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-----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, FCjEevjbj3XdJ+g/pRDUc4tRIVKEwHqGhZM8hCmTcum25FD4q8VWflMkw5AzLSSn 8mRYlOJIAMPONf3+C1UQ4w== 0000950134-05-017437.txt : 20060922 0000950134-05-017437.hdr.sgml : 20060922 20050909060254 ACCESSION NUMBER: 0000950134-05-017437 CONFORMED SUBMISSION TYPE: S-1/A PUBLIC DOCUMENT COUNT: 9 FILED AS OF DATE: 20050909 DATE AS OF CHANGE: 20051118 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AMERISAFE INC CENTRAL INDEX KEY: 0001018979 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 752069407 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: S-1/A SEC ACT: 1933 Act SEC FILE NUMBER: 333-127133 FILM NUMBER: 051076463 BUSINESS ADDRESS: STREET 1: 2301 HIGHWAY 190 WEST CITY: DERIDDER STATE: LA ZIP: 70634 BUSINESS PHONE: 337-463-9052 MAIL ADDRESS: STREET 1: 2301 HIGHWAY 190 WEST CITY: DERIDDER STATE: LA ZIP: 70634 S-1/A 1 d27260a1sv1za.htm AMENDMENT TO FORM S-1 sv1za

As filed with the Securities and Exchange Commission on September 9, 2005

Registration No. 333-127133

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Pre-Effective Amendment No. 1

Form S-1

REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933

AMERISAFE, Inc.

(Exact name of registrant as specified in its charter)


Texas (State or other jurisdiction of incorporation or organization)		6331 (Primary Standard Industrial Classification Code Number)		75-2069407 (I.R.S. Employer Identification No.)

2301 Highway 190 West

DeRidder, Louisiana 70634

(337) 463-9052

(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

Arthur L. Hunt

Executive Vice President and General Counsel

2301 Highway 190 West

DeRidder, Louisiana 70634

(337) 463-9052

(Name, address, including zip code, and telephone number, including area code, of agent for service)

Copies to:


James E. O’Bannon Lisa K. Durham Jones Day 2727 North Harwood Street Dallas, Texas 75201 (214) 220-3939		J. Brett Pritchard Lord, Bissell & Brook LLP 115 South LaSalle Street Chicago, Illinois 60603 (312) 443-0700

Approximate date of commencement of proposed sale to the public: As soon as practicable after the Registration Statement becomes effective.

If any of the securities being registered on this Form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933, check the following box. o

If this Form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, please check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. o

If this Form is a post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. o

If this Form is a post-effective amendment filed pursuant to Rule 462(d) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. o

If delivery of the prospectus is expected to be made pursuant to Rule 434, please check the following box. o

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 the date as the Commission, acting pursuant to said Section 8(a), may determine.

The information in this preliminary prospectus is not complete and may be changed. We may not sell these securities until the registration statement filed with the Securities and Exchange Commission is effective. This prospectus is not an offer to sell these securities and is not a solicitation of an offer to buy these securities in any jurisdiction where the offer or sale is not permitted.

SUBJECT TO COMPLETION, DATED , 2005

Shares

AMERISAFE, Inc.

Common Stock

This is the initial public offering of our common stock. We are offering shares of common stock.

Prior to this offering, there has been no public market for our common stock. We currently estimate that the initial public offering price will be between $ and $ per share. See “Underwriting” for a discussion of the factors to be considered in determining the initial public offering price.

We have applied to have our shares of common stock approved for listing on the Nasdaq National Market under the symbol “AMSF.”

Investing in our common stock involves risks. See “Risk Factors” beginning on page 10 to read about factors you should consider before buying our common stock.


	Per Share	Total

Initial public offering price	$	$
Underwriting discount*	$	$
Proceeds, before expenses, to us	$	$


*	See “Underwriting” on page 105 for a description of the underwriters’ compensation.

To the extent that the underwriters sell more than shares of common stock, the selling shareholders have granted the underwriters a 30-day option to purchase up to additional shares of common stock at the initial public offering price, less the underwriting discount, to cover over-allotments, if any. We will not receive any of the proceeds from the sale of shares by the selling shareholders.

Neither the Securities and Exchange Commission nor any state securities commission or other regulatory body has approved or disapproved of these securities or passed upon the accuracy or adequacy of this prospectus. Any representation to the contrary is a criminal offense.

The underwriters expect to deliver the shares of our common stock to purchasers on or about , 2005.

Friedman Billings Ramsey


	Keefe, Bruyette & Woods


	William Blair & Company

The date of this prospectus is , 2005.

TABLE OF CONTENTS


	Page

Prospectus Summary		1
Risk Factors		10
Certain Important Information		24
Forward-Looking Statements		25
Use of Proceeds		26
Dividend Policy		26
Capitalization		27
Dilution		28
Selected Financial Information		29
Management’s Discussion and Analysis of Financial Condition and Results of Operations		31
Business		51
Management		82
Principal and Selling Shareholders		93
Certain Relationships and Related Transactions		97
Description of Capital Stock		98
Shares Eligible for Future Sale		103
Underwriting		105
Legal Matters		107
Experts		107
Where You Can Find More Information		107
Index to Financial Statements		F-1
Form of 2005 Non-Employee Director Restricted Stock Plan
Services Agreement
Agreement
Lease Agreement
Consent of Ernst & Young LLP

PROSPECTUS SUMMARY

This summary highlights information contained elsewhere in this prospectus. Before making a decision to purchase our common stock, you should read the entire prospectus carefully, including the “Risk Factors” and “Forward-Looking Statements” sections and our consolidated financial statements and the notes to those financial statements.

Who We Are

Employers engaged in hazardous industries tend to have less frequent but more severe claims as compared to employers in other industries due to the nature of their businesses. We employ a proactive, disciplined approach in underwriting employers and providing comprehensive services, including safety services and intensive claims management practices, intended to lessen the overall incidence and cost of workplace injuries. Hazardous industry employers pay substantially higher than average rates for workers’ compensation insurance compared to employers in other industries, as measured per payroll dollar. The higher premium rates are due to the nature of the work performed and the inherent workplace danger of our target employers. Our policyholders paid an average rate of $7.76 per $100 of payroll for workers’ compensation insurance in 2004, which was approximately three times the average for all reported occupational class codes, according to the most recent market analyses provided by the National Council on Compensation Insurance, Inc., or NCCI.

We believe the workers’ compensation market in the hazardous industries we target is underserved and competition is fragmented. We compete on the basis of coverage availability, claims management, safety services, payment terms and premium rates. According to the most recent market data reported by the NCCI, which is the official ratings bureau in the majority of states in which we are licensed, total premiums reported for the specific occupational class codes for which we underwrite business was $17 billion. Total premiums reported for all occupational class codes reported by the NCCI for these same jurisdictions was $37 billion.

What We Do

We provide workers’ compensation insurance primarily to employers in the following targeted hazardous industries:



	•	Construction. Includes a broad range of operations such as highway and bridge construction, building and maintenance of pipeline and powerline networks, excavation, commercial construction, roofing, iron and steel erection, tower erection and numerous other specialized construction operations. Our gross premiums written in 2004 for employers in the construction industry were $101.3 million, or 38.3% of total gross premiums written in 2004.



	•	Trucking. Includes a large spectrum of diverse operations including contract haulers, regional and local freight carriers, special equipment transporters and other trucking companies that conduct a variety of short- and long-haul operations. Our gross premiums written in 2004 for employers in the trucking industry were $57.8 million, or 21.8% of total gross premiums written in 2004.


	•	Logging. Includes tree harvesting operations ranging from labor intensive chainsaw felling and trimming to sophisticated mechanized operations using heavy equipment. Our gross premiums written in 2004 for employers in the logging industry were $30.3 million, or 11.5% of total gross premiums written in 2004.

We also provide workers’ compensation insurance to employers in the agriculture, oil and gas, maritime, sawmill and other hazardous industries. Our operations are geographically diverse, with no more than 11.0% of our gross premiums written in 2004 derived from any one state. In 2004, our largest states in terms of gross premiums written were Louisiana (10.6%), Georgia (9.5%), Texas (6.5%), Illinois (6.4%), North Carolina (6.3%) and Virginia (5.2%). No other state had gross premiums written in excess of 5.0% of our total gross premiums written in 2004. As of June 30, 2005, we had approximately 6,300 voluntary business policyholders with an average annual premium per workers’ compensation policy of approximately $38,000.

We are rated “A-” (Excellent) by A.M. Best Company, which rating is the fourth highest of 15 rating levels. In June 2005, A.M. Best placed our rating under review with negative implications, citing concerns about our risk adjusted capital, credit risk associated with amounts recoverable from our reinsurers and the somewhat limited financial flexibility of our holding company, AMERISAFE. Effective June 30, 2005, we entered into a commutation agreement with one of our reinsurers, Converium Reinsurance (North America), pursuant to which Converium paid us $61.3 million in exchange for a termination and release of three of our five reinsurance agreements with Converium. We believe this commutation agreement substantially addresses the concern expressed by A.M. Best regarding the credit risk associated with our reinsurance recoverables. Following the application of the net proceeds of this offering, we expect that our under review status will be returned to stable and that A.M. Best will affirm our “A-” (Excellent) rating in late 2005. A.M. Best ratings are directed toward the concerns of policyholders and insurance agencies and are not intended for the protection of investors or as a recommendation to buy, hold or sell our securities.

As of June 30, 2005, we had total assets of $811.5 million and shareholders’ equity (deficit) plus redeemable preferred stock of $84.4 million. For the year ended December 31, 2004, we produced total revenues of $249.0 million and net income of $10.6 million. For the six months ended June 30, 2005, we produced total revenues of $133.8 million and net loss of $4.3 million. Our results for the six months ended June 30, 2005 included a $13.2 million pre-tax charge related to our commutation with Converium and an $8.7 million pre-tax charge to increase our reserves for loss and loss adjustment expenses.

Our gross premiums are derived from direct premiums and assumed premiums. Direct premiums include premiums from employers who purchase insurance directly from us and who we voluntarily agree to insure, which we refer to as our voluntary business, as well as employers assigned to us under residual market programs implemented by some of the states in which we operate, which we refer to as our assigned risk business. Assumed premiums include premiums from our participation in mandatory pooling arrangements under residual market programs implemented by some of the states in which we operate. For the year ended December 31, 2004, our voluntary business accounted for 93.4% of our gross premiums written.

Our Competitive Strengths

We believe we enjoy the following competitive strengths:



	•	Focus on Hazardous Industries. We have extensive experience insuring employers engaged in hazardous industries and have a history of profitable underwriting in these industries. Our specialized knowledge of these hazardous industries helps us better serve our policyholders, which leads to greater employer loyalty and policy retention. Our policy renewal rate on voluntary business that we elected to quote for renewal was 87.9% in 2002, 91.4% in 2003 and 93.0% in 2004.


	•	Focus on Small to Mid-Sized Employers. We believe large insurance companies generally do not target small to mid-sized employers in hazardous industries due to their smaller premium size, type of operations, mobile workforce and extensive service needs. We provide enhanced customer services to our policyholders. For example, unlike many of our competitors, our premium payment plans enable our policyholders to better match their premium payments with their payroll costs.


	•	Specialized Underwriting Expertise. Based on our 19-year underwriting history of insuring employers engaged in hazardous industries, we have developed industry specific risk analysis and rating tools to assist our underwriters in risk selection and pricing. Our 17 underwriting professionals average approximately 10 years of experience underwriting workers’ compensation insurance, most of which has focused on hazardous industries. We are highly disciplined when quoting and binding new business. In 2004, we offered quotes on approximately one out of every five applications submitted. We do not delegate underwriting authority to agencies that sell our insurance or to any other third party.



	•	Comprehensive Safety Services. We provide proactive safety reviews of employers’ workplaces, which are often located in rural areas. These safety reviews are a vital component of our underwriting process and also assist our policyholders in loss prevention and encourage the safest workplaces possible by deploying experienced field safety professionals, or FSPs, to our policyholders’ worksites. Our 49 FSPs have an average of approximately 15 years of workplace safety or related industry experience. From January 1, 2004 through June 30, 2005, approximately 86% of our new voluntary business policyholders were subject to pre-quotation safety inspections. We perform periodic on-site safety surveys on all of our voluntary business policyholders.



	•	Proactive Claims Management. As of June 30, 2005, our employees managed more than 97% of our open claims in-house utilizing our intensive claims management practices that emphasize a personal approach and quality, cost-effective medical treatment. Our claims management staff includes 93 field case managers, or FCMs, who average approximately 18 years of experience in the workers’ compensation insurance industry, and five medical-only case managers. We currently average approximately 60 open indemnity claims per FCM, which we believe is significantly less than the industry average. We believe our claims management practices allow us to achieve a more favorable claim outcome, accelerate an employee’s return to work and more rapidly close claims, all of which ultimately lead to lower overall costs. In addition, we believe our practices lessen the likelihood of litigation. Only 9.0% of all claims reported for accident year 2003 were open as of June 30, 2005.

Our Strategy

We believe the net proceeds from this offering will provide us with the additional capital necessary to increase the amount of insurance we are able to write. We will scrutinize the potential for achieving underwriting profits and adequate returns on capital as we expand our business. We plan to pursue profitable growth and favorable returns on equity using the following strategies:


	•	Expand in our Existing Markets. Our market share in our six largest states in terms of premiums written did not exceed 3.0% of the workers’ compensation market in any one state, according to NCCI’s most recent market analyses. Competition in our target markets is fragmented by state and employer industry focus. We believe that our specialized underwriting expertise and safety, claims and audit services position us to profitably increase our market share in our existing principal markets, with minimal increase in field service employees.


	•	Prudent and Opportunistic Geographic Expansion. While we actively market our insurance in 29 states and the District of Columbia, approximately 43.4% of our voluntary in-force premiums were generated in six states as of June 30, 2005. We are licensed in an additional 16 states and the U.S. Virgin Islands. Our existing licenses and rate filings will expedite our ability to write policies in these markets when we decide it is prudent to do so.


	•	Focus on Underwriting Profitability. We intend to maintain our underwriting discipline and profitability throughout market cycles. Our strategy is to focus on underwriting workers’ compensation insurance in hazardous industries and to maintain adequate rate levels commensurate with the risks we underwrite. We will also continue to strive for improved risk selection and pricing, as well as reduced frequency and severity of claims through comprehensive workplace safety reviews, rapid closing of claims through personal, direct contact with our policyholders and their employees, and effective medical cost containment measures.

	•	Leverage Investments in Information Technology. In October 2000, we launched our customized information system, ICAMS, that we believe significantly enhances our ability to select risk, write profitable business and cost-effectively administer our billing, claims and audit functions. Since the launch, we have introduced automated analytical tools and have continued to improve and enhance our ICAMS system and tools. We believe our technology is scalable and can be modified at minimal cost to accommodate our growth. In addition, we believe this scalability has lowered, and will continue to lower, our expense ratio as we continue to achieve premium growth over time.


	•	Maintain Capital Strength. We plan to manage our capital to achieve our growth and profitability goals while maintaining a prudent operating leverage for our insurance company subsidiaries. To accomplish this objective, we intend to maintain underwriting profitability throughout market cycles, deploy a portion of the proceeds of this offering toward the judicious growth of our business, optimize our use of reinsurance, reduce our current financial leverage, and maximize an appropriate risk adjusted return on our growing investment portfolio.

Our Challenges

As part of your evaluation of our business, you should consider the following challenges we face in implementing our business strategies:



	•	Adequacy of Premiums and Loss Reserves. Our loss reserves are based upon estimates that are inherently uncertain. These estimates may be inadequate to cover our actual losses, in which case we would need to increase our estimates and recognize a corresponding decrease in pre-tax net income for the period in which the change in our estimates occurs.



	•	Downgrade of our A.M. Best Rating. Our A.M. Best rating is subject to periodic review and, if it is downgraded, our business could be negatively affected by the loss of certain existing and potential policyholders and the loss of relationships with independent agencies.



	•	Cyclical Nature of the Workers’ Compensation Industry. The workers’ compensation insurance industry has historically fluctuated with periods of low premium rates and excess underwriting capacity resulting from increased competition followed by periods of high premium rates and shortages of underwriting capacity resulting from decreased competition. This cyclicality may cause our revenues and net income to fluctuate.



	•	Availability of Reinsurance. The availability, amount and cost of reinsurance are subject to market conditions and our experience with insured losses. If we are unable to obtain reinsurance on favorable terms, our ability to write new policies and renew existing policies could be adversely affected.



	•	Ability to Recover from Reinsurers. If any of our reinsurers is unable to meet any of its obligations to us, we would be responsible for all claims and claim settlement expenses that would otherwise be covered by our reinsurer. An inability to recover amounts due from our reinsurers would adversely affect our financial condition and results of operations.

For further discussion of these and other challenges we face, see “Risk Factors.”

Operating History

Beginning in 1997 and into 2000, we employed a strategy to increase revenue through rapid geographic expansion and underwriting workers’ compensation insurance for employers engaged in non-hazardous industries, such as service and retail businesses. This strategy did not produce the results anticipated, and as a result our weighted average gross accident year loss ratio for the period 1997 through 2000 was 120.2%, as compared to 57.7% for the period 1994 through 1996. An accident year loss ratio measures loss and loss adjustment expenses for insured events occurring during a particular year, regardless of when they are reported, as a percentage of the premium earned during that year.

In September 2000, we undertook several strategic initiatives to improve the profitability of our existing in-force book of business and new business. These initiatives included the following:



	•	Renewed focus on core hazardous classes of business by non-renewing policies with employers engaged in non-hazardous industries that have higher frequency claims characteristics.



	•	Commenced re-underwriting our book of business to improve our risk selection and establish rates commensurate with the risks we were underwriting.



	•	Reduced or ceased underwriting in states where we lacked a sufficient level of premium production to effectively deploy our field resources or where we believed the operating environment was unfavorable.



	•	Increased pre-quotation safety inspection of employers on new business.



	•	Took action to manage substantially all claims in-house and limit reliance on third-party administrators.



	•	Implemented an incentive program to align the compensation of our underwriters and field safety professionals with underwriting performance.

We believe these actions have contributed to improved underwriting profitability, as measured on an accident year basis. Our accident year gross loss ratio improved to 67.8% for 2004 from 121.2% for 2000, as developed through December 31, 2004.

Recent Developments

Effective June 30, 2005, we entered into a commutation agreement with Converium Reinsurance (North America), one of our reinsurers. Under this agreement, Converium paid us $61.3 million in exchange for a termination and release of three of our five reinsurance agreements with Converium. Under this agreement, all liabilities reinsured with Converium under these three reinsurance agreements reverted back to us. We recorded a pre-tax loss of $13.2 million in the period ended June 30, 2005 in connection with the commutation agreement with Converium. Converium remains obligated to us under the remaining two reinsurance agreements. As of June 30, 2005, the amount recoverable from Converium under the remaining two agreements was $6.3 million.

Hurricane Katrina struck the Gulf Coast of the United States on August 29, 2005, causing substantial damage in southeastern Louisiana, Mississippi and Alabama. We anticipate that we may incur some delay in receipt of premiums, and reduction of premiums, from policyholders directly affected by the hurricane. Because of the geographic diversity of our operations, we do not expect a material impact on our cash flows or results of operations as a result of any such delay or reduction. Due to the redundancy of our systems, no policyholder, claimant or other data was lost as a result of the hurricane. Over the next several months, as the areas affected by the hurricane begin to recover, we anticipate that we may see an increase in revenue due primarily to increased construction activity.

AMERISAFE is an insurance holding company and was incorporated in Texas in 1985. Our principal subsidiary is American Interstate Insurance Company. Our executive offices are located at 2301 Highway 190 West, DeRidder, Louisiana 70634, and our telephone number at that location is (337) 463-9052. Our website is www.amerisafe.com. The information on our website is not part of this prospectus.

The Offering


Shares of common stock offered by us		shares

Over-allotment shares of common stock offered by selling shareholders		shares

Shares of common stock to be issued upon exchange of outstanding Series A preferred stock		shares

Shares of common stock to be outstanding after the offering		shares


Use of proceeds		We estimate that our net proceeds from this offering will be approximately $ million, based on an assumed initial public offering price of $ per share, which is the mid-point of the price range set forth on the cover page of this prospectus, and after deducting the underwriting discounts and commissions and our estimated offering expenses. We will use approximately $ million of the proceeds from this offering to redeem all of our outstanding Series E preferred stock. We will use 50% of our net proceeds from this offering, or approximately $ million, to redeem approximately shares of our outstanding Series A preferred stock. We intend to use approximately $ million of the remaining net proceeds to contribute capital to our insurance company subsidiaries and approximately $ million for general corporate purposes.


Dividend policy		We currently intend to retain any additional future earnings to finance our operations and growth. As a result, we do not expect to pay any cash dividends on our common stock for the foreseeable future.

		Our ability to pay dividends is subject to restrictions in our articles of incorporation that prohibit us from paying dividends on our common stock (other than in additional shares of common stock) without the consent of the holders of two-thirds of the outstanding shares of our convertible preferred stock. In addition, because AMERISAFE is a holding company and has no direct operations, our ability to pay dividends in the future may be limited by regulatory restrictions on the payment of dividends to AMERISAFE by our insurance company subsidiaries.

Proposed Nasdaq National Market symbol		“AMSF”

The number of shares of common stock shown to be outstanding upon completion of the offering excludes:


	•	shares issuable upon conversion of our outstanding Series C and Series D convertible preferred stock, subject to adjustment in certain circumstances;

	•	shares that may be issued pursuant to stock options we intend to grant to our executive officers and other employees upon completion of this offering, at an exercise price equal to the initial public offering price; and

	•	additional shares available for future issuance under our equity incentive plans.

Summary Financial Information

The following income statement data for the years ended December 31, 2002, 2003 and 2004 and the balance sheet data as of December 31, 2003 and 2004 were derived from our consolidated financial statements included elsewhere in this prospectus. The income statement data for the years ended December 31, 2000 and 2001 and the balance sheet data as of December 31, 2000, 2001 and 2002 were derived from our audited consolidated financial statements, which are not included in this prospectus. The income statement data for the six-month periods ended June 30, 2004 and 2005 and the balance sheet data as of June 30, 2004 and 2005 were derived from our unaudited condensed consolidated financial statements included elsewhere in this prospectus, which include all adjustments, consisting of normal recurring adjustments, that management considers necessary for a fair presentation of our financial position and results of operations for the periods presented. These historical results are not necessarily indicative of results to be expected from any future period. You should read the following summary financial information together with the other information contained in this prospectus, including “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the financial statements and related notes included elsewhere in this prospectus.


		Year Ended															Six Months Ended
		December 31,															June 30,

		2000			2001			2002			2003			2004			2004			2005

		(In thousands, except share and per share data)
Income Statement Data
Gross premiums written		$	345,027		$	204,752		$	185,093		$	223,590		$	264,962		$	151,557		$	160,524
Ceded premiums written			(80,076	)		(49,342	)		(26,563	)		(27,600	)		(21,951	)		(10,523	)		(9,697	)

	Net premiums written	$	264,951		$	155,410		$	158,530		$	195,990		$	243,011		$	141,034		$	150,827

Net premiums earned		$	187,106		$	170,782		$	163,257		$	179,847		$	234,733		$	113,079		$	125,032
Net investment income			9,372			9,935			9,419			10,106			12,217			5,407			7,650
Net realized gains (losses) on investments			(773	)		491			(895	)		316			1,421			619			774
Fee and other income			2,520			1,367			2,082			462			589			262			306

	Total revenues		198,225			182,575			173,863			190,731			248,960			119,367			133,762

Loss and loss adjustment expenses incurred			109,536			123,386			121,062			129,250			174,186			86,413			110,436
Underwriting and certain other operating costs(1)			23,334			23,364			22,674			23,062			28,987			12,620			15,297
Commissions			16,121			14,351			9,189			11,003			14,160			6,971			7,822
Salaries and benefits			20,253			17,148			16,541			15,037			15,034			7,512			6,448
Interest expense			797			735			498			203			1,799			627			1,326
Policyholder dividends			7,156			2,717			156			736			1,108			754			386

	Total expenses		177,197			181,701			170,120			179,291			235,274			114,897			141,715

Income (loss) before taxes			21,028			874			3,743			11,440			13,686			4,470			(7,953	)
Income tax expense (benefit)			7,001			(395	)		(1,438	)		2,846			3,129			871			(3,669	)

	Net income (loss)		14,027			1,269			5,181			8,594			10,557			3,599			(4,284	)

Payment-in-kind preferred dividends			(8,229	)		(8,820	)		(9,453	)		(10,133	)		(9,781	)		(5,221	)		(4,720	)

Net income (loss) available to common shareholders		$	5,798		$	(7,551	)	$	(4,272	)	$	(1,539	)	$	776		$	(1,622	)	$	(9,004	)

Portion allocable to common shareholders(2)			65.3%			100.0%			100.0%			100.0%			70.2%			100.0%			100.0%
Net income (loss) allocable to common shareholders		$	3,784		$	(7,551	)	$	(4,272	)	$	(1,539	)	$	545			(1,622	)	$	(9,004	)

Diluted earnings per common share equivalent		$	0.18		$	(0.58	)	$	(0.33	)	$	(0.12	)	$	0.03		$	(0.13	)	$	(0.42	)
Diluted weighted average of common share equivalents outstanding			21,581,864			12,967,104			12,967,104			12,967,104			18,380,132			12,967,104			21,581,864


	Year Ended										Six Months Ended
	December 31,										June 30,

	2000		2001		2002		2003		2004		2004		2005

Selected Insurance Ratios
Current accident year loss ratio(3)		57.1%		66.9%		71.8%		70.6%		68.5%		64.8%		70.8%
Prior accident year loss ratio(4)		1.4%		5.3%		2.4%		1.3%		5.7%		11.6%		17.5%

Net loss ratio		58.5%		72.2%		74.2%		71.9%		74.2%		76.4%		88.3%

Net underwriting expense ratio(5)		31.9%		32.1%		29.7%		27.3%		24.8%		24.0%		23.6%
Net dividend ratio(6)		3.8%		1.6%		0.1%		0.4%		0.5%		0.7%		0.3%
Net combined ratio(7)		94.2%		105.9%		104.0%		99.6%		99.5%		101.1%		112.2%


	As of December 31,															As of June 30,

	2000			2001			2002			2003			2004			2004			2005

	(In thousands)
Balance Sheet Data
Cash and cash equivalents	$	44,914		$	44,270		$	44,677		$	49,815		$	25,421		$	51,037		$	27,462
Investments		145,439			148,305			205,315			257,729			364,868			287,299			396,733
Amounts recoverable from reinsurers		327,172			298,451			214,342			211,774			198,977			195,564			174,556	(8)
Premiums receivable, net		122,450			104,907			95,291			108,380			114,141			142,603			144,953
Deferred income taxes		11,807			14,716			11,372			12,713			15,624			16,140			23,274
Deferred policy acquisition costs		14,038			11,077			9,505			11,820			12,044			14,399			18,496
Deferred charges		3,681			2,588			1,997			2,987			3,054			4,014			3,894
Total assets		685,308			645,474			603,801			678,608			754,187			735,189			811,530
Reserves for loss and loss adjustment expenses		379,824			383,032			346,542			377,559			432,880			400,405			457,827
Unearned premiums		107,418			92,047			87,319			103,462			111,741			131,417			137,536
Insurance-related assessments		25,522			25,964			23,743			26,133			29,876			30,531			34,487
Debt		9,500			9,000			8,000			16,310			36,090			36,090			36,090
Redeemable preferred stock(9)		112,061			116,520			121,300			126,424			131,916			129,122			134,808
Shareholders’ deficit(10)		(26,913	)		(10,980	)		(25,100	)		(20,652	)		(42,862	)		(47,584	)		(50,452	)


(1)	Includes policy acquisition expenses, such as assessments, premium taxes and other general and administrative expenses, excluding commissions and salaries and benefits, related to insurance operations and corporate operating expenses.

(2)	Reflects the participation rights of the Series C and Series D convertible preferred stock. See Note 15 to our audited financial statements.

(3)	The current accident year loss ratio is calculated by dividing loss and loss adjustment expenses incurred for the current accident year by the current year’s net premiums earned.

(4)	The prior accident year loss ratio is calculated by dividing the change in loss and loss adjustment expenses incurred for prior accident years by the current year’s net premiums earned.

(5)	The net underwriting expense ratio is calculated by dividing underwriting and certain other operating costs, commissions and salaries and benefits by the current year’s net premiums earned.

(6)	The net dividend ratio is calculated by dividing policyholder dividends by the current year’s net premiums earned.

(7)	The net combined ratio is the sum of the net loss ratio, the net underwriting expense ratio and the net dividend ratio.


(8)	Includes a $67.6 million recoverable from Converium Reinsurance (North America), offset by a $1.3 million expense reimbursement that we owed to Converium. Subsequent to June 30, 2005, we received $61.3 million of this amount pursuant to a commutation agreement.



(9)	Includes our Series A preferred stock and Series C and Series D convertible preferred stock, each of which is mandatorily redeemable upon the occurrence of certain events that are deemed to be outside the control of our company.


(10)	In 1997, we entered into a recapitalization transaction with Welsh Carson that resulted in a $164.2 million charge to retained earnings. See Note 1 to our audited financial statements.

RISK FACTORS

An investment in our common stock involves a number of risks. Before making a decision to purchase our common stock, you should carefully consider the following information about these risks, together with the other information contained in this prospectus. Any of the risks described below could result in a significant or material adverse effect on our business, financial condition or results of operations, and a decline in the market price of our common stock. You could lose all or part of your investment.

Risks Related to Our Business

Our loss reserves are based on estimates and may be inadequate to cover our actual losses.

We must establish and maintain reserves for our estimated liability for loss and loss adjustment expenses. We establish loss reserves that represent an estimate of amounts needed to pay and administer claims with respect to insured events that have occurred, including events that have occurred but have not yet been reported to us. Reserves are based on estimates of the ultimate cost of individual claims. These estimates are inherently uncertain. Judgment is required to determine the relevance of historical payment and claim settlement patterns under current facts and circumstances. The interpretation of this historical data can be impacted by external forces, principally legislative changes, economic fluctuations and legal trends. If there are unfavorable changes in our assumptions, our reserves may need to be increased.

Workers’ compensation claims often are paid over a long period of time. In addition, there are no policy limits on our liability for workers’ compensation claims as there are for other forms of insurance. Therefore, estimating reserves for workers’ compensation claims may be more uncertain than estimating reserves for other types of insurance claims with shorter or more definite periods between occurrence of the claim and final determination of the loss and with policy limits on liability for claim amounts. Accordingly, our reserves may prove to be inadequate to cover our actual losses. If we change our estimates, these changes would result in adjustments to our reserves and our loss and loss adjustment expenses incurred in the period in which the estimates are changed. If the estimate is increased, our pre-tax income for the period in which we make the change will decrease by a corresponding amount. In addition, increasing reserves results in a reduction in our surplus and could result in a downgrade in our A.M. Best rating. Such a downgrade could, in turn, adversely affect our ability to sell insurance policies.

A downgrade in our A.M. Best rating would likely reduce the amount of business we are able to write.

Rating agencies evaluate insurance companies based on their ability to pay claims. We are currently assigned a group letter rating of “A-” (Excellent) from A.M. Best, which is the rating agency that we believe has the most influence on our business. This rating is assigned to companies that, in the opinion of A.M. Best, have demonstrated an excellent overall performance when compared to industry standards. A.M. Best considers “A-” rated companies to have an excellent ability to meet their ongoing obligations to policyholders. The ratings of A.M. Best are subject to periodic review using, among other things, proprietary capital adequacy models, and are subject to revision or withdrawal at any time. A.M. Best ratings are directed toward the concerns of policyholders and insurance agencies and are not intended for the protection of investors or as a recommendation to buy, hold or sell securities. Our competitive position relative to other companies is determined in part by our A.M. Best rating.

In June 2005, A.M. Best placed our rating under review with negative implications, citing concerns about our risk adjusted capital, credit risk associated with amounts recoverable from our reinsurers and the somewhat limited financial flexibility of our holding company, AMERISAFE. As a result of our commutation with Converium Reinsurance (North America), one of our reinsurers, discussed elsewhere in this document, and the application of the proceeds from this offering, we expect that our under

review status will be returned to stable and that A.M. Best will affirm our “A-” (Excellent) rating in late 2005. However, there can be no assurance that we will be able to maintain our current rating. Any downgrade in our rating would likely adversely affect our business through the loss of certain existing and potential policyholders and the loss of relationships with independent agencies. For example, we believe some of our construction contractor policyholders are required to maintain workers’ compensation coverage with an insurance company with an A.M. Best rating of “A-” (Excellent) or better in order to bid on certain contracts. As a result, if our rating were downgraded, we would not be able to write this business. Because we do not review or have access to our policyholders’ construction contracts, we are not able to quantify the percentage of our business, in terms of premiums or otherwise, that would be affected by a downgrade in our A.M. Best rating. In 2004, we derived 38.3% of our gross premiums written from employers engaged in the construction industry. Based on industry experience, we believe that our larger policyholders are more likely to have construction contracts with this type of ratings requirement.

The workers’ compensation insurance industry is cyclical in nature, which may affect our overall financial performance.

The financial performance of the workers’ compensation insurance industry has historically fluctuated with periods of low premium rates and excess underwriting capacity resulting from increased competition followed by periods of high premium rates and shortages of underwriting capacity resulting from decreased competition. Although the financial performance of an individual insurance company is dependent on its own specific business characteristics, the profitability of most workers’ compensation insurance companies generally tends to follow this cyclical market pattern. Beginning in 2000 and accelerating in 2001, the workers’ compensation insurance industry experienced a market reflecting increasing premium rates, more restrictive policy coverage terms and more conservative risk selection. We believe these trends slowed beginning in 2004. We also believe the current workers’ compensation insurance market is slowly transitioning to a more competitive market environment in which underwriting capacity and price competition may increase. This additional underwriting capacity may result in increased competition from other insurance carriers expanding the kinds or amounts of business they write or seeking to maintain or increase market share at the expense of underwriting discipline. Because this cyclicality is due in large part to the actions of our competitors and general economic factors, we cannot predict the timing or duration of changes in the market cycle. While we have not experienced significant increased price competition in our target markets during the first six months of 2005, these cyclical patterns could cause our revenues and net income to fluctuate, which may cause the price of our common stock to be volatile.

If we are unable to obtain reinsurance on favorable terms, our ability to write policies could be adversely affected.

We purchase reinsurance to protect us from the impact of large losses. Reinsurance is an arrangement in which an insurance company, called the ceding company, transfers insurance risk by sharing premiums with another insurance company, called the reinsurer. Conversely, the reinsurer receives or assumes reinsurance from the ceding company. We currently participate in an excess of loss reinsurance treaty program covering all of our voluntary and assigned risk business, which represented approximately 97% of our gross premiums written in 2004. Our current reinsurance program provides us with reinsurance coverage for each loss occurrence up to $30.0 million, subject to applicable deductibles and retentions. However, for any loss occurrence involving only one person, our reinsurance coverage is limited to a maximum of $10.0 million, subject to applicable deductibles and retentions. We retain the first $1.0 million of each loss and are subject to an annual aggregate deductible of approximately $5.6 million for losses between $1.0 million and $5.0 million before our reinsurers are obligated to reimburse us. After the deductible is satisfied, we retain 10.0% of each loss between $1.0 million and $5.0 million. See “Business—Reinsurance.” The availability, amount and cost of reinsurance are subject to market conditions and our experience with insured losses.

Due to the increased cost of reinsurance, we increased our levels of retention on a per occurrence basis in 2003, 2004 and 2005. As a result, we are exposed to increased risk of loss resulting from volatility in the frequency and severity of claims, which could adversely affect our financial performance.

If any of our current reinsurers were to terminate participation in our 2005 reinsurance treaty program, we could be exposed to an increased risk of loss.

The agreements under our 2005 reinsurance treaty program may be terminated by us or our reinsurers upon 90 days prior notice on any December 31. If our reinsurance treaty program is terminated and we enter into a new program, any decrease in the amount of reinsurance at the time we enter into a new program, whether caused by the existence of more restrictive terms and conditions or decreased availability, will also increase our risk of loss and, as a result, could adversely affect our business, financial condition and results of operations. We currently have ten reinsurers participating in our reinsurance treaty program, and we believe that this is a sufficient number of reinsurers to provide us with the reinsurance coverage we require. However, because our reinsurance treaty program may be terminated on any December 31, it is possible that one or more of our current reinsurers could terminate participation in our program. In addition, we may terminate the participation of one or more of our reinsurers under certain circumstances as permitted by the terms of our reinsurance agreements. In either of those events, if our reinsurance broker is unable to spread the terminated reinsurance among the remaining reinsurers in the program, it could take a significant amount of time to identify and negotiate agreements with a replacement reinsurer. During this time, we would be exposed to an increased risk of loss, the extent of which would depend on the volume of terminated reinsurance.

We may not be able to recover amounts due from our reinsurers, which would adversely affect our financial condition.

Reinsurance does not discharge our obligations under the insurance policies we write. We remain liable to our policyholders even if we are unable to make recoveries that we are entitled to receive under our reinsurance contracts. As a result, we are subject to credit risk with respect to our reinsurers. Losses are recovered from our reinsurers as claims are paid. In long-term workers’ compensation claims, the creditworthiness of our reinsurers may change before we recover amounts to which we are entitled. Therefore, if a reinsurer is unable to meet any of its obligations to us, we would be responsible for all claims and claim settlement expenses for which we would have otherwise received payment from the reinsurer.

In the past, we have been unable to recover amounts from our reinsurers. In 2001, Reliance Insurance Company, one of our former reinsurers, was placed under regulatory supervision by the Pennsylvania Insurance Department and was subsequently placed into liquidation. As a result, between 2001 and 2004, we recognized losses related to uncollectible amounts due from Reliance aggregating $20.6 million.

As of June 30, 2005, we had $174.6 million of recoverables from reinsurers. Of this amount, $167.9 million was unsecured. As of June 30, 2005, our largest recoverables from reinsurers included $66.3 million from Converium Reinsurance (North America), $24.6 million from American Reinsurance Company and $22.5 million from Odyssey America Reinsurance Company. If we are unable to collect amounts recoverable from our reinsurers, our financial condition would be adversely affected.

During 2004, Converium reported a significant loss, resulting in a downgrade in its A.M. Best rating. Although Converium continued to indemnify us under the terms of our reinsurance agreements, we initiated discussions with Converium to seek to reduce the credit risk associated with the amounts due to us. Effective as of June 30, 2005, we entered into a commutation agreement with Converium. Under this agreement, Converium paid us $61.3 million in exchange for a termination and release of

three of our five reinsurance agreements with Converium. Under the commutation agreement, all liabilities reinsured with Converium under these three reinsurance agreements reverted back to us. The reinsurance agreements have been terminated, and we and Converium have fully released each other from all liabilities under or relating to these three reinsurance agreements. We recorded a pre-tax loss of $13.2 million in the period ended June 30, 2005 in connection with the commutation agreement with Converium. Converium remains obligated to us under the remaining two reinsurance agreements. As of June 30, 2005, the amount recoverable from Converium under the remaining two agreements was $6.3 million. We cannot assure you that the cash payment we received from Converium, and any investment income we may earn on that amount, will be sufficient to cover all claims for which we would otherwise have been contractually entitled to recover from Converium under the three reinsurance agreements subject to the commutation agreement.

If we do not accurately establish our premium rates, our results of operations will be adversely affected.

In general, the premium rates for our insurance policies are established when coverage is initiated and, therefore, before all of the underlying costs are known. Like other workers’ compensation insurance companies, we rely on estimates and assumptions in setting our premium rates. Establishing adequate rates is necessary, together with investment income, to generate sufficient revenue to offset losses, loss adjustment expenses and other underwriting expenses and to earn a profit. If we fail to accurately assess the risks that we assume, we may fail to charge adequate premium rates to cover our losses and expenses, which could reduce our net income and cause us to become unprofitable. For example, when initiating coverage on a policyholder, we estimate future claims expense based, in part, on prior claims information provided by the policyholder’s previous insurance carriers. If this prior claims information is not accurate, we may underprice our policy by using claims estimates that are too low. As a result, our actual costs for providing insurance coverage to our policyholders may be significantly higher than our premiums. In order to set premium rates accurately, we must:


	•	collect and properly analyze a substantial volume of data;

	•	develop, test and apply appropriate rating formulae;

	•	closely monitor and timely recognize changes in trends; and

	•	project both frequency and severity of losses with reasonable accuracy.

We must also implement our pricing accurately in accordance with our assumptions. Our ability to undertake these efforts successfully, and as a result set premium rates accurately, is subject to a number of risks and uncertainties, principally:


	•	insufficient reliable data;

	•	incorrect or incomplete analysis of available data;

	•	uncertainties generally inherent in estimates and assumptions;

	•	our inability to implement appropriate rating formulae or other pricing methodologies;

	•	costs of ongoing medical treatment;

	•	our inability to accurately estimate retention, investment yields and the duration of our liability for loss and loss adjustment expenses; and

	•	unanticipated court decisions, legislation or regulatory action.

Consequently, we could set our premium rates too low, which would negatively affect our results of operations and our profitability, or we could set our premium rates too high, which could reduce our competitiveness and lead to lower revenues.

Negative developments in the workers’ compensation insurance industry would adversely affect our financial condition and results of operations.

We principally offer workers’ compensation insurance. We have no current plans to focus our efforts on offering other types of insurance. As a result, negative developments in the economic, competitive or regulatory conditions affecting the workers’ compensation insurance industry could have an adverse effect on our financial condition and results of operations. Negative developments in the workers’ compensation insurance industry could have a greater effect on us than on more diversified insurance companies that also sell other types of insurance.

A decline in the level of business activity of our policyholders, particularly those engaged in the construction, trucking and logging industries, could negatively affect our earnings and profitability.

In 2004, approximately 71.5% of our gross premiums written were derived from policyholders in the construction, trucking and logging industries. Because premium rates are calculated, in general, as a percentage of a policyholder’s payroll expense, premiums fluctuate depending upon the level of business activity and number of employees of our policyholders. As a result, our gross premiums written are primarily dependent upon the economic conditions in the construction, trucking and logging industries and upon economic conditions generally.

Unfavorable changes in economic conditions affecting the states in which we operate could adversely affect our financial condition or results of operations.

As of June 30, 2005, we provided insurance in 29 states and the District of Columbia. Although we have expanded our operations into new geographic areas and expect to continue to do so in the future, approximately 44.5% of our gross premiums written for the year ended December 31, 2004 were derived from policyholders in Louisiana, Georgia, Texas, Illinois, North Carolina and Virginia. No other state accounted for more than 5.0% of gross premiums written in 2004. In the future, we may be exposed to economic and regulatory risks or risks from natural perils that are greater than the risks faced by insurance companies that have a larger percentage of their gross premiums written diversified over a broader geographic area. Unfavorable changes in economic conditions affecting the states in which we write business could adversely affect our financial condition or results of operations. See “Business—Policyholders.”

Our revenues and results of operations may fluctuate as a result of factors beyond our control, which fluctuation may cause the price of our common stock to be volatile.

The revenues and results of operations of insurance companies historically have been subject to significant fluctuations and uncertainties. Our profitability can be affected significantly by:


	•	rising levels of claims costs, including medical and prescription drug costs, that we cannot anticipate at the time we establish our premium rates;

	•	fluctuations in interest rates, inflationary pressures and other changes in the investment environment that affect returns on invested assets;

	•	changes in the frequency or severity of claims;

	•	the financial stability of our reinsurers and changes in the level of reinsurance capacity and our capital capacity;

	•	new types of claims and new or changing judicial interpretations relating to the scope of liabilities of insurance companies;


	•	volatile and unpredictable developments, including man-made, weather-related and other natural catastrophes or terrorist attacks; and

	•	price competition.

If our revenues and results of operations fluctuate as a result of one or more of these factors, the price of our common stock may be volatile.

We operate in a highly competitive industry and may lack the financial resources to compete effectively.

There is significant competition in the workers’ compensation insurance industry. We believe that our competition in the hazardous industries we target is fragmented and not dominated by one or more competitors. We compete with other insurance companies, individual self-insured companies, state insurance pools and self-insurance funds. Many of our existing and potential competitors are significantly larger and possess greater financial, marketing and management resources than we do. Moreover, a number of these competitors offer other types of insurance in addition to workers’ compensation and can provide insurance nationwide. We compete on the basis of many factors, including coverage availability, claims management, safety services, payment terms, premium rates, policy terms, types of insurance offered, overall financial strength, financial ratings and reputation. If any of our competitors offer premium rates, policy terms or types of insurance that are more competitive than ours, we could lose market share. No assurance can be given that we will maintain our current competitive position in the markets in which we currently operate or that we will establish a competitive position in new markets into which we may expand.

If we cannot sustain our relationships with independent agencies, we may be unable to operate profitably.

We market a substantial portion of our workers’ compensation insurance through independent agencies. As of June 30, 2005, independent agencies produced approximately 80.6% of our voluntary in-force premiums, and no independent agency accounted for more than 1.4% of our voluntary in-force premiums at that date. Independent agencies are not obligated to promote our insurance and may sell insurance offered by our competitors. As a result, our continued profitability depends, in part, on the marketing efforts of our independent agencies and on our ability to offer workers’ compensation insurance and maintain financial strength ratings that meet the requirements of our independent agencies and their policyholders.

An inability to effectively manage the growth of our operations could make it difficult for us to compete and affect our ability to operate profitably.

Our continuing growth strategy includes expanding in our existing markets, entering new geographic markets and further developing our agency relationships. Our growth strategy is subject to various risks, including risks associated with our ability to:


	•	identify profitable new geographic markets for entry;

	•	attract and retain qualified personnel for expanded operations;

	•	identify, recruit and integrate new independent agencies; and

	•	augment our internal monitoring and control systems as we expand our business.

Because we are subject to extensive state and federal regulation, legislative changes may negatively impact our business.

We are subject to extensive regulation by the Louisiana Department of Insurance and the insurance regulatory agencies of other states in which we are licensed and, to a lesser extent, federal

regulation. State agencies have broad regulatory powers designed primarily to protect policyholders and their employees, and not our shareholders. Regulations vary from state to state, but typically address:


	•	standards of solvency, including risk-based capital measurements;

	•	restrictions on the nature, quality and concentration of our investments;

	•	restrictions on the terms of the insurance policies we offer;

	•	restrictions on the way our premium rates are established and the premium rates we may charge;

	•	required reserves for unearned premiums and loss and loss adjustment expenses;

	•	standards for appointing general agencies;

	•	limitations on transactions with affiliates;

	•	restrictions on mergers and acquisitions;

	•	restrictions on the ability of our insurance company subsidiaries to pay dividends to AMERISAFE;

	•	certain required methods of accounting; and

	•	potential assessments for state guaranty funds, second injury funds and other mandatory pooling arrangements.

We may be unable to comply fully with the wide variety of applicable laws and regulations that are continually undergoing revision. In addition, we follow practices based on our interpretations of laws and regulations that we believe are generally followed by our industry. These practices may be different from interpretations of insurance regulatory agencies. As a result, insurance regulatory agencies could preclude us from conducting some or all of our activities or otherwise penalize us. For example, in order to enforce applicable laws and regulations or to protect policyholders, insurance regulatory agencies have relatively broad discretion to impose a variety of sanctions, including examinations, corrective orders, suspension, revocation or denial of licenses and the takeover of one or more of our insurance subsidiaries. The extensive regulation of our business may increase the cost of our insurance and may limit our ability to obtain premium rate increases or to take other actions to increase our profitability.

The effects of emerging claim and coverage issues on our business are uncertain.

As industry practices and legal, judicial, social and other environmental conditions change, unexpected and unintended issues related to claims and coverage may emerge. These issues may adversely affect our business by either extending coverage beyond our underwriting intent or by increasing the number or size of claims. In some instances, these changes may not become apparent until after we have issued insurance policies that are affected by the changes. As a result, the full extent of our liability under an insurance policy may not be known until many years after the policy is issued. For example, medical costs associated with permanent and partial disabilities may increase more rapidly or be higher than we currently expect. Changes of this nature may expose us to higher claims than we anticipated when we wrote the underlying policy. As of June 30, 2005, approximately 1.3% of the 28,377 claims reported for accident year 2000 were open, 2.5% of the 13,813 claims reported for accident year 2001 were open, 4.7% of the 8,005 claims reported for accident year 2002 were open, 9.2% of the 6,278 claims reported for accident year 2003 were open and 21.8% of the 6,917 claims reported for accident year 2004 were open.

Additional capital that we may require in the future may not be available to us or may be available to us only on unfavorable terms.

Our future capital requirements will depend on many factors, including state regulatory requirements, the financial stability of our reinsurers and our ability to write new business and establish premium rates sufficient to cover our estimated claims. We may need to raise additional capital or curtail our growth if the portion of our net proceeds of this offering to be contributed to the capital of our insurance subsidiaries is insufficient to support future operating requirements and/or cover claims. If we had to raise additional capital, equity or debt financing may not be available to us or may be available only on terms that are not favorable. In the case of equity financings, dilution to our shareholders could result and the securities sold may have rights, preferences and privileges senior to the common stock sold in this offering. In addition, under certain circumstances, the sale of our common stock, or securities convertible or exchangeable into shares of our common stock, at a price per share less than the fair value of our common stock may result in an adjustment to the conversion price at which shares of our existing convertible preferred stock may be converted into shares of our common stock. If we cannot obtain adequate capital on favorable terms or at all, we may be unable to support future growth or operating requirements and, as a result, our business, financial condition or results of operations could be adversely affected.

If we are unable to realize our investment objectives, our financial condition and results of operations may be adversely affected.

Investment income is an important component of our net income. As of June 30, 2005, our investment portfolio, including cash and cash equivalents, had a carrying value of $424.2 million. For the year ended December 31, 2004, we had $12.2 million of net investment income. Our investment portfolio is managed by an independent asset manager that operates under investment guidelines approved by our board of directors. Although these guidelines stress diversification and capital preservation, our investments are subject to a variety of risks, including risks related to general economic conditions, interest rate fluctuations and market volatility. General economic conditions may be adversely affected by U.S. involvement in hostilities with other countries and large-scale acts of terrorism, or the threat of hostilities or terrorist acts.

Interest rates are highly sensitive to many factors, including governmental monetary policies and domestic and international economic and political conditions. Changes in interest rates could have an adverse effect on the value of our investment portfolio and future investment income. For example, changes in interest rates can expose us to prepayment risks on mortgage-backed securities included in our investment portfolio. When interest rates fall, mortgage-backed securities are prepaid more quickly than expected and the holder must reinvest the proceeds at lower interest rates. In periods of increasing interest rates, mortgage-backed securities are prepaid more slowly, which may require us to receive interest payments that are below the interest rates then prevailing for longer than expected.

These and other factors affect the capital markets and, consequently, the value of our investment portfolio and our investment income. Any significant decline in our investment income would adversely affect our revenues and net income and, as a result, increase our shareholders’ deficit and decrease our surplus.

Our business is dependent on the efforts of our executive officers because of their industry expertise, knowledge of our markets and relationships with the independent agencies that sell our insurance.

Our success is dependent on the efforts of our executive officers because of their industry expertise, knowledge of our markets and relationships with our independent agencies. Our executive officers are Mark R. Anderson, Chairman; C. Allen Bradley, Jr., President and Chief Executive Officer; Geoffrey R. Banta, Executive Vice President and Chief Financial Officer; Arthur L. Hunt, Executive Vice President and General Counsel; and Craig P. Leach, Executive Vice President, Sales and

Marketing. Mr. Anderson and Mr. Leach have been with our company for more than 25 years and Mr. Bradley and Mr. Hunt have been with us for more than ten years. We have entered into employment agreements with each of our executive officers, which are described under “Management—Employment Agreements.” Our employment agreement with Mr. Anderson expires on January 1, 2007, unless extended. We are presently in discussions with Mr. Anderson regarding his role with our company after that date. Our employment agreements with Messrs. Bradley, Banta, Hunt and Leach expire on January 1, 2008, unless extended. Should any of our executive officers cease working for us, we may be unable to find acceptable replacements with comparable skills and experience in the workers’ compensation insurance industry and the hazardous industries that we target. As a result, our operations may be disrupted and our business may be adversely affected. We do not currently maintain life insurance policies with respect to our executive officers.

AMERISAFE is an insurance holding company and does not have any direct operations.

AMERISAFE is a holding company that transacts business through its operating subsidiaries, including American Interstate. AMERISAFE’s primary assets are the capital stock of these operating subsidiaries. The ability of AMERISAFE to pay dividends to our shareholders depends upon the surplus and earnings of our subsidiaries and their ability to pay dividends to AMERISAFE. Payment of dividends by our insurance subsidiaries is restricted by state insurance laws, including laws establishing minimum solvency and liquidity thresholds, and could be subject to contractual restrictions in the future, including those imposed by indebtedness we may incur in the future. See “Business—Regulation—Dividend Limitations.” As a result, at times, AMERISAFE may not be able to receive dividends from its insurance subsidiaries and may not receive dividends in amounts necessary to pay dividends on our capital stock. Based on reported capital and surplus at December 31, 2004, American Interstate would have been permitted under Louisiana insurance law to pay dividends to AMERISAFE in 2005 in an amount up to $11.2 million without approval by the Louisiana Department of Insurance.

In addition, our ability to pay dividends is subject to restrictions in the articles of incorporation of AMERISAFE that prohibit us from paying dividends on our common stock (other than in additional shares of common stock) without the consent of the holders of two-thirds of the outstanding shares of our convertible preferred stock. If holders of our convertible preferred stock consent to the payment of a dividend, we must pay a dividend to the holders of our convertible preferred stock on an as-converted to common stock basis equal to the dividend we pay to holders of our common stock. Currently, we do not intend to pay dividends on our common stock.

Assessments and premium surcharges for state guaranty funds, second injury funds and other mandatory pooling arrangements may reduce our profitability.

Most states require insurance companies licensed to do business in their state to participate in guaranty funds, which require the insurance companies to bear a portion of the unfunded obligations of impaired, insolvent or failed insurance companies. These obligations are funded by assessments, which are expected to continue in the future. State guaranty associations levy assessments, up to prescribed limits, on all member insurance companies in the state based on their proportionate share of premiums written in the lines of business in which the impaired, insolvent or failed insurance companies are engaged. See “Business—Regulation.” Accordingly, the assessments levied on us may increase as we increase our written premium. Some states also have laws that establish second injury funds to reimburse insurers and employers for claims paid to injured employees for aggravation of prior conditions or injuries. These funds are supported by either assessments or premium surcharges based on paid losses.

In addition, as a condition to conducting business in some states, insurance companies are required to participate in residual market programs to provide insurance to those employers who cannot procure coverage from an insurance carrier on a negotiated basis. Insurance companies generally can fulfill their residual market obligations by, among other things, participating in a reinsurance pool where the results

of all policies provided through the pool are shared by the participating insurance companies. Although we price our insurance to account for obligations we may have under these pooling arrangements, we may not be successful in estimating our liability for these obligations. Accordingly, mandatory pooling arrangements may cause a decrease in our profits. We currently participate in mandatory pooling arrangements in 11 states. Our average annual premiums from mandatory pooling arrangements were approximately $5.2 million from 2001 through 2004. Our loss and loss adjustment expenses and assessments for expenses and losses related to these mandatory pooling arrangements caused our combined ratio in these years to increase an average of 0.1%. As we write policies in new states that have mandatory pooling arrangements, we will be required to participate in additional pooling arrangements. Further, the impairment, insolvency or failure of other insurance companies in these pooling arrangements would likely increase the liability for other members in the pool. The effect of assessments and premium surcharges or changes in them could reduce our profitability in any given period or limit our ability to grow our business.

The outcome of recent insurance industry investigations and regulatory proposals could adversely affect our financial condition and results of operations and cause the price of our common stock to be volatile.

The insurance industry has recently become the focus of increased scrutiny by regulatory and law enforcement authorities, as well as class action attorneys and the general public, relating to allegations of improper special payments, price-fixing, bid-rigging, improper accounting practices and other alleged misconduct, including payments made by insurers to brokers and the practices surrounding the placement of insurance business. Formal and informal inquiries have been made of a large segment of the industry, and a number of companies in the insurance industry have received or may receive subpoenas, requests for information from regulatory agencies or other inquiries relating to these and similar matters. These efforts are expected to result in both enforcement actions and proposals for new state and federal regulation. It is difficult to predict the outcome of these investigations, whether they will expand into other areas not yet contemplated, whether activities and practices currently thought to be lawful will be characterized as unlawful, what form new regulations will have when finally adopted and the impact, if any, of increased regulatory and law enforcement action and litigation on our business and financial condition. We have received and responded to requests for information and other inquiries from the Department of Insurance in each of Arkansas, Delaware and North Carolina and have received no further requests for information.

We may have exposure to losses from terrorism for which we are required by law to provide coverage.

When writing workers’ compensation insurance policies, we are required by law to provide workers’ compensation benefits for losses arising from acts of terrorism. The impact of any terrorist act is unpredictable, and the ultimate impact on us would depend upon the nature, extent, location and timing of such an act. Notwithstanding the protection provided by reinsurance and the Terrorism Risk Insurance Act of 2002, the risk of severe losses to us from acts of terrorism has not been eliminated because our reinsurance treaty program includes various sub-limits and exclusions limiting our reinsurers’ obligation to cover losses caused by acts of terrorism. Accordingly, events constituting acts of terrorism may not be covered by, or may exceed the capacity of, our reinsurance and could adversely affect our business and financial condition. In addition, the Terrorism Risk Insurance Act is set to expire on December 31, 2005, and the U.S. Department of the Treasury has recommended that Congress not extend the law in its current form. If this law is not extended or is extended in a scaled-back form, which is the current proposal by the U.S. Department of the Treasury, reinsurance for losses arising from terrorism may be unavailable or prohibitively expensive, and we may be further exposed to losses arising from acts of terrorism.

Risks Related to Our Common Stock and This Offering

There has been no prior public market for our common stock and, therefore, you cannot be certain that an active trading market or a specific share price will be established.

Currently, there is no public trading market for our common stock, and it is possible that an active trading market will not develop upon completion of this offering or that the market price of our common stock will decline below the initial public offering price. We have applied to have our shares of common stock approved for listing on the Nasdaq National Market under the symbol “AMSF.” The initial public offering price per share will be determined by negotiation among us and the underwriters and may not be indicative of the market price of our common stock after completion of this offering.

The trading price of our common stock may decline after this offering.

The trading price of our common stock may decline after this offering for many reasons, some of which are beyond our control, including, among others:


	•	our results of operations;

	•	changes in expectations as to our future results of operations, including financial estimates and projections by securities analysts and investors;

	•	results of operations that vary from those expected by securities analysts and investors;

	•	developments in the healthcare or insurance industries;

	•	changes in laws and regulations;

	•	announcements of claims against us by third parties; and

	•	future sales of our common stock.

In addition, the stock market in general has experienced significant volatility that often has been unrelated to the operating performance of companies whose shares are traded. These market fluctuations could adversely affect the trading price of our common stock, regardless of our actual operating performance. As a result, the trading price of our common stock may be less than the initial public offering price, and you may not be able to sell your shares at or above the price you pay to purchase them.

Public investors will suffer immediate and substantial dilution as a result of this offering.

The initial public offering price per share is significantly higher than our pro forma net tangible book value per share of common stock. Accordingly, if you purchase shares in this offering, you will suffer immediate and substantial dilution of your investment. Based upon the issuance and sale of shares of our common stock at an assumed initial offering price of $ per share, which is the midpoint of the price range set forth on the cover page of this prospectus, you will incur immediate dilution of approximately $ in the net tangible book value per share if you purchase common stock in this offering. See “Dilution.” In addition, if you purchase shares in this offering, you will:


	•	pay a price per share that substantially exceeds the book value of our assets after subtracting liabilities; and

	•	contribute % of the total amount invested to date to fund our company based on an assumed initial offering price to the public of $ per share, which is the midpoint of the price range set forth on the cover page of this prospectus, but will own only % of the shares of common stock outstanding after completion of this offering.

Securities analysts may not initiate coverage of our common stock or may issue negative reports, which may adversely affect the trading price of our common stock.

There is no assurance that securities analysts will cover our company after completion of this offering. If securities analysts do not cover our company, this lack of coverage may adversely affect the trading price of our common stock. The trading market for our common stock will rely in part on the research and reports that securities analysts publish about us or our business. If one or more of the analysts who cover our company downgrades our common stock, the trading price of our common stock may decline rapidly. If one or more of these analysts ceases to cover our company, we could lose visibility in the market, which, in turn, could also cause the trading price of our common stock to decline. Because of our small market capitalization, it may be difficult for us to attract securities analysts to cover our company, which could adversely affect the trading price of our common stock.

Upon completion of this offering, our principal shareholders will still have the ability to significantly influence our business, which may be disadvantageous to other shareholders and adversely affect the trading price of our common stock.

Upon completion of this offering and based on the number of shares outstanding as of June 30, 2005, entities affiliated with Welsh Carson Anderson & Stowe, or Welsh Carson, collectively, will beneficially own approximately % of our outstanding common stock and will possess approximately % of the total voting power. As a result, these shareholders, acting together, will have the ability to exert substantial influence over all matters requiring approval by our shareholders, including the election and removal of directors, any proposed merger, consolidation or sale of all or substantially all of our assets and other corporate transactions. In addition, these shareholders may have interests that are different from ours. For example, entities affiliated with Welsh Carson own a substantial interest in AmCOMP Incorporated, which is a workers’ compensation insurance company. Two members of our board of directors are also directors of AmCOMP.

Our officers, directors and principal shareholders could delay or prevent an acquisition or merger of our company even if the transaction would benefit other shareholders. Moreover, this concentration of share ownership may make it difficult for shareholders to replace management. In addition, this significant concentration of share ownership may adversely affect the trading price for our common stock because investors often perceive disadvantages in owning stock in companies with significant or controlling shareholders. This concentration could be disadvantageous to other shareholders with interests different from those of our officers, directors and principal shareholders and the trading price of our common stock could be adversely affected. See “Principal and Selling Shareholders” for a more detailed description of our share ownership.

Future sales of our common stock may affect the trading price of our common stock and the future exercise of options or the exercise of the conversion rights of our convertible preferred stock may lower our stock price.

We cannot predict what effect, if any, future sales of our common stock, or the availability of shares for future sale, will have on the trading price of our common stock. Sales of a substantial number of shares of our common stock in the public market after completion of this offering, or the perception that such sales could occur, may adversely affect the trading price of our common stock and may make it more difficult for you to sell your shares at a time and price that you determine appropriate. See “Shares Eligible for Future Sale” for further information regarding circumstances under which additional shares of our common stock may be sold. Upon completion of this offering, there will be shares of our common stock outstanding. Moreover, additional shares of our common stock are issuable upon the full exercise of options granted in connection with this offering and the conversion of shares of our convertible preferred stock. See “Description of Capital Stock.” We and our current directors, our officers and the selling shareholders have entered into 180-day lock-up

agreements as described in “Shares Eligible for Future Sale—Lock-Up Agreements.” An aggregate of shares of our common stock are subject to these lock-up agreements.

Being a public company will increase our expenses and administrative workload.

As a public company, we will need to comply with additional laws and regulations, including the Sarbanes-Oxley Act of 2002 and related rules of the Securities and Exchange Commission, or the SEC, and requirements of the Nasdaq National Market. We were not required to comply with these laws and requirements as a private company. Complying with these laws and regulations will require the time and attention of our board of directors and management and will increase our expenses. Among other things, we will need to:


	•	design, establish, evaluate and maintain a system of internal controls over financial reporting in compliance with the requirements of Section 404 of the Sarbanes-Oxley Act and the related rules and regulations of the SEC and the Public Company Accounting Oversight Board;

	•	prepare and distribute periodic reports in compliance with our obligations under the federal securities laws;

	•	establish new internal policies, principally those relating to disclosure controls and procedures and corporate governance;

	•	institute a more comprehensive compliance function; and

	•	involve to a greater degree our outside legal counsel and accountants in the above activities.

In addition, we also expect that being a public company will make it more expensive for us to obtain director and officer liability insurance. We may be required to accept reduced coverage or incur substantially higher costs to obtain this coverage. These factors could also make it more difficult for us to attract and retain qualified executives and members of our board of directors, particularly directors willing to serve on our audit committee.

We will be exposed to risks relating to evaluations of our internal controls over financial reporting required by Section 404 of the Sarbanes-Oxley Act of 2002.

We are in the process of evaluating our internal control systems to allow management to report on, and our independent auditors to assess, our internal controls over financial reporting. We will be performing the system and process evaluation and testing (and any necessary remediation) required to comply with the management certification and auditor attestation requirements of Section 404 of the Sarbanes-Oxley Act. We are required to comply with Section 404 by no later than December 31, 2006. However, we cannot be certain as to the timing of completion of our evaluation, testing and remediation actions or the impact of the same on our operations. Furthermore, upon completion of this process, we may identify control deficiencies of varying degrees of severity under applicable SEC and Public Company Accounting Oversight Board rules and regulations that remain unremediated. As a public company, we will be required to report, among other things, control deficiencies that constitute a “material weakness” or changes in internal controls that materially affect, or are reasonably likely to materially affect, internal controls over financial reporting. A “material weakness” is a significant deficiency, or combination of significant deficiencies, that results in more than a remote likelihood that a material misstatement of the annual or interim financial statements will not be prevented or detected. If we fail to implement the requirements of Section 404 in a timely manner, we might be subject to sanctions or investigation by regulatory agencies such as the SEC. In addition, failure to comply with Section 404 or the report by us of a material weakness may cause investors to lose confidence in our financial statements and the trading price of our common stock may decline. If we fail to remedy any material weakness, our financial statements may be inaccurate, our access to the capital markets may be restricted and the trading price of our common stock may decline.

Anti-takeover provisions in our articles of incorporation and bylaws and under the laws of the states of Louisiana and Texas could impede an attempt to replace or remove our directors or otherwise effect a change of control of our company, which could diminish the value of our common stock.

Our articles of incorporation and bylaws contain provisions that may make it more difficult for shareholders to replace or remove directors even if the shareholders consider it beneficial to do so. In addition, these provisions could delay or prevent a change of control of our company that shareholders might consider favorable. Our articles of incorporation and bylaws contain the following provisions that could have an anti-takeover effect:


	•	election of our directors is classified, meaning that the members of only one of three classes of our directors are elected each year;

	•	shareholders have limited ability to call shareholder meetings and to bring business before a meeting of shareholders;

	•	shareholders may not act by written consent, unless the consent is unanimous; and

	•	our board of directors may authorize the issuance of preferred stock with such rights, preferences and privileges as the board deems appropriate.

