UNITED STATES
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): July 25, 2007
AMERISAFE, INC.
(Exact Name of Registrant as Specified in Charter)
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Texas
(State or Other Jurisdiction
of Incorporation)
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000-51520
(Commission
File Number)
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75-2069407
(IRS Employer
Identification No.) |
2301 Highway 190 West
DeRidder, Louisiana 70634
(Address of Principal Executive Offices) (Zip Code)
Registrants telephone number, including area code: (337) 463-9052
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 ( see General
Instruction A.2. below):
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Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
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Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
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Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
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Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
TABLE OF CONTENTS
Item 1.02. Termination of a Material Definitive Agreement.
On July 25, 2007, the insurance subsidiaries of AMERISAFE, Inc. (the Company) commuted their
Third Casualty Excess of Loss Reinsurance Contract (the Contract) with Hannover
Ruckversicherungs-Aktiengesellschaft, Lloyds of London Underwriters and Aspen Insurance UK Ltd.
covering the 2006 accident year. These reinsurers remain obligated to the Companys insurance
subsidiaries under other reinsurance agreements.
The Contract afforded coverage for the first $5.0 million of loss each person in excess of
$5.0 million of loss each person. The Contract also stipulated that the Company retain 20.0% of
each loss within the coverage corridor. Claims for which the reinsurers were liable under the
Contract were limited to an aggregate of $10.0 million.
The Company has not received notice of any loss incurred during the 2006 accident year for
which it would be entitled to payment under the Contract. The Company will record pre-tax income of
$990,000 in the 2007 third quarter in connection with the commutation.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly
caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
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AMERISAFE, INC.
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By: |
/s/ Todd Walker
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Todd Walker, Executive Vice President, |
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General Counsel and Secretary |
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Date: July 30, 2007