HealthMarkets 10Q 2005 Q3 Quarterly report

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q


þ		QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

		FOR THE QUARTERLY PERIOD ENDED SEPTEMBER 30, 2005.


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 NO. 001-14953

UICI

(Exact name of registrant as specified in its charter)


Delaware		75-2044750

(State or other jurisdiction of		(I.R.S. Employer
incorporation or organization)		Identification No.)

9151 Grapevine Highway, North Richland Hills, Texas		76180

(Address of principal executive office)		(Zip Code)

Registrant’s telephone number, including area code (817) 255-5200

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. Yesþ Noo.

Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act). Yesþ Noo.

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yeso Noþ.

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date. Common Stock, $.01 Par Value, 46,127,204 shares as of October 28, 2005.

INDEX

UICI AND SUBSIDIARIES


		PAGE
PART I.	FINANCIAL INFORMATION

Item 1.	Financial Statements

	Consolidated condensed balance sheets — September 30, 2005 (unaudited) and December 31, 2004		3

	Consolidated condensed statements of income (unaudited) — Three months ended September 30, 2005 and 2004 and nine months ended September 30, 2005 and 2004		4

	Consolidated condensed statements of comprehensive income (unaudited) — Three months ended September 30, 2005 and 2004 and nine months ended September 30, 2005 and 2004		5

	Consolidated condensed statements of cash flows (unaudited) — Nine months ended September 30, 2005 and 2004		6

	Notes to consolidated condensed financial statements (unaudited) — September 30, 2005		7

Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations		16

Item 3.	Quantitative and Qualitative Disclosures about Market Risk		25

Item 4.	Controls and Procedures		25

PART II.	OTHER INFORMATION

Item 1.	Legal Proceedings		26

Item 6.	Exhibits		26

SIGNATURES			27
Rule 13a-14(a)/15d-14(a) Certification, CEO
Rule 13a-14(a)/15d-14(a) Certification, CFO
Certifications Required by Rule 13a-14(b)

PART I. FINANCIAL INFORMATION

Item 1. Financial Statements

UICI AND SUBSIDIARIES

CONSOLIDATED CONDENSED BALANCE SHEETS
(DOLLARS IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)


	September 30,			December 31,
	2005			2004
	(Unaudited)
ASSETS

Investments
Securities available for sale —
Fixed maturities, at fair value (cost: 2005—$1,489,054; 2004—$1,500,204)	$	1,485,373		$	1,531,231
Equity securities, at fair value (cost: 2005—$1,508; 2004—$1,508)		1,377			1,461
Mortgage loans		842			3,884
Policy loans		16,621			17,101
Short-term and other investments		214,148			165,661

Total Investments		1,718,361			1,719,338
Student loans		104,816			109,288
Restricted cash		40,584			39,455
Investment income due and accrued		23,902			22,706
Due premiums		103,037			86,051
Reinsurance receivables		43,290			24,537
Agents’ and other receivables		28,721			34,762
Deferred acquisition costs		131,467			110,502
Property and equipment, net		85,997			97,863
Goodwill and other intangible assets		80,817			75,625
Deferred federal income tax assets		29,124			16,569
Other assets		13,585			8,962

	$	2,403,701		$	2,345,658


LIABILITIES AND STOCKHOLDERS’ EQUITY

Policy liabilities
Future policy and contract benefits	$	448,914		$	444,228
Claims		546,373			622,587
Unearned premiums		188,606			177,406
Other policy liabilities		14,674			14,450
Accounts payable and accrued expenses		58,328			60,035
Cash overdraft		977			8,749
Other liabilities		117,386			126,040
Federal income tax payable		24,917			3,355
Debt		15,470			15,470
Student loan credit facility		145,750			150,000
Net liabilities of discontinued operations		7,576			9,193

		1,568,971			1,631,513

Commitments and Contingencies (Note C)
Stockholders’ Equity
Preferred stock, par value $0.01 per share		—			—
Common stock, par value $0.01 per share		476			476
Additional paid-in capital		209,200			202,139
Accumulated other comprehensive income (loss)		(2,477	)		20,137
Retained earnings		658,774			528,447
Treasury stock, at cost		(31,243	)		(37,054	)

		834,730			714,145

	$	2,403,701		$	2,345,658

NOTE: The balance sheet data as of December 31, 2004 have been derived from the audited financial statements at that date.

See Notes to Consolidated Condensed Financial Statements.

UICI AND SUBSIDIARIES

CONSOLIDATED CONDENSED STATEMENTS OF INCOME (UNAUDITED)
(DOLLARS IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)


	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2005		2004		2005			2004
REVENUE
Premiums:
Health	$	452,706	$	452,968	$	1,406,226		$	1,339,687
Life premiums and other considerations		13,972		9,778		39,075			26,870

		466,678		462,746		1,445,301			1,366,557
Investment income		23,961		21,793		70,936			63,685
Other income		27,310		28,585		81,174			86,599
Gains on sales of investments		619		812		2,118			5,670

		518,568		513,936		1,599,529			1,522,511

BENEFITS AND EXPENSES
Benefits, claims, and settlement expenses		241,252		293,015		804,416			847,579
Underwriting, acquisition, and insurance expenses		158,356		148,793		478,931			461,427
Stock appreciation expense		5,943		5,571		4,733			8,343
Other expenses		18,645		16,542		53,804			48,527
Interest expense		1,617		884		4,297			2,376

		425,813		464,805		1,346,181			1,368,252


INCOME FROM CONTINUING OPERATIONS BEFORE INCOME TAXES		92,755		49,131		253,348			154,259
Federal income taxes		32,083		15,862		87,876			52,345

INCOME FROM CONTINUING OPERATIONS		60,672		33,269		165,472			101,914

DISCONTINUED OPERATIONS
Income (loss) from discontinued operations (net of income tax expense (benefit) of $595 and $(1,648) in the three months ended September 30, 2005 and 2004, respectively, and $2,462 and $(887) in the nine months ended September 30, 2005 and 2004, respectively)		373		1,623		(440	)		13,773

NET INCOME	$	61,045	$	34,892	$	165,032		$	115,687


Earnings (loss) per share:
Basic earnings
Income from continuing operations	$	1.31	$	0.72	$	3.59		$	2.20
Income (loss) from discontinued operations		0.01		0.04		(0.01	)		0.30

Net income	$	1.32	$	0.76	$	3.58		$	2.50

Diluted earnings
Income from continuing operations	$	1.29	$	0.71	$	3.51		$	2.15
Income (loss) from discontinued operations		0.01		0.03		(0.01	)		0.28

Net income	$	1.30	$	0.74	$	3.50		$	2.43

See Notes to Consolidated Condensed Financial Statements.

UICI AND SUBSIDIARIES

CONSOLIDATED CONDENSED STATEMENTS OF COMPREHENSIVE INCOME (UNAUDITED)
(DOLLARS IN THOUSANDS)


	Three Months Ended					Nine Months Ended
	September 30,					September 30,
	2005			2004		2005			2004
Net income	$	61,045		$	34,892	$	165,032		$	115,687

Other comprehensive income (loss):
Unrealized gains (losses) on securities:
Unrealized holding gains (losses) arising during period		(30,212	)		31,867		(36,741	)		(7,874	)
Reclassification adjustment for gains included in net income		444			644		1,950			3,300

Other comprehensive income (loss) before tax		(29,768	)		32,511		(34,791	)		(4,574	)
Income tax provision (benefit) related to items of other comprehensive income (loss)		(10,419	)		11,379		(12,177	)		(1,601	)

Other comprehensive income (loss) net of tax provision (benefit)		(19,349	)		21,132		(22,614	)		(2,973	)


Comprehensive income	$	41,696		$	56,024	$	142,418		$	112,714

See Notes to Consolidated Condensed Financial Statements.

