Exhibit 99
For More Information Contact:
Investor Relations
Regina Nethery, 502-580-3644
Rnethery@humana.com
or
Corporate Communications
Tom Noland, 502-580-3674
Tnoland@humana.com
Humana Reports First Quarter Financial Results
- 1Q08 diluted earnings per common share of $0.47
- Revenues and net income up 12 percent over prior year’s quarter
- Medicare Advantage net membership gains effective through April 2008 of 153,000
- PDP benefit expense for 1Q08 and full year 2008 estimates in line with March 12, 2008 guidance
- Commercial Segment benefit expense ratio improves 260 basis points versus prior year
- Improvement in claims cycle time impacts days in claims payable and operating cash flow
LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM) today reported financial results for the quarter ended March 31, 2008 (1Q08) including diluted earnings per common share (EPS) of $0.47, ahead of management’s previous guidance for EPS of $0.44 to $0.46, primarily due to a lower-than-anticipated effective tax rate. The company earned $0.42 per share for the quarter ended March 31, 2007 (1Q07).
The company also announced that it had raised its EPS projection for the year ending December 31, 2008 to a range of $4.10 to $4.35 to reflect a lower diluted share count and effective tax rate for the full year.
“Our Medicare Advantage and Commercial progress was particularly strong in the first quarter,” said Michael B. McCallister, the company's president and chief executive officer. “Our first quarter earnings, and our success in achieving targeted Medicare Advantage membership gains year to date, give us confidence that we’ll continue to see solid improvement in all non-Prescription Drug Plan (PDP) lines of business through 2008 and beyond. We expect to return our stand-alone PDPs to profitability in 2009.”
Revenues – 1Q08 consolidated revenues rose 12 percent to $6.96 billion from $6.20 billion in 1Q07, with total premium and administrative services fees also up 12 percent compared to the prior year’s quarter. This year-over-year increase was primarily driven by higher average Medicare Advantage membership in 1Q08 versus 1Q07.
Benefit expenses – The 1Q08 consolidated benefits ratio (benefit expenses as a percent of premium revenues) of 86.7 percent was 10 basis points lower than the 1Q07 benefit ratio of 86.8 percent, the combined result of a 70 basis point increase in the Government Segment benefits ratio and a 260 basis point decline in the Commercial Segment benefits ratio.
Selling, general, & administrative (SG&A) expenses – The 1Q08 consolidated SG&A expense ratio (SG&A expenses as a percent of premiums, administrative services fees and other revenue) increased 40 basis points to 13.8 percent for 1Q08 from 13.4 percent in 1Q07. The year-over-year increase was primarily the result of the acquisition of two specialty products companies in the fourth quarter of 2007.
Government Segment Results
Pretax results:
- As expected, the Government Segment experienced a pretax loss of $3.2 million in 1Q08 compared to pretax income of $17.9 million in 1Q07. The year-over-year decline in operating performance primarily reflected approximately $100 million in incremental expense for 1Q08 associated with the company’s stand-alone PDPs, as described in the company’s news release on March 12, 2008. Also as expected, that incremental expense was substantially offset by improved operating performance in the company’s Medicare Advantage and military services businesses.
Enrollment:
- Medicare Advantage membership grew to 1,267,700 at March 31, 2008, an increase of 154,300, or 14 percent, from March 31, 2007 and up 124,700, or 11 percent versus December 31, 2007. Approximately 45 percent of the net Medicare Advantage membership increase year over year was in the company’s Medicare Advantage PPO products.
- Membership in the company’s stand-alone PDPs totaled 3,150,200 at March 31, 2008 compared to 3,473,700 at March 31, 2007 and 3,442,000 at December 31, 2007.
- April 2008 membership in the company’s Medicare Advantage plans approximated 1,296,000.
- April 2008 Medicare stand-alone PDP membership approximated 3,130,000.
Premiums and administrative services fees:
- Medicare Advantage premiums of $3.17 billion in 1Q08 increased 15 percent compared to $2.74 billion in 1Q07, primarily the result of a 14 percent increase in average membership.
- Medicare stand-alone PDP premiums of $875.0 million in 1Q08 decreased 3 percent compared to $906.4 million in 1Q07, primarily the result of a 10 percent decline in average membership versus that for 1Q07.
- Military services premiums and administrative services fees during 1Q08 increased $89.7 million to $831.2 million compared to $741.5 million in 1Q07.
Benefit Expenses:
- The Government Segment benefits ratio increased 70 basis points to 90.0 percent in 1Q08 compared to 89.3 percent in the prior year’s quarter. Improved operating performance year over year in the company’s Medicare Advantage and military services businesses was more than offset by the combined effect of significantly higher stand-alone PDP claims, the extra day for leap year, and a minimal impact from the 1Q08 flu season.
SG&A Expenses:
- The Government Segment’s SG&A expense ratio for 1Q08 of 10.7 percent was 10 basis points lower than that for 1Q07 of 10.8 percent and declined 300 basis points from the fourth quarter of 2007. The declines were primarily driven by leverage associated with higher average Medicare Advantage membership. The sequential decline also reflects lower marketing and other administrative expenses associated with the Medicare selling season for 2008 enrollment which began during 4Q07.
Commercial Segment Results
Pretax results:
- Commercial Segment pretax earnings were $127.2 million in 1Q08 compared to $94.4 million in 1Q07. Commercial Segment operating earnings in 1Q07 continue to reflect the company’s commitment to underwriting discipline, strategic growth in select medical lines of business, and expanded specialty product offerings.
Enrollment:
- Commercial Segment medical membership grew 201,200 members to 3,458,700 at March 31, 2008, an increase of 6 percent from March 31, 2007 and essentially unchanged from December 31, 2007. Approximately 95,900 of the year-over-year increase in medical members related to members acquired via an acquisition completed during 4Q07 (primarily ASO members).
- Membership in strategic areas of commercial growth rose organically as follows during 1Q08 compared to 1Q07: Individual product membership increased 42 percent, Smart plans and other consumer offerings membership grew 27 percent, and Small Group business membership was up 4 percent.
- Membership in Commercial Segment specialty products(a) at March 31, 2008 rose to 6,916,200 compared to 1,935,200 at March 31, 2007, primarily driven by the addition of membership from two specialty-product companies acquired during 4Q07.
