AND UNREALIZED GAIN (LOSS) ON INVESTMENTS
Realized gain distributions reinvested.........    5,355,167                    1,238      789,131      839,522      1,292,463
Net realized gain from redemption of investment
  shares.......................................      848,719                  119,046      562,187      335,385        293,587
                                                 -----------   ----------    --------    ----------   ----------    ----------
Net realized gain on investments...............    6,203,886                  120,284    1,351,318    1,174,907      1,586,050
                                                 -----------   ----------    --------    ----------   ----------    ----------
Net unrealized appreciation (depreciation) of
  investments:
  Beginning of year............................    8,125,549                  341,931    3,141,355    2,237,231      1,663,549
  End of year..................................    6,880,781                  501,349    3,311,102    1,843,257      1,759,586
                                                 -----------   ----------    --------    ----------   ----------    ----------
Net unrealized appreciation (depreciation)
  during the year..............................   (1,244,768)                 159,418      169,747     (393,974)        96,037
                                                 -----------   ----------    --------    ----------   ----------    ----------
Net realized and unrealized gain on
  investments..................................    4,959,118                  279,702    1,521,065      780,933      1,682,087
                                                 -----------   ----------    --------    ----------   ----------    ----------
Net increase in net assets resulting from
  operations...................................  $ 5,039,194   $1,407,645    $696,979    $1,842,213   $ 709,451     $1,549,214
                                                 ===========   ==========    ========    ==========   ==========    ==========
</TABLE>

See accompanying notes to financial statements

                                      F-10
<PAGE>   72

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Operations for the Year Ended December 31, 1998

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

<TABLE>
<CAPTION>
                                                                 ALL PRO         ALL PRO         ALL PRO         ALL PRO
                                                                  LARGE           LARGE           SMALL           SMALL
                                                               CAP GROWTH       CAP VALUE      CAP GROWTH       CAP VALUE
                                                               SUBACCOUNT      SUBACCOUNT      SUBACCOUNT      SUBACCOUNT
- ---------------------------------------------------------------------------------------------------------------------------
<S>                                                           <C>             <C>             <C>             <C>
INVESTMENT INCOME
Dividends...................................................
EXPENSES
Mortality and expense risks.................................    $  8,510        $  9,025        $  5,994        $  4,635
                                                                --------        --------        --------        --------
Net investment loss.........................................      (8,510)         (9,025)         (5,994)         (4,635)
                                                                --------        --------        --------        --------
NET REALIZED AND UNREALIZED GAIN (LOSS) ON INVESTMENTS
Realized gain distributions reinvested......................
Net realized gain (loss) from redemption of investment
  shares....................................................      25,035         (22,796)        (34,054)        (36,679)
                                                                --------        --------        --------        --------
Net realized gain (loss) on investments.....................      25,035         (22,796)        (34,054)        (36,679)
                                                                --------        --------        --------        --------
Net unrealized appreciation of investments:
  Beginning of year.........................................
  End of year...............................................     345,515         157,479         191,093          35,087
                                                                --------        --------        --------        --------
Net unrealized appreciation during the year.................     345,515         157,479         191,093          35,087
                                                                --------        --------        --------        --------
Net realized and unrealized gain (loss) on investments......     370,550         134,683         157,039          (1,592)
                                                                --------        --------        --------        --------
Net increase (decrease) in net assets resulting from
  operations................................................    $362,040        $125,658        $151,045         $(6,227)
                                                                ========        ========        ========        ========
</TABLE>

See accompanying notes to financial statements

                                      F-11
<PAGE>   73

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Operations for the Year Ended December 31, 1998

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

<TABLE>
<CAPTION>
                                                 FIDELITY      FIDELITY                                 FIDELITY
                                                   HIGH         EQUITY-      FIDELITY      FIDELITY      ASSET       FIDELITY
                                                  INCOME        INCOME        GROWTH       OVERSEAS     MANAGER      INDEX 500
                                                SUBACCOUNT    SUBACCOUNT    SUBACCOUNT    SUBACCOUNT   SUBACCOUNT   SUBACCOUNT
- -------------------------------------------------------------------------------------------------------------------------------
<S>                                             <C>           <C>           <C>           <C>          <C>          <C>
INVESTMENT INCOME
Dividends.....................................   $1,317,100   $ 1,124,518   $   336,043    $ 40,987    $ 971,784    $   708,340
EXPENSES
Mortality and expense risks...................      286,587     1,237,185     1,097,140      36,617      486,170      1,074,774
                                                -----------   -----------   -----------    --------    ----------   -----------
Net investment income (loss)..................    1,030,513      (112,667)     (761,097)      4,370      485,614       (366,434)
                                                -----------   -----------   -----------    --------    ----------   -----------
NET REALIZED AND UNREALIZED GAIN (LOSS) ON
  INVESTMENTS
Realized gain distributions reinvested........      836,907     4,001,961     8,790,172     120,802    2,915,352      1,640,640
Net realized gain from redemption of
  investment shares...........................      104,890     2,824,563     3,494,841       6,184      487,425      3,697,158
                                                -----------   -----------   -----------    --------    ----------   -----------
Net realized gain on investments..............      941,797     6,826,524    12,285,013     126,986    3,402,777      5,337,798
                                                -----------   -----------   -----------    --------    ----------   -----------
Net unrealized appreciation (depreciation) of
  investments:
  Beginning of year...........................    1,994,767    17,071,432    14,960,831       3,948    4,749,426     13,147,837
  End of year.................................   (1,322,566)   18,402,980    29,499,701      72,711    5,498,936     26,388,869
                                                -----------   -----------   -----------    --------    ----------   -----------
Net unrealized appreciation (depreciation)
  during the year.............................   (3,317,333)    1,331,548    14,538,870      68,763      749,510     13,241,032
                                                -----------   -----------   -----------    --------    ----------   -----------
Net realized and unrealized gain (loss) on
  investments.................................   (2,375,536)    8,158,072    26,823,883     195,749    4,152,287     18,578,830
                                                -----------   -----------   -----------    --------    ----------   -----------
Net increase (decrease) in net assets
  resulting from operations...................  $(1,345,023)  $ 8,045,405   $26,062,786    $200,119    $4,637,901   $18,212,396
                                                ===========   ===========   ===========    ========    ==========   ===========
</TABLE>

See accompanying notes to financial statements

                                      F-12
<PAGE>   74

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Operations for the Year Ended December 31, 1998

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

<TABLE>
<CAPTION>
                                                                        FIDELITY
                                                          FIDELITY     INVESTMENT       OCC           OCC           OCC
                                                         CONTRAFUND    GRADE BOND     EQUITY       SMALL CAP      MANAGED
                                                         SUBACCOUNT    SUBACCOUNT   SUBACCOUNT    SUBACCOUNT    SUBACCOUNT
- ---------------------------------------------------------------------------------------------------------------------------
<S>                                                      <C>           <C>          <C>           <C>           <C>
INVESTMENT INCOME
Dividends..............................................  $   265,307    $ 52,491    $   216,157   $    58,867   $   442,380
EXPENSES
Mortality and expense risks............................      639,927      23,818        314,327       244,040       839,202
                                                         -----------    --------    -----------   -----------   -----------
Net investment gain (loss).............................     (374,620)     28,673        (98,170)     (185,173)     (396,822)
                                                         -----------    --------    -----------   -----------   -----------
NET REALIZED AND UNREALIZED GAIN (LOSS) ON INVESTMENTS
Realized gain distributions reinvested.................    1,951,899       6,228        932,782       642,781     1,765,223
Net realized gain from redemption of investment
  shares...............................................    1,556,394      20,635      2,594,973       883,830     4,247,341
                                                         -----------    --------    -----------   -----------   -----------
Net realized gain on investments.......................    3,508,293      26,863      3,527,755     1,526,611     6,012,564
                                                         -----------    --------    -----------   -----------   -----------
Net unrealized appreciation (depreciation) of
  investments:
  Beginning of year....................................    7,221,948      41,164      4,899,452     4,006,030    15,384,550
  End of year..........................................   16,048,820     110,611      3,483,399       661,747    12,739,481
                                                         -----------    --------    -----------   -----------   -----------
Net unrealized appreciation (depreciation) during the
  year.................................................    8,826,872      69,447     (1,416,053)   (3,344,283)   (2,645,069)
                                                         -----------    --------    -----------   -----------   -----------
Net realized and unrealized gain (loss) on
  investments..........................................   12,335,165      96,310      2,111,702    (1,817,672)    3,367,495
                                                         -----------    --------    -----------   -----------   -----------
Net increase (decrease) in net assets resulting from
  operations...........................................  $11,960,545    $124,983    $ 2,013,532   $(2,002,845)  $ 2,970,673
                                                         ===========    ========    ===========   ===========   ===========
</TABLE>

See accompanying notes to financial statements

                                      F-13
<PAGE>   75

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Operations for the Year Ended December 31, 1998

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

<TABLE>
<CAPTION>
                                                              SCUDDER                                     DREYFUS       DREYFUS
                                                SCUDDER     GROWTH AND       SCUDDER      DREYFUS ZERO   GROWTH AND    SOCIALLY
                                                  BOND        INCOME      INTERNATIONAL   COUPON 2000      INCOME     RESPONSIBLE
                                               SUBACCOUNT   SUBACCOUNT     SUBACCOUNT      SUBACCOUNT    SUBACCOUNT   SUBACCOUNT
- ---------------------------------------------------------------------------------------------------------------------------------
<S>                                            <C>          <C>           <C>             <C>            <C>          <C>
INVESTMENT INCOME
Dividends....................................   $525,798    $  444,887     $  201,172       $342,964     $ 172,646    $   17,220
EXPENSES
Mortality and expense risks..................    128,282       283,325        177,297         87,726       248,422       106,812
                                                --------    -----------    ----------       --------     ----------   ----------
Net investment income (loss).................    397,516       161,562         23,875        255,238       (75,776)      (89,592)
                                                --------    -----------    ----------       --------     ----------   ----------
NET REALIZED AND UNREALIZED GAIN (LOSS) ON INVESTMENTS
Realized gain distributions reinvested.......     30,563     1,227,288      1,323,096                      317,580       399,199
Net realized gain (loss) from redemption of
  investment shares..........................     38,189       899,378        197,125        (14,397)       (9,428)      542,237
                                                --------    -----------    ----------       --------     ----------   ----------
Net realized gain (loss) on investments......     68,752     2,126,666      1,520,221        (14,397)      308,152       941,436
                                                --------    -----------    ----------       --------     ----------   ----------
Net unrealized appreciation (depreciation) of
  investments:
  Beginning of year..........................    182,019     2,145,837        695,843         (4,370)      135,652       633,396
  End of year................................    169,689       559,240      1,001,546         98,289     1,610,492     1,746,511
                                                --------    -----------    ----------       --------     ----------   ----------
Net unrealized appreciation (depreciation)
  during the year............................    (12,330)   (1,586,597)       305,703        102,659     1,474,840     1,113,115
                                                --------    -----------    ----------       --------     ----------   ----------
Net realized and unrealized gain on
  investments................................     56,422       540,069      1,825,924         88,262     1,782,992     2,054,551
                                                --------    -----------    ----------       --------     ----------   ----------
Net increase in net assets resulting from
  operations.................................   $453,938    $  701,631     $1,849,799       $343,500     $1,707,216   $1,964,959
                                                ========    ===========    ==========       ========     ==========   ==========
</TABLE>

See accompanying notes to financial statements

                                      F-14
<PAGE>   76

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Operations for the Year Ended December 31, 1998

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

<TABLE>
<CAPTION>
                                          FEDERATED FUND                                                 NEUBERGER
                                             FOR U.S.                        NEUBERGER    NEUBERGER      & BERMAN      NEUBERGER
                                            GOVERNMENT        FEDERATED       & BERMAN     & BERMAN       LIMITED       & BERMAN
                                          SECURITIES II    UTILITY FUND II    BALANCED      GROWTH     MATURITY BOND    PARTNERS
                                            SUBACCOUNT       SUBACCOUNT      SUBACCOUNT   SUBACCOUNT    SUBACCOUNT     SUBACCOUNT
- ---------------------------------------------------------------------------------------------------------------------------------
<S>                                       <C>              <C>               <C>          <C>          <C>             <C>
INVESTMENT INCOME
Dividends...............................     $ 68,150        $   53,084       $ 18,342                   $ 63,745
EXPENSES
Mortality and expense risks.............       75,900            96,287         10,814    $  14,057        17,119       $ 1,906
                                             --------        ----------       --------    ---------      --------       -------
Net investment income (loss)............       (7,750)          (43,203)         7,528      (14,057)       46,626        (1,906)
                                             --------        ----------       --------    ---------      --------       -------
NET REALIZED AND UNREALIZED GAIN
  (LOSS) ON INVESTMENTS
Realized gain distributions
  reinvested............................        3,016           324,199        128,829      289,444
Net realized gain (loss) from redemption
  of investment shares..................       74,776           228,881        (37,544)     (45,239)       (1,093)       (1,266)
                                             --------        ----------       --------    ---------      --------       -------
Net realized gain (loss) on
  investments...........................       77,792           553,080         91,285      244,205        (1,093)       (1,266)
                                             --------        ----------       --------    ---------      --------       -------
Net unrealized appreciation
  (depreciation) of investments:
  Beginning of year.....................      139,066           942,031         36,672       83,141        21,796
  End of year...........................      380,998         1,407,591         (8,783)     (24,306)       10,244        16,829
                                             --------        ----------       --------    ---------      --------       -------
Net unrealized appreciation
  (depreciation) during the year........      241,932           465,560        (45,455)    (107,447)      (11,552)       16,829
                                             --------        ----------       --------    ---------      --------       -------
Net realized and unrealized gain (loss)
  on investments........................      319,724         1,018,640         45,830      136,758       (12,645)       15,563
                                             --------        ----------       --------    ---------      --------       -------
Net increase in net assets resulting
  from operations.......................     $311,974        $  975,437       $ 53,358    $ 122,701      $ 33,981       $13,657
                                             ========        ==========       ========    =========      ========       =======
</TABLE>

See accompanying notes to financial statements

                                      F-15
<PAGE>   77

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Operations for the Year Ended December 31, 1998

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

<TABLE>
<CAPTION>
                                                AMERICAN                                 VAN ECK
                                               CENTURY VP     VAN ECK       VAN ECK     WORLDWIDE      VAN ECK     ALGER AMERICAN
                                                CAPITAL      WORLDWIDE     WORLDWIDE     EMERGING     WORLDWIDE        SMALL
                                              APPRECIATION      BOND      HARD ASSETS    MARKETS     REAL ESTATE   CAPITALIZATION
                                               SUBACCOUNT    SUBACCOUNT   SUBACCOUNT    SUBACCOUNT   SUBACCOUNT      SUBACCOUNT
- ---------------------------------------------------------------------------------------------------------------------------------
<S>                                           <C>            <C>          <C>           <C>          <C>           <C>
INVESTMENT INCOME
Dividends...................................                  $  8,646     $    904     $   8,344
EXPENSES
Mortality and expense risks.................    $  2,380        15,687        2,295        13,188     $    420        $ 41,145
                                                --------      --------     --------     ---------     --------        --------
Net investment loss.........................      (2,380)       (7,041)      (1,391)       (4,844)        (420)        (41,145)
                                                --------      --------     --------     ---------     --------        --------
NET REALIZED AND UNREALIZED GAIN
  (LOSS) ON INVESTMENTS
Realized gain distributions reinvested......       9,248                     22,207         7,417                      393,865
Net realized gain (loss) from redemption of
  investment shares.........................      (5,083)       35,727      (89,092)     (265,838)     (15,225)        (10,462)
                                                --------      --------     --------     ---------     --------        --------
Net realized gain (loss) on investments.....       4,165        35,727      (66,885)     (258,421)     (15,225)        383,403
                                                --------      --------     --------     ---------     --------        --------
Net unrealized appreciation (depreciation)
  of investments:
  Beginning of year.........................      (6,096)       25,331       (8,342)     (247,842)                     126,890
  End of year...............................     (16,405)      134,095      (26,474)     (374,273)       1,481         204,321
                                                --------      --------     --------     ---------     --------        --------
Net unrealized appreciation (depreciation)
  during the year...........................     (10,309)      108,764      (18,132)     (126,431)       1,481          77,431
                                                --------      --------     --------     ---------     --------        --------
Net realized and unrealized gain (loss) on
  investments...............................      (6,144)      144,491      (85,017)     (384,852)     (13,744)        460,834
                                                --------      --------     --------     ---------     --------        --------
Net increase (decrease) in net assets
  resulting from operations.................    $ (8,524)     $137,450     $(86,408)    $(389,696)    $(14,164)       $419,689
                                                ========      ========     ========     =========     ========        ========
</TABLE>

See accompanying notes to financial statements

                                      F-16
<PAGE>   78

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Changes in Net Assets for the Year Ended December 31, 1998

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

<TABLE>
<CAPTION>
                                                           MONEY                                   AGGRESSIVE
                                           GROWTH         MARKET          BOND         MANAGED       GROWTH      INTERNATIONAL
                                         SUBACCOUNT     SUBACCOUNT     SUBACCOUNT    SUBACCOUNT    SUBACCOUNT     SUBACCOUNT
- ------------------------------------------------------------------------------------------------------------------------------
<S>                                      <C>           <C>             <C>           <C>           <C>           <C>
FROM OPERATIONS
Net investment income (loss)...........  $    80,076   $   1,407,645   $   417,277   $   321,148   $   (71,482)   $  (132,873)
Net realized gain on investments.......    6,203,886                       120,284     1,351,318     1,174,907      1,586,050
Net unrealized appreciation
  (depreciation) of investments during
  the year.............................   (1,244,768)                      159,418       169,747      (393,974)        96,037
                                         -----------   -------------   -----------   -----------   -----------    -----------
Net increase in net assets from
  operations...........................    5,039,194       1,407,645       696,979     1,842,213       709,451      1,549,214
                                         -----------   -------------   -----------   -----------   -----------    -----------
FROM VARIABLE ANNUITY CONTRACT
  TRANSACTIONS
Contractholders' net premiums..........    2,348,484     127,871,256     1,223,548     1,148,804       806,172        902,903
Administrative charges.................      (22,011)        (12,419)       (5,131)       (8,956)       (7,791)       (12,670)
Surrenders and forfeitures.............   (3,442,237)     (3,212,313)     (643,334)   (1,558,892)     (727,131)    (1,572,725)
Transfers between investment
  portfolios...........................    3,846,147    (113,341,557)    5,948,828     1,682,450       802,568        269,675
Net (withdrawals) repayments due to
  policy loans.........................       (7,097)          8,668          (614)       (3,394)          464          1,820
Withdrawals due to death benefits......      (65,692)       (136,960)      (52,239)      (60,381)         (616)       (49,521)
                                         -----------   -------------   -----------   -----------   -----------    -----------
Net increase (decrease) in net assets
  derived from contract transactions...    2,657,594      11,176,675     6,471,058     1,199,631       873,666       (460,518)
                                         -----------   -------------   -----------   -----------   -----------    -----------
Return of capital to Providentmutual
  Life and Annuity Company of
  America..............................      (25,000)
                                         -----------   -------------   -----------   -----------   -----------    -----------
Total increase in net assets...........    7,671,788      12,584,320     7,168,037     3,041,844     1,583,117      1,088,696
NET ASSETS
  Beginning of year....................   40,187,145      29,873,134     8,035,105    16,388,015    10,901,871     18,609,318
                                         -----------   -------------   -----------   -----------   -----------    -----------
  End of year..........................  $47,858,933   $  42,457,454   $15,203,142   $19,429,859   $12,484,988    $19,698,014
                                         ===========   =============   ===========   ===========   ===========    ===========
</TABLE>

See accompanying notes to financial statements

                                      F-17
<PAGE>   79

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Changes in Net Assets for the Year Ended December 31, 1998

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

<TABLE>
<CAPTION>
                                                                ALL PRO         ALL PRO         ALL PRO         ALL PRO
                                                                 LARGE           LARGE           SMALL           SMALL
                                                              CAP GROWTH       CAP VALUE      CAP GROWTH       CAP VALUE
                                                              SUBACCOUNT      SUBACCOUNT      SUBACCOUNT      SUBACCOUNT
- --------------------------------------------------------------------------------------------------------------------------
<S>                                                          <C>             <C>             <C>             <C>
FROM OPERATIONS
Net investment loss........................................   $   (8,510)     $   (9,025)     $   (5,994)     $   (4,635)
Net realized gain (loss) on investments....................       25,035         (22,796)        (34,054)        (36,679)
Net unrealized appreciation of investments during the
  year.....................................................      345,515         157,479         191,093          35,087
                                                              ----------      ----------      ----------      ----------
Net increase (decrease) in net assets from operations......      362,040         125,658         151,045          (6,227)
                                                              ----------      ----------      ----------      ----------
FROM VARIABLE ANNUITY CONTRACT TRANSACTIONS
Contractholders' net premiums..............................      222,573         292,763         157,600         308,901
Administrative charges.....................................         (141)           (187)            (87)            (60)
Surrenders and forfeitures.................................      (21,345)        (16,648)        (14,326)        (33,127)
Transfers between investment portfolios....................    1,708,597       1,657,615       1,349,192       1,020,194
                                                              ----------      ----------      ----------      ----------
Net increase in net assets derived from contract
  transactions.............................................    1,909,684       1,933,543       1,492,379       1,295,908
                                                              ----------      ----------      ----------      ----------
Capital contribution from Providentmutual Life and Annuity
  Company of America.......................................       25,000          25,000          25,000          25,000
                                                              ----------      ----------      ----------      ----------
Total increase in net assets...............................    2,296,724       2,084,201       1,668,424       1,314,681
NET ASSETS
  Beginning of year........................................           --              --              --              --
                                                              ----------      ----------      ----------      ----------
  End of year..............................................   $2,296,724      $2,084,201      $1,668,424      $1,314,681
                                                              ==========      ==========      ==========      ==========
</TABLE>

See accompanying notes to financial statements

                                      F-18
<PAGE>   80

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Changes in Net Assets for the Year Ended December 31, 1998

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

<TABLE>
<CAPTION>
                                                FIDELITY      FIDELITY                                  FIDELITY
                                                  HIGH         EQUITY-       FIDELITY      FIDELITY       ASSET       FIDELITY
                                                 INCOME        INCOME         GROWTH       OVERSEAS      MANAGER      INDEX 500
                                               SUBACCOUNT    SUBACCOUNT     SUBACCOUNT    SUBACCOUNT   SUBACCOUNT    SUBACCOUNT
- --------------------------------------------------------------------------------------------------------------------------------
<S>                                            <C>           <C>           <C>            <C>          <C>           <C>
FROM OPERATIONS
Net investment income (loss).................  $ 1,030,513   $  (112,667)  $   (761,097)  $   4,370    $   485,614   $  (366,434)
Net realized gain on investments.............      941,797     6,826,524     12,285,013     126,986      3,402,777     5,337,798
Net unrealized appreciation (depreciation) of
  investments during the year................   (3,317,333)    1,331,548     14,538,870      68,763        749,510    13,241,032
                                               -----------   -----------   ------------   ----------   -----------   -----------
Net increase (decrease) in net assets from
  operations.................................   (1,345,023)    8,045,405     26,062,786     200,119      4,637,901    18,212,396
                                               -----------   -----------   ------------   ----------   -----------   -----------
FROM VARIABLE ANNUITY CONTRACT TRANSACTIONS
Contractholders' net premiums................    1,750,277     5,296,132      4,791,231     339,626      1,700,971     6,577,374
Administrative charges.......................       (9,948)      (45,049)       (49,011)     (1,255)       (17,744)      (42,384)
Surrenders and forfeitures...................   (1,298,153)   (4,233,958)    (3,843,463)    (33,023)    (1,840,921)   (4,314,988)
Transfers between investment portfolios......    4,540,682     8,532,004     10,374,588   1,075,414      7,109,273    21,217,455
Net withdrawals due to policy loans..........       (3,583)       (6,732)       (11,811)     (1,589)        (5,124)       (6,625)
Withdrawals due to death benefits............     (137,311)     (463,817)      (370,273)    (51,334)       (84,131)     (263,569)
                                               -----------   -----------   ------------   ----------   -----------   -----------
Net increase in net assets derived from
  contract transactions......................    4,841,964     9,078,580     10,891,261   1,327,839      6,862,324    23,167,263
                                               -----------   -----------   ------------   ----------   -----------   -----------
Return of capital to Providentmutual Life and
  Annuity Company of America.................                    (30,000)       (60,000)                                 (40,000)
                                               -----------   -----------   ------------   ----------   -----------   -----------
Total increase in net assets.................    3,496,941    17,093,985     36,894,047   1,527,958     11,500,225    41,339,659
NET ASSETS
  Beginning of year..........................   18,444,392    78,900,963     64,877,265   1,931,345     30,153,803    58,389,961
                                               -----------   -----------   ------------   ----------   -----------   -----------
  End of year................................  $21,941,333   $95,994,948   $101,771,312   $3,459,303   $41,654,028   $99,729,620
                                               ===========   ===========   ============   ==========   ===========   ===========
</TABLE>

See accompanying notes to financial statements

                                      F-19
<PAGE>   81

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Changes in Net Assets for the Year Ended December 31, 1998