UICI AND SUBSIDIARIES

CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS (UNAUDITED)
(DOLLARS IN THOUSANDS)


	Nine Months Ended
	September 30,
	2005				2004
	(In thousands)
Operating Activities
Net income	$	165,032			$	115,687
(Income) loss from discontinued operations		440				(13,773	)
Adjustments to reconcile net income to cash provided by operating activities:
Gains on sales of investments		(2,118	)			(5,670	)
Change in accrued investment income		(3,575	)			(3,123	)
Change in due premiums		(16,986	)			(14,357	)
Change in reinsurance receivables		(18,753	)			33,192
Change in other receivables		3,709				921
Change in federal income tax payable		21,562		��		(20,209	)
Change in deferred acquisition costs		(20,965	)			(8,915	)
Depreciation and amortization		22,139				22,151
Change in deferred income tax asset		(378	)			5,254
Change in policy liabilities		(57,012	)			22,192
Change in other liabilities and accrued expenses		5,386				18,825
Stock appreciation expense		4,733				8,343
Other items, net		(950	)			4,657

Cash Provided by continuing operations		102,264				165,175
Cash Used in discontinued operations		(2,057	)			(18,986	)

Net cash Provided by operating activities		100,207				146,189


Investing Activities
Increase in investment assets		(31,972	)			(113,113	)
Decrease in student loans		5,926				331
Increase in restricted cash		(1,129	)			(941	)
Additional cost of purchase of subsidiary		(6,522	)			—
Additions to property and equipment		(8,943	)			(21,037	)
Decrease in agents’ receivables		1,140				1,019

Cash Used in continuing operations		(41,500	)			(133,741	)
Cash Provided by discontinued operations		—				25,365

Net cash Used in investing activities		(41,500	)			(108,376	)


Financing Activities
Change in investment products		(3,092	)			(5,276	)
Repayment of debt		—				(18,951	)
Repayment of student loan credit facility		(4,250	)			—
Net proceeds from issuance of trust preferred securities		—				14,570
Exercise of stock options		2,580				4,145
Purchase of treasury stock		(11,514	)			(27,368	)
Dividends paid		(34,705	)			(11,477	)
Change in cash overdraft		(7,772	)			—
Other		46				328

Cash Used in continuing operations		(58,707	)			(44,029	)
Cash Provided by discontinued operations		—				—

Net Cash Used in financing activities		(58,707	)			(44,029	)

Net change in Cash and cash equivalents		—				(6,216	)
Cash and cash equivalents at beginning of period		—				14,014

Cash and cash equivalents at end of period in continuing operations	$	—			$	7,798

See Notes to Consolidated Condensed Financial Statements.

UICI AND SUBSIDIARIES

NOTES TO CONSOLIDATED CONDENSED FINANCIAL STATEMENTS (UNAUDITED)

September 30, 2005

NOTE A — BASIS OF PRESENTATION

The accompanying unaudited consolidated condensed financial statements for UICI and its subsidiaries (the “Company” or “UICI”) have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) for interim financial information and the instructions to Form 10-Q and Rule 10-01 of Regulation S-X. Accordingly, such financial statements do not include all of the information and notes required by GAAP for complete financial statements. In the opinion of management, all adjustments considered necessary for a fair presentation have been included. All such adjustments, except as otherwise described herein, consist of normal recurring accruals. Operating results for the nine-month period ended September 30, 2005 are not necessarily indicative of the results that may be expected for the full year ending December 31, 2005. For further information, refer to the consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2004.

Certain amounts in the 2004 financial statements have been reclassified to conform to the 2005 financial statement presentation.

Refinements of Claim Liability Estimate — Self-Employed Agency Division

As more particularly described below, results at the SEA Division for the nine months ended September 30, 2005 reflected benefits attributable to refinements of the Company’s estimate for its claim liability on its health insurance products. For financial reporting purposes, each of these refinements is considered to be a change in estimate, resulting from additional information and subsequent developments from prior periods. Accordingly, the financial impact of the refinements was accounted for in the respective periods that the refinements occurred.

Results at the SEA Division for the three months ended September 30, 2005 reflected a benefit in the amount of $33.3 million, of which approximately $21.0 million was attributable to a refinement of the estimate of the unpaid claim liability for the most recent incurral months. The Company utilizes anticipated loss ratios to calculate the estimated claim liability for the most recent incurral months. Despite negligible premium rate increases implemented on its most popular scheduled health insurance products, the SEA Division has continued to observe favorable claims experience and, as a result, loss ratios have not increased as rapidly as anticipated. This favorable claims experience has been reflected in the refinement of the anticipated loss ratios used in estimating the unpaid claim liability for the most recent incurral months. The remaining portion of the adjustment to the claim liability recorded in the three months ended September 30, 2005 (approximately $12.3 million) was attributable to an update of the completion factors used in the developmental method of estimating the unpaid claim liability to reflect more current claims administration practices.

In addition, effective January 1, 2005, the Company’s SEA Division made certain refinements to its claim liability calculations, the effect of which decreased claim liabilities and correspondingly increased operating income in the amount of $7.6 million in the first quarter of 2005. Since 2000 the SEA Division has offered as an optional benefit to its scheduled/basic health insurance products a rider that provides for catastrophic coverage for covered expenses under the base insurance contract that exceed $100,000 or $75,000, depending on the benefit level chosen. This rider pays benefits at 100% after the stop loss is reached, up to the aggregate maximum amount of the contract. Prior to January 1, 2005, the SEA Division utilized a technique that is commonly used to estimate claims liabilities with respect to developing blocks of business, until sufficient experience is obtained to allow more precise estimates. The Company believed that the technique produced appropriate reserve estimates in all prior periods. During the first quarter of 2005, the Company believed that there were sufficient claims paid on this benefit to produce a reserve estimate utilizing the completion factor technique. As a result, effective January 1, 2005, the SEA Division refined its technique used to estimate claim liabilities to utilize completion factors for older incurral dates. The technique continues to utilize anticipated loss ratios in the most recent incurral months. This completion factor technique is currently utilized with respect to all other blocks of the SEA Division’s health insurance business.

Recently Issued Accounting Pronouncements

In May 2005, the Financial Accounting Standards Board (“FASB”) issued Statement 154Accounting Changes and Error Correctionswhich changes the requirements for the accounting and reporting of a change in accounting principle. Statement 154 applies to all voluntary changes in accounting principle as well as to changes required by an accounting pronouncement that does not include specific transition provisions. Statement 154 requires that changes in accounting principle be retrospectively applied. Under retrospective application, the new accounting principle is applied as of the beginning of the first period presented as if that principle had always been used. The cumulative effect of the change is reflected in the carrying value of assets and liabilities as of the first period presented and the offsetting adjustments would be recorded to opening retained earnings. Statement 154 replaces APB Opinion No. 20 and FASB Statement 3. Statement 154 is effective for the Company beginning in fiscal year 2006. The Company does not contemplate any accounting changes or error corrections and accordingly, does not believe the adoption of this statement will have a material effect upon its financial condition or results of operations.

In December 2004, the FASB issued Statement 123R (revised 2004),Share-Based Payment, which requires all share-based payments to employees, including grants of employee stock options, to be recognized in the financial statements based on their fair values. The pro forma disclosures previously permitted under Statement 123 no longer will be an alternative to financial statement recognition. Under Statement 123R, the Company must determine the appropriate fair value model to be used for valuing share-based payments, the amortization method for compensation cost and the transition method to be used at date of adoption. The transition methods include prospective and retroactive adoption options. The prospective method requires that compensation expense be recorded for all unvested stock options and restricted stock at the beginning of the first quarter of adoption of Statement 123R. The retroactive methods would record compensation expense for all unvested stock options and restricted stock beginning with the first period restated. Prior periods may be restated either as of the beginning of the year of adoption or for all periods presented.

In April 2005, the U.S. Securities and Exchange Commission announced that the effective date of Statement 123R will be suspended until January 1, 2006, for companies whose fiscal year is the calendar year. The Company anticipates adopting the prospective method of Statement 123R in 2006 and believes the adoption of this pronouncement will not have a material effect upon the financial condition or results of operations.

The following table illustrates the effect on net income as if the fair-value-based method had been applied to all outstanding and unvested option awards in each period.


