<PAGE>
As filed with the Securities and Exchange Commission on April 28, 1997
Registration Nos. 33-71688
811-8154-01
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
----------------------------------------
FORM N-4
REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
POST-EFFECTIVE AMENDMENT NO. 5
AND/OR
REGISTRATION STATEMENT UNDER THE INVESTMENT COMPANY ACT OF 1940
AMENDMENT NO. 13
SEPARATE ACCOUNT A
OF
FIRST FORTIS LIFE INSURANCE COMPANY
(Exact Name of Registrant)
----------------------------------------
FIRST FORTIS LIFE INSURANCE COMPANY
(Name of Depositor)
220 Salina Meadows Parkway
Syracuse, New York 13220
(Address of Depositor's Principal Executive Offices)
Depositor's Telephone Number, including Area Code:
315-451-0066
----------------------------------------
DAVID A. PETERSON, ESQ.
500 Bielenberg Drive
Woodbury, Minnesota 55125
(Name and Address of Agent for Service)
<PAGE>
Approximate Date of Proposed Public Offering: As soon as practicable after the
effective date of this Registration Statement.
----------------------------------------
It is proposed that this filing will be come effective (check appropriate box):
/ / immediately upon filing pursuant to paragraph (b) of Rule 485.
/X/ on May 1, 1997 pursuant to paragraph (b) of Rule 485.
/ / 60 days after filing pursuant to paragraph (a)(1) of Rule 485.
/ / On pursuant to paragraph (a)(1) of Rule 485.
If appropriate, check the following box:
/ / This post effective amendment designates a new effective date for a
previously filed post effective amendment.
----------------------------------------
An indefinite amount of the securities being offered has been registered
pursuant to a declaration under Rule 24f-2 under the Investment Company Act of
1940, set out in the Form N-4 Registration Statement contained in File No. 33-
71686. The registrant filed a Rule 24f-2 notice for the year ended December 31,
1996 on February 27, 1997.
<PAGE>
VARIABLE ACCOUNT A OF
FIRST FORTIS LIFE INSURANCE COMPANY
Cross Reference Sheet Showing Location
of Information in Prospectus or
STATEMENT OF ADDITIONAL INFORMATION
Form N-4 Prospectus Caption
-------- ------------------
1. Cover Page Cover Page
2. Definitions Special Terms Used in This Prospectus
3. Synopsis of Highlights Summary; Information concerning fees and
charges
4. Condensed Financial Summary -- Financial information
Information
5. General Description of Summary--Separate Account Investment
Registrant, Depositor and Options; First Fortis and the Separate
Portfolio Companies Account; Fixed Account
6. Deductions Summary--Charges and Deductions; Charges
and Deductions
7. General Description of Accumulation Period; General Provisions
Variable Annuity Contracts
8. Annuity Period The Annuity Period
9. Death Benefit Summary--Death Benefit; Accumulation
Period --- Benefit Payable on Death of
Annuitant or Contract Owner
10. Purchases and Contract Value Accumulation Period --- Issuance of a
Contract and Purchase Payments -
Contract Value
11. Redemptions Summary--Total and Partial Surrenders;
Accumulation Period -- Total and Partial
Surrenders
12. Taxes Summary--Tax Implications; Federal Tax
Matters
<PAGE>
PROSPECTUS OR
STATEMENT OF ADDITIONAL
FORM N-4 INFORMATION CAPTION
-------- -----------------------
(cont'd.)
13. Legal Proceedings None
14. Table of Contents of the Contents of the Statement of
Statement of Additional Additional Information
Information
15. Cover Page Cover Page
16. Table of Contents Table of Contents
17. General Information and First Fortis Life Insurance Company
History
18. Services Services
19. Purchases of Securities Reduction of Charges
Being Offered
20. Underwriters Services
21. Calculation of Performance Appendix A
Data
22. Annuity Payments Calculation of Annuity Payments
23. Financial Statements Financial Statements
<PAGE>
FIRST FORTIS
OPPORTUNITY
VARIABLE
ANNUITY
Individual Flexible
Premium Deferred
Variable Annuity Contract
PROSPECTUS DATED
May 1, 1997
[Logo]
FIRST FORTIS LIFE INSURANCE COMPANY
MAILING ADDRESS: STREET ADDRESS: PHONE:
P.O. BOX 3249 220 SALINA MEADOWS PARKWAY 1-800-745-8248
SYRACUSE, NY 13220 SUITE 255
SYRACUSE, NY 13220
This Prospectus describes an individual flexible premium deferred variable
annuity contract ("Contract") issued by First Fortis Life Insurance Company
("First Fortis"). The minimum initial or subsequent purchase payment is
generally $50.
The Contract allows you to accumulate funds on a tax-deferred basis. Contract
Owners may elect a guaranteed interest accumulation option through First Fortis'
Fixed Account or a variable return accumulation option through Separate Account
A (the "Separate Account") of First Fortis Life Insurance Company, or a
combination of these two options. Under the variable rate accumulation option,
Contract Owners can choose one or more of the following investment Portfolios of
Fortis Series Fund, Inc. ("Fortis Series"): Money Market Series, U.S. Government
Securities Series, Diversified Income Series, Global Bond Series, High Yield
Series, Asset Allocation Series, Global Asset Allocation Series, Value Series,
Growth & Income Series, S&P 500 Index Series, Blue Chip Stock Series, Growth
Stock Series, Global Growth Series, International Stock Series and Aggressive
Growth Series. The accompanying Prospectus for Fortis Series describes the
investment objectives, policies and risks of each of the Portfolios.
The Contract provides several different types of retirement and death benefits
to Contract Owners, Annuitants or their Beneficiaries, including fixed and
variable annuity income options. Contract Owners may, under certain
circumstances, make partial surrenders of the Contract Value or may totally
surrender the Contract for its Cash Surrender Value.
You have the right to examine a Contract for ten days from the time you receive
the Contract and return it for a refund of the full Contract Value.
This Prospectus gives prospective investors information about the Contracts that
they should know before investing. This Prospectus must be accompanied by a
current Prospectus of Fortis Series Fund, Inc. Both Prospectuses should be read
carefully and kept for future reference.
A Statement of Additional Information, dated May 1, 1997, about the Contracts
has been filed with the Securities and Exchange Commission and is available
without charge, from First Fortis at the address and phone number printed above.
The Table of Contents for the Statement of Additional Information appears on
page 20 of this Prospectus.
THESE CONTRACTS ARE NOT OBLIGATIONS OF, OR GUARANTEED OR ENDORSED BY, ANY BANK,
CREDIT UNION, BROKER-DEALER OR OTHER FINANCIAL INSTITUTION. THEY ARE NOT
FEDERALLY INSURED BY THE FEDERAL DEPOSIT INSURANCE CORPORATION, THE FEDERAL
RESERVE BOARD, OR ANY OTHER AGENCY; AND INVOLVE INVESTMENT RISKS, INCLUDING THE
POSSIBLE LOSS OF PRINCIPAL.
THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES AND
EXCHANGE COMMISSION, NOR HAS THE COMMISSION PASSED UPON THE ACCURACY OR ADEQUACY
OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.
97103 (Ed. 5/96)
<PAGE>
TABLE OF CONTENTS
<TABLE>
<CAPTION>
PAGE
<S> <C>
SPECIAL TERMS USED IN THIS PROSPECTUS................................................................... 3
INFORMATION CONCERNING FEES AND CHARGES................................................................. 4
SUMMARY................................................................................................. 6
FIRST FORTIS AND THE SEPARATE ACCOUNT................................................................... 7
- First Fortis Life Insurance Company............................................................... 7
- The Separate Account.............................................................................. 8
- Fortis Series Fund, Inc........................................................................... 8
ACCUMULATION PERIOD..................................................................................... 8
- Issuance of a Contract and Purchase Payments...................................................... 8
- Contract Value.................................................................................... 9
- Allocation of Purchase Payments and Contract Value................................................ 10
- Total and Partial Surrenders...................................................................... 10
- Benefit Payable on Death of Annuitant or Contract Owner........................................... 10
THE ANNUITY PERIOD...................................................................................... 11
- Annuity Commencement Date......................................................................... 11
- Commencement of Annuity Payments.................................................................. 11
- Relationship Between Subaccount Investment Performance and Amount of Variable Annuity Payments.... 12
- Annuity Forms..................................................................................... 12
- Death of Annuitant or Other Payee................................................................. 12
CHARGES AND DEDUCTIONS.................................................................................. 12
- Premium Taxes..................................................................................... 12
- Annual Administrative Charge...................................................................... 13
- Charges Against the Separate Account.............................................................. 13
- Surrender Charge.................................................................................. 13
- Miscellaneous..................................................................................... 14
- Reduction of Charges.............................................................................. 14
FIXED ACCOUNT........................................................................................... 14
- General Description............................................................................... 14
- Fixed Account Value............................................................................... 14
- Fixed Account Transfers, Total and Partial Surrenders............................................. 14
GENERAL PROVISIONS...................................................................................... 14
- The Contract...................................................................................... 14
- Postponement of Payments.......................................................................... 15
- Misstatement of Age or Sex and Other Errors....................................................... 15
- Assignment and Ownership Rights................................................................... 15
- Beneficiary....................................................................................... 15
- Reports........................................................................................... 15
RIGHTS RESERVED BY FIRST FORTIS......................................................................... 15
DISTRIBUTION............................................................................................ 16
FEDERAL TAX MATTERS..................................................................................... 16
VOTING PRIVILEGES....................................................................................... 18
STATE REGULATION........................................................................................ 19
LEGAL MATTERS........................................................................................... 19
CONTENTS OF STATEMENT OF ADDITIONAL INFORMATION......................................................... 19
APPENDIX A--Sample Death Benefit Calculations........................................................... A-1
APPENDIX B--Explanation of Expense Calculations......................................................... B-1
</TABLE>
THE CONTRACTS ARE NOT AVAILABLE IN ALL STATES. THIS PROSPECTUS DOES NOT
CONSTITUTE AN OFFERING IN ANY JURISDICTION IN WHICH SUCH OFFERING MAY NOT
LAWFULLY BE MADE. FIRST FORTIS DOES NOT AUTHORIZE ANY INFORMATION OR
REPRESENTATION REGARDING THE OFFERING DESCRIBED IN THIS PROSPECTUS WHICH IS NOT
INCLUDED IN THIS PROSPECTUS, THE RELATED STATEMENT OF ADDITIONAL INFORMATION, OR
ANY SUPPLEMENTS THERETO OR IN ANY SUPPLEMENTAL SALES MATERIAL AUTHORIZED BY
FIRST FORTIS.
<PAGE>
SPECIAL TERMS USED IN THIS PROSPECTUS
<TABLE>
<S> <C>
ACCUMULATION PERIOD The time period under a Contract between the Contract Date and the Annuity Period.
ACCUMULATION UNIT A unit of measure used to calculate the interest of the Contract Owner in the Separate
Account during the Accumulation Period.
ANNUITANT A person during whose life annuity payments are to be made by First Fortis under the
Contract.
ANNUITY COMMENCEMENT The date on which the Annuity Period commences.
DATE
ANNUITY PERIOD The time period following the Accumulation Period, during which annuity payments are
made by First Fortis.
ANNUITY UNIT A unit of measurement used to calculate variable annuity payments.
BENEFICIARY The person entitled to receive benefits under the terms of the Contract.
CASH SURRENDER VALUE The amount payable to the Contract Owner on surrender of the Contract after deduction
of all applicable charges.
CONTRACT OWNER The person named in the application as the Contract Owner, or any successor Contract
Owner. Unless otherwise named, the Annuitant is the Contract Owner.
CONTRACT DATE The date on which the Contract was issued. Contract years are measured from the
Contract Date.
CONTRACT VALUE The sum of the Fixed Account Value and the Separate Account Value.
FIVE YEAR ANNIVERSARY The fifth anniversary of a Contract Date, and each subsequent fifth anniversary of
that date.
FIXED ACCOUNT The name of the alternative under which purchase payments are allocated to First
Fortis' General Account.
FIXED ACCOUNT VALUE The amount of your Contract Value which is in the Fixed Account.
FIXED ANNUITY OPTION An annuity option under which First Fortis promises to pay the Annuitant or any other
properly designated payee one or more fixed payments.
FORTIS GROUP FUNDS All publicly-available mutual funds advised by Fortis Advisers, Inc. (other than
Fortis Money Portfolios, Inc.). Currently, these mutual funds are: Fortis Worldwide
Portfolios, Inc., Fortis Equity Portfolios, Inc., Fortis Growth Fund, Inc., Fortis
Fiduciary Fund, Inc., Fortis Tax-Free Portfolios, Inc., Fortis Income Portfolios,
Inc., and Fortis Advantage Portfolios, Inc.
FORTIS SERIES The Fortis Series Fund, Inc., a diversified, open-end management investment company in
which the Separate Account invests.
GENERAL ACCOUNT All assets of First Fortis other than those in the Separate Account, or in any other
legally segregated separate account established by First Fortis.
HOME OFFICE Our office at 220 Salina Meadows Parkway, Suite 255, Syracuse, New York;
1-800-745-8248; Mailing address: P.O. Box 3249, Syracuse, NY 13220.
NET PURCHASE PAYMENT The gross amount of a purchase payment less any applicable premium taxes or similar
governmental assessments.
NON-QUALIFIED CONTRACTS Contracts that do not qualify for the special federal income tax treatment applicable
in connection with certain retirement plans.
PORTFOLIO Each separate investment portfolio of Fortis Series eligible for investment by the
Separate Account.
QUALIFIED CONTRACTS Contracts that are qualified for the special federal income tax treatment applicable
in connection with certain retirement plans.
SEPARATE ACCOUNT The segregated asset account referred to as Separate Account A of First Fortis Life
Insurance Company established to receive and invest purchase payments made under
Contracts.
SEPARATE ACCOUNT VALUE The amount of your Contract Value in the Subaccounts of the Separate Account.
SUBACCOUNTS The several Subaccounts of the Separate Account, each of which invests its assets in a
different Portfolio.
VALUATION DATE Each business day of First Fortis except, with respect to any Subaccount, days on
which the related Portfolio does not value its shares. Generally, the Portfolios value
their shares on each day the New York Stock Exchange is open.
VALUATION PERIOD The period that starts at the close of regular trading on the New York Stock Exchange
on a Valuation Date and ends at the close of regular trading on the exchange on the
next succeeding Valuation Date.
VARIABLE ANNUITY OPTION An annuity option under which First Fortis promises to pay the Annuitant or any other
properly designated payee one or more payments which vary in amount in accordance with
the net investment experience of the Subaccounts selected by the Annuitant.
WRITTEN REQUEST A written, signed and dated request, in form and substance satisfactory to First
Fortis and received at our Home Office.
</TABLE>
3
<PAGE>
INFORMATION CONCERNING FEES AND CHARGES
CONTRACT OWNER TRANSACTION EXPENSES
<TABLE>
<S> <C>
Front End Sales Charge Imposed on Purchases....... 0%
Maximum Surrender Charge for Sales Expenses (as a
percentage of purchase payments)................. 5%(1)
</TABLE>
<TABLE>
<CAPTION>
YEARS SINCE
DATE OF
PAYMENT AMOUNT OF CHARGE
- -------------- ----------------
<S> <C>
Less than 5 5%
5 or more 0%
</TABLE>
<TABLE>
<S> <C>
Other Surrender Fees....................... 0%
Exchange Fee............................... 0%
ANNUAL CONTRACT ADMINISTRATION CHARGE............. $ 30(2)
</TABLE>
- ------------------------
(1) This charge does not apply in certain cases such as partial surrenders each
year of up to 10% of "new purchase payments" as defined under the heading
"surrender charge" or, payment of a death benefit.
(2) This charge, which is otherwise applied at each Contract anniversary and
total surrender of the Contract, will not be charged during the Accumulation
Period if the Contract Value as of such anniversary or surrender is $25,000
or more. Currently, First Fortis waives this charge during the Annuity
Period. This charge is also subject to any applicable limitations under the
law of any state.
FORTIS SERIES ANNUAL EXPENSES (A)
<TABLE>
<CAPTION>
MONEY ASSET
MARKET U.S. GOVERNMENT DIVERSIFIED GLOBAL BOND HIGH YIELD ALLOCATION
SERIES SECURITIES SERIES INCOME SERIES SERIES SERIES SERIES
----------- ------------------ -------------- ----------- ----------- -------------
<S> <C> <C> <C> <C> <C> <C>
Investment Advisory and
Management Fee............. 0.30% 0.46% 0.47% 0.75% 0.50% 0.48%
Other Expenses.............. 0.08% 0.07% 0.08% 0.27% 0.13% 0.06%
Total Fortis Series
Operating Expenses......... 0.38% 0.53% 0.55% 1.02% 0.63% 0.54%
<CAPTION>
GLOBAL ASSET GROWTH & S&P 500 BLUE CHIP GROWTH GLOBAL
ALLOCATION VALUE INCOME INDEX STOCK STOCK GROWTH
SERIES SERIES SERIES SERIES SERIES SERIES SERIES
------------- ----------- ------------ ----------- ----------- ----------- -----------
<S> <C> <C>
Investment Advisory and
Management Fee............. 0.90% 0.70% 0.69% 0.40% 0.90% 0.62% 0.70%
Other Expenses.............. 0.30% 0.17% 0.07% 0.39% 0.23% 0.05% 0.09%
Total Fortis Series
Operating Expenses......... 1.20% 0.87% 0.76% 0.79% 1.13% 0.67% 0.79%
<CAPTION>
INTERNATIONAL AGGRESSIVE
STOCK SERIES GROWTH SERIES
---------------- --------------
Investment Advisory and
Management Fee............. 0.85% 0.70%
Other Expenses.............. 0.29% 0.08%
Total Fortis Series
Operating Expenses......... 1.14% 0.78%
</TABLE>
- ------------------------------
(a) As a percentage of Series average net assets based on 1996 historical data.
4
<PAGE>
EXAMPLES*
If you SURRENDER your Contract in full at the end of any of the time periods
shown below, you would pay the following cumulative expenses on a $1,000
investment, assuming a 5% annual return on assets:
<TABLE>
<CAPTION>
IF ALL AMOUNTS ARE INVESTED IN ONE PORTFOLIO: 1 YEAR 3 YEARS 5 YEARS 10 YEARS
----------- ----------- ----------- -----------
<S> <C> <C> <C> <C>
Money Market Series....................................... $ 63 $ 102 $ 143 $ 213
U.S. Government Securities Series......................... 65 107 151 229
Diversified Income Series................................. 65 107 152 231
Global Bond Series........................................ 70 121 176 278
High Yield Series......................................... 66 110 156 239
Asset Allocation Series................................... 65 107 151 230
Global Asset Allocation Series............................ 72 127 185 296
Growth & Income Series.................................... 67 114 162 252
Growth Stock Series....................................... 66 111 158 243
Global Growth Series...................................... 68 114 164 255
Aggressive Growth Series.................................. 67 114 164 254
International Stock Series................................ 71 125 182 290
S&P 500 Index Series...................................... 68 114 164 255
Blue Chip Stock Series.................................... 71 125 181 289
Value Series.............................................. 68 117 168 263
</TABLE>
If you COMMENCE AN ANNUITY payment option, or do NOT surrender your Contract,
you would pay the following cumulative expenses on a $1,000 investment, assuming
a 5% annual return on assets:
<TABLE>
<CAPTION>
IF ALL AMOUNTS ARE INVESTED IN ONE PORTFOLIO: 1 YEAR 3 YEARS 5 YEARS 10 YEARS
----------- ----------- ----------- -----------
<S> <C> <C> <C> <C>
Money Market Series....................................... $ 18 $ 57 $ 98 $ 213
U.S. Government Securities Series......................... 20 62 106 229
Diversified Income Series................................. 20 62 107 231
Global Bond Series........................................ 25 76 131 278
High Yield Series......................................... 21 65 111 239
Asset Allocation Series................................... 20 62 106 230
Global Asset Allocation Series............................ 27 82 140 296
Growth & Income Series.................................... 22 69 117 252
Growth Stock Series....................................... 21 66 113 243
Global Growth Series...................................... 23 69 119 255
Aggressive Growth Series.................................. 22 69 119 254
International Stock Series................................ 26 80 137 290
S&P 500 Index Series...................................... 23 69 119 255
Blue Chip Stock Series.................................... 26 80 136 289
Value Series.............................................. 23 72 123 263
</TABLE>
- ------------------------
* For purposes of these examples, the effect of the annual Contract
administration charge has been computed based on the experience of an
affiliated company.
------------------------------
THE EXAMPLES SHOULD NOT BE CONSIDERED A REPRESENTATION OF PAST OR FUTURE
EXPENSES, AND ACTUAL EXPENSES MAY BE GREATER OR LESS THAN THOSE SHOWN.
The foregoing tables and examples, prescribed by the SEC, are included to assist
Contract Owners in understanding the transaction and operating expenses imposed
directly or indirectly under the Contracts and Fortis Series. Amounts for state
premium taxes or similar assessments will also be deducted, where applicable.
See Appendix B for an explanation of the calculation of the amounts set forth
above.
5
<PAGE>
SUMMARY
The following summary should be read in conjunction with the detailed
information in this Prospectus. This Prospectus generally describes only the
portion of the Contract involving the Separate Account. For a brief description
of First Fortis' Fixed Account, please refer to the heading "Fixed Account" in
this Prospectus.
The Contract is designed to provide individuals with retirement benefits through
the accumulation of Net Purchase Payments on a fixed or variable basis, and by
the application of such accumulations to provide fixed or variable annuity
payments.
"We," "our," and "us" mean First Fortis Life Insurance Company. "You" and "your"
mean a reader of this Prospectus who is contemplating making purchase payments
or taking any other action in connection with a Contract.
PURCHASE PAYMENTS
For individual Contracts, each initial or subsequent purchase payment must be at
least $50. For contracts issued in connection with a benefit plan covering
employees, the initial and subsequent purchase payments under each Contract must
at all times average at least $50 and in no case be less than $25. No additional
purchase payments are required, if the Contract Value is at least $500 by the
end of the first Contract year and at least $1,000 by the end of second Contract
year and at all times thereafter. See "Issuance of a Contract and Purchase
Payments."
On the Contract Date, the initial purchase payment is allocated, as specified by
the Contract Owner in the Contract application, among one or more of the
Subaccounts of the Separate Account, or to the Fixed Account, or to both.
Subsequent purchase payments are allocated in the same way, or pursuant to
different allocation percentages that the Contract Owner may subsequently
request.
SEPARATE ACCOUNT INVESTMENT OPTIONS
Each of the Subaccounts of the Separate Account invests in shares of a
corresponding Portfolio of Fortis Series. The investment objective of each of
the Subaccounts of the Separate Account and that of the corresponding Portfolio
of Fortis Series is the same.
Contract Value in each of the Subaccounts of the Separate Account will vary to
reflect the investment experience of each of the corresponding Series, as well
as deductions for certain charges.
Each Portfolio has a separate and distinct investment objective and is managed
by Fortis Advisers, Inc. or a subadviser of Fortis Advisers, Inc. For providing
investment management services to the Portfolios, Fortis Advisers, Inc. receives
fees from Fortis Series based on the average daily net assets of each Portfolio.
The Portfolios also bear most of their other expenses. A full description of the
Portfolios and their investment objectives, policies and risks can be found in
the current Prospectus for Fortis Series, which accompanies this Prospectus, and
Fortis Series' Statement of Additional Information, which is available upon
request.
TRANSFERS
During the Accumulation Period, you can transfer all or part of your Contract
Value from one Subaccount to another or into the Fixed Account. Additionally,
during the accumulation period we may, in our discretion, permit a continuing
request for transfers of specified amounts automatically on a periodic basis.
There is currently no charge for any of these transfers. We reserve the right to
restrict the frequency of or otherwise condition, terminate, or impose charges
upon, transfers from a Subaccount during the Accumulation Period. During the
Annuity Period the person receiving annuity payments may make up to four
transfers (but not from a Fixed Annuity Option) during each year of the Annuity
Period. For a description of certain limitations on transfer rights, see
"Allocations of Purchase Payments and Contract Values--Transfers."
TOTAL OR PARTIAL SURRENDERS
All or part of the Contract Value of a Contract may be surrendered by the
Contract Owner before the earlier of the Annuitant's death or the Annuity
Commencement Date. Amounts surrendered may be subject to a surrender charge and
total surrenders may not be made without application of the annual
administrative charge if the Contract Value is less than $25,000. See "Total and
Partial Surrenders," "Surrender Charge" and "Annual Administrative Charge."
Particular attention should be paid to the tax implications of any surrender,
including possible penalties for premature distributions. See "Federal Tax
Matters."
CHARGES AND DEDUCTIONS
First Fortis deducts daily charges at a rate of 1.25% per annum of the value of
the average net assets in the Separate Account for the mortality and expense
risks it assumes and .10% per annum of the value of the average net assets in
the Separate Account to cover certain administrative expenses. See "Mortality
and Expense Risk Charge" and "Administrative Expense Charge" under the heading
"Charges Against the Separate Account."
In order to permit investment of the entire Net Purchase Payment, First Fortis
does not deduct sales charges at the time of investment. However, a surrender
charge is imposed on certain total or partial surrenders of the Contract to help
defray expenses relating to the sale of the Contract, including commissions to
registered representatives and other promotional expenses. Certain amounts may
be surrendered without the imposition of any surrender charge. The amount of
such charge-free surrender depends on how recently the purchase payments to
which the surrender relates were made. The aggregate surrender charges will
never exceed 5% of the purchase payments made to date.
There is also an annual administrative charge each year for Contract
administration and maintenance. This charge is $30 per year (subject to any
applicable state law limitations) and is deducted on each anniversary of the
Contract Date and upon total surrender of the Contract. Currently, this charge
is not deducted during the Annuity Period. This charge will be waived during the
Accumulation Period if the Contract Value at the end of the Contract year (or
upon total surrender) is $25,000 or more.
Certain states and other jurisdictions impose premium taxes or similar
assessments upon First Fortis, either at the time purchase payments are made or
when Contract Value is applied to an annuity option. Where such taxes or
assessments are imposed by your state or other jurisdiction upon receipt of
purchase payments, we will deduct a charge for these amounts from the Contract
Value upon surrender, death of the Annuitant or Contract Owner, or annuitization
of the Contract. In jurisdictions where such taxes or assessments are imposed at
the time of annuitization, we will deduct a charge for such amounts at that
time.
6
<PAGE>
ANNUITY PAYMENTS
The Contract provides several types of annuity benefits to Annuitants or their
Beneficiaries, including Fixed and Variable Annuity Options. The Contract Owner
has considerable flexibility in choosing the Annuity Commencement Date. However,
the tax implications of an Annuity Commencement Date must be carefully
considered, including the possibility of penalties for commencing benefits
either too soon or too late. See "Annuity Commencement Date," "Annuity Forms"
and "Federal Tax Matters" in this Prospectus and "Taxation Under Certain
Retirement Plans" in the Statement of Additional Information.
DEATH BENEFIT
In the event that the Annuitant or Contract Owner dies prior to the Annuity
Commencement Date, a death benefit is payable. See "Benefit Payable on Death of
Annuitant or Contract Owner."
RIGHT TO EXAMINE THE CONTRACT
The Contract Owner has a right to examine the Contract. The Contract Owner can
cancel the Contract by delivering or mailing it, together with a Written
Request, to First Fortis' Home Office or to the sales representative through
whom it was purchased, before the close of business on the tenth day after
receipt of the Contract. If these items are sent by mail, properly addressed and
postage prepaid, they will be deemed to be received by First Fortis on the date
postmarked. First Fortis will return to you the then current Contract Value.
LIMITATIONS IMPOSED BY RETIREMENT PLANS
Certain rights a Contract Owner would otherwise have under a Contract may be
limited by the terms of any employee benefit plan in connection with which the
Contract is issued. These limitations may restrict such things as total and
partial surrenders, the amount or timing of purchase payments that may be made,
when annuity payments must start and the type of annuity options that may be
selected. Accordingly, you should familiarize yourself with these and all other
aspects of any retirement plan in connection with which a Contract is issued.
TAX IMPLICATIONS
The tax implications for Contract Owners, Annuitants and Beneficiaries, and
those of any related employee benefit plan can be quite important. A brief
discussion of some of these is set out under "Federal Tax Matters" in this
Prospectus and "Taxation Under Certain Retirement Plans" in the Statement of
Additional Information, but such discussion is not comprehensive. Therefore, you
should consider these matters carefully and consult a qualified tax adviser
before making purchase payments or taking any other action in connection with a
Contract or any related employee benefit plan. Failure to do so could result in
serious adverse tax consequences which might otherwise have been avoided.
