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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D. C. 20549
FORM 10-K
(Mark One)
(X) ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 1996
or
( ) TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
For the transition period from ____________ to ____________
Commission File Number 0-27462
RISCORP, Inc.
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(Exact name of registrant as specified in its charter)
Florida 65-0335150
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(State or other jurisdiction of (I.R.S. Employer Identification Number)
incorporation or organization)
1390 Main Street, Sarasota, Florida 34236-5642
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(Address of principal executive offices) (Zip Code)
Registrant's telephone number, including area code: (941) 951-2022
Securities registered pursuant to Section 12(b) of the Act:
Name of Each Exchange
Title of Each Class on which Registered
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None None
Securities registered pursuant to Section 12(g) of the Act:
Class A Common Stock, $.01 par value
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(Title of Class)
Indicate by check mark whether 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
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Indicate by check mark if disclosure of delinquent filers pursuant to Item 405
of Regulation S-K is not contained herein, and will not be contained, to the
best of registrant's knowledge, in definitive proxy or information statements
incorporated by reference in Part III of this Form 10-K or any amendment to
this Form 10-K. [ ]
The aggregate market value of shares of the registrant's common stock held by
non-affiliates of the registrant as of May 6, 1997, was $37,368,452.
The number of shares of the registrant's common stock issued and outstanding as
of May 6, 1997 was 36,077,778, consisting of 11,743,335 shares of Class A
Common Stock and 24,334,443 shares of Class B Common Stock.
Documents Incorporated by Reference: None
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RISCORP, INC.
ANNUAL REPORT ON FORM 10-K
FOR THE YEAR ENDED DECEMBER 31, 1996
TABLE OF CONTENTS
Description Page
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PART I
Item 1. Business
Item 2. Properties 15
Item 3. Legal Proceedings 16
Item 4. Submission of Matters to a Vote
of Security Holders 16
PART II
Item 5. Market for Registrant's Common
Equity and Related Stockholder
Matters 17
Item 6. Selected Financial Data 18
Item 7. Management's Discussion and Analysis
of Financial Condition and Results
of Operations 18
Item 8. Financial Statements and Supplementary
Data 18
Item 9. Changes in and Disagreements with
Accountants on Accounting and
Financial Disclosure 18
PART III
Item 10. Directors and Executive Officers
of the Registrant 19
Item 11. Executive Compensation 21
Item 12. Security Ownership of Certain
Beneficial Owners and Management 25
Item 13. Certain Relationships and Related
Transactions 27
PART IV
Item 14 Exhibits, Financial Statement
Schedules and Reports on Form 8-K 31
Signatures 39
RISCORP (R) is a registered service mark of the Company. The Company has
applied for registration of First Call(SM), however no assurance can be
given that such application will be granted.
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Introductory Note: This Form 10-K does not contain the financial related
information, including financial statements, constituting Items 6, 7, 8, 9, and
14(a) 1 and 2 of Form 10-K. RISCORP, Inc. intends to file these Items as soon
as possible.
PART I
ITEM 1. BUSINESS
FORWARD-LOOKING STATEMENTS
This Annual Report on Form 10-K contains forward-looking statements,
particularly with respect to Risk Factors, Legal Proceedings and the
Liquidity and Capital Resources section of Management's Discussion and Analysis
of Financial Condition and Results of Operation. Additional written or oral
forward-looking statements may be made by Riscorp, Inc. (the "Company") from
time to time, in the filings with Securities and Exchange Commission or
otherwise. Such forward-looking statements are within the meaning of that
term in Sections 27A of the Securities Act of 1933 (the "Securities Act") and
Section 21E of the Securities Exchange Act of 1934 (the "Exchange Act"). Such
statements may include, but not be limited to, projections of revenues, income,
losses, cash flows, capital expenditures, plans for future operations,
financing needs or plans relating to products or services of the Company,
estimates concerning the effects of litigation or other disputes, as well as
assumptions regarding any of the foregoing.
Forward-looking statements are inherently subject to risks and
uncertainties, some of which cannot be predicted. Future events and
actual results could differ materially from those set forth in or underlying
the forward-looking statements. Many factors could contribute to such
differences and include, among others, the ability of the Company to obtain and
retain necessary regulatory approvals, to win acceptance in local markets, to
complete acquisitions and to effectively manage such growth, if any; the actual
outcome of pending litigation or investigations; the impact on the Company of
current and future federal and state regulation of health care reform
legislation, including changes in the availability of recoveries from the
Florida Special Disability Trust Fund ("SDTF"); changes in the mandated
accounting treatment of SDTF recoverables; the failure of the SDTF to pay the
Company's reimbursement requests, discontinuation of the SDTF, the Company's
limited operating history, and direct loss and claims experience; the lack of a
letter rating from A.M. Best Company, Inc. for the Company's subsidiaries; the
impact of such ratings; the Company's need for additional capital to meet state
regulatory requirements and for other purposes and the ability of the Company
to generate sufficient capital in a timely fashion, the possible negative
impact on the Company of the termination of quota share or excess of loss
reinsurance agreements or the failure of such reinsurers to meet their
obligations under such agreements (see "Reinsurance" for information concerning
reinsurance); the highly competitive nature of the managed care workers'
compensation insurance market; the limited nature of the Company's line of
insurance products; the negative impact on the Company if Florida were to
permit competition based on price in workers' compensation insurance; general
economic conditions in Florida, North Carolina and Alabama, in particular, or
the United States generally; the Company's ability to continue and expand its
relationships with independent insurance agencies which market its products and
the other factors mentioned elsewhere in this report.
OVERVIEW
The Company and its subsidiaries (collectively, the "Company") offers a
full continuum of managed care products and services designed to lower the
overall costs of workers' compensation claims, while providing quality,
cost-effective care to injured employees. The Company's managed care approach
is focused on providing prompt medical intervention, integrating claims
management and customer service, and directing care of injured employees
through a managed care provider network. In addition, the Company encourages
employers to make a strong commitment to the adoption of workplace safety and
return-to-work programs designed to reduce the likelihood and cost of
employment related injuries and illnesses. As of December 31, 1996, the
Company provided managed care workers' compensation services to approximately
33,000 employers, principally in Florida and the southeastern United States.
The Company's managed care approach begins with the implementation of its
First Call service, an early intervention system which provides employers with a
toll-free, 24-hour hotline to report claims and to seek medical attention for
injured employees. This service encourages immediate reporting of claims and
allows the Company to direct injured workers to appropriate medical providers
within the Company's contracted network, creating a cost-effective methodology
of dealing with claims promptly after they occur. The Company's case managers
monitor each case and use the Company's information systems to apply utilization
review and quality assurance techniques to achieve appropriate, quality medical
treatment at an affordable price.
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INDUSTRY
Workers' compensation benefits are mandated and regulated by individual
states, and most states require employers to provide medical benefits and wage
replacement to individuals injured at work, regardless of fault. Virtually all
employers in the United States are required either to purchase workers'
compensation insurance from a private insurance carrier, a state sponsored
assigned risk pool, a self-insured fund (an entity that allows employers to
pool their liabilities for obtaining workers' compensation coverage, subject to
assessment), or, if permitted by their state, to be self-insured. Workers'
compensation laws generally require two kinds of benefits for injured
employees: (i) medical benefits that include expenses related to diagnosis and
treatment of the injury, as well as rehabilitation, if necessary, and (ii)
payments that consist of temporary wage replacement or permanent disability
payments.