	Three Months Ended						Nine Months Ended
	September 30,						September 30,
	2005			2004			2005			2004
	(In thousands, except per share amounts)
Net income as reported	$	61,045		$	34,892		$	165,032		$	115,687
Add stock-based employee compensation expense included in reported net income, net of tax		219			31			434			62
Add (deduct) total stock-based employee compensation (expense) income determined under fair-value-based method for all rewards, net of tax		(235	)		(64	)		(465	)		222

Pro forma net income	$	61,029		$	34,859		$	165,001		$	115,971


Earnings per share — Basic:
Basic—as reported	$	1.32		$	0.76		$	3.58		$	2.50

Basic—pro forma	$	1.32		$	0.76		$	3.58		$	2.51


Earnings per share — Diluted:
Diluted—as reported	$	1.30		$	0.74		$	3.50		$	2.43

Diluted—pro forma	$	1.30		$	0.74		$	3.50		$	2.43

NOTE B — EARNINGS (LOSS) PER SHARE

The following table sets forth the computation of basic and diluted earnings (loss) per share:


	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2005		2004		2005			2004
	(In thousands, except per share amounts)
Income (loss) available to common shareholders:
Income from continuing operations	$	60,672	$	33,269	$	165,472		$	101,914
Income (loss) from discontinued operations		373		1,623		(440	)		13,773

Net income for basic earnings per share		61,045		34,892		165,032			115,687
Effect of dilutive securities:
6% Convertible Note interest⁽¹⁾		—		—		—			176

Net income for diluted earnings per share	$	61,045	$	34,892	$	165,032		$	115,863


Weighted average shares outstanding¾ basic earnings (loss) per share		46,107		45,905		46,120			46,264
Effect of dilutive securities:
Employee stock options and other shares		946		1,143		973			1,329

Weighted average shares outstanding¾ dilutive earnings (loss) per share		47,053		47,048		47,093			47,593


Basic earnings (loss) per share
From continuing operations	$	1.31	$	0.72	$	3.59		$	2.20
From discontinued operations		0.01		0.04		(0.01	)		0.30

Net income	$	1.32	$	0.76	$	3.58		$	2.50

Diluted earnings (loss) per share
From continuing operations	$	1.29	$	0.71	$	3.51		$	2.15
From discontinued operations		0.01		0.03		(0.01	)		0.28

Net income	$	1.30	$	0.74	$	3.50		$	2.43


(1)		Applied to continuing operations.

NOTE C — PENDING TRANSACTION

On September 15, 2005, UICI entered into an agreement under which a group of private equity firms led by The Blackstone Group would acquire UICI in a cash transaction at $37.00 per share. Completion of the transaction is subject to insurance regulatory approvals, the receipt of certain financing and other conditions. The parties currently expect the transaction to close in the first quarter of 2006.

NOTE D — COMMITMENTS AND CONTINGENCIES

The Company is a party to the following material legal proceedings:

Blackstone Transaction Litigation

The Company and individual members of its Board of Directors have been named as defendants in five purported class action suits challenging the proposed acquisition of the Company by a group of private equity firms led by The Blackstone Group (Green Meadows Partners L.P. v. UICI, et al., filed on September 15, 2005 in the District Court of Dallas County, Texas, E-101^st Judicial District, Case No. 05-09693;Ruediger v. UICI, et al., filed on September 28, 2005 in the District Court of Dallas County, Texas, D-95^th Judicial District, Case No. 05-10033;Scott v. UICI, et al., filed on September 30, 2005 in the District Court of Oklahoma County, State of Oklahoma, Case No. CJ-2005-7731;Pepper v. UICI, et al., filed on October 11, 2005 in the District Court of Oklahoma County, State of Oklahoma, Case No. CJ-2005-7967; andBauer v. William J. Gedwed, et al.,filed on October 6, 2005 in the District Court of Tarrant County, Texas, Case No. 236-214443-05). In addition, plaintiffs in a pending shareholder derivative action (In re UICI Derivative Litigation, pending in the District Court of Tarrant County, Texas, 352^nd Judicial District, Lead Cause No. 352-206106-04) have filed an amended petition asserting similar claims.

The petitions generally challenge the price to be paid in the proposed transaction and the process leading up to the transaction. The petitions generally seek unspecified compensatory monetary damages and injunctive relief to enjoin the transaction.

The Company believes that the claims are without merit and intends to defend the cases vigorously. UICI has agreed to advance the expenses of the individual defendants incurred in connection with the defense of the cases, subject to the defendants’ undertaking to repay such advances unless it is ultimately determined that they are or would have been entitled to indemnification by UICI under the terms of the Company’s bylaws.

Delaware Books and Records Litigation

As previously disclosed, UICI was named a defendant in an action filed on November 23, 2004 (Amalgamated Bank, as Trustee, v. UICI, pending in the Court of Chancery of the State of Delaware, New Castle County, C.A. No. 884-N), in which plaintiff seeks to enforce its right to inspect certain corporate books and records of UICI pursuant to Section 220 of the Delaware General Corporation Act. UICI initially produced certain initial documents pursuant to a confidentiality agreement and answered the complaint. Following a hearing held on February 22, 2005, Delaware Vice Chancellor Noble rendered a written opinion dated June 2, 2005, in which he broadly construed stockholders’ ability to access and inspect books, records and documents of the Company under Section 220 of the Delaware General Corporation Act. The Company has compiled and produced all additional documents responsive to the Court’s ruling.

Academic Management Services Corp. — Related Litigation

As previously disclosed, UICI and certain of its current and former directors and officers have been named as defendants in multiple lawsuits arising out of UICI’s announcement in July 2003 of a shortfall in the type and amount of collateral supporting securitized student loan financing facilities of Academic Management Services Corp. (“AMS”), formerly a wholly owned subsidiary of UICI until its disposition in November 2003.

In May and June 2004, UICI and certain officers and current and former directors of UICI were named as defendants in four separate class action suits filed in federal court in Texas, and on October 18, 2004, the four separate cases were consolidated as a single action (In re UICI Securities Litigation, Case No. 3-04-CV-1149-P, pending in the United States District Court for the Northern District of Texas, Dallas Division). On May 27, 2005, plaintiffs on behalf of the purported class of similarly situated individuals who purchased UICI common stock during the period commencing February 7, 2002 and ending on July 21, 2003, filed a First Amended Consolidated Complaint alleging among other things that UICI, AMS, the Company’s current chief financial officer, the Company’s former chief executive officer and AMS’ former president failed to disclose all material facts relating to the condition of AMS, in violation of Section 10(b) of the Securities Exchange Act of 1934 and Rule 10b-5 thereunder. On July 11, 2005, defendants filed a motion to dismiss the consolidated complaint.

In June 2004, UICI was also named as a nominal defendant in two shareholder derivative suits arising out of the July 2003 AMS announcement. On April 5, 2005, the Court appointed lead plaintiffs’ counsel and consolidated the two cases in a single action (In re UICI Derivative Litigation, pending in the District Court of Tarrant County, Texas, 352^nd Judicial District, Lead Cause No. 352-206106-04). On July 22, 2005, plaintiffs filed a consolidated derivative petition, in which they have alleged that the individual defendants (which include current and former officers and directors of UICI and AMS) violated Texas state law by concealing the true condition of AMS before

the July 2003 announcement. On September 16, 2005, plaintiffs filed an amended consolidated petition, in which they added class action allegations challenging the proposed acquisition of the Company by a group of private equity firms led by The Blackstone Group. On November 1, 2005, the Court severed and abated the class action portion of the litigation, pending disposition of the previously filed class action suits filed in Texas state court challenging the proposed acquisition of the Company by a group of private equity firms led by The Blackstone Group.Seediscussion above. UICI has not yet filed an answer or otherwise pled to the consolidated derivative petition.

Association Group Litigation

The health insurance products issued by the Company’s insurance subsidiaries in the self-employed market are primarily issued to members of various membership associations that make available to their members the health insurance and other insurance products issued by the Company’s insurance subsidiaries. The associations provide their membership with a number of benefits and products, including the opportunity to apply for health insurance underwritten by the Company’s health insurance subsidiaries. As previously disclosed, UICI, The MEGA Life and Health Insurance Company (“MEGA”) and/or Mid-West National Life of Tennessee (“Mid-West”) have been named as defendants in numerous cases in California and in other jurisdictions challenging, among other things, the manner in which the defendants market health insurance products in the self-employed market and the nature of the relationship between the Company’s insurance companies and the associations that have made available to their members the insurance companies’ health insurance products. Plaintiffs in such cases generally seek injunctive relief and monetary damages in an unspecified amount. Reference is made to the discussion of these cases contained in the Company’s Annual Report on Form 10-K for the year ended December 31, 2004 under the caption “Item 3 — Legal Proceedings” and in Note L of Notes to the Company’s Consolidated Financial Statements included in such report. The Company currently believes that resolution of these proceedings will not have a material adverse effect on the Company’s consolidated financial condition or results of operations.

During the three months ended September 30, 2005, the Company finally and fully settled, without admitting liability, on terms that did not have a material adverse effect on the consolidated results of operations or financial condition of the Company, three previously disclosed cases that challenged, among other things, the manner in which UICI, MEGA and/or Mid-West marketed and sold health insurance products (Martin v. UICI, The MEGA Life and Health Insurance Company, et al.,formerly pending in the Superior Court for the State of California, County of Los Angeles, Case No. BC319669;Startup et al. v. UICI et al., formerly pending in the Superior Court for the State of California, County of Los Angeles, Case No. BC296476; andVerrill et al. v. The MEGA Life and Health Insurance Company et al., formerly pending in the District Court of Cleveland County, Oklahoma, Case No. CJ-04-670W).

