PROVIDENTMUTUAL VARIABLE ANNUITY SEPARATE ACCOUNT
485BPOS, 2000-04-25
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<PAGE>   1


     AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON APRIL 25, 2000


                                                               FILE NO. 33-65195
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------

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

                                     AND/OR

                          REGISTRATION STATEMENT UNDER
                       THE INVESTMENT COMPANY ACT OF 1940                    [ ]
                                AMENDMENT NO. 11                             [X]

                            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

                          1000 CHESTERBROOK BOULEVARD


                             BERWYN, PA 19312-1181


                    (NAME AND ADDRESS OF AGENT FOR SERVICE)


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

     It is proposed that this filing will become effective (check appropriate
box)

         [ ] immediately upon filing pursuant to paragraph (b) of Rule 485


         [X] on May 1, 2000 pursuant to paragraph (b) of Rule 485


         [ ] 60 days after filing pursuant to paragraph (a) of Rule 485

         [ ] on (date) pursuant to paragraph (a) of Rule 485

                     Title of Securities Being Registered:

 Interests in Individual Flexible Premium Deferred Variable Annuity Contracts.


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

                                     PART A

                  INFORMATION REQUIRED TO BE IN THE PROSPECTUS
<PAGE>   3

     INTERESTS IN INDIVIDUAL FLEXIBLE PREMIUM
        DEFERRED VARIABLE ANNUITY CONTRACTS

                     Issued by

     PROVIDENTMUTUAL VARIABLE ANNUITY SEPARATE
                      ACCOUNT

                        and

     PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY
                    OF AMERICA

<TABLE>
       <S>                     <C>
           SERVICE CENTER        CORPORATE HEADQUARTERS
       300 CONTINENTAL DRIVE    1000 CHESTERBROOK BLVD.
       NEWARK, DELAWARE 19713  BERWYN, PENNSYLVANIA 19312
</TABLE>

               PHONE: 1-800-688-5177
                                                            PROSPECTUS

                                                           May 1, 2000

This prospectus describes an individual flexible premium deferred variable
annuity contract ("Contract") issued by Providentmutual Life and Annuity Company
of America. This prospectus provides information that a prospective owner should
know before investing in the Contract.

You can allocate your Contract's values to:

      --  Providentmutual Variable Annuity Separate Account (the "Variable
          Account"), which invests in the portfolios listed on this page; or

      --  the Guaranteed Account, which credits a specified rate of interest.

A prospectus for each of the portfolios available through the Variable Account
(the "Portfolios") must accompany this prospectus. Please read these documents
before investing and save them for future reference.

To learn more about the Contract, you should read the Statement of Additional
Information ("SAI") dated May 1, 2000. For a free copy of the SAI, please call
or write to us at our Service Center.


The SAI has been filed with the Securities and Exchange Commission ("SEC") and
is incorporated by reference into this prospectus. The Table of Contents for the
SAI appears on page 40 of this prospectus. The SEC maintains an Internet website
(http://www.sec.gov) that contains the SAI and other information.


   THE SECURITIES AND EXCHANGE COMMISSION HAS NOT APPROVED OR DISAPPROVED
   THESE SECURITIES OR PASSED UPON THE ADEQUACY OF THIS PROSPECTUS. ANY
   REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.

PLEASE NOTE THAT THE CONTRACT AND THE PORTFOLIOS:

      --  ARE NOT GUARANTEED TO ACHIEVE THEIR GOALS;

      --  ARE NOT FEDERALLY INSURED;

      --  ARE NOT ENDORSED BY ANY BANK OR GOVERNMENT AGENCY; AND

      --  ARE SUBJECT TO RISKS, INCLUDING LOSS OF THE AMOUNT INVESTED.


It may not be advantageous to replace existing insurance with the Contract.


The following Portfolios are available:


     -- MARKET STREET FUND, INC.

        All Pro Large Cap Growth Portfolio
        All Pro Large Cap Value Portfolio
        All Pro Small Cap Growth Portfolio
        All Pro Small Cap Value Portfolio

        Equity 500 Index Portfolio


        International Portfolio


        Growth Portfolio

        Aggressive Growth Portfolio
        Managed Portfolio
        Bond Portfolio

        Money Market Portfolio



     -- ALGER AMERICAN FUND


        Small Capitalization Portfolio



     -- NEUBERGER BERMAN ADVISERS


          MANAGEMENT TRUST


        Limited Maturity Bond Portfolio


        Partners Portfolio



     -- STRONG VARIABLE INSURANCE


          FUNDS, INC.


        Strong Mid Cap Growth Fund II



     -- STRONG OPPORTUNITY FUND II, INC.


        Strong Opportunity Fund II

<PAGE>   4


     -- VAN ECK WORLDWIDE INSURANCE TRUST

        Worldwide Bond Portfolio
        Worldwide Emerging Markets Portfolio
        Worldwide Hard Assets Portfolio
        Worldwide Real Estate Portfolio

     -- VARIABLE INSURANCE PRODUCTS FUND
        Equity-Income Portfolio
        Growth Portfolio
        High Income Portfolio

        Overseas Portfolio


     -- VARIABLE INSURANCE PRODUCTS FUND II
        Asset Manager Portfolio

        Contrafund(R) Portfolio


        Investment Grade Bond Portfolio

<PAGE>   5

TABLE OF CONTENTS
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------


<TABLE>
<CAPTION>
                                        PAGE
                                        ----
<S>                                     <C>
GLOSSARY..............................    1
TABLE OF EXPENSES.....................    3
CONTRACT SUMMARY......................    8
  The Contract........................    8
  Charges and Deductions..............    9
  Annuity Provisions..................   10
  Federal Tax Status..................   10
PLACA, THE VARIABLE ACCOUNT AND THE
  PORTFOLIOS..........................   11
  Providentmutual Life and Annuity
     Company of America (PLACA).......   11
  Providentmutual Variable Annuity
     Separate Account (Variable
     Account).........................   11
  The Funds...........................   12
  Resolving Material Conflicts........   18
  Addition, Deletion or Substitution
     of Investments...................   19
DESCRIPTION OF ANNUITY CONTRACT.......   19
  Purchasing a Contract...............   19
  Cancellation (Free-Look) Period.....   20
  Premiums............................   20
  Allocation of Net Premiums..........   20
  Variable Account Value..............   21
  Transfer Privilege..................   22
  Dollar Cost Averaging...............   23
  Withdrawals and Surrender...........   23
  Death Benefit Before Maturity
     Date.............................   25
  Proceeds on Maturity Date...........   26
  Payments............................   26
  Modification........................   27
  Reports to Contract Owners..........   27
  Contract Inquiries..................   27
THE GUARANTEED ACCOUNT................   27
  Minimum Guaranteed and Current
     Interest Rates...................   28
  Calculation of Guaranteed Account
     Value............................   28
</TABLE>



<TABLE>
<CAPTION>
                                        PAGE
                                        ----
<S>                                     <C>
  Transfers from Guaranteed Account...   28
  Payment Deferral....................   28
CHARGES AND DEDUCTIONS................   28
  Surrender Charge (Contingent
     Deferred Sales Charge)...........   28
  Administrative Charges..............   30
  Mortality and Expense Risk Charge...   30
  Investment Advisory Fees and Other
     Expenses of the Portfolios.......   30
  Premium Taxes.......................   30
  Other Taxes.........................   31
PAYMENT OPTIONS.......................   31
  Election of Payment Options.........   31
  Description of Payment Options......   31
YIELDS AND TOTAL RETURNS..............   32
FEDERAL TAX STATUS....................   33
  Introduction........................   33
  Tax Status of the Contracts.........   34
  Taxation of Annuities -- In
     General..........................   34
  Taxation of Non-Qualified
     Contracts........................   35
  Taxation of Qualified Contracts.....   35
  Withholding.........................   37
  Possible Changes in Taxation........   37
  Other Tax Consequences..............   37
DISTRIBUTION OF CONTRACTS.............   37
LEGAL PROCEEDINGS.....................   38
VOTING PORTFOLIO SHARES...............   38
FINANCIAL STATEMENTS..................   39
STATEMENT OF ADDITIONAL INFORMATION
  TABLE OF CONTENTS...................   40
APPENDIX A -- FINANCIAL HIGHLIGHTS....  A-1
</TABLE>

<PAGE>   6

GLOSSARY
- --------------------------------------------------------------------------------

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

ANNUITANT
The person whose life determines the annuity payments payable under the Contract
and whose death determines the death benefit.


APPLICATION
The application you must complete to purchase a Contract plus all forms required
by us or applicable law.


BENEFICIARY
The person to whom we pay the death benefit upon the death of the Owner or the
Annuitant. If the Contract has joint Owners, then the surviving joint Owner is
the Beneficiary.

CANCELLATION (FREE-LOOK) PERIOD
The 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 us
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.

FUND
Any mutual fund in which a Subaccount invests.

GENERAL ACCOUNT
The assets that belong to us other than those assets allocated to the Variable
Account or any of our other separate accounts.

GUARANTEED ACCOUNT
An account that is part of our General Account and is not part of, or dependent
upon, the investment performance of the Variable Account.

GUARANTEED ACCOUNT VALUE
The Net Premiums allocated and amounts 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 date as of which the Contract Account Value is applied to a Payment Option
(or, if you elect to receive a lump sum, the date as of which you will receive
the Surrender Value). The latest possible Maturity Date may not be later than
the first day of the month after the Annuitant's 90th birthday or any earlier
date required by law. 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 Portfolio on any Valuation Day. The method of
computing the Net Asset Value Per Share is described in the prospectus for a
Portfolio.

NET PREMIUM
The premium you pay 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 us that is
signed by you and received at our Service Center. You may obtain the necessary
form by calling us at (800) 688-5177.

                                        1
<PAGE>   7

OWNER (YOU, YOUR)
The person who owns the Contract. The Owner is 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
designation of a Payee other than the Annuitant requires our consent.



PAYMENT OPTION
One of the 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.

RIDER
An amendment, addition, or endorsement to the Contract that changes the terms of
the Contract by: (1) expanding Contract benefits; (2) restricting Contract
benefits: or (3) excluding certain conditions from the Contract's coverage. A
Rider that is added to the Contract becomes part of the Contract.

SEC
The U.S. Securities and Exchange Commission.


SERVICE CENTER
Our technology and service office at 300 Continental Drive, Newark, Delaware
19713.


SUBACCOUNT
A subdivision of the Variable Account.


SUBACCOUNT VALUE
Before the Maturity Date, the amount equal to that part of any Net Premium
allocated to a Subaccount plus any amounts 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 charges), other charges and any amounts
transferred out of that Subaccount.



SURRENDER CHARGE
A charge that we deduct if a withdrawal or surrender occurs during the first
seven Contract Years. This charge is sometimes called a "contingent deferred
sales charge."



SURRENDER VALUE
The Contract Account Value less: (1) any applicable Surrender Charge, (2)
premium tax charges not previously deducted, and (3) the annual administration
fee, if applicable.


TRANSFER PROCESSING FEE
The fee we charge for additional Subaccount amounts transferred after the
twelfth transfer of Subaccount amounts within one Contract Year.


VALUATION DAY
For each Subaccount, each day that the New York Stock Exchange is open for
business and on days when trading of shares within a Subaccount is sufficient to
affect materially the value of the Subaccount.



VALUATION PERIOD
The period beginning at the close of business on one Valuation Day (usually 4:00
p.m. Eastern Time) and continuing to the close of business on the next Valuation
Day.


VARIABLE ACCOUNT
Providentmutual Variable Annuity Separate Account.

VARIABLE ACCOUNT VALUE
The sum of all Subaccount Values.
                                        2
<PAGE>   8

                               TABLE OF EXPENSES

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


<TABLE>
<S>                                         <C>    <C>
CONTRACT OWNER TRANSACTION EXPENSES
Sales Load Imposed on Premiums............  None
Maximum Contingent Deferred Sales Charge
  (as a percentage of amount surrendered
  or withdrawn)(1)........................     7%
ANNUAL ADMINISTRATION FEE.................  $30 per Contract Year
VARIABLE ACCOUNT ANNUAL EXPENSES
  (as a % of Variable Account Value)
Mortality and Expense Risk Charges........  1.25%
Account Fees and Expenses(2)..............  0.15%
                                            ----
Total Variable Account
  Annual Expenses.........................  1.40%
</TABLE>



<TABLE>
<CAPTION>
                                               ALL PRO         ALL PRO      ALL PRO      ALL PRO         EQUITY
                                              LARGE CAP       LARGE CAP    SMALL CAP    SMALL CAP         500
                                                GROWTH          VALUE       GROWTH        VALUE          INDEX
                                              PORTFOLIO       PORTFOLIO    PORTFOLIO    PORTFOLIO      PORTFOLIO
                                            --------------    ---------    ---------    ---------    --------------
<S>                                         <C>               <C>          <C>          <C>          <C>
MARKET STREET FUND, INC. ("MARKET STREET
FUND") ANNUAL EXPENSES
  (as a percentage of average net assets)
Management Fees
  (Investment Advisory Fees)..............       0.70%          0.70%        0.90%        0.90%           0.24%
Other Expenses (after reimbursement)(3)...       0.19%          0.21%        0.21%        0.30%           0.04%
                                                 ----           ----         ----         ----            ----
Total Fund Annual Expenses (after
  reimbursement)(4).......................       0.89%          0.91%        1.11%        1.20%           0.28%
</TABLE>



<TABLE>
<CAPTION>
                                                                        AGGRESSIVE                             MONEY
                                            INTERNATIONAL    GROWTH       GROWTH      MANAGED      BOND       MARKET
                                              PORTFOLIO     PORTFOLIO   PORTFOLIO    PORTFOLIO   PORTFOLIO   PORTFOLIO
                                            -------------   ---------   ----------   ---------   ---------   ---------
<S>                                         <C>             <C>         <C>          <C>         <C>         <C>
MARKET STREET FUND, INC.
ANNUAL EXPENSE
  (as a percentage of average net assets)
Management Fees
  (Investment Advisory Fees)..............      0.75%         0.32%        0.41%        0.40%      0.35%       0.25%
Other Expenses (after reimbursement)......      0.23%         0.16%        0.16%        0.17%      0.17%       0.15%
                                                ----          ----         ----         ----       ----        ----
Total Fund Annual Expenses (after
  reimbursement)(4).......................      0.98%         0.48%        0.57%        0.57%      0.52%       0.40%
</TABLE>


<TABLE>
<CAPTION>
                                                SMALL
                                            CAPITALIZATION
                                              PORTFOLIO
                                            --------------
<S>                                         <C>              <C>             <C>         <C>          <C>       <C>
ALGER AMERICAN FUND ("ALGER AMERICAN")
ANNUAL EXPENSES(5)
  (as a percentage of average net assets)
Management Fees
  (Investment Advisory Fees)..............       0.85%
Other Expenses............................       0.05%
                                                 ----
Total Fund Annual Expenses................       0.90%

</TABLE>

                                        3
<PAGE>   9


<TABLE>
<CAPTION>
                                                  LIMITED
                                                 MATURITY
                                                   BOND       PARTNERS
                                                 PORTFOLIO    PORTFOLIO
                                                 ---------    ---------
<S>                                              <C>          <C>          <C>          <C>
NEUBERGER BERMAN ADVISERS MANAGEMENT
TRUST ("NEUBERGER BERMAN FUND")
ANNUAL EXPENSES(5)
  (as a percentage of average net assets)
Management Fees
  (Investment Advisory Fees).................      0.65%        0.80%
Other Expenses...............................      0.11%        0.07%
                                                   ----         ----
Total Fund Annual Expenses...................      0.76%        0.87%
</TABLE>



<TABLE>
<CAPTION>
                                                  MID CAP
                                                  GROWTH
                                                  FUND II
                                                 PORTFOLIO
                                                 ---------
<S>                                              <C>          <C>          <C>          <C>
STRONG VARIABLE INSURANCE FUND, INC.
("STRONG FUND") ANNUAL EXPENSES(5)
  (as a percentage of average net assets)
Management Fees
  (Investment Advisory Fees).................      1.00%
Other Expenses
  (after reimbursement)......................      0.15%
                                                   ----
Total Fund Annual Expenses
  (after reimbursement)(4)...................      1.15%
</TABLE>



<TABLE>
<CAPTION>
                                                 OPPORTUNITY
                                                   FUND II
                                                  PORTFOLIO
                                                 -----------
<S>                                              <C>            <C>          <C>          <C>
STRONG OPPORTUNITY FUND II, INC.
("STRONG OPPORTUNITY FUND") ANNUAL
EXPENSES(5)
  (as a percentage of average net assets)
Management Fees
  (Investment Advisory Fees).................        1.00%
Other Expenses
  (after reimbursement)......................        0.14%
                                                     ----
Total Fund Annual Expenses
  (after reimbursement)(4)...................        1.14%
</TABLE>



<TABLE>
<CAPTION>
                                                              WORLDWIDE    WORLDWIDE    WORLDWIDE
                                                 WORLDWIDE    EMERGING       HARD         REAL
                                                   BOND        MARKETS      ASSETS       ESTATE
                                                 PORTFOLIO    PORTFOLIO    PORTFOLIO    PORTFOLIO
                                                 ---------    ---------    ---------    ---------
<S>                                              <C>          <C>          <C>          <C>
VAN ECK WORLDWIDE INSURANCE TRUST
("VAN ECK 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)......................      0.22%        0.34%        0.26%        0.44%
                                                   ----         ----         ----         ----
Total Fund Annual Expenses
  (after reimbursement)(4)...................      1.22%        1.34%        1.26%        1.44%
</TABLE>


                                        4
<PAGE>   10


<TABLE>
<CAPTION>
                                                  EQUITY-                      HIGH
                                                  INCOME        GROWTH        INCOME      OVERSEAS
                                                 PORTFOLIO     PORTFOLIO     PORTFOLIO    PORTFOLIO
                                                 ---------    -----------    ---------    ---------
<S>                                              <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).................      0.48%         0.58%         0.58%        0.73%
Other Expenses (after reimbursement).........      0.08%         0.07%         0.11%        0.14%
                                                   ----          ----          ----         ----
Total Fund Annual Expenses (after
  reimbursement)(4)..........................      0.56%         0.65%         0.69%        0.87%
</TABLE>



<TABLE>
<CAPTION>
                                                                               INVESTMENT
                                                   ASSET                         GRADE
                                                  MANAGER     CONTRAFUND(R)       BOND
                                                 PORTFOLIO      PORTFOLIO      PORTFOLIO
                                                 ---------    -------------    ----------
<S>                                              <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).................      0.53%           0.58%          0.43%
Other Expenses
  (after reimbursement)......................      0.09%           0.07%          0.11%
                                                   ----                           ----
Total Fund Annual Expenses
  (after reimbursement)(4)...................      0.62%           0.65%          0.54%
</TABLE>



     Premium taxes may be applicable, depending on the laws of your state.



     The above Table of Expenses is intended to assist you in understanding the
costs and expenses that you will bear, directly or indirectly. Except as stated
in the footnotes below, the Table reflects expenses of the Variable Account and
the Funds for the 1999 calendar year. For a more complete description of costs
and expenses, see "Charges and Deductions."

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

(1) A Contingent Deferred Sales Charge (also called a Surrender Charge) is
    deducted only if a withdrawal or surrender occurs during the first seven
    Contract Years; no Surrender Charge is deducted for a withdrawal or
    surrender in Contract Years eight and later. For the first Contract Year,
    the maximum charge is 7% of the amount withdrawn or surrendered. Thereafter,
    the Surrender Charge decreases by 1% each subsequent Contract Year until it
    is zero in Contract Year eight. The maximum total Surrender Charge will not
    exceed 8 1/2% of the total premiums received under the Contract. Subject to
    certain restrictions, after the first Contract Year up to a specified
    percentage of the Contract Account Value as of the beginning of a Contract
    Year may be surrendered or withdrawn without charge in that Contract Year.
    (See "Surrender Charge.")

(2) Asset-based administration charge.

(3) Since the Equity 500 Index Portfolio has recently commenced operations,
    "Other Expenses" is based on estimated amounts the Portfolio expects to pay
    during the current calendar year. This estimate anticipates an expense
    reimbursement or fee waiver arrangement for year 2000. Absent this
    arrangement, estimated Total Fund Annual Expenses would be 0.39%.


(4) For certain Portfolios, expenses were reimbursed or fees waived during 1999.
    It is anticipated that expense reimbursement and fee waiver arrangements
    will continue past the current year. Absent the expense reimbursement, the
    Total Fund Annual Expenses would have been 1.21% for the Market Street All
    Pro Small Cap Value Portfolio, 1.17% for the Strong Mid Cap Growth Fund II
    Portfolio, 3.23% for the Van Eck Worldwide Real Estate Portfolio, 0.57% for
    the VIP Fund Equity-Income Portfolio, 0.66% for the VIP Fund Growth
    Portfolio, 0.91% for the VIP Fund Overseas Portfolio, 0.63% for the VIP II
    Fund Asset Manager Portfolio, and 0.67% for the VIP II Fund Contrafund(R)
    Portfolio. Similar expense reimbursement and fee waiver arrangements were
    also in place for the other


                                        5
<PAGE>   11


    Portfolios and it is anticipated that such arrangements will continue past
    the current year. However, no expenses were reimbursed or fees waived during
    1999 for these Portfolios because the level of actual expenses and fees did
    not exceed 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 the
    Funds and has not been independently verified by PLACA. The Market Street
    Fund is affiliated with PLACA. None of the other funds is affiliated with
    PLACA.


EXAMPLES


     You would pay the following expenses on a $1,000 investment, assuming a 5%
annual return on assets:



     1. If you surrender your Contract at the end of the applicable time period:



<TABLE>
<CAPTION>
SUBACCOUNT                                            1 YEAR     3 YEARS    5 YEARS    10 YEARS
- ----------                                            -------    -------    -------    --------
<S>                                                   <C>        <C>        <C>        <C>
Market Street All Pro Large Cap Growth..............  $ 97.59    $117.56    $153.19    $288.97
Market Street All Pro Large Cap Value...............    97.77     118.13     154.16     290.94
Market Street All Pro Small Cap Growth..............    99.63     123.85     163.86     310.37
Market Street All Pro Small Cap Value...............   100.47     126.42     168.20     319.00
Market Street Equity 500 Index......................    91.91      99.96     123.08     227.19
Market Street International.........................    98.42     120.14     157.57     297.78
Market Street Growth................................    93.77     105.75     133.03     247.85
Market Street Aggressive Growth.....................    94.61     108.35     137.49     257.02
Market Street Managed...............................    94.61     108.35     137.49     257.02
Market Street Bond..................................    94.15     106.91     135.02     251.93
Market Street Money Market..........................    93.03     103.44     129.06     239.64
Alger American Small Cap............................    97.68     117.85     153.68     289.95
Neuberger Berman Limited Maturity Bond..............    96.38     113.83     146.83     276.11
Neuberger Berman Partners...........................    97.40     116.99     152.21     287.00
Strong Mid Cap Growth Fund II.......................   100.01     124.99     165.80     314.22
Strong Opportunity Fund II..........................    99.91     124.71     165.31     313.26
Van Eck Worldwide Bond..............................   100.66     126.99     169.17     320.90
Van Eck Worldwide Emerging Markets..................   101.77     130.40     174.92     332.26
Van Eck Worldwide Hard Assets.......................   101.03     128.13     171.09     324.71
Van Eck Worldwide Real Estate.......................   102.70     133.24     179.70     341.63
Fidelity Equity-Income..............................    94.52     108.07     136.99     256.00
Fidelity Growth.....................................    95.35     110.66     141.43     265.10
Fidelity High Income................................    95.73     111.81     143.40     269.12
Fidelity Overseas...................................    97.40     116.99     152.21     287.00
Fidelity Asset Manager..............................    95.08     109.80     139.95     262.08
Fidelity Contrafund(R)..............................    95.35     110.66     141.43     265.10
Fidelity Investment Grade Bond......................    94.33     107.49     136.00     253.97
</TABLE>



     2. If you do not surrender your Contract at the end of the applicable time
period:



<TABLE>
<CAPTION>
SUBACCOUNT                                              1 YEAR    3 YEARS    5 YEARS    10 YEARS
- ----------                                              ------    -------    -------    --------
<S>                                                     <C>       <C>        <C>        <C>
Market Street All Pro Large Cap Growth................  $25.90    $79.59     $135.89    $288.97
Market Street All Pro Large Cap Value.................   26.10     80.19      136.89     290.94
Market Street All Pro Small Cap Growth................   28.10     86.16      146.79     310.37
Market Street All Pro Small Cap Value.................   29.00     88.84      151.22     319.00
Market Street Equity 500 Index........................   19.80     61.21      105.16     227.19
Market Street International...........................   26.80     82.28      140.36     297.78
Market Street Growth..................................   21.80     67.26      115.32     247.85
</TABLE>


                                        6
<PAGE>   12


<TABLE>
<CAPTION>
SUBACCOUNT                                              1 YEAR    3 YEARS    5 YEARS    10 YEARS
- ----------                                              ------    -------    -------    --------
<S>                                                     <C>       <C>        <C>        <C>
Market Street Aggressive Growth.......................  $22.70    $69.98     $119.87    $257.02
Market Street Managed.................................   22.70     69.98      119.87     257.02
Market Street Bond....................................   22.20     68.47      117.35     251.93
Market Street Money Market............................   21.00     64.84      111.27     239.64
Alger American Small Cap..............................   26.00     79.89      136.39     289.95
Neuberger Berman Limited Maturity Bond................   24.60     75.69      129.41     276.11
Neuberger Berman Partners.............................   25.70     78.99      134.90     287.00
Strong Mid Cap Growth Fund II.........................   28.50     87.35      148.76     314.22
Strong Opportunity Fund II............................   28.40     87.05      148.27     313.26
Van Eck Worldwide Bond................................   29.20     89.43      152.20     320.90
Van Eck Worldwide Emerging Markets....................   30.40     93.00      158.08     332.26
Van Eck Worldwide Hard Assets.........................   29.60     90.62      154.16     324.71
Van Eck Worldwide Real Estate.........................   31.40     95.96      162.95     341.63
Fidelity Equity-Income................................   22.60     69.67      119.36     256.00
Fidelity Growth.......................................   23.50     72.38      123.89     265.10
Fidelity High Income..................................   23.90     73.59      125.90     269.12
Fidelity Overseas.....................................   25.70     78.99      134.90     287.00
Fidelity Asset Manager................................   23.20     71.48      122.39     262.08
Fidelity Contrafund(R)................................   23.50     72.38      123.89     265.10
Fidelity Investment Grade Bond........................   22.40     69.07      118.36     253.97
</TABLE>



     The above Examples provided above assume no transfer charges or premium
taxes have been assessed. The Examples also assume that the Annual
Administration Fee is $30 and that the estimated average Contract Account Value
per Contract is $10,000, which translates the Annual Administration Fee into an
assumed .30% 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 MORE OR LESS THAN THE ASSUMED
AMOUNT.


                                        7
<PAGE>   13

CONTRACT SUMMARY
- --------------------------------------------------------------------------------

     THIS SECTION IS A SUMMARY OF SOME OF THE MORE IMPORTANT POINTS THAT YOU
SHOULD KNOW AND CONSIDER BEFORE PURCHASING A CONTRACT. WE DISCUSS EACH OF THESE
TOPICS IN GREATER DETAIL LATER IN THIS PROSPECTUS.

                                  THE CONTRACT

- - PURCHASING A CONTRACT.  The Contract is an individual flexible premium
deferred variable annuity. The Contract allows you to invest on a tax-deferred
basis for your retirement or other long-term purposes. We may sell Contracts in
connection with retirement plans which qualify for special tax treatment
(Qualified Contracts), as well as Contracts 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 Maturity
Date. For more information about how to purchase a Contract, see "Description of
an Annuity Contract -- Purchasing a Contract."



- - CANCELLATION (FREE LOOK) PERIOD.  You have the right to return the Contract
within 10 days (or any longer period required by the laws of your state) 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 amount of premiums you paid (including any Contract fees and
        charges),


        minus


     -- any amounts allocated to the Variable Account


        plus


     -- the Variable Account Value on the date of termination.


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


- - PREMIUMS.  We require a minimum initial premium of $2,000. For Qualified
Contracts, as an alternative to the minimum initial premium, you may commit to
pay premiums of $100 per month during the first Contract Year. 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.


- - ALLOCATION OF NET PREMIUMS.  We will allocate Net Premiums 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 allocated to the Variable Account will
be initially allocated to the Money Market Subaccount for a 15-day period. At
the end of 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.
Your Contract Account Value (except for the Guaranteed Account Value) will vary
according to the investment performance of the Portfolios in which your chosen
Subaccounts invest. We credit interest to amounts in the Guaranteed Account at a
guaranteed minimum rate of 3% per year or, if we choose, at a higher current
interest rate.


- - TRANSFERS.  Before the Maturity 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 allow only 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 to 25% or less of the Guaranteed Account Value on the date of
the transfer, unless the balance after transfer is less than $500, in which case
the entire amount will be transferred.


                                        8
<PAGE>   14

- - WITHDRAWALS.  At any time before the earlier of the death of the Annuitant or
the Maturity Date, you may withdraw part of the Surrender Value, subject to
certain limitations.


- - SURRENDER.  Upon Notice received at our Service Center on or before the
earlier of the death of the Annuitant or the Maturity Date, you may surrender
the Contract in full and receive its Surrender Value. This Notice must include
the proper form which you may obtain by contacting our Service Center.



- - DEATH BENEFIT.  If the Annuitant dies before the Maturity Date, we will pay
the Beneficiary a death benefit. During the first seven Contract Years, the
death benefit equals the greater of:


     -- premiums paid less any amounts withdrawn (including applicable Surrender
        Charges), or

     -- the Contract Account Value on the date we receive due proof of the
        Annuitant's death.


After the end of the seventh Contract Year, the death benefit equals the
greatest of:



     -- the Contract Account Value as of the end of the seventh Contract Year
        less subsequent amounts withdrawn, or


     -- the Contract Account Value on the date we receive due proof of the
        Annuitant's death, or

     -- premiums paid less any amounts withdrawn (including applicable Surrender
        Charges).


If an Owner dies before the Maturity Date, we must generally distribute the
Contract Account Value (or, if the deceased Owner is also the Annuitant, the
death benefit) to the Beneficiary within five years after the date of death.



If an Owner dies on or after the Maturity Date, any remaining payments must be
distributed at least as rapidly as under the Payment Option in effect on the
date of death.



- - STEP-UP RIDER.  A Step-up Rider provides a guaranteed minimum death benefit if
the Annuitant dies before the Maturity Date. The Step-up Rider is automatically
included for Contracts issued in states that permit the Rider for these
Contracts with an Annuitant who is age 0-70. The guaranteed minimum death
benefit initially equals the Contract Account Value as of the sixth Contract
Anniversary. We will reset or "step-up" the guaranteed minimum death benefit to
the Contract Account Value, if greater, on the next six year Contract
Anniversary. This "step-up" continues until the six year Contract Anniversary on
or before the Annuitant's 85th birthday. We will also increase the proceeds upon
death by an amount equal to aggregate premiums paid since the last six year
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 either:


     -- the Contract Account Value on the date we receive due proof of the
        Annuitant's death, or


     -- the sum of premiums paid, less any withdrawals (including applicable
Surrender Charges).


                             CHARGES AND DEDUCTIONS


$ SURRENDER CHARGE (CONTINGENT DEFERRED SALES CHARGE).  We do not deduct any
charge for sales expenses from premiums. However, if you surrender your Contract
or make certain withdrawals before the seventh Contract Anniversary, we will
deduct a Surrender Charge from the amount surrendered or withdrawn.



For the first Contract Year, the charge is 7% of the amount withdrawn or
surrendered. Thereafter, the Surrender Charge decreases by 1% each subsequent
Contract Year. In no event is the total Surrender Charge on any Contract in
excess of 8 1/2% of the total premiums received under the Contract.



During each Contract Year after the first Contract Year, you may, subject to
certain restrictions, make up to two withdrawals totaling a specified percentage
of the Contract Account Value (as of the beginning of a Contract Year) free of
the Surrender Charge. This percentage varies from 20% for the second Contract
Year to 70% for the seventh Contract Year.


                                        9
<PAGE>   15

$ ANNUAL ADMINISTRATION FEE.  On each Contract Anniversary prior to and
including the Maturity Date, we deduct an Annual Administration Fee of $30 from
the Contract Account Value. We also deduct this charge on the Maturity Date if
it is not a Contract Anniversary and upon surrender if the surrender occurs at
any time other than on a Contract Anniversary.

$ ASSET-BASED ADMINISTRATION CHARGE.  We deduct a daily administration charge to
compensate us for certain expenses we incur in administration of the Contracts.
On or prior to the Maturity Date, we deduct the charge from the assets of the
Variable Account at an annual rate of 0.15%.


$ TRANSFER PROCESSING FEE.  Transfers of amounts in the Subaccounts and the
Guaranteed Account are free.


$ MORTALITY AND EXPENSE RISK CHARGE.  We deduct a daily Mortality and Expense
Risk Charge to compensate us for assuming certain mortality and expense risks.
On or prior to the Maturity Date, we deduct the charge from the assets of the
Variable Account at an annual rate of 1.25% (approximately 0.70% for mortality
risk and 0.55% for expense risks).


$ INVESTMENT ADVISORY FEES AND OTHER EXPENSES OF THE PORTFOLIOS.  The investment
experience of each Subaccount reflects the investment experience of the shares
of the Portfolio which it holds. The investment experience of each Portfolio, in
turn, reflects its investment advisory fees and other expenses. Please read the
prospectus for each Portfolio for details.


$ PREMIUM TAXES.  If state or other premium taxes apply to a Contract, we deduct
these taxes either:

        -- from premiums as they are received, or


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


                               ANNUITY PROVISIONS

- - MATURITY DATE.  We will apply the Contract Account Value to a Payment Option
on the Maturity Date. You may instead elect to receive the Surrender Value on
the Maturity Date.

- - 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.


     In addition, instead of choosing one of the Payment Options listed above,
you may elect to receive payments in any other manner that is acceptable to us
and permissible under applicable law.


                               FEDERAL TAX STATUS

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


     WE OFFER OTHER VARIABLE ANNUITIES THAT HAVE DIFFERENT DEATH BENEFITS,
FEATURES, AND OPTIONAL PROGRAMS. THESE OTHER ANNUITIES HAVE DIFFERENT CHARGES
THAT WOULD AFFECT SUBACCOUNT PERFORMANCE AND CONTRACT ACCOUNT VALUE. PLEASE
CONTACT OUR SERVICE CENTER TO OBTAIN MORE INFORMATION ABOUT THESE ANNUITIES.


                                       10
<PAGE>   16

                 PLACA, THE VARIABLE ACCOUNT AND THE PORTFOLIOS

PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY OF AMERICA (PLACA)


     We are a stock life insurance company and the issuer of the Contract. We
were originally incorporated under Pennsylvania law in 1958 under the name
Washington Square Life Insurance Company. Our name was changed in 1991, and we
were redomiciled as a Delaware insurance company on October 28, 1992. The
address of our corporate headquarters is 1000 Chesterbrook Boulevard, Berwyn, PA
19312. We are currently licensed to transact life insurance business in 49
states and the District of Columbia. As of December 31, 1999, we had total
assets of approximately $1.7 billion.



     We are 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 1999 had total assets of approximately $9.2 billion. On December
31, 1997, we entered into a Support Agreement with PMLIC. Under this agreement,
PMLIC agrees to ensure that our 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. PMLIC agrees to
contribute to us an amount of capital sufficient to attain this 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
their operations.


     PMLIC also agrees to cause us 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 us. This agreement will remain in effect
provided we remain a subsidiary of PMLIC. Before any material modification or
termination of the agreement, a determination must be made that the modification
or termination will not have an adverse impact on our policyholders. This
determination is to be based on our ability at the time of the determination to
maintain our 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 us, nor is it in any way a guarantor of our contractual
obligations or obligations under the Contracts.

     We are 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 we do business. We submit annual statements on our
operations and finances to insurance officials in these 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.

     We are a member of the Insurance Marketplace Standards Association
("IMSA"). IMSA members subscribe to a set of ethical standards involving the
sales and service of individually sold life insurance and annuities. As a member
of IMSA, we may use the IMSA logo and language in advertisements.

PROVIDENTMUTUAL VARIABLE ANNUITY SEPARATE ACCOUNT (VARIABLE ACCOUNT)

     The Providentmutual Variable Annuity Separate Account is a separate
investment account that we maintain. The Variable Account was established by our
Board of Directors on May 9, 1991 under Pennsylvania law. We established the
Variable Account to support the investment options under the Contract and other
variable annuities. Because we later redomesticated as a Delaware insurance
company, the Variable Account is now subject to regulation by the Delaware
Insurance Department. We have caused the Variable Account to be registered with
the SEC as a unit investment trust under the Investment Company Act of 1940 (the
"1940 Act"). This registration does not involve supervision by the SEC of the
management or investment policies or practices of the Variable Account.

     We own the assets of the Variable Account. These assets, however, are
legally separate from our other assets and are not part of our General Account.
The portion of the assets of the Variable Account equal to the reserves or other
Contract liabilities of the Variable Account will not be charged with
liabilities that arise from any other business we conduct. We may transfer to
our General Account any assets of the Variable Account which exceed the reserves
and the Contract liabilities of the Variable Account (which will always be at
least equal to the aggregate Contract Account Value allocated to the Variable
Account under the Contracts).
                                       11
<PAGE>   17


     The Variable Account currently has forty-eight Subaccounts, twenty-seven of
which are available under the Contracts. They are: All Pro Large Cap Growth; All
Pro Large Cap Value; All Pro Small Cap Growth; All Pro Small Cap Value; Equity
500 Index; International; Growth; Aggressive Growth; Managed; Bond; Money
Market; Alger Small Capitalization; Neuberger & Berman Limited Maturity Bond;
Neuberger & Berman Partners; Strong Mid Cap Growth; Strong Opportunity; Van Eck
Worldwide Bond; Van Eck Worldwide Emerging Markets; Van Eck Worldwide Hard
Assets; Van Eck Worldwide Real Estate; Fidelity Equity-Income; Fidelity Growth;
Fidelity High Income; Fidelity Overseas; Fidelity Asset Manager; Fidelity
Contrafund(R); and Fidelity Investment Grade Bond. The assets of each Subaccount
are invested exclusively in shares of a corresponding Portfolio of a designated
Fund.



     The income, gains, or losses, realized or unrealized, on 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. The
assets of each Subaccount may not be charged with liabilities arising out of any
other business of PLACA. PLACA may accumulate in the Variable Account the charge
for mortality expense and expense risks, gains and losses, and investment
results applicable to those assets that are in excess of the net assets
supporting the Contracts.


THE FUNDS


     The Variable Account currently invests in Portfolios of various series-type
Funds, eight of which are available under the Contracts: Market Street Fund;
Alger Fund; Neuberger Berman Fund; Strong Fund; Strong Opportunity Fund; Van Eck
Trust; VIP Fund; and VIP II Fund. Each of the Funds is registered with the SEC
under the 1940 Act as an open-end investment company. The SEC does not, however,
supervise the management or the investment practices and policies of the Funds.


     The assets of each Portfolio are separate from the assets of the other
Portfolios, and each Portfolio has separate investment objectives and policies.
Each Portfolio therefore operates as a separate investment Portfolio and the
investment performance of one Portfolio has no effect on the investment
performance of any other Portfolio. 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 us. The
termination provisions of these agreements vary. A summary of the termination
provisions may be found in the SAI. If a participation agreement is terminated,
the Variable Account will no longer be able to purchase additional shares of
that Fund. In that event, you will not be able to allocate Contract Account
Values or premium payments to Subaccounts investing in Portfolios of that Fund.


     In certain circumstances a Fund or a Portfolio may also refuse to sell its
shares to the Variable Account for other reasons. If a Fund or a Portfolio
refuses to sell its shares to the Variable Account, we will not be able to honor
your request to allocate your Contract Account Value 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. Before choosing Subaccounts, you should carefully
read the individual prospectuses for the Funds along with this prospectus.


     Some of the Portfolios available under the Contract present greater
investment risks than other Portfolios because they invest in high yield
securities (commonly known as junk bonds), foreign securities, small company
stocks or other types of investments that present speculative risks. You should
read the risk disclosure in the prospectuses for the Portfolios and be sure that
your investment choice is appropriate in light of your investment goals.


MARKET STREET FUND


     The All Pro Large Cap Growth, All Pro Large Cap Value, All Pro Small Cap
Growth, All Pro Small Cap Value, Equity 500 Index, International, Growth,
Aggressive Growth, Managed, Bond, and Money

                                       12
<PAGE>   18

Market Subaccounts invest in shares of the Market Street Fund. This Fund
currently issues eleven "series" or classes of shares, each of which represents
interests in a separate Portfolio that corresponds to a Subaccount. Shares of
each Portfolio currently are purchased and redeemed by the corresponding
Subaccount. Shares of the All Pro Portfolios may not be currently available for
sale in all states. If they are not yet available in your state, you may not
allocate premiums to them until such time as they are available.

     The investment objectives/policies of the Market Street Fund Portfolios are
summarized below.


