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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D. C. 20549
FORM 10-Q
(Mark One)
x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the Quarterly Period endedSeptember 30, 2005
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: 001-16751
WELLPOINT, INC.
(Exact name of registrant as specified in its charter)
INDIANA | 35-2145715 | |
(State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification Number) | |
120 MONUMENT CIRCLE INDIANAPOLIS, INDIANA | 46204-4903 | |
(Address of principal executive offices) | (Zip Code) |
Registrant’s telephone number, including area code: (317) 488-6000
Not Applicable
(Former name, former address and former fiscal year, if changed since last report)
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 at least the past 90 days. Yesx No¨
Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act). Yes x No¨
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ¨ Nox
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 October 19, 2005 | |
Common Stock, $0.01 par value | 616,200,206 shares |
Table of Contents
WellPoint, Inc.
Quarterly Report on Form 10-Q
For the Period Ended September 30, 2005
Page | ||
PART I. FINANCIAL INFORMATION | ||
ITEM 1. FINANCIAL STATEMENTS | ||
Consolidated Balance Sheets as of September 30, 2005 (Unaudited) and December 31, 2004 | 1 | |
2 | ||
3 | ||
4 | ||
5 | ||
ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS | 16 | |
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK | 47 | |
47 | ||
PART II. OTHER INFORMATION | ||
48 | ||
ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS | 49 | |
50 | ||
50 | ||
50 | ||
50 | ||
51 | ||
52 |
Table of Contents
PART I. FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS
Consolidated Balance Sheets
(In Millions, Except Share Data) | September 30, 2005 | December 31, 2004 | ||||||
Assets | (Unaudited) | |||||||
Current assets: | ||||||||
Investments available-for-sale, at fair value: | ||||||||
Fixed maturity securities (amortized cost of $13,103.2 and $12,286.7) | $ | 13,012.7 | $ | 12,413.7 | ||||
Equity securities (cost of $1,377.2 and $1,089.3) | 1,566.7 | 1,173.2 | ||||||
Cash and cash equivalents | 2,163.3 | 1,457.2 | ||||||
Premium and self-funded receivables | 1,757.0 | 1,574.6 | ||||||
Other receivables | 945.9 | 876.4 | ||||||
Securities lending collateral | 1,000.9 | 658.5 | ||||||
Deferred tax assets, net | 342.6 | 434.0 | ||||||
Other current assets | 783.3 | 769.9 | ||||||
Total current assets | 21,572.4 | 19,357.5 | ||||||
Long-term investments | 693.4 | 748.1 | ||||||
Property and equipment | 966.8 | 1,045.2 | ||||||
Goodwill | 10,149.4 | 10,017.9 | ||||||
Other intangible assets | 8,041.5 | 8,211.6 | ||||||
Other noncurrent assets | 432.1 | 358.1 | ||||||
Total assets | $ | 41,855.6 | $ | 39,738.4 | ||||
Liabilities and shareholders’ equity | ||||||||
Liabilities | ||||||||
Current liabilities: | ||||||||
Policy liabilities: | ||||||||
Medical claims payable | $ | 4,182.3 | $ | 4,202.0 | ||||
Reserves for future policy benefits | 133.7 | 145.0 | ||||||
Other policyholder liabilities | 1,245.3 | 1,209.5 | ||||||
Total policy liabilities | 5,561.3 | 5,556.5 | ||||||
Unearned income | 1,173.0 | 1,046.6 | ||||||
Accounts payable and accrued expenses | 2,250.8 | 2,222.1 | ||||||
Income taxes payable | 653.5 | 418.8 | ||||||
Security trades pending payable | 83.5 | 84.4 | ||||||
Securities lending payable | 1,000.9 | 658.5 | ||||||
Current portion of long-term debt | 459.6 | 150.3 | ||||||
Other current liabilities | 1,099.3 | 1,433.4 | ||||||
Total current liabilities | 12,281.9 | 11,570.6 | ||||||
Long-term debt | 3,918.1 | 4,276.7 | ||||||
Reserves for future policy benefits, noncurrent | 739.7 | 727.2 | ||||||
Deferred income taxes | 2,620.2 | 2,596.4 | ||||||
Other noncurrent liabilities | 1,061.0 | 1,108.5 | ||||||
Total liabilities | 20,620.9 | 20,279.4 | ||||||
Commitments and contingencies – Note 11 | ||||||||
Shareholders’ equity | ||||||||
Preferred stock, without par value, shares authorized – 100,000,000; | – | – | ||||||
Common stock, par value $0.01, shares authorized – 900,000,000; | 6.1 | 3.0 | ||||||
Additional paid-in capital | 17,751.9 | 17,433.6 | ||||||
Retained earnings | 3,521.5 | 1,960.1 | ||||||
Unearned stock compensation | (97.6 | ) | (83.5 | ) | ||||
Accumulated other comprehensive income | 52.8 | 145.8 | ||||||
Total shareholders’ equity | 21,234.7 | 19,459.0 | ||||||
Total liabilities and shareholders’ equity | $ | 41,855.6 | $ | 39,738.4 | ||||
See accompanying notes.
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WellPoint, Inc.
Consolidated Statements of Income
(Unaudited)
(In Millions, Except Per Share Data) | Three Months Ended September 30 | Nine Months Ended September 30 | |||||||||||
2005 | 2004 | 2005 | 2004 | ||||||||||
Revenues | |||||||||||||
Premiums | $ | 10,315.0 | $ | 4,336.9 | $ | 30,806.7 | $ | 12,576.5 | |||||
Administrative fees | 690.8 | 339.1 | 2,022.8 | 997.4 | |||||||||
Other revenue | 144.5 | 57.1 | 419.6 | 162.5 | |||||||||
Total operating revenue | 11,150.3 | 4,733.1 | 33,249.1 | 13,736.4 | |||||||||
Net investment income | 154.7 | 67.9 | 453.2 | 211.8 | |||||||||
Net realized (losses) gains on investments | (0.4 | ) | 6.2 | 1.4 | 40.7 | ||||||||
Total revenues | 11,304.6 | 4,807.2 | 33,703.7 | 13,988.9 | |||||||||
Expenses | |||||||||||||
Benefit expense | 8,243.9 | 3,587.4 | 24,879.6 | 10,336.1 | |||||||||
Selling, general and administrative expense: | |||||||||||||
Selling expense | 370.6 | 116.9 | 1,097.7 | 340.0 | |||||||||
General and administrative expense | 1,477.2 | 665.7 | 4,312.1 | 1,997.3 | |||||||||
Total selling, general and administrative expense | 1,847.8 | 782.6 | 5,409.8 | 2,337.3 | |||||||||
Cost of drugs | 73.8 | 20.6 | 218.5 | 58.5 | |||||||||
Interest expense | 56.1 | 32.9 | 168.2 | 97.4 | |||||||||
Amortization of other intangible assets | 59.6 | 11.3 | 178.7 | 33.7 | |||||||||
Total expenses | 10,281.2 | 4,434.8 | 30,854.8 | 12,863.0 | |||||||||
Income before income taxes | 1,023.4 | 372.4 | 2,848.9 | 1,125.9 | |||||||||
Income taxes | 382.7 | 130.3 | 1,037.1 | 350.3 | |||||||||
Net income | $ | 640.7 | $ | 242.1 | $ | 1,811.8 | $ | 775.6 | |||||
Net income per share (1) | |||||||||||||
Basic | $ | 1.05 | $ | 0.87 | $ | 2.97 | $ | 2.80 | |||||
Diluted | $ | 1.02 | $ | 0.85 | $ | 2.90 | $ | 2.72 | |||||
(1) Per share data for each period presented reflects the two-for-one stock split, which was approved by the Board of Directors on April 25, 2005. All shareholders of record on May 13, 2005 received one additional share of WellPoint common stock for each share of common stock held on that date. The additional shares of common stock were distributed to shareholders of record in the form of a stock dividend on May 31, 2005.
See accompanying notes.
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WellPoint, Inc.
Consolidated Statements of Shareholders’ Equity
(Unaudited)
(In Millions) | Common Stock | Additional Paid-in Capital | Retained Earnings | Unearned Stock Compensation | Accumulated Other Comprehensive Income (Loss) | Total Shareholders’ Equity | ||||||||||||||||||||
Number of Shares | Par Value | |||||||||||||||||||||||||
January 1, 2005 | 302.6 | $ | 3.0 | $ | 17,433.6 | $ | 1,960.1 | $ | (83.5 | ) | $ | 145.8 | $ | 19,459.0 | ||||||||||||
Net income | – | – | – | 1,811.8 | – | – | 1,811.8 | |||||||||||||||||||
Change in net unrealized gains on investments | – | – | – | – | – | (95.1 | ) | (95.1 | ) | |||||||||||||||||
Change in net unrealized gains on cash flow hedges | – | – | – | – | – | 2.1 | 2.1 | |||||||||||||||||||
Comprehensive income | 1,718.8 | |||||||||||||||||||||||||
Repurchase and retirement of common stock | (3.9 | ) | – | (146.6 | ) | (186.8 | ) | – | – | (333.4 | ) | |||||||||||||||
Issuance of common stock for stock incentive plan and employee stock purchase plan, net of repurchases under stock-for-stock option exercise and restricted stock authorization | 10.4 | – | 464.9 | (60.5 | ) | (14.1 | ) | – | 390.3 | |||||||||||||||||
Two-for-one stock split | 307.0 | 3.1 | – | (3.1 | ) | – | – | – | ||||||||||||||||||
September 30, 2005 | 616.1 | $ | 6.1 | $ | 17,751.9 | $ | 3,521.5 | $ | (97.6 | ) | $ | 52.8 | $ | 21,234.7 | ||||||||||||
January 1, 2004 | 137.6 | $ | 1.4 | $ | 4,708.7 | $ | 1,154.3 | $ | (3.2 | ) | $ | 138.7 | $ | 5,999.9 | ||||||||||||
Net income | – | – | – | 775.6 | – | – | 775.6 | |||||||||||||||||||
Change in net unrealized gains on investments | – | – | – | – | – | (42.8 | ) | (42.8 | ) | |||||||||||||||||
Change in net unrealized gains on cash flow hedges | – | – | – | – | – | 12.7 | 12.7 | |||||||||||||||||||
Comprehensive income | 745.5 | |||||||||||||||||||||||||
Repurchase and retirement of common stock | (1.0 | ) | – | (34.6 | ) | (47.6 | ) | – | – | (82.2 | ) | |||||||||||||||
Issuance of common stock for stock incentive plan and employee stock purchase plan | 2.1 | – | 136.1 | – | 1.4 | – | 137.5 | |||||||||||||||||||
September 30, 2004 | 138.7 | $ | 1.4 | $ | 4,810.2 | $ | 1,882.3 | $ | (1.8 | ) | $ | 108.6 | $ | 6,800.7 | ||||||||||||
See accompanying notes.
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WellPoint, Inc.
Consolidated Statements of Cash Flows
(Unaudited)
Nine Months Ended September 30 | ||||||||
(In Millions) | 2005 | 2004 | ||||||
Operating activities | ||||||||
Net income | $ | 1,811.8 | $ | 775.6 | ||||
Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||
Net realized gains on investments | (1.4 | ) | (40.7 | ) | ||||
Loss (gain) on disposal of assets | 2.1 | (0.4 | ) | |||||
Deferred income taxes | (59.1 | ) | (7.0 | ) | ||||
Amortization, net of accretion | 306.0 | 85.7 | ||||||
Depreciation | 171.3 | 95.3 | ||||||
Changes in operating assets and liabilities, net of effect of business combinations: | ||||||||
Receivables, net | (221.2 | ) | (83.9 | ) | ||||
Other assets | (102.7 | ) | (22.6 | ) | ||||
Policy liabilities | 7.1 | 26.6 | ||||||
Unearned income | 122.7 | (15.6 | ) | |||||
Accounts payable and accrued expenses | 67.6 | (62.1 | ) | |||||
Other liabilities | (226.4 | ) | (60.2 | ) | ||||
Income taxes | 415.1 | (0.3 | ) | |||||
Net cash provided by operating activities | 2,292.9 | 690.4 | ||||||
Investing activities | ||||||||
Purchases of investments | (13,674.0 | ) | (4,877.8 | ) | ||||
Sales or maturities of investments | 12,509.4 | 4,516.7 | ||||||
Purchases of subsidiaries, net of cash acquired | (330.2 | ) | – | |||||
Proceeds from settlement of cash flow hedge | – | 20.3 | ||||||
Purchases of property and equipment | (118.8 | ) | (85.6 | ) | ||||
Proceeds from sale of property and equipment | 8.0 | 1.5 | ||||||
Net cash used in investing activities | (1,605.6 | ) | (424.9 | ) | ||||
Financing activities | ||||||||
Net proceeds from commercial paper borrowings | 127.9 | – | ||||||
Proceeds from long term borrowing and exchange of remarketed subordinated debentures included in Equity Security Units | – | 5.7 | ||||||
Repayment of long-term borrowings | (150.0 | ) | – | |||||
Repurchase and retirement of common stock | (333.4 | ) | (82.2 | ) | ||||
Proceeds from sale of put options | 1.1 | – | ||||||
Proceeds from exercise of employee stock options and employee stock purchase plan | 373.2 | 57.1 | ||||||
Net cash provided by (used in) financing activities | 18.8 | (19.4 | ) | |||||
Change in cash and cash equivalents | 706.1 | 246.1 | ||||||
Cash and cash equivalents at beginning of period | 1,457.2 | 464.5 | ||||||
Cash and cash equivalents at end of period | $ | 2,163.3 | $ | 710.6 | ||||
See accompanying notes.
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WellPoint, Inc.
Notes to Consolidated Financial Statements
(Unaudited)
September 30, 2005
(In Millions, Except Per Share Data)
1. Organization
WellPoint, Inc. (“WellPoint”), which name changed from Anthem, Inc. (“Anthem”) effective November 30, 2004, is the largest publicly traded commercial health benefits company in terms of membership in the United States, serving approximately 29 million members as of September 30, 2005. WellPoint and its consolidated subsidiaries (the “Company”) offer a broad spectrum of network-based managed care plans to the large and small employer, individual, Medicaid and senior markets. The Company’s managed care plans include preferred provider organizations (“PPOs”), health maintenance organizations (“HMOs”), point-of-service (“POS”) plans, consumer-driven health plans (“CDHPs”), other hybrid plans and traditional indemnity plans. In addition, the Company provides a broad array of managed care services to self-funded customers, including claims processing, underwriting, stop loss insurance, actuarial services, provider network access, medical cost management and other administrative services. The Company also provides an array of specialty and other products and services including pharmacy benefit management, group life and disability insurance benefits, dental, vision, behavioral health benefits, workers’ compensation and long-term care insurance. The Company has licenses in all 50 states.
The Company is an independent licensee of the Blue Cross Blue Shield Association (“BCBSA”), an association of independent health benefit plans, and serves its members as the Blue Cross licensee for California and as the Blue Cross and Blue Shield licensee for 12 other states: Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.) and Wisconsin. The Company also serves customers throughout various parts of the United States as HealthLink and UniCare.
On November 30, 2004, Anthem and WellPoint Health Networks Inc. (“WHN”) completed their merger. WHN merged with and into Anthem Holding Corp., a direct and wholly-owned subsidiary of Anthem, with Anthem Holding Corp. as the surviving entity in the merger. In connection with the merger, Anthem amended its articles of incorporation to change its name to WellPoint, Inc. In addition, the ticker symbol for Anthem’s common stock listed on the New York Stock Exchange was changed to “WLP”. WHN’s operating results are included in WellPoint’s consolidated financial statements for the periods following November 30, 2004.
2. Basis of Presentation
The accompanying unaudited consolidated financial statements of the Company have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial reporting. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. In the opinion of management, all adjustments, including normal recurring adjustments, necessary for a fair statement of the consolidated financial statements as of and for the three and nine months ended September 30, 2005 and 2004 have been recorded. The results of operations for the three and nine months ended September 30, 2005 are not necessarily indicative of the results that may be expected for the full year ending December 31, 2005. These unaudited consolidated financial statements should be read in conjunction with the Company’s audited consolidated financial statements for the year ended December 31, 2004 included in WellPoint’s Annual Report on Form 10-K as filed with the Securities and Exchange Commission.
On April 25, 2005, WellPoint’s Board of Directors approved a two-for-one split of shares of common stock, which was effected in the form of a 100 percent common stock dividend. All shareholders of record on May 13, 2005 received one additional share of WellPoint common stock for each share of common stock held on that date. The additional shares of common stock were distributed to shareholders of record in the form of a stock
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dividend on May 31, 2005. All historical weighted average share and per share amounts and all references to stock compensation data and market prices of WellPoint’s common stock for all periods presented have been adjusted to reflect this two-for-one stock split.
Certain prior year amounts have been reclassified to conform to the current year presentation.
3. Business Combinations
Pending Transaction with WellChoice, Inc.
On September 27, 2005, WellPoint and WellChoice, Inc. (“WellChoice”), the largest health insurer in New York State based on PPO and HMO membership and the Blue Cross and/or Blue Shield licensee in the metropolitan area of New York City and certain upstate counties in New York State, jointly announced that a definitive merger agreement had been signed whereby WellChoice will operate as a wholly-owned subsidiary of WellPoint. The combined company will serve more than 33 million medical members as a Blue Cross or Blue Cross and Blue Shield licensee in 14 states and nationally through its HealthLink and UniCare subsidiaries.
Under the merger agreement, WellChoice stockholders will receive thirty-eight dollars and twenty-five cents ($38.25) in cash and 0.5191 of a share of WellPoint common stock for each share of WellChoice common stock outstanding. The value of the transaction is estimated to be approximately $6.5 billion. The transaction is expected to close in the first quarter of 2006, subject to, among other things, regulatory and WellChoice stockholder approvals.
Lumenos, Inc. Acquisition
On June 9, 2005, the Company completed its acquisition of Lumenos, Inc. (“Lumenos”), a market leader in consumer-driven health programs. The total consideration for the acquisition was approximately $185.0 in cash paid to the stockholders of Lumenos. The acquisition was accounted for using the purchase method of accounting, and was effective June 1, 2005 for accounting purposes. Accordingly, the results of operations for Lumenos are included in the Company’s consolidated financial statements for periods following June 1, 2005. In accordance with Statement of Financial Accounting Standards (“FAS”) No. 141,Business Combinations, the purchase price was allocated to the fair value of Lumenos assets acquired and liabilities assumed, including identifiable intangible assets, and the excess of purchase price over the fair value of net assets acquired resulted in non-tax deductible goodwill. The purchase price allocation is preliminary and additional refinements may occur. The pro forma effects of this acquisition are not material to the Company’s consolidated results of operations.
4. Capital Stock
Stock Repurchase Program
On January 17, 2003, the Board of Directors authorized the repurchase of up to $500.0 of WellPoint common stock under a program that was set to expire in February 2005. On October 25, 2004, the Board of Directors authorized an increase of $500.0 to the program and extended the expiration date until February 2006. On August 18, 2005, the Board of Directors authorized an increase from the remaining $367.1 to $1,000.0, and eliminated the expiration date on the repurchase program. On October 24, 2005, the Board of Directors reaffirmed the action taken on August 18, 2005 and authorized an increase from $1,000.0 to $2,000.0 upon the effective time of the contemplated merger between the Company and WellChoice. Under the program, repurchases may be made from time to time at prevailing prices, subject to certain restrictions on volume, pricing and timing.
During the three months ended September 30, 2005, WellPoint did not repurchase any shares due to its negotiations with WellChoice. During the nine months ended September 30, 2005, WellPoint repurchased and
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retired approximately 5.1 million shares at an average share price of $64.92, for an aggregate cost of $333.4. During the three and nine months ended September 30, 2004, WellPoint repurchased and retired approximately 2.0 million shares at an average share price of $41.12, for an aggregate cost of $82.2. The excess of cost of the repurchased shares over par value is charged on a pro rata basis to additional paid-in capital and retained earnings. As of September 30, 2005, $1,000.0 remained authorized for future repurchases.
During the nine months ended September 30, 2005, WellPoint sold put options to independent third parties that would have required WellPoint to purchase 1.0 million shares of its common stock if exercised. All of these put options expired unexercised prior to June 30, 2005 and WellPoint recorded $1.1 as net realized gains on investments.
Stock Incentive Plan
The Company’s 2001 Stock Incentive Plan (“Stock Plan”) provides for the granting of stock options, restricted stock awards, performance stock awards, performance awards and stock appreciation rights to eligible employees and non-employee directors. The Stock Plan permits the Compensation Committee of the Board of Directors to make grants in such amounts and at such times as it may determine.
For the nine months ended September 30, 2005, approximately 14.6 million stock options were exercised, at an average exercise price of $32.06 per share, pursuant to the Stock Plan, the former Trigon Healthcare, Inc. stock plans and the former WHN stock plans, for aggregate total proceeds to the Company of $466.9. For the nine months ended September 30, 2004, approximately 2.2 million stock options were exercised, at an average exercise price of $18.71, for total proceeds to the Company of $41.0. The tax benefit resulting from the exercise of WellPoint stock options converted from former WHN and Trigon Healthcare, Inc. stock options as part of the respective acquisitions is recorded as an adjustment to goodwill.