Other Litigation Matters

The Company and its subsidiaries are parties to various other pending legal proceedings arising in the ordinary course of business, including some asserting significant damages arising from claims under insurance policies, disputes with agents, and other matters. Based in part upon the opinion of counsel as to the ultimate disposition of such lawsuits and claims, management believes that the liability, if any, resulting from the disposition of such proceedings will not be material to the Company’s financial condition or results of operations.

Regulatory Matters

On March 22, 2005, UICI received notification that the Market Analysis Working Group of the National Association of Insurance Commissioners had chosen the states of Washington and Alaska to lead a multi-state market conduct examination of UICI’s principal insurance subsidiaries, MEGA, Mid-West and The Chesapeake Life Insurance Company (“CLICO”). The examination commenced in May 2005 and is ongoing. State insurance regulatory agencies have authority to levy monetary fines and penalties resulting from findings made during the course of such multi-state market conduct examinations. UICI does not currently believe that the multi-state market conduct examination will have a material adverse effect upon its consolidated financial position or results of operations.

On March 8, 2005, the Office of the Insurance Commissioner of the State of Washington issued a cease and desist order that prohibits MEGA from selling a previously approved health insurance product to consumers in the State of Washington. On April 27, 2005, the Washington Department of Insurance granted MEGA’s and Mid-West’s request for approval of a policy form and rates associated with a new health insurance product to be offered to consumers in the State of Washington. The Company commenced offering the new product in the second quarter of 2005. UICI does not believe that the issuance of the cease and desist order by the Washington Insurance Commissioner had a material adverse effect upon its consolidated results of operations or financial condition.

NOTE E — SEGMENT INFORMATION

The Company’s business segments for financial reporting purposes include: (i) the Insurance segment, which includes the businesses of the Company’s Self-Employed Agency Division, the Student Insurance Division, the Star HRG Division, the Life Insurance Division and Other Insurance; and (ii) Other Key Factors. The Other Key Factors segment includes investment income not allocated to the Insurance segment, realized gains or losses on sale of investments, interest expense on corporate debt, general expenses relating to corporate operations, variable non-cash stock-based compensation and operations that do not constitute reportable operating segments.

Allocations of investment income, and certain general expenses are based on a number of assumptions and estimates, and the business segments reported operating results would change if different methods were applied. Certain assets are not individually identifiable by segment and, accordingly, have been allocated by formulas. Segment revenues include premiums and other policy charges and considerations, net investment income, fees and other income. Management does not allocate income taxes to segments. Transactions between reportable operating segments are accounted for under respective agreements, which provide for such transactions generally at cost.

Revenues from continuing operations, income from continuing operations before federal income taxes, and assets by operating segment are set forth in the tables below:


	Three Months Ended						Nine Months Ended
	September 30,						September 30,
	2005			2004			2005			2004
	(In thousands)
Revenues from continuing operations:
Insurance:
Self-Employed Agency Division	$	380,454		$	375,044		$	1,160,716		$	1,105,746
Student Insurance Division		63,495			73,104			215,729			223,152
Star HRG Division		35,773			37,764			111,500			114,647
Life Insurance Division		21,815			16,773			62,685			49,217
Other Insurance		8,037			4,827			25,446			9,508

Total Insurance		509,574			507,512			1,576,076			1,502,270

Other Key Factors		9,083			6,543			24,003			20,425
Intersegment Eliminations		(89	)		(119	)		(550	)		(184	)

Total revenues from continuing operations	$	518,568		$	513,936		$	1,599,529		$	1,522,511


	Three Months Ended						Nine Months Ended
	September 30,						September 30,
	2005			2004			2005			2004
	(In thousands)
Income (loss) from continuing operations before federal income taxes:
Insurance:
Self-Employed Agency Division	$	101,769		$	71,521		$	248,095		$	186,103
Student Insurance Division		(7,659	)		(22,060	)		(10,960	)		(44,057	)
Star HRG Division		141			119			1,550			3,632
Life Insurance Division		1,544			1,334			5,948			3,719
Other Insurance		160			277			3,885			361

Total Insurance		95,955			51,191			248,518			149,758
Other Key Factors:
Investment income on equity, realized gains and losses, general corporate expenses and other (including interest expense on non-student loan indebtedness)		2,743			3,511			9,563			12,844
Variable stock-based compensation benefit (expense)		(5,943	)		(5,571	)		(4,733	)		(8,343	)

		(3,200	)		(2,060	)		4,830			4,501

Total income from continuing operations before federal income taxes	$	92,755		$	49,131		$	253,348		$	154,259


	September 30,		December 31,
	2005		2004
	(In thousands)
Assets:
Insurance:
Self-Employed Agency Division	$	829,413	$	891,054
Student Insurance Division		262,125		265,695
Star HRG Division		76,396		78,341
Life Insurance Division		680,410		642,530
Other Insurance		21,075		8,854

Total Insurance		1,869,419		1,886,474
Other Key Factors:
General corporate and other		534,282		459,184

Total assets	$	2,403,701	$	2,345,658

The assets allocated to the SEA Division decreased from December 31, 2004 to September 30, 2005 by $61.6 million, as a result of a decrease in invested assets in the amount of $58.2 million. The assets allocated to the Life Insurance Division increased by $37.9 million from December 31, 2004 to September 30, 2005 due to an increase in deferred acquisition costs of $20.5 million that is primarily attributable to the new submitted annualized premium in 2005 and an increase in reinsurance receivable of $18.5 million which was collected in October 2005.

NOTE F — AGENT STOCK ACCUMULATION PLANS

The Company sponsors a series of stock accumulation plans (the “Agent Plans”) established for the benefit of the independent insurance agents and independent sales representatives associated with UGA — Association Field Services, New United Agency and Cornerstone America.

The Agent Plans generally combine an agent-contribution feature and a Company-match feature. The agent-contribution feature generally provides that eligible participants are permitted to allocate a portion (subject to prescribed limits) of their commissions or other compensation earned on a monthly basis to purchase shares of UICI common stock at the fair market value of such shares at the time of purchase. Under the Company-match feature of the Agent Plans, participants are eligible to have posted to their respective Agent Plan accounts book credits in the form of equivalent shares based on the number of shares of UICI common stock purchased by the participant under the agent-contribution feature of the Agent Plans. The “matching credits” vest over time (generally in prescribed increments over a ten-year period, commencing the plan year following the plan year during which contributions are first made under the agent-contribution feature), and vested matching credits in a participant’s plan account in January of each year are converted from book credits to an equivalent number of shares of UICI common stock. Matching credits forfeited by participants no longer eligible to participate in the Agent Plans are reallocated each year among eligible participants and credited to eligible participants’ Agent Plan accounts.

The Agent Plans do not constitute qualified plans under Section 401(a) of the Internal Revenue Code of 1986 or employee benefit plans under the Employee Retirement Income Security Act of 1974, and the Agent Plans are not subject to the vesting, funding, nondiscrimination and other requirements imposed on such plans by the Internal Revenue Code and ERISA.

For financial reporting purposes, the Company accounts for the Company-match feature of its Agent Plans by recognizing compensation expense over the vesting period in an amount equal to the fair market value of vested shares at the date of their vesting and distribution to the participants. The Company estimates its current liability for unvested matching credits by reference to the number of unvested credits, the current market price of the Company’s common stock, and the Company’s estimate of the percentage of the vesting period that has elapsed up to the current quarter end. Changes in the liability from one quarter to the next are accounted for as an increase in, or decrease to, compensation expense, as the case may be. Upon vesting, the Company reduces the accrued liability (equal to the market value of the vested shares at date of vesting) with a corresponding increase to equity. Unvested matching credits are considered share equivalents outstanding for purposes of the computation of earnings per share.

The portion of compensation expense associated with the Agent Plans reflected in the results of the SEA Division is based on the share price in the open market on or about the time that unvested matching credits are granted to participants. The remaining portion of the compensation expense associated with the Agent Plans (consisting of variable stock-based compensation expense) is reflected in the results of the Company’s “Other Key Factors” business segment. Set forth in the table below is the total compensation expense associated with the Company’s Agent Plans for the three and nine months ended September 30, 2005 and 2004:


	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2005		2004		2005		2004
	(In thousands)				(In thousands)
SEA Division stock-based compensation expense (1)	$	2,162	$	7,830	$	7,470	$	16,261
Other Key Factors variable stock-based compensation expense (2)		5,943		5,571		4,733		8,343

Total Agent Plan compensation expense	$	8,105	$	13,401	$	12,203	$	24,604


(1)		Represents the cost of shares in the open market on or about the time that unvested matching credits are granted to participants in the Agent Plan.