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

<TABLE>
<CAPTION>
                                                                       FIDELITY
                                                         FIDELITY     INVESTMENT       OCC           OCC           OCC
                                                        CONTRAFUND    GRADE BOND     EQUITY       SMALL CAP      MANAGED
                                                        SUBACCOUNT    SUBACCOUNT   SUBACCOUNT    SUBACCOUNT    SUBACCOUNT
- --------------------------------------------------------------------------------------------------------------------------
<S>                                                     <C>           <C>          <C>           <C>           <C>
FROM OPERATIONS
Net investment income (loss)..........................  $  (374,620)  $  28,673    $   (98,170)  $  (185,173)  $  (396,822)
Net realized gain on investments......................    3,508,293      26,863      3,527,755     1,526,611     6,012,564
Net unrealized appreciation (depreciation) of
  investments during the year.........................    8,826,872      69,447     (1,416,053)   (3,344,283)   (2,645,069)
                                                        -----------   ----------   -----------   -----------   -----------
Net increase (decrease) in net assets from
  operations..........................................   11,960,545     124,983      2,013,532    (2,002,845)    2,970,673
                                                        -----------   ----------   -----------   -----------   -----------
FROM VARIABLE ANNUITY CONTRACT TRANSACTIONS
Contractholders' net premiums.........................    2,915,127     246,257      1,446,183     1,017,956     2,661,331
Administrative charges................................      (26,006)       (820)       (11,336)      (10,338)      (31,542)
Surrenders and forfeitures............................   (2,253,251)    (84,172)    (1,446,748)   (1,391,872)   (3,425,829)
Transfers between investment portfolios...............    9,479,438   1,204,799      1,059,190       848,987       752,512
Net withdrawals due to policy loans...................       (6,313)       (130)        (1,906)       (1,249)       (2,506)
Withdrawals due to death benefits.....................      (13,824)    (12,194)       (49,239)      (39,285)     (217,598)
                                                        -----------   ----------   -----------   -----------   -----------
Net increase (decrease) in net assets derived from
  contract transactions...............................   10,095,171   1,353,740        996,144       424,199      (263,632)
                                                        -----------   ----------   -----------   -----------   -----------
Return of capital to Providentmutual Life and Annuity
  Company of America..................................                                                             (25,000)
                                                        -----------   ----------   -----------   -----------   -----------
Total increase (decrease) in net assets...............   22,055,716   1,478,723      3,009,676    (1,578,646)    2,682,041
NET ASSETS
  Beginning of year...................................   37,275,257   1,051,370     20,484,486    18,158,198    57,318,003
                                                        -----------   ----------   -----------   -----------   -----------
  End of year.........................................  $59,330,973   $2,530,093   $23,494,162   $16,579,552   $60,000,044
                                                        ===========   ==========   ===========   ===========   ===========
</TABLE>

See accompanying notes to financial statements

                                      F-20
<PAGE>   82

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Changes in Net Assets for the Year Ended December 31, 1998

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

<TABLE>
<CAPTION>
                                                          SCUDDER                                      DREYFUS       DREYFUS
                                            SCUDDER     GROWTH AND       SCUDDER      DREYFUS ZERO     GROWTH       SOCIALLY
                                             BOND         INCOME      INTERNATIONAL   COUPON 2000    AND INCOME    RESPONSIBLE
                                          SUBACCOUNT    SUBACCOUNT     SUBACCOUNT      SUBACCOUNT    SUBACCOUNT    SUBACCOUNT
- ------------------------------------------------------------------------------------------------------------------------------
<S>                                       <C>           <C>           <C>             <C>            <C>           <C>
FROM OPERATIONS
Net investment income (loss)............  $   397,516   $  161,562     $    23,875     $  255,238    $   (75,776)  $   (89,592)
Net realized gain (loss) on
  investments...........................       68,752    2,126,666       1,520,221        (14,397)       308,152       941,436
Net unrealized appreciation
  (depreciation) of investments during
  the year..............................      (12,330)  (1,586,597)        305,703        102,659      1,474,840     1,113,115
                                          -----------   -----------    -----------     ----------    -----------   -----------
Net increase in net assets from
  operations............................      453,938      701,631       1,849,799        343,500      1,707,216     1,964,959
                                          -----------   -----------    -----------     ----------    -----------   -----------
FROM VARIABLE ANNUITY CONTRACT
  TRANSACTIONS
Contractholders' net premiums...........      619,509    1,774,148         960,927        351,742        958,892       972,863
Administrative charges..................       (4,417)     (10,484)         (6,651)        (2,835)       (11,937)       (5,327)
Surrenders and forfeitures..............     (633,359)  (1,062,811)       (733,868)      (302,710)    (1,266,515)     (610,880)
Transfers between investment
  portfolios............................    2,537,821    4,646,658       1,838,952      1,221,208      1,288,013     3,271,958
Net repayments (withdrawals) due to
  policy loans..........................          122       (2,492)         (6,428)           290         (4,690)       (6,310)
Withdrawals due to death benefits.......      (52,406)     (56,038)        (35,093)        (9,776)       (67,716)         (713)
                                          -----------   -----------    -----------     ----------    -----------   -----------
Net increase in net assets derived from
  contract transactions.................    2,467,270    5,288,981       2,017,839      1,257,919        896,047     3,621,591
                                          -----------   -----------    -----------     ----------    -----------   -----------
Return of capital to Providentmutual
  Life and Annuity Company of America...                                                                               (25,000)
                                          -----------   -----------    -----------     ----------    -----------   -----------
Total increase in net assets............    2,921,208    5,990,612       3,867,638      1,601,419      2,603,263     5,561,550
NET ASSETS
  Beginning of year.....................    7,946,949   15,812,300      10,657,678      5,849,377     17,037,442     5,448,634
                                          -----------   -----------    -----------     ----------    -----------   -----------
  End of year...........................  $10,868,157   $21,802,912    $14,525,316     $7,450,796    $19,640,705   $11,010,184
                                          ===========   ===========    ===========     ==========    ===========   ===========
</TABLE>

See accompanying notes to financial statements

                                      F-21
<PAGE>   83

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Changes in Net Assets for the Year Ended December 31, 1998

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

<TABLE>
<CAPTION>
                                                                                                         NEUBERGER
                                              FEDERATED                                                   & BERMAN
                                              FUND FOR          FEDERATED      NEUBERGER    NEUBERGER     LIMITED     NEUBERGER
                                           U.S. GOVERNMENT       UTILITY        & BERMAN     & BERMAN     MATURITY     & BERMAN
                                            SECURITIES II        FUND II        BALANCED      GROWTH        BOND       PARTNERS
                                             SUBACCOUNT        SUBACCOUNT      SUBACCOUNT   SUBACCOUNT   SUBACCOUNT   SUBACCOUNT
- --------------------------------------------------------------------------------------------------------------------------------
<S>                                        <C>               <C>               <C>          <C>          <C>          <C>
FROM OPERATIONS
Net investment income (loss).............    $   (7,750)       $   (43,203)     $  7,528    $ (14,057)   $  46,626     $ (1,906)
Net realized gain (loss) on
  investments............................        77,792            553,080        91,285      244,205       (1,093)      (1,266)
Net unrealized appreciation
  (depreciation) of investments during
  the year...............................       241,932            465,560       (45,455)    (107,447)     (11,552)      16,829
                                             ----------        -----------      --------    ---------    ----------    --------
Net increase in net assets from
  operations.............................       311,974            975,437        53,358      122,701       33,981       13,657
                                             ----------        -----------      --------    ---------    ----------    --------
FROM VARIABLE ANNUITY CONTRACT
  TRANSACTIONS
Contractholders' net premiums............       729,037            679,245       111,449      188,889      138,552       38,217
Administrative charges...................        (1,713)            (2,973)         (520)        (896)        (592)        (142)
Surrenders and forfeitures...............      (293,653)          (401,393)      (14,147)     (41,689)     (48,180)
Transfers between investment
  portfolios.............................     4,971,444          3,833,662       (94,768)    (205,365)     357,208      331,920
Net withdrawals due to policy loans......                             (506)       (1,455)      (1,766)      (1,312)
Withdrawals due to death benefits........                          (12,773)                    (2,245)     (27,242)
                                             ----------        -----------      --------    ---------    ----------    --------
Net increase (decrease) in net assets
  derived from contract transactions.....     5,405,115          4,095,262           559      (63,072)     418,434      369,995
                                             ----------        -----------      --------    ---------    ----------    --------
Capital contribution from Providentmutual
  Life and Annuity Company of America....                                                                                25,000
                                             ----------        -----------      --------    ---------    ----------    --------
Total increase in net assets.............     5,717,089          5,070,699        53,917       59,629      452,415      408,652
NET ASSETS
  Beginning of year......................     3,601,347          5,130,507       721,721      935,110      981,512           --
                                             ----------        -----------      --------    ---------    ----------    --------
  End of year............................    $9,318,436        $10,201,206      $775,638    $ 994,739    $1,433,927    $408,652
                                             ==========        ===========      ========    =========    ==========    ========
</TABLE>

See accompanying notes to financial statements

                                      F-22
<PAGE>   84

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Changes in Net Assets for the Year Ended December 31, 1998

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

<TABLE>
<CAPTION>
                                                AMERICAN                                 VAN ECK      VAN ECK
                                               CENTURY VP     VAN ECK       VAN ECK     WORLDWIDE    WORLDWIDE    ALGER AMERICAN
                                                CAPITAL      WORLDWIDE     WORLDWIDE     EMERGING       REAL          SMALL
                                              APPRECIATION      BOND      HARD ASSETS    MARKETS       ESTATE     CAPITALIZATION
                                               SUBACCOUNT    SUBACCOUNT   SUBACCOUNT    SUBACCOUNT   SUBACCOUNT     SUBACCOUNT
- --------------------------------------------------------------------------------------------------------------------------------
<S>                                           <C>            <C>          <C>           <C>          <C>          <C>
FROM OPERATIONS
Net investment loss.........................    $ (2,380)    $  (7,041)    $ (1,391)    $  (4,844)    $   (420)     $  (41,145)
Net realized gain (loss) on investments.....       4,165        35,727      (66,885)     (258,421)     (15,225)        383,403
Net unrealized appreciation (depreciation)
  of investments during the year............     (10,309)      108,764      (18,132)     (126,431)       1,481          77,431
                                                --------     ----------    --------     ----------    --------      ----------
Net increase (decrease) in net assets from
  operations................................      (8,524)      137,450      (86,408)     (389,696)     (14,164)        419,689
                                                --------     ----------    --------     ----------    --------      ----------
FROM VARIABLE ANNUITY CONTRACT TRANSACTIONS
Contractholders' net premiums...............      18,644       230,038      183,369       312,514       22,350         323,718
Administrative charges......................        (147)         (579)        (146)         (726)         (17)         (2,166)
Surrenders and forfeitures..................        (203)      (49,548)     (15,221)      (30,831)      (8,170)        (62,414)
Transfers between investment portfolios.....      38,690       441,152      180,407       542,570      254,756         868,441
Net withdrawals due to policy loans.........                                               (1,478)                      (4,334)
Withdrawals due to death benefits...........                   (12,220)
                                                --------     ----------    --------     ----------    --------      ----------
Net increase in net assets derived from
  contract transactions.....................      56,984       608,843      348,409       822,049      268,919       1,123,245
                                                --------     ----------    --------     ----------    --------      ----------
Capital contribution from Providentmutual
  Life and Annuity Company of America.......                                 10,000        10,000       25,000
                                                --------     ----------    --------     ----------    --------      ----------
Total increase in net assets................      48,460       746,293      272,001       442,353      279,755       1,542,934
NET ASSETS
  Beginning of year.........................     161,139       923,361      156,819       931,951           --       2,239,590
                                                --------     ----------    --------     ----------    --------      ----------
  End of year...............................    $209,599     $1,669,654    $428,820     $1,374,304    $279,755      $3,782,524
                                                ========     ==========    ========     ==========    ========      ==========
</TABLE>

See accompanying notes to financial statements

                                      F-23
<PAGE>   85

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Changes in Net Assets for the Year Ended December 31, 1997

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

<TABLE>
<CAPTION>
                                                           MONEY                                  AGGRESSIVE
                                           GROWTH         MARKET          BOND        MANAGED       GROWTH      INTERNATIONAL
                                         SUBACCOUNT     SUBACCOUNT     SUBACCOUNT   SUBACCOUNT    SUBACCOUNT     SUBACCOUNT
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                      <C>           <C>             <C>          <C>           <C>           <C>
FROM OPERATIONS
Net investment income (loss)...........  $   231,616   $   1,070,282   $ 276,466    $   265,497   $   (59,766)   $  (116,372)
Net realized gain (loss) on
  investments..........................    3,430,041                     (15,685)       339,269       469,234      1,387,827
Net unrealized appreciation of
  investments during the year..........    3,128,313                     254,938      1,825,018     1,291,981         88,130
                                         -----------   -------------   ----------   -----------   -----------    -----------
Net increase in net assets from
  operations...........................    6,789,970       1,070,282     515,719      2,429,784     1,701,449      1,359,585
                                         -----------   -------------   ----------   -----------   -----------    -----------
FROM VARIABLE ANNUITY CONTRACT
  TRANSACTIONS
Contractholders' net premiums..........    2,088,885     130,399,881     551,478      1,148,358       850,433      1,255,853
Administrative charges.................      (17,605)         (7,663)     (3,214)        (7,746)       (6,581)       (11,877)
Surrenders and forfeitures.............   (1,365,373)     (3,060,448)   (279,782)      (621,704)     (484,756)    (1,100,295)
Transfers between investment
  portfolios...........................    5,570,307    (124,703,022)  2,062,898      1,923,797     1,707,222        787,778
Net withdrawals due to policy loans....       (5,569)         (2,194)       (406)          (963)       (5,084)        (2,337)
Withdrawals due to death benefits......      (60,690)        (66,875)    (40,881)       (41,895)      (78,959)       (99,780)
                                         -----------   -------------   ----------   -----------   -----------    -----------
Net increase in net assets derived from
  contract transactions................    6,209,955       2,559,679   2,290,093      2,399,847     1,982,275        829,342
                                         -----------   -------------   ----------   -----------   -----------    -----------
Total increase in net assets...........   12,999,925       3,629,961   2,805,812      4,829,631     3,683,724      2,188,927
NET ASSETS
  Beginning of year....................   27,187,220      26,243,173   5,229,293     11,558,384     7,218,147     16,420,391
                                         -----------   -------------   ----------   -----------   -----------    -----------
  End of year..........................  $40,187,145   $  29,873,134   $8,035,105   $16,388,015   $10,901,871    $18,609,318
                                         ===========   =============   ==========   ===========   ===========    ===========
</TABLE>

See accompanying notes to financial statements

                                      F-24
<PAGE>   86

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Changes in Net Assets for the Year Ended December 31, 1997

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

<TABLE>
<CAPTION>
                                           FIDELITY      FIDELITY                                   FIDELITY
                                             HIGH         EQUITY-       FIDELITY      FIDELITY       ASSET        FIDELITY
                                            INCOME        INCOME         GROWTH       OVERSEAS      MANAGER       INDEX 500
                                          SUBACCOUNT    SUBACCOUNT     SUBACCOUNT    SUBACCOUNT    SUBACCOUNT    SUBACCOUNT
- ----------------------------------------------------------------------------------------------------------------------------
<S>                                       <C>           <C>           <C>            <C>          <C>            <C>
FROM OPERATIONS
Net investment income (loss)............  $   579,334   $   (23,343)  $  (459,452)   $ (10,239)   $   393,553    $  (273,703)
Net realized gain on investments........      290,009     5,128,306     2,640,756       26,647      2,218,250        907,824
Net unrealized appreciation
  (depreciation) of investments during
  the year..............................    1,206,713     9,356,635     8,354,393       (2,729)     1,757,612      9,425,758
                                          -----------   -----------   -----------    ----------   -----------    -----------
Net increase in net assets from
  operations............................    2,076,056    14,461,598    10,535,697       13,679      4,369,415     10,059,879
                                          -----------   -----------   -----------    ----------   -----------    -----------
FROM VARIABLE ANNUITY CONTRACT
  TRANSACTIONS
Contractholders' net premiums...........    1,280,526     4,268,560     4,338,146      158,943      1,519,377      5,358,511
Administrative charges..................       (7,533)      (35,464)      (39,051)        (395)       (13,984)       (20,920)
Surrenders and forfeitures..............     (747,010)   (2,452,358)   (1,961,173)     (10,628)    (1,204,262)    (1,030,109)
Transfers between investment
  portfolios............................    5,414,722    13,589,788     7,419,053    1,610,770      4,483,284     20,918,768
Net repayments (withdrawals) due to
  policy loans..........................      (33,050)      (33,934)      (14,356)                        975        (20,224)
Withdrawals due to death benefits.......      (17,041)     (632,965)     (421,777)        (113)      (123,325)      (147,455)
                                          -----------   -----------   -----------    ----------   -----------    -----------
Net increase in net assets derived from
  contract transactions.................    5,890,614    14,703,627     9,320,842    1,758,577      4,662,065     25,058,571
                                          -----------   -----------   -----------    ----------   -----------    -----------
Total increase in net assets............    7,966,670    29,165,225    19,856,539    1,772,256      9,031,480     35,118,450
NET ASSETS
  Beginning of year.....................   10,477,722    49,735,738    45,020,726      159,089     21,122,323     23,271,511
                                          -----------   -----------   -----------    ----------   -----------    -----------
  End of year...........................  $18,444,392   $78,900,963   $64,877,265    $1,931,345   $30,153,803    $58,389,961
                                          ===========   ===========   ===========    ==========   ===========    ===========
</TABLE>

See accompanying notes to financial statements

                                      F-25
<PAGE>   87

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Changes in Net Assets for the Year Ended December 31, 1997

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

<TABLE>
<CAPTION>
                                                                        FIDELITY
                                                                       INVESTMENT
                                                          FIDELITY       GRADE          OCC           OCC           OCC
                                                         CONTRAFUND       BOND        EQUITY       SMALL CAP      MANAGED
                                                         SUBACCOUNT    SUBACCOUNT   SUBACCOUNT    SUBACCOUNT    SUBACCOUNT
- ---------------------------------------------------------------------------------------------------------------------------
<S>                                                      <C>           <C>          <C>           <C>           <C>
FROM OPERATIONS
Net investment income (loss)...........................  $  (226,894)  $   7,540    $  (106,315)  $  (132,776)  $  (243,966)
Net realized gain on investments.......................      655,572       1,806        796,084       683,587     3,034,796
Net unrealized appreciation of investments during the
  year.................................................    5,005,461      36,765      2,671,007     2,035,846     5,980,771
                                                         -----------   ----------   -----------   -----------   -----------
Net increase in net assets from operations.............    5,434,139      46,111      3,360,776     2,586,657     8,771,601
                                                         -----------   ----------   -----------   -----------   -----------
FROM VARIABLE ANNUITY CONTRACT TRANSACTIONS
Contractholders' net premiums..........................    2,843,886      54,796      1,602,917     1,130,432     3,738,480
Administrative charges.................................      (16,030)       (195)        (8,166)       (9,057)      (26,367)
Surrenders and forfeitures.............................   (1,027,236)     (3,478)      (774,950)     (504,489)   (1,990,422)
Transfers between investment portfolios................   12,918,442     783,432      5,613,117     4,233,814     8,848,392
Net withdrawals due to policy loans....................      (13,879)                      (688)      (11,287)      (31,626)
Withdrawals due to death benefits......................                                (130,515)      (46,072)     (313,679)
                                                         -----------   ----------   -----------   -----------   -----------
Net increase in net assets derived from contract
  transactions.........................................   14,705,183     834,555      6,301,715     4,793,341    10,224,778
                                                         -----------   ----------   -----------   -----------   -----------
Total increase in net assets...........................   20,139,322     880,666      9,662,491     7,379,998    18,996,379
NET ASSETS
  Beginning of year....................................   17,135,935     170,704     10,821,995    10,778,200    38,321,624
                                                         -----------   ----------   -----------   -----------   -----------
  End of year..........................................  $37,275,257   $1,051,370   $20,484,486   $18,158,198   $57,318,003
                                                         ===========   ==========   ===========   ===========   ===========
</TABLE>

See accompanying notes to financial statements

                                      F-26
<PAGE>   88

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Changes in Net Assets for the Year Ended December 31, 1997

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

<TABLE>
<CAPTION>
                                                       SCUDDER                       DREYFUS       DREYFUS       DREYFUS
                                         SCUDDER       GROWTH         SCUDDER         ZERO         GROWTH       SOCIALLY
                                           BOND      AND INCOME    INTERNATIONAL   COUPON 2000   AND INCOME    RESPONSIBLE
                                        SUBACCOUNT   SUBACCOUNT     SUBACCOUNT     SUBACCOUNT    SUBACCOUNT    SUBACCOUNT
- --------------------------------------------------------------------------------------------------------------------------
<S>                                     <C>          <C>           <C>             <C>           <C>           <C>
FROM OPERATIONS
Net investment income (loss)..........  $ 298,360    $   78,639     $   (17,618)   $  212,746    $   (2,395)   $  (29,930)
Net realized gain on investments......     31,252       365,297         145,634        73,994     1,516,556       227,055
Net unrealized appreciation
  (depreciation) of investments during
  the year............................    150,547     1,696,758         313,641       (15,866)      543,377       567,606
                                        ----------   -----------    -----------    ----------    -----------   ----------
Net increase in net assets from
  operations..........................    480,159     2,140,694         441,657       270,874     2,057,538       764,731
                                        ----------   -----------    -----------    ----------    -----------   ----------
FROM VARIABLE ANNUITY CONTRACT
  TRANSACTIONS
Contractholders' net premiums.........    291,718     1,186,505       1,046,437       509,829     1,412,748       505,234
Administrative charges................     (3,726)       (4,669)         (4,407)       (2,535)      (11,090)       (2,482)
Surrenders and forfeitures............   (191,865)     (301,213)       (175,614)     (703,664)     (574,271)     (134,940)
Transfers between investment
  portfolios..........................  1,707,689     8,319,936       3,778,824       805,262     1,705,003     2,541,677
Net withdrawals due to policy loans...     (4,218)       (8,156)         (7,520)       (2,358)      (14,113)       (4,931)
Withdrawals due to death benefits.....    (22,128)      (65,835)        (10,135)       (5,854)      (76,105)       (1,793)
                                        ----------   -----------    -----------    ----------    -----------   ----------
Net increase in net assets derived
  from contract transactions..........  1,777,470     9,126,568       4,627,585       600,680     2,442,172     2,902,765
                                        ----------   -----------    -----------    ----------    -----------   ----------
Total increase in net assets..........  2,257,629    11,267,262       5,069,242       871,554     4,499,710     3,667,496
NET ASSETS
  Beginning of year...................  5,689,320     4,545,038       5,588,436     4,977,823    12,537,732     1,781,138
                                        ----------   -----------    -----------    ----------    -----------   ----------
  End of year.........................  $7,946,949   $15,812,300    $10,657,678    $5,849,377    $17,037,442   $5,448,634
                                        ==========   ===========    ===========    ==========    ===========   ==========
</TABLE>

See accompanying notes to financial statements

                                      F-27
<PAGE>   89

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Changes in Net Assets for the Year Ended December 31, 1997

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

<TABLE>
<CAPTION>
                                                FEDERATED
                                                FUND FOR                         NEUBERGER    NEUBERGER     NEUBERGER &
                                             U.S. GOVERNMENT      FEDERATED       & BERMAN     & BERMAN    BERMAN LIMITED
                                              SECURITIES II    UTILITY FUND II    BALANCED      GROWTH     MATURITY BOND
                                               SUBACCOUNT        SUBACCOUNT      SUBACCOUNT   SUBACCOUNT     SUBACCOUNT
- -------------------------------------------------------------------------------------------------------------------------
<S>                                          <C>               <C>               <C>          <C>          <C>
FROM OPERATIONS
Net investment income (loss).............      $   51,799        $   27,148       $ (2,356)    $ (7,191)      $  7,707
Net realized gain (loss) on
  investments............................          (1,435)          108,561          7,618       34,742            520
Net unrealized appreciation of
  investments during the year............         132,431           751,192         35,334       75,929         21,333
                                               ----------        ----------       --------     --------       --------
Net increase in net assets from
  operations.............................         182,795           886,901         40,596      103,480         29,560
                                               ----------        ----------       --------     --------       --------
FROM VARIABLE ANNUITY CONTRACT
  TRANSACTIONS
Contractholders' net premiums............         208,631           521,063         22,838       80,259         68,951
Administrative charges...................          (1,031)           (1,719)           (65)        (252)           (98)
Surrenders and forfeitures...............         (62,558)          (89,033)       (10,471)      (1,022)        (1,686)
Transfers between investment
  portfolios.............................       1,295,645         1,039,150        600,636      619,422        783,333
Net withdrawals due to policy loans......                              (324)
Withdrawals due to death benefits........          (4,837)           (5,282)
                                               ----------        ----------       --------     --------       --------
Net increase in net assets derived from
  contract transactions..................       1,435,850         1,463,855        612,938      698,407        850,500
                                               ----------        ----------       --------     --------       --------
Total increase in net assets.............       1,618,645         2,350,756        653,534      801,887        880,060
NET ASSETS
  Beginning of year......................       1,982,702         2,779,751         68,187      133,223        101,452
                                               ----------        ----------       --------     --------       --------
  End of year............................      $3,601,347        $5,130,507       $721,721     $935,110       $981,512
                                               ==========        ==========       ========     ========       ========
</TABLE>

See accompanying notes to financial statements

                                      F-28
<PAGE>   90

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Changes in Net Assets for the Year Ended December 31, 1997

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

<TABLE>
<CAPTION>
                                                        AMERICAN                   VAN ECK      VAN ECK         ALGER
                                                       CENTURY VP     VAN ECK     WORLDWIDE    WORLDWIDE       AMERICAN
                                                        CAPITAL      WORLDWIDE       HARD       EMERGING        SMALL
                                                      APPRECIATION      BOND        ASSETS      MARKETS     CAPITALIZATION
                                                       SUBACCOUNT    SUBACCOUNT   SUBACCOUNT   SUBACCOUNT     SUBACCOUNT
- --------------------------------------------------------------------------------------------------------------------------
<S>                                                   <C>            <C>          <C>          <C>          <C>
FROM OPERATIONS
Net investment gain (loss)..........................    $ (1,534)     $ (2,124)    $    200    $  (6,889)     $  (18,151)
Net realized gain (loss) on investments.............        (471)          150          662       11,001          46,098
Net unrealized appreciation (depreciation) of
  investments during the year.......................      (4,139)       24,146       (9,908)    (250,868)        121,237
                                                        --------      --------     --------    ----------     ----------
Net increase (decrease) in net assets from
  operations........................................      (6,144)       22,172       (9,046)    (246,756)        149,184
                                                        --------      --------     --------    ----------     ----------
FROM VARIABLE ANNUITY CONTRACT TRANSACTIONS
Contractholders' net premiums.......................      17,286        80,140        7,900      143,354         180,116
Administrative charges..............................         (92)          (96)         (42)        (148)           (595)
Surrenders and forfeitures..........................        (345)       (3,711)                   (4,908)         (5,167)
Transfers between investment portfolios.............      67,816       707,353      115,282      943,837       1,434,196
                                                        --------      --------     --------    ----------     ----------
Net increase in net assets derived from contract
  transactions......................................      84,665       783,686      123,140    1,082,135       1,608,550
                                                        --------      --------     --------    ----------     ----------
Total increase in net assets........................      78,521       805,858      114,094      835,379       1,757,734
NET ASSETS
  Beginning of year.................................      82,618       117,503       42,725       96,572         481,856
                                                        --------      --------     --------    ----------     ----------
  End of year.......................................    $161,139      $923,361     $156,819    $ 931,951      $2,239,590
                                                        ========      ========     ========    ==========     ==========
</TABLE>

See accompanying notes to financial statements

                                      F-29
<PAGE>   91

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements

- --------------------------------------------------------------------------------
1. ORGANIZATION

     The Providentmutual Variable Annuity Separate Account (Separate Account)
was established by Providentmutual Life and Annuity Company of America
(Providentmutual) under the provisions of Pennsylvania law and commenced
operations on April 14, 1992. In December 1992, Providentmutual redomesticated
to the State of Delaware. Providentmutual is a wholly-owned subsidiary of
Provident Mutual Life Insurance Company (Provident Mutual). The Separate Account
is an investment account to which net proceeds from individual flexible premium
deferred variable annuity contracts (the Contracts) are allocated until maturity
or termination of the Contracts.