Premiums and administrative services fees:
- Premiums and administrative services fees for the Commercial Segment increased 14 percent to $1.80 billion in 1Q08 compared to $1.58 billion in the prior year’s quarter, primarily due to the acquisition of two specialty products companies in 4Q07 and growth in strategic lines of business.
- Commercial Segment medical premiums for fully-insured groups increased approximately 2 percent on a per-member basis during 1Q08 compared to 1Q07 reflecting a shift in the mix of fully insured group business from the prior year’s quarter.
Benefit Expenses:
- In 1Q08, the Commercial Segment benefits ratio of 76.8 percent was 260 basis points lower than the 1Q07 benefits ratio of 79.4 percent, primarily reflecting the acquisition of two specialty products companies in 4Q07, continued underwriting discipline and growth in strategic lines of business, partially offset by the extra day for leap year.
SG&A Expenses:
- The Commercial Segment SG&A expense ratio of 22.3 percent for 1Q08 compares to 20.6 percent in 1Q07, primarily the combined result of a significant year-over-year increase in specialty businesses (including the acquisition of two specialty products companies in 4Q07) together with higher average Individual product membership. Average Individual product membership rose 40 percent versus the prior year’s quarter.
Balance Sheet
- Cash and cash equivalents declined $352.2 million or 17 percent from December 31, 2007 primarily due to the purchase of investments, the repayment of borrowings, and common stock repurchases during 1Q08.
- Debt-to-total capitalization at March 31, 2008 was 28.3 percent, down 120 basis points from December 31, 2007.
- Days in claims payable of 56.9 at March 31, 2008 reflect a decline of 3.3 days from 60.2 at December 31, 2007, primarily driven by:
- An increase in Medicare Advantage Private Fee-for-Service claims administered internally in lieu of outsourced to a Medicare fiscal intermediary where claims processing cycles are elongated. (Reduced days in claims payable approximately 1.7 days.)
- The impact of benefit levels resetting on January 1 for the Part D component of the company’s Medicare Advantage products. This results in benefit expenses increasing sequentially while the corresponding benefits payable generally is unchanged, thus lowering the calculated days in claims payable. (Reduced days in claims payable approximately 1.5 days.)
- A sequential increase in the percentage of Medicare Advantage membership in PPO products. Network providers generally submit claims faster than non-network providers, shortening the claims receipt cycle time and allowing for reduced claims processing time overall. (Reduced days in claims payable approximately 0.6 of a day.)
- Other factors detailed in the statistical supplement to this release increased days in claims payable by approximately 0.5 of a day.
Share Repurchase Program
On February 22, 2008, the company announced that its Board of Directors had authorized the use of up to $150 million for a share repurchase program. As of April 25, 2008, the company had repurchased approximately 1.5 million of its outstanding shares at an average price per share of $45.18.
Cash Flows from Operations
Cash flows provided by operations for 1Q08 of $4.4 million compared to cash flows provided by operations of $1.57 billion in 1Q07 primarily reflecting the timing of premium payments from CMS as well as improvements in claims processing cycle times and timing-related changes in other working capital accounts. The company also evaluates operating cash flows on a non-GAAP basis(b).
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Cash flows from operations ($ in millions) | | 1Q08 | | 1Q07 |
GAAP cash flows provided by operations | | | | | | | $4.4 | | $1,574.5 |
Timing of premium payment from CMS(b) | | | | | | | — | | (1,129.8) |
Non-GAAP cash flows provided by operations(b) | | | | | | | $4.4 | | $444.7 |
Non-GAAP cash flows provided by operations declined to $4.4 million(b) in 1Q08 from $444.7 million(b) in 1Q07 driven primarily by improvements in claims processing cycle times and timing-related changes in other working capital accounts.
Footnotes
(a) The Commercial Segment provides a full range of insured specialty products including dental, vision and other supplemental products. Members included in these products may not be unique to each product since members have the ability to enroll in multiple products. Other supplemental benefits include life, disability, and fixed-benefit products including cancer and critical illness policies.
(b) The company believes that the non-GAAP measures included in this release, when presented in conjunction with comparable GAAP measures, are useful to both management and its investors in analyzing the company's ongoing business and operating performance. Internally, management uses these non-GAAP financial measures as indicators of business performance, as well as for operational planning and decision making purposes. Non-GAAP financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP.
Conference Call & Virtual Slide Presentation
Humana will host a conference call, as well as a virtual slide presentation, at 9:00 a.m. eastern time today to discuss its financial results for the quarter and the company’s expectations for future earnings. A live virtual presentation (audio with slides) may be accessed via Humana’s Investor Relations page at www.humana.com. The company suggests web participants sign on approximately 15 minutes in advance of the call. The company also suggests web participants visit the site well in advance of the call to run a system test and to download any free software needed to view the presentation.
All parties interested in the audio-only portion of the conference call are invited to dial 888-625-7430. No password is required. The company suggests participants dial in approximately ten minutes in advance of the call. For those unable to participate in the live event, the virtual presentation archive may be accessed via the Historical Webcasts & Presentations section of the Investor Relations page at www.humana.com.
Cautionary Statement
This news release contains statements and earnings guidance points that are forward-looking. The forward-looking items herein are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking items may be significantly impacted by certain risks and uncertainties described in the following company documents, as filed with the Securities and Exchange Commission:
- Form 10-K for the year ended December 31, 2007;
- Form 8-Ks filed during 2008.
About Humana
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation’s largest publicly traded health and supplemental benefits companies, with approximately 11.4 million medical members. Humana is a full-service benefits solutions company, offering a wide array of health and supplemental benefit plans for employer groups, government programs and individuals.
Over its 47-year history, Humana has consistently seized opportunities to meet changing customer needs. Today, the company is a leader in consumer engagement, providing guidance that leads to lower costs and a better health plan experience throughout its diversified customer portfolio.
More information regarding Humana is available to investors via the Investor Relations page of the company’s web site at www.humana.com, including copies of:
- Annual reports to stockholders;
- Securities and Exchange Commission filings;
- Most recent investor conference presentations;
- Quarterly earnings news releases;
- Replays of most recent earnings release conference calls;
- Calendar of events (including upcoming earnings conference call dates and times, as well as planned interaction with research analysts and institutional investors);
- Corporate Governance information.