QUESTIONS AND OTHER COMMUNICATIONS
Any question about procedures or the Contract should be directed to your sales
representative, or First Fortis' Home Office: P.O. Box 3249, Syracuse, NY 13220;
1-800-745-8248. For certain current information relating to Contract Values such
as Subaccount unit values, interest rates in the Fixed Account, and your
Contract Value, call 1-800-745-8248. Purchase payments and Written Requests
should be mailed or delivered to the same Home Office address. All
communications should include the Contract number, the Contract Owner's name
and, if different, the Annuitant's name. The number for telephone transfers is
1-800-745-8248.
Any purchase payment or other communication, except a 10-day cancellation
notice, is deemed received at First Fortis' Home Office on the actual date of
receipt there in proper form unless received (1) after the close of regular
trading on the New York Stock Exchange, or (2) on a date that is not a Valuation
Date. In either of these two cases, the date of receipt will be deemed to be the
next Valuation Date.
------------------------
FINANCIAL AND PERFORMANCE INFORMATION
The information presented below represents the Accumulation Unit Information for
subaccounts of the Separate Account through December 31, 1996. Accumulation
Units have been rounded to the nearest whole unit.
<TABLE>
<CAPTION>
U.S. GOV'T DIVERSIFIED ASSET
MONEY MARKET SECURITIES INCOME GLOBAL BOND HIGH YIELD ALLOCATION
------------ ------------ ------------ ------------ ------------ -------------
<S> <C> <C> <C> <C> <C> <C>
DECEMBER 31, 1996
Accumulation Units in Force... 31,800 427 20,649 1,347 9,846 63,004
Accumulation Unit Value....... 1.418 15.935 1.801 11.961 11.928 2.368
MAY 1, 1996*
Accumulation Unit Value....... $10,000 $10,000 $10,000 $10,000 $10,000 $10,000
<CAPTION>
GLOBAL ASSET GROWTH & S&P BLUE GLOBAL
ALLOCATION VALUE INCOME 500 CHIP GROWTH
------------ ------------ ------------ ------------ ------------ ------------
<S> <C> <C> <C>
DECEMBER 31, 1996
Accumulation Units in Force... 7,591 15,690 14,412 5,144 9,457 6,899
Accumulation Unit Value....... 12.884 11.048 15.468 11.326 11.520 18.510
MAY 1, 1996*
Accumulation Unit Value....... $10,000 $10,000 $10,000 $10,000 $10,000 $10,000
<CAPTION>
INTERNATIONAL AGGRESSIVE
GROWTH STOCK STOCK GROWTH
------------- ------------ ------------
DECEMBER 31, 1996
Accumulation Units in Force... 70,686 10,999 14,449
Accumulation Unit Value....... 2.971 12.690 13.232
MAY 1, 1996*
Accumulation Unit Value....... $10,000 $10,000 $10,000
</TABLE>
- ----------------------------------------
* Accumulation Unit Value at date of initial registration effectiveness.
Audited financial statements of the Separate Account and First Fortis are
included in the Statement of Additional Information.
Advertising and other sales materials may include yield and total return figures
for the Subaccounts of the Separate Account. These figures are based on
historical results and are not intended to indicate future performance. "Yield"
is the income generated by an investment in the Subaccount over a period of time
specified in the advertisement. This rate of return is assumed to be earned over
a full year and is shown as a percentage of the investment. "Total return" is
the total change in value of an investment in the Subaccount over period of time
specified in the advertisement. The rate of return shown would produce that
change in value over the specified period, if compounded annually. Yield figures
do not reflect the surrender charge and yield and total return figures do not
reflect premium tax charges. This makes the performance shown more favorable.
FIRST FORTIS AND THE SEPARATE ACCOUNT
FIRST FORTIS LIFE INSURANCE COMPANY
First Fortis Life Insurance Company, the issuer of the Policies, was founded in
1971. At the end of 1996, First Fortis had approximately $6.6 billion of total
life insurance in force. First Fortis is a New York corporation and is qualified
to sell life insurance and annuity contracts in New York. First Fortis is a
wholly-owned subsidiary of Fortis, Inc., which is itself indirectly owned 50% by
Fortis AMEV and 50% by Fortis AG. Fortis, Inc. manages the United States
operations for these two companies.
7
<PAGE>
First Fortis is affiliated with the Fortis Financial Group, a joint effort by
Fortis Benefits Life Insurance Company, Fortis Advisers, Inc., Fortis Investors,
Inc. and Time Insurance Company, offering financial products through the
management, marketing and servicing of mutual funds, annuities, life insurance
and disability income products.
Fortis AMEV is a diversified financial services company headquartered in
Utrecht, The Netherlands, where its insurance operations began in 1847. Fortis
AG is a diversified financial services company headquarted in Brussels, Belgium,
where its insurance operations began in 1824. Fortis AMEV and Fortis AG have
merged their operating companies under the trade name of Fortis. The Fortis
group of companies is active in insurance, banking and financial services, and
real estate development in The Netherlands, Belgium, the United States, Western
Europe, and the Pacific Rim. The Fortis group of companies has assets in excess
of $175 billion.
All of the guarantees and commitments under the Contracts are general
obligations of First Fortis, regardless of whether the Contract Value has been
allocated to the Separate Account or to the Fixed Account. None of First Fortis'
affiliated companies has any legal obligation to back First Fortis' obligations
under the Contracts.
THE SEPARATE ACCOUNT
The Separate Account, which is a segregated investment account of First Fortis,
was established as Separate Account A by First Fortis pursuant to the insurance
laws of New York as of October 1, 1993. The assets allocated to the Separate
Account are the exclusive property of First Fortis. Although the Separate
Account is an integral part of First Fortis, the Separate Account is registered
with the Securities and Exchange Commission as a unit investment trust under the
Investment Company Act of 1940. Registration does not involve supervision of the
management or investment practices or policies of the Separate Account or of
First Fortis by the Securities and Exchange Commission.
All income, gains and losses, whether or not realized, from assets allocated to
the Separate Account are credited to or charged against the Separate Account
without regard to other income, gains or losses of First Fortis. Assets in the
Separate Account representing reserves and liabilities will not be chargeable
with liabilities arising out of any other business of First Fortis. First Fortis
may accumulate in the Separate Account proceeds from charges under variable
annuity contracts and other amounts in excess of the Separate Account assets
representing reserves and liabilities. First Fortis may from time to time
transfer to its General Account any of such excess amounts.
There are currently fifteen Subaccounts in the Separate Account. The assets in
each Subaccount are invested exclusively in a distinct class (or series) of
stock issued by Fortis Series, each of which represents a separate investment
Portfolio within Fortis Series. Income and both realized and unrealized gains or
losses from the assets of each Subaccount of the Separate Account are credited
to or charged against that Subaccount without regard to income, gains or losses
from any other Subaccount of the Separate Account or arising out of any other
business we may conduct. Under certain remote circumstances, the assets of one
Subaccount may not be insulated from liability associated with another
Subaccount. New Subaccounts may be added as new Portfolios are added to Fortis
Series and made available to Contract Owners. Correspondingly, if any Portfolios
are eliminated from Fortis Series, Subaccounts may be eliminated from the
Separate Account.
FORTIS SERIES FUND, INC.
Fortis Series is a "series" type of mutual fund which is registered with the
Securities and Exchange Commission as a diversified open-end management
investment company under the Investment Company Act of 1940. Fortis Series has
served as the investment medium for the Separate Account since the Separate
Account commenced operations.
First Fortis purchases and redeems Fortis Series' shares for the Separate
Account at their net asset value without the imposition of any sales or
redemption charges. Such shares represent interests in the Portfolios of Fortis
Series available for investment by the Separate Account. Each Portfolio
corresponds to one of the Subaccounts of the Separate Account. The assets of
each Portfolio are separate from the others and each Series operates as a
separate investment portfolio whose performance has no effect on the investment
performance of any other Portfolio.
Any dividend or capital gain distributions attributable to Contracts are
automatically reinvested in shares of the Portfolio from which they are received
at that Portfolio's net asset value on the date paid. Such dividends and
distributions will have the effect of reducing the net asset value of each share
of the corresponding Portfolio and increasing, by an equivalent value, the
number of shares outstanding of that Portfolio. However, the value of the
interests of Contract Owners, Annuitants and Beneficiaries in the corresponding
Subaccount will not change as a result of any such dividends and distributions.
The Portfolios of Fortis Series available for investment by the Separate Account
are Money Market Series, U.S. Government Securities Series, Diversified Income
Series, Global Bond Series, High Yield Series, Asset Allocation Series, Global
Asset Allocation Series, Value Series, Growth & Income Series, S&P 500 Index
Series, Blue Chip Stock Series, Growth Stock Series, Global Growth Series,
International Stock Series and Aggressive Growth Series. A full description of
the Portfolios, their investment policies and restrictions, their charges, the
risks attendant to investing in them, and other aspects of their operations is
contained in the Prospectus for Fortis Series accompanying this Prospectus and
in the Statement of Additional Information for Fortis Series referred to
therein. Additional copies of these documents may be obtained from your sales
representative or from our Home Office. The complete Risk Disclosure in the
Prospectus for Diversified Income Series and Asset Allocation Series should be
read before selection of them for Contract Investment.
ACCUMULATION PERIOD
ISSUANCE OF A CONTRACT AND PURCHASE PAYMENTS
Persons wishing to purchase a Contract must complete an application and make an
initial purchase payment of at least $50. The application is forwarded to First
Fortis for processing. Acceptance is subject to underwriting and suitability
rules and procedures. First Fortis reserves the right to reject any application
for any reason.
Purchase payments which are remitted through an employer for multiple
employee-Annuitants must also be accompanied by information identifying the
proper Contracts and accounts to be credited with purchase payments.
If the application can be accepted in the form received, the initial purchase
payment will be credited within two Valuation Dates after the later of receipt
of the application or receipt of the initial purchase payment at First Fortis'
Home Office. If the initial purchase payment cannot be credited within five
Valuation Dates after receipt because the application or other issuing
requirements are incomplete, the initial purchase payment will be returned
unless the applicant consents to our retaining the initial purchase payment and
crediting it as of the end of the Valuation Period in which the necessary
requirements
8
<PAGE>
are fulfilled. Despite the consent of the applicant, if the initial purchase
payment still cannot be credited within thirty Valuation Dates after receipt
because the application or issuing instructions are incomplete, the initial
purchase payment will be returned to the applicant.
The date that the initial purchase payment is applied to the purchase of the
Contract is the Contract Date. The Contract Date is the date used to determine
Contract years, regardless of when the Contract is delivered. The crediting of
investment experience in the Separate Account, or a fixed rate of return in the
Fixed Account, begins as of the Contract Date, even if that date is delayed due
to underwriting or administrative requirements.
We will accept additional purchase payments at any time after the Contract Date
and prior to the Annuity Commencement Date, as long as the Annuitant is living.
Purchase payments (together with any required information identifying the proper
Contracts and accounts to be credited with purchase payments) must be
transmitted to our Home Office. Additional purchase payments are credited to the
Contract and added to the Contract Value as of the end of the Valuation Period
in which they are received.
Each additional purchase payment must be at least $50; except that, under
Contracts issued in connection with a benefit plan covering employees, it is
sufficient that all purchase payments under each Contract at all times average
$50. In no case, however, will a purchase payment be accepted if it is less than
$25, and we reserve the right to raise this minimum to not more than $100. The
total of all purchase payments for all Contracts having the same owner,
participant or annuitant may not exceed $1 million (not more than $500,000
allocated to the Fixed Account) without First Fortis' prior approval, and we
reserve the right to modify this limitation at any time.
Purchase payments in excess of the initial minimum may be made by monthly draft
against the bank account of any Contract Owner that has completed and returned
to us a special "Thrift-O-Matic" authorization form that may be obtained from
your sales representative or from our Home Office. Arrangements can also be made
for purchase payments by wire transfer, payroll deduction, military allotment,
direct deposit and billing. Purchase payments by check should be made payable to
First Fortis Life Insurance Company.
We may cancel a Contract if its Contract Value falls below $1,000. (Under our
current administrative procedures, however, we will not cancel a Contract during
the first two Contract years, if the Contract Value is at least $500 by the end
of the first Contract year.) We will provide the Contract Owner with 90 days'
written notice so that additional purchase payments may be made in order to
raise the Contract Value above the applicable minimum. Otherwise, we may cancel
the Contract as of the end of the Valuation Period which includes the next
anniversary of the Contract Date. Upon such cancellation, we will pay the
Contract Owner the full Contract Value. So long as the Contract Value remains
above $1,000, no additional purchase payments under a Contract are ever
required.
CONTRACT VALUE
Contract Value is the total of any Separate Account Value in all the Subaccounts
of the Separate Account pursuant to a Contract, plus any Fixed Account Value
under the Contract. For a discussion of how Fixed Account Value is calculated,
see "The Fixed Account."
There is no guaranteed minimum Separate Account Value. The Separate Account
Value will reflect the investment experience of the chosen Subaccounts of the
Separate Account, all purchase payments made, any partial surrenders, and all
charges assessed in connection with the Contract. Therefore, the Separate
Account Value changes from Valuation Period to Valuation Period. To the extent
Contract Value is allocated to the Separate Account, the Contract Owner bears
the entire investment risk.
DETERMINATION OF SEPARATE ACCOUNT VALUE. A Contract's Separate Account Value is
based on Accumulation Unit values, which are determined on each Valuation Date.
The value of an Accumulation Unit for a Subaccount on any Valuation Date is
equal to the previous value of that Subaccount's Accumulation Unit multiplied by
that Subaccount's net investment factor (discussed directly below) for the
Valuation Period ending on that Valuation Date. Net purchase payments applied to
a given Subaccount will be used to purchase Accumulation Units at the unit value
of that Subaccount next determined after receipt of a purchase payment. See
"Allocation of Purchase Payments and Contract Value--Allocation of Purchase
Payments."
At the end of any Valuation Period, a Contract's Separate Account Value in a
Subaccount is equal to:
- The number of Accumulation Units in the Subaccount;
times
- The value of one Accumulation Unit for that
Subaccount.
The number of Accumulation Units in each Subaccount is equal to:
- The initial Accumulation Units purchased on the
Contract Date; plus
- Accumulation Units purchased at the time that
additional Net Purchase Payments are allocated to the Subaccount; plus
- Accumulation Units purchased through transfers from
another Subaccount or from the Fixed Account; less
- Accumulation Units redeemed to pay for the portion of
any partial surrenders allocated to the Subaccount; less
- Accumulation Units redeemed as part of a transfer to
another Subaccount or to the Fixed Account; less
- Accumulation Units redeemed to pay charges under the
Contract.
NET INVESTMENT FACTOR. A Subaccount's net investment factor for a Valuation
Period is an index number that reflects certain charges to a Contract and the
investment performance of the Subaccount during the Valuation Period. If the net
investment factor is greater than one, the Subaccount's Accumulation Unit value
has increased. If the net investment factor is less than one, the Subaccount's
Accumulation Unit value has decreased. The net investment factor for a
Subaccount is determined by dividing (1) the net asset value per share of the
Portfolio shares held by the Subaccount, determined at the end of the current
Valuation Period, plus the per share amount of any dividend or capital gains
distribution made with respect to the Portfolio shares held by the Subaccount
during the current Valuation Period, minus a per share charge for the increase,
plus a per share credit for the decrease, in any income taxes assessed which we
determine to have resulted from the investment operations of the Subaccount or
any other taxes which are attributable to the Contract, by (2) the net asset
value per share of the Portfolio shares held in the Subaccount as determined at
the end of the previous Valuation Period, and subtracting from that result a
factor representing the mortality risk, expense risk and administrative expense
charge.
9
<PAGE>
ALLOCATION OF PURCHASE PAYMENTS AND CONTRACT VALUE
ALLOCATION OF PURCHASE PAYMENTS. In the application for a Contract, the Contract
Owner can allocate Net Purchase Payments, or portions thereof, to the available
Subaccounts of the Separate Account or to the Fixed Account, or both.
Percentages must be in whole numbers and the total allocation must equal 100%.
The percentage allocations for future Net Purchase Payments may be changed,
without charge, at any time by sending a Written Request to First Fortis' Home
Office. Changes in the allocation of future Net Purchase Payments will be
effective on the date we receive the Contract Owner's Written Request.
TRANSFERS. Transfers of Contract Value from one available Subaccount to another
or into the Fixed Account can be made by the Contract Owner by Written Request
to First Fortis' Home Office, or by telephone transfer as described below. There
is currently no charge for any transfer. All or part of the Contract Value in
one or more Subaccounts of the Separate Account may be transferred at one time.
We may in our discretion permit a continuing request for transfers automatically
and on a periodic basis. The only restriction on the frequency of transfers is a
prohibition of making transfers INTO the Fixed Account within six months of a
transfer out of the Fixed Account. Transfers of Contract Value FROM the Fixed
Account are restricted in both amount and timing. See "Fixed Account--Fixed
Account Transfers, Total and Partial Surrenders." We will count all transfers
between and among the Subaccounts of the Separate Account and the Fixed Account
as one transfer, if all the transfer requests are made at the same time as part
of one request. We will execute the transfers and determine all values in
connection with transfers as of the end of the Valuation Period in which we
receive the transfer request.
At the time an application for a Contract is completed, or at any subsequent
time, you may complete the Telephone Transfer Authorization Form. We will honor
telephone transfer instructions from any person who provides the correct
identifying information. First Fortis will not be responsible for, and you will
bear the risk of loss from, oral instructions, including fraudulent
instructions, which are reasonably believed to be genuine. We will employ
reasonable procedures to confirm that telephone instructions are genuine, but if
such procedures are not deemed reasonable, we may be liable for any losses due
to unauthorized or fraudulent instructions. Our procedures are to verify address
and social security number, tape record the telephone call, and provide written
confirmation of the transaction.
We may modify or terminate our telephone transfer procedures at any time. The
number for telephone transfers is 1-800-745-8248.
Certain restrictions on very substantial investments in any one Subaccount are
set forth under "Limitations on Allocations" in the Statement of Additional
Information.
TOTAL AND PARTIAL SURRENDERS
TOTAL SURRENDERS. The Contract Owner may surrender all of the Cash Surrender
Value at any time during the life of the Annuitant and prior to the Annuity
Commencement Date by a Written Request sent to First Fortis' Home Office. We
reserve the right to require that the Contract be returned to us prior to making
payment, although this will not affect our determination of the amount of the
Cash Surrender Value. Cash Surrender Value is the Contract Value at the end of
the Valuation Period during which the Written Request for the total surrender is
received by First Fortis at its Home Office, less any applicable surrender
charge and less any applicable administrative charge. For a discussion of these
charges and the circumstances under which they apply, see "Annual Administrative
Charge" and "Surrender Charge."
The written consent of all collateral assignees and irrevocable beneficiaries
must be obtained prior to any total surrender. Surrenders from the Separate
Account will generally be paid within seven days of the date of receipt by First
Fortis' Home Office of the Written Request. Postponement of payments may occur,
however, in certain circumstances. See "Postponement of Payment."
Since the Contract Owner assumes the investment risk with respect to amounts
allocated to the Separate Account, and because certain surrenders are subject to
a surrender charge, the amount paid upon total surrender of the Cash Surrender
Value (taking into account any prior partial surrenders) may be more or less
than the total Net Purchase Payments made. After a surrender of the Cash
Surrender Value or at any time the Contract Value is zero all rights of the
Contract Owner, Annuitant, and any Beneficiary, will terminate.
PARTIAL SURRENDERS. At any time prior to the Annuity Commencement Date and
during the lifetime of the Annuitant, you may surrender a portion of the Fixed
Account Value and/or the Separate Account Value by sending to First Fortis' Home
Office a Written Request. The minimum partial surrender amount is $500,
including any surrender charge. If the total Contract Value in both the Separate
Account and Fixed Account would be less than $1,000 after the partial surrender,
First Fortis will surrender the entire Cash Surrender Value under the Contract.
(Under our current administrative procedures, however, we will honor a surrender
request during the first two Contract years without regard to the remaining
Contract Value.)
In order for a request to be processed, the Contract Owner MUST specify from
which Subaccounts of the Separate Account or the Fixed Account a partial
surrender should be made and charges deducted.
We will surrender Accumulation Units from the Separate Account and/ or dollar
amounts from the Fixed Account so that the total amount of the partial surrender
equals the dollar amount of the partial surrender request plus any applicable
surrender charge. The partial surrender will be effective at the end of the
Valuation Period in which First Fortis receives the Written Request for partial
surrender at its Home Office. Payments will generally be made within seven days
of the effective date of such request, although certain delays are permitted.
See "Postponement of Payment."
The Internal Revenue Code provides that a penalty tax will be imposed on certain
premature surrenders. For a discussion of this and other tax implications of
total and partial surrenders, including withholding requirements, see "Federal
Tax Matters." Also, under tax deferred annuity Contracts pursuant to Section
403(b) of the Internal Revenue Code, no distributions of voluntary salary
reduction amounts will be permitted prior to one of the following events:
attainment of age 59 1/2 by the employee or the employee's separation from
service, death, disability or hardship. (Hardship distributions will be limited
to the lesser of the amount of the hardship or the amount of salary reduction
contributions, exclusive of earnings thereon.) This restriction does not apply
to amounts transferred to another investment alternative permitted under a
Section 403(b) retirement arrangement or to amounts attributable to premium
payments received prior to January 1, 1989.
BENEFIT PAYABLE ON DEATH OF ANNUITANT OR CONTRACT OWNER
If the Annuitant or Contract Owner dies prior to the Annuity Commencement Date,
a death benefit will be paid to the Beneficiary. If more than one Annuitant has
been named, the death benefit payable
10
<PAGE>
upon the death of an Annuitant will only be paid upon the death of the last
survivor of the persons so named. The death benefit will equal the greater of:
(1) the sum of all Net Purchase Payments made, less all prior surrenders
(other than any automatic surrenders made to pay the annual
administrative charge) and previously-imposed surrender charges,
(2) the Contract Value as of the date used for valuing the death benefit, or
(3) the Contract Value (less the amount of any subsequent surrenders and
surrender charges) as of the Contract's Five Year Anniversary immediately
preceding the earlier of (a) the date of death of either the Contract
Owner or the Annuitant, or (b) the date either first reaches his or her
75th birthday. (See Appendix A for sample death benefit calculations.)
The death benefit may be reduced by premium taxes where such taxes were imposed
upon receipt of purchase payments and were paid by First Fortis in behalf of the
Contract Owner. For further information, see "Charges and Deductions--Premium
Taxes."
The value of the death benefit is determined as of the end of the Valuation
Period in which we receive, at our Home Office, proof of death and the Written
Request as to the manner of payment. Upon receipt of these items, the death
benefit generally will be paid within seven days. Under certain circumstances,
payment of the death benefit may be postponed. See "Postponement of Payment." If
we do not receive a Written Request for a settlement method, we will pay the
death benefit in a single sum, based on values determined at that time.
The Beneficiary may (a) receive a single sum payment, which terminates the
Contract, or (b) select an annuity option. If the Beneficiary selects an annuity
option, he or she will have all the rights and privileges of an Annuitant under
the Contract. If the Beneficiary desires an annuity option, the election should
be made within 60 days of the date the death benefit becomes payable. Failure to
make a timely election can result in unfavorable tax consequences. For further
information, see "Federal Tax Matters."
We accept any of the following as proof of death: a copy of a certified death
certificate; a copy of a certified decree of a court of competent jurisdiction
as to the finding of death; a written statement by a medical doctor who attended
the deceased at the time of death.
If the Contract Owner dies before the Annuitant and before the Annuity
Commencement Date with respect to a Non-Qualified Contract, certain additional
requirements are mandated by the Internal Revenue Code, which are discussed
below under "Federal Tax Matters-- Required Distributions for Non-Qualified
Contracts." It is imperative that Written Notice of the death of the Contract
Owner be promptly transmitted to First Fortis at its Home Office, so that
arrangements can be made for distribution of the entire interest in the Contract
to the Beneficiary in a manner that satisfies the Internal Revenue Code
requirements. Failure to satisfy these requirements may result in the Contract
not being treated as an annuity contract for federal income tax purposes, which
could have adverse tax consequences.
THE ANNUITY PERIOD
ANNUITY COMMENCEMENT DATE
The Contract Owner may specify an Annuity Commencement Date in the application
not later than the Annuitant's 90th birthday. The Annuity Commencement Date
marks the beginning of the period during which an Annuitant receives annuity
payments under the Contract. We may not permit an Annuity Commencement Date
which is on or after the Annuitant's 75th birthday, and you should consult your
sales representative in this regard. The Annuity Commencement Date must be at
least two years after the Contract Date. However, We may allow an earlier
Annuity Commencement Date associated with certain annuitizations where the
Contract is purchased in conjunction with the purchase of a life insurance
policy issued by Us, if it fulfills certain other minimum guidelines established
by Us, and the annuity payments are designated to be applied to the payment of
the premiums on such life insurance policy.
Depending on the type of retirement arrangement in connection with which a
Contract is issued, amounts that are distributed either too soon or too late may
be subject to penalty taxes under the Internal Revenue Code. See "Federal Tax
Matters." You should consider this carefully in selecting or changing an Annuity
Commencement Date.
In order for the Contract Owner to advance or defer the Annuity Commencement
Date, the Contract Owner must submit a Written Request during the Annuitant's
lifetime. The request must be received at our Home Office at least 30 days
before the then-scheduled Annuity Commencement Date. The new Annuity
Commencement Date must also be at least 30 days after the Written Request is
received. There is no right to make any total or partial surrender during the
Annuity Period.
COMMENCEMENT OF ANNUITY PAYMENTS
If the Contract Value at the end of the Valuation Period which contains the
Annuity Commencement Date is less than $2,000, we may pay the entire Contract
Value, without the imposition of any charges other than premium taxes, if
applicable, in a single sum payment to the Annuitant or other properly
designated payee and cancel the Contract.
Otherwise, First Fortis will apply (1) the Fixed Account Value to provide a
Fixed Annuity Option and (2) the Separate Account Value in any Subaccount to
provide a Variable Annuity Option using the same Subaccount, unless the Contract
Owner has notified us by Written Request to apply the Fixed Account Value and
Separate Account Value in different proportions. Any such Written Request must
be received by us at our Home Office at least 30 days before the Annuity
Commencement Date.
Annuity payments under a Fixed or Variable Annuity Option will be made on a
monthly basis to the Annuitant or other properly-designated payee, unless we
agree to a different payment schedule. If more than one person is named as an
Annuitant, the Contract Owner may elect to name one of such persons to be the
sole Annuitant as of the Annuity Commencement Date. We reserve the right to
change the frequency of any annuity payment so that each payment will be at
least $50. There is no right to make any total or partial surrender during the
Annuity Period.
The amount of each annuity payment will depend on the amount of Contract Value
applied to an annuity option, the form of annuity selected and the age of the
Annuitant. Information concerning the relationship between the Annuitant's sex
and the amount of annuity payments, including special requirements in connection
with employee benefit plans, is set forth under "Calculation of Annuity
Payments" in the Statement of Additional Information. The Statement of
Additional Information also contains detailed information about how the amount
of each annuity payment is computed.
11
<PAGE>
The dollar amount of any fixed annuity payments is specified during the entire
period of annuity payments according to the provisions of the annuity form
selected.
The dollar amount of variable annuity payments varies during the annuity period
based on changes in Annuity Unit Values for the Subaccounts that you choose to
use in connection with your payments.
RELATIONSHIP BETWEEN SUBACCOUNT INVESTMENT PERFORMANCE AND AMOUNT OF VARIABLE
ANNUITY PAYMENTS
If a Subaccount on which a variable annuity payment is based has an average
effective net investment return higher than 4% per annum during the period
between two such annuity payments, the Annuity Unit Value will increase, and the
second payment will be higher than the first. Conversely, if the Subaccount's
average effective net investment return over the period between the annuity
payments is less than 4% per annum, the Annuity Unit Value will decrease, and
the second payment will be lower than the first. "Net investment return," for
this purpose, refers to the Subaccount's overall investment performance, net of
the mortality and expense risk and administrative expense charges, which are
assessed at a nominal aggregate annual rate of 1.35%.
We guarantee that the amount of each variable annuity payment after the first
payment will not be affected by variations in our mortality experience or our
expenses, except to the extent that we reserve the right to impose the $30
annual administrative expense charge during the Annuity Period just as we do
during the Accumulation Period.