During the nine months ended September 30, 2005, WellPoint granted stock options to purchase approximately 8.1 million shares to certain eligible employees and approximately 1.7 million shares to former WHN employees under a stock-for-stock option exercise program, which was terminated on June 1, 2005. The weighted average exercise price of these options was $63.67 per share, the fair value of WellPoint’s common stock on the grant dates. The stock-for-stock options vest immediately pursuant to the former WHN plan. During the nine months ended September 30, 2004, WellPoint granted stock options to purchase approximately 4.0 million shares to certain eligible employees. The weighted average exercise price of these options was $44.17 per share, the fair value of Anthem’s common stock on the grant date.
During the nine months ended September 30, 2005, WellPoint granted approximately 1.9 million shares of common stock, including approximately 0.7 million shares of common stock under the former WHN incentive plan and approximately 1.2 million shares of restricted common stock, at the fair value of WellPoint’s common stock on the grant dates. During the nine months ended September 30, 2004, WellPoint granted approximately 1.6 million shares of common stock, including 1.4 million shares of restricted stock and 0.2 million shares of common stock under the Company’s 2001 Long Term Incentive Plan. For grants of restricted stock, other than those awarded under long-term incentive agreements, unearned compensation equivalent to the fair value of WellPoint’s common stock at the date of grant is recorded as a separate component of shareholders’ equity and subsequently amortized to compensation expense generally over the vesting period. Compensation expense related to vesting of stock awards was $20.2 and $56.5 for the three and nine months ended September 30, 2005, respectively. Compensation expense related to vesting of stock awards for the three and nine months ended September 30, 2004 was $0.6 and $1.8, respectively.
Stock options and restricted stock awards are not considered outstanding in computing the weighted-average number of shares outstanding for basic earnings per share, but are included, from the grant date, in determining diluted earnings per share using the treasury stock method. Stock options are dilutive in periods when the average market price exceeds the grant price. Restricted stock awards are dilutive when the aggregate fair value exceeds the amount of unearned compensation remaining to be amortized.
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Employee Stock Purchase Plan
For the nine months ended September 30, 2005, employee purchases under the Employee Stock Purchase Plan were approximately 0.8 million shares, for a total purchase amount of $40.9. For the nine months ended September 30, 2004, total shares purchased were approximately 0.5 million shares, for a total purchase amount of $16.2.
Pro Forma Disclosure
The Company continues to account for its stock-based compensation using the intrinsic method under Accounting Principles Board (“APB”) Opinion No. 25,Accounting for Stock Issued to Employees, and accordingly, does not recognize compensation expense related to stock options and employee stock purchases. The Company has adopted the disclosure requirements of FAS No. 123,Accounting for Stock-Based Compensation, as amended by FAS 148, Accounting for Stock-Based Compensation-Transition and Disclosure.
Pro forma information regarding net income and earnings per share has been determined as if the Company accounted for its stock-based compensation using the fair value method. For purposes of pro forma disclosures, compensation expense is increased for the estimated fair value of the options amortized over the options’ vesting periods and for the difference between the market price of the stock and discounted purchase price of the shares on the purchase date for the employee stock purchases. The stock-based employee compensation expense included in reported net income represents compensation expense from restricted stock awards being amortized generally over the awards vesting period.
The Company has historically used a Black-Scholes option pricing model to estimate the fair value of stock options. On January 1, 2005, the Company began using a binomial lattice valuation model to estimate the fair value of all future stock options granted.
The Company’s pro forma information for the three months and nine months ended September 30, 2005 and 2004 is as follows:
(In Millions, Except Per Share Data) | Three Months Ended September 30 | Nine Months Ended September 30 | ||||||||||||||
2005 | 2004 | 2005 | 2004 | |||||||||||||
Reported net income | $ | 640.7 | $ | 242.1 | $ | 1,811.8 | $ | 775.6 | ||||||||
Stock-based employee compensation expense for restricted | 13.1 | 0.5 | 39.3 | 1.3 | ||||||||||||
Total stock-based employee compensation expense determined under fair value based method for all awards (net of tax) | (39.4 | ) | (9.7 | ) | (126.2 | ) | (23.9 | ) | ||||||||
Pro forma net income | $ | 614.4 | $ | 232.9 | $ | 1,724.9 | $ | 753.0 | ||||||||
Earnings per share: | ||||||||||||||||
Basic – as reported | $ | 1.05 | $ | 0.87 | $ | 2.97 | $ | 2.80 | ||||||||
Basic – pro forma | 1.00 | 0.84 | 2.83 | 2.72 | ||||||||||||
Diluted – as reported | $ | 1.02 | $ | 0.85 | $ | 2.90 | $ | 2.72 | ||||||||
Diluted – pro forma | 0.98 | 0.82 | 2.76 | 2.65 |
In December 2004, the Financial Accounting Standards Board issued FAS 123 (revised 2004),Share-Based Payment (“FAS 123R”). FAS 123R eliminates the alternative to use the intrinsic method of accounting under APB 25, and requires all share-based payments to employees, including grants of employee stock options, to be
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recognized in the income statement based on their fair values. Upon adoption of FAS 123R, pro forma disclosure is no longer an alternative. FAS 123R will be effective for the Company no later than January 1, 2006 and implementation is in process. The Company expects that the impact of FAS 123R in 2006 will reduce earnings by approximately 3% to 5% given its current stock-based compensation program.
5. Earnings per Share
The denominator for basic and diluted earnings per share for the three months and nine months ended September 30, 2005 and 2004 is as follows:
Three Months Ended September 30 | Nine Months Ended September 30 | |||||||
2005 | 2004 | 2005 | 2004 | |||||
Denominator for basic earnings per share – weighted average shares | 611.9 | 276.8 | 609.7 | 276.5 | ||||
Effect of dilutive securities: | ||||||||
Employee and director stock options and unvested | 15.8 | 3.6 | 15.0 | 3.4 | ||||
Shares to be contingently issued under the Company’s | – | – | – | 0.5 | ||||
Incremental shares from conversion of Equity Security | – | 5.1 | – | 5.1 | ||||
Denominator for diluted earnings per share | 627.7 | 285.5 | 624.7 | 285.5 | ||||
6. Income Taxes
During the first quarter of 2005, a refund claim filed by the Company in 2003, was approved by the Congressional Joint Committee on Taxation. The claim relates to initially disallowed losses on the sale of certain subsidiaries in the late 1990s. A tax benefit of $28.4 related to this claim was recorded in the first quarter of 2005. Net income per basic and diluted share related to this claim was $0.04 for the nine months ended September 30, 2005.
As a result of legislation enacted in Indiana on March 16, 2004, the Company recorded deferred tax assets and liabilities, with a corresponding net tax benefit in the income statement of $44.8, for the first quarter of 2004. Net income per basic and diluted share was $0.16 for the nine months ended September 30, 2004, relating to the impact of this legislation. The legislation eliminated the creation of tax credits resulting from the payment of future assessments to the Indiana Comprehensive Health Insurance Association (“ICHIA”), Indiana’s high-risk health insurance pool. Under the new legislation, ICHIA tax credits are limited to any unused ICHIA assessment paid prior to December 31, 2004. A valuation allowance of $5.6 was established for the portion of the deferred tax asset, which the Company believes will likely not be utilized. There is no carryforward limitation on the tax credits and the net operating loss carryforwards do not begin to expire until 2018.
7. Hedging Activity
Fair Value Hedges
During the nine months ended September 30, 2005, the Company entered into two fair value hedges with a total notional value of $660.0. The first hedge is a $360.0 notional amount interest rate swap agreement to exchange a fixed 6.8% rate for a LIBOR-based floating rate and expires on August 1, 2012. The second hedge is a $300.0 notional amount interest rate swap agreement to exchange a fixed 5.00% rate for LIBOR-based floating rate and expires December 15, 2014.
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In December 2004, the Company entered into a $300.0 notional amount interest rate swap agreement to exchange a fixed 3.75% rate for a LIBOR-based floating rate. The swap agreement expires on December 14, 2007.
For the three and nine months ended September 30, 2005, the Company recognized $0.3 and $1.0 of income from these swap agreements, which was recorded as a reduction of interest expense. As of September 30, 2005, the Company recognized a derivative liability of $20.9 for these swap agreements, which was recorded as a noncurrent liability.
Cash Flow Hedges
During the nine months ended September 30, 2005, the Company entered into a floating to fixed rate cash flow hedge with a total notional value of $480.0. The purpose of this hedge is to offset the variability of the cash flows due to the rollover of our variable-rate one-month commercial paper issuance. This swap agreement expires in December 2007. During the three and nine months ended September 30, 2005, no gain or loss from hedged ineffectiveness was recorded in earnings and the commercial paper borrowings remain outstanding at September 30, 2005. The fair value of the hedge was $4.2 at September 30, 2005 and is recorded in other noncurrent assets.
During the nine months ended September 30, 2004, the Company entered into forward starting pay fixed swaps with an aggregate notional amount of $1,000.0. The objective of these hedges was to eliminate the variability of cash flows in the interest payments on the debt securities to be issued to partially fund the cash portion of the WHN merger. Upon termination of these swaps in the third quarter of 2004, the Company received $20.3, the fair value at the time of termination. In addition, the Company recorded an unrealized gain of $13.2, as accumulated other comprehensive income. During the three and nine months ended September 30, 2004, the Company reclassified $0.7 ($0.5 net of tax) to net realized gains on investments for the portion of the hedges that were deemed ineffective.
Following the completion of the WHN merger on November 30, 2004, the Company issued debt securities, and the unamortized fair value of the forward starting pay fixed swaps included in balances in accumulated other comprehensive income began amortizing into earnings, as a reduction of interest expense, over the life of the debt securities. The unamortized fair value included in accumulated comprehensive income at September 30, 2005 was $14.0. As of September 30, 2005, the total amount of amortization over the next twelve months will decrease interest expense by approximately $1.3.
8. Retirement Benefits
The components of net periodic benefit cost included in the consolidated statements of income for the three months ended September 30, 2005 and 2004 are as follows:
Three Months Ended September 30 | ||||||||||||||||
Pension Benefits | Other Benefits | |||||||||||||||
2005 | 2004 | 2005 | 2004 | |||||||||||||
Service cost | $ | 14.5 | $ | 11.8 | $ | 2.3 | $ | 1.0 | ||||||||
Interest cost | 19.4 | 13.0 | 6.4 | 3.4 | ||||||||||||
Expected return on assets | (25.9 | ) | (17.3 | ) | (0.7 | ) | (0.6 | ) | ||||||||
Recognized actuarial loss (gain) | 4.3 | 3.6 | 0.2 | (0.2 | ) | |||||||||||
Amortization of prior service cost | (0.9 | ) | (0.9 | ) | (1.0 | ) | (1.6 | ) | ||||||||
Net periodic benefit cost | $ | 11.4 | $ | 10.2 | $ | 7.2 | $ | 2.0 | ||||||||
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The components of net periodic benefit cost included in the consolidated statements of income for the nine months ended September 30, 2005 and 2004 are as follows:
Nine Months Ended September 30 | ||||||||||||||||
Pension Benefits | Other Benefits | |||||||||||||||
2005 | 2004 | 2005 | 2004 | |||||||||||||
Service cost | $ | 43.5 | $ | 35.1 | $ | 6.9 | $ | 3.0 | ||||||||
Interest cost | 58.2 | 39.3 | 19.3 | 10.8 | ||||||||||||
Expected return on assets | (77.7 | ) | (51.9 | ) | (2.1 | ) | (1.9 | ) | ||||||||
Recognized actuarial loss | 12.9 | 10.8 | 0.6 | 0.5 | ||||||||||||
Amortization of prior service cost | (2.7 | ) | (2.7 | ) | (3.0 | ) | (4.7 | ) | ||||||||
Net periodic benefit cost | $ | 34.2 | $ | 30.6 | $ | 21.7 | $ | 7.7 | ||||||||
For the year ending December 31, 2005, no contributions under ERISA are required; however, the Company made tax deductible discretionary contributions of $114.6 during the nine months ended September 30, 2005. No further contributions are expected in 2005.
On August 10, 2005, the Company announced that effective January 1, 2006, it would curtail the benefits under the Anthem Cash Balance Pension Plan (the “Plan”). Most participants will no longer have pay credits added to their accounts, but will continue to earn interest on existing account balances. Participants will continue to earn years of pension service for vesting. Employees hired on or after January 1, 2006, will not be eligible to participate in the Plan. Certain participants will be “grandfathered” into the Plan based on age and years of service in previously merged plans. Grandfathered participants will continue to receive pay credits under the Plan formula. The Company expects to record a curtailment gain which is not anticipated to be material to the consolidated operating results.
9. Segment Information
Financial data by reportable segment for the three months ended September 30, 2005 and 2004 is as follows:
Health Care | Specialty | Other and Eliminations | Total | |||||||||||
Three Months Ended September 30, 2005 | ||||||||||||||
Operating revenue from external customers | $ | 10,662.2 | $ | 403.3 | $ | 84.8 | $ | 11,150.3 | ||||||
Intersegment revenues | 12.3 | 319.8 | (332.1 | ) | – | |||||||||
Operating gain (loss) | 916.6 | 89.2 | (21.0 | ) | 984.8 | |||||||||
Three Months Ended September 30, 2004 | ||||||||||||||
Operating revenue from external customers | $ | 4,599.6 | $ | 84.2 | $ | 49.3 | $ | 4,733.1 | ||||||
Intersegment revenues | (17.0 | ) | 194.9 | (177.9 | ) | – | ||||||||
Operating gain (loss) | 344.6 | 19.5 | (21.6 | ) | 342.5 |
Financial data by reportable segment for the nine months ended September 30, 2005 and 2004 is as follows:
Health Care | Specialty | Other and Eliminations | Total | |||||||||||
Nine Months Ended September 30, 2005 | ||||||||||||||
Operating revenue from external customers | $ | 31,774.8 | $ | 1,200.3 | $ | 274.0 | $ | 33,249.1 | ||||||
Intersegment revenues | 39.9 | 914.1 | (954.0 | ) | – | |||||||||
Operating gain (loss) | 2,562.8 | 273.0 | (94.6 | ) | 2,741.2 | |||||||||
Nine Months Ended September 30, 2004 | ||||||||||||||
Operating revenue from external customers | $ | 13,340.3 | $ | 245.4 | $ | 150.7 | $ | 13,736.4 | ||||||
Intersegment revenues | (44.2 | ) | 563.7 | (519.5 | ) | – | ||||||||
Operating gain (loss) | 999.3 | 54.9 | (49.7 | ) | 1,004.5 |
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A reconciliation of reportable segments operating revenues to the amounts of total revenues included in the consolidated statements of income for the three months and nine months ended September 30, 2005 and 2004 is as follows:
Three Months Ended September 30 | Nine Months Ended September 30 | ||||||||||||
2005 | 2004 | 2005 | 2004 | ||||||||||
Reportable segments operating revenues | $ | 11,150.3 | $ | 4,733.1 | $ | 33,249.1 | $ | 13,736.4 | |||||
Net investment income | 154.7 | 67.9 | 453.2 | 211.8 | |||||||||
Net realized (losses) gains on investments | (0.4 | ) | 6.2 | 1.4 | 40.7 | ||||||||
Total revenues | $ | 11,304.6 | $ | 4,807.2 | $ | 33,703.7 | $ | 13,988.9 | |||||
A reconciliation of reportable segments operating gain to income before income taxes included in the consolidated statements of income for the three months and nine months ended September 30, 2005 and 2004 is as follows:
Three Months Ended September 30 | Nine Months Ended September 30 | |||||||||||||||
2005 | 2004 | 2005 | 2004 | |||||||||||||
Reportable segments operating gain | $ | 984.8 | $ | 342.5 | $ | 2,741.2 | $ | 1,004.5 | ||||||||
Net investment income | 154.7 | 67.9 | 453.2 | 211.8 | ||||||||||||
Net realized (losses) gains on investments | (0.4 | ) | 6.2 | 1.4 | 40.7 | |||||||||||
Interest expense | (56.1 | ) | (32.9 | ) | (168.2 | ) | (97.4 | ) | ||||||||
Amortization of other intangible assets | (59.6 | ) | (11.3 | ) | (178.7 | ) | (33.7 | ) | ||||||||
Income before income taxes | $ | 1,023.4 | $ | 372.4 | $ | 2,848.9 | $ | 1,125.9 | ||||||||
10. Comprehensive Income
The components of comprehensive income for the three and nine months ended September 30, 2005 and 2004 are as follows:
Three Months Ended September 30 | Nine Months Ended September 30 | |||||||||||||||
2005 | 2004 | 2005 | 2004 | |||||||||||||
Net income | $ | 640.7 | $ | 242.1 | $ | 1,811.8 | $ | 775.6 | ||||||||
Change in net unrealized (losses) gains on investments | (79.1 | ) | 69.7 | (95.1 | ) | (42.8 | ) | |||||||||
Change in net unrealized gains (losses) on cash flow hedges | 2.1 | (8.1 | ) | 2.1 | 12.7 | |||||||||||
Comprehensive income | $ | 563.7 | $ | 303.7 | $ | 1,718.8 | $ | 745.5 | ||||||||
11. Contingencies
Multi-District Litigation
In May 2000, a case titledCalifornia Medical Association vs. Blue Cross of California, et. al., was filed in U.S. district court in San Francisco against Blue Cross of California (“BCC”), one of WHN’s subsidiaries at the time and now a Company subsidiary. The lawsuit alleges that BCC violated the Racketeer Influenced and Corrupt Organizations Act (“RICO”) (the “CMA Litigation”).
In August 2000, WHN was added as a party to Shane v. Humana, et al., a class-action lawsuit brought on behalf of health care providers nationwide alleging RICO violations (the “Shane Litigation”). Effective upon the
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November 30, 2004 merger with WHN, WHN became a wholly owned subsidiary of the Company. On September 26, 2002, Anthem was added as a defendant to the Shane Litigation.
In May 2003, in a case titledKenneth Thomas, M.D., et al., v. Blue Cross Blue Shield Association, et al., (the “Thomas Litigation”) several medical providers filed suit in federal district court in Miami, Florida against the BCBSA and Blue Cross and Blue Shield plans across the country, including the Company. The suit alleges that the BCBSA and the Blue Cross and Blue Shield plans violated RICO and challenges many of the same practices as the CMA Litigation and the Shane Litigation.
In October 2000, the federal Judicial Panel on Multidistrict Litigation (“MDL”) issued an order consolidating the CMA Litigation, the Shane Litigation, the Thomas Litigation and various other pending managed care class-action lawsuits against other companies before District Court Judge Federico Moreno in the Southern District of Florida for purposes of pretrial proceedings. A mediator was appointed by Judge Moreno and the parties have been conducting court-ordered mediation. On December 9, 2004, Judge Moreno issued a new scheduling order extending the expert discovery deadline to February 7, 2005 and setting trial for September 6, 2005.
On July 11, 2005, the Company entered into a settlement agreement (the “Agreement”) with representatives of more than 700,000 physicians nationwide to resolve the CMA Litigation, the Shane Litigation and the Thomas Litigation. Under the Agreement, the Company has agreed to make cash payments totaling up to $198.0, of which $135.0 will be paid to physicians and $5.0 will be contributed to a not-for-profit foundation whose mission is to promote higher quality health care and to enhance the delivery of care to the disadvantaged members of the public. In addition, up to $58.0 will be paid in legal fees to be determined by the court. The Company also has agreed to implement and maintain a number of operational changes such as standardizing the definition of medical necessity in physician contracts, creating a formalized Physician Advisory Committee and modifying some of the Company’s claims payment and physician contracting provisions. The Agreement is subject to, and conditioned upon, review and approval by the U.S. District Court for the Southern District of Florida. The court preliminarily approved the settlement in an order filed July 15, 2005. A hearing for final approval is scheduled for December 2, 2005 in Miami, Florida. As a result of the Agreement, the Company incurred a pre-tax expense of $103.0, or $0.10 per diluted share after tax, for the three and six months ended June 30, 2005, which represents the final settlement amount of the Agreement that was not previously accrued.
Other Litigation
On June 27, 2002, in a case titledAcademy of Medicine of Cincinnati and Luis Pagani, M.D. v. Aetna Health, Inc., Humana Health Plan of Ohio, Inc., Anthem Blue Cross and Blue Shield, and United Health Care of Ohio, Inc., No. A02004947 filed in the Court of Common Pleas, Hamilton County, Ohio and a case titledAcademy of Medicine of Cincinnati and A. Lee Greiner, M.D., Victor Schmelzer, M.D., and Karl S. Ulicny, Jr., M.D. v. Aetna Health, Inc., Humana, Inc., Anthem Blue Cross and Blue Shield, and United Health Care, Inc., No. 02-CI-903 filed in the Boone County, Kentucky Circuit Court, the Academy and certain physicians allege that the defendants acted in combination and collusion with one another to reduce the reimbursement rates paid to physicians in the area. On September 30, 2005, the Company entered into a settlement agreement to resolve the litigation. The settlement agreement has three components. First, the Company will increase the total annual reimbursement to physicians in the twelve county area (six counties each in Ohio and Kentucky) by $35.0 in 2005, an additional $20.0 in 2006 and an additional $15.0 in 2007. The increases will be measured against the total reimbursement amount for the same area in 2004. Second, the Company will pay $2.8 to plaintiffs, with approximately $0.6 for payments to retired doctors and incentive awards to the named plaintiffs and the remainder going to a charitable foundation to improve health care in the affected area. Third, the Company will pay $9.6 in attorneys’ fees to the plaintiffs’ class counsel. Both the Ohio court and the Kentucky court preliminarily approved the settlement on September 30, 2005. A final fairness hearing is scheduled for November 21, 2005. The final terms of the settlement agreement did not have a significant impact on the financial results of the Company for the nine month period ended September 30, 2005.