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Humana Inc. – Earnings Guidance Points as of April 28, 2008 |
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(in accordance with Generally Accepted Accounting Principles) | | For the year ending December 31, 2008 (excludes pending acquisitions announced during 1Q08) | | Comments |
Diluted earnings per common share | | Full year 2008: $4.10 to $4.35 Second quarter 2008: $1.15 to $1.20 | | |
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Revenues | | Consolidated revenues: $28 billion to $30 billion Premiums and ASO fees: Medicare Advantage: $13 billion to $14 billion; Medicare stand-alone PDPs: Approximately $3.3 billion; Military services: $3.2 billion to $3.4 billion; Commercial Segment: $7.5 billion to $7.8 billion Consolidated investment income: $345 million to $365 million Consolidated other revenue: $200 million to $225 million | | |
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Ending medical membership (fully-insured and ASO combined) | | Medicare Advantage: Up 200,000 to 250,000 from prior year Medicare stand-alone PDPs: 3.05 million to 3.10 million Military services: No material change from prior year Medicaid: No material change from prior year Commercial: Up approximately 90,000 to 120,000 from prior year | | |
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Benefit expenses | | Medicare products: benefits ratio in the range of 85% to 86% | | Medicare Advantage and stand-alone PDP combined |
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| | Commercial fully-insured groups: | | |
| | Same-store net benefit expense trends and premium yields of 6% to 7% (2% to 3% including the impact of changes in the company's business mix) | | |
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| | Secular Commercial benefit expense trend components as follows: inpatient hospital utilization - flat to 1 percent; inpatient and outpatient hospital rates - mid to upper single digits; outpatient hospital utilization - low to mid single digits; physician - mid single digits; and pharmacy - mid to upper single digits. | | Secular trends exclude the impact of benefit buy- downs |
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Selling, general & administrative expense ratio | | 13.5% to 14% | | SG&A expenses as a percent of premiums, administrative costs, and other revenue |
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Depreciation & amortization | | $225 million to $235 million | | |
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Interest expense | | $70 million to $75 million | | |
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Government Segment operating margins | | Medicare products: approximately 3% Military services: 2.5% to 3.5% | | Medicare Advantage and stand-alone PDP combined |
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Commercial Segment pretax earnings | | $280 million to $300 million | | |
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Cash flows from operations | | $1.0 billion to $1.2 billion | | |
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Capital expenditures | | Approximately $275 million | | |
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Effective tax rate | | 35.0% to 35.5% | | |
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Shares used in computing full-year EPS | | Approximately 170 million | | |
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| | | | | | | | | | | | | | | | | | | | | Humana Inc. | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | Statistical Schedules | | | | | | | | | | | | | | | | | | | | | |
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| | | | | | | | | | | | | | | | | | | | | Supplementary Information | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | 1Q08 Earnings Release | | | | | | | | | | | | | | | | | | | | | |
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Humana Inc. |
Statistical Schedules and Supplementary Information |
1Q08 Earnings Release |
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Contents |
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Page | | | Description |
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S-3 | | | Consolidated Statements of Income |
S-4 | | | Consolidated Balance Sheets |
S-5 | | | Consolidated Statements of Cash Flows |
S-6 | | | Key Income Statement Ratios and Segment Operating Results |
S-7 | | | Membership Detail |
S-8 | | | Premiums and Administrative Services Fees Detail |
S-9 | | | Percentage of Ending Membership under Capitation Arrangements |
S-10-12 | | | Benefits Payable |
S-13 | | | Footnotes |
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S-2 |
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Humana Inc. |
Consolidated Statements of Income |
In thousands, except per common share results |
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| | Three Months Ended March 31, | | | | |
| | | | | | Dollar | | Percentage |
| | 2008 | | 2007 | | Change | | Change |
Revenues: | | | | | | | | |
Premiums | | $6,712,601 | | $6,004,563 | | $708,038 | | | 11.8 | % |
Administrative services fees | | 111,979 | | 95,864 | | 16,115 | | | 16.8 | % |
Investment income | | 89,959 | | 73,527 | | 16,432 | | | 22.3 | % |
Other revenue | | 45,165 | | 30,859 | | 14,306 | | | 46.4 | % |
Total revenues | | 6,959,704 | | 6,204,813 | | 754,891 | | | 12.2 | % |
Operating expenses: | | | | | | | | |
Benefits | | 5,818,034 | | 5,214,000 | | 604,034 | | | 11.6 | % |
Selling, general and administrative | | 950,445 | | 820,610 | | 129,835 | | | 15.8 | % |
Depreciation | | 42,957 | | 35,509 | | 7,448 | | | 21.0 | % |
Other intangible amortization | | 8,001 | | 4,555 | | 3,446 | | | 75.7 | % |
