1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 10-Q/A AMENDMENT NO. 1 Amendment No. 1 to quarterly report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 for the quarterly period ended March 31, 1995. -------------- Commission file number 000-19388 --------- PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY OF AMERICA -------------------------------------------------------- (Exact name of registrant as specified in its charter) TENNESSEE 62-1321664 ------------------------------- ------------------- (State or other jurisdiction of (I.R.S. Employer incorporation or organization) Identification No.) 1 Fountain Square, Chattanooga, Tennessee 37402 ----------------------------------------------- (Address of principal executive offices) (Zip Code) (615) 755-1011 ---------------------------------------------------- (Registrant's telephone number, including area code) None -------------------------------------------------------------------------------- Former name, former address and former fiscal year, if changed since last report Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes X No --- --- Indicate the number of shares outstanding for each of the issuer's classes of common stock, as of the latest practicable date. CLASS OUTSTANDING AT MARCH 31, 1995 ------------------------------- ----------------------------- A Common Stock, $1.00 Par Value 8,591,888 B Common Stock, $1.00 Par Value 36,787,440 Total number of pages included are 29 Exhibit Index: Page 26 2 PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY OF AMERICA INDEX Page ---- AMENDMENT No. 1 1-a PART I. FINANCIAL INFORMATION Item 1. Financial Statements (Unaudited): Condensed Consolidated Statements of Financial 2 Condition at March 31, 1995 and December 31, 1994 Condensed Consolidated Statements of Income for the 4 Three Months Ended March 31, 1995 and 1994 Condensed Consolidated Statements of Cash Flows for the 5 Three Months Ended March 31, 1995 and 1994 Notes to Condensed Consolidated Financial Statements 6 Independent Auditors' Report on Review of Interim 10 Financial Information Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations 11 PART II. OTHER INFORMATION Item 6. Exhibits and Reports on Form 8-K 25 1 3 AMENDMENT No. 1 This Amendment No. 1 modifies the quarterly report filed on Form 10-Q by the registrant for the period ended March 31, 1995 as follows: Part I, Item 1, Financial Statements (Unaudited), and Item 2, Management's Discussion and Analysis of Financial Condition and Results of Operations have been replaced in their entirety. 1-a 4 PART I - FINANCIAL INFORMATION ITEM 1. FINANCIAL STATEMENTS CONDENSED CONSOLIDATED STATEMENTS OF FINANCIAL CONDITION PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY OF AMERICA AND SUBSIDIARIES March 31 December 31 1995 1994 (in millions of dollars) ---------------------------------- (Unaudited) Restated - Note 6 ----------------- ASSETS Investments Fixed Maturity Securities Available-for-Sale $11,838.6 $11,585.1 Held-to-Maturity 45.4 10.7 Equity Securities 6.2 7.3 Mortgage Loans 1,423.7 1,502.5 Real Estate 231.3 243.5 Policy Loans 1,376.6 1,361.5 Other Long-term Investments 10.5 10.1 Short-term Investments 29.2 296.9 --------- --------- Total Investments 14,961.5 15,017.6 Cash and Bank Deposits 25.9 35.3 Accounts Receivable 93.3 72.8 Premiums Receivable 69.3 62.7 Reinsurance Receivable 315.6 300.1 Accrued Investment Income 306.6 281.8 Deferred Policy Acquisition Costs 618.0 638.2 Deferred Federal Income Tax Asset 36.9 172.6 Property and Equipment 108.2 103.2 Miscellaneous 152.5 152.6 Separate Account Assets 332.4 313.0 --------- --------- TOTAL ASSETS $17,020.2 $17,149.9 ========= ========= See notes to condensed consolidated financial statements. -2- 5 CONDENSED CONSOLIDATED STATEMENTS OF FINANCIAL CONDITION -- CONTINUED PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY OF AMERICA AND SUBSIDIARIES March 31 December 31 1995 1994 (in millions of dollars) ---------------------------------- (Unaudited) Restated - Note 6 ----------------- LIABILITIES AND STOCKHOLDERS' EQUITY Policy and Contract Benefits $ 356.8 $ 354.1 Reserves for Future Policy and Contract Benefits and Unearned Premiums 7,032.5 6,861.5 Policyholders' Funds and Experience Rating Refunds 7,189.4 7,707.7 Current Federal Income Tax Liability 19.4 33.4 Short-term Debt 18.2 14.4 Long-term Debt 207.1 202.5 Other Liabilities 460.1 494.2 Separate Account Liabilities 332.4 313.0 --------- --------- TOTAL LIABILITIES 15,615.9 15,980.8 --------- --------- COMMITMENTS AND CONTINGENT LIABILITIES - NOTE 4 Stockholders' Equity Preferred Stock 156.2 156.2 Common Stock, Class A 8.6 8.6 Common Stock, Class B 36.8 36.8 Additional Paid-in Capital 5.4 4.8 Net Unrealized Loss on Securities (68.9) (302.3) Foreign Currency Translation Adjustment (5.1) (5.4) Retained Earnings 1,271.3 1,270.4 --------- --------- TOTAL STOCKHOLDERS' EQUITY 1,404.3 1,169.1 --------- --------- TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY $17,020.2 $17,149.9 ========= ========= See notes to condensed consolidated financial statements. -3- 6 CONDENSED CONSOLIDATED STATEMENTS OF INCOME (UNAUDITED) PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY OF AMERICA AND SUBSIDIARIES Three Months Ended March 31 1995 1994 (in millions of dollars, except share data) ------------------------------------------- Restated - Note 6 ----------------- REVENUE Premium Income $361.0 $348.8 Net Investment Income 313.0 304.7 Net Realized Investment Losses (3.9) (4.3) Other Income 43.7 40.2 TOTAL REVENUE 713.8 689.4 BENEFITS AND EXPENSES Policy and Contract Benefits 394.7 387.8 Change in Reserves for Future Policy and Contract Benefits 152.2 98.1 Change in Policyholders' Funds 3.4 5.9 Amortization of Policy Acquisition Costs 17.1 16.0 Other Operating Expenses 126.8 127.0 TOTAL BENEFITS AND EXPENSES 694.2 634.8 INCOME BEFORE FEDERAL INCOME TAXES 19.6 54.6 FEDERAL INCOME TAXES 7.3 19.0 ------ ------ NET INCOME $ 12.3 $ 35.6 ====== ====== NET INCOME PER COMMON SHARE - NOTE 2 $ 0.20 $ 0.72 WEIGHTED AVERAGE COMMON SHARES OUTSTANDING 45,363,263 45,268,980 DIVIDENDS PER COMMON SHARE $ 0.18 $ 0.26 See notes to condensed consolidated financial statements. -4- 7 CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY OF AMERICA AND SUBSIDIARIES Three Months Ended March 31 1995 1994 (in millions of dollars) ------------------------ NET CASH PROVIDED BY OPERATING ACTIVITIES $ 120.7 $ 108.9 ------- --------- CASH FLOWS FROM INVESTING ACTIVITIES Proceeds from Sales of Investments 344.6 77.6 Proceeds from Maturities of Investments 251.7 936.7 Purchase of Investments (425.7) (1,324.2) Net Sales of Short-term Investments 267.7 274.0 Other (52.0) 54.4 ------- --------- NET CASH PROVIDED BY INVESTING ACTIVITIES 386.3 18.5 ------- --------- CASH FLOWS FROM FINANCING ACTIVITIES Deposits to Policyholder Accounts 165.3 542.2 Maturities and Benefit Payments from Policyholder Accounts (674.3) (670.0) Net Short-term Borrowings 3.8 58.8 Issuance of Common Stock 0.6 0.4 Dividends Paid to Stockholders (11.4) (14.9) Other (0.4) (42.5) ------- --------- NET CASH USED BY FINANCING ACTIVITIES (516.4) (126.0) ------- --------- NET INCREASE (DECREASE) IN CASH AND BANK DEPOSITS (9.4) 1.4 CASH AND BANK DEPOSITS AT BEGINNING OF PERIOD 35.3 32.0 ------- --------- CASH AND BANK DEPOSITS AT END OF PERIOD $ 25.9 $ 33.4 ======= ========= See notes to condensed consolidated financial statements. -5- 8 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY OF AMERICA AND SUBSIDIARIES MARCH 31, 1995 NOTE 1--BASIS OF PRESENTATION The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the three month period ended March 31, 1995 are not necessarily indicative of the results that may be expected for the year ended December 31, 1995. For further information, refer to the consolidated financial statements and footnotes thereto included in the Company's annual report on Form 10-K for the year ended December 31, 1994. NOTE 2--EARNINGS PER SHARE Earnings per common share are computed using net income less preferred stock dividends ($3.2 million for the three month periods ended March 31, 1995 and 1994) divided by the weighted average number of common shares outstanding. There is no significant difference between earnings per share on a primary or fully diluted basis. -6- 9 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) -- CONTINUED PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY OF AMERICA AND SUBSIDIARIES MARCH 31, 1995 NOTE 3--SEGMENT INFORMATION A summary by segment of the Company's revenue and income before federal income taxes, excluding and including net realized investment gains and losses, follows: Three Months Ended March 31 1995 1994 (in millions of dollars) ------------------------------- Restated - Note 6 ----------------- Revenue (Excluding Net Realized Investment Gains and Losses) Individual Life and Disability $250.4 $233.8 Employee Benefits 150.7 140.8 Other Operations 208.9 212.2 Medical Services 107.7 106.9 ------- ------ Total $717.7 $693.7 ====== ====== Income (Loss) Before Net Realized Investment Gains and Losses and Federal Income Taxes Individual Life and Disability $(16.8) $ 14.2 Employee Benefits 12.4 17.0 Other Operations 25.8 19.2 Medical Services 2.1 8.5 ------ ------ Total $ 23.5 $ 58.9 ====== ====== -7- 10 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) -- CONTINUED PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY OF AMERICA AND SUBSIDIARIES MARCH 31, 1995 NOTE 3--SEGMENT INFORMATION - CONTINUED Three Months Ended March 31 1995 1994 (in millions of dollars) ----------------------------------- Restated - Note 6 ----------------- Revenue (Including Net Realized Investment Gains and Losses) Individual Life and Disability $251.1 $236.8 Employee Benefits 151.0 140.8 Other Operations 204.0 204.9 Medical Services 107.7 106.9 ------ ------ Total $713.8 $689.4 ====== ====== Income (Loss) Before Federal Income Taxes Individual Life and Disability $(16.1) $ 17.2 Employee Benefits 12.7 17.0 Other Operations 20.9 11.9 Medical Services 2.1 8.5 ------ ------ Total $ 19.6 $ 54.6 ====== ====== Total revenue includes premium income, net investment income, realized investment gains and losses, and other income. -8- 11 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) -- CONTINUED PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY OF AMERICA AND SUBSIDIARIES MARCH 31, 1995 NOTE 4--COMMITMENTS AND CONTINGENT LIABILITIES In December 1994, the Company entered into an Asset and Stock Purchase Agreement (the Agreement) with Healthsource, Inc. under which Healthsource will acquire the Company's medical services business for $310.0 million ($210.0 million in cash and $100.0 million in a new issue of Healthsource 6.25% Convertible Preferred Stock). The Agreement is subject to regulatory approvals and purchase price adjustments in certain circumstances. The parties are currently negotiating certain matters relating to the purchase price adjustments and other aspects of the Agreement in an effort to resolve open issues and close the transaction. It is unclear whether the resolution of those matters will have a material effect on the transaction. Under the Agreement, disagreements unresolved by the parties are submitted to arbitration. The transaction is expected to close in the second quarter of 1995. Various lawsuits against the Company have arisen in the normal course of business. Contingent liabilities that might arise from litigation are not deemed likely to materially affect the financial position or results of operations of the Company. NOTE 5--SUBSEQUENT EVENTS On May 10, 1995, the Company sold restructured mortgage loans with a principal amount of $147.5 million and a book value of $122.6 million. The Company received $99.5 million in cash for these restructured loans, which resulted in a realized investment loss of $23.1 million. NOTE 6--RESTATEMENT The Company restated its first quarter results to correct premium income and related expenses. During the process of separating the group business between the product lines retained by the Company and the product lines sold as part of the Medical Services business, an error occurred which resulted in the overstatement of premium income by $6.3 million, of income before federal income taxes by $6.1 million, of net income by $4.0 million, of income before federal income taxes per common share of $0.14, and of net income per common share of $0.09. -9- 12 INDEPENDENT AUDITORS' REPORT ON REVIEW OF INTERIM FINANCIAL INFORMATION Board of Directors and Shareholders Provident Life and Accident Insurance Company of America We have reviewed the accompanying condensed consolidated statement of financial condition of Provident Life and Accident Insurance Company of America and Subsidiaries as of March 31, 1995, the related condensed consolidated statements of income for the three month periods ended March 31, 1995 and 1994, and the condensed consolidated statements of cash flows for the three month periods ended March 31, 1995 and 1994. These financial statements are the responsibility of the Company's management. We conducted our reviews in accordance with standards established by the American Institute of Certified Public Accountants. A review of interim financial information consists principally of applying analytical procedures to financial data and making inquiries of persons responsible for financial and accounting matters. It is substantially less in scope than an audit conducted in accordance with generally accepted auditing standards, which will be performed for the full year with the objective of expressing an opinion regarding the financial statements taken as a whole. Accordingly, we do not express such an opinion. Based on our reviews, we are not aware of any material modifications that should be made to the accompanying condensed consolidated financial statements referred to above for them to be in conformity with generally accepted accounting principles. We have previously audited, in accordance with generally accepted auditing standards, the consolidated statement of financial condition of Provident Life and Accident Insurance Company of America and Subsidiaries as of December 31, 1994, and the related consolidated statements of operations, stockholders' equity