UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-Q
(Mark One)
   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended March 31,September 30, 2020

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:  001-33865

TRIPLE-S MANAGEMENT CORPORATION

Puerto Rico 66-0555678
(State or other jurisdiction of incorporation or organization) (I.R.S. Employer Identification No.)

1441 F.D. Roosevelt Avenue  
San Juan, Puerto Rico 00920
(Address of principal executive offices) (Zip code)

(787) 749-4949
(Registrant’s telephone number, including area code)
 
Not applicable
(Former name, former address and former fiscal year, if changed since last report)

Securities registered pursuant to Section 12(b) of the Act:

Title of each class
Trading
Symbol(s) 
Name of each exchange on which registered 
Common Stock Class B, $1.00 par valueGTSNew York Stock Exchange (NYSE)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.
 Yes  No

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).
 Yes    No

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company.  See the definitions of “large accelerated filer”, “accelerated filer”, “smaller reporting company”, and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer 
Accelerated filer 
Non-accelerated filer 
Smaller reporting company 
Emerging growth company 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).   Yes  No

Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practicable date.

Title of each class
Outstanding at March 31,September 30, 2020
  
Common Stock Class B, $1.00 par value23,806,01323,430,222





Table of Contents
Triple-S Management Corporation

FORM 10-Q

For the Quarter Ended March 31,September 30, 2020

Table of Contents

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Item 1.3
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2


Part I -  Financial Information

Item 1.  Financial Statements

Triple-S Management Corporation
Condensed Consolidated Interim Balance Sheets (Unaudited)
(dollar amounts in thousands, except share data)


 
March 31,
2020
  
December 31,
2019
 
       
September 30,
2020
  
December 31,
2019
 
Assets            
Investments and cash:            
Fixed maturities available for sale, at fair value $1,251,031  $1,242,883  $1,362,000  $1,242,883 
Fixed maturities held to maturity, at amortized cost  1,859   1,860   1,867   1,860 
Equity investments, at fair value  299,016   287,525   389,078   287,525 
Other invested assets, at net asset value  103,118   100,508   110,765   100,508 
Policy loans  11,102   10,861   10,621   10,861 
Cash and cash equivalents  104,580   109,837   129,603   109,837 
Total investments and cash  1,770,706   1,753,474   2,003,934   1,753,474 
Premiums and other receivables, net  644,984   567,692   546,959   567,692 
Deferred policy acquisition costs and value of business acquired  237,171   234,885   243,663   234,885 
Property and equipment, net  89,367   88,588   130,220   88,588 
Deferred tax asset  81,337   77,294   68,637   77,294 
Goodwill  28,614   28,599   28,614   28,599 
Other assets  136,015   68,294   98,260   68,294 
Total assets $2,988,194  $2,818,826  $3,120,287  $2,818,826 
Liabilities and Stockholders’ Equity        
Liabilities and Stockholders' Equity        
Claim liabilities $730,818  $709,258  $786,920  $709,258 
Liability for future policy benefits  392,923   386,017   408,116   386,017 
Unearned premiums  90,259   93,301   95,608   93,301 
Policyholder deposits  196,905   189,120   202,663   189,120 
Liability to Federal Employees’ Health Benefits and Federal Employees’ Programs  55,260   47,781 
Liability to Federal Employees' Health Benefits and Federal Employees' Programs  57,874   47,781 
Accounts payable and accrued liabilities  452,823   325,761   387,465   325,761 
Deferred tax liability  6,031   10,257   12,254   10,257 
Short-term borrowings  78,000   54,000   82,500   54,000 
Long-term borrowings  24,897   25,694   53,836   25,694 
Liability for pension benefits  34,128   34,465   23,364   34,465 
Total liabilities  2,062,044   1,875,654   2,110,600   1,875,654 
Stockholders’ equity:                
Triple-S Management Corporation stockholders’ equity        
Common stock Class B, $1 par value. Authorized 100,000,000 shares; issued and outstanding 23,806,013 and 23,799,633 shares at March 31, 2020 and December 31, 2019, respectively  23,806   23,800 
Triple-S Management Corporation stockholders' equity        
Common stock Class B, $1 par value. Authorized 100,000,000 shares; issued and outstanding 23,430,222 and 23,799,633 shares at September 30, 2020 and December 31, 2019, respectively  23,430   23,800 
Additional paid-in capital  53,762   60,504   53,964   60,504 
Retained earnings  803,887   830,198   871,067   830,198 
Accumulated other comprehensive income  45,395   29,363   61,939   29,363 
Total Triple-S Management Corporation stockholders’ equity  926,850   943,865 
Total Triple-S Management Corporation stockholders' equity  1,010,400   943,865 
Non-controlling interest in consolidated subsidiary  (700)  (693)  (713)  (693)
Total stockholders’ equity  926,150   943,172 
Total liabilities and stockholders’ equity $2,988,194  $2,818,826 
Total stockholders' equity  1,009,687   943,172 
Total liabilities and stockholders' equity $3,120,287  $2,818,826 

See accompanying notes to unaudited condensed consolidated interim financial statements.

3


Triple-S Management Corporation
Condensed Consolidated Interim Statements of Earnings (Unaudited)
(dollar amounts in thousands, except per share data)


 
Three months ended
March 31,
  
Three months ended
September 30,
  
Nine months ended
September 30,
 
 2020  2019  2020  2019  2020  2019 
Revenues:                  
Premiums earned, net $875,897  $768,002  $922,934  $815,021  $2,657,366  $2,442,516 
Administrative service fees  2,194   2,632   3,752   2,607   8,755   7,695 
Net investment income  14,311   15,376   14,168   15,176   42,294   45,614 
Other operating revenues  4,039   1,577   2,052   3,167   6,394   6,335 
Total operating revenues  896,441   787,587   942,906   835,971   2,714,809   2,502,160 
Net realized investment (losses) gains
  (466)  1,315 
Net unrealized investment (losses) gains on equity investments
  (56,806)  19,669 
Net realized investment gains (losses)  507   1,087   (180)  4,766 
Net unrealized investment gains (losses) on equity investments  11,040   1,267   (17,428)  24,259 
Other income, net  3,605   1,169   1,811   485   6,217   3,359 
Total revenues  842,774   809,740   956,264   838,810   2,703,418   2,534,544 
Benefits and expenses:                        
Claims incurred  714,522   623,190   761,792   680,010   2,129,401   2,009,504 
Operating expenses  162,201   132,663   158,809   136,882   499,669   403,629 
Total operating costs  876,723   755,853   920,601   816,892   2,629,070   2,413,133 
Interest expense  1,853   1,788   2,096   2,062   5,813   5,681 
Total benefits and expenses  878,576   757,641   922,697   818,954   2,634,883   2,418,814 
(Loss) income before taxes  (35,802)  52,099 
Income tax (benefit) expense  (9,650)  17,316 
Net (loss) income  (26,152)  34,783 
Less: Net loss attributable to non-controlling interest  7   3 
Net (loss) income attributable to Triple-S Management Corporation $(26,145) $34,786 
Income before taxes  33,567   19,856   68,535   115,730 
Income tax expense  9,989   5,910   27,520   36,075 
Net income  23,578   13,946   41,015   79,655 
Net loss attributable to non-controlling interest  (3)  (2)  (20)  (10)
Net income attributable to Triple-S Management Corporation $23,581  $13,948  $41,035  $79,665 
Earnings per share attributable to Triple-S Management Corporation                        
Basic net (loss) income per share $(1.12) $1.53 
Diluted net (loss) income per share $(1.12) $1.52 
Basic net income per share $1.02  $0.59  $1.77  $3.44 
Diluted net income per share $1.02  $0.58  $1.76  $3.43 

See accompanying notes to unaudited condensed consolidated interim financial statements.

4


Triple-S Management Corporation
Condensed Consolidated Interim Statements of Comprehensive Income (Loss) (Unaudited)
(dollar amounts in thousands)


 
Three months ended
March 31,
  
Three months ended
September 30,
  
Nine months ended
September 30,
 
 2020  2019  2020  2019  2020  2019 
Net (loss) income $(26,152) $34,783 
Net income $23,578  $13,946  $41,015  $79,655 
Other comprehensive income, net of tax:                        
Net unrealized change in fair value of available for sale securities, net of taxes  15,879   13,441   4,743   9,290   32,023   37,660 
Defined benefit pension plan:                        
Actuarial gain, net  153   56 
Actuarial loss, net  247   61   553   173 
Total other comprehensive income, net of tax  16,032   13,497   4,990   9,351   32,576   37,833 
Comprehensive (loss) income  (10,120)  48,280 
Comprehensive income  28,568   23,297   73,591   117,488 
Comprehensive loss attributable to non-controlling interest  7   3   (3)  (2)  (20)  (10)
Comprehensive (loss) income attributable to Triple-S Management Corporation $(10,113) $48,283 
Comprehensive income attributable to Triple-S Management Corporation $28,571  $23,299  $73,611  $117,498 

See accompanying notes to unaudited condensed consolidated interim financial statements.

5



Triple-S Management Corporation
Condensed Consolidated Interim Statements of Stockholders’ Equity (Unaudited)
(dollar amounts in thousands)


 
Class A
Common
Stock
  
Class B
Common
Stock
  
Additional
Paid-in
Capital
  
Retained
Earnings
  
Accumulated
Other
Comprehensive
Income
  
Triple-S
Management
Corporation
Stockholders’
Equity
  
Non-controlling
Interest in
Consolidated
Subsidiary
  
Total
Stockholders’
Equity
 
                         
Class A
Common
Stock
  
Class B
Common
Stock
  
Additional
Paid-in
Capital
  
Retained
Earnings
  
Accumulated
Other
Comprehensive
Income
  
Triple-S
Management
Corporation
Stockholders’
Equity
  
Non-controlling
Interest in
Consolidated
Subsidiary
  
Total
Stockholders’
Equity
 
Balance, December 31, 2019 $-  $23,800  $60,504  $830,198  $29,363  $943,865  $(693) $943,172  $0  $23,800  $60,504  $830,198  $29,363  $943,865  $(693) $943,172 
Share-based compensation  -   590   1,769   -   -   2,359   -   2,359   0   590   1,769   0   0   2,359   0   2,359 
Repurchase and retirement of common stock  -   (584)  (8,511)  -   -   (9,095)  -   (9,095)  0   (584)  (8,511)  0   0   (9,095)  0   (9,095)
Comprehensive (loss) income  -   -   -   (26,145)  16,032   (10,113)  (7)  (10,120)  0   0   0   (26,145)  16,032   (10,113)  (7)  (10,120)
Cummulative effect adjustment due to implementation of ASU 2016-13  -   -   -   (166)  -   (166)  -   (166)  0   0   0   (166)  0   (166)  0   (166)
Balance, March 31, 2020 $-  $23,806  $53,762  $803,887  $45,395  $926,850  $(700) $926,150  $0  $23,806  $53,762  $803,887  $45,395  $926,850  $(700) $926,150 
Share-based compensation  0   7   4,228   0   0   4,235   0   4,235 
Repurchase and retirement of common stock  0   (375)  (5,618)  0   0   (5,993)  0   (5,993)
Comprehensive income (loss)  0   0   0   43,599   11,554   55,153   (10)  55,143 
Balance, June 30, 2020 $0  $23,438  $52,372  $847,486  $56,949  $980,245  $(710) $979,535 
Share-based compensation  0   7   1,842   0   0   1,849   0   1,849 
Repurchase and retirement of common stock  0   (15)  (250)  0   0   (265)  0   (265)
Comprehensive income (loss)  0   0   0   23,581   4,990   28,571   (3)  28,568 
Balance, September 30, 2020 $0  $23,430  $53,964  $871,067  $61,939  $1,010,400  $(713) $1,009,687 
                                
Balance, December 31, 2018 $951  $21,980  $34,021  $761,970  $3,062  $821,984  $(676) $821,308 
Share-based compensation  0   177   1,409   0   0   1,586   0   1,586 
Repurchase and retirement of common stock  0   (1)  (15)  0   0   (16)  0   (16)
Comprehensive income (loss)  0   0   0   34,786   13,497   48,283   (3)  48,280 
Balance, March 31, 2019 $951  $22,156  $35,415  $796,756  $16,559  $871,837  $(679) $871,158 
Share-based compensation  0   44   4,276   0   0   4,320   0   4,320 
Comprehensive income (loss)  0   0   0   30,931   14,985   45,916   (5)  45,911 
Balance, June 30, 2019 $951  $22,200  $39,691  $827,687  $31,544  $922,073  $(684) $921,389 
Share-based compensation  0   1   2,816   0   0   2,817   0   2,817 
Issuance of Common Stock  48   0   1,151   0   0   1,199   0   1,199 
Stock dividend  0   1,133   23,522   (24,655)  0   0   0   0 
Dividend  0   0   0   (11)  0   (11)  0   (11)
Common Stock Class A conversion to Class B  (999)  999   0   0   0   0   0   0 
Comprehensive income (loss)  0   0   0   13,948   9,351   23,299   (2)  23,297 
Balance, September 30, 2019 $0  $24,333  $67,180  $816,969  $40,895  $949,377  $(686) $948,691 

 
Class A
Common
Stock
  
Class B
Common
Stock
  
Additional
Paid-in
Capital
  
Retained
Earnings
  
Accumulated
Other
Comprehensive
Income
  
Triple-S
Management
Corporation
Stockholders’
Equity
  
Non-controlling
Interest in
Consolidated
Subsidiary
  
Total
Stockholders’
Equity
 
                         
Balance, December 31, 2018 $951  $21,980  $34,021  $761,970  $3,062  $821,984  $(676) $821,308 
Share-based compensation  -   177   1,409   -   -   1,586   -   1,586 
Repurchase and retirement of common stock  -   (1)  (15)  -   -   (16)  -   (16)
Comprehensive income (loss)  -   -   -   34,786   13,497   48,283   (3)  48,280 
Balance, March 31, 2019 $951  $22,156  $35,415 ��$796,756  $16,559  $871,837  $(679) $871,158 

See accompanying notes to unaudited condensed consolidated interim financial statements.
.



6

Triple-S Management Corporation
Condensed Consolidated Interim Statements of Cash Flows (Unaudited)
(Dollar amounts in thousands)


 
Three months ended
March 31,
  
Nine months ended
September 30,
 
 2020  2019  2020  2019 
Cash flows from operating activities:            
Net (loss) income $(26,152) $34,783 
Adjustments to reconcile net (loss) income to net cash provided by operating activities:        
Net income $41,015  $79,655 
Adjustments to reconcile net income to net cash provided by operating activities:        
Depreciation and amortization  3,907   3,505   10,855   10,729 
Net amortization of investments  676   316   2,151   1,484 
Additions to the allowance for doubtful receivables  949   9,236 
Deferred tax (benefit) expense  (12,268)  14,932 
Provision for doubtful receivables  2,229   2,476 
Deferred tax expense  2,277   14,570 
Net realized investment losses (gains) on sale of securities  466   (1,315)  180   (4,766)
Net unrealized losses (gains) on equity investments  56,806   (19,669)  17,428   (24,259)
Interest credited to policyholder deposits  1,561   1,386   4,788   4,414 
Share-based compensation  2,359   1,586   8,443   8,723 
(Increase) decrease in assets:        
Gain on sale of property and equipment  154   0 
Decrease (increase) in assets:        
Premium and other receivables, net  (58,059)  (41,002)  26,038   17,663 
Deferred policy acquisition costs and value of business acquired  (2,737)  (4,503)  (10,827)  (20,004)
Deferred taxes  (88)  27   (109)  114 
Other assets  (62,034)  (2,023)  (29,831)  (12,428)
Increase (decrease) in liabilities:                
Claim liabilities  21,560   (58,825)  77,662   (134,798)
Liability for future policy benefits  6,906   6,231   22,099   19,769 
Unearned premiums  (3,042)  (2,279)  2,307   5,291 
Liability to Federal Employees' Health Benefits and Federal Employees' Programs  7,479   3,937   10,093   21 
Accounts payable and accrued liabilities  68,229   (16,223)  36,729   27,891 
Net cash provided by (used in) operating activities  6,518   (69,900)  223,681   (3,455)

(Continued)

7


Triple-S Management Corporation
Condensed Consolidated Interim Statements of Cash Flows (Unaudited)
(Dollar amounts in thousands)

  
Three months ended
March 31,
 
  2020  2019 
       
Cash flows from investing activities:      
Proceeds from investments sold or matured:      
Securities available for sale:      
Fixed maturities sold $43,425  $164,997 
Fixed maturities matured/called  11,099   12,267 
Securities held to maturity:        
Fixed maturities matured/called  81   1,154 
Equity investments sold  21,107   23,123 
Other invested assets sold  8,524   373 
Acquisition of investments:        
Securities available for sale:        
Fixed maturities  (42,822)  (166,626)
Securities held to maturity:        
Fixed maturities  (80)  (539)
Equity investments  (102,733)  (9,139)
Other invested assets  (10,438)  (8,546)
Increase in other investments  (4,086)  (535)
Net change in policy loans  (241)  (309)
Net capital expenditures  (4,587)  (2,968)
Capital contribution on equity method investees  (4,933)  - 
Net cash (used in) provided by investing activities  (85,684)  13,252 
Cash flows from financing activities:        
Change in outstanding checks in excess of bank balances  53,485   36,682 
Net change in short-term borrowings  24,000   - 
Repayments of long-term borrowings  (810)  (808)
Repurchase and retirement of common stock  (8,989)  (1)
Proceeds from policyholder deposits  10,296   3,607 
Surrenders of policyholder deposits  (4,073)  (4,560)
Net cash provided by financing activities  73,909   34,920 
Net decrease in cash and cash equivalents  (5,257)  (21,728)
Cash and cash equivalents:        
Beginning of period  109,837   117,544 
End of period $104,580  $95,816 

  
Nine months ended
September 30,
 
  2020  2019 
       
Cash flows from investing activities:      
Proceeds from investments sold or matured:      
Securities available for sale:      
Fixed maturities sold $94,557  $365,383 
Fixed maturities matured/called  37,450   19,017 
Securities held to maturity:        
Fixed maturities matured/called  1,079   1,378 
Equity investments sold  80,152   126,134 
Other invested assets sold  13,231   3,379 
Acquisition of investments:        
Securities available for sale:        
Fixed maturities  (206,387)  (397,956)
Securities held to maturity:        
Fixed maturities  (1,087)  (748)
Equity investments  (201,324)  (88,945)
Other invested assets  (25,442)  (24,233)
Increase in other investments  (3,924)  (2,710)
Net change in policy loans  240   (1,097)
Net capital expenditures  (52,549)  (14,746)
Capital contribution on equity method investees  (7,083)  0 
Net cash used in investing activities  (271,087)  (15,144)
Cash flows from financing activities:        
Change in outstanding checks in excess of bank balances  16,814   3,808 
Net change in short-term borrowings  28,500   0 
Proceeds from long-term borrowings  30,841   0 
Repayments of long-term borrowings  (2,760)  (2,425)
Repurchase and retirement of common stock  (14,980)  (1)
Proceeds from policyholder deposits  21,586   15,060 
Surrenders of policyholder deposits  (12,829)  (16,455)
Net cash provided by (used in) financing activities  67,172   (13)
Net increase (decrease) in cash and cash equivalents  19,766   (18,612)
Cash and cash equivalents:        
Beginning of period  109,837   117,544 
End of period $129,603  $98,932 

See accompanying notes to unaudited condensed consolidated interim financial statements.