Total operating expenses | | 6,819,437 | | 6,074,674 | | 744,763 | | | 12.3 | % |
Income from operations | | 140,267 | | 130,139 | | 10,128 | | | 7.8 | % |
Interest expense | | 16,339 | | 17,918 | | (1,579 | ) | | -8.8 | % |
Income before income taxes | | 123,928 | | 112,221 | | 11,707 | | | 10.4 | % |
Provision for income taxes | | 43,758 | | 40,980 | | 2,778 | | | 6.8 | % |
Net income | | $80,170 | | $71,241 | | $8,929 | | | 12.5 | % |
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Basic earnings per common share | | $0.48 | | $0.43 | | $0.05 | | | 11.6 | % |
Diluted earnings per common share | | $0.47 | | $0.42 | | $0.05 | | | 11.9 | % |
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Shares used in computing basic earnings per common share | | 168,190 | | 165,813 | | | | |
Shares used in computing diluted earnings per common share | | 170,602 | | 168,956 | | | | |
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S-3 |
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Humana Inc. |
Consolidated Balance Sheets |
Dollars in thousands, except share amounts |
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| | March 31, | | December 31, | | Sequential Change |
| | 2008 | | 2007 | | Dollar | | Percent |
Assets | | | | | | | | |
Current assets: | | | | | | | | |
Cash and cash equivalents | | $1,688,287 | | | $2,040,453 | | | | | |
Investment securities | | 3,954,830 | | | 3,635,317 | | | | | |
Receivables, net: | | | | | | | | |
Premiums | | 747,806 | | | 592,761 | | | | | |
Administrative services fees | | 11,517 | | | 12,780 | | | | | |
Securities lending collateral | | 973,925 | | | 1,337,049 | | | | | |
Other | | 1,233,910 | | | 1,114,486 | | | | | |
Total current assets | | 8,610,275 | | | 8,732,846 | | | ($122,571 | ) | | -1.4 | % |
Property and equipment, net | | 636,935 | | | 637,241 | | | | | |
Other assets: | | | | | | | | |
Long-term investment securities | | 963,106 | | | 1,015,050 | | | | | |
Goodwill | | 1,683,604 | | | 1,663,939 | | | | | |
Other | | 868,108 | | | 829,998 | | | | | |
Total other assets | | 3,514,818 | | | 3,508,987 | | | | | |
Total assets | | $12,762,028 | | | $12,879,074 | | | ($117,046 | ) | | -0.9 | % |
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Liabilities and Stockholders' Equity | | | | | | | | |
Current liabilities: | | | | | | | | |
Benefits payable | | $2,885,371 | | | $2,696,833 | | | | | |
Trade accounts payable and accrued expenses | | 1,356,405 | | | 1,268,963 | | | | | |
Book overdraft | | 291,246 | | | 269,226 | | | | | |
Securities lending payable | | 973,925 | | | 1,337,049 | | | | | |
Unearned revenues | | 227,492 | | | 219,780 | | | | | |
Total current liabilities | | 5,734,439 | | | 5,791,851 | | | ($57,412 | ) | | -1.0 | % |
Long-term debt | | 1,601,335 | | | 1,687,823 | | | | | |
Future policy benefits payable | | 968,719 | | | 980,686 | | | | | |
Other long-term liabilities | | 405,061 | | | 389,777 | | | | | |
Total liabilities | | 8,709,554 | | | 8,850,137 | | | ($140,583 | ) | | -1.6 | % |
Commitments and contingencies | | | | | | | | |
Stockholders' equity: | | | | | | | | |
Preferred stock, $1 par; 10,000,000 shares authorized, none issued | | - | | | - | | | | | |
Common stock, $0.16 2/3 par; 300,000,000 shares authorized; 187,618,225 issued at March 31, 2008 | | 31,165 | | | 31,123 | | | | | |
Capital in excess of par value | | 1,527,979 | | | 1,497,998 | | | | | |
Retained earnings | | 2,822,952 | | | 2,742,782 | | | | | |
Accumulated other comprehensive income | | 7,312 | | | 14,021 | | | | | |
Treasury stock, at cost, 18,405,909 shares at March 31, 2008 | | (336,934 | ) | | (256,987 | ) | | | | |
Total stockholders' equity | | 4,052,474 | | | 4,028,937 | | | $23,537 | | | 0.6 | % |
Total liabilities and stockholders' equity | | $12,762,028 | | | $12,879,074 | | | ($117,046 | ) | | -0.9 | % |
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Debt-to-total capitalization ratio | | 28.3 | % | | 29.5 | % | | | | |
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S-4 |
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Humana Inc. |
Consolidated Statements of Cash Flows |
Dollars in thousands | | | | | | | | |
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| | Three Months Ended March 31, | | | | |
| | | | | | Dollar | | Percentage |
| | 2008 | | 2007 | | Change | | Change |
Cash flows from operating activities | | | | | | | | |
Net income | | $80,170 | | | $71,241 | | | | | |
Adjustments to reconcile net income to net cash provided by operating activities: | | | | | | | | |
Depreciation and amortization | | 50,958 | | | 40,064 | | | | | |
Stock-based compensation | | 13,916 | | | 9,802 | | | | | |
Provision (benefit) for deferred income taxes | | 7,811 | | | (6,111 | ) | | | | |
Changes in operating assets and liabilities excluding the effects of acquisitions: | | | | | | | | |
Receivables | | (153,782 | ) | | (156,179 | ) | | | | |
Other assets | | (82,823 | ) | | (18,945 | ) | | | | |
Benefits payable | | 188,538 | | | 394,068 | | | | | |
Other liabilities | | (101,074 | ) | | 62,537 | | | | | |
Unearned revenues | | 7,712 | | | 1,175,027 | | | | | |
Other | | (6,987 | ) | | 2,977 | | | | | |
Net cash provided by operating activities | | 4,439 | | | 1,574,481 | | | ($1,570,042 | ) | | -99.7 | % |
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Cash flows from investing activities | | | | | | | | |
Acquisitions, net of cash acquired | | (3,838 | ) | | (26,781 | ) | | | | |
Purchases of property and equipment | | (47,087 | ) | | (70,744 | ) | | | | |
Proceeds from sales of property and equipment | | - | | | 4,070 | | | | | |
Purchases of investment securities | | (1,662,567 | ) | | (965,051 | ) | | | | |
Proceeds from maturities of investment securities | | 171,978 | | | 557,485 | | | | | |
