United States Securities and Exchange Commission
Washington, D.C. 20549
FORM 10-Q
(Mark One)
| | |
þ | | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended June 30, 2005
OR
| | |
o | | 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: 0-49762
Triple-S Management Corporation
(Exact name of registrant as specified in its charter)
| | |
Puerto Rico (State or other jurisdiction of incorporation or organization) | | 66-0555678 (I.R.S. Employer Identification No.) |
| | |
1441 F.D. Roosevelt Avenue San Juan, Puerto Rico (Address of principal executive offices) | | 00920 (Zip code) |
(787) 749-4949
(Registrant’s telephone number, including area code)
Not applicable
(Former name, former address and former fiscal year, if changed since last report)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.þ Yeso No
Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act).o Yesþ No
Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.
| | |
Title of each class | | Outstanding at June 30, 2005 |
| | |
Common Stock, $40.00 par value | | 8,904 |
Triple-S Management Corporation
FORM 10-Q
For the Quarter Ended June 30, 2005
Table of Contents
2
Part I —Financial Information
Item 1. Financial Statements
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Consolidated Balance Sheets
(Dollar amounts in thousands, except per share data)
| | | | | | | | |
| | (Unaudited) | | | | |
| | June 30, | | | December 31, | |
| | 2005 | | | 2004 | |
|
ASSETS | | | | | | | | |
| | | | | | | | |
Investments and cash: | | | | | | | | |
Securities held for trading, at fair value: | | | | | | | | |
Fixed maturities | | $ | 46,786 | | | | 72,423 | |
Equity securities | | | 81,590 | | | | 86,596 | |
Securities available for sale, at fair value: | | | | | | | | |
Fixed maturities | | | 461,119 | | | | 444,637 | |
Equity securities | | | 52,793 | | | | 59,186 | |
Securities held to maturity, at amortized cost: | | | | | | | | |
Fixed maturities | | | 22,193 | | | | 14,280 | |
Cash and cash equivalents | | | 35,036 | | | | 35,115 | |
|
Total investments and cash | | | 699,517 | | | | 712,237 | |
|
Premiums and other receivables, net | | | 122,051 | | | | 113,323 | |
Deferred policy acquisition costs | | | 18,773 | | | | 18,712 | |
Property and equipment, net | | | 33,020 | | | | 32,364 | |
Other assets | | | 51,583 | | | | 43,021 | |
|
Total assets | | $ | 924,944 | | | | 919,657 | |
|
LIABILITIES AND STOCKHOLDERS’ EQUITY | | | | | | | | |
| | | | | | | | |
Claim liabilities: | | | | | | | | |
Claims processed and incomplete | | $ | 143,999 | | | | 137,282 | |
Unreported losses | | | 142,022 | | | | 127,324 | |
Unpaid loss-adjustment expenses | | | 14,676 | | | | 14,719 | |
|
Total claim liabilities | | | 300,697 | | | | 279,325 | |
|
Unearned premiums | | | 82,882 | | | | 84,583 | |
Annuity contracts | | | 37,281 | | | | 34,071 | |
Liability to Federal Employees Health Benefits Program | | | 6,806 | | | | 9,791 | |
Accounts payable and accrued liabilities | | | 100,904 | | | | 100,388 | |
Short-term borrowings | | | — | | | | 1,700 | |
Income tax payable | | | — | | | | 1,827 | |
Net deferred tax liability | | | — | | | | 1,969 | |
Additional minimum pension liability | | | 9,999 | | | | 8,840 | |
Long-term borrowings | | | 92,547 | | | | 95,730 | |
|
Total liabilities | | | 631,116 | | | | 618,224 | |
|
Stockholders’ equity: | | | | | | | | |
Common stock, $40 par value. Authorized 12,500 shares; issued and outstanding 8,904 at June 30, 2005 and December 31, 2004 | | | 356 | | | | 356 | |
Additional paid-in capital | | | 150,408 | | | | 150,408 | |
Retained earnings | | | 133,732 | | | | 134,531 | |
Accumulated other comprehensive income | | | 9,332 | | | | 16,138 | |
|
Total stockholders’ equity | | | 293,828 | | | | 301,433 | |
|
Total liabilities and stockholders’ equity | | $ | 924,944 | | | | 919,657 | |
|
See accompanying notes to unaudited consolidated financial statements.
3
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Consolidated Statements of Earnings (Unaudited)
For the three months and six months ended June 30, 2005 and 2004
(Dollar amounts in thousands, except per share data)
| | | | | | | | | | | | | | | | |
| | Three months ended | | | Six months ended | |
| | June 30, | | | June 30, | |
| | 2005 | | | 2004 | | | 2005 | | | 2004 | |
|
REVENUE: | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | |
Premiums earned, net | | $ | 339,618 | | | | 322,896 | | | | 673,007 | | | | 641,542 | |
Amounts attributable to self-funded arrangements | | | 52,439 | | | | 46,045 | | | | 104,354 | | | | 89,083 | |
Less amounts attributable to claims under self-funded arrangements | | | (49,302 | ) | | | (42,485 | ) | | | (97,842 | ) | | | (83,067 | ) |
|
| | | 342,755 | | | | 326,456 | | | | 679,519 | | | | 647,558 | |
Net investment income | | | 7,217 | | | | 6,393 | | | | 14,281 | | | | 12,975 | |
Net realized investment gains | | | 1,363 | | | | 1,365 | | | | 4,677 | | | | 2,748 | |
Net unrealized investment loss on trading securities | | | (634 | ) | | | (3,252 | ) | | | (6,427 | ) | | | (1,433 | ) |
Other income, net | | | (142 | ) | | | 1,120 | | | | 490 | | | | 1,686 | |
|
Total revenue | | | 350,559 | | | | 332,082 | | | | 692,540 | | | | 663,534 | |
|
BENEFITS AND EXPENSES: | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | |
Claims incurred | | | 297,901 | | | | 286,246 | | | | 600,824 | | | | 561,994 | |
Operating expenses, net of reimbursement for services | | | 45,453 | | | | 42,635 | | | | 89,219 | | | | 82,473 | |
Interest expense | | | 1,856 | | | | 931 | | | | 3,644 | | | | 1,832 | |
|
Total benefits and expenses | | | 345,210 | | | | 329,812 | | | | 693,687 | | | | 646,299 | |
|
Income (loss) before taxes | | | 5,349 | | | | 2,270 | | | | (1,147 | ) | | | 17,235 | |
|
INCOME TAX EXPENSE (BENEFIT): | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | |
Current | | | 758 | | | | 1,248 | | | | 1,979 | | | | 4,546 | |
Deferred | | | 183 | | | | (457 | ) | | | (2,327 | ) | | | 54 | |
|
Total income taxes | | | 941 | | | | 791 | | | | (348 | ) | | | 4,600 | |
|
Net income | | $ | 4,408 | | | | 1,479 | | | | (799 | ) | | | 12,635 | |
|
Basic net income per share | | $ | 495 | | | | 166 | | | | (90 | ) | | | 1,411 | |
|
See accompanying notes to unaudited consolidated financial statements.
4
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Consolidated Statements of Stockholders’ Equity and
Comprehensive Income (Unaudited)
For the six months
ended June 30, 2005 and 2004
(Dollar amounts in thousands, except per share data)
| | | | | | | | |
| | 2005 | | | 2004 | |
|
BALANCE AT JANUARY 1 | | $ | 301,433 | | | | 254,255 | |
|
Stock redemption | | | — | | | | (5 | ) |
Comprehensive income: | | | | | | | | |
Net income | | | (799 | ) | | | 12,635 | |
Net unrealized change in investment securities | | | (6,983 | ) | | | (6,555 | ) |
Net change in fair value of cash flow hedges | | | 177 | | | | 373 | |
|
Total comprehensive income (loss) | | | (7,605 | ) | | | 6,453 | |
|
BALANCE AT JUNE 30 | | $ | 293,828 | | | | 260,703 | |
|
See accompanying notes to unaudited consolidated financial statements.
5
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Consolidated Statements of Cash Flows (Unaudited)
For the six months ended June 30, 2005 and 2004
(Dollar amounts in thousands, except per share data)
| | | | | | | | |
| | Six months ended | |
| | June 30, | |
| | 2005 | | | 2004 | |
|
CASH FLOWS FROM OPERATING ACTIVITIES: | | | | | | | | |
| | | | | | | | |
Premiums collected | | $ | 664,493 | | | | 631,773 | |
Cash paid to suppliers and employees | | | (96,566 | ) | | | (84,127 | ) |
Claims, losses and benefits paid | | | (578,955 | ) | | | (529,526 | ) |
Interest received | | | 14,322 | | | | 13,487 | |
Income taxes paid | | | (6,482 | ) | | | (40,638 | ) |
Proceeds from trading securities sold or matured: | | | | | | | | |
Fixed maturities sold | | | 57,795 | | | | 31,611 | |
Equity securities | | | 14,021 | | | | 15,526 | |
Acquisitions of investments in trading portfolio: | | | | | | | | |
Fixed maturities | | | (32,144 | ) | | | (33,686 | ) |
Equity securities | | | (11,784 | ) | | | (27,048 | ) |
Interest paid | | | (3,064 | ) | | | (1,362 | ) |
Expense reimbursement from Medicare | | | 6,986 | | | | 7,547 | |
|
Net cash provided by (used in) operating activities | | | 28,622 | | | | (16,443 | ) |
|
CASH FLOWS FROM INVESTING ACTIVITIES: | | | | | | | | |
| | | | | | | | |
Proceeds from investments sold or matured: | | | | | | | | |
Securities available for sale: | | | | | | | | |
Fixed maturities sold | | | 1,172 | | | | 21,464 | |
Fixed maturities matured | | | 7,920 | | | | 46,441 | |
Equity securities | | | 2,670 | | | | 1,476 | |
Securities held to maturity: | | | | | | | | |
Fixed maturities matured | | | 594 | | | | 2,762 | |
Acquisitions of investments: | | | | | | | | |
Securities available for sale: | | | | | | | | |
Fixed maturities | | | (26,796 | ) | | | (55,415 | ) |
Equity securities | | | (2,822 | ) | | | (1,024 | ) |
Securities held to maturity: | | | | | | | | |
Fixed maturities | | | (8,494 | ) | | | (2,612 | ) |
Capital expenditures | | | (3,143 | ) | | | (1,676 | ) |
Proceeds from sale of property and equipment | | | — | | | | 6 | |
|
Net cash (used in) provided by investing activities | | | (28,899 | ) | | | 11,422 | |
|
CASH FLOWS FROM FINANCING ACTIVITIES: | | | | | | | | |
| | | | | | | | |
Change in outstanding checks in excess of bank balances | | | 2,451 | | | | 9,512 | |
Payments of short-term borrowings | | | (77,285 | ) | | | (6,200 | ) |
Proceeds from short-term borrowings | | | 75,585 | | | | 6,200 | |
Payments of long-term borrowings | | | (3,183 | ) | | | (1,688 | ) |
Redemption of common stock | | | — | | | | (5 | ) |
Proceeds from annuity contracts | | | 5,740 | | | | 7,975 | |
Surrenders of annuity contracts | | | (3,110 | ) | | | (2,265 | ) |
|
Net cash provided by financing activities | | | 198 | | | | 13,529 | |
|
Net (decrease) increase in cash and cash equivalents | | | (79 | ) | | | 8,508 | |
Cash and cash equivalents at beginning of the period | | | 35,115 | | | | 48,280 | |
|
Cash and cash equivalents at end of the period | | $ | 35,036 | | | | 56,788 | |
|
See accompanying notes to unaudited consolidated financial statements.
6
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
(1) Basis of Presentation
The accompanying consolidated interim financial statements prepared by Triple-S Management Corporation (TSM) and its subsidiaries (the Corporation) are unaudited, except for the balance sheet information as of December 31, 2004, which is derived from the Corporation’s audited consolidated financial statements, pursuant to the rules and regulations of the United States Securities and Exchange Commission. The consolidated interim financial statements do not include all of the information and the footnotes required by accounting principles generally accepted in the United States of America for complete financial statements. These consolidated interim financial statements should be read in conjunction with the audited consolidated financial statements included in the Corporation’s Annual Report on Form 10-K for the year ended December 31, 2004.
In the opinion of management, all adjustments, consisting of normal recurring adjustments, necessary for a fair presentation of such consolidated interim financial statements have been included. The results of operations for the three months and six months ended June 30, 2005 are not necessarily indicative of the results for the full year.