(2)		Represents the total stock-based compensation expense associated with the Agent Plans less the expense incurred by the Company on or about the time that unvested matching credits are granted to participants in the Agent Plan.

At December 31, 2004, the Company had recorded 1,904,526 unvested matching credits associated with the Agent Plans, of which 622,559 vested in January 2005. At September 30, 2005, the Company had recorded 1,526,002 unvested matching credits.

It has been the policy of the Company to purchase UICI shares from time to time in the open market on or about the time that unvested matching credits are granted under the Agent Plans. The Company has accounted for the shares purchased in the open market as treasury shares. During 2005, the Company temporarily ceased purchasing shares in the open market as the Company engaged in discussions with potential investor groups. Currently, the

Company anticipates purchasing additional shares of its common stock only as required at the time that matching credits vest.

The accounting treatment of the Company’s Agent Plans has resulted and will continue to result in unpredictable stock-based compensation charges, dependent upon fluctuations in the quoted price of UICI common stock. These unpredictable fluctuations in stock based compensation charges may result in material fluctuations in the Company’s results of operations. In periods of general decline in the quoted price of UICI common stock, if any, the Company will recognize less stock based compensation expense than in periods of general appreciation in the quoted price of UICI common stock. In addition, in circumstances where increases in the quoted price of UICI common stock are followed by declines in the quoted price of UICI common stock, negative stock-based compensation expense may result as the Company adjusts the cumulative liability for unvested stock-based compensation expense.

NOTE G — STOCKHOLDERS’ EQUITY

In accordance with the Company’s previously announced dividend policy, on July 28, 2005, the Company’s Board of Directors declared a regular semi-annual cash dividend of $0.25 on each share of Common Stock. The cash dividend was paid on September 15, 2005 to shareholders of record at the close of business on August 22, 2005.

NOTE H — OTHER MATTERS

On September 2, 2005, the Company announced that Ronald L. Jensen (the Company’s founder and then Chairman) was killed in an automobile accident in Irving, Texas. On September 7, 2005, the UICI Board of Directors elected William J. Gedwed to serve as Chairman of the Board, filling the vacancy left by the death of Mr. Jensen.

ITEM 2 — MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Introduction

The Company’s business segments include: (i) Insurance (which includes the businesses of the Self-Employed Agency Division, the Student Insurance Division, the Star HRG Division, the Life Insurance Division and Other Insurance), and (ii) Other Key Factors (which includes investment income not allocated to the Insurance segment, realized gains or losses on sale of investments, the operations of the Company’s AMLI Realty Co. subsidiary, certain other general expenses related to corporate operations, interest expense on corporate debt and variable stock-based compensation).

On September 2, 2005, the Company announced that Ronald L. Jensen (the Company’s founder and former Chairman) was killed in an automobile accident in Irving, Texas. On September 7, 2005, the UICI Board of Directors elected William J. Gedwed to serve as Chairman of the Board, filling the vacancy left by the death of Mr. Jensen.

Results of Operations

The table below sets forth certain summary information about the Company’s operating results for the three and nine months ended September 30, 2005 and 2004:


	Three Months Ended				Percentage			Nine Months Ended					Percentage
	September 30,				Increase			September 30,					Increase
	2005		2004		(Decrease)			2005			2004		(Decrease)
	(Dollars in thousands)
Revenue:
Premiums:
Health	$	452,706	$	452,968		0	%	$	1,406,226		$	1,339,687		5	%
Life premiums and other considerations		13,972		9,778		43	%		39,075			26,870		45	%

Total premium		466,678		462,746		1	%		1,445,301			1,366,557		6	%
Investment income		23,961		21,793		10	%		70,936			63,685		11	%
Other income		27,310		28,585		(4	)%		81,174			86,599		(6	)%
Gains on sale of investments		619		812		(24	)%		2,118			5,670		(63	)%

Total revenues		518,568		513,936		1	%		1,599,529			1,522,511		5	%
Benefits and Expenses
Benefits, claims, and settlement expenses		241,252		293,015		(18	)%		804,416			847,579		(5	)%
Underwriting, policy acquisition costs, and insurance expenses		158,356		148,793		6	%		478,931			461,427		4	%
Stock appreciation expense		5,943		5,571		7	%		4,733			8,343		(43	)%
Other expenses		18,645		16,542		13	%		53,804			48,527		11	%
Interest expense		1,617		884		83	%		4,297			2,376		81	%

Total expenses		425,813		464,805		(8	)%		1,346,181			1,368,252		(2	)%

Income from continuing operations before income taxes		92,755		49,131		89	%		253,348			154,259		64	%
Federal income taxes		32,083		15,862		102	%		87,876			52,345		68	%

Income from continuing operations		60,672		33,269		82	%		165,472			101,914		62	%
Income (loss) from discontinued operations (net of income tax)		373		1,623	NM				(440	)		13,773	NM

Net income	$	61,045	$	34,892		75	%	$	165,032		$	115,687		43	%


NM: not meaningful

Revenues and income from continuing operations before federal income taxes (“operating income”) by business segment are summarized in the tables below:


	Three Months Ended						Nine Months Ended
	September 30,						September 30,
	2005			2004			2005			2004
	(In thousands)
Revenues from continuing operations:
Insurance:
Self-Employed Agency Division	$	380,454		$	375,044		$	1,160,716		$	1,105,746
Student Insurance Division		63,495			73,104			215,729			223,152
Star HRG Division		35,773			37,764			111,500			114,647
Life Insurance Division		21,815			16,773			62,685			49,217
Other Insurance		8,037			4,827			25,446			9,508

Total Insurance		509,574			507,512			1,576,076			1,502,270

Other Key Factors		9,083			6,543			24,003			20,425
Intersegment Eliminations		(89	)		(119	)		(550	)		(184	)

Total revenues from continuing operations	$	518,568		$	513,936		$	1,599,529		$	1,522,511


	Three Months Ended						Nine Months Ended
	September 30,						September 30,
	2005			2004			2005			2004
	(In thousands)
Income (loss) from continuing operations before federal income taxes:
Insurance:
Self-Employed Agency Division	$	101,769		$	71,521		$	248,095		$	186,103
Student Insurance Division		(7,659	)		(22,060	)		(10,960	)		(44,057	)
Star HRG Division		141			119			1,550			3,632
Life Insurance Division		1,544			1,334			5,948			3,719
Other Insurance		160			277			3,885			361

Total Insurance		95,955			51,191			248,518			149,758
Other Key Factors:
Investment income on equity, realized gains and losses, general corporate expenses and other (including interest expense on non-student loan indebtedness)		2,743			3,511			9,563			12,844
Variable stock-based compensation benefit (expense)		(5,943	)		(5,571	)		(4,733	)		(8,343	)

		(3,200	)		(2,060	)		4,830			4,501

Total income from continuing operations before federal income taxes	$	92,755		$	49,131		$	253,348		$	154,259

UICI’s results of operations for the three and nine months ended September 30, 2005 were particularly impacted by the following factors:

Self- Employed Agency Division

Set forth below is certain summary financial and operating data for the Company’s Self-Employed Agency (“SEA”) Division for the three and nine months ended September 30, 2005 and 2004:


	Self-Employed Agency Division
	Three Months Ended						Percentage			Nine Months Ended						Percentage
	September 30,						Increase			September 30,						Increase
	2005			2004			(Decrease)			2005			2004			(Decrease)
	(Dollars in thousands)
Revenue:
Earned premium revenue	$	347,867		$	340,027			2	%	$	1,061,114		$	1,002,253			6	%
Investment income (1)		8,014			8,287			(3	)%		24,851			25,224			(1	)%
Other income		24,573			26,730			(8	)%		74,751			78,269			(4	)%

Total revenues		380,454			375,044			1	%		1,160,716			1,105,746			5	%
Expenses:
Benefit expenses		152,855			185,965			(18	)%		527,629			552,978			(5	)%
Underwriting and policy acquisition expenses (1)		113,275			103,813			9	%		344,883			324,882			6	%
Other expenses		12,555			13,745			(9	)%		40,109			41,783			(4	)%

Total expenses		278,685			303,523			(8	)%		912,621			919,643			(1	)%

Operating income	$	101,769		$	71,521			42	%	$	248,095		$	186,103			33	%


Other operating data:
Loss ratio (2)		43.9	%		54.7	%					49.7	%		55.2	%
Expense ratio (3)		32.6	%		30.5	%					32.5	%		32.4	%

Combined ratio		76.5	%		85.2	%					82.2	%		87.6	%

Average number of writing agents in period		1,901			2,251						2,121			2,393
Submitted annualized volume (4)	$	170,152		$	208,521					$	574,680		$	669,238


(1)		Allocations of investment income and certain general expenses are based on a number of assumptions and estimates, and the business division’s reported operating results would change if different methods were applied.

