-----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, J1qL7AxN1sRriQ5SGTF0HxTh+wX6Q9dEurzocLaPJLCZ8S0PyAgZcw3mph1+9FQ7 rEzLLsRwkbLMg5dkQl+0Zg== 0000878897-04-000020.txt : 20040324 0000878897-04-000020.hdr.sgml : 20040324 20040324093812 ACCESSION NUMBER: 0000878897-04-000020 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20040323 ITEM INFORMATION: Other events ITEM INFORMATION: Financial statements and exhibits FILED AS OF DATE: 20040324 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN MEDICAL SECURITY GROUP INC CENTRAL INDEX KEY: 0000878897 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 391431799 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-13154 FILM NUMBER: 04686209 BUSINESS ADDRESS: STREET 1: 3100 AMS BLVD CITY: GREEN BAY STATE: WI ZIP: 54313 BUSINESS PHONE: 9206611111 MAIL ADDRESS: STREET 1: 3100 AMS BLVD CITY: GREEN BAY STATE: WI ZIP: 54313 FORMER COMPANY: FORMER CONFORMED NAME: UNITED WISCONSIN SERVICES INC /WI DATE OF NAME CHANGE: 19930328 8-K 1 form8k.txt AMERICAN MEDICAL SECURITY GROUP, INC. UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 ------------------ FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 DATE OF REPORT (DATE OF EARLIEST EVENT REPORTED): March 23, 2004 AMERICAN MEDICAL SECURITY GROUP, INC. (Exact name of Registrant as specified in its charter) WISCONSIN 1-13154 39-1431799 (State of Incorporation) (Commission File Number) (I.R.S. Employer Identification No.) 3100 AMS BOULEVARD, GREEN BAY, WISCONSIN 54313 (Address of principal executive offices) (Zip Code) (920) 661-1111 (Registrant's telephone number, including area code) ------------------ ITEM 5. OTHER EVENTS AND REGULATION FD DISCLOSURE On March 23, 2004, American Medical Security Group, Inc. (the "Company") announced that the Company has settled a dispute involving its former pharmacy benefits manager, ProVantage, Inc. Under the terms of the settlement, the Company will receive a one-time payment of $5.85 million. As a result of the settlement, the Company's first quarter 2004 financial results will include a one-time gain of approximately $0.23 per share, net of related expenses. A copy of the press release issued by the Company related to the settlement is attached hereto as Exhibit 99 and incorporated herein by reference. ITEM 7. FINANCIAL STATEMENTS AND EXHIBITS (c) EXHIBITS See the Exhibit Index following the Signature page of this report, which is incorporated herein by reference. 2 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 thereunto duly authorized. AMERICAN MEDICAL SECURITY GROUP, INC. Dated: March 23, 2004 /S/ TIMOTHY J. MOORE ------------------------------------------- Senior Vice President of Corporate Affairs, General Counsel & Secretary 3 AMERICAN MEDICAL SECURITY GROUP, INC. (THE "REGISTRANT") (COMMISSION FILE NO. 1-13154) EXHIBIT INDEX TO FORM 8-K CURRENT REPORT DATE OF REPORT: MARCH 23, 2004 EXHIBIT FILED NUMBER DESCRIPTION HEREWITH 99 Press Release dated March 23, 2004, issued by the Registrant X EX-1 EX-99 3 exhibit99.txt PRESS RELEASE EXHIBIT 99 [AMERICAN MEDICAL SECURITY GROUP, INC. LOGO.] P.O. Box 19032 Green Bay, WI 54307-9032 FOR MORE INFORMATION CONTACT: Cliff Bowers Vice President Corporate Communications (920) 661-2766 - ------------------------------- NEWS RELEASE for Immediate Release - ------------------------------- AMERICAN MEDICAL SECURITY GROUP SETTLES DISPUTE INVOLVING FORMER PHARMACY BENEFITS MANAGER GREEN BAY, Wis. - March 23, 2004 - American Medical Security Group, Inc., (NYSE:AMZ) (AMS) has settled a dispute involving its former pharmacy benefits manager, ProVantage, Inc. The dispute related to pricing and prescription drug fees charged from 1995 through 2002. Under terms of the agreement, AMS will receive a one-time payment of $5.85 million. As a result of the settlement, AMS' first quarter 2004 financial results will include a one-time gain of approximately $0.23 per share, net of related expenses. American Medical Security Group, through its operating subsidiaries, markets health-care benefits and insurance products to small businesses, families and individuals. Insurance products of American Medical Security Group are underwritten by United Wisconsin Life Insurance Company. The company serves customers nationwide through partnerships with professional, independent agents and quality health care providers. # # # # # CAUTIONARY STATEMENT: This press release contains "forward-looking" statements within the meaning of the Private Securities Litigation Reform Act of 1995 with respect to a one-time gain related to a dispute settlement. Forward-looking statements are subject to inherent risks and uncertainties that may cause actual results or events to differ materially from those contemplated by such statements. Such risks and uncertainties include, among others, changes in estimated expenses and disbursements related to the settlement, other matters impacting earnings per share, and other factors that may be referred to in American Medical Security Group, Inc.'s reports filed with the Securities and Exchange Commission from time to time. Forward-looking statements made in this release express expectations only as of the date they are made. The company does not undertake any obligation to update or revise such statements as a result of new information or future events. -----END PRIVACY-ENHANCED MESSAGE-----