UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 10-Q QUARTERLY REPORT UNDER SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE PERIOD ENDED JUNE 30, 2003 COMMISSION FILE #0-11321 UNIVERSAL AMERICAN FINANCIAL CORP. (Exact name of registrant as specified in its charter) NEW YORK 11-2580136 ------------------------ -------------------------- (State of Incorporation) (I.R.S. Employer I.E. No.) Six International Drive, Suite 190, Rye Brook, NY 10573 -------------------------------------------------------- (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code: (914) 934-5200 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 and (2) has been subject to such filing requirements for the past 90 days. Yes [x] No [ ] Indicate by check mark whether the registrant is an accelerated filer (as defined in the Securities Exchange Act Rule 12b-2): Yes [x] No [ ] The number of shares outstanding of the Registrant's Common Stock as of August 5, 2003 was 53,719,935. UNIVERSAL AMERICAN FINANCIAL CORP. FORM 10-Q CONTENTS Page No. PART I - FINANCIAL INFORMATION Item 1. Financial Statements (unaudited) Consolidated Balance Sheets 3 Consolidated Statements of Operations - Three Months 4 Consolidated Statements of Operations - Six Months 5 Consolidated Statements of Stockholders' Equity and Comprehensive Income 6 Consolidated Statements of Cash Flows 7 Notes to Consolidated Financial Statements 8-19 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations 20-37 Item 3. Quantitative and Qualitative Disclosure of Market Risk 37-38 Item 4. Controls and Procedures 38-39 PART II - OTHER INFORMATION Item 1. Legal Proceedings 39 Item 2. Changes in Securities and Use of Proceeds 39 Item 3. Defaults Upon Senior Securities 39 Item 4. Submission of Matters to a Vote of Security Holders 39 Item 5. Other Information 39 Item 6. Exhibits and Reports on Form 8-K 40 Signature 40 Certifications Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 41-44 2 PART 1. FINANCIAL INFORMATION ITEM 1. FINANCIAL STATEMENTS (UNAUDITED) UNIVERSAL AMERICAN FINANCIAL CORP. CONSOLIDATED BALANCE SHEETS JUNE 30, DECEMBER 31, 2003 2002 ----------- ------------ (unaudited) (In thousands) ASSETS Investments Fixed maturities available for sale, at fair value (amortized cost: 2003, $995,681; 2002, $884,054) $ 1,077,462 $ 934,950 Equity securities, at fair value (cost: 2003, $3,029; 2002, $1,661) 3,384 1,645 Policy loans 26,024 23,745 Other invested assets 2,226 2,808 ----------- ----------- Total investments 1,109,096 963,148 Cash and cash equivalents 106,964 36,754 Accrued investment income 14,040 11,885 Deferred policy acquisition costs 108,988 92,093 Amounts due from reinsurers 217,660 220,100 Due and unpaid premiums 6,233 6,066 Deferred income tax asset 6,297 35,842 Present value of future profits and other amortizing intangible assets 44,055 2,987 Goodwill and other indefinite lived intangible assets 12,840 7,973 Other assets 28,013 24,820 ----------- ----------- Total assets 1,654,186 1,401,668 =========== =========== LIABILITIES AND STOCKHOLDERS' EQUITY LIABILITIES Policyholder account balances 355,690 271,578 Reserves for future policy benefits 701,631 627,174 Policy and contract claims - life 6,937 6,718 Policy and contract claims - health 105,165 88,216 Loan payable 50,000 50,775 Company obligated mandatorily redeemable preferred securities of subsidiary trust holding solely junior subordinated debentures 55,000 15,000 Amounts due to reinsurers 5,491 7,285 Other liabilities 43,365 48,153 ----------- ----------- Total liabilities 1,323,279 1,114,899 ----------- ----------- STOCKHOLDERS' EQUITY Common stock (Authorized: 80 million shares, issued: 2003, 53.7 million shares; 2002, 53.2 million shares) 537 532 Additional paid-in capital 161,074 158,264 Accumulated other comprehensive income 51,861 29,887 Retained earnings 117,954 99,406 Less: Treasury stock (2003, 0.1 million shares; 2002, 0.2 million shares) (519) (1,320) ----------- ----------- Total stockholders' equity 330,907 286,769 ----------- ----------- Total liabilities and stockholders' equity $ 1,654,186 $ 1,401,668 =========== =========== See notes to unaudited consolidated financial statements. 3 UNIVERSAL AMERICAN FINANCIAL CORP. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) THREE MONTHS ENDED JUNE 30, 2003 2002 ----------------------------- --------- --------- (IN THOUSANDS, PER SHARE AMOUNTS IN DOLLARS) Revenues: Direct premiums and policyholder fees earned $ 183,333 $ 144,169 Reinsurance premiums assumed 6,290 1,147 Reinsurance premiums ceded (68,014) (79,665) --------- --------- Net premiums and policyholder fees earned 121,609 65,651 Net investment income 15,432 14,434 Net realized gains (losses) on investments 1,185 (6,600) Fee and other income 2,840 3,205 --------- --------- Total revenues 141,066 76,690 --------- --------- Benefits, claims and expenses: Net increase in future policy benefits 4,871 3,961 Net claims and other benefits 81,600 42,640 Interest credited to policyholders 3,422 2,606 Net increase in deferred acquisition costs (11,057) (6,924) Amortization of present value of future profits and other intangibles 1,074 410 Commissions 34,747 28,868 Commission and expense allowances on reinsurance ceded (18,065) (24,627) Interest expense 1,257 782 Other operating costs and expenses 26,572 24,501 --------- --------- Total benefits, claims and expenses 124,421 72,217 --------- --------- Income before taxes 16,645 4,473 Income tax expense 5,645 1,155 --------- --------- Net income $ 11,000 $ 3,318 ========= ========= Earnings per common share: Basic $ 0.21 $ 0.06 ========= ========= Diluted $ 0.20 $ 0.06 ========= ========= See notes to unaudited consolidated financial statements. 4 UNIVERSAL AMERICAN FINANCIAL CORP. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) SIX MONTHS ENDED JUNE 30, 2003 2002 --------------------------- --------- --------- (IN THOUSANDS, PER SHARE AMOUNTS IN DOLLARS) Revenues: Direct premiums and policyholder fees earned $ 337,979 $ 291,605 Reinsurance premiums assumed 12,739 2,085 Reinsurance premiums ceded (149,923) (163,127) --------- --------- Net premiums and policyholder fees earned 200,795 130,563 Net investment income 29,810 28,761 Net realized gains (losses) on investments 1,295 (6,457) Fee and other income 7,079 5,989 --------- --------- Total revenues 238,979 158,856 --------- --------- Benefits, claims and expenses: Net increase in future policy benefits 9,936 6,531 Net claims and other benefits 132,340 85,286 Interest credited to policyholders 6,555 5,213 Net increase in deferred acquisition costs (19,308) (12,856) Amortization of present value of future profits and other intangibles 1,195 832 Commissions 65,111 57,425 Commission and expense allowances on reinsurance ceded (40,421) (49,364) Interest expense 2,073 1,588 Early extinguishment of debt (Note 8) 1,766 - Other operating costs and expenses 51,436 48,103 --------- --------- Total benefits, claims and expenses 210,683 142,758 --------- --------- Income before taxes 28,296 16,098 Income tax expense 9,748 5,282 --------- --------- Net income $ 18,548 $ 10,816 ========= ========= Earnings per common share: Basic $ 0.35 $ 0.20 ========= ========= Diluted $ 0.34 $ 0.20 ========= ========= See notes to unaudited consolidated financial statements. 5 UNIVERSAL AMERICAN FINANCIAL CORP. CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY AND COMPREHENSIVE INCOME (UNAUDITED) (IN THOUSANDS) ACCUMULATED ADDITIONAL OTHER COMMON PAID-IN COMPREHENSIVE RETAINED TREASURY SIX MONTHS ENDED JUNE 30, STOCK CAPITAL INCOME/(LOSS) EARNINGS STOCK TOTAL - --------------------------------- ---------- --------- ------------- -------- -------- --------- 2002 Balance, January 1, 2002 $ 528 $ 155,746 $ 5,603 $ 69,279 $ (386) $ 230,770 Net income - - - 10,816 - 10,816 Other comprehensive income (Note 8) - - 6,505 - - 6,505 --------- Comprehensive income 17,321 --------- Issuance of common stock (Note 9) 3 855 - - 858 Stock-based compensation - 556 - - 556 Repayments of Loans to officers - 10 - - 10 Treasury shares purchased, at - cost (Note 9) - - - (699) (699) Treasury shares reissued (Note 9) - 80 - - 585 665 ------ --------- ------- -------- -------- --------- Balance, June 30, 2002 $ 531 $ 157,247 $12,108 $ 80,095 $ (500) $ 249,481 ====== ========= ======= ======== ======== ========= 2003 Balance, January 1, 2003 $ 532 $ 158,264 $29,887 $ 99,406 $ (1,320) $ 286,769 Net income - - - 18,548 - 18,548 Other comprehensive income (Note 8) - - 21,974 - - 21,974 --------- Comprehensive income 40,522 --------- Issuance of common stock (Note 9) 5 2,147 - - - 2,152 Stock-based compensation - 535 - - - 535 Repayments of Loans to officers 110 - - - 110 Treasury shares purchased, at cost (Note 9) - - - - (240) (240) Treasury shares reissued (Note 9) - 18 - - 1,041 1,059 ------ --------- ------- -------- -------- --------- Balance, June 30, 2003 $ 537 $ 161,074 $51,861 $117,954 $ (519) $ 330,907 ====== ========= ======= ======== ======== ========= See notes to unaudited consolidated financial statements. 6 UNIVERSAL AMERICAN FINANCIAL CORP. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) SIX MONTHS ENDED JUNE 30, 2003 2002 --------------------------- --------- --------- (In thousands) Cash flows from operating activities: Net income $ 18,548 $ 10,816 Adjustments to reconcile net income to net cash provided by operating activities, net of balances acquired (see Note 3 - Business Combination): Deferred income taxes 8,490 3,006 Change in reserves for future policy benefits 1,164 4,719 Change in policy and contract claims 3,221 6,731 Change in deferred policy acquisition costs (19,308) (12,856) Amortization of present value of future profits and other intangibles 1,195 832 Amortization of bond premium (1,856) (1,366) Amortization of capitalized loan origination fees 2,009 265 Change in policy loans (236) 141 Change in accrued investment income (934) (663) Change in reinsurance balances 19,330 (5,134) Realized losses (gains) on investments (1,295) 6,457 Change in income taxes payable (1,771) (2,396) Other, net (1,522) (4,105) --------- --------- Net cash provided (used) by operating activities 27,035 6,447 --------- --------- Cash flows from investing activities: Proceeds from sale or redemption of fixed maturities 151,365 93,476 Cost of fixed maturities purchased (136,621) (121,385) Proceeds from sale of equity securities 286 1,293 Cost of equity securities purchased (427) (639) Change in other invested assets 582 742 Change in due from / to broker (1,322) (5,863) Purchase of business, net of cash acquired (Note 3) (56,880) - Other investing activities (1,515) (2,921) --------- --------- Net cash used by investing activities (44,532) (35,297) --------- --------- Cash flows from financing activities: Net proceeds from issuance of common stock 2,263 858 Cost of treasury stock purchases (240) (699) Change in policyholder account balances 45,875 7,813 Change in reinsurance on policyholder account balances 584 844 Principal repayment on loan payable (2,825) (5,250) Early extinquishment of debt (Note 10) (62,950) - Issuance of new debt (Note 10) 65,000 - Issuance of trust preferred securities (Note 11) 40,000 - --------- --------- Net cash provided by financing activities 87,707 3,566 --------- --------- Net increase (decrease) in cash and cash equivalents 70,210 (25,284) Cash and cash equivalents at beginning of period 36,754 47,990 --------- --------- Cash and cash equivalents at end of period $ 106,964 $ 22,706 ========= ========= Supplemental cash flow information: Cash paid during the period for interest $ 1,938 $ 1,069 ========= ========= Cash paid during the period for income taxes $ 3,099 $ 4,762 ========= ========= See notes to unaudited consolidated financial statements. 7 UNIVERSAL AMERICAN FINANCIAL CORP. AND SUBSIDIARIES NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS 1. BASIS OF PRESENTATION The interim financial information herein is unaudited, but in the opinion of management, includes all adjustments (consisting of normal, recurring adjustments) necessary to present fairly the financial position and results of operations for such periods. The results of operations for the three months and six months ended June 30, 2003 and 2002 are not necessarily indicative of the results to be expected for the full year. The accompanying consolidated financial statements and notes should be read in conjunction with the Company's Annual Report on Form 10-K for the year ended December 31, 2002. Certain reclassifications have been made to prior year's financial statements to conform to current period classifications. The consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States ("GAAP") and consolidate the accounts of Universal American Financial Corp. ("Universal American" or the "Parent Company") and its subsidiaries (collectively the "Company"), American Progressive Life & Health Insurance Company of New York ("American Progressive"), American Pioneer Life Insurance Company ("American Pioneer"), American Exchange Life Insurance Company ("American Exchange"), Pennsylvania Life Insurance Company ("Pennsylvania Life"), Peninsular Life Insurance Company ("Peninsular"), Union Bankers Insurance Company ("Union Bankers"), Constitution Life Insurance Company ("Constitution"), Marquette National Life Insurance Company ("Marquette"), Penncorp Life Insurance Company, a Canadian company ("Penncorp Life (Canada)"), Pyramid Life Insurance Company ("Pyramid Life"), CHCS Services, Inc. and UAFC Statutory Trusts I, II, III and V. Pyramid Life was acquired on March 31, 2003 and its operating results prior to the date of acquisition are not included in Universal American's consolidated results of operations. Collectively, the insurance company subsidiaries are licensed to sell life and accident & health insurance and annuities in all fifty states, the District of Columbia and all the provinces of Canada. The principal insurance products are Medicare supplement, fixed benefit accident and sickness disability insurance, long term care, senior life insurance and fixed annuities. The Company distributes these products through an independent general agency system and a career agency system. The career agents focus on sales for Pennsylvania Life, Pyramid Life and Penncorp Life (Canada) while the independent general agents sell for American Pioneer, American Progressive, Constitution and Union Bankers. CHCS Services, Inc., the Company's administrative services company, acts as a service provider for both affiliated and unaffiliated insurance companies for senior market insurance and non-insurance programs. 2. RECENT ACCOUNTING PRONOUNCEMENTS In April 2002, the Financial Accounting Standards Board ("FASB") issued Statement of Financial Accounting Standards ("SFAS") No. 145, "Rescission of FASB Statements No. 4, 44, and 64, Amendment of FASB Statement No. 13, and Technical Corrections" ("SFAS 145"). SFAS 145 requires any gain or loss on extinguishments of debt to be presented as a component of continuing operations (unless specific criteria are met) whereas SFAS No. 4 required that such gains and losses be classified as an extraordinary item in determining net income. The Company adopted these provisions on January 1, 2003, as required. The other provisions of SFAS No. 145 were not relevant to the Company. In June 2002, the FASB issued SFAS No. 146, "Accounting for Costs Associated with Exit or Disposal Activities" ("SFAS 146"). SFAS 146 requires costs associated with exit or disposal activities (including restructurings) to be recognized when the costs are incurred, rather than at a date of commitment to an exit or disposal plan. This standard nullifies EITF Issue No. 94-3, "Liability Recognition for Certain Employee Termination Benefits and Other Costs to Exit an Activity (including Certain Costs Incurred in a Restructuring)." Under SFAS 146, a liability related to an exit or disposal activity is not recognized until such liability has actually been incurred whereas under EITF Issue No. 94-3 a liability was recognized at the time of a commitment to an exit or disposal plan. The provisions of this standard are effective for exit or disposal activities initiated after December 31, 2002. The Company adopted this standard on January 1, 2003. 