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On March 26, 2003, in a case titledIrwin v. Advance PCS, et al. filed in the California Superior Court in Alameda County, California against Advance PCS, WHN and certain of its wholly owned subsidiaries, the plaintiff alleges that the defendants violated California Business and Professions Code Section 17200 by engaging in unfair, fraudulent and unlawful business practices including, among other things, that pharmacy benefit management companies (such as WellPoint’s subsidiary that does business under the trade name WellPoint Pharmacy Management) engage in unfair practices such as negotiating discounts in prices of drugs from pharmacies and negotiating rebates from drug manufacturers and retaining such discounts and rebates for their own benefit. On July 9, 2004, the court ordered that the case be resolved in arbitration.
In June 2001, a case titledThomas E. McFarland, et al, v. UniCare Life & Health Insurance Co. was filed as a putative class action in the Circuit Court of Cook County, Illinois, alleging that UniCare had breached its contracts with members by increasing co-payments and deductibles and reducing certain benefits. The court certified a class on April 27, 2004. The parties subsequently filed cross-motions for summary judgment. On October 4, 2005, the court granted summary judgment in plaintiffs’ favor, holding that UniCare had breached its contracts and that class members were entitled to damages from September 1, 2000 to the present. UniCare is considering its legal options, including appeal.
Prior to WHN’s acquisition of the group benefit operations (“GBO”) of John Hancock Mutual Life Insurance Company (“John Hancock”), John Hancock entered into a number of reinsurance arrangements with respect to personal accident insurance and the occupational accident component of workers’ compensation insurance, a portion of which was originated through a pool managed by Unicover Managers, Inc. Under these arrangements, John Hancock assumed risks as a reinsurer and transferred certain of such risks to other companies. These arrangements have become the subject of disputes, including a number of legal proceedings to which John Hancock is a party. The Company is currently in arbitration with John Hancock regarding these arrangements. The Company believes that it has a number of defenses to avoid any ultimate liability with respect to these matters and believes that such liabilities were not transferred to the Company as part of the GBO acquisition.
In addition to the lawsuits described above, the Company is also involved in other pending and threatened litigation of the character incidental to the business transacted, arising out of its operations, and is from time to time involved as a party in various governmental investigations, audits, reviews and administrative proceedings. These investigations, audits and reviews include routine and special investigations by state insurance departments, state attorneys general and the U.S. Attorney General. Such investigations could result in the imposition of civil or criminal fines, penalties and other sanctions.
The Company intends to vigorously defend the proceedings described above that are on-going. The Company currently believes that any liability that may result from any one of these actions is unlikely to have a material adverse effect on its consolidated financial position or results of operations. However, the ultimate outcomes of these proceedings cannot be determined at this time, and if the Company were to become subject to liabilities, the Company could suffer losses that might have a material adverse effect on its financial position or results of operations or cash flows.
Other Contingencies
The Company serves as a fiscal intermediary for Medicare Parts A and B. The fiscal intermediaries for these programs receive reimbursement for certain costs and expenditures, which is subject to adjustment upon audit by the Federal Centers for Medicare & Medicaid Services, formerly the Health Care Financing Administration. The laws and regulations governing fiscal intermediaries for the Medicare program are complex, subject to interpretation and can expose an intermediary to penalties for non-compliance. Fiscal intermediaries may be subject to criminal fines, civil penalties or other sanctions as a result of such audits or reviews. While the Company believes it is currently in compliance in all material respects with the regulations governing fiscal
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intermediaries, there are ongoing reviews by the federal government of the Company’s activities under certain of its Medicare fiscal intermediary contracts.
From time to time, the Company and certain of its subsidiaries are parties to various legal proceedings, many of which involve claims for coverage encountered in the ordinary course of business. The Company, like HMOs and health insurers generally, excludes certain health care services from coverage under its HMO, PPO and other plans. The Company is, in its ordinary course of business, subject to the claims of its enrollees arising out of decisions to restrict treatment or reimbursement for certain services. The loss of even one such claim, if it results in a significant punitive damage award, could have a material adverse effect on the Company. In addition, the risk of potential liability under punitive damage theories may increase significantly the difficulty of obtaining reasonable settlements of coverage claims.
Contractual Obligations and Commitments
On July 1, 2005, the Company entered into an agreement with International Business Machines Corporation (“IBM”) to provide information technology infrastructure services. These services were previously performed in-house and resulted in the transfer of approximately 380 related jobs from the Company to IBM. The Company’s commitment under this contract is approximately $719.0 million over a seven year period. The Company has the ability to terminate this agreement with 120 days written notice, subject to certain early termination fees.
On July 15, 2004, WHN agreed to guarantee up to $37.0 of debt incurred by an unaffiliated entity to partially finance the purchase of a hospital. The maximum amount of the guaranty may be reduced after September 30, 2006 as determined by reference to the leverage ratio (as defined in the guaranty) of the unaffiliated entity. The guaranty also provides for full payment of all obligations under the guaranty to become immediately due and payable under specified circumstances, including (i) upon the failure by the unaffiliated entity or the Company to cure any payment default under the subject loan to the unaffiliated entity within 10 days after written notice to the unaffiliated entity and the Company and (ii) upon 10 days after written notice to the Company that the unaffiliated entity has become subject to a bankruptcy or insolvency proceeding. In connection with the guaranty, the unaffiliated entity agreed to reimburse the Company upon demand for any amounts paid by the Company under the guaranty. The obligations of the unaffiliated entity under the reimbursement agreement are secured by a second lien on certain real estate collateral. In addition, the parent company of the unaffiliated entity has provided a guaranty in favor of the Company guaranteeing the obligations of the unaffiliated entity under the reimbursement agreement.
In connection with an investment by WHN in July 2004 in a joint venture to develop and operate a well-being center in California, the Company may be required to make an additional capital contribution of up to $18.0 during the first three years that the well-being center is in operation if cash flows and room nights generated by the Company do not exceed specified targets. It is currently anticipated that construction of the well-being center will be completed during the first quarter of 2006.
In connection with a joint venture formed by WHN in 2000 to provide Medicaid services in Puerto Rico, the Company agreed under certain circumstances to provide additional funds to the joint-venture entity. The Company agreed that it would make a capital contribution to the joint venture of up to 80% of any amount necessary to increase the entity’s capital to meet minimum regulatory capital requirements if (i) applicable law or regulation requires an increase in the entity’s capital and the entity does not then have capital sufficient to meet the increased requirement or (ii) the entity’s medical care ratio is 100% or greater during any 180-day period and the entity does not then meet statutory capital requirements under the Puerto Rico Insurance Code. The amount of this guarantee will not exceed 80% of the amount necessary to provide the entity with a 12 to 1 premium-to-capital ratio. As of September 30, 2005, the Company’s maximum potential liability pursuant to this guarantee was $29.7. Since the formation of the joint venture in 2000, the Company has not been required to make any payments under this guarantee and the Company does not currently expect that any such payments will be made.
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ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
References to the terms “we”, “our” or “us” used throughout this Management’s Discussion and Analysis of Financial Condition and Results of Operations, refer to WellPoint, Inc. (name changed from Anthem, Inc. effective November 30, 2004), an Indiana holding company, and unless the context otherwise requires its direct and indirect subsidiaries.
The structure of our Management’s Discussion and Analysis of Financial Condition and Results of Operations, or MD&A, is as follows:
I. | Overview |
II. | Significant Transactions |
III. | Membership—September 30, 2005 Compared to September 30, 2004 |
IV. | Cost of Care |
V. | Results of Operations—Three Months Ended September 30, 2005 Compared to the Three Months Ended September 30, 2004 |
VI. | Results of Operations—Nine Months Ended September 30, 2005 Compared to the Nine Months Ended September 30, 2004 |
VII. | Critical Accounting Policies and Estimates |
VIII. | Liquidity and Capital Resources |
IX. | Safe Harbor Statement Under the Private Securities Litigation Reform Act of 1995 |
I. | Overview |
We are the nation’s largest publicly traded commercial health benefits company in terms of membership, providing health benefit services to approximately 29 million members as of September 30, 2005, and we operate as an independent licensee of the Blue Cross Blue Shield Association, or BCBSA. We are the Blue Cross licensee in California and a Blue Cross and Blue Shield licensee in 12 other states: Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the immediate suburbs of Washington, D.C.) and Wisconsin. We also serve customers throughout various parts of the country through our HealthLink and UniCare subsidiaries.
We operate in three reportable segments: Health Care, Specialty and Other. Our Health Care segment includes strategic business units delineated primarily by geographic areas within which we offer similar products and services, including commercial accounts, senior, Medicaid and other state sponsored businesses. We offer a diversified mix of managed care products, including preferred provider organizations or PPOs, health maintenance organizations or HMOs, traditional indemnity benefits, consumer-driven health plans or CDHPs and point of service or POS plans. We also offer a variety of hybrid benefit plans, including consumer directed, hospital only and limited benefit products. Additionally, we provide a broad array of managed care services to self-funded customers, including claims processing, underwriting, stop loss insurance, actuarial services, provider network access, medical cost management and other administrative services.
Our Specialty segment is comprised of businesses providing pharmacy benefit management, or PBM, group life and disability insurance benefits, dental, workers’ compensation and long-term care insurance. We also provide vision and behavioral health benefits services.
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Our Other segment is comprised of our Medicare processing business, including AdminaStar Federal and United Government Services; Arcus Enterprises; intersegment revenue and expense eliminations; and corporate expenses not allocated to our Health Care or Specialty segments.
Our operating revenue consists of premiums, administrative fees and other revenue. Our premium revenue comes from fully-insured contracts where we indemnify our policyholders against costs for covered health and life benefits. Our administrative fees come from contracts where our customers are self-insured, where the fee is based on either processing of transactions or a percent of network discount savings realized. Additionally, we earn operating revenues from our Medicare processing business and from other health-related businesses, including disease management programs. Other revenue is principally generated from member co-payments and deductibles associated with the mail-order sale of drugs by our pharmacy benefit management companies.
Our benefit expense includes costs of care for health services consumed by our members, such as outpatient care, inpatient hospital care, professional services (primarily physician care) and pharmacy benefit costs. All four components are affected both by unit costs and utilization rates. Unit costs include the cost of outpatient medical procedures per visit, inpatient hospital care per admission, physician fees per office visit and prescription drug prices. Utilization rates represent the volume of consumption of health services and typically vary with the age and health status of our members and their social and lifestyle choices, along with clinical protocols and medical practice patterns in each of our markets. A portion of benefit expense recognized in each reporting period consists of actuarial estimates of claims incurred but not yet paid by us. Any changes in these estimates are recorded in subsequent reporting periods.
Our selling expense consists of external broker commission expenses, and generally varies with premium volume. Our general and administrative expense consists of fixed and variable costs. Examples of fixed costs are depreciation, amortization and certain facilities expenses. Other costs are variable or discretionary in nature. Certain variable costs, such as premium taxes, vary directly with premium volume. Other variable costs, such as salaries and benefits, do not vary directly with changes in premium, but are more aligned with changes in membership. The acquisition or loss of a significant block of business would likely impact staffing levels, and thus salary and benefit expense. Discretionary costs include professional and consulting expenses and advertising. Other factors can impact our administrative cost structure, including systems efficiencies, inflation and changes in productivity.
Our cost of drugs consists of the amounts we pay to pharmaceutical companies for the drugs we sell via mail order through our PBM companies. This amount excludes the cost of drugs related to affiliated health customers recorded in benefit expense. Our cost of drugs can be influenced by the volume of prescriptions at our PBM companies, mix of drugs sold, as well as cost changes, driven by prices set by pharmaceutical companies.
Our results of operations depend in large part on our ability to accurately predict and effectively manage health care costs through effective contracting with providers of care to our members and our medical management programs, which focus on ensuring our members receive the optimal amount of medical care. Several economic factors related to health care costs, such as regulatory mandates of coverage and direct-to-consumer advertising by providers and pharmaceutical companies, have a direct impact on the volume of care consumed by our members. The potential effect of escalating health care costs as well as any changes in our ability to negotiate competitive rates with our providers may impose further risks to our ability to profitably underwrite our business, and may have a material impact on our results of operations.
This MD&A should be read in conjunction with our audited consolidated financial statements for the year ended December 31, 2004 and the MD&A included in our 2004 Annual Report on Form 10-K as filed with the Securities and Exchange Commission and in conjunction with our unaudited consolidated financial statements and accompanying notes as of and for the three and nine months ended September 30, 2005 included in this Quarterly Report on Form 10-Q. Results of operations, cost of care trends, investment yields and other measures for the three and nine month periods ended September 30, 2005 are not necessarily indicative of the results and trends that may be expected for the full year ending December 31, 2005.
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II. | Significant Transactions |
Pending Transaction with WellChoice, Inc.
On September 27, 2005, WellPoint and WellChoice, Inc., or WellChoice, the largest health insurer in New York State based on PPO and HMO membership and the Blue Cross and/or Blue Shield licensee in the metropolitan area of New York City and certain upstate counties in New York State, jointly announced that a definitive merger agreement had been signed whereby WellChoice will operate as a wholly owned subsidiary of WellPoint. The combined company will serve more than 33 million medical members as a Blue Cross or Blue Cross and Blue Shield licensee in 14 states and nationally through its HealthLink and UniCare subsidiaries.
Under the merger agreement, WellChoice stockholders will receive thirty-eight dollars and twenty-five cents ($38.25) in cash and 0.5191 of a share of WellPoint common stock for each share of WellChoice common stock outstanding. The value of the transaction is estimated to be approximately $6.5 billion. The transaction is expected to close during the first quarter of 2006, subject to, among other things, regulatory and WellChoice stockholder approvals.
Multi-District Lawsuits Agreement
On July 11, 2005, we announced that an agreement was reached with representatives of more than 700,000 physicians nationwide involved in two multi-district class-action lawsuits against us and other health benefits companies. As part of the agreement, we have agreed to pay $135.0 million to physicians and to contribute $5.0 million to a not-for-profit foundation whose mission is to promote higher quality health care and to enhance the delivery of care to the disadvantaged and underserved. In addition, up to $58.0 million will be paid in legal fees. As a result of the agreement, we incurred a pre-tax expense of $103.0 million during the three months ended June 30, 2005, or $0.10 per diluted share after tax, for the nine months ended September 30, 2005, which represents the final settlement amount of the agreement that was not previously accrued.
Acquisition of Lumenos, Inc.
On June 9, 2005, we announced the completion of our acquisition of Lumenos, Inc., or Lumenos, for approximately $185.0 million in cash paid to the stockholders of Lumenos. Lumenos is recognized as a pioneer and market leader in consumer-driven health programs. Lumenos served approximately 177,000 members as of the date of acquisition.
Two-For-One Stock Split
On April 25, 2005, WellPoint’s Board of Directors approved a two-for-one split of shares of common stock, which was effected in the form of a 100 percent common stock dividend. All shareholders of record on May 13, 2005 received one additional share of WellPoint common stock for each share of common stock held on that date. The additional shares of common stock were distributed to shareholders of record in the form of a stock dividend on May 31, 2005. All historical weighted average share and per share amounts and all references to stock compensation data and market prices of our common stock for all periods presented in this Quarterly Report on Form 10-Q have been adjusted to reflect this two-for-one stock split.
Merger with WellPoint Health Networks Inc.
On November 30, 2004, Anthem, Inc. and WellPoint Health Networks Inc., or WHN, completed their merger. Under the terms of the merger agreement, the stockholders of WHN (other than subsidiaries of WHN) received consideration of twenty-three dollars and eighty cents ($23.80) in cash and one share of Anthem, Inc. common stock for each WHN share outstanding. In addition, WHN stock options and other awards were converted to WellPoint, Inc. awards in accordance with the merger agreement. The purchase price including cash, fair value of stock and stock awards and estimated transaction costs was approximately $16.0 billion. Anthem, Inc., the surviving corporate parent, was renamed WellPoint, Inc. concurrent with the merger.
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The historical results of operations of the pre-merger companies and “comparable basis” information for the three and nine months ended September 30, 2004 are as follows. Comparable basis information was calculated by adding the reclassified historical statements of income for the former Anthem, Inc. and the former WellPoint Health Networks Inc. and contains no intercompany eliminations or pro forma adjustments resulting from the November 30, 2004 merger. Comparable basis information is presented in order to provide investors with a more meaningful prior-year comparison to the current period, due to the merger with WHN. Comparable basis is not calculated in accordance with U.S. generally accepted accounting principles, or GAAP, and is not intended to represent or be indicative of the results of WellPoint, Inc. had the merger been completed as of January 1, 2004.