The Company expects that employers will continue to seek and implement
strategies and programs to reduce costs of workers' compensation. The Company
believes that, unlike the overall health care insurance market, to date there
has not been significant penetration of managed care in the workers'
compensation industry. The Company believes that traditional insurers have not
effectively controlled the cost of workers' compensation insurance because they
have focused on claims processing rather than on an integrated approach that
applies managed care techniques to control costs through the delivery of
quality, appropriate, and timely medical care.
THE COMPANY'S MANAGED CARE APPROACH
The Company stresses an integrated approach to managed care workers'
compensation which involves the employer, employee, and care providers in a
cooperative effort that focuses on cost-effective quality care. This approach
combines loss prevention to promote safety in the workplace and manage risk;
immediate medical intervention to control costs and manage the appropriateness,
timeliness, and quality of care for injured workers; comprehensive case and
utilization management to minimize litigation; and comprehensive medical care
management through a provider network to establish treatment protocols,
clinical paths, and outcome measurements.
STRATEGY
The Company's strategy is to utilize managed care techniques to provide
timely, high quality, and cost-effective care to injured employees, thereby
lowering overall costs. The Company's strategy includes the following
elements:
- Provide Prompt Medical Intervention. The Company
believes immediate medical intervention is the catalyst for
controlling medical costs, promptly returning injured employees
to work, and minimizing litigation expenses. To accomplish
this, in 1994 the Company created its First Call service, a
seven-day-a-week, 24-hour, toll-free injury reporting and
medical referral service. Each call is received by a
customer service representative, who completes the
legally-required notice of injury for the employer and, if the
call meets certain criteria, forwards it to a nurse, who
immediately directs the injured worker to an appropriate
facility or provider for treatment. This process delivers
responsive, personalized service that helps control costs by
directing care through the provider network selected by the
Company; minimizes expensive, unnecessary emergency room
visits; with the intent that the injured employee receives the
proper care for the injury in a timely manner. The Company
believes the significant level of customer participation in
First Call reflects a high level of customer satisfaction. As
of December 31, 1996, more than 98% of the Company's Florida
claims were being reported through First Call. The Company
introduced First Call in North Carolina and Oklahoma in
February and September 1995, respectively, and in seven
additional states in 1996. First Call participation and
reporting percentages vary significantly during the first year
of implementation due to the need to educate both agents and
policyholders. Typically, participation levels off after
twelve to eighteen months after initial implementation.
- Manage Care, Rather Than Process Claims. Once notified of a
workplace injury, the Company's medical case management unit
directs high quality, appropriate medical care focused on the
ultimate outcome of returning the injured employee to work as
soon as possible. The Company's process combines injury
prevention, wellness, and early intervention once an injury
occurs. The Company manages and coordinates: health care
providers through contracted networks, treatment protocols,
outcome measurements, and utilization review; employers
through workplace safety and return-to-work programs; and
injured employees through frequent and early communications,
and the timely provision of high-quality medical care.
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- Direct Care Through Integrated Networks of Quality Health Care
Providers. The Company believes that directing medical
care through a network of credentialed health care providers
is a vital part of any comprehensive managed care program.
The Company's in-house medical director establishes treatment
protocols, clinical paths, and outcome measurements designed
to ensure consistency in the treatment of various injuries and
illnesses. Although not all states permit the Company to
require injured employees to utilize Company-recommended
facilities, the Company's easy-to-use claims reporting process
is generally successful in directing injured workers to
Company-recommended facilities and allows the Company to begin
managing care immediately. In addition, treatments are
reviewed by the Company's utilization management and assurance
personnel in an effort to provide appropriate treatment in a
cost-effective manner. This review process is intended to
facilitate an accurate diagnosis, establish optimal courses of
treatment, and determine when returning to work is
appropriate, the ultimate goal of the Company's managed care
approach.
- Utilize Information Technology to Improve Communications and
Service. The Company believes that sophisticated operating
and communications systems can proactively meet its
customers' needs and promote more efficient management of
claims. For example, the Company has established interactive
communications links with its larger agencies to facilitate
processing applications. The Company's interactive
communications systems also extend to its policyholders
through on-line access to billing, claims, and other
information. These systems are intended to enable the Company
to provide a high level of service to claimants, file claims
promptly, and address the needs of both its agencies and
customers.
- Expand Through Internally Generated Growth. During 1996, the
Company executed a number of transactions to expand
geographically and to build its premium base. The Company is
not currently targeting significant new expansions; however,
it will examine new opportunies as appropriate, consistent
with capital resources. The Company expects internal growth to
result from expanding relationships with independent insurance
agencies and by enhancing its workers' compensation program
through the development of new products and services.
OPERATIONS
The Company's integrated strategy for quality care and cost control
employs an operating process intended to provide the opportunity for immediate
medical intervention, integrated claims and medical management. The Company's
approach directs care through a managed care provider network that follows
common treatment protocols, clinical paths, and outcome measurements. The
Company's approach enlists health care providers, employers, and employees in
the common goal of rapid return-to-work in as cost-efficient and care-effective
manner as possible. Individual components of the process include:
Prompt Medical Intervention
Managing a claim from the earliest possible time is critical to
minimizing its ultimate cost. A 1994 industry study indicates that claims
reported between 11 and 20 days after the date of injury cost an average of 29%
more than claims reported 1 to 10 days after the date of injury, and that the
difference escalated to an average of an additional 48% if the claim was
reported more than 30 days after the injury occurred. To provide early
intervention in the claims process, the Company encourages prompt notification
of all injuries from the employer. To achieve prompt reporting, the Company
created its First Call service, a seven day-a-week, 24-hour, toll-free injury
reporting and medical referral service, in 1994. As of December 31, 1996, 98%
of the Company's Florida claims were being reported through First Call, with
over 81% of the Company's Florida claims reported within the first 10 days
following the injury.
Under First Call, each call is received by a customer service
representative who takes basic information needed to fill out the
legally-required notice of injury for the insured and immediately updates the
Company's claims records. If the call meets certain criteria, the call is then
transferred to a nurse, who uses an electronic mapping system to direct the
injured worker to an appropriate facility for treatment. The nurse can
pinpoint approved providers in the vicinity, provide the party reporting the
claim with directions to the facility, and make an appointment for the injured
employee to receive care. Employers in Florida are permitted to direct injured
employees to a closed panel of physicians. Although workers' compensation laws
in other states may not require injured employees to go to facilities
recommended by the Company's nurses, through its ease of use, this service is
generally successful in directing injured workers to a Company-recommended
facility and directing the appropriate level of care. While individuals who
need immediate care receive it, this process minimizes expensive, unnecessary
emergency room visits.
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In cases of serious or complex injury, the Company provides
comprehensive field case management to direct the ongoing medical care of the
injured employees, as well as the social and economic issues facing the
employees and their families.
Integrated Claims Management and Customer Service
Once the injured employee's care has been initiated, the claim is
managed by the Company's Case Management Unit, a group of interdisciplinary
teams that incorporate all facets of claims management.
Nurses coordinate and manage medical aspects of the claim,
including initial triage procedures to direct the appropriate level of
care; authorize additional appointments at appropriate facilities to
speed the claimant's recovery; monitor progress against treatment
protocols, clinical paths, and outcome measurements; and maintain
ongoing communications with the Company's medical director to report
any complications or unusual provider treatment patterns. Nurses also
coordinate the injured employee's return to light duty work with his
employer.
