<PAGE>
[LETTERHEAD OF CANADA LIFE
INSURANCE COMPANY OF NEW YORK] RONALD E. BEETTAM, F.S.A., F.C.I.A
President
410 Saw Mill River Road
Ardsley, New York 10502
(914) 693-2300
FAX: (914) 674-2535
August, 1999
Dear Trillium(R) Policyholder:
Enclosed is the Trillium Semi-Annual Report for the period ending June 30, 1999.
We encourage you to review this information and to refer to it as needed
throughout the year.
Please call your Registered Representative or Canada Life if you have any
questions.
Thank you for selecting Trillium for your financial needs.
Sincerely,
/s/ Ronald Beettam
Ronald E. Beettam
Encl.
Canada Life Insurance Company of New York Home Office
<PAGE>
[LETTERHEAD OF CANADA LIFE INSURANCE COMPANY OF NEW YORK]
TRILLIUM(R)
A Variable Annuity INSURANCE COMPANY OF NEW YORK
410 Saw Mill River Road
Ardsley, NY 10502
(914) 693-2300
ADDITIONAL PREMIUM PAYMENT FORM
Please complete the following information:
OWNER: _____________________ AMOUNT OF PREMIUM PAYMENT:
ANNUITANT: _________________ $____________
POLICY NO.: ________________
OWNER'S SSN/TIN: ___________
IF YOU ARE CHANGING ALLOCATION
PLEASE COMPLETE THE FOLLOWING:
________ THIS PAYMENT ONLY
________ THIS PAYMENT AND ALL FUTURE PYMTS
________ RE-ALLOCATE ALL CURRENT ASSETS
<TABLE>
<S> <C> <C> <C> <C> <C>
CASH MGMT (21) ____% INCOME (22) ____% SMALL-CAP VALUE (44) ____%
BOND (23) ____% COM STOCK (24) ____% LARGE-CAP VALUE (45) ____%
CAPITAL (25) ____% INTERNATIONAL (26) ____%
COMM & INFO (27) ____% GBL GROWTH OPP (28) ____%
GBL SMLR CO (29) ____% FRONTIER (41) ____%
HIGH YLD BOND (42) ____% GLOBAL TECH (43) ____%
</TABLE>
- --------------------------------------------------------------------------------
Fixed Account Options*
____% 1 Yr. (201)
- --------------------------------------------------------------------------------
Total allocation must equal 100%
OWNER'S SIGNATURE ___________________________ DATE _______________
JOINT OWNER'S SIGNATURE _____________________ DATE _______________
PLEASE MAKE CHECKS PAYABLE TO CANADA LIFE INSURANCE COMPANY OF NEW YORK
INFORMATION FOR QUALIFIED POLICY CONTRIBUTIONS
(THIS SECTION MUST BE COMPLETED)
IS THIS A ROLLOVER? _____YES _____NO
IF YES, WHAT TYPE? ___________________ PLEASE NOTE: CONTRIBUTIONS FOR PRIOR
TAX YEAR CANNOT BE MADE
AFTER APRIL 15TH OF
CONTRIBUTION $________ FOR ________ THE CURRENT TAX YEAR.
CONTRIBUTION $________ FOR ________
PLEASE DIRECT ANY QUESTIONS REGARDING YOUR POLICY TO YOUR REGISTERED
REPRESENTATIVE OR TO OUR VARIABLE ANNUITY DEPARTMENT AT (800) 905-1959.
Our Variable Annuity Administrators can not advise you on the suitability of
your payment. Please contact your Registered Representative to discuss
suitability issues prior to submitting your additional premium payment.
Variable Annuities are issued by Canada Life Insurance Company of New York and
offered through its affiliate, Canada Life of America Financial Services, Inc.
(member NASD).
<PAGE>
The attached are incorporated by reference herein to the semi-annual reports
filed by and on behalf of the following:
Seligman Portfolios, Inc., filed August 31, 1999
Portfolios which include: Seligman Capital; Seligman Cash Management;
Seligman Common Stock; Seligman Bond; Seligman Income; Seligman Henderson
International; Seligman Communications and Information; Seligman Frontier;
Seligman Henderson Global Smaller Companies; Seligman High-Yield Bond;
Seligman Henderson Global Technology; Seligman Henderson Global Growth
Opportunities; Seligman Large-Cap, Seligman Small-Cap