     The Contracts are distributed through career agents, brokers and personal
producing general agents.

     Providentmutual has structured the Separate Account as a unit investment
trust registered with the Securities and Exchange Commission under the
Investment Company Act of 1940, as amended. The Separate Account is comprised of
thirty-nine Subaccounts: the Growth, Money Market, Bond, Managed, Aggressive
Growth, International, All Pro Large Cap Growth, All Pro Large Cap Value, All
Pro Small Cap Growth and All Pro Small Cap Value Subaccounts invest in the
corresponding portfolios of the Market Street Fund, Inc.; the Fidelity High
Income, Fidelity Equity-Income, Fidelity Growth and Fidelity Overseas
Subaccounts invest in the corresponding portfolios of the Variable Insurance
Products Fund; the Fidelity Asset Manager, Fidelity Index 500, Fidelity
Contrafund and Fidelity Investment Grade Bond Subaccounts invest in the
corresponding portfolios of the Variable Insurance Products Fund II; the OCC
Equity (formerly Quest for Value Equity), OCC Small Cap (formerly Quest for
Value Small Cap) and OCC Managed (formerly Quest for Value Managed) Subaccounts
invest in the corresponding portfolios of the OCC Accumulation Trust; the
Scudder Bond, Scudder Growth and Income and Scudder International Subaccounts
invest in the corresponding portfolios of the Scudder Variable Life Investment
Fund; the Dreyfus Zero Coupon 2000 and Dreyfus Growth and Income Subaccounts
invest in the corresponding portfolios of the Dreyfus Variable Investment Fund;
the Dreyfus Socially Responsible Subaccount invests in the Dreyfus Socially
Responsible Growth Fund, Inc.; the Federated Fund for U.S. Government Securities
II (formerly Federated U.S. Government Bond Fund) and Federated Utility Fund II
(formerly Federated Utility Fund) Subaccounts invest in the corresponding
portfolios of the Federated Insurance Series (formerly Insurance Management
Series); the Neuberger & Berman Balanced, Neuberger & Berman Growth, Neuberger &
Berman Limited Maturity Bond and Neuberger & Berman Partners Subaccounts invest
in the corresponding portfolios of the Neuberger & Berman Advisers Management
Trust; the American Century VP Capital Appreciation (formerly TCI Growth)
Subaccount invests in the corresponding portfolio of the American Century
Variable Portfolios, Inc. (formerly TCI Portfolios, Inc.); the Van Eck Worldwide
Bond, Van Eck Worldwide Hard Assets (formerly Van Eck Worldwide Gold and Natural
Resources), Van Eck Worldwide Emerging Markets (formerly Van Eck Emerging
Markets) and the Van Eck Worldwide Real Estate Subaccounts invest in the
corresponding portfolios of the Van Eck Worldwide Insurance Trust; and the Alger
American Small Capitalization Subaccount invests in the corresponding portfolio
of the Alger American Fund. See original contract documents for availability of
Subaccounts as investment options for a particular variable annuity contract.

     Net premiums from the Contracts are allocated to the Subaccounts in
accordance with contractholder instructions and are recorded as variable annuity
contract transactions in the statements of changes in net assets. Such amounts
are used to provide money to pay contract values under the Contracts. The
Separate Account's assets are the property of Providentmutual.

     Transfers between investment portfolios include transfers between the
Subaccounts and the Guaranteed Account (not shown), which is part of
Providentmutual's General Account.

                                      F-30
<PAGE>   92
- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

     The following is a summary of the significant accounting policies followed
by the Separate Account in the financial statements.

  Investment Valuation:

     Investment shares are valued at the net asset values of the respective
Portfolios. Transactions are recorded on the trade date. Dividend income is
recorded on the ex-dividend date.

  Realized Gains and Losses:

     Realized gains and losses on sales of investment shares are determined
using the specific identification basis for financial reporting and income tax
purposes.

  Federal Income Taxes:

     The operations of the Separate Account are included in the Federal income
tax return of Providentmutual. Under the provisions of the Contracts,
Providentmutual has the right to charge the Separate Account for Federal income
tax attributable to the Separate Account. No charge is currently being made
against the Separate Account for such tax.

  Estimates:

     The preparation of the accompanying financial statements required
management to make estimates and assumptions that affect the reported values of
assets and liabilities and the reported amounts from operations and contract
transactions during the period. Actual results could differ from those
estimates.

                                      F-31
<PAGE>   93

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS

     At December 31, 1998, the investments of the respective Subaccounts are as
follows:
- --------------------------------------------------------------------------------

<TABLE>
<CAPTION>
                                                            SHARES       COST      MARKET VALUE
- -----------------------------------------------------------------------------------------------
<S>                                                       <C>         <C>          <C>
Market Street Fund, Inc.:
  Growth Portfolio......................................   2,542,983  $40,978,152   $47,858,933
  Money Market Portfolio................................  40,359,766  $40,359,766   $40,359,766
  Bond Portfolio........................................   1,355,004  $14,701,793   $15,203,142
  Managed Portfolio.....................................   1,098,974  $16,118,757   $19,429,859
  Aggressive Growth Portfolio...........................     569,831  $10,641,731   $12,484,988
  International Portfolio...............................   1,422,239  $17,938,428   $19,698,014
  All Pro Large Cap Growth Portfolio....................     195,134   $1,951,209    $2,296,724
  All Pro Large Cap Value Portfolio.....................     210,525   $1,926,722    $2,084,201
  All Pro Small Cap Growth Portfolio....................     170,247   $1,477,331    $1,668,424
  All Pro Small Cap Value Portfolio.....................     159,355   $1,279,594    $1,314,681
Variable Insurance Products Fund:
  High Income Portfolio.................................   1,902,978  $23,263,899   $21,941,333
  Equity-Income Portfolio...............................   3,776,355  $77,591,968   $95,994,948
  Growth Portfolio......................................   2,268,137  $72,271,611  $101,771,312
  Overseas Portfolio....................................     172,534   $3,386,592    $3,459,303
Variable Insurance Products Fund II:
  Asset Manager Portfolio...............................   2,293,724  $36,155,092   $41,654,028
  Index 500 Portfolio...................................     706,050  $73,340,751   $99,729,620
  Contrafund Portfolio..................................   2,427,618  $43,282,153   $59,330,973
  Investment Grade Bond Portfolio.......................     195,223   $2,419,482    $2,530,093
OCC Accumulation Trust:
  Equity Portfolio......................................     607,084  $20,010,763   $23,494,162
  Small Cap Portfolio...................................     717,730  $15,917,805   $16,579,552
  Managed Portfolio.....................................   1,371,743  $47,260,563   $60,000,044
Scudder Variable Life Investment Fund:
  Bond Portfolio........................................   1,579,674  $10,698,468   $10,868,157
  Growth and Income Portfolio...........................   1,943,219  $21,243,672   $21,802,912
  International Portfolio...............................     997,618  $13,523,770   $14,525,316
</TABLE>

                                      F-32
<PAGE>   94

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                             SHARES      COST      MARKET VALUE
- -----------------------------------------------------------------------------------------------
<S>                                                          <C>      <C>          <C>
Dreyfus Variable Investment Fund:
  Zero Coupon 2000 Portfolio...............................  596,064   $7,352,507   $7,450,796
  Growth and Income Portfolio..............................  867,906  $18,030,213  $19,640,705
Dreyfus Socially Responsible Growth Fund, Inc.:
  Socially Responsible Portfolio...........................  354,253   $9,263,673  $11,010,184
Federated Insurance Series:
  Fund for U.S. Government Securities II Portfolio.........  835,734   $8,937,438   $9,318,436
  Utility Fund II Portfolio................................  668,055   $8,793,615  $10,201,206
Neuberger & Berman Advisers Management Trust:
  Balanced Portfolio.......................................   47,469     $784,421     $775,638
  Growth Portfolio.........................................   37,837   $1,019,045     $994,739
  Limited Maturity Bond Portfolio..........................  103,757   $1,423,683   $1,433,927
  Partners Portfolio.......................................   21,588     $391,823     $408,652
American Century Variable Portfolios, Inc.:
  American Century VP Capital Appreciation Portfolio.......   23,237     $226,004     $209,599
Van Eck Worldwide Insurance Trust:
  Van Eck Worldwide Bond Portfolio.........................  135,965   $1,535,559   $1,669,654
  Van Eck Worldwide Hard Assets Portfolio..................   46,611     $455,294     $428,820
  Van Eck Worldwide Emerging Markets Portfolio.............  193,020   $1,748,577   $1,374,304
  Van Eck Worldwide Real Estate Portfolio..................   29,324     $278,274     $279,755
Alger American Fund:
  Alger American Small Capitalization Portfolio............   86,025   $3,578,203   $3,782,524
</TABLE>

                                      F-33
<PAGE>   95

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

     During the years ended December 31, 1998, 1997 and 1996, transactions in
investment shares were as follows:
- --------------------------------------------------------------------------------

<TABLE>
<CAPTION>
                                                                       MARKET STREET FUND, INC.
- -----------------------------------------------------------------------------------------------------------------------------
                                                     GROWTH PORTFOLIO                        MONEY MARKET PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                             1998          1997          1996          1998           1997           1996
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                       <C>           <C>           <C>          <C>            <C>            <C>
Shares purchased........................      346,424       388,406      353,660     70,268,727     49,458,951     48,257,103
Shares received from reinvestment of:
  Dividends.............................       39,380        39,547       38,004      1,900,929      1,340,251      1,086,441
  Capital gain distributions............      324,556       197,982       56,193
                                          -----------   -----------   ----------   ------------   ------------   ------------
Total shares acquired...................      710,360       625,935      447,857     72,169,656     50,799,202     49,343,544
Total shares redeemed...................     (232,492)      (62,876)     (65,428)   (61,368,156)   (47,463,144)   (38,849,836)
                                          -----------   -----------   ----------   ------------   ------------   ------------
Net increase in shares owned............      477,868       563,059      382,429     10,801,500      3,336,058     10,493,708
Shares owned, beginning of year.........    2,065,115     1,502,056    1,119,627     29,558,266     26,222,208     15,728,500
                                          -----------   -----------   ----------   ------------   ------------   ------------
Shares owned, end of year...............    2,542,983     2,065,115    1,502,056     40,359,766     29,558,266     26,222,208
                                          ===========   ===========   ==========   ============   ============   ============
Cost of shares acquired.................  $12,151,370   $10,722,252   $7,269,012   $ 72,169,656   $ 50,799,202   $ 49,343,544
                                          ===========   ===========   ==========   ============   ============   ============
Cost of shares redeemed.................  $ 3,234,814   $   850,640   $  883,404   $ 61,368,156   $ 47,463,144   $ 38,849,836
                                          ===========   ===========   ==========   ============   ============   ============
</TABLE>

                                      F-34
<PAGE>   96

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                           MARKET STREET FUND, INC.
- -----------------------------------------------------------------------------------------------------------------------------
                                                             BOND PORTFOLIO                       MANAGED PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                     1998         1997         1996         1998         1997         1996
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                               <C>          <C>          <C>          <C>          <C>          <C>
Shares purchased................................     705,303      299,562      176,063      185,440      239,027      217,165
Shares received from reinvestment of:
  Dividends.....................................      51,084       26,180       23,197       33,989       29,247       25,583
  Capital gain distributions....................         113                                 49,259        6,347       26,337
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Total shares acquired...........................     756,500      325,742      199,260      268,688      274,621      269,085
Total shares redeemed...........................    (133,291)     (84,040)     (41,198)    (130,324)    (101,367)     (94,568)
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Net increase in shares owned....................     623,209      241,702      158,062      138,364      173,254      174,517
Shares owned, beginning of year.................     731,795      490,093      332,031      960,610      787,356      612,839
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Shares owned, end of year.......................   1,355,004      731,795      490,093    1,098,974      960,610      787,356
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares acquired.........................  $8,359,990   $3,458,106   $2,101,906   $4,468,360   $4,306,753   $3,730,420
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares redeemed.........................  $1,351,371   $  907,232   $  460,127   $1,596,263   $1,302,140   $1,258,679
                                                  ==========   ==========   ==========   ==========   ==========   ==========
</TABLE>

                                      F-35
<PAGE>   97

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                           MARKET STREET FUND, INC.
- -----------------------------------------------------------------------------------------------------------------------------
                                                      AGGRESSIVE GROWTH PORTFOLIO              INTERNATIONAL PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                     1998         1997         1996         1998         1997         1996
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                               <C>          <C>          <C>          <C>          <C>          <C>
Shares purchased................................     114,384      176,404      143,742      149,636      229,002      338,046
Shares received from reinvestment of:
  Dividends.....................................       4,364        3,772        2,905       10,431       11,165       11,412
  Capital gain distributions....................      41,664          748       29,259      101,929       87,406       46,267
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Total shares acquired...........................     160,412      180,924      175,906      261,996      327,573      395,725
Total shares redeemed...........................     (81,878)     (79,376)     (23,509)    (207,084)    (184,734)     (80,224)
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Net increase in shares owned....................      78,534      101,548      152,397       54,912      142,839      315,501
Shares owned, beginning of year.................     491,297      389,749      237,352    1,367,327    1,224,488      908,987
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Shares owned, end of year.......................     569,831      491,297      389,749    1,422,239    1,367,327    1,224,488
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares acquired.........................  $3,283,291   $3,564,490   $2,907,441   $3,473,346   $4,278,967   $4,989,324
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares redeemed.........................  $1,306,200   $1,172,747   $  355,445   $2,480,687   $2,178,170   $  953,471
                                                  ==========   ==========   ==========   ==========   ==========   ==========
</TABLE>

                                      F-36
<PAGE>   98

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                          MARKET STREET FUND, INC.
- ---------------------------------------------------------------------------------------------------------------
                                                               ALL PRO      ALL PRO      ALL PRO      ALL PRO
                                                                LARGE        LARGE        SMALL        SMALL
                                                                 CAP          CAP          CAP          CAP
                                                                GROWTH       VALUE        GROWTH       VALUE
                                                              PORTFOLIO    PORTFOLIO    PORTFOLIO    PORTFOLIO
- ---------------------------------------------------------------------------------------------------------------
                                                                 1998         1998         1998         1998
- ---------------------------------------------------------------------------------------------------------------
<S>                                                           <C>          <C>          <C>          <C>
Shares purchased............................................     213,913      249,960      192,921      176,132
Shares received from reinvestment of:
  Dividends.................................................
  Capital gain distributions................................
                                                              ----------   ----------   ----------   ----------
Total shares acquired.......................................     213,913      249,960      192,921      176,132
Total shares redeemed.......................................     (18,779)     (39,435)     (22,674)     (16,777)
                                                              ----------   ----------   ----------   ----------
Net increase in shares owned................................     195,134      210,525      170,247      159,355
Shares owned, beginning of year.............................
                                                              ----------   ----------   ----------   ----------
Shares owned, end of year...................................     195,134      210,525      170,247      159,355
                                                              ==========   ==========   ==========   ==========
Cost of shares acquired.....................................  $2,139,394   $2,312,547   $1,703,306   $1,436,512
                                                              ==========   ==========   ==========   ==========
Cost of shares redeemed.....................................  $  188,185   $  385,825   $  225,975   $  156,918
                                                              ==========   ==========   ==========   ==========
</TABLE>

                                      F-37
<PAGE>   99

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                      VARIABLE INSURANCE PRODUCTS FUND
- -----------------------------------------------------------------------------------------------------------------------------
                                                      HIGH INCOME PORTFOLIO                   EQUITY-INCOME PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                  1998         1997         1996         1998          1997          1996
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                            <C>          <C>          <C>          <C>           <C>           <C>
Shares purchased.............................     619,153      556,624      497,171       644,882       738,222       948,858
Shares received from reinvestment of:
  Dividends..................................     106,389       65,635       31,527        48,036        43,550         2,439
  Capital gain distributions.................      67,602        8,112        6,168       170,951       218,961        69,930
                                               ----------   ----------   ----------   -----------   -----------   -----------
Total shares acquired........................     793,144      630,371      534,866       863,869     1,000,733     1,021,227
Total shares redeemed........................    (248,369)    (109,047)     (53,745)     (337,142)     (116,095)      (72,484)
                                               ----------   ----------   ----------   -----------   -----------   -----------
Net increase in shares owned.................     544,775      521,324      481,121       526,727       884,638       948,743
Shares owned, beginning of year..............   1,358,203      836,879      355,758     3,249,628     2,364,990     1,416,247
                                               ----------   ----------   ----------   -----------   -----------   -----------
Shares owned, end of year....................   1,902,978    1,358,203      836,879     3,776,355     3,249,628     2,364,990
                                               ==========   ==========   ==========   ===========   ===========   ===========
Cost of shares acquired......................  $9,653,161   $7,933,056   $6,332,243   $20,896,968   $21,544,493   $19,840,748
                                               ==========   ==========   ==========   ===========   ===========   ===========
Cost of shares redeemed......................  $2,838,887   $1,173,099   $  581,561   $ 5,134,531   $ 1,735,903   $ 1,117,224
                                               ==========   ==========   ==========   ===========   ===========   ===========
</TABLE>

                                      F-38
<PAGE>   100

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                       VARIABLE INSURANCE PRODUCTS FUND
- -----------------------------------------------------------------------------------------------------------------------------
                                                            GROWTH PORTFOLIO                       OVERSEAS PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                    1998          1997          1996          1998         1997        1996
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                              <C>           <C>           <C>           <C>          <C>          <C>
Shares purchased...............................      469,280       353,805       625,760       97,693       97,803      9,008
Shares received from reinvestment of:
  Dividends....................................        9,986         9,845         2,459        2,178          229
  Capital gain distributions...................      261,224        44,069        62,080        6,419          908
                                                 -----------   -----------   -----------   ----------   ----------   --------
Total shares acquired..........................      740,490       407,719       690,299      106,290       98,940      9,008
Total shares redeemed..........................     (221,066)     (104,758)      (27,427)     (34,347)      (6,793)      (564)
                                                 -----------   -----------   -----------   ----------   ----------   --------
Net increase in shares owned...................      519,424       302,961       662,872       71,943       92,147      8,444
Shares owned, beginning of year................    1,748,713     1,445,752       782,880      100,591        8,444
                                                 -----------   -----------   -----------   ----------   ----------   --------
Shares owned, end of year......................    2,268,137     1,748,713     1,445,752      172,534      100,591      8,444
                                                 ===========   ===========   ===========   ==========   ==========   ========
Cost of shares acquired........................  $26,910,064   $13,852,376   $20,153,196   $2,078,757   $1,896,772   $162,451
                                                 ===========   ===========   ===========   ==========   ==========   ========
Cost of shares redeemed........................  $ 4,554,887   $ 2,350,230   $   641,881   $  619,562   $  121,787   $ 10,039
                                                 ===========   ===========   ===========   ==========   ==========   ========
</TABLE>

                                      F-39
<PAGE>   101

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                    VARIABLE INSURANCE PRODUCTS FUND II
- -----------------------------------------------------------------------------------------------------------------------------
                                                     ASSET MANAGER PORTFOLIO                    INDEX 500 PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                 1998          1997         1996         1998          1997          1996
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                           <C>           <C>          <C>          <C>           <C>           <C>
Shares purchased............................      548,871      387,965      278,005       240,834       245,745       166,250
Shares received from reinvestment of:
  Dividends.................................       60,098       48,526       39,874         6,162         3,170         1,306
  Capital gain distributions................      180,294      121,726       32,878        14,271         6,432         3,358
                                              -----------   ----------   ----------   -----------   -----------   -----------
Total shares acquired.......................      789,263      558,217      350,757       261,267       255,347       170,914
Total shares redeemed.......................     (169,820)    (131,563)    (146,266)      (65,663)       (5,997)       (5,528)
                                              -----------   ----------   ----------   -----------   -----------   -----------
Net increase in shares owned................      619,443      426,654      204,491       195,604       249,350       165,386
Shares owned, beginning of year.............    1,674,281    1,247,627    1,043,136       510,446       261,096        95,710
                                              -----------   ----------   ----------   -----------   -----------   -----------
Shares owned, end of year...................    2,293,724    1,674,281    1,247,627       706,050       510,446       261,096
                                              ===========   ==========   ==========   ===========   ===========   ===========
Cost of shares acquired.....................  $13,130,066   $9,113,810   $5,494,521   $32,318,011   $26,020,287   $13,621,230
                                              ===========   ==========   ==========   ===========   ===========   ===========
Cost of shares redeemed.....................  $ 2,379,351   $1,839,942   $2,124,398   $ 4,219,384   $   327,595   $   311,911
                                              ===========   ==========   ==========   ===========   ===========   ===========
</TABLE>

                                      F-40
<PAGE>   102

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                     VARIABLE INSURANCE PRODUCTS FUND II
- ----------------------------------------------------------------------------------------------------------------------------
                                                                CONTRAFUND                          INVESTMENT GRADE
                                                                 PORTFOLIO                           BOND PORTFOLIO
- ----------------------------------------------------------------------------------------------------------------------------
                                                     1998          1997          1996          1998        1997       1996
- ----------------------------------------------------------------------------------------------------------------------------
<S>                                               <C>           <C>           <C>           <C>          <C>        <C>
Shares purchased................................      677,429       846,924       724,270      132,732     71,947     14,613
Shares received from reinvestment of:
  Dividends.....................................       13,711         9,341                      4,363      1,225
  Capital gain distributions....................      100,874        24,687         3,706          518
                                                  -----------   -----------   -----------   ----------   --------   --------
Total shares acquired...........................      792,014       880,952       727,976      137,613     73,172     14,613
Total shares redeemed...........................     (233,767)      (46,360)      (22,255)     (26,098)    (3,410)      (667)
                                                  -----------   -----------   -----------   ----------   --------   --------
Net increase in shares owned....................      558,247       834,592       705,721      111,515     69,762     13,946
Shares owned, beginning of year.................    1,869,371     1,034,779       329,058       83,708     13,946
                                                  -----------   -----------   -----------   ----------   --------   --------
Shares owned, end of year.......................    2,427,618     1,869,371     1,034,779      195,223     83,708     13,946
                                                  ===========   ===========   ===========   ==========   ========   ========
Cost of shares acquired.........................  $16,415,814   $15,732,802   $10,770,383   $1,720,207   $883,549   $173,988
                                                  ===========   ===========   ===========   ==========   ========   ========
Cost of shares redeemed.........................  $ 3,186,970   $   598,941   $   266,200   $  310,931   $ 39,648   $  7,683
                                                  ===========   ===========   ===========   ==========   ========   ========
</TABLE>

                                      F-41
<PAGE>   103

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                            OCC ACCUMULATION TRUST
- -----------------------------------------------------------------------------------------------------------------------------
                                                            EQUITY PORTFOLIO                     SMALL CAP PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                     1998         1997         1996         1998         1997         1996
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                               <C>          <C>          <C>          <C>          <C>          <C>
Shares purchased................................     185,832      214,672      162,103      125,732      220,838      162,087
Shares received from reinvestment of:
  Dividends.....................................       5,869        3,476        2,142        2,202        3,052        4,346
  Capital gain distributions....................      25,328       12,375        4,293       24,038       21,523       11,176
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Total shares acquired...........................     217,029      230,523      168,538      151,972      245,413      177,609
Total shares redeemed...........................    (170,856)     (29,505)     (14,069)    (122,835)     (33,520)     (30,188)
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Net increase in shares owned....................      46,173      201,018      154,469       29,137      211,893      147,421
Shares owned, beginning of year.................     560,911      359,893      205,424      688,593      476,700      329,279
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Shares owned, end of year.......................     607,084      560,911      359,893      717,730      688,593      476,700
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares acquired.........................  $8,123,629   $7,519,820   $4,592,764   $3,833,541   $5,908,364   $3,646,820
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares redeemed.........................  $3,697,900   $  528,336   $  250,929   $2,067,904   $  564,212   $  529,972
                                                  ==========   ==========   ==========   ==========   ==========   ==========
</TABLE>