Claims Adjusters work closely with the nurses to co-manage
each case. The claims adjusters determine whether an injured employee
is eligible for benefits and what benefits should apply; conduct
ongoing contact with the employee and the employer to assess the
employee's progress in conjunction with the field case manager and
nurses; help prevent litigation and manage any litigation that may
arise; and assess the potential for settlement to close the case faster
and less expensively, if appropriate.
Field Case Managers work with the claims adjusters and nurses
to coordinate light duty and return-to-work programs for injured
employees; help manage the social and economic issues arising from
serious or complex injury; provide vocational rehabilitation counseling
and services; and work closely with injured employees, their families,
and their employers to provide a personal level of service.
Medical Claims Technicians assist the claims adjusters and the
nurses by managing most of the routine administrative aspects of the
case.
Claims and Medical Assistants provide support to each team.
These team members are responsible for data entry, filing, making
appointments for the employee at the nurse's direction, and other
support functions.
Also supporting the teams are the Company's recovery unit, which
pursues recovery of funds available to reimburse employers and carriers for
medical costs and wage losses exacerbated by prior injuries and pursues
subrogation in third-party liability cases; and the Company's medical director
for especially complex cases or unusual circumstances. In addition, the
Company's loss prevention personnel work with the claims management teams to
help investigate the cause of accidents and to help employers follow
recommendations designed to prevent similar incidents.
The Case Management Unit is authorized and encouraged to expedite
management of claims so that injured workers can receive prompt attention and
the claims can be resolved as quickly as practicable. One component of this
approach is the Company's efforts to manage the cost of the claim and control
possible litigation by promptly and courteously resolving inquiries and
problems raised by claimants and their families.
The Case Management Unit's objectives are to manage the entire claim,
not just specific components. This is in contrast to traditional workers'
compensation insurance companies, which the Company believes tend to classify
claims as either medical only (i.e., not eligible for lost wages benefits) or
lost time (i.e., encompasses both medical and lost wages benefits), rather than
focus on measurable outcomes such as return to work. The Company believes that
under this traditional approach, medical only claims are typically handled by
less skilled employees than lost time claims, with an emphasis on paying
providers' bills as they are received. One disadvantage is that what starts as
a medical only claim (e.g., a pulled back muscle) can turn into a more severe
problem (i.e., complications that lead to lost time). Under the Company's team
approach, every claim is classified according to medical severity and
complexity, regardless of whether it begins as medical only or lost time.
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The Company's Case Management Unit also conducts fee schedule and
medical bill reviews to help ensure it has been billed appropriately for the
approved services and to prevent over-utilization of medical services. A
software program is used to detect variances from agreed-upon fee schedules,
unbundling of charges, and unnecessary or unrelated charges. In addition, Case
Management Unit nurses review large or complex bills for additional items that
do not fall within the Company's payment guidelines.
Provider Network
The Company believes effective medical management depends largely upon
selection of a quality group of health care providers and ongoing oversight by
management of this network. In Florida, the Company has established a network
of healthcare providers and facilities who have agreed to provide quality
patient care in exchange for a negotiated fee structure. Outside Florida, the
Company has a contractual relationship with a network consisting of health care
providers and facilities who have agreed to provide quality patient care in
exchange for a negotiated fee structure. In either case, the networks developed
or selected by the Company provide employees with a wide range of physician
choices, in order to improve employee satisfaction and to provide an attractive
product. Currently, approximately 3,500 physicians, with a wide range of
specialties, 146 hospitals and 408 other health care providers participate in
the Florida network. The Florida network has received approval from the Agency
for Health Care Administration (the "AHCA") to operate as a Workers Compensation
Managed Care Arrangements ("WCMCA") in 53 Florida counties accounting for over
99% of the Company's premium distribution. AHCA approval denotes sufficient
provider scope, access and capacity to operate in a managed care environment
under Florida workers' compensation laws. Outside Florida, approximately 20,100
physicians, 438 hospitals, and 2,487 other health care providers participate in
the Company's network. When entering a market, the Company seeks to enter into
strategic relationships with existing medical delivery systems as well as to
contract directly with individual providers in developing networks. The use of
the network is coordinated by the Company's in-house medical director, who
establishes treatment protocols, clinical paths, and outcome measurements
designed to establish consistency concerning the treatment of various injuries
and illnesses. The Company's Case Management Unit also conducts a comprehensive
utilization management program to ascertain that appropriate treatment is being
delivered, including pre-certification, concurrent review, in-house medical
staff review, fee schedule review, and medical bill review.
Pre-certification techniques determine the medical necessity and
appropriateness of treatment before it is provided to the injured worker. The
Company's nurses and its medical director work with the patient's health care
providers to develop a treatment plan geared toward maximum medical improvement
of the injured employee in the shortest time possible. Once the treatment plan
is established, concurrent review is implemented by periodic follow-ups to
assess the injured worker's progress.
To maintain the continuing quality of the provider network, the
Company's medical director performs peer reviews on an ongoing basis, with
particular emphasis on cases in which the Case Management Unit has alerted the
medical director of complications or significant variations from the
agreed-upon treatment plan guidelines.
Relationship With Employers
The Company encourages employers to make a strong commitment to the
adoption of its managed care approach and safety programs, in effect
establishing a cooperative effort in both controlling risk and delivering
managed care. The Company's underwriting criteria strongly encourage the
implementation of return-to-work, light duty, and drug-free workplace policies.
The Company works closely with employers to initiate and implement a
number of programs designed to decrease the risk of employment related injuries
and illnesses. The Company's loss prevention personnel conduct periodic on-site
reviews to ascertain compliance with return-to-work, light duty, and drug-free
workplace programs, as well as to evaluate overall safety conditions. Although
there are some instances in which the Company declines to underwrite a risk, the
Company believes that, in many cases, certain questionable risks can be
underwritten if the customer makes a strong commitment to the adoption of the
Company's safety program and managed care approach. The Company assists
customers in designing safety programs and is especially active with programs
for its large accounts. In some cases, the Company has requested that a
customer employ a full-time safety compliance officer which in some instances
has resulted in premium savings. While this has increased the customer's
short-term expense, generally the Company and its customers find the extra cost
is more than offset by its long-term premium savings. The Company also
communicates with employers, and provides interactive, on-line customer access
to billing, claims, and other information.
The Company also can tailor workers' compensation programs for its
customers' specific financial and risk management needs. These custom-designed
plans can also include a variety of payment, collateral, and loss control
options.
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Litigation Management
The Company, through early intervention, seeks to limit the number of
disputes with injured employees. The Company believes in the prompt settlement
of meritorious claims; however, it will aggressively defend against
non-meritorious claims. The current regulatory environment in Florida allows an
insurer to settle both indemnity and medical benefits on both past and future
claims. The Company attempts to resolve cases prior to litigation and, if
litigation ensues, aggressively seeks to settle reasonable claims. As of
December 31, 1996, the Company had closed approximately 97% of its pre-1994
reported claims, 92% of its 1994 reported claims, 81% of its 1995 reported
claims, and 50% of its 1996 reported claims.
PROGRAMS AND PRODUCTS
Workers' Compensation Managed Care Products
The Company's products and rating plans encompass a variety of options
designed to fit the needs of a wide selection of employers. The most basic
product is a guaranteed cost contract, where the premium is set in advance and
changes are made only when changes occur in policyholder operations or payrolls.
