TRAVELERS VARIABLE LIFE INSURANCE SEPARATE ACCOUNT ONE
S-6EL24/A, 1995-08-21
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<PAGE>
 
                                                       Registration No. 33-88578


                      SECURITIES AND EXCHANGE COMMISSION
                            Washington, D.C.  20549

                         Pre-Effective Amendment No. 1
                                      to
                                   FORM S-6


               FOR REGISTRATION UNDER THE SECURITIES ACT OF 1933
                    OF SECURITIES OF UNIT INVESTMENT TRUSTS
                           REGISTERED ON FORM N-8B-2


          THE TRAVELERS VARIABLE LIFE INSURANCE SEPARATE ACCOUNT ONE
          ----------------------------------------------------------
                             (Exact Name of Trust)


                    THE TRAVELERS LIFE AND ANNUITY COMPANY
                    --------------------------------------
                              (Name of Depositor)

                One Tower Square, Hartford, Connecticut  06183
                ----------------------------------------------
         (Complete Address of Depositor's Principal Executive Offices)

                               Ernest J. Wright
                              Assistant Secretary
                    The Travelers Life and Annuity Company
                               One Tower Square
                         Hartford, Connecticut  06183
                         ----------------------------
                    (Name and address of Agent for Service)


Title and amount of securities being registered: Pursuant to Rule 24f-2 of the
Investment Company Act of 1940, the Registrant hereby declares that an
indefinite amount of Variable Life Insurance Policies is being registered under
the Securities Act of 1933.

Amount of filing fee:  $500.00

Approximate date of proposed public offering: As soon as practicable following
the effectiveness of the Registration Statement

The Registrant hereby amends this registration statement on such date or dates
as may be necessary to delay its effective date until the Registrant shall file
a further amendment which specifically states that this registration statement
shall thereafter become effective in accordance with Section 8(a) of the
Securities Act of 1933 or until the registration statement shall become
effective on such date as the Commission, acting pursuant to Section 8(a), may
determine.

___ Check box if it is proposed that this filing will become effective on
_______________ at ______________ pursuant to Rule 487
<PAGE>
 
                        RECONCILIATION AND TIE BETWEEN

                          FORM N-8B-2 AND PROSPECTUS
                          --------------------------

Item No. of
Form N-8B-2      CAPTION IN PROSPECTUS
-----------      ---------------------

   1             Cover page
   2             Cover page
   3             Safekeeping of the Separate Account's Assets
   4             Distribution of the Policy
   5             The Separate Account
   6             The Separate Account
   7             Not applicable
   8             Not applicable
   9             Legal Proceedings and Opinion
   10            Prospectus Summary; The Insurance Company; The Separate
                   Account; The Investment Options; The Policy; Transfers of
                   Cash Value; Policy Surrenders and Cash Surrender Value;
                   Voting Rights; Dividends
   11            The Separate Account; The Investment Options
   12            The Investment Options
   13            Charges and Deductions; Distribution of the Policies
   14            The Policy
   15            The Policy
   16            The Separate Account; The Investment Options; Allocation of
                   Premium Payments
   17            Prospectus Summary; Right to Cancel Period; Policy Surrenders
                   and Cash Surrender Value; Policy Loans; Exchange Rights
   18            The Investment Options; Charges and Deductions; Federal Tax
                   Considerations
   19            Reports to Policy Owners
   20            The Insurance Company
   21            Policy Loans
   22            Not applicable
   23            Not applicable
   24            Not applicable
   25            The Insurance Company
   26            Not applicable
   27            The Insurance Company
   28            The Insurance Company; Management
   29            The Insurance Company
   30            Not applicable
   31            Not applicable
   32            Not applicable
   33            Not applicable
   34            Not applicable
   35            Distribution of the Policy
   36            Not applicable
   37            Not applicable
   38            Distribution of the Policy
   39            Distribution of the Policy
   40            Not applicable
 
<PAGE>
 
Item No. of
Form N-8B-2      CAPTION IN PROSPECTUS
-----------      ---------------------

   41            Distribution of the Policy
   42            Not applicable
   43            Not applicable
   44            Valuation of the Separate Account
   45            Not applicable
   46            The Policy; Valuation of the Separate Account; Transfers of 
                   Cash Value; Policy Surrenders and Cash Surrender Value
   47            The Separate Account; The Investment Options
   48            The Insurance Company
   49            Safekeeping of the Separate Account's Assets
   50            Not applicable
   51            Prospectus Summary; The Insurance Company; The Policy; Death
                   Benefits; Policy Lapse and Reinstatement
   52            The Separate Account; The Investment Options; Investment 
                   Managers
   53            Federal Tax Considerations
   54            Not applicable
   55            Not applicable
   56            Not applicable
   57            Not applicable
   58            Not applicable
   59            Financial Statements
<PAGE>
 

                                  VINTAGELIFE
 
       MODIFIED SINGLE PREMIUM INDIVIDUAL VARIABLE LIFE INSURANCE POLICY
                                   ISSUED BY
                    THE TRAVELERS LIFE AND ANNUITY COMPANY
 
 
                                  PROSPECTUS
                                       , 1995
     
  Information contained herein is subject to completion or amendment. A
registration statement relating to these securities has been filed with the
Securities and Exchange Commission. These securities may not be sold nor may
offers to buy be accepted prior to the time the registration statement becomes
effective. This prospectus shall not constitute an offer to sell or the
solicitation of an offer to buy nor shall there be any sale of these
securities in any state in which such offer, solicitation or sale would be
unlawful prior to registration or qualification under the securities laws of
any such state.      
-------------------------------------------------------------------------------
<PAGE>
 

 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                                  PROSPECTUS
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
     
  This Prospectus describes a modified single premium individual variable life
insurance policy (the "Policy") offered by The Travelers Life and Annuity
Company (the "Company") and funded by The Travelers Variable Life Insurance
Separate Account One ("Separate Account One"). Separate Account One invests in
certain mutual funds that are referred to in this Prospectus as "Investment
Options." Although the Policy can operate as a single premium policy,
additional premium payments may be made under certain circumstances provided
there are no outstanding policy loans. The minimum Initial Premium required to
issue a Policy is $25,000.
 
  The Policy provides for the payment of a Death Benefit upon the death of the
Insured, and for a Cash Value that can be obtained through policy loans or
full or partial surrenders of the Policy. The Death Benefit and Cash Value of
a Policy will vary based on the performance of underlying investment options.
There is no guaranteed minimum Cash Value for a Policy. Additionally, the Cash
Value is reduced by the various fees and charges assessed under the Policy, as
described in this Prospectus. Regardless of the performance of the Investment
Options, so long as the Policy is in force, the Death Benefit can never be
less than the current Stated Amount (with proceeds payable reduced by
outstanding policy loans and unpaid interest). The Policy will remain in force
for as long as the Cash Surrender Value is sufficient to pay the monthly
charges imposed under the Policy.
 
  From the Issue Date through the end of the Right to Cancel Period, the
Initial Premium will be allocated to the Smith Barney Money Market Portfolio.
Thereafter, the Cash Value and any premium
(CONTINUED ON THE FOLLOWING PAGE)
 
THIS PROSPECTUS IS VALID ONLY WHEN ACCOMPANIED BY THE CURRENT PROSPECTUSES FOR
THE UNDERLYING INVESTMENT OPTIONS. THESE PROSPECTUSES SHOULD BE READ AND
RETAINED FOR FUTURE REFERENCE.
 
THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES AND
EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION NOR HAS THE SECURITIES
AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION PASSED UPON THE
ACCURACY OR ADEQUACY OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS
A CRIMINAL OFFENSE.
 
THIS PROSPECTUS DOES NOT CONSTITUTE AN OFFERING IN ANY JURISDICTION IN WHICH
SUCH OFFERING MAY NOT BE LAWFULLY MADE. NO DEALER, SALESMAN, OR OTHER PERSON
IS AUTHORIZED TO GIVE ANY INFORMATION OR MAKE ANY REPRESENTATIONS IN
CONNECTION WITH THIS OFFERING OTHER THAN THOSE CONTAINED IN THIS PROSPECTUS,
AND, IF GIVEN OR MADE, SUCH OTHER INFORMATION OR REPRESENTATIONS MUST NOT BE
RELIED UPON.
 
THE PURPOSE OF THIS VARIABLE LIFE INSURANCE POLICY IS TO PROVIDE INSURANCE
PROTECTION. LIFE INSURANCE IS A LONG-TERM INVESTMENT. PROSPECTIVE POLICY
OWNERS SHOULD CONSIDER THEIR NEED FOR INSURANCE COVERAGE AND THE POLICY'S
LONG-TERM INVESTMENT POTENTIAL. NO CLAIM IS MADE THAT THE POLICY IS IN ANY WAY
SIMILAR OR COMPARABLE TO AN INVESTMENT IN A MUTUAL FUND.
 
                   THE DATE OF THIS PROSPECTUS IS    , 1995.       
 
 
                                                                     INTRO -- 1
-------------------------------------------------------------------------------
<PAGE>
 

     
payments made under the Policy may be allocated to one or more of the
following Investment Options available under Separate Account One where they
will accumulate on a variable basis: Smith Barney Income and Growth, Alliance
Growth, American Capital Enterprise, Smith Barney International Equity, TBC
Managed Income, Putnam Diversified Income, Smith Barney High Income, MFS Total
Return, Smith Barney Money Market and AIM Capital Appreciation Portfolios of
The Smith Barney/Travelers Series Fund Inc.; Smith Barney Total Return
Portfolio of the Smith Barney Series Fund; three Zero Coupon Bond Fund
Portfolios (Series 1998, 2000, 2005) of The Travelers Series Trust. The Policy
Owner bears the investment risk for all amounts allocated to the underlying
Investment Options.
 
  The Policy has a Right to Cancel Period during which the applicant may
return the Policy to the Company for a refund. The Right to Cancel Period
expires on the latest of ten days after the Owner receives the Policy, ten
days after we mail or deliver a written Notice of Right to Cancel to the
Owner, or 45 days after the applicant signs the application for insurance (or
later, if state law requires).      
 
  It may not be advantageous to purchase this Policy as a replacement for
another type of life insurance or as a means to obtain additional insurance
protection if you already own a variable life insurance policy. Because the
Policy is designed to operate generally as a single premium policy, in all but
very limited circumstances the Policy will be treated as a modified endowment
contract for federal income tax purposes. As a modified endowment contract,
any loan, partial withdrawal, or surrender may result in adverse tax
consequences, including possible penalties. However, as with any life
insurance contract, (1) a Policy Owner generally should not be considered in
constructive receipt of the Policy's Cash Value, including incremental
increases therein, unless and until he or she is in actual receipt of
distributions from the Policy, and (2) Death Benefit payments should generally
be excluded from the gross income of the Policy beneficiary. A prospective
Policy Owner who wants to purchase a Policy that is not a modified endowment
contract should consult his or her personal tax adviser.
 
-------------------------------------------------------------------------------
INTRO -- 2

<PAGE>
 

 
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
                               TABLE OF CONTENTS
 
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
 
<TABLE>
<S>                                                                          <C>
GLOSSARY OF SPECIAL TERMS......................................... GLOSSARY -- 1
PROSPECTUS SUMMARY................................................. SUMMARY -- 1
THE INSURANCE COMPANY.......................................................   1
THE SEPARATE ACCOUNT........................................................   1
  Separate Account One......................................................   1
  Addition, Deletion or Substitution of Investments.........................   2
THE INVESTMENT OPTIONS......................................................   2
  Investment Managers.......................................................   4
  Mixed and Shared Funding..................................................   4
THE POLICY..................................................................   5
  The Policy Application....................................................   5
  Eligible Purchasers.......................................................   5
  Payments Made Under the Policy............................................   6
  Allocation of Premium Payments............................................   7
  Right to Cancel Period....................................................   7
CHARGES AND DEDUCTIONS......................................................   8
  MONTHLY DEDUCTION AMOUNT..................................................   8
    Cost of Insurance Charge................................................   8
    State Premium Tax Charge................................................   8
    Charges for Supplemental Benefit Provisions.............................   9
  CHARGES AGAINST THE INVESTMENT OPTIONS OF SEPARATE ACCOUNT ONE............   9
    Mortality and Expense Risk Charge.......................................   9
    Administrative Expense Charge...........................................   9
    Income Taxes............................................................  10
  INVESTMENT OPTION EXPENSES................................................  10
  SURRENDER CHARGES.........................................................  10
  TRANSFER CHARGE...........................................................  11
  REDUCTION OR ELIMINATION OF CHARGES.......................................  11
VALUATION OF THE SEPARATE ACCOUNT...........................................  11
  How the Cash Value Varies.................................................  11
  How the Investment Experience is Determined...............................  11
  Accumulation Unit Value...................................................  12
  Net Investment Factor.....................................................  12
</TABLE>
--------------------------------------------------------------------------------
<PAGE>
 

<TABLE>
<S>                                                                         <C>
  Valuation Periods and Valuation Dates....................................  12
TRANSFERS OF CASH VALUE....................................................  12
  Telephone Transfers......................................................  13
  Automated Transfers (Dollar Cost Averaging)..............................  13
DEATH BENEFIT..............................................................  13
  Changes in Death Benefit Option..........................................  14
  Changes in Stated Amount.................................................  15
  Maturity and Maturity Extension Benefits.................................  15
  Policy Lapse and Reinstatement...........................................  16
  Exchange Rights..........................................................  16
POLICY SURRENDERS AND CASH SURRENDER VALUE.................................  17
  Right to Surrender.......................................................  17
  Full Surrenders..........................................................  17
  Partial Surrenders.......................................................  17
POLICY LOANS...............................................................  17
  Risks Associated with Loans Taken Against a Variable Life Insurance Poli-
   cy......................................................................  18
PAYMENT OPTIONS............................................................  18
OTHER MATTERS..............................................................  19
  Voting Rights............................................................  19
  Reports to Policy Owners.................................................  20
  Limit on Right to Contest and Suicide Exclusion..........................  20
  Misstatement as to Sex and Age...........................................  20
  Suspension of Valuation..................................................  21
  Beneficiary..............................................................  21
  Assignment...............................................................  21
  Dividends................................................................  21
FEDERAL TAX CONSIDERATIONS.................................................  21
  General..................................................................  21
  TAX STATUS OF THE POLICY.................................................  22
  Definition of Life Insurance.............................................  22
  Diversification..........................................................  22
  Investor Control.........................................................  22
  TAX TREATMENT OF POLICY BENEFITS.........................................  23
  In General...............................................................  23
  Modified Endowment Contracts.............................................  23
  Exchanges................................................................  24
</TABLE>
--------------------------------------------------------------------------------
<PAGE>
 

<TABLE>
<S>                                                                          <C>
  Treatment of Loan Interest................................................  24
  Aggregation of Modified Endowment Contracts...............................  24
  THE COMPANY'S INCOME TAXES................................................  25
MANAGEMENT..................................................................  26
SAFEKEEPING OF THE SEPARATE ACCOUNT'S ASSETS................................  27
DISTRIBUTION OF THE POLICY..................................................  27
LEGAL PROCEEDINGS AND OPINION...............................................  28
REGISTRATION STATEMENT......................................................  28
INDEPENDENT ACCOUNTANTS.....................................................  28
FINANCIAL STATEMENTS........................................................  28
ILLUSTRATIONS...............................................................  29
APPENDIX A--PERFORMANCE INFORMATION.........................................  34
APPENDIX B--DEATH BENEFIT EXAMPLES..........................................  36
APPENDIX C--REPRESENTATIVE STATED AMOUNTS...................................  37
</TABLE>
--------------------------------------------------------------------------------
<PAGE>
 

 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                           GLOSSARY OF SPECIAL TERMS
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
The following terms are used throughout the Prospectus, and have the indicated
meanings:
     
ACCUMULATION UNIT -- a standard of measurement used to calculate the values
   allocated to the investment options.
 
AVERAGE NET FUND GROWTH RATE -- an annual measurement of growth, used to
   determine the next year's mortality and expense risk charge. The rate is
   determined each calendar year as follows: total daily earnings of the
   Investment Option(s) you select, divided by the average amount allocated
   during the calendar year. The daily earnings are measured using the net
   asset value per share of the Investment Options.      
 
BENEFICIARY(IES) -- the person(s) named to receive the benefits of this Policy
   at the Insured's death.
 
CASH SURRENDER VALUE -- the Cash Value less any outstanding policy loan and
   surrender charges.
     
CASH VALUE -- the current value of Accumulation Units credited to each of the
   Investment Options available under the Policy, plus the value of the Loan
   Account.      
 
COMPANY'S HOME OFFICE -- the principal executive offices of The Travelers Life
   and Annuity Company located at One Tower Square, Hartford, Connecticut
   06183.
 
COVERAGE AMOUNT -- an amount equal to the Death Benefit minus the Cash Value.
 
DEATH BENEFIT -- the amount payable to the Beneficiary if the Insured dies
   while the Policy is in force.
 
DEDUCTION DATE -- the day in each Policy Month on which the Monthly Deduction
   Amount is deducted from the Policy's Cash Value.
 
GRACE PERIOD -- the period during which the Policy remains in force after the
   Company has given notice to the Policy Owner that the Cash Surrender Value
   of the Policy is insufficient to pay the Monthly Deduction Amount due.
 
INITIAL PREMIUM -- the Premium Payment made in connection with the issuance of
   a Policy.
 
INSURED -- the person on whose life the Policy is issued.
     
INVESTMENT OPTIONS -- the open-end management investment companies or
   portfolios thereof to which you may allocate premiums under Separate
   Account One.      
 
ISSUE DATE -- the date on which the Policy is issued by the Company for
   delivery to the Policy Owner.
     
LOAN ACCOUNT -- an account in the Company's general account to which we
   transfer the amount of any policy loan, and to which we credit a fixed rate
   of interest.
 
LOAN ACCOUNT VALUE -- the amount of any policy loan, plus capitalized loan
   interest, plus the net rate of return credited to the Loan Account.      

-------------------------------------------------------------------------------
------------------------------------------------------------------------------- 
                                                                  GLOSSARY -- 1
<PAGE>
 

     
MATURITY DATE -- the anniversary of the Policy Date on which the Insured is
   age 100.      
 
MINIMUM AMOUNT INSURED -- a percentage of Cash Value required to qualify this
   Policy as life insurance under federal tax law.
 
MONTHLY DEDUCTION AMOUNT -- a monthly charge, deducted from the Policy's Cash
   Value, which is comprised of the Cost of Insurance charge, the deduction
   for premium tax, and any charge for supplemental benefits.
 
POLICY DATE -- the date on which the Policy becomes effective, which date is
   used to determine all future cyclical transactions under the Policy (i.e.,
   Deduction Dates, Policy Months, Policy Years).
 
POLICY MONTH -- monthly periods computed from the Policy Date.
 
POLICY OWNER (YOU, YOUR OR OWNER) -- the person(s) having rights to benefits
   under the Policy during the lifetime of the Insured; the Policy Owner may
   or may not be the Insured.
 
POLICY YEARS -- annual periods computed from the Policy Date.
 
SEPARATE ACCOUNT ONE -- The Travelers Variable Life Insurance Separate Account
   One, a separate account established by The Travelers Life and Annuity
   Company for the purpose of funding this Policy.
          
STATED AMOUNT -- the amount used to determine the Death Benefit under the
   Policy.
 
VALUATION DATE -- generally, a day on which Accumulation Units are valued. A
   valuation date is any day on which the New York Stock Exchange is open for
   trading. The value of Accumulation Units will be determined as of the close
   of trading on the New York Stock Exchange.
         
VALUATION PERIOD -- the period between the close of business on successive
   Valuation Dates.
 
-------------------------------------------------------------------------------
------------------------------------------------------------------------------- 
GLOSSARY -- 2
<PAGE>
 

-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                              PROSPECTUS SUMMARY
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
INTRODUCTION
     
  The Policy described in this Prospectus is an individual variable life
insurance contract which provides for a premium payment to be allocated to one
or more of the Investment Options available under Separate Account One. The
Policy is credited with Accumulation Units of the applicable Investment
Options.
 
  The Policy has a death benefit, cash surrender value and other features
traditionally associated with a fixed benefit whole life insurance policy. The
Policy is "variable" because unlike the fixed benefits of an ordinary whole
life insurance contract, the Cash Value and, under certain circumstances, the
Death Benefit of the Policy may increase or decrease depending on the
investment experience of the Investment Options to which the premium
payment(s) have been allocated. The Cash Value will also vary to reflect
partial cash surrenders and Monthly Deduction Amounts. In accordance with the
Continuation of Insurance provision of the Policy, the Policy will remain in
effect until the Cash Surrender Value is insufficient to cover the Monthly
Deduction Amount due. There is no minimum guaranteed Cash Value or Cash
Surrender Value and the Policy Owner bears the investment risk associated with
an investment in the Investment Options. (See "Valuation of the Separate
Account," page 11.)      
 
WHAT TYPES OF VARIABLE INVESTMENT OPTIONS ARE AVAILABLE UNDER THE POLICY?
     
  The Policy is funded by The Travelers Variable Life Insurance Separate
Account One ("Separate Account One"), a registered unit investment trust
separate account established by The Travelers Life and Annuity Company (the
"Company"). Separate Account One invests in certain mutual funds (the
"Investment Options"): The following Investment Options are currently
available under the Policy.
 
  Smith Barney Income and Growth Portfolio MFS Total Return Portfolio
  Alliance Growth Portfolio                Smith Barney Money Market Portfolio
  American Capital Enterprise Portfolio    AIM Capital Appreciation Portfolio
  Smith Barney International Equity        Smith Barney Total Return Portfolio
   Portfolio                               Travelers Zero Coupon Bond Fund 
  TBC Managed Income Portfolio              Portfolio 1998 
  Putnam Diversified Income Portfolio      Travelers Zero Coupon Bond Fund 
  Smith Barney High Income Portfolio        Portfolio 2000
                                           Travelers Zero Coupon Bond Fund
                                            Portfolio 2005

  Further information regarding the investment objectives for each Investment
Option--including the investment manager--is contained under "The Investment
Options" on page 2 of this Prospectus. Complete descriptions of the Investment
Options investment objectives and restrictions and other material information
regarding the Funds is contained in each of the Underlying Fund prospectuses.
      
WHAT ARE THE REQUIRED AND PERMISSIBLE PREMIUM PAYMENTS?
 
  The minimum Initial Premium is $25,000. Although the Policy can operate as a
single premium policy, additional payments may be made under certain
circumstances, provided there are no outstanding policy loans. If there are
any outstanding loans, any payment received will be treated first as a
repayment of the loan rather than an additional premium payment. (See
"Additional Premium Payments," page 6.) No premiums can be accepted if they
would disqualify the Policy as life insurance under federal tax law.
 
  The Initial Premium purchases a Death Benefit initially equal to the
Policy's Stated Amount (if Option 1 is selected), or to the Stated Amount plus
the Cash Value (if Option 2 is selected). The relationship between the Initial
Premium and the Stated Amount depends on the age and sex of the Insured (as
permitted by state law). Generally, the same Initial Premium will purchase a
slightly higher stated amount
 
-------------------------------------------------------------------------------
                                                                   SUMMARY -- 1
<PAGE>
 

for a female Insured than for a male Insured of the same age. Representative
Stated Amounts per dollar of Initial Premium are set forth in Appendix C.
 
HOW WILL PREMIUM PAYMENTS BE ALLOCATED?
     
  During the Right to Cancel Period (as described below), the Initial Premium
will be allocated to the Smith Barney Money Market Portfolio. After the
expiration of the Right to Cancel Period, the values in the Money Market
Portfolio will be allocated to the Investment Options selected on the Policy
Application, and the Policy will be credited with the applicable Accumulation
Units. (See "Allocation of Premium Payments," page 7.)      
 
AFTER THE INITIAL ALLOCATION, MAY I CHANGE THE ALLOCATION OF MY CASH VALUE?
 
  As long as the Policy remains in force, you may transfer all or a portion of
your Policy's Cash Value (not including the Loan Account Value) among any of
the Investment Options. Currently, transfers may be made at any time without
charge. You may request a reallocation of your investment either through
written request, or by telephone in accordance with the Company's telephone
transfer procedures. (See "Transfers of Cash Value," page 12.)
      
 You may also request that the Company establish automated transfers of Cash
Values from any Investment Option to any other Investment Option through
written request or other method acceptable to the Company. The minimum
automated transfer amount is $100 per month. (See "Automated Transfers," page
13.)      
 
DOES THIS POLICY HAVE A RIGHT TO CANCEL PERIOD?
     
  You have a limited right to return the Policy for cancellation and receive a
full refund. You must return the Policy, by mail or hand delivery, to the
Company or to the agent who sold the Policy during the Right to Cancel Period,
which ends 10 days after the Policy has been delivered to you, 45 days after
completion of the application, or 10 days after the Notice of Right to Cancel
has been mailed or delivered to you, whichever is latest. Within seven (7)
days following our receipt of your request for a refund, we will refund to you
the greater of (1) any premium paid, or (2) the Cash Value of the Policy on
the date we receive the returned policy, plus any charges and expenses which
may have been deducted, less any Loan Account Value. (See "Right to Cancel
Period," page 7.)      
 
WHAT TYPES OF CHARGES ARE DEDUCTED UNDER THE POLICY?
     
  MONTHLY DEDUCTION AMOUNT. Beginning on the Policy Date, the Company will
make monthly deductions from the Policy's Cash Value on a pro rata basis from
amounts allocated to the Investment Options. The Deduction Amount may vary
from month to month and includes the cost of insurance charges, the deduction
for premium tax, and any charges for supplemental benefits. (See "Monthly
Deduction Amount," page 8.)      
     
  CHARGES AGAINST THE INVESTMENT OPTIONS UNDER SEPARATE ACCOUNT ONE. In order
to cover the Company's assumption of mortality and expense risks under the
Policy, the Company assesses a daily charge against the assets of each of the
Investment Options on a pro rata basis at an annual rate of 0.90% of such
assets. This rate will be reduced to 0.75% for the current calendar year if
the Average Net Fund Growth Rate of the investment options which you have
selected under your Policy was 6.5% or greater for the previous calendar year.
This determination will be made on an annual basis. 
 
  The Company also assesses a daily charge against the amounts allocated to
the Investment Options at an annual rate of 0.40% to cover administrative
expenses assumed by the Company. This administrative expense charge does not
exceed the expected cost of administrative services provided by      
 
-------------------------------------------------------------------------------
SUMMARY -- 2
<PAGE>
 
    
the Company under the Policy. (See "Charges Against the Investment Options of
Separate Account One," page 9.)      
 
  Currently, the Company makes no charge against the Separate Account for
federal income taxes since the Company does not expect to incur federal income
taxes attributable to the Separate Account. However, if the Company incurs
federal income taxes attributable to the Separate Account in future years, it
may charge for those taxes.
     
  CHARGES AGAINST THE INVESTMENT OPTIONS. The Separate Account purchases
shares of the Investment Options at net asset value. The net asset value of
each Investment Option reflects investment advisory fees and other expenses
already deducted. Applicants should review the prospectuses for each
Investment Option for a description of the charges assessed. (See "Charges
Against the Investment Options of Separate Account One," page 9.)      
 
  SURRENDER CHARGES. A percent of premium surrender charge will be assessed
upon a full surrender of the Policy during the first nine years after a
Premium Payment is received by the Company. For the first two years following
a Premium Payment, the surrender charge will be 7.5% of such Premium Payment.
Thereafter, the charge will decline in years three (3) through nine (9),
respectively, as follows: 7%, 7%, 6.5%, 6%, 5%, 4% and 3%. The surrender
charge will be 0% starting in the tenth year following a Premium Payment.
Partial surrenders will also be subject to a surrender charge, except that
after the first Policy Year the Company will permit partial surrenders of the
Policy's earnings in an amount of up to 10% of the Policy's Cash Value as of
the beginning of the current Policy Year. For partial surrenders in excess of
the free withdrawal amount, a charge equal to a percentage of the amount
surrendered, not to exceed the charge that would apply to a full surrender,
will apply. (See "Surrender Charges," page 10.)
     
  TRANSFER CHARGES. The Company reserves the right to charge a reasonable
administrative fee (up to $10) for each transfer in excess of four (4) per
Policy Year, and reserves the right to assess a processing fee for the
Automated Transfer (Dollar Cost Averaging) service.      
 
WHAT IS THE DEATH BENEFIT UNDER THE POLICY?
 
  The Policy provides for a death benefit upon the death of the Insured. You
may choose one of two options to be used for the calculation of the Death
Benefit payable under the Policy. Under Option 1 (the Level Option), the Death
Benefit will be equal to the greater of the Stated Amount of the Policy or the
Minimum Amount Insured. Under Option 2 (the Variable Option), the Death
Benefit will be equal to the greater of the Stated Amount of the Policy plus
the Cash Value (determined as of the date of the Insured's death) or the
Minimum Amount Insured. Under both options, the Death Benefit will be reduced
by any applicable Loan Account Value, unpaid Monthly Deduction Amount, and any
amount payable to an assignee pursuant to a collateral assignment of the
Policy. You may change the Death Benefit option or the Stated Amount subject
to certain conditions. (See "Death Benefit," page 13.)
 
MAY I TAKE A POLICY LOAN AGAINST THE CASH VALUE OF MY POLICY?
     
  You may request a Policy Loan in an amount not to exceed 90% of the Policy's
Cash Value minus surrender penalties (determined at the time the Company
receives the written loan request). If there is a loan outstanding at the time
a subsequent loan request is made, the amount of the outstanding loan will be
added to the new loan amount. The Company will charge interest on the
outstanding amounts of the loan, which interest must be paid in advance by the
Policy Owner. 
 
  The amount of the loan will be transferred on a pro rata basis from each of
the Investment Options (unless the Owner states otherwise in writing) to the
Loan Account, which is part of the Company's general account. The Loan Account
is credited with a fixed annual rate of interest set forth in the Policy.      
 
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                                                                   SUMMARY -- 3
<PAGE>
 
    
The Loan Account Value does not vary with the performance of the Investment
Options; therefore, the Policy's Death Benefit and Cash Value will be
permanently affected by a loan. Additionally, any outstanding Loan Account
Value will be subtracted from any Death Benefit or surrender proceeds payable
under the Policy. Subject to state law, no loan requests may be made for
amounts of less than $500. Policy loans may have federal income tax
consequences. (See "Policy Loans," page 17, and "Federal Tax Considerations,"
page 21.)      
 
WHAT ARE THE CONDITIONS UNDER WHICH MY POLICY MIGHT LAPSE?
 
  If the Cash Surrender Value of a Policy on any Deduction Date is
insufficient to cover the Monthly Deduction Amount due, the Company will send
you a written notice of the required premium. If the required premium is not
paid within 61 days, the Policy may lapse. In addition, outstanding loans
decrease the Cash Surrender Value and could, therefore, cause the Policy to
lapse. (See "Policy Loans," page 17, and "Policy Lapse and Reinstatement,"
page 16.) If a Policy lapses with a loan outstanding, adverse tax consequences
may result. (See "Federal Tax Considerations," page 21.)
 
ARE THERE ANY OTHER POLICY PROVISIONS THAT I SHOULD KNOW ABOUT?
 
  SURRENDERS AND PARTIAL WITHDRAWALS. The Policy may be surrendered at any
time for its Cash Surrender Value. In addition, partial withdrawals may be
made. Surrenders or partial withdrawals made within nine years of a premium
payment may be subject to a surrender charge. (See "Policy Surrenders and Cash
Surrender Value," page 17.)
 
  RIGHT TO EXCHANGE THE POLICY. Once the Policy is in effect, you may exchange
it at any time during the first two Policy Years for a fixed life insurance
policy issued by the Company (or one of its affiliates, if allowed) on the
life of the Insured without submitting proof of insurability. (See "Exchange
Rights," page 16.)
 
  PAYMENT OF POLICY BENEFITS. Surrender and death benefits under the Policy
may be paid in a lump sum or under one of the payment options set forth in the
Policy. (See "Payment Options," page 18.)
 
  SPECIAL TAX CONSIDERATIONS. The Company believes that a Policy issued on a
standard rate class basis generally should meet the Section 7702 definition of
a life insurance contract. With respect to a Policy issued on a substandard
basis, there is insufficient guidance to determine if such a Policy would
satisfy the Section 7702 definition of a life insurance contract, particularly
if you pay the full amount of premiums permitted under such a Policy. Assuming
that a Policy qualifies as a life insurance contract for federal income tax
purposes, you should not be deemed to be in constructive receipt of Cash Value
under a Policy until there is a distribution from the Policy. Moreover, death
benefits payable under a Policy should be completely excludable from the gross
income of the Beneficiary. As a result, the Beneficiary generally should not
be taxed on these proceeds. (See "Tax Status of the Policy," page 22.)
 
  In almost all cases, the Policy will be a modified endowment contract
("MEC"). If a Policy is a MEC, certain distributions made during an Insured's
lifetime, such as loans and partial withdrawals from, and collateral
assignments of, the Policy, are taxable to you on an income-first basis. A 10%
penalty tax may be imposed on income distributed before you attain age 59 1/2.
Policies that are not MECs receive preferential tax treatment with respect to
certain distributions. For a discussion of the tax issues associated with this
Policy, see "Federal Tax Considerations" on page 21.
     
WRITTEN REQUESTS
 
  Certain changes and elections must be made in writing to the Company. Where
the term "written request" is used, it means that written information must be
sent to the Company's Home Office in a form and content satisfactory to the
Company.      
 
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SUMMARY -- 4
<PAGE>
 
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                             THE INSURANCE COMPANY
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-------------------------------------------------------------------------------
     
  The Travelers Life and Annuity Company is a stock insurance company which
has been continuously engaged in the insurance business since its
incorporation in the state of Connecticut in 1973. The Company writes
individual life insurance and individual and group annuity contracts on a
nonparticipating basis, and acts as the depositor for Separate Account One. 
The Company is licensed to conduct life insurance business in a majority of the
states of the United States, and intends to seek licensure in the remaining
states, except New York. The Company's obligations as depositor for Separate
Account One may not be transferred without notice to and consent of Policy
Owners.
 
  The Company is a wholly owned subsidiary of The Travelers Insurance Company,
which is an indirect wholly owned subsidiary of Travelers Group Inc. The
Company's principal executive offices are located at One Tower Square,
Hartford, Connecticut 06183, telephone number (203) 277-0111.      
 
  The Company is subject to Connecticut law governing insurance companies and
is regulated and supervised by the Connecticut Insurance Commissioner. An
annual statement in a prescribed form must be filed with the Commissioner on
or before March 1 in each year covering the operations of the Company for the
preceding year and its financial condition on December 31 of such year. The
Company's books and assets are subject to review or examination by the
Commissioner or his agents at all times, and a full examination of its
operations is conducted by the National Association of Insurance Commissioners
at least once every four years. In addition, the Company is subject to the
insurance laws and regulations of any jurisdiction in which it sells its
insurance contracts, as well as to various federal and state securities laws
and regulations.
 
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                             THE SEPARATE ACCOUNT
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
     
SEPARATE ACCOUNT ONE
 
  The Travelers Variable Life Insurance Separate Account One was established
on September 23, 1994 pursuant to the insurance laws of the state of
Connecticut, and is registered with the Securities and Exchange Commission
("SEC") as a unit investment trust under the Investment Company Act of 1940,
as amended (the "1940 Act"). Separate Account One meets the definition of a
separate account under the federal securities laws. Registration of Separate
Account One with the SEC does not involve supervision by the SEC of the
management or investment policies of Separate Account One. Additionally, the
operations of Separate Account One are subject to the provisions of Section
38a-433 of the Connecticut General Statutes which authorizes the Connecticut
Insurance Commissioner to adopt regulations under it. Section 38a-433 contains
no restrictions on the investments of Separate Account One.
 
  Connecticut law provides that the assets of Separate Account One will be
held for the exclusive benefit of Policy Owners and the persons entitled to
payments under the Policy offered by this Prospectus and other policies that
may be funded through Separate Account One. The Policies provide that the
assets of Separate Account One are not chargeable with liabilities arising out
of any other business which the Company may conduct. Any obligations arising
under the Policy are general corporate obligations of the Company.
 
  There are currently fourteen Investment Options available under Separate
Account One.      
 
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                                                                              1
<PAGE>
 

 
ADDITION, DELETION OR SUBSTITUTION OF INVESTMENTS
     
  The Company reserves the right, subject to state and federal laws, to make
additions to, deletions from, or substitutions for Separate Account One and
the Investment Options which fund the Policy. The Company can substitute
shares or units of another mutual fund or unit investment trust for shares or
units of another Investment Option if: (a) it is determined that an Investment
Option no longer suits the purpose of the Policy due to a change in its
investment objectives or restrictions; (b) the shares or units of an
Investment Option are no longer available for investment; (c) in the Company's
view, it has become inappropriate to continue investing in the shares or units
of an Investment Option. Substitution may be made with respect to both
existing investments and the investment of any future Premium Payments.
However, no substitution of securities will be made without prior notice to
you, and without prior approval of the SEC or such other regulatory
authorities as may be necessary, all to the extent required by the 1940 Act or
other applicable law.      
 
  Subject to Policy Owner approval and applicable law, the Company reserves
the right to end Separate Account One's registration under the 1940 Act.
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
    
                            THE INVESTMENT OPTIONS
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
  You may allocate Premium Payments to one or more of the available Investment
Options. Each Investment Option is a series of an open-end management
investment company registered with the SEC under the 1940 Act. Such
registration does not involve supervision by the SEC of the investments or
investment policy of an Investment Option.
 
  The investments of each funding option are subject to the risks of changing
economic conditions and the ability of each Investment Option's investment
manager or sub-adviser to anticipate such changes. There is no assurance that
the Investment Options will achieve their stated objectives. Please read
carefully the complete risk disclosure in each Portfolio's prospectus before
investing.      
 
  The Investment Options and their investment objectives are as follows:
 
SMITH BARNEY/TRAVELERS SERIES FUND, INC.
 
   SMITH BARNEY INCOME AND GROWTH PORTFOLIO. The objectives of the Income and
   Growth Portfolio are current income and long-term growth of income and
   capital by investing primarily, but not exclusively, in common stocks.
 
   ALLIANCE GROWTH PORTFOLIO. The objective of the Growth Portfolio is long-
   term growth of capital by investing predominantly in equity securities of
   companies with a favorable outlook for earnings and whose rate of growth
   is expected to exceed that of the U.S. economy over time. Current income
   is only an incidental consideration.
 
   AMERICAN CAPITAL ENTERPRISE PORTFOLIO. The Enterprise Portfolio's
   objective is capital appreciation through investment in securities
   believed to have above-average potential for capital appreciation. Any
   income received on such securities is incidental to the objective of
   capital appreciation.
 
   SMITH BARNEY INTERNATIONAL EQUITY PORTFOLIO. The objective of the
   International Equity Portfolio is total return on assets from growth of
   capital and income by investing at least 65% of its assets in a
   diversified portfolio of equity securities of established non-U.S.
   issuers.
 
 
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2
<PAGE>
 

   TBC MANAGED INCOME PORTFOLIO. The objective of the Managed Income
   Portfolio is to seek high current income consistent with prudent risk of
   capital through investments in corporate debt obligations, preferred
   stocks, and obligations issued or guaranteed by the U.S. Government or its
   agencies or instrumentalities.
 
   PUTNAM DIVERSIFIED INCOME PORTFOLIO. The objective of the Diversified
   Income Portfolio is to seek high current income consistent with
   preservation of capital. The Portfolio will allocate its investments among
   the U.S. Government Sector, the High Yield Sector, and the International
   Sector of the fixed income securities markets.
 
   SMITH BARNEY HIGH INCOME PORTFOLIO. The investment objective of the High
   Income Portfolio is high current income. Capital appreciation is a
   secondary objective. The Portfolio will invest at least 65% of its assets
   in high-yielding corporate debt obligations and preferred stock.
 
   MFS TOTAL RETURN PORTFOLIO (A BALANCED PORTFOLIO). The Total Return
   Portfolio's objective is to obtain above-average income (compared to a
   portfolio entirely invested in equity securities) consistent with the
   prudent employment of capital. While current income is the primary
   objective, the Portfolio believes that there should also be a reasonable
   opportunity for growth of capital and income since many securities
   offering a better than average yield may also possess growth potential.
   Thus, in selecting securities for its portfolio, the Portfolio considers
   each of these objectives. Generally, at least 40% of the Portfolio's
   assets will be invested in equity securities.
 
   SMITH BARNEY MONEY MARKET PORTFOLIO. The investment objective of the Money
   Market Portfolio is maximum current income and preservation of capital by
   investing in high quality, short-term money market instruments.
     
   AIM CAPITAL APPRECIATION PORTFOLIO. The investment objective of the AIM
   Capital Appreciation is to seek capital appreciation by investing
   principally in common stock, with emphasis on medium sized and smaller
   emerging growth companies.      
 
SMITH BARNEY SERIES FUND
 
   SMITH BARNEY TOTAL RETURN PORTFOLIO (AN EQUITY PORTFOLIO). The investment
   objective of the Smith Barney Total Return Portfolio is total return,
   consisting of long-term capital appreciation and income. The Portfolio
   will seek to achieve its goal by investing primarily in a diversified
   portfolio of dividend-paying common stocks.
     
