Cobalt's revenues are derived primarily from premiums, while medical benefits constitute the majority of expenses. Profitability is directly affected by many factors including, among others, premium rate adequacy, estimates of medical benefits, health care utilization, effective administration of benefit payments, operating efficiency, investment returns and federal and state laws and regulations.
Results of Operations
Total Revenues
Total revenues for the three months ended June 30, 2001 increased 169.9% to $419.4 million from $155.4 million for the three months ended June 30, 2000. For the six months ended June 30, 2001, total revenues increased 100.9% to $606.1 million, compared to $301.7 million for the six months ended June 30, 2000. This increase was due primarily to the addition of the UWS revenues, which resulted from the March 23, 2001 combination of BCBSUW and UWS to form Cobalt. UWS contributed $234.2 million in revenue for the three months ended June 30, 2001 or 150.7% of the total 169.9% increase for the quarter. Other factors contributing toward the increase include premium rate increases on the BCBSUW medical insurance business, the re-pricing of self-funded products and new government fee based contracts.
Health Services Revenue
Insured Medical Revenue. Insured medical premium for the three months ended June 30, 2001 increased 169.8% to $334.0 million from $123.8 million for the three months ended June 30, 2000. The increase is primarily due to growth in membership resulting from the addition of UWS business. The addition of UWS premiums resulted in an increase to premiums for the three months ended June 30, 2001 of $188.2 million or 152.0% of the total 169.8% increase. Also contributing toward the total increase in premium is an increase in average premium revenue per member per month. Average insured medical premium per member for the three months ended June 30, 2001 increased 25.2% from the same period in 2000. The number of insured medical members as of June 30, 2001 increased 115.6% to 545,613 from 253,105 as of June 30, 2000. For the six months ended June 30, 2001, insured medical premium increased 99.1% to $477.3 million from $239.7 million for the six months ended June 30, 2000. Average insured medical premium per member for the six months ended June 30, 2001 increased 22.2% from the same period in 2000. The average number of insured medical members for the six months ended June 30, 2001 increased 63.0% to 396,144 from 243,080 for the six months ended June 30, 2000.
Specialty Risk Products. Specialty risk premium for the three months ended June 30, 2001 increased 559.5% to $41.4 million from $7.4 million for the three months ended June 30, 2000. The increase primarily resulted from the addition of $34.0 million in revenues from the UWS specialty risk lines including life, accidental death and dismemberment, dental, disability, workers’ compensation and behavioral health. The number of specialty risk members as of June 30, 2001 increased to 1,041,239 from 150,158 as of June 30, 2000. The total increase in membership of 891,081 reflects a slight decrease of 9,999 members in BCBSUW insured dental membership, offset by the addition of 901,080 members from the UWS specialty risk lines. For the six months ended June 30, 2001, specialty risk premium increased to $48.8 million from $14.9 million for the six months ended June 30, 2000, also primarily attributable to the addition of the UWS business.
Specialty Service Products. Health services revenue for the three and six month periods ended June 30, 2001 includes $15.5 million related to the UWS specialty service products, which include workers’ compensation TPA business, subrogation and receivables collection, audit, electronic claims, and medical, pharmacy and behavioral health management services.
Government Services. Government services revenue for the three months ended June 30, 2001 increased 83.0% to $29.1 million from $15.9 million for the three months ended June 30, 2000. Government Services revenue for the six months ended June 30, 2001 increased 80.1% to $56.0 million from $31.1 million for the six months ended June 30, 2000. The increase from 2000 to 2001 is attributable to significant growth in the volume of Medicare claims processed, due to being awarded additional government contracts. Effective December 1, 2000, UGS became the Medicare Part A Intermediary for the states of California, Nevada and Hawaii, and the territories of Guam, Mariana Islands and American Somoa. In addition, also effective December 1, 2000, UGS became the Regional Home Health Intermediary for the states of California, Nevada, Arizona, Hawaii, Oregon, Idaho, Washington, and Alaska, and the territory of Guam.