TRANSFERS. During the Annuity Period, the person receiving annuity payments may
make up to four transfers a year among Subaccounts or from Subaccounts to the
Fixed Account. The current procedures for these transfers are the same as
described above under "Allocation of Purchase Payments and Contract
Value--Transfers." Transfers out of the Fixed Account are not permitted during
the Annuity Period.
ANNUITY FORMS
The Contract Owner may select an annuity form or change a previous selection by
Written Request, which must be received by us at least 30 days before the
Annuity Commencement Date. Only one annuity form may be selected, although as
discussed above, payments under that form may be received on a combination fixed
and variable basis. If no annuity form selection is in effect on the Annuity
Commencement Date, in most cases we automatically apply Option B (described
below), with payments guaranteed for 10 years. If the Contract is issued under
certain retirement plans, however, federal pension law may require that default
payments be made pursuant to plan provisions and/or federal law. Tax laws and
regulations may impose further restrictions to assure that the primary purpose
of the plan is distribution of the accumulated funds to the employee.
The following options are available for fixed annuity payments and for variable
annuity payments.
OPTION A, LIFE ANNUITY. Payments are made as of the first Valuation Date of each
monthly period during the Annuitant's life, starting with the Annuity
Commencement Date. No payments will be made after the Annuitant dies. It is
possible for the payee to receive only one payment under this option if the
Annuitant dies before the second payment is due.
OPTION B, LIFE ANNUITY WITH PAYMENTS GUARANTEED FOR 10 YEARS OR 20
YEARS. Payments are made as of the first Valuation Date of each monthly period
starting on the Annuity Commencement Date. Payments will continue as long as the
Annuitant lives. If the Annuitant dies before all of the guaranteed payments
have been made, we will continue installments of the guaranteed payments to the
Beneficiary.
OPTION C, JOINT AND FULL SURVIVOR ANNUITY. Payments are made as of the first
Valuation Date of each monthly period starting with the Annuity Commencement
Date. Payments will continue as long as either the Annuitant or the joint
Annuitant is alive. Payments will stop when both the Annuitant and the joint
Annuitant have died. It is possible for the payee or payees under this option to
receive only one payment if both Annuitants die before the second payment is
due.
OPTION D, JOINT AND ONE-HALF CONTINGENT SURVIVOR ANNUITY. Payments are made as
of the first Valuation Date of each monthly period starting with the Annuity
Commencement Date. Payments will continue as long as either the Annuitant or the
joint Annuitant is alive. If the Annuitant dies first, payments will continue to
the joint Annuitant at one-half the original amount. If the joint Annuitant dies
first, payments will continue to the Annuitant at the original full amount.
Payments will stop when both the Annuitant and the joint Annuitant have died. It
is possible for the payee or payees under this option to receive only one
payment if both Annuitants die before the second payment is due.
We also have other annuity forms available and information about them can be
obtained from your sales representative or by calling or writing to our Home
Office.
DEATH OF ANNUITANT OR OTHER PAYEE
Under most annuity forms offered by First Fortis, the amounts, if any, payable
on the death of the Annuitant during the Annuity Period are the continuation of
annuity payments for any remaining guarantee period or for the life of any joint
Annuitant. In all cases, the person entitled to receive payments also receives
any rights and privileges under the annuity form in effect.
Additional rules applicable to such distributions under Non-Qualified Contracts
are described under "Federal Tax Matters--Required Distributions for
Non-qualified Contracts". Though the rules there described do not apply to
Contracts issued in connection with qualified plans, similar rules apply to the
plans themselves.
CHARGES AND DEDUCTIONS
The charges that we assess in connection with the Contracts are described below.
PREMIUM TAXES
First Fortis will deduct a charge for state premium taxes or similar assessments
from the Contract Value at the time that annuity payments begin. The charge will
be deducted on a pro-rata basis from the then-current Fixed Account Value and,
by redemption of Accumulation Units, the then-current Separate Account Value in
each Subaccount. Similarly, First Fortis may deduct premium taxes from the
Contract Value when no deduction was made from purchase payments, but is
subsequently determined to be due. Conversely, First Fortis will credit to
Contract Value the amount of any deductions for premium taxes or similar
assessments that are subsequently determined not to be owed.
Applicable premium tax rates depend upon the Contract Owner's then-current place
of residence. Applicable rates are subject to change by legislation,
administrative interpretations or judicial acts.
12
<PAGE>
ANNUAL ADMINISTRATIVE CHARGE
A $30 annual administrative charge is deducted each Contract year from the
Contract Value on each anniversary of the Contract Date. (This charge will be
lower to the extent legally required in some states.) This charge is to help
cover administrative costs such as those incurred in issuing Contracts,
establishing and maintaining the records relating to Contracts, making
regulatory filings and furnishing confirmation notices, voting materials and
other communications, providing computer, actuarial and accounting services, and
processing Contract transactions. This charge will initially be waived during
the Annuity Period, although First Fortis reserves the right to reinstitute it
at any time. This charge will be waived during the Accumulation Period if the
Contract Value at the end of the Contract Year (or upon total surrender) is
$25,000 or more.
The annual administrative charge will be deducted by redemption of Accumulation
Units from each Subaccount of the Separate Account and from the Fixed Account in
the same proportion as the then-current Contract Value is then allocated among
those alternatives pursuant to the Contract. If the Contract is totally
surrendered, the full annual administrative charge will be deducted at the time
of surrender if the Contract Value is less than $25,000 at such time.
CHARGES AGAINST THE SEPARATE ACCOUNT
Certain charges will be assessed as a percentage of the value of the net assets
of the Separate Account to compensate First Fortis for risks assumed in
connection with the Contract, and administrative expenses which may apply to the
Separate Account.
MORTALITY AND EXPENSE RISK CHARGE. We will assess each Subaccount of the
Separate Account with a daily charge for mortality and expense risk at a nominal
annual rate of 1.25% of the average daily net assets of the Separate Account
(consisting of approximately .8% for mortality risk and approximately .45% for
expense risk). This charge is assessed during both the Accumulation Period and
the Annuity Period. We guarantee not to increase this charge for the duration of
the Contract. This charge is assessed daily when determining the value of an
Accumulation Unit.
The mortality risk borne by First Fortis arises from its obligation to make
annuity payments (determined in accordance with the annuity tables and other
provisions contained in the Contract) for the full life of all Annuitants
regardless of how long all Annuitants or any individual Annuitant might live.
This undertaking assures that neither an Annuitant's own longevity, nor an
improvement in life expectancy generally, will have any adverse effect on the
annuity payments the Annuitant will receive under the Contract. This, therefore,
relieves the Annuitant from the risk that he or she will outlive the funds
accumulated for retirement.
In addition, First Fortis bears a mortality risk in that it guarantees to pay a
death benefit in a single sum (which may also be taken in the form of an annuity
option) upon the death of an Annuitant or Contract Owner prior to the Annuity
Commencement Date. No surrender charge is imposed upon the payment of a death
benefit, which places a further mortality risk on the Company.
The expense risk assumed is that actual expenses incurred in connection with
issuing and administering the Contracts will exceed the limits on administrative
charges set in the Contracts.
If the administrative charges and the mortality and expense risk charge are
insufficient to cover the expenses and costs assumed, the loss will be borne by
the Company. Conversely, if the amount deducted proves more than sufficient, the
excess will be profit to First Fortis.
ADMINISTRATIVE EXPENSE CHARGE. We will assess each Subaccount of the Separate
Account with a daily charge at a nominal annual rate of .10% of the average
daily net assets of the Subaccount. This charge is imposed during both the
Accumulation Period and the Annuity Period. The daily administrative expense
charge is assessed to help cover administrative expenses such as those described
above under "Annual Administrative Charge." The daily administrative expense
charge, like the annual administrative charge, is designed to defray expenses
actually incurred. There is no necessary relationship between the amount of
administrative charges imposed on a given Contract and the amount of expenses
actually attributable to that Contract.
TAX CHARGE. We currently impose no charge for taxes payable by us in connection
with this Contract, other than for premium taxes and similar assessments when
applicable. We reserve the right to impose a charge for any other taxes that may
become payable by us in the future in connection with the Contracts or the
Separate Account.
The annual administrative charge and charges against the Separate Account
described above are for the purposes described and First Fortis may receive a
profit as a result of these charges.
SURRENDER CHARGE
No sales charge is collected or deducted at the time Net Purchase Payments are
applied under a Contract. A surrender charge will be assessed on certain total
or partial surrenders. The amounts obtained from the surrender charge will be
used to partially defray expenses incurred in the sale of the Contracts,
including commissions and other promotional or distribution expenses associated
with the marketing of the Contracts, and costs associated with the printing and
distribution of prospectuses and sales material.
FREE SURRENDERS. The following amounts can be withdrawn from the Contract
without a surrender charge:
- Any purchase payments received by us more than five
years prior to the surrender date and that have not been previously
surrendered;
- In any Contract year, up to 10% of the purchase payments
received by us less than five years prior to the surrender date
(whether or not the purchase payments have been previously
surrendered).
Purchase payments not subject to a surrender charge are deemed to be withdrawn
first. If all purchase payments have been withdrawn, the remaining earnings can
be withdrawn without a surrender charge. That is, surrender charges do not apply
to Contract earnings. For this purpose, it is assumed that all purchase payments
are withdrawn before earnings are withdrawn. (For federal income tax purposes,
however, certain partial surrenders will be deemed to come first from earnings.
See "Federal Tax Matters.")
No surrender charge is imposed on annuitization (or payment of a single sum
because the Contract Value is less than the minimum required to provide an
annuity on the Annuity Commencement Date). Nor is the surrender charge deducted
from the payment of any benefit upon the death of an Annuitant or Contract
Owner.
13
<PAGE>
In addition, we have an administrative policy to waive surrender charges for
full surrenders of Contracts that have been in force for at least ten years
provided that the amount then subject to the surrender charge is less than 25%
of the Contract Value. Since the Contracts have been offered only since 1994, no
such waivers have yet been made. We reserve the right to change or terminate
this practice at any time, both for new and for previously issued Contracts.
AMOUNT OF SURRENDER CHARGE. Surrender charges apply only if the amount being
withdrawn exceeds the sum of the amounts listed above under Free Surrenders. The
surrender charge is 5% of the purchase payments withdrawn which were received by
us less than five years prior to the surrender date.
We anticipate the surrender charge will not be sufficient to cover our
distribution expenses. To the extent that the surrender charge is insufficient
to cover the actual costs of distribution, such costs will be paid from First
Fortis' General Account assets, which will include profit, if any, derived from
the mortality and expense risk charge.
MISCELLANEOUS
Because the Separate Account invests in shares of the Portfolios of Fortis
Series, the net assets of the Separate Account will reflect the investment
advisory fees and certain other expenses incurred by the Portfolios that are
described in the prospectus for Fortis Series.
REDUCTION OF CHARGES
No surrender charge will be imposed under any Contract owned by (A) First
Fortis, and the following persons associated with First Fortis, if at the
Contract Issue date they are: (1) officers and directors; (2) employees; or (3)
spouses of any such persons or any of such persons' children.
FIXED ACCOUNT
Contract Owners may allocate Net Purchase Payments and transfer Contract Value
to the Fixed Account, in which case such amounts are held in the General Account
of First Fortis. Because of exemptive and exclusionary provisions, interests in
the Fixed Account have not been registered under the Securities Act of 1933 and
the Fixed Account has not been registered as an investment company under the
Investment Company Act of 1940. Accordingly, neither the Fixed Account nor any
interests therein are subject to the provisions of these acts and, as a result,
the staff of the Securities and Exchange Commission has not reviewed the
disclosures in this Prospectus relating to the Fixed Account. Disclosures
regarding the Fixed Account may, however, be subject to certain generally
applicable provisions of the federal securities laws relating to the accuracy
and completeness of statements made in prospectuses. This Prospectus is
generally intended to serve as a disclosure document only for the aspects of the
Contract involving the Separate Account and contains only selected information
regarding the Fixed Account. More information regarding the Fixed Account may be
obtained from First Fortis' Home Office or from your sales representative.
GENERAL DESCRIPTION
Our obligations with respect to the Fixed Account are supported by our General
Account. Subject to applicable law, we have sole discretion over the investment
of the assets in our General Account.
First Fortis guarantees that Contract Value in the Fixed Account will accrue
interest at an effective annual rate of at least 4%, independent of the actual
investment experience of the General Account. We may, at our sole discretion,
credit higher rates of interest, although we are not obligated to credit
interest in excess of the guaranteed rate of 4% per year. Any interest rate in
excess of 4% per year with respect to any amount in the Fixed Account pursuant
to a Contract will not be modified more than once each calendar year. Any higher
rate of interest will be quoted at an effective annual rate. The rate of any
excess interest initially or subsequently credited to any amount can in many
cases vary, depending on when that amount was originally allocated to the Fixed
Account. Once credited, such interest will be guaranteed and will become part of
Contract Value in the Fixed Account from which deductions for fees and charges
may be made.
Charges under the Contract are the same as when the Separate Account is being
used, except that the 1.35% per annum charged for mortality and expense risk and
administrative expenses is not imposed on amounts of Contract Value in the Fixed
Account.
FIXED ACCOUNT VALUE
The Contract's Fixed Account Value on any Valuation Date is the sum of the Net
Purchase Payments allocated to the Fixed Account, plus any transfers from the
Separate Account, plus interest credited to the Fixed Account, less any
surrenders, surrender charges or annual administrative charges allocated to the
Fixed Account or transfers to the Separate Account.
FIXED ACCOUNT TRANSFERS, TOTAL AND PARTIAL SURRENDERS
Amounts in the Fixed Account are generally subject to the same rights and
limitations and will be subject to the same charges as are amounts allocated to
the Subaccounts of the Separate Account with respect to total and partial
surrenders. See "Total and Partial Surrenders."
Transfers out of the Fixed Account have special limitations. Prior to the
Annuity Commencement Date, Contract Owners may transfer part or all of the
Contract Value from the Fixed Account to the Separate Account, provided that (1)
no more than one such transfer is made each Contract year, (2) no more than 50%
of the Fixed Account Value is transferred at any time (unless the balance in the
Fixed Account after the transfer would be less than $1,000, in which case up to
the entire balance may be transferred) and (3) at least $500 is transferred at
any one time (or, if less, the entire amount in the Fixed Account). Irrespective
of the above, we may in our discretion permit a continuing request for transfer
of lesser specified amounts automatically on a periodic basis. However, we
reserve the right to discontinue or modify any such arrangements at our
discretion.
No transfers from the Fixed Account may be made after the Annuity Commencement
Date.
GENERAL PROVISIONS
THE CONTRACT
The Contract, copies of any applications, amendments, riders, or endorsements
attached to the Contract, and copies of any supplemental applications,
amendments, endorsements, or revised Contract pages which are mailed to you are
the entire Contract. Only an officer of First Fortis can agree to change or
waive any provisions of a Contract. Any change or waiver must be in writing and
signed by one of these representatives of First Fortis.
The Contracts are non-participating and do not share in dividends or earnings of
First Fortis.
14
<PAGE>
POSTPONEMENT OF PAYMENTS
With respect to amounts in the Subaccounts of the Separate Account, payment of
any amount due upon a total or partial surrender, death or under an annuity
option will ordinarily be made within seven days after all documents required
for such payment are received by First Fortis at its Home Office.
However, First Fortis may defer the determination, application or payment of any
death benefit, partial or total surrender or annuity payment, to the extent
dependent on Accumulation or Annuity Unit Values, or any transfer, for any
period during which the New York Stock Exchange is closed (other than customary
weekend and holiday closings) or trading on the New York Stock Exchange is
restricted as determined by the Securities and Exchange Commission, for any
period during which any emergency exists as a result of which it is not
reasonably practicable for First Fortis to determine the investment experience
for the Contract, or for such other periods as the Securities and Exchange
Commission may by order permit for the protection of Contract Owners.
First Fortis may also defer for up to 15 days the payment of any amount
attributable to a purchase payment made by check to allow the check reasonable
time to clear. First Fortis may also defer payment of surrender proceeds payable
out of the Fixed Account for a period of up to 6 months.
MISSTATEMENT OF AGE OR SEX AND OTHER ERRORS
If the age or sex of the Annuitant has been misstated, any amount payable will
be that which the purchase payments paid would have purchased at the correct age
and sex. If we have made any overpayments because of incorrect information about
age or sex, or any error or miscalculation, First Fortis will deduct the
overpayment from the next payment or payments due. We add underpayments to the
next payment. The amount of any adjustment will be credited or charged with
interest at the rate of 4% per year.
ASSIGNMENT AND OWNERSHIP RIGHTS
Rights and interests under a Qualified Contract may be assigned only in certain
narrow circumstances referred to in the Contract. Contract Owners and other
payees may assign their rights and interests under Non-Qualified Contracts,
including their ownership rights.
We take no responsibility for the validity of any assignment. An ownership
change must be made in writing and a copy must be sent to First Fortis' Home
Office. The change will be effective on the date it was made, although we are
not bound by a change until the date we record it. Contract Owner, Annuitant and
Beneficiary rights are subject to any assignment of record at the Home Office of
First Fortis. An assignment or pledge of a Contract may have adverse tax
consequences. See below under "Federal Tax Matters."
BENEFICIARY
Before the Annuity Commencement Date and while the Annuitant is living, the
Contract Owner may name or change a beneficiary or a contingent beneficiary by
sending a Written Request of the change to First Fortis. Under certain
retirement programs, however, spousal consent may be required to name or change
a beneficiary, and the right to name a beneficiary other than the spouse may be
subject to applicable tax laws and regulations. We are not responsible for the
validity of any change. A change will take effect as of the date it is signed
but will not affect any payments we make or action we take before receiving the
Written Request. We also need the consent of any irrevocably named person before
making a requested change.
In the event of the death of a Contract Owner or Annuitant prior to the Annuity
Commencement date the Beneficiary will be determined as follows:
- If upon the death of a Contract Owner there is one or
more surviving Contract Owners, the surviving Contract Owner(s) will
be the Beneficiary (this overrides any other beneficiary designation).
- If upon the death of a Contract Owner there are no
surviving Contract Owners, and upon the death of the Annuitant, the
Beneficiary will be the beneficiary designated by the Contract Owner.
If there is no surviving beneficiary who has been designated by the
Contract Owner, then the Contract Owner, or the Contract Owner's
estate will be the Beneficiary.
REPORTS
We will mail to the Contract Owner, at the last known address of record, any
reports required by any applicable law or regulation. You should therefore give
us prompt written notice of any address change. Each Contract Owner will also be
sent an annual and a semi-annual report for Fortis Series and a list of the
portfolio securities held in each Portfolio of Fortis Series. All reports will
be mailed to the person receiving payments during the Annuity Period, rather
than to the Contract Owner.
RIGHTS RESERVED BY FIRST FORTIS
First Fortis reserves the right to make certain changes if, in its judgement,
they would best serve the interests of Contract Owners and Annuitants or would
be appropriate in carrying out the purposes of the Contract. Any changes will be
made only to the extent and in the manner permitted by applicable laws. Also,
when required by law, First Fortis will obtain your approval of the changes and
approval from any appropriate regulatory authority. Such approval may not be
required in all cases, however. Examples of the changes First Fortis may make
include:
- To operate the Separate Account in any form permitted
under the Investment Company Act of 1940 or in any other form
permitted by law.
- To transfer any assets in any Subaccount to another
Subaccount, or to one or more separate accounts, or to the Fixed
Account; or to add, combine or remove Subaccounts in the Separate
Account.
- To substitute, for the Portfolio shares held in any
Subaccount, the shares of another Portfolio of Fortis Series or the shares
of another investment company or any other investment permitted by
law.
- To make any changes required by the Internal Revenue
Code or by any other applicable law in order to continue treatment of
the Contract as an annuity.
- To change the time or times of day at which a Valuation
Date is deemed to have ended.
- To make any other necessary technical changes in the
Contract in order to conform with any action the above provisions
permit First Fortis to take, including to change the way First Fortis
assesses charges, but without increasing as to any then outstanding
Contract the aggregate amount of the types of charges which First
Fortis has guaranteed.
15
<PAGE>
DISTRIBUTION
The Contracts will be sold by individuals who, in addition to being licensed by
state insurance authorities to sell the Contracts of First Fortis, are also
registered representatives of Fortis Investors, Inc. ("Fortis Investors"), the
principal underwriter of the Contracts or registered representatives of other
broker-dealer firms, or representatives of other firms that are exempt from
broker-dealer regulation. Fortis Investors and any such other broker-dealer
firms are registered with the Securities and Exchange Commission under the
Securities Exchange Act of 1934 as broker-dealers and are members of the
National Association of Securities Dealers, Inc.
As compensation for distributing the Contracts, First Fortis pays Fortis
Investors a maximum of 7.0% of all purchase payments. Fortis Investors pays a
selling allowance not in excess of 7.0% of purchase payments to other
broker-dealer firms or exempt firms who sell the Contracts. First Fortis may,
under certain flexible compensation arrangements, pay Fortis Investors a lesser
selling allowance and a service fee, and Fortis Investors may in turn pay lesser
selling allowances and a service fee to its registered representatives and other
broker dealer firms. However, in such case, such flexible compensation
arrangements will have actuarial present values which are approximately
equivalent to the amounts of the selling allowances set forth above.
Additionally, registered representatives, broker-dealer firms, and exempt firms
may be eligible for additional compensation based upon meeting certain
production standards. Fortis Investors may "chargeback" commissions paid to
others if the contract upon which the commission was paid is surrendered or
canceled within certain specified time periods.
First Fortis or Fortis Investors may also provide additional compensation to
broker-dealers in connection with sales of Contracts. Compensation may include
financial assistance to broker-dealers in connection with conferences, sales or
training programs for their employees, seminars for the public, advertising,
sales campaigns regarding Contracts, and other broker-dealer sponsored programs
or events. Compensation may include payment for travel expenses incurred in
connection with trips taken by invited sales representatives and members of
their families to locations within or outside of the United States for meetings
or seminars of a business nature.
Fortis Investors is an indirect subsidiary of Fortis AMEV and Fortis AG and is
therefore under common control with First Fortis. Fortis Investors' principal
business address is 500 Bielenberg Drive, Woodbury, Minnesota 55115 and its
mailing address is P.O. Box 64284, St. Paul, MN 55164.
FEDERAL TAX MATTERS
The following description is a general summary of the tax rules, primarily
related to federal income taxes, which in the opinion of First Fortis are
currently in effect. These rules are based on laws, regulations and
interpretations which are subject to change at any time. This summary is not
comprehensive and is not intended as tax advice. Federal estate and gift tax
considerations, as well as state and local taxes, may also be material. You
should consult a qualified tax adviser as to the tax implications of taking any
action under a Contract or related retirement plan.
NON-QUALIFIED CONTRACTS
Section 72 of the Internal Revenue Code ("Code") governs the taxation of
annuities in general. Purchase payments made under Non-Qualified Contracts are
not excludible or deductible from the gross income of the Contract Owner or any
other person. However, any increase in the accumulated value of a Non-Qualified
Contract resulting from the investment performance of the Separate Account or
interest credited to the Fixed Account is generally not taxable to the Contract
Owner or other payee until received by him or her, as surrender proceeds, death
benefit proceeds, or otherwise. The exception to this rule is that, generally,
Contract Owners who are not natural persons ARE taxed annually for any increase
in the Contract Value. However, this exception does not apply in all cases, and
you may wish to discuss this with your tax adviser.
The following discussion applies generally to Contracts owned by natural
persons.
In general, surrenders or partial withdrawals under Contracts are taxed as
ordinary income to the extent of the accumulated income or gain under the
Contract. If a Contract Owner assigns or pledges any part of the value of a
Contract, the value so pledged or assigned is taxed to the Contract Owner as
ordinary income to the same extent as a partial withdrawal.
With respect to annuity payment options, although the tax consequences may vary
depending on the option elected under the Contract, until the investment in the
Contract is recovered, generally only the portion of the annuity payment that
represents the amount by which the Contract Value exceeds the "investment in the
contract" will be taxed. In general, an Annuitant's or other payee's "investment
in the contract" is the aggregate amount of purchase payments made by him or
her. After the "investment in the contract" is recovered, the full amount of any
additional annuity payments is taxable. For variable annuity payments, in
general the taxable portion of each annuity payment (prior to recovery of the
"investment in the contract") is determined by a formula which establishes the
specific dollar amount of each annuity payment that is not taxed. This dollar
amount is determined by dividing the "investment in the contract" by the total
number of expected annuity payments. For fixed annuity payments in general,
prior to recovery of the "investment in the contract," there is no tax on the
amount of each payment which bears the same ratio to such payment that the
"investment in the contract" bears to the total expected return under the
Contract. The remainder of each annuity payment is taxable. The taxable portion
of a distribution (in the form of an annuity or a single sum payment) is taxed
as ordinary income.
For purposes of determining the amount of taxable income resulting from
distributions, all Contracts and other annuity contracts issued by us or our
affiliates to the same Contract Owner within the same calendar year will be
treated as if they were a single contract.
There is a 10% penalty under the Code on the taxable portion of a "premature
distribution." Generally, an amount is a "premature distribution" unless the
distribution is (1) made on or after the Contract Owner or other payee reaches
age 59 1/2, (2) made to a Beneficiary on or after death of the Contract Owner,
(3) made upon the disability of the Contract Owner or other payee, or (4) part
of a series of substantially equal annuity payments for the life or life
expectancy of the Contract Owner or the Contract Owner and Beneficiary.
Premature distributions may result, for example, from an early Annuity
Commencement Date, any early surrender, partial surrender or assignment of a
Contract or the early death of an Annuitant who is not the Contract Owner.
16
<PAGE>
A transfer of ownership of a Contract, or designation of an Annuitant or other
payee who is not also the Contract Owner, may result in certain income or gift
tax consequences to the Contract Owner that are beyond the scope of this
discussion. A Contract Owner contemplating any transfer or assignment of a
Contract should contact a competent tax adviser with respect to the potential
tax effects of such transaction.
REQUIRED DISTRIBUTIONS FOR NON-QUALIFIED CONTRACTS
In order that a Non-Qualified Contract be treated as an annuity contract for
federal income tax purposes, Section 72(s) of the Code requires (a) if the
person receiving payments dies on or after the Annuity Commencement Date but
prior to the time the entire interest in the Contract has been distributed, the
remaining portion of such interest will be distributed at least as rapidly as
under the method of distribution being used as of the date of that person's
death; and (b) if any Contract Owner dies prior to the Annuity Commencement
Date, the entire interest in the Contract will be distributed (1) within five
years after the date of that Contract Owner's death or (2) as annuity payments
which will begin within one year of that Contract Owner's death and which will
be made over the life of the Contract Owner's designated beneficiary or over a
period not extending beyond the life expectancy of that beneficiary. However, if
the Contract Owner's designated Beneficiary is the surviving spouse of the
Contract Owner, the Contract may be continued with the surviving spouse deemed
to be the new Contract Owner for purposes of Section 72(s). Where the Contract
Owner or other person receiving payments is not a natural person, the required
distributions provided for in Section 72(s) apply upon the death of the primary
Annuitant.
No regulations interpreting the requirements of Section 72(s) have yet been
issued (although proposed regulations have been issued interpreting similar
requirements for qualified plans). First Fortis intends to review and modify the
endorsement if necessary to ensure that the Contracts comply with the
requirements of Section 72(s) when clarified by regulation or otherwise.
Generally, unless the Beneficiary elects otherwise, the above requirements will
be satisfied where the death occurs prior to the Annuity Commencement Date by
paying the death benefit in a single sum, subject to proof of the Contract
Owner's death. The Beneficiary, however, may elect by Written Request to receive
an annuity option instead of a lump sum payment. However, if the election is not
made within 60 days of the date the single sum death benefit otherwise becomes
payable, particularly where the annuitant dies and the annuitant is not the
Contract Owner, the IRS may disregard the election for tax purposes and tax the
Beneficiary as if a single sum payment had been made.
QUALIFIED CONTRACTS
The Contract may be used with several types of tax-qualified plans. The tax
rules applicable to Contract Owners, Annuitants and other payees vary according
to the type of plan and the terms and conditions of the plan itself. In general,
purchase payments made under a retirement program recognized under the Code on
behalf of an individual are excludible from the individual's gross income for
tax purposes during the Accumulation Period. The portion, if any, of any
purchase payment made by or on behalf of an individual under a Contract that is
not excluded from the individual's gross income for tax purposes during the
Accumulation Period constitutes the individual's "investment in the contract."
Aggregate deferrals under all plans at the employee's option may be subject to
limitations.