THE TRAVELERS SERIES TRUST
 
   TRAVELERS ZERO COUPON BOND FUND PORTFOLIOS (THREE PORTFOLIOS: SERIES 1998,
   2000, 2005). The investment objectives of each of the Zero Coupon Bond
   Fund Portfolios is to provide as high an investment return as is
   consistent with the preservation of capital investing in primarily zero
   coupon securities that pay cash income but are acquired by the Portfolio
   at substantial discounts from their values at maturity. The Zero Coupon
   Bond Fund Portfolios may not be appropriate for Policy Owners who do not
   plan to have their premiums invested in shares of the Portfolios for the
   long-term or until maturity.      
 
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                                                                              3
<PAGE>
 

 
INVESTMENT MANAGERS
 
  The Investment Options receive investment management and advisory services
from the following investment professionals:
 
<TABLE>     
------------------------------------------------------------------------------------------------
<CAPTION>
FUND                      INVESTMENT MANAGER           SUB-ADVISER
------------------------------------------------------------------------------------------------
<S>                       <C>                          <C>
Smith Barney Income and   Smith Barney Mutual Funds    ----
 Growth Portfolio         Management Inc.
------------------------------------------------------------------------------------------------
Alliance Growth Portfo-   Smith Barney Mutual Funds    Alliance Capital Management L.P.
 lio                      Management Inc.
------------------------------------------------------------------------------------------------
American Capital Enter-   Smith Barney Mutual Funds    American Capital Asset Management, Inc.
 prise Portfolio          Management Inc.
------------------------------------------------------------------------------------------------
Smith Barney Interna-     Smith Barney Mutual Funds    ----
 tional Equity Portfolio  Management Inc.
------------------------------------------------------------------------------------------------
TBC Managed Income Port-  Smith Barney Mutual Funds    The Boston Company Asset Management, Inc.
 folio                    Management Inc.
------------------------------------------------------------------------------------------------
Putnam Diversified In-    Smith Barney Mutual Funds    Putnam Investment Management, Inc.
 come Portfolio           Management Inc.
------------------------------------------------------------------------------------------------
Smith Barney High Income  Smith Barney Mutual Funds    ----
 Portfolio                Management Inc.
------------------------------------------------------------------------------------------------
MFS Total Return Portfo-  Smith Barney Mutual Funds    Massachusetts Financial Services Company
 lio                      Management Inc.
------------------------------------------------------------------------------------------------
Smith Barney Money Mar-   Smith Barney Mutual Funds    ----
ket Portfolio             Management Inc.
------------------------------------------------------------------------------------------------
AIM Capital Appreciation  AIM Capital Management, Inc. ----
Portfolio
------------------------------------------------------------------------------------------------
Smith Barney Total Re-    Smith Barney Mutual Funds    ----
 turn Portfolio           Management Inc.
------------------------------------------------------------------------------------------------
Zero Coupon Bond Fund     Travelers Asset Management   ----
Portfolio                 International Corp.
(Series 1998, 2000,
2005)
------------------------------------------------------------------------------------------------
</TABLE>      
    
  Smith Barney Mutual Funds Management Inc. ("SBMFM"), an affiliate of the
Company, receives an investment advisory fee from each applicable Investment
Option pursuant to the terms of an investment advisory agreement between the
Investment Option and SBMFM. SBMFM then pays each Sub-Adviser a sub-advisory
fee pursuant to the terms of a sub-advisory agreement among the Investment
Options, SBMFM and the sub-advisor. For the Travelers Zero Coupon Bond Fund
Portfolios, Travelers Asset Management International Corporation ("TAMIC"), an
affiliate of the Company, receives an investment advisory fee pursuant to an
agreement between the Portfolios and TAMIC. More detailed information
regarding the Investment Options and the investment managers may be found in
the current prospectuses for the Investment Options; these prospectuses are
included with and must accompany this Prospectus. You are urged to read these
documents carefully before investing.
 
MIXED AND SHARED FUNDING
 
  It is conceivable that in the future it may not be advantageous for Separate
Account One and other variable life insurance or variable annuity separate
accounts to invest in the Investment Options simultaneously (called "mixed"
and "shared" funding). Although neither the Company nor the Investment Options
currently foresees any such disadvantages either to variable life insurance or
to variable annuity Policy Owners, the Investment Options' Boards of Directors
intends to monitor events to identify any material conflicts between such
policy owners and to determine what action, if any, should be taken in
response thereto. Conflicts could arise due to changes in the law (such as
insurance law or federal tax law) that affect the different variable life
insurance and variable annuity separate accounts investing in the Investment
Options. They could also arise by reason of differences in voting instructions
from the Policy Owners and owners of other variable life insurance policies
and variable annuity contracts, or for other reasons.      
 
-------------------------------------------------------------------------------
4
<PAGE>
 

     
  If an Investment Option's Boards of Directors concludes that separate mutual
funds should be established for variable life insurance and variable annuity
separate accounts, the Company will bear the attendant expenses, but variable
life insurance and variable annuity Policy Owners would no longer have the
economies of scale resulting from a larger combined fund. Please consult the
prospectuses of the Investment Options for additional information.      
 
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                                  THE POLICY
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-------------------------------------------------------------------------------
 
  The Policy described in this Prospectus is a variable life insurance policy
which is both an insurance product and a security. The Policy has a Death
Benefit, cash surrender value and other features traditionally associated with
a fixed benefit whole life policy. The Policy is deemed to be "variable"
because unlike the fixed benefits of an ordinary whole life insurance
contract, the Policy's Cash Value and, under certain circumstances, the Death
Benefit may increase or decrease depending on the investment experience of the
Investment Option(s) to which the Premium Payment has been allocated.
 
  As an insurance product, the Policy is subject to the insurance laws and
regulations of each state or jurisdiction in which it is available for
distribution. There may be differences between the Policy issued and the
general policy description contained in this Prospectus because of
requirements of the state where your Policy is issued. Any such differences
will be included in your Policy.
 
THE POLICY APPLICATION
 
  Individuals wishing to purchase a Policy must submit an application to the
Company. As with traditional insurance contracts, you pay an initial premium,
which must be at least $25,000. You may request an increase or decrease in the
Stated Amount of the Policy in writing from time to time. (See "Changes in
Stated Amount," page 15.) No change in the terms or conditions of the Policy
will be made without your consent.
 
ELIGIBLE PURCHASERS
 
  A person can purchase a Policy to insure the life of another person provided
that the Policy Owner has an insurable interest in the life of the Insured,
and the Insured consents to such purchase. In most states, any person between
the ages of 20 and 80 is eligible to be insured subject to the submission of a
Policy Application to the Company. In some states, the maximum issue age may
be lower. Insurance coverage under a Policy will begin only after the
applicant has satisfied all outstanding underwriting delivery requirements,
and after the Company has received the Initial Premium. Acceptance of an
application is subject to the Company's underwriting rules. The Company
reserves the right to reject an application for any lawful reason, provided
that such rejection is made in a manner consistent with that with which
similarly situated risks are treated and provided that unfair discrimination
is avoided.
 
  The Company assigns Insureds to risk classes which determine the current
cost of insurance rates used in calculating the cost of insurance charge under
the Policy. Policies may be issued on Insureds either in the standard non-
smoker or smoker risk class. To the extent permitted by state law, Policies
may also be issued on the basis of the sex of the Insured. Policies may also
be issued on insureds in a sub-standard underwriting class. (For a discussion
of the effect of risk class on the cost of insurance charge, see "Cost of
Insurance Charge" on page 8.)
 
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                                                                              5
<PAGE>
 

 
PAYMENTS MADE UNDER THE POLICY
 
  INITIAL PREMIUM. The Initial Premium is due on or before the Policy Date and
is payable in full at the Company's Home Office. The Initial Premium is the
guideline single premium for the life insurance coverage provided under the
Policy, as determined in accordance with the Internal Revenue Code of 1986, as
amended (the "Internal Revenue Code"). The minimum Initial Premium is $25,000.
Additional Premium Payments may be made under the Policy, as described below.
However, if there are any outstanding policy loans, any payment received will
be treated first as repayment of loans rather than as an additional Premium
Payment.
 
  The Initial Premium purchases a Death Benefit equal to the Policy's Stated
Amount (if Option 1 is selected), or to the Policy's Stated Amount plus the
Cash Value (if Option 2 is selected). The relationship between the Initial
Premium and the Stated Amount depends on the age, sex (where permitted by
state law) and risk class of the Insured. Generally, the same Initial Premium
will purchase a higher Stated Amount for a younger insured than for an older
insured. Likewise, the same Initial Premium will purchase a slightly higher
Stated Amount for a female insured than for a male insured of the same age.
Also, the same Initial Premium will purchase a higher Stated Amount for a
standard Insured than for a substandard Insured. Representative Stated Amounts
per dollar of Initial Premium are set forth in Appendix C.
 
  ADDITIONAL PREMIUM PAYMENTS. Although the Policy can operate as a single
premium policy, additional Premium Payments may be made under certain
circumstances, provided there are no outstanding loans. If there are any
outstanding loans, any payment received by the Company will be considered
repayment of that debt. The circumstances under which additional Premium
Payments can be made under the Policy are as follows:
 
1. INCREASES IN STATED AMOUNT -- You may request an increase in Stated Amount
   at any time. If your request is approved, the Company will require you to
   make an additional Premium Payment in order for an increase in Stated
   Amount to become effective. The minimum additional Premium Payment
   permitted by the Company in connection with an increase in Stated Amount is
   $1,000. (See "Changes in Stated Amount," page 15.)
 
2. TO PREVENT LAPSE -- If the Cash Surrender Value on any Deduction Day is
   insufficient to cover the Monthly Deduction Amount due on that day, then
   you must make an additional Premium Payment during the Grace Period
   sufficient to cover the Monthly Deduction Amount in order to prevent lapse.
   The minimum amount of any payment that may be required to be made in this
   circumstance will be stated in the Notice mailed to you in accordance with
   the Policy; payments in excess of the amount required to prevent lapse will
   be considered a payment "at your discretion" and consequently subject to
   the rules described below. If you do not make a sufficient payment, the
   Policy will lapse and terminate without value. (See "Policy Lapse and
   Reinstatement," page 16.)
 
3. AT YOUR DISCRETIOn -- Additional Premium Payments may be made at your
   discretion so long as the payment plus the total of all premiums previously
   paid does not exceed the maximum premium limitation derived from the
   guideline premium test for life insurance prescribed by the Internal
   Revenue Code. Because of the test, the maximum premium limitation will
   ordinarily equal the Initial Premium for a number of years after the Policy
   has been issued. Therefore, discretionary additional Premium Payments
   normally will not be permitted during the early years of the Policy.
   Discretionary additional Premium Payments must be at least $250, and may
   not be paid on or after the Maturity Date.
 
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6
<PAGE>
 

 
  Any Additional Premium Payments made under the Policy may be subject to new
evidence of insurability. Payments received in excess of any Loan Account
Value will be treated as an additional Premium Payment.
 
ALLOCATION OF PREMIUM PAYMENTS
     
  You specify on the Policy Application how the Initial Premium will be
allocated among the Investment Options of Separate Account One. You may
allocate premium to one or more Investment Options, provided that such
allocation is made in whole percentages of 5% or more.
 
  Regardless of the allocation made in the application, during the period
between premium receipt and policy issuance (the "Underwriting Period"), the
Initial Premium will be held by the Company in a general suspense account
established for such purposes. At the time a Policy is issued, the Initial
Premium attributable to such Policy will be credited with interest comparable
to the effective yield during the Underwriting Period of the Money Market
Portfolio (e.g., as if the Policy had been issued and the premium allocated to
the Money Market Portfolio on the date the premium was received in good order
by the Company), which amount will become the initial Cash Value of the
Policy. The Cash Value will then be allocated to the Money Market Portfolio
until the expiration of the Right to Cancel Period. At the end of the Right to
Cancel Period, the Cash Value in the Money Market Portfolio will be allocated
(in whole percentages of 5% or more) among the Investment Options designated
on the Policy Application. The number of Accumulation Units to be credited to
the Policy once a Premium Payment has been received by the Company will be
determined by dividing the amount of Premium Payment applied to each
Investment Option by the Accumulation Unit Value of that Investment Option, as
computed on the next valuation date following receipt of the payment.
 
  You may change the allocation of Cash Value or any Additional Premiums
received on or after the expiration of the Right to Cancel Period among any of
the Investment Options then available under the Policy. (See "Transfers of
Cash Value," page 12.) You should periodically review the allocation of Cash
Value in light of market conditions and overall financial planning
requirements to ensure that such allocation continues to be consistent with
your investment objectives.      
 
RIGHT TO CANCEL PERIOD
 
  A Policy may be returned to the Company for cancellation by mailing or
delivering it to the Company or to the agent who sold the Policy within the
latest of (1) 10 days after delivery of the Policy to you, (2) 45 days of
completion of the policy application, or (3) 10 days after the Notice of Right
to Cancel has been mailed or delivered to you (or later, if state law
requires).
 
  Within seven days following the Company's receipt of your request for a
refund, the Company will refund the greater of (1) any premium paid, or (2)
the Cash Value of the Policy on the date we receive the returned policy, plus
any charges or expenses which may have been deducted less any Loan Account
Value. After the Policy is returned, it will be considered as if it were never
in effect.
 
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                                                                              7
<PAGE>
 

 
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                            CHARGES AND DEDUCTIONS
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
     
MONTHLY DEDUCTION AMOUNT
 
  The Company will deduct a Monthly Deduction Amount from the Policy's Cash
Value attributable to the Investment Options to cover certain charges and
expenses incurred in connection with the Policy. The Monthly Deduction Amount
will be deducted pro rata from each of the Investment Options attributable to
the Policy on the first day of each Policy Month (the "Deduction Date"),
commencing on the Policy Date. The dollar amount of the Deduction Amount may
vary from month to month.
 
  The following is a summary of monthly charges and expenses which make up the
Monthly Deduction Amount.      
 
  COST OF INSURANCE CHARGE
 
     The cost of insurance charge is to cover the Company's expected
   mortality cost for basic insurance coverage, not including supplemental
   benefit provisions. The cost of insurance charge is deducted monthly, and
   is equal to the difference between the Death Benefit payable under the
   Policy (discounted at the rate set forth in the Policy) and the Cash Value
   of the Policy (each determined on the Deduction Date) (the "Coverage
   Amount"), multiplied by a monthly "cost of insurance rate," i.e., a
   monthly rate charged for each dollar of insurance coverage. The cost of
   insurance rate varies annually and is based on the attained age, sex
   (where permitted by state law) and risk class of the Insured.
 
     The cost of insurance rate for standard risks will not exceed those
   based on the 1980 Commissioners Standard Ordinary Mortality Tables ("1980
   Tables"). Substandard risks will have monthly deductions based on cost of
   insurance rates which may be higher than those set forth in the 1980
   Tables. A table of guaranteed cost of insurance rates per $1,000 will be
   included in each Policy; however, the Company reserves the right to use
   rates less than those shown in the Policy. Any changes in the cost of
   insurance rates will be made uniformly for all Insureds in the same class.
 
     Because the Cash Value and, under certain conditions, the Death Benefit
   of a Policy may vary from month to month, the cost of insurance charge may
   also vary on each Deduction Date. In addition, you should note that the
   cost of insurance charge is based on the difference between the Death
   Benefit payable under the Policy and the Cash Value of the Policy. An
   increase in the Cash Value or a decrease in the Death Benefit would result
   in a smaller cost of insurance charge assuming that everything else
   remains the same; while a decrease in the Cash Value or an increase in the
   Death Benefit would result in a larger cost of insurance charge.
 
     Changes in the Policy's Death Benefit option and in the Stated Amount
   will affect how the cost of insurance charge is calculated. See "Changes
   in Death Benefit Option," page 14 and "Changes in Stated Amount," page 15
   for a discussion of the effect of changes in the Stated Amount on the cost
   of insurance.
 
  STATE PREMIUM TAX CHARGE
 
     Premium tax charges are not deducted at the time that a premium payment
   is made, although the Company does pay state premium taxes attributable to
   a particular Policy when those taxes are incurred. To reimburse the
   Company for the payment of such taxes, during the first ten years
   following the Policy Date, the Company will deduct a premium tax charge of
   0.0166667% from the Policy's Cash Value on each Deduction Date,
   irrespective of whether additional Premium Payments
 
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8
<PAGE>
 

   have been made. If an additional Premium Payment is made during the first
   ten Policy Years, then after Policy Year 10, the Company will deduct a
   premium tax charge of 0.0166667% of the portion of the Cash Value
   attributable to the additional Premium Payment. The portion of the Cash
   Value attributable to the additional Premium Payment is calculated by
   dividing (a) by (b), where (a) is the amount of the additional Premium
   Payment, and (b) is the Policy's Cash Value immediately after receipt of
   the additional Premium Payment. Each additional Premium Payment made
   during the first ten Policy Years has a portion of the Cash Value
   attributable to it, as defined above. These deductions will continue until
   ten years following the date(s) on which an additional Premium Payment was
   made. If no additional Premium Payments are made during the first ten
   Policy Years, deductions for the premium tax charge will not be made after
   Policy Year 10. The premium tax charge is equivalent to an annual rate of
   0.20%.
 
     Premium taxes vary from state to state and currently range from 0.75% to
   3.5%. Because there is a range of premium tax rates, you may pay premium
   tax charges in total that are higher or lower than the premium tax
   actually assessed in your jurisdiction.
 
  CHARGES FOR SUPPLEMENTAL BENEFIT PROVISIONS
 
     Although there are no supplemental benefits provisions available under
   the Policy as of the date of this Prospectus, the Company may, at some
   time in the future, offer supplemental benefits to be purchased under the
   Policy for an additional charge. If you elect any such supplemental
   benefits provisions, the Company will include the supplemental benefits
   charge in the Monthly Deduction Amount. The amount of this charge will
   vary depending upon the actual supplemental benefits selected.

CHARGES AGAINST THE INVESTMENT OPTIONS OF SEPARATE ACCOUNT ONE
     
  MORTALITY AND EXPENSE RISK CHARGE
 
     A mortality and expense risk charge will be deducted from each
   Investment Option to compensate the Company for mortality and expense
   risks assumed in connection with the Policy. The charge will be deducted
   daily and equals 0.002466% for each day in the Valuation Period. The
   annual rate of the charge is 0.90%. The annual rate of the mortality and
   expense risk charge will be reduced to 0.75% for the current calendar year
   if the Average Net Fund Growth Rate is 6.5% or greater during the previous
   calendar year. This determination will be made on an annual basis.      
 
     The mortality risk assumed is that Insureds may live for a shorter
   period of time than estimated and, therefore, a greater amount of Death
   Benefit proceeds than expected will be payable. The expense risk assumed
   is that expenses incurred in issuing and administering the Policy will be
   greater than estimated and, therefore, will exceed the administrative
   expense charge imposed by the Policy. If all money collected by the
   Company from this charge is not needed to cover the mortality and expense
   costs, the excess will be contributed to the Company's general account.
 
  ADMINISTRATIVE EXPENSE CHARGE
 
     A charge will be deducted from each Investment Option to compensate the
   Company for certain administrative expenses incurred in connection with
   the Policy. The charge will be deducted daily and equals 0.001096% for
   each day in a Valuation Period. The annual rate of this charge is 0.40%.
   The administrative expense charge will compensate the Company for the
   issuance, underwriting, processing, start-up and ongoing administrative
   expenses of the Policy and the Separate Account. These expenses include
   the cost of processing applications; conducting medical examinations;
   determining insurability; establishing and maintaining policy and Separate
   Account records; processing death benefit claims, surrenders, transfers,
   policy loans and changes; and reporting and
 
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                                                                              9
<PAGE>
 

   overhead costs. The Company has set this charge at a level which is
   intended to recover no more than the actual expected costs of the
   administrative services to be provided while the Policies are in force.
          
  INCOME TAXES
 
     Although the Company does not currently incur any charge for income
   taxes as a result of the operations of the Investment Options, the Company
   reserves the right to assess a charge for such taxes if it determines that
   such taxes will be incurred. (See "Federal Tax Considerations," page 21.)
     
INVESTMENT OPTION EXPENSES
 
  Separate Account One purchases shares of the Investment Options at net asset
value. The net asset value of the Investment Option shares reflects investment
advisory fees and other expenses already deducted. The investment advisory
fees and other expenses applicable to each of the Investment Options are
described in the individual Investment Option prospectuses.      
 
SURRENDER CHARGES
 
  A percent of premium surrender charge will be imposed upon full surrenders
of the Policy that occur within nine (9) years after the Company has received
any Premium Payments under the Policy. For partial surrenders a percentage of
amount surrendered will be charged. This charge is intended to cover certain
expenses relating to the sale of the Policy, including commissions to
registered representatives and other promotional expenses. To the extent that
the surrender charges assessed under the Policy are less than the sales
commissions paid with respect to the Policy, the Company will pay the
shortfall from its general account assets, which will include any profits it
may derive from charges imposed under the Policy. (See also "Policy Surrenders
and Cash Surrender Value," page 17.) Surrenders charges are determined as
follows:.
 
<TABLE>     
<CAPTION>
         LENGTH OF TIME FROM      FULL SURRENDERS        PARTIAL SURRENDERS
           PREMIUM PAYMENT        (% OF PREMIUM)      (% OF AMOUNT SURRENDERED)
         -------------------      ---------------     -------------------------
        <S>                       <C>                 <C>
              1-2 years                 7.5%                     7.5%
                 3-4                      7%                       7%
                  5                     6.5%                     6.5%
                  6                       6%                       6%
                  7                       5%                       5%
                  8                       4%                       4%
                  9                       3%                       3%
        Year 10 and Thereafter            0%                       0%
</TABLE>      
     
  PARTIAL SURRENDERS. The Company will impose a surrender charge equal to a
percentage of the amount surrendered for partial surrenders in excess of the
free withdrawal amount described below. The surrender charge will be limited
so that the total charge for partial surrenders will not exceed the charge
that would apply to a full surrender of the Policy.      
 
  For purposes of determining the surrender charge percentage that will apply
to a partial surrender, surrender charges are calculated on a "last-in, first-
out basis." This means that any partial withdrawal in excess of the free
withdrawal amount will be taken against premiums in the reverse order in which
they were made, if more than one premium was paid under the Policy. Surrender
charges will be assessed only against that portion of the partial withdrawal
taken from premium payment(s).
     
  FREE WITHDRAWAL ALLOWANCE. The Company will permit partial surrenders of the
Policy's earnings in an amount of up to 10% of the Policy's Cash Value each
year (beginning with the Second Policy Year) without the imposition of a
surrender charge. The amount of Cash Value available for free withdrawal will
be determined on the Policy Anniversary on or immediately prior to the date
that the partial surrender request is received. The amount of earnings
available for withdrawal will be determined on the date the request for such
withdrawal is received by the Company.      
 
-------------------------------------------------------------------------------
10
<PAGE>
 
-------------------------------------------------------------------------------
 
TRANSFER CHARGE
     
  Although there are currently no charges for transfers among the investment
alternatives provided under this Policy, the Company reserves the right to
limit the number of transfers to no more than four in any Policy Year, and to
charge a reasonable administrative fee (up to $10) for any transfer request in
excess of four in any Policy Year. The Company also reserves the right to
assess a processing fee for the Automated Transfer (Dollar Cost Averaging)
service. (See "Transfers of Cash Value," page 12.)      
 
REDUCTION OR ELIMINATION OF CHARGES
 
  The Company may offer the Policy in arrangements where an employer or
trustee will own a group of policies on the lives of certain employees, or in
other situations where groups of policies will be purchased at one time. The
Company may reduce or eliminate sales charges and administrative charges in
such arrangements to reflect the reduced sales expenses and administrative
costs expected as a result of sales to a particular group. The Company makes
any reductions according to rules in effect when an application for a Policy
or additional Premium Payment is approved. While it may change these rules
from time to time, reductions in charges will not discriminate unfairly
against any person.
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                       VALUATION OF THE SEPARATE ACCOUNT
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
HOW THE CASH VALUE VARIES
 
  The Policy's Cash Value is determined daily. A Policy's Cash Value will vary
to reflect a number of factors, including Premium Payments made, partial
withdrawals, loans, charges assessed in connection with the Policy, and the
investment experience of each Investment Option to which Cash Value is
allocated. The Policy's total Cash Value on a Valuation Date equals the
Accumulation Unit Value(s) for each applicable Investment Option, plus the
Loan Account Value, on that date.
 
  The shares of each Investment Option are purchased by Separate Account One
at net asset value (i.e., without a sales charge). All dividends and capital
gains distributions received from an Investment Option are reinvested by
Separate Account One in that Fund's shares at net asset value and will
increase the associated Accumulation Unit Value. Investment Option shares will
be redeemed by Separate Account One at their net asset value to the extent
necessary to make payments under the Policy.
 
  All valuations made under the Policy (e.g., the determination of Cash Value
or Cash Surrender Value, policy loans, and the determination of the number of
Accumulation Units to be credited to a Policy), will be determined as of the
Valuation Date on which the Company receives the Policy Owner's written
request for a transaction under the Policy, or on which the Company is
assessing charges under the Policy.
 
HOW THE INVESTMENT EXPERIENCE IS DETERMINED
     
  The Cash Value is related to the rate of return of the Investment Option(s)
to which Premium Payments made under the Policy have been allocated. The Cash
Value on any Valuation Date is calculated by multiplying the number of
Accumulation Units credited to the Policy for each Investment Option by the
corresponding Accumulation Unit Value, then adding the result for each
Investment Option credited to the Policy, and adding any value of the Loan
Account.      
 
                                                                             11
<PAGE>
 

     
ACCUMULATION UNIT VALUE
 
  The value of an Accumulation Unit for each Investment Option of Separate
Account One (the "Accumulation Unit Value") is established on each Valuation
Date. For each Investment Option, the Accumulation Unit Value for a Valuation
Period is determined by multiplying the Accumulation Unit Value on the
preceding Valuation Period by the Net Investment Factor for the Investment
Option during the subsequent Valuation Period.
 
  The Accumulation Unit Value may increase or decrease from Valuation Period
to Valuation Period. The number of Accumulation Units credited to your Policy
will not change as a result of the investment experience of the Investment
Options. The Accumulation Unit Value of the Investment Options reflects the
reinvestment of any dividends or capital gains distributions declared by the
Investment Option.      
 
NET INVESTMENT FACTOR
 
  For each Investment Option, the value of an Accumulation Unit for each
subsequent Valuation Period fluctuates based upon the net rate of return for
that period. The Company determines the net rate of return of a Investment
Option at the end of each Valuation Period. The net rate of return reflects
the investment performance of the Investment Option for the Valuation Period
and is net of the charges to Separate Account One described above.
 
VALUATION PERIODS AND VALUATION DATES
 
  A Valuation Period is the period commencing at the close of business of the
New York Stock Exchange on any Valuation Date and ending at the close of
business on the next succeeding Valuation Date. A Valuation Date is each day
that the New York Stock Exchange is open for trading.
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                            TRANSFERS OF CASH VALUE
 -------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
  As long as the Policy remains in effect, the Policy Owner may transfer all
or a portion of the Cash Value (less the Loan Account) among any of the
Investment Option(s). Although there are currently no charges, penalties or
restrictions on the amount or frequency of transfers between the Investment
Options, the Company reserves the right to limit the number of transfers to no
more than four in any Policy Year, and to charge a reasonable fee (up to $10)
for any transfer request in excess of four per Policy Year.
 
  Some Investment Options have higher investment advisory fees and/or other
expenses than others; therefore, a transfer from one Investment Option to
another could result in a Policy becoming subject to higher or lower fees and
expenses. A transfer between Investment Options has no other effect on the
amount or timing of any of the other charges under the Policy.
 
  The number of Accumulation Units credited to the Investment Options involved
in the transfer will be adjusted by dividing the amount transferred from or to
that Investment Option by the Accumulation Unit Value of that Investment
Option. The Accumulation Unit Values will be determined on the Valuation Date
on which the Company receives the written request for a transfer.
 
-------------------------------------------------------------------------------
12
<PAGE>
 

          
TELEPHONE TRANSFERS
 
  You may request a transfer of Cash Value either in writing or by telephone.
The telephone transfer privilege is available automatically; no special
election is necessary for a Policy Owner to have this privilege available. All
transfers must be in accordance with the terms of the Policy. Transfer
instructions are currently accepted on each Valuation Date between 9:00 a.m.
and 4:00 p.m., Eastern time, by calling 1-800-334-4298. Once instructions have
been accepted, they may not be rescinded; however, new telephone instructions
may be given the following day. If the transfer instructions are not in good
order, the Company will not execute the transfer and will promptly notify the
caller.
          
AUTOMATED TRANSFERS (DOLLAR COST AVERAGING)
 
  You may establish automated transfers of Cash Value on a monthly basis from
any Investment Option to any other Investment Option through a written request
or other method acceptable to the Company. You must have a minimum Cash Value
of $5,000 allocated to the Investment Option(s) from which the transfers are
to be made in order to enroll in the Dollar Cost Averaging Program. The
minimum automated transfer amount is $100 per month.
 
  You may start or stop participation in the Dollar Cost Averaging Program at
any time, but you must give the Company at least 30 days' notice to change any
automated transfer instructions that are currently in place. Automated
transfers are subject to all of the provisions and terms of the Policy,
including provisions relating to the transfer of money between Investment
Options. The Company reserves the right to suspend or modify automated
transfers at any time and to assess a processing fee for this service.
 
  Before transferring any part of the Cash Value, Policy Owners should
consider the risks involved in switching between investments available under
the Policy. Dollar cost averaging requires regular investments regardless of
fluctuating price levels, and does not guarantee profits or prevent losses in
a declining market. A potential investor should consider his or her financial
ability to continue purchases through periods of low price levels.
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                                 DEATH BENEFIT
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
  As long as the Policy remains in force, the Policy provides a Death Benefit
upon the death of the Insured. The death benefit proceeds will be paid to a
named Beneficiary. The amount of the death benefit proceeds will be determined
on the date on which the Insured's death occurred. The death benefit proceeds
may be paid in a lump sum or under any optional payment plan.
 
  Death Benefits are payable within seven days of the Company's receipt of
satisfactory proof of the Insured's death. To the extent permitted by state
law, the amount of Death Benefit actually paid to the Policy beneficiary may
be adjusted to reflect any policy loan, suicide by the Insured within two
years after the Issue Date of the Policy, any material misstatements in the
policy application as to age or sex of the Insured, and any amounts payable to
an assignee under a collateral assignment of the Policy. (See "Assignment,"
page 21.) In addition, if the Insured dies during the Grace Period, the Death
Benefit actually paid to the Policy Owner's beneficiary will be reduced by the
amount of the Deduction Amount that is due and unpaid, and by the amount of
any outstanding Policy Loan. (See "Policy Surrenders and Cash Surrender
Value," page 17, for the effects of partial cash surrenders on Death
Benefits.)
 
 
-------------------------------------------------------------------------------
                                                                             13
<PAGE>

  The Policy provides for two Death Benefit options. Under Option 1 (the Level
Option), the Death Benefit will be equal to the Policy's Stated Amount or, if
greater, a specified multiple of Cash Value determined as of the date of the
Insured's death (the "Minimum Amount Insured"). Under Option 2 (the Variable
Option), the Death Benefit will be equal to the Policy's Stated Amount plus
the Cash Value (determined as of the date of the Insured's death) or, if
greater, the Minimum Amount Insured. The Minimum Amount Insured is the amount
required to qualify the Policy as a life insurance contract under the current
federal tax law. Under that law, the Minimum Amount Insured is equal to a
stated percentage of the Cash Value of the Policy determined daily. The
percentages, which differ according to the attained age of the Insured, are
set forth in the Policy and may change as federal income tax laws or
regulations change. The percentages used to calculate the Minimum Amount
Insured decrease after the Insured is age 40. The following is a schedule of
the applicable percentages:
 
<TABLE>
<CAPTION>
                                                            % SHALL DECREASE
                                                          BY A RATABLE PORTION
            ATTAINED AGE                                  FOR EACH FULL YEAR:
      MORE              BUT NOT
      THAN             MORE THAN                        FROM                            TO
      ----             ---------                     -----------                     ----------
      <S>              <C>                           <C>                             <C>
       0                   40                               250                             250
      40                   45                               250                             215
      45                   50                               215                             185
      50                   55                               185                             150
      55                   60                               150                             130
      60                   65                               130                             120
      65                   70                               120                             115
      70                   75                               115                             105
      75                   90                               105                             105
      90                   95                               105                             100
</TABLE>
 
  The federal tax law imposes another cash funding limitation on cash value
life insurance policies that, when applicable, may increase the Minimum Amount
Insured in excess of the figures shown in the schedule above. (See Appendix B
for examples demonstrating the relationship between the Death Benefit, the
Cash Surrender Value and the Minimum Amount Insured under the Level and
Variable Options of the Policy.)
 
CHANGES IN DEATH BENEFIT OPTION
    
  You may change the Death Benefit option at any time prior to the Insured's
death by sending a written request to the Company. There is no direct
consequence of changing a Death Benefit option, except as described under
"Modified Endowment Contracts" on page 23. However, the change could affect
future values of the Coverage Amount, and with some Variable Option to Level
Option changes involving substantially funded policies, there may be a cash
distribution which is included in the gross income of the Policy Owner. The cost
of insurance charge, which is based on the Coverage Amount, may be different in
the future. A change from the Level Option to the Variable Option will not be
permitted if the change would result in a Stated Amount of less than the minimum
amount of $25,000. (See "Changes in Stated Amount" below.) Contact your
registered representative for more information.     

CHANGES IN STATED AMOUNT

  A Policy Owner may request in writing that the Stated Amount of the Policy
be increased or decreased. An increase may only be requested prior to the
earlier of the Insured's attaining age 80 and the date of the Insured's death,
and the Stated Amount after any decrease may not be less than the minimum
amount of $25,000.
 
-------------------------------------------------------------------------------
14
<PAGE>
 
  A decrease in Stated Amount in a substantially funded Policy may cause a
cash distribution that is includable in the gross income of the Policy Owner.
(See "Federal Tax Considerations," page 21.) 
 
  For increases in the Stated Amount, the Company will generally require a new
application and satisfactory evidence of insurability, as well as an
additional Premium Payment. The effective date of any increase will be as
shown on the new Policy Summary Page which the Company will send to the Policy
Owner. The effective date of any increase in the Stated Amount will generally
be the Deduction Date next following either the date of a new application or,
if different, the date requested by the Policy Owner. There is no additional
charge for a decrease in Stated Amount.
 
  For purposes of determining the cost of insurance charge, a decrease in the
Stated Amount will reduce the Stated Amount in the following order:
 
  1) against the most recent increase in the Stated Amount;
  2) to other increases in the reverse order in which they occurred;
  3) to the initial Stated Amount.
 
MATURITY AND MATURITY EXTENSION BENEFITS
 
  If the Insured is living on the Maturity Date (the anniversary of the Policy
Date on which the Insured is age 100), the Company will pay the Policy Owner
the Cash Value of the Policy as of the Maturity Date, less any outstanding
policy loan, amounts payable to an assignee under a collateral assignment of
the Policy, and any Deduction Amount due and unpaid. The Policy Owner must
surrender the Policy to the Company before such payment can be made, at which
point the Policy will terminate and the Company will have no further
obligations under the Policy.
 
  Where permitted by state law, the Policy provides for a Maturity Extension
Benefit which effectively allows the Policy Owner to request that coverage be
extended beyond the Maturity Date. Such request may only be made during the
twelve months following the Insured's attainment of age 99. If the Maturity
Extension Benefit is elected, any past due Monthly Deduction Amounts must
first be paid in order for the benefit to become effective on the Maturity
Date. After the Company receives a request for the Maturity Extension Benefit,
the Policy will continue in force until the earlier of the death of the
Insured or the date on which the Policy Owner surrenders the Policy for its
Cash Surrender Value. On the Maturity Date, the Death Benefit will be the Cash
Value less any Loan Account Value and less any Deduction Amounts due but not
paid. After the Maturity Date, the Death Benefit will be the Cash Value less
any Loan Account Value. The Death Benefit is based on the experience of the
Investment Options selected and is variable and is not guaranteed. After the
Maturity Date, the Monthly Deduction Amount will no longer be charged against
the Cash Value, and additional premiums will not be accepted.
 
  Any loan outstanding need not be extinguished as of the Maturity Date. The
loan may be continued into the maturity extension period. New loans may also
be initiated during the maturity extension period. Restrictions on loans prior
to the maturity date of the contract are still valid.
 
  The Company intends that the Policy and the Maturity Extension Benefit be
considered life insurance for tax purposes. The Death Benefit is designed to
comply with Section 7702 of the Code, or other equivalent section of the Code.
However, the Company does not give tax advice, and cannot guarantee that the
Death Benefit and Cash Value will be exempt from any future tax liability. The
tax results of any benefits under the Maturity Extension provision depend upon
interpretation of the Internal Revenue Code.
 
-------------------------------------------------------------------------------
                                                                             15
<PAGE>
 
         
The Policy Owner should consult his or her own personal tax adviser prior to
the exercise of the Maturity Extension Benefit to assess any potential tax
liability.
 
POLICY LAPSE AND REINSTATEMENT
 
  The Policy will remain in effect until the Cash Surrender Value of the
Policy is insufficient to cover the Monthly Deduction Amount. If such event
occurs, the Company will give written notice to the Policy Owner indicating
that if the amount shown in the notice (which will be sufficient to cover the
Deduction Amount due) is not paid within 61 days (the "Grace Period"), the
Policy will lapse. The Policy will continue through the Grace Period, but if
no payment is received, the Policy will terminate without value at the end of
the Grace Period. If the person insured under the Policy dies during the Grace
Period, the Death Benefit payable under the Policy will be reduced by the
Monthly Deduction Amount due plus the amount of any outstanding loan and any
interest accrued thereon. (See "Death Benefit," page 13.) If the Policy is
surrendered during the Grace Period, the Policy's Cash Surrender Value will be
reduced by the Monthly Deduction Amount due. (See "Policy Surrenders and Cash
Surrender Value," page 17.)
 
  If the Policy lapses, the Policy Owner may reinstate the Policy upon payment
of the reinstatement premium (and any applicable charges) shown in the Policy.
A request for reinstatement may be made at any time within three years of
lapse (five years for policies issued in Missouri), provided that (1) the
Policy was not surrendered for cash; (2) satisfactory evidence of insurability
is provided; (3) all Monthly Deduction Amounts past due are paid; (4) premium
at least equal to three Monthly Deduction Amounts is paid; and (5) all Loan
Account Value is repaid or restored. The Cash Value of the Policy upon
reinstatement will be equal to the amount provided by the premium paid.
 
  The tax consequences of a lapse may not be reversible by a reinstatement.
Policy Owners should also refer to "Risks Associated with Loans Taken Against
a Variable Life Insurance Policy" (below) to consider the effects of loans on
their Policy.
 
EXCHANGE RIGHTS
 
  Once the Policy is in effect, it may be exchanged at any time during the
first 24 months after its issuance for a general account life insurance policy
issued by the Company (or an affiliated company, if allowed) on the life of
the Insured. Benefits under the new life insurance policy will be as described
in that policy. No evidence of insurability will be required. The Policy Owner
has the right to select the same Death Benefit or Coverage Amount as the
former Policy had at the time of the exchange. Cost of insurance rates will be
based on the same risk classification as those of the former Policy. Any
outstanding policy loan must be repaid before the Company will make an
exchange. In addition, there may be an adjustment for the difference in Cash
Value between the two policies.
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                  POLICY SURRENDERS AND CASH SURRENDER VALUE
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
RIGHT TO SURRENDER
 
  At any time during the lifetime of the Insured and while the Policy is in
force, the Policy Owner may make a written request for a full or partial
surrender of the Policy, without the consent of the beneficiary (provided the
designation of beneficiary is not irrevocable). In the case of full
surrenders, the Policy should be returned to the Company. The amount available
upon surrender is the Cash Surrender Value (i.e., the
 
-------------------------------------------------------------------------------
16
<PAGE>
 

Cash Value of the Policy determined as of the Valuation Date on which the
Company receives the Policy Owner's written request, less any outstanding
policy loan, and less any applicable Surrender Charges). (See "Surrender
Charges," page 10.)
 
  Upon full or partial surrender, the Company will generally pay the Cash
Surrender Value of the Policy within seven days following its receipt of the
written request, or on the date requested by the Policy Owner, whichever is
later.
 
FULL SURRENDERS
 
  If the Policy is fully surrendered, the Policy will terminate on the
effective date of the surrender. The Policy must be returned to the Company
along with a written release and surrender of all claims under the Policy in a
form satisfactory to the Company. The Policy Owner may elect to have the
surrender amount paid in a lump sum or under a payment option.
 
PARTIAL SURRENDERS
 
  The Company will permit partial surrenders of the Cash Value in the Policy
at any time during the lifetime of the Insured and while the Policy is in
effect. A partial surrender reduces the Policy's Cash Value by the amount of
the partial surrender requested, plus the amount of the surrender charge
imposed in connection with the partial surrender. The deduction from Cash
Value for a partial surrender will be made on a pro rata basis against the
Cash Value of each of the Investment Options attributable to the Policy
(unless the Policy Owner states otherwise in writing).
 