These provisions may make it difficult for shareholders to replace management and could have the effect of discouraging a future takeover attempt that is not approved by our board of directors, but which individual shareholders might consider favorable.

We are incorporated in Texas and will be subject to Part 13 of the Texas Business Corporation Act. Under this statute, our ability to enter into a business combination with any affiliated shareholder will be limited. See “Description of Capital Stock—Anti-Takeover Provisions.”

In addition, two of our three insurance company subsidiaries, American Interstate and Silver Oak Casualty, are incorporated in Louisiana and the other, American Interstate of Texas, is incorporated in Texas. Under Louisiana and Texas insurance law, advance approval by the state insurance department is required for any change of control of an insurer. “Control” is presumed to exist through the direct or indirect ownership of 10% or more of the voting securities of a domestic insurance company or any entity that controls a domestic insurance company. Obtaining these approvals may result in the material delay of, or deter, any such transaction.

CERTAIN IMPORTANT INFORMATION

You should rely only on the information contained in this prospectus. We have not, and the underwriters have not, authorized any other person to provide you with information that is different from that contained in this prospectus. If anyone provides you with different or inconsistent information, you should not rely on it. We and the underwriters are offering to sell and seeking offers to buy these securities only in jurisdictions where offers and sales are permitted. You should assume that the information contained in this prospectus is accurate only as of the date of this prospectus, regardless of the time of delivery of this prospectus or of any sale of common stock. Our business, financial condition, results of operations and prospects may have changed since that date.

In this prospectus:


	•	references to the “company,” “we,” “us” or “our” refer to AMERISAFE, Inc. and its subsidiaries, unless the context suggests otherwise; and

	•	references to “AMERISAFE” refer solely to AMERISAFE, Inc., unless the context suggests otherwise.

Unless otherwise stated, all amounts in this prospectus assume no exercise of the underwriters’ over-allotment option and all share amounts for periods following completion of, or giving effect to, this offering assume:


	•	an initial public offering price of $ per share, which is the mid-point of the price range set forth on the cover page of this prospectus;

	•	a -for- reverse stock split prior to completion of this offering;


	•	the use of approximately $ million of our proceeds from this offering to redeem all of our outstanding Series E preferred stock upon completion of this offering;



	•	the use of 50% of our net proceeds from this offering, or approximately $ million, to redeem shares of our outstanding Series A preferred stock upon completion of this offering; and


	•	the exchange of the remaining shares of our outstanding Series A preferred stock for shares of common stock upon completion of this offering.

FORWARD-LOOKING STATEMENTS

Some of the statements under the captions “Prospectus Summary,” “Risk Factors,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Business” and elsewhere in this prospectus may include forward-looking statements. These statements reflect the current views of our senior management with respect to future events and our financial performance. These statements include forward-looking statements with respect to our business and the insurance industry in general. Statements that include the words “expect,” “intend,” “plan,” “believe,” “project,” “forecast,” “estimate,” “may,” “should,” “anticipate” and similar statements of a future or forward-looking nature identify forward-looking statements for purposes of the federal securities laws or otherwise.

Forward-looking statements address matters that involve risks and uncertainties. Accordingly, there are or will be important factors that could cause our actual results to differ materially from those indicated in these statements. We believe that these factors include, but are not limited to, the following:



	•	greater frequency or severity of claims and loss activity, including as a result of natural or man-made catastrophic events, than our underwriting, reserving or investment practices anticipate based on historical experience or industry data;


	•	changes in rating agency policies or practices;


	•	the cyclical nature of the workers’ compensation insurance industry;



	•	changes in the availability, cost or quality of reinsurance and the failure of our reinsurers to pay claims in a timely manner or at all;


	•	negative developments in the workers’ compensation insurance industry;

	•	decreased level of business activity of our policyholders;

	•	decreased demand for our insurance;

	•	increased competition on the basis of coverage availability, claims management, safety services, payment terms, premium rates, policy terms, types of insurance offered, overall financial strength, financial ratings and reputation;

	•	changes in regulations or laws applicable to us, our policyholders or the agencies that sell our insurance;

	•	changes in legal theories of liability under our insurance policies;

	•	developments in capital markets that adversely affect the performance of our investments;

	•	loss of the services of any of our senior management or other key employees;

	•	the effects of U.S. involvement in hostilities with other countries and large-scale acts of terrorism, or the threat of hostilities or terrorist acts; and

	•	changes in general economic conditions, including inflation and other factors.

The foregoing factors should not be construed as exhaustive and should be read together with the other cautionary statements included in this prospectus. If one or more of these or other risks or uncertainties materialize, or if our underlying assumptions prove to be incorrect, actual results may differ materially from what we anticipate. Any forward-looking statements you read in this prospectus reflect our views as of the date of this prospectus with respect to future events and are subject to these and other risks, uncertainties and assumptions relating to our operations, results of operations, growth strategy and liquidity. Before making a decision to purchase our common stock, you should carefully consider all of the factors identified in this prospectus that could cause actual results to differ.

USE OF PROCEEDS

We estimate that our net proceeds from this offering will be approximately $ million, based on an assumed initial public offering price of $ per share, which is the mid-point of the price range set forth on the cover page of this prospectus, and after deducting the underwriting discounts and commissions and our estimated offering expenses. We will use 50% of our net proceeds from this offering, or about $ million, to redeem approximately shares of our outstanding Series A preferred stock and approximately $ million to redeem all of our outstanding Series E preferred stock. We intend to use approximately $ million of the remaining net proceeds to contribute capital to our insurance company subsidiaries and approximately $ million for general corporate purposes, including to pay interest on our outstanding subordinated notes, to fund other holding company operations and to make additional capital contributions to our insurance company subsidiaries as necessary.

DIVIDEND POLICY

We currently intend to retain any future earnings to finance our operations and growth. As a result, we do not expect to pay any cash dividends on our common stock for the foreseeable future. Any future determination to pay cash dividends on our common stock will be at the discretion of our board of directors and will be dependent on our earnings, financial condition, operating results, capital requirements, any contractual, regulatory or other restrictions on the payment of dividends by our subsidiaries to AMERISAFE, and other factors that our board of directors deems relevant.

AMERISAFE is a holding company and has no direct operations. Our ability to pay dividends in the future depends on the ability of our operating subsidiaries to pay dividends to us. Our insurance company subsidiaries are regulated insurance companies and therefore are subject to significant regulatory restrictions limiting their ability to declare and pay dividends.

Our ability to pay dividends is also subject to restrictions set forth in our articles of incorporation, which prohibit us from paying dividends on our common stock (other than in additional shares of common stock) without the consent of the holders of two-thirds of the outstanding shares of our convertible preferred stock. If holders of our convertible preferred stock consent to the payment of a dividend by us, we must pay a dividend to the holders of our convertible preferred stock on an as-converted to common stock basis equal to the dividend we pay to holders of our common stock.

For additional information regarding restrictions on the payment of dividends by us and our insurance company subsidiaries, see “Business—Regulation—Dividend Limitations.”

CAPITALIZATION

The table below sets forth our consolidated capitalization as of June 30, 2005 on an actual basis and on an as adjusted basis giving effect to:


	•	the sale of shares of common stock in this offering at an assumed initial public offering price of $ per share, which is the mid-point of the price range set forth on the cover page of this prospectus, and after deducting underwriting discounts and commissions and our estimated offering expenses;

	•	a -for- reverse stock split prior to completion of this offering;


	•	the use of approximately $ million of our proceeds from this offering to redeem all of our outstanding Series E preferred stock upon completion of this offering;



	•	the use of $ million, or 50% of our net proceeds from this offering, to redeem shares of our outstanding Series A preferred stock upon completion of this offering;


	•	the exchange of the remaining shares of our outstanding Series A preferred stock for shares of common stock upon completion of this offering; and

	•	shares of restricted stock that we intend to grant to our non-employee directors upon completion of this offering.


		As of June 30, 2005

		Actual			As Adjusted

		(Unaudited)
		(In thousands, except
		share data)
Subordinated debt securities		$	36,090		$	36,090
Redeemable preferred stock:
Series A preferred stock, par value $0.01 per share, $100 per share redemption value, 1,500,000 shares authorized; 848,082 shares issued and outstanding, actual; no shares issued and outstanding, as adjusted			84,808			—
Series C convertible preferred stock, par value $0.01 per share, $100 per share redemption value, 300,000 shares authorized; 300,000 shares issued and outstanding, actual and as adjusted			30,000			30,000
Series D convertible preferred stock, par value $0.01 per share, $100 per share redemption value, 200,000 shares authorized; 200,000 shares issued and outstanding, actual and as adjusted			20,000			20,000

	Total redeemable preferred stock		134,808			50,000
Shareholders’ deficit:
Series E preferred stock, par value $0.01 per share, $100 per share redemption value, 500,000 shares authorized; 35,930 shares issued and outstanding, actual; no shares issued and outstanding, as adjusted			3,593			—
Common stock, par value $0.01 per share, 100,000,000 shares authorized; 21,581,864 shares issued and outstanding, actual; shares issued and outstanding, as adjusted			216
Additional paid-in capital			—
Retained deficit			(60,900	)
Accumulated other comprehensive income			6,639

	Total shareholders’ deficit		(50,452	)

Total capitalization		$	120,446		$

DILUTION

Our net tangible book value as of June 30, 2005 is presented below on a pro forma basis, assuming:



	•	the use of approximately $ million of our proceeds from this offering to redeem all of our outstanding Series E preferred stock upon completion of this offering;



	•	the use of $ million, or 50% of our net proceeds from this offering, based on the assumed initial public offering price of $ per share, which is the mid-point of the price range set forth on the cover page of this prospectus, to redeem shares of our outstanding Series A preferred stock upon completion of this offering;


	•	the exchange of the remaining shares of our outstanding Series A preferred stock for shares of our common stock; and

	•	the issuance of shares of restricted stock to our non-employee directors upon completion of this offering.

As of June 30, 2005, our pro forma net tangible book value was $ million, or $ per share of common stock. Our pro forma net tangible book value per share represents the amount of our total tangible assets less total liabilities divided by the number of shares of our common stock outstanding. After giving effect to the issuance of shares of our common stock at the assumed initial public offering price of $ per share, which is the mid-point of the price range set forth on the cover page of this prospectus, and the application of the estimated net proceeds therefrom, and after deducting underwriting discounts and commissions and our estimated offering expenses, our pro forma net tangible book value as of June 30, 2005 would have been $ million, or $ per share of common stock. This amount represents an immediate increase of $ per share to our existing shareholders and an immediate dilution of $ per share from the assumed initial public offering price of $ per share issued to new investors purchasing shares offered hereby. The table below illustrates this per share dilution:


Assumed initial public offering price per share			$
	Pro forma net tangible book value per share as of June 30, 2005	$
	Increase in pro forma net tangible book value per share attributable to this offering	$

Pro forma net tangible book value per share after this offering			$

Dilution per share to new investors			$

The table below sets forth, as of June 30, 2005, the number of shares of our common stock issued (assuming the use of $ million to redeem all of our outstanding Series E preferred stock, the use of $ million, or 50% of our net proceeds from this offering, to redeem shares of our outstanding Series A preferred stock, the exchange of the remaining shares of our outstanding Series A preferred stock for shares of our common stock, and the issuance of shares of restricted stock to our non-employee directors upon completion of this offering), the total consideration paid and the average price per share paid by (a) our existing shareholders, and (b) our new investors, after giving effect to the issuance of shares of common stock in this offering at the assumed initial public offering price, before deducting underwriting discounts and commissions and our estimated offering expenses, of $ per share.

Shares Issued

Total Consideration

Average Price

Number

Percent

Amount

Percent

Per Share

Existing shareholders

New investors

Total

This table does not give effect to:


	•	shares that may be issued pursuant to stock options we intend to grant to our executive officers and other employees upon completion of this offering, at an exercise price equal to the initial public offering price; and

	•	additional shares available for future issuance under our equity incentive plans.

SELECTED FINANCIAL INFORMATION

The following income statement data for the years ended December 31, 2002, 2003 and 2004 and the balance sheet data as of December 31, 2003 and 2004 were derived from our consolidated financial statements included elsewhere in this prospectus. The income statement data for the years ended December 31, 2000 and 2001 and the balance sheet data as of December 31, 2000, 2001 and 2002 were derived from our audited consolidated financial statements, which are not included in this prospectus. The income statement data for the six-month periods ended June 30, 2004 and 2005 and the balance sheet data as of June 30, 2004 and 2005 were derived from our unaudited condensed consolidated financial statements included elsewhere in this prospectus, which include all adjustments, consisting of normal recurring adjustments, that management considers necessary for a fair presentation of our financial position and results of operations for the periods presented. These historical results are not necessarily indicative of results to be expected from any future period. You should read the following selected financial information together with the other information contained in this prospectus, including “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the financial statements and related notes included elsewhere in this prospectus.


		Year Ended December 31,															Six Months Ended June 30,

		2000			2001			2002			2003			2004			2004			2005

		(In thousands, except share and per share data)
Income Statement Data
Gross premiums written		$	345,027		$	204,752		$	185,093		$	223,590		$	264,962		$	151,557		$	160,524
Ceded premiums written			(80,076	)		(49,342	)		(26,563	)		(27,600	)		(21,951	)		(10,523	)		(9,697	)

	Net premiums written	$	264,951		$	155,410		$	158,530		$	195,990		$	243,011		$	141,034		$	150,827

Net premiums earned		$	187,106		$	170,782		$	163,257		$	179,847		$	234,733		$	113,079		$	125,032
Net investment income			9,372			9,935			9,419			10,106			12,217			5,407			7,650
Net realized gains (losses) on investments			(773	)		491			(895	)		316			1,421			619			774
Fee and other income			2,520			1,367			2,082			462			589			262			306

	Total revenues		198,225			182,575			173,863			190,731			248,960			119,367			133,762

Loss and loss adjustment expenses incurred			109,536			123,386			121,062			129,250			174,186			86,413			110,436
Underwriting and certain other operating costs(1)			23,334			23,364			22,674			23,062			28,987			12,620			15,297
Commissions			16,121			14,351			9,189			11,003			14,160			6,971			7,822
Salaries and benefits			20,253			17,148			16,541			15,037			15,034			7,512			6,448
Interest expense			797			735			498			203			1,799			627			1,326
Policyholder dividends			7,156			2,717			156			736			1,108			754			386

	Total expenses		177,197			181,701			170,120			179,291			235,274			114,897			141,715

Income (loss) before taxes			21,028			874			3,743			11,440			13,686			4,470			(7,953	)
Income tax expense (benefit)			7,001			(395	)		(1,438	)		2,846			3,129			871			(3,669	)

	Net income (loss)		14,027			1,269			5,181			8,594			10,557			3,599			(4,284	)

Payment-in-kind preferred dividends			(8,229	)		(8,820	)		(9,453	)		(10,133	)		(9,781	)		(5,221	)		(4,720	)

Net income (loss) available to common shareholders		$	5,798		$	(7,551	)	$	(4,272	)	$	(1,539	)	$	776		$	(1,622	)	$	(9,004	)

Portion allocable to common shareholders(2)			65.3%			100.0%			100.0%			100.0%			70.2%			100.0%			100.0%
Net income (loss) allocable to common shareholders		$	3,784		$	(7,551	)	$	(4,272	)	$	(1,539	)	$	545		$	(1,622	)	$	(9,004	)

Diluted earnings per common share equivalent		$	0.18		$	(0.58	)	$	(0.33	)	$	(0.12	)	$	0.03		$	(0.13	)	$	(0.42	)
Diluted weighted average of common share equivalents outstanding			21,581,864			12,967,104			12,967,104			12,967,104			18,380,132			12,967,104			21,581,864


											Six Months Ended
	Year Ended December 31,										June 30,

	2000		2001		2002		2003		2004		2004		2005

Selected Insurance Ratios
Current accident year loss ratio(3)		57.1%		66.9%		71.8%		70.6%		68.5%		64.8%		70.8%
Prior accident year loss ratio(4)		1.4%		5.3%		2.4%		1.3%		5.7%		11.6%		17.5%

Net loss ratio		58.5%		72.2%		74.2%		71.9%		74.2%		76.4%		88.3%

Net underwriting expense ratio(5)		31.9%		32.1%		29.7%		27.3%		24.8%		24.0%		23.6%
Net dividend ratio(6)		3.8%		1.6%		0.1%		0.4%		0.5%		0.7%		0.3%
Net combined ratio(7)		94.2%		105.9%		104.0%		99.6%		99.5%		101.1%		112.2%


	As of December 31,															As of June 30,

	2000			2001			2002			2003			2004			2004			2005

	(In thousands)
Balance Sheet Data
Cash and cash equivalents	$	44,914		$	44,270		$	44,677		$	49,815		$	25,421		$	51,037		$	27,462
Investments		145,439			148,305			205,315			257,729			364,868			287,299			396,733
Amounts recoverable from reinsurers		327,172			298,451			214,342			211,774			198,977			195,564			174,556	(8)
Premiums receivable, net		122,450			104,907			95,291			108,380			114,141			142,603			144,953
Deferred income taxes		11,807			14,716			11,372			12,713			15,624			16,140			23,274
Deferred policy acquisition costs		14,038			11,077			9,505			11,820			12,044			14,399			18,496
Deferred charges		3,681			2,588			1,997			2,987			3,054			4,014			3,894
Total assets		685,308			645,474			603,801			678,608			754,187			735,189			811,530
Reserves for loss and loss adjustment expenses		379,824			383,032			346,542			377,559			432,880			400,405			457,827
Unearned premiums		107,418			92,047			87,319			103,462			111,741			131,417			137,536
Insurance-related assessments		25,522			25,964			23,743			26,133			29,876			30,531			34,487
Debt		9,500			9,000			8,000			16,310			36,090			36,090			36,090
Redeemable preferred stock(9)		112,061			116,520			121,300			126,424			131,916			129,122			134,808
Shareholders’ deficit(10)		(26,913	)		(10,980	)		(25,100	)		(20,652	)		(42,862	)		(47,584	)		(50,452	)


(1)	Includes policy acquisition expenses, such as assessments, premium taxes and other general and administrative expenses, excluding commissions and salaries and benefits, related to insurance operations and corporate operating expenses.

(2)	Reflects the participation rights of the Series C and Series D convertible preferred stock. See Note 15 to our audited financial statements.

(3)	The current accident year loss ratio is calculated by dividing loss and loss adjustment expenses incurred for the current accident year by the current year’s net premiums earned.

(4)	The prior accident year loss ratio is calculated by dividing the change in loss and loss adjustment expenses incurred for prior accident years by the current year’s net premiums earned.

(5)	The net underwriting expense ratio is calculated by dividing underwriting and certain other operating costs, commissions and salaries and benefits by the current year’s net premiums earned.


(6)	The net dividend ratio is calculated by dividing policyholder dividends by the current year’s net premiums earned.



(7)	The net combined ratio is the sum of the net loss ratio, the net underwriting expense ratio and the net dividend ratio.



(8)	Includes a $67.6 million recoverable from Converium Reinsurance (North America), offset by a $1.3 million expense reimbursement that we owed to Converium. Subsequent to June 30, 2005, we received $61.3 million of this amount pursuant to a commutation agreement.



(9)	Includes our Series A preferred stock and Series C and Series D convertible preferred stock, each of which is mandatorily redeemable upon the occurrence of certain events that are deemed to be outside the control of our company.



(10)	In 1997, we entered into a recapitalization transaction with Welsh Carson that resulted in a $164.2 million charge to retained earnings. See Note 1 to our audited financial statements.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF

FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The following discussion of our financial condition and results of operations should be read in conjunction with our consolidated financial statements and the notes thereto included elsewhere in this prospectus. This discussion includes forward-looking statements that are subject to risks, uncertainties and other factors described under the caption “Risk Factors.” These factors could cause our actual results in 2005 and beyond to differ materially from those expressed in, or implied by, those forward-looking statements. See “Forward-Looking Statements.”

Overview

AMERISAFE is a holding company that markets and underwrites workers’ compensation insurance through its subsidiaries. Workers’ compensation insurance covers statutorily prescribed benefits that employers are obligated to provide to their employees who are injured in the course and scope of their employment. Our business strategy is focused on providing this coverage to small to mid-sized employers engaged in hazardous industries, principally construction, trucking and logging. Employers engaged in hazardous industries pay substantially higher than average rates for workers’ compensation insurance compared to employers in other industries, as measured per payroll dollar. The higher premium rates are due to the nature of the work performed and the inherent workplace danger of our target employers. Hazardous industry employers also tend to have less frequent but more severe claims as compared to employers in other industries due to the nature of their businesses. We provide proactive safety reviews of employers’ workplaces. These safety reviews are a vital component of our underwriting process and also promote safer workplaces. We utilize intensive claims management practices that we believe permit us to reduce the overall cost of our claims. In addition, our audit services ensure that our policyholders pay the appropriate premiums required under the terms of their policies and enable us to monitor payroll patterns or aberrations that cause underwriting, safety or fraud concerns. We believe that the higher premiums typically paid by our policyholders, together with our disciplined underwriting and safety, claims and audit services, provide us with the opportunity to earn attractive returns on equity.

We actively market our insurance in 29 states and the District of Columbia through independent agencies, as well as through our wholly owned insurance agency subsidiary. We are also licensed in an additional 16 states and the U.S. Virgin Islands.

One of the key financial measures that we use to evaluate our operating performance is return on average equity. We calculate return on average equity by dividing net income by the average of shareholders’ equity (deficit) plus redeemable preferred stock. Our return on average equity was 5.7% in 2002, 8.5% in 2003 and 10.8% in 2004. Our return on average equity for the six months ended June 30, 2005 was negative, reflecting our net loss for that period. Our overall financial objective is to produce a return on equity of at least 15% over the long-term. We target producing a combined ratio of 95% or lower while maintaining optimal operating leverage in our insurance subsidiaries that is commensurate with our A.M. Best rating objective. Our combined ratio was 104% in 2002, 99.6% in 2003, 99.5% in 2004 and 112.2% for the six months ended June 30, 2005.

Investment income is an important part of our business. Because the period of time between our receipt of premiums and the ultimate settlement of claims is often several years or longer, we are able to invest cash from premiums for significant periods of time. As a result, we are able to generate more investment income from our premiums as compared to insurance companies that operate in many other lines of business. From December 31, 2001 to June 30, 2005, our investment portfolio, including cash and cash equivalents, increased from $192.6 million to $424.2 million and produced net investment income of $9.4 million in 2002, $10.1 million in 2003, $12.2 million in 2004 and $7.7 million in the six months ended June 30, 2005. Subsequent to June 30, 2005, we received a $61.3 million payment from

one of our reinsurers pursuant to a commutation agreement. These funds have been contributed to our investment portfolio.

The use of reinsurance is an important component of our business strategy. We purchase reinsurance to protect us from the impact of large losses. Our reinsurance program for 2005 includes ten reinsurers that provide coverage to us in excess of a certain specified loss amount, or retention level. Under our reinsurance program, we pay our reinsurers a percentage of our gross premiums earned and, in turn, the reinsurers assume an allocated portion of losses for the accident year. Under our current reinsurance program, we retain the first $1.0 million of each loss occurrence. For losses between $1.0 million and $5.0 million, we have an annual aggregate deductible of approximately $5.6 million. After the deductible is satisfied, we retain 10.0% of each loss occurrence between $1.0 million and $5.0 million. As losses are incurred and recorded, we record amounts recoverable from reinsurers for the portion of the losses ceded to our reinsurers.

With limited exceptions, we historically have retained a significant amount of losses under our reinsurance programs. From 1998 through 2000, we substantially lowered our retention to approximately $18,000 per loss occurrence, which means that we ceded a greater portion of our premiums to our reinsurers. The effect of these lower retention levels was a significant increase in the amount of estimated losses assumed by our reinsurers. In addition, our amounts recoverable from reinsurers increased, reaching a high of $360.9 million at April 30, 2001. In 2001 and 2002, we increased our retention level to $500,000. In 2003, we increased our retention to $500,000 plus 10% of each loss occurrence between $500,000 and $5.0 million. In 2004, we further increased our retention level to $1.0 million. In addition, for losses between $1.0 million and $2.0 million, we had an annual aggregate deductible of approximately $300,000 and, after we satisfied the deductible, retained 10% of each loss occurrence. For losses between $2.0 million and $5.0 million, we had an annual aggregate deductible of approximately $1.3 million and, after we satisfied the deductible, retained 20% of each loss occurrence. As a result of these increases combined with collections from our reinsurers in the normal course of business, our amounts recoverable from reinsurers have decreased to $174.6 million as of June 30, 2005. As described below under “—Liquidity and Capital Resources,” effective as of June 30, 2005, we entered into a commutation agreement with one of our reinsurers. Pursuant to this agreement, we released this reinsurer from all liabilities to us under certain reinsurance agreements in exchange for a cash payment of $61.3 million. We received this payment subsequent to June 30, 2005, reducing the amounts recoverable from reinsurers.

Our most significant balance sheet liability is our reserve for loss and loss adjustment expenses. We record reserves for estimated losses under insurance policies that we write and for loss adjustment expenses related to the investigation and settlement of policy claims. Our reserves for loss and loss adjustment expenses represent the estimated cost of all reported and unreported loss and loss adjustment expenses incurred and unpaid at any given point in time based on known facts and circumstances. Reserves are based on estimates of the most likely ultimate cost of individual claims. These estimates are inherently uncertain. Judgment is required to determine the relevance of our historical experience and industry information under current facts and circumstances. The interpretation of this historical and industry data can be impacted by external forces, principally frequency and severity of future claims, length of time to achieve ultimate settlement of claims, inflation of medical costs and wages, insurance policy coverage interpretations, jury determinations and legislative changes. Accordingly, our reserves may prove to be inadequate to cover our actual losses. If we change our estimates, these changes would be reflected in our results of operations during the period in which they are made, with increases in our reserves resulting in decreases in our earnings. We increased our estimates for prior year loss reserves by $3.9 million in 2002, $2.3 million in 2003, $13.4 million in 2004 and $8.7 million in the six months ended June 30, 2005. We also recorded a $13.2 million loss in connection with our commutation with Converium in the six months ended June 30, 2005. These increased estimates and the commutation decreased our net income approximately $2.5 million in 2002, $1.5 million in 2003, $8.7 million in 2004 and $14.2 million in the six months ended June 30, 2005.

The workers’ compensation insurance industry is cyclical in nature and influenced by many factors, including price competition, medical cost increases, natural and man-made disasters, changes in interest rates, changes in state laws and regulations and general economic conditions. A hard market cycle in our industry is characterized by decreased competition that results in higher premium rates, more restrictive policy coverage terms and lower commissions paid to agencies. In contrast, a soft market cycle is characterized by increased competition that results in lower premium rates, expanded policy coverage terms and higher commissions paid to agencies. We believe that the workers’ compensation insurance industry is slowly transitioning to a more competitive market environment. Our strategy across market cycles is to maintain premium rates, deploy capital judiciously, manage our expenses and focus on underserved markets within our target industries that we believe will provide opportunities for greater returns.

Principal Revenue and Expense Items

Our revenues consist primarily of the following:

Net Premiums Earned. Net premiums earned is the earned portion of our net premiums written. Net premiums written is equal to gross premiums written less premiums ceded to reinsurers. Gross premiums written includes the estimated annual premiums from each insurance policy we write in our voluntary and assigned risk businesses during a reporting period based on the policy effective date or the date the policy is bound, whichever is later, as well as premiums from mandatory pooling arrangements.

Premiums are earned on a daily pro rata basis over the term of the policy. At the end of each reporting period, premiums written that are not earned are classified as unearned premiums and are earned in subsequent periods over the remaining term of the policy. Our insurance policies typically have a term of one year. Thus, for a one-year policy written on July 1, 2004 for an employer with constant payroll during the term of the policy, we would earn half of the premiums in 2004 and the other half in 2005.

Net Investment Income and Net Realized Gains and Losses on Investments. We invest our statutory surplus funds and the funds supporting our insurance liabilities in fixed maturity and equity securities. In addition, a portion of these funds are held in cash and cash equivalents to pay current claims. Our net investment income includes interest and dividends earned on our invested assets. We assess the performance of our investment portfolio using a standard tax equivalent yield metric. Investment income that is tax-exempt is grossed up by our marginal federal tax rate of 35% to express yield on tax-exempt securities on the same basis as taxable securities. Net realized gains and losses on our investments are reported separately from our net investment income. Net realized gains occur when our investment securities are sold for more than their costs or amortized costs, as applicable. Net realized losses occur when our investment securities are sold for less than their costs or amortized costs, as applicable, or are written down as a result of an other-than-temporary impairment. We classify all of our fixed maturity securities, other than redeemable preferred stock, as held-to-maturity, and all of our equity securities and redeemable preferred stock as available-for-sale. Net unrealized gains (losses) on our equity securities and redeemable preferred stock are reported separately within accumulated other comprehensive income on our balance sheet.

Fee and Other Income. We recognize commission income earned on policies issued by other carriers that are sold by our wholly owned insurance agency subsidiary as the related services are performed. We also recognize a small portion of interest income from mandatory pooling arrangements in which we participate.

Our expenses consist primarily of the following:

Loss and Loss Adjustment Expenses Incurred. Loss and loss adjustment expenses incurred represents our largest expense item and, for any given reporting period, includes estimates of future claim payments, changes in those estimates from prior reporting periods and costs associated with

investigating, defending and servicing claims. These expenses fluctuate based on the amount and types of risks we insure. We record loss and loss adjustment expenses related to estimates of future claim payments based on case-by-case valuations and statistical analyses. We seek to establish all reserves at the most likely ultimate exposure based on our historical claims experience. It is typical for our more serious claims to take several years to settle and we revise our estimates as we receive additional information about the condition of injured employees. Our ability to estimate loss and loss adjustment expenses accurately at the time of pricing our insurance policies is a critical factor in our profitability.

Underwriting and Certain Other Operating Costs. Underwriting and certain other operating costs are those expenses that we incur to underwrite and maintain the insurance policies we issue. These expenses include state and local premium taxes and fees and other operating costs, offset by commissions we receive from reinsurers under our reinsurance treaty program. We pay state and local taxes, licenses and fees, assessments and contributions to state workers’ compensation security funds based on premiums. In addition, other operating costs include general and administrative expenses, excluding commissions and salaries and benefits, incurred at both the insurance company and corporate levels.

Commissions. We pay commissions to the independent agencies that sell our insurance based on premiums collected from policyholders.

Salaries and Benefits. We pay salaries and provide benefits to our employees.

Policyholder Dividends. In limited circumstances, we pay dividends to policyholders in particular states as an underwriting incentive.

Interest Expense. Interest expense represents amounts we incur on our outstanding indebtedness at the then-applicable interest rate.

Income Tax Expense. We incur federal, state and local income tax expense.

Critical Accounting Policies

It is important to understand our accounting policies in order to understand our financial statements. Management considers some of these policies to be very important to the presentation of our financial results because they require us to make estimates and assumptions. These estimates and assumptions affect the reported amounts of our assets, liabilities, revenues and expenses and the related disclosures. Some of the estimates result from judgments that can be subjective and complex and, consequently, actual results in future periods might differ from these estimates.

Management believes that the most critical accounting policies relate to the reporting of reserves for loss and loss adjustment expenses, including losses that have occurred but have not been reported prior to the reporting date, amounts recoverable from reinsurers, assessments, deferred policy acquisition costs, deferred income taxes and the impairment of investment securities.

The following is a description of our critical accounting policies.

Reserves for Loss and Loss Adjustment Expenses. We record reserves for estimated losses under insurance policies that we write and for loss adjustment expenses related to the investigation and settlement of policy claims. Our reserves for loss and loss adjustment expenses represent the estimated cost of all reported and unreported loss and loss adjustment expenses incurred and unpaid at any given point in time based on known facts and circumstances. Our reserves for loss and loss adjustment expenses are estimated using case-by-case valuations and statistical analyses.

In establishing these estimates, we make various assumptions regarding a number of factors, including frequency and severity of claims, length of time to achieve ultimate settlement of claims, projected inflation of medical costs and wages, insurance policy coverage interpretations and judicial determinations. Due to the inherent uncertainty associated with these estimates, and the cost of

incurred but unreported claims, our actual liabilities may be different from our original estimates. On a quarterly basis, we review our reserves for loss and loss adjustment expenses to determine whether further adjustments are required. Any resulting adjustments are included in the current period’s results. In establishing our reserves, we do not use loss discounting, which would involve recognizing the time value of money and offsetting estimates of future payments by future expected investment income. Additional information regarding our reserves for loss and loss adjustment expenses can be found in “Business—Loss Reserves.”

Amounts Recoverable from Reinsurers. Amounts recoverable from reinsurers represent the portion of our paid and unpaid loss and loss adjustment expenses that are assumed by reinsurers. These amounts are separately reported on our balance sheet as assets and do not reduce our reserves for loss and loss adjustment expenses because reinsurance does not relieve us of liability to our policyholders. We are required to pay claims even if a reinsurer fails to pay us under the terms of a reinsurance contract. We calculate amounts recoverable from reinsurers based on our estimates of the underlying loss and loss adjustment expenses, as well as the terms and conditions of our reinsurance contracts, which could be subject to interpretation. In addition, we bear credit risk with respect to our reinsurers, which can be significant because some of the unpaid loss and loss adjustment expenses for which we have reinsurance coverage remain outstanding for extended periods of time.

Assessments. We are subject to various assessments and premium surcharges related to our insurance activities, including assessments and premium surcharges for state guaranty funds and second injury funds. Assessments based on premiums are generally paid one year after the calendar year in which the policies are written. Assessments based on losses are generally paid within one year of when claims are paid by us. State guaranty fund assessments are used by state insurance oversight agencies to pay claims of policyholders of impaired, insolvent or failed insurance companies and the operating expenses of those agencies. Second injury funds are used by states to reimburse insurers and employers for claims paid to injured employees for aggravation of prior conditions or injuries. In some states, these assessments and premium surcharges may be partially recovered through a reduction in future premium taxes.

Deferred Policy Acquisition Costs. We defer commission expenses, premium taxes and certain marketing, sales, underwriting and safety costs that vary with and are primarily related to the acquisition of insurance policies. These acquisition costs are capitalized and charged to expense ratably as premiums are earned. In calculating deferred policy acquisition costs, these costs are limited to their estimated realizable value, which gives effect to the premiums to be earned, anticipated losses and settlement expenses and certain other costs we expect to incur as the premiums are earned, less related net investment income. Judgments as to the ultimate recoverability of these deferred policy acquisition costs are highly dependent upon estimated future profitability of unearned premiums. If the unearned premiums were less than our expected claims and expenses after considering investment income, we would reduce the deferred costs.

Deferred Income Taxes. We use the liability method of accounting for income taxes. Under this method, deferred income tax assets and liabilities are recognized for the future tax consequences attributed to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities resulting from a tax rate change impacts our net income or loss in the reporting period that includes the enactment date of the tax rate change.

In assessing whether our deferred tax assets will be realized, management considers whether it is more likely than not that we will generate future taxable income during the periods in which those temporary differences become deductible. Management considers the scheduled reversal of deferred tax liabilities, tax planning strategies and projected future taxable income in making this assessment. If

necessary, we establish a valuation allowance to reduce the deferred tax assets to the amounts that are more likely than not to be realized.

Impairment of Investment Securities. Impairment of an investment security results in a reduction of the carrying value of the security and the realization of a loss when the fair value of the security declines below our cost or amortized cost, as applicable, for the security and the impairment is deemed to be other-than-temporary. We regularly review our investment portfolio to evaluate the necessity of recording impairment losses for other-than-temporary declines in the fair value of our investments. We consider various factors in determining if a decline in the fair value of an individual security is other-than-temporary. Some of the factors we consider include:


	•	how long and by how much the fair value of the security has been below its cost;

	•	the financial condition and near-term prospects of the issuer of the security, including any specific events that may affect its operations or earnings;

	•	our intent and ability to keep the security for a sufficient time period for it to recover its value;

	•	any downgrades of the security by a rating agency; and

	•	any reduction or elimination of dividends, or nonpayment of scheduled interest payments.

Results of Operations

The table below summarizes certain operating results and key measures we use in monitoring and evaluating our operations.


											Six Months Ended
		Year Ended December 31,									June 30,

		2002			2003			2004			2004			2005

											(Unaudited)
		(In thousands)
Income Statement Data
Gross premiums written		$	185,093		$	223,590		$	264,962		$	151,557		$	160,524
Ceded premiums written			(26,563	)		(27,600	)		(21,951	)		(10,523	)		(9,697	)

	Net premiums written	$	158,530		$	195,990		$	243,011		$	141,034		$	150,827

Net premiums earned		$	163,257		$	179,847		$	234,733		$	113,079		$	125,032
Net investment income			9,419			10,106			12,217			5,407			7,650
Net realized gains (losses) on investments			(895	)		316			1,421			619			774
Fee and other income			2,082			462			589			262			306

	Total revenues		173,863			190,731			248,960			119,367			133,762

Loss and loss adjustment expenses incurred			121,062			129,250			174,186			86,413			110,436
Underwriting and certain other operating costs(1)			22,674			23,062			28,987			12,620			15,297
Commissions			9,189			11,003			14,160			6,971			7,822
Salaries and benefits			16,541			15,037			15,034			7,512			6,448
Interest expense			498			203			1,799			627			1,326
Policyholder dividends			156			736			1,108			754			386

	Total expenses		170,120			179,291			235,274			114,897			141,715

Income (loss) before taxes			3,743			11,440			13,686			4,470			(7,953	)
Income tax expense (benefit)			(1,438	)		2,846			3,129			871			(3,669	)

	Net income (loss)	$	5,181		$	8,594		$	10,557		$	3,599		$	(4,284	)

Selected Insurance Ratios
Current accident year loss ratio(2)			71.8%			70.6%			68.5%			64.8%			70.8%
Prior accident year loss ratio(3)			2.4%			1.3%			5.7%			11.6%			17.5%

Net loss ratio			74.2%			71.9%			74.2%			76.4%			88.3%

Net underwriting expense ratio(4)			29.7%			27.3%			24.8%			24.0%			23.6%
Net dividend ratio(5)			0.1%			0.4%			0.5%			0.7%			0.3%
Net combined ratio(6)			104.0%			99.6%			99.5%			101.1%			112.2%


	As of December 31,									As of June 30,

	2002			2003			2004			2004			2005

	(In thousands)									(Unaudited)
Balance Sheet Data
Cash and cash equivalents	$	44,677		$	49,815		$	25,421		$	51,037		$	27,462
Investments		205,315			257,729			364,868			287,299			396,733
Amounts recoverable from reinsurers		214,342			211,774			198,977			195,564			174,556	(7)
Premiums receivable, net		95,291			108,380			114,141			142,603			144,953
Deferred income taxes		11,372			12,713			15,624			16,140			23,274
Deferred policy acquisition costs		9,505			11,820			12,044			14,399			18,496
Deferred charges		1,997			2,987			3,054			4,014			3,894
Total assets		603,801			678,608			754,187			735,189			811,530
Reserves for loss and loss adjustment expenses		346,542			377,559			432,880			400,405			457,827
Unearned premiums		87,319			103,462			111,741			131,417			137,536
Insurance-related assessments		23,743			26,133			29,876			30,531			34,487
Debt		8,000			16,310			36,090			36,090			36,090
Redeemable preferred stock(8)		121,300			126,424			131,916			129,122			134,808
Shareholders’ deficit(9)		(25,100	)		(20,652	)		(42,862	)		(47,584	)		(50,452	)


(1)	Includes policy acquisition expenses, such as assessments, premium taxes and other general and administrative expenses, excluding commissions and salaries and benefits, related to insurance operations and corporate operating expenses.

(2)	The current accident year loss ratio is calculated by dividing loss and loss adjustment expenses incurred for the current accident year by the current year’s net premiums earned.

(3)	The prior accident year loss ratio is calculated by dividing the change in loss and loss adjustment expenses incurred for prior accident years by the current year’s net premiums earned.

(4)	The net underwriting expense ratio is calculated by dividing underwriting and certain other operating costs, commissions and salaries and benefits by the current year’s net premiums earned.

(5)	The net dividend ratio is calculated by dividing policyholder dividends by the current year’s net premiums earned.

(6)	The net combined ratio is the sum of the net loss ratio, the net underwriting expense ratio and the net dividend ratio.


(7)	Includes a $67.6 million recoverable from Converium Reinsurance (North America), offset by a $1.3 million expense reimbursement that we owed to Converium. Subsequent to June 30, 2005, we received $61.3 million of this amount pursuant to a commutation agreement.



(8)	Includes our Series A preferred stock and Series C and Series D convertible preferred stock, each of which is mandatorily redeemable upon the occurrence of certain events that are deemed to be outside the control of our company.



(9)	In 1997, we entered into a recapitalization transaction with Welsh Carson that resulted in a $164.2 million charge to retained earnings. See Note 1 to our audited financial statements.

Overview of Operating Results


	*Six Months Ended June 30, 2005 Compared to Six Months Ended June 30, 2004*

Gross Premiums Written. Gross premiums written for the six months ended June 30, 2005 were $160.5 million, compared to $151.6 million for the same period in 2004, an increase of 5.9%. The increase was attributable primarily to increased premiums resulting from higher policyholder payrolls and payroll audits and, to a lesser extent, additional assigned risk premiums.

Net Premiums Written. Net premiums written for the six months ended June 30, 2005 were $150.8 million, compared to $141.0 million for the same period in 2004, an increase of 7.0%. The increase was attributable to growth in gross premiums written and a decrease in premiums ceded to reinsurers from $10.5 million for the six months ended June 30, 2004 to $9.7 million for the same period in 2005 resulting from increased retention levels under our reinsurance treaty program in 2005 as compared to 2004. Ceded premiums as a percentage of gross premiums written were 6.0% for the six months ended June 30, 2005 compared to 6.9% for the same period in 2004.

Net Premiums Earned. Net premiums earned for the six months ended June 30, 2005 were $125.0 million, compared to $113.1 million for the same period in 2004, an increase of 10.6%. This increase was primarily the result of an increase in premiums written during the six months ended June 30, 2004 compared to the six months ended June 30, 2003, which resulted in higher premiums earned in the six months ended June 30, 2005 compared to the same period in 2004.

Net Investment Income. Net investment income for the six months ended June 30, 2005 was $7.7 million, compared to $5.4 million for the same period in 2004, an increase of 41.5%. The change was attributable to an increase in our investment portfolio, including cash and cash equivalents, from an average of $322.9 million for the six months ended June 30, 2004 to an average of $407.2 million for the six months ended June 30, 2005, an increase of 26.1%. The increase in net investment income resulting from growth in our portfolio was offset by a small decrease in the tax-equivalent yield on our investment portfolio from 4.6% per annum for the six months ended June 30, 2004, to 4.4% per annum for the six months ended June 30, 2005.

Net Realized Gains on Investments. Net realized gains on investments for the six months ended June 30, 2005 totaled $774,000, compared to $619,000 for the same period in 2004, an increase of 25.0%. The increase was attributable to the timing of the sale of equity securities in accordance with our investment guidelines.

Loss and Loss Adjustment Expenses Incurred. Loss and loss adjustment expenses incurred totaled $110.4 million for the six months ended June 30, 2005, as compared to $86.4 million for the six months ended June 30, 2004, an increase of $24.0 million, or 27.8%. Increases in our reserves resulting from our commutation with Converium and for prior accident years during the first six months of 2005 accounted for $21.9 million, or 91.3%, of this increase. As of June 30, 2005, we performed an analysis of our loss and loss adjustment expenses, which resulted in an increase of our loss reserves related to prior accident years of $8.7 million, net of reinsurance, for the first six months of 2005. As part of this analysis, we determined that the amount recoverable from Converium was $6.5 million higher than we had previously estimated, which increased our loss on the commutation to $13.2 million. The loss on the commutation has been recorded as part of our loss and loss adjustment expenses incurred. Our net loss ratio was 88.3% in the six month period ended June 30, 2005 compared to 76.4% in the same period of 2004.

Underwriting and Certain Other Operating Costs, Commissions and Salaries and Benefits. Underwriting and certain other operating costs, commissions and salaries and benefits for the six months ended June 30, 2005 were $29.6 million, compared to $27.1 million for the same period in 2004, an increase of 9.1%. This $2.5 million increase was attributable primarily to a $606,000 increase in bad debt expense and a $432,000 increase in premium taxes, as well as a $1.9 million decrease in our reinsurance commissions which act as an offset to underwriting expenses. Commissions increased 12.2% and salaries and benefits decreased 14.2% as a result of the transfer of our employee insurance agents to our insurance agency subsidiary in January 2005, and the corresponding change in their compensation from salary to commission expense. Our underwriting expense ratio decreased from 24.0% for the six months ended June 30, 2004 to 23.6% for the same period in 2005.

Interest expense. Interest expense for the six months ended June 30, 2005 was $1.3 million, compared to $627,000 for the same period in 2004. Our weighted average borrowings increased to $36.1 million for the first six months of 2005 from $18.9 million for the first six months of 2004. The

increase in weighted average borrowings was attributable to the issuance of $25.8 million of subordinated notes in April 2004, the proceeds of which were used to redeem outstanding shares of our Series E preferred stock. In addition, our weighted average interest rate increased to 6.7% per annum for the six months ended June 30, 2005 from 3.9% per annum for the same period in 2004.

Income tax expense (benefit). Our income tax benefit for the six months ended June 30, 2005 was $3.7 million, compared to income tax expense of $871,000 for the same period in 2004. The change from income tax expense to benefit resulted from our pre-tax loss for the six months ended June 30, 2005, as compared to our pre-tax income for the same period in 2004, as well as increases in tax-exempt interest and deductions for dividends for the six months ended June 30, 2005 as compared to the same period in 2004.

Year Ended December 31, 2004 Compared to Year Ended December 31, 2003

Gross Premiums Written. Gross premiums written for the year ended December 31, 2004 were $265.0 million, compared to $223.6 million in 2003, an increase of 18.5%. The increase was attributable primarily to increased premiums resulting from higher policyholder payrolls and positive payroll audits and, to a lesser extent, increased assumed premiums from mandatory pooling arrangements.

Net Premiums Written. Net premiums written for the year ended December 31, 2004 were $243.0 million, compared to $196.0 million for the same period in 2003, an increase of 24.0%. The increase was attributable to growth in gross premiums written and a decrease in premiums ceded to reinsurers from $27.6 million in 2003 to $22.0 million in 2004 resulting from increased retention levels under our reinsurance treaty program in 2004 as compared to 2003. As a percentage of gross premiums written, ceded premiums were 8.3% in 2004 compared to 12.3% in 2003.

Net Premiums Earned. Net premiums earned for the year ended December 31, 2004 were $234.7 million, compared to $179.8 million for the same period in 2003, an increase of 30.5%. The increase was attributable to the growth in net premiums written and an increase in the amount of premiums written in the first half of 2004 as compared to the first half of 2003.

Net Investment Income. Net investment income for the year ended December 31, 2004 was $12.2 million, compared to $10.1 million for the same period in 2003, an increase of 20.9%. The increase was attributable to the growth in our investment portfolio from an average of $278.8 million in 2003 to an average of $348.9 million in 2004, an increase of 25.2%. The growth in our investment portfolio resulted primarily from our cash flows from operations, which totaled $91.9 million in 2004. In addition, the tax-equivalent yield on our investment portfolio increased to 4.2% per annum for the year ended December 31, 2004 to 4.0% per annum for 2003.

Net Realized Gains on Investments. Net realized gains on investments for the year ended December 31, 2004 totaled $1.4 million, compared to $316,000 for the same period in 2003. The increase was due to $1.2 million in gains from the sale of equity securities in our investment portfolio.

Loss and Loss Adjustment Expenses Incurred. Loss and loss adjustment expenses incurred increased to $174.2 million for the year ended December 31, 2004 from $129.3 million for the year ended December 31, 2003, an increase of 34.8%. The increase resulted from a growth in net premiums earned of 30.5%, and an increase in loss and loss adjustment expenses incurred of $13.4 million for prior accident years. The increase for prior accident years related primarily to the 2002 accident year, which increased by $9.4 million. The unfavorable development in 2002 was the result of adverse development in certain existing claims and increased estimates in our reserves for that accident year. Our net loss ratio was 74.2% in 2004 compared to 71.9% in 2003.

commissions, a $1.9 million increase in premium-based assessments and premium taxes and a $1.1 million increase in mandatory pooling arrangement fees. In addition, there was a decrease in commissions received from our reinsurers related to premiums ceded, which commissions are netted against our underwriting and certain other operating costs, from $7.3 million in 2003 to $4.8 million in 2004. Commissions increased 28.7% from 2003 to 2004 corresponding with our premium growth. Salaries and benefits remained flat during this period. Our underwriting expense ratio decreased from 27.3% in 2003 to 24.8% in 2004.

Interest Expense. Interest expense for the year ended December 31, 2004 was $1.8 million, compared to $203,000 for the same period in 2003. Our weighted average borrowings increased to $29.0 million for the year ended December 31, 2004 from $7.1 million for the year ended December 31, 2003 as a result of the issuance of $25.8 million of subordinated notes in April 2004, offset by the repayment of $6.0 million of a note payable. Our weighted average interest rate increased to 4.8% per annum in 2004 from 2.9% per annum in 2003 as a result of the higher weighted average interest rate on our subordinated notes as compared to our note payable.

Income Tax Expense. Income tax expense for the year ended December 31, 2004 was $3.1 million, compared to $2.8 million for the same period in 2003, an increase of 9.9%. As a percentage of pre-tax income, our effective income tax rate decreased from 24.9% in 2003 to 22.9% in 2004. The decrease in the effective rate resulted from a larger percentage of tax-exempt fixed maturity securities in our investment portfolio in 2004 and a positive adjustment to our prior year’s tax liability.

Year Ended December 31, 2003 Compared to Year Ended December 31, 2002

Gross Premiums Written. Gross premiums written for the year ended December 31, 2003 were $223.6 million, compared to $185.1 million for the same period in 2002, an increase of 20.8%. The increase was attributable primarily to increased premiums resulting from higher policyholder payrolls and positive payroll audits and, to a lesser extent, increased assumed premiums from mandatory pooling arrangements.

Net Premiums Written. Net premiums written for the year ended December 31, 2003 were $196.0 million, compared to $158.5 million for the same period in 2002, an increase of 23.6%. The growth in net premiums written is attributable to the increase in gross premiums written, offset by an increase in premiums ceded to reinsurers from $26.6 million in 2002 to $27.6 million in 2003. As a percentage of gross premiums written, ceded premiums were 12.3% in 2003 compared to 14.4% in 2002.

Net Premiums Earned. Net premiums earned for the year ended December 31, 2003 were $179.8 million, compared to $163.3 million for the same period in 2002, an increase of 10.2%. The increase was attributable to the growth in net premiums written, offset by an increase in premiums ceded to reinsurers and a decrease in the amount of premiums written in the first half of 2003 as compared to the first half of 2002.

Net Investment Income. Net investment income for the year ended December 31, 2003 was $10.1 million, compared to $9.4 million for the same period in 2002, an increase of 7.3%. The increase was due to an increase in our average investment portfolio from $221.3 million in 2002 to $278.8 million in 2003, an increase of 26.0%, resulting from increased cash flow from operations, and an increase in the tax-equivalent yield on our investment portfolio from 3.5% per annum in 2002 to 4.0% per annum in 2003.

Net Realized Gains (Losses) on Investments. Net realized gains on investments for the year ended December 31, 2003 were $316,000, compared to net realized losses on investments of $895,000 for the same period in 2002.

Loss and Loss Adjustment Expenses Incurred. Loss and loss adjustment expenses incurred increased to $129.2 million for the year ended December 31, 2003 from $121.1 million for the year ended December 31, 2002, an increase of 6.8%. The increase was driven primarily by an $11.9 million,

or 10.2%, increase in net premiums earned and a $973,000 increase in loss and loss adjustment expenses for prior accident years. Our net loss ratio was 71.9% in 2003 compared to 74.2% in 2002.

Underwriting and Certain Other Operating Costs, Commissions and Salaries and Benefits. Underwriting and certain other operating costs, commissions and salaries and benefits for the year ended December 31, 2003 were $49.1 million, compared to $48.4 million for the same period in 2002, an increase of 1.4%. The increase was primarily attributable to a $1.7 million increase in loss-based assessments, a $1.3 million increase in agent commissions and a $382,000 increase in mandatory pooling arrangement fees, as well as a $1.3 million increase in reinsurance commissions which act as an offset to underwriting commissions. Offsetting the increase was a recovery of $800,000 of legal fees through the settlement of a dispute with a building contractor. Commissions increased 19.7% corresponding with our premium growth. Salaries and benefits decreased 9.1% from 2003 to 2002 due to a decrease in our number of employees. Our underwriting expense ratio decreased from 29.7% in 2002 to 27.3% in 2003.

Interest Expense. Interest expense for the year ended December 31, 2003 was $203,000, compared to $498,000 for the same period in 2002, a decrease of 59.2%. Our weighted average borrowings decreased to $7.1 million for the year ended December 31, 2003 from $8.0 million for the year ended December 31, 2002. In addition, our weighted average interest rate decreased to 2.9% per annum in 2003 from 3.9% per annum in 2002.

Income Tax Expense. Income tax expense for the year ended December 31, 2003 was $2.8 million, compared to a $1.4 million income tax benefit for the same period in 2002. Income tax expense for 2002 was positively impacted by $1.1 million as a result of tax method changes for prior years.

Liquidity and Capital Resources

Our principal sources of operating funds are premiums, investment income and proceeds from sales and maturities of investments. Our primary uses of operating funds include payments of claims and operating expenses. Currently, we pay claims using cash flow from operations and invest our excess cash in fixed maturity and equity securities. We presently expect that the net proceeds from this offering, combined with projected cash flow from operations, will provide us sufficient liquidity to fund our anticipated growth, including payment of claims and operating expenses, payment of interest on our subordinated notes and other holding company expenses for at least 24 months following this offering.

We forecast claim payments based on our historical trends. We seek to manage the funding of claim payments by actively managing available cash and forecasting cash flows on a short- and long-term basis. Cash payments, net of reinsurance, for claims were $87.2 million in 2002, $99.2 million in 2003, $113.9 million in 2004 and $63.8 million in the six months ended June 30, 2005. Since December 31, 2001, we have funded claim payments from cash flow from operations, principally premiums, net of amounts ceded to our reinsurers, and net investment income. We presently expect to maintain sufficient cash flow from operations to meet our anticipated claim obligations and operating and capital expenditure needs. Our investment portfolio has increased from $192.6 million at December 31, 2001 to $424.2 million at June 30, 2005. We do not presently anticipate selling securities in our investment portfolio to pay claims or to fund operating expenses. Accordingly, we currently classify all fixed maturity securities, other than redeemable preferred stock, in the held-to-maturity category. Should circumstances arise that would require us to do so, we may incur losses on such sales, which would adversely affect our results of operations and could reduce investment income in future periods. The fixed maturity securities in our investment portfolio as of June 30, 2005 had an effective duration of 3.0 years, with individual maturities of up to 30 years.

We purchase reinsurance to protect us against severe claims and catastrophic events. Effective January 1, 2005, our reinsurance program provides us with reinsurance coverage for each loss occurrence in excess of $1.0 million, up to $30.0 million, subject to applicable deductibles and retentions. However, for any loss occurrence involving only one person, our reinsurance coverage is limited to a maximum of $10.0 million, subject to applicable deductibles and retentions. We have an

annual aggregate deductible of approximately $5.6 million for losses between $1.0 million and $5.0 million. After the deductible is satisfied, we retain 10.0% of each loss occurrence between $1.0 million and $5.0 million. Based on our estimates of future claims, we believe we are sufficiently capitalized to retain the first $1.0 million of each loss occurrence.

In 2001, we increased the retention under our reinsurance program to $500,000 per loss occurrence from approximately $18,000 per loss occurrence in 2000. Our retention was maintained at $500,000 per loss occurrence in 2002. In 2003, we increased our retention to $500,000 plus 10% of each loss occurrence between $500,000 and $5.0 million. In 2004, we further increased our retention to $1.0 million per loss occurrence. For losses between $1.0 million and $2.0 million, we had an annual aggregate deductible of approximately $300,000 and, after we satisfied the deductible, retained 10% of each loss occurrence. For losses between $2.0 million and $5.0 million, we had an annual aggregate deductible of approximately $1.3 million and, after we satisfied the deductible, retained 20% of each loss occurrence.

The decisions to increase retentions were made, in part, due to the increased cost of reinsurance. The increase in our retention decreased the amount of premiums ceded to our reinsurers and increased cash flow from operations. However, we retain a greater portion of potential claims payable in future periods.

We reevaluate our reinsurance program at least annually, taking into consideration a number of factors, including cost of reinsurance, our liquidity requirements, operating leverage and coverage terms. Following this offering, we may consider modestly increasing our current reinsurance retention from the levels in our 2005 program depending on the costs of reinsurance. Even if we maintain our existing retention levels, if the cost of reinsurance increases, our cash flow from operations would decrease as we would cede a greater portion of our written premiums to our reinsurers. Conversely, our cash flow from operations would increase if the cost of reinsurance declined relative to our retention.

Net cash provided by operating activities was $35.5 million for the six months ended June 30, 2005, as compared to $40.5 million for the same period in 2004. For the first six months of 2005, major components of cash provided by operating activities were net premiums collected of $117.9 million and amounts recovered from reinsurers of $16.1 million, offset by claim payments of $77.5 million and operating expenditures of $21.0 million. Major components of cash provided by operating activities for the six months ended June 30, 2004 were net premiums collected of $107.0 million and amounts recovered from reinsurers of $31.0 million, offset by claim payments of $78.5 million and operating expenditures of $19.0 million.

Net cash provided by operating activities was $91.9 million for the year ended December 31, 2004, $50.5 million for the year ended December 31, 2003 and $54.3 million for the year ended December 31, 2002. Major components of cash provided by operating activities in 2004 were net premiums collected of $237.8 million and amounts recovered from reinsurers of $54.1 million, offset by claim payments of $160.6 million and operating expenditures of $39.4 million. Major components of cash provided by operating activities in 2003 were net premiums collected of $183.2 million and amounts recovered from reinsurers of $61.0 million, offset by claim payments of $159.6 million and operating expenditures of $34.1 million. Major components of cash provided by operating activities in 2002 were net premiums collected of $170.2 million and amounts recovered from reinsurers of $104.7 million, offset by claim payments of $178.7 million and operating expenditures of $41.9 million.

Net cash used by investing activities was $33.5 million for the six months ended June 30, 2005, as compared to $32.0 million for the same period in 2004. For the six months ended June 30, 2005, major components of net cash used by investing activities included investment purchases of $64.3 million and purchases of furniture, fixtures and equipment of $700,000, offset by proceeds from sales and maturities of investments of $31.5 million. For the six months ended June 30, 2004, major components of net cash used by investing activities included investment purchases of $48.6 million and purchases of furniture,

fixtures and equipment of $1.0 million, offset by proceeds from sales and maturities of investments of $15.3 million and repayment of a mortgage loan of $2.4 million.

Net cash used by investing activities was $109.0 million for the year ended December 31, 2004, $53.6 million for the year ended December 31, 2003 and $52.9 million for the year ended December 31, 2002. In 2004, major components of net cash used by investing activities included investment purchases of $145.3 million and net purchases of furniture, fixtures and equipment of $2.8 million, offset by proceeds from sales and maturities of investments of $36.7 million and proceeds of $2.4 million from repayment of a loan. In 2003, major components of net cash used by investing activities included investment purchases of $90.7 million and net purchases of furniture, fixtures and equipment of $600,000, offset by proceeds from sales and maturities of investments of $37.6 million. In 2002, major components of net cash used by investing activities included investment purchases of $78.2 million and net purchases of furniture, fixtures and equipment of $1.6 million, offset by proceeds from sales and maturities of investments of $26.9 million and proceeds from the sale of a subsidiary totaling $100,000.

There were no financing activities in the six months ended June 30, 2005. For the six months ended June 30, 2004, net cash used in financing activities totaled $7.4 million. Major components of net cash used in financing activities included the redemption of $27.2 million of Series E preferred stock and the repayment of the remaining $6.0 million of a note payable, offset by net proceeds of $25.3 million from the issuance of subordinated notes pursuant to a trust preferred securities transaction.

Net cash provided by financing activities was $8.3 million for the year ended December 31, 2003. In 2003, AMERISAFE entered into a trust preferred securities transaction pursuant to which it issued $10.3 million of subordinated notes. The proceeds from this issuance were offset by the repayment of $2.0 million under a bank line of credit.

Net cash used by financing activities was $1.0 million for the year ended December 31, 2002, resulting from the repayment of $1.0 million of a note payable.

Interest on the outstanding subordinated notes accrues at a floating rate equal to the three-month LIBOR plus a marginal rate. Our $10.3 million issuance of subordinated notes due 2034 has a marginal rate of 4.1%, and, as of June 30, 2005, had an effective rate of 7.2%. These notes are prepayable at par beginning in January 2009. Our $25.8 million issuance of subordinated notes due 2034 has a marginal rate of 3.8% and, as of June 30, 2005, had an effective rate of 7.1%. These notes are prepayable at par beginning in April 2009.

AMERISAFE is a holding company that transacts business through its operating subsidiaries, including American Interstate, Silver Oak Casualty and American Interstate of Texas. AMERISAFE’s primary assets are the capital stock of these operating subsidiaries. The ability of AMERISAFE to fund its operations depends upon the surplus and earnings of its subsidiaries and their ability to pay dividends to AMERISAFE. Payment of dividends by our insurance subsidiaries is restricted by state insurance laws, including laws establishing minimum solvency and liquidity thresholds. See “Business—Regulation—Dividend Limitations.” Based on reported capital and surplus at December 31, 2004, American Interstate would have been permitted under Louisiana insurance law to pay dividends to AMERISAFE in 2005 in an amount up to $11.2 million without approval by the Louisiana Department of Insurance.

During 2004, Converium Reinsurance (North America), one of our reinsurers, reported a significant loss, resulting in a downgrade in its A.M. Best rating. Although Converium continued to reimburse us under the terms of our reinsurance agreements, we initiated discussions with Converium to seek to reduce the credit risk associated with the amounts due to us. Effective June 30, 2005, we entered into a commutation agreement with Converium. Subsequent to June 30, 2005, Converium paid us $61.3 million pursuant to this agreement in exchange for a termination and full release of three of our five reinsurance agreements with Converium. Under the commutation agreement, all liabilities

reinsured with Converium under these three reinsurance agreements have reverted back to us. We recorded a pre-tax loss of $13.2 million related to this commutation agreement. Converium remains obligated to us under the remaining two agreements. At June 30, 2005, the amounts recoverable from Converium under the remaining two reinsurance agreements was $6.3 million. We are continuing to evaluate alternatives to further reduce the credit risk associated with these amounts. The $61.3 million we received in connection with the commutation with Converium will be contributed to our investment portfolio. As a result, we presently expect that we will have approximately $900,000 greater net investment income in the second half of 2005 than we earned in the first six months of 2005, assuming interest rates remain substantially at current levels.

Hurricane Katrina struck the Gulf Coast of the United States on August 29, 2005, causing substantial damage in southeastern Louisiana, Mississippi and Alabama. Based on preliminary reports, two of our 48 field claims offices suffered significant damage. Our executive offices were not affected.

Based upon our preliminary analysis of our policyholders likely to be affected by Hurricane Katrina, we anticipate that we may incur some delay in receipt of premiums, and reduction of premiums from policyholders directly affected by the hurricane. Because of the geographic diversity of our operations, we do not expect a material impact on our cash flows or results of operations as a result of any such delay or reduction. Over the next several months, as the areas affected by the hurricane begin to recover, we anticipate that we may see an increase in revenue due primarily to increased construction activity.

We have also performed a preliminary assessment of securities held in our investment portfolio. A substantial percentage of our municipal bonds were issued by Louisiana public entities, all of which are either insured and/or backed by the full faith and credit of the state of Louisiana. Based on this assessment, we do not believe we have significant additional credit risk associated with our investment portfolio as a result of Hurricane Katrina.

Investment Portfolio

The first priority of our investment strategy is capital preservation, with a secondary focus on maximizing an appropriate risk adjusted return. We presently expect to maintain sufficient liquidity from funds generated from operations to meet our anticipated insurance obligations and operating and capital expenditure needs, with excess funds invested in accordance with our investment guidelines. Our investment portfolio is managed by an independent asset manager that operates under investment guidelines approved by our board of directors. We allocate our portfolio into three categories; cash and cash equivalents, fixed maturity securities and equity securities. Cash and cash equivalents include cash on deposit, commercial paper, short-term municipal securities, pooled short-term money market funds and certificates of deposit. Our fixed maturity securities include obligations of the U.S. Treasury or U.S. agencies, obligations of states and their subdivisions, long-term certificates of deposit, U.S. dollar-denominated obligations of U.S. corporations, mortgage-backed securities, mortgages guaranteed by the Federal National Mortgage Association and the Government National Mortgage Association, asset-backed securities and preferred stocks that are mandatorily redeemable or are redeemable at the option of the holder. Our equity securities include U.S. dollar-denominated common stocks of U.S. corporations, master limited partnerships and nonredeemable preferred stock.

Under Louisiana and Texas law, as applicable, each of American Interstate, Silver Oak Casualty and American Interstate of Texas is required to invest only in securities that are either interest-bearing or eligible for dividends, and must limit its investment in the securities of any single issuer to five percent of the insurance company’s assets. As of June 30, 2005, we were in compliance with these requirements.

We employ diversification policies and balance investment credit risk and related underwriting risks to minimize our total potential exposure to any one business sector or security. Our investment

portfolio, including cash and cash equivalents, had a carrying value of $424.2 million as of June 30, 2005, and is summarized in the table below by type of investment.


					Percentage
			Carrying Value		of Portfolio

			(In thousands)
Fixed maturity securities:
	State and political subdivisions		$	191,321		45.1%
	Mortgage-backed securities			83,800		19.8%
	U.S. Treasury securities and obligations of U.S. Government agencies			47,645		11.2%
	Corporate bonds			22,614		5.3%
	Asset-backed securities			2,260		0.5%
	Redeemable preferred stocks			1,720		0.4%

		Total fixed maturity securities		349,360		82.4%

Equity securities:
	Common stocks			43,745		10.3%
	Nonredeemable preferred stocks			3,628		0.9%

		Total equity securities		47,373		11.2%

Total investments, excluding cash and cash equivalents				396,733		93.5%

Cash and cash equivalents				27,462		6.5%

Total investments, including cash and cash equivalents			$	424,195		100.0%

We regularly evaluate our investment portfolio to identify other-than-temporary impairments in the fair values of the securities held in our investment portfolio. We consider various factors in determining whether a decline in the fair value of a security is other-than-temporary, including:


	•	how long and by how much the fair value of the security has been below its cost;

	•	the financial condition and near-term prospects of the issuer of the security, including any specific events that may affect its operations or earnings;

	•	our intent and ability to keep the security for a sufficient time period for it to recover its value;

	•	any downgrades of the security by a rating agency; and

	•	any reduction or elimination of dividends, or nonpayment of scheduled interest payments.