                                      F-42
<PAGE>   104

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                      OCC ACCUMULATION TRUST
- ----------------------------------------------------------------------------------------------------
                                                                        MANAGED PORTFOLIO
- ----------------------------------------------------------------------------------------------------
                                                                 1998         1997          1996
- ----------------------------------------------------------------------------------------------------
<S>                                                           <C>          <C>           <C>
Shares purchased............................................     167,464       333,304       413,755
Shares received from reinvestment of:
  Dividends.................................................      10,214        12,218         9,660
  Capital gain distributions................................      40,795        37,524         6,160
                                                              ----------   -----------   -----------
Total shares acquired.......................................     218,473       383,046       429,575
Total shares redeemed.......................................    (199,208)      (88,884)      (29,711)
                                                              ----------   -----------   -----------
Net increase in shares owned................................      19,265       294,162       399,864
Shares owned, beginning of year.............................   1,352,478     1,058,316       658,452
                                                              ----------   -----------   -----------
Shares owned, end of year...................................   1,371,743     1,352,478     1,058,316
                                                              ==========   ===========   ===========
Cost of shares acquired.....................................  $9,544,488   $14,890,450   $13,972,601
                                                              ==========   ===========   ===========
Cost of shares redeemed.....................................  $4,217,378   $ 1,874,842   $   630,417
                                                              ==========   ===========   ===========
</TABLE>

                                      F-43
<PAGE>   105

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                    SCUDDER VARIABLE LIFE INVESTMENT FUND
- -----------------------------------------------------------------------------------------------------------------------------
                                                            BOND PORTFOLIO                   GROWTH AND INCOME PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                    1998         1997         1996         1998          1997         1996
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                              <C>          <C>          <C>          <C>           <C>          <C>
Shares purchased...............................     540,773      385,038      367,411       793,097      901,830      420,073
Shares received from reinvestment of:
  Dividends....................................      77,487       58,342       58,022        40,016       20,474        6,977
  Capital gain distributions...................       4,482        2,585                    108,036       22,214        1,768
                                                 ----------   ----------   ----------   -----------   ----------   ----------
Total shares acquired..........................     622,742      445,965      425,433       941,149      944,518      428,818
Total shares redeemed..........................    (199,829)    (134,571)     (86,886)     (375,308)     (52,203)     (19,789)
                                                 ----------   ----------   ----------   -----------   ----------   ----------
Net increase in shares owned...................     422,913      311,394      338,547       565,841      892,315      409,029
Shares owned, beginning of year................   1,156,761      845,367      506,820     1,377,378      485,063       76,034
                                                 ----------   ----------   ----------   -----------   ----------   ----------
Shares owned, end of year......................   1,579,674    1,156,761      845,367     1,943,219    1,377,378      485,063
                                                 ==========   ==========   ==========   ===========   ==========   ==========
Cost of shares acquired........................  $4,262,079   $2,995,282   $2,843,858   $10,744,256   $9,963,127   $3,671,539
                                                 ==========   ==========   ==========   ===========   ==========   ==========
Cost of shares redeemed........................  $1,328,541   $  888,200   $  589,564   $ 3,167,047   $  392,623   $  139,882
                                                 ==========   ==========   ==========   ===========   ==========   ==========
</TABLE>

                                      F-44
<PAGE>   106

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                            SCUDDER VARIABLE                       DREYFUS VARIABLE
                                                          LIFE INVESTMENT FUND                     INVESTMENT FUND
- -----------------------------------------------------------------------------------------------------------------------------
                                                        INTERNATIONAL PORTFOLIO               ZERO COUPON 2000 PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                     1998         1997         1996         1998         1997         1996
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                               <C>          <C>          <C>          <C>          <C>          <C>
Shares purchased................................     243,337      362,848      367,511      160,739      178,897      228,907
Shares received from reinvestment of:
  Dividends.....................................      15,137        7,622        2,055       27,581       21,457       18,860
  Capital gain distributions....................      99,556        3,992                                               1,345
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Total shares acquired...........................     358,030      374,462      369,566      188,320      200,354      249,112
Total shares redeemed...........................    (115,740)     (40,903)      (2,168)     (67,815)    (129,825)     (66,959)
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Net increase in shares owned....................     242,290      333,559      367,398      120,505       70,529      182,153
Shares owned, beginning of year.................     755,328      421,769       54,371      475,559      405,030      222,877
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Shares owned, end of year.......................     997,618      755,328      421,769      596,064      475,559      405,030
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares acquired.........................  $4,962,915   $5,230,236   $4,599,283   $2,357,097   $2,451,313   $3,073,171
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares redeemed.........................  $1,400,980   $  474,635   $   24,108   $  858,337   $1,563,893   $  791,662
                                                  ==========   ==========   ==========   ==========   ==========   ==========
</TABLE>

                                      F-45
<PAGE>   107

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                           DREYFUS VARIABLE                  DREYFUS SOCIALLY RESPONSIBLE
                                                            INVESTMENT FUND                       GROWTH FUND, INC.
- -----------------------------------------------------------------------------------------------------------------------------
                                                      GROWTH AND INCOME PORTFOLIO           SOCIALLY RESPONSIBLE PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                    1998         1997         1996          1998         1997         1996
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                              <C>          <C>          <C>           <C>          <C>          <C>
Shares purchased...............................     164,633      277,054       477,085      189,664      135,060       81,633
Shares received from reinvestment of:
  Dividends....................................       8,039       10,424         6,707          551          788          186
  Capital gain distributions...................      14,052       59,160        65,140       12,862        6,135        3,323
                                                 ----------   ----------   -----------   ----------   ----------   ----------
Total shares acquired..........................     186,724      346,638       548,932      203,077      141,983       85,142
Total shares redeemed..........................    (138,714)    (168,058)      (34,778)     (67,031)     (12,434)      (5,663)
                                                 ----------   ----------   -----------   ----------   ----------   ----------
Net increase in shares owned...................      48,010      178,580       514,154      136,046      129,549       79,479
Shares owned, beginning of year................     819,896      641,316       127,162      218,207       88,658        9,179
                                                 ----------   ----------   -----------   ----------   ----------   ----------
Shares owned, end of year......................     867,906      819,896       641,316      354,253      218,207       88,658
                                                 ==========   ==========   ===========   ==========   ==========   ==========
Cost of shares acquired........................  $3,998,110   $7,078,888   $11,274,699   $5,748,444   $3,325,662   $1,653,499
                                                 ==========   ==========   ===========   ==========   ==========   ==========
Cost of shares redeemed........................  $2,869,687   $3,122,555   $   583,074   $1,300,009   $  225,772   $   92,804
                                                 ==========   ==========   ===========   ==========   ==========   ==========
</TABLE>

                                      F-46
<PAGE>   108

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                          FEDERATED INSURANCE SERIES
- -----------------------------------------------------------------------------------------------------------------------------
                                                        FUND FOR U.S. GOVERNMENT
                                                        SECURITIES II PORTFOLIO               UTILITY FUND II PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                     1998         1997         1996         1998         1997         1996
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                               <C>          <C>          <C>          <C>          <C>          <C>
Shares purchased................................     569,802      187,156      155,414      352,245      140,162      189,045
Shares received from reinvestment of:
  Dividends.....................................       6,466        8,648        7,430        3,744        6,422        5,693
  Capital gain distributions....................         286                       332       22,863        5,679          525
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Total shares acquired...........................     576,554      195,804      163,176      378,852      152,263      195,263
Total shares redeemed...........................     (82,504)     (50,622)     (14,996)     (69,825)     (28,608)     (18,587)
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Net increase in shares owned....................     494,050      145,182      148,180      309,027      123,655      176,676
Shares owned, beginning of year.................     341,684      196,502       48,322      359,028      235,373       58,697
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Shares owned, end of year.......................     835,734      341,684      196,502      668,055      359,028      235,373
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares acquired.........................  $6,298,311   $2,003,403   $1,637,184   $5,378,724   $1,905,479   $2,157,050
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares redeemed.........................  $  823,154   $  517,189   $  150,038   $  773,585   $  305,915   $  187,545
                                                  ==========   ==========   ==========   ==========   ==========   ==========
</TABLE>

                                      F-47
<PAGE>   109

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                             NEUBERGER & BERMAN ADVISERS
                                                                                   MANAGEMENT TRUST
- --------------------------------------------------------------------------------------------------------------------------
                                                                 BALANCED PORTFOLIO                GROWTH PORTFOLIO
- --------------------------------------------------------------------------------------------------------------------------
                                                              1998       1997      1996       1998       1997       1996
- --------------------------------------------------------------------------------------------------------------------------
<S>                                                         <C>        <C>        <C>       <C>        <C>        <C>
Shares purchased..........................................    20,340     37,500     4,283     15,238     26,907      5,195
Shares received from reinvestment of:
  Dividends...............................................     1,208        114
  Capital gain distributions..............................     8,487        294               11,970        871
                                                            --------   --------   -------   --------   --------   --------
Total shares acquired.....................................    30,035     37,908     4,283     27,208     27,778      5,195
Total shares redeemed.....................................   (23,112)    (1,645)             (19,990)    (2,327)       (27)
                                                            --------   --------   -------   --------   --------   --------
Net increase in shares owned..............................     6,923     36,263     4,283      7,218     25,451      5,168
Shares owned, beginning of year...........................    40,546      4,283               30,619      5,168
                                                            --------   --------   -------   --------   --------   --------
Shares owned, end of year.................................    47,469     40,546     4,283     37,837     30,619      5,168
                                                            ========   ========   =======   ========   ========   ========
Cost of shares acquired...................................  $475,889   $643,054   $66,858   $696,912   $781,196   $126,671
                                                            ========   ========   =======   ========   ========   ========
Cost of shares redeemed...................................  $376,517   $ 24,854   $     9   $529,836   $ 55,238   $    660
                                                            ========   ========   =======   ========   ========   ========
</TABLE>

                                      F-48
<PAGE>   110

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                     NEUBERGER & BERMAN ADVISERS
                                                                           MANAGEMENT TRUST
- --------------------------------------------------------------------------------------------------------
                                                                     LIMITED MATURITY          PARTNERS
                                                                      BOND PORTFOLIO           PORTFOLIO
- --------------------------------------------------------------------------------------------------------
                                                                1998       1997       1996       1998
- --------------------------------------------------------------------------------------------------------
<S>                                                           <C>        <C>        <C>        <C>
Shares purchased............................................    60,226     62,507     11,388     22,371
Shares received from reinvestment of:
  Dividends.................................................     4,767      1,137
  Capital gain distributions................................
                                                              --------   --------   --------   --------
Total shares acquired.......................................    64,993     63,644     11,388     22,371
Total shares redeemed.......................................   (30,748)    (1,353)    (4,167)      (783)
                                                              --------   --------   --------   --------
Net increase in shares owned................................    34,245     62,291      7,221     21,588
Shares owned, beginning of year.............................    69,512      7,221
                                                              --------   --------   --------   --------
Shares owned, end of year...................................   103,757     69,512      7,221     21,588
                                                              ========   ========   ========   ========
Cost of shares acquired.....................................  $888,322   $877,259   $157,410   $407,672
                                                              ========   ========   ========   ========
Cost of shares redeemed.....................................  $424,355   $ 18,532   $ 56,421   $ 15,849
                                                              ========   ========   ========   ========
</TABLE>

                                      F-49
<PAGE>   111

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                   AMERICAN CENTURY               VAN ECK WORLDWIDE
                                                              VARIABLE PORTFOLIOS, INC.            INSURANCE TRUST
- --------------------------------------------------------------------------------------------------------------------------
                                                                 AMERICAN CENTURY VP
                                                                 CAPITAL APPRECIATION             VAN ECK WORLDWIDE
                                                                      PORTFOLIO                     BOND PORTFOLIO
- --------------------------------------------------------------------------------------------------------------------------
                                                              1998       1997      1996       1998       1997       1996
- --------------------------------------------------------------------------------------------------------------------------
<S>                                                          <C>       <C>        <C>       <C>        <C>        <C>
Shares purchased...........................................    8,123     11,508     8,077     80,971     75,793     15,517
Shares received from reinvestment of:
  Dividends................................................                                      786        468
  Capital gain distributions...............................      961        266
                                                             -------   --------   -------   --------   --------   --------
Total shares acquired......................................    9,084     11,774     8,077     81,757     76,261     15,517
Total shares redeemed......................................   (2,494)    (3,195)       (9)   (29,810)    (2,829)    (4,931)
                                                             -------   --------   -------   --------   --------   --------
Net increase in shares owned...............................    6,590      8,579     8,068     51,947     73,432     10,586
Shares owned, beginning of year............................   16,647      8,068               84,018     10,586
                                                             -------   --------   -------   --------   --------   --------
Shares owned, end of year..................................   23,237     16,647     8,068    135,965     84,018     10,586
                                                             =======   ========   =======   ========   ========   ========
Cost of shares acquired....................................  $85,444   $116,229   $84,678   $955,676   $812,049   $168,730
                                                             =======   ========   =======   ========   ========   ========
Cost of shares redeemed....................................  $26,675   $ 33,569   $   103   $318,147   $ 30,337   $ 52,412
                                                             =======   ========   =======   ========   ========   ========
</TABLE>

                                      F-50
<PAGE>   112

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                     VAN ECK WORLDWIDE INSURANCE TRUST
- -----------------------------------------------------------------------------------------------------------------------------
                                                                                                                    VAN ECK
                                                                                                                   WORLDWIDE
                                                    VAN ECK WORLDWIDE                 VAN ECK WORLDWIDE           REAL ESTATE
                                                  HARD ASSETS PORTFOLIO          EMERGING MARKETS PORTFOLIO        PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                1998       1997      1996        1998         1997       1996        1998
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                           <C>        <C>        <C>       <C>          <C>          <C>       <C>
Shares purchased............................    51,095      7,648     2,662      147,436       87,201     7,735      39,722
Shares received from reinvestment of:
  Dividends.................................        71         73                    854           38
  Capital gain distributions................     1,740         54                    759
                                              --------   --------   -------   ----------   ----------   -------    --------
Total shares acquired.......................    52,906      7,775     2,662      149,049       87,239     7,735      39,722
Total shares redeemed.......................   (16,271)      (354)     (107)     (40,752)     (10,248)       (3)    (10,398)
                                              --------   --------   -------   ----------   ----------   -------    --------
Net increase in shares owned................    36,635      7,421     2,555      108,297       76,991     7,732      29,324
Shares owned, beginning of year.............     9,976      2,555                 84,723        7,732
                                              --------   --------   -------   ----------   ----------   -------    --------
Shares owned, end of year...................    46,611      9,976     2,555      193,020       84,723     7,732      29,324
                                              ========   ========   =======   ==========   ==========   =======    ========
Cost of shares acquired.....................  $536,561   $129,621   $42,864   $1,157,713   $1,212,177   $93,586    $390,669
                                              ========   ========   =======   ==========   ==========   =======    ========
Cost of shares redeemed.....................  $246,428   $  5,619   $ 1,705   $  588,929   $  125,930   $    40    $112,395
                                              ========   ========   =======   ==========   ==========   =======    ========
</TABLE>

                                      F-51
<PAGE>   113

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

3. INVESTMENTS, CONTINUED

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

<TABLE>
<CAPTION>
                                                                     ALGER AMERICAN FUND
- ------------------------------------------------------------------------------------------------
                                                                        ALGER AMERICAN
                                                                     SMALL CAPITALIZATION
                                                                          PORTFOLIO
- ------------------------------------------------------------------------------------------------
                                                                 1998         1997        1996
- ------------------------------------------------------------------------------------------------
<S>                                                           <C>          <C>          <C>
Shares purchased............................................      37,437       40,894     11,790
Shares received from reinvestment of:
  Dividends.................................................
  Capital gain distributions................................       9,723        1,128
                                                              ----------   ----------   --------
Total shares acquired.......................................      47,160       42,022     11,790
Total shares redeemed.......................................     (12,326)      (2,609)       (12)
                                                              ----------   ----------   --------
Net increase in shares owned................................      34,834       39,413     11,778
Shares owned, beginning of year.............................      51,191       11,778
                                                              ----------   ----------   --------
Shares owned, end of year...................................      86,025       51,191     11,778
                                                              ==========   ==========   ========
Cost of shares acquired.....................................  $1,968,028   $1,740,549   $476,692
                                                              ==========   ==========   ========
Cost of shares redeemed.....................................  $  502,525   $  104,052   $    489
                                                              ==========   ==========   ========
</TABLE>

                                      F-52
<PAGE>   114

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Notes to Financial Statements -- continued

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

4. RELATED PARTY TRANSACTIONS

     Providentmutual makes certain deductions from premiums before amounts are
allocated to each separate account selected by the contractholder. The
deductions may include (1) surrender charges, (2) administration fees, (3)
transfer processing fees, (4) mortality and expense risk charges and (5) premium
taxes. Premiums adjusted for these deductions are recorded as net premiums in
the statement of changes in net assets. See original contract documents for
specific charges assessed.

     There are no sales expenses deducted from premiums at the time the premiums
are paid. If a contract has not been in force for six full years for Market
Street VIP and Market Street VIP/2 contracts and seven full years for an Options
VIP contract, upon surrender or for certain withdrawals, a surrender charge is
deducted from the proceeds. However, subject to certain restrictions, up to 10%
of the contract account value as of the beginning of a contract year may be
surrendered or withdrawn free of surrender charges. For Options VIP contracts,
the 10% is cumulative if unused.

     An annual administrative fee of $30 is deducted from the contract account
value on each contract anniversary date beginning one year from the issue date
of the contract. In addition, to compensate for costs associated with
administration of the Market Street VIP/2 and Options VIP contracts,
Providentmutual deducts a daily asset-based administration charge from the
assets of the Separate Account equal to an annual rate of .15%. This daily
asset-based administration charge is reported in the mortality and expense risk
charges in the statements of operations.

     During any given contract year, the first four transfers by Market Street
VIP contractholders and the first twelve transfers by Market Street VIP/2 and
Options VIP contractholders of amounts in the Subaccounts are free of charge. A
fee of $25 is assessed for each additional transfer. No transfer fees were
incurred during the years ended December 31, 1998 and 1997.

     The Contracts provide for an initial free-look period. If a contract is
cancelled within certain time constraints, the contractholder will receive a
refund equal to the contract account value plus certain deductions made under
the contract. Where state law requires a minimum refund equal to gross premiums
paid, the refund will instead equal the gross premiums paid on the contract and
will not reflect investment experience.

     The Separate Account is charged a daily mortality and expense risk charge
at an annual rate of 1.20% for the Market Street VIP contracts and 1.25% for the
Market Street VIP/2 and Options VIP contracts. Providentmutual reserves the
right to increase this charge for the Market Street VIP contracts, but in no
event will it be greater than 1.25%.

     State premium taxes, when applicable, will be deducted depending upon when
such taxes are paid to the taxing authority. The premium taxes are deducted
either from premiums as they are received or from the proceeds upon withdrawal
from or surrender of the contract or upon application of the proceeds to a
payment option.

                                      F-53
<PAGE>   115

                      (This page intentionally left blank)

                                      F-54
<PAGE>   116

                                PROVIDENTMUTUAL
                            LIFE AND ANNUITY COMPANY
                                   OF AMERICA
     (A WHOLLY-OWNED SUBSIDIARY OF PROVIDENT MUTUAL LIFE INSURANCE COMPANY)

                    REPORT ON AUDITS OF FINANCIAL STATEMENTS
              FOR THE YEARS ENDED DECEMBER 31, 1998, 1997 AND 1996
<PAGE>   117

                       REPORT OF INDEPENDENT ACCOUNTANTS

To the Board of Directors of
Providentmutual Life and Annuity
Company of America

     In our opinion, the accompanying statements of financial condition and the
related statements of operations, equity, and cash flows present fairly, in all
material respects, the financial position of Providentmutual Life and Annuity
Company of America (a wholly-owned stock life insurance subsidiary of Provident
Mutual Life Insurance Company), at December 31, 1998 and 1997, and the results
of their operations and their cash flows for each of the three years in the
period ended December 31, 1998, in conformity with generally accepted accounting
principles. 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 of these statements in
accordance with generally accepted auditing standards which 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, assessing the accounting principles used and significant estimates
made by management, and evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for the opinion expressed
above.

PRICEWATERHOUSECOOPERS LLP
Philadelphia, Pennsylvania
February 5, 1999

                                      F-56
<PAGE>   118

                    PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY
                                   OF AMERICA

                       STATEMENTS OF FINANCIAL CONDITION
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                    DECEMBER 31,
                                                              ------------------------
                                                                 1998          1997
                                                              ----------    ----------
<S>                                                           <C>           <C>
ASSETS
Investments:
  Fixed maturities:
     Available for sale, at market (cost: 1998 -- $352,107;
       1997 -- $311,637)....................................  $  359,442    $  320,363
     Held to maturity, at amortized cost (market:
      1998 -- $57,419; 1997 -- $65,305).....................      54,671        62,753
  Equity securities, at market (cost: 1998 -- $1,278;
     1997 -- $1,714)........................................       1,360         1,776
  Mortgage loans............................................      58,907        46,871
  Real estate...............................................         484         2,494
  Policy loans and premium notes............................       8,454         6,725
  Other invested assets.....................................          88           302
  Short-term investments....................................       7,151           552
                                                              ----------    ----------
          Total investments.................................     490,557       441,836
                                                              ----------    ----------
Cash........................................................       3,107         1,063
Investment income due and accrued...........................       7,304         7,046
Deferred policy acquisition costs...........................     104,913        83,291
Reinsurance recoverable.....................................       3,054        74,674
Separate account assets.....................................     880,417       627,081
Other assets................................................       1,312         1,342
                                                              ----------    ----------
          Total assets......................................  $1,490,664    $1,236,333
                                                              ==========    ==========
LIABILITIES
Policy liabilities:
  Future policyholder benefits..............................  $  510,560    $  516,591
  Other policy obligations..................................       8,246         8,147
                                                              ----------    ----------
          Total policy liabilities..........................     518,806       524,738
                                                              ----------    ----------
Payable to parent...........................................          --         1,837
Federal income taxes payable:
  Current...................................................       6,281         3,928
  Deferred..................................................       2,474         2,363
Separate account liabilities................................     877,713       624,872
Other liabilities...........................................       8,124         8,506
                                                              ----------    ----------
          Total liabilities.................................   1,413,398     1,166,244
                                                              ----------    ----------
COMMITMENTS AND CONTINGENCIES -- NOTE 9
EQUITY
Common stock, $10 par value; authorized 500,000 shares;
  issued and outstanding 250,000 shares.....................       2,500         2,500
Contributed capital in excess of par........................      44,165        44,165
Retained earnings...........................................      28,346        20,565
Accumulated other comprehensive income:
  Net unrealized appreciation on securities.................       2,255         2,859
                                                              ----------    ----------
          Total equity......................................      77,266        70,089
                                                              ----------    ----------
          Total liabilities and equity......................  $1,490,664    $1,236,333
                                                              ==========    ==========
</TABLE>

                See accompanying notes to financial statements.
                                      F-57
<PAGE>   119

                    PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY
                                   OF AMERICA

                            STATEMENTS OF OPERATIONS
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                YEARS ENDED DECEMBER 31,
                                                              -----------------------------
                                                               1998       1997       1996
                                                              -------    -------    -------
<S>                                                           <C>        <C>        <C>
REVENUES
Premiums....................................................  $13,269    $13,904    $13,541
Policy and contract charges.................................   18,239     11,729      6,068
Net investment income.......................................   35,262     32,314     32,213
Other income................................................    2,705      4,815      2,994
Net realized gains on investments...........................    2,010         69        112
                                                              -------    -------    -------
          Total revenues....................................   71,485     62,831     54,928
                                                              -------    -------    -------
BENEFITS AND EXPENSES
Policy and contract benefits................................   13,884     15,606     12,861
Change in future policyholder benefits......................   24,791     19,254     24,092
Commissions and operating expenses..........................   19,859     15,271      8,564
Policyholder dividends......................................      958        773        541
                                                              -------    -------    -------
          Total benefits and expenses.......................   59,492     50,904     46,058
                                                              -------    -------    -------
          Income before income taxes........................   11,993     11,927      8,870
Income tax expense:
  Current...................................................    3,776      2,470      2,612
  Deferred..................................................      436      1,979        988
                                                              -------    -------    -------
          Total income tax expense..........................    4,212      4,449      3,600
                                                              -------    -------    -------
          Net income........................................  $ 7,781    $ 7,478    $ 5,270
                                                              =======    =======    =======
</TABLE>

                See accompanying notes to financial statements.
                                      F-58
<PAGE>   120

                    PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY
                                   OF AMERICA

                              STATEMENTS OF EQUITY
                  YEARS ENDED DECEMBER 31, 1998, 1997 AND 1996
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>
                                                            CONTRIBUTED                     NET
                                        COMMON                CAPITAL                   UNREALIZED
                                        STOCK     COMMON     IN EXCESS     RETAINED    APPRECIATION      TOTAL
                                        SHARES    STOCK       OF PAR       EARNINGS    ON SECURITIES    EQUITY
                                        ------    ------    -----------    --------    -------------    -------
<S>                                     <C>       <C>       <C>            <C>         <C>              <C>
BALANCE AT JANUARY 1, 1996............  2,500     $2,500      $29,665      $ 7,817        $ 2,754       $42,736
                                                                                                        -------
Comprehensive income
Net income............................     --        --            --        5,270             --         5,270
  Other comprehensive income, net of
    tax:
    Change in unrealized
      appreciation....................     --        --            --           --         (1,857)       (1,857)
                                                                                                        -------
Total comprehensive income............                                                                    3,413
  Capital contribution from parent....     --        --         8,000           --             --         8,000
                                        -----     ------      -------      -------        -------       -------
BALANCE AT DECEMBER 31, 1996..........  2,500     2,500        37,665       13,087            897        54,149
                                                                                                        -------
Comprehensive income
Net income............................     --        --            --        7,478             --         7,478
  Other comprehensive income, net of
    tax:
    Change in unrealized
      appreciation....................     --        --            --           --          1,962         1,962
                                                                                                        -------
Total comprehensive income............                                                                    9,440
  Capital contribution from parent....     --        --         6,500           --             --         6,500
                                        -----     ------      -------      -------        -------       -------
BALANCE AT DECEMBER 31, 1997..........  2,500     2,500        44,165       20,565          2,859        70,089
                                                                                                        -------
Comprehensive income
Net income............................     --        --            --        7,781             --         7,781
  Other comprehensive income, net of
    tax:
    Change in unrealized
      appreciation....................     --        --            --           --           (604)         (604)
                                                                                                        -------
Total comprehensive income............                                                                    7,177
                                        -----     ------      -------      -------        -------       -------
BALANCE AT DECEMBER 31, 1998..........  2,500     $2,500      $44,165      $28,346        $ 2,255       $77,266
                                        =====     ======      =======      =======        =======       =======
</TABLE>