and cash flows for the year then ended, not presented herein, and in our report dated February 6, 1995, we expressed an unqualified opinion on those consolidated financial statements. In our opinion, the information set forth in the accompanying condensed consolidated statement of financial condition as of December 31, 1994, is fairly stated in all material respects in relation to the consolidated statement of financial condition from which it has been derived. ERNST & YOUNG LLP Chattanooga, Tennessee May 11, 1995, except for Note 6, as to which the date is August 9, 1995 -10- 13 Item 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS NOTE: This Management's Discussion and Analysis of Financial Condition and Results of Operations reflects the restatement of the Company's net income for the first quarter of 1995 as a result of changes to the interperiod allocation of premiums and expenses in the Employee Benefits and Medical Services segments between the first and second quarters of 1995. During the first and second quarters of 1995, the Company separated its medical services business segment (which was sold to Healthsource, Inc., in a transaction that closed effective May 1, 1995), from its other employee benefits lines of business. The separation involved a complex process of allocating premiums and expenses between the two business segments. During the transition period, an error occurred in the premium and expense allocation process between reporting periods. Revenue excluding net realized investment gains and losses ("revenue") increased $24.0 million, or 3.5 percent, to $717.7 million in the first quarter of 1995 from $693.7 million in the first quarter of 1994. The increase was the result of increases in revenue in the individual life and disability segment ($16.6 million), employee benefits segment ($9.9 million), and medical services segment ($0.8 million), which more than offset lower revenue in the other operations segment ($3.3 million). Income before net realized investment gains and losses and federal income taxes ("income") declined $35.4 million, or 60.1 percent, to $23.5 million in the first quarter of 1995 from $58.9 million in the first quarter of 1994. The decline was the result of lower income in the individual life and disability segment ($31.0 million), employee benefits segment ($4.6 million) and medical services segment ($6.4 million), which was partly offset by increased income in the other operations segment ($6.6 million). INDIVIDUAL LIFE AND DISABILITY Revenue in this segment increased $16.6 million, or 7.1 percent, to $250.4 million in the first quarter of 1995 from $233.8 million in the first quarter of 1994. Increases in both premium income and net investment income contributed to the higher revenue. Premium income increased $2.0 million, or 1.3 percent, to $160.4 million in the first quarter of 1995 from $158.4 million in the first quarter of 1994. The increase was the result of higher direct premium income in the individual disability income line of business, which increased $5.2 million, or 3.8 percent, to $143.8 million in the first quarter of 1995 from $138.6 million in the first quarter of 1994. Net investment income increased $12.8 million, or 17.5 percent, to $86.1 million in the first quarter of 1995 from $73.3 million in the first quarter of 1994. The increase was the result of increased capital and surplus allocated to the individual disability line of business, the normal growth in reserve liabilities and related assets held on individual life and disability contracts, and the growth in investment income related to the deferred deposits in the annuity line of business. -11- 14 In November 1994, the Company announced its intention to discontinue selling individual non-cancellable disability income contracts with long-term own-occupation provisions (other than conversion policies available under existing contractual arrangements). The Company will focus on replacing the traditional non-cancellable, long-term own-occupation contracts with "loss of earnings" contracts which insure income rather than occupation and require the insured to participate in occupational rehabilitation as appropriate. During this product transition period, premium income in the individual disability line is expected to decline as a result of a period of lower sales and the premium differential that exists between the traditional non-cancellable, own-occupation contracts and the new loss of earnings contracts. The magnitude and duration of the expected decline are dependent on the response of customers and competitors in the industry. This segment reported a loss of $16.8 million in the first quarter of 1995 compared to income of $14.2 million in the first quarter of 1994. The individual disability line of business produced a loss of $20.5 million in the first quarter of 1995 compared to income of $7.4 million in the first quarter of 1994. This line was negatively affected in the first quarter of 1995 by adverse claim activity on individual non-cancellable disability income contracts with own-occupation provisions which were issued from 1983 through 1989. Specifically, the severity of the new claims in the first quarter was higher than the average levels experienced in the 1994 first quarter and for all of 1994, and the level of claim terminations was lower relative to both periods. A loss recognition deficiency of $423.0 million on a pre-tax basis was recorded as an increase in "policy and contract benefits" and "change in reserves for future policy and contract benefits" in the third quarter of 1993 to reflect the lower interest rates available at the time of the charge compared to the interest rate assumptions used in pricing the business at earlier dates. Higher than expected claim experience, caused by the general economic recession and trends in particular regions of the country toward increasing claims for certain occupations and types of disabilities, also contributed to the requirement under generally accepted accounting principles to record the deficiency. Although interest rates are currently consistent with those projected at the time of the charge, it is not reasonably possible to determine at this time exactly what the trends in interest rates will be. Besides movement of interest rates, changes in expenses and morbidity can affect results. The loss recognition study performed as of September 30, 1993, also projected that morbidity would improve over time as a result of stricter policy provisions, tighter underwriting requirements, improved claim handling procedures (consisting of centralization of the claims-paying function in the home office and the availability of additional technical resources), the effects of anti-selection wearing off over time, and general improvement in the economy. Incidence and termination rate studies have been performed as of December 31, 1994, to evaluate actual morbidity experience. Morbidity -12- 15 experience was at somewhat higher levels than expected for 1994, and also the first quarter of 1995. It is not possible at this time to predict whether this adverse experience