<TABLE>
<CAPTION>
              PORTFOLIO                               INVESTMENT OBJECTIVES/POLICIES
              ---------                               ------------------------------
<S>                                    <C>
ALL PRO LARGE CAP GROWTH               - Seeks to achieve long-term capital appreciation by
                                         investing primarily in equity securities of companies among
                                         the 750 largest by market capitalization at the time of
                                         purchase that the subadvisers believe show potential for
                                         growth in future earnings.
ALL PRO LARGE CAP VALUE                - Seeks to provide long-term capital appreciation by
                                         investing primarily in undervalued equity securities of
                                         companies among the 750 largest by market capitalization
                                         at the time of purchase that the subadvisers believe offer
                                         above-average potential for growth in future earnings.
ALL PRO SMALL CAP GROWTH               - Seeks to achieve long-term capital appreciation by
                                         investing primarily in equity securities of companies
                                         included in the Wilshire 5,000 Equity Index at the time of
                                         purchase that the subadvisers believe show potential for
                                         growth in future earnings.
ALL PRO SMALL CAP VALUE                - Seeks to provide long-term capital appreciation by
                                         investing primarily in undervalued equity securities of
                                         companies included in the Wilshire 5,000 Equity Index at
                                         the time of purchase that the subadvisers believe offer
                                         above-average potential for growth in future earnings.
EQUITY 500 INDEX                       - Seeks to provide long-term capital appreciation by
                                         investing primarily in common stocks included in the
                                         Standard & Poor's 500 Composite Stock Price Index.
INTERNATIONAL                          - Seeks long-term growth of capital primarily through
                                         investments in a diversified portfolio of marketable equity
                                         securities of established foreign companies.
GROWTH                                 - Seeks intermediate and long-term growth of capital by
                                         investing in common stocks of companies that the adviser
                                         believes offer above-average intermediate and long-term
                                         growth potential. Current income is a secondary
                                         consideration.
AGGRESSIVE GROWTH                      - Seeks to achieve a high level of long-term capital
                                         appreciation by investing in securities of a diverse group
                                         of smaller emerging companies.
MANAGED                                - Seeks to realize as high a level of long-term total rate
                                         of return as is consistent with prudent investment risk by
                                         investing in stocks, bonds, money market instruments, or a
                                         combination of these securities.
BOND                                   - Seeks to generate a high level of current income
                                         consistent with prudent investment risk by investing in a
                                         diversified portfolio of marketable debt securities.
MONEY MARKET                           - Seeks to provide maximum current income consistent with
                                         capital preservation and liquidity by investing in
                                         high-quality money market instruments.
</TABLE>



     Market Street Investment Management Company ("MSIM") serves as investment
adviser for the All Pro Portfolios. MSIM uses a "manager of managers" approach
for the All Pro Portfolios under which


                                       13
<PAGE>   19


MSIM allocates each Portfolio's assets among one or more "specialist" investment
sub-advisers. The subadvisers for the All Pro Portfolios are as follows:



<TABLE>
<CAPTION>
              PORTFOLIO                            SUBADVISERS
              ---------                            -----------
<S>                                    <C>
ALL PRO LARGE CAP GROWTH               Cohen Klingenstein & Marks, Inc.
                                       Geewax Terker & Co.
ALL PRO LARGE CAP VALUE                Equinox Capital Management, Inc.
                                       Mellon Equity Associates
                                       Sanford C. Bernstein Company, Inc.
ALL PRO SMALL CAP GROWTH               Standish Ayer & Wood
                                       Husic Capital Management
ALL PRO SMALL CAP VALUE                Reams Asset Management Company, LLC
                                       Sterling Capital Management Company
</TABLE>



     MSIM also serves as investment adviser for the Equity 500 Index Portfolio
and the International Portfolio. MSIM has employed State Street Global Advisers
("State Street") to provide investment sub-advisory services in connection with
the Equity 500 Index Portfolio. MSIM has employed The Boston Company Asset
Management, Inc. ("Boston Company") to provide investment sub-advisory services
in connection with the Portfolio.


     With respect to the Equity 500 Index Portfolio:


     Standard & Poor's(R), S&P(R), S&P 500(R), Standard & Poor's 500, and 500
     are trademarks of The McGraw-Hill Companies, Inc. and have been licensed
     for use by PMLIC and its affiliates and subsidiaries. The Contract is not
     sponsored, endorsed, sold or promoted by Standard & Poor's, and Standard &
     Poor's makes no representation regarding the advisability of investing in
     the Contract. See "Additional Information -- Standard & Poor's" below which
     sets forth certain additional disclaimers and limitations of liabilities on
     behalf of S&P.



     The Growth, Aggressive Growth, Managed, Bond, and Money Market Portfolios
of Market Street Fund are advised by Sentinel Advisors Company (SAC).



     In addition to the fee for the investment advisory services that is
described in the Market Street Fund prospectus, each Portfolio of the Market
Street pays its own expenses generally, including brokerage costs,
administrative costs, custodial costs, and legal, accounting and printing costs.
However, PMLIC has entered into an agreement with the Market Street Fund whereby
it will reimburse each Portfolio for all ordinary operating expenses, excluding
advisory fees in excess of an annual rate of 0.40% of the average daily net
assets of each Portfolio, except the Equity 500 Index Portfolio and the
International Portfolio. PMLIC will reimburse the Equity 500 Index Portfolio and
the International Portfolio for all ordinary operating expenses, excluding
advisory fees, in excess of an annual rate of 0.04% and 0.75%, respectively. It
is anticipated that this agreement will continue. If it is terminated, Fund
expenses may increase.



Each of the advisers and subsidiaries discussed above is registered with the SEC
as an investment adviser under the Investment Advisers Act.



THE ALGER AMERICAN FUND



     The Alger American Small Capitalization Subaccount of the Variable Account
invests in shares of the Alger American Small Capitalization Portfolio of Alger
American. Alger American has other investment portfolios that are not offered to
the Variable Account or under the Contract.


                                       14
<PAGE>   20


     The investment objectives/policies of the Alger American Small
Capitalization Portfolio are summarized below:



<TABLE>
<CAPTION>
              PORTFOLIO                               INVESTMENT OBJECTIVES/POLICIES
              ---------                               ------------------------------
<S>                                    <C>
SMALL CAPITALIZATION                   - Seeks long-term capital appreciation by focusing on small,
                                         fast-growing companies that offer innovative products,
                                         services or technologies to a rapidly expanding
                                         marketplace. Under normal circumstances, the portfolio
                                         invests primarily in the equity securities of small
                                         capitalization companies. A small capitalization company
                                         is one that has a market capitalization within the range
                                         of the Russell 2000 Growth Index or the S&P SmallCap 600
                                         Index.
</TABLE>



     The investment adviser for the Portfolio is Fred Alger Management, Inc.
Fred Alger Management, Inc., is registered with the SEC as an investment adviser
under the Investment Advisers Act.



NEUBERGER BERMAN ADVISERS MANAGEMENT TRUST



     The Neuberger Berman Limited Maturity Bond Subaccount and Neuberger Berman
Partners Subaccount of the Variable Account invest in corresponding Portfolios
of Neuberger Berman Fund. Neuberger Berman Fund has other investment portfolios
that are not offered to the Variable Account or under the Contract. Shares of
these Portfolios are purchased and redeemed by the Variable Account at net asset
value without a sales charge. Shares of the Neuberger Berman Partners Portfolio
may not be currently available for sale in all states. If they are not yet
available in your state, you may not allocate premiums to them until such time
as they are available.



     Each Portfolio of Neuberger Berman Fund invests all of its net investable
assets in its corresponding Series (each, a "Series") of Advisers Managers Trust
("Managers Trust"), an open-end management investment company. Each Series
invests in securities in accordance with an investment objective, policies and
limitations identical to those of its corresponding Portfolio. This
"master/feeder fund" structure is different from that of many other investment
companies which directly acquire and manage their own portfolios of securities.
For more information regarding this structure, see the prospectus for Neuberger
Berman Fund.



     The following describes the investment objective/policies of each Series
underlying the Portfolio of Neuberger Berman Fund in which the Subaccounts will
invest:



<TABLE>
<CAPTION>
              PORTFOLIO                               INVESTMENT OBJECTIVES/POLICIES
              ---------                               ------------------------------
<S>                                    <C>
LIMITED MATURITY BOND                  - Seeks the highest available current income consistent with
                                         low risk to principal and liquidity and secondarily, total
                                         return, through investment mainly in bonds, primarily
                                         investment grade.
PARTNERS                               - Seeks capital growth through investment mainly in common
                                         stocks of medium to large capitalization companies.
</TABLE>



     The investment adviser for the Series of Managers Trust corresponding to
the Limited Maturity Bond and Partners Portfolios of AMT is Neuberger Berman
Management, Incorporated. The investment adviser retains Neuberger Berman,
without cost to Managers Trust, as sub-adviser to furnish it with investment
recommendations and research information.



STRONG VARIABLE INSURANCE FUNDS, INC.



     The Strong Mid Cap Growth Fund II Subaccount invests in shares of a
corresponding Portfolio of the Strong Fund. Strong Fund offers insurance
companies a selection of investment vehicles for variable annuity contracts and
variable life insurance policies.



     Strong Fund issues a number of "series" or classes of shares, each of which
represents an interest in a separate investment portfolio within a Strong Fund.
One of the series is available for investment under the Contract: Strong Mid Cap
Growth Fund II.


                                       15
<PAGE>   21


     The investment objectives/policies of this Portfolio are summarized below:



<TABLE>
<CAPTION>
              PORTFOLIO                               INVESTMENT OBJECTIVES/POLICIES
              ---------                               ------------------------------
<S>                                    <C>
STRONG MID CAP GROWTH FUND II          - Seeks capital growth by investing at least 65% of its
                                         assets in stocks of medium-capitalization companies that
                                         the Portfolio's managers believe have favorable prospects
                                         for accelerating growth of earnings, but are selling at
                                         reasonable valuations based on earnings, cash flow, or
                                         asset value.
</TABLE>



     Strong Mid Cap Growth Fund II is managed by Strong Capital Management, Inc.
This adviser is registered with the SEC as an investment adviser under the
Investment Advisers Act.



STRONG OPPORTUNITY FUND II, INC.



     The Strong Opportunity Fund II Subaccount invests in shares of a
corresponding Portfolio of the Strong Opportunity Fund. Strong Opportunity Fund
offers insurance companies a selection of investment vehicles for variable
annuity contracts and variable life insurance policies.



     The investment objectives/policies of the Strong Opportunity Fund II are
summarized below:



<TABLE>
<CAPTION>
              PORTFOLIO                               INVESTMENT OBJECTIVES/POLICIES
              ---------                               ------------------------------
<S>                                    <C>
STRONG OPPORTUNITY FUND II             - Seeks capital growth by investing primarily in stocks of
                                         medium-capitalization companies that the Portfolio's
                                         managers believe are underpriced, yet have attractive
                                         growth prospects.
</TABLE>



     Strong Opportunity Fund II is managed by Strong Capital Management, Inc.



VAN ECK WORLDWIDE INSURANCE TRUST



     The Van Eck Worldwide Bond, Van Eck Worldwide Emerging Markets, Van Eck
Worldwide Hard Assets, and Van Eck Worldwide Real Estate Subaccounts of the
Variable Account invest in shares of the corresponding Portfolios of the Van Eck
Trust.



     The investment objectives/policies of the Portfolios of Van Eck Trust are
summarized below.


<TABLE>
<CAPTION>
              PORTFOLIO                               INVESTMENT OBJECTIVES/POLICIES
              ---------                               ------------------------------
<S>                                    <C>
WORLDWIDE BOND                         - Seeks high total return through a flexible policy of
                                         investing globally, primarily in debt securities. Total
                                         return consists of current income and capital
                                         appreciation. This 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.

WORLDWIDE EMERGING                     - Seeks long-term capital appreciation by investing
  MARKETS                                primarily in equity securities in emerging markets around
                                         the world.

WORLDWIDE HARD ASSETS                  - Seeks long-term capital appreciation by investing
                                         globally, primarily in "Hard Assets Securities." Hard
                                         Assets Securities include equity securities of Hard Asset
                                         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): (a) precious metals,
                                         (b) ferrous and non-ferrous metals, (c) gas, petroleum,
                                         petrochemicals, or other hydrocarbons, (d) forest
                                         products, (e) real estate, and (f) other basic
                                         non-agricultural commodities. Income is a secondary
                                         consideration.
</TABLE>

                                       16
<PAGE>   22

<TABLE>
<CAPTION>
              PORTFOLIO                               INVESTMENT OBJECTIVES/POLICIES
              ---------                               ------------------------------
<S>                                    <C>
WORLDWIDE REAL ESTATE                  - 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.
</TABLE>


     The investment adviser for the Van Eck Worldwide Bond, 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. Each of these
advisers is registered with the SEC as an investment adviser under the
Investment Advisers Act.



VARIABLE INSURANCE PRODUCTS FUND AND VARIABLE INSURANCE PRODUCTS FUND II



     The Fidelity Equity-Income Subaccount, Fidelity Growth Subaccount, Fidelity
High Income Subaccount, and Fidelity Overseas Subaccount invest in corresponding
Portfolios of the VIP Fund. The Fidelity Asset Manager Subaccount, Fidelity
Contrafund(R) Subaccount, and Fidelity Investment Grade Bond Subaccount invest
in corresponding Portfolios of the VIP II Fund. The VIP Fund and VIP II Fund
each offer insurance companies a selection of investment vehicles for variable
annuity contracts and variable life insurance policies.



     The VIP Fund and the VIP II Fund issue a number of "series" or classes of
shares, each of which represents an interest in a separate Portfolio within the
VIP Fund or VIP II Fund. Four of the VIP Fund Series are available for
investment under the Contract: VIP Equity-Income Portfolio; VIP Growth
Portfolio; VIP High Income Portfolio; and VIP Overseas Portfolio. Three of the
VIP II Fund Series are available for investment under the Contract: VIP II Asset
Manager Portfolio; VIP II Contrafund(R) Portfolio; and VIP II Investment Grade
Bond Portfolio.



     The investment objectives/policies of these Portfolios are summarized
below:



<TABLE>
<CAPTION>
              PORTFOLIO                               INVESTMENT OBJECTIVES/POLICIES
              ---------                               ------------------------------
<S>                                    <C>
VIP EQUITY-INCOME                      - 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 & Poor's 500 Composite Stock Price
                                         Index.
VIP GROWTH                             - 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 HIGH INCOME                        - 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 OVERSEAS PORTFOLIO                 - Seeks long term growth of capital primarily through
                                         investments in foreign securities. The Overseas Portfolio
                                         provides a means for diversification by participating in
                                         companies and economies outside the United States.
VIP II ASSET MANAGER                   - Seeks to obtain high total return with reduced risk over
                                         the long-term by allocating assets among stocks, bonds,
                                         and short-term money market instruments.
VIP II CONTRAFUND(R)                   - Seeks capital appreciation by investing in securities of
                                         companies where value is not fully recognized by the
                                         public.
VIP II INVESTMENT GRADE BOND           - Seeks as high a level of current income as is consistent
                                         with the preservation of capital by investing in a broad
                                         range of investment-grade fixed-income securities. The
                                         Portfolio is designed as a long-term investment option.
</TABLE>


                                       17
<PAGE>   23


     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"). FMR (U.K.) and FMR Far East provide research and investment
recommendations with respect to companies based outside the United States. FMR
(U.K.) primarily focuses on companies based in Europe; FMR Far East focuses
primarily on companies based in Asia and the Pacific Basin.



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



     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 of these Portfolios 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.



THERE IS NO ASSURANCE THAT ANY OF THE PORTFOLIOS WILL ACHIEVE ITS STATED
OBJECTIVE.



     You should read the prospectuses for the Portfolios carefully before
investing. You can find more detailed information about the Portfolios'
investment objectives, policies and restrictions, expenses, investment advisory
services, charges, and investment risks in the current prospectus for each Fund
which accompanies this prospectus and the current SAI for each Fund.



     Certain Portfolios 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 may be higher or lower than
those of such other investment portfolios or mutual funds. We do 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.



     Some of the investment portfolios described in the prospectuses for the
Funds are not available with the Contracts. We cannot guarantee that each
Portfolio will always be available for the Contracts. In the unlikely event that
a Portfolio is not available, we will do everything reasonably practicable to
secure the availability of a comparable Portfolio. Shares of each Portfolio are
purchased and redeemed at net asset value, without a sales charge.



     We may receive compensation from the investment adviser or a Fund (or
affiliates thereof) in connection with administration, distribution, or other
services provided with respect to the Funds and their availability through the
Contracts. The amount of this compensation is based upon a percentage of the
assets of the Fund attributable to the Contracts and other contracts issued by
us. These percentages differ, and some advisers (or affiliates) may pay us more
than others.



RESOLVING MATERIAL CONFLICTS



     The Funds are used as investment vehicles for variable life insurance
policies and variable annuity contracts issued by PLACA or PMLIC, as well as
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. As a result, there is
a possibility that a material conflict may arise between the interests of owners
of variable life or variable annuity contracts generally, or certain classes of
owners, and the interests of the retirement plans or participants in retirement
plans.


                                       18
<PAGE>   24


     We currently do not foresee any disadvantages to Owners resulting from the
Funds selling shares in connection with products other than the Contracts or to
retirement plans. However, there is a possibility that a material conflict may
arise between Owners whose Contract Account Values are allocated to the Variable
Account and other investors in the Portfolios, including retirement plans and
the owners of variable life insurance policies and variable annuity contracts
issued by other insurance companies. In the event of a material conflict, we
will take any necessary steps, including removing the Portfolio as an investment
option within the Variable Account, to resolve the matter. The Funds' Boards of
Directors are also responsible for monitoring events in order to identify any
material conflicts that possibly may arise and determine what action, if any,
should be taken in response to any conflicts. You should see the Portfolios'
prospectuses for more information.


ADDITION, DELETION OR SUBSTITUTION OF INVESTMENTS


     We reserve the right, subject to applicable law, to make additions to,
deletions from, or substitutions for the Portfolios available within the
Variable Account. If the shares of any Portfolio are no longer available for
investment, or for any other appropriate reason, we may redeem the shares, if
any, of that Portfolio and substitute shares of another registered open-end
management company. The substituted fund or portfolio may have different fees
and expenses. Substitution may be made with respect to existing investments or
the investment of future premiums, or both. We will not substitute any shares
attributable to a Contract's interest in a Subaccount of the Variable Account
without notice and prior approval of the SEC and state insurance authorities, to
the extent required by the 1940 Act or other applicable law.



     Furthermore, we may close Subaccounts to allocations of premiums or
Contract Account Value, or both, at any time in our sole discretion. The Funds,
which sell their shares to the Subaccounts pursuant to participation agreements,
also may terminate these agreements and discontinue offering their shares to the
Subaccounts.



     We also reserve the right to establish additional Subaccounts, each of
which would invest in shares corresponding to an existing or new Portfolio.
Subject to applicable law and any required SEC approval, we may, in our 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 Owners on a basis to be determined
by us.



     If any of these substitutions or charges are made, we may by appropriate
endorsement change the Contract to reflect the substitution or change. If we
deem it to be in the best interest of Owners and Annuitants, 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, deregistered under the 1940
Act if registration is no longer required, or combined with our other separate
accounts.


                        DESCRIPTION OF ANNUITY CONTRACT


PURCHASING A CONTRACT



     To purchase a Contract, you must submit a completed Application with an
initial premium payment to us at our Service Center. You may send the
Application and initial premium to us through any licensed representative who is
appointed by us and who is also a registered representative of 1717 Capital
Management Company ("1717"), the principal underwriter for the Contract (as well
as for other variable contracts). You may also send the Application and initial
premium to us through a broker-dealer that has a selling agreement with respect
to the Contract.



     We may sell a Contract in connection with retirement plans. These
retirement plans may, or may not, qualify for special tax treatment under the
Code. See "Federal Tax Status -- Taxation of Qualified Contracts" for important
information about purchasing a Qualified Contract.


                                       19
<PAGE>   25


CANCELLATION (FREE-LOOK) PERIOD



     The Contract provides for an initial Cancellation Period. You have the
right to return the Contract within 10 days (or any longer period required by
the laws of your state) after you receive it. When we receive the returned
Contract at our Service Center, it will be canceled and, in most states, we will
refund to the Owner an amount equal to the sum of: (1) the difference between
the premiums you paid, including any Contract fees and charges, and the amounts,
if any, allocated to the Variable Account under the Contract; and (2) the
Variable Account Value on the date of termination (or, in Pennsylvania, if there
is no Variable Account Value, the reserve for the Contract on the date the
Contract is cancelled attributable to the amounts allocated to the Variable
Account). In states that require it, we will refund the premiums paid.


PREMIUMS


     We require a minimum initial premium of $2,000. For Qualified Contracts, as
an alternative to the minimum initial premium, you may commit to paying $100 per
month during the first Contract Year. You may pay subsequent premiums, under the
Contract at any time during the Annuitant's lifetime before the Maturity Date.
Any subsequent premium payment must be at least $100 each for Non-Qualified
Contracts and $50 each for Qualified Contracts.



     In your Application, you may select a planned periodic premium schedule
based on a periodic billing mode of annual, semi-annual, or quarterly payment.
You will receive a premium reminder notice at the specified interval. You may
change the planned periodic premium frequency and amount. Also, under the
automatic payment plan, you may select a monthly payment schedule under which
premium payments will be automatically deducted from a bank account or other
source rather than being "billed."



ALLOCATION OF NET PREMIUMS



     We must receive a complete Application with all relevant information and
payment of the initial premium in order to process the Application. If the
Application is complete, we will allocate the initial Net Premium among the
Subaccounts and Guaranteed Account in accordance with your instructions in the
Application as of a date not later than two business days after we receive the
completed Application at our Service Center. (This allocation may be delayed for
15 days in some cases as discussed below).



     If we receive an incomplete Application, we may retain the initial premium
payment and contact you in order to complete the Application. If the Application
is not completed within five business days of our receipt, we will explain the
reason for the processing delay and the premium payment will be returned to you
unless you consent to our retaining the premium payment until the Application is
completed. When the Application is complete, we will allocate the initial Net
Premium within two business days.



     You should designate in the Application how the initial Net Premium is to
be allocated among the Subaccounts and the Guaranteed Account. As described
above, in states where you are 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 will be allocated to the
Money Market Subaccount for a 15-day period. After the expiration of the 15-day
period, the amount in the Money Market Subaccount will be allocated to your
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 Premium is allocated at the end of the Valuation Period in which
the subsequent premium is received by us in the same manner, unless the
allocation percentages are changed. Premiums are allocated in accordance with
the allocation schedule in effect at the time the premium payment is received.



     Subaccount values will vary with the investment experience of the
Subaccounts, and you bear the entire investment risk. You should periodically
review your allocation schedule for Net Premiums in light of market conditions
and your overall financial objectives.


                                       20
<PAGE>   26

VARIABLE ACCOUNT VALUE


     The Variable Account Value reflects the investment experience of the
Subaccounts selected by you, any Net Premium payments, any withdrawals, any
surrenders, any transfers, and any charges relating to the Subaccounts. There is
no guaranteed minimum Variable Account Value, and, because the Variable Account
Value on any future date depends upon a number of variables, it cannot be
predicted.



     Calculation of Variable Account Value.  The Variable Account Value is
determined on each Valuation Day. This 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 Day by the number of Subaccount Accumulation Units allocated
to the Contract, as described below.



     Accumulation Units.  For each Subaccount, Net Premiums allocated to a
Subaccount and amounts 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 made. Allocations and transfers to a
Subaccount increase the number of Accumulation Units of that Subaccount credited
to a Contract.



     Certain events reduce the number of Accumulation Units of a Subaccount
credited to a Contract. Withdrawals or transfers from a Subaccount result in the
cancellation of an appropriate number of Accumulation Units of that Subaccount,
as do surrender of the Contract, payment of a death benefit, the Application of
Variable Account Value to a Payment Option on the Maturity 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 we receive Notice
regarding the event.



     The Accumulation Unit value for each Subaccount was arbitrarily set 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 that measures
the investment performance of a Subaccount from one Valuation Period to the
next. Each Subaccount has its own net investment factor, which may be greater or
less than one. The net investment factor for each Subaccount for a Valuation
Period equals 1 plus the fraction obtained by dividing (a) by (b) where:


          (a) is the net result of:

             1. the investment income, dividends, and capital gains, realized or
                unrealized, credited during the current Valuation Period; plus

             2. any amount credited or released from reserves for taxes
                attributable to the operation of the Subaccount; minus

             3. the capital losses, realized or unrealized, charged during the
                current Valuation Period; minus


             4. any amount charged for taxes or any amount we set aside during
                the Valuation Period as a reserve for taxes attributable to the
                operation or maintenance of the Subaccount; minus


             5. the amount charged for mortality and expense risk for that
                Valuation Period; minus

             6. the amount charged for administration for that Valuation Period;
                and


          (b) is the value of the assets in the Subaccount at the end of the
     preceding Valuation Period, adjusted for allocations and transfers to and
     withdrawals and transfers from the Subaccount occurring during that
     preceding Valuation Period.

                                       21
<PAGE>   27

TRANSFER PRIVILEGE


     Before the Maturity Date, you may request a transfer of all or a part of
the amount in a Subaccount to another Subaccount or to the Guaranteed Account,
or transfer a part of an amount in the Guaranteed Account to one or more
Subaccounts, subject to the restrictions below. The minimum transfer amount must
be 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 we receive Notice requesting the transfer.
There is no limit on the number of transfers which can be made between
Subaccounts or from a Subaccount to the Guaranteed Account. Only one transfer,
however, may be made from the Guaranteed Account each Contract Year. (See
"Transfers from Guaranteed Account.")



     Telephone Transfers.  We may accept telephone instructions from you or an
authorized third party regarding transfers, dollar cost averaging, and automatic
asset rebalancing, subject to the following conditions:



     1. You must complete and sign our telephone request form and send it to us.
        You also may authorize us in the Application or by Notice to act upon
        transfer instructions given by telephone.



     2. You may designate in the telephone request form a third party to act on
        your behalf in making telephone requests.



     We reserve the right to suspend telephone transfer privileges at any time,
for any class of Contracts, for any reason.



     We will employ reasonable procedures to confirm that instructions
communicated by telephone are genuine. The procedures we follow 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.
If we follow reasonable procedures, we will not be liable for any losses due to
unauthorized or fraudulent instructions. We may, however, be liable for losses
if we do not follow reasonable procedures.



     Automatic Asset Rebalancing.  You may elect Automatic Asset Rebalancing,
which authorizes periodic transfers of amounts among the Subaccounts in order to
achieve a particular percentage allocation among Subaccounts. The percentage
allocations must be in whole numbers and amounts may be allocated only among the
Subaccounts. No amounts will be transferred to or from the Guaranteed Account as
a part of Automatic Asset Rebalancing. For example, if your premium allocation
is 20% to the Guaranteed Account, 30% to Subaccount A, and 50% to Subaccount B,
the rebalancing will allocate the values in the Subaccounts as 37.5% to
Subaccount A and 62.5% to Subaccount B. 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 your premium
allocation instructions. You should note, however, that a request to transfer
amounts among Subaccounts by Notice or telephone as described above is not
treated as a new premium allocation instruction for these purposes, and will not
affect future allocations pursuant to Automatic Asset Rebalancing.



     Once elected, Automatic Asset Rebalancing begins at the beginning of the
calendar quarter following the calendar quarter during which you make your
election. You may change or terminate Automatic Asset Rebalancing by written
instruction to us, or by telephone if you have previously authorized us to take
telephone instructions. We reserve 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.  You may elect to request transfers of amounts
from a Subaccount to the Money Market Subaccount in advance of the time you want
the transfers executed. To make this election, you must submit a written Advance
Order form to our Service Center specifying a percentage amount of change in
Subaccount Value at which shares in the specified Subaccount should be sold and

                                       22
<PAGE>   28


the proceeds transferred to the Money Market Subaccount. After you have
submitted the written Advance Order form, you may place or cancel an Advance
Order by calling our Service Center. We measure the percentage change in a
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. We
execute the transfer when the Accumulation Unit value for that Subaccount
increases or decreases by at least the percentage specified by you.



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


DOLLAR COST AVERAGING


     The Dollar Cost Averaging program enables you to systematically and
automatically transfer, on a monthly basis, specified dollar amounts from a
designated Subaccount to other Subaccounts. By allocating specified dollar
amounts periodically rather than at one time, you may be less susceptible to the
impact of market fluctuations. We, however, make no guarantee that Dollar Cost
Averaging will result in a profit or protect against loss.



     You may elect Dollar Cost Averaging for a period from 6 to 36 months. To
qualify for Dollar Cost Averaging, the following minimum amount must be
allocated to your designated Subaccount: 6 months -- $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.")



     You may participate in this program by completing the authorization on the
Application or at any time after the Contract is issued by properly completing
an election form and returning it to us by the beginning of the month. You must
also verify that the required minimum amount is in the designated Subaccount.
Dollar Cost Averaging transfers may not commence until the later of (1) 30 days
after the Contract Date and (2) five days after the end of the Cancellation
Period.



     After you make the election, transfers from a Subaccount will be processed
monthly until the number of designated transfers have been completed, the value
of the Subaccount is completely depleted, or you instruct us in writing to
cancel the monthly transfers.



     We reserve the right to discontinue offering automatic transfers upon 30
days' written notice to you.


WITHDRAWALS AND SURRENDER


     Withdrawals.  At any time before the earlier of the death of the Annuitant
or the Maturity Date, you may withdraw part of the Surrender Value. With
Qualified Contracts, the terms of the related retirement plan may impose
additional withdrawal restrictions on participants. For information regarding
these additional restrictions, you should consult your plan administrator.



     The minimum amount which may be withdrawn under a Contract is $500; the
maximum amount is that which would leave a Surrender Value of not less than
$2,000. We will treat a withdrawal request which would reduce the amount in a
Subaccount or in the Guaranteed Account below $500 as a request for full
withdrawal of the amount in that Subaccount or the Guaranteed Account. We will
withdraw the amount requested by you from the Contract Account Value as of the
day Notice for the withdrawal is received at our Service Center. Any applicable
Surrender Charge is deducted from the remaining Contract Account Value. (See
"Surrender Charge.")


                                       23
<PAGE>   29


     You may specify the amount to be withdrawn from certain Subaccounts or the
Guaranteed Account for the withdrawal. If you do not so specify or if 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 before the withdrawal.



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



     Systematic Withdrawals.  Through the Systematic Withdrawal Plan, you may
pre-authorize a periodic exercise of the withdrawal right described in the
Contract. You may elect the plan at the time of your Application by completing
the authorization on the Application form and making a minimum initial premium
payment of $15,000. After the Contract is issued, you may elect the plan by
properly completing the election form if the Contract Account Value is at least
$15,000. Certain federal income tax consequences may apply to systematic
withdrawals from the Contract. You should, therefore, consult with your tax
adviser before participating in the Systematic Withdrawal Plan.



     Under the Systemic Withdrawal Plan, you can instruct us to withdraw a level
dollar amount from the Contract on a monthly or quarterly basis. Withdrawals
begin on the monthly or quarterly date following our receipt of the request. The
minimum withdrawal is $100 monthly or $300 quarterly. The maximum amount which
you can withdraw under the plan in a Contract Year without a Surrender Charge
varies depending on the Contract Year in which a withdrawal is made as described
below under "Surrender Charge." During the first Contract Year this maximum
amount is 10% of the premiums paid in the first Contract Year if elected at the
time of Application. We will notify you if the total amount to be withdrawn in a
Contract Year exceeds the amount that may be withdrawn without a Surrender
Charge. Unless you instruct us to reduce the withdrawal amount for that year so
that it does not exceed the limit for free withdrawals, we will continue to
process withdrawals for the designated amount. Once the amount of the
withdrawals exceeds this limit, we will deduct the applicable Surrender Charge
from the remaining Contract Account Value. (See "Surrender Charge.")



     We will pay you the amount requested each month or quarter and make
withdrawals from the Subaccounts and the Guaranteed Account based on the
proportion that the value in each Subaccount and Guaranteed Account bears to the
Contract Account Value immediately prior to the withdrawal.



     Withdrawals under the Systematic Withdrawal Plan that do not exceed the
limits described above are not subject to a Surrender Charge. Notwithstanding
any other Surrender Charge rules (see "Surrender Charge"), any other withdrawal
in a year when the Systematic Withdrawal Plan has been utilized will be 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.



     You may discontinue systematic withdrawals at any time upon notice to us.
We reserve the right to discontinue offering systematic withdrawals upon 30
days' notice to you.



     Charitable Remainder Trust Rider.  You may elect a Charitable Remainder
Trust Rider, which combines: (1) an extended Maturity Date to the Contract
Anniversary nearest the Annuitant's age 100, unless a lump sum payment of
Surrender Value is elected; and (2) a revised Surrender Charge/withdrawal
provision. A Charitable Remainder Trust Rider allows income to be distributed
and the payment of trustee fees and charges. The Rider only applies 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 is no limit on the number of withdrawals occurring in any
Contract Year.



     Surrender.  At any time before the earlier of the death of the Annuitant or
the Maturity Date, you may request a surrender of the Contract for its Surrender
Value. (See "Surrender Charge.") The surrender request must be on the proper
form, which you can request from our Service Center. The proceeds paid to you
will equal the Surrender Value less any withholding or premium taxes. The
Surrender Value will be determined on the date Notice of surrender and the
Contract are received at our Service

                                       24
<PAGE>   30


Center. The Surrender Value will be paid in a lump sum unless you request
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 section 403(b) retirement plans. Section 403(b)(11) of the Code
restricts the distribution under section 403(b) annuity contracts of: (1)
elective contributions made in years beginning after December 31, 1988; (2)
earnings on those contributions; and (3) earnings in those 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 described in (2) and (3) above 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 retirement plans funded by Qualified Contracts also may
impose restrictions on the ability of participants to take distributions from
the Contracts.



     Contract Termination.  We may end your Contract and pay the Surrender Value
to you if, before the Maturity Date, all of these events simultaneously exist;


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

        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.


     We will mail you a notice of our intention to end your Contract at least
six months in advance. The 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 equal to at least the minimum additional amount required by us.
(Termination of the Contract under this provision is not permitted in New
Jersey.)


DEATH BENEFIT BEFORE MATURITY DATE


     Death of Annuitant.  If the Annuitant dies before the Maturity Date, we
will pay the death benefit under the Contract to the Beneficiary. During the
first seven Contract Years, the death benefit is equal to the greater of: (1)
the premiums paid, less any withdrawals (including applicable Surrender
Charges); or (2) the Contract Account Value on the date we receive due proof of
Annuitant's death. After the end of the seventh Contract Year, the death benefit
is equal to the greatest of:


        1. the Contract Account Value as of the end of the seventh Contract Year
           plus subsequent premiums paid and less subsequent amounts withdrawn;
           or

        2. the Contract Account Value on the date we receive due proof of the
           Annuitant's death; or

        3. the premiums paid, less any withdrawals (including applicable
           Surrender Charges).


     The proceeds will be paid to the Beneficiary in a lump sum unless the Owner
or Beneficiary elects a Payment Option. If the Annuitant is the Owner, the
proceeds must be distributed in accordance with the rules set forth below in
"Death of Owner" for the death of an Owner before the Maturity Date.



     There is no death benefit payable if the Annuitant dies after the Maturity
Date.



     Death of Owner.  If an Owner dies before the Maturity Date, federal tax law
requires (for a Non-Qualified Contract) that the Contract Account Value (or if
the Owner is the Annuitant, the proceeds payable upon the Annuitant's death) be
distributed to the Beneficiary within five years after the date of the Owner's
death. If an Owner dies on or after the Maturity Date, any remaining payments
must be distributed at least as rapidly as under the Payment Option in effect on
the date of the Owner's death.

                                       25
<PAGE>   31

     These distribution requirements will be considered satisfied as to any
portion of the proceeds payable to or for the benefit of a designated
Beneficiary, and which is distributed over the life (or a period not exceeding
the life expectancy) of that Beneficiary, provided that the distributions begin
within one year of the Owner's death. However, if the Owner's spouse is the
designated Beneficiary, the Contract may be continued with such surviving spouse
as the new Owner. If the Contract has joint Owners, the surviving joint Owner
will be the designated Beneficiary. Joint Owners must be husband and wife as of
the Contract Date.



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


     Other rules may apply to a Qualified Contract.


     Step-up Rider.  The Step-up Rider is automatically included for Contracts
issued in states that permit the Rider for those Contracts with an Annuitant who
is age 0-70. The Step-up Rider provides a guaranteed minimum death benefit equal
to the Contract Account Value as of the six year Contract Anniversary and is
reset every six years to the Contract Account Value on the next six year
Contract Anniversary, if greater. This reset continues until the six year
Contract Anniversary on or before the Annuitant's 85th birthday. Premiums paid
between the six year 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 we receive due proof of the Annuitant's
death or the sum of premiums paid, less any withdrawals, including applicable
Surrender Charges.



PROCEEDS ON MATURITY DATE



     Subject to our approval and state law you select the Maturity Date.



     Contract Account Value is applied to purchase a Payment Option as of the
Maturity Date. If a lump sum payment is elected on the Maturity Date, the
proceeds will equal the Surrender Value on the Maturity Date. In the event that
you do not select a Payment Option, Contract Account Value is applied under the
Life Annuity with Ten Year Certain Payment Option. (See "Payment Options.")



     You may change the Maturity Date subject to these limitations:



     1. Notice is received at our Service Center at least 30 days before the
        current Maturity Date;



     2. The new Maturity Date is at least 30 days after we receive the change
        request; and



     3. The new Maturity Date is not later than the first day of the month after
        the Annuitant's 90th birthday, or any earlier date required by law.


PAYMENTS


     Any withdrawal, the Surrender Value, or the death benefit will usually be
paid within seven calendar days of receipt of written request or receipt and
filing of due proof of death. Payments may be postponed, however, 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;



     2. the SEC permits by an order the postponement 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 the
        value of the Variable Account's net assets not reasonably practicable.
                                       26
<PAGE>   32


     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 our receipt of documentation necessary to complete the
transaction, or any 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 you, we may modify the Contract, if a modification:



     1. is necessary so that the Contract, our operations or the operations of
        the Variable Account comply with applicable laws or regulations; or



     2. is necessary to assure the 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 a modification, we will make appropriate endorsement to the
Contract.


REPORTS TO CONTRACT OWNERS


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


CONTRACT INQUIRIES


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


                             THE GUARANTEED ACCOUNT


     You may allocate some or all of the Net Premiums and transfer some or all
of the amounts in the Subaccounts to the Guaranteed Account, which is part of
our General Account. The Guaranteed Account pays interest at declared rates that
are guaranteed for each calendar year and must be at least 3%. The principal,
after deductions, is also guaranteed. Our General Account supports our insurance
and annuity obligations. The Guaranteed Account has not, and is not required to
be, registered with the SEC under the Securities Act of 1933, and neither the
Guaranteed Account nor our General Account has been registered as an investment
company under the 1940 Act. Neither our 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. These
disclosures, however, 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 our General Account, we assume the risk of
investment gain or loss on this amount. All assets in the General Account are
subject to our general liabilities from business operations.


                                       27
<PAGE>   33

MINIMUM GUARANTEED AND CURRENT INTEREST RATES


     The Guaranteed Account Value is guaranteed to accumulate at a minimum
effective annual interest rate of 3%. We intend to credit the Guaranteed Account
Value with current rates in excess of this minimum guarantee but we are not
obligated to do so. These current interest rates are influenced by, but do not
necessarily correspond to, prevailing general market interest rates. Since we
anticipate changing the current interest rate in our discretion from time to
time, different allocations to the Guaranteed Account Value will be 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
calendar year in which an amount is received or transferred. At the end of the
calendar year, we will determine a new current interest rate on the amount and
any 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 this amount and any accrued interest thereon at
the end of each calendar year will be guaranteed for the following calendar
year. Any interest credited on the amounts in the Guaranteed Account in excess
of the minimum guaranteed effective annual interest rate of 3% will be
determined in our sole discretion. You assume the risk that interest credited
may not exceed the guaranteed minimum rate.



     For purposes of crediting interest and deducting charges, the Guaranteed
Account uses a last-in, first-out method (i.e., LIFO) of accounting for
allocations of Net Premium Payments and for transfers of Contract Account Value.



     We reserve the right to change the method of crediting interest from time
to time, provided that the changes do not have the effect of reducing the
minimum guaranteed effective annual interest rate below 3% or shorten the period
for which the interest rate applies to less than a calendar year (except for the
year in which an amount is received or transferred).



CALCULATION OF GUARANTEED ACCOUNT VALUE



     The Guaranteed Account Value at any time is equal to amounts you allocate
or transfer to the Guaranteed Account plus interest credited on these amounts,
minus amounts deducted, transferred, or withdrawn from the Guaranteed Account.


TRANSFERS FROM GUARANTEED ACCOUNT


     Within 30 days before or after any Contract Anniversary, you may make one
transfer from the Guaranteed Account to any or all of the Subaccounts. The
amount transferred from the Guaranteed 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.
Subject to the next paragraph, if Notice for such transfer is received before a
Contract Anniversary, the transfer will be made as of the Contract Anniversary;
if Notice for a transfer is received within 30 days after the Contract
Anniversary, the transfer will be made as of the date we receive a Notice for a
transfer at our Service Center.


PAYMENT DEFERRAL


     We may defer payment of any withdrawal, cash surrender, or transfer from
the Guaranteed Account for up to six months from the date of our receipt of the
Notice for withdrawal, surrender, or transfer.


                             CHARGES AND DEDUCTIONS

SURRENDER CHARGE (CONTINGENT DEFERRED SALES CHARGE)


     General.  We do not deduct a charge for sales expense from premiums at the
time they are paid. Within certain time limits described below, however, a
Surrender Charge (contingent deferred sales charge) is deducted from the
Contract Account Value if a withdrawal is made or a Contract is

                                       28
<PAGE>   34


surrendered before annuity payments begin. If the Surrender Charge is
insufficient to cover sales expenses, the loss will be borne by us; conversely,
if the amount of the Surrender Charge is more than our sales expenses, the
excess will be retained by us. We do not currently believe that the Surrender
Charges will cover the expected costs of distributing the Contracts. Any
shortfall will be made up from our general assets, which may include proceeds
derived from mortality and expense risk charges.



     Charges for Withdrawal or Surrender.  If a withdrawal is made or a Contract
is surrendered, the applicable Surrender Charge will be as follows:


<TABLE>
<CAPTION>
CONTRACT YEAR IN WHICH  CHARGES AS PERCENTAGE OF
    WITHDRAWAL OR                AMOUNT
   SURRENDER OCCURS     WITHDRAWN OR SURRENDERED
- ----------------------  ------------------------
<S>                     <C>
          1                        7%
          2                        6
          3                        5
          4                        4
          5                        3
          6                        2
          7                        1
     8 and after                   0
</TABLE>


     We do not deduct a Surrender Charge if the withdrawal or surrender occurs
after seven full Contract Years. In addition, no Surrender Charge is deducted on
the Maturity Date if the Contract proceeds are applied under a Payment Option.



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



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


     Amounts Not Subject to Surrender Charge.  During the first Contract Year,
the full amount of all withdrawals (and any surrender) will be subject to the
Surrender Charge. Starting in the second Contract Year, the Surrender Charge
will be applied to the portion of the withdrawal or surrender which is in excess
of the percentage listed in the table below for the applicable Contract Year:

<TABLE>
<CAPTION>
                             % OF CONTRACT
                             ACCOUNT VALUE
                            AT BEGINNING OF
    CONTRACT YEAR            CONTRACT YEAR
    -------------           ---------------
<S>                     <C>
          1                        0%
          2                       20%
          3                       30%
          4                       40%
          5                       50%
          6                       60%
          7                       70%
</TABLE>


     Amounts up to the Contract Account Value percentage shown above are
available for withdrawal in the applicable Contract Year without the imposition
of a Surrender Charge. However, starting in Contract Year three, and in each
subsequent Contract Year listed above, the applicable percentage for each year
will be reduced by the total percentage withdrawn from the Contract Account
Value in prior years. There is no limit on the number of withdrawals occurring
in any Contract Year.


                                       29
<PAGE>   35

ADMINISTRATIVE CHARGES


     Annual Administration Fee.  On each Contract Anniversary prior to and
including the Maturity Date, and upon surrender of a Contract or on the Maturity
Date (other than on a Contract Anniversary), we deduct from the Contract Account
Value an Annual Administration Fee of $30 for our administrative expenses
relating to the Contract. The charge is 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. Some states may limit the amount of
the Annual Administration Fee. We reserve the right to increase this fee up to
$40. No Annual Administration Fee is payable during the annuity period.