8 The Company has various stock-based compensation plans for its employees, directors and agents, which are more fully described in Notes 2 and 8 to the Consolidated Financial Statements included in the Company's 2002 Annual Report on Form 10-K. In December 31, 2002, the FASB issued SFAS No. 148, "Accounting for Stock-Based Compensation--Transition and Disclosure" ("SFAS 148"). The Company uses the fair value method of accounting for stock-based awards granted to agents, however, the intrinsic value method of accounting is used for stock-based awards granted to employees and directors. Accordingly, compensation cost is not recognized when the exercise price of an employee's stock option is equal to or exceeds the fair market value of the stock on the date the option is granted. SFAS 148 requires companies using the intrinsic value method of accounting to disclose, on a quarterly basis, the effect on reported net income and earnings per share if compensation expense was based on the fair value method of accounting for all stock-based awards. The following table illustrates the pro forma net income and pro forma earnings per share as if the Company had applied the fair value based method of accounting to all stock-based awards during each period presented (using the Black-Scholes option-pricing model for stock options). SIX MONTHS ENDED JUNE 30, 2003 2002 ------------------------- ---------- ---------- (In thousands, except per share amounts) Reported net income $ 18,548 $ 10,816 Add back: Stock-based compensation expense included in reported net income, net of tax 692 706 Less: Stock based compensation expense determined under fair value based method for all awards, net of tax (1,308) (1,273) ---------- ---------- Pro forma net income $ 17,933 $ 10,249 ========== ========== Net income per share: Basic, as reported $ 0.35 $ 0.20 Basic, pro forma $ 0.34 $ 0.20 Diluted, as reported $ 0.34 $ 0.20 Diluted, pro forma $ 0.33 $ 0.19 Pro forma compensation expense reflected for prior periods is not indicative of future compensation expense that would be recorded by the Company upon its adoption of the fair value based recognition provisions of SFAS 123 on January 1, 2004. Future expense may vary based upon factors such as the number of awards granted by the Company, the then-current fair market value of such awards and the transition provisions adopted. 3. BUSINESS COMBINATION On March 31, 2003, Universal American completed the acquisition of all of the outstanding common stock of Pyramid Life. In this transaction, the Company acquired a block of in-force business that the Company believes will be profitable, as well as a career sales force that is skilled in selling the same type of senior market insurance products that are currently sold by Universal American. The purchase price of $57.5 million and transaction costs of $2.4 million were financed with $20.1 million of net proceeds generated from the refinancing of the Company's credit facility and $39.8 million of cash on hand, including a portion of the proceeds from the trust preferred offerings completed by Universal American in December 2002 and March 2003. (See Note 8 - Debt Refinancing and Note 9 - Trust Preferred Securities). Operating results generated by Pyramid Life prior to March 31, 2003, the date of acquisition, are not included in Universal American's consolidated financial statements. At the time of closing, the fair value of net tangible assets of the acquired company amounted to $27.6 million. The excess of the purchase price over the fair value of net tangible assets acquired was $32.3 million. At March 31, 2003, the Company performed the initial allocation of the excess to identifiable intangible assets. Based on this initial allocation, approximately $13.1 million, net of deferred taxes of $7.1 million, was assigned to the present value of future profits acquired, which has a weighted average life of 7 years and approximately $14.3 million, net of deferred taxes of $7.7 million, was assigned to the distribution channel acquired, 9 which has a weighted average life of 30 years. The remaining $4.9 million was assigned to the value of the trademarks and licenses acquired, which are deemed to have an indefinite life. The consolidated pro forma results of operations, assuming that Pyramid Life was purchased on January 1, 2003 and 2002 is as follows: SIX MONTHS ENDED JUNE 30, 2003 2002 - ------------------------- -------- -------- (In thousands) Total revenue $267,869 $206,526 Income before taxes (1) $ 29,138 $ 14,852 Net income (1) $ 19,085 $ 9,990 Earnings per common share: Basic $ 0.36 $ 0.19 Diluted (1) $ 0.35 $ 0.18 (1) The above pro forma results of operations includes excess amortization of capitalized loan fees of $1.9 million in 2003 and $2.4 million in 2002 as a result of the assumed refinancing of the existing debt at January 1, 2003 and 2002, respectively. This additional expense reduced net income by $1.2 million or $0.02 per diluted share in 2003 and $1.6 million or $0.03 per diluted share in 2002. The actual amount of excess amortization reported in 2003 was $1.8 million. No excess amortization was reported in 2002. The pro forma results of operations reflect management's best estimate based upon currently available information. The pro forma adjustments are applied to the historical financial statements of Universal American and Pyramid Life to account for Pyramid Life under the purchase method of accounting. In accordance with SFAS No. 141, "Business Combinations", the total purchase cost was allocated to Pyramid Life's assets and liabilities based on their relative fair values. These allocations are subject to valuations as of the date of the acquisition based upon appraisals and other information at that time. Although the time required to identify and measure the fair value of the assets acquired and liabilities assumed in a business combination will vary with circumstances, the allocation period should not exceed one year from the consummation of a business combination. Management has provided its best estimate of the likely fair values of assets and liabilities for the purpose of this pro forma information. However, management cannot predict the potential adjustments resulting from the actual final purchase assumptions, which could result in differences from these pro forma estimates. The pro forma information presented above is for disclosure purposes only and is not necessarily indicative of the results of operations that would have occurred had the acquisition been consummated on the dates assumed, nor is the pro forma information intended to be indicative of Universal American's future results of operations. 10 4. INTANGIBLE ASSETS Effective January 1, 2002, the Company adopted SFAS No. 142, "Goodwill and Other Intangible Assets", and accordingly ceased all amortization of goodwill. The following table shows the Company's acquired intangible assets that continue to be subject to amortization and accumulated amortization expense. JUNE 30, 2003 DECEMBER 31, 2002 ------------------------------------ ------------------------------------- GROSS CARRY ACCUMULATED GROSS CARRY ACCUMULATED AMOUNT AMORTIZATION AMOUNT AMORTIZATION ---------------- ---------------- ---------------- ----------------- (In thousands) Present value of future profits: Career Agency $ 20,208 $ 664 $ - $ - Senior Market Brokerage 2,391 828 2,391 657 Administrative Services 7,671 6,594 7,671 6,418 Distribution Channel - Career Agency 22,055 184 - - -------- ------- -------- ------- Total $ 52,325 $ 8,270 $ 10,062 $ 7,075 ======== ======= ======== ======= Estimated future net amortization expense (in thousands) for the succeeding five years is as follows: 2003 - Remainder of year $ 2,043 2004 4,000 2005 3,939 2006 3,894 2007 3,861 The carrying amounts of goodwill and intangible assets with indefinite lives as of June 30, 2003 and December 31, 2002, are shown below. 2003 2002 ---------- --------- (In thousands) Career Agency $ 4,867 $ - Senior Market Brokerage 3,893 3,893 Administrative Services 4,080 4,080 -------- ------- Total $ 12,840 $ 7,973 ======== ======= 5. REINSURANCE RECAPTURE Effective April 1, 2003, American Pioneer entered into an agreement to recapture approximately $48 million of Medicare supplement premium that had been reinsured to Transamerica Occidental Life Insurance Company, Reinsurance Division under quota share arrangements. There was no gain or loss reported on the recapture of these agreements. 11 6. EARNINGS PER SHARE The reconciliation of the numerators and the denominators of the basic and diluted EPS is as follows: INCOME SHARES PER SHARE THREE MONTHS ENDED JUNE 30, (NUMERATOR) (DENOMINATOR) AMOUNT --------------------------- ----------- ------------- --------- (In thousands, per share amounts in dollars) 2003 Weighted average common stock outstanding 53,466 Less: Weighted average treasury shares (89) ------ Basic EPS: Net income applicable to common shareholders $ 11,000 53,377 $ 0.21 ======== ======== Effect of Dilutive Securities 1,220 ------ Diluted EPS: Net income applicable to common shareholders plus assumed conversions $ 11,000 54,597 $ 0.20 ======== ====== ======== INCOME SHARES PER SHARE THREE MONTHS ENDED JUNE 30, (NUMERATOR) (DENOMINATOR) AMOUNT --------------------------- ----------- ------------- --------- (In thousands, per share amounts in dollars) 2002 Weighted average common stock outstanding 53,065 Less: Weighted average treasury shares (64) ------ Basic EPS: Net income applicable to common shareholders $ 3,318 53,001 $ 0.06 ======== ======== Effect of Dilutive Securities 1,546 ------ Diluted EPS: Net income applicable to common shareholders plus assumed conversions $ 3,318 54,547 $ 0.06 ======== ====== ======== INCOME SHARES PER SHARE SIX MONTHS ENDED JUNE 30, (NUMERATOR) (DENOMINATOR) AMOUNT ------------------------- ----------- ------------- --------- (In thousands, per share amounts in dollars) 2003 Weighted average common stock outstanding 53,361 Less: Weighted average treasury shares (175) ------ Basic EPS: Net income applicable to common shareholders $ 18,548 53,186 $ 0.35 ======== ======== Effect of Dilutive Securities 1,198 ------ Diluted EPS: Net income applicable to common shareholders plus assumed conversions $ 18,548 54,384 $ 0.34 ======== ====== ======== 12 INCOME SHARES PER SHARE SIX MONTHS ENDED JUNE 30, (NUMERATOR) (DENOMINATOR) AMOUNT ------------------------- ----------- ------------- --------- (In thousands, per share amounts in dollars) 2002 Weighted average common stock outstanding 52,979 Less: Weighted average treasury shares (93) ------ Basic EPS: Net income applicable to common shareholders $ 10,816 52,886 $ 0.20 ======== ======== Effect of Dilutive Securities 1,493 ------ Diluted EPS: Net income applicable to common shareholders plus assumed conversions $ 10,816 54,379 $ 0.20 ======== ====== ======== 7. INVESTMENTS Fixed maturity securities are classified as investments available for sale and are carried at fair value, with the unrealized gain or loss, net of tax and other adjustments (deferred policy acquisition costs), included in accumulated other comprehensive income. GROSS GROSS AMORTIZED UNREALIZED UNREALIZED FAIR CLASSIFICATION COST GAINS LOSSES VALUE - ------------------------------------- ----------- ---------- ---------- ---------- (In thousands) JUNE 30, 2003 US Treasury securities and obligations of US government $ 71,002 $ 2,227 $ - $ 73,229 Corporate debt securities 469,465 47,600 (1,720) 515,345 Foreign debt securities (1) 195,525 21,527 (130) 216,922 Mortgage- and asset-backed securities 259,689 13,787 (1,510) 271,966 ----------- ---------- ---------- ---------- $ 995,681 $ 85,141 $ (3,360) $1,077,462 =========== ========== ========== ========== DECEMBER 31, 2002 US Treasury securities and obligations of US government $ 90,189 $ 1,670 $ (9) $ 91,850 Corporate debt securities 374,087 30,323 (1,667) 402,743 Foreign debt securities (1) 166,689 10,072 (216) 176,545 Mortgage- and asset-backed securities 253,089 12,621 (1,898) 263,812 ----------- ---------- ---------- ---------- $ 884,054 $ 54,686 $ (3,790) $ 934,950 =========== ========== ========== ========== (1) Primarily Canadian dollar denominated bonds owned by our Canadian insurance subsidiary. The amortized cost and fair value of fixed maturities by contractual maturity are shown below. Expected maturities may differ from contractual maturities because borrowers may have the right to call or prepay obligations with or without call or prepayment penalties. JUNE 30, 2003 --------------------------- AMORTIZED FAIR COST VALUE --------- ---------- (In thousands) Due in 1 year or less $ 27,556 $ 27,838 Due after 1 year through 5 years 141,441 150,150 Due after 5 years through 10 years 342,797 383,976 Due after 10 years 224,199 243,532 Mortgage- and asset-backed securities 259,688 271,966 --------- ---------- $ 995,681 $1,077,462 ========= ========== During the six months ended June 30, 2003, the Company wrote down the value of certain fixed maturity securities by $0.2 million. During the six months ended June 30, 2002, the Company wrote down the value of certain fixed maturity securities by $9.1 million (1.0% of investments), primarily as a result of the impairment of our WorldCom holdings, that were subsequently sold in July 2002. These write downs 13 represent management's estimate of other than temporary declines in value and were included in net realized gains on investments in our consolidated statement of operations. 