8

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

(1)Basis of Presentation


The accompanying condensed consolidated interim financial statements prepared by Triple-S Management Corporation and its subsidiaries are unaudited.  In this filing, the “Corporation”, the “Company”, “TSM”, “we”, “us” and “our” refer to Triple-S Management Corporation and its subsidiaries.  The condensed consolidated interim financial statements do not include all of the information and the footnotes required by accounting principles generally accepted in the United States of America (GAAP or U.S. GAAP) for complete financial statement presentation pursuant to the rules and regulations of the Securities and Exchange Commission (SEC).  Accordingly, these condensed consolidated interim financial statements should be read in conjunction with the audited consolidated financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019.


In the opinion of management, all adjustments, consisting of a normal recurring nature necessary for a fair presentation of such condensed consolidated interim financial statements, have been included.  The results of operations for the three months and nine months ended March 31,September 30, 2020 are not necessarily indicative of the results for the full year ending December 31, 2020.

(2)Significant Accounting Policies

Investments
 

Fixed maturities

 

Investment in debt securities at March 31,September 30, 2020 and December 31, 2019 consists mainly of obligations of government-sponsored enterprises, U.S. Treasury securities and obligations of U.S. government instrumentalities, municipal securities, corporate bonds, residential mortgage-backed securities, and collateralized mortgage obligations.  The Company classifies its debt securities in one of two categories: available-for-sale or held-to-maturity.  Securities classified as held-to-maturity are those securities in which the Company has the ability and intent to hold until maturity.  All other securities not included in held-to-maturity are classified as available-for-sale.

 

Available-for-sale securities are recorded at fair value.  The fair values of debt securities (both available-for-sale and held-to-maturity investments) are based on quoted market prices for those or similar investments at the reporting date.  Held-to-maturity debt securities are recorded at amortized cost, adjusted for the amortization or accretion of premiums and discounts, respectively.  Unrealized holding gains and losses, net of the related tax effect, on available-for-sale securities are excluded from earnings and are reported as a separate component of other comprehensive income until realized.  Realized gains and losses from the sale of available-for-sale securities are included in earnings and are determined on a specific identification basis.

 

Transfers of securities between categories are recorded at fair value at the date of transfer.  Unrealized holding gains or losses associated with transfers of securities from held-to-maturity to available-for-sale are recorded as a separate component of other comprehensive income.  The unrealized holding gains or losses included in the separate component of other comprehensive income for securities transferred from available-for-sale to held-to-maturity, are maintained and amortized into earnings over the remaining life of the security as an adjustment to yield in a manner consistent with the amortization or accretion of premium or discount on the associated security.

 

If a fixed maturity security is in an unrealized loss position and the Company does not have the intent to sell the fixed maturity security, or it is more likely than not that the Company will not have to sell the fixed maturity security before recovery of its amortized cost basis, the credit component of the impairment, if any, is recorded as an allowance for credit losses with an offsetting entry in the Company’s consolidated statements of earnings and theearnings. The non-credit component of the impairment is recognized in other comprehensive income.  Furthermore, unrealized losses entirely caused by non-credit related factors related to fixed maturity securities for which the Company expects to fully recover the amortized cost basis continue to be recognized in accumulated other comprehensive income.

9

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)


If a fixed maturity security is in an unrealized loss position and the Company has the intent to sell the fixed maturity security, or it is more likely than not that the Company will have to sell the fixed maturity security before recovery of its amortized cost basis, the Company will write off any previously recognized allowance for credit losses and will decrease the amortized cost basis of the security. If the allowance has been fully written off and the fair value is less than its amortized cost basis, the amortized cost basis is written down and an impairment loss is recognized in the Company’s consolidated statements of earnings. As of March 31,September 30, 2020, no allowance for credit losses was recorded in the condensed consolidated interim financial statements.

 

The credit component of the impairment is determined by comparing the net present value of projected future cash flows with the amortized cost basis of the fixed maturity security. The net present value is calculated by discounting the Company’s best estimate of projected future cash flows at the effective interest rate implicit in the fixed maturity security at the date of acquisition. If in subsequent periods, there is an increase in the projected future cash flows of the fixed maturity security partin subsequent periods, all or allpart of the allowance for credit losses may be reversed.

 

To determine whether an impairment is credit or non-credit related,In addition, the Company considers the following factors when evaluating whether it has the ability and intent to hold the investment until a market price recovery and considers whether evidence indicating the cost of the investment is recoverable outweighs evidence to the contrary.  Evidence considered in this assessment includescredit loss exist: the reasons for the impairment, the severity of the impairment, market conditions, changes in the security’s rating, changes in value subsequent to year-end, forecasted performance of the investee, and the general market condition in the geographic area or industry the investee operates in.

 

Premiums and discounts are amortized or accreted over the life of the related held-to-maturity or available-for-sale security as an adjustment to yield using the effective interest method. Dividend and interest income are recognized when earned.

 

The Company regularly invests in mortgaged-backed securities and other securities subject to prepayment and call risk.  Significant changes in prevailing interest rates may adversely affect the timing and amount of cash flows on such securities.  In addition, the amortization of market premium and accretion of market discount for mortgaged-backed securities is based on historical experience and estimates of future payment speeds on the underlying mortgage loans.  Actual prepayment speeds may differ from original estimates and may result in material adjustments to amortization or accretion recorded in future periods.

 

Equity investments

 

Investment in equity securities at March 31,September 30, 2020 and December 31, 2019 consists of mutual funds whose underlying assets are comprised of domestic equity securities, international equity securities and higher risk fixed income instruments. Equity investments are recorded at fair value.  The fair values of equity investments are mainly based on quoted market prices for those or similar investments at the reporting date.  For a specific equity investment, the fair value is estimated using the net asset value (NAV) of the Company’s ownership interest in the partnership.  Unrealized holding gains and losses on equity investments are included in earnings.  Realized gains and losses from the sale of equity investments are included in earnings and are determined on a specific identification basis.

 

Other invested assets

 

Other invested assets at March 31,September 30, 2020 and December 31, 2019 consist mainly of alternative investments in partnerships that invest in several private debt and private equity funds.  Portfolios are diversified by vintage year, stage, geography, business sectors and number of investments. These investments are not redeemable with the funds. Distributions from each fund are received as the underlying investments of the funds are liquidated. It is estimated that the underlying assets of the funds will be liquidated in the next 5 to 12 years. The fair valuesvalue of the investments in this class have been estimated using the net asset value (NAV) of the Company’s ownership interest in the partnerships. Total unfunded capital commitments for these positions as of March 31,September 30, 2020 amounted to $67,588.$57,762.  The remaining average commitments period is approximately three years.

10

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)


Health Insurance Providers Fee
 

The Patient Protection and Affordable Care Act (ACA) as amended by the Health Care and Education Reconciliation Act mandates an annual Health Insurance Providers Fee (HIP Fee).  The annual HIP Fee becomes payable to the U.S. Treasury once the entity provides health insurance for any U.S. health risk each applicable calendar year. The initial estimated annual fee is accrued as of January 1, with a corresponding deferred cost that is amortized over 12 months on a straight-line basis. The fee payment is due on September 30 of each year.  The deferred cost is included within the other asset line item and the accrued fee is included within the accounts payable and accrued liabilities line item in the accompanying condensed consolidated balance sheets. The fee is presented within operating expenses in the accompanying condensed consolidated statements of earnings. The HIP Fee was waived for all health insurance providers during the year ended December 31, 2019. The Taxpayer Certainty and Disaster Tax Relief Act of 2019 and the Further Consolidated Appropriations Act of 2020, signed into law on December 20, 2019, repealed the HIP Fee effective calendar years beginning after December 31, 2020. As of March 31,September 30, 2020, the HIP Fee deferred cost amounted to $48,974 and$12,139. During the accrued HIP Fee amountedquarter ended September 30, 2020, the Company made the corresponding payment amounting to $65,300.$55,514. As of December 31, 2019, 0 balance was deferred or accrued for the HIP Fee.

Recently Adopted Accounting Standards
 

On June 16, 2016, the Financial Accounting Standards Board (FASB) issued guidance to provide financial statement users with more decision-useful information about the expected credit losses on financial instruments and other commitments to extend credit held by a reporting entity at each reporting date by replacing the incurred loss impairment methodology in current U.S. GAAP with a methodology that reflects expected credit losses and requires consideration of a broader range of reasonable and supportable information to inform credit loss estimates.  In addition, on April 25, 2019, the FASB issued Accounting Standard Update (ASU) 2019-04: Codification Improvements to Topic 326, Financial Instruments – Credit Losses, Topic 815, Derivatives and Hedging, and Topic 825, Financial Instruments. The amendments in this update represent changes to clarify, correct errors in or improve the codification. Such amendments should make the codification easier to understand and easier to apply by eliminating inconsistencies and providing clarifications. Within the clarifications was the FASB’s intent to include all reinsurance recoverables within the scope of ASU 2016-13 (Topic 326). For public companies, the improvements related to ASU 2016-13 (Topic 326) and ASU 2016-01 (Topic 825) are effective for fiscal years beginning after December 15, 2019, including interim periods within those fiscal years. The Company adopted the standard effective January 1, 2020 and recognized $166, net of deferred tax asset, as a cumulative effect adjustment to the opening balance of retained earnings on the adoption date. In addition, the Company implemented control processes and procedures, as necessary, based on changes resulting from the new standard.


On January 26, 2017, the FASB issued guidance to simplify the manner in which an entity is required to evaluate goodwill for impairment by eliminating Step 2 from the goodwill impairment test.  Step 2 measures a goodwill impairment loss by comparing the implied fair value of a reporting unit’s goodwill with the carrying amount of that goodwill.  Instead, under the amendments in this guidance, an entity should (1) perform its annual or interim goodwill impairment test by comparing the fair value of a reporting unit with its carrying amount, and (2) recognize an impairment charge for the amount by which the carrying amount exceeds the reporting unit’s fair value, with the understanding that the loss recognized should not exceed the total amount of goodwill allocated to that reporting unit.  Additionally, this guidance removes the requirements for any reporting unit with a zero or negative carrying amount to perform a qualitative assessment and, if it fails such qualitative test, to perform Step 2 of the goodwill impairment test.  For public companies, these amendments, which should be applied on a prospective basis, are effective for fiscal years beginning after December 15, 2019, including interim periods within those fiscal years. The Company adopted the standard effective January 1, 2020. Upon adoption of this standard, if the carrying amount of any of the reporting units exceeds its fair value, the Company wouldwill be required to record an impairment charge for the difference up to the amount of the goodwill.

11

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)



On August 27, 2018, the FASB issued guidance for Fair Value Measurement – Disclosure Framework – Changes to the Disclosure Requirement for Fair Value Measurement.  This update focuses on improving the effectiveness of disclosures in the notes to the financial statements by facilitating clear communication of the information required by U.S. GAAP that is most important to users of each entity’s financial statements. Specifically, certain disclosure requirements are removed (the amount of, and reasons for, transfer between Level 1 and Level 2 of the fair value hierarchy; the policy for timing of transfers between levels; the valuation processes for Level 3 fair value measurements) while certain other disclosures are modified and added (changes in unrealized gains and losses for the period included in other comprehensive income for recurring Level 3 fair value measurements held at the end of the reporting period, and the range and weighted average of significant unobservable inputs used to develop Level 3 fair value measurements). The amendments regarding changes in unrealized gains and losses, the range and weighted average of significant unobservable inputs used to develop Level 3 fair value measurements, and the narrative description of measurement uncertainty should be applied prospectively for only the most recent period in the initial fiscal year of adoption.  All other amendments should be applied retrospectively to all periods presented upon their effective date. For public companies, these amendments will be applied for fiscal years beginning after December 15, 2019, including interim periods within those fiscal years. The Company adopted the standard effective January 1, 2020. The adoption of this guidance did not have a material impact on the presentation and disclosures of the Company’s condensed consolidated interim financial statements.

 

On August 29, 2018, the FASB issued guidance for Intangibles – Goodwill and Other – Internal-Use Software. Guidance addresses customers’ accounting for implemented costs incurred in a cloud computing arrangement that is a service contract and aims to reduce complexity in the accounting for costs of implementing a cloud computing service arrangement.  The amendments require a customer in a hosting arrangement that is a service contract to determine which implementation costs to capitalize as an asset related to the service contract and which costs to expense. Additionally, it requires the customer to expense the capitalized implementation costs over the term of the hosting arrangement.  For public companies, these amendments will be applied on a prospective basis, for fiscal years beginning after December 15, 2019, including interim periods within those fiscal years. The Company adopted the standard effective January 1, 2020. The adoption of this guidance did not have a material impact on the results of the Company’s condensed consolidated interim financial statements.
 
Future AdoptionsAdoption of Accounting Standards
 

On March 12, 2020, the FASB issued ASU 2020-04: Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting. The ASU was issued to provide optional guidance, for a limited time, to ease the potential burden in accounting for or recognizing the effects of reference rate reform on financial reporting. The amendments, which are elective and apply to all entities, provide expedients and exceptions for applying U.S. GAAP to contract modifications and hedging relationships affected by reference rate reform if certain criteria are met. The amendments apply only to contracts and hedging relationships that reference LIBOR or another reference rate that is expected to be discontinued due to reference rate reform. Because the guidance is intended to assist stakeholders during the global market-wide reference rate transition period, it is in effect for a limited time, from March 12, 2020 through December 31, 2022. The Company is currently in the process of evaluating theidentifying its LIBOR-based contracts that are affectedwill be impacted by the reference reform ratephase-out of LIBOR and expects to determineutilize the impact if we elect any of theoptional expedients provided byin this ASU.

12

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)


Other than the accounting pronouncements disclosed above, there were no other new accounting pronouncements issued during the three months and nine months ended March 31,September 30, 2020 that could have a material impact on the Company’s financial position, operating results or financials statement disclosures.

12


Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)


(3)Investment in Securities


The amortized cost for debt securities and cost for alternative investments, gross unrealized gains, gross unrealized losses, and estimated fair value for the Company’s investments in securities by major security type and class of security at March 31,September 30, 2020 and December 31, 2019, were as follows:

 March 31, 2020  September 30, 2020 
 
Amortized
cost
  
Gross
unrealized
gains
  
Gross
unrealized
losses
  
Estimated
fair value
  
Amortized
cost
  
Gross
unrealized
gains
  
Gross
unrealized
losses
  
Estimated
fair value
 
                        
Fixed maturities available for sale                        
Obligations of government-sponsored enterprises $17,203  $931  $-  $18,134 
Obligations of government- sponsored enterprises $36,762  $784  $(29) $37,517 
U.S. Treasury securities and obligations of U.S. government instrumentalities  102,441   9,532   -   111,973   103,483   8,747   0   112,230 
Municipal securities  578,130   39,639   (111)  617,658   628,689   56,009   (126)  684,572 
Corporate bonds  187,162   21,876   (115)  208,923   195,293   31,863   0   227,156 
Residential mortgage-backed securities  268,192   17,068   -   285,260   263,715   17,230   (376)  280,569 
Collateralized mortgage obligations  8,307   776   -   9,083   19,275   726   (45)  19,956 
Total fixed maturities available for sale $1,161,435  $89,822  $(226) $1,251,031  $1,247,217  $115,359  $(576) $1,362,000 

 December 31, 2019 
  
Amortized
Cost
  
Gross
Unrealized
Gains
  
Gross
Unrealized
Losses
  
Estimated
Fair Value
 
Fixed maturities available for sale            
Obligations of government- sponsored enterprises $17,209  $477  $-  $17,686 
U.S. Treasury securities and obligations of U.S. government instrumentalities  102,230   4,779   -   107,009 
Municipal securities  595,051   34,735   (22)  629,764��
Corporate bonds  187,096   21,721   (74)  208,743 
Residential mortgage-backed securities  262,783   8,073   (320)  270,536 
Collateralized mortgage obligations  8,674   471   -   9,145 
Total fixed maturities available for sale $1,173,043  $70,256  $(416) $1,242,883 

  March 31, 2020 
  
Amortized
cost
  
Gross
unrealized
gains
  
Gross
unrealized
losses
  
Estimated
fair value
 
Fixed maturities held to maturity            
U.S. Treasury securities and obligations of U.S. government instrumentalities $615  $225  $-  $840 
Residential mortgage-backed securities  164   6   -   170 
Certificates of deposit  1,080   -   -   1,080 
Total $1,859  $231  $-  $2,090 
 December 31, 2019 
  
Amortized
Cost
  
Gross
Unrealized
Gains
  
Gross
Unrealized
Losses
  
Estimated
Fair Value
 
             
Fixed maturities available for sale            
Obligations of government- sponsored enterprises $17,209  $477  $0  $17,686 
U.S. Treasury securities and obligations of U.S. government instrumentalities  102,230   4,779   0   107,009 
Municipal securities  595,051   34,735   (22)  629,764 
Corporate bonds  187,096   21,721   (74)  208,743 
Residential mortgage-backed securities  262,783   8,073   (320)  270,536 
Collateralized mortgage obligations  8,674   471   0   9,145 
Total fixed maturities available for sale $1,173,043  $70,256  $(416) $1,242,883 

13

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)


 September 30, 2020 
 December 31, 2019  
Amortized
cost
  
Gross
unrealized
gains
  
Gross
unrealized
losses
  
Estimated
fair value
 
 
Amortized
cost
  
Gross
unrealized
gains
  
Gross
unrealized
losses
  
Estimated
fair value
             
Fixed maturities held to maturity                        
U.S. Treasury securities and obligations of U.S. government instrumentalities $615  $158  $-  $773  $614  $217  $0  $831 
Residential mortgage-backed securities  165   1   -   166   165   6   0   171 
Certificates of deposit  1,080   -   -   1,080   1,088   0   0   1,088 
Total $1,860  $159  $-  $2,019  $1,867  $223  $0  $2,090 

 March 31, 2020 
 
Amortized
cost
  
Gross
unrealized
gains
  
Gross
unrealized
losses
  
Estimated
fair value
 
             
Other invested assets - Alternative investments $99,617  $4,166  $(665) $103,118 
  December 31, 2019 
  
Amortized
cost
  
Gross
unrealized
gains
  
Gross
unrealized
losses
  
Estimated
fair value
 
Securities held to maturity            
U.S. Treasury securities and obligations of U.S. government instrumentalities $615  $158  $0  $773 
Residential mortgage-backed securities  165   1   0   166 
Certificates of deposit  1,080   0   0   1,080 
Total $1,860  $159  $0  $2,019 

 September 30, 2020 
 
Amortized
cost
  
Gross
unrealized
gains
  
Gross
unrealized
losses
  
Estimated
fair value
 
             
Other invested assets - Alternative investments $110,532  $3,795  $(3,562) $110,765 

 December 31, 2019 
  
Amortized
cost
  
Gross
unrealized
gains
  
Gross
unrealized
losses
  
Estimated
fair value
 
             
Other invested assets - Alternative investments $97,575  $3,721  $(788) $100,508 

14

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)


Gross unrealized losses on investment securities and the estimated fair value of the related securities, aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position as of March 31,September 30, 2020 and December 31, 2019 were as follows:

 September 30, 2020 
 March 31, 2020  Less than 12 months  12 months or longer  Total 
 Less than 12 months  12 months or longer  Total  
Estimated
Fair Value
  
Gross
Unrealized
Loss
  
Number of
Securities
  
Estimated
Fair Value
  
Gross
Unrealized
Loss
  
Number of
Securities
  
Estimated
Fair Value
  
Gross
Unrealized
Loss
  
Number of
Securities
 
 
Estimated
Fair Value
  
Gross
Unrealized
Loss
  
Number of
Securities
  
Estimated
Fair Value
  
Gross
Unrealized
Loss
  
Number of
Securities
  
Estimated
Fair Value
  
Gross
Unrealized
Loss
  
Number of
Securities
                            
Fixed maturities available for sale                                                      
Obligations of government-sponsored enterprises $9,511  $(29)  1  $0  $0   0  $9,511  $(29)  1 
Municipal securities $22,885  $(111)  3  $-  $-   -  $22,885  $(111)  3   21,832   (126)  4   0   0   0   21,832   (126)  4 
Corporate bonds  10,948   (115)  4   -   -   -   10,948   (115)  4 
Residential mortgage-backed securities  22,551   (376)  8   0   0   0   22,551   (376)  8 
Collateralized mortgage obligations  8,847   (45)  2   0   0   0   8,847   (45)  2 
Total fixed maturities $33,833  $(226)  7  $-  $-   -  $33,833  $(226)  7  $62,741  $(576)  15  $0  $0   0  $62,741  $(576)  15 
Other invested assets - Alternative investments $29,487  $(605)  9  $6,184  $(60)  2  $35,671  $(665)  11  $12,873  $(1,933)  4  $16,308  $(1,629)  6  $29,181  $(3,562)  10 

14


Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)


 December 31, 2019 
 December 31, 2019  Less than 12 months  12 months or longer  Total 
 Less than 12 months  12 months or longer  Total  
Estimated
Fair Value
  
Gross
Unrealized
Loss
  
Number of
Securities
  
Estimated
Fair Value
  
Gross
Unrealized
Loss
  
Number of
Securities
  
Estimated
Fair Value
  
Gross
Unrealized
Loss
  
Number of
Securities
 
 
Estimated
Fair Value
  
Gross
Unrealized
Loss
  
Number of
Securities
  
Estimated
Fair Value
  
Gross
Unrealized
Loss
  
Number of
Securities
  
Estimated
Fair Value
  
Gross
Unrealized
Loss
  
Number of
Securities
                            
Fixed maturities available for sale                                                      
Municipal securities $10,656   (22)  3  $-  $-   -  $10,656  $(22)  3  $10,656  $(22)  3  $0  $0   0  $10,656  $(22)  3 
Corporate bonds  5,047   (74)  1   -   -   -   5,047   (74)  1   5,047   (74)  1   0   0   0   5,047   (74)  1 
Residential mortgage-backed securities  79,902   (320)  16   -   -   -   79,902   (320)  16   79,902   (320)  16   0   0   0   79,902   (320)  16 
Total fixed maturities $95,605  $(416)  20  $-  $-   -  $95,605  $(416)  20  $95,605  $(416)  20  $0  $0   0  $95,605  $(416)  20 
Other invested assets - Alternative investments $24,437  $(605)  8  $10,580  $(183)  1  $35,017  $(788)  9  $24,437  $(605)  8  $10,580  $(183)  1  $35,017  $(788)  9 


The Company reviews the available for sale and other invested assets portfolios under the Company’s impairment review policy. Given market conditions and the significant judgments involved, there is a continuing risk that declines in fair value may occur and material impairments and allowances may be recorded in future periods. The CompanyCorporation from time to time may sell investments as part of its asset/liability management process or to reposition its investment portfolio based on current and expected market conditions.