Three Months Ended September 30, 2004 | |||||||||||||||||||||||
Anthem, Inc. | WellPoint Health Networks Inc. | WellPoint, Inc. | |||||||||||||||||||||
($ in Millions) | As Reported | Reclassifications 1 | Reclassified | As Reported | Reclassifications 1 | Reclassified | Comparable Basis | ||||||||||||||||
Premiums | $ | 4,335.3 | $ | 1.6 | $ | 4,336.9 | $ | 5,463.2 | $ | (2.4 | ) | $ | 5,460.8 | $ | 9,797.7 | ||||||||
Administrative fees | 344.8 | (5.7 | ) | 339.1 | 308.2 | (18.4 | ) | 289.8 | 628.9 | ||||||||||||||
Other revenue | 48.8 | 8.3 | 57.1 | — | 74.0 | 74.0 | 131.1 | ||||||||||||||||
Total operating revenue | 4,728.9 | 4.2 | 4,733.1 | 5,771.4 | 53.2 | 5,824.6 | 10,557.7 | ||||||||||||||||
Net investment income | 67.9 | — | 67.9 | 76.7 | (8.6 | ) | 68.1 | 136.0 | |||||||||||||||
Net realized gains on investments | 6.2 | — | 6.2 | — | 8.3 | 8.3 | 14.5 | ||||||||||||||||
Total revenue | 4,803.0 | 4.2 | 4,807.2 | 5,848.1 | 52.9 | 5,901.0 | 10,708.2 | ||||||||||||||||
Benefits expense | 3,583.8 | 3.6 | 3,587.4 | 4,412.7 | (9.5 | ) | 4,403.2 | 7,990.6 | |||||||||||||||
Selling, general and administrative expenses: | |||||||||||||||||||||||
Selling expense | — | 116.9 | 116.9 | 227.9 | — | 227.9 | 344.8 | ||||||||||||||||
General and administrative expense | 800.9 | (135.2 | ) | 665.7 | 655.0 | 17.8 | 672.8 | 1,338.5 | |||||||||||||||
Total selling, general and administrative expense | 800.9 | (18.3 | ) | 782.6 | 882.9 | 17.8 | 900.7 | 1,683.3 | |||||||||||||||
Cost of drugs | — | 20.6 | 20.6 | — | 48.1 | 48.1 | 68.7 | ||||||||||||||||
Interest expense | 32.9 | — | 32.9 | 12.2 | — | 12.2 | 45.1 | ||||||||||||||||
Amortization of other intangible assets | 11.3 | — | 11.3 | — | 11.7 | 11.7 | 23.0 | ||||||||||||||||
Other expenses | — | — | — | 15.2 | (15.2 | ) | — | — | |||||||||||||||
Total expense | 4,428.9 | 5.9 | 4,434.8 | 5,323.0 | 52.9 | 5,375.9 | 9,810.7 | ||||||||||||||||
Income before income taxes | 374.1 | (1.7 | ) | 372.4 | 525.1 | — | 525.1 | 897.5 | |||||||||||||||
Income taxes | 131.0 | (0.7 | ) | 130.3 | 210.0 | — | 210.0 | 340.3 | |||||||||||||||
Minority interest | 1.0 | (1.0 | ) | — | — | — | — | — | |||||||||||||||
Net income | $ | 242.1 | $ | — | $ | 242.1 | $ | 315.1 | $ | — | $ | 315.1 | $ | 557.2 | |||||||||
Benefit expense ratio2 | 82.7% | 82.7% | 80.8% | 80.6% | 81.6% | ||||||||||||||||||
Selling, general and administrative expense ratio 3 | 16.9% | 16.5% | 15.3% | 15.5% | 15.9% |
1 | To reflect the reclassification of certain historical amounts to a consistent presentation format adopted by the combined organization. |
2 | Benefit expense ratio = Benefit expense ÷ Premiums. |
3 | Selling, general and administrative expense ratio = Total selling, general and administrative expense ÷ Total operating revenue. |
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Nine Months Ended September 30, 2004 | |||||||||||||||||||||||
Anthem, Inc. | WellPoint Health Networks Inc. | WellPoint, Inc. | |||||||||||||||||||||
($ in Millions) | As Reported | Reclassifications 1 | Reclassified | As Reported | Reclassifications 1 | Reclassified | Comparable Basis | ||||||||||||||||
Premiums | $ | 12,577.5 | $ | (1.0 | ) | $ | 12,576.5 | $ | 16,127.5 | $ | (9.5 | ) | $ | 16,118.0 | $ | 28,694.5 | |||||||
Administrative fees | 1,011.5 | (14.1 | ) | 997.4 | 918.3 | (53.1 | ) | 865.2 | 1,862.6 | ||||||||||||||
Other revenue | 140.1 | 22.4 | 162.5 | — | 216.7 | 216.7 | 379.2 | ||||||||||||||||
Total operating revenue | 13,729.1 | 7.3 | 13,736.4 | 17,045.8 | 154.1 | 17,199.9 | 30,936.3 | ||||||||||||||||
Net investment income | 211.8 | — | 211.8 | 228.8 | (24.9 | ) | 203.9 | 415.7 | |||||||||||||||
Net realized gains on investments | 40.7 | — | 40.7 | — | 25.0 | 25.0 | 65.7 | ||||||||||||||||
Total revenue | 13,981.6 | 7.3 | 13,988.9 | 17,274.6 | 154.2 | 17,428.8 | 31,417.7 | ||||||||||||||||
Benefits expense | 10,343.1 | (7.0 | ) | 10,336.1 | 12,964.4 | (32.1 | ) | 12,932.3 | 23,268.4 | ||||||||||||||
Selling, general and administrative expenses: | |||||||||||||||||||||||
Selling expense | — | 340.0 | 340.0 | 668.4 | — | 668.4 | 1,008.4 | ||||||||||||||||
General and administrative expense | 2,377.5 | (380.2 | ) | 1,997.3 | 2,050.8 | 45.4 | 2,096.2 | 4,093.5 | |||||||||||||||
Total selling, general and administrative expense | 2,377.5 | (40.2 | ) | 2,337.3 | 2,719.2 | 45.4 | 2,764.6 | 5,101.9 | |||||||||||||||
Cost of drugs | — | 58.5 | 58.5 | — | 142.2 | 142.2 | 200.7 | ||||||||||||||||
Interest expense | 97.4 | — | 97.4 | 37.4 | — | 37.4 | 134.8 | ||||||||||||||||
Amortization of other intangible assets | 33.7 | — | 33.7 | — | 35.3 | 35.3 | 69.0 | ||||||||||||||||
Other expenses | — | — | — | 36.6 | (36.6 | ) | — | — | |||||||||||||||
Total expense | 12,851.7 | 11.3 | 12,863.0 | 15,757.6 | 154.2 | 15,911.8 | 28,774.8 | ||||||||||||||||
Income before income taxes | 1,129.9 | (4.0 | ) | 1,125.9 | 1,517.0 | — | 1,517.0 | 2,642.9 | |||||||||||||||
Income taxes | 351.7 | (1.4 | ) | 350.3 | 606.8 | — | 606.8 | 957.1 | |||||||||||||||
Minority interest | 2.6 | (2.6 | ) | — | — | — | — | — | |||||||||||||||
Net income | $ | 775.6 | $ | — | $ | 775.6 | $ | 910.2 | $ | — | $ | 910.2 | $ | 1,685.8 | |||||||||
Benefit expense ratio2 | 82.2% | 82.2% | 80.4% | 80.2% | 81.1% | ||||||||||||||||||
Selling, general and administrative expense ratio3 | 17.3% | 17.0% | 16.0% | 16.1% | 16.5% |
1 | To reflect the reclassification of certain historical amounts to a consistent presentation format adopted by the combined organization. |
2 | Benefit expense ratio = Benefit expense ÷ Premiums. |
3 | Selling, general and administrative expense ratio = Total selling, general and administrative expense ÷ Total operating revenue. |
III. | Membership—September 30, 2005 Compared to September 30, 2004 |
Our medical membership includes six different customer types: Large Group, Individual and Small Group, National Accounts, BlueCard, Senior and State Sponsored.
• | Large Group generally consists of those employer customers with 51 to 4,999 employees eligible to participate as a member in one of our health plans. In addition, Large Group includes customers with 5,000 or more eligible employees with less than 5% of eligible employees located outside of the headquarters state. Large Group also includes members in the Federal Employee Program, or FEP, which provides health insurance coverage to United States government employees and their dependents within our geographic markets through our participation in the national contract between the BCBSA and the U.S. Office of Personnel Management. |
• | Individual and Small Group, or ISG, consists of individual customers under age 65 as well as those employer customers with one to 50 eligible employees. |
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• | National Accounts customers are multi-state employer groups primarily headquartered in a WellPoint service area with 5,000 or more eligible employees, with at least 5% of eligible employees located outside of the headquarters state. |
• | BlueCard members represent enrollees of non-owned Blue Cross and Blue Shield plans who receive health care services in our Blue Cross and Blue Shield licensed markets. BlueCard membership consists of estimated host members using the national BlueCard program. Host members are generally members who reside in or travel to a state in which a WellPoint subsidiary is the Blue Cross and/or Blue Shield licensee and who are covered under an employer sponsored health plan issued by a non-WellPoint controlled Blue Cross Blue Shield licensee (i.e., the “home” plan). We perform certain administrative functions for BlueCard members, for which we receive administrative fees from the BlueCard members’ home plans. Other administrative functions, including maintenance of enrollment information and customer service, are performed by the home plan. Host members are computed using, among other things, the average number of BlueCard claims received per member per month. |
• | Senior members are Medicare-eligible individual members age 65 and over who have enrolled in Medicare Advantage, a managed care alternative for the Medicare program, or who have purchased Medicare supplement benefit coverage. |
• | State Sponsored membership represents eligible members with state sponsored managed care alternatives in Medicaid and State Children’s Health Insurance programs. |
In addition to reporting our medical membership by customer type, we report by funding arrangement according to the level of risk that we assume in the product contract. Our two funding arrangement categories are fully-insured and self-funded. Fully-insured products are products in which we indemnify our policyholders against costs for health benefits. Self-funded products are offered to customers, generally larger employers, who elect to retain some or all of the financial risk associated with their employees’ health care costs. Some employers choose to purchase stop-loss coverage to limit their retained risk. These employers are reported with our self-funded business.
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The following table presents our medical membership by customer type, funding arrangement and geographical region. Also included below are key metrics from our Specialty segment, including prescription volume for our PBM companies and membership by product. The medical membership and specialty metrics data presented is unaudited and in certain instances includes estimates of the number of members represented by each contract at the end of the period.
September 30 | Comparable Basis 3 September 30 | ||||||||||
Medical Membership | 2005 1 | 2004 2 | 2004 | Change | % | ||||||
Customer Type | (In Thousands) | ||||||||||
Large Group | 13,268 | 4,838 | 12,862 | 406 | 3 | % | |||||
Individual and Small Group (ISG) | 5,294 | 2,078 | 5,111 | 183 | 4 | ||||||
National Accounts | 3,505 | 1,916 | 3,255 | 250 | 8 | ||||||
BlueCard | 4,023 | 3,089 | 3,462 | 561 | 16 | ||||||
Total National | 7,528 | 5,005 | 6,717 | 811 | 12 | ||||||
Senior | 1,073 | 597 | 1,054 | 19 | 2 | ||||||
State Sponsored | 1,825 | 219 | 1,701 | 124 | 7 | ||||||
Total medical membership by customer type | 28,988 | 12,737 | 27,445 | 1,543 | 6 | % | |||||
Funding Arrangement | |||||||||||
Self-Funded | 14,382 | 7,076 | 12,924 | 1,458 | 11 | % | |||||
Fully-Insured | 14,606 | 5,661 | 14,521 | 85 | 1 | ||||||
Total medical membership by funding arrangement | 28,988 | 12,737 | 27,445 | 1,543 | 6 | % | |||||
Regional Membership | |||||||||||
Central 4 | 11,102 | 6,072 | 10,505 | 597 | 6 | % | |||||
West | 9,146 | 1,133 | 8,494 | 652 | 8 | ||||||
Southeast | 6,139 | 2,844 | 5,905 | 234 | 4 | ||||||
Northeast | 2,601 | 2,688 | 2,541 | 60 | 2 | ||||||
Total medical membership by region | 28,988 | 12,737 | 27,445 | 1,543 | 6 | % | |||||
Specialty Metrics | |||||||||||
PBM prescription volume 5 | 84,711 | 27,796 | 82,233 | 2,478 | 3 | % | |||||
Behavioral health membership | 13,804 | 3,547 6 | 11,532 6 | NM 6 | NM 6 | ||||||
Life and disability membership | 5,743 | 2,264 6 | 5,281 6 | NM 6 | NM 6 | ||||||
Dental membership | 5,107 | 2,208 6 | 5,006 6 | NM 6 | NM 6 | ||||||
Vision membership | 785 | 744 | 751 | 34 | 5 |
1 | Includes self-funded members from the Lumenos acquisition that closed on June 9, 2005. |
2 | Represents the former Anthem, Inc. only. Historical results have been reclassified to conform to current presentation. |
3 | “Comparable Basis” data for 2004 was calculated by adding historical data for the former WellPoint Health Networks Inc. to historical data for the former Anthem, Inc., and adjusting the combined totals to ensure a consistent approach for calculating membership and volume statistics and to eliminate overlapping BlueCard membership. |
4 | Includes our UniCare and HealthLink membership. Also includes Wisconsin which, at December 31, 2004, was presented as a separate region. |
5 | Represents prescription volume for mail order and retail prescriptions for the three months ended September 30, 2005 and 2004. |
6 | Prior period and comparable basis information and the changes in such information are not meaningful due to different counting methodologies for these members used by the former Anthem, Inc. and the former WellPoint Health Networks Inc. |
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During the twelve months ended September 30, 2005, total comparable medical membership increased approximately 1,543,000, or 6%, primarily in our BlueCard, Large Group, National Accounts businesses and ISG. Self-funded comparable medical membership increased 1,458,000, or 11%, primarily due to increases in our BlueCard, Large Group and National Accounts businesses. Fully-insured comparable membership increased by 85,000, or 1%, primarily due to growth in our ISG and State Sponsored businesses, partially offset by the movement of a Large Group account in the Southeast from fully-insured to self-funded.
Comparable BlueCard membership increased 561,000, or 16%, due to increased sales by other Blue Cross and Blue Shield licensees to accounts with members who reside in or travel to our licensed areas. Comparable Large Group membership increased 406,000, or 3%, due to success in attracting new customers and the acquisition of Lumenos and certain assets and membership of Atrium Health Plan, Inc. Comparable National Account membership increased 250,000, or 8%, primarily due to success in attracting new customers as they recognize the value of the Blue Cross and Blue Shield networks and discounts, as well as the acquisition of Lumenos. Comparable ISG membership increased 183,000, or 4%, primarily due to the introduction of new, more affordable product designs and an overall increase in consumer awareness of our wide variety of quality products and services as well as efforts to market products to the uninsured.
Our specialty metrics are derived from membership and activity from our specialty products. These products are often ancillary to our health business, and can therefore be impacted by growth in our health membership. The membership of these products can also be impacted by our efforts to increase the percentage of our health members who use our specialty products.
Prescription volume at our PBM companies increased 2,478,000 prescriptions, or 3%, on a comparable basis in 2005, primarily due to growth in both our retail and our mail order operations.
Behavioral Health comparable membership increased 2,272,000, or 20%, in 2005. Membership increased by approximately 1,072,000 members, primarily due to growth within our existing health lines of business and our increasing offerings of specialty products to our health members. The remaining member increase is primarily due to a change in counting methodologies in 2005 as compared to 2004.
IV. | Cost of Care |
The following discussion summarizes our aggregate cost of care trends for the rolling 12 months ended September 30, 2005 for our Large Group and ISG fully-insured businesses only. In order to provide a more meaningful comparison to the current period due to the merger with WHN, cost of care information as discussed below is presented as if pre-merger Anthem, Inc. and WHN were combined for all of 2004 and 2003. Accordingly, cost of care reported previously for pre-merger Anthem, Inc. is not comparable to the information presented below.
Our cost of care trends are calculated by comparing the year-over-year change in average per member per month claim costs for which we are responsible, which excludes member co-payments and deductibles. Our aggregate cost of care trend is expected to be less than 8.5% for the full year 2005.
Costs for outpatient and inpatient services are the primary drivers of overall cost trends, with outpatient trends moderating from 2004 levels. Cost trend increases for outpatient services were primarily driven by higher per visit costs as more procedures are being performed during each visit to outpatient providers, particularly emergency room visits, as well as the impact of price increases included within certain provider contracts. However, we are seeing the positive impact of our radiology management programs on our outpatient trends. These programs were implemented in our Northeast and Central regions in late 2004 and early 2005 and are designed to ensure appropriate use of radiology services by our members. We are currently expanding these programs to our other regions. Inpatient trends have been driven primarily by unit cost, a reflection of negotiated contracted increases with hospitals. Utilization (admissions per 1,000 members) remains flat, while average length of hospital stay and hospital days per 1,000 members have both decreased slightly.
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Pharmacy benefit cost trend, which previously had been a primary driver of overall trend increases, continues to decline as a result of an increase in generic usage rates, benefit plan design changes, drug cost savings realized from the merger with WHN, the non-renewal of pharmacy only business from a large state customer with historically high utilization and cost trends effective July 1, 2005 and the impact of lower utilization for the COX 2 Inhibitor therapeutic class of drugs. Late in the third quarter of 2004, the arthritis drug VIOXX® was removed from the market due to concerns about the risk of heart attacks in persons taking this drug for longer than 18 months. We have provided our network physicians with information regarding alternatives to VIOXX and our PBM companies have implemented a process to ensure appropriate usage of the COX 2 Inhibitor therapeutic class of drugs.
In response to cost trends, we continue to pursue contracting and plan design changes, promote and implement performance-based contracts that reward clinical outcomes and quality, and expand our radiology management, disease management and advanced care management programs. In addition, we are expanding our specialty pharmacy programs and continuously evaluate our drug formulary to ensure the most effective pharmaceutical therapies are available for our members.
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V. | Results of Operations—Three Months Ended September 30, 2005 Compared to the Three Months Ended September 30, 2004 |
Our consolidated results of operations for the three months ended September 30, 2005 and 2004 are as follows. Comparable basis information was calculated by adding the reclassified historical statements of income for the former Anthem, Inc. and the former WellPoint Health Networks Inc. and contains no intercompany eliminations or pro forma adjustments resulting from the November 30, 2004 merger. Comparable basis information is presented in order to provide investors with a more meaningful prior-year comparison to the current period for certain line items (e.g., those not impacted by the merger) due to the merger with WHN. Comparable basis is not calculated in accordance with GAAP and is not intended to represent or be indicative of the results of WellPoint, Inc. had the merger been completed as of January 1, 2004.
Three Months Ended September 30 1 | Comparable Basis2,3 Three Months Ended | |||||||||||||||||||||
2005 | 2004 | % Change | 2004 | $ Change | % Change | |||||||||||||||||
($ in Millions, Except Per Share Data) | ||||||||||||||||||||||
Premiums | $ | 10,315.0 | $ | 4,336.9 | 138 | % | $ | 9,797.7 | $ | 517.3 | 5 | % | ||||||||||
Administrative fees | 690.8 | 339.1 | 104 | 628.9 | 61.9 | 10 | ||||||||||||||||
Other revenue | 144.5 | 57.1 | 153 | 131.1 | 13.4 | 10 | ||||||||||||||||
Total operating revenue | 11,150.3 | 4,733.1 | 136 | 10,557.7 | 592.6 | 6 | ||||||||||||||||
Net investment income | 154.7 | 67.9 | 128 | NM 4 | NM 4 | NM 4 | ||||||||||||||||
Net realized (losses) gains on investments | (0.4 | ) | 6.2 | NM 4 | 14.5 | (14.9 | ) | NM 4 | ||||||||||||||
Total revenue | 11,304.6 | 4,807.2 | 135 | NM 4 | NM 4 | NM 4 | ||||||||||||||||
Benefit expense | 8,243.9 | 3,587.4 | 130 | 7,990.6 | 253.3 | 3 | ||||||||||||||||
Selling, general and administrative expense: | ||||||||||||||||||||||
Selling expense | 370.6 | 116.9 | 217 | 344.8 | 25.8 | 7 | ||||||||||||||||
General and administrative expense | 1,477.2 | 665.7 | 122 | 1,338.5 | 138.7 | 10 | ||||||||||||||||
Total selling, general and administrative expense | 1,847.8 | 782.6 | 136 | 1,683.3 | 164.5 | 10 | ||||||||||||||||
Cost of drugs | 73.8 | 20.6 | 258 | 68.7 | 5.1 | 7 | ||||||||||||||||
Interest expense | 56.1 | 32.9 | 71 | NM 4 | NM 4 | NM 4 | ||||||||||||||||
Amortization of other intangible assets | 59.6 | 11.3 | 427 | NM 4 | NM 4 | NM 4 | ||||||||||||||||
Total expense | 10,281.2 | 4,434.8 | 132 | NM 4 | NM 4 | NM 4 | ||||||||||||||||
Income before income taxes | 1,023.4 | 372.4 | 175 | NM 4 | NM 4 | NM 4 | ||||||||||||||||
Income taxes | 382.7 | 130.3 | 194 | NM 4 | NM 4 | NM 4 | ||||||||||||||||
Net income | $ | 640.7 | $ | 242.1 | 165 | % | NM 4 | NM 4 | NM 4 | |||||||||||||
Average diluted shares outstanding | 627.7 | 285.5 | 120 | % | NM 4 | NM 3,4 | NM 4 | |||||||||||||||
Diluted net income per share | $ | 1.02 | $ | 0.85 | 20 | % | NM 4 | NM 3,4 | NM 4 | |||||||||||||
Benefit expense ratio5 | 79.9 | % | 82.7 | % | (280 | ) bp 6 | 81.6 | % | (170 | ) bp 6 | ||||||||||||
Selling, general and administrative expense ratio7 | 16.6 | % | 16.5 | % | 10 | bp 6 | 15.9 | % | 70 | bp 6 | ||||||||||||
Income before income taxes as a percentage of total revenue | 9.1 | % | 7.7 | % | 140 | bp 6 | NM 4 | NM 4 | ||||||||||||||
Net income as a percentage of total revenue | 5.7 | % | 5.0 | % | 70 | bp 6 | NM 4 | NM 4 |
Certain of the following definitions are also applicable to all other results of operations tables in this discussion:
1 | Financial results for 2005 include operations of the former WellPoint Health Networks Inc. Financial results for 2004 represent the results of the former Anthem, Inc. only and have been reclassified to conform to current presentation. |
2 | See “Significant Transactions” for additional comparable basis information. |
3 | For certain line items impacted by the merger, comparable basis is not meaningful due to related capitalization and purchase accounting. |
4 | NM = Not meaningful. |
5 | Benefit expense ratio = Benefit expense ÷ Premiums. |
6 | bp = basis point; one hundred basis points = 1%. |
7 | Selling, general and administrative expense ratio = Total selling, general and administrative expense ÷ Total operating revenue. |
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Premiums increased $5,978.1 million, or 138%, to $10,315.0 million in 2005. On a comparable basis, premiums increased $517.3 million, or 5%, primarily due to premium rate increases in our Large Group and ISG businesses. Also contributing to premium growth was higher fully-insured membership, primarily in our ISG and National Accounts businesses.
Administrative fees increased $351.7 million, or 104%, to $690.8 million in 2005. On a comparable basis, administrative fees increased $61.9 million, or 10%, primarily due to increased self-funded membership in our National Accounts business. These membership gains are driven by the popularity of the BlueCard program, as well as successful efforts to attract large self-funded accounts.
Other revenue is comprised principally of co-payments and deductibles associated with the sale of mail-order drugs by our PBM companies, which provides services to members of our Health Care segment and third party clients. Other revenue increased $87.4 million, or 153%, to $144.5 million in 2005. On a comparable basis, other revenue increased $13.4 million, or 10%, primarily due to additional mail-order prescription revenue and increased prices of prescription drugs sold by our PBM companies. Increased mail-order prescription volume resulted from both membership increases and additional utilization of our PBM companies’ mail-order pharmacy option.
Net investment income increased $86.8 million, or 128%, to $154.7 million in 2005 primarily resulting from invested assets acquired with the WHN merger and from growth in invested assets from reinvestment of cash generated from operations. This growth was partially offset by the liquidation of invested assets to fund the cash portion of the WHN merger.