is a trend or a short-term fluctuation. However, if morbidity experience does not improve to the levels assumed in the loss recognition studies, a further adjustment might be required. Since the study in 1993, expenses have been lower than projected in that study, primarily as a result of expense control efforts and centralization of the claims-paying function into the home office. The Company considers its individual disability income business to be one block or line of business for purposes of conducting a loss recognition study. The individual disability income business is analyzed on an ongoing basis to determine particular geographic areas, occupations, policy provisions, etc. which may be a factor in the results being experienced. Such reviews have shown that policies written for medical professionals and for residents of California and south Florida are more likely to result in claims than those written on other professionals or in other areas of the United States or Canada. Additionally, policies written during the period 1983 through 1989 have a higher claim rate than those policies written before or after this time period. The Company, in intense competition with other companies in this line of business during this time period, liberalized underwriting standards and policy provisions without a corresponding increase in premium rates to offset the increased risk undertaken. Since 1989, however, the Company has been strengthening its underwriting and policy provisions and adjusting the price on its new business written to better reflect the risks in this line of business. Because individual disability income policies are long-term contracts (with typical effective terms of five to forty years, depending upon the age of the insured at the time of issue), assumptions as to interest rates and morbidity, as well as expenses, lapse rates and other variables, used to price the product and to calculate policyholder liabilities during the term of the contracts, must be made with a long-term perspective. Fluctuations in actual experience from such assumptions are normal, especially since these assumptions are a long-term prediction of future events and conditions. These assumptions are long-term averages of the experience that the Company expects to realize over the duration of the policies and do not attempt to predict each short-term rise or decline in interest rates, morbidity, or other factors. Variations between actual experience and such long-term averages are monitored through a variety of ongoing statistical studies. Such variations over a one or two year period do not necessarily indicate that a change in the long-term assumptions is necessary or that higher or lower reserves are required. Normally, such fluctuations between actual experience and assumed experience are included in income or loss in the current year. However, when these deviations occur in a magnitude and/or over a time period such that if they continued the sufficiency of reserves and the recoverability of deferred policy acquisition costs is questionable, it is prudent to perform a loss recognition study. In a loss recognition study, the Company uses its best estimates as to future experience with regard to interest rates, morbidity rates, lapse rates, expenses, and other factors to update its assumptions. These revised assumptions are then used to determine if -13- 16 reserves currently held plus the present value of future cash inflows (primarily from premiums and investment income) are projected to be sufficient to meet the present value of future cash outflows (primarily for benefits and expenses) and the amortization of deferred policy acquisition costs. If they are not sufficient, an additional provision must be recorded either as a reduction of deferred policy acquisition costs or as an increase in reserve liabilities. While claims were higher and interest rates generally lower in 1991 than in previous years, at that time the Company believed these fluctuations to be short-term and acceptable variations from the assumptions underlying these long-term policies. However, in light of a continuing decline in interest rates and deterioration of morbidity experience during 1992, the Company began such a loss recognition study on its individual disability income business in December 1992 to determine whether or not a loss recognition deficiency existed at December 31, 1992. An independent actuarial consulting firm was engaged to assist in the development of a gross premium valuation model appropriate to the Company's business, to review the reasonableness of the assumptions used by the Company at the time of the study, and to work with Company employees in the actual performance of the calculations. The loss recognition study completed in February 1993 showed that no loss recognition deficiency existed at December 31, 1992, using the assumptions with respect to morbidity, interest rates, and expenses that reflected management's best estimates as of that date. Although there is always uncertainty as to the direction of future morbidity experience and interest rates, the Company believed the results of the study indicated that reserves were sufficient as of that date. The Company also believed at that time that, under its "most likely case" scenario, interest rates would rise in 1993 and morbidity rates would do no worse than remain at 1988-1992 levels. Through the first half of 1993, however, the interest rates continued to decline, and the Company experienced further morbidity deterioration related to this business. As a result, reserves were increased during the first two quarters of 1993. Also, as part of its normal, ongoing reserve analysis, the Company performs several detailed actuarial studies, including measuring morbidity experience over a run-off period of several years. Increased claim activity experienced in the first two quarters of 1993 and studies performed in the second and third quarters of 1993, which reflected 1992 morbidity experience, caused management to revise its December 31, 1992, estimate of long-term morbidity rates. At the same time, the portfolio of assets related to this line of business experienced a significant decline in long-term interest rates combined with increased prepayment of fixed maturity securities, resulting in a significant decline in the portfolio's future investment returns. The yields on assets supporting the individual disability business declined to 9.32 percent at the end of the first quarter and to 9.17 percent at the end of the second quarter, compared to an aggregate yield of 9.57 percent at the end of 1992. Because of these developments during the first half of 1993, the Company again evaluated the sufficiency of reserves and the recoverability of deferred policy acquisition costs. Although a loss recognition study had been scheduled for year-end 1993 as a -14- 17 follow-up to the study at December 31, 1992, the deviations between actual experience and assumptions were widening rapidly enough to warrant accelerating the study to the third quarter of 1993 to determine if reserves continued to be sufficient in light of these fluctuations. The specific conditions that precipitated the third quarter 1993 loss recognition study were: 1. A sharp drop in interest rates as evidenced by the decline in the rate on 10-year U.S. Treasury Notes from 6.93 percent in December 1992, to 5.23 percent in September 1993. This drop of 170 basis points was a 25 percent decline in nine months. 