                See accompanying notes to financial statements.
                                      F-59
<PAGE>   121

                    PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY
                                   OF AMERICA

                            STATEMENTS OF CASH FLOWS
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                   YEARS ENDED DECEMBER 31,
                                                              -----------------------------------
                                                                1998         1997         1996
                                                              ---------    ---------    ---------
<S>                                                           <C>          <C>          <C>
CASH FLOWS FROM OPERATING ACTIVITIES
Net income..................................................  $   7,781    $   7,478    $   5,270
Adjustments to reconcile net income to net cash
  provided by (used in) operating activities:
  Interest credited to variable universal life and
    investment products.....................................     21,927       15,076       19,684
  Amortization of deferred policy acquisition costs.........     14,804        9,445        5,433
  Capitalization of deferred policy acquisition costs.......    (35,985)     (31,404)     (25,182)
  Deferred Federal income taxes.............................        436        1,979          988
  Depreciation, amortization and accretion..................        372          625          798
  Net realized gains on investments.........................     (2,010)         (69)        (112)
  Change in investment income due and accrued...............       (258)        (437)          66
  Change in reinsurance recoverable.........................     71,620        5,672          772
  Change in policy liabilities and other policyholder
    funds...................................................    (77,582)     (12,255)      (2,124)
  Change in other liabilities...............................       (382)         431         (210)
  Change in current Federal income taxes payable............      2,353         (809)        (928)
  Other, net................................................     (2,236)      (2,676)       3,756
                                                              ---------    ---------    ---------
    Net cash provided by (used in) operating activities.....        840       (6,944)       8,211
                                                              ---------    ---------    ---------
CASH FLOWS FROM INVESTING ACTIVITIES
Proceeds from sales of investments:
  Available for sale securities.............................     21,681       21,382        6,956
  Equity securities.........................................        370          100          200
  Real estate...............................................      5,324          772           --
  Other invested assets.....................................        248          333          158
Proceeds from maturities of investments:
  Held to maturity securities...............................     10,128       19,184       17,323
  Available for sale securities.............................     56,894       28,439       21,467
  Mortgage loans............................................      4,436        2,599        7,873
Purchases of investments:
  Held to maturity securities...............................     (2,000)      (2,029)     (15,887)
  Available for sale securities.............................   (119,639)     (72,520)     (38,542)
  Equity securities.........................................       (207)        (609)        (157)
  Mortgage loans............................................    (17,166)      (7,179)     (11,342)
  Real estate...............................................       (195)         (99)         (36)
  Other invested assets.....................................         --         (302)          --
Contributions of separate account seed money................       (330)          --         (335)
Withdrawals of separate account seed money..................        265           --           --
Policy loans and premium notes, net.........................     (1,729)        (373)        (906)
Net (purchases) sales of short-term investments.............     (6,599)       7,901        4,203
                                                              ---------    ---------    ---------
    Net cash used in investing activities...................    (48,519)      (2,401)      (9,025)
                                                              ---------    ---------    ---------
CASH FLOWS FROM FINANCING ACTIVITIES
Variable universal life and investment product deposits.....    302,071      232,307      185,984
Variable universal life and investment product
  withdrawals...............................................   (252,348)    (228,871)    (192,698)
Capital contribution from parent............................         --        6,500        8,000
                                                              ---------    ---------    ---------
    Net cash provided by financing activities...............     49,723        9,936        1,286
                                                              ---------    ---------    ---------
    Net change in cash......................................      2,044          591          472
Cash, beginning of year.....................................      1,063          472           --
                                                              ---------    ---------    ---------
Cash, end of year...........................................  $   3,107    $   1,063    $     472
                                                              =========    =========    =========
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
  Cash paid during the year for income taxes................  $   1,434    $   3,280    $   3,540
                                                              =========    =========    =========
  Foreclosure of mortgage loans.............................  $     500    $      --    $      --
                                                              =========    =========    =========
</TABLE>

                See accompanying notes to financial statements.
                                      F-60
<PAGE>   122

                    PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY
                                   OF AMERICA

                         NOTES TO FINANCIAL STATEMENTS

1.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

ORGANIZATION

     Providentmutual Life and Annuity Company of America (the Company) is a
stock life insurance company and a wholly-owned subsidiary of Provident Mutual
Life Insurance Company (Provident Mutual).

     On October 13, 1998, the Board of Directors of Provident Mutual unanimously
approved and adopted a Plan of Conversion (Plan) to reorganize Provident Mutual
Life Insurance Company, utilizing a mutual holding company structure. The Plan
amended and replaced the proposed plan of conversion adopted January 5, 1998.
The Plan would result in Provident Mutual converting to a stock life insurance
company and being renamed Provfirst America Life Insurance Company (Provfirst
America). Provfirst America will have a newly created parent company, Provfirst
America Corporation, a stock holding company. Additionally, Provfirst America
Corporation will have a newly created parent company, Provident Mutual Holding
Company, a mutual holding company. The Company will be renamed Provfirst America
Life and Annuity Company.

     The Insurance Department of the Commonwealth of Pennsylvania reviewed the
Plan and rendered its Decision and Order approving the Plan, subject to certain
conditions, on November 6, 1998.

     The Plan requires the approval of at least two-thirds of the votes cast by
voting policyholders. A Special Meeting of policyholders to consider and vote
upon the Plan has been scheduled for February 9, 1999.

     The Company sells life and annuity products principally through a personal
producing general agency (PPGA) and brokerage sales force. The Company is
licensed to operate in 48 states, which are responsible for product regulation.
Sales in 16 states accounted for 78% of the Company's sales for the year ended
December 31, 1998. For many of the life and annuity products, the insurance
departments of the states in which the Company conducts business must approve
products and policy forms in advance of sales. In addition, benefits are
determined by statutes and regulations in each of these states.

BASIS OF PRESENTATION

     The accompanying financial statements have been prepared in conformity with
generally accepted accounting principles (GAAP). Certain prior year amounts have
been reclassified to conform with the current year presentation.

     The Company prepares financial statements for filing with regulatory
authorities in conformity with the accounting practices prescribed or permitted
by the Insurance Department of the State of Delaware (SAP). Practices under SAP
vary from GAAP primarily with respect to the initial deferral of acquisition
costs, the valuation of policy reserves, the accounting for deferred taxes, the
elimination of statutory asset valuation and interest maintenance reserves and
the establishment of investment valuation allowances.

     Amounts disclosed in the footnotes are denoted in thousands of dollars.

     Statutory net income was $1,702, $1,792 and $1,448 for the years ended
December 31, 1998, 1997 and 1996, respectively. Statutory surplus was $44,730
and $47,225 as of December 31, 1998 and 1997, respectively.

     The preparation of the accompanying financial statements required
management to make estimates and assumptions that affect the report values of
assets and liabilities and the reported amounts of revenues and expenses. Actual
results could differ from those estimates.

     The Company is subject to interest rate risk to the extent its investment
portfolio cash flows are not matched to its insurance liabilities. Management
believes it manages this risk through modeling of the cash flows under
reasonable scenarios.

INVESTED ASSETS

     Fixed maturity securities (bonds) which may be sold are designated as
"available for sale" and

                                      F-61
<PAGE>   123
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

are reported at market value. Unrealized appreciation/depreciation on these
securities is recorded directly in equity, net of related Federal income taxes
and amortization of deferred policy acquisition costs. Fixed maturity securities
that the Company has the intent and ability to hold to maturity are designated
as "held to maturity" and are reported at amortized cost.

     Equity securities (common and preferred stocks) are reported at market
value. Unrealized appreciation/depreciation on these securities is recorded
directly in equity, net of related Federal income taxes and amortization of
deferred policy acquisition costs.

     Fixed maturity and equity securities that have experienced an other than
temporary decline in value are written down to fair value by a charge to
realized losses. This fair value becomes the new cost basis of the particular
security.

     Mortgage loans are carried at unpaid principal balances, less impairment
reserves. For mortgage loans considered impaired, a specific reserve is
established. A general reserve is also established for probable losses arising
from the portfolio but not attributable to specific loans. Mortgage loans are
considered impaired when it is probable that the Company will be unable to
collect amounts due according to the contractual terms of the loan agreement.
Upon impairment, a reserve is established for the difference between the unpaid
principal of the mortgage loan and its fair value. Fair value is based on either
the present value of expected future cash flows discounted at the mortgage
loan's effective interest rate or the fair value of the underlying collateral.
Changes in the reserve are charged to realized capital losses. Reserves totaled
$1,064 and $1,170 at December 31, 1998 and 1997, respectively.

     Policy loans are reported at unpaid principal balances.

     Real estate is carried at lower of cost or fair value less accumulated
depreciation from the date of foreclosure. The straight-line method of
depreciation is used for real estate.

     Other invested assets consist of limited partnerships carried at the lower
of cost or market value.

     Cash includes demand deposits and cash on hand.

     Short-term investments include money market funds, certificates of deposit
and short-term investments whose maturities at the time of acquisition were one
year or less. These investments are carried at amortized cost, which
approximates fair market value.

     It is the Company's policy to use derivatives (exchange-traded or
over-the-counter financial instruments whose value is based upon or derived from
a specific underlying index or commodity) for the purpose of reducing exposure
to interest rate fluctuations, but not for income generation or speculative
purposes. Derivatives utilized by the Company are long and short positions on
United States Treasury notes and bond futures and certain interest rate swaps.

     The net interest effect of futures transactions is settled on a daily
basis. Cash paid or received is recorded daily, along with a receivable/payable,
to settle the futures contract prior to the contract termination. The
receivable/payable is carried until the contract is terminated and the remaining
balance is included in either net investment income or realized gain or loss.
Upon termination of a futures contract that is identified to a specific
security, any gain or loss is deferred and amortized to net investment income
over the expected remaining life of the hedged security. If the futures contract
is not identified to a specific security, any gain or loss on termination is
reported as a realized gain or loss.

     Interest rate swaps are settled on the contract date. Cash paid or received
is reported as an adjustment to net investment income.

     In June 1998, the Financial Accounting Standards Board (FASB) issued
Statement of Financial Accounting Standards (SFAS) No. 133, "Accounting for
Derivative Instruments and Hedging Activities." This Statement requires that all
derivatives be recorded at fair value in the statement of financial condition as
either assets or liabilities. The accounting for changes in the fair value of a
derivative depends on its intended use and its resulting designation. This
Statement is effective for fiscal years beginning after June 15, 1999. The
Company is currently reviewing this

                                      F-62
<PAGE>   124
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

Statement and has not yet determined its impact on the financial statements.

     In December 1997, the American Institute of Certified Public Accountants
issued Statement of Position No. 97-3, "Accounting by Insurance and Other
Enterprises for Insurance-Related Assessments." The adoption of this statement,
which is effective for fiscal years beginning after December 15, 1998, is not
expected to have a material effect on the Company's financial statements.

BENEFIT RESERVES AND POLICYHOLDER CONTRACT DEPOSITS

Traditional Life Insurance Products

     Traditional life insurance products include those contracts with fixed and
guaranteed premiums and benefits, and consist principally of whole life and term
insurance policies, limited-payment life insurance policies and certain
annuities with life contingencies. Most traditional life insurance policies are
participating. In addition to guaranteeing benefits, they pay dividends, as
declared annually by the Company based on its experience. Reserves on
traditional life insurance products are calculated by using the net level
premium method. For participating traditional life insurance policies, reserve
assumptions are based on mortality rates consistent with those underlying the
cash values and investment rates consistent with the Company's dividend
practices. For most policies, reserves are based on the 1958 or 1980
Commissioners' Standard Ordinary (CSO) mortality table at interest rates ranging
from 2.5% to 5.0%.

Variable Life and Investment-Type Products

     Variable life products are all flexible premium variable universal life.
Investment-type products consist primarily of single premium and flexible
premium annuity contracts.

     Benefit reserves and policyholder contract deposits on these products are
determined following the retrospective deposit method and consist of policy
values that accrue to the benefit of the policyholder, before deduction of
surrender charges.

PREMIUMS, CHARGES AND BENEFITS

Traditional Life Insurance

     Premiums for individual life policies are recognized when due.

     Benefit claims (including an estimated provision for claims incurred but
not reported), benefit reserve changes, and expenses (except those deferred) are
charged to income as incurred.

Variable Life and Investment-Type Products

     Revenues for variable life and investment-type products consist of policy
charges for the cost of insurance, policy initiation, administration and
surrenders during the period. Premiums received and the accumulated value
portion of benefits paid are excluded from the amounts reported in the
statements of operations. Expenses include interest credited to policy account
balances and benefit payments made in excess of policy account balances. Many of
these policies are variable life or variable annuity policies, in which
investment performance credited to the account balance is based on the
investment performance of separate accounts chosen by the policyholder. For
other account balances, credited interest rates ranged from 3.47% to 7.5% in
1998.

Deferred Policy Acquisition Costs

     The costs that vary with and are directly related to the production of new
business, have been deferred to the extent deemed recoverable. Such costs
include commissions and certain costs of underwriting, policy issue and
marketing.

     Deferred policy acquisition costs on traditional participating life
insurance policies are amortized in proportion to the present value of expected
gross margins. Gross margins include margins from mortality, investments and
expenses, net of policyholder dividends. Expected gross margins are redetermined
regularly, based on actual experience and current assumptions of mortality,
persistency, expenses, and investment experience. The average investment yield,
before realized capital gains and losses, in the calculation of expected gross
margins was 8.25% for 1998, 8.0% for 1997 and 8.46% for 1996.

                                      F-63
<PAGE>   125
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

     Deferred policy acquisition costs for variable life and investment-type
products are amortized in relation to the incidence of expected gross profits,
including realized investment gains and losses, over the expected life of the
policies.

     The costs deferred during 1998, 1997 and 1996 were $35,985, $31,404 and
$25,182, respectively. Amortization of deferred policy acquisition costs was
$14,804, $9,445 and $5,433 during 1998, 1997 and 1996, respectively.

CAPITAL GAINS AND LOSSES

     Realized capital gains and losses on sales of investments are based upon
specific identification of the investments sold. A realized capital loss is
recorded at the time a decline in the value of an investment is determined to be
other than temporary.

POLICYHOLDER DIVIDENDS

     Annually, the Board of Directors declares the amount of dividends to be
paid in the following calendar year. Dividends are earned by the policyholders
ratably over the policy year. Dividends are included in the accompanying
financial statements as a liability and as a charge to operations.

REINSURANCE

     Premiums, benefits and expenses are recorded net of experience refunds,
reserve adjustments and amounts assumed from or ceded to reinsurers, including
commission and expense allowances.

SEPARATE ACCOUNTS

     Separate account assets and liabilities represent segregated funds
administered and invested by the Company for the benefit of variable annuity
contractholders and variable life insurance policyholders.

     The contractholders/policyholders bear the investment risk on separate
account assets except in instances where the Company generates a fixed return
and on the Company's seed money. The separate account assets are carried at fair
value.

FEDERAL INCOME TAXES

     Deferred income tax assets and liabilities have been recorded for temporary
differences between the reported amounts of assets and liabilities in the
accompanying financial statements and those in the Company's income tax returns.

COMPREHENSIVE INCOME

     During 1998, the Company adopted SFAS No. 130, "Reporting Comprehensive
Income". SFAS No. 130 establishes standards for the reporting and presentation
of comprehensive income and its components.

     Comprehensive income encompasses all changes in equity, excluding
transactions with owners, and includes net income and the change in unrealized
appreciation/depreciation on securities. This new standard requires additional
disclosures in the financial statements and does not affect results of
operations or financial condition.

                                      F-64
<PAGE>   126
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

     The components of other comprehensive income are as follows:

<TABLE>
<CAPTION>
                                                                      TAX
                                                     BEFORE TAX    (EXPENSE)    NET OF TAX
                                                       AMOUNT       BENEFIT       AMOUNT
                                                     ----------    ---------    ----------
<S>                                                  <C>           <C>          <C>
YEAR ENDED DECEMBER 31, 1998:
  Unrealized appreciation (depreciation) on
     securities....................................   $ 1,081       $  (378)     $   703
  Less: reclassification adjustment for gains
     realized in net income........................    (2,010)          703       (1,307)
                                                      -------       -------      -------
  Net change in unrealized appreciation on
     securities....................................   $  (929)      $   325      $  (604)
                                                      =======       =======      =======
YEAR ENDED DECEMBER 31, 1997:
  Unrealized appreciation (depreciation) on
     securities....................................   $ 3,088       $(1,081)     $ 2,007
  Less: reclassification adjustment for gains
     realized in net income........................       (69)           24          (45)
                                                      -------       -------      -------
  Net change in unrealized appreciation on
     securities....................................   $ 3,019       $(1,057)     $ 1,962
                                                      =======       =======      =======
YEAR ENDED DECEMBER 31, 1996:
  Unrealized appreciation (depreciation) on
     securities....................................   $(2,745)      $   961      $(1,784)
  Less: reclassification adjustment for gains
     realized in net income........................      (112)           39          (73)
                                                      -------       -------      -------
  Net change in unrealized appreciation on
     securities....................................   $(2,857)      $ 1,000      $(1,857)
                                                      =======       =======      =======
</TABLE>

2.  FAIR VALUE OF FINANCIAL INSTRUMENTS

     The following table presents the fair values and carrying values of the
Company's financial instruments at December 31, 1998 and 1997:

<TABLE>
<CAPTION>
                                        DECEMBER 31, 1998          DECEMBER 31, 1997
                                     ------------------------    ----------------------
                                        FAIR        CARRYING       FAIR       CARRYING
                                       VALUE         VALUE        VALUE        VALUE
                                     ----------    ----------    --------    ----------
<S>                                  <C>           <C>           <C>         <C>
ASSETS
Fixed maturities:
  Available for sale...............    $359,442      $359,442    $320,363      $320,363
  Held to maturity.................     $57,419       $54,671     $65,305       $62,753
Equity securities..................      $1,360        $1,360      $1,776        $1,776
Mortgage loans.....................     $64,225       $58,907     $49,379       $46,871
LIABILITIES FOR INVESTMENT-TYPE
  INSURANCE CONTRACTS
Supplementary contracts without
  life contingencies...............      $7,479        $7,142      $7,304        $7,185
Individual annuities...............  $1,181,520    $1,215,896    $977,658    $1,012,040
</TABLE>

     The underlying investment risk of the Company's variable life and variable
annuity contracts is assumed by the policyholder. These reserve liabilities are
primarily reported in the separate accounts. The liabilities in the separate
accounts are recorded at amounts equal to the related assets at fair value.

     Fair values for the Company's insurance contracts other than
investment-type contracts are not required to be disclosed under Statement of
Financial Accounting Standards No. 107, "Disclosures about Fair Value of
Financial Instruments." However, the estimated fair value and future cash flows
of liabilities under all insurance contracts are taken into consideration in the
Company's overall management of interest rate risk, which minimizes exposure to
changing interest rates through the matching of investment

                                      F-65
<PAGE>   127
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

maturities with amounts due under insurance contracts. The estimated fair value
of all assets without a corresponding revaluation of all liabilities associated
with insurance contracts can be misinterpreted.

     The following notes summarize the major methods and assumptions used in
estimating the fair values of financial instruments:

INVESTMENT SECURITIES

     Bonds, common stocks and preferred stocks are valued based upon quoted
market prices, where available. If quoted market prices are not available, as in
the case of private placements, fair values are based on quoted market prices of
comparable instruments (see Note 3).

MORTGAGE LOANS

     Mortgage loans are valued using discounted cash flow analyses, using
interest rates currently being offered for loans with similar terms to borrowers
of similar credit quality. For mortgage loans classified as nonperforming, the
fair value was set equal to the lesser of the unpaid principal balance or the
market value of the underlying property.

POLICY LOANS

     Policy loans are issued with either fixed or variable interest rates,
depending upon the terms of the policies. For those loans with fixed interest
rates, the interest rates range from 5% to 8%. For loans with variable interest
rates, the interest rates are primarily adjusted quarterly based upon changes in
a corporate bond index. Future cash flows of policy loans are uncertain and
difficult to predict. As a result, management deems it impractical to calculate
the fair value of policy loans.

INDIVIDUAL ANNUITIES AND SUPPLEMENTARY CONTRACTS

     The fair value of individual annuities and supplementary contracts without
life contingencies is based primarily on surrender values. For those individual
annuities and supplementary contracts that are not surrenderable, discounted
future cash flows are used for calculating fair value.

POLICYHOLDER DIVIDENDS AND COUPON ACCUMULATIONS

     The policyholders' dividend and coupon accumulation liabilities will
ultimately be settled in cash, applied toward the payment of premiums, or left
on deposit with the Company at interest. Management deems it impractical to
calculate the fair value of these liabilities due to valuation difficulties
involving the uncertainties of final settlement.

3.  MARKETABLE SECURITIES

     The amortized cost, gross unrealized gains, gross unrealized losses and
estimated fair value of investments in fixed maturity securities and equity
securities as of December 31, 1998 and 1997 are as follows:

<TABLE>
<CAPTION>
                                                                  DECEMBER 31, 1998
                                                  --------------------------------------------------
                                                                 GROSS         GROSS       ESTIMATED
                                                  AMORTIZED    UNREALIZED    UNREALIZED      FAIR
AVAILABLE FOR SALE                                  COST         GAINS         LOSSES        VALUE
- ------------------                                ---------    ----------    ----------    ---------
<S>                                               <C>          <C>           <C>           <C>
U.S. Treasury securities and obligations of U.S.
  government corporations and agencies..........  $    562      $    38        $   --      $    600
Obligations of states and political
  subdivisions..................................     3,416          215            --         3,631
Corporate securities............................   317,068        9,330         3,340       323,058
Mortgage-backed securities......................    31,061        1,121            29        32,153
                                                  --------      -------        ------      --------
Subtotal -- fixed maturities....................   352,107       10,704         3,369       359,442
Equity securities...............................     1,278          495           413         1,360
                                                  --------      -------        ------      --------
     Total......................................  $353,385      $11,199        $3,782      $360,802
                                                  ========      =======        ======      ========
</TABLE>

                                      F-66
<PAGE>   128
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

<TABLE>
<CAPTION>
                                                                  DECEMBER 31, 1998
                                                  --------------------------------------------------
                                                                 GROSS         GROSS       ESTIMATED
                                                  AMORTIZED    UNREALIZED    UNREALIZED      FAIR
HELD TO MATURITY                                    COST         GAINS         LOSSES        VALUE
- ----------------                                  ---------    ----------    ----------    ---------
<S>                                               <C>          <C>           <C>           <C>
U.S. Treasury securities and obligations of U.S.
  government corporations and agencies..........  $  4,655      $   594        $   --      $  5,249
Corporate securities............................    46,618        1,849             1        48,466
Mortgage-backed securities......................     3,398          306            --         3,704
                                                  --------      -------        ------      --------
     Total......................................  $ 54,671      $ 2,749        $    1      $ 57,419
                                                  ========      =======        ======      ========
</TABLE>

<TABLE>
<CAPTION>
                                                                  DECEMBER 31, 1997
                                                  --------------------------------------------------
                                                                 GROSS         GROSS       ESTIMATED
                                                  AMORTIZED    UNREALIZED    UNREALIZED      FAIR
AVAILABLE FOR SALE                                  COST         GAINS         LOSSES        VALUE
- ------------------                                ---------    ----------    ----------    ---------
<S>                                               <C>          <C>           <C>           <C>
U.S. Treasury securities and obligations of U.S.
  government corporations and agencies..........  $    563      $    12        $    2      $    573
Obligations of states and political
  subdivisions..................................     4,083          187            --         4,270
Corporate securities............................   274,262        8,651         1,076       281,837
Mortgage-backed securities......................    32,729          958             4        33,683
                                                  --------      -------        ------      --------
Subtotal -- fixed maturities....................   311,637        9,808         1,082       320,363
Equity securities...............................     1,714          487           425         1,776
                                                  --------      -------        ------      --------
     Total......................................  $313,351      $10,295        $1,507      $322,139
                                                  ========      =======        ======      ========
</TABLE>

<TABLE>
<CAPTION>
                                                                  DECEMBER 31, 1997
                                                  --------------------------------------------------
                                                                 GROSS         GROSS       ESTIMATED
                                                  AMORTIZED    UNREALIZED    UNREALIZED      FAIR
HELD TO MATURITY                                    COST         GAINS         LOSSES        VALUE
- ----------------                                  ---------    ----------    ----------    ---------
<S>                                               <C>          <C>           <C>           <C>
U.S. Treasury securities and obligations of U.S.
  government corporations and agencies..........  $  4,704      $   417        $   10      $  5,111
Corporate securities............................    54,563        1,899            28        56,434
Mortgage-backed securities......................     3,486          274            --         3,760
                                                  --------      -------        ------      --------
     Total......................................  $ 62,753      $ 2,590        $   38      $ 65,305
                                                  ========      =======        ======      ========
</TABLE>

     The amortized cost and estimated fair value of fixed maturity securities at
December 31, 1998, by contractual maturity, are as follows:

<TABLE>
<CAPTION>
                            AMORTIZED   ESTIMATED
AVAILABLE FOR SALE            COST      FAIR VALUE
- ------------------          ---------   ----------
<S>                         <C>         <C>
Due in one year or less...  $ 33,082     $ 33,398
Due after one year through
  five years..............   120,727      123,164
Due after five years
  through ten years.......   105,291      108,028
Due after ten years.......    93,007       94,852
                            --------     --------
     Total................  $352,107     $359,442
                            ========     ========
</TABLE>

<TABLE>
<CAPTION>
                            AMORTIZED   ESTIMATED
HELD TO MATURITY              COST      FAIR VALUE
- ----------------            ---------   ----------
<S>                         <C>         <C>
Due in one year or less...   $ 2,257     $ 2,262
Due after one year through
  five years..............    21,467      22,155
Due after five years
  through ten years.......    28,040      29,818
Due after ten years.......     2,907       3,184
                             -------     -------
     Total................   $54,671     $57,419
                             =======     =======
</TABLE>

     Expected maturities may differ from contractual maturities because
borrowers may have the right to call or prepay obligations with or without call
or prepayment penalties. Mortgage-backed securities are included based on their
contractual maturity.