     Asset-Based Administration Charge.  To compensate us for costs associated
with administration of the Contracts, prior to the Maturity Date we deduct a
daily asset-based administration charge from the assets of the Variable Account
equal to an annual rate of 0.15%. We reserve the right to increase this fee up
to 0.25%.



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


MORTALITY AND EXPENSE RISK CHARGE


     To compensate us for assuming mortality and expense risks, prior to the
Maturity Date we deduct a daily Mortality and Expense Risk Charge from the
assets of the Variable Account. We will impose a charge in an amount that is
equal to an annual rate of 1.25% (daily rate of .00342466%) (approximately 0.70%
for mortality risk and 0.55% for expense risk).



     The mortality risk we assume is that Annuitants may live for a longer
period of time than estimated when the guarantees in a Contract are 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 we assume
also includes a guarantee to pay a death benefit if the Annuitant dies before
the Maturity Date. The expense risk we assume is the risk that the Surrender
Charges and Administration Fees may be insufficient to cover our actual
expenses. If there are any profits from fees and charges deducted under the
Contract, including but not limited to mortality and expense risk charges, these
profits could be used to finance the distribution of the Contracts.



INVESTMENT ADVISORY FEES AND OTHER EXPENSES OF THE PORTFOLIOS



     Because the Variable Account purchases shares of the Portfolios, the
performance of each Subaccount reflects the deduction of investment advisory
fees and other expenses incurred by the Portfolios. 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 fee paid depends on the size of Portfolio.
Each Portfolio also pays most or all of its operating expenses. See the
accompanying current prospectuses for the Portfolios for further details.



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 and
currently range from 0.0% to 4.0%. In addition, other governmental units within
a state may levy these 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 the taxes are paid to the taxing authority, either (1) from premiums as
they are received, or (2) from the Contract proceeds upon withdrawal or
surrender, application of the proceeds to a Payment Option, or payment of death
benefit proceeds.


                                       30
<PAGE>   36
OTHER TAXES


     Currently, we do not make a charge against the Variable Account for
federal, state or local taxes. We may, however, make such a charge in the future
if income or gains within the Variable Account will result in any federal income
tax liability to us. Charges for other taxes attributable to the Variable
Account, if any, may also be made.

                                PAYMENT OPTIONS


     The Contract ends on the Maturity Date. At that time the Contract Account
Value will be applied to purchase a Payment Option, unless you elect to receive
the Surrender Value in a single sum. If your election of a Payment Option has
not been filed at our Service Center by the Maturity Date, the proceeds will be
paid as a life annuity under Option B described below.



     Before the Maturity Date, you can have the Surrender Value applied under a
Payment Option. In addition, a Beneficiary can have the death benefit applied
under a Payment Option, unless you have already selected a Payment Option for
the Beneficiary. Any premium tax applicable will be deducted from the Surrender
Value or the Contract Account Value at the time payments commence.



     Your Contract must be surrendered so that the applicable amount can be paid
in a lump sum or a supplemental contract for the applicable Payment Option can
be issued. 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 still alive. Before making each annuity payment under a
life-contingent Payment Option, we reserve the right to require satisfactory
evidence that any Annuitant is alive.



     The available Payment Options 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.



ELECTION OF PAYMENT OPTIONS



     A Payment Option may be elected, revoked, or changed at any time before the
Maturity Date while the Annuitant is living. If the Payee is other than the
Owner, the election of a Payment Option requires our consent. If an election is
not in effect at the Annuitant's death, or if payment is to be made in one sum
under an existing election, the Beneficiary may elect one of the options after
the death of the Annuitant.



     An election of option and any revocation or change must be made by Notice.
Notice must be filed with our Service Center.



     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
the period.



     In addition, instead of choosing one of the Payment Options listed below,
you may elect to receive payments in any other manner that is acceptable to us
and permissible under applicable law.



DESCRIPTION OF PAYMENT OPTIONS



     Option A -- Life Annuity Option.  Under this Payment Option, payments are
made in equal amounts each month during the Payee's lifetime with payments
ceasing with the last payment prior to the death of the Payee. No amounts are
payable after the Payee dies. Therefore, if the Payee 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.  Under this
Payment Option, payments are made in equal amounts each month during the Payee'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

                                       31
<PAGE>   37


payments will be paid in one sum to the executors or administrators of the
Beneficiary unless otherwise provided in writing. Calculation of this present
value will be at 3% which is the rate of interest assumed in computing the
amount of annuity payments.



     The amount of each payment will be determined from the tables in the
Contract which apply to either Option A or Option B based upon Payee'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 Payee's age, only. Age is determined
from the nearest birthday at the due date of the first payment.



     Alternate Income Option.  Instead of the above Payment Options, the
Contract Account Value, Surrender Value, or death benefit, as applicable, may be
settled under an Alternate Income Option based on our single premium immediate
annuity rates in effect at the time of settlement. These rates will be adjusted
so that 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 receipt
of one additional payment. These rates are 4% higher than our standard immediate
annuity rates.


                            YIELDS AND TOTAL RETURNS


     From time to time, we may advertise or include in sales literature
historical performance data, including yields, effective yields, standard annual
total returns, and non-standard 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 SAI.



     Effective yields and total returns for a Subaccount are based on the
investment performance of the corresponding Portfolio. A Portfolio's performance
reflects the Portfolio's 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 returns for these periods are
provided. For periods prior to the date a Subaccount commenced operations,
performance information for Contracts funded by that Subaccount may also be
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

                                       32
<PAGE>   38


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 versions described above, total return performance
information computed on other versions may be used in advertisements and sales
literature. Average total return information may be presented, computed on the
same basis as described above, except deductions will not include the Surrender
Charge. Total return information will be higher when the Surrender Charge is
excluded than when it is included. We also may disclose, with and without
deductions for the Surrender Charge, cumulative total return information.



     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 performance data, please refer to the
SAI.



     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
Variable Annuity Research Data Service ("VARDS") are independent services which
monitor and rank the performance of variable annuity issuers in 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 these 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 Composite Index of 500 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 sources of performance comparison.



     We 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. You should consult your tax adviser for more complete information. This
discussion is based upon our understanding of the present federal income tax
laws. No

                                       33
<PAGE>   39


representation is made as to the likelihood of continuation of the present
federal income tax laws or 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 consist 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 requirements that are not incorporated into our Contract administration
procedures. Owners, participants, Beneficiaries, 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 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 Contract to be
treated as an annuity contract 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 because of
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 we believe that the Contract
does not give Owners investment control over Variable Account assets, we reserve
the right to modify the Contract as necessary to prevent an Owner from being
treated as the owner of the Variable Account assets supporting the Contract.



     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 the Owner's interest in the Contract
will be distributed in the event of the Owner's 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 these 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.


TAXATION OF ANNUITIES -- IN GENERAL



     We believe that if an Owner is a natural person, the Owner 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 retirement, generally is treated as a
distribution.)


                                       34
<PAGE>   40

TAXATION OF NON-QUALIFIED CONTRACTS


     Non-Natural Person.  The Owner of a 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 and Surrenders.  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.



     Penalty Tax on Certain Withdrawals and Surrenders.  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.



     Annuity Payments.  Although tax consequences may vary depending on the
Payment Option elected under a 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 the Owner's or Annuitant's death. Generally, these amounts
are includible in the income of the recipient as follows: (1) if distributed in
a lump sum, the amounts are taxed in the same manner as a surrender of the
Contract; or (2) if distributed under a Payment Option, the amounts 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
tax consequences to an Owner that are not discussed here. An Owner contemplating
any transfer, assignment or exchange should consult a tax adviser as to these
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 the
Owner's income when a taxable distribution occurs.


TAXATION OF QUALIFIED CONTRACTS


     The Contracts are designed for use with several types of qualified
retirement 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

                                       35
<PAGE>   41


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 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 we are not bound by the terms and conditions of any plan to the extent these
terms and conditions contradict the Contract.



     The Owner may wish to consult a tax adviser regarding the use of the
Contract within a qualified retirement plan or in connection with other employee
benefit plans or arrangements that receive favorable tax treatment, since many
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, however, the investment in the Contracts will
generally be zero unless nondeductible contributions have previously been made
to the relevant qualified plan or employer contributions or investment earnings
have been previously includible in income of the employee.



     Brief descriptions follow of different types of qualified retirement plans
that may be used in connection with a Contract. We will endorse the Contract as
necessary to conform it to the requirements of a 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 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 a Contract is assigned or transferred to any individual
as a means to provide benefit payments, unless the plan complies with all
applicable legal requirements 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 legal limitations on
the amount of the premiums or contributions under the IRA, the deductible amount
of the contribution, 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), which
allow certain small employers to make contributions to IRAs on behalf of their
employees. Employers may also establish simplified employee pension (SEP) plans
to make IRA contributions on behalf of their employees. The Code may impose
additional restrictions on IRAs.



     Roth IRAs.  Effective January 1, 1998, section 408A of the Code has
permitted 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 contributions to the Roth IRA, are also not
subject to tax. "Qualified distributions" are distributions that satisfy a five
year holding period and are made: (1) after the owner

                                       36
<PAGE>   42


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 that 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: (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 a Contract 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 to 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 these plans, except for certain distributions
such as minimum distributions required by the Code, distributions paid in the
form of an annuity, and certain hardship withdrawals. The 20% withholding does
not apply, however, if the Owner chooses a "direct rollover" from the plan to
another section 401(a) or section 403(b) plan (as applicable) or to an IRA.


POSSIBLE CHANGES IN TAXATION


     Although the likelihood of legislative change is uncertain, there is always
the possibility that the tax treatment of the Contract 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 Contract 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 our 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 tax adviser should be consulted for further
information.


                           DISTRIBUTION OF CONTRACTS


     The Contracts are offered to the public on a continuous basis. Although we
do not anticipate discontinuing the offering of the Contracts, we reserve the
right to do so. Applications for Contracts are solicited by agents who are
licensed by applicable state insurance authorities and authorized by us to sell
the Contracts, and who are registered representatives of 1717 or other
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. 1717 is also a member of the National Association of Securities
Dealers, Inc.



     1717 acts as the principal underwriter, as defined in the 1940 Act, of the
Contracts pursuant to an Underwriting Agreement between 1717 and ourselves. 1717
is not obligated to sell any specific number of


                                       37
<PAGE>   43


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 that have a selling agreement with 1717 or have a selling agreement with
another broker-dealer that has a selling agreement with 1717. 1717 receives 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 7% of premiums.



     Compensation may be paid in the form of non-cash compensation, subject to
applicable regulatory requirements. In some circumstances and to the extent
permitted by applicable regulatory requirements, 1717 may reimburse certain
sales and marketing expenses or pay other forms of special compensation to
selling broker-dealers.



                               LEGAL PROCEEDINGS



     PMLIC and its subsidiaries, like other life insurance companies, are from
time to time involved in lawsuits, including class action lawsuits. In some
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, PMLIC and PLACA believe that at
the present time there are not pending or threatened lawsuits that are
reasonably likely to have a material adverse impact on either of them or the
Variable Account.



                            VOTING PORTFOLIO SHARES



     Even though we are the legal owner of the Portfolio shares held in the
Subaccounts, and have the right to vote on all matters submitted to shareholders
of the Portfolios, we will vote the shares as Owners instruct, so long as
required by law.



     We will calculate the number of votes you may vote separately for each
Subaccount. This amount may include fractional votes. The number of votes
attributable to a Subaccount will be determined by applying your percentage
interest, if any, in a particular Subaccount to the total number of votes
attributable to that Subaccount. You hold this voting interest in each
Subaccount to which your Variable Account Value is allocated. Your voting
interest terminates on the Maturity Date or surrender of the Contract.



     The number of votes of a Portfolio you may vote will be determined as of
the record date. Before a vote of a Portfolio's shareholders occurs, you will
receive voting materials. We will ask you to instruct us on how to vote and to
return your proxy to us in a timely manner. You will have the right to instruct
us on the number of Portfolio shares that corresponds to the amount of Contract
Account Value you have in that Portfolio (as of a date set by that Portfolio).



     If we do not receive voting instructions from you on time, we will vote
your shares in the same proportion as the timely voting instructions we receive
from other Owners. Should federal securities laws, regulations, or
interpretations change, we may elect to vote Portfolio shares in our own right.
If required by state insurance officials, or if permitted under federal
regulation, under certain circumstances we may disregard certain Owner voting
instructions. If we disregard voting instructions, we will send you a summary in
the next annual report to Owners advising you of the action and the reasons we
took such action.



     Portfolio shares held by us in a Subaccount as to which Owners do not have
a voting interest will be voted in proportion to the voting instructions we
receive from Owners with respect to the shares they do vote. If you instruct us
to abstain on any item to be voted upon, we will apply your abstention
instruction on a pro rata basis to reduce the votes eligible to be cast by us.


                                       38
<PAGE>   44

                              FINANCIAL STATEMENTS


     Our audited statements of financial condition as of December 31, 1999 and
1998, and the related statements of operations, equity, and cash flows for each
of the three years for the period ended December 31, 1999, as well as the Report
of Independent Accountants, are contained in the SAI. The audited statements of
assets and liabilities for the Variable Account as of December 31, 1999, 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
also included in the SAI.


                                       39
<PAGE>   45

             STATEMENT OF ADDITIONAL INFORMATION TABLE OF CONTENTS


<TABLE>
<CAPTION>
                                                              PAGE
                                                              ----
<S>                                                           <C>
Additional Contract Provisions..............................   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.....................   S-2
     Money Market Subaccount Yields.........................   S-3
     Other Subaccount Yields................................   S-4
     Average Annual Total Returns...........................   S-4
     Other Total Returns....................................   S-7
     Effect of the Administration Fee on Performance Data...  S-10
Termination of Participation Agreements.....................  S-10
Standard & Poor's...........................................  S-12
Safekeeping of Account Assets...............................  S-12
State Regulation............................................  S-13
Records and Reports.........................................  S-13
Legal Matters...............................................  S-13
Experts.....................................................  S-13
Other Information...........................................  S-13
Financial Statements........................................  S-13
</TABLE>


                                       40
<PAGE>   46

                                                                      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 SAI under the caption "Financial Statements."



     The table below sets forth certain information regarding the Subaccounts as
of December 31, 1999. As of December 31, 1999, the Strong Mid Cap Growth Fund II
Subaccount and the Strong Opportunity Fund II Subaccount had not commenced
operations. Accordingly, condensed financial information is not available for
these Subaccounts.


<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                 12/31/99        12/31/99         12/31/98        12/31/98         12/31/97
              ----------                ----------   -----------------   ----------   -----------------   ----------
<S>                                     <C>          <C>                 <C>          <C>                 <C>
Market Street All Pro Large Cap
 Growth...............................     721.62        16,594.64          583.02         3,398.61
Market Street All Pro Large Cap
 Value................................     490.76        10,251.06          490.39         3,752.20
Market Street All Pro Small Cap
 Growth...............................     919.80        15,683.15          485.44         2,787.56
Market Street All Pro Small Cap
 Value................................     370.54         8,460.21          408.65         2,343.81
Market Street Equity 500 Index
 (formerly Fidelity Index 500)........   1,636.75        91,709.23        1,377.32        61,689.14        1,080.42
Market Street International...........     975.06        22,407.12          764.54        22,728.56          704.02
Market Street Growth..................   1,082.22        36,535.03        1,065.67        34,680.05          950.55
Market Street Aggressive Growth.......   1,014.50        12,579.61          887.21        12,301.49          833.15
Market Street Managed.................     861.32        17,728.19          866.94        18,219.44          781.27
Market Street Bond....................     608.19        21,753.98          637.92        18,437.76          597.74
Market Street Money Market............     618.73        77,880.41          598.06        62,328.14          575.95
Alger Small Capitalization............     875.61         6,828.28
Neuberger Berman AMT Bond.............     562.85         2,870.46        1,245.95        74,160.15          905.80
Neuberger Berman AMT Partners.........     490.99         2,977.32          743.43        26,474.33          788.02
Van Eck Worldwide Bond................     535.14         3,677.74
Van Eck Worldwide Emerging Markets....     587.10        11,368.57        1,127.92        46,442.16          879.99
Van Eck Worldwide Hard Assets.........     411.96         1,882.22          866.16        42,506.75          763.46
Van Eck Worldwide Real Estate.........     411.36         1,158.87
Fidelity -- Equity-Income.............   1,168.00        85,196.19
Fidelity -- Growth....................   1,688.61        95,738.72          588.75           430.59
Fidelity -- High Income...............     792.88        28,780.47
Fidelity -- Overseas..................     904.13         6,052.64          297.26         1,094.81
Fidelity -- Asset Manager.............     948.86        49,766.45          345.27           791.04
Fidelity -- Contrafund(R).............   1,382.01        63,090.61        1,113.96        78,563.14        1,011.99
Fidelity -- Investment Grade Bond.....     594.26         5,808.14          425.72           396.85

<CAPTION>
                                         NUMBER OF UNITS    UNIT VALUE    NUMBER OF UNITS    UNIT VALUE    NUMBER OF UNITS
                                        OUTSTANDING AS OF     AS OF      OUTSTANDING AS OF     AS OF      OUTSTANDING AS OF
              SUBACCOUNT                    12/31/97         12/31/96        12/31/96         12/31/95        12/31/95
              ----------                -----------------   ----------   -----------------   ----------   -----------------
<S>                                     <C>                 <C>          <C>                 <C>          <C>
Market Street All Pro Large Cap
 Growth...............................
Market Street All Pro Large Cap
 Value................................
Market Street All Pro Small Cap
 Growth...............................
Market Street All Pro Small Cap
 Value................................
Market Street Equity 500 Index
 (formerly Fidelity Index 500)........      48,054.18         831.78         27,336.06         686.84         10,498.25
Market Street International...........      23,495.92         651.04         23,424.42         595.43         17,907.81
Market Street Growth..................      32,051.38         775.34         26,301.47         657.63         18,875.42
Market Street Aggressive Growth.......      11,389.39         697.07          9,335.43         584.65          6,154.75
Market Street Managed.................      16,899.90         653.55         13,564.35         592.07          9,803.13
Market Street Bond....................      10,217.64         553.59          7,672.67         545.35          4,938.33
Market Street Money Market............      45,925.41         554.47         45,000.79         534.58         30,689.17
Alger Small Capitalization............
Neuberger Berman AMT Bond.............      67,965.10         743.89         59,854.74         657.74         34,695.62
Neuberger Berman AMT Partners.........      21,860.95         679.15         14,990.01         604.03          7,048.75
Van Eck Worldwide Bond................
Van Eck Worldwide Emerging Markets....      38,683.95         718.85         23,454.47         601.00          7,495.00
Van Eck Worldwide Hard Assets.........      37,474.25         641.70         32,768.43         567.88         28,966.21
Van Eck Worldwide Real Estate.........
Fidelity -- Equity-Income.............
Fidelity -- Growth....................
Fidelity -- High Income...............
Fidelity -- Overseas..................
Fidelity -- Asset Manager.............
Fidelity -- Contrafund(R).............      73,730.38         801.08         61,560.52         710.92         38,336.60
Fidelity -- Investment Grade Bond.....

<CAPTION>
                                        UNIT VALUE    NUMBER OF UNITS    UNIT VALUE    NUMBER OF UNITS
                                          AS OF      OUTSTANDING AS OF     AS OF      OUTSTANDING AS OF
              SUBACCOUNT                 12/31/94        12/31/94         12/31/93        12/31/93
              ----------                ----------   -----------------   ----------   -----------------
<S>                                     <C>          <C>                 <C>          <C>
Market Street All Pro Large Cap
 Growth...............................
Market Street All Pro Large Cap
 Value................................
Market Street All Pro Small Cap
 Growth...............................
Market Street All Pro Small Cap
 Value................................
Market Street Equity 500 Index
 (formerly Fidelity Index 500)........    507.68          3,571.24         509.51            818.51
Market Street International...........    528.22         15,548.80         534.25          2,539.74
Market Street Growth..................    511.45         12,476.41         506.46          3,168.61
Market Street Aggressive Growth.......    522.44          2,846.86         529.79            452.21
Market Street Managed.................    482.84          8,582.76         498.70          2,536.72
Market Street Bond....................    459.55          3,487.30         493.74          1,656.64
Market Street Money Market............    513.30         16,531.43         501.47          4,652.76
Alger Small Capitalization............
Neuberger Berman AMT Bond.............    492.73         19,272.81         499.75          2,368.98
Neuberger Berman AMT Partners.........    507.88          4,060.78         523.11            298.26
Van Eck Worldwide Bond................
Van Eck Worldwide Emerging Markets....        --                --             --                --
Van Eck Worldwide Hard Assets.........    492.38         28,637.01         531.69          2,806.80
Van Eck Worldwide Real Estate.........
Fidelity -- Equity-Income.............
Fidelity -- Growth....................
Fidelity -- High Income...............
Fidelity -- Overseas..................
Fidelity -- Asset Manager.............
Fidelity -- Contrafund(R).............    533.64         16,111.04         505.43          2,674.86
Fidelity -- Investment Grade Bond.....
</TABLE>


                                       A-1
<PAGE>   47


               PROVIDENTMUTUAL VARIABLE ANNUITY SEPARATE ACCOUNT


                                  (REGISTRANT)


              PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY OF AMERICA,

                                  (DEPOSITOR)


                             300 CONTINENTAL DRIVE
                             NEWARK, DELAWARE 19713
                                 1-800-688-5177

                      STATEMENT OF ADDITIONAL INFORMATION

         INDIVIDUAL FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT



     This Statement of Additional Information ("SAI") contains additional
information regarding the individual flexible premium deferred variable annuity
contract (the "Contract") offered by Providentmutual Life and Annuity Company of
America ("PLACA"). This SAI is not a prospectus, and should be read together
with the prospectus for the Contract dated May 1, 2000 and the prospectuses for
Market Street Fund, Inc.; Alger American Fund; Neuberger Berman Advisers
Management Trust; Strong Variable Insurance Funds, Inc.; Strong Opportunity Fund
II, Inc., Van Eck Worldwide Insurance Trust; Variable Insurance Products Fund;
and Variable Insurance Products Fund II. You may obtain a copy of these
prospectuses by writing or calling us at our address or phone number shown
above. Capitalized terms in this SAI have the same meanings as in the prospectus
for the Contract.



      THE DATE OF THIS STATEMENT OF ADDITIONAL INFORMATION IS MAY 1, 2000


                      STATEMENT OF ADDITIONAL INFORMATION

                               TABLE OF CONTENTS*


<TABLE>
  <S>                                                           <C>
  ADDITIONAL CONTRACT PROVISIONS (19-32)......................   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 (32-33).............   S-2
       Money Market Subaccount Yields.........................   S-3
       Other Subaccount Yields................................   S-4
       Average Annual Total Returns...........................   S-4
       Other Total Returns....................................   S-7
       Effect of the Administration Fee on Performance Data...  S-10
  TERMINATION OF PARTICIPATION AGREEMENTS.....................  S-10
  STANDARD & POOR'S...........................................  S-12
  SAFEKEEPING OF ACCOUNT ASSETS...............................  S-12
  STATE REGULATION............................................  S-13
  RECORDS AND REPORTS.........................................  S-13
  LEGAL MATTERS (38)..........................................  S-13
  EXPERTS.....................................................  S-13
  OTHER INFORMATION...........................................  S-13
  FINANCIAL STATEMENTS........................................  S-13
  FINANCIAL STATEMENTS INDEX (Appendix A).....................   F-1
</TABLE>


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


* Numbers in parentheses refer to corresponding pages of the prospectus for the
Contract.

<PAGE>   48

                         ADDITIONAL CONTRACT PROVISIONS

THE CONTRACT


     The entire contract between you and us is made up of the Contract and your
Application. The statements made in the Application are deemed representations
and not warranties. We cannot use any statement in defense of a claim or to void
a Contract unless it is contained in the Application and a copy of the
Application is attached to the Contract at issue.


INCONTESTABILITY


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


MISSTATEMENT OF AGE OR SEX


     If the age or sex of the Annuitant has been misstated, we will pay the
amount which the proceeds would have purchased at the correct age and sex.



     If we make an overpayment 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 we make an underpayment 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 our
divisible surplus.


                    CALCULATION OF YIELDS AND TOTAL RETURNS


     From time to time, we may disclose historical performance data for the
Subaccounts including yields, effective yields, annual total returns, and other
measures of performance. This performance data will be computed, or accompanied
by performance data computed, in accordance with SEC standards.



     Because of the charges and deductions imposed under a Contract, performance
data for the Subaccounts will be lower than performance data for their
corresponding Portfolios. The performance of a Subaccount will be affected by
expense reimbursements and fee waivers applicable to their corresponding
Portfolios. Without these reimbursements and waivers, performance could be
lower. In addition 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 4.0% of the
premium depending on the state in which the Contract is sold.



     The Funds have provided all performance information for the Portfolios,
including the Portfolio total return information used to calculate the total
returns of the Subaccounts for periods prior to the inception of the
Subaccounts. Market Street Fund is affiliated with PLACA. None of the other
Funds is affiliated with PLACA. While PLACA has no reason to doubt the accuracy
of the figures provided by these non-affiliated Funds, PLACA does not represent
that they are true and complete, and disclaims all responsibility for these
figures.


                                       S-2
<PAGE>   49


     PERFORMANCE FOR ANY GIVEN PAST PERIOD IS NOT AN INDICATION OR
REPRESENTATION OF FUTURE PERFORMANCE. THE PERFORMANCE OF EACH SUBACCOUNT WILL
FLUCTUATE ON A DAILY BASIS.


MONEY MARKET SUBACCOUNT YIELDS


     From time to time, sales literature or advertisements 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 one Accumulation Unit in the Money
Market Subaccount at the beginning of the period, dividing the 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 basis. The net change in account value reflects: (1) net investment
income of 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; (2) the
Asset-Based Administration Charge; and (3) the Mortality and Expense Risk
Charge. For purposes of calculating current yields for a Contract, an average
per unit administration fee is used based on the $30 Annual 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 (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 one Accumulation Unit in the Money Market Subaccount.


     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 (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 one Accumulation Unit in the Money Market Subaccount.


     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 Money Market Subaccount's yield is affected by changes in interest
rates on money market securities, the 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.


                                       S-3
<PAGE>   50

Yields on amounts held in the Money Market Subaccount may also be presented for
periods other than a seven-day period.


     Yield calculations do not take into account the Surrender Charge under the
Contract, which ranges from 7% in the first Contract year to 1% during the
seventh Contract year on amounts surrendered or withdrawn under the Contract.



     The current yield and effective yield for the Money Market Subaccount for
the seven days ended December 31, 1999 were 3.81% and 3.88%, respectively.


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 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 dividing: (1) the net investment income of the
Portfolio attributable to the Subaccount's Accumulation Units less Subaccount
expenses for the period; by (2) the maximum offering price per Accumulation Unit
on the last day of the period times the daily average number of Accumulation
Units outstanding for the period. This number is then compounded for a six-month
period and multiplied by 2. Expenses attributable to the Subaccount include the
Annual Administration Fee, the Asset-Based Administration Charge and the
Mortality and Expense Risk Charge. The yield calculation assumes an Annual
Administration Fee of $30 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 the Variable Account Value 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 X (((NI - ES)/(U X UV)) + 1)(6)-1


     Where:


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


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


     U    = the average number of Accumulation Units outstanding.



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



     A Subaccount's yield is affected by changes in interest rates, the average
portfolio maturity of a Portfolio, the types and quality of portfolio securities
held by the Portfolio, and a Portfolio's operating expenses.



     Yield calculations do not take into account the Surrender Charge under the
Contract, which ranges from 7% in the first Contract Year to 1% during the
seventh Contract Year on amounts surrendered or withdrawn under the Contract.



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 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

                                       S-4
<PAGE>   51


time, also be disclosed. Average annual total return for the Market Street Fund
International, Growth, Aggressive Growth, Managed, Bond, and Money Market
Subaccounts may include information for the period before any contracts were
registered under the Securities Act of 1933 from the inception of these
Subaccounts (April 4, 1992) to December 31, 1992, with the level of Contract
charges currently in effect.



     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 normally be for the most recent calendar quarter, 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 based on the performance of the Subaccount's underlying Portfolio, the
deductions for the Mortality and Expense Risk Charge, the Asset-Based
Administration Charge, and the Annual Administration Fee. The calculation
assumes that the Annual Administration Fee is $30 per year per Contract deducted
at the end of each Contract Year. For purposes of calculating average annual
total return, an average administration fee per dollar of the Variable Account
Value is used to determine the amount of the charge attributable to the
Subaccount for the period. The calculation also assumes surrender of the
Contract at the end of the period for the return quotation. Total returns will
therefore reflect a deduction of the Surrender Charge for any period during the
first six Contract 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 Subaccount recurring charges and
           any applicable Surrender Charge) 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.


     Based on the foregoing calculations, average annual total return
information for the Subaccounts is as follows:



<TABLE>
<CAPTION>
                                                                                     FOR THE 10-YEAR PERIOD
                                                                                         ENDED 12/31/99
                                                 FOR THE 1-YEAR    FOR THE 5-YEAR         (OR DATE OF
                                                  PERIOD ENDED      PERIOD ENDED       INCEPTION IF LESS
SUBACCOUNT (INCEPTION DATE OF SUBACCOUNT)           12/31/99          12/31/99           THAN 10 YEARS)
- -----------------------------------------        --------------    --------------    ----------------------
<S>                                              <C>               <C>               <C>
MARKET STREET FUND, INC.
  All Pro Large Cap Growth (May 29, 1998)......       14.83%                                  25.55%
  All Pro Large Cap Value (May 22, 1998).......       (7.21)%                                 (3.67)%
  All Pro Small Cap Growth (May 29, 1998)......       75.94%                                  48.20%
  All Pro Small Cap Value (May 29, 1998).......      (15.95)%                                (17.25)%
  Equity 500 Index(1) (October 1, 1993)........       12.85%           26.06%                 20.65%
  International (April 14, 1992)...............       21.13%           12.68%                 11.52%
  Growth (April 14, 1992)......................       (3.61)%          15.82%                 11.67%
  Aggressive Growth (April 14, 1992)...........        8.57%           13.83%                  9.62%
  Managed (April 14, 1992).....................       (5.70)%          11.90%                  9.68%
  Bond (April 14, 1992)........................       (9.52)%           5.35%                  4.34%
  Money Market (April 14, 1992)................       (1.80)%           3.38%                  2.82%

ALGER AMERICAN FUND
  Small Capitalization (July 5, 1996)..........       34.35%                                  17.50%
</TABLE>


                                       S-5
<PAGE>   52


<TABLE>
<CAPTION>
                                                                                     FOR THE 10-YEAR PERIOD
                                                                                         ENDED 12/31/99
                                                 FOR THE 1-YEAR    FOR THE 5-YEAR         (OR DATE OF
                                                  PERIOD ENDED      PERIOD ENDED       INCEPTION IF LESS
SUBACCOUNT (INCEPTION DATE OF SUBACCOUNT)           12/31/99          12/31/99           THAN 10 YEARS)
- -----------------------------------------        --------------    --------------    ----------------------
<S>                                              <C>               <C>               <C>
NEUBERGER BERMAN ADVISERS MANAGEMENT TRUST
  Limited Maturity Bond (July 5, 1996).........       (5.02)%                                  3.89%
  Partners (May 1, 1998).......................        0.51%                                  (3.91)%

VAN ECK WORLDWIDE INSURANCE TRUST
  Worldwide Bond (July 5, 1996)................      (13.75)%                                  1.80%
  Worldwide Emerging Markets (July 5, 1996)....       87.74%                                   3.84%
  Worldwide Hard Assets (July 5, 1996).........       13.30%                                  (5.64)%
  Worldwide Real Estate (May 1, 1998)..........       (8.30)%                                (13.66)%

VARIABLE INSURANCE PRODUCTS FUND
  Equity-Income (October 1, 1993)..............       (0.47)%          16.61%                 14.38%
  Growth (October 1, 1993).....................       28.74%           27.62%                 21.42%
  High Income (October 1, 1993)................        1.25%            8.93%                  7.53%
  Overseas (July 5, 1996)......................       33.61%                                  18.73%

VARIABLE INSURANCE PRODUCTS FUND II
  Asset Manager (October 1, 1993)..............        4.00%           13.66%                 10.60%
  Contrafund(R) (May 8, 1995)..................       16.36%                                  23.77%
  Investment Grade Bond (July 5, 1996).........       (7.39)%                                  5.05%
</TABLE>


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

(1) As of February 7, 2000, shares of the Market Street Equity 500 Index
    Portfolio were substituted for shares of the Variable Insurance Products
    Fund II Index 500 Portfolio.



     From time to time, sales literature or advertisements may also quote
average annual total returns for periods prior to the date a Subaccount
commenced operations. This 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.



     Based on this method of calculation, average annual total return
information for the Subaccount is as follows:



<TABLE>
<CAPTION>
                                                                                       FOR THE 10-YEAR PERIOD
                                                                                           ENDED 12/31/99
                                                     FOR THE 1-YEAR   FOR THE 5-YEAR        (OR DATE OF
                                                      PERIOD ENDED     PERIOD ENDED      INCEPTION IF LESS
SUBACCOUNT (INCEPTION DATE OF PORTFOLIO)                12/31/99         12/31/99          THAN 10 YEARS)
- ----------------------------------------             --------------   --------------   ----------------------
<S>                                                  <C>              <C>              <C>

MARKET STREET FUND, INC.
  All Pro Large Cap Growth (May 4, 1998)...........       14.83%                                20.90%
  All Pro Large Cap Value (May 4, 1998)............       (7.21)%                               (4.31)%
  All Pro Small Cap Growth (May 4, 1998)...........       75.94%                                40.04%
  All Pro Small Cap Value (May 4, 1998)............      (15.95)%                              (19.32)%
  International (November 1, 1991).................       21.13%          12.68%                 9.93%
  Growth (December 12, 1985).......................       (3.61)%         15.82%                10.84%
  Aggressive Growth (May 1, 1989)..................        8.57%          13.83%                12.86%
  Managed (December 12, 1985)......................       (5.70)%         11.90%                 8.29%
  Bond (December 12, 1985).........................       (9.52)%          5.35%                 5.08%
  Money Market (December 12, 1985).................       (1.80)%          3.38%                 3.28%

ALGER AMERICAN FUND
  Small Capitalization (September 21, 1988)........       34.35%          20.61%                16.51%
</TABLE>


                                       S-6
<PAGE>   53


<TABLE>
<CAPTION>
                                                                                       FOR THE 10-YEAR PERIOD
                                                                                           ENDED 12/31/99
                                                     FOR THE 1-YEAR   FOR THE 5-YEAR        (OR DATE OF
                                                      PERIOD ENDED     PERIOD ENDED      INCEPTION IF LESS
SUBACCOUNT (INCEPTION DATE OF PORTFOLIO)                12/31/99         12/31/99          THAN 10 YEARS)
- ----------------------------------------             --------------   --------------   ----------------------
<S>                                                  <C>              <C>              <C>
NEUBERGER BERMAN ADVISERS MANAGEMENT TRUST
  Limited Maturity Bond (September 10, 1984).......       (5.02)%          3.63%                 4.17%
  Partners (March 22, 1994)........................        0.51%          19.00%                41.09%

STRONG VARIABLE INSURANCE FUNDS, INC.
  Mid Cap Growth Fund II (December 31, 1996).......       80.14%                                43.85%

STRONG OPPORTUNITY FUND II
  Opportunity Fund II (May 8, 1992)................       25.94%          21.23%                19.28%

VAN ECK WORLDWIDE INSURANCE TRUST
  Worldwide Bond (September 1, 1989)...............      (13.75)%          3.17%                 3.77%
  Worldwide Emerging Markets (December 27, 1995)...       87.74%                                 7.80%
  Worldwide Hard Assets (September 1, 1989)........       13.30%          (0.38)%                1.36%
  Worldwide Real Estate (June 23, 1997)............       (8.30)%                               (0.70)%

VARIABLE INSURANCE PRODUCTS FUND
  Equity-Income (October 9, 1986)..................       (0.47)%         16.61%                12.80%
  Growth (October 9, 1986).........................       28.74%          27.62%                18.21%
  High Income (September 19, 1985).................        1.25%           8.93%                10.76%
  Overseas (January 28, 1987)......................       33.61%          15.39%                 9.75%

VARIABLE INSURANCE PRODUCTS FUND II
  Asset Manager (September 6, 1989)................        4.00%          13.66%                11.46%
  Contrafund(R) (January 3, 1995)..................       16.36%                                25.48%
  Investment Grade Bond (December 5, 1988).........       (7.39)%          5.40%                 5.52%
</TABLE>



OTHER 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 the Surrender Charge on amounts surrendered or withdrawn.


                                       S-7
<PAGE>   54


     Based on this method of calculation, average annual total return
information for the Subaccounts is as follows:



<TABLE>
<CAPTION>
                                                                                      FOR THE 10-YEAR PERIOD
                                                                                          ENDED 12/31/99
                                                   FOR THE 1-YEAR   FOR THE 5-YEAR         (OR DATE OF
                                                    PERIOD ENDED     PERIOD ENDED       INCEPTION IF LESS
SUBACCOUNT (INCEPTION DATE OF SUBACCOUNT)             12/31/99         12/31/99           THAN 10 YEARS)
- -----------------------------------------          --------------   --------------    ----------------------
<S>                                                <C>              <C>               <C>

MARKET STREET FUND, INC.
  All Pro Large Cap Growth (May 29, 1998)........      23.47%                                  29.51%
  All Pro Large Cap Value (May 22, 1998).........      (0.22)%                                 (0.66)%
  All Pro Small Cap Growth (May 29, 1998)........      89.18%                                  52.88%
  All Pro Small Cap Value (May 29, 1998).........      (9.63)%                                (14.63)%
  Equity 500 Index(1) (October 1, 1993)..........      18.54%           26.26%                 20.69%
  International (April 14, 1992).................      27.24%           12.86%                 11.52%
  Growth (April 14, 1992)........................       1.25%           16.01%                 11.67%
  Aggressive Growth (April 14, 1992).............      14.05%           14.02%                  9.62%
  Managed (April 14, 1992).......................      (0.95)%          12.08%                  9.68%
  Bond (April 14, 1992)..........................      (4.96)%           5.52%                  4.34%
  Money Market (April 14, 1992)..................       3.16%            3.55%                  2.82%

ALGER AMERICAN FUND
  Small Capitalization (July 5, 1996)............      41.13%                                  17.23%

NEUBERGER BERMAN ADVISERS MANAGEMENT TRUST
  Limited Maturity Bond (July 5, 1996)...........      (0.23)%                                  3.18%
  Partners (May 1, 1998).........................       5.58%                                  (1.39)%

VAN ECK WORLDWIDE INSURANCE TRUST
  Worldwide Bond (July 5, 1996)..................      (9.40)%                                  1.68%
  Worldwide Emerging Markets (July 5, 1996)......      97.21%                                   4.45%
  Worldwide Hard Assets (July 5, 1996)...........      19.02%                                  (5.75)%
  Worldwide Real Estate (May 1, 1998)............      (3.67)%                                (11.39)%

VARIABLE INSURANCE PRODUCTS FUND
  Equity-Income (October 1, 1993)................       4.55%           16.80%                 14.30%
  Growth (October 1, 1993).......................      35.23%           27.82%                 21.34%
  High Income (October 1, 1993)..................       6.35%            9.11%                  7.44%
  Overseas (July 5, 1996)........................      40.35%                                  18.32%

VARIABLE INSURANCE PRODUCTS FUND II
  Asset Manager (October 1, 1993)................       9.25%           13.84%                 10.59%
  Contrafund(R) (May 8, 1995)....................      22.23%                                  24.17%
  Investment Grade Bond (July 5, 1996)...........      (2.73)%                                  4.81%
</TABLE>


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

(1) As of February 7, 2000, shares of the Market Street Equity 500 Index
    Portfolio were substituted for shares of the Variable Insurance Products
    Fund II Index 500 Portfolio.


                                       S-8
<PAGE>   55


     Based on the foregoing method of calculation, average annual total return
information is as follows assuming that the Subaccounts were in existence during
the same periods as those indicated for the Portfolios:



<TABLE>
<CAPTION>
                                                                                     FOR THE 10-YEAR PERIOD
                                                                                         ENDED 12/31/99
                                                 FOR THE 1-YEAR    FOR THE 5-YEAR         (OR DATE OF
                                                  PERIOD ENDED      PERIOD ENDED       INCEPTION IF LESS
SUBACCOUNT (INCEPTION DATE OF PORTFOLIO)            12/31/99          12/31/99           THAN 10 YEARS)
- ----------------------------------------         --------------    --------------    ----------------------
<S>                                              <C>               <C>               <C>
MARKET STREET FUND, INC.
  All Pro Large Cap Growth (May 4, 1998).......       23.47%                                  24.54%
  All Pro Large Cap Value (May 4, 1998)........       (0.22)%                                 (1.42)%
  All Pro Small Cap Growth (May 4, 1998).......       89.18%                                  44.26%
  All Pro Small Cap Value (May 4, 1998)........       (9.63)%                                (16.89)%
  International (November 1, 1991).............       27.24%           12.86%                  9.93%
  Growth (December 12, 1985)...................        1.25%           16.01%                 10.84%
  Aggressive Growth (May 1, 1989)..............       14.05%           14.02%                 12.86%
  Managed (December 12, 1985)..................       (0.95)%          12.08%                  8.29%
  Bond (December 12, 1985).....................       (4.96)%           5.52%                  5.08%
  Money Market (December 12, 1985).............        3.16%            3.55%                  3.28%
ALGER AMERICAN FUND
  Small Capitalization (September 21, 1988)....       41.13%           20.81%                 16.51%
NEUBERGER BERMAN ADVISERS MANAGEMENT TRUST
  Limited Maturity Bond (September 10, 1984)...       (0.23)%           3.80%                  4.17%
  Partners (March 22, 1994)....................        5.58%           19.20%                 43.10%
STRONG VARIABLE INSURANCE FUND II
  Mid Cap Growth Fund II (December 31, 1996)...       87.14%                                  44.81%
STRONG OPPORTUNITY FUND II
  Opportunity Fund II (May 8, 1992)............       32.94%           21.60%                 19.32%
VAN ECK WORLDWIDE INSURANCE TRUST
  Worldwide Bond (September 1, 1989)...........       (9.40)%           3.34%                  3.77%
  Worldwide Emerging Markets
     (December 27, 1995).......................       97.21%                                   8.21%
  Worldwide Hard Assets (September 1, 1989)....       19.02%           (0.22)%                 1.36%
  Worldwide Real Estate (June 23, 1997)........       (3.67)%                                  0.59%
VARIABLE INSURANCE PRODUCTS FUND
  Equity-Income (October 9, 1986)..............        4.55%           16.80%                 12.80%
  Growth (October 9, 1986).....................       35.23%           27.82%                 18.21%
  High Income (September 19, 1985).............        6.35%            9.11%                 10.76%
  Overseas (January 28, 1987)..................       40.35%           15.58%                  9.75%
VARIABLE INSURANCE PRODUCTS FUND II
  Asset Manager (September 6, 1989)............        9.25%           13.84%                 11.46%
  Contrafund(R) (January 3, 1995)..............       22.23%                                  25.86%
  Investment Grade Bond (December 5, 1988).....       (2.73)%           5.57%                  5.52%
</TABLE>



     We may also 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 for the period.



