SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ------------ ANNUAL REPORT PURSUANT TO SECTION 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FORM 11-K [X] ANNUAL REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED DECEMBER 31, 2001 OR [ ] Transition Report Pursuant To Section 13 Or 15(d) Of The SecuritieS Exchange Act Of 1934 For the transition period from to --------------- --------------- Commission File Number 1-13154 A. Full title of the plan and the address of the plan, if different from that of the issuer named below: AMERICAN MEDICAL SECURITY RETIREMENT SAVINGS PLAN B. Name of issuer of the securities held pursuant to the plan and the address of its principal executive office: AMERICAN MEDICAL SECURITY GROUP, INC. 3100 AMS Boulevard Green Bay, WI 54313 American Medical Security Retirement Savings Plan Annual Report on Form 11-K For the Fiscal Year Ended December 31, 2001 TABLE OF CONTENTS PAGE Financial Statements and Supplemental Schedule Years ended December 31, 2001 and 2000 Report of Independent Auditors.........................................3 Financial Statements Statements of Net Assets Available for Benefits........................4 Statements of Changes in Net Assets Available for Benefits.............5 Notes to Financial Statements..........................................6 Supplemental Schedule Schedule H, Line 4i--Schedule of Assets (Held at End of Year).........10 Signatures....................................................................11 Exhibit 23 - Consent of Independent Auditors..................................12 2 Report of Independent Auditors The Administrative Committee American Medical Security Retirement Savings Plan We have audited the accompanying statements of net assets available for benefits of American Medical Security Retirement Savings Plan as of December 31, 2001 and 2000, and the related statements of changes in net assets available for benefits for the years then ended. These financial statements are the responsibility of the Plan's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the net assets available for benefits of the Plan at December 31, 2001 and 2000, and the changes in its net assets available for benefits for the years then ended, in conformity with accounting principles generally accepted in the United States. Our audits were performed for the purpose of forming an opinion on the financial statements taken as a whole. The accompanying supplemental schedule of assets (held at end of year) as of December 31, 2001, is presented for purposes of additional analysis and is not a required part of the financial statements but is supplementary information required by the Department of Labor's Rules and Regulations for Reporting and Disclosure under the Employee Retirement Income Security Act of 1974. This supplemental schedule is the responsibility of the Plan's management. The supplemental schedule has been subjected to the auditing procedures applied in our audits of the financial statements and, in our opinion, is fairly stated in all material respects in relation to the financial statements taken as a whole. /S/ ERNST & YOUNG LLP March 15, 2002 3 American Medical Security Retirement Savings Plan Statements of Net Assets Available for Benefits DECEMBER 31 2001 2000 ------------------------------------- ASSETS Investments, at fair value (NOTE 3): Mutual funds $43,573,330 $45,034,467 Common stock of American Medical Security Group, Inc. 571,113 254,806 Participant loans receivable 1,041,658 984,340 ------------------------------------- Net assets available for benefits $45,186,101 $46,273,613 ===================================== SEE ACCOMPANYING NOTES. 4 AMERICAN MEDICAL SECURITY RETIREMENT SAVINGS PLAN Statements of Changes in Net Assets Available for Benefits YEAR ENDED DECEMBER 31 2001 2000 ---------------------------------- Investment loss: Net realized and unrealized depreciation in fair value of investments (NOTE 3) $ (3,996,410) $ (2,471,486) Interest and dividends 141,386 49,824 ---------------------------------- (3,855,024) (2,421,662) Less investment expense 148,206 149,435 ---------------------------------- (4,003,230) (2,571,097) Contributions: Employers' 1,906,549 1,934,006 Employees' 5,045,519 5,028,871 ---------------------------------- 6,952,068 6,962,877 Other 5,864 8,375 ---------------------------------- Total additions 2,954,702 4,400,155 Benefits paid 4,042,214 4,413,111 ---------------------------------- Net decrease (1,087,512) (12,956) Net assets available for benefits at 46,273,613 46,286,569 beginning of year ---------------------------------- Net assets available for benefits at $ 45,186,101 $ 46,273,613 end of year ================================== SEE ACCOMPANYING NOTES. 