2. Prepayment of many fixed maturity securities during this nine-month period, brought about primarily by the lower interest rate levels, caused the yield on the portfolio supporting the individual disability income business to decline 59 basis points in only nine months. 3. Morbidity studies covering the first and second quarters of 1993 reflected further deterioration in morbidity experience during this part of 1993 compared with previous morbidity experience. The September 30, 1993, loss recognition study followed the same principles as the study performed as of December 31, 1992. The independent actuarial consulting firm, which assisted in conducting the December 1992 study, served in a review capacity (rather than as an active participant) in the performance of the study. Based upon the revised assumptions, which represented management's best estimates at the time of the study, a loss recognition deficiency of $423.0 million on a pre-tax basis was required to be recognized under generally accepted accounting principles. Management believes that the required charge taken in the third quarter was a prompt and appropriate response to these previously unforeseen changes. The December 31, 1994, study again followed the same principles as the previous two studies. Based upon the revised assumptions, which represented management's best estimates at the time of the study, reserves were adequate at the end of 1994. The following table shows the new money interest rate assumptions on a net effective yield rate basis and the portfolio yield interest rate assumptions which were used in the December 31, 1992, September 30, 1993, and December 31, 1994, loss recognition studies. The interest rate assumptions in each of the loss recognition studies represented management's best estimates at the time the studies were performed. The equivalent level portfolio net effective yield rate represents the effective yield on the portfolio over a thirty -15- 18 year period, using the actual portfolio yield at the date of the loss recognition study and the assumed yield rates at which new money will be invested. ---------------------------------------------------------------------------------------------------- December 31, 1992 September 30, 1993 December 31, 1994 ---------------------------------------------------------------------------------------------------- New New New Money Portfolio Money Portfolio Money Portfolio ---------------------------------------------------------------------------------------------------- 1993 8.19% 9.38% 1994 8.92 9.33 6.53% 8.57% 1995 8.92 9.27 6.51 8.46 7.95% 8.40% 1996 8.92 9.24 6.82 8.43 7.64 8.29 1997 8.92 9.21 7.07 8.45 7.64 8.20 1998 8.92 9.18 7.13 8.42 7.64 8.13 Ultimate 8.92 8.92 7.13 7.13 7.64 7.64 Equivalent Level Portfolio Net Effective Yield Rate: 9.27% 9.27% 7.91% 7.91% 8.19% 8.19% ---------------------------------------------------------------------------------------------------- Annual net effective interest rates at which new money was actually invested for the individual disability income business for the year 1992, the first nine months of 1993, and the year 1994 were 8.82 percent, 7.59 percent, and 8.17 percent, respectively. The net effective interest rate at which new money was invested for this line in the first quarter of 1995 was 8.78 percent. The overall net effective portfolio yield rates for invested assets supporting the individual disability income business were 9.57 percent, 8.98 percent, and 8.64 percent as of December 31, 1992, September 30, 1993, and December 31, 1994, respectively. The overall net effective portfolio yield for invested assets supporting this line was 8.58 percent at March 31, 1995. The September 1993 loss recognition study projected that morbidity would improve as a result of improved claim handling procedures (consisting of centralization of the claims-paying function in the home office and the availability of additional technical resources), the effects of anti-selection wearing off over time, and general improvement in the economy. The December 1994 study also projected improved morbidity, with reduced or delayed improvement, but projected no improvement in the economy. In performing a loss recognition study the Company is required to use its best estimates with regard to assumptions used in the calculation. Using "best estimates" means that no provision for adverse deviation is included in the assumptions and the expectation is for a break-even outcome, that is, there is about an even chance that experience will be better than or worse than the assumptions. If future experience conforms to assumptions used in the loss recognition study, no gain or loss would be expected from the line of business other than (i) investment income relative to the capital and surplus allocated to that line, and (ii) profit from new individual disability income policies. If actual experience in a future period is worse than assumed and is expected to continue, an additional loss would have to be recognized. If actual experience is better -16- 19 than assumed, the resulting gain will be recognized over future years as it is actually realized. On a pre-tax basis, approximately 51 percent of the difference between the results of the December 1992 and September 1993 loss recognition studies related to the effects of rapidly declining interest rates during 1993, including prepayment of fixed maturity securities as well as lower portfolio yields on both new and reinvested money. Approximately 26 percent of the difference related to higher morbidity costs and the associated claim administration expenses. Approximately 11 percent of the difference was related to the inclusion in the September 1993 loss recognition study of guaranteed increases in coverage on existing policies. The remaining amount was primarily attributable to differences in assumptions with respect to expenses, other than claim administration expenses, and to persistency. Based on the assumptions used in the September 1993 loss recognition study, a ten basis point change in the equivalent level interest rates would result in approximately a $22 million change in reserves, and a one percent change in actual to assumed morbidity would result in approximately a $29 million change in reserves. Based on the assumptions used in the December 1994 study, a ten basis point change in the equivalent level interest rates would result in approximately a $29 million change in reserves, and a one percent change in actual to assumed morbidity would result in approximately a $28 million change in reserves. It is not possible to predict with certainty whether morbidity, interest rates and fixed maturity securities prepayments will continue at a level consistent with the