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



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


                                       S-9
<PAGE>   56


EFFECT OF THE ADMINISTRATION FEE ON PERFORMANCE DATA



     The Contract provides for a $30 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 account bears
to the total Contract Account Value. For purposes of reflecting the Annual
Administration Fee in yield and total return quotations, this annual charge is
converted into a per-dollar per-day charge based on a Contract Account Value in
the Variable Account of $10,000 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 our 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 us 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 our
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 the Fund or us 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 our option if we have withdrawn the Variable
Account's investment in the Fund; or (8) at the option of any party upon another
party's material breach of any provision of the agreement.



     The Alger American Fund.  This agreement provides for termination: (1) on
sixty (60) days advance written notice by any party; (2) at the option of the
Trust or its principal underwriter if the Contracts issued by us cease to
qualify as annuity contracts or life insurance contracts under the Code or if
the Contracts are not registered, issued, or sold in accordance with applicable
law; (3) at the option of any party upon a determination that a material
irreconcilable conflict exists; (4) at our option if certain enforcement
proceedings are instituted against the Trust or its principal underwriter
regarding the Trust's or its principal underwriter's duties under the agreement
as related to the sale of Trust shares or operation of the Trust; (5) at our
option if the Trust or a Portfolio fails to meet the diversification
requirements for variable annuity, endowment, or life insurance contracts set
forth in the Code; (6) at our option if shares of the Series are not reasonably
available to meet the requirements of the Variable Contracts issued by the
Company; (7) at our option if any of the shares of the Portfolio are not
registered, issued, or sold in accordance with applicable law, or such law
precludes the use of such shares as the underlying investment media of the
Variable Contracts issued or to be issued by us; (8) at our option if the
Portfolio fails to qualify as a regulated investment company under the Code; or
(9) at the option of the principal underwriter that we, and/or an affiliated
company, have suffered a material adverse change in our business, operations,
financial condition, or prospects since the date of the agreement or are subject
of material adverse publicity.



     Neuberger & Berman Advisers Management Trust.  This agreement provides for
termination: (1) on one hundred eighty (180) days notice by the Trust or us; (2)
at our option if the Trust's shares are not reasonably available to meet the
requirements of the Variable Contracts; (3) at our option or the Trust's option
if certain enforcement proceedings are instituted against the other; (4) in the
event the Trust's shares are not registered, issued, or sold in accordance with
applicable law or such law precludes the use of such shares as the underlying
investment medium of Variable Contracts issued or to be issued by us; (5) at the
Trust's option if the Variable Contracts cease to qualify as annuity contracts
or life insurance contracts, as applicable, under Code, or if the Trust
reasonably believes that the Variable Contracts may fail to so qualify; (6) at
the option of the Trust or us upon the other party's breach of any material
provision of the agreement; (7) at the option of the Trust if the Variable
Contracts are not registered,


                                      S-10
<PAGE>   57


issued, or sold in accordance with applicable law; or (8) in the event the
agreement is assigned without the prior written consent of the other parties.



     Strong Variable Insurance Funds, Inc and Strong Opportunity Fund II,
Inc.  This agreement provides for termination during the initial one (1) year
term on thirty (30) days prior written notice by any party and, assuming
renewal, thereafter on six (6) months advance written notice by any party; (2)
at the Adviser's, Funds', or Distributor's option upon a determination that we
have suffered a material adverse change in our business, operations, financial
condition, or prospects or are the subject of material adverse publicity; (3) at
the Adviser's, Funds', or Distributor's option if any of the Contracts are not
registered, issued, or sold in accordance with applicable law or such law
precludes the use of Fund shares as the underlying investment media of the
Contracts issued or to be issued by us; (4) at our option if any of a Fund's
shares are not registered, issued, or sold in accordance with applicable law or
such law precludes the use of such shares as the underlying investment media of
the Contracts issued or to be issued; (5) at our option if the Funds cease to
qualify as regulated investment companies under the Code or if we reasonably
believe that the Funds may fail to so qualify; (6) at our option if a Fund fails
to meet the diversification requirements specified in the Code; (7) at our
party's option upon 30 days written notice in the event of a material breach of
the agreement; (8) at any party's option if certain enforcement proceedings are
instituted against another party; (9) at any party's option if the agreement is
assigned without the other parties' written consent; or (10) as is required by
law, order or instruction of a court, regulatory body, or self-regulatory
organization with jurisdiction over the terminating party.



     Van Eck Worldwide Insurance Trust.  This agreement provides for
termination: (1) by Van Eck Trust, Van Eck Trust's Distributor or us upon six
months prior written notice; (2) at our option if Fund shares are not available
for any reason to meet the requirements of Contracts as determined by us and
reasonable advance notice of election to terminate is furnished by us; (3) at
the option the Fund, its principal underwriter or us, upon institution of formal
proceedings against the broker-dealer marketing the Contracts, the Variable
Account, the Fund or us by any regulatory body; (4) upon our decision, in
accordance with regulations of the SEC, to substitute Fund shares with the
shares of another fund selected to serve as the underlying investment medium on
60 days' written notice; (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 Federal law
precludes the use of Fund shares as an underlying investment medium of Contracts
issued or to be issued by us; (7) at our option by written notice to the Fund
and its principal underwriter with respect to any Portfolio in the event that
the Portfolio fails to meet specified diversification requirements or if we
reasonably believe that the Portfolio may fail to meet those requirements; (8)
at our option by written notice to the Fund and its principal underwriter, if we
determine, in our 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 the 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 us, if the Fund or its
principal underwriter determines, in its sole judgment exercised in good faith,
that the Fund or its underwriter has suffered a material adverse change in its
business operations, financial condition or prospects since the date of the
agreement or is the subject of material adverse publicity.



     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 our option if shares of the Fund are not reasonably
available to meet the requirements of the Contracts; (3) at our 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 we have
suffered material adverse changes in our business or financial conditions or we
are the subject to material adverse publicity; (5) at our option 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 we decide to make another mutual fund available as
a funding vehicle for the Contracts.


                                      S-11
<PAGE>   58


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



     Additionally, in certain circumstances, a Fund or a Portfolio may refuse to
sell its shares to a Subaccount even though its participation agreement with us
has not been terminated. Should a Fund or Portfolio decide not to sell its
shares to the Variable Account, we 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.


                               STANDARD & POOR'S

     Standard & Poor's(R), S&P(R), Standard & Poor's 500 and 500 are trademarks
of The McGraw-Hill Companies, Inc. and have been licensed for use by PLACA and
the Market Street Fund, Inc. ("Market Street"). Neither the Contract nor the
Equity 500 Index Portfolio is sponsored, endorsed, sold or promoted by Standard
& Poor's, a division of The McGraw-Hill Companies, Inc. ("S&P").


     S&P makes no representation or warranty, express or implied, to the Owners
of the Contracts and the Equity 500 Index Portfolio or any member of the public
regarding the advisability of investing in securities generally, or in the
Contracts and the Equity 500 Index Portfolio particularly, or the ability of the
S&P 500 Index to track general stock market performance. S&P's only relationship
to PLACA and Market Street is the licensing of certain trademarks and trade
names of S&P and of the S&P 500 Index which is determined, composed, and
calculated by S&P without regard to PLACA, Market Street, the Owners of the
Contracts, or the Equity 500 Index Portfolio. S&P has no obligation to take the
needs of PLACA, Market Street, or the Owners of the Contracts or the Equity 500
Index Portfolio into consideration in determining, composing or calculating the
S&P 500 Index. S&P is not responsible for and has not participated in the
determination of the prices and amount of the Contracts or the Equity 500 Index
Portfolio or the timing of the issuance or sale of the Contracts or the Equity
500 Index Portfolio in the determination or calculation of the equation by which
the Contracts or the Equity 500 Index Portfolio are to be converted into cash.
S&P has no obligation or liability in connection with the administration,
marketing, or trading of the Contracts or the Equity 500 Index Portfolio.



     S&P DOES NOT GUARANTEE THE ACCURACY AND/OR THE COMPLETENESS OF THE S&P 500
INDEX OR ANY DATA INCLUDED THEREIN AND S&P SHALL HAVE NO LIABILITY FOR ANY
ERRORS, OMISSIONS, OR INTERRUPTIONS THEREIN. S&P MAKES NO WARRANTY, EXPRESS OR
IMPLIED, AS TO RESULTS TO BE OBTAINED BY PLACA, MARKET STREET, OWNERS OF THE
CONTRACTS AND THE EQUITY 500 INDEX PORTFOLIO, OR ANY OTHER PERSON OR ENTITY FROM
THE USE OF THE S&P 500 INDEX OR ANY DATA INCLUDED THEREIN. S&P MAKES NO EXPRESS
OR IMPLIED WARRANTIES, AND EXPRESSLY DISCLAIMS ALL WARRANTIES OF MERCHANTABILITY
OR FITNESS FOR A PARTICULAR PURPOSE OR USE WITH RESPECT TO THE S&P 500 INDEX OR
ANY DATA INCLUDED THEREIN. WITHOUT LIMITING ANY OF THE FOREGOING, IN NO EVENT
SHALL S&P HAVE ANY LIABILITY FOR ANY SPECIAL, PUNITIVE, INDIRECT, OR
CONSEQUENTIAL DAMAGES (INCLUDING LOST PROFITS). EVEN IF NOTIFIED OF THE
POSSIBILITY OF SUCH DAMAGES.


                         SAFEKEEPING OF ACCOUNT ASSETS


     We hold the title to the assets of the Variable Account. The assets in the
Variable Account are legally segregated from our 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.


     Our officers and employees are covered by a financial institution bond
issued by Reliance Insurance Company to Provident Mutual Life Insurance Company
("PMLIC") with limits of $10 million per occurrence and $20 million in the
aggregate. The bond insures against dishonest and fraudulent acts of officers
and employees.


                                      S-12
<PAGE>   59

                                STATE REGULATION


     We are subject to regulation and supervision by the Insurance Department of
the State of Delaware, which periodically examines our affairs. We are 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. We are required to submit annual statements of our
operations, including financial statements, to the insurance departments of the
various jurisdictions in which we do business for the purposes of determining
solvency and compliance with local insurance laws and regulations.


                              RECORDS AND REPORTS


     We will maintain all records and accounts relating to the Variable Account.
As presently required by the 1940 Act and the regulations thereunder, reports
containing information required under the Act or any other applicable law or
regulation, will be sent to Owners semi-annually at their last known address.


                                 LEGAL MATTERS


     James G. Potter, Jr., Counsel of Provident Mutual Life Insurance Company,
has provided advice on certain matters relating to the laws of Delaware
regarding the Contracts and our issuance of the Contracts. Drinker Biddle &
Reath LLP of Philadelphia, PA has provided advice on certain matters relating to
the federal securities laws.


                                    EXPERTS


     The financial statements listed on page F-1 have been included in this SAI,
which is a part of the registration statement, in reliance on the reports of
PricewaterhouseCoopers LLP, independent accountants, given on the authority of
that 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. Not all the information
set forth in the registration statement and the amendments and exhibits thereto
has been included in this SAI. Statements contained in the prospectus and this
SAI 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 STATEMENTS


     This SAI contains the audited statements of assets and liabilities of the
Variable Account as of December 31, 1999 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,
2400 Eleven Penn Center, Philadelphia, PA 19103, serves as independent
accountant for the Variable Annuity Separate Account.



     Our statements of financial condition as of December 31, 1999 and 1998 and
the related statements of operations, equity, and cash flows for each of the
three years in the period ended December 31, 1999, which are included in this
SAI, should be considered only as bearing on our ability to meet our obligations
under the Contracts. They should not be considered as bearing on the investment
performance of the assets held in the Variable Account.


                                      S-13
<PAGE>   60

                              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,
      1999..................................................   F-3
     Statements of Operations for the Year Ended December
      31, 1999..............................................  F-10
     Statements of Changes in Net Assets for the Year Ended
      December 31, 1999.....................................  F-17
     Statements of Changes in Net Assets for the Year Ended
      December 31, 1998.....................................  F-24
     Notes to Financial Statements..........................  F-31
Providentmutual Life and Annuity Company of America
     Report of Independent Accountants......................  F-56
     Statements of Financial Condition as of December 31,
      1999 and 1998.........................................  F-57
     Statements of Operations for the Years Ended December
      31, 1999, 1998, and 1997..............................  F-58
     Statements of Equity for the Years Ended December 31,
      1999, 1998, and 1997..................................  F-59
     Statements of Cash Flows for the Years Ended December
      31, 1999, 1998, and 1997..............................  F-60
     Notes to Financial Statements..........................  F-61
</TABLE>

                                       F-1
<PAGE>   61

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

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

                       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 of changes in net assets present
fairly, in all material respects, the financial position of the Separate Account
at December 31, 1999, 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 accounting principles generally accepted in the United
States. 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 auditing standards generally accepted in the
United States, 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, 1999 by
correspondence with the transfer agents, provide a reasonable basis for the
opinion expressed above.

PRICEWATERHOUSECOOPERS LLP
Philadelphia, Pennsylvania
February 17, 2000

                                       F-2
<PAGE>   62

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Assets and Liabilities, December 31, 1999

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

<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.......................  $45,751,005
  Money Market Portfolio.................                $48,793,552
  Bond Portfolio.........................                              $13,944,855
  Managed Portfolio......................                                            $17,379,003
  Aggressive Growth Portfolio............                                                          $13,377,180
  International Portfolio................                                                                         $22,627,853
Dividends receivable.....................                    221,927
                                           -----------   -----------   -----------   -----------   -----------    -----------
Total Assets.............................   45,751,005    49,015,479    13,944,855    17,379,003    13,377,180     22,627,853
                                           -----------   -----------   -----------   -----------   -----------    -----------
Payable to Providentmutual Life and
  Annuity Company of America.............                    623,404
                                           -----------   -----------   -----------   -----------   -----------    -----------
NET ASSETS...............................  $45,751,005   $48,392,075   $13,944,855   $17,379,003   $13,377,180    $22,627,853
                                           ===========   ===========   ===========   ===========   ===========    ===========
Held for the benefit of
  contractholders........................  $45,677,108   $48,351,553   $13,902,252   $17,306,399   $13,297,710    $22,555,992
Attributable to Providentmutual Life and
  Annuity Company of America.............       73,897        40,522        42,603        72,604        79,470         71,861
                                           -----------   -----------   -----------   -----------   -----------    -----------
                                           $45,751,005   $48,392,075   $13,944,855   $17,379,003   $13,377,180    $22,627,853
                                           ===========   ===========   ===========   ===========   ===========    ===========
</TABLE>

See accompanying notes to financial statements

                                       F-3
<PAGE>   63

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Assets and Liabilities, December 31, 1999

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

<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......................   $12,039,255
  All Pro Large Cap Value Portfolio.......................                   $5,056,085
  All Pro Small Cap Growth Portfolio......................                                   $14,471,364
  All Pro Small Cap Value Portfolio.......................                                                   $3,154,907
                                                             -----------     ----------      -----------     ----------
NET ASSETS................................................   $12,039,255     $5,056,085      $14,471,364     $3,154,907
                                                             ===========     ==========      ===========     ==========
Held for the benefit of contractholders...................   $11,974,966     $5,030,781      $14,425,338     $3,134,877
Attributable to Providentmutual Life and Annuity Company
  of America..............................................        64,289         25,304           46,026         20,030
                                                             -----------     ----------      -----------     ----------
                                                             $12,039,255     $5,056,085      $14,471,364     $3,154,907
                                                             ===========     ==========      ===========     ==========
</TABLE>

See accompanying notes to financial statements

                                       F-4
<PAGE>   64

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Assets and Liabilities, December 31, 1999

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

<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..................  $22,858,013
  Equity-Income Portfolio................                $99,574,625
  Growth Portfolio.......................                              $161,796,300
  Overseas Portfolio.....................                                             $5,520,010
Investment in the Variable Insurance
  Products Fund II, at market value:
  Asset Manager Portfolio................                                                          $47,305,710
  Index 500 Portfolio....................                                                                        $150,199,087
                                           -----------   -----------   ------------   ----------   -----------   ------------
NET ASSETS...............................  $22,858,013   $99,574,625   $161,796,300   $5,520,010   $47,305,710   $150,199,087
                                           ===========   ===========   ============   ==========   ===========   ============
Held for the benefit of
  contractholders........................  $22,819,436   $99,509,281   $161,665,560   $5,472,342   $47,221,269   $150,104,904
Attributable to Providentmutual Life and
  Annuity Company of America.............       38,577        65,344        130,740      47,668         84,441         94,183
                                           -----------   -----------   ------------   ----------   -----------   ------------
                                           $22,858,013   $99,574,625   $161,796,300   $5,520,010   $47,305,710   $150,199,087
                                           ===========   ===========   ============   ==========   ===========   ============
</TABLE>

See accompanying notes to financial statements

                                       F-5
<PAGE>   65

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Assets and Liabilities, December 31, 1999

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


<TABLE>
<CAPTION>
                                                                        FIDELITY
                                                         FIDELITY      INVESTMENT       OCC           OCC           OCC
                                                       CONTRAFUND(R)   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(R) Portfolio............................   $87,293,722
  Investment Grade Bond Portfolio....................                  $3,456,559
Investment in the OCC Accumulation Trust, at market
  value:
  Equity Portfolio...................................                               $21,909,881
  Small Cap Portfolio................................                                             $13,568,592
  Managed Portfolio..................................                                                           $49,802,452
                                                        -----------    ----------   -----------   -----------   -----------
NET ASSETS...........................................   $87,293,722    $3,456,559   $21,909,881   $13,568,592   $49,802,452
                                                        ===========    ==========   ===========   ===========   ===========
Held for the benefit of contractholders..............   $87,191,792    $3,451,561   $21,844,523   $13,524,512   $49,741,753
Attributable to Providentmutual Life and Annuity
  Company of America.................................       101,930        4,998         65,358        44,080        60,699
                                                        -----------    ----------   -----------   -----------   -----------
                                                        $87,293,722    $3,456,559   $21,909,881   $13,568,592   $49,802,452
                                                        ===========    ==========   ===========   ===========   ===========
</TABLE>


See accompanying notes to financial statements

                                       F-6
<PAGE>   66

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Assets and Liabilities, December 31, 1999

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

<TABLE>
<CAPTION>
                                                          SCUDDER                                      DREYFUS       DREYFUS
                                            SCUDDER       GROWTH         SCUDDER      DREYFUS 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>
ASSETS
Investment in the Scudder Variable Life
  Investment Fund, at market value:
  Bond Portfolio........................  $11,739,293
  Growth and Income Portfolio...........                $22,065,318
  International Portfolio...............                               $23,743,068
Investment in the Dreyfus Variable
  Investment Fund, at market value:
  Zero Coupon 2000 Portfolio............                                               $8,461,505
  Growth and Income Portfolio...........                                                             $22,991,535
Investment in the Dreyfus Socially
  Responsible Growth Fund, Inc., at
  market value:
  Socially Responsible Portfolio........                                                                           $23,174,948
                                          -----------   -----------    -----------     ----------    -----------   -----------
NET ASSETS..............................  $11,739,293   $22,065,318    $23,743,068     $8,461,505    $22,991,535   $23,174,948
                                          ===========   ===========    ===========     ==========    ===========   ===========
Held for the benefit of
contractholders.........................  $11,705,037   $21,985,509    $23,653,718     $8,430,871    $22,924,304   $23,118,399
Attributable to Providentmutual Life and
  Annuity Company of America............       34,256        79,809         89,350         30,634         67,231        56,549
                                          -----------   -----------    -----------     ----------    -----------   -----------
                                          $11,739,293   $22,065,318    $23,743,068     $8,461,505    $22,991,535   $23,174,948
                                          ===========   ===========    ===========     ==========    ===========   ===========
</TABLE>

See accompanying notes to financial statements

                                       F-7
<PAGE>   67

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Assets and Liabilities, December 31, 1999

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

<TABLE>
<CAPTION>
                                                          FEDERATED
                                                          FUND FOR        FEDERATED      NEUBERGER
                                                       U.S. GOVERNMENT     UTILITY     BERMAN LIMITED      NEUBERGER
                                                        SECURITIES II      FUND II     MATURITY BOND    BERMAN PARTNERS
                                                         SUBACCOUNT      SUBACCOUNT      SUBACCOUNT       SUBACCOUNT
- -----------------------------------------------------------------------------------------------------------------------
<S>                                                    <C>               <C>           <C>              <C>
ASSETS
Investment in the Federated Insurance Series, at
  market value:
  Fund for U.S. Government Securities II Portfolio...    $10,781,314
  Utility Fund II Portfolio..........................                    $10,268,993
Investment in the Neuberger Berman Advisers
  Management Trust, at market value:
  Limited Maturity Bond Portfolio....................                                    $1,645,266
  Partners Portfolio.................................                                                     $1,549,061
                                                         -----------     -----------     ----------       ----------
NET ASSETS...........................................    $10,781,314     $10,268,993     $1,645,266       $1,549,061
                                                         ===========     ===========     ==========       ==========
  Held for the benefit of contractholders............    $10,747,448     $10,232,769     $1,615,642       $1,461,893
  Attributable to Providentmutual Life and Annuity
    Company of America...............................         33,866          36,224         29,624           87,168
                                                         -----------     -----------     ----------       ----------
                                                         $10,781,314     $10,268,993     $1,645,266       $1,549,061
                                                         ===========     ===========     ==========       ==========
</TABLE>

See accompanying notes to financial statements

                                       F-8
<PAGE>   68

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Assets and Liabilities, December 31, 1999

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

<TABLE>
<CAPTION>
                                                                   VAN ECK      VAN ECK      VAN ECK
                                                      VAN ECK     WORLDWIDE    WORLDWIDE    WORLDWIDE    ALGER AMERICAN
                                                     WORLDWIDE       HARD       EMERGING       REAL          SMALL
                                                        BOND        ASSETS      MARKETS       ESTATE     CAPITALIZATION
                                                     SUBACCOUNT   SUBACCOUNT   SUBACCOUNT   SUBACCOUNT     SUBACCOUNT
- -----------------------------------------------------------------------------------------------------------------------
<S>                                                  <C>          <C>          <C>          <C>          <C>
ASSETS
Investment in Van Eck Worldwide Insurance Trust, at
  market value:
  Van Eck Worldwide Bond Portfolio.................  $2,008,648
  Van Eck Worldwide Hard Assets Portfolio..........                $815,121
  Van Eck Worldwide Emerging Markets Portfolio.....                            $6,758,893
  Van Eck Worldwide Real Estate Portfolio..........                                          $502,098
Investment in the Alger American Fund, at market
  value:
  Alger American Small Capitalization Portfolio....                                                        $6,026,539
                                                     ----------    --------    ----------    --------      ----------
NET ASSETS.........................................  $2,008,648    $815,121    $6,758,893    $502,098      $6,026,539
                                                     ==========    ========    ==========    ========      ==========
Held for the benefit of contractholders............  $1,968,109    $775,408    $6,674,506    $476,708      $5,978,890
Attributable to Providentmutual Life and Annuity
  Company of America...............................     40,539       39,713       84,387       25,390          47,649
                                                     ----------    --------    ----------    --------      ----------
                                                     $2,008,648    $815,121    $6,758,893    $502,098      $6,026,539
                                                     ==========    ========    ==========    ========      ==========
</TABLE>

See accompanying notes to financial statements

                                       F-9
<PAGE>   69

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Operations for the Year Ended December 31, 1999

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

<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.................................  $   160,736   $2,107,714   $ 209,132    $   143,178   $  64,921     $  224,550
EXPENSES
Mortality and expense risks...............      655,698     617,723      195,679        255,665     166,187        280,089
                                            -----------   ----------   ---------    -----------   ----------    ----------
Net investment (loss) income..............     (494,962)  1,489,991       13,453       (112,487)   (101,266)       (55,539)
                                            -----------   ----------   ---------    -----------   ----------    ----------
NET REALIZED AND UNREALIZED GAIN (LOSS) ON
  INVESTMENTS
Realized gain distributions reinvested....      938,967                  164,317        976,381   1,609,965      1,152,096
Net realized gain from redemption of
  investment shares.......................    1,831,364                   80,387      1,226,706     325,963        702,885
                                            -----------   ----------   ---------    -----------   ----------    ----------
Net realized gain on investments..........    2,770,331                  244,704      2,203,087   1,935,928      1,854,981
                                            -----------   ----------   ---------    -----------   ----------    ----------
Net unrealized appreciation (depreciation)
  of investments:
  Beginning of year.......................    6,880,781                  501,349      3,311,102   1,843,257      1,759,586
  End of year.............................    5,361,894                 (429,944)     1,122,553   1,657,663      4,992,525
                                            -----------   ----------   ---------    -----------   ----------    ----------
Net unrealized (depreciation) appreciation
  during the year.........................   (1,518,887)                (931,293)    (2,188,549)   (185,594)     3,232,939
                                            -----------   ----------   ---------    -----------   ----------    ----------
Net realized and unrealized gain (loss) on
  investments.............................    1,251,444                 (686,589)        14,538   1,750,334      5,087,920
                                            -----------   ----------   ---------    -----------   ----------    ----------
Net increase (decrease) in net assets
  resulting from operations...............  $   756,482   $1,489,991   $(673,136)   $   (97,949)  $1,649,068    $5,032,381
                                            ===========   ==========   =========    ===========   ==========    ==========
</TABLE>

See accompanying notes to financial statements

                                      F-10
<PAGE>   70

- --------------------------------------------------------------------------------
The Providentmutual Variable Annuity Separate Account
of Providentmutual Life and Annuity Company of America
Statements of Operations for the Year Ended December 31, 1999

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

<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>
INVESTMENT INCOME
Dividends.................................................   $      498       $ 14,030                        $   2,776
EXPENSES
Mortality and expense risks...............................       97,784         51,611       $   76,850          29,987
                                                             ----------       --------       ----------       ---------
Net investment loss.......................................      (97,286)       (37,581)         (76,850)        (27,211)
                                                             ----------       --------       ----------       ---------
NET REALIZED AND UNREALIZED GAIN (LOSS) ON INVESTMENTS
Realized gain distributions reinvested
Net realized gain (loss) from redemption of investment
  shares..................................................      219,145          9,264          258,558         (54,731)
                                                             ----------       --------       ----------       ---------
Net realized gain (loss) on investments...................      219,145          9,264          258,558         (54,731)
                                                             ----------       --------       ----------       ---------
Net unrealized appreciation (depreciation) of investments:
  Beginning of year.......................................      345,515        157,479          191,093          35,087
  End of year.............................................    1,922,453        100,810        5,190,696          (9,099)
                                                             ----------       --------       ----------       ---------
Net unrealized appreciation (depreciation) during the
  year....................................................    1,576,938        (56,669)       4,999,603         (44,186)
                                                             ----------       --------       ----------       ---------
Net realized and unrealized gain (loss) on investments....    1,796,083        (47,405)       5,258,161         (98,917)
                                                             ----------       --------       ----------       ---------
Net increase (decrease) in net assets resulting from
  operations..............................................   $1,698,797       $(84,986)      $5,181,311       $(126,128)
                                                             ==========       ========       ==========       =========
</TABLE>

See accompanying notes to financial statements

                                      F-11
<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, 1999

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

<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..................................  $ 2,022,894   $ 1,426,752   $   185,106   $  55,743    $1,390,143   $ 1,035,452
EXPENSES
Mortality and expense risks................      317,394     1,393,247     1,753,199      57,974      620,620      1,732,123
                                             -----------   -----------   -----------   ----------   ----------   -----------
Net investment income (loss)...............    1,705,500        33,505    (1,568,093)     (2,231)     769,523       (696,671)
                                             -----------   -----------   -----------   ----------   ----------   -----------
NET REALIZED AND UNREALIZED GAIN (LOSS) ON
  INVESTMENTS
Realized gain distributions reinvested.....       75,622     3,153,873    11,638,599      89,908    1,760,849        702,628
Net realized (loss) gain from redemption of
  investment shares........................     (316,875)    4,136,515     5,502,014      81,238    1,009,026      6,600,781
                                             -----------   -----------   -----------   ----------   ----------   -----------
Net realized (loss) gain on investments....     (241,253)    7,290,388    17,140,613     171,146    2,769,875      7,303,409
                                             -----------   -----------   -----------   ----------   ----------   -----------
Net unrealized (depreciation) appreciation
  of investments:
    Beginning of year......................   (1,322,566)   18,402,980    29,499,701      72,711    5,498,936     26,388,869
    End of year............................   (1,334,978)   15,602,007    54,531,633   1,490,599    6,113,649     41,527,444
                                             -----------   -----------   -----------   ----------   ----------   -----------
Net unrealized (depreciation) appreciation
  during the year..........................      (12,412)   (2,800,973)   25,031,932   1,417,888      614,713     15,138,575
                                             -----------   -----------   -----------   ----------   ----------   -----------
Net realized and unrealized (loss) gain on
  investments..............................     (253,665)    4,489,415    42,172,545   1,589,034    3,384,588     22,441,984
                                             -----------   -----------   -----------   ----------   ----------   -----------
Net increase in net assets resulting from
  operations...............................  $ 1,451,835   $ 4,522,920   $40,604,452   $1,586,803   $4,154,111   $21,745,313
                                             ===========   ===========   ===========   ==========   ==========   ===========
</TABLE>

See accompanying notes to financial statements

                                      F-12
<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, 1999

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


<TABLE>
<CAPTION>
                                                                        FIDELITY
                                                         FIDELITY      INVESTMENT       OCC           OCC           OCC
                                                       CONTRAFUND(R)   GRADE BOND     EQUITY       SMALL CAP      MANAGED
                                                        SUBACCOUNT     SUBACCOUNT   SUBACCOUNT    SUBACCOUNT    SUBACCOUNT
- ---------------------------------------------------------------------------------------------------------------------------
<S>                                                    <C>             <C>          <C>           <C>           <C>
INVESTMENT INCOME
Dividends............................................   $   302,333    $ 102,810    $   215,256   $   104,013   $   854,698
EXPENSES
Mortality and expense risks..........................     1,001,570       43,437        321,855       211,704       754,089
                                                        -----------    ---------    -----------   -----------   -----------
Net investment (loss) gain...........................      (699,237)      59,373       (106,599)     (107,691)      100,609
                                                        -----------    ---------    -----------   -----------   -----------
NET REALIZED AND UNREALIZED GAIN (LOSS) ON
  INVESTMENTS
Realized gain distributions reinvested...............     2,217,107       32,254        980,262                   1,917,911
Net realized gain from redemption of investment
  shares.............................................     4,793,104        7,570      1,347,988       827,001     6,225,127
                                                        -----------    ---------    -----------   -----------   -----------
Net realized gain on investments.....................     7,010,211       39,824      2,328,250       827,001     8,143,038
                                                        -----------    ---------    -----------   -----------   -----------
Net unrealized appreciation (depreciation) of
  investments:
  Beginning of year..................................    16,048,820      110,611      3,483,399       661,747    12,739,481
  End of year........................................    24,980,687      (60,098)     1,509,357      (539,331)    6,495,052
                                                        -----------    ---------    -----------   -----------   -----------
Net unrealized appreciation (depreciation) during the
  year...............................................     8,931,867     (170,709)    (1,974,042)   (1,201,078)   (6,244,429)
                                                        -----------    ---------    -----------   -----------   -----------
Net realized and unrealized gain (loss) on
  investments........................................    15,942,078     (130,885)       354,208      (374,077)    1,898,609
                                                        -----------    ---------    -----------   -----------   -----------
Net increase (decrease) in net assets resulting from
  operations.........................................   $15,242,841    $ (71,512)   $   247,609   $  (481,768)  $ 1,999,218
                                                        ===========    =========    ===========   ===========   ===========
</TABLE>


See accompanying notes to financial statements

                                      F-13
<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, 1999

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

<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>
INVESTMENT INCOME
Dividends...............................  $ 361,138    $  255,583     $   20,172      $ 434,204     $ 127,513    $    2,875
EXPENSES
Mortality and expense risks.............    159,359       304,076        237,358        113,829       284,858       228,947
                                          ---------    -----------    ----------      ---------     ----------   ----------
Net investment income (loss)............    201,779       (48,493)      (217,186)       320,375      (157,345)     (226,072)
                                          ---------    -----------    ----------      ---------     ----------   ----------
NET REALIZED AND UNREALIZED GAIN (LOSS)
  ON INVESTMENTS
Realized gain distributions
  reinvested............................    184,777     1,646,855      1,502,806                      696,762       773,984
Net realized (loss) gain from redemption
  of investment shares..................    (62,579)      519,852        795,000         11,663       575,902     1,347,033
                                          ---------    -----------    ----------      ---------     ----------   ----------
Net realized gain (loss) on
  investments...........................    122,198     2,166,707      2,297,806         11,663     1,272,664     2,121,017
                                          ---------    -----------    ----------      ---------     ----------   ----------
Net unrealized appreciation
  (depreciation) of investments:
  Beginning of year.....................    169,689       559,240      1,001,546         98,289     1,610,492     1,746,511
  End of year...........................   (418,360)     (502,929)     7,094,545       (129,864)    3,490,937     4,339,377
                                          ---------    -----------    ----------      ---------     ----------   ----------
Net unrealized (depreciation)
  appreciation during the year..........   (588,049)   (1,062,169)     6,092,999       (228,153)    1,880,445     2,592,866
                                          ---------    -----------    ----------      ---------     ----------   ----------
Net realized and unrealized (loss) gain
  on investments........................   (465,851)    1,104,538      8,390,805       (216,490)    3,153,109     4,713,883
                                          ---------    -----------    ----------      ---------     ----------   ----------
Net (decrease) increase in net assets
  resulting from operations.............  $(264,072)   $1,056,045     $8,173,619      $ 103,885     $2,995,764   $4,487,811
                                          =========    ===========    ==========      =========     ==========   ==========
</TABLE>

See accompanying notes to financial statements

                                      F-14
<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, 1999

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

<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>
INVESTMENT INCOME
Dividends.............................     $ 369,249      $   244,619    $ 11,058                  $ 85,156     $ 5,312
EXPENSES
Mortality and expense risks...........       138,018          141,314       3,202     $  4,219       20,905      14,819
                                           ---------      -----------    --------     --------     --------     -------
Net investment income (loss)..........       231,231          103,305       7,856       (4,219)      64,251      (9,507)
                                           ---------      -----------    --------     --------     --------     -------
NET REALIZED AND UNREALIZED GAIN
  (LOSS) ON INVESTMENTS
Realized gain distributions
  reinvested..........................        72,605          484,506      16,382       51,687                    9,240
Net realized gain (loss) from
  redemption of investment shares.....       149,709          604,756     (43,961)     (94,151)     (17,107)       (123)
                                           ---------      -----------    --------     --------     --------     -------
Net realized gain (loss) on
  investments.........................       222,314        1,089,262     (27,579)     (42,464)     (17,107)      9,117
                                           ---------      -----------    --------     --------     --------     -------
Net unrealized appreciation
  (depreciation) of investments:
  Beginning of year...................       380,998        1,407,591      (8,783)     (24,306)      10,244      16,829
  End of year.........................      (254,388)         254,198                               (35,609)     21,768
                                           ---------      -----------    --------     --------     --------     -------
Net unrealized (depreciation)
  appreciation during the year........      (635,386)      (1,153,393)      8,783       24,306      (45,853)      4,939
                                           ---------      -----------    --------     --------     --------     -------
Net realized and unrealized (loss)
  gain on investments.................      (413,072)         (64,131)    (18,796)     (18,158)     (62,960)     14,056
                                           ---------      -----------    --------     --------     --------     -------
Net (decrease) increase in net assets
  resulting from operations...........     $(181,841)     $    39,174    $(10,940)    $(22,377)    $  1,291     $ 4,549
                                           =========      ===========    ========     ========     ========     =======
</TABLE>

See accompanying notes to financial statements

                                      F-15
<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, 1999

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

<TABLE>
<CAPTION>
                                           AMERICAN                                 VAN ECK                       ALGER
                                          CENTURY VP     VAN ECK       VAN ECK     WORLDWIDE      VAN ECK        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..............................                 $  64,992     $  6,813                   $  6,029
EXPENSES
Mortality and expense risks............    $    849        18,164        2,082     $  18,882        1,424       $   61,106
                                           --------     ---------     --------     ----------    --------       ----------
Net investment (loss) income...........        (849)       46,828        4,731       (18,882)       4,605          (61,106)
                                           --------     ---------     --------     ----------    --------       ----------
NET REALIZED AND UNREALIZED GAIN (LOSS)
  ON INVESTMENTS
Realized gain distributions
  reinvested...........................                    29,039                                                  515,437
Net realized (loss) gain from
  redemption of investment shares......         (39)       16,133        1,791       (13,734)      (5,104)          88,820
                                           --------     ---------     --------     ----------    --------       ----------
Net realized (loss) gain on
  investments..........................         (39)       45,172        1,791       (13,734)      (5,104)         604,257
                                           --------     ---------     --------     ----------    --------       ----------
Net unrealized (depreciation)
  appreciation of investments:
  Beginning of year....................     (16,405)      134,095      (26,474)     (374,273)       1,481          204,321
  End of year..........................                  (117,356)      77,203     2,239,966      (15,964)       1,418,349
                                           --------     ---------     --------     ----------    --------       ----------
Net unrealized appreciation
  (depreciation) during the year.......      16,405      (251,451)     103,677     2,614,239      (17,445)       1,214,028
                                           --------     ---------     --------     ----------    --------       ----------
Net realized and unrealized gain (loss)
  on investments.......................      16,366      (206,279)     105,468     2,600,505      (22,549)       1,818,285
                                           --------     ---------     --------     ----------    --------       ----------
Net increase (decrease) in net assets
  resulting from operations............    $ 15,517     $(159,451)    $110,199     $2,581,623    $(17,944)      $1,757,179
                                           ========     =========     ========     ==========    ========       ==========
</TABLE>

See accompanying notes to financial statements

                                      F-16
<PAGE>   76

- --------------------------------------------------------------------------------
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, 1999

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

<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 (loss) income............  $  (494,962)  $  1,489,991   $    13,453   $  (112,487)  $  (101,266)   $   (55,539)
Net realized gain on investments........    2,770,331                      244,704     2,203,087     1,935,928      1,854,981
Net unrealized (depreciation)
  appreciation of investments during the
  year..................................   (1,518,887)                    (931,293)   (2,188,549)     (185,594)     3,232,939
                                          -----------   ------------   -----------   -----------   -----------    -----------
Net increase (decrease) in net assets
  from operations.......................      756,482      1,489,991      (673,136)      (97,949)    1,649,068      5,032,381
                                          -----------   ------------   -----------   -----------   -----------    -----------
FROM VARIABLE ANNUITY CONTRACT
  TRANSACTIONS
Contractholders' net premiums...........    2,590,479     78,822,848     1,396,064       984,660       887,259      1,000,976
Administrative charges..................      (24,390)       (15,274)       (6,432)       (9,310)       (8,393)       (12,125)
Surrenders and forfeitures..............   (5,316,142)    (8,670,364)   (1,508,623)   (2,305,604)   (1,469,240)    (2,835,932)
Transfers between investment
  portfolios............................      (29,593)   (65,500,542)     (362,780)     (313,975)     (115,580)      (202,702)
Net (withdrawals) repayments due to
  policy loans..........................       (4,024)         5,362       (10,917)       (9,688)       (3,519)          (106)
Withdrawals due to death benefits.......      (80,740)      (197,400)      (92,463)     (298,990)      (47,403)       (52,653)
                                          -----------   ------------   -----------   -----------   -----------    -----------
Net (decrease) increase in net assets
  derived from contract transactions....   (2,864,410)     4,444,630      (585,151)   (1,952,907)     (756,876)    (2,102,542)
                                          -----------   ------------   -----------   -----------   -----------    -----------
Total (decrease) increase in net
  assets................................   (2,107,928)     5,934,621    (1,258,287)   (2,050,856)      892,192      2,929,839
NET ASSETS
  Beginning of year.....................   47,858,933     42,457,454    15,203,142    19,429,859    12,484,988     19,698,014
                                          -----------   ------------   -----------   -----------   -----------    -----------
  End of year...........................  $45,751,005   $ 48,392,075   $13,944,855   $17,379,003   $13,377,180    $22,627,853
                                          ===========   ============   ===========   ===========   ===========    ===========
</TABLE>

See accompanying notes to financial statements

                                      F-17
<PAGE>   77

- --------------------------------------------------------------------------------
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, 1999

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

<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>
FROM OPERATIONS
Net investment loss.......................................   $   (97,286)    $  (37,581)     $   (76,850)    $  (27,211)
Net realized gain (loss) on investments...................       219,145          9,264          258,558        (54,731)
Net unrealized appreciation (depreciation) of investments
  during the year.........................................     1,576,938        (56,669)       4,999,603        (44,186)
                                                             -----------     ----------      -----------     ----------
Net increase (decrease) in net assets from operations.....     1,698,797        (84,986)       5,181,311       (126,128)
                                                             -----------     ----------      -----------     ----------
FROM VARIABLE ANNUITY CONTRACT TRANSACTIONS
Contractholders' net premiums.............................     2,295,679        997,126        2,031,084        827,857
Administrative charges....................................        (2,352)        (1,264)          (2,330)          (733)
Surrenders and forfeitures................................      (329,579)      (182,254)        (421,459)      (162,906)
Transfers between investment portfolios...................     6,079,986      2,254,512        6,015,262      1,303,456
Net withdrawals due to policy loans.......................                                          (928)          (323)
Withdrawals due to death benefits.........................                      (11,250)                           (997)
                                                             -----------     ----------      -----------     ----------
Net increase in net assets derived from contract
  transactions............................................     8,043,734      3,056,870        7,621,629      1,966,354
                                                             -----------     ----------      -----------     ----------
Total increase in net assets..............................     9,742,531      2,971,884       12,802,940      1,840,226
NET ASSETS
  Beginning of year.......................................     2,296,724      2,084,201        1,668,424      1,314,681
                                                             -----------     ----------      -----------     ----------
  End of year.............................................   $12,039,255     $5,056,085      $14,471,364     $3,154,907
                                                             ===========     ==========      ===========     ==========
</TABLE>