(2) Segment Information
The following tables summarize the operations by major operating segment for the three months and six months ended June 30, 2005 and 2004:
7
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
| | | | | | | | | | | | | | | | | | | | |
| | Operating Segments | |
| | Health | | | Health | | | | | | | | | | |
| | Insurance | | | Insurance | | | Property | | | | | | | |
| | Commercial | | | Reform | | | and Casualty | | | | | | | |
| | Program | | | Program | | | Insurance | | | Other * | | | Total | |
|
THREE MONTHS ENDED JUNE 30, 2005 | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
Premiums earned, net | | $ | 190,138 | | | | 124,197 | | | | 21,102 | | | | 4,181 | | | | 339,618 | |
Amounts attributable to self-funded arrangements | | | 52,439 | | | | — | | | | — | | | | — | | | | 52,439 | |
Less: Amounts attributable to claims under self-funded arrangements | | | (49,302 | ) | | | — | | | | — | | | | — | | | | (49,302 | ) |
Intersegment premiums earned/service revenues | | | 1,029 | | | | — | | | | — | | | | 11,439 | | | | 12,468 | |
|
| | | 194,304 | | | | 124,197 | | | | 21,102 | | | | 15,620 | | | | 355,223 | |
Net investment income | | | 3,410 | | | | 749 | | | | 2,180 | | | | 761 | | | | 7,100 | |
Realized gain (loss) on sale of securities | | | 1,445 | | | | — | | | | (105 | ) | | | 23 | | | | 1,363 | |
Unrealized gain (loss) on trading securities | | | (740 | ) | | | — | | | | 16 | | | | 90 | | | | (634 | ) |
Other | | | (79 | ) | | | (6 | ) | | | (168 | ) | | | 58 | | | | (195 | ) |
|
Total revenue | | $ | 198,340 | | | | 124,940 | | | | 23,025 | | | | 16,552 | | | | 362,857 | |
|
Net income (loss) | | $ | 5,276 | | | | (4,280 | ) | | | 2,944 | | | | 432 | | | | 4,372 | |
|
Claims incurred | | $ | 164,320 | | | | 120,823 | | | | 10,247 | | | | 2,511 | | | | 297,901 | |
|
Operating expenses | | $ | 25,899 | | | | 9,722 | | | | 9,108 | | | | 13,290 | | | | 58,019 | |
|
Depreciation expense, included in operating expenses | | $ | 858 | | | | — | | | | 90 | | | | 20 | | | | 968 | |
|
Interest expense | | $ | 1,114 | | | | 232 | | | | — | | | | 300 | | | | 1,646 | |
|
Income tax expense (benefit) | | $ | 1,731 | | | | (1,557 | ) | | | 726 | | | | 19 | | | | 919 | |
|
| | |
* | | Includes segments which are not required to be reported separately. These segments include the life and disability insurance segment, the data processing services organization as well as the third-party administrator of health insurance services. |
8
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
| | | | | | | | | | | | | | | | | | | | |
| | Operating Segments | |
| | Health | | | Health | | | | | | | | | | |
| | Insurance | | | Insurance | | | Property | | | | | | | |
| | Commercial | | | Reform | | | and Casualty | | | | | | | |
| | Program | | | Program | | | Insurance | | | Other * | | | Total | |
|
THREE MONTHS ENDED JUNE 30, 2004 | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
Premiums earned, net | | $ | 179,017 | | | | 119,601 | | | | 20,209 | | | | 4,069 | | | | 322,896 | |
Amounts attributable to self-funded arrangements | | | 46,045 | | | | — | | | | — | | | | — | | | | 46,045 | |
Less: Amounts attributable to claims under self-funded arrangements | | | (42,485 | ) | | | — | | | | — | | | | — | | | | (42,485 | ) |
Intersegment premiums earned/service revenues | | | 1,077 | | | | — | | | | — | | | | 12,316 | | | | 13,393 | |
|
| | | 183,654 | | | | 119,601 | | | | 20,209 | | | | 16,385 | | | | 339,849 | |
Net investment income | | | 3,025 | | | | 768 | | | | 1,834 | | | | 680 | | | | 6,307 | |
Realized gain (loss) on sale of securities | | | 1,494 | | | | (83 | ) | | | (14 | ) | | | (32 | ) | | | 1,365 | |
Unrealized loss on trading securities | | | (3,158 | ) | | | — | | | | (24 | ) | | | (70 | ) | | | (3,252 | ) |
Other | | | 142 | | | | (7 | ) | | | 710 | | | | 95 | | | | 940 | |
|
Total revenue | | $ | 185,157 | | | | 120,279 | | | | 22,715 | | | | 17,058 | | | | 345,209 | |
|
Net income (loss) | | $ | (130 | ) | | | 727 | | | | 1,445 | | | | (502 | ) | | | 1,540 | |
|
Claims incurred | | $ | 162,616 | | | | 109,605 | | | | 10,501 | | | | 3,524 | | | | 286,246 | |
|
Operating expenses | | $ | 22,619 | | | | 9,050 | | | | 10,719 | | | | 13,559 | | | | 55,947 | |
|
Depreciation expense, included in operating expenses | | $ | 934 | | | | — | | | | 121 | | | | 28 | | | | 1,083 | |
|
Interest expense | | $ | 286 | | | | 80 | | | | — | | | | 248 | | | | 614 | |
|
Income tax expense (benefit) | | $ | (234 | ) | | | 817 | | | | 50 | | | | 229 | | | | 862 | |
|
| | |
* | | Includes segments which are not required to be reported separately. These segments include the life and disability insurance segment, the data processing services organization as well as the third-party administrator of health insurance services. |
9
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
| | | | | | | | | | | | | | | | | | | | |
| | Operating Segments | |
| | Health | | | Health | | | | | | | | | | |
| | Insurance | | | Insurance | | | Property | | | | | | | |
| | Commercial | | | Reform | | | and Casualty | | | | | | | |
| | Program | | | Program | | | Insurance | | | Other * | | | Total | |
|
SIX MONTHS ENDED JUNE 30, 2005 | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
Premiums earned, net | | $ | 374,438 | | | | 247,337 | | | | 43,198 | | | | 8,034 | | | | 673,007 | |
Amounts attributable to self-funded arrangements | | | 104,354 | | | | — | | | | — | | | | — | | | | 104,354 | |
Less: Amounts attributable to claims under self-funded arrangements | | | (97,842 | ) | | | — | | | | — | | | | — | | | | (97,842 | ) |
Intersegment premiums earned/service revenues | | | 2,105 | | | | — | | | | — | | | | 25,077 | | | | 27,182 | |
|
| | | 383,055 | | | | 247,337 | | | | 43,198 | | | | 33,111 | | | | 706,701 | |
Net investment income | | | 6,823 | | | | 1,490 | | | | 4,285 | | | | 1,472 | | | | 14,070 | |
Realized gain (loss) on sale of securities | | | 3,548 | | | | (25 | ) | | | 1,071 | | | | 83 | | | | 4,677 | |
Unrealized loss on trading securities | | | (5,546 | ) | | | — | | | | (777 | ) | | | (104 | ) | | | (6,427 | ) |
Other | | | 109 | | | | (11 | ) | | | 170 | | | | 120 | | | | 388 | |
|
Total revenue | | $ | 387,989 | | | | 248,791 | | | | 47,947 | | | | 34,682 | | | | 719,409 | |
|
Net income (loss) | | $ | (1,527 | ) | | | (5,191 | ) | | | 5,602 | | | | 87 | | | | (1,029 | ) |
|
Claims incurred | | $ | 337,149 | | | | 236,911 | | | | 21,620 | | | | 5,144 | | | | 600,824 | |
|
Operating expenses | | $ | 50,139 | | | | 18,636 | | | | 19,449 | | | | 28,677 | | | | 116,901 | |
|
Depreciation expense, included in operating expenses | | $ | 1,683 | | | | — | | | | 197 | | | | 59 | | | | 1,939 | |
|
Interest expense | | $ | 2,172 | | | | 436 | | | | — | | | | 579 | | | | 3,187 | |
|
Income tax expense (benefit) | | $ | 56 | | | | (2,001 | ) | | | 1,276 | | | | 195 | | | | (474 | ) |
|
| | |
* | | Includes segments which are not required to be reported separately. These segments include the life and disability insurance segment, the data processing services organization as well as the third-party administrator of health insurance services. |
10
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
| | | | | | | | | | | | | | | | | | | | |
| | Operating Segments | |
| | Health | | | Health | | | | | | | | | | |
| | Insurance | | | Insurance | | | Property | | | | | | | |
| | Commercial | | | Reform | | | and Casualty | | | | | | | |
| | Program | | | Program | | | Insurance | | | Other * | | | Total | |
|
SIX MONTHS ENDED JUNE 30, 2004 | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
Premiums earned, net | | $ | 353,522 | | | | 238,999 | | | | 40,992 | | | | 8,029 | | | | 641,542 | |
Amounts attributable to self-funded arrangements | | | 89,083 | | | | — | | | | — | | | | — | | | | 89,083 | |
Less: Amounts attributable to claims under self-funded arrangements | | | (83,067 | ) | | | — | | | | — | | | | — | | | | (83,067 | ) |
Intersegment premiums earned/service revenues | | | 1,981 | | | | — | | | | — | | | | 23,853 | | | | 25,834 | |
|
| | | 361,519 | | | | 238,999 | | | | 40,992 | | | | 31,882 | | | | 673,392 | |
Net investment income | | | 6,170 | | | | 1,608 | | | | 3,688 | | | | 1,338 | | | | 12,804 | |
Realized gain (loss) on sale of securities | | | 2,643 | | | | 128 | | | | 21 | | | | (44 | ) | | | 2,748 | |
Unrealized gain (loss) on trading securities | | | (1,756 | ) | | | — | | | | 258 | | | | 65 | | | | (1,433 | ) |
Other | | | 194 | | | | (17 | ) | | | 1,272 | | | | 128 | | | | 1,577 | |
|
Total revenue | | $ | 368,770 | | | | 240,718 | | | | 46,231 | | | | 33,369 | | | | 689,088 | |
|
Net income | | $ | 5,917 | | | | 2,371 | | | | 4,773 | | | | (263 | ) | | | 12,798 | |
|
Claims incurred | | $ | 315,856 | | | | 218,820 | | | | 21,128 | | | | 6,190 | | | | 561,994 | |
|
Operating expenses | | $ | 44,613 | | | | 17,802 | | | | 19,428 | | | | 26,621 | | | | 108,464 | |
|
Depreciation expense, included in operating expenses | | $ | 1,903 | | | | — | | | | 242 | | | | 56 | | | | 2,201 | |
|
Interest expense | | $ | 575 | | | | 149 | | | | — | | | | 470 | | | | 1,194 | |
|
Income tax expense | | $ | 1,809 | | | | 1,576 | | | | 902 | | | | 351 | | | | 4,638 | |
|
| | |
* | | Includes segments which are not required to be reported separately. These segments include the life and disability insurance segment, the data processing services organization as well as the third-party administrator of health insurance services. |
11
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
| | | | | | | | | | | | | | | | | | | | |
| | Operating Segments | |
| | Health | | | Health | | | | | | | | | | |
| | Insurance | | | Insurance | | | Property | | | | | | | |
| | Commercial | | | Reform | | | and Casualty | | | | | | | |
| | Program | | | Program | | | Insurance | | | Other * | | | Total | |
|
AS OF JUNE 30, 2005 | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
Segment assets | | $ | 454,872 | | | | 75,019 | | | | 289,079 | | | | 93,554 | | | | 912,524 | |
|
Significant noncash item: | | | | | | | | | | | | | | | | | | | | |
Net change in unrealized gain on securities available for sale | | $ | (5,142 | ) | | | (324 | ) | | | (957 | ) | | | (568 | ) | | | (6,991 | ) |
|
AS OF DECEMBER 31, 2004 | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | |
Segment assets | | $ | 443,710 | | | | 84,627 | | | | 282,393 | | | | 90,713 | | | | 901,443 | |
|
Significant noncash item: | | | | | | | | | | | | | | | | | | | | |
Net change in unrealized gain on securities available for sale | | $ | 523 | | | | (151 | ) | | | 867 | | | | (156 | ) | | | 1,083 | |
Net change in minimum pension liability | | | 313 | | | | — | | | | (60 | ) | | | (314 | ) | | | (61 | ) |
|
12
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
RECONCILIATION OF REPORTABLE SEGMENT TOTALS
WITH FINANCIAL STATEMENTS
| | | | | | | | | | | | | | | | |
| | Three months ended | | | Six months ended | |
| | June 30, | | | June 30, | |
| | 2005 | | | 2004 | | | 2005 | | | 2004 | |
|
TOTAL REVENUE | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | |
Total revenues for reportable segments | | $ | 346,305 | | | | 328,151 | | | | 684,727 | | | | 655,719 | |
Total revenues for other segments | | | 16,552 | | | | 17,058 | | | | 34,682 | | | | 33,369 | |
|
| | | 362,857 | | | | 345,209 | | | | 719,409 | | | | 689,088 | |
|
Elimination of intersegment earned premiums | | | (1,029 | ) | | | (1,077 | ) | | | (2,105 | ) | | | (1,981 | ) |
Elimination of intersegment service revenues | | | (11,439 | ) | | | (12,316 | ) | | | (25,077 | ) | | | (23,853 | ) |
Unallocated amount — revenues from external sources | | | 170 | | | | 266 | | | | 313 | | | | 280 | |
|
| | | (12,298 | ) | | | (13,127 | ) | | | (26,869 | ) | | | (25,554 | ) |
|
Consolidated total revenue | | $ | 350,559 | | | | 332,082 | | | | 692,540 | | | | 663,534 | |
|
NET INCOME | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | |
Net income (loss) for reportable segments | | $ | 3,940 | | | | 2,042 | | | | (1,116 | ) | | | 13,061 | |
Net income (loss) for other segments | | | 432 | | | | (502 | ) | | | 87 | | | | (263 | ) |
|
| | | 4,372 | | | | 1,540 | | | | (1,029 | ) | | | 12,798 | |
|
Elimination of TSM charges: | | | | | | | | | | | | | | | | |
Rent expense | | | 1,617 | | | | 1,310 | | | | 3,241 | | | | 2,883 | |
Interest expense | | | 300 | | | | 158 | | | | 556 | | | | 317 | |
|
| | | 1,917 | | | | 1,468 | | | | 3,797 | | | | 3,200 | |
|
Unallocated amounts related to TSM: | | | | | | | | | | | | | | | | |
General and administrative expenses | | | (1,519 | ) | | | (1,391 | ) | | | (2,741 | ) | | | (2,726 | ) |
Income tax expense | | | (22 | ) | | | 71 | | | | (126 | ) | | | 38 | |
Interest expense | | | (510 | ) | | | (475 | ) | | | (1,013 | ) | | | (955 | ) |
Other revenues from external sources | | | 170 | | | | 266 | | | | 313 | | | | 280 | |