                                      F-67
<PAGE>   129
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

     Realized gains (losses) on investments for the years ended December 31,
1998, 1997 and 1996 are summarized as follows:

<TABLE>
<CAPTION>
                         1998      1997     1996
                        -------   -------   ----
<S>                     <C>       <C>       <C>
Fixed maturities......  $  (292)  $ 1,135   $ 71
Equity securities.....     (273)   (1,360)     6
Mortgage loans........     (194)      104     35
Real estate...........    2,735       133     --
Other invested
  assets..............       34        57     --
                        -------   -------   ----
                        $ 2,010   $    69   $112
                        =======   =======   ====
</TABLE>

     Net unrealized appreciation on available for sale securities as of December
31, 1998 and 1997 is summarized as follows:

<TABLE>
<CAPTION>
                               1998      1997
                              -------   -------
<S>                           <C>       <C>
Net unrealized appreciation
  before adjustments for the
  following:................  $ 7,417   $ 8,788
  Amortization of deferred
     policy acquisition
     costs..................   (3,947)   (4,389)
  Deferred Federal income
     taxes..................   (1,215)   (1,540)
                              -------   -------
Net unrealized
  appreciation..............  $ 2,255   $ 2,859
                              =======   =======
</TABLE>

     Net investment income, by type of investment, is as follows for the years
ending December 31, 1998, 1997 and 1996:

<TABLE>
<CAPTION>
                        1998      1997      1996
                       -------   -------   -------
<S>                    <C>       <C>       <C>
Gross investment
  income:
Fixed maturities:
  Available for
     sale............  $25,294   $22,559   $21,379
  Held to maturity...    4,686     5,692     6,699
Equity securities....       66        92        87
Mortgage loans.......    4,485     3,924     3,750
Real estate..........      523       591       759
Policy loans and
  premium notes......      299       214       158
Short-term
  investments........      431       258       363
Other, net...........      781         9        27
                       -------   -------   -------
                        36,565    33,339    33,222
Less investment
  expenses...........   (1,303)   (1,025)   (1,009)
                       -------   -------   -------
Net investment
  income.............  $35,262   $32,314   $32,213
                       =======   =======   =======
</TABLE>

4.  MORTGAGE LOANS

     The carrying value of impaired loans was $2,363 and $2,951, which were net
of reserves of $474 and $704 as of December 31, 1998 and 1997, respectively.

     A reconciliation of the reserve balance, including general reserves, for
mortgage loans for 1998 and 1997 is as follows:

<TABLE>
<CAPTION>
                                 1998     1997
                                ------   ------
<S>                             <C>      <C>
Balance at January 1..........  $1,170   $1,274
Recoveries....................     124     (104)
Releases due to
  foreclosures................    (230)      --
                                ------   ------
Balance at December 31........  $1,064   $1,170
                                ======   ======
</TABLE>

     The average recorded investment in impaired loans was $2,624 and $3,767
during 1998 and 1997, respectively. Interest income recognized on impaired loans
during 1998, 1997 and 1996 was $237, $284 and $405, respectively. All interest
income on impaired loans was recognized on the cash basis.

5.  REAL ESTATE

     Real estate totaled $484 and $2,494 as of December 31, 1998 and 1997,
respectively. Depreciation expense was $116, $113 and $112 for the years ended
December 31, 1998, 1997 and 1996, respectively. Accumulated depreciation for
real estate totaled $34 and $435 at December 31, 1998 and 1997, respectively.

6.  FEDERAL INCOME TAXES

     The Company files a consolidated Federal income tax return with Provident
Mutual. The tax liability is accrued on a separate company basis which includes
an allocation of an equity tax from Provident Mutual.

                                      F-68
<PAGE>   130
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

     The provision for Federal income taxes from operations differs from the
normal relationship of Federal income tax to pretax income as follows:

<TABLE>
<CAPTION>
                       YEAR ENDED DECEMBER 31,
                       ------------------------
                        1998     1997     1996
                       ------   ------   ------
<S>                    <C>      <C>      <C>
Federal income tax at
  statutory rate.....  $4,198   $4,174   $3,105
  Current year equity
     tax.............     664      900      800
  True down of prior
     years' equity
     tax.............    (650)    (625)    (305)
                       ------   ------   ------
Provision for Federal
  income tax from
  operations.........  $4,212   $4,449   $3,600
                       ======   ======   ======
</TABLE>

     Deferred income tax assets and liabilities reflect the income tax effects
of cumulative temporary differences between the reported values of assets and
liabilities for financial statement purposes and income tax return purposes.
Components of the Company's net deferred income tax liability is as follows at
December 31, 1998 and 1997:

<TABLE>
<CAPTION>
                              1998      1997
                             -------   -------
<S>                          <C>       <C>
DEFERRED TAX LIABILITY
Deferred policy acquisition
  costs....................   32,648    26,550
Net unrealized gain on
  available for sale
  securities...............    1,215     1,540
                             -------   -------
     Total deferred tax
       liability...........   33,863    28,090
                             -------   -------
DEFERRED TAX ASSET
Reserves...................  $30,671   $26,650
Invested assets............      353       409
Policyholder dividends.....      189       159
Other......................      176    (1,491)
                             -------   -------
     Total deferred tax
       asset...............   31,389    25,727
                             -------   -------
Net deferred tax
  liability................  $ 2,474   $ 2,363
                             =======   =======
</TABLE>

     Under current tax law, stock life insurance companies are taxed at current
rates on distributions from the special surplus account for the benefit of
policyholders designated "Policyholder Surplus" (the Account). The Tax Reform
Act of 1984 eliminated further additions to the Account after December 31, 1983.
The aggregate accumulation at December 31, 1983 was $2,037. The Company has no
present plans to make any distributions which would subject the Account to
current taxation.

     The Company's Federal income tax returns have been audited through 1994.
All years through 1985 are closed. Years 1986 through 1994 have been audited and
are closed with the exception of several issues for which claims for refund have
been filed. Years 1995 through the present remain open. In the opinion of
management, adequate provision has been made for the possible effect of
potential assessments related to prior years' taxes.

7.  REINSURANCE

     In the normal course of business, the Company assumes risks from and cedes
certain parts of its risks to other insurance companies. The primary purpose of
ceded reinsurance is to limit losses from large exposures. For life insurance,
the Company retains no more than $1,500 on any single life.

     Reinsurance contracts do not relieve the Company of its obligations to
policyholders. To the extent that reinsuring companies are later unable to meet
obligations under reinsurance agreements, the Company would be liable for these
obligations. The Company evaluates the financial condition of its reinsurers and
limits its exposure to any one reinsurer.

                                      F-69
<PAGE>   131
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

     The tables below highlight the amounts shown in the accompanying financial
statements which are net of reinsurance activity:

<TABLE>
<CAPTION>
                                                     CEDED TO      ASSUMED
                                        GROSS         OTHER       FROM OTHER      NET
                                        AMOUNT      COMPANIES     COMPANIES      AMOUNT
                                      ----------    ----------    ----------    --------
<S>                                   <C>           <C>           <C>           <C>
DECEMBER 31, 1998:
Life insurance in force.............  $2,763,532    $1,980,669     $34,968      $817,831
                                      ==========    ==========     =======      ========
Premiums............................  $   13,771    $      666     $   164      $ 13,269
                                      ==========    ==========     =======      ========
Future policyholder benefits........  $  510,560    $    3,054     $ 2,378      $509,884
                                      ==========    ==========     =======      ========
DECEMBER 31, 1997:
Life insurance in force.............  $2,153,084    $1,591,141     $50,233      $612,176
                                      ==========    ==========     =======      ========
Premiums............................  $   14,367    $      614     $   151      $ 13,904
                                      ==========    ==========     =======      ========
Future policyholder benefits........  $  516,591    $   74,674     $ 3,102      $445,019
                                      ==========    ==========     =======      ========
DECEMBER 31, 1996:
Life insurance in force.............  $1,591,685    $1,282,667     $42,330      $351,348
                                      ==========    ==========     =======      ========
Premiums............................  $   14,240    $      801     $   102      $ 13,541
                                      ==========    ==========     =======      ========
Future policyholder benefits........  $  511,447    $   80,346     $ 4,332      $435,433
                                      ==========    ==========     =======      ========
</TABLE>

     On January 1, 1998, the Company terminated its reinsurance agreement with
Metropolitan Life Insurance Company (Metropolitan). Prior to 1998, the Company
had ceded 65 percent of the premiums and reserves related to its single premium
deferred annuity (SPDA) product to Metropolitan. The Company recaptured $71,995
in reserves and received cash totaling $70,140. The $1,855 cost of recapturing
the contracts has been deferred and will be amortized in relation to the
incidence of expected gross profits over the expected life of the contracts.

     A coinsurance agreement exists between Provident Mutual and the Company
with respect to annuities. Prior to 1992, the agreement covered SPDA's issued
after 1984. The agreement was amended in 1992 to include single premium
immediate annuities and supplementary contracts. Pursuant to this agreement, the
Company has no reinsurance recoverables at December 31, 1998 and 1997. Deposits
ceded during 1998 and 1997 were $2,749 and $2,351, respectively.

     Approximately $1,481,828 and $1,169,702 of the Company's life insurance in
force is ceded to Provident Mutual under two reinsurance agreements and a
modified coinsurance agreement at December 31, 1998 and 1997, respectively.
Premiums ceded were $4,182 and $3,889 during 1998 and 1997, respectively.
Reinsurance recoverables at December 31, 1998 and 1997 were $134 and $74,
respectively.

8.  RELATED PARTY TRANSACTIONS

     Provident Mutual and its subsidiaries provide certain investment and
administrative services to the Company. Generally, fees for these services are
based on an allocation of costs upon either a specific identification basis or a
proportional cost allocation basis which management believes to be reasonable.
These costs include direct salaries and related benefits, including pension and
other postretirement benefits, as well as overhead costs. These costs were
$16,581, $13,964 and $10,013 for 1998, 1997 and 1996, respectively.

     The contractual obligations under the Company's SPDA contracts in force and
issued before September 1, 1988 are guaranteed by Provident Mutual. Total SPDA
contracts affected by this guarantee in force at December 31, 1998 and 1997
approximated $81,050 and $90,995, respectively.

                                      F-70
<PAGE>   132
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

9.  COMMITMENTS AND CONTINGENCIES

FINANCIAL INSTRUMENTS WITH OFF-BALANCE-SHEET RISK

     The Company is a party to financial instruments with off-balance-sheet risk
in the normal course of business to meet the financing needs of its borrowers
and to reduce its own exposure to fluctuations in interest rates. These
financial instruments include investment commitments related to its interests in
mortgage loans, marketable securities lending and interest rate futures
contracts. Those instruments involve, to varying degrees, elements of credit and
interest rate risk in excess of the amount recognized in the statements of
financial condition.

     At December 31, 1998, the Company had outstanding mortgage loan and limited
partnership commitments of approximately $4,650. The mortgage loan commitments,
which expire through February 1999, totaled $1,650 and were issued during 1998
at interest rates consistent with rates applicable on December 31, 1998. As a
result, the fair value of these commitments approximates the face amount.

     Derivatives are used for hedging existing bonds (including cash reserves)
against adverse price or interest rate movements and for fixing liability costs
at the time of product sales. The Company closed out hedge positions consisting
of 226 treasury futures contracts with a dollar value of $25,727 in 1998 and the
approximate net losses generated from the hedge positions were $33. There were
no open hedge positions at December 31, 1998. There was no hedge position
activity for the year ended December 31, 1997.

     Periodically, the Company enters securities lending agreements to earn
additional investment income on its securities. The borrower must provide cash
collateral prior to or at the inception of the loan. There were no securities
lending positions at December 31, 1998.

INVESTMENT PORTFOLIO CREDIT AMOUNT RISK

Bonds

     The Company's bond investment portfolio is predominately comprised of
investment grade securities. At December 31, 1998 and 1997, approximately
$23,488 and $14,771, respectively, in debt security investments (5.8% and 3.9%,
respectively, of the total debt security portfolio) are considered "below
investment grade." Securities are classified as "below investment grade"
primarily by utilizing rating criteria established by independent bond rating
agencies.

     Debt security investments with a carrying value at December 31, 1998 of $.7
million were non-income producing for the year ended December 31, 1998.

     The Company had debt security investments in the financial services
industry at both December 31, 1998 and 1997 that exceeded 5% of total assets.

Mortgage Loans

     The Company originates mortgage loans either directly or through mortgage
correspondents and brokers throughout the country. Loans are primarily related
to underlying real property investments in office and apartment buildings and
retail/commercial and industrial facilities. Mortgage loans are collateralized
by the related properties and such collateral generally approximates a minimum
133% of the original loan value at the time the loan is made.

     At December 31, 1998 and 1997, there were no delinquent mortgage loans
(i.e., loans where payments on principal and/or interest are over 90 days past
due).

     The Company had no loans in any state where principal balances in the
aggregate exceeded 20% of the Company's equity.

Litigation and Unasserted Claims

     The Company is involved in various litigation, as both plaintiff and
defendant, which has arisen in the ordinary course of business, which, in the
opinion of management and legal counsel, will not have a material effect on the
Company's financial position or its operations.

     Insurance companies are subject to assessments, up to statutory limits, by
state guaranty funds for losses of policyholders of insolvent insurance
companies. In the opinion of manage-

                                      F-71
<PAGE>   133
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

ment, the outcome of the proceedings and assessments will not have a material
adverse effect on the financial statements. Guaranty fund assessments totaled
$109, $236 and $82 in 1998, 1997 and 1996, respectively. Of those amounts, $56,
$117 and $58 in 1998, 1997 and 1996, respectively, are creditable against future
years' premium taxes.

                                      F-72
<PAGE>   134

                                     PART C

                               OTHER INFORMATION

Item 24.  Financial Statements and Exhibits

<TABLE>
       <S>  <C>   <C>  <C>
       (a)  Financial Statements
            All required financial statements are included in Part A and Part B of
            this Registration Statement.
            (1)   (a)  Resolution of the Board of Directors of Providentmutual Life
                       and Annuity Company of America authorizing establishment of
                       the Providentmutual Variable Annuity Separate Account.(1)
                  (b)  Resolution of the Board of Directors of Providentmutual Life
                       and Annuity Company of America authorizing additional
                       Subaccounts of the Providentmutual Variable Annuity Separate
                       Account.(1)
                  (c)  Resolution of the Board of Directors of Providentmutual Life
                       and Annuity Company of America authorizing additional
                       Subaccounts of the Providentmutual Variable Annuity Separate
                       Account.(1)
                  (d)  Resolution of the Board of Directors of Providentmutual Life
                       and Annuity Company of America authorizing additional
                       Subaccounts of the Providentmutual Variable Annuity Separate
                       Account.(1)
                  (e)  Resolution of the Board of Directors of Providentmutual Life
                       and Annuity Company of America authorizing additional
                       Subaccounts of the Providentmutual Variable Annuity Separate
                       Account.(1)
            (2)   Not applicable.
            (3)   (a)  Form of Underwriting Agreement among Providentmutual Life
                       and Annuity Company of America, PML Securities, Inc. and the
                       Providentmutual Variable Annuity Separate Account.(1)
                  (b)  Form of Selling Agreement between PML Securities, Inc. and
                       Sentinel Financial Services Company.(1)
            (4)   Form of Flexible Premium Deferred Variable Annuity Contract
                  (PL512).
                  (a)  Amendment of Contract Provisions Rider (PL470.13A).(1)
                  (b)  Qualified Plan Rider (PL471).(1)
                  (c)  403(b) Annuity Loan Rider (PL515).(1)
                  (d)  Death Benefit Rider "Step-Up" (PL547).(1)
                  (e)  Death Benefit Rider "Rising Floor" (PL548).(1)
                  (f)  Simple IRA Rider (PL549).(1)
                  (g)  SEP IRA Rider (PL550).(1)
                  (h)  Qualify as an IRA Rider (PL553).(1)
                  (i)  Qualify as a TSA Under 403(b) Rider (PL554).(1)
                  (j)  Amendment for a Charitable Remainder Trust Rider (PL558).(1)
                  (k)  Systematic Withdraw Plan Rider (PL600).(1)
            (5)   Form of Application and 1717 Capital Management Company
                  Suitability Statement.(1)
                  (a)  Initial Allocation Schedule.(1)
</TABLE>

                                       C-1
<PAGE>   135
<TABLE>
       <S>  <C>   <C>  <C>
            (6)   (a)  Charter of Providentmutual Life and Annuity Company of
                       America.(1)
                  (b)  By-Laws of Providentmutual Life and Annuity Company of
                       America.(1)
            (7)   Not applicable.
            (8)   (a)  Participation Agreement among Market Street Fund, Inc.,
                       Providentmutual Life and Annuity Company of America and PML
                       Securities, Inc.(1)
                  (b)  Participation Agreement among Variable Insurance Products
                       Fund, Fidelity Distributors Corporation and Providentmutual
                       Life and Annuity Company of America.(2)
                  (c)  Participation Agreement among Variable Insurance Products
                       Fund II, Fidelity Distributors Corporation and
                       Providentmutual Life and Annuity Company of America.(2)
                  (d)  Form of Fund Participation Agreement among OCC Trust, OpCap
                       Advisors and Providentmutual Life and Annuity Company of
                       America.(1)
                  (e)  Participation Agreement between Van Eck Investment Trust and
                       Providentmutual Life and Annuity Company of America.(1)
                  (f)  Service Agreement between Providentmutual Life and Annuity
                       Company of America and Provident Mutual Life Insurance
                       Company of Philadelphia.(1)
                  (g)  Support Agreement between Provident Mutual Life Insurance
                       Company and Providentmutual Life and Annuity Company of
                       America.(1)
            (9)   Opinion and consent of James G. Potter, Jr., Esquire.(3)
            (10)  (a)  Consent of Sutherland Asbill & Brennan LLP.(3)
                  (b)  Consent of PricewaterhouseCoopers LLP.(3)
            (11)  No financial statements are omitted from Item 23.
            (12)  Not applicable.
            (13)  Schedule for computation of performance data.(3)
            (14)  Powers of Attorney.(1)
</TABLE>

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

(1) Incorporated herein by reference to post-effective amendment No. 5, filed on
    May 1, 1998, File No. 33-65512.

(2) Incorporated herein by reference to post-effective amendment number 18 to
    the Form S-6 registration statement for Provident Mutual Variable Growth
    Separate Account, et al., filed on May 1, 1998, File No. 33-2625.

(3) To be filed by amendment.

                                       C-2
<PAGE>   136

Item 25.  Directors and Officers of the Depositor

<TABLE>
<CAPTION>
         NAME AND PRINCIPAL BUSINESS ADDRESS*               POSITION AND OFFICES WITH DEPOSITOR
         ------------------------------------               -----------------------------------
<S>                                                        <C>
Robert W. Kloss**......................................    President and Director
Mary Lynn Finelli**....................................    Director
Alan F. Hinkle**.......................................    Director, Vice President and Actuary
James D. Kestner**.....................................    Director
Sarah C. Lange**.......................................    Director
James G. Potter, Jr.**.................................    Director, Secretary and Legal Officer
Linda M. Springer**....................................    Director
Joan C. Tucker.........................................    Director and Vice President
James D. Benson**......................................    Assistant Financial Reporting Officer
Scott V. Carney**......................................    Vice President and Actuary
Rosanne Gatta**........................................    Treasurer
Anthony Giampietro**...................................    Assistant Treasurer
Deborah Thiel Hall**...................................    Compliance Officer
Timothy P. Henry**.....................................    Vice President and Investment Officer
Joseph T. Laudadio.....................................    Underwriting Officer
Todd R. Miller**.......................................    Financial Reporting Officer
Andrew J. Stack**......................................    Marketing Officer
Stephen L. White**.....................................    Vice President and Actuary
</TABLE>

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

  * Unless otherwise indicated, the principal business address is 300
    Continental Drive, Newark, DE 19713.
 ** Principal business address is 1050 Westlakes Drive, Berwyn, PA 19312.

Item 26.  Persons Controlled by or Under Common Control With the Depositor or
Registrant

<TABLE>
<CAPTION>
                                                   PERCENT OF VOTING
             NAME               JURISDICTION       SECURITIES OWNED          PRINCIPAL BUSINESS
             ----               ------------       -----------------         ------------------
<S>                             <C>             <C>                        <C>
Provident Mutual                Pennsylvania    Mutual Company             Life & Health Insurance
  Life Insurance Company
Providentmutual Life and        Delaware        Ownership of all           Life & Health Insurance
  Annuity Company                               voting securities
  of America                                    by Provident Mutual
Provident Mutual International  Delaware        Ownership of all           Life & Health Insurance
  Life Insurance Company                        voting securities
                                                by Provident Mutual
Providentmutual                 Pennsylvania    Ownership of all           Holding Company
  Holding Company (PHC)                         voting securities
                                                by Provident Mutual
</TABLE>

                                       C-3
<PAGE>   137

<TABLE>
<CAPTION>
                                                   PERCENT OF VOTING
             NAME               JURISDICTION       SECURITIES OWNED          PRINCIPAL BUSINESS
             ----               ------------       -----------------         ------------------
<S>                             <C>             <C>                        <C>
1717 Capital Management         Pennsylvania    Ownership of all           Broker/Dealer
  Company                                       voting securities by
                                                PHC
1767 Brokerage Services, Inc.   Pennsylvania    Ownership of all voting    Insurance Agency
                                                securities by PHC
Providentmutual Investment      Pennsylvania    Ownership of all           Investment Adviser
  Management Company                            voting securities
                                                by PHC
Washington Square               Pennsylvania    Ownership of all           Administrative Services
  Administrative Services,                      voting securities
  Inc.                                          by PHC
Institutional Concepts, Inc.    New York        Ownership of all           Insurance Agency
                                                voting securities
                                                by PHC
Provestco, Inc.                 Delaware        Ownership of all           Real Estate Investment
                                                voting securities
                                                by PHC
PNAM, Inc.                      Delaware        Ownership of all           Holding Company
                                                voting securities
                                                by PHC
Sigma American                  Delaware        Ownership of 80.2%         Investment Management
  Corporation                                   voting securities by       and Advisory Services
                                                PHC and 19.8% voting
                                                securities by Provident
                                                Mutual
Provident Mutual                Delaware        Ownership of all           Investment Management
  Management Co., Inc.                          voting securities          and Advisory Services
                                                by Sigma American
Software Development            Pennsylvania    Ownership of 100%          Development and
  Corporation                                   voting securities          Marketing of Computer
                                                by PHC                     Software
Market Street Fund, Inc.        Maryland                                   Mutual Fund
</TABLE>

Item 27.  Number of Policyowners

     As of the date of this registration statement there were no Contracts
outstanding.

Item 28.  Indemnification

     The By-Laws of Providentmutual Life and Annuity Company of America provide,
in part in Article XII, as follows:

                                  ARTICLE XII

           INDEMNIFICATION OF DIRECTORS, OFFICERS, AND OTHER PERSONS

     Section 12.01. To the fullest extent permitted by law, the Company shall
                    indemnify any present, former, or future Director, officer,
                    or employee of the Company or any person who

                                       C-4
<PAGE>   138

                    may serve or has served at its request as officer or
                    Director of another corporation of which the Company is a
                    creditor or stockholder, against the reasonable expenses,
                    including attorneys' fees, necessarily incurred in
                    connection with the defense of any action, suit or other
                    proceeding to which any of them is made a party because of
                    service as Director, officer, or employee of the Company or
                    such other corporation, or in connection with any appeal
                    therein, and against any amounts paid by such Director,
                    officer, or employee in settlement of, or in satisfaction of
                    a judgment or fine in any such action, suit or proceeding,
                    except expenses incurred in defense of or amounts paid in
                    connection with any action, suit or other proceeding in
                    which such Director, officer or employee shall be adjudged
                    to be liable for negligence or misconduct in the performance
                    of his duty. A judgment entered in connection with a
                    compromise or dismissal or settlement of any such action,
                    suit or other proceeding shall not of itself be deemed an
                    adjudication of negligence or misconduct. The
                    indemnification herein provided shall not be exclusive of
                    any other rights to which the persons indemnified may be
                    entitled.

     Insofar as indemnification for liabilities arising under the Securities Act
of 1933 may be permitted to directors, officers, and controlling persons of the
registrant pursuant to the foregoing provisions, or otherwise, the registrant
has been advised that in the opinion of the Securities and Exchange Commission
such indemnification is against public policy as expressed in the Act and is,
therefore, unenforceable. In the event that a claim for indemnification against
such liabilities (other than the payment by the registrant of expenses incurred
or paid by a director, officer or controlling person of the registrant in the
successful defense of any such action, suit or proceeding) is asserted by such
director, officer, or controlling person in connection with the securities being
registered, the registrant will, unless in the opinion of its counsel the matter
has been settled by controlling precedent, submit to a court of appropriate
jurisdiction the question whether such indemnification by it is against public
policy as expressed in the Act and will be governed by the final adjudication of
such issue.

