SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person* FORTIS INSURANCE N V (Last) (First) (Middle) ARCHIMEDESLAAN 6 (Street) 3500 GA UTRECHT P7 (City) (State) (Zip)	2. Date of Event Requiring Statement (Month/Day/Year) 02/04/2004	3. Issuer Name and Ticker or Trading Symbol ASSURANT INC [ AIZ ]
		4. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director X 10% Owner Officer (give title below) Other (specify below)	5. If Amendment, Date of Original Filed (Month/Day/Year)
			6. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock(1)	81,731,304.92	D
Common Stock	450,062.9746	I(2)	By Fortis (US) Funding Partners I LP
Common Stock	1,199,490.126	I(2)	By Fortis (US) Funding Partners II LP

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Class B Common Stock(3)	02/04/2004	(4)	common stock	150,001(5)	(4)	I	By Fortis (US) Funding Partners I LP
Class C Common Stock(3)	02/04/2004	(4)	common stock	400,001(6)	(4)	I	By Fortis (US) Funding Partners II LP

Explanation of Responses:

1. Fortis Insurance N.V. has an obligation to acquire additional shares of Common Stock at the consummation of the initial public offering of Assurant, Inc. (the "Assurant IPO") as described in Assurant's Amendment No. 3 to its Registration Statement on Form S-1, Registration No. 333-109984, filed with the Commission on February 3, 2004 (the "Assurant Registration Statement"). The commitment to purchase such shares is at the price paid by investors purchasing shares in the Assurant IPO.

2. These shares of common stock will be directly owned upon the consummation of the Assurant IPO as described in the Assurant Registration Statement.

3. The Class B and Class C Common Stock, received in connection with the merger of Fortis, Inc. with and into Assurant, Inc., will (i) be directly owned and (ii) automatically convert by its terms into Common Stock upon the consummation of the Assurant IPO based on the public offering price of the Common Stock as described in the Assurant Registration Statement.

4. N/A

5. $150,001,000 aggregate liquidation preference

6. $400,001,000 aggregate liquidation preference

	Kristof Macours, Senior Legal Advisor, on behalf of Fortis Insurance N.V.	02/04/2004
	** Signature of Reporting Person	Date
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