The Contracts are available in connection with the following types of retirement
plans: Section 403(b) annuity plans for employees of certain tax-exempt
organizations and public educational institutions; Section 401 or 403(a)
qualified pension, profit-sharing or annuity plans; individual retirement
annuities ("lRAs") under Section 408(b); SIMPLE IRA Plans under Section 408(p);
simplified employee pension plans ("SEPs") under Section 408(k); Section 457
unfunded deferred compensation plans of public employers and tax-exempt
organizations; and private employer unfunded deferred compensation plans. The
tax implications of these plans are further discussed in the Statement of
Additional Information under the heading "Taxation Under Certain Retirement
Plans."
When annuity payments begin, the individual will receive back his or her
"investment in the contract" if any, as a tax-free return of capital. The dollar
amount of annuity payments received in any year in excess of such return is
taxable as ordinary income. When payments are received as an annuity, the
tax-free return of capital is treated as if received ratably over the entire
period of the annuity until fully recovered (as described above with respect to
Non-Qualified Contracts).
WITHHOLDING
Annuity payments and other amounts received under Contracts are subject to
income tax withholding unless the recipient elects not to have taxes withheld.
The amounts withheld will vary among recipients depending on the tax status of
the individual and the type of payments from which taxes are withheld.
Notwithstanding the recipient's election, withholding may be required with
respect to certain payments to be delivered outside the United States and with
respect to certain distributions from certain types of qualified retirement
plans unless the proceeds are transferred directly from the qualified retirement
plan to another qualified retirement plan. Moreover, special "backup
withholding" rules may require First Fortis to disregard the recipient's
election if the recipient fails to supply First Fortis with a "TIN" or taxpayer
identification number (social security number for individuals), or if the
Internal Revenue Service notifies First Fortis that the TIN provided by the
recipient is incorrect.
PORTFOLIO DIVERSIFICATION
The United States Treasury Department has adopted regulations under Section
817(h) of the Code which set standards of diversification for the investments
underlying the Contracts, in order for the Contracts to be treated as annuities.
First Fortis believes that these diversification standards will be satisfied.
Failure to do so would result in immediate taxation to Contract Owners or
Annuitants of all returns credited to Contracts, except in the case of certain
Qualified Contracts. Also, current regulations do not provide guidance as to any
circumstances in which control over allocation of values among different
investment alternatives may cause Contract Owners or Annuitants to be treated as
the owners of Separate Account assets for tax purposes. First Fortis reserves
the right to amend the Contracts in any way necessary to avoid any such result.
The Treasury Department has stated that it expects to establish standards in
this regard through regulations or rulings. Such standards may apply only
prospectively, although retroactive application is possible if such standards
were considered not to embody a new position.
CERTAIN EXCHANGES
Section 1035 of the Code provides generally that no gain or loss will be
recognized upon the exchange of a life insurance or annuity contract for an
annuity contract. Thus, a properly completed exchange from one of these types of
products into a Contract pursuant to the special annuity contract exchange form
we provide for this purpose is not
17
<PAGE>
generally a taxable event under the Code, and your investment in the Contract
will be the same as your investment in the contract or policy exchanged.
However, an exchange from a Fortis Group Fund or other investment that is not a
life insurance or annuity contract may be a taxable event.
Certain existing annuity contracts may be "grandfathered" under various
provisions of the tax laws, i.e., subject to more favorable tax treatment than
generally offered under current law. For example, certain annuity contracts
issued before January 19, 1985 may not be subject to the distribution rules of
Code Section 72(s). Also, certain distributions from contracts issued before the
same date may not be subject to the 10% penalty tax for premature distributions.
Also, if a contract contained principal on August 13, 1982, that principal may
generally be withdrawn in a partial distribution before the withdrawal of any
taxable gain in the contract. These "grandfather" provisions may be lost if such
contract is exchanged for a Contract. In connection with contracts issued
pursuant to Section 1035 exchanges, if the data is provided to us, we can
separately track amounts attributable to purchase payments made to the original
contract before or after the effective date of the Tax Equity and Fiscal
Responsibility Act of 1982. That separate tracking can preserve certain of the
above grandfathered provisions.
Because of the complexity of these matters, you should consult a qualified tax
adviser before making any exchange.
TAX LAW RESTRICTIONS AFFECTING SECTION 403(B) PLANS
Section 403(b)(12) of the Internal Revenue Code restricts the distribution under
Section 403(b) annuity contracts of:
(1) elective contributions made for years beginning after December 31, 1988;
(2) earnings on those contributions; and
(3) earnings on amounts held as of December 31, 1988.
Distribution of those amounts may only occur upon death of the employee,
attainment of age 59 1/2, separation from service, disability, or financial
hardship. In addition, income attributable to elective contributions which
accrues after December 31, 1988 may not be distributed in the case of hardship.
VOTING PRIVILEGES
In accordance with its view of current applicable law, First Fortis will vote
shares of each of the Portfolios which are attributable to a Contract at regular
and special meetings of the shareholders of Fortis Series in proportion to
instructions received from the persons having the voting interest in the
Contract as of the record date for the corresponding Fortis Series shareholders
meeting. Contract Owners have the voting interest during the Accumulation
Period, persons receiving annuity payments during the Annuity Period, and
Beneficiaries after the death of the Annuitant or Contract Owner. However, if
the Investment Company Act of 1940 or any rules thereunder should be amended or
if the present interpretation thereof should change, and as a result First
Fortis determines that it is permitted to vote shares of the Portfolios in its
own right, it may elect to do so.
During the Accumulation Period, the number of shares of a Portfolio attributable
to a Contract is determined by dividing the amount of Contract Value in the
corresponding Subaccount pursuant to the Contract as of the record date for the
shareholders meeting by the net asset value of one Portfolio share as of that
date. During the Annuity Period, or after the death of the Contract Owner or
Annuitant, the number of Portfolio shares deemed attributable to the Contract
will be computed in a comparable manner, based on the liability for future
variable annuity payments allocable to that Subaccount under the Contract as of
the record date. Such liability for future payments will be calculated on the
basis of the mortality assumptions and the assumed interest rate used in
determining the number of Annuity Units credited to the Contract and the
applicable Annuity Unit value on the record date. During the Annuity Period, the
number of votes attributable to a Contract will generally decrease since funds
set aside to make the annuity payments will decrease.
Where Contract Owners are permitted to instruct us as to how to vote Portfolio
shares, our policy is to permit an Annuitant or payee who is not the Contract
Owner to direct the Contract Owner with respect to the voting of certain
Portfolio shares attributable to his or her Contract. An Annuitant or other
payee may direct the Contract Owner with respect to that number of Portfolio
shares that is attributable to purchase payments, if any, contributed by such
Annuitant or payee and any additional shares, to the extent authorized by an
employee benefit plan. (For these purposes, the number of shares attributable to
the Annuitant or payee is computed on a basis consistent with that for
attributing Portfolio shares to Contract Owners, as described above.)
Contract Owners are to instruct First Fortis to vote in accordance with such
directions from Annuitants and payees. Furthermore, Contract Owners are to
instruct First Fortis to vote shares of any Portfolio for which directions could
have been but were not received from Annuitants and other payees in the same
proportion as other shares in that Portfolio attributable to the Contract Owner
which are to be voted in accordance with directions received from Annuitants and
other payees. The Contract Owner may instruct us as to the voting of any other
shares attributable to Contracts as the Contract Owner may determine. The
Separate Account, Fortis Series and First Fortis do not have any obligation to
determine whether or not voting directions are requested or received by a
Contract Owner or whether or not a Contract Owner has instructed First Fortis in
accordance with directions given by Annuitants and other payees.
First Fortis will vote shares as to which it has received no timely
instructions, and any shares attributable to excess amounts First Fortis has
accumulated in the related Subaccount, in proportion to the voting instructions
which it receives with respect to all Contracts and other variable annuity
contracts participating in a Portfolio. To the extent that First Fortis or any
affiliated company holds any shares of a Portfolio, they will be voted in the
same proportion as instructions for that Portfolio that are received from
persons holding the voting interest with respect to all First Fortis separate
accounts participating in that Portfolio. Shares held by separate accounts other
than the Separate Account will in general be voted in accordance with
instructions of participants in such other separate accounts. This diminishes
the relative voting influence of the Contracts.
Each person having a voting interest in a Subaccount of the Separate Account
will receive proxy material, reports and other materials relating to the
appropriate Portfolio. Pursuant to the procedures described above, these persons
may give instructions regarding the election of the Board of Directors of Fortis
Series, ratification of the selection of its independent auditors, the approval
of the investment manager of a Portfolio, changes in fundamental investment
policies of a Portfolio and all other matters that are put to a vote by Fortis
Series shareholders.
18
<PAGE>
STATE REGULATION
First Fortis is subject to regulation and supervision by the Insurance
Department of the State of New York, which periodically examines its affairs.
LEGAL MATTERS
The legality of the Contracts described in this Prospectus has been passed upon
by David A. Peterson, Esquire, Vice President and Assistant General Counsel of
Fortis Benefits Insurance Company, an affiliate of First Fortis. Messrs.
Freedman, Levy, Kroll & Simonds, Washington, D.C., have advised First Fortis on
certain federal securities law matters.
CONTENTS OF STATEMENT OF ADDITIONAL INFORMATION
<TABLE>
<CAPTION>
PAGE
<S> <C>
First Fortis.............................................................. 2
Calculation of Annuity Payments........................................... 2
Services.................................................................. 3
- Safekeeping of Separate Account Assets.............................. 3
- Experts............................................................. 3
- Principal Underwriter............................................... 3
Limitation On Allocations................................................. 3
Change of Investment Adviser or Investment Policy......................... 3
Taxation Under Certain Retirement Plans................................... 3
Terms of Exemptive Relief in Connection with Mortality and Expense Risk
Charge................................................................... 7
Other Information......................................................... 8
Financial Statements...................................................... 8
APPENDIX A--Performance Information....................................... A-1
</TABLE>
19
<PAGE>
APPENDIX A
SAMPLE DEATH BENEFIT CALCULATIONS
DATE OF DEATH IS THE 3RD CONTRACT ANNIVERSARY:
<TABLE>
<CAPTION>
EXAMPLE EXAMPLE
1 2
------- -------
<C> <C> <C>
a. Net Purchase Payments Made Prior to Date of Death........... $20,000 $20,000
b. Contract Value on Date of Death............................. $17,000 $25,000
Death Benefit is larger of a, and b............................. $20,000 $25,000
</TABLE>
DATE OF DEATH IS THE 8TH CONTRACT ANNIVERSARY:
<TABLE>
<CAPTION>
EXAMPLE EXAMPLE EXAMPLE
3 4 5
------- ------- -------
<C> <C> <C> <C>
a. Net Purchase Payments Made Prior to Date of Death........... $20,000 $20,000 $20,000
b. Contract Value on 5th Contract Anniversary.................. $15,000 $30,000 $30,000
c. Contract Value on Date of Death............................. $17,000 $25,000 $35,000
Death Benefit is larger of a, b, and c........................ $20,000 $30,000 $35,000
</TABLE>
DATE OF DEATH IS THE 13TH CONTRACT ANNIVERSARY:
<TABLE>
<CAPTION>
EXAMPLE EXAMPLE EXAMPLE
6 7 8
------- ------- -------
<C> <C> <C> <C>
a. Net Purchase Payments Made Prior to Date of Death........... $20,000 $20,000 $20,000
b. Contract Value on 10th Contract Anniversary................. $15,000 $40,000 $40,000
c. Contract Value on Date of Death............................. $17,000 $30,000 $50,000
Death Benefit is larger of a, b, and c.......................... $20,000 $40,000 $50,000
</TABLE>
A-1
<PAGE>
(This page has been left blank intentionally.)
A-2
<PAGE>
APPENDIX B
EXPLANATION OF EXPENSE CALCULATIONS
The expense for a given year is calculated by multiplying the projected
beginning of the year policy value by the total expense rate. The total expense
rate is the sum of the variable account expense rate plus the total Series Fund
expense rate plus the annual administrative charge rate.
The policy values are projected by assuming a single payment of $1,000 grows at
an annual rate equal to 5% reduced by the total expense rate described above.
For example, the 3 year expense for the Growth Stock Series is calculated as
follows:
<TABLE>
<S> <C> <C>
Total Variable Account Annual Expenses 1.35%
+ Total Series Fund Operating Expenses 0.67%
+ Annual Administrative Charge Rate (See Below) 0.11%
= Total Expense Rate 2.13%
</TABLE>
The Annual Administrative Charge Rate is calculated by dividing the total Annual
Contract charges collected in 1996 by an affiliated company by the average
policy value in force in 1996 with that same affiliate.
Year 1 Beginning Policy Value = $1000.00
Year 1 Expense = $1000.00 x 0.0213 = $21.33
Year 2 Beginning Policy Value = $1028.67
Year 2 Expense = $1028.67 x 0.0213 = $21.94
Year 3 Beginning Policy Value = $1058.16
Year 3 Expense = $1058.16 x 0.0213 = $22.57
So the cumulative expenses for years 1-3 for the Growth Stock Series are equal
to $21.33 + $21.94 + $22.57 = $65.84.
If the contract is surrendered, the surrender charge is the surrender charge
percentage times the purchase payment minus the 10% free withdrawal amount:
<TABLE>
<S> <C> <C> <C>
Surrender Charge Percentage x (Initial Premium - 10% Free Withdrawal) = Surrender Charge
0.05 x ( $1000.00 - $100.00 ) = $45.00
</TABLE>
So the total expense if surrendered is $65.84 + $45.00 = $110.84.
B-1
<PAGE>
(This page has been left blank intentionally.)
<PAGE>
Individual Flexible Premium Deferred Variable Annuity Contracts (Opportunity)
Issued by
FIRST FORTIS LIFE INSURANCE COMPANY
STATEMENT OF ADDITIONAL INFORMATION
May 1, 1997
This Statement of Additional Information is not a Prospectus. It is intended
that this Statement of Additional information be read in conjunction with the
Prospectus for a flexible premium deferred variable annuity contract
("Contract"), dated May 1, 1997. A copy of the Prospectus may be obtained
without charge from Fortis Investors, Inc. 1-800-800-2638, ext. 3057; mailing
address: P.O. Box 64272, St. Paul, MN 55164 or First Fortis Life Insurance
Company ("First Fortis") 1-800-745-8248, mailing address: P.O.Box 3249,
Syracuse, NY 13220. The Contracts are issued by First Fortis through its
Variable Account A (the "Separate Account").
TABLE OF CONTENTS
First Fortis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Calculation of Annuity Payments. . . . . . . . . . . . . . . . . . . . . . . .2
Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
- Safekeeping of Separate Account Assets . . . . . . . . . . . . . . . . . .3
- Experts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
- Principal Underwriter . . . . . . . . . . . . . . . . . . . . . . . . . .3
Limitation on Allocations. . . . . . . . . . . . . . . . . . . . . . . . . . .3
Change of Investment Adviser or Investment Policy. . . . . . . . . . . . . . .3
Taxation Under Certain Retirement Plans. . . . . . . . . . . . . . . . . . . .4
Other Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Financial Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Appendix A - Performance Information . . . . . . . . . . . . . . . . . . . .A-1
In order to supplement the description in the Prospectus, the following provides
additional information about the Contract and other matters which may be of
interest to Contract Owners, Annuitants and Beneficiaries. Terms used in this
Statement of Additional Information have the same meanings as are defined in the
Prospectus under the heading "Special Terms Used in This Prospectus."
<PAGE>
FIRST FORTIS
First Fortis Life Insurance Company, the issuer of the Contracts, is a New York
corporation qualified to sell life insurance and annuity contracts in New York.
First Fortis is a wholly-owned subsidiary of Fortis, Inc. Fortis, Inc. is a
corporation based in New York, which manages the United States operations of
Fortis AMEV and Fortis AG. Fortis, Inc. is wholly-owned by Fortis International,
Inc., which is in turn wholly-owned by Sycamore Insurance Holding N.V. The
latter is 50% owned by Fortis AMEV and 50% owned, through certain subsidiaries,
by Fortis AG.
Fortis AMEV is a publicly-traded, multi-national insurance and financial
services group headquartered in The Netherlands. Fortis AMEV is an international
financial services firm that has been in business since 1847. It is one of the
largest holding companies in Europe with subsidiary companies in twelve
countries on four continents. Fortis AMEV is the third largest insurance company
in The Netherlands. Fortis AG is a multi-national insurance, real estate and
financial services firm that has been in business since 1824. It has subsidiary
companies in eight countries. Fortis AG is one of the largest life insurance
companies in Belgium. Fortis AMEV and Fortis AG have combined assets of
approximately $175 billion.
Best's Insurance Reports has assigned First Fortis a rating of A (Excellent) for
financial position and operating performance. First Fortis has a rating of AA
from Standard & Poor's. As defined by Standard & Poor's, insurers rated AA offer
"excellent financial security." These ratings represent such rating agencies'
independent opinion of First Fortis' financial strength and ability to meet
policy holder obligations, but have no relevance to the performance and quality
of the assets in Subaccounts of the Variable Account.
CALCULATION OF ANNUITY PAYMENTS
FIXED ANNUITY OPTION
The amount of each annuity payment under a Fixed Annuity Option is fixed and
guaranteed by First Fortis. Monthly fixed annuity payments will start as of the
end of the Valuation Period that contains the Annuity Commencement Date. At
that time, the Contract Value of the Contract is computed and that portion of
the Contract Value which will be applied to the Fixed Annuity Option selected is
determined. The amount of the first monthly payment under the Fixed Annuity
Option selected will be at least as large as would result from using the annuity
tables contained in the Contract to apply such amount of Contract Value to the
annuity form selected. The dollar amounts of any fixed annuity payments after
the first are specified during the entire period of annuity payments according
to the provisions of the annuity form selected.
VARIABLE ANNUITY OPTION
ANNUITY UNITS. To the extent a Variable Annuity Option has been selected, we
convert the Accumulation Units for each Subaccount of the Separate Account into
Annuity Units for each Subaccount at their values determined as of the end of
the Valuation Period which contains the Annuity Commencement Date. As of such
time, any Fixed Account Value to be applied to a Variable Annuity Option is also
converted to Annuity Units in the Subaccounts selected based on the then-current
Annuity Unit value. The initial number of Annuity Units in each Subaccount is
determined by dividing the amount of the initial monthly variable annuity
payment (see "Variable Annuity Option--Variable Annuity Payments," below)
allocable to that Subaccount by the value of one Annuity Unit in that Subaccount
as of the time of the conversion. The number of Annuity Units for each
Subaccount will remain constant, as long as an annuity remains in force and the
allocation among the Subaccounts has not changed.
The value of each Subaccount's Annuity Units will vary to reflect the investment
experience of that Subaccount as well as charges deducted from the Subaccount.
The value of each Subaccount's Annuity Units is equal to the prior value of the
Subaccount's Annuity Units multiplied by the net investment factor for that
Subaccount (discussed in the Prospectus under "Contract Value") for the
Valuation Period ending on that Valuation Date, with an offset for the 4%
assumed interest rate used in the annuity tables of the Contract.
VARIABLE ANNUITY PAYMENTS. Variable annuity payments start at the end of the
Valuation Period that contains the Annuity Commencement Date, and will vary in
amount as the related Annuity Unit values vary. The amount of the first monthly
payment
2
<PAGE>
is shown on the annuity tables contained in the Contract for each $1,000 of
Contract Value applied to the Variable Annuity Option selected as of the end of
such Valuation Period. The first variable annuity
payment is, in effect, allocated among the Subaccounts in the same proportion as
the Contract Value is allocated among the Subaccounts upon commencement of
annuity payments.
Payments after the first will vary in amount and are determined on the first
Valuation Date of each subsequent monthly period. If the monthly payment under
the annuity form selected is based on the value of Annuity Units of a single
Subaccount, the monthly payment is found by multiplying the number of the
Contract's Annuity Units for that Subaccount by the Annuity Unit value of such
Subaccount as of the first Valuation Date in each monthly period following the
Annuity Commencement Date. If the monthly payment under the Variable Annuity
Option selected is based upon the value of Annuity Units in more than one
Subaccount, this is repeated for each applicable Subaccount. The sum of these
payments is the variable annuity payment.
SERVICES
SAFEKEEPING OF SEPARATE ACCOUNT ASSETS
Title to the assets of the Separate Account is held by First Fortis. The assets
of the Separate Account are kept segregated and held separate and apart from
First Fortis' other assets. Fortis Advisers, Inc., an affiliate of First
Fortis, maintains records of all purchases and redemptions of shares of Fortis
Series Fund, Inc. held by each of the Subaccounts of the Separate Account.
EXPERTS
The financial statements of First Fortis Life Insurance Company and First Fortis
Variable Account A appearing in this Statement of Additional Information and
Registration Statement have been audited by Ernst & Young LLP, independent
auditors, to the extent indicated in their reports thereon also appearing
elsewhere herein and are included in reliance upon such reports given upon the
authority of such firm as experts in accounting and auditing.
PRINCIPAL UNDERWRITER
Fortis Investors, Inc. ("Fortis Investors"), the principal underwriter of the
Contracts, is a Minnesota corporation and a member of the Securities Investors
Protection Corporation. The offering of the Contracts is continuous, and Fortis
Investors does not anticipate discontinuing the offering of the Contracts,
although it reserves the right to do so. First Fortis paid a total of $154,849
to Fortis Investors for annuity distribution services during 1996. Of this total
the sum of $21,793 for the year 1996 was not reallowed to other broker dealers.
Contracts will be issued for Annuitants from ages zero to ninety.
LIMITATION ON ALLOCATIONS
Under the Contract, First Fortis reserves the right to control the amount of any
assets in any investment alternative. Pursuant to this authority, First Fortis
has established the following administrative procedures for the protection of
the interests of all investors participating in Fortis Series' Portfolios: a
Contract Owner may not invest, allocate, transfer or exchange Contract Value
into any Subaccount if the value allocated to that Subaccount under the Contract
(and under any other insurance or annuity contracts directly or indirectly
controlled by the same person, jointly or individually) would immediately
thereafter equal 25% or more of the related Fortis Series Portfolio's net
assets. First Fortis reserves the right to modify these procedures at any time.
CHANGE OF INVESTMENT ADVISER OR INVESTMENT POLICY
Unless otherwise required by law or regulation, and subject to Fortis Advisers,
Inc.'s right to terminate its investment advisory arrangements with Fortis
Series, neither the investment adviser nor any investment policy may be changed
without the consent of First Fortis. No investment policy will be changed
unless a statement of change is filed with and approved by the Insurance
Commissioner of the State of New York. The Contract Owner (or, after annuity
payments start, the Annuitant) will be notified of any material investment
policy change which has been approved.
3
<PAGE>
Notification of an investment policy change will be provided to Contract Owners
prior to its implementation by the Separate Account if Contract Owner comment or
vote is required for such change.
TAXATION UNDER CERTAIN RETIREMENT PLANS
Federal income tax information concerning the purchase of Contracts for specific
types of retirement plans is set forth below. You should also refer to "Federal
Tax Matters" in the Prospectus. The tax information provided is not
comprehensive, and you should consult a qualified tax adviser before taking any
action in connection with a retirement plan.
SECTION 403(b) ANNUITIES FOR EMPLOYEES OF CERTAIN TAX-EXEMPT ORGANIZATIONS OR
PUBLIC EDUCATIONAL INSTITUTIONS
PURCHASE PAYMENTS. Under Section 403(b) of the Internal Revenue Code ("Code"),
payments made by certain employers (i.e., tax-exempt organizations meeting the
requirements of Section 501(c)(3) of the Code, or public educational
institutions) to purchase Contracts for their employees are excludible from the
gross income of employees to the extent that such aggregate purchase payments do
not exceed certain limitations prescribed by the Code. This is the case whether
the purchase payments are a result of voluntary salary reduction amounts or
employer contributions. Salary reduction payments are, however, subject to FICA
(social security) taxes.
TAXATION OF DISTRIBUTIONS. Distributions from a Section 403(b) tax-deferred
annuity contract are taxed as ordinary income to the recipient as described
under "Federal Tax Matters" in the Prospectus. Taxable distributions
received before the employee attains age 59 1/2 generally are subject to a
10% penalty tax in addition to regular income tax. Certain distributions are
excepted from this penalty tax, including distributions following the
employee's death, disability, separation from service after age 55,
separation from service at any age if the distribution is in the form of an
annuity for the life (or life expectancy) of the employee (or the employee
and Beneficiary) and distributions not in excess of deductible medical
expenses. In addition, no distributions of voluntary salary reduction
amounts made for years after December 31, 1988 (plus earnings thereon and
earnings on Contract values as of December 31, 1988) will be permitted prior
to one of the following events: attainment of age 59 1/2 by the employee or
the employee's separation from service, death, disability or hardship.
(Hardship distributions will be limited to the lesser of the amount of the
hardship or the amount of salary reduction contributions, exclusive of
earnings thereon.)
REQUIRED DISTRIBUTIONS. Generally, distributions from Section 403(b)
annuities must commence not later than April 1 of the calendar year following
the calendar year in which the employee attains age 70 1/2, and such
distributions must be made over a period that does not exceed the life
expectancy of the employee (or the employee and Beneficiary). A penalty tax
of 50% would be imposed on any amount by which the minimum required
distribution in any year exceeded the amount actually distributed in that
year. In addition, in the event that the employee dies before his or her
entire interest in the Contract has been distributed, the employee's entire
interest must be distributed in accordance with rules similar to those
applicable upon the death of the Contract Owner in the case of a
Non-Qualified Contract, as described in the Prospectus. Certain of these and
other provisions are incorporated in a special endorsement attached to
Contracts that are intended to qualify under Section 403(b), and reference
should be made to that endorsement for its complete terms.
TAX-FREE EXCHANGES AND ROLLOVERS. The Code provides for the tax-free exchange
of one Section 403(b) annuity contract for another Section 403(b) annuity
contract, and the IRS has ruled (Revenue Ruling 90-24) that amounts transferred
may qualify as tax-free transfers under certain circumstances. In addition,
Section 403(b)(8) of the Code permits tax-free rollovers from Section 403(b)
programs to individual retirement annuities or other Section 403(b) programs
under certain circumstances.
SECTION 401 QUALIFIED PENSION, PROFIT-SHARING OR ANNUITY PLANS
PURCHASE PAYMENTS. Subject to certain limitations prescribed by the Code,
purchase payments made by an employer (or a self-employed individual) under a
pension, profit-sharing or annuity plan qualified under Section 401 or
Section 403(a) of the Code are generally deductible by the employer and
excluded from the taxable income of the employee for federal income tax
purposes, whether made under a salary reduction agreement or directly by
employer contributions. Salary reduction payments are, however, subject to
FICA (social security) taxes. Purchase payments made directly by an employee
generally are made on an after-tax basis.
TAXATION OF DISTRIBUTIONS. Distributions from Contracts purchased under these
qualified plans are taxable as ordinary income,
4
<PAGE>
except to the extent allocable to an employee's after-tax contributions, as
described under "Federal Tax Matters--Qualified Plans," in the Prospectus.
However, if an employee or other payee receives a "lump sum" distribution, as
defined in the Code, from an exempt employees' trust, the taxable portion of
the distribution may be subject to special tax treatment. For most
individuals receiving lump sum distributions after attaining age 59 1/2, the
rate of tax may be determined under a special 5-year income averaging
provision. Those who attained age 50 by January 1, 1986 may instead elect to
use a 10-year income averaging provision based on the income tax rates in
effect for 1986. Taxable distributions received prior to attainment of age
59 1/2 under a Contract purchased under a qualified plan are subject to the
same 10% penalty tax (and the same exceptions) as described above with
respect to Section 403(b) annuity contracts.
REQUIRED DISTRIBUTIONS. The minimum distribution requirements for these
qualified plans are generally the same as described above with respect to
Section 403(b) annuity contracts.
TAX-FREE ROLLOVERS. If, within 60 days of receipt, an employee who receives a
single sum distribution transfers all of the taxable amount received to another
plan qualified under Section 401 or 403(a), or to an individual retirement
account or annuity as provided for under the Code, the transferred amount will
not
be taxed in the year of distribution. Certain "partial" distributions may also
qualify for tax-free rollover treatment, but only if transferred to an
individual retirement account or annuity. However, income tax may be required
to be withheld from the distribution unless the distribution is transferred
directly from the qualified plan to an individual retirement account or annuity.