(2)		Defined as total benefit expenses as a percentage of earned premium revenue.

(3)		Defined as total underwriting and policy acquisition expenses as a percentage of earned premium revenue.

(4)		Submitted annualized premium volume in any period is the aggregate annualized premium amount associated with health insurance applications submitted by the Company’s agents in such period for underwriting by the Company.

For the three and nine month periods ended September 30, 2005, the SEA Division reported operating income of $101.8 million and $248.1 million, respectively, compared to operating income of $71.5 million and $186.1 million, respectively, in the corresponding 2004 periods. Operating income for the three-month period ended September 30, 2005 benefited from an increase in earned premium revenue, a decrease in commission expenses as a percentage of earned premiums and a lower loss ratio (from 54.7% in the 2004 three-month period to 43.9% in the 2005 three-month period) resulting from favorable claims experience and a claim liability adjustment as discussed below. Earned premium revenue at the SEA Division increased to $347.9 million in the third quarter of 2005 from $340.0 million in the corresponding 2004 period.

Operating income at the SEA Division for the nine months ended September 30, 2005 was positively impacted by an increase in earned premium revenue, a decrease in commission expenses as a percentage of earned premium, a lower loss ratio (from 55.2% in the 2004 nine-month period to 49.7% in the 2005 nine-month period) resulting from favorable claims experience and a claim liability adjustment as discussed below. Earned premium revenue at the SEA Division increased to $1.06 billion in the first nine months of 2005, compared to $1.00 billion in the first nine months of 2004.

Results at the SEA Division for the three and nine months ended September 30, 2005 reflected a benefit in the amount of $33.3 million attributable to a refinement of the Company’s estimate for its claim liability on its health insurance products. The largest portion of the adjustment (approximately $21.0 million) was attributable to a refinement of the estimate of the unpaid claim liability for the most recent incurral months. The Company utilizes anticipated loss ratios to calculate the estimated claim liability for the most recent incurral months. Despite negligible premium rate increases implemented on its most popular scheduled health insurance products, the SEA

Division has continued to observe favorable claims experience and, as a result, loss ratios have not increased as rapidly as anticipated. This favorable claims experience has been reflected in the refinement of the anticipated loss ratios used in estimating the unpaid claim liability for the most recent incurral months. The remaining portion of the adjustment to the claim liability (approximately $12.3 million) was attributable to an update of the completion factors used in the developmental method of estimating the unpaid claim liability to reflect more current claims administration practices. In addition, effective January 1, 2005, the Company’s SEA Division made certain other refinements to its claim liability calculations, the effect of which decreased claim liabilities and correspondingly increased operating income in the amount of $7.6 million in the first quarter of 2005.SeeNote A of Notes to Consolidated Condensed Financial Statements.

As a result of the ongoing favorable claims experience associated with the SEA Division’s health insurance products, commencing in the fourth quarter of 2005 the Company is reducing premium rates on new business in a number of markets.

Operating income at the SEA Division as a percentage of earned premium revenue (i.e., operating margin) in the three and nine months ended September 30, 2005 was 29.3% and 23.4%, respectively, compared to 21.0% and 18.6% in the corresponding 2004 periods. The significant increase in operating margin in the three and nine months ended September 30, 2005 was attributable primarily to the period-over-period decrease in the loss ratio and a decrease in the effective commission rate (due to a decrease in the amount of first year premium relative to renewal premium, which carries a lower commission rate compared to commissions on first year premium). These factors were partially offset by higher administrative expenses as a percentage of premium, resulting from expenses for certain administrative costs associated with the previously announced multi-state market conduct review and administrative costs related to the November 2004 HealthMarket acquisition.

In the third quarter of 2005, total SEA Division submitted annualized premium volume (i.e., the aggregate annualized premium amount associated with individual and small group health insurance applications submitted by the Company’s agents for underwriting by the Company) decreased by 18.4%, to $170.2 million in the third quarter of 2005 from $208.5 million in the third quarter of 2004. For the full nine months ended September 30, 2005, total SEA Division submitted annualized premium volume decreased by 14.1%, to $574.7 million in the nine months ended September 30, 2005 from $669.2 million in the nine months ended September 30, 2004. The period-over-period decreases in submitted annualized premium volume can be attributed primarily to a reduction in the average number of writing agents in the field (from 2,251 in the third quarter of 2004 to 1,901 in the third quarter of 2005, and from 2,393 in the nine months ended September 30, 2004 to 2,121 in the nine months ended September 30, 2005).

In the first nine months of 2005, the SEA Division began to sell, through agents associated with its UGA — Association Field Services agency, individual consumer driven health plan (CDHP) products in selected markets in thirteen states (Alabama, Arizona, Florida, Georgia, Illinois, Michigan, Mississippi, Missouri, Pennsylvania, Rhode Island, South Carolina, Texas, and Virginia) and the District of Columbia and products targeted toward the small employer group market in eight states (Georgia, Illinois, Michigan, Arizona, Nevada, Tennessee, Ohio and Texas). The Company intends to continue the roll out of individual and small employer group CDHP products in additional markets throughout the balance of 2005.

Student Insurance Division

Set forth below is certain summary financial and operating data for the Company’s Student Insurance Division for the three and nine months ended September 30, 2005 and 2004:


	Student Insurance Division
	Three Months Ended						Percentage			Nine Months Ended						Percentage
	September 30,						Increase			September 30,						Increase
	2005			2004			(Decrease)			2005			2004			(Decrease)
	(Dollars in thousands)
Revenue:
Earned premium revenue	$	61,643		$	71,203			(13	)%	$	209,983		$	216,473			(3	)%
Investment income (1)		1,245			1,098			13	%		4,468			4,183			7	%
Other income		607			803			(24	)%		1,278			2,496			(49	)%

Total revenues		63,495			73,104			(13	)%		215,729			223,152			(3	)%
Expenses:
Benefit expenses		51,251			73,956			(31	)%		169,377			200,175			(15	)%
Underwriting and policy acquisition expenses (1)		19,903			21,208			(6	)%		57,312			67,034			(15	)%

Total expenses		71,154			95,164			(25	)%		226,689			267,209			(15	)%

Operating loss	$	(7,659	)	$	(22,060	)		(65	)%	$	(10,960	)	$	(44,057	)		(75	)%


Other operating data:
Loss ratio (2)		83.1	%		103.9	%					80.7	%		92.5	%
Expense ratio (3)		32.3	%		29.8	%					27.3	%		30.9	%

Combined ratio		115.4	%		133.7	%					108.0	%		123.4	%


(1)		Allocations of investment income and certain general expenses are based on a number of assumptions and estimates, and the business division’s reported operating results would change if different methods were applied.

(2)		Defined as total benefit expenses as a percentage of earned premium revenue.

(3)		Defined as total underwriting and policy acquisition expenses as a percentage of earned premium revenue.

The Company’s Student Insurance Division (which offers tailored health insurance programs that generally provide single school year coverage to individual students at colleges and universities) reported operating losses of $(7.7) million and $(11.0) million in the three and nine months ended September 30, 2005, compared to operating losses of $(22.1) million and $(44.1) million in the corresponding 2004 periods.

Results for the 2005 periods at the Student Insurance Division reflected a significant decrease in the loss ratio to 83.1% and 80.7%, respectively, in the three and nine months ended September 30, 2005, from 103.9% and 92.5%, respectively, in the corresponding 2004 periods. For the nine months ended September 30, 2005, operating results also benefited from lower administrative expenses as a percentage of earned premium and from better utilization of network service agreements with healthcare providers. The 2004 nine month period results also reflected a second quarter impairment charge in the amount of $(6.3) million, which was principally associated with the abandonment of computer hardware and software assets associated with a claims processing system.

Earned premium revenue at the Student Insurance Division decreased to $61.6 million and $210.0 million, respectively, in the three and nine months ended September 30, 2005, from $71.2 million and $216.5 million, respectively, in the 2004 periods. The decrease in premium reflects, in part, the non-renewal in the 2005-2006 school year of certain accounts that had performed poorly in the 2004-2005 school year.