Obligations of Government-Sponsored Enterprises and Municipal Securities:  The unrealized losses of these securities were mainly caused by fluctuations in interest rates and general market conditions.  The contractual terms of these investments do not permit the issuer to settle the securities at a price less than the par value of the investment.  In addition, these investments have investment grade ratings. BecauseThe Company does not consider these investments to be credit impaired because the decline in fair value is attributable to changes in interest rates and not credit quality; because the Company does not intend to sell the investments and it is not more likely than not that the Company will be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Company expects to collect all contractual cash flows, these investments are not considered credit impaired.flows.

15

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)


Corporate Bonds:Residential mortgage-backed securities and Collateral mortgage obligations: The unrealized losses ofon these bondsinvestments were principallymostly caused by fluctuations in interest rates and general market conditions.  All corporate bondscredit spreads. The contractual cash flows of these securities are guaranteed by a U.S. government-sponsored enterprise. Any loss in these securities is determined according to the seniority level of each tranche, with an unrealized loss havethe least senior (or most junior), typically the unrated residual tranche, taking any initial loss. The investment grade ratings.  Becausecredit rating of our securities reflects the seniority of the securities that the Company owns. The Company does not consider these investments to be credit impaired because the decline in estimated fair value is principally attributable to changes in interest rates; because the Company does not intend to sell the investments and it is not more likely than not that the Company will not be required to sell the investments before recovery of their amortized cost basis, which may be maturity; and because the Company expects to collect all contractual cash flows, these investments are not considered credit impaired.flows.


Alternative investments:As of March 31,September 30, 2020, alternative investments with unrealized losses are not considered credit impaired based on current market conditions.
15


Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)



Maturities of investment securities classified as available for sale and held to maturity were as follows:

 March 31, 2020  September 30, 2020 
 
Amortized
cost
  
Estimated
fair value
  
Amortized
cost
  
Estimated
fair value
 
Fixed maturities available for sale            
Due in one year or less $15,634  $15,898  $33,764  $34,244 
Due after one year through five years  462,181   490,314   564,825   610,357 
Due after five years through ten years  206,215   223,306   204,234   220,251 
Due after ten years  200,906   227,170   161,404   196,623 
Residential mortgage-backed securities  268,192   285,260   263,715   280,569 
Collateralized mortgage obligations  8,307   9,083   19,275   19,956 
 $1,161,435  $1,251,031  $1,247,217 ��$1,362,000 
Fixed maturities held to maturity                
Due in one year or less $1,080  $1,080  $1,088  $1,088 
Due after ten years  615   840   614   831 
Residential mortgage-backed securities  164   170   165   171 
 $1,859  $2,090  $1,867  $2,090 


Expected maturities may differ from contractual maturities because some issuers have the right to call or prepay obligations with or without call or prepayment penalties.


Investments with an amortized cost of $223,391$232,818 and $145,981 and a fair value of $242,176$252,601 and $152,916 at March 31,September 30, 2020 and December 31, 2019, respectively, arewere pledged with the Federal Home Loan Bank of New York (“FHLBNY”)(FHLBNY) to secure short-term borrowings.

16

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)


(4)Realized and Unrealized Gains (Losses)


Information regarding realized and unrealized gains and losses from investments is as follows:

 
Three months ended
March 31,
 
 2020  2019  
Three months ended
September 30,
  
Nine months ended
September 30,
 
       2020  2019  2020  2019 
Realized gains (losses)                  
Fixed maturity securities:                  
Securities available for sale:                  
Gross gains $774  $872  $402  $950  $1,953  $3,597 
Gross losses  (6)  (318)  (1)  0   (7)  (319)
Total debt securities  768   554 
Total fixed securities  401   950   1,946   3,278 
Equity investments:                        
Gross gains  930   1,302   67   401   1,057   2,532 
Gross losses  (1,612)  (637)  (479)  (443)  (3,249)  (1,488)
Gross losses from impaired securities  (678)  -   0   0   (678)  0 
Total equity securities  (1,360)  665 
Total equity investments  (412)  (42)  (2,870)  1,044 
Other invested assets:                        
Gross gains  126   132   518   179   744   500 
Gross losses  -   (36)  0   0   0   (56)
Total other invested assets  126   96   518   179   744   444 
Net realized investment (losses) gains $(466) $1,315 
Net realized investment gains (losses) $507  $1,087  $(180) $4,766 


The gross losses from impaired securities during the threenine months ended March 31,September 30, 2020 is related to an equity method investment held by the Company.

 
Three months ended
March 31,
 
 2020  2019  
Three months ended
September 30,
  
Nine months ended
September 30,
 
       2020  2019  2020  2019 
Changes in net unrealized gains (losses):                  
Recognized in accumulated other comprehensive income:      
Recognized in accumulated other comprehensive income (loss):            
Fixed maturities – available for sale $19,756  $17,090  $4,705  $11,544  $44,943  $48,095 
Other invested assets  568   573   1,498   686   (2,700)  1,358 
 $20,324  $17,663  $6,203  $12,230  $42,243  $49,453 
Not recognized in the consolidated financial statements:                        
Fixed maturities – held to maturity $72  $15  $(6) $14  $64  $50 


The change in deferred tax liability on unrealized gains recognized in accumulated other comprehensive income during the three nine months ended March 31,September 30, 2020 and 2019 was $4,065$8,446 and $3,534,$9,892, respectively.


As of March 31,September 30, 2020, and December 31, 2019, 0 individual investment in securities exceeded 10% of stockholders’ equity.

17

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)


(5)Premiums and Other Receivables, Net


Premiums and other receivables, net were as follows:

 
March 31,
2020
  
December 31,
2019
  
September 30,
2020
  
December 31,
2019
 
Premium $215,189  $188,861  $135,133  $188,861 
Self-funded group receivables  32,899   28,672   26,310   28,672 
FEHBP  14,702   13,894   14,499   13,894 
Agent balances  34,662   30,784   34,224   30,784 
Accrued interest  9,981   11,307   9,753   11,307 
Reinsurance recoverable  253,433   239,767   222,966   239,767 
Other  133,892   110,952   153,839   110,952 
  694,758   624,237   596,724   624,237 
Less allowance for doubtful receivables:                
Premium  37,309   36,622   37,489   36,622 
Other  12,465   19,923   12,276   19,923 
  49,774   56,545   49,765   56,545 
Total premium and other receivables, net $644,984  $567,692  $546,959  $567,692 


As of  March 31,September 30, 2020, and December 31, 2019, the Company had premiums and other receivables of $61,458$71,322 and $49,176, respectively, from the Government of Puerto Rico, including its agencies, municipalities and public corporations.  The related allowance for doubtful receivables as of March 31,September 30, 2020 and December 31, 2019 were $19,374$24,268 and $22,091, respectively.

(6)Property and Equipment, Net


Property and equipment, net are composed of the following:
  September 30,  December 31, 
  2020  2019 
       
Land $15,867  $10,976 
Buildings and leasehold improvements  125,239   92,752 
Office furniture and equipment  32,062   27,878 
Computer equipment and software  135,456   133,922 
Automobiles  671   761 
   309,295   266,289 
Less accumulated depreciation and amortization  179,075   177,701 
Property and equipment, net $130,220  $88,588 


On June 19, 2020, the Company acquired a 9-story office building (the Building), located at 1451 F.D. Roosevelt Avenue, in San Juan, Puerto Rico, as well as the adjoining multi-level parking structure and a parking lot. See Note 9 for further information on the credit agreement obtained to partially finance the acquisition of the Building.
18

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)


(6)(7)Fair Value Measurements


Our condensed consolidated balance sheets include the following financial instruments: securities available for sale, equity investments, policy loans, policyholder deposits, short-term borrowings and long-term borrowings.  We consider the carrying amounts of policy loans, policyholder deposits, short-term borrowings and long-term borrowings to approximate their fair value.value and are considered Level 2 financial instruments.  Certain assets are measured at fair value on a recurring basis and are disclosed below. These assets are classified into one of three levels of a hierarchy defined by GAAP. For a description of the methods and assumptions that are used to estimate the fair value and determine the fair value hierarchy classification of each class of financial instrument, see the consolidated financial statements and notes thereto included in our 2019 Annual Report on Form 10-K.


The following tables summarize fair value measurements by level for assets measured at fair value on a recurring basis:

 March 31, 2020  September 30, 2020 
 Level 1  Level 2  Level 3  Total  Level 1  Level 2  Level 3  Total 
                        
Fixed maturity securities available for sale                        
Obligations of government-sponsored enterprises $-  $18,134  $-  $18,134  $0  $37,517  $0  $37,517 
U.S. Treasury securities and obligations of U.S government instrumentalities  111,973   -   -   111,973   112,230   0   0   112,230 
Municipal securities  -   617,658   -   617,658   0   684,572   0   684,572 
Corporate bonds  -   208,923   -   208,923   0   227,156   0   227,156 
Residential agency mortgage-backed securities  -   285,260   -   285,260   0   280,569   0   280,569 
Collateralized mortgage obligations  -   9,083   -   9,083   0   19,956   0   19,956 
Total fixed maturities $111,973  $1,139,058  $-  $1,251,031  $112,230  $1,249,770  $0  $1,362,000 
Equity investments $168,158  $125,619  $5,239  $299,016  $197,864  $186,048  $5,166  $389,078 

 December 31, 2019  December 31, 2019 
 Level 1  Level 2  Level 3  Total  Level 1  Level 2  Level 3  Total 
                        
Fixed maturity securities available for sale                        
Obligations of government-sponsored enterprises $-  $17,686  $-  $17,686  $0  $17,686  $0  $17,686 
U.S. Treasury securities and obligations of U.S government instrumentalities  107,009   -   -   107,009   107,009   0   0   107,009 
Municipal securities  -   629,764   -   629,764   0   629,764   0   629,764 
Corporate bonds  -   208,743   -   208,743   0   208,743   0   208,743 
Residential agency mortgage-backed securities  -   270,536   -   270,536   0   270,536   0   270,536 
Collateralized mortgage obligations  -   9,145   -   9,145   0   9,145   0   9,145 
Total fixed maturities $107,009  $1,135,874  $-  $1,242,883  $107,009  $1,135,874  $0  $1,242,883 
Equity investments $177,136  $105,180  $5,209  $287,525  $177,136  $105,180  $5,209  $287,525 


There were 0 transfers between Levels 1 and 2 during the three and nine months ended March 31,September 30, 2020 and the year ended December 31, 2019.

19

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)


A reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3) for the three months and nine months ended March 31September 30 is as follows:

Fair Value Measurements Using Significant Unobservable Inputs (Level 3)         
 Three months ended  
Three months ended
  
Nine months ended
 
 March 31, 2020  September 30, 2020  September 30, 2020 
Balance as of January 1, $5,209 
Beginning Balance $5,237  $5,209 
Unrealized in other accumulated comprehensive income  30   (71)  (43)
Balance as of March 31, $5,239 
Ending Balance $5,166  $5,166 


The fair value of investment securities is estimated based on quoted market prices for those or similar investments.  Additional information pertinent to the estimated fair value of investment in securities is included in noteNote 3.

(7)(8)Claim Liabilities


A reconciliation of the beginning and ending balances of claim liabilities is as follows:

 
Nine months ended
September 30, 2020
 
 
Three months ended
March 31, 2020
  
Managed
Care
  
Other
Business
Segments *
  Consolidated 
 
Managed
Care
  
Other
Business
Segments *
  Consolidated          
                  
Claim liabilities at beginning of period $341,277  $367,981  $709,258  $341,277  $367,981  $709,258 
Reinsurance recoverable on claim liabilities  -   (137,017)  (137,017)  0   (137,017)  (137,017)
Net claim liabilities at beginning of period  341,277   230,964   572,241   341,277   230,964   572,241 
Claims incurred                        
Current period insured events  685,245   33,218   718,463   2,000,825   84,358   2,085,183 
Prior period insured events  (7,426)  (5,838)  (13,264)  24,297   (7,885)  16,412 
Total  677,819   27,380   705,199   2,025,122   76,473   2,101,595 
Payments of losses and loss-adjustment expenses                        
Current period insured events  480,705   9,243   489,948   1,678,400   45,815   1,724,215 
Prior period insured events  198,410   19,026   217,436   267,427   41,081   308,508 
Total  679,115   28,269   707,384   1,945,827   86,896   2,032,723 
Net claim liabilities at end of period  339,981   230,075   570,056   420,572   220,541   641,113 
Reinsurance recoverable on claim liabilities  -   160,762   160,762   0   145,807   145,807 
Claim liabilities at end of period $339,981  $390,837  $730,818  $420,572  $366,348  $786,920 

*Other Business Segments include the Life Insurance and Property and Casualty segments, as well as intersegment eliminations.

* Other Business Segments include the Life Insurance and Property and Casualty segments, as well as intersegment eliminations.

20

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)


 
Nine months ended
September 30, 2019
 
 
Three months ended
March 31, 2019
  
Managed
Care
  
Other
Business
Segments *
  Consolidated 
 
Managed
Care
  
Other
Business
Segments *
  Consolidated          
                  
Claim liabilities at beginning of period $394,226  $542,563  $936,789  $394,226  $542,563  $936,789 
Reinsurance recoverable on claim liabilities  -   (315,543)  (315,543)  0   (315,543)  (315,543)
Net claim liabilities at beginning of period  394,226   227,020   621,246   394,226   227,020   621,246 
Claims incurred                        
Current period insured events  626,670   28,137   654,807   1,934,859   85,726   2,020,585 
Prior period insured events  (36,789)  (3,525)  (40,314)  (29,038)  (8,254)  (37,292)
Total  589,881   24,612   614,493   1,905,821   77,472   1,983,293 
Payments of losses and loss-adjustment expenses                        
Current period insured events  359,788   7,190   366,978   1,606,458   41,849   1,648,307 
Prior period insured events  227,036   17,396   244,432   303,289   32,145   335,434 
Total  586,824   24,586   611,410   1,909,747   73,994   1,983,741 
Net claim liabilities at end of period  397,283   227,046   624,329   390,300   230,498   620,798 
Reinsurance recoverable on claim liabilities  -   253,635   253,635   0   181,193   181,193 
Claim liabilities at end of period $397,283  $480,681  $877,964  $390,300  $411,691  $801,991 

*Other Business Segments include the Life Insurance and Property and Casualty segments, as well as intersegment eliminations.

As a result of differences between* Other Business Segments include the Life Insurance and Property and Casualty segments, as well as intersegment eliminations.


The actual amounts andof claims incurred in connection with insured events occurring in a prior period typically differ from estimates of insured eventssuch claims made in the prior years, the amountsperiod.  Amounts included as incurred claims for prior period insured events differ from anticipated claims incurred.reflect the aggregate net amount of these differences.


The favorable developmentsunfavorable prior period development in the claims incurred and loss-adjustment expenses for prior period insured events for the threenine months ended March 31,September 30, 2020 are due primarily to higher than expected utilization trends in the Managed Care segment.  The favorable development in the claims incurred and loss-adjustment expenses for prior period insured events for the nine months ended September 30, 2019 are due primarily to better than expected utilization trends. Reinsurance recoverable on unpaid claims is reported as premiumpremiums and other receivables, net in the accompanying condensed consolidated interim financial statements.


The claims incurred disclosed in this table exclude the portion of the change in the liability for future policy benefits expense, which amounted to $9,323$27,806 and $8,697$26,211 during the threenine months ended March 31,September 30, 2020 and 2019, respectively.

21

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)


The following is information about total incurred but not reported (IBNR) liabilities plus expected development on reported claims included in the liability for unpaid claims adjustment expenses for the Managed Care segment as of March 31,September 30, 2020.
 
Incurred Year 
Total of IBNR Liabilities Plus Expected
Development on Reported Claims
  
Total of IBNR Liabilities Plus Expected
Development on Reported Claims
 
2019 $70,863  $29,283 
2020  204,540   322,425 

(9)Borrowings

Long-Term Borrowings


A summary of the borrowings entered by the Company are as follows:

  September 30, 2020  December 31, 2019 
       
Secured loan payable of $11,187, payable in monthly installments of $137 through October 1, 2023, plus interest at a rate reset periodically of 100 basis points over selected LIBOR maturity (which was 1.16% at September 30, 2020). $5,037  $6,267 
Secured loan payable of $20,150, payable in monthly installments of $84 through January 1, 2024, plus interest at a rate reset periodically of 275 basis points over selected LIBOR maturity (which was 3.05% at September 30, 2020).  16,456   17,211 
Secured loan payable of $4,116, payable in monthly installments of $49 through January 1, 2024, plus interest at a rate reset periodically of 325 basis points over selected LIBOR maturity (which was 3.55% at September 30, 2020).  1,960   2,401 
Secured loan payable of $31,350, payable in monthly installments of $105 through May 1, 2025, plus interest at prime rate (which was 3.22% at September 30, 2020). Last payment of $25,185 due on June 19, 2025.  31,036   0 
Total borrowings  54,489   25,879 
         
Less: unamortized debt issuance costs  653   185 
  $53,836  $25,694 

21
22

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Triple-S Management Corporation
Aggregate maturities of the Company’s borrowings as of September 30, 2020 are summarized as follows:
Notes to Condensed Consolidated Financial Statements
Remaining of 2020 $1,122 
2021  4,490 
2022  4,490 
2023  4,196 
2024  14,484 
Thereafter  25,707 
  $54,489 
(Dollar amounts in thousands, except per share data)
(Unaudited)



(8)Short-term Borrowings
On June 19, 2020, TSM entered into a $31,350 Credit Agreement (the Loan) with a commercial bank in Puerto Rico. The proceeds of the Loan were used by the Company to partially finance the acquisition of the Building (see Note 6).