Proceeds from sales of investment securities | | 1,259,766 | | | 481,911 | | | | | |
Change in securities lending collateral | | 363,124 | | | (421,205 | ) | | | | |
Net cash provided by (used in) investing activities | | 81,376 | | | (440,315 | ) | | $521,691 | | | 118.5 | % |
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Cash flows from financing activities | | | | | | | | |
Receipts from CMS contract deposits | | 598,292 | | | 843,637 | | | | | |
Withdrawals from CMS contract deposits | | (506,061 | ) | | (515,705 | ) | | | | |
Borrowings under credit agreement | | 250,000 | | | 310,000 | | | | | |
Repayments under credit agreement | | (375,000 | ) | | (250,000 | ) | | | | |
Change in book overdraft | | 22,020 | | | (9,033 | ) | | | | |
Change in securities lending payable | | (363,124 | ) | | 421,205 | | | | | |
Common stock repurchases | | (79,947 | ) | | (7,187 | ) | | | | |
Tax benefit from stock-based compensation | | 9,177 | | | 9,128 | | | | | |
Proceeds from stock option exercises and other | | 6,662 | | | 17,544 | | | | | |
Net cash (used in) provided by financing activities | | (437,981 | ) | | 819,589 | | | ($1,257,570 | ) | | -153.4 | % |
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(Decrease)/increase in cash and cash equivalents | | (352,166 | ) | | 1,953,755 | | | | | |
Cash and cash equivalents at beginning of period | | 2,040,453 | | | 1,740,304 | | | | | |
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Cash and cash equivalents at end of period | | $1,688,287 | | | $3,694,059 | | | | | |
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S-5 |
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Humana Inc. |
Key Income Statement Ratios and Segment Operating Results |
Dollars in thousands |
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| | Three Months Ended March 31, | | | | |
| | | | | | | | Percentage |
| | 2008 | | 2007 | | Difference | | Change |
Benefits ratio | | | | | | | | |
Government Segment | | 90.0 | % | | 89.3 | % | | 0.7 | % | | |
Commercial Segment | | 76.8 | % | | 79.4 | % | | -2.6 | % | | |
Consolidated | | 86.7 | % | | 86.8 | % | | -0.1 | % | | |
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Selling, general, and administrative expense ratio (A) | | | | | | | | |
Government Segment | | 10.7 | % | | 10.8 | % | | -0.1 | % | | |
Commercial Segment | | 22.3 | % | | 20.6 | % | | 1.7 | % | | |
Consolidated | | 13.8 | % | | 13.4 | % | | 0.4 | % | | |
| | | | | | | | |
| | | | | | | | |
Detail of pretax (loss) income | | | | | | | | |
Government Segment | | ($3,237 | ) | | $17,865 | | | ($21,102 | ) | | -118.1 | % |
Commercial Segment | | 127,165 | | | 94,356 | | | 32,809 | | | 34.8 | % |
Consolidated | | $123,928 | | | $112,221 | | | $11,707 | | | 10.4 | % |
| | | | | | | | |
Detail of pretax margins | | | | | | | | |
Government Segment | | (0.1 | )% | | 0.4 | % | | -0.5 | % | | |
Commercial Segment | | 6.7 | % | | 5.8 | % | | 0.9 | % | | |
Consolidated | | 1.8 | % | | 1.8 | % | | 0.0 | % | | |
|
S-6 |
|
Humana Inc. |
Membership Detail |
In thousands |
| | | | | | | | | | | | |
| | | | | | | | Year-over-year Change | | | | Sequential Change |
| | Ending March 31, 2008 | | Average - 1Q08 | | Ending March 31, 2007 | | Amount | | Percent | | Ending December 31, 2007 | | Amount | | Percent |
Medical Membership: | | | | | | | | | | | | | | | | |
Government Segment: | | | | | | | | | | | | | | | | |
Medicare Advantage - HMO | | 465.6 | | 464.9 | | 462.1 | | 3.5 | | | 0.8 | % | | 453.1 | | 12.5 | | | 2.8 | % |
Medicare Advantage - PPO | | 134.0 | | 124.8 | | 64.6 | | 69.4 | | | 107.4 | % | | 74.1 | | 59.9 | | | 80.8 | % |
Medicare Advantage - PFFS | | 668.1 | | 659.1 | | 586.7 | | 81.4 | | | 13.9 | % | | 615.8 | | 52.3 | | | 8.5 | % |
Total Medicare Advantage | | 1,267.7 | | 1,248.8 | | 1,113.4 | | 154.3 | | | 13.9 | % | | 1,143.0 | | 124.7 | | | 10.9 | % |
Medicare - PDP - Standard | | 1,584.5 | | 1,597.7 | | 2,146.2 | | (561.7 | ) | | -26.2 | % | | 2,131.9 | | (547.4 | ) | | -25.7 | % |
Medicare - PDP - Enhanced | | 1,394.9 | | 1,387.1 | | 1,084.0 | | 310.9 | | | 28.7 | % | | 1,091.5 | | 303.4 | | | 27.8 | % |
Medicare - PDP - Complete | | 170.8 | | 173.6 | | 243.5 | | (72.7 | ) | | -29.9 | % | | 218.6 | | (47.8 | ) | | -21.9 | % |
Total Medicare stand-alone PDPs | | 3,150.2 | | 3,158.4 | | 3,473.7 | | (323.5 | ) | | -9.3 | % | | 3,442.0 | | (291.8 | ) | | -8.5 | % |
Total Medicare | | 4,417.9 | | 4,407.2 | | 4,587.1 | | (169.2 | ) | | -3.7 | % | | 4,585.0 | | (167.1 | ) | | -3.6 | % |
Military services insured | | 1,728.1 | | 1,731.2 | | 1,712.9 | | 15.2 | | | 0.9 | % | | 1,719.1 | | 9.0 | | | 0.5 | % |
Military services ASO | | 1,193.0 | | 1,175.8 | | 1,165.5 | | 27.5 | | | 2.4 | % | | 1,146.8 | | 46.2 | | | 4.0 | % |
Total military services | | 2,921.1 | | 2,907.0 | | 2,878.4 | | 42.7 | | | 1.5 | % | | 2,865.9 | | 55.2 | | | 1.9 | % |
Medicaid insured | | 384.2 | | 383.5 | | 384.0 | | 0.2 | | | 0.1 | % | | 384.4 | | (0.2 | ) | | -0.1 | % |
Medicaid ASO | | 175.4 | | 175.7 | | 175.4 | | 0.0 | | | 0.0 | % | | 180.6 | | (5.2 | ) | | -2.9 | % |
Total Medicaid | | 559.6 | | 559.2 | | 559.4 | | 0.2 | | | 0.0 | % | | 565.0 | | (5.4 | ) | | -1.0 | % |
Total Government Segment | | 7,898.6 | | 7,873.4 | | 8,024.9 | | (126.3 | ) | | -1.6 | % | | 8,015.9 | | (117.3 | ) | | -1.5 | % |
Commercial Segment: | | | | | | | | | | | | | | | | |
Fully-insured medical: | | | | | | | | | | | | | | | | |
Group | | 1,572.9 | | 1,572.7 | | 1,528.6 | | 44.3 | | | 2.9 | % | | 1,547.0 | | 25.9 | | | 1.7 | % |
Individual | | 272.9 | | 262.5 | | 192.1 | | 80.8 | | | 42.1 | % | | 246.9 | | 26.0 | | | 10.5 | % |
Medicare supplement | | 15.2 | | 15.2 | | 7.4 | | 7.8 | | | 105.4 | % | | 14.7 | | 0.5 | | | 3.4 | % |
