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) NOVEMBER 3, 2004
(NOVEMBER 3, 2004)
AMERICAN MEDICAL SECURITY GROUP, INC.
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(Exact name of registrant as specified in its charter)
Wisconsin 1-13154 39-1431799
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(State or other jurisdiction of (Commission (IRS Employer
incorporation) File Number) Identification No.)
3100 AMS Boulevard
Green Bay, Wisconsin 54313
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(Address of principal executive offices) (Zip Code)
Registrant's telephone number, including area code (920) 661-1111
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(Former name or former address, if changed since last report.)
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):
[ ] Written communications pursuant to Rule 425 under the Securities Act (17
CFR 230.425)
[ ] Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR
240.14a-12)
[ ] Pre-commencement communications pursuant to Rule 14d-2(b) under the
Exchange Act (17 CFR 240.14d-2(b))
[ ] Pre-commencement communications pursuant to Rule 13e-4(c) under the
Exchange Act (17 CFR 240.13e-4(c))
ITEM 2.02 RESULTS OF OPERATIONS AND FINANCIAL CONDITION
On November 3, 2004, American Medical Security Group, Inc. issued a
press release announcing third quarter 2004 financial results. A copy of the
press release is furnished as Exhibit 99 to this report.
The information in this Form 8-K and the exhibit attached hereto are
furnished and shall not be deemed "filed" for purposes of Section 18 of the
Securities Act of 1934, nor shall it be deemed incorporated by reference in any
filing under the Securities Act of 1933, except as shall be expressly set forth
by specific reference in such filing.
ITEM 9.01 FINANCIAL STATEMENTS AND EXHIBITS
(c) EXHIBITS
See the Exhibit Index following the Signature page of this
report, which is incorporated herein by reference.
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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: November 3, 2004 /S/ JOHN R. LOMBARDI
Executive Vice President and
Chief Financial Officer
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AMERICAN MEDICAL SECURITY GROUP, INC.
(THE "REGISTRANT")
(COMMISSION FILE NO. 1-13154)
EXHIBIT INDEX
TO
FORM 8-K CURRENT REPORT
DATE OF REPORT: NOVEMBER 3, 2004
EXHIBIT FILED
NUMBER DESCRIPTION HEREWITH
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99 Press Release dated November 3, 2004,
issued by the Registrant X