The Loan is guaranteed by a mortgage over the Building, a pledge of all collateral related to the Building and an assignment of the rents collected for the lease of office space in the Building. Pursuant to the credit agreement, interest is payable on the outstanding principal balance of the Loan at an annual rate equal to the Prime Rate. Interest shall be paid on a monthly basis commencing on July 1, 2020 until the principal of the Loan has been paid in full.


The Company may, at its option and at any time, upon written notice as specified in the credit agreement, prepay prior to maturity, all or any part of the Loan upon the payment of a penalty fee of the outstanding principal amount at the time of the prepayment of 3% during the first year, 2% during the second year and 1% during the third year, and thereafter at par.


The four term loans under credit agreements with commercial banks in Puerto Rico include certain customary financial and non-financial covenants, including negative covenants imposing certain restrictions on the Corporation’s business. The Company was in compliance with all these covenants as of September 30, 2020.

Short-term Borrowings


The Company has several short-term facilities available to address timing differences between cash receipts and disbursements, consisting of collateralized advances from FHLBNY and a revolving credit facility.

In August 2019, TSSTriple-S Salud, Inc. (TSS) and TSVTriple-S Vida, Inc. (TSV) became members of the FHLBNY, which provides access to collateralized advances.  The borrowing capacity of TSS and TSV is up to 30% of their admitted assets as disclosed in the most recent filing with the Commissioner of Insurance but is constrained by the amount of collateral held at the FHLBNY (see Note 3). As of March 31,September 30, 2020, the borrowing capacity iswas approximately $103,700$119,329 for TSS and $77,300$87,940 for TSV.  As of December 31, 2019, the borrowing capacity iswas approximately $82,200 for TSS and $48,900 for TSV. The outstanding balance as of March 31,September 30, 2020 for TSS is $62,500 and TSV is $40,000 and $38,000, respectively.$20,000. The outstanding balance as of December 31, 2019 for TSS and TSV iswas $25,000 and $29,000, respectively. The average interest rate of the outstanding balance is 0.88%0.34% and 1.79% as of March 31,September 30, 2020 and December 31, 2019, respectively.

TSA
Triple-S Advantage, Inc. (TSA) has a $10,000 revolving loan agreement with a commercial bank in Puerto Rico. This line of credit has an interest rate of 30-day LIBOR plus 25250 basis points and contains certain financial and non-financial covenants that are customary for this type of facility. This line of credit matures on June 30, 2021. As of September 30, 2020, and hasthere is 0 outstanding balance asbalance.
23

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)


(9)(10)Pension Plan


The components of net periodic benefit cost were as follows:
 
 
Three months ended
March 31,
  
Three months ended
September 30,
  
Nine months ended
September 30,
 
 2020  2019  2020  2019  2020  2019 
Components of net periodic benefit cost:      
Components of net periodic benefit cost (income):            
Interest cost $1,540  $1,741  $1,474  $1,748  $4,554  $5,230 
Expected return on assets  (2,209)  (2,217)  (2,211)  (2,209)  (6,629)  (6,643)
Amortization of actuarial loss  244   89   396   98   884   277 
Settlement loss  356   375   356   555   1,068   1,305 
Net periodic benefit cost $(69) $(12)
Net periodic benefit cost (income) $15  $192  $(123) $169 

 

Employer Contributions:  The Company disclosed in its audited consolidated financial statements for the year ended December 31, 2019 that it expected to contribute $2,000 to the pension program in 2020.  As of March 31,September 30, 2020, the Company has 0t made contributionscontributed $10,000 to the pension program. 

(10)(11)Stock Repurchase ProgramsProgram


The Company repurchases shares through open market transactions, in accordance with Rule 10b-18 of the Securities Exchange Act of 1934, as amended, under repurchase programs authorized by the Board of Directors. Shares purchased under share repurchase programs are retired and returned to authorized and unissued status.


In August 2017 the Company’s Board of Directors authorized a $30,000 repurchase program (2017 $30,000 program) of its Class B common stock.  In February 2018 the Company’s Board of Directors authorized a $25,000 expansion of this program. In October 2019 the Company’s Board of Directors authorized an expansion to this repurchase program increasing its remaining balance up to a total of $25,000, effective November 2019.


During the three months ended March 31,September 30, 2020, 0 stocks were repurchased under a repurchase program. During the nine months ended September 30, 2020, the Company repurchased and retired under this program 577,447952,820 shares at an average per share price of $15.57,$15.72, for an aggregate cost of $8,989.
$14,982. During the three months and nine months ended September 30, 2019 0 stocks were repurchased under a repurchase program. This program was completed in May 2020.

(12)
Reinsurance


Triple-S Propiedad, Inc. (TSP) uses facultative reinsurance, pro rata, and excess of loss reinsurance treaties to manage its exposure to losses, including those from catastrophe events. TSP has geographic exposure to catastrophe losses from hurricanes and earthquakes. The incidence and severity of catastrophes are inherently unpredictable.


Under these treaties, TSP ceded premiums written were $14,920 and $12,355 for the three months ended September 30, 2020 and 2019, respectively, and $45,637 and $36,028 for the nine months ended September 30, 2020, and 2019, respectively. Ceded incurred losses and loss adjustment expenses during the three months and nine months ended September 30, 2020 and 2019 were $5,419 and $1,089, respectively, and $45,802 and $6,531, respectively. The ceded incurred losses and loss adjustment expenses for the nine months ended September 30, 2020 include $40,000 related to earthquake losses ceded under catastrophe reinsurance.

22
24

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Principal reinsurance agreements are as follows:
Casualty excess of loss treaty provides reinsurance for losses up to $20,000, subject to a retention of $225.
Medical malpractice excess of loss treaty provides reinsurance for losses up to $3,000, subject to a retention of $150.
Property reinsurance treaty includes proportional cessions and a per risk excess of loss contract limiting losses to $400 in $30,000 risks.
Catastrophe protection is purchased limiting losses to $5,000 per event with losses up to approximately $809,000 in a $814,000 event.

All principal reinsurance contracts are for a period of one year and are subject to modifications and negotiations in each renewal. TSP’s current property and catastrophe reinsurance program was renewed effective April 1, 2020 for a twelve months period ending March 31, 2021. Other contracts were renewed as expiring on January 1, 2020.
Triple-S Management Corporation
Notes
(13)Leases


The Company’s subsidiaries lease their regional offices, certain equipment, and warehouse facilities under non-cancelable operating leases. These contracts generally do not include purchase options or residual value guarantees. The remaining lease terms ranges from 0.2 to Condensed Consolidated Financial Statements14.2 years. The Company identifies leases when it has both the right to obtain substantially all economic benefits from the use of the asset and the right to direct the use of the asset.
(Dollar amounts

The Company recognizes the right-of -use of assets and lease liabilities related to operating leases in thousands, except per share data)its balance sheet statement under the caption of other assets and accounts payables and accrued liabilities, respectively. As of September 30, 2020, the right -of -use asset and lease liabilities balance was $13,929 and $14,171, respectively. As of December 31, 2019, the right-of -use asset and lease liabilities balance was $10,438 and $10,586, respectively. The weighted -average remaining lease term is 5.9 years as of September 30, 2020.
(Unaudited)

The Company uses the incremental borrowing rate for purposes of discounting lease payments for our operating leases since our lease agreements do not provide a readily determinable implicit rate. We estimate our incremental borrowing rate by using an interest rate index and add a credit spread to this rate based on financing transactions with a similar credit risk profile. The weighted-average discount rate of our operating leases is 5.2% as of September 30, 2020.

25

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)


Undiscounted cash flows of operating leases are summarized as follows:

Remaning of 2020 $1,062 
2021  3,998 
2022  3,420 
2023  2,329 
2024  1,855 
Thereafter  3,590 
Total lease payments  16,254 
Less: imputed interest  (2,083)
Total $14,171 


At December 31, 2019, operating lease commitments under lessee arrangements were $4,713, $3,790, $3,200, $2,171, $1,710 and $2,707 for 2020 through 2024 and thereafter, respectively. The following presents the lease cost recognized by the Company:

 Nine months ended 
  September 30, 2020 
Operating lease cost $3,570 
Short-term lease cost  801 
Total lease cost $4,371 


Also, the Company leases certain floors of one of its buildings and generates rental income. Maturity analysis of lease payments to be received from its lessees as of September 30, 2020, is summarized as follows:

Remaining of 2020 $473 
2021  1,909 
2022  1,947 
2023  1,986 
2024  2,026 
Thereafter  2,624 
Total $10,965 

26

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)


(11)(14)Comprehensive Income (Loss)


The accumulated balances for each classification of other comprehensive income (loss), net of tax, are as follows:
 
 Three months ended  Three months ended  Nine months ended 
 March 31,  September 30,  September 30, 
 2020  2019  2020  2019  2020  2019 
      
Net Unrealized Gain on Securities Beginning Balance $57,830  $27,308 
Net Unrealized Gain on Securities            
Beginning Balance $85,110  $55,678  $57,830  $27,308 
Other comprehensive income before reclassifications  16,049   14,493   5,149   10,160   31,879   41,473 
Amounts reclassified from accumulated other comprehensive income  (170)  (1,052)
Amounts reclassified from accumulated other comprehensive (loss) income  (406)  (870)  144   (3,813)
Net current period change  15,879   13,441   4,743   9,290   32,023   37,660 
Ending Balance  73,709   40,749   89,853   64,968   89,853   64,968 
Liability for Pension Benefits Beginning Balance  (28,467)  (24,246)
Liability for Pension Benefits                
Beginning Balance  (28,161)  (24,134)  (28,467)  (24,246)
Amounts reclassified from accumulated other comprehensive income  153   56   247   61   553   173 
Ending Balance  (28,314)  (24,190)  (27,914)  (24,073)  (27,914)  (24,073)
Accumulated Other Comprehensive Income Beginning Balance  29,363   3,062 
Accumulated Other Comprehensive Income (Loss)                
Beginning Balance  56,949   31,544   29,363   3,062 
Other comprehensive income before reclassifications  16,049   14,493   5,149   10,160   31,879   41,473 
Amounts reclassified from accumulated other comprehensive income  (17)  (996)
Amounts reclassified from accumulated other comprehensive (loss) income  (159)  (809)  697   (3,640)
Net current period change  16,032   13,497   4,990   9,351   32,576   37,833 
Ending Balance $45,395  $16,559  $61,939  $40,895  $61,939  $40,895 

(12)(15)Share-Based Compensation


 Share-based compensation expense recorded during the three months ended March 31,September 30, 2020 and 2019 was $2,359$1,849 and $1,586,$2,817, respectively. Share-based compensation expense recorded during the nine months ended September 30, 2020 and 2019 was $8,443 and $8,723, respectively. During the three months ended March 31,September 30, 2020, and 2019, 6,882 and 60214,040 shares respectively, were repurchased and retired as athe result of non-cash tax withholdings upon vesting of shares.

23


Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)

non-cash tax withholdings upon vesting of shares. There were 0 non-cash tax withholdings during the three months ended September 30, 2019.

(13)(16)Net (Loss) Income Available to Stockholders and Net (Loss) Income per Share
 

The following table sets forth the computation of basic and diluted earnings per share:
 
  
Three months ended
March 31,
 
  2020  2019 
       
Numerator for earnings per share:      
Net (loss) income attributable to TSM available to stockholders $(26,145) $34,786 
Denominator for basic earnings per share:        
Weighted average of common shares  23,381,949   22,757,794 
Effect of dilutive securities  -   82,480 
Denominator for diluted earnings per share  23,381,949   22,840,274 
Basic net (loss) income per share attributable to TSM $(1.12) $1.53 
Diluted net (loss) income per share attributable to TSM $(1.12) $1.52 


The Company excluded the effect of dilutive securities during the three months ended March 31, 2020 because their effect would have been anti-dilutive given the net loss attributable to stockholders in the period.  If the Company had generated income from continuing operations during the three months ended March 31, 2020, the effect of restricted stock awards on the diluted shares calculation would have been an increase in shares of 84,224 shares.
  
Three months ended
September 30,
  
Nine months ended
September 30,
 
  2020  2019  2020  2019 
Numerator for earnings per share:            
Net income attributable to TSM available to stockholders $23,581  $13,948  $41,035  $79,665 
Denominator for basic earnings per share:                
Weighted average of common shares  23,073,511   23,830,106   23,215,840   23,143,361 
Effect of dilutive securities  120,469   63,701   102,229   73,937 
Denominator for diluted earnings per share  23,193,980   23,893,807   23,318,069   23,217,298 
Basic net income per share attributable to TSM $1.02  $0.59  $1.77  $3.44 
Diluted net income per share attributable to TSM $1.02  $0.58  $1.76  $3.43 

2427

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

(17) Contingencies

The following information supplements and amends, as applicable, the disclosures in Note 24 to the Consolidated Financial Statements of the Company’s 2019 Annual Report on Form 10-K.  The Company’s business is subject to numerous laws and regulations promulgated by Federal, Puerto Rico, U.S. Virgin Islands (USVI), Costa Rica, British Virgin Islands (BVI), and Anguilla governmental authorities. Compliance with these laws and regulations can be subject to government review and interpretation, as well as regulatory actions unknown and unasserted at this time. The Commissioner of Insurance of Puerto Rico, as well as other Federal, Puerto Rico, USVI, Costa Rica, BVI, and Anguilla government authorities, regularly make inquiries and conduct audits concerning the Company’s compliance with such laws and regulations. Penalties associated with violations of these laws and regulations may include significant fines and exclusion from participating in certain publicly funded programs and may require the Company to comply with corrective action plans or changes in our practices.

 

The Company is involved in various legal actions arising in the ordinary course of business. The Company is also defendant in various other litigations and proceedings, some of which are described below. Where the Company believes that a loss is both probable and estimable, such amounts have been recorded.  Although the Company believes the estimates of such losses are reasonable, these estimates could change as a result of further developments in these matters. In other cases, it is at least reasonably possible that the Company may incur a loss related to one or more of the mentioned pending lawsuits or investigations, but the Company is unable to estimate the range of possible loss which may be ultimately realized, either individually or in the aggregate, upon their resolution. However, there are legal proceedings where a loss is reasonably possible, and for which it is possible to reasonably estimate the amount of the possible loss or range of losses. We currently believe that the range of possible losses for such proceedings in excess of established reserves is, in the aggregate, from $0 to approximately $10,000 at September 30, 2020. The outcome of legal proceedings is inherently uncertain; pending matters for which accruals have not been established have not progressed sufficiently to enable us to estimate a range of possible loss, if any. Given the inherent unpredictability of these matters, it is possible that an adverse outcome in one or more of these matters could have a material effect on the consolidated financial condition, operating results and/or cash flows of the Company.


Additionally, we may face various potential litigation claims that have not been asserted to date.

Claims by Heirs of Former Shareholders


The Company and TSS are defending 4 individual lawsuits: Vera Sanchez, et al, v. Triple-S; Olivella Zalduondo, et al, v. Seguros de Servicios de Salud, et al; Cebollero Santamaria v. Triple-S Management CorporationSalud, Inc., et al; and Ruiz de Porras, et al, v. Triple-S Salud, Inc.  All claims were filed in the Puerto Rico Court of First Instance by persons who claim to have inherited a total of 41 shares of the Company or one of its predecessors or affiliates (before giving effect to a 3,000-for-one stock split).  While each case presents unique facts and allegations, the lawsuits generally allege that the redemption of the shares by the Company pursuant to transfer and ownership restrictions contained in the Company’s (or its predecessors’ or affiliates’) articles of incorporation and bylaws was improper.  Consequently, the remedy requested by the plaintiffs is to be recognized as shareholders of the Company in the corresponding proportion.
Notes

As a result of the Puerto Rico Supreme Court’s decision to Condensed Consolidated Financial Statementsdeny the applicability of the statute of limitations contained in the local securities law, these claims are being litigated on their merits.
(Dollar amounts

In Cebollero Santamaria v. Triple-S Salud, Inc., et. al. the Puerto Rico Court of First Instance entered partial summary judgment in thousands, except per share data)favor of plaintiff on June 20, 2019. The Company filed a request for reconsideration that is pending adjudication and intends to continue defending this case vigorously in an appeal stage if necessary.
(Unaudited)
28

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)


In Vera Sanchez, et. al. v. Triple-S, Inc., the Puerto Rico Court of First Instance entered summary judgment in favor of the Company. Plaintiffs appealed before the Puerto Rico Court of Appeals. The Company filed its opposition on October 31, 2019. On June 24, 2020, the Court of Appeals revoked the summary judgement and remanded the case back to the Court of First Instance on the grounds that summary judgement was inappropriate because there are disputes as to issues of material fact. We will continue to defend this case vigorously.


In Ruiz de Porras, et. al. v. Triple-S, Inc. the Company intends to file a motion for summary judgment to dismiss all claims once new discovery matters are completed.


In Olivella Zalduondo, et al, v. Seguros de Servicios de Salud, et al, the Court of First Instance entered summary judgment in favor of the Company in November 2019, dismissing the complaint with prejudice. Plaintiffs appealed the decision on January 16, 2020. The Company will continue to defend this case as needed.

In re Blue Cross Blue Shield Antitrust Litigation


TSS is a co-defendant with multiple Blue Plans and the Blue Cross Blue Shield Association in a multi-district class action litigation filed by a group of providers and subscribers on July 24, 2012 and October 1, 2012, respectively, that has since been consolidated by the United States District Court for the Northern District of Alabama, Southern Division, in the case captioned In re Blue Cross Blue Shield Association Antitrust Litigation. Essentially, provider plaintiffs allege that the exclusive service area requirements of the Primary License Agreements with the Blue Plans constitute an illegal horizontal market allocation under federal antitrust laws. As per provider plaintiffs, the quid pro quo for said “market allocation” is a horizontal price fixing and boycott conspiracy implemented through BCBSA and whose benefits are allegedly derived through the BCBSA’s BlueCard/National Accounts Program. Among the remedies sought, provider plaintiffs seek increased compensation rates and operational changes. In turn, subscriber plaintiffs allege that the alleged conspiracy to allocate markets have prevented subscribers from being offered competitive prices and resulted in higher premiums for Blue Plan subscribers. Subscribers seek damages for the amounts that the Blue Plan premiums allegedly have been artificially inflated as a result of the alleged antitrust violations. Both actions seek injunctive relief.