As of June 30, 2005, there were no other-than-temporary declines in the fair values of the securities held in our investment portfolio.

The gross unrealized losses of our fixed maturity and equity securities as of June 30, 2005 were as follows:


			Aggregate		Aggregate		Fair Value as %
			Fair Value		Unrealized Loss		of Cost Basis

			(In thousands)
Fixed maturity securities with unrealized losses:
	Exceeding $50,000 at June 30, 2005 and for:
		Less than one year (three issues)	$	12,065	$	227		98.1	%
		Longer than one year (two issues)		5,062		167		96.7	%
	Less than $50,000 at June 30, 2005 (84 issues)			108,114		891		99.2	%
Equity securities with unrealized losses:
	Exceeding $50,000 at June 30, 2005 and for:
		Less than one year (three issues)		1,818		277		84.8	%
		Longer than one year (two issues)		1,060		241		77.3	%
	Less than $50,000 at June 30, 2005 (91 issues)			12,844		970		92.4	%

As of June 30, 2005, we did not hold any fixed maturity securities with unrealized losses in excess of 20% of the security’s carrying value as of that date.

Contractual Obligations and Commitments

We manage risk on certain long-duration claims by settling these claims through the purchase of annuities from unaffiliated life insurance companies. In the event these companies are unable to meet their obligations under these annuity contracts, we remain primarily liable to the claimants, but our reinsurers remain obligated to indemnify us for all or part of these obligations in accordance with the terms of our reinsurance contracts. As of December 31, 2004, the present value of these annuities was $47.4 million, as estimated by our annuity providers. Each of the life insurance companies issuing these annuities, or the entity guaranteeing the life insurance company, has an A.M. Best rating of “A-” (Excellent) or better.

We lease equipment and office space under noncancelable operating leases. Future minimum lease payments at December 31, 2004, were as follows:


	Future Minimum
Year	Lease Payments

	(In thousands)
2005	$	479
2006		303
2007		185
2008		88
2009		58
2010		50

	$	1,163

Rental expense was approximately $956,000, 1.1 million and 1.1 million for the years ended December 31, 2004, 2003 and 2002, respectively.

The table below provides information with respect to our long-term debt and contractual commitments as of December 31, 2004.


		Payment Due By Period

				Less Than						More Than
Contractual Obligations		Total		1 Year		1-3 Years		4-5 Years		5 Years

		(In thousands)
Subordinated notes(1)		$	36,090	$	0	$	0	$	0	$	36,090
Loss and loss adjustment expenses(2)			432,880		100,043		95,004		38,817		199,016
Loss-based insurance assessments(3)			16,724		3,865		3,670		1,500		7,689
Capital lease obligations			1,530		510		1,020		0		0
Operating lease obligations			1,163		479		576		108		0
Purchase obligations			135		65		70		0		0

	Total	$	488,522	$	104,962	$	100,340	$	40,425	$	242,795


(1)	Amounts do not include interest payments associated with these obligations. Interest rates on our subordinated notes are variable and may change on a quarterly basis. See “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Liquidity and Capital Resources” for further discussion of our subordinated notes.

(2)	The loss and loss adjustment expense payments due by period in the table above are based upon the loss and loss adjustment expense estimates as of December 31, 2004 and actuarial estimates of expected payout patterns and are not contractual liabilities as to a time certain. Our contractual liability is to provide benefits under the policy. As a result, our calculation of loss and loss adjustment expense payments due by period is subject to the same uncertainties associated with determining the level of loss and loss adjustment expenses generally and to the additional uncertainties arising from the difficulty of predicting when claims (including claims that have not yet been reported to us) will be paid. For a discussion of our loss and loss adjustment expense process, see “Business—Loss Reserves.” Actual payments of loss and loss adjustment expenses by period will vary, perhaps materially, from the table above to the extent that current estimates of loss and loss adjustment expenses vary from actual ultimate claims amounts and as a result of variations between expected and actual payout patterns. See “Risk Factors—Risks Related to Our Business—Our loss reserves are based on estimates and may be inadequate to cover our actual losses” for a discussion of the uncertainties associated with estimating loss and loss adjustment expenses.

(3)	We are subject to various annual assessments imposed by certain of the states in which we write insurance policies. These assessments are generally based upon the amount of premiums written or losses paid during the applicable year. Assessments based on premiums are generally paid within one year after the calendar year in which the policies are written, while assessments based on losses are generally paid within one year after the loss is paid. When we establish a reserve for loss and loss adjustment expenses for a reported claim, we accrue our obligation to pay any applicable assessments. If settlement of the claim is to be paid out over more than one year, our obligation to pay any related loss-based assessments extends for the same period of time. Because our reserves for loss and loss adjustment expenses are based on estimates, our accruals for loss-based insurance assessments are also based on estimates. Actual payments of loss and loss adjustment expenses may differ, perhaps materially, from our reserves. Accordingly, our actual loss-based insurance assessments may vary, perhaps materially, from our accruals.

Off-Balance Sheet Arrangements

We have no off-balance sheet arrangements that have or are reasonably likely to have a current or future effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.

Quantitative and Qualitative Disclosures About Market Risk

Market risk is the risk of potential economic loss principally arising from adverse changes in the fair value of financial instruments. The major components of market risk affecting us are credit risk, interest rate risk and equity price risk. We currently have no exposure to foreign currency risk.

Credit Risk. Credit risk is the potential loss arising principally from adverse changes in the financial condition of the issuers of our fixed maturity securities and the financial condition of our reinsurers. We address the credit risk related to the issuers of our fixed maturity securities by investing in fixed maturity securities that are rated “BBB” or higher by Standard & Poor’s. We also independently, and through our independent asset manager, monitor the financial condition of all issuers of our fixed maturity securities. To limit our risk exposure, we employ stringent diversification policies that limit the credit exposure to any single issuer or business sector.

We are subject to credit risk with respect to our reinsurers. Although our reinsurers are obligated to reimburse us to the extent we cede risk to them, we are ultimately liable to our policyholders on all risks we have reinsured. As a result, reinsurance contracts do not limit our ultimate obligations to pay claims and we might not collect amounts recoverable from our reinsurers. We address this credit risk by initially selecting reinsurers with an A.M. Best rating of “A-” (Excellent) or better and by performing, along with our reinsurance broker, quarterly credit reviews of our reinsurers. If one of our reinsurers suffers a credit downgrade, we may consider various options to lessen the risk of asset impairment including commutation, novation and letters of credit. See “—Liquidity and Capital Resources.”

Interest Rate Risk. We had fixed maturity securities with a fair value of $347.6 million and a carrying value of $349.4 million as of June 30, 2005 that are subject to interest rate risk. We are also subject to interest rate risk on our subordinated debt securities, which have quarterly adjustable interest rates based on LIBOR plus a fixed margin. Interest rate risk is the risk that we may incur losses due to adverse changes in interest rates. Fluctuations in interest rates have a direct impact on the market valuation of our fixed maturity securities and the cost to service our subordinated debt securities. We manage our exposure to interest rate risk through a disciplined asset and liability matching and capital management process. In the management of this risk, the characteristics of duration, credit and variability of cash flows are critical elements. These risks are assessed regularly and balanced within the context of our liability and capital position.

The table below summarizes the interest rate risk associated with our fixed maturity securities by illustrating the sensitivity of the fair value and carrying value of our fixed maturity securities as of June 30, 2005 to selected hypothetical changes in interest rates, and the associated impact on our shareholders’ deficit. We classify our fixed maturity securities, other than redeemable preferred stock, as held-to-maturity and carry them on our balance sheet at cost or amortized cost, as applicable. Our redeemable preferred stock is classified as available-for-sale and carried on our balance sheet at fair value. Temporary changes in the fair value of our fixed maturity securities that are held-to-maturity, such as those resulting from interest rate fluctuations, do not impact the carrying value of these securities and, therefore, do not affect our shareholders’ deficit. However, temporary changes in the fair value of our fixed maturity securities that are held as available-for-sale do impact the carrying value of these securities and are reported in our shareholders’ deficit as a component of other comprehensive income, net of deferred taxes. The selected scenarios in the table below are not predictions of future events, but rather are intended to illustrate the effect such events may have on the fair value and carrying value of our fixed maturity securities and on our shareholders’ deficit.


											Hypothetical
											Percentage
								Estimated			(Increase)
			Estimated					Change in			Decrease in
Hypothetical Change			Change in					Carrying			Shareholders’
in Interest Rates	Fair Value		Fair Value			Carrying Value		Value			Deficit

200 basis point increase	$	324,806	$	(22,797	)	$	349,145	$	(215	)		(0.17	)%
100 basis point increase		335,842		(11,761	)		349,282		(78	)		(0.06	)%
No change		347,603		—			349,360		—			—
100 basis point decrease		360,156		12,553			349,394		34			0.03	%
200 basis point decrease		373,601		25,998			349,419		59			0.05	%

Equity Price Risk. Equity price risk is the risk that we may incur losses due to adverse changes in the market prices of the equity securities we hold in our investment portfolio, which include common stocks, nonredeemable preferred stocks and master limited partnerships. We classify our portfolio of equity securities as available-for-sale and carry these securities on our balance sheet at fair value. Accordingly, adverse changes in the market prices of our equity securities result in a decrease in the value of our total assets and an increase in our shareholders’ deficit. As of June 30, 2005, the equity securities in our investment portfolio had a fair value of $47.4 million, representing 5.8% of our total assets on that date. In order to minimize our exposure to equity price risk, we invest primarily in mid-to-large capitalization issues and seek to diversify our equity holdings across several business sectors. In addition, we currently limit the percentage of equity securities held in our investment portfolio to 12% of the carrying value and 15% of the market value of our total investment portfolio.

BUSINESS

Overview

We are a specialty provider of workers’ compensation insurance focused on small to mid-sized employers engaged in hazardous industries, principally construction, trucking, logging, agriculture, oil and gas, maritime and sawmills. Since commencing operations in 1986, we have gained significant experience underwriting the complex workers’ compensation exposures inherent in these industries. We provide coverage to employers under state and federal workers’ compensation laws. These laws prescribe wage replacement and medical care benefits that employers are obligated to provide to their employees who are injured in the course and scope of their employment. Our workers’ compensation insurance policies provide benefits to injured employees for, among other things, temporary or permanent disability, death and medical and hospital expenses. The benefits payable and the duration of those benefits are set by state or federal law. The benefits vary by jurisdiction, the nature and severity of the injury and the wages of the employee. The employer, who is the policyholder, pays the premiums for coverage.

Hazardous industry employers tend to have less frequent but more severe claims as compared to employers in other industries due to the nature of their businesses. Injuries that occur are often severe in nature including death, dismemberment, paraplegia and quadriplegia. As a result, employers engaged in hazardous industries pay substantially higher than average rates for workers’ compensation insurance compared to employers in other industries, as measured per payroll dollar. The higher premium rates are due to the nature of the work performed and the inherent workplace danger of our target employers. For example, our construction employers generally paid premium rates equal to $7.60 per $100 of payroll to obtain workers’ compensation coverage for all of their employees in 2004, including clerical employees for which the average rate was $0.37 per $100 of payroll.

We employ a proactive, disciplined approach in underwriting employers and providing comprehensive services intended to lessen the overall incidence and cost of work place injuries. We provide safety services at employers’ workplaces as a vital component of our underwriting process and to promote safer workplaces. We utilize intensive claims management practices that we believe permit us to reduce the overall cost of our claims. In addition, our audit services ensure that our policyholders pay the appropriate premiums required under the terms of their policies and enable us to monitor payroll patterns or aberrations that cause underwriting, safety or fraud concerns.

We believe that the higher premiums typically paid by our policyholders, together with our disciplined underwriting and safety, claims and audit services, provide us with the opportunity to earn attractive returns on equity.

We began operations in 1986 by focusing on workers’ compensation insurance for logging contractors in the southeast United States. In 1994, we expanded our focus to include the other hazardous industries we serve today. AMERISAFE is an insurance holding company and was incorporated in Texas in 1985. Our insurance subsidiaries are domiciled in Louisiana and Texas.

Our Competitive Strengths

We believe we enjoy the following competitive strengths:

Focus on Hazardous Industries. We focus on providing workers’ compensation insurance to employers engaged in hazardous industries. We have extensive experience insuring these types of employers and have a history of profitable underwriting in these industries. As a result, we believe we are able to take advantage of opportunities for continued premium and market share growth. Our specialized knowledge of these hazardous industries helps us better serve our policyholders, which leads to greater employer loyalty and policy retention. Our policy renewal rate on voluntary business we elected to quote for renewal was 87.9% in 2002, 91.4% in 2003 and 93.0% in 2004.

Focus on Small to Mid-Sized Employers. We believe large insurance companies generally do not target small to mid-sized employers in hazardous industries due to their smaller premium size, type of operations, mobile workforce and extensive service needs. We provide enhanced customer services to our policyholders. For example, unlike many of our competitors, our premium payment plans enable our policyholders to better match their premium payments with their payroll costs. Our premium payment plans are not only attractive to our policyholders but also allow us to monitor the payroll patterns of our policyholders and identify any aberrations that may cause safety, underwriting or fraud concerns. In addition, we believe that because many of our policyholders are owner-operated small to mid-sized businesses with more limited resources, they rely on our services and expertise to assist them in improving workplace safety and managing workplace injuries when they occur.

Specialized Underwriting Expertise. Our focus on employers engaged in hazardous industries has provided us with an in-depth understanding of our policyholders’ business operations and the risks of accidents inherent in those operations. We have developed industry specific risk analysis and rating tools to assist our underwriters in risk selection and pricing. For example, when underwriting a trucking employer, we use these tools to analyze numerous factors, including the age, condition and types of vehicles used, distances traveled, whether the trucks are used to transport truckload or less than truckload cargo, the nature of the cargo and whether trucking employees are required to load and unload cargo, tarp and secure their own loads and drive regular or irregular routes. These factors were developed based on our historical experience in writing workers’ compensation insurance policies for trucking employers.

Our 17 underwriting professionals average approximately 10 years of experience underwriting workers’ compensation insurance, most of which has focused on hazardous industries. In addition, our underwriting professionals serve specific state markets, thereby gaining valuable knowledge and expertise in the statutory benefit schemes and market conditions of their assigned states. We are highly disciplined when quoting and binding new business. In 2004, we offered quotes on approximately one out of every five applications submitted. We believe this disciplined underwriting approach provides us a competitive advantage in evaluating potential policyholders. We do not delegate underwriting authority to agencies that sell our insurance or to any other third party.

Comprehensive Safety Services. Most of our policyholders utilize mobile workforces, often located in rural areas, due to the nature of their business operations. We provide proactive safety reviews of employers’ workplaces, regardless of the location. These safety reviews are a vital component of our underwriting process and also assist our policyholders in loss prevention and encourage the safest workplaces possible by deploying experienced field safety professionals, or FSPs, to their worksites. Our 49 FSPs have an average of approximately 15 years of workplace safety or related industry experience. From January 1, 2004 through June 30, 2005, approximately 86% of our new voluntary business policyholders were subject to pre-quotation safety inspections where our FSPs visited the employer worksites to evaluate working conditions and existing safety procedures. On an ongoing basis, we perform periodic on-site safety surveys on all of our voluntary business policyholders. We believe our proactive safety services are essential in achieving underwriting profitability in the industries we target.

Our safety services are valuable to our policyholders because we provide them with the opportunity to reduce their long-term cost of workers’ compensation insurance by enhancing workplace safety and reducing the incidence and cost of workplace injuries.

Proactive Claims Management. As of June 30, 2005, our employees managed more than 97% of our claims in-house utilizing intensive claims management practices that emphasize a personal approach and quality, cost-effective medical treatment. Our claims management staff includes 93 field case managers, or FCMs, who average approximately 18 years of experience in the workers’ compensation insurance industry and five medical-only case managers. Our FCMs are located in our 48 claims offices in the geographic areas where our policyholders are located, which facilitates more immediate, direct contact with our policyholders and their injured employees. We currently average approximately 60

open indemnity claims per FCM, which we believe is significantly less than the average for the industry.

We seek to limit the number of claim disputes with injured employees by intervening early in the claims process. We encourage immediate notification of workplace injuries using our toll-free claims reporting system. When a severe injury occurs, the policyholder’s pre-designated FCM promptly visits the injured employee or the employee’s family members to discuss the benefits provided and treatment options. Our focus is to facilitate a favorable medical outcome for the injured employee to allow that employee to return to work as quickly as possible.

Guiding injured workers to appropriate medical providers is an important part of our approach to claims management. Because of our experience with similar injuries and our relationships with local medical providers, we can arrange for quality, cost-effective medical services to injured employees. We seek to select and develop relationships with medical providers in each of the regional and local markets in which our policyholders operate. We emphasize implementation of the most expeditious and cost-effective treatment programs for each employer rather than imposing a single standardized system on all employers and their employees. In order to support our personal claims approach, qualified staff nurses are available to our FCMs to assist in facilitating effective medical outcomes. In coordination with this process, we use a full complement of medical cost containment tools to ensure the optimum medical savings possible. These tools include peer review, utilization review, provider networks and quantity purchase discounting for durable medical supplies, pharmacy and diagnostic testing.

We believe our intensive claims management practices allow us to achieve a more favorable claim outcome, accelerate an employee’s return to work and more rapidly close claims, all of which ultimately lead to lower overall costs. In addition, we believe our practices lessen the likelihood of litigation. Only 9.2% of all claims reported for accident year 2003 were open as of June 30, 2005.

Strong Distribution Network. We market our insurance through approximately 1,700 independent agencies and our wholly owned insurance agency subsidiary. These agencies are concentrated in the 29 states and the District of Columbia where we currently market and sell insurance. We compensate these agencies by paying a commission based on the premium collected from the policyholder. As of June 30, 2005, independent agencies produced approximately 80.6% of our voluntary in-force premiums. We are selective in establishing and maintaining relationships with independent agencies. We establish and maintain relationships only with those agencies that provide quality applications from prospective policyholders that are reasonably likely to accept our quotes.

Customized Information Systems. We have developed customized information technology that we believe enables our FSPs, FCMs and field premium auditors to efficiently perform their duties. In addition, our business intelligence system enables all of our employees nationwide to seamlessly access, manage and analyze the data that underlies our business. We believe these technologies provide us with a significant advantage in the marketplace.

Experienced Management Team. The members of our senior management team average approximately 19 years of insurance industry experience. The majority of this experience has been focused on workers’ compensation insurance exposures in construction, trucking, logging and other hazardous industries while employed with our company. We believe the experience, depth and continuity of our management will permit us to execute our business strategy and earn attractive returns on equity.

Our Strategy

underwriting profits and adequate returns on capital as we expand our business. We plan to pursue profitable growth and favorable returns on equity using the following strategies:

Expand in our Existing Markets. Our current market share in our six largest states in terms of premiums written does not exceed 3.0% of the workers’ compensation market in any one state, according to NCCI’s most recent market analyses. Competition in our target markets is fragmented by state and employer industry focus. We believe that our specialized underwriting expertise and safety, claims and audit services position us to profitably increase our market share in our existing principal markets, with minimal increase in field service employees.

Prudent and Opportunistic Geographic Expansion. While we actively market our insurance in 29 states and the District of Columbia, approximately 43.4% of our voluntary in-force premiums were generated in six states as of June 30, 2005. We are licensed in an additional 16 states and the U.S. Virgin Islands. Our existing licenses and rate filings will expedite our ability to write policies in these markets when we decide it is prudent to do so.

Focus on Underwriting Profitability. We intend to maintain our underwriting discipline and profitability throughout market cycles. Our strategy is to focus on underwriting workers’ compensation insurance in hazardous industries and to maintain adequate rate levels commensurate with the risks we underwrite. We will also continue to strive for improved risk selection and pricing, as well as reduced frequency and severity of claims through comprehensive workplace safety reviews, rapid closing of claims through personal, direct contact with our policyholders and their employees, and effective medical cost containment measures.

Leverage Investments in Information Technology. In October 2000, we launched our customized information system, ICAMS, that we believe significantly enhances our ability to select risk, write profitable business and cost-effectively administer our billing, claims and audit functions. Since the launch, we have introduced automated analytical tools and have continued to improve and enhance our ICAMS system and tools. We believe our technology is scalable and can be modified at minimal cost to accommodate our growth. In addition, we believe this scalability has lowered, and will continue to lower, our expense ratio as we continue to achieve premium growth over time.

Maintain Capital Strength. We plan to manage our capital to achieve our growth and profitability goals while maintaining a prudent operating leverage for our insurance company subsidiaries. To accomplish this objective, we intend to maintain underwriting profitability throughout market cycles, deploy a portion of the proceeds of this offering toward the judicious growth of our business, optimize our use of reinsurance, reduce our current financial leverage, and maximize an appropriate risk adjusted return on our growing investment portfolio.

Operating History

We commenced operations in 1986 to underwrite workers’ compensation insurance for employers engaged in the logging industry. Beginning in 1994, we expanded our customer base by insuring employers in other hazardous occupation industries. We believe we were able to operate profitably by applying disciplined underwriting criteria based on our experience insuring employers in these hazardous industries. Integral to our underwriting processes was the implementation of comprehensive safety reviews, active in-house claims management, mandatory premium audits and strong relationships with agents and employers.

In September 2000, we undertook several strategic initiatives to improve the profitability of our existing in-force book of business and new business. These initiatives included the following:



	•	Renewed focus on core hazardous industries. We undertook action to non-renew policies with higher frequency, non-hazardous industries and refocused our efforts on employers engaged in the hazardous industries that we underwrite today. These core hazardous industries represented 88.7% of our voluntary gross premiums written in 2004 compared to 73.4% in 2000. Principally as a result of our renewed focus on hazardous industries, we have been able to reduce claims frequency sharply. In 2004, we had 7,015 claims reported compared to 28,509 claims in 2000, while gross earned premiums were $256.7 million in 2004 and $267.2 million in 2000.


	•	Commenced re-underwriting our book of business. We commenced re-underwriting our core hazardous industry book of business to improve our risk selection and establish rates commensurate with the risks we were underwriting. Since January 1, 2001, we have made 51 filings with state regulatory agencies to increase our loss cost multipliers to maintain rates at profitable levels.

	•	Reduced or ceased underwriting in certain states. We reduced or ceased underwriting in states where we lacked a sufficient level of premium production to effectively deploy our field resources or where we believed the rate environment did not adequately compensate us for the risks we were underwriting.


	•	Increased pre-quotation safety inspection of employers on new business. As we expanded geographically and began underwriting policies for employers engaged in non-hazardous industries, the ability of our safety services personnel to review new and existing business became constrained. As a result, we had difficulty deploying our safety personnel to inspect employer worksites efficiently and began to outsource safety inspections. In conjunction with our refocus on core hazardous industries, we began mandating, with limited exceptions, a pre-quotation safety inspection of employers for new business that we utilize today. Our pre-quotation inspection rate of new voluntary policyholders increased from approximately 29% in 2000 to approximately 84% in 2004.



	•	Took action to manage substantially all claims in-house. We made the strategic decision to take substantially all of our claims in-house and limit reliance on third-party administrators. We believe this action has reduced the number of open claims and improved our ability to close claims promptly and therefore reduce costs. At December 31, 2004, we managed 97% of claims in-house utilizing our intensive claims management practices as compared to 85.0% at December 31, 2000. We have also reduced the number of third-party administrators that we utilize to seven at year-end 2004 from 44 at the end of 2000.



	•	Implemented incentive program. Effective January 1, 2001, we implemented a new incentive program under which our underwriters and field safety professionals are compensated in part based on the achievement of certain loss ratio targets. We believe this program has contributed to our ability to maintain underwriting discipline.

We believe these actions have contributed to improved underwriting profitability as measured on an accident year basis. As shown in the table below, during the period 1995 through 2004, our weighted average accident year gross and net loss ratios were 94.4% and 67.4%, respectively. The weighted average accident year gross and net loss ratios for this same time period for the workers’ compensation insurance industry were 85.2% and 83.6%, respectively.


																															Weighted
Accident Year Loss Ratio	1995			1996			1997			1998			1999			2000			2001			2002			2003			2004			Average

Gross Basis:
AMERISAFE(1)		61.8	%		61.1	%		84.5	%		108.3	%		144.5	%		121.2	%		94.9	%		79.5	%		71.3	%		67.8	%		94.4	%
Workers’ Compensation Industry(2)		70.0	%		74.2	%		87.0	%		99.3	%		110.0	%		107.1	%		97.7	%		79.5	%		72.2	%		73.9	%		85.2	%
Net Basis:
AMERISAFE(1)		52.0	%		56.6	%		76.6	%		63.0	%		65.2	%		54.2	%		68.5	%		83.4	%		71.4	%		68.5	%		67.4	%
Workers’ Compensation Industry(2)		71.1	%		75.0	%		86.6	%		96.1	%		101.9	%		100.3	%		90.0	%		79.4	%		75.2	%		75.8	%		83.6	%


(1)	Cumulative development through December 31, 2004.

(2)	Source: A.M. Best, statutory basis.

The principal difference between our gross and net loss experience relates to the policy years 1998 through 2000, during which we were able to purchase reinsurance on favorable pricing and other terms.

We believe that the strategic actions taken since September 2000 to refocus our underwriting operations on core hazardous industries while developing further discipline in underwriting, safety services, claims management and premium audit has positioned us to achieve profitable underwriting results and favorable returns on equity.

Industry

Overview

Workers’ compensation is a statutory system under which an employer is required to pay for its employees’ medical, disability, vocational rehabilitation and death benefit costs for work-related injuries or illnesses. Most employers satisfy this requirement by purchasing workers’ compensation insurance. The principal concept underlying workers’ compensation laws is that employees injured in the course and scope of their employment have only the legal remedies available under workers’ compensation laws and do not have any other recourse against their employer. An employer’s obligation to pay workers’ compensation does not depend on any negligence or wrongdoing on the part of the employer and exists even for injuries that result from the negligence or fault of another person, a co-employee or, in most instances, the injured employee.

Workers’ compensation insurance policies generally provide that the insurance carrier will pay all benefits that the insured employer may become obligated to pay under applicable workers’ compensation laws. Each state has a regulatory and adjudicatory system that quantifies the level of wage replacement to be paid, determines the level of medical care required to be provided and the cost of permanent impairment and specifies the options in selecting medical providers available to the injured employee or the employer. These state laws generally require two types of benefits for injured employees: (1) medical benefits, which include expenses related to diagnosis and treatment of the injury, as well as any required rehabilitation, and (2) indemnity payments, which consist of temporary wage replacement, permanent disability payments and death benefits to surviving family members. To fulfill these mandated financial obligations, virtually all employers are required to purchase workers’ compensation insurance or, if permitted by state law or approved by the U.S. Department of Labor, to self-insure. The employers may purchase workers’ compensation insurance from a private insurance carrier, a state-sanctioned assigned risk pool or a self-insurance fund, which is an entity that allows employers to obtain workers’ compensation coverage on a pooled basis, typically subjecting each employer to joint and several liability for the entire fund.

Workers’ compensation was the fourth-largest property and casualty insurance line in the United States in 2004, according to A.M. Best. Direct premiums written in 2004 for the workers’ compensation insurance industry were approximately $54 billion, and direct premiums written for the property and casualty industry as a whole were approximately $466 billion, according to A.M. Best. Premium volume in the workers’ compensation insurance industry is estimated to have increased 11% since 2003, while the property and casualty industry experienced a 5% increase in net premiums written in 2004 compared to 2003, according to NCCI. According to the most recent market data reported by the NCCI, which is the official ratings bureau in the majority of states in which we are licensed, total premiums reported for the specific occupational class codes for which we underwrite business was $17 billion. Total premiums reported for all occupational class codes reported by the NCCI for these same jurisdictions was $37 billion.


	*Industry Developments*

During the period from 1994 to 2001, we believe that price competition and rising loss costs, despite declines in the frequency of losses, severely eroded underwriting profitability in the workers’ compensation insurance industry. According to NCCI, the workers’ compensation insurance industry’s accident year combined ratios rose from 100% in 1995 to a high of 139% in 1999. As a result, NCCI estimated that workers’ compensation loss reserves for private carriers were deficient by $12.0 billion at December 31, 2004, which are significantly up from just $2 billion in 1995, yet down from a high of $21 billion in 2001. We believe the workers’ compensation insurance industry is slowly transitioning to a more competitive market environment.

Rising Medical Claim Costs. According to NCCI, workers’ compensation medical claims costs have risen approximately 137% over the ten-year period ended December 31, 2004 driven primarily by increased utilization and prescription drug costs.

Rising Indemnity Claim Costs. According to NCCI, indemnity claim costs, which include wage replacement, have risen 87% for the ten-year period ended December 31, 2004, which is lower than the rate at which medical claim costs have risen.

Declining Investment Performance. Unfavorable investment conditions have also adversely affected workers’ compensation insurance industry returns on equity. Because workers’ compensation claims are generally paid over a longer period of time as compared to other types of insurance claims, workers’ compensation insurers have the opportunity to invest premiums received for longer periods of time. Therefore, the performance of the investments funded with premiums received is an important part of a workers’ compensation insurance company’s business model. The ratio of investment gain on insurance transactions (including net investment income, realized gains and other income) to premiums for private carriers has declined from a high of 21% in 1998 to a projected rate of 10% in 2004, according to NCCI.

Reduction in Market Capacity. We believe that price competition, rising loss costs and low investment returns in recent years have led to poor operating results and have caused some workers’ compensation insurers to suffer severe capital impairment. These conditions have forced some insurers to withdraw from the marketplace and enter insolvency proceedings, precipitating a reduction in market capacity. Notwithstanding this reduction in market capacity, the volume of workers’ compensation insurance premiums has shown steady growth, increasing from $25 billion in 1999 to an estimated $46 billion of net premiums written in 2004, an 84% increase, driven mainly by rate increases.

Industry Outlook

We believe the challenges faced by the workers’ compensation insurance industry over the past decade have created significant opportunity for workers’ compensation insurers to increase the amount of business that they write. The year 2002 marked the first year in five years that private carriers in the property and casualty insurance industry experienced an increase in annual after-tax returns on surplus,

including capital gains, according to NCCI. Workers’ compensation insurance industry calendar year combined ratios declined for the first time in seven years, falling from 122% (with 1.9% attributable to the September 11, 2001 terrorist attacks) to 105% in 2004 as premium rates have increased and claims frequency has declined. In addition, claims frequency has declined. From 1990 through 2003, the cumulative decline in lost-time claims frequency was 42.0%. The NCCI estimates that lost-time claims frequency declined an additional 3.4% in 2004. We believe that opportunities remain for us to provide needed underwriting capacity at attractive rates and upon terms and conditions more favorable to insurers than in the past.

Policyholders

As of June 30, 2005, we had approximately 6,300 voluntary business policyholders with an average annual workers’ compensation policy premium of approximately $38,000. As of June 30, 2005, our ten largest voluntary business policyholders accounted for approximately 2.6% of our in-force premiums. Our policy renewal rate on voluntary business that we elected to quote for renewal was 87.9% in 2002, 91.4% in 2003 and 93.0% in 2004.

In addition to our voluntary workers’ compensation business, we underwrite workers’ compensation policies for employers assigned to us and assume reinsurance premiums from mandatory pooling arrangements, in each case to fulfill our obligations under residual market programs implemented by the states in which we operate. In addition, we separately underwrite general liability insurance policies for our workers’ compensation policyholders in the logging industry on a select basis. Our assigned risk business fulfills our statutory obligation to participate in residual market plans in six states. See “—Regulation—Residual Market Programs” below. For the year ended December 31, 2004 and the six months ended June 30, 2005, our assigned risk business accounted for 3.6% and 3.7%, respectively, of our gross premiums written, and our assumed premiums from mandatory pooling arrangements accounted for 3.0% and 2.3%, respectively, of our gross premiums written. In addition, our general liability insurance business accounted for only 1.0% and 0.8%, respectively, of our gross premiums written for the year ended December 31, 2004 and the six months ended June 30, 2005.

Targeted Industries

We provide workers’ compensation insurance primarily to employers in the following targeted hazardous industries:

Construction. Includes a broad range of operations such as highway and bridge construction, building and maintenance of pipeline and powerline networks, excavation, commercial construction, roofing, iron and steel erection, tower erection and numerous other specialized construction operations. In 2004, our average policy premium for voluntary workers’ compensation within the construction industry was $41,227, or $7.60 per $100 of payroll.

Trucking. Includes a large spectrum of diverse operations including contract haulers, regional and local freight carriers, special equipment transporters and other trucking companies that conduct a variety of short- and long-haul operations. In 2004, our average policy premium for voluntary workers’ compensation within the trucking industry was $46,666 or $7.29 per $100 of payroll.

Logging. Includes tree harvesting operations ranging from labor intensive chainsaw felling and trimming to sophisticated mechanized operations using heavy equipment. In 2004, our average policy premium for voluntary workers’ compensation within the logging industry was $18,468, or $15.16 per $100 of payroll.

Agriculture. Including crop maintenance and harvesting, grain and produce operations, nursery operations, meat processing and livestock feed and transportation. In 2004, our average policy premium for voluntary workers’ compensation within the agricultural industry was $29,325, or $9.63 per $100 of payroll.

Oil and Gas. Including various oil and gas activities including gathering, transportation, processing, production and field service operations. In 2004, our average policy premium for voluntary workers’ compensation within the oil and gas industry was $65,686, or $6.29 per $100 of payroll.

Maritime. Including ship building and repair, pier and marine construction, inter-coastal construction and stevedoring. In 2004, our average policy premium for voluntary workers’ compensation within the maritime industry was $46,164, or $9.03 per $100 of payroll.

Sawmills. Including sawmills and various other lumber-related operations. In 2004, our average policy premium for the sawmill industry was $37,105, or $7.32 per $100 of payroll.

Our gross premiums are derived from:


	•	Direct Premiums. Includes premiums from workers’ compensation and general liability insurance policies that we issue to:


	•	employers who seek to purchase insurance directly from us and who we voluntarily agree to insure, which we refer to as our voluntary business; and

	•	employers assigned to us under residual market programs implemented by some of the states in which we operate, which we refer to as our assigned risk business.


	•	Assumed Premiums. Includes premiums from our participation in mandatory pooling arrangements under residual market programs implemented by some of the states in which we operate.

As of June 30, 2005, only 1.0% of our voluntary in-force premiums were derived from general liability policies.

Gross premiums written during the years ended December 31, 2002, 2003 and 2004 and the allocation of those premiums among the hazardous industries we target are presented in the table below.


									Percentage
			Gross Premiums Written						of Gross Premiums Written

			2002		2003		2004		2002		2003		2004

			(In thousands)
Voluntary business:
	Construction		$	61,558	$	80,693	$	101,298		33.2%		36.1%		38.3%
	Trucking			36,392		47,104		57,822		19.7%		21.1%		21.8%
	Logging			32,156		32,008		30,340		17.4%		14.3%		11.5%
	Agriculture			6,574		8,502		11,203		3.6%		3.8%		4.2%
	Oil and Gas			7,157		7,221		7,226		3.9%		3.2%		2.7%
	Maritime			5,326		6,076		5,909		2.9%		2.7%		2.2%
	Sawmills			3,760		4,009		5,566		2.0%		1.8%		2.1%
	Other			21,164		24,239		28,117		11.4%		10.8%		10.6%

		Total voluntary business		174,087		209,852		247,481		94.1%		93.9%		93.4%

Assigned risk business				7,414		9,216		9,431		4.0%		4.1%		3.6%
Assumed premiums				3,592		4,522		8,050		1.9%		2.0%		3.0%

		Total	$	185,093	$	223,590	$	264,962		100.0%		100.0%		100.0%

Geographic Distribution

We are licensed to provide workers’ compensation insurance in 45 states, the District of Columbia and the U.S. Virgin Islands. We operate on a geographically diverse basis with no more than 11.0% of our gross premiums written in 2004 derived from any one state. The table below identifies, for the years

ended December 31, 2003 and 2004 and the six months ended June 30, 2005, the states in which the percentage of our gross premiums written exceeded 3.0% for any of the periods presented.


	Percentage of Gross Premiums Written

	Year Ended
	December 31,						Six Months
							Ended
State	2003			2004			June 30, 2005

Georgia		9.4	%		9.5	%		10.8	%
Louisiana		11.8	%		10.6	%		8.6	%
Florida		4.6	%		4.9	%		6.9	%
Pennsylvania		3.9	%		4.5	%		6.2	%
North Carolina		5.9	%		6.3	%		5.8	%
Illinois		5.7	%		6.4	%		5.2	%
Alaska		3.3	%		4.4	%		5.0	%
Minnesota		3.9	%		3.6	%		4.7	%
Virginia		5.2	%		5.2	%		4.7	%
Tennessee		3.5	%		3.9	%		4.6	%
Oklahoma		3.9	%		3.3	%		4.5	%
Texas		7.9	%		6.5	%		4.3	%
South Carolina		3.9	%		4.6	%		4.1	%
Wisconsin		2.3	%		3.3	%		3.7	%
Missouri		1.4	%		1.9	%		3.2	%
Arkansas		5.2	%		4.7	%		3.1	%
Mississippi		3.6	%		3.9	%		2.9	%
Alabama		3.2	%		2.7	%		2.6	%

Lines of Business

Workers’ Compensation

Workers’ compensation insurance provides coverage to employers under state and federal workers’ compensation laws. These laws prescribe benefits that employers are obligated to provide to their employees who are injured in the course and scope of their employment. Our workers’ compensation insurance policies also provide employer liability coverage, which generally provides coverage for an employer for claims by non-employees.

Our insurance encompasses a variety of options designed to fit the needs of our policyholders. The most basic insurance policy, accounting for more than 99.0% of our gross premiums written for the year ended December 31, 2004 and the six months ended June 30, 2005, is a guaranteed cost contract. Under our guaranteed cost contracts, policyholders pay premiums based on a percentage of their payroll determined by job classification. Our premium rates for these policies vary depending upon certain factors, including the type of work to be performed by employees and the general business of the policyholder. In return for premium payments, we assume statutorily imposed obligations of the policyholder to provide workers’ compensation benefits to its employees. There are no policy limits on our liability for workers’ compensation claims as there are for other forms of insurance. We conduct a premium audit at the expiration of the policy to verify that the policyholder’s correct payroll expense and job classifications were reported to us.

A policyholder who desires to assume financial risk in exchange for reduced premiums may elect a deductible that makes the policyholder responsible for the first portion of any claim. We also offer loss sensitive plans on a limited basis, including dividend plans. These plans provide for a portion of the premium to be returned to the policyholder in the form of a dividend, based on the policyholder’s losses during the policy period.

We have three underwriting insurance subsidiaries, American Interstate, Silver Oak Casualty and American Interstate of Texas. Our principal subsidiary, American Interstate, is licensed to provide workers’ compensation insurance in 45 states, the District of Columbia and the U.S. Virgin Islands. Silver Oak Casualty is licensed in eight states and the District of Columbia and American Interstate of Texas is licensed only in Texas. We utilize Silver Oak Casualty and American Interstate of Texas to file alternative workers’ compensation rate structures that permit us to offer our workers’ compensation insurance to a broader range of potential policyholders. We currently intend to pursue licensing of Silver Oak Casualty and American Interstate of Texas in additional states.

General Liability

General liability insurance is a form of casualty insurance that covers a policyholder’s liability resulting from its act or omission that causes bodily injury or property damage to a third party. With general liability insurance, the amount of a covered loss is the amount of the claim or payment made on the policyholder’s behalf, subject to the deductible, limits of liability and other features of the insurance policy. We offer general liability insurance coverage only to our workers’ compensation policyholders in the logging industry on a select basis. As of June 30, 2005, only 1.0% of our voluntary in-force premiums were derived from general liability policies.

Sales and Marketing

We sell our workers’ compensation insurance through agencies. As of June 30, 2005, our insurance was sold through approximately 1,700 independent agencies and our wholly owned insurance agency subsidiary, Amerisafe General Agency Insurance, which is licensed in 24 states. We are selective in establishing and maintaining relationships with independent agencies. We establish and maintain relationships only with those agencies that provide quality application flow from prospective policyholders that are reasonably likely to accept our quotes. We compensate these agencies by paying a commission based on the premium collected from the policyholder. Our average commission rate for our independent agencies was 7.0% for the year ended December 31, 2004 and 7.1% for the six months ended June 30, 2005. Beginning January 1, 2005, we pay our insurance agency subsidiary a commission rate of 8.0%. Neither our independent agencies nor our insurance agency subsidiary has authority to underwrite or bind coverage. We do not pay contingent commissions.

As of June 30, 2005, independent agencies accounted for approximately 80.6% of our voluntary in-force premiums, and no independent agency accounted for more than 1.4% of our voluntary in-force premiums at that date.

Underwriting and Rate Making

Our underwriting strategy is to focus on employers in certain hazardous industries that operate in those states where our underwriting efforts are the most profitable and efficient. We analyze each prospective policyholder on its own merits relative to known industry trends and statistical data. Our underwriting guidelines specify that we do not write workers’ compensation insurance for certain hazardous activities, including sub-surface mining and the use of explosives.

Underwriting is a multi-step process that begins with the receipt of an application from one of our agencies. We initially review the application to confirm that the prospective policyholder meets certain established criteria, including that it is engaged in one of our targeted hazardous industries and industry classes and operates in the states we target. If the application satisfies these criteria, the application is forwarded to our underwriting department for further review.

Our underwriting department reviews the application to determine if the application meets our underwriting criteria and whether all required information has been provided. If additional information is required, the underwriting department requests additional information from the agency. This initial review process is generally completed within three days after the application is received by us. Once this

initial review process is complete, our underwriting department requests that a pre-quotation safety inspection be performed.

After the pre-quotation safety inspection has been completed, our underwriting professionals review the results of the inspection to determine if a rate quote should be made and, if so, prepare the quote. The rate quote must be reviewed and approved by our underwriting department before it is delivered to the agency. All decisions by our underwriting department, including decisions to decline applications, are subject to review and approval by our management-level underwriters.

In the majority of states, workers’ compensation insurance rates are based upon the published “loss costs.” Loss costs are derived from wage and loss data reported by insurers to the state’s statistical agent, in most states the NCCI. The state agent then promulgates loss costs for specific job descriptions or class codes. Insurers file requests for adoption of a loss cost multiplier, or LCM, to be applied to the loss costs to support operating costs and profit margins. In addition, most states allow pricing flexibility above and below the filed LCM, within certain limits.

We obtain approval of our rates, including our LCMs, from state regulatory authorities. To maintain rates at profitable levels, we regularly monitor and adjust our LCMs. In 2004, we made 10 filings with state regulatory agencies to increase our LCMs. Similarly, in 2003 and 2002, we made 10 filings and 17 filings, respectively. In each instance, our rate increases were approved. The effective LCM for our voluntary business has increased from 1.14 for the 2001 policy year to 1.52 for the 2004 policy year, reflecting an improved rate environment. In addition, our voluntary business effective LCM further increased to 1.55 for the six months ended June 30, 2005. If we are unable to charge rates in a particular state or industry to produce satisfactory results, we seek to control and reduce our premium volume in that state or industry and redeploy our capital in other states or industries that offer greater opportunity to earn an underwriting profit.

Our underwriting department is managed by experienced underwriting professionals who specialize in the hazardous industries that we target. As of June 30, 2005, we had 57 employees in our underwriting department, including 17 underwriting professionals and 40 support-level staff members. The average length of underwriting experience of our underwriting professionals exceeds 10 years.

Our underwriting professionals participate in an incentive compensation program under which bonuses are paid quarterly based upon achieving premium underwriting volume and loss ratio targets. The determination of whether targets have been satisfied is made 18 months after the relevant incentive compensation period.

Safety

Our safety inspection process begins with a request from our underwriting department to perform a pre-quotation safety inspection. Our safety inspections focus on a prospective policyholder’s operations, loss exposures and existing safety controls to prevent potential losses. The factors considered in our inspection include employee experience, turn-over, training, previous loss history and corrective actions, and workplace conditions, including equipment condition and, where appropriate, use of fall protection, respiratory protection or other safety devices. Our FSPs travel to employers’ worksites to perform these safety inspections. This initial in-depth analysis allows our underwriting professionals to make decisions on both insurability and pricing. In certain circumstances, we will agree to provide workers’ compensation insurance only if the employer agrees to implement and maintain the safety management practices that we recommend. From January 1, 2004 through June 30, 2005, approximately 86% of our new voluntary business policyholders were inspected prior to our offering a premium quote. The remaining voluntary business policyholders were not inspected prior to a premium quote for a variety of reasons, including small premium size or the policyholder was previously a policyholder subject to our safety inspections.

After an employer becomes a policyholder, we continue to emphasize workplace safety through periodic workplace visits, assisting the policyholder in designing and implementing enhanced safety management programs, providing current industry-specific safety-related information and conducting rigorous post-accident management. Generally, we may cancel or decline to renew an insurance policy if the policyholder does not implement or maintain reasonable safety management practices that we recommend.

Our safety department is comprised of 49 FSPs, including three field vice presidents. Our FSPs participate in an incentive compensation program under which bonuses are paid quarterly based upon an FSP’s production and their policyholders’ aggregate loss ratios. The results are measured 18 months after the inception of the subject policy period.

Claims

We have structured our claims operation to provide immediate, intensive and personal management of all claims to guide injured employees through medical treatment, rehabilitation and recovery with the primary goal of returning the injured employee to work as promptly as practicable. We seek to limit the number of claim disputes with injured employees through early intervention in the claims process.

We have 48 claims offices located throughout the markets we serve. Our FCMs are located in the geographic areas where our policyholders are based. We believe the presence of our FCMs in the field enhances our ability to guide an injured employee to the appropriate conclusion in a friendly, dignified and supportive manner. Our FCMs have broad authority to manage claims from occurrence of a workplace injury through resolution, including authority to retain many different medical providers at our expense, including not only our recommended medical providers but also nurse case managers, independent medical examiners, vocational specialists, rehabilitation specialists and other specialty providers of medical services necessary to achieve a quality outcome.

Following notification of a workplace injury, an FCM will contact the policyholder, the injured employee and/or the treating physician to determine the nature and severity of the injury. If a serious injury occurs, the FCM will promptly visit the injured employee or the employee’s family members to discuss the benefits provided and will also visit the treating physician to discuss the proposed treatment plan. Our FCM assists the injured employee in receiving appropriate medical treatment and encourages the use of our recommended medical providers and facilities. For example, our FCM may suggest that a treating physician refer an injured worker to another physician or treatment facility that we believe has had positive outcomes for other workers with similar injuries. We actively monitor the number of open cases handled by a single FCM in order to maintain focus on each specific injured employee. As of June 30, 2005, we averaged approximately 60 open indemnity claims per FCM, which we believe is significantly less than the industry average.

Locating our FCMs in the field also allows us to build professional relationships with local medical providers. In selecting medical providers, we rely, in part, on the recommendations of our FCMs who have developed professional relationships within their geographic areas. We also seek input from our policyholders and other contacts in the markets that we serve. While cost factors are considered in selecting medical providers, we consider the most important factor in the selection process to be the medical provider’s ability to achieve a quality outcome. We define quality outcome as the injured worker’s rapid, conclusive recovery and return to sustained, full capacity employment.

While we seek to promptly settle valid claims, we also aggressively defend against claims we consider to be non-meritorious. Litigation expenses accounted for less than 5.0% of our gross claims and claim settlement expenses in 2004 and for the six months ended June 30, 2005. As of June 30, 2005, we had closed approximately 91.0% of our 2003 reported claims and approximately 98.8% of our pre-2003 reported claims, thereby substantially reducing the risk of future adverse claims development. Where possible, we purchase annuities on longer life claims to close the claim while still providing an appropriate level of benefits to an injured employee. We also mitigate against potential losses from

improper premium reporting or delinquent premium payment by collecting from the policyholder a deposit, typically representing 15% of total premium, at the inception of the policy, which deposit can be utilized to offset losses from inadequate premium submissions.

Premium Audits

We conduct premium audits on all of our voluntary business policyholders annually, upon the expiration of each policy, including when the policy is renewed. The purpose of these audits is to verify that policyholders have accurately reported their payroll expenses and employee job classifications, and therefore have paid us the premium required under the terms of their policies. In addition to annual audits, we selectively perform interim audits on certain classes of business if significant or unusual claims are filed or if the monthly reports submitted by a policyholder reflect a payroll pattern or any aberrations that cause underwriting, safety or fraud concerns.

Loss Reserves

We record reserves for estimated losses under insurance policies that we write and for loss adjustment expenses related to the investigation and settlement of policy claims. Our reserves for loss and loss adjustment expenses represent the estimated cost of all reported and unreported loss and loss adjustment expenses incurred and unpaid at a given point in time. In establishing our reserves, we do not use loss discounting, which involves recognizing the time value of money and offsetting estimates of future payments by future expected investment income. Our process and methodology for estimating reserves applies to both our voluntary and assigned risk business and does not include our reserves for mandatory pooling arrangements. We record reserves for mandatory pooling arrangements as those reserves are reported to us by the pool administrators.

When a claim is reported, we establish an initial case reserve for the estimated amount of our loss based on our estimate of the most likely outcome of the claim at that time. Generally, a case reserve is established within 14 days after the claim is reported and consists of anticipated medical costs, indemnity costs and specific adjustment expenses, which we refer to as defense and cost containment expenses, or DCC expenses. At any point in time, the amount paid on a claim, plus the reserve for future amounts to be paid, represents the estimated total cost of the claim, or the case incurred amount. The estimated amount of loss for a reported claim is based upon various factors, including:



	•	type of loss;



	•	severity of the injury or damage;



	•	age and occupation of the injured employee;



	•	estimated length of temporary disability;



	•	anticipated permanent disability;



	•	expected medical procedures, costs and duration;



	•	our knowledge of the circumstances surrounding the claim;



	•	insurance policy provisions, including coverage, related to the claim;



	•	jurisdiction of the occurrence; and



	•	other benefits defined by applicable statute.

The case incurred amount can vary due to uncertainties with respect to medical treatment and outcome, length and degree of disability, employment availability and wage levels and judicial determinations. As changes occur, the case incurred amount is adjusted. The initial estimate of the case incurred amount can vary significantly from the amount ultimately paid, especially in circumstances

involving severe injuries with comprehensive medical treatment. Changes in case incurred amounts, or case development, is an important component of our historical claim data.

In addition to case reserves, we establish reserves on an aggregate basis for loss and DCC expenses that have been incurred but not reported, or IBNR. Our IBNR reserves are also intended to provide for aggregate changes in case incurred amounts as well as the unpaid cost of recently reported claims for which an initial case reserve has not been established.

The third component of our reserves for loss and loss adjustment expenses is our adjusting and other reserve, or AO reserve. Our AO reserve is established for the costs of future unallocated loss adjustment expenses for all known and unknown claims. Our AO reserve covers primarily the estimated cost of administering claims. The final component of our reserves for loss and loss adjustment expenses is the reserve for mandatory pooling arrangements.

In establishing reserves, we rely on the analysis of our more than 135,000 claims in our 19-year history. Using statistical analyses and actuarial methods, we estimate reserves based on historical patterns of case development, payment patterns, mix of business, premium rates charged, case reserving adequacy, operational changes, adjustment philosophy and severity and duration trends.

We review our reserves by industry and state on a quarterly basis. Individual open claims are reviewed more frequently by our field case managers and adjustments to case incurred amounts are made based on expected outcomes. The number of claims reported or occurring during a period, combined with a calculation of average case incurred amounts, and measured over time, provide the foundation for our reserve estimates. In establishing our reserve estimates, we use historical trends in claim reporting timeliness, frequency of claims in relation to earned premium or covered payroll, premium rate levels charged and case development patterns. However, the number of variables and judgments involved in establishing reserve estimates, combined with some random variation in loss development patterns, results in uncertainty regarding projected ultimate losses. As a result, our ultimate liability for loss and loss adjustment expenses may be more or less than our reserve estimate.

Our analysis of our historical data provides the factors we use in our statistical and actuarial analysis in estimating our loss and DCC expense reserve. These factors are primarily measures over time of claims reported, average case incurred amounts, case development, duration, severity and payment patterns. However, these factors cannot be directly used as these factors do not take into consideration changes in business mix, claims management, regulatory issues, medical trends, employment and wage patterns and other subjective factors. We use this combination of factors and subjective assumptions in the use of the following six actuarial methodologies:



	•	Paid Development Method — uses historical, cumulative paid losses by accident year and develops those actual losses to estimated ultimate losses based upon the assumption that each accident year will develop to estimated ultimate cost in a manner that is analogous to prior years.



	•	Paid Cape Cod Method — multiplies estimated ultimate claims for each accident year by a weighted average, trended severity. The estimated ultimate claims used in this method are based on paid claim count development. The selected severity for a given accident year is then derived by giving some weight to all of the accident years in the experience history rather than treating each accident year independently.



	•	Paid Bornhuetter-Ferguson (“BF”) Method — a combination of the Paid Development Method and the Paid Cape Cod Method, the Paid BF Method estimates ultimate losses by adding actual paid losses and projected, future unpaid losses. The amounts produced are then added to cumulative paid losses to produce the final estimates of ultimate incurred losses.



	•	Incurred Development Method — uses historical, cumulative incurred losses by accident year and develops those actual losses to estimated ultimate losses based upon the assumption that

each accident year will develop to estimated ultimate cost in a manner that is analogous to prior years.

• Incurred Cape Cod Method — multiplies estimated ultimate claims for each accident year by a weighted average, trended severity. The estimated ultimate claims used in this method are based on incurred claim count development. The selected severity for a given accident year is then derived by giving some weight to all of the accident years in the experience history rather than treating each accident year independently.

• Incurred Bornhuetter-Ferguson Method — a combination of the Incurred Development Method and the Incurred Cape Cod Method, the Incurred BF Method estimates ultimate losses by adding actual incurred losses and projected, future unreported losses. The amounts produced are then added to cumulative incurred losses to produce an estimate of ultimate incurred losses.

We review statistical information in making a determination as to which methods are most appropriate, whether adjustments are appropriate within the particular methods, and if results produced by each method include inherent bias reflecting operational and industry changes. This supplementary information may include:



	•	open and closed claim counts;



	•	statistics related to open and closed claim count percentages;



	•	claim closure rates;



	•	changes in average case reserves and average loss and loss adjustment expenses incurred on open claims;



	•	reported and ultimate average case incurred changes;



	•	reported and projected ultimate loss ratios; and



	•	loss payment patterns.

For each method, we calculate the amount of our total loss and DCC expenses that we estimate will ultimately be paid by our reinsurers, which is subtracted from our total reserve to produce our net reserve. We then analyze the outcomes for reasonableness to produce a single weighted average point estimate that is the base estimate for net loss and DCC expense reserves.

In establishing our AO reserves, we review our past adjustment expenses in relation to paid claims and estimated future costs based on expected claims activity and duration.

The sum of our net loss and DCC expense reserve, our AO reserve and our reserve for mandatory pooling arrangements is our total net reserve for loss and loss adjustment expenses.

As of June 30, 2005, our best estimate of our ultimate liability for loss and loss adjustment expenses, net of amounts recoverable from reinsurers, was $346.0 million, which includes $9.5 million in reserves for mandatory pooling arrangements as reported by the pool administrators. This estimate was derived from the process and methodology described above which relies on substantial judgment. There is inherent uncertainty in estimating our reserves for loss and loss adjustment expenses. It is possible that our actual loss and loss adjustment expenses incurred may vary significantly from our estimates.

As noted above, our reserve estimate is developed based upon our analysis of our historical data, and factors derived from that data, including claims reported, average claim amount incurred, case development, duration, severity and payment patterns, as well as subjective assumptions. The table below summarizes the effect of changes in our estimate of loss and DCC expense reserve on our total reserve for loss and loss adjustment expenses. We view our estimate of loss and DCC expenses as the most significant component of our reserve for loss and loss adjustment expenses. The table below illustrates the results of a five percent change in our net loss and allocated loss expense reserve to our

total reserve for loss and loss adjustment expenses. We believe a five percent change in our estimated loss and allocated loss adjustment expense reserve constitutes a reasonable range of expected outcomes for our reserve for loss and DCC expenses.


	Net Reserves at June 30, 2005

	Loss and
	DCC Expense				Mandatory Pooling
	Adjustment		AO		Arrangements		Total

95% of net reserves	$	304,762	$	15,773	$	9,449	$	329,984
Net reserves		320,802		15,773		9,449		346,024
105% of net reserves		336,842		15,773		9,449		362,064

A five percent change in our loss and DCC expense reserve at June 30, 2005 would have increased or decreased our loss and DCC expense reserve by $16.0 million. If net reserves were $16.0 million greater at June 30, 2005, our net loss and shareholders’ deficit for and at the six months ended June 30, 2005 would have been $10.4 million higher. Conversely, if our net reserves were $16.0 million less at June 30, 2005, our net loss and shareholders’ deficit for and at the six months ended June 30, 2005 would have been $10.4 million lower. A change in our net reserve for loss and DCC expenses would not have an immediate impact on our liquidity, but would affect cash flow in future periods as the incremental or reduced amounts of losses are paid.


	*Reconciliation of Loss Reserves*

The table below shows the reconciliation of loss reserves on a gross and net basis for the years ended December 31, 2003 and 2004 and the six months ended June 30, 2005, reflecting changes in losses incurred and paid losses.


			Year Ended December 31,
							Six Months Ended
			2003		2004		June 30, 2005

			(In thousands)
Balance, beginning of period			$	346,542	$	377,559	$	432,880
Less amounts recoverable from reinsurers on unpaid loss and loss adjustment expenses				193,634		194,558		189,624

Net balance, beginning of period				152,908		183,001		243,256

Add incurred related to:
	Current year			126,977		160,773		88,554
	Prior years			2,273		13,413		8,682
	Loss on Converium commutation			—		—		13,200

		Total incurred		129,250		174,186		110,436

Less paid related to:
	Current year			32,649		40,312		11,301
	Prior years			66,508		73,619		52,467

		Total paid		99,157		113,931		63,768

Add effect of Converium commutation				—		—		56,100

Net balance, end of period				183,001		243,256		346,024

Add amounts recoverable from reinsurers on unpaid loss and loss adjustment expenses				194,558		189,624		111,803

Balance, end of period			$	377,559	$	432,880	$	457,827

Our gross reserves for loss and loss adjustment expenses of $457.8 million as of June 30, 2005 are expected to cover all unpaid loss and loss adjustment expenses related to open claims as of that date, as well as IBNR reserves, which represented 15.0% of our gross reserves on that date. As of June 30, 2005, we had 5,596 open claims, with an average of $81,813 in unpaid loss and loss adjustment expenses per open claim. During the six months ended June 30, 2005, 3,278 new claims were reported, and 3,366 claims were closed.

As of December 31, 2004, our gross reserves for loss and loss adjustment expenses were $432.9 million, of which our IBNR reserves represented 17.2% of our gross reserves on that date. The increase in our reserves from December 31, 2004 to June 30, 2005 was due to our premium growth during this time period, which was offset by an increase in paid loss and loss adjustment expenses related to prior accident years. As of December 31, 2004, we had 5,684 open claims, with an average of $76,158 in unpaid loss and loss adjustment expenses per open claim. During the year ended December 31, 2004, 7,015 claims were reported and 7,086 claims were closed.

As of December 31, 2003, our gross reserves for loss and loss adjustment expenses were $377.6 million, of which our IBNR reserves represented 13.4% of our gross reserves on that date. The increase in our reserves from December 31, 2003 to December 31, 2004 was due to our premium growth during this time period and an increase in our reserves for prior accident years from $2.3 million in 2003 to $13.4 million in 2004. The increase for prior accident years related primarily to the 2002 accident year, which increased by $9.4 million as a result of claim settlements in excess of our established case reserves and increased estimates in our reserves for that accident year. As of December 31, 2003, we had 5,755 open claims, with an average of $65,605 in unpaid loss and loss adjustment expenses per open claim. During the year ended December 31, 2003, 6,433 new claims were reported and 7,566 claims were closed.

Loss Development

The table below shows the net loss development for business written each year from 1994 through 2004. The table reflects the changes in our loss and loss adjustment expense reserves in subsequent years from the prior loss estimates based on experience as of the end of each succeeding year on a GAAP basis.

The first line of the table shows, for the years indicated, our liability including the incurred but not reported loss and loss adjustment expenses as originally estimated, net of amounts recoverable from reinsurers. For example, as of December 31, 1996, it was estimated that $44.0 million would be sufficient to settle all claims not already settled that had occurred on or prior to December 31, 1996, whether reported or unreported. The next section of the table sets forth the re-estimates in later years of incurred losses, including payments, for the years indicated. The next section of the table shows, by year, the cumulative amounts of loss and loss adjustment expense payments, net of amounts recoverable from reinsurers, as of the end of each succeeding year. For example, with respect to the net loss reserves of $44.0 million as of December 31, 1996, by December 31, 2004 (eight years later) $36.4 million had actually been paid in settlement of the claims that relate to liabilities as of December 31, 1996.

The “cumulative redundancy/(deficiency)” represents, as of December 31, 2004, the difference between the latest re-estimated liability and the amounts as originally estimated. A redundancy means that the original estimate was higher than the current estimate. A deficiency means that the current estimate is higher than the original estimate.

Analysis of Loss and Loss Adjustment Expense Reserve Development


	Year Ended December 31,

	1994		1995		1996			1997			1998			1999			2000			2001			2002			2003			2004

	(In thousands)
Reserve for loss and loss adjustment expenses, net of reinsurance recoverables	$	31,243	$	43,299	$	43,952		$	55,096		$	43,625		$	72,599		$	86,192		$	119,020		$	152,908		$	183,001		$	243,256
Net reserve estimated as of:
One year later		28,101		36,613		35,447			54,036			49,098			75,588			96,801			123,413			155,683			196,955
Two years later		23,757		39,332		34,082			60,800			50,764			82,633			98,871			116,291			168,410
Three years later		21,026		28,439		34,252			63,583			57,750			86,336			92,740			119,814
Four years later		20,510		28,700		35,193			68,754			59,800			86,829			93,328
Five years later		20,992		29,647		38,318			69,610			60,074			87,088
Six years later		21,808		31,524		38,339			70,865			61,297
Seven years later		22,518		31,185		39,459			70,684
Eight years later		22,277		32,161		38,888
Nine years later		23,020		31,627
Ten years later		22,413
Net cumulative redundancy (deficiency)	$	8,830	$	11,672	$	5,064		$	(15,588	)	$	(17,672	)	$	(14,489	)	$	(7,136	)	$	(794	)	$	(15,502	)	$	(13,954	)
Cumulative amount of reserve paid, net of reserve recoveries, through:
One year later		10,646		17,716		19,143			35,005			26,140			45,095			51,470			51,114			66,545			73,783
Two years later		16,911		23,158		27,843			46,735			37,835			62,141			62,969			71,582			101,907
Three years later		18,567		26,058		30,766			54,969			45,404			67,267			70,036			84,341
Four years later		19,674		27,039		32,576			60,249			48,184			70,894			73,680
Five years later		20,008		28,007		34,765			62,361			50,045			72,744
Six years later		20,626		29,394		35,313			64,296			50,831
Seven years later		21,526		29,603		36,367			64,659
Eight years later		21,555		30,331		36,379
Nine years later		22,162		30,242
Ten years later		21,774
Net reserve— December 31	$	31,243	$	43,299	$	43,952		$	55,096		$	43,625		$	72,599		$	86,192		$	119,020		$	152,908		$	183,001		$	243,256
Reinsurance recoverables		9,699		12,127		9,525			12,463			37,086			183,818			293,632			264,013			193,634			194,558			189,624

Gross reserve— December 31	$	40,942	$	55,426	$	53,477		$	67,559		$	80,711		$	256,417		$	379,824		$	383,033		$	346,542		$	377,559		$	432,880

Net re-estimated reserve	$	22,413	$	31,627	$	38,888		$	70,684		$	61,297		$	87,088		$	93,328		$	119,814		$	168,410		$	196,955
Re-estimated reinsurance recoverables		9,641		17,679		27,504			35,763			124,943			282,006			384,482			347,107			270,576			221,959

Gross re-estimated reserve	$	32,054	$	49,306	$	66,392		$	106,447		$	186,240		$	369,094		$	477,810		$	466,921		$	438,986		$	418,914

Gross cumulative redundancy (deficiency)	$	8,888	$	6,120	$	(12,915	)	$	(38,888	)	$	(105,529	)	$	(112,677	)	$	(97,986	)	$	(83,888	)	$	(92,444	)	$	(41,355	)

Our net cumulative redundancy (deficiency) set forth in the table above is net of amounts recoverable from our reinsurers, including Reliance Insurance Company, one of our former reinsurers. In 2001, Reliance was placed under regulatory supervision by the Pennsylvania Insurance Department and was subsequently placed into liquidation. As a result, we recognized losses related to uncollectible amounts due from Reliance of $17.0 million in 2001, $2.0 million in 2002 and $1.3 million in 2003.

Investments

We derive net investment income from our invested assets. As of June 30, 2005, the amortized cost of our investment portfolio was $421.2 million and the fair value of the portfolio was $422.4 million.

Our investment strategy is to maximize after tax income and total return on invested assets while maintaining high quality and low risk investments within the portfolio. Our investment portfolio is managed by Hibernia Asset Management, LLC, a registered investment advisory firm and a wholly owned subsidiary of Hibernia National Bank. We pay Hibernia an investment management fee based on

the market value of assets under management. The investment committee of our board of directors has established investment guidelines and periodically reviews portfolio performance for compliance with our guidelines.

See “Management’s Discussion and Analysis of Financial Condition and Results of Operations— Investments” for further information on the composition and results of our investment portfolio.