  In addition to reducing the Cash Value of the Policy, partial cash
surrenders will reduce the Death Benefit payable under the Policy and may
reduce the Stated Amount. The Company may require return of the Policy to
record such reduction. After a partial surrender, the remaining Stated Amount
must be no less than $25,000. Partial surrenders will not be permitted if they
would cause the Policy to fail to qualify as "life insurance" under applicable
federal income tax laws. Reductions in Stated Amount will be processed as
described under "Changes in Stated Amount."
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                                 POLICY LOANS
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
  A Policy Owner may obtain a cash loan from the Company secured by the Policy
not to exceed 90% of the Policy's Cash Value minus surrender charges
(determined on the day on which the Company receives the written loan
request). The Company will make the loan to the Policy Owner within seven days
after receipt of the written request. No loan requests may be made for amounts
of less than $500 (subject to state law). If there is a loan outstanding at
the time a subsequent loan request is made, the amount of the outstanding loan
will be added to the new loan request. The amount of the loan will be
transferred as of the date the loan is made on a pro rata basis from the
Investment Options (unless the Policy Owner states otherwise) to another
temporary account (the "Loan Account").
 
  The Company will charge interest on the outstanding amounts of the loan,
which interest must be paid in advance by the Policy Owner at the beginning of
each Policy Year. Interest not paid when due will be capitalized, and an
amount equal to such interest will be transferred to the Loan Account pro rata
from the Investment Options. Loans made during the first ten Policy Years will
be made at a 2% net cost on
 
-------------------------------------------------------------------------------
                                                                             17
<PAGE>
 

principal, and a 1% net cost on earnings. Loans made after the tenth Policy
Year will be made at 2% net cost on principal and 0% net cost on earnings.
Additionally, loans may be taken at any time at 0% net cost for the purchase
of a Travelers long-term care policy, where permitted by state law. For these
purposes, "earnings" represents any unloaned Cash Value, minus the total
premiums paid under the Policy. Loans will be taken from earnings first, and
then from premium. Loans taken against earnings will be charged an interest
rate of 4.75% during the first ten Policy Years, and 3.85% for Policy Year 11
and thereafter. Loans taken against principal will be charged an interest rate
of 5.65% in all Policy Years. Amounts in the Loan Account will be credited by
the Company with a fixed annual rate of return of 4%, and will not be affected
by the investment performance of the Investment Options. The rate of return
credited to amounts held in the Loan Account will be transferred back to the
Investment Options on a pro rata basis after each Policy Year. The Policy's
"Loan Account Value" is equal to amounts transferred from the Investment
Options to the Loan Account when a loan is taken, plus capitalized loan
interest, plus the net rate of return credited to the Loan Account that has
not yet been transferred back to the Investment Options. Loan repayments
reduce the Loan Account Value, and increase the Cash Value in the Investment
Options.
 
  While the Insured is living and the Policy is in effect, loans may be
repaid. Loan repayments will be first applied to that portion of the loan
comprised of premiums paid. The amount of the repayment will be transferred
from the Loan Account and will be allocated among the Investment Options in
proportion to the outstanding loan amount associated with each Investment
Option.
 
RISKS ASSOCIATED WITH LOANS TAKEN AGAINST A VARIABLE LIFE INSURANCE POLICY
     
  An outstanding loan amount decreases the Cash Surrender Value. If a loan is
not repaid, it permanently decreases the Cash Surrender Value, which could
cause the Policy to lapse (see "Policy Lapse and Reinstatement," page 16). For
example, if a Policy has a Cash Surrender Value of $100,000, the Policy Owner
may take a loan of 90% or $90,000, leaving a new Cash Surrender Value of
$10,000. In addition, the Death Benefit actually payable would be decreased
because of the outstanding loan. Furthermore, even if the loan is repaid, the
Death Benefit and Cash Surrender Value may be permanently affected since the
Policy Owner was not credited with the investment experience of an Investment
Option on the amount in the Loan Account while the loan was outstanding. All
or any part of a loan secured by a Policy may be repaid while the Policy is
still in force. Any payment received while there is an outstanding loan on the
Policy will be considered a loan repayment rather than an additional Premium
Payment. A loan outstanding at the end of the Grace Period cannot be repaid
unless the Policy is reinstated.      
 
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-------------------------------------------------------------------------------
                                PAYMENT OPTIONS
 -------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
  Proceeds payable upon the death of the Insured or upon surrender of the
Policy, and the benefits payable upon maturity, may be paid in a lump sum, or
in whole or in part under any of the payment options available under the
Policy. Payment of proceeds which exceed the Death Benefit may be deferred for
up to six months from the date of the request for the payment. A combination
of options may be used. The minimum amount that may be placed under a payment
option is $5,000 unless the Company consents to a lesser amount. Proceeds
applied under an option will no longer be affected by the investment
experience of the Investment Options or Trusts. Once in effect, some of the
payment options may not provide any surrender rights.
 
-------------------------------------------------------------------------------
18
<PAGE>
 

 
  The following payment options are available under the Policy:
 
    OPTION 1 -- Payments of a Fixed Amount
    OPTION 2 -- Payments for a Fixed Period
    OPTION 3 -- Amounts Held at Interest
    OPTION 4 -- Monthly Life Income
    OPTION 5 -- Joint and Survivor Level Amount Monthly Life Income
    OPTION 6 -- Joint and Survivor Monthly Life Income -- Two-thirds to
    Survivor
    OPTION 7 -- Joint and Last Survivor Monthly Life Income -- Monthly
              Payment Reduces on Death of First Person Named
    OPTION 8 -- Other Options
 
  The Company will make any other arrangements for periodic payments as may be
agreed upon. If any periodic payment due any payee is less than $100, the
Company may make payments less often. If the Company has declared a higher
rate under an option at the date the first payment under an option is due, the
Company will base the payments on the higher rate.
 
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-------------------------------------------------------------------------------
                                 OTHER MATTERS
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
VOTING RIGHTS
 
  VOTING RIGHTS OF THE INVESTMENT OPTIONS. In accordance with its view of
present applicable law, the Company will vote the shares of the Investment
Options at regular and special meetings of the shareholders of the Investment
Options in accordance with instructions from Policy Owners having a voting
interest in Separate Account One. The Company will vote shares for which no
instructions have been given or shares which are not otherwise attributable to
Policy Owners in the same proportion as it votes shares for which it has
received instructions. If the 1940 Act or any rule promulgated thereunder
should be amended, however, or if the Company's present interpretation should
change and, as a result, the Company determines it is permitted to vote the
shares of the Investment Options in its own right, it may elect to do so.
 
  The voting interests of the Policy Owner in the Investment Options will be
determined as follows: Policy Owners may cast one vote for each $100 of Cash
Value of the Policy allocated to the Investment Option, the assets of which
are invested in the particular Investment Option on the record date for the
shareholder meeting for that Fund. Fractional votes are counted. If, however,
a Policy Owner has taken a loan secured by the Policy, amounts transferred
from the Investment Option(s) to the Loan Account in connection with the loan
will not be considered in determining the voting interests of the Policy
Owner.
 
  Policy Owners should review the prospectuses for the Investment Options to
determine matters on which shareholders may vote and the definition of a
majority vote required on some matters.
 
  DISREGARD OF VOTING INSTRUCTIONS. When permitted by state insurance
regulatory authorities, the Company may disregard voting instructions if the
instructions require that the shares be voted so as to cause a change in the
investment objective or policies of Separate Account One or one of the
Investment Options, or to approve or disapprove an investment advisory
contract of one of the Investment Options. In addition, the Company may
disregard voting instructions in favor of changes in the investment policies
or the investment adviser of any of the Investment Options which are initiated
by a Policy Owner if the
 
-------------------------------------------------------------------------------
                                                                             19
<PAGE>
 
         
Company reasonably disapproves of such changes. A change would be disapproved
only if the proposed change is contrary to state law or prohibited by state
regulatory authorities, or if the Company determines that the change would
have an adverse effect on its general account in that the proposed investment
policy for an Investment Option may result in overly speculative or unsound
investments. Should the Company disregard voting instructions, a summary of
that action and the reasons for such action would be included in the next
annual report to Policy Owners.
 
REPORTS TO POLICY OWNERS
 
  The Company will maintain all records relating to Separate Account One and
the Investment Options. At least once in each Policy Year, the Company will
send to Policy Owners a statement containing the following information: (1)
the Stated Amount and the Cash Value of the Policy (indicating the number of
Accumulation Units credited to the Policy in each Investment Option and the
corresponding Accumulation Unit Value); (2) the date and amount of each
Premium Payment; (3) the date and amount of each Monthly Deduction; (4) the
amount of any outstanding policy loan as of the date of the statement, and the
amount of any loan interest charged on the Loan Account; (5) the date and
amount of any partial cash surrenders and the amount of any partial surrender
charges; (6) the annualized cost of any supplemental benefits purchased under
the Policy; and (7) a reconciliation since the last report of any change in
Cash Value and Cash Surrender Value. The Company will also send any other
reports required by any applicable state or federal laws or regulations.
 
  Each Policy Owner will also receive semi-annual and annual reports
containing financial statements for each of the Investment Options in which
premium payments are allocated at the time of the report.
     
LIMIT ON RIGHT TO CONTEST AND SUICIDE EXCLUSION      
 
  The Company may not contest the validity of the Policy after it has been in
effect during the Insured's lifetime for two years from the Issue Date. If the
Policy is reinstated, the two-year period will be measured from the date of
reinstatement (subject to state regulation). Each requested increase in Stated
Amount is contestable for two years from its effective date.
 
  In addition, if the Insured commits suicide during the two-year period
following issue, subject to state law, the Death Benefit will be limited to
the premiums paid less the amount of any partial surrender and the amount of
any outstanding policy loan. During the two-year period following an increase,
the Death Benefit in the case of suicide will be limited to an amount equal to
the premium paid for such increase (subject to state law).
 
MISSTATEMENT AS TO SEX AND AGE
 
  If there has been a misstatement with regard to sex or age in the Policy
Application, benefits payable will be adjusted to what the Policy would have
provided with the correct information based on the most recent cost of
insurance charge. A misstatement with regard to sex or age in a substantially
funded Policy may cause a cash distribution that is includable in whole or in
part in the gross income of the Policy Owner.
 
SUSPENSION OF VALUATION
 
  The Company reserves the right to suspend or postpone the date of any
payment of any benefit or values for any Valuation Period (1) when the New
York Stock Exchange is closed (except holidays or weekends); (2) when trading
on the Exchange is restricted; (3) when an emergency exists as determined
 
-------------------------------------------------------------------------------
20
<PAGE>
 

by the SEC so that disposal of the securities held in the Investment Options
is not reasonably practicable or it is not reasonably practicable to determine
the value of the Investment Options' net assets; or (4) during any other
period when the SEC, by order, so permits for the protection of security
holders.
 
BENEFICIARY
 
  The Applicant names the beneficiary in the application for the Policy. The
Policy Owner may change the beneficiary (unless irrevocably named) during the
Insured's lifetime, and while the Policy is in force, by sending a written
request to the Company. Any change will be effective from the date the written
request was signed. The Company has no responsibility for payments made or
actions taken prior to receipt of the written request. If no beneficiary is
living when the Insured dies, the Death Benefit will be paid to the Policy
Owner, if living; otherwise, the Death Benefit will be paid to the Policy
Owner's estate.
 
  The rights of any collateral assignee may affect the interest of the
Beneficiary.
 
ASSIGNMENT
 
  The Policy Owner is specified in the Policy Application. The Policy may be
assigned as collateral for a loan or other obligation. The Company is not
responsible for any payment made or action taken before receipt of written
notice of such assignment, and is not responsible for determining the validity
of any assignment. Proof of interest must be filed with any claim under a
collateral assignment.
 
DIVIDENDS
 
  No dividends will be paid under the Policy.
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                          FEDERAL TAX CONSIDERATIONS
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
GENERAL
 
  The following is a general discussion of the federal income tax
considerations relating to the Policies. This discussion is based upon the
Company's understanding of the federal income tax laws as they are currently
interpreted by the Internal Revenue Service ("IRS"). These laws are complex,
and tax results may vary among individuals. A person contemplating the
purchase of or the exercise of elections under a Policy should seek competent
tax advice.
 
  IT SHOULD BE UNDERSTOOD THAT THIS IS NOT AN EXHAUSTIVE DISCUSSION OF ALL TAX
QUESTIONS THAT MIGHT ARISE UNDER THE POLICIES. NO ATTEMPT HAS BEEN MADE TO
ADDRESS ANY FEDERAL ESTATE TAX OR STATE AND LOCAL TAX CONSIDERATIONS WHICH MAY
ARISE IN CONNECTION WITH A POLICY. FOR COMPLETE INFORMATION, A QUALIFIED TAX
ADVISOR SHOULD BE CONSULTED.
 
  THE COMPANY DOES NOT GUARANTEE THE TAX STATUS OF ANY POLICY AND THE
FOLLOWING TAX DISCUSSION IS BASED ON THE COMPANY'S UNDERSTANDING OF FEDERAL
INCOME TAX LAWS AS THEY ARE CURRENTLY INTERPRETED. THE COMPANY CANNOT
GUARANTEE THAT THOSE LAWS OR INTERPRETATIONS WILL REMAIN UNCHANGED.
 
                       --------------------------------
                           TAX STATUS OF THE POLICY
 
                       --------------------------------
 
DEFINITION OF LIFE INSURANCE
 
  Section 7702 of the Internal Revenue Code sets forth a definition of a life
insurance contract for federal tax purposes. Guidance as to how Section 7702
is to be applied, however, is limited. Although the
 
-------------------------------------------------------------------------------
                                                                             21
<PAGE>
 

Secretary of the Treasury (the "Treasury") is authorized to prescribe
regulations implementing Section 7702, and while proposed regulations and
other limited, interim guidance has been issued, final regulations have not
been adopted. If a Policy were determined not to be a life insurance contract
for purposes of Section 7702, such Policy would not provide the tax advantages
normally provided by a life insurance policy.
 
  With respect to a Policy issued on the basis of a standard rate class, the
Company believes (largely in reliance on IRS Notice 88-128 and the proposed
regulations under Section 7702) that such a Policy should meet the Section
7702 definition of a life insurance contract. With respect to a Policy that is
issued on a substandard basis (i.e., a premium class involving higher than
standard mortality risk), there is less guidance. Thus, it is not clear
whether such a Policy would satisfy Section 7702, particularly if the Policy
Owner pays the full amount of premiums permitted under the Policy.
 
  The Company reserves the right to make changes in the Policy if such changes
are deemed necessary to attempt to assure its qualification as a life
insurance contract for tax purposes.
 
DIVERSIFICATION
 
  Section 817(h) of the Code provides that separate account investments (or
the investments of a mutual fund, the shares of which are owned by separate
accounts of insurance companies) underlying the Policy must be "adequately
diversified" in accordance with Treasury regulations in order for the Policy
to qualify as life insurance. The Treasury Department has issued regulations
prescribing the diversification requirements in connection with variable
contracts. Separate Account One, through the Investment Options, intends to
comply with these requirements. Although the Company does not control the
Investment Options, it intends to monitor the investments of the Investment
Options to ensure compliance with the requirements prescribed by the Treasury
Department.
 
INVESTOR CONTROL
 
  In certain circumstances, owners of variable life insurance contracts may be
considered the owners, for federal income tax purposes, of the assets of the
separate accounts used to support their contract. In those circumstances,
income and gains from the separate account assets would be includable in the
variable contract owner's gross income. The IRS has stated in published
rulings that a variable contract owner will be considered the owner of
separate account assets if the contract owner possesses incidents of ownership
in those assets, such as the ability to exercise investment control over the
assets. The Treasury has also announced, in connection with the issuance of
regulations concerning diversification, that those regulations "do not provide
guidance concerning the circumstances in which investor control of the
investments of a segregated asset account may cause the investor (i.e., the
Policy Owner), rather than the insurance company, to be treated as the owner
of the assets in the account." This announcement also stated that guidance
would be issued by way of regulations or rulings on the "extent to which
policyholders may direct their investments to particular Investment Options
without being treated as owners of the underlying assets." As of the date of
this prospectus, no such guidance has been issued.
 
  The ownership rights under the Policy are similar to, but different in
certain respects from, those described by the IRS in rulings in which it
determined that the owners were not owners of separate account assets. For
example, a Policy Owner of this Policy has additional flexibility in
allocating payments and cash values. These differences could result in the
Policy Owner being treated as the owner of the assets of Separate Account One.
In addition, the Company does not know what standard will be set forth
 
-------------------------------------------------------------------------------
22
<PAGE>
 

in the regulations or rulings which the Treasury is expected to issue, nor
does the Company know if such guidance will be issued. The Company therefore
reserves the right to modify the Policy as necessary to attempt to prevent the
Policy Owner from being considered the owner of a pro rata share of the assets
of Separate Account One.
 
  The remaining tax discussion assumes that the Policy qualifies as a life
insurance contract for federal income tax purposes.
 
                 --------------------------------------------
                       TAX TREATMENT OF POLICY BENEFITS
 
                 --------------------------------------------
 
IN GENERAL
 
  The Company believes that the proceeds and cash value increases of a Policy
should be treated in a manner consistent with a fixed-benefit life insurance
policy for federal income tax purposes. Thus, the Death Benefit under the
Policy should be excludable from the gross income of the Beneficiary.
 
  In addition, the Policy Owner will generally not be deemed to be in
constructive receipt of the Cash Value, including increments thereof, until
there is a distribution. The tax consequences of distribution from, and loans
taken from or secured by, a Policy depend on whether the Policy is classified
as a "Modified Endowment Contract." However, whether a Policy is or is not a
Modified Endowment Contract, upon a complete surrender or lapse of a Policy or
when benefits are paid at a Policy's maturity date, if the amount received
plus the amount of indebtedness exceeds the total investment in the Policy,
the excess will generally be treated as ordinary income subject to tax.
 
  Depending on the circumstances, the exchange of a Policy, a change in the
Policy's Death Benefit Option, a Policy loan, a partial withdrawal, a
surrender, a change in ownership, or an assignment of the Policy may have
federal income tax consequences. In addition, federal, state and local
transfer, and other tax consequences of ownership or receipt of Policy
proceeds depend on the circumstances of each Owner or beneficiary.
 
MODIFIED ENDOWMENT CONTRACTS
 
  In light of Policy premium requirements, a Policy will, in almost all cases,
be a modified endowment contract. (See, however, the discussion below on a
Policy issued in exchange for another life insurance contract.)
 
  Loans and partial withdrawals from, as well as collateral assignments of,
Policies that are modified endowment contracts will be treated as
distributions to the Policy Owner. All pre-death distributions (including
loans, partial withdrawals and collateral assignments) from these Policies
will be included in gross income on an income-first basis to the extent of any
income in the Policy (the cash value less the Policy Owner's investment in the
Policy) immediately before the distribution.
 
  The law also imposes a 10% penalty tax on pre-death distributions (including
loans, collateral assignments, partial withdrawals and complete surrenders)
from modified endowment contracts to the extent they are included in income,
unless such amounts are distributed on or after the date on which the taxpayer
attains age 59 1/2, because the taxpayer is disabled, or as substantially
equal periodic payments over the taxpayer's life (or life expectancy) or over
the joint lives (or joint life expectancies) of the taxpayer
 
-------------------------------------------------------------------------------
                                                                             23
<PAGE>
 

and his or her beneficiary. Furthermore, if the loan interest is capitalized
by adding the amount due to the balance of the loan, the amount of the
capitalized interest will be treated as an additional distribution subject to
income tax as well as the 10% penalty tax, if applicable, to the extent of
income in the Policy.
 
EXCHANGES
 
  Any Policy issued in exchange for a modified endowment contract will be
subject to the tax treatment accorded to modified endowment contracts.
However, the Company believes that any Policy received in exchange for a life
insurance contract that is not a modified endowment contract will generally
not be treated as a modified endowment contract if the face amount of the
Policy is greater than or equal to the death benefit of the policy being
exchanged. The payment of any premiums at the time of or after the exchange
may, however, cause the Policy to become a modified endowment contract. A
prospective purchaser should consult a qualified tax advisor before
authorizing the exchange of his or her current life insurance contract for a
Policy.
 
  Unlike loans from modified endowment contracts, a loan from a Policy that is
not a modified endowment contract will be considered indebtedness of the owner
and no part of a loan will constitute income to the owner. However, the
treatment of loans taken on earnings after the tenth Policy Year, or of loans
taken to acquire a Travelers long-term care policy, is unclear; such loans
might be considered a withdrawal instead of indebtedness for federal tax
purposes.
 
  Pre-death distributions from a Policy that is not a modified endowment
contract will generally not be included in gross income to the extent that the
amount received does not exceed the Policy Owner's investment in the Policy.
(An exception to this general rule may occur in the case of a decrease or
change that reduces the benefits provided under a Policy in the first 15 years
after the Policy is issued and that results in a cash distribution to the
Policy Owner. Such a cash distribution may be taxed in whole or in part as
ordinary income to the extent of any gain in the Policy.) Further, the 10%
penalty tax on pre-death distributions does not apply to Policies that are not
modified endowment contracts.
 
  Certain changes to Policies that are not modified endowment contracts may
cause such Policies to be treated as modified endowment contracts. A Policy
Owner should therefore consult a tax advisor before effecting any change to a
Policy that is not a modified endowment contract.
 
TREATMENT OF LOAN INTEREST
 
  If there is any borrowing against the Policy, the interest paid on loans may
not be tax deductible.
 
AGGREGATION OF MODIFIED ENDOWMENT CONTRACTS
 
  In the case of a pre-death distribution (including a loan, partial
withdrawal, collateral assignment or complete surrender) from a Policy that is
treated as a modified endowment contract, a special aggregation requirement
may apply for purposes of determining the amount of the income on the Policy.
Specifically, if the Company or any of its affiliates issues to the same
Policy Owner more than one modified endowment contract within a calendar year,
then for purposes of measuring the income on the Policy with respect to a
distribution from any of those Policies, the income on the Policy for all
those Policies will be aggregated and attributed to that distribution.
 
-------------------------------------------------------------------------------
24
<PAGE>
 

 
                     -------------------------------------
                          THE COMPANY'S INCOME TAXES
                     -------------------------------------
 
  The Company currently makes no charge to Separate Account One for any
federal, state or local taxes that it incurs that may be attributable to
Separate Account One or to the Policies. The Company reserves the right,
however, to make a charge for any tax or other economic burden responsibility
from the application of tax laws that it determines to be properly
attributable to Separate Account One or to the Policies.
 
-------------------------------------------------------------------------------
                                                                             25
<PAGE>
 

 
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-------------------------------------------------------------------------------
                                  MANAGEMENT
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
              DIRECTORS OF THE TRAVELERS LIFE AND ANNUITY COMPANY
 
  The following are the Directors and Executive Officers of The Travelers Life
and Annuity Company. Unless otherwise indicated, the principal business
address for all individuals is the Company's Home Office at One Tower Square,
Hartford, Connecticut 06183. References to Travelers Group Inc. include, prior
to December 31, 1993, Primerica Corporation or its predecessors.
 
<TABLE>
<CAPTION>
                         DIRECTOR
 NAME AND POSITION       SINCE    PRINCIPAL BUSINESS
 -----------------       -------- ---------------------------------------------
 <C>                     <C>      <S>
 Robert I. Lipp            1994   Chief Executive Officer and Director since
 Director and                     December 1993 of The Travelers Insurance
 Chief Executive Officer          Group Inc.; Vice Chairman and Director of
                                  Travelers Group Inc. since 1991; Chairman and
                                  Chief Executive Officer of Commercial Credit
                                  Company (1991-1993); Executive Vice President
                                  (1986-1991), Primerica Corporation.
 Jay S. Fishman            1994   Director and Chief Financial Officer since
 Director and                     December 1993 of The Travelers Insurance
 Chief Financial Officer          Group Inc.; Senior Vice President since 1991
                                  and Treasurer (1991-1994) of Travelers Group
                                  Inc.; Executive Vice President and Chief
                                  Financial Officer (1989-1991), Consumer
                                  Services Group, Commercial Credit Company.
 Charles O. Prince*        1994   Senior Vice President, General Counsel and
 Director                         Secretary of Travelers Group Inc. since 1985.
 Marc P. Weill             1994   Senior Vice President-Investments since
 Director                         December 1993 of The Travelers Insurance
                                  Group Inc.; Senior Vice President of
                                  Travelers Group Inc. since 1992; Vice
                                  President (1990-1992), Primerica Corporation;
                                  Vice President (1989-1990), Smith Barney Inc.
 Irwin R. Ettinger*        1994   Senior Vice President (1987-present) and
 Director                         Chief Accounting Officer (1990-present),
                                  Travelers Group Inc.
 Michael A. Carpenter      1995   Chairman since January 1995; President and
 Director                         Chief Executive Officer of The Travelers
                                  Insurance Company since June 1995; Executive
                                  Vice President of Travelers Group Inc. since
                                  January 1995; Chairman, President and Chief
                                  Executive Officer (1989-1994), Kidder Peabody
                                  Group Inc.
 Donald T. DeCarlo         1995   General Counsel and Secretary of The
 Director                         Travelers Life and Annuity Company since
                                  October 1994; Deputy General Counsel since
                                  June 1989 of Travelers Group Inc.; Executive
                                  Vice President since August 1987 of Gulf
                                  Insurance Group.
</TABLE>
 
* Principal business address: Travelers Group Inc., 388 Greenwich Street, New
   York, New York.
 
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26
<PAGE>
 

 
           SENIOR OFFICERS OF THE TRAVELERS LIFE AND ANNUITY COMPANY
 
  The following are the Senior Officers of The Travelers Life and Annuity
Company, other than the Directors listed above, as of the date of this
Prospectus. Unless otherwise indicated, the principal business address for all
individuals listed is One Tower Square, Hartford, Connecticut 06183.
 
<TABLE>
<CAPTION>
        NAME                 POSITION WITH INSURANCE COMPANY
        <S>                  <C>
        Robert E. Evans      President
        Jay S. Benet         Senior Vice President
        Barry L. Mannes*     Senior Vice President
        Richard F. Morrison  Senior Vice President
        Thompson Shea        Senior Vice President-Audit
        David A. Tyson       Senior Vice President
        F. Denney Voss       Senior Vice President
        W. Douglas Willet    Senior Vice President
        William H. White     Vice President and Treasurer
        Christine B. Mead    Vice President--Finance and Controller
</TABLE>
 
  * Principal business address: Travelers Group, Inc., 388 Greenwich Street,
    New York, New York.
 
  Information relating to the management of the Investment Options is
contained in the Investment Option prospectuses.
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                 SAFEKEEPING OF THE SEPARATE ACCOUNT'S ASSETS
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
  The assets of Separate Account One are held by the Company and are kept
physically segregated and held separate and apart from the Company's general
account. The Company maintains records of all of Separate Account One's
purchases and redemptions of shares of the Investment Options.
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                          DISTRIBUTION OF THE POLICY
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
     
  The Company intends to sell the Policy in all jurisdictions where it is
licensed to do business and where the Policy is approved. The Company does not
intend to conduct business in the State of New York.
 
  Policies may be purchased from agents who are licensed by state insurance
authorities to sell variable life insurance policies issued by the Company,
and who are also registered representatives of broker-dealers which have
Selling Agreements with Tower Square Securities, Inc. ("TSSI"). TSSI, whose
principal business address is One Tower Square, Hartford, Connecticut, serves
as the principal underwriter for the variable life insurance policies
described herein. TSSI is registered as a broker-dealer with the Securities
and Exchange Commission under the Securities Exchange Act of 1934, and is a
member of the National Association of Securities Dealers, Inc. ("NASD"). TSSI
is an affiliate of the Company and an indirect wholly owned subsidiary of
Travelers Group Inc., and serves as principal underwriter pursuant to an
Underwriting Agreement to which Separate Account One, the Company, and TSSI
are parties. No amounts have been or will be retained by TSSI for acting as
principal underwriter for the Policies.      
 
  Agents will be compensated for sales of the Policies on a commission and
service fee basis. The maximum sales commissions to be paid under the Policy
will be 6.5% of premiums. In addition, certain production, persistency and
managerial bonuses may be paid.
 
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                                                                             27

<PAGE>
 

 
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-------------------------------------------------------------------------------
                         LEGAL PROCEEDINGS AND OPINION
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
     
  There are no pending material legal proceedings affecting the Policy,
Separate Account One or any of the Investment Options.      
 
  Legal matters in connection with federal laws and regulations affecting the
issue and sale of the Policy described in this Prospectus and the organization
of the Company, its authority to issue the Policy under Connecticut law and
the validity of the forms of the Policy under Connecticut law have been passed
on by the General Counsel of the Life and Annuities Division of The Travelers
Life and Annuity Company.
 
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-------------------------------------------------------------------------------
                            REGISTRATION STATEMENT
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
  A Registration Statement has been filed with the Securities and Exchange
Commission under the Securities Act of 1933, as amended. This Prospectus does
not contain all information set forth in the Registration Statement, its
amendments and exhibits, to which reference is made for further information
concerning Separate Account One, the Company and the Policy.
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                            INDEPENDENT ACCOUNTANTS
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
    
  Coopers & Lybrand L.L.P., certified public accountants, 100 Pearl Street,
Hartford, Connecticut, are the independent auditors for Separate Account One.
The services provided to Separate Account One will include primarily the
examination of Separate Account One's financial statements.      
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                             FINANCIAL STATEMENTS
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
  The financial statements of the Company contained herein (see page 39)
should be considered only as bearing upon the Company's ability to meet its
obligations under the Policy, and they should not be considered as bearing on
the investment performance of Separate Account One or its Investment Options.
The financial statements of Separate Account One are not included in this
registration statement because, as of the date of this Prospectus, Separate
Account One had not yet commenced operations.
 
-------------------------------------------------------------------------------
28
<PAGE>
 

-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                                 ILLUSTRATIONS
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
     
  The following pages are intended to illustrate hypothetically how the Cash
Value, Cash Surrender Value and Death Benefit can change over time for
Policies issued to a 45-year old male. The difference between the Cash Value
and the Cash Surrender Value in these illustrations reflects the Surrender
Charge that would be incurred upon a full surrender of the Policy.
 
  Two pages of values are shown for each Death Benefit Option (Level and
Variable). One page illustrates the assumption that the maximum Guaranteed
Cost of Insurance Rates allowable under the Policy are charged in all years.
The other page illustrates the assumption that the current scale of Cost of
Insurance Rates are charged in all years. The Cost of Insurance Rates charged
vary by age, sex (where permitted by state law) and underwriting
classification. The illustrations also reflect a monthly deduction of
0.016667% for the first ten years following the Initial Premium for premium
taxes.      
 
  The values shown in these illustrations vary according to assumptions used
for charges, and gross rates of investment returns. The charges consist of
0.90% for mortality and expense risks, 0.40% for administrative expenses, and
0.75% for Investment Option expenses. The 12% illustration will assume that
the mortality and expense risk charge has been reduced to 0.75% in the second
policy year and thereafter. The charge for Investment Option expenses
reflected in the illustrations assumes that Cash Value is allocated equally
among all Investment Options and that no Policy Loans are outstanding, and is
an average of the investment advisory fees and other expenses charged by each
of the Investment Options during 1994. After deduction of these amounts, the
illustrated gross annual investment rates of return of 0% and 6% correspond to
approximate net annual rates of -2.05% and 3.95%, respectively. The
illustrated gross annual investment rate of return of 12% corresponds to an
approximate net annual rate of return of 9.95% in the first Policy Year, and
10.10% thereafter. The actual charges under a Policy for expenses of the
Investment Options will depend on the actual allocation of Cash Value and may
be higher or lower than those illustrated.
 
  As stated above, the examples illustrate values that would result based upon
hypothetical uniform gross investment rates of return of 0%, 6% and 12%. The
values would be different from those shown if the gross rates averaged 0%, 6%,
and 12% over a period of years, but fluctuated above and below those averages.
 
  The illustrations also assume that premiums are paid as indicated, no policy
loans are made, no increases or decreases to the Stated Amount are requested,
no partial surrenders are made, and no charges for transfers between funds are
incurred.
 
  The illustrations do not reflect any charges for federal income taxes
against Separate Account One, since the Company is not currently deducting
such charges from Separate Account One. However, such charges may be made in
the future, and in that event, the gross annual investment rates of return
would have to exceed 0%, 6% and 12% by an amount sufficient to cover the tax
charges in order to produce the Death Benefits, Cash Values and Cash Surrender
Values illustrated.
 
  The second column of each Illustration shows the amount that would
accumulate if an amount equal to the Premium Payment was invested to earn
interest (after taxes) at 5%, compounded annually.
 
  Upon request, the Company will provide a comparable personalized
illustration based upon the proposed Insured's age, sex, underwriting
classification, the specified insurance benefits, and the premium requested.
The hypothetical gross annual investment return assumed in such an
illustration will not exceed 12%.
 
-------------------------------------------------------------------------------
                                                                             29
<PAGE>
 

                                  VINTAGELIFE
            MODIFIED SINGLE PREMIUM VARIABLE LIFE INSURANCE POLICY
                          LEVEL DEATH BENEFIT OPTION
             ILLUSTRATED WITH GUARANTEED COST OF INSURANCE CHARGES
 
Male, Issue Age 45                             Face Amount: $106,918
Non-Smoker                                     Single Premium: $25,000.00
 
<TABLE>
<CAPTION>
                    DEATH BENEFIT            CASH VALUE        CASH SURRENDER VALUE
               ------------------------ ---------------------- ----------------------
      TOTAL
      PREMIUMS
      WITH 5%
YEAR  INTEREST 0%       6%      12%     0%      6%     12%     0%      6%     12%
-------------------------------------------------------------------------------------
<S>   <C>      <C>      <C>     <C>     <C>     <C>    <C>     <C>     <C>    <C>
1      26,250  106,918  106,918 106,918 24,054  25,542  27,030 22,179  23,667  25,155
2      27,562  106,918  106,918 106,918 23,093  26,074  29,276 21,218  24,199  27,401
3      28,941  106,918  106,918 106,918 22,114  26,596  31,723 20,364  24,846  29,973
4      30,388  106,918  106,918 106,918 21,115  27,103  34,392 19,365  25,353  32,642
5      31,907  106,918  106,918 106,918 20,090  27,594  37,306 18,465  25,969  35,681
6      33,502  106,918  106,918 106,918 19,035  28,061  40,490 17,535  26,561  38,990
7      35,178  106,918  106,918 106,918 17,941  28,499  43,969 16,691  27,249  42,719
8      36,936  106,918  106,918 106,918 16,801  28,900  47,777 15,801  27,900  46,777
9      38,783  106,918  106,918 106,918 15,605  29,256  51,946 14,855  28,506  51,196
10     40,722  106,918  106,918 106,918 14,344  29,558  56,521 14,344  29,558  56,521
15     51,973  106,918  106,918 118,360  6,893  30,331  88,328  6,893  30,331  88,328
20     66,332        0* 106,918 169,877      0* 28,127 139,243      0* 28,127 139,243
</TABLE>
 
  These hypothetical rates of return are illustrative only and should not be
considered a representation of past or future investment results. Actual
investment results may be more or less than those shown and will depend on a
number of factors. The Account Values and Cash Surrender Values will be
different from those shown if the actual rates of return averaged 0%, 6% or
12% over a period of years but fluctuated above or below the average for
individual contract years. No representations can be made that these rates of
return can be achieved for any one year or sustained over a period of time.
 
* Insufficient cash value would be developed to continue the contract without
  additional premium payments.
 
-------------------------------------------------------------------------------
30
<PAGE>
 

                                 VINTAGE LIFE
            MODIFIED SINGLE PREMIUM VARIABLE LIFE INSURANCE POLICY
                          LEVEL DEATH BENEFIT OPTION
              ILLUSTRATED WITH CURRENT COST OF INSURANCE CHARGES
 
Male, Issue Age 45                             Face Amount: $106,918
Non-Smoker                                     Single Premium: $25,000.00
 
<TABLE>
<CAPTION>
                    DEATH BENEFIT           CASH VALUE       CASH SURRENDER VALUE
               ----------------------- --------------------- ---------------------
      TOTAL
      PREMIUMS
      WITH 5%
YEAR  INTEREST 0%      6%      12%     0%     6%     12%     0%     6%     12%
----------------------------------------------------------------------------------
<S>   <C>      <C>     <C>     <C>     <C>    <C>    <C>     <C>    <C>    <C>
1      26,250  106,918 106,918 106,918 24,204 25,695  27,187 22,329 23,820  25,312
2      27,562  106,918 106,918 106,918 23,405 26,400  29,615 21,530 24,525  27,740
3      28,941  106,918 106,918 106,918 22,600 27,112  32,271 20,850 25,362  30,521
4      30,388  106,918 106,918 106,918 21,788 27,831  35,178 20,038 26,081  33,428
5      31,907  106,918 106,918 106,918 20,966 28,557  38,362 19,341 26,932  36,737
6      33,502  106,918 106,918 106,918 20,130 29,285  41,851 18,630 27,785  40,351
7      35,178  106,918 106,918 106,918 19,277 30,014  45,676 18,027 28,764  44,426
8      36,936  106,918 106,918 106,918 18,402 30,740  49,872 17,402 29,740  48,872
9      38,783  106,918 106,918 106,918 17,507 31,466  54,482 16,757 30,716  53,732
10     40,722  106,918 106,918 106,918 16,580 32,183  59,548 16,580 32,183  59,548
15     51,973  106,918 106,918 126,838 11,660 36,093  94,655 11,660 36,093  94,655
20     66,332  106,918 106,918 184,174  5,209 39,534 150,962  5,209 39,534 150,962
</TABLE>
 
  These hypothetical rates of return are illustrative only and should not be
considered a representation of past or future investment results. Actual
investment results may be more or less than those shown and will depend on a
number of factors. The Account Values and Cash Surrender Values will be
different from those shown if the actual rates of return averaged 0%, 6%, or
12% over a period of years but fluctuated above or below the average for
individual contract years. No representations can be made that these rates of
return can be achieved for any one year or sustained over a period of time.
 
* Insufficient cash value would be developed to continue the contract without
  additional premium payments.
 
-------------------------------------------------------------------------------
                                                                             31
<PAGE>
 

                                 VINTAGE LIFE
            MODIFIED SINGLE PREMIUM VARIABLE LIFE INSURANCE POLICY
                         VARIABLE DEATH BENEFIT OPTION
              ILLUSTRATED WITH CURRENT COST OF INSURANCE CHARGES
 
Male, Issue Age 45                             Face Amount: $106,918
Non-Smoker                                     Single Premium: $25,000.00
 
<TABLE>
<CAPTION>
                    DEATH BENEFIT           CASH VALUE       CASH SURRENDER VALUE
               ----------------------- --------------------- ---------------------
      TOTAL
      PREMIUMS
      WITH 5%
YEAR  INTEREST 0%      6%      12%     0%     6%     12%     0%     6%     12%
----------------------------------------------------------------------------------
<S>   <C>      <C>     <C>     <C>     <C>    <C>    <C>     <C>    <C>    <C>
1      26,250  130,857 132,338 133,819 23,939 25,420  26,901 22,064 23,545  25,026
2      27,562  129,779 132,731 135,900 22,861 25,813  28,982 20,986 23,938  27,107
3      28,941  128,682 133,094 138,142 21,764 26,176  31,224 20,014 24,426  29,474
4      30,388  127,562 133,422 140,555 20,644 26,504  33,637 18,894 24,754  31,887
5      31,907  126,417 133,710 143,151 19,499 26,792  36,233 17,874 25,167  34,608
6      33,502  125,239 133,948 145,942 18,321 27,030  39,024 16,821 25,530  37,524
7      35,178  124,022 134,127 148,939 17,104 27,209  42,021 15,854 25,959  40,771
8      36,936  122,757 134,236 152,152 15,839 27,318  45,234 14,839 26,318  44,234
9      38,783  121,435 134,261 155,592 14,517 27,343  48,674 13,767 26,593  47,924
10     40,722  120,050 134,190 159,272 13,132 27,272  52,354 13,132 27,272  52,354
15     51,973  112,062 132,301 182,701  5,144 25,383  75,783  5,144 25,383  75,783
20     66,332       0* 125,727 215,673     0* 18,809 108,755     0* 18,809 108,755
</TABLE>
 
  These hypothetical rates of return are illustrative only and should not be
considered a representation of past or future investment results. Actual
investment results may be more or less than those shown and will depend on a
number of factors. The Account Values and Cash Surrender Values will be
different from those shown if the actual rates of return averaged 0%, 6%, or
12% over a period of years but fluctuated above or below the average for
individual contract years. No representations can be made that these rates of
return can be achieved for any one year or sustained over a period of time.
 
* Insufficient cash value would be developed to continue the contract without
  additional premium payments.
 
