SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): December 31, 1996 INDEPENDENCE HOLDING COMPANY (Exact Name of Registrant as Specified in its Charter) Delaware 0-10306 58-1407235 (State or Other (Commission File Number) (IRS Employer Jurisdiction Identification of Incorporation) No.) 96 Cummings Point Road 06902 Stamford CT 06902 (Zip Code) (Address of Principal Executive Offices) Registrant's telephone number, including area code: (203) 358-8000 Not Applicable (Former Name or Former Address, if Changed Since Last Report) The Exhibit Index is located on page 8 of this filing. Item 2. ACQUISITIONS OR DISPOSITIONS OF ASSETS. On December 31, 1996, Independence Holding Company ("IHC") effected the distribution (the "Distribution") of 100% of the shares of common stock, par value $.01 per share ("Zimmerman Common Stock"), of Zimmerman Sign Company, a Texas corporation ("Zimmerman"), held by IHC to holders of IHC's common stock, par value $1.00 per share ("IHC Common Stock"). Such shares of Zimmerman Common Stock were distributed by IHC to its shareholders of record as of the close of business on December 20, 1996 (the "Record Date") on the basis of one share of Zimmerman Common Stock for every five shares of IHC Common Stock. Holders of IHC Common Stock who otherwise would have been entitled to receive fractional shares of Zimmerman Common Stock, however, have received or will receive cash in lieu thereof from the proceeds of the sale of such shares by the distribution agent following the Distribution. No consideration was paid by IHC shareholders for the shares of Zimmerman Common Stock received in the Distribution. Immediately following the Distribution, IHC owned no shares of Zimmerman Common Stock. IHC and Zimmerman entered into a distribution agreement which is filed as an exhibit to this Current Report on Form 8-K and is incorporated herein by reference. Item 7. FINANCIAL STATEMENTS, PRO FORMA FINANCIAL INFORMATION AND EXHIBITS (b) Pro Forma Financial Information Set forth hereunder is the pro forma financial information required to be furnished by IHC with respect to the transaction described in Item 2 above. UNAUDITED PRO FORMA FINANCIAL STATEMENTS ---------------------------------------- Prior to the Distribution Date, Zimmerman had been operating as part of IHC. The following Unaudited Pro Forma Statement of Operations sets forth the historical Statement of Operations of IHC for the fiscal year ended December 31, 1995 and for the nine months ended September 30, 1996, and as adjusted for the Distribution and the related transactions and events described in the Notes to such Unaudited Pro Forma Statements of Operations as if the Distribution and such transactions and events had been consummated on January 1, 1995 and January 1, 1996, respectively. It should be noted that IHC's historical Statements of Operations reflect Zimmerman as discontinued operations for all periods presented. The following Unaudited Pro Forma Condensed Balance Sheet sets forth the historical Balance Sheet of IHC as of September 30, 1996, and as adjusted for the Distribution and the related transactions and events described in the Notes to - 2 - such Unaudited Pro Forma Balance Sheet as if the Distribution and such transactions and events had been consummated on September 30, 1996. Management believes that the assumptions used provide a reasonable basis on which to present such Unaudited Pro Forma Statements of Operations and Unaudited Pro Forma Balance Sheet (collectively referred to as the "Unaudited Pro Forma Financial Statements"). The Unaudited Pro Forma Financial Statements should be read in conjunction with IHC's historical Consolidated Financial Statements and Notes thereto contained in its Annual Report on Form 10-K for the fiscal year ended December 31, 1995 and Quarterly Report on Form 10-Q for the quarterly period ended September 30, 1996. The Unaudited Pro Forma Financial Statements are provided for informational purposes only and should not be construed to be indicative of IHC's results of operations or financial condition had the Distribution and the transactions and events described above been consummated on the dates assumed, and are not necessarily indicative of IHC's future results of operations or finanical condition. - 3 - UNAUDITED PRO FORMA CONDENSED BALANCE SHEET SEPTEMBER 30, 1996 Historical Adjustments Pro forma ---------- ----------- ----------- ASSETS: Cash and cash equivalents..........$ 7,741,000 $ 18,470,000 (D) $ 16,211,000 (10,000,000)(E) Investments........................ 222,704,000 222,704,000 Trade accounts, notes and other receivables....................... 3,935,000 3,935,000 Deferred insurance acquisition costs............................. 11,052,000 11,052,000 Property, plant and equipment, net. 1,638,000 1,638,000 Due from reinsurers................ 41,308,000 41,308,000 Due from brokers................... 6,518,000 6,518,000 Other assets....................... 7,933,000 7,933,000 Net assets of discontinued operations........................ 8,719,000 (18,470,000)(D) - 2,281,000 (F) 7,470,000 (G) ----------- ----------- ----------- Total assets....................$311,548,000 $ (249,000) $311,299,000 =========== =========== =========== LIABILITIES: Insurance liabilities..............$190,761,000 $190,761,000 Financial instruments sold, but not yet purchased..................... 66,000 66,000 Due to brokers..................... 15,723,000 15,723,000 Due to reinsurers.................. 3,039,000 3,039,000 Accounts payable, accruals and other liabilities....................... 