The table below shows the carrying values of various categories of securities held in our investment portfolio, the percentage of the total carrying value of our investment portfolio represented by each category and the annualized tax-equivalent yield for the six months ended June 30, 2005 based on the carrying value of each category as of June 30, 2005:


							Annualized
					Percentage		Tax-Equivalent
			Carrying Value		of Portfolio		Yield

			(In thousands)
Fixed maturity securities:
	State and political subdivisions			191,321		45.1%		4.9	%
	Mortgage-backed securities			83,800		19.8%		4.7	%
	U.S. Treasury securities and obligations of U.S. Government agencies			47,645		11.2%		3.8	%
	Corporate bonds			22,614		5.3%		4.7	%
	Asset-backed securities			2,260		0.5%		4.2	%
	Redeemable preferred stocks			1,720		0.4%		5.9	%

		Total fixed maturity securities		349,360		82.4%

Equity securities:
	Common stocks			43,745		10.3%		2.3	%
	Nonredeemable preferred stocks			3,628		0.9%		7.0	%

		Total equity securities		47,373		11.2%

Total investments, excluding cash and cash equivalents				396,733		93.5%

Cash and cash equivalents				27,462		6.5%		2.7	%

Total investments, including cash and cash equivalents			$	424,195		100.0%

As of June 30, 2005, our fixed maturity securities had a carrying value of $349.4 million, which represented 82.4% of the carrying value of our investments, including cash and cash equivalents. The table below summarizes the credit quality of our fixed maturity securities as of June 30, 2005, as rated by Standard and Poor’s.


		Percentage
		of Total
Credit Rating		Carrying Value

“AAA”			87.3	%
“AA”			6.6
“A”			3.4
“BBB”			2.7

	Total		100.0	%

The table below shows the composition of our fixed maturity securities by remaining time to maturity as of June 30, 2005. For securities that are redeemable at the option of the issuer and have a carrying value that is greater than par value, the maturity used for the table below is the earliest redemption date. For securities that are redeemable at the option of the issuer and have a carrying value that is less than par value, the maturity used for the table below is the final maturity date.


		As of June 30, 2005

Remaining Time to Maturity		Carrying Value		Percentage

		(In thousands)
Less than one year		$	7,783		2.2%
One to five years			151,282		43.3%
Five to ten years			86,079		24.6%
More than ten years			16,436		4.7%
Mortgage-backed securities			83,800		24.0%
Asset-backed securities			2,260		0.6%
Redeemable preferred stocks			1,720		0.5%

	Total	$	349,360		100.0%

Reinsurance

We purchase reinsurance to reduce our net liability on individual risks and claims and to protect against catastrophic losses. Reinsurance involves an insurance company transferring to, or ceding, a portion of the exposure on a risk to a reinsurer. The reinsurer assumes the exposure in return for a portion of our premium. The cost and limits of reinsurance we purchase can vary from year to year based upon the availability of quality reinsurance at an acceptable price and our desired level of retention. Retention refers to the amount of risk that we retain for our own account. Under excess of loss reinsurance, covered losses in excess of the retention level up to the limit of the program are paid by the reinsurer. Our excess of loss reinsurance is written in layers, in which our reinsurers accept a band of coverage up to a specified amount. Any liability exceeding the limit of the program reverts to us as the ceding company. Reinsurance does not legally discharge us from primary liability for the full amount due under our policies. However, our reinsurers are obligated to indemnify us to the extent of the coverage provided in our reinsurance agreements.

We believe reinsurance is critical to our business. Our reinsurance purchasing strategy is to protect against unforeseen and/or catastrophic loss activity that would adversely impact our income and capital base. We only select financially strong reinsurers with an A.M. Best rating of “A-” (Excellent) or better at the time we enter into a reinsurance contract. In addition, to minimize our exposure to significant losses from reinsurer insolvencies, we evaluate the financial condition of our reinsurers and monitor concentrations of credit risk. We do not purchase finite reinsurance.

2005 Excess of Loss Reinsurance Treaty Program

Effective January 1, 2005, we entered into a new excess of loss reinsurance treaty program related to our voluntary and assigned risk business that applies to losses incurred between January 1, 2005 and the date on which our reinsurance agreements are terminated. Our reinsurance treaty program provides us with reinsurance coverage for each loss occurrence up to $30.0 million, subject to applicable deductibles and retentions. However, for any loss occurrence involving only one person, our reinsurance coverage is limited to a maximum of $10.0 million, subject to applicable deductibles and retentions. We currently have ten reinsurers participating in our 2005 reinsurance treaty program. Under certain circumstances, including a downgrade of a reinsurer’s A.M. Best rating to “B++” (Very Good) or below, our reinsurers may be required to provide us with security for amounts due under the terms of our reinsurance program. This security may take the form of, among other things, cash advances or the

issuance of a letter of credit to us. If security is required because of a ratings downgrade, the form of security must be mutually agreed between the reinsurer and us.

Our reinsurance treaty program provides coverage in the following four layers:


	•	First Layer. Affords coverage for the first $5.0 million of each loss occurrence. We retain the first $1.0 million of each loss and are subject to an annual aggregate deductible of approximately $5.6 million for losses between $1.0 million and $5.0 million before our reinsurers are obligated to reimburse us. The annual aggregate deductible is calculated as a percentage of net premiums earned. After the deductible is satisfied, we retain 10.0% of each loss between $1.0 million and $5.0 million. This layer also affords coverage for up to an aggregate of $4.0 million for certain losses caused by terrorism. In addition, with respect to our employers liability and general liability insurance policies, this layer requires that we obtain additional reinsurance to limit our ultimate net loss for each loss occurrence to $2.0 million.

	•	Second Layer. Affords coverage up to $5.0 million for each loss occurrence in excess of $5.0 million. The aggregate limit for all claims under this layer is $10.0 million.

	•	Third Layer. Affords coverage up to $10.0 million for each loss occurrence in excess of $10.0 million, with a limit of $5.0 million for any one person. The aggregate limit for all claims under this layer is $20.0 million.

	•	Fourth Layer. Affords coverage up to $10.0 million for each loss occurrence in excess of $20.0 million, with a limit of $5.0 million for any one person. The aggregate limit for all claims under this layer is $20.0 million.

The agreements under our 2005 reinsurance treaty program may be terminated by us or our reinsurers upon 90 days prior notice on any December 31. In addition, we may terminate the participation of one or more of our reinsurers under certain circumstances as permitted by the terms of our reinsurance agreements.

The table below sets forth the reinsurers participating in our 2005 reinsurance program:


	A.M. Best
Reinsurer	Rating

Amlin Underwriting		A
Aspen Insurance UK		A
Brit Syndicates		A
Chubb Re/ Federal Insurance Company		A++
Hannover Re		A
IOA Re/ Catlin Insurance Company		A
Liberty Syndicate		A
M.J. Harrington		A
Partner Reinsurance Company		A+
Platinum Underwriters Reinsurance		A

Due to the nature of reinsurance, we have receivables from reinsurers that apply to accident years prior to 2005. The table below summarizes our amounts recoverable from reinsurers as of June 30, 2005.


		A.M. Best		Amount Recoverable
Reinsurer		Rating		as of June 30, 2005

				(In thousands)
Converium Reinsurance (North America)			B-	$	66,261
American Reinsurance Company			A		24,568
Odyssey America Reinsurance Company			A		22,533
St. Paul Fire and Marine Insurance Company			A		13,043
Clearwater Insurance Company			A		11,212
SCOR Reinsurance Company			B++		8,457
Hannover Re(1)			A		3,792
Aspen Reinsurance			A		2,675
American National Insurance Company			A+		2,662
Connecticut General Life Insurance Company			A		2,441
Other (26 reinsurers)			—		16,912

	Total			$	174,556


(1)	Current participant in our 2005 reinsurance program.

We entered into reinsurance agreements with Converium in connection with our 1999 and 2000 reinsurance treaty programs. Effective June 30, 2005, we entered into a commutation agreement with Converium under which we received a cash payment of $61.3 million in exchange for a termination and release of three of our five reinsurance agreements with Converium. The cash settlement, which was paid in the third quarter of 2005, included $5.2 million related to paid loss and loss adjustment expenses. After giving effect to the $61.3 million cash payment and a $1.3 million expense reimbursement we paid to Converium in the third quarter of 2005, our amount recoverable from Converium at June 30, 2005, would have been $6.3 million. The remaining two reinsurance agreements relate to both the 1999 and 2000 treaty programs, which included run-off provisions and therefore covered losses in the 2001 accident year under policies written in 2000 that expired in 2001. For further discussion of the commutation agreement with Converium, see Note 2 and Note 4 to our unaudited interim financial statements and “Management’s Discussion and Analysis of Financial Condition and Results of Operations— Liquidity and Capital Resources.”


	*Terrorism Reinsurance*

The Terrorism Risk Insurance Act is effective for the period from November 26, 2002 until December 31, 2005. The Terrorism Risk Insurance Act may provide us with reinsurance coverage under certain circumstances and subject to certain limitations. The Secretary of the U.S. Department of the Treasury must certify an act for it to constitute an act of terrorism. The definition of terrorism excludes domestic acts of terrorism or acts of terrorism committed in the course of a war declared by Congress. Losses arising from an act of terrorism must exceed $5.0 billion to qualify for reimbursement. If an event is certified, the federal government will reimburse losses not to exceed $100.0 billion in any year. Each insurance company is responsible for a deductible based on a percentage of direct earned premiums in the previous calendar year. For losses in excess of the deductible, the federal government will reimburse 90% of the insurer’s loss, up to the insurer’s proportionate share of the $100.0 billion. The Terrorism Risk Insurance Act is set to expire on December 31, 2005, and the U.S. Department of the Treasury has recommended that Congress not extend the law in its current form. If this law is not extended or is extended in a scaled-back form, which is the current proposal by the U.S. Department of

the Treasury, reinsurance for losses arising from terrorism may be unavailable or prohibitively expensive, and we may be further exposed to losses arising from acts of terrorism. See “— Regulation— Federal and State Legislative and Regulatory Changes.”

Technology

We use our internally developed and other management information systems as an integral part of our operations and make a substantial ongoing investment in improving our systems. We provide our field premium auditors, field safety professionals and field case managers with computer and communication equipment to more timely and efficiently complete the underwriting process. This technology also helps to facilitate communication and to report and monitor claims. All of our systems development and infrastructure operation and maintenance is performed by our 34 information technology professionals, with limited assistance from outside vendors.


	*Core Systems*

ICAMS. Our internally developed Insurance Claims and Accounting Management System, or ICAMS, is an application designed to support our workers’ compensation insurance business. ICAMS provides comprehensive rating, analysis, quotation, audit, claims, policy issuance and policy-level accounting transaction processes. By combining the information we obtain in our underwriting process with information on claims billing and claims management, we are able to enhance our services to our policyholders.

RealSafe. RealSafe is an internally developed application that supports our field safety professionals, as well as safety, claims and underwriting departments in our home office, by providing risk assessment and reporting of information to support safety and loss control initiatives.

Document Management System. Our document management system is a purchased application currently being used by our underwriting, audit, finance and treasury departments to scan, index and store imaged documents to facilitate the movement of work items from one authority level to the next. The system will ultimately include all departments. The system allows departmental management to closely monitor and modify employee workloads as needed.

Freedom Enterprise. FFS-Enterprise is a Fiserv product that functions as our general ledger and accounts payable systems using an MS SQL database platform. We also use Fiserv companion products for report writing, check printing and annual statement preparation. Transactions can be manually entered into Enterprise, interfaced via an ASCII file or copied and pasted from a spreadsheet application. Enterprise is currently set up to accept transaction detail by department, cost center, line of business and state. Enterprise also offers the capability of batch processing, which enables off-peak hour work.

Visual Audit. Visual Audit is a purchased application used by our field premium auditors to input information necessary to complete an interim or final premium audit.

Information Warehouse. Information Warehouse is an internally developed SQL Server-based set of OLAP cubes, queries and processes that extracts operational data from ICAMS and other of our applications and transforms that data for porting to Freedom Enterprise and fnet.

fnet. fnet is an internally developed data analysis portal. fnet is populated by our Information Warehouse, and used throughout our company to generate key performance statistics.


	*Operating Systems*

We use Microsoft Active Directory services to provide application access, domain authentication and network services. Our server hardware is predominately Compaq/ HP, but includes Dell servers as well. Our production servers are under manufacturer warranties.


	*Business Continuity/Disaster Recovery*

Our Storage Area Network solution provides us with continuous operations using mirrored servers and storage situated in two separate corporate buildings, with built-in failover capabilities to minimize business interruption. We utilize software from Veritas for backup and recovery purposes. Full system backups are performed nightly using one on-site and one off-site facility for tape storage.

Competition

The insurance industry, in general, is highly competitive and there is significant competition in the workers’ compensation insurance industry. Competition in the insurance business is based on many factors, including coverage availability, claims management, safety services, payment terms, premium rates, policy terms, types of insurance offered, overall financial strength, financial ratings assigned by independent rating organizations, such as A.M. Best, and reputation. Some of the insurers with which we compete have significantly greater financial, marketing and management resources and experience than we do. We may also compete with new market entrants in the future.

We believe the workers’ compensation market for the hazardous industries we target is underserved and competition is fragmented and not dominated by one or more competitors. Our competitors include other insurance companies, individual self insured companies, state insurance pools and self-insurance funds. More than 350 insurance companies participate in the workers’ compensation market. The insurance companies with which we compete vary state by state and by the industries we target.

We believe our competitive advantages include our safety service and claims management practices, our A.M. Best rating of “A-” (Excellent) and our ability to reduce claims through implementation of our work safety programs. In addition, we believe that our insurance is competitively priced and our premium rates are typically lower than those for policyholders assigned to the state insurance pools, allowing us to provide a viable alternative for policyholders in those pools.

Ratings

Many insurance buyers and agencies use the ratings assigned by A.M. Best and other rating agencies to assist them in assessing the financial strength and overall quality of the companies from which they are considering purchasing insurance. We were assigned a rating of “A-” (Excellent) by A.M. Best. An “A-” rating is the fourth highest of 15 rating categories used by A.M. Best. In June 2005, A.M. Best placed our rating under review with negative implications, citing concerns about our risk adjusted capital, credit risk associated with amounts recoverable from our reinsurers and the somewhat limited financial flexibility of our holding company, AMERISAFE. As a result of our commutation with Converium Reinsurance (North America), one of our reinsurers, and the application of the proceeds from this offering, we expect that our under review status will be returned to stable and that A.M. Best will affirm our “A-” (Excellent) rating in late 2005.

In evaluating a company’s financial and operating performance, A.M. Best reviews the company’s profitability, indebtedness and liquidity, as well as its book of business, the adequacy and soundness of its reinsurance, the quality and estimated fair value of its assets, the adequacy of its loss reserves, the adequacy of its surplus, its capital structure, the experience and competence of its management and its market presence. This rating is intended to provide an independent opinion of an insurer’s ability to meet its obligations to policyholders and is not an evaluation directed at investors.

Employees

As of June 30, 2005, we had 462 full-time employees and one part-time employee. We have employment agreements with each of our executive officers, which are described under “Management— Employment Agreements.” None of our employees is subject to collective bargaining agreements. We believe that our employee relations are good.

Properties

We own our 45,000 square foot executive offices located in DeRidder, Louisiana. In addition, we lease an additional 28,000 square feet of office space in DeRidder, Louisiana, pursuant to a lease agreement that requires annual lease payments of $250,000 and expires on December 31, 2006. This lease agreement may be extended for three additional one-year periods, at our option. We also lease space at other locations for our service and claims representative offices.

Legal Proceedings

In the ordinary course of our business, we are involved in the adjudication of claims resulting from workplace injuries. We are not involved in any legal or administrative claims that we believe are likely to have a materially adverse effect on our business, financial condition or results of operations.

Regulation


	*Holding Company Regulation*

Nearly all states have enacted legislation that regulates insurance holding company systems. Each insurance company in a holding company system is required to register with the insurance supervisory agency of its state of domicile and furnish information concerning the operations of companies within the holding company system that may materially affect the operations, management or financial condition of the insurers within the system. Under these laws, the respective state insurance departments may examine us at any time, require disclosure of material transactions and require prior notice of or approval for certain transactions. All transactions within a holding company system affecting an insurer must have fair and reasonable terms and are subject to other standards and requirements established by law and regulation.


	*Change of Control*

The insurance holding company laws of nearly all states require advance approval by the respective state insurance departments of any change of control of an insurer. “Control” is generally presumed to exist through the direct or indirect ownership of 10% or more of the voting securities of a domestic insurance company or any entity that controls a domestic insurance company. In addition, insurance laws in many states contain provisions that require pre-notification to the insurance commissioners of a change of control of a non-domestic insurance company licensed in those states. Any future transactions that would constitute a change of control of American Interstate, Silver Oak Casualty or American Interstate of Texas, including a change of control of AMERISAFE, would generally require the party acquiring control to obtain the prior approval of the department of insurance in the state in which the insurance company being acquired is incorporated and may require pre-notification in the states where pre-notification provisions have been adopted. Obtaining these approvals may result in the material delay of, or deter, any such transaction.

These laws may discourage potential acquisition proposals and may delay, deter or prevent a change of control of AMERISAFE, including through transactions, and in particular unsolicited transactions, that some or all of the shareholders of AMERISAFE might consider to be desirable.


	*State Insurance Regulation*

Insurance companies are subject to regulation and supervision by the department of insurance in the state in which they are domiciled and, to a lesser extent, other states in which they conduct business. American Interstate and Silver Oak Casualty are primarily subject to regulation and supervision by the Louisiana Department of Insurance, Workers’ Compensation Commission and Insurance Rating Commission. American Interstate of Texas is primarily subject to regulation and supervision by the Texas Department of Insurance and Workers’ Compensation Commission. These

state agencies have broad regulatory, supervisory and administrative powers, including among other things, the power to grant and revoke licenses to transact business, license agencies, set the standards of solvency to be met and maintained, determine the nature of, and limitations on, investments and dividends, approve policy forms and rates in some states, periodically examine financial statements, determine the form and content of required financial statements, and periodically examine market conduct.

Detailed annual and quarterly financial statements and other reports are required to be filed with the department of insurance in all states in which we are licensed to transact business. The financial statements of American Interstate, Silver Oak Casualty and American Interstate of Texas are subject to periodic examination by the department of insurance in each state in which it is licensed to do business.

In addition, many states have laws and regulations that limit an insurer’s ability to withdraw from a particular market. For example, states may limit an insurer’s ability to cancel or not renew policies. Furthermore, certain states prohibit an insurer from withdrawing one or more lines of business from the state, except pursuant to a plan that is approved by the state insurance department. The state insurance department may disapprove a plan that may lead to market disruption. Laws and regulations that limit cancellation and non-renewal and that subject program withdrawals to prior approval requirements may restrict our ability to exit unprofitable markets.

Insurance agencies are subject to regulation and supervision by the department of insurance in the state in which they are licensed. Our wholly owned subsidiary, Amerisafe General Agency, Inc., is licensed in 24 states and is domiciled in Louisiana. Amerisafe General is primarily subject to regulation and supervision by the Louisiana Department of Insurance. This agency regulates the solicitation of insurance and the qualification and licensing of agents and agencies that may desire to conduct business in Louisiana.


	*State Insurance Department Examinations*

We are subject to periodic examinations by state insurance departments in the states in which we operate. The Louisiana Department of Insurance generally examines each of its domiciliary insurance companies on a triannual basis. The last examination of American Interstate and Silver Oak Casualty occurred in 2002. We have been informally notified that our next examination is scheduled for the end of 2005 or the beginning of 2006. American Interstate of Texas was formed in December 2004 and began operations in January 2005. Under Texas insurance law, American Interstate of Texas will be subject to examination each year in its first three years of operations.


	*Guaranty Fund Assessments*

In most of the states where we are licensed to transact business, there is a requirement that property and casualty insurers doing business within each such state participate in a guaranty association, which is organized to pay contractual benefits owed pursuant to insurance policies issued by impaired, insolvent or failed insurers. These associations levy assessments, up to prescribed limits, on all member insurers in a particular state on the basis of the proportionate share of the premium written by member insurers in the lines of business in which the impaired, insolvent or failed insurer is engaged. Some states permit member insurers to recover assessments paid through full or partial premium tax offsets.

Property and casualty insurance company insolvencies or failures may result in additional security fund assessments to us at some future date. At this time, we are unable to determine the impact, if any, such assessments may have on our financial position or results of operations. We have established liabilities for guaranty fund assessments with respect to insurers that are currently subject to insolvency proceedings.


	*Residual Market Programs*

Many of the states in which we conduct business or intend to conduct business, require that all licensed insurers participate in a program to provide workers’ compensation insurance to those employers who have not or cannot procure coverage from a carrier on a negotiated basis. The level of required participation in such programs is generally determined by calculating the volume of our voluntarily business in that state as a percentage of all voluntarily business in that state by all insurers. The resulting factor is the proportion of premium we must accept as a percentage of all of premiums in policies residing in that state’s residual market program.

Companies generally can fulfill their residual market obligations by either issuing insurance policies to employers assigned to them, or participating in a reinsurance pool where the results of all policies provided through the pool are shared by the participating companies. Currently, we utilize both methods, depending on management’s evaluation of the most cost-efficient method to adopt in each state that allows a choice of assigned risk or participation in a pooling arrangement. In general, we believe that assigned risk produces better results as we apply our cost management approach to these involuntary policyholders. We currently have assigned risk in six states: Alabama, Alaska, Georgia, North Carolina, South Carolina, and Virginia.


	*Second Injury Funds*

A number of states operate trust funds that reimburse insurers and employers for claims paid to injured employees for aggravation of prior conditions or injuries. The state-managed trust funds are funded through assessments against insurers and self-insurers providing workers’ compensation coverage in a specific state. Our recoveries from state-managed trust funds for the years ended December 31, 2002, 2003 and 2004 were approximately $6.4 million, $7.3 million and $8.1 million, respectively.


	*Dividend Limitations*

Under Louisiana law, American Interstate and Silver Oak Casualty cannot pay dividends to their shareholders in excess of the lesser of 10% of statutory surplus, or statutory net income, excluding realized investment gains, for the preceding 12-month period without the prior approval of the Louisiana Commissioner of Insurance. However, net income from the previous two calendar years may be carried forward to the extent that it has not already been paid out as dividends. Based on reported capital and surplus at December 31, 2004, this requirement limits American Interstate’s ability to make distributions to AMERISAFE in 2005 to approximately $11.2 million without approval by the Louisiana Department of Insurance. Further, under Texas law, American Interstate of Texas cannot pay dividends to its shareholder in excess of the greater of 10% of statutory surplus, or statutory net income, for the preceding 12-month period without the prior approval of the Texas Commissioner of Insurance.


	*Federal Law and Regulations*

As of June 30, 2005, 3.0% of our voluntary in-force premiums were derived from employers engaged in the maritime industry. As a provider of workers’ compensation insurance for employers engaged in the maritime industry, we are subject to the United States Longshore and Harbor Workers’ Compensation Act, or the USL&H Act, and the Merchant Marine Act of 1920, or Jones Act. We are also subject to regulations related to the USL&H Act and the Jones Act.

The USL&H Act, which is administered by the U.S. Department of Labor, generally covers exposures on the navigable waters of the United States and in adjoining waterfront areas, including exposures resulting from stevedoring. The USL&H Act requires employers to provide medical benefits, compensation for lost wages and rehabilitation services to longshoremen, harbor workers and other maritime workers who may suffer injury, disability or death during the course and scope of their employment. The Department of Labor has the authority to require us to make deposits to serve as collateral for losses incurred under the USL&H Act.

The Jones Act is a federal law, the maritime employer provisions of which provide injured offshore workers, or seamen, with a remedy against their employers for injuries arising from negligent acts of the employer or co-workers during the course of employment on a ship or vessel.


	*Privacy Regulations*

In 1999, Congress enacted the Gramm-Leach-Bliley Act, which, among other things, protects consumers from the unauthorized dissemination of certain personal information. Subsequently, a majority of states have implemented additional regulations to address privacy issues. These laws and regulations apply to all financial institutions, including insurance and finance companies, and require us to maintain appropriate policies and procedures for managing and protecting certain personal information of our policyholders and to fully disclose our privacy practices to our policyholders. We may also be exposed to future privacy laws and regulations, which could impose additional costs and impact our results of operations or financial condition. In 2000, the National Association of Insurance Commissioners, or the NAIC, adopted the Privacy of Consumer Financial and Health Information Model Regulation, which assisted states in promulgating regulations to comply with the Gramm-Leach-Bliley Act. In 2002, to further facilitate the implementation of the Gramm-Leach-Bliley Act, the NAIC adopted the Standards for Safeguarding Customer Information Model Regulation. Several states have now adopted similar provisions regarding the safeguarding of policyholder information. We have established policies and procedures to comply with the Gramm-Leach-Bliley related privacy requirements.

Federal and State Legislative and Regulatory Changes

From time to time, various regulatory and legislative changes have been proposed in the insurance industry. Among the proposals that have in the past been or are at present being considered are the possible introduction of federal regulation in addition to, or in lieu of, the current system of state regulation of insurers and proposals in various state legislatures (some of which proposals have been enacted) to conform portions of their insurance laws and regulations to various model acts adopted by the NAIC. We are unable to predict whether any of these laws and regulations will be adopted, the form in which any such laws and regulations would be adopted or the effect, if any, these developments would have on our operations and financial condition.

On November 26, 2002, in response to the tightening of supply in certain insurance and reinsurance markets resulting from, among other things, the September 11, 2001 terrorist attacks, the Terrorism Risk Insurance Act was enacted. The Terrorism Risk Insurance Act is designed to ensure the availability of insurance coverage for losses resulting from acts of terror in the United States. This law established a federal assistance program through the end of 2005 to help the property and casualty insurance industry cover claims related to future terrorism-related losses and requires such companies to offer coverage for certain acts of terrorism. As a result, any terrorism exclusions in policies in-force prior to the enactment of the Terrorism Risk Insurance Act are void and, absent authorization or failure of the insured to pay increased premiums resulting from the terrorism coverage, we are prohibited from adding certain terrorism exclusions to policies written. Although we are protected by federally funded terrorism reinsurance as provided for in the Terrorism Risk Insurance Act, there is a substantial deductible that must be met, the payment of which could have an adverse effect on our results of operations. The Terrorism Risk Insurance Act is set to expire on December 31, 2005, and the U.S. Department of the Treasury has recommended that Congress not extend the law in its current form. If this law is not extended or is extended in a scaled-back form, which is the current proposal by the U.S. Department of the Treasury, these changes could also adversely affect us by causing our reinsurers to increase premium rates or withdraw from certain markets where terrorism coverage is required. See “—Reinsurance— Terrorism Reinsurance” above.

The National Association of Insurance Commissioners

The NAIC is a group formed by state Insurance Commissioners to discuss issues and formulate policy with respect to regulation, reporting and accounting of insurance companies. Although the NAIC has no legislative authority and insurance companies are at all times subject to the laws of their respective domiciliary states and, to a lesser extent, other states in which they conduct business, the NAIC is influential in determining the form in which such laws are enacted. Model Insurance Laws, Regulations and Guidelines, which we refer to as the Model Laws, have been promulgated by the NAIC as a minimum standard by which state regulatory systems and regulations are measured. Adoption of state laws that provide for substantially similar regulations to those described in the Model Laws is a requirement for accreditation by the NAIC. The NAIC provides authoritative guidance to insurance regulators on current statutory accounting issues by promulgating and updating a codified set of statutory accounting practices in its Accounting Practices and Procedures manual. The Louisiana and Texas legislatures have adopted these codified statutory accounting practices.

The NAIC has recently proposed a Model Law that would require insurance brokers to obtain the written consent of the insured before receiving compensation from the insurer. This proposed Model Law would also require all insurance producers (including agents) to disclose to its customers that the producer will receive compensation from the insurer, that the compensation received by the producer may differ depending upon the product and insurer and that the producer may receive additional compensation from the insurer based upon other factors, such as premium volume placed with a particular insurer and loss or claims experience. We do not sell insurance through brokers. We do sell insurance through agents. We do not believe that the disclosure obligations under the Model Law proposed by the NAIC would have any significant effect on our business if it were adopted in the states in which we conduct our business.

Under Louisiana law, American Interstate and Silver Oak Casualty are required to maintain minimum capital and surplus of $3.0 million. Under Texas law, American Interstate of Texas is required to maintain minimum capital and surplus of $1.0 million. Property and casualty insurance companies are subject to certain risk based capital requirements by the NAIC. Under those requirements, the amount of capital and surplus maintained by a property and casualty insurance company is to be determined based on the various risk factors related to it. As of December 31, 2004, American Interstate, Silver Oak Casualty, and American Interstate of Texas exceeded the minimum risk based capital requirements.

The key financial ratios of NAIC’s Insurance Regulatory Information System, or IRIS, which ratios were developed to assist insurance departments in overseeing the financial condition of insurance companies, are reviewed by experienced financial examiners of the NAIC and state insurance departments to select those companies that merit highest priority in the allocation of the regulators’ resources. IRIS identifies 12 industry ratios and specifies “usual values” for each ratio. Departure from the usual values on four or more of the ratios can lead to inquiries from individual state insurance commissioners as to certain aspects of an insurer’s business.

The 2004 IRIS results for American Interstate and Silver Oak Casualty showed their investment yield ratios were outside the usual range for such ratio, which was consistent with the insurance industry as a whole. In addition, the 2004 IRIS results for Silver Oak Casualty showed its net written premium-to-surplus ratio and one-year reserve development-to-surplus ratio were above the usual ranges for such ratios. These two ratios were above the IRIS usual values because of Silver Oak Casualty’s small surplus base.

Statutory Accounting Practices

Statutory accounting practices, or SAP, are a basis of accounting developed to assist insurance regulators in monitoring and regulating the solvency of insurance companies. SAP is primarily concerned with measuring an insurer’s surplus to policyholders. Accordingly, statutory accounting

focuses on valuing assets and liabilities of insurers at financial reporting dates in accordance with appropriate insurance law and regulatory provisions applicable in each insurer’s domiciliary state.

Generally accepted accounting principles, or GAAP, are concerned with a company’s solvency, but are also concerned with other financial measurements, principally income and cash flows. Accordingly, GAAP gives more consideration to appropriate matching of revenue and expenses and accounting for management’s stewardship of assets than does SAP. As a direct result, different assets and liabilities and different amounts of assets and liabilities will be reflected in financial statements prepared in accordance with GAAP as compared to SAP.

Statutory accounting practices established by the NAIC and adopted in part by the Louisiana and Texas insurance regulators, determine, among other things, the amount of statutory surplus and statutory net income of American Interstate, Silver Oak Casualty and American Interstate of Texas and thus determine, in part, the amount of funds that are available to pay dividends to AMERISAFE.

MANAGEMENT

Directors, Director Nominees, Executive Officers and Key Employees

The table below sets forth information about our directors, director nominees, executive officers and key employees. Our directors will be divided into three classes with the number of directors in each class as nearly equal as possible. Each director will serve a three-year term. Executive officers serve at the request of our board of directors.


Name	Age		Position

*Directors, Director Nominees and Executive Officers*
Mark R. Anderson(1)		53	Chairman and Director
C. Allen Bradley, Jr.(3)		54	President, Chief Executive Officer and Director
Geoffrey R. Banta		56	Executive Vice President and Chief Financial Officer
Arthur L. Hunt		60	Executive Vice President, General Counsel and Secretary
Craig P. Leach		55	Executive Vice President, Sales and Marketing
Paul B. Queally(1)		41	Director
Sean M. Traynor(2)		36	Director
Jared A. Morris(3)		30	Director Nominee
			Director Nominee
			Director Nominee

*Key Employees*
Allan E. Farr		46	Senior Vice President, Enterprise Risk Management
Kelly R. Goins		39	Senior Vice President, Underwriting Operations
Cynthia P. Harris		51	Senior Vice President, Human Resources/Client Services
Leon J. Lagneaux		54	Senior Vice President, Safety Operations
Henry O. Lestage, IV		44	Senior Vice President, Claims Operations
Edwin R. Longanacre		47	Senior Vice President, Information Technology
Lasa L. Simmons		48	Senior Vice President, Premium Audit
Angela S. Lannen		59	Vice President, Treasurer
G. Janelle Frost		35	Assistant Vice President, Controller


(1)	Term expires at the annual meeting of shareholders in 2006.

(2)	Term expires at the annual meeting of shareholders in 2007.

(3)	Term expires at the annual meeting of shareholders in 2008.

Set forth below is certain background information relating to our directors, director nominees, executive officers and key employees.

Mark R. Anderson has served as Chairman of our board of directors since December 2003 and as a Director since 1986. He was our Chief Executive Officer from 1997 until December 2003, and President of our subsidiary, American Interstate, from 1987 until November 2002. Mr. Anderson began his insurance career when he joined our company in 1979. He has served on various legislative insurance advisory committees in Louisiana, and has served as a workers’ compensation rate and reform consultant to several southern insurance commissioners.

C. Allen Bradley, Jr. has served as our President since November 2002, our Chief Executive Officer since December 2003 and a Director since June 2003. From November 2002 until December 2003 he served as our Chief Operating Officer. Since joining our company in 1994, Mr. Bradley has

had principal responsibility for the management of our underwriting operations (December 2000 through June 2005) and safety services (September 2000 through November 2002) and has served as our General Counsel (September 1997 through December 2003) and Secretary (September 1997 through November 2002). Prior to joining our company, he was engaged in the private practice of law.

Geoffrey R. Banta has served as our Executive Vice President and Chief Financial Officer since December 2003. Prior to joining our company in 2003, he held the positions of President and Chief Executive Officer from 2001 until November 2003, and Chief Operating Officer from 1996 until 2001, at Scruggs Consulting, an actuarial and management consulting firm. From 1994 to 1996, Mr. Banta was Chief Financial Officer of the Atlanta Casualty Companies, an issuer of non-standard auto insurance whose holding company was a subsidiary of American Financial Group Holdings, Inc.

Arthur L. Hunt has served as our General Counsel since December 2003, Secretary since 2002 and Executive Vice President since 1999. He has been employed with our company since 1991 and served as our Chief Operating Officer from 1997 until 1999, and as a Director from 1994 until June 2003.

Craig P. Leach has served as our Executive Vice President, Sales and Marketing since November 2002. He has served in a variety of sales and key marketing positions within our company since beginning his insurance career in 1980, including Senior Vice President, Sales and Marketing from 1997 until November 2002.

Paul B. Queally has served as a Director of our company since 1997. He is currently a general partner of Welsh, Carson, Anderson & Stowe, a private equity investment firm, that he joined in 1996. Mr. Queally also serves as a director of MedCath Corporation, Concentra Operating Corporation, AmCOMP Incorporated and several private companies.

Sean M. Traynor has served as a Director of our company since April 2001. He is currently a general partner of Welsh, Carson, Anderson & Stowe, a private equity investment firm, that he joined in 1999. Mr. Traynor also serves as a director for US Oncology, Inc., Select Medical Corporation, Ameripath, Inc. and AmCOMP Incorporated.

Jared A. Morris is a Director Nominee. Since 2002, Mr. Morris has been an officer and a principal owner of Dumont Land, LLC and Marine One Acceptance Corp., both of which are subprime finance companies. He was an Assistant Vice President, Underwriter of CIT Business Credit, a commercial finance company, from 2000 until 2002.

Allan E. Farr has served as our Senior Vice President, Enterprise Risk Management since April 2004. He has been employed with our company since 1998 and served as Vice President, Underwriting Services from 1999 until 2004.

Kelly R. Goins has served as our Senior Vice President, Underwriting Operations since March 2005. She has been employed with our company since 1986 and served as Vice President, Underwriting Operations from 2000 until March 2005.

Cynthia P. Harris has served as our Senior Vice President, Human Resources/ Client Services since January 2003. She has been employed with our company since 1977 and served as Vice President, Policyholder Services and Administration from 1992 until December 2002.

Leon J. Lagneaux has served as our Senior Vice President, Safety Operations since March 2005. He has been employed with our company since 1994 and served as Vice President, Safety Operations from 1999 until March 2005.

Henry O. Lestage, IV has served as our Senior Vice President, Claims Operations since September 2000. He has been employed with our company since 1987 and served as Vice President, Claims Operations from 1998 until 2000.

Edward R. Longanacre has served as our Senior Vice President, Information Technology since March 2005. He has been employed with our company since 2000 and held the position of Vice President, Information Technology from September 2004 until March 2005 and Information Technology Director from 2000 until September 2004.

Lasa L. Simmons has served as our Senior Vice President, Premium Audit since March 2005. She has been employed with our company since 1985 and held the position of Vice President, Premium Audit Manager from 1999 until March 2005.

Angela S. Lannen has served as our Vice President, Treasurer since January 2001. She has been employed with our company since 1999 and served as Planning and Analysis Manager from 1999 until December 2000.

G. Janelle Frost has served as our Assistant Vice President, Controller since May 2004. She has been employed with our company since 1992 and served as Deputy Controller from 1998 to April 2004.

Board Composition

We are managed under the direction of our board of directors. Upon completion of this offering, our board will consist of seven directors, five of whom will not be, and will never have been, employees of our company, nor will they have any other relations with us that would result in their being considered other than independent under applicable U.S. federal securities laws and the current listing requirements of the Nasdaq National Market. There are no family relationships among any of our directors or executive officers.

Upon completion of this offering, the board is expected to approve Corporate Governance Guidelines and a Code of Business Conduct and Ethics for all directors, officers and employees, copies of which will be available on our website and upon written request by our shareholders at no cost.

Number of Directors; Removal; Vacancies

Our articles of incorporation and bylaws provide that the number of directors shall be fixed from time to time by our board of directors. Our board of directors will be divided into three classes with the number of directors in each class as nearly equal as possible. Each director will serve a three-year term. The classification and term of office for each of our directors upon completion of this offering is noted in the table listing our directors and executive officers under “—Directors, Director Nominees, Executive Officers and Key Employees.” Pursuant to our bylaws, each director will serve until his or her successor is duly elected and qualified, unless he or she dies, resigns, retires, becomes disqualified or is removed. Our bylaws also provide that any director may be removed for cause, at any meeting of shareholders called for that purpose, by the affirmative vote of the holders of at least two-thirds of the shares of our stock entitled to vote for the election of directors.

Our bylaws further provide that newly created directorships in our board may be filled by election at an annual or special meeting of our shareholders called for that purpose or by our board of directors, provided that our board may not fill more than two newly created directorships during the period between any two successive annual meetings of our shareholders. Any director chosen to fill a newly created directorship will hold office until the next election of one or more directors by the shareholders. Any other vacancies in our board may be filled by election at an annual or special meeting of our shareholders called for that purpose or by the affirmative vote of a majority of the remaining directors then in office, even if less than a quorum. Any director chosen to fill a vacancy not resulting from a newly created directorship will hold office for the unexpired term of his or her predecessor.

Board Committees

Our board has an audit committee and a compensation committee and, upon completion of this offering, will have a nominating and corporate governance committee. Each committee will consist of three persons. All of the members of our audit committee, compensation committee and nominating and corporate governance committee will be “independent” as defined by the rules of the National Association of Securities Dealers, or NASD, and, in the case of the audit committee, by the rules of the NASD and the SEC.

Audit Committee. The audit committee will be comprised of three directors. Membership of the audit committee will include (Chair), and . The audit committee will oversee our accounting and financial reporting processes and the audits of our financial statements. The functions and responsibilities of the audit committee will include:


	•	establishing, monitoring and assessing our policies and procedures with respect to business practices, including the adequacy of our internal controls over accounting and financial reporting;

	•	engaging our independent auditors and conducting an annual review of the independence of our independent auditors;

	•	pre-approving any non-audit services to be performed by our independent auditors;

	•	reviewing the annual audited financial statements and quarterly financial information with management and the independent auditors;

	•	reviewing with the independent auditors the scope and the planning of the annual audit;

	•	reviewing the findings and recommendations of the independent auditors and management’s response to the recommendations of the independent auditors;

	•	overseeing compliance with applicable legal and regulatory requirements, including ethical business standards;

	•	preparing the audit committee report to be included in our annual proxy statement;

	•	establishing procedures for the receipt, retention and treatment of complaints received by us regarding accounting, internal accounting controls or auditing matters;

	•	establishing procedures for the confidential, anonymous submission by our employees of concerns regarding questionable accounting or auditing matters; and

	•	reviewing the adequacy of the audit committee charter on an annual basis.

Our independent auditors will report directly to the audit committee. Each member of the audit committee has the ability to read and understand fundamental financial statements. Our board has determined that will meet the requirements of an “audit committee financial expert” as defined by the rules of the SEC.

We will provide for appropriate funding, as determined by the audit committee, for payment of compensation to our independent auditors, any independent counsel or other advisors engaged by the audit committee and for administrative expenses of the audit committee that are necessary or appropriate in carrying out its duties.

Compensation Committee. The compensation committee will be comprised of three directors. Membership of the compensation committee will include (Chair), and . The compensation committee will establish, administer and review our policies, programs and procedures for compensating our executive officers and directors. The functions and responsibilities of the compensation committee will include:


	•	evaluating the performance of and determining the compensation for our executive officers, including our chief executive officer;

	•	administering and making recommendations to our board with respect to our equity incentive plans;

	•	overseeing regulatory compliance with respect to compensation matters;

	•	reviewing and approving employment or severance arrangements with senior management;


	•	reviewing our director compensation policies and making recommendations to our board;

	•	preparing the compensation committee report to be included in our annual proxy statement; and

	•	reviewing the adequacy of the compensation committee charter.

Nominating and Corporate Governance Committee. The nominating and corporate governance committee will be comprised of three directors. Membership of the nominating and corporate governance committee will include (Chair), and . The functions and responsibilities of the nominating and corporate governance committee will include:


	•	developing and recommending corporate governance principles and procedures applicable to our board and employees;

	•	recommending committee composition and assignments;

	•	identifying individuals qualified to become directors;

	•	recommending director nominees;

	•	recommending whether incumbent directors should be nominated for re-election to our board; and

	•	reviewing the adequacy of the nominating and corporate governance committee charter.

Compensation Committee Interlocks and Insider Participation

None of the members of our compensation committee will be, or will have been, employed by us. None of our executive officers currently serves, or in the past three years has served, as a member of the board of directors, compensation committee or other board committee performing equivalent functions of another entity that has one or more executive officers serving on our board or compensation committee. See “—Board Composition.”

Director Compensation

It is anticipated that upon completion of this offering, directors who are also our employees will receive no compensation for serving as directors. Non-employee directors will receive an annual cash retainer of $30,000. The chair of the audit committee will receive an additional annual cash retainer of $15,000. The chairs of the compensation committee and nominating and corporate governance committee will each receive an additional annual cash retainer of $5,000. Under our 2005 non-employee director restricted stock plan, non-employee directors will also receive an annual award of a number of shares of restricted stock equal to $10,000 divided by the closing price of our common stock on the date of our annual shareholders meeting at which the non-employee director is elected or re-elected as a member of the board. Upon completion of this offering, our non-employee directors will receive initial grants of restricted stock. See “—2005 Equity Incentive Plans—Non-Employee Director Restricted Stock Plan.” We also expect to reimburse all directors for reasonable out-of-pocket expenses they incur in connection with their service as directors.

Management Compensation and Incentive Plans

Our compensation policies are designed to maximize shareholder value over the long term. Through our compensation and incentive plans we seek to attract and retain select employees, officers and directors and motivate these individuals to devote their best efforts to our business and financial success.

The table below sets forth information about the compensation of our chief executive officer and each of our other executive officers for the year ended December 31, 2004.


			Annual Compensation

							Other Annual		All Other
Name and Principal Position		Year	Salary		Bonus(1)		Compensation(2)		Compensation(3)

Mark R. Anderson		2004	$	352,000	$	40,000	$	—	$	4,132
	Chairman and Director
C. Allen Bradley, Jr.		2004		275,000		125,000		—		4,132
	President, Chief Executive Officer and Director
Geoffrey R. Banta		2004		200,000		80,000		—		2,412
	Executive Vice President and Chief Financial Officer
Arthur L. Hunt		2004		215,000		80,000		—		4,132
	Executive Vice President, General Counsel and Secretary
Craig P. Leach		2004		215,000		70,000		—		4,132
	Executive Vice President, Sales and Marketing


(1)	Reflects bonuses earned in 2004. In all cases, the bonuses were paid in 2005 and were accrued as of December 31, 2004.

(2)	Perquisites and other personal benefits received by our executive officers in 2004 are not included in the Summary Compensation Table because the aggregate amount of this compensation did not meet disclosure thresholds established under the SEC’s regulations.

(3)	Consists of (a) 401(k) plan matching contributions of $4,100 for Messrs. Anderson, Bradley, Hunt and Leach, and $2,380 for Mr. Banta, and (b) life insurance premiums paid by us in the amount of $32 for each of our executive officers.

Our 2004 incentive compensation program consisted solely of cash bonuses. The cash bonuses awarded to our executive officers were determined by the compensation committee of our board of directors. The amount awarded to each executive officer was based upon several factors, including company performance as compared to our business plan, the performance of the executive officer in his area of responsibility and the overall profitability of our company.

Option Grants in Last Fiscal Year

There were no options granted to our executive officers during the year ended December 31, 2004.

Aggregated Option Exercises in Last Fiscal Year and Fiscal Year End Option Values

There were no options exercised by our executive officers during the year ended December 31, 2004. The table below indicates for each of our executive officers the number of shares of our common stock underlying exercisable and unexercisable stock options granted under our 1998 Amended and Restated Stock Option and Restricted Stock Purchase Plan, or the 1998 equity incentive plan, and held

on December 31, 2004. Based on an assumed initial public offering price of $ per share, none of our executive officers held unexercised in-the-money options on December 31, 2004.


	Number of Securities				Value of Unexercised
	Underlying Unexercised				In-the-Money Options at
	Options at Fiscal Year-End				Fiscal Year-End

Name	Exercisable		Unexercisable		Exercisable		Unexercisable

Mark R. Anderson		742,275		0		—		—
C. Allen Bradley, Jr.		137,444		0		—		—
Geoffrey R. Banta		0		0		—		—
Arthur L. Hunt		204,924		0		—		—
Craig P. Leach		174,925		0		—		—

In June 2005, we terminated our 1998 equity incentive plan and cancelled all outstanding options under the 1998 equity incentive plan, including the options listed in the table above. See Note 13 and Note 22 to our audited financial statements.

2005 Equity Incentive Plans


	*Equity Incentive Plan*

The purpose of our 2005 equity incentive plan is to attract and retain officers and other key employees and to provide them with appropriate incentives and rewards for superior performance. A summary of the provisions of the 2005 incentive plan is set forth below. This summary is qualified in its entirety by the detailed provisions of the 2005 incentive plan, a copy of which has been filed as an exhibit to the registration statement of which this prospectus is a part. Our board of directors and shareholders will have approved the 2005 incentive plan prior to the closing of this offering.

Types of Awards and Eligibility. Our 2005 incentive plan permits awards in the form of incentive stock options, as defined in Section 422(b) of the Internal Revenue Code of 1986, non-qualified stock options, restricted shares of common stock and restricted stock units. The maximum number of shares of common stock that may be issued pursuant to option grants and restricted stock and restricted stock unit awards under the 2005 incentive plan is million shares, subject to the authority of our board to adjust this amount in the event of a merger, consolidation, reorganization, stock dividend, stock split, combination of shares, recapitalization or similar transaction affecting our common stock. Officers and other persons employed by or performing services for us are eligible to participate in the 2005 incentive plan. However, only employees (including our officers) can receive grants of incentive stock options.

Subject to completion of this offering, the compensation committee of our board of directors has approved grants of options to our officers and employees to purchase an aggregate of approximately shares of our common stock, including grants of options to purchase shares to Mr. Anderson, shares to Mr. Bradley, shares to Mr. Banta, shares to Mr. Hunt and shares to Mr. Leach. These options will have an exercise price equal to the initial public offering price of our common stock in this offering, and will be subject to pro rata vesting over a five-year period.

Administration. The 2005 incentive plan will be administered by our compensation committee. Subject to the terms of the 2005 incentive plan, the compensation committee may select participants to receive awards, determine the types of awards and terms and conditions of awards, and interpret provisions of the 2005 incentive plan.

Stock Options. Stock options granted under the 2005 incentive plan will have an exercise price of not less than 100% of the fair value of our common stock on the date of grant. However, any stock options granted to holders of more than 10% of our voting stock will have an exercise price of not less than 110% of the fair value of our common stock on the date of grant. Stock option grants are exercisable, subject to vesting requirements determined by the compensation committee, for periods of

up to ten years from the date of grant, except for any grants to holders of more than 10% of our voting stock, which will have exercise periods limited to a maximum of five years. Stock options generally expire 90 days after the cessation of an optionee’s service as an employee. However, in the case of an optionee’s death or disability, the unexercised portion of a stock option remains exercisable for up to one year after the optionee’s death or disability. Stock options granted under the 2005 incentive plan are not transferable, except by will or the laws of descent and distribution.

Restricted Stock Awards. A restricted stock award is the grant or sale of common stock with restrictions on transferability, and subject to vesting as determined by the compensation committee. Restricted stock awards under the 2005 incentive plan may be made without additional consideration or in consideration for a payment by the participant that is less than the fair value of our common stock on the date of grant. For as long as an award of restricted stock is subject to vesting, there is a risk of forfeiture if the individual leaves our employment prior to full vesting of the award. Restrictions may lapse separately or in combination at relevant times, such as after a specified period of employment or the satisfaction of pre-established criteria, in installments or otherwise, all as the compensation committee may determine. Except to the extent provided otherwise under the award agreement relating to the restricted stock award, a participant awarded restricted stock will have all of the rights of a shareholder, including, without limitation, the right to vote and the right to receive dividends. Restricted stock awards under the 2005 incentive plan cannot be transferred except as agreed by the compensation committee, and in accordance with applicable U.S. federal and state securities laws.

Restricted Stock Units. The compensation committee may authorize the grant or sale of restricted stock units subject to the conditions and restrictions, and for the restriction period, which will generally be at least one year, that it determines in its discretion. Each restricted stock unit is equivalent in value to one share of common stock and entitles the grantee to receive or purchase one share of common stock for each restricted stock unit at the end of the restriction period applicable to such restricted stock unit, subject to the fulfillment during the restriction period of such conditions as the compensation committee may specify. During the applicable restricted period for a given restricted stock unit, the grantee will not have any right to transfer the rights associated with the restricted stock units and will have no ownership or voting rights with respect to the restricted stock units or the underlying shares of common stock.

Amendment or Termination. While our board of directors may terminate or amend the 2005 incentive plan at any time, no amendment may adversely impair the rights of participants with respect to outstanding awards. In addition, an amendment will be contingent upon approval of our shareholders to the extent required by law or if the amendment would increase the aggregate number of shares of common stock for awards under the 2005 incentive plan, decrease the minimum exercise price or change the class of employees eligible to receive incentive stock options under the plan. Unless terminated earlier, the 2005 incentive plan will terminate in 2015, but will continue to govern unexpired awards.

Change of Control. At the discretion of the compensation committee at the time of award, agreements for option, restricted stock and restricted stock unit awards may contain provisions providing for the acceleration of the options, restricted stock or restricted stock units upon a change of control of our company.


	*Non-Employee Director Restricted Stock Plan*

The purpose of our 2005 non-employee director restricted stock plan is to attract and retain qualified directors. A summary of the provisions of the 2005 non-employee director plan is set forth below. This summary is qualified in its entirety by the detailed provisions of the 2005 non-employee director plan, a copy of which has been filed as an exhibit to the registration statement of which this prospectus is a part. Our board of directors and shareholders will have approved the 2005 non-employee director plan prior to the closing of this offering.

Type of Award and Eligibility. The 2005 non-employee director plan provides for the automatic grant of restricted stock awards to our non-employee directors. The aggregate number of shares of restricted stock that may be issued under the plan is shares, subject to the authority of our board to adjust this amount in the event of a merger, consolidation, reorganization, stock dividend, stock split, combination of shares, recapitalization or similar transaction affecting our common stock.

Administration and Terms. The 2005 non-employee director plan will be administered by the compensation committee of our board of directors. Restricted stock awards to non-employee directors are generally subject to terms including non-transferability, immediate vesting upon death or total disability of a director, forfeiture of unvested shares upon termination of service by a director and acceleration of vesting upon a change of control of our company.

Automatic Grants. Under the 2005 non-employee director plan, each non-employee director will automatically be granted a restricted stock award for a number of full shares equal to $10,000 divided by the closing price of our common stock on the date of our annual shareholders meeting at which the non-employee director is elected or is continuing as a member of the board. If a non-employee director is elected to the board other than at an annual shareholders meeting to fill a vacancy or a directorship resulting from an increase in the number of directors, the non-employee director will receive a pro-rated grant of restricted stock based upon the number of whole months he or she will serve until the first anniversary of the most recent annual shareholders meeting and using the closing price of our common stock on the date of grant. Upon completion of this offering, our non-employee directors will receive their initial grants of restricted stock pro-rated for the number of whole months between the closing date of this offering and June 1, 2006 and using the initial public offering price of our common stock in this offering. Each restricted stock award will vest on the date of the next annual shareholders meeting following the date of grant, subject to the non-employee director’s continued service.

Employment Agreements

The following information summarizes the employment agreements for our chief executive officer and our other executive officers.

Mark R. Anderson. We have an employment agreement with Mr. Anderson that expires on January 1, 2007, unless extended. Beginning January 1, 2007, the term of this agreement is automatically extended for an additional one year term unless either party delivers notice to the other party of its intention not to extend the term. During the term, Mr. Anderson will serve as Chairman of our board. The agreement provides for an annual base salary of no less than $200,000 during 2005 and $175,000 during 2006 and subsequent years. Mr. Anderson is also entitled to receive an annual bonus, if any, in an amount determined by our compensation committee and may participate in present and future benefit, pension and profit sharing plans that are provided to our executive officers from time to time.

If we terminate Mr. Anderson’s employment without cause, as defined in his employment agreement, prior to January 1, 2007, he will be entitled to receive his base salary, bonus and any other benefits to which he is entitled in the same manner, method, terms and installments up to and ending on January 1, 2007 as if his employment had not been terminated before that date. In addition, Mr. Anderson has agreed during the term of his employment by us not to engage in any business competitive with us or solicit our employees, agents, consultants or policyholders without our prior written consent. Under the terms of his agreement, Mr. Anderson is permitted to engage in other business activities not related to the business and interests of our company, so long as such business activities do not create any conflict of interest with us.

Other executive officers. We have an employment agreement with each of Messrs. Bradley, Banta, Hunt and Leach. Each agreement expires on January 1, 2008, unless extended. Beginning January 1, 2008, the term of each agreement is automatically extended for an additional one year term unless either party delivers notice to the other party of its intention not to extend the term. The agreements

provide for an annual base salary of no less than $275,000 for Mr. Bradley, $200,000 for Mr. Banta and $215,000 for each of Mr. Hunt and Mr. Leach. They are also entitled to receive an annual bonus in an amount, if any, determined by our compensation committee. Each executive officer may participate in present and future benefit, pension and profit sharing plans that are provided to our executive officers from time to time.

If we terminate the employment of Messrs. Bradley, Banta, Hunt or Leach without cause, as defined in the employment agreements, the terminated executive officer will be entitled to receive his base salary for a period of 12 months (or, in the case of Mr. Bradley, 18 months) payable in regular installments after the date of his termination. In addition, we have agreed to pay each executive officer the actual cost of continuing health coverage premiums for a period of 12 months (or, in the case of Mr. Bradley, 18 months) after the date of his termination. Each of these executive officers has further agreed during the term of his employment by us not to engage in any business competitive with us or solicit our employees, agents, consultants or policyholders without our prior written consent. If Messrs. Bradley, Banta, Hunt or Leach are terminated by us without cause, the prohibitions on engaging in competitive activities or soliciting our employees, agents, consultants or policyholders extend for a period of 12 months (or, in the case of Mr. Bradley, 18 months) after the date of termination. If these executive officers are terminated by us with cause or as a result of a resignation, as defined in the employment agreements, or if an executive officer elects not to renew the term of his employment agreement, we have the option to extend the restriction on engaging in competitive activities or soliciting our employees, agents, consultants or policyholders for a period of 12 months (or, in the case of Mr. Bradley, 18 months) after the date of termination or non-renewal by (a) delivering a written notice to the executive officer within 180 days after his termination or non-renewal stating that we irrevocably exercise the option, and (b) paying his base salary and the actual cost of his COBRA continuing health coverage premiums for a period of 12 months (or, in the case of Mr. Bradley, 18 months) after the date of his termination or non-renewal.

Limitations of Liability and Indemnification of Directors and Officers

As permitted by Texas law, our articles of incorporation provide that our directors will not be personally liable to us or our shareholders for or with respect to any acts or omissions in the performance of such person’s duties as a director to the fullest extent permitted by applicable law. Our articles of incorporation and bylaws provide that we must indemnify our directors and officers to the fullest extent permitted by Texas law. Our bylaws further provide that we must pay or reimburse reasonable expenses incurred by one of our directors or officers who was, is or is threatened to be made a named defendant or respondent in a proceeding to the maximum extent permitted under Texas law. We believe that these provisions are necessary to attract and retain qualified persons as directors and officers.

We have entered into indemnification agreements with our directors and officers. These agreements, among other things, require us to indemnify the director or officer to the fullest extent permitted by Texas law, including indemnification for judgments, penalties, fines, settlements and reasonable expenses actually incurred by the director or officer in any action or proceeding, including any action by or in our right, arising out of the person’s services as our director or officer or as the director or officer of any subsidiary of ours or any other company or enterprise to which the person provides services at our request. We have been informed that, in the opinion of the SEC, personal liability of directors for violation of the federal securities laws cannot be limited and that indemnification by us for any such violation is unenforceable.

The indemnification provisions contained in our articles of incorporation and bylaws are in addition to any other right that a person may have or acquire under any statute, bylaw, resolution of shareholders or directors or otherwise. We maintain insurance on behalf of our directors and officers insuring them against any liability asserted against them in their capacities as directors or officers or arising out of their service in these capacities.

We are not aware of any pending or threatened litigation or proceeding involving any of our directors, officers, employees or agencies in which indemnification would be required or permitted. We believe that the provisions of our articles of incorporation and bylaws and our indemnification agreements are necessary to attract and retain qualified persons to serve as directors and officers of our company.

PRINCIPAL AND SELLING SHAREHOLDERS

The tables below contain information about the beneficial ownership of our common stock and our Series C convertible preferred stock prior to and following the completion of this offering for:


	•	each of our directors;

	•	each of our executive officers;

	•	all directors and executive officers as a group;

	•	each beneficial owner of more than five percent of our common stock or Series C convertible preferred stock; and

	•	each of the selling shareholders.

The tables below list the number of shares and percentage of shares beneficially owned based on 21,581,864 shares of our common stock and 300,000 shares of our Series C convertible preferred stock outstanding as of September 1, 2005. Holders of our Series C convertible preferred stock are entitled to vote on all matters to be voted on by our shareholders and vote as a single class with the holders of our common stock.

Beneficial ownership of our common stock and Series C convertible preferred stock is determined in accordance with the rules of the SEC, and generally includes voting power or investment power with respect to securities held. Except as indicated and subject to applicable community property laws, to our knowledge the persons named in the tables below have sole voting and investment power with respect to all shares of common stock or Series C convertible preferred stock shown as beneficially owned by them.

Directors and Executive Officers


	Beneficial Ownership								Beneficial Ownership
	Prior to the Offering								After the Offering

			Percentage of			Percentage				Percentage of	Percentage
	Number of		Outstanding			of Total			Number of	Outstanding	of Total
Name of Beneficial Owner	Shares		Shares			Vote(1)			Shares	Shares(2)	Vote(1)

Common Stock:
Mark R. Anderson		536,548		2.5	%		2.1	%
C. Allen Bradley, Jr.		28,302		*			*
Jared A. Morris(3)		3,442,823		16.0	%		13.4	%
Paul B. Queally(4)(5)		9,135		*			*
Sean M. Traynor(5)		100		*			*
		0		—			—
		0		—			—
Geoffrey R. Banta		0		—			—
Arthur L. Hunt		51,887		*			*
Craig P. Leach		56,604		*			*
All directors and executive officers as a group (10 persons)		4,125,399		19.1	%		16.0	%


	*	Less than 1%.

(1)

Combined voting power of common stock and Series C convertible preferred stock. Each share of common stock is entitled to one vote and each share of Series C convertible preferred stock is entitled to one vote for each share of common stock into which it is convertible. Upon completion of this offering and based on an assumed initial public offering price of $ per share, which is the mid-point of the price range set forth on the cover page of this prospectus, the

conversion price used to determine the number of shares of our common stock into which each share of Series C convertible preferred stock is convertible will be reduced from $7.24308 per share to $                     per share.

(2) Percentage assumes that                      shares of our outstanding Series A preferred stock are exchanged for                      shares of common stock upon completion of this offering. For additional information about the exchange of Series A preferred stock, see “Description of Capital Stock” below.

(3) All shares are beneficially owned through the Jared Morris 1997 Trust, of which Jared Morris is a trustee. The address for the Jared Morris 1997 Trust is 5000 Quorum Drive, Suite 200, Dallas, Texas 75254.

(4) Includes 9,135 shares of common stock and an additional                      shares of common stock to be acquired upon completion of the offering upon the exchange of                      shares of Series A preferred stock.

(5) Paul B. Queally is a general partner of the sole general partner of Welsh, Carson, Anderson & Stowe VII, L.P., or WCAS VII. Sean M. Traynor is a general partner equivalent of certain funds managed by Welsh, Carson, Anderson & Stowe, L.P. Each of Mr. Queally and Mr. Traynor may be deemed to have shared voting and investment power with respect to the securities held by Welsh Carson.

Other Five Percent Holders


	Beneficial Ownership								Beneficial Ownership
	Prior to the Offering								After the Offering(1)

			Percentage of			Percentage					Percentage of			Percentage
	Number of		Outstanding			of Total			Number of		Outstanding			of Total
Name of Beneficial Owner	Shares		Shares			Vote(2)			Shares		Shares(3)			Vote(2)

Common Stock:
Welsh Carson(4)		14,568,060		67.5	%		56.6	%
Abbott Capital 1330 Investors I, L.P.(5)		2,761,256		11.3	%		10.7	%
Teachers Insurance and Annuity Association of America(6)		2,761,256		11.3	%		9.7	%
Sprout Group(7)		1,673,830		7.8	%		6.5	%
Series C Convertible Preferred Stock:
Abbott Capital 1330 Investors I, L.P.(5)		200,000		66.7	%		10.7	%		200,000		66.7	%
Northwestern Mutual Life Insurance Company(8)		50,000		16.7	%		2.7	%		50,000		16.7	%
Jackson National Life Insurance Company(9)		49,251		16.4	%		2.6	%		49,251		16.4	%



(1)	Beneficial ownership after the offering assumes that the underwriters do not exercise the option to purchase additional shares.



(2)	Combined voting power of common stock and Series C convertible preferred stock. Each share of common stock is entitled to one vote and each share of Series C convertible preferred stock is entitled to one vote for each share of common stock into which it is convertible. Upon completion of this offering and based on an assumed initial public offering price of $ share, which is the mid-point of the price range set forth on the cover page of this prospectus, the conversion price used to determine the number of shares of our common stock into which each share of Series C convertible preferred stock is convertible will be reduced from $7.24308 per share to $ per share.



(3)	Percentage assumes that shares of our outstanding Series A preferred stock are exchanged for shares of common stock upon completion of this offering. For additional information about the exchange of Series A preferred stock, see “Description of Capital Stock” below.



(4)	Represents (a) 14,452,624 shares of common stock held by Welsh, Carson, Anderson & Stowe VII, L.P., or WCAS VII, and an additional shares of common stock to be acquired upon completion of the offering upon the exchange of shares of Series A preferred stock, and (b) 115,436 shares of common stock held by WCAS Healthcare Partners, L.P., or WCAS HP, and an additional shares of common stock to be acquired upon completion of the offering upon the exchange of shares of Series A preferred stock. Each of the following general partners of WCAS VII and, in the case of Mr. Welsh and Mr. Carson, WCAS HP may be deemed to have shared voting and investment power with respect to the securities held by Welsh Carson and, in addition, beneficially owns shares of common stock, if any, as indicated parenthetically: Patrick J. Welsh (115,436 shares held by The Patrick Welsh 2004 Irrevocable Trust), Russell L. Carson (115,436 shares), Bruce K. Anderson (115,436 shares held by The Bruce K. Anderson 2004 Irrevocable Trust), Thomas A. McInerney (23,087 shares), Robert A. Minicucci (8,658 shares), Paul B. Queally (9,135 shares), Anthony J. DeNicola (4,617 shares) and Jonathan M. Rather. Sean M. Traynor beneficially owns 100 shares of common stock and is a general partner equivalent of certain funds managed by Welsh, Carson, Anderson & Stowe, L.P. Mr. Traynor may be deemed to have shared voting and investment power with respect to the securities held by Welsh Carson. The address for these Welsh Carson entities is 320 Park Avenue, Suite 2500, New York, New York 10022.



(5)	Beneficial ownership prior to the offering includes 2,761,256 shares of common stock that may be acquired pursuant to the conversion of Series C convertible preferred stock. Beneficial ownership after the offering includes shares of common stock that may be acquired pursuant to the conversion of Series C convertible preferred stock. The address for Abbott Capital 1330 Investors I, L.P. is c/o Abbott Capital Management, LLC, 1211 Avenue of the Americas, Suite 4300, New York, New York 10036.



(6)	Beneficial ownership prior to the offering includes 2,761,256 shares of common stock that may be acquired pursuant to the conversion of Series D convertible preferred stock into non-voting common stock, and the subsequent conversion of the non-voting common stock into common stock. Beneficial ownership after the offering includes shares of common stock that may be acquired pursuant to the conversion of Series D convertible preferred stock into non-voting common stock, and the subsequent conversion of the non-voting common stock into common stock. The address for Teachers Insurance and Annuity Association of America is 730 Third Avenue, New York, New York 10017.



(7)	Represents (a) 658,340 shares of common stock held by Sprout Growth II, L.P., and an additional shares of common stock to be acquired upon completion of the offering upon the exchange of shares of Series A preferred stock, (b) 805,277 shares of common stock held by Sprout Capital VII, L.P., and an additional shares of common stock to be acquired upon completion of the offering upon the exchange of shares of Series A preferred stock, (c) 9,355 shares of common stock held by Sprout CEO Fund, L.P., and an additional shares of common stock to be acquired upon completion of the offering upon the exchange of shares of Series A preferred stock; (d) 33,476 shares of common stock held by DLJ Capital Corporation, and an additional shares of common stock to be acquired upon completion of the offering upon the exchange of shares of Series A preferred stock; and (e) 167,382 shares of common stock held by DLJ First ESC, L.P., and an additional shares of common stock to be acquired upon completion of the offering upon the exchange of shares of Series A preferred stock. The address for these entities is c/o Sprout Group, 11 Madison Avenue, 13th Floor, New York, New York 10010.