Total fully-insured medical | | 1,861.0 | | 1,850.4 | | 1,728.1 | | 132.9 | | | 7.7 | % | | 1,808.6 | | 52.4 | | | 2.9 | % |
ASO | | 1,597.7 | | 1,597.5 | | 1,529.4 | | 68.3 | | | 4.5 | % | | 1,643.0 | | (45.3 | ) | | -2.8 | % |
Total Commercial Segment | | 3,458.7 | | 3,447.9 | | 3,257.5 | | 201.2 | | | 6.2 | % | | 3,451.6 | | 7.1 | | | 0.2 | % |
| | | | | | | | | | | | | | | | |
Total medical membership | | 11,357.3 | | 11,321.3 | | 11,282.4 | | 74.9 | | | 0.7 | % | | 11,467.5 | | (110.2 | ) | | -1.0 | % |
| | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | |
Specialty Membership | | | | | | | | | | | | | | | | |
Dental - fully-insured | | 2,632.8 | | 2,624.8 | | 980.5 | | 1,652.3 | | | 168.5 | % | | 2,649.3 | | (16.5 | ) | | -0.6 | % |
Dental - ASO | | 1,084.1 | | 1,083.7 | | 503.7 | | 580.4 | | | 115.2 | % | | 990.5 | | 93.6 | | | 9.4 | % |
Total dental | | 3,716.9 | | 3,708.5 | | 1,484.2 | | 2,232.7 | | | 150.4 | % | | 3,639.8 | | 77.1 | | | 2.1 | % |
Vision | | 2,301.0 | | 2,289.9 | | - | | 2,301.0 | | | 100.0 | % | | 2,272.8 | | 28.2 | | | 1.2 | % |
Other supplemental benefits (B) | | 898.3 | | 900.0 | | 451.0 | | 447.3 | | | 99.2 | % | | 871.2 | | 27.1 | | | 3.1 | % |
Total specialty membership | | 6,916.2 | | 6,898.4 | | 1,935.2 | | 4,981.0 | | | 257.4 | % | | 6,783.8 | | 132.4 | | | 2.0 | % |
| | | | | | | | | | | | | | | | |
S-7 |
| | | | | | | | | | | | |
Humana Inc. |
Premiums and Administrative Services Fees Detail |
Dollars in thousands, except per member per month |
| | | | | | | | |
| | Three Months Ended March 31, | | | | | | Per Member per Month (C) Three Months Ended March 31, |
| | | | | | Dollar | | Percentage | | | | |
| | 2008 | | 2007 | | Change | | Change | | 2008 | | 2007 |
Premium revenues | | | | | | | | | | | | |
Government Segment: | | | | | | | | | | | | |
Medicare Advantage | | $3,167,717 | | $2,742,711 | | $425,006 | | | 15.5 | % | | $846 | | $831 |
Medicare stand-alone PDPs | | 874,999 | | 906,426 | | (31,427 | ) | | -3.5 | % | | $92 | | $87 |
Total Medicare | | 4,042,716 | | 3,649,137 | | 393,579 | | | 10.8 | % | | | | |
Military services insured (D) | | 810,659 | | 727,215 | | 83,444 | | | 11.5 | % | | $156 | | $141 |
Medicaid insured | | 143,680 | | 129,325 | | 14,355 | | | 11.1 | % | | $125 | | $111 |
Total Government Segment premiums | | 4,997,055 | | 4,505,677 | | 491,378 | | | 10.9 | % | | | | |
Commercial Segment: | | | | | | | | | | | | |
Fully-insured medical | | 1,481,486 | | 1,390,805 | | 90,681 | | | 6.5 | % | | $267 | | $268 |
Specialty | | 234,060 | | 108,081 | | 125,979 | | | 116.6 | % | | $12 | | $22 |
Total Commercial Segment premiums | | 1,715,546 | | 1,498,886 | | 216,660 | | | 14.5 | % | | | | |
Total premium revenues | | $6,712,601 | | $6,004,563 | | $708,038 | | | 11.8 | % | | | | |
| | | | | | | | | | | | |
Administrative services fees | | | | | | | | | | | | |
Military services ASO (D) | | $20,524 | | $14,294 | | $6,230 | | | 43.6 | % | | $6 | | $4 |
Medicaid ASO | | 2,182 | | 2,096 | | 86 | | | 4.1 | % | | $4 | | $4 |
Commercial Segment | | 89,273 | | 79,474 | | 9,799 | | | 12.3 | % | | $11 | | $13 |
Total administrative services fees | | $111,979 | | $95,864 | | $16,115 | | | 16.8 | % | | | | |
| | | | | | | | | | | | | | |
S-8 |
|
Humana Inc. |
Percentage of Ending Membership under Capitation Arrangements |
|
| | | | | | |
| | Government Segment | | Commercial Segment | | |
March 31, 2008 | | Medicare Advantage | | Medicare stand-alone PDPs | | Military Services | | Medicaid | | Total Govt. Segment | | Fully-insured | | ASO | | Total Comm. Segment | | Total Medical Membership |
| | | | | | | | | | | | | | | | | | |
Capitated HMO hospital system based (E) | | 2.1% | | - | | - | | - | | 0.3% | | 1.3% | | - | | 0.7% | | 0.5% |
Capitated HMO physician group based (E) | | 1.8% | | - | | - | | 26.8% | | 2.2% | | 1.4% | | - | | 0.8% | | 1.8% |
Risk-sharing (F) | | 21.8% | | - | | - | | 41.2% | | 6.4% | | 1.4% | | - | | 0.8% | | 4.7% |
All other membership | | 74.3% | | 100.0% | | 100.0% | | 32.0% | | 91.1% | | 95.9% | | 100.0% | | 97.7% | | 93.0% |
Total medical membership | | 100.0% | | 100.0% | | 100.0% | | 100.0% | | 100.0% | | 100.0% | | 100.0% | | 100.0% | | 100.0% |
| | | | | | | | | | | | | | | | | | |
March 31, 2007 | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | |
Capitated HMO hospital system based (E) | | 2.5% | | - | | - | | - | | 0.4% | | 1.5% | | - | | 0.8% | | 0.5% |
Capitated HMO physician group based (E) | | 2.1% | | - | | - | | 25.9% | | 2.1% | | 1.5% | | - | | 0.8% | | 1.7% |
Risk-sharing (F) | | 25.5% | | - | | - | | 42.3% | | 6.5% | | 1.6% | | - | | 0.8% | | 4.9% |
All other membership | | 69.9% | | 100.0% | | 100.0% | | 31.8% | | 91.0% | | 95.4% | | 100.0% | | 97.6% | | 92.9% |
Total medical membership | | 100.0% | | 100.0% | | 100.0% | | 100.0% | | 100.0% | | 100.0% | | 100.0% | | 100.0% | | 100.0% |
|
S-9 |
|
Humana Inc. |
Detail of Benefits Payable Balance and Year-to-Date Changes |
Dollars in thousands |
| | | | | | |
| | March 31, | | March 31, | | December 31, |
| | 2008 | | 2007 | | 2007 |
Detail of benefits payable | | | | | | |
IBNR and other benefits payable (G) | | $1,997,213 | | | $1,787,470 | | | $1,918,460 | |
Unprocessed claim inventories (H) | | 212,000 | | | 222,300 | | | 213,400 | |
Processed claim inventories (I) | | 118,132 | | | 124,687 | | | 91,938 | |
Payable to pharmacy benefit administrator (J) | | 185,219 | | | 199,684 | | | 131,663 | |
Benefits payable, excluding military services | | 2,512,564 | | | 2,334,141 | | | 2,355,461 | |
| | | | | | |
Military services IBNR (K) | | 281,208 | | | 361,786 | | | 265,178 | |
Other military services benefits payable (L) | | 91,599 | | | 108,548 | | | 76,194 | |