The premium for these policies is based on state approved rates, which vary
depending upon the type of work performed by each employee and the general
business of the insured. Employers large enough to qualify, typically over
$5,000 in annual premium, will have their premiums based on their loss
experience as determined over a three year period. This loss experience is
adjusted by the type of business and associated risks. In Florida,
policyholders can also qualify for one or more premium credits (5% and 2%) by
agreeing to comply with a drug-free workplace, and/or safe workplace policies.
Policyholders who wish to assume a certain amount of financial risk may elect a
deductible that makes them responsible for the first portion of any claim ($250
to $75,000). In exchange for the deductible election the employer receives a
premium reduction. The Company also offers several loss sensitive plans
(retrospective rating plans and dividend plans) which determine the final
premium paid for the current policy period based largely on the insured's losses
during that same period.
For the year ended December 31, 1996, the following were the
percentages of the Company's standard premiums in-force attributable to its
managed care workers' compensation products:
Guaranteed cost (including various modifications) 71%
Retrospective rating 22
Dividend plans 2
Deductible plans 5
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100%
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Workers' Compensation Management Services
The Company provides fee-based workers' compensation insurance
management services to self-insurance funds and governmental risk sharing pools
performing all the services of an insurance carrier except assuming the
underwriting risk. The Company generally requires that it be given complete
managerial control over the self-insurance fund's operations, and that it be
entitled to share in cost savings it generates in addition to its base
fees. During 1996, the Company converted five self-insurance funds to at-risk
business and terminated certain contracts with third parties. As of December
31, 1996, the Company is providing these services to five entities
(representing approximately 2,900 employers) with standard premiums in-force
under management of approximately $85 million. The largest contracts are North
Carolina Commerce Fund (NCCF), Governmental Risk Insurance Trust ("GRIT") in
Florida and North Carolina, and The Oklahoma Restaurant Group Self Insurance
Association.
RISCORP Managed Care Services
The Company provides integrated administrative and managed care
services for self-insured employers. These services include workers'
compensation claims administration, provider networks, medical case management,
utilization management, medical bill review, loss prevention programs,
occupational health programs, and telephonic reporting and early intervention
through First Call. The programs and services can be packaged to receive
approval under Florida
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workers' compensation managed care laws. The Company provides such services on
a negotiated fee-for-service basis including risk sharing provisions which are
based on performance. Typical clients are larger businesses and governmental
entities. At December 31, 1996, approximately 30 employers are under managed
care contracts with the Company.
Workers' Compensation Managed Care Arrangements ("WCMCAs")
Prior to 1997, Florida law authorized workers' compensation insurers
to offer employers up to a 10% premium discount in exchange for their
participation in exclusive panel medical provider programs known as WCMCA's.
Effective January 1, 1997, Florida law mandates workers' compensation insurers
to provide all medical care through WCMCAs. Under these arrangements, the
Company is allowed to direct injured employees to a provider network in which
employees must participate or face possible denial of medical cost coverage.
WCMCAs have been in place on a voluntary basis in the state of Florida since
1994 and the Company had achieved a high level of voluntary WCMCA participation
with over 50% of its premiums joining prior to 1997. The Company currently
provides these programs to employers in counties covering approximately 99% of
its premium base and awaits approval of expansion filings for the remaining
counties.
The Company and one of its affiliates have developed a provider
network which now covers the entire state of Florida. The network includes over
3,597 physicians and 554 hospital and ancillary facilities. The Company
believes its ability to obtain discounted medical fees, manage utilization, and
track medical outcomes for providers participating in its network enhances its
ability to manage claims.
The Company also maintains an arrangement with Humana Health Plans,
Inc., ("Humana"), 9 health maintenance organization ("HMO") whereby certain of
the Company's medical claim costs are fixed for the first three years of each
claim. The agreement provides the Company with access to Humana's health care
provider networks in Florida. The agreement commenced July 30, 1995 and was
renewed for one year upon its anniversary. Injured individuals are covered for
three years following any accident occurring within the policy period of any
policy entered into during the term of the agreement. The agreement may be
terminated by either party upon 90 days notice. The Company had a similar
arrangement with RISCORP Health Plans, Inc. ("RHP"), an affiliated company,
until the arrangement was terminated effective May 1, 1996. Injured individuals
are covered for three years following any accident occurring within the policy
period of any policy entered into during the term of the agreement. To the
extent that Humana or RHP is unable to meet its contractural obligations under
these arrangements, the Company will be liable for any claims and claim
settlement expenses under these ceded arrangements.
RECENT JOINT VENTURE AND ACQUISITIONS
General
The Company has experienced rapid growth in its revenues, the number of
its employees, and the scope of its operations. This growth has resulted in,
and is expected to continue to create, new and increased responsibilities for
management personnel, as well as additional demands on the Company's operating
and financial systems. The Company's business and future growth will depend on
the efforts of key management personnel and the Company's ability to attract
and retain qualified management personnel. The Company's continued growth, if
any, also will require it to recruit qualified persons, to enhance its
managerial systems for its operations, and to successfully integrate new
employees and systems into its existing operations. If the Company is unable to
continue to manage growth effectively, the Company's business, financial
condition, or results of operations could be materially and adversely affected.
See "Business -- Strategy."
Future growth of the Company's operations depends, in part, on its ability
to expand its continuum of managed care workers' compensation products and other
services in markets where it is currently conducting business and to enter
markets in additional states. To achieve this, the Company must obtain
regulatory approvals, win acceptance in the local market, adapt its procedures
to each state's regulatory system (which differs materially from state to state)
and expand its network of independent insurance agencies. The time required to
obtain regulatory approvals varies from state to state, and there can be no
assurance that the Company will obtain such approvals in each state it may seek
to enter. See "Business -- Regulation."
The Company has pursued, and will continue to pursue, growth opportunities
through internal development and acquisitions of complementary enterprises both
within Florida and in other states. The Company is unable to predict
whether or when any prospective acquisition candidate will become available or
the likelihood that any acquisition will be completed. The Company competes for
acquisition and expansion opportunities with many entities that have
substantially greater resources. In addition, acquisitions may involve
difficulties in the retention of personnel, diversion of management's
attention, unexpected legal liabilities, and tax and accounting issues. Certain
acquisitions made by the Company in 1996 were accomplished in part by the use
of the Company's Class A Common Stock. In light of the decline in the price of
the Company's stock, the use of such stock for acquisitions is less attractive
to the Company as well as to stockholders of possible acquisition candidates.
Acquisitions by means of cash will depend upon the Company's capital resources.
There can be no assurance that the Company will be able to successfully
identify suitable acquisition candidates, complete acquisitions, integrate
acquired businesses into its operations, or expand into new markets. Once
integrated, acquisitions may not achieve comparable levels of revenues,
profitability, or productivity as the existing business of the Company or
otherwise perform as expected. The occurrence of any of these events could have
a material adverse effect on the Company's business, financial condition, or
results of operations. See "Business -- Strategy."
Joint Venture Arrangement with Blue Cross and Blue Shield of Illinois
In January 1996, the Company entered into a joint venture arrangement
with Health Care Service Corporation, doing business as Blue Cross and Blue
Shield of Illinois ("HCSC"), to establish Third Coast Holding Company ("Third
Coast"). Third Coast then formed an Illinois domestic stock insurance company
(the "Insurance Company") to underwrite and sell managed care workers'
compensation insurance in Illinois, as well as a third-party administrator
corporation (the "Administrator") to provide administrative services to the
Insurance Company and third parties.