(8)	Prior to and after the offering, the number of shares of common stock to be issued upon conversion of the shares of Series C preferred stock will represent less than five percent of both the outstanding shares of common stock and the percentage of total vote. The address for Northwestern Mutual Life Insurance Company is 720 East Wisconsin Avenue, Milwaukee, Wisconsin 53202.



(9)	Prior to and after the offering, the number of shares of common stock to be issued upon conversion of the shares of Series C preferred stock will represent less than five percent of both the outstanding shares of common stock and the percentage of total vote. The address for Jackson National Life Insurance Company is c/o PPM America, Inc., 225 West Wacker Drive, Chicago, Illinois 60606.

Selling Shareholders

To the extent the underwriters sell more than shares of our common stock, the selling shareholders have granted the underwriters a 30-day option to purchase up to additional shares of common stock at the initial public offering price, less the underwriting discount, to cover over-allotments, if any. We will not receive any of the proceeds from the sale of shares by the selling shareholders. The table below assumes the over-allotment option is exercised in full.

Each of the selling shareholders acquired the common shares offered for resale in connection with our recapitalization transactions in 1997 and 1998. They also acquired shares in 2004 upon the exercise of warrants issued in connection with the 1997 and 1998 transactions. Each of the selling shareholders purchased the common shares offered for resale in the ordinary course of business and, at the time of purchase, had no agreements or understandings to distribute the common shares.

Beneficial Ownership

After the Offering

Number of

Number of Common

Common Shares

Shares to be Sold if

Percentage of

Beneficially Owned

Over-Allotment Option

Number of

Outstanding

Percentage of

Selling Shareholder

Prior to the Offering

Exercised in Full

Shares

Shares(1)

Total Vote(2)

Welsh Carson

14,568,060

Sprout Group

1,673,830


	*	Less than 1%.



(1)	Percentage assumes that shares of our outstanding Series A preferred stock are exchanged for shares of common stock upon completion of this offering. For additional information about the exchange of Series A preferred stock, see “Description of Capital Stock” below.



(2)	Combined voting power of common stock and Series C convertible preferred stock. Each share of common stock is entitled to one vote and each share of Series C convertible preferred stock is entitled to one vote for each share of common stock into which it is convertible. Upon completion of this offering and based on an assumed initial public offering price of $ share, which is the mid-point of the price range set forth on the cover page of this prospectus, the conversion price used to determine the number of shares of our common stock into which each share of Series C convertible preferred stock is convertible will be reduced from $7.24308 per share to $ per share.

CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

Registration Rights Agreement

We have entered into a registration rights agreement with the holders of our convertible preferred stock and certain holders of our common stock, including Mark R. Anderson, Paul B. Queally, Sean M. Traynor, the Jared Morris 1997 Trust, Welsh Carson and Sprout Group. Under the registration rights agreement, these holders may require us to register any or all of their shares of common stock (including shares of common stock issuable upon conversion of our outstanding convertible preferred stock) under the Securities Act of 1933, or the Securities Act, upon the request of:


	•	the holders of a majority of certain shares of our common stock, including shares held by Paul B. Queally, Sean M. Traynor, Welsh Carson and Sprout Group;

	•	the holders of 33% of the shares of our common stock previously issued upon exercise of certain warrants issued by us in 1998, including shares held by Paul B. Queally, Welsh Carson and Sprout Group; or

	•	beginning 180 days after this offering, the holders of a majority of our convertible preferred stock.

In addition, the holders of our convertible preferred stock and common stock that are party to the registration rights agreement have the right to request that we:


	•	register shares of their common stock (including shares of common stock issuable upon conversion of our outstanding convertible preferred stock) with an anticipated aggregate sale price of at least $1.0 million under the Securities Act on a Form S-3 registration statement; and

	•	include shares of their common stock in any registration statement whenever we propose to register our common stock under the Securities Act.

We have agreed to pay all expenses, other than underwriting discounts and commissions, in connection with these registrations, including legal and accounting fees incurred by the company, printing costs and the fees of one law firm for the selling shareholders. In addition, we have agreed to indemnify these holders of our common stock and convertible preferred stock against certain liabilities, including liabilities under the Securities Act.

Stockholders Agreements

We have entered into stockholders agreements with certain holders of our capital stock, including Mark R. Anderson, Paul B. Queally, the Jared Morris 1997 Trust, Welsh Carson, Sprout Group, Abbott Capital 1330 Investors I, L.P., Northwestern Mutual Life Insurance Company, Jackson National Life Insurance Company and Teachers Insurance and Annuity Association of America. Under the terms of the stockholders agreements, the parties thereto have agreed, among other things, to vote to elect certain persons to our board. Welsh Carson’s designees are Paul B. Queally and Sean M. Traynor. In accordance with their terms, the stockholders agreements will terminate upon completion of this offering.

Concentra Inc.

We have entered into arm’s length agreements with certain subsidiaries of Concentra Inc., pursuant to which they provide us with health care management, cost containment and claims management services. Affiliates of our principal shareholder, Welsh Carson, beneficially own a majority of the outstanding shares of common stock of Concentra. Two of our directors, Paul B. Queally and Sean M. Traynor, are general partners of Welsh Carson. In addition, Mr. Queally is the Chairman of the Board and a director of Concentra. Under the terms of these agreements, we made aggregate payments to subsidiaries of Concentra of approximately $2.3 million, $1.6 million and $0.8 million in 2004, 2003 and 2002, respectively.

DESCRIPTION OF CAPITAL STOCK

Upon completion of this offering, we will be authorized to issue shares of capital stock, consisting of:


	•	shares of preferred stock, par value $0.01 per share, of which:


	•	1,500,000 shares are designated as Series A preferred stock;

	•	1,500,000 shares are designated as Series B preferred stock;

	•	300,000 shares are designated as Series C convertible deferred pay preferred stock;

	•	200,000 shares are designated as Series D non-voting convertible deferred pay preferred stock; and

	•	500,000 shares are designated as Series E preferred stock;


	•	shares of common stock, par value $0.01 per share; and

	•	5,000,000 shares of convertible non-voting common stock, par value $0.01 per share.

As of September 1, 2005, the following shares of our capital stock were outstanding:


	•	848,082 shares of Series A preferred stock;

	•	300,000 shares of Series C convertible preferred stock;

	•	200,000 shares of Series D convertible preferred stock;

	•	35,930 shares of Series E preferred stock; and

	•	21,581,864 shares of common stock.

There are no shares of Series B preferred stock or non-voting common stock outstanding. There were 46 holders of record of our common stock as of September 1, 2005.

In connection with this offering, our articles of incorporation require that we use proceeds from the offering to redeem all outstanding shares of Series E preferred stock and 50% of the net proceeds, or approximately $ million, to redeem outstanding shares of Series A preferred stock, unless our board of directors determines in good faith that the preferred stock redemption would cause us not to maintain our current A.M. Best rating or would contravene applicable law. In addition, as permitted under our articles of incorporation, the holders of our Series A preferred stock have elected to exchange any remaining shares of Series A preferred stock outstanding after the redemption for shares of our common stock. Upon completion of this offering and after giving effect to the sale of shares by us and the redemption and/or exchange of all outstanding shares of our Series A preferred stock and Series E preferred stock, we expect shares of our common stock, 300,000 shares of our Series C convertible preferred stock and 200,000 shares of Series D convertible preferred stock will be outstanding. No shares of our Series A preferred stock, Series B preferred stock, Series E preferred stock or non-voting common stock will be outstanding upon completion of this offering.

The following summary of certain provisions of our common stock and convertible preferred stock is qualified in its entirety by the detailed provisions of our articles of incorporation and bylaws, copies of which have been filed as exhibits to the registration statement of which this prospectus is a part, and by the provisions of applicable law. See “Where You Can Find More Information.”

Common Stock and Non-Voting Common Stock

Voting. Each holder of our common stock is entitled to one vote for each share on all matters to be voted on by our shareholders, and vote together as a single class with the holders of our Series C convertible preferred stock. Holders of shares of non-voting common stock are not entitled to vote on any matter to be voted on by our shareholders, except as required by Texas law.

Dividends. Holders of common stock and non-voting common stock are entitled to receive dividends, on an equal basis, at the time and in the amount as our board may from time to time determine, subject to any preferential amounts payable to holders of all series of our outstanding preferred stock. Our articles of incorporation prohibit us from paying dividends on our common stock and non-voting common stock (other than in additional shares of common stock or non-voting common stock, as applicable) without the consent of the holders of two-thirds of the outstanding shares of our convertible preferred stock. If holders of our convertible preferred stock consent to the payment of a dividend by us, we must pay a dividend to the holders of our convertible preferred stock on an as-converted to common stock or non-voting common stock, as applicable, basis equal to the dividend we pay to the holders of our common stock and non-voting common stock.

Liquidation. Upon a liquidation and dissolution of our company, the holders of common stock and non-voting common stock are entitled to receive, on an equal basis, all assets available for distribution to shareholders, subject to any preferential amounts payable to holders of our then-outstanding series of preferred stock.

Conversion of Non-Voting Common Stock. Shares of our non-voting common stock are issuable upon conversion of our Series D convertible preferred stock. Each share of non-voting common stock may be converted at any time, and without cost to the shareholder, into one share of common stock.

Convertible Preferred Stock

Voting. Each holder of our Series C convertible preferred stock is entitled to one vote for each share of our common stock into which the Series C convertible preferred stock is convertible on all matters to be voted on by our shareholders and vote together as a single class with holders of our common stock. The Series D convertible preferred stock is non-voting. However, the holders of Series C convertible preferred stock and Series D convertible preferred stock each have the right to vote as a separate series on any amendment to our articles of incorporation or on any action to be taken by us that would adversely affect the rights, privileges and preferences of the convertible preferred stock.

Dividends. Prior to completion of this offering, holders of convertible preferred stock are entitled to receive pay-in-kind dividends at a rate of $7.00 per share per annum payable in shares of Series E preferred stock. Under the terms of our articles of incorporation, upon the redemption and exchange of all outstanding shares of our Series A preferred stock in connection with this offering, holders of our convertible preferred stock will no longer be entitled to receive these pay-in-kind dividends. However, if the holders of two-thirds of our outstanding convertible preferred stock consent to the declaration or payment of a dividend by us to the holders of our common stock or non-voting common stock, the holders of our outstanding convertible preferred stock will receive a dividend payable on an as-converted to common stock or non-voting common stock, as applicable, basis equal to the dividend to be paid to the holders of our common stock and non-voting common stock.

Liquidation Rights. Upon any liquidation, dissolution or winding up of our company, holders of our convertible preferred stock are entitled to receive, in cash, an amount equal to the greater of:


	•	$100 for each share of convertible preferred stock outstanding, plus the cash value, calculated at $100 per share, of all accrued and unpaid dividends; and

	•	the amount distributable to the holders of our convertible preferred stock upon liquidation, dissolution or winding up had the holders converted their shares into common stock or non-voting common stock, as the case may be, in accordance with the terms of the convertible preferred stock immediately prior to liquidation, dissolution or winding up.

All liquidation payments in respect of shares of our convertible preferred stock are required to be paid before any distribution is made in respect of our common stock.

Conversion. The Series C convertible preferred stock is convertible into our common stock, and the Series D convertible preferred stock is convertible into our non-voting common stock, in each case at a conversion rate calculated by multiplying the number of shares to be converted by $100 and dividing the result by the then-applicable conversion price, as adjusted from time to time. As of September 1, 2005, the conversion price was $7.24308 per share. Upon completion of this offering, the conversion price will be $ per share. Our convertible preferred stock is convertible:


	•	at any time at the option of the holder;

	•	at our option at any time following the consummation of any public offering of our equity securities or a change of control of our company if the closing price for our common stock for the prior 20 trading days is, or the proceeds from the change of control results in a value for our outstanding common stock of, at least $9.05 per share; and

	•	automatically upon consummation of a public offering of our common stock with gross proceeds to us of at least $40.0 million at a price to public of at least $9.05 per share, subject to adjustment to reflect stock splits, combinations and stock dividends.

Redemption. Following a change of control of our company, holders of our convertible preferred stock have the right to require us to redeem their shares at a redemption price of $100 plus the cash value, calculated at $100 per share, of all accrued and unpaid dividends. Our articles of incorporation define a change of control of our company for this purpose to include:


	•	the sale, lease or transfer of all or substantially all of our assets in one or a series of related transactions to any person; or

	•	the acquisition of beneficial ownership by any person, other than Welsh Carson, in one or a series of related transactions, of our voting stock representing more than 50% of the voting power of all outstanding shares of our voting stock, whether by merger, consolidation or otherwise, other than by way of a public offering of our equity securities.

In addition, we may at any time, on 30 days’ notice, redeem all, but not less than all, shares of convertible preferred stock at a redemption price of $103.50 plus the cash value, calculated at $100 per share, of all accrued and unpaid dividends. Until payment of the redemption price, we may not make any payment or distribution upon any preferred stock, common stock or non-voting common stock.

Blank Check Preferred Stock

Upon completion of this offering, our board of directors will have the authority, without further action by the shareholders, to issue up to million shares of preferred stock in one or more series. In addition, our board may fix the rights, preferences and privileges of any series of preferred stock it may determine to issue. These rights may include a preferential return in the event of our liquidation, the right to receive dividends if declared by our board, special dividend rates, conversion rights, redemption rights, superior voting rights to the common stock, the right to protection from dilutive issuances of securities, or the right to approve corporate actions. Any or all of these rights may be superior to the rights of the common stock. As a result, preferred stock could be issued with terms that could delay or prevent a change of control or make removal of our management more difficult. In addition, issuance of preferred stock may decrease the market price of our common stock. At present, we have no plans to issue any additional shares of preferred stock.

Anti-Takeover Provisions

Texas Business Corporation Act. Upon completion of this offering, we will be subject to Part 13 of the Texas Business Corporation Act. In general, that statute prohibits a publicly held Texas corporation from engaging, under certain circumstances, in a “business combination” with any “affiliated

100

shareholder” for a period of three years following the date that the shareholder became an affiliated shareholder unless:


	•	prior to that date, the corporation’s board of directors approved either the business combination or the transaction that resulted in the shareholder becoming an affiliated shareholder; or

	•	not less than six months after that date, the business combination is approved at a meeting of shareholders duly called for that purpose, and not by written consent, by the affirmative vote of at least two-thirds of the outstanding voting shares that are not beneficially owned by the affiliated shareholder.

Part 13 of the TBCA defines a “business combination” to include:


	•	any merger, share exchange or conversion involving the corporation and the affiliated shareholder;

	•	any sale, lease, exchange, mortgage, pledge, transfer or other disposition of 10% or more of the assets of the corporation involving the affiliated shareholder;

	•	subject to exceptions, any transaction that results in the issuance or transfer by the corporation of any stock of the corporation to the affiliated shareholder;

	•	the adoption of a plan or proposal for our liquidation or dissolution proposed by or pursuant to an agreement with the affiliated shareholder;

	•	a reclassification, recapitalization or merger proposed by or pursuant to an agreement with the affiliated shareholder that has the effect of increasing the proportionate ownership percentage of the affiliated shareholder; or

	•	the receipt by the affiliated shareholder of the benefit of any loan, advance, guarantee, pledge or other financial benefit provided by or through the corporation.

In general, Part 13 of the TBCA defines an “affiliated shareholder” as any shareholder who beneficially owns 20% or more of the corporation’s outstanding voting shares, as well as any entity or person affiliated with or controlling or controlled by the shareholder.

A Texas corporation may opt out of Part 13 of the TBCA with an express provision in its original articles of incorporation or an express provision in its articles of incorporation or bylaws resulting from an amendment approved by the affirmative vote of at least two-thirds of the outstanding voting shares that are not beneficially owned by the affiliated shareholder. We have not opted out of the provisions of Part 13 of the TBCA.

Louisiana and Texas Insurance Law. Two of our three insurance company subsidiaries, American Interstate and Silver Oak Casualty, are incorporated in Louisiana and the other, American Interstate of Texas, is incorporated in Texas. Under Louisiana and Texas insurance law, advance approval by the state insurance department is required for any change of control of an insurer. “Control” is presumed to exist through the direct or indirect ownership of 10% or more of the voting securities of a domestic insurance company or any entity that controls a domestic insurance company. Obtaining these approvals may result in the material delay of, or deter, any such transaction. For additional information, see “Business— Regulation— Change of Control.”

Charter and Bylaw Provisions. The following summary of certain provisions of our articles of incorporation and bylaws is qualified in its entirety by our articles of incorporation and bylaws, copies of which have been filed as exhibits to the registration statement of which this prospectus is a part.

Our articles of incorporation provide that upon completion of this offering any action required or permitted to be taken by our shareholders may only be effected at a duly called meeting of shareholders. In addition, our articles of incorporation:


	•	prohibit shareholders from taking action by written consent, unless the consent is unanimous;

	•	prohibit the use of cumulative voting in the election of directors; and

101


	•	authorize our board to issue blank check preferred stock to increase the amount of outstanding shares.

Under cumulative voting, a minority shareholder holding a sufficient percentage of a class of shares may be able to ensure the election of one or more directors.

Our articles of incorporation provide that special meetings of our shareholders may be called only by the chairman of our board, our president, a majority of our board of directors or by holders of at least 25% of the combined voting power of the then-outstanding securities entitled to vote generally in the election of directors of AMERISAFE. Should any shareholder desire to present business at any meeting, including nominating a candidate for director, they must comply with certain advance notice provisions in our bylaws.

Our articles of incorporation and bylaws provide that the authorized number of our directors is fixed by our board of directors. In addition, our bylaws provide that our board of directors will be divided into three classes with the number of directors in each class as nearly equal as possible. Each director will serve a three-year term. The classification and term of office for each of our directors upon completion of this offering is noted in the table listing our directors and executive officers under “— Directors, Director Nominees, Executive Officers and Key Employees.” As a result, any effort to obtain control of our board of directors by causing the election of a majority of the board of directors may require more time than would be required without a classified board.

Our bylaws provide that vacancies in our board may be filled by election at an annual or special meeting of our shareholders called for that purpose or by the affirmative vote of a majority of the remaining directors then in office, even if less than a quorum. Any newly created directorships may be filled by election at an annual or special meeting of our shareholders called for that purpose or by our board, provided that our board may not fill more than two newly created directorships during the period between any two successive annual meetings of our shareholders. Our bylaws provide that, at any meeting of shareholders called for that purpose, any director may be removed for cause by the affirmative vote of the holders of at least two-thirds of the shares of our stock entitled to vote for the election of directors.

As described above, our board will be authorized to issue up to million shares of preferred stock and to determine the price and the rights, preferences and privileges of these shares, without shareholder approval, which could also delay or prevent a change of control transaction.

These provisions contained in our articles of incorporation and bylaws could delay or discourage certain types of transactions involving an actual or potential change of control of us or our management (including transactions in which shareholders might otherwise receive a premium for their shares over the then-current prices) and may limit the ability of shareholders to remove current management or approve transactions that shareholders may deem to be in their best interests and, therefore, could adversely affect the price of our common stock.

Transfer Agent and Registrar

The transfer agent and registrar for our common stock is American Stock Transfer & Trust Company.

Listing

We have applied to have our shares of common stock approved for listing on the Nasdaq National Market under the symbol “AMSF.”

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SHARES ELIGIBLE FOR FUTURE SALE

Prior to completion of this offering, there has not been a public market for our common stock. Future sales of our common stock in the public market, or the perception that sales may occur, could adversely affect the market price of our common stock and could impair our future ability to raise capital through the sale of our equity securities.

Upon completion of this offering, we will have approximately shares of common stock outstanding, which includes the shares of common stock sold by us in this offering, shares issued upon exchange of our Series A preferred stock, and the shares of restricted stock to be issued to our non-employee directors. Of these shares, the shares sold in this offering and any shares issued upon exercise of the underwriters’ over-allotment option will be freely tradable without restriction or further registration under the Securities Act, unless the shares are held by any of our “affiliates” as that term is defined in Rule 144 of the Securities Act, in which case they may only be sold in compliance with the limitations described below. The remaining shares were issued and sold by us in reliance on exemptions from the registration requirements of the Securities Act and are eligible for public sale if registered under the Securities Act or sold in accordance with Rule 144.

Upon completion of this offering, shares will be issuable upon the exercise of outstanding options that we intend to grant to our executive officers and other employees, at an exercise price equal to the initial public offering price. In addition, shares of our common stock will be issuable upon the conversion of our convertible preferred stock, subject to further adjustment pursuant to the terms of our convertible preferred stock.

Lock-Up Agreements

Except as described below, each of our directors, our officers and the selling shareholders has agreed with the underwriters not to sell, contract to sell, pledge, dispose of or hedge any shares of stock (or securities convertible into, or exchangeable for, shares of our common stock) for a period of 180 days under agreements, referred to as “lock-up agreements,” without the consent of the underwriters. The conditions of these lock-up agreements may be waived by the underwriters. Upon completion of this offering, shares of our common stock will be subject to lock-up agreements.

Rule 144 Sales by Affiliates

Affiliates of our company must comply with Rule 144 of the Securities Act when they sell shares of our common stock. In general, under these rules, persons who acquire shares of common stock, other than in a public offering registered with the SEC, are required to hold those shares for a period of one year. Shares acquired in a registered public offering or held for more than one year may be sold by an affiliate subject to certain conditions. An affiliate would be entitled to sell within any three-month period a number of shares that does not exceed the greater of:


	•	one percent of the number of shares of common stock then outstanding (approximately shares immediately after the offering); and

	•	the average weekly trading volume of the common stock on the Nasdaq National Market during the four calendar weeks preceding the filing with the SEC of a notice on Form 144 with respect to the sale.

Sales under Rule 144 are also subject to other requirements regarding the manner of sale, notice and the availability of current public information about our company.

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Rule 144(k)

Under Rule 144(k) of the Securities Act, a person who is not, and has not been at any time during the 90 days preceding a sale, one of our affiliates and who has beneficially owned the shares proposed to be sold for at least two years is entitled to sell the shares without complying with the manner of sale, public information, volume limitation or notice provisions of Rule 144.

Of the shares of common stock outstanding as of the date of this prospectus, or issuable upon conversion of our outstanding shares of convertible preferred stock as of the date of this prospectus, shares of such common stock would be available to be sold pursuant to Rule 144, including shares of common stock that could be sold pursuant to Rule 144(k), in each case subject to the terms of the lock-up agreements and registration rights agreement described above.

We intend to file a Form S-8 registration statement following completion of this offering to register shares of common stock issuable under each of our equity incentive plans. These shares will be available-for-sale in the public market, subject to Rule 144 volume limitations applicable to affiliates.

Registration Rights

We have granted registration rights to certain holders of our common stock and holders of our convertible preferred stock. Upon completion of this offering and assuming the over-allotment option is not exercised, these holders will own approximately shares of our common stock (including shares of common stock issuable upon conversion of our convertible preferred stock assuming a conversion price of $ per share) that they may require us to register for sale under the Securities Act pursuant to the registration rights agreement. See “Certain Relationships and Related Transactions— Registration Rights Agreement.”

104

UNDERWRITING

Subject to the terms and conditions set forth in the underwriting agreement between us, the selling shareholders and the underwriters named below, for whom Friedman, Billings, Ramsey & Co., Inc., or FBR, Keefe, Bruyette & Woods, Inc. and William Blair & Company, L.L.C. are acting as representatives, we have agreed to sell to the underwriters, and the underwriters have agreed to purchase, the following respective number of shares of common stock:


Underwriter		Number of Shares

Friedman, Billings, Ramsey & Co., Inc.
Keefe, Bruyette & Woods, Inc.
William Blair & Company, L.L.C.

	Total

The selling shareholders have granted the underwriters an option exercisable during the 30-day period after the date of this prospectus to purchase on a pro rata basis, at the initial public offering price less underwriting discounts and commissions, up to an additional shares of common stock for the sole purpose of covering over-allotments, if any. To the extent that the underwriters exercise the option, the underwriters will be committed, subject to certain conditions, to purchase that number of additional shares.

Under the terms and conditions of the underwriting agreement, the underwriters are committed to purchase all of the shares offered by this prospectus other than the shares subject to the over-allotment option, if any shares are purchased. We and the selling shareholders have agreed to indemnify the underwriters against certain civil liabilities under the Securities Act, or to contribute to payments the underwriters may be required to make in respect of such liabilities.

The underwriters initially propose to offer the common stock directly to the public at the initial public offering price set forth on the cover page of this prospectus and to certain dealers at the same offering price less a concession not to exceed $ per share. The underwriters may allow, and certain dealers may re-allow, a discount not to exceed $ per share to certain other dealers.

The table below provides information regarding the per share and total underwriting discounts and commissions we and the selling shareholders will pay to the underwriters. These amounts are shown assuming both no exercise and full exercise of the underwriters’ over-allotment option to purchase up to additional shares.


	No Exercise of	Full Exercise of
Paid by Us	Over-Allotment Option	Over-Allotment Option

Per Share	$	$
Total	$	$


	No Exercise of		Full Exercise of
Paid by Selling Shareholders	Over-Allotment Option		Over-Allotment Option

Per Share	$	0	$
Total	$	0	$

In addition to the underwriting discounts and commissions to be paid by us, we have agreed to reimburse FBR for certain of its reasonable expenses incurred in connection with this offering up to $250,000. FBR may provide us with investment banking and financial advisory services in the future, for which it may receive customary compensation. In this regard, for a period of one year from the date of completion of the offering, we have granted FBR a right of first refusal to act as placement agent for any future trust preferred transactions in which we may participate.

105

We estimate that the total expenses of the offering payable by us, excluding underwriting discounts and commissions, will be approximately $ .

In connection with this offering, the underwriters may engage in transactions that stabilize, maintain or otherwise affect the price of our common stock. Specifically, the underwriters may over-allot this offering by selling more than the number of shares of common stock offered by this prospectus, creating a syndicate short position. In addition, the underwriters may bid for and purchase common stock in the open market to cover syndicate short positions or to stabilize the price of the common stock. Finally, the underwriters may reclaim selling concessions from dealers if shares of our common stock sold by such dealers are repurchased in syndicate covering transactions, in stabilization transactions or otherwise. Any of these activities may stabilize or maintain the market price of the common stock above independent market levels. These transactions may be effected in the over-the-counter market or otherwise. The underwriters are not required to engage in these activities and may end any of these activities at any time.

We, our current directors, officers and the selling shareholders have agreed that, without the prior written consent of the representatives, we will not, during the period ending 180 days after the date of this prospectus:


	•	offer, pledge, sell, contract to sell, sell any option or contract to purchase, purchase any option or contract to sell, grant any option, right or warrant to purchase, or otherwise transfer or dispose of, directly or indirectly, any shares of our common stock, or any securities convertible into or exercisable or exchangeable for any shares of our common stock or any right to acquire shares of our common stock; or

	•	enter into any swap or other arrangement that transfers to another, in whole or in part, any of the economic consequences of ownership of the common stock, whether any such transaction described above is to be settled by delivery of common stock or such other securities, in cash or otherwise.

The representatives do not intend to release any portion of the common stock subject to the foregoing lock-up agreements. However, the representatives, in their sole discretion, may release any of the common stock from the lock-up agreements prior to expiration of the 180-day period without notice. In considering a request to release shares from a lock-up agreement, the representatives will consider a number of factors, including the impact that such a release would have on this offering and the market for our common stock and the equitable considerations underlying the request for releases.

The underwriters have reserved for sale, at the initial offering price, shares of common stock for certain of our officers, employees and agencies who have expressed an interest in purchasing common stock in the offering. The number of shares of common stock available to the general public in the offering will be reduced to the extent these persons purchase these reserved shares. Any reserved shares not so purchased will be offered by the underwriters to the general public on the same terms as the other shares.

The underwriters have informed us that they do not intend to make sales of our common stock offered by this prospectus to accounts over which they exercise discretionary authority.

Prior to completion of this offering, there has been no public market for the shares. The initial public offering price will be negotiated by us and the representatives. Among the factors to be considered in determining the initial public offering price of the shares, in addition to prevailing market conditions, will be our historical performance, estimates of the business potential and our earnings prospects, an assessment of our management and the consideration of the above factors in relation to market valuation of companies in related businesses.

FBR will facilitate Internet distribution for this offering to certain of its Internet subscription customers. FBR intends to allocate a limited number of shares for sale to its online brokerage

106

customers. An electronic prospectus is available on the Internet web site maintained by FBR. Other than the prospectus in electronic format, the information on the FBR web site is not part of this prospectus.

We have applied to have our shares of common stock approved for listing on the Nasdaq National Market under the symbol “AMSF.”

LEGAL MATTERS

Jones Day in Dallas, Texas will pass upon the validity of the shares of common stock offered by this prospectus and certain other legal matters for us. Lord, Bissell & Brook LLP in Chicago, Illinois will pass upon certain legal matters for the underwriters.

EXPERTS

The consolidated financial statements and financial statement schedules of AMERISAFE, Inc. and its subsidiaries at December 31, 2004 and 2003, and for each of the three years in the period ended December 31, 2004, appearing in this Prospectus and Registration Statement have been audited by Ernst & Young LLP, independent registered public accounting firm, as set forth in their report thereon appearing elsewhere herein, and are included in reliance upon such report given on the authority of such firm as experts in accounting and auditing.

WHERE YOU CAN FIND MORE INFORMATION

We have filed with the SEC a registration statement on Form S-1 under the Securities Act with respect to the shares of our common stock offered by this prospectus. This prospectus does not contain all the information contained in the registration statement. For further information with respect to us and the shares to be sold in this offering, we refer you to the registration statement, including the agreements and other documents filed as exhibits to the registration statement. Statements contained in this prospectus as to the contents of any agreement or other document to which we make reference are not necessarily complete. In each instance, we refer you to the copy of the agreement or other document filed as an exhibit to the registration statement, each statement being qualified in all respects by reference to the agreement or document to which it refers.

After completion of this offering, we will file annual, quarterly and current reports, proxy statements and other information with the SEC. We intend to make these filings available on our website at www.amerisafe.com. The information on our website is not part of this prospectus. In addition, we will provide copies of our filings free of charge to our shareholders upon request. Our SEC filings, including the registration statement of which this prospectus is a part, will also be available to you on the SEC’s Internet site at http://www.sec.gov. You may read and copy all or any portion of the registration statement or any reports, statements or other information we file at the SEC’s public reference room at 450 Fifth Street, N.W., Washington, D.C. 20549. You may call the SEC at 1-800-SEC-0330 for further information on the operation of the public reference room. You can receive copies of these documents upon payment of a duplicating fee by writing to the SEC. We intend to furnish our shareholders with annual reports containing consolidated financial statements audited by an independent registered public accounting firm.

107

INDEX TO FINANCIAL STATEMENTS


	Page

Audited Financial Statements as of December 31, 2004 and 2003 and for the three years in the period ended December 31, 2004:
Report of Independent Registered Public Accounting Firm		F-2
Consolidated Balance Sheets		F-3
Consolidated Statements of Income		F-4
Consolidated Statements of Changes in Shareholders’ Deficit		F-5
Consolidated Statements of Cash Flows		F-6
Notes to Consolidated Financial Statements		F-7

Unaudited Interim Financial Statements as of June 30, 2005 and December 31, 2004 and for the six-month periods ended June 30, 2005 and 2004:
Condensed Consolidated Balance Sheets		F-35
Condensed Consolidated Statements of Income		F-36
Condensed Consolidated Statements of Changes in Shareholders’ Deficit		F-37
Condensed Consolidated Statements of Cash Flows		F-38
Notes to Condensed Consolidated Financial Statements		F-39

F-1

Report of Independent Registered Public Accounting Firm

The Board of Directors

AMERISAFE, Inc. and Subsidiaries

We have audited the accompanying consolidated balance sheets of AMERISAFE, Inc. and subsidiaries as of December 31, 2004 and 2003, and the related consolidated statements of income, changes in shareholders’ deficit, and cash flows for each of the three years in the period ended December 31, 2004. Our audits also included the financial statement schedules listed in the Index at Item 16(b). These financial statements and schedules are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements and schedules based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. We were not engaged to perform an audit of the Company’s internal control over financial reporting. Our audits included consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for purposes of expressing an opinion on the effectiveness of internal controls over financial reporting. Accordingly, we express no such opinion. An audit also includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, 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 consolidated financial position of AMERISAFE, Inc. and subsidiaries at December 31, 2004 and 2003, and the consolidated results of their operations and their cash flows for each of the three years in the period ended December 31, 2004, in conformity with accounting principles generally accepted in the United States. Also, in our opinion, the related financial statements taken as a whole present fairly, in all material respects, the information set forth therein.


	/s/ Ernst & Young LLP

New Orleans, Louisiana

May 8, 2005, except for Note 22, as to

which the date is July 28, 2005

F-2

AMERISAFE, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS


			December 31,

			2004			2003

			(In thousands, except
			share data)
Assets
Investments:
	Fixed maturity securities— held-to-maturity, at amortized cost (fair value $328,948)		$	329,653		$	—
	Fixed maturity securities— available-for-sale, at fair value (cost $1,729 and $233,111 in 2004 and 2003, respectively)			1,755			243,863
	Equity securities— available-for-sale, at fair value (cost $30,926 and $11,215 in 2004 and 2003, respectively)			33,460			11,496
	Mortgage loan			—			2,370

Total invested assets				364,868			257,729
Cash and cash equivalents				25,421			49,815
Receivable for investments sold				—			1,380
Amounts recoverable from reinsurers				198,977			211,774
Premiums receivable, net				114,141			108,380
Deferred income taxes				15,624			12,713
Federal income tax recoverable				1,292			6,426
Accrued interest receivable				3,123			2,659
Property and equipment, net				7,077			6,000
Deferred policy acquisition costs				12,044			11,820
Deferred charges				3,054			2,987
Other assets				8,566			6,925

			$	754,187		$	678,608

Liabilities, redeemable preferred stock and shareholders’ deficit
Liabilities:
	Reserves for loss and loss adjustment expenses		$	432,880		$	377,559
	Unearned premiums			111,741			103,462
	Reinsurance premiums payable			861			485
	Amounts held for others			1,214			1,376
	Policyholder deposits			33,746			28,609
	Insurance-related assessments			29,876			26,133
	Accounts payable and other liabilities			18,725			18,902
	Note payable			—			6,000
	Subordinated debt securities			36,090			10,310

Total liabilities				665,133			572,836
Redeemable preferred stock:
	Series A nonconvertible— $0.01 par value, $100 per share redemption value:
		Authorized shares— 1,500,000; issued and outstanding shares— 819,161 in 2004 and 764,243 in 2003		81,916			76,424
	Series B nonconvertible— $0.01 par value, $100 per share redemption value:
		Authorized shares— 1,500,000; no shares issued or outstanding in 2004 or 2003		—			—
	Series C convertible— $0.01 par value, $100 per share redemption value:
		Authorized shares— 300,000; issued and outstanding shares— 300,000 in 2004 and 2003		30,000			30,000
	Series D convertible— $0.01 par value, $100 per share redemption value:
		Authorized shares— 200,000; issued and outstanding shares— 200,000 in 2004 and 2003		20,000			20,000

				131,916			126,424
Shareholders’ deficit:
	Preferred stock: Series E nonconvertible— $0.01 par value, $100 per share redemption value:
		Authorized— 500,000; issued and outstanding shares— 17,653 in 2004 and 247,209 in 2003		1,765			24,720
	Common stock:
		Voting— $0.01 par value, authorized shares— 100,000,000; issued and outstanding shares— 21,581,864 in 2004 and 12,967,104 in 2003		216			130
		Convertible nonvoting— $0.01 par value, authorized shares— 5,000,000; no shares issued or outstanding in 2004 or 2003		—			—
Additional paid-in capital				—			—
Accumulated deficit				(51,896	)		(52,672	)
Accumulated other comprehensive income				7,053			7,170

				(42,862	)		(20,652	)

			$	754,187		$	678,608

See accompanying notes.

F-3

AMERISAFE, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF INCOME


		Year Ended December 31,

		2004			2003			2002

		(In thousands, except share and per share data)
Revenues:
	Premiums earned	$	234,733		$	179,847		$	163,257
	Net investment income		12,217			10,106			9,419
	Net realized gains (losses) on investments		1,421			316			(895	)
	Gain on sale of asset		—			—			194
	Fee and other income		589			462			1,888

Total revenues			248,960			190,731			173,863
Expenses:
	Loss and loss adjustment expenses incurred		174,186			129,250			121,062
	Underwriting and certain other operating costs		28,987			23,062			22,674
	Commissions		14,160			11,003			9,189
	Salaries and benefits		15,034			15,037			16,541
	Interest expense		1,799			203			498
	Policyholder dividends		1,108			736			156

Total expenses			235,274			179,291			170,120

Income before income taxes			13,686			11,440			3,743
Income tax expense (benefit)			3,129			2,846			(1,438	)

Net income			10,557			8,594			5,181
Preferred stock dividends			(9,781	)		(10,133	)		(9,453	)

Net income (loss) available to common shareholders		$	776		$	(1,539	)	$	(4,272	)

Earnings (loss) per share:
	Basic	$	0.03		$	(0.12	)	$	(0.33	)

	Diluted	$	0.03		$	(0.12	)	$	(0.33	)

Shares used in computing earnings (loss) per share:
	Basic		16,226,442			12,967,104			12,967,104

	Diluted		18,380,132			12,967,104			12,967,104

See accompanying notes.

F-4

AMERISAFE, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ DEFICIT


				Series E																Accumulated
				Preferred Stock						Common Stock				Additional						Other
														Paid-In			Accumulated			Comprehensive
				Shares			Amount			Shares		Amount		Capital			Deficit			Income			Total

				(In thousands, except share data)
Balance at January 1, 2002					150,379		$	15,038			12,967,104	$	130	$	14,877		$	(61,738	)	$	1,693		$	(30,000	)
	Comprehensive income:
		Net income			—			—			—		—		—			5,181			—			5,181
		Other comprehensive income, net of tax:
			Unrealized gain on securities		—			—			—		—		—			—			4,499			4,499

	Comprehensive income																							9,680
	Series A preferred stock dividends				—			—			—		—		(4,780	)		—			—			(4,780	)
	Series E preferred stock dividends				46,736			4,673			—		—		(4,673	)		—			—			—

Balance at December 31, 2002					197,115			19,711			12,967,104		130		5,424			(56,557	)		6,192			(25,100	)
	Comprehensive income:
		Net income			—			—			—		—		—			8,594			—			8,594
		Other comprehensive income, net of tax:
			Unrealized gain on securities		—			—			—		—		—			—			978			978

	Comprehensive income																							9,572
	Series A preferred stock dividends				—			—			—		—		(5,124	)		—			—			(5,124	)
	Series E preferred stock dividends				50,094			5,009			—		—		(300	)		(4,709	)		—			—

Balance at December 31, 2003					247,209			24,720			12,967,104		130		—			(52,672	)		7,170			(20,652	)
	Comprehensive income:
		Net income			—			—			—		—		—			10,557			—			10,557
		Other comprehensive income, net of tax:
			Unrealized loss on securities		—			—			—		—		—			—			(117	)		(117	)

	Comprehensive income																							10,440
	Conversion of warrants				—			—			8,614,760		86		—			—			—			86
	Series A preferred stock dividends				—			—			—		—		—			(5,492	)		—			(5,492	)
	Series E preferred stock dividends				42,880			4,289			—		—		—			(4,289	)		—			—
	Redemption of Series E preferred stock				(272,436	)		(27,244	)		—		—		—			—			—			(27,244	)

Balance at December 31, 2004					17,653		$	1,765			21,581,864	$	216	$	—		$	(51,896	)	$	7,053		$	(42,862	)

See accompanying notes.

F-5

AMERISAFE, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS


			Year Ended December 31,

			2004			2003			2002

			(In thousands)
Operating activities
Net income			$	10,557		$	8,594		$	5,181
Adjustments to reconcile net income to net cash provided by operating activities:
	Depreciation			1,695			2,019			1,966
	Provision for doubtful accounts			1,262			19			(902	)
	Net amortization/accretion of investments			1,673			1,015			234
	Deferred income taxes			(2,849	)		(1,868	)		915
	Net realized (gains) losses on investments			(1,421	)		(316	)		895
	Gain on sale of asset			—			—			(194	)
	Changes in operating assets and liabilities:
		Premiums receivable		(7,023	)		(13,108	)		10,518
		Accrued interest receivable		(464	)		(544	)		(225	)
		Deferred policy acquisition costs and deferred charges		(291	)		(3,305	)		2,164
		Other assets		3,497			(1,549	)		(31	)
		Reserve for loss and loss adjustment expenses		55,321			31,017			(36,490	)
		Unearned premiums		8,279			16,143			(4,727	)
		Reinsurance balances		13,173			1,742			82,157
		Amounts held for others and policyholder deposits		4,975			6,230			(1,839	)
		Accounts payable and other liabilities		3,565			4,360			(5,310	)

Net cash provided by operating activities				91,949			50,449			54,312
Investing activities
Purchases of investments held-to-maturity				(113,461	)		(81,988	)		(73,344	)
Purchases of investments available-for-sale				(31,795	)		(8,675	)		(4,861	)
Proceeds from maturities of investments held-to-maturity				21,789			—			—
Proceeds from sales and maturities of investments available-for-sale				14,908			37,548			26,870
Repayments on mortgage loan				2,370			127			118
Purchases of property and equipment				(2,778	)		(640	)		(2,562	)
Proceeds from sales of property and equipment				2			7			874

Net cash used in investing activities				(108,965	)		(53,621	)		(52,905	)
Financing activities
Proceeds from issuance of subordinated debt securities				25,780			10,310			—
Principal payments on note payable				(6,000	)		(2,000	)		(1,000	)
Warrants exercised				86			—			—
Redemption of outstanding Series E preferred stock				(27,244	)		—			—

Net cash provided by (used in) financing activities				(7,378	)		8,310			(1,000	)

Change in cash and cash equivalents				(24,394	)		5,138			407
Cash and cash equivalents at beginning of year				49,815			44,677			44,270

Cash and cash equivalents at end of year			$	25,421		$	49,815		$	44,677

Supplemental disclosure of cash flow information
Interest paid			$	1,260		$	297		$	335

Income taxes paid			$	8,434		$	8,574		$	4,899

Payment-in-kind dividends			$	9,781		$	10,133		$	9,453

See accompanying notes.

F-6

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

December 31, 2004


1.	Summary of Significant Accounting Policies

Organization

AMERISAFE, Inc. (“Amerisafe”), is an insurance holding company incorporated in the state of Texas, which, based on voting common shares, is 67.5% owned by Welsh, Carson, Anderson and Stowe VII L.P. and its affiliate WCAS Healthcare Partners, L.P. (“Welsh Carson”). The accompanying consolidated financial statements include the accounts of Amerisafe and its subsidiaries: American Interstate Insurance Company (“AIIC”) and its insurance subsidiaries, Silver Oak Casualty, Inc. (“SOCI”) and American Interstate Insurance Company of Texas (“AIIC-TX”), and Amerisafe General Agency, Inc. (“AGAI”). AIIC and SOCI are property and casualty insurance companies, domiciled in the state of Louisiana. AIIC-TX is a property and casualty insurance company organized under the laws of the state of Texas, was incorporated on December 20, 2004, and commenced business on January 1, 2005. AGAI, a wholly owned subsidiary of Amerisafe, is a general agent for the Company. AGAI sells insurance, which is underwritten by AIIC, SOCI, and AIIC-TX, as well as by nonaffiliated insurance carriers. The assets and operations of AGAI are not significant to that of the consolidated entity.

Amerisafe and its subsidiaries are collectively referred to herein as the “Company.”

The Company provides workers’ compensation and general liability insurance for companies primarily in special trade groups, including construction, trucking, and logging. Assets and revenues of AIIC represent approximately 99% of comparable consolidated amounts of the Company for each of 2004, 2003, and 2002.

In 1997, the Company entered into a recapitalization agreement with Welsh Carson that resulted in a change to the Company’s capital structure. The Company used the proceeds from this recapitalization to repurchase 80% of the then-outstanding common stock. The repurchase of the common stock resulted in a $164,186,000 charge to retained earnings.

Early in 2004, the Company engaged in initial discussions with potential underwriters regarding an initial public offering. In May 2005, Amerisafe’s Board of Directors authorized management to proceed with the initial public offering.

Basis of Presentation

The accompanying consolidated financial statements include the accounts of Amerisafe and its wholly owned subsidiaries. All significant intercompany balances and transactions have been eliminated in consolidation. The consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States (“GAAP”). The preparation of financial statements in accordance with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reported period. Actual results could differ from those estimates.

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

Investments

At acquisition, investments in held-to-maturity fixed maturity securities are recorded at amortized cost. The Company has the ability and positive intent to hold these investments until maturity. Available-for-sale fixed maturity securities and equity securities are recorded at fair value. Temporary

F-7

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

changes in the fair value of the available-for-sale fixed maturity and equity securities are reported in shareholders’ equity as a component of other comprehensive income, net of deferred income taxes.

During 2004, the Company transferred all fixed maturity securities, other than redeemable preferred stock, from the available-for-sale category to the held-to-maturity category. This transfer between categories was accounted for at fair value as of the transfer date. At the date of transfer, the fair value of all securities transferred was $10,707,000 ($6,960,000 net of income taxes) greater than the securities’ par value. The difference between each security’s par value and fair value at the date of transfer is being amortized as a yield adjustment over the respective security’s life. The fair value at the date of transfer, adjusted for subsequent amortization, is considered to be the security’s amortized cost basis.

The mortgage loan is carried at the unpaid principal balance. Collateral on the loan balance consists primarily of a first mortgage on the underlying property. The Company received the final payment on the mortgage loan in June 2004.

Investment income is recognized as it is earned. The discount or premium on fixed maturities is amortized using the scientific “constant yield” method. Anticipated prepayments, where applicable, are considered when determining the amortization of premiums or discounts. Realized investment gains and losses are determined using the specific identification method.

The Company regularly reviews the fair value of its investments. Impairment of an investment security results in a reduction of the carrying value of the security and the realization of a loss when the fair value of the security declines below the cost or amortized cost, as applicable, for the security and the impairment is deemed to be other-than-temporary. The Company regularly reviews the investment portfolio to evaluate the existence of other-than-temporary declines in the fair value of investments. The Company considers various factors in determining if a decline in the fair value of an individual security is other-than-temporary, including but not limited to the length of time and magnitude of the unrealized loss, the volatility of the security, analysts’ recommendations and price targets, opinions of the Company’s external investment advisor, market liquidity, and the Company’s intent to sell or ability to hold the security.

If the Company determines that the decline in fair value is other-than-temporary, the Company adjusts the cost basis of the investment and reports an impairment charge in net realized gains (losses) on investments in the consolidated statements of income in the period in which the Company makes this determination.

Cash and Cash Equivalents

Cash equivalents include commercial paper, short-term municipal securities, pooled short-term money market funds, and certificates of deposit with an original maturity of three months or less.

Premiums Receivable

Premiums receivable consist primarily of premium-related balances due from policyholders. The Company considers premiums receivable as past due based on the payment terms of the underlying policy. The balance is shown net of the allowance for doubtful accounts. Receivables due from insureds are charged off when a determination has been made that a specific balance will not be collected based upon the collection efforts of Company personnel. An estimate of amounts that are likely to be charged off is established as an allowance for doubtful accounts as of the balance sheet date. The estimate is

F-8

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

primarily comprised of specific balances that are considered probable to be charged off after all collection efforts have ceased, as well as historical trends and an analysis of the aging of the receivables.

Property and Equipment

The Company’s property and equipment, including certain costs incurred to develop or obtain software for internal use, are stated at cost less accumulated depreciation. Depreciation is calculated primarily by the straight-line method over the estimated useful lives of the respective assets, generally 39 years for the building and three to seven years for all other fixed assets.

Deferred Policy Acquisition Costs

The direct costs of acquiring and renewing business are capitalized to the extent recoverable and are amortized over the effective period of the related insurance policies in proportion to premium revenue earned. These capitalized costs consist mainly of sales commissions, premium taxes, and other underwriting costs. The Company evaluates deferred policy acquisition costs for recoverability by comparing the unearned premiums to the estimated total expected claim costs and related expenses, offset by anticipated investment income. The Company would reduce the deferred costs if the unearned premiums were less than expected claims and expenses after considering investment income. The Company would report any adjustments in amortization of deferred policy acquisition costs. There were no adjustments necessary in 2004, 2003, or 2002.

Reserves for Loss and Loss Adjustment Expenses

Reserves for loss and loss adjustment expenses represent the estimated ultimate cost of all reported and unreported losses incurred through December 31. The Company does not discount loss and loss adjustment expense reserves. The Company uses a consulting actuary to assist in the evaluation of the adequacy of the reserves for loss and loss adjustment expenses. The reserves for loss and loss adjustment expenses are estimated using individual case-basis valuations, statistical analyses, and estimates based upon experience for unreported claims and their associated loss and loss adjustment expenses. Such estimates may be more or less than the amounts ultimately paid when the claims are settled. The estimates are subject to the effects of trends in loss severity and frequency. Although considerable variability is inherent in these estimates, management believes that the reserves for loss and loss adjustment expenses are adequate. The estimates are continually reviewed and adjusted as necessary as experience develops or new information becomes known. Any adjustments are included in current operations.

Subrogation recoverables, as well as deductible recoverables from policyholders, are estimated using individual case-basis valuations and aggregate estimates. Deductibles that are recoverable from policyholders, and other recoverables from state funds, decrease the liability for loss and loss adjustment expenses.

The Company purchases annuities in connection with funding the settlement of certain claims. The cost of purchasing the annuity is recorded as paid loss and loss adjustment expenses. To the extent the annuity funds estimated future claims, reserves for loss and loss adjustment expense are reduced. Income is recognized in the period the annuity is purchased to the extent reserves are reduced.

F-9

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

Premium Revenue

Premiums on workers’ compensation and general liability insurance are based on actual payroll costs or production during the policy term and are normally billed monthly in arrears or annually. However, the Company generally requires a deposit at the inception of a policy.

Premium revenue is earned on a pro rata basis over periods covered by the policies. The reserve for unearned premiums on these policies is computed on a daily pro rata basis.

Reinsurance

Reinsurance premiums, losses, and allocated loss adjustment expenses are accounted for on a basis consistent with those used in accounting for the original policies issued and the terms of the reinsurance contracts.

Amounts recoverable from reinsurers include balances currently owed to the Company for losses and allocated loss adjustment expenses that have been paid to policyholders, as well as amounts that are currently reserved for and will be recoverable once the related expense has been paid.

Upon management’s determination that an amount due from a reinsurer is uncollectible due to the reinsurer’s insolvency, or other matters, the amount is written off.

Ceding commissions are earned from certain reinsurance companies and are intended to reimburse the Company for costs related to acquiring policies. Ceding commission income is recognized over the effective period of the related insurance policies in proportion to premium revenue earned and is reflected as a reduction in underwriting and other operating costs.

Contingent commissions are earned from certain reinsurance companies based on the financial results of the applicable risks underwritten by the Company. Contingent commission revenue on reinsurance contracts is recognized during the related reinsurance treaty period and is based on the same assumptions used for recording loss and allocated loss adjustment expenses. These commissions are reflected as a reduction in underwriting and other operating costs and are adjusted as necessary as experience develops or new information becomes known. Any such adjustments are included in current operations. Contingent commissions recognized reduced underwriting and other operating costs by $200,000 in 2004 and $10,000 in 2003 and increased costs by $553,000 in 2002.

Fee and Other Income

The Company recognizes income related to commissions earned by AGAI as the related services are performed.

Advertising

All advertising expenditures incurred by the Company are charged to expense in the period to which they relate and are included in underwriting and other operating costs in the consolidated statements of income. Total advertising expenses incurred were $412,000, $506,000, and $389,000 during 2004, 2003, and 2002, respectively.

Income Taxes

F-10

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

amounts of existing assets and liabilities and their respective tax bases. Deferred income tax assets and liabilities are measured using tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred income tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date.

The Company considers deferred tax assets to be recoverable if it is probable that the related tax losses can be offset by future taxable income. The Company includes future operating income, reversal of existing temporary differences, and tax planning strategies available in this assessment. To the extent the deferred tax assets exceed the amount expected to be recovered in future years, the Company records a valuation allowance for the amount determined unrecoverable. The Company has not recorded a valuation allowance, since the recorded deferred tax asset is expected to be fully realized.

Insurance-Related Assessments

Insurance-related assessments are accrued in the period in which they have been incurred. The Company is subject to a variety of assessments related to insurance commerce, including those by state guaranty funds and workers’ compensation second-injury funds. State guaranty fund assessments are used by state insurance oversight agencies to cover losses of policyholders of insolvent or rehabilitated insurance companies and for the operating expenses of such agencies. These mandatory assessments may be partially recovered through a reduction in future premium taxes in certain states. Assessments related to premiums are generally paid one year after the calendar year in which the premium is written, while assessments related to losses are generally paid within one year of when the loss is paid.

Policyholder Dividends

The Company writes certain policies for which the policyholder may participate in favorable claims experience through a dividend. An estimated provision for workers’ compensation policyholders’ dividends is accrued as the related premiums are earned. Dividends do not become a fixed liability unless and until declared by the respective Boards of Directors of Amerisafe’s insurance subsidiaries. The dividend to which a policyholder may be entitled is set forth in the policy and is related to the amount of losses sustained under the policy. Dividends are calculated after the policy expiration. The Company is able to estimate the policyholder dividend liability because the Company has information regarding the underlying loss experience of the policies written with dividend provisions and can estimate future dividend payments from the policy terms.

Variable Interest Entities

In December 2003, Amerisafe formed Amerisafe Capital Trust I (“ACT I”) for the sole purpose of issuing $10,000,000 in trust preferred securities. ACT I used the proceeds from the sale of these securities and Amerisafe’s initial capital contribution to purchase $10,310,000 of subordinated debt securities from Amerisafe. The debt securities are the sole assets of ACT I, and the payments under the debt securities are the sole revenues of ACT I.

In April 2004, Amerisafe formed Amerisafe Capital Trust II (“ACT II”) for the sole purpose of issuing $25,000,000 in trust preferred securities. ACT II used the proceeds from the sale of these securities and Amerisafe’s initial capital contribution to purchase $25,780,000 of subordinated debt securities from Amerisafe. The debt securities are the sole assets of ACT II, and the payments under the debt securities are the sole revenues of ACT II.

F-11

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

Amerisafe concluded that the equity investments in ACT I and ACT II (collectively, the “Trusts”) are not at risk since the subordinated debt securities issued by Amerisafe are the Trusts’ sole assets. Accordingly, the Trusts are considered variable interest entities. Amerisafe is not considered to be the primary beneficiary of the Trusts and has not consolidated these entities.

Earnings Per Share

The Company applies the two-class method to compute basic earnings per share (“EPS”). This method calculates earnings per share for each class of common stock and participating security. Income available to common shareholders is allocated to common shares and participating securities to the extent that each security shares in earnings as if all earnings for the period had been distributed. The amount of earnings allocated to common shares is divided by the weighted-average number of common shares outstanding for the period. Participating securities that are convertible into common stock are included in the computation of basic EPS if the effect is dilutive.

Diluted EPS include potential common shares assumed issued under the treasury stock method, which reflects the potential dilution that would occur if any outstanding options or warrants were exercised and includes the “if converted” method for participating securities if the effect is dilutive. The two-class method of calculating diluted EPS is used in the event the “if converted” method is anti-dilutive.

Stock-Based Compensation

The Company accounts for its stock-based compensation using the intrinsic value method and, as such, generally recognizes no compensation cost for employee stock options.


2.	Investments

The gross unrealized gains and losses on, and the cost and fair value of, those investments classified as held-to-maturity at December 31, 2004 are summarized as follows:


			Gross		Gross
	Amortized		Unrealized		Unrealized
	Cost		Gains		Losses			Fair Value

	(In thousands)
U.S. Treasury securities and obligations of U.S. Government agencies	$	39,255	$	37	$	(80	)	$	39,212
States and political subdivisions		173,103		—		(553	)		172,550
Mortgage-backed and asset-backed securities		91,836		165		(284	)		91,717
Long-term certificates of deposit		100		—		—			100
Corporate bonds		25,359		30		(20	)		25,369

Totals	$	329,653	$	232	$	(937	)	$	328,948

F-12

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

The gross unrealized gains and losses on, and the cost and fair value of, those investments classified as available-for-sale at December 31, 2004 are summarized as follows:


	Cost or		Gross		Gross
	Amortized		Unrealized		Unrealized			Fair
	Cost		Gains		Losses			Value

	(In thousands)
Common stocks	$	24,879	$	2,907	$	(269	)	$	27,517
Preferred stocks		7,776		149		(227	)		7,698

Totals	$	32,655	$	3,056	$	(496	)	$	35,215

The gross unrealized gains and losses on, and the cost and fair value of, those investments classified as available-for-sale at December 31, 2003 are summarized as follows:


	Cost or		Gross		Gross
	Amortized		Unrealized		Unrealized
	Cost		Gains		Losses			Fair Value

	(In thousands)
U.S. Treasury securities and obligations of U.S. Government agencies	$	28,507	$	1,066	$	(22	)	$	29,551
States and political subdivisions		147,798		5,946		(80	)		153,664
Mortgage-backed and asset-backed securities		31,246		1,118		(4	)		32,360
Long-term certificates of deposit		100		—		—			100
Corporate bonds		23,478		2,684		—			26,162

		231,129		10,814		(106	)		241,837
Common stocks		6,066		442		(124	)		6,384
Preferred stocks		7,131		177		(170	)		7,138

		13,197		619		(294	)		13,522

Totals	$	244,326	$	11,433	$	(400	)	$	255,359

A summary of the cost or amortized cost and fair value of investments in fixed maturity securities at December 31, 2004, by contractual maturity, is as follows:


		Cost or
		Amortized
		Cost		Fair Value

		(In thousands)
Maturity:
	Due in 2005	$	11,851	$	11,809
	In 2006 through 2009		117,701		117,328
	In 2010 through 2014		90,405		90,279
	After 2014		19,589		19,570
Mortgage-backed and asset-backed securities			91,836		91,717

Totals		$	331,382	$	330,703

The actual maturities of the fixed maturity securities may differ from contractual maturities because borrowers may have the right to call or prepay obligations with or without call or prepayment penalties.

F-13

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

At December 31, 2004, there were $25,000 of cash equivalents and $18,028,000 of held-to-maturity investments on deposit as required by regulatory agencies of states in which the Company does business. A summary of the Company’s realized gains and losses on sales, calls or redemptions of investments for 2004, 2003, and 2002 is as follows:


	Fixed
	Maturity
	Securities
	Available			Equity
	for Sale			Securities			Other		Total

	(In thousands)
Year ended December 31, 2004
Proceeds from sales	$	—		$	13,529		$	—	$	13,529

Gross realized investment gains	$	—		$	1,784		$	—	$	1,784
Gross realized investment losses		—			(537	)		—		(537	)

Net realized investment gain		—			1,247			—		1,247
Impairments		—			—			—		—
Other, including gains on calls and redemptions		—			—			174		174

Net realized investment gains	$	—		$	1,247		$	174	$	1,421

Year ended December 31, 2003
Proceeds from sales	$	27,469		$	4,923		$	—	$	32,392

Gross realized investment gains	$	2		$	357		$	—	$	359
Gross realized investment losses		(5	)		(56	)		—		(61	)

Net realized investment gain		(3	)		301			—		298
Impairments		—			—			—		—
Other, including gains on calls and redemptions		18			—			—		18

Net realized investment gains	$	15		$	301		$	—	$	316

Year ended December 31, 2002
Proceeds from sales	$	18,447		$	4,503		$	—	$	22,950

Gross realized investment gains	$	22		$	—		$	—	$	22
Gross realized investment losses		(63	)		(857	)		—		(920	)

Net realized investment loss		(41	)		(857	)		—		(898	)
Impairments		—			—			—		—
Other, including gains on calls and redemptions		3			—			—		3

Net realized investment losses	$	(38	)	$	(857	)	$	—	$	(895	)

F-14

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

Major categories of the Company’s net investment income are summarized as follows:


		Year Ended December 31,

		2004			2003			2002

		(In thousands)
Gross investment income:
	Fixed maturity securities	$	11,294		$	9,358		$	8,430
	Equity securities		811			611			428
	Cash and cash equivalents		693			742			1,159

Total gross investment income			12,798			10,711			10,017
Investment expenses			(581	)		(605	)		(598	)

Net investment income		$	12,217		$	10,106		$	9,419

The following table summarizes the gross unrealized losses on securities:


	Less Than				Twelve Months
	Twelve Months				or Longer

	Fair		Unrealized		Fair		Unrealized
	Value		Losses		Value		Losses

	(In thousands)
December 31, 2004	$	94,003	$	963	$	16,284	$	470
December 31, 2003		17,362		330		589		70

The Company reviewed all securities with unrealized losses in accordance with the impairment policy described in Note 1. The Company determined that the unrealized losses in the fixed maturity portfolio relate primarily to changes in market interest rates since the date of purchase or the transfer of the investments from the available-for-sale classification to the held-to-maturity classification. The Company expects to recover the amortized cost of these securities since management expects to hold the securities until they mature. The Company determined the unrealized losses in the equity portfolio were due to general market conditions. Management believes that these conditions will improve such that these unrealized losses will be recovered.


3.	Premiums Receivable

Premiums receivable consist primarily of premium-related balances due from policyholders. The balance is shown net of the allowance for doubtful accounts. The components of premiums receivable are shown below:


	December 31,

	2004			2003

	(In thousands)
Premiums receivable	$	117,057		$	111,609
Allowance for doubtful accounts		(2,916	)		(3,229	)

Premiums receivable, net	$	114,141		$	108,380

F-15

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

The following summarizes the activity in the allowance for doubtful accounts:


	December 31,

	2004			2003			2002

	(In thousands)
Balance, beginning of year	$	3,229		$	4,339		$	5,714
Provision for bad debts		1,262			19			(902	)
Write-offs		(1,575	)		(1,129	)		(473	)

Balance, end of year	$	2,916		$	3,229		$	4,339


4.	Deferred Policy Acquisition Costs

The Company incurs certain costs related to acquiring policies. These costs are deferred and expensed over the life of the related policies. Major categories of the Company’s deferred policy acquisition costs are summarized as follows:


	December 31,

	2004		2003

	(In thousands)
Agents’ commissions	$	7,737	$	6,876
Premium taxes		2,957		2,695
Deferred underwriting expenses		1,350		2,249

Total deferred policy acquisition costs	$	12,044	$	11,820

The following summarizes the activity in the deferred policy acquisition costs:


	Year Ended December 31,

	2004			2003			2002

	(In thousands)
Balance, beginning of year	$	11,820		$	9,505		$	11,077
Policy acquisition costs deferred		26,193			22,391			18,893
Amortization expense during the year		(25,969	)		(20,076	)		(20,465	)

Balance, end of year	$	12,044		$	11,820		$	9,505

F-16

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004


5.	Property and Equipment

Property and equipment consist of the following:


	December 31,

	2004			2003

	(In thousands)
Land and office building	$	4,334		$	4,313
Furniture and equipment		6,914			6,719
Software		6,022			3,630
Automobiles		110			110

		17,380			14,772
Accumulated depreciation		(10,303	)		(8,772	)

Real estate, furniture, and equipment, net	$	7,077		$	6,000

At December 31, 2004, furniture and equipment included property under capital leases of $20,000 and software included property under capital leases of $1,110,000. There is no accumulated depreciation related to these properties at December 31, 2004. At December 31, 2003, furniture and equipment included property under capital leases of $619,000 and software included property under capital leases of $497,000. Accumulated depreciation includes $465,000 at December 31, 2003 that was related to these properties. The capital lease obligations related to this property are included in accounts payable and other liabilities.

Future minimum lease payments related to the capital lease obligations are detailed below (In thousands):


2005	$	510
2006		510
2007		510

Total minimum lease payments		1,530
Less amount representing interest		(69	)

Present value of net minimum lease payments	$	1,461


6.	Reinsurance

The Company cedes certain premiums and losses to various reinsurers under quota share and excess-of-loss treaties. These reinsurance arrangements provide for greater diversification of business, allow management to control exposure to potential losses arising from large risks, and provide additional capacity for growth. Ceded reinsurance contracts do not relieve the Company from its obligations to policyholders. The Company remains liable to its policyholders for the portion reinsured to the extent that any reinsurer does not meet the obligations assumed under the reinsurance agreements. To minimize its exposure to significant losses from reinsurer insolvencies, the Company evaluates the financial condition of its reinsurers and monitors concentrations of credit risk arising from similar

F-17

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

geographic regions, activities, or economic characteristics of the reinsurers. The effect of reinsurance on premiums written and earned in 2004, 2003, and 2002 was as follows:


	2004 Premiums						2003 Premiums						2002 Premiums

	Written			Earned			Written			Earned			Written			Earned

	(In thousands)
Direct	$	264,962		$	256,684		$	223,590		$	207,447		$	185,093		$	189,820
Ceded		(21,951	)		(21,951	)		(27,600	)		(27,600	)		(26,563	)		(26,563	)

Net premiums	$	243,011		$	234,733		$	195,990		$	179,847		$	158,530		$	163,257

The amounts recoverable from reinsurers consist of the following:


		December 31,

		2004		2003

		(In thousands)
Unpaid losses recoverable:
	Case basis	$	164,942	$	181,870
	Incurred but not reported		24,682		12,688
Paid losses recoverable			9,353		17,216

Total		$	198,977	$	211,774

Amounts recoverable from reinsurers consists of paid losses recoverable, ceded case reserves and ceded IBNR reserves. Paid losses recoverable are receivables currently due from reinsurers for ceded paid losses. Ceded case and ceded IBNR reserves represent the portion of our gross loss and loss adjustment expense liabilities that are recoverable under reinsurance agreements, but are not yet due from reinsurers. The Company considers paid losses recoverable outstanding for more than 90 days to be past due. At December 31, 2004, approximately $164,000, or 1.8%, of the $9,353,000 of paid losses recoverable were past due.

The Company received reinsurance recoveries of approximately $54,144,000 in 2004, $60,960,000 in 2003, and $104,745,000 in 2002.

At December 31, 2004, unsecured reinsurance recoverables from reinsurers that exceeded 3% of statutory surplus of the Company’s insurance subsidiary are shown below (in thousands). The A.M. Best Company rating for the reinsurer is shown parenthetically.