See accompanying notes to financial statements

                                      F-18
<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, 1999

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

<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).............  $ 1,705,500   $    33,505   $ (1,568,093)  $  (2,231)   $   769,523   $   (696,671)
Net realized (loss) gain on
  investments............................     (241,253)    7,290,388     17,140,613     171,146      2,769,875      7,303,409
Net unrealized (depreciation)
  appreciation of investments during the
  year...................................      (12,412)   (2,800,973)    25,031,932   1,417,888        614,713     15,138,575
                                           -----------   -----------   ------------   ----------   -----------   ------------
Net increase in net assets from
  operations.............................    1,451,835     4,522,920     40,604,452   1,586,803      4,154,111     21,745,313
                                           -----------   -----------   ------------   ----------   -----------   ------------
FROM VARIABLE ANNUITY CONTRACT
  TRANSACTIONS
Contractholders' net premiums............    1,740,203     7,793,623     14,703,880     409,413      3,411,027     16,701,500
Administrative charges...................      (10,589)      (50,745)       (68,343)     (1,795)       (22,263)       (67,520)
Surrenders and forfeitures...............   (1,996,468)   (8,468,841)   (11,112,095)   (281,158)    (3,045,460)    (9,161,461)
Transfers between investment
  portfolios.............................     (154,725)      284,030     16,639,479     364,091      1,713,067     21,749,042
Net repayments (withdrawals) due to
  policy loans...........................        2,087         2,477        (32,663)     (1,456)        (2,846)       (38,730)
Withdrawals due to death benefits........     (115,663)     (503,787)      (709,722)    (15,191)      (555,954)      (458,677)
                                           -----------   -----------   ------------   ----------   -----------   ------------
Net (decrease) increase in net assets
  derived from contract transactions.....     (535,155)     (943,243)    19,420,536     473,904      1,497,571     28,724,154
                                           -----------   -----------   ------------   ----------   -----------   ------------
Total increase in net assets.............      916,680     3,579,677     60,024,988   2,060,707      5,651,682     50,469,467
NET ASSETS
  Beginning of year......................   21,941,333    95,994,948    101,771,312   3,459,303     41,654,028     99,729,620
                                           -----------   -----------   ------------   ----------   -----------   ------------
  End of year............................  $22,858,013   $99,574,625   $161,796,300   $5,520,010   $47,305,710   $150,199,087
                                           ===========   ===========   ============   ==========   ===========   ============
</TABLE>

See accompanying notes to financial statements

                                      F-19
<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, 1999

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


<TABLE>
<CAPTION>
                                                                       FIDELITY
                                                        FIDELITY      INVESTMENT       OCC           OCC           OCC
                                                      CONTRAFUND(R)   GRADE BOND     EQUITY       SMALL CAP      MANAGED
                                                       SUBACCOUNT     SUBACCOUNT   SUBACCOUNT    SUBACCOUNT     SUBACCOUNT
- ---------------------------------------------------------------------------------------------------------------------------
<S>                                                   <C>             <C>          <C>           <C>           <C>
FROM OPERATIONS
Net investment (loss) income........................   $  (699,237)   $  59,373    $  (106,599)  $  (107,691)  $    100,609
Net realized gain on investments....................     7,010,211       39,824      2,328,250       827,001      8,143,038
Net unrealized appreciation (depreciation) of
  investments during the year.......................     8,931,867     (170,709)    (1,974,042)   (1,201,078)    (6,244,429)
                                                       -----------    ----------   -----------   -----------   ------------
Net increase (decrease) in net assets from
  operations........................................    15,242,841      (71,512)       247,609      (481,768)     1,999,218
                                                       -----------    ----------   -----------   -----------   ------------
FROM VARIABLE ANNUITY CONTRACT TRANSACTIONS
Contractholders' net premiums.......................     8,874,302      340,787      2,151,357       806,041      2,531,372
Administrative charges..............................       (37,729)      (1,542)       (11,945)       (8,944)       (29,428)
Surrenders and forfeitures..........................    (7,143,278)    (141,957)    (1,849,036)   (1,150,907)    (6,330,544)
Transfers between investment portfolios.............    11,057,492      808,229     (2,026,903)   (2,116,577)    (8,032,769)
Net (withdrawals) repayments due to policy loans....       (10,345)        (826)        (3,599)        5,402          3,440
Withdrawals due to death benefits...................       (20,534)      (6,713)       (91,764)      (64,207)      (338,881)
                                                       -----------    ----------   -----------   -----------   ------------
Net increase (decrease) in net assets derived from
  contract transactions.............................    12,719,908      997,978     (1,831,890)   (2,529,192)   (12,196,810)
                                                       -----------    ----------   -----------   -----------   ------------
Total increase (decrease) in net assets.............    27,962,749      926,466     (1,584,281)   (3,010,960)   (10,197,592)
NET ASSETS
  Beginning of year.................................    59,330,973    2,530,093     23,494,162    16,579,552     60,000,044
                                                       -----------    ----------   -----------   -----------   ------------
  End of year.......................................   $87,293,722    $3,456,559   $21,909,881   $13,568,592   $ 49,802,452
                                                       ===========    ==========   ===========   ===========   ============
</TABLE>


See accompanying notes to financial statements

                                      F-20
<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, 1999

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

<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)............  $   201,779   $  (48,493)    $  (217,186)    $  320,375    $  (157,345)  $  (226,072)
Net realized gain on investments........      122,198    2,166,707       2,297,806         11,663      1,272,664     2,121,017
Net unrealized (depreciation)
  appreciation of investments during the
  year..................................     (588,049)  (1,062,169)      6,092,999       (228,153)     1,880,445     2,592,866
                                          -----------   -----------    -----------     ----------    -----------   -----------
Net (decrease) increase in net assets
  from operations.......................     (264,072)   1,056,045       8,173,619        103,885      2,995,764     4,487,811
                                          -----------   -----------    -----------     ----------    -----------   -----------
FROM VARIABLE ANNUITY CONTRACT
  TRANSACTIONS
Contractholders' net premiums...........    1,059,677    1,975,773       1,467,500        669,242      1,817,881     3,982,317
Administrative charges..................       (5,201)     (11,674)         (8,004)        (3,128)       (12,252)       (9,240)
Surrenders and forfeitures..............     (801,092)  (1,211,234)     (1,454,363)      (785,288)    (1,587,925)   (1,010,431)
Transfers between investment
  portfolios............................      987,964   (1,457,279)      1,090,597      1,057,189        275,465     4,774,389
Net withdrawals due to policy loans.....       (5,348)     (10,910)         (5,072)        (1,610)        (8,128)      (26,022)
Withdrawals due to death benefits.......     (100,792)     (78,315)        (46,525)       (29,581)      (129,975)      (34,060)
                                          -----------   -----------    -----------     ----------    -----------   -----------
Net increase (decrease) in net assets
  derived from contract transactions....    1,135,208     (793,639)      1,044,133        906,824        355,066     7,676,953
                                          -----------   -----------    -----------     ----------    -----------   -----------
Total increase in net assets............      871,136      262,406       9,217,752      1,010,709      3,350,830    12,164,764
NET ASSETS
  Beginning of year.....................   10,868,157   21,802,912      14,525,316      7,450,796     19,640,705    11,010,184
                                          -----------   -----------    -----------     ----------    -----------   -----------
  End of year...........................  $11,739,293   $22,065,318    $23,743,068     $8,461,505    $22,991,535   $23,174,948
                                          ===========   ===========    ===========     ==========    ===========   ===========
</TABLE>

See accompanying notes to financial statements

                                      F-21
<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, 1999

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

<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>
FROM OPERATIONS
Net investment income (loss)............    $   231,231     $   103,305   $   7,856    $  (4,219)    $   64,251     $   (9,507)
Net realized gain (loss) on
  investments...........................        222,314       1,089,262     (27,579)     (42,464)       (17,107)         9,117
Net unrealized (depreciation)
  appreciation of investments during the
  year..................................       (635,386)     (1,153,393)      8,783       24,306        (45,853)         4,939
                                            -----------     -----------   ---------    ---------     ----------     ----------
Net (decrease) increase in net assets
  from operations.......................       (181,841)         39,174     (10,940)     (22,377)         1,291          4,549
                                            -----------     -----------   ---------    ---------     ----------     ----------
FROM VARIABLE ANNUITY CONTRACT
  TRANSACTIONS
Contractholders' net premiums...........        823,529       1,443,609      25,186       15,377        233,626        148,181
Administrative charges..................         (2,806)         (4,180)       (221)        (343)          (911)        (1,007)
Surrenders and forfeitures..............       (406,791)       (888,560)     (8,975)     (13,723)      (123,687)       (61,983)
Transfers between investment
  portfolios............................      1,258,289        (464,512)   (780,760)    (973,747)       131,846      1,075,905
Net (withdrawals) repayments due to
  policy loans..........................         (6,813)         (8,172)         72           74           (420)          (579)
Withdrawals due to death benefits.......        (20,689)        (49,572)                                (30,406)       (24,657)
                                            -----------     -----------   ---------    ---------     ----------     ----------
Net increase (decrease) in net assets
  derived from contract transactions....      1,644,719          28,613    (764,698)    (972,362)       210,048      1,135,860
                                            -----------     -----------   ---------    ---------     ----------     ----------
Total increase (decrease) in net
  assets................................      1,462,878          67,787    (775,638)    (994,739)       211,339      1,140,409
NET ASSETS
  Beginning of year.....................      9,318,436      10,201,206     775,638      994,739      1,433,927        408,652
                                            -----------     -----------   ---------    ---------     ----------     ----------
  End of year...........................    $10,781,314     $10,268,993          --           --     $1,645,266     $1,549,061
                                            ===========     ===========   =========    =========     ==========     ==========
</TABLE>

See accompanying notes to financial statements

                                      F-22
<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, 1999

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

<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) income..........   $    (849)    $  46,828     $  4,731     $ (18,882)    $  4,605      $  (61,106)
Net realized (loss) gain on
  investments.........................         (39)       45,172        1,791       (13,734)      (5,104)        604,257
Net unrealized appreciation
  (depreciation) of investments during
  the year............................      16,405      (251,451)     103,677     2,614,239      (17,445)      1,214,028
                                         ---------     ----------    --------     ----------    --------      ----------
Net increase (decrease) in net assets
  from operations.....................      15,517      (159,451)     110,199     2,581,623      (17,944)      1,757,179
                                         ---------     ----------    --------     ----------    --------      ----------
FROM VARIABLE ANNUITY CONTRACT
  TRANSACTIONS
Contractholders' net premiums.........       5,783       285,202      213,141       779,291      109,465         520,072
Administrative charges................        (108)         (712)        (263)       (1,598)        (185)         (3,398)
Surrenders and forfeitures............      (6,711)      (68,956)     (61,426)     (149,575)     (16,959)       (116,735)
Transfers between investment
  portfolios..........................    (223,981)      292,466      124,653     2,176,507      147,966         118,274
Net withdrawals due to policy loans...         (99)         (589)          (3)       (1,659)                      (3,739)
Withdrawals due to death benefits.....                    (8,966)                                                (27,638)
                                         ---------     ----------    --------     ----------    --------      ----------
Net (decrease) increase in net assets
  derived from contract
  transactions........................    (225,116)      498,445      276,102     2,802,966      240,287         486,836
                                         ---------     ----------    --------     ----------    --------      ----------
Total (decrease) increase in net
  assets..............................    (209,599)      338,994      386,301     5,384,589      222,343       2,244,015
NET ASSETS
  Beginning of year...................     209,599     1,669,654      428,820     1,374,304      279,755       3,782,524
                                         ---------     ----------    --------     ----------    --------      ----------
  End of year.........................          --     $2,008,648    $815,121     $6,758,893    $502,098      $6,026,539
                                         =========     ==========    ========     ==========    ========      ==========
</TABLE>

See accompanying notes to financial statements

                                      F-23
<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>
                                                           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-24
<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>
                                                                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-25
<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, 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-26
<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, 1998

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


<TABLE>
<CAPTION>
                                                                        FIDELITY
                                                         FIDELITY      INVESTMENT       OCC           OCC           OCC
                                                       CONTRAFUND(R)   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-27
<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, 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-28
<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, 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-29
<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, 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-30
<PAGE>   90

- --------------------------------------------------------------------------------
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 ("PLACA")
under the provisions of Pennsylvania law and commenced operations on April 14,
1992. In December 1992, PLACA redomesticated to the State of Delaware. PLACA 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.


     PLACA 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-six
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(R) and Fidelity
Investment Grade Bond Subaccounts invest in the corresponding portfolios of the
Variable Insurance Products Fund II; the OCC Equity, OCC Small Cap and OCC
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 and Federated Utility Fund II Subaccounts invest in the
corresponding portfolios of the Federated Insurance Series; Neuberger Berman
Limited Maturity Bond and Neuberger Berman Partners Subaccounts invest in the
corresponding portfolios of the Neuberger Berman Advisers Management Trust; and
the Van Eck Worldwide Bond, Van Eck Worldwide Hard Assets, Van Eck Worldwide
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.


     At the close of business on April 30, 1999, the Neuberger Berman Growth
Subaccount, Neuberger Berman Balanced Subaccount and American Century VP Capital
Appreciation Subaccount were terminated and the investments were transferred to
the Neuberger Berman Partners Subaccount, the Managed Subaccount and the All Pro
Large Cap Growth Subaccount, respectively.

     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 PLACA.

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

                                      F-31
<PAGE>   91
- --------------------------------------------------------------------------------
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 PLACA. Under the provisions of the Contracts, PLACA 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-32
<PAGE>   92

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

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

3. INVESTMENTS

     At December 31, 1999, 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.....................................   2,415,576    $40,389,111    $45,751,005
  Money Market Portfolio...............................  48,793,552    $48,793,552    $48,793,552
  Bond Portfolio.......................................   1,318,039    $14,374,799    $13,944,855
  Managed Portfolio....................................   1,035,081    $16,256,450    $17,379,003
  Aggressive Growth Portfolio..........................     608,884    $11,719,517    $13,377,180
  International Portfolio..............................   1,356,586    $17,635,328    $22,627,853
  All Pro Large Cap Growth Portfolio...................     815,115    $10,116,802    $12,039,255
  All Pro Large Cap Value Portfolio....................     506,622     $4,955,275     $5,056,085
  All Pro Small Cap Growth Portfolio...................     768,527     $9,280,668    $14,471,364
  All Pro Small Cap Value Portfolio....................     416,764     $3,164,006     $3,154,907
Variable Insurance Products Fund:
  High Income Portfolio................................   2,021,045    $24,192,991    $22,858,013
  Equity-Income Portfolio..............................   3,872,992    $83,972,618    $99,574,625
  Growth Portfolio.....................................   2,945,500   $107,264,667   $161,796,300
  Overseas Portfolio...................................     201,167     $4,029,411     $5,520,010
Variable Insurance Products Fund II:
  Asset Manager Portfolio..............................   2,533,782    $41,192,061    $47,305,710
  Index 500 Portfolio..................................     897,193   $108,671,643   $150,199,087
  Contrafund(R) Portfolio..............................   2,994,639    $62,313,035    $87,293,722
  Investment Grade Bond Portfolio......................     284,256     $3,516,657     $3,456,559
OCC Accumulation Trust:
  Equity Portfolio.....................................     583,330    $20,400,524    $21,909,881
  Small Cap Portfolio..................................     602,513    $14,107,923    $13,568,592
  Managed Portfolio....................................   1,140,950    $43,307,400    $49,802,452
Scudder Variable Life Investment Fund:
  Bond Portfolio.......................................   1,808,828    $12,157,653    $11,739,293
  Growth and Income Portfolio..........................   2,013,259    $22,568,247    $22,065,318
  International Portfolio..............................   1,167,309    $16,648,523    $23,743,068
Dreyfus Variable Investment Fund:
  Zero Coupon 2000 Portfolio...........................     695,276     $8,591,369     $8,461,505
  Growth and Income Portfolio..........................     902,337    $19,500,598    $22,991,535
Dreyfus Socially Responsible Growth Fund, Inc.:
  Socially Responsible Portfolio.......................     593,165    $18,835,571    $23,174,948
Federated Insurance Series:
  Fund for U.S. Government Securities II Portfolio.....   1,020,958    $11,035,702    $10,781,314
  Utility Fund II Portfolio............................     715,609    $10,014,795    $10,268,993
Neuberger Berman Advisers Management Trust:
  Limited Maturity Bond Portfolio......................     124,265     $1,680,875     $1,645,266
  Partners Portfolio...................................      78,873     $1,527,293     $1,549,061
Van Eck Worldwide Insurance Trust:
  Van Eck Worldwide Bond Portfolio.....................     187,900     $2,126,004     $2,008,648
  Van Eck Worldwide Hard Assets Portfolio..............      74,372       $737,918       $815,121
  Van Eck Worldwide Emerging Markets Portfolio.........     473,976     $4,518,927     $6,758,893
  Van Eck Worldwide Real Estate Portfolio..............      54,874       $518,062       $502,098
Alger American Fund:
  Alger American Small Capitalization Portfolio........     109,275     $4,608,190     $6,026,539
</TABLE>


                                      F-33
<PAGE>   93

- --------------------------------------------------------------------------------
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, 1999, 1998 and 1997, transactions in
investment shares were as follows:
- --------------------------------------------------------------------------------

<TABLE>
<CAPTION>
                                                                       MARKET STREET FUND, INC.
- -----------------------------------------------------------------------------------------------------------------------------
                                                     GROWTH PORTFOLIO                        MONEY MARKET PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                             1999         1998          1997           1999           1998           1997
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                       <C>          <C>           <C>           <C>            <C>            <C>
Shares purchased........................     189,567       346,424       388,406     72,119,301     70,268,727     49,458,951
Shares received from reinvestment of:
  Dividends.............................       8,670        39,380        39,547      2,051,913      1,900,929      1,340,251
  Capital gain distributions............      50,645       324,556       197,982
                                          ----------   -----------   -----------   ------------   ------------   ------------
Total shares acquired...................     248,882       710,360       625,935     74,171,214     72,169,656     50,799,202
Total shares redeemed...................    (376,289)     (232,492)      (62,876)   (65,737,428)   (61,368,156)   (47,463,144)
                                          ----------   -----------   -----------   ------------   ------------   ------------
Net (decrease) increase in shares
  owned.................................    (127,407)      477,868       563,059      8,433,786     10,801,500      3,336,058
Shares owned, beginning of year.........   2,542,983     2,065,115     1,502,056     40,359,766     29,558,266     26,222,208
                                          ----------   -----------   -----------   ------------   ------------   ------------
Shares owned, end of year...............   2,415,576     2,542,983     2,065,115     48,793,552     40,359,766     29,558,266
                                          ==========   ===========   ===========   ============   ============   ============
Cost of shares acquired.................  $4,706,516   $12,151,370   $10,722,252   $ 74,171,214   $ 72,169,656   $ 50,799,202
                                          ==========   ===========   ===========   ============   ============   ============
Cost of shares redeemed.................  $5,295,557   $ 3,234,814   $   850,640   $ 65,737,428   $ 61,368,156   $ 47,463,144
                                          ==========   ===========   ===========   ============   ============   ============
</TABLE>

                                      F-34
<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>
                                                                           MARKET STREET FUND, INC.
- -----------------------------------------------------------------------------------------------------------------------------
                                                             BOND PORTFOLIO                       MANAGED PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                     1999         1998         1997         1999         1998         1997
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                               <C>          <C>          <C>          <C>          <C>          <C>
Shares purchased................................     341,433      705,303      299,562      155,180      185,440      239,027
Shares received from reinvestment of:
  Dividends.....................................      19,222       51,084       26,180        8,563       33,989       29,247
  Capital gain distributions....................      15,102          113                    58,396       49,259        6,347
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Total shares acquired...........................     375,757      756,500      325,742      222,139      268,688      274,621
Total shares redeemed...........................    (412,722)    (133,291)     (84,040)    (286,032)    (130,324)    (101,367)
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Net (decrease) increase in shares owned.........     (36,965)     623,209      241,702      (63,893)     138,364      173,254
Shares owned, beginning of year.................   1,355,004      731,795      490,093    1,098,974      960,610      787,356
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Shares owned, end of year.......................   1,318,039    1,355,004      731,795    1,035,081    1,098,974      960,610
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares acquired.........................  $4,018,116   $8,359,990   $3,458,106   $3,743,159   $4,468,360   $4,306,753
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares redeemed.........................  $4,345,110   $1,351,371   $  907,232   $3,605,466   $1,596,263   $1,302,140
                                                  ==========   ==========   ==========   ==========   ==========   ==========
</TABLE>

                                      F-35
<PAGE>   95

- --------------------------------------------------------------------------------
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
- ------------------------------------------------------------------------------------------------------------------------
                                                1999         1998         1997         1999         1998         1997
- ------------------------------------------------------------------------------------------------------------------------
<S>                                          <C>          <C>          <C>          <C>          <C>          <C>
Shares purchased..........................       75,782      114,384      176,404      116,515      149,636      229,002
Shares received from reinvestment of:
  Dividends...............................        3,455        4,364        3,772       17,142       10,431       11,165
  Capital gain distributions..............       85,682       41,664          748       87,946      101,929       87,406
                                             ----------   ----------   ----------   ----------   ----------   ----------
Total shares acquired.....................      164,919      160,412      180,924      221,603      261,996      327,573
Total shares redeemed.....................     (125,866)     (81,878)     (79,376)    (287,256)    (207,084)    (184,734)
                                             ----------   ----------   ----------   ----------   ----------   ----------
Net increase (decrease) in shares owned...       39,053       78,534      101,548      (65,653)      54,912      142,839
Shares owned, beginning of year...........      569,831      491,297      389,749    1,422,239    1,367,327    1,224,488
                                             ----------   ----------   ----------   ----------   ----------   ----------
Shares owned, end of year.................      608,884      569,831      491,297    1,356,586    1,422,239    1,367,327
                                             ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares acquired...................   $3,102,507   $3,283,291   $3,564,490   $3,053,743   $3,473,346   $4,278,967
                                             ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares redeemed...................   $2,024,721   $1,306,200   $1,172,747   $3,356,843   $2,480,687   $2,178,170
                                             ==========   ==========   ==========   ==========   ==========   ==========
</TABLE>

                                      F-36
<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.
- ---------------------------------------------------------------------------------------------------------------------------------
                               ALL PRO LARGE CAP         ALL PRO LARGE CAP         ALL PRO SMALL CAP         ALL PRO SMALL CAP
                               GROWTH PORTFOLIO           VALUE PORTFOLIO          GROWTH PORTFOLIO           VALUE PORTFOLIO
- ---------------------------------------------------------------------------------------------------------------------------------
                               1999         1998         1999         1998         1999         1998         1999         1998
- ---------------------------------------------------------------------------------------------------------------------------------
<S>                         <C>          <C>          <C>          <C>          <C>          <C>          <C>          <C>
Shares purchased..........     691,692      213,913      344,968      249,960      640,176      192,921      357,150      176,132
Shares received from
  reinvestment of:
  Dividends...............          41                     1,416                                                 340
  Capital gain
    distributions.........
                            ----------   ----------   ----------   ----------   ----------   ----------   ----------   ----------
Total shares acquired.....     691,733      213,913      346,384      249,960      640,176      192,921      357,490      176,132
Total shares redeemed.....     (71,752)     (18,779)     (50,287)     (39,435)     (41,896)     (22,674)    (100,081)     (16,777)
                            ----------   ----------   ----------   ----------   ----------   ----------   ----------   ----------
Net increase in shares
  owned...................     619,981      195,134      296,097      210,525      598,280      170,247      257,409      159,355
Shares owned, beginning of
  year....................     195,134                   210,525                   170,247                   159,355
                            ----------   ----------   ----------   ----------   ----------   ----------   ----------   ----------
Shares owned, end of
  year....................     815,115      195,134      506,622      210,525      768,527      170,247      416,764      159,355
                            ==========   ==========   ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares acquired...  $8,890,645   $2,139,394   $3,520,520   $2,312,547   $8,216,464   $1,703,306   $2,697,809   $1,436,512
                            ==========   ==========   ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares redeemed...  $  725,052   $  188,185   $  491,967   $  385,825   $  413,127   $  225,975   $  813,397   $  156,918
                            ==========   ==========   ==========   ==========   ==========   ==========   ==========   ==========
</TABLE>

                                      F-37
<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>
                                                                      VARIABLE INSURANCE PRODUCTS FUND
- -----------------------------------------------------------------------------------------------------------------------------
                                                      HIGH INCOME PORTFOLIO                   EQUITY-INCOME PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                  1999         1998         1997         1999          1998          1997
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                            <C>          <C>          <C>          <C>           <C>           <C>
Shares purchased.............................     395,651      619,153      556,624       352,799       644,882       738,222
Shares received from reinvestment of:
  Dividends..................................     186,959      106,389       65,635        59,998        48,036        43,550
  Capital gain distributions.................       6,989       67,602        8,112       132,627       170,951       218,961
                                               ----------   ----------   ----------   -----------   -----------   -----------
Total shares acquired........................     589,599      793,144      630,371       545,424       863,869     1,000,733
Total shares redeemed........................    (471,532)    (248,369)    (109,047)     (448,787)     (337,142)     (116,095)
                                               ----------   ----------   ----------   -----------   -----------   -----------
Net increase in shares owned.................     118,067      544,775      521,324        96,637       526,727       884,638
Shares owned, beginning of year..............   1,902,978    1,358,203      836,879     3,776,355     3,249,628     2,364,990
                                               ----------   ----------   ----------   -----------   -----------   -----------
Shares owned, end of year....................   2,021,045    1,902,978    1,358,203     3,872,992     3,776,355     3,249,628
                                               ==========   ==========   ==========   ===========   ===========   ===========
Cost of shares acquired......................  $6,507,744   $9,653,161   $7,933,056   $13,652,563   $20,896,968   $21,544,493
                                               ==========   ==========   ==========   ===========   ===========   ===========
Cost of shares redeemed......................  $5,578,652   $2,838,887   $1,173,099   $ 7,271,913   $ 5,134,531   $ 1,735,903
                                               ==========   ==========   ==========   ===========   ===========   ===========
</TABLE>

                                      F-38
<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>
                                                                      VARIABLE INSURANCE PRODUCTS FUND
- -----------------------------------------------------------------------------------------------------------------------------
                                                          GROWTH PORTFOLIO                        OVERSEAS PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                  1999          1998          1997          1999         1998         1997
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                            <C>           <C>           <C>           <C>          <C>          <C>
Shares purchased.............................      645,089       469,280       353,805       52,742       97,693       97,803
Shares received from reinvestment of:
  Dividends..................................        4,443         9,986         9,845        2,900        2,178          229
  Capital gain distributions.................      279,371       261,224        44,069        4,678        6,419          908
                                               -----------   -----------   -----------   ----------   ----------   ----------
Total shares acquired........................      928,903       740,490       407,719       60,320      106,290       98,940
Total shares redeemed........................     (251,540)     (221,066)     (104,758)     (31,687)     (34,347)      (6,793)
                                               -----------   -----------   -----------   ----------   ----------   ----------
Net increase in shares owned.................      677,363       519,424       302,961       28,633       71,943       92,147
Shares owned, beginning of year..............    2,268,137     1,748,713     1,445,752      172,534      100,591        8,444
                                               -----------   -----------   -----------   ----------   ----------   ----------
Shares owned, end of year....................    2,945,500     2,268,137     1,748,713      201,167      172,534      100,591
                                               ===========   ===========   ===========   ==========   ==========   ==========
Cost of shares acquired......................  $41,021,861   $26,910,064   $13,852,376   $1,276,641   $2,078,757   $1,896,772
                                               ===========   ===========   ===========   ==========   ==========   ==========
Cost of shares redeemed......................  $ 6,028,805   $ 4,554,887   $ 2,350,230   $  633,822   $  619,562   $  121,787
                                               ===========   ===========   ===========   ==========   ==========   ==========
</TABLE>

                                      F-39
<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 II
- -----------------------------------------------------------------------------------------------------------------------------
                                                     ASSET MANAGER PORTFOLIO                    INDEX 500 PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                 1999         1998          1997         1999          1998          1997
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                           <C>          <C>           <C>          <C>           <C>           <C>
Shares purchased............................     345,712       548,871      387,965       270,949       240,834       245,745
Shares received from reinvestment of:
  Dividends.................................      82,354        60,098       48,526         7,396         6,162         3,170
  Capital gain distributions................     104,316       180,294      121,726         5,019        14,271         6,432
                                              ----------   -----------   ----------   -----------   -----------   -----------
Total shares acquired.......................     532,382       789,263      558,217       283,364       261,267       255,347
Total shares redeemed.......................    (292,324)     (169,820)    (131,563)      (92,221)      (65,663)       (5,997)
                                              ----------   -----------   ----------   -----------   -----------   -----------
Net increase in shares owned................     240,058       619,443      426,654       191,143       195,604       249,350
Shares owned, beginning of year.............   2,293,724     1,674,281    1,247,627       706,050       510,446       261,096
                                              ----------   -----------   ----------   -----------   -----------   -----------
Shares owned, end of year...................   2,533,782     2,293,724    1,674,281       897,193       706,050       510,446
                                              ==========   ===========   ==========   ===========   ===========   ===========
Cost of shares acquired.....................  $9,166,519   $13,130,066   $9,113,810   $42,365,796   $32,318,011   $26,020,287
                                              ==========   ===========   ==========   ===========   ===========   ===========
Cost of shares redeemed.....................  $4,129,550   $ 2,379,351   $1,839,942   $ 7,034,904   $ 4,219,384   $   327,595
                                              ==========   ===========   ==========   ===========   ===========   ===========
</TABLE>

                                      F-40
<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 II
- -----------------------------------------------------------------------------------------------------------------------------
                                                              CONTRAFUND(R)                         INVESTMENT GRADE
                                                                PORTFOLIO                            BOND PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                    1999          1998          1997          1999         1998        1997
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                              <C>           <C>           <C>           <C>          <C>          <C>
Shares purchased...............................      898,710       677,429       846,924      119,241      132,732     71,947
Shares received from reinvestment of:
  Dividends....................................       12,628        13,711         9,341        8,379        4,363      1,225
  Capital gain distributions...................       92,611       100,874        24,687        2,629          518
                                                 -----------   -----------   -----------   ----------   ----------   --------
Total shares acquired..........................    1,003,949       792,014       880,952      130,249      137,613     73,172
Total shares redeemed..........................     (436,928)     (233,767)      (46,360)     (41,216)     (26,098)    (3,410)
                                                 -----------   -----------   -----------   ----------   ----------   --------
Net increase in shares owned...................      567,021       558,247       834,592       89,033      111,515     69,762
Shares owned, beginning of year................    2,427,618     1,869,371     1,034,779      195,223       83,708     13,946
                                                 -----------   -----------   -----------   ----------   ----------   --------
Shares owned, end of year......................    2,994,639     2,427,618     1,869,371      284,256      195,223     83,708
                                                 ===========   ===========   ===========   ==========   ==========   ========
Cost of shares acquired........................  $25,278,970   $16,415,814   $15,732,802   $1,592,717   $1,720,207   $883,549
                                                 ===========   ===========   ===========   ==========   ==========   ========
Cost of shares redeemed........................  $ 6,248,088   $ 3,186,970   $   598,941   $  495,542   $  310,931   $ 39,648
                                                 ===========   ===========   ===========   ==========   ==========   ========
</TABLE>


                                      F-41
<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>
                                                                            OCC ACCUMULATION TRUST
- -----------------------------------------------------------------------------------------------------------------------------
                                                            EQUITY PORTFOLIO                     SMALL CAP PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                     1999         1998         1997         1999         1998         1997
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                               <C>          <C>          <C>          <C>          <C>          <C>
Shares purchased................................      62,391      185,832      214,672       82,639      125,732      220,838
Shares received from reinvestment of:
  Dividends.....................................       6,048        5,869        3,476        5,000        2,202        3,052
  Capital gain distributions....................      27,543       25,328       12,375                    24,038       21,523
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Total shares acquired...........................      95,982      217,029      230,523       87,639      151,972      245,413
Total shares redeemed...........................    (119,736)    (170,856)     (29,505)    (202,856)    (122,835)     (33,520)
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Net (decrease) increase in shares owned.........     (23,754)      46,173      201,018     (115,217)      29,137      211,893
Shares owned, beginning of year.................     607,084      560,911      359,893      717,730      688,593      476,700
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Shares owned, end of year.......................     583,330      607,084      560,911      602,513      717,730      688,593
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares acquired.........................  $3,584,113   $8,123,629   $7,519,820   $1,916,428   $3,833,541   $5,908,364
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares redeemed.........................  $3,194,352   $3,697,900   $  528,336   $3,726,310   $2,067,904   $  564,212
                                                  ==========   ==========   ==========   ==========   ==========   ==========
</TABLE>

                                      F-42
<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>
                                                                     OCC ACCUMULATION TRUST
- ---------------------------------------------------------------------------------------------------
                                                                        MANAGED PORTFOLIO
- ---------------------------------------------------------------------------------------------------
                                                                 1999         1998         1997
- ---------------------------------------------------------------------------------------------------
<S>                                                           <C>          <C>          <C>
Shares purchased............................................      66,129      167,464       333,304
Shares received from reinvestment of:
  Dividends.................................................      21,057       10,214        12,218
  Capital gain distributions................................      47,251       40,795        37,524
                                                              ----------   ----------   -----------
Total shares acquired.......................................     134,437      218,473       383,046
Total shares redeemed.......................................    (365,230)    (199,208)      (88,884)
                                                              ----------   ----------   -----------
Net (decrease) increase in shares owned.....................    (230,793)      19,265       294,162
Shares owned, beginning of year.............................   1,371,743    1,352,478     1,058,316
                                                              ----------   ----------   -----------
Shares owned, end of year...................................   1,140,950    1,371,743     1,352,478
                                                              ==========   ==========   ===========
Cost of shares acquired.....................................  $5,628,749   $9,544,488   $14,890,450
                                                              ==========   ==========   ===========
Cost of shares redeemed.....................................  $9,581,912   $4,217,378   $ 1,874,842
                                                              ==========   ==========   ===========
</TABLE>

                                      F-43
<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>
                                                                    SCUDDER VARIABLE LIFE INVESTMENT FUND
- -----------------------------------------------------------------------------------------------------------------------------
                                                            BOND PORTFOLIO                   GROWTH AND INCOME PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                    1999         1998         1997         1999         1998          1997
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                              <C>          <C>          <C>          <C>          <C>           <C>
Shares purchased...............................     404,130      540,773      385,038      669,834       793,097      901,830
Shares received from reinvestment of:
  Dividends....................................      53,898       77,487       58,342       23,087        40,016       20,474
  Capital gain distributions...................      28,039        4,482        2,585      144,588       108,036       22,214
                                                 ----------   ----------   ----------   ----------   -----------   ----------
Total shares acquired..........................     486,067      622,742      445,965      837,509       941,149      944,518
Total shares redeemed..........................    (256,913)    (199,829)    (134,571)    (767,469)     (375,308)     (52,203)
                                                 ----------   ----------   ----------   ----------   -----------   ----------
Net increase in shares owned...................     229,154      422,913      311,394       70,040       565,841      892,315
Shares owned, beginning of year................   1,579,674    1,156,761      845,367    1,943,219     1,377,378      485,063
                                                 ----------   ----------   ----------   ----------   -----------   ----------
Shares owned, end of year......................   1,808,828    1,579,674    1,156,761    2,013,259     1,943,219    1,377,378
                                                 ==========   ==========   ==========   ==========   ===========   ==========
Cost of shares acquired........................  $3,220,031   $4,262,079   $2,995,282   $9,161,525   $10,744,256   $9,963,127
                                                 ==========   ==========   ==========   ==========   ===========   ==========
Cost of shares redeemed........................  $1,760,846   $1,328,541   $  888,200   $7,836,950   $ 3,167,047   $  392,623
                                                 ==========   ==========   ==========   ==========   ===========   ==========
</TABLE>

                                      F-44
<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>
                                                            SCUDDER VARIABLE                       DREYFUS VARIABLE
                                                          LIFE INVESTMENT FUND                     INVESTMENT FUND
- -----------------------------------------------------------------------------------------------------------------------------
                                                        INTERNATIONAL PORTFOLIO               ZERO COUPON 2000 PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                     1999         1998         1997         1999         1998         1997
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                               <C>          <C>          <C>          <C>          <C>          <C>
Shares purchased................................     249,705      243,337      362,848      326,266      160,739      178,897
Shares received from reinvestment of:
  Dividends.....................................       1,417       15,137        7,622       35,346       27,581       21,457
  Capital gain distributions....................     105,534       99,556        3,992
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Total shares acquired...........................     356,656      358,030      374,462      361,612      188,320      200,354
Total shares redeemed...........................    (186,965)    (115,740)     (40,903)    (262,400)     (67,815)    (129,825)
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Net increase in shares owned....................     169,691      242,290      333,559       99,212      120,505       70,529
Shares owned, beginning of year.................     997,618      755,328      421,769      596,064      475,559      405,030
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Shares owned, end of year.......................   1,167,309      997,618      755,328      695,276      596,064      475,559
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares acquired.........................  $5,446,975   $4,962,915   $5,230,236   $4,454,728   $2,357,097   $2,451,313
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares redeemed.........................  $2,322,222   $1,400,980   $  474,635   $3,215,866   $  858,337   $1,563,893
                                                  ==========   ==========   ==========   ==========   ==========   ==========
</TABLE>

                                      F-45
<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>
                                                           DREYFUS VARIABLE                 DREYFUS SOCIALLY RESPONSIBLE
                                                           INVESTMENT FUND                        GROWTH FUND, INC.
- -----------------------------------------------------------------------------------------------------------------------------
                                                     GROWTH AND INCOME PORTFOLIO           SOCIALLY RESPONSIBLE PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                    1999         1998         1997         1999          1998         1997
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                              <C>          <C>          <C>          <C>           <C>          <C>
Shares purchased...............................     229,248      164,633      277,054       346,687      189,664      135,060
Shares received from reinvestment of:
  Dividends....................................       5,411        8,039       10,424            74          551          788
  Capital gain distributions...................      27,605       14,052       59,160        19,922       12,862        6,135
                                                 ----------   ----------   ----------   -----------   ----------   ----------
Total shares acquired..........................     262,264      186,724      346,638       366,683      203,077      141,983
Total shares redeemed..........................    (227,833)    (138,714)    (168,058)     (127,771)     (67,031)     (12,434)
                                                 ----------   ----------   ----------   -----------   ----------   ----------
Net increase in shares owned...................      34,431       48,010      178,580       238,912      136,046      129,549
Shares owned, beginning of year................     867,906      819,896      641,316       354,253      218,207       88,658
                                                 ----------   ----------   ----------   -----------   ----------   ----------
Shares owned, end of year......................     902,337      867,906      819,896       593,165      354,253      218,207
                                                 ==========   ==========   ==========   ===========   ==========   ==========
Cost of shares acquired........................  $6,260,045   $3,998,110   $7,078,888   $12,499,529   $5,748,444   $3,325,662
                                                 ==========   ==========   ==========   ===========   ==========   ==========
Cost of shares redeemed........................  $4,789,660   $2,869,687   $3,122,555   $ 2,927,631   $1,300,009   $  225,772
                                                 ==========   ==========   ==========   ===========   ==========   ==========
</TABLE>

                                      F-46
<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>
                                                                          FEDERATED INSURANCE SERIES
- -----------------------------------------------------------------------------------------------------------------------------
                                                        FUND FOR U.S. GOVERNMENT
                                                        SECURITIES II PORTFOLIO               UTILITY FUND II PORTFOLIO
- -----------------------------------------------------------------------------------------------------------------------------
                                                     1999         1998         1997         1999         1998         1997
- -----------------------------------------------------------------------------------------------------------------------------
<S>                                               <C>          <C>          <C>          <C>          <C>          <C>
Shares purchased................................     417,008      569,802      187,156      181,732      352,245      140,162
Shares received from reinvestment of:
  Dividends.....................................      34,835        6,466        8,648       18,106        3,744        6,422
  Capital gain distributions....................       6,849          286                    35,863       22,863        5,679
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Total shares acquired...........................     458,692      576,554      195,804      235,701      378,852      152,263
Total shares redeemed...........................    (273,468)     (82,504)     (50,622)    (188,147)     (69,825)     (28,608)
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Net increase in shares owned....................     185,224      494,050      145,182       47,554      309,027      123,655
Shares owned, beginning of year.................     835,734      341,684      196,502      668,055      359,028      235,373
                                                  ----------   ----------   ----------   ----------   ----------   ----------
Shares owned, end of year.......................   1,020,958      835,734      341,684      715,609      668,055      359,028
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares acquired.........................  $4,889,548   $6,298,311   $2,003,403   $3,332,804   $5,378,724   $1,905,479
                                                  ==========   ==========   ==========   ==========   ==========   ==========
Cost of shares redeemed.........................  $2,791,284   $  823,154   $  517,189   $2,111,624   $  773,585   $  305,915
                                                  ==========   ==========   ==========   ==========   ==========   ==========
</TABLE>

                                      F-47
<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>
                                                                              NEUBERGER BERMAN ADVISERS
                                                                                  MANAGEMENT TRUST
- ---------------------------------------------------------------------------------------------------------------------------
                                                                BALANCED PORTFOLIO                 GROWTH PORTFOLIO
- ---------------------------------------------------------------------------------------------------------------------------
                                                            1999       1998       1997        1999        1998       1997
- ---------------------------------------------------------------------------------------------------------------------------
<S>                                                       <C>        <C>        <C>        <C>          <C>        <C>
Shares purchased........................................     1,850     20,340     37,500        1,319     15,238     26,907
Shares received from reinvestment of:
  Dividends.............................................       738      1,208        114
  Capital gain distributions............................     1,093      8,487        294        2,232     11,970        871
                                                          --------   --------   --------   ----------   --------   --------
Total shares acquired...................................     3,681     30,035     37,908        3,551     27,208     27,778
Total shares redeemed...................................   (51,150)   (23,112)    (1,645)     (41,388)   (19,990)    (2,327)
                                                          --------   --------   --------   ----------   --------   --------
Net (decrease) increase in shares owned.................   (47,469)     6,923     36,263      (37,837)     7,218     25,451
Shares owned, beginning of year.........................    47,469     40,546      4,283       37,837     30,619      5,168
                                                          --------   --------   --------   ----------   --------   --------
Shares owned, end of year...............................        --     47,469     40,546           --     37,837     30,619
                                                          ========   ========   ========   ==========   ========   ========
Cost of shares acquired.................................  $ 55,653   $475,889   $643,054   $   83,796   $696,912   $781,196
                                                          ========   ========   ========   ==========   ========   ========
Cost of shares redeemed.................................  $840,074   $376,517   $ 24,854   $1,102,841   $529,836   $ 55,238
                                                          ========   ========   ========   ==========   ========   ========
</TABLE>

