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425 Filing
Elevance Health (ELV) 425Business combination disclosure
Filed: 3 Mar 04, 12:00am
Filed by: Anthem, Inc.
Pursuant to Rule 425 under the Securities Act of 1933
and deemed filed pursuant to Rule 14a-12
of the Securities Exchange Act of 1934
Subject Company: WellPoint Health Networks Inc.
Commission File Number for Related Registration Statement: 333-110830
SAFE HARBOR STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995
This document contains certain forward-looking information about Anthem, Inc. (“Anthem”), WellPoint Health Networks Inc. (“WellPoint”) and the combined company after completion of the proposed transactions that are intended to be covered by the safe harbor for “forward-looking statements” provided by the Private Securities Litigation Reform Act of 1995. Forward-looking statements are statements that are not historical facts. Words such as “expect(s)”, “feel(s)”, “believe(s)”, “will”, “may”, “anticipate(s)” and similar expressions are intended to identify forward-looking statements. These statements include, but are not limited to, financial projections and estimates and their underlying assumptions; statements regarding plans, objectives and expectations with respect to future operations, products and services; and statements regarding future performance. Such statements are subject to certain risks and uncertainties, many of which are difficult to predict and generally beyond the control of Anthem and WellPoint, that could cause actual results to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements. These risks and uncertainties include: those discussed and identified in public filings with the U.S. Securities and Exchange Commission (“SEC”) made by Anthem and WellPoint; trends in health care costs and utilization rates; our ability to secure sufficient premium rate increases; competitor pricing below market trends of increasing costs; increased government regulation of health benefits and managed care; significant acquisitions or divestitures by major competitors; introduction and utilization of new prescription drugs and technology; a downgrade in our financial strength ratings; litigation targeted at health benefits companies; our ability to contract with providers consistent with past practice; our ability to consummate Anthem’s merger with WellPoint, to achieve expected synergies and operating efficiencies in the merger within the expected time-frames or at all and to successfully integrate our operations; such integration may be more difficult, time-consuming or costly than expected; revenues following the transaction may be lower than expected; operating costs, customer loss and business disruption, including, without limitation, difficulties in maintaining relationships with employees, customers, clients or suppliers, may be greater than expected following the transaction; the regulatory approvals required for the transaction may not be obtained on the terms expected or on the anticipated schedule; our ability to meet expectations regarding the timing, completion and accounting and tax treatments of the transaction and the value of the transaction consideration; future bio-terrorist activity or other potential public health epidemics; and general economic downturns. Readers are cautioned not to place undue reliance on these forward-looking statements that speak only as of the date hereof.
Neither Anthem nor WellPoint undertakes any obligation to republish revised forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events. Readers are also urged to carefully review and consider the various disclosures in Anthem’s and WellPoint’s various SEC reports, including but not limited to the Anthem’s Annual Report on Form 10-K for the year ended December 31, 2003, WellPoint’s Annual Report on Form 10-K for the year ended December 31, 2002 and Anthem’s and WellPoint’s Quarterly Reports on Form 10-Q for the reporting periods of 2003.
ADDITIONAL INFORMATION AND WHERE TO FIND IT
Anthem has filed on November 26, 2003 a preliminary registration statement on Form S-4, including the preliminary joint proxy statement/prospectus constituting a part thereof, with the SEC in connection with Anthem’s proposed merger with WellPoint. Anthem will file a final registration statement, including a definitive joint proxy statement/prospectus constituting a part thereof, and other documents with the SEC.SHAREHOLDERS OF ANTHEM AND STOCKHOLDERS OF WELLPOINT ARE ENCOURAGED TO READ THE REGISTRATION STATEMENT AND ANY OTHER RELEVANT DOCUMENTS FILED WITH THE SEC, INCLUDING THE JOINT PROXY STATEMENT/PROSPECTUS THAT WILL BE PART OF THE REGISTRATION STATEMENT, BECAUSE THEY WILL CONTAIN IMPORTANT INFORMATION ABOUT THE PROPOSED MERGER. The final joint proxy statement prospectus will be mailed to shareholders of Anthem and stockholders of WellPoint. Investors and security holders will be able to obtain the documents free of charge at the SEC’s web site, www.sec.gov, from Anthem Investor Relations at 120 Monument Circle, Indianapolis, IN 46204-4903, or from WellPoint Investor Relations at 1 WellPoint Way, Thousand Oaks, CA 91362.