INDIVIDUAL RETIREMENT ANNUITIES
PURCHASE PAYMENTS. Individuals may make contributions for individual retirement
annuity ("IRA") Contracts. Deductible contributions for any year may be made up
to the lesser of $2,000 or 100% of compensation for individuals who (1) are not
(and whose spouses are not) active participants in another retirement plan, (2)
are unmarried and have adjusted gross income of $25,000 or less, or (3) are
married and have adjusted gross income of $40,000 or less. An individual may
also establish an IRA for his or her spouse if they file a joint return for the
taxable year and his or her spouse earns less than the individual does for that
year. The annual purchase payments for both spouses' Contracts cannot exceed
the lesser of $4,000 or 100% of the couple's combined earned income, and no more
than $2,000 may be contributed to either spouse's IRA for any year. Individuals
who are active participants in other retirement plans and whose adjusted gross
income (with certain special adjustment) exceed the cut-off point ($25,000 for
unmarried, $40,000 for married persons filing jointly, and $0 for married
persons filing a separate return) by less than $10,000 are entitled to make
deductible IRA contributions in proportionately reduced amounts. For example, a
married individual who is an active participant in another retirement plan and
files a separate tax return is entitled to a partial IRA deduction if the
individual's adjusted gross income is less than $10,000 and no IRA deduction if
his or her adjusted gross income is equal to or greater than $10,000.
An individual may make non-deductible IRA contributions to the extent of (1) the
lesser of $2,000 ($4,000 in the case of a spousal IRA) or 100% of compensation
over (2) the IRA deductible contribution made with respect to the individual.
An individual may not make any contributions to his/her own IRA for the year
in which he/she reaches age 70 1/2 or for any year thereafter. Contributions
to a spouse's IRA may not be made for any year in which that spouse reaches
age 70 1/2 or for any year thereafter.
TAXATION OF DISTRIBUTIONS. Distributions from IRA Contracts are taxed as
ordinary income to the recipient, although special rules exist for the
tax-free return of non-deductible contributions. In addition, taxable
distributions received under an IRA Contract prior to age 59 1/2 are subject
to a 10% penalty tax in addition to regular income tax. Certain
distributions are exempted from this penalty tax including distributions
following the owner's death or disability or distribution in the form of an
annuity for the life (or life expectancy) of the owner (or the owner and
beneficiary), or distributions not in excess of deductible medical expenses
or certain distributions to pay health insurance premiums after an extended
period of unemployment.
REQUIRED DISTRIBUTIONS. The minimum distribution requirements for IRAs are
generally the same as described above with respect to Section 403(b) annuity
contracts. Certain of these and other provisions are incorporated in a special
endorsement attached to IRA Contracts, and reference should be made to that
endorsement for its complete terms.
5
<PAGE>
TAX-FREE ROLLOVERS. The Code permits funds to be transferred in a tax-free
rollover from a qualified employer pension, profit-sharing, annuity, bond
purchase or tax-deferred annuity plan to an IRA Contract if certain conditions
are met, and if the rollover of assets is completed within 60 days after the
distribution from the qualified plan is received. In addition, not more
frequently than once every twelve months, amounts may be rolled over tax-free
from one IRA to another, subject to the 60-day limitation and other
requirements. The once-per-year limitation on rollovers does not apply to
direct transfers of funds between IRA custodians or trustees.
SIMPLIFIED EMPLOYEE PENSION PLANS
PURCHASE PAYMENTS. Under Section 408(k) of the Code, employers may establish a
type of IRA plan referred to as a simplified employee pension plan (SEP).
Employer contributions to a SEP cannot exceed the lesser of $24,000 or 15% of
the employee's earned income. Employees of certain small employers may have
contributions made to a special kind of SEP (SARSEP) on their behalf on a salary
reduction basis if the SARSEP plan was in effect on December 31, 1996. These
salary reduction contributions may not exceed $9,500 in 1997, which is indexed
for inflation. Employees of tax-exempt organizations and state or local
government agencies have never been eligible for the salary reduction type of
SEP.
TAXATION OF DISTRIBUTIONS. Generally, distribution payments from SEPs are
subject to the same distribution rules described above for IRAs.
REQUIRED DISTRIBUTIONS. SEP distributions are subject to the same minimum
required distribution rules described above for IRAs.
TAX-FREE ROLLOVERS. Generally, rollovers and direct transfers may be made to
and from SEPs in the same manner as described above for IRAs, subject to the
same conditions and limitations. Rollovers to other IRAs, excluding SIMPLE IRAs
are also possible. Special rules apply if the rollover is from a SARSEP IRA.
SECTION 408(p) SIMPLE IRA PLANS
PURCHASE PAYMENTS: Under Section 408(p) of the Code, small employers may
establish a type of IRA plan referred to as a Savings Incentive Match Plan for
Employees (SIMPLE Plan). An employee may contribute annually through his or her
employer a pre-tax salary reduction contribution not to exceed the lesser of
$6,000 or 100% of compensation. The employer must annually either (1) match the
employee contribution dollar for dollar up to 3% of pay, or (2) make a 2% of pay
contribution for each eligible employee regardless of whether the employee makes
any salary reduction contribution. In two out of every five years, the employer
has the option to reduce the matching contribution as low as 1% of pay but
advance notice must be provided to employees.
TAXATION OF DISTRIBUTIONS: Generally, distributions from SIMPLE IRA Plans are
subject to the same distribution rules described above for IRAs. However, if an
individual withdraws any amount from his SIMPLE IRA Plan within the first two
years of his or her commencement of participation in the employer's SIMPLE IRA
Plan, the 10% penalty tax for premature distribution, if such tax applies, will
be increased to 25%.
REQUIRED DISTRIBUTIONS: SIMPLE distributions are subject to the same minimum
distribution rules described above for IRAs.
TAX-FREE ROLLOVERS: Generally, rollovers and direct transfers may be made to
and from SIMPLE IRAs in the same manner as described above for IRAs, subject to
the same conditions and limitations. Rollovers or transfers to other IRAs, other
than SIMPLE IRAs, are also possible but only after the second anniversary of
commencement of participation in the employer's SIMPLE IRA Plan.
SECTION 457 UNFUNDED DEFERRED COMPENSATION PLANS OF PUBLIC EMPLOYERS AND
TAX-EXEMPT ORGANIZATIONS
PURCHASE PAYMENTS. Under Section 457 of the Code, all individuals who perform
services for a state or local government or governmental agency may participate
in a deferred compensation program. Other tax-exempt employers may establish
unfunded deferred compensation plans under Section 457 for employees and/or
independent contractors.
Though not actually a qualified plan as that term is normally used, this type of
program allows individuals to defer the receipt of
6
<PAGE>
compensation that otherwise would be currently payable and therefore to defer
the payment of federal income taxes on such amounts. Assuming that the program
meets the requirements to be considered an eligible deferred compensation plan
(an "EDCP"), an individual may contribute (and thereby defer from current income
for tax purposes) the lesser of $7,500 or 33-1/3% of the individual's includible
compensation. (Includible compensation means compensation from the employer
which would be currently includible in gross income for federal tax purposes.)
In addition, during the last three years before an individual attains normal
retirement age, additional "catch-up" deferrals are permitted.
The amounts which are deferred may be used by the employer to purchase the
Contracts offered by this Prospectus. The Contract is owned by the employer and
is subject to the claims of the employer's creditors. The employee has no
rights or interest in the Contract and is entitled only to payment in accordance
with the EDCP provisions.
TAXATION OF DISTRIBUTIONS. Amounts received by an individual from an EDCP are
includible in gross income for the taxable year in which such amounts are paid
or otherwise made available.
DISTRIBUTIONS BEFORE SEPARATION FROM SERVICE. Distributions generally are
not permitted under an EDCP prior to separation from service or reaching age
70 1/2, except in cases of severe financial hardship. Hardship distributions
are includible in the gross income of the individual in the year in which
paid.
REQUIRED DISTRIBUTIONS. The distribution requirements for these qualified plans
are generally the same as described above with respect to Section 403(b) annuity
contracts. However, if distributions do not commence before the employee's
death, the entire interest in the Contract must be distributed within 15 years
if the beneficiary is not the employee's surviving spouse.
TAX-FREE TRANSFERS. The Code permits the tax-free direct transfer of EDCP
amounts to another EDCP, subject to certain conditions. Any transfer must be
with employer consent.
PRIVATE EMPLOYER UNFUNDED DEFERRED COMPENSATION PLANS
PURCHASE PAYMENTS. Private taxable employers may establish unfunded,
non-qualified deferred compensation plans for a select group of management or
highly compensated employees and/or for independent contractors. Certain
arrangements of tax-exempt employers entered into prior to August 16, 1986, and
not subsequently modified, are also subject to the rules for private taxable
employer deferred compensation plans discussed below. (Unfunded deferred
compensation plans of other tax-exempt employers are generally subject to the
requirements of Section 457.)
These types of programs allow individuals to defer receipt of up to 100% of
compensation which would otherwise be includible in income and therefore to
defer the payment of federal income taxes on such amounts. Purchase payments
made by the employer, however are not immediately deductible by the employer,
and the employer is currently taxed on any increase in Contract Value.
Deferred compensation plans represent a contractual promise on the part of the
employer to pay current compensation at some future time. The Contract is owned
by the employer and is subject to the claims of the employer's creditors. The
individual has no right or interest in the Contract and is entitled only to
payment from the employer's general assets in accordance with plan provisions.
TAXATION OF DISTRIBUTIONS. Amounts received by an individual from a private
employer deferred compensation plan are includible in gross income for the
taxable year in which such amounts are paid or otherwise made available.
EXCESS DISTRIBUTIONS--15% TAX
Certain persons, particularly those who participate in more than one
tax-qualified retirement plan, may be subject to an additional tax of 15% on
certain excess aggregate distributions from those plans. In general, excess
distributions are taxable distributions from all tax-qualified plans in excess
of a specified annual limit for payments made in the form of an annuity
(currently, $160,000) or five times the annual limit for lump sum distributions.
OTHER INFORMATION
7
<PAGE>
A Registration Statement has been filed with the Securities and Exchange
Commission under the Securities Act of 1933 as amended, with respect to the
Contracts discussed in this Statement of Additional Information. Not all of the
information set forth in the Registration Statement, amendments and exhibits
thereto has been included in this Statement of Additional Information.
Statements contained in this Statement of Additional Information concerning the
content of the Contracts and other legal instruments are intended to be
summaries. For a complete statement of the terms of these documents, reference
should be made to the instruments filed with the Securities and Exchange
Commission.
FINANCIAL STATEMENTS
The financial statements of First Fortis that are included in this Statement of
Additional Information should be considered only as bearing on the ability of
First Fortis to meet its obligations under the Contracts.
8
<PAGE>
Report of Independent Auditors
Board of Directors
First Fortis Life Insurance Company
We have audited the accompanying statement of net assets of First Fortis Life
Insurance Company Variable Account A (comprising, respectively, the Fortis
Series Fund's Growth Stock, U.S. Government Securities, Money Market, Asset
Allocation, Diversified Income, Global Growth, Aggressive Growth, Growth &
Income, High Yield, Global Asset Allocation, Global Bond, International Stock,
Value, S&P 500 and Blue Chip Stock Subaccounts) as of December 31, 1996, and the
related statement of changes in net assets for the period from July 1, 1996
(commencement of operations) to December 31, 1996. These financial statements
are the responsibility of the management of First Fortis Life Insurance Company.
Our responsibility is to express an opinion on these financial statements based
on our audit.
We conducted our audit in accordance with generally accepted auditing standards.
Those standards 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. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audit provides a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in
all material respects, the financial position of each of the portfolio
subaccounts constituting First Fortis Life Insurance Company Variable Account A
at December 31, 1996, and the results of their operations and changes in their
net assets for the period from July 1, 1996 (commencement of operations) to
December 31, 1996, in conformity with generally accepted accounting principles.
/s/ Ernst & Young LLP
April 11, 1997
<PAGE>
<TABLE>
<CAPTION>
First Fortis Life Insurance Company
Variable Account A
Statement of Net Assets
December 31, 1996
NET ASSET VALUE FOR
ACCUMULATION VARIABLE ANNUITY
NET UNITS CONTRACTS PER
ASSETS OUTSTANDING ACCUMULATION UNIT
--------------------------------------------------------------
<S> <C> <C> <C>
Investments in Fortis Series Fund, Inc., at market value (NOTE 2):
Growth Stock Series (6,446 shares; cost--$209,123) $210,096 70,686 $2.97
U.S. Government Securities Series (644 shares; 6,811 427 15.95
cost--$6,946)
Money Market Series (4,123 shares; cost--$44,752) 45,122 31,800 1.42
Asset Allocation Series (8,791 shares; cost--$153,046) 149,379 63,004 2.37
Diversified Income Series (3,185 shares; cost--$36,245) 37,255 20,649 1.80
Global Growth Series (6,723 shares; cost--$126,179) 127,713 6,899 18.51
Aggressive Growth Series (14,041 shares; 191,234 14,449 13.24
cost--$198,975)
Growth & Income Series (14,703 shares; cost--$216,541) 222,945 14,412 15.47
High Yield Series (11,954 shares; cost--$122,360) 117,452 9,846 11.93
Global Asset Allocation Series (7,928 shares; cost 97,859 7,591 12.89
$98,478)
Global Bond Series (1,456 shares; cost--$16,409) 16,149 1,347 11.99
International Stock Series (11,222 shares; 139,620 10,999 12.69
cost--$137,017)
Value Series (15,235 shares; cost--$165,866) 173,386 15,690 11.05
S&P 500 Series (5,083 shares; cost--$56,857) 58,280 5,144 11.33
Blue Chip Stock Series (9,337 shares; cost--$106,411) 108,962 9,457 11.52
-----------------------------------
Total net assets $1,702,263 282,400
-----------------------------------
-----------------------------------
</TABLE>
SEE ACCOMPANYING NOTES.
2
<PAGE>
<TABLE>
<CAPTION>
First Fortis Life Insurance Company
Variable Account A
Statement of Changes in Net Assets
Period from July 1, 1996 (commencement of operations) to December 31, 1996
U.S.
GROWTH GOVERNMENT MONEY ASSET DIVERSIFIED GLOBAL AGGRESSIVE GROWTH &
STOCK SECURITIES MARKET ALLOCATION INCOME GROWTH GROWTH INCOME
SERIES SERIES SERIES SERIES SERIES SERIES SERIES SERIES
----------------------------------------------------------------------------------------
<S> <C> <C> <C> <C> <C> <C> <C> <C>
OPERATIONS
Dividend income $ 677 $ 386 $ 204 $ 7,449 $ -- $ 148 $ 318 $ 5,819
Mortality and expense and policy advance
charges (NOTE 3) (127) (27) (378) (262) (30) 235 (631) 290
Net realized gain (loss) on investments 2,290 -- 863 396 -- 225 (259) (761)
Net change in unrealized appreciation
(depreciation) of investments 973 (135) 370 (3,667) 1,010 1,534 (7,741) 6,404
----------------------------------------------------------------------------------------
Net increase (decrease) in net assets
resulting from operations 3,813 224 1,059 3,916 980 2,142 (8,313) 11,752
CAPITAL TRANSACTIONS
Purchase of Variable Account A units 264,460 6,560 162,462 158,453 36,245 151,125 220,356 298,353
Redemption of Variable Account A units (58,304) -- (118,777) (13,252) -- (25,319) (21,440) (86,870)
Mortality and expense charges redeemed 127 27 378 262 30 (235) 631 (290)
-----------------------------------------------------------------------------------------
Net increase resulting from capital 206,283 6,587 44,063 145,463 36,275 125,571 199,547 211,193
transactions
Net assets at beginning of period -- -- -- -- -- -- -- --
----------------------------------------------------------------------------------------
Net assets at end of period $210,096 $6,811 $45,122 $149,379 $37,255 $127,713 $191,234 $222,945
----------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------
</TABLE>
3
<PAGE>
<TABLE>
<CAPTION>
First Fortis Life Insurance Company
Variable Account A
Statement of Changes in Net Assets (continued)
GLOBAL
HIGH ASSET GLOBAL BLUE CHIP COMBINED
YIELD ALLOCATION BOND INTERNATIONAL VALUE S&P 500 STOCK VARIABLE
SERIES SERIES SERIES STOCK SERIES SERIES SERIES SERIES ACCOUNT
-----------------------------------------------------------------------------------------
<S> <C> <C> <C> <C> <C> <C> <C> <C>
OPERATIONS
Dividend income $ 6,166 $ 3,734 $ 643 $ 3,888 $ 942 $ 337 $ 360 $ 31,071
Mortality and expense and policy advance
charges (NOTE 3) (107) (187) (55) 57 (217) (138) 203 (1,374)
Net realized (loss) gain on investments 154 4 -- (343) 265 274 595 3,703
Net change in unrealized appreciation
(depreciation) of investments (4,908) (619) (260) 2,603 7,520 1,423 2,551 7,058
Net increase (decrease) in net assets ---------------------------------------------------------------------------------------
resulting from operations 1,305 2,932 328 6,205 8,510 1,896 3,709 40,458
CAPITAL TRANSACTIONS
Purchase of Variable Account A units 147,387 95,193 15,766 170,797 169,800 62,552 169,424 2,128,933
Redemption of Variable Account A units (31,347) (453) -- (37,325) (5,141) (6,306) (63,968) (468,502)
Mortality and expense charges redeemed 107 187 55 (57) 217 138 (203) 1,374
Net increase resulting from capital ---------------------------------------------------------------------------------------
transactions 116,147 94,927 15,821 133,415 164,876 56,384 105,253 1,661,805
Net assets at beginning of period -- -- -- -- -- -- -- --
Net assets at end of period ---------------------------------------------------------------------------------------
$117,452 $97,859 $16,149 $139,620 $173,386 $58,280 $108,962 $1,702,263
---------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------
</TABLE>
SEE ACCOMPANYING NOTES.
4
<PAGE>
First Fortis Life Insurance Company
Variable Account A
Notes to Financial Statements
December 31, 1996
1. GENERAL
FIRST FORTIS LIFE INSURANCE COMPANY
Variable Account A (the Account) was established as a segregated asset account
of First Fortis Life Insurance Company (First Fortis) on October 1, 1993 under
New York law and became operational July 1, 1996. The Account is registered
under the Investment Company Act of 1940 as a unit investment trust. The
variable annuity contracts are sold under the names Opportunity Variable Annuity
and Masters Variable Annuity.
First Fortis was founded in 1971. At the end of 1996, First Fortis had
approximately $6 billion of total life insurance in force. First Fortis is a New
York corporation and is qualified to sell life, accident and health insurance
and annuity contracts in New York. First Fortis is an affiliate of the worldwide
Fortis group of companies owned by Fortis AMEV of The Netherlands and Fortis AG
of Belgium. First Fortis is wholly-owned by Fortis AMEV. The other U.S.
subsidiaries of Fortis AMEV and Fortis AG operate under the holding company name
of Fortis, Inc. Subject to regulatory approval, First Fortis will become a
wholly-owned subsidiary of Fortis, Inc. in 1997.
Fortis AMEV is a diversified financial services company headquartered in
Utrecht, The Netherlands, where its insurance operations began in 1847. Fortis
AG is a diversified financial services company headquartered in Brussels,
Belgium, where its insurance operations began in 1824. Fortis AMEV and Fortis AG
have merged their operating companies under the trade name of Fortis. The Fortis
group of companies is active in insurance, banking, and financial services, and
real estate development in The Netherlands, Belgium, United States, Western
Europe, and the Pacific Rim. The Fortis group of companies had over $160 billion
in assets at the end of 1996.
Fortis Advisers, Inc. (a wholly-owned subsidiary of Fortis, Inc.) provides
investment management services to the portfolios in exchange for investment
advisory and management fees. Investment advisory and management fees are based
on each portfolio's daily net assets and decrease in reduced percentages as
average daily net assets increase. The fees represent an investment expense to
Fortis Series Fund, Inc. which reduces the portfolios' net assets. These fees
charged by Fortis Advisers, Inc. are not available on an individual variable
account basis. Fees for all variable accounts to which Fortis Advisers, Inc.
provided investment management services amounted to $168,412 in 1996.
5
<PAGE>
First Fortis Life Insurance Company
Variable Account A
Notes to Financial Statements (continued)
1. GENERAL (CONTINUED)
There are fifteen subaccounts within the Account, each of which invests only in
a corresponding portfolio of Fortis Series Fund, Inc. (the Fund). The investment
objectives and policies of each of the Account's subaccounts are as follows:
- GROWTH STOCK PORTFOLIO SUBACCOUNT--seeks growth of capital through short-
term and long-term appreciation.
- U.S. GOVERNMENT SECURITIES PORTFOLIO SUBACCOUNT--seeks to earn a high level
of current income consistent with prudent investment risk.
- MONEY MARKET PORTFOLIO SUBACCOUNT--seeks high level of capital stability
and liquidity and, to the extent consistent with these objectives, a high
level of current income.
- ASSET ALLOCATION PORTFOLIO SUBACCOUNT--seeks favorable overall rates of
return on capital, primarily through increased ownership of equity
securities during periods when stock market conditions appear favorable,
and short-term and long-term debt instruments during periods when stock
market conditions are less favorable.
- DIVERSIFIED INCOME PORTFOLIO SUBACCOUNT--seeks high level of current income
by investing primarily in a diversified portfolio of government securities
and investment grade corporate bonds.
- GLOBAL GROWTH PORTFOLIO SUBACCOUNT--seeks growth of capital through long-
term capital appreciation, through ownership of equity securities,
allocated among diverse international markets.
- AGGRESSIVE GROWTH PORTFOLIO SUBACCOUNT--seeks long-term capital
appreciation in equity securities.
- GROWTH & INCOME PORTFOLIO SUBACCOUNT--seeks growth of capital and current
income, through ownership of equity securities that provide an income
component and the potential for growth.
6
<PAGE>
First Fortis Life Insurance Company
Variable Account A
Notes to Financial Statements (continued)
1. GENERAL (CONTINUED)
- HIGH YIELD PORTFOLIO SUBACCOUNT--seeks maximum total return through current
income and capital appreciation, through ownership of a diversified
portfolio of high-yielding fixed-income securities.
- GLOBAL ASSET ALLOCATION SUBACCOUNT--seeks favorable overall rates of return
on capital, primarily through increased ownership of foreign and domestic
equity securities during periods when stock market conditions appear
favorable, and short-term and long-term foreign and domestic debt
instruments during periods when stock market conditions are less favorable.
- GLOBAL BOND SUBACCOUNT--seeks total return from current income and capital
appreciation, by investing in a global portfolio of high quality fixed
income securities.
- INTERNATIONAL STOCK SUBACCOUNT--seeks capital appreciation by investing
primarily in equity securities of non-United States companies.
- VALUE SUBACCOUNT--seeks growth of capital through short and long-term
capital appreciation. Investing in equity securities based on the "Value"
philosophy.
- S&P 500 INDEX SUBACCOUNT--seeks growth of capital by replicating the total
return of the Standard & Poor's 500 Composite Stock Price Index.
- BLUE CHIP STOCK SUBACCOUNT--seeks capital appreciation by investing
primarily in large and medium-sized blue chip companies.
2. INVESTMENTS
Investments in shares of Fortis Series Fund, Inc. are stated at market value,
which is based on the percentage owned by the Account of the net asset value of
the respective portfolios of the Funds. The Funds' net asset value is based on
market quotations of the securities held in the portfolios. The cost of
investments sold and redeemed is determined using the average cost method.
Unrealized appreciation or depreciation of investments represents the Account's
share of the mutual fund's undistributed net investment income, undistributed
realized gains and losses and unrealized appreciation or depreciation in the
Funds' investments.
7
<PAGE>
First Fortis Life Insurance Company
Variable Account A
Notes to Financial Statements (continued)
2. INVESTMENTS (CONTINUED)
Purchases and sales of shares of the Funds are recorded on the trade date. The
number of shares and aggregate cost of purchases and proceeds from sales of
shares were as follows:
SHARES
------------------ COST OF PROCEEDS
PURCHASED SOLD PURCHASES FROM SALES
--------------------------------------------
PERIOD ENDED DECEMBER 31, 1996
Fortis Series Fund, Inc.:
Growth Stock Series 8,206 1,780 $264,460 $ 58,304
U.S. Government Securities Series 606 - 6,560 -
Money Market Series 14,970 10,866 162,462 118,777
Asset Allocation Series 9,092 738 158,453 13,252
Diversified Income Series 3,185 - 36,245 -
Global Growth Series 8,075 1,360 151,125 25,319
Aggressive Growth Series 15,539 1,521 220,356 21,440
Growth & Income Series 20,795 6,480 298,353 86,870
High Yield Series 14,352 3,030 147,387 31,347
Global Asset Allocation Series 7,656 36 95,193 453
Global Bond Series 1,398 - 15,766 -
International Stock Series 14,083 3,184 170,797 37,325
Value Series 15,600 448 169,800 5,141
S&P 500 Series 5,598 544 62,552 6,306
Blue Chip Stock Series 15,531 6,225 169,424 63,968
8
<PAGE>
First Fortis Life Insurance Company
Variable Account A
Notes to Financial Statements (continued)
2. INVESTMENTS (CONTINUED)
The number of shares and cost of shares issued from reinvestment of dividends
with the Funds were as follows:
COST OF
SHARES SHARES
--------------------------
PERIOD ENDED DECEMBER 31, 1996
Fortis Series Fund, Inc.:
Growth Stock Series 20 $ 677
U.S. Government Securities Series 38 386
Money Market Series 19 204
Asset Allocation Series 437 7,449
Diversified Income Series - -
Global Growth Series 8 148
Aggressive Growth Series 23 318
Growth & Income Series 388 5,819
High Yield Series 632 6,166
Global Asset Allocation Series 308 3,734
Global Bond Series 58 643
International Stock Series 323 3,888
Value Series 83 942
S&P 500 Series 29 337
Blue Chip Series 31 360
3. ORGANIZATIONAL EXPENSES AND OTHER CHARGES
ORGANIZATIONAL EXPENSES
First Fortis assumes all organizational expenses of the Account.
9
<PAGE>
First Fortis Life Insurance Company
Variable Account A
Notes to Financial Statements (continued)
3. ORGANIZATIONAL EXPENSES AND OTHER CHARGES (CONTINUED)
PREMIUM TAXES
Where premium taxes or similar assessments are imposed by states or other
jurisdictions upon receipt of purchase payments, First Fortis pays such taxes
on behalf of the contract owner and then will deduct a charge for these
amounts from the contract value upon surrender, death of the annuitant or
contract owner, or annuitization of the contract. In jurisdictions where
premium taxes or similar assessments are imposed at the time annuity payments
begin, First Fortis will deduct a charge on a pro rata basis from the
contract value at that time.
POLICY ADMINISTRATION CHARGE
A $30 annual policy administrative charge is deducted each contract year from
the value of each Opportunity Variable Annuity contract on the anniversary of
the contract date or upon surrender of the contract. This charge will be
waived during the accumulation period if the contract value at the end of the
contract year (or upon surrender) is $25,000 or more.
MORTALITY AND EXPENSE RISK CHARGE
First Fortis assesses each subaccount of the Account a daily charge for
mortality and expense risk at an annual rate of 1.25% of the net assets
representing equity of contract owners held in each subaccount.
ADMINISTRATIVE CHARGE
First Fortis assesses each subaccount of the Account a daily charge for
mortality and expense risk at an annual rate of .10% of the net assets
representing equity of contract owners held in each subaccount.
10
<PAGE>
First Fortis Life Insurance Company
Variable Account A
Notes to Financial Statements (continued)
3. ORGANIZATIONAL EXPENSES AND OTHER CHARGES (CONTINUED)
SURRENDER CHARGE
FREE SURRENDERS--The following amounts can be withdrawn from the contract
without a surrender charge:
- Any purchase payment received more than five years prior to the surrender
date for Opportunity Variable Annuity and seven years for Masters Variable
Annuity contracts.
- In any contract year, up to 10% of the purchase payments received less than
five years prior to the surrender date for Opportunity Variable Annuity and
seven years prior to the surrender date for Masters Variable Annuity
Contracts.
- For Masters Variable Annuity Contracts, any earnings that have not been
previously surrendered.
AMOUNT OF SURRENDER CHARGE--Surrender charges apply only if the amount being
withdrawn exceeds the sum of the amounts listed above under Free Surrenders. The
surrender charge is based on a percentage of the amount of purchase payments
surrendered. The percentage of payments is set at 5% during the first five years
on Opportunity Variable Annuity contracts, and is set at 7% during the first
year of the Masters Variable Annuity contracts with a sliding scale down to zero
by the end of the seventh year. There were no surrender charges collected by
First Fortis during 1996.
4. FEDERAL INCOME TAXES
The operations of the Account form part of, and are taxed with, the operations
of First Fortis, which is taxed as an insurance company under the Internal
Revenue Code. As a result, the net asset value of the subaccounts are not
affected by income taxes on income distributions received by the subaccounts.