Self-funded Products. Self-funded administrative fees for the three months ended June 30, 2001 increased 11.1% to $7.0 million from $6.3 million for the three months ended June 30, 2000. The average self-funded administrative fee per member per month for the three months ended June 30, 2001 increased 58.4% to $14.03 from $8.86 for the three months ended June 30, 2000. The number of self-funded members as of June 30, 2001 decreased 27.8% to 171,680 from 237,927 as of June 30, 2000. The increase in fee per member in 2001 and decrease in total members for 2001 is due to aggressive pricing on targeted group contracts and subsequent loss of unprofitable business. For the six months ended June 30, 2001, self-funded administrative fees increased 20.5% to $14.7 million from $12.2 million for the six months ended June 30, 2000. The average self-funded administrative fee per member per month for the six months ended June 30, 2001 increased 72.0% to $14.43 from $8.39 for the six months ended June 30, 2000.
Investment Results
Net investment results include investment income and realized gains (losses) on the sale of investments. Net investment results for the three months ended June 30, 2001 increased 34.6% to $3.5 million from $2.6 million for the three months ended June 30, 2000, primarily due to the addition of the UWS business. Average annual investment yields, excluding net realized gains, investment income from affiliates and other interest income were 6.2% for the three months ended June 30, 2001, compared to 6.8% for the three months ended June 30, 2000. Net investment results for the six months ended June 30, 2001 increased 12.0% to $5.6 million from $5.0 million for the six months ended June 30, 2000.
Average invested assets for the three months ended June 30, 2001 increased 308.5% to $210.4 million, compared to $51.5 million for the three months ended June 30, 2000. The improvement during the three months ended June 30, 2001 is primarily the result of acquisition of UWS at the end of first quarter, which increased Cobalt’s invested assets by an additional $188.8 million as of June 30, 2001.
Investment gains (losses) are realized in the normal investment process in response to market opportunities. Investment gains of $0.1 million were realized for the three and six month periods ended June 30, 2001. Realized gains were insignificant for the three and six month periods ending June 30, 2000.
Expense Ratios
Loss Ratio. The insured medical loss ratio for the three months ended June 30, 2001 was 92.3%, compared with 94.8% for the three months ended June 30, 2000. For the six months ended June 30, 2001, the insured medical loss ratio was 90.5%, compared with 94.0% for the six months ended June 30, 2000. The decrease in the medical loss ratio is primarily the result of pricing increases instituted in response to higher than anticipated medical utilization and cost trends, along with a $2.7 million release in the premium deficiency reserve on the Medicare Risk business during the six months ended June 30, 2001. This improvement also reflects the increases in the level of government reimbursements, the implementation of pricing increases and other cost control measures on the Medicare Risk business.
The specialty risk products loss ratio improved to 75.4% for the three months ended June 30, 2001 compared to 82.4% for the three months ended June 30, 2000. The ratio also improved for the six months ended June 30, 2001 to 75.9% from 80.3% for the six months ended June 30, 2000. Results for the prior periods were entirely comprised of the BCBSUW insured dental line which showed slight increases in the loss ratios to 84.0% and 81.4% for the three and six month periods ended June 30, 2001, respectively. The overall improvement during the second quarter of 2001 resulted from the addition of the UWS specialty risk product line, which ran at a loss ratio of 73.5% for the three months ended June 30, 2001. This loss ratio was relatively consistent with past results for the UWS specialty product lines, which on a stand alone basis, ran at loss ratios of 73.8% and 77.1% for the six months ended June 30, 2001 and 2000, respectively.