A summary of our net realized gains (losses) on investments for the three months ended September 30, 2005 and 2004 is as follows:
Three Months Ended September 30 | |||||||||||
2005 | 2004 1 | $ Change | |||||||||
($ in Millions) | |||||||||||
Net realized (losses) gains from the sale of fixed maturity securities | $ | (4.9 | ) | $ | 5.6 | $ | (10.5 | ) | |||
Net realized gains from the sale of equity securities | 3.3 | 0.2 | 3.1 | ||||||||
Other-than-temporary impairments | (3.1 | ) | — | (3.1 | ) | ||||||
Other gains gains | 4.3 | 0.4 | 3.9 | ||||||||
Net realized (losses) gains | $ | (0.4 | ) | $ | 6.2 | $ | (6.6 | ) | |||
1 Represents the former Anthem, Inc. only.
Benefit expense increased $4,656.5 million, or 130%, to $8,243.9 million in 2005. On a comparable basis, benefit expense increased $253.3 million, or 3%, primarily due to increased cost of care, which was driven primarily by higher costs in outpatient and inpatient services. On a comparable basis, our 2005 benefit expense ratio decreased 170 basis points to 79.9%, attributable to disciplined pricing and moderating cost of care trends.
Selling, general and administrative expense increased $1,065.2 million, or 136%, to $1,847.8 million in 2005. On a comparable basis, selling, general and administrative expense increased $164.5 million, or 10%, primarily due to increases in volume-sensitive costs such as higher commissions, premium taxes and other expenses associated with growth in our business; increased incentive compensation costs, including merger-related stay bonuses; and costs associated with the transition of information technology infrastructure services to International Business Machines Corporation, or IBM. On a comparable basis, our 2005 selling, general and administrative expense ratio increased 70 basis points to 16.6%. This increase reflects higher incentive compensation, including merger-related stay bonuses, and costs associated with the transition of information technology infrastructure services to IBM, offset by the impact of our growth in operating revenue and the leveraging of costs over higher revenues in 2005.
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Cost of drugs increased $53.2 million, or 258%, to $73.8 million in 2005. On a comparable basis, cost of drugs increased $5.1 million, or 7%, primarily due to higher retail and mail-order prescription volume at our PBM companies.
Interest expense increased $23.2 million, or 71%, to $56.1 million in 2005, primarily due to additional interest expense on the debt incurred in conjunction with the WHN merger, partially offset by reduced interest expense from the repurchase of debt securities in December of 2004.
Amortization of other intangible assets increased $48.3 million, or 427%, to $59.6 million in 2005, primarily due to additional amortization expense related to identifiable intangible assets with finite lives resulting from the WHN merger.
Reportable Segments
We use operating gain to evaluate the performance of our reportable segments, as described in Statement of Financial Accounting Standards No. (“FAS”) 131,Disclosure about Segments of an Enterprise and Related Information. In connection with the WHN merger and related organizational changes, we evaluated FAS 131 criteria and determined our reportable segments to be Health Care, Specialty and Other. Operating gain is calculated as total operating revenue less benefit expense, selling, general and administrative expense and cost of drugs. It does not include net investment income, net realized gains (losses) on investments, interest expense, amortization of other intangible assets or income taxes, as these items are managed in a corporate shared service environment and are not the responsibility of operating segment management. For additional information, see Note 9 to our unaudited consolidated financial statements for the three and nine months ended September 30, 2005 included in this Quarterly Report on Form 10-Q. The discussions of segment results for the three and nine months ended September 30, 2005 and 2004 presented below are based on operating gain, as described above, and operating margin, which is calculated as operating gain divided by operating revenue. Our definitions of operating gain and operating margin may not be comparable to similarly titled measures reported by other companies.
Our segments’ summarized historical results of operations for the pre-merger companies and “comparable basis” information for the three months ended September 30, 2004 are as follows. Comparable basis information was calculated by adding the reclassified historical statements of income for the former Anthem, Inc. and the former WellPoint Health Networks Inc. and contains no intercompany eliminations or pro forma adjustments resulting from the November 30, 2004 merger. Comparable basis information is presented in order to provide investors with a more meaningful prior-year comparison to the current period, due to the merger with WHN. Comparable basis is not calculated in accordance with GAAP and is not intended to represent or be indicative of the results of WellPoint, Inc. had the merger been completed as of January 1, 2004.
Three Months Ended September 30, 2004 | ||||||||||||||||||||||||||||
Anthem, Inc. | WellPoint Health Networks Inc. | WellPoint, Inc. | ||||||||||||||||||||||||||
(In Millions) | As Reported | Reclassifications 1 | Reclassified | As Reported | Reclassifications 1 | Reclassified | Comparable Basis 2 | |||||||||||||||||||||
Operating Revenue | ||||||||||||||||||||||||||||
Health Care | $ | 4,587.4 | $ | (4.8 | ) | $ | 4,582.6 | $ | 5,525.2 | $ | (38.9 | ) | $ | 5,486.3 | $ | 10,068.9 | ||||||||||||
Specialty | 279.1 | — | 279.1 | 243.5 | 144.9 | 388.4 | 667.5 | |||||||||||||||||||||
Other: | ||||||||||||||||||||||||||||
External customers | 45.9 | 3.4 | 49.3 | 2.7 | 37.9 | 40.6 | 89.9 | |||||||||||||||||||||
Eliminations of intersegment revenue | (183.5 | ) | 5.6 | (177.9 | ) | — | (90.7 | ) | (90.7 | ) | (268.6 | ) | ||||||||||||||||
Total Other | (137.6 | ) | 9.0 | (128.6 | ) | 2.7 | (52.8 | ) | (50.1 | ) | (178.7 | ) | ||||||||||||||||
Total operating revenue | $ | 4,728.9 | $ | 4.2 | $ | 4,733.1 | $ | 5,771.4 | $ | 53.2 | $ | 5,824.6 | $ | 10,557.7 | ||||||||||||||
Operating Gain (Loss) | ||||||||||||||||||||||||||||
Health Care | $ | 345.7 | $ | (1.1 | ) | $ | 344.6 | $ | 420.0 | $ | (5.2 | ) | $ | 414.8 | $ | 759.4 | ||||||||||||
Specialty | 19.5 | — | 19.5 | 63.7 | 2.4 | 66.1 | 85.6 | |||||||||||||||||||||
Other | (21.0 | ) | (0.6 | ) | (21.6 | ) | (7.9 | ) | (0.4 | ) | (8.3 | ) | (29.9 | ) |
1 | To reflect the reclassification of certain historical amounts to a consistent presentation format adopted by the combined organization. |
2 | See “Significant Transactions” for additional comparable basis information. |
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Health Care
Our Health Care segment’s summarized results of operations for the three months ended September 30, 2005 and 2004 are as follows:
Three Months Ended September 30 | Comparable Basis Three Months Ended September 30 | ||||||||||||||||
2005 | 2004 | % Change | 2004 | $ Change | % Change | ||||||||||||
(In Millions) | |||||||||||||||||
Operating revenue | $ | 10,674.5 | $ | 4,582.6 | 133 | % | $ | 10,068.9 | $ | 605.6 | 6% | ||||||
Operating gain | $ | 916.6 | $ | 344.6 | 166 | % | $ | 759.4 | $ | 157.2 | 21% | ||||||
Operating margin | 8.6% | 7.5% | 110 | bp | 7.5% | 110 bp |
Operating revenue increased $6,091.9 million to $10,674.5 million in 2005. On a comparable basis, operating revenue increased $605.6 million, or 6%, primarily due to premium rate increases in our Large Group and ISG businesses. Also contributing to operating revenue growth was higher fully-insured membership, primarily in our ISG and National Accounts businesses.
Operating gain increased $572.0 million to $916.6 million in 2005. On a comparable basis, operating gain increased $157.2 million, or 21%, primarily due to membership growth and improved underwriting results in our Large Group and ISG businesses.
Specialty
Our Specialty segment’s summarized results of operations for the three months ended September 30, 2005 and 2004 are as follows:
Three Months Ended September 30 | Comparable Basis Three Months Ended September 30 | |||||||||||||||||
2005 | 2004 | % Change | 2004 | $ Change | % Change | |||||||||||||
(In Millions) | ||||||||||||||||||
Operating revenue | $ | 723.1 | $ | 279.1 | 159 | % | $ | 667.5 | $ | 55.6 | 8 | % | ||||||
Operating gain | $ | 89.2 | $ | 19.5 | 357 | % | $ | 85.6 | $ | 3.6 | 4 | % | ||||||
Operating margin | 12.3% | 7.0% | 530 | bp | 12.8% | (50 | ) bp |
Operating revenue increased $444.0 million to $723.1 million in 2005. On a comparable basis, operating revenue increased $55.6 million, or 8%, primarily due to increased mail-order prescription volume and increased wholesale drug costs, which are passed through to customers of our PBM companies. The increased mail-order prescription volume resulted from additional utilization of our PBM companies’ mail-order pharmacy option.
Operating gain increased $69.7 million to $89.2 million in 2005. On a comparable basis, operating gain increased $3.6 million, or 4%, primarily due to increased script volume in our PBM companies, partially offset by unfavorable mortality experience on certain life insurance contracts.
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Other
Our summarized results of operations for our Other segment for the three months ended September 30, 2005 and 2004 are as follows:
Three Months Ended September 30 | Comparable Basis Three Months Ended September 30 | |||||||||||||||||||||
2005 | 2004 | % Change | 2004 | $ Change | % Change | |||||||||||||||||
(In Millions) | ||||||||||||||||||||||
Operating revenue from external customers | $ | 84.8 | $ | 49.3 | 72 | % | $ | 89.7 | $ | (4.9 | ) | (5 | )% | |||||||||
Elimination of intersegment revenue | (332.1 | ) | (177.9 | ) | 87 | % | (268.4 | ) | (63.7 | ) | 24 | % | ||||||||||
Total operating revenue | $ | (247.3 | ) | $ | (128.6 | ) | 92 | % | $ | (178.7 | ) | $ | (68.6 | ) | 38 | % | ||||||
Operating (loss) gain | $ | (21.0 | ) | $ | (21.6 | ) | (3 | )% | $ | (29.9 | ) | $ | 8.9 | (30 | )% |
Operating revenue from external customers increased $35.5 million to $84.8 million in 2005. On a comparable basis, operating revenue from external customers decreased $4.9 million, or 5%. Elimination of intersegment revenue increased $154.2 million, or 81% in 2005. On a comparable basis, elimination of intersegment revenue increased $63.7 million, or 24%, reflecting additional sales by our PBM companies to our Health Care segment.
Operating loss decreased $0.6 million to $21.0 million in 2005. On a comparable basis, operating loss decreased $8.9 million, or 30%, primarily due to the current year allocation of expenses to the Health Care and Specialty segments that were historically reported in the Other segment.
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VI. | Results of Operations—Nine Months Ended September 30, 2005 Compared to the Nine Months Ended September 30, 2004 |
Our consolidated results of operations are for the nine months ended September 30, 2005 and 2004 are as follows. Comparable basis information was calculated by adding the reclassified historical statements of income for the former Anthem, Inc. and the former WellPoint Health Networks Inc. and contains no intercompany eliminations or pro forma adjustments resulting from the November 30, 2004 merger. Comparable basis information is presented in order to provide investors with a more meaningful prior-year comparison to the current period for certain line items (e.g., those not impacted by the merger) due to the merger with WHN. Comparable basis is not calculated in accordance with GAAP and is not intended to represent or be indicative of the results of WellPoint, Inc. had the merger been completed as of January 1, 2004.
Nine Months Ended September 30 1 | Comparable Basis 2,3 Nine Months Ended September 30 | |||||||||||||||||||||
2005 | 2004 | % Change | 2004 | $ Change | % Change | |||||||||||||||||
(In Millions, Except Per Share Data) | ||||||||||||||||||||||
Premiums | $ | 30,806.7 | $ | 12,576.5 | 145 | % | $ | 28,694.5 | $ | 2,112.2 | 7 | % | ||||||||||
Administrative fees | 2,022.8 | 997.4 | 103 | 1,862.6 | 160.2 | 9 | ||||||||||||||||
Other revenue | 419.6 | 162.5 | 158 | 379.2 | 40.4 | 11 | ||||||||||||||||
Total operating revenue | 33,249.1 | 13,736.4 | 142 | 30,936.3 | 2,312.8 | 7 | ||||||||||||||||
Net investment income | 453.2 | 211.8 | 114 | NM 4 | NM 4 | NM 4 | ||||||||||||||||
Net realized gains (loss) on investments | 1.4 | 40.7 | (97 | ) | 65.7 | (64.3 | ) | (98 | ) | |||||||||||||
Total revenue | 33,703.7 | 13,988.9 | 141 | NM 4 | NM 4 | NM 4 | ||||||||||||||||
Benefit expense | 24,879.6 | 10,336.1 | 141 | 23,268.4 | 1,611.2 | 7 | ||||||||||||||||
Selling, general and administrative expense: | ||||||||||||||||||||||
Selling expense | 1,097.7 | 340.0 | 223 | 1,008.4 | 89.3 | 9 | ||||||||||||||||
General and administrative expense | 4,312.1 | 1,997.3 | 116 | 4,093.5 | 218.6 | 5 | ||||||||||||||||
Total selling, general and administrative expense | 5,409.8 | 2,337.3 | 131 | 5,101.9 | 307.9 | 6 | ||||||||||||||||
Cost of drugs | 218.5 | 58.5 | 274 | 200.7 | 17.8 | 9 | ||||||||||||||||
Interest expense | 168.2 | 97.4 | 73 | NM 4 | NM 4 | NM 4 | ||||||||||||||||
Amortization of other intangible assets | 178.7 | 33.7 | 430 | NM 4 | NM 4 | NM 4 | ||||||||||||||||
Total expense | 30,854.8 | 12,863.0 | 140 | NM 4 | NM 4 | NM 4 | ||||||||||||||||
Income before income taxes | 2,848.9 | 1,125.9 | 153 | NM 4 | NM 4 | NM 4 | ||||||||||||||||
Income taxes | 1,037.1 | 350.3 | 196 | NM 4 | NM 4 | NM 4 | ||||||||||||||||
Net income | $ | 1,811.8 | $ | 775.6 | 134 | % | NM 4 | NM 4 | NM 4 | |||||||||||||
Average diluted shares outstanding | 624.7 | 285.5 | 119 | % | NM 4 | NM 3,4 | NM 4 | |||||||||||||||
Diluted net income per share | $ | 2.90 | $ | 2.72 | 7 | % | NM 4 | NM 3,4 | NM 4 | |||||||||||||
Benefit expense ratio 5 | 80.8 | % | 82.2 | % | (140 | ) bp 6 | 81.1 | % | (30 | ) bp 6 | ||||||||||||
Selling, general and administrative expense ratio 7 | 16.3 | % | 17.0 | % | (70 | ) bp 6 | 16.5 | % | (20 | ) bp 6 | ||||||||||||
Income before income tax as a percentage of total revenue | 8.5 | % | 8.0 | % | 50 | bp 6 | NM 4 | NM 4 | ||||||||||||||
Net income as a percentage of total revenue | 5.4 | % | 5.5 | % | (10 | ) bp 6 | NM 4 | NM 4 |
Certain of the following definitions are also applicable to all other results of operations tables in this discussion:
1 | Financial results for 2005 include operations of the former WellPoint Health Networks Inc. Financial results for 2004 represent the results of the former Anthem, Inc. only and have been reclassified to conform to current presentation. |
2 | See “Significant Transactions” for additional comparable basis information. |
3 | For certain line items impacted by the merger, comparable basis is not meaningful due to related capitalization and purchase accounting. |
4 | NM = Not meaningful. |
5 | Benefit expense ratio = Benefit expense ÷ Premiums. |
6 | bp = basis point; one hundred basis points = 1%. |
7 | Selling, general and administrative expense ratio = Total selling, general and administrative expense ÷ Total operating revenue. |
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Premiums increased $18,230.2 million, or 145%, to $30,806.7 million in 2005. On a comparable basis, premiums increased $2,112.2 million, or 7%, primarily due to premium rate increases in our Large Group and ISG businesses. Also contributing to premium growth was higher fully-insured membership, primarily in our ISG and National Accounts businesses.
Administrative fees increased $1,025.4 million, or 103%, to $2,022.8 million in 2005. On a comparable basis, administrative fees increased $160.2 million, or 9%, primarily due to increased self-funded membership in our National and Large Group businesses. These membership gains are driven by the popularity of the BlueCard program, as well as successful efforts to attract large self-funded accounts.
Other revenue is comprised principally of co-payments and deductibles associated with the sale of mail-order drugs by our PBM companies, which provides services to members of our Health Care segment and third party clients. Other revenue increased $257.1 million, or 158%, to $419.6 million in 2005. On a comparable basis, other revenue increased $40.4 million, or 11%, primarily due to additional mail-order prescription revenue and increased prices of prescription drugs sold by our PBM companies. Increased mail-order prescription volume resulted from both membership increases and additional utilization of our PBM companies’ mail-order pharmacy option.
Net investment income increased $241.4 million, or 114%, to $453.2 million in 2005 primarily resulting from invested assets acquired with the WHN merger and from growth in invested assets from reinvestment of cash generated from operations, partially offset by the liquidation of invested assets to fund the cash portion of the WHN merger.
A summary of our net realized gains (losses) on investments for the nine months ended September 30, 2005 and 2004 is as follows:
Nine Months Ended September 30 | ||||||||||||
2005 | 2004 1 | $ Change | ||||||||||
(In millions) | ||||||||||||
Net realized gains from the sale of fixed maturity securities | $ | 2.8 | $ | 40.3 | $ | (37.5 | ) | |||||
Net realized gains from the sale of equity securities | 0.7 | 1.1 | (0.4 | ) | ||||||||
Other-than-temporary impairments | (7.2 | ) | (0.8 | ) | (6.4 | ) | ||||||
Other realized gains | 5.1 | 0.1 | 5.0 | |||||||||
Net realized gains | $ | 1.4 | $ | 40.7 | $ | (39.3 | ) | |||||
1 Represents the former Anthem, Inc. only.
During 2004, we reallocated securities in our fixed maturity portfolio, primarily to optimize after-tax income. The sale of fixed maturity securities associated with this reallocation resulted in the majority of the net realized gains reported during the nine months ended September 30, 2004.
Benefit expense increased $14,543.5 million, or 141%, to $24,879.6 million in 2005. On a comparable basis, benefit expense increased $1,611.2 million, or 7%, primarily due to increased cost of care, which was driven primarily by higher costs in outpatient and inpatient services. Our benefit expense included $35.0 million in 2005 related to the multi-district agreement discussed in “Significant Transactions” above. On a comparable basis, our benefit expense ratio decreased 30 basis points from 81.1% in 2004 to 80.8% in 2005.
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Selling, general and administrative expense increased $3,072.5 million, or 131%, to $5,409.8 million in 2005. On a comparable basis, selling, general and administrative expense increased $307.9 million, or 6%, primarily due to increases in volume-sensitive costs such as higher commissions, premium taxes and other expenses associated with growth in our business; increased incentive compensation, including merger-related stay bonuses; costs associated with the transition of information technology infrastructure services to IBM; and $68.0 million of expenses related to the multi-district agreement in 2005, related to our agreement resolving two multi-district lawsuits discussed in “Significant Transactions” above. On a comparable basis, our selling, general and administrative expense ratio decreased 20 basis points to 16.3% in 2005, primarily due to our growth in operating revenue and the leveraging of costs over these higher revenues, partially offset by the factors noted above.
Cost of drugs increased $160.0 million, or 274%, to $218.5 million in 2005. On a comparable basis, cost of drugs increased $17.8 million, or 9%, primarily due to higher retail and mail-order prescription volume at our PBM companies.
Interest expense increased $70.8 million, or 73%, to $168.2 million in 2005, primarily due to additional interest expense on the debt incurred in conjunction with the WHN merger, partially offset by reduced interest expense from the repurchase of debt securities in December of 2004.
Amortization of other intangible assets increased $145.0 million, or 430%, to $178.7 million in 2005, primarily due to additional amortization expense related to identifiable intangible assets with finite lives resulting from the WHN merger.
Income tax expense increased $686.8 million to $1,037.1 million in 2005. Included in 2005 was $28.4 million in tax benefits associated with a refund claim, which was approved by the Congressional Joint Committee on Taxation, allowing the deductibility of certain capital losses on the sale of certain subsidiaries that occurred in 1997 and 1998. Included in 2004 was $44.8 million in tax benefits associated with a change in Indiana laws governing the state’s high-risk health insurance pool.
Our net income as a percentage of total revenue decreased 10 basis points, from 5.5% in 2004 to 5.4% in 2005. This metric declined due to the $103.0 million pre-tax expense recognized in connection with the multi-district agreement in 2005, the impact of the $28.4 million in tax benefits in 2005 and the $44.8 million in tax benefits in 2004 discussed above and the decrease in our net realized gains on investments, which were $1.4 million in 2005 and $40.7 million in 2004.
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Reportable Segments
Our segments’ summarized historical results of operations for the pre-merger companies and “comparable basis” information are as follows. Comparable basis information was calculated by adding the reclassified historical statements of income for the former Anthem, Inc. and the former WellPoint Health Networks Inc. and contains no intercompany eliminations or pro forma adjustments resulting from the November 30, 2004 merger. Comparable basis information is presented in order to provide investors with a more meaningful prior-year comparison to the current period, due to the merger with WHN. Comparable basis is not calculated in accordance with GAAP and is not intended to represent or be indicative of the results of WellPoint, Inc. had the merger been completed as of January 1, 2004.