|
| | | (1,881 | ) | | | (1,529 | ) | | | (3,567 | ) | | | (3,363 | ) |
|
Consolidated net income | | $ | 4,408 | | | | 1,479 | | | | (799 | ) | | | 12,635 | |
|
13
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
RECONCILIATION OF REPORTABLE SEGMENT TOTALS WITH FINANCIAL STATEMENTS
| | | | | | | | | | | | |
| | Three months ended June 30, 2005 | |
| | Segment | | | | | | | Consolidated | |
| | Totals | | | Adjustments * | | | Totals | |
|
Claims incurred | | $ | 297,901 | | | | — | | | | 297,901 | |
Operating expenses | | | 58,019 | | | | (12,566 | ) | | | 45,453 | |
Depreciation expense | | | 968 | | | | 272 | | | | 1,240 | |
Interest expense | | | 1,646 | | | | 210 | | | | 1,856 | |
Income tax expense | | | 919 | | | | 22 | | | | 941 | |
| | | | | | | | | | | | |
| | Three months ended June 30, 2004 | |
| | Segment | | | | | | | Consolidated | |
| | Totals | | | Adjustments * | | | Totals | |
|
Claims incurred | | $ | 286,246 | | | | — | | | | 286,246 | |
Operating expenses | | | 55,947 | | | | (13,312 | ) | | | 42,635 | |
Depreciation expense | | | 1,083 | | | | 281 | | | | 1,364 | |
Interest expense | | | 614 | | | | 317 | | | | 931 | |
Income tax expense (benefit) | | | 862 | | | | (71 | ) | | | 791 | |
| | | | | | | | | | | | |
| | Six months ended June 30, 2005 | |
| | Segment | | | | | | | Consolidated | |
| | Totals | | | Adjustments * | | | Totals | |
|
Claims incurred | | $ | 600,824 | | | | — | | | | 600,824 | |
Operating expenses | | | 116,901 | | | | (27,682 | ) | | | 89,219 | |
Depreciation expense | | | 1,939 | | | | 549 | | | | 2,488 | |
Interest expense | | | 3,187 | | | | 457 | | | | 3,644 | |
Income tax expense (benefit) | | | (474 | ) | | | 126 | | | | (348 | ) |
| | | | | | | | | | | | |
| | Six months ended June 30, 2004 | |
| | Segment | | | | | | | Consolidated | |
| | Totals | | | Adjustments * | | | Totals | |
|
Claims incurred | | $ | 561,994 | | | | — | | | | 561,994 | |
Operating expenses | | | 108,464 | | | | (25,991 | ) | | | 82,473 | |
Depreciation expense | | | 2,201 | | | | 560 | | | | 2,761 | |
Interest expense | | | 1,194 | | | | 638 | | | | 1,832 | |
Income tax expense (benefit) | | | 4,638 | | | | (38 | ) | | | 4,600 | |
| | |
* | | Adjustments represent TSM operations and the elimination of intersegment charges. |
14
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
RECONCILIATION OF REPORTABLE SEGMENT TOTALS WITH FINANCIAL STATEMENTS
| | | | | | | | |
| | June 30, | | | December 31, | |
| | 2005 | | | 2004 | |
|
ASSETS | | | | | | | | |
|
Total assets for reportable segments | | $ | 818,970 | | | | 810,730 | |
Total assets for other segments | | | 93,554 | | | | 90,713 | |
|
| | | 912,524 | | | | 901,443 | |
|
Elimination entries — intersegment receivables and others | | | (27,931 | ) | | | (21,717 | ) |
|
Unallocated amounts related to TSM: | | | | | | | | |
Parent cash, cash equivalents and investments | | | 12,014 | | | | 12,236 | |
Parent net property and equipment | | | 25,213 | | | | 25,577 | |
Parent other assets | | | 3,124 | | | | 2,118 | |
|
| | | 40,351 | | | | 39,931 | |
|
Consolidated assets | | $ | 924,944 | | | | 919,657 | |
|
OTHER SIGNIFICANT ITEMS
| | | | | | | | | | | | |
| | As of June 30, 2005 | |
| | Segment | | | | | | | Consolidated | |
| | Totals | | | Adjustments * | | | Totals | |
|
Significant noncash item — net change in unrealized gain on securities available for sale | | $ | (6,991 | ) | | | 8 | | | | (6,983 | ) |
| | | | | | | | | | | | |
| | As of December 31, 2004 | |
| | Segment | | | | | | | Consolidated | |
| | Totals | | | Adjustments * | | | Totals | |
|
Significant noncash items: | | | | | | | | | | | | |
Net change in unrealized gain on securities available for sale | | $ | 1,083 | | | | 18 | | | | 1,101 | |
Net change in minimum pension liability | | | (61 | ) | | | 58 | | | | (3 | ) |
15
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands)
(Unaudited)
(3) Investment in Securities
The amortized cost for debt securities and equity securities, gross unrealized gains, gross unrealized losses, and estimated fair value for trading, available-for-sale and held-to-maturity securities by major security type and class of security at June 30, 2005 and December 31, 2004, were as follows:
| | | | | | | | | | | | | | | | |
| | June 30, 2005 (Unaudited) | |
| | | | | | Gross | | | Gross | | | | |
| | Amortized | | | unrealized | | | unrealized | | | Estimated fair | |
| | cost | | | gains | | | losses | | | value | |
|
Trading securities: | | | | | | | | | | | | | | | | |
Fixed maturities | | $ | 45,993 | | | | 1,024 | | | | (231 | ) | | | 46,786 | |
Equity securities | | | 75,283 | | | | 9,346 | | | | (3,039 | ) | | | 81,590 | |
|
| | $ | 121,276 | | | | 10,370 | | | | (3,270 | ) | | | 128,376 | |
|
| | | | | | | | | | | | | | | | |
| | June 30, 2005 (Unaudited) | |
| | | | | | Gross | | | Gross | | | | |
| | Amortized | | | unrealized | | | unrealized | | | Estimated fair | |
| | cost | | | gains | | | losses | | | value | |
|
Securities available for sale: | | | | | | | | | | | | | | | | |
Fixed maturities | | $ | 461,974 | | | | 1,791 | | | | (2,646 | ) | | | 461,119 | |
Equity securities | | | 34,794 | | | | 18,444 | | | | (445 | ) | | | 52,793 | |
|
| | $ | 496,768 | | | | 20,235 | | | | (3,091 | ) | | | 513,912 | |
|
| | | | | | | | | | | | | | | | |
| | June 30, 2005 (Unaudited) | |
| | | | | | Gross | | | Gross | | | | |
| | Amortized | | | unrealized | | | unrealized | | | Estimated fair | |
| | cost | | | gains | | | losses | | | value | |
|
Securities held to maturity: | | | | | | | | | | | | | | | | |
Fixed maturities | | $ | 22,193 | | | | 295 | | | | (200 | ) | | | 22,288 | |
|
| | | | | | | | | | | | | | | | |
| | December 31, 2004 | |
| | | | | | Gross | | | Gross | | | | |
| | Amortized | | | unrealized | | | unrealized | | | Estimated fair | |
| | cost | | | gains | | | losses | | | value | |
|
Trading securities: | | | | | | | | | | | | | | | | |
Fixed maturities | | $ | 70,668 | | | | 2,045 | | | | (290 | ) | | | 72,423 | |
Equity securities | | | 74,824 | | | | 13,496 | | | | (1,724 | ) | | | 86,596 | |
|
| | $ | 145,492 | | | | 15,541 | | | | (2,014 | ) | | | 159,019 | |
|
16
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
| | | | | | | | | | | | | | | | |
| | December 31, 2004 | |
| | | | | | Gross | | | Gross | | | | |
| | Amortized | | | unrealized | | | unrealized | | | Estimated fair | |
| | cost | | | gains | | | losses | | | value | |
|
Securities available for sale: | | | | | | | | | | | | | | | | |
Fixed maturities | | $ | 444,135 | | | | 2,659 | | | | (2,157 | ) | | | 444,637 | |
Equity securities | | | 34,309 | | | | 24,913 | | | | (36 | ) | | | 59,186 | |
|
| | $ | 478,444 | | | | 27,572 | | | | (2,193 | ) | | | 503,823 | |
|
| | | | | | | | | | | | | | | | |
| | December 31, 2004 | |
| | | | | | Gross | | | Gross | | | | |
| | Amortized | | | unrealized | | | unrealized | | | Estimated fair | |
| | cost | | | gains | | | losses | | | value | |
|
Securities held to maturity: | | | | | | | | | | | | | | | | |
Fixed maturities | | $ | 14,280 | | | | 247 | | | | (24 | ) | | | 14,503 | |
|
Investment in securities at June 30, 2005 are mostly comprised of U.S. Treasury securities and obligations of U.S. government instrumentalities (54.8%), mortgage backed and collateralized mortgage obligations that are U.S. agency-backed (5.2%), obligations of the government of Puerto Rico and its instrumentalities (9.2%) and obligations of states and political subdivisions (0.1%). The remaining 30.7% of the investment portfolio is comprised of corporate debt, equity securities and mutual funds.
The Corporation regularly monitors the difference between the cost and estimated fair value of investments. For investments with a fair value below cost, the process includes evaluating the length of time and the extent to which cost exceeds fair value, the prospects and financial condition of the issuer, and the Corporation’s intent and ability to retain the investment to allow for recovery in fair value, among other factors. This process is not exact and further requires consideration of risks such as credit and interest rate risks. Consequently, if an investment’s cost exceeds its fair value solely due to changes in interest rates, impairment may not be appropriate. If after monitoring and analyzing, the Corporation determines that a decline in the estimated fair value of any available-for-sale or held-to-maturity security below cost is other than temporary, the carrying amount of the security is reduced to its fair value. The impairment is charged to operations and a new cost basis for the security is established. During the six-month period ended June 30, 2005 the Corporation recognized an other than temporary impairment amounting to $1,036 on one of its equity securities classified as available for sale.
The unrealized losses on investments were mainly caused by interest rate increases. Because the Corporation has the ability and intent to hold these investments until a market price recovery or maturity, these investments are not considered other-than-temporarily impaired.
17
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
(4) Premiums and Other Receivables
Premiums and other receivables as of June 30, 2005 and December 31, 2004 were as follows:
| | | | | | | | |
| | (Unaudited) | | | | |
| | June 30, | | | December 31, | |
| | 2005 | | | 2004 | |
|
Premiums | | $ | 51,141 | | | | 45,451 | |
Self-funded group receivables | | | 22,471 | | | | 17,717 | |
FEHBP | | | 9,371 | | | | 9,346 | |
Accrued interest | | | 5,072 | | | | 5,080 | |
Reinsurance recoverable on paid losses | | | 29,999 | | | | 30,496 | |
Other | | | 14,921 | | | | 16,406 | |
|
| | | 132,975 | | | | 124,496 | |
|
Less allowance for doubtful receivables: | | | | | | | | |
Premiums | | | 6,585 | | | | 6,456 | |
Other | | | 4,339 | | | | 4,717 | |
|
| | | 10,924 | | | | 11,173 | |
|
Total premiums and other receivables | | $ | 122,051 | | | | 113,323 | |
|
(5) Claim Liabilities
The activity in the total claim liabilities for the three months ended June 30, 2005 and 2004 is as follows:
| | | | | | | | |
| | (Unaudited) | |
| | Three months ended June 30, | |
| | 2005 | | | 2004 | |
|
Claim liabilities at beginning of period | | $ | 304,632 | | | | 260,922 | |
Reinsurance recoverable on claim liabilities | | | (25,285 | ) | | | (21,463 | ) |
|
Net claim liabilities at beginning of period | | | 279,347 | | | | 239,459 | |
|
Incurred claims and loss-adjustment expenses: | | | | | | | | |
Current period insured events | | | 295,216 | | | | 278,354 | |
Prior period insured events | | | 2,685 | | | | 7,892 | |
|
Total | | | 297,901 | | | | 286,246 | |
|
Payments of losses and loss-adjustment expenses: | | | | | | | | |
Current period insured events | | | 277,796 | | | | 214,788 | |
Prior period insured events | | | 25,352 | | | | 52,134 | |
|
Total | | | 303,148 | | | | 266,922 | |
|
Net claim liabilities at end of period | | | 274,100 | | | | 258,783 | |
Reinsurance recoverable on claim liabilities | | | 26,597 | | | | 21,605 | |
|
Claim liabilities at end of period | | $ | 300,697 | | | | 280,388 | |
|
18
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
The activity in the total claim liabilities for the six months ended June 30, 2005 and 2004 is as follows:
| | | | | | | | |
| | (Unaudited) | |
| | Six months ended June 30, | |
| | 2005 | | | 2004 | |
|
Claim liabilities at beginning of period | | $ | 279,325 | | | | 247,920 | |
Reinsurance recoverable on claim liabilities | | | (26,555 | ) | | | (19,357 | ) |
|
Net claim liabilities at beginning of period | | | 252,770 | | | | 228,563 | |
|
Incurred claims and loss-adjustment expenses: | | | | | | | | |
Current period insured events | | | 592,733 | | | | 559,107 | |
Prior period insured events | | | 8,091 | | | | 2,887 | |
|
Total | | | 600,824 | | | | 561,994 | |
|
Payments of losses and loss-adjustment expenses: | | | | | | | | |
Current period insured events | | | 415,147 | | | | 354,857 | |
Prior period insured events | | | 164,347 | | | | 176,917 | |
|
Total | | | 579,494 | | | | 531,774 | |
|
Net claim liabilities at end of period | | | 274,100 | | | | 258,783 | |
Reinsurance recoverable on claim liabilities | | | 26,597 | | | | 21,605 | |
|
Claim liabilities at end of period | | $ | 300,697 | | | | 280,388 | |
|
As a result of changes in estimates of insured events in prior periods, the amounts included as incurred claims for prior period insured events differ from anticipated claims incurred. The amount in the incurred claims and loss-adjustment expenses for prior period insured events for the three months and six months ended June 30, 2005 and 2004 is due to an unfavorable development of the claim liabilities attributed to higher than expected cost per service and utilization trends.