Prior to consolidation, motions to dismiss were filed by several plans, including TSS - whose request was ultimately denied by the court without prejudice. On April 6, 2015, plaintiffs filed suit in the United States District Court of Puerto Rico against TSS. Said complaint, nonetheless, is believed not to preclude TSS’ jurisdictional arguments. Since inception, the Company has joined BCBSA and other Blue Plans in vigorously contesting these claims. On April 5, 2018, the United States District Court for the Northern District of Alabama, Southern Division, issued it’s ruling on the parties’ respective motions for partial summary judgment on the standard of review applicable to plaintiffs’ claims under Section 1 of the Sherman Act and subscriber plaintiffs’ motion for partial summary judgment on the Blue Plan’s single entity defense. After considering the “undisputed” facts (for summary judgment purposes only) and evidence currently on record in the light most favorable to defendants, the court essentially found that: (a) the combination of Exclusive Service Areas and the National Best Efforts Rule are subject to the Per Se standard of review; (b) there remain genuine issues of material fact as to whether defendants’ conduct can be shielded by the “single entity” defense; and (c) claims concerning the BlueCard Program and uncoupling rules are due to be analyzed under the Rule of Reason standard.


On April 16, 2018 Defendants moved the Federal District Court for the Northern District of Alabama to certify for immediate interlocutory appeal the court’s April 5, 2018 Standard of Review Ruling. On June 12, 2018 Hon. Judge Proctor agreed to grant Defendant’s motion for certification pursuant to 28 U.S.C. §1292(b). Defendants filed their Notice of Appeal on July 12, 2018. On December 12, 2018, the Court of Appeals for the Eleventh Circuit denied Defendants’ petition to appeal the District Court’s Standard of Review Ruling. The parties re-commenced mediation with subscribers in April 2019 and with providers in September 2019.  The Defendants have reached a tentative settlement agreement with subscribers. The agreement remains subject to approval from the Federal District Court for the Northern District of Alabama. However, based on this agreement, the Company has accrued $32,000 related to this legal proceeding during the nine months ended September 30, 2020.

29

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Claims Relating to the Provision of Health Care Services

TSS is a defendant in several claims for collection of monies in connection with the provision of health care services.


On January 12, 2015, American Clinical Solutions LLC, a limited liability company that provides clinical laboratory services filed a complaint in Florida state court alleging that TSM and TSS failed to pay certain clinical laboratory services provided to Blue Cross Blue Shield members. TSS and TSM have filed a motion to dismiss alleging lack of jurisdiction. TSM and TSS also requested a transfer of the case to Puerto Rico. Plaintiff has requested jurisdictional discovery, which is ongoing. The claim amounts to $5,000. TSS and TSM will continue to vigorously oppose this claim.

(14)(18)Segment Information
 

The Company’s operations are conducted principally through 3 business segments: Managed Care, Life Insurance, and Property and Casualty Insurance.  The Company evaluates performance based primarily on the operating revenues and operating income of each segment.  Operating revenues include premiums earned, net, administrative service fees, net investment income, and revenues derived from other segments.  Operating costs include claims incurred and operating expenses.  The CompanyCorporation calculates operating income or loss as operating revenues less operating costs.

30

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)


The following tables summarize the operations by reportable segment for the three months and nine months ended March 31,September 30, 2020 and 2019:
  
Three months ended
September 30,
  
Nine months ended
September 30,
 
  2020  2019  2020  2019 
Operating revenues:            
Managed Care:            
Premiums earned, net $849,529  $746,043  $2,447,588  $2,244,448 
Administrative service fees  3,013   2,607   8,755   7,695 
Intersegment premiums/service fees  644   1,483   2,624   4,612 
Net investment income  5,065   5,624   14,763   16,981 
Total managed care  858,251   755,757   2,473,730   2,273,736 
Life Insurance:                
Premiums earned, net  49,616   45,365   143,325   133,598 
Intersegment premiums  516   471   1,552   1,457 
Net investment income  6,900   6,709   20,625   20,091 
Total life insurance  57,032   52,545   165,502   155,146 
Property and Casualty Insurance:                
Premiums earned, net  23,789   23,613   66,453   64,470 
Intersegment premiums  153   153   460   460 
Net investment income  2,103   2,533   6,551   7,404 
Total property and casualty insurance  26,045   26,299   73,464   72,334 
Other segments: *                
Intersegment service revenues  2,595   2,076   7,637   6,049 
Operating revenues from external sources  2,052   3,167   6,394   6,335 
Total other segments  4,647   5,243   14,031   12,384 
Total business segments  945,975   839,844   2,726,727   2,513,600 
TSM operating revenues from external sources  100   310   355   1,138 
Elimination of intersegment premiums/service fees  (574)  (2,107)  (4,636)  (6,529)
Elimination of intersegment service revenues  (2,595)  (2,076)  (7,637)  (6,049)
Consolidated operating revenues $942,906  $835,971  $2,714,809  $2,502,160 


  
Three months ended
March 31,
 
  2020  2019 
       
Operating revenues:      
Managed Care:      
Premiums earned, net $809,286  $705,050 
Administrative service fees  2,194   2,632 
Intersegment premiums/service fees  1,643   1,484 
Net investment income  5,008   5,878 
Total managed care  818,131   715,044 
Life Insurance:        
Premiums earned, net  46,186   43,722 
Intersegment premiums  491   478 
Net investment income  6,930   6,560 
Total life insurance  53,607   50,760 
Property and Casualty Insurance:        
Premiums earned, net  20,425   19,230 
Intersegment premiums  153   153 
Net investment income  2,125   2,487 
Total property and casualty insurance  22,703   21,870 
Other segments: *        
Intersegment service revenues  2,531   - 
Operating revenues from external sources  4,039   1,577 
Total other segments  6,570   1,577 
Total business segments  901,011   789,251 
TSM operating revenues from external sources  248   451 
Elimination of intersegment premiums/service fees  (2,287)  (2,115)
Elimination of intersegment service revenues  (2,531)  - 
Consolidated operating revenues $896,441  $787,587 
* Includes segments that are not required to be reported separately, primarily the health clinics.

*Includes segments that are not required to be reported separately, primarily the health clinics.
2531

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)


 
Three months ended
March 31,
 
 2020  2019  
Three months ended
September 30,
  
Nine months ended
September 30,
 
       2020  2019  2020  2019 
Operating income (loss):                  
Managed care $14,167  $22,110  $13,006  $5,393  $56,495  $56,805 
Life insurance  5,049   5,640   5,682   6,686   20,188   17,541 
Property and casualty insurance  (242)  3,554   4,386   6,620   10,921   14,958 
Other segments *  (504)  (392)  (1,639)  (690)  (4,552)  (1,812)
Total business segments  18,470   30,912   21,435   18,009   83,052   87,492 
TSM operating revenues from external sources  248   451   100   310   355   1,138 
TSM unallocated operating expenses  (1,403)  (2,032)  (1,633)  (1,643)  (4,877)  (6,812)
Elimination of TSM intersegment charges  2,403   2,403   2,403   2,403   7,209   7,209 
Consolidated operating income  19,718   31,734   22,305   19,079   85,739   89,027 
Consolidated net realized investment (losses) gains  (466)  1,315 
Consolidated net unrealized investment (losses) gains on equity investments  (56,806)  19,669 
Consolidated net realized investment gains (losses)  507   1,087   (180)  4,766 
Consolidated net unrealized investment gains (losses) on equity investments  11,040   1,267   (17,428)  24,259 
Consolidated interest expense  (1,853)  (1,788)  (2,096)  (2,062)  (5,813)  (5,681)
Consolidated other income, net  3,605   1,169   1,811   485   6,217   3,359 
Consolidated (loss) income before taxes $(35,802) $52,099 
Consolidated income before taxes $33,567  $19,856  $68,535  $115,730 
                        
Depreciation and amortization expense:                        
Managed care $3,046  $2,757  $2,085  $2,931  $8,061  $8,480 
Life insurance  272   272   289   268   869   813 
Property and casualty insurance  112   94   93   86   296   266 
Other segments*  321   185   240   249   913   627 
Total business segments  3,751   3,308   2,707   3,534   10,139   10,186 
TSM depreciation expense  156   197   404   150   716   543 
Consolidated depreciation and amortization expense $3,907  $3,505  $3,111  $3,684  $10,855  $10,729 

*Includes segments that are not required to be reported separately, primarily the health clinics.

* Includes segments that are not required to be reported separately, primarily the health clinics.

  
September 30,
2020
  
December 31,
2019
 
Assets:      
Managed care $1,406,356  $1,190,538 
Life insurance  1,039,765   981,370 
Property and casualty insurance  603,728   592,758 
Other segments *  30,408   28,346 
Total business segments  3,080,257   2,793,012 
Unallocated amounts related to TSM:        
Cash, cash equivalents, and investments  19,881   28,167 
Property and equipment, net  67,316   25,623 
Other assets  45,927   37,176 
   133,124   90,966 
Elimination entries-intersegment receivables and others  (93,094)  (65,152)
Consolidated total assets $3,120,287  $2,818,826 


* Includes segments that are not required to be reported separately, primarily the health clinics.

2632

Triple-S Management Corporation
Notes to Condensed Consolidated Interim Financial Statements
(dollar amounts in thousands, except per share data)
(Unaudited)

Triple-S Management Corporation
Notes to Condensed Consolidated Financial Statements
(Dollar amounts in thousands, except per share data)
(Unaudited)


  
March 31,
2020
  
December 31,
2019
 
       
Assets:      
Managed care $1,344,321  $1,190,538 
Life insurance  995,815   981,370 
Property and casualty insurance  612,247   592,758 
Other segments *  30,582   28,346 
Total business segments  2,982,965   2,793,012 
Unallocated amounts related to TSM:        
Cash, cash equivalents, and investments  24,078   28,167 
Property and equipment, net  27,020   25,623 
Other assets  46,488   37,176 
   97,586   90,966 
Elimination entries-intersegment receivables and others  (92,357)  (65,152)
Consolidated total assets $2,988,194  $2,818,826 

*Includes segments that are not required to be reported separately, primarily the health clinics.

(15)(19)Subsequent Events


The Company evaluated subsequent events through the date the unaudited condensed consolidated interim financial statements were issued. No events, other than those described in these notes, have occurred that require adjustment or disclosure pursuant to current Accounting StandardsStandard Codification.


2733


Item 2.Management’s Discussion and Analysis of Financial Condition and Results of Operations
Item 2.  Management’s Discussion and Analysis of Financial Condition and Results of Operations

In this Management’s Discussion and Analysis of Financial Condition and Results of Operations (MD&A), the “Corporation”, the “Company”, “TSM”, “we”, “us” and “our” refers to Triple-S Management Corporation and its subsidiaries. The MD&A included in this Quarterly Report on Form 10-Q is intended to update the reader on matters affecting the financial condition and results of operations for the three months and nine months ended March 31,September 30, 2020. Therefore, the following discussion should be read in conjunction with the audited consolidated financial statements and notes thereto included in the Annual Report on Form 10-K filed with the United States Securities and Exchange Commission as of and for the year ended December 31, 2019 and the MD&A included therein, and our unaudited condensed consolidated interim financial statements and accompanying notes as of and for the three months and nine months ended March 31,September 30, 2020 included in this Quarterly Report on Form 10-Q.

Cautionary Statement Regarding Forward-Looking Information

This Quarterly Report on Form 10-Q and other of our publicly available documents may include statements that constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, including, among other things: statements concerning our business and our financial condition and results of operations. These statements are not historical, but instead represent our belief regarding future events, any of which, by their nature, are inherently uncertain and outside of our control. These statements may address, among other things, future financial results, strategy for growth, and market position. It is possible that our actual results and financial condition may differ, possibly materially, from the anticipated results and financial condition indicated in these forward-looking statements. The factors that could cause actual results to differ from those in the forward-looking statements are discussed throughout this form. We are not under noany obligation to update or alter any forward-looking statement (and expressly disclaims any such obligations), whether as a result of new information, future events or otherwise. Factors that may cause actual results to differ materially from those contemplated by such forward looking statements include, but are not limited to, the development of the COVID-19 outbreak, rising healthcare costs, business conditions and competition in the different insurance segments, government action and other regulatory issues.

Overview

We areTriple-S Management Corporation is a healthcare company and one of the most significanttop players in the managed care industry in Puerto Rico and have overhealthcare industry. With more than 60 years of experience, in this industry.  we are the premier healthcare brand and serve more people through the most attractive provider networks on the island. We have the exclusive right to use the Blue Cross Blue Shield (BCBS) name and mark throughout Puerto Rico, the U.S. Virgin Islands (USVI), Costa Rica, the British Virgin Islands (BVI) and Anguilla, and we offer a broad portfolio of managed care and related products in the Commercial, Medicaid and Medicare Advantage and Medicaid markets. In the Commercial market, we offer products to corporate accounts, U.S. federal government employees, local government employees, individual accounts and Medicare Supplement. We also participate in the Government of Puerto Rico Health Insurance Plan (a government of Puerto Rico and U.S. federal government-fundedgovernment funded managed care program for the medically indigent that is similar to the Medicaid program in the U.S.) (Medicaid),.

Our commitment to our valued customers and provider partners, backed by administeringour heritage of excellent care, access and service have positioned Triple-S for continued growth in the provisionhealthcare arena. Our progressive use of technology and clinical data, value-based partnerships with care providers and initial investments in ambulatory and primary care assets are a strong foundation for differentiation and growth through the development of an integrated delivery system over the next several years. We believe continued investment and focus on delivering an excellent healthcare experience and great service, coupled with health benefits.  See detailsmanagement programs that improve outcomes and quality of life while reducing the Medicaid contract in Item 1Atotal cost of Part Icare, will separate Triple-S from our competition and strengthen the financial performance of our Annual Report on Form 10-K forbusiness well into the year ended December 31, 2019 under the sub-caption “We are dependent on a small number of government contracts to generate a significant amount of the revenues of our managed care business.future.

We have the exclusive right to use the Blue Cross Blue Shield (BCBS) name and mark throughout Puerto Rico, the U.S. Virgin Islands (USVI), Costa Rica, the British Virgin Islands (BVI) and Anguilla.  As of March 31,September 30, 2020, we served approximately 926,000951,000 managed care members across all regions of Puerto Rico. For the threenine months ended March 31,September 30, 2020 and 2019, our Managed Caremanaged care segment represented approximately 92% of our total consolidated premiums earned.  We also have significant positions in the life insurance and property and casualty insurance markets.earned, respectively.

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We participate in the managed care market through our subsidiaries, Triple-S Salud, Inc. (TSS),; Triple-S Advantage, Inc. (TSA), and Triple-S Blue, Inc. I.I. (TSB). TSS, TSA and TSB are Blue Cross Blue Shield Association (BCBSA) licensees, which provides us with exclusive use of the Blue Cross and Blue Shield name and mark throughout Puerto Rico, the USVI, Costa Rica, the BVI, and Anguilla.BCBS licensees.

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Triple-S is also a well-known brand in the life insurance and property and casualty insurance markets, with a significant share in each. We participate in the life insurance market through our subsidiary, Triple-S Vida, Inc. (TSV), and in the property and casualty insurance market through our subsidiary, Triple-S Propiedad, Inc. (TSP).

Intersegment revenuesrevenue and expenses are reported on a gross basis in each of the operating segments but eliminated in the consolidated results. Except as otherwise indicated, the numbers for each segment presented in this Quarterly Report on Form 10-Q do not reflect intersegment eliminations. These intersegment revenues and expenses affect the amounts reported on the financial statement line items for each segment but are eliminated in consolidation and do not change net income.Net Income. See note 14 ofNote 18 to the unaudited condensed consolidated interim financial statements included in this Quarterly Report on Form 10-Q.

Our revenuesrevenue primarily consistconsists of premiums earned, net and investment income. Premiums are derived from the sale of managed care products and property and casualty and life insurance contracts.  Substantially all of our earnings are generated in Puerto Rico.

Claims incurred include the payment of benefits and losses, mostly to physicians, hospitals and other service providers, and policyholders. Each segment’s results of operations depend to a significant extent on theirmanagement’s ability to accurately predict and effectively manage claims. A portion of the claims incurred for each period consists of claims reported but not paid during the period, as well as a management and actuarial estimate of claims incurred but not reported during the period. Operating expenses consist primarily of compensation, commission payments to brokers and other overhead business expenses.

We use operating income as a measure of performance of the underwriting and investment functions of our segments. We also use the loss ratio and the operating expense ratio as measures of performance.  The loss ratio is claims incurred divided by premiums earned, net, multiplied by 100. The operating expense ratio is operating expenses divided by premiums earned; net and administrative service fees, multiplied by 100.

Recent Developments

COVID-19

COVID-19 Situation in Puerto Rico

As of May 1,November 4, 2020, the Puerto Rico Department of Health (PRDH) reported 1,575 positive35,807 and 33,213 confirmed and probable COVID-19 cases, respectively, and 94a total of 850 confirmed and probable COVID-19-related deaths in Puerto Rico.  The Secretary of Health of Puerto Rico estimated as of April 28, 2020 that approximately 30,000 diagnostic tests have been administered.  However, the PRDH has faced challenges in obtaining diagnostic tests as well as in recording and reporting on tests administered outside of the PRDH system and therefore the total number of positive cases in Puerto Rico remains unclear.  The PRDH estimates Puerto Rico has not yet reached the peak of contagion.

Our Operations

The Puerto Rico Governor issuedwas under a stay at homestay-at-home order (as amended and extended, the “Order”) onfrom March 15, 2020 requiringuntil June 16, 2020.  The Order required the closure of non-essential businesses until May 4, 2020.  for the same period of time.  On May 1, 2020, the Governor further amended and extended the Order to provideissued a new order providing for the gradual re-opening of the economy throughbeginning on May 25,4, 2020, provided that the risk of contagion does not increase significantly by then. Oursignificantly.  The Governor has issued several other executive orders establishing the rules to continue the gradual re-opening of the economy, the latest of which is effective until November 13, 2020.

Healthcare is considered an essential service under the Order; therefore, all functions of our Managed Care business, although considered an essential businessother than sales, have been excluded from closure in the Order, is operating mostly remotely as a cautionary measure.closure.  Our Life and Property & Casualty businesses, are among those industries that were allowed to re-open under the most recent extension of the Order,which had been closed since March 16, 2020, re-opened on May 5, 2020, subject to compliance with certain safety and risk management measures.  Accordingly, since May 4, 2020, we are in the process of gradually re-opening these offices.

We have implemented our business continuity and risk mitigation plans and are closely monitoring how the outbreak develops in order to ensure the health and safety of our employees and visitors.

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Economic Impact

It is still too early to fully assess the ultimate economic impact of the pandemic and lockdown.  However, the 2020 Fiscal Plan (as defined below) presented byestimates that the Governmenteconomy of Puerto Rico and pending approvalwill contract by 4% in real terms in fiscal year 2020 (which ended on June 30, 2020), largely due to the COVID-19 pandemic, with a limited recovery of 0.5% in fiscal year 2021.  These projections incorporate the combined effect of the measures enacted by the Oversight Board (as definedfederal and Puerto Rico governments (discussed below), estimateswhich are expected to play an essential role in mitigating the pandemic will have an economic impact of approximately $5.7 billion between fiscal years 2020 and 2022 in Puerto Rico.

The Governor of Puerto Rico has appointed an Economic Task Force to advise ondamage from the sudden economic recovery and development.shock caused by the pandemic.

See Item 1A.  Risk Factors – Risks Related to our Business – “Our business is geographically concentrated in Puerto Rico and weakness in the economy and the fiscal health of the government has adversely impacted and may continue to adversely impact us.us.” included in our Annual Report on Form 10-K for the year ended December 31, 2019.

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Legislative Measures and Initiatives

The federal and state governments have enacted a number of measures in response to the COVID-19 outbreak and the impact the outbreak has had on the economy, public health, governments,government, individuals, and businesses. We include summaries of some of those measures below.

