PHYSICIANS INSURANCE COMPANY OF
WISCONSIN, INC.
CHANGE OF CONTROL BENEFITS POLICY
(As of January 31, 2005)
This document sets
forth all applicable terms of the Change of Control Policy (the
“ Policy ”) of Physicians Insurance Company of
Wisconsin, Inc. (the “ Company ”), effective as
of the date set forth above and until further amended or terminated
by the Company’s Board of Directors (together with a properly
authorized committee thereof, the “ Board ”) in
accordance with the terms hereof.
In order
to be eligible to receive any benefits under this Policy, a person
must be a “Participant” (meaning either a Level 1
Participant or a Level 2 Participant, each as defined below)
immediately prior to the closing of a Change of Control, must have
executed the Acknowledgment and Agreement to Participate document
attached hereto as Exhibit A, and must prior to receiving any
benefits hereunder have executed the Release described in the
“Additional Conditions” section
below.
Level 1
Participant :
“Level 1 Participant” shall mean any Vice President or
Assistant Vice President of the Company as of immediately prior to
(meaning, for purposes of this Policy, at any time within
30 days prior to) the closing of a Change of
Control.
Level 2
Participant :
“Level 2 Participant” shall mean any person holding the
position of Senior Vice President of the Company, or any position
senior to that of a Senior Vice President position (including the
Chief Financial Officer (the “CFO”) and Chief Executive
Officer (the “CEO”)), as of immediately prior to
(meaning, for purposes of this Policy, at any time within
30 days prior to) the closing of a Change of
Control.
“
Change of Control ” means any of the following
transactions:
1. A
dissolution or liquidation of the Company;
2. A sale,
lease or other disposition of all or substantially all of the
assets of the Company, so long as the Company’s stockholders
of record immediately prior to such transaction will, immediately
after such transaction, fail to possess direct or indirect
beneficial ownership of more than fifty percent (50%) of the voting
power of the acquiring entity (for purposes of this paragraph 2,
any person who acquired securities of the Company prior to the
occurrence of such asset transaction in contemplation of such
transaction and who after such transaction possesses direct or
indirect ownership of at least ten percent (10%) of the securities
of the acquiring entity immediately following such transaction
shall not be included for purposes of the 50% calculation in the
group of stockholders of the Company immediately prior to such
transaction);
3. Either a
merger or consolidation in which the Company is not the Surviving
corporation and the stockholders of the Company immediately prior
to the merger or Consolidation fail to possess direct or indirect
beneficial ownership of more than fifty percent (50%) of the voting
power of the securities of the
surviving
corporation (or if the surviving corporation is a controlled
affiliate of another entity, then the required beneficial ownership
shall be determined with respect to the securities of that entity
which controls the surviving corporation and is not itself a
controlled affiliate of any other entity) immediately following
such transaction, or a reverse merger in which the Company is the
surviving corporation and the stockholders of the Company
immediately prior to the reverse merger fail to possess direct or
indirect beneficial ownership of more than fifty percent (50%) of
the securities of the Company (or if the Company is a controlled
affiliate of another entity, then the required beneficial ownership
shall be determined with respect to the securities of that entity
which controls the Company and is not itself a controlled affiliate
of any other entity) immediately following the reverse merger (for
purposes of this paragraph 3, any person who acquired securities of
the Company prior to the occurrence of a merger, reverse merger, or
consolidation in contemplation of such transaction and who after
such transaction possesses direct or indirect beneficial ownership
of at least ten percent (10%) of the securities of the Company or
the surviving corporation (or if the Company or the surviving
corporation is a controlled affiliate, then of the appropriate
entity as determined above) immediately following such transaction
shall not be included for purposes of any of the 50% calculations
in the group of stockholders of the Company immediately prior to
such transaction);
4. An
acquisition by any person, entity or group within the meaning of
Section 13(d) or 14(d) of the Securities Exchange Act of 1934, as
amended (the “Exchange Act”), or any comparable
successor provisions (excluding any employee benefit plan, or
related trust, sponsored or maintained by the Company or a
subsidiary or other controlled affiliate of the Company, and
excluding any trust or similar ownership vehicle specifically
formed to hold securities of the Company in connection with any
plan or program that may be adopted by the Company similar to the
shareholder value plan previously proposed by the Company) of the
beneficial ownership (within the meaning of Rule 13d-3
promulgated under the Exchange Act, or comparable successor rule)
of securities of the Company representing at least twenty percent
(20%) of the combined voting power entitled to vote in the election
of directors; provided, however, that if the Form A filing of
American Physicians Assurance Corporation (“ APAC
”) pending before the Office of the Commissioner of Insurance
(“ OCI ”) on the date this Policy is adopted by
the Board is ultimately approved by the OCI and APAC acquires the
shares of Company capital stock contemplated by such filing (as it
shall exist on the date this Policy is adopted by the Board), then
such acquisition of shares by APAC shall not in and of itself be
deemed to be a Change of Control for purposes of this Policy;
provided further however that if following the acquisition of
Company stock contemplated by the currently pending Form A
filing APAC (together with any other person, entity or group (as
defined above) that may be acting in concert with APAC) shall
become the beneficial owner of more than twenty-five percent (25%)
of the combined voting power of the Company’s outstanding
stock, then such beneficial ownership of Company stock shall be
deemed to constitute a Change of Control; or
5. The
individuals who, as of the date of this Policy, are members of the
Board (the “ Incumbent Board ”), cease for any
reason to constitute at least fifty percent (50%) of the Board. If
the election, or nomination for election by the
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Company’s
stockholders, of any new director was approved by a vote of at
least fifty percent (50%) of the Incumbent Board, such new director
shall be considered as a member of the Incumbent Board.