Nine Months Ended September 30, 2004 | ||||||||||||||||||||||||||||
Anthem, Inc. | WellPoint Health Networks Inc. | WellPoint, Inc. | ||||||||||||||||||||||||||
(In Millions) | As Reported | Reclassifications 1 | Reclassified | As Reported | Reclassifications 1 | Reclassified | Comparable Basis 2 | |||||||||||||||||||||
Operating Revenue | ||||||||||||||||||||||||||||
Health Care | $ | 13,313.0 | $ | (16.9 | ) | $ | 13,296.1 | $ | 16,326.3 | $ | (118.2 | ) | $ | 16,208.1 | $ | 29,504.2 | ||||||||||||
Specialty | 809.1 | — | 809.1 | 711.4 | 423.0 | 1,134.4 | 1,943.5 | |||||||||||||||||||||
Other: | ||||||||||||||||||||||||||||
External customers | 135.4 | 15.3 | 150.7 | 8.1 | 122.9 | 131.0 | 281.7 | |||||||||||||||||||||
Eliminations of intersegment revenue | (528.4 | ) | 8.9 | (519.5 | ) | — | (273.6 | ) | (273.6 | ) | (793.1 | ) | ||||||||||||||||
Total Other | (393.0 | ) | 24.2 | (368.8 | ) | 8.1 | (150.7 | ) | (142.6 | ) | (511.4 | ) | ||||||||||||||||
Total operating revenue | $ | 13,729.1 | $ | 7.3 | $ | 13,736.4 | $ | 17,045.8 | $ | 154.1 | $ | 17,199.9 | $ | 30,936.3 | ||||||||||||||
Operating Gain (Loss) | ||||||||||||||||||||||||||||
Health Care | $ | 1,001.0 | $ | (1.7 | ) | $ | 999.3 | $ | 1,229.2 | $ | (9.9 | ) | $ | 1,219.3 | $ | 2,218.6 | ||||||||||||
Specialty | 54.9 | — | 54.9 | 174.9 | 6.0 | 180.9 | 235.8 | |||||||||||||||||||||
Other | (47.4 | ) | (2.3 | ) | (49.7 | ) | (41.9 | ) | 2.5 | (39.4 | ) | (89.1 | ) |
1 | To reflect the reclassification of certain historical amounts to a consistent presentation format adopted by the combined organization. |
2 | See “Significant Transactions” for additional comparable basis information. |
Health Care
Our Health Care segment’s summarized results of operations for the nine months ended September 30, 2005 and 2004 are as follows:
Nine Months Ended September 30 | Comparable Basis Nine Months Ended September 30 | |||||||||||||||||
2005 | 2004 | % Change | 2004 | $ Change | % Change | |||||||||||||
(In Millions) | ||||||||||||||||||
Operating revenue | $ | 31,814.7 | $ | 13,296.1 | 139 | % | $ | 29,504.2 | $ | 2,310.5 | 8 | % | ||||||
Operating gain | $ | 2,562.8 | $ | 999.3 | 156 | % | $ | 2,218.6 | $ | 344.2 | 16 | % | ||||||
Operating margin | 8.1% | 7.5% | 60 | bp | 7.5% | 60 | bp |
Operating revenue increased $18,518.6 million to $31,814.7 million in 2005. On a comparable basis, operating revenue increased $2,310.5 million, or 8%, primarily due to premium rate increases in our Large Group and ISG businesses. Also contributing to operating revenue growth was higher membership, primarily in our ISG and National Accounts businesses.
Operating gain increased $1,563.5 million to $2,562.8 million in 2005. On a comparable basis, operating gain increased $344.2 million, or 16%, primarily due to membership growth and expansion of our operating margin, reflecting improvement in underwriting results for our Large Group and ISG businesses and efficiencies in the management of our administrative cost structure, partially offset by the impact of the $103.0 million pre-tax expense recognized in connection with the multi-district agreement in 2005.
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Specialty
Our Specialty segment’s summarized results of operations for the nine months ended September 30, 2005 and 2004 are as follows:
Nine Months Ended September 30 | Comparable Basis Nine Months Ended September 30 | |||||||||||||||||
2005 | 2004 | % Change | 2004 | $ Change | % Change | |||||||||||||
(In Millions) | ||||||||||||||||||
Operating revenue | $ | 2,114.4 | $ | 809.1 | 161 | % | $ | 1,943.5 | $ | 170.9 | 9 | % | ||||||
Operating gain | $ | 273.0 | $ | 54.9 | 397 | % | $ | 235.8 | $ | 37.2 | 16 | % | ||||||
Operating margin | 12.9% | 6.8% | 610 | bp | 12.1% | 80 | bp |
Operating revenue increased $1,305.3 million to $2,114.4 million in 2005. On a comparable basis, operating revenue increased $170.9 million, or 9%, primarily due to increased mail-order prescription volume and increased wholesale drug costs, which are passed through to customers of our PBM companies. The increased mail-order prescription volume resulted from additional utilization of our PBM companies’ mail-order pharmacy option.
Operating gain increased $218.1 million to $273.0 million in 2005. On a comparable basis, operating gain increased $37.2 million, or 16%, primarily due to growth in our PBM operations, as well as increased earnings in our behavioral health business, partially offset by unfavorable mortality experience on certain life insurance contracts.
Other
Our summarized results of operations for our Other segment for the nine months ended September 30, 2005 and 2004 are as follows:
Nine Months Ended September 30 | Comparable Basis Nine Months Ended September 30 | |||||||||||||||||||||
2005 | 2004 | % Change | 2004 | $ Change | % Change | |||||||||||||||||
(In Millions) | ||||||||||||||||||||||
Operating revenue from external customers | $ | 274.0 | $ | 150.7 | 82 | % | $ | 276.2 | $ | (2.2 | ) | (1 | )% | |||||||||
Elimination of intersegment revenue | (954.0 | ) | (519.5 | ) | 84 | % | (787.6 | ) | (166.4 | ) | 21 | % | ||||||||||
Total operating revenue | $ | (680.0 | ) | $ | (368.8 | ) | 84 | % | $ | (511.4 | ) | $ | (168.6 | ) | 33 | % | ||||||
Operating loss | $ | (94.6 | ) | $ | (49.7 | ) | 90 | % | $ | (89.1 | ) | $ | (5.5 | ) | 6 | % |
Operating revenue from external customers increased $123.3 million to $274.0 million in 2005. On a comparable basis, operating revenue from external customers decreased $2.2 million, or 1%. On a comparable basis, elimination of intersegment revenue increased $166.4 million, or 21%, reflecting additional sales by our PBM companies to our Health Care segment.
Operating loss increased $44.9 million to $94.6 million in 2005. On a comparable basis, operating loss increased $5.5 million, or 6%, primarily due to increased incentive compensation expense in 2005.
VII. | Critical Accounting Policies and Estimates |
We prepare our consolidated financial statements in conformity with GAAP. Application of GAAP requires management to make estimates and assumptions that affect the amounts reported in our consolidated financial statements and accompanying notes and within this MD&A.
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We consider some of our most important accounting policies that require estimates and management judgment to be those policies with respect to liabilities for medical claims payable, income taxes, goodwill and other intangible assets, investments and retirement benefits, which are discussed below.
We continually evaluate the accounting policies and estimates used to prepare the consolidated financial statements. In general, our estimates are based on historical experience, evaluation of current trends, information from third party professionals and various other assumptions that we believe to be reasonable under the known facts and circumstances.
Our significant accounting policies are summarized in Note 2 to our audited consolidated financial statements for the year ended December 31, 2004 included in our 2004 Annual Report on Form 10-K as filed with the Securities and Exchange Commission.
Medical Claims Payable
The most judgmental accounting estimate in our consolidated financial statements is our liability for medical claims payable. At September 30, 2005, this liability was $4,182.3 million and represented 20% of our total consolidated liabilities. We record this liability and the corresponding benefit expense for pending claims and claims that are incurred but not reported, including the estimated costs of processing such claims. Pending claims are those received by us but not yet processed through our systems. Liabilities for both incurred but not reported and received but not yet paid claims are determined employing actuarial methods that are commonly used by health insurance actuaries and meet Actuarial Standards of Practice. Actuarial Standards of Practice require that the claim liabilities be adequate under moderately adverse circumstances. We determine the amount of the liability for incurred but not reported claims by following a detailed actuarial process that entails using both historical claim payment patterns as well as emerging medical cost trends to project our best estimate of claim liabilities. Under this process, historical data of paid claims is formatted into “claim triangles,” which compare claim incurred dates to the dates of claim payments. This information is analyzed to create “completion factors” that represent the average percentage of total incurred claims that have been paid through a given date after being incurred. Completion factors are applied to claims paid through the financial statement date to estimate the ultimate claim expense incurred for the current period. Actuarial estimates of claim liabilities are then determined by subtracting the actual paid claims from the estimate of the ultimate incurred claims.
For the most recent incurred months, the percentage of claims paid for claims incurred in those months is generally low. This makes the completion factor methodology less reliable for such months. Therefore, incurred claims for recent months are not projected from historical completion and payment patterns; rather, they are projected by estimating the claims expense for those months based on recent claims expense levels and health care trend levels, or “trend factors”.
Because the reserve methodology is based upon historical information, it must be adjusted for known or suspected operational and environmental changes. These adjustments are made by our actuaries based on their knowledge and their estimate of emerging impacts to benefit costs and payment speed. Circumstances to be considered in developing our best estimate of reserves include changes in utilization levels, unit costs, mix of business, benefit plan designs, provider reimbursement levels, processing system conversions and changes, claim inventory levels, claim processing patterns and claim submission patterns. A comparison of prior period liabilities to re-estimated claim liabilities based on subsequent claims development is also considered in making the liability determination. In the actuarial process, the methods and assumptions are not changed as reserves are recalculated; rather, the availability of additional paid claims information drives our changes in the re-estimate of the unpaid claim liability. To the extent appropriate, changes in such development are recorded as a change to current period benefit expense.
In addition to the pending claims and incurred but not reported claims, the liability for medical claims payable includes reserves for premium deficiencies, if appropriate. Premium deficiencies are recognized when it is probable that expected claims and administrative expenses will exceed future premiums on existing medical
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insurance contracts without consideration of investment income. Determination of premium deficiencies for longer duration life and disability contracts includes consideration of investment income. For purposes of premium deficiencies, contracts are grouped in a manner consistent with our method of acquiring, servicing and measuring the profitability of such contracts.
We regularly review our assumptions regarding claims liabilities and make adjustments to benefit expense when necessary. If it is determined that our assumptions regarding cost trends and utilization are significantly different than actual results, our income statement and financial position could be impacted in future periods. Adjustments of prior year estimates may result in additional benefit expense or a reduction of benefit expense in the period an adjustment is made. Further, due to the considerable variability of health care costs, adjustments to claims liabilities occur each quarter and are sometimes significant as compared to the net income recorded in that quarter. Prior year development is recognized immediately upon the actuary’s judgment that a portion of the prior year liability is no longer needed or that additional liability should have been accrued. That determination is made when sufficient information is available to ascertain that the re-estimate of the liability is accurate and will not fluctuate significantly with future development.
As described above, the completion factors and trend factors can have a significant impact on the claim liability. The following example provides the estimated impact to our September 30, 2005 medical claims liability assuming hypothetical changes in the completion and trend factors:
Completion Factor1 | Claims Trend Factor2 | |||||||
(Decrease) Increase in | Increase (Decrease) in Liabilities | (Decrease) Increase in | (Decrease) Increase in Liabilities | |||||
($ in Millions) | ($ in Millions) | |||||||
(3)% | $663.0 | (3)% | $(175.0) | |||||
(2)% | 431.0 | (2)% | (117.0) | |||||
(1)% | 211.0 | (1)% | (58.0) | |||||
1% | (202.0) | 1% | 58.0 | |||||
2% | (395.0) | 2% | 117.0 | |||||
3% | (581.0) | 3% | 175.0 |
1Assumes (decrease) increase in the completion factors for the most recent four months
2Assumes (decrease) increase in the claims trend factors for the most recent two months
In addition, assuming a hypothetical 1% total difference between our September 30, 2005 estimated medical claims liability and the actual claims paid, net income for the nine months ended September 30, 2005 would increase or decrease by $27.2 million while basic and diluted net income per share would increase or decrease by $0.04 per share.
As summarized below, Note 10 to our audited consolidated financial statements for the year ended December 31, 2004 included in our 2004 Annual Report on Form 10-K provides historical information regarding the accrual and payment of our medical claims liability. Components of the total incurred claims for each year include amounts accrued for current year estimated claims expense as well as adjustments to prior year estimated accruals. In Note 10 to our audited consolidated financial statements, the line labeled “incurred related to prior years” accounts for those adjustments made to prior year estimates. The impact of any reduction of “incurred related to prior years” claims may be offset as we establish the estimate of “incurred related to current year”. Our reserving practice is to consistently recognize the actuarial best estimate of our ultimate liability for our claims. When we recognize a release of the redundancy, we disclose the amount that is not in the ordinary course of business if material. We believe we have consistently applied our methodology in determining our best estimate for unpaid claims liability at each reporting date.
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A reconciliation of the beginning and ending balance for medical claims payable for the nine months ended September 30, 2005 and 2004 and the years ended December 31, 2004, 2003 and 2002 is as follows:
Nine Months Ended September 30 | Years Ended December 31 | ||||||||||||||||||
2005 | 2004 | 2004 | 2003 | 2002 | |||||||||||||||
(In Millions) | |||||||||||||||||||
Gross medical claims payable, beginning of period | $ | 4 ,202.0 | $ | 1,841.7 | $ | 1,841.7 | $ | 1,800.0 | $ | 1,323.1 | |||||||||
Ceded medical claims payable, beginning of period | (31.9 | ) | (8.7 | ) | (8.7 | ) | (2.8 | ) | (4.5) | ||||||||||
Net medical claims payable, beginning of period | 4,170.1 | 1,833.0 | 1,833.0 | 1,797.2 | 1,318.6 | ||||||||||||||
Business combinations and purchase adjustments | — | (14.0 | ) | 2,394.4 | (20.6 | ) | 379.4 | ||||||||||||
Net incurred medical claims: | |||||||||||||||||||
Current year | 25,172.4 | 10,444.4 | 15,452.6 | 12,374.2 | 9,887.9 | ||||||||||||||
Prior years (redundancies) | (609.9 | ) | (171.8 | ) | (172.4 | ) | (226.2 | ) | (147.0) | ||||||||||
Total net incurred medical claims | 24,562.5 | 10,272.6 | 15,280.2 | 12,148.0 | 9,740.9 | ||||||||||||||
Net payments attributable to: | |||||||||||||||||||
Current year medical claims | 21,290.3 | 8,725.0 | 12,556.3 | 10,598.3 | 8,316.6 | ||||||||||||||
Prior years medical claims | 3,291.1 | 1,509.3 | 2,781.2 | 1,493.3 | 1,325.1 | ||||||||||||||
Total net payments | 24,581.4 | 10,234.3 | 15,337.5 | 12,091.6 | 9,641.7 | ||||||||||||||
Net medical claims payable, end of period | 4,151.2 | 1,857.3 | 4,170.1 | 1,833.0 | 1,797.2 | ||||||||||||||
Ceded medical claims payable, end of period | 31.1 | 11.0 | 31.9 | 8.7 | 2.8 | ||||||||||||||
Gross medical claims payable, end of period | $ | 4,182.3 | $ | 1,868.3 | $ | 4,202.0 | $ | 1,841.7 | $ | 1,800.0 | |||||||||
Current year medical claims paid as a percent of current year net incurred medical claims | 84.6% | 83.5% | 81.3% | 85.6% | 84.1% | ||||||||||||||
Prior year redundancies in the current period as a percent of prior year net incurred medical claims | 3.9% | 1.4% | 1.4% | 2.3% | 1.9% |
Amounts incurred related to prior years vary from previously estimated liabilities as the claims are ultimately settled. Liabilities at any period end are continually reviewed and re-estimated as information regarding actual claim payments, or runout, becomes known. This information is compared to the originally established year-end liability. Negative amounts reported for incurred related to prior years result from claims being settled for amounts less than originally estimated. The prior year redundancy of $609.9 million shown above for the nine months ended September 30, 2005 represents an estimate based on paid claim activity from January 1, 2005 to September 30, 2005, and may not be indicative of the expected prior year experience for the year ending December 31, 2005. Medical claim liabilities are usually described as having a “short tail”, which means that they are generally paid within several months of the member receiving service from the provider. Accordingly, the majority, or approximately 88%, of the $609.9 million redundancy relates to claims incurred in calendar year 2004, with the remaining 12% related to claims incurred in 2003 and prior years.
The ratio of current year medical claims paid as a percent of current year net medical claims incurred was 81.3% for 2004, 85.6% for 2003 and 84.1% for 2002. The 2004 ratio was impacted by having only one month of medical claims incurred and paid during 2004 for the former WHN. If the former WHN had not been included during 2004, current year medical claims paid would have been $12,170.8 million, current year net incurred medical claims would have been $13,942.8 million and the adjusted ratio would have been approximately 87.3%
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for 2004. The adjusted 2004 ratio compared to the 2003 ratio indicates that we are paying medical claims faster. The increase is primarily attributable to improved processes and electronic connectivity with our provider networks. The result of these changes is an enhanced ability to adjudicate and pay medical claims more quickly. Review of the nine-month periods presented above shows that as of September 30, 2005, 84.6% of current year net incurred medical claims had been paid in the period incurred, as compared to 83.5% for the same period in 2004.
We calculate the percentage of prior year redundancies in the current period to net incurred medical claims recorded in each prior year in order to demonstrate the development of the prior year reserves. This metric was 1.4% for 2004, 2.3% for 2003 and 1.9% for 2002. The 2.3% ratio for 2003 was impacted by having only five months of net incurred medical claims in 2002 related to the former Trigon Healthcare, Inc. If the former Trigon Healthcare, Inc. had been included for the full year 2002, prior year net incurred medical claims would have been $11,107.2 million and the adjusted ratio would have been approximately 2.0% for 2003. For the nine months ended September 30, 2005, the metric was 3.9%, which was calculated using the redundancy of $609.9 million shown above, which represents an estimate based on paid medical claim activity from January 1, 2005 to September 30, 2005. This ratio is impacted by having only one month of net incurred medical claims for the former WHN in 2004. If the former WHN had been included for the full year 2004, estimated current year net incurred medical claims would have been $31,281.2 million and the adjusted ratio would have been approximately 1.9% for the nine months ended September 30, 2005. The ratio of 3.9% is subject to change based on future paid medical claim activity through the remainder of 2005.
The adjusted ratios provided are intended to facilitate understanding of the effects that recent acquisitions have had on the reconciliation of medical claims payable.
We have reviewed our medical claims that have developed as a result of the recent hurricanes that have impacted Alabama, Florida, Louisiana, Mississippi and Texas for the three and nine months ended September 30, 2005. Based on this review and our nominal membership in these states, we believe that our claims exposure related to the recent hurricanes is immaterial to our financial position at September 30, 2005 and to our results of operations for the three and nine months then ended.
Income Taxes
We account for income taxes in accordance with FAS 109,Accounting for Income Taxes. This standard requires, among other things, the separate recognition of deferred tax assets and deferred tax liabilities. Such deferred tax assets and deferred tax liabilities represent the tax effect of temporary differences between financial reporting and tax reporting measured at tax rates enacted at the time the deferred tax asset or liability is recorded. A valuation allowance must be established for deferred tax assets if it is “more likely than not” that all or a portion may be unrealized. Our judgment is required in determining an appropriate valuation allowance.
At each financial reporting date, we assess the adequacy of the valuation allowance by evaluating each of our deferred tax assets based on the following:
n | the types of temporary differences that created the deferred tax asset; |
n | the amount of taxes paid in prior periods and available for a carry-back claim; |
n | the forecasted future taxable income and therefore likely future deduction of the deferred tax item; and |
n | any other significant issues impacting the likely realization of the benefit of the temporary differences. |
Earlier this year, a refund claim we filed in 2003 was approved by the Congressional Joint Committee on Taxation. The claim relates to initially disallowed losses on the sale of certain subsidiaries in the late 1990s. A tax benefit of $28.4 million related to this claim was recorded in the first quarter of 2005. Net income per basic and diluted share related to this claim was $0.04 for the nine months ended September 30, 2005.
As a result of legislation enacted in Indiana on March 16, 2004, we recorded deferred tax assets and liabilities, with a corresponding net tax benefit in our income statement of $44.8 million, for the first quarter of
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2004. Net income per basic and diluted share was $0.16 for the nine months ended September 30, 2004, relating to the impact of this legislation. The legislation eliminated the creation of tax credits resulting from the payment of future assessments to the Indiana Comprehensive Health Insurance Association, or ICHIA. ICHIA is Indiana’s high-risk health insurance pool. Our historical ICHIA assessment payments far exceeded our Indiana income tax liability. Thus, the recognition of a state deferred tax asset was not warranted, as a future Indiana tax liability was unlikely. Under the new legislation, ICHIA tax credits are limited to any unused ICHIA assessment paid prior to December 31, 2004. FAS 109 requires that deferred assets or liabilities be established in the period a change in law is enacted. These deferred tax assets and liabilities reflect temporary differences, net operating loss carryforwards and tax credits relating to our Indiana income tax filings. Following guidance in FAS 109, a valuation allowance of $5.6 million was established for the portion of the deferred tax asset, which we believe will likely not be utilized. There is no carryforward limitation on the tax credits and the net operating loss carryforwards do not begin to expire until 2018. We believe we will have sufficient taxable income in future years to offset these carryforwards; therefore, no additional valuation allowance was recorded.