Company's assumptions, improve, or deteriorate; however, the current assumptions as to these factors represent management's best estimates in light of present circumstances. Additional increases to reserves would be required if there is further material deterioration in morbidity, interest rates, and fixed maturity securities prepayments from current assumptions. As part of its ongoing management of this line of business, the Company will conduct a gross premium valuation annually to validate the continued adequacy of current reserves. Income from the individual life line of business declined to $3.7 million in the first quarter of 1995, compared to $6.3 million in the first quarter of 1994. The decline was primarily attributable to a $1.9 million non-recurring expense item recorded in the first quarter of 1995 pertaining to reinsurance reserves. EMPLOYEE BENEFITS Revenue in the employee benefits segment increased $9.9 million, or 7.0 percent, to $150.7 million in the first quarter of 1995 from $140.8 million in the first quarter of 1994. This increase was primarily the result of an increase in premium income of $10.6 million, or 9.0 percent, to $128.3 million in the first quarter of 1995 from $117.7 million in the first quarter of 1994. Increased premium income in the packaged products, group -17- 20 life, and voluntary benefits lines of business contributed to this increase. Net investment income declined by $1.0 million, or 4.5 percent, to $21.1 million in the first quarter of 1995 from $22.1 million in the first quarter of 1994. Income in this segment declined $4.6 million, or 27.1 percent, to $12.4 million in the first quarter of 1995 from $17.0 million in the first quarter of 1994. Increased income in the medical stop-loss, voluntary benefits, and packaged products lines of business only partially offset lower income in the group life and group LTD lines of business. The group LTD line of business produced a loss of $3.5 million in the first quarter of 1995 compared to income of $1.6 million in the first quarter of 1994 due to higher claim incidence and severity. The Company has notified the existing group LTD customers in the medical and legal occupational classes that coverages will be terminated under the terms of the existing contracts, and the Company will no longer accept proposals for group disability coverage of new medical or legal groups. This action will impact approximately 15 percent of the group LTD block of business, which produced $58.9 million of direct premium income in 1994. The group life line of business produced a decline in income to $3.6 million in the first quarter of 1995 from $7.3 million in the first quarter of 1994 due primarily to less favorable loss ratios in this line. OTHER OPERATIONS Revenue in the other operations segment declined $3.3 million, or 1.6 percent, to $208.9 million in the first quarter of 1995 from $212.2 million in the first quarter of 1994. Net investment income declined $2.1 million, or 1.0 percent, to $202.2 million in the first quarter of 1995 from $204.3 million in the first quarter of 1994. This was a result of the lower investment income from the corporate (unallocated) capital and assets, which are included in this segment, due to additional capital being allocated to the individual disability line of business and from lower investment income in the group pension line due to a decrease in funds under management. Premium income declined $1.8 million to $4.9 million in the first quarter of 1995 from $6.7 million in the first quarter of 1994 due to the discontinuation of the sale of group single premium annuities. Income in this segment increased $6.6 million, or 34.4 percent, to $25.8 million in the first quarter of 1995 from $19.2 million in the first quarter of 1994. Within this segment, the group pension line of business produced income of $19.2 million in the first quarter of 1995, compared to $11.4 million in the first quarter of 1994. This line of business benefited from an improvement in the spread between interest credited on contracts and the interest earned on the invested assets as well as lower expenses. The Company announced in December 1994, that it would discontinue the sale of traditional guaranteed investment contracts (GICs). Traditional GICs under management declined $633.4 million, or 8.9 percent, to $6.49 billion at March 31, 1995, from $7.12 billion at March 31, 1994. Total funds under management and equivalents increased $234.7 million, or 2.4 percent, to $9.95 billion at March 31, 1995 from $9.72 billion at March 31, 1994. Included in this total are accumulated funds from the sale of synthetic GICs which totaled $1.83 billion at March 31, 1995 compared to $951.4 million at March 31, 1994. -18- 21 Deposits of synthetic GICs totaled $202.6 million in the first quarter of 1995, $323.9 million in the first quarter of 1994, and $114.7 million in the fourth quarter of 1994. Income from the block of corporate-owned life insurance, included in the other operations segment, improved to $5.0 million in the first quarter of 1995 from $4.1 million in the first quarter of 1994. Improved mortality experience was a primary source of the higher income in this line of business. MEDICAL SERVICES Revenue in this segment increased $0.8 million, or 0.7 percent, to $107.7 million in the first quarter of 1995 from $106.9 million in the first quarter of 1994. The increase was the result of higher premium income, which increased $1.4 million, or 2.1 percent, to $67.4 million in the first quarter of 1995 from $66.0 million in the first quarter of 1994. Administrative services only (ASO) fees declined slightly to $28.5 million in the first quarter of 1995 from $28.9 million in the first quarter of 1994. Premium equivalents declined $3.9 million, or 0.6 percent, to $630.6 million in the first quarter of 1995 from $634.5 million in the first quarter of 1994. Income in this segment declined $6.4 million, or 75.3 percent, to $2.1 million in the first quarter of 1995 from $8.5 million in the first quarter of 1994. The results were primarily attributable to higher loss ratios on the small case group health market in the first quarter of 1995 relative to the first quarter of 1994, as well as losses associated with the HMO initiative and expenses related to separation pay for terminated employees. In December 1994, the Company entered into an Asset and Stock Purchase Agreement (the "Agreement") with Healthsource, Inc. under which Healthsource will acquire the Company's medical services business for $310 million ($210 million in cash and $100 million in a new issue of Healthsource 6.25% Convertible Preferred Stock). The Agreement is subject to regulatory approvals and purchase price adjustments in certain circumstances. The parties are currently negotiating certain matters relating to the purchase price adjustments and other aspects of the Agreement in an effort to resolve open issues and close the transaction. It is unclear whether the resolution of those matters will have a material effect on the transaction. Under the Agreement disagreements unresolved by the parties are submitted to