Selling, General and Administrative Expense Ratio. The selling, general and administrative ("SGA") expense ratio includes commissions, administrative expenses, premium taxes and other assessments and claim interest expense. The insured medical SGA expense ratio for the three months ended June 30, 2001 was 9.5%, compared with 11.1% for the three months ended June 30, 2000. The insured medical SGA expense ratio for the six months ended June 30, 2001 was 9.8%, compared with 11.0% for the six months ended June 30, 2000. The improved SGA expense ratio in 2001 is the result of expense control measures instituted, combined with a higher premium base in 2001 due to pricing increases. The specialty risk products SGA ratio increased to 24.3% for the three months ended June 30, 2001 from 23.0% for the three months ended June 30, 2000. For the six months ended June 30, 2001, the specialty risk products SGA ratio was 23.8% compared to 24.5% for the six months ended June 30, 2000. The change in the ratio reflects changes in the mix of specialty risk business due to the addition of the UWS business.
The average self-funded SGA expense per member per month increased 22.6% for the three months ended June 30, 2001 to $15.88 from $12.95 for the three months ended June 30, 2000. The average self-funded SGA expense per member per month increased 28.9% for the six months ended June 30, 2001 to $16.86 from $13.08 for the six months ended June 30, 2000. The decrease in the self-funded membership caused the SGA expense per member per month to increase. Additional expense reduction measures are currently targeted in this area.
Operating Expense Ratio. The operating expense ratio for Government services for the three months ended June 30, 2001 increased to 99.6% from 99.2% for the three months ended June 30, 2000. The operating expense ratio for Government services stayed constant at 99.4% for the six months ended June 30, 2001 and June 30, 2000.
Other Expenses
BCBSUW has a bank line of credit, in which Cobalt subsidiaries participate, that permits aggregate borrowings up to $20 million. Interest expense, related to the bank line of credit, was $0.2 million and $0.1 million for the three months ended June 30, 2001 and June 30, 2000, respectively. Interest expense was $0.2 million for the six months ended June 30, 2001 and June 30, 2000.
Goodwill amortization totaling $1.8 million and $0.1 million has been recorded for the three months ended June 30, 2001 and 2000, respectively. For the six months ended June 30, 2001 and 2000, goodwill amortization totaling $1.9 million and $0.3 million, respectively, has been recorded. Goodwill amortization for the three months ended June 30, 2001 primarily relates to $75.1 million in goodwill recorded in 2001 for Cobalt as a result of purchase accounting, which is being amortized on a straight line basis over a period of 15 years. Amortization expense for the three and six month periods ended June 30, 2000 includes amortization related to the purchase by BCBSUW of 1.4 million additional shares of UWS stock. The excess of cost over the fair value of net assets acquired was recorded as goodwill by BCBSUW and was amortized on a straight line basis over a period of 15 years. As a result of purchase accounting, this goodwill was transferred to Cobalt during the first quarter of 2001 and is included in the $75.1 million of Cobalt goodwill discussed above. In addition, goodwill amortization has been recorded for various past acquisitions of subsidiaries and additional insurance business completed by UWS and BCBSUW.
Profit sharing expenses of $0.1 million were recorded for the three and six month periods ended June 30, 2001, which relate to two HMO joint venture provider arrangements within the UWS insured medical segment.
Net Income (Loss)
Consolidated net results improved for the three months ended June 30, 2001 to a loss of $3.8 million compared to a loss of $8.4 million for the three months ended June 30, 2000. For the six months ended June 30, 2001, the net results improved to a loss of $2.5 million compared to a loss of $16.3 million in 2000. The $3.8 million loss for the three months ended June 30, 2001 was the combination of a $4.5 million after tax operating loss offset by a $0.7 million equity in the net income of affiliates, net of tax. The $4.5 million after tax operating loss reflects improvement in the insured loss and SGA ratios and continued growth in government contract business over the prior year. In addition, $2.6 million in transaction expenses incurred by BCBSUW related to the combination were recorded during the first quarter of 2001.
As of June 30, 2001, Cobalt had net operating loss carry-forwards of approximately $140 million available to offset future taxable income. A full valuation allowance has been established against net deferred tax assets.