11
<PAGE>
REPORT OF INDEPENDENT AUDITORS
Board of Directors
First Fortis Life Insurance Company
We have audited the accompanying balance sheets of First Fortis Life Insurance
Company (a wholly-owned subsidiary of Fortis AMEV) as of December 31, 1996 and
1995, and the related statements of operations, changes in shareholder's equity,
and cash flows for each of the three years in the period ended December 31,
1996. 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 in accordance with generally accepted auditing
standards. Those standards 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. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in
all material respects, the financial position of First Fortis Life Insurance
Company at December 31, 1996 and 1995, and the results of its operations and its
cash flows for each of the three years in the period ended December 31, 1996, in
conformity with generally accepted accounting principles.
/s/ Ernst & Young LLP
Syracuse, New York
February 21, 1997
22
<PAGE>
BALANCE SHEETS
FIRST FORTIS LIFE INSURANCE COMPANY
<TABLE>
<CAPTION>
DECEMBER 31
-----------------------------
1996 1995
------------ ------------
<S> <C> <C>
ASSETS
Investments--(Note 3):
Fixed maturities, at fair value (amortized cost 1996--$111,970,939;
1995--$106,648,754)................................................ $113,136,650 $112,183,452
Preferred stock at fair value (cost 1995--$92,029).................. -- 89,345
Short-term investments.............................................. -- 6,850,000
------------ ------------
113,136,650 119,122,797
Cash.................................................................. 1,544,745 1,145,131
Receivables:
Uncollected premiums, less allowance--$100,000...................... 3,890,111 4,440,446
Reinsurance recoverable on unpaid and paid losses................... 14,731,285 9,335,947
Prepaid federal income taxes and other assets....................... 4,311,855 2,255,199
------------ ------------
22,933,251 16,031,592
Accrued investment income............................................. 1,739,498 1,814,291
Property and equipment at cost, less accumulated depreciation
(1996--$1,395,517; 1995--$1,249,280)................................. 1,027,576 1,199,482
Goodwill.............................................................. 554,000 600,000
Assets held in separate accounts...................................... 2,203,109 --
------------ ------------
TOTAL ASSETS.......................................................... $143,138,829 $139,913,293
------------ ------------
------------ ------------
RESERVES, LIABILITIES, AND SHAREHOLDER'S EQUITY
POLICY RESERVES AND LIABILITIES
Future policy benefit reserves:
Life insurance.................................................... $ 25,225,095 $ 22,529,817
Accident and health............................................... 60,774,384 59,442,638
------------ ------------
85,999,479 81,972,455
Other policy claims and benefits payable............................ 14,798,802 13,561,740
Other liabilities................................................... 4,445,831 5,988,794
Liabilities related to separate accounts............................ 2,203,109 --
------------ ------------
TOTAL POLICY RESERVES AND LIABILITIES................................. 107,447,221 101,522,989
SHAREHOLDER'S EQUITY (Notes 1, 8, 9, and 10):
Common stock, $20 par value 100,000 shares authorized, issued, and
outstanding........................................................ 2,000,000 2,000,000
Additional paid-in capital.......................................... 37,440,000 37,440,000
Retained earnings (deficit)......................................... (4,517,761) (4,700,825)
Unrealized appreciation of investment securities, net of tax (Note
3)................................................................. 769,369 3,651,129
------------ ------------
TOTAL SHAREHOLDER'S EQUITY............................................ 35,691,608 38,390,304
------------ ------------
TOTAL RESERVES, LIABILITIES, AND SHAREHOLDER'S EQUITY................. $143,138,829 $139,913,293
------------ ------------
------------ ------------
</TABLE>
See accompanying notes.
23
<PAGE>
STATEMENTS OF OPERATIONS
FIRST FORTIS LIFE INSURANCE COMPANY
<TABLE>
<CAPTION>
YEAR ENDED DECEMBER 31
------------------------------------------
1996 1995 1994
----------- ------------ -----------
<S> <C> <C> <C>
REVENUES
Insurance operations (NOTE 7):
Life insurance premiums........................................... $22,850,286 $ 18,879,246 $19,431,130
Accident and health premiums...................................... 44,666,246 62,322,484 72,624,559
Net investment income (NOTE 3)...................................... 7,891,048 7,465,751 6,261,593
Realized (losses) gains on investments (NOTE 3)..................... (3,650) 2,683,100 (1,057,438)
Other income........................................................ 335,934 297,767 287,426
----------- ------------ -----------
TOTAL REVENUES.................................................. 75,739,864 91,648,348 97,547,270
BENEFITS AND EXPENSES
Benefits to policyholders:
Life insurance.................................................... 19,792,653 16,206,930 15,345,645
Accident and health............................................... 37,987,686 56,592,227 68,115,512
Amortization of deferred policy acquisition costs (NOTE 2).......... - 4,595,000 1,838,000
Insurance commissions............................................... 5,213,744 5,070,934 5,768,504
General and administrative expenses................................. 12,601,939 13,906,043 13,514,820
----------- ------------ -----------
TOTAL BENEFITS AND EXPENSES..................................... 75,596,022 96,371,134 104,582,481
----------- ------------ -----------
Income (loss) before federal income taxes........................... 143,842 (4,722,786) (7,035,211)
Federal income tax benefit (NOTE 6)................................. (39,222) (1,562,943) (999,671)
----------- ------------ -----------
NET INCOME (LOSS)................................................... $ 183,064 $ (3,159,843) (6,035,540)
----------- ------------ -----------
----------- ------------ -----------
</TABLE>
See accompanying notes.
24
<PAGE>
STATEMENTS OF CHANGES IN SHAREHOLDER'S EQUITY
FIRST FORTIS LIFE INSURANCE COMPANY
<TABLE>
<CAPTION>
UNREALIZED
APPRECIATION
ADDITIONAL RETAINED (DEPRECIATION)
COMMON PAID-IN EARNINGS OF INVESTMENT
STOCK CAPITAL (DEFICIT) SECURITIES, NET TOTAL
---------- ----------- ----------- --------------- -----------
<S> <C> <C> <C> <C> <C>
Balance January 1, 1994........................... $2,000,000 $30,440,000 $ 4,494,558 $ 2,280,000 $39,214,558
Net loss.......................................... -- -- (6,035,540) -- (6,035,540)
Unrealized depreciation of investment securities,
net.............................................. -- -- -- (5,486,586) (5,486,586)
Change in deferred tax valuation allowance for
unrealized depreciation on investment
securities....................................... -- -- -- (1,651,877) (1,651,877)
---------- ----------- ----------- --------------- -----------
Balance December 31, 1994......................... 2,000,000 30,440,000 (1,540,982) (4,858,463) 26,040,555
Additional paid-in capital from Fortis AMEV....... -- 7,000,000 -- -- 7,000,000
Net loss.......................................... -- -- (3,159,843) -- (3,159,843)
Unrealized appreciation of investment securities,
net.............................................. -- -- -- 6,857,715 6,857,715
Change in deferred tax valuation allowance for
unrealized depreciation on investment
securities....................................... -- -- -- 1,651,877 1,651,877
---------- ----------- ----------- --------------- -----------
Balance December 31, 1995 2,000,000 37,440,000 (4,700,825) 3,651,129 38,390,304
Net income...................................... -- -- 183,064 -- 183,064
Unrealized depreciation of investment securities.
net.............................................. -- -- -- (2,881,760) (2,881,760)
---------- ----------- ----------- --------------- -----------
Balance December 31, 1996......................... $2,000,000 $37,440,000 $(4,517,761) $ 769,369 $35,691,608
---------- ----------- ----------- --------------- -----------
---------- ----------- ----------- --------------- -----------
</TABLE>
See accompanying notes.
25
<PAGE>
STATEMENTS OF CASH FLOWS
FIRST FORTIS LIFE INSURANCE COMPANY
<TABLE>
<CAPTION>
YEAR ENDED DECEMBER 31
--------------------------------------------------
1996 1995 1994
-------------- -------------- --------------
<S> <C> <C> <C>
OPERATING ACTIVITIES
Net income (loss).................................... $ 183,064 $ (3,159,843) $ (6,035,540)
Adjustments to reconcile net income (loss) to net
cash (used in) provided by operating activities:
Non-cash transactions:
Change in deferred tax valuation allowance....... -- (177,708) 1,515,531
Depreciation, amortization and accretion......... 803,858 750,029 716,129
Net realized losses (gains) on investments....... 3,650 (2,683,100) 1,057,438
Changes in assets and liabilities:
(Increase) decrease in uncollected premiums,
accrued investment income and other............. (1,322,446) 112,767 2,258,061
(Increase) decrease in reinsurance recoverable... (5,395,338) (460,598) 333,480
Increase (decrease) in income taxes.............. 1,771,804 (1,569,235) (2,903,210)
Amortization of policy acquisition costs......... -- 4,595,000 1,838,000
Policy acquisition costs deferred................ -- -- (432,000)
Increase in future policy benefit reserves and
other policy claims and benefits................ 5,264,086 3,481,220 7,835,342
(Decrease) increase in other liabilities......... (1,939,303) 128,321 (2,118,752)
-------------- -------------- --------------
NET CASH (USED IN) PROVIDED BY OPERATING
ACTIVITIES.................................... (630,625) 1,016,853 4,064,479
INVESTING ACTIVITIES
Purchases of fixed maturity investments.............. (140,954,176) (122,289,460) (77,995,025)
Sales and maturities of fixed maturity investments... 135,352,498 120,298,152 69,440,809
Decrease (increase) in equity securities and
short-term investments.............................. 6,942,029 (5,042,029) 3,731,866
Purchase of property and equipment................... (310,112) (321,460) (562,438)
-------------- -------------- --------------
NET CASH PROVIDED BY (USED IN) INVESTING
ACTIVITIES.................................... 1,030,239 (7,354,797) (5,384,788)
FINANCING ACTIVITIES
Proceeds from additional paid-in capital............. -- 7,000,000 --
-------------- -------------- --------------
NET CASH PROVIDED BY FINANCING ACTIVITIES...... -- 7,000,000 --
-------------- -------------- --------------
Increase (decrease) in cash.......................... 399,614 662,056 (1,320,309)
CASH AT BEGINNING OF YEAR...................... 1,145,131 483,075 1,803,384
-------------- -------------- --------------
CASH AT END OF YEAR............................ $ 1,544,745 $ 1,145,131 $ 483,075
-------------- -------------- --------------
-------------- -------------- --------------
</TABLE>
See accompanying notes.
26
<PAGE>
NOTES TO FINANCIAL STATEMENTS
FIRST FORTIS LIFE INSURANCE COMPANY
DECEMBER 31, 1996
1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
NATURE OF OPERATIONS
First Fortis Life Insurance Company ("First Fortis" or "the Company") is an
affiliate of the worldwide Fortis group of companies owned by Fortis AMEV of the
Netherlands and Fortis AG of Belgium. First Fortis is wholly-owned by Fortis
AMEV. The other U.S. subsidiaries of Fortis AREV and Fortis AG operate under the
holding company name Fortis, Inc. Subject to regulatory approval by the New York
State Insurance Department, the Company will become a wholly-owned subsidiary of
Fortis, Inc. in 1997. The Company was organized to enable the Fortis group of
companies to distribute their products to the New York State marketplace. To
date, the Company's revenues have been derived primarily from group employee
benefits products. During 1996, the Company had $11,425,000 of direct premium
written principally by two third party administrators ("TPA's"). Effective
January 1, 1996, the Company stopped offering its group medical products;
however, the Company will continue to renew and service existing medical
business, which represented $17,871,000 and $34,011,000 of 1996 and 1995
accident and health premiums, respectively. During 1996, $250,000 of related
termination benefits were paid, which were accrued for and included in general
and administrative expenses in 1995.
BASIS OF STATEMENT PRESENTATION
The financial statements are presented in conformity with generally accepted
accounting principles which differ in certain respects from statutory accounting
practices prescribed or permitted by the New York State Insurance Department.
Significant accounting policies followed by the Company are:
POLICY REVENUES
For group life, medical, disability, and credit life products, amounts
collected from policyholders are recognized as premium income over the
premium paying period and are reported net of experience rating refunds and
unearned premiums.
CLAIMS AND BENEFITS PAYABLE
Claims and benefits payable for reported and incurred but not reported
losses are determined using case base estimates and prior experience. These
estimates are subject to the effects of trends in claim severity and
frequency and represent the estimates of the ultimate cost of all unpaid
losses incurred through December 31 of each year. Although considerable
variability is inherent in such estimates, management believes that the
reserve for claims and benefits payable is adequate. The methods of making
such estimates and establishing the related liabilities are continually
reviewed and updated, and any adjustments resulting therefrom are reflected
in operations currently.
RESERVES FOR FUTURE POLICY BENEFITS
Active life reserves for future policy and contract benefits on life and
accident and health products are provided on the net level premium method.
The reserves are calculated based upon assumptions as to interest,
withdrawal, mortality, and morbidity that were appropriate at the date of
issue. Interest rate assumptions range principally from 3.0% to 5.5% for
traditional life products and 4.0% to 10.0% for annuity products. Withdrawal
assumptions are based on actual Company experience. Mortality and morbidity
assumptions are based upon industry standards adjusted as appropriate to
reflect actual Company experience. The assumptions vary by plan, year of
issue, and policy duration and include a provision for adverse deviation.
Disabled lives reserves for future policy and contract benefits on
disability income policies are calculated based upon assumptions as to
interest and claim termination rates that are currently appropriate.
Disabled lives reserves for group life policies are based on a 3.5% interest
rate assumption. For group long-term disability income policies, the
interest rate assumption on claims is 6.0%. Termination rate assumptions are
based upon industry standards adjusted as appropriate to reflect actual
Company experience. The assumptions vary by year of claim incurred.
INVESTMENTS
The Company's investment strategy is developed based on many factors
including insurance liability matching, rate of return, maturity, credit
risk, tax considerations, and regulatory requirements.
All fixed maturities are considered available-for-sale and are reported at
fair value; short-term investments are reported at cost, which approximates
fair value. Changes in the fair values of available-for-sale securities, net
of deferred income taxes, are reported as unrealized appreciation or
depreciation directly in shareholder's equity and, accordingly, have no
effect on net income. Realized gains and losses on sales of investments, and
declines in value judged to be other-than-temporary, are recognized on the
specific identification basis.
PROPERTY AND DEPRECIATION
The Company provides depreciation (principally on the straight-line method)
over the estimated useful life of the related property.
INCOME TAXES
Income taxes have been provided using the liability method. Deferred tax
assets and liabilities are determined based on the differences between their
financial reporting and tax bases, and are measured using the enacted tax
rates.
27
<PAGE>
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
FIRST FORTIS LIFE INSURANCE COMPANY
1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
SEPARATE ACCOUNTS
The Company began selling variable annuity products July 1, 1996. Assets and
liabilities associated with separate accounts relate to premium and annuity
considerations for which the policyholder, rather than the Company, bears
the investment risk. Separate account assets are reported at fair value.
Revenues and expenses related to the separate account assets and
liabilities, to the extent of benefits paid or provided to the separate
account policyholders, are excluded from the amounts reported in the
accompanying statements of operations.
USE OF ESTIMATES
The preparation of financial statements in conformity with generally
accepted accounting principles requires management to make estimates and
assumptions that affect the amounts reported in the financial statements and
accompanying notes. Actual results could differ from those estimates.
2. DEFERRED POLICY ACQUISITION COSTS
On October 1, 1991, First Fortis Life Insurance Company and an affiliate, Fortis
Benefits Insurance Company, (the "Companies") entered into an Asset Transfer and
Acquisition Agreement (the "Agreement") with Mutual Benefit Life Insurance
Company in Rehabilitation ("MBL). Pursuant to the Agreement, the Companies
acquired certain assets and assumed certain liabilities of MBL relating to the
group life, disability, dental and medical insurance business (the "Business")
of MBL. That portion of the Business conducted in New York was assumed by First
Fortis, while the most substantial portion of the Business was assumed by Fortis
Benefits Insurance Company. First Fortis paid $10,166,000 for its portion of the
Business acquired including contingent Promissory Note ("Note") payments
aggregating $1,366,000 from 1992 to 1994 which were based on the persistency of
the acquired Business through September 30, 1994. No additional payments will be
made. Note payments were added to deferred policy acquisition costs ("DPAC")
when made. The DPAC amortization period, which was originally scheduled through
September 30, 1997, was completed December 31, 1995 (an acceleration of
$2,749,000 into 1995), based on the overall experience of the acquired block of
business.
3. INVESTMENTS
FIXED MATURITIES
The following is a summary of the amortized cost and fair value of fixed
maturity securities:
<TABLE>
<CAPTION>
GROSS GROSS
AMORTIZED UNREALIZED UNREALIZED
COST GAIN LOSS FAIR VALUE
------------ ------------ ----------- ------------
<S> <C> <C> <C> <C>
December 31, 1996:
Governments.......................................... $ 13,463,189 $ 92,446 $ (44,103) $ 13,511,532
Public utilities..................................... 6,445,882 66,809 (24,710) 6,487,981
Industrial and miscellaneous......................... 92,061,868 1,425,693 (350,424) 93,137,137
------------ ------------ ----------- ------------
Total.............................................. $111,970,939 $ 1,584,948 $ (419,237) $113,136,650
------------ ------------ ----------- ------------
------------ ------------ ----------- ------------
</TABLE>
<TABLE>
<S> <C> <C> <C> <C>
December 31, 1995:
Governments.......................................... $ 17,068,216 $ 1,025,440 $ -- $ 18,093,656
Public utilities..................................... 4,906,703 262,773 -- 5,169,476
Industrial and miscellaneous......................... 84,673,835 4,272,901 (26,416) 88,920,320
------------ ------------ ----------- ------------
Total.............................................. $106,648,754 $ 5,561,114 $ (26,416) $112,183,452
------------ ------------ ----------- ------------
------------ ------------ ----------- ------------
</TABLE>
The fair values for fixed maturity securities are based on quoted market prices,
where available. For fixed maturity securities not actively traded, fair values
are estimated using values obtained from independent pricing services or, in the
case of private placements, are estimated by discounting expected future cash
flows using a current market rate applicable to the yield, credit quality, and
maturity of the investments.
The amortized cost and fair value of fixed maturity securities at December 31,
1996, by contractual maturity, are shown below. Expected maturities will differ
from contractual maturities because borrowers may have the right to call or
prepay obligations with or without call or prepayment penalties.
<TABLE>
<CAPTION>
AMORTIZED
COST FAIR VALUE
------------ ------------
<S> <C> <C>
Due in one year or less................................ $ 502,354 $ 503,010
Due after one year through five years.................. 38,588,214 39,067,289
Due after five years through ten years................. 39,780,501 40,023,689
Due after ten years.................................... 33,099,870 33,542,662
------------ ------------
$111,970,939 $113,136,650
------------ ------------
------------ ------------
</TABLE>
Proceeds from sales and maturities of fixed maturity securities were
$135,352,498, $120,298,152 and $69,440,809 in 1996, 1995, and 1994,
respectively. Gross gains of $1,551,135, $3,373,880 and $510,242 and gross
losses of $1,554,785, $690,780 and $1,572,163 were realized on the sales in
1996, 1995, and 1994 respectively.
28
<PAGE>
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
FIRST FORTIS LIFE INSURANCE COMPANY
3. INVESTMENTS (CONTINUED)
NET INVESTMENT INCOME AND NET REALIZED GAINS (LOSSES) ON INVESTMENTS
Major categories of net investment income and realized gains (losses) on
investments for each year were as follows:
<TABLE>
<CAPTION>
NET REALIZED GAINS (LOSSES) ON
NET INVESTMENT INCOME INVESTMENTS
---------------------------------- -----------------------------------
1996 1995 1994 1996 1995 1994
---------- ---------- ---------- ---------- ----------- ----------
<S> <C> <C> <C> <C> <C> <C>
Fixed maturities........................ $7,940,703 $7,578,652 $6,341,978 $ (3,650) $ 2,683,100 $(1,061,921)
Short-term investments.................. 231,448 152,211 200,274 -- -- 4,483
---------- ---------- ---------- ---------- ----------- ----------
8,172,151 7,730,863 6,542,252 $ (3,650) $ 2,683,100 $(1,057,438)
---------- ----------- ----------
---------- ----------- ----------
Expenses................................ (281,103) (265,112) (280,659)
---------- ---------- ----------
Net investment income................... $7,891,048 $7,465,751 $6,261,593
---------- ---------- ----------
---------- ---------- ----------
</TABLE>
4. LEASES
The Company leases office space under operating lease arrangements that have
various renewal options and are subject to escalation clauses for real estate
taxes and operating expenses. Rent expense was $691,588, $673,407 and $597,365
in 1996, 1995, and 1994, respectively. Future minimum payments required under
operating lease arrangements that have initial or noncancelable terms in excess
of one year or more are: 1997--$715,797, 1998--$739,352, 1999--$569,049,
2000--$18,830, and 2001--$15,691.
5. UNPAID LOSSES AND LOSS EXPENSE ALLOWANCE
Activity for the liability for unpaid accident and health losses and related
loss expense allowance is summarized as follows:
<TABLE>
<CAPTION>
YEAR ENDED DECEMBER 31
-----------------------------------------
1996 1995 1994
----------- ----------- -----------
<S> <C> <C> <C>
Balance as of January 1, net of reinsurance
recoverable........................................... $65,764,070 $66,136,369 $58,646,889
Add: Incurred losses related to:
Current year......................................... 38,798,085 57,400,613 66,066,609
Prior years.......................................... (810,399) (808,386) 2,048,903
----------- ----------- -----------
Total incurred losses.............................. 37,987,686 56,592,227 68,115,512
----------- ----------- -----------
Deduct: Paid losses related to:
Current year......................................... 23,727,017 35,779,078 40,882,341
Prior years.......................................... 18,543,303 21,185,448 19,743,691
----------- ----------- -----------
Total paid losses.................................. 42,270,320 56,964,526 60,626,032
----------- ----------- -----------
Balance as of December 31, net of reinsurance
recoverable........................................... $61,481,436 $65,764,070 $66,136,369
----------- ----------- -----------
----------- ----------- -----------
</TABLE>
As discussed in Note 1, the Company stopped offering group medical products in
1996 but continues to service and renew existing business, resulting in lower
incurred and paid loss activity for the year ended December 31, 1996.
The total balance of unpaid losses and loss expense allowances are reported in
the balance sheets gross of reinsurance as components of future accident and
health policy benefit reserves, other policy claims and benefits payable and
other liabilities.
In 1994, lower than anticipated recovery rates on existing long-term disability
income claimants, offset by a favorable refinement in the claims reserve
estimates contributed to the "incurred losses related to prior years" result.
The liability for unpaid accident and health losses and loss expense allowance
includes $55,152,000, $53,953,000 and $47,489,000 of long-term disability income
reserves as of December 31, 1996, 1995, and 1994, respectively, which were
discounted for anticipated interest earnings assuming a 6.0% interest rate.
29
<PAGE>
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
FIRST FORTIS LIFE INSURANCE COMPANY
6. FEDERAL INCOME TAXES
Deferred income taxes reflect the net tax effects of temporary differences
between the basis of assets and liabilities for financial statement purposes and
for income tax purposes. The significant components of the Company's deferred
tax assets and liabilities as of December 31 are as follows (in thousands):
<TABLE>
<CAPTION>
DECEMBER 31
--------------------
1996 1995
--------- ---------
<S> <C> <C>
Deferred tax assets:
Reserves............................................................ $ 2,006 $ 2,104
Deferred policy acquisition costs................................... 555 470
Alternative minimum tax credit carryforward......................... 392 191
Net operating loss carryforward..................................... 216 --
Other............................................................... 299 485
--------- ---------
Total gross deferred tax assets................................... 3,468 3,250
Valuation allowance................................................... (1,338) (1,338)
--------- ---------
Net deferred tax assets............................................... 2,130 1,912
Deferred tax liabilities:
Unrealized gains.................................................... 396 1,881
Other............................................................... 206 31
--------- ---------
Total gross deferred tax liabilities.............................. 602 1,912
--------- ---------
Net deferred tax asset............................................ $ 1,528 $ --
--------- ---------
--------- ---------
</TABLE>
The net deferred tax asset is reported as a component of "prepaid federal income
taxes and other assets" in the balance sheet.
As of December 31, 1996 and 1995, respectively, the Company had a deferred tax
asset valuation allowance of $1,337,823. The valuation allowance decrease of
$1,829,585 in 1995 was recognized as a $1,651,877 increase to the "unrealized
appreciation (depreciation) of investment securities, net" component of
shareholder's equity and a $177,708 tax benefit in the statement of operations
in 1995.
The income tax provision is summarized as follows (in thousands):
<TABLE>
<CAPTION>
1996 1995 1994
------- ------- -------
<S> <C> <C> <C>
Current........................................... $ (131) $ 393 $(1,775)
Deferred.......................................... 92 (1,778) (740)
Valuation allowance............................... -- (178) 1,516
------- ------- -------
Federal income tax benefit........................ $ (39) $(1,563) $ (999)
------- ------- -------
------- ------- -------
</TABLE>
Tax payments of $32,000, $251,591 and $1,442,818 were made in 1996, 1995, and
1994, respectively.
The differences between the provision (benefit) for income taxes at the federal
statutory income tax rate and the tax benefit were as follows (in thousands):
<TABLE>
<CAPTION>
1996 1995 1994
------- ------- -------
<S> <C> <C> <C>
Federal statutory rate............................ (34.0)% (34.0)% (34.0)%
------- ------- -------
------- ------- -------
Tax provision (benefit) at statutory rate......... $ 49 $(1,606) $(2,392)
Tax exempt interest............................... -- (188) (406)
Other, net........................................ (88) 409 283
Valuation allowance............................... -- (178) 1,516
------- ------- -------
Tax benefit as reported........................... $ (39) $(1,563) $ (999)
------- ------- -------
------- ------- -------
</TABLE>
At December 31, 1996, the Company has net operating loss carryforwards for
federal income tax purposes of $636,000 which are available to offset future
federal taxable income, if any, through 2011. The Company also has alternative
minimum tax credit carryforwards of $392,000, which are available to reduce
future federal regular income taxes, if any, over an indefinite period of time.
30
<PAGE>
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
FIRST FORTIS LIFE INSURANCE COMPANY
7. REINSURANCE
The maximum amounts that the Company retains on any one life are $500,000 for
group life; $250,000 for group accidental death; $2,000 net monthly benefit for
long-term disability; from 10% to 50% of possible benefits payable under credit
life and credit disability insurance; and 0% of a closed block of individual
life business. Amounts in excess of these limits are reinsured with various
insurance companies on a yearly renewable term, coinsurance or other basis.
In the second quarter of 1996, the Company received approval from the New York
State Insurance Department for a reinsurance agreement with Fortis Benefits
Insurance Company ("Fortis Benefits"), an affiliate. The agreement, which became
effective as of January 1, 1996, decreased the Company's long-term disability
reinsurance retention from a $10,000 net monthly benefit to a $2,000 net monthly
benefit for claims incurred on and after January 1, 1996. Through December 31,
1996, the Company has ceded $6,144,000 of premium to Fortis Benefits and Fortis
Benefits has assumed $3,599,000 of reserves from the Company. In the future, the
agreement is expected to reduce the variability of financial results for this
product line.
Future policy benefits and other policy claims and benefits payable are reported
gross of reinsurance. The reinsured portion of future policy benefits and other
policy claims and benefits payable are $14,731,285 and $9,335,947 in 1996 and
1995, respectively. The Company remains contingently liable in the event the
reinsuring companies are unable to meet their obligations under such reinsurance
agreements.
Additional information regarding the Company's reinsurance activity for the
years ended December 31, 1996, 1995, and 1994 is as follows:
<TABLE>
<CAPTION>
GROSS AMOUNT CEDED NET AMOUNT
-------------- ------------ --------------
<S> <C> <C> <C>
1996
Life insurance in force........... $6,576,692,000 $238,628,000 $6,338,064,000
-------------- ------------ --------------
-------------- ------------ --------------
Premiums:
Group and individual life....... $ 24,216,176 $ 1,365,890 $ 22,850,286
Accident and health............. 51,751,740 7,085,494 44,666,246
-------------- ------------ --------------
Total premiums.................... $ 75,967,916 $ 8,451,384 $ 67,516,532
-------------- ------------ --------------
-------------- ------------ --------------
1995
Life insurance in force........... $6,864,625,000 $321,785,000 $6,542,840,000
-------------- ------------ --------------
-------------- ------------ --------------
Premiums:
Group and individual life....... $ 20,376,696 $ 1,497,450 $ 18,879,246
Accident and health............. 63,696,935 1,374,451 62,322,484
-------------- ------------ --------------
Total premiums.................... $ 84,073,631 $ 2,871,901 81,201,730
-------------- ------------ --------------
-------------- ------------ --------------
1994
Life insurance in force........... $5,116,384,000 $297,027,000 $4,819,357,000
-------------- ------------ --------------
-------------- ------------ --------------
Premiums:
Group and individual life....... $ 20,508,492 $ 1,077,362 $ 19,431,130
Accident and health............. 72,835,490 210,931 72,624,559
-------------- ------------ --------------
Total premiums.................... $ 93,343,982 $ 1,288,293 $ 92,055,689
-------------- ------------ --------------
-------------- ------------ --------------
</TABLE>
8. DIVIDEND RESTRICTIONS
The Company is subject to insurance regulatory restrictions that limit cash
dividends which can be paid from the Company to its Parent. All dividends
require prior approval by the New York State Insurance Department.