PARTICIPANTS IN SOLICITATION
Anthem, WellPoint and their directors and executive officers and other members of their management and employees may be deemed to be participants in the solicitation of proxies in respect of the proposed transaction. Anthem’s Current Report on Form 8-K, which was filed with the SEC on October 27, 2003, contains information regarding Anthem’s participants and their interests in the solicitation. Information concerning WellPoint’s participants is set forth in the proxy statement, dated March 31, 2003, for WellPoint’s 2003 annual meeting of stockholders as filed with the SEC on Schedule 14A. Additional information regarding the interests of Anthem’s and WellPoint’s participants in the solicitation of proxies in respect of the proposed transaction is included in the registration statement and joint proxy statement/prospectus filed with the SEC.
Anthem and WellPoint made the following presentation on March 3, 2004:
Larry Glasscock, Chairman, President and Chief Executive Officer
David Colby, Executive Vice President & Chief Financial Officer
March 3, 2004
SAFE HARBOR STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995
This presentation contains certain forward-looking information about Anthem, Inc. (“Anthem”), WellPoint Health Networks Inc. (“WellPoint”) and the combined company after completion of the transactions that are intended to be covered by the safe harbor for “forward-looking statements” provided by the Private Securities Litigation Reform Act of 1995. Forward-looking statements are statements that are not historical facts. Words such as “expect(s)”, “feel(s)”, “believe(s)”, “will”, “may”, “anticipate(s)” and similar expressions are intended to identify forward-looking statements. These statements include, but are not limited to, financial projections and estimates and their underlying assumptions; statements regarding plans, objectives and expectations with respect to future operations, products and services; and statements regarding future performance. Such statements are subject to certain risks and uncertainties, many of which are difficult to predict and generally beyond the control of Anthem and WellPoint, that could cause actual results to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements. These risks and uncertainties include: those discussed and identified in public filings with the U.S. Securities and Exchange Commission (“SEC”) made by Anthem and WellPoint; trends in health care costs and utilization rates; our ability to secure sufficient premium rate increases; competitor pricing below market trends of increasing costs; increased government regulation of health benefits and managed care; significant acquisitions or divestitures by major competitors; introduction and utilization of new prescription drugs and technology; a downgrade in our financial strength ratings; litigation targeted at health benefits companies; our ability to contract with providers consistent with past practice; our ability to consummate Anthem’s merger with WellPoint, to achieve expected synergies and operating efficiencies in the merger within the expected time-frames or at all and to successfully integrate our operations; such integration may be more difficult, time-consuming or costly than expected; revenues following the transaction may be lower than expected; operating costs, customer loss and business disruption, including, without limitation, difficulties in maintaining relationships with employees, customers, clients or suppliers, may be greater than expected following the transaction; the regulatory approvals required for the transaction may not be obtained on the terms expected or on the anticipated schedule; our ability to meet expectations regarding the timing, completion and accounting and tax treatments of the transaction and the value of the transaction consideration; future bio-terrorist activity or other potential public health epidemics; and general economic downturns. Readers are cautioned not to place undue reliance on these forward-looking statements that speak only as of the date hereof. Neither Anthem nor WellPoint undertakes any obligation to republish revised forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events. Readers are also urged to carefully review and consider the various disclosures in Anthem’s and WellPoint’s various SEC reports, including but
not limited to Annual Reports on Form 10-K for the year ended December 31, 2002 and Quarterly Reports on Form 10-Q for the reporting periods of 2003.
2
ADDITIONAL INFORMATION AND WHERE TO FIND IT
This presentation may be deemed to be solicitation material in respect of the proposed merger of Anthem and WellPoint. In connection with the proposed transaction, a registration statement on Form S-4 has been filed with the SEC. SHAREHOLDERS OF ANTHEM AND STOCKHOLDERS OF WELLPOINT ARE ENCOURAGED TO READ THE REGISTRATION STATEMENT AND ANY OTHER RELEVANT DOCUMENTS FILED WITH THE SEC, INCLUDING THE JOINT PROXY STATEMENT/PROSPECTUS THAT WILL BE PART OF THE REGISTRATION STATEMENT, BECAUSE THEY WILL CONTAIN IMPORTANT INFORMATION ABOUT THE PROPOSED MERGER.
The final joint proxy statement / prospectus will be mailed to shareholders of Anthem and stockholders of WellPoint. Investors and security holders will be able to obtain the documents free of charge at the SEC’s web site, www.sec.gov, from Anthem Investor Relations at 120 Monument Circle, Indianapolis, IN 46204-4903, or from WellPoint Investor Relations at 1 WellPoint Way, Thousand Oaks, CA 91362.