-------------------------------------------------------------------------------
32
<PAGE>
 

                                 VINTAGE LIFE
            MODIFIED SINGLE PREMIUM VARIABLE LIFE INSURANCE POLICY
                         VARIABLE DEATH BENEFIT OPTION
              ILLUSTRATED WITH CURRENT COST OF INSURANCE CHARGES
 
Male, Issue Age 45                             Face Amount: $106,918
Non-Smoker                                     Single Premium: $25,000.00
 
<TABLE>
<CAPTION>
                    DEATH BENEFIT           CASH VALUE       CASH SURRENDER VALUE
               ----------------------- --------------------- ---------------------
      TOTAL
      PREMIUMS
      WITH 5%
YEAR  INTEREST 0%      6%      12%     0%     6%     12%     0%     6%     12%
----------------------------------------------------------------------------------
<S>   <C>      <C>     <C>     <C>     <C>    <C>    <C>     <C>    <C>    <C>
1      26,250  131,052 132,539 134,026 24,134 25,621  27,108 22,259 23,746  25,233
2      27,562  130,180 133,157 136,353 23,262 26,239  29,435 21,387 24,364  27,560
3      28,941  129,302 133,771 138,882 22,384 26,853  31,964 20,634 25,103  30,214
4      30,388  128,414 134,379 141,629 21,496 27,461  34,711 19,746 25,711  32,961
5      31,907  127,515 134,977 144,615 20,597 28,059  37,697 18,972 26,434  36,072
6      33,502  126,601 135,560 147,859 19,683 28,642  40,941 18,183 27,142  39,441
7      35,178  125,667 136,124 151,380 18,749 29,206  44,462 17,499 27,956  43,212
8      36,936  124,709 136,662 155,200 17,791 29,744  48,282 16,791 28,744  47,282
9      38,783  123,730 137,177 159,352 16,812 30,259  52,434 16,062 29,509  51,684
10     40,722  122,717 137,653 163,855 15,799 30,735  56,937 15,799 30,735  56,937
15     51,973  117,377 139,855 193,983 10,459 32,937  87,065 10,459 32,937  87,065
20     66,332  110,597 140,268 240,124  3,679 33,350 133,206  3,679 33,350 133,206
</TABLE>
 
  These hypothetical rates of return are illustrative only and should not be
considered a representation of past or future investment results. Actual
investment results may be more or less than those shown and will depend on a
number of factors. The Account Values and Cash Surrender Values will be
different from those shown if the actual rates of return averaged 0%, 6%, or
12% over a period of years but fluctuated above or below the average for
individual contract years. No representations can be made that these rates of
return can be achieved for any one year or sustained over a period of time.
 
* Insufficient cash value would be developed to continue the contract without
  additional premium payments.
 
-------------------------------------------------------------------------------
                                                                             33
<PAGE>
 

-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                     APPENDIX A -- PERFORMANCE INFORMATION
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
  From time to time, Separate Account One's Investment Options may show the
percentage change in the value of an Accumulation Unit based on the
performance of the Investment Option over a period of time, determined by
dividing the increase (decrease) in value for that unit by the Accumulation
Unit Value at the beginning of the period. Separate Account One commenced
operations on    , 1995. All Investment Options of Separate Account One invest
in Investment Options that were in existence prior to the date on which the
Investment Options became available under the Policy. Average annual rates of
return include periods prior to the inception of the Investment Option, and
are calculated by adjusting the actual returns of the Investment Options to
reflect the charges that would have been assessed under the Investment Options
had the Investment Option been available under Separate Account One during the
period shown.
 
  The following performance information represents the percentage change in
the value of an Accumulation Unit of the Investment Options for the periods
indicated, and reflects all expenses of the Investment Options, as well as the
0.90% mortality and expense risk charge and the 0.40% administrative expense
charge assessed against the Investment Options. The rates of return do not
reflect surrender charges or Monthly Deduction Amounts (which are depicted in
the Example following the Rates of Return), nor do they reflect a reduction in
mortality and expense risk charges which may apply under certain
circumstances. For information about the Charges and Deductions assessed under
the Policy, see page 7. For illustrations of how these charges affect Cash
Values and Death Benefits, see the Illustrations beginning on page 29.
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                   AVERAGE RATES OF RETURN (SINCE INCEPTION)
                      FOR PERIODS ENDED DECEMBER 31, 1994
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
<TABLE>     
<CAPTION>
                                                  AVERAGE ANNUAL
           INVESTMENT OPTION                      RATE OF RETURN INCEPTION DATE
           -----------------                      -------------- --------------
     <S>                                          <C>            <C>
     Smith Barney Income and Growth Portfolio        (1.85)%         6/20/94
     Alliance Growth Portfolio                        4.71 %         6/20/94
     American Capital Enterprise Portfolio            3.86 %         6/21/94
     Smith Barney International Equity Portfolio     (4.50)%         6/20/94
     TBC Managed Income Portfolio                    (0.33 %         6/28/94
     Putnam Diversified Income Portfolio              0.85 %         6/20/94
     Smith Barney High Income Portfolio              (1.24)%         6/22/94
     MFS Total Return Portfolio                      (2.12)%         6/20/94
     Smith Barney Money Market Portfolio              1.57 %         6/20/94
     AIM Capital Appreciation Portfolio*
     Smith Barney Total Return Portfolio              1.14 %        11/21/94
     Travelers Zero Coupon Bond Fund Portfolios*
      (1998, 2000, 2005)
</TABLE>      
 
* not yet commenced
 
-------------------------------------------------------------------------------
34
<PAGE>
 

-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                           EXAMPLE OF POLICY CHARGES
 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
  The following chart illustrates the surrender charges and Monthly Deduction
Amounts (including the Cost of Insurance charges and the deduction for premium
tax) that would apply under a Policy based on the assumptions listed below.
Surrender charges and Monthly Deduction Amounts generally will be higher for
an Insured who is older than the assumed Insured, and lower for an Insured who
is younger (assuming the Insureds have the same risk classification). Cost of
insurance rates increase each year as the Insured becomes a year older.
 
Male, Age 35, Non-Smoker                       Face Amount: $167,193
$25,000 Single Premium                         Level Death Benefit Option
Hypothetical Gross Annual Investment Rate of Return: 10%*
                                               Current Charges
 
<TABLE>
<CAPTION>
                                            MONTHLY DEDUCTION AMOUNTS
                           SURRENDER CHARGE -------------------------
       POLICY   CUMULATIVE   AS % OF CUM.   COST OF INSURANCE PREMIUM
       YEAR      PREMIUMS       PREM.            CHARGES        TAX
       ------   ---------- ---------------- ----------------- -------
       <S>      <C>        <C>              <C>               <C>
       1         $ 25,000        7.5%           $ 214.78      $ 51.55
       2         $ 25,000        7.5%           $ 222.97      $ 55.11
       3         $ 25,000        7.0%           $ 232.58      $ 58.98
       5         $ 25,000        6.5%           $ 255.05      $ 67.60
       10        $ 25,000          0%           $ 323.22      $ 95.26
</TABLE>
 
 * Hypothetical investment results shown above are illustrative only and
   should not be deemed a representation of past or future investment results.
   Actual investment results may be more or less than those shown.
   Hypothetical investment results may be different from those shown if the
   actual rates of return averaged 10%, but fluctuated above or below that
   average for individual policy years. No representations can be made that
   the hypothetical rates assumed can be achieved for any one year or
   sustained over any period of time.
 
-------------------------------------------------------------------------------
                                                                             35
<PAGE>
 

 
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
                     APPENDIX B -- DEATH BENEFIT EXAMPLES
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
 
  The following examples demonstrate the relationship between the Death
Benefit, the Cash Surrender Value and the Minimum Amount Insured under the
Level and Variable Death Benefit Options available under the Policy. Both sets
of examples assume an Insured of age 40, a Minimum Amount Insured of 250% of
Cash Value (in accordance with the table on page 14 of this Prospectus), and
no outstanding policy loans.
 
                        OPTION 1 -- LEVEL DEATH BENEFIT
 
  Under a "Level" Death Benefit, the Death Benefit under the Policy is
generally equal to the Stated Amount of $25,000. Since the Policy is designed
to qualify as a life insurance contract, the Death Benefit cannot be less than
the Minimum Amount Insured (or, in this example, 250% of the Cash Value).
 
    EXAMPLE ONE. If the Cash Value of the Policy equals $8,000, the Minimum
  Amount Insured would be $20,000 ($8,000 x 250%). If the Death Benefit in
  the Policy is the greater of the Stated Amount ($25,000) or the Minimum
  Amount Insured ($20,000), then the Death Benefit would be $25,000.
 
    EXAMPLE TWO. If the Cash Value of the Policy equals $40,000, the Minimum
  Amount Insured would be $100,000 ($40,000 x 250%). The resulting Death
  Benefit would be $100,000 since the Death Benefit is the greater of the
  Stated Amount ($25,000) or the Minimum Amount Insured ($100,000).
 
    EXAMPLE THREE. If the Insured is age 41, and the Cash Value of the Policy
  equals $44,000, the Minimum Amount Insured would be $106,920 ($44,000 x
  243%) (243% is the applicable percentage for a 41-year old insured). The
  Death Benefit would be equal to $106,920 which is the greater of the Stated
  Amount ($25,000) and the Minimum Amount Insured ($106,920).
 
    EXAMPLE FOUR. The Death Benefit may also increase or decrease with the
  investment experience of the applicable Underlying Funds to the extent the
  Minimum Amount Insured exceeds the Stated Amount. Consequently, if the 41-
  year old Insured has a Cash Value equal to $35,000 instead of $44,000, the
  Death Benefit would be $85,050 ($35,000 x 243%).
 
                      OPTION 2 -- VARIABLE DEATH BENEFIT
 
  Under a "Variable" Death Benefit, the Death Benefit under the Policy will
vary with the investment experience of the Investment Option(s) to which
Premium Payments are allocated under the Policy. The Variable Death Benefit
will generally be equal to the Stated Amount ($25,000) plus the Cash Value of
the Policy (determined on the date of the Insured's death). The Death Benefit
cannot, however, be less than the Minimum Amount Insured (or, in this example,
250% of the Cash Value).
 
    EXAMPLE ONE. If the Cash Value of the Policy equals $10,000, the Minimum
  Amount Insured would be $25,000 ($10,000 x 250%). The Death Benefit
  ($35,000) would be equal to the Stated Amount ($25,000) plus the Cash Value
  ($10,000), unless the Minimum Amount Insured ($25,000) was greater.
 
    EXAMPLE TWO. If the Cash Value of the Policy equals $60,000, then the
  Minimum Amount Insured would be $150,000 ($60,000 x 250%). The resulting
  Death Benefit would be $150,000 because the Minimum Amount Insured
  ($150,000) is greater than the Stated Amount plus the Cash Value ($25,000 +
  $60,000 = $85,000).
 
 
-------------------------------------------------------------------------------
36
<PAGE>
 
    EXAMPLE THREE. If the Insured is age 41, and the Cash Value of the Policy
  equals $65,000, the Minimum Amount Insured would be $157,950 
  ($65,000 x 243%) (243% is the applicable percentage for a 41-year old
  insured). The resulting Death Benefit under the Policy would be equal to
  $157,950 because the Minimum Amount Insured ($157,950) is greater than the
  Stated Amount plus the Cash Value ($25,000 + $65,000 = $90,000).
 
  As long as the Policy remains in effect, the Company guarantees that the
Death Benefit under either option will not be less than the current Stated
Amount of the Policy less any outstanding policy loan, Deduction Amount due
but unpaid, and any amount payable pursuant to a collateral assignment of the
Policy. The Death Benefit under either option may vary with the Cash Value of
the Policy. Under Option 1, the Death Benefit equals the Stated Amount and
will vary only when the Minimum Amount Insured exceeds the Stated Amount of
the Policy. Under Option 2, the Death Benefit equals the greater of the Stated
Amount plus the Cash Value, and the Minimum Amount Insured.
 
                                                                             37
<PAGE>
 
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
                  APPENDIX C -- REPRESENTATIVE STATED AMOUNTS
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
 
  The following table represents the Single Premium Factors for the
determination of the Stated Amount per dollar of Gross Premium, varying by 
Male and Female (applicable to standard lives).
 
<TABLE>
<CAPTION>
    MALE
AGE      SP FAC       AGE     SP FAC
<S>     <C>           <C>     <C>
 20     12.65742       51     3.32670
 21     12.20773       52     3.19482
 22     11.76323       53     3.06987
 23     11.32222       54     2.95167
 24     10.88482       55     2.83985
 25     10.45123       56     2.73405
 26     10.02300       57     2.63380
 27      9.60257       58     2.53865
 28      9.19198       59     2.44827
 29      8.79287       60     2.36238
 30      8.40647       61     2.28087
 31      8.03383       62     2.20360
 32      7.67547       63     2.13053
 33      7.33157       64     2.06153
 34      7.00238       65     1.99645
 35      6.68772       66     1.93500
 36      6.38750       67     1.87688
 37      6.10155       68     1.82180
 38      5.82963       69     1.76950
 39      5.57132       70     1.71990
 40      5.32610       71     1.67297
 41      5.09358       72     1.62875
 42      4.87303       73     1.58733
 43      4.66378       74     1.54873
 44      4.46520       75     1.51285
 45      4.27672       76     1.47945
 46      4.09775       77     1.44823
 47      3.92765       78     1.41890
 48      3.76588       79     1.39115
 49      3.61205       80     1.36485
 50      2.46573             
<CAPTION>
   FEMALE
AGE      SP FAC       AGE     SP FAC
<S>     <C>           <C>     <C>
 20     16.15463       51     4.13678
 21     15.48558       52     3.97060
 22     14.83810       53     3.81237
 23     14.21155       54     3.66170
 24     13.60662       55     3.51803
 25     13.02272       56     3.38078
 26     12.45932       57     3.24928
 27     11.91653       58     3.12290
 28     11.39430       59     3.00125
 29     10.89240       60     2.88420
 30     10.41067       61     2.77188
 31      9.94865       62     2.66457
 32      9.50535       63     2.56258
 33      9.08002       64     2.46607
 34      8.67288       65     2.37482
 35      8.28367       66     2.28843
 36      7.91217       67     2.20637
 37      7.55883       68     2.12805
 38      7.22327       69     2.05307
 39      6.90517       70     1.98132
 40      6.60400       71     1.91287
 41      6.31898       72     1.84795
 42      6.04912       73     1.78683
 43      5.79305       74     1.72965
 44      5.54958       75     1.67632
 45      5.31792       76     1.62663
 46      5.09715       77     1.58023
 47      4.88652       78     1.53675
 48      4.68553       79     1.49587
 49      4.49387       80     1.45742
 50      4.31108             
</TABLE>

--------------------------------------------------------------------------------
38
<PAGE>
 
 
 
                                  VINTAGELIFE
                MODIFIED SINGLE PREMIUM VARIABLE LIFE INSURANCE
                                   PROSPECTUS
                  INDIVIDUAL VARIABLE LIFE INSURANCE POLICIES
                                   ISSUED BY
                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                             HARTFORD, CONNECTICUT
 
L-12415                                                                   , 1995
 
 

<PAGE>   1






                     THE TRAVELERS LIFE AND ANNUITY COMPANY











                              Financial Statements

              for the years ended December 31, 1994, 1993 and 1992
<PAGE>   2


                     THE TRAVELERS LIFE AND ANNUITY COMPANY

                              FINANCIAL STATEMENTS

                                     INDEX






                                                                            Page

Independent Auditors' Reports                                               1-3

Financial Statements:

  Statement of Operations and Retained Earnings
    for the years ended December 31, 1994, 1993 and 1992                      4

  Balance Sheet - December 31, 1994 and 1993                                  5

  Statement of Cash Flows
    for the years ended December 31, 1994, 1993 and 1992                      6

  Notes to Financial Statements                                            7-26

Glossary of Insurance Terms                                               27-28






<PAGE>   3



                         Independent Auditors' Report



The Board of Directors and Shareholder of
The Travelers Life and Annuity Company:


We have audited the accompanying balance sheets of The Travelers Life and
Annuity Company as of December 31, 1994 and 1993, and the related statements of
operations and retained earnings and cash flows for the year ended December 31,
1994.  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 The Travelers Life and Annuity
Company as of December 31, 1994 and 1993, and the results of its operations and
its cash flows for the year ended December 31, 1994 in conformity with
generally accepted accounting principles.

As discussed in Note 2 to the financial statements, the Company adopted the
provisions of Statement of Financial Accounting Standards No. 115, "Accounting
for Certain Investments in Debt and Equity Securities," in 1994.



                                        /s/KPMG Peat Marwick LLP




Hartford, Connecticut
January 17, 1995





                                       1
<PAGE>   4


                       Report of Independent Accountants



To the Board of Directors and Shareholder of
  The Travelers Life and Annuity Company:


We have audited the statements of operations and retained earnings and cash
flows of The Travelers Life and Annuity Company for the year ended December 31,
1993.  These financial statements are the responsibility of Company
management.  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 results of operations and cash flows of The
Travelers Life and Annuity Company for the year ended December 31, 1993 in
conformity with generally accepted accounting principles.






/s/COOPERS & LYBRAND
Hartford, Connecticut
September 16, 1994





                                       2
<PAGE>   5



                       Report of Independent Accountants



To the Board of Directors and Shareholder of
  The Travelers Life and Annuity Company:


We have audited the statements of operations and retained earnings and cash
flows of The Travelers Life and Annuity Company for the year ended December 31, 
1992.  These financial statements are the responsibility of Company management.
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 results of operations and cash flows of The
Travelers Life and Annuity Company  for the year ended December 31, 1992 in
conformity with generally accepted accounting principles.

As discussed in Notes 2, 7 and 9 to the financial statements, the Company
changed its method of accounting for postretirement benefits other than
pensions, accounting for income taxes and accounting for foreclosed assets in
1992.





/s/COOPERS & LYBRAND
Hartford, Connecticut
September 16, 1994





                                       3
<PAGE>   6




                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                 STATEMENT OF OPERATIONS AND RETAINED EARNINGS


<TABLE>
<CAPTION>
--------------------------------------------------------------------------------------------------------
(for the year ended December 31, in thousands)                     1994    |        1993            1992
--------------------------------------------------------------------------------------------------------
<S>                                                            <C>               <C>              <C>
REVENUES                                                                   |
Premiums                                                       $  3,498    |    $  4,524         $ 4,781
Net investment income                                            66,093    |      58,044          63,912
Realized investment gains (losses)                               (2,074)   |      11,955          21,403
Other                                                            18,702    |       9,102           7,542
--------------------------------------------------------------------------------------------------------
                                                                 86,219    |      83,625          97,638
--------------------------------------------------------------------------------------------------------
BENEFITS AND EXPENSES                                                      |
Current and future insurance benefits                            55,596    |      67,489          68,253
General and administrative expenses                               2,758    |       3,075           8,045
--------------------------------------------------------------------------------------------------------
                                                                 58,354    |      70,564          76,298
--------------------------------------------------------------------------------------------------------
                                                                           |
Income before federal income taxes and                                     |
  cumulative effects of changes in                                         |
  accounting principles                                          27,865    |      13,061          21,340
--------------------------------------------------------------------------------------------------------
Federal income taxes:                                                      |
  Current                                                         4,742    |      22,124          37,198
  Deferred                                                        4,798    |     (22,672)        (21,704)
--------------------------------------------------------------------------------------------------------
                                                                  9,540    |        (548)         15,494
--------------------------------------------------------------------------------------------------------
                                                                           |
Income before cumulative effects of changes                                |
  in accounting principles                                       18,325    |      13,609           5,846
Cumulative effect of change in accounting                                  |
  for postretirement benefits other than                                   |
  pensions, net of tax                                                -    |           -          (1,148)
Cumulative effect of change in accounting                                  |
  for income taxes                                                    -    |           -           4,171
--------------------------------------------------------------------------------------------------------
                                                                           |
Net income                                                       18,325    |      13,609           8,869
Retained earnings beginning of year                             110,665    |      97,034          88,119
Preference stock tax benefit allocated by parent                      -    |          22              46
--------------------------------------------------------------------------------------------------------
Retained earnings end of year                                  $128,990    |    $110,665         $97,034
--------------------------------------------------------------------------------------------------------
</TABLE>





                       See notes to financial statements.





                                       4
<PAGE>   7



                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                                 BALANCE SHEET


<TABLE>
<CAPTION>

---------------------------------------------------------------------------------------------------
(at December 31, in thousands)                                                  1994           1993
---------------------------------------------------------------------------------------------------
<S>                                                                        <C>           <C>
ASSETS
Fixed maturities, available for sale at market in 1994
  (cost, $624,347); at lower of aggregate cost or market
  in 1993 (market, $487,010)                                               $  559,142    $  486,195
Equity securities, at market (cost, $14,252; $22,827)                          16,064        24,666
Mortgage loans                                                                152,359       246,965
Real estate held for sale, net of accumulated depreciation of $337; $0          6,810        30,983
Short-term securities                                                          44,472        43,326
Other investments                                                              72,190        75,708
---------------------------------------------------------------------------------------------------
         Total investments                                                    851,037       907,843
---------------------------------------------------------------------------------------------------
Cash                                                                              296             -
Investment income accrued                                                      10,211        11,296
Reinsurance recoverable                                                           573           523
Deferred federal income taxes                                                  94,315        78,007
Separate accounts                                                             820,384       949,772
Value of insurance in force                                                    21,014             -
Other assets                                                                    3,539        15,703
---------------------------------------------------------------------------------------------------
         Total assets                                                      $1,801,369    $1,963,144
---------------------------------------------------------------------------------------------------

LIABILITIES
Future policy benefits                                                     $  691,108      $707,916
Current federal income taxes                                                   26,071        20,305
Separate accounts                                                             808,181       942,633
Other liabilities                                                              17,889        11,383
---------------------------------------------------------------------------------------------------
         Total liabilities                                                  1,543,249     1,682,237
---------------------------------------------------------------------------------------------------
SHAREHOLDER'S EQUITY
Common stock, par value $100; 100,000
  shares authorized, 30,000 issued and outstanding                              3,000         3,000
Additional paid-in capital                                                    167,354       166,047
Unrealized investment gains (losses), net of taxes                            (41,224)        1,195
Retained earnings                                                             128,990       110,665
---------------------------------------------------------------------------------------------------
         Total shareholder's equity                                           258,120       280,907
---------------------------------------------------------------------------------------------------

         Total liabilities and shareholder's equity                        $1,801,369    $1,963,144
---------------------------------------------------------------------------------------------------
</TABLE>


                       See notes to financial statements.





                                       5
<PAGE>   8



                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                            STATEMENT OF CASH FLOWS
                          Increase (Decrease) in Cash


<TABLE>
<CAPTION>

-----------------------------------------------------------------------------------------------------
(for the year ended December 31, in thousands)                    1994    |       1993           1992
-----------------------------------------------------------------------------------------------------
<S>                                                           <C>              <C>             <C>
CASH FLOWS FROM OPERATING ACTIVITIES                                      |
  Premiums collected                                          $  3,498    |   $  4,524        $10,034
  Net investment income received                                57,240    |     53,944         64,304
  Benefits and claims paid                                     (72,298)   |    (74,660)       (76,873)
  Operating expenses paid                                       (4,400)   |     (3,249)        (6,562)
  Income taxes refunded (paid)                                   1,030    |    (10,661)       (25,537)
  Trading account investments (purchases) sales, net                 -    |     35,093        (18,341)
  Other                                                         22,507    |       (683)       (19,101)
-----------------------------------------------------------------------------------------------------
      Net cash provided by (used in) operating activities        7,577    |      4,308        (72,076)
-----------------------------------------------------------------------------------------------------
CASH FLOWS FROM INVESTING ACTIVITIES                                      |
  Investment repayments                                                   |
    Fixed maturities                                            29,043    |     29,479         28,409
    Mortgage loans                                              60,260    |     53,835         80,904
  Proceeds from investments sold                                          |
    Fixed maturities                                            41,671    |     46,001          4,527
    Equity securities                                            9,373    |      7,676         34,058
    Mortgage loans                                              23,327    |     11,835         26,120
    Real estate                                                 34,181    |     26,014         20,025
  Investments in                                                          |
    Fixed maturities                                          (204,412)   |   (206,682)       (75,479)
    Equity securities                                             (375)   |     (5,280)       (15,577)
    Mortgage loans                                              (5,607)   |          -           (599)
  Short-term securities, (purchases) sales, net                 (1,146)   |    (16,430)       (26,310)
  Other investments, (purchases) sales, net                        682    |     46,595        (11,437)
  Securities transactions in course of settlement                5,722    |      1,133          7,095
-----------------------------------------------------------------------------------------------------
      Net cash provided by (used in) investing activities       (7,281)   |     (5,824)        71,736
-----------------------------------------------------------------------------------------------------
Net increase (decrease) in cash                               $    296    |   $ (1,516)       $  (340)
-----------------------------------------------------------------------------------------------------

Cash at December 31                                           $    296        $      -        $ 1,516
-----------------------------------------------------------------------------------------------------
</TABLE>





                       See notes to financial statements.





                                       6
<PAGE>   9

                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS





1.     SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

       The Travelers Life and Annuity Company (the Company) is a wholly owned
       subsidiary of The Travelers Insurance Company (TIC). TIC is a wholly
       owned subsidiary of The Travelers Insurance Group Inc. (TIG).  TIG is an
       indirect wholly owned subsidiary of The Travelers Inc.  Significant
       accounting policies used in the preparation of the accompanying financial
       statements follow.

       Basis of presentation

       In December 1992, Primerica Corporation (Primerica) acquired
       approximately 27% of The Travelers Corporation's common stock (the
       Acquisition).  The Acquisition was accounted for as a purchase.

       Effective December 31, 1993, Primerica acquired the approximately 73% of
       The Travelers Corporation common stock which it did not already own, and
       The Travelers Corporation was merged into Primerica, which was renamed
       The Travelers Inc.  This was effected through the exchange of .80423
       shares of The Travelers Inc. common stock for each share of The Travelers
       Corporation common stock (the Merger).  All subsidiaries of The Travelers
       Corporation were contributed to TIG.

       The Acquisition and the Merger are being accounted for as a "step
       acquisition."  The step acquisition method of purchase accounting
       requires that the assets and liabilities of the Company be recorded at
       the fair values determined at each acquisition date (i.e., 27% of values
       at December 31, 1992 as carried forward and 73% of the values at
       December 31, 1993).  These assets and liabilities are reflected in the
       balance sheet at December 31, 1993 based upon management's then best
       estimate of their fair values.  Evaluation and appraisal of assets and
       liabilities, including investments, the value of insurance in force,
       reinsurance recoverable, other insurance assets and liabilities and
       related deferred income taxes were completed during 1994.  The excess of
       the 27% share of assigned value of identifiable net assets over cost at
       December 31, 1992, which was allocated to the Company through the
       "pushdown" basis of accounting, was approximately $1.3 million and is
       being amortized over ten years on a straight-line basis.

       The statement of operations and retained earnings, the statement of cash
       flows and the related accompanying notes for the year ended December 31,
       1994, which are presented on a purchase accounting basis, are separated
       from the corresponding 1993 and 1992 information, which is presented on a
       historical accounting basis, to indicate the difference in valuation
       bases.

       Certain prior year amounts have been reclassified to conform with the
       1994 presentation.





                                       7
<PAGE>   10

                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS





1.     SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, Continued

       Investments

       Fixed maturities include bonds, notes and redeemable preferred stocks.
       Fixed maturities are valued based upon quoted market prices, or if
       quoted market prices are not available, discounted expected cash flows
       using market rates commensurate with the credit quality and maturity of
       the investment.  Securities are classified as "available for sale" and
       are reported at fair value, with unrealized gains and losses, net of
       income taxes, charged or credited directly to shareholder's equity at
       December 31, 1994.  As of December 31, 1993, in conjunction with the
       Merger, all fixed maturities were classified as "available for sale" and
       recorded at the lower of aggregate cost or market value.

       Equity securities, which include common and nonredeemable preferred
       stocks, are carried at market values that are based primarily on quoted
       market prices.  Changes in market values of equity securities are charged
       or credited directly to shareholder's equity, net of applicable income
       taxes.

       Mortgage loans are carried at amortized cost.  Real estate held for sale
       is carried at the lower of cost or fair value less estimated costs to
       sell.  Fair value was established at time of foreclosure by appraisers,
       both internal and external, using discounted cash flow analyses and
       other acceptable techniques.

       Accrual of income is suspended on fixed maturities or mortgage loans
       that are in default, or on which it is likely that future interest
       payments will not be made as scheduled.  Interest income on investments
       in default is recognized only as payment is received.

       Forward commitments are not recorded in the balance sheet until the
       commitments are fulfilled.

       Investment Gains and Losses

       Realized investment gains and losses are included as a component of
       pretax revenues based upon specific identification of the investments
       sold on the trade date and, prior to the Merger, included adjustments to
       the valuation reserves.  These adjustments reflected changes considered
       to be other than temporary in the net realizable value of investments.
       Also included are gains and losses arising from the translation of the
       local currency value of foreign investments to U.S. dollars, the
       functional currency of the Company.

       Separate Accounts

       Separate accounts primarily represent funds for which the assets of each
       account are legally segregated and are not subject to claims that arise
       out of any other business of the Company.  Each account has specific
       investment objectives.  The liabilities associated with these separate
       account products provide for guarantees of mortality, morbidity,
       principal or interest and the related assets of these accounts are
       carried at amortized cost except at December 31, 1993, when the assets
       and liabilities of these accounts were recorded at the value assigned at
       the acquisition dates.  Amounts assessed to the contractholders for
       management services are included in other revenues.  Deposits and net
       investment income for these accounts are excluded from revenues, and
       related liability increases are excluded from benefits and expenses.





                                       8
<PAGE>   11

                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS





1.     SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, Continued

       Value of Insurance In Force

       The value of insurance in force represents the actuarially determined
       present value of anticipated profits to be realized from annuities
       contracts at the date of the Merger using the same assumptions that were
       used for computing related liabilities where appropriate.  The value of
       insurance in force was the actuarially determined present value of the
       projected future profits discounted at an interest rate of 16% for the
       business acquired.  The value of the business in force is amortized over
       the contract period using current interest crediting rates to accrete
       interest and using an amortization method based on a level yield method.
       The value of insurance in force is reviewed periodically for
       recoverability to determine if any adjustment is required.

       Benefit Reserves

       Benefit reserves represent liabilities for future insurance policy
       benefits.  Benefit reserves for traditional life insurance and annuity
       policies have been computed based upon mortality, morbidity, persistency
       and interest assumptions applicable to these coverages, which range from
       5.5% to 7.3%, including a provision for adverse deviation.  These
       assumptions consider Company experience and industry standards and may
       be revised if it is determined that the future experience will differ
       substantially from that previously assumed.  The assumptions vary by
       plan, age at issue, year of issue and duration.

       At December 31, 1994, the Company has $691.1 million of life and annuity
       deposit funds and reserves, none of which are subject to discretionary
       withdrawal based on contract terms and related market conditions.

       Permitted Statutory Accounting Practices

       The Company, domiciled in the State of Connecticut, prepares statutory
       financial statements in accordance with the accounting practices
       prescribed or permitted by the State of Connecticut Insurance
       Department.  Prescribed statutory accounting practices include a variety
       of publications of the National Association of Insurance Commissioners
       as well as state laws, regulations, and general administrative rules.
       Permitted statutory accounting practices encompass all accounting
       practices not so prescribed.  The impact of any permitted accounting
       practices on the statutory surplus of the Company is not material.

       Premiums

       Premiums are recognized as revenues when due.  Reserves are established
       for the portion of premiums that will be earned in future periods.

       Other Revenues

       Other revenues include surrender, mortality and administrative charges
       and fees as earned on investment and other insurance contracts.





                                       9
<PAGE>   12

                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS





1.     SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, Continued

       Federal Income Taxes

       The provision for federal income taxes is comprised of two components,
       current income taxes and deferred income taxes.  Deferred federal income
       taxes arise from changes in the Company's deferred federal income tax
       asset during the year.  The deferred federal income tax asset is
       recognized to the extent that future realization of the tax benefit is
       more likely than not, with a valuation allowance for the portion that is
       not likely to be recognized.

       Accounting Standards not yet Adopted

       Statement of Financial Accounting Standards No. 118, "Accounting by
       Creditors for Impairment of a Loan - Income Recognition and Disclosures"
       (FAS 118), and Statement of Financial Accounting Standards No. 114,
       "Accounting by Creditors for Impairment of a Loan" (FAS 114), describe
       how impaired loans should be measured when determining the amount of a
       loan loss accrual.  These statements also amend existing guidance on the
       measurement of restructured loans in a troubled debt restructuring
       involving a modification of terms.  The adoption of these statements,
       effective January 1, 1995, will not have a material effect on results of
       operations or financial position.

2.     CHANGES IN ACCOUNTING PRINCIPLES

       Accounting for Certain Debt and Equity Securities

       Effective January 1, 1994, the Company adopted Statement of Financial
       Accounting Standards No. 115, "Accounting for Certain Investments in Debt
       and Equity Securities" (FAS 115), which addresses accounting and
       reporting for investments in equity securities that have a readily
       determinable fair value and for all debt securities.  Investment
       securities have been classified as "available for sale" and are reported
       at fair value, with unrealized gains and losses, net of income taxes,
       charged or credited directly to shareholder's equity.  Previously,
       securities classified as available for sale were carried at the lower of
       aggregate cost or market value.  Initial adoption of this standard
       resulted in an increase of approximately $530 thousand (net of taxes) to
       net unrealized gains in shareholder's equity.  See note 11 for additional
       disclosures.

       Accounting and Reporting for Reinsurance Contracts

       In the first quarter of 1993, the Company implemented Statement of
       Financial Accounting Standards No. 113, "Accounting and Reporting for
       Reinsurance of Short-Duration and Long-Duration Contracts" (FAS 113). FAS
       113 requires the reporting of reinsurance receivables and prepaid
       reinsurance premiums as assets and precludes the immediate recognition of
       gains for all reinsurance contracts unless the liability to the
       policyholder has been extinguished.  Implementation of FAS 113 did not
       have an impact on the Company's earnings, however, assets and liabilities
       increased by like amounts.  See note 3 for additional reinsurance
       disclosures.





                                       10
<PAGE>   13

                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS





2.     CHANGES IN ACCOUNTING PRINCIPLES, Continued

       Postretirement Benefits other than Pensions

       In 1992, the Company adopted Statement of Financial Accounitng Standards
       No. 106, "Employers' Accounting for Postretirement Benefits Other Than
       Pensions" (FAS 106).  As required, the Company changed its method of
       accounting for retiree benefit plans effective January 1, 1992, to accrue
       for the Company's share of the costs of postretirement benefits over the
       service period rendered by employees.  Previously these benefits were
       charged to expense when paid.  The Company elected to recognize
       immediately the liability for postretirement benefits as the cumulative
       effect of a change in accounting principle.  This resulted in a noncash
       after-tax charge to net income of $1.1 million.  See Note 7 for
       additional information relating to FAS 106.

       Accounting for Income Taxes

       In the third quarter of 1992, the Company adopted Statement of Financial
       Accounting Standards No. 109, "Accounting for Income Taxes" (FAS 109)
       with retroactive application to January 1, 1992.  FAS 109 establishes new
       principles for calculating and reporting the effects of federal income
       taxes in financial statements.  FAS 109 replaces the income statement
       orientation inherent in the prior income tax accounting standard with a
       balance sheet approach.  Under the new approach, deferred tax assets and
       liabilities are generally determined based on the difference between the
       financial statement and tax bases of assets and liabilities using enacted
       tax rates in effect for the year in which the differences are expected to
       reverse.  FAS 109 allows recognition of deferred tax assets if future
       realization of the tax benefit is more likely than not, with a valuation
       allowance for the portion that is not likely to be recognized.

       The implementation of FAS 109 resulted in a one time increase to earnings
       of $4.2 million in the first quarter of 1992.  This increase in earnings
       was principally due to tax rate differences and the recognition of a
       portion of previously unrecognized deferred tax assets.  See note 9 for
       further discussion of FAS 109.

       Accounting for Foreclosed Assets

       In February 1993, The Travelers Corporation announced its intent to
       accelerate the sale of foreclosed real estate and, effective December 31,
       1992, changed its method of accounting for foreclosed assets in
       compliance with the American Institute of Certified Public Accountants'
       Statement of Position 92-3, "Accounting for Foreclosed Assets" (SOP
       92-3).  This guidance requires that in-substance foreclosures and
       foreclosed assets held for sale be carried at the lower of cost or fair
       value less estimated costs to sell.  Previously, all foreclosed assets
       were carried at cost less accumulated depreciation.  This accounting
       change resulted in a $12.5 million pre-tax charge to realized investment
       losses in 1992.

3.     REINSURANCE

       The Company participates in reinsurance to reduce overall risks,
       including exposure to large losses and catastrophic events.  The Company
       remains primarily liable as the direct insurer on all risks reinsured.





                                       11
<PAGE>   14

                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS





3.     REINSURANCE, Continued

       Life insurance in force ceded to affiliates at December 31, 1994 and 1993
       was $106.0 million and $111.7 million, respectively.

4.     SHAREHOLDER'S EQUITY

       Unrealized Investment Gains (Losses)

       An analysis of the change in unrealized gains and losses on investments
       is shown in note 11.

       Additional Paid-in Capital

       As a result of the finalization of the evaluations and appraisals used
       to assign fair values to assets and liabilities under purchase
       accounting, additional paid-in capital was increased by $1.3 million in
       1994.  It was decreased by $70.4 million in 1993 based upon the initial
       evaluations and appraisals.

       Shareholder's Equity and Dividend Availability

       The statutory net income was $5.7 million for the year ended December 31,
       1994.  The statutory net loss was $23.0 million and $35.3 million for the
       years ended December 31, 1993 and 1992, respectively.

       Statutory capital and surplus was $233.0 million and $220.1 million at
       December 31, 1994 and 1993, respectively.

       The Company is currently subject to various regulatory restrictions that
       limit the maximum amount of dividends available to TIC without prior
       approval of insurance regulatory authorities.  Under statutory
       accounting practices, there is no statutory surplus available in 1995
       for dividends to TIC without prior approval.

5.     DISCLOSURE ABOUT DERIVATIVE FINANCIAL INSTRUMENTS AND FAIR VALUE OF
       FINANCIAL INSTRUMENTS

       The Company has, in the normal course of business, provided fixed rate
       loan commitments and commitments to partnerships.  Also, the Company
       uses forward contracts as a means of prudently hedging exposure to
       foreign currency rate risk on existing assets.  The Company does not
       hold or issue derivative instruments for trading purposes.

       These derivative financial instruments have off-balance-sheet risk.
       Financial instruments with off-balance-sheet risk involve, to varying
       degrees, elements of credit and market risk in excess of the amount
       recognized in the balance sheet.  The contract or notional amounts of
       these instruments reflect the extent of involvement the Company has in a
       particular class of financial instrument.  However, the maximum credit
       loss or cash flow associated with these instruments can be less than
       these amounts.  For unfunded commitments, credit exposure is the
       contractual amount of the unfunded commitments.





                                       12
<PAGE>   15

                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS





5.     DISCLOSURE ABOUT DERIVATIVE FINANCIAL INSTRUMENTS AND FAIR VALUE OF
       FINANCIAL INSTRUMENTS, Continued

       The Company monitors creditworthiness of counterparties to these
       financial instruments by using criteria of acceptable risk that are
       consistent with on-balance-sheet financial instruments.  The controls
       include credit approvals, limits and other monitoring procedures.  Many
       transactions include the use of collateral to minimize credit risk and
       lower the effective cost to the borrower.

       A summary of contract or notional amounts is presented below:

<TABLE>
<CAPTION>

       --------------------------------------------------------------------------------
                                                                     Contract or
                                                                   notional amount
       (in thousands)                                         1994                 1993
       --------------------------------------------------------------------------------
       <S>                                                  <C>                  <C>
       Financial instruments whose contract
        amount represents credit exposure:
            Unfunded commitments to partnerships            $9,606               $9,328
            Fixed rate loan commitments                        378                6,631
       --------------------------------------------------------------------------------
</TABLE>

       The Company has outstanding at any given time commitments to fund
       partnerships.  Generally these are simple forward commitments for
       investment purposes.  At December 31, 1994 and 1993, the terms of
       unfunded commitments to partnerships approximate market value.  Fixed
       rate loan commitments are obligations to make investments at fixed rates.
       At December 31, 1994 and 1993, the terms of fixed rate loan commitments
       approximate market value.

       The off-balance-sheet risks of forward contracts were not considered
       significant at December 31, 1994 and 1993.

       Fair Value of Certain Financial Instruments

       The Company uses various financial instruments in the normal course of
       its business.  Fair values of financial instruments which are considered
       insurance contracts are not required to be disclosed and are not
       included in the amounts discussed.

       At December 31, 1994 and 1993, investments in fixed maturities have a
       fair value of $559.1 million and $487.0 million, respectively.  See note
       11.

       At December 31, 1994, mortgage loans have a carrying value of $152.4
       million, which approximates fair value, compared with a carrying value
       and fair value of $247.0 million at December 31, 1993.  In estimating
       fair value, the Company used interest rates reflecting the higher
       returns required in the current real estate financing market.

       The carrying value of $2.4 million and $2.0 million of financial
       instruments classified as other assets approximates their fair values at
       December 31, 1994 and 1993, respectively.  The carrying value of $14.2
       million and $7.6 million of financial instruments classified as other
       liabilities also approximates their fair values at December 31, 1994 and
       1993, respectively.  Fair value is determined using various methods
       including discounted cash flows and carrying value, as appropriate for
       the various financial instruments.





                                       13
<PAGE>   16

                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS





5.     DISCLOSURE ABOUT DERIVATIVE FINANCIAL INSTRUMENTS AND FAIR VALUE OF
       FINANCIAL INSTRUMENTS, Continued

       The assets of separate accounts providing a guaranteed return have a
       carrying value and a fair value of $820.4 million and $757.2 million,
       respectively, at December 31, 1994, compared to a carrying value of
       $949.7 million which approximates fair value at December 31, 1993.  The
       liabilities of separate accounts providing a guaranteed return have a
       carrying value and a fair value of $808.2 million and $681.4 million,
       respectively, at December 31, 1994, compared to a carrying value of
       $942.7 million which approximates fair value at December 31, 1993.