(6) Comprehensive Income
The accumulated balances for each classification of comprehensive income are as follows:
| | | | | | | | | | | | | | | | |
| | | | | | (Unaudited) | | | | |
| | | | | | | | | | | | | | Accumulated | |
| | Unrealized | | | Minimum | | | | | | | other | |
| | gains on | | | pension | | | Cash flow | | | comprehensive | |
| | securities | | | liability | | | hedges | | | income | |
|
BALANCE AT JANUARY 1 | | $ | 22,049 | | | | (5,825 | ) | | | (86 | ) | | | 16,138 | |
Net current period change | | | (6,983 | ) | | | — | | | | 177 | | | | (6,806 | ) |
|
BALANCE AT JUNE 30 | | $ | 15,066 | | | | (5,825 | ) | | | 91 | | | | 9,332 | |
|
(7) Income Taxes
Under Puerto Rico income tax law, the Corporation is not allowed to file consolidated tax returns with its subsidiaries.
Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in the
19
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
consolidated statements of earnings in the period that includes the enactment date. Quarterly income taxes are calculated using the effective tax rate determined based on the income forecasted for the full fiscal year.
(8) Pension Plan
The components of net periodic benefit cost for the three months and six months ended June 30, 2005 and 2004 were as follows:
| | | | | | | | | | | | | | | | |
| | (Unaudited) | | (Unaudited) |
| | Three months ended | | Six months ended |
| | June 30, | | June 30, |
| | 2005 | | 2004 | | 2005 | | 2004 |
|
Components of net periodic benefit cost: | | | | | | | | | | | | | | | | |
Service cost | | $ | 1,187 | | | | 1,035 | | | | 2,330 | | | | 2,070 | |
Interest cost | | | 1,038 | | | | 929 | | | | 2,068 | | | | 1,858 | |
Expected return on assets | | | (868 | ) | | | (626 | ) | | | (1,711 | ) | | | (1,252 | ) |
Amortization of prior service cost | | | 12 | | | | 12 | | | | 24 | | | | 24 | |
Amortization of actuarial loss | | | 505 | | | | 401 | | | | 995 | | | | 802 | |
|
Net periodic benefit cost | | $ | 1,874 | | | | 1,751 | | | | 3,706 | | | | 3,502 | |
|
Employer contributions
The Corporation disclosed in its audited consolidated financial statements for the year ended December 31, 2004 that it expected to contribute $7,900 to its pension program in 2005. As of June 30, 2005, no contributions have been made. The Corporation currently anticipates contributing approximately $7,900 to fund the pension program in 2005.
(9) Net Income (Loss) Available to Stockholders and Net Income (Loss) per Share
The Corporation presents only basic earnings per share, which amount consists of the net income that is available to common stockholders divided by the weighted-average number of common shares outstanding for the period.
The following table sets forth the computation of basic net income (loss) per share for the three months and six months ended June 30, 2005 and 2004:
| | | | | | | | | | | | | | | | |
| | (Unaudited) | | (Unaudited) |
| | Three months ended | | Six months ended |
| | June 30, | | June 30, |
| | 2005 | | 2004 | | 2005 | | 2004 |
|
Numerator for basic earnings per share: | | | | | | | | | | | | | | | | |
Net income (loss) available to stockholders | | $ | 4,408 | | | | 1,479 | | | | (799 | ) | | | 12,635 | |
|
Denominator for basic earnings per share: | | | | | | | | | | | | | | | | |
Weighted average of outstanding common shares | | | 8,904 | | | | 8,905 | | | | 8,904 | | | | 8,954 | |
|
Basic net income (loss) per share | | $ | 495 | | | | 166 | | | | (90 | ) | | | 1,411 | |
|
20
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
(10) Contingencies
| (a) | | As of June 30, 2005, the Corporation is defendant in various lawsuits arising in the ordinary course of business. Management believes, based on the opinion of its legal counsel, that the aggregate liabilities, if any, arising from such actions would not have a material adverse effect on the consolidated financial position and results of operations of the Corporation. |
|
| (b) | | Drs. Carlyle Benavent and Ibrahim Pérez (the plaintiffs) caused the initiation of an administrative proceeding before the Puerto Rico Insurance Commissioner (the Commissioner of Insurance) against Triple-S, Inc. (TSI) and TSM alleging the illegality of the repurchase and subsequent sale of 1,582 shares of TSI’s common stock due to the fact that the ultimate purchasers of said shares were selected on an improper and selective basis by the Corporation in violation of the Puerto Rico Insurance Code. The plaintiffs alleged that they were illegally excluded from participation in the sale of shares by TSI due to the illegally selective nature of the sale of shares and that, consequently the sale of shares should be eliminated. |
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| | | On December 1996, the Commissioner of Insurance issued an order to annul the sale of the 1,582 shares that TSI had repurchased from the estate of deceased stockholders. TSI contested such orders through an administrative and judicial review process. Consequently, the sale of 1,582 shares was cancelled and the purchase price was returned to each former stockholder. In the year 2000, the Commissioner of Insurance issued a pronouncement providing further clarification of the content and effect of the order. This order also required that all corporate decisions undertaken by TSI through the vote of its stockholders of record, be ratified in a stockholders’ meeting or in a subsequent referendum. In November 2000, TSM, as the sole stockholder of TSI, ratified all such decisions. Furthermore, on November 19, 2000, TSM held a special stockholders’ meeting, where a ratification of these decisions was undertaken except for the resolution related to the approval of the reorganization of TSI and its subsidiaries. This resolution did not reach the two thirds majority required by the order because the number of shares that were present and represented at the meeting was below such amount (total shares present and represented in the stockholders’ meeting was 64%). As stipulated in the order, TSM began the process to conduct a referendum among its stockholders in order to ratify such resolution. The process was later suspended because upon further review of the scope of the order, the Commissioner of Insurance issued an opinion in a letter dated January 8, 2002 which indicated that the ratification of the corporate reorganization was not required. |
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| | | In another letter dated March 14, 2002, the Commissioner of Insurance stated that the ratification of the corporate reorganization was not required and that TSI had complied with the Commissioner’s order of December 6, 1996 related to the corporate reorganization. Thereafter, the plaintiffs filed a petition for review of the Commissioner’s determination before the Puerto Rico Circuit Court of Appeals. Such petition was opposed by TSI and by the Commissioner of Insurance. |
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| | | Pursuant to that review, on September 24, 2002, the Puerto Rico Circuit Court of Appeals issued an order requiring the Commissioner of Insurance to order a meeting of stockholders to ratify TSI’s corporate reorganization and the change of name of TSI from Seguros de Servicio de Salud de Puerto Rico, Inc. to Triple-S, Inc. The Puerto Rico Circuit Court of Appeals based its decision on administrative and procedural issues directed at the Commissioner of Insurance. The Commissioner of Insurance filed a motion of reconsideration with the Puerto Rico Circuit Court of Appeals on October 11, 2002. TSI and TSM also filed a motion of reconsideration. |
21
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
| | | On October 25, 2002, the Puerto Rico Circuit Court of Appeals dismissed the Commissioner of Insurance’s Motion for Reconsideration and ordered the plaintiffs to reply to TSI’s and TSM’s Motion of Reconsideration. |
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| | | On May 18, 2003, the Puerto Rico Circuit Court of Appeals granted TSI’s and TSM’s Motion of Reconsideration. The Puerto Rico Circuit Court of Appeals held that the Commissioner of Insurance had the authority to waive the celebration of a referendum to ratify TSI’s reorganization and that therefore the reorganization of TSI, inasmuch as the 1,582 shares annulled were not decisive, was approved by the stockholders. |
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| | | On June 26, 2003, the two stockholders presented a writ of certiorari before the Supreme Court of Puerto Rico. TSI and TSM filed a motion opposing the issuance of the writ. The writ was issued by the Supreme Court on August 22, 2003, when it ordered the Puerto Rico Circuit Court of Appeals to transmit the record of the case. On December 1, 2003, the plaintiffs filed a motion submitting their case on the basis of their original petition. TSI and TSM filed its brief on December 30, 2003, while the Commissioner of Insurance, in turn, filed a separate brief on December 31, 2003. On June 24, 2004 the Supreme Court ordered the plaintiffs to file a brief in support of their allegations. The case is still pending before the Supreme Court of Puerto Rico. It is the opinion of management that the corporate reorganization as approved is in full force and effect. |
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| (c) | | On September 4, 2003, José Sánchez and others filed a putative class action complaint against the Corporation, present and former directors of TSM and TSI, and others, in the United States District Court for the District of Puerto Rico, alleging violations under the Racketeer Influenced and Corrupt Organizations Act, better known as the RICO Act. The suit, among other allegations, alleges a scheme to defraud the plaintiffs by acquiring control of TSI through illegally capitalizing TSI and later converting it to a for-profit corporation and depriving the stockholders of their ownership rights. The plaintiffs base their later allegations on the supposed decisions of TSI’s board of directors and stockholders, allegedly made in 1979, to operate with certain restrictions in order to turn TSI into a charitable corporation, basically forever. On March 4, 2005 the Court issued an Opinion and Order. In this Opinion and Order, of the twelve counts included in the complaint, eight counts were dismissed for failing to assert an actionable injury; six of them for lack of standing and two for failing to plead with sufficient particularity in compliance with the Rules. All shareholder allegations, including those described above, were dismissed in the Opinion and Order. The remaining four counts were found standing, in a limited way, in the Opinion and Order. Finally, the Court ordered that by March 24, 2005 one of the counts left standing be replead to conform to the Rules and that by March 28, 2005 a proposed schedule for discovery and other submissions be filed. The count was amended and accepted by the Court, the discovery schedule was submitted and the parties are conducting discovery. This case is still pending before the United States District Court for the District of Puerto Rico. |
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| (d) | | On April 24, 2002, Octavio Jordán, Agripino Lugo, Ramón Vidal, and others filed a suit against TSM, TSI and others in the Court of First Instance for San Juan, Superior Section, alleging, among other things, violations by the defendants of provisions of the Puerto Rico Insurance Code, anti-monopolistic practices, unfair business practices and damages in the amount of $12.0 million. They also requested that TSM sell shares to them. After a preliminary review of the complaint, it appears that many of the allegations brought by the plaintiffs have been resolved in favor of TSM and TSI in previous cases brought by the same plaintiffs in the United States District Court for the District of Puerto Rico and by most of the plaintiffs in the local courts. The defendants, including TSM and TSI answered the complaint, filed a counterclaim and filed several motions to dismiss |
22
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
| | | this claim. On February 18, 2005 the plaintiffs informed their intention to amend the complaint and the Court granted then 45 days to do so and 90 days to defendants to file the corresponding motion to dismiss. On May 9, 2005 the plaintiffs filed the amended complaint and defendants are preparing the corresponding motions to dismiss this amended complaint. The plaintiffs amended the complaint to allege similar causes of action dismissed by the United States District Court for the District of Puerto Rico in the Sánchez case. |
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| (e) | | On May 22, 2003 a putative class action suit was filed by Kenneth A. Thomas, M.D. and Michael Kutell, M.D., on behalf of themselves and all other similarly situated and the Connecticut State Medical Society against the Blue Cross and Blue Shield Association (BCBSA) and multiple other insurance companies, including TSI. The case is pending before the United States District Court for the Southern District of Florida, Miami District. |
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| | | The individual plaintiffs bring this action on behalf of themselves and a class of similarly situated physicians seeking redress for alleged illegal acts of the defendants which they allege have resulted in a loss of their property and a detriment to their business, and for declaratory and injunctive relief to end those practices and prevent further losses. Plaintiffs alleged that the defendants, on their own and as part of a common scheme, systematically deny, delay and diminish the payments due to doctors so that they are not paid in a timely manner for the covered, medically necessary services they render. |
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| | | The class action complaint alleges that the health care plans are the agents of BCBSA licensed entities, and as such have committed the acts alleged above and acted within the scope of their agency, with the consent, permission, authorization and knowledge of the others, and in furtherance of both their interest and the interests of other defendants. |
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| | | Management believes that TSI was brought to this litigation for the sole reason of being associated with the BCBSA. However, on June 18, 2004, the plaintiffs moved to amend the complaint to include the Colegio de Médicos Cirujanos de Puerto Rico (a compulsory association grouping all physicians in Puerto Rico), Marissel Velázquez, MD, President of the Colegio de Médicos y Cirujanos de Puerto Rico, and Andrés Meléndez, MD, as plaintiffs against TSI. Later Marissel Velázquez, MD voluntarily dismissed her complaint against TSI. |
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| | | TSI, along with the other defendants, moved to dismiss the complaint under multiple grounds, including but not limited to arbitration and applicability of the McCarran Ferguson Act. |