8. COMPREHENSIVE INCOME The components of other comprehensive income and the related tax effects for each component are as follows: THREE MONTHS ENDED JUNE 30, 2003 2002 - ----------------------------------- -------------------------------- ------------------------------ BEFORE TAX NET OF BEFORE TAX NET OF TAX EXPENSE TAX TAX EXPENSE TAX AMOUNT (BENEFIT) AMOUNT AMOUNT (BENEFIT) AMOUNT -------- --------- -------- -------- -------- ------- (In thousands) Net unrealized gain arising during the year (net of deferred acquisition cost adjustment) $ 30,604 $ 10,710 $ 19,894 $ 14,834 $ 5,192 $ 9,642 Less: Reclassification adjustment for losses (gains) included in net income (1,185) (414) (771) 6,600 2,309 4,291 -------- -------- -------- -------- -------- -------- Net unrealized gains 29,419 10,296 19,123 21,434 7,501 13,933 Currency translation adjustments 4,611 1,614 2,997 2,108 731 1,377 -------- -------- -------- -------- -------- -------- Other comprehensive income $ 34,030 $ 11,910 $ 22,120 $ 23,542 $ 8,232 $ 15,310 ======== ======== ======== ======== ======== ======== SIX MONTHS ENDED JUNE 30, 2003 2002 - ----------------------------------- -------------------------------- ------------------------------ BEFORE TAX NET OF BEFORE TAX NET OF TAX EXPENSE TAX TAX EXPENSE TAX AMOUNT (BENEFIT) AMOUNT AMOUNT (BENEFIT) AMOUNT -------- --------- -------- -------- --------- ------- (In thousands) Net unrealized gain arising during the year (net of deferred acquisition cost adjustment) $ 27,522 $ 9,628 $ 17,894 $ 1,391 $ 485 $ 906 Less: Reclassification adjustment for losses (gains) included in net income (1,295) (453) (842) 6,457 2,261 4,196 -------- -------- -------- -------- -------- -------- Net unrealized gains 26,227 9,175 17,052 7,848 2,746 5,102 Currency translation adjustments 7,573 2,651 4,922 2,160 757 1,403 -------- -------- -------- -------- -------- -------- Other comprehensive income $ 33,800 $ 11,826 $ 21,974 $ 10,008 $ 3,503 $ 6,505 ======== ======== ======== ======== ======== ======== 9. STOCKHOLDERS' EQUITY Common Stock The par value of common stock is $.01 per share with 80,000,000 shares authorized for issuance. Changes in the number of shares of common stock issued were as follows: 2003 2002 ---------- ---------- Common stock issued, beginning of year 53,184,381 52,799,899 Stock options exercised 311,750 224,302 Agent stock award 37,368 69,789 Stock purchases pursuant to Agents' Stock Purchase Plan 178,486 21,950 ---------- ---------- Common stock issued, end of period 53,711,985 53,115,940 ========== ========== Treasury Stock The Board of Directors approved a plan to repurchase up to 1 million shares of Company stock in the open market. The primary purpose of the plan is to fund employee stock bonuses. During the three months ended June 30, 2003, the Company acquired 41,988 shares in the open market for a cost of $0.2 million at a weighted average market price of $5.72 per share and distributed 189,635 shares in the form of employee bonuses at a weighted average market price of $5.58 per share, at the date of distribution. 14 During the six months ended June 30, 2003, the Company acquired 104,295 shares in the open market for a cost of $0.7 million at a weighted average market price of $6.70 per share and distributed 103,216 shares in the form of officer and employee bonuses at a weighted average market price of $6.45 per share at the date of distribution. Accumulated Other Comprehensive Income The components of accumulated other comprehensive income are as follows: JUNE 30, DECEMBER 31, 2003 2002 ----------- ------------ (in thousands) Net unrealized appreciation on investments $ 82,136 $ 50,880 Deferred acquisition cost adjustment (7,350) (2,320) Foreign currency translation gains (losses) 5,000 (2,574) Deferred tax on the above (27,925) (16,099) ----------- ------------ Accumulated other comprehensive income $ 51,861 $ 29,887 =========== ============ 10. DEBT REFINANCING Prior Credit Facility As of January 1, 2003, the outstanding balance of the Company's existing loan was $50.8 million. In January 2003, the Company made a scheduled principal payment of $2.8 million, and in March, 2003 made a principal payment of $5.0 million from a portion of the proceeds from the issuance of Trust Preferred securities (see Note 9 - Trust Preferred Securities). These payments reduced the outstanding balance to $42.9 million, which was repaid from the proceeds of the new loan obtained in connection with the acquisition of Pyramid Life. The early extinguishment of the existing debt resulted in the immediate amortization of the capitalized loan origination fees relating to that debt, causing a pre-tax expense of approximately $1.8 million. New Credit Facility In connection with the acquisition of Pyramid Life (see Note 3 - Business Combination), the Company obtained a new credit facility on March 31, 2003 to repay the existing loan and provide funds for the acquisition of Pyramid Life. This $80 million credit facility consists of a $65 million term loan which was drawn to fund the acquisition and a $15 million revolving loan facility none of which has been drawn as of June 30, 2003. The facility calls for interest at the London Interbank Offering Rate for one, two or three months ("LIBOR"), at the option of the Company, plus 300 basis points (currently 4.1%). Due to the variable interest rate for this loan, the Company would be subject to higher interest costs if short-term interest rates rise. Principal repayments are scheduled over a five-year period with a final maturity date of March 31, 2008. The Company incurred loan origination fees of approximately $2.1 million, which were capitalized and will be amortized on a straight-line basis over the life of the loan. The Company pays an annual commitment fee of 50 basis points on the unutilized facility. The obligations of the Company under the new credit facility are secured by 100% of the common stock of the Company's U.S. insurance subsidiaries and 65% of the Company's Canadian subsidiary. In addition, the obligations are guaranteed by CHCS Services Inc. and other direct and indirect subsidiaries of the Company (collectively the "Guarantors") and secured by all of the assets of each of the Guarantors. In accordance with the Credit Agreement, 50% of the net proceeds from the $30 million Trust Preferred securities issued in May 2003 were used to pay down the new term loan. Future scheduled principal payments were reduced as a result of this paydown, primarily in 2006 and 2007. In July 2003, the Company made a regularly scheduled principal payment of $2.0 million, During the six months ended June 30, 2003, the Company paid $0.7 million in interest and fees in connection with the new credit facility and $1.0 million in connection with the prior credit facility. During the six months ended June 30, 2002, the Company paid $0.8 million in connection with the prior credit facility. 15 The following table shows the schedule of remaining principal payments (in thousands) on the Company's new term loan, as of June 30, 2003, with the final payment in March 2008: 2003 - Remainder of year $ 6,094 2004 8,613 2005 9,919 2006 10,262 2007 11,050 2008 4,062 --------- Total $ 50,000 ========= 11. TRUST PREFERRED SECURITIES Separate subsidiary trusts of the Company (the "Trusts") have issued a combined $55.0 million in thirty year trust preferred securities (the "Capital Securities") as detailed in the following table: Maturity Amount Spread Rate as of Date Issued Term Over LIBOR June 30, 2003 - -------------- -------- ------------------ ---------- ------- (In thousands) December, 2032 $ 15,000 Fixed/Floating (2) 400 5.3% March, 2033 10,000 Floating 400 5.3% May, 2033 15,000 Floating 420 5.5% May, 2033 15,000 Fixed/Floating (1) 7.4% -------- $ 55,000 ======== (1) The rate on this issue is fixed at 7.4% for the first five years, after which it is converted to a floating rate equal to LIBOR plus 410 bps. (2) On July 1, 2003, Universal American entered into a swap agreement whereby we will pay a fixed rate of 6.7% in exchange for the floating rate of LIBOR plus 400 bps. The swap contract ends in December 2007. The Trust will have the right to call the Capital Securities at par after five years from the date of issuance. The proceeds from the sale of the Capital Securities, together with proceeds from the sale by the Trust of its common securities to the Company, were invested in thirty year floating rate junior subordinated deferrable interest debentures of the Company (the "Junior Subordinated Debt"). A portion of the proceeds were used to pay down existing debt in connection with the acquisition of Pyramid Life (see Note 3 - Business Combination), with the balance to be held for general corporate purposes. The Capital Securities represent an undivided beneficial interest in the Trust's assets, which consist solely of the Junior Subordinated Debt. Holders of Capital Securities have no voting rights. The Company owns all of the common securities of the Trust. Holders of both the Capital Securities and the Junior Subordinated Debt are entitled to receive cumulative cash distributions accruing from the date of issuance, and payable quarterly in arrears at a floating rate equal to the three-month LIBOR plus a spread. The floating rate resets quarterly and is limited to a maximum of 12.5% during the first sixty months. Due to the variable interest rate for this security the Company would be subject to higher interest costs if short-term interest rates rise. The Capital Securities are subject to mandatory redemption upon repayment of the Junior Subordinated Debt at maturity or upon earlier redemption. The Junior Subordinated Debt is unsecured and ranks junior and subordinate in right of payment to all present and future senior debt of the Company and is effectively subordinated to all existing and future obligations of the Company's subsidiaries. The Company has the right to redeem the Junior Subordinated Debt after five years from the date of issuance. The Company has the right at any time, and from time to time, to defer payments of interest on the Junior Subordinated Debt for a period not exceeding 20 consecutive quarters up to the debentures' maturity date. During any such period, interest will continue to accrue and the Company may not declare or pay any cash dividends or distributions on, or purchase, the Company's capital stock nor make any principal, interest or premium payments on or repurchase any debt securities that rank equally with or junior to the Junior Subordinated Debt. The Company will have the right at any time to dissolve the Trust 16 and cause the Junior Subordinated Debt to be distributed to the holders of the Capital Securities. The Company has guaranteed, on a subordinated basis, all of the Trust's obligations under the Capital Securities including payment of the redemption price and any accumulated and unpaid distributions to the extent of available funds and upon dissolution, winding up or liquidation but only to the extent the Trust has funds available to make such payments. The Capital Securities have not been and will not be registered under the Securities Act of 1933, as amended (the "Securities Act"), and will only be offered and sold under an applicable exemption from registration requirements under the Securities Act. During the six months ended June 30, 2003, the Company paid $0.6 million in interest in connection with the trust preferred securities. 12. STATUTORY CAPITAL AND SURPLUS REQUIREMENTS The insurance subsidiaries are required to maintain minimum amounts of capital and surplus as required by regulatory authorities. Each of the insurance subsidiaries' statutory capital and surplus exceeds its respective minimum requirement. However, substantially more than such minimum amounts are needed to meet statutory and administrative requirements of adequate capital and surplus to support the current level of the Insurance Subsidiaries' operations. At June 30, 2003, the statutory capital and surplus, including asset valuation reserve, of the U.S. insurance subsidiaries totaled $110.5 million. Statutory net income for the six months ended June 30, 2003 was $5.1 million, which included net realized gains of $0.4 million. The National Association of Insurance Commissioners ("NAIC") imposes regulatory risk-based capital ("RBC") requirements on life insurance enterprises. At June 30, 2003 all of the Insurance Subsidiaries maintained ratios of total adjusted capital to RBC in excess of the Authorized Control Level. Penncorp Life (Canada) reports to Canadian regulatory authorities based upon Canadian statutory accounting principles that vary in some respects from U.S. statutory accounting principles. Canadian net assets based upon Canadian statutory accounting principles were C$57.8 million (US$44.4 million) as of June 30, 2003. Penncorp Life (Canada) maintained a Minimum Continuing Capital and Surplus Requirement Ratio ("MCCSR") in excess of the minimum requirement at June 30, 2003. 13. BUSINESS SEGMENT INFORMATION The Company's principal business segments are: Career Agency, Senior Market Brokerage and Administrative Services. The Company also reports the corporate activities of our holding company in a separate segment. A description of these segments follows: CAREER AGENCY -- The Career Agency segment is comprised of the operations of Pennsylvania Life, Penncorp Life (Canada), and, beginning March 31, 2003, Pyramid Life. Pennsylvania Life and Pyramid Life operate in the United States, while Penncorp Life (Canada) operates exclusively in Canada. This segment's products include supplemental senior health insurance, fixed benefit accident and sickness disability insurance, life insurance and annuities and are distributed by career agents under contract with either Pennsylvania Life, Pyramid Life or Penncorp Life (Canada). SENIOR MARKET BROKERAGE -- This segment includes the operations of our other insurance subsidiaries, primarily American Pioneer, American Progressive, Constitution and Union Bankers which distribute senior market products through non-exclusive general agency and brokerage distribution systems. The products include Medicare supplement/select, other senior supplemental health (long term care), senior life insurance and annuities. ADMINISTRATIVE SERVICES -- CHCS Services, Inc. acts as a third party administrator and service provider for both affiliated and unaffiliated insurance companies, primarily with respect to senior market insurance and non-insurance products. The services provided include policy underwriting and issuance, telephone and face-to-face verification, policyholder services, claims adjudication, case management, care assessment and referral to health care facilities. 17 CORPORATE -- This segment reflects the activities of our holding company, including the payment of interest on our debt, certain senior executive compensation, and the expense of being a public company. Intersegment revenues and expenses are reported on a gross basis in each of the operating segments but eliminated in the consolidated results. These intersegment revenues and expenses affect the amounts reported on the individual financial statement line items, but are eliminated in consolidation and do not change operating income before taxes. The significant items eliminated include intersegment revenue and expense relating to services performed by the Administrative Services segment for the Career Agency and Senior Market Brokerage segments and interest on notes issued by the Corporate segment to the other operating segments. Financial results by segment are as follows: THREE MONTHS ENDED JUNE 30, 2003 2002 - ----------------------------- -------------------------- ---------------------------- Segment Segment Income (Loss) Income (Loss) Segment Before Segment Before Revenue Income Taxes Revenue Income Taxes --------- ------------- -------- ------------- (In thousands) Career Agency $ 73,801 $ 9,720 $ 40,024 $ 7,758 Senior Market Brokerage 63,448 5,352 40,167 3,091 Administrative Services 11,499 2,632 10,016 1,800 --------- --------- -------- --------- Subtotal 148,748 17,704 90,207 12,649 Corporate 30 (2,244) 3 (1,576) Intersegment revenues (8,897) - (6,920) - --------- --------- -------- --------- Segment operating total (1) 139,881 15,460 83,290 11,073 Adjustments to segment total Net realized gains (1) 1,185 1,185 (6,600) (6,600) --------- --------- -------- --------- Total $ 141,066 $ 16,645 $ 76,690 $ 4,473 ========= ========= ======== ========= SIX MONTHS ENDED JUNE 30, 2003 2002 - ----------------------------- -------------------------- --------------------------- Segment Segment Income (Loss) Income (Loss) Segment Before Segment Before Revenue Income Taxes Revenue Income Taxes --------- ------------- -------- ------------- (In thousands) Career Agency $ 115,140 $ 19,190 $ 79,788 $ 14,965 Senior Market Brokerage 115,912 8,408 79,843 7,246 Administrative Services 24,308 5,197 19,712 3,676 --------- --------- -------- --------- Subtotal 255,360 32,795 179,343 25,887 Corporate 70 (5,794) 222 (3,332) Intersegment revenues (17,746) - (14,252) - --------- --------- -------- --------- Segment operating total (1) 237,684 27,001 165,313 22,555 Adjustments to segment total Net realized gains (1) 1,295 1,295 (6,457) (6,457) --------- --------- -------- --------- Total $ 238,979 $ 28,296 $158,856 $ 16,098 ========= ========= ======== ========= (1) We evaluate the results of operations of our segments based on operating income by segment. Operating revenue and income excludes realized gains and losses. This differs from generally accepted accounting principles, which includes the effect of realized gains and losses in the determination of total revenue and net income. Management believes that realized gains and losses are not indicative of overall operating trends. The schedule above reconciles our segment revenue to total revenue and operating income to net income in accordance with generally accepted accounting principles. 