       The carrying values of cash, short-term securities, and investment
       income accrued approximate their fair values.

6.     COMMITMENTS AND CONTINGENCIES

       Financial Instruments with Off-Balance-Sheet Risk

       See Note 5 for a discussion of financial instruments with
       off-balance-sheet risk.

       Litigation

       The Company is a defendant in various litigation matters.  Although there
       can be no assurances, as of December 31, 1994, the Company believes,
       based on information currently available, that the ultimate resolution of
       these legal proceedings would not be likely to have a material adverse
       effect on  its results of operations, financial condition or liquidity.

7.     BENEFIT PLANS

       Pension Plans

       The Company participates in qualified and nonqualified, noncontributory
       defined benefit pension plans covering the majority of the Company's U.S.
       employees.  Benefits for the qualified plan are based on an account
       balance formula.  Under this formula, each employee's accrued benefit can
       be expressed as an account that is credited with amounts based upon the
       employee's pay, length of service and a specified interest rate, all
       subject to a minimum benefit level.  This plan is funded in accordance
       with the Employee Retirement Income Security Act of 1974 and the Internal
       Revenue Code.  For the nonqualified plan, contributions are based on
       benefits paid.  The Company's share of net pension expense was not
       significant for 1994, 1993 or 1992.





                                       14
<PAGE>   17

                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS


7.    BENEFIT PLANS, Continued

      Other Benefit Plans

      In addition to pension benefits, the Company provides certain health care
      and life insurance benefits for retired employees through a plan
      sponsored by TIG.  Covered employees may become eligible for these
      benefits if they reach retirement age while working for the Company.
      These retirees may elect certain prepaid health care benefit plans.  Life
      insurance benefits generally are set at a fixed amount.  The cost
      recognized by the Company for these benefits represents its allocated
      share of the total costs of the plan, net of employee contributions.

      In the third quarter of 1992, TIG adopted FAS 106 and elected to
      recognize the accumulated postretirement benefit obligation (i.e., the
      transition obligation) as a change in accounting principle retroactive to
      January 1, 1992.  The Company's pretax share of the total cost of the
      plan for 1994,  1993 and 1992 was $140 thousand, $155 thousand and $1.9
      million, respectively.

      The Merger resulted in a change in control of The Travelers Corporation
      as defined in the applicable plans, and provisions of some employee
      benefit plans secured existing compensation and benefit entitlements
      earned prior to the change in control, and provided a salary and benefit
      continuation floor for employees whose employment was affected.  The
      costs related to these changes have been assumed by TIG.

      Savings, Investment and Stock Ownership Plan

      Under the savings, investment and stock ownership plan available to
      substantially all employees of TIG, the Company matches a portion of
      employee contributions.  Effective April 1, 1993, the match decreased
      from 100% to 50% of an employee's first 5% contribution and a variable
      match based on TIG's profitability was added.  The Company's matching
      obligation was $48 thousand, $94 thousand and $245 thousand in 1994, 1993
      and 1992, respectively.

8.    RELATED PARTY TRANSACTIONS

      The principal banking functions for certain subsidiaries and affiliates
      of TIG, and salaries and expenses for TIG and its insurance subsidiaries,
      are handled by TIC.  Settlements for these functions between TIC and its
      affiliates are made regularly.  TIC provides various insurance coverages,
      principally life and health, to certain subsidiaries of TIG.  The
      premiums for these coverages were charged in accordance with normal cost
      allocation procedures.  In addition, investment advisory and management
      services, data processing services and claims processing services are
      provided by  affiliated companies.

      TIG and its subsidiaries maintain short-term investment pools in which
      the Company participates.  The positions of each company participating in
      the pools are calculated and adjusted daily.  At December 31, 1994 and
      1993, the pools totaled approximately $1.5 billion and $1.3 billion,
      respectively.  The Company's share of the pools amounted to $44.5 million
      and $43.2 million at December 31, 1994 and 1993, respectively, and is
      included in short-term securities in the balance sheet.





                                       15
<PAGE>   18
                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS


8.    RELATED PARTY TRANSACTIONS, Continued

      Amounts due to parent and affiliates included in other liabilities at
      December 31, 1994 were $3.8 million.  Amounts due from parent and
      affiliates included in other assets at December 31, 1993 were $13.5
      million.

      Most leasing functions for TIG and its subsidiaries are handled by TIC.
      Leasing expenses are shared by the companies on a cost allocation method
      based generally on estimated usage by department.

9.    FEDERAL INCOME TAXES

<TABLE>
<CAPTION>
                                                                                                
      ---------------------------------------------------------------------------------------
      (in thousands)                                     1994   |        1993            1992
      ---------------------------------------------------------------------------------------
      <S>                                            <C>           <C>             <C>
      Effective tax rate                                        |
                                                                |
      Income before federal                                     |
         income taxes                                $ 27,865   |  $   13,061       $  21,340
      ---------------------------------------------------------------------------------------
      Statutory tax rate                                   35%  |          35%             34%
      ---------------------------------------------------------------------------------------
                                                                |
      Expected federal income taxes                  $  9,753   |  $    4,571       $   7,256
      Tax effect of:                                            |
         Nontaxable investment income                     (90)  |         (85)            (83)
         Adjustments to benefit and other reserves       (117)  |      (4,705)          7,217
         Adjustment to deferred tax asset for                   |
            enacted change in tax rates from                    |
            34% to 35%                                      -   |        (255)              -
         Other                                             (6)  |         (74)          1,104
      ---------------------------------------------------------------------------------------
      Federal income taxes                           $  9,540   |  $     (548)      $  15,494
      ---------------------------------------------------------------------------------------
                                                                |
      Effective tax rate                                   34%  |          (4)%            73%
      ---------------------------------------------------------------------------------------
                                                                |
      Composition of federal income taxes                       |
      Current:                                                  |
         United States                               $  4,742   |  $   22,124       $  37,198
      ---------------------------------------------------------------------------------------
                                                                |
      Deferred:                                                 |
         United States                                  4,798   |     (22,672)        (21,704)
      ---------------------------------------------------------------------------------------
      Federal income taxes                           $  9,540   |  $     (548)      $  15,494
      ---------------------------------------------------------------------------------------
</TABLE>





                                       16
<PAGE>   19
                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS


9.    FEDERAL INCOME TAXES, Continued

      The net deferred tax assets at December 31, 1994 and 1993 were comprised
      of the tax effects of the temporary differences related to the following
      assets and liabilities:

<TABLE>
<CAPTION>
                                                                                                     
      ------------------------------------------------------------------------------
      (in thousands)                                               1994         1993
      ------------------------------------------------------------------------------
      <S>                                                    <C>            <C>
      Deferred tax assets:
        Benefit, reinsurance and other reserves               $  70,729     $ 71,623
        Investments                                              30,908        3,521
        Investment income valuation reserve                           -        3,317
        Other                                                     2,766        1,616
      ------------------------------------------------------------------------------

          Total                                                 104,403       80,077
      ------------------------------------------------------------------------------

      Deferred tax liabilities:
        Value of insurance in force                               7,355            -
        Other                                                       663            -
      ------------------------------------------------------------------------------
          Total                                                   8,018            -
      ------------------------------------------------------------------------------


      Net deferred tax asset before valuation allowance          96,385       80,077
      Valuation allowance for deferred tax assets                (2,070)      (2,070)
      ------------------------------------------------------------------------------

      Net deferred tax asset after valuation allowance        $  94,315     $ 78,007
      ------------------------------------------------------------------------------
</TABLE>

      Starting in 1994 and continuing for at least five years, TIC and its life
      insurance subsidiaries will file a consolidated federal income tax
      return.  Federal income taxes are allocated to each member on a separate
      return basis adjusted for credits and other amounts required by the
      consolidation process.  Any resulting liability will be paid currently to
      TIC.  Any credits for losses will be paid by TIC to the extent that such
      credits are for tax benefits that have been utilized in the consolidated
      federal income tax return.  The Company has no receivable for
      unreimbursed credits from its previous allocation agreement with the
      Travelers Corporation.

      A net deferred tax asset valuation allowance of $2.1 million has been
      established to reduce the net deferred tax asset on investment losses to
      the amount that, based upon available evidence, is more likely than not
      to be realized.  Reversal of the valuation allowance is contingent upon
      the recognition of future capital gains in the Company's consolidated
      life insurance company federal income tax return through 1998, and the
      consolidated federal income tax return of The Travelers Inc.  commencing
      in 1999 or a change in circumstances which causes the recognition of the
      benefits to become more likely than not.  There was no net change in the
      valuation allowance during 1994.  The initial recognition of any benefit
      provided produced by the reversal of the valuation allowance will be
      recognized by reducing goodwill.





                                       17
<PAGE>   20
                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS


9.    FEDERAL INCOME TAXES, Continued

      In management's judgment, the $94.3 million "net deferred tax asset after
      valuation allowance" as of December 31, 1994, is fully recoverable
      against expected future years' taxable ordinary income and capital gains.
      At December 31, 1994, the Company has no ordinary or capital loss
      carryforwards.

      The "policyholders surplus account", which arose under prior tax law, is
      generally that portion of the gain from operations that has not been
      subjected to tax, plus certain deductions.  The balance of this account,
      which, under provisions of the Tax Reform Act of 1984, will not increase
      after 1983, is estimated to be $2.0 million.  This amount has not been
      subjected to current income taxes but, under certain conditions that
      management considers to be remote, may become subject to income taxes in
      future years.  At current rates, the maximum amount of such tax (for
      which no provision has been made in the financial statements) is
      approximately $700 thousand.

      See note 2 for a discussion of the implementation of new principles for
      accounting for income taxes.


10.   NET INVESTMENT INCOME

<TABLE>
<CAPTION>
      -----------------------------------------------------------------------------------------
      (For the year ended December 31, in thousands)         1994   |       1993           1992
      -----------------------------------------------------------------------------------------
      <S>                                                <C>            <C>            <C>
      Gross investment income                                       |
      -----------------------                                       |
      Fixed maturities                                   $ 44,569   |  $  39,400      $  34,429
      Equity securities                                       827   |        930          1,221
      Mortgage loans                                       17,178   |     25,258         37,846
      Real estate                                           6,299   |     19,028         20,640
      Other                                                 4,265   |     (4,273)        (1,371)
      -----------------------------------------------------------------------------------------
                                                           73,138   |     80,343         92,765
      -----------------------------------------------------------------------------------------
                                                                    |
      Investment expenses                                   7,045   |     22,299         28,853
      -----------------------------------------------------------------------------------------
      Net investment income                              $ 66,093   |  $  58,044      $  63,912
      -----------------------------------------------------------------------------------------
</TABLE>





                                       18
<PAGE>   21
                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS


11.   INVESTMENTS AND INVESTMENT GAINS (LOSSES)

      Realized investment gains (losses) for the periods were as follows:

<TABLE>
<CAPTION>
      -----------------------------------------------------------------------------------------
      (For the year ended December 31, in thousands)          1994   |       1993          1992
      -----------------------------------------------------------------------------------------
      <S>                                                 <C>            <C>           <C>
      Realized                                                       |
                                                                     |
      Fixed maturities                                    $   (908)  |   $  8,659      $ (1,621)
      Equity securities                                      1,675   |      1,580         4,065
      Mortgage loans                                            36   |     (1,564)          823
      Real estate                                                -   |     (8,310)       (6,713)
      Other                                                 (2,877)  |     11,590        24,849
      -----------------------------------------------------------------------------------------
      Realized investment gains (losses)                  $ (2,074)  |   $ 11,955      $ 21,403
      -----------------------------------------------------------------------------------------
</TABLE>

      Changes in net unrealized investment gains (losses) that are included as a
      separate component of shareholder's equity were as follow:

<TABLE>
<CAPTION>
      -------------------------------------------------------------------------------------------
      (For the year ended December 31, in thousands)          1994   |        1993           1992
      -------------------------------------------------------------------------------------------
      <S>                                                <C>             <C>            <C>
      Unrealized                                                     |
                                                                     |
      Fixed maturities                                   $ (65,205)  |   $ (20,059)      $ 20,730
      Equity securities                                        (27)  |      (1,389)         3,916
      Other                                                    (28)  |       8,524         (5,318)
      -------------------------------------------------------------------------------------------
                                                           (65,260)  |     (12,924)        19,328
      Related taxes                                        (22,841)  |      (3,445)         6,571
      -------------------------------------------------------------------------------------------
                                                                     |
      Net unrealized investment gains (losses)             (42,419)  |      (9,479)        12,757
      Balance beginning of year                              1,195          10,674   |     (2,083)
      -------------------------------------------------------------------------------------------
      Balance end of year                                $ (41,224)      $   1,195   |   $ 10,674
      -------------------------------------------------------------------------------------------
</TABLE>


      The initial adoption of FAS 115 resulted in an increase of approximately
      $530 thousand (net of taxes) to net unrealized investment gains in 1994.

      Fixed Maturities

      Proceeds from sales of fixed maturities classified as available for sale
      were $41.7 million in 1994, resulting in gross realized gains of $869
      thousand and gross realized losses of $1.9 million.  There were no sales
      of fixed maturities classified as available for sale in 1993 or 1992 as,
      in conjunction with the Merger, all fixed maturities were first
      classified as "available for sale" effective December 31, 1993.





                                       19
<PAGE>   22
                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS


11.   INVESTMENTS AND INVESTMENT GAINS (LOSSES), Continued

      Prior to December 31, 1993, fixed maturities that were intended to be
      held to maturity were recorded at amortized cost and classified as held
      for investment.  Proceeds from sales of such securities were $16.4
      million and $5.1 million in 1993 and 1992, respectively.  Gross gains of
      $617 thousand in 1993 and gross losses of $2.2 million in 1992 were
      realized on those sales.

      Prior to December 31, 1993, the carrying values of the trading portfolio
      fixed maturities were adjusted to market value as it was likely they
      would be sold prior to maturity.  Sales of trading portfolio fixed
      maturities were $96.6 million and $39.0 million in 1993 and 1992,
      respectively.  Gross gains of $12.4 million and $1.2 million in 1993 and
      1992, respectively, were realized on those sales.

      The amortized cost and market values of investments in fixed maturities
      were as follows:

<TABLE>
<CAPTION>
      ----------------------------------------------------------------------------------------
      December 31, 1994                                                                       
      ----------------------------------------------------------------------------------------
                                                             Gross          Gross
                                           Amortized    unrealized     unrealized         Market
      (in thousands)                            cost         gains         losses          value
      ------------------------------------------------------------------------------------------
      <S>                                  <C>             <C>           <C>           <C>
      Available for sale:
          Mortgage-backed securities -
             CMOs and pass through
             securities                    $  60,102       $    14       $  4,624      $  55,493
          U.S. Treasury securities
             and obligations of U.S.
             Government and
             government agencies
             and authorities                 188,043            25         24,301        163,767
          Obligations of states and
              political subdivisions           3,000             -            184          2,816
          Debt securities issued by
             foreign governments              20,076             -          2,157         17,919
          All other corporate bonds          352,197         1,140         35,055        318,280
          Redeemable preferred stock             929            13             76            867
      ------------------------------------------------------------------------------------------
          Total                            $ 624,347       $ 1,192       $ 66,397      $ 559,142
      ------------------------------------------------------------------------------------------
</TABLE>





                                       20
<PAGE>   23
                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS


11.   INVESTMENTS AND INVESTMENT GAINS (LOSSES), Continued

<TABLE>
<CAPTION>
      --------------------------------------------------------------------------------------------
      December 31, 1993                                                                       
      --------------------------------------------------------------------------------------------
                                                               Gross           Gross
                                             Carrying     unrealized      unrealized        Market
      (in thousands)                            value          gains          losses         value
      --------------------------------------------------------------------------------------------
      <S>                                 <C>                <C>             <C>         <C>
      Available for sale:
          Mortgage-backed securities -
             CMOs and pass through
             securities                   $  63,241          $   462         $   709     $  62,994
          U.S. Treasury securities
             and obligations of U.S.
             Government and
             government agencies
             and authorities                 91,777              660             280        92,157
          Debt securities issued by
             foreign governments              9,211              179               -         9,390
          All other corporate bonds         320,748            3,485           3,004       321,229
          Redeemable preferred stock          1,218               24               2         1,240
      --------------------------------------------------------------------------------------------
          Total                           $ 486,195          $ 4,810         $ 3,995     $ 487,010
      --------------------------------------------------------------------------------------------
</TABLE>


      The amortized cost and market value of fixed maturities available for
      sale at December 31, 1994, by contractual maturity, are shown below.
      Actual 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>
      -----------------------------------------------------------------------
      Maturity                                      Amortized          Market
      (in thousands)                                     Cost           value
      -----------------------------------------------------------------------
      <S>                                           <C>            <C>
      Due in one year or less                       $   4,105       $   3,912
      Due after 1 year through 5 years                 35,433          32,495
      Due after 5 years through 10 years              110,446         102,555
      Due after 10 years                              414,261         364,687
      -----------------------------------------------------------------------
                                                      564,245         503,649
      Mortgage-backed securities                       60,102          55,493
      -----------------------------------------------------------------------
          Total                                     $ 624,347       $ 559,142
      -----------------------------------------------------------------------
</TABLE>

      The Company makes significant investments in collateralized mortgage
      obligations (CMOs).  CMOs typically have high credit quality, offer good
      liquidity, and provide a significant advantage in yield and total return
      compared to U.S. Treasury securities.  The Company's investment strategy
      is to purchase CMO tranches which are protected against prepayment risk,
      primarily planned amortization class (PAC) tranches.  Prepayment
      protected tranches are preferred because they provide stable cash flows
      in a variety of scenarios.  The Company does invest in other types of CMO
      tranches if a careful assessment indicates a favorable risk/return
      tradeoff.  The Company does not purchase residual interests in CMOs.





                                       21
<PAGE>   24
                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS


11.   INVESTMENTS AND INVESTMENT GAINS (LOSSES), Continued

      At December 31, 1994 and 1993, the Company held CMOs with a market value
      of $55.5 million and $63.0 million, respectively.  Approximately 96% and
      100% of the Company's CMO holdings are fully collateralized by GNMA, FNMA
      or FHLMC securities at December 31, 1994 and 1993, respectively.  The
      majority of these are GNMA-backed securities.  Virtually all of these
      securities are rated AAA.

      Equity Securities

      The cost and market values of investments in equity securities were as
      follows:

<TABLE>
<CAPTION>
      ------------------------------------------------------------------------------------------
      December 31, 1994                                                                       
      ------------------------------------------------------------------------------------------
                                                              Gross         Gross
                                                         unrealized    unrealized         Market
      (in thousands)                             Cost         gains        losses          value
      ------------------------------------------------------------------------------------------
      <S>                                    <C>            <C>            <C>          <C>
      Common stocks                          $  6,141       $ 3,177        $  654       $  8,664

      Nonredeemable preferred stocks            8,111             7           718          7,400

      ------------------------------------------------------------------------------------------
         Total                               $ 14,252       $ 3,184        $ 1,372      $ 16,064
      ------------------------------------------------------------------------------------------

      December 31, 1993
      ------------------------------------------------------------------------------------------

      Common stocks                          $ 11,061       $ 1,779        $   199      $ 12,641

      Nonredeemable preferred stocks           11,766           260              1        12,025

      ------------------------------------------------------------------------------------------
         Total                               $ 22,827       $ 2,039        $   200      $ 24,666
      ------------------------------------------------------------------------------------------
</TABLE>

      Proceeds from sales of equity securities were $9.4 million in 1994,
      resulting in gross realized gains of $2.8 million and gross realized
      losses of $369 thousand.

      Mortgage loans and real estate held for sale

      Underperforming assets include delinquent mortgage loans, loans in the
      process of foreclosure, foreclosed loans and loans modified at interest
      rates below market.  The Company continues its strategy, adopted in
      conjunction with the Merger, to dispose of these real estate assets and
      some of the mortgage loans and to reinvest the proceeds to obtain current
      market yields.





                                       22
<PAGE>   25
                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS


11.   INVESTMENTS AND INVESTMENT GAINS (LOSSES), Continued

      At December 31, 1994 and 1993, the Company's mortgage loan and real
      estate portfolios consisted of the following:

<TABLE>
<CAPTION>
      ---------------------------------------------------------------------------
      (in thousands)                                          1994           1993
      ---------------------------------------------------------------------------
      <S>                                                <C>            <C>
      Current mortgage loans                             $ 134,868      $ 213,110
      Underperforming mortgage loans                        17,491         33,855
      ---------------------------------------------------------------------------
             Total mortgage loans                          152,359        246,965
      ---------------------------------------------------------------------------

      Real estate held for sale                              6,810         30,983
      ---------------------------------------------------------------------------
             Total mortgage loans and real estate        $ 159,169      $ 277,948
      ---------------------------------------------------------------------------
</TABLE>


      Aggregate annual maturities on mortgage loans at December 31, 1994 are as
      follows:

<TABLE>
<CAPTION>
      ----------------------------------------------------
      (in thousands)                                        
      ----------------------------------------------------
      <S>                                        <C>
      Past maturity                              $   4,567
      1995                                          13,278
      1996                                          26,317
      1997                                           9,473
      1998                                          24,000
      1999                                           7,759
      Thereafter                                    66,965
      ----------------------------------------------------
          Total                                  $ 152,359
      ----------------------------------------------------
</TABLE>

      Concentrations

      At December 31, 1994 and 1993, the Company had no concentration of credit
      risk in a single investee exceeding 10% of shareholder's equity.

      The Company participates in a short-term investment pool maintained by
      TIG and its subsidiaries.  This pool is discussed in note 8.

      Included in fixed maturities are below investment grade assets totaling
      $51.1 million and $78.0 million at December 31, 1994 and 1993,
      respectively.  The Company defines its below investment grade assets as
      those securities rated "Ba1" or below by external rating agencies, or the
      equivalent by internal analysts when a public rating does not exist.
      Such assets include publicly traded below investment grade bonds, highly
      leveraged transactions and certain other privately issued bonds that are
      classified as below investment grade loans.





                                       23
<PAGE>   26
                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS


11.   INVESTMENTS AND INVESTMENT GAINS (LOSSES), Continued

       The Company also has significant concentrations of investments in the
       following industries:

<TABLE>
<CAPTION>
      --------------------------------------------------------------------------
      (in thousands)                                        1994            1993
      --------------------------------------------------------------------------
      <S>                                               <C>              <C>
      Banking                                           $ 42,191         $43,856
      Oil and gas                                         39,749          39,348
      Transportation                                      38,523          23,577
      Chemical manufacturing                              27,326          27,155
      --------------------------------------------------------------------------
</TABLE>

      Below investment grade assets included in the totals of the previous
      table are as follows:

<TABLE>
<CAPTION>
      --------------------------------------------------------------------------
      (in thousands)                                      1994              1993
      --------------------------------------------------------------------------
      <S>                                              <C>               <C>
      Banking                                          $ 5,124           $ 5,104
      Oil and gas                                        4,002             2,822
      Transportation                                     2,678             6,488
      --------------------------------------------------------------------------
</TABLE>

      At December 31, 1994 and 1993, significant concentrations of mortgage
      loans were for properties located in highly populated areas in the states
      listed below:

<TABLE>
<CAPTION>
      --------------------------------------------------------------------------
      (in thousands)                                       1994             1993
      --------------------------------------------------------------------------
      <S>                                             <C>             <C>
      New York                                         $ 23,710         $ 22,904
      Arizona                                            21,074           36,708
      Florida                                            19,638           23,073
      California                                         18,636           53,373
      West Virginia                                      15,106           15,924
      Texas                                              12,077           21,119
      --------------------------------------------------------------------------
</TABLE>

      Other mortgage loan investments are fairly evenly dispersed throughout
      the United States, with no holdings in any state exceeding $9.3 million
      and $8.8 million at December 31, 1994 and 1993, respectively.

      Concentrations of mortgage loans by property type at December 31, 1994
      and 1993 are shown below:

<TABLE>
<CAPTION>
      --------------------------------------------------------------------------
      (in thousands)                                       1994             1993
      --------------------------------------------------------------------------
      <S>                                              <C>              <C>
      Office                                           $ 40,559         $ 47,456
      Agricultural                                       32,890           49,851
      Retail                                             31,712           48,125
      Apartment                                          16,108           67,882
      --------------------------------------------------------------------------
</TABLE>

      The Company monitors creditworthiness of counterparties to all financial
      instruments by using controls that include credit approvals, limits and
      other monitoring procedures.  Collateral for fixed maturities often
      includes pledges of assets, including stock and other assets, guarantees
      and letters of credit.  The Company's underwriting standards with respect
      to new mortgage loans generally require loan to value ratios of 75% or
      less at the time of mortgage origination.





                                       24
<PAGE>   27
                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS


11.   INVESTMENTS AND INVESTMENT GAINS (LOSSES), Continued

      Investment Valuation Reserves

      At December 31, 1993 and 1992, total investment valuation reserves, which
      are deducted from the applicable investment carrying values in the
      balance sheet, were as follows:

<TABLE>
<CAPTION>
      -------------------------------------------------------------------------------------------
      (in thousands)                                           1994   |        1993          1992
      -------------------------------------------------------------------------------------------
      <S>                                                   <C>           <C>            <C>
      Beginning of year                                     $     -   |   $   41,443     $ 28,535
      Increase                                                    -   |        8,355       12,548
      Impairments, net of gains/recoveries                        -   |       (6,887)         360
      Purchase accounting adjustment                              -   |      (42,911)           -
      -------------------------------------------------------------------------------------------
      End of year                                           $     -       $       -    | $ 41,443
      -------------------------------------------------------------------------------------------
</TABLE>

      At December 31, 1992, investment valuation reserves were comprised of
      $28.9 million for mortgage loans and $12.5 million for real estate.
      Increases in the investment valuation reserves were reflected as realized
      investment losses.

      Nonincome Producing

      Investments included in the balance sheets that were nonincome producing
      for the preceding 12 months were as follows:

<TABLE>
<CAPTION>
      --------------------------------------------------------------------------
      (in thousands)                                      1994              1993
      --------------------------------------------------------------------------
      <S>                                                <C>             <C>
      Mortgage loans                                     $ 444           $ 1,408
      Fixed maturities                                      90             1,537
      Real estate                                            -             4,925
      --------------------------------------------------------------------------
      Total                                              $ 534           $ 7,870
      --------------------------------------------------------------------------
</TABLE>

      Restructured

      The Company has mortgage loan and debt securities which were restructured
      at below market terms totaling approximately $17.4 million and $30.7
      million at December 31, 1994 and 1993, respectively.  At December 31,
      1993, the Company's restructured assets were recorded at purchase
      accounting value.  The new terms typically defer a portion of contract
      interest payments to varying future periods.  The accrual of interest is
      suspended on all restructured assets, and interest income is reported
      only as payment is received.  Gross interest income on restructured
      assets that would have been recorded in accordance with the original
      terms of such assets amounted to $5.2 million in 1994 and $3.1 million in
      1993.  Interest on these assets, included in net investment income,
      aggregated $1.4 million in 1994 and $471 thousand in 1993.





                                       25
<PAGE>   28
                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                         NOTES TO FINANCIAL STATEMENTS


12.   RECONCILIATION OF NET INCOME TO NET CASH
      PROVIDED BY OPERATING ACTIVITIES

      The following table reconciles net income to net cash provided by
      operating activities:

<TABLE>
<CAPTION>
      -------------------------------------------------------------------------------------------------
      (For the year ended December 31, in thousands)              1994    |        1993            1992
      -------------------------------------------------------------------------------------------------
      <S>                                                    <C>             <C>             <C>
      Net income                                             $  18,325    |  $   13,609      $    8,869
         Reconciling adjustments                                          |
           Trading account investments,                                   |
              (purchases) sales, net                                 -    |      35,093         (18,341)
           Realized gains (losses)                               2,074    |     (11,955)        (21,403)
           Investment income accrued                             1,085    |      (9,607)            708
           Deferred federal income taxes                         4,798    |     (22,672)        (21,704)
           Cumulative effects of changes in                               |
              accounting principles                                  -    |           -          (3,023)
           Insurance reserves and accrued expenses             (16,062)   |      80,238           3,512
           Other, including investment valuation reserves       (2,643)   |     (80,398)        (20,694)
       ------------------------------------------------------------------------------------------------
                                                                          |
         Net cash provided by (used in)                                   |
             operating activities                            $   7,577    |  $    4,308      $  (72,076)
       ------------------------------------------------------------------------------------------------
</TABLE>


13.   NONCASH INVESTING AND FINANCING ACTIVITIES

      Significant noncash investing and financing activities include:  a) the
      1994 transfer of $5.6 million of mortgage loans from one of the Company's
      separate accounts to the general account;  b) changes in investment
      valuation reserves in 1993 and 1992 for mortgage loans and/or investment
      real estate (see note 11); c) acquisition of real estate through
      foreclosures of mortgage loans amounting to $10.3 million, $7.7 million
      and $8.1 million in 1994, 1993 and 1992, respectively.





                                       26
<PAGE>   29

                    THE TRAVELERS LIFE AND ANNUITY COMPANY

                          GLOSSARY OF INSURANCE TERMS


      ANNUITY - A contract that pays a periodic income benefit for the life of
a person (the annuitant), the lives of two or more persons or for a specified
period of time.

      ASSUMED REINSURANCE - Business received as reinsurance from another
company.  See "Reinsurance".

      ASSUMPTION REINSURANCE - A transaction whereby the ceding company
transfers its entire obligation under the policy to the reinsurer, who becomes
directly liable to the policyholder in all respects, including collecting
premiums and paying benefits.  See "Reinsurance."

      CEDED REINSURANCE - Risks transferred to another company as reinsurance.
See "Reinsurance".

      CLAIM - Request by an insured for indemnification by an insurance company
for loss incurred from an insured peril.

      CONTRACTHOLDER FUNDS - Receipts from the issuance of universal life,
pension investment and certain individual annuity contracts.  Such receipts are
considered deposits on investment contracts that do not have substantial
mortality or morbidity risks.

      DEFERRED ACQUISITION COSTS - Commissions and other selling expenses which
vary with and are directly related to the production of business.  These
acquisition costs are deferred and amortized to achieve a matching of revenues
and expenses when reported in financial statements prepared in conformity with
GAAP.

      DEFINED BENEFIT PLANS - Type of pension plan under which benefits are
fixed in advance by formula, and contributions vary.

      DEPOSITS AND OTHER CONSIDERATIONS - Consist of cash value deposits and
charges for mortality risk and expenses associated with universal life
insurance, annuities and group pensions.

      FIDUCIARY ACCOUNTS - Accounts held on behalf of others.

      GENERAL ACCOUNT - All of an insurer's assets other than those allocated
to separate accounts.

      GUARANTEED INVESTMENT CONTRACTS (GICs) - Group contracts sold to pension
plans, profit sharing plans and funding agreements that guarantee a stated
interest rate for a specified period of time.

      INDEMNITY REINSURANCE - A transaction whereby the reinsurer agrees to
indemnify the ceding company against all or part of the loss that the latter
may sustain under the policies it issued that are being reinsured.  The ceding
company remains primarily liable as the direct insurer on all risks ceded.  See
"Reinsurance."

      INSURANCE - Mechanism for contractually shifting burdens of a number of
risks by pooling them.





                                       27
<PAGE>   30

                    THE TRAVELERS LIFE AND ANNUITY COMPANY


      LIFE CONTINGENCIES - Contingencies affecting the duration of life of an
individual or a group of individuals.

      LONG-TERM CARE - Coverage for extended stays in a nursing home or home
health services.

      MORBIDITY - The rate at which people become diseased, mentally or
physically, or physically impaired.

      MORTALITY - The rate at which people die.

      POLICY LOAN - A loan made by an insurance company to a policyholder on
the security of the cash value of the policy.  Policy loans offset benefits
payable to policyholders.

      REINSURANCE - The acceptance by one or more insurers, called reinsurers,
of all or a portion of the risk underwritten by another insurer who has
directly written the coverage.  However, the legal rights of the insured
generally are not affected by the reinsurance transaction and the insurance
enterprise issuing the insurance contract remains liable to the insured for
payment of policy benefits.

      RETENTION - The amount of exposure an insurance company retains on any
one risk or group of risks.

      SEPARATE ACCOUNTS - Funds for which investment income and investment
gains and losses accrue directly to, and investment risk is borne by, the
contractholders.  The assets of these separate accounts are legally segregated
and not subject to claims that arise out of any other business of the insurance
company.

      STATUTORY ACCOUNTING PRACTICES - Those accounting practices prescribed or
permitted by the National Association of Insurance Commissioners or an
insurer's domicilary state insurance regulator for purposes of financial
reporting to regulators.

      STATUTORY CAPITAL AND SURPLUS - The excess of statutory admitted assets
over statutory liabilities as shown on an insurer's statutory financial
statements.

      STRUCTURED SETTLEMENTS - Periodic payments to an injured person or
survivor for a determined number of years or for life, typically in settlement
of a claim under a liability policy.

      SURRENDER VALUE - The amount of money, usually the legal reserve under
the policy, less sometimes a surrender charge, which an insurance company will
pay to a policyholder who cancels a policy.  This value may be used as
collateral for a loan.

      UNDERWRITING - The assumption of risk for designated loss or damage in
consideration of receiving a premium.  Also includes the process of examining,
accepting or rejecting insurance risks, and determining the proper premium.





                                       28
 

<PAGE>   1


                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    FORM 10-Q

          X     QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF
         ---           THE SECURITIES EXCHANGE ACT OF 1934

                  For the quarterly period ended June 30, 1995

                                       OR

              TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF
        ---            THE SECURITIES EXCHANGE ACT OF 1934

       For the transition period from __________ to __________ 


                            _________________________

                         Commission file number 33-58131

                            _________________________


                     THE TRAVELERS LIFE AND ANNUITY COMPANY
             (exact name of registrant as specified in its charter)

        CONNECTICUT                                             06-0904249
(State or other jurisdiction of                              (I.R.S. Employer
incorporation or organization)                               Identification No.)


                  ONE TOWER SQUARE, HARTFORD, CONNECTICUT 06183
               (Address of principal executive offices) (Zip Code)

                                 (203) 277-0111
              (Registrant's telephone number, including area code)

     Indicate by check mark whether the registrant (1) has filed all reports
     required to be filed by Section 13 or 15(d) of the Securities Exchange Act
     of 1934 during the preceding 12 months (or for such shorter period that the
     registrant was required to file such reports), and (2) has been subject to
     such filing requirements for the past 90 days.

                          Yes              No      X
                              -----------      -----------

     As of August 11, 1995, there were outstanding 30,000 shares of common
     stock, par value $100, of the Registrant, all of which were owned by The
     Travelers Insurance Company, an indirect subsidiary of Travelers Group Inc.

                            REDUCED DISCLOSURE FORMAT

     The registrant meets the conditions set forth in General Instruction
     H(1)(a) and (b) of Form 10-Q and is therefore filing this Form 10-Q with
     the reduced disclosure format.

<PAGE>   2


                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                                    FORM 10-Q
                       For the Quarter Ended June 30, 1995

                                Table of Contents


<TABLE>
<CAPTION>
PART I - FINANCIAL INFORMATION                                                                                           Page
                                                                                                                         ----
<S>                                                                                                                        <C>
Item 1.  Financial Statements

Condensed Statement of Operations and Retained Earnings for the Quarter and
Six Months Ended June 30, 1995 and 1994 (unaudited) .......................................................................3

Condensed Balance Sheet as of June 30, 1995 (unaudited) and
December 31, 1994..........................................................................................................4

Condensed Statement of Cash Flows for the
Six Months Ended June 30, 1995 and 1994 (unaudited)........................................................................5

Notes to Condensed Financial Statements (unaudited)........................................................................6

Item 2.  Management's Discussion and Analysis of Financial
Condition and Results of Operations  ......................................................................................7


PART II - OTHER INFORMATION

Item 6.  Exhibits and Reports on Form 8-K .................................................................................9


SIGNATURES ................................................................................................................10
</TABLE>


                                       2
<PAGE>   3


                     THE TRAVELERS LIFE AND ANNUITY COMPANY
       CONDENSED STATEMENT OF OPERATIONS AND RETAINED EARNINGS (Unaudited)
                                 (in thousands)


<TABLE>
<CAPTION>
                                                        Quarter Ended                Six Months Ended
                                                          June 30,                        June 30,
                                                    ---------------------          ----------------------
                                                    1995             1994          1995              1994
                                                    ----             ----          ----              ----

<S>                                               <C>            <C>             <C>             <C>      
REVENUES

Premiums                                          $    212       $    338        $    291        $   3,330
Net investment income                               15,582         16,550          31,451           31,222
Realized investment gains (losses)                     944            176          (4,675)             (25)
Other                                                4,058          3,877           7,749            7,568
                                                  --------       --------        --------         --------           
                                                    20,796         20,941          34,816           42,095
                                                  --------       --------        --------         --------

BENEFITS AND EXPENSES

Current and future insurance benefits               13,452         13,700          26,782           31,755
Amortization of value of insurance in force            312           --               625             --
General and administrative expenses                    668            599           1,342            1,365
                                                  --------       --------        --------         --------               
                                                    14,432         14,299          28,749           33,120
                                                  --------       --------        --------         --------

Income before federal income taxes                   6,364          6,642           6,067            8,975

Federal income taxes                                 2,202          2,307           2,075            3,107
                                                  --------       --------        --------         --------

Net income                                           4,162          4,335           3,992            5,868
Retained earnings beginning of period              128,820        112,198         128,990          110,665
                                                  --------       --------        --------         --------
Retained earnings end of period                   $132,982       $116,533        $132,982         $116,533
                                                  ========       ========        ========         ========
</TABLE>


                  See notes to condensed financial statements.


                                       3
<PAGE>   4



                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                             CONDENSED BALANCE SHEET
                                 (in thousands)

<TABLE>
<CAPTION>
                                                                  June 30,                      December 31,
                                                                    1995                            1994
                                                                 ----------                     ------------
                                                                (Unaudited)

<S>                                                              <C>                            <C>       
ASSETS

Investments                                                      $  901,898                     $  851,037
Separate accounts                                                   826,571                        820,384
Deferred federal income taxes                                        61,205                         94,315
Other assets                                                         44,204                         35,633
                                                                 ----------                     ----------
    Total assets                                                 $1,833,878                     $1,801,369
                                                                  =========                     ==========

LIABILITIES

Future policy benefits                                           $  680,618                     $  691,108
Separate accounts                                                   811,272                        808,181
Other liabilities                                                    21,763                         43,960
                                                                 ----------                     ----------
    Total liabilities                                             1,513,653                      1,543,249
                                                                 ----------                     ----------

SHAREHOLDER'S EQUITY

Capital stock, par value $100; 100,000
    shares authorized, 30,000 issued and outstanding                  3,000                          3,000
Additional paid-in capital                                          167,356                        167,354
Unrealized investment gains (losses), net of taxes                   16,887                        (41,224)
Retained earnings                                                   132,982                        128,990
                                                                 ----------                     ----------
    Total shareholder's equity                                      320,225                        258,120
                                                                 ----------                     ----------

    Total liabilities and shareholder's equity                   $1,833,878                     $1,801,369
                                                                 ==========                     ==========
</TABLE>


                  See notes to condensed financial statements.


                                       4
<PAGE>   5


                     THE TRAVELERS LIFE AND ANNUITY COMPANY
                  CONDENSED STATEMENT OF CASH FLOWS (Unaudited)
                           INCREASE (DECREASE) IN CASH
                                 (in thousands)


<TABLE>
<CAPTION>
                                                                                                    Six Months Ended
                                                                                                          June 30,
                                                                                                    ---------------------      
                                                                                                    1995             1994
                                                                                                    ----             ----

<S>                                                                                              <C>               <C>
Net cash provided by (used in) operating activities                                              $ (40,891)        $  8,357
                                                                                                 ----------        --------

Cash flows from investing activities
    Investment repayments
       Fixed maturities                                                                              3,579           15,921
       Mortgage loans                                                                               10,234           40,411
    Proceeds from sales of investments, including real estate held for sale
       Fixed maturities                                                                            124,442            4,775
       Equity securities                                                                             4,879            2,943
       Mortgage loans                                                                                2,081                -
       Real estate held for sale                                                                         -           12,369
    Investments in
       Fixed maturities                                                                            (90,834)        (102,554)
       Equity securities                                                                               (71)             (86)
    Short-term securities, (purchases) sales, net                                                  (11,100)           7,803
    Other investments, net                                                                          (2,824)           3,433
    Securities transactions in course of settlement                                                    210            7,404
                                                                                                ----------        ---------
       Net cash provided by (used in) investing activities                                          40,596           (7,581)
                                                                                                ----------        ----------

Net increase (decrease) in cash                                                                       (295)             776

Cash at beginning of period                                                                            296                -
                                                                                                ----------        ---------
Cash at end of period                                                                           $        1        $     776
                                                                                                ==========        =========

Supplemental disclosure of cash flow information
    Income taxes paid                                                                           $   37,510        $     162
                                                                                                ==========        =========
</TABLE>


                  See notes to condensed financial statements.