Under the terms of the arrangement, HCSC and the Company each holds 50%
of the outstanding common stock of Third Coast. HCSC contributed $10 million to
capitalize the Insurance Company. The Company contributed no financial capital
to the venture, but contributed a non-exclusive license for the use of its
expertise, systems, and intellectual property to enable the Insurance Company to
underwrite and sell workers' compensation insurance in Illinois. In addition,
HCSC agreed to initially loan the Insurance Company up to $10 million. To
maintain sufficient capitalization levels, HCSC agreed to provide additional
surplus loans to the Insurance Company in a maximum aggregate of $20 million, if
certain other conditions are met.
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Acquisition of CompSource
In March 1996, the Company purchased all of the stock of CompSource, Inc.
and Insura, Inc. (collectively, "CompSource") in exchange for approximately
$12.2 million in cash and 112,582 shares of the Company's Class A
Common Stock. CompSource is a workers' compensation management services company
offering its services in North Carolina managing a self-insurance fund with
approximately $37 million of standard premiums in-force in March 1996. Cost in
excess of net assets of businesses acquired of approximately $12.5 million was
recorded as a result of this acquisition. Pursuant to a redemption agreement
entered into as part of this transaction, the former shareholders of CompSource
elected to have the Company repurchase the 112,582 shares at a purchase price
of $18.653 per share in March, 1997 and the Company repurchased all 112,582
shares from the former shareholders for $2.1 million in accordance with the
terms of the redemption agreement.
Acquisition of Atlas
In March 1996, the Company completed its acquisition of Atlas Insurance
Company ("Atlas") in Missouri for approximately $5.3 million in cash. Atlas has
insurance licenses in 19 states. In addition, the acquisition gives the Company
excess and surplus lines licenses in five additional states. Cost in excess of
net assets of business acquired of approximately $2.6 million was recorded as a
result of this acquisition. Following the acquisition, Atlas was renamed RISCORP
National Insurance Company ("RNIC").
Acquisition of NARM
In June 1996, RNIC acquired the assets and assumed all of the liabilities
of the National Alliance for Risk Management Fund ("NARM"), a North
Carolina workers' compensation self-insurance fund with approximately $53
million of standard premiums in-force in June 1996. The acquisition was
accomplished by means of a loss portfolio transfer and assumption reinsurance
agreement. NARM's assets and liabilities totaled approximately $46.0 million
and $44.5 million, respectively, at the date of acquisition. Net assets in
excess of cost of business acquired of approximately $1.5 million was recorded
as a result of this transaction.
Acquisition of OSAA
In September 1996, RNIC acquired the assets and assumed all of the claim
liabilities of the Occupational Safety Association of Alabama ("OSAA"),
an Alabama workers' compensation self-insurance fund with approximately $45
million of standard premiums in-force at the acquisition date. In connection
with the initial transfer, the Company assumed net insurance liabilities of
$49.7 million and a like amount of investments and other assets. The
acquisition was accomplished by means of a loss portfolio transfer and
assumption reinsurance agreement whereby OSAA made an initial transfer of
certain investment securities.
Acquisition of IAA and Risk Inspection
In September 1996 the Company acquired all of the stock of Independent
Association Administrators, Inc., ("IAA") and Risk Inspection Services and
Consulting, Inc., ("Risk Inspection"). IAA, a workers' compensation management
services company offering its services in Alabama, was acquired with 790,336
shares of Class A RISCORP common stock (then valued at $10.9 million). Risk
Inspection was purchased for approximately $600,000 in cash. Cost in excess of
net assets of businesses acquired of approximately $11.4 million was recorded in
conjunction with these acquisitions. Pursuant to the acquisition agreement for
IAA, if the former IAA shareholders or their successors own all of such Class A
Common Stock on September 17, 1998, the Company is obligated to issue additional
shares of the Company's Class A Common Stock in an amount sufficient to make the
value of all shares of the Company's Class A Common Stock held by the former
IAA shareholders equal to an aggregate fair market value of $10.9 million as of
that date. However, in no event will the number of additional shares issued to
the former IAA shareholders exceed 790,336 shares.
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Acquisition of Virginia Funds
In October 1996, RNIC acquired the assets and assumed all of the
liabilities of three Virginia self-insurance funds (the "Virginia Funds")
consisting of NARM Manufacturers Group Self Insurance Association of Virginia,
NARM Services Group Self Insurance Association of Virginia and NARM Mercantile
Group Self Insurance Association of Virginia. At the date of acquisition, the
Virginia Funds had approximately $5.9 million of standard premiums in-force.
Assets acquired and liabilities assumed by RNIC totaled $4.5 million and
$4.8 million, respectively, at the date of acquisition. The acquisition was
accomplished by means of a loss portfolio transfer and assumption reinsurance
agreement.
SALES AND MARKETING
The Company's workers' compensation products and services are sold
exclusively by independent insurance agencies. Currently, the Company has
approximately 1,100 agencies in nine states to sell its products, of
which approximately 393 are in Florida. These independent agencies are viewed
by the Company as important to its success. The Company views its agencies as
customers and strives to respond quickly and proactively to agency inquiries.
The Company seeks to write all of an agency's workers' compensation business
that fits within its underwriting guidelines, and seeks to be the provider of
choice for workers' compensation insurance to all of its agencies. Through
"The RISCORP Connection," an internet data interchange system, the Company's
Florida agents and certain qualifying policyholders are able to communicate
with the Company via e-mail and are given system access to perform claims and
billing inquiries. The Company also utilizes a number of promotional media,
including advertising in publications and at trade fairs, to support the
efforts of its independent agencies.
The Company's top ten agencies accounted for approximately 22% of the
Company's direct premiums earned for the year ended December 31, 1996, with the
top independent insurance agency accounting for approximately 6%. The Company
provides a number of incentives to its agencies and conducts sales promotions
throughout the year. The Company focuses on agencies that write more than $1
million in annual premiums. These agencies are eligible for additional
commissions which, depending on premium retention percentages, vest over
periods ranging from three to five years providing a continuing commitment to
the Company. Agencies writing over $100,000 in annual earned premium are
eligible to receive an additional bonus based on the profitability of their
book of business. All of the Company's agencies are eligible to receive a
quality incentive bonus based on the historical loss results of new accounts
which they write with the Company. The Company believes it pays competitive
sales commissions. In some states, the Company also administers self-insurance
funds where commission rates are set by the fund and typically vary from state
to state. These agencies are not obligated to promote the Company's products
and services and may sell competitors' insurance products. As a result, the
Company's business depends in part on the marketing effort of these agencies
and on the Company's ability to continue to offer workers' compensation
insurance products and services that meet the requirements of these agencies
and their customers. In addition, if the Company expands into additional
states, it must establish a network of independent agencies in such states if
it is to successfully market its products. Failure of these independent
insurance agencies to market the Company's products and services successfully
could have a material adverse effect on the Company's business, financial
condition, or results of operations.
CUSTOMERS
The Company insured over 31,000 employers as of December 31, 1996 with
an average annual direct premium of approximately $11,400. Approximately 83%
of the policies scheduled to expire in 1996 were renewed by the Company's
customers, while approximately 88% of the policies scheduled to expire in 1995
were renewed by the Company's customers.