Converium Reinsurance North America (B-)	$	83,403
American Re-Insurance Company (A+)		38,616
Odyssey America Reinsurance Corporation(A)		21,064
St. Paul Fire & Marine Insurance Company(A)		12,592
Clearwater Insurance Company(A)		10,571
Scor Reinsurance Company (B++)		7,962
Other reinsurers		24,769

Total	$	198,977

During 2004, the Company’s largest reinsurer, Converium Reinsurance North America (“CRNA”), was downgraded by A.M. Best Company, from A- to B-, as a result of the emergence of significant and previously unrecorded losses. While this downgrade had no immediate impact on the

F-18

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

Company’s consolidated financial statements, it caused a decrease in the Company’s A.M. Best Company’s Capital Adequacy Ratio (“BCAR”) due to the increase in the capital charge sustained against the CRNA recoverable. CRNA continues to reimburse the Company for its portion of reinsured paid losses, and no amounts are past due. See Note 22— Subsequent Events.


7.	Income Taxes

The Company’s deferred income tax assets and liabilities are as follows:


		December 31,

		2004			2003

		(In thousands)
Deferred income tax assets:
	Discounting of net unpaid loss and loss adjustment expenses	$	8,836		$	6,819
	Unearned premiums		9,510			8,340
	Accrued expenses and other		1,702			1,601
	Accrued policyholder dividends		445			448
	Accrued insurance-related assessments		5,578			5,071

Total deferred tax assets			26,071			22,279
Deferred income tax liabilities:
	Deferred policy acquisition costs		(5,386	)		(4,603	)
	Deferred charges		(877	)		(828	)
	Unrealized gain on securities available-for-sale		(3,799	)		(3,861	)
	Property and equipment, primarily a result of differences in depreciation		(376	)		(273	)
	Other		(9	)		(1	)

Total deferred tax liabilities			(10,447	)		(9,566	)

Net deferred income tax asset		$	15,624		$	12,713

The components of consolidated income tax expense (benefit) are as follows:


		Year Ended December 31,

		2004			2003			2002

		(In thousands)
Current:
	Federal	$	5,444		$	4,299		$	(2,678	)
	State		534			415			325

			5,978			4,714			(2,353	)
Deferred:
	Federal		(2,849	)		(1,868	)		915

Total		$	3,129		$	2,846		$	(1,438	)

F-19

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

Income tax expense (benefit) from operations is different from the amount computed by applying the U.S. federal income tax statutory rate of 35% to income before income taxes as follows:


	Year Ended December 31,

	2004			2003			2002

	(In thousands)
Income tax computed at federal statutory tax rate	$	4,790		$	4,004		$	1,310
Tax-exempt interest, net		(1,737	)		(1,392	)		(1,055	)
State income tax		534			415			325
Dividends received deduction		(135	)		(127	)		(90	)
Tax method changes for prior year		—			—			(1,125	)
Other		(323	)		(54	)		(803	)

	$	3,129		$	2,846		$	(1,438	)


8.	Note Payable

At December 31, 2003, the Company had a note payable with an outstanding balance of $6,000,000, bearing interest at the Federal Funds Rate plus 0.75% (1.91%). The note matured on April 1, 2004, and the Company made a final payment of $6,000,000, plus accrued interest.


9.	Subordinated Debt Securities

On December 16, 2003, Amerisafe entered into a trust preferred securities transaction pursuant to which it issued $10,310,000 aggregate principal amount of subordinated debt securities due in 2034. To effect the transaction, Amerisafe formed a Delaware statutory trust, Amerisafe Capital Trust I (“ACT I”). ACT I issued $10,000,000 of preferred securities to investors and $310,000 of common securities to Amerisafe. ACT I used the proceeds from these issuances to purchase the subordinated debt securities. Amerisafe pays interest on its ACT I subordinated debt securities quarterly at a rate equal to LIBOR plus 4.10% per annum. ACT I pays interest on its preferred securities at the same rate. The Amerisafe subordinated debt securities and ACT I preferred securities are repayable on or after January 8, 2009. Payments of principal, interest, and premium, if any, on the ACT I preferred securities are guaranteed by Amerisafe.

On April 29, 2004, Amerisafe entered into a second trust preferred securities transaction pursuant to which it issued $25,780,000 aggregate principal amount of subordinated debt securities due in 2034. To effect the transaction, Amerisafe formed a Delaware statutory trust, Amerisafe Capital Trust II (“ACT II”). ACT II issued $25,000,000 of preferred securities to investors and $780,000 of common securities to Amerisafe. ACT II used the proceeds from these issuances to purchase the subordinated debt securities. Amerisafe pays interest on its ACT II subordinated debt securities quarterly at a rate equal to LIBOR plus 3.80% per annum. ACT II pays interest on its preferred securities at the same rate. The Amerisafe subordinated debt securities and ACT II preferred securities are repayable on or after April 29, 2009. Payments of principal, interest, and premium, if any, on the ACT II preferred securities are guaranteed by Amerisafe.

F-20

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004


10.	Loss and Loss Adjustment Expenses

The following table provides a reconciliation of the beginning and ending reserve balances, net of related amounts recoverable from reinsurers, for 2004, 2003, and 2002:


			Year Ended December 31,

			2004		2003		2002

			(In thousands)
Reserves for loss and loss adjustment expenses (“LAE”), net of related amounts recoverable from reinsurers, at beginning of year			$	183,001	$	152,908	$	119,020
Add:
	Provision for loss and LAE for claims occurring in the current year, net of reinsurance			160,773		126,977		117,212
	Change in estimated loss and LAE for claims occurring in prior years, net of reinsurance			13,139		973		1,850

				173,912		127,950		119,062
	Uncollectible reinsurance adjustment, for loss and LAE occurring in prior years			274		1,300		2,000

Incurred losses during the current year, net of reinsurance				174,186		129,250		121,062
Less loss and LAE payments for claims, net of reinsurance, occurring during:
		Current year		40,312		32,649		36,060
		Prior years		73,619		66,508		51,114

				113,931		99,157		87,174

Reserves for loss and LAE, net of related amounts recoverable from reinsurers, at end of year				243,256		183,001		152,908
Add amounts recoverable from reinsurers on unpaid loss and LAE				189,624		194,558		193,634

Reserves for loss and LAE			$	432,880	$	377,559	$	346,542

The Company’s reserves for loss and loss adjustment expenses, net of amounts recoverable from reinsurers, at December 31, 2003, 2002, and 2001, were increased during the subsequent year by $13,139,000, $973,000, and $1,850,000, respectively. Most of the 2004 prior year development occurred in the 2002 accident year, where the Company’s ultimate loss estimate increased by approximately $9,400,000. The unfavorable development in the 2002 accident year was the result of settlements above the established case reserves or upward revisions to the estimated settlements on an individual case-by-case basis. The revisions to the Company’s case reserves reflect new information gained by claims adjusters in the normal course of adjusting claims and then reflected in the financial statements when the information becomes available. It is typical for more serious claims to take several years to settle and the Company continually revises estimates as more information about claimants’ medical conditions and potential disability becomes known and the claims get closer to being settled. As the 2002 accident year has developed, the Company has found it necessary to increase reserves on reported claims for both indemnity and medical losses.

Reliance Insurance Company (“Reliance”), one of the Company’s reinsurers, was placed into liquidation in October 2001. As a result of adverse development in the policy years covered by the

F-21

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

Reliance reinsurance, the Company incurred an additional $260,000, $1,300,000, and $2,000,000 of loss and allocated loss adjustment expense related to additional impaired amounts recoverable from Reliance during 2004, 2003, and 2002, respectively.

The anticipated effect of inflation is implicitly considered when estimating liabilities for loss and loss adjustment expenses. Average severities are projected based on historical trends adjusted for implemented changes in underwriting standards, policy provisions, and general economic trends. These anticipated trends are monitored based on actual development and are modified if necessary.


11.	Statutory Accounting and Regulatory Requirements

Amerisafe’s insurance subsidiaries file financial statements prepared in accordance with statutory accounting principles prescribed or permitted by the insurance regulatory authorities of the state in which they are domiciled. Statutory-basis shareholder’s capital and surplus at December 31, 2004, 2003, and 2002 of the directly owned insurance subsidiary, American Interstate Insurance Company, and the combined statutory-basis net income for all Amerisafe’s insurance subsidiaries for the three years in the period ended December 31, 2004, were as follows (in thousands):


	2004		2003		2002

Capital and surplus	$	112,334	$	96,905	$	86,378
Net income		7,828		2,598		4,976

Property and casualty insurance companies are subject to certain risk-based capital (“RBC”) requirements specified by the National Association of Insurance Commissioners. Under these requirements, a target minimum amount of capital and surplus maintained by a property/casualty insurance company is determined based on the various risk factors related to it. At December 31, 2004, the capital and surplus of AIIC and its subsidiaries exceeded the minimum RBC requirement.

Pursuant to regulatory requirements, AIIC cannot pay dividends to Amerisafe in excess of the lesser of 10% of statutory surplus, or statutory net income, excluding realized investment gains, for the preceding 12-month period, without the prior approval of the Louisiana Commissioner of Insurance. However, for purposes of this dividend calculation, net income from the previous two calendar years may be carried forward to the extent that it has not already been paid out as dividends. No such dividends were paid to Amerisafe in 2004, 2003, or 2002. Based upon the above described calculation, AIIC could pay to Amerisafe dividends up to $11,233,000 in 2005 without seeking regulatory approval.

F-22

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004


12.	Preferred Stock

Series A Preferred Stock

The following table summarizes the activity in the Series A preferred stock for the three years in the period ended December 31, 2004 (dollars in thousands):


				Redemption
		Shares		Amount

Balance at January 1, 2002			665,206	$	66,520
	Series A preferred stock dividends		47,801		4,780

Balance at December 31, 2002			713,007		71,300
	Series A preferred stock dividends		51,236		5,124

Balance at December 31, 2003			764,243		76,424
	Series A preferred stock dividends		54,918		5,492

Balance at December 31, 2004			819,161	$	81,916

Holders of Series A Preferred Stock are entitled to cumulative dividends at the rate of $7 per year payable quarterly in shares of Series A Preferred Stock.

The Series A Preferred Stock is redeemable, in whole or in part, by Amerisafe at any time. The redemption price for the Series A Preferred Stock is $100 plus accrued and unpaid dividends per share (the “Redemption Price”). Upon consummation of a public offering of its equity securities, Amerisafe is required to use 50% of its net proceeds from the offering to redeem outstanding shares of Series A Preferred Stock, subject to the terms of the Series E Preferred Stock.

The Series A Preferred Stock is exchangeable, in whole or in part, into shares of common stock following consummation of a public offering of shares of common stock with gross proceeds of at least $40,000,000 to Amerisafe (a “Qualified Public Offering”), upon the written request of holders of at least 66²/3% of the then-outstanding shares of Series A Preferred Stock. The exchange rate for each share of Series A Preferred Stock is $100 divided by the price per share to the public in the public offering.

Holders of the Series A Preferred Stock may require Amerisafe to redeem all or a portion of their outstanding shares of the Series A Preferred Stock at the Redemption Price upon the disposition of substantially all of the assets of the Company or if a change of control of more than 50% of the voting power of all outstanding shares of voting stock occurs, other than through a public offering of equity securities (collectively, a “Change of Control”).

Welsh Carson owns a majority of the outstanding Series A Preferred Stock, as well as a majority of the voting Common Stock of the Company. Additionally, under the terms of a stockholders’ agreement, Welsh Carson has the right to designate a majority of the members on the Amerisafe Board of Directors. The Series A Preferred Stock is mandatorily redeemable upon the occurrence of certain events that are deemed to be outside the control of the Company and therefore is classified outside of permanent equity.

F-23

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

Series B Preferred Stock

The terms of the Series B Preferred Stock are similar to the terms of the Series A Preferred Stock described above. There were no shares of Series B Preferred Stock outstanding at December 31, 2004 and 2003 or issued during the three year period ended December 31, 2004.

Series C and Series D Convertible Preferred Stock

There has been no change in the number of shares or carrying value of the Series C and Series D Convertible Preferred Stock (“Convertible Preferred Stock”) during the three-year period ended December 31, 2004.

Holders of the Convertible Preferred Stock are entitled to cumulative dividends at the rate of $7 per year payable quarterly in shares of Series E Preferred Stock.

The Convertible Preferred Stock is convertible at the option of the holder into shares of common stock at a rate of $100 per share divided by the then-applicable conversion price. As of December 31, 2004, the conversion price was $7.24308 per share and the outstanding shares of Convertible Preferred Stock were convertible into approximately 6.9 million shares of common stock. Holders of the Convertible Preferred Stock also have the right to participate in any common dividend paid by the Company on an as-converted basis. Prior to a public offering, the conversion price is adjusted in the event of issuances of common stock (or other securities convertible into or exchangeable for common stock) without consideration or for a consideration per share less than the then-current conversion price. On or after a public offering, the conversion price is adjusted in the event of issuances of common stock (or other securities convertible into or exchangeable for common stock) at a price per share less than the market price in effect immediately prior to such issuance.

The Convertible Preferred Stock is automatically convertible into shares of common stock upon consummation of a Qualified Public Offering at a price to the public of at least $9.05 per share (subject to adjustment to reflect stock splits, combinations, and stock dividends). In addition, the Convertible Preferred Stock is convertible at Amerisafe’s option upon consummation of a public offering of its equity securities if the closing price of the common stock for the 20 trading days prior to consummation results in, or concurrently with a Change of Control if the proceeds from the transaction results in, a value for the outstanding common stock of at least $9.05 per share.

Holders of the Convertible Preferred Stock may require Amerisafe to redeem all or a portion of their outstanding shares of the Convertible Preferred Stock at the Redemption Price upon the disposition of substantially all of the assets of the Company or if a change of control of more than 50% of the voting power of all outstanding shares of voting stock occurs, other than through a public offering of equity securities (collectively, a “Change of Control”).

At any time after March 18, 2003, Amerisafe may redeem all, but not less than all, of the outstanding shares of Convertible Preferred Stock at a price per share of $103.50 plus accrued and unpaid dividends. The Convertible Preferred Stock is mandatorily redeemable at the Redemption Price upon a Change of Control.

The Convertible Preferred Stock is classified outside of permanent equity because the shares are mandatorily redeemable upon the occurrence of certain events that are deemed to be outside the control of the Company.

F-24

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

Series E Preferred Stock

Holders of Series E Preferred Stock are entitled to cumulative dividends at the rate of $7 per year payable quarterly in shares of Series E Preferred Stock. The Company made cash redemptions of Series E Preferred Stock on May 28, June 8, and June 30, 2004. As a result of these redemptions, there were no outstanding shares of Series E Preferred Stock as of June 30, 2004. Subsequently, in 2004, an additional 17,653 shares were issued to the holders of the Convertible Preferred Stock.

Amerisafe may redeem all, but not less than all, of the outstanding shares of Series E Preferred Stock at the Redemption Price at any time. The Series E Preferred Stock is subject to mandatory redemption at the Redemption Price upon a Change of Control, subject to certain limitations. Upon the consummation of a public offering of equity securities, Amerisafe is required to use the proceeds from the offering to redeem at the Redemption Price all outstanding shares of the Series E Preferred Stock, subject to the terms of the Series A Preferred Stock.

Redemption and Liquidation Provisions

In the event Amerisafe consummates a Qualified Public Offering and the Series A Preferred Stock is concurrently redeemed or exchanged, the rate at which dividends are paid to holders of Convertible Preferred Stock and Series E Preferred Stock will be reduced by multiplying the dividend rate by the percentage of shares of Series A Preferred Stock outstanding after the redemption or exchange as compared to the number of shares of Series A Preferred Stock outstanding on March 18, 1998. Subsequent redemptions or exchanges will further reduce the dividend rate proportionately with the percentage decrease in the number of outstanding shares of Series A Preferred Stock. After all shares of Series A Preferred Stock have been redeemed or exchanged, the dividend rate on the Convertible Preferred Stock and Series E Preferred Stock will be zero.

In the event of any liquidation or dissolution of Amerisafe, the holders of Convertible Preferred Stock and Series E Preferred Stock will receive $100 plus accrued and unpaid dividends for each outstanding share before any distributions are made to holders of Series A Preferred Stock or Common Stock. Any remaining net assets will be distributed first to holders of Series A Preferred Stock and then to holders of Common Stock.

13. Stock Options

The Company had one stock option plan as of December 31, 2004, the Amerisafe 1998 Amended and Restated Stock Option and Restricted Stock Purchase Plan (the “Plan”). The Plan is administered by Amerisafe’s Board of Directors and provides for grants of incentive stock options, nonqualified stock options, or restricted stock to selected employees, officers, and directors. Each option granted under the Plan is exercisable for one share of common stock. Options may be granted for a number of shares not to exceed, in the aggregate, 2,500,000 shares of common stock. Exercise prices for the incentive stock options may be no less than 100% of the fair value of a share of common stock on the date the option is granted. If the option is granted to any owner of 10% or more of the total combined voting power of the Company, the exercise price is to be at least 110% of the fair value of a share of common stock on the date the option is granted. Exercise prices for the nonqualified stock options may be no less than 100% of the fair value of a share of common stock on the date the option is granted. Each option vests ratably over a period of five years and may be exercised during a period not to exceed ten years from the date such option is granted. Exercise prices for nonemployee director stock options may be no less than 100% of the fair value of a share of common stock on the date the option is granted. The nonemployee director stock options granted when a director becomes a board member, may be

F-25

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

exercised in increments of one-third of the total grant on each anniversary of the grant date and become fully exercisable three years after the grant date. The nonemployee director options awarded at the re-election of the director become fully exercisable at the award date. A summary of the Company’s stock option plan as of December 31, 2004, 2003, and 2002, and changes during each of the years then ended is as follows:


	2004					2003					2002

				Weighted-					Weighted-					Weighted-
				Average					Average					Average
				Exercise					Exercise					Exercise
	Shares			Price		Shares			Price		Shares			Price

Outstanding at the beginning of the year		1,450,049		$	3.01		1,511,049		$	3.02		1,533,530		$	3.00
Granted		12,000			5.00		27,000			4.15		20,000			3.27
Exercised		—			—		—			—		—			—
Canceled, forfeited, or expired		(15,000	)		5.00		(88,000	)		3.49		(42,481	)		2.46

Outstanding at the end of the year		1,447,049			2.99		1,450,049			3.01		1,511,049			3.02

Exercisable at the end of the year		1,447,049			2.99		1,435,049			2.99		1,161,138			2.87

The following table summarizes information about stock options outstanding and exercisable at December 31, 2004:


		Weighted-
		Average
		Remaining		Weighted-
Number		Contractual Life		Average Exercise
Outstanding		(In Years)		Price

	1,007,549		2.73	$	2.12
	439,500		4.19	$	5.00

The reported net income, basic earnings per share, and diluted earnings per share would not be impacted had the Company accounted for the outstanding stock options based on their fair value. Accordingly, no additional disclosure of the pro forma effects of this accounting method is considered necessary.

On December 16, 2004, the Financial Accounting Standards Board (“FASB”) issued FASB Statement No. 123(R) (revised 2004), Share-Based Payment, which is a revision of FASB Statement No. 123, Accounting for Stock-Based Compensation. Statement No. 123(R) supersedes Accounting Principles Board (“APB”) Opinion No. 25, Accounting for Stock Issued to Employees, and amends FASB Statement No. 95, Statement of Cash Flows. Generally, the approach in Statement No. 123(R) is similar to the approach described in Statement No. 123. However, Statement No. 123(R) requires all share-based payments to employees, including grants of employee stock options, to be recognized in the income statement based on their fair values. Pro forma disclosure is no longer an alternative.

Statement No. 123(R) permits public companies to adopt its requirements using one of two methods. One method is a “modified prospective” method in which compensation cost is recognized beginning with the effective date (a) based on the requirements of Statement No. 123(R) for all share-based payments granted after the effective date and (b) based on the requirements of Statement 123

F-26

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

for all awards granted to employees prior to the effective date of Statement No. 123(R) that remain unvested on the effective date. The other method is a “modified retrospective” method, which includes the requirements of the modified prospective method described above, but also permits entities to restate based on the amounts previously recognized under Statement No. 123 for purposes of pro forma disclosures for either (a) all prior periods presented or (b) prior interim periods of the year of adoption. Statement No. 123(R) must be adopted no later than January 1, 2006. Early adoption will be permitted in periods in which financial statements have not yet been issued.

In anticipation of the initial public offering of the Company’s common stock, the Company adopted the provisions of Statement No. 123(R) using the modified prospective method effective January 1, 2005. As all share-based payments previously issued by the Company were fully vested, there is no effect on the Company’s consolidated financial position or results of operations as of the date of adoption.

As permitted by Statement No. 123, the Company currently accounts for share-based payments to employees using APB Opinion No. 25’s intrinsic value method and, as such, generally recognizes no compensation cost for employee stock options. Accordingly, to the extent additional share-based payments are issued, the adoption of Statement No. 123(R)’s fair value method could have a significant impact on the Company’s results of operations, although it will have no impact on the Company’s overall consolidated financial position. See Note 22—Subsequent Events.


14.	Warrants

In 2004, warrants for 8,614,760 shares of common stock were exercised at a price of $0.01 per share. The warrants were issued in 1997 and 1998. The following table depicts warrant activity for the last three years in the period ended December 31, 2004:


				Exercise		Shares
		Number		Price		Purchased

Warrants outstanding at December 31, 2001			8,629,197	$	0.01		—
	Issued		—		—		—
	Exercised		—		—		—
	Expired		—		—		—
Warrants outstanding at December 31, 2002			8,629,197	$	0.01		—
	Issued		—		—		—
	Exercised		—		—		—
	Expired		—		—		—
Warrants outstanding at December 31, 2003			8,629,197		0.01

	Issued		—		—		—
	Exercised		8,614,760		0.01		8,614,760
	Expired		14,437		0.01		—

Warrants outstanding at December 31, 2004			—

F-27

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004


15.	Earnings Per Share

The calculation of basic and diluted EPS for the years ended December 31, 2004, 2003, and 2002 are presented below.


			For the Year Ended December 31,

			2004			2003			2002

			(In thousands, except
			per share amounts)
Basic EPS:
	Net income		$	10,557		$	8,594		$	5,181
	Preferred stock dividends			(9,781	)		(10,133	)		(9,453	)

	Income (loss) available to common shareholders		$	776		$	(1,539	)	$	(4,272	)

	Amount allocable to common shareholders(1)			70%			100%			100%
	Income (loss) allocable to common shareholders		$	545		$	(1,539	)	$	(4,272	)

	Weighted-average common shares outstanding			16,226			12,967			12,967

	Basic earnings (loss) per share		$	0.03		$	(0.12	)	$	(0.33	)

Diluted EPS:
	Income (loss) allocable to common shareholders		$	545		$	(1,539	)	$	(4,272	)
	Dividends on participating securities			—	(2)		—	(2)		—	(2)

	Income (loss) allocable to common shareholders after assumed conversions		$	545		$	(1,539	)	$	(4,272	)

	Weighted average common shares outstanding			16,226			12,967			12,967
	Diluted effect:
		Stock options		—	(2)		—	(2)		—	(2)
		Warrants		2,154			—	(2)		—	(2)
		Conversion of participating securities		—	(2)		—	(2)		—	(2)

	Weighted average diluted shares outstanding			18,380			12,967			12,967

	Diluted earnings (loss) per share		$	0.03		$	(0.12	)	$	(0.33	)

(1)

Computed under the two-class method by dividing the weighted-average common shares outstanding (16,226 at December 31, 2004) by the sum of the weighted-average common shares outstanding and shares issuable upon conversion of all convertible participating securities, calculated on the if-converted method (such additional shares totaled 6,903 at December 31, 2004). In computing basic EPS using the two-class method, the Company has not allocated the loss to common shareholders for the years ended December 31, 2003 and 2002 between common shareholders and participating security holders as the participating holders do not have a contractual obligation to share in the loss.


(2)	Not applicable as impact is antidilutive.

F-28

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004


16.	Other Comprehensive Income


		Pre Tax						Net-of-Tax
		Amount			Tax Expense			Amount

		(In thousands)
December 31, 2004
Unrealized gain on securities:
	Unrealized gain on available-for-sale securities	$	1,993		$	698		$	1,295
	Less amortization of differences between fair value and amortized cost for fixed maturity security transfer		(2,413	)		(845	)		(1,568	)
	Less reclassification adjustment for losses realized in net income		242			86			156

Net unrealized loss			(178	)		(61	)		(117	)

Other comprehensive income		$	(178	)	$	(61	)	$	(117	)

December 31, 2003
Unrealized gain on securities:
	Unrealized gain on available-for-sale securities	$	1,484		$	519		$	965
	Less reclassification adjustment for losses realized in net income		20			7			13

Net unrealized gain			1,504			526			978

Other comprehensive income		$	1,504		$	526		$	978

December 31, 2002
Unrealized gain on securities:
	Unrealized gain on available-for-sale securities	$	6,455		$	2,260		$	4,195
	Less reclassification adjustment for losses realized in net income		467			163			304

Net unrealized gain			6,922			2,423			4,499

Other comprehensive income		$	6,922		$	2,423		$	4,499


17.	Employee Benefit Plan

The Company’s 401(k) benefit program is available to all employees. The Company matches up to 2% of employee compensation for participating employees, subject to certain limitations. Employees are vested 100% in employer contributions to the Plan after five years. Contributions to the Plan were $276,000, $270,000, and $284,000 in 2004, 2003, and 2002, respectively.


18.	Commitments and Contingencies

The Company is a party to various legal actions arising principally from claims made under insurance policies and contracts. Those actions are considered by the Company in estimating loss and loss adjustment expense reserves. In the opinion of management, the ultimate disposition of these matters will not have a material adverse effect on the Company’s consolidated financial position or results of operations.

F-29

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

The Company provides workers’ compensation insurance in several states that maintain second-injury funds. Incurred losses on qualifying claims that exceed certain amounts may be recovered from these state funds. There is no assurance that the applicable states will continue to provide funding under these programs.

The Company manages risk on certain long-duration claims by settling these claims through the purchase of annuities from unaffiliated carriers. In the event these carriers are unable to meet their obligations under these contracts, the Company remains primarily liable to the claimants. The following table summarizes (in thousands) the fair value of the annuities at December 31, 2004, that the Company has purchased to satisfy its obligations under certain settled claims where the payment pattern and ultimate cost are fixed and determinable on an individual claim basis. The A.M. Best Company rating is shown parenthetically.


American General Life Insurance Company (A++u)	$	18,220
First Colony Life Insurance Company (A+)		3,658
Monumental Life Insurance Company (A+)		3,632
John Hancock Life Insurance Company (A++)		3,312
Transamerica Life Companies (A+)		2,726
New York Life Insurance Company (A++)		2,548
Liberty Life Assurance Company of Boston (A-)		2,417
GE Capital Assurance Company (A+)		1,718
Pacific Life and Annuity Company (A++)		1,375
Other		7,794

	$	47,400

Each of the life insurance companies from which the Company purchases annuities, or the entity guaranteeing the life insurance company, has an A.M. Best Company rating “A-” (Excellent) or better.

The Company leases equipment and office space under noncancelable operating leases. At December 31, 2004, future minimum lease payments are as follows (in thousands):


2005	$	479
2006		303
2007		185
2008		88
2009		58
2010		50

	$	1,163

Rental expense was approximately $956,000, $1,074,000, and $1,144,000 in 2004, 2003, and 2002, respectively.

F-30

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004


19.	Concentration of Operations

The Company derives its revenues primarily from its operations in the workers’ compensation insurance line of business. Total net premiums earned for the different lines of business are shown below:


	2004				2003				2002

	Dollars		Percent		Dollars		Percent		Dollars		Percent

	(Dollars in thousands)
Workers’ compensation	$	232,291		99.0%	$	177,565		98.7%	$	161,060		98.7%
General liability		2,442		1.0%		2,282		1.3%		2,197		1.3%

Total net premiums earned	$	234,733		100.0%	$	179,847		100.0%	$	163,257		100.0%

Net premiums earned for the top ten states and all others are shown below:


	2004					2003					2002

	Dollars		Percent			Dollars		Percent			Dollars		Percent

	(Dollars in thousands)
Louisiana	$	26,422		11.3	%	$	20,809		11.6	%	$	20,421		12.5	%
Georgia		22,313		9.5			17,233		9.6			15,731		9.6
Texas		17,150		7.3			14,407		8.0			13,826		8.5
North Carolina		14,705		6.3			10,812		6.0			8,647		5.3
Illinois		14,186		6.0			8,423		4.7			5,046		3.1
Virginia		12,395		5.3			9,984		5.6			12,165		7.5
Arkansas		11,327		4.8			9,708		5.4			9,690		5.9
Florida		10,959		4.7			7,726		4.3			4,764		2.9
South Carolina		10,067		4.3			6,301		3.5			5,313		3.3
Pennsylvania		9,812		4.2			7,338		4.1			6,413		3.9

		149,336		63.6			112,741		62.7			102,016		62.5
All others		85,397		36.4			67,105		37.3			61,241		37.5

Total net premiums earned	$	234,733		100.0	%	$	179,847		100.0	%	$	163,257		100.0	%


20.	Fair Values of Financial Instruments

The Company determines fair value amounts for financial instruments using available third-party market information. When such information is not available, the Company determines the fair value amounts using appropriate valuation methodologies. Nonfinancial instruments such as real estate, property and equipment, deferred policy acquisition costs, deferred income taxes, and loss and loss adjustment expense reserves are excluded from the fair value disclosure.

Cash and Cash Equivalents—The carrying amounts reported in the accompanying consolidated balance sheets for these financial instruments approximate their fair values.

Investments—The fair values for fixed maturity and equity securities are based on prices obtained from a third-party investment manager.

Mortgage Loan—The carrying amount reported in the accompanying consolidated balance sheet for the mortgage loan is the unpaid principal balance of the loan. This amount approximates fair value due

F-31

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

to the interest rate and term of the loan being comparable with what the borrower presently could obtain from other outside sources.

Note Payable and Subordinated Debt Securities—The carrying values of the Company’s note payable and subordinated debt securities approximate the estimated fair values of the obligations as the interest rates on all the debt are comparable to rates that the Company believes it presently would incur on comparable borrowings.

The following table summarizes the carrying or reported values and corresponding fair values for financial instruments:


			December 31,

			2004				2003

			Carrying		Fair		Carrying		Fair
			Amount		Value		Amount		Value

			(In thousands)
Assets:
	Fixed maturity securities		$	331,408	$	330,703	$	243,863	$	243,863
	Equity securities			33,460		33,460		11,496		11,496
	Mortgage loan			—		—		2,370		2,370
	Cash and cash equivalents			25,421		25,421		49,815		49,815
Liabilities:
	Note payable			—		—		6,000		6,000
	Subordinated debt securities:
		ACT I		10,310		10,310		10,310		10,310
		ACT II		25,780		25,780		—		—

F-32

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004


21.	Quarterly Financial Data (Unaudited)

The following table represents unaudited quarterly financial data for the years ended December 31, 2004 and 2003.


		Three Months Ended

		March 31		June 30			September 30			December 31

		(In thousands, except per share amounts)
2004
Premiums earned		$	52,312	$	60,767		$	59,338		$	62,316
Net investment income			2,641		2,765			3,253			3,558
Net realized gain (losses) on investments			310		308			(75	)		878
Total revenues			55,406		63,961			62,643			66,950
Income before income taxes			3,888		582			4,040			5,176
Net income			2,891		708			3,147			3,811
Net income (loss) allocable to common shareholder			246		(1,868	)		685			1,714
Earnings (loss) per share:
	Basic		0.01		(0.14	)		0.03			0.06
	Diluted		0.01		(0.14	)		0.03			0.06
Comprehensive income			2,664		121			2,769			4,886
2003
Premiums earned		$	42,987	$	43,652		$	44,827		$	48,381
Net investment income			2,555		2,538			2,460			2,553
Net realized gain (losses) on investments			2		2			(46	)		358
Total revenues			45,681		46,287			47,380			51,383
Income (loss) before income taxes			4,535		5,163			3,836			(2,094	)
Net income (loss)			3,183		3,648			2,805			(1,042	)
Net income (loss) allocable to common shareholders			715		1,137			251			(3,642	)
Earnings (loss) per share:
	Basic		0.04		0.06			0.01			(0.28	)
	Diluted		0.02		0.03			0.01			(0.28	)
Comprehensive income (loss)			3,288		5,691			1,828			(1,236	)


22.	Subsequent Events.

Effective June 30, 2005, the Company entered into a commutation agreement with Converium Reinsurance (North America) Inc. (“Converium”) pursuant to which the Company is to receive cash payments totaling $61,297,000 in exchange for a full termination and release of three of the five reinsurance agreements between Converium and the Company. The commutation agreement provides that all liabilities of the Company reinsured with Converium under these three reinsurance agreements revert back to the Company in exchange for the cash payments. As a result of the termination of the three reinsurance agreements the Company recognized a pretax loss of $6,653,000 in 2005. Converium remains obligated to the Company under the remaining two reinsurance agreements. As of June 30, 2005, the amount recoverable from Converium under these two agreements was $6,860,000.

F-33

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

December 31, 2004

On June 20, 2005, the Company entered into agreements with the holders of all its outstanding options to purchase shares of the Company’s common stock pursuant to which all outstanding options of the Company were cancelled in exchange for $0.001 for each share of common stock issuable upon exercise of the options. Options to acquire a total of 1,459,049 shares of the Company’s common stock were cancelled in exchange for aggregate cash payments of $1,459. Additionally, the Company’s Stock Option and Restricted Stock Purchase Plan, under which these options were authorized, was terminated.

F-34

AMERISAFE, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS


			June 30,			December 31,
			2005			2004

			(Unaudited)
			(In thousands, except
			share data)
Assets
Investments:
	Fixed maturity securities — held-to-maturity, at amortized cost (fair value $345,883 and $328,948 in 2005 and 2004, respectively)		$	347,640		$	329,653
	Fixed maturity securities — available-for-sale, at fair value (cost $1,729 in 2005 and 2004)			1,720			1,755
	Equity securities — available-for-sale, at fair value (cost $44,344 and $30,926 in 2005 and 2004, respectively)			47,373			33,460

Total invested assets				396,733			364,868
Cash and cash equivalents				27,462			25,421
Receivable for investments sold				4			—
Amounts recoverable from reinsurers				174,556			198,977
Premiums receivable, net				144,953			114,141
Deferred income taxes				23,274			15,624
Federal income tax recoverable				1,420			1,292
Accrued interest receivable				3,427			3,123
Property and equipment, net				6,647			7,077
Deferred policy acquisition costs				18,496			12,044
Deferred charges				3,894			3,054
Other assets				10,664			8,566

			$	811,530		$	754,187

Liabilities, redeemable preferred stock and shareholders’ deficit
Liabilities:
	Reserves for loss and loss adjustment expenses		$	457,827		$	432,880
	Unearned premiums			137,536			111,741
	Reinsurance premiums payable			—			861
	Amounts held for others			1,688			1,214
	Policyholder deposits			35,880			33,746
	Insurance-related assessments			34,487			29,876
	Accounts payable and other liabilities			23,666			18,725
	Subordinated debt securities			36,090			36,090

Total liabilities				727,174			665,133
Redeemable preferred stock:
	Series A nonconvertible — $0.01 par value, $100 per share redemption value:
		Authorized shares — 1,500,000; issued and outstanding shares — 848,082 in 2005 and 819,161 in 2004		84,808			81,916
	Series B nonconvertible — $0.01 par value, $100 per share redemption value:
		Authorized shares — 1,500,000; no shares issued or outstanding in 2005 or 2004		—			—
	Series C convertible — $0.01 par value, $100 per share redemption value:
		Authorized shares — 300,000; issued and outstanding shares — 300,000 in 2005 and 2004		30,000			30,000
	Series D convertible — $0.01 par value, $100 per share redemption value:
		Authorized shares — 200,000; issued and outstanding shares — 200,000 in 2005 and 2004		20,000			20,000

				134,808			131,916
Shareholders’ deficit:
	Preferred stock: Series E nonconvertible — $0.01 par value, $100 per share redemption value:
		Authorized — 500,000; issued and outstanding shares — 35,930 in 2005 and 17,653 in 2004		3,593			1,765
	Common stock:
		Voting — $0.01 par value, authorized shares — 100,000,000; issued and outstanding shares — 21,581,864 in 2005 and 2004		216			216
		Convertible nonvoting — $0.01 par value, authorized shares — 5,000,000; no shares issued or outstanding in 2005 or 2004		—			—
	Additional paid-in capital			—			—
	Accumulated deficit			(60,900	)		(51,896	)
	Accumulated other comprehensive income			6,639			7,053

				(50,452	)		(42,862	)

			$	811,530		$	754,187

See accompanying notes.

F-35

AMERISAFE, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF INCOME


		Six Months Ended
		June 30,

		2005			2004

		(Unaudited)
		(In thousands, except
		share and per share data)
Revenues:
	Premiums earned	$	125,032		$	113,079
	Net investment income		7,650			5,407
	Net realized gains on investments		774			619
	Fee and other income		306			262

Total revenues			133,762			119,367
Expenses:
	Loss and loss adjustment expenses incurred		110,436			86,413
	Underwriting and certain other operating costs		15,297			12,620
	Commissions		7,822			6,971
	Salaries and benefits		6,448			7,512
	Interest expense		1,326			627
	Policyholder dividends		386			754

Total expenses			141,715			114,897

Income (loss) before income taxes			(7,953	)		4,470
Income tax expense (benefit)			(3,669	)		871

Net income (loss)			(4,284	)		3,599
Preferred stock dividends			(4,720	)		(5,221	)

Net income available to common shareholders		$	(9,004	)	$	(1,622	)

Earnings per share:
	Basic	$	(0.42	)	$	(0.13	)

	Diluted	$	(0.42	)	$	(0.13	)

Shares used in computing earnings per share:
	Basic		21,581,864			12,967,104

	Diluted		21,581,864			12,967,104

See accompanying notes.

F-36

AMERISAFE, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF

CHANGES IN SHAREHOLDERS’ DEFICIT


				Series E Preferred															Accumulated
				Stock						Common Stock				Additional					Other
														Paid-In		Accumulated			Comprehensive
				Shares			Amount			Shares		Amount		Capital		Deficit			Income			Total

				(In thousands)
Balance at January 1, 2004					247,209		$	24,720			12,967,104	$	130	$	—	$	(52,672	)	$	7,170		$	(20,652	)
	Comprehensive income:
		Net income			—			—			—		—		—		10,557			—			10,557
		Other comprehensive income, net of tax:
			Unrealized loss on securities		—			—			—		—		—		—			(117	)		(117	)

	Comprehensive income																						10,440
	Conversion of warrants				—			—			8,614,760		86		—		—			—			86
	Series A preferred stock dividends				—			—			—		—		—		(5,492	)		—			(5,492	)
	Series E preferred stock dividends				42,880			4,289			—		—		—		(4,289	)		—			—
	Redemption of Series E preferred stock				(272,436	)		(27,244	)		—		—		—		—			—			(27,244	)

Balance at December 31, 2004					17,653			1,765			21,581,864		216		—		(51,896	)		7,053			(42,862	)
	Comprehensive income:
		Net income (unaudited)			—			—			—		—		—		(4,284	)		—			(4,284	)
		Other comprehensive income, net of tax:
			Unrealized loss on securities (unaudited)		—			—			—		—		—		—			(414	)		(414	)

	Comprehensive income (unaudited)																						(4,698	)
	Series A preferred stock dividends (unaudited)				—			—			—		—		—		(2,892	)		—			(2,892	)
	Series E preferred stock dividends (unaudited)				18,277			1,828			—		—		—		(1,828	)		—			—

Balance at June 30, 2005 (unaudited)					35,930		$	3,593			21,581,864	$	216	$	—	$	(60,900	)	$	6,639		$	(50,452	)

See accompanying notes.

F-37

AMERISAFE, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS


	Six Months Ended
	June 30,

	2005			2004

	(Unaudited)
	(In thousands)
Operating activities
Net cash provided by operating activities	$	35,500		$	40,501
Investing activities
Purchases of investments held-to-maturity		(39,222	)		(36,773	)
Purchases of investments available-for-sale		(25,047	)		(11,857	)
Proceeds from maturities of investments held-to-maturity		19,198			12,792
Proceeds from sales and maturities of investments available-for-sale		12,336			2,466
Repayments on mortgage loan		—			2,370
Purchases of property and equipment		(727	)		(1,039	)
Proceeds from sales of property and equipment		3			1

Net cash used in investing activities		(33,459	)		(32,040	)

Financing activities
Proceeds from issuance of subordinated debt securities		—			25,780
Principal payments on notes payable		—			(6,000	)
Redemption of outstanding Series E preferred stock		—			(27,019	)

Net cash provided by (used in) financing activities		—			(7,239	)

Change in cash and cash equivalents		2,041			1,222
Cash and cash equivalents at beginning of period		25,421			49,815

Cash and cash equivalents at end of period	$	27,462		$	51,037

See accompanying notes.

F-38

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

June 30, 2005


1.	Summary of Significant Accounting Policies

Organization

AMERISAFE, Inc. (“Amerisafe”) is an insurance holding company incorporated in the state of Texas, which, based on voting common shares, is 67.5% owned by Welsh, Carson, Anderson and Stowe VII L.P. and its affiliate WCAS Healthcare Partners, L.P. (“Welsh Carson”). The accompanying consolidated financial statements include the accounts of Amerisafe and its subsidiaries: American Interstate Insurance Company (“AIIC”) and its insurance subsidiaries, Silver Oak Casualty, Inc. (“SOCI”) and American Interstate Insurance Company of Texas (“AIIC-TX”), and Amerisafe General Agency, Inc. (“AGAI”). AIIC and SOCI are property and casualty insurance companies, domiciled in the state of Louisiana. AIIC-TX is a property and casualty insurance company organized under the laws of the state of Texas, was incorporated on December 20, 2004, and commenced business on January 1, 2005. AGAI, a wholly owned subsidiary of Amerisafe, is a general agent for the Company. AGAI sells insurance, which is underwritten by AIIC, SOCI, and AIIC-TX, as well as by nonaffiliated insurance carriers. The assets and operations of AGAI are not significant to that of the consolidated entity.

Amerisafe and its subsidiaries are collectively referred to herein as the “Company.”

Basis of Presentation

The accompanying condensed consolidated financial statements include the accounts of Amerisafe and its wholly owned subsidiaries. All significant intercompany balances and transactions have been eliminated in consolidation. The consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States (“GAAP”). The preparation of financial statements in accordance with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reported period. Actual results could differ from those estimates.

Interim Financial Statements

In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation in accordance with GAAP have been included. Operating results for the six months ended June 30, 2005 are not necessarily indicative of the results that may be expected for the year ending December 31, 2005.

Earnings Per Share

The Company applies the two-class method to compute basic earnings per share (“EPS”). This method calculates EPS for each class of common stock and participating security. Income available to common shareholders is allocated to common shares and participating securities to the extent that each security shares in earnings as if all earnings for the period had been distributed. The amount of earnings allocated to common shares is divided by the weighted-average number of common shares outstanding for the period. Participating securities that are convertible into common stock are included in the computation of basic EPS if the effect is dilutive.

F-39

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Share-Based Payments

On December 16, 2004, the Financial Accounting Standards Board (“FASB”) issued FASB Statement No. 123(R) (revised 2004), Share-Based Payment, which is a revision of FASB Statement No. 123, Accounting for Stock-Based Compensation. Statement No. 123(R) supersedes Accounting Principles Board (“APB”) Opinion No. 25, Accounting for Stock Issued to Employees, and amends FASB Statement No. 95, Statement of Cash Flows. Generally, the approach in Statement No. 123(R) is similar to the approach described in Statement No. 123. However, Statement No. 123(R) requires all share-based payments to employees, including grants of employee stock options, to be recognized in the income statement based on their fair values. Pro forma disclosure is no longer an alternative. The Company adopted the provisions of Statement No. 123(R) using the modified prospective method effective January 1, 2005. As all share-based payments previously issued by the Company were fully vested, there is no effect on the Company’s consolidated financial position or results of operations as of the date of adoption.

Prior to its adoption of Statement No. 123(R), the Company accounted for share-based payments to employees using APB Opinion No. 25’s intrinsic value method and, as such, generally recognized no compensation cost for employee stock options. Accordingly, to the extent additional share-based payments are issued, the adoption of Statement No. 123(R)’s fair value method could have a significant impact on the Company’s results of operations, although it will have no impact on the Company’s overall consolidated financial position.

Reserves for Loss and Loss Adjustment Expenses

Reserves for loss and loss adjustment expenses represent the estimated ultimate cost of all reported and unreported losses incurred through the end of the reporting period. The Company does not discount loss and loss adjustment expense reserves. The Company uses a consulting actuary to assist in the evaluation of the adequacy of the reserves for loss and loss adjustment expenses. The reserves for loss and loss adjustment expenses are estimated using individual case-basis valuations, statistical analyses, and estimates based upon experience for unreported claims and their associated loss and loss adjustment expenses. Such estimates may be more or less than the amounts ultimately paid when the claims are settled. The estimates are subject to the effects of trends in loss severity and frequency. Although considerable variability is inherent in these estimates, management believes that the reserves for loss and loss adjustment expenses are adequate. The estimates are continually reviewed and adjusted as necessary as experience develops or new information becomes known. Any adjustments are included in current operations.

F-40

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

annuity funds estimated future claims, reserves for loss and loss adjustment expense are reduced. Income is recognized in the period the annuity is purchased to the extent reserves are reduced.

Reinsurance

Upon management’s determination that an amount due from a reinsurer is uncollectible due to the reinsurer’s insolvency, or other matters, the amount is written off.

Income Taxes

The Company accounts for income taxes using the liability method. The provision for income taxes has two components, amounts currently payable or receivable and deferred amounts. Deferred income tax assets and liabilities are recognized for the differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred income tax assets and liabilities are measured using tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred income tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date.


2.	Reinsurance

F-41

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

policyholders. The Company remains liable to its policyholders for the portion reinsured to the extent that any reinsurer does not meet the obligations assumed under the reinsurance agreements. To minimize its exposure to significant losses from reinsurer insolvencies, the Company evaluates the financial condition of its reinsurers and monitors concentrations of credit risk arising from similar geographic regions, activities, or economic characteristics of the reinsurers. The effect of reinsurance on premiums written and earned in the six months ended June 30, 2005 and 2004 was as follows:


	Six Months Ended						Six Months Ended
	June 30, 2005						June 30, 2004

	Written			Earned			Written			Earned

				(In thousands)
Direct	$	160,524		$	134,729		$	151,557		$	123,602
Ceded		(9,697	)		(9,697	)		(10,523	)		(10,523	)

Net premiums	$	150,827		$	125,032		$	141,034		$	113,079

The amounts recoverable from reinsurers consist of the following:


		June 30,		December 31,
		2005		2004

		(In thousands)
Unpaid losses recoverable:
	Case basis	$	106,043	$	164,942
	Incurred but not reported		5,760		24,682
Paid losses recoverable			62,753		9,353

Total		$	174,556	$	198,977

Amounts recoverable from reinsurers consists of paid losses recoverable, ceded case reserves and ceded IBNR reserves. Paid losses recoverable are receivables currently due from reinsurers for ceded paid losses. Ceded case and ceded IBNR reserves represent the portion of our gross loss and loss adjustment expense liabilities that are recoverable under reinsurance agreements, but are not yet due from reinsurers. The Company considers paid losses recoverable outstanding for more than 90 days to be past due. At June 30, 2005, approximately $126,000, or 0.2%, of the $62,753,000 of paid losses recoverable were past due.

The Company received reinsurance recoveries of approximately $16,083,000 and $30,982,000 for the six months ended June 30, 2005 and 2004, respectively.

F-42

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

At June 30, 2005, reinsurance recoverables from reinsurers that exceeded 3% of statutory surplus of the Company’s insurance subsidiaries are shown below (in thousands). The A.M. Best Company rating for the reinsurer is shown parenthetically.


Converium Reinsurance North America (B-)	$	66,261
American Re-Insurance Company(A)		24,568
Odyssey America Reinsurance Corporation(A)		22,533
St. Paul Fire & Marine Insurance Company(A)		13,043
Clearwater Insurance Company(A)		11,212
Scor Reinsurance Company (B++)		8,457
Hannover Re (A)		3,792
Other reinsurers		24,690

Total	$	174,556

During 2004, the Company’s largest reinsurer, Converium Reinsurance North America (“CRNA”), was downgraded by A.M Best Company, from A- to B-, as a result of the emergence of significant and previously unrecorded losses. While this downgrade had no immediate impact on the Company’s consolidated financial statements, it caused a decrease in the Company’s A.M. Best Capital Adequacy Ratio (“BCAR”) due to the increase in the capital charge sustained against the CRNA recoverable. CRNA continues to reimburse the Company for its portion of reinsured paid losses, and no amounts are past due.

Effective June 30, 2005, the Company entered into a commutation agreement with CRNA pursuant to which the Company will receive cash payments totaling $61.3 million in exchange for a full termination and release of three of the five reinsurance agreements between CRNA and the Company. The commutation agreement provides that all liabilities of the Company reinsured with CRNA under these three reinsurance agreements revert back to the Company in exchange for these cash payments. As a result of the termination of the three reinsurance agreements the Company recognized a pretax loss of $13.2 million in June 2005. CRNA remains obligated to the Company under the remaining two reinsurance agreements. As of June 30, 2005, the amount recoverable from CRNA under these two agreements was $6.3 million. The $66.3 million recoverable from CRNA at June 30, 2005 included a $1.3 million expense reimbursement that the Company owed to CRNA. Subsequent to June 30, 2005, the Company has received cash payments from CRNA totaling $61.3 million.

F-43

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


3.	Income Taxes

Income tax expense (benefit) from operations is different from the amount computed by applying the U.S. federal income tax statutory rate of 35% to income (loss) before income taxes as follows:


	Six Months Ended
	June 30,

	2005			2004

	(In thousands)
Income tax computed at federal statutory tax rate	$	(2,784	)	$	1,565
Tax-exempt interest, net		(956	)		(855	)
State income tax		153			180
Dividends received deduction		(119	)		(66	)
Other		37			47

	$	(3,669	)	$	871


4.	Loss and Loss Adjustment Expenses

The following table provides a reconciliation of the beginning and ending reserve balances, net of related amounts recoverable from reinsurers, for the six months ended June 30, 2005 and 2004:


		Six Months Ended
		June 30,

		2005		2004

		(In thousands)
Reserves for loss and loss adjustment expenses (“LAE”), net of related amounts recoverable from reinsurers, at beginning of period		$	243,256	$	183,001
Add:
	Provision for loss and LAE for claims occurring in the current year, net of reinsurance		88,554		73,325
	Change in estimated loss and LAE for claims occurring in prior years, net of reinsurance		8,682		13,088
	Loss on Converium commutation		13,200		—

			110,436		86,413
Less loss and LAE payments for claims, net of reinsurance, occurring during:
	Current year		11,301		10,638
	Prior years		52,467		44,431

			63,768		55,069

Add effect of Converium commutation			56,100		—

Reserves for loss and LAE, net of related amounts recoverable from reinsurers, at end of period			346,024		214,345
Add amounts recoverable from reinsurers on unpaid loss and LAE			111,803		186,060

Reserves for loss and LAE		$	457,827	$	400,405

See Note 2 for a discussion of the Converium commutation.

F-44

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


5.	Stock Options

A summary of the Company’s stock option plan as of June 30, 2005 and December 31, 2004, and changes during each of the periods then ended is as follows:


	Six Months Ended				Year Ended December 31,
	June 30, 2005				2004

			Weighted-					Weighted-
			Average					Average
			Exercise					Exercise
	Shares		Price		Shares			Price

Outstanding at the beginning of the period		1,447,049	$	2.99		1,450,049		$	3.01
Granted		12,000		5.00		12,000			5.00
Exercised		—		—		—			—
Canceled, forfeited, or expired		1,459,049		3.01		(15,000	)		5.00

Outstanding at the end of the period		—		—		1,447,049			2.99

Exercisable at the end of the period		—		—		1,447,049			2.99

The reported net income, basic earnings per share, and diluted earnings per share would not be impacted had the Company accounted for the outstanding stock options based on their fair value.

On June 20, 2005, the Company entered into agreements with the holders of all its outstanding options to purchase shares of the Company’s common stock pursuant to which all outstanding options of the Company were cancelled in exchange for $0.001 for each share of common stock issuable upon exercise of the options. Options to acquire a total of 1,459,049 shares of the Company’s common stock were cancelled in exchange for aggregate cash payments of $1,459. Additionally, on June 20, 2005 the Company’s Stock Option and Restricted Stock Purchase Plan, under which these options were authorized, was terminated.

F-45

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


6.	Earnings Per Share

The calculation of basic and diluted EPS for the six months ended June 30, 2005 and 2004 are presented below.


			Six Months Ended
			June 30,

			2005			2004

			(In thousands, except
			per share amounts)
Basic EPS:
	Net income (loss)		$	(4,284	)	$	3,599
	Preferred stock dividends			(4,720	)		(5,221	)

	Loss available to common shareholders		$	(9,004	)	$	(1,622	)

	Amount allocable to common shareholders(1)			100.0%			100.0%
	Loss allocable to common shareholders		$	(9,004	)	$	(1,622	)

	Weighted-average common shares outstanding			21,582			12,967

	Basic earnings (loss) per share		$	(0.42	)	$	(0.13	)

Diluted EPS:
	Loss allocable to common shareholders		$	(9,004	)	$	(1,622	)
	Dividends on participating securities			—	(2)		—	(2)

	Loss allocable to common shareholders after assumed conversions		$	(9,004	)	$	(1,622	)

	Weighted average common shares outstanding			21,582			12,967
	Diluted effect:
		Stock options		—			—
		Warrants		—			—
		Conversion of participating securities		—	(2)		—	(2)

	Weighted average diluted shares outstanding			21,582			12,967

	Diluted earnings (loss) per share		$	(0.42	)	$	(0.13	)



(1)	Computed under the two-class method by dividing weighted-average common shares outstanding (12,967,104 and 21,581,874 at June 30, 2004 and June 30, 2005, respectively) by the sum of weighted-average common shares outstanding and shares for all convertible participating securities, calculated on the if-converted method (such additional shares totaling 6,903,141 at June 30, 2004 and June 30, 2005).


(2)	Not applicable as impact is antidilutive.

F-46

AMERISAFE, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


7.	Other Comprehensive Income


		Pre Tax						Net-of-Tax
		Amount			Tax Expense			Amount

		(In thousands)
June 30, 2005
Unrealized gain on securities:
	Unrealized gain on available-for-sale securities	$	1,750		$	613		$	1,138
	Less amortization of differences between fair value and amortized cost for fixed maturity security transfer		(1,100	)		(385	)		(715	)
	Less reclassification adjustment for gains realized in net income		(1,287	)		(451	)		(837	)

Net unrealized loss			(637	)		(223	)		(414	)

Other comprehensive income		$	(637	)	$	(223	)	$	(414	)

June 30, 2004
Unrealized gain on securities:
	Unrealized gain on available-for-sale securities	$	611		$	214		$	397
	Less amortization of differences between fair value and amortized cost for fixed maturity security transfer		(1,346	)		(471	)		(875	)
	Less reclassification adjustment for gains realized in net income		(516	)		(181	)		(335	)

Net unrealized loss			(1,251	)		(438	)		(813	)

Other comprehensive income		$	(1,251	)	$	(438	)	$	(813	)

F-47

AMERISAFE, Inc.

Common Stock

PROSPECTUS

Until , 2005, which is the 25th day after the date of this prospectus, all dealers that effect transactions in our common stock, whether or not participating in this offering, may be required to deliver a prospectus. This is in addition to the dealers’ obligation to deliver a prospectus when acting as underwriters and with respect to their unsold allotments or subscriptions.

Friedman Billings Ramsey


	Keefe, Bruyette & Woods


	William Blair & Company

The date of this prospectus is , 2005.

PART II

INFORMATION NOT REQUIRED IN PROSPECTUS


Item 13.	*Other Expenses of Issuance and Distribution.*

The table below sets forth the costs and expenses in connection with the distribution of the securities being registered. All amounts are estimated except the SEC registration fee. All costs and expenses are payable by AMERISAFE.


SEC Registration Fee		$	10,829
NASD Filing Fees			9,700
Nasdaq Listing Fee			*
Legal Fees and Expenses			*
Accounting Fees and Expenses			*
Transfer Agent and Registrar Fees			*
Printing and Engraving Expenses			*
Blue Sky Fees and Expenses			*
Miscellaneous Expenses			*

	Total	$	*


*	To be provided by amendment.


Item 14.	*Indemnification of Directors and Officers.*

Our articles of incorporation provide that no director or officer of ours will be personally liable to us or our shareholders for or with respect to any acts or omissions in the performance of such person’s duties as a director or officer to the fullest extent permitted by the Texas Business Corporation Act (the “TBCA”) or any other applicable law.

Under Article 2.02-1 of the TBCA, subject to the procedures and limitations stated therein, we may indemnify any person who was, is or is threatened to be made a named defendant or respondent in a proceeding because the person is or was a director, officer, employee or agent of ours against judgments, penalties (including excise and similar taxes), fines, settlements, and reasonable expenses (including court costs and attorneys’ fees) actually incurred by the person in connection with the proceeding if it is determined that the person seeking indemnification:


	•	acted in good faith;

	•	reasonably believed that his or her conduct was in or at least not opposed to our best interests; and

	•	in the case of a criminal proceeding, had no reasonable cause to believe his or her conduct was unlawful.

We are required by Article 2.02-1 of the TBCA to indemnify a director or officer against reasonable expenses (including court costs and attorneys’ fees) incurred by the director or officer in connection with a proceeding in which the director or officer is a named defendant or respondent because the director or officer is or was in that position if the director or officer has been wholly successful, on the merits or otherwise, in the defense of the proceeding. The TBCA prohibits us from indemnifying a director or officer in respect of a proceeding in which the person is found liable to us or on the basis that a personal benefit was improperly received by him or her, other than for reasonable expenses (including court costs and attorneys’ fees) actually incurred by him or her in connection with the proceeding; provided, that the TBCA further prohibits us from indemnifying a director or officer in

II-1

respect of any such proceeding in which the person is found liable for willful or intentional misconduct in the performance of his or her duties.

Under Article 2.02-1(J) of the TBCA, a court of competent jurisdiction may order us to indemnify a director or officer if the court determines that the director or officer is fairly and reasonably entitled to indemnification in view of all the relevant circumstances; however, if the director or officer is found liable to us or is found liable on the basis that a personal benefit was improperly received by him or her, the indemnification will be limited to reasonable expenses (including court costs and attorneys’ fees) actually incurred by him or her in connection with the proceeding.

Article 2.02-1 of the TBCA states that rights of indemnification to which a director may be entitled under any provision contained in the articles of incorporation, the bylaws, a resolution of shareholders or directors, an agreement, or otherwise are valid only to the extent they are consistent with Article 2.02-1 of the TBCA as limited by our articles of incorporation, if such a limitation exists.

Article 2.02-1 of the TBCA permits us to purchase and maintain insurance or to make other arrangements on behalf of any person who is or was a director, officer, employee or agent of ours against any liability asserted against and incurred by that person in any such capacity, or arising out of that person’s status as such a person, whether or not we would otherwise have the power to indemnify the person against that liability under Article 2.02-1 of the TBCA.

Article 2.41 of the TBCA provides, among other things, that a director who votes for or assents to an unlawful distribution will be liable to us for such actions. A director who dissented at the time may avoid liability by causing his or her dissent to such actions to be entered in the minutes of the meeting of our board of directors or by filing his or her written dissent to such actions with the person acting as the secretary of the meeting before adjournment or immediately afterwards by registered mail.

Our articles of incorporation and bylaws provide that we must indemnify our directors and officers to the fullest extent permitted by the TBCA, the Texas Miscellaneous Corporation Act or any other applicable law. Our bylaws further provide that we must pay or reimburse reasonable expenses incurred by one of our directors or officers who was, is or is threatened to be made a named defendant or respondent in a proceeding to the maximum extent permitted under the TBCA. We believe that these provisions are necessary to attract and retain qualified persons as officers and directors.

We have entered into indemnification agreements with our directors and officers that provide for indemnification to the fullest extent permitted by applicable law.


Item 15.	*Recent Sales of Unregistered Securities.*

Between August 13, 2004 and September 2, 2004, we issued 8,614,760 shares of our common stock (after giving effect to the -for- reverse stock split effected in 2005) for $0.01 per share, or an aggregate purchase price of $86,148, in connection with the exercise of warrants issued in 1997 and 1998 to certain of our existing common shareholders that were accredited investors. The issuance of these securities was exempt from the registration requirements of the Securities Act pursuant to Section 4(2) thereof as transactions by an issuer not involving any public offering. The recipients of the securities represented their intention to acquire the securities for investment only and not with a view towards the resale or other distribution thereof and appropriate legends were affixed to the share certificates issued in such transactions.

II-2


Item 16.	*Exhibits and Financial Statement Schedules.*

(a) Exhibits.


Exhibit
No.			Description of Exhibit

	1	.1*	Form of Underwriting Agreement
	3	.1*	Form of Restated Articles of Incorporation of the Registrant
	3	.2**	Form of Restated Bylaws of the Registrant
	5	.1*	Opinion of Jones Day
	10	.1**	Executive Agreement, dated January 1, 2004, by and between the Registrant and Mark R. Anderson
	10	.2**	Employment Agreement, dated January 1, 2004, by and between the Registrant and C. Allen Bradley, Jr., as amended by Amendment No. 1 to Employment Agreement, dated June 17, 2005
	10	.3**	Employment Agreement, dated January 1, 2004, by and between the Registrant and Geoffrey R. Banta, as amended by Amendment No. 1 to Employment Agreement, dated June 17, 2005
	10	.4**	Employment Agreement, dated January 1, 2004, by and between the Registrant and Arthur L. Hunt, as amended by Amendment No. 1 to Employment Agreement, dated June 17, 2005
	10	.5**	Employment Agreement, dated January 1, 2004, by and between the Registrant and Craig P. Leach, as amended by Amendment No. 1 to Employment Agreement, dated June 17, 2005
	10	.6**	Form of AMERISAFE, Inc. 2005 Equity Incentive Plan
	10	.7**	Form of Incentive Stock Option Award Agreement for the AMERISAFE, Inc. 2005 Equity Incentive Plan
	10	.8**	Form of Non-Qualified Stock Option Award Agreement for the AMERISAFE, Inc. 2005 Equity Incentive Plan
	10	.9	Form of AMERISAFE, Inc. 2005 Non-Employee Director Restricted Stock Plan
	10	.10**	Form of Restricted Stock Award Agreement for the AMERISAFE, Inc. 2005 Non-Employee Director Restricted Stock Plan
	10	.11**	Form of Director and Officer Indemnification Agreement
	10	.12**	First Casualty Excess of Loss Reinsurance Contract, effective as of January 1, 2005, issued to the Registrant by the reinsurers named therein
	10	.13**	Second Casualty Excess of Loss Reinsurance Contract, effective as of January 1, 2005, issued to the Registrant by the reinsurers named therein
	10	.14**	Workers’ Compensation Catastrophe Excess of Loss Reinsurance Contract, effective as of January 1, 2005, issued to the Registrant by the reinsurers named therein
	10	.15**	Commutation and Release Agreement, effective as of June 30, 2005, between the Registrant and Converium Reinsurance (North America) Inc.
	10	.16	Services Agreement, effective as of March 31, 2005, by and between Concentra Integrated Services, Inc. and Amerisafe Risk Services, Inc.
	10	.17	Agreement, effective as of March 31, 2005, by and between Amerisafe Risk Services, Inc. and MedRisk, Inc. and its affiliates and subsidiaries
	10	.18	Lease Agreement, effective as of January 1, 2005, by and between The Phoenix Hat Company, LLC and the Registrant
	10	.19**	Amended and Restated Registration Rights Agreement, dated March 18, 1998, by and among the Registrant and the shareholders of the Registrant named therein
	21	.1**	Subsidiaries of the Registrant
	23	.1*	Consent of Jones Day (included as part of its opinion filed as Exhibit 5.1 hereto)
	23	.2	Consent of Ernst & Young LLP
	24	.1**	Power of Attorney
	99	.1**	Consent of Jared A. Morris to be named as a director
	99	.2*	Consent of to be named as a director
	99	.3*	Consent of to be named as a director


	*	To be filed by amendment


**	Previously filed

II-3

Registrant has not filed certain long-term debt instruments not being registered with the SEC where the total amount of indebtedness authorized under any such instrument does not exceed 10% of the total assets of the Registrant and its subsidiaries on a consolidated basis. Registrant agrees and undertakes to furnish a copy of any such instruments to the SEC upon its request.

(b) Financial Statement Schedules.

The following financial statement schedules are included as pages S-1 to S-3 to this registration statement:

Schedule II. Condensed Financial Information of Registrant

Schedule VI. Supplemental Information Concerning Property-Casualty Insurance Operations

Pursuant to Rule 7-05 of Regulation S-X, other financial statement schedules have been omitted because the information to be set forth therein is included in the notes to the audited financial statements included in the prospectus forming a part of this registration statement.


Item 17.	*Undertakings.*

The undersigned registrant hereby undertakes to provide to the underwriter at the closing specified in the underwriting agreement, certificates in such denominations and registered in such names as required by the underwriter to permit prompt delivery to each purchaser.

Insofar as indemnification for liabilities arising under the Securities Act of 1933 (the “Securities Act”) 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 Securities 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 Securities Act and will be governed by the final adjudication of such issue.

The undersigned registrant hereby undertakes that:

(1) For purposes of determining any liability under the Securities Act, the information omitted from the form of prospectus filed as part of this registration statement in reliance upon Rule 430A and contained in a form of prospectus filed by the registrant pursuant to Rule 424(b)(1) or (4) or 497(h) under the Securities Act shall be deemed to be part of this registration statement as of the time it was declared effective.

(2) For purposes of determining any liability under the Securities Act, each post-effective amendment that contains a form of prospectus shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.

II-4

SIGNATURES

Pursuant to the requirements of the Securities Act of 1933, the Registrant has duly caused this Pre-Effective Amendment No. 1 to the Registration Statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Dallas, State of Texas, on September 9, 2005.


	AMERISAFE, Inc.


	By:	/s/ C. Allen Bradley, Jr.



	C. Allen Bradley, Jr.
	President and Chief Executive Officer

Pursuant to the requirements of the Securities Act of 1933, this Pre-Effective Amendment No. 1 to the Registration Statement has been signed by the following persons in the capacities indicated on September 9, 2005.