                                      F-48
<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>
                                                                     NEUBERGER BERMAN ADVISERS
                                                                          MANAGEMENT TRUST
- -------------------------------------------------------------------------------------------------------------
                                                              LIMITED MATURITY                PARTNERS
                                                               BOND PORTFOLIO                 PORTFOLIO
- -------------------------------------------------------------------------------------------------------------
                                                         1999       1998       1997        1999        1998
- -------------------------------------------------------------------------------------------------------------
<S>                                                    <C>        <C>        <C>        <C>          <C>
Shares purchased.....................................    42,160     60,226     62,507       66,085     22,371
Shares received from reinvestment of:
  Dividends..........................................     6,551      4,767      1,137          294
  Capital gain distributions.........................                                          512
                                                       --------   --------   --------   ----------   --------
Total shares acquired................................    48,711     64,993     63,644       66,891     22,371
Total shares redeemed................................   (28,203)   (30,748)    (1,353)      (9,606)      (783)
                                                       --------   --------   --------   ----------   --------
Net increase in shares owned.........................    20,508     34,245     62,291       57,285     21,588
Shares owned, beginning of year......................   103,757     69,512      7,221       21,588
                                                       --------   --------   --------   ----------   --------
Shares owned, end of year............................   124,265    103,757     69,512       78,873     21,588
                                                       ========   ========   ========   ==========   ========
Cost of shares acquired..............................  $644,471   $888,322   $877,259   $1,319,458   $407,672
                                                       ========   ========   ========   ==========   ========
Cost of shares redeemed..............................  $387,279   $424,355   $ 18,532   $  183,988   $ 15,849
                                                       ========   ========   ========   ==========   ========
</TABLE>

                                      F-49
<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>
                                                                 AMERICAN CENTURY                 VAN ECK WORLDWIDE
                                                             VARIABLE PORTFOLIOS, INC.             INSURANCE TRUST
- ---------------------------------------------------------------------------------------------------------------------------
                                                                AMERICAN CENTURY VP
                                                               CAPITAL APPRECIATION               VAN ECK WORLDWIDE
                                                                     PORTFOLIO                      BOND PORTFOLIO
- ---------------------------------------------------------------------------------------------------------------------------
                                                             1999      1998       1997        1999        1998       1997
- ---------------------------------------------------------------------------------------------------------------------------
<S>                                                        <C>        <C>       <C>        <C>          <C>        <C>
Shares purchased.........................................       742     8,123     11,508       96,145     80,971     75,793
Shares received from reinvestment of:
  Dividends..............................................                                       5,627        786        468
  Capital gain distributions.............................                 961        266        2,514
                                                           --------   -------   --------   ----------   --------   --------
Total shares acquired....................................       742     9,084     11,774      104,286     81,757     76,261
Total shares redeemed....................................   (23,979)   (2,494)    (3,195)     (52,351)   (29,810)    (2,829)
                                                           --------   -------   --------   ----------   --------   --------
Net (decrease) increase in shares owned..................   (23,237)    6,590      8,579       51,935     51,947     73,432
Shares owned, beginning of year..........................    23,237    16,647      8,068      135,965     84,018     10,586
                                                           --------   -------   --------   ----------   --------   --------
Shares owned, end of year................................        --    23,237     16,647      187,900    135,965     84,018
                                                           ========   =======   ========   ==========   ========   ========
Cost of shares acquired..................................  $  7,092   $85,444   $116,229   $1,149,856   $955,676   $812,049
                                                           ========   =======   ========   ==========   ========   ========
Cost of shares redeemed..................................  $233,096   $26,675   $ 33,569   $  559,411   $318,147   $ 30,337
                                                           ========   =======   ========   ==========   ========   ========
</TABLE>

                                      F-50
<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>
                                                               VAN ECK WORLDWIDE INSURANCE TRUST
- -------------------------------------------------------------------------------------------------------------------------------
                                       VAN ECK WORLDWIDE                   VAN ECK WORLDWIDE               VAN ECK WORLDWIDE
                                     HARD ASSETS PORTFOLIO             EMERGING MARKETS PORTFOLIO        REAL ESTATE PORTFOLIO
- -------------------------------------------------------------------------------------------------------------------------------
                                   1999       1998       1997        1999         1998         1997        1999        1998
- -------------------------------------------------------------------------------------------------------------------------------
<S>                              <C>        <C>        <C>        <C>          <C>          <C>          <C>        <C>
Shares purchased...............    46,969     51,095      7,648      400,787      147,436       87,201     30,756      39,722
Shares received from
  reinvestment of:
  Dividends....................       763         71         73                       854           38        653
  Capital gain distributions...                1,740         54                       759
                                 --------   --------   --------   ----------   ----------   ----------   --------    --------
Total shares acquired..........    47,732     52,906      7,775      400,787      149,049       87,239     31,409      39,722
Total shares redeemed..........   (19,971)   (16,271)      (354)    (119,831)     (40,752)     (10,248)    (5,859)    (10,398)
                                 --------   --------   --------   ----------   ----------   ----------   --------    --------
Net increase in shares owned...    27,761     36,635      7,421      280,956      108,297       76,991     25,550      29,324
Shares owned, beginning of
  year.........................    46,611      9,976      2,555      193,020       84,723        7,732     29,324
                                 --------   --------   --------   ----------   ----------   ----------   --------    --------
Shares owned, end of year......    74,372     46,611      9,976      473,976      193,020       84,723     54,874      29,324
                                 ========   ========   ========   ==========   ==========   ==========   ========    ========
Cost of shares acquired........  $490,303   $536,561   $129,621   $4,023,833   $1,157,713   $1,212,177   $300,279    $390,669
                                 ========   ========   ========   ==========   ==========   ==========   ========    ========
Cost of shares redeemed........  $207,679   $246,428   $  5,619   $1,253,483   $  588,929   $  125,930   $ 60,491    $112,395
                                 ========   ========   ========   ==========   ==========   ==========   ========    ========
</TABLE>

                                      F-51
<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>
                                                                      ALGER AMERICAN FUND
- --------------------------------------------------------------------------------------------------
                                                                         ALGER AMERICAN
                                                                      SMALL CAPITALIZATION
                                                                           PORTFOLIO
- --------------------------------------------------------------------------------------------------
                                                                 1999         1998         1997
- --------------------------------------------------------------------------------------------------
<S>                                                           <C>          <C>          <C>
Shares purchased............................................      22,690       37,437       40,894
Shares received from reinvestment of:
  Dividends.................................................
  Capital gain distributions................................      13,016        9,723        1,128
                                                              ----------   ----------   ----------
Total shares acquired.......................................      35,706       47,160       42,022
Total shares redeemed.......................................     (12,456)     (12,326)      (2,609)
                                                              ----------   ----------   ----------
Net increase in shares owned................................      23,250       34,834       39,413
Shares owned, beginning of year.............................      86,025       51,191       11,778
                                                              ----------   ----------   ----------
Shares owned, end of year...................................     109,275       86,025       51,191
                                                              ==========   ==========   ==========
Cost of shares acquired.....................................  $1,502,178   $1,968,028   $1,740,549
                                                              ==========   ==========   ==========
Cost of shares redeemed.....................................  $  472,191   $  502,525   $  104,052
                                                              ==========   ==========   ==========
</TABLE>

                                      F-52
<PAGE>   112

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

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

4. RELATED PARTY TRANSACTIONS

     Certain deductions are made from the Subaccounts and/or the premiums by
PLACA. 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 policy
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, PLACA
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, 1999 and 1998.

     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. PLACA 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>   113

                      [This Page Intentionally Left Blank]
<PAGE>   114

                                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, 1999, 1998 AND 1997
<PAGE>   115

                       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, of equity and of 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, 1999 and 1998, and the
results of its operations and its cash flows for each of the three years in the
period ended December 31, 1999, in conformity with accounting principles
generally accepted in the United States. 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 auditing standards generally
accepted in the United States, 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 7, 2000

                                      F-56
<PAGE>   116

                    PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY
                                   OF AMERICA

                       STATEMENTS OF FINANCIAL CONDITION
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                    DECEMBER 31,
                                                              ------------------------
                                                                 1999          1998
                                                              ----------    ----------
<S>                                                           <C>           <C>
ASSETS
Investments:
  Fixed maturities:
     Available for sale, at market (cost: 1999-$320,293;
      1998-$352,107)........................................  $  304,681    $  359,442
     Held to maturity, at amortized cost (market:
      1999-$41,906; 1998-$57,419)...........................      42,263        54,671
  Equity securities, at market (cost: 1999-$232;
     1998-$1,278)...........................................         400         1,360
  Mortgage loans............................................      58,179        58,907
  Real estate...............................................       1,794           484
  Policy loans and premium notes............................      11,168         8,454
  Other invested assets.....................................       2,041            88
                                                              ----------    ----------
       Total investments....................................     420,526       483,406
                                                              ----------    ----------
Cash and cash equivalents...................................       6,010         5,581
Investment income due and accrued...........................       6,868         7,304
Deferred policy acquisition costs...........................     133,347       104,913
Reinsurance recoverable.....................................       3,515         3,054
Separate account assets.....................................   1,127,941       880,417
Other assets................................................       1,179         1,312
                                                              ----------    ----------
       Total assets.........................................  $1,699,386    $1,485,987
                                                              ==========    ==========
LIABILITIES
Policy liabilities:
  Future policyholder benefits..............................  $  482,673    $  517,625
  Other policy obligations..................................       1,744         1,181
                                                              ----------    ----------
       Total policy liabilities.............................     484,417       518,806
                                                              ----------    ----------
Payable to parent...........................................         917            --
Federal income taxes payable:
  Current...................................................       2,676         6,281
  Deferred..................................................       1,246         2,474
Separate account liabilities................................   1,124,803       877,713
Other liabilities...........................................       5,191         3,447
                                                              ----------    ----------
       Total liabilities....................................   1,619,250     1,408,721
                                                              ----------    ----------
COMMITMENTS AND CONTINGENCIES -- NOTE 10
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.........................................      37,306        28,346
  Accumulated other comprehensive income:
     Net unrealized (depreciation) appreciation on
      securities............................................      (3,835)        2,255
                                                              ----------    ----------
       Total equity.........................................      80,136        77,266
                                                              ----------    ----------
       Total liabilities and equity.........................  $1,699,386    $1,485,987
                                                              ==========    ==========
</TABLE>

                 See accompanying notes to financial statements
                                      F-57
<PAGE>   117

                    PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY
                                   OF AMERICA

                            STATEMENTS OF OPERATIONS
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                YEARS ENDED DECEMBER 31,
                                                              -----------------------------
                                                               1999       1998       1997
                                                              -------    -------    -------
<S>                                                           <C>        <C>        <C>
REVENUES
Premiums....................................................  $18,031    $13,269    $13,904
Policy and contract charges.................................   29,386     18,239     11,729
Net investment income.......................................   34,876     35,262     32,314
Other income................................................    2,927      2,705      4,815
Net realized (losses) gains on investments..................   (1,887)     2,010         69
                                                              -------    -------    -------
  Total revenues............................................   83,333     71,485     62,831
                                                              -------    -------    -------
BENEFITS AND EXPENSES
Policy and contract benefits................................   13,435     13,884     15,606
Change in future policyholder benefits......................   32,415     24,791     19,254
Commissions and operating expenses..........................   22,736     19,859     15,271
Policyholder dividends......................................    1,090        958        773
                                                              -------    -------    -------
  Total benefits and expenses...............................   69,676     59,492     50,904
                                                              -------    -------    -------
     Income before income taxes.............................   13,657     11,993     11,927
Income tax expense:
  Current...................................................    2,645      3,776      2,470
  Deferred..................................................    2,052        436      1,979
                                                              -------    -------    -------
     Total income tax expense...............................    4,697      4,212      4,449
                                                              -------    -------    -------
       Net Income...........................................  $ 8,960    $ 7,781    $ 7,478
                                                              =======    =======    =======
</TABLE>

                 See accompanying notes to financial statements
                                      F-58
<PAGE>   118

                    PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY
                                   OF AMERICA

                              STATEMENTS OF EQUITY
                  YEARS ENDED DECEMBER 31, 1999, 1998 AND 1997
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                                      NET
                                                        CONTRIBUTED                UNREALIZED
                                      COMMON              CAPITAL                 APPRECIATION
                                      STOCK    COMMON    IN EXCESS    RETAINED   (DEPRECIATION)    TOTAL
                                      SHARES   STOCK      OF PAR      EARNINGS   ON SECURITIES    EQUITY
                                      ------   ------   -----------   --------   --------------   -------
<S>                                   <C>      <C>      <C>           <C>        <C>              <C>
Balance at January 1, 1997..........  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
          (depreciation) on
          securities................     --       --           --          --         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
          (depreciation) on
          securities................     --       --           --          --          (604)         (604)
                                                                                                  -------
  Total comprehensive income........                                                                7,177
                                      -----    ------     -------     -------       -------       -------
Balance at December 31, 1998........  2,500    2,500       44,165      28,346         2,255        77,266
                                                                                                  -------
  Comprehensive income
     Net income.....................     --       --           --       8,960            --         8,960
     Other comprehensive income, net
       of tax:
       Change in unrealized
          appreciation
          (depreciation) on
          securities................     --       --           --          --        (6,090)       (6,090)
                                                                                                  -------
  Total comprehensive income........                                                                2,870
                                      -----    ------     -------     -------       -------       -------
Balance at December 31, 1999........  2,500    $2,500     $44,165     $37,306       $(3,835)      $80,136
                                      =====    ======     =======     =======       =======       =======
</TABLE>

                 See accompanying notes to financial statements
                                      F-59
<PAGE>   119

                    PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY
                                   OF AMERICA

                            STATEMENTS OF CASH FLOWS
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                  YEARS ENDED DECEMBER 31,
                                                              ---------------------------------
                                                                1999        1998        1997
                                                              ---------   ---------   ---------
<S>                                                           <C>         <C>         <C>
CASH FLOWS FROM OPERATING ACTIVITIES
Net income..................................................  $   8,960   $   7,781   $   7,478
Adjustments to reconcile net income to net cash provided by
  (used in) operating activities:
  Interest credited to variable universal life and
    investment products.....................................     24,461      21,927      15,076
  Amortization of deferred policy acquisition costs.........     16,426      14,804       9,445
  Capitalization of deferred policy acquisition costs.......    (31,369)    (35,985)    (31,404)
  Deferred Federal income taxes.............................      2,052         436       1,979
  Depreciation, amortization and accretion..................       (371)        372         625
  Net realized losses (gains) on investments................      1,887      (2,010)        (69)
  Change in investment income due and accrued...............        436        (258)       (437)
  Change in reinsurance recoverable.........................       (461)     71,620       5,672
  Change in policy liabilities..............................       (894)    (77,582)    (12,255)
  Change in other liabilities...............................      1,744      (3,444)      3,250
  Change in current Federal income taxes payable............     (3,605)      2,353        (809)
  Other, net................................................        294      (2,236)     (2,676)
                                                              ---------   ---------   ---------
    Net cash provided by (used in) operating activities.....     19,560      (2,222)     (4,125)
                                                              ---------   ---------   ---------
CASH FLOWS FROM INVESTING ACTIVITIES
Proceeds from sales of investments:
  Available for sale securities.............................     27,345      21,681      21,382
  Equity securities.........................................        652         370         100
  Real estate...............................................         --       5,324         772
  Other invested assets.....................................        566         248         333
Proceeds from maturities of investments:
  Held to maturity securities...............................     13,801      10,128      19,184
  Available for sale securities.............................     58,546      56,894      28,439
  Mortgage loans............................................      8,631       4,436       2,599
Purchases of investments:
  Held to maturity securities...............................     (1,080)     (2,000)     (2,029)
  Available for sale securities.............................    (55,525)   (119,639)    (72,520)
  Equity securities.........................................         --        (207)       (609)
  Mortgage loans............................................     (8,825)    (17,166)     (7,179)
  Real estate...............................................        (65)       (195)        (99)
  Other invested assets.....................................     (2,507)         --        (302)
Contributions of separate account seed money................         --        (330)         --
Withdrawals of separate account seed money..................         --         265          --
Policy loans and premium notes, net.........................     (2,714)     (1,729)       (373)
                                                              ---------   ---------   ---------
    Net cash provided by (used in) investing activities.....     38,825     (41,920)    (10,302)
                                                              ---------   ---------   ---------
CASH FLOWS FROM FINANCING ACTIVITIES
Variable universal life and investment product deposits.....    212,196     302,071     232,307
Variable universal life and investment product
  withdrawals...............................................   (270,152)   (252,348)   (228,871)
Capital contribution from parent............................         --          --       6,500
                                                              ---------   ---------   ---------
    Net cash (used in) provided by financing activities.....    (57,956)     49,723       9,936
                                                              ---------   ---------   ---------
    Net change in cash and cash equivalents.................        429       5,581      (4,491)
Cash and cash equivalents, beginning of year................      5,581          --       4,491
                                                              ---------   ---------   ---------
Cash and cash equivalents, end of year......................  $   6,010   $   5,581   $      --
                                                              =========   =========   =========
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
Cash paid during the year for income taxes..................  $   6,246   $   1,434   $   3,280
                                                              =========   =========   =========
Foreclosure of mortgage loans...............................  $   1,245   $     500   $      --
                                                              =========   =========   =========
</TABLE>

                 See accompanying notes to financial statements
                                      F-60
<PAGE>   120

                    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 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.

     A Special Meeting of policyholders to consider and vote upon the Plan was
held on February 9, 1999. Approximately 90% of the voting policyholders approved
the Plan.

     Subsequent to the Special Meeting, a group of dissident policyholders filed
a lawsuit to block the Plan. On February 11, 1999, a Philadelphia Common Pleas
Court judge issued an order granting a preliminary injunction blocking the Plan
until the Court conducted a hearing. Provident Mutual continued to provide
information to the Court at hearings held on March 16, 1999 and June 22, 1999.
On September 16, 1999, the judge issued a permanent injunction blocking the Plan
until certain additional disclosures were made.

     On October 29, 1999, Provident Mutual announced that it was abandoning the
Plan due to practical barriers to completing all of the required steps before
the December 31, 1999 deadline mandated in the Pennsylvania Insurance
Department's order approving the Plan.

     The Company sells life and annuity products principally through a personal
producing general agency (PPGA) and a brokerage sales force. The Company is
licensed to operate in 49 states and the District of Columbia, each of which has
regulatory oversight. Sales in 16 states accounted for 78% of the Company's
sales for the year ended December 31, 1999. 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, selected benefit elements and policy provisions are determined by
statutes and regulations in each of these states.

BASIS OF PRESENTATION

     The accompanying financial statements have been prepared in conformity with
accounting principles generally accepted in the United States (GAAP). Certain
prior year amounts have been reclassified to conform to the current year
presentation, including short-term investments reclassified as cash and cash
equivalents.

     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 deferral and subsequent
amortization of policy acquisition costs, the valuation of policy reserves, the
accounting for deferred taxes, the inclusion 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.

                                      F-61
<PAGE>   121
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

     Statutory net income was $886, $1,702 and $1,792 for the years ended
December 31, 1999, 1998 and 1997, respectively. Statutory surplus was $44,161
and $44,730 as of December 31, 1999 and 1998, respectively.

     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 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 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 credited (charged) to operations. Reserves totaled
$740 and $1,064 at December 31, 1999 and 1998, respectively.

     Policy loans are reported at unpaid principal balances.

     Foreclosed real estate is carried at lower of cost or fair value and is
held for sale.

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

     Cash and cash equivalents include cash and all highly liquid investments
with a maturity of three months or less when purchased, reduced by the amount of
outstanding checks.

     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
                                      F-62
<PAGE>   122
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

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. In June
1999, the FASB issued SFAS No. 137, "Accounting for Derivative Instruments and
Hedging Activities -- Deferral of the Effective Date of SFAS No. 133", which
changed the effective date of SFAS No. 133 to fiscal years beginning after June
15, 2000. The Company plans to adopt the provisions of SFAS No. 133 effective
January 1, 2001. The Company is currently reviewing SFAS No. 133 and has not yet
determined its impact on the financial statements.

     Effective January 1, 1999, the Company adopted Statement of Position (SOP)
No. 97-3, "Accounting by Insurance and Other Enterprises for Insurance-Related
Assessments." SOP 97-3 provides guidance for determining measurement and
recognition of a liability or an asset for insurance-related assessments. The
adoption of this statement did not have a material effect on the results of
operations or the financial position of the Company.

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 3.5% to 4.5%.

  Variable Life and Investment-Type Products

     Variable life products are 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.
                                      F-63
<PAGE>   123
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

  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 policies, the account balances were credited at interest rates which
ranged from 4.5% to 6.5% in 1999.

  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 yields,
before realized capital gains and losses, in the calculation of expected gross
margins was 8.0% for 1999, 8.25% for 1998 and 8.0% for 1997.

     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 lives of the
policies.

     Deferred policy acquisition costs are subject to recoverability testing at
the time of policy issuance and loss recognition testing at the end of each
accounting period. The effect on the amortization of deferred policy acquisition
costs of revisions in estimated experience is reflected in earnings in the
period such estimates are revised. In addition, the effect on the deferred
policy acquisition cost asset that would result from the realization of
unrealized gains (losses) is recognized through an offset to Other Comprehensive
Income as of the balance sheet date.

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 to participating policyholders 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.

                                      F-64
<PAGE>   124
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

SEPARATE ACCOUNTS

     Separate account assets and liabilities reflect 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 guarantees 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.

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, 1999 and 1998:

<TABLE>
<CAPTION>
                                       DECEMBER 31, 1999           DECEMBER 31, 1998
                                    ------------------------    ------------------------
                                       FAIR        CARRYING        FAIR        CARRYING
                                      VALUE         VALUE         VALUE         VALUE
                                    ----------    ----------    ----------    ----------
<S>                                 <C>           <C>           <C>           <C>
ASSETS
Fixed maturities:
  Available for sale..............    $304,681      $304,681      $359,442      $359,442
  Held to maturity................     $41,906       $42,263       $57,419       $54,671
Equity securities.................        $400          $400        $1,360        $1,360
Mortgage loans....................     $57,261       $58,179       $64,225       $58,907
LIABILITIES FOR INVESTMENT-TYPE
  INSURANCE CONTRACTS
Supplementary contracts without
  life contingencies..............      $7,407        $7,428        $7,479        $7,142
Individual annuities..............  $1,346,732    $1,384,023    $1,181,520    $1,215,896
</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 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).

                                      F-65
<PAGE>   125
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

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 ACCUMULATIONS

     The policyholder dividend and 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, 1999 and 1998 are as follows:

<TABLE>
<CAPTION>
                                                                  DECEMBER 31, 1999
                                                  --------------------------------------------------
                                                                 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..........  $  1,714       $    1       $    67      $  1,648
Obligations of states and political
  subdivisions..................................       952           37            --           989
Corporate securities............................   290,080          751        15,499       275,332
Mortgage-backed securities......................    27,547          155           990        26,712
                                                  --------       ------       -------      --------
  Subtotal -- fixed maturities..................   320,293          944        16,556       304,681
Equity securities...............................       232          171             3           400
                                                  --------       ------       -------      --------
  Total.........................................  $320,525       $1,115       $16,559      $305,081
                                                  ========       ======       =======      ========
</TABLE>

                                      F-66
<PAGE>   126
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

<TABLE>
<CAPTION>
                                                                   DECEMBER 31, 1999
                                                   --------------------------------------------------
                                                                  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...........   $ 4,165        $182          $ 23        $ 4,324
Corporate securities.............................    36,770          99           653         36,216
Mortgage-backed securities.......................     1,328          38            --          1,366
                                                    -------        ----          ----        -------
  Total..........................................   $42,263        $319          $676        $41,906
                                                    =======        ====          ====        =======
</TABLE>

<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>

<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>

     The amortized cost and estimated fair value of fixed maturity securities at
December 31, 1999, by contractual maturity, are as follows:

<TABLE>
<CAPTION>
                                                              AMORTIZED    ESTIMATED
                     AVAILABLE FOR SALE                         COST       FAIR VALUE
                     ------------------                       ---------    ----------
<S>                                                           <C>          <C>
Due in one year or..........................................  $ 13,041      $ 13,064
Due after one year through five years.......................   117,657       115,895
Due after five years through ten years......................   106,214        98,939
Due after ten years.........................................    83,381        76,783
                                                              --------      --------
  Total.....................................................  $320,293      $304,681
                                                              ========      ========
</TABLE>

                                      F-67
<PAGE>   127
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

<TABLE>
<CAPTION>
                                                              AMORTIZED    ESTIMATED
                      HELD TO MATURITY                          COST       FAIR VALUE
                      ----------------                        ---------    ----------
<S>                                                           <C>          <C>
Due in one year or less.....................................   $ 5,416      $  5,413
Due after one year through five years.......................    19,961        19,773
Due after five years through ten years......................    13,993        13,984
Due after ten years.........................................     2,893         2,736
                                                               -------      --------
  Total.....................................................   $42,263      $ 41,906
                                                               =======      ========
</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.

     Realized (losses) gains on investments for the years ended December 31,
1999, 1998 and 1997 are summarized as follows:

<TABLE>
<CAPTION>
                                                          1999       1998      1997
                                                         -------    ------    -------
<S>                                                      <C>        <C>       <C>
Fixed maturities.......................................  $(1,506)   $ (292)   $ 1,135
Equity securities......................................     (393)     (273)    (1,360)
Mortgage loans.........................................       --      (194)       104
Real estate............................................       --     2,735        133
Other invested assets..................................       12        34         57
                                                         -------    ------    -------
                                                         $(1,887)   $2,010    $    69
                                                         =======    ======    =======
</TABLE>

     Net unrealized (depreciation) appreciation on available for sale securities
as of December 31, 1999 and 1998 is summarized as follows:

<TABLE>
<CAPTION>
                                                                1999       1998
                                                              --------    -------
<S>                                                           <C>         <C>
Net unrealized (depreciation) appreciation before
  adjustments for the following:............................  $(15,444)   $ 7,417
  Amortization of deferred policy acquisition costs.........     9,545     (3,947)
  Deferred Federal income taxes.............................     2,064     (1,215)
                                                              --------    -------
Net unrealized (depreciation) appreciation..................  $ (3,835)   $ 2,255
                                                              ========    =======
</TABLE>

                                      F-68
<PAGE>   128
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

     Net investment income, by type of investment, is as follows for the years
ending December 31, 1999, 1998 and 1997:

<TABLE>
<CAPTION>
                                                         1999       1998       1997
                                                        -------    -------    -------
<S>                                                     <C>        <C>        <C>
Gross investment income:
Fixed maturities:
  Available for sale..................................  $25,413    $25,294    $22,559
  Held to maturity....................................    4,126      4,686      5,692
Equity securities.....................................        2         66         92
Mortgage loans........................................    5,099      4,485      3,924
Real estate...........................................      183        523        591
Policy loans..........................................      427        299        214
Cash and cash equivalents.............................      255        431        258
Other, net............................................      119        781          9
                                                        -------    -------    -------
                                                         35,624     36,565     33,339
Less investment expenses..............................     (748)    (1,303)    (1,025)
                                                        -------    -------    -------
Net investment income.................................  $34,876    $35,262    $32,314
                                                        =======    =======    =======
</TABLE>

4.  MORTGAGE LOANS

     The carrying value of impaired loans was $0 and $2,363, which were net of
reserves of $0 and $474 as of December 31, 1999 and 1998, respectively.

     A reconciliation of the reserve balance, including general reserves, for
mortgage loans for 1999 and 1998 is as follows:

<TABLE>
<CAPTION>
                                                                 1999      1998
                                                                ------    ------
<S>                                                             <C>       <C>
Balance at January 1........................................    $1,064    $1,170
Provision, net of recoveries................................      (324)      124
Releases due to foreclosures................................        --      (230)
                                                                ------    ------
Balance at December 31......................................    $  740    $1,064
                                                                ======    ======
</TABLE>

     The average recorded investment in impaired loans was $1,418 and $2,624
during 1999 and 1998, respectively. Interest income recognized on impaired loans
during 1999, 1998 and 1997 was $124, $237 and $284, respectively. All interest
income on impaired loans was recognized on the cash basis.

5.  REAL ESTATE

     Real estate totaled $1,794 and $484 as of December 31, 1999 and 1998,
respectively. Depreciation expense was $0, $116 and $113 for the years ended
December 31, 1999, 1998 and 1997, respectively.

                                      F-69
<PAGE>   129
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

6.  DEFERRED POLICY ACQUISITION COSTS

     A reconciliation of the deferred policy acquisition cost (DAC) asset for
1999, 1998 and 1997 is as follows (in thousands):

<TABLE>
<CAPTION>
                                                        1999        1998       1997
                                                      --------    --------    -------
<S>                                                   <C>         <C>         <C>
Balance at January 1,...............................  $104,913    $ 83,291    $62,520
Expenses deferred...................................    31,369      35,985     31,404
Amortization of DAC.................................   (16,426)    (14,804)    (9,445)
Effect on DAC from unrealized losses (gains)........    13,491         441     (1,188)
                                                      --------    --------    -------
Balance at December 31,.............................  $133,347    $104,913    $83,291
                                                      ========    ========    =======
</TABLE>

7.  FEDERAL INCOME TAXES

     The Company is included in a consolidated Federal income tax return with
Provident Mutual. The tax liability is accrued on a separate company basis,
adjusted for an allocation of an equity tax from Provident Mutual.

     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,
                                                           --------------------------
                                                            1999      1998      1997
                                                           ------    ------    ------
<S>                                                        <C>       <C>       <C>
Federal income tax at statutory rate.....................  $4,780    $4,198    $4,174
  Current year equity tax................................     817       664       900
  True down of prior years' equity tax...................    (900)     (650)     (625)
                                                           ------    ------    ------
Provision for Federal income tax from operations.........  $4,697    $4,212    $4,449
                                                           ======    ======    ======
</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 are as follows at
December 31, 1999 and 1998:

<TABLE>
<CAPTION>
                                                               1999       1998
                                                              -------    -------
<S>                                                           <C>        <C>
DEFERRED TAX LIABILITY
Deferred policy acquisition costs...........................  $36,685    $32,648
Net unrealized gain on available for sale securities........       --      1,215
                                                              -------    -------
  Total deferred tax liability..............................   36,685     33,863
                                                              -------    -------
DEFERRED TAX ASSET
Reserves....................................................   32,505     30,671
Invested assets.............................................      422        353
Policyholder dividends......................................      203        189
Net unrealized loss on available for sale securities........    2,065         --
Other.......................................................      244        176
                                                              -------    -------
  Total deferred tax asset..................................   35,439     31,389
                                                              -------    -------
Net deferred tax liability..................................  $ 1,246    $ 2,474
                                                              =======    =======
</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,

                                      F-70
<PAGE>   130
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

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 1995.
All years through 1985 are closed. Years 1986 through 1995 have been audited and
are closed with the exception of several issues for which claims for refund have
been filed. Years 1996 and subsequent remain open. In the opinion of management,
adequate provision has been made for the possible effect of potential
assessments related to prior years' taxes.

8.  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.

     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, 1999
Life insurance in force.....................  $3,304,015    $2,454,842     $25,319      $874,492
                                              ==========    ==========     =======      ========
Premiums....................................  $   18,580    $      639     $    90      $ 18,031
                                              ==========    ==========     =======      ========
Future policyholder benefits................  $  482,673    $    3,515     $ 1,968      $481,126
                                              ==========    ==========     =======      ========
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................  $  517,625    $    3,054     $ 2,378      $516,949
                                              ==========    ==========     =======      ========
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
                                              ==========    ==========     =======      ========
</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.

     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, 1999 and 1998. Deposits
ceded during 1999 and 1998 were $2,627 and $2,749, respectively.

                                      F-71
<PAGE>   131
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

     Approximately $1,668,604 and $1,481,828 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, 1999 and 1998, respectively.
Premiums and deposits ceded were $4,146 and $4,103 during 1999 and 1998,
respectively. Reinsurance recoverables at December 31, 1999 and 1998 were $132
and $134, respectively.

9.  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
$15,941, $16,581 and $13,964 for 1999, 1998 and 1997, 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, 1999 and 1998
approximated $73,957 and $81,050, respectively.

10.  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, 1999, the Company had outstanding mortgage loan and limited
partnership commitments of approximately $3,768. The mortgage loan commitments,
which expire through December 2000, totaled $3,275 and were issued during 1999
at interest rates consistent with rates applicable on December 31, 1999. 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 had no hedge activity in 1999. The
Company closed out hedge positions consisting of 226 treasury futures contracts
with a dollar value of $25,727 in 1998. The approximate net losses generated
from the hedge positions were $33 in 1998. There were no open hedge positions at
December 31, 1999 and 1998.

     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, 1999 or 1998.

INVESTMENT PORTFOLIO CREDIT RISK

  Bonds

     The Company's bond investment portfolio is predominately comprised of
investment grade securities. At December 31, 1999 and 1998, approximately
$34,449 and $23,488, respectively, in debt security investments (9.5% and 5.8%,
respectively, of the total debt security portfolio) are considered "below
investment grade." During 1999, the Company increased its allocation of assets
to "below investment grade" securities. Securities are classified as "below
investment grade" primarily by utilizing rating criteria established by
independent bond rating agencies.

                                      F-72
<PAGE>   132
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

     Debt security investments with a carrying value at December 31, 1999 of
$600 were non-income producing for the year ended December 31, 1999.

     The Company had debt security investments in the financial services
industry at both December 31, 1999 and 1998 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, 1999 and 1998, 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 results of 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 management, the outcome of the proceedings and
assessments will not have a material adverse effect on the financial statements.
Guaranty fund assessments totaled $79, $109 and $236 in 1999, 1998 and 1997,
respectively. Of those amounts, $76, $56 and $117 in 1999, 1998 and 1997,
respectively, are creditable against future years' premium taxes.

                                      F-73
<PAGE>   133
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)

11.  COMPREHENSIVE INCOME

     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, 1999:
  Unrealized (depreciation) appreciation on
     securities....................................   $(11,256)     $ 3,939      $(7,317)
  Less: reclassification adjustment for losses
     realized in net income........................      1,887         (660)       1,227
                                                      --------      -------      -------
  Net change in unrealized (depreciation)
     appreciation on securities....................   $ (9,369)     $ 3,279      $(6,090)
                                                      ========      =======      =======
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 (depreciation)
     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
     (depreciation) on securities..................   $  3,019      $(1,057)     $ 1,962
                                                      ========      =======      =======
</TABLE>

                                      F-74
<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 and
                       subaccounts (the Growth; Money Market; Bond; Managed;
                       Aggressive Growth; and International subaccounts) dated
                       November 20, 1991.(1)
                  (b)  Unanimous Consent of the Board of Directors of
                       Providentmutual Life and Annuity Company of America
                       authorizing additional Subaccounts of the Providentmutual
                       Variable Annuity Separate Account dated June 7, 1993
                       (authorizing the establishment of the Fidelity Growth;
                       Fidelity Equity-Income; Fidelity High Income Bond; and
                       Fidelity Asset Manager subaccounts).(1)
                  (c)  Resolution of the Executive Committee of the Board of
                       Directors of Providentmutual Life and Annuity Company of
                       America authorizing additional Subaccounts of the
                       Providentmutual Variable Annuity Separate Account dated
                       April 13, 1995 (authorizing the establishment of the
                       Fidelity Contrafund(R) subaccount).(2)
                  (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 (authorizing the establishment of the Alger Small
                       Capitalization; and Van Eck Worldwide Emerging Markets
                       subaccounts).(2)
                  (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 (authorizing the establishment of the All Pro Large
                       Cap Value; All Pro Large Cap Growth; All Pro Small Cap
                       Value; All Pro Small Cap Growth; Neuberger & Berman
                       Partners; and Van Eck Worldwide Real Estate Investment Trust
                       subaccounts).(2)
            (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.(2)
                  (b)  Form of Selling Agreement between PML Securities, Inc. and
                       Sentinel Financial Services Company.(2)
            (4)   (a)  Individual Flexible Premium Deferred Variable Annuity
                       Contract (PL516).(3)
                  (b)  Amendment of Contract Provisions Rider (PL470.13A).(2)
                  (c)  Qualified Plan Rider (PL471).(2)
                  (d)  403(b) Annuity Loan Rider (PL515).(2)
                  (e)  Death Benefit Rider "Step Up" (PL547).(2)
                  (f)  Simple IRA Rider (PL549).(2)
                  (g)  SEP IRA Rider (PL550).(2)
                  (h)  Qualify as an IRA Rider (PL553).(2)
                  (i)  Qualify as a TSA Under 403(b) Rider (PL554).(2)
</TABLE>


                                       C-1
<PAGE>   135


<TABLE>
<S>        <C>        <C>        <C>
                      (j)        Amendment for a Charitable Remainder Trust Rider (PL558).(2)
                      (k)        Systematic Withdraw Plan Rider (PL600).(2)
           (5)        Form of Application and 1717 Capital Management Company Suitability Statement.(2)
           (6)        (a)        Restated Certificate of Incorporation of Providentmutual Life and Annuity Company of
                                 America.(2)
                      (b)        By-Laws of Providentmutual Life and Annuity Company of America.(2)
           (7)        Not applicable.
           (8)        (a)        Participation Agreement among Market Street Fund, Inc., Providentmutual Life and Annuity
                                 Company of America and PML Securities, Inc.(2)
                      (b)        Participation Agreement among Variable Insurance Products Fund, Fidelity Distributors
                                 Corporation and Providentmutual Life and Annuity Company of America.(4)
                      (c)        Participation Agreement among Variable Insurance Products Fund II, Fidelity Distributors
                                 Corporation and Providentmutual Life and Annuity Company of America.(4)
                      (d)        Form of Fund Participation Agreement among Neuberger Berman Advisers Management Trust,
                                 Advisers Managers Trust and Providentmutual Life and Annuity Company of America.(2)
                      (e)        Participation Agreement between Van Eck Investment Trust and Providentmutual Life and
                                 Annuity Company of America.(2)
                      (f)        Service Agreement between Providentmutual Life and Annuity Company of America and Provident
                                 Mutual Life Insurance Company of Philadelphia.(2)
                      (g)        Support Agreement between Provident Mutual Life Insurance Company and Providentmutual Life
                                 and Annuity Company of America.(2)
                      (h)        Form of Fund Participation Agreement among Strong Variable Insurance Funds, Inc.,
                                 Providentmutual Life and Annuity Company of America and Strong Investments, Inc.(2)
                      (i)        Participation Agreement among The Alger American Fund, Providentmutual Life and Annuity
                                 Company of America and Fred Alger and Company Incorporated.(3)
           (9)        Consent of James G. Potter, Jr., Esquire.
           (10)       (a)        Consent of Drinker Biddle & Reath LLP.
                      (b)        Consent of PricewaterhouseCoopers LLP.
           (11)       No financial statements will be omitted from Item 23.
           (12)       Not applicable.
           (13)       Schedule for computation of performance data.(5)
</TABLE>


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

(1) Incorporated by reference herein to Post-Effective Amendment No. 8 to the
    Form N-4 registration statement for Providentmutual Variable Annuity
    Separate Account, filed on April 25, 2000, File No. 33-65512.


(2) Incorporated by reference herein to Post-Effective Amendment No. 5, filed on
    May 1, 1998, File No. 33-65512.


(3) Filed herewith.


(4) Incorporated by reference herein to Post-Effective Amendment No. 18, filed
    on May 1, 1998, File No. 33-2625.


(5) Incorporated by reference herein to Post-Effective Amendment No. 7, filed
    April 30, 1999, File No. 33-65512.


                                       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
Mehran Assadi..........................................    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
Michael Funck**........................................    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**.......................................    Assistant Financial Reporting 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 1000 Chesterbrook Boulevard, Berwyn, PA
    19312-1181.


                                       C-3
<PAGE>   137

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
1717 Capital Management         Pennsylvania    Ownership of all           Broker/Dealer
  Company                                       voting securities by
                                                PHC
1717 Brokerage Services, Inc.   Pennsylvania    Ownership of all voting    Insurance Agency
                                                securities by PHC
Market Street 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
Four P Finance Company          Pennsylvania    Ownership of all voting
                                                securities by PHC
</TABLE>


                                       C-4
<PAGE>   138


<TABLE>
<CAPTION>
                                                   PERCENT OF VOTING
             NAME               JURISDICTION       SECURITIES OWNED          PRINCIPAL BUSINESS
             ----               ------------       -----------------         ------------------
<S>                             <C>             <C>                        <C>
Covenant Financial Services,    Delaware        Ownership of all voting
  Inc.                                          securities by PHC
1717 Advisory Services, Inc.    Pennsylvania    Ownership of all voting
                                                securities by Covenant
                                                Financial Services
Providentmutual Distributors,   Pennsylvania    Ownership of all voting
  Inc.                                          securities by Sigma
                                                American Corporation
RF Advisers, Inc.               Pennsylvania    Ownership of all voting
                                                securities by Sigma
                                                American Corporation
Delfi Realty Corporation        Pennsylvania    Ownership of all voting
                                                securities by Sigma
                                                American Corporation
Providentmutual Financial       Pennsylvania    Ownership of all voting
  Services, Inc.                                securities by
                                                Providentmutual
                                                Financial Services,
                                                Inc.
</TABLE>


Item 27.  Number of Policyowners


     As of December 31, 1999 there were a total of 2,774 individual flexible
premium deferred variable annuity contracts (File No. 33-65195) in force -- 928
non-qualified and 1,846 qualified.


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 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

                                       C-5
<PAGE>   139

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, for the Providentmutual
Variable Life Separate Account and for the PMLIC Variable Life and Annuity
Separate Accounts.


     (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, Legal Officer and  Director, Secretary and
                                             Secretary                    Legal Officer
Joan C. Tucker.............................  Director                     Director and Vice President
Lance Reihl................................  President                    None
Louis A. Aviola, Jr. ......................  Vice President and Manager   None
                                             of Operations
Rosanne Gatta**............................  Treasurer                    Treasurer
Anthony Giampietro**.......................  Assistant Treasurer          Assistant Treasurer
Deborah Thiel Hall**.......................  Insurance Compliance         Compliance Officer
                                             Officer
Anthony Mastrangelo**......................  Assistant Financial          None
                                             Reporting Officer
Todd R. Miller**...........................  Assistant Financial          Assistant Financial
                                             Reporting Officer            Reporting Officer
Alison Naylor..............................  Compliance Officer           None
Linda M. Springer**........................  Financial Reporting Officer  Director
</TABLE>


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

  * Unless otherwise indicated, principal business address is 300 Continental
    Drive, Newark, DE 19713.


 ** Principal business address is 1000 Chesterbrook Boulevard, Berwyn, PA
    19312-1181.



     (c) The following commissions and other compensation were received by each
principal underwriter, directly or indirectly, from the Registrant during the
Registrant's last fiscal year.



<TABLE>
<CAPTION>
         (1)                 (2)
       NAME OF         NET UNDERWRITING         (3)             (4)
      PRINCIPAL         DISCOUNTS AND     COMPENSATION ON    BROKERAGE        (5)
     UNDERWRITER         COMMISSIONS        REDEMPTION      COMMISSIONS   COMPENSATION
     -----------       ----------------   ---------------   -----------   ------------
        1717                 N/ A              NONE            N/ A           N/ A
<S>                    <C>                <C>               <C>           <C>
</TABLE>


                                       C-6
<PAGE>   140

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
Providentmutual Life and Annuity Company of America at 300 Continental Drive,
Newark, DE 19713.