Funding and Economic Relief for Puerto Rico

Public Law 116-127, known as the Families First Coronavirus Response Act (FFCRA), enacted on March 18, 2020, makes approximately$182.9 $182.9 million in additional funds available for Puerto Rico’s Medicaid Program and increases the percentage of federal government funding for its Medicaid program expenditures (Federal Medical Assistance Percentage or FMAP) from 76% to approximately82% during the emergency period.  Public Law 116-136, the Coronavirus Aid, Relief, and Economic Security or CARES Act, enacted on March 27, 2020, includes a series of direct relief and financial assistance measures applicable tofor Puerto Rico residents and businesses.  The CARES Act also assigns $2.2 billion to the Government of Puerto Rico to cover necessary expenditures related to COVID-19 and not included in itsthe territory’s budget, among other measures. The Puerto Rico government has earmarked approximately $1 billion for its COVID-19 response.

Measures Impacting our Business

The FFCRA and CARES Act also require health plans and insurers to cover testing for COVID-19 without imposing cost-sharing or prior authorization requirements.  On April 16, 2020, the Puerto Rico Government enacted Act number 43, which requires health plans and insurers to cover COVID-19-related diagnostic and treatment services, including hospitalization, without cost-sharing.  Our regulators have also issued regulations orand circular letters requiring waivers of pre-authorizations for certain services and drugs, requiring temporary coverage of certain out-of-network providers and services, and limiting cost-sharing for certain services.

See Item 1A. Risk Factors“TheThe COVID-19 pandemic and local, state and federal governments’ response to the pandemic may have a material adverse effect on our business, financial condition and results of operations” in this Quarterly Report on Form 10-Q.

Puerto Rico Economy

PROMESA and the Oversight Board

The Commonwealth has been enduring a fiscal and economic crisis for over a decade. Such crisis prompted the U.S. Congress to enact the Puerto Rico Oversight, Management, and Economic Stability Act (“PROMESA”)(PROMESA) in June 2016. PROMESA, among other things, created a federal fiscal oversight board (the “Oversight Board”)Oversight Board) with broad powers over the Commonwealth’s fiscal affairs and established two mechanisms for the restructuring of the obligations of the Commonwealth, its instrumentalities and municipalities, contained in Titles III and VI of PROMESA. The Commonwealth and several of its instrumentalities have beenare in the process of restructuring their debts through the mechanisms provided by PROMESA for some time.PROMESA.

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Commonwealth Fiscal Plan and Plan of Adjustment

The Oversight Board has certified several fiscal plans for the Commonwealth since 2017. The most recent fiscal plan for the Commonwealth certified by the Oversight Board is dated May 9, 201927, 2020 (the “Commonwealth2020 Fiscal Plan”)Plan)The Commonwealth filed itsAs mentioned above, the 2020 Fiscal Plan for Oversight Board certification on May 3, 2020 (the “2020 Fiscal Plan”).  The 2020 Fiscal Plan, which accounts for the estimated impact of the COVID-19 pandemicestimates that the economy of Puerto Rico’s real GNPRico will contract by 3.6%4% in real terms in fiscal year 2020, and 7.8%largely because of the COVID-19 pandemic, with a limited recovery of 0.5% in fiscal year 2021. TheThis new economic outlook exacerbates the Commonwealth government’s fiscal challenges. As a result of these changes, the 2020 Fiscal Plan has not been certifiedprojects that the Commonwealth will have a pre-contractual debt service deficit each year through 2025 if the measures and structural reforms contemplated by the Oversight Boardplan are not successfully implemented. It estimates that the proposed fiscal measures and may suffer significant changesstructural reforms will drive approximately $10 billion in savings and extra revenue through 2025 and a cumulative 0.88% increase in growth by fiscal year 2029. However, even after the fiscal measures and structural reforms, and before certification.contractual debt service, the 2020 Fiscal Plan’s projections reflect an annual deficit starting in fiscal year 2032.

On February 28, 2020,, the Oversight Board filed an amended plan of adjustment for the Commonwealth, the Employees Retirement System of the Government of the Commonwealth and the Puerto Rico Public Buildings Authority in the pending debt restructuring proceedings under Title III of PROMESA (the “ProposedProposed Plan of Adjustment”)Adjustment).  While In light of the COVID-19 pandemic, however, the Oversight Board requested that the court adjourn proceedings related to the Proposed Plan of Adjustment has not yet been confirmed byto allow the Title III court, is not supported byGovernment and the GovernorOversight Board to prioritize the health and safety of the people of Puerto Rico in its current form, and may suffer significant changes before confirmation, including changes to reflectgain a better understanding of the economic and fiscal impact of COVID-19, it provides a preliminary framework for the Commonwealth to exit bankruptcy.pandemic.

Property & Casualty Litigation

As of March 31,September 30, 2020, our Property and Casualty subsidiary had been served in a total of 452471 cases relating to Hurricane Maria. Of those, 361329 remained open as of March 31,September 30, 2020. TSP closed 75 claims during the third quarter of 2020, increasing the number of claims closed to 97.5%. See Item 1A. Risk Factors – Risks Related to our Business – “Large-scale natural disasters may have a material adverse effect on our business, financial condition and results of operations” and “We face risks related to litigation.” litigation” included in our Annual Report on Form 10-K for the year ended December 31, 2019.

Property and Casualty Reinsurance Program

The Company’s Property and Casualty segment completed the renewal of its reinsurance property and catastrophe program with an effective date of April 1, 2020 with afor twelve-month term of twelve-months ending on March 31, 2021.2021.  The new reinsurance program considers a change in cessions in the Commercial Property quota share agreement from 25% to 20% and provides the segment with a catastrophe loss protection of $809 million in excess of $5 million. The cost of the new reinsurance program is estimated to be approximately $2.0 million more than the expiring program.

Recent Seismic Activity

On January 7, 2020, a magnitude 6.4 earthquake struck Puerto Rico, causing island-wide power outages and extensive damage to infrastructure and property in the southwest region of the island.  The 6.4 magnitude earthquake was preceded by foreshocks and followed by aftershocks. TheDuring the three months ended March 31, 2020, Fiscal Plan estimates total earthquake-related island-wide damages at $1 billion, noting thatthe Company recognized $5 million in incurred losses related to this figure may increase as inspections continue.  Notably,event, which is its maximum exposure for a single event under its current reinsurance program.  We also incurred in $3.0 million in reinstatement reinsurance premiums related to the 2020 Fiscal Plan does not contemplate the damages caused by a 5.4 magnitude earthquake which struck near the south of Puerto Rico on May 2, 2020.event.

See “Item“Item 1A.  Risk Factors—Risks Related to Our Business – Our business is geographically concentrated in Puerto Rico and weakness in the economy and the fiscal health of the government has adversely impacted and may continue to adversely impact us”included in our Annual Report on Form 10-K for the year ended December 31, 2019.

Puerto Rico Health Insurance Administration (ASES by its Spanish Acronym) Contract Amendment

On September 24, 2020, we entered into an amendment to our contract with ASES for the provision of health coverage to the medically indigent in Puerto Rico under the Puerto Rico Health Reform Program known as Vital (similar to Medicaid). The amendment, which is effective as of September 15, 2020, provides, among other things, for the revision of the premium rates payable by ASES. The new premium rates are effective retroactively from July 1, 2020 and will apply through the expiration of the contract on September 30, 2021.  In addition, the amendment clarifies certain aspects related to the payment and identification of high-cost high-need enrollees under the agreement.

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Legislative Initiatives

On July 20, 2020, the Governor of Puerto Rico announced she would call the Legislative Assembly to an extraordinary session for the consideration of legislation affecting the healthcare insurance industry, among other measures. Of note are House Bill 2583, now Act 138-2020, and Senate Bill 1658, now Act 142-2020, both of which apply to our Commercial and Medicaid lines of business. Act 138-2020, signed on September 1, 2020, purports to reduce applicable periods for insurers to process and pay claims, and to further regulate the utilization review process. The new law orders the Commissioner of Insurance and ASES to adopt related regulation. Act 142-2020, signed on October 9, 2020, limits insurers’ ability to review the course of treatment or medication prescribed by a physician and requires insurers to provide immediate, temporary coverage for prescribed medication to patients while their claims are resolved, among other matters.

Both measures would enter into force this year; however, adoption of related regulation and guidance from implementing agencies is still pending. Legal challenges are possible against these new laws. We are nonetheless assessing the operational and financial impact these laws may have on our business.

See “Item 1A.  Risk Factors—Risks Relating to the Regulation of Our Industry – Changes in governmental regulations, or the application thereof, may adversely affect our business, financial condition and results of operations” included in our Annual Report on Form 10-K for the year ended December 31, 2019.

Acquisition of Life Insurance Portfolio

Effective June 1, 2020, our Life Insurance company acquired a life insurance portfolio from a local insurance company. The portfolio represents approximately $5 million in annualized premiums.

STARS Rating

On October 8, 2020, the Centers for Medicare and Medicaid Services (CMS) announced STARS Ratings for contract product offerings in year 2021. Our Medicare Advantage PPO plan achieved an overall rating of 3.5 stars, our HMO plan achieved an overall 4-star rating and our Part D (Pharmacy) offering received 4.5 stars. STARS Ratings for plans are calculated based on the results achieved by the plan on a contract in terms of measures spanning four categories: Healthcare Effectiveness Data and Information Set (HEDIS) measures, Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS) measures, Administrative measures, and Part D measures.

Recent Accounting Standards

For a description of recent accounting standards, see noteNote 2 to the unaudited condensed consolidated interim financial statements included in this Quarterly Reportquarterly report on Form 10-Q.

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Managed Care Membership

 As of March 31,  As of September 30, 
 2020  2019  2020  2019 
Managed care enrollment:            
Commercial 1
  435,013   437,200   429,503   442,069 
Medicare  135,710   128,090   136,135   128,660 
Medicaid  355,512   355,694   385,344   354,230 
Total  926,235   920,984   950,982   924,959 
Managed care enrollment by funding arrangement:                
Fully-insured  816,475   802,307 
Fully insured  843,152   805,882 
Self-insured  109,760   118,677   107,830   119,077 
Total  926,235   920,984   950,982   924,959 

(1)Commercial membership includes corporate accounts, self-funded employers, individual accounts, Medicare Supplement, Federal government employees and local government employees.

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Consolidated Operating Results

The following table sets forth the Company’sCorporation’s consolidated operating results.  Further details of the results of operations of each reportable segment are included in the analysis of operating results for the respective segments.

 Three months ended 
 March 31,  
Three months ended
September 30,
  
Nine months ended
September 30,
 
(dollar amounts in millions) 2020  2019  2020  2019  2020  2019 
Revenues:                  
Premiums earned, net $875.9  $768.0  $923.0  $815.0  $2,657.4  $2,442.5 
Administrative service fees  2.2   2.6   3.7   2.6   8.7   7.7 
Net investment income  14.3   15.4   14.2   15.2   42.3   45.6 
Other operating revenues  4.0   1.6   2.0   3.1   6.4   6.3 
Total operating revenues  896.4   787.6   942.9   835.9   2,714.8   2,502.1 
Net realized investment (losses) gains  (0.5)  1.3 
Net unrealized investment (losses) gains on equity investments  (56.8)  19.7 
Net realized investment gains (losses)  0.5   1.1   (0.2)  4.8 
Net unrealized investment gains (losses) on equity investments  11.1   1.3   (17.4)  24.3 
Other income, net  3.6   1.2   1.8   0.5   6.2   3.4 
Total revenues  842.7   809.8   956.3   838.8   2,703.4   2,534.6 
Benefits and expenses:                        
Claims incurred  714.5   623.2   761.8   680.0   2,129.4   2,009.5 
Operating expenses  162.2   132.7   158.8   136.9   499.7   403.6 
Total operating expenses  876.7   755.9   920.6   816.9   2,629.1   2,413.1 
Interest expense  1.9   1.8   2.1   2.1   5.8   5.7 
Total benefits and expenses  878.6   757.7   922.7   819.0   2,634.9   2,418.8 
(Loss) income before taxes  (35.9)  52.1 
Income tax (benefit) expense  (9.7)  17.3 
Net (loss) income attributable to TSM $(26.2) $34.8 
Income before taxes  33.6   19.8   68.5   115.8 
Income tax expense  10.0   5.9   27.5   36.1 
Net income attributable to TSM $23.6  $13.9  $41.0  $79.7 

Three Months Ended March 31,September 30, 2020 Compared to Three Months Ended March 31,September 30, 2019

Operating Revenues

Consolidated premiums earned, net increased by $107.9$108.0 million, or 14.0%13.3%, to $875.9 million.$923.0 million during the three months ended September 30, 2020.  This increase primarily reflects higher premiums in the Managed Care segment by $104.3of $103.5 million. The growth in managed careManaged Care premiums reflects higher average premiumspremium rates in the Medicare and Medicaidfully insured member months across all Managed Care lines of business and an increase in Medicare, Medicaid and Commercial fully-insured member months.business.

Net unrealized investment (losses) gains on equity investments

The $56.8$11.1 million in consolidated net unrealized investment lossesgains on equity investments reflectsreflect the impact of changes in equity markets.

Claims Incurred

Consolidated claims incurred increased by $91.3$81.8 million, or 14.7%12.0%, to $714.5 million.  The$761.8 million, and the consolidated loss ratio increased 50decreased 90 basis points, to 81.6%82.5%, fromwhen compared to the prior-year period, mostly reflecting $5 millionperiod. The increase in claims incurred  primarily reflects higher claims in the Managed Care segment resulting from an increase in fully insured members, unfavorable prior-period reserve development and other costs such as COVID-19 related treatment and testing, the waiver of estimated earthquake losses recorded bymedical and payment policies and the Propertyassistance we are providing to our elderly population and Casualty segment and increased benefitsother vulnerable members. The decrease in our 2020 Medicare product offering.  These increases were partially offset bythe consolidated loss ratio reflects lower Managed Care utilization of services during the last two weeks of the quartersince mid-March as the result of the government enforced lock-down due togovernment-enforced lockdown during the COVID-19 pandemic, an increase in the average membership risk score, and the reinstatement of the HIP fee pass-through in 2020.

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Following the government enforced lock-downgovernment-enforced lockdown related to the COVID-19 pandemic in mid-March, we have seen during the last two weeks of March 2020 a decrease in utilization of Managed Care services as members and providers deferred non-emergent or elective health services.  While this trend has caused, and may continue to cause, a short-term decrease in our claim costs, during this third quarter we saw an increase in utilization closer to normal as demand for deferred non-emergent or elective health services resumed.  The access to and demand for care was most constrained from mid-March through April, and began to deferrecover in late May, gradually increasing close to expected levels in the third quarter.

Operating Expenses

Consolidated operating expenses increased by $21.9 million, or 16.0%, to $158.8 million. The increase in operating expenses mostly resulted from the reinstatement in 2020 of the HIP fee of $12.1 million, and higher business promotion expenses, mainly related to COVID-19 relief efforts.  For the three months ended September 30, 2020, the consolidated operating expense ratio increased 40 basis points, to 17.1%.

Income Taxes

Consolidated income tax expense for the three months ended September 30, 2020 increased by $4.1 million, to $10.0 million, primarily reflecting higher taxable income in the Managed Care segment in 2020.

Nine Months Ended September 30, 2020 Compared to Nine Months Ended September 30, 2019

Operating Revenues

Consolidated premiums earned, net increased by $214.9 million, or 8.8%, to $2,657.4 million during the nine months ended September 30, 2020.  This increase primarily reflects higher premiums in the Managed Care segment by $203.3 million due to higher average premium rates in the Medicare and Medicaid lines of business and an increase in Medicare, Medicaid and Commercial fully insured member months.

Net unrealized investment gains (losses) on equity investments

The $17.4 million in consolidated net unrealized investment losses on equity investments reflect the impact of changes in equity markets.

Claims Incurred

Consolidated claims incurred increased by $119.9 million, or 6.0%, to $2,129.4 million, during the nine months ended September 30, 2020.  The consolidated loss ratio decreased 220 basis points, to 80.1%, from the prior-year period, mostly reflecting lower Managed Care utilization of services since mid-March as the result of the government-enforced lockdown during the COVID-19 pandemic and the effect in the MLR of the reinstatement of the HIP fee pass-through in 2020. These decreases were partially offset by the increased benefits in our 2020 Medicare product offering, unfavorable prior-period reserve development in the Managed Care segment and $5 million of earthquake losses recorded by the Property and Casualty segment.

Following the government-enforced lockdown related to the COVID-19 pandemic in mid-March, we have seen a decrease in utilization of Managed Care services as members and providers deferred non-emergent or elective health services.  While this trend has caused, and may continue to cause, a short-term decrease in our claim costs, we expectare experiencing an increase in these costs during the long-term our claim costs to increase andsecond half of the year, that affect our medical cost trends as the demand for the deferred non-emergent or elective health services resumes.  The access to and demand for care was most constrained from mid-March through April, and began to recover in late May, gradually increasing close to expected levels in the third quarter.

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Operating Expenses

Consolidated operating expenses increased by $29.5$96.1 million, or 22.2%23.8%, to $162.2$499.7 million. The increase in operating expenses mostly results from the reinstatement in 2020 of the HIP fee in 2020 of $16.3 million.$43.4 million, the recognition of a $32 million contingency reserve related to a legal proceeding in our Managed Care segment (see Note 17 to the unaudited condensed consolidated interim financial statements included in this quarterly report on Form 10-Q), higher amortization of deferred acquisition costs and higher business promotion expenses, mainly related to COVID-19 relief efforts.  These increases were partially offset by lower professional fees and provision for doubtful accounts. The consolidated operating expense ratio increased 130220 basis points, to 18.5%18.7%.

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Income Taxes

Consolidated income taxestax expense for the nine months ended September 30, 2020 decreased by $27.0$8.6 million to $27.5 million primarily reflecting a benefit of $9.7 million for the three months ended March 31,lower taxable income in all segments in 2020.  The year over year change in income taxes reflects the loss before taxes, resulting from the net unrealized investment losses on equity investments in the 2020 period.