The Company generally requests that its agencies target customers who
comply with a return-to-work program, a drug-free workplace, who are proactive
in seeking to minimize injuries in the workplace, and who are financially
strong or, for certain policy types, are willing to provide adequate security
for payment. The Company does not target any particular industry and believes
that its policies are issued to a diversified mix of employers. Through
underwriting selectivity, cooperation with employers in establishing sound
safety programs, prompt resolution of claims, and application of managed care
techniques, the Company believes it is able to capitalize on the opportunity
presented by the large number of employers that have been forced into
relatively high cost, state-sponsored risk pools, who are willing to conform to
the Company's underwriting standards. However, the Company generally does not
insure certain employers which it considers to be high risk, including nuclear
facilities operators, asbestos removers, and certain other high-risk employers.
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Additionally, the Company rendered workers' compensation insurance
services to five self-insurance funds, representing approximately 2,900
employers. In this capacity, the Company administered standard premiums
in-force of approximately $85 million at December 31, 1996.
The Company has also developed certain programs and procedures for
associations and related employer groups. The Company provides full
administration and insurance services for GRIT which provides coverage for
over 250 governmental entities in Florida and North Carolina. The Company is
also under contract to provide claims, loss prevention, underwriting and
marketing services to certain hospitality association sponsored self insurance
trusts, including the Oklahoma Restaurant Group Self Insurance Association.
Although the Company expanded its operations into additional
states in 1996, approximately 67% of its 1996 revenues and 93% of its revenues
during 1995 were derived from products and services offered to customers
located in Florida. Accordingly, the Company could be materially adversely
affected by economic downturns, significant unemployment, and other conditions
that may occur from time to time in Florida, which may not significantly affect
its more geographically diversified competitors.
INFORMATION TECHNOLOGY AND COMMUNICATIONS SYSTEMS
The Company uses its information systems as an integral part in
providing its managed care products and has made substantial ongoing investment
in improving its operating systems. Customer service is enhanced by
integrating the information about claims, billing, and claims management in its
operating information systems.
The Company's claims information systems enable the Company to
implement its strategy of early intervention. All of its claims personnel are
able to access information allowing a prompt response to claimant inquiries.
The systems enable First Call to operate effectively, with important claims
information being processed quickly. The systems also enable the Company's
independent agencies and underwriting personnel to promptly process
applications for workers' compensation insurance. The Company's information
systems provide employers and agencies with interactive, on-line access to
billing and claims information, as well as enabling the Company to operate an
effective utilization review program.
The Company adheres to an open architecture philosophy, integrating
various systems and hardware platforms to meet its needs. When practicable,
the Company purchases commercially available software. When commercial systems
do not meet the standards for customer service, the Company's staff of
approximately 70 information services personnel build and support the Company's
internally developed systems and supplement commercially purchased products.
The Company has completed development and is in the process of rolling out new
claims processing software which allows claims personnel to gain faster access
to key data, maintain better control over follow-ups, and automate current
manual administrative functions. In addition, the Company has developed and is
in the process of implementing the use of imaging to reduce paper flow, provide
faster access to data, and further automate its processes. The Company is also
an active participant in the Internet, providing general company information
and easy access to agents and clients to claims and billing information. The
Company is also developing a new client services system to enhance service
levels.
EMPLOYEES
The Company had approximately 870 full-time employees at December 31,
1996. Of the Company's employees, approximately 180 work in the Company's
administrative and financial functions and 690 provide services to the
Company's customers. None of the Company's employees is subject to collective
bargaining agreements. The Company believes that its employee relations are
satisfactory.
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REINSURANCE
Through reinsurance, the Company shares the risks and benefits of the
workers' compensation insurance that it assumes. The Company has in effect
specific "excess of loss" policies under which it pays its reinsurer a
percentage of gross premiums earned and the reinsurer agrees to assume all
risks relating to claims over $500,000 on a per occurrence basis (for
occurrences prior to January 1, 1996, the retention was $350,000 per
occurrence). Continental Casualty Co. currently participates in this excess
of loss program. Continental Casualty Co. is rated A (Excellent) by A.M. Best.
The Company maintains a Quota Share Reinsurance agreement for the
workers' compensation insurance it underwrites in Florida with American
Re-Insurance Company ("Am Re"), under which the Company cedes to Am Re
50 % of the direct workers' compensation premium written and losses incurred in
Florida on and after January 1, 1995. Am Re pays a ceding commission to the
Company based on its Florida workers' compensation loss ratio, subject to
certain adjustments and limits. Am Re is rated A+ (Superior) by A.M. Best.
Effective October 1, 1996, the Company entered into a Quota Share
Reinsurance agreement for the workers' compensation insurance it underwrites in
RNIC in states other than Florida with three reinsurers: Chartwell Reinsurance
Company (rated A by A.M. Best), Trenwick America Reinsurance Corporation (rated
A+ by A.M. Best) and Swiss Reinsurance America Corporation (rated A by A.M.
Best). The Quota Share Reinsurance agreement provides for the Company to cede
to the reinsurers 65% of its direct workers' compensation premiums written
and losses incurred on and after October 1, 1996. The reinsurers pay the
Company a ceding commission based on RNIC's loss ratio, subject to certain
adjustments and limits. The Quota Share Reinsurance agreement was amended
effective January 1, 1997 to reduce the ceded percentage to 60%.
In 1996, the Company had direct written premiums of $3.9 million and
$1.5 million of group health, and property and casualty insurance, respectively.
This business is reinsured with reinsurers rated by A.M. Best as A or better.
The Company retains a maximum amount of $150,000 per person per year for the
group health and $250,000 per occurrence and per risk for the commercial
casualty and commercial property.
These Quota Share Reinsurance agreements allow the Company to write,
within regulatory guidelines, a larger number of policies than it could
otherwise. In the event that the Quota Share Reinsurance agreements are
terminated for any reason, the Company could be required to increase its
capital substantially or reduce its level of workers' compensation premiums,
unless it is able to establish another Quota Share Reinsurance arrangement.
This could result in material adverse consequences to the Company's business
and growth prospects. There is no assurance that Quota Share Reinsurance will
continue to be available to the Company for its workers' compensation business.
The Company also has excess of loss policies ("Excess Reinsurance") under which
a group of reinsurers agrees to pay all claims and claims expenses over a
specific dollar amount per incident. The Company regularly performs internal
reviews of the financial strength of its reinsurers. However, if a reinsurer is
unable to meet any of its obligations to the Company under the reinsurance
agreements, the Company would be responsible for the payment of all claims and
claim settlement expenses which the Company has ceded to such reinsurer. Any
such failure on the part of the Company's reinsurers could have a material
adverse effect on the Company's business, financial condition or results of
operations.
A.M. BEST RATINGS OF INSURANCE SUBSIDIARIES
The limited operating history, pending litigation and other factors have
affected the ability of the Company's insurance subsidiaries to obtain favorable
A.M. Best and comparable ratings. A.M. Best ratings are based on a comparative
analysis of the financial condition and operating performance of insurance
companies as determined by their publicly available reports and meetings with
the entity's officers. A.M. Best ratings are based upon factors of concern to
insureds and are not directed toward the protection of investors. Furthermore,
A.M. Best ratings are not ratings of the company or any of its securities. In
assigning ratings, companies may fall within one of three Best rating groupings:
Best Ratings, Financial Performance Ratings or Not Rated.
Letter Ratings
Letter ratings include Secure Ratings, which consist of Superior
(A++, A+), Excellent (A, A-) and Very Good (B++, B+). A.M. Best also provides
Vulnerable Ratings, which consist of Fair (B, B-), Marginal (C++, C+), Weak (C,
C-), Poor (D), Under Regulatory Supervision (E), In Liquidation (F) and Rating
Suspended (S).