                                       5
<PAGE>   6


                     THE TRAVELERS LIFE AND ANNUITY COMPANY
               Notes to Condensed Financial Statements (Unaudited)

                                  June 30, 1995


1.   General

    The interim financial statements of The Travelers Life and Annuity Company
    (the Company), a wholly owned subsidiary of The Travelers Insurance Company
    (an indirect, wholly owned subsidiary of Travelers Group Inc.), have been
    prepared in conformity with generally accepted accounting principles (GAAP)
    and are unaudited. They reflect all adjustments (none of which were other
    than normal recurring adjustments) necessary, in the opinion of management,
    for a fair statement of results for the periods reported. The accompanying
    condensed financial statements should be read in conjunction with the
    audited financial statements and related notes for the year ended December
    31, 1994 included in the Company's Form S-2 registration statement filed
    July 11, 1995 (File No. 33-58677).

    Certain financial information that is normally included in financial
    statements prepared in accordance with GAAP but is not required for interim
    reporting purposes has been condensed or omitted.

2.  Changes in Accounting Principles

    Effective January 1, 1995, the Company adopted Statement of Financial
    Accounting Standards No. 114, "Accounting by Creditors for Impairment of a
    Loan", and Statement of Financial Accounting Standards No. 118, "Accounting
    by Creditors for Impairment of a Loan - Income Recognition and Disclosures,"
    which describe how impaired loans should be measured when determining the
    amount of a loan loss accrual. These statements amended existing guidance on
    the measurement of restructured loans in a troubled debt restructuring
    involving a modification of terms. Their adoption did not have a material
    impact on the Company's financial condition, results of operations or
    liquidity.

3.  Commitments and Contingencies

    The Company's TTM Modified Guaranteed Annuity Contracts are subject to a 
    limited guarantee agreement by The Travelers Insurance Company in a
    principal amount of up to $100 million. The obligation of The Travelers
    Insurance Company is to pay in full to any owner or beneficiary of the TTM
    Modified Guaranteed Annuity Contracts principal and interest as and when due
    under the annuity contract to the extent that the Company fails to make 
    such payment. 

    The Company is a defendant in various litigation matters. Although there can
    be no assurances, as of June 30, 1995, the Company believes, based on
    information currently available, that the ultimate resolution of these legal
    proceedings would not be likely to have a material adverse effect on its
    results of operations, financial condition or liquidity.


                                       6
<PAGE>   7


                     THE TRAVELERS LIFE AND ANNUITY COMPANY

ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS

Management's narrative analysis of the results of operations is presented in
lieu of Management's Discussion and Analysis of Financial Condition and Results
of Operations, pursuant to General Instruction H(2)(a) of Form 10-Q.

The Travelers Life and Annuity Company (the Company) primarily writes single
premium group annuity close-out contracts and individual structured settlement
annuities. The single premium group annuity contracts are typically purchased by
employer-sponsored pension plans upon termination of the plan, asset reversion
or other significant plan changes. As a result, sales activity can vary
significantly from period to period.

The individual structured settlement contracts are purchased by an affiliate,
The Travelers Indemnity Company, in connection with the settlement of certain of
its policyholder obligations. All structured settlement contracts are issued
through a separate account of the Company. Accordingly, the Company's other
revenues include structured settlement policyholder revenues net of the related
benefits and expenses.

The Company also writes a small amount of individual life insurance, which is
fully reinsured with The Travelers Insurance Company (the Company's parent).

SIX MONTHS ENDED JUNE 30, 1995 AND 1994

Net income for the six months ended June 30, 1995 was $4.0 million, compared to
$5.9 million for the same period in 1994. Excluding realized losses, operating
earnings increased from $5.9 million in the six months ended June 30, 1994 to
$7.0 million in the six months ended June 30, 1995, reflecting an increase in
retained investment margin and a reduction in current and future insurance
benefits.

Premiums and deposits amounted to $19.4 million for the six months ended June
30, 1995, a 24% decrease compared to the same period for 1994, reflecting a
decline in single premium group annuities and a small decline in structured
settlement sales. (Deposits relate to separate account receipts, and are thus 
excluded from revenue).

Policyholder benefit reserves, including separate accounts, aggregated $1.5
billion at June 30, 1995, down from $1.6 billion at June 30, 1994 primarily as a
result of an $82.0 million decrease in separate account liabilities.

INSURANCE REGULATIONS

Risk-based capital requirements are used as early warning tools by the National
Association of Insurance Commissioners and the states to identify companies that
merit further regulatory action. At June 30, 1995, the Company had adjusted
capital in excess of amounts requiring any regulatory action.


                                       7

<PAGE>   8
The Company is subject to various regulatory restrictions that limit the maximum
amount of dividends available to its parent without prior approval of insurance
regulatory authorities in the state of domicile. No statutory surplus is
available in 1995 for dividends to the Company's shareholder without prior
approval of the Connecticut Insurance Department.

ACCOUNTING STANDARDS NOT YET ADOPTED

In March 1995, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 121, Accounting for Long-Lived Assets and for
Long-Lived Assets to be Disposed Of (FAS 121). This statement establishes
accounting standards for the impairment of long-lived assets, certain
identifiable intangibles, and goodwill related to those assets to be held and
used and for long-lived assets and certain identifiable intangibles to be
disposed of. This statement requires write down to fair value when long-lived
assets to be held and used are impaired. The statement also requires long-lived
assets to be disposed of (e.g., real estate held for sale) to be carried at the
lower of cost or fair value less cost to sell and does not allow such assets to
be depreciated. This statement will be effective for 1996 financial statements,
although earlier adoption is permissible. The Company has not yet determined
when it will adopt FAS 121; however, the impact is not expected to be material
to its results of operations, financial condition or liquidity.


                                       8
<PAGE>   9
                           PART II - OTHER INFORMATION


Item 6. Exhibits and Reports on Form 8-K

(a)  Exhibits.

<TABLE>
<CAPTION>
Exhibit
No.                        Description                                                           Filing Method
---                        -----------                                                           ------------- 

<S>   <C>                                                                                        <C>
3.    Articles of Incorporation and By-laws

          a. Charter of The Travelers Life and Annuity Company (the "Company"),
             as amended on April 10, 1990, incorporated herein by reference 
             to Exhibit 6(a) to the Registration Statement on Form N-4, File 
             No. 33-58131, filed on March 17, 1995.

          b. By-laws of the Company as amended October 20, 1994, incorporated
             herein by reference to Exhibit 6(b) to the Registration Statement
             on Form N-4, File No. 33-58131, filed on March 17, 1995.


27.          Financial Data Schedule                                                             Electronic

</TABLE>

(b)  Reports on Form 8-K.

No reports on Form 8-K have been filed by the Company during the quarter ended
June 30, 1995.



                                       9

<PAGE>   10
                                   SIGNATURES


Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.



                                   THE TRAVELERS LIFE AND ANNUITY COMPANY
                                   --------------------------------------
                                                (Registrant)


Date     August 14, 1995           /s/ Jay S. Fishman
     -------------------           --------------------------------------
                                   Jay S. Fishman
                                   Chief Financial Officer


Date     August 14, 1995           /s/ Christine B. Mead
     -------------------           --------------------------------------
                                   Christine B. Mead
                                   Vice President - Finance
                                   and Controller




                                       10
 
<PAGE>
 
                          UNDERTAKING TO FILE REPORTS
                          ---------------------------


Subject to the terms and conditions of Section 15(d) of the Securities Exchange
Act of 1934, the undersigned registrant hereby undertakes to file with the
Securities and Exchange Commission such supplementary and periodic information,
documents and reports as may be prescribed by any rule or regulation of the
Commission heretofore or hereafter duly adopted pursuant to authority conferred
in that section.


                             RULE 484 UNDERTAKING
                             --------------------

Section 33-320a of the Connecticut General Statutes regarding indemnification of
directors and officers of Connecticut corporations provides in general that
Connecticut corporations shall indemnify their officers, directors and certain
other defined individuals against judgments, fines, penalties, amounts paid in
settlement and reasonable expenses actually incurred in connection with
proceedings against the corporation. The corporation's obligation to provide
such indemnification generally does not apply unless (1) the individual is
successful on the merits in the defense of any such proceeding; or (2) a
determination is made (by persons specified in the statute) that the individual
acted in good faith and in the best interests of the corporation; or (3) the
court, upon application by the individual, determines in view of all of the
circumstances that such person is fairly and reasonably entitled to be
indemnified, and then for such amount as the court shall determine. With respect
to proceedings brought by or in the right of the corporation, the statute
provides that the corporation shall indemnify its officers, directors and
certain other defined individuals, against reasonable expenses actually incurred
by them in connection with such proceedings, subject to certain limitations.

C.G.S. Section 33-320a provides an exclusive remedy; a Connecticut corporation
cannot indemnify a director or officer to an extent either greater or less than
that authorized by the statute, e.g., pursuant to its certificate of
incorporation, by-laws, or any separate contractual arrangement. However, the
statute does specifically authorize a corporation to procure indemnification
insurance to provide greater indemnification rights. The premiums for such
insurance may be shared with the insured individuals on an agreed basis.

Travelers Group Inc. also provides liability insurance for its directors and
officers and the directors and officers of its subsidiaries, including the
Depositor. This insurance provides for coverage against loss from claims made
against directors and officers in their capacity as such, including, subject to
certain exceptions, liabilities under the federal securities laws.

Insofar as indemnification for liability arising under the Securities Act of
1933 may be permitted to directors, officers and controlling persons of the
registrant pursuant to the foregoing provisions, or otherwise, the registrant
has been advised that in the opinion of the Securities and Exchange Commission
such indemnification is against public policy as expressed in the Act and is,
therefore, unenforceable. In the event that a claim for indemnification against
such liabilities (other than the payment by the registrant of expenses incurred
or paid by a director, officer or controlling person of the registrant in the
successful defense of any action, suit or proceeding) is asserted by such
director, officer or controlling person in connection with the securities being
registered, the registrant will, unless in the opinion of its counsel the matter
has been settled by controlling precedent, submit to a court of appropriate
jurisdiction the question whether such indemnification by it is against public
policy as expressed in the Act and will be governed by the final adjudication of
such issue.
<PAGE>
 
                         RULE 6E-3 (T) REPRESENTATIONS
                         -----------------------------

A. With regard to the maximum sales load deductions permitted under the Rule,
   the Registrant hereby elects to be governed by subparagraph (b)(13)(i)(B) of
   the Rule.

B. With regard to the deduction from the Separate Account of a charge to cover
   the mortality risk and expense risk, the Registrant is relying on
   subparagraph (b)(13)(iii)(F) to permit such deduction.  Furthermore, the
   depositor does hereby represent that the level of the risk charge is within
   the range of industry practice for comparable flexible contracts.

C. With regard to explicit sales loads not covering the expected costs of
   distributing the flexible contracts, the Registrant hereby represents that
   the distribution financing arrangement of the Separate Account will benefit
   the Separate Account and Policy Owners.  Furthermore, the Depositor hereby
   represents that the Separate Account will invest only in management
   investment companies which have undertaken to have a board of directors, a
   majority of whom are not interested persons of the company, formulate and
   approve any plan under Rule 12b-1 to finance distribution expenses.


                      CONTENTS OF REGISTRATION STATEMENT
                      ----------------------------------

This Registration Statement comprises the following papers and documents:

 .  The facing sheet.

 .  The Prospectus.

 .  The undertaking to file reports.

 .  The signatures.

 .  Written consents of the following persons:

   A.    Consent of Ernest J. Wright, General Counsel, to the filing of his
         opinion as an exhibit to this Registration Statement and to the
         reference to his opinion under the caption "Legal Proceedings and
         Opinion" in the Prospectus.  (See Exhibit 11 below.)

   B.    Consent and Actuarial Opinion of Bennett D. Kleinberg, ASA, pertaining
         to the illustrations contained in the Prospectus.

   C.    Consent of Coopers & Lybrand L.L.P., Certified Public Accountants.

   D.    Consent of KPMG Peat Marwick LLP, Independent Certified Public
         Accountants.
<PAGE>
 
 .  The following Exhibits:

   1.    Resolution of the Board of Directors of  The Travelers Life and Annuity
         Company authorizing the establishment of the Registrant.

   2.    Not applicable.

   3(a). Form of Distribution Agreement among the Registrant, The Travelers Life
         and Annuity Company and Tower Square Securities, Inc.

   3(b). Specimen Form of Selling Agreement.  (Incorporated herein by reference
         to Exhibit 3(b) to the Registration Statement on Form S-6, File No. 33-
         88578, filed January 17, 1995).

   4.    None

   5.    Variable Life Insurance Policy.

   6(a). Charter of The Travelers Life and Annuity Company, as amended on April
         10, 1990. (Incorporated herein by reference to Exhibit 3(a) to the
         Registration Statement on Form N-4, File No. 33-58131, filed via Edgar
         on March 17, 1995.)

   6(b). By-Laws of The Travelers Life and Annuity Company, as amended on
         October 20,  1994.  (Incorporated herein by reference to Exhibit 3(b)
         to the Registration Statement on Form N-4,  File No. 33-58131, filed
         via Edgar on March 17, 1995.)

   7.    None
   8.    None
   9.    None

   10.   Application for Variable Life Insurance Policy.

   11.   Opinion of Ernest J. Wright, General Counsel, regarding the legality of
         securities being registered.

   12.   Powers of Attorney authorizing Jay S. Fishman or Ernest J. Wright as
         signatory for Michael A. Carpenter, Robert I. Lipp, Charles O. Prince,
         III, Marc P. Weill, Irwin R. Ettinger, Donald T. DeCarlo and Christine
         B. Mead.

   13.   Memorandum concerning transfer and redemption procedures, as required
         by Rule 6e-3(T)(b)(12)(ii).

   27.   Financial Data Schedule.  (Incorporated herein by reference to Exhibit
         27 to Form 10-Q for the quarter ended June 30, 1995, File No. 33-58131,
         filed via Edgar on August 14, 1995.)
<PAGE>
 
                                   SIGNATURES
                                   ----------

    
Pursuant to the requirements of the Securities Act of 1933, the registrant, The
Travelers Variable Life Insurance Separate Account One, has duly caused this 
Pre-Effective Amendment No. 1 to this Registration Statement to be signed on its
behalf by the undersigned, thereunto duly authorized, in the City of Hartford,
State of Connecticut, on the 18th day of August, 1995.      


          THE TRAVELERS VARIABLE LIFE INSURANCE SEPARATE ACCOUNT ONE
                                 (Registrant)



                                      By: /s/Jay S. Fishman
                                          --------------------------------------
                                          Jay S. Fishman
                                          Chief Financial Officer
                                          The Travelers Life and Annuity Company


Attest:


By: /s/Ernest J. Wright
    --------------------------------------
    Ernest J. Wright
    Assistant Secretary
    The Travelers Life and Annuity Company
<PAGE>
 
                                  SIGNATURES
                                  ----------
    
Pursuant to the requirements of the Securities Act of 1933, the Depositor, The
Travelers Life and Annuity Company, has duly caused this Pre-Effective Amendment
No. 1 to this Registration Statement to be signed on its behalf by the
undersigned, thereunto duly authorized, in the City of Hartford, State of
Connecticut, on the 18th day of August, 1995.      

                    THE TRAVELERS LIFE AND ANNUITY COMPANY
                                  (Depositor)


                                            By: /s/Jay S. Fishman
                                                ----------------------------
                                                Jay S. Fishman
                                                Chief Financial Officer


    
Pursuant to the requirements of the Securities Act of 1933, this Pre-Effective
Amendment No. 1 to this Registration Statement has been signed by the following
persons in the capacities indicated on August 18th, 1995.      


*MICHAEL A. CARPENTER               Director and Chairman of the Board
-----------------------------       and Principal Executive Officer
 (Michael A. Carpenter)

*ROBERT I. LIPP                     Director
-----------------------------                                 
 (Robert I. Lipp)

/s/JAY S. FISHMAN                   Director and Chief Financial Officer
-----------------------------                                            
 (Jay S. Fishman)

*CHARLES O. PRINCE  III             Director
-----------------------------                                   
 (Charles O. Prince, III)

*MARC P. WEILL                      Director
-----------------------------                                 
 (Marc P. Weill)

*IRWIN R. ETTINGER                  Director
-----------------------------                             
 (Irwin R. Ettinger)

*DONALD T. DeCARLO                  Director
-----------------------------                               
 (Donald T. DeCarlo)

/s/CHRISTINE B. MEAD                Vice President - Finance
-----------------------------       and Controller
 (Christine B. Mead)                               


* By: /s/Jay S. Fishman
      -------------------------------------
      Jay S. Fishman, Attorney-in-Fact
<PAGE>
 
                                 EXHIBIT INDEX
                                 -------------

Attachment
   or
 Exhibit
   No.      Description                                         Method of Filing
----------  -----------                                         ----------------
 
OPINIONS AND CONSENTS:
 
A.          Consent of Ernest J. Wright, General Counsel,         Electronically
            to the filing of his opinion as an exhibit to 
            this Registration Statement and to the reference 
            to his opinion under the caption "Legal 
            Proceedings and Opinion" in the Prospectus.
 
B.          Consent and Actuarial Opinion of Bennett D.           Electronically
            Kleinberg, ASA, pertaining to the illustrations
            contained in the Prospectus.
 
C.          Consent of Coopers & Lybrand L.L.P., Certified        Electronically
            Public Accountants.
 
D.          Consent of KPMG Peat Marwick LLP, Independent         Electronically
            Certified Public Accountants.

The following Exhibits:

1.          Resolution of the Board of Directors of               Electronically
            The Travelers Life and Annuity Company 
            authorizing the establishment of the Registrant.
 
3(a).       Form of Distribution Agreement between the            Electronically
            Registrant, The Travelers Life and Annuity 
            Company and Tower Square Securities, Inc.

3(b).       Specimen Form of Selling Agreement. (Incorporated
            herein by reference to Exhibit 3(b) to the Registration
            Statement on Form S-6, File No. 33-88578, filed on
            January 17, 1995.)

5.          Variable Life Insurance Policy.                       Electronically

6(a).       Charter of The Travelers Life and Annuity Company,
            as amended on April 10, 1990. (Incorporated herein
            by reference to Exhibit 3(a) to the Registration
            Statement on Form N-4, File No. 33-58131, filed via
            Edgar on March 17, 1995.)
 
6(b).       By-Laws of The Travelers Life and Annuity Company,
            as amended on October 20, 1994. (Incorporated
            herein by reference to Exhibit 3(b) to the Registration
            Statement on Form N-4, File No. 33-58131, filed via
            Edgar on March 17, 1995.)
 
10.         Application for Variable Life Insurance Policy        Electronically
<PAGE>
 
11.         Opinion of Ernest J. Wright, General Counsel,         Electronically
            regarding the legality of securities being 
            registered.
 
12.         Powers of Attorney authorizing Jay S. Fishman or      Electronically
            Ernest J. Wright as signatory for Michael A. 
            Carpenter, Robert I. Lipp, Charles O. Prince, III, 
            Marc P. Weill, Irwin R. Ettinger, Donald T. DeCarlo 
            and Christine B. Mead.
 
13.         Memorandum concerning transfer and redemption         Electronically
            procedures, as required by Rule 6e-3(T)(b)(12)(ii)

27.         Financial Data Schedule.  (Incorporated herein by
            reference to Exhibit 27 to the Form 10-Q for the
            quarter ended June 30, 1995, File No. 33-________,
            filed via Edgar on August 14, 1995.)

<PAGE>
 
                                                                    ATTACHMENT B


                               ACTUARIAL OPINION


The illustrations included in the prospectus have been based on assumptions and
charges which are consistent with the provisions of the Vintage Life contract.
The rate structure of the contract has not been designed to make the
relationship between premiums and benefits, as shown in the illustrations,
appear more favorable for contract owners at the ages illustrated than for
contract owners at other ages.


                                         /s/ Bennett D. Kleinberg, ASA
                                             Actuarial Assistant

<PAGE>
 
                                 ATTACHMENT C



                      CONSENT OF INDEPENDENT ACCOUNTANTS



We consent to the inclusion in this Pre-Effective Amendment No. 1 of this 
Registration Statement on Form S-6 (File No. 33-88578) of our reports on the 
statements of operations and retained earnings and cash flows for the years 
ended December 31, 1993 and 1992 of The Travelers Life and Annuity Company (the 
"Company") both dated September 16, 1994, which include an explanatory paragraph
regarding the change in the methods of accounting for postretirement benefits 
other than pensions, income taxes and foreclosed assets in 1992, on our audits 
of the financial statements of the Company.


COOPERS & LYBRAND L.L.P.



Hartford, Connecticut
August 15, 1995

<PAGE>
                                                                    ATTACHMENT D





The Board of Directors
The Travelers Life and Annuity Company:



We consent to the inclusion in this Pre-Effective Amendment No. 1 to the 
registration statement (No. 33-88578) on Form N-8B-2, filed for The Travelers 
Variable Life Insurance Separate Account One, of our report, dated January 17, 
1995. Our report refers to a change in accounting for investments in accordance 
with the provisions of Statement of Financial Accounting Standards No. 115, 
"Accounting for Certain Investments in Debt and Equity Securities."


                                                      /s/ KPMG Peat Marwick LLP
                                                     --------------------------
                                                          KPMG PEAT MARWICK LLP



Hartford, Connecticut
August 15, 1995

<PAGE>
 
                                                                       Exhibit 1
                                  CERTIFICATE
                                  -----------

       I, ERNEST J. WRIGHT, Assistant Secretary of THE TRAVELERS LIFE AND
ANNUITY COMPANY, DO HEREBY CERTIFY that at a meeting of the Board of Directors
of The Travelers Life and Annuity Company held on the 9th day of July, 1993, at
which a quorum was present and voting, the following resolutions were adopted:

VOTED: That pursuant to authority granted by Section 38a-433 of the Connecticut
       General Statutes, the proper officers of the Company are authorized to
       establish a separate account or accounts to invest in shares of
       investment companies pursuant to plans and contracts issued and sold by
       the Company in connection therewith.

VOTED: That the proper officers of the Company are authorized to take such
       action as may be necessary to register the separate account or accounts
       as a unit investment trust investment company under the Investment
       Company Act of 1940; to file any necessary or appropriate exemptive
       requests, and any amendments thereto, for such separate account or
       accounts under the Investment Company Act of 1940; to file a registration
       statement, and any amendments, exhibits and other documents thereto, in
       order to register plans and contracts of the Company and interests in
       such separate account or accounts in connection therewith under the
       Securities Act of 1933; and to take any and all action as may in their
       judgment be necessary or appropriate in connection therewith.

       I FURTHER CERTIFY that by unanimous consent action of the Board of
Directors of The Travelers Life and Annuity Company effective the 21st day of
September, 1994, the following resolution was adopted:

VOTED: That each officer and director who may be required, on their own behalf
       and in the name and on behalf of the Company, to execute one or more
       registration statements, and any amendments thereto, under the Securities
       Act of 1933 and the Investment Company Act of 1940 relating to the
       separate account or accounts to be established to invest in shares of
       investment companies is authorized to execute a power of attorney
       appointing representatives to act as their attorney and agent to execute
       said registration statement, and any amendments thereto, in their name,
       place and stead; and that the Secretary, or any Assistant Secretary
       designated by the Secretary, is designated and appointed the agent for
       service of process of the Company under the Securities Act of 1933 and
       the Investment Company Act of 1940 in connection with such registration
       statement, and any amendments thereto, with all the powers incident to
       such appointment.

       AND I DO FURTHER CERTIFY that the foregoing actions of the said Board of
Directors is still in full force and effect.

       IN WITNESS WHEREOF, I have hereunto set my hand and the seal of THE
TRAVELERS LIFE AND ANNUITY COMPANY at Hartford, Connecticut, this ____ day of
August, 1995.


                                                 ---------------------
SEAL                                             Ernest J. Wright
                                                 Assistant Secretary

<PAGE>
 
                                                                    EXHIBIT 3(a)

                                    FORM OF
                            DISTRIBUTION AGREEMENT


    DISTRIBUTION AGREEMENT (the "Agreement") made this ____ day of _________,
1995, by and among The Travelers Life and Annuity Company, a Connecticut stock
insurance company (hereinafter the "Company"), Tower Square Securities, Inc., a
Connecticut general business corporation (hereinafter "TSSI"), and The Travelers
Variable Life Insurance Separate Account One (hereinafter "Separate Account
One"), a separate account of the Company established on September 23, 1994 by
its Chief Investment Officer in accordance with a resolution adopted by the
Company's Board of Directors and pursuant to Section 38a-433 of the Connecticut
General Statutes.

    1. The Company hereby agrees to provide all administrative services relative
to variable life insurance contracts and revisions thereof (hereinafter
"Contracts") sold by the Company, the net proceeds of which or reserves for
which are maintained in Separate Account One.

    2. TSSI hereby agrees to perform all sales functions relative to the
Contracts. The Company agrees to reimburse TSSI for commissions paid, other
sales expenses and properly allocable overhead expenses incurred in performance
thereof.

    3. For providing the administrative services referred to in paragraph 1
above and for reimbursing TSSI for the sales functions referred to in paragraph
2 above, the Company will receive the deductions for sales and administrative
expenses which are stated in the Contracts.

    4. The Company will furnish at its own expense and without cost to Separate
Account One the administrative expenses of Separate Account One, including but
not limited to:

    (a) office space in the offices of the Company or in such other place as may
        be agreed upon from time to time, and all necessary office facilities
        and equipment;

    (b) necessary personnel for managing the affairs of Separate Account One,
        including clerical, bookkeeping, accounting and other office personnel;

    (c) all information and services, including legal services, required in
        connection with registering and qualifying Separate Account One or the
        Contracts with federal and state regulatory authorities, preparation of
        registration statements and prospectuses, including amendments and
        revisions thereto, and annual, semi-annual and periodic reports, notices
        and proxy solicitation materials furnished to variable life insurance
        Policy Owners or regulatory authorities, including the costs of printing
        and mailing such items;

    (d) the costs of preparing, printing, and mailing all sales literature;

                                      -1-
<PAGE>
 
    (e) all registration, filing and other fees in connection with compliance
        requirements of federal and state regulatory authorities;

    (f) the charges and expenses of any custodian or depository appointed by
        Separate Account One for the safekeeping of its cash, securities and
        other property; and

    (g) the charges and expenses of independent accountants retained by Separate
        Account One.

    5. The services of the Company and TSSI to Separate Account One hereunder
are not to be deemed exclusive and the Company or TSSI shall be free to render
similar services to others so long as its services hereunder are not impaired or
interfered with thereby.

    6. The Company agrees to guarantee that the death benefit payments will not
be affected by mortality experience (under Contracts the reserves for which are
invested in Separate Account One) and as such assumes the risks (a) that the
actuarial estimate of mortality rates among insureds may prove erroneous and
that reserves set up on the basis of such estimates will not be sufficient to
meet the Company's death benefit payment obligations, and (b) that the charges
for services and expenses of the Company set forth in the Contracts may not
prove sufficient to cover its actual expenses. For providing these mortality and
expense risk guarantees, the Company will receive from Separate Account One an
amount per valuation period of Separate Account One, as provided from time to
time.

    7. This Agreement will be effective on the date executed, and will remain
effective until terminated by any party upon sixty (60) days notice; provided,
however, that this Agreement will terminate automatically in the event of its
assignment by any of the parties hereto.

    8. Notwithstanding termination of this Agreement, the Company shall continue
to provide administrative services and mortality and expense risk guarantees
provided for herein with respect to Contracts in effect on the date of
termination, and the Company shall continue to receive the compensation provided
under this Agreement.

    9. This Agreement is subject to the provisions of the Investment Company Act
of 1940, as amended, and the rules of the Securities and Exchange Commission.

                                      -2-
<PAGE>
 
    IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
signed by their respective officials thereunto duly authorized and, in the case
of the Company and TSSI, seals to be affixed as of the day and year first above
written.


                                          THE TRAVELERS LIFE AND ANNUITY COMPANY

(Seal)

                                          By: 
                                              ----------------------------------
                                          Title: 
                                                 -------------------------------

ATTEST:

____________________________
Assistant Secretary


                                          THE TRAVELERS VARIABLE LIFE INSURANCE
                                          SEPARATE ACCOUNT ONE


                                          By: 
                                              ----------------------------------
                                          Title: 
                                                 -------------------------------
WITNESS:

____________________________

 
                                          TOWER SQUARE SECURITIES, INC.


                                          By: 
                                              ----------------------------------
                                          Title: 
                                                 -------------------------------


ATTEST:  (SEAL)

____________________________
Corporate Secretary

                                      -3-

<PAGE>
 
                     [LOGO OF THE TRAVELERS APPEARS HERE]

THE TRAVELERS LIFE AND ANNUITY COMPANY * One Tower Square * Hartford, CT 06183


            MODIFIED SINGLE PREMIUM VARIABLE LIFE INSURANCE POLICY

We will pay the Death Benefit to the Beneficiary upon receipt at Our Office of
Due Proof of the Insured's Death while this policy was in force. Refer to the
"Death Benefit" provision on Page 6 and to the "Policy Values" section on Page 7
for information on determining the amount payable at death.


READ YOUR POLICY CAREFULLY

This is a legal contract between you and us.


RIGHT TO CANCEL

We want you to be satisfied with the policy you have purchased. We urge you to
examine it closely. If, for any reason, you are not satisfied, you may return
the policy to us or to the agent from whom it was purchased to be cancelled
within the latest of:

     1.   10 days of its delivery to you; or

     2.   10 days after we have mailed or delivered the Notice of the Right to
          Cancel to you; or

     3.   45 days of the date the application for this policy was signed.

Within 7 days of our receipt of your request for a refund, we will refund to you
the greater of (1) any premium paid; or (2) the Cash Value of the policy on the
date we receive the returned policy; plus any charges and expenses which may
have been deducted; less any Loan Account value. After the policy is returned,
it will be considered as if it were never in effect.

 

                       Signed at Hartford, Connecticut  


                           /s/ Michael A. Carpenter


                                   Chairman



            Modified Single Premium Variable Life Insurance Policy
                          Limited Premium Flexibility
                     Insurance Payable at Insured's Death
                               Non-Participating


THE AMOUNT AND DURATION OF THE DEATH BENEFIT AND OTHER VALUES PROVIDED BY THIS
POLICY ARE BASED ON THE INVESTMENT EXPERIENCE OF THE SEPARATE ACCOUNT(S). ALL
VALUES ARE VARIABLE, MAY INCREASE OR DECREASE, AND ARE NOT GUARANTEED AS TO
FIXED DOLLAR AMOUNT.
<PAGE>
 
                               TABLE OF CONTENTS



Right to Cancel                                                   Policy Jacket


Policy Specifications                                             Page 3


Definitions                                                       Page 4


Benefits--Basic Policy                                            Page 6


Policy Values                                                     Page 7


Premium and Valuation Provisions                                  Page 9


Continuation of Insurance                                         Page 10


Grace Period                                                      Page 10


Reinstatement                                                     Page 11


Ownership Rights                                                  Page 11


General Provisions                                                Page 12


Settlement Options


A copy of the application and any riders follows the Settlement Options.
<PAGE>
 
                                  DEFINITIONS

Accumulation Unit: a standard of measurement used to determine the values in
each Sub-Account.

Age: age last birthday.

Amount Insured: equals the greatest of the Stated Amount; or the Stated Amount
plus Cash Value (if Death Benefit Option 2 is selected); or any Minimum Amount
Insured described on the Policy Summary.

Beneficiary(ies): the person(s) named to receive the benefits of this policy 
at the Insured's death.

Cash Surrender Value: the Cash Value less any Loan Account value and applicable 
surrender penalties. 

Cash Value: the sum of the values in the Sub-Accounts and the Loan Account.

Coverage Amount: the Amount Insured less the Cash Value.

Death Benefit: the amount payable to the Beneficiary if the Insured dies while
the policy is in force.

Deduction Amount: a monthly charge, deducted from the Cash Value, which is
comprised of the cost of insurance charge and any other monthly charge shown on
the Policy Summary and any charge for supplemental benefits.

Deduction Day: the day of each month on which the Deduction Amount is deducted.
Shown on the Policy Summary.

Due Proof of the Insured's Death: a copy of a certified death certificate; a
copy of a certified decree of a court of a competent jurisdiction as to the
finding of death; a written statement by a medical doctor who attended the
deceased; or any other proof satisfactory to us.

Earnings: an amount calculated in conjunction with a request for a loan or
partial surrender. This amount is equal to (a - b) - c, where a is Cash Value, b
is the value of any loans that are not comprised of premiums paid; and c equals
total premiums paid. The values of a, b and c are calculated as of the date that
we receive the request for the loan or partial surrender.

In Writing: in a written form satisfactory to us and received at Our Office.

Insured: the person on whose life this policy is issued. Shown on the Policy
Summary.

Issue Date: the date on which we issue the policy. Shown on the Policy Summary.

Loan Account: the account to which we transfer the amount of any policy loan.

Maturity Date: an anniversary of the Policy Date on which the policy matures
(see Maturity Benefit, page 6). Shown on the Policy Summary.

Minimum Amount Insured: a stated percentage of the Cash Value determined as of
the first day of the Policy Month. Shown on the Policy Summary.

Our Office: The Travelers Life and Annuity Company, Policyholder Services, One
Tower Square, Hartford, Connecticut 06183-5071 or any other office which we may
designate for the purpose of administering this policy.

Policy Anniversary: an anniversary of the Policy Date.

Policy Date: the date on which the policy becomes effective. Shown on the Policy
Summary.

Policy Month: twelve one-month periods during the Policy Year, each of which
begins on the Policy Date or the monthly Deduction Day.

Policy Year: each successive twelve-month period; the first beginning with the
Policy Date.

Separate Account(s): the Separate Account(s) which we established for this class
of policies and certain other policies. Shown on the Policy Summary. Each of its
Sub-Accounts invests in shares of an Underlying Fund or units of a Trust.

Stated Amount: a dollar amount used to determine the Death Benefit of the
policy. Shown on the Policy Summary.

Sub-Account: the portion of the assets of the Separate Account(s) which is
allocated to a particular Underlying Fund or Trust.


                                    Page 4
<PAGE>
 
Trust: a unit investment trust which serves as an investment option under the
Separate Account. If available, shown on the Policy Summary.

Underlying Fund(s): an open-ended management investment company which serves as
an investment option under the Separate Account. Shown on the Policy Summary.

Valuation Date: a day on which a Sub-Account is valued. This is any day on which
the New York Stock Exchange is open for trading and we are open for business.

Valuation Period: the period between successive valuations.

We, Us, Our: The Travelers Life and Annuity Company.

You, Your: the owner(s) of this policy.


                                    Page 5
<PAGE>
 
                            BENEFITS--BASIC POLICY

Death Benefit
Upon receipt at Our Office of Due Proof of the Insured's Death while the policy
is in force, we will pay to the Beneficiary the Death Benefit of the policy. The
Death Benefit will be the Amount Insured at the time of death, less any:

     1.   Loan Account value;

     2.   amount payable to an assignee under a collateral assignment of the
          policy; and

     3.   monthly Deduction Amount due but not paid.

The Death Benefit may be limited as provided under the Misstatement and Suicide
provisions on Page 12. The Death Benefit depends on the Death Benefit Option in
effect at the date of death and any increase or decrease you have made to the
Initial Stated Amount. Benefits provided by any rider attached to this policy
will end according to the termination provision(s) therein.

Maturity Benefit
If the Insured is living on the Maturity Date, we will pay you the Cash Value as
of the Maturity Date, less any:

     1.   Loan Account value;

     2.   monthly Deduction Amount due but not paid; and

     3.   amount payable to an assignee under a collateral assignment of the
          policy.

Upon maturity, insurance will end and we will have no other obligation under
this policy except as stated in the Maturity Extension Rider, if applicable.

Death Benefit Options and Amount Insured  
There are two Death Benefit Options. Under Option 1 (the Level Death Benefit
Option), the Amount Insured is the greater of the Stated Amount or any Minimum
Amount Insured on the Insured's date of death. Under Option 2 (the Variable
Death Benefit Option), the Amount Insured is the greater of the Stated Amount
plus the Cash Value or any Minimum Amount Insured on the Insured's date of
death.

You may change the Death Benefit Option at any time prior to the Insured's
death. We will effect the change on the monthly Deduction Day on or following
the day we receive the request. If you request to change from Option 2 to Option
1, the Stated Amount will be increased by the Cash Value. If you request to
change from Option 1 to Option 2, the Stated Amount will be decreased by the
Cash Value. We may require evidence of insurability satisfactory to us if you
request a change from Option 1 to Option 2.

The remaining Amount Insured and the remaining Stated Amount in effect after any
change may not be less than the respective minimum amounts shown on the Policy
Summary.


Requested Changes in Stated Amount
Increases--You may request an increase to the Stated Amount which requires a
minimum premium payment of $1,000 at any time prior to the earlier of the
Insured's attaining Age 80 or his/her death. The request must be made In Writing
to Our Office. The increase will be effective on the date shown on the
supplemental Policy Summary we will send you. We may require evidence of
insurability satisfactory to us if you request an increase.

Decreases--You may request decreases to the Stated Amount under this policy
after the first Policy Year. The decrease will be effective on the later of the
monthly Deduction Day on or following our receipt of your request at Our Office,
or the monthly Deduction Day on or immediately following the date you request it
to be effective.

The decrease will be applied as follows: first against the most recent increase
in the Stated Amount; then to other increases in the Stated Amount in the
reverse order in which they occurred; and last, to the Initial Stated Amount.

After any change, the Stated Amount in effect may not be less than the Minimum
Stated Amount shown on the Policy Summary. We will send you a supplemental
Policy Summary reflecting any change.


                                    Page 6
<PAGE>
 
                                 POLICY VALUES
 
Cash Value 
The Cash Value on the Issue Date is equal to the initial premium paid. On each
Valuation Date, the Cash Value is equal to the sum of the accumulated values in
the Sub-Accounts plus any Loan Account value. The accumulated value in a Sub-
Account equals a times b where:

          a is the number of Accumulation Units on the Valuation Date; and

          b is the then current Accumulation Unit Value for that Sub-Account.

Policy values on other days are calculated in a manner consistent 
with this method.

Deduction Amount
The first monthly Deduction Day is the Policy Date. The monthly Deduction Day is
shown on the Policy Summary.

The Deduction Amount will be charged monthly against each Sub-Account in
proportion to each account's value on each monthly Deduction Day. The Deduction
Amount is equal to:

     1.   the cost of insurance; plus

     2.   the premium tax charge (shown on the Policy Summary); plus

     3.   the cost of supplemental benefits, if any, for which a separate charge
          is shown on the Policy Summary; plus

     4.   any other applicable charges shown on the Policy Summary.

The cost of insurance for any month is equal to c times the result of a minus b
where:

          a is the Amount Insured for the month divided by the Death Benefit
            Interest Factor shown on the Policy Summary;

          b is the Cash Value on the monthly Deduction Day;

          c is the cost for each $1,000 of Coverage Amount shown in the Cost of
            Insurance Table on the Policy Summary at the Insured's age, divided
            by $1,000.

The cost is based on the Insured's age, sex and rate class for the Initial
Stated Amount and each increase in the Stated Amount. When the Amount Insured is
equal to the Minimum Amount Insured shown on the Policy Summary, we will use the
rate class for the most recent increase that required evidence of insurability
to determine the cost of insurance.

If you have selected Death Benefit Option 1 and have made increases in the
Stated Amount, the Cash Value will first be considered a part of the Initial
Stated Amount. If the Cash Value exceeds the Initial Stated Amount, it will then
be considered a part of the additional Stated Amount resulting from increases in
the order of those increases. 

The monthly Deduction Amount for the following month will be taken out of the
Cash Value on the monthly Deduction Day shown on the Policy Summary. If the Cash
Surrender Value is not enough to pay the Deduction Amount due and no further
premiums are paid, the Grace Period will begin (see Grace Period provision, Page
10).

The cost of insurance rates are shown in the Cost of Insurance Table on the
Policy Summary. We may use rates less than those shown. We will base these rates
only on our future outlook for mortality and expenses. Nothing in this policy
will be affected by our actual mortality and expenses. We will determine the
rates at the start of each Policy Year and will guarantee them for that Policy
Year. Any change we make in the rates will be on a uniform basis for insureds of
the same age, sex, duration and rate class.


                                    Page 7
<PAGE>
 
Cash Surrender Value 
The Cash Surrender Value is equal to the Cash Value less any Loan Account value
and applicable surrender penalties as shown on the Policy Summary. It will not
be not less than the minimum value required by the insurance laws of the state
in which this policy is delivered. A detailed statement of the method of
calculating the Cash Surrender Values has been filed with the insurance
department of the state in which this policy is delivered.

Cash Surrender 
At any time during the lifetime of the Insured and while the policy is in force,
you may request, In Writing, a full or partial surrender. You may do so without
the consent of any Beneficiary, unless irrevocably named. We will calculate your
Cash Surrender Value as of the day we receive your written request. We will pay
any Cash Surrender Value within seven business days of receipt of request.

If you request a full surrender, the policy will end on the Deduction Day on or
immediately following the date that we receive your request and the surrendered
policy at Our Office.