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| (f) | | On December 8, 2003 a putative class action was filed by Jeffrey Solomon, MD, and Orlando Armstrong, MD, on behalf of themselves and all other similarly situated and the American Podiatric Medical Association, Florida Chiropractic Association, California Podiatric Medical Association, Florida Podiatric Medical Association, Texas Podiatric Medical Association, and Independent Chiropractic Physicians, against the BCBSA and multiple other insurance companies, including TSI, all members of the BCBSA. The case is still pending before the United States District Court for the Southern District of Florida, Miami District. |
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| | | The individual plaintiffs bring this action on behalf of themselves and a class of similarly situated physicians seeking redress for alleged illegal acts of the defendants which are alleged to have resulted in a loss of plaintiff’s property and a detriment to their business, and for declaratory and injunctive relief to end those practices and prevent further losses. Plaintiffs alleged that the defendants, on their own and as part of a common scheme, systematically deny, delay and |
23
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
| | | diminish the payment due to the doctors so that they are not paid in a timely manner for the covered, medically necessary services they render. |
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| | | The class action complaint alleges that the health care plans are the agents of BCBSA licensed entities, and as such have committed the acts alleged above and acted within the scope of their agency, with the consent, permission, authorization and knowledge of the others, and in furtherance of both their interest and the interests of other defendants. |
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| | | On June 25, 2004, the plaintiffs amended the complaint but the allegations against TSI did not vary. |
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| | | Management believes that TSI was made a party to this litigation for the sole reason that TSI is associated with the BCBSA. TSI, along with the other defendants, moved to dismiss the complaint under multiple grounds, including but not limited to arbitration and applicability of the McCarran Ferguson Act. |
24
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
June 30, 2005
(Dollar amounts in thousands, except per share data)
(Unaudited)
(11) Reconciliation of Net Income to Net Cash Provided by (Used in) Operating Activities
A reconciliation of net income to net cash provided by (used in) operating activities is as follows:
| | | | | | | | |
| | (Unaudited) |
| | Six months ended |
| | June 30, |
| | 2005 | | 2004 |
|
Net income (loss) | | $ | (799 | ) | | | 12,635 | |
|
Adjustments to reconcile net income to net cash provided by (used in) operating expenses: | | | | | | | | |
|
Depreciation and amortization | | | 2,488 | | | | 2,761 | |
Amortization of investment discounts | | | 321 | | | | 586 | |
Accretion in value of securities | | | (288 | ) | | | (214 | ) |
Increase (decrease) in provision for doubtful receivables | | | (249 | ) | | | 909 | |
Increase (decrease) in net deferred taxes | | | (2,327 | ) | | | 53 | |
Gain on sale of securities | | | (4,677 | ) | | | (2,748 | ) |
Unrealized loss of trading securities | | | 6,427 | | | | 1,433 | |
Proceeds from trading securities sold: | | | | | | | | |
Fixed maturities | | | 57,795 | | | | 31,611 | |
Equity securities | | | 14,021 | | | | 15,526 | |
Acquisition of securities in trading portfolio: | | | | | | | | |
Fixed maturities | | | (32,144 | ) | | | (33,686 | ) |
Equity securities | | | (11,784 | ) | | | (27,048 | ) |
Loss on sale of property and equipment | | | (1 | ) | | | (6 | ) |
(Increase) decrease in assets: | | | | | | | | |
Premiums receivable | | | (10,469 | ) | | | (11,111 | ) |
Accrued interest receivable | | | 8 | | | | 140 | |
Reinsurance receivable | | | 497 | | | | (1,606 | ) |
Other receivables | | | 1,996 | | | | 337 | |
Deferred policy acquisition costs | | | (61 | ) | | | (790 | ) |
Prepaid income tax | | | (2,676 | ) | | | (3,869 | ) |
Other assets | | | (4,233 | ) | | | (1,982 | ) |
Increase (decrease) in liabilities: | | | | | | | | |
Claims processed and incomplete | | | 6,717 | | | | 13,684 | |
Unreported losses | | | 14,698 | | | | 18,523 | |
Unpaid loss-adjustment expenses | | | (43 | ) | | | 261 | |
Unearned premiums | | | (1,701 | ) | | | 88 | |
Annuity contracts | | | 580 | | | | 470 | |
Liability to FEHBP | | | (2,985 | ) | | | (3,156 | ) |
Accounts payable and accrued liabilities | | | (662 | ) | | | 2,978 | |
Income tax payable | | | (1,827 | ) | | | (32,222 | ) |
|
Net cash provided by (used in) operating activities | | $ | 28,622 | | | | (16,443 | ) |
|
25
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The Management’s Discussion and Analysis of Financial Condition and Results of Operations included in this Quarterly Report on Form 10-Q is intended to update the reader on matters affecting the financial condition and results of operations of Triple-S Management Corporation (TSM) and its subsidiaries (the Corporation) for the three months and six months ended June 30, 2005. Therefore, the following discussion should be read in conjunction with the consolidated financial statements and notes thereto included in the Annual Report on Form 10-K filed with the United States Securities and Exchange Commission as of and for the year ended December 31, 2004.
Cautionary Statement Regarding Forward-Looking Information
This Quarterly Report on Form 10-Q and other publicly available documents of the Corporation may include statements that constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, including, among other things: statements concerning the financial condition, results of operations and business of the Corporation. These statements are not historical, but instead represent the Corporation’s belief regarding future events, any of which, by their nature, are inherently uncertain and outside of the Corporation’s control. These statements may address, among other things, future financial results, strategy for growth, and market position. It is possible that the Corporation’s actual results and financial condition may differ, possibly materially, from the anticipated results and financial condition indicated in these forward-looking statements. The factors that could cause actual results to differ from those in the forward-looking statements are discussed throughout this form. The Corporation is not under any obligation to update or alter any forward-looking statement (and expressly disclaims any such obligations), whether as a result of new information, future events or otherwise. Factors that may cause actual results to differ materially from those contemplated by such forward looking statements include, but are not limited to, rising healthcare costs, business conditions and competition in the different insurance segments, government action and other regulatory issues.
Structure of the Organization
TSM is incorporated under the laws of the Commonwealth of Puerto Rico. It is the holding company of several entities, through which it offers a wide range of insurance products and services. These insurance products and services are offered through the following TSM wholly-owned subsidiaries:
| • | | TSI, a health insurance company serving two major segments: the Commercial Program and the Commonwealth of Puerto Rico Healthcare Reform Program (the Healthcare Reform); |
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| • | | Seguros Triple-S, Inc. (STS), a property and casualty insurance company; and |
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| • | | Seguros de Vida Triple-S, Inc. (SVTS), a life and disability insurance and annuity products company. |
In addition to the insurance subsidiaries mentioned above, TSM has the following other wholly-owned subsidiaries: Interactive Systems, Inc. (ISI) and Triple-C, Inc. (TCI). ISI provides data processing services to TSM and its subsidiaries. TCI is currently engaged as the third-party administrator in the administration of the Corporation’s Healthcare Reform segment. It also provides healthcare advisory services and other health-related services to TSI and other third parties.
26
Recent Developments
Healthcare Reform Segment
All Reform contracts were to expire on June 30, 2005. The Reform contracts renewal negotiation process was scheduled to begin during the month of February 2005. However, during that month TSI was notified of the government of Puerto Rico’s (the government) interest in extending the contracts until December 31, 2005 or June 30, 2006. During the month of April 2005, the government announced that each contract would be will be extended for a period of twelve (12) months, with an option to cancel on December 31, 2005. The exercise of the option to cancel on December 2005 will be determined by October 2005. The negotiation of the terms of the contracts’ extension commenced during the month of April 2005. TSI has agreed to this request and has submitted proposals with modified contract terms, including premiums. As of today, the premiums rates for the month of August 2005 were negotiated, obtaining an increase of 5.6%. The premiums rates to be in effect for the period from September 1, 2005 to June 30, 2006 are still in the process of negotiation, based on new terms and coverage required by ASES.
Adoption of Accounting Standard
SFAS No. 153,Exchanges of Nonmonetary Assets, an Amendment of APB Opinion No. 29, was issued in December 2004. This statement amends APB Opinion No. 29 to eliminate the exception for nonmonetary exchanges of similar productive assets and replaces it with a general exception for exchanges of nonmonetary assets that do not have commercial substance. The Corporation is required to adopt SFAS No. 153 on January 1, 2006. The adoption of SFAS No. 153 is not expected to have an impact on the Corporation’s financial statements.
General Information
Substantially all of the revenues of the Corporation are generated from premiums earned and investment income. Claims incurred include the payment of benefits and losses, mostly to physicians, hospitals and other service providers, and to policyholders. A portion of the claims incurred for each period consists of a management and actuarial estimate of claims incurred but not reported to the segment during the period. Each segment’s results of operations depend largely on their ability to accurately predict and effectively manage these claims. Operating expenses comprise general, selling, commission, depreciation and payroll and payroll related expenses.
The Corporation (on a consolidated basis and for each reportable segment), along with most insurance entities, uses the loss ratio, the expense ratio and the combined ratio as measures of performance. The loss ratio is computed as claims incurred divided by the premiums earned, net and fee revenue. The expense ratio is computed as operating expenses divided by the premiums earned, net and fee revenue. The combined ratio is the sum of the loss ratio and the expense ratio. These ratios are relative measurements that describe, for every $100 of premiums earned, net and fee revenue, the costs of claims and operating expenses. A combined ratio below 100 demonstrates underwriting profit; a combined ratio above 100 demonstrates underwriting loss.
27
Consolidated Operating Results
The analysis in this section provides an overall view of the consolidated statements of operations and key financial information. Further details of the results of operations of each reportable segment are included in the analysis of operating results for the respective segments.
| | | | | | | | | | | | | | | | |
| | Three months ended | | Six months ended |
| | June 30, | | June 30, |
(dollar amounts in thousands) | | 2005 | | 2004 | | 2005 | | 2004 |
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Consolidated earned premiums, net and fee revenue | | $ | 342,755 | | | | 326,456 | | | | 679,519 | | | | 647,558 | |
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Consolidated claims incurred | | $ | 297,901 | | | | 286,246 | | | | 600,824 | | | | 561,994 | |
Consolidated operating expenses | | | 45,453 | | | | 42,635 | | | | 89,219 | | | | 82,473 | |
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Consolidated operating costs | | $ | 343,354 | | | | 328,881 | | | | 690,043 | | | | 644,467 | |
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Consolidated loss ratio | | | 86.9 | % | | | 87.7 | % | | | 88.4 | % | | | 86.8 | % |
Consolidated expense ratio | | | 13.3 | % | | | 13.1 | % | | | 13.1 | % | | | 12.7 | % |
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Consolidated combined ratio | | | 100.2 | % | | | 100.7 | % | | | 101.5 | % | | | 99.5 | % |
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Consolidated net investment income | | $ | 7,217 | | | | 6,393 | | | | 14,281 | | | | 12,975 | |
Consolidated realized gain on sale of securities | | | 1,363 | | | | 1,365 | | | | 4,677 | | | | 2,748 | |
Consolidated unrealized loss on trading securities | | | (634 | ) | | | (3,252 | ) | | | (6,427 | ) | | | (1,433 | ) |
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Total consolidated net investment income | | $ | 7,946 | | | | 4,506 | | | | 12,531 | | | | 14,290 | |
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Consolidated income tax (benefit) expense | | $ | 941 | | | | 791 | | | | (348 | ) | | | 4,600 | |
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Three Months Ended June 30, 2005 Compared to Three Months Ended June 30, 2004
Consolidated earned premiums, net and fee revenue for the three months ended June 30, 2005 presented an increase of $16.3 million, or 5.0%, when compared to the consolidated earned premiums, net and fee revenue for the three months ended June 30, 2004. This fluctuation is attributed to the following:
| • | | The earned premiums, net and fee revenue corresponding to the Health Insurance – Commercial segment increased by $10.7 million, or 5.8%, during the period. This increase is attributed to an increase in average enrollment together with increases in premium rates during the period. |
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| • | | The earned premiums net of the Health Insurance – Healthcare Reform segment presented an increase of $4.6 million, or 3.8% during this period. The fluctuation in the earned premiums, net of this segment is attributed to an increase in premium rates effective July 1, 2004. |
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| • | | The earned premiums, net of the Property and Casualty Insurance segment increased by $893 thousand, or 4.4%, during this period. This increase is mostly reflected in the premiums written for the commercial multiperil line of business, net of a decrease in the premiums written for the dwelling business and an increase in premiums ceded. |
Consolidated claims incurred for the three months ended June 30, 2005 increased by $11.7 million, or 4.1%, when compared to the claims incurred for the three months ended June 30, 2004. This fluctuation is mostly due to the increase in the claims incurred of the Health Insurance – Healthcare Reform segment during the three months ended June 30, 2005. The claims incurred for this particular segment during the 2005 period presented an increase of $11.2 million, or 10.2%, when compared to the 2004 period which results mostly from higher utilization trends and costs experienced during the period, particularly in the risks assumed by the segment.