Signature		Title


/s/ Mark R. Anderson Mark R. Anderson		Chairman and Director

/s/ C. Allen Bradley, Jr. C. Allen Bradley, Jr.		President, Chief Executive Officer and Director (Principal Executive Officer)

/s/ Geoffrey R. Banta Geoffrey R. Banta		Executive Vice President and Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer)

* Sean M. Traynor		Director

* Paul B. Queally		Director
Arthur L. Hunt, by signing his name hereto, does hereby sign and execute this Pre-Effective Amendment No. 1 to the Registration Statement on behalf of the above-named directors and officers of AMERISAFE, Inc. on this 9th day of September, 2005, pursuant to powers of attorney executed on behalf of such director and/or officer, and previously filed with the Securities and Exchange Commission.

*By:	/s/ Arthur L. Hunt Arthur L. Hunt, Attorney-in-Fact

II-5

Schedule II. Condensed Financial Information of Registrant

AMERISAFE, INC.

CONDENSED BALANCE SHEETS


			December 31,

			2004			2003

			(In thousands, except
			share data)
Assets
Investments:
	Equity securities — available-for-sale, at fair value		$	1,090		$	310
	Investment in subsidiaries			128,014			114,925

Total invested assets				129,104			115,235
Cash and cash equivalents				4,066			10,172
Deferred income taxes				359			63
Property and equipment, net				3,275			15
Other assets				1,216			2,555

			$	138,020		$	128,040


Liabilities, redeemable preferred stock and shareholders’ deficit
Liabilities:
	Accounts payable and other liabilities		$	1,946		$	278
	Note payable to subsidiaries			10,930			5,680
	Subordinated debt securities and note payable			36,090			16,310

Total liabilities				48,966			22,268
Redeemable preferred stock:
	Series A nonconvertible — $0.01 par value, $100 per share redemption value:
		Authorized shares — 1,500,000; issued and outstanding shares — 819,161 in 2004 and 764,243 in 2003		81,916			76,424
	Series C convertible — $0.01 par value, $100 per share redemption value:
		Authorized shares — 300,000; issued and outstanding shares — 300,000 in 2004 and 2003		30,000			30,000
	Series D convertible — $0.01 par value, $100 per share redemption value:
		Authorized shares — 200,000; issued and outstanding shares — 200,000 in 2004 and 2003		20,000			20,000

				131,916			126,424
Shareholders’ deficit:				(42,862	)		(20,652	)

			$	138,020		$	128,040

S-1

Schedule II. Condensed Financial Information of Registrant—(continued)

AMERISAFE, INC.

CONDENSED STATEMENTS OF INCOME


		Year Ended December 31,

		2004		2003		2002

		(In thousands)
Revenues:
	Net investment income	$	281	$	4	$	721
	Loss on sale of asset		—		—		(80	)
	Fee income from affiliates and subsidiaries		3,661		1,791		2,746

Total revenues			3,942		1,795		3,387
Expenses:
	Underwriting and other operating costs		1,831		1,276		2,035
	Interest expense		1,757		264		377

Total expenses			3,588		1,540		2,412

Income before income taxes and equity in earnings of subsidiaries			354		255		975
Income tax expense			293		246		285

Income before equity in net income of subsidiaries			61		9		690
Equity in net income of subsidiaries			10,496		8,585		4,491

Net income		$	10,557	$	8,594	$	5,181

AMERISAFE, INC.

CONDENSED STATEMENTS OF CASH FLOWS


	Year Ended December 31,

	2004			2003			2002

	(In thousands)
Operating Activities
Net cash provided by operating activities	$	8,351		$	1,066		$	454
Investing Activities
Purchases of investments		(780	)		(310	)		—
Purchases of property and equipment		(3,589	)		—			—
Capital contribution to subsidiary		(2,710	)		—			—

Net cash used in investing activities		(7,079	)		(310	)		—
Financing Activities
Proceeds from issuance of subordinated debt securities		25,780			10,310			—
Principal payments on note payable		(6,000	)		(2,000	)		(1,000	)
Warrants exercised		86			—			—
Redemption of outstanding Series E preferred stock		(27,244	)		—			—

Net cash used in financing activities		(7,378	)		8,310			(1,000	)

Change in cash and cash equivalents		(6,106	)		9,066			(546	)
Cash and cash equivalents at beginning of year		10,172			1,106			1,652

Cash and cash equivalents at end of year	$	4,066		$	10,172		$	1,106

S-2

Schedule VI. Supplemental Information Concerning Property-Casualty Insurance Operations

AMERISAFE, INC. AND SUBSIDIARIES


			Reserves for										Loss
			Unpaid								Loss and		and		Amortization
	Deferred		Loss and								LAE		LAE		of Deferred			Paid Claims
	Policy		Loss						Net		related to		related		Policy			and Claim		Net
	Acquisition		Adjustment		Unearned		Earned		Investment		Current		to Prior		Acquisition			Adjustment		Premiums
	Costs		Expenses		Premiums		Premiums		Income		Period		Periods		Costs			Expenses		Written

	(In thousands)
2004	$	12,044	$	432,880	$	111,741	$	234,733	$	12,217	$	160,773	$	13,413	$	(25,969	)	$	113,931	$	243,011
2003		11,820		377,559		103,462		179,847		10,106		126,977		2,273		(20,076	)		99,157		195,990
2002		9,505		346,542		87,319		163,257		9,419		117,212		3,850		(20,465	)		87,174		158,530

S-3 EX-10.9 2 d27260a1exv10w9.txt FORM OF 2005 NON-EMPLOYEE DIRECTOR RESTRICTED STOCK PLAN Exhibit 10.9 AMERISAFE, INC. 2005 NON-EMPLOYEE DIRECTOR RESTRICTED STOCK PLAN 1. PURPOSE. The purpose of this 2005 Non-Employee Director Restricted Stock Plan is to attract and retain qualified individuals who are not employed by the Company to serve as Directors. 2. DEFINITIONS. As used in this Plan, (a) "Annual Grant" means a grant of Restricted Stock to a Non-Employee Director in accordance with Section 5 of this Plan. (b) "Annual Meeting" means the Company's annual meeting of shareholders. (c) "Award" means any award of an Initial Grant or Annual Grant under this Plan. (d) "Award Agreement" means a written agreement between the Company and a Non-Employee Director setting forth the terms, conditions and restrictions of the Award granted to the Non-Employee Director. (e) "Board" means the Board of Directors of the Company. (f) "Change in Control" shall have the meaning provided in Section 6 of this Plan. (g) "Common Shares" means the shares of common stock, par value $0.01 per share, of the Company or any security into which such Common Shares may be changed by reason of any transaction or event of the type referred to in Section 3(b) of this Plan. (h) "Company" means AMERISAFE, Inc., a Texas corporation. (i) "Date of Grant" means (i) with respect to an Initial Grant, the close of business on the date on which the Non-Employee Director is first elected or appointed to the Board, and (ii) with respect to an Annual Grant, the date on which the Annual Meeting in any calendar year is first convened. (j) "Director" means a member of the Board. (k) "Effective Date" means __________, 2005. (l) "Exchange Act" means the Securities Exchange Act of 1934, as amended, and the rules and regulations thereunder, as such law, rules and regulations may be amended from time to time. (m) "Incumbent Directors" means the individuals who, as of the Effective Date, are Directors of the Company and any individual becoming a Director subsequent to the date thereof whose election, nomination for election by the Company's shareholders, or appointment, was approved by a vote of at least two-thirds of the then Incumbent Directors (either by a specific vote or by approval of the proxy statement of the Company in which such person is named as a nominee for Director, without objection to such nomination); provided, however, that an individual shall not be an Incumbent Director if such individual's election or appointment to the Board occurs as a result of an actual or threatened election contest (as described in Rule 14a-12(c) of the Exchange Act) with respect to the election or removal of Directors or other actual or threatened solicitation of proxies or consents by or on behalf of a Person other than the Board. (n) "Initial Grant" means a grant of shares of Restricted Stock to a Non-Employee Director in accordance with Section 4 of this Plan. (o) "Market Value per Share" means, as of any particular date, (i) the closing sale price per Common Share on that date (or if there are no sales on that date, on the next preceding trading date during which a sale occurred) as reported on the Nasdaq National Market System, or if the Common Shares are not then-traded on the Nasdaq National Market System, the principal exchange on which the Common Shares are then trading, or (ii) if clause (i) does not apply, the fair value of the Common Shares as determined by the Board. (p) "Non-Employee Director" means each member of the Board from time to time who is not an employee of the Company or any of its Affiliates. (q) "Person" means any individual, entity or group (within the meaning of Section 13(d)(3) or 14(d)(2) of the Exchange Act). (r) "Plan" means this 2005 Non-Employee Director Plan. (s) "Restricted Stock" means Common Shares as to which neither the substantial risk of forfeiture nor the prohibition on transfers referred to in Section 4 or Section 5 of this Plan has lapsed. (t) "Subsidiary" means a corporation, company or other entity (i) more than 50 percent of whose outstanding shares or other securities (representing the right to vote for the election of directors or other managing authority) are, or (ii) which does not have outstanding shares or other securities (as may be the case in a partnership, limited liability company, business trust or other legal entity), but more than 50 percent of whose ownership interest representing the right generally to make decisions for such entity is, now or hereafter, owned or controlled, directly or indirectly, by the Company. (u) "Total Disability" means the permanent or total disability of a Non-Employee Director, as determined by the Board in good faith. 2 (v) "Voting Securities" means, at any time, (i) the securities entitled to vote generally in the election of Directors in the case of the Company, or (ii) the securities entitled to vote generally in the election of members of the board of directors or similar body in the case of another legal entity. 3. SHARES AVAILABLE UNDER THE PLAN. (a) Subject to adjustment as provided in Section 3(b) of this Plan, the number of Common Shares that may be issued or transferred as Restricted Stock and released from substantial risk of forfeiture thereof shall not exceed in the aggregate ______ Common Shares. Such shares may be authorized but unissued shares or treasury shares or a combination of the foregoing. (b) The number of shares available in Section 3(a) above shall be adjusted to account for shares relating to Awards that are forfeited. The number and type of shares available in Section 3(a) shall also automatically be adjusted to reflect (a) any stock split, combination of shares, recapitalization or other change in the capital structure of the Company, (b) any merger, consolidation, spin-off, split-off, spin-out, split-up, reorganization, partial or complete liquidation or other distribution of assets, issuance of rights or warrants to purchase securities, or (c) any other corporate transaction or event having an effect similar to any of the foregoing. 4. INITIAL GRANTS (a) Without any further action of the Board, each person who is elected or appointed for the first time to be a Non-Employee Director shall automatically receive an Initial Grant determined by dividing $_______ (prorated as determined below in this Section 4(a)) by the Market Value per Share on the Date of Grant; provided, however, that the number of shares of Restricted Stock shall be rounded downward such that no fractional share shall be issued. If any such person is so elected or appointed other than at an Annual Meeting, the Initial Grant shall be prorated for the number of whole months that such Non-Employee Director will serve until the first anniversary of the immediately preceding Annual Meeting. (b) In lieu of the Initial Grant contemplated by Section 4(a), each person who is, or will become, a Non-Employee Director upon the consummation of the Company's initial public offering (the "IPO") of its Common Shares shall, without further action by the Board, automatically receive an Initial Grant determined by dividing $_______ (prorated as determined below in this Section 4(b)) by the initial price to the public in the IPO; provided, however, that the number of shares of Restricted Stock shall be rounded down such that no fractional share shall be issued. The Initial Grant to be made pursuant to this Section 4(b) shall be prorated for the number of whole months that such Non-Employee Director will serve from the consummation of the IPO to June 1, 2006. 3 (c) Each Initial Grant shall constitute an immediate transfer of the ownership of shares of Restricted Stock to the Non-Employee Director, entitling such Non-Employee Director to voting, dividend and other ownership rights, but subject to the substantial risk of forfeiture and restrictions on transfer set forth in this Section 4. (d) Each Initial Grant shall provide that the shares of Restricted Stock covered by such Initial Grant shall be subject to a "substantial risk of forfeiture" until the first Annual Meeting after the Date of Grant. Each Initial Grant shall provide that the Non-Employee Director shall forfeit the shares of Restricted Stock covered by such Initial Grant if such Non-Employee Director terminates his or her service with the Company while such shares of Restricted Stock are subject to a substantial risk of forfeiture. Notwithstanding the foregoing, each such Initial Grant shall provide for the immediate lapse of such substantial risk of forfeiture in the event of (i) the Non-Employee Director's death or Total Disability, or (ii) upon a Change in Control. (e) Each Initial Grant shall require that any and all dividends or other distributions (other than cash dividends) declared or otherwise distributed thereon be subject to the same restrictions as the underlying Initial Grant. (f) Each Initial Grant shall provide that during the period for which such substantial risk of forfeiture has not lapsed, the shares of Restricted Stock shall not be sold or otherwise transferred, other than by will or the laws of descent and distribution. (g) Each Initial Grant shall be evidenced by an Award Agreement, which shall contain such terms and provisions not inconsistent with this Plan as the Board may approve. Unless otherwise directed by the Board, all certificates representing shares of Restricted Stock shall be held in custody by the Company until all restrictions thereon shall have lapsed, together with a stock power or powers executed by the Non-Employee Director in whose name such certificates are registered, endorsed in blank. 5. ANNUAL GRANTS (a) Commencing with the Annual Meeting in 2006, each Non-Employee Director who is then elected or is continuing as a Non-Employee Director shall, without any further action of the Board, automatically receive an Annual Grant determined by dividing $_______ by the Market Value per Share on the Date of Grant; provided, however, that the number of shares of Restricted Stock shall be rounded downward such that no fractional share shall be issued. (b) Each Annual Grant shall constitute an immediate transfer of the ownership of shares of Restricted Stock to the Non-Employee Director, entitling such Non-Employee Director to voting, dividend and other ownership rights, but subject to 4 the substantial risk of forfeiture and restrictions on transfer set forth in this Section 5. (c) Each Annual Grant shall provide that the shares of Restricted Stock covered by such Annual Grant shall be subject to a "substantial risk of forfeiture" until the first Annual Meeting after the Date of Grant. Each Annual Grant shall provide that the Non-Employee Director shall forfeit the shares of Restricted Stock covered by such Annual Grant if such Non-Employee Director terminates his or her service with the Company while such shares of Restricted Stock are subject to a substantial risk of forfeiture. Notwithstanding the foregoing, each such Annual Grant shall provide for the immediate lapse of such substantial risk of forfeiture in the event of (i) the Non-Employee Director's death or Total Disability, or (ii) upon a Change in Control. (d) Each Annual Grant shall provide that during the period for which such substantial risk of forfeiture has not lapsed, the shares of Restricted Stock shall not be sold or otherwise transferred, other than by will or the laws of descent and distribution. (e) Each Annual Grant shall require that any and all dividends or other distributions (other than cash dividends) declared or otherwise distributed thereon be subject to the same restrictions as the underlying Annual Grant. (f) Each Annual Grant shall be evidenced by an Award Agreement, which shall contain such terms and provisions not inconsistent with this Plan as the Board may approve. Unless otherwise directed by the Board, all certificates representing Restricted Stock shall be held in custody by the Company until all restrictions thereon shall have lapsed, together with a stock power or powers executed by the Non-Employee Director in whose name such certificates are registered, endorsed in blank. 6. CHANGE IN CONTROL. For purposes of this Plan, except as may be otherwise defined in an Award Agreement, a "Change in Control" shall mean the occurrence of any of the following events: (a) the acquisition by any Person of beneficial ownership (within the meaning of Rule 13d-3 promulgated under the Exchange Act) of 35% or more of the then outstanding Voting Securities of the Company; provided, however, that for purposes of this Section 6(a), the following acquisitions shall not constitute a Change in Control: (A) any acquisition by the Company or a Subsidiary of Voting Securities, (B) any acquisition of Voting Securities by any employee benefit plan (or related trust) sponsored or maintained by the Company or any Subsidiary or (C) any acquisition of Voting Securities by any Person pursuant to a Business Combination that complies with clauses (A), (B) and (C) of Section 6(c) below; (b) a majority of the Board ceases to be comprised of Incumbent Directors; 5 (c) consummation of a reorganization, merger or consolidation, a sale or other disposition of all or substantially all of the assets of the Company or other transaction (each, a "Business Combination"), unless, in each case, immediately following the Business Combination, (A) all or substantially all of the individuals and entities who were the beneficial owners of Voting Securities immediately prior to the Business Combination beneficially own, directly or indirectly, more than 50% of the combined voting power of the then outstanding Voting Securities of the entity resulting from the Business Combination (including, without limitation, an entity which as a result of such transaction owns the Company or all or substantially all of the Company's assets either directly or through one or more subsidiaries), (B) no Person (other than the Company, such entity resulting from the Business Combination, or any employee benefit plan (or related trust) sponsored or maintained by the Company, any Subsidiary or such entity resulting from the Business Combination) beneficially owns, directly or indirectly, 35% or more of the combined voting power of the then outstanding Voting Securities of the entity resulting from the Business Combination; provided, however, that no Person will be treated for purposes of this Section 6(c) as beneficially owning 35% or more of the Voting Securities of the entity resulting from the Business Combination solely as a result of the Voting Securities held in the Company prior to consummation of the Business Combination and (C) at least a majority of the members of the board of directors of the entity resulting from the Business Combination were Incumbent Directors at the time of the execution of the initial agreement or of the action of the Board providing for the Business Combination; or (d) approval by the shareholders of the Company of a complete liquidation or dissolution of the Company, except pursuant to a Business Combination that complies with clauses (A), (B) and (C) of Section 6(c) hereof. Notwithstanding anything to the contrary contained in this Section 6, a Person who holds 35% or more of the Voting Securities of the Company on the Effective Date will not be deemed to have acquired 35% or more of the Voting Securities of the Company for purposes of Section 6(a) of this Plan (and as a result, such circumstance shall not constitute a Change in Control) unless after the Effective Date such person acquires, in one or more transactions, additional Voting Securities of the Company representing 1% or more of the then outstanding Voting Securities of the Company it being understood that an increase in the percentage of Voting Securities held by a Person as a result of the Company's repurchase of Voting Securities of the Company is not an acquisition of Voting Securities by such Person. 7. FRACTIONAL SHARES. The Company shall not issue any fractional Common Shares pursuant to this Plan. 8. ADMINISTRATION OF THE PLAN. (a) This Plan shall be administered by the Board, which may from time to time delegate all or any part of its authority under this Plan to a committee of the Board (or a subcommittee thereof). To the extent of any such delegation, 6 references in this Plan to the Board shall be deemed to be references to such committee or subcommittee. (b) The interpretation and construction by the Board of any provision of this Plan or of any Award Agreement, and any determination by the Board pursuant to any provision of this Plan or of any such Award Agreement, shall be final and conclusive. No member of the Board shall be liable for any such action or determination made in good faith. 9. AMENDMENT AND TERMINATION OF PLAN. The Board may from time to time and at any time amend or terminate the Plan in whole or in part; provided, however, that any amendment (i) which must be approved by the shareholders of the Company in order to comply with applicable law or the rules of the principal exchange on which the Common Shares are traded or quoted, or (ii) which would increase the benefits accruing to Non-Employee Directors, increase the aggregate number of Common Shares that may be issued under the Plan or materially modify the eligibility requirements for participating in the Plan, shall not be effective unless and until the shareholders of the Company have approved such amendment. Notwithstanding anything to the contrary set forth in this Plan, following the IPO in the event the common stock of the Company is no longer listed for trading with a national securities exchange or the Nasdaq National Market System, then all future grants under this Plan shall be suspended until the Board shall take further action with respect thereto. 10. GOVERNING LAW. All issues concerning construction, validity and interpretation of this Plan and all Awards granted hereunder shall be governed by the law of the State of Texas, without regard to such state's conflict of laws rules. 11. GENERAL PROVISIONS. (a) Nothing in the Plan shall be deemed to create any obligation on the part of the Board to nominate any Director for reelection by the Company's shareholders or to limit the rights of the shareholders to remove any Director. (b) All notices under this Plan shall be in writing, and if to the Company, shall be delivered to the Secretary of the Company or mailed to its principal executive office addressed to the attention of the Secretary; and if to a Non-Employee Director, shall be delivered personally or mailed to the Non-Employee Director at the address appearing on the records of the Company. Such addresses may be changed at any time by written notice to the other party. 7 EX-10.16 3 d27260a1exv10w16.txt SERVICES AGREEMENT Exhibit 10.16 SERVICES AGREEMENT This Services Agreement ("Agreement") is made and entered into effective the 31M day of March, 2005 (the ("Effective Date"), by and between Concentra Integrated Services, Inc. ("CIS") and Amerisafe Risk Services, Inc. ("ARS"). WHEREAS, CIS offer workers' compensation payors a variety of health care management and cost containment services; WHEREAS, ARS is a health care payor that requires certain health care management and cost containment services; and WHEREAS, ARS desires to engage CIS to perform certain health care management and/or cost containment services upon its request and CIS desires to provide such services, pursuant to and in accordance with the terms of this Agreement; NOW, THEREFORE, in consideration of the foregoing premises, and the mutual covenants conditions contained herein, the parties agree as follows: 1. SERVICES 1.1 DESCRIPTION OF SERVICES. ARS hereby engages CIS, by itself and through its affiliated organizations including Concentra Preferred Systems, Inc. ("CPS"), to perform the specific health care management and/or cost containment services (collectively, the "Services") described on Exhibit A. 1.2 REPORTS. CIS hereby agrees to provide ARS with monthly and/or quarterly reports that ARS and CIS mutually agree upon, which summarize and describe the Services that were provided to ARS by CIS for the previous period. If ARS requests additional reports, CIS will make commercially reasonable efforts to provide the reports requested by ARS in a format that ARS and CIS mutually agreed upon. 2. FINANCIAL MATTERS. 2.1 COMPENSATION. ARS will pay CIS for the performance of Services in accordance with Exhibit A CIS will provide invoices to ARS each month that itemizes the Services provided by CIS for ARS. ARS will notify CIS of any disputed amounts within 15 days of the date ARS receives the invoice. ARS will pay each undisputed invoice within thirty (30) days of receipt. Any payment of undisputed amounts that is not made by ARS within thirty (30) days of receipt of CIS' invoice will bear interest at the rate of one and one-half percent (1.5%) per month or, if lesser, the maximum rate permitted by applicable law. 2.2 RESPONSIBILITY FOR BILL PAYMENT. Both parties acknowledge and agree that the adjudication and payment of benefits for health care services is solely ARS's right and its responsibility and that CIS has no authority or responsibility for such payment Both parties agree not to make any representation to the contrary to any person. 3. INSURANCE. CIS will procure and maintain at CIS' sole cost and expense all insurance coverage required by applicable law and by customary business practices for the performance of the Services. At a minimum, such coverage will include: (a) workers' compensation insurance at statutory limits; (b) general liability insurance with limits of not less than $1 million per claim and $3 million in the aggregate, and (c) professional liability insurance with limits of not less than $1 million per medical incident and $3 million in the aggregate. Upon receipt of its written request, CIS will provide a certificate of insurance evidencing the foregoing coverage. 4. COMPLIANCE WITH GOVERNMENTAL REQUIREMENTS. In performing their respective obligations under this Agreement and the activities contemplated hereby, each party and its respective officers, directors, employees, agents, subcontractors, and independent contractors will comply fully with all applicable laws, rules and regulations. 5. TERM AND TERMINATION. 5.1 The term of this Agreement will be one (1) year commencing on the Effective Date. This Agreement will automatically renew for successive one (1) year terms, subject to earlier termination by either of the parties as the terms of this Agreement provide. 5.2 This Agreement, and all rights and duties hereunder, will terminate if any of the following events occur: (a) The parties mutually agree to terminate this Agreement in writing; (b) One of the parties provides the other, at anytime, without cause, sixty (60) days prior written notice of its intention to terminate this Agreement; (c) Upon notice if a government body with regulatory authority over either of the parties' activities notifies ARS that it no longer approves its use of CIS' Services or there is a change in an applicable state or federal law or regulation, or an administrative or judicial order or decision significantly reduces or prevents either of the parties from fulfilling CIS' obligations under this Agreement; or (d) Either of the parties materially breaches or defaults in its performance under this Agreement, and fails to cure or commence to cure such breach or default to the other's satisfaction within thirty (30) days after receipt of written notice of such breach or default. Failure to obtain and maintain any required licenses, certifications or accreditations necessary to conduct business under this Agreement will be considered to be a material default; (e) In the event ARS and MedRisk, Inc. ("MedRisk") terminate their relationship, this contract will be renegotiated within 30 days after the data CIS is notified in writing by ARS of said termination In the event of such termination, ARS will notify CIS within five (5) business days. 5.3 Sections 5, 6, 7, 8, 9, 11 and 12 will survive the termination of this Agreement. 6. WORK PRODUCT. 6.1 For the purposes of this Agreement, "Work Product" is defined as all inventions, improvements, computer programs, discoveries, ideas, processes, systems, writings, or other works made or conceived by CIS, CIS' employees, agents, or independent contractors which are (a)(i) produced directly in the course of performing the Services under this Agreement but that are outside the normal scope of such performance; or (ii) developed or made during the term of this Agreement with the use of any of its proprietary systems; and (b) are directly related to a specific service or product development ARS requests; and (c) are unique to ARS and not developed for use generally with CIS' other clients. CIS hereby assigns to ARS all rights, title and interest it may have in the Work Product at all stages of development and upon completion, and all patents and copyrights in the Work Product. CIS will render all reasonably required assistance to ARS to protect the rights described above. 6.2 CIS has not and will not assign, license or otherwise transfer ownership, rights, title, or interest in the Work Product to any third party. 6.3 The parties agree that Work Product does not include any inventions, improvements, computer programs, discoveries, ideas, processes, systems, writings, or other works (a) that existed prior to the Effective Date, or (b) that CIS, or any third party CIS has hired, developed, conceived or existed prior to the Effective Date, or (c) that CIS, or any third party CIS has hired, independently develop without its dedicated financial assistance after the Effective Date. 7. OWNERSHIP OF INFORMATION AND DATA REQUIREMENTS 7.1 All ARS specific information, data, documents, records, reports will at all times be considered its property. CIS may, however, retain copies of any documents, including but not limited to the Work Product, that might be necessary to defend any suit relating to CIS' Services under this Agreement or in the normal course of CIS' business. 7.2 AI data analysis and evaluation tools, including information systems, technology, report formats, computer programs, processes, efforts and methods developed or used by CIS in performing this Agreement will remain CIS' sole property. 7.3 If this Agreement is terminated, CIS will provide ARS or its successor with those records reasonably required for subsequent administration in the standard format then used by CIS for storage of records subject to applicable laws. ARS and/or such successor provider will make records serviced by CIS reasonably available to CIS for litigation, pre-litigation and for conflict resolution purposes. 8. CONFIDENTIALITY. 8.1 "Confidential Information" means all written and oral information, documents and data previously or hereafter obtained by one of CIS or CIS' representatives from the other, or its affiliates or representatives, in connection with this Agreement and the transactions it contemplates, and includes proprietary services and methodologies, negotiated contract rates, technical data, programs, customer lists, lists of employees and agents, sales and marketing plans, operating procedures, agreements and related information, the past, present, and prospective methods, procedures, and techniques utilized in identifying prospective referral sources, compilations of information, records, and processes which are used in the operation of CIS' respective businesses, and all confidential medical information. 8.2 Each of the parties acknowledges that the other's Confidential Information constitutes valuable property and trade secrets, which are entitled to protection. Each of the parties will hold all Confidential Information in strict confidence, and neither of the parties nor any of CIS' affiliates or representatives will directly or indirectly (a) use or permit the use of any of the other's Confidential Information for or in connection with any purpose other than the performance of this Agreement (b) disclose or permit the disclosure of any of the other's Confidential Information to any person or entity other than the other's representatives, or (c) duplicate, copy or reproduce any of the Confidential information except with the prior consent of the owner, except as necessary for the performance of this Agreement or for review by CIS' respective officers or shareholders or their representatives However, the obligation o hold Confidential Information in confidence and not to use, copy or disclose it will not extend to the following information that may otherwise constitute Confidential Information: (i) Information that, at the time of the use, copying or disclosure, was readily ascertainable from public sources or was known by or available to competitors, clients or customers of either of the parties by publication or otherwise, sources which arise by virtue of this Agreement; (ii) Information that comes from a third party and was not acquired by such third party in violation of any obligation of confidentiality; (iii) Information required to be disclosed by law, provided that disclosure of such information will be limited to only such disclosure that is required to be made by applicable law; (iv) Information that has been used for statistical purposes only, with all identifying information as to its origin or source removed; or (v) Information that the parties have agreed to share to advance joint projects between Concentra and ARS. Without limiting any other obligations or liability of either of the parties under this Agreement, each of the parties will take an appropriate and reasonable action necessary to prevent the unauthorized use, disclosure, copying or reproduction and to protect and maintain the confidentiality of the Confidential Information. Each of the parties will advise its respective representatives of the terms of this Section and use reasonable efforts to cause them to comply with its terms. Each of the parties will immediately notify the other of the circumstances surrounding any breach of this Section. 8.3 Within ten (10) days after receiving written request from the owner of Confidential Information to return Confidential Information, all documents and other materials constituting such Confidential Information, including all copies, reproductions, extracts, and summaries of such Confidential Information will be returned to its owner except what may be necessary to continue to perform the Services.. Any portion of the Confidential information that consists of analysis, computations, studies or notes prepared by the receiving party or its representatives, or is necessary to continue performing the Services will be either held by the recipient or its representatives and kept confidential subject to the terms of this Agreement, or destroyed. 8.4 Both parties acknowledge that the breach or attempted breach of obligations under this Section will cause irreparable injury and that any remedy at law will be inadequate. Both parties acknowledge that, in addition to any other relief, each of the parties will be entitled to seek injunctive and other equitable relief in case of any such breach or attempted breach. Both parties expressly waive any requirement that the breaching party could assert for the securing or posting of any bond in connection with the obtaining of such injunctive or other equitable relief. 8.5 Each of the parties will comply with any applicable federal or state laws or regulations that are or may become effective during the term of this Agreement. 9. INDEPENDENT CONTRACTOR. 9.1 Each of the parties is an independent contractor of the other and neither of the parties is a partner, joint venturer, agent or representative of the other. There is no employment relationship between them. Neither of the parties has the right or authority to make any representation or warranty or incur any obligation or liability on behalf of the other. Neither of the parties will make any representation to a third party inconsistent with this paragraph. ARS will have no control over the employment, discharge, compensation of and service rendered by CIS' employees or agents. 9.2 CIS reserves the right to outsource, at CIS' sole discretion, some or all of the Services it is required to perform under this Agreement to subcontractors of CIS' choice CIS will notify ARS 30 days in advance of any additions or deletions of PPO networks available to ARS that have been mutually agreed upon. 10. INDEMNIFICATION. 10.1 Each of the parties hereby covenants and agrees to indemnify, defend, and hold harmless the other, and its officers, directors, employees, and affiliates, from and against any and all liability, loss, cost, or expense (including, without limitation, reasonable attorneys' fees), arising out of its own material breach, negligence or misconduct in the performance of its respective duties and obligations in this Agreement and for any claim by a third party of violation of its intellectual property rights. 10.2 Written notice will be promptly provided to the indemnifier of any claim that is being asserted for which such indemnification is sought That notice will include a true copy of the claim including, and any summons or other process, pleading, or notice issued in any lawsuit or other proceeding to assert or enforce such claim If the receiver of the notice accepts the obligation to indemnify, the receiver reserves the right to control the investigation, trial, and defense of such lawsuit or action (including all negotiations to effect settlement) and any appeal arising there from and to employ or engage attorneys of its own choice. 10.3 The party who is seeking indemnification, may, at its own cost, participate in such investigation, trial, and defense of such lawsuit or action and any appeal arising there from. Each of the parties' respective employees, agents, servants, and representatives will provide full cooperation to the other at all times during the pendency of the claim or lawsuit, including without limitation, and all available information with respect thereto. 11. AUDIT 11.1 CIS will maintain records applicable to the work performed under this Agreement. CIS will keep these records available for inspection by ARS, its auditors and advisors as provided under applicable laws for a period of three (3) years following completion of work or expiration or termination of this Agreement. 11.2 At any time during the three (3) year period but no more frequently than twice annually, during which the records are maintained by CIS, ARS may audit those of CIS' records that are directly related to this Agreement to determine the accuracy of bills submitted by CIS under the compensation section hereto. ARS must give CIS at least ten (10) days prior written notice of its intention to perform an audit. 12. DISPUTE RESOLUTION, 12.1 The parties will work together in good faith to resolve any disputes about their business relationship In case of any dispute arising between the parties to this Agreement that the parties cannot resolve themselves after a good faith attempt, the parties agree to binding arbitration to resolve any such dispute. Either party may initiate such binding arbitration to take place at a mutually agreeable location by notifying the other party in writing. Each party will bear the expense of its own arbitrator and attorney's fees and both parties will share equally the expense of the arbitrators and the arbitration. Arbitrators will have no authority to award punitive or exemplary damages. In addition, their parties expressly waive and disclaim any right to bring any claim in any and all forums as a class action or as a private Attorney General. No party may serve as a class representative or a member of a class in litigation adverse to another party. 13. MISCELLANEOUS PROVISIONS. 13.1 This Agreement (including the recitals and all exhibits attached hereto) (i) represents the entire agreement between the parties with respect to the subject matter of this Agreement (ii) supersedes all prior and contemporaneous purchase orders, agreements, understandings, representations and warranties relating to the subject matter of this Agreement, and (iii) may only be amended, canceled or rescinded by a writing signed by both of parties. 13.2 All notices and consents permitted or required under this Agreement must be in writing and will be deemed received upon to the address set forth below either in person or by commercial courier with confirmation of receipt or three (3) days after submission by registered or certified mail: CIS: Concentra Integrated Services, Inc. 5080 Spectrum Drive, Suite 400 West Addison, Texas 75001 Fax: (972) 387-1938 Attention: Office of General Counsel ARS: Amerisafe Risk Services, Inc. 2301 Highway 190 West DeRidder, Louisiana 70634 Attention: H.O. "Chris" Lestage, IV 13.3 Section and other headings in this Agreement are for convenience only and will not be used to affect, broaden or limit this Agreement. 13.4 This Agreement will be governed and enforced in accordance with the laws of the State of Texas, without regard to conflict of law provisions. 13.5 If any provision in this Agreement is determined by a court of competent jurisdiction to be invalid or unenforceable, such provision will be construed, limited or, severed, but only to the extent necessary to eliminate such invalidity or unenforceability, and the other provisions of this Agreement will remain unaffected. 13.6 This Agreement represents the wording selected mutually by the parties to define this Agreement and no rule of strict construction will apply against either of the parties. Whenever the context reasonably permits, the singular will include the plural, the plural will include the singular, and the whole will include any part thereof. 13.7 This Agreement will be binding upon and inure to the benefit of each of the parties and their respective representatives, successors and permitted assigns. 13.8 Except for obligations to make payment, neither of the parties will be liable to the other for any failure of (or delay in performance of) its respective obligations hereunder due to any cause or circumstance which is beyond its reasonable control including, but without limiting the generality of the foregoing, any failure or delay caused by strike, lockout, labor shortage, fire, explosion, shipwreck, act of God or the public enemy, war, riot, interference by the military or governmental authorities, or compliance with the laws of the United States or with the laws or orders of any other government or regulatory authority. 13.9 This Agreement may be executed in any number of duplicate counterparts, each of which will be deemed an original, but all of which taken together will constitute one and the same instrument. 13.10 Except as provided for herein, neither of the parties may modify, publish, transfer or assign any material in any media provided by the other, in whole or part or without the other's express written permission, nor may either of the parties use the other's name, trademark or other proprietary material without the other's written permission. Neither of the parties will use the other's trademarks, trade names or logos without the prior written permission of the owner of the marks. 13.11 This Agreement or any duty or obligation of performance hereunder may not be assigned, in whole or in part, by either of the parties without the prior written consent of the other, except that either of the parties may assign this Agreement to its parent or any subsidiary or in the event of a sale or merger of the majority of its assets without the other's prior consent. 13.12 Acceptance by either of the parties of any performance less than required hereby will not be deemed to be a waiver or the right to enforce all of the terms and conditions of this Agreement. No waiver of any such right will be binding unless either of the parties puts such waiver in writing and it is signed by both of the parties. IN WITNESS WHEREOF, the parties hereto have executed this Agreement in duplicate as of the date first herein written. Concentra Integrated Services, Inc.: Amerisafe Risk Services, Inc.: By: /s/ Bruce D. Singleton By: /s/ H.O. Lestage, IV ---------------------------------- ----------------------------------- Name: Bruce D. Singleton Name: H.O. "Chris" Lestage, IV Title: Vice President Title: Senior Vice President, Claims EX-10.17 4 d27260a1exv10w17.txt AGREEMENT Exhibit 10.17 AGREEMENT BETWEEN MEDRISK, INC. AND AMERISAFE RISK SERVICES, INC. THIS AGREEMENT ("Agreement") is made and entered into effective as of the 31st day of March, 2005, by and between Amerisafe Risk Services, Inc, on its own behalf and on behalf of its affiliates and subsidiaries (collectively referred to as "ARS"), a Louisiana corporation having its principal place of business 2301 Hwy 190 West, DeRidder, Louisiana, 70634, and MedRisk, Inc, and its affiliates and subsidiaries (collectively referred to as "MedRisk"), a Pennsylvania Corporation having its principal place of business at 2700 Renaissance Blvd, Suite 200, King of Prussia, Pennsylvania, 19406. WHEREAS, ARS administers various insurance programs, including but not limited to Worker's Compensation insurance programs to employers to provide and manage appropriate remedial treatment, care and attendance to injured workers in accordance with appropriate state laws through ARS's claims processing systems; WHEREAS, MedRisk manages networks of providers and provides repricing, utilization and management and business services to facilitate and expedite the transmission of information and payments between providers of medical services and commercial claim payers and to improve claim management effectiveness of commercial claim payers; and WHEREAS, the Parties desire to enter into this Agreement for MedRisk to provide services listed below on the terms and conditions set forth herein for the benefit of ARS, its affiliates and subsidiaries and for the benefit of ARS's insureds and their injured workers. NOW, THEREFORE, in consideration of the mutual covenants contained herein, the execution of this Agreement and other valuable consideration, the adequacy and receipt of which is hereby acknowledged, and intending to be legally bound, the parties agree as follows: SECTION 1. DEFINITIONS 1.1 SYSTEM - means MedRisk's proprietary internet-based web enabled claims management software products and services known as CLAIMExpert(SM), which provides the following capabilities: Facilitates and expedites the transmission of information between providers of medical services and commercial claim payers, scans and digitizes provider bills and supporting documents, routes and links this information in electronic format, and archives and retrieves this information for use by claim adjusters. Electronically identifies and transmits to the commercial claim payers key indicators of significant claim events, matches imported files of claim data with medical bills received from medical providers and medical payment recommendations developed by bill review agents, consolidates and evaluates all medical payment recommendations, generates a funding request to the commercial claim payer. 1.2 DOCUMENTATION - means the MedRisk materials describing the Services and System, which includes all web-enabled updates, training tools, modules and changes made to the system from time to time by MedRisk. 2 1.3 SERVICES - means the services provided by MedRisk as described in the Section 2 and Attachment A of this Agreement. SECTION 2. MEDRISK'S OBLIGATIONS 2.1 MedRisk grants a non-exclusive, non-sublicensable enterprise-wide license to ARS to use and have access to the System, Services and Documentation pursuant to this Agreement. 2.2 In connection with the performance of its obligations under this Agreement, MedRisk shall provide trained, competent and, where required by law or coverage provision, licensed employees to perform the services rendered hereunder in a manner commensurate with the highest professional standards and in good faith. 2.3 MedRisk will deliver CLAIMExpert(SM) to ARS in accordance with a mutually agreed upon time schedule and customized to ARS's business rules and to state-specific requirements. 2.4 MedRisk will provide training ARS field claim offices in order to facilitate optimum application of CLAIMExpert(SM) by ARS claim adjusters. 2.5 MedRisk will test CLAIMExpert(SM), prior to installation in each claim office in order to reduce disruption to ARS's claim management processes. 2.6 MedRisk will maintain and provide enhancements to CLAIMExpert(SM)' in accordance with reasonable ARS business requirements. 2.7 During the implementation stage of CLAIMExpert(SM) to ARS field claim offices, MedRisk will meet the reasonable phasing demands of ARS which require MedRisk development and training services. SECTION 3. ARS'S OBLIGATIONS 3.1 ARS will promptly notify MedRisk when CLAIMExpert(SM) processes and outcomes are not meeting ARS expectations and will cooperate with MedRisk in identifying and constructing corrective actions. 3.2 ARS will pay MedRisk for CLAIMExpert(SM) according to the rates listed in Attachment A. 3.3 ARS will use commercially reasonable efforts to adopt CLAIMExpert(SM) as standard components for ARS's workers compensation claims processes. 3.4 ARS appoints MedRisk as its agent for receiving provider bills and supporting documents naming ARS as payer and addressed to ARS. 3.5 Prior to authorizing MedRisk to receive provider bills and supporting documents on behalf of ARS via third-party electronic data transmission facilities, ARS will agree to comply with any reasonable material terms of the agreements between MedRisk and third-party electronic data transmission facilities which are disclosed by MedRisk to ARS. 3 SECTION 4. PRICING AND PAYMENT TERMS MedRisk and ARS agree to the pricing and payment terms and provisions as set forth in Exhibit A. SECTION 5. FUTURE VERSIONS OF THE SYSTEM in the event the System is improved by MedRisk, the fees payable by ARS under this Agreement will not be increased during the term hereof due to any such improvements or upgrades to the System, unless otherwise agreed to in writing by the parties. SECTION 6. DISCONTINUANCE In the event that MedRisk discontinues its support of the System or discontinues its business, and support is no longer reasonably available from any other source, then MedRisk shall furnish to ARS, upon ARS's written request. Such documentation including source code, as ARS reasonably requires to continue to use the System in accordance with this Agreement. Upon delivery, ARS shall be entitled to make copies of, and create derivative works based upon, such documentation to the extent necessary for such continued use. In the event that MedRisk discontinues support of the System or discontinues its business, MedRisk shall, upon written request from ARS, provide ARS with the names of persons providing support for the System. ARS agrees that in no event shall ARS market the System, or any derivative based thereon, at any time to any third party. Provided that MedRisk continues in business and offers the system for use as part of its business, termination pursuant to Section 15 will not trigger the provisions of this section. SECTION 7. PROPRIETARY RIGHTS MedRisk represents and warrants that it is the sole owner of all proprietary rights and intellectual property associated with the System and that it has the full right and authority to grant the license and make the warranties set forth in this Agreement. MedRisk shall take all actions that are necessary and appropriate for the full protection of its proprietary rights in the System, including, without limitation, obtaining copyright registrations on copyrightable aspects of the System and obtaining written and executed license agreements with all users of the System or any portion thereof. MedRisk's indemnification obligations with respect to claims of infringement shall be as set forth in Section 10 below. SECTION 8. WARRANTY ON SYSTEM MedRisk represents and warrants that the System will perform substantially in accordance with the Documentation during the term of this Agreement If the System does not perform as warranted in this Section or Appendix A, ARS will notify MedRisk and MedRisk will utilize reasonable commercial efforts at no additional charge in order to correct or replace the defective portions of the System. 4 SECTION 9. REPRESENTATION AND WARRANTIES OF PARTIES Each party warrants and represents to the other party that the transactions and activities contemplated herein (i) are within the corporate powers of such party; (ii) have been duly authorized by all necessary corporate action of such party; (iii) constitute the legal, valid and binding obligation of such party, enforceable against it in accordance with its terms and (iv) do not and will not conflict with, result in a breach in any of the provisions of, or constitute a default under the provisions of, any law, regulation, licensing requirement, charter provision, by-law or other instrument applicable to such party or its employees or which such party is a party or may be bound. The parties each reserve the right to enter into other agreements similar to this Agreement with actual and potential competitors of each other, on comparable or on different terms and conditions. SECTION 10. INDEMNIFICATION MedRisk shall defend and hold ARS harmless with respect to any claim that the System infringes any patent, copyright, trade secret or other intellectual property right of any third party, provided ARS promptly notifies MedRisk in writing of any such claim and gives MedRisk reasonable assistance in the defense of such claim MedRisk shall pay any damages and costs awarded against ARS in connection with a claim for infringement under this section. MedRisk shall have sole control over the resolution of any claim; however, MedRisk shall obtain the prior written consent of ARS prior to settlement. MedRisk shall have no liability or obligation to ARS with respect to any such claim if such claim is based upon any modification of the System made by ARS. In the event that any such claim of infringement is made or threatened, or injunctive relief is granted to the third-party claimant, MedRisk shall, at the option of ARS either: (a) obtain the right for ARS to continue using the System; (b) provide a non-infringing work-around; or (c) modify the System to render it non-infringing while retaining like capability. SECTION 11. MARKETING ARS may, at its discretion, list MedRisk's name, address, telephone number, public credentials and a factual description of MedRisk in ARS marketing materials MedRisk shall provide ARS with accurate and appropriate information on a timely basis. ARS may incorporate CLAIMExpert(SM) into ARS's internal systems and claims processes without attribution to MedRisk or specific identification of CLAIMExpert(SM) as service components. Both parties reserve the right to, and the control of, the use of their respective names, symbols, trademarks and service marks, which they now use or may later develop. In addition, neither party shall use the other party's name, symbols, trademarks, or service marks in advertising, promotional materials, press releases or other materials without the prior written consent of the other party. 5 SECTION 12. PRIVACY, CONFIDENTIALITY AND PROPRIETARY RIGHTS 12.1 Each party will comply with all applicable federal and state laws protecting the privacy of individual claimants, including laws regulating the use of medical information relating to the diagnoses, treatments, prognoses and underlying medical conditions of claimants and the use of personal information relating to a claimant's identity, activities or financial status. 12.2 "Confidential Information" shall be defined as any confidential, non-public or proprietary information, data or material, whether written, oral, via computer disk or other electronic media, which Recipient may obtain knowledge of through or as a result of the relationship established hereunder with the Disclosing Party, access to the Disclosing Party's premises, web application or server, or communications with its employees, agents or contractors, including, without limitation, product, programs, technical, systems, marketing, sales, process, financial, strategic, and computer programming information personal, financial or health information, negotiated contract rates, customer lists, lists of employees and agents, hospitals, physicians and other provider agreements and related information. Confidential Information also includes information of any direct or indirect parent, affiliate or subsidiary of the Disclosing Party. Recipient acknowledges that the Confidential Information is proprietary information that constitutes trade secrets of the Disclosing Party, which if disclosed could damage the Disclosing Party's business. 12.3 Each party acknowledges that the other party's Confidential Information constitutes valuable property and trade secrets of that party, which are entitled to protection. Each party shall hold all Confidential Information of the other party in strict confidence, and neither party nor any of its affiliates or representatives shall directly or indirectly (i) use or permit the use of any of the other party's Confidential Information for or in connection with development of competing products or services or for any purpose other than the performance of this Agreement or fulfilling said party's obligations under this Agreement, (ii) disclose or permit the disclosure of any of the other party's Confidential information to any person or entity other than the other party's affiliates or representatives, or (iii) duplicate, copy, or disclose any of the other party's Confidential Information except with the prior consent of the other party, or except for review by such party's officers or affiliates or their representatives. Each party acknowledges that the obligation to hold the other party's Confidential Information in confidence and not to use, copy, or disclose it shall not extend to the following information that would otherwise constitute Confidential Information: (a) Information that, at the time of the use, copying, or disclosure, was readily ascertainable from public sources or was in its totality known by or available to competitors, clients or customers of either party by publication or otherwise, except for sources which arise by virtue of this Agreement; (b) Information that comes into a party's possession from a third party and that was not acquired by such third party in violation of any obligation of confidentiality; or (c) Information required to be disclosed by law. 6 In addition, either party may disclose Confidential Information of the other party to the disclosing party's legal counsel. 12.4 Within ten (10) days after a party receives written request from the other party for the return of Confidential Information, the receiving party shall deliver to the requesting party all documents and other materials constituting such Confidential Information, including all copies, reproductions, extracts, and summaries of such Confidential Information in its possession, use, or control. Any portion of the Confidential Information that consists of analyses, computations, studies, or notes prepared by the receiving party or its affiliates or representatives, shall be either held by the receiving party or its affiliates or representatives and kept confidential subject to the terms of this Agreement or destroyed. 12.5 Without in any way limiting any other obligations or liability of each party under this Agreement, each party shall take all appropriate and reasonable action, by instruction otherwise, to prevent the unauthorized use, disclosure, copying, or reproduction of the Confidential Information and to protect and maintain the confidentiality of the Confidential Information. Each party shall advise its affiliates and representatives of the terms of this section and use reasonable efforts to cause each of them to comply with its terms. Each party shall immediately notify the other party of the circumstances surrounding any breach of this Section of which it becomes aware. Neither party shall attempt to access information not necessary for its performance hereunder. 12.6 Both parties agree that money damages would not be a sufficient remedy for any breach of confidentiality under this Agreement by the receiving party and that the disclosing party shall be entitled to seek specific performance as a remedy of any breach, in addition to all other remedies available at law or in equity. In the event that the disclosing party takes legal proceedings to protect its confidentiality or proprietary rights pursuant to this Agreement, it shall be entitled to reimbursement by the receiving party of reasonable legal fees and expenses incurred in connection with such proceedings in the event the disclosing party shall substantially prevail in its claims. 12.7 ARS shall be permitted to demonstrate the System as part of its marketing and business development efforts and as part of its first notice of loss processes. 12.8 MedRisk acknowledges and agrees that ARS is the owner of all data entered into the System. Upon request of ARS, MedRisk shall provide access within two (2) business days to ARS data entered into the System. MedRisk shall not disclose to any third party any claimant or insured information including, but not limited to, name, address, telephone number, diagnosis, injury, medical history, treatment, claim number or any other personal medical or financial information without the prior written consent of ARS. SECTION 13. SECURITY 13.1 ARS reserves the right to monitor all network traffic between MedRisk and ARS systems and may take actions to secure and protect such systems as appropriate. ARS reserves 7 the right to review MedRisk's perimeter security, connecting network and any hardware connecting to ARS systems with appropriate notice provided to MedRisk. 13.2 ARS shall determine the access methods and rights MedRisk shall have to all ARS systems and information, including Confidential Information. MedRisk shall comply with the authorization process for MedRisk users and associated privileges. 13.3 MedRisk shall, at all times, maintain a list of individuals authorized to access ARS systems and ARS Confidential Information, including each individual user's rights and privileges with respect to such use. ARS shall have the right to monitor user activity and revoke user access, as determined in its sole discretion. SECTION 14. INSURANCE AND INDEMNITY 14.1 MedRisk, at its sole expense, shall maintain, at all times while obligations under this Agreement remain to be performed by MedRisk, the following coverages and limits: (a) Standard workers compensation insurance as required by law and employers liability insurance with the limits of liability of no less than one million dollars ($1,000,000); (b) Commercial general liability insurance with the limits of liability of no less than two million dollars ($2,000,000); (c) Commercial umbrella liability insurance, with limits of no less than one million dollars ($1,000,000); (d) Errors and omissions liability insurance, with limits of no less than five million dollars ($5,000,000); and (e) Automobile liability insurance, with limits of no less than one million dollars ($1,000,000). 14.2 Med Risk shall deliver to ARS upon its request a certificate of insurance evidencing such coverages within ten (10) days of the execution of this Agreement by both parties. Upon receipt of any notice of any cancellation, change, amendment, or exclusion of such coverages, MedRisk shall, within ten (10) days thereafter, procure other insurance coverages to replace the items which are cancelled, changed, amended, or excluded. SECTION 15. TERM AND TERMINATION 15.1 Initial Term. The Initial Term of this agreement shall commence on the effective date first above written and shall continue for three (3) years. Thereafter, this Agreement shall automatically renew for successive one (1) year terms until and unless it is terminated as provided below. 15.2 Termination Without Cause. After the Initial Term, this Agreement may be terminated without cause by either party upon at least ninety (90) days' written notice. 8 15.3 Breach of Agreement and Termination For Cause. This Agreement may be terminated for cause at any time upon thirty (30) days' written notice by either party in the event of one of the following events of default: (a) By either party, in the event of a failure by the other party to perform any material obligation under this Agreement in any material respect if said failure is not corrected by the defaulting party within the thirty (30) days' notice period; or (b) By either party, if the other party becomes involved in a voluntary or involuntary bankruptcy proceeding or otherwise becomes insolvent; or (c) By either party, in the event of the failure of the other party to maintain any of the licenses, certifications or accreditations necessary to conduct the business required under this Agreements; or (d) By either party in the event of a change in applicable state or federal law or regulation, by virtue of the adoption or amendment of statutes, rules or regulations or by administrative or judicial orders or decisions, in a manner which significantly reduces or precludes either or both parties' ability to perform under this Agreement. 15.4 Notwithstanding the termination of this Agreement as otherwise provided, the provisions of this Agreement shall continue to apply to the extent needed for all obligations and liabilities incurred by each party hereunder prior to such termination to be fully performed and discharged by such party. SECTION 16. INDEPENDENT CONTRACTOR The parties are independent entities. Nothing in this Agreement shall be construed to create relationship of employer and employee, principal and agent, joint ventures, partners, or any relationship other than independent contractors. MedRisk and ARS assume full responsibility or the actions of their respective employees while performing services pursuant to this Agreement and shall be solely responsible for the payment of salaries, wages, and benefits of such employees. MedRisk does not have the authority to act for ARS, to bind ARS in any respect whatsoever or to incur any debts or liabilities in the name of or on behalf of ARS. SECTION 17. OBLIGATIONS AFTER TERMINATION Each party will remain liable for any obligations or liabilities arising from its conduct prior to termination. SECTION 18. RECORDS RETENTION MedRisk agrees to maintain all transaction information regarding Consumers on the System for a period of one (1) year. The parties agree that all transaction information regarding Consumers maintained in the System beyond one (1) year shall be subject to a mutually agreed upon method of storage or transfer to Client. MedRisk agrees to provide ARS access within two (2) business days to ARS data entered into the System and stored by MedRisk. 9 SECTION 19. AUDIT The parties agree to perform an audit of MedRisk's obligations described in Sections 2 3, 2.4, 2.5 and 2.6 at mutually agreed upon intervals. The audit shall be performed by two (2) representatives of ARS and two (2) representatives of MedRisk. Any adjustments or credits based on the results of such audit shall be mutually agreed upon. SECTION 20. NOTICES Notices to ARS shall be made to the following address: Amerisafe Risk Services, Inc. 2301 Hwy 190 West DeRidder, LA 70634 Attn: H. O. "Chris" Lestage, IV Notices to MedRisk shall be mailed to the following address: MedRisk, Inc. 2701 Renaissance Blvd., Suite 200 P.O Box 61570 King of Prussia, PA 19406 Attn: Darrell L DeMoss All notices required or permitted hereunder shall be in writing and shall be deemed to be properly given when personally delivered to a party or to any officer or designated representative of a party entitled to receive the notice or five (5) days after mailing when properly addressed and sent by certified or registered first class mail, or upon receipt if transmitted by facsimile with proof of delivery or by nationally recognized private overnight carrier with proof of delivery to the party entitled to receive such notice at the appropriate address. SECTION 21. SEVERABILITY The provisions of this Agreement are independent of and separate from each other. If any one provision is determined to be invalid or unenforceable, it shall not render any other provision invalid or unenforceable. SECTION 22. ASSIGNMENT Neither party shall transfer, assign, sub-contract or delegate in whole or in part any of its rights or obligations under this Agreement without the prior written consent of the other party, which consent cannot be unreasonably withheld. Except for the prohibition on assignment contained in the preceding sentence, this Agreement shall be binding upon and inure to the benefit of the heirs, successors, and assigns of the parties hereto. 10 SECTION 23. ENTIRE AGREEMENT This Agreement contains the entire agreement between the parties, as to the subject matter hereof, and may not be waived, altered, or modified except by written agreement of the parties Any interpretation of this Agreement shall be governed by Pennsylvania statutes and laws, including those relating to conflict of laws. IN WITNESS WHEREOF the parties have executed this Agreement effective as of the date above written by their duly authorized officers for and on behalf of said corporation. MEDRISK, INC.: By: /s/ Derrell L. DeMoss ---------------------------------- Name: Derrell L. DeMoss Title: General Counsel Date: 4/1/2005 AMERISAFE RISK SERVICES, INC.: By: /s/ H.O. Lestage IV ---------------------------------- Name: H.O. "Chris" Lestage Title: Senior Vice President, Claims Date: March 31, 2005 11 EX-10.18 5 d27260a1exv10w18.txt LEASE AGREEMENT Exhibit 10.18 LEASE The following contract of lease is made and entered into by and between THE PHOENIX HAT COMPANY, LLC, herein represented by Aubrey T. Temple, Jr., hereinafter referred to as "Lessor," and AMERISAFE, Inc., herein represented by its duly authorized chief executive officer, C. Allen Bradley, Jr., hereinafter referred to as "Lessee." 1. For the consideration and upon the terms and conditions hereinafter expressed, Lessor does rent, let and lease unto Lessee, here present and accepting the same, for a period of ONE (1) YEAR, commencing JANUARY 1, 2005, and ending DECEMBER 31, 2005, the following described Premises: 24,888 square feet of office space and 3,090 square feet of warehouse space located at 1808 HIGHWAY 190 WEST, DERIDDER, LOUISIANA, to be used by AMERISAFE, Inc. as an office and a climate-controlled warehouse. Attached hereto and made a part hereof as Exhibit A is a drawing of the Premises which accurately reflects the space to be occupied by Lessee. In addition to the Premises, the Lessor shall provide parking spaces as needed for use by Lessee's employees and customers/guests. Lessor grants Lessee the option to cancel this lease upon giving written notice of same on or before OCTOBER 1, 2004. 2. The consideration of this lease is the payment by Lessee to Lessor of an ANNUAL BASE RENTAL of $249,934.00, payable in monthly installments of TWENTY THOUSAND EIGHT HUNDRED TWENTY SEVEN AND 84/100 ($20,827.84) DOLLARS each, the first installment being due and payable on the 1st day of JANUARY, 2005, and the remaining installments being due and payable, respectively on the 1st day of each month thereafter. Lease between The Phoenix Hat Company, LLC and AMERISAFE, Inc. Page 1 of 7 3. Lessor grants to the Lessee the option to extend this lease from the end of its term for FOUR (4) additional periods of ONE (1) year each upon giving written notice of same on or before JULY 1st of each year prior to the expiration date of this lease, on the same terms and conditions as specified in the primary lease except as to the Annual Base Rental amount which shall be $253,934.00 for 2006, $258,094.00 for 2007, $262,420.40 for 2008, and $266,919.86 for 2009. If Lessee fails to give written notice to Lessor of its intention to exercise the option to extend the lease by July 1st of any year, then the lease shall terminate effective as of December 31st of that year. 4. The Base Rental shall be subject to adjustment each calendar year, effective January 1 of each year, but only once per calendar year, to compensate for changes in Lessor's cost of electricity, which said Cost of Electricity is assumed to be $50,000.00 per annum for the year of 2004. If Lessor's cost of electricity for any calendar year increases per unit of electricity, Lessee's Base Rental for said calendar year shall be increased by a sum equal to the product of multiplying (a) the Cost of Electricity for the previous calendar year times (b) the percentage increase in the cost of electricity per unit of electricity from the previous year. Said product shall be hereinafter be referred to as "ELECTRICAL COST INCREASES". It shall be the responsibility of Lessor to provide Lessee with information sufficient to justify the Electrical Cost Increases. Commencing in 2005 and each year thereafter, not later than March 1 of each year, Lessor may elect to require that the Base Rental be adjusted for that year retroactive to January 1 of that year, on the basis of Lessor's estimates of Electrical Cost Increases. A final adjustment of the Base Rental for each calendar year shall be made the following year based upon final determination of Lessor's Electrical Cost Increases. In the event final determination indicates that the actual Lease between The Phoenix Hat Company, LLC and AMERISAFE, Inc. Page 2 of 7 Electrical Cost Increases exceed Lessor's prior estimated Electrical Cost Increases, Lessor shall be immediately due the difference. Should Lessor's actual Electrical Cost Increases as finally determined be less than Lessor's estimated Electrical Cost Increases, Lessee shall be due the difference as a pro rata reduction in future Electrical Cost Increase, provided however, in no event shall the annual Base Rental be less than the original amount. Additionally, should the Lessee significantly change its operation in the Premises resulting in significant additional electrical cost to the Lessor, the Parties shall negotiate to amend the Base Rental to reflect the appropriate increase in electrical cost. 5. All monthly payments of rent as herein fixed shall be paid by Lessee to THE PHOENIX HAT COMPANY, LLC, P.O. BOX 1025, DERIDDER, LA 70634, unless notified differently. 6. Lessor shall deliver the leased premises to the Lessee at the beginning of this lease in thoroughly sanitary and tenantable condition, and, by assuming possession, Lessee admits that it has examined the leased premises and found them to be in good, safe, and acceptable condition. 7. Lessor shall have sole responsibility for all maintenance and repair to the heating and air conditioning systems, plumbing systems (including plumbing fixtures), sewerage disposal systems, electrical systems, light fixtures (excluding replacement of light bulbs and fluorescent tubes), and all other equipment furnished by the Lessor. The Lessor shall be responsible for maintaining the entire building and site in good condition throughout the term of the lease. Lessor shall make all such repairs to the premises as may become necessary because of breakage or other damages not attributable to the negligence or fault of the Lessee, its employees, agents, invitees, or visitors. Lease between The Phoenix Hat Company, LLC and AMERISAFE, Inc. Page 3 of 7 8. Communications cable/wire shall be provided in the lease space by the Lessor. All communications equipment (computers, modems, multiplexers, telephone systems, intercoms, etc.) will be installed, maintained and paid for by the Lessee. The Lessee will order and pay for dial tone and data services from the telephone company. 9. Lessor shall pay for all utilities such as electricity, gas, water, and sewer. Lessee shall be responsible for all janitorial services for the premises. 10. If, prior to the termination of this lease, through no fault, neglect or design of Lessee, the leased premises and/or said building be destroyed by fire or other casualty, or be unfit for occupancy, then this lease shall be cancelled ipso facto, unless the leased premises can be rendered fit for occupancy within one hundred twenty (120) days from the happening of such fire or other casualty and the Lessor commences the repairs to the damages within thirty (30) days of the occurrence. The Lessee shall be entitled to such reduction or remission of rent as shall be just and proportionate. If this lease be cancelled for such cause, Lessee shall be entitled to a credit corresponding to the unexpired term of this lease, the unearned proportion of rent shall be annulled and returned to Lessee, and Lessor shall have the right to take possession of the leased premises, discharged of this lease. If the leased premises and/or said building be only so slightly injured by fire or other casualty as not to render the premises unfit for occupancy, Lessor agrees that same shall be repaired with reasonable diligence, in which event Lessee shall not be entitled to any reduction or remission of rent whatever. Lease between The Phoenix Hat Company, LLC and AMERISAFE, Inc. Page 4 of 7 11. Lessee agrees to carry commercially general liability insurance of $1,000,000 combined single limits per occurrence for Bodily Injury/Property Damage claims for those incidents in which the occurrence is the result of the negligence of the lessee. 12. It is agreed that if the Lessee should request any sublease of the premises or assignment of this lease, such sublease or assignment must be approved in advance in writing by the Lessor. 13. Any controversy or claim relating to this contract, including the construction or application of this contract, will be settled by binding arbitration under the rules of the American Arbitration Association, and any judgment granted by the arbitrator(s) may be enforced in any court of proper jurisdiction. 14. This Lease Agreement contains the entire agreement of the parties and there are no other promises or conditions in any other agreement whether oral or written. This Lease may be modified or amended in writing, if the writing is signed by the party obligated under the amendment. 15. If any portion of this Lease shall be held to be invalid or unenforceable for any reason, the remaining provisions shall continue to be valid and enforceable. If a court finds that any provision of this Lease is invalid or unenforceable, but that by limiting such provision, it would become valid and enforceable, then such provision shall be deemed to be written, construed, and enforced as so limited. Lease between The Phoenix Hat Company, LLC and AMERISAFE, Inc. Page 5 of 7 16. The failure of either party to enforce any provisions of this Lease shall not be construed as a waiver or limitation of that party's right to subsequently enforce and compel strict compliance with every provision of this Lease. 17. The rights of the parties under this Lease are cumulative, and shall not be construed as exclusive unless otherwise required by law. 18. This lease shall be construed in accordance with the laws of the State of Louisiana. 19. All notices required under this lease shall be in writing and shall be sent by United States Mail and in the case of notices to the Lessor shall be addressed as follows or in such manner as the Lessor shall from time to time make notification to the Lessee: The Phoenix Hat Company, LLC AMERISAFE, Inc. Aubrey T. Temple, Jr. C. Allen Bradley, Jr. P.O. Box 1025 2301 Highway 190 West DeRidder, LA 70634-1025 DeRidder, LA 70634

Lease between The Phoenix Hat Company, LLC and AMERISAFE, Inc. Page 6 of 7 PARISH OF BEAUREGARD ) STATE OF LOUISIANA ) THUS DONE AND PASSED on this 24th day of February, 2004, and in the presence of the competent witnesses, Erika Anderson and Kelli DeWitt, who hereunto sign their names with the said appearers, and me, Notary Public, after due reading of the whole. Witnesses: Lessor: The Phoenix Hat Company, LLC /s/ Erika Anderson /s/ Aubrey Temple - -------------------------------------- --------------------------------------- By: Aubrey T. Temple, Jr. /s/ Kelli DeWitt - -------------------------------------- BEFORE ME: /s/ C. Kerry Anderson ---------------------------- Notary Public LA Bar Roll No. 21442 PARISH OF BEAUREGARD ) STATE OF LOUISIANA ) THUS DONE AND PASSED on this 11th day of February, 2004, and in the presence of the competent witnesses, Arthur L. Hunt and Kathy Wells, who hereunto sign their names with the said appearers, and me, Notary Public, after due reading of the whole. Witnesses: Lessor: The Phoenix Hat Company, LLC /s/ Arthur L. Hunt /s/ C. Allen Bradley, Jr. - -------------------------------------- --------------------------------------- By: C. Allen Bradley, Jr. /s/ Kathy Wells - -------------------------------------- BEFORE ME: /s/ Paige M. Harper --------------------------- Notary Public Bar No. 25322 Lease between The Phoenix Hat Company, LLC and AMERISAFE, Inc. Page 7 of 7 ~~EX-23.2 6 d27260a1exv23w2.htm CONSENT OF ERNST & YOUNG LLP exv23w2~~

Exhibit 23.2

Consent of Independent Registered Public Accounting Firm

We consent to the reference to our firm under the caption “Experts” and to the use of our report dated May 8, 2005, except Note 22, as to which the date is July 28, 2005, in the Registration Statement (Form S-1 No. 333-127133) and related Prospectus of AMERISAFE, Inc. dated September 9, 2005.