arbitration. The transaction is expected to close in the second quarter of 1995. LIQUIDITY AND CAPITAL RESOURCES As a holding company, the Company is dependent upon payments from its wholly-owned subsidiary, Provident Life Capital Corporation ("Capital"), to pay dividends to its shareholders and to pay its expenses. Capital is also a holding company and therefore dependent upon payments from its wholly-owned subsidiary, Provident, to pay dividends, to meet its debt service obligations and to pay its expenses. These payments by -19- 22 Provident may take the form of either dividends or interest payments on amounts loaned to Provident by Capital. State insurance laws generally restrict the ability of insurance companies to pay cash dividends or make other payments to their affiliates in excess of certain prescribed limitations. In Tennessee, the Company's state of domicile, regulatory approval is required if an insurance company seeks to make loans to affiliates in amounts equal to or in excess of 3 percent of the insurer's admitted assets, or to pay cash dividends in excess of the greater of such company's net gains from operations of the preceding year or 10 percent of its surplus as regards policyholders, as determined at the end of the preceding year in accordance with prescribed or permitted accounting practices. Under these regulatory restrictions, up to $80.4 million would be available in 1995 for the payment of dividends or other distributions by the Company without regulatory approval. The Company's requirements are met primarily by cash flow provided from operations, principally in Provident. Cash flow from operations has been substantial over the past three years. Premium and investment income as well as maturities and sales of invested assets provide the primary sources of cash. Cash flows from operations were ample in the first quarter of 1995 and 1994. Premium and investment income as well as maturities and sales of invested assets provide the primary sources of cash. Cash is applied to the payment of policy benefits, cost of acquiring new business (principally commissions) and operating expenses as well as purchases of new investments. The Company has established an investment strategy that management believes will provide for adequate cash flow from operations. The Company expects that the sale of the medical services business to Healthsource will have no material adverse effect on its liquidity. The effect of the transaction on the Company's capital is unclear at this time since it is dependent on the purchase price received after any adjustments have been made, as previously discussed in "Medical Services." The Company expects no material adverse effect on its liquidity as a result of the strategic decision to discontinue the sale of traditional GICs. While traditionally the investment strategy for this product line has been to match the effective asset durations with the related expected liability durations, the Company is moving toward a cash-matching investment strategy. In addition, management expects that capital from the GIC business will be redeployed in other lines of business or used for other business purposes. INVESTMENTS Prior to 1992, the Company experienced increases in non-current investments. For the past three years, however, the Company's exposure to such investments improved from prior years. These non-current investments are primarily foreclosed real estate investments, mortgage loans which became more than thirty days past due in their -20- 23 principal and interest payments, and bonds and preferred stocks in default. Non-current investments at March 31, 1995 were $101.5 million, or 0.68 percent of invested assets. Non-current investments at year-end 1994 were $88.5 million, or 0.59 percent of invested assets, compared to $170.2 million, or 1.13 percent of invested assets, at year-end 1993. A distribution of the mortgage loan portfolio by region and by property type as of March 31, 1995 is presented below. Percent of Region Amount Mortgage Portfolio ------ ---------- ------------------ (in millions) Pacific $ 377.4 26.5% South Atlantic 339.0 23.8 East North Central 205.8 14.4 Mountain 156.2 11.0 West North Central 126.3 8.9 West South Central 119.8 8.4 East South Central 97.9 6.9 Middle Atlantic 33.7 2.4 New England 14.7 1.0 Mortgage Loan Loss Reserve (47.1) (3.3) -------- ----- TOTAL $1,423.7 100.0% ======== ===== Property Percent of Type Amount Mortgage Portfolio ---- ----------- ------------------ (in millions) Retail $ 413.7 29.0% Apartment 393.0 27.6 Industrial and Warehouse 236.5 16.6 General Office Buildings 234.4 16.5 Healthcare 146.6 10.3 Hotel 35.4 2.5 Other 11.2 0.8 Mortgage Loan Loss Reserve (47.1) (3.3) -------- ----- TOTAL $1,423.7 100.0% ======== ===== The basic types of risk associated with mortgage lending are default risk (that the borrower will fail to make payments as scheduled), interest rate risk (that the interest rate charged to a borrower will fall below the lender's cost of funds), and inflation risk (that the rate of return expected when the loan was made does not adequately compensate the lender for actual inflation over the term of the loan). Additionally, the secondary market for certain types of mortgage loans can be highly illiquid. -21- 24 The following chart outlines the mortgage loan portfolio and delinquent loans, restructured mortgage loans, foreclosed real estate, and bonds and preferred stocks in default. March 31, 1995 Dec. 31, 1994 Dec. 31, 1993 -------------- ------------- ------------- ($ in millions) Mortgage Loans $ 1,423.7 $ 1,502.5 $ 1,824.9 Invested Assets 14,961.5 15,017.6 15,009.6 Mortgage Loans as Percent of Invested Assets 9.5% 10.0% 12.2% Delinquent Mortgage Loans $ 35.7 $ 25.4 $ 64.7 Restructured Mortgage Loans 206.6 243.5 246.2 Foreclosed Real Estate 37.0 45.2 81.4 Problem Mortgages as Percent of Invested Assets 1.9% 2.1% 2.6% Mortgage Loan Loss Reserve $ 47.1 $ 49.0 $ 55.3 Real Estate Loss Reserve - Foreclosed 9.4 10.6 12.0 Real Estate Loss Reserve - Investment 7.7 7.7 0.7 Bonds and Preferred Stocks in Default $ 28.8 $ 17.9 $ 24.1 Management believes the amount of mortgage loan loss reserves is adequate given the level of delinquent mortgage loans. Foreclosed real estate is reported at the lower of cost or fair value. Management does not expect the non-current mortgage loan and foreclosed real estate investments to have a material adverse effect on its results of operations, financial condition, or ability to hold its other investments to maturity. This is primarily because of the relatively small amount of these non-current investments compared to total invested assets and to the total of high quality, liquid investments. Mortgage loans are placed on a non-accrual status when the loan becomes thirty days late, and at that time all accruals on such delinquent mortgage loans are reversed. In addition, the Company actively manages its non-current investments through sales and leasing of foreclosed real estate in order to achieve the highest current return as well as to preserve capital. Write-downs and provisions for losses on mortgage loans and