Item 29.  Principal Underwriter

     (a) 1717 Capital Management Company (1717) is the principal underwriter of
the Contracts as defined in the Investment Company Act of 1940. 1717 is also
principal underwriter for the Market Street Fund, Inc., for Providentmutual
Variable Life Separate Account and for various separate accounts of Provident
Mutual Life Insurance Company Separate Accounts.

                                       C-5
<PAGE>   139

     (b) The following information is furnished with respect to the officers and
directors of 1717:

<TABLE>
<CAPTION>
            NAME AND PRINCIPAL                   POSITIONS AND OFFICES          POSITIONS AND OFFICES
            BUSINESS ADDRESS*                          WITH 1717                    WITH DEPOSITOR
            ------------------                   ---------------------          ---------------------
<S>                                         <C>                              <C>
Mary Lynn Finelli**.......................  Director                         Director
Alan F. Hinkle**..........................  Director                         Director, Vice President and
                                                                               Actuary
Robert W. Kloss**.........................  Director                         President and Director
James G. Potter, Jr.**....................  Director                         Director, Secretary and
                                                                               Legal Officer
Joan C. Tucker............................  Director                         Director and Vice President
Louise A. Aviola, Jr. ....................  Vice President and Manager of    None
                                              Operations
Rosanne Gatta**...........................  Treasurer                        Treasurer
Anthony Giampietro**......................  Assistant Treasurer              Assistant Treasurer
Deborah Thiel Hall**......................  Insurance Compliance Officer     Compliance Officer
Michael Krulikowski.......................  Senior Compliance Officer        None
Anthony Mastrangelo**.....................  Assistant Financial Reporting    None
                                              Officer
Todd R. Miller**..........................  Assistant Financial Reporting    Financial Reporting Officer
                                              Officer
Alison Naylor.............................  Compliance Officer               None
Linda M. Springer**.......................  Financial Reporting Officer      Director
</TABLE>

- ---------------
  * Unless otherwise indicated, principal business address is Christiana
    Executive Campus, P.O. Box 15626, Wilmington, DE 19850.
 ** Principal business address is 1050 Westlakes Drive, Berwyn, PA 19312.

Item 30.  Location of Accounts and Records

     All accounts and records required to be maintained by Section 31(a) of the
Investment Company Act of 1940 and the rules thereunder are maintained by PLACA
at 300 Continental Drive, Newark, DE 19713 or at 1050 Westlakes Drive, Berwyn,
PA 19312.

Item 31.  Management Services

     All management contracts are discussed in Part A or Part B.

Item 32.  Undertakings

     (a) Registrant hereby undertakes to file a post-effective amendment to this
registration statement as frequently as is necessary to ensure that the audited
financial statements in the registration statement are never more than sixteen
(16) months old for so long as payments under the variable annuity contracts may
be accepted.

     (b) Registrant hereby undertakes to include either (1) as part of any
application to purchase a contract offered by the Prospectus, a space that an
applicant can check to request a Statement of Additional Information, or (2) a
postcard or similar written communication affixed to or included in the
Prospectus that the applicant can remove to send for a Statement of Additional
Information; and

     (c) Registrant hereby undertakes to deliver any Statement of Additional
Information and any financial statement required to be made available under this
Form promptly upon written or oral request.

                                       C-6
<PAGE>   140

     (d) Reliance on No-Action Letter Regarding Section 403(b) Retirement Plan.
PALAC and the Variable Account rely on a no-action letter issued by the Division
of Investment Management to the American Council of Life Insurance on November
28, 1988 and represent that the conditions enumerated therein have been or will
be complied with.

                        REPRESENTATION OF REASONABLENESS

     Providentmutual Life and Annuity Company of America hereby represents that
the fees and charges deducted under the Contracts, in the aggregate, are
reasonable in relation to the services rendered, the expenses expected to be
incurred, and the risks assumed by Providentmutual Life and Annuity Company of
America.

                                       C-7
<PAGE>   141

                                   SIGNATURES

     PURSUANT TO THE REQUIREMENTS OF THE SECURITIES ACT OF 1933 AND THE
INVESTMENT COMPANY ACT OF 1940, PROVIDENTMUTUAL VARIABLE ANNUITY SEPARATE
ACCOUNT AND PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY OF AMERICA HAS CAUSED THIS
REGISTRATION STATEMENT TO BE SIGNED ON THEIR BEHALF BY THE UNDERSIGNED,
THEREUNTO DULY AUTHORIZED, IN NEW CASTLE COUNTY, STATE OF DELAWARE ON THIS 27TH
DAY OF SEPTEMBER, 1999.

                                            PROVIDENTMUTUAL VARIABLE ANNUITY
                                              SEPARATE ACCOUNT (REGISTRANT)

<TABLE>
<S>                                                    <C>
          Attest: /s/ JAMES G. POTTER, JR.                            By: /s/ ROBERT W. KLOSS
   ----------------------------------------------        -------------------------------------------------
                                                                          ROBERT W. KLOSS
                                                                             President
</TABLE>

                                            By: PROVIDENTMUTUAL LIFE AND ANNUITY
                                                  COMPANY OF AMERICA (DEPOSITOR)

<TABLE>
<C>                                                    <S>

Attest: /s/ JAMES G. POTTER, JR.                                      By: /s/ ROBERT W. KLOSS
               --------------------------------------    -------------------------------------------------
                                                                          ROBERT W. KLOSS
                                                                             President
</TABLE>

     AS REQUESTED BY THE SECURITIES ACT OF 1933, THIS REGISTRATION STATEMENT HAS
BEEN SIGNED BY THE FOLLOWING PERSONS IN THE CAPACITIES AND ON THE DATES
INDICATED.

<TABLE>
<CAPTION>
              SIGNATURES                                  TITLE                           DATE
              ----------                                  -----                           ----
<C>                                       <S>                                      <C>

         /s/ ROBERT W. KLOSS              President and Director                   September 27, 1999
- --------------------------------------      (Principal Executive Officer)
           ROBERT W. KLOSS

         /s/ STEPHEN L. WHITE             Actuarial Officer                        September 27, 1999
- --------------------------------------      (Principal Financial Officer)
           STEPHEN L. WHITE

          /s/ TODD R. MILLER              Financial Reporting Officer              September 27, 1999
- --------------------------------------      (Principal Accounting Officer)
            TODD R. MILLER

                  *                       Director                                 September 27, 1999
- --------------------------------------
          MARY LYNN FINELLI

                  *                       Director                                 September 27, 1999
- --------------------------------------
            ALAN F. HINKLE

                  *                       Director                                 September 27, 1999
- --------------------------------------
           JAMES D. KESTNER

                  *                       Director                                 September 27, 1999
- --------------------------------------
            SARAH C. LANGE
</TABLE>
<PAGE>   142

<TABLE>
<CAPTION>
              SIGNATURES                                  TITLE                           DATE
              ----------                                  -----                           ----
<C>                                       <S>                                      <C>
                  *                       Director                                 September 27, 1999
- --------------------------------------
         JAMES G. POTTER, JR.

                  *                       Director                                 September 27, 1999
- --------------------------------------
            JOAN C. TUCKER

                  *                       Director                                 September 27, 1999
- --------------------------------------
          LINDA M. SPRINGER

                  *                       Director                                 September 27, 1999
- --------------------------------------
            MEHRAN ASSADI

    *By: /s/ JAMES G. POTTER, JR.
- --------------------------------------
         JAMES G. POTTER, JR.
           Attorney-in-Fact
    Pursuant to Power of Attorney
</TABLE>

<PAGE>   1
               PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY OF AMERICA
                         A Stock Life Insurance Company
                                Newark, Delaware

ANNUITANT:                                                    CONTRACT DATE:

CONTRACT NO.:                                                 MATURITY DATE:


In this Contract, Providentmutual Life and Annuity Company of America is
referred to as "We," "Us," "Our," or the "Company." "You" and "Your" refer to
the Owner of the Contract.

We agree to pay the benefits as described in this Contract in accordance with
its provisions.

                       PLEASE READ THIS CONTRACT CAREFULLY
                   It is a legal contract between You and Us.

                      NOTICE OF 10-DAY CANCELLATION PERIOD

If for any reason You are not satisfied with this Contract, You may return it to
Us for cancellation by delivering or mailing it to:

1.       Providentmutual Life and Annuity Company of America, Service Center,
         300 Continental Drive, Newark, Delaware 19713, or

2.       the agent through whom it was purchased.

To cancel this Contract, You must return it to Us no later than 10 days after
You first receive it. This Contract will be void as of the date We receive your
Contract and Your request for cancellation. We will refund your Contract Account
Value (as of the date the returned Contract is received by Us) minus any Credit
Amounts plus any charges that We have deducted from either premium payments or
Contract Account Value.

Signed for Providentmutual Life and Annuity Company of America in Newark,
Delaware.

       /s/ Jame Potter                                   /s/ Robert W. Kloss
         Secretary                                           President

ANNUITY PAYMENTS AND OTHER VALUES PROVIDED BY THIS CONTRACT INCLUDING ANY DEATH
BENEFIT THAT MAY BE PAYABLE, WHEN BASED ON THE INVESTMENT PERFORMANCE OF THE
VARIABLE ACCOUNT, MAY INCREASE OR DECREASE DAILY AS A FUNCTION OF THE INVESTMENT
PERFORMANCE OF SUBACCOUNTS SELECTED BY THE OWNER AND ARE NOT GUARANTEED AS TO
DOLLAR AMOUNT. NO MINIMUM CONTRACT ACCOUNT VALUE IS GUARANTEED EXCEPT FOR ANY
AMOUNTS IN THE GUARANTEED ACCOUNT OPTIONS.

               FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT
 Flexible premiums as stated in the General Provisions. Contract Account Values
      are variable, except for amounts in the Guaranteed Account Options.
                          Non-participating Contract.

  FOR INQUIRIES, INFORMATION AND RESOLUTION OF COMPLAINTS CALL: 1-800-688-5177



<PAGE>   2
                                TABLE OF CONTENTS

                                                                            Page
                                                                            ----

CONTRACT SCHEDULE                                                              4

SECTION 1:  DEFINITIONS                                                        6

SECTION 2:  GENERAL PROVISIONS                                                10

SECTION 3:  OWNERSHIP                                                         13

SECTION 4:  THE VARIABLE ACCOUNT                                              15

SECTION 5:  GUARANTEED ACCOUNT OPTIONS                                        19

SECTION 6:  ALLOCATIONS AND TRANSFERS                                         20

SECTION 7:  CONTRACT ACCOUNT VALUES                                           23

SECTION 8:  CREDITS                                                           26

SECTION 9:  FEES AND CHARGES                                                  28

SECTION 10:  PAYMENT OF BENEFITS                                              30

SECTION 11:  DEATH BENEFITS                                                   33

SECTION 12:  ANNUITY PROVISION AND PAYMENT OPTIONS                            36

A COPY OF THE APPLICATION AND ANY ENDORSEMENTS OR RIDERS ARE INCLUDED AFTER PAGE
28.



                                     - 3 -
<PAGE>   3
                                CONTRACT SCHEDULE

OWNER:                                                        JOINT OWNER:
ANNUITANT:                                                    CONTRACT DATE:
DATE OF BIRTH/SEX:                                            MATURITY DATE:
CONTRACT NUMBER:

INITIAL PREMIUM PAYMENT:                                        $10,000.00


CREDIT AMOUNT PERCENTAGES:

TOTAL PREMIUMS LESS WITHDRAWALS(INCLUDING SURRENDER CHARGES)
                                                               Percentage
                                                               ----------
From $10,000 to $24,999                                           1.5%
From $25,000 to $99,999                                           3.0%
From $100,000 to $499,999                                         4.0%
From $500,000 to $999,999                                         4.5%
$1,000,000 and more                                               5.0%


MINIMUM REQUIREMENTS:
Minimum Withdrawal Amount                                      $    500
Minimum Transfer Amount                                        $    500
Minimum Remaining Amount after Transfer                        $    500
Minimum Remaining Contract Account Value after Withdrawal      $ 10,000


CHARGES AND FEES:
Annual Annuity Charge                                               1.40%
Annual Administrative Fee                                         $40.00
         This fee may be waived if the Contract Account Value on the date the
fee is assessed is at least $50,000.
Transfer Processing Fee                                           $25.00
         This fee is waived on the first twelve transfers in a Contract Year.



                                     - 4 -
<PAGE>   4
                          CONTRACT SCHEDULE (CONTINUED)

Surrender Charge:

           AGE OF EACH PREMIUM PAYMENT IN CONTRACT
                           YEARS                                  CHARGE
                           -----                                  ------
                             1                                     8.0%
                             2                                     8.0%
                             3                                     8.0%
                             4                                     8.0%
                             5                                     8.0%
                             6                                     6.5%
                             7                                     5.0%
                             8                                     3.5%
                             9                                     2.0%
                        10 AND OVER                                0.0%


DEATH BENEFIT CHARGE:

The same amount as the Surrender Charge above, but not to exceed the dollar
amount of Credit Amounts granted under the Contract during the 12 months
preceding the Owner's death.




                                     - 5 -
<PAGE>   5
                             SECTION 1: DEFINITIONS


ACCUMULATION UNIT:  A unit of measure used to calculate Variable Account Value.

ACT:  Investment Company Act of 1940, as amended.

ANNUITANT: The person or persons upon whose life (or lives) the Annuity Payments
payable under the Contract is determined.

ANNUITY DATE: The date as of which Surrender Value is applied to an Payment
Option. The Annuity Date will be the Maturity Date unless the Owner designates a
different date.

ANNUITY PAYMENT: One of several periodic payments made by Us to the Payee under
an Payment Option.

BENEFICIARY: The person(s) to whom the death benefit will be paid on the death
of an Owner or Annuitant. If the Contract has joint Owners, the surviving Joint
Owner will be the designated beneficiary.

CALCULATED CREDIT AMOUNT: The amount calculated on the first three Contract
Anniversaries to determine if an additional Credit Amount will be applied under
the Look-back provision of the Credits Section.

CANCELLATION PERIOD: The period described on the cover page of this Contract
during which the Owner may return the Contract for a refund.

THE CODE:  The Internal Revenue Code of 1986, as amended.

COMPANY, WE, US OR OUR: Providentmutual Life and Annuity Company of America, a
Delaware corporation.

CONTRACT: This flexible premium deferred variable annuity contract including any
attached endorsements or riders, and the attached copy of the application.

CONTRACT ANNIVERSARY: The same day and month in each Contract Year as the
Contract Date.

Contract Years and Months are measured from the Contract Date shown in the
Contract Schedule.

CONTRACT DATE: The date on which We issue the Contract, shown in the Contract
Schedule, and upon which the Contract becomes effective. The Contract Date is
used to determine Contract Years and Contract Anniversaries.

CONTRACT ACCOUNT VALUE: The total amount invested under the Contract. It is the
sum of Variable Account Value and the Guaranteed Account Value.

CONTRACT YEAR: A twelve-month period beginning on the Contract Date or on a
Contract Anniversary.

CREDIT AMOUNT: An amount calculated in accordance with the percentages shown in
the Contract Schedule as further defined in the Credits Section.

DUE PROOF OF DEATH: Proof of death satisfactory to Us. Due Proof of Death may
consist of the following:

                                     - 6 -
<PAGE>   6
(a)      a certified copy of the death record;

(b)      a certified copy of a court decree reciting a finding of death; or

(c)      any other proof satisfactory to Us.

FREE WITHDRAWAL AMOUNT: During the first Contract Year, an amount equal to 10%
of the premium payments in the first Contract Year. For all other Contract
Years, an amount equal to 10% of the Contract Account Value at the start of that
year.

FUND: Any open-end management investment company or investment portfolio thereof
or any unit investment trust or series thereof, in which a Subaccount invests.

GENERAL ACCOUNT: The assets of the Company other than those allocated to the
Variable Account or any other Separate Account of the Company.

GUARANTEED ACCOUNT OPTION: An allocation option available under the Contract as
further defined in the Guaranteed Account Options Section. Amounts allocated to
the Guaranteed Account Options are invested in the General Account.

GUARANTEED ACCOUNT VALUE: The total amount in all Guaranteed Account Options
being used under the Contract.

HOME OFFICE:  Our office at 300 Continental Drive, Newark, Delaware 19713.

MATURITY DATE: The last date as of which Contract Account Value may be applied
to purchase an Payment Option. It is the later of the Contract Anniversary
nearest the Annuitant's age 90, or 10 years after the Contract Date (unless We
consent to a later Maturity Date).

NET ASSET VALUE: The value per share of any Fund on any Valuation Day. The
method of computing the Net Asset Value is described in the prospectus for each
Fund.

NET PREMIUM PAYMENT: Your premium payment less any Premium Tax Charge deducted
from the premium payment.

NOTICE: A notice or request submitted by You in writing or otherwise to Us in a
form satisfactory to Us that is signed by the Owner and received at the Service
Center.

OWNER: The person or persons who owns (or own) the Contract and who is (are)
entitled to exercise all rights and privileges provided in the Contract. Also
referred to herein as "You" or "Your." The maximum number of joint Owners is
two. Provisions relating to action by the Owner mean, in the case of joint
Owners, both Owners acting jointly under procedures acceptable to Us.

PAYEE: The person entitled to receive Annuity Payments under the Contract. The
Annuitant is the Payee unless the Owner designates a different person as Payee.

PAYMENT OPTION: An elected option resulting in a series of periodic payments
beginning on the Annuity Date as further defined in the Annuity Provisions and
Payment Option Section.

PROCEEDS: The amount, if any, that We pay when the first of the following events
occur: the Maturity Date, the Contract is surrendered, We receive Due Proof of
Death of an Owner, or the election of a Payment Option.

                                     - 7 -
<PAGE>   7

SEC:  The U.S. Securities and Exchange Commission.

SEPARATE ACCOUNT: An account of the Company other than the General Account.

SERVICE CENTER: Any office designated by Us for the receipt of premium payments
and processing of Owner requests.

SUBACCOUNT: A subdivision of the Variable Account, the assets of which are
invested in a designated Fund.

SUBACCOUNT VALUE: For this Contract, the amount equal to that part of any Net
Premium Payment and Credit Amounts allocated to the Subaccount and any Contract
Account Value transferred to that Subaccount, adjusted by any interest income,
dividends, net capital gains or losses, realized or unrealized, and decreased by
withdrawals (including any applicable Surrender Charges and Premium Tax Charge),
charges and any Contract Account Value transferred out of that Subaccount.
Subaccount Value is determined by calculating the Accumulation Unit Value as
described in the Variable Account Section.

SURRENDER VALUE: The Contract Account Value less: (1) any applicable Surrender
Charges, (2) Premium Tax Charges not previously deducted, and (3) the Annual
Administrative Fee.

VALUATION DAY: For each Subaccount, each day on which the New York Stock
Exchange is open for business except for certain holidays listed in the
prospectus and days that a Subaccount's corresponding Fund does not value its
shares.

VALUATION PERIOD: The period that starts at the close of regular trading on the
New York Stock Exchange and ends at the close of regular trading on next
succeeding Valuation Date.

VARIABLE ACCOUNT: Providentmutual Variable Annuity Separate Account.

VARIABLE ACCOUNT VALUE:  The sum of all Subaccount Values.



                                     - 8 -
<PAGE>   8
                          SECTION 2: GENERAL PROVISIONS


THE CONTRACT: We have issued this Contract in consideration of Your application
and Your payment of the Initial Premium Payment. The entire Contract is made up
of this Contract, any attached endorsements or riders, and the attached copy of
the application. In the absence of fraud, We consider statements made in the
application to be representations and not warranties. We will not use any
statement in defense of a claim or to void this Contract unless it is contained
in the attached application. Only our President, a Vice President, or Secretary
may modify this Contract or waive any of Our rights or requirements under this
Contract. Any modification or waiver must be in writing. No agent may bind Us by
making any promise not contained in this Contract.

INCONTESTABILITY: We will not contest this Contract after it has been in force
during the Owner's lifetime for two years from the Contract Date.

MISSTATEMENT OF AGE OR SEX: If the age or sex has been misstated, We will adjust
the benefits We pay under this Contract to the amount that would have been
payable at the correct age and sex. If We made any underpayments because of any
such misstatement, We shall pay the amount of such underpayment plus interest at
an annual effective rate of 3%, immediately to the Payee or Beneficiary in one
sum. If We make any overpayment because of a misstatement of age or sex, We
shall deduct from current or future payments due under this Contract, the amount
of such overpayment plus interest at an annual effective rate of 3%.

PERIODIC REPORTS: At least annually, or more often as required by law, We will
mail to Owners at their last known address a report showing the following items
as of a date shown on the report:


1.       the number of Accumulation Units credited to this Contract and the
         dollar value of such units;

2.       the Contract Account Value and Surrender Value;

3.       any premium payments, withdrawals, or surrenders made, death benefits
         paid and charges deducted since the last report; and

4.       any other information required by law.

MODIFICATION:  Upon notice to the Owner, We may modify the Contract to:


1.       conform the Contract, the operations of the Company or the Variable
         Account to the requirements of any law (or regulation or pronouncement
         issued by a government agency) to which the Contract, the Company or
         the Variable Account is subject;

2.       assure continued qualification of the Contract as an annuity contract
         under the Code;

3.       reflect a change (as permitted in this Contract) in the operation of
         the Variable Account; or

                                     - 9 -
<PAGE>   9
4.       provide additional Subaccounts and/or Guaranteed Account Options.

In the event of any such modification, We may make appropriate endorsements to
the Contract.

NON-PARTICIPATING: This Contract does not participate in the surplus or profits
of the Company and We do not pay dividends under this Contract.

PROTECTION OF PROCEEDS: To the extent permitted by applicable law, no right or
benefit payable under this Contract are subject to the claims of creditors
except as may be provided in an assignment in a form acceptable to Us. No
Beneficiary or Payee may commute, encumber, or alienate any payments under this
Contract before they are due.

DISCHARGE OF LIABILITY: Any payments made by Us under any Payment Option in
connection with the payment of any withdrawal, surrender or death benefit, shall
discharge Our liability to the extent of each such payment.

INITIAL PREMIUM PAYMENT: The Initial Premium Payment is shown on the Contract
Schedule and is payable on or before the Contract Date.

SUBSEQUENT PREMIUM PAYMENTS: Owners may make an additional premium payment of at
least the minimum amount shown in the current prospectus. Notwithstanding the
foregoing, We reserve the right to not accept additional premium payments at any
time for any reason.

PROOF OF AGE AND SURVIVAL: We reserve the right to require proof of age, sex or
survival of any person upon whose age, sex, or survival any payments depend. In
addition, for life contingent Payment Options, We reserve the right to require
proof of the Annuitant's survival before any Annuity Date.

INSTRUCTIONS AND REQUESTS: All instructions and requests are effective as of the
end of the Valuation Period in which We receive them in a form satisfactory to
Us, unless the event is scheduled to occur on a later date. We may require that
You provide signature guarantees or other safeguards for any instruction,
request or document You send to our Service Center. You acknowledge and agree
that We are not liable for any loss, liability, cost or expense of any kind for
acting on instructions or requests submitted to Us that We reasonably believe to
be genuine.



                                     - 10 -
<PAGE>   10
                              SECTION 3: OWNERSHIP


OWNERSHIP: This Contract belongs to the Owner. The Owner, as shown on the
Contract Schedule, or as subsequently changed, may exercise all rights under
this Contract. Subject to more specific provisions elsewhere herein, these
rights include the right to: (1) select or change an Owner, (2) select or change
any Beneficiary, (3) select or change the Payee, (4) before the Annuity Date,
select or change the Payment Option, (5) before the Annuity Date and Maturity
Date, select or change the Annuity Date, (6) allocate Net Premium Payments among
and between the Subaccounts and Guaranteed Account Options, and (7) transfer
amounts among and between the Subaccounts and Guaranteed Account Options.

ASSIGNMENT: At any time before the Maturity Date, the Owner may assign this
Contract by Notice. We are not responsible for the validity or sufficiency of
any assignment. Your rights and the rights of any Beneficiary or Payee may be
affected by an assignment. We are not bound by the assignment until We receive a
copy of the assignment at the Service Center.

CHANGING THE BENEFICIARY OR OWNER: The Owner may change the Beneficiary or Owner
by Notice at any time before a death benefit is paid. If, however, the Owner
previously irrevocably named a Beneficiary, that Beneficiary's consent in a form
acceptable to Us, must be provided to the Service Center before the change is
effective. Any change of Beneficiary is effective as of the date Notice and the
Beneficiary's consent, if necessary, is received at the Service Center and We
are not liable for any payments made under the Contract prior to the
effectiveness of any Beneficiary change.



                                     - 11 -
<PAGE>   11
                         SECTION 4: THE VARIABLE ACCOUNT


VARIABLE ACCOUNT: The Variable Account is registered with the SEC as a unit
investment trust under the Act. The Variable Account is also subject to the laws
of the State of Delaware.

Although We own the assets in the Variable Account, these assets are held
separately from Our other assets and are not part of Our General Account. The
assets in the Variable Account are used to support the operation of and provide
the variable values and benefits for this Contract and similar contracts. The
portion of the assets of the Variable Account equal to the reserves and other
contract liabilities of the Variable Account are not chargeable with liabilities
that arise from any other business that We conduct. We have the right to
transfer to Our General Account any assets of the Variable Account that are in
excess of such reserves and other liabilities.

SUBACCOUNTS: The Variable Account consists of Subaccounts. Each Subaccount
invests in shares of a corresponding Fund. Shares of a Fund are purchased and
redeemed for a Subaccount at their Net Asset Value. Any amounts of income,
dividends and gains distributed from the shares of a Fund are reinvested in
additional shares of that Fund at Net Asset Value. Income, gains and losses,
realized or unrealized, from the assets allocated to a Subaccount are credited
to or charged against that Subaccount without regard to other income, gains or
losses of the Company.