PARTICIPANTS IN SOLICITATION
Anthem, WellPoint and their directors and executive officers and other members of their management and employees may be deemed to be participants in the solicitation of proxies in respect of the proposed transaction. Anthem’s Current Report on Form 8-K, which was filed with the SEC on October 27, 2003, contains information regarding Anthem’s participants and their interests in the solicitation. Information concerning WellPoint’s participants is set forth in the proxy statement, dated March 31, 2003, for Wellpoint’s 2003 annual meeting of stockholders as filed with the SEC on Schedule 14A. Additional information regarding the interests of Anthem’s and WellPoint’s participants in the solicitation of proxies in respect of the proposed transaction will be included in the registration statement and joint proxy statement/prospectus filed with the SEC.
3
Agenda
• WellPoint Profile
• Anthem Profile
• Merger Summary
“This presentation contains non-GAAP financial measures, as defined in the rules of the Securities and Exchange Commission. As required by the rules, a reconciliation of those measures to the most directly comparable GAAP measures is available at the WellPoint website, which can be found at www.wellpoint.com.”
4
WellPoint Profile
• Second largest health plan in U.S.
• Broad range of medical and specialty products
• Organized by customer segment with a diverse customer base
• Regional geographic focus
• One Company, multiple brands
5
Broad Product Choice
Pharmacy
Dental
Behavioral Health
Life/Long Term Care
Disability
Medical Management
Network Access
CHOICE = VALUE
6
Organized by
Customer Segment . . .
Market Segment Size
Individual 1
Senior 1
Small Group 2 – 50
Key Accounts 51 – 250
Major Accounts 251 �� 2,000
Special Accounts 2,001+
Public Entities* varies
State Sponsored Programs** varies
* Employees of schools, municipalities, Federal Employees Program
** Beneficiaries of Medicaid, State Children Health Insurance Program and similar programs
… to better understand and meet the unique needs of these customers
7
Diverse Customer Base
December 31, 2003 Enrollment
464,000 Seniors
845,000Medi-Cal
5,932,000 Large Group ASO*
726,000 Other State Sponsored Programs
1,497,000 Individual
4,132,000 Large Group Insured
1,415,000 Small Group
* Includes 1.2 million network access members and 1.0 million BlueCard “host” members
8
Regional Concentration
• Health care is locally delivered and locally consumed
• Better network leverage
• Greater actuarial precision
• More efficient marketing/operations
Blue Cross license service areas
UNICARE regions
HealthLink states (also includes Missouri, Indiana & Illinois)
9
Membership Growth
Total Medical Membership
16,000 (in thousands)
2,797 4,485 6,638 6,892 7,515 8,201 10,528 13,223 15,011
California
Membership 7% 27% 17% 7% 15% 8% 6% 11% 2%**
Growth:
* Total medical membership as of 12/31/03 includes 1.0 million BlueCard “host” members
** California membership growth excludes BlueCard “host” members
10
Big Plans Will Get Larger
Top Ten Health Plans*
1995
Medical Members
Total Insured 223.7 Million Top 10 = 61.1 Million
2003*
Medical Members
Total Insured 245.4 Million Top 10 = 102.4 Million
* Top 10 Health Plans as of 9/30/03: UNH, WLP, AET, ATH, CI, Kaiser Foundation, HUM, Health Care Services Corp., HNT, WC
Source: Bear Stearns, Centers for Medicare & Medicaid Services, Office of Actuary, U.S. Census Bureau, and SEC filings of publicly traded companies
11
Fragmented Industry
Many smaller, regional players in key geographies
California
• Alameda Alliance for Health
• Care 1st Health Plan
• Chinese Community Health Plan
• Community Health Group
• Community Health Plan
• Contra Costa Health Plan
• Health Plan of San Joaquin
• Inland Empire Health Plan
• Interplan Corp
• One Health Plan of CA
• Primecare Medical Network
• ProMed Health Care Administrators
• Safeguard Health Plans
• San Francisco Health Plan
• Santa Clara Family Health Plan
• Scripps Clinic Health Plan
• Sharp Health Plan
• Sistemas Medicos Nacionales
• Universal Care
• Western Health Advantage
Georgia
• Athens Area Health Plan
• Columbus Physician Organization
• Healthcare, Inc.
• HealthOne
• Medical Resource Network
• One Health Plan of GA
• Phoebe Health Partners, Inc.
Missouri
• Community Care Plus
• Community Health Plan
• Cox Health System, Inc.