18 Identifiable assets by segment are as follows: JUNE 30, DECEMBER 31, 2003 2002 ---------- ------------ (In thousands) Career Agency $ 870,182 $ 683,720 Senior Market Brokerage 729,917 707,967 Administrative Services 18,051 19,332 ----------- ---------- Subtotal 1,618,150 1,411,019 Corporate 453,678 375,219 Intersegment assets (1) (417,642) (384,570) ---------- ---------- Total Assets $1,654,186 $1,401,668 ========== ========== (1) Intersegment assets include the elimination of the parent holding company's investment in its subsidiaries as well as the elimination of other intercompany balances. 14. FOREIGN OPERATIONS A portion of the operations of the Company's Career Agency segment is conducted in Canada through Penncorp Life (Canada). These assets and liabilities are located in Canada where the insurance risks are written. Revenues, excluding capital gains, of the Career Agency segment by geographic area are as follows: THREE MONTHS ENDED JUNE 30, SIX MONTHS ENDED JUNE 30, ------------------------------- ------------------------------ 2003 2002 2003 2002 ------------------------------- ------------------------------ (In thousands, in US$'s) (In thousands, in US$'s) Revenues United States $ 57,832 $ 26,134 $ 84,073 $ 52,156 Canada 15,969 13,890 31,067 27,632 --------- --------- --------- --------- Total $ 73,801 $ 40,024 $ 115,140 $ 79,788 ========= ========= ========= ========= Total assets and liabilities of Penncorp Life (Canada), which are located entirely in Canada, are as follows: JUNE 30, DECEMBER 31, 2003 2002 ---------- ------------ (In thousands, in US$'s) Assets $ 215,199 $ 175,365 ========== =========== Liabilities $ 150,697 $ 124,843 ========== =========== 15. SUBSEQUENT EVENT Effective July 1, 2003, Universal American entered into an agreement with Swiss Re and its newly acquired subsidiary, Guarantee Reserve Life Insurance Company ("Guarantee Reserve"), to acquire Guarantee Reserve's marketing organization (including all rights to do business with its field force), to reinsure all future life insurance business on a 50% quota share basis and to reinsure a portion of the existing accident and health business. In addition, Universal American will perform the administration of this business, beginning July 1, 2003. 19 ITEM 2. - MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS FORWARD LOOKING STATEMENTS Certain statements in this report or incorporated by reference into this report and oral statements made from time to time by our representatives constitute "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are statements not based on historical information. They relate to future operations, strategies, financial results or other developments. In particular, statements using verbs such as "expect," "anticipate," "believe" or similar words generally involve forward-looking statements. Forward-looking statements include statements about development and distribution of our products, investment spreads or yields, the impact of proposed or completed acquisitions, the adequacy of reserves or the earnings or profitability of our activities. Forward-looking statements are based upon estimates and assumptions that are subject to significant business, economic and competitive uncertainties, many of which are beyond our control and are subject to change. These uncertainties can affect actual results and could cause actual results to differ materially from those expressed in any forward-looking statements. Whether or not actual results differ materially from forward-looking statements may depend on numerous foreseeable and unforeseeable risks and uncertainties, some of which relate particularly to our business, such as our ability to set adequate premium rates and maintain adequate reserves, our ability to compete effectively and our ability to grow our business through internal growth as well as through acquisitions. Other risks and uncertainties may be related to the insurance industry generally or the overall economy, such as regulatory developments, industry consolidation and general economic conditions and interest rates. We disclaim any obligation to update forward-looking statements. INTRODUCTION The following discussion and analysis presents a review of Universal American and its subsidiaries as of June 30, 2003 and December 31, 2002 and its results of operations for the three months and six months ended June 30, 2003 and 2002. This Management's Discussion and Analysis of Financial Condition and Results of Operation should be read in conjunction with the consolidated financial statements as well as the MD&A included in the Company's 2002 Annual Report on Form 10-K. We own ten insurance companies (collectively, the "Insurance Subsidiaries"): American Progressive Life & Health Insurance Company of New York ("American Progressive"), American Pioneer Life Insurance Company ("American Pioneer"), American Exchange Life Insurance Company ("American Exchange"), Constitution Life Insurance Company ("Constitution"), Marquette National Life Insurance Company ("Marquette"), Peninsular Life Insurance Company ("Peninsular"), Pennsylvania Life Insurance Company ("Pennsylvania Life"), Penncorp Life Insurance Company ("Penncorp Life (Canada)"), Pyramid Life Insurance Company ("Pyramid Life") and Union Bankers Insurance Company ("Union Bankers"). Collectively, the insurance company subsidiaries are licensed to sell life and accident and health insurance in all fifty states, the District of Columbia and all the provinces of Canada. In addition to the Insurance Subsidiaries, we own a third party administrator, CHCS Services, Inc., that administers senior market business for more than 40 unaffiliated insurance companies, and also administers such business for our own companies. Pyramid Life was acquired on March 31, 2003 and its operating results prior to the date of acquisition are not included in Universal American's consolidated results of operations. OVERVIEW Our principal business segments are: Career Agency, Senior Market Brokerage and Administrative Services. We also report the corporate activities of our holding company in a separate segment. A description of these segments follows: CAREER AGENCY -- The Career Agency segment is comprised of the operations of Pennsylvania Life, Penncorp Life (Canada), and, beginning March 31, 2003, Pyramid Life.. Pennsylvania Life and Pyramid Life operate in the United States, while Penncorp Life (Canada) operates exclusively in Canada. This segment's products include supplemental senior health insurance, fixed benefit accident and sickness disability insurance, life insurance, and annuities and are distributed by career agents who are under contract with Pennsylvania Life, Pyramid Life or Penncorp Life (Canada). 20 SENIOR MARKET BROKERAGE -- This segment includes the operations of our other insurance subsidiaries, primarily American Pioneer, American Progressive, Constitution and Union Bankers that distribute senior market products through non-exclusive general agency and brokerage distribution systems. The products include Medicare supplement/select, other senior supplemental health (long term care), senior life insurance and annuities. ADMINISTRATIVE SERVICES -- CHCS Services, Inc. acts as a third party administrator and service provider for both affiliated and unaffiliated insurance companies, primarily with respect to senior market insurance and non-insurance products. The services provided include policy underwriting and issuance, telephone and face-to-face verification, policyholder services, claims adjudication, case management, care assessment and referral to health care facilities. CORPORATE -- This segment reflects the activities of our holding company, including the payment of interest on our debt, certain senior executive compensation, and the expense of being a public company. Intersegment revenues and expenses are reported on a gross basis in each of the operating segments. These intersegment revenue and expenses affect the amounts reported on the individual financial statement line items, but are eliminated in consolidation and do not change operating income before taxes. The significant items eliminated include intersegment revenue and expense relating to services performed by the Administrative Services segment for the Career Agency and Senior Market Brokerage segments and interest on notes issued by the Corporate segment to the other operating segments. CRITICAL ACCOUNTING POLICIES Our consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States ("GAAP"). The preparation of our financial statements in conformity with GAAP requires us to make estimates and assumptions that affect the amounts of assets and liabilities and disclosures of assets and liabilities reported by us at the date of the financial statements and the revenues and expenses reported during the reporting period. As additional information becomes available or actual amounts become determinable, the recorded estimates may be revised and reflected in operating results. Actual results could differ from those estimates. Accounts that, in our judgment, are most critical to the preparation of our financial statements include policy liabilities and accruals, deferred policy acquisition costs, valuation of certain investments, intangible assets and deferred taxes. There have been no changes in our critical accounting policies during 2003. Refer to "Critical Accounting Policies" in the Company's 2002 Annual Report on Form 10-K for information on accounting policies that the Company considers critical in preparing its consolidated financial statements. SIGNIFICANT TRANSACTIONS Acquisition of Marketing Organization Effective July 1, 2003, Universal American entered into an agreement with Swiss Re and its newly acquired subsidiary, Guarantee Reserve Life Insurance Company ("Guarantee Reserve"), to acquire Guarantee Reserve's marketing organization (including all rights to do business with its field force), to reinsure all future life insurance business on a 50% quota share basis and to reinsure a portion of the existing accident and health business. In addition, Universal American will perform the administration of this business, beginning July 1, 2003. Reinsurance Recapture Effective April 1, 2003, American Pioneer entered into an agreement to recapture approximately $48 million of Medicare supplement premium that had been reinsured to Transamerica Occidental Life Insurance Company, Reinsurance Division ("TARe") under quota share arrangements. There was no gain or loss reported on the recapture of these agreements. 21 Pyramid Life Acquisition On March 31, 2003, Universal American acquired all of the outstanding common stock of Pyramid Life. Pyramid Life specializes in selling health and life insurance products to the senior market, including Medicare supplement, long term care, life insurance, and annuities. Pyramid Life markets its products in 26 states through a career agency sales force of over 1,100 agents operating out of 33 Senior Solutions Sales Centers. As of the closing, Pyramid Life had approximately $120 million of premium in force. In the Pyramid Life acquisition the Company acquired a block of in-force business that the Company believes will be profitable, as well as a career sales force that is skilled in selling the same type of senior market insurance products that are currently sold by Universal American. During 2002, Pyramid Life agents produced more than $25 million of annualized new sales. We believe this acquisition will add further scale and efficiencies to our operations in the senior market. Following a transition period that we estimate will take one year, the Pyramid Life business will be administered in our cost-effective and efficient service center. Operating results generated by Pyramid Life prior to the date of acquisition are not included in Universal American's consolidated financial statements. Refer to Consolidated Financial Statements Note 3 - Business Combinations for additional information on the acquisition. Debt Refinancing In connection with the acquisition of Pyramid Life (see Consolidated Financial Statements Note 3 - Business Combination), the Company refinanced its existing credit facility. On March 31, 2003, the Company entered into an $80 million credit facility consisting of a $65 million term loan and a $15 million revolving loan facility. None of the revolving loan facility was drawn as of June 30, 2003 (Refer to Consolidated Financial Statement Note 8 - Debt Refinancing). The Company used the proceeds from the new term loan to repay the balance outstanding on its existing term loan. The early extinguishment of the existing debt resulted in the immediate amortization of the capitalized loan origination fees relating to that debt, resulting in a pre-tax expense of approximately $1.8 million. In June 2003 a portion ($15.0 million) of the proceeds from Trust preferred issuances were used to reduce the balance of the term loan to $50.0 million. Trust Preferred Issuances During the six months ended June 30, 2003, the Company issued $40.0 million of fixed and floating rate trust preferred securities through subsidiary trusts, bringing the total outstanding to $55.0 million. These securities have terms similar to those issued in December 2002. A portion of the proceeds was used to repay our existing debt and the balance was retained at the parent company for general corporate purposes (for more detailed information, see Consolidated Financial Statements Note 9 - Trust Preferred Securities). Acquisition of Block of Business In November 2002 we entered into an agreement with Nationwide Life Insurance Company ("Nationwide") to acquire, through a 100% quota share reinsurance agreement, Nationwide's individual Medicare supplement policies representing approximately $20.0 million of annualized premium in force. In connection with this transaction, administration of the business was transferred to CHCS Services, Inc. 22 RESULTS OF OPERATIONS - CONSOLIDATED OVERVIEW The following table reflects each of our segments' operating income(1) and contains a reconciliation to reported net income: THREE MONTHS ENDED SIX MONTHS ENDED JUNE 30, JUNE 30, ---------------------------- -------------------------------- 2003 2002 2003 2002 ------------ ------------ --------------- ------------- (In thousands) Operating Income (1): Career Agency $ 9,720 $ 7,758 $ 19,190 $ 14,965 Senior Market Brokerage 5,352 3,091 8,408 7,246 Administrative Services 2,632 1,800 5,197 3,676 ------------ ------------ --------------- ------------- Segment operating income 17,704 12,649 32,795 25,887 Corporate & Eliminations (2,244) (1,576) (4,028) (3,332) ------------ ------------ --------------- ------------- Pro forma operating income before income taxes (1) 15,460 11,073 28,767 22,555 Income taxes (2) (5,231) (3,465) (9,913) (7,542) ------------ ------------ --------------- ------------- Pro forma net operating income (1) 10,229 7,608 18,854 15,013 Non-recurring items: Early extinguishment of debt - - (1,766) - Income taxes on non-recurring items - - 619 - ------------ ------------ --------------- ------------- Net non-recurring items - - (1,147) - ------------ ------------ --------------- ------------- Net Operating income 10,229 7,608 17,707 15,013 Realized gains (losses) on investments 1,185 (6,600) 1,295 (6,457) Income taxes on realized gains (losses) (414) 2,310 (454) 2,260 ------------ ------------ --------------- ------------- Net realized gains (losses) (3) 771 (4,290) 841 (4,197) ------------ ------------ --------------- ------------- Net income $ 11,000 $ 3,318 $ 18,548 $ 10,816 ============ ============ =============== ============= Per share data (diluted): Pro forma net operating income (1) $ 0.19 $ 0.14 $ 0.35 $ 0.28 Non-recurring items - - (0.02) - Realized gains, net of tax (3) 0.01 (0.08) 0.01 (0.08) ------------ ------------ --------------- ------------- Net income $ 0.20 $ 0.06 $ 0.34 $ 0.20 ============ ============ =============== ============= (1) We describe our income as follows: "Reported net income" is income based on generally accepted accounting principles. "Net operating income" excludes realized gains (losses). "Pro forma operating income" also excludes items that are non-recurring and, in the opinion of management, are not indicative of overall operating trends. The table above reconciles Pro forma operating income and Net operating income to Reported net income in accordance with generally accepted accounting principles. (2) The effective tax rates were 33.9% and 25.8% for the quarters ended June 30, 2003 and 2002, respectively and 34.5% and 32.8% for the six months ended June 30, 2003 and 2002, respectively. (3) Tax on realized capital gains (losses) and other non-recurring items is based on a 35.0% effective tax rate for all periods. 