The dollar amounts of values and benefits of this Contract provided by the
Variable Account vary as a function of the investment performance of the Fund in
which the Subaccount that You have selected. We do not guarantee the investment
performance of the Funds or Subaccounts. You bear the full investment risk for
fluctuations in the Subaccount Value in the Subaccounts You have selected.

CHANGES TO THE VARIABLE ACCOUNT: Where permitted by applicable law, We may:

1.       create new Separate Accounts;

2.       combine Separate Accounts, including the Variable Account;

3.       add new Subaccounts to or remove existing Subaccounts from the Variable
         Account or combine Subaccounts;

4.       make Subaccounts (including new Subaccounts) available to such classes
         of Contracts or insurance contracts as We may determine;

5.       add new Funds or remove existing Funds;

6.       substitute new Funds for any existing Fund;

7.       deregister the Variable Account under the Act if such registration is
         no longer required; and

8.       operate the Variable Account as a management investment company under
         the Act or as any other form permitted by law.

CHANGE IN INVESTMENT POLICY: The investment policy of a Subaccount may not be
changed unless:

                                     - 12 -
<PAGE>   12
1.       the change is approved, if required, by the Delaware Insurance
         Department; and

2.       a statement of such approval is filed, if required, with the insurance
         department of the state in which this Contract is delivered.

VARIABLE ACCOUNT VALUE: The Variable Account Value is the sum of the Subaccount
Values, and reflects the investment experience of the Subaccounts, any Net
Premium Payments and Credit Amounts allocated to the Subaccounts, transfers in
or out of the Subaccounts, any charges deducted from the Subaccounts or any
withdrawals from the Subaccount. There is no guaranteed minimum Variable Account
Value.

ACCUMULATION UNITS: Net Premium Payments and Credit Amounts allocated to a
Subaccount or amounts of Contract Account Value transferred to a Subaccount are
converted into Accumulation Units. The number of Accumulation Units credited to
a Contract is determined by dividing the dollar amount allocated to each
Subaccount by the Accumulation Unit Value for that Subaccount for the Valuation
Day as of which the allocation or transfer is invested in the Subaccount.
Allocations and transfers to a Subaccount increase the number of Accumulation
Units of that Subaccount.

Certain events or fees reduce the number of Accumulation Units of a Subaccount
credited to a Contract which result in the cancellation of an appropriate number
of Accumulation Units of that Subaccount including (a) withdrawals or transfers
of Subaccount Value from a Subaccount; (b) surrender of the Contract; (c)
payment of a death benefit; (d) the application of Variable Account Value to a
Payment Option on the Annuity Date; and (e) the deduction of the Annual
Administrative Fee or other charges. The number of Accumulation Units cancelled
is determined by dividing the dollar amount of each event or fee deducted from
each Subaccount by the Accumulation Unit Value for that Subaccount for the
Valuation Day as of which the event or fee is deducted from the Subaccount.

ACCUMULATION UNIT VALUE: The Accumulation Unit Value for each Subaccount was set
initially when the Subaccount began operations. Thereafter, the Accumulation
Unit Value at the end of every Valuation Day is the Accumulation Unit Value at
the end of the previous Valuation Day multiplied by the Net Investment Factor,
as described below. Each Subaccount Value for a Contract is determined on any
day by multiplying the number of Accumulation Units attributable to the Contract
in that Subaccount by the Accumulation Unit Value for that Subaccount.

NET INVESTMENT FACTOR: The Net Investment Factor is an index applied to measure
the investment performance of a Subaccount from one Valuation Period to the
next. The Net Investment Factor for any Subaccount for any Valuation Period is
determined by dividing (1) by (2) and subtracting (3) from the result, where:

(1)      is the result of:

a.       the Net Asset Value of the Fund held in the Subaccount, determined at
         the end of the current Valuation Period; plus

b.       the per share amount of any dividend or capital gain distributions made
         by the Fund held in the Subaccount, if the "ex-dividend" date occurs
         during the current Valuation Period; plus or minus

c.       a per share charge or credit for any taxes reserved for, which is
         determined by Us to have resulted from the operations of the
         Subaccount.

(2)      is the Net Asset Value of the Fund held in the Subaccount, determined
         at the end of the last prior

                                     - 13 -
<PAGE>   13

         Valuation Period.

(3)      is a daily amount representing the Annual Annuity Charge deducted from
         the Subaccount adjusted for the number of days in the Valuation Period.



                                     - 14 -
<PAGE>   14
                      SECTION 5: GUARANTEED ACCOUNT OPTIONS


GUARANTEED ACCOUNT OPTIONS: The Guaranteed Account Options are part of Our
General Account. The Guaranteed Account Options are not part of and does not
depend on the investment performance of the Variable Account. We may offer one
or more Guaranteed Account Options under the Contract at any time.

We credit interest to Contract Account Value allocated to the Guaranteed Account
Options at rates We determine. We guarantee that the effective annual interest
rate will not be less than 3%. We may credit a higher interest rate under one or
more Guaranteed Account Options from time to time.

We may credit an annual effective rate in excess of 3% for the lesser of: (a)
the time remaining for the Guaranteed Account Option selected, or (b) 12 months.
Such excess interest rates are declared by Us in advance for each Guaranteed
Account Option made available from time to time under the Contract. Generally,
We credit different rates of excess interest for different available Guaranteed
Account Options. Also, Guaranteed Account Options are generally available only
for specific periods of time and certain Guaranteed Account Options may only be
available subject to restrictions. At the expiration of any Guaranteed Account
Option, We will seek Your instructions as to the reallocation of Guaranteed
Account Value from that option. Nevertheless, We reserve the right to allocate
such Guaranteed Account Value to another available Guaranteed Account Option if
We do not receive Your instructions within a specified time period.

GUARANTEED ACCOUNT VALUE: We determine Guaranteed Account Value for any
Valuation Period before the Annuity Date, separately for each Guaranteed Account
Option as: the initial allocation of Net Premium Payments or Credit Amounts to
that Option and transfers into the Option, increased by credited interest, and
decreased by any transfers out of the Option and charges deducted. For purposes
of crediting interest and deducting charges, all Guaranteed Account Options use
a last-in, first-out method of accounting for allocations of Net Premium
Payments and Credit Amounts and for transfers of Contract Account Value.



                                     - 15 -
<PAGE>   15
                      SECTION 6: ALLOCATIONS AND TRANSFERS

NET PREMIUM ALLOCATION: In the application, the Owner must select how the
initial Net Premium Payment is to be allocated among the Subaccounts and the
Guaranteed Account Options.

We allocate the initial Net Premium Payment to the Subaccounts and the
Guaranteed Account Options based on the premium allocation schedule in Your
application.

You may change the allocation schedule from that shown in the application by
providing Notice to Us. Any additional Net Premium Payments and Credit Amounts
are allocated in accordance with the allocation schedule in effect when such Net
Premium Payments are received at the Service Center unless it is accompanied by
Notice directing a different allocation for that premium payment. The portion of
a Net Premium Payment that may be applied to a Subaccount or a Guaranteed
Account Option must be a whole percentage.

TRANSFER PRIVILEGE: Before the Annuity Date, You may transfer all or part of any
Subaccount Value to another Subaccount(s) or a Guaranteed Account Option
(subject to its availability) or transfer a part of any Guaranteed Account Value
to any Subaccount(s), (subject to its availability) subject to these
restrictions:

1.       the Minimum Transfer Amount is shown in the Contract Schedule (or, the
         entire Subaccount Value or amount in any Guaranteed Account Option, if
         less than the Minimum Transfer Amount); and

2.       a transfer request that would reduce a Subaccount Value or amount
         remaining in a Guaranteed Account Option below the amount shown on the
         Contract Schedule is treated as a transfer request for the entire
         amount in that Subaccount or Guaranteed Account Option; and

3.       additional restrictions on transfers from the Guaranteed Account
         Options described below.

A Transfer Processing Fee will be deducted from the transferred amount for
certain transfers. See "Transfer Processing Fee" below. Transfers are made as of
the date that Your request is received at the Service Center.

RESTRICTIONS ON TRANSFERS FROM GUARANTEED ACCOUNT OPTIONS: You may transfer a
part of the amount in a Guaranteed Account Option to the Subaccounts, subject to
these additional restrictions:


1.       We allow only one transfer each year and this transfer must be
         requested within the period that is 30 days before and 30 days after
         the Contract Anniversary. An unused transfer does not carry over to the
         next year; and

2.       the maximum transfer amount from any Guaranteed Account Option is 25%
         of the portion of the Guaranteed Account Value attributable to that
         Option on the date of transfer, unless the balance after the transfer
         is less than $500.00.

We will make the transfer on the Contract Anniversary if Your Notice is received
prior to the Contract Anniversary; if Your Notice is received after the Contract
Anniversary, We will make the transfer as of the date We receive Your Notice at
our Service Center.

                                     - 16 -
<PAGE>   16
TRANSFER PROCESSING FEE: The first twelve transfers during each Contract Year
are free. We will assess a Transfer Processing Fee for each transfer in excess
of twelve transfers during a Contract Year. The amount of the Transfer
Processing Fee is shown on the Contract Schedule. For the purposes of assessing
the Transfer Processing Fee, each Notice of transfer is considered to be one
transfer, regardless of the number of Subaccounts or Guaranteed Account Options
affected by the transfer. The Transfer Processing Fee is deducted from the
amount being transferred.



                                     - 17 -
<PAGE>   17
                       SECTION 7: CONTRACT ACCOUNT VALUES


SURRENDER: You may surrender this Contract for its Surrender Value at any time
before the Annuity Date. You may elect to have the Surrender Value paid in a
single sum or under a Payment Option. The Contract ends when We pay the
Surrender Value or apply such sum to a Payment Option. The Surrender Value is
determined as of the date We receive Your Notice for surrender and this Contract
at Our Service Center.

WITHDRAWALS: You may withdraw part of the Surrender Value at any time before the
Annuity Date, subject to these limits:

1.       the minimum withdrawal amount is shown on the Contract Schedule;

2.       the maximum withdrawal is the amount that would leave a minimum
         remaining Contract Account Value of the amount shown on the Contract
         Schedule.

We withdraw the amount You request from the Contract Account Value as of the day
that We receive Your Notice and send to You that amount. We then deduct any
applicable Surrender Charge and any applicable Premium Tax Charge from the
remaining Contract Account Value.

Your Notice must specify the amount to be withdrawn from each Subaccount or
Guaranteed Account Option. If the Notice does not specify this information, or
if any Subaccount Value or amount in a particular Guaranteed Account Option is
inadequate to comply with Your request, We will make the withdrawal based on the
proportion that each Subaccount Value and amount allocated to each Guaranteed
Account Option bears to the Contract Account Value as of the day of the
withdrawal.

TERMINATION: We may terminate this Contract and pay You the Surrender Value if,
before the Annuity Date, all of the following simultaneously exist:

1.       You have not made any premium payment for at least two Contract Years;

2.       Your Contract Account Value is less than $2,000; and

3.       total premium payments paid less withdrawals (including Surrender
         Charges) are less than $2,000.

We will mail You a notice of Our intent to terminate this Contract at least six
months in advance of such termination. This Contract will automatically
terminate on the date specified in the notice unless We receive an additional
premium payment before the termination date specified in the notice. This
additional premium payment must be for at least the minimum additional premium
amount acceptable to Us.

BASIS OF VALUES: Any paid-up annuity, surrender or death benefits that may be
available are at least equal to the minimum required by law in the jurisdiction
in which this Contract is delivered. A detailed statement of the method used to
compute the minimum values has been filed, where required, with the insurance
officials of the jurisdiction in which this Contract is delivered.




                                     - 18 -
<PAGE>   18
                               SECTION 8: CREDITS


CREDIT AMOUNTS: We credit your Contract Account Value with an additional Credit
Amount in most circumstances when a Net Premium Payment is applied to the
Contract on the date the Net Premium Payment is received. The Credit Amount is a
percentage of the premium payments that you pay and these percentages are shown
in the Contract Schedule. The percentage is determined by the total amount of
premium payments received on this Contract less the total amount of all
withdrawals (including any Surrender Charges). The Credit Amount is calculated
by multiplying the percentage (expressed as a decimal) by the excess of (a) over
(b), where:

(a)               equals total premium payments applied under this Contract
                  (including the current premium payment) less the total
                  withdrawals (including any Surrender Charges);

(b)               equals the amount computed under (a) above at the time that
                  the most recent previous credit calculation was made that
                  resulted in a Credit Amount being applied.

The Credit Amount is allocated among the Subaccounts and Guaranteed Account
Options based on the premium allocation.


LOOK-BACK: On each of the first three Contract Anniversaries, We will determine
a Calculated Credit Amount. To the extent that the Calculated Credit Amount
exceeds the actual Credit Amounts applied to this Contract, We will increase the
Contract Account Value by the amount of such excess and allocate such excess as
a Credit Amount based on the premium allocation.

The Calculated Credit Amount is determined by multiplying (1) by (2) where:

1)       equals the amount of total premium payments received on this Contract
         less the amount of withdrawals (including any Surrender Charges).

2)       equals the credit percentage (expressed as a decimal) as shown on the
         Contract Schedule for the amount calculated under (1) above.



                                     - 19 -
<PAGE>   19
                           SECTION 9: FEES AND CHARGES


SURRENDER CHARGE: The Surrender Charge is equal to the percentage of each
premium payment surrendered or withdrawn as specified in the table on the
Contract Schedule. The Surrender Charge is separately calculated and applied to
each premium payment at any time that the payment is surrendered or withdrawn.
No Surrender Charge applies to the portion of the Contract Account Value equal
to the Free Withdrawal Amount or to Contract Account Value in excess of
aggregate premium payments (less prior withdrawals of premium payments). The
Surrender Charge is calculated using the assumption that Contract Account Value
is withdrawn in the following order: (1) the Free Withdrawal Amount for the
Contract Year, (2) premium payments, and (3) any remaining Contract Account
Value. In addition, the Surrender Charge is calculated using the assumption that
premium payments are withdrawn on a first-in, first out basis.

The Surrender Charge applicable to each premium payment diminishes as the
payment ages. A premium payment ages by Contract Year, such that it is in "year"
1 (on the table in the Contract Schedule) during the Contract Year in which it
is received and in "year" 2 throughout the subsequent Contract Year and in
"year" 3 throughout the Contract Year after that, etc.

In addition, there is no Surrender Charge on or after the Maturity Date.

DEATH BENEFIT CHARGE: In computing the death benefit upon the death of any Owner
prior to the Annuity Date, a Death Benefit Charge is deducted. The amount of the
Death Benefit Charge is shown on the Contract Schedule. The Free Withdrawal
Amount does not apply to the Death Benefit Charge.

ANNUAL ANNUITY CHARGE: We assess an Annual Annuity Charge on a daily basis
against the assets of the Variable Account. The amount of the charge is shown on
the Contract Schedule.

ANNUAL ADMINISTRATIVE FEE: We will assess the Annual Administrative Fee shown on
the Contract Schedule:

1.       for the prior Contract Year, as of the Contract Anniversary; or

2.       for the current Contract Year (a) as of the date of any surrender, or
         (b) as of the Annuity Date.

The fee is deducted from Subaccount Values and Guaranteed Account Options based
on the proportion that each bears to the Contract Account Value.

When the Annual Administrative Fee is deducted from Subaccount Values, We will
cancel the appropriate number of Accumulation Units. Where the fee is deducted
from a Guaranteed Account Option, We will reduce the Guaranteed Account Value by
the amount of the fee.

TRANSFER PROCESSING FEE: We will assess a Transfer Processing Fee for each
transfer in excess of twelve transfers during a Contract Year. The amount of
this fee is shown on the Contract Schedule.

PREMIUM TAX CHARGE: We reserve the right to deduct any premium tax assessed
against Us from the Proceeds to the extent that the premium tax has not been
recovered from a deduction from premium payments.

OTHER TAXES: If a tax is assessed against the operation of the Variable Account,
We reserve the right to adjust the Net Investment Factor to provide for any
taxes attributable to the operation of the Variable Account.

                                     - 20 -
<PAGE>   20
CHARGE FOR OPTIONAL BENEFITS: If optional benefits have been added to this
Contract, the method and amount of the charges for the optional benefits shall
be as specified in the Rider, Endorsement or Contract Schedule.


                                     - 21 -
<PAGE>   21
                         SECTION 10: PAYMENT OF BENEFITS


PAYMENT OF BENEFITS: We usually pay the Proceeds of any surrender, withdrawals,
death benefit, or any Annuity Payments within 7 business days after receipt of
all applicable Notices and/or Due Proof of Death. However, We can postpone such
payments if:

1.       the New York Stock Exchange is closed, other than customary weekend and
         holiday closing, or trading on the exchange is restricted as determined
         by the SEC; or

2.       the SEC permits, by an order, the postponement of payment for the
         protection of Owners; or

3.       the SEC determines that an emergency exists that would make the
         disposal of securities held in the Variable Account or the
         determination of their value not reasonably practicable.

If a recent check or draft has been submitted, We have the right to defer
payment of surrenders, withdrawals, death benefits, or Annuity Payments until
such check or draft has been honored.

We have the right to defer payment of any surrender, withdrawal, or transfer of
Guaranteed Account Value for up to six months from the date We receive Your
Notice.

INTEREST ON DELAYED PAYMENTS: We will pay interest on the amount of any payment
that is delayed pursuant to this section.

This interest will accrue from the date that the payment becomes payable to the
date of payment, but not for more than one year, at an annual rate of 3%, or the
rate and time required by law, if greater.



                                     - 22 -
<PAGE>   22
                           SECTION 11: DEATH BENEFITS


DEATH BENEFITS ON OR AFTER THE ANNUITY DATE: If an Owner dies on or after the
Annuity Date, any surviving joint Owner becomes the sole Owner. If there is no
surviving Owner, the Beneficiary becomes the new Owner. If an Owner dies on or
after the Annuity Date, any remaining payments must be distributed at least as
rapidly as under the Payment Option in effect on the date of such death.

DEATH BENEFIT BEFORE THE ANNUITY DATE:

1.       DEATH OF AN OWNER:

         If there are multiple Owners named, the age of the oldest Owner will be
         used to determine the applicable death benefit. If a sole Owner dies
         prior to the Annuity Date, We will pay the Beneficiary the death
         benefit then due. If the sole Owner is not an individual, We will treat
         the Annuitant as Owner for the purpose of determining when the Owner
         dies and the Annuitant's age will determine the applicable death
         benefit payable to the Beneficiary. The sole Owner's estate will be the
         Beneficiary if no Beneficiary designation is in effect, or if the
         designated Beneficiary has predeceased the Owner. In the case of Owner
         dying prior to the Annuity Date, the surviving Owner will be deemed as
         the Beneficiary.

         A death benefit is determined as of the date on which Notice and Due
         Proof of Death and all required claim or other forms are received at
         the Service Center.

         The following options are available to Beneficiary:

1)       elect to receive the death benefit in a single lump sum within 5 years
         of the deceased Owner's death; or

2)       elect to receive the death benefit paid under a Payment Option provided
         that: (a) Annuity Payments begin within 1 year of the deceased Owner's
         death, and (b) Annuity Payments are made in substantially equal
         installments over the life of the Beneficiary or over a period not
         greater than the life expectancy of the Beneficiary; or

3)       if the beneficiary is the spouse of the deceased Owner, he or she may
         by Written Notice within one year of the Owner's death, in lieu of
         receiving the death benefit, elect to continue the Contract as the new
         Owner. If the spouse so elects, all his or her rights as a Beneficiary
         cease and if the deceased Owner was also the Annuitant, he or she will
         become the Annuitant. The spouse will be deemed to have elected to
         continue the Contract if he or she makes no election before the
         expiration of the one year period after the Owner's death or if he or
         she makes any premium payments under the Contract.

         With regard to Beneficiary who is not the spouse of the deceased Owner:
         (a) options (1) and (2) apply even if the Annuitant is alive at the
         time of the deceased Owner's death, (b) if the new Owner is a not
         natural person, only option (1) is available, (c) if no election is
         made within 60 days of the deceased Owner's death, option (1) will be
         deemed to have been elected.


         If the Beneficiary dies before the payments required by options (1) or
         (2) are complete, the entire remaining Contract Account Value must be
         distributed in a lump sum immediately.

                                     - 23 -
<PAGE>   23
         If there is more than one Beneficiary, the foregoing provisions will
         independently apply to each Beneficiary.

2.       DEATH OF THE ANNUITANT:

         On the death of the Annuitant before the Annuity Date, the Owner
         becomes the new Annuitant, if the Owner is an individual. If there is
         more than one Owner, the youngest Owner will become the Annuitant. If
         any Owner is not an individual, the death of an Annuitant will be
         treated as the death of an Owner and the death benefit will be
         determined as if the Annuitant were the Owner. If Annuitant is changed
         and the Owner is not a natural person, the entire interest in the
         Contract must be distributed to the Owner within 5 years of the change.

3.       THE DEATH BENEFIT:

         If the Owner is less than age 90 on the date of death, the death
         benefit during the first 9 Contract Years will be equal to the greater
         of:

         a)       the Contract Account Value less the Death Benefit Charge;

         b)       the premiums payments paid reduced by the amount of all
                  withdrawals (including any applicable Surrender Charge).


         The death benefit after the first 9 Contract Years will be equal to
greater of:

         1)       (a) as defined above;

2)            as of the end of Contract Year 9, the greater of (b) as defined
              above or the Contract Account Value. This amount is subsequently
              increased by premium payments and reduced by an amount for each
              withdrawal (described below).

         REDUCTION FOR A WITHDRAWAL: When part of the Surrender Value is
         withdrawn, the withdrawal will reduce the death benefit in the same
         proportion that the Contract Account Value was reduced on the date of
         withdrawal. For each withdrawal, the death benefit reduction is
         calculated by multiplying the death benefit on the date of withdrawal
         by a fraction, the numerator of which is the amount of the withdrawal
         including any applicable Surrender Charge and the denominator of which
         is the Contract Account Value immediately prior to the withdrawal.

         If the Owner is at least age 90 on the date of death, the death benefit
         is equal to the Contract Account Value less the Death Benefit Charge.

         Any excess of the death benefit over the Contract Account Value will be
         allocated to the Subaccounts and Guaranteed Account Options according
         to the premium allocation schedule in effect at the time that
         distribution option is chosen or is deemed to have been chosen.



                                     - 24 -
<PAGE>   24
               SECTION 12: ANNUITY PROVISIONS AND PAYMENT OPTIONS


ANNUITY DATE AND MATURITY DATE: Surrender Value is applied to purchase a Payment
Option as of the Annuity Date. The Owner may designate or change the Annuity
Date. The latest Annuity Date is the Maturity Date.

ELECTION OF OPTION: The following Payment Options are available to You during
Your lifetime. They are also available to the Beneficiary after Your death, if
You have not selected an option for such Beneficiary.

You may elect to have the Proceeds paid in accordance with any one of the
options described below or in any other manner acceptable to us and permissible
under applicable law. If no election has been made, the automatic Payment Option
shall be Option B. The amount paid under these options is fixed and does not
depend on the investment performance of the Variable Account.

OPTION A - LIFE ANNUITY: An income payable during the lifetime of the Annuitant,
ceasing with the last payment due prior to the death of the Annuitant, according
to the Option Table, Life Only column.

OPTION B - LIFE ANNUITY WITH 10 YEARS PERIOD CERTAIN: An income payable during
the lifetime of the Annuitant with the guarantee that payments shall be made for
a period of not less than 10 years according to the Option Table, 10 Year Period
Certain column.

Under Option B, if any Beneficiary dies while receiving payment, the present
value of the current dollar amount on the date of death of any remaining
guaranteed payments shall be paid in one sum to the executors or administrators
of the Beneficiary unless otherwise provided in writing. Calculation of such
present value shall be at 3% which is the rate of interest assumed in computing
the amount of Annuity Payments.

OPTION C - ALTERNATIVE INCOME OPTION: In lieu of one of the above options You
may elect to settle Proceeds under an alternative income option acceptable to
Us.

GENERAL PROVISIONS: Annuity Payments shall commence and continue subject to the
following provisions:

A.       We shall issue a supplementary contract stating the terms of payment
         under the option elected. We may require the return of this Contract to
         our Service Center.

B.       Proof satisfactory to us of the identity, birth date and sex of any
         Annuitant and that the Annuitant is living.

C.       Notice is received at least 30 days before the Maturity Date. The
         requested option must begin at least 30 days after We receive Notice,
         on or before the Maturity Date, and cannot be the 29th, 30th or 31st
         day of a calendar month.

No election of any option may be made under this Contract for any Annuitant
unless such election would produce a periodic payment of at least $50 to that
Annuitant. If at any time payments to be made become less than $50 each, We
shall have the right to change the frequency of payment to such interval as
shall result in the payment of at least $50. Subject to this condition, payments
may be made annually, semi-annually, quarterly or monthly.

ANNUITY PAYMENT RATES

                                     - 25 -
<PAGE>   25
The annuity payment rates shown below are based on the 1983 Table A with
interest at the rate of 3% per annum. The amount of each annuity payment will
depend on the sex and adjusted age of the Annuitant. The adjusted age is
determined from the actual age at the time the first monthly annuity payment is
due, as follows:



 CALENDAR YEAR OF BIRTH                                  ADJUST TO ACTUAL AGE


                                To Be Determined.


The dollar amount of Annuity Payment for any age not shown, any other frequency
of payment, or any other income option agreed to by us will be quoted on
request.
                         AMOUNT OF FIRST MONTHLY PAYMENT
                          PER $1,000 OF AMOUNT APPLIED
                                TO BE DETERMINED



                                     - 26 -
<PAGE>   26

































               FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT

               Providentmutual Life and Annuity Company of America
                         A Stock Life Insurance Company
                     300 Continental Drive, Newark, DE 19713

                                     - 27 -


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