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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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SCHEDULE 13G
(RULE 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES
13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO
RULE 13d-2(b)
(AMENDMENT NO. 2++)
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MEDICAL ASSURANCE, INC.
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(Name of Issuer)
Common Stock, $1.00 par value per share
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(Title of Class of Securities)
58449U 10 0
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(CUSIP Number)
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(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
[ ] Rule 13d-1(b)
[ X ] Rule 13d-(c)
[ ] Rule 13d-1(d)
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(1) The remainder of this cover page shall be filled out for a
reporting person's initial filing on this form with respect to the subject
class of securities, and for any subsequent amendment containing information
which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not
be deemed to be "filed" for the purpose of Section 18 of the Securities
Exchange Act of 1934 or otherwise subject to the liabilities of that section of
the Act but shall be subject to all other provisions of the Act (however, see
the Notes).
++ See Item 1(a).
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CUSIP NO. 58449 U 10 0 13G PAGE 2 OF 5 PAGES
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(1) NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
A. Derrill Crowe
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(2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ]
(b) [ ]
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(3) SEC USE ONLY
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(4) CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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(5) SOLE VOTING POWER
NUMBER OF 2,109,878
SHARES --------------------------------------------------------
BENEFICIALLY (6) SHARED VOTING POWER
OWNED BY
EACH --------------------------------------------------------
REPORTING (7) SOLE DISPOSITIVE POWER
PERSON WITH 2,109,878
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(8) SHARED DISPOSITIVE POWER
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(9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,109,878
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(10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES* [ ]
See Item 4
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(11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
9.8%
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(12) TYPE OF REPORTING PERSON*
IN
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*SEE INSTRUCTIONS BEFORE FILLING OUT!
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AMENDMENT NO. 2
SCHEDULE 13G
FILED WITH THE
SECURITIES AND EXCHANGE COMMISSION
ON BEHALF OF
A. DERRILL CROWE, M.D.
Item 1(a). Name of Issuer:
Medical Assurance, Inc. (formerly MAIC Holdings, Inc.)
The reporting person originally filed a Schedule 13G with respect to
Mutual Assurance, Inc. (Cusip No. 62823T 10 1) on February 14, 1992, as
amended February 15, 1994. On August 31, 1995, MAIC Holdings, Inc.
became the successor registrant to Mutual Assurance, Inc. pursuant to
Rule 12g-3 of the SEC. On September 23, 1996, MAIC Holdings, Inc.
registered its common stock under Section 12(b) of the Securities
Exchange Act of 1934 upon listing its common stock on the New York
Stock Exchange (CUSIP No. 55261 V 10 9). Effective June 1, 1997, MAIC
Holdings changed its name to Medical Assurance, Inc. (CUSIP No. 58449 U
10 0).
Item 1(b). Address of Issuer's Principal Executive Offices:
100 Brookwood Place, Suite 500
Birmingham, AL 35209
Item 2(a). Name of Person Filing:
A. Derrill Crowe, M.D.
Item 2(b). Address of Principal Business Office:
Medical Assurance, Inc.
100 Brookwood Place, Suite 500
Birmingham, AL 35209
Item 2(c). Citizenship:
United States of America
Item 2(d). Title of Class of Securities:
Common Stock, $1.00 par value per share
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Item 2(e). CUSIP Number:
58449U 10 0
Item 3.
Not Applicable
Item 4. Ownership:
(a) Amount Beneficially Owned: *
2,109,878 shares
(b) Percent of Class: *
9.8%
(c) Number of Shares as to which such Person has: *
(i) sole power to vote or to direct the vote:
2,109,878 shares
(ii) shared power to vote or to direct the vote:
None
(iii) sole power to dispose or to direct the disposition
of:
2,109,878 shares
(iv) shared power to dispose or to direct the disposition
of:
None
* Includes shares distributed as a result of stock dividends declared in 1993,
1994, 1995, 1996, and 1997 and in the two for one stock split in 1997. Does not
include 10,166 shares held for the account of Dr. Crowe in the Medical
Assurance, Inc. Pension Plan and 1,113 shares owned of record by his spouse.
2
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Item 5. Ownership of Five Percent of Less of a Class.
Not applicable.
Item 6. Ownership of More than Five Percent on Behalf of Another
Person.
Not applicable.
Item 7. Identification and Classification of the Subsidiary which
Acquired the Securities Being Reported on by the Parent
Holding Company.
Not applicable.
Item 8. Identification and Classification of Members of the Group.
Not applicable.
Item 9. Notice of Dissolution of Group.
Not applicable.
Item 10. Certification.
Not applicable.
SIGNATURES
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.
March 31, 1998
/s/ A. Derrill Crowe
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A. Derrill Crowe
3