23 Three months ended June 30, 2003 and 2002 Net income for the second quarter of 2003 increased by $7.7 million to $11.0 million compared to the second quarter months of 2002. During the second quarter of 2003, we recognized realized gains of $1.2 million compared to realized losses of $6.6 million in 2002. The difference in realized gains, net of tax, represents $5.1 million of the $7.7 million increase noted above. The losses in 2002 were primarily as a result of the impairment of our WorldCom holdings. Pro forma net operating income, excluding realized gains, was $10.2 million, or $0.19 per share for the second quarter of 2003, representing increases of 34% and 36%, respectively, over the 2002 second quarter results of $7.6 million, or $0.14 per share. Pre-tax operating results for the Career Agency segment improved by $2.0 million, or 24%, to $9.7 million in the second quarter of 2003 compared to the second quarter of 2002, primarily as a result of the acquisition of Pyramid. Operating results for the Senior Market Brokerage segment increased by $2.3 million, or 73%, to $5.4 million compared to the second quarter of 2002, primarily as a result of improved loss ratios for our Medicare supplement business. Operating income for the Administrative Services segment improved by $0.8 million, or 46%, compared to the second quarter of 2002. This improvement is primarily a result of growth in premiums managed and the scheduled reduction in the amortization of the present value of future profits ("PVFP"). Earnings before interest, taxes, depreciation and amortization ("EBITDA") for this segment increased $0.6 million, or 25%, compared to the second quarter of 2002. The operating loss from the Corporate segment increased by $0.7 million, or 43%, compared to the second quarter of 2002, due primarily to the increase in financing costs. In connection with the acquisition of Pyramid, we refinanced our debt and we issued trust preferred securities. Our combined outstanding debt was $105 million at June 30, 2003 compared to $56 million at June 30, 2002. See Liquidity section for additional details. Six months ended June 30, 2003 and 2002 Net income for the first six months of 2003 increased by $7.7 million to $18.5 million compared to the first six months of 2002. During the six months ended June 30, 2003, we recognized realized gains of $1.3 million compared to realized losses of $6.5 million in 2002. The difference in realized gains, net of tax, represents $5.0 million of the $7.7 million increase noted above. The losses in 2002 were primarily a result of the impairment of our WorldCom holdings. In connection with the acquisition of Pyramid Life, we refinanced our credit facility. As a result of the repayment of our existing debt, we were required to write off the unamortized portion of the fees we incurred for that debt. This resulted in a non-cash charge of $1.8 million (the "financing charge"). Pro forma net operating income, excluding realized gains and excluding the financing charge, was $18.9 million, or $0.35 per share for the first six months of 2003, representing increases of 26% and 25%, respectively, over the 2002 six month results of $15.0 million, or $0.28 per share. Pre-tax operating results for the Career Agency segment improved by $4.2 million, or 28%, to $19.2 million in the first six months of 2003 compared to the first six months of 2002, primarily as a result of the acquisition of Pyramid, as well as the improvement in loss ratios from our Canadian business. 24 The Senior Market Brokerage segment improved its operating results by $1.2 million, or 16%, to $8.4 million compared to the first six months of 2002. This improvement is the result of the increase in our net retained business and improvement in our Medicare supplement/select loss ratios. However, this was partially offset by an increase in claims, during the first quarter of 2003 relating to the discontinued block of Florida home health care policies. Operating income for the Administrative Services segment improved by $1.5 million, or 41%, compared to the first six months of 2002. This improvement is primarily a result of growth in premiums managed, the increase in fees for underwriting of long term care policies for third party clients and the scheduled reduction in the amortization of the PVFP. EBITDA for this segment increased $1.1 million, or 22%, compared to the first six months of 2002. The operating loss from the Corporate segment increased by $0.7 million, or 21%, compared to the first six months of 2002, due primarily to the increase in financing costs and the financing charge associated with the refinancing of our debt. SEGMENT RESULTS - CAREER AGENCY THREE MONTHS ENDED SIX MONTHS ENDED JUNE 30, JUNE 30, ----------------------------- ---------------------------- 2003 2002 2003 2002 ------------ ------------ ------------ ------------ (In thousands) Net premiums and policyholder fees: Life and annuity $ 8,254 $ 3,589 $ 12,123 $ 7,334 Accident & health 55,870 27,923 84,699 55,718 ------------ ------------ ------------ ------------ Net premiums 64,124 31,512 96,822 63,052 Net investment income 9,589 8,343 18,116 16,487 Other income 88 169 202 249 ------------ ------------ ------------ ------------ Total revenue 73,801 40,024 115,140 79,788 ------------ ------------ ------------ ------------ Policyholder benefits 43,899 19,912 63,409 40,094 Interest credited to policyholders 1,318 671 2,381 1,307 Change in deferred acquisition costs (6,114) (3,781) (10,734) (7,008) Amortization of present value of future profits 848 - 848 - Commissions and general expenses, net of allowances 24,130 15,464 40,046 30,430 ------------ ------------ ------------ ------------ Total benefits, claims and other deductions 64,081 32,266 95,950 64,823 ------------ ------------ ------------ ------------ Segment operating income $ 9,720 $ 7,758 $ 19,190 $ 14,965 ============ ============ ============ ============ Three months ended June 30, 2003 and 2002 Pre-tax operating results for the Career Agency segment improved by $2.0 million, or 24%, to $9.7 million in the second quarter of 2003 compared to the second quarter of 2002, primarily as a result of the acquisition of Pyramid Life. REVENUES. Net premiums for the quarter increased by $32.6 million, or 104%, to $64.1 million for the segment compared to the second quarter of 2002. Pyramid Life added $31.7 million during the current quarter. Canadian premiums accounted for approximately 21% of the net premiums of this segment for the second quarter of 2003 and 35% of the net premiums for the second quarter of 2002. Net Canadian premiums increased approximately $1.6 million, however, the percentage of Canadian premiums dropped as a result of the premiums added from the Pyramid Life business. The Career agents also sold $15.7 million of fixed annuities during the second quarter of 2003, compared to $5.5 million in 2002. Annuity deposits are not reported as premiums for GAAP. Net investment income increased by approximately $1.2 million, or 15%, compared to the second quarter of 2002. The increase is due to an increase in the segment's invested assets from the acquisition of Pyramid Life, as well as the increase in the sale of annuities, offset by a decrease in overall investment yields. BENEFITS, CLAIMS AND OTHER DEDUCTIONS. Policyholder benefits, including the change in 25 reserves, increased by $24.0 million compared to the second quarter of 2002. Pyramid Life added $22.9 million during the current quarter. The balance of the increase relates to an increase in the loss ratios for the U.S. disability business. Interest credited increased by $0.6 million, due to the increase in annuity balances as a result of the continued strong sales. The increase in deferred acquisition costs was approximately $2.3 million more in the second quarter of 2003, compared to the increase in the second quarter of 2002. This is directly related to the increase in the new business added by Pyramid Life, as well as continued strong sales of annuities generated by the segment during 2003. The amortization expense relates to the intangibles acquired in the Pyramid Life transaction. Commissions and general expenses increased by approximately $8.7 million, or 56%, in the second quarter of 2003 compared to 2002. The increase relates primarily the Pyramid Life business. Six months ended June 30, 2003 and 2002 Pre-tax operating results for the Career Agency segment improved by $4.2 million, or 28%, to $19.2 million in the first six months of 2003 compared to the first six months of 2002, primarily as a result of the acquisition of Pyramid Life, as well as improvement in loss ratios from our Canadian business. REVENUES. Net premiums for the period increased by approximately $33.8 million, or 54%, for the segment compared to the first six months of 2002, primarily as a result of the premiums from the Pyramid Life business. Canadian premiums accounted for approximately 28% of the net premiums of this segment for the first six months of 2003 and 35% of the net premiums for the first six months of 2002. Net Canadian premiums increased approximately $2.7 million, however, the percentage of Canadian premiums dropped as a result of the premiums added from the Pyramid Life business. The Career agents also sold $32.2 million of fixed annuities during the first six months of 2003, compared to $10.0 million in 2002. Annuity deposits are not reported as premiums for GAAP. Net investment income increased by approximately $1.6 million, or 10%, compared to the first six months of 2002. The increase is due to an increase in the segment's invested assets from the acquisition of Pyramid Life, as well as the increase in the sale of annuities, offset by a decrease in overall investment yields. BENEFITS, CLAIMS AND OTHER DEDUCTIONS. Policyholder benefits, including the change in reserves, increased by $23.3 million, or 58% compared to the first six months of 2002. The increase relates primarily to the Pyramid Life business added in 2003. Interest credited increased by $1.1 million, due to the increase in annuity balances as a result of the continued strong sales. The increase in deferred acquisition costs was approximately $3.7 million more in the first six months of 2003, compared to the increase in the first six months of 2002. This is directly related to the increase in the new business added by Pyramid Life, as well as continued strong sales of annuities generated by the segment during 2003. Commissions and general expenses increased by approximately $9.6 million, or 32%, in the first six months of 2003 compared to 2002. The increase relates primarily to the Pyramid Life business, as well as the increase in new business. 26 SEGMENT RESULTS - SENIOR MARKET BROKERAGE THREE MONTHS ENDED SIX MONTHS ENDED JUNE 30, JUNE 30, ----------------------------- ---------------------------- 2003 2002 2003 2002 ------------ ------------ ------------ ------------ (In thousands) Net premiums and policyholder fees: Life and annuity $ 5,004 $ 4,936 $ 9,249 $ 9,538 Accident & health 52,482 29,203 94,725 57,973 ------------ ------------ ------------ ------------ Net premiums 57,486 34,139 103,974 67,511 Net investment income 5,866 5,980 11,773 12,107 Other income 96 48 165 225 ------------ ------------ ------------ ------------ Total revenue 63,448 40,167 115,912 79,843 ------------ ------------ ------------ ------------ Policyholder benefits 42,571 26,689 78,867 51,723 Interest credited to policyholders 2,105 1,935 4,174 3,906 Change in deferred acquisition costs (4,943) (3,143) (8,574) (5,848) Amortization of present value of future profits 138 32 171 75 Commissions and general expenses, net of allowances 18,225 11,563 32,866 22,741 ------------ ------------ ------------ ------------ Total benefits, claims and other deductions 58,096 37,076 107,504 72,597 ------------ ------------ ------------ ------------ Segment operating income $ 5,352 $ 3,091 $ 8,408 $ 7,246 ============ ============ ============ ============ The table below details the gross premiums and policyholder fees before reinsurance for the major product lines in the Senior Market Brokerage segment and the corresponding average amount of premium retained. We reinsure a substantial portion of all of our Senior Market Brokerage products to unaffiliated third party reinsurers under various quota share agreements. Medicare supplement/select written premium is reinsured under quota share reinsurance agreements ranging between 25% and 75% based upon the geographic distribution. We have also acquired various blocks of Medicare supplement premium, which we reinsure under quota share reinsurance agreements ranging from 50% to 100%. Under our reinsurance agreements, we reinsure the claims incurred and commissions on a pro rata basis and receive additional expense allowances for policy issue, administration and premium taxes. In 2002 and 2003, we increased our retention on Medicare supplement new business, causing the percentage of net retained premium to increase as seen below. Additionally, the recapture of the TARe treaties, effective April 1, 2003, increased the net retained premium. THREE MONTHS ENDED JUNE 30, ---------------------------------------------------------------- 2003 2002 GROSS NET GROSS NET PREMIUMS RETAINED PREMIUMS RETAINED -------------- ----------- ----------- ------------ (In thousands) Medicare supplement acquired $ 42,649 41% $ 35,870 4% Medicare supplement/select written 63,415 47% 59,930 38% Other senior supplemental health 6,769 60% 6,328 59% Other health 3,024 41% 3,619 45% Senior life insurance 3,478 70% 3,275 73% Other life 3,363 65% 3,199 69% -------------- ----------- Total gross premiums $ 122,698 47% $ 112,223 30% ============== =========== 27 SIX MONTHS ENDED JUNE 30, ---------------------------------------------------------------- 2003 2002 GROSS NET GROSS NET PREMIUMS RETAINED PREMIUMS RETAINED -------------- ----------- ----------- ------------ (In thousands) Medicare supplement acquired $ 87,670 33% $ 75,310 6% Medicare supplement/select written 130,000 43% 120,058 36% Other senior supplemental health 13,263 60% 12,415 60% Other health 5,728 43% 7,069 48% Senior life insurance 6,070 65% 5,552 71% Other life 6,864 77% 7,225 76% -------------- ----------- Total gross premiums $ 249,595 42% $ 227,629 30% ============== =========== Three months ended June 30, 2003 and 2002 Operating results for the Senior Market Brokerage segment increased by $2.3 million, or 73%, to $5.4 million compared to the second quarter of 2002. REVENUES. Gross premium written for the Senior Market portfolio products have increased $10.5 million, or 9%, over the second quarter of 2002. The increase in gross premium includes a $3.5 million, or 6%, increase in Medicare supplement/select written, as a result of continued new sales, rate increases and better than assumed persistency. Medicare supplement acquired increased by $6.8 million, or 19%, due primarily to the premiums from the Nationwide block of business acquired in November 2002. These increases are offset by a decrease of $0.6 million in other health premium, primarily as a result of anticipated lapsation. Net premiums for the second quarter of 2003 increased by approximately $23.3 million, or 68%, to $57.5 million compared to 2002. Net premiums grew faster than gross premiums as a result of the recapture of the TARe treaties, the acquisition of the Nationwide business, and our decision to reinsure less premium and retain more risk. As a result, the net amount of premium retained increased from 30% in 2002 to 47% in 2003. Net investment income decreased by $0.1 million compared to the second quarter of 2002. Although we increased the segment's invested assets, net investment income decreased due to an overall decline in reinvestment yields. BENEFITS, CLAIMS AND OTHER DEDUCTIONS. Policyholder benefits, including the change in reserves, increased by approximately $15.9 million, or 60%, to $42.6 million compared to the second quarter of 2002. The increase is due primarily to the increase in our net retained business as a result of the recapture of the TARe treaties, our acquisition of the Nationwide block of business and the increase in our net retained premium. However, during the second quarter of 2003, loss ratios on our Medicare supplement business improved from 71.9% in the second quarter of 2002 to 70.0% in the second quarter of 2003. In addition, we continued to see improvement in the results of the discontinued Florida home healthcare block of business. Interest credited increased by $0.2 million due to the increase in annuity balances as a result of strong sales of annuities. The increase in deferred acquisition costs in the second quarter of 2003 was approximately $1.8 million more than in the second quarter of 2002. The increase relates primarily to our higher retention on new business. 28 Commissions and other operating expenses increased by approximately $6.7 million, or 58%, in the second quarter of 2003 compared to 2002. The following table details the components of commission and other operating expenses: THREE MONTHS ENDED JUNE 30, 2003 2002 --------------------------- ------------------- ----------------- (In thousands) Commissions $ 20,641 $ 20,355 Other operating costs 14,824 15,159 Reinsurance allowances (17,240) (23,951) ------------------- ----------------- Commissions and general expenses, net of allowances $ 18,225 $ 11,563 =================== ================= The ratio of commissions to gross premiums decreased to 16.8% during the second quarter of 2003, from 18.1% in 2002, as a result of the growth in the inforce renewal premium from better persistency and rate increases. Other operating costs as a percentage of gross premiums decreased to 12.1% during the second quarter of 2003 compared to 13.5% in 2002. Commission and expense allowances received from reinsurers as a percentage of the premiums ceded also decreased to 26.4% during the second quarter of 2003 compared to 30.6% in 2002, primarily due to the reduction in new business ceded, the recapture of the TARe treaties, and the affects of normal lower commission allowances on a growing base of renewal ceded business. Six months ended June 30, 2003 and 2002 The Senior Market Brokerage segment improved its operating results by $1.2 million, or 16%, to $8.4 million compared to the first six months of 2002. This improvement is the result of the increase in our net retained business and improvement in our Medicare supplement/select loss ratios. However, this was partially offset by an increase in claims, during the first quarter of 2003, compared to the first quarter of 2002, relating to the discontinued block of Florida home health care policies. REVENUES. Gross premium written increased $22.0 million, or 10%, to $250.0 million over the first six months of 2002. The increase in gross premium written over the first six months of 2002 was primarily due to an 8%, or $9.9 million increase, on Medicare supplement/select business written by the Insurance Subsidiaries as a result of continued new sales, rate increases and better than assumed persistency. The increase was partially offset by excess lapsation of a block of Connecticut Medicare supplement business in the first quarter of 2003. Medicare supplement acquired premiums increased by $12.4 million, or 16%, due primarily to the premiums from the Nationwide block of business assumed, beginning in November 2002. We also experienced a 7%, or $0.8 million, increase in other senior supplemental health premium and a 9%, or $0.5 million, increase in senior life insurance premium. These increases are offset by a decrease of $1.3 million in other health premium, primarily as a result of anticipated lapsation. Net premiums for the first six months of 2003 increased by approximately $36.5 million, or 54%, compared to 2002. Net premiums grew faster than gross premiums as a result of the recapture of the TARe treaties, the acquisition of the Nationwide business, and our decision to reinsure less premium and retain more risk. As a result, the net amount of premium retained increased from 30% in 2002 to 42% in 2003. Net investment income decreased by $0.3 million compared to the first six months of 2002. Although we increased the segment's invested assets, net investment income decreased due to an overall decline in reinvestment yields. BENEFITS, CLAIMS AND OTHER DEDUCTIONS. Policyholder benefits, including the change in reserves, increased by approximately $27.1 million, or 52%, compared to the first six months of 2002. The increase is due primarily to the increase in our net retained business as a result of the recapture of the TARe treaties, our acquisition of the Nationwide block of business and the increase in our net retained premium. Additionally, we experienced an increase in losses on the discontinued Florida home healthcare 29 block of business over the first six months of 2002, as well as favorable experience and reserve development on certain runoff blocks of business in the first quarter of 2002 that did not repeat in 2003. However, during the first six months of 2003, loss ratios on our Medicare supplement business improved from 73.6% in the first six months of 2002 to 71.3% in 2003. Interest credited to policyholders increased by $0.3 million due the increase in annuity balances as a result of strong sales of annuities. The increase in deferred acquisition costs was approximately $2.7 million more in the first six months of 2003, compared to the increase in the first six months of 2002. The increase relates primarily to our higher retention on new business and was offset by the accelerated amortization of the deferred costs relating to the excess lapsation on the block of Connecticut Medicare supplement policies. Commissions and other operating expenses increased by approximately $10.1 million, or 45%, in the first six months of 2003 compared to 2002. The following table details the components of commission and other operating expenses: SIX MONTHS ENDED JUNE 30, 2003 2002 ------------------------- ------------------- ----------------- (In thousands) Commissions $ 41,546 $ 40,580 Other operating costs 30,298 30,211 Reinsurance allowances (38,978) (48,050) ------------------- ----------------- Commissions and general expenses, net of allowances $ 32,866 $ 22,741 =================== ================= The ratio of commissions to gross premiums decreased to 16.6% during the first six months of 2003, from 17.8% in 2002, as a result of the growth in the inforce renewal premium from better persistency and rate increases. Other operating costs as a percentage of gross premiums decreased to 12.1% during the first six months of 2003 compared to 13.3% in 2002. Commission and expense allowances received from reinsurers as a percentage of the premiums ceded also decreased to 26.8% during the first six months of 2003 compared to 30.0% in 2002, primarily due to the reduction in new business ceded, the recapture of the TARe treaties, and the affects of normal lower commission allowances on a growing base of renewal ceded business. SEGMENT RESULTS - ADMINISTRATIVE SERVICES THREE MONTHS SIX MONTHS ENDED JUNE 30, ENDED JUNE 30, -------------------------- -------------------------- 2003 2002 2003 2002 ----------- ----------- ----------- ----------- (In thousands) Service fee and other income $ 11,471 $ 9,907 $ 24,277 $ 19,474 Net investment income 28 109 31 238 ----------- ----------- ----------- ----------- Total revenue 11,499 10,016 24,308 19,712 ----------- ----------- ----------- ----------- Amortization of present value of future profits 87 378 175 757 General expenses 8,780 7,838 18,936 15,279 ----------- ----------- ----------- ----------- Total expenses 8,867 8,216 19,111 16,036 ----------- ----------- ----------- ----------- Segment operating income 2,632 1,800 5,197 3,676 Depreciation, amortization and interest 497 698 958 1,387 ----------- ----------- ----------- ----------- Earnings before interest, taxes, depreciation and amortization (1) $ 3,129 $ 2,498 $ 6,155 $ 5,063 =========== =========== =========== =========== (1) In addition to segment operating income, we also evaluate the results of our Administrative Services segment based on earnings before interest, taxes, depreciation and amortization ("EBITDA"), which is not in accordance with generally accepted accounting principles. Three months ended June 30, 2003 and 2002 Operating income for the Administrative Services segment improved by $0.8 million, or 46%, compared to the second quarter of 2002. This improvement is primarily a result of growth in premiums 30 managed and the scheduled reduction in the amortization of the present value of future profits ("PVFP"). Earnings before interest, taxes, depreciation and amortization ("EBITDA") for this segment increased $0.6 million, or 25%, compared to the second quarter of 2002. The following table details the service fee revenue earned by our Administrative Services segment: THREE MONTHS ENDED SIX MONTHS ENDED JUNE 30, JUNE 30, ---------------------------- --------------------------- 2003 2002 2003 2002 ------------ ------------ ------------ ----------- (In thousands) Affiliated Fee Revenue Medicare supplement $ 5,723 $ 4,289 $ 11,637 $ 8,423 Long term care 647 630 1,319 1,238 Other health insurance 88 20 169 46 Life insurance 196 95 388 190 ------------ ------------ ------------ ----------- Total Affiliated Revenue 6,654 5,034 13,513 9,897 ------------ ------------ ------------ ----------- Unaffiliated Fee Revenue Medicare supplement 2,220 2,232 4,406 4,574 Long term care 1,626 1,861 4,366 3,386 Other health insurance 35 111 73 235 Non-insurance products 450 284 726 659 Non-insurance assistance 486 385 1,193 723 ------------ ------------ ------------ ----------- Total Unaffiliated Revenue 4,817 4,873 10,764 9,577 ------------ ------------ ------------ ----------- Total Administrative Service Revenue $ 11,471 $ 9,907 $ 24,277 $ 19,474 ============ ============ ============ =========== Administrative Service fee revenue increased by $1.6 million, or 16%, as compared to the second quarter of 2002. Affiliated service fee revenue increased by $1.6 million compared to the second quarter of 2002 as a result of the increase in Medicare supplement business in force at our insurance subsidiaries. General expenses for the segment increased by $0.9 million, or 12%, due primarily to the increase in business. The amortization of PVFP relates primarily to the acquisition of American Insurance Administration Group, Inc. ("AIAG"). The PVFP was established when AIAG was acquired in January 2000 and is being amortized in proportion to the expected profits from the contracts in force on the date of acquisition. During the second quarter of 2003, the scheduled amortization was approximately $0.3 million lower than the second quarter of 2002. Six months ended June 30, 2003 and 2002 Operating income for the Administrative Services segment improved by $1.5 million, or 41%, compared to the first six months of 2002. This improvement is primarily a result of the growth in premiums managed, the fees for underwriting long term care policies for third party clients, including the underwriting work we performed for the consortium that is offering long term care to employees of the federal government and their families, and the scheduled reduction in the amortization of the PVFP. EBITDA for this segment increased $1.1 million, or 22%, compared to the first six months of 2002. Administrative Service fee revenue increased by $4.8 million, or 25%, compared to the first six months of 2002. Affiliated service fee revenue increased by $3.7 million compared to the first six months of 2002 as a result of the increase in Medicare supplement business in force at our insurance subsidiaries. Unaffiliated service fee revenue increased by approximately $1.1 million primarily due to an increase in the fees for underwriting of long term care policies for our third party clients, including the underwriting work we performed for the consortium. However, the open enrollment period for this program has wound down, and we will seek to replace this business with additional services for our existing and recently acquired new clients 31 General expenses for the segment increased by $3.7 million, or 24%, due primarily to the increase in business and the cost to bring new clients on line. During the first six months of 2003, the scheduled amortization of PVFP was approximately $0.6 million lower than the comparable period of 2002. SEGMENT RESULTS - CORPORATE The following table presents the primary components comprising the segment's operating loss: THREE MONTHS ENDED SIX MONTHS ENDED JUNE 30, JUNE 30, ---------------------------- --------------------------- 2003 2002 2003 2002 ------------ ------------ ------------ ----------- (In thousands) Interest cost on outstanding debt $ 1,257 $ 782 $ 2,073 $ 1,588 Amortization