Triple-s Management (GTS) 8-K Regulation FD Disclosure

Exhibit 99.1

A Healthy Opportunity for Growth UBS Healthcare Conference February 12, 2008 0

CONFIDENTIAL Forward Looking Statements This presentation includes "forward-looking statements" involving risks and uncertainties because they relate to events and depend on circumstances that may or may not occur in the future. The company's future results may be materially different from the information expressed in, or implied by, forward-looking statements shared today. To learn some of the important factors that could cause this to happen, please see Triple-S Management's Form 10-K, particularly the Section entitled "Risk Factors." The company undertakes no obligation to update or revise any forward-looking statements. 1

CONFIDENTIAL A Healthy Opportunity for Growth o Largest managed care company in Puerto Rico with 45+ years of managed care experience o Exclusive Blue Shield licensee o Experienced management team o Stable market o Solid financial performance and outlook o Strong plan for growth should lead to long-term average 15% annual EPS increases o Leading, high margin complementary businesses including Life and P&C insurance 2

CONFIDENTIAL Three Healthy Businesses Premium and Fee Revenue Note: Includes $7MM of inter-segment premiums. Operating Income Note: Includes $7MM of inter-segment premiums and $11MM of inter-segment expenses. 3

CONFIDENTIAL Balanced Book of Managed Care Business Managed Care Membership Premium and Fee Revenue Note: Includes $6.2MM of inter-segment premiums. 4

CONFIDENTIAL Blue Chip Customer Base with 90%+ Annual Retention Rate No commercial customer* represents more than 3% Of total managed care revenue * Excludes government contracts. 5

CONFIDENTIAL Blue Cross Blue Shield Competitive Advantage o Leading market share o Strong Blue brand awareness among consumers and decision makers o Blue Card creates national and global network o Provides access for Triple-S's members to continental U.S. (1) Source: Blue Cross Blue Shield Association. BCBS Membership Growth Over the Last Decade Source: Blue Cross Blue Shield Association; BCBSA Enrollment Report, December 31, 2006; U.S. Census Bureau. Blue Cross Blue Shield Advantage Source: BCBSA Enrollment Report, December 31, 2006; U.S. Census Bureau. Nationwide Network: Blue Card 6

CONFIDENTIAL Largest and Broadest Provider Network Physician Locations Source: Information obtained from Providers Directories for each company. Represents the number of locations where services are offered, thus it may duplicate certain providers in all companies. 7

CONFIDENTIAL Most Diversified Book of Business Medical Premium Contribution by Segment (1) Includes commercial risk and Medicare Advantage (including stand-alone PDP revenue) for all companies except for Triple-S; Medicare Advantage figures not available for peers. (2) Aveta's managed care premiums are derived entirely from Medicare Advantage policies. Source: Annual statements submitted to the NAIC following statutory accounting principles. Triple-S is the #1 MCO in Puerto Rico and has one of the most widely recognized brands 8

CONFIDENTIAL Experienced Management Team Years of Industry Years at Name Title Experience Triple-S Ramon Ruiz-Comas CEO and President 29 17 Juan-Jose Roman-Jimenez CFO and VP of Finance 20 11 Socorro Rivas-Rodriguez CEO and President of Managed Care 25 25 Subsidiary Luis Marini-Mir President, Reform Business 9 9 Arturo Carrion President of Life Insurance Subsidiary 29 20(1) Eva Salgado CEO and President of P&C Insurance 27 10 Subsidiary Roberto Morales-Tirado President of Signature Insurance Agency 39 9 Carlos Torres-Diaz President of Interactive Systems 23 17 (1) Including years at GA Life. Average over 25 years of industry experience and 15 years with Triple-S 9

CONFIDENTIAL Puerto Rico Is a Healthy Market o Strong, well-diversified economy o Attractive demographics o Favorable business environment attracts large U.S. and multinational firms - ----------------------------------------------------- State / Regional Population Company Region as of 2006(1) Sierra NV 2.5 million - ----------------------------------------------------- Triple-S PR 3.9 million - ----------------------------------------------------- Cobalt WI 5.6 million RightChoice MO 5.8 million Trigon VA 7.6 million WellChoice NY 19.3 million - ----------------------------------------------------- High Annual Growth in Medicare Eligibles(1) (1) Based on expected growth from 2005 to 2010 according to the U.S. Census. High Incidence of Dual-Eligibles (1) Data from U.S. Census Bureau. Note: Dual eligibles defined as a person who qualifies for both Medicare and the Reform on the basis of age and income, respectively. 10

Financial Performance Juan-Jose Roman-Jimenez, CPA VP of Finance and Chief Financial Officer 11

CONFIDENTIAL Strong Consolidated Revenue Growth Consolidated Operating Revenues(1) (1) Excludes Metro-North Reform contract. 12

CONFIDENTIAL Consolidated Operating Income Growth Consolidated Operating Income(1) (1) Excludes Metro-North Reform contract. 13

CONFIDENTIAL Strong Consolidated Operating Margin Expansion Consolidated Operating Income Margin(1) (1) Excludes Metro-North Reform contract. 14

CONFIDENTIAL Managed Care Revenue Growth Managed Care Premium and Fee Revenue(1) (1) Excludes Metro-North Reform contract. 15

