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Annual Notice of Securities Sold Pursuant to Rule 24F-2
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 24F-2
Annual Notice of Securities Sold
Pursuant to Rule 24f-2
1. Name and address of issuer:
Providian Life and Health Insurance Company Separate Account V
20 Moores Road
Frazer, PA 19355
2. Name of each series of class of funds for which this notice is filed:
The PRISM Variable Annuity
3. Investment Company Act File Number:
811-6564
Securities Act File Number:
33-45862
4. Last day of fiscal year for which this notice is filed:
December 31, 1995
5. Check box if this notice is being filed more than 180 days after the close
of the issuer's fiscal year for purposes of reporting securities sold after
the close of the fiscal year but before termination of the issuer's 24f-2
declaration:
6. Date of termination of issuer's declaration under rule 24f-2(a)(1), if
applicable (see Instruction A.6):
7. Number and amount of securities of the same class or series which had been
registered under the Securities Act of 1933 other than pursuant to rule
24f-2 in a prior fiscal year, but which remained unsold at the beginning of
the fiscal year:
0
8. Number and amount of securities registered during the fiscal year other
than pursuant to rule 24f-2:
0
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9. Number and aggregate sale price of securities sold during the fiscal year:
364 policies sold for $6,515,416
$1,595,599 in dividends reinvested
Total: $8,111,015
10. Number and aggregate sale price of securities sold during the fiscal year
in reliance upon registration pursuant to rule 24f-2:
364 policies sold for $6,515,416
$1,595,599 in dividends reinvested
Total: $8,111,015
11. Number and aggregate sale price of securities issued during the fiscal year
in connection with dividend reinvestment plans, if applicable (see
Instruction B.7):
0
12. Calculation of registration fee:
(i) Aggregate sale price of securities sold during the fiscal year in
reliance on rule 24f-2 (from Item 10):
$8,111,015
(ii) Aggregate price of shares issued in connection with dividend
reinvestment plans (from Item 11, if applicable):
+ $0
(iii) Aggregate price of shares redeemed or repurchased during the fiscal
year (if applicable):
- $1,957,473
(iv) Aggregate price of shares redeemed or repurchased and previously
applied as a reduction to filing fees pursuant to rule 24e-2 (if
applicable):
+ $0
(v) Net aggregate price of securities sold and issued during the fiscal
year in reliance on rule 24f-2 [line (i) plus line (ii), less line (iii),
plus line (iv)] (if applicable):
$6,153,542
(vi) Multiplier prescribed by Section 6(b) of the Securities Act of 1933
or other applicable law or regulation (see Instruction C.6):
1/2900
(vii) Fee due [line (i) or line (v) multiplied by line (vi)]:
$2,121.91
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13. Check box if fees are being remitted to the Commission's lockbox depository
as described in section 3a of the Commission's Rules of Informal and Other
Procedures (17 CFR 202.3a).
Yes
Date of mailing or wire transfer fees to the Commission's lockbox
depository:
February 26, 1996
SIGNATURES
This report has been signed below by the following persons on behalf of the
issuer and in the capacities and on the dates indicated.
By (Signature and Title)
/s/ Edward P. Reiter
Edward P. Reiter
2nd Vice President and Assistant Secretary
Date
February 26, 1996
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Providian Life and Health Insurance Company
400 West Market Street
PO Box 32830
Louisville, Kentucky 40232
502-560-3898
February 26, 1996
Securities and Exchange Commission
450 Fifth Street, NW
Judiciary Plaza
Washington, DC 20549
Re: Rule 24f-2 Notice for Providian Life and Health Insurance Company Separate
Account V
"The PRISM Variable Annuity"
Investment Company Act File Number:
811-6564
Securities Act File Number:
33-45862
Dear Sir or Madam:
It is my opinion that the securities issued in accordance with the captioned
filing and which this notice makes definite in number were legally issued and
fully paid and are nonassessable.
Very truly yours,
/s/ Kimberly A. Scouller
Kimberly A. Scouller
Assistant General Counsel