of capitalized loan origination fees 114 133 243 265 Stock-based compensation expense 91 160 182 320 Other parent company expenses, net 782 501 1,530 1,159 ------------ ------------ ------------ ----------- Segment operating loss $ 2,244 $ 1,576 $ 4,028 $ 3,332 ============ ============ ============ =========== Three months ended June 30, 2003 and 2002 The operating loss from the Corporate segment increased by $0.7 million, or 43%, compared to the second quarter of 2002, due primarily to the increase in financing costs. In connection with the acquisition of Pyramid Life, we refinanced our debt and we issued trust preferred securities. Our combined outstanding Debt was $105 million at June 30, 2003 compared to $56 million at June 30, 2002. See Liquidity section for additional details. Six months ended June 30, 2003 and 2002 The operating loss from the Corporate segment increased by $0.7 million, or 21%, compared to the first six months of 2002, due primarily to the increase in financing costs. LIQUIDITY AND CAPITAL RESOURCES Our capital is used primarily to support the retained risks and growth of our insurance company subsidiaries and to support our parent company as an insurance holding company. In addition, we use capital to fund our growth through acquisitions of other companies, blocks of insurance or administrative service business. We require cash at our parent company to meet our obligations under our credit facility and our outstanding debentures held by our subsidiary Pennsylvania Life. In January 2002, our parent company issued a debenture to Pennsylvania Life in conjunction with the transfer of the business of Pennsylvania Life's Canadian Branch to Penncorp Life (Canada). We anticipate funding the repayment of the debenture from dividends of Penncorp Life (Canada). We also require cash to pay the operating expenses necessary to function as a holding company (applicable insurance department regulations require us to bear our own expenses), and to meet the costs of being a public company. We believe that our current cash position, the availability of our new $15.0 million revolving credit facility, the expected cash flows of our administrative service company and the surplus note interest payments from American Exchange (as explained below) can support our parent company obligations for the foreseeable future. However, there can be no assurance as to our actual future cash flows or to the continued availability of dividends from our insurance company subsidiaries. 32 Contractual Obligations and Commercial Commitments Prior Credit Facility As of January 1, 2003, the outstanding balance of the Company's existing loan was $50.8 million. In January 2003, the Company made a scheduled principal payment of $2.8 million, and in March 2003 made a principal payment of $5.0 million from a portion of the proceeds from the issuance of Trust Preferred securities (see Note 9 - Trust Preferred Securities). These payments reduced the outstanding balance to $42.9 million, which was repaid from the proceeds of the new loan obtained in connection with the acquisition of Pyramid Life. The early extinguishment of the existing debt resulted in the immediate amortization of the capitalized loan origination fees relating to that debt, causing a pre-tax expense of approximately $1.8 million. New Credit Facility In connection with the acquisition of Pyramid Life (see Note 3 - Business Combination), the Company obtained a new credit facility on March 31, 2003 to repay the existing loan and provide funds for the acquisition of Pyramid Life. This $80 million credit facility consists of a $65 million term loan which was drawn to fund the acquisition and a $15 million revolving loan facility none of which has been drawn as of June 30, 2003. The facility calls for interest at the London Interbank Offering Rate for one, two or three months ("LIBOR"), at the option of the Company, plus 300 basis points (currently 4.1%). Due to the variable interest rate for this loan, the Company would be subject to higher interest costs if short-term interest rates rise. Principal repayments are scheduled over a five-year period with a final maturity date of March 31, 2008. The Company incurred loan origination fees of approximately $2.1 million, which were capitalized and will be amortized on a straight-line basis over the life of the loan. The Company pays an annual commitment fee of 50 basis points on the unutilized facility. The obligations of the Company under the new credit facility are secured by 100% of the common stock of the Company's U.S. insurance subsidiaries and 65% of the Company's Canadian subsidiary. In addition, the obligations are guaranteed by CHCS Services Inc. and other direct and indirect subsidiaries of the Company (collectively the "Guarantors") and secured by all of the assets of each of the Guarantors. In accordance with the Credit Agreement, 50% of the net proceeds from the $30 million trust preferred securities issued in May 2003 were used to pay down the new term loan. Future scheduled principal payments were reduced as a result of this paydown, primarily in 2006 and 2007. In July 2003, the Company made a regularly scheduled principal payment of $2.0 million. During the six months ended June 30, 2003, the Company paid $0.7 million in interest and fees in connection with the new credit facility and $1.0 million in connection with the prior credit facility. During the six months ended June 30, 2002, the Company paid $0.8 million in connection with the prior credit facility. The following table shows the schedule of remaining principal payments (in thousands) on the Company's new term loan, as of June 30, 2003, with the final payment in April 2008: 2003 - Remainder of year $ 6,094 2004 8,613 2005 9,919 2006 10,262 2007 11,050 2008 4,062 --------- Total $ 50,000 ========= 33 Trust Preferred Securities Separate subsidiary trusts, of the company (the "Trusts") issued a combined $55.0 million in thirty year trust preferred securities (the "Capital Securities") as detailed in the following table: Maturity Amount Spread Rate as of Date Issued Term Over LIBOR June 30, 2003 - ------------------ ------------- ------------------- --------------- ------------- (In thousands) December, 2032 $ 15,000 Fixed/Floating(2) 400 5.3% March, 2033 10,000 Floating 400 5.3% May, 2033 15,000 Floating 420 5.5% May, 2033 15,000 Fixed/Floating (1) 7.4% ------------- $ 55,000 ============= (1) The rate on this issue is fixed at 7.4% for the first five years, after which it is converted to a floating rate equal to LIBOR plus 410 bps. (2) On July 1, 2003, Universal American entered into a swap agreement whereby we will pay a fixed rate of 6.7% in exchange for the floating rate of LIBOR plus 400 bps. The swap contract ends in December 2007. The Trust will have the right to call the Capital Securities at par after five years from the date of issuance. The proceeds from the sale of the Capital Securities, together with proceeds from the sale by the Trust of its common securities to the Company, were invested in thirty year floating rate junior subordinated deferrable interest debentures of the Company (the "Junior Subordinated Debt"). A portion of the proceeds were used to pay down existing debt in connection with the acquisition of Pyramid Life (see Note 3 - Business Combination), with the balance to be held for general corporate purposes. The Capital Securities represent an undivided beneficial interest in the Trust's assets, which consist solely of the Junior Subordinated Debt. Holders of Capital Securities have no voting rights. The Company owns all of the common securities of the Trust. Holders of both the Capital Securities and the Junior Subordinated Debt are entitled to receive cumulative cash distributions accruing from the date of issuance, and payable quarterly in arrears at a floating rate equal to the three-month LIBOR plus a spread. The floating rate resets quarterly and is limited to a maximum of 12.5% during the first sixty months. Due to the variable interest rate for this security the Company would be subject to higher interest costs if short-term interest rates rise. The Capital Securities are subject to mandatory redemption upon repayment of the Junior Subordinated Debt at maturity or upon earlier redemption. The Junior Subordinated Debt is unsecured and ranks junior and subordinate in right of payment to all present and future senior debt of the Company and is effectively subordinated to all existing and future obligations of the Company's subsidiaries. The Company has the right to redeem the Junior Subordinated Debt after five years from the date of issuance. The Company has the right at any time, and from time to time, to defer payments of interest on the Junior Subordinated Debt for a period not exceeding 20 consecutive quarters up to the debentures' maturity date. During any such period, interest will continue to accrue and the Company may not declare or pay any cash dividends or distributions on, or purchase, the Company's capital stock nor make any principal, interest or premium payments on or repurchase any debt securities that rank equally with or junior to the Junior Subordinated Debt. The Company will have the right at any time to dissolve the Trust and cause the Junior Subordinated Debt to be distributed to the holders of the Capital Securities. The Company has guaranteed, on a subordinated basis, all of the Trust's obligations under the Capital Securities including payment of the redemption price and any accumulated and unpaid distributions to the extent of available funds and upon dissolution, winding up or liquidation but only to the extent the Trust has funds available to make such payments. The Capital Securities have not been and will not be registered under the Securities Act of 1933, as amended (the "Securities Act"), and will only be offered and sold under an applicable exemption from registration requirements under the Securities Act. During the six months ended June 30, 2003, the Company paid $0.6 million in interest in connection with the trust preferred securities. 34 Affiliated Obligations of the Parent Company In connection with an agreement entered into in 1996 under which American Pioneer became a direct subsidiary of our holding company rather than an indirect subsidiary owned through American Progressive, our holding company issued $7.9 million in debentures to American Progressive. The balance of $2.0 million was redeemed in May 2003. Our holding company paid interest on the outstanding debentures quarterly at a rate of 8.5%. During the six months ended June 30, 2003, our parent holding company paid $0.1 million in interest on these debentures to American Progressive. The interest on these debentures is eliminated in consolidation. In January 2002, our parent company issued a debenture to Pennsylvania Life in connection with the transfer of the business of Pennsylvania Life's Canadian Branch to Penncorp Life (Canada). Our parent company paid $2.2 million in principal during 2003, reducing the outstanding balance to $11.9 million as of June 30, 2003. Principal and interest payments are made quarterly. The debenture is scheduled to be repaid in full by the third quarter of 2005. During 2003, our parent holding company paid $0.6 million in interest on these debentures. The interest on these debentures is eliminated in consolidation. Dividends from Penncorp Life (Canada) funded the interest and principal paid on the debenture to date and it is anticipated that they will fund all future payments made on this debenture. Lease Obligations We are obligated under certain lease arrangements for our executive and administrative offices in New York, Florida, Texas, and Ontario, Canada. Annual minimum rental commitments, subject to escalation, under non-cancelable operating leases (in thousands) are as follows: 2003 - Remainder of year $ 1,003 2004 1,807 2005 1,279 2006 1,145 2007 and thereafter 3,764 -------- Totals $ 8,998 ======== In addition to the above, Pennsylvania Life is the named lessee on approximately 40 properties occupied by Career Agents for uses as field offices. The agents reimburse rent for these field offices. The total annual rent obligation for these field offices is approximately $633,000. Administrative Service Company Liquidity for our administrative service company is measured by its ability to pay operating expenses. The primary source of liquidity is fees collected from clients. We believe that the sources of cash for our administrative service company exceed scheduled uses of cash and results in amounts available to dividend to our parent holding company. We measure the ability of the administrative service company to pay dividends based on its earnings before interest, taxes, depreciation and amortization ("EBITDA"). EBITDA for our administrative services segment was $6.2 million for the six months ended June 30, 2003. Insurance Subsidiary - Surplus Note Cash generated by our insurance company subsidiaries will be made available to our holding company, principally through periodic payments of principal and interest on the surplus note owed to our holding company by our subsidiary, American Exchange Life. As of June 30, 2003, the principal amount of the surplus note was $60.0 million. The note bears interest to our parent holding company at LIBOR plus 375 basis points. We anticipate that the surplus notes will be primarily serviced by dividends from Pennsylvania Life, a wholly owned subsidiary of American Exchange, and by tax-sharing payments among the insurance companies that are wholly owned by American Exchange and file a consolidated Federal income tax return. No dividends have been paid to American Exchange during the six months ended June 30, 2003. No principal payments were made during 2003. During the first six months of 2003, American Exchange paid $1.5 million in interest on the surplus notes to our holding company. 