The consolidated loss ratio reflected a decrease of 0.8 percentage points during the 2005 period. This fluctuation is mainly due to a decrease in the loss ratio of the Health Insurance – Commercial segment of
28
3.9 percentage points, net of an increase in the loss ratio of the Health Insurance – Healthcare Reform segment of 5.7 percentage points.
Consolidated operating expenses for the three months ended June 30, 2005 increased by $2.8 million, or 6.6%, when compared to the operating expenses for the three months ended June 30, 2004. The increase in the consolidated operating expenses is mainly attributed to expenses amounting to $3.2 million related to the launching of the new Medicare Advantage program by the Health Insurance – Commercial segment. The consolidated expense ratio increased by 0.2 percentage points during the same period.
The consolidated realized gain on sale of securities is the result of the sound and timely management of the investment portfolio in accordance with corporate investment policies, and from the normal portfolio turnover of the trading and available for sale securities.
The unrealized loss on trading securities is related to investments held by the segments in equity securities and corporate bonds. The unrealized loss of $634 thousand experienced during the 2005 period is mostly attributed to losses in the portfolios held by the segments in equity securities and is attributed to the net effect of the following:
| • | | During the 2005 period the Corporation sold certain investments with unrealized gains within the equity securities portfolios. This caused the realization of such gains thus reducing the unrealized gain of the portfolios. |
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| • | | The equity securities portfolios are designed to replicate the Standard & Poor’s 500 Index, the Russell 1000 Growth Index and the Russell 1000 Value Index. These indexes experienced positive returns in the 2005 period. |
Six Months Ended June 30, 2005 Compared to Six Months Ended June 30, 2004
Consolidated earned premiums, net and fee revenue for the six months ended June 30, 2005 increased by $32.0 million or 4.9% when compared to the consolidated earned premiums, net and fee revenue for the same period of last year. This increase is mostly due to the following:
| • | | The earned premiums, net and fee revenue corresponding to the Health Insurance – Commercial segment increased by $21.5 million, or 6.0%, during this period. An increase in the average enrollment together with increases in premium rates account for the segment’s fluctuation in earned premiums and fee revenue for the period. |
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| • | | The earned premiums, net corresponding to the Health Insurance – Healthcare Reform segment increased by $8.3 million, or 3.5%, during this period. This increase is the net result of an increase in premium rates effective July 1, 2004 and a reduction in the average membership of the segment. |
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| • | | The earned premiums, net of the Property and Casualty Insurance segment increased by $2.2 million, or 5.4%, during this period. This increase is mostly reflected in the premiums written for the commercial multiperil, auto physical damage and commercial auto liability lines of business, net of a decrease in the premiums written for the dwelling business and an increase in premiums ceded. |
Consolidated claims incurred for the six months ended June 30, 2005 reflected an increase of $38.8 million, or 6.9%, when compared to the claims incurred for the six months ended June 30, 2004. The consolidated loss ratio reflected an increase of 1.6 percentage points during this period. This fluctuation is due to the following:
| • | | During the 2005 period the claims incurred for the Health Insurance –Healthcare Reform segment increased by $18.1 million, or 8.3%. This fluctuation results mostly from higher utilization trends, particularly in risks assumed by the segment. Also, the claims incurred by the segment in the 2005 period were increased by an unfavorable development of the unreported losses reserve estimated as of the end of the year 2004. |
29
| • | | The claims incurred for the Health Insurance – Commercial segment increased by $21.3 million, or 6.7%, during the 2005 period. This fluctuation is attributed to an increase in utilization trends and costs. Also, a year to date recast of the segment’s reserves as of December 31, 2004 reflected an unfavorable development that was considered in the claims incurred during the six months ended June 30, 2005. |
The consolidated operating expenses presented an increase of $6.7 million, or 8.2%, during the 2005 period. This fluctuation is mostly due to the segments’ increased volume of business during this period and to expenses amounting to $4.9 million related to the launching of the new Medicare Advantage program by the Health Insurance – Commercial segment. The consolidated expense ratio for the six months ended June 30, 2005 increased by 0.4 percentage points when compared to the consolidated expense ratio for the same period of the prior year.
The consolidated realized gain on sale of securities is the result of the sound and timely management of the investment portfolio in accordance with corporate investment policies and from the normal turnover of the trading and available-for-sale securities.
The unrealized loss on trading securities is related to investments held by segments in equity securities and corporate bonds. The unrealized loss experienced during the 2005 period is mostly attributed to losses in the portfolios held by segments in equity securities that replicate the Standard & Poor’s 500 Index, the Russell 1000 Growth Index and the Russell 1000 Value Index. These Indexes experienced negative returns in 2005. In addition, during the second quarter of 2005, the Corporation sold certain investments with unrealized gains within the equity securities portfolio. This caused the realization of such gains, thus reducing the unrealized gain of the portfolios.
The consolidated income tax expense for the six months period ended June 30, 2005 decreased by $4.9 million when compared to the same period of the prior year. This decrease is mostly due to a decrease in the taxable income when comparing the six months ended June 30, 2005 with the corresponding 2004 period.
30
Health Insurance — Commercial Program Operating Results
| | | | | | | | | | | | | | | | |
| | Three months ended | | Six months ended |
| | June 30, | | June 30, |
(dollar amounts in thousands) | | 2005 | | 2004 | | 2005 | | 2004 |
|
Average enrollment: | | | | | | | | | | | | | | | | |
Corporate accounts | | | 306,787 | | | | 301,786 | | | | 307,481 | | | | 302,845 | |
Self-funded employers | | | 152,838 | | | | 139,994 | | | | 152,076 | | | | 136,376 | |
Individual accounts | | | 85,593 | | | | 84,779 | | | | 85,139 | | | | 84,707 | |
Federal employees | | | 49,227 | | | | 52,440 | | | | 49,690 | | | | 52,828 | |
Local government employees | | | 36,276 | | | | 42,811 | | | | 36,419 | | | | 42,882 | |
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Total enrollment | | | 630,721 | | | | 621,810 | | | | 630,805 | | | | 619,638 | |
|
Earned premiums | | $ | 190,907 | | | | 179,820 | | | | 375,964 | | | | 355,011 | |
Amounts attributable to self-funded arrangements | | | 52,699 | | | | 46,319 | | | | 104,933 | | | | 89,575 | |
Less: Amounts attributable to claims under self-funded arrangements | | | (49,302 | ) | | | (42,485 | ) | | | (97,842 | ) | | | (83,067 | ) |
|
Earned premiums and fee revenue | | $ | 194,304 | | | | 183,654 | | | | 383,055 | | | | 361,519 | |
|
Claims incurred | | $ | 164,320 | | | | 162,616 | | | | 337,149 | | | | 315,856 | |
Operating expenses | | | 25,899 | | | | 22,619 | | | | 50,139 | | | | 44,613 | |
|
Total underwriting costs | | $ | 190,219 | | | | 185,235 | | | | 387,288 | | | | 360,469 | |
|
Underwriting income (loss) | | $ | 4,085 | | | | (1,581 | ) | | | (4,233 | ) | | | 1,050 | |
|
Loss ratio | | | 84.6 | % | | | 88.5 | % | | | 88.0 | % | | | 87.4 | % |
Expense ratio | | | 13.3 | % | | | 12.3 | % | | | 13.1 | % | | | 12.3 | % |
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Combined ratio | | | 97.9 | % | | | 100.9 | % | | | 101.1 | % | | | 99.7 | % |
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Three Months Ended June 30, 2005 Compared to Three Months Ended June 30, 2004
Earned premiums and fee revenue for the three months ended June 30, 2005 increased by $10.7 million, or 5.8%, when compared to the earned premiums and fee revenue for the three months ended June 30, 2004. This increase in earned premiums and fee revenue is the result of the following:
| • | | In the 2005 period, average enrollment of self-funded groups and rated corporate accounts businesses presented an increase of 12,844 members, or 9.2%, and 5,001, or 1.7%, respectively, that is mostly attributed to new groups acquired during late 2004 and throughout 2005. This increase was offset by a decrease in average enrollment in the Local government employees and Federal employees of 6,535, or 15.3%, and 3,213, or 6.1%, respectively. |
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| • | | On average, the segment increased premium rates by approximately 3.0% during the 2005 period, particularly in the corporate accounts business. |
Claims incurred in the 2005 period presented an increase of $1.7 million, or 1.0%, when compared to the same period in 2004 that is attributed to the segment’s increased volume of business. The loss ratio decreased by 3.9 percentage points, from 88.5% in the 2004 period to 84.6% in the 2005 period. The fluctuation in the loss ratio is attributed to an unusual increase in claims trends experienced by the segment in the second quarter of 2004, particularly in the cost per service of prescription drug coverage and in the utilization of surgical procedures. This increased claims trends was not experienced in the 2005 period.
Operating expenses for the three months ended June 30, 2005 increased by $3.3 million, or 14.5%, when compared to the three months ended June 30, 2004. The segment’s expense ratio increased 1.0 percentage points in the same period. These fluctuations are primarily attributed to approximately $3.2 million of expenses related to the launching of the new Medicare Advantage program as well as to the normal inflationary effect on operating costs.
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Six Months Ended June 30, 2005 Compared to Six Months Ended June 30, 2004
Earned premiums and fee revenue for the six months ended June 30, 2005 reflects an increase of $21.5 million, or 6.0%, when compared to the earned premiums and fee revenue for the six months ended June 30, 2004. This increase is the result of the following:
| • | | Average enrollment for the six months ended June 30, 2005 increased by 11,167 members, or 1.8%, when compared to the enrollment as of the same period of 2004. The increase in average enrollment is mostly reflected in self-funded employers and corporate accounts businesses, which membership increased by 15,700 members, or 11.5%, and 4,636 members, or 1.5%, during this period, respectively. The increase in average enrollment is mostly attributed to new groups acquired during late 2004 and throughout 2005. In addition, the segment sustained a renewal retention rate of 95% in the 2005 period. The average enrollment of the Local government employees and Federal employees businesses, on the other hand, reflect a decrease in membership of 6,463, or 15.1%, and 3,138, or 5.9%, during this period, respectively. |
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| • | | On average, this segment increased premiums rates in corporate accounts groups by approximately 3.3% during the 2005 period. |
Claims incurred during the six months ended June 30, 2005 increased by $21.3 million, or 6.7%, when compared to the same period in 2004 that is mostly attributed to the segment’s increased volume of business. The segment’s loss ratio for the six months ended June 30, 2005 increased by 0.6 percentage points when compared to the loss ratio for the six months ended June 30, 2004. This fluctuation is attributed to an increase in utilization trends and costs, particularly in the prescription drug coverage, emergency room and hospital in-patient services. Due to this increase in trends and costs, the segment’s actuarial experience trend increased from 2.5% in the 2004 period to 6.1% in the 2005 period.
The operating expenses for the six months ended June 30, 2005 reflect an increase of $5.5 million, or 12.4%, when compared to the 2004 period. This increase is due to expenses of $4.9 million related to the launching of the new Medicare Advantage program and to the normal inflationary effect on operating costs. The expense ratio for the six months ended June 30, 2005 experienced an increase of 0.8 percentage points compared to the six months ended June 30, 2004.
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Health Insurance — Healthcare Reform Program Operating Results
| | | | | | | | | | | | | | | | |
| | Three months ended | | Six months ended |
| | June 30, | | June 30, |
(dollar amounts in thousands) | | 2005 | | 2004 | | 2005 | | 2004 |
|
Average enrollment: | | | | | | | | | | | | | | | | |
North area | | | 235,680 | | | | 234,238 | | | | 233,843 | | | | 233,789 | |
Metro-north area | | | 220,129 | | | | 218,401 | | | | 218,205 | | | | 218,701 | |
Southwest area | | | 163,498 | | | | 165,603 | | | | 163,235 | | | | 165,725 | |
|
| | | 619,307 | | | | 618,242 | | | | 615,283 | | | | 618,215 | |
|
Earned premiums | | $ | 124,197 | | | | 119,601 | | | | 247,337 | | | | 238,999 | |
|
Claims incurred | | $ | 120,823 | | | | 109,605 | | | | 236,911 | | | | 218,820 | |
Operating expenses | | | 9,722 | | | | 9,050 | | | | 18,636 | | | | 17,802 | |
|
Total underwriting costs | | $ | 130,545 | | | | 118,655 | | | | 255,547 | | | | 236,622 | |
|
Underwriting income (loss) | | $ | (6,348 | ) | | | 946 | | | | (8,210 | ) | | | 2,377 | |
|
Loss ratio | | | 97.3 | % | | | 91.6 | % | | | 95.8 | % | | | 91.6 | % |
Expense ratio | | | 7.8 | % | | | 7.6 | % | | | 7.5 | % | | | 7.4 | % |
|
Combined ratio | | | 105.1 | % | | | 99.2 | % | | | 103.3 | % | | | 99.0 | % |
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Three Months Ended June 30, 2005 Compared to Three Months Ended June 30, 2004
Earned premiums for the three months ended June 30, 2005 increased by $4.6 million, or 3.8%, when compared to the earned premiums for the same period of last year. This increase is mostly the result of higher premium rates. Premium rates were increased by approximately 4.4% during the Healthcare Reform contract renegotiation process for the twelve-month period ended June 30, 2005. This increase was effective on July 1, 2004.
Claims incurred during the three months ended June 30, 2005 presented an increase of $11.2 million, or 10.2%, when compared to the 2004 period. The loss ratio presented an increase of 5.7 percentage points when comparing the same 2005 and 2004 periods. The fluctuation results mostly from higher utilization trends and costs experienced during the three months ended June 30, 2005, particularly in the risks assumed by the segment, such as cardiovascular services, dialysis and obstetrics, among others.