Star HRG Division

Set forth below is certain summary financial and operating data for the Company’s Star HRG Division for the three and nine months ended September 30, 2005 and 2004:


	Star HRG Division
	Three Months Ended						Percentage			Nine Months Ended						Percentage
	September 30,						Increase			September 30,						Increase
	2005			2004			(Decrease)			2005			2004			(Decrease)
	(Dollars in thousands)
Revenue:
Earned premium revenue	$	35,355		$	36,771			(4	)%	$	109,975		$	111,129			(1	)%
Investment income (1)		167			194			(14	)%		525			644			(18	)%
Other income		251			799			(69	)%		1,000			2,874			(65	)%

Total revenues		35,773			37,764			(5	)%		111,500			114,647			(3	)%
Expenses:
Benefit expenses		22,752			23,885			(5	)%		69,902			70,930			(1	)%
Underwriting and policy acquisition expenses (1)		12,880			13,760			(6	)%		40,048			40,085			0	%

Total expenses		35,632			37,645			(5	)%		109,950			111,015			(1	)%

Operating income	$	141		$	119			18	%	$	1,550		$	3,632			(57	)%


Other operating data:
Loss ratio (2)		64.4	%		65.0	%					63.6	%		63.8	%
Expense ratio (3)		36.4	%		37.4	%					36.4	%		36.1	%

Combined ratio		100.8	%		102.4	%					100.0	%		99.9	%


(1)		Allocations of investment income and certain general expenses are based on a number of assumptions and estimates, and the business division’s reported operating results would change if different methods were applied.

(2)		Defined as total benefits expenses as a percentage of earned premium revenue.

(3)		Defined as total underwriting and policy acquisition expenses as a percentage of earned premium revenue.

The Company’s Star HRG Division (which designs, markets and administers limited benefit health insurance plans for entry level, high turnover, and hourly employees) reported operating income for the three and nine months ended September 30, 2005 in the amount of $141,000 and $1.6 million, respectively, compared to operating income of $119,000 and $3.6 million, respectively, in the corresponding 2004 periods. The loss ratio associated with the Star HRG business decreased slightly in the third quarter of 2005 to 64.4% from 65.0% in the third quarter of 2004 and decreased to 63.6% for the nine months ended September 30, 2005 from 63.8% for the nine months ended September 30, 2004.

Earned premium revenue at the Star HRG Division was $35.4 million and $110.0 million, respectively, in the three and nine months ended September 30, 2005 compared to $36.8 million and $111.1 million, respectively, in the 2004 periods.

Life Insurance Division

Set forth below is certain summary financial and operating data for the Company’s Life Insurance Division for the three and nine months ended September 30, 2005 and 2004:


	Life Insurance Division
	Three Months Ended					Percentage			Nine Months Ended				Percentage
	September 30,					Increase			September 30,				Increase
	2005		2004			(Decrease)			2005		2004		(Decrease)
	(Dollars in thousands)
Revenue:
Earned premium revenue	$	14,047	$	9,981			41	%	$	39,410	$	27,357		44	%
Investment income(1)		7,673		6,833			12	%		22,397		20,574		9	%
Other income		95		(41	)		(332	)%		878		1,286		(32	)%

Total revenues		21,815		16,773			30	%		62,685		49,217		27	%
Expenses:
Benefit expenses		8,312		6,826			22	%		23,562		18,823		25	%
Underwriting and acquisition expenses(1)		10,638		7,964			34	%		29,705		25,136		18	%
Interest expense		1,321		649			104	%		3,470		1,539		125	%

Total expenses		20,271		15,439			31	%		56,737		45,498		25	%

Operating income	$	1,544	$	1,334			16	%	$	5,948	$	3,719		60	%


(1)		Allocations of investment income and certain general expenses are based on a number of assumptions and estimates, and the business division’s reported operating results would change if different methods were applied.

The Company’s Life Insurance Division reported operating income in the three and nine months ended September 30, 2005 of $1.5 million and $5.9 million, respectively, compared to operating income of $1.3 million and $3.7 million, respectively, in the corresponding 2004 periods. The 2005 period-over-2004 period increases in operating income were attributable to an increase in revenue and a decrease in fixed administrative costs as a percentage of earned premium revenue.

In the three and nine months ended September 30, 2005, the Company’s Life Insurance Division generated annualized paid premium volume (i.e., the aggregate annualized life premium amount associated with new life insurance policies issued by the Company) in the amount of $8.1 million and $26.3 million, respectively, compared to $8.7 million and $23.9 million, respectively, in the corresponding 2004 periods. Annualized paid premium volume for the quarter was negatively impacted by the recent hurricanes in the Gulf States.

Other Key Factors

The Company’s Other Key Factors segment includes investment income not otherwise allocated to the Insurance segment, realized gains and losses, interest expense on corporate debt, general expenses relating to corporate operations, variable stock compensation and other unallocated items.

The Other Key Factors segment reported operating income (loss) of $(3.2) million and $4.8 million, respectively, in the three and nine months ended September 30, 2005, compared to operating income (loss) of $(2.1) million and $4.5 million in the corresponding 2004 periods.

The 2005 quarter-over-2004 quarter increase in operating loss in the Other Key Factors segment was primarily attributable a $373,000 increase in variable non-cash stock-based compensation expense associated with the various stock accumulation plans established by the Company for the benefit of its independent agents, a decrease in net realized gains of $166,000 and a $3.4 million increase in unallocated corporate overhead, which was primarily attributable to costs incurred in connection with the previously-announced acquisition of UICI by a group of private equity investors (including the recording of a loss accrual for related litigation costs). These items decreasing earnings were partially offset by a $2.9 million increase in investment income on equity.

The moderate increase in operating income in the Other Key Factors segment in the nine months ended September 30, 2005 compared to the corresponding 2004 period was primarily attributable to a $8.3 million increase in investment income on equity and a $3.6 million decrease in variable non-cash stock-based compensation associated with the various stock accumulation plans. These items increasing operating income in the nine months ended September 30, 2005 were offset in large part by a decrease in net realized gains of $4.4 million and $7.0 million increase in unallocated corporate overhead, which was primarily attributable to costs incurred in connection

with the previously-announced acquisition of UICI by a group of private equity investors (including the recording of a loss accrual for related litigation costs).

Discontinued Operations

In the three and nine months ended September 30, 2005 the Company reported an income (loss) from discontinued operations in the amount of $373,000, net of tax ($0.01 per diluted share) and $(440,000), net of tax ($(0.01) per diluted share), respectively, compared to income from discontinued operations of $1.6 million, net of tax ($0.03 per diluted share) and $13.8 million, net of tax ($0.28 per diluted share), respectively, in the corresponding 2004 periods.

Results from discontinued operations for the nine months ended September 30, 2004 reflected a pre-tax gain in the amount of $7.7 million (which was recorded in the first quarter of 2004), generated from the sale of the remaining uninsured student loan assets formerly held by the Company’s former Academic Management Services Corp. subsidiary (which the Company disposed of in November 2003), and a favorable resolution of a dispute related to the Company’s former Special Risk Division recorded in the second quarter of 2004 that resulted in pre-tax income in the amount of $10.7 million.

Liquidity and Capital Resources

Historically, the Company’s primary sources of cash on a consolidated basis have been premium revenues from policies issued, investment income, fees and other income, and borrowings under a secured student loan credit facility. The primary uses of cash have been payments for benefits, claims and commissions under those policies, operating expenses and the funding of student loans generated under the Company’s College First Alternative Loan program. In the nine months ended September 30, 2005, net cash provided by operations totaled approximately $100.2 million, compared to $146.2 million in the corresponding period of 2004.

UICI is a holding company, the principal assets of which are its investments in its separate operating subsidiaries, including its regulated insurance subsidiaries. The holding company’s ability to fund its cash requirements is largely dependent upon its ability to access cash, by means of dividends or other means, from its subsidiaries. The laws governing the Company’s insurance subsidiaries restrict dividends paid by the Company’s domestic insurance subsidiaries in any year. Inability to access cash from its subsidiaries could have a material adverse effect upon the Company’s liquidity and capital resources.

At December 31, 2004 and September 30, 2005, UICI at the holding company level held cash and cash equivalents in the amount of $39.6 million and $26.0 million, respectively.

Prior approval by insurance regulatory authorities is required for the payment by a domestic insurance company of dividends that exceed certain limitations based on statutory surplus and net income. Through November 2, 2005, the Company’s domestic insurance subsidiaries paid to the holding company dividends in the amount of $138.0 million. As it has done in the past, the Company will continue to assess the results of operations of the regulated domestic insurance companies to determine the prudent dividend capability of the subsidiaries, consistent with UICI’s practice of maintaining risk-based capital ratios at each of the Company’s domestic insurance subsidiaries significantly in excess of minimum requirements.

At each of September 30, 2005 and December 31, 2004, the Company at the holding company level had outstanding consolidated long-term indebtedness (exclusive of indebtedness incurred under its secured student loan credit facility) in the amount of $15.5 million.