9. TRANSACTIONS WITH AFFILIATED COMPANIES
Affiliates of the Company provide services, such as information systems,
actuarial and investment management, in return for payment representing the
costs incurred for such services. In 1996, 1995, and 1994, the Company incurred
$1,648,000, $1,581,000 and $1,443,000, respectively, in service fees under the
arrangements with the affiliates. In 1995, the Company received cash of
$7,000,000 representing additional paid-in capital from Fortis AMEV.
The Company participates in the Fortis, Inc. noncontributory defined benefit
pension plan and a contributory profit sharing plan covering substantially all
of its employees. Amounts expensed under these plans were $253,609, $232,252 and
$171,519 in 1996, 1995, and 1994, respectively.
10. STATUTORY ACCOUNTING PRACTICES
The Company prepares its statutory-basis financial statements in accordance with
accounting practices prescribed or permitted by insurance regulatory
authorities. Prescribed statutory accounting practices include a variety of
publications of the National Association of Insurance Commissioners ("NAIC"), as
well as state laws, regulations and general administrative rules. Permitted
statutory accounting practices encompass all accounting practices not so
prescribed; such practices may differ from state to state, may differ from
company to company within a state, and
31
<PAGE>
NOTES TO FINANCIAL STATEMENTS (CONTINUED)
FIRST FORTIS LIFE INSURANCE COMPANY
10. STATUTORY ACCOUNTING PRACTICES (CONTINUED)
may change in the future. The NAIC is currently in the process of recodifying
statutory accounting practices. This project, which is expected to be completed
in 1998, may result in changes to the accounting practices that insurance
enterprises use to prepare their statutory-basis financial statements.
Insurance enterprises are required by state insurance departments to adhere to
minimum risk-based capital ("RBC") requirements developed by the NAIC. The
Company exceeds minimum RBC requirements.
Reconciliations of net income or loss and shareholder's equity on the basis of
statutory accounting to the related amounts presented in the accompanying
statements were as follows:
<TABLE>
<CAPTION>
NET INCOME (LOSS) SHAREHOLDER'S EQUITY
------------------------------------- ------------------------
1996 1995 1994 1996 1995
----------- ----------- ----------- ----------- -----------
<S> <C> <C> <C> <C> <C>
Based on statutory accounting practices........... $ (427,557) $(1,627,624) $(2,004,993) $27,466,966 $27,773,005
Deferred policy acquisition costs................. -- (4,595,000) (1,838,000) -- --
Deferred and uncollected premiums................. 76,233 -- (100,000) 358,155 149,066
Property and equipment............................ -- -- -- 481,875 583,613
Policy reserves................................... 476,177 68,018 (16,872) 658,723 182,546
Investment valuation difference................... -- -- -- 1,165,710 5,532,013
Realized gains (losses) on investments............ (3,650) 2,683,736 (1,060,352) -- --
Amortization of goodwill.......................... (46,000) (46,000) (46,000) 554,000 600,000
Income taxes...................................... 115,009 674,642 1,035,479 2,865,246 1,337,823
Deferred tax valuation allowance.................. -- 177,708 (1,515,531) (1,337,823) (1,337,823)
Interest maintenance reserve ("IMR").............. -- -- -- 2,001,250 2,430,093
Amortization of IMR............................... (426,200) (432,656) (451,286) -- --
Asset valuation reserve........................... -- -- -- 997,799 881,150
Other............................................. 419,052 (62,667) (37,985) 479,707 258,818
----------- ----------- ----------- ----------- -----------
$ 183,064 $(3,159,843) $(6,035,540) $35,691,608 $38,390,304
----------- ----------- ----------- ----------- -----------
----------- ----------- ----------- ----------- -----------
</TABLE>
11. COMMITMENTS AND CONTINGENCIES
The Company is party to various legal actions arising in the normal course of
its operations. The Company does not believe that the eventual outcome of any
such litigation will have a materially adverse effect on its financial condition
or future operations.
32
<PAGE>
APPENDIX A
PERFORMANCE INFORMATION
In advertising and other sales material for the Contracts, yield and total
return information for the Subaccounts of the Separate Account may be included.
The information below provides investment results for each of the Subaccounts of
Separate Account A. The results shown in this section are not an estimate or
guarantee of future investment performance, and do not represent the actual
experience of amounts invested by a particular Contract Owner. The investment
experience for each Subaccount reflects the investment performance of the
separate investment Portfolios currently funding such Subaccount for the periods
stated, except that for periods prior to the time when the Contracts became
available, such results were calculated by applying all applicable charges and
fees at the Separate Account level for the Contracts, as listed below, to the
historical Portfolio performance results for such prior periods.
YIELD CALCULATIONS
Yield information for the Money Market Subaccount will be based on the seven
days ended on a specified date. It will be computed by determining the net
change, exclusive of capital changes, in the value of a hypothetical
pre-existing account (after the deduction of all asset based charges) having a
balance of one Accumulation Unit at the beginning of the period, subtracting a
proportionate amount of the annual administrative charge (based on average
Contract size), and dividing the difference by the value of the account at the
beginning of the base period to obtain the base period return, and multiplying
the base period return by (365/7), with the resulting yield figure carried to
the nearest hundredth of one percent. The seven day yield for the Money Market
Subaccount as of December 31, 1996 was 3.80%.
An effective yield may also be quoted for the Money Market Subaccount.
Effective yield is calculated by compounding the current yield as follows:
365/7
Effective Yield = [(Base Period Return + 1) ] - 1
The seven day effective yield for the Money Market Subaccount as of December 31,
1996 was 3.87%.
Yield information for the other Subaccounts will be based on the thirty days
ended on a specified date and carried to the nearest hundredth of a percent,
according to the following formula:
_ _
| / \6 |
| | a-b | |
YIELD=2 | |----+1| -1|
| | cd | |
|_ \ / _|
Where: a = net investment income earned during the period by the Portfolio
whose shares are owned by the Subaccount.
b = expenses accrued for the period, including a proportionate amount
of the annual administrative charge (based on average Contract size),
c = the average daily number of Accumulation Units outstanding during
the period, and
d = the offering price per Accumulation Unit at the end of the last
day of the period.
A-1
<PAGE>
The following table sets forth yield figures for the thirty days ended December
31, 1994*:
SUBACCOUNT YIELD
---------- -----
U.S. Government Securities......................................7.45%
Diversified Income..............................................7.92%
High Yield......................................................8.83%
Global Bond.....................................................5.30%
TOTAL RETURN CALCULATIONS
Total return information will be given for the one-year and five-year periods
ended on a specified date, provided that, if the registration statement has been
effective for a Subaccount only during a shorter period, then such shorter
period will be used.
AVERAGE ANNUAL TOTAL RETURN CALCULATIONS
Total average annual compounded rates of return for each period will be computed
to the nearest one hundredth of a percent, according to the following formula:
n
P(1 + T) = CSV
Where: P = a hypothetical initial purchase payment of $1,000,
T = average annual total return,
n = number of years, and
CSV = end of period Cash Surrender Value of hypothetical $1,000
purchase payment made at the beginning of the period, assuming
deduction of a proportionate amount of the annual administrative
charge (based on average Contract size).
<PAGE>
The following table shows total average annual rates of return for the periods
indicated:
<TABLE>
<CAPTION>
ONE-YEAR FIVE-YEAR COMMENCEMENT OF
SUBACCOUNT PERIOD ENDED PERIOD ENDED SUBACCOUNT (1) TO
DEC. 31, 1996 DEC. 31, 1996(1) DEC. 31, 1996
<S> <C> <C> <C>
GROWTH STOCK 11.38% 5.98% 12.10%
U.S. GOVERNMENT SECURITIES -2.68% 1.14% 3.20%
DIVERSIFIED INCOME -0.73% 2.50% 4.96%
ASSET ALLOCATION 7.51% 5.81% 8.87%
GLOBAL GROWTH 14.00% N/A 11.69%
HIGH YIELD 5.53% N/A 3.21%
GROWTH & INCOME 16.37% N/A 14.69%
AGGRESSIVE GROWTH 2.70% N/A 7.68%
GLOBAL ASSET ALLOCATION 7.70% N/A 10.40%
GLOBAL BOND -1.64% N/A 6.12%
INTERNATIONAL STOCK 9.09% N/A 9.50%
VALUE N/A N/A N/A
S & P 500 N/A N/A N/A
BLUE CHIP N/A N/A N/A
</TABLE>
_________________________________
(1) Commencing with effective date of registration statement for Global
Growth Subaccount on May 1, 1992, U.S. Government Securities
Subaccount on May 1, 1989, High Yield Subaccount, Growth & Income
Subaccount, and Aggressive Growth Subaccount on May 1, 1994, Global
Bond Subaccount, Global Asset Allocation Subaccount, International
Stock Subaccount on January 2, 1995, Value Subaccount, Blue Chip
Subaccount and S & P 500 Index Subaccount on January 1, 1996, and for
all other Subaccounts on May 2, 1988.
A-2
<PAGE>
CUMULATIVE TOTAL RETURN CALCULATIONS
Total cumulative rates of return for each period will be computed to the nearest
one hundredth of a percent, according to the following formula:
CTR = ( CSV - P ) 100
-------
P
Where: P = a hypothetical initial purchase payment of $1,000,
CTR = cumulative total return, and
CSV = end of period Cash Surrender Value of hypothetical $1,000
purchase payment made at the beginning of the period, assuming
deduction of a proportionate amount of the annual administrative
charge (based on average Contract size).
The following table shows cumulative total rates of return for the periods
indicated:
<TABLE>
<CAPTION>
ONE-YEAR FIVE-YEAR
SUBACCOUNT PERIOD ENDED PERIOD ENDED COMMENCEMENT
DEC. 31, 1995 DEC. 31, 1995 TO DEC. 31, 1995
<S> <C> <C> <C>
GROWTH STOCK 11.38% 33.67% 169.20%
U.S. GOVERNMENT SECURITIES -2.68% 5.82% 31.35%
DIVERSIFIED INCOME -0.73% 13.17% 52.20%
ASSET ALLOCATION 7.51% 32.63% 108.90%
GLOBAL GROWTH 14.00% N/A 67.61%
HIGH YIELD 5.53% N/A 8.79%
GROWTH & INCOME 16.37% N/A 44.18%
AGGRESSIVE GROWTH 2.70% N/A 21.83%
GLOBAL ASSET ALLOCATION 7.70% N/A 21.88%
GLOBAL BOND -1.64% N/A 12.62%
INTERNATIONAL STOCK 9.09% N/A 19.91%
VALUE N/A N/A 6.99%
S & P 500 N/A N/A 9.77%
BLUE CHIP N/A N/A 11.70%
</TABLE>
____________________
(1) Commencing with effective date of registration statement for Global Growth
Subaccount on May 1, 1992, U.S. Government Securities Subaccount on May 1,
1989, High Yield Subaccount, Growth & Income Subaccount, and Aggressive
Growth Subaccount on May 1, 1994, Global Bond Subaccount, Global Asset
Allocation Subaccount, International Stock Subaccount on January 2, 1995,
Value Subaccount, Blue Chip Stock Subaccount and S & P 500 Index Subaccount
on January 1, 1996, and for all other Subaccounts on May 2, 1988.
Yield figures do not reflect any surrender charge, and yield and total return
figures do not reflect any premium tax charge. Yield and total return figures
do reflect the reimbursement of certain Fortis Series expenses. Current Fixed
Account effective annual rates of interest may also be quoted in advertising and
other sales materials, and these rates do not reflect any deductions or charges.
A-3
<PAGE>
First Fortis may advertise its relative performance as compiled by outside
organizations. Following is a list of ratings services which may be referred to
in advertisements, along with the category in which the applicable Subaccount is
included:
Global Growth Subaccount
Rating Service Category
-------------- --------
Morningstar Publications, Inc. international stock
Lipper Analytical Services, Inc. global
Growth Stock Subaccount
Rating Service Category
-------------- --------
Morningstar Publications, Inc. growth
Lipper Analytical Services, Inc. capital appreciation
Asset Allocation Subaccount
Morningstar Publications, Inc. balanced
Lipper Analytical Services, Inc. flexible portfolios
Diversified Income Account
Morningstar Publications, Inc. corporate bond
Lipper Analytical Services, Inc. general bond
U.S. Government Subaccount
Morningstar Publications, Inc. U.S. government bond
Lipper Analytical Services, Inc. U.S. government
Money Market Subaccount
Morningstar Publications, Inc. money market
Lipper Analytical Services, Inc. money market
High Yield Subaccount
Morningstar Publications, Inc. high yield
Lipper Analytical Services, Inc. high current yield
Growth and Income Subaccount
Morningstar Publications, Inc. growth and income
Lipper Analytical Services, Inc. growth and income
Aggressive Growth Subaccount
Morningstar Publications, Inc. aggressive growth
Lipper Analytical Services, Inc. small company growth
A-4
<PAGE>
International Stock Subaccount
Morningstar Publications, Inc. international stock
Lipper Analytical Services, Inc. international equity
Global Asset Allocation Subaccount
Morningstar Publications, Inc. balanced
Lipper Analytical Services, Inc. global flexible
Global Bond Subaccount
Morningstar Publications, Inc. international bond
Lipper Analytical Services, Inc. world income
Aggressive Growth Subaccount
Morningstar Publications, Inc. aggressive growth
Lipper Analytical Services, Inc. small company growth
Growth and Income Subaccount
Morningstar Publications, Inc. growth and income
Lipper Analytical Services, Inc. growth and income
High Yield Subaccount
Morningstar Publications, Inc. high yield
Lipper Analytical Services, Inc. high current yield
Blue Chip Stock Subaccount
Morningstar Publications, Inc. growth
Lipper Analytical Services, Inc. growth
Value Subaccount
Morningstar Publications, Inc. growth
Lipper Analytical Services, Inc. growth
S & P 500 Index Subaccount
Morningstar Publications, Inc. growth & income
Lipper Analytical Services, Inc. S & P 500 Index
A-5
<PAGE>
ADDITIONAL PERFORMANCE INFORMATION
Additionally, from time to time, First Fortis may include in advertising the net
effective annual yield of an investment in a Contract as compared with the
current before-tax and after-tax yield of CD's (insured fixed rate certificates
of deposit issued by financial institutions). While the yield may be compared
to that of CD's, the yield of a variable Subaccount is not fixed and an
investment in a Contract is not FDIC insured.
A-6
<PAGE>
PART C
OTHER INFORMATION
Item 24. FINANCIAL STATEMENTS AND EXHIBITS
a. Financial Statements
Included in Part A:
None
Included in Part B:
With Respect to First Fortis Life Insurance Company:
Report of Independent Auditors
Balance Sheets as of December 31, 1996 and 1995
Statements of Operations for the years ended
December 31, 1996, 1995 and 1994
Statements of Changes in Shareholder's Equity for the years
ended December 31, 1996, 1995, and 1994
Statements of Cash Flows for the years ended December 31, 1996,
1995 and 1994
Notes to Financial Statements
With Respect to Separate Account A of First Fortis Life Insurance
Company:
Report of Independent Auditors
Statement of Net Assets for the year ended December 31, 1996
Statement of Changes in Net Assets for the year ended December 31,
1996
Notes to Financial Statements
b. Exhibits:
1. Resolution of the Board of Directors of First Fortis Life
Insurance Company effecting the establishment of Variable
Account A. (Incorporated by reference from registrant's Form N-4
registration statement, File No. 33-71686, filed April 11, 1994.
2. Not applicable.
3. (a) Form of Principal Underwriter and Servicing Agreement --
included as part of Pre-Effective Amendment No. 1 to the
Form N-4 Registration Statement of the registrant filed
April 11, 1994, File No. 33-71686, and incorporated herein
by reference.
<PAGE>
(b) Form of Dealer Sales Agreement -- included as part of Pre-
Effective Amendment No. 1 to the Form N-4 Registration
Statement of the registrant filed April 11,
1994, File No. 33-71686, and incorporated herein by
reference.
(c) Form of Supplement to Dealer Sales Agreement -- included as
part of Pre-Effective Amendment No. 1 to the Form N-4
Registration Statement of the registration filed April 11,
1994, File No. 33-71686, and incorporated herein by
reference.
4. (a) Form of Combination Fixed and Variable Annuity Contract --
filed as a part of this Form N-4, Registration Statement No.
33-71688 on April 27, 1995, and incorporated by reference.
(b) Form of IRA Endorsement -- filed as a part of this Form N-4,
Registration Statement No. 33-71688 on April 27, 1995, and
incorporated by reference.
(c) Form of Section 403(b) Annuity Endorsement -- filed as a
part of this Form N-4, Registration Statement No. 33-71688
on April 27, 1995, and incorporated by reference.
(d) Form of Automatic Portfolio Rebalancing Endorsement -- filed
as a part of this Form N-4, Registration Statement No.
33-71688 on April 27, 1995, and incorporated by reference.
(e) Form of Systematic Withdrawal Option Endorsement -- filed as
a part of this Form N-4, Registration Statement No. 33-71688
on April 27, 1995, and incorporated by reference.
(f) Form of Systematic Transfer Endorsement -- filed as a part
of this Form N-4, Registration Statement No. 33-71688 on
April 27, 1995, and incorporated by reference.
5. Form of Application to be used in connection with Contract filed
as Exhibit 4 (a) -- filed as a part of this Form N-4,
Registration Statement No. 33-71688 on April 27, 1995, and
incorporated by reference.
6. (a) Charter First Fortis Life Insurance Company -- filed as a
part of Form 10-K, File No. 33-71690 on March 29, 1996, and
incorporated by reference.
(b) By-laws of First Fortis Life Insurance Company.
(Incorporated by reference from Form N-4 Registration
Statement No. 33-71686, filed on November 15, 1993.)
7. None.
<PAGE>
8. Administrative Service Agreement -- filed as a part of Form 10-K,
File No. 33-71690 on March 29, 1996, and incorporated by
reference.
9. Opinion and consent of David A. Peterson, Esq., Corporate Counsel
of Fortis Benefits Insurance Company, as to the legality of the
securities being registered -- filed as a part of this Form N-4,
Registration Statement No. 33-71688, on November 15, 1993.
10. (a) Consent of Ernst & Young LLP.
(b) Power of Attorney for Messrs. Rutherfurd, Freedman and
Madame Gharib. (Incorporated by reference from Form N-4
registration statement No. 33-71686 filed on November 15,
1993.)
(c) Power of Attorney for Messrs. Gardner, Nelson and Galston.
(Incorporated by reference from Form N-4 registration
statement No. 33-71686 filed April 11, 1994).
(d) Power of Attorney for Messrs. Keller and Kopperud.
(Incorporated by reference from Form N-4, Registration
Statement No. 33-71686, filed simultaneously herewith.)
11. Not applicable.
12. Not applicable.
13. Schedules of computation of each performance quotation provided
in the registration statement pursuant to Item 21 --
Item 25. DIRECTORS AND OFFICERS OF FIRST FORTIS
The directors, executive officers, and other officers of First Fortis are
listed below.
Name and Principal
Business Address
- ------------------
Officer-Director Office With Depositor
- ---------------- ---------------------
Allen R. Freedman (3) Chairman, Chief Executive
Officer and President
Terry J. Kryshak (2) Sr. Vice President and Chief
Administrative Officer
<PAGE>
Larry M. Cains (3) Treasurer
Other Directors Office with Depositor
- --------------- ---------------------
Susie Gharib
CNBC
424 W. 33rd Street
New York, NY 1001
Guy Gerard Rutherfurd, Jr.
Nomura Asset Management, Inc.
2 World Financial Center
Building B, 20th Floor
New York, NY 10281
Dale Edward Gardner
Gardner & Buhl
Bridge Street
Roxbury, NY 12474
Kenneth W. Nelson
Tech Products, Inc.
15 Beach Street
Staten Island, NY 10304
Robert B. Pollock
2323 Grand Boulevard
Kansas City, MO 44108
Clarence Elkus Galston
338 Woodbury Road
Cold Springs Harbor, NY 11724
Dean C. Kopperud (1)
Thomas M. Keller
501 W. Michigan
Milwaukee, WI 53201
Other Officers
- --------------
Jerome A. Atkinson (3) Secretary
Leanne F. Hughes (2) Assistant Treasurer and
Director of Accounting
<PAGE>
Barbara R. Hege (3) Assistant Treasurer
Melissa J. Talham (3) Assistant Treasurer
Paula M. SeGuin (2) Assistant Secretary
Katherine L. Katsidhe (3) Assistant Secretary
- ------------------------------
(1) Address: Fortis Benefits Insurance Company, 500 Bielenberg Drive,
Woodbury, MN 55125.
(2) Address: 220 Salina Meadows Parkway, Suite 255, Syracuse, NY 13220.
(3) Address: Fortis, Inc., One Chase Manhattan Plaza, New York, NY 10005.
Item 26. Persons Controlled by or Under Control with the Depositor or
Registrant
----------
--------------------
Separate Account A of First Fortis Life Insurance Company is a separate
account of First Fortis. This separate account, and Fortis Series Fund, Inc.
may be deemed to be controlled by First Fortis, although First Fortis follows
voting instructions of variable insurance contract owners with respect to voting
on certain important matters in connection with these entities. This separate
account is created under New York law and is the funding media for variable
annuity contracts issued by First Fortis.
The chart indicating the persons controlled by or under common control with
First Fortis included as part of Pre-Effective Amendment No. 1 to the Form N-4
Registration Statement of the registrant filed April 11, 1994, File 33-71686 and
is incorporated herein by reference. First Fortis has no subsidiaries.
Items 27. NUMBER OF CONTRACT OWNERS
As of March 31, 1997 there were 72 Contract Owners.
Item 28. INDEMNIFICATION
Pursuant to the Principal Underwriter and Administrative Servicing
Agreement filed as Exhibit 3(a) and (b) to this Registration Statement and
incorporated by this reference, First Fortis has agreed to indemnify Fortis
Investors (and its agents, employees, and controlling persons) for damages and
expenses arising out of certain material misstatements and omissions in
connection with the offer and sale of the Contracts, unless the misstatement or
omission was based on information supplied by Fortis Investors; provided,
however, that no such indemnity will be made to Fortis Investors or its
controlling persons for liabilities to which they would otherwise be subject by
reason of willful misfeasance, bad faith or gross negligence in the performance
of their duties or by reason of reckless disregard of their obligations under
such agreement. This indemnity could apply to certain directors, officers or
controlling persons of the Separate Account by virtue of the fact that they are
also agents, employees or controlling persons of Fortis Investors. Pursuant to
the Principal Underwriter and Servicing Agreement, Fortis Investors has agreed
to indemnify Separate Account A, First Fortis, and each of its officers,
directors and controlling persons for damages and expenses (1) arising out of
certain material misstatements and omissions in connection with the offer and
sale of the Contracts, if the misstatement or omission was based on information
furnished by Fortis Investors or (2) otherwise arising out of Fortis
<PAGE>
Investors' negligence, bad faith, willful misfeasance or reckless disregard of
its responsibilities. Pursuant to its Dealer Sales Agreements, a form of which
is filed as Exhibit 3 -C- and (d) to this registration statement and is
incorporated herein by this reference, firms that sell the Contracts agree to
indemnify First Fortis, Fortis Investors, the Separate Account, and their
officers, directors, employees, agents, and controlling persons from liabilities
and expenses arising out of the wrongful conduct or omissions of said selling
firm or its officers, directors, employees, controlling persons or agents.
Also, First Fortis' By-Laws (see Article VII, which is incorporated herein
by reference from Exhibit 6(b) to this Registration Statement) provide for
indemnity and payment of expenses of First Fortis' officers and directors in
connection with certain legal proceedings, judgments, and settlements arising by
reason of their service as such, all to the extent and in the manner permitted
by law. Applicable New York law generally permits payment of such
indemnification and expenses if the person seeking indemnification has acted in
good faith and for a purpose that he reasonably believed to be in, or not
opposed to, the best interests of the Company, and, in a criminal proceeding, if
the person seeking indemnification also has no reasonable cause to believe his
conduct was unlawful. No indemnification is further permitted if there has been
an adjudication, and a judgement rendered adverse to the individual seeking
indemnification, finding that the acts were committed in bad faith, as the
result of active and deliberate dishonesty, or that there was personal gain,
financial profit, or other advantage which he or she was not otherwise legally
entitled.
Insofar as indemnification for any liability arising under the Securities
Act of 1933 may be permitted to directors, officers and controlling persons of
First Fortis or the Separate Account pursuant to the foregoing provisions, or
otherwise, First Fortis and the Separate Account have 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 First Fortis of expenses incurred or paid by a director,
officer or controlling person of First Fortis or the Separate Account in the
successful defense of any action, suit or proceeding) is asserted by such
director, officer or controlling person in connection with the 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 UNDERWRITERS
(a) Fortis Investors, Inc. is the principal underwriter for Variable
Account A. Fortis Investors, Inc. also acts as the principal
underwriter for the following registered investment companies (in
addition to Separate Account A and Fortis Series Fund, Inc.):
Variable Account C and D of Fortis Benefits Insurance Company, Fortis
Advantage Portfolios, Inc., Fortis Equity Portfolios, Inc., Fortis
Fiduciary Fund, Inc., Fortis Growth Fund, Inc., Fortis Money
Portfolios, Inc., Fortis Tax-Free Portfolios, Inc., and Fortis Income
Portfolios, Inc.
(b) The following table sets forth certain information regarding the
officers and directors of the principal underwriter, Fortis Investors,
Inc.:
Name and Principal Positions and Offices
Business Address with Underwriter
- ------------------ ---------------------
Robert W. Beltz, Jr.* Vice President
Mark C. Cadalbert* Compliance Officer
<PAGE>
Tamara L. Fagely* Fund Accounting Officer
Thomas D. Gualdoni* Vice President
Joanne M. Herron* Assistant Treasurer
John E. Hite* 2nd Vice President
Assistant Secretary
Carol M. Houghtby* 2nd Vice President & Treasurer
Dean C. Kopperud* President and Director
Scott R. Plummer* 2nd Vice President &
Corporate Counsel
- ------------------------------
* Address: 500 Bielenberg Drive, Woodbury, Mn 55125.
(c) None.
Item 30. LOCATION OF ACCOUNTS AND RECORDS
The records required to be maintained by Section 31(a) of the Investment
Company Act of 1940 and Rules 31a-1 and 31a-3 thereunder are maintained by First
Fortis, Fortis Investors, Inc. and Fortis Advisers, Inc., at 500 Bielenberg
Drive, Woodbury, Minnesota 55125 and 220 Salina Meadows Parkway, Suite 255,
Syracuse, New York 13220.
Item 31. MANAGEMENT SERVICES
First Fortis entered into an Administrative Services Agreement with Fortis
Benefits Insurance Company which is dated October 1, 1991 and which has been
subsequently amended. Pursuant to that agreement, Fortis Benefits provides
certain management and management support services, as generally described
below, to First Fortis and Fortis Benefits is reimbursed by First Fortis for
these services on the basis of Fortis Benefits' costs, apportioned on an
equitable basis, for providing those services. Those services which Fortis
Benefits provides pursuant to that agreement relating to First Fortis' group
life, health, and disability insurance business and its individual annuity
business are generally as follows: (1) in-house legal services, (2) computer
hardware and systems services for maintenance of corporate accounting and
policyholder records, and (3) training services for new products. Fortis
Benefits additionally provides actuarial services, including product
development, pricing, valuation and compliance services, relating to First
Fortis' individual annuity business. Prior to 1994, Fortis Benefits provided
more extensive services to First Fortis relating to its group life, health, and
disability insurance business.
Additionally, pursuant to an agreement with Fortis, Inc. and Fortis Advisers,
Inc., Fortis, Inc. and Fortis Advisers, Inc. provides First Fortis with
investment and general management services.