Increase in operating expenses and expense ratio were due to normal inflationary effect in operational costs.
Six Months Ended June 30, 2005 Compared to Six Months Ended June 30, 2004
Earned premiums of the Healthcare Reform segment for the six months ended June 30, 2005 increased by $8.3 million, or 3.5%, when compared to the same period of 2004. This increase is the result of the net effect of the following:
| • | | Premium rates were increased by approximately 4.4% during the Healthcare Reform contract renegotiation process for the twelve-month period ended on June 30, 2005. |
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| • | | The average monthly enrollment for this segment decreased by 2,932 members, or 0.5%, when comparing the average enrollment for the six months ended June 30, 2005 with the average enrollment for the six months ended June 30, 2004. This decrease is attributed to the continuous review and screening performed by the government over the persons eligible to participate in the Healthcare Reform program. |
Claims incurred during the six months ended June 30, 2005 increased by $18.1 million, or 8.3%, when compared to the six months ended June 30, 2004. The loss ratio increased by 4.2 percentage points when comparing the 2005 period with the 2004 period. This fluctuation results mostly from higher utilization
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trends and costs experienced during the 2005 period, particularly in risks assumed by the segment such as cardiovascular services, dialysis and obstetrics, among others. In addition, the 2005 period includes the effect of an unfavorable development of the 2004 year-end reserve estimate of approximately $4.2 million, which has the effect of increasing the period’s loss ratio by approximately 1.7 percentage points.
Operating expenses presented an increase of $834 thousand, or 4.7%, when comparing the 2005 and 2004 periods. The expense ratio presented an increase during the 2005 period of 0.1 percentage points. This fluctuation is due to the normal inflationary effect in operational costs.
Property and Casualty Insurance Operating Results
| | | | | | | | | | | | | | | | |
| | Three months ended | | Six months ended |
| | June 30, | | June 30, |
(dollar amounts in thousands) | | 2005 | | 2004 | | 2005 | | 2004 |
|
Premiums written: | | | | | | | | | | | | | | | | |
Commercial multiperil | | $ | 15,691 | | | | 12,641 | | | | 28,676 | | | | 25,521 | |
Dwelling | | | 6,571 | | | | 7,837 | | | | 12,792 | | | | 13,536 | |
Auto physical damage | | | 4,595 | | | | 4,479 | | | | 9,589 | | | | 8,891 | |
Commercial auto liability | | | 3,280 | | | | 3,125 | | | | 6,959 | | | | 6,683 | |
Other liability | | | 2,029 | | | | 2,473 | | | | 4,355 | | | | 4,482 | |
Medical malpractice | | | 1,525 | | | | 1,529 | | | | 2,625 | | | | 2,517 | |
All other | | | 2,354 | | | | 2,540 | | | | 4,816 | | | | 4,246 | |
|
Total premiums written | | | 36,045 | | | | 34,624 | | | | 69,812 | | | | 65,876 | |
|
Premiums ceded | | | (14,590 | ) | | | (12,977 | ) | | | (29,065 | ) | | | (25,730 | ) |
Change in unearned premiums | | | (353 | ) | | | (1,438 | ) | | | 2,451 | | | | 846 | |
|
Net premiums earned | | $ | 21,102 | | | | 20,209 | | | | 43,198 | | | | 40,992 | |
|
Claims incurred | | $ | 10,247 | | | | 10,501 | | | | 21,620 | | | | 21,128 | |
Operating expenses | | | 9,108 | | | | 10,719 | | | | 19,449 | | | | 19,428 | |
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Total underwriting costs | | $ | 19,355 | | | | 21,220 | | | | 41,069 | | | | 40,556 | |
|
Underwriting income (loss) | | $ | 1,747 | | | | (1,011 | ) | | | 2,129 | | | | 436 | |
|
Loss ratio | | | 48.6 | % | | | 52.0 | % | | | 50.0 | % | | | 51.5 | % |
Expense ratio | | | 43.2 | % | | | 53.0 | % | | | 45.0 | % | | | 47.4 | % |
|
Combined ratio | | | 91.7 | % | | | 105.0 | % | | | 95.1 | % | | | 98.9 | % |
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Three Months Ended June 30, 2005 Compared to Three Months Ended June 30, 2004
Total premiums written for the three months period ended June 30, 2005 increased by $1.4 million, or 4.1%, when compared to the three months period ended June 30, 2004. This increase is mostly reflected in the premiums written for commercial multi-peril policies that experienced an increase in premiums of $3.1 million, or 24.1%, but offset by a decrease of $1.3 million, or 16.2%, in dwelling policies. Although the current market continues with strong and aggressive competition for commercial lines, with premium rates at lower levels than prior years, the segment’s focus on business retention and relationships with general agents has resulted in growth of premium volume in package polices. The segment has directed efforts to strengthen relationships with financial institutions in order to increase writings for dwelling policies. The reported decrease in premiums written for this line of business is attributed to policy retention efforts of competitors.
Premiums ceded to reinsurers during the three months ended June 30, 2005 increased by $1.6 million, or 12.4%, when compared to the same period for the prior year. The ratio of premiums ceded to premiums written increased 3.0 percentage points, from 37.5% in the 2004 period to 40.5% in the 2005 period. This fluctuation is attributed to changes in the quota share treaties for personal and commercial lines as well as to an increase in catastrophe coverage. Cessions in premiums for the commercial and personal lines quota share arrangements increased from 37.5% to 42.5% and from 7.5% to 10.0%, respectively, during the first quarter of 2005.
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Claims incurred reflect a reduction of $254 thousand, or 2.4% when compared to the 2004 period. The loss ratio experienced a decrease of 3.4 percentage points during the three months period ended June 30, 2005 as compared to the same period of the prior year. Emphasis on quality underwriting has resulted in better loss experience for this segment.
Operating expenses for the three months ended June 30, 2005 decreased by $1.6 million, or 15.0%, when compared to the operating expenses for the three months ended June 30, 2004. The expense ratio decreased by 9.8 percentage points during this period. The decrease in operating expenses is attributed to the experience refund received from the Compulsory Vehicle Liability Insurance Joint Underwriting Association during the 2005 period. This refund, amounting to $918 thousand, was recorded as a decrease to the operating expenses for the period. No experience refund from the Compulsory Vehicle Liability Insurance Joint Underwriting Association was received in the 2004 period.
Six Months Ended June 30, 2005 Compared to Six Months Ended June 30, 2004
Total premiums written for the six months period ended June 30, 2005 increased by $3.9 million, or 6.0%, when compared to the six months period ended June 30, 2004. This increase is mostly reflected in the premiums written for the commercial multi-peril and auto physical damage lines of business, which experienced an increase in premiums of $3.2 million, or 12.4%, and $698 thousand, or 7.9%, during this period, respectively. The commercial auto lines of business, including auto physical damage coverage, have been targeted for growth through new business. As previously stated, since 2004 the segment directed efforts with financial institutions to increase writings for dwelling policies. The decrease of $744 thousand, or 5.5%, in the premiums written of the dwelling business in the 2005 period is attributed to policy retention efforts of competitors.
Premiums ceded to reinsurers during the six months period ended June 30, 2005 increased by $3.3 million, or 13.0%, when compared to the same period for the prior year. The ratio of premiums ceded to premiums written reflects an increase of 2.5 percentage points, from 39.1% in the 2004 period to 41.6% in the 2005 period. Cessions in premiums for the commercial and personal lines quota share arrangements increased from 37.5% to 42.5% and from 7.5% to 10.0%, respectively, during the six-month period ended in 2005. In addition, the catastrophe coverage was increased during the 2005 period.
Claims incurred increased by $492 thousand, or 2.3%, that is basically due to the segment’s increased volume of business and a lower loss ratio during the 2005 period. The loss ratio experienced a decrease of 1.5 percentage points during the six months period ended June 30, 2005 as compared to the same period of the prior year. This decrease is mainly attributed to the segment’s focus on quality underwriting to improve loss experience. These efforts have resulted in improved loss ratios particularly in the commercial multi-peril, auto liability and casualty lines of business.
The operating expenses for the six months period ended June 30, 2005 decreased by $21 thousand, or 0.1%, when compared to the operating expenses for the six months period ended June 30, 2004. The expense ratio decreased by 2.4 percentage points during the 2005 period. This decrease in the expense ratio is attributed to the experience refund received from the Compulsory Vehicle Liability Insurance Joint Underwriting Association during the 2005 period. This refund, amounting to $918 thousand, was recorded as a decrease to the operating expenses for the period. No experience refund from the Compulsory Vehicle Liability Insurance Joint Underwriting Association was received in the 2004 period.
Liquidity and Capital Resources
Cash Flows
The Corporation maintains good liquidity measures due to the quality of its assets, the predictability of its liabilities, and the duration of its contracts. The liquidity of the Corporation is primarily derived from the operating cash flows of its insurance subsidiaries.
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As of June 30, 2005 and December 31, 2004, the Corporation’s cash and cash equivalents amounted to $35.0 million and $35.1 million, respectively. The sources of funds available to meet the requirements of the Corporation’s operations include: cash provided from operations, maturities and sales of securities classified within the trading and available-for-sale portfolios, securities sold under repurchase agreements, and issuance of long and short-term debt.
Management believes that the Corporation’s net cash flows from operations are expected to sustain the operations for the next year and thereafter, as long as the operations continue showing positive results. In addition, the Corporation monitors its premium rates and its claims incurred to maintain proper cash flows and has the ability to increase premium rates throughout the year in the monthly renewal process.
Cash Flows from Operations
Most of the cash flows from operating activities are generated from the insurance subsidiaries. The basic components of the cash flows from operations are premium collections, claims payments, payment of operating and acquisition expenses and proceeds from sales and maturities of investments in the trading portfolio.
Net cash flows provided by (used in) operating activities amounted to $28.6 million and $(16.4) million for the six months ended June 30, 2005 and 2004, respectively, an increase of $45.0 million. This increase in cash flows from operating activities is mainly attributed to the net effect of the following:
| • | | The net proceeds of investments in the trading portfolio increased by $41.5 million for the six months ended June 30, 2005, when compared to the six months ended June 30, 2004. |
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| • | | The amount of income taxes paid decreased by $34.2 million when comparing the payments made in the 2005 and 2004 periods. The 2004 period includes the payment of the last installment of the $51.8 million income tax liability related to the closing agreement with the Puerto Rico Treasury Department upon the termination of TSI’s tax exemption. The first installment of $37.0 million was paid during the year 2003 and the second and last installment, amounting to $14.8 million, was paid on April 15, 2004. In addition, on April 15, 2004 TSI paid $22.1 million corresponding to its income tax liability for the year 2003 and the first installment of the estimated tax corresponding to the year 2004. In the 2005 period, the Corporation paid its regular estimated income tax installments. |
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| • | | Premiums collected increased by $32.7 million when comparing collections during the six months ended June 30, 2005 with collections for the six months ended June 30, 2004. This increase is mostly related to the increased volume of business and increases in premium rates of the operating segments. |
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| • | | The amount of claims, losses and benefits paid for the six months ended June 30, 2005 reflect an increase of $49.4 million when compared with the six months ended June 30, 2004. The increase in the amount of claims, losses and benefits paid is mostly the result of the segments’ increased volume of business as well as to increased utilization trends in both Health Insurance segments. |
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| • | | The payments to suppliers and employees increased by $12.4 million when comparing the amount paid during the 2005 and 2004 periods. This increase is basically attributed to additional commission expense generated from the acquisition of new business and general operating expenses. |
Any excess liquidity is available, among other things, to invest in high quality and diversified fixed income securities and, to a lesser degree, to invest in marketable equity securities.
Cash Flows from Investing Activities
The basic components of the cash flows from investing activities are derived from acquisitions and proceeds from sales and maturities of investments in the available-for-sale and held-to-maturity portfolios and capital expenditures. The Corporation monitors the duration of its investment portfolio and executes the purchases and sales of these investments with the objective of having adequate funds available to satisfy its maturing liabilities.
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Net cash flows (used in) provided by investing activities amounted to $(28.9) million and $11.4 million for the six months ended June 30, 2005 and 2004, respectively. The decrease in the cash flows from investing activities during this period is attributed to a net increase in the acquisition of investments. During the six months ended June 30, 2005 total acquisition of investments exceeded the proceeds from investments sold or matured by $25.8 million. During the six months ended June 30, 2004 the amount of proceeds from investments sold or matured exceeded investment acquisitions by $13.1 million.
Cash Flows from Financing Activities
Net cash flows provided by financing activities amounted to $198 thousand and $13.5 million for the six months ended June 30, 2005 and 2004, respectively. The decrease of $13.3 million when compared to the same period of the prior year is mainly due to the combined effect of following fluctuations:
| • | | The change in outstanding checks in excess of bank balances reflects a decrease of $7.1 million during the six months ended June 30, 2005 compared to the 2004 period. The amount of checks in excess of bank balances represents a timing difference between the issuance of checks and the cash balance in the bank account at one point in time. |
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| • | | Net proceeds from annuity contracts decreased by $3.1 million during the six month period ended June 30, 2005. This fluctuation is basically due to a decrease in the proceeds received from the fixed deferred annuity product. |
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| • | | In the 2005 period the payments of short-term borrowings exceeded proceeds from short-term borrowings by $1.7 million. Short-term borrowings are used to address timing differences between cash receipts and disbursements. |
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| • | | The repayments of long-term debt increased by $1.5 million for the six months period ended June 30, 2005 when compared to the payments made in the 2004 period. This fluctuation is due to an increase in the repayment for one of the credit agreements, which amounted to $2.5 million in 2005 and $1.0 million in 2004. |
Financing and Financing Capacity
The Corporation has significant short-term liquidity supporting its businesses. It also has available short-term borrowings from time to time to address timing differences between cash receipts and disbursements. These short-term borrowings are mostly in the form of securities sold under repurchase agreements. As of June 30, 2005, the Corporation had $227.5 million in available credit on these agreements. There are no short-term borrowings outstanding as of June 30, 2005.