The Company was assigned an initial A.M. Best Letter Rating of C (Weak)
on May 12, 1997. This rating is under review with negative implications pending
resolution of certain substantial uncertainties, including various legal
issues, any material Form 10-K disclosures, and potential regulatory actions
emanating from the ongoing state exams. See "Legal Proceedings" and
"Business - Regulation".
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Not Rated
Companies not assigned either Best's Ratings or Financial Performance
Ratings are assigned to one of several Not Rated (NR) Categories. The NR
category identifies the primary reason a rating opinion was not assigned.
RNIC (formerly Atlas Insurance Company) had its B+ rating removed and
was given an A.M. Best's "Not Rated" classification of NR-2 (Insufficient
Operating Experience) following the purchase of Atlas by the Company in March
1996 and the discontinuance of its prior business, which effectively treated
RNIC as a start-up operation for rating purposes.
COMPETITION
The market to provide managed care workers' compensation insurance and
services is highly competitive. The Company's competitors include, among
others, insurance companies, specialized provider groups, in-house benefits
administrators, state insurance pools, and other significant providers of
health care and insurance services. A number of the Company's current and
potential competitors are significantly larger, with greater financial and
operating resources than the Company and can offer their services nationwide.
After a period of absence from the market, traditional national insurance
companies have re-entered the Florida workers' compensation insurance market,
thereby increasing competition in the Company's principal market segment. In
addition, the Company faces significant competition in its newer markets,
particularly North Carolina, Alabama and Oklahoma. The Company does not offer
the full line of insurance products which is offered by some of its
competitors. There can be no assurance that the Company will be able to
compete effectively in the future.
Competitive factors in the workers' compensation insurance field include
premium rates (in some states other than Florida), A.M. Best ratings, level of
service, level of capitalization, quality of provider network, the ability to
reduce loss ratios, and the ability to reduce claims expense. The Company
believes that its products are competitively priced with those of its main
competitors in the standard market. In addition, the Company believes its
premium rates are typically lower than those for customers assigned to the state
sponsored risk pools, allowing the Company to provide a viable alternative for
employers in such pools. The Company also believes that its level of service
and its ability to reduce claims are strong competitive factors that have
enabled it to retain existing customers and attract new customers.
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REGULATION
General
Managed health care programs are subject to various laws and
regulations. Both the nature and degree of applicable government regulation
vary greatly depending upon the specific activities involved. Generally,
parties that actually provide or arrange for the provision of managed care
workers' compensation programs, assume financial risk related to the provision
of those programs, or undertake direct responsibility for making payment or
payment decisions for those services, and are subject to a number of complex
regulatory schemes that govern many aspects of their conduct and operations.
The managed health care field is a rapidly expanding and changing industry; it
is possible that the applicable regulatory frameworks will expand to have an
even greater impact upon the conduct and operation of the Company's business.
The Company's business is subject to state-by-state regulation of
workers' compensation insurance (which in some instances includes rate
regulation and mandatory fee schedules) and workers' compensation insurance
management services. These regulations are primarily intended to protect
covered employees and policyholders, not worker's compensation insurance
companies or their shareholders. Under the workers' compensation system,
employer insurance or self-funded coverage is governed by individual laws in
each of the fifty states and by certain federal laws. Changes in individual
state regulation of workers' compensation or managed health care may create a
greater or lesser demand for some or all of the Company's services, or require
the Company to develop new or modified services in order to meet the needs of
the marketplace and compete effectively and may have a material adverse effect
on the Company's business, results of operations or financial condition. In
addition, many states limit the maximum amount of dividends and other
distributions and loans that may be made in any year by insurance companies.
This restricts the amount of distributions that may be made by the Company's
insurance company subsidiaries.
There is no assurance that the Company will seek approvals from state
regulatory authorities to pay dividends or make distributions or that, if
sought, such approvals will be obtained. This may limit the amount of
distributions that may be made by the Company's insurance company subsidiaries
and may decrease amounts of capital available to the Company for expansion
opportunities and other purposes. In addition, the Company is required to
contribute to state-established guaranty funds or associations that pay claims
of insolvent insurers. As a result, the Company's financial performance could
be materially adversely affected by mandatory assessments from such funds over
which the Company has no control.
Numerous proposals have been debated in Congress and in several state
legislatures and administrative agencies regarding health care
legislation intended to control the cost and availability of health care
services including managed care programs. It is not possible to determine what
health care or managed care reform legislation will be adopted by Congress, any
state legislature, or administrative agency or if and when any such reforms
will be adopted and implemented. In such event, there can be no assurance that
the Company will be able to adjust effectively to any regulatory changes made
by future health care reforms and remain profitable. The Company is unable to
predict accurately the nature and effect, if any, that the adoption of health
care legislation or regulations or changing interpretations at the federal or
state level would have upon the Company.
Except for certain statutorily prescribed credits, Florida currently does
not permit competition on the basis of price in workers' compensation insurance.
This approach is followed in relatively few other states. If Florida were to
permit premium rates to be established with less regulatory intervention, the
Company's business, financial condition, or results of operations could be
materially and adversely affected.
The Company may from time to time need additional capital surplus to meet
certain state regulatory requirements. In particular, the Company anticipates
that its insurance subsidiaries will require capital to meet current statutory
surplus needs and any additional funding requirements that may arise
periodically. From time to time, the Company may be required to increase the
capital surplus of its insurance subsidiaries to remain in compliance with
state regulatory requirements. The Company expects that additional capital will
be required by regulatory authorities for the Company to expand as an insurance
carrier into additional states or undertake other contingency plans. If the
Company is unable to generate sufficient capital, either internally or from
outside sources, it could be required to reduce its growth or to delay or
abandon plans to expand into additional states or acquire other Companies, and
to undertake contingency plans to preserve or generate capital. Although the
Company has met its capital needs in the past, there can be no assurance that
capital will continue to be available when needed or, if available, will be on
terms acceptable to the Company. The Company's Board of Directors has created a
Strategic Alternatives Committee to consider capital needs and to evaluate
strategic alternatives.
Premium Rate Restrictions
State regulations governing the workers' compensation system and
insurance business in general impose restrictions and limitations on the
Company's business operations that are not imposed on unregulated businesses.
Among other matters, state laws regulate not only the kind of workers'
compensation benefits that must be paid to injured workers, but also the
premium rates that may be charged by the Company to insure employers for those
liabilities. As a consequence, the Company's ability to pay insured workers'
compensation claims out of the premium revenue generated from the sale of such
insurance is dependent on the level of premium rates permitted by state laws.
In this regard, it is significant that the state regulatory agency regulating
workers' compensation benefits may not be the same agency that regulates
workers' compensation insurance premium rates.
In October 1996, the Florida Insurance Commissioner ordered workers'
compensation providers to reduce rates by an average of 11.2% effective January
1, 1997. In addition, the 10% managed care credit which had been in place on a
voluntary basis since 1994 was phased out effective January 1, 1997. As of
December 31, 1996, over 50% of the Company's premiums were receiving the 10%
managed care credit.
The State of North Carolina approved a 13.7% rate decrease effective
April 1, 1997, although it is not mandatory for companies to adopt the decrease.
The state legislatures and the federal government have considered and
continue to consider a number of cost containment and health care reform
proposals and managed care reform proposals.
