-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, U4NMTN/17FXUvVoSUfb4KwhEUakpW9i3lzRR99Ic4dSMysHAH9+j/iPEZXjAXZLa PJnyrk3ZDcACDllBhwN09g== 0000950144-99-004241.txt : 19990409 0000950144-99-004241.hdr.sgml : 19990409 ACCESSION NUMBER: 0000950144-99-004241 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990331 ITEM INFORMATION: FILED AS OF DATE: 19990408 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FORTIS BENEFITS INSURANCE CO CENTRAL INDEX KEY: 0000823533 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] IRS NUMBER: 810170040 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: SEC FILE NUMBER: 033-37576 FILM NUMBER: 99589949 BUSINESS ADDRESS: STREET 1: 500 BIELENBERG DRIVE CITY: WOODBURY STATE: MN ZIP: 55125 BUSINESS PHONE: 6127385590 MAIL ADDRESS: STREET 1: P O BOX 64284 CITY: ST PAUL STATE: MN ZIP: 55164 FORMER COMPANY: FORMER CONFORMED NAME: WESTERN LIFE INSURANCE CO DATE OF NAME CHANGE: 19920329 8-K 1 FORTIS BENEFITS INSURANCE COMPANY 1 SECURITIES AND EXCHANGE COMMISSION Washington, DC 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): March 31, 1999 FORTIS BENEFITS INSURANCE COMPANY (Exact Name of Registrant as Specified in Charter) Minnesota 33-46620 81-0170040 - -------------------------------------------------------------------------------- (State or Other (Commission (I.R.S. Employer Jurisdiction of File Number) Identification No.) Incorporation) 500 Bielenberg Drive, Woodbury, MN 55125 - -------------------------------------------------------------------------------- (Address of Principal Executive Offices) (Zip Code) Registrant's telephone number, including area code: (651) 738-4000 -------------- - -------------------------------------------------------------------------------- (Former Name or Former Address, if Changed Since Last Report) 2 ITEM 1. CHANGES IN CONTROL OF REGISTRANT. (a) Effective as of March 31, 1999, Fortis Insurance Company, a Wisconsin insurance company (f/k/a Time Insurance Company) ("FIC"), issued a dividend of all the capital stock of Fortis Benefits Insurance Company, a Minnesota insurance company (the "Registrant"), to its parent corporation Interfinancial Inc., a Georgia corporation ("Interfinancial"). No consideration was paid for the dividend. Prior to the dividend, the Registrant was owned directly by FIC, which in turn was owned by Interfinancial. Interfinancial is now the direct parent of the Registrant and the owner of 100% of the voting securities of the Registrant. Interfinancial remains the direct parent corporation of FIC. The Insurance Department of the State of Wisconsin approved the change of control of the Registrant in a letter dated February 17, 1999 and the Board of Directors of FIC approved the dividend effective as of March 31, 1999. This change in ownership of the Registrant is part of a larger internal reorganization of the Fortis, Inc. life and health companies. However, the ultimate controlling persons of the Registrant remain Fortis, Inc., and its two parent companies, Fortis (NL) (f/k/a Fortis AMEV N.V.) and Fortis (B) (f/k/a Fortis AG S.A.). (b) Other than as described herein, the Registrant does not know of any arrangements, the operation of which at a subsequent date, may result in a change of control of the Registrant. 2 3 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 BY: /s/ Douglas R. Lowe ----------------------------------- NAME: Douglas R. Lowe TITLE: Vice President and Associate General Counsel Dated: April 6, 1999 -------------------- 3 -----END PRIVACY-ENHANCED MESSAGE-----