X0304 4 2011-10-19 1 0001010247 FPIC INSURANCE GROUP INC FPIC 0001180809 BAGBY RICHARD J MD 1000 RIVERSIDE AVENUE SUITE 800 JACKSONVILLE FL 32204 1 0 0 0 Common Stock 2011-10-19 4 D 0 11151 D 0 D Director Stock Option (right to buy) 17.933 2011-10-19 4 D 0 7500 24.067 D 2014-06-02 Common Stock 7500 0 D Includes 1,500 restricted shares issued under the issuer's Director Stock Plan the restrictions on which lapsed immediately prior to the effective time of the Merger pursuant to the Merger Agreement. Pursuant to the Agreement and Plan of Merger between the issuer, The Doctors Company and Fountain Acquisition Corp. (the "Merger Agreement"), these shares were converted into the right to receive $42.00 per share in cash immediately prior to the effective time of the Merger (the "Merger") of Fountain Acquisition Corp. with and into the issuer. Pursuant to the Merger Agreement, this option was cancelled immediately prior to the effective time of the Merger exchange for an amount in cash equal to the product of (i) the number of shares for which this option had been exercisable and (ii) the excess of $42.00 per share over the exercise price of $17.933 per share in cash. The option vested in equal installments on June 2, 2005, 2006 and 2007. T. Malcolm Graham, Attorney-in-Fact 2011-10-19