BOWERS CLIFFORD A 4

4 · AMERICAN MEDICAL SECURITY GROUP INC · Filed Dec 14, 2004

Form 4

Period: 2004-12-13

Vice Pres-Corp Communication

Transactions

Disposition to Issuer
Common Stock
2004-12-13$32.75/sh−10$328→ 0 total(indirect: By son)
Disposition to Issuer
Employee stock option (right to buy)
2004-12-13$22.55/sh−8,000$180,400→ 0 total
Exercise: $10.20Exp: 2013-11-28→ Common Stock (8,000 underlying)
Disposition to Issuer
Employee stock option (right to buy)
2004-12-13$18.34/sh−7,000$128,380→ 0 total
Exercise: $14.41Exp: 2015-01-19→ Common Stock (7,000 underlying)
Disposition to Issuer
Employee stock option (right to buy)
2004-12-13$22.50/sh−10,000$225,000→ 0 total
Exercise: $10.25Exp: 2010-09-27→ Common Stock (10,000 underlying)
Disposition to Issuer
Common Stock
2004-12-13$32.75/sh−3,165$103,654→ 0 total

Footnotes (5)

[F1]This option vested in four equal annual installments beginning September 28, 1999.
[F2]This option vested in four equal annual installments beginning November 17, 2000.
[F3]This option vested in four equal annual installments beginning November 17, 2001.
[F4]This option vested in four equal annual installments beginning November 29, 2002.
[F5]This option vested in four equal annual installments beginning January 20, 2004.

Documents

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