Managed Care Operating Results

 Three months ended 
  March 31, 
(dollar amounts in millions) 2020  2019 
Operating revenues:      
Medical premiums earned, net:      
Medicare $387.8  $332.7 
Commercial  201.1   198.5 
Medicaid  220.9   174.3 
Medical premiums earned, net  809.8   705.5 
Administrative service fees  3.3   3.7 
Net investment income  5.0   5.8 
Total operating revenues  818.1   715.0 
Medical operating costs:        
Medical claims incurred  677.8   589.9 
Medical operating expenses  126.1   103.0 
Total medical operating costs  803.9   692.9 
Medical operating income $14.2  $22.1 
Additional data:        
Member months enrollment:        
Medicare  407,907   383,608 
Commercial:        
Fully-insured  978,342   953,052 
Self-funded  330,232   362,490 
Total Commercial  1,308,574   1,315,542 
Medicaid  1,068,016   1,029,736 
Total member months  2,784,497   2,728,886 
Medical loss ratio  83.7%  83.6%
Operating expense ratio  15.5%  14.5%


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Three months ended
September 30,
  
Nine months ended
September 30,
 
(dollar amounts in millions) 2020  2019  2020  2019 
Operating revenues:            
Medical premiums earned, net:            
Medicare $400.7  $367.1  $1,160.9  $1,065.7 
Medicaid  240.9   176.3   682.9   577.7 
Commercial  208.4   203.1   605.3   602.4 
Medical premiums earned, net  850.0   746.5   2,449.1   2,245.8 
Administrative service fees  3.1   3.6   9.8   10.9 
Net investment income  5.1   5.7   14.8   17.0 
Total operating revenues  858.2   755.8   2,473.7   2,273.7 
Medical operating costs:                
Medical claims incurred  720.3   645.2   2,025.1   1,905.9 
Medical operating expenses  124.9   105.2   392.1   311.0 
Total medical operating costs  845.2   750.4   2,417.2   2,216.9 
Medical operating income $13.0  $5.4  $56.5  $56.8 
Additional data:                
Member months enrollment:                
Commercial:                
Fully insured  966,906   964,321   2,920,460   2,872,836 
Self-funded  324,372   356,059   981,634   1,072,510 
Total commercial  1,291,278   1,320,380   3,902,094   3,945,346 
Medicare  407,170   386,995   1,220,280   1,156,438 
Medicaid  1,132,626   1,065,885   3,278,098   3,187,753 
Total member months  2,831,074   2,773,260   8,400,472   8,289,537 
Medical loss ratio  84.7%  86.4%  82.7%  84.9%
Operating expense ratio  14.6%  14.0%  15.9%  13.8%

Three Months Ended March 31,September 30, 2020 Compared to Three Months Ended March 31,September 30, 2019

Managed Care Operating Revenues

Managed Care premiums earned increased by $104.3$103.5 million, or 14.8%13.9%, to $809.8$850.0 million. This increase is principally the result of the following:

Managed Care premiums generated by the Medicare business increased by $55.1 million, or 16.6%, to $387.8 million, primarily reflecting an increase in enrollment of approximately 24,000 member months and higher average premium rates resulting from an increase in the average membership risk score.
Premiums generated by the Medicare business increased by $33.6 million, or 9.2%, to $400.7 million, mostly due to an increase in enrollment by approximately 20,000 member months, primarily reflecting a more competitive product offering, and higher average premium rates due to an increase in the average membership risk score.  This quarter we also lowered the estimated MLR rebate accrual as utilization of services have continued to trend up to almost-normal levels following the reduction noted in the second quarter related to the lockdown as the result of the COVID-19 pandemic.

Managed Care premiumsPremiums generated by the Medicaid business increased by $46.6$64.6 million, or 26.7%36.6%, to $220.9$240.9 million, primarily reflecting an increase in enrollmenthigher member months of approximately 38,000 member months,67,000 and higher average premium rates following three separate premium rate increases that became effective on November 1, 2019, May 1, 2020 and July 1, 2020.

Premiums generated by the Commercial business increased by $5.3 million, or 2.6%, to $208.4 million, mainly reflecting higher average premium rates, an increase in fully insured member months during the quarter by approximately 3,000 and the reinstatement of the HIP fee pass-through in 2020.

Managed Care premiums generated by the Commercial business increased by $2.6 million, or 1.3%, to $201.1 million.  This fluctuation primarily reflects an increase
41


Managed Care Claims Incurred

Managed Care claims incurred during the three months ended March 31, 2020 increased by $87.9$75.1 million, or 14.9%11.6%, to $677.8$720.3 million when compared to the three months ended March 31,September 30, 2019. The medical loss ratio (MLR) of the segment increased 10decreased 170 basis points during the 2020 period, to 83.7%84.7%.  This fluctuation is primarily attributed to the net effect of the following:

The managed care claimsClaims incurred ofin the Medicare business increased by $52.7$25.5 million, or 19.7%8.6%, during the 2020 period and its MLR increased 210decreased 50 basis point,points to 82.7%80.6%. The increase in claims incurred is the result of higher membership offset by lower MLR. The lower MLR mostly reflects improved benefitsthe increase in the 2020 product offerings.  In addition,average membership risk score and lower utilization resulting from the 2019 MLR was favorably impacted by prior period reserve development.  These increases weregovernment-enforced lockdown during the COVID-19 pandemic, partially offset by lower utilization of services during the last two weeks of the quarter as the result of the government enforced lock-down due to the COVID-19 pandemic.unfavorable prior-period reserve development and a more competitive product offering.

The managed care claimsClaims incurred in the Medicaid business increased by $42.0$50.9 million, or 26.7%.29.0%, during the 2020 period.  The MLR, remained at 90.3% as94.0%, was 560 basis points lower than the same period last year. The increase in claims incurred is the result of the lower utilization related to the COVID-19 lock-down, increase in premiums, reinstatement of the HIP fee pass-through, and the recognition by PRHIA/ASES of member acuity in premiums.  These decreases werehigher membership offset by last year’s favorable prior period reserve development.

The managed care claims incurred of the Commercial business decreased by $6.8 million, or 4.2%, during 2020 and its MLR decreased 450 basis points, to 78.4%.lower MLR.  The lower MLR mostly reflects the impact of the premium increases mentioned above, lower utilization related toresulting from the government-enforced lockdown during the COVID-19 lock-downpandemic, and the reinstatement of the HIP fee pass-through in 2020.  These effects were partially offset by unfavorable prior-period reserve development.

Claims incurred in the Commercial business decreased by $1.3 million, or 0.7%, during 2020 and its MLR decreased 280 basis points, to 81.9%.  The lower MLR mostly reflects the reinstatement of the HIP fee pass-through in 2020, offset in part by unfavorable prior-period reserve development.

Managed Care Operating Expenses

Managed Care operating expenses increased by $23.1$19.7 million, or 22.4%18.7%, to $126.1$124.9 million.  The operating expense ratio increased by 10060 basis points to 15.5%14.6% in 2020. The higher operating expenses and expense ratio are mostly driven by a $12.1 million increase in the HIP fee following the reinstatement of the fee in 2020 and expenses related to providing much-needed assistance to seniors to help them manage through the COVID-19 pandemic.

Nine Months Ended September 30, 2020 Compared to Nine Months Ended September 30, 2019

Managed Care Operating Revenues

Managed Care premiums earned increased by $203.3 million, or 9.1%, to $2,449.1 million. This increase is principally the result of the following:

Premiums generated by the Medicare business increased by $95.2 million, or 8.9%, to $1,160.9 million, mostly due to higher average premium rates, reflecting an increase in the average membership risk score revenue in 2020, and higher member months enrollment by approximately 64,000. These increases were partially offset by the recognition of an MLR rebate related to lower utilization following the government-enforced lock-down during the COVID-19 pandemic.

Premiums generated by the Medicaid business increased by $105.2 million, or 18.2%, to $682.9 million, primarily reflecting higher average premium rates following the premium rates increases in 2020 mentioned above, an increase in enrollment of approximately 90,000 member months, the reinstatement of the HIP fee pass-through in 2020, and a profit-sharing accrual recorded in 2019.

Premiums generated by the Commercial business increased by $2.9 million, or 0.5%, to $605.3 million.  This fluctuation primarily reflects higher fully insured enrollment during the year by approximately 48,000 member months and the reinstatement of the HIP fee pass-through in 2020.  These increases were partially offset by lower average premium rates and the recognition of an MLR rebate related to lower utilization following the government-enforced lockdown during the COVID-19 pandemic.

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Managed Care Claims Incurred

Managed Care claims incurred increased by $119.2 million, or 6.3%, to $2,025.1 million when compared to the nine months ended September 30, 2019.  The MLR of the segment decreased 220 basis points during 2020, to 82.7%. This fluctuation is primarily attributed to the net effect of the following:

Claims incurred in the Medicare business increased by $64.3 million, or 7.4%, during the 2020 period and its MLR decreased 120 basis points, to 80.2%.  The increase in claim cost is due to higher member months, improved benefits in product offerings, and unfavorable prior-period reserve development, partially offset by the lower MLR.  The lower MLR mostly reflects lower utilization of services as the result of the government-enforced lockdown during the COVID-19 pandemic, which was in force from mid-March to mid-June, when it was significantly reduced.

Claims incurred in the Medicaid business increased by $93.2 million, or 17.3%, during 2020 and its MLR decreased 70 basis points, to 92.7%. The increase in claim cost is due to higher claims trend and member months and an unfavorable prior-period reserve development in 2020, partially offset by the lower MLR. The lower MLR reflects the higher premium rates in the 2020 period as well as the reinstatement of the HIP fee pass-through in 2020. In addition, the 2020 MLR reflects lower utilization of services as the result of the government-enforced lockdown during the COVID-19 pandemic.

Claims incurred in the Commercial business decreased by $38.3 million, or 7.7%, during 2020 and its MLR decreased 670 basis points, to 76.1%. These decreases mostly result from lower utilization related to the COVID-19 lockdown and the impact in the MLR of the reinstatement of the HIP fee pass-through in 2020. These decreases were partially offset by the impact of the previously mentioned estimated premium rebates, higher fully insured enrollment and an unfavorable change in prior-period reserve developments when compared to the 2019 period.

Managed Care Operating Expenses

Managed Care operating expenses increased by $81.1 million, or 26.1%, to $392.1 million. The operating expense ratio increased 210 basis points to 15.9% in 2020. The higher operating expenses mostly result from the reinstatement in 2020 of the HIP fee of $16.3 million.$43.4 million, the recognition of a contingency reserve related to a legal proceeding, and expenses related to providing much-needed assistance to seniors to help them manage through the COVID-19 pandemic, offset in part by a decrease in the provision for doubtful accounts and professional fees.

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Life Insurance Operating Results

 Three months ended 
 March 31,  
Three months ended
September 30,
  
Nine months ended
September 30,
 
(dollar amounts in millions) 2020  2019  2020  2019  2020  2019 
Operating revenues:                  
Premiums earned, net:                  
Premiums earned $49.0  $45.6  $52.6  $47.3  $152.2  $139.7 
Assumed earned premiums  -   0.7   0.1   0.6   0.1   1.6 
Ceded premiums earned  (2.3)  (2.1)  (2.6)  (2.1)  (7.4)  (6.2)
Premiums earned, net  46.7   44.2   50.1   45.8   144.9   135.1 
Net investment income  6.9   6.6   6.9   6.7   20.6   20.0 
Total operating revenues  53.6   50.8   57.0   52.5   165.5   155.1 
Operating costs:                        
Policy benefits and claims incurred  27.4   26.0   30.6   25.9   78.6   79.2 
Underwriting and other expenses  21.1   19.2   20.7   20.0   66.7   58.4 
Total operating costs  48.5   45.2   51.3   45.9   145.3   137.6 
Operating income $5.1  $5.6  $5.7  $6.6  $20.2  $17.5 
Additional data:                        
Loss ratio  58.7%  58.8%  61.1%  56.6%  54.2%  58.6%
Operating expense ratio  45.2%  43.4%  41.3%  43.7%  46.0%  43.2%

Three Months Ended March 31,September 30, 2020 Compared to Three Months Ended March 31,September 30, 2019

Operating Revenues

Premiums earned, net increased by $2.5$4.3 million, or 5.7%9.4%, to $46.7$50.1 million, mainly as the result of higher sales across all lines of business, and improved portfolio retentionmainly in the Cancer, Individual Life, lineand Group lines of business.business, aided by the acquisition of an insurance portfolio during the second quarter of 2020.

Policy Benefits and Claims Incurred

Policy benefits and claims incurred increased by $1.4$4.7 million, or 5.4%18.1%, to $27.4$30.6 million, mostly as the result of higher volume of business in 2020 andactuarial reserves following an increase in actuarial reserves. Thecollections and policy retention efforts that resulted in the reinstatement of most policies that were cancelled during the second quarter of 2020 due to the COVID-19 lockdown.  As a result, the segment’s loss ratio decreased 10increased 450 basis pointpoints to 58.7%61.1%.

Underwriting and Other Expenses

Underwriting and other expenses increased $1.9$0.7 million, or 9.9%3.5%, to $21.1$20.7 million mostly reflecting higher commissions expense resulting fromwhile the segment’s higher volume of business, a higher amortization of deferred policy acquisition costs, and an increase in personnel costs.  The segment’s operating expense ratio increased 180decreased 240 basis points to 45.2%41.3%.

Nine Months Ended September 30, 2020 Compared to Nine Months Ended September 30, 2019

Operating Revenues

Premiums earned, net increased by $9.8 million, or 7.3%, to $144.9 million, mainly as the result of higher sales across all lines of business, mainly in the Individual Life and Cancer lines of business aided by the acquisition of an insurance portfolio during the second quarter of 2020.

Policy Benefits and Claims Incurred

Policy benefits and claims incurred decreased by $0.6 million, or 0.8%, to $78.6 million, mostly as the result of a slowdown in claim trends in the Cancer line of business due to the COVID-19 lockdown. As a result, the segment’s loss ratio decreased 440 basis points to 54.2%.

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Underwriting and Other Expenses

Underwriting and other expenses increased $8.3 million, or 14.2%, to $66.7 million, mostly reflecting higher amortization of deferred acquisition costs. The segment’s operating expense ratio increased 280 basis points to 46.0%.

Property and Casualty Insurance Operating Results

 Three months ended 
 March 31,  
Three months ended
September 30,
  
Nine months ended
September 30,
 
(dollar amounts in millions) 2020  2019  2020  2019  2020  2019 
Operating revenues:                  
Premiums earned, net:                  
Premiums written $33.2  $31.0  $44.0  $40.0  $115.6  $107.4 
Premiums ceded  (16.4)  (13.4)  (14.9)  (12.3)  (45.6)  (36.0)
Change in unearned premiums  3.8   1.8   (5.2)  (4.0)  (3.1)  (6.5)
Premiums earned, net  20.6   19.4   23.9   23.7   66.9   64.9 
Net investment income  2.1   2.5   2.2   2.5   6.6   7.4 
Total operating revenues  22.7   21.9   26.1   26.2   73.5   72.3 
Operating costs:                        
Claims incurred  10.9   8.6   10.4   10.2   27.8   28.3 
Underwriting and other expenses  12.0   9.7   11.3   9.4   34.8   29.1 
Total operating costs  22.9   18.3   21.7   19.6   62.6   57.4 
Operating (loss) income $(0.2) $3.6 
Operating income $4.4  $6.6  $10.9  $14.9 
Additional data:                        
Loss ratio  52.9%  44.3%  43.5%  43.0%  41.6%  43.6%
Operating expense ratio  58.3%  50.0%  47.3%  39.7%  52.0%  44.8%

Three Months Ended March 31,September 30, 2020 Compared to Three Months Ended March 31,September 30, 2019

Operating Revenues

Total premiums written increased by $2.2$4.0 million, or 7.1%10.0%, to $33.2$44.0 million, mainly driven by higher premiums in Commercial Auto, Personal Package and Commercial Property policies, partially offset by a decrease in Commercial Package policies.

The premiums ceded to reinsurers increased by $2.6 million, or 21.1%, as a result of the increase in premiums written and the impact of an unfavorable reinsurance premium adjustment in the current period when compared to the same period last year.

The change in unearned premiums is $1.2 million higher than the same period in the prior year mostly resulting from the higher volume of premiums, and the effect of changes in the current year’s reinsurance program.

Claims Incurred

Claims incurred increased by $0.2 million, or 2.0%, to $10.4 million, and as a result the loss ratio increased 50 basis points, from 43.0% to 43.5%.

Underwriting and Other Expenses

Underwriting and other operating expenses increased by $1.9 million, or 20.2%, to $11.3 million mostly due to higher net commission expense following the increase in net premiums earned. The net commission expense for the current period is impacted by a lower capitalization of deferred acquisition costs. The operating expense ratio was 47.3%, 760 basis points higher than the prior year.

Nine Months Ended September 30, 2020 Compared to Nine Months Ended September 30, 2019

Operating Revenues

Total premiums written increased by $8.2 million, or 7.6%, to $115.6 million, mostly driven by higher premiums particularly in Commercial PackageAuto and Commercial PropertyPackage products.

The premiums ceded to reinsurers increased by $3.0$9.6 million, or 22.4%26.7%, mostly due to approximately $3.0 million of reinsurance reinstatement premiums following losses recorded after the earthquakes experienced in the southwest region of Puerto Rico in January 2020.2020, as well as higher premiums written and the impact of an unfavorable reinsurance premium adjustment in the current period when compared to the same period last year.

45

The $2.0 million increase in thelower change in unearned premiums had a favorable impact on premiums earned of $3.4 million when compared to prior year, mostly reflects lower quota sharereflecting higher premiums written and the effect of changes in the current year’s reinsurance cessions.program.

Claims Incurred

Claims incurred increaseddecreased by $2.3$0.5 million, or 26.7%1.8%, to $10.9$27.8 million, mostly due to the recognitionbecause of $5.0 million of estimated earthquake losses after the January 2020 event partially offset by better loss experience in the segment’s on-going business.business from the effects of COVID-19 measures and lockdown, partially offset by the recognition of $5.0 million of earthquake losses after the January 2020 events. As a result, the loss ratio increasedimproved by 860200 basis points, to 52.9%41.6% during this period.

Underwriting and Other Expenses

Underwriting and other operating expenses increased by $2.3$5.7 million, or 23.7%19.6%, to $12.0$34.8 million, mostly due tobecause of higher net commissionscommission expense following the segment’s increase in net premiums written.earned. Current year net commission expense is affected by a lower capitalization of deferred acquisition costs. The operating expense ratio was 58.3%52.0%, 830720 basis points higher than the prior year.

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Liquidity and Capital Resources

Cash Flows

A summary of our major sources and uses of cash for the periods indicated is presented in the following table:
 Three months ended 
  March 31, 
(dollar amounts in millions) 2020  2019 
Sources (uses) of cash:      
Cash provided by (used in) operating activities $6.5  $(69.9)
Net (purchases) proceeds of investment securities  (75.9)  16.5 
Net capital expenditures  (4.6)  (3.0)
Capital contribution on equity method investees  (4.9)  - 
Payments of long-term borrowings  (0.8)  (0.8)
Proceeds from policyholder deposits  10.3   3.6 
Surrenders of policyholder deposits  (4.1)  (4.6)
Repurchase and retirement of common stock  (9.0)  - 
Net change in short-term borrowings  24.0   - 
Other  53.3   36.5 
Net decrease in cash and cash equivalents $(5.2) $(21.7)

 
Nine months ended
September 30,
 
(dollar amounts in millions) 2020  2019 
Sources (uses) of cash:      
Cash provided by (used in) operating activities $223.7  $(3.5)
Net (purchases) proceeds of investment securities  (211.7)  0.7 
Net capital expenditures  (52.5)  (14.7)
Capital contribution on equity method investees  (7.1)  - 
Proceeds from long-term borrowings  30.9   - 
Net change in short-term borrowings  28.5   - 
Payments of long-term borrowings  (2.8)  (2.4)
Proceeds from policyholder deposits  21.6   15.1 
Surrenders of policyholder deposits  (12.8)  (16.5)
Repurchase and retirement of common stock  (14.9)  - 
Other  16.9   2.7 
Net increase (decrease) in cash and cash equivalents $19.8  $(18.6)

The increase of approximately $76.4$227.2 million in net cash provided by operating activities is mostly due tothe result of higher premium collections, and lower paymentspartially offset by higher cash paid to suppliers and employees offset in part by higher claims paid in the Managed Care segment.and income taxes paid.

The netNet (purchases) proceeds from investments ininvestment securities are part of our asset/liability management strategy.

On June 19, 2020, TSM entered into a $31.4 million Credit Agreement (the Loan) with a commercial bank in Puerto Rico. The proceeds of the Loan were used by the Company to partially finance the acquisition of a building, and the acquisition is included in the capital expenditures in the statement of cash flows.  For further details, see Note 9 to the unaudited condensed consolidated interim financial statements included in this Quarterly Report on Form 10-Q.

The increase in capital contribution reflects capital contributions in exchange for a participation in equity method investees.

46

The net change in short-term borrowings represents the proceeds from short-term facilities available to address timing differences between cash receipts and disbursements.