• Family Health Partners
• FirstGuard Health Plan
• Group Health Plan
• Health Care USA, Missouri, LLC
• Mercy Health Plans of Mo. Inc.
• One Health Plan of Kansas/Missouri, Inc.
Illinois
• Harmony Health Plan of Ill.
• Health Alliance Medical Plans, Inc.
• Health Marketing, Inc.
• Healthcare’s Finest Network
• One Health Plan of Ill., Inc.
• OSF HealthPlans, Inc.
• Quincy Health Care Management
• RCare PPO
• Rockford Health Plans
• The Preferred Plan, Inc.
• Trinity PHO, Ltd.
• Union Health Service, Inc.
• Union Health Service, Inc.
Texas
• Access Direct-A preferred Provider Network
• Advantage Care Network, Inc.
• Alliance Regional Health Network
• Brazos Valley Health Network
• Galaxy Health Network
• IntegraHome
• Preferred Care
• ProAmerica
• SETON Healthcare Network
• TexCare Partnership
• The MEGS Life & Health Ins. Co.
• USA Managed Care Organization
Represents more than 18 million lives in these states
Sources: InterStudy PPO Directory and Performance Report 3.0; The InterStudy Competitive Edge, Part I: HMO Directory, July 1, 2002
12
Uninsured Opportunity
Uninsured Potential Solutions
18 million
• Demonstrate value • Existing
Moderate to high income
• Potential tax subsidies commercial
• 11.4 million earn >300%
FPL programs
• 6.4 million earn
200–299% FPL
14 million • Enrollment programs •
• Education Existing Medicaid
• Eligible for public • Community outreach and SCHIP
programs but not Programs
enrolled
• Earn <100% FPL
9 million • Increased State • Expanded
• Low income, not eligible funding ? government
for public programs • Federal assistance? programs ?
• Earn 100-199% FPL
Source: NIHCM Foundation, 2002, RWJF-sponsored project. Based on 2001 data.
13
Ethnic Outreach Programs
• Agent support
• Community programs
• Media relations
• Partnership activities
• Example: HealthyCheck Program in California
– Experience higher incidence of preventable and manageable chronic diseases
– Limited access to health care services
– Affordable and convenient preventive health screenings
– Partner with hospitals
14
Targeted Medical Management
WellPoint Membership
20%
80%
Members with chronic conditions
• Asthma • Depression
• Congestive • Oncology Heart Failure • High risk
• ESRD pregnancy
• Diabetes • Etc.
WellPoint Membership
8%
24%
68%
WellPoint Medical Costs
70%
23%
7%
15
Cost Variations
September 19, 2000
The operation you get often depends on where you live.
Total Abdominal Total Knee
Hysterectomy Cholecystectomy Replacement
CA Hospital A $ 25,100 $ 27,000 $ 28,700
CA Hospital B $ 2,200 $ 1,700 $ 3,000
GA Hospital A $ 11,400 $ 12,500 $ 21,100
GA Hospital B $ 2,800 $ 2,800 $ 8,700
MO Hospital A $ 26,200 $ 18,200 $ 119,400
MO Hospital B $ 3,100 $ 9,600 $ 24,900
TX Hospital A $ 37,700 $ 18,600 $ 41,000
TX Hospital B $ 14,700 $ 2,100 $ 24,700
16
Managing Rx Costs
Claritin OTC Conversion $3.00 per day $.90 per day $.50 per day $.10 per day
17
Health Coaching Model
Physician Centric
Constraints on physician time and resources do not allow for the in-depth counseling and assistance necessary for the effective treatment of chronic illnesses
RN Directed
RN gives didactic telephonic education without assessing member motivation or underlying barriers to change
Multi Disciplinary Health Coaching
Health Coaching is a multi-disciplinary, facilitative approach to enhance members’ ability to self-manage conditions
18
WellPoint Pharmacy Management
• Fourth largest PBM with more than 31 million members
• Offers full spectrum of PBM services
Clinical / Medical Management
Clinical Business Plan Therapy Management Patients-At-Risk
Intervention Programs Disease Management
Consultative Services
Incentive Programs Benefit Designs Interventions Account Management Sales Support Business Strategies
Claims Processing
Claims Keying Online DUR
Network Management
National Network
Customized Local Networks MAC Programs
PrecisionRx
Integrated Mail Service Pharmacy Specialty Pharmacy
Formulary Management
Treatment Guidelines P&T Committees Manufacturer Discounts Preferred Rx Programs Prior Auth Center
ReViewPoint®
Online Reporting
• Provide innovative programs to manage drug trend
• Clinical programs are outcomes-focused and patient-centric
19
Other Specialty Products
Dental PPO, DHMO & FFS
Life Basic & supplemental group term,
dependent coverage, AD&D
Disability Group STD & LTD
Behavioral Full range of Behavioral Health
Health services, including EAP plans
WC MCS Network management, bill review,
medical management and case
management, all on non-risk basis
20
Specialty Products Contribute to WellPoint’s Profitability
Total WellPoint Profitability*
Year Ended December 31, 2002
Specialty Segment 13% 87%
Health Care Segment
Year Ended December 31, 2003
Specialty Segment 14% 86%
Health Care Segment
Growth**
Health Care Segment 40% Specialty Segment 55%
*Excludes Corporate and Other segment