Military services benefits payable | | 372,807 | | | 470,334 | | | 341,372 | |
Total Benefits Payable | | $2,885,371 | | | $2,804,475 | | | $2,696,833 | |
| | | | | | |
| | Three Months Ended | | Three Months Ended | | Year Ended |
| | March 31, 2008 | | March 31, 2007 | | December 31, 2007 |
Year-to-date changes in benefits payable, excluding military services (M) | | | | | | |
| | | | | | |
Balances at January 1 | | $2,355,461 | | | $1,979,733 | | | $1,979,733 | |
| | | | | | |
Acquisitions | | - | | | - | | | 41,030 | |
| | | | | | |
Incurred related to: | | | | | | |
Current year | | 5,291,021 | | | 4,710,114 | | | 18,015,246 | |
Prior years (N) | | (195,874 | ) | | (148,776 | ) | | (242,922 | ) |
Total incurred | | 5,095,147 | | | 4,561,338 | | | 17,772,324 | |
| | | | | | |
Paid related to: | | | | | | |
Current year | | (3,584,478 | ) | | (3,430,622 | ) | | (16,012,828 | ) |
Prior years | | (1,353,566 | ) | | (776,308 | ) | | (1,424,798 | ) |
Total paid | | (4,938,044 | ) | | (4,206,930 | ) | | (17,437,626 | ) |
| | | | | | |
Balances at end of period | | $2,512,564 | | | $2,334,141 | | | $2,355,461 | |
| | | | | | |
| | Three Months Ended | | Three Months Ended | | Year Ended |
| | March 31, 2008 | | March 31, 2007 | | December 31, 2007 |
Summary of Consolidated Benefits Expense: | | | | | | |
Total benefits expense incurred, per above | | $5,095,147 | | | $4,561,338 | | | $17,772,324 | |
Military services benefits | | 715,100 | | | 648,777 | | | 2,481,815 | |
Future policy benefit expense (O) | | 7,787 | | | 3,885 | | | 16,392 | |
Consolidated Benefits Expense | | 5,818,034 | | | 5,214,000 | | | 20,270,531 | |
| | | | | | | | | |
S-10 |
|
Humana Inc. |
Benefits Payable Statistics (P) |
| | | | | | | | |
Receipt Cycle Time (Q) |
| | | | | | | | |
| | 2008 | | 2007 | | Change | | Percentage Change |
1st Quarter Average | | 15.1 | | 15.6 | | (0.5 | ) | | -3.2 | % |
2nd Quarter Average | | - | | 15.6 | | N/A | | | N/A | |
3rd Quarter Average | | - | | 15.9 | | N/A | | | N/A | |
4th Quarter Average | | - | | 15.1 | | N/A | | | N/A | |
Full Year Average | | 15.1 | | 15.6 | | (0.5 | ) | | -3.2 | % |
| | | | | | | | |
| | | | | | | | |
Unprocessed Claims Inventories | | | | | | |
| | | | | | | | |
Date | | Estimated Valuation (000s) | | Claim Item Counts | | Number of Days on Hand | | |
3/31/2006 | | $185,300 | | 683,900 | | 5.6 | | | |
6/30/2006 | | $193,700 | | 702,000 | | 4.8 | | | |
9/30/2006 | | $187,900 | | 623,900 | | 5.4 | | | |
12/31/2006 | | $218,400 | | 757,700 | | 6.1 | | | |
3/31/2007 | | $222,300 | | 747,200 | | 5.5 | | | |
6/30/2007 | | $211,300 | | 751,600 | | 4.9 | | | |
9/30/2007 | | $224,000 | | 819,100 | | 6.1 | | | |
12/31/2007 | | $213,400 | | 683,500 | | 5.0 | | | |
3/31/2008 | | $212,000 | | 673,000 | | 4.4 | | | |
|
S-11 |
|
Humana Inc. |
Benefits Payable Statistics (Continued) (P) |
|
Days in Claims Payable (R) |
Quarter Ended | | Days in Claim Payable (DCP) | | Change Last 4 Quarters | | Percentage Change | | DCP Excluding Capitation | | Change Last 4 Quarters | | Percentage Change |
3/31/2006 | | 53.5 | | 11.4 | | | 27.2 | % | | 60.5 | | | 12.5 | | | 26.1 | % |
6/30/2006 | | 55.8 | | 9.7 | | | 21.0 | % | | 62.0 | | | 9.6 | | | 18.3 | % |
9/30/2006 | | 57.5 | | 7.2 | | | 14.2 | % | | 64.3 | | | 5.5 | | | 9.4 | % |
12/31/2006 | | 56.3 | | 6.0 | | | 11.9 | % | | 64.0 | | | 7.4 | | | 13.1 | % |
3/31/2007 | | 59.3 | | 5.8 | | | 10.8 | % | | 66.0 | | | 5.5 | | | 9.1 | % |
6/30/2007 | | 60.0 | | 4.2 | | | 7.5 | % | | 68.5 | | | 6.5 | | | 10.5 | % |
9/30/2007 | | 61.8 | | 4.3 | | | 7.5 | % | | 70.2 | | | 5.9 | | | 9.2 | % |
12/31/2007 | | 60.2 | | 3.9 | | | 6.9 | % | | 68.3 | | | 4.3 | | | 6.7 | % |
3/31/2008 | | 56.9 | | (2.4 | ) | | -4.0 | % | | 63.3 | | | (2.7 | ) | | -4.1 | % |
|
Year-to-Date Change in Days in Claims Payable (S) |
| | | | | | | | |
| | 1Q08 | | 1Q07 | | FY07 | | |
DCP - beginning of period | | 60.2 | | | 56.3 | | | 56.3 | | | |
Components of change in DCP: | | | | | | | | |
Internal versus outsourced claims processing cycle times | | (1.7 | ) | | 0.9 | | | (0.2 | ) | | |
Increase in the Part D component of MAPD expense | | (1.5 | ) | | (1.3 | ) | | (0.5 | ) | | |
Increase in Medicare PPO business | | (0.6 | ) | | 0.2 | | | 0.2 | | | |
Change in unprocessed claims inventories | | (0.6 | ) | | 0.1 | | | (0.1 | ) | | |
Change in processed claims inventories | | 0.5 | | | 0.4 | | | (0.1 | ) | | |
Change in pharmacy payment cutoff | | (0.3 | ) | | 1.2 | | | 0.3 | | | |
Change in provider payables under risk arrangements | | 0.4 | | | 0.3 | | | 3.4 | | | |
All other | | 0.5 | | | 1.2 | | | 0.9 | | | |
DCP - end of period | | 56.9 | | | 59.3 | | | 60.2 | | | |
|
S-12 |
|
Humana Inc. |
Footnotes to Statistical Schedules and Supplementary Information |
1Q08 Earnings Release |
| | |
Footnotes |
(A) | | The selling, general and administrative (SG&A) expense ratio is defined as SG&A expenses as a percent of premiums, administrative services fees and other revenue. |
(B) | | Other supplemental benefits include life, disability, and fixed benefit products including cancer and critical illness policies. |
(C) | | Computed based on average membership for the period (i.e., monthly ending membership during the period divided by the number of months in the period). |
(D) | | Military services revenues are not contracted on a per-member basis. |