On August 18, 2004, the Company’s Board of Directors adopted a policy of issuing a regular semi-annual cash dividend on shares of its common stock. In accordance with the dividend policy, on July 28, 2005, the Company’s Board of Directors declared a regular semi-annual cash dividend of $0.25 on each share of Common Stock. The cash dividend was paid on September 15, 2005 to shareholders of record at the close of business on August 22, 2005.

Following execution on September 15, 2005, of a definitive agreement contemplating the acquisition of the Company in a cash merger by a group of private equity firms led by The Blackstone Group, the Company does not anticipate declaring or paying additional dividends on shares of its common stock.

Contractual Obligations and Off Balance Sheet Obligations

There has been no material change to the Company’s contractual obligations or off balance sheet arrangements (which consist solely of commitments to fund student loans generated by its former College Fund Life Division and letters of credit) as described under the caption “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2004.

Stock Repurchase Plan

Under its previously announced stock repurchase program, the Company is authorized to repurchase up to 5,500,000 shares of UICI common stock from time to time in open market or private transactions. The Company had purchased under the program an aggregate of 4,881,900 shares (at an aggregate cost of $71.2 million; average cost per share of $14.58), of which 310,900 shares (at an aggregate cost of $7.0 million; average cost per share of $22.66) have been purchased during 2005 (April 21, 2005 last purchase). As of November 2, 2005, the Company had remaining authority pursuant to the program as reauthorized to repurchase up to an additional 618,100 shares. Following execution on September 15, 2005, of a definitive agreement contemplating the acquisition of the Company in a cash merger by a group of private equity firms led by The Blackstone Group, the Company does not anticipate repurchasing any additional shares of common stock pursuant to the program.

Critical Accounting Policies and Estimates

The Company’s discussion and analysis of its financial condition and results of operations are based upon its consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States of America. The preparation of these consolidated financial statements requires the Company to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities. On an on-going basis, the Company evaluates its estimates, including those related to health and life insurance claims and liabilities, deferred acquisition costs, bad debts, impairment of investments, intangible assets, income taxes, financing operations and contingencies and litigation. The Company bases its estimates on historical experience and on various other assumptions that are believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions. Reference is made to the discussion of these critical accounting policies and estimates contained in the Company’s Annual Report on Form 10-K for the year ended December 31, 2004 under the caption “Management’s Discussion and Analysis of Financial Condition and Results of Operations —Critical Accounting Policies and Estimates.”

Privacy Initiatives

The business of insurance is primarily regulated by the states and is also affected by a range of legislative developments at the state and federal levels. Recently adopted legislation and regulations governing the use and security of individuals’ nonpublic personal data by financial institutions, including insurance companies, may have a significant impact on the Company’s business and future results of operations. Reference is made to the discussion under the caption“Business — Regulatory and Legislative Matters” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2004.

SAFE HARBOR STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995:

Some of the matters discussed in this Quarterly Report on Form 10-Q may contain forward-looking statements that are subject to certain risks, uncertainties and assumptions. Such forward-looking statements are intended to be identified in this document by the words “anticipate”, “believe”, “estimate”, “expect”, “intend”, “objective”, “plan”, “possible”, “potential” and similar expressions. Actual results may vary materially from those included in the forward-looking statements. Factors that could cause actual results to differ materially from those included in the forward-looking statements include, but are not limited to, the following:

•

general economic conditions;

	•		the continued ability of the Company to compete for customers and insureds in an industry where many of its competitors may have greater market share and/or greater financial resources;

	•		the Company’s ability to accurately estimate medical claims and control costs;

	•		changes in government regulation that could increase the costs of compliance or cause the Company to discontinue marketing its products in certain states;

	•		the Company’s failure to comply with new or existing government regulation that could subject it to significant fines and penalties;

	•		changes in the relationship between the Company and the membership associations that make available to their members the health insurance and other insurance products issued by the Company’s insurance subsidiaries;

	•		changes in the laws and regulations governing so-called “association group” insurance (particularly changes that would subject the issuance of policies to prior premium rate approval and/or require the issuance of policies on a “guaranteed issue” basis);

	•		significant liabilities and costs associated with litigation;

	•		failure of the Company’s information systems to provide timely and accurate information;

	•		negative publicity regarding the Company’s business practices and/or regarding the health insurance industry in general;

	•		the Company’s inability to enter into or maintain satisfactory relationships with networks of hospitals, physicians, dentists, pharmacies and other health care providers;

	•		failure of the Company’s regulated insurance company subsidiaries to maintain their current ratings by A.M. Best Company, Fitch and/or Standard & Poor’s;

	•		the result of the review by various regulatory agencies of the previously-announced proposed cash merger of the Company with a group of private equity firms led by The Blackstone Group, approval of the merger by the stockholders of UICI and satisfaction of various other conditions to the closing of the merger contemplated by the merger agreement; and

	•		the other risk factors set forth in the reports filed by the Company from time to time with the Securities and Exchange Commission.

Reference is made to the discussion of these and other risk factors contained in the Company’s Annual Report on Form 10-K for the year ended December 31, 2004 under the caption “Management’s Discussion and Analysis of Financial Condition and Results of Operations —Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995.”

ITEM 3 — QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

The Company has not experienced significant changes related to its market risk exposures during the quarter ended September 30, 2005. Reference is made to the information contained in the Company’s Annual Report on Form 10-K for the year ended December 31, 2004 in Item 7A —Quantitative and Qualitative Disclosures about Market Risk.

ITEM 4 — CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

The Company’s management, including William J. Gedwed (the Chief Executive Officer) and Mark D. Hauptman (the Principal Financial Officer), evaluated the effectiveness of the Company’s “disclosure controls and

procedures,” as of the end of the period covered by this report. Based on that evaluation, the Chief Executive Officer and Principal Financial Officer concluded that the Company’s Disclosure Controls as of the end of the period covered by this report were designed and were functioning effectively to provide reasonable assurance that the information required to be disclosed by the Company in its periodic Securities and Exchange Commission filings is accumulated and communicated to management, including the Chief Executive Officer and Principal Financial Officer, as appropriate to allow timely decisions regarding disclosure and is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms.

The Company believes that a system of internal controls, no matter how well designed and operated, cannot provide absolute assurance that the objectives of the control system are met and no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within the Company have been detected.

Change in Internal Control over Financial Reporting

There has been no change in the Company’s internal control over financial reporting during the Company’s most recent fiscal quarter that has materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.

PART II. OTHER INFORMATION

ITEM 1 — LEGAL PROCEEDINGS

The Company is a party to various material legal proceedings, all of which are described in Note C of Notes to the Consolidated Condensed Financial Statements included herein and/or in the Company’s Annual Report on Form 10-K filed for the year ended December 31, 2004 under the caption “Item 3 — Legal Proceedings.” The Company and its subsidiaries are parties to various other pending legal proceedings arising in the ordinary course of business, including some asserting significant damages arising from claims under insurance policies, disputes with agents and other matters. Based in part upon the opinion of counsel as to the ultimate disposition of such lawsuits and claims, management believes that the liability, if any, resulting from the disposition of such proceedings will not be material to the Company’s consolidated financial condition or results of operations. Except as discussed in Note C to Notes to the Company’s Consolidated Condensed Financial Statements included herein, during the fiscal quarter covered by this Quarterly Report on Form 10-Q the Company has not been named in any new material legal proceeding, and there have been no material developments in the previously reported legal proceedings.

ITEM 6 — EXHIBITS

Exhibits.


	31.1		Rule 13a-14(a)/15d-14(a) Certification, executed by William J. Gedwed, Chief Executive Officer of UICI

	31.2		Rule 13a-14(a)/15d-14(a) Certification, executed by Mark D. Hauptman, Chief Financial Officer of UICI

	32		Certifications required by Rule 13a-14(b) or Rule 15d-14(b) and Section 1350 of Chapter 63 of Title 18 of the United States Code (18 U.S.C. 1350), executed by William J. Gedwed, Chief Executive Officer of UICI and by Mark D. Hauptman, Chief Financial Officer of UICI

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.


		UICI

		(Registrant)

Date: November 7, 2005		/s/ William J. Gedwed

		William J. Gedwed, Chairman of the Board, President,
		Chief Executive Officer and Director

Date: November 7, 2005		/s/ Mark D. Hauptman

		Mark D. Hauptman, Vice President, Chief
		Accounting Officer and Chief Financial Officer

Positive
Negative
Uncertain
Constraining
Legalese
Litigous
Readability	H.S. junior Bad

HealthMarkets (UCI) Inactive 10-Q2005 Q3 Quarterly report

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