First Fortis paid the above described affiliates the following sums for those
described services for its fiscal years ended December 31, 1993, December 31,
1994, and December 31, 1995, respectively: $1,443,000; $1,581,000; and
$1,648,000.
<PAGE>
Item 32. UNDERTAKINGS
The Registrant hereby undertakes:
(a) 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 16 months
old for so long as payments under the variable annuity contracts may
be accepted;
(b) 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 toll-
free phone number, postcard, or similar written communication affixed
to or included in the Prospectus that the applicant can call or remove
to send for a Statement of Additional Information;
(c) to deliver a Statement of Additional Information and any financial
statements required to be made available under this Form promptly upon
written or oral request.
First Fortis Life Insurance Company represents:
(a) that the fees and charges imposed under the provisions of the Contract
covered by this registration statement, in the aggregate, are
reasonable in relation to the services to be rendered by the
Registrant associated with the Contracts, the expenses to be incurred
by the Registrant associated with the Contracts, and the risks assumed
by the Registrant associated with the Contracts.
The Registrant intends to rely on the no-action response dated November 28,
1988 from Ms. Angela C. Goelzer of the Commission staff to the American Council
of Life Insurance concerning the redeemability of Section 403(b) annuity
contracts and the Registrant has complied with the provisions of paragraphs (1)
- -(4) thereof.
<PAGE>
EXHIBIT INDEX
10.(a) Consent of Accountants
13. Schedule of Computation
<PAGE>
SIGNATURES
As required by the Securities Act of 1933 and the Investment Company Act of
1940, the Registrant has caused this Registration Statement to be signed on its
behalf in the Town of Salina, County of Onondaga, State of New York on this 23rd
day of April, 1997.
SEPARATE ACCOUNT A OF
FIRST FORTIS LIFE INSURANCE COMPANY
(Registrant)
By: FIRST FORTIS LIFE INSURANCE COMPANY
By:____/s/_____________________________
Terry J. Kryshak
Sr. Vice President and
Chief Administrative Officer
(Principal Executive Officer)
FIRST FORTIS LIFE INSURANCE COMPANY
(Depositor)
By:____/s/_____________________________
Terry J. Kryshak
Sr. Vice President and
Chief Administrative Officer
(Principal Executive Officer)
As required by the Securities Act of 1933 and the Investment Company Act of
1940, this amended Registration Statement has been signed by the following
persons, in the capacities indicated, on April 23, 1997.
Signature Title With First Fortis
- --------- -----------------------
__/s/_________________________ Sr. Vice President and Chief
Terry J. Kryshak Administrative Officer and Director
(Principal Executive Officer)
__/s/_________________________ Treasurer and Director
Larry M. Cains (Principal Financial Officer)
__/s/_________________________ Assistant Treasurer Directorof
Leanne F. Hughes Accounting (Principal Accounting
Officer)
<PAGE>
*_____________________________ President and Director
Allen Royal Freedman
*_____________________________ Director
Susie Gharib
*_____________________________ Director
Guy Gerard Rutherfurd, Jr.
*_____________________________ Director
Dale Edward Gardner
*_____________________________ Director
Kenneth Warwick Nelson
_____________________________ Director
Robert B. Pollock
______/s/____________________ Director
Dean C. Kopperud
*_____________________________ Director
Thomas M. Keller
*_____________________________ Director
Clarence Elkus Galston
*By ___/s/____________________
Terry J. Kryshak
Attorney-in-fact
<PAGE>
Consent of Independent Auditors
We consent to the reference to our firm under the caption "Experts" and to the
use of our reports a) dated February 21, 1997 with respect to the financial
statements of First Fortis Life Insurance Company and b) April 11, 1997 with
respect to the financial statements of Variable Account A in the Post-Effective
Amendment No. 5 to the Registration Statement (Form N-4 No. 33-71686) and
related Prospectus and Statement of Additional Information of First Fortis Life
Insurance Company for the registration of flexible premium deferred combination
variable and fixed annuity contracts.
/s/
Ernst & Young LLP
Syracuse, New York
April 25, 1997
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
U.S. GOVERNMENT SECURITIES SUBACCOUNT
The subaccount's standardized yield for the 30 day period ended December
31, 1996 was computed by dividing the net investment income per accumulation
unit earned during the period by the maximum offering price per unit on the last
day of the period in accordance with the formula prescribed by the Securities
and Exchange Commission:
[(($939,047)) 6
2 * { ---------------------------- + 1]- 1} = 7.45%
[((9,635,092 * 15.935))
Total return is the percentage change between the public offering price of
one subaccount unit at the beginning of the period to the public offering price
of one subaccount unit at the end of the period. Ending total values are
calculated for any specific period and cumulative total returns are calculated
according to the following formula:
Cash Surrender Value - Initial Amount Invested
Total Return = ---------------------------------------------------------
Initial Amount Invested
Based on an initial investment made January 1, 1996 and unit information
shown on the attached page, and adjusting for the annual administration charge,
the value of such investment at December 31, 1996 and the total return for the
one year period are as follows:
Ending Value Total Return
---------------- -----------------
$973.22 $973.22 - $1,000
----------------------- = -2.68%
$1,000
Cumlative total return for five years ended December 31, 1996, is as
follows:
$1,058.17 - $1,000
----------------------- = 5.82%
$1,000
Cumulative total return since inception through December 31, 1996, is as
follows:
$1,313.5 - $1,000
----------------------- = 31.35%
$1,000
<PAGE>
Average annual total return (T) equates the initial amount invested (P) to
the ending redeemable value (ERV) over the period (n) in accordance with the
formula prescribed by the Securities and Exchange Commission:
n
P(1 + T) = ERV
Average annual total return for the current one year period, five year
period and since commencement of the subaccount are as follows:
One year ended December 31, 1996:
$973.22/$1,000 - 1 = -2.68%
Five years ended December 31, 1996:
1/5
($1,058.17/$1,000) - 1 = 1.14%
Since inception through December 31, 1996:
1/8.67
($1,313.50/$1,000) - 1 = 3.20%
<TABLE>
<CAPTION>
Unit Value Information
----------------------
<S> <C>
Unit
Date Value
---------- ----------
05/01/89 $10.000
12/31/89 10.756
12/31/90 11.454
12/31/91 12.922
12/31/92 13.529
12/31/93 14.609
12/31/94 13.484
12/31/95 15.805
12/31/96 15.935
</TABLE>
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
DIVERSIFIED INCOME SUBACCOUNT
The subaccount's standardized yield for the 30 day period ended December
31, 1996 was computed by dividing the net investment income per accumulation
unit earned during the period by the maximum offering price per unit on the last
day of the period in accordance with the formula prescribed by the Securities
and Exchange Commission:
[(($651,229)) 6
2 * { ---------------------------- + 1] - 1} = 7.92%
[((55,653,680 * 1.802))
Total return is the percentage change between the public offering price of one
subaccount unit at the beginning of the period to the public offering price of
one subaccount unit at the end of the period. Ending total values are
calculated for any specific period and cumulative total returns are calculated
according to the following formula:
Cash Surrender Value - Initial Amount Invested
Total Return =---------------------------------------------------
Initial Amount Invested
Based on an initial investment made January 1, 1996 and unit information
shown on the attached page, and adjusting for the annual administration charge,
the value of such investment at December 31, 1996 and the total return for the
one year period are as follows:
Ending Value Total Return
------------- ------------
$992.37 $992.37 - $1,000
--------------------- = - .73%
$1,000
Cumlative total return for five years ended December 31, 1996, is as
follows:
$1,131.74 - $1,000
----------------------- = 13.17%
$1,000
Cumulative total return since inception through December 31, 1996, is as
follows:
$1,522.00 - $1,000
----------------------- = 52.20%
$1,000
<PAGE>
Average annual total return (T) equates the initial amount invested (P) to
the ending redeemable value (ERV) over the period (n) in accordance with the
formula prescribed by the Securities and Exchange Commission:
n
P(1 + T) = ERV
Average annual total return for the current one year period, five year
period and since commencement of the subaccount are as follows:
One year ended December 31, 1996:
$992.37/$1,000 - 1 = - .73%
Five years ended December 31, 1996:
1/5
($1,131.74/$1,000) - 1 = 2.50%
Since inception through December 31, 1996:
1/8.67
($1,522.00/$1,000) - 1 = 4.96%
<TABLE>
<CAPTION>
Unit Value Information
----------------------------
<S> <C>
Unit
Date Value
---------- --------
05/01/88 $1.000
12/31/88 1.025
12/31/89 1.135
12/31/90 1.219
12/31/91 1.379
12/31/92 1.457
12/31/93 1.621
12/31/94 1.516
12/31/95 1.754
12/31/96 1.802
</TABLE>
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
GROWTH STOCK SUBACCOUNT
Total return is the percentage change between the public offering price of
one subaccount unit at the beginning of the period to the public offering price
of one subaccount unit at the end of the period. Ending total values are
calculated for any specific period and cumulative total returns are calculated
according to the following formula:
Cash Surrender Value - Initial Amount Invested
Total Return =---------------------------------------------------
Initial Amount Invested
Based on an initial investment made January 1, 1996 and unit information
shown on the attached page, and adjusting for the annual administration charge,
the value of such investment at December 31, 1996 and the total return for the
one year period are as follows:
Ending Value Total Return
---------------- -----------------
$1,113.82 $1,113.82 - $1,000
----------------------- = 11.38%
$1,000
Cumlative total return for five years ended December 31, 1996, is as
follows:
$1,336.70 - $1,000
----------------------- = 33.67%
$1,000
Cumulative total return since inception through December 31, 1996, is as
follows:
$2,692.00 - $1,000
----------------------- = 169.20%
$1,000
<PAGE>
Average annual total return (T) equates the initial amount invested (P) to
the ending redeemable value (ERV) over the period (n) in accordance with the
formula prescribed by the Securities and Exchange Commission:
n
P(1 + T) = ERV
Average annual total return for the current one year period, five year
period and since commencement of the subaccount are as follows:
One year ended December 31, 1996:
$1,113.82/$1,000 - 1 = 11.385%
Five years ended December 31, 1996:
1/5
($1,336.70/$1,000) - 1 = 5.98%
Since inception through December 31, 1996:
1/8.67
($2,692.00/$1,000) - 1 = 12.10%
<TABLE>
<CAPTION>
Unit Value Information
----------------------
<S> <C>
Unit
Date Value
---------- --------
05/01/88 $1.000
12/31/88 0.999
12/31/89 1.358
12/31/90 1.298
12/31/91 1.966
12/31/92 1.996
12/31/93 2.143
12/31/94 2.054
12/31/95 2.587
12/31/96 2.972
</TABLE>
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
ASSET ALLOCATION SUBACCOUNT
Total return is the percentage change between the public offering price of
one subaccount unit at the beginning of the period to the public offering price
of one subaccount unit at the end of the period. Ending total values are
calculated for any specific period and cumulative total returns are calculated
according to the following formula:
Cash Surrender Value - Initial Amount Invested
Total Return = ------------------------------------------------------
Initial Amount Invested
Based on an initial investment made January 1, 1996 and unit information
shown on the attached page, and adjusting for the annual administration charge,
the value of such investment at December 31, 1996 and the total return for the
one year period are as follows:
Ending Value Total Return
------------ -----------------
$1,075.12 $1,075.12 - $1,000
----------------------- = 7.51%
$1,000
Cumlative total return for five years ended December 31, 1996, is as
follows:
$1,326.27 - $1,000
----------------------- = 32.63%
$1,000
Cumulative total return since inception through December 31, 1996, is as
follows:
$2,089.00 - $1,000
----------------------- = 108.90%
$1,000
<PAGE>
Average annual total return (T) equates the initial amount invested (P) to
the ending redeemable value (ERV) over the period (n) in accordance with the
formula prescribed by the Securities and Exchange Commission:
n
P(1 + T) = ERV
Average annual total return for the current one year period, five year
period and since commencement of the subaccount are as follows:
One year ended December 31, 1996:
$1,075.12/$1,000 - 1 = 7.51%
Five years ended December 31, 1996:
1/5
($1,326.27/$1,000) - 1 = 5.81%
Since inception through December 31, 1996:
1/8.67
($2,089.00/$1,000) - 1 = 8.87%
<TABLE>
<CAPTION>
Unit Value Information
----------------------------
<S> <C>
Unit
Date Value
---------- -------
05/01/88 $1.000
12/31/88 1.020
12/31/89 1.245
12/31/90 1.253
12/31/91 1.578
12/31/92 1.665
12/31/93 1.797
12/31/94 1.773
12/31/95 2.134
12/31/96 2.369
</TABLE>
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
GLOBAL GROWTH SUBACCOUNT
Total return is the percentage change between the public offering price of
one subaccount unit at the beginning of the period to the public offering price
of one subaccount unit at the end of the period. Ending total values are
calculated for any specific period and cumulative total returns are calculated
according to the following formula:
Cash Surrender Value - Initial Amount Invested
Total Return = -----------------------------------------------------
Initial Amount Invested
Based on an initial investment made January 1, 1996 and unit information
shown on the attached page, and adjusting for the annual administration charge,
the value of such investment at December 31, 1996 and the total return for the
one year period are as follows:
Ending Value Total Return
------------ ------------
$1,140.00 $1,140.00 - $1,000
------------------- = 14.00%
$1,000
Cumulative total return since inception through December 31, 1996, is as
follows:
$1,676.10 - $1,000
----------------------- = 67.61%
$1,000
Average annual total return (T) equates the initial amount invested (P) to
the ending redeemable value (ERV) over the period (n) in accordance with the
formula prescribed by the Securities and Exchange Commission:
n
P(1 + T) = ERV
Average annual total return for the current one year period, five year
period and since commencement of the subaccount are as follows:
One year ended December 31, 1996:
$1,140.00/$1,000 - 1 = 14.00%
<PAGE>
Since inception through December 31, 1996:
1/4.67
($1,676.10/$1,000) - 1 = 11.69%
<TABLE>
<CAPTION>
Unit Value Information
----------------------------
<S> <C>
Unit
Date Value
---------- --------
05/01/92 $10.000
12/31/92 10.989
12/31/93 12.784
12/31/94 12.237
12/31/95 15.754
12/31/96 18.511
</TABLE>
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
MONEY MARKET SUBACCOUNT
The subaccount's standardized yield for the seven day period ended December
31, 1996 was computed by dividing 1 by the unit price for December 24, 1996,
then multiplying this by the unit price on December 31, 1996 to get a base
period return. The base period return is then multiplied by 365 days and then
divided by 7. This calculation for the seven day period ended December 31, 1996
was as follows:
((1 / 1.417826) x 1.418859) -1 = .000729 - Base Period Return
.000729 x (365 / 7) = .0380 or 3.80%
The compound or effective yield for this same period is calculated by taking the
base period return and adding 1, raising the sum to a power equal to 365 divided
by 7 and subtracting 1 from the result. This calculation for the seven day
period ended December 31, 1996 was as follows:
365/7
(.000729 + 1) -1 = .0387 or 3.87%
Date Unit Price
------ ------------
12/24/96 1.417826
12/31/96 1.418859
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
AGGRESSIVE GROWTH SUBACCOUNT
Total return is the percentage change between the public offering price of
one subaccount unit at the beginning of the period to the public offering price
of one subaccount unit at the end of the period. Ending total values are
calculated for any specific period and cumulative total returns are calculated
according to the following formula:
Cash Surrender Value - Initial Amount Invested
Total Return = -------------------------------------------------------
Initial Amount Invested
Based on an initial investment made January 1, 1996 and unit information
shown below, and adjusting for the annual administration charge, the value of
such investment at December 31, 1996 and the cumulative total return since
inception is as follows:
Ending Value Total Return
---------------- -----------------
$1,026.95 $1,026.95 - $1,000
----------------------- = 2.70%
$1,000
Cumulative total return since inception through December 31, 1996, is as
follows:
$1,218.30 - $1,000
----------------------- = 21.83%
$1,000
Average annual total return (T) equates the initial amount invested (P) to
the ending redeemable value (ERV) over the period (n) in accordance with the
formula prescribed by the Securities and Exchange Commission:
n
P(1 + T) = ERV
One year ended December 31, 1996:
$1,026.95/$1,000 - 1 = 2.70%
<PAGE>
Average annual total return since inception of the subaccount through
December 31, 1996 is as follows:
1/2.67
($1,218.30/$1,000) - 1 = 7.68%
<TABLE>
<CAPTION>
Unit Value Information
----------------------------
<S> <C>
Unit
Date Value
---------- ----------
05/01/94 $10.000
12/31/94 9.796
12/31/95 12.461
12/31/96 13.233
</TABLE>
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
GROWTH & INCOME SUBACCOUNT
Total return is the percentage change between the public offering price of
one subaccount unit at the beginning of the period to the public offering price
of one subaccount unit at the end of the period. Ending total values are
calculated for any specific period and cumulative total returns are calculated
according to the following formula:
Cash Surrender Value - Initial Amount Invested
Total Return = ---------------------------------------------------
Initial Amount Invested
Based on an initial investment made January 1, 1996 and unit information
shown below, and adjusting for the annual administration charge, the value of
such investment at December 31, 1996 and the cumulative total return since
inception is as follows:
Ending Value Total Return
---------------- -----------------
$1,163.70 $1,163.70 - $1,000
----------------------- = 16.37%
$1,000
Cumulative total return since inception through December 31, 1996, is as
follows:
$1,441.80 - $1,000
------------------- = 44.18%
$1,000
Average annual total return (T) equates the initial amount invested (P) to
the ending redeemable value (ERV) over the period (n) in accordance with the
formula prescribed by the Securities and Exchange Commission:
n
P(1 + T) = ERV
One year ended December 31, 1996:
$1,163.70/$1,000 - 1 = 16.37%
<PAGE>
Average annual total return since inception of the subaccount through
December 31, 1996 is as follows:
1/2.67
($1,441.80/$1,000) - 1 = 14.69%
<TABLE>
<CAPTION>
Unit Value Information
----------------------------
<S> <C>
Unit
Date Value
---------- ----------
05/01/94 $10.000
12/31/94 10.069
12/31/95 12.904
12/31/96 15.468
</TABLE>
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
HIGH YIELD SUBACCOUNT
The subaccount's standardized yield for the 30 day period ended December
31, 1996 was computed by dividing the net investment income per accumulation
unit earned during the period by the maximum offering price per unit on the last
day of the period in accordance with the formula prescribed by the Securities
and Exchange Commission:
[ $287,560 6
2 * { ---------------------------- + 1] - 1} = 8.83%
[((3,337,604 * 11.929))
Total return is the percentage change between the public offering price of
one subaccount unit at the beginning of the period to the public offering price
of one subaccount unit at the end of the period. Ending total values are
calculated for any specific period and cumulative total returns are calculated
according to the following formula:
Cash Surrender Value - Initial Amount Invested
Total Return = ------------------------------------------------
Initial Amount Invested
Based on an initial investment made January 1, 1996 and unit information
shown below, and adjusting for the annual administration charge, the value of
such investment at December 31, 1996 and the cumulative total return since
inception is as follows:
Ending Value Total Return
---------------- -------------
$1,055.30 $1,055.30 - $1,000
------------------- = 5.53%
$1,000
Cumulative total return since inception through December 31, 1996, is as
follows:
$1,087.90 - $1,000
----------------------- = 8.79%
$1,000
<PAGE>
Average annual total return (T) equates the initial amount invested (P) to
the ending redeemable value (ERV) over the period (n) in accordance with the
formula prescribed by the Securities and Exchange Commission:
n
P(1 + T) = ERV
One year ended December 31, 1996:
$1,055.30/$1,000 - 1 = 5.53%
Average annual total return since inception of the subaccount through
December 31, 1996 is as follows:
1/2.67
($1,087.90/$1,000) - 1 = 3.21%
<TABLE>
<CAPTION>
Unit Value Information
----------------------------
<S> <C>
Unit
Date Value
---------- ----------
05/01/94 $10.000
12/31/94 9.452
12/31/95 10.941
12/31/96 11.929
</TABLE>
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
GLOBAL ASSET ALLOCATION SUBACCOUNT
Total return is the percentage change between the public offering price of
one subaccount unit at the beginning of the period to the public offering price
of one subaccount unit at the end of the period. Ending total values are
calculated for any specific period and cumulative total returns are calculated
according to the following formula:
Cash Surrender Value - Initial Amount Invested
Total Return = ---------------------------------------------------
Initial Amount Invested
Based on an initial investment made January 1, 1996 and unit information
shown below, and adjusting for the annual administration charge, the value of
such investment at December 31, 1996 and the cumulative total return since
inception is as follows:
Ending Value Total Return
---------------- ------------
$1,077.00 $1,077.00 - $1,000
-------------------- = 7.70%
$1,000
Cumulative total return since inception through December 31, 1996, is as
follows:
$1,218.80 - $1,000
----------------------- = 21.88%
$1,000
<PAGE>
Average annual total return (T) equates the initial amount invested (P) to
the ending redeemable value (ERV) over the period (n) in accordance with the
formula prescribed by the Securities and Exchange Commission:
n
P(1 + T) = ERV
One year ended December 31, 1996:
$1,077.00/$1,000 - 1 = 7.70%
Average annual total return since inception of the subaccount through
December 31, 1996 is as follows:
1/2
($1,218.80/$1,000) - 1 = 10.40%
<TABLE>
<CAPTION>
Unit Value Information
----------------------------
<S> <C>
Unit
Date Value
---------- ----------
01/01/95 $10.000
12/31/95 11.590
12/31/96 12.888
</TABLE>
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
INTERNATIONAL STOCK SUBACCOUNT
Total return is the percentage change between the public offering price of
one subaccount unit at the beginning of the period to the public offering price
of one subaccount unit at the end of the period. Ending total values are
calculated for any specific period and cumulative total returns are calculated
according to the following formula:
Cash Surrender Value - Initial Amount Invested
Total Return = -----------------------------------------------------
Initial Amount Invested
Based on an initial investment made January 1, 1996 and unit information
shown below, and adjusting for the annual administration charge, the value of
such investment at December 31, 1996 and the cumulative total return since
inception is as follows:
Ending Value Total Return
---------------- -----------------
$1,090.89 $1,090.89 - $1,000
------------------- = 9.09%
$1,000
Cumulative total return since inception through December 31, 1996, is as
follows:
$1,199.10 - $1,000
----------------------- = 19.91%
$1,000
<PAGE>
Average annual total return (T) equates the initial amount invested (P) to
the ending redeemable value (ERV) over the period (n) in accordance with the
formula prescribed by the Securities and Exchange Commission:
n
P(1 + T) = ERV
One year ended December 31, 1996:
$1,090.89/$1,000 - 1 = 9.09%
Average annual total return since inception of the subaccount through
December 31, 1996 is as follows:
1/2
($1,199.10/$1,000) - 1 = 9.50%
<TABLE>
<CAPTION>
Unit Value Information
----------------------------
<S> <C>
Unit
Date Value
---------- ----------
01/01/95 $10.000
12/31/95 11.272
12/31/96 12.691
</TABLE>
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
GLOBAL BOND SUBACCOUNT
The subaccount's standardized yield for the 30 day period ended December
31, 1996 was computed by dividing the net investment income per accumulation
unit earned during the period by the maximum offering price per unit on the last
day of the period in accordance with the formula prescribed by the Securities
and Exchange Commission:
[ $56,811 6
2 * { ---------------------------- + 1] - 1} = 5.30%
[ ((1,088,043 * 11.962))
Total return is the percentage change between the public offering price of
one subaccount unit at the beginning of the period to the public offering price
of one subaccount unit at the end of the period. Ending total values are
calculated for any specific period and cumulative total returns are calculated
according to the following formula:
Cash Surrender Value - Initial Amount Invested
Total Return = ----------------------------------------------------
Initial Amount Invested
Based on an initial investment made January 1, 1996 and unit information
shown below, and adjusting for the annual administration charge, the value of
such investment at December 31, 1996 and the cumulative total return since
inception is as follows:
Ending Value Total Return
---------------- ------------
$983.65 $983.65 - $1,000
------------------ = -1.64%
$1,000
Cumulative total return since inception through December 31, 1996, is as
follows:
$1,126.20 - $1,000
----------------------- = 12.62%
$1,000
<PAGE>
Average annual total return (T) equates the initial amount invested (P) to
the ending redeemable value (ERV) over the period (n) in accordance with the
formula prescribed by the Securities and Exchange Commission:
n
P(1 + T) = ERV
One year ended December 31, 1996:
$983.65/$1,000 - 1 = -1.64%
Average annual total return since inception of the subaccount through
December 31, 1996 is as follows:
1/2
($1,126.20/$1,000) - 1 = 6.12%
<TABLE>
<CAPTION>
Unit Value Information
----------------------------
<S> <C>
Unit
Date Value
---------- ----------
01/01/95 $10.000
12/31/95 11.743
12/31/96 11.962
</TABLE>
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
VALUE SUBACCOUNT
Total return is the percentage change between the public offering price of
one subaccount unit at the beginning of the period to the public offering price
of one subaccount unit at the end of the period. Ending total values are
calculated for any specific period and cumulative total returns are calculated
according to the following formula:
Cash Surrender Value - Initial Amount Invested
Total Return = --------------------------------------------------
Initial Amount Invested
Based on an initial investment made May 1, 1996 and unit information shown
below, and adjusting for the annual administration charge, the value of such
investment at December 31, 1996 and the cumulative total return since inception
is as follows:
Ending Value Total Return
---------------- ------------
$1,069.90 $1,069.90 - $1,000
------------------- = 6.99%
$1,000
Average annual total return (T) equates the initial amount invested (P) to
the ending redeemable value (ERV) over the period (n) in accordance with the
formula prescribed by the Securities and Exchange Commission:
n
P(1 + T) = ERV
Average annual total return since inception of the subaccount through
December 31, 1996 is as follows:
1/.67
($1,069.90/$1,000) - 1 = 10.61%
<TABLE>
<CAPTION>
Unit Value Information
----------------------------
<S> <C>
Unit
Date Value
---------- ----------
05/01/96 $10.000
12/31/96 11.049
</TABLE>
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
S & P 500 SUBACCOUNT
Total return is the percentage Change between the public offering price of
one subaccount unit at the beginning of the period to the public offering price
of one subaccount unit at the end of the period. Ending total values are
calculated for any specific period and cumulative total returns are calculated
according to the following formula:
Cash Surrender Value - Initial Amount Invested
Total Return = ------------------------------------------------
Initial Amount Invested
Based on an initial investment made May 1, 1996 and unit information shown
below, and adjusting for the annual administration charge, the value of such
investment at December 31, 1996 and the cumulative total return since inception
is as follows:
Ending Value Total Return
---------------- ------------
$1,097.70 $1,097.70 - $1,000
--------------------- = 9.77%
$1,000
Average annual total return (T) equates the initial amount invested (P) to
the ending redeemable value (ERV) over the period (n) in accordance with the
formula prescribed by the Securities and Exchange Commission:
n
P(1 + T) = ERV
Average annual total return since inception of the subaccount through
December 31, 1996 is as follows:
1/.67
($1,097.70/$1,000) - 1 = 14.93%
<TABLE>
<CAPTION>
Unit Value Information
----------------------------
<S> <C>
Unit
Date Value
---------- ----------
05/01/96 $10.000
12/31/96 11.327
</TABLE>
<PAGE>
FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY
SEPARATE ACCOUNT PERFORMANCE CALCULATION
BLUE CHIP SUBACCOUNT
Total return is the percentage change between the public offering price of
one subaccount unit at the beginning of the period to the public offering price
of one subaccount unit at the end of the period. Ending total values are
calculated for any specific period and cumulative total returns are calculated
according to the following formula:
Cash Surrender Value - Initial Amount Invested
Total Return = ---------------------------------------------------
Initial Amount Invested
Based on an initial investment made May 1, 1996 and unit information shown
below, and adjusting for the annual administration charge, the value of such
investment at December 31, 1996 and the cumulative total return since inception
is as follows:
Ending Value Total Return
---------------- -----------------
$1,117.00 $1,117.00 - $1,000
----------------------- = 11.70%
$1,000
Average annual total return (T) equates the initial amount invested (P) to
the ending redeemable value (ERV) over the period (n) in accordance with the
formula prescribed by the Securities and Exchange Commission:
n
P(1 + T) = ERV
Average annual total return since inception of the subaccount through
December 31, 1996 is as follows:
1/.67
($1,117.00/$1,000) - 1 = 18.00%
Unit Value Information
----------------------------
Unit
Date Value
---------- ----------
05/01/96 $10.000
12/31/96 11.520