We, like other companies, frequently face challenges from tax authorities regarding the amount of taxes due. These challenges include questions regarding the timing and amount of deductions that we have taken on our tax returns. In evaluating any additional tax liability associated with various positions taken in our tax return filings, we record additional tax liability for potential adverse tax outcomes. Based on our evaluation of our tax positions, we believe we have appropriately accrued for exposures. To the extent we prevail in matters we have accrued for, our future effective tax rate would be reduced and net income would increase. If we are required to pay more than accrued, our future effective tax rate would increase and net income would decrease. Our effective tax rate and net income in any given future period could be materially impacted. As of September 30, 2005, the Internal Revenue Service continues its examination of our 2001 and 2002 tax years. Various tax examinations and proceedings also continue for pre-consolidation periods of subsidiaries.
For additional information, see Note 14 to our audited consolidated financial statements for the year ended December 31, 2004 included in our Annual Report on Form 10-K.
Goodwill and Other Intangible Assets
Our consolidated goodwill at September 30, 2005 was $10,149.4 million and other intangible assets were $8,041.5 million. The sum of goodwill and intangible assets represents 43% of our total consolidated assets and 86% of our consolidated shareholders’ equity at September 30, 2005.
We follow FAS 141,Business Combinations, and FAS 142,Goodwill and Other Intangible Assets. FAS 141 specifies the types of acquired intangible assets that are required to be recognized and reported separately from goodwill. Under FAS 142, goodwill and other intangible assets (with indefinite lives) are not amortized but are tested for impairment at least annually. Goodwill and other intangible assets are tested for impairment more frequently if other factors are noted. These factors include significant changes in membership or significant changes in provider or hospital network contracts. We completed our annual impairment test of existing goodwill and other intangible assets (with indefinite lives) for the year ended December 31, 2004 during the fourth quarter of 2004. Based upon this test, we have not incurred any impairment losses related to any goodwill and other intangible assets (with indefinite lives).
On November 30, 2004, we acquired WHN. In accordance with FAS 141, we allocated the purchase price to the fair value of assets acquired, including intangible assets, and liabilities assumed. This allocation process included the review of relevant information about the assets and liabilities, independent appraisals and other valuations to determine the fair value of assets acquired and liabilities assumed. The preliminary allocation resulted in $7,579.6 million of non-tax deductible goodwill and $7,046.0 million of identifiable intangible assets. During the nine months ended September 30, 2005, adjustments to goodwill and other intangible assets resulted primarily from refinements to third party valuations of certain intangible assets, adjustments to change in control liabilities and accounting for the tax benefit related to the exercise of stock options. The purchase price allocation is preliminary and additional refinements may occur through the allocation period as defined in FAS 141.
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While we believe we have appropriately allocated the purchase price of our acquisitions, this allocation requires many assumptions to be made regarding the fair value of assets and liabilities acquired. In addition, the annual impairment testing required under FAS 142 requires us to make assumptions and judgments regarding the estimated fair value of our goodwill and intangibles (with indefinite lives). Such assumptions include the discount factor used to determine the fair value of a reporting unit, which is ultimately used to identify potential goodwill impairment. Such estimated fair values might produce significantly different results if other reasonable assumptions and estimates were to be used. If we are unable to support a fair value estimate in future annual goodwill impairment tests or if significant impairment indicators are noted relative to other intangible assets subject to amortization, we may be required to record impairment losses against future income.
For additional information, see Note 4 to our audited consolidated financial statements for the year ended December 31, 2004 included in our 2004 Annual Report on Form 10-K.
Investments
Investment securities, other than long-term investments, were $14,579.4 million at September 30, 2005 and represented 35% of our total consolidated assets at September 30, 2005. In accordance with FAS 115,Accounting for Certain Investments in Debt and Equity Securities,our fixed maturity and equity securities are classified as “available-for-sale” securities and are reported at fair value. We have determined that all investments in our available-for-sale portfolio, with the exception of certain securities held for contractual or regulatory purposes, are available to support current operations, and accordingly, have classified such securities as current assets. Investment income is recorded when earned, and realized gains or losses, determined by specific identification of investments sold, are included in income when the securities are sold.
In addition to current available-for-sale investment securities, we held long-term investments of $693.4 million, or 2% of total consolidated assets, at September 30, 2005. These long-term investments consist primarily of restricted assets, certain equity securities and other investments, including investments on deposit with regulatory agencies. Due to their restricted nature, these investments are classified as long-term without regard to contractual maturity dates.
An impairment review of securities to determine if declines in fair value below cost or amortized cost, as appropriate, are other-than-temporary is subjective and requires a high degree of judgment. We evaluate our investment securities on a quarterly basis, using both quantitative and qualitative factors, to determine whether a decline in value is other-than-temporary. Such factors considered include the length of time and the extent to which a security’s market value has been less than its cost, financial condition and near term prospects of the issuer, recommendations of investment advisors, and forecasts of economic, market or industry trends. If any declines are determined to be other-than-temporary, we charge the losses to income when that determination is made. The current economic environment and recent volatility of securities markets increase the difficulty of determining fair value and assessing investment impairment. The same influences tend to increase the risk of potential impairment of these assets.
Management believes it has adequately reviewed the Company’s investment securities for impairment and that they are carried at fair value. However, over time, the economic and market environment may provide additional insight regarding the fair value of certain securities, which could change management’s judgment regarding impairment. This could result in realized losses relating to other-than-temporary declines being charged against future income.
The Company participates in securities lending programs whereby marketable securities in its investment portfolio are transferred to independent brokers or dealers based on, among other things, their creditworthiness in exchange for collateral initially equal to at least 102% of the value of the securities on loan and is thereafter maintained at a minimum of 100% of the market value of the securities loaned. The market value of the securities on loan to each borrower is monitored daily and the borrower is required to deliver additional collateral if the market value of the collateral falls below 100% of the market value of the securities on loan. Under the guidance provided in FAS 140,Accounting for Transfers and Servicing of Financial Assets and Extinguishments of
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Liabilities, the Company recognizes the collateral as an asset under “securities lending collateral” on its balance sheet and the Company records a corresponding liability for the obligation to return the collateral to the borrower under “securities lending payable”.
Through our investing activities, we are exposed to financial market risks, including those resulting from changes in interest rates and changes in equity market valuations. We manage the market risks through our investment policy, which establishes credit quality limits and limits of investments in individual issuers. Ineffective management of these risks could have an impact on our future earnings and financial position.
For additional information, see “Quantitative and Qualitative Disclosures about Market Risk” and Note 5 to our audited consolidated financial statements for the year ended December 31, 2004 included in our 2004 Annual Report on Form 10-K.
Retirement Benefits
Pension Benefits
We sponsor defined benefit pension plans for our employees, including plans sponsored by WHN prior to the merger. These plans are accounted for in accordance with FAS 87,Employers’ Accounting for Pensions, which requires that amounts recognized in financial statements be determined on an actuarial basis. As permitted by FAS 87, we calculate the value of plan assets as described below. Further, the effects on our computation of pension expense from the performance of the pension plans’ assets and changes in pension liabilities are amortized over future periods. For each of our defined benefit pension plans, we use a September 30 measurement date for determining benefit obligations and fair value of plan assets. Prior to 2005, plans sponsored by WHN used a December 31 measurement date. The effective rates discussed below are based on a weighted average of all the plans.
An important factor in determining our pension expense is the assumption for expected long-term return on plan assets. At our last measurement date (September 30, 2005), we selected an expected rate of return on plan assets of 8.00% for all plans (compared to a weighted average 8.16% for 2005 expense recognition). We use a total portfolio return analysis in the development of our assumption. Factors such as past market performance, the long-term relationship between fixed maturity and equity securities, interest rates, inflation and asset allocations are considered in the assumption. The assumption includes an estimate of the additional return expected from active management of the investment portfolio. Peer data and historical returns are also reviewed for appropriateness of the selected assumption. The expected long-term rate of return is calculated by the geometric averaging method, which calculates an expected multi-period return, reflecting volatility drag on compound returns. We believe our assumption of future returns is reasonable. However, if we lower our expected long-term return on plan assets, future contributions to the pension plans and pension expense would likely increase.
This assumed long-term rate of return on assets is applied to a calculated value of plan assets, which recognizes changes in the fair value of plan assets in a systematic manner over three years, producing the expected return on plan assets that is included in the determination of pension expense. The difference between this expected return and the actual return on plan assets is deferred and amortized over the average remaining service of the workforce as a component of pension expense. The net deferral of past asset gains or losses affects the calculated value of plan assets and, ultimately, future pension expense.
The discount rate reflects the current rate at which the pension liabilities could be effectively settled at the end of the year based on our measurement date. At our last measurement date (September 30, 2005), we selected a discount rate of 5.25% for all plans (compared to a weighted average discount rate of 5.83% at September 30, 2004). We developed this rate using a yield curve approach with consideration of a benchmark rate of the Moody’s Aa Corporate Bond Index. Using yields available on high-quality fixed maturity securities with various maturity dates, the yield curve approach provides a “customized” rate, which is meant to better match the expected cash flows of our specific benefit plans. Changes in the discount rates over the past three years have not materially affected pension expense, and the net effect of changes in the discount rate, as well as the net effect of
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other changes in actuarial assumptions and experience, have been deferred and amortized as a component of pension expense in accordance with FAS 87,Employers Accounting for Pensions.
In managing the plans’ assets, our objective is to be a responsible fiduciary while minimizing financial risk. Plan assets include a diversified mix of investment grade fixed maturity securities and equity securities across a range of sectors and levels of capitalization to maximize the long-term return for a prudent level of risk. In addition to producing a reasonable return, the investment strategy seeks to minimize the volatility in the Company’s expense and cash flow.
As of our measurement date, we had approximately 56% of plan assets invested in equity securities, 36% in fixed maturity securities and 8% in other assets. Approximately $13.1 million, or less than 1%, of plan assets, were invested in WellPoint common stock as of September 30, 2005.
At September 30, 2005, our consolidated net prepaid pension asset was $282.3 million. For the year ending December 31, 2005, no contributions are required under ERISA, however, we made tax deductible discretionary contributions of $114.6 million during the nine months ended September 30, 2005. No further contributions are expected in 2005.
For the three and nine months ended September 30, 2005, we recognized consolidated pre-tax pension expense of $11.4 million and $34.2 million, respectively. For the three and nine months ended September 30, 2004, we recognized consolidated pre-tax pension expense of $10.2 million and $30.6 million, respectively.
On August 10, 2005, we announced that effective January 1, 2006, we would curtail the benefits under the Anthem Cash Balance Pension Plan, or the Plan. Most participants will no longer have pay credits added to their accounts, but will continue to earn interest on existing account balances. Participants will continue to earn years of pension service for vesting. Employees hired on or after January 1, 2006, will not be eligible to participate in the Plan. Certain participants will be “grandfathered” into the Plan based on age and years of service in previously merged plans. Grandfathered participants will continue to receive pay credits under the Plan formula. Expected savings that should be generated by the curtailment of benefits under the Plan will be partially offset by increased matching contributions to certain defined contribution plans.
Other Postretirement Benefits
We provide most employees certain life, medical, vision and dental benefits upon retirement. We use various actuarial assumptions including a discount rate and the expected trend in health care costs to estimate the costs and benefit obligations for our retiree benefits. We recognized a postretirement benefit liability of $380.3 million at September 30, 2005.
At our last measurement date (September 30, 2005), we selected a discount rate of 5.25% for all plans (compared to a weighted average of 5.87% at September 30, 2004). We developed this rate using a yield curve approach with consideration of a benchmark rate of the Moody’s Aa Corporate Bond Index.
The assumed health care cost trend rates used to measure the expected cost of other benefits at our last measurement date was 9.00% for 2006 with a gradual decline to 5.00% by the year 2011. These estimated trend rates are subject to change in the future. The health care cost trend assumption has a significant effect on the amounts reported.
For additional information regarding retirement benefits, see Note 17 to our audited consolidated financial statements for the year ended December 31, 2004 included in our 2004 Annual Report on Form 10-K.
New Accounting Pronouncements
In December 2004, the Financial Accounting Standards Board issued FAS 123 (revised 2004),Share-Based Payment (“FAS 123R”). FAS 123R eliminates the alternative to use the intrinsic method of accounting under Accounting Principles Board Opinion No. 25,Accounting for Stock Issued to Employees (“APB 25”), and
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requires all share-based payments to employees, including grants of employee stock options and certain discounted employee stock purchase plans, to be recognized in the income statement based on their fair values. Upon adoption of FAS 123R, pro forma disclosure is no longer an alternative. FAS 123R will be effective for us no later than January 1, 2006. Our implementation of FAS 123R is in process. We expect that the impact of FAS 123R in 2006 will reduce earnings by approximately 3% to 5% given our current stock-based compensation programs. See Note 4 to our unaudited interim consolidated financial statements included in this Quarterly Report on Form 10-Q for our current disclosures of pro forma stock compensation expense.
On March 29, 2005, the SEC staff issued Staff Accounting Bulletin No. 107 (“SAB 107”), which expresses the SEC staff’s view on FAS 123R. SAB 107 provides guidance regarding certain matters important to selecting and applying valuation models. We will consider SAB 107 in our implementation of FAS 123R.
There were no other new accounting pronouncements issued during the first nine months of 2005 that had a material impact on our financial position, operating results or disclosures.
VIII. | Liquidity and Capital Resources |
Introduction
Our cash receipts consist primarily of premiums, administrative fees, investment income, other revenue, proceeds from the sale or maturity of our investment securities, proceeds from borrowings and proceeds from exercise of stock options and purchases under our employee stock purchase plan. Cash disbursements result mainly from claims payments, administrative expenses, taxes, purchase of investment securities, interest expense, payments on long term borrowings, capital expenditures and repurchase of our common stock. Cash outflows fluctuate with the amount and timing of settlement of these transactions. As such, any future decline in our profitability would likely have some negative impact on our liquidity.
We manage our cash, investments and capital structure to meet the short and long-term obligations of our business while maintaining financial flexibility and liquidity. We forecast, analyze and monitor cash flows to better enable investment and financing activities within the overall constraints of our financial strategy.
A substantial portion of the assets held by our regulated subsidiaries are in the form of cash, cash equivalents and investments. After considering expected cash flows from operating activities, we generally invest the cash that exceeds our near term obligations in longer term marketable fixed maturity securities to improve our overall investment income returns. Our investment strategy is to maximize the total return of the portfolio subject to insurance statutes and other regulatory requirements and to preserve our asset base. Our investments are generally available for sale to meet liquidity and other needs. Excess capital is paid annually in the form of dividends by subsidiaries to their respective parent companies for general corporate use, as permitted by applicable regulations.
The availability of financing in the form of debt or equity is influenced by many factors, including our profitability, operating cash flows, debt levels, debt ratings, contractual restrictions, regulatory requirements and market conditions. We have a $2.0 billion commercial paper program supported by $2.5 billion of revolving credit facilities, which provides us with further operating and financial flexibility.
Liquidity—Nine Months Ended September 30, 2005 Compared to Nine Months Ended September 30, 2004
During the nine months ended September 30, 2005, net cash flow provided by operating activities was $2,292.9 million, compared to $690.4 million for the nine months ended September 30, 2004, an increase of $1,602.5 million. This increase resulted from improved net income, primarily from the impact of the merger with WHN, partially offset by higher incentive payments, higher pension funding and the funding of certain merger-related undertakings in California.
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Net cash flow used in investing activities was $1,605.6 million in 2005, compared to $424.9 million of cash used in 2004. The table below outlines the increase in cash flow used in investing activities of $1,180.7 million between the two periods (in millions):
(In Millions) | Change in Cash Used in Investing Activities | ||
Increase in net purchases of investments | $ | 803.5 | |
Increase in net purchases of subsidiaries | 330.2 | ||
Decrease in proceeds from settlement of a cash flow hedge | 20.3 | ||
Increase in net purchases of property and equipment | 26.7 | ||
Net increase in cash used in investing activities | $ | 1,180.7 | |
Net cash flow provided by financing activities was $18.8 million in 2005 compared to cash used in financing activities of $19.4 million in 2004. The table below outlines the increase in cash flow provided by financing activities of $38.2 million between the two periods (in millions):
(In Millions) | Change in Cash Used in Financing Activities | |||
Increase in proceeds from exercise of employee stock options and employee stock purchase plan | $ | 316.1 | ||
Increase in repurchases of common stock | (251.2 | ) | ||
Net increase in proceeds from commercial paper borrowings | 127.9 | |||
Increase in repayment of long-term borrowings | (150.0 | ) | ||
Other | (4.6 | ) | ||
Net increase in cash used in financing activities | $ | 38.2 | ||
Financial Condition
We continue to maintain a strong financial condition and liquidity position, with consolidated cash, cash equivalents and investments, including long-term investments, of $17.4 billion at September 30, 2005. Since December 31, 2004, total cash, cash equivalents and investments, including long-term investments, increased by $1.6 billion primarily from cash flow from operations resulting from our net income, which included the impact of our merger with WHN.
Many of our subsidiaries are subject to various government regulations that restrict the timing and amount of dividends and other distributions that may be paid to their respective parent companies. Also, in connection with the WHN merger, the Company and certain of our subsidiaries in California and Georgia executed undertakings with the California Department of Managed Health Care, the California Department of Insurance and the Georgia Department of Insurance that contained various commitments, including a remaining commitment to provide $11.5 million of support for health benefit programs in Georgia. Additional undertakings include the requirement to maintain certain capital levels in our California and Georgia subsidiaries. At September 30, 2005, we held at the parent company approximately $1.6 billion of our consolidated $17.4 billion of cash, cash equivalents and investments, which is available for general corporate use, including investment in our businesses, acquisitions, share and debt repurchases and interest payments.
Our consolidated debt-to-total capital ratio (calculated as the sum of debt divided by the sum of debt plus shareholders’ equity) was 17.1% as of September 30, 2005 and 18.5% as of December 31, 2004.
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Our senior debt is rated “BBB+” by Standard & Poor’s, “A-” by Fitch, Inc., “Baa1” by Moody’s Investor Service, Inc. and “a-” by AM Best Company, Inc. We intend to maintain our senior debt investment grade ratings. A significant downgrade in our debt ratings could adversely affect our borrowing capacity and costs.
Future Sources and Uses of Liquidity
We will have cash requirements of approximately $3.2 billion for the pending transaction with WellChoice, including both the cash portion of the purchase price and estimated transaction costs. We have obtained a commitment for a bridge loan of up to $3.0 billion. Additionally, as of September 30, 2005, at the parent company we had $1.6 billion of cash, cash equivalents and investments and access to $1.6 billion under our credit facilities discussed below. Under the terms of the bridge loan commitment, all borrowings must be repaid within 364 days from the date of initial borrowing. We intend to obtain permanent or long-term financing for part of the cash portion of the merger consideration through the issuance of commercial paper and/or borrowings under a new senior credit facility and the issuance of approximately $2.7 billion of long-term debt securities.
In November 2004, we entered into senior revolving credit facilities with our lenders. The facilities include a $1,000.0 million facility, which expires on November 29, 2005, and a $1,500.0 million facility, which expires on November 30, 2009. We are currently negotiating a credit facility to replace the $1,000.0 million facility that expires on November 29, 2005. Our ability to borrow under these facilities is subject to compliance with certain covenants. As of September 30, 2005, there were no amounts outstanding under these facilities and we were in compliance with all covenants. These revolving credit facilities support our commercial paper program described in the next paragraph. Any borrowings under the commercial paper program will reduce the availability under the revolving credit facilities.
Effective upon the merger with WHN, the board of directors authorized an increase in our commercial paper program from $1.0 billion to $2.0 billion. Proceeds from any issuance of commercial paper may be used for general corporate purposes, including the repurchase of our debt and common stock. Commercial paper notes are short-term senior unsecured notes maturing no more than 270 days after the date of issuance. When issued, the notes bear interest at current market rates. There were $921.1 million of borrowings outstanding under the commercial paper program as of September 30, 2005. The borrowings outstanding as of September 30, 2005 are classified as long-term debt as our intent is to replace short-term commercial paper for an uninterrupted period extending for more than one year or with borrowings under our senior credit facilities.
In December 2002, we filed a shelf registration with the Securities and Exchange Commission to register any combination of debt or equity securities in one or more offerings up to an aggregate amount of $1.0 billion. Specific information regarding terms of the offering and the securities being offered will be provided at the time of the offering. Proceeds from any offering will be used for general corporate purposes, including the repayment of debt, capitalization of our subsidiaries or the financing of possible acquisitions or business expansion. As of September 30, 2005, WellPoint had $800.0 million of the shelf registration capacity remaining.
As discussed in “Financial Condition” above, many of our subsidiaries are subject to various government regulations that restrict the timing and amount of dividends and other distributions that may be paid. For the nine months ended September 30, 2005, we received $1.6 billion of dividends from our subsidiaries.