5 American Medical Security Retirement Savings Plan Notes to Financial Statements December 31, 2001 1. DESCRIPTION OF THE PLAN The following description of the American Medical Security Retirement Savings Plan (the Plan) provides only general information. Participants should refer to the Plan document for a complete description of the Plan's provisions. GENERAL The Plan is a contributory defined contribution plan covering all full-time and part-time employees of American Medical Security Group, Inc. (AMSG) and its subsidiaries, American Medical Security, Inc. and Nurse Healthline, Inc. (collectively the Company or Employer). The Plan is subject to the provisions of the Employee Retirement Income Security Act of 1974 (ERISA). PARTICIPATION AND VESTING In 2001, employees are eligible to become contributing participants in the Plan and receive matching contributions on the first of the following month after reaching the age of eighteen and after 30 days of eligible service. Employees with 30 days of service that are employed on the last day of the Plan year are entitled to receive profit-sharing contributions for the Plan year. In 2000, participants were eligible for Company profit-sharing contributions after six months of service, and must have worked 1,000 hours in a Plan year to receive a profit-sharing contribution. Participants are immediately vested in their contributions plus actual earnings thereon. New participants do not vest in Company contributions until three years of service, at which time they become fully vested. Participants in the Plan prior to January 1, 2000, vest in Company contributions according to the following schedule (1,000 hours of service are required to constitute a year of vesting service): Years of Vesting Service Vesting Percentage ---------------------------------- ------------------------- 1 0% 2 30 3 100 6 American Medical Security Retirement Savings Plan Notes to Financial Statements (continued) 1. DESCRIPTION OF THE PLAN (CONTINUED) The nonvested portion of the Company's profit sharing and matching contributions are forfeited when a participant terminates employment. Profit-sharing forfeitures are allocated to the remaining Plan participants, while matching contribution forfeitures are used to reduce future matching contributions. During 2001 and 2000, the Company utilized forfeited amounts of $133,000 and $75,000, respectively, to offset the required matching contribution. CONTRIBUTIONS, WITHDRAWALS AND LOANS Plan participants are permitted to make contributions on a before-tax basis each payroll period of 2% to 18% of base compensation, subject to the maximum amount allowed by the Internal Revenue Code (IRC). Participants can change their before-tax contribution percentage each quarter. Participants direct current contributions and accumulated contributions and earnings between funds offered through the Plan. The Company contributes 60% of the first 6% of compensation that a participant contributes to the Plan. Additional amounts may be contributed at the option of the Company. Effective January 1, 2002, the Company has increased the matching contribution formula from 60% to 70% of the first 6% of participants elective deferrals. The Company may make a yearly profit sharing contribution in an amount to be determined each year. During 2001 and 2000, the Company did not make profit sharing contributions to the plan. Distributions due to retirement, death, permanent disability and termination of employment are provided for as defined within the Plan. Participants may borrow from their fund accounts a minimum of $1,000 up to a maximum of the lesser of one-half of their vested account balance or $50,000. The loan is secured by the balance in the participant's account and bears interest at a rate commensurate with prevailing rates as determined by the Plan administrator. Principal and interest are repaid through payroll deductions. 7 American Medical Security Retirement Savings Plan Notes to Financial Statements (continued) 1. DESCRIPTION OF THE PLAN (CONTINUED) TERMINATION OF THE PLAN The Company has established the Plan with the intention and expectation that the Employer will be able to make contributions indefinitely, but the Employer neither is, nor shall, be under any obligation or liability whatsoever to maintain the Plan for any given length of time. The Company retains the right to modify or terminate the Plan at any time, but may not retroactively reduce the share of any participant or cause the Plan's assets to revert to the Company unless required by law. In the event of termination, the balance of each participant's account would become fully vested, and all assets would be distributed to the participants and beneficiaries. EXPENSES Administrative expenses of the Plan are paid from Plan assets. 