Liquidity and Capital Resources
Cobalt's sources of cash flow consist primarily of health services revenues and investment income. The primary use of cash includes medical and other benefit payments, as well as operating expense payments. Positive cash flows are invested pending future payments of medical and other benefits and other operating expenses. Cobalt's investment policies are designed to maximize yield, preserve principal and provide liquidity to meet anticipated payment obligations.
Cobalt's cash flow reflects an additional $50.0 million in cash and cash equivalents for the six months ended June 30, 2001 as a result of the acquisition of UWS.
As a Primary Licensee of the BlueCross BlueShield Association (the “Association”), Cobalt is required to maintain a prescribed liquidity ratio of certain liquid assets to average monthly expenses, as defined, in accordance with licensure requirements of the Association. BCBSUW and Compcare Health Services Insurance Corporation are both considered larger controlled affiliate licensees by the Association and must also adhere to these requirements. Cobalt maintained these required levels as of June 30, 2001.
Cobalt's investment portfolio consists primarily of investment-grade bonds and government securities and has a limited exposure to equity securities. At June 30, 2001, $188.6 million or 97.0% of Cobalt's total investment portfolio was invested in bonds compared with $36.5 million or 66.2% at June 30, 2000. The bond portfolio had an average quality rating by Moody's Investor Service of "Aa2" and “A1” at June 30, 2001 and June 30, 2000, respectively. At June 30, 2001, $181.5 million or 94.3% of Cobalt’s total investment portfolio was classified as available-for-sale compared with $55.1 million or 100.0% as of June 30, 2000. The market value of the total investment portfolio, which includes stocks and bonds, was less than amortized cost by $0.8 million and $0.7 million at June 30, 2001 and June 30, 2000, respectively. Unrealized gains and losses on bonds classified as available-for-sale are included as a component of surplus, net of applicable deferred taxes. Cobalt has no investments in mortgage loans, no non-publicly traded securities (except for investments related to its affiliates), real estate held for investment or financial derivatives (except for principal-only strips of U.S. Government securities).
Cobalt has an outstanding line of credit in the amount of $15.0 million as of June 30, 2001 available to Health Professionals of Wisconsin, Inc. The balance was $4.6 million and $6.0 million as of June 30, 2001 and June 30, 2000, respectively. Interest on the line of credit is calculated using prime rate.
Cobalt is required to maintain certain levels of statutory capital and surplus under the NAIC Risk Based Capital (“RBC”) requirements. Wisconsin insurers are also subject to compulsory and security surplus requirements based upon the amount and type of premiums written. In addition to statutory capital requirements, Cobalt is required to maintain certain levels as determined by the Association. Cobalt was in compliance with these requirements as of June 30, 2001. In order to satisfy certain intercompany receivables and continue to comply with minimum capital and licensing standards, management has considered selling certain subsidiaries, as well as some portion of all of its investment in American Medical Security Group, Inc., or obtaining capital from outside sources.
The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) includes administrative simplification provisions directed at simplifying electronic data interchange through standardizing transactions, establishing uniform health care provider, payer and employer identifiers and seeking protections for confidentiality and security of patient data. Under the new HIPAA privacy rules, Cobalt will now be required to (1) comply with a variety of requirements concerning its use and disclosure of individuals’ protected health information, (2) establish specific internal procedures to protect health information and (3) enter into business associate contracts with those companies to whom protected health information is disclosed. Violations of these rules could subject Cobalt to significant penalties. Compliance with HIPAA regulations require systems enhancements, training and administrative effort. The final rules do not provide for complete federal preemption of state laws, but rather preempt all contrary state laws unless the state law is more stringent. HIPAA could expose Cobalt to additional liability for, among other things, violations by its business associates.