During December 2004, we completed a tender offer to purchase subsidiary surplus notes from the holders, and purchased $258.0 million of 9.125% notes due 2010 and $174.9 million of 9.000% notes due 2027. Future interest payments on these portions of the notes will be paid by the subsidiary to the parent company, and are expected to be approximately $39.2 million annually.
In 2003, the Board of Directors authorized us to repurchase up to $500.0 million of stock under a program that would have expired in February 2005. During 2003 and 2004, WellPoint repurchased $299.5 million of shares under this program. On October 25, 2004, the Board of Directors authorized an increase of $500.0 million to the program and extended the expiration date until February 2006. On August 18, 2005, the Board of Directors
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authorized an increase from the remaining $367.1 million to $1.0 billion, and eliminated the expiration date on the repurchase program. On October 24, 2005, the Board of Directors reaffirmed the action taken on August 18, 2005 and authorized an increase from $1.0 billion to $2.0 billion upon the effective time of the contemplated merger between the Company and WellChoice. Under this program, repurchases may be made from time to time at prevailing prices, subject to certain restrictions on volume, pricing and timing. We purchased approximately 5.1 million shares during the nine months ended September 30, 2005 at a cost of $333.4 million. No shares were repurchased during the three months ended September 30, 2005 due to our negotiations with WellChoice. As of September 30, 2005, we had $1.0 billion of authorization remaining under this program.
Our current pension funding strategy is to fund an amount at least equal to the minimum required funding as determined under ERISA with consideration of factors such as the minimum pension liability requirement and maximum tax deductible amounts. For the year ending December 31, 2005, no contributions under ERISA are required, however, the Company made a $100.0 million tax deductible discretionary contribution during the three months ended September 30, 2005. No further contributions are expected in 2005.
Contractual Obligations and Commitments
We believe that funds from future operating cash flows, cash and investments and funds available under our credit agreements or from public or private financing sources will be sufficient for future operations and commitments and for capital acquisitions and other strategic transactions.
On July 1, 2005, we entered into an agreement with International Business Machines Corporation, or IBM, to provide information technology infrastructure services. These services were previously performed in-house and resulted in the transfer of approximately 380 related jobs from us to IBM. Our future commitment under this contract is approximately $719.0 million over a seven-year period. We have the ability to terminate this agreement with 120 days written notice, subject to early termination fees.
For additional information regarding our estimated contractual obligations and commitments at December 31, 2004, see “Contractual Obligations and Commitments” included in the “Liquidity and Capital Resources” section within our 2004 Annual Report on Form 10-K as filed with the Securities and Exchange Commission.
Risk-Based Capital
Our regulated subsidiaries’ states of domicile have statutory risk-based capital, or RBC, requirements for health and other insurance companies largely based on the NAIC’s RBC Model Act. These RBC requirements are intended to measure capital adequacy, taking into account the risk characteristics of an insurer’s investments and products. The NAIC sets forth the formula for calculating the RBC requirements, which are designed to take into account asset risks, insurance risks, interest rate risks and other relevant risks with respect to an individual insurance company’s business. In general, under this Act, an insurance company must submit a report of its RBC level to the state insurance department or insurance commissioner, as appropriate, at the end of each calendar year. Our RBC as of December 31, 2004, which was the most recent date for which reporting was required, was in excess of all mandatory RBC thresholds. In addition to exceeding the RBC requirements, we are in compliance with the liquidity and capital requirements for a licensee of the Blue Cross Blue Shield Association and with the tangible net worth requirements applicable to certain of WellPoint’s California subsidiaries.
IX. | Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995 |
This document contains certain forward-looking information about WellPoint, Inc. (“WellPoint”), name changed from Anthem, Inc. effective November 30, 2004, that is 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
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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 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 WellPoint and WellPoint Health Networks Inc. (“WHN”); 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 achieve expected synergies and operating efficiencies in the WHN 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; 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. WellPoint does not undertake 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 WellPoint’s and WHN’s various SEC reports, including, but not limited to WellPoint’s Annual Report on Form 10-K for the year ended December 31, 2004.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
As a result of our investing and borrowing activities, we are exposed to financial market risks, including those resulting from changes in interest rates and changes in equity market valuations. Our investment portfolio is exposed to three primary risks: credit quality risk, interest rate risk and market valuation risk. Our long-term debt has fixed interest rates and the fair value of these instruments is affected by changes in market interest rates. We use derivative financial instruments, specifically interest rate swap agreements, to hedge exposure in interest rate risk on our borrowings. No material changes to any of these risks have occurred since December 31, 2004.
For a more detailed discussion of our market risks relating to these activities, refer to Item 7A, Quantitative and Qualitative Disclosure about Market Risk, included in our 2004 Annual Report on Form 10-K filed with the Securities and Exchange Commission.
ITEM 4. CONTROLS AND PROCEDURES
The Company carried out an evaluation as of September 30, 2005, under the supervision and with the participation of the Company’s management, including the Company’s Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of the Company’s disclosure controls and procedures as defined in Rule 13a-15(e) of the Securities Exchange Act of 1934. Based upon that evaluation, the Chief Executive Officer and Chief Financial Officer concluded that the Company’s disclosure controls and procedures are effective in timely alerting them to material information relating to the Company (including its consolidated subsidiaries) required to be disclosed in the Company’s reports under the Securities Exchange Act of 1934.
The Company continues to integrate processes following the November 30, 2004 acquisition of WHN. There have been no changes in the Company’s internal control over financial reporting that occurred during the three months ended September 30, 2005 that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.
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PART II. OTHER INFORMATION
On July 11, 2005, the Company entered into a settlement agreement (the “Agreement”) with representatives of more than 700,000 physicians nationwide to resolve the CMA Litigation, the Shane Litigation and the Thomas Litigation discussed in the Company’s 2004 Annual Report on Form 10-K and Note 11 to the Consolidated Financial Statements in this Quarterly Report on Form 10-Q. Under the Agreement, the Company has agreed to make cash payments totaling up to $198.0 million, of which $135.0 million will be paid to physicians and $5.0 million will be contributed to a not-for-profit foundation whose mission is to promote higher quality health care and to enhance the delivery of care to the disadvantaged members of the public. In addition, up to $58.0 million will be paid in legal fees to be determined by the court. The Company also has agreed to implement and maintain a number of operational changes such as standardizing the definition of medical necessity in physician contracts, creating a formalized Physician Advisory Committee and modifying some of the Company’s claims payment and physician contracting provisions. The Agreement is subject to, and conditioned upon, review and approval by the U.S. District Court for the Southern District of Florida. The court preliminarily approved the settlement in an order filed July 15, 2005. A hearing for final approval is scheduled for December 2, 2005, in Miami, Florida.
On June 27, 2002, in a case titledAcademy of Medicine of Cincinnati and Luis Pagani, M.D. v. Aetna Health, Inc., Humana Health Plan of Ohio, Inc., Anthem Blue Cross and Blue Shield, and United Health Care of Ohio, Inc., No. A02004947 filed in the Court of Common Pleas, Hamilton County, Ohio and a case titledAcademy of Medicine of Cincinnati and A. Lee Greiner, M.D., Victor Schmelzer, M.D., and Karl S. Ulicny, Jr., M.D. v. Aetna Health, Inc., Humana, Inc., Anthem Blue Cross and Blue Shield, and United Health Care, Inc., No. 02-CI-903 filed in the Boone County, Kentucky Circuit Court, the Academy and certain physicians allege that the defendants acted in combination and collusion with one another to reduce the reimbursement rates paid to physicians in the area. On September 30, 2005, the Company entered into a settlement agreement to resolve the litigation. The settlement has three components. First, the Company will increase the total annual reimbursement to physicians in the twelve county area (six counties each in Ohio and Kentucky) by $35 million in 2005, an additional $20 million in 2006 and an additional $15 million in 2007. The increases will be measured against the total reimbursement amount for the same area in 2004. Second, the Company will pay $2.75 million to plaintiffs, for payments to retired doctors and incentive awards to the named plaintiffs, with the remainder going to a charitable foundation to improve health care in the affected area. Third, the Company will pay $9.6 million in attorneys’ fees to the plaintiffs’ class counsel. Both the Kentucky court and the Ohio court preliminarily approved the settlement on September 30, 2005. A final fairness hearing is scheduled for November 21, 2005.
In June 2001, a case titledThomas E. McFarland, et al., v. UniCare Life & Health Insurance Co. was filed as a putative class action in the Circuit Court of Cook County, Illinois, alleging that UniCare had breached its contracts with members by increasing co-payments and deductibles and reducing certain benefits. The court certified a class on April 27, 2004. The parties subsequently filed cross-motions for summary judgment. On October 4, 2005 the court granted summary judgment in plaintiffs’ favor, holding that UniCare had breached its contracts and that class members were entitled to damages from September 1, 2000 to the present. UniCare is considering its legal options, including appeal.
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ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
Issuer Purchases of Equity Securities
Period | Total Number of Shares | 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 | ||||||
(In millions, except share and per share data) | ||||||||||
July 1, 2005 to July 30, 2005 | 2,626 | $ | 69.75 | – | $ | 367.1 | ||||
August 1, 2005 to August 31, 2005 | 1,535 | 70.82 | – | 1,000.0 | ||||||
September 1, 2005 to September 30, 2005 | 5,011 | 73.33 | – | 1,000.0 | ||||||
9,172 | 71.89 | – | ||||||||
(1) | Total number of shares purchased includes 9,172 shares delivered to or withheld by the Company in connection with stock-for-stock option exercises and employee payroll tax withholding upon exercise of stock awards. Stock grants to employees and directors and stock issued for stock option plans and stock purchase plans in the consolidated statements of shareholders’ equity are shown net of these shares purchased. |
(2) | Represents the number of shares repurchased through our repurchase program initially announced on February 2, 2003. The Company’s Board of Directors initially authorized repurchase of up to $500.0 million under the program, which was to expire on February 2005. During 2003 and 2004, the Company repurchased $299.5 million of shares under this program. On October 27, 2004, the Company announced that its Board of Directors authorized an increase of $500.0 million to the program and extended the expiration date to February 2006. On August 18, 2005, the Company’s Board of Directors authorized an increase from the remaining $367.1 million to $1.0 billion, and eliminated the expiration date on the repurchase program. On October 24, 2005, the Board of Directors reaffirmed the action taken on August 18, 2005, and authorized an increase from $1.0 billion to $2.0 billion upon the effective time of the contemplated merger between the Company and WellChoice Inc. During the nine months ended September 30, 2005, the Company repurchased approximately 5.1 million shares at a cost of $333.4 million. No shares were repurchased during the three months ended September 30, 2005. Remaining authorization under the program is $1.0 billion as of September 30, 2005. |
In connection with its acquisition of Trigon Healthcare, Inc. in 2002, the Company assumed obligations under the Trigon Insurance Company 401(k) Restoration Plan (the “Trigon Deferred Compensation Plan”), pursuant to which a select group of employees formerly employed by Trigon Healthcare, Inc. make, among other things, voluntary deferrals of their compensation from the Company. Participant accounts in the Trigon Deferred Compensation Plan are credited with earnings based on the performance of one or more investment fund alternatives that each participant may select from a list of mutual fund options provided under the Trigon Deferred Compensation Plan. Participants may also elect to have the investment return on their accounts measured in terms of a Company Common Stock fund. Deferrals into the Trigon Deferred Compensation Plan will cease beginning on January 1, 2006.
In connection with the Trigon Deferred Compensation Plan, the Company maintains a rabbi trust with assets generally equivalent in value to the amount of deferred compensation held in the Trigon Deferred Compensation Plan and composed of the mutual fund shares and Company Common Stock in amounts that mirror the investment alternatives selected by the participants for measuring the investment return on their account balances. In connection with the administration of the Trigon Deferred Compensation Plan, from time to time the
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trustee for the rabbi trust historically made open-market sales of Company Common Stock to reflect participant directives to move all or part of their account balances out of the Company Common Stock fund and into one or more of the mutual fund investment options available under the Trigon Deferred Compensation Plan.
In September 2005, the Company determined that such sales from the rabbi trust may be deemed to constitute sales by the Company. Accordingly, the Company instructed the trustee to discontinue such sales. During the quarter ended September 30, 2005, the trustee sold approximately 12,200 shares of Company Common Stock at a per share price of approximately $76.65 per share, for an aggregate amount of approximately $935,000 (net of brokers fees and commissions of approximately $650). During the period from July 31, 2002 (the date of the Trigon acquisition) to September 30, 2005, approximately 92,187 shares were sold at prices per share ranging from approximately $30.93 to $76.65 (adjusted to reflect the Company’s two-for-one stock split in the form of a 100% stock dividend on May 31, 2005), for an aggregate amount of approximately $4,568,000 (net of broker fees and commissions of approximately $2,000).
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
None.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
None.
None.
Exhibits: A list of exhibits required to be filed as part of this Quarterly Report on Form 10-Q is set forth in the Index to Exhibits, which immediately precedes such exhibits, and is incorporated herein by reference.
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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.
WELLPOINT, INC. | ||||
Registrant | ||||
Date: October 26, 2005 | By: | /s/ DAVID C. COLBY | ||
David C. Colby | ||||
Executive Vice President and | ||||
Chief Financial Officer | ||||
(Duly Authorized Officer and Principal Financial Officer) | ||||
Date: October 26, 2005 | By: | /s/ WAYNE S. DEVEYDT | ||
Wayne S. DeVeydt | ||||
Senior Vice President and | ||||
Chief Accounting Officer | ||||
(Chief Accounting Officer) |
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Exhibit Number | Exhibit | |
2.4 | Agreement and Plan of Merger, dated as of September 27, 2005, among WellPoint, Inc. (the “Company”), WellPoint Holding Corp. and WellChoice, Inc., incorporated by reference to Exhibit 2.1 to the Company’s Current Report on From 8-K filed on September 30, 2005. | |
2.5 | Voting Agreement, dated as of September 27, 2005, by and between the Company and The New York Public Asset Fund, incorporated by reference to Exhibit 2.2 to the Company’s Current Report on Form 8-K filed on September 30, 2005. | |
2.6 | Memorandum of Understanding, dated as of September 27, 2005, by and between Dr. Michael A. Stocker and the Company incorporated by reference to Exhibit 2.3 to the Company’s Current Report on From 8-K filed on September 30, 2005. | |
3.1 | Articles of Incorporation of the Company, as amended effective November 30, 2004, incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed on November 30, 2004. | |
3.2 | By-Laws of the Company, amended and restated effective November 30, 2004, incorporated by reference to Exhibit 3.2 to the Company’s Current Report on Form 8-K filed on November 30, 2004. | |
4.1 | Articles of Incorporation of the Company, as amended effective November 30, 2004 (Included in Exhibit 3.1). | |
4.2 | By-Laws of the Company, amended and restated effective November 30, 2004 (Included in Exhibit 3.2). | |
4.3 | Specimen of Certificate of the Company’s common stock, $0.01 par value per share, incorporated by reference to Exhibit 4.1 to the Company’s Registration Statement on Form S-8 (Registration No. 333-120851). | |
4.4 | Indenture, dated as of July 31, 2002, between the Company and The Bank of New York, as trustee, incorporated by reference to Exhibit 4.13 to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2002. | |
(a) First Supplemental Indenture, dated as of July 31, 2002, between the Company and The Bank of New York, Trustee, establishing 4.875% Notes due 2005 and 6.800% Notes due 2012, incorporated by reference to Exhibit 4.14 to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2002. | ||
(b) Form of 4.875% Note due 2005 (Included in Exhibit 4.4(a)). | ||
(c) Form of 6.800% Note due 2012 (Included in Exhibit 4.4(a)). | ||
4.5 | Form of Subordinated Note Indenture by and between the Company and The Bank of New York, as trustee, incorporated by reference to Exhibit 4.17 to the Company’s Registration Statement on Form S-3 (Registration No. 333-101969). | |
4.6 | Commercial Paper Dealer Agreement, dated as of March 11, 2003, among the Company, as Issuer, and J.P. Morgan Securities Inc., Banc of America Securities LLC and Salomon Smith Barney Inc., each as Dealer, incorporated by reference to Exhibit 4.18 to the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2003. | |
(a) Issuing and Paying Agency Agreement, dated as of March 11, 2003, by and between the Company and JPMorgan Chase Bank, incorporated by reference to Exhibit 4.19 to the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2003. |
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Exhibit Number | Exhibit | |
4.7 | Senior Note Indenture, dated as of December 31, 2002, between the Company and The Bank of New York, as trustee, incorporated by reference to Exhibit 4.16 to the Company’s Current Report on Form 8-K filed on August 25, 2004. | |
(a) First Supplemental Indenture, dated as of August 27, 2004, between the Company and The Bank of New York, as trustee, establishing 3.50% Senior Notes due 2007, incorporated by reference to Exhibit 4.20 to the Company’s Current Report on Form 8-K filed on August 27, 2004. | ||
(b) Form of 3.50% Senior Note due 2007 (included as Exhibit A in Exhibit 4.7(a)). | ||
4.8 | 5-Year Credit Agreement, dated as of November 19, 2004, among the Company, as the Borrower; Bank of America, N.A., as Administrative Agent, Swing Line Lender and L/C Issuer; the other Lenders party thereto; JPMorgan Chase Bank, as Syndication Agent; UBS Loan Finance LLC and Williams Street Commitment Corporation, as Co-Documentation Agents; and Banc of America Securities LLC and J.P.Morgan Securities Inc., as Joint Lead Arrangers and Joint Book Managers, incorporated by reference to Exhibit 10.2 to the Company’s Current Report on Form 8-K filed on November 24, 2004. | |
4.9 | 364-Day Credit Agreement, dated as of November 19, 2004, among the Company, as the Borrower; Bank of America, N.A., as Administrative Agent; the other Lenders party thereto; JPMorgan Chase Bank, as Syndication Agent; UBS Loan Finance LLC and Williams Street Commitment Corporation, as Co-Documentation Agents; and Banc of America Securities LLC and J.P.Morgan Securities Inc., as Joint Lead Arrangers and Joint Book Managers, incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed on November 24, 2004. | |
4.10 | Amended and Restated Indenture, dated as of June 8, 2001, by and between WellPoint Health Networks Inc. (as predecessor by merger to Anthem Holding Corp., “WellPoint Health”) and The Bank of New York, as trustee, incorporated by reference to Exhibit 4.3 to WellPoint Health’s Current Report on Form 8-K filed on June 12, 2001 (File No. 001-13083). | |
(a) First Supplemental Indenture, dated as of November 30, 2004, between Anthem Holding Corp. and The Bank of New York, as trustee incorporated by reference to Exhibit 4.11(a) to the Company’s Annual Report on Form 10-K for the year ended December 31, 2004. | ||
(b) Form of Note evidencing WellPoint Health’s 6 3/8% Notes due 2006, incorporated by reference to Exhibit 4.1 to WellPoint Health’s Current Report on Form 8-K filed on June 14, 2001 (File No. 001-13083). | ||
(c) Form of Note evidencing WellPoint Health’s 6 3/8% Notes due 2012, incorporated by reference to Exhibit 4.1 to WellPoint Health’s Current Report on Form 8-K filed on January 16, 2002 (File No. 001-13083). | ||
4.11 | Indenture, dated as of December 9, 2004, between the Company and The Bank of New York Trust Company, N.A., as trustee, incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K filed on December 15, 2004. | |
(a) Registration Rights Agreement, dated as of December 9, 2004, among the Company, Banc of America Securities LLC, Goldman, Sachs & Co., J.P. Morgan Securities Inc. and UBS Securities LLC, incorporated by reference to Exhibit 4.2 to the Company’s Current Report on Form 8-K filed on December 15, 2004. | ||
(b) Form of the Company’s 3.750% Notes due 2007 (included in Exhibit 4.11). | ||
(c) Form of the Company’s 4.250% Notes due 2009 (included in Exhibit 4.11). |
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Exhibit Number | Exhibit | ||
(d) Form of the Company’s 5.000% Notes due 2014 (included in Exhibit 4.11). | |||
(e) Form of the Company’s 5.950% Notes due 2034 (included in Exhibit 4.11). | |||
4.12 | Upon the request of the Securities and Exchange Commission, the Company will furnish copies of any other instruments defining the rights of holders of long-term debt of the Company or its subsidiaries. | ||
10.51 | * | (o) Amendment to WellPoint 401(k) Retirement Savings Plan, executed on April 26, 2005. | |
10.57 | * | (a) Letter of Agreement, dated as of July 22, 2005, among the Company, WellPoint Foundation and Leonard D. Schaeffer. | |
10.58 | Settlement Agreement, dated as of July 11, 2005, by and among the Company, the Representative Plaintiffs, the Signatory Medical Societies and Class Counsel. | ||
31.1 | Certification of Chief Executive Officer pursuant to Rule 13a-14(a) and Rule 15d-14(a) of the Exchange Act Rules, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. | ||
31.2 | Certification of Chief Financial Officer pursuant to Rule 13a-14(a) and Rule 15d-14(a) of the Exchange Act Rules, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. | ||
32.1 | Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. | ||
32.2 | Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. |
* Indicates management contract or compensatory plans or arrangements.
.
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