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES INVESTMENT VALUATION AND ACCOUNTING METHOD The Plan's financial statements are prepared on the accrual basis of accounting. The Plan's investments are stated at fair value. The fair value of mutual fund shares and AMSG common stock are based on the quoted market values on the last business day of the Plan year. The fair value of the participation units in the common trust fund is based on quoted redemption values. Participant loans are stated at their unpaid principal balance, which approximates fair value. USE OF ESTIMATES The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires the Company to make estimates that affect the amounts reported in the Plan's financial statements and accompanying notes. Actual results could differ from these estimates. 8 American Medical Security Retirement Savings Plan Notes to Financial Statements (continued) 3. INVESTMENTS The following individual investments represent more than 5% of the Plan's net assets available for benefits: DECEMBER 31 2001 2000 -------------------------------- Investments at fair value as determined by quoted market price or redemption value: MCM Stable Value Fund $ 5,643,420 $ 5,114,719 Scudder Growth & Income Fund 5,961,180 8,369,765 Credit Suisse Emerging Growth Fund 5,047,100 6,807,042 Alleghany Montag & Caldwell Growth Fund 10,916,792 11,144,704 Mercury HW International Value 3,235,770 3,824,071 Neuberger Berman Genesis Trust 4,104,739 3,735,904 The Plan's investments, including gains and losses on investments bought, sold and held during the year, appreciated (depreciated) in fair value as follows: YEAR ENDED DECEMBER 31 2001 2000 --------------------------------- Mutual funds $(4,296,267) $(2,484,095) Common stock of American Medical Security 299,857 12,609 Group, Inc. --------------------------------- $(3,996,410) $(2,471,486) ================================= 4. INCOME TAX STATUS The Plan has received a determination letter from the Internal Revenue Service dated January 28, 2002 stating that the Plan is qualified under Section 401(a) of the IRC and, therefore, the related trust is exempt from taxation. Once qualified, the Plan is required to operate in conformity with the IRC to maintain its qualification. The Plan was amended subsequent to the IRS determination letter. The Plan administrator believes the Plan is being operated in compliance with the applicable requirements of the IRC and, therefore, believes that the Plan is qualified and the related trust is tax exempt. 5. TRANSACTIONS WITH PARTIES IN INTEREST Investment fees incurred are paid by participants. In addition, certain services are provided by the Plan sponsor at no cost to the Plan. 9 American Medical Security Retirement Savings Plan Employer Identification Number 39-1431799 Plan Number 001 Schedule H, Line 4i - Schedule of Assets (Held at End of Year) December 31, 2001 IDENTITY OF ISSUER, BORROWER/ UNITS/ CURRENT DESCRIPTION OF INVESTMENT SHARES VALUE -------------------------------------------------------------------------------- American Century - International Growth Investor 21,776 $ 173,559 Dreyfus Appreciation 82 3,102 Dreyfus GNMA Fund 65,295 952,656 Dreyfus S&P 500 24,686 824,990 Gabelli Equity Income 144,846 2,081,430 Loomis Sayles Bond Fund Institutional 15 155 Mercury HW International Value 166,193 3,235,770 Alleghany Montag & Caldwell Growth Fund 452,603 10,916,792 Ing Emerging Countries Fund Class A 15 209 MCM Stable Value Advisory 458,276 5,643,420 INVESCO Small Company Growth 34,238 415,651 Janus Twenty Fund 13,952 536,577 Neuberger Berman Genesis Trust 141,008 4,104,739 Strong Corporate Bond 111,260 1,168,235 Scudder Growth & Income Fund 283,057 5,961,180 Credit Suisse Emerging Growth Fund 186,999 5,047,100 Credit Suisse Global Fixed Income 118,311 1,134,616 SSGA Emerging Markets 155,159 1,373,159 American Medical Security Group, Inc. common stock* 46,965 571,113 Participant loans receivable (interest rates range from 9.25% to 9.75%) 1,041,658 ---------------- $ 45,186,101 ================ *Represents a party in interest to the Plan. 10 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the Administrative Committee of the American Medical Security Retirement Savings Plan has duly caused this annual report to be signed on its behalf by the undersigned hereunto duly authorized. DATE: June 21, 2002 AMERICAN MEDICAL SECURITY RETIREMENT SAVINGS PLAN /S/ GARY D. GUENGERICH Gary D. Guengerich American Medical Security Retirement Savings Plan Administrative Committee Member 11