13,955,000 $ 2,500,000 (F) 16,455,000 Income taxes, principally deferred. 3,655,000 3,655,000 Liabilities of business transferred 7,470,000 (G) 7,470,000 Long-term debt..................... 10,056,000 (10,000,000)(E) 56,000 ----------- ---------- ----------- Total liabilities.............. 237,255,000 (30,000) 237,225,000 ----------- ---------- ----------- STOCKHOLDERS' EQUITY: Common stock....................... 7,432,000 7,432,000 Paid-in capital.................... 76,240,000 (219,000)(F) 76,021,000 Unrealized losses.................. (3,160,000) (3,160,000) Accumulated deficit................ (6,219,000) (6,219,000) ----------- ---------- ----------- Total stockholders' equity..... 74,293,000 (219,000) 74,074,000 ----------- ---------- ----------- Total liabilities and stockholders' equity..........$311,548,000 $ (249,000) $311,299,000 =========== ========== =========== - 4 - UNAUDITED PRO FORMA CONDENSED STATEMENT OF OPERATIONS YEAR ENDED DECEMBER 31, 1995 As Reported Adjustments Pro forma ----------- ----------- ----------- Revenues: Insurance Premiums.........$56,401,000 $56,401,000 Net investment income...... 13,885,000 $ 606,000 (C) 14,491,000 Other income............... 1,141,000 1,141,000 ---------- ---------- ---------- 71,427,000 606,000 72,033,000 ---------- ---------- ---------- Expenses: Insurance related expenses. 41,243,000 41,243,000 Interest expense........... 1,101,000 (777,000)(B) 324,000 Selling, general and administrative............ 24,311,000 24,311,000 ---------- ---------- ---------- 66,655,000 (777,000) 65,878,000 ---------- ---------- ---------- Operating income before taxes..................... 4,772,000 1,383,000 6,155,000 Income tax benefit......... (1,400,000) 1,252,000 (A) (148,000) ---------- ---------- ---------- Income from continuing operations, net...........$ 6,172,000 $ 131,000 $ 6,303,000 ========== ========== ========== INCOME PER COMMON SHARE: Income from continuing operations................ $0.82 $0.84 ========== ========== WEIGHTED AVERAGE COMMON SHARES OUTSTANDING......... 7,489,000 7,489,000 ========== ========== - 5 - UNAUDITED PRO FORMA CONDENSED STATEMENT OF OPERATIONS NINE MONTHS ENDED SEPTEMBER 30, 1996 As Reported Adjustments Pro forma Revenues: ----------- ----------- ---------- Insurance Premiums.........$50,632,000 $50,632,000 Net investment income...... 12,099,000 $ 329,000 (C) 12,428,000 Net realized and unrealized losses......... (453,000) (453,000) Other income............... 3,154,000 3,154,000 ---------- --------- ---------- 65,432,000 329,000 65,761,000 ---------- --------- ---------- Expenses: Insurance related expenses. 39,585,000 39,585,000 Interest expense........... 657,000 (532,000)(B) 125,000 Selling, general and administrative............ 20,971,000 20,971,000 ---------- --------- ---------- 61,213,000 (532,000) 60,681,000 ---------- --------- ---------- Operating income before taxes..................... 4,219,000 861,000 5,080,000 Income tax expense (benefit)................. (569,000) 973,000 (A) 404,000 ---------- --------- ---------- Income from continuing operations, net...........$ 4,788,000 $ (112,000) $ 4,676,000 ========== ========= ========== INCOME PER COMMON SHARE: Income from continuing operations................ $0.64 $0.62 ========== ========== WEIGHTED AVERAGE COMMON SHARES OUTSTANDING......... 7,489,000 7,489,000 ========== ========== - 6 - NOTES TO UNAUDITED PRO FORMA CONDENSED FINANCIAL STATEMENTS (A) Gives effect to the elimination of the tax benefit associated with the utilization of net operating loss carryforwards against Zimmerman's income combined with the effect of no taxes being provided on income attributable to footnotes B and C as the result of the utilization of net operating loss carryforwards. (B) Gives effect to the reduction of actual interest expense for the repayment of $10,000,000 in long term debt. The average interest rate in effect for the year ended December 31, 1995 and the nine months ended September 30, 1996, was 7.77% and 7.09%, respectively. (C) Assumes remaining cash, after the repayment of $10,000,000 of long term debt, from the $18,470,000 special cash dividend paid to a subsidiary of IHC by Zimmerman (the "Special Dividend") is invested in U.S. treasury securities at the rate of 7.15% and 5.16% as of January 1, 1995 and January 1, 1996, respectively. (D) Gives effect to the Special Dividend. (E) Reflects the repayment by a subsidiary of IHC of all of its $10,000,000 of long-term debt at September 30, 1996 from the proceeds of the Special Dividend. (F) Reflects the exchange of minority common stock holdings, which were included in net assets of discontinued operations, in a subsidiary of IHC for common stock of Zimmerman and preferred stock of such subsidiary. (G) Gives effect to the distribution of Zimmerman common stock and the guaranty of subordinated debt of Zimmerman by a subsidiary of IHC. IHC will record a credit to stockholders' equity at such time as the guaranty is eliminated. - 7 - (c) EXHIBITS. 99.1 Distribution Agreement dated as of November 26, 1996 between Independence Holding Company and Zimmerman Sign Company. 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 hereunto duly authorized. Dated: January 10, 1997 INDEPENDENCE HOLDING COMPANY By:/s/ Roy T.K. Thung ----------------------- Roy T.K. Thung Chief Financial Officer and Treasurer EXHIBIT INDEX 99.1 Distribution Agreement dated as of November 26, 1996 between Independence Holding Company and Zimmerman Sign Company. - 8 -