On September 30, 2004 TSI issued and sold $50.0 million of its 6.30% senior unsecured notes due September 2019 (the notes). The notes are unconditionally guaranteed as to payment of principal, premium, if any, and interest by the Corporation. The notes were privately placed to various institutional investors under a note purchase agreement among TSI, the Corporation and the investors. The notes pay interest semiannually beginning on March 2005, until such principal becomes due and payable. The notes contain certain covenants with which TSI and the Corporation have complied with at June 30, 2005.
In addition, the Corporation has two credit agreements with a commercial bank, FirstBank Puerto Rico. These credit agreements bear interest rates based on the London Interbank Offered Rate (LIBOR) plus a margin specified by the commercial bank at the time of the agreement. As of June 30, 2005, the two credit agreements have an outstanding balance of $30.0 million and $12.5 million, respectively. These credit agreements contain restrictive covenants, including, but not limited to, the granting of certain liens, limitations on acquisitions and limitations on changes in control. As of June 30, 2005, management believes the Corporation is in compliance with these covenants.
Further details regarding the senior unsecured notes and the credit agreements are incorporated by reference to Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations of the Corporation’s Annual Report on Form 10-K as of and for the year ended December 31, 2004.
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Item 3. Quantitative and Qualitative Disclosures about Market Risk
The Corporation is exposed to certain market risks that are inherent in the Corporation’s financial instruments, which arise from transactions entered into in the normal course of business. The Corporation has exposure to market risk mostly in its investment activities. For purposes of this disclosure, “market risk” is defined as the risk of loss resulting from changes in interest rates and equity prices. No material changes have occurred in the Corporation’s exposure to financial market risks since December 31, 2004. A discussion of the Corporation’s market risk as of December 31, 2004 is incorporated by reference to Item 7a of the Corporation’s Annual Report on Form 10-K.
Item 4. Controls and Procedures
The Corporation’s management, with the participation of the Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of the Corporation’s disclosure controls and procedures as of June 30, 2005. Based on that evaluation, the Corporation’s Chief Executive Officer and Chief Financial Officer concluded that the Corporation’s disclosure controls and procedures were effective as of June 30, 2005. There were no significant changes in the Corporation’s disclosure controls and procedures, or in factors that could significantly affect internal controls, subsequent to the date the Chief Executive Officer and Chief Financial Officer completed the evaluation referred to above.
Part II —Other Information
Item 1. Legal Proceedings
(a) | | As of June 30, 2005, the Corporation is a defendant in various lawsuits arising out of the ordinary course of business. Management believes, based on the opinion of legal counsel, that the aggregate liabilities, if any, arising from such actions would not have a material adverse effect on the Corporation’s consolidated financial position or results of operations. |
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(b) | | On April 24, 2002, Octavio Jordán, Agripino Lugo, Ramón Vidal, and others filed a suit against TSM, TSI and others in the Court of First Instance for San Juan, Superior section. On February 18, 2005 the plaintiffs informed their intention to amend the complaint and the Court granted then 45 days to do so and 90 days to defendants to file the corresponding motion to dismiss. On May 9, 2005 the plaintiffs filed the amended complaint and defendants are preparing the corresponding motions to dismiss this amended complaint. The plaintiffs amended the complaint to allege similar causes of action dismissed by the United States District Court for the District of Puerto Rico in the Sánchez case. Further descriptions of this case and the Sánchez case are incorporated hereby by reference to Sections (c) and (d) of Item 1 of Part II of the Corporation’s Quarterly Report on Form 10-Q for the Quarter ended March 31, 2005 filed on May 13, 2005. |
Item 2. Unregistered Sales of Equity Securities and Use Proceeds.
Not Applicable
Item 3. Defaults Upon Senior Securities.
Not Applicable
Item 4. Submission of Matters to a Vote of Security Holders.
A.Annual Meeting
TSM held its 2005 Annual Meeting of Shareholders on April 25, 2005. The Shareholders considered and voted upon the election of five directors and two resolutions. Resolution number three 3 which needed the affirmative vote of two thirds of the issued and outstanding shares and resolutions 4 to 6, which needed the affirmative vote of three-quarters of the issued and outstanding shares for their approval, were not voted, since the number of shares necessary to consider them were not present at the meeting. Therefore, a seventh
38
resolution to recess the Annual Meeting and continue it at a later date was put to a vote. The purpose is to obtain the necessary participation of the issued and outstanding shares required for each remaining resolution.
Summaries of said proposals and voting results were as follows:
Election of Directors:
Election of five (5) directors to serve as members of the Board of Directors for a term of three (3) years. The directors had to be elected by a majority of the affirmative votes of the issued and outstanding shares with the right to vote in the elections for directors that are present or represented by proxy at the Annual Meeting, pursuant to Section A of Article 7-1 of the By-laws of TSM and Article 7.06(C) of the Puerto Rico General Corporations Law of 1995, as amended. At the Annual Meeting, five directors were elected by ballot, each serving a term of three years; therefore, until April 2007. At the moment of voting, 4,710 shares were present or represented.
All candidates recommended by the Board of Directors were elected. Four directors were required to be physicians or dentists: (1) Arturo R. Córdova-López, MD, received 4,142 votes in favor, (2) José Hawayek-Alemañy, MD, received 4,119 votes in favor, (3) Wilfredo López-Hernández, MD, received 4,103 votes in favor, and (4) Wilmer Rodríguez-Silva, MD, received 4,065 votes in favor. One director was required to be a representative of the community: (1) Admina Soto-Martínez, CPA, received 4,422 votes in favor.
One physician was nominated for the Board of Directors in the Annual Meeting of Shareholders by a shareholder: Héctor O. Fontanet, MD, received 687 votes in favor, therefore he was not elected.
Proposals of the Board of Directors:
Resolution Number 1: was presented by the Board of Directors of TSM to amend Article 5-1 of the By-laws of TSM to establish that the Annual Meeting of Shareholders may take place on the last Sunday of the month of April of each year, or, as an exception, at such other date which is closest to the last Sunday of the month of April as determined by the Board due to any legal requirement applicable to TSM.
In order for this Resolution to be approved, it had to receive the affirmative vote of a majority or more of the issued and outstanding common shares with the right to vote present at the Annual Meeting pursuant to Section A of Article 9-1 of the By-laws of TSM. At the moment of voting, 4,710 shares were present or represented. This Resolution received 94.6% (4,310) votes in favor, 3.1% (142) votes against, and 2.3% (103) abstentions. Therefore, this Resolution received the required votes in favor and it was approved.
Resolution Number 2: was presented by the Board of Directors of TSM to amend Article 9-1 of the By-laws of TSM to harmonize its language with the Articles of Incorporation regarding the amount of issued and outstanding common shares with the right to vote required in order to approve certain amendments to the By-laws.
In order for this Resolution to be approved, it had to receive the affirmative vote of a majority or more of the issued and outstanding common shares with the right to vote present or represented at the Annual Meeting pursuant to Section A of Article 9-1 of the By-laws of TSM. Of 4,711 shares present or represented at the moment of voting, this Resolution received 86.8% (4,040) votes in favor, 12.0% (559) votes against, and 1.2% (56) abstentions. Therefore, this Resolution received the required votes in favor and it was approved.
Proposal Presented at the Annual Meeting of Shareholders:
After the voting of the proposals for which the minimum amount of issued and outstanding shares that are required for their consideration are registered, the Board of Director as detailed in the Proxy Statement
39
presented a resolution to request an adjournment of the Annual Meeting. The Board of Directors will convene the adjourned Annual Meeting at a later date, and shareholders may, on such date, vote on any of the remaining proposals.
Resolution Number 7: was presented by the Board of Directors of TSM to adjourn the Annual Meeting of Shareholders, in order to solicit additional proxies in favor of the proposals were the amount of issued and outstanding shares required to consider and vote for were not registered at the Annual Meeting. The Annual Meeting was adjourned to be continued on a later date notified by the Board of Directors to all the shareholders, which will be before the next Annual Meeting of Shareholders.
In order for this resolution to be approved, it had to receive the affirmative vote of a majority or more of the issued and outstanding common shares with the right to vote present or represented at the Annual Meeting pursuant to Section A of Article 9-1 of the By-laws of TSM. Of the 4,711 shares present and represented at the moment of voting, this Resolution received (95.7%) 4,349 votes in favor, 4.3% (196) votes against, and 0.0% (0) abstentions. Therefore, this Resolution received the required votes in favor and it was approved.
Item 5. Other Information.
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(a). | | On April 25, 2005, the Board of Directors of TSM held a special meeting where it elected the officers of the Board of Directors, which elections were effective immediately. The officers of the Board of Directors are as follows: |
| | Wilmer Rodríguez-Silva, MD, Chairman of the Board of Directors Mario S Belaval-Ferrer, Vice-Chairman of the Board of Directors Jesús R. Sánchez-Colón, DMD, Secretary of the Board of Directors Miguel Nazario-Franco, Assistant Secretary of the Board of Directors Vicente J. León-Irizarry, CPA, Treasurer of the Board of Directors Adamina Soto-Martínez, CPA, Assistant Treasurer of the Board of Directors Ramón M. Ruiz-Comas, CPA, President and Chief Executive Officer Valeriano Alicea-Cruz, MD José Arturo Álvarez-Gallardo Arturo R. Córdova-López, MD Carmen Ana Culpeper-Ramírez Porfirio E. Díaz-Torres, MD Manuel Figueroa-Collazo, PhD José Hawayek-Alemañy, MD Fernando L. Longo-Rodríguez, MD Wilfredo López-Hernández, MD Juan E. Rodríguez Díaz, Esq. Manuel Suárez-Méndez, PE Fernando J. Ysern-Borrás, MD |
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(b). | | Shareholder’s proposals intended to be presented at the 2006 Annual Meeting of Shareholders must be received by the Corporation’s Secretary, at its executive offices, located at the Sixth Floor of 1441 FD Roosevelt Avenue, San Juan, Puerto Rico 00920, or by mail at PO Box 363628, San Juan, Puerto Rico, 00936-3628, no later than December 1, 2005, for inclusion in the Corporation’s Proxy Statement and Form of Proxy relating to the 2006 Annual Meeting of Shareholders. |
Item 6. Exhibits
| | Exhibit 3.1 By-laws of Triple-S Management Corporation, as amended (English translation). |
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| | Exhibit 10.1 Employment contract with Francisco Joglar-Pesquera, MD (English translation). |
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| | Exhibit 11 Statement re computation of per share earnings; an exhibit describing the computation of the earnings per share for the three months and six months ended June 30, 2005 and 2004 has been omitted as the detail necessary to determine the computation of earnings per share can be clearly determined from the material contained in Part I of this Quarterly Report on Form 10-Q. |
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| | Exhibit 12 Statements re computation of ratios; an exhibit describing the computation of the loss ratio, expense ratio and combined ratio for the three months and six months ended June 30, 2005 and 2004 has been omitted as the detail necessary to determine the computation of the loss ratio, expense ratio and combined ratio can be clearly determined from the material contained in Part I of this Quarterly Report on Form 10-Q. |
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| | Exhibit 31.1 Certification of the President and Chief Executive Officer required by Rule 13a-14(a)/15d-14(a). |
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| | Exhibit 31.2 Certification of the Vice President of Finance and Chief Financial Officer required by Rule 13a-14(a)/15d-14(a). |
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| | Exhibit 32.1 Certification of the President and Chief Executive Officer required pursuant to 18 U.S.C Section 1350. |
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| | Exhibit 32.2 Certification of the Vice President of Finance and Chief Financial Officer required pursuant to 18 U.S.C Section 1350. |
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| | All other exhibits for which provision is made in the applicable accounting regulation of the United States Securities and Exchange Commission are not required under the related instructions or are inapplicable, and therefore have been omitted. |
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(b) | | Reports on Form 8-K: |
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| | The Corporation filed with the Securities and Exchange Commission the following Current report on Form 8-K. |
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• | | Form 8-K dated May 2, 2005, to report that Dr. Manuel A. Marcial-Seoane, an ex-member of the Board of Directors of TSM, notified on September 29, 2004 his intention not to stand for re-election as a member of TSM’s Board of Directors upon the expiration of his term. On April 24, 2005, the Annual Meeting of Shareholders of TSM was held and Dr. Jose Hawayek-Alemañy was elected to serve in the Board of Directors of TSM in the post left vacant by Dr. Marcial-Seoane on that date. |
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SIGNATURES
Pursuant to the requirements of the United States Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
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| Triple-S Management Corporation Registrant | |
Date: August 12, 2005 | By: | /s/ Ramón M. Ruiz-Comas | |
| | Ramón M. Ruiz-Comas, CPA | |
| | President and Chief Executive Officer | |
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Date: August 12, 2005 | By: | /s/ Juan J. Román | |
| | Juan J. Román, CPA | |
| | Vice President of Finance and Chief Financial Officer | |
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