Exhibit 99.2
FORM OF PROXY CARD FOR
AMERICAN PHYSICIANS INSURANCE EXCHANGE SPECIAL MEETING
PROXY SOLICITED ON BEHALF OF
THE BOARD OF DIRECTORS FOR THE
SPECIAL MEETING OF SUBSCRIBERS TO BE HELD , 2006
The undersigned hereby (a) acknowledges receipt of the Notice of Special Meeting of Subscribers of American Physicians Insurance Exchange (the “Company”) to be held on , 2006 and the Proxy Statement in connection therewith, each dated , 2006; (b) appoints Norris C. Knight, Jr., M.D. and William J. Peche, M.D., or either of them, as Proxies, each with the power to appoint a substitute; (c) authorizes the Proxies to represent and cast, as designated on the reverse, his or her vote as a subscriber of record of the Company on June 1, 2006, that the undersigned would be entitled to vote if personally present on the matters listed below and in their discretion upon such other business as may properly come before the Special Meeting of Subscribers of the Company to be held , 2006, and at any adjournment(s) or postponement(s) thereof; and (d) revokes any proxies heretofore given.
(Continued and to be signed on reverse side.)
SPECIAL MEETING OF SUBSCRIBERS OF
AMERICAN PHYSICIANS INSURANCE EXCHANGE
, 2006
Please date, sign and mail
Your proxy card in the
Envelope provided as soon
as possible.
Please detach along perforated line and mail in the envelope provided
_________________________________________________________________________________________________________________________________________________
PLEASE SIGN, DATE AND RETURN PROMPTLY IN THE ENCLOSED ENVELOPE. PLEASE MARK YOUR VOTE IN BLUE OR BLACK INK AS SHOWN HERE [X]
THE BOARD OF DIRECTORS RECOMMENDS A VOTE “FOR” PROPOSAL 1. THIS PROXY, WHEN PROPERLY EXECUTED, WILL BE VOTED AS YOU DIRECT.
| 1. On the question of a proposal to approve and adopt: (i) the Plan of Conversion of the Company, pursuant to which the Company will be converted from a Texas reciprocal insurance exchange into a Texas stock insurance company called American Physicians Insurance Company (APIC), which Plan of Conversion includes the form of the articles of incorporation of APIC; and (ii) the merger of a wholly owned subsidiary of American Physicians Service Group, Inc., a Texas corporation, (APSG) with and into APIC, with APIC becoming a wholly owned subsidiary of APSG as a result of the transactions contemplated by the Plan of Conversion and Merger Agreement and Plan of Merger, dated June 1, 2006: | FOR ¨ | AGAINST ¨ | ABSTAIN ¨ | |||
| 2. On the question of whether to allow a possible adjournment, postponement, continuation or rescheduling of the special meeting for the purpose of allowing additional time to solicit additional votes or proxies in favor of approving the conversion and the merger: | FOR ¨ | AGAINST ¨ | ABSTAIN ¨ | |||
The accompanying proxy statement contains information regarding, and a more complete description of, the items of business to be considered at the meeting.
Signature of Shareholder: |
| Date: |
| Note: | Please sign exactly as your name or names appear on this Proxy. When signing as executor, administrator, attorney, trustee or guardian, please give full title as such. |