-----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, DZYDaE2RApDGtKcIoNjWXfKZkK8VLDbV1D+jWkIm6bZD7d2KfxHeRP+8x6AH7g67 ZrFrBSTU2wK/MwKEKpl7sw== 0001157523-06-000176.txt : 20060110 0001157523-06-000176.hdr.sgml : 20060110 20060110161221 ACCESSION NUMBER: 0001157523-06-000176 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20060109 ITEM INFORMATION: Other Events ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20060110 DATE AS OF CHANGE: 20060110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PROASSURANCE CORP CENTRAL INDEX KEY: 0001127703 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 631261433 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-16533 FILM NUMBER: 06522501 BUSINESS ADDRESS: STREET 1: 100 BROOKWOOD PLACE CITY: BIRMINGHAM STATE: AL ZIP: 35209 BUSINESS PHONE: 2058774400 8-K 1 a5053561.txt PROASSURANCE CORPORATION, 8-K SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): January 9, 2006 ProAssurance Corporation (Exact name of registrant as specified in its charter) Delaware 001-16533 63-1261433 (State of Incorporation) (Commission File No.) (IRS Employer I.D. No.) 100 Brookwood Place, Birmingham, Alabama 35209 (Address of Principal Executive Office ) (Zip code) Registrant's telephone number, including area code: (205) 877-4400 Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions: |X| Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |_| Soliciting material pursuant to Rule 14a-12 under the Securities Act (17 CFR 240.14a-12) |_| Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17CFR 240.14d-2(b)) |_| Pre-commencement communications pursuant to Rule 13e-(c) under the Exchange Act (17CFR 240.13e-(c)) Page 1 Item 8.01 Other Events. On December 8, 2005 ProAssurance Corporation (the "Registrant") and Physicians Insurance Company of Wisconsin, Inc. ("PIC Wisconsin") entered into an Agreement and Plan of Merger which provides for the merger of PIC Wisconsin into a newly formed wholly owned subsidiary of the Registrant. Under the terms of the merger agreement, the shares of common stock of PIC Wisconsin will be converted into and exchanged for shares of Registrant's common stock at the effective time of the merger. The Registrant is required to register the shares to be issued in the merger under the Securities Act of 1933 and will file a registration statement with the SEC on Form S-4 (the 'Registration Statement") in order to register the shares This transaction requires various regulatory approvals, including that of the Office of the Commissioner of Insurance of the State of Wisconsin (the "Wisconsin OCI"). In order to obtain that approval we have filed with the Wisconsin OCI a document commonly referred to as a Form A, providing information relevant to the merger. The Wisconsin OCI has posted much of the Form A on its website (www.oci.wi.gov) and will post amendments to that Form A, and other information as it deems necessary. We are filing this Current Report on Form 8K to comply with SEC Rule 425 to provide copies of those Amendments that we believe will be posted by the Wisconsin OCI. We will continue to file Amendments and other information that we provide to the Wisconsin OCI and that we believe will be posted by the Wisconsin OCI to their website. However, the Wisconsin OCI maintains the contents of its website and we may not be aware of all materials they post on that website. The merger is also subject to approval of the shareholders of PIC Wisconsin. The Registration Statement to be filed with the SEC will include a proxy statement-prospectus that will be used to solicit proxies for the meeting of the shareholders of PIC Wisconsin that will be held to consider and vote upon the merger. Shareholders of PIC Wisconsin are urged to read the Registration Statement (and the proxy statement-prospectus included therein) when it is filed with the SEC as it will include important information regarding the Registrant and the proposed merger. You will be able to obtain a free copy of the Registration Statement as well as other information concerning the Registrant at the SEC's site on the internet (http://www.sec.gov). Copies of the Registration Statement and the SEC filings that will be incorporated by reference in the Registration Statement can be obtained, without charge, by directing a request to Frank B. O'Neil, Senior Vice president, Corporate Communications, 100 Brookwood Place, Birmingham AL 35209, telephone (205) 877-4461. Caution Regarding Forward Looking Statements This report and exhibit contain historical information as well as forward-looking statements that are based upon our estimates and anticipation of future events that are subject to certain risks and uncertainties that could cause actual results to vary materially from the expected results described in the forward-looking statements. The words "anticipate," "believe," "estimate," "expect," "hopeful," "intend," "may," "optimistic," "preliminary," "project," "should," "will," and similar expressions are intended to identify these forward-looking statements. There are numerous important factors that could cause our actual results to differ materially from those in the forward-looking statements. Thus, sentences and phrases that we use to convey our view of future events and trends are expressly designated as Forward-Looking Statements as are sections of this news release clearly identified as giving our outlook on future Page 2 business. The principal risk factors that may cause actual results to differ materially from those expressed in the forward-looking statements are described in various documents we file with the Securities and Exchange Commission, including Form 10K for the year ended December 31, 2004 and Form 10Q for the most recent quarter. These forward-looking statements are subject to significant risks, assumptions and uncertainties, including, among other things, the following important factors that could affect the actual outcome of future events: o Relating to the ongoing operations of the combined companies: o General economic conditions, either nationally or in our market area, that are worse than expected; o regulatory and legislative actions or decisions that adversely affect our business plans or operations; o price competition; o inflation and changes in the interest rate environment the performance of financial markets and/or changes in the securities markets that adversely affect the fair value of our investments or operations; o changes in laws or government regulations affecting medical professional liability insurance and practice management and financial services; o changes to our ratings assigned by A.M. Best; o the effect of managed healthcare; o uncertainties inherent in the estimate of loss and loss adjustment expense reserves and reinsurance; and changes in the availability, cost, quality, or collectibility of reinsurance; o significantly increased competition among insurance providers and related pricing weaknesses in some markets. o changes in accounting policies and practices, as may be adopted by our regulatory agencies and the Financial Accounting Standards Board; and o changes in our organization, compensation and benefit plans. Relating to the proposed transaction with PIC Wisconsin: o The business of ProAssurance and PIC Wisconsin may not be combined successfully, or such combination may take longer to accomplish than expected; o the cost savings from the merger may not be fully realized or may take longer to realize than expected; o operating costs, customer loss and business disruption following the merger, including adverse effects on relationships with employees, may be greater than expected; o governmental approvals of the merger may not be obtained, or adverse regulatory conditions may be imposed in connection with governmental approvals of the merger; Page 3 o restrictions on our ability to achieve continued growth through expansion into other states or through acquisitions or business combinations; and o the stockholders of PIC Wisconsin may fail to approve the merger. We wish to caution readers not to place undue reliance on any such forward-looking statements, which speak only as of the date made, and wish to advise readers that the factors listed above could affect our financial performance and could cause actual results for future periods to differ materially from any opinions or statements expressed with respect to future periods in any current statements. We do not undertake and specifically decline any obligation to publicly release the result of any revisions that may be made to any forward-looking statements to reflect events or circumstances after the date of such statements or to reflect the occurrence of anticipated or unanticipated events. Item 9.01 Financial Statements and Exhibits Exhibit No. Description 2.1 Amendment #1 to Form A to be published on the website of the Wisconsin OCI. 2.2 Exhibit B, Amendment #1 to Form A to be published on the website of the Wisconsin OCI. SIGNATURE Pursuant to the requirements of the Securities Exchange act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. Date: January 10, 2006 PROASSURANCE CORPORATION By: /s/ Edward L. Rand, Jr. --------------------------- Edward L. Rand, Jr. Chief Financial Officer Page 4 EX-2.1 2 a5053561ex2_1.txt EXHIBIT 2.1 Exhibit 2.1 / AMENDMENT 1 TO FORM A FORM A Amendment No. 1 STATEMENT REGARDING THE ACQUISITION OF CONTROL OF OR MERGER WITH A DOMESTIC INSURER Filed with the Office of the Commissioner of Insurance State of Wisconsin PHYSICIANS INSURANCE COMPANY OF WISCONSIN, INC. BY PROASSURANCE CORPORATION Filed with the insurance department of Wisconsin Dated: January 9, 2006 Name, Title, Address