35 Insurance Subsidiaries Our insurance subsidiaries are required to maintain minimum amounts of capital and surplus as determined by statutory accounting practices. As of June 30, 2003, each insurance company subsidiary's statutory capital and surplus exceeded its respective minimum requirement. However, substantially more than these minimum amounts are needed to meet statutory and administrative requirements of adequate capital and surplus to support the current level of our insurance subsidiaries' operations. As of June 30 , 2003 the statutory capital and surplus, including asset valuation reserves, of our U.S. domiciled insurance subsidiaries totaled $110.5 million. The National Association of Insurance Commissioners has developed, and state insurance regulators have adopted, risk-based capital requirements on life insurance enterprises. As of June 30, 2003 all of our insurance company subsidiaries maintained ratios of total adjusted capital to risk-based capital in excess of the minimum trigger point for regulatory action. Penncorp Life (Canada) is subject to Canadian capital requirements and reports its results to Canadian regulatory authorities based upon Canadian statutory accounting principles that vary in some respects from U.S. statutory accounting principles. Canadian net assets based upon Canadian statutory accounting principles were C$59.8 million (US$44.4 million) as of June 30, 2003. Penncorp Life (Canada) maintained a minimum continuing capital and surplus requirement ratio in excess of the minimum requirement as of June 30, 2003. Dividend payments by our insurance companies to our holding company or to intermediate subsidiaries are limited by, or subject to the approval of the insurance regulatory authorities of each insurance company's state of domicile. Such dividend requirements and approval processes vary significantly from state to state. Currently, Pennsylvania Life is able to pay ordinary dividends of up to $10.6 million to American Exchange (its direct parent) without the prior approval from Pennsylvania Department of Insurance in 2003. During the six months ended June 30, 2003, Penncorp Life (Canada) paid $ 2.7 million in dividends to Universal American. It is anticipated that Penncorp Life (Canada) will be able to pay additional ordinary dividends of up to $3.3 million to Universal American in 2003. We do not expect that our other insurance subsidiaries will be able to pay ordinary dividends in 2003. Liquidity for our insurance company subsidiaries is measured by their ability to pay scheduled contractual benefits, pay operating expenses, and fund investment commitments. Sources of liquidity include scheduled and unscheduled principal and interest payments on investments, premium payments and deposits and the sale of liquid investments. We believe that these sources of cash for our insurance company subsidiaries exceed scheduled uses of cash. Liquidity is also affected by unscheduled benefit payments including death benefits, benefits under accident and health insurance policies and interest-sensitive policy surrenders and withdrawals. The amount of surrenders and withdrawals is affected by a variety of factors such as credited interest rates for similar products, general economic conditions and events in the industry that affect policyholders' confidence. Although the contractual terms of substantially all of our in force life insurance policies and annuities give the holders the right to surrender the policies and annuities, we impose penalties for early surrenders. As of June 30, 2003 we held reserves that exceeded the underlying cash surrender values of our net retained in force life insurance and annuities by $26.0 million. Our insurance subsidiaries, in our view, have not experienced any material changes in surrender and withdrawal activity in recent years. Changes in interest rates may affect the incidence of policy surrenders and withdrawals. In addition to the potential impact on liquidity, unanticipated surrenders and withdrawals in a changed interest rate environment could adversely affect earnings if we were required to sell investments at reduced values in order to meet liquidity demands. We manage our asset and liability portfolios in order to minimize the adverse earnings impact of changing market rates. We seek to invest in assets that have duration and interest rate characteristics similar to the liabilities that they support. The net yields on our cash and invested assets decreased from 6.8% in 2002 to 5.4% in 2003. A portion of these securities are held to support the liabilities for policyholder account balances, which liabilities are subject to periodic adjustments to their credited interest rates. The credited interest rates of 36 the interest-sensitive policyholder account balances are determined by us based upon factors such as portfolio rates of return and prevailing market rates and typically follow the pattern of yields on the assets supporting these liabilities. As of June 30, 2003, our insurance company subsidiaries held cash and cash equivalents totaling $81.6 million, as well as fixed maturity securities that could readily be converted to cash with carrying values (and fair values) of $1,077.5 million. The fair values of these holdings totaled more than $1,159.1 million as of June 30, 2003. Investments Our investment policy is to balance the portfolio duration to achieve investment returns consistent with the preservation of capital and maintenance of liquidity adequate to meet payment of policy benefits and claims. We invest in assets permitted under the insurance laws of the various states in which we operate. Such laws generally prescribe the nature, quality of and limitations on various types of investments that may be made. However, we do not currently have investments in partnerships, special purpose entities, real estate, commodity contracts, or other derivative securities. We currently engage the services of three investment advisors under the direction of the management of our insurance company subsidiaries and in accordance with guidelines adopted by the Investment Committees of their respective boards of directors. Conning Asset Management Company manages the portfolio of all of our United States subsidiaries, except for the portfolio of Pyramid Life, which is managed by Hyperion Capital. MFC Global Investment Management manages our Canadian portfolio. We invest primarily in fixed maturity securities of the U.S. Government and its agencies and in corporate fixed maturity securities with investment grade ratings of "Baa3" (Moody's Investor Service), "BBB-" (Standard & Poor's Corporation) or higher. Our current policy is not to invest in derivative programs or other hybrid securities, except for GNMA's, FNMA's and investment grade corporate collateralized mortgage obligations. As of June 30, 2003, 99.1% of our fixed maturity investments had investment grade ratings from Moody's Investors Service or Standard & Poor's Corporation. There were no non-income producing fixed maturities as of June 30, 2003. We wrote down the value of certain fixed maturity securities by $0.2 million during the six months ended June 30, 2003, and by $9.1 million during the six months ended June 30, 2002 (primarily as a result of the impairment of our World Com holdings). In each case, these write-downs represent our estimate of other than temporary declines in value and were included in net realized gains (losses) on investments in our consolidated statements of operations. RECENT ACCOUNTING PRONOUNCEMENTS Refer to Consolidated Financial Statements Note 2 - Recent Accounting Pronouncements. ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK In general, market risk relates to changes in the value of financial instruments that arise from adverse movements in interest rates, equity prices and foreign exchange rates. We are exposed principally to changes in interest rates that affect the market prices of our fixed income securities. Interest Rate Sensitivity Our profitability could be affected if we were required to liquidate fixed income securities during periods of rising and/or volatile interest rates. However, we attempt to mitigate our exposure to adverse interest rate movements through a combination of active portfolio management and by staggering the maturities of our fixed income investments to assure sufficient liquidity to meet our obligations and to address reinvestment risk considerations. Our insurance liabilities generally arise over relatively long periods of time, which typically permits ample time to prepare for their settlement. To date, we have not used various financial risk management tools on our investment securities, such as interest rate swaps, forwards, futures and options to modify our exposure to changes in interest rates. However, we may consider using such risk management tools in the future. 37 Certain classes of mortgage-backed securities are subject to significant prepayment risk due to the fact that in periods of declining interest rates, individuals may refinance higher rate mortgages to take advantage of the lower rates then available. We monitor and adjust our investment portfolio mix to mitigate this risk. We regularly conduct various analyses to gauge the financial impact of changes in interest rate on our financial condition. The ranges selected in these analyses reflect our assessment as being reasonably possible over the succeeding twelve-month period. The magnitude of changes modeled in the accompanying analyses should not be construed as a prediction of future economic events, but rather, be treated as a simple illustration of the potential impact of such events on our financial results. The sensitivity analysis of interest rate risk assumes an instantaneous shift in a parallel fashion across the yield curve, with scenarios of interest rates increasing and decreasing 100 and 200 basis points from their levels as of June 30, 2003, and with all other variables held constant. A 100 basis point increase in market interest rates would result in a pre-tax decrease in the market value of our fixed income investments of $69.4 million and a 200 basis point increase in market interest rates would result in $130.6 million decrease. Similarly, a 100 basis point decrease in market interest rates would result in a pre-tax increase in the market value of our fixed income investments of $63.6 million and a 200 basis point decrease in market interest rates would result in a $137.3 million increase. Currency Exchange Rate Sensitivity Portions of our operations are transacted using the Canadian dollar as the functional currency. As of and for the three months ended June 30, 2003, approximately 13% of our assets, 13% of our revenues, excluding realized gains, and 22% of our operating income before taxes were derived from our Canadian operations. As of and for the three months ended June 30, 2002, approximately 13% of our assets, 17% of our revenues, excluding realized gains, and 19% of our operating income before taxes were derived from our Canadian operations. Accordingly, our earnings and shareholder's equity are affected by fluctuations in the value of the U.S. dollar as compared to the Canadian dollar. Although this risk is somewhat mitigated by the fact that both the assets and liabilities for our foreign operations are denominated in Canadian dollars, we are still subject to translation losses. We periodically conduct various analyses to gauge the financial impact of changes in the foreign currency exchange rate on our financial condition. The ranges selected in these analyses reflect our assessment of what is reasonably possible over the succeeding twelve-month period. As of June 30, 2003, a 10% strengthening of the U.S. dollar relative to the Canadian dollar would result in a decrease in our operating income before taxes of approximately $0.5 million and a decrease in shareholders' equity of approximately $4.8 million. A 10% weakening of the U.S. dollar relative to the Canadian dollar would result in an increase in our operating income before taxes of approximately $0.7 million and an increase in shareholders' equity of approximately $5.8 million. Our sensitivity analysis of the effects of changes in foreign currency exchange rates does not factor in any potential change in sales levels, local prices or any other variables. The magnitude of changes reflected in the above analysis regarding interest rates and foreign currency exchange rates should, in no manner, be construed as a prediction of future economic events, but rather as a simple illustration of the potential impact of such events on our financial results. ITEM 4. CONTROLS AND PROCEDURES The Company's management evaluated, with the participation of the Company's principal executive and principal financial officers, the effectiveness of the Company's disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the "Exchange Act")), as of June 30, 2003. Based on their evaluation, the Company's principal executive and principal financial officers concluded that the Company's disclosure controls and procedures were effective as of June 30, 2003. There has been no change in the Company's internal control over financial reporting (as defined 38 in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that occurred during the Company's fiscal quarter ended June 30, 2003, 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 has litigation in the ordinary course of business, including claims for medical, disability and life insurance benefits, and in some cases, seeking punitive damages. Management and counsel believe that after reserves and liability insurance recoveries, none of these will have a material adverse effect on the Company A lawsuit was commenced in 2002 against Universal American, American Progressive and Richard A. Barasch by Marvin Barasch, a former Chairman of American Progressive and Universal American. The five counts in the lawsuit primarily arise out of Marvin Barasch's employment agreement with American Progressive, but also include other personal claims against Richard Barasch. In July 2003 all of the counts were dismissed, except for the allegation in Count 1 of age discrimination under New York State law. The plaintiff has filed a Notice of Appeal as to two of the dismissed counts. The Company believes that the remaining allegation of Count 1, as well as the allegations in the dismissed counts now under appeal, are all totally without merit and that the likelihood of material recovery by the plaintiff is remote. ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS None ITEM 3. DEFAULTS UPON SENIOR SECURITIES None ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS a. The annual meeting of the stockholders of Universal American Financial Corp. was held on June 3, 2003. b. All director nominees were elected. c. Certain matters voted upon at the meeting and votes cast with respect to such matters are as follows: ELECTION OF DIRECTORS: VOTES VOTES DIRECTOR RECEIVED WITHHELD Richard A. Barasch 47,468,191 206,644 Bradley E. Cooper 47,579,259 95,576 Susan S. Fleming 47,579,259 95,576 Mark M. Harmeling 47,579,259 95,576 Bertram Harnett 47,273,632 401,203 Linda A. Lamel 47,579,259 95,576 Patrick J. McLaughlin 47,579,259 95,576 Robert Spass 47,579,259 95,576 Robert F. Wright 47,579,259 95,576 ITEM 5. OTHER INFORMATION None 39 ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K a. Exhibits Exhibit 11 Computation of Per Share Earnings Data required by Statement of Financial Accounting Standards No. 128, Earnings Per Share, is provided in Note 6 to the Consolidated Financial Statements in this report. Exhibit 31.1 Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. Exhibit 31.2 Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. Exhibit 32.1 Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. Exhibit 32.2 Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. b. Reports on Form 8-K During the quarterly period ended June 30, 2003, the following current reports were filed on Form 8-K: 1. Form 8-K filed on April 2, 2003 regarding the purchase of the Pyramid Life Insurance Company and the placement of $10 million of trust preferred securities. 2. Form 8-K filed on May 29, 2003 regarding the placement of $30 million of trust preferred securities. 3. Form 8-K filed on June 12, 2003 amending Item 7 (a) and (b) of Form 8-K filed April 2, 2003. 4. Form 8-K filed on June 20, 2003 regarding the recapture of certain reinsurance contracts. 5. Form 8-K filed on July 10, 2003 regarding the acquisition of the marketing organization of Guarantee Reserve Life Insurance Company ("GRL") and the reinsurance of GRL's future Life insurance business. 6. Form 8-K filed on August 6, 2003 regarding the press release announcing results of operations and financial condition for the period ended June 30, 2003. 7. Form 8-K filed on August 6, 2003 regarding supplemental financial information for the period ended June 30, 2003. SIGNATURE 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. UNIVERSAL AMERICAN FINANCIAL CORP. By: /S/ Robert A. Waegelein ----------------------- Robert A. Waegelein Executive Vice President Chief Financial Officer Date: August 13, 2003 40