“
Involuntary Termination ” means termination of
employment with the Company under either of the following
circumstances at any time within 30 days prior to or
18 months following a Change of Control:
1. Termination
of the Participant’s employment by the Company other than for
Cause (as defined below), or
2. Termination
of the Participant’s employment by the Participant within 30
days of the first occurrence any of the following circumstances and
within 15 days following notice to the Company of the circumstance
or circumstances set forth in this paragraph 2 giving rise to
Participant’s termination:
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a.
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the
Participant’s duties and responsibilities to the Company are
materially diminished relative to his or her duties and
responsibilities as in effect at any time from the time immediately
prior to the closing of the Change of Control or at any time within
the 18 month period thereafter, without the
Participant’s prior written consent, provided, however, that
a mere change in the Participant’s title to reflect the
corporate structure of the entity or group that includes the
Company following the Change of Control shall not on its own
provide a basis for the Participant’s terminating his or her
employment under this paragraph 2.a.;
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b.
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the
Participant is subject to any reduction of greater than ten percent
(10%) in the total value of his or her base compensation and
benefits, provided that an across-the-board reduction in the base
compensation and benefits of all other employees of the Company and
all employees of the acquiring entity effecting the Change of
Control (and all employees of such acquiring entity’s
subsidiaries and controlled affiliates), in each case in positions
similar to the Participant’s by the same percentage amount
(or under the same terms and conditions) as part of a general base
compensation reduction and/or benefit reduction shall not
constitute such a reduction providing grounds for the Participant
to terminate his or her employment under this paragraph 2.b.;
or
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c.
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without the Participant’s
prior written consent, the principal place at which he or she
performs his or her employment duties and responsibilities is
relocated more than 30 miles each way from the location of his or
her principal place of employment prior to the Change of
Control.
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“
Cause ” for termination of a Participant’s
employment will exist if the Company terminates his or her
employment for any of the following reasons:
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a.
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the
Participant’s willful failure to substantially perform the
lawful duties required of his or her position with the Company
(other than any such failure due to his or her physical or mental
illness), and such willful failure is not remedied within ten (10)
business days after written notice from the
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Company’s CEO or the Board,
which written notice shall state that failure to remedy such
conduct may result in an involuntary termination for
Cause;
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b.
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the
Participant’s engaging in willful and serious misconduct
(including, but not limited to, an act of fraud or embezzlement
against the Company) that has caused or is reasonably expected to
result in material injury to the Company or any of its affiliates,
or any act that constitutes any knowing misrepresentation involving
or related to the Company’s financial statements;
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c.
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the
Participant’s conviction of or enter a plea of guilty or nolo
contendere to a crime that constitutes a felony or a crime that
materially adversely affects his or her ability to perform his or
her duties on behalf of the Company; or
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d.
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the
Participant’s willful breach of any of his or her obligations
related to his or her position with the Company or under any other
written agreement or covenant with the Company or any of its
affiliates, including, but not limited to, any agreement protecting
the Company’s proprietary and confidential information, and
such willful breach is not remedied within ten (10) business
days after written notice from the Company’s CEO or the
Board, which writt
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