If you request a partial surrender, then the Death Benefit, Amount Insured, and
Cash Value will be reduced by the amount surrendered, including any applicable
surrender penalty. Additionally, under Death Benefit Option 1, the Stated Amount
will be reduced by the amount of the surrender. The deduction from the Cash
Value will be made on a pro-rata basis against the Cash Value of each Sub-
Account unless you request otherwise In Writing. The amount of any partial cash
surrender may not exceed the Cash Surrender Value. After the reduction, the
Amount Insured must be no less than the Minimum Amount Insured shown on the
Policy Summary. In determining a partial surrender charge, partial surrenders
will be allocated to premium payments in the reverse order in which such
payments were made.


Policy Loans 
We will make a loan to you with the policy as security if you assign this policy
to us while it is in force. We will make the loan within seven business days
after we receive the request for the loan at Our Office. We will not make a loan
to you or increase an outstanding loan for less than the Minimum Loan Amount
shown on the Policy Summary.

The total Loan Account value may not exceed the Maximum Loan Amount shown on the
Policy Summary. Interest on the loan will be payable in advance, at the begining
of each Policy Year, at the Loan Interest Rate Charged as described on the
Policy Summary. Loans will be taken first from Earnings, if any, and then from
premium payments. Interest not paid when due will be added to the Loan Account
Value.

Loans will be transferred from the Sub-Accounts to the Loan Account in
proportion to the Cash Value in each Sub-Account as of the date the loan is
made, unless you request otherwise. A Loan Account will be maintained while a
loan is outstanding and credited at the Loan Account Annual Interest Rate
Credited shown on the Policy Summary. The value of the Loan Account is the
amount of any outstanding loan plus any interest we charge to the Loan Account,
less any interest we may transfer to the Sub-Accounts.

While the Insured is living and the policy is in effect, all or part of any loan
may be repaid. A payment received while there is an outstanding loan on the
policy will be considered a loan repayment rather than an additional premium
payment. Loan repayments will be first applied to that portion of the loan
comprised of premiums paid. The amount of the repayment will be transferred from
the Loan Account and will be allocated among the Sub-Accounts in proportion to
the outstanding loan amount associated with each Sub-Account. You may not repay
a loan that exists at the end of the Grace Period (see provision on Page 10)
unless you reinstate this policy.

If the Loan Account Value exceeds the Cash Value, less applicable surrender
penalties, this policy will end without value 31 days after we mail notice of
termination to your last known address.


                                    Page 8
<PAGE>
 
                       PREMIUM AND VALUATION PROVISIONS

Premium
An initial lump sum premium payment must be made to the policy and is due and
payable before the policy becomes effective. All premiums are payable at Our
Office or to one of our authorized representatives.

Premium Allocation 
During the Right to Cancel period, any premium that has been paid will be
invested in the money market Sub-Account specified on the Policy Summary. At the
end of the Right to Cancel period, we will apply the resulting premium amount to
provide Accumulation Units to be credited to each of the selected Sub-Accounts
in the proportion stated in your application or as you have instructed us most
recently.

Additional Premium Payments
You may make additional premium payments under the following circumstances:

     1.   upon our approval of a requested increase in Stated Amount which
          requires an additional payment of at least $1,000; or

     2.   when payment is required to keep the policy in force as described in
          the Grace Period provision; or

     3.   when payment is required to reinstate the policy as described in the
          Reinstatement provision; or

     4.   payment at least equal to the Minimum Discretionary Payment Amount
          shown on the Policy Summary may be made at any time before the
          Maturity Date, provided that the premium payment plus the total of all
          premiums already paid does not exceed the limits prescribed by federal
          income tax laws or regulations to qualify the policy as life
          insurance.

We reserve the right to require evidence of insurability before accepting any
additional premium payments which would increase the Coverage Amount. A payment
received while there is an outstanding loan on the policy will be considered a
loan repayment rather than an additional premium payment.

Any premium received after the initial premium is paid will be applied as of the
Valuation Date following its receipt at Our Office. We will apply such premium
to provide Accumulation Units to be credited to the Sub-Accounts in the
proportion stated in your application, or as you have instructed us most
recently.


SUB-ACCOUNT VALUATION

Accumulation Units 
The number of Accumulation Units to be credited to each Sub-Account once a
premium payment has been received by us will be determined by dividing the
premium applied to that Sub-Account by the current Accumulation Unit Value of
that Sub-Account.

Accumulation Unit Value
The value of an Accumulation Unit for each Sub-Account was initially set at
$1.00. We will determine the Accumulation Unit value for each Sub-Account on
each Valuation Date by multiplying the value on the immediately preceding
Valuation Date by the net investment factor (see Net Investment Factor
provision, Page 10) for that Sub-Account for the Valuation Period just ended.

The value of an Accumulation Unit on any date other than a Valuation Date will
be equal to its value as of the next Valuation Date.


                                    Page 9
<PAGE>
 
Net Investment Factor
The net investment factor is a factor applied to measure the investment
performance of a Sub-Account from one Valuation Period to the next. The net
investment factor for a Sub-Account for any Valuation Period is determined by
dividing a by b and subtracting c where:

          a is

     1.   the net asset value, per share of the Underlying Fund or per unit of
          the Trust, held in the Sub-Account as of the Valuation Date, plus

     2.   the per-share amount of any dividend or capital gain distributions by
          the Underlying Fund if the ex-dividend date occurs in the Valuation
          Period just ended; plus or minus

     3.   a per-share charge or credit, as we may determine on the Valuation
          Date for tax reserves; and

          b is

     1.   the net asset value, per share of the Underlying Fund or per unit of
          the Trust, held in the Sub-Account as of the last prior Valuation
          Date; plus or minus

     2.   the per-share or per-unit charge or credit for tax reserves as of the
          end of the last prior Valuation Date; and

          c is the applicable Sub-Account deduction applicable to the Valuation
          Period.

Assets in each Sub-Account will be valued at fair market value in accordance
with accepted accounting practices and applicable laws and regulations.

All Sub-Account deductions are shown on the Policy Summary.


TRANSFERS BETWEEN ACCOUNTS 
As long as the policy is in effect, you may request that we transfer all or a
part of the Cash Value (minus Loan Account value) from a Sub-Account to any
other Sub-Account available under the policy at the time of request. Such
transfers must be in accordance with our rules. We reserve the right to limit
the number of free transfers between Sub-Accounts to that shown on the Policy
Summary. We reserve the right to charge a reasonable administrative fee for
transfers beyond that number.

Transfers between accounts will result in the addition or deletion of
Accumulation Units having a total value equal to the dollar amount being
transferred to or from a particular account. The number of Accumulation Units
will be determined by dividing the amount transferred by the Accumulation Unit
Value of the accounts involved as of the next valuation after we receive your
request for transfer at Our Office.


           CONTINUATION OF INSURANCE, GRACE PERIOD AND REINSTATEMENT

Continuation of Insurance
Subject to the Grace Period provision below, if sufficient premium payments are
not made, this policy will continue until the day on which the Cash Surrender
Value would not be enough to pay the monthly Deduction Amount due, or until the
Maturity Date, if earlier.

The Continuation of Insurance benefit will not be less than the minimum benefit
required by the insurance laws of the state in which this policy is delivered.

Grace Period
When the Cash Surrender Value is insufficient to pay the Deduction Amount due,
we will send you a notice of required premium to your last known address. If the
required premium is not paid within 61 days (the "Grace Period"), the policy
will lapse. The policy will have no Cash Value. The policy will continue through
the Grace Period, but if the required payment has not been received at Our
Office, the policy will terminate at the end of the Grace Period. If the Insured
dies during the Grace Period, the Death Benefit payable will be reduced by any
Deduction Amount due but not paid and by any Loan Account value.


                                    Page 10
<PAGE>
 
Reinstatement
This policy may be reinstated at any time within three years from the date to
which the monthly Deduction Amount had been paid, if:

     1.   the policy was not surrendered for cash; and

     2.   evidence of insurability acceptable to us is furnished; and

     3.   all monthly Deduction Amounts past due are paid; and

     4.   premium at least equal to three monthly Deduction Amounts is paid; and

     5.   all Loan Account value is repaid or restored. (Interest charged will
          not exceed 5.65% compounded annually).

Upon reinstatement, the Cash Value of the policy will be the amount provided by
the premium paid.


                               EXCHANGE OPTION 

While this policy is in effect, you may exchange it during the first two Policy
Years for a form of individual permanent life insurance which we, or one of our
affiliates, then regularly issue for the amount exchanged. No evidence of
insurability will be required. We will issue the policy as provided below:

     1.   the amount of insurance under the new policy may not exceed your
          choice of either:

          a.   the Coverage Amount of this policy at the time of the exchange;
               or

          b.   the Death Benefit of this policy at the time of the exchange; and

     2.   the Issue Date of the new policy will be the same as the Issue Date of
          this policy; and

     3.   the premium for the new policy will be based on the Insured's Attained
          Age under this policy; and

     4.   the new policy will be based on the same rate class as that on which
          this policy was issued, or, if the same rate class is not available
          under the new policy, then the new policy will be based on the class
          for which the Insured qualifies based on his/her insurability at the
          time this policy was issued.

Any Loan Account value must be repaid prior to the issuance of the new policy.
Rider benefits included with this policy will be included with the new policy
only if such rider benefits are available with the new policy and will be
subject to our rules then in effect.

An exchange made pursuant to this provision is subject to an equitable
adjustment in payments and Cash Values to reflect variance, if any, in the
payments and Cash Values under this policy and the new policy.


                               OWNERSHIP RIGHTS

Ownership
The original owner(s) is (are) shown on the application. During the Insured's
lifetime, you may, without the consent of any Beneficiary unless irrevocably
named, exercise all rights and options that this policy provides and that we
permit.

Ownership is transferable by assignment. No assignment is binding on us until we
receive a copy of the written assignment at Our Office. We will not determine if
an assignment is valid. Proof of interest must be filed with any claim under a
collateral assignment.


Beneficiary
The original Beneficiary is stated in the application. You may name a new
Beneficiary during the Insured's lifetime and while this policy is in force. Any
change will be effective from the date you signed the notice of change, even if
the Insured is not living when we receive it. We will have no further
responsibility for any payment we make before we receive the notice at Our
Office.

If no Beneficiary survives the Insured, you will be the Beneficiary. If you are
the Insured, your estate will be the Beneficiary. The rights of any collateral
assignee may affect the interest of the Beneficiary.


                                    Page 11
<PAGE>
 
                              GENERAL PROVISIONS

Entire Contract 
The entire contract consists of this policy and the application, a copy of which
is attached. The policy is issued in consideration of the application and the
payment of premium. We will not use any statement to void this policy or to deny
a claim under it, unless that statement is contained in an attached written
application. All statements in the application will be considered
representations and not warranties.


Changes 
Any agreement to alter this policy must be in writing and signed by one of our
officers.


No  Dividends 
This policy is non-participating. It does not share in our surplus earnings, so
you will receive no dividends under it.


Misstatement 
If the age and/or sex of the Insured was incorrectly stated in the application,
the amount of the Death Benefit will be adjusted to the amount which would have
been purchased at the correct age and/or sex, based on the most recent cost of
insurance charge.

Proof of age may be filed at any time at Our Office.


Suicide 
If, within two years from the Issue Date, the Insured dies due to suicide, while
sane or insane, the Death Benefit will be limited to the premiums paid, less any
Loan Account value and amount of any partial surrenders.

If you have applied for an increase to the Stated Amount, this Suicide provision
will be measured from the effective date of the increase with respect to payment
of the increase amount.

If this policy is reinstated, this Suicide provision will be measured from the
reinstatement date.


Contest 
No misstatements made in any application for this policy will be used to contest
payment of any Death Benefit after the policy has been in force during the
Insured's lifetime for two years from the Issue Date.

If you have applied for an increase to the Stated Amount, this Contest provision
will be measured from the effective date of the increase with respect to payment
of the increase amount.

If this policy is reinstated, this Contest provision will be measured from the
reinstatement date.


Separate Accounts
We have exclusive and absolute ownership and control of the assets of the
Separate Account(s) and the Sub-Accounts. The assets of the Separate Account(s)
will be available to cover the liabilities of our general account only to the
extent that those assets exceed the reserves and other policy liabilities of
that Separate Account(s) arising under the variable life insurance policies
supported by that Separate Account. The assets of the Separate Account(s) will
be valued at least as often as any policy benefits but under no circumstances
less than monthly. Our determination of the value of an Accumulation Unit by the
method described in the policy will be conclusive. To the extent required by
law, the investment policy of the Separate Account(s) will not be changed
without the approval of the Insurance Commissioner of Connecticut. This approval
process is on file with the Commissioner of the state where this policy is
issued for delivery.


                                    Page 12
<PAGE>
 
Substitution of Separate Account, Underlying Fund or Trust
If the use of a Separate Account, Underlying Fund or Trust is no longer
possible, or in our judgment becomes inappropriate for the purposes of this
policy, we may substitute another Separate Account, Underlying Fund or Trust
without your consent. Substitution may be made with respect to both existing
premium payments and investment of future premium payments. However, no such
substitution will be made without notice to you and without prior approval of
the Securities and Exchange Commission and the approval of the Insurance
Commissioner of the state where this policy is issued for delivery, to the
extent required by law. We may also add other Underlying Funds or Trusts under
the policy.


Emergency Procedure
We reserve the right to suspend or postpone the date of any payment of any
benefit or values (including the payments of cash surrenders and policy loans)
for any Valuation Period (1) when the New York Stock Exchange is closed (except
for holidays or weekends); (2) when trading on the Exchange is restricted; (3)
when an emergency exists as determined by the Securities and Exchange Commission
so that disposal of the securities held in the Sub-Accounts is not reasonably
practicable or it is not reasonably practicable to determine the value of the
Sub-Account's net assets; or (4) when the Commission has ordered that the right
of surrender be suspended for your protection; or (5) during any other period
when the Securities and Exchange Commission, by order, so permits for your
protection. Any provision of this policy which specifies a Valuation Date will
be superseded by this Emergency Procedure.


Voting Rights
For each Sub-Account in which the basic policy is credited with Accumulation
Units and which invests in an Underlying Fund, you, or the Beneficiary after the
Insured's death, will be entitled to certain voting rights with respect to the
Underlying Fund corresponding to that Sub-Account. 

If current law requires, you will be entitled to instruct us how to vote at
meetings of the shareholders of the Underlying Funds. We will determine the
number of votes to which you will be entitled to instruct us. If there is a
change in the law which permits us to vote the shares of the Underlying Funds
without direction from you, we reserve the right to do so.


Maturity of a Sub-Account
If any Cash Value is attributable to a Sub-Account having a specified maturity
date, the Cash Value in that Sub-Account as of such maturity date will be
allocated to the money market Sub-Account specified on the Policy Summary,
unless you request otherwise. We will send written notice to your last known
address at least 30 days in advance of the maturity date of that Sub-Account. To
select an allocation to a Sub-Account other than the money market Sub-Account,
we must receive your notification In Writing at least seven days before the
maturity date of that Sub-Account.


Annual Statement 
As often as required by law, but at least once in each Policy Year, we will send
you a statement showing:

     1.   the Cash Value, Stated Amount and Amount Insured; and

     2.   the premiums paid, deductions, surrenders and loans made during the
          preceding Policy Year; and
 
     3.   total Loan Account value.


Illustrative Reports 
You may request an up-to-date illustrative report of values based on past
results and current assumptions.

We will provide the illustrative report within a reasonable time and for a
reasonable service fee (unless prohibited by state law).


                                    Page 13
<PAGE>
 
                              SETTLEMENT OPTIONS

You may elect any of the following Options for amounts payable in one sum under
this policy if the amount placed under an Option is at least $5,000. The
election must be made In Writing by you, if the Insured is living, or by the
Beneficiary, if the Insured has died.

Your election as to payments after the Insured dies is not binding on the payee
unless restricted in the election. If you have not made an election prior to the
Insured's death, the Beneficiary(ies) may make the election. While the Insured
is living, you may cancel an election you made:

          a.  before the Maturity Date if the policy is an endowment; or

          b.  before surrender if the policy has a Cash Value; 

unless you made the election irrevocable.

If you cancel an election and have not named a Beneficiary under this policy
when the Insured dies, the Beneficiary is you. If you are deceased when the
Insured dies, the Beneficary(ies) is (are) your executors, administrators, or
assigns.

If any periodic payment due any payee is less than $100, we may make payments
less often so that each payment is at least $100.

If, at the date the first payment under an Option is due, we have declared a
higher rate under an Option, we will base the payments on the higher rate.

Option 1 -- Payments of a Fixed Amount -- We will make equal monthly payments of
the amount elected until the amount placed under this Option, with interest at a
rate of not less than 3 1/2% per year, has been paid. This Option cannot be
elected if the amount of each monthly payment is not at least $4.50 for each
$1,000 of proceeds. The last payment will include any amount that is not enough
to make another full payment.

Option 2 -- Payments for a Fixed Period -- We will make equal monthly payments 
as shown in Table A, for the number of years elected.

Option 3 -- Amounts Held at Interest -- We will keep amounts under this Option
and pay interest on them (monthly, quarterly, semi-annually, or annually, as
elected) during the lifetime of the first payee, or for any other period agreed
on. Interest will be at rates we set from time to time, but not less than 3 1/2%
per year. We will not make interest payments to any other payee after the 30th
anniversary of the date this Option first became payable. On the 30th
anniversary, we will pay in one sum any amounts being kept for any other payee.
If the death of the first payee occurs on or after the 30th anniversary, we will
pay the balance to the next payee in one sum.

Option 4 -- Monthly Life Income -- We will make monthly payments, as shown in
Table B, during the lifetime of the person on whose life the payments are based
either:

          a.  with the number of payments assured for 60, 120, 180 or 240 months
              as elected; or

          b.  on the cash refund basis where, if at the death of that person
              payments have been made for less than the number of months
              elected, we will pay in one sum any amount used to provide this
              income that exceeds the sum of monthly payments already made.

Option 5 -- Joint and Survivor Level Amount Monthly Life Income-- We will make
monthly payments, as shown in Table C, based on the lifetime of two persons. We
will make monthly payments as long as either person lives.

The payments will be either:

          a.  without payments assured (no payments will be made after the death
              of the survivor); or

          b.  with payments assured for 120 months.

Option 6 -- Joint and Survivor Monthly Life Income -- Two-thirds to Survivor --
We will make monthly payments, as shown in Table D, during the joint lifetime of
two persons on whose lives payments are based. After the death of either, we
will make payments of two-thirds the original amount during the lifetime of the
survivor. No payments will be made after the death of the survivor.
<PAGE>
 
Option 7 -- Joint and Last Survivor Monthly Life Income -- Monthly Payment
Reduces on Death of First Person Named We will make monthly income payments, as
shown in Table E, during the joint lifetime of two persons on whose lives
payments are based. One of the two persons will be named the first person. The
other will be named the second person. If the second person dies first, we will
continue to make monthly payments during the life of the first person. These
payments will be in the same amount that was payable during the joint lifetime
of the two persons. If the first person dies first, we will continue to make
monthly payments during the life of the second person in an amount equal to 50%
of the payments that we would have made during the lifetime of the first person.
No payments will be made after the death of the survivor.

Option 8 -- Other Options -- We will make any other arrangements for income
payments as may be agreed upon.

Payment Due -- The first payment under an option, except Option 3, is due on the
date the proceeds become payable under that option. Under Option 3, the first
payment is due one month after that date.

Payee -- We will make each payment under an elected Option when due (as long as
the payment is at least $100) to the designated payee, with the designation
applying at the due date of each payment. If two or more payees are to share
payments under Option 3, we will divide the proceeds on which interest is
payable in the proportions designated. Any rights of each payee will apply to
each payee's share of the proceeds.

If any payee or the last surviving payee dies while receiving payments, we will
pay in one sum:

          a.  any amounts not paid which remain (as to that payee) under the
              option; or

          b.  the present value of any remaining payments assured; to the
              executors, administrators or assigns of that payee.

Rights of Payee -- Unless restricted, a payee under Option 3 has the right to:

     1.  Elect Option 1, 2 or 4; but no election may be made under Option 1 or 2
         which would continue payments past the 30th anniversary of the date the
         first payment was due;

     2.  Withdraw part or all of the proceeds at any time but not more than four
         times in any one calendar year; after four times in a calendar year,
         the payee has the right to withdraw in one sum the entire amount not
         already paid.

Unless restricted, the payee under Options 1, 2, 4, 5, 6 and 7 has:

     1.  the right to assign any payments under an option; and

     2.  the right to receive the present value of future benefits.

A payee has no right to receive the present value of future benefits under a
Life Income Option during the lifetime of the person on whose life the payments
are based.

Any payee who has a right to withdraw or receive the present value of future
benefits can exercise that right to the exclusion of the rights of any
succeeding payee. The calculation of the present value of future benefits under
any option will be at an interest rate which will not exceed the actual rate
which was used to calculate those benefits by more than one percent.

If, at the time an Option is elected, there is any outstanding loan on or
secured by this policy, that loan may be repaid to us in whole or in part.

All amounts that we hold and payments which we make under an Option are exempt
from the claims of all creditors to the extent allowed by law. Amounts payable
under any Option are a part of and invested in our general corporate funds.

<TABLE>
<CAPTION>
                             Table A--Monthly Payments For Fixed Period Per $1,00 0 of Proceeds--3 1/2%
          Monthly                Monthly               Monthly              Monthly                Monthly               Monthly
Years     Installment   Years    Installment  Years    Installment  Years   Installment   Years    Installment  Years    Installment

<S>      <C>           <C>      <C>           <C>     <C>           <C>     <C>           <C>     <C>           <C>     <C>
1        $84.654        6       $15.350       11       $9.086       16       $6.763       21       $5.565       26       $4.842
2         43.055        7        13.376       12        8.464       17        6.465       22        5.393       27        4.732
3         29.194        8        11.899       13        7.939       18        6.201       23        5.236       28        4.630
4         22.268        9        10.751       14        7.490       19        5.966       24        5.093       29        4.535
5         18.115       10         9.835       15        7.101       20        5.755       25        4.963       30         4.44
</TABLE>
<PAGE>
 

             Table B - Monthly Life Income Per $1,000 of Proceeds

                                     Male 
<TABLE> 
<CAPTION> 
------------------------------------------------------------------------------------------------------------------------------------
      Cash    60     120    180    240         Cash    60     120    180    240         Cash    60     120    180    240
Age   Ref.    Mo.    Mo.    Mo.    Mo.    Age  Ref.    Mo.    Mo.    Mo.    Mo.    Age  Ref.    Mo.    Mo.    Mo.    Mo.  
------------------------------------------------------------------------------------------------------------------------------------
<S>   <C>    <C>    <C>    <C>    <C>     <S>  <C>    <C>    <C>    <C>    <C>     <S>  <C>    <C>    <C>    <C>    <C>  
 20*  $3.35  $3.39  $3.38  $3.37  $3.36    44  $4.06  $4.20  $4.18  $4.14  $4.09    68  $6.10  $6.87  $6.52  $6.01  $5.44  
 21    3.37   3.40   3.39   3.38   3.37    45   4.11   4.26   4.24   4.19   4.13    69   6.26   7.09   6.68   6.11   5.49
 22    3.38   3.42   3.41   3.40   3.39    46   4.16   4.32   4.30   4.25   4.18    70   6.42   7.31   6.85   6.21   5.53
 23    3.40   3.44   3.43   3.42   3.41    47   4.21   4.39   4.36   4.30   4.23    71   6.60   7.55   7.02   6.30   5.57
 24    3.43   3.47   3.46   3.45   3.44    48   4.26   4.45   4.42   4.36   4.28    72   6.79   7.81   7.19   6.40   5.61
 25    3.45   3.49   3.48   3.47   3.46    49   4.32   4.53   4.49   4.42   4.33    73   6.99   8.08   7.37   6.48   5.64
 26    3.47   3.51   3.50   3.49   3.48    50   4.38   4.60   4.56   4.48   4.39    74   7.20   8.37   7.56   6.57   5.66
 27    3.49   3.54   3.53   3.52   3.51    51   4.44   4.68   4.63   4.55   4.44    75   7.44   8.67   7.74   6.65   5.69
 28    3.52   3.56   3.55   3.54   3.53    52   4.50   4.76   4.70   4.61   4.49    76   7.67   8.99   7.92   6.72   5.70
 29    3.54   3.59   3.58   3.57   3.56    53   4.57   4.84   4.78   4.68   4.55    77   7.94   9.33   8.11   6.79   5.72
 30    3.57   3.61   3.60   3.59   3.58    54   4.64   4.93   4.86   4.76   4.61    78   8.24   9.69   8.29   6.85   5.73
 31    3.60   3.64   3.63   3.62   3.61    55   4.71   5.03   4.95   4.83   4.67    79   8.53  10.07   8.47   6.90   5.74
 32    3.62   3.67   3.66   3.65   3.64    56   4.79   5.12   5.04   4.91   4.73    80   8.87  10.46   8.64   6.95   5.74
 33    3.65   3.71   3.70   3.69   3.67    57   4.87   5.23   5.13   4.99   4.79    81   9.26  10.88   8.81   6.99   5.75
 34    3.68   3.74   3.73   3.72   3.70    58   4.95   5.34   5.23   5.07   4.85    82   9.62  11.31   8.97   7.02   5.75
 35    3.71   3.78   3.77   3.75   3.74    59   5.04   5.45   5.34   5.15   4.91    83  10.08  11.77   9.11   7.04   5.75
 36    3.75   3.81   3.80   3.79   3.77    60   5.14   5.58   5.44   5.24   4.98    84  10.52  12.24   9.25   7.06   5.75 
 37    3.78   3.85   3.84   3.83   3.80    61   5.23   5.70   5.56   5.33   5.04    85  11.06  12.73   9.36   7.07   5.75
 38    3.82   3.89   3.89   3.87   3.84    62   5.34   5.84   5.68   5.42   5.10    and
 39    3.85   3.94   3.93   3.91   3.88    63   5.45   5.99   5.80   5.52   5.16    over
 40    3.89   3.99   3.97   3.95   3.92    64   5.57   6.14   5.93   5.61   5.22
 41    3.93   4.04   4.02   4.00   3.96    65   5.69   6.31   6.07   5.71   5.28
 42    3.97   4.09   4.07   4.04   4.00    66   5.82   6.49   6.22   5.81   5.33    
 43    4.02   4.14   4.12   4.09   4.04    67   5.96   6.67   6.36   5.91   5.39
------------------------------------------------------------------------------------------------------------------------------------
</TABLE> 
*and under 20

             Table B - Monthly Life Income Per $1,000 of Proceeds

                                    Female
<TABLE> 
<CAPTION> 
------------------------------------------------------------------------------------------------------------------------------------
      Cash    60     120    180    240         Cash    60     120    180    240         Cash    60     120    180    240
Age   Ref.    Mo.    Mo.    Mo.    Mo.    Age  Ref.    Mo.    Mo.    Mo.    Mo.    Age  Ref.    Mo.    Mo.    Mo.    Mo.  
------------------------------------------------------------------------------------------------------------------------------------
<S>   <C>    <C>    <C>    <C>    <C>     <S>  <C>    <C>    <C>    <C>    <C>     <S>  <C>    <C>    <C>    <C>    <C>  
 20*  $3.25  $3.28  $3.27  $3.26  $3.25    44  $3.83  $3.89  $3.88  $3.87  $3.85    68  $5.63  $6.09  $5.93  $5.65  $5.27
 21    3.26   3.30   3.29   3.28   3.27    45   3.87   3.94   3.93   3.91   3.89    69   5.78   6.28   6.09   5.76   5.33
 22    3.28   3.31   3.30   3.29   3.28    46   3.91   3.99   3.98   3.96   3.93    70   5.93   6.48   6.26   5.88   5.38
 23    3.29   3.33   3.32   3.31   3.31    47   3.96   4.03   4.02   4.00   3.97    71   6.08   6.70   6.43   5.99   5.44
 24    3.31   3.35   3.34   3.33   3.32    48   4.00   4.09   4.08   4.05   4.02    72   6.26   6.93   6.61   6.10   5.49
 25    3.33   3.36   3.35   3.34   3.33    49   4.05   4.14   4.13   4.10   4.07    73   6.43   7.18   6.80   6.21   5.53
 26    3.34   3.38   3.37   3.36   3.35    50   4.10   4.20   4.19   4.16   4.12    74   6.62   7.44   6.99   6.31   5.57
 27    3.36   3.40   3.39   3.38   3.37    51   4.15   4.26   4.25   4.21   4.17    75   6.83   7.73   7.19   6.41   5.60
 28    3.38   3.42   3.41   3.40   3.39    52   4.21   4.33   4.31   4.27   4.22    76   7.04   8.03   7.39   6.50   5.63
 29    3.40   3.44   3.43   3.42   3.41    53   4.26   4.40   4.38   4.33   4.27    77   7.28   8.35   7.59   6.58   5.65 
 30    3.42   3.46   3.45   3.44   3.43    54   4.32   4.47   4.44   4.40   4.33    78   7.54   8.70   7.79   6.66   5.67
 31    3.45   3.48   3.47   3.46   3.45    55   4.39   4.55   4.52   4.47   4.39    79   7.78   9.06   7.99   6.73   5.69
 32    3.47   3.51   3.50   3.49   3.48    56   4.45   4.63   4.59   4.54   4.45    80   8.07   9.44   8.18   6.79   5.70
 33    3.49   3.53   3.52   3.51   3.50    57   4.53   4.71   4.67   4.61   4.52    81   8.35   9.84   8.36   6.84   5.72 
 34    3.52   3.56   3.55   3.54   3.53    58   4.60   4.80   4.76   4.69   4.58    82   8.66  10.25   8.53   6.88   5.72
 35    3.54   3.58   3.57   3.56   3.55    59   4.68   4.90   4.85   4.77   4.65    83   9.00  10.68   8.68   6.92   5.73
 36    3.57   3.61   3.60   3.59   3.58    60   4.76   5.00   4.94   4.85   4.71    84   9.32  11.11   8.83   6.96   5.74
 37    3.60   3.64   3.63   3.62   3.61    61   4.85   5.10   5.04   4.94   4.78    85   9.69  11.55   8.96   6.98   5.74
 38    3.63   3.67   3.66   3.65   3.64    62   4.94   5.22   5.15   5.03   4.85    and
 39    3.66   3.70   3.69   3.68   3.67    63   5.04   5.34   5.26   5.12   4.92    over
 40    3.69   3.74   3.73   3.72   3.70    64   5.15   5.47   5.38   5.22   4.99
 41    3.72   3.77   3.76   3.75   3.74    65   5.26   5.61   5.50   5.33   5.05
 42    3.76   3.81   3.80   3.79   3.77    66   5.38   5.76   5.64   5.43   5.13
 43    3.79   3.85   3.84   3.83   3.81    67   5.50   5.92   5.78   5.54   5.20
------------------------------------------------------------------------------------------------------------------------------------
</TABLE> 
*and under 20
 
   



<PAGE>
 
         Joint and Survivor Monthly Life Income Per $1,000 of Proceeds

<TABLE>
<CAPTION> 
                                     TABLE C - Level Amount                                        TABLE D - 2/3 To Survivor 
            -----------------------------------------------------------------------------------------------------------------------
Age and Sex                                                  Age and Sex        
            -----------------------------------------------------------------------------------------------------------------------
 Male          50               55             60               65              70             50      55      60      65      70  
-----------------------------------------------------------------------------------------------------------------------------------
      Fem.     55               60             65               70              75             55      60      65      70      75
-----------------------------------------------------------------------------------------------------------------------------------
            No      120     No      120     No      120     No      120     No      120        No      No      No      No      No
           Ref.     Mo.    Ref.     Mo.    Ref.     Mo.    Ref.     Mo.    Ref.     Mo.       Ref.    Ref.    Ref.    Ref.    Ref.
-----------------------------------------------------------------------------------------------------------------------------------
<S>        <C>     <C>     <C>     <C>     <C>     <C>     <C>     <C>     <C>     <C>        <C>     <C>     <C>     <C>     <C>  
 50   55   $4.04   $4.03   $4.17   $4.16   $4.28   $4.27   $4.37   $4.36   $4.45   $4.44      $4.40   $4.58   $4.77   $4.98   $5.21 
 51   56    4.07    4.06    4.20    4.19    4.32    4.31    4.42    4.41    4.51    4.50       4.44    4.62    4.82    5.04    5.28
 52   57    4.08    4.08    4.23    4.22    4.36    4.35    4.48    4.47    4.57    4.56       4.47    4.66    4.86    5.09    5.34
 53   58    4.12    4.11    4.27    4.26    4.41    4.40    4.53    4.52    4.63    4.62       4.51    4.70    4.91    5.15    5.40
 54   59    4.14    4.13    4.30    4.29    4.45    4.44    4.59    4.58    4.70    4.69       4.54    4.74    4.96    5.21    5.47
 55   60    4.17    4.16    4.34    4.33    4.50    4.49    4.64    4.63    4.77    4.75       4.58    4.79    5.01    5.27    5.54
 56   61    4.19    4.18    4.37    4.36    4.54    4.53    4.70    4.69    4.84    4.82       4.62    4.83    5.07    5.33    5.61
 57   62    4.21    4.20    4.40    4.39    4.59    4.58    4.76    4.75    4.91    4.89       4.65    4.87    5.12    5.39    5.69
 58   63    4.23    4.22    4.44    4.43    4.63    4.62    4.82    4.81    4.99    4.97       4.69    4.92    5.17    5.46    5.77
 59   64    4.26    4.25    4.47    4.46    4.68    4.67    4.88    4.87    5.06    5.04       4.73    4.97    5.23    5.52    5.85
 60   65    4.28    4.27    4.50    4.49    4.72    4.71    4.95    4.93    5.14    5.12       4.77    5.01    5.29    5.59    5.93
 61   66    4.30    4.29    4.53    4.52    4.77    4.76    5.01    4.99    5.22    5.19       4.81    5.06    5.34    5.66    6.01
 62   67    4.32    4.31    4.56    4.55    4.81    4.80    5.07    5.05    5.31    5.27       4.85    5.11    5.40    5.73    6.10
 63   68    4.34    4.33    4.59    4.58    4.86    4.84    5.13    5.11    5.39    5.35       4.90    5.16    5.47    5.81    6.19
 64   69    4.35    4.34    4.62    4.61    4.90    4.89    5.20    5.17    5.48    5.43       4.94    5.21    5.53    5.89    6.29
 65   70    4.37    4.36    4.64    4.63    4.95    4.93    5.26    5.23    5.56    5.52       4.98    5.27    5.59    5.96    6.38
------------------------------------------------------------------------------------------------------------------------------------
</TABLE> 

 Table E - Joint and Last Survivor Monthly Life Income Per $1,000 of Proceeds

            Monthly Payment Reduces on Death of First Person Named
<TABLE> 
<CAPTION> 
--------------------------------------------------------------------------------
Age and Sex                   Age and Sex-Second Person Named
--------------------------------------------------------------------------------
       Male                   50     55     60     65     70
--------------------------------------------------------------------------------
                 Female       55     60     65     70     75
--------------------------------------------------------------------------------
                              No     No     No     No     No     
                             Ref.   Ref.   Ref.   Ref.   Ref.
--------------------------------------------------------------------------------
<C>     <S>                  <C>    <C>    <C>    <C>    <C> 
        50         55        $4.30  $4.37  $4.44  $4.49  $4.53
        51         56         4.35   4.43   4.50   4.55   4.60
        52         57         4.40   4.49   4.56   4.62   4.67
        53         58         4.45   4.54   4.62   4.69   4.75
First   54         59         4.51   4.60   4.69   4.76   4.82
Person  55         60         4.56   4.66   4.76   4.84   4.91
Named   56         61         4.62   4.73   4.83   4.92   4.99
        57         62         4.67   4.79   4.90   5.00   5.08
        58         63         4.73   4.86   4.98   5.08   5.17
        59         64         4.79   4.93   5.05   5.17   5.27
        60         65         4.85   5.00   5.13   5.26   5.37
        61         66         4.92   5.07   5.22   5.36   5.48
        62         67         4.98   5.14   5.30   5.45   5.59
        63         68         5.05   5.22   5.39   5.56   5.70
        64         69         5.12   5.30   5.48   5.66   5.82
        65         70         5.19   5.38   5.58   5.77   5.95
--------------------------------------------------------------------------------
</TABLE> 

We will furnish the amount of monthly income for other age combinations on 
request.  Age as used above means age when income begins.

<PAGE>
 
                           MATURITY EXTENSION RIDER

This Rider is made a part of the policy on the date specified on Page 3.

Benefit--Upon the Insured's attaining Age 99 and at any time in the twelve
calendar months thereafter, you may request that coverage be extended beyond the
Maturity Date shown on Page 3.  Upon receipt of such request, In Writing, at Our
Office, we will continue this policy in force after the Maturity Date until the
death of the Insured.

The Death Benefit on the Maturity Date shown on Page 3 will be the Cash Value
less any Loan Account value and less any Deduction Amounts due but not paid.

On the Maturity Date shown on Page 3, any past due monthly Deduction Amounts
must be paid in order for this Rider to become effective.  The Death Benefit
after the Maturity Date will be the Cash Value less any Loan Account value.  All
other provisions of the policy relating to the payment of the Death Benefit
apply to the Death Benefit as described in this Rider.  The Death Benefit is
based on the experience of the Sub-Accounts selected and is variable and is not
guaranteed.

After the Maturity Date shown on Page 3, periodic Deduction Amounts will no
longer be charged against the Cash Value and additional premiums will not be
accepted.

Taxation--The policy to which this Rider is attached is intended to qualify as a
life insurance policy for Federal tax purposes. The amount payable under this
policy upon the death of the Insured is intended to qualify for the Federal
income tax exclusion.  The provisions of the policy are to be interpreted to
ensure such tax qualification, notwithstanding any other provision to the
contrary.

The policy may be surrendered prior to the death of the Insured for its Cash
Surrender Value.  Such a surrender will be treated as a taxable distribution.

The Travelers Life and Annuity Company does not give tax advice.  No language
in this Rider should be construed to mean that the Death Benefit and Cash Value
will be exempt from any future tax liability.  The tax results of any benefits
received under this Rider depend upon interpretation of the Internal Revenue
Code.  You should consult your personal tax advisor prior to the exercise of
this option to assess any potential tax liability.  



                                       THE TRAVELERS LIFE AND ANNUITY COMPANY

                                               /s/ Michael A. Carpenter

                                                        Chairman
<PAGE>
 
                               LOAN ENDORSEMENT

This Endorsement is made a part of the policy at its Issue Date.

The "Loan Interest Rate Charged" defined on the Policy Summary is modified by
adding the following:

"The Loan Interest Rate Charged is 3.85% in advance on any loan amount directly
transferred from this policy to us or one of our affiliates for the purpose of
paying premiums on any long term care policy issued by The Travelers Insurance
Company or one of its affiliates at the time the loan is made effective."



                                       THE TRAVELERS LIFE AND ANNUITY COMPANY

                                               /s/ Michael A. Carpenter

                                                        Chairman
<PAGE>
 
                                POLICY SUMMARY

INSURED:        JOHN DOE           POLICY NO.:             12345
ISSUE AGE:      35                 POLICY DATE:            OCT 01, 1994
MATURITY DATE:  OCT 01, 2059       ISSUE DATE:             OCT 01, 1994
STATED AMOUNT:  $167,193           MONTHLY DEDUCTION DAY:  1ST DAY OF 
                                                           EACH MONTH

-------------------------------------------------------------------------------
                              BENEFIT DESCRIPTION

-------------------------------------------------------------------------------
Initial Premium:                   $ 25,000
Initial Stated Amount:             $167,193
Minimum Stated Amount:             $ 25,000

Minimum Amount Insured:            The greater of: 250% of the Cash Value 
                                   until age 40, with the percentage
                                   reducing to 100% at age 95; or the 
                                   amounts required by Federal income tax
                                   laws or regulations to qualify as life 
                                   insurance.

Minimum Discretionary
 Payment Amount:                   $ 250

Monthly Premium Tax Charge:        Policy Years 1-10: .0166667% of Cash
                                    Value on each Deduction Day.
                                   Policy Years 11+: .0166667% of Cash Value
                                    attributable to each additional premium
                                    payment made after the Initial Premium
                                    payment and before the 10th Policy
                                    Anniversary. The Cash Value attributable
                                    to an additional premium payment is
                                    calculated by multiplying the entire
                                    Cash Value on the monthly Deduction Day
                                    by the result of (a) divided by
                                    (b), where (a) is the amount of the 
                                    additional premium payment and (b) is
                                    the Cash Value as of the date of receipt of
                                    the additional premium payment. Charge
                                    expires 10 years from the effective date
                                    of the additional premium payment.