**Represents growth in segment net income for the year ended December 31, 2003 versus the year ended December 31, 2002
21
Leveraging Technology to Improve Margins
G & A Expense Ratio Trends*
329 bp improvement
* General and administrative expense ratio is calculated as a percentage of premium revenue and management services and other revenue combined
22
WLP Financial Highlights
Total Revenue
$ (in billions)
CAGR = 26%* $4.0 $5.6 $6.5 $7.5 $9.2 $12.4 $17.3 $20.4
*As of December 31, 2003. CAGR = (FV/PV)1/n –1, where FV is the future value, PV is the present value, and n is the number of years.
23
WLP Financial Highlights
Income from Continuing Operations(a)
1000 (in millions)
900
CAGR = 25%(f)
800 $198.5
$224.9 (b)
$263.0 (c)
$299.1 (d)
$342.3
$414.7 (d) (e)
$660.9
$935.2
(a) Before extraordinary items and cumulative effect of accounting change, if applicable
(b) 1997 income from continuing operations of $229.4 million excludes: i) $9.0 million of nonrecurring costs, net of tax, related to write-down of the Company’s dental practice management operations, discontinuance of certain medical practice management operations, and severance and retention payments associated with the GBO acquisition, ii) $4.5 million charge, net of tax, associated with prior investments in certain distribution channels outside of California, and iii) $18 million of investment gains in HPI, net of tax (c) 1998 income from continuing operations of $319.5 million excludes a charge of $29.0 million, net of tax, related to WellPoint’s previous holdings in FPA Medical Management, Inc. and the impact of favorable IRS tax ruling of $85.5 million (d) Due to issuance of FASB no.145, WellPoint reclassified the extraordinary gains and losses from the extinguishment of debt to interest expense. For the year ended December 31, 1999, WellPoint reclassified an extraordinary gain of $3.1 million (which included a tax expense of $1.2 million) to interest expense. For the year ended December 31, 2002, WellPoint reclassified an extraordinary loss of $6.3 million (which included a tax benefit of $2.5 million) to interest expense. (e) 2002 income from continuing operations before extraordinary item of $694.1 million excludes $33.2 million of net realized investment gains, net of tax.
(f) As of December 31, 2003. CAGR = (FV/PV)1/n–1, where FV is the future value, PV is the present value, and n is the number of years.
24
Agenda
• WellPoint Profile
• Anthem Profile
• Merger Summary
25
Anthem Profile
Anthem BCBS Coverage
Full range of healthcare and specialty products Among the fastest growing healthcare companies 11.9 million medical members
Regional business model National capabilities BCBS licenses in 9 states #1 market share in 8 of 9 states
26
Executing a Simple Strategy
Grow Profitable Enrollment
Reduce Administrative Costs
Optimize the Cost of Healthcare, While Improving the Health of Our Members
Provide Distinctive Service
Strong Cash Management
Drivers to Success
Customers Are First Disciplined Focus Regional Model
27
Profitable Enrollment Growth
9% Same Store CAGR, 1999—2004E
(In Millions)
6.3
7.3
7.9
11.1
11.9
12.5+
Acquisition-related membership in the applicable year
28
National Accounts
Gaining Strength in the Market Place
• Strong retention of existing accounts
• 30 new account wins for 1Q04
Value Proposition
• Blue Cross Blue Shield Brand
• Access to BlueCard networks nationwide
• ClaimsQuest
• Interactive Realtime Information System (IRIS)
• Dedicated Business Unit Model
29
Specialty Product Opportunities
Cross Selling to Existing Customers
Membership (mm)
Pharmacy 5.3
Dental 2.5
Life 0.9
New Specialty Products
Behavioral Health 3.0
Vision 0.4
Total Benefit Solutions for Customers
Specialty membership as of December 31, 2003
30
Administrative Expense Discipline
24.2%
21.2%
19.6%
19.3%
18.9%
Strategies For Improvement
• Systems consolidation
• Shared service platform
• Investments in technology
• Process improvements
31
Managing Overall Health Status
Strategies
• Advanced Care Management
• Disease Management, identification of at-risk members
• Prevention and member education
• Wellness and product strategies
All Healthy Members
At Risk Behaviors
Waiting to Happen
Most Complexly ill Members
32
Optimizing the Cost of Care
Distribution of Medical Costs
Membership Medical Costs
25%
28%
33
Optimizing the Cost of Care
Improving the Health of our Members
MyHealth@Anthem
Disease and Advanced Care Programs
IRIS Patient Safety Program
Health Advisor Tools
Rx Integration
Addressing Variations in Patient Care
Physician Collaboration Programs
Incentive Reimbursement to Providers
Hospital Quality Programs
34
Excellent Customer Service
Best in Customer Service
% of responses
82 40 30 24 5
Best in Claims Processing
% of responses
74 34 22 20 2
Source: Smith Barney Health Benefit Survey, Sept. 29, 2003.