and Telephone Number of Individual to Whom Notices and Correspondence Concerning This Statement Should Be Addressed: Victor T. Adamo, Esq, CPCU William T. Montei President President ProAssurance Corporation Physicians Insurance 100 Brookwood Place, Suite 300 Company of Wisconsin, Inc. Birmingham, Alabama 35209 1002 Deming Way (205)877-4470 Madison, Wisconsin 53717 (608) 831-8331 with copies to: Jon C. Nordenberg Jeffrey B. Bartell Boardman Suhr Curry & Field LLP William J. Toman One South Pinkney Street, 4th Floor Quarles & Brady LLP P.O. Box 927 One South Pinckney St., Suite 600 Madison, Wisconsin 53701 Madison, Wisconsin 53703 (608) 257-9521 (608) 251-5000 and Jack P. Stephenson Burr & Forman LLP 3100 Southtrust Tower 420 North 20th Street Birmingham, Alabama 35203 (205) 458-5201 Page 1, AMENDMENT 1 TO FORM A Exhibit 2.1 / AMENDMENT 1 TO FORM A ITEM 2. IDENTITY AND BACKGROUND OF THE APPLICANT (c) Organizational Chart: --------------------- Please see the attached revised organizational chart. Exhibit B(1). Specialty Underwriters Reinsurance Facility was dissolved effective December 9, 2005 and is no longer a part of the ProAssurance Holding Company Group. NCRIC Physicians Organization, Inc. was sold by ConsiCare, Inc. to NCRIC Corporation effective December 12, 2005 for a nominal amount due to the pending sale of ConsiCare and HCI Ventures. ConsiCare, Inc. and HCI Ventures, LLC were sold to a non-affiliate effective December 31, 2005 and are no longer part of the ProAssurance Holding Company Group. MEEMIC Insurance Company and MEEMIC Insurance Services Corporation were sold to Motors Insurance Corporation effective January 1, 2006 and are no longer part of the ProAssurance Holding Company Group. MEEMIC Holdings, Inc. filed paperwork to change its name to MEMH Holdings, Inc. on January 5, 2006 in conjunction with the sale of MEEMIC Insurance Company and MEEMIC Insurance Services Corporation. ITEM 3. IDENTITY AND BACKGROUND OF INDIVIDUALS ASSOCIATED WITH APPLICANT Board of Directors of ProAssurance Set forth below are the names and addresses of the current directors and executive officers of ProAssurance and a brief description of their principal occupations and employment during the last five (5) years. None of the directors or executive officers of ProAssurance has ever been convicted in a criminal proceeding (excluding traffic violations not involving death or injury) during the last 10 years. ProAssurance is a publicly traded company. According to the latest reports filed with the SEC, there are no owners of 10% or more of the voting securities of ProAssurance. The current directors and executive officers can be contacted at 100 Brookwood Place, Birmingham, Alabama 35209. Page 2, AMENDMENT 1 TO FORM A Exhibit 2.1 / AMENDMENT 1 TO FORM A EXECUTIVE OFFICERS JEFFREY P. LISENBY - - (Age 37) Secretary. Mr. Lisenby was elected Secretary of ProAssurance effective January 1, 2006. Mr. Lisenby also has served as Vice President and Legal Counsel of ProNational and TMAC since 2001. Prior to joining ProAssurance, Mr. Lisenby was in private practice in Birmingham, Alabama, from 1996 to 2001 and served as a judicial clerk for the United States District Court for the Northern District of Alabama from 1995 to 1996. Mr. Lisenby also holds positions as an officer of various direct and indirect subsidiaries of ProAssurance. Mr. Lisenby's Biographical Affidavit is attached as Exhibit C. ITEM 12. FI NANCIAL STATEMENTS AND EXHIBITS (a) Exhibit B(1) Organizational Chart Exhibit C Biographical Affidavits for the following ProAssurance Corporation Officers and Directors: Jeffrey P. Lisenby Page 3, AMENDMENT 1 TO FORM A Exhibit 2.1 / AMENDMENT 1 TO FORM A ITEM 13. SIGNATURE AND CERTIFICATION SIGNATURE Pursuant to the requirements of ch. Ins. 40, Wis. Adm. Code, ProAssurance Corporation has caused this application to be duly signed on its behalf in the city of Birmingham, and the state of Alabama on the 9th day of January, 2006. (SEAL) ProAssurance Corporation BY: /s/ Victor T. Adamo ------------------- ITS: President Attest: /s/ Edward L. Rand, Jr. - ----------------------- BY: Senior Vice President CERTIFICATION The undersigned deposes and says that he has duly executed the attached application dated January 9, 2006 for and on behalf of ProAssurance Corporation; that he is the President of such company and that he is authorized to execute and file such instrument. Deponent further says that he is familiar with the instrument and the contents thereof, and that the facts therein set forth are true to the best of his knowledge, information and belief. /s/ Victor T. Adamo ------------------- Victor T. Adamo, President Subscribed and sworn to this 9th day of January, 2006 /s/ Kathryn A. Neville - ---------------------- Notary Public: Kathryn A. 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