In August 2017, the Company’s Board of Directors authorized a $30.0 million repurchase program of its Class B common stock and in February 2018 the Company’s Board of Directors authorized a $25.0 million expansion of this program. In October 2019, the Company’s Board of Directors authorized an additional expansion to this program increasing its remaining balance up to a total of $25.0 million, effective November 2019. Repurchases were conducted through open-market purchases of Class B shares only, in accordance with Rule 10b-18 under the Securities Exchange Act of 1934, as amended. During the threenine months ended March 31,September 30, 2020, the Company repurchased and retired under this program 577,447952,820 shares at an average per share price of $15.57,$15.72, for an aggregate cost of $9.0 million.

The net change in short-term borrowings represents$15.0 million, completing the outstanding balance of short-term facilitiesamount available to address timing differences between cash receipts and disbursements.for repurchases under this program.

The fluctuation in other sources of cash mostly reflects the $53.5$13.0 million change in outstanding checks in excess of bank balances.

Financing and Financing Capacity

Long-Term Borrowings

TSM has a $35.5 million credit agreement with a commercial bank in Puerto Rico. The agreement consists of three term loans: (i) Term Loan A in the principal amount of $11.2 million, (ii) Term Loan B in the principal amount of $20.2 million, and (iii) Term Loan C in the principal amount of $4.1 million. Term Loan A matures in October 2023 while Term Loans B and C mature in January 2024. Term Loan A was used to refinance a previous $41.0 million secured loan payable with the same commercial bank.  Pursuant to the credit agreement, interest is payable on the outstanding balance of the Loanloan at the following annual rate: (i) 100 basis points over LIBOR for Term Loan A, (ii) 275 basis points over LIBOR for Term Loan B, and, (iii) 325 basis points over LIBOR for Term Loan C. The loan includes certain financial and non-financial covenants, which are customary for this type of facility, including negative covenants imposing certain restrictions on the Company’s business. Failure to meet these covenants may trigger the accelerated payment of the outstanding balance. As of March 31,September 30, 2020, we are in compliance with these covenants.

38

As detailed above, the three term loans under our credit agreement with a commercial bank in Puerto Rico bear interest rates in relation to 1-month and 3-month LIBOR, a widely used interest rate benchmark.

In July 2017, the Financial Conduct Authority (“FCA”)(FCA) in the United Kingdom, which regulates LIBOR, announced that it would phase out this benchmark by the end of 2021. In response, the U.S. Federal Reserve convened the Alternative Reference Rates Committee (“ARRC”)(ARRC), a working group comprised of private market participants, to ensure a transition to a new reference rate.

The ARRC has recommended the use of the Secured Overnight Financing Rate (“SOFR”)(SOFR), which is an index based on the cost of borrowing overnight cash collateralized by U.S. Treasury securities. Currently, there is no definitive information regarding the future use of SOFR as a widely accepted benchmark or any other replacement rate.

If LIBOR rates are no longer available, we are subject to an alternative benchmark rate, as defined in the credit agreement of our long-term bank loan. At this time, we cannot assess the impact, if any, on the interest paid on this loan. Alternatively, the loan could be refinanced by us without prepayment penalties.

We will closely follow any new developments regarding the LIBOR phase out.phase-out.

On June 19, 2020, TSM entered into a $31.4 million Credit Agreement with a commercial bank in Puerto Rico. The proceeds were used by the Company to partially finance the acquisition of the Building. The Credit Agreement is guaranteed by a mortgage over the Building, a pledge of all collateral related to the Building and an assignment of the rents collected for the lease of office space in the Building. Approximately 64.25% of the acquired Building is currently leased to third parties. The Company expects to move within the next year some of its offices currently leased to third parties to the new Building and together with the leased space to fully occupy the new facilities.  Pursuant to the Credit Agreement, interest is payable on the outstanding principal balance of the Loan at an annual rate equal to the Prime Rate. Interest shall be paid on a monthly basis which commenced on July 1, 2020 until the principal of the Loan has been paid in full.

47

The Company may, at its option and at any time, upon notice as specified in the Credit Agreement, prepay prior to maturity, all or any part of the Term Loan upon the payment of a penalty fee of the outstanding principal amount at the time of the prepayment of 3% during the first year, 2% during the second year and 1% during the third year, and thereafter at par.

The Credit Agreement includes certain customary financial and non-financial covenants, including negative covenants imposing certain restrictions on the Corporation’s business. The Company was in compliance with these covenants as of September 30, 2020.

See Note 9 to the unaudited condensed consolidated interim financial statements included in this Quarterly Report on Form 10-Q for a summary of long-term borrowings.

Short-Term Facilities

We have several short-term facilities available to address timing differences between cash receipts and disbursements, consisting of collateralized advances from the Federal Home Loan Bank of New York (FHLBNY) and a revolving credit facility. See Note 9 to the unaudited condensed consolidated interim financial statements included in this Quarterly Report on Form 10-Q for details of available short-term facilities.

We anticipate that we will have sufficient liquidity to support our currently expected needs.

For further details, see Note 13, Borrowings, of the Notes to the Consolidated Financial Statements, included in “Item 8, Financial Statements and Supplementary Data”, of our Annual Report on Form 10-K for the year ended December 31, 2019.

Short-Term Facilities

We have several short-term facilities available to address timing differences between cash receipts and disbursements, consisting of collateralized advances from the Federal Home Loan Bank of New York (“FHLBNY”) and a revolving credit facility.  See note 8 of the condensed consolidated financial statements included in this Quarterly Report on Form 10-Q for details of available short-term facilities.

We anticipate that we will have sufficient liquidity to support our currently expected needs.

Item 3.Quantitative and Qualitative Disclosures about Market Risk
Item 3.  Quantitative and Qualitative Disclosures about Market Risk

We are exposed to certain market risks that are inherent in our financial instruments, which arise from transactions entered into in the normal course of business. We have exposure to market risk mostly in our investment activities. For purposes of this disclosure, “market risk” is defined as the risk of loss resulting from changes in interest rates and equity prices. No material changes have occurred in our exposure to financial market risks since December 31, 2019. A discussion of our market risk is incorporated by reference to “Item 7A. Quantitative and Qualitative Disclosures about Market Risk” included in our Annual Report on Form 10-K for the year ended December 31, 2019.

Item 4.Controls and Procedures
Item 4.  Controls and Procedures

Evaluation of Disclosure Controls and Procedures

In connection with the preparation of this Quarterly Report on Form 10-Q, management, under the supervision and with the participation of the chief executive officer and chief financial officer, conducted an evaluation of the effectiveness of the “disclosure controls and procedures” (as such term is defined under Exchange Act Rule 13a-15(e)) of the Corporation and its subsidiaries. Disclosure controls and procedures are designed to ensure that information required to be disclosed in reports filed or submitted under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in Securities and Exchange Commission rules and forms and that such information is accumulated and communicated to management, including the chief executive officer and chief financial officer, to allow timely decisions regarding required disclosures. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. There are inherent limitations to the effectiveness of any system of disclosure controls and procedures, including the possibility that judgments in decision-making can be faulty, and breakdowns as a result of simple errors or mistake.mistakes. Accordingly, even effective disclosure controls and procedures can only provide reasonable assurance of achieving their control objectives. The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions.

3948

Based on this evaluation, our chief executive officer and chief financial officer have concluded that as of March 31,September 30, 2020, which is the end of the period covered by this Quarterly Report on Form 10-Q, our disclosure controls and procedures are effective to a reasonable level of assurance.

There were no significant changes in our disclosure controls and procedures, or in factors that could significantly affect internal controls, subsequent to the date the chief executive officer and chief financial officer completed the evaluation referred to above.

Changes in Internal Controls Over Financial Reporting

No changes in our internal control over financial reporting (as such term is defined in Exchange Act Rule 13a-15(f)) occurred during the fiscal quarter ended March 31,September 30, 2020 that materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PPartart II – Other Information

Item 1.Legal Proceedings
Item 1.  Legal Proceedings

NoneFor a description of the legal proceedings disclosed in note 24that have experienced significant developments during this quarter, see Note 17 to the Consolidated Financial Statements of the Company’s 2019 Annual Reportunaudited condensed consolidated interim financial statements included in this quarterly report on Form 10-K had a material development during the three months ended March 31, 2020.10-Q.

Item 1A.  Risk Factors

For a description of our risk factors, see Item 1A of Part I of our Annual Report on Form 10-K for the year ended December 31, 2019.

The following risk factor was addedupdated during the three months ended March 31,September 30, 2020.

The COVID-19 pandemic and local, state and federal governments’ response to the pandemic may have a material adverse effect on our business, financial condition and results of operations.

On March 11, 2020, the World Health Organization characterized the outbreak of a novel strain of coronavirus (COVID-19) as a global pandemic.  In response, the Puerto Rico Governor issueda stay at home order (as amended and extended, the “Order”) onfrom March 15, 2020 requiringuntil June 16, 2020.  The Order required the closure of non-essential businesses until May 4, 2020.  for the same period of time.  On May 1, 2020, the Governor further amended and extended the Order to provideissued a new order providing for the gradual re-opening of the economy throughbeginning on May 25,4, 2020, provided that the risk of contagion does not increase significantly by then. Our Managed Care business, although considered an essential business excluded from closure insignificantly.  The Governor has issued several other executive orders establishing the Order, is operating mostly remotely as a cautionary measure. Our Life and Property & Casualty businesses are among those industries that were allowedrules to re-open undercontinue the most recent extensiongradual re-opening of the Order, subject to compliance with certain safety and risk management measures.  Accordingly, since May 4, 2020, we are ineconomy, the processlatest of gradually re-opening these offices.New sales have been or could be affected in all our segments during the lock-down as sales functions have had to be performed remotely given that they are not considered essential under the Order.which is effective until November 13, 2020.

At this point it is not possible to reliably estimate the length or severity of this outbreak, the length and effectiveness of government and private sector mitigation measures, and other variables whichthat will determine the ultimate financial impact of the pandemic on the Company.  Additionally, the situation is rapidly developing and evolving.  We are therefore unable to reliably estimate the ultimate impact of the COVID-19 pandemic on the Company.  However, certain risks discussed in our 2019 Annual Report on Form 10-K may increase or materialize.  We are closely monitoring the development of the situation to assess its impact on our business.  New sales were affected in all our segments and lines of business during the lockdown given that sales functions of all our businesses were not considered essential under the Order and therefore had to be performed remotely. Even though the government-mandated lockdown has been relaxed and most of our sales force has returned to our offices, new sales continue to be affected as social distancing measures continue to restrict certain sales activities. We have experienced a temporary decrease in utilization caused by postponement or cancelation of elective services and medical appointments driven by the Order, which could cause our MLR to temporarily drop.drop below the Affordable Care Act (ACA) and Medicare required ratios.  Conversely, the pandemic could result in a material increase in medical claims as COVID-19 cases increasesincrease and the return of deferred utilization.  In addition, the postponement or cancellation of medical appointments, treatments and evaluations in our High Cost High Needs (HCHN) Medicaid membership during the pandemic has and may continue to affect our ability to provide qualifying encounter or utilization data to certify them as such, which has and may continue to result in assignment of such members to a different rate cell with lower premium payments and retroactive premium adjustments by ASES. See Item 1A.  Risk Factors – Risks Relating to the Regulation of Our Industry– “ASES’s risk adjustment payment system and payment structure, and its dependence on scarce or unavailable data, make our revenue and profitability difficult to predict and could result in material retroactive adjustments to our results of operations.”

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Furthermore, COVID-19 related federal and state legislation and regulation may adversely impact our business, financial condition and results of operations. For example, the U.S. and Puerto Rico legislatures have enacted or are contemplating measures requiring health care insurers to cover and/or waive pre-authorization and cost-sharing for COVID-19 related testing, vaccines, treatment or services, which may adversely affect our profitability.  In addition, any legislation requiring insurance companies to make advance payments to providers not linked to services previously provided increases our credit risk and could have a material impact on our financial condition and results of operations.

See Item 1A.  Risk Factors – Risks Related to our Business – Our“Our inability to contain managed care costs may adversely affect our business and profitability” included in our Annual Report on Form 10-K for the year ended December 31, 20192019..

Our Property & Casualty business interruption policies include an exclusion of coverage due to virus or bacteria.  However, there are federal and local legislative efforts to retroactively eliminate such exclusions or otherwise require property and casualty insurers to cover COVID-19 losses under their business interruption policies.  While we believe this type of legislative measure could be challenged on constitutional and other grounds, if successfully implemented, it would have a material adverse effect on our Property and Casualty Insurance segment.  With respect to our Life segment, there is a risk that the pandemic result in a higher number of deaths, and therefore a higher number of claims for death benefits than assumed in our actuarial models.

See Item 1A. Risk Factors – Risks Related to our Business – “Large-scale natural disasters may have a material adverse effect on our business, financial condition and results of operations” included in our Annual Report on Form 10-K for the year ended December 31, 2019.

Finally, while estimates vary, the COVID-19 pandemic is widely considered to have had and continue to have a significant effect on the Puerto Rico, U.S. and global economies. Financial market volatility caused by the pandemic has decreased and may further decrease the market value of our investment portfolios, including those in the employees noncontributoryour pension plan.plan asset portfolio. Furthermore, as the financial capacity of our customers is adversely affected, we may experience delinquency in premium payments and ultimately a decrease in insured customers in our commercial line of business and premiums earned, net, or other adverse effects. See Item 1A. Risk Factors – Risks Related to our Business – “Our investment portfolios are subject to varying economic and market conditions. See also “The“The securities and credit markets could experience extreme volatility and disruption.” and “Our“Our business is geographically concentrated in Puerto Rico and weakness in the economy and the fiscal health of the government has adversely impacted and may continue to adversely impact us.” included in our Annual Report on Form 10-K for the year ended December 31, 2019.

These and other risks, some of which we may be unable to identify at this time due to the evolving and highly uncertain nature of this event,, could adversely impact our business, financial condition and results of operations.


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See Item 1A.  Risk Factors – Risks Related to our Business – “Our inability to contain managed care costs may adversely affect our business and profitability” included in our Annual Report on Form 10-K for the year ended December 31, 2019.

Our Property & Casualty business interruption policies include an exclusion of coverage due to virus or bacteria.  However, there are federal and local legislative efforts to retroactively eliminate such exclusions or otherwise require property and casualty insurers to cover COVID-19 losses under their business interruption policies.  While we believe this type of legislative measure could be challenged on constitutional and other grounds, if successfully implemented, it would have a material adverse effect on our Property and Casualty Insurance segment.  With respect to our Life segment, there is a risk that the pandemic result in a higher number of deaths, and therefore higher number of claims for death benefits than assumed in our actuarial models.  These and other risks, some of which we may be unable to identify at this time, could adversely impact our business, financial condition and results of operations.

See Item 1A. Risk Factors – Risks Related to our Business – “Large-scale natural disasters may have a material adverse effect on our business, financial condition and results of operations” included in our Annual Report on Form 10-K for the year ended December 31, 2019.

Finally, while estimates vary, the COVID-19 pandemic is widely considered to have had and continue to have a devastating effect on the Puerto Rico, U.S. and global economies. As the financial capacity of our customers is adversely affected, we may experience delinquency in premium payments and ultimately a decrease in insured customers in our commercial line of business and premiums earned, net. See Item 1A. Risk Factors – Risks Related to our Business –  “Our investment portfolios are subject to varying economic and market conditions. See also “The securities and credit markets could experience extreme volatility and disruption.” and “Our business is geographically concentrated in Puerto Rico and weakness in the economy and the fiscal health of the government has adversely impacted and may continue to adversely impact us.” included in our Annual Report on Form 10-K for the year ended December 31, 2019.

Item 2.Unregistered Sales of Equity Securities and Use of Proceeds

Item 2.  Unregistered Sales of Equity Securities and Use of Proceeds
(Dollar amounts in millions, except per share data) 
Total Number
of Shares
Purchased
(1)(2)
  
Average
Price
Paid per
Share
  
Total Number of
Shares
Purchased as
Part of Publicly
Announced
Programs (2)
  
Approximate
Dollar Value of
Shares that May
Yet Be Purchased
Under the
Programs
 
             
January 1, 2020 to January 31, 2020  280,670  $17.89   279,151  $10.0 
February 1, 2020 to February 29, 2020  -   -   -   10.0 
March 1, 2020 to March 31, 2020  303,659   13.39   298,296   6.0 

Purchases of Equity Securities by the Issuer

The following table presents information related to our repurchases of common stock for the period indicated:

(Dollar amounts in millions, except per share data) Total Number of Shares Purchased (1)  Average Price Paid per Share  
Total Number of
Shares Purchased as Part of Publicly Announced Programs
  Approximate Dollar Value of Shares that May Yet Be Purchased Under the Programs 
             
July 1, 2020 to July 31, 2020  -  $-   -  $- 
August 1, 2020 to August 31, 2020  -   -   -   - 
September 1, 2020 to September 30, 2020  14,040   18.85   -   - 

(1) Represents shares repurchased and retired as the result of non-cash tax witholdings upon vesting of shares of participants under the Company’s equity compensation plans.  In January and March 2020, 1,519 and 5,363 shares, respectively, were repurchased and retired as the result of non-cash tax witholdings upon vesting of shares.

(2)  In August 2017 the Company's Board of Directors authorized a $30.0 million Share Repurchase Program of its Class B common stock.  In October 2019 the Company’s Board of Directors authorized an expansion to this repurchase program, effective November 2019, increasing its remaining balance up to a total of $25.0 million.

Item 3.Defaults Upon Senior Securities
Item 3.  Defaults Upon Senior Securities

Not applicable.

Item 4.Mine Safety Disclosures
Item 4.  Mine Safety Disclosures

Not applicable.

Item 5.Other Information
Item 5.  Other Information

Not applicable.

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Item 6.  Exhibits

Item 6.ExhibitsExhibitsDescription
 
Exhibits
DescriptionAmendment to the contract between Administración de Seguros de Salud de Puerto Rico (ASES) and Triple-S Salud, Inc., to administer the Provision of Physical & Behavioral Health Services under the Government Health Plan dated as of August 28, 2020.
Amendment to the contract between Administración de Seguros de Salud de Puerto Rico (ASES) and Triple-S Salud, Inc., to administer the Provision of Physical & Behavioral Health Services under the Government Health Plan dated as of September 9, 2020.
Amendment to the contract between Administración de Seguros de Salud de Puerto Rico (ASES) and Triple-S Salud, Inc., to administer the Provision of Physical & Behavioral Health Services under the Government Health Plan dated as of September 24, 2020.
  
Statement re computation of per share earnings; an exhibit describing the computation of the earnings per share for the three and nine months ended March 31,September 30, 2020 and 2019 has been omitted as the detail necessary to determine the computation of earnings per share can be clearly determined from the material contained in Part I of this Quarterly Report on Form 10-Q.
Certification of the President and Chief Executive Officer required by Rule 13a-14(a)/15d-14(a).
Certification of the Executive Vice President and Chief Financial Officer required by Rule 13a-14(a)/15d-14(a).
Certification of the President and Chief Executive Officer required pursuant to 18 U.S.C Section 1350.
Certification of the Executive Vice President and Chief Financial Officer required pursuant to 18 U.S.C Section 1350.

All other exhibits for which provision is made in the applicable accounting regulation of the United States Securities and Exchange Commission are not required under the related instructions or are inapplicable, and therefore have been omitted.

* Filed herein.

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SIGNATURES

Pursuant to the requirements of the United States Securities and Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

   Triple-S Management Corporation
   Registrant
     
Date:May 7,November 6, 2020 By:
/s/ Roberto García-Rodríguez
 
    Roberto García-Rodríguez
    President and Chief Executive Officer
     
Date:May 7,November 6, 2020 By:
/s/ Juan J. Román-Jiménez
 
    Juan J. Román-Jiménez
    Executive Vice President and Chief Financial Officer


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