35
Strong Cash Management
Operating Cash Flow
($ in millions)
$342 $655 $549 $991 $774 $1,143
Net Income
Cash Flow
36
Strong Financial Momentum
Diluted EPS
$3.30 $4.51 $5.45 $6.15-$6.25
Operating Revenue
($ in billions) $10.1 $13.0 $16.5 $18.3+
37
Agenda
• WellPoint Profile
• Anthem Profile
• Merger Summary
38
Transaction Summary
Consideration Per WLP Share: 1 ATH share + $23.80 cash
Name: WellPoint, Inc.
Headquarters: Indiana
Board Representation: 58% Anthem, 42% WellPoint
Chairman: Leonard Schaeffer
President and CEO: Larry Glasscock
Chief Financial Officer: David Colby
Co-Heads of Integration: Mike Smith, Alice Rosenblatt
39
Leading Market Positions
Anthem WellPoint
UNICARE and HealthLink >100K members
40
Merger Benefits
Growth Opportunities
•
Target individual products in ATH markets – “Young invincibles”
– Early retirees
– Other uninsured
•
Utilize ATH experience with national accounts – ATH national accounts same store growth
14% in 2002 16% in 2003
– Multi-state employers focusing more on medical costs in addition to administrative expenses
– Enhanced e-commerce capabilities provide higher service levels
41
Merger Benefits
Growth Opportunities
• Increase penetration of PBM services
– Increased size enhances value proposition
– WLP PBM experienced with external sales
• Cross-sell other specialty product sales to existing members
• Utilize best practices in health improvement programs and contracting to better manage medical cost trends
– Information-based decision making
– National contracting (labs, DME, etc.)
42
Merger Benefits
Operating Synergies
• Recognize at least $250 million in pre-tax synergies
– Information technology $75 million +
– Specialty businesses $75 million +
– Operations $50 million +
– Corporate & Shared Services $50 million +
• Positioned to implement over 18—24 months: $50 million in 2004, $175 million in 2005, and $250 million in 2006
• Synergies represent approximately 4% to 5% of combined administrative expenses—consistent with prior transactions
43
Merger Update
• S-4 filed 11/26/2003 – “no-review” by SEC
• Form A’s filed with state regulators
• Hart Scott Rodino clearance
• BCBSA application submitted
– PPFSC Committee approval
– Board meeting vote by end of first quarter
• Anticipate mid-2004 closing
44
The Underwriting Cycle Is Becoming a Myth
• Generally self-inflicted cycles in the past
• Track records of underwriting discipline
• Industry consolidation since mid-90’s mitigates risk
• Fewer, more disciplined Blues
• Better prediction of medical costs
• Premium refunds better than underpricing
45
Disappearance of the Underwriting Cycle
Underwriting Results as % of Revenue*
All Blue Plans ‘66 – ‘02
Source: BCBSA, 2002
46
WellPoint + Anthem .. . .
. . . A Very Compelling Transaction . . .
• Geographic diversification with strong local focus and national reach
• Diversified membership base
• Realize significant growth potential in ISG, national accounts and specialty businesses
• Leverage technology
– Enhance product offerings, customer service and relationships with physicians and hospitals
– Better data management for clinical decision-making
– Improve productivity
• Identified synergies lower administrative expenses
47