1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ------------- FORM 8-K ------------- CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): APRIL 1, 2001 FORTIS BENEFITS INSURANCE COMPANY (Exact name of registrant as specified in its charter) MINNESOTA 33-63799 81-0170040 (State or other jurisdiction (Commission File Number) (IRS Employer of incorporation) Identification No.) 2323 GRAND BOULEVARD KANSAS CITY, MO 64108-2670 (Address of Principal Executive Offices) (816) 474-2345 (Registrant's telephone number, including area code) 2 ITEM 2. ACQUISITION OR DISPOSITION OF ASSETS. On April 1, 2001, Fortis, Inc. completed the sale (the "Sale") of its Fortis Financial Group division (the "Division") to The Hartford Financial Services Group ("The Hartford"). The Division includes, among other blocks of business, certain individual life insurance policies (including variable universal life insurance policies) and all annuity contracts (collectively, the "Insurance Contracts") written by Fortis Benefits Insurance Company (the "Company"). Certain of the Insurance Contracts permit investment in, among other investment options, various series of the Fortis Series Fund (the "Fund"). To effect the Sale as it relates to the Company, Hartford Life and Annuity Insurance Company ("Hartford Annuity"), an indirect wholly owned subsidiary of The Hartford, reinsured the Insurance Contracts on a 100% coinsurance basis and agreed to administer the Insurance Contracts going forward. The Sale also included Hartford Annuity's purchase of certain real and personal property owned by the Company and used in connection with the Division's business. Also as part of the Sale, Hartford Life and Accident Insurance Company purchased 100% of the outstanding stock of Fortis Advisers, Inc. ("Fortis Advisers"), which is the investment adviser for the Fund. The Sale also included 100% of the outstanding stock of Fortis Investors, Inc., which is a wholly owned subsidiary of Fortis Advisers and acts as principal distributor for the Fund. Fortis and the Company received in connection with the Sale aggregate cash consideration of approximately $1.15 billion from The Hartford and its affiliates. 3 ITEM 7. FINANCIAL STATEMENTS (a) Financial Statements of Business Acquired Not applicable. (b) Pro Forma Financial Information The following unaudited pro forma financial information of Fortis Benefits Insurance Company is being presented in connection with the Company's Sale of the Division to The Hartford on April 1, 2001. The accompanying unaudited pro forma financial statements of the Company for the period ended December 31, 2000 present the financial position and results for the Company as if the Sale and certain transactions and adjustments related to the Sale had occurred as of January 1, 2000. The unaudited pro forma financial information does not purport to represent what the Company's financial position or results of operations actually would have been had the Sale in fact occurred as of the date indicated, or to project the Company's financial position or results of operations for any future date or period. The pro forma adjustments are based on available information and certain assumptions that the Company currently believes are reasonable under the circumstances. The unaudited pro forma financial information should be read in conjunction with the Company's Annual Report on Form 10-K for the year ended December 31, 2000. The unaudited pro forma financial information is provided for informational purposes only. The Company's financial statements will reflect the actual effects of the Sale in the 10-Q filing for the period ending June 30, 2001. Although the actual Sale results will differ, the unaudited pro forma financial information reflects management's best estimate based on currently available information. 4 FORTIS BENEFITS INSURANCE COMPANY AND SUBSIDIARIES UNAUDITED PRO FORMA COMBINED BALANCE SHEET DECEMBER 31, 2000 (IN THOUSANDS, EXCEPT FOR SHARE AND PER SHARE DATA) HISTORICAL ADJUSTMENTS(a)(b) PRO FORMA ------------ ---------------- ------------ ASSETS Investments: Fixed maturities, at fair value (amortized historical cost 2000 - $2,543,040) $ 2,530,480 $ (158,752) $ 2,371,728 Equity securities, at fair value (historical cost 2000 - $91,164) 87,912 -- 87,912 Mortgage loans on real estate, less allowance for possible losses of $11,085 810,616 (93,115) 717,501 Policy loans 102,308 (102,192) 116 Short-term investments 152,736 -- 152,736 Real estate and other investments 41,712 -- 41,712 ------------ ------------ ------------ 3,725,764 (354,059) 3,371,705 Cash and cash equivalents 13,209 19,299 32,508 -- -- -- Receivables: Uncollected premiums 66,505 (260) 66,245 Reinsurance recoverable on unpaid and paid losses 64,182 1,077,253 1,141,435 Other 48,083 (5,934) 42,149 ------------ ------------ ------------ 178,770 1,071,059 1,249,829 Accrued investment income (e) 52,556 (4,839) 47,717 Deferred policy acquisition costs 473,761 (433,192) 40,569 Property and equipment at cost, less accumulated depreciation 20,891 (18,138) 2,753 Federal income tax recoverable (c) 7,248 (528) 6,720 Deferred federal income taxes (c) 33,825 154,050 187,875 Other assets 1,677 -- 1,677 Assets held in separate accounts (f) 5,184,083 -- 5,184,083 ------------ ------------ ------------ Total assets $ 9,691,784 $ 433,652 $ 10,125,436 ============ ============ ============ 5 POLICY RESERVES AND LIABILITIES AND SHAREHOLDER'S EQUITY Policy reserves and liabilities: Future policy benefit reserves: Traditional and pre-need life insurance $ 1,170,612 $ -- $ 1,170,612 Interest sensitive and investment products 970,591 -- 970,591 Accident and health 1,007,328 -- 1,007,328 ------------ ------------ ------------ 3,148,531 -- 3,148,531 Unearned revenues 33,614 (243) 33,371 Other policy claims and benefits payable 240,677 (7,941) 232,736 Policyholder dividends payable 7,438 (7,438) -- ------------ ------------ ------------ 3,430,260 (15,622) 3,414,638 Accrued expenses 69,476 (1,061) 68,415 Current income taxes payable (c) -- 161,290 161,290 Other liabilities 181,633 (787) 180,846 Due to affiliates 4,497 -- 4,497 Deferred gain on LTC & FFG sale(d) 15,919 256,308 272,227 Liabilities related to separate accounts (f) 5,159,275 24,808 5,184,083 ------------ ------------ ------------ Total policy reserves and liabilities 8,861,060 424,936 9,285,996 Shareholder's equity: Common stock, $5 par value: authorized, issued and outstanding shares - 1,000,000 5,000 -- 5,000 Additional paid-in capital 468,000 -- 468,000 Retained earnings 366,644 8,716 375,360 Accumulated other comprehensive loss (8,920) -- (8,920) Total shareholder's equity 830,724 8,716 839,440 ------------ ------------ ------------ Total policy reserves and liabilities and shareholder's equity $ 9,691,784 $ 433,652 $ 10,125,436 ============ ============ ============ See notes to unaudited pro forma combined financial statements. 6 FORTIS BENEFITS INSURANCE COMPANY AND SUBSIDIARIES UNAUDITED PRO FORMA COMBINED INCOME STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2000 (IN THOUSANDS) HISTORICAL ADJUSTMENTS PRO FORMA ----------- ----------- ----------- Insurance operations: Traditional life insurance premiums $ 428,641 (10,267) $ 418,374 Interest sensitive and investment product policy charges 159,728 (157,408) 2,320 Accident and health insurance premiums 952,015 -- 952,015 ----------- ----------- ----------- 1,540,384 (167,675) 1,372,709 Net investment income (e) 279,572 (54,622) 224,950 Net realized (losses) gains on investments (17,039) 3,662 (13,377) Other income(d) 12,687 17,733 30,420 ----------- ----------- ----------- Total revenues 1,815,604 (200,902) 1,614,702 Benefits to policyholders: Traditional life insurance 335,022 (10,621) 324,401 Interest sensitive investment products 89,062 (83,105) 5,957 Accident and health claims 749,945 0 749,945 ----------- ----------- ----------- 1,174,029 (93,726) 1,080,303 Policyholder dividends 2,685 (2,685) 0 Amortization of deferred policy acquisition costs 47,215 (36,055) 11,160 Insurance commissions 128,267 (6,566) 121,701 General and administrative expenses 333,734 (68,697) 265,037 ----------- ----------- ----------- Total benefits and expenses 1,685,930 (207,729) 1,478,201 ----------- ----------- ----------- Income before federal income taxes 129,674 6,827 136,501 Federal income taxes (c) 41,555 (1,889) 39,666 ----------- ----------- ----------- Net income $ 88,119 $ 8,716 $ 96,835 =========== =========== =========== See notes to unaudited pro forma combined financial statements. 7 FORTIS BENEFITS INSURANCE COMPANY AND SUBSIDIARIES NOTES TO UNAUDITED PRO FORMA COMBINED FINANCIAL STATEMENTS (a) Adjustments to the balance sheet, including invested assets, receivables, accrued investment income, deferred acquisition costs, reserves, unearned revenues, policy claims and dividends payable and accrued expenses, along with adjustments to the income statement, are related to the Division sold to The Hartford. (b) Adjustments to cash and cash equivalents and property and equipment represent the sale of certain personal and real property to The Hartford. (c) Adjustments to deferred federal income taxes and current income taxes payable represent the accrual of federal income tax associated with the Sale. (d) Deferred gain on the Sale will be amortized to income as the business runs off. For 2000, the pro forma income statement includes pre-tax amortization of $18,000. An effective tax rate of 35% has been applied and is reflected in the provision for federal income tax. (e) Pro forma investment income includes estimated earnings from approximately $500 million of cash proceeds from the Sale (after applicable tax payment). (f) Separate accounts business is reinsured under a modified coinsurance agreement with The Hartford. 8 (c) Exhibits 2.1 Asset Purchase Agreement, dated January 25, 2001, by and among Fortis, Inc., Fortis Benefits Insurance Company, Fortis Insurance Company, First Fortis Life Insurance Company, Houston National Life Insurance Company, John Alden Life Insurance Company and Hartford Life, Inc., Hartford Life and Annuity Insurance Company, and Hartford Life Insurance Company. 9 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 hereunto duly authorized. FORTIS BENEFITS INSURANCE COMPANY (Registrant) Date: April 16, 2001 By: /s/ Larry Cains ---------------------------------- Treasurer ---------------------------------- (Principal Financial Officer and Chief Accounting Officer)