(E) | | In a limited number of circumstances, the company contracts with hospitals and physicians to accept financial risk for a defined set of HMO membership. In transferring this risk, the company prepays these providers a monthly fixed-fee per member to coordinate substantially all of the medical care for their capitated HMO membership, including some health benefit administrative functions and claims processing. For these capitated HMO arrangements, the company generally agrees to reimbursement rates that target a benefit expense ratio. Providers participating in hospital-based capitated HMO arrangements generally receive a monthly payment for all of the services within their system for their HMO membership. Providers participating in physician-based capitated HMO arrangements generally have subcontracted specialist physicians and are responsible for reimbursing such physicians and hospitals for services rendered to their HMO membership. |
(F) | | In some circumstances, the company contracts with physicians under risk-sharing arrangements whereby physicians have assumed some level of risk for all or a portion of the benefit expenses of their HMO membership. Although these arrangements do include capitation payments for services rendered, the company processes substantially all of the claims under these arrangements. |
(G) | | IBNR represents an estimate of benefit expenses payable for claims incurred but not reported (IBNR) at the balance sheet date. The level of IBNR is primarily impacted by membership levels, benefit claim trends and the receipt cycle time, which represents the length of time between when a claim is initially incurred and when the claim form is received (i.e. a shorter time span results in lower reserves for claims IBNR). Other benefits payable includes amounts payable to providers under capitation arrangements. |
(H) | | Unprocessed claim inventories represent the estimated valuation of claims received but not yet fully processed. |
(I) | | Processed claim inventories represent the estimated valuation of processed claims that are in the post-claim-adjudication process, which consists of administrative functions such as audit and check batching and handling. |
(J) | | The balance due to the company's pharmacy benefit administrator fluctuates as a result of the number of business days in the last payment cycle of the month. Payment cycles are every 10 days (10th & 20th of month) and the last day of the month. |
(K) | | Military services IBNR primarily fluctuates due to benefit expense inflation and changes in the utilization of benefits. Amount includes unprocessed inventories as an independent third party administrator processes all military services benefit claims on the company's behalf. |
(L) | | Other military benefits payable may include liabilities to subcontractors and/or risk share payables to the Department of Defense. The level of these balances may fluctuate from period to period due to the timing of payment (cutoff) and whether or not the balances are payables or receivables (receivables from the Department of Defense are classified as receivables in the company's balance sheet). |
(M) | | The table excludes activity associated with military services benefits payable, because the federal government bears a substantial portion of the risk associated with financing the cost of health benefits. More specifically, the risk-sharing provisions of the military services contracts with the federal government and with subcontractors effectively limit profits and losses when actual claim experience varies from the targeted claim amount negotiated annually. As a result of these contract provisions, the impact of changes in estimates for prior year military services benefits payable are substantially offset by the associated changes in estimates of revenue from health care services reimbursements. As such, any impact on our results of operations is reduced substantially, whether positive or negative. |
(N) | | Amounts incurred related to prior years vary from previously estimated liabilities as the claims ultimately are settled. Negative amounts reported for incurred related to prior years result from claims being ultimately settled for amounts less than originally estimated (favorable development). There were no changes in the approach used to determine our estimate of claim reserves during the quarter. |
(O) | | Future policy benefit expense has a related liability classified as a long-term liability on the balance sheet. |
(P) | | Medical claims reserves statistics represents fully insured medical claims data and excludes military services claims data and specialty benefits. |
(Q) | | The receipt cycle time measures the average length of time between when a claim was initially incurred and when the claim form was received. Receipt cycle time data for our largest claim processing platforms represent 80% to 85% of the company's fully insured claims volume. Pharmacy and specialty claims, including dental, vision and other supplemental benefits, are excluded from this measurement. |
(R) | | A common metric for monitoring benefits payable levels relative to the benefit expense is days in claims payable, or DCP, which represents the benefits payable at the end of the period divided by average benefit expenses per day in the quarterly period. Since the company has some providers under capitation payment arrangements (which do not require a benefits payable IBNR reserve), the company has also summarized this metric excluding capitation expense. In addition, this calculation excludes the impact of the company's military services and stand-alone PDP business. |
(S) | | DCP fluctuates due to a number of issues, the more significant of which are detailed in this rollforward. Growth in certain product lines can also impact DCP for the quarter since a provision for claims would not have been recorded for members that had not yet enrolled earlier in the quarter, yet those members would have a provision and corresponding reserve recorded upon enrollment later in the quarter. This analysis excludes the impact of military services and Medicare stand-alone PDPs upon DCP. |
| | |
S-13 |