/s/ Ernst & Young LLP

New Orleans, Louisiana
September 8, 2005

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[Jones Day Letterhead]

956555-010004
September 9, 2005

Mr. Albert C. Lee
Securities and Exchange Commission
Division of Corporation Finance
100 F Street, N.E.
Mailstop 6010
Washington, D.C. 20549

Re: AMERISAFE, Inc.

Registration Statement on Form S-1

Registration Number 333-127133

Dear Mr. Lee:

     On behalf of AMERISAFE, Inc. (the “Company”), we are writing to respond to your letter dated August, 26, 2005 containing the comments of the Staff of the Securities and Exchange Commission (the “SEC”) in regard to the above referenced filing. We are electronically transmitting Amendment No. 1 to the Company’s Registration Statement on Form S-1. We will send four copies of Amendment No. 1, marked to show changes from the Company’s Registration Statement filed on August 3, 2005.

     In response to Comment No. 5, we have included the text of the Staff’s comments preceding each of the Company’s responses. Page references in the Company’s responses are references to the applicable pages in Amendment No. 1. Set forth below are the Company’s responses to the comments presented in your letter.

FORM S-1

General

1. Please provide us proofs of all graphic, visual, or photographic information you will provide in the printed prospectus prior to its use, for example in a preliminary prospectus. Please note we may have comments regarding these materials.

Response: The Company does not intend to include any graphic, visual or photographic information in the printed prospectus, other than the Company’s logo, as it appears on the front and back cover pages of the prospectus included in Amendment No. 1.

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 2

2. Please note that when you file a pre-effective amendment containing pricing-related information, we may have additional comments. As you are likely aware, you must file this amendment prior to circulating the prospectus.

Response: The Company notes the Staff’s comment. The Company will file a pre-effective amendment containing pricing related information prior to circulating the prospectus.

3. Please note that when you file a pre-effective amendment that includes your price range, it must be bona fide. We interpret this to mean that your range may not exceed $2 if you price below $20 and 10% if you price above $20.

Response: The Company notes the Staff’s comment and acknowledges that the pre-effective amendment including a price range must include a bona fide price range.

4. Please note that where we provide examples to illustrate what we mean by our comments, they are examples and not complete lists. If our comments are applicable to portions of the filing that we have not cited as examples, please make the appropriate changes in accordance with our comments.

Response: The Company notes the Staff’s comment. The Company has made applicable changes throughout Amendment No. 1 in response to your comments.

5. In your response letter, please state our comment and then explain each change that has been made in response to a comment. In addition, you should also reference each page number in which disclosure has been revised in response to a comment so that we can easily place your revised disclosure in its proper context.

Response: The Company notes the Staff’s comment and has included the text of the Staff’s comments preceding each response and, where applicable, a page number reference to the revised disclosure in Amendment No. 1.

Prospectus Summary, page 1

6. As currently written your summary contains too much detail and does not present a balanced picture of your company and operations. Please balance the discussion of your competitive strengths with a discussion of your weaknesses. Additionally, move the discussion of your challenges to immediately follow the discussion of your strategy. Finally, move much of the more detailed information to the “Business” section.

Response: In response to the Staff’s comment, the Company has revised its disclosure in the prospectus summary on pages 1 through 6 of Amendment No. 1 to reduce the amount of detail, present a more balanced picture of the Company and its operations, balance the

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 3

discussion of competitive strengths and weaknesses, move the “Challenges” section to immediately follow the “Strategy” section and move the more detailed information to the “Business” section.

7. Provide the basis for your belief that the hazardous industries you target are underserved.

Response: The Company’s belief that the hazardous industries it targets are underserved is based on its management’s experience in the 19-year period since the Company commenced operations in 1986. During this time, Company management has noted the limited number of insurance companies that quote workers’ compensation insurance for small to mid-size employers engaged in hazardous industries. Further, existing and potential policyholders and insurance agents that represent the Company often inform Company employees of the difficulty in obtaining quotes from workers’ compensation insurance companies due to the nature of the industries in which the policyholder conducts business and the scope of their operations.

8. We note your explanation of the commutation agreement on page 7. Please explain the word “commutation” the first time it is used.

Response: In response to the Staff’s comment, the Company has explained the term “commutation” the first time it is used on page 2 of Amendment No. 1.

9. We note your explanation of the term “accident year loss ratio” on page 6. Please move this explanation to page 5 where the term is used for the first time.

Response: In response to the Staff’s comment, the Company has moved the explanation of the term “accident year loss ratio” to page 5 of Amendment No. 1 where the term is first used.

Risk Factors

The workers’ compensation insurance industry is cyclical ....,page 11

10. Please revise to describe the current phase in the cycle and how it is affecting your operations and profitability. Compare current conditions with conditions previously. If you believe your profitability has in the past been adversely affected by negative developments and cyclical changes in the industry, please provide appropriate disclosure.

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 11 of Amendment No. 1 to describe the current phase in the market cycle. The Company does not believe that it has been disproportionately impacted by negative developments and cyclical changes in the industry. During the last soft market cycle the

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 4

Company believes that it was able to mitigate the adverse effects of the cycle by purchasing reinsurance on very favorable terms. However, the Company cannot assure that reinsurance would be available on such favorable terms in the future. As a result, future negative developments and cyclical changes in the industry could have an adverse effect on the Company’s profitability.

If we are unable to obtain reinsurance on favorable terms, our ability to write ..., page 11

11. Please disclose what percentage of your business you reinsure.

Response: As noted on page 11 in this risk factor, the Company’s reinsurance treaty program is an excess of loss program and covers all of its voluntary and assigned risk business. The Company’s reinsurance treaty program does not cover its participation in mandatory pooling arrangements. As noted on page 2 of Amendment No. 1, the assumed premiums the Company receives in exchange for participating in those arrangements are a form of reinsurance premiums. In response to the Staff’s comment, the Company has revised its disclosure on page 11 of Amendment No. 1 to clarify that 97% of its gross premiums written in 2004 were derived from its voluntary and assigned risk business.

12. If you have had difficulties obtaining reinsurance in the past, please disclose these difficulties and their effects on your operations.

Response: The Company has not had difficulties obtaining reinsurance in the past. Based on prior experience in addressing the Staff’s comments in other offerings, we have advised the Company to not include mitigating language in this risk factor, or in response to the Staff’s other comments to the risk factors included in the prospectus, including the responses to Comment Nos. 12, 13 and 14. Accordingly, additional disclosure has not been provided in this risk factor. Please see the response to Comment No. 14.

If our reinsurers do not pay losses in a timely fashion, or at all, we may incur ..., page 12

13. Please disclose the nature of any current difficulties you are experiencing regarding the enforcement of your rights to receive payment under reinsurance agreements.

Response: The Company is not currently experiencing any significant difficulty in enforcing its rights under its reinsurance agreements. Accordingly, additional disclosure has not been provided in this risk factor.

14. Please consider whether a risk factor addressing problems obtaining reinsurance or whether your dependence on any one reinsurer or small group of reinsurers is necessary. For example, approximately how many companies could provide you with reinsurance services in the volume you require? Consider the difficulties you would likely encounter in finding and negotiating for reinsurance from other sources.

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 5

Response: The Company has not experienced problems obtaining reinsurance and is not dependent on any one reinsurer or small group of reinsurers. Based on its 19-year operating history, the Company believes that there is an adequate number of reinsurers that could provide coverage in the amounts management believes appropriate. Accordingly, the Company has not included an additional risk factor specifically addressing these issues. A risk factor relating to obtaining reinsurance on favorable terms, including difficulties finding and negotiating reinsurance from other sources, is addressed in the risk factors on pages 11 and 12 of Amendment No. 1 entitled “If we are unable to obtain reinsurance on favorable terms, our ability to write policies could be adversely affected” and “If any of our current reinsurers were to terminate participation in our 2005 reinsurance treaty program, we could be exposed to an increased risk of loss.”

15. Please consider expanding and discussing as a stand-alone risk factor, what the company would do in the event that a reinsurer cancels its participation on new business.

Response: As discussed on page 12 of Amendment No. 1, under the terms of the Company’s 2005 reinsurance treaty program, the Company’s reinsurers may terminate participation on any December 31 upon 90 days prior notice. Consequently, the Company does not believe that it is exposed to a significant risk that a reinsurer will unexpectedly cancel participation on new business. In addition, the Company has disclosed on page 12 of Amendment No. 1 what it would do if a reinsurer canceled participation on any December 31, or if the Company canceled a reinsurer’s participation. Based on the foregoing, the Company believes that the risk that one of its reinsurers may cancel participation in the Company’s 2005 reinsurance treaty program is already adequately discussed. However, in response to the Staff’s comment, the Company has divided the existing disclosure regarding reinsurance into two separate risk factors.

A downgrade in our A.M. Best rating would likely reduce the amount ..., page 13

16. We note that some of your construction contractor policyholders are required to maintain workers’ compensation coverage with a company with an A.M. Best rating of A- or better in order to bid on certain contracts. If you were to be downgraded, what percentage of your business would be affected? In other words, please approximate in percentage terms the amount of premiums the loss of this business would represent.

Response: The Company is not able to quantify the percentage of its business, in terms of premiums or otherwise, that would be affected by a downgrade in its A.M. Best rating because the Company does not review or have access to its policyholders’ construction contracts. In 2004, the Company derived 38.3% of its gross premiums written from employers engaged in the construction industry. Based on industry experience, the Company believes that its larger policyholders are more likely to have construction

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 6

contracts with this type of ratings requirement. The disclosure on page 11 of Amendment No. 1 has been expanded to disclose the foregoing.

If we cannot sustain our relationships with independent agencies, we may be unable ..., page 16

17. Please revise your disclosure should you compensate the independent agents or agencies with contingent fee commissions, if applicable.

Response: The Company does not compensate its independent agents or agencies with contingent fee commissions. Please see the statement to that effect under the caption “Business—Sales and Marketing” on page 61 of Amendment No. 1.

Our business is dependent on the efforts of our senior management ..., page 18

18. Please identify the members of senior management and other employees that you consider to be key. Additionally, disclose whether you have employment agreements with all of the employees you consider to be key.

Response: In response to the Staff’s comment, the Company has revised its disclosure on pages 17 and 18 of Amendment No. 1 to identify its executive officers and the fact that the Company has an employment agreement with each of the executive officers.

19. Please state whether any of the key executives has plans to retire or leave the company for any reason in the near future and whether you maintain key man insurance on these individuals.

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 18 of Amendment No. 1 to indicate the expiration date of each executive officer’s employment agreement, the Company’s current discussions with Mark R. Anderson regarding his role with the Company after his employment agreement expires, and the fact that the Company does not maintain key man insurance with respect to its executive officers.

The outcome of recent insurance industry investigations and regulatory proposals ..., page 20

20. Please discuss any proposed legislation or new regulatory requirements that may be imposed on the insurance industry. For example, we note that the National Association of Insurance Commissioners has proposed new rules that would require brokers obtain written consent from their clients prior to receiving compensation from an insurance carrier. You may want to include this discussion as a separate stand-alone risk factor.

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 7

Response: The Company acknowledges the new rules proposed by the National Association of Insurance Commissioners requiring a broker to obtain written consent from its client prior to receiving compensation from an insurance carrier and requiring an agent to inform its client that it is being compensated by an insurance carrier. The Company does not sell its insurance through brokers and does not believe that its business will be adversely impacted if its agents are required to disclose that they are being compensated by the Company. Consequently, the Company does not believe these proposed rules constitute a significant risk to its business. However, in response to Comment No. 35, the Company has included disclosure regarding these proposed rules on page 80 of Amendment No. 1, under the caption “Business—Regulation—The National Association of Insurance Commissioners.” The Company has not identified any other proposed legislation or new regulatory requirements that may be imposed on the insurance industry that the Company believes should be disclosed in a risk factor. See the Company’s response to Comment No. 35.

Certain Important Information, page 25

21. We note your statement that the organizations do not guarantee the accuracy and completeness of such information. Please delete this statement. It is not appropriate to disclaim responsibility for information included in your registration statement.

Response: In response to the Staff’s comment, the Company has deleted “—Statistical and Other Data” under the caption “Certain Important Information” on page 24 of Amendment No. 1.

Use of Proceeds, page 27

22. We note that you intend to use $           million of the proceeds on general corporate purposes. Please revise to describe the purposes more specifically.

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 26 of Amendment No. 1 under the caption “Use of Proceeds” to describe the general corporate purposes for which the proceeds will be used more specifically.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

Overview, page 32

23. In the third paragraph of the Overview section of your MD&A you disclose certain performance metrics management uses to evaluate the performance of its operations, but there is no discussion within MD&A about management’s assessment of these performance metrics. Please revise to include management’s

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 8

assessment of these performance metrics, and any know trends and/or uncertainties related to the assessment.

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 31 to include management’s assessment of the performance metrics.

Critical Accounting Policies

Reserves for Loss and Loss Adjustment Expenses, page 35

24. We believe your disclosure in Management’s Discussion and Analysis regarding the reserve for loss and loss adjustment expenses could be improved to better explain the judgments and uncertainties surrounding this estimate and the potential impact on your financial statements. We believe that disclosures explaining the likelihood that materially different amounts would be reported under different conditions or using different assumptions is consistent with the objective of Management’s Discussion and Analysis. Accordingly, please revise MD&A to include the following information for each of your lines of business.

a. Please disclose the range of loss reserve estimates as determined by your actuaries. Discuss the key assumptions used to arrive at management’s best estimate of loss reserves within that range and what specific factors led management to believe this amount rather than any other amount within the range represented the best estimate of incurred losses. In addition include quantified and narrative disclosure of the impact that reasonably likely changes in one or more of the variables (i.e. actuarially method and/or assumptions used) would have on reported results, financial position and liquidity.

b. If you do not calculate a range around your loss reserve, but instead use point estimates please include the following disclosures:

• Disclose the various methods considered and the method that was selected to calculate the reserves. If multiple point estimates are generated, include the range of these point estimates. Include a discussion of why the method selected was more appropriate over the other methods.

• Discuss how management determined the most appropriate point estimate and why the other point estimates were not chosen. Also clarify whether the company actually records to the point estimate or if not, how that estimate is used.

• Include quantified and narrative disclosure of the impact that reasonably likely changes in one or more of the variables (i.e.

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 9

actuarially method and/or assumptions used) would have on reported results, financial position and liquidity.

c. In your disclosure you state that your loss and loss adjustment expenses are estimated using case-by-case valuations and statistical analyses. Please clarify what specific statistical analyses are performed.

Response: In response to the Staff’s comment, the Company has substantially revised its disclosure regarding the determination of loss reserves and provided a sensitivity analysis with respect to loss reserves on pages 64 through 67 of Amendment No. 1.

Deferred Policy Acquisition Costs, page 36

25. We understand based on your disclosure that the costs associated with performing safety services are capitalized and amortized as the premiums are earned. Please explain to us how these additional services are primarily related to the acquisition of new business. In your response please tell us how you comply with paragraph 28 of SFAS 60.

Response: As noted on page 62 of Amendment No. 1 under the caption “Business—Safety,” safety inspections are primarily related to our acquisition of new and renewal business. The Company’s safety inspections are performed prior to offering a quote for insurance and are designed to evaluate the working conditions and existing safety procedures of potential policyholders prior to policy issuance. The results of these safety inspections are a vital component of the Company’s underwriting process and are used in determining whether to quote and write the related insurance policies. Consistent with paragraph 28 of SFAS 60, the costs associated with the Company’s pre-quotation safety inspections are primarily related to insurance contracts issued or renewed during the period in which the inspection costs are incurred.

Overview of Operating Results, page 38

26. We note instances in which the increases/decreases in revenues/expenses are attributable to multiple factors. For example, the increase in gross premiums written from December 31, 2003 to December 31, 2004 was attributed to increased premium rates, growth in new and renewal business and positive premium adjustments due to payroll audits. In these instances, please quantify the impact of each factor.

Response: In response to the Staff’s comment, the Company has revised its disclosure on pages 38 through 42 of Amendment No. 1 to more fully explain the impact of factors resulting in increases/decreases in our revenues/expenses.

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 10

27. In certain areas of your discussion you make reference to specific factors that contributed to the change from period to period. For example, in the first paragraph on page 40 you disclose, “The increase is attributable to increased premium rates, growth in new and renewal business and positive premium adjustments related to payroll audits.” For statements like this one throughout your discussion of results of operations please quantify the individual factors and include an analysis explaining the relative significance of these items.

Response: In response to the Staff’s comment, the Company has revised its disclosure on pages 38 through 42 of Amendment No. 1 to quantify the individual factors that contributed to changes in operating results from period to period and to include analyses explaining the relative significance of these items.

Liquidity and Capital Resources, page 42

28. Please indicate if you expect to raise additional funds in the next 24 months. If you are unable to determine whether you will or not, please disclose the reasons.

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 42 of Amendment No. 1 to disclose that it presently expects that the proceeds of this offering together with cash flow from operations will be sufficient to fund its anticipated growth and operations over the next 24 months.

29. Please include in MD&A a more robust discussion of the reasonably likely impact the payment of claims will have on known trends and uncertainties, in particular cash outflows from operations. In the disclosure please include a discussion of your asset/liability management process and whether there are any significant variations between the maturity of your investments and the expected payment of your loss reserves. Include a discussion of the impact of selling securities before anticipated or the use of credit facilities to pay for policy liabilities will have on your future liquidity and results of operations.

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 42 of Amendment No. 1 to include a more detailed discussion of the reasonably likely impact the payment of claims will have on known trends and uncertainties.

30. Please refer to page 33 of your MD&A section, in which you disclose that the Company has changed its retention level of its reinsurance programs over the past several years. Please disclose to the extent necessary, the reasonable likelihood that the change in your reinsurance program has had or will have on liquidity and capital resources. Please refer to Section IV of Financial Reporting Release 72.

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 11

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 43 of Amendment No. 1 to explain the impact of the change in retention levels on liquidity and capital resources.

Business

Loss Reserves

Loss Development, page 66

31. We note that you have disclosed the impact on your cumulative deficiency/redundancy without the losses related to the write-off of the recoverable from Reliance Insurance Company. This type of disclosure does not appear to be consistent with disclosures required by Guide 6. If you have included the write-off of the recoverable as a non-GAAP financial measure, please tell us why this measure is not prohibited by Item 10(e)(1)(ii) of Regulation S-K.

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 69 of Amendment No. 1 to delete the table disclosing the impact of the write-off of amounts recoverable from Reliance.

Reinsurance, page 68

32. We note that Converium is not included in the list of reinsurers participating in your 2005 reinsurance program. We also note that Converium remains obligated to you under two remaining agreements. Do Converium’s obligations relate to prior years’ reinsurance agreements? Please explain.

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 73 of Amendment No. 1 to indicate that the Converium obligations relate to the Company’s reinsurance treaty program in 1999 and 2000.

Employees, page 72

33. Please disclose the number of part-time employees you have, if any.

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 75 of Amendment No. 1 to disclose that it has one part-time employee.

Properties, page 72

34. Please revise to disclose the amount of your annual lease payment(s) and when the lease agreement expires for your DeRidder, Louisiana facility. You should also file the lease agreement as an exhibit to your registration statement.

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 12

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 76 of Amendment No. 1 to disclose the amount of the Company’s annual lease payments under, and the expiration date of, the lease agreement for the Company’s facility in DeRidder, Louisiana. In addition, the Company has filed this lease agreement as Exhibit 10.18 to Amendment No. 1.

Federal Law and Regulations, page 75

35. Please discuss any proposed legislation or new regulatory requirements that may be imposed on the insurance industry. For example, we note that the National Association of Insurance Commissioners has proposed new rules that would require brokers obtain written consent from their clients prior to receiving compensation from an insurance carrier.

Response: See the Company’s response to Comment No. 20. In response to the Staff’s comment, the Company has revised its disclosure on page 80 of Amendment No. 1 to discuss the new rules proposed by the National Association of Insurance Commissioners. The Company is not aware of any other proposed legislation or new regulatory requirements that it believes should be disclosed in the prospectus.

Management

Directors, Executive Officers and Key Employees, page 78

36. Please revise page 79 to identify the subprime finance companies of which Jarred Morris is an officer and principal owner.

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 83 of Amendment No. 1 to include the identities of the subprime finance companies.

Management Compensation and Incentive Plans, page 82

37. We note that all five of the employees you describe in this section receive bonuses which may include stock options, as part of their compensation. Please describe how these individuals’ performance is determined and what factors are considered in evaluating it. For example, if the grants are based on company performance, please describe how company performance is measured.

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 87 of Amendment No. 1 to describe how the performance of the executive officers is determined and what factors are considered in evaluating performance.

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 13

Principal and Selling Shareholders, page 88

38. Please provide the full name(s) of the natural persons having voting, dispositive or investment powers over the shares held by the entities listed in the table on page 89.

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 94 of Amendment No. 1 to include the names of the natural persons having voting, dispositive or investment power over the shares held by Welsh Carson. The other shareholders listed in this table are third-party institutional investors, none of whom have representatives on the Company’s Board of Directors or otherwise participate in the management of the Company. The Company has no ability to compel these shareholders to provide this information. The Company requests that the Staff reconsider this comment.

39. In addition, please provide this information for the entities listed as a selling shareholder on page 91.

Response: Since the initial filing of the Registration Statement, the list of selling shareholders has been reduced to: Welsh Carson and Sprout Group. In response to the Staff’s comment, the Company has revised its disclosure on page 96 of Amendment No. 1 to include the names of the natural persons having voting, dispositive or investment power over the shares held by Welsh Carson. Sprout Group is a third-party institutional investor. Sprout Group does not have representatives on the Company’s Board of Directors or otherwise participate in the management of the Company. The Company has requested this information in writing from Sprout Group, but has not received a response. The Company has no ability to compel Sprout Group to provide this information. The Company requests that the Staff reconsider this comment as it applies to Sprout Group.

40. Please revise to indicate how the selling stockholders acquired the shares offered for resale.

Response: In response to the Staff’s comment, the Company has revised its disclosure on page 96 of Amendment No. 1 to indicate that the selling stockholders acquired the shares offered for resale in connection with the Company’s recapitalization transactions in 1997 and 1998 and upon the exercise of warrants in 2004 issued in connection with these transactions.

41. If any of the selling stockholders are broker-dealers, please revise to identify them as underwriters. The only exception to this position is if these entities obtained these securities as compensation for underwriting services.

Response: Welsh Carson has informed the Company that it is not a broker/dealer. As noted in response to Comment No. 39, the Company has requested this information in

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 14

writing from Sprout Group, but has not received a response. See response to Comment No. 42.

42. If any of the selling stockholders are affiliates of broker-dealers, they should be so identified. In addition, please revise your disclosure to include the following representations:

• The selling stockholders purchased in the ordinary course of business; and

• At the time of the purchase, the selling stockholders had no agreements or understanding to distribute the securities.

If you are unable to make these statements in the prospectus, please revise the prospectus to state the seller is an underwriter.

Response: Welsh Carson has informed the Company that it is not an affiliate of a broker/dealer. As noted in Comment No. 39, the Company has requested this information in writing from Sprout Group, but has not received a response. However, the Company believes that entities comprising the Sprout Group are affiliates of CSFB. In response to the Staff’s comment, the Company has revised its disclosure on page 96 of Amendment No. 1 to include the foregoing representations.

Certain Relationships, page 92

43. Please file your agreement with Contra as an exhibit to the registration statement.

Response: In response to the Staff’s comment, the Company has filed its agreements with certain subsidiaries of Concentra, Inc. as Exhibits 10.16 and 10.17 to Amendment No. 1.

Underwriting, page 100

44. We note you plan to conduct a directed share offering. Please provide us with any material you intend to use to sell to potential purchasers such as a “friends and family” letter. Tell us when you intend to send them to these potential purchasers. In addition, tell us the procedures you will employ in making the offering and how you will assure that this offer will meet the requirements of Section 5 of the Securities Act and Rule 134. We may have further comments.

Response: At the Company’s request, the underwriters have reserved for sale to the Company’s officers, directors and employees (collectively, the “Invitees”) up to 3% of the shares of common stock to be issued under the Registration Statement (collectively, the “Shares”) through a Reserved Share Program (the “Program”) to be conducted by Friedman, Billings, Ramsey & Co., Inc. (“FBR”). The Shares would be sold to the

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 15

Invitees at the public offering price in a manner substantially similar to that described below.

Through the Program, the Company will provide FBR with the names and addresses of each Invitee along with the maximum number of Shares that will be reserved for each Invitee. Based upon this information, FBR will prepare and mail to each Invitee, on the Company’s behalf, a package of materials consisting of a letter describing the Program and its mechanics (the “Friends & Family Letter”), an Indication of Interest Form (“IOI”) and information to open an account with FBR. This package of materials will also include a copy of the preliminary prospectus and a telephone number that the Invitee may call if he or she has questions concerning the Program. A W-9 Form will also be included in the package, and the Invitees will be advised not to complete this form until they are subsequently contacted, as applicable, by FBR.

In addition to explaining the mechanics of the Program, the Friends & Family Letter will state that the Invitee is under no obligation to purchase Shares through the Program, that responding to the mailing will involve no obligation of any kind, that the Invitee is not, by reason of his or her inclusion in the Program, assured of obtaining a particular number of Shares or even any Shares, that the Invitee may be required to enter into a 180-day lock-up agreement with respect to the Shares purchased through the Program, that no offer to buy Shares may be accepted and no part of the purchase price can be received by the Company until the Company’s Registration Statement has been declared effective and that any such offer to buy can be withdrawn by us, in whole or in part, without obligation or commitment, at any time prior to notice of such offer’s acceptance, (which notice is to be given after the effective date of the Registration Statement). The Friends & Family Letter will also contain the legend set forth in Rule 134 of the Securities Act of 1933.

The IOI will be designed to be signed by the Invitee and returned to FBR by facsimile. The IOI will be the method by which the Invitee affirms certain statements contained in the Friends & Family Letter, including that the Invitee has received a copy of the preliminary prospectus, that the number of Shares indicated is for the Invitee’s personal account and that the Invitee is aware that he or she is not assured of obtaining any or all of the Shares requested. The IOI will also contain a reiteration that no offer to buy Shares can be accepted and no part of the purchase price can be received by us until the Registration Statement becomes effective and that the indication of interest by the Invitee involves no obligation or commitment of any kind. It will also contain the Invitee’s lock-up agreement, if applicable. Further, the IOI will provide a space where the Invitee may indicate the maximum number of Shares in which he or she wishes to express an interest and will request certain personal information necessary for the administration of the Program.

If the Invitee is interested in reserving Shares through the Program, he or she will be directed to return the completed IOI to FBR by a specified date. Once the Invitee has returned a completed IOI to FBR, the Invitee’s personal information and the maximum

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 16

number of Shares in which the Invitee has expressed an interest will be forwarded to an FBR Financial Advisor or Registered Representative who will contact the Invitee to assist in opening an FBR account, which will allow for purchase of the Shares. Following receipt of all expressions of interest and the establishment of accounts for each applicable Invitee, the Company will determine the final allocation of Shares which will be made available to the Invitees. This allocation will be at the sole discretion of FBR.

Once the Registration Statement has been declared effective and the public offering price of the Shares has been determined, the FBR Financial Advisor or Registered Representative to whom the Invitee has been assigned will contact the Invitee and inform the Invitee of the public offering price and the maximum number of Shares that the Company has determined that he or she may purchase. The Invitee will then be asked whether he or she wishes to purchase Shares at that price, and if so, how many Shares he or she desires to purchase (subject to a minimum number of Shares to be determined and subject to the maximum aggregate number of Shares as described above). The Invitee may decline to purchase Shares, agree to purchase Shares but specify a lesser number of Shares than the maximum number set by us or purchase the maximum number of Shares. If the FBR Financial Advisor or Registered Representative is unable to contact the Invitee within 24 hours of pricing, the Invitee will lose the opportunity to participate in the Program. If the Invitee agrees to purchase Shares, a copy of the final prospectus will be sent to the Invitee along with a confirmation of the transaction. The mechanics of the sale to the Invitee will be handled the same way as any other sale of the Shares to any purchaser in the public offering. The Invitees will not be required to pre-fund their accounts and payment will not be required until after the Invitee has confirmed their indication of interest after the pricing of the offering.

A copy of the initial draft of the Program materials to be used in the United States, namely the Friends & Family Letter and the IOI, are being provided supplementally to the Staff as Exhibit 1 to this letter. Program materials used in foreign jurisdictions will reflect non-substantive changes necessitated by the laws of the jurisdictions in which the Invitees reside, but the account opening procedures and the mechanics of the sale of Shares to the Invitees in such foreign jurisdictions will remain unchanged. As of the date hereof, no materials have been furnished to any Invitee.

In addition, the Company also plans to send letters via electronic mail to invitees in the directed share program. The electronic mail, which will contain a link to the preliminary prospectus, will direct the invitees to FBR’s website which contains procedures to purchase shares. FBR’s procedures have been filed with the Division of Corporation Finance of the SEC (the “Division”) and are on the “pre-approved list” that is disseminated to the Staff. FBR has been advised by the Staff to refer future Staff reviewers to the “pre-approved list.” A copy of the form of electronic mail to be used is being provided supplementally to the Staff as Exhibit 2 to this letter.

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 17

45. We note that certain of the underwriters may distribute prospectuses electronically. Please tell us the procedures they will use in their selling efforts and how they intend to comply with the requirements of Section 5 of the Securities Act of 1933, particularly with regard to how offers and final confirmations will be made and how and when purchasers will fund their purchases. Provide us copies of all electronic communications including the proposed web pages.

Response: FBR intends to offer and/or sell securities electronically as described in the “Underwriting” section of the Registration Statement, which may include offering securities to certain of its Internet subscription customers via www.fbrdirect.com, allocating a limited number of securities for sale to its online brokerage customers, maintaining an electronic prospectus on its Internet website and sending a copy of the prospectus or a link to the prospectus on EDGAR via electronic mail. FBR’s procedures with respect to such electronic delivery of the prospectus are on file with the Division and are on the “pre-approved list” that is disseminated to the Staff. FBR has been advised by the Staff to refer future Staff reviewers to this “pre-approved list.”

With respect to your request for copies of all electronic communications, including the proposed web pages, please see the procedures that FBR has on file with the Division, as referenced above. The underwriters named in the Registration Statement, other than FBR, will not be using web pages to offer or sell the Company’s securities. However, one or more underwriters may send the preliminary prospectus electronically to potential investors to solicit interest. In such instances, the preliminary prospectus will be sent via electronic mail in the form of an Adobe PDF file, which is identical to the paper copy. The underwriters will meet their prospectus delivery requirements by mailing paper copies of the prospectus.

46. Please tell us and briefly disclose in the prospectus whether you intend to use any forms of prospectus other than print and electronic version, such as CD-ROMs, videos, etc., and provide all such prospectuses for our examination. Please refer to SEC Releases No. 33-7233 and No. 33-7289. We may have additional comments.

Response: An electronic copy of the prospectus will be available on an Internet website maintained by FBR in connection with the activities of FBR described above in the Company’s response to Comment No. 45.

47. Please indicate if your underwriters have arrangements with a third party to host or access your preliminary prospectus on the Internet. If so, identify the party and provide the address of the website. Please also describe the material terms of the agreement and provide us with a copy of any written agreement. You should also provide us with copies of all information concerning your company or the offering that appears on the third party website. We may have further comments.

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 18

Response: The underwriters have arranged to have all road show presentations for the offering produced and hosted by NetRoadshow, Inc. (“NetRoadshow”) on the Internet or via a FBR intranet site. NetRoadshow’s website is: www.netroadshow.com. A copy of the Standard Service Agreement between NetRoadshow and FBR (the “Service Agreement”) is being provided supplementally to the Staff as Exhibit 3 to this letter. The Service Agreement provides for NetRoadshow’s engagement to produce and transmit road show presentations as requested by FBR from time to time, in compliance with applicable Staff no-action positions. The Service Agreement prohibits editing presentations, except as permitted by Staff no-action positions, requires that access to presentations be limited to persons with passwords provided by FBR (with an access period of no more than 24 hours for any single password) and requires that presentations be maintained in a manner that prevents downloading or printing presentations. An electronic copy of the prospectus will also be available on NetRoadshow’s web site.

Consolidated Financial Statements

48. Please revise your filing to include June 30, 2005 and comparable prior period financial information and related disclosures pursuant to Rule 3-12 of Regulation S-X.

Response: In response to the Staff’s comment, we have included financial information for the six-month period ended June 30, 2005 and comparable prior period financial information and related disclosures pursuant to Rule 3-12 of Regulation S-X.

Noted to Consolidated Financial Statements

Note 6. Reinsurance, page F-18

49. It appears that reinsurance recoverables are a material component of your balance sheet. Please disclose the aging of recoverables as of the latest balance sheet date presented. The aging schedule may be based on management’s own reporting criteria (i.e. less than 30 days, 30 to 60 days etc.) or some other reasonable presentation. At a minimum, the disclosure should indicate the past due amounts and by significant counterpart.

Response: Our reinsurance recoverable consists of three components: paid loss recoverables, ceded case reserves, and ceded IBNR reserves. Paid loss recoverables are receivables due from reinsurers for ceded paid losses. Ceded case and ceded IBNR reserves represent the portion of our gross loss and loss adjustment expense liabilities that are recoverable under reinsurance agreements, but are not yet due from our reinsurers. These reserves are not receivables that can be aged, but are recoverable in future periods under the Company’s reinsurance agreements. The paid component, however, is a receivable from reinsurers for ceded paid losses.

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 19

At June 30, 2005, the amount recoverable from reinsurers was $174.6 million. The paid component of the recoverable was $62.8 million or 36.0%. Of this amount, $56.1 million, or 89.4%, related to our commutation receivable from Converium Reinsurance (North America). The Company considers paid loss recoverables outstanding for more than 90 days to be past due. As of June 30, 2005, $126,000, or 0.2%, of the paid receivables were more than 90 days past due. At December 31, 2004, the amount recoverable from reinsurers was $199.0 million. The paid loss recoverables component of the recoverable was $9.4 million, or 4.7%, of the amounts recoverable from reinsurers. As of December 31, 2004, $164,000, or approximately 1.8%, of the paid loss recoverables were more than 90 days past due.

In response to the Staff’s comment, the Company has disclosed the foregoing in the notes to its audited financial statements on page F-18 and in the notes to its interim financial statements on page F-42.

Note 13. Stock Options, page F-25

50. Please provide an analysis of how you determined the fair value of the underlying common stock and any related stock-based compensation for each equity issuance. Please include an itemized chronological schedule covering all equity instruments issued since the beginning of 2004 through the date of your response. In addition, please disclose the following in the financial statements:

• The date of each issuance;

• The number of options granted or shares issued;

• The exercise price or per share amount paid;

• Management’s fair market value per share and significant factors, assumptions and methodologies used in determining fair value;

• The intrinsic value, if any, per option;

• The identity of the recipient, indicating if the recipient was a related party;

• The amount of any compensation expense recognized;

• The method used in valuing the issuance;

• Whether the valuation was contemporaneous or retrospective;

• Significant factors contributing to the difference between the fair value as of the date of each grant and the estimated IPO price.

Response: Except for annual automatic option grants to non-employee directors under the Company’s 1998 stock option plan, no option grants have been made by the Company since 1999. As noted on page F-26 and F-45, options to purchase a total of 12,000 shares of common stock were granted to non-employee directors in each of 2004 and 2005, with an exercise price of $5.00.

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 20

Based upon its internal analysis, the Company determined that the expected initial public offering price of its common stock was substantially lower than the exercise price of all outstanding options. As noted under the caption “Aggregated Option Exercises in Last Fiscal Year and Fiscal Year End Option Values” on page 88 and in Note 22 on page F-34, on June 20, 2005, the Company entered into an agreement with each holder of outstanding stock options to cancel those options for cash consideration of $0.001 per share of common stock issuable upon exercise of the options. Options to cancel a total of 1,459,049 shares for the Company’s common stock were cancelled in exchange for aggregate cash payments of $1,459.

Given that no options have been granted to employees since 1999 and that all outstanding options have been cancelled, we respectfully request that the Staff reconsider this comment.

Note 18. Commitments and Contingencies, page F-30

51. We understand from your disclosures that you purchase annuity contracts with the intent to settle long-duration claims. Please tell us and disclose your accounting policy for the purchased annuities.

Response: The Company purchases annuities in connection with funding the settlement of certain claims. The cost of purchasing the annuity is recorded as paid loss and loss adjustment expenses. To the extent the annuity funds estimated future claims, reserves for loss and loss adjustment expense are reduced. Income is recognized in the period the annuity is purchased to the extent reserves are reduced. In response to the Staff’s comment, the Company has disclosed its accounting policy for purchased annuities on pages F-9, F-40 and F-41 of Amendment No. 1.

Item 15. Recent Sales of Unregistered Securities, page II-2

52. Please revise to identify the investors or classes of investors in the unregistered offerings between August 13, 2004 and September 2, 2004. Please note that we consider accredited investors to be a recognized class but do not recognize unaccredited investors or individual investors to be acceptable classes.

Response: In response to the Staff’s comment, the Company has revised its disclosure on page II-2 of Amendment No. 1 to identify the investors in the unregistered offerings as accredited investors.

Item 16. Exhibits and Financial Statement Schedules, II-3

53. We note you have filed a “Form of” legal opinion. Please note that this is not sufficient. Please file your actual legal opinion. If you are unable to file your legal

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 21

opinion with the next amendment, please revise your exhibit list to delete the term “Form of” and indicate that the actual legal opinion will be filed by amendment.

Response: In response to the Staff’s comment, the Company has revised its exhibit list on page II-3 of Amendment No. 1 to indicate that the legal opinion will be filed by amendment. We will file our legal opinion with the first amendment to the Registration Statement that includes the number of shares of common stock to be issued by the Company in the offering.

Mr. Albert C. Lee
Securities and Exchange Commission
September 9, 2005
Page 22

     If you have any questions regarding this filing, please do not hesitate to contact me at (214) 969-5251, or by facsimile at (214) 969-5100.

Very truly yours,

/s/ LARRY D. CANNON

Larry D. Cannon

cc:
C. Allen Bradley, Jr., AMERISAFE

Arthur L. Hunt, AMERISAFE

James E. O’Bannon, Jones Day

Lisa K. Durham, Jones Day

J. Brett Pritchard, Lord, Bissell & Brook LLP

EXHIBIT 1

[Form of Friends and Family Letter]

                    , 2004

AMERISAFE, Inc.
Customers, Friends, Family & Employees:

In connection with the proposed initial public offering of AMERISAFE, Inc. (“AMERISAFE”) common stock, AMERISAFE has arranged through Friedman, Billings, Ramsey & Co., Inc. (“FBR”) to make it possible for you to purchase shares at the initial public offering price. However, you are not obligated to purchase such shares and this notice is not intended to encourage or discourage you from purchasing any shares. This information is simply intended to inform you that there is an opportunity for you to invest in AMERISAFE. It is your responsibility to complete all necessary actions to be eligible to participate.

The range for the initial public offering price is $           to $          , as indicated in the enclosed Preliminary Prospectus, but the actual offering price, which may be higher or lower, will be determined immediately prior to the offering. You should be aware that any purchase of shares is an investment and is subject to certain risks, including the risk that stock may lose all, most or some of its value, a risk that is inherent to the stock market. There can be no assurance that the market price of the shares after the initial public offering will be higher than the initial offering price.

There is no obligation to participate in this program; however, should you wish to do so, please read the enclosed Preliminary Prospectus describing AMERISAFE and the offering. Please complete the enclosed forms in their entirety and return them to FBR so they are received prior to 3:00 p.m., Eastern Standard Time, on                     ,                     , 2005. You cannot submit an indication of interest for less than                      shares. If the enclosed forms are returned incomplete or with missing signatures, you will lose your right to participate in the program. Completed forms must be faxed to the attention of                      at (703)       —       or sent via overnight delivery to the address below.

Also note that your indication of interest does not constitute an agreement on your part to buy any shares or an agreement on the part of AMERISAFE or FBR to sell any shares to you. No payment is required at this time. You are only permitted to enter an indication of interest for your own personal account and not on behalf of any other person, as there are a limited number of shares available for purchase. Please note that there is no guarantee that you will be able to obtain any of the shares requested.

After the registration statement is effective, you must confirm your indication of interest to purchase shares at the offering price in order to be eligible to participate in the program. FBR will contact you by telephone the day AMERISAFE starts trading to confirm your indication of interest. If you confirm your indication of interest, FBR will provide you with the number of shares, total amount due and your account number. Please note that no part of the purchase price can be received by FBR until the registration statement becomes effective. If you confirm your indication of interest to purchase shares, and you are allocated shares, a copy of the Prospectus, in final form, will be sent to you by FBR together with a written confirmation of the sale. Once you have been allocated shares, you must pay for the shares within three (3) business days of the trade date.

After you are contacted with the amount due, please make checks payable to Bear Stearns Securities Corp (our clearing firm) and mail them to the below address.

Friedman, Billings, Ramsey & Co., Inc.
ATTN:
1001 19^th Street North, 18^th Floor
Arlington, VA 22209

Important note: The name on the check must match the name on the account (for joint accounts, one of the two names is fine). No exceptions can be made to this requirement.

If you prefer you may wire transfer the amount due per the following wire instructions:

Citibank ABA# 02100008-9
For account Bear, Stearns Securities Corp
A/C # 092-53186
F/C to                     ,
               Name                    A/C No

If you have any questions please do not hesitate to contact us.

Thank you,

Name:                                                Name:
(703)                     -                           (703)                     -

     The offering referred to above constitutes a new financing for AMERISAFE and substantially all proceeds will go directly to AMERISAFE, except those proceeds attributable to certain selling stockholders as described in the Prospectus. A registration statement relating to these securities has been filed with the Securities and Exchange Commission but has not yet become effective. These securities may not be sold nor may offers to buy be accepted prior to the time the registration statement becomes effective. This notice shall not constitute an offer to sell or the solicitation of an offer to buy nor shall there by 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. No offer to buy the securities can be accepted and no part of the purchase price can be received until the registration statement has become effective, and any such offer may be withdrawn or revoked, without obligation or commitment of any kind, at any time prior to notice of its acceptance given after the effective date. An indication of interest in response to this notice will involve no obligation or commitment of any kind.

AMERISAFE, Inc.
ALL INFORMATION REQUIRED & CONFIDENTIAL

NUMBER OF SHARES REQUESTED:

     * Minimum            shares

Account Type:        __ Individual
(Check one)              __ Joint: Please provide both investors’ information.

Note: these are the only types of accounts that will be opened.

Account Title:

(Exactly as account is to read)

Account Holder Information:

Social Security #:

Address:
Home:

(Cannot be PO Box)

Business:

Phone:
Home:

Business:

Fax:

Preferred Daytime Number:

Date of Birth: Email:

Marital Status: Spouse Occupation

Current Employer:

(If self employed state nature of business)

Position:

Description of Business:

Investment Experience: __ None __ Low __ Medium __ High

(Check One)

Investment Objective:

Please note that an investment in an initial public offering typically involves a high degree of risk and some element of speculation. The investment objective which you enter here must be consistent with an IPO investment.

Approximate Annual Income:

Approximate Net Worth:

Joint Account Holder Information:

(If necessary)

Social Security #:

Address:
Home:

(Cannot be PO Box)

Business:

Phone:
Home:

Business:

Fax:

Date of Birth: Email:

Marital Status: Spouse Occupation:

Current Employer:

(If self employed state nature of business)

Position:

Description of Business:

Investment Experience: __ None __ Low __ Medium __ High

(Check One)

Approximate Annual Income:

Approximate Net Worth:

Please indicate Customer, Friend, Family or Employee (state relationship AND name the employee):

For purposes of this questionnaire, the term immediate family shall include parents, mother-in-law or father-in-law, husband or wife, brother or sister, brother-in-law or sister-in-law, son-in-law or daughter-in-law, children and any other person who is supported directly or indirectly, to a material extent by the person specified below.

YES NO 1. Are you or any members of your immediate family employed by, associated with, or an agent for, a broker/dealer or NASD member?

If the answer is “NO”, please skip to question 3.

If “YES”, please state the name of the Broker/Dealer and the relationship and

Answer Question 2. Broker/Dealer: Relationship:

YES NO 2. If “YES” to question #1 above — Are you or an immediate family member an employee or Director of AMERISAFE, Inc.?

If “YES”, please state relationship:

*If you have answered “YES” to question #1, and “NO” to question #2, you are not eligible to participate in the Directed Share Program for AMERISAFE, Inc.

YES
NO 3. Are you or an immediate family member a finder with respect to the public offering or did you act in any fiduciary capacity to Friedman, Billings, Ramsey, & Co., Inc., including among others, attorneys, accountants, and financial consultants?

If the answer to question # 3 is “YES”, please state relationship.                     .

YES
NO 4. If “YES” to question #3 above — Are you or an immediate family member an employee or Director of AMERISAFE, Inc.?

If the answer to question #4 is “YES”, please state relationship.                     .

*If you have answered “YES” to question #3, and “NO” to question #4 you are not eligible to participate in the Directed Share Program for AMERISAFE, Inc.

Print Name:
Signature:

Print Name:
Signature:

(If Joint)

Date:

EXHIBIT 2

— Draft Invitation E-Mail —

This e-mail may not be sent until either the S-1 lists an expected price range or the preliminary prospectus is available.

Via e-mail

Subject line:
[company name] announces IPO [Affinity Partner / Friends & Family] Program

     In recognition of your importance to [company name] you are invited to participate in the [company name] [Affinity Partner / Friends & Family] Program as part of its planned initial public offering (IPO) of [company name]’s common stock.¹

     We are pleased to announce that we have teamed with FBRDirect,² an affiliate online broker-dealer of Friedman, Billings, Ramsey and Co., Inc., to make it possible for you to purchase shares of common stock of [company ticker] at the initial public offering price. Of course, we cannot guarantee that we will satisfy all demand for our shares, however we will distribute a substantial number of shares of our IPO to as many qualified ³ program participants as possible.

     As noted more fully below, this communication is not an offer to sell shares of our common stock. Further, this invitation is non-transferable and is intended for the addressee and his or her immediate family only.

     To get more information regarding participation in [company name] [Affinity Partner Program / Friends & Family] Program please visit our [Affinity Partner / Friends & Family] Program website provided by FBRDirect. At this site you will find information regarding opening an account, instructions on how to receive a preliminary prospectus and information regarding the requirement of entering a Conditional Offer (CO).

Click here to go to the site:

     http://www.fbr.com/app/[company name].com (this may not be the actual address)

or call the [company name] [Affinity Partner / Friends & Family] Team at FBRDirect by dialing 1-888-200-4350 option 4.

*****************************************************************************************************************
If you already have a FBRDirect account and wish to participate, you must call the number listed above to have your account authorized.
*****************************************************************************************************************

Additionally, you can either download a preliminary prospectus from the site listed above or call the [company name] [Affinity Partner / Friends & Family] Team to request a copy. You may also click on the URL listed here.

     http://www.fbr.com/OM/PDFs/25012ProsPdf.pdf (this may not be the actual address)

We hope you will take advantage of this unique opportunity and thank you for helping [company name] become a success story.

Sincerely,

Chairman /CEO/COO/CFO
[company name]

1. A Registration Statement relating to this security has been filed with the Securities and Exchange Commission but has not yet become effective. These securities may not be sold nor may offers to buy be accepted prior to the time that the registration statement becomes effective. This communication shall not constitute an offer to sell or a solicitation of an offer to buy nor shall there be any sale of any securities which are the subject matter hereof in any State in which such offer, solicitation or sale would be unlawful prior to the registration or qualification under the securities laws of any such State. The shares of common stock of [company name] referred to above are being offered by [company name] as part of its IPO. No offer to buy the securities can be accepted and no part of the purchase price can be received until the registration statement has become effective, and any such offer may be withdrawn or revoked, without obligation or commitment of any kind, at any time prior to notice of its acceptance given after the effective date. An indication of interest in response to this advertisement will involve no obligation or commitment of any kind.

2. FBRDirect is a division of FBR Investment Services, Inc., member NASD/SIPC, is an affiliate of Friedman, Billings, Ramsey & Co., Inc., an underwriter of the [company name]. FBRDirect is located at 4922 Fairmont Ave. Bethesda, MD 22209. and Friedman, Billings, Ramsey & Co., Inc. is located at 1001 19th St. North; Arlington, VA 22209.

3. FBRDirect may require investors to meet certain thresholds for risky and speculative investments. There is a regulatory obligation under which FBRDirect operates that requires them to determine the investor’s eligibility for participating in IPOs and Secondary Offerings for their customers.

EXHIBIT 3

STANDARD SERVICE AGREEMENT

THIS STANDARD SERVICE AGREEMENT (the “Agreement”) is made and entered into on the Effective Date (as such term is defined on the signature page to this Agreement) by and between NETROADSHOW, INC., a Delaware corporation (“NRS”) and Friedman, Billings, Ramsey & Co., Inc. (“Customer”).

Section 1. Engagement of NRS. Customer engages NRS to produce and transmit informational meetings involving Customer, representatives of issuers, and prospective purchasers designated by Customer (“Road Shows”) regarding securities offerings as and when requested by Customer. The Road Shows shall be transmitted by means of the Internet either directly from the world wide web site of NRS, or through a link to the web site of Customer, at Customer’s election. NRS agrees to transmit each Road Show in its entirety and, unless otherwise instructed by Customer, to make such Road Show available for viewing twenty-four (24) hours a day, seven days a week, subject to acts beyond the control of NRS which prohibit such transmission, in which event, NRS will notify Customer promptly of any cessation in the availability of any Road Show and when such Road Show is again fully available for viewing. Services to be provided by NRS include video taping and/or audio taping and, to the extent permitted by the SEC Letters (as defined below), editing of the presentation of the Road Shows to the extent necessary to transmit such Road Shows by means of the lnternet (provided that NRS will not edit the content of any Road Show unless requested to do so by Customer or by any applicable issuer with the consent of Customer), responding to the reasonable requests of the Customer in regard to administrative or other matters unrelated to the content of a Road Show, including the production and transmission of the Road Shows.

Section 2. NRS Responsibilities.

     (a) NRS will take such actions as are necessary to prevent any person from (i) viewing a Road Show unless such person has been provided a password by Customer, (ii) having access to a Road Show for more than a twenty four hour period with any single password or (iii) downloading or printing any of the contents of a Road Show.

     (b) NRS will remove a Road Show transmission from or through its web site as set forth in timely written instructions from Customer or the applicable issuer to remove such transmission (the “Scheduled Removal Time”) or, in the event Customer requests removal of a Road Show recording prior to the Scheduled Removal Time, promptly after receipt of written instructions from Customer or the applicable issuer (an “Early Removal Time”). Unless otherwise instructed by Customer to return to Customer a copy of any Road Show or any information contained therein, NRS shall, promptly following the Scheduled Removal Time or Early Removal Time of a Road Show, destroy and render irretrievable each Road Show and all copies thereof and all information therein (including, without limitation, any charts or slides previously furnished to NRS by Customer or the applicable issuer).

     (c) NRS shall comply with the terms of that certain response of the Office of Chief Counsel, Division of Corporate Finance, Securities and Exchange Commission, dated (i) July 30, 1997 with respect to the Road Show transmission if it relates to an offering which is registered pursuant to the Securities Act of 1933, as amended (the “Act”), or (ii) January 30, 1998 if it relates to an offering made pursuant to Rule 144A of the Act, as applicable (the “SEC Letters”), subject to the compliance by Customer and each applicable issuer with the terms of such response. Services to be provided by NRS include video taping and/or audio taping and, to the extent permitted by the SEC Letters, editing of the presentation of the Road Shows to the extent necessary to transmit such Road Shows by means of the lnternet (provided that NRS will not edit the content of any Road Show unless requested to do so by Customer or by any applicable issuer with the consent of Customer), responding to the reasonable requests of the Customer in regard to administrative or other matters unrelated to the content of a Road Show, including the production and transmission of the Road Shows.

     (d) NRS shall provide Customer, promptly upon request and at the Scheduled Removal Time or Early Removal Time with information or data available to NRS in regard to the persons and entities which viewed the Road Shows transmitted at the request of Customer.

     (e) NRS shall provide to the persons designated by Customer the passwords required to access each specific Road Show, and in the case of Road Shows relating to offerings which are registered pursuant to the Act, such passwords shall be changed by NRS once per calendar day.

Section 3. Payment for Services. Customer shall pay, or arrange for each applicable issuer to pay, NRS for the services rendered in connection with each Road Show produced by NRS at the request of Customer, at the rates set forth on the fee schedule attached hereto as Exhibit A and incorporated herein by reference. NRS agrees to provide to Customer an invoice upon completion of the production of a Road Show and Customer agrees to pay, or arrange for

-1-

each applicable issuer to pay, the full amount due in regard to each such invoice within thirty (30) days of the date of the invoice. NRS and Customer agree that the production of a Road Show shall be deemed complete once the Road Show has been video taped or otherwise recorded by persons engaged by NRS for such purpose and Customer and the applicable issuer have approved the technical quality and content of the production. Customer shall be responsible for any federal, state or local sales, use, property or other taxes which may be imposed as a result of the transactions contemplated by this Agreement, provided that NRS shall be responsible for any federal, state, and local income taxes which may be imposed on any payments made to NRS pursuant to the terms of this Agreement. In addition, each party shall bear all costs and expenses incurred by it (including legal fees and expenses) in connection with the preparation, execution, delivery, and performance of this Agreement. Amounts not paid within 30 days of the date of the invoice will accrue interest at eighteen per cent per annum until paid.

Section 4. Termination. This Agreement may be terminated by either party at any time on 30 days prior written notice to the other party, provided that such termination shall not be effective with respect to any Road Show video taped or otherwise recorded by NRS on or prior to the date on which notice of termination is given, until the Scheduled Removal Time or Early Removal Time of such Road Show. The provisions of the Agreement relating to keeping proprietary information confidential, the payment of fees and expenses, and governing law will survive any termination of this Agreement.

Section 5. Covenants and Agreements of Customer. In the event the Road Shows relate to offerings which are registered pursuant to the Act, Customer covenants and agrees that it shall take such reasonable steps as are necessary in order to provide that the information transmitted in regard to such Road Shows will not be, in any material respect, inconsistent with or contradictory to the information set forth in the prospectus as filed by the applicable issuers with the Securities and Exchange Commission in regard to such Road Shows or with the information disseminated in the live Road Show presentations.

Section 6. Proprietary Rights. NRS acknowledges and agrees that the Road Show recording is not and shall not at any time be or constitute the property of NRS. Customer acknowledges that any and all proprietary rights, if any, which NRS may have in regard to the method of transmission of Road Shows by means of the Internet and the operations of the business of NRS are and shall remain the exclusive property of NRS.

Section 7. Confidentiality. In connection with discussions between NRS and Customer, NRS has provided Customer with information, both orally and in writing, concerning its operations, including the marketing and technical and non-technical aspects of the services to be provided under this Agreement (collectively the “Confidential Information"). The Confidential Information does not include the provisions of the Agreement or any information that (a) was or becomes generally available to the public other than as a result of disclosure by Customer, (b) was or becomes available to Customer or its affiliates on a non-confidential basis from a source other than NRS which is not, to the knowledge of Customer, itself bound by a confidentiality agreement with NRS, (c) was or becomes available to Customer or its affiliates on a non-confidential basis prior to its disclosure by NRS, or (d) was known to Customer or its affiliates or in their possession without any obligation of confidentiality prior to disclosure by NRS. Customer agrees that without the prior written consent of NRS, it will not, except as required by law, regulation or legal process or upon the request or demand of any governmental or regulatory authority having jurisdiction over the Customer or its affiliates or to defend a claim brought against Customer or its affiliates, disclose the Confidential Information to any person other than its affiliates, officers, directors, employees, agents, accountants, and attorneys who have a need to know the Confidential Information in connection with the transactions contemplated hereunder. Customer may provide NRS with confidential information regarding Customer, including, but not limited to, the names of clients of Customer and the provisions of this Agreement, and NRS agrees that it will not, and will not permit its officers, directors, employees, or advisors to, disclose to any person such confidential information except as is required by law. NRS shall not publish any announcement in any newspaper, periodical, or other publication or make any other advertisement which refers to Customer without Customer’s prior written consent, which consent may be withheld in its sole discretion.

Section 8. Acknowledgment. NRS recognizes its responsibilities for compliance with the Federal securities laws and has informed its affiliates, directors, officers, employees, agents, advisors, and controlling person who may receive any confidential information relating to any issuer of securities whose Road Show presentation is produced or transmitted by NRS at the request of Customer of their responsibilities for compliance with the Federal securities laws.

Section 9. Limitation of Liability. NRS and Customer agrees that each issuer whose securities are the subject of a Road Show transmitted by NRS from or through its web site shall be solely responsible for the content of its Road Show.

-2-

NRS MAKES NO COVENANTS, REPRESENTATIONS OR WARRANTIES OF ANY KlND WHATSOEVER, WHETHER EXPRESS OR IMPLIED (STATUTORY BY OPERATION OF LAW OR OTHERWISE), RELATING TO THE CONTENT OF ANY ROAD SHOW TRANSMITTED BY NRS AND ACCORDINGLY ACCEPTS NO RESPONSIBILITY OF ANY KlND WHATSOEVER FOR ANY CLAIM, DEMAND, DAMAGES, LIABILITIES, LOSSES OR EXPENSES SUFFERED BY REASON DIRECTLY OR INDIRECTLY OF THE CONTENT OF ANY ROAD SHOW TRANSMITTED BY NRS FROM OR THROUGH NRS’S WEB SITE. IN NO EVENT WILL NRS, ITS OFFICERS, DIRECTORS, EMPLOYEES, CONTRACTORS, SUBSIDIARIES, OTHER ASSOCIATED COMPANIES, OR ITS LICENSORS BE LIABLE TO CUSTOMER, ITS OFFICERS, DIRECTORS, EMPLOYEES, CONTRACTORS, SUBSIDIARIES, OR AFFILIATES UNDER THIS AGREEMENT OR OTHERWISE, REGARDLESS OF THE FORM OF CLAIM OR ACTION, IN AN AMOUNT THAT EXCEEDS THE TOTAL SUM OF ALL FEES PAID TO NRS UNDER THIS AGREEMENT FOR THE CALENDAR YEAR IN WHICH THE CLAIM AROSE.

Section 10. Representations of NRS. NRS represents and warrants to Customer that (a) this Agreement has been duly authorized by NRS and constitutes a legal, valid and binding agreement of NRS, enforceable in accordance with its terms; (b) the execution, delivery, and performance by NRS of this Agreement will not conflict with or result in the breach or violation of, or constitute a default under, any license, agreement, or other instrument to which it or any of its affiliates is a party or by which any of them are bound or any statute, order, judgment, decree, rule, or regulation of any court or arbitrator or governmental or regulatory agency or body having jurisdiction over any of them; and no consent, approval, authorization, or order of or filing with any such entity is required for the execution, delivery, and performance by NRS of this Agreement; (c) NRS owns or possesses all material intellectual property rights necessary for the transmission of Road Shows from or through its web site and such transmission will not conflict in any material respects with, and NRS has not received any notice of any claim of conflict with, any such rights of others. NRS agrees to notify Customer promptly of any modification of the SEC Letters or if such Letters cease to be in effect.

Section 11. Miscellaneous. This Agreement will be interpreted and enforced in accordance with the laws of the State of New York. Neither party may assign this Agreement without the prior written consent of the other party hereto, except that nothing herein shall prevent either party from assigning its rights and obligations hereunder to its present or future subsidiaries or affiliates or to any successor to the business of such party. This Agreement constitutes the entire understanding by and between Customer and NRS with respect to the subject matter hereof and no oral or prior written statements or representations not contained herein will have any force or effect. This Agreement may not be amended except in a writing executed by Customer and NRS. This Agreement may be executed in one or more counterparts, each of which shall be deemed to be an original, but all of which together shall constitute one and the same instrument. This Agreement shall be binding upon and inure to the benefit of NRS and Customer and their respective successors and assigns. Time is of the essence of this Agreement. All sections and provisions of this Agreement are severable and the unenforceability or invalidity of any section of this Agreement shall not affect the validity or enforceability of any other section of this Agreement.

     IN WITNESS, WHEREOF, the undersigned have executed this Agreement as of the Effective Date.

NRS: CUSTOMER:

NetRoadshow, Inc. Friedman, Billings, Ramsey & Co., Inc.

By:
/s/ Brad Hammond By: /s/ James R. Kleeblatt

Brad Hammond, Chairman and CEO

Date:
Nov 20, 2003 Name: James R. Kleeblatt

Title: Senior Managing Director

-3-

EXHIBIT A
TO
STANDARD SERVICE AGREEMENT

FEE SCHEDULE

Video Roadshow Fee Not to Exceed
$ 15,000

Audio Roadshow Fee Not to Exceed
$ 10,000

Audio Roadshow Fee (Recorded on the Telephone) Not to Exceed
$ 5,000

Slides and Prospectus Only (To AcNRS Conference Call) Not to Exceed
$ 2,500

-2-
~~-----END PRIVACY-ENHANCED MESSAGE-----~~



		each accident year will develop to estimated ultimate cost in a manner that is analogous to prior years.



	•	Incurred Cape Cod Method — multiplies estimated ultimate claims for each accident year by a weighted average, trended severity. The estimated ultimate claims used in this method are based on incurred claim count development. The selected severity for a given accident year is then derived by giving some weight to all of the accident years in the experience history rather than treating each accident year independently.



	•	Incurred Bornhuetter-Ferguson Method — a combination of the Incurred Development Method and the Incurred Cape Cod Method, the Incurred BF Method estimates ultimate losses by adding actual incurred losses and projected, future unreported losses. The amounts produced are then added to cumulative incurred losses to produce an estimate of ultimate incurred losses.


	conversion price used to determine the number of shares of our common stock into which each share of Series C convertible preferred stock is convertible will be reduced from $7.24308 per share to $ per share.


(2)	Percentage assumes that shares of our outstanding Series A preferred stock are exchanged for shares of common stock upon completion of this offering. For additional information about the exchange of Series A preferred stock, see “Description of Capital Stock” below.


(3)	All shares are beneficially owned through the Jared Morris 1997 Trust, of which Jared Morris is a trustee. The address for the Jared Morris 1997 Trust is 5000 Quorum Drive, Suite 200, Dallas, Texas 75254.

(4)	Includes 9,135 shares of common stock and an additional shares of common stock to be acquired upon completion of the offering upon the exchange of shares of Series A preferred stock.


(5)	Paul B. Queally is a general partner of the sole general partner of Welsh, Carson, Anderson & Stowe VII, L.P., or WCAS VII. Sean M. Traynor is a general partner equivalent of certain funds managed by Welsh, Carson, Anderson & Stowe, L.P. Each of Mr. Queally and Mr. Traynor may be deemed to have shared voting and investment power with respect to the securities held by Welsh Carson.


		Re:		AMERISAFE, Inc.
				Registration Statement on Form S-1
				Registration Number 333-127133


cc:		C. Allen Bradley, Jr., AMERISAFE
		Arthur L. Hunt, AMERISAFE
		James E. O’Bannon, Jones Day
		Lisa K. Durham, Jones Day
		J. Brett Pritchard, Lord, Bissell & Brook LLP


Account Title:

(Exactly as account is to read)

Account Holder Information:
Social Security #:


Address:	*Home*:

(Cannot be PO Box)





	*Business*:




Phone:	*Home:*


	*Business:*


	*Fax*:


*Preferred Daytime Number*:


Date of Birth:			Email:


Marital Status:			Spouse Occupation


Current Employer:

*(If self employed state nature of business)*

Position:


Description of Business:


Investment Experience:		__ None __ Low __ Medium __ High
(Check One)

Investment Objective:

Please note that an investment in an initial public offering typically involves a high degree of risk and some element of speculation. The investment objective which you enter here must be consistent with an IPO investment.


Joint Account Holder Information:
*(If necessary)*

Social Security #:


Address:	*Home*:

(Cannot be PO Box)





	*Business*:





Phone:	*Home:*


	*Business:*


	*Fax*:

Date of Birth:			Email:


Marital Status:			Spouse Occupation:


Current Employer:

*(If self employed state nature of business)*

Position:


Description of Business:


Investment Experience:		__ None __ Low __ Medium __ High
(Check One)


YES	NO	1. Are you or any members of your immediate family employed by, associated with, or an agent for, a broker/dealer or NASD member?

If the answer is “NO”, please skip to question 3.

If “YES”, please state the name of the Broker/Dealer and the relationship and

Answer Question 2. Broker/Dealer:			Relationship:


YES	NO	2. If “YES” to question #1 above — Are you or an immediate family member an employee or Director of AMERISAFE, Inc.?

If “YES”, please state relationship:


YES	NO	3. Are you or an immediate family member a finder with respect to the public offering or did you act in any fiduciary capacity to Friedman, Billings, Ramsey, & Co., Inc., including among others, attorneys, accountants, and financial consultants?

If the answer to question # 3 is “YES”, please state relationship. .

YES	NO	4. If “YES” to question #3 above — Are you or an immediate family member an employee or Director of AMERISAFE, Inc.?

If the answer to question #4 is “YES”, please state relationship. .


Print Name:				Signature:


Print Name:				Signature:

(If Joint)


Via e-mail
Subject line:		[company name] announces IPO [Affinity Partner / Friends & Family] Program


NRS:		CUSTOMER:

NetRoadshow, Inc.		Friedman, Billings, Ramsey & Co., Inc.

By:	/s/ Brad Hammond	By:	/s/ James R. Kleeblatt

	Brad Hammond, Chairman and CEO

Date:	Nov 20, 2003	Name:	James R. Kleeblatt


		Title:	Senior Managing Director


Video Roadshow Fee Not to Exceed	$	15,000

Audio Roadshow Fee Not to Exceed	$	10,000

Audio Roadshow Fee (Recorded on the Telephone) Not to Exceed	$	5,000

Slides and Prospectus Only (To AcNRS Conference Call) Not to Exceed	$	2,500