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.


     (d) Reliance on No-Action Letter Regarding Section 403(b) Retirement Plan.
PLACA 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 Contract, 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 CERTIFIES THAT IT MEETS ALL THE REQUIREMENTS FOR EFFECTIVENESS OF THIS
POST-EFFECTIVE AMENDMENT PURSUANT TO RULE 485(b) UNDER THE SECURITIES ACT OF
1933, AND PROVIDENTMUTUAL VARIABLE ANNUITY SEPARATE ACCOUNT AND PROVIDENTMUTUAL
LIFE AND ANNUITY COMPANY OF AMERICA HAVE CAUSED THIS POST-EFFECTIVE AMENDMENT TO
THE REGISTRATION STATEMENT TO BE SIGNED ON THEIR BEHALF BY THE UNDERSIGNED,
THEREUNTO DULY AUTHORIZED, IN NEW CASTLE COUNTY, STATE OF DELAWARE ON THIS 25
DAY OF APRIL, 2000.


                                            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>
<S>                                                    <C>

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          April 25, 2000
- -----------------------------------------------------      (Principal Executive
                   ROBERT W. KLOSS                         Officer)

                /s/ STEPHEN L. WHITE                     Actuarial Officer               April 25, 2000
- -----------------------------------------------------      (Principal Financial
                  STEPHEN L. WHITE                         Officer)

                  /s/ MICHAEL FUNCK                      Financial Reporting Officer     April 25, 2000
- -----------------------------------------------------      (Principal Accounting
                    MICHAEL FUNCK                          Officer)

                          *                              Director                        April 25, 2000
- -----------------------------------------------------
                  MARY LYNN FINELLI

              /s/ JAMES G. POTTER, JR.                   Director, Secretary and         April 25, 2000
- -----------------------------------------------------      Legal Officer
                JAMES G. POTTER, JR.

                          *                              Director                        April 25, 2000
- -----------------------------------------------------
                   ALAN F. HINKLE

                          *                              Director                        April 25, 2000
- -----------------------------------------------------
                  JAMES D. KESTNER

                          *                              Director                        April 25, 2000
- -----------------------------------------------------
                   SARAH C. LANGE
</TABLE>

<PAGE>   142


<TABLE>
<CAPTION>
                     SIGNATURES                                     TITLE                     DATE
                     ----------                                     -----                     ----
<C>                                                      <S>                             <C>
                          *                              Director                        April 25, 2000
- -----------------------------------------------------
                   JOAN C. TUCKER

                          *                              Director                        April 25, 2000
- -----------------------------------------------------
                    MEHRAN ASSADI

                          *                              Director                        April 25, 2000
- -----------------------------------------------------
                  LINDA M. SPRINGER
</TABLE>


*By:   /s/ JAMES G. POTTER, JR.
     -------------------------------
          JAMES G. POTTER, JR.
            Attorney-in-Fact
      Pursuant to Power of Attorney
<PAGE>   143

                               POWER OF ATTORNEY

Know all men by these presents:

     That I, a member of the Board of Directors of PROVIDENTMUTUAL LIFE &
ANNUITY COMPANY OF AMERICA, do hereby make, constitute and appoint as my true
and lawful attorney in fact, James G. Potter, Jr., for me and in my name, place
and stead to sign the following registration statements and any and all
amendments thereto on behalf of PROVIDENTMUTUAL LIFE & ANNUITY COMPANY OF
AMERICA and PROVIDENTMUTUAL VARIABLE ANNUITY SEPARATE ACCOUNT filed with the
Securities and Exchange Commission:

     Registration Statements for the registration under the Securities Act of
     1933 and/or the Investment Company Act of 1940 of certain variable annuity
     contracts and variable life insurance policies for the appropriate Separate
     Accounts.

     Such appointment shall remain valid and in effect for so long as I shall be
a member of the Board of Directors of PROVIDENTMUTUAL LIFE & ANNUITY COMPANY OF
AMERICA and for so long as James G. Potter, Jr., shall be an officer of
PROVIDENTMUTUAL LIFE & ANNUITY COMPANY OF AMERICA.

     IN WITNESS WHEREOF, I have hereunto set my hand this 21st day of April,
2000.

                                          /s/ MARY LYNN FINELLI
                                          --------------------------------------
                                          Mary Lynn Finelli

                                          /s/ ALAN F. HINKLE
                                          --------------------------------------
                                          Alan F. Hinkle

                                          /s/ JAMES D. KESTNER
                                          --------------------------------------
                                          James D. Kestner

                                          /s/ SARAH C. LANGE
                                          --------------------------------------
                                          Sarah C. Lange

                                          /s/ JOAN C. TUCKER
                                          --------------------------------------
                                          Joan C. Tucker
<PAGE>   144

                                          /s/ LINDA M. SPRINGER
                                          --------------------------------------
                                          Linda M. Springer

                                          /s/ MEHRAN ASSADI
                                          --------------------------------------
                                          Mehran Assadi
<PAGE>   145


                                 EXHIBIT INDEX



<TABLE>
<CAPTION>
EXHIBITS                                                                      PAGE
- --------                                                                      ----
<C>      <S>  <C>                                                             <C>
   (4)   (a)  Individual Flexible Premium Deferred Variable Annuity
              Contract (PL516).
   (8)   (i)  Participation Agreement among The Alger American Fund,
              Providentmutual Life and Annuity Company of America and Fred
              Alger and Company Incorporated.
   (9)        Consent of James G. Potter, Jr., Esquire.
  (10)   (a)  Consent of Drinker Biddle & Reath LLP.
         (b)  Consent of PricewaterhouseCoopers LLP, Independent
              Accountants.
</TABLE>


<PAGE>   1
                                                                  Exhibit (4)(a)

               PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY OF AMERICA

                         A STOCK LIFE INSURANCE COMPANY
                                NEWARK, DELAWARE

       ANNUITANT                                            CONTRACT DATE

       CONTRACT NUMBER                                      MATURITY DATE

In this Contract, Providentmutual Life and Annuity Company of America will be
referred to as "we," "us" or "our." The Owner ("you," "your") is the Annuitant,
unless another person is named in the application or later becomes the Owner as
allowed by this Contract.

We agree to pay the proceeds as described in this Contract, subject to its
provisions.

ANNUITY PAYMENTS AND OTHER VALUES PROVIDED BY THIS CONTRACT, INCLUDING ANY DEATH
BENEFIT THAT MAY BE PAYABLE, WHEN BASED ON THE INVESTMENT EXPERIENCE OF THE
VARIABLE ACCOUNT MAY INCREASE OR DECREASE DAILY, DEPENDING UPON THE INVESTMENT
PERFORMANCE OF THE FUND PORTFOLIOS IN WHICH YOUR CHOSEN SUBACCOUNTS ARE
INVESTED, AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNTS. NO MINIMUM CONTRACT
ACCOUNT VALUE IS GUARANTEED EXCEPT FOR ANY AMOUNTS IN THE GUARANTEED ACCOUNT.

                       PLEASE READ THIS CONTRACT CAREFULLY
                   It is a legal contract between you and us.

                   NOTICE OF 10 DAY RIGHT TO EXAMINE CONTRACT

PLEASE EXAMINE THIS CONTRACT CLOSELY. 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.       OUR SERVICE CENTER, 300 CONTINENTAL DRIVE, NEWARK, DELAWARE
                  19713;

         2.       ONE OF OUR AGENCY OFFICES; OR

         3.       THE AGENT THROUGH WHOM IT WAS PURCHASED.

THIS CONTRACT MUST BE RETURNED TO US NO LATER THAN 10 DAYS AFTER YOU FIRST
RECEIVE IT. UPON SUCH DELIVERY OR MAILING, THIS CONTRACT WILL BE VOID AS OF THE
DATE WE RECEIVE YOUR CONTRACT AND REQUEST. WE WILL RETURN THE CONTRACT ACCOUNT
VALUE PLUS ANY CHARGES WE DEDUCTED, EXCEPT THE MORTALITY AND EXPENSE RISK
CHARGE, THE ADMINISTRATION CHARGE, AND THE ADVISORY FEES AND EXPENSES OF THE
FUND.

                   Signed for the Company in Newark, Delaware



- -----------------------------                -----------------------------------
Secretary                                    President

               FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT
                   Flexible premiums as stated in the Premiums
           Provision. Contract values are variable, except for amounts
                           in the Guaranteed Account.
                After the Maturity Date, Payment Options are on a
              guaranteed basis. Death benefit payable upon death of
                         Annuitant before Maturity Date.
              Non-participating -- Contract does not pay dividends.

  FOR INQUIRIES, INFORMATION AND RESOLUTION OF COMPLAINTS CALL: 1-800-688-5177
<PAGE>   2
                   A GUIDE TO THE PROVISIONS OF THIS CONTRACT

<TABLE>
<CAPTION>
                                                                                                                   Page
                                                                                                                   ----
<S>                                                                                                                <C>
CONTRACT SCHEDULE................................................................................................   3
DEFINITIONS......................................................................................................   7
GENERAL PROVISIONS...............................................................................................   8
PREMIUMS.........................................................................................................  10
THE VARIABLE ACCOUNT.............................................................................................  10
DESCRIPTION OF SUBACCOUNTS.......................................................................................  11
THE GUARANTEED ACCOUNT...........................................................................................  14
ALLOCATIONS AND TRANSFERS........................................................................................  14
CONTRACT VALUES..................................................................................................  15
PAYMENT OF PROCEEDS..............................................................................................  18
PAYMENT OPTIONS..................................................................................................  21
</TABLE>

      A COPY OF THE APPLICATION AND ANY RIDERS ARE INCLUDED AFTER PAGE 24.


                                  ENDORSEMENTS

                        (To be made by the Company only.)

                                      -2-
<PAGE>   3
                                CONTRACT SCHEDULE

      ANNUITANT     JOHN DOE                JUNE 1, 1994      CONTRACT DATE

CONTRACT NUMBER     123,456                 JUNE 1, 2024      MATURITY DATE

<TABLE>
<S>                                                                        <C>
         Initial Premium Payment:                                          $ 2,000

         Minimum Additional Premium Amount:                                $   100
                                                                           [$     50 for Qualified Contracts]

         Planned Periodic Premium:                                         $   100 monthly

         Minimum Withdrawal Amount:                                        $   500

         Minimum Transfer Amount:                                          $   500

         Minimum Remaining Cash Surrender Value
         After Withdrawal:                                                 $ 2,000

                                CHARGES AND FEES

         Annual Mortality and Expense Risk Charge:                         1.25%

         Administration Charge:                                Current:    0.15% of assets
                                                               Maximum:    0.25% of assets

         Annual Administration Fee:                            Current:    $30.00
                                                               Maximum:    $40.00
</TABLE>

<TABLE>
<CAPTION>
                                                                 CONTRACT YEAR                CHARGE
                                                                 -------------                ------
<S>                                                              <C>                          <C>
         Surrender Charge:*                                           1                          7%
                                                                      2                          6%
                                                                      3                          5%
                                                                      4                          4%
                                                                      5                          3%
                                                                      6                          2%
                                                                      7                          1%
                                                                      8                          0%
</TABLE>

*        For the first Contract Year, applies to amount withdrawn or
         surrendered; after the first Contract Year, applies to amount withdrawn
         or surrendered as described under the Surrender Charge provision. In no
         event will the Surrender Charge exceed 8.5% of the total premiums
         received under the Contract. CERTAIN RESTRICTIONS APPLY. (SEE
         "SURRENDER CHARGE" ON PAGE 16.)

                                      -3-
<PAGE>   4
                       THIS PAGE INTENTIONALLY LEFT BLANK

                                      -4-
<PAGE>   5
                                CONTRACT SCHEDULE
                                   (CONTINUED)

                               ALLOCATION OPTIONS


                                  SCHEDULE A-1


THE MARKET STREET FUND, INC.:

         Providentmutual Variable Growth Subaccount
         Providentmutual Variable Aggressive Growth Subaccount
         Providentmutual Variable Bond Subaccount
         Providentmutual Variable Managed Subaccount
         Providentmutual Variable Money Market Subaccount
         Providentmutual Variable International Subaccount

THE ALGER AMERICAN FUND:

         Alger American Small Capitalization Subaccount

VARIABLE INSURANCE PRODUCTS FUND (VIP) OR THE
VARIABLE INSURANCE PRODUCTS FUND II (VIP II)

         Fidelity Asset Manager Subaccount (VIP II)
         Fidelity Contractual Subaccount (VIP II)
         Fidelity Equity Income Subaccount (VIP)
         Fidelity Growth Subaccount (VIP)
         Fidelity High Income Subaccount (VIP)
         Fidelity Index 500 Subaccount (VIP II)
         Fidelity Investment Grade Bond Subaccount (VIP II)
         Fidelity Overseas Subaccount (VIP)

NEUBERGER & BERMAN ADVISERS MANAGEMENT TRUST:

         Neuberger & Berman Balanced Subaccount
         Neuberger & Berman Growth Subaccount
         Neuberger & Berman Limited Maturity Bond Subaccount

TCI PORTFOLIOS, INC.:

         TCI Growth Subaccount

                                      -5-
<PAGE>   6
                                CONTRACT SCHEDULE
                                   (CONTINUED)

VAN ECK WORLDWIDE INSURANCE TRUST:

         Van Eck Gold and Natural Resources Subaccount
         Van Eck Worldwide Bond Subaccount
         Van Eck Worldwide Emerging Markets Subaccount

                                      -6-
<PAGE>   7
                                   DEFINITIONS

ANNUITANT. The person whose life determines the annuity benefits payable under
this Contract and whose death determines the death benefit.

BENEFICIARY. The person to whom we will pay the proceeds payable on your death
or on the death of the Annuitant. If the Contract has Joint Owners, the
surviving Joint Owner will be the designated beneficiary.

CASH SURRENDER VALUE. The Contract Account Value less any applicable surrender
charge.

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

CONTRACT YEARS, MONTHS, ANNIVERSARIES. Are measured from the Contract Date shown
in the Contract Schedule.

GUARANTEED ACCOUNT. This account is part of our General Account and is not part
of nor dependent upon the investment performance of the Variable Account.

JOINT OWNERS.  Joint Owners must be husband and wife as of the Contract Date.

MATURITY DATE. The date when the Contract Account Value will be applied under a
Payment Option, unless you have elected to receive a lump sum payment of the
Cash Surrender Value. The latest Maturity Date is the later of: the Contract
Anniversary nearest Annuitant's age 85; or 10 years after the Contract Date.

NET PREMIUM. The premium paid less any premium tax levied for the year the
premium is paid.

OWNER. The person entitled to exercise all rights and privileges provided in
this Contract.

SERVICE CENTER. Our Service Center at 300 Continental Drive, Newark, Delaware
19713.

SUBACCOUNT. The Variable Account has Subaccounts; the assets of each Subaccount
are invested in a corresponding portfolio of the designated fund listed in the
Contract Schedule.

VALUATION DAY. Each day on which valuation of the assets of a Subaccount is
required by applicable law.

VALUATION PERIOD. The period that starts at the close of business on one
Valuation Day and ends at the close of business on the next succeeding Valuation
Day.

VARIABLE ACCOUNT. Providentmutual Variable Annuity Separate Account which is not
part of our General Account. The Variable Account has Subaccounts each of which
is invested

                                      -7-
<PAGE>   8
in a corresponding portfolio of the designated fund listed in the Contract
Schedule. Other Subaccounts may be established in the future and will invest in
specified portfolios of designated funds.

WRITTEN NOTICE. A written request or notice in a form satisfactory to us which
is signed by you and received at our Service Center.

                               GENERAL PROVISIONS

THE CONTRACT. We have issued this Contract in consideration of your application
and your payment of the Initial Premium. The entire contract is made up of this
Contract and the attached copy of the application. The statements made in the
application are, in the absence of fraud, deemed representations and not
warranties. We cannot use any statement in defense to 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. 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 Annuitant's lifetime for two years from the Contract Date.

OWNER. During the Annuitant's lifetime and before the Maturity Date, you have
all the rights and privileges granted by this Contract. During the Annuitant's
lifetime and before the Maturity Date, you may name a new Owner by giving us
Written Notice. If you are not the Annuitant and you die before the Maturity
Date and before the Annuitant, ownership will pass:

         1.       to your designated beneficiary, if any (as defined in
                  "Proceeds On Death of Owner"); otherwise

         2.       to your estate.

BENEFICIARY. We will pay the Beneficiary any proceeds payable on your death or
the death of the Annuitant. During the Annuitant's lifetime and before the
Maturity Date, you may change the named Beneficiary by giving us Written Notice
of such change.

         We will pay the proceeds under the beneficiary designation in effect at
the date of death. The proceeds will be paid to the surviving Beneficiaries
equally unless you have indicated otherwise. If no Beneficiary is living when
the Annuitant dies, or if none has been named, the proceeds will be paid to you
or to your estate. If no Beneficiary is living when you die, any proceeds will
be paid to your estate.

CHANGE OF OWNER OR BENEFICIARY. Written Notice must be signed by you, dated, and
of a form and content acceptable to us. Your Written Notice will not be
effective until we receive and file it at our Service Center. However, the
change provided in your Written Notice will then be effective as of the date you
signed such notice:

                                      -8-
<PAGE>   9
         1.       subject to any payments made or other action we take before we
                  receive and file your Written Notice; and

         2.       whether or not you or the Annuitant are alive when we receive
                  and file your Written Notice.

ASSIGNMENT. You may assign this Contract or an interest in it at any time before
the Maturity Date during the lifetime of the Annuitant. An assignment must be in
a Written Notice acceptable to us. It will not be binding on us until we receive
and file it at our Service Center. We are not responsible for the validity or
sufficiency of any assignment. Your rights and the rights of any Beneficiary
will be affected by an assignment.

MISSTATEMENT OF AGE OR SEX. If the age or sex of the Annuitant has been
misstated, we will pay the amount which the proceeds would have purchased at the
correct age and sex.

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

         If we make an underpayment 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.

PERIODIC REPORTS.  We will mail you a report showing the following items:

         1.       the number of units credited to this Contract and the dollar
                  value of a unit;

         2.       the Contract Account Value and Cash Surrender Value;

         3.       any premiums paid, withdrawals, and charges made since the
                  last report; and

         4.       any other information required by law.

         The information in the report will be as of a date not more than two
months before the date of the mailing. We will mail the report to you:

         1.       at least annually, or more often as required by law; and

         2.       to your last address known to us.

MODIFICATION. Upon notice to you, we may modify the Contract, but only if such
modification:

         1.       is necessary to make the Contract or the Variable Account
                  comply with any law or regulation issued by a governmental
                  agency to which we are subject; or

                                      -9-
<PAGE>   10
         2.       is necessary to assure continued qualification of the Contract
                  under the Internal Revenue 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 additional variable account and/or fixed accumulation
                  options.

         In the event of any such modification, we may make appropriate
endorsement to the Contract.

NON-PARTICIPATION. This Contract is non-participating and does not share in our
profits or surplus earnings.

PROTECTION OF PROCEEDS. No Beneficiary may commute, encumber or alienate any
payments under this Contract before they are due. No annuity payments shall be
subject to the debts, contract or engagements of any Beneficiary nor to any
judicial process to levy upon or attach the same for payment of such debts.

CREDITOR CLAIMS. To the extent permitted by applicable laws, no right or benefit
under this Contract shall be subject to claims of creditors, except as may be
provided by an Assignment.

DISCHARGE OF LIABILITY. We shall be discharged from all liability to the extent
of any withdrawal, surrender or death benefit paid. Any payments made by us
under any Payment Option shall discharge our liability to the extent of each
such payment.

                                    PREMIUMS

INITIAL PREMIUM. The Initial Premium is shown in the Contract Schedule, and is
payable on or before the Contract Date.

ADDITIONAL PREMIUMS. You may make additional premium payments at any time during
the Annuitant's lifetime and before the Maturity Date. The amount of additional
premium payments may vary. The minimum additional premium that we will accept is
shown in the Contract Schedule.

NET PREMIUM. The Net Premium is the premium paid less any premium tax levied on
us relating to this Contract for the year the premium is paid.

                              THE VARIABLE ACCOUNT

VARIABLE ACCOUNT. We have established the Providentmutual Variable Annuity
Separate Account (the "Variable Account"). The Variable Account is registered
with the Securities and Exchange Commission as a unit investment trust under the
Investment Company Act of 1940. The Variable Account is also subject to the laws
of the State of Delaware.

                                      -10-
<PAGE>   11
                           DESCRIPTION OF SUBACCOUNTS

         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 or the Variable Account will not be charged 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
which are in excess of such reserves and other liabilities.

SUBACCOUNTS. The Variable Account currently consists of the Subaccounts listed
in the Contract Schedule and in the current prospectus you received. Each
subaccount invests in shares of a corresponding series of the designated
investment fund, as shown in the Contract Schedule (referred to as the "Fund").
Shares of a series 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 series will be reinvested in additional shares of that series at its
net asset value. The Fund prospectus you received defines the net asset value
and describes each portfolio of the Fund.

         The dollar amounts of values and benefits of this Contract provided by
the Variable Account depend on the investment performance of the portfolios of
the Fund in which your selected Subaccounts are invested. We do not guarantee
the investment performance of the portfolios. You bear the full investment risk
for amounts applied to the selected Subaccounts.

VARIABLE ACCOUNT VALUE. This Contract's Variable Account Value for any Valuation
Period before the Maturity Date is determined by multiplying:

         1.       the amount of units credited to this Contract for each
                  Subaccount as of the end of the Valuation Period; by

         2.       the current unit value for each Subaccount.

         The sum of these amounts equals the Variable Account Value.

UNITS. We credit Net Premiums in the form of units. We will credit units for the
Initial Net Premium on the Contract Date. The number of units of each Subaccount
credited under this contract is determined by dividing:

         1.       the Net Premium allocated to that Subaccount; by

         2.       the unit value for that Subaccount at the end of the Valuation
                  Period during which we receive and accept the premium at our
                  Service Center.

         We will adjust the units for any transfers in or out of a Subaccount.

                                      -11-
<PAGE>   12
         We will cancel the appropriate number of units based on the unit value
at the end of the Valuation Period in which any of the following events occurs:

         1.       the Annual Administration Fee shown in the Contract Schedule
                  is assessed;

         2.       the date we receive and file your Written Notice for a
                  withdrawal or a cash surrender;

         3.       the Maturity Date occurs;

         4.       the date we receive due proof of the Annuitant's death; or

         5.       the date the Contract Account Value is distributed upon your
                  death.

UNIT VALUE. The unit value for each Subaccount for its first Valuation Period is
set at $500. The unit value for each subsequent Valuation Period is determined
by multiplying:

         1.       the unit value at the end of the immediately preceding
                  Valuation Period; by

         2.       the net investment factor for the Valuation Period for which
                  the value is being determined.

         The unit value for a Valuation Period applies to each day in that
period. The unit value may increase or decrease from one Valuation Period to the
next.

NET INVESTMENT FACTOR. The Net Investment Factor is an index that measures the
investment performance of a Subaccount from one Valuation Period to the next.
Each Subaccount has a Net Investment Factor for each Valuation Period, which may
be greater than or less than one.

         The Net Investment Factor for each Subaccount for a Valuation Period
equals 1 plus the fraction obtained by dividing (a) by (b) where:

         (a)      is the net result of:

                  1.       the investment income, dividends and capital gains,
                           realized or unrealized, credited during the current
                           Valuation Period; plus

                  2.       any amount credited or released from reserves for
                           taxes attributable to the operation of the
                           Subaccount; minus

                  3.       the capital losses, realized or unrealized, charged
                           during the current Valuation Period; minus

                                      -12-
<PAGE>   13
                  4.       any amount charged for taxes or any amount we set
                           aside during the Valuation Period as a reserve for
                           taxes attributable to the operation or maintenance of
                           the Subaccount; minus

                  5.       the amount charged for mortality and expense risk for
                           that Valuation Period as shown in the Contract
                           Schedule; minus

                  6.       the amount charged for administration for that
                           Valuation Period, as shown in the Contract Schedule;
                           and

         (b)      is the value of the assets in the Subaccount at the end of the
                  preceding Valuation Period, adjusted for allocations and
                  transfers to and withdrawals and transfers from the Subaccount
                  occurring during that preceding Valuation Period.

RESERVED RIGHTS.  When permitted by law, we reserve the right to:

         1.       create new variable accounts;

         2.       combine variable accounts, including the Variable Account;

         3.       remove, combine or add Subaccounts and make the new
                  Subaccounts available to contractowners at our discretion;

         4.       substitute shares of another portfolio of the Fund or shares
                  of another investment company for those of the Fund;

         5.       add new portfolios to the Fund;

         6.       deregister the Variable Account under the Investment Company
                  Act of 1940 if registration is no longer required;

         7.       make any changes required by the Investment Company Act of
                  1940; and

         8.       operate the Variable Account as a managed investment company
                  under the Investment Company Act of 1940 or any other form
                  permitted by law.

         If a change is made, we will send you a revised prospectus and any
notice required by law.

CHANGE IN INVESTMENT POLICY. The investment policy of a Subaccount may not be
changed unless:

         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.

                                      -13-
<PAGE>   14
                             THE GUARANTEED ACCOUNT

GUARANTEED ACCOUNT. Amounts in the Guaranteed Account are part of our General
Account. The Guaranteed Account is not part of and does not depend on the
investment performance of the Variable Account.

         We credit interest to amounts in the Guaranteed Account at rates we
determine. We guarantee that the effective annual interest rate will not be less
than 3%. We may credit a higher current interest rate. For the amount in the
Guaranteed Account at the beginning of a calendar year, we will determine such
interest rates in advance of each calendar year. Such rates will apply to the
calendar year which follows the date of determination. For amounts allocated or
transferred to the Guaranteed Account during a calendar year, we will determine
interest rates applicable to such amounts in advance of the date such amount is
received or transferred. Such rates will apply to the end of the calendar year
in which the payment is received or the transfer is made.

GUARANTEED ACCOUNT VALUE. This Contract's Guaranteed Account Value for any
Valuation Period before the Maturity Date is:

         1.       the sum of the Net Premiums, allocated to the Guaranteed
                  Account; plus

         2.       any amounts transferred to the Guaranteed Account from a
                  Subaccount of the Variable Account; minus

         3.       any amounts withdrawn or transferred from the Guaranteed
                  Account together with any associated charges; minus

         4.       any Annual Administration Fee deducted from the amount in the
                  Guaranteed Account; plus

         5.       interest we credit to the amount in the Guaranteed Account.

         For the purpose of crediting interest, amounts deducted, transferred
and withdrawn from the Guaranteed Account will be accounted for on a last-in,
first-out basis.

                            ALLOCATIONS AND TRANSFERS

NET PREMIUM ALLOCATION. In your application you selected how you wanted your
Initial Net Premium to be allocated among the Subaccounts and the Guaranteed
Account.

         We will allocate the Initial Net Premium to the Subaccounts and the
Guaranteed Account based on the premium allocation schedule in your application.

         You may change the allocation schedule by Written Notice. Any
additional Net Premiums will be allocated in accordance with the allocation
schedule in effect when such

                                      -14-
<PAGE>   15
premium is received, unless at the time of payment we receive Written Notice to
the contrary. The portion of a Net Premium to be applied to each selected
Subaccount and the Guaranteed Account must be a whole percentage.

TRANSFER PRIVILEGE. Before the Maturity Date, you may transfer all or part of
the amount in the Subaccount(s) to another Subaccount(s) or to the Guaranteed
Account, or transfer a part of the amount in the Guaranteed Account to the
Subaccount(s), subject to the availability of a Subaccount or shares of a
portfolio.

         The minimum transfer amount is shown in the Contract Schedule.

         If a transfer amount reduces the amount in a Subaccount or the
Guaranteed Account to less than $500, we reserve the right to treat the transfer
request as a request to transfer the entire amount in that Subaccount or
Guaranteed Account.

RESTRICTIONS ON TRANSFERS FROM GUARANTEED ACCOUNT. You may transfer a part of
the amount in the Guaranteed Account to the Subaccount(s) of the Variable
Account, subject to these additional restrictions:

         1.       we allow only one transfer each year and this transfer must be
                  within the period that is 30 days before and 30 days after the
                  Contract Anniversary. An unused transfer option does not carry
                  over to the next year; and

         2.       the maximum transfer amount is 25% of the Contract's
                  Guaranteed Account Value on the date of the transfer, unless
                  the balance after the transfer is less than $500.

         We will make the transfer on the Contract Anniversary if your Written
Notice is received prior to the Contract Anniversary, if your Written Notice is
received after the Contract Anniversary, we will make the transfer as of the
date we receive your request at our Service Center.

                                 CONTRACT VALUES

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

CASH SURRENDER VALUE. The Cash Surrender Value is the Contract Account Value,
less any applicable Surrender Charge. The Cash Surrender Value will be
determined on the date we receive your Written Notice for surrender and this
Contract at our Service Center.

         You may surrender this Contract for its Cash Surrender Value at any
time before the earlier of the death of the Annuitant or the Maturity Date. You
may elect to have the Cash Surrender Value (less any applicable deduction for
premium tax) paid in a single sum or under a Payment Option. This Contract ends
when we pay the Cash Surrender Value or apply such sum under a Payment Option.

                                      -15-
<PAGE>   16
WITHDRAWALS. You may withdraw part of the Cash Surrender Value at any time
before the earlier of the death of the Annuitant or the Maturity Date, subject
to these limits:

         1.       the minimum withdrawal amount is shown in the Contract
                  Schedule;

         2.       the maximum withdrawal is the amount that would leave a
                  minimum Cash Surrender Value of the amount shown in the
                  Contact Schedule; and

         3.       a withdrawal request which would reduce the amount in a
                  Subaccount or the Guaranteed Account below $500 will be
                  treated as a request for a full withdrawal of the amount in
                  that Subaccount or Guaranteed Account.

         On the date we receive your Written Notice for a withdrawal at our
Service Center we will withdraw the amount of the withdrawal from the Contract
Account Value. We will then deduct any applicable Surrender Charge from the
amount withdrawn, unless you request in advance that any applicable Surrender
Charge be deducted from the remaining Contract Account Value. In that event, the
amount that will be withdrawn from the Contract Account Value will equal the
amount of the withdrawal request plus any applicable Surrender Charge.

         You may specify the amount to be withdrawn from certain Subaccounts or
the Guaranteed Account for your partial withdrawal. If you do not specify this
information to us, or the amount in the designated Subaccounts or Guaranteed
Account is inadequate to comply with your request, we will make the withdrawal
based on the proportion that your Subaccount Values and the Guaranteed Account
Value bear to the Contract Account Value prior to the withdrawal.

SURRENDER CHARGE. The applicable percentage from the Surrender Charge Table in
the Contract Schedule will be deducted upon any withdrawal or surrender and will
be applied as follows:

         a.       to the entire withdrawal or surrender amount if such
                  withdrawal or surrender occurs during the first Contract Year;
                  or

         b.       to the portion of the withdrawal or surrender which is in
                  excess of the percentage listed in the table below for the
                  applicable Contract Year:

<TABLE>
<CAPTION>
                                                                 % OF CONTRACT
                              CONTRACT YEAR                      ACCOUNT VALUE
                              -------------                      -------------
<S>                                                              <C>
                                   1                                   0%
                                   2                                  20%
                                   3                                  30%
                                   4                                  40%
                                   5                                  50%
                                   6                                  60%
                                   7                                  70%
</TABLE>

                                      -16-
<PAGE>   17
         Amounts up to the Contract Account Value percentage shown above are
available for withdrawal in the applicable Contract Year without the imposition
of a surrender charge. However, starting in Contract Year 3 and in each
subsequent Contract Year listed above, the applicable percentage for each year
will be reduced by the total percentage withdrawn without imposition of
surrender charge from the Contract Account Value in the prior years.

         There is no limit on the number of withdrawals occurring in any
Contract Year.

         If the Contract is being surrendered, the applicable Surrender Charge
will be deducted from the Contract Account Value in determining the Cash
Surrender Value.

         For a partial withdrawal, any applicable Surrender Charge will be
deducted from the amount withdrawn, unless you request in advance that the
Surrender Charge be deducted from the remaining Contract Account Value.

         In no event will the Surrender Charge exceed 8.5% of the total premiums
received under the Contract.

ANNUAL ADMINISTRATION FEE. We will assess the Annual Administration Fee shown in
the Contract Schedule:

         1.       for the prior Contract Year, on the Contract Anniversary; or

         2.       for the current Contract Year on the date this Contract is
                  surrendered for its Cash Surrender Value or on the Maturity
                  Date (unless the Contract is surrendered on a Contract
                  Anniversary or the Maturity Date is a Contract Anniversary and
                  the fee is assessed under 1 above).

         The fee will be assessed against the Subaccount(s) and Guaranteed
Account based on the proportion that your Subaccount Values and the Guaranteed
Account Value bear to the Contract Account Value.

         If the fee is obtained from the Subaccounts, we will cancel the
appropriate number of units credited to this Contract based on the Unit Value at
the end of the Valuation Period when the fee is assessed. If the fee is obtained
from the Guaranteed Account, we will reduce this Contract's Guaranteed Account
Value by the amount of the fee.

MATURITY DATE. No Surrender Charge will be applied to the Contract Account Value
on the Maturity Date if the proceeds are applied under a Payment Option. If the
proceeds are paid in a lump sum on the Maturity Date, the proceeds will equal
the Cash Surrender Value on such date.

         You may change the Maturity Date subject to these limitations:

         1.       we must receive your Written Notice at our Service Center at
                  least 30 days before the current Maturity Date;

                                      -17-
<PAGE>   18
         2.       the requested Maturity Date must be a date that is at least 30
                  days after we receive your Written Notice; and

         3.       the requested Maturity Date must be not later than the first
                  day of the month after the Annuitant's 90th birthday, or any
                  earlier date required by law.

TERMINATION. We may pay you the Cash Surrender Value and end this Contract if,
before the Maturity Date, all of these events simultaneously exist:

         1.       you have not paid any premiums for at least two years;

         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.

         We will mail you a notice of our intention to end this Contract at
least six months in advance. 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 specified in
the Contract Schedule.

BASIS OF VALUES. Any paid-up annuity, cash surrender or death benefits that may
be available are at least equal to the minimum required by law in the state 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.

                               PAYMENT OF PROCEEDS

PROCEEDS. Proceeds means the amount we will pay when the first of the following
events occurs: the Maturity Date; the Contract is surrendered; or we receive due
proof of death of the Annuitant or the Owner. This Contract ends when we pay the
proceeds.

         "Due Proof of Death" is proof of death that is satisfactory to us. Such
         proof may consist of:

         1.       a certified copy of the death certificate; and/or

         2.       a certified copy of the decree of a court of competent
                  jurisdiction as to the finding of death.

         We will deduct any applicable premium tax from the proceeds described
below, unless we already deducted the tax from the premiums when paid. (See the
"Net Premium" provision.)

                                      -18-
<PAGE>   19
PROCEEDS ON MATURITY DATE. If you have not elected to receive the proceeds in a
lump sum, the proceeds we will pay is the Contract Account Value, which we will
apply under a Payment Option on the Maturity Date. (See the "Maturity Date"
provision and the "Payment Options" section.) If the proceeds are paid in a lump
sum, we will pay the Cash Surrender Value.

PROCEEDS ON SURRENDER. If you surrender this Contract before the earlier of the
death of the Annuitant or the Maturity Date, the proceeds we will pay is the
Cash Surrender Value. (See the "Maturity Date" provision concerning changing the
Maturity Date and having the Contract Account Value applied under a Payment
Option.)

PROCEEDS ON DEATH OF ANNUITANT BEFORE MATURITY DATE. If the Annuitant dies
before the Maturity Date, the proceeds we will pay to the Beneficiary is the
death benefit.

         If the Annuitant dies before the end of the seventh Contract Year, the
death benefit will equal the greater of:

         1.       the premiums paid, less any withdrawals including applicable
                  surrender charges; or

         2.       the Contract Account Value on the date we receive due proof of
                  the Annuitant's death.

         If the Annuitant dies after the end of the seventh Contract Year, the
death benefit will equal the greatest of:

         1.       the Contract Account Value as of the end of the seventh
                  Contract Year plus any subsequent deposits less any subsequent
                  withdrawals; or

         2.       the Contract Account Value on the date we receive due proof of
                  the Annuitant's death; or

         3.       the premiums paid less any withdrawals including applicable
                  surrender charges.

         The proceeds will be paid in a lump sum or under a Payment Option. If
you are the Annuitant, the proceeds must be distributed in accordance with the
rules set forth in "Proceeds on Death of an Owner" for an Owner's death before
the Maturity Date. No death benefit is payable if this Contract is surrendered
before the Annuitant's death.

PROCEEDS ON DEATH OF AN OWNER. If any Owner dies before the Maturity Date, the
Contract Account Value (or if the deceased Owner is the Annuitant, the proceeds
payable on the Annuitant's death) must be distributed to the Beneficiary within
five years after the date of such death.

                                      -19-
<PAGE>   20
         If any Owner dies on or after the Maturity Date, any remaining payments
must be distributed at least as rapidly as under the Payment Option in effect on
the date of such death.

         These distribution requirements will be considered satisfied as to any
portion of the proceeds:

         1.       payable to or for the benefit of a designated beneficiary; and

         2.       which is distributed over the life (or period not exceeding
                  the life expectancy) of that Beneficiary, provided that such
                  distributions begin within one year of the Owner's death.

         The designated beneficiary is the person designated by the Owner as
Beneficiary and to whom the ownership of the Contract passes by reason of an
Owner's death and must be a natural person. However, if the Owner's spouse is
the designated beneficiary, the Contract may be continued with the surviving
spouse as the new Owner. If the Contract has Joint Owners, the surviving Joint
Owner will be the designated beneficiary.

         If you are not an individual, the Annuitant as determined in accordance
with section 72(s) of the Internal Revenue Code (i.e. the individual the events
in the life of whom are of primary importance in effecting the timing or amount
of the payout under the Contract) will be treated as Owner for purposes of these
distribution requirements, and any change in the Annuitant will be treated as
the death of the Owner.

PAYMENTS. We will usually pay any proceeds, withdrawals, or cash surrenders
within seven business days after:

         1.       we receive and file your Written Notice for a withdrawal or a
                  cash surrender; or

         2.       we receive and file due proof of death of the Owner or
                  Annuitant.

         However, we can postpone the payment of proceeds, withdrawals, or cash
surrenders or the transfer of amounts between Subaccounts 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 Securities and Exchange
                  Commission; or

         2.       the Securities and Exchange Commission permits by an order the
                  postponement for the protection of contractholders; or

         3.       the Securities and Exchange Commission 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; or

         4.       the Fund is permitted by law or regulation to postpone payment
                  of proceeds.

                                      -20-
<PAGE>   21
         If a recent check or draft has been submitted, we have the right to
defer payment of the Contract Account Value, Cash Surrender Value or death
benefit until such check or draft has been honored.

         We have the right to defer payment of any withdrawal, transfer or Cash
Surrender Value from the Guaranteed Account for up to six months from the date
we receive your Written Notice for a withdrawal or surrender.

INTEREST ON PROCEEDS. We will pay interest on proceeds if we do not pay the
proceeds in a single sum or begin paying the proceeds under a Payment Option:

         1.       within 30 days after the proceeds become payable; or

         2.       within the time required by the applicable jurisdiction, if
                  less than 30 days.

         This interest will accrue from the date the proceeds become 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.

CONFORMITY WITH LAWS. To the extent this Contract conflicts with any applicable
laws or the requirements of the Internal Revenue Service concerning
distributions on death, this Contract shall be considered to be amended to
conform with such requirements.

                                 PAYMENT OPTIONS

ELECTION OF OPTION. The following 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 Cash Surrender Value, Contract Account Value
or death benefit 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 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 Payee,
ceasing with the last payment due prior to the death of the Payee according to
the Option Table, Life Only column.

OPTION B - LIFE ANNUITY WITH 10 YEARS GUARANTEED: An income payable during the
lifetime of the Payee 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

                                      -21-
<PAGE>   22
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.

ALTERNATE INCOME OPTION. In lieu of one of the above options you may elect to
settle the Cash Surrender Value, Contract Account Value or death benefit under
an alternate income option based on our single premium immediate annuity rates
in effect at the time of settlement. Such rates will be adjusted to a due basis
and the income thus produced will be increased by 4%. In no case will the
resulting 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.

GENERAL PROVISIONS. Annuity payments shall commence and continue subject to the
following provisions:

         A.       This Contract shall be surrendered to us at our Service
                  Center. We shall issue a Supplementary Contract stating the
                  terms of payment under the option elected.

         B.       Proof satisfactory to us of the identity, birth date and sex
                  of any person on whose life an annuity depends shall be
                  provided to us before any annuity payments will be made.

         C.       We shall make each annuity payment by check which shall be
                  personally endorsed by the person upon whose life the annuity
                  depends, or other evidence must be furnished that such person
                  is alive.

         D.       No election of any option may be made under this Contract for
                  any Payee unless such election would produce a periodic
                  payment of at least $50 to that Payee. If at any time payments
                  to be made become less than $50 each, we shall have the right
                  to change the frequency of payments 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.

         E.       If the Payee is other than you, the election of a Payment
                  Option shall require our consent.

         F.       We shall deduct from the Cash Surrender Value or the Contract
                  Account Value any Premium Tax at the time income payments
                  commence.