real estate were $16.8 million for the year 1994. During the first quarter of 1995, the Company increased the loss provision by $1.5 million and released $4.6 million from the reserve as actual losses were incurred. The net effect was a realized investment loss of $1.5 million. These losses are not expected to have a material adverse impact on the -22- 25 financial condition and results of the Company due to the strong capitalization of the Company. During the first three months of 1995, the Company sold five foreclosed properties with a book value of $8.9 million. During 1994, the Company sold thirteen foreclosed properties with a book value of $58.9 million at the date of sale. On May 10, 1995, the Company sold restructured mortgage loans with a principal amount of $147.5 million and a book value of $122.6 million. The Company received $99.5 million in cash for these restructured loans, which resulted in a realized investment loss of $23.1 million. The Company is actively exploring transactions which will reduce its exposure to both restructured mortgage loans and currently performing mortgage loans either through the outright sale of mortgage loans or the securitization of part or all of the portfolio. The Company's investment in mortgage-backed securities totaled $3.3 billion on an amortized cost basis at March 31, 1995, and December 31, 1994. At March 31, 1995, the mortgage-backed securities had an average life of 6.4 years and effective duration of 3.7 years. The mortgage-backed securities are valued on a monthly basis using valuations supplied by the brokerage firms that are dealers in these securities. The primary risk involved in investing in mortgage-backed securities is the uncertainty of the timing of cash flows from the underlying loans due to prepayments of principal. The Company uses models which incorporate economic variables and possible future interest rate scenarios to predict future prepayment rates. The Company has not invested in mortgage-backed derivatives, such as interest-only, principal-only or residuals, where market values can be highly volatile relative to changes in interest rates. As with most other fixed income investments, below-investment-grade bonds are subject to the effects of changes in the overall level of interest rates, which can affect both capital and reinvestment return. Below-investment-grade bonds are inherently more risky than investment-grade bonds since the risk of default by the issuer, by definition and as exhibited by bond rating, is higher. Also, the secondary market for certain below-investment-grade issues can be highly illiquid. Management does not anticipate any liquidity problem being caused by the investments in below-investment-grade securities, nor does it expect these investments to adversely affect its ability to hold its other investments to maturity. Adverse events occurring in the market for this type of investment in the last 5-10 years are not reasonably expected to have a material adverse effect on results of operations or the financial condition of the Company primarily because of the minimal exposure to such investments. The Company's exposure to below-investment-grade fixed maturities at March 31, 1995 was $706.1 million, representing 4.7 percent of invested assets, below the internal limit of 7.5 percent of investment assets for this type of investment. The Company's exposure to below-investment-grade fixed maturities at December 31, 1994, was $694.8 million, or 4.6 percent of invested assets. -23- 26 The rise in interest rates during 1994 caused the duration of assets to lengthen. In the group pension business, the duration of liabilities is becoming much shorter since very few new sales have been made. Following the completion in the third quarter of 1994 of an analysis of cash flows, the Company began adjusting the investment portfolio supporting its group pension business. In the fourth quarter of 1994, the Company announced that it would discontinue the sale of traditional GICs as a part of its overall strategic review. As a result, further actions were taken in the investment portfolio to move to a cash-matched basis instead of a duration-matched basis. In the fourth quarter of 1994, the investment portfolio of Provident National Assurance Company ("PNAC"), one of the Company's subsidiaries through which group pension products are marketed, was rebalanced. Approximately $220 million of long duration bonds were sold to fund maturing liabilities, and the balance was reinvested in shorter duration bonds in order to minimize the exposure to interest rate changes. Approximately $7 million in capital losses was realized from the sale of longer duration assets. In addition, the future sales value of approximately $700 million in assets held by PNAC has been hedged by entering into $200 million (notional value) of futures contracts and $500 million (notional value) of forward interest rate swaps. The net asset and hedge losses that could potentially be realized over the next two years are presently estimated to be approximately $30 million within a range of $3 million to $6 million per quarter, assuming interest rates do not increase more than 100 basis points and asset spreads do not change dramatically. In addition, in the fourth quarter of 1994 the Company used forward interest rate swaps to hedge $300 million of anticipated future asset sales in the group pension product portfolio of Provident, the other of the Company's subsidiaries through which group pension products are marketed. The decline in interest rates during the first three months of 1995 has improved the cash-matched position of the group pension portfolio. Management has added resources in the investment area to address modeling and testing all asset and liability portfolios to improve interest rate risk management. Review by Independent Auditors The condensed consolidated financial statements, as restated, at March 31, 1995, and for the three month period then ended have been reviewed, prior to filing, by Ernst & Young LLP, the Company's independent auditors, and their report is included herein. -24- 27 PART II - OTHER INFORMATION Item 6. Exhibits and Reports on Form 8-K (a) Exhibit 27 Financial Data Schedule (for SEC use only) 28 SIGNATURE Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this Form 10-Q/A (Amendment No. 1 to its quarterly report on Form 10-Q for the quarter ended March 31, 1995) to be signed on its behalf by the undersigned thereunto duly authorized. Provident Life and Accident Insurance Company of America Date: August 10, 1995 /s/ J. Harold Chandler ------------------------------------- J. Harold Chandler President and Chief Executive Officer Date: August 10, 1995 /s/ Thomas R. Watjen ------------------------------------- Thomas R. Watjen Executive Vice President and Chief Financial Officer 26 29 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INDEX TO EXHIBITS to FORM 10-Q/A PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY OF AMERICA Page Exhibit 15 Letter re unaudited interim financial information 28 Exhibit 27 Financial Data Schedule (for SEC use only) 29 27