CONFIDENTIAL Managed Care Underwriting and Pricing Discipline Reduces Cost Ratios... Medical Loss Ratio Note: Excludes Metro-North Reform contract. Medical loss ratio is calculated as claims incurred divided by premium revenue. Administrative Expense Ratio Note: Excludes Metro-North Reform contract. Administrative expense ratio is calculated as operating expenses divided by the sum of premium and fee revenue. 16

CONFIDENTIAL ... and Expands Operating Margins Managed Care Operating Margins Note: Excludes Metro-North Reform contract. Long-term goal: improve managed care operating margins by 150--200 bps 17

CONFIDENTIAL Solid Performance at Life and P&C Insurance Businesses Life Insurance P&C Insurance Operating Revenue Operating Revenue Operating Income Operating Income Note: 2005 shown on a comparable basis for the acquisition of GA Life completed in January 2006. (1) 2005 operating income adjusted to reflect estimated incremental expenses related to GA Life acquisition. 18

CONFIDENTIAL Capitalization Summary - ------------------------------------------------------------------------------- Unaudited 12/30/2007 12/31/2006 - ------------------------------------------------------------------------------- Cash and Cash Equivalents $240.2 $81.6 Secured Term Loans $25.9 $38.1 Senior Unsecured Notes 145.0 145.0 - ------------------------------------------------------------------------------- Total Debt 170.9 183.1 Total Shareholders' Equity 482.5 342.6 - ------------------------------------------------------------------------------- Total Capitalization $653.4 $525.7 Total Debt / Book Capitalization 26.2% 34.8% Modest leverage and significant excess RBC levels (600%+) provide strong financial flexibility 19

Plan for Healthy Growth Ramon M. Ruiz-Comas, CPA President and Chief Executive Officer 20

CONFIDENTIAL Strong Plan for Growth Expand Operating Margins and Realize Operating Efficiencies Pursue Disciplined Expansion Strategy Grow Medicare Advantage Business Pursue Cross-Selling Opportunities Develop New Products to Attract and Retain Customers 21

CONFIDENTIAL Expand Operating Margins and Realize Operating Efficiencies o Recent initiatives to reduce utilization and lower overall medical costs: o Re-pricing or terminating less profitable commercial customers o Refining provider network to drive lower costs balanced with quality care o Expanding disease management programs o Refining pharmacy network, benefits and coverage o Evaluating radiology benefits management initiatives o Started to realize benefits of initiatives in 2006 Long-term goal: improve consolidated operating margin to 6.5%+ 22

CONFIDENTIAL Grow Medicare Advantage Business o Leverage Triple-S and Blue brand to increase Medicare Advantage penetration o Capitalize on high incidence of dual-eligibles o Convert MedSupp and stand-alone PDP members to Medicare Advantage Significant Market Opportunity Profitable Organic Growth Puerto Rico Medicare Advantage Market Share Triple-S's Medicare Advantage Membership Source: CMS as of September 2007. Note: Based on membership 23

CONFIDENTIAL Develop New Products to Attract and Retain Customers o Puerto Rico's population density allows new products to be introduced in a cost-effective and timely manner o Offer limited benefit products for part-time employees and low-salary industries o Approximately 358,000 people are part-timers and/or low-salary employees o Focused on large, uninsured population o Approximately 400,000 people 24

CONFIDENTIAL Pursue Cross-selling Opportunities o Leverage leading brand and internal and external sales force to cross-sell life and P&C insurance o About 42% of sales agents are licensed to sell both managed care and life insurance products o Only 13 of 30 largest corporate customers currently purchase both managed care and complementary products o Long-standing customer relationships with leading financial institutions provide additional points of distribution for managed care products 25

CONFIDENTIAL Pursue Disciplined Expansion o Track record of efficiently integrating acquisitions o Focus on potential acquisitions of managed care plans o Expand product offering o Geographic expansion outside Puerto Rico: focus on Hispanic communities and contiguous, under-penetrated markets o Leverage strong Reform platform to expand in high growth U.S. Medicaid market 26

CONFIDENTIAL Positive Outlook for 2008 Anticipate growth in Medicare Advantage membership, a stable MLR and improvements in operating income o Total medical enrollment is expected to grow approximately 1 percent, with Medicare Advantage enrollment rising 30 percent to 35 percent. o Consolidated operating revenues are anticipated to be between $1.66 billion and $1.70 billion. o Consolidated loss ratio is expected to be between 83.0 percent and 83.5 percent. Medical loss ratio of the managed care segment is expected to be between 87.6 percent and 88.1 percent. o Consolidated operating expenses ratio is anticipated to be approximately 15.2 percent. o The Company expects an earnings per share between $1.88 and $1.98, based on 32.1 million weighted average shares outstanding. 27

CONFIDENTIAL A Healthy Opportunity for Growth o Largest managed care company in Puerto Rico with 45+ years of managed care experience o Exclusive Blue Shield licensee o Leading, high margin complementary businesses including Life and P&C insurance o Experienced management team o Stable market o Solid financial performance and outlook o Strong plan for growth should lead to long-term average 15% annual EPS increases 28

CONFIDENTIAL A Healthy Opportunity For Growth 29