Charge for Full Surrender:          Charge is equal to a percentage of each
                                    premium paid as follows:
                                    YEARS FROM DATE
                                    ---------------
                                    OF PREMIUM RECEIPT    % OF PREMIUM PAID
                                    ------------------    -----------------
                                           1-2                  7.5%
                                           3-4                  7%
                                            5                   6.5%
                                            6                   6%
                                            7                   5%
                                            8                   4%
                                            9                   3% 
                                           10+                  0%


                                 Page 3       
<PAGE>
 
                                POLICY SUMMARY

INSURED:        JOHN DOE           POLICY NO.:             12345
ISSUE AGE:      35                 POLICY DATE:            OCT 01, 1994
MATURITY DATE:  OCT 01, 2059       ISSUE DATE:             OCT 01, 1994
STATED AMOUNT:  $167,193           MONTHLY DEDUCTION DAY:  1ST DAY OF
                                                           EACH MONTH

------------------------------------------------------------------------------
                              BENEFIT DESCRIPTION

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

Charge for Partial Surrender:      No charge for partial surrenders of 
                                   Earnings up to a cumulative amount, in
                                   any one Policy Year, of 10% of the Cash
                                   Value as calculated on the Policy
                                   Anniversary immediately preceding the 
                                   request for surrender. Partial surrenders
                                   in excess of this amount will incur a
                                   charge equal to a percentage of the 
                                   amount surrendered, not to exceed the 
                                   charge that would apply to a full
                                   surrender, as follows:
                                   YEARS FROM DATE         % OF AMOUNT
                                   ---------------         -----------
                                   OF PREMIUM RECEIPT      SURRENDERED
                                   ------------------      -----------
                                          1-2                  7.5%
                                          3-4                  7%
                                           5                   6.5%
                                           6                   6%
                                           7                   5%
                                           8                   4%
                                           9                   3%
                                          10+                  0%

Maximum Loan Amount:               90% of (Cash Value minus surrender
                                   penalties) as of the date that we receive
                                   your loan request.

Minimum Loan Amount:               $ 500

Loan Account Annual
 Interest Rate Credited:           4% in arrears

Loan Interest Rate Charged:       [Rate on portion of loan comprised of
                                    Earnings:
                                    Policy Years 1-10: 4.75% in advance (net
                                    charge 1%).
                                    Policy Years 11 and thereafter: 3.85% in 
                                    advance (net charge 0%).
                                   Rate on portion of the loan comprised of 
                                    premiums paid: 5.65% in advance (net
                                    charge 2%) in all Policy Years.]

Rate Class:                        Male Nonsmoker

Death Benefit Interest Factor:     1.00327374


                              Page 3 (Continued)
<PAGE>
 
                                POLICY SUMMARY

INSURED:        JOHN DOE           POLICY NO.:             12345
ISSUE AGE:      35                 POLICY DATE:            OCT 01, 1994
MATURITY DATE:  OCT 01, 2059       ISSUE DATE:             OCT 01, 1994
STATED AMOUNT:  $167,193           MONTHLY DEDUCTION DATE: 1ST DAY OF
                                                           EACH MONTH

-------------------------------------------------------------------------------
                              BENEFIT DESCRIPTION

-------------------------------------------------------------------------------
Separate Account:
THE TRAVELERS VARIABLE LIFE                    Maximum Subaccount Deduction
--------------------------- 
INSURANCE SEPARATE ACCOUNT ONE                   Per Day (In Basis Points)
------------------------------                 ----------------------------
Underlying Funds:
 [Smith Barney/Travelers Series Fund, Inc.
    Smith Barney Income & Growth Portfolio                 0.3562  
    Alliance Growth Portfolio                              0.3562  
    American Capital Enterprise Portfolio                  0.3562  
    Smith Barney International Equity Portfolio            0.3562  
    TBC Managed Income Portfolio                           0.3562  
    Putnam Diversified Income Portfolio                    0.3562  
    Smith Barney High Income Portfolio                     0.3562  
    MFS Total Return Portfolio                             0.3562  
    Smith Barney Money Market Portfolio                    0.3562  
  Smith Barney Series Fund
    Smith Barney Total Return Portfolio                    0.3562  
  Travelers Zero Coupon Bond Series Fund of
    Stripped U.S. Treasury Securities
     Travelers Zero Coupon Bond Fund 1998                  0.3562  
     Travelers Zero Coupon Bond Fund 2000                  0.3562      
     Travelers Zero Coupon Bond Fund 2005                  0.3562]

Information about the Separate Account is provided in the prospectus for 
the Separate Account.

We reserve the right to limit transfers among the Sub-Accounts to four 
times in any Policy Year and to charge a reasonable fee for each additional 
transfer that we allow.

We will invest any initial premium in the Smith Barney Money Market Portfolio 
Sub-Account during the Right to Cancel period.


Insurance under this policy may end before the Maturity Date shown above if 
premium and investment experience are insufficient to continue insurance to 
such date.

Life insurance premium for the basic policy may be paid to the Maturity Date 
(see Additional Premium Payments provision, Page 9) or until the prior death of 
the Insured. Charges for any riders are payable to the applicable expiry dates 
or until prior death of the Insured.

No insurance will be in effect unless at least one Deduction Amount has 
been paid.


                              Page 3 (Continued)
<PAGE>
 
                                POLICY SUMMARY

INSURED:        JOHN DOE           POLICY NO.:             12345
ISSUE AGE:      35                 POLICY DATE:            OCT 01, 1994
MATURITY DATE:  OCT 01, 2059       ISSUE DATE:             OCT 01, 1994
STATED AMOUNT:  $167,193           MONTHLY DEDUCTION DAY:  1ST DAY OF
                                                           EACH MONTH

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

                            COST OF INSURANCE RATES
               (MONTHLY RATE FOR EACH $1000 OF COVERAGE AMOUNT)


AGE        MAXIMUM        AGE        MAXIMUM        AGE        MAXIMUM
---        -------        ---        -------        ---        -------
            RATE                      RATE                      RATE
            ----                      ----                      ----

 35        0.1815         64         2.0493         93         28.0075
 36        0.1936         65         2.2509         94         31.4016
 37        0.2078         66         2.4663         95         36.7981
 38        0.2241         67         2.6961         96         46.5898
 39        0.2424         68         2.9435         97         67.0415
 40        0.2634         69         3.2170         98         83.3333
 41        0.2859         70         3.5268         99         83.3333
 42        0.3102         71         3.8818
 43        0.3365         72         4.2910
 44        0.3650         73         4.7555
 45        0.3956         74         5.2677
 46        0.4278         75         5.8188
 47        0.4622         76         6.4006
 48        0.4995         77         7.0068
 49        0.5402         78         7.6431
 50        0.5859         79         8.3307
 51        0.6384         80         9.0934
 52        0.6976         81         9.9561
 53        0.7649         82        10.9409
 54        0.8390         83        12.0462
 55        0.9190         84        13.2508
 56        1.0042         85        14.5325
 57        1.0941         86        15.8744
 58        1.1905         87        17.2697
 59        1.2959         88        18.7194
 60        1.4132         89        20.2361
 61        1.5452         90        21.8455
 62        1.6949         91        23.5954
 63        1.8631         92        25.5745

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

The rates used for the cost of insurance deduction are guaranteed not to exceed 
the maximum rates shown above. The rates are based on the 1980 Commissioner's 
Standard Ordinary Mortality Table. The cost of insurance is deducted on the 
monthly Deduction Day.


                              PAGE 3 (Continued)

<PAGE>
 
                                                                      EXHIBIT 11

                                                    August 18, 1995

The Travelers Life and Annuity Company
The Travelers Variable Life Insurance
  Separate Account One
One Tower Square
Hartford, Connecticut  06183


Gentlemen:

    With reference to the Registration Statement on Form S-6 filed by The
Travelers Life and Annuity Company and The Travelers Variable Life Insurance
Separate Account One with the Securities and Exchange Commission covering
modified single premium individual variable life insurance policies, I have
examined such documents and such law as I have considered necessary and
appropriate, and on the basis of such examination, it is my opinion that:

    1. The Travelers Life and Annuity Company is duly organized and existing
       under the laws of the State of Connecticut and has been duly authorized
       to do business and to issue variable life insurance policies by the
       Insurance Commissioner of the State of Connecticut.

    2. The Travelers Variable Life Insurance Separate Account One is a duly
       authorized and validly existing separate account established pursuant to
       Section 38a-433 of the Connecticut General Statutes.

    3. The variable life insurance policies covered by the above Registration
       Statement, and all pre- and post-effective amendments relating thereto,
       have been or will be approved and authorized by the Insurance
       Commissioner of the State of Connecticut and when issued will be valid,
       legal and binding obligations of The Travelers Life and Annuity Company
       and of The Travelers Variable Life Insurance Separate Account One.

    4. Assets of The Travelers Variable Life Insurance Separate Account One are
       not chargeable with liabilities arising out of any other business The
       Travelers Life and Annuity Company may conduct.
 
    I hereby consent to the filing of this opinion as an exhibit to the above-
referenced Registration Statement and to the reference to this opinion under the
caption "Legal Proceedings and Opinion" in the Prospectus constituting a part of
the Registration Statement.

                                        Very truly yours,


                                        Ernest J. Wright
                                        General Counsel
                                        Life and Annuities Division
                                        The Travelers Life and Annuity Company

<PAGE>
 
                                                                      EXHIBIT 12


          THE TRAVELERS VARIABLE LIFE INSURANCE SEPARATE ACCOUNT ONE
          ----------------------------------------------------------

                               POWER OF ATTORNEY


          KNOW ALL MEN BY THESE PRESENTS:


          That I, MICHAEL A. CARPENTER of Greenwich, Connecticut, Chairman of
The Travelers Life and Annuity Company (hereafter the "Company"), do hereby
make, constitute and appoint JAY S. FISHMAN, Director and Chief Financial
Officer of said Company, and ERNEST J. WRIGHT, Assistant Secretary of said
Company, or either one of them acting alone, my true and lawful attorneyin-fact,
for me, and in my name, place and stead to sign registration statements on
behalf of said Company on Form S-6 or other appropriate Form under the
Securities Act of 1933 for The Travelers Variable Life Insurance Separate
Account One, a separate account of the Company dedicated specifically to the
funding of variable life insurance contracts to be offered by said Company, and
further, to sign any and all amendments thereto, including post-effective
amendments, that may be filed by the Company on behalf of said registrant.

          IN WITNESS WHEREOF I have hereunto set my hand this 3rd day of
February, 1995.



                           /s/Michael A. Carpenter
                           Chairman
                           The Travelers Life and Annuity Company
<PAGE>
 
          THE TRAVELERS VARIABLE LIFE INSURANCE SEPARATE ACCOUNT ONE
          ----------------------------------------------------------


                               POWER OF ATTORNEY


          KNOW ALL MEN BY THESE PRESENTS:


          That I, ROBERT I. LIPP of Scarsdale, New York, director of The
Travelers Life and Annuity Company (hereafter the "Company"), do hereby make,
constitute and appoint JAY S. FISHMAN, Director and Chief Financial Officer of
said Company, and ERNEST J. WRIGHT, Assistant Secretary of said Company, or
either one of them acting alone, my true and lawful attorneyin-fact, for me, and
in my name, place and stead to sign registration statements on behalf of said
Company on Form S-6 or other appropriate Form under the Securities Act of 1933
for The Travelers Variable Life Insurance Separate Account One, a separate
account of the Company dedicated specifically to the funding of variable life
insurance contracts to be offered by said Company, and further, to sign any and
all amendments thereto, including post-effective amendments, that may be filed
by the Company on behalf of said registrant.

          IN WITNESS WHEREOF I have hereunto set my hand this 26th day of
September, 1994.



                           /s/Robert I. Lipp
                           Director
                           The Travelers Life and Annuity Company
<PAGE>
 
          THE TRAVELERS VARIABLE LIFE INSURANCE SEPARATE ACCOUNT ONE
          ----------------------------------------------------------


                               POWER OF ATTORNEY


          KNOW ALL MEN BY THESE PRESENTS:


          That I, CHARLES O. PRINCE, III of Weston, Connecticut, director of The
Travelers Life and Annuity Company (hereafter the "Company"), do hereby make,
constitute and appoint JAY S. FISHMAN, Director and Chief Financial Officer of
said Company, and ERNEST J. WRIGHT, Assistant Secretary of said Company, or
either one of them acting alone, my true and lawful attorney-infact, for me, and
in my name, place and stead to sign registration statements on behalf of said
Company on Form S-6 or other appropriate form under the Securities Act of 1933
for The Travelers Variable Life Insurance Separate Account One, a separate
account of the Company dedicated specifically to the funding of variable life
insurance contracts to be offered by said Company, and further, to sign any and
all amendments thereto, including post-effective amendments, that may be filed
by the Company on behalf of said registrant.

          IN WITNESS WHEREOF I have hereunto set my hand this 23rd day of
September, 1994.



                           /s/Charles O. Prince, III
                           Director
                           The Travelers Life and Annuity Company
<PAGE>
 
          THE TRAVELERS VARIABLE LIFE INSURANCE SEPARATE ACCOUNT ONE
          ----------------------------------------------------------


                               POWER OF ATTORNEY


          KNOW ALL MEN BY THESE PRESENTS:


          That I, MARC P. WEILL of New York, New York, director of The Travelers
Life and Annuity Company (hereafter the "Company"), do hereby make, constitute
and appoint JAY S. FISHMAN, Director and Chief Financial Officer of said
Company, and ERNEST J. WRIGHT, Assistant Secretary of said Company, or either
one of them acting alone, my true and lawful attorneyin-fact, for me, and in my
name, place and stead to sign registration statements on behalf of said Company
on Form S-6 or other appropriate Form under the Securities Act of 1933 for The
Travelers Variable Life Insurance Separate Account One, a separate account of
the Company dedicated specifically to the funding of variable life insurance
contracts to be offered by said Company, and further, to sign any and all
amendments thereto, including post-effective amendments, that may be filed by
the Company on behalf of said registrant.

          IN WITNESS WHEREOF I have hereunto set my hand this 28th day of
November, 1994.



                           /s/Marc P. Weill
                           Director
                           The Travelers Life and Annuity Company
<PAGE>
 
          THE TRAVELERS VARIABLE LIFE INSURANCE SEPARATE ACCOUNT ONE
          ----------------------------------------------------------


                               POWER OF ATTORNEY


          KNOW ALL MEN BY THESE PRESENTS:


          That I, IRWIN R. ETTINGER of Stamford, Connecticut, director of The
Travelers Life and Annuity Company (hereafter the "Company"), do hereby make,
constitute and appoint JAY S. FISHMAN, Director and Chief Financial Officer of
said Company, and ERNEST J. WRIGHT, Assistant Secretary of said Company, or
either one of them acting alone, my true and lawful attorneyin-fact, for me, and
in my name, place and stead to sign registration statements on behalf of said
Company on Form S-6 or other appropriate Form under the Securities Act of 1933
for The Travelers Variable Life Insurance Separate Account One, a separate
account of the Company dedicated specifically to the funding of variable life
insurance contracts to be offered by said Company, and further, to sign any and
all amendments thereto, including post-effective amendments, that may be filed
by the Company on behalf of said registrant.

          IN WITNESS WHEREOF I have hereunto set my hand this 30th day of
September, 1994.



                           /s/Irwin R. Ettinger
                           Director
                           The Travelers Life and Annuity Company
<PAGE>
 
          THE TRAVELERS VARIABLE LIFE INSURANCE SEPARATE ACCOUNT ONE
          ----------------------------------------------------------


                               POWER OF ATTORNEY


          KNOW ALL MEN BY THESE PRESENTS:


          That I, DONALD T. DeCARLO of Douglaston, New York, director of The
Travelers Life and Annuity Company (hereafter the "Company"), do hereby make,
constitute and appoint JAY S. FISHMAN, Director and Chief Financial Officer of
said Company, and ERNEST J. WRIGHT, Assistant Secretary of said Company, or
either one of them acting alone, my true and lawful attorneyin-fact, for me, and
in my name, place and stead to sign registration statements on behalf of said
Company on Form S-6 or other appropriate Form under the Securities Act of 1933
for The Travelers Variable Life Insurance Separate Account One, a separate
account of the Company dedicated specifically to the funding of variable life
insurance contracts to be offered by said Company, and further, to sign any and
all amendments thereto, including post-effective amendments, that may be filed
by the Company on behalf of said registrant.

          IN WITNESS WHEREOF I have hereunto set my hand this 28th day of April,
1995.



                           /s/Donald T. DeCarlo
                           Director
                           The Travelers Life and Annuity Company
<PAGE>
 
          THE TRAVELERS VARIABLE LIFE INSURANCE SEPARATE ACCOUNT ONE
          ----------------------------------------------------------


                               POWER OF ATTORNEY


          KNOW ALL MEN BY THESE PRESENTS:


          That I, CHRISTINE B. MEAD of Avon, Connecticut, Vice President and
Controller of The Travelers Life and Annuity Company (hereafter the "Company"),
do hereby make, constitute and appoint JAY S. FISHMAN, Director and Chief
Financial Officer of said Company, and ERNEST J. WRIGHT, Assistant Secretary of
said Company, or either one of them acting alone, my true and lawful attorney-
in-fact, for me, and in my name, place and stead to sign registration statements
on behalf of said Company on Form S-6 or other appropriate Form under the
securities Act of 1933 for The Travelers Variable Life Insurance Separate
Account One, a separate account of the Company dedicated specifically to the
funding of variable life insurance contracts to be offered by said Company, and
further, to sign any and all amendments thereto, including post-effective
amendments, that may be filed by the Company on behalf of said registrant.

          IN WITNESS WHEREOF I have hereunto set my hand this 1st day of June,
1995.



                           /s/Christine B. Mead
                           Vice President and Controller
                           The Travelers Life and Annuity Company

<PAGE>
 
                                                                      Exhibit 13

                                                               December 28, 1994

This document sets forth, as required by Rule 6E-3(T)(b)(12)(iii), the
administrative procedures that will be followed by the Travelers Life and
Annuity Company (TLAC) in connection with the issuance of its modified single
premium Variable Life insurance contract, the transfer of assets held
thereunder, and the redemption by Policyowners of their interest in the
contracts. The document also describes the method that TLAC will use in
adjusting the payment and cash values when a Contract is exchanged for a fixed
benefit insurance policy, as required by Rule 6E-3(T)(b)(13)(v)(B).

                      Transfer and Redemption Procedures
                      ----------------------------------

I. Purchase and Related Transactions
------------------------------------

A. Premium Schedules and Underwriting Standards

This Contract is a modified single premium contract. The Initial Premium
purchases a Death Benefit equal to the Policy's Stated Amount if Option 1 is
selected, and Stated Amount plus Cash Value if Option 2 is selected. The
relationship between the Initial Premium and the Stated Amount depends on the
age, sex (where permitted by state law), and underwriting class of the insured.
Generally, the same Initial Premium will purchase a higher Stated Amount for a
younger insured than for an older insured. Likewise, the same Initial Premium
will purchase a slightly higher Stated Amount for a female insured than for a
male insured of the same age. Also, the same Initial Premium will purchase a
higher Stated Amount for a standard insured than for a substandard insured.

Although the Policy can operate as a single premium policy, Additional Premium
Payments may be made under certain circumstances. The circumstances under which
Additional Premium Payments can be made under the Policy are as follows:

1.   Increases in Stated Amount-  The policy owner may request an increase in 
     Stated Amount at any time. The Company will require the policy owner to
     make an Additional Premium Payment in order for the increase to become
     effective.

2.   To Prevent Lapse-  If the Surrender Value on any Deduction Day is 
     insufficient to cover the Monthly 
<PAGE>
 
     Deduction Amount due on that day, then in order to prevent lapse, the
     policy owner must make a payment during the Grace Period sufficient to
     cover the Monthly Deduction Amount.

3.   At Policy Owner's Discretion-  Additional Premium Payments may be made at 
     the policyholder's discretion so long as the payment plus the total of all
     premiums previously paid does not exceed the maximum premiums limitation
     derived from the guideline premium test for life insurance prescribed by
     the Internal Revenue Code. Because of the test, the maximum premiums
     limitation will ordinarily equal the Initial Premium for a number of years
     after the policy has been issued. Therefore, discretionary Additional
     Premium Payments normally will not be permitted during the early years of
     the Policy.

Any Additional Premium Payments made under the Policy may be subject to new
evidence of insurability.

The Contract will be offered and sold pursuant to established underwriting
standards and in accordance with state insurance laws, which prohibit unfair
discrimination among Contract owners, but recognize that premiums must be based
upon factors such as age, health, or occupation.

B. Application and Initial Premium Processing

Upon receipt of a completed application, the Travelers will follow certain
insurance underwriting (i.e. evaluation of risk) procedures designed to
determine whether the applicant is insurable. This process may involve such
verification procedures as medical examinations and may require that further
information be provided by the proposed Insured before a determination can be
made. A contract will not be issued until this underwriting procedure has been
completed.

Insurance coverage under a Policy will begin only after the Applicant has
satisfied all outstanding underwriting delivery requirements, and after the
Company has received the Initial Premium Payment. The Policy Date is the date
used to determine all future cyclical transactions on the Policy, e.g.,
Deduction Dates, Policy Months, and Policy Years. The Policy Date may be prior
to, or the same date as, the date on which the Policy is issued (the "Issue
Date").
<PAGE>
 
C. Premium Allocation

When the Policy is issued, the Cash Value will be allocated to the Money Market
Portfolio Sub-Account until the expiration of the Right to Cancel Period. At the
end of the Right to Cancel Period, shares of the Underlying Funds will be
purchased at net asset value, and the Cash Values in the Money Market Portfolio
will be allocated (in whole percentages of 5% or more) among the Sub-Accounts
selected on the Application.

D. Contract Loans

A Policy Owner may obtain a cash loan from the Company secured by the Policy not
to exceed 90% of the Policy's Cash Surrender Value (determined on the day on
which the Company receives the written loan request). No loan request may be
made for amounts less than $500. If there is a loan outstanding at the time a
subsequent loan request is made, the amount of the outstanding loan will be
added to the new request. The Company will charge interest on the outstanding
amounts of the loan. Interest must be paid in advance by the Policy Owner.

Loans are considered to be loans on the Policy Owner's Earnings first. Once all
of the earnings have been loaned out, loans are considered to be loans of
premium. During the first ten Policy Years, the Loan Interest Rate on the
portion of loan comprised of Earnings is 4.75%. During policy years eleven and
thereafter, the Loan Interest Rate on the Earnings will be 3.85%. For all Policy
Years, the Loan Interest Rate on the portion of the loan comprised of Premium is
5.65%.

The amount of the loan will be transferred as of the date the loan is made on a
pro rata basis from each of the Sub-Accounts attributable to the Policy (unless
the Policy Owner states otherwise) to the Loan Account, which is part of the
Company's general account. The Loan Account is credited with a fixed annual rate
of interest set forth in the policy which does not vary with the performance of
the Underlying Funds. When loan repayments are made, the amount of the repayment
will be deducted from the Loan Account and will be reallocated based upon
premium allocation percentages among the Sub-Accounts applicable to the Policy
(unless the Policy Owner states otherwise). The Company will make the loan to
the Policy Owner within seven days after receipt of the written loan request.
<PAGE>
 
An outstanding loan amount decreases the Cash Surrender Value. If a loan is not
repaid, it permanently decreases the Cash Surrender Value, which could cause the
Policy to lapse. In addition, the Death Benefit actually payable would be
decreased because of the outstanding loan. Furthermore, even if the loan is
repaid, the Death Benefit and Cash Surrender Value may be permanently affected
since the Policy Owner was not credited with the investment experience of an
Underlying Fund on the amount in the Loan Account while the loan was
outstanding. All or any part of a loan secured by a Policy may be repaid while
the Policy is still in effect.

E. Reinstatement

If the Policy lapses, the Policy owner may reinstate the Contract on payment of
the reinstatement premium, (and any applicable charges) shown in the Contract. A
request for reinstatement may be made at any time within three years of lapse
(five years for policies issued in Missouri). The premium on reinstatement is at
least equal to the Monthly Deduction Amount, calculated as of the Deduction Date
next following receipt of premium. The Cash Value of the Policy on reinstatement
will be equal to the premium paid in conjunction with the reinstatement. In
addition, TLAC reserves the right to require satisfactory evidence of
insurability.

F. Transfer of Cash Value

As long as the Policy remains in effect, the Policy Owner may transfer all or a
portion of the Cash Value (less the Loan Account) among any of the Sub-
Account(s). Although there are currently no charges, penalties or restrictions
on the amount or frequency of transfers, the Company reserves the right to limit
the number of transfers to no more than four in any Policy Year, and to charge a
reasonable fee for any transfer request in excess of four.

G. Misstatement as to Sex and Age

If there has been a misstatement with regard to sex or age, benefits payable
will be adjusted to what the Contract would have provided with the correct
information.
<PAGE>
 
II. Redemption Procedures: Surrender and Related Transactions
    ---------------------------------------------------------

A. Surrender for Cash Value

As long as the Contract is in effect, a Contract Owner may elect to surrender
the Contract and receive its Cash Surrender Value, or Cash Value less any
outstanding policy loan less any applicable Surrender Charges.

Upon full or partial surrender, the Travelers will generally pay the Cash
Surrender Value of the Contract within seven days of receipt of the written
request or on the date requested by the Contract owner, if later. The Cash
Surrender Value for partial surrenders will be equal to the net amount requested
to be surrendered minus any applicable surrender charges. There will be no
charge for partial surrenders on Earnings (calculated on the date of
policyholder request) up to a cumulative amount, in any one Policy Year, of 10%
of the Cash Value (calculated on the first Valuation Date of the year in which
the surrender is requested). The deduction from Cash Value for a partial
surrender will be made on a pro rata basis against the Cash Value of each of the
Sub-Accounts attributable to the policy, unless the Contract owner states
otherwise in writing. In addition to reducing the Cash Value of the policy,
partial cash surrenders will reduce the death benefit payable under the policy.

B. Benefit Claims

As long as the Policy remains in force, the Policy provides a Death Benefit upon
the death of the insured. The death benefit proceeds will be paid to a named
Beneficiary. The amount of the death benefit proceeds will be determined on the
date on which the Insured's death occurred. The death benefit proceeds may be
paid in a lump sum or under any optional payment plan. In determining the
proceeds payable, the Death Benefit provided by the Policy will be reduced by
any outstanding charges, fees, and policy loans. The proceeds will be paid
within seven days after the Company receives due proof of death.

The Policy provides for two death benefit options. Under Option 1 (the Level
Option) the Death Benefit will be equal to the Policy's Stated Amount or, if
greater, a specified multiple of Cash Value (the "Minimum Amount Insured").
Under Option 2 (the Variable Option), the Death Benefit will be equal to the
Policy's Stated Amount plus the Cash Value (determined as of the date of the
Insured's death) or, if greater, the Minimum Amount Insured. The Minimum Amount
Insured is the amount required to qualify the Policy as a life insurance
contract under the current federal tax law. Under that law, the Minimum Amount
Insured is equal to a stated percentage of the Cash 
<PAGE>
 
Value of the Policy determined daily. The percentages differ according to the
attained age of the insured. The Minimum Amount Insured will be set forth in the
Policy and may change as federal income tax laws or regulations change.

A Policy Owner may request in writing that the Stated Amount of the Policy be
increased or decreased provided that the Stated Amount after any decrease may
not be less than the minimum amount of $25,000. A decrease in the Stated Amount
in a substantially funded Policy may cause a cash distribution that is
includable in the gross income of the Policy Owner.

For increases in the Stated Amount, the Company may require a new application
and evidence of insurability as well as an additional Premium Payment. The
effective date of any increase will be as shown on the new Policy Summary which
the Company will send to the Policy Owner. The effective date of any increase in
the Stated Amount will generally be the Deduction Date next following either the
date of a new application or, if different, the date requested by the Policy
Owner. There is no additional charge for a decrease in Stated Amount.

A Policy Owner may change the Death Benefit option at any time prior to the
Insured's death by sending a written request to the Company. There is no direct
consequence of changing a Death Benefit option, except as described in the
prospectus under "Tax Consequences of Modified Endowment Contracts". However,
the change could affect future value of the Coverage Amount, and with some
Option 2 to Option 1 changes involving substantially funded Policies, there may
be a cash distribution which is included in the gross income of the Policy
Owner. Consequently, the cost of insurance charge which is based on the Coverage
Amount may be different in the future. If the change is from Option 2 to Option
1, the Stated Amount of the Policy will be increased by the Cash Value
(determined on the day the Company receives the written change request or on the
date the change is requested to become effective, if later). If the change is
from Option 1 to Option 2, the Stated Amount of the Policy will be decreased by
the Cash Value (determined on the date the Company receives the written change
request) so that the Death Benefit payable under Option 2 at the time of the
change will equal that which would have been payable under Option 1. No change
from Option 1 to Option 2 will be permitted if the change results in a Stated
Amount of less than the minimum amount of $25,000.
<PAGE>
 
If the Insured is living on the Maturity Date (the anniversary of the Policy
Date on which the Insured is age 100), the Company will pay the Policy Owner the
Cash Value of the Policy, less any outstanding policy loan, amounts payable to
an assignee under a collateral assignment of the Policy, or Deduction Amount due
and unpaid. The Policy Owner must surrender the Policy to the Company before
such payment can be made, at which point the Policy will terminate and the
Company will have no further obligations under the Policy.

C. Lapse

The Policy will remain in effect until the Cash Surrender Value of the Policy is
insufficient to cover the Monthly Deduction Amount. If such event occurs, the
Company will give written notice to the Policy Owner indicating that if the
amount shown in the notice (which will be sufficient to cover the Deduction
Amount due) is not paid within 61 days (the "Late Period"), the Policy will
lapse. The Policy will continue through the Late Period, but if not payment is
forthcoming, it will terminate without value at the end of the Late Period. If
the person insured under the Policy dies during the Grace Period, the Death
Benefit payable under the Policy will be reduced by the Monthly Deduction Amount
due plus the amount of any outstanding loan.

If the Policy lapses, the Policy Owner may reinstate the Policy upon payment of
the reinstatement premium (and any applicable charges) shown in the Policy. A
request for reinstatement may be made at any time within three years of lapse
(five years for policies issued in Missouri). The Cash Value of the Policy upon
reinstatement will be equal to the premium paid in conjunction with the
reinstatement. In addition, the Company reserves the right to require
satisfactory evidence of insurability.

D. Contract Loans

See Purchase and Related Transactions- Contract Loans.

E. Transfers

See Purchase and Related Transactions- Transfer of Cash Value
<PAGE>
 
III. Cash Adjustment Upon Exchange of Contract
     -----------------------------------------

Once the Policy is in effect, it may be exchanged at any time during the first
24 months after its issuance for a general account life insurance policy issued
by the Company (or an affiliated company) on the life of the Insured. Benefits
under the new life insurance policy will be as described in that policy. No
evidence of insurability will be required. The Policy Owner has the right to
select the same Death Benefit or Net Amount at Risk as the former Policy. Cost
of insurance rates will be based on the same risk classification as those of the
former Policy. Any outstanding policy loan must be repaid before the Company
will make an exchange. In addition, there may be an adjustment for the
difference in Cash Value between the two policies.


                                            /s/Bennett D. Kleinberg, ASA
                                               Actuarial Assistant
<PAGE>
 
                                                               December 28, 1994

Introduction:
-------------

SEC Rule 6E-3(T)(b) requires that mortality and expense risk charges of The
Travelers Life and Annuity Company's (TLAC) modified single premium Variable
Life contract be:

  a. within the range of industry practice for comparable flexible premium VLI
     contracts

or

  b. reasonable in relation to the risks assumed

This memorandum represents that TLAC's mortality and expense risk charge of
0.90% is reasonable and within the range of industry practice. It includes a
brief description of the analysis used to support the representation, and will
be maintained in the principal office of TLAC and made available to the
Commission upon request.

Description of Mortality and Expense Risk Charges:
--------------------------------------------------

A daily charge is deducted from the Separate Account One for the mortality and
expense risks assumed by TLAC. This charge will be at an annual rate of 0.90% of
assets in the Separate Account. This rate will be reduced to 0.75% for the
current calendar year if the average net fund growth rate is at least 6.5% in
the previous calendar year. This determination will be made on an annual basis.
The average net fund growth rate is the total daily earnings attributed to the
policy divided by the average amount invested during the year. The daily
earnings are measured using the net asset values per share of the Underlying
Funds selected by the policyholder. If all the money collected from this charge
is not needed to cover the mortality and expense costs, the excess will be
contributed to the TLAC's general account.

Description of Mortality and Expense Risks:
-------------------------------------------

TLAC will assume a mortality risk and expense risk with respect to these
Contracts. The mortality risk assumed is that the actual cost of insurance
charge specified in the Contract (and subject to the maximum rates guaranteed in
the Contract) may be insufficient to meet actual claims. The expense risk
assumed is that the expenses incurred in issuing and administering the Contracts
will exceed the administrative charges set forth in the Contract. The
Administrative charges are imposed at an annual rate of 0.40% of assets in the
Separate Account, deducted daily. 
<PAGE>
 
All charges made under the Contract are subject to refund should the Contract
owner exercise the "Right To Cancel".

The mortality risk assumed by the Contract is greater than under traditional
policies or scheduled premium Variable Life contracts. The flexible premium,
withdrawal, and transfer of Cash Value features of the Contract allow the
Contract owner to manipulate the Net Amount at Risk, and therefore the Cost of
Insurance charge under the death benefit Option 1 (the "Level Option"). Also,
the death benefit automatically increases without underwriting if the Cash Value
of the Contract is in the tax corridor. This allows greater exposure to
antiselection and manipulation by the Contract owner.

Other Contract owner options add to the expense risk assumed by the Contract.
Features such as partial surrenders, Contract loans, transfers of Cash Value,
increases and decreases in Stated Amount, and changes in Death Benefit Option,
are all available to Contract owners at no or minimal additional cost and
without substantial restriction. All require administrative action, and
therefore magnify the expense risk for these Contracts.

Analysis of Comparable Products:
--------------------------------

Rule 6E-3T provides for an exemption for risk charges provided that the level of
the charges are reasonable and within the range of industry practice. In order
to support this representation for the guaranteed maximum 0.90% mortality and
expense charge of this Contract, the charge was compared with the mortality and
expense risk charges for the single and modified single premium variable life
insurance products which TLAC benchmarked. 75% of those products had guaranteed
mortality and expense charges of 0.90%.

Conclusion:
-----------

It is clear the TLAC will incur both mortality and expense risk with the
Contract. The analysis of mortality and expense risk charges made for comparable
products in the industry demonstrates that TLAC's mortality and expense risk
charge is reasonable and within the range of industry practice.

                                               /s/Bennett D. Kleinberg, ASA
                                                  Actuarial Assistant
<PAGE>
 
                                                               December 28, 1994

           Analysis of The Travelers Life and Annuity Company (TLAC)
        Distribution Financing Arrangement of the Separate Account One

This memorandum supports the representation that there is reasonable likelihood
that the distribution financing arrangement of the Separate Account One will
benefit the Separate Account and its Contract owners. This memorandum will be
kept at the Principal Office of TLAC and will be made available to the
Commission upon request.

  I. The Contract
     ------------

TLAC's modified single premium Variable Life Insurance Contracts are funded by
the Separate Account One. The Separate Account One is presently comprised of
thirteen sub-accounts, each of which invests exclusively in one of the
underlying funds. When the Policy is issued, the Cash Value will be allocated to
the Money Market Portfolio Sub-Account until the expiration of the Right to
Cancel Period. At the end of the Right to Cancel Period, shares of the
Underlying Funds will be purchased at net asset value, and the Cash Values in
the Money Market Portfolio will be allocated (in whole percentages of 5% or
more) among the Sub-Accounts selected on the Application. A contract owner may
transfer the cash values among the Underlying Funds.

The Contracts are variable, because the Cash Value and, under certain
circumstances, the death benefit of the Contract, may increase or decrease
depending on the investment experience of the Underlying Funds. The Contract
will remain in effect until the Cash Surrender Value is insufficient to cover a
Deduction Amount due, and the Late Period expires without sufficient payment
being made. The Late Period is 61 days after TLAC sends a notice of any
insufficiency to the Contract owner.

  II. Deductions and Charges:
      -----------------------

  A. Deductions from Premiums

There are no deductions from Premiums.
<PAGE>
 
  B. Monthly Deduction

TLAC will deduct from the Cash Value of the Contract an amount, (the Deduction
Amount), on the first day of each Contract month to cover the cost of insurance,
the state premium tax charge (for ten years following a premium payment), and
any supplemental benefits added by rider.

The cost of insurance charge covers the expected mortality cost for basic
insurance coverage. The Supplemental Benefit Provisions charges will be charged
if the Contract includes supplemental benefit provisions.

The State Premium Tax charge is a ten year charge following a premium payment,
and covers the expected cost of state Premium Taxes.

  C. Charges on Surrender

A percent of premium surrender charge will be imposed upon full or partial
surrenders of the Policy that occur within nine years of any Premium Payments
made under the policy. This charge is intended to cover certain expenses
relating to the sale of the Policy, including commissions to registered
representatives and other promotional expenses. However, Partial Surrenders may
be taken penalty free on the earnings of the policy, up to a maxiumum amount of
10% of the cash value in any policy year. Full surrender charges are 7.5% of
premium payments for the first two policy years, reducing to 7%, 7%, 6.5%, 6%,
5%, 4%, and 3% in the third, fourth, fifth, sixth, seventh, eighth, and ninth
policy years, respectively. Thereafter, the full surrender charge is 0%. Partial
surrenders in excess of the penalty free partial surrender amount are charged
the same percentages, but of the amount surrendered. However, partial surrender
penalties cannot exceed full surrender penalties.

  D. Charges Against the Separate Account

A daily charge is deducted from the Separate Account One for mortality and
expense risks assumed by TLAC. This charge will be at an annual rate of 0.90% of
assets in the Separate Account. The rate will be reduced to 0.75% for the
current calendar year if the average net fund growth rate is at least 6.5% in
the previous calendar year. This determination will be made on an annual basis.
The mortality risk assumed is that the actual cost of 
<PAGE>
 
insurance charge may be insufficient to meet actual claims. The expense risk
assumed is that expenses incurred in issuing and administering the Contracts
will exceed the administrative charges set forth in the Contract.

In addition, a daily charge is deducted from the Separate Account One for
administrative expenses incurred by TLAC. The charge will be at an annual rate
of 0.40% of assets in the Separate Account. This fee is expected to cover the
administrative costs associated with the maintenance of the Contracts, and is
set at a level which does not exceed the average expected cost of the
administrative services to be provided while the contract is in force.

  III. Distribution Expenses:
       ----------------------

TLAC will incur significant expenses in connection with the distribution of the
contract. Distribution expenses include sales commissions, advertising, and
printing of prospectuses. The distribution expenses will be paid with funds
generated from the contingent deferred sales charges assessed upon surrenders.

  IV. Analysis of the Proposed Distribution Financing Arrangement:
      ------------------------------------------------------------

The contingent deferred sales charges will be used to cover the distribution
expenses. However, these charges will not be assessed upon issuance of the
contract and will not be deducted form any death benefit proceeds payable under
the contract. The surrender charges will be deducted only if the Contract is
surrendered during the first nine Contract years.

The imposition of a sales charge in the form of a contingent deferred charge is
more favorable to the Separate Account and Contract owners than a charge
deducted entirely from premiums or cash value in the first Contract year. The
amount of the Contract owner's investment in the Separate Account is not reduced
as it would be if the charge was taken in full from premium or Cash Value in the
first Contract year. This permits Contract owners to receive any positive
investment experience on the portion of the sales charge that is deferred. This
reduces the cost of insurance charge for Contract with a Level Death Benefit
Option, (by reducing the Net Amount at Risk), and provides greater insurance
protection for Contract owners with a Variable Death Benefit Option.

Also, there is no charge for Contract owners who do not surrender during the
first nine Contract years, or the first nine years following an increase in
Stated Amount, and the charge is reduced for Contract owners who surrender 
<PAGE>
 
in Contract years three through nine. Finally, every Contract owner receives
insurance protection without incurring this sales charge prior to surrender.

  V. Conclusion
     ----------

Based on the analysis set forth above, there is a reasonable likelihood that the
distribution financing arrangement proposed will benefit the Separate Account
One and its Contract owners.

                                               /s/Bennett D. Kleinberg, ASA
                                                  Actuarial Assistant
<PAGE>
 
December 28, 1994

                 The Travelers Life and Annuity Company (TLAC)
         Test for Maximum Sales Load- Rule 6E-3(T)(b)(13)(i)(A) or (B)

TLAC must elect one of two alternate tests for determining the maximum sales
load and make an election on the registration statement form. The total amount
deducted cannot exceed either (1) 9% of 20 guideline annual premiums (subject to
the insured's life expectancy), or (2) 9% of actual payments. If TLAC requires
more than four guideline annual premiums in the first two years of the contract
or after an increase, the insurer must elect to be governed by the second test.
Therefore, TLAC must elect the second test.

The only sales load in the contract is the contingent deferred sales charge
assessed upon surrenders. A percent of premium surrender charge will be imposed
upon full or partial surrenders of the Policy that occur within nine years of
any Premium Payments made under the policy. This charge is intended to cover
certain expenses relating to the sale of the Policy, including commissions to
registered representatives and other promotional expenses. However, Partial
Surrenders may be taken penalty free on the earnings of the policy, up to a
maxiumum amount of 10% of the cash value in any policy year. Full surrender
charges are 7.5% of premium payments for the first two policy years, reducing to
7%, 7%, 6.5%, 6%, 5%, 4%, and 3% in the third, fourth, fifth, sixth, seventh,
eighth, and ninth policy years, respectively. Thereafter, the full surrender
charge is 0%. Partial surrenders in excess of the penalty free partial surrender
amount are charged the same percentages, but of the amount surrendered. However,
partial surrender penalties cannot exceed full surrender penalties.

The largest surrender charge possible would result from a full surrender during
the first or second year of the contract. This surrender charge would be 7.5% of
premium payments. This charge is less than 9% of payments, and therefore will
always be below the maximum allowed.


                                                 /s/Bennett D. Kleinberg, ASA
                                                    Actuarial Assistant


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