                                      -22-
<PAGE>   23
             GUARANTEED AMOUNT OF MONTHLY PAYMENT FOR EACH $1,000 OF
                              ANNUITY VALUE APPLIED

<TABLE>
<CAPTION>
                GUARANTEED MONTHLY PAYMENTS                                GUARANTEED MONTHLY PAYMENTS

                                                 10 Year            Age of Payee                             10 Year
         Age of Payee                            Period                                                      Period
                                 Life Only       Certain                                     Life Only       Certain
     Male           Female       (Option A)    (Option B)         Male        Female         (Option A)     (Option B)
     ----           ------       ----------    ----------         ----        ------         ----------     ----------
<S>                 <C>          <C>           <C>                <C>         <C>            <C>            <C>
                       5*           $2.70          $2.70           45           50             $3.59          $3.58
                       6             2.71           2.71           46           51              3.63           3.62
                       7             2.72           2.72           47           52              3.68           3.67
                       8             2.72           2.73           48           53              3.73           3.72
                       9             2.73           2.73           49           54              3.78           2.76

     5*               10             2.74           2.74           50           55              3.83           3.82
     6                11             2.75           2.75           51           56              3.89           3.87
     7                12             2.76           2.76           52           57              3.95           3.93
     8                13             2.77           2.77           53           58              4.01           3.99
     9                14             2.78           2.78           54           59              4.07           4.05

    10                15             2.79           2.79           55           60              4.14           4.11
    11                16             2.80           2.80           56           61              4.21           4.18
    12                17             2.81           2.81           57           62              4.29           4.25
    13                18             2.82           2.83           58           63              4.37           4.33
    14                19             2.83           2.84           59           64              4.46           4.41

    15                20             2.85           2.85           60           65              4.55           4.50
    16                21             2.86           2.86           61           66              4.64           4.58
    17                22             2.87           2.88           62           67              4.75           4.68
    18                23             2.89           2.89           63           68              4.86           4.78
    19                24             2.90           2.90           64           69              4.97           4.88

    20                25             2.92           2.92           65           70              5.09           4.99
    21                26             2.93           2.93           66           71              5.22           5.10
    22                27             2.95           2.95           67           72              5.36           5.21
    23                28             2.96           2.97           68           73              5.51           5.34
    24                29             2.98           2.98           69           74              5.67           5.46

    25                30             3.00           3.00           70           75              5.83           5.60
    26                31             3.02           3.02           71           76              6.01           5.73
    27                32             3.04           3.04           72           77              6.19           5.87
    28                33             3.06           3.06           73           78              6.39           6.02
    29                34             3.08           3.08           74           79              6.60           6.17

    30                35             3.10           3.10           75           80              6.82           6.32
    31                36             3.13           3.13           76           81              7.06           6.48
    32                37             3.15           3.15           77           82              7.31           6.64
    33                38             3.18           3.18           78           83              7.58           6.80
    34                39             3.20           3.20           79           84              7.87           6.97
</TABLE>

                                      -23-
<PAGE>   24
<TABLE>
<CAPTION>
                GUARANTEED MONTHLY PAYMENTS                                GUARANTEED MONTHLY PAYMENTS

                                                 10 Year            Age of Payee                             10 Year
         Age of Payee                            Period                                                      Period
                                 Life Only       Certain                                     Life Only       Certain
     Male           Female       (Option A)    (Option B)         Male        Female         (Option A)     (Option B)
     ----           ------       ----------    ----------         ----        ------         ----------     ----------
<S>                 <C>          <C>           <C>                <C>         <C>            <C>            <C>
    35                40             3.23           3.23           80           85**            8.17           7.13
    36                41             3.26           3.26           81                           8.49           7.29
    37                42             3.29           3.29           82                           8.83           7.45
    38                43             3.32           3.32           83                           9.19           7.61
    39                44             3.35           3.35           84                           9.57           7.77

    40                45             3.39           3.39           85**                         9.96           7.92
    41                46             3.42           3.42
    42                47             3.46           3.46
    43                48             3.50           3.50
    44                49             3.54           3.54
</TABLE>

*        Payment shown applies to all younger ages.
**       Payment shown applies to all older ages.

                                      -24-
<PAGE>   25
              FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT
             Flexible premiums as stated in the Premiums Provision.
   Contract values are variable, except for amounts in the Guarantee Account.
      After the Maturity Date, Payment Options are on a guaranteed basis.
      Death benefit payable upon death of Annuitant before Maturity Date.
              Non-participating - Contract does not pay dividends.













               PROVIDENTMUTUAL LIFE AND ANNUITY COMPANY OF AMERICA
                         A STOCK LIFE INSURANCE COMPANY
                  300 CONTINENTAL DRIVE, NEWARK DELAWARE 19713



<PAGE>   1
                                                                 Exhibit (8)(i)

                             PARTICIPATION AGREEMENT


         THIS AGREEMENT is made this 29th day of April 1996, by and among The
Alger American Fund (the "Trust"), an open-end management investment company
organized as a Massachusetts business trust, Provident Mutual Life and Annuity
Company of America, a life insurance company organized as a corporation under
the laws of the State of Delaware (the "Company"), on its own behalf and on
behalf of each segregated asset account of the Company set forth in Schedule A,
as may be amended from time to time (the "Accounts"), and Fred Alger and
Company, Incorporated, a Delaware corporation, the Trust's distributor (the
"Distributor").

         WHEREAS, the Trust is registered with the Securities and Exchange
Commission (the "Commission") as an open-end management investment company under
the Investment Company Act of 1940, as amended (the "1940 Act"), and has an
effective registration statement relating to the offer and sale of the various
series of its shares under the Securities Act of 1933, as amended (the " 1933
Act");

         WHEREAS, the Trust and the Distributor desire that Trust shares be used
as an investment vehicle for separate accounts established for variable life
insurance policies and variable annuity contracts to be offered by life
insurance companies which have entered into fund participation agreements with
the Trust (the "Participating Insurance Companies");

         WHEREAS, shares of beneficial interest in the Trust are divided into
the following series which are available for purchase by the Company for the
Accounts: Alger American Small Capitalization Portfolio, Alger American Growth
Portfolio, Alger American Income & Growth Portfolio, Alger American Balanced
Portfolio, Alger American MidCap Growth Portfolio, and Alger American Leveraged
AllCap Portfolio;

         WHEREAS, the Trust has received an order from the Commission, dated
February 17, 1989 (File No. 812-7076), granting Participating Insurance
Companies and their separate accounts exemptions from the provisions of Sections
9(a), 13(a), 15(a) and,15(b) of the 1940 Act, and Rules 6e-2(b)(15) and
6e-3(T)(b)(15) thereunder, to the extent necessary to permit shares of the
Portfolios of the Trust to be sold to and held by variable annuity and variable
life insurance separate accounts of both affiliated and unaffiliated life
insurance companies (the "Shared Funding Exemptive Order");

         WHEREAS, the Company has registered or will register under the 1933 Act
certain variable life insurance policies and variable annuity contracts to be
issued by the Company under which the Portfolios are to be made available as
investment vehicles (the "Contracts");

         WHEREAS, the Company has registered or will register each Account as a
unit investment trust under the 1940 Act unless an exemption from registration
under the 1940 Act is available and the Trust has been so advised;

         WHEREAS, the Company desires to use shares of one or more Portfolios as
investment vehicles for the Accounts;
<PAGE>   2
          NOW THEREFORE, in consideration of their mutual promises, the parties
agree as follows:

                                   ARTICLE I.

                PURCHASE AND REDEMPTION OF TRUST PORTFOLIO SHARES


1.1      For purposes of this Article I, the Company shall be the Trust's agent
         for the receipt from each account of purchase orders and requests for
         redemption pursuant to the Contracts relating to each Portfolio,
         provided that the Company notifies the Trust of such purchase orders
         and requests for redemption by 9:30 a.m. Eastern time on the next
         following Business Day, as defined in Section 1.3.


1.2      The Trust shall make shares of the Portfolios available to the Accounts
         at the net asset value next computed after receipt of a purchase order
         by the Trust (or its agent), as established in accordance with the
         provisions of the then current prospectus of the Trust describing
         Portfolio purchase procedures. The Company will transmit orders from
         time to time to the Trust for the purchase and redemption of shares of
         the Portfolios. The Trustees of the Trust (the "Trustees") may refuse
         to sell shares of any Portfolio to any person, or suspend or terminate
         the offering of shares of any Portfolio if such action is required by
         law or by regulatory authorities having jurisdiction or if, in the sole
         discretion of the Trustees acting in good faith and in light of their
         fiduciary duties under federal and any applicable state laws, such
         action is deemed in the best interests of the shareholders of such
         Portfolio.

1.3      The Company shall pay for the purchase of shares of a Portfolio on
         behalf of an Account with federal funds to be transmitted by wire to
         the Trust, with the reasonable expectation of receipt by the Trust by
         2:00 p.m. Eastern time on the next Business Day after the Trust (or its
         agent) receives the purchase order. Upon receipt by the Trust of the
         federal funds so wired, such funds shall cease to be the responsibility
         of the Company and shall become the responsibility of the Trust for
         this purpose. "Business Day" shall mean any day on which the New York
         Stock Exchange is open for trading and on which the Trust calculates
         its net asset value pursuant to the rules of the Commission.

1.4      The Trust will redeem for cash any full or fractional shares of any
         Portfolio, when requested by the Company on behalf of an Account, at
         the net asset value next computed after receipt by the Trust (or its
         agent) of the request for redemption, as established in accordance with
         the provisions of the then current prospectus of the Trust describing
         Portfolio redemption procedures. The Trust shall make payment for such
         shares in the manner established from time to time by the Trust.
         Proceeds of redemption with respect to a Portfolio will normally be
         paid to the Company for an Account in federal funds transmitted by wire
         to the Company by order of the Trust with the reasonable expectation of
         receipt by the Company by 2:00 p.m. Eastern time on the next Business
         Day after the receipt by the Trust (or its agent) of the request for
         redemption. Such payment may be delayed if, for example, the
         Portfolio's cash position so requires or if extraordinary

                                      -2-
<PAGE>   3
         market conditions exist, but in no event shall payment be delayed for a
         greater period than is permitted by the 1940 Act. The Trust reserves
         the right to suspend the right of redemption, consistent with Section
         22(e) of the 1940 Act and any rules thereunder.


1.5      Payments for the purchase of shares of the Trust's Portfolios by the
         Company under Section 1.3 and payments for the redemption of shares of
         the Trust's Portfolios under Section 1.4 on any Business Day may be
         netted against one another for the purpose of determining the amount of
         any wire transfer.


1.6      Issuance and transfer of the Trust's Portfolio shares will be by book
         entry only. Stock certificates will not be issued to the Company or the
         Accounts. Portfolio Shares purchased from the Trust will be recorded in
         the appropriate title for each Account or the appropriate subaccount of
         each Account.


1.7      The Trust shall furnish, on or before the ex-dividend date, notice to
         the Company of any income dividends or capital gain distributions
         payable on the shares of any Portfolio of the Trust. The Company hereby
         elects to receive all such income dividends and capital gain
         distributions as are payable on a Portfolio's shares in additional
         shares of that Portfolio. The Trust shall notify the Company of the
         number of shares so issued as payment of such dividends and
         distributions.


1.8      The Trust shall calculate the net asset value of each Portfolio on each
         Business Day, as defined in Section 1.3. The Trust shall make the net
         asset value per share for each Portfolio available to the Company or
         its designated agent on a daily basis as soon as reasonably practical
         after the net asset value per share is calculated and shall use its
         best efforts to make such net asset value per share available to the
         Company by 6:30 p.m. Eastern time each Business Day.


1.9      The Trust agrees that its Portfolio shares will be sold only to
         Participating Insurance Companies and their segregated asset accounts,
         to the Fund Sponsor or its affiliates and to such other entities as may
         be permitted by Section 817(h) of the Code, the regulations hereunder,
         or judicial or administrative interpretations thereof. No shares of any
         Portfolio will be sold directly to the general public. The Company
         agrees that it will use Trust shares only for the purposes of funding
         the Contracts through the Accounts listed in Schedule A, as amended
         from time to time.


1.10     The Trust agrees that all Participating Insurance Companies shall have
         the obligations and responsibilities regarding pass-through voting and
         conflicts of interest corresponding materially to those contained in
         Section 2.9 and Article IV of this Agreement.

                                      -3-
<PAGE>   4
                                  ARTICLE II.
                           OBLIGATIONS OF THE PARTIES


2.1      The Trust shall prepare and be responsible for filing with the
         Commission and any state regulators requiring such filing all
         shareholder reports, notices, proxy materials (or similar materials
         such as voting instruction solicitation materials), prospectuses and
         statements of additional information of the Trust. The Trust shall bear
         the costs of registration and qualification of shares of the
         Portfolios, preparation and filing of the documents listed in this
         Section 2.1 and all taxes to which an issuer is subject on the issuance
         and transfer of its shares.


2.2      The Company shall distribute such prospectuses, proxy statements and
         periodic reports of the Trust to the Contract owners as required to be
         distributed to such Contract owners under applicable federal or state
         law. The Trust shall bear the expense of distributing proxy statements,
         periodic reports of the Trust and other shareholder communications to
         Contract owners.


2.3      The Trust shall provide such documentation (including a final copy of
         the Trust's prospectus as set in type or in camera-ready copy) and
         other assistance as is reasonably necessary in order for the Company to
         print together in one document the current prospectus for the Trust and
         the current prospectuses for other funds available under the Contracts
         issued by the Company. The Trust shall bear the expense of printing
         copies of its current prospectus that will be distributed to existing
         Contract owners, and the Company shall bear the expense of printing
         copies of the Trust's prospectus that are used in connection with
         offering the Contracts issued by the Company.


2.4      The Trust and the Distributor shall provide (1) at the Trust's expense,
         one copy of the Trust's current Statement of Additional Information
         ("SAI") to the Company and to any Contract owner who requests such SAI,
         (2) at the Company's expense, such additional copies of the Trust's
         current SAI as the Company shall reasonably request and that the
         Company shall require in accordance with applicable law in connection
         with offering the Contracts issued by the Company.


2.5      The Trust, at its expense, shall provide the Company with copies of its
         proxy material, periodic reports to shareholders and other
         communications to shareholders in such quantity as the Company shall
         reasonably require for purposes of distributing to Contract owners. The
         Trust, at the Company's expense, shall provide the Company with copies
         of its periodic reports to shareholders and other communications to
         shareholders in such quantity as the Company shall reasonably request
         for use in connection with offering the Contracts issued by the
         Company. If requested by the Company in lieu thereof, the Trust shall
         provide such documentation (including a final copy of the Trust's proxy
         materials, periodic reports to shareholders and other communications to
         shareholders, as set in type

                                      -4-
<PAGE>   5
         or in camera-ready copy) and other assistance as reasonably necessary
         in order for the Company to print such shareholder communications for
         distribution to Contract owners.


2.6      The Company agrees and acknowledges that the Distributor is the sole
         owner of the name and mark "Alger" and that all use of any designation
         comprised in whole or part of such name or mark under this Agreement
         shall inure to the benefit of the Distributor. Except as provided in
         Section 2.5, the Company shall not use any such name or mark on its own
         behalf or on behalf of the Accounts or Contracts in any registration
         statement, advertisement, sales literature or other materials relating
         to the Accounts or Contracts without the prior written consent of the
         Distributor. Upon termination of this Agreement for any reason, the
         Company shall cease all use of any such name or mark as soon as
         reasonably practicable.


2.7      The Company shall furnish, or cause to be furnished, to the Trust or
         its designee a copy of each Contract prospectus and/or statement of
         additional information describing the Contracts, each report to
         Contract owners, proxy statement, application for exemption or request
         for no-action letter in which the Trust or the Distributor is named
         contemporaneously with the filing of such document with the Commission.
         The Company shall furnish, or shall cause to be furnished, to the Trust
         or its designee each piece of sales literature or other promotional
         material in which the Trust or the Distributor is named, at least five
         Business Days prior to its use. No such material shall be used if the
         Trust or its designee reasonably objects to such use within three
         Business Days after receipt of such material.


2.8      The Company shall not give any information or make any representations
         or statements on behalf of the Trust or concerning the Trust or the
         Distributor in connection with the sale of the Contracts other than
         information or representations contained in and accurately derived from
         the registration statement or prospectus for the Trust shares (as such
         registration statement and prospectus may be amended or supplemented
         from time to time), annual and semi-annual reports of the Trust,
         Trust-sponsored proxy statements, or in sales literature or other
         promotional material approved by the Trust or its designee, except as
         required by legal process or regulatory authorities or with the prior
         written permission of the Trust, the Distributor or their respective
         designees. The Trust and the Distributor agree to respond to any
         request for approval on a prompt and timely basis. The Company shall
         adopt and implement procedures reasonably designed to ensure that
         "broker only" materials including information therein about the Trust
         or the Distributor are not distributed to existing or prospective
         Contract owners.


2.9      The Trust shall use its best efforts to provide the Company, on a
         timely basis, with such information about the Trust, the Portfolios and
         the Distributor, in such form as the Company may reasonably require, as
         the Company shall reasonably request in connection with the preparation
         of registration statements, prospectuses and annual and semi-annual
         reports pertaining to the Contracts.

                                      -5-
<PAGE>   6
2.10     The Trust and the Distributor shall not give, and agree that no
         affiliate of either of them shall give, any information or make any
         representations or statements on behalf of the Company or concerning
         the Company, the Accounts or the Contracts other than information or
         representations contained in and accurately derived from the
         registration statement or prospectus for the Contracts (as such
         registration statement and prospectus may be amended or supplemented
         from time to time), or in materials approved by the Company for
         distribution including sales literature or other promotional materials,
         except as required by legal process or regulatory authorities or with
         the prior written permission of the Company. The Company agrees to
         respond to any request for approval on a prompt and timely basis.


2.11     So long as, and to the extent that, the Commission interprets the 1940
         Act to require passthrough voting privileges for Contract owners, the
         Company will provide pass-through voting privileges to Contract owners
         whose cash values are invested, through the registered Accounts, in
         shares of one or more Portfolios of the Trust. The Trust shall require
         all Participating Insurance Companies to calculate voting privileges in
         the same manner and the Company shall be responsible for assuring that
         the Accounts calculate voting privileges in the manner established by
         the Trust. With respect to each registered Account, the Company will
         vote shares of each Portfolio of the Trust held by a registered Account
         and for which no timely voting instructions from Contract owners are
         received in the same proportion as those shares for which voting
         instructions are received. The Company and its agents will in no way
         recommend or oppose or interfere with the solicitation of proxies for
         Portfolio shares held to fund the Contacts without the prior written
         consent of the Trust, which consent may be withheld in the Trust's sole
         discretion. The Company reserves the right, to the extent permitted by
         law, to vote shares held in any Account in its sole discretion.

2.12     The Company and the Trust will each provide to the other information
         about the results of any regulatory examination relating to the
         Contracts or the Trust, including relevant portions of any "deficiency
         letter" and any response thereto.


2.13     No compensation shall be paid by the Trust to the Company, or by the
         Company to the Trust, under this Agreement (except for specified
         expense reimbursements). However, nothing herein shall prevent the
         parties hereto from otherwise agreeing to perform, and arranging for
         appropriate compensation for, other services relating to the Trust, the
         Accounts or both.


                                  ARTICLE III.
                         REPRESENTATIONS AND WARRANTIES


3.1      The Company represents and warrants that it is an insurance company
         duly organized and in good standing under the laws of the State of
         Delaware and that it has legally and

                                      -6-
<PAGE>   7
         validly established each Account as a segregated asset account under
         such law as of the date set forth in Schedule A, and that 1717 Capital
         Management Company, the principal underwriter for the Contracts, is
         registered as a broker-dealer under the Securities Exchange Act of 1934
         and is a member in good standing of the National Association of
         Securities Dealers, Inc.


3.2      The Company represents and warrants that it has registered or, prior to
         any issuance or sale of the Contracts, will register each Account as a
         unit investment trust in accordance with the provisions of the 1940 Act
         and cause each Account to remain so registered to serve as a segregated
         asset account for the Contracts, unless an exemption from registration
         is available.


3.3      The Company represents and warrants that the Contracts will be
         registered under the 1933 Act unless an exemption from registration is
         available prior to any issuance or sale of the Contracts; the Contracts
         will be issued and sold in compliance in all materials respects with
         all applicable federal and state laws; and the sale of the Contracts
         shall comply in all material respects with state insurance law
         suitability requirements.


3.4      The Trust represents and warrants that it is duly organized and validly
         existing under the laws of the Commonwealth of Massachusetts and that
         it does and will comply in all material respects with the 1940 Act and
         the rules and regulations thereunder.

3.5      The Trust and the Distributor represent and warrant that the Portfolio
         shares offered and sold pursuant to this Agreement will be registered
         under the 1933 Act and sold in accordance with all applicable federal
         and state laws, and the Trust shall be registered under the 1940 Act
         prior to and at the time of any issuance or sale of such shares. The
         Trust shall amend its registration statement under the 1933 Act and the
         1940 Act from time to time as required in order to effect the
         continuous offering of its shares. The Trust shall register and qualify
         its shares for sale in accordance with the laws of the various states
         only if and to the extent deemed advisable by the Trust.


3.6      The Trust represents and warrants that the investments of each
         Portfolio will comply with the diversification requirements for
         variable annuity, endowment or life insurance contracts set forth in
         Section 817(h) of the Internal Revenue Code of 1986, as amended (the
         "Code"), and the rules and regulations thereunder, including without
         limitation Treasury Regulation 1.817-5, and will notify the Company
         immediately upon having a reasonable basis for believing any Portfolio
         has ceased to comply or might not so comply and will immediately take
         all reasonable steps to adequately diversify the Portfolio to achieve
         compliance within the grace period afforded by Regulation 1.817-5.


3.7      The Trust represents and warrants that it is currently qualified as a
         "regulated investment company" under Subchapter M of the Code, that it
         will make every effort to maintain

                                      -7-
<PAGE>   8
         such qualification and will notify the Company immediately upon having
         a reasonable basis for believing it has ceased to so qualify or might
         not so qualify in the future.


3.8      The Trust represents and warrants that it, its directors, officers,
         employees and others dealing with the money or securities, or both, of
         a Portfolio shall at all times be covered by a blanket fidelity bond or
         similar coverage for the benefit of the Trust in an amount not less
         than the minimum coverage required by Rule 17g-1 or other applicable
         regulations under the 1940 Act. Such bond shall include coverage for
         larceny and embezzlement and be issued by a reputable bonding company.


3.9      The Distributor represents that it is duly organized and validly
         existing under the laws of the State of Delaware and that it is
         registered, and will remain registered, during the term of this
         Agreement, as a broker-dealer under the Securities Exchange Act of 1934
         and is a member in good standing of the National Association of
         Securities Dealers, Inc.


                                  ARTICLE IV.
                               POTENTIAL CONFLICTS


4.1      The parties acknowledge that a Portfolio's shares may be made available
         for investment to other Participating Insurance Companies. In such
         event, the Trustees will monitor the Trust for the existence of any
         material irreconcilable conflict between the interests of the contract
         owners of all Participating Insurance Companies. A material
         irreconcilable conflict may arise for a variety of reasons, including:
         (a) an action by any state insurance regulatory authority; (b) a change
         in applicable federal or state insurance, tax or securities laws or
         regulations, or a public ruling, private letter ruling, no-action or
         interpretative letter, or any similar action by insurance, tax, or
         securities regulatory authorities; (c) an administrative or judicial
         decision in any relevant proceeding; (d) the manner in which the
         investments of any Portfolio are being managed; (e) a difference in
         voting instructions given by variable annuity contract and variable
         life insurance contract owners; or (f) a decision by an insurer to
         disregard the voting instructions of contract owners. The Trust shall
         promptly inform the Company of any determination by the Trustees that a
         material irreconcilable conflict exists and of the implications
         thereof.


4.2      The Company agrees to report promptly any potential or existing
         conflicts of which it is aware to the Trustees. The Company will assist
         the Trustees in carrying out their responsibilities under the Shared
         Funding Exemptive Order by providing the Trustees with all information
         reasonably necessary for and requested by the Trustees to consider any
         issues raised including, but not limited to, information as to a
         decision by the Company to disregard Contract owner voting
         instructions. All communications from the Company to the Trustees may
         be made in care of the Trust.

                                      -8-
<PAGE>   9
4.3      If it is determined by a majority of the Trustees, or a majority of the
         disinterested Trustees, that a material irreconcilable conflict exists
         that affects the interests of contract owners, the Company shall, in
         cooperation with other Participating Insurance Companies whose contract
         owners are also affected, at its own expense and to the extent
         reasonably practicable (as determined by the Trustees) take whatever
         steps are necessary to remedy or eliminate the material irreconcilable
         conflict, which steps could include: (a) withdrawing the assets
         allocable to some or all of the Accounts from the Trust or any
         Portfolio and reinvesting such assets in a different investment medium,
         including (but not limited to) another Portfolio of the Trust, or
         submitting the question of whether or not such segregation should be
         implemented to a vote of all affected Contract owners and, as
         appropriate, segregating the assets of any appropriate group (i.e.,
         annuity contract owners, life insurance contract owners, or variable
         contract owners of one or more Participating Insurance Companies) that
         votes in favor of such segregation, or offering to the affected
         Contract owners the option of making such a change; and (b)
         establishing a new registered management investment company or managed
         separate account.


4.4      If a material irreconcilable conflict arises because of a decision by
         the Company to disregard Contract owner voting instructions and that
         decision represents a minority position or would preclude a majority
         vote, the Company may be required, at the Trust's election, to withdraw
         the affected Account's investment in the Trust and terminate this
         Agreement with respect to such Account; provided, however that such
         withdrawal and termination shall be limited to the extent required by
         the foregoing material irreconcilable conflict as determined by a
         majority of the disinterested Trustees. Any such withdrawal and
         termination must take place within six (6) months after the Trust gives
         written notice that this provision is being implemented. Until the end
         of such six (6) month period, the Trust shall continue to accept and
         implement orders by the Company for the purchase and redemption of
         shares of the Trust.


4.5      If a material irreconcilable conflict arises because a particular state
         insurance regulator's decision applicable to the Company conflicts with
         the majority of other state regulators, then the Company will withdraw
         the affected Account's investment in the Trust and terminate this
         Agreement with respect to such Account within six (6) months after the
         Trustees inform the Company in writing that the Trust has determined
         that such decision has created a material irreconcilable conflict;
         provided, however, that such withdrawal and termination shall be
         limited to the extent required by the foregoing material irreconcilable
         conflict as determined by a majority of the disinterested Trustees.
         Until the end of such six (6) month period, the Trust shall continue to
         accept and implement orders by the Company for the purchase and
         redemption of shares of the Trust.


4.6      For purposes of Section 4.3 through 4.6 of this Agreement, a majority
         of the disinterested Trustees shall determine whether any proposed
         action adequately remedies any material irreconcilable conflict, but in
         no event will the Trust be required to establish a new funding medium
         for any Contract. The Company shall not be required to establish a new

                                      -9-
<PAGE>   10
         funding medium for the Contracts if an offer to do so has been declined
         by vote of a majority of contract owners materially adversely affected
         by the material irreconcilable conflict. In the event that the Trustees
         determine that any proposed action does not adequately remedy any
         material irreconcilable conflict, then the Company will withdraw the
         Account's investment in the Trust and terminate this Agreement within
         six (6) months after the Trustees inform the Company in writing of the
         foregoing determination; provided, however, that such withdrawal and
         termination shall be limited to the extent required by any such
         material irreconcilable conflict as determined by a majority of the
         disinterested Trustees.


4.7      The Company shall at least annually submit to the Trustees such
         reports, materials or data as the Trustees may reasonably request so
         that the Trustees may fully carry out the duties imposed upon them by
         the Shared Funding Exemptive Order, and said reports, materials and
         data shall be submitted more frequently if reasonably deemed
         appropriate by the Trustees.


4.8      If and to the extent that Rule 6e-3(T) is amended, or Rule 6e-3 is
         adopted, to provide exemptive relief from any provision of the 1940 Act
         or the rules promulgated thereunder with respect to mixed or shared
         funding (as defined in the Shared Funding Exemptive Order) on terms and
         conditions materially different from those contained in the Shared
         Funding Exemptive Order, then the Trust and/or the Participating
         Insurance Companies, as appropriate, shall take such steps as may be
         necessary to comply with Rule 6e-3(T), as amended, or Rule 6e-3, as
         adopted, to the extent such rules are applicable.



                                   ARTICLE V.
                                 INDEMNIFICATION


5.1      Indemnification By the Company. The Company agrees to indemnify and
         hold harmless the Distributor, the Trust and each of its Trustees,
         officers, employees and agents and each person, if any, who controls
         the Trust within the meaning of Section 15 of the 1933 Act
         (collectively, the "Indemnified Parties" for purposes of this Section
         5.1) against any and all losses, claims, damages, liabilities
         (including amounts paid in settlement with the written consent of the
         Company, which consent shall not be unreasonably withheld) or expenses
         (including the reasonable costs of investigating or defending any
         alleged loss, claim, damage, liability or expense and reasonable legal
         counsel fees incurred in connection therewith) (collectively,
         "Losses"), to which the Indemnified Parties may become subject under
         any statute or regulation, or at common law or otherwise, insofar as
         such Losses are related to the sale or acquisition of the Contracts or
         Trust shares and:

         (a)      arise out of or are based upon any untrue statements or
                  alleged untrue statements of any material fact contained in a
                  registration statement or prospectus for the Contracts or in
                  the Contracts themselves or in sales literature generated or

                                      -10-
<PAGE>   11
                  approved by the Company on behalf of the Contracts or Accounts
                  (or any amendment or supplement to any of the foregoing)
                  (collectively, "Company Documents" for the purposes of this
                  Article V), or arise out of or are based upon the omission or
                  the alleged omission to state therein a material fact required
                  to be stated therein or necessary to make the statements
                  therein not misleading, provided that this indemnity shall not
                  apply as to any Indemnified Party if such statement or
                  omission or such alleged statement or omission was made in
                  reliance upon and was accurately derived from written
                  information furnished to the Company by or on behalf of the
                  Trust for use in Company Documents or otherwise for use in
                  connection with the sale of the Contracts or Trust shares; or


         (b)      arise out of or result from statements or representations
                  (other than statements or representations contained in and
                  accurately derived from Trust Documents as defined in Section
                  5.2(a)) or wrongful conduct of the Company or persons under
                  its control, with respect to the sale or acquisition of the
                  Contracts or Trust shares; or


         (c)      arise out of or result from any untrue statement or alleged
                  untrue statement of a material fact contained in Trust
                  Documents as defined in Section 5.2(a) or the omission or
                  alleged omission to state therein a material fact required to
                  be stated therein or necessary to make the statements therein
                  not misleading if such statement or omission was made in
                  reliance upon and accurately derived from written information
                  furnished to the Trust by or on behalf of the Company; or


         (d)      arise out of or result from any failure by the Company to
                  provide the services or furnish the materials required under
                  the terms of this Agreement; or


         (e)      arise out of or result from any material breach of any
                  representation and/or warranty made by the Company in this
                  Agreement or arise out of or result from any other material
                  breach of this Agreement by the Company; or


         (f)      arise out or result from the provision by the Company to the
                  Trust of insufficient or incorrect information regarding the
                  purchase or sale of shares of any Portfolio, or the failure of
                  the Company to provide such information on a timely basis.


5.2      Indemnification by the Distributor. The Distributor agrees to indemnify
         and hold harmless the Company and each of its directors, officers,
         employees, and agents and each person, if any, who controls the Company
         within the meaning of Section 15 of the 1933 Act (collectively, the
         "Indemnified Parties" for the purposes of this Section 5.2) against any
         and all losses, claims, damages, liabilities (including amounts paid in
         settlement with the written consent of the Distributor, which consent
         shall not be unreasonably withheld)

                                      -11-
<PAGE>   12
         or expenses (including the reasonable costs of investigating or
         defending any alleged loss, claim, damage, liability or expense and
         reasonable legal counsel fees incurred in connection therewith)
         (collectively, "Losses"), to which the Indemnified Parties may become
         subject under any statute or regulation, or at common law or otherwise,
         insofar as such Losses are related to the sale or acquisition of the
         Contracts or Trust shares and:


         (a)      arise out of or are based upon any untrue statements or
                  alleged untrue statements of any material fact contained in
                  the registration statement or prospectus for the Trust (or any
                  amendment or supplement thereto) (collectively, "Trust
                  Documents" for the purposes of this Article V), or arise out
                  of or are based upon the omission or the alleged omission to
                  state therein a material fact required to be stated therein or
                  necessary to make the statements therein not misleading,
                  provided that this indemnity shall not apply as to any
                  Indemnified Party if such statement or omission or such
                  alleged statement or omission was made in reliance upon and
                  was accurately derived from written information furnished to
                  the Distributor or the Trust by or on behalf of the Company
                  for use in Trust Documents or otherwise for use in connection
                  with the sale of the Contracts or Trust shares and; or


         (b)      arise out of or result from statements or representations
                  (other than statements or representations contained in and
                  accurately derived from Company Documents) or wrongful conduct
                  of the Distributor or persons under its control, with respect
                  to the sale or acquisition of the Contracts or Portfolio
                  shares; or


         (c)      arise out of or result from any untrue statement or alleged
                  untrue statement of a material fact contained in Company
                  Documents or the omission or alleged omission to state therein
                  a material fact required to be stated therein or necessary to
                  make the statements therein not misleading if such statement
                  or omission was made in reliance upon and accurately derived
                  from written information furnished to the Company by or on
                  behalf of the Trust; or


         (d)      arise out of or result from any failure by the Distributor or
                  the Trust to provide the services or furnish the materials
                  required under the terms of this Agreement; or


         (e)      arise out of or result from any material breach of any
                  representation and/or warranty made by the Distributor or the
                  Trust in this Agreement or arise out of or result from any
                  other material breach of this Agreement by the Distributor or
                  the Trust.


5.3      None of the Company, the Trust or the Distributor shall be liable under
         the indemnification provisions of Sections 5.1 or 5.2, as applicable,
         with respect to any Losses incurred or assessed against an Indemnified
         Party that arise from such

                                      -12-
<PAGE>   13
         Indemnified Party's willful misfeasance, bad faith or negligence in the
         performance of such Indemnified Party's duties or by reason of such
         Indemnified Party's reckless disregard of obligations or duties under
         this Agreement.


5.4      None of the Company, the Trust or the Distributor shall be liable under
         the indemnification provisions of Sections 5.1 or 5.2, as applicable,
         with respect to any claim made against an Indemnified party unless such
         Indemnified Party shall have notified the other party in writing within
         a reasonable time after the summons, or other first written
         notification, giving information of the nature of the claim shall have
         been served upon or otherwise received by such Indemnified Party (or
         after such Indemnified Party shall have received notice of service upon
         or other notification to any designated agent), but failure to notify
         the party against whom indemnification is sought of any such claim
         shall not relieve that party from any liability which it may have to
         the Indemnified Party in the absence of Sections 5.1 and 5.2.


5.5      In case any such action is brought against an Indemnified Party, the
         indemnifying party shall be entitled to participate, at its own
         expense, in the defense of such action. The indemnifying party also
         shall be entitled to assume the defense thereof, with counsel
         reasonably satisfactory to the party named in the action. After notice
         from the indemnifying party to the Indemnified Party of an election to
         assume such defense, the Indemnified Party shall bear the fees and
         expenses of any additional counsel retained by it, and the indemnifying
         party will not be liable to the Indemnified Party under this Agreement
         for any legal or other expenses subsequently incurred by such party
         independently in connection with the defense thereof other than
         reasonable costs of investigation.


                                  ARTICLE VI.
                                   TERMINATION


6.1 This Agreement shall terminate:


         (a)      at the option of any party upon 60 days advance written notice
                  to the other parties, unless a shorter time is agreed to by
                  the parties;


         (b)      at the option of the Trust or the Distributor if the Contracts
                  issued by the Company cease to qualify as annuity contracts or
                  life insurance contracts, as applicable, under the Code or if
                  the Contracts are not registered, issued or sold in accordance
                  with applicable state and/or federal law; or

                                      -13-
<PAGE>   14
         (c)      at the option of any party upon a determination by a majority
                  of the Trustees of the Trust, or a majority of its
                  disinterested Trustees, that a material irreconcilable
                  conflict exists; or


         (d)      at the option of the Company upon institution of formal
                  proceedings against the Trust or the Distributor by the NASD,
                  the SEC, or any state securities or insurance department or
                  any other regulatory body regarding the Trust's or the
                  Distributor's duties under this Agreement or related to the
                  sale of Trust shares or the operation of the Trust; or


         (e)      at the option of the Company if the Trust or a Portfolio fails
                  to meet the diversification requirements specified in Section
                  3.6 hereof; or


         (f)      at the option of the Company if shares of the Series are not
                  reasonably available to meet the requirements of the Variable
                  Contracts issued by the Company, as determined by the Company,
                  and upon prompt notice by the Company to the other parties; or


         (g)      at the option of the Company in the event any of the shares of
                  the Portfolio are not registered, issued or sold in accordance
                  with applicable state and/or federal law, or such law
                  precludes the use of such shares as the underlying investment
                  media of the Variable Contracts issued or to be issued by the
                  Company; or


         (h)      at the option of the Company, if the Portfolio fails to
                  qualify as a Regulated Investment Company under Subchapter M
                  of the Code; or


         (i)      at the option of the Distributor if it shall determine in its
                  sole judgment exercised in good faith, that the Company and/or
                  its affiliated companies 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.


6.2      Notwithstanding any termination of this Agreement, the Trust shall, at
         the option of the Company, continue to make available additional shares
         of any Portfolio and redeem shares of any Portfolio pursuant to the
         terms and conditions of this Agreement for all Contracts in effect on
         the effective date of termination of this Agreement.


6.3      The provisions of Article V shall survive the termination of this
         Agreement, and the provisions of Article IV and Section 2.9 shall
         survive the termination of this Agreement

                                      -14-
<PAGE>   15
         as long as shares of the Trust are held on behalf of Contract owners in
         accordance with Section 6.2.



                                  ARTICLE VII.
                                     NOTICES


         Any notice shall be sufficiently given when sent by registered or
certified mail to the other party at the address of such party set forth below
or at such other address as such party may from time to time specify in writing
to the other party.

                           If to the Trust or its Distributor:

                           Fred Alger Management, Inc.
                           30 Montgomery Street
                           Jersey City, NJ 07302
                           Attn: Gregory S. Duch

                           If to the Company:

                           Provident Mutual Life Insurance Company
                           1050 Westlakes Drive
                           Berwyn, PA 19312
                           Attn: Linda E. Senker


                                 ARTICLE VIII.
                                  MISCELLANEOUS


8.1      The captions in this Agreement are included for convenience of
         reference only and in no way define or delineate any of the provisions
         hereof or otherwise affect their construction or effect.


8.2      This Agreement may be executed in two or more counterparts, each of
         which taken together shall constitute one and the same instrument.


8.3      If any provision of this Agreement shall be held or made invalid by a
         court decision, statute, rule or otherwise, the remainder of the
         Agreement shall not be affected thereby.


8.4      This Agreement shall be construed and the provisions hereof interpreted
         under and in accordance with the laws of the State of New York. It
         shall also be subject to the

                                      -15-
<PAGE>   16
         provisions of the federal securities laws and the rules and regulations
         thereunder and to any orders of the Commission granting exemptive
         relief therefrom and the conditions of such orders. Copies of any such
         orders shall be promptly forwarded by the Trust to the Company.


8.5      All liabilities of the Trust arising, directly or indirectly, under
         this Agreement, of any and every nature whatsoever, shall be satisfied
         solely out of the assets of the Trust and no Trustee, officer, agent or
         holder of shares of beneficial interest of the Trust shall be
         personally liable for any such liabilities.


8.6      Each party shall cooperate with each other party and all appropriate
         governmental authorities (including without limitation the Commission,
         the National Association of Securities Dealers, Inc. and state
         insurance regulators) and shall permit such authorities reasonable
         access to its books and records in connection with any investigation or
         inquiry relating to this Agreement or the transactions contemplated
         hereby.


8.7      The rights, remedies and obligations contained in this Agreement are
         cumulative and are in addition to any and all rights, remedies and
         obligations, at law or in equity, which the parties hereto are entitled
         to under state and federal laws.


8.8      This Agreement shall not be exclusive in any respect.


8.9      Neither this Agreement nor any rights or obligations hereunder may be
         assigned by either party without the prior written approval of the
         other party.


8.10     No provisions of this Agreement may be amended or modified in any
         manner except by a written agreement properly authorized and executed
         by both parties.



8.11     Each party hereto shall, except as required by law or otherwise
         permitted by this Agreement, treat as confidential the names and
         addresses of the owners of the Contracts and all information reasonably
         identified as confidential in writing by any other party hereto, and
         shall not disclose such confidential information without the written
         consent of the affected party unless such information has become
         publicly available.

                                      -16-
<PAGE>   17
         IN WITNESS WHEREOF, the parties have caused their duly authorized
officers to execute this Participation Agreement as of the date and year first
above written.



                               Fred Alger and Company, Incorporated


                               By:   /s/Mary Marsden-Cochran
                                  ----------------------------------------------
                               Name:  Mary Marsden-Cochran
                                    --------------------------------------------
                               Title:  Secretary
                                     -------------------------------------------

                               Alger American Fund

                               By:   /s/Mary Marsden-Cochran
                                  ----------------------------------------------
                               Name:  Mary Marsden-Cochran
                                    --------------------------------------------
                               Title:  Secretary
                                     -------------------------------------------

                               Provident Mutual Life and Annuity Company
                               of America


                               By:   /s/David N. Ingram
                                  ----------------------------------------------
                               Name:  David N. Ingram
                                    --------------------------------------------
                               Title:  Executive Vice President
                                     -------------------------------------------

                                      -17-
<PAGE>   18
                                   SCHEDULE A
                            SEGREGATED ASSET ACCOUNTS




Providentmutual Variable Life Separate Account
Providentmutual Variable Annuity Separate Account

                                      -18-

<PAGE>   1
                                                                     Exhibit (9)



                               CONSENT OF COUNSEL




              I hereby consent to the use of and reference to my name under the
caption "Legal Matters" in the Statement of Additional Information filed that is
included in the Post-Effective Amendment No. 4 of the Registration Statement on
Form N-4 (File No.33-65195) for the Providentmutual Variable Annuity Separate
Account, under the Securities Act of 1933 and the Investment Company Act of
1940.

                                                        /s/ James G. Potter, Jr.
                                                        ------------------------
                                                        James G. Potter, Jr.









<PAGE>   1



                                                                 Exhibit (10)(a)



                               CONSENT OF COUNSEL






         We hereby consent to the use of our name and to the reference to our
Firm under the caption "Legal Matters" in the Statement of Additional
Information that is included in Post-Effective Amendment No. 4 to the
Registration Statement (Nos. 33-65195/811-6484) on Form N-4 for the
Providentmutual Variable Annuity Separate Account, under the Securities Act of
1933 and the Investment Company Act of 1940, respectively. This consent does not
constitute a consent under section 7 of the Securities Act of 1933, and in
consenting to the use of our name and the references to our Firm under such
caption we have not certified any part of the Registration Statement and do not
otherwise come within the categories of persons whose consent is required under
said section 7 or the rules and regulations of the Securities and Exchange
Commission thereunder.



                                                  /s/ DRINKER BIDDLE & REATH LLP
                                                  ------------------------------
                                                  DRINKER BIDDLE & REATH LLP

Philadelphia, Pennsylvania
April 24, 2000




<PAGE>   1

                                                                 Exhibit (10)(b)


                       CONSENT OF INDEPENDENT ACCOUNTANTS

              We hereby consent to the inclusion, in this Post-Effective
Amendment No. 4 to the Registration Statement under the Securities Act of 1933,
as amended, filed on Form N-4 (File No. 33-65195) for the Providentmutual
Variable Annuity Separate Account, of the following reports:

              1.     Our report dated February 7, 2000 on our audits of the
                     financial statements of Providentmutual Life and Annuity
                     Company of America as of December 31, 1999 and 1998 and for
                     each of the three years in the period ended December 31,
                     1999.

              2.     Our report dated February 17, 2000 on our audits of the
                     financial statements of the Providentmutual Variable
                     Annuity Separate Account (comprising thirty-nine
                     subaccounts) as of December 31, 1999, 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.

    We also consent to the reference to our Firm under the caption "Experts" and
"Financial Statements."


PRICEWATERHOUSECOOPERS LLP

Philadelphia, Pennsylvania
April 24, 2000






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