Quantitative and Qualitative Disclosures about Market Risk
Because of Cobalt's investment policies, the primary market risks associated with Cobalt's portfolio are interest rate risk, credit risk and the risk related to fluctuations in equity prices. With respect to interest rate risk, a reasonably near-term rise in interest rates could negatively affect the fair value of Cobalt's bond portfolio. However, because Cobalt considers it unlikely that Cobalt would need or choose to substantially liquidate its portfolio, Cobalt believes that such an increase in interest rates would not have a material impact on future earnings or cash flows. In addition, Cobalt is exposed to the risk of loss related to changes in credit spreads. Credit spread risk arises from the potential that changes in an issuer's credit rating or credit perception may affect the value of financial instruments.
The overall goal of the investment portfolio is to support the ongoing operations of Cobalt. Cobalt's philosophy is to manage assets to maximize total return over a multiple-year time horizon, subject to appropriate levels of risk. Cobalt manages these risks by establishing gain and loss tolerances, targeting asset-class allocations, diversifying among asset classes and segments within various asset classes, and using performance measurement and reporting.
Cobalt uses a sensitivity model to assess the interest rate risk of its fixed income investments. The model includes all fixed income securities held and incorporates assumptions regarding the impact of changing interest rates on expected cash flows for certain financial assets with prepayment features, such as callable bonds and mortgage-backed securities. Since last reported as of March 31, 2001, no significant changes have occurred in the determination of the reduction in the fair value of Cobalt’s modeled financial assets as a result of a hypothetical instantaneous 100 basis point increase in market interest rates.
PART II. OTHER INFORMATION
Cobalt Corporation
Item 1. Legal Proceedings
None
Item 2. Changes in Securities
None
Item 3. Defaults Upon Senior Securities
None
Item 4. Submission of Matters to a Vote of Security Holders
The Annual Meeting of Shareholders of Cobalt was held on May 31, 2001, at which the following matters were voted upon:
| | | | | | | Broker | |
| For | | Against | | Abstain | | Non-Votes | |
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Nominees for Director | | | | | | | | |
Three-Year Term | | | | | | | | |
Expiring 2004 | | | | | | | | |
| Thomas R. Hefty | 40,090,415 | | — | | 61,372 | | — | |
| Janet D. Steiger | 40,091,571 | | — | | 60,216 | | — | |
| Kenneth M.Viste | 40,092,588 | | — | | 59,199 | | — | |
The term of office of the following other Directors continued after the meeting: Barry K. Allen, James L. Forbes, Michael S. Joyce, D. Keith Ness and William C. Rupp, M.D.
Item 5. Other Information
None
Item 6. | Exhibits and Reports on Form 8-K |
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| (a) | Exhibits |
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| | 10.1(a) | Executive Severance Agreement Tier I (Thomas R. Hefty) |
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| | 10.1(b) | Executive Severance Agreement Tier II (Stephen E. Bablitch, Gail L. Hanson, Penny J. Siewert and three other key employees) |
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| | 10.1(c) | Executive Severance Agreement Tier III (James E. Hartert and six other key employees) |
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| (b) | Reports on Form 8-K |
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| | The Company filed a current report on Form 8-K on April 9, 2001, reporting a change of control of the registrant and acquisition of assets as a result of the combination. |
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| | The following financial statements were filed with the Form 8-K: |
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| | a. | Financial Statements of Blue Cross & Blue Shield United of Wisconsin |
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| | | (i) | Financial Statements of Blue Cross & Blue Shield United of Wisconsin |
| | | | • Schedule IV – Reinsurance |
| | | | • Schedule V – Valuation and Qualifying Accounts |
| | | (ii) | Selected Financial Data for Blue Cross & Blue Shield United of Wisconsin |
| | | (iii) | Management’s Discussion and Analysis of Financial Condition and Results of Operations for Blue Cross & Blue Shield United of Wisconsin |
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| | b. | Pro Forma Financial Information |
| | | (i) | Unaudited Pro Forma Balance Sheet |
| | | (ii) | Unaudited Pro Forma Statement of Operations |
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
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August 14, 2001 | COBALT CORPORATION |
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| By: /s/ Gail L. Hanson |
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| Gail L. Hanson |
| Senior Vice President, Treasurer and |
| Chief Financial Officer |