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Financial and Investment Restrictions
Insurance company operations are subject to financial restrictions that
are not imposed on other businesses. State laws require insurance companies to
maintain minimum surplus balances and place limits on the amount of insurance a
company may write based on the amount of the company's surplus. These
limitations restrict the rate at which the Company's insurance company
operations can grow. The Company's 1996 unaudited statutory filings indicate
that, as of December 31, 1996, its insurance subsidiaries met applicable state
minimum capital and surplus requirements. See "Management's Discussion and
Analysis of Financial Condition and Results of Operations".
State laws also require insurance companies to establish reserves for
payment of policyholder liabilities and impose restrictions on the kinds of
assets in which insurance companies may invest. These restrictions may require
the Company to invest its insurance subsidiaries' assets more conservatively
than if they were not subject to the state law restrictions and may prevent
the Company from obtaining as high a return on these assets than it might
otherwise be able to realize.
Participation in State Guaranty Funds
Every state has established one or more insurance guaranty funds or
associations that are charged by state law to pay claims of policyholders
insured by a company that becomes insolvent. All insurance companies must
participate in the guaranty associations in the states where they do business
and are assessable for the associations' operating costs, including the cost of
paying policyholder claims of an insolvent insurer. The Company's financial
performance could be adversely affected by guaranty association assessments as
a consequence of the insolvency of other insurers over which the Company has no
control.
Statutory Accounting and Solvency Regulation
State regulation of insurance company financial transactions and
financial condition are based on statutory accounting principles ("SAP"). SAP
differ in a number of ways from generally accepted accounting principles
("GAAP") which govern the financial reporting of most other businesses. In
general, SAP financial statements are more conservative than GAAP financial
statements, reflecting lower asset values, higher liability values, and lower
equity.
State insurance regulators closely monitor the financial condition of
insurance companies reflected in SAP financial statements and can impose
financial and operating restrictions on an insurance company including: 1)
transfer or disposition of assets; 2) withdrawal of funds from bank accounts;
3) extension of credit or making loans; and, 4) investment of funds.
The Florida Department of Insurance has completed a financial
examination of RISCORP Insurance Company ("RIC"), one of the Company's
insurance subsidiaries for 1995 and issued a final examination report for that
period. The report identified a number of items discovered upon examination and
required a reduction of RIC's statutory surplus as of December 31, 1995 from
$31,117,099 to $4,961,478. The report concludes that as of December 31, 1995
RIC failed to meet the minimum capital and surplus requirements by $12,481,345.
The report noted that the Company made a capital infusion of $31,100,000 into
RIC in 1996. Accordingly, as of December 31, 1996, the surplus of RIC exceeded
the minimum capital and surplus requirements.
The Florida Department of Insurance and the Missouri Department of
Insurance are currently conducting a financial examination of two of the
Company's insurance subsidiaries which may result in adjustments to the
statutory financial statements of the insurance subsidiaries for 1996.
Healthcare and Managed Care Laws and Reform Proposals
The Company's medical provider networks are subject to various federal
and state laws and regulations, including AHCA qualification requirements for
the Company's WCMCA in Florida. There are a number of managed care reform
proposals before federal and state law making and regulatory bodies. The
Company expects that its business operations and products will be impacted by
these.
SDTF
Florida operates the SDTF that reimburses Florida employers and
carriers for excess workers' compensation benefits paid to employees when an
employee is injured on the job and the injury to the physically disabled worker
merges with, aggravates, or accelerates a preexisting impairment. The SDTF is
managed by the State of Florida and is funded through assessments against
insurers and self-insurers providing workers' compensation coverage in Florida.
The SDTF has not prefunded its claims liability and no reserves currently exist
to satisfy future claims. Under Florida law, the SDTF is currently scheduled
to expire in the year 2000, unless it is re-created by the Florida legislature.
In the event of termination of the SDTF, the Company believes remaining
reimbursement obligations of the SDTF would become general obligations of the
State of Florida or would otherwise be enforceable, although there is no
assurance that a reviewing court would adopt that view. The SDTF is currently
undergoing legislative review. Under a recent bill passed by the Florida
legislature, and submitted to the Governor, the SDTF law would be amended so
that claims arising from accidents occurring on or after January 1, 1998 would
not be accepted for reimbursement by the SDTF. The bill states the SDTF will
be liable for reimbursement for subsequent injuries that occur prior to January
1, 1998, and that assessments are to continue for funding purposes.
In addition, the Florida Department of Insurance is participating with
the Florida Legislature in the review of current and proposed statutory
accounting treatments of SDTF projected recoveries, and with respect to how an
insurer may include such estimated recoveries in its admitted asset and loss
reserve calculations in statutory financial statements. Under the bill referred
to above, the anticipated SDTF recoveries that an insurer could take into
account when computing loss reserves in its statutory financial statements would
be limited to recoveries for which a claim has been accepted for payment.
Credit for all other anticipated recoveries would be capped at the total SDTF
recovery amount used by the insurer in 1996 and this capped amount would be
phased out over a five year period, commencing with statutory financial
statements filed in the year 2000 (20% per year reduction of 1996 capped
amount).
While it is not possible to predict the outcome of this or any other
legislative or regulatory proposals affecting the SDTF, changes in the SDTF's
operations or funding which decrease the availability of recoveries or increase
assessments payable by the Company, or the discontinuation of the SDTF, could
have a material adverse effect on the Company's business, financial condition,
or results of operations.
Subject to The legislation set forth above, the SDTF recoverable
recorded on the Company's balance sheet is an actuarial estimate of the amount
the Company can expect to recover from the SDTF on eligible claims. The
Company has a dedicated claims unit that handles the tracking, submission and
collection process with the SDTF. In the event that there are adverse
developments in SDTF collection experience, the recorded recoverable balance
will accordingly be adjusted.
With respect to collection patterns, the SDTF reviews reimbursement
requests on a claim by claim basis, with actual collection payments tied to
the paid loss development over a claim's life. The payments are not made
ratably or in any other predictable pattern. A prior actuarial review of the
SDTF indicated the average time frame for collection of a claim made to the
SDTF is 6 to 8 years. The Company's SDTF recoverable balance has experienced
rapid growth since 1992, when it stood at $15 million. Due to this recent
growth, the Company is early in the normal collection cycle for the majority
its SDTF claims.
14
17
ITEM 2. PROPERTIES
The Company owns its headquarters building in Sarasota, Florida, which
contains approximately 112,000 square feet of space, as well as an adjacent
parking facility. The Company leases an aggregate of approximately 66,000
square feet of space at ten other locations in seven states, including Florida,
under terms expiring through January 2002. The Company incurred rent expense of
$1.3 million for the year ended December 31, 1996. Additionally, the Company
has continuing commitments through July 1998 of approximately $70,000 related
to two locations in which offices were closed during 1996.
15
18
ITEM 3. LEGAL PROCEEDINGS
On April 2, 1996, the Company and several officers, directors and
employees were named as defendants in a purported class action filed in the
United States District Court for the Southern District of Florida. The suit
claims the Company violated the Racketeer Influenced and Corrupt Organizations
Act ("RICO"), breached fiduciary duties and was negligent in the Company's
acquisition of Commerce Mutual Insurance Company ("CMIC") in 1995. The suit
seeks compensatory and punitive damages and equitable relief and treble damages
for the RICO counts. The named plaintiffs, Vero Cricket Shop, Inc., Vero
Cricket Shop Too, Inc. and Falls Company of Longboat Key, Inc., claim to be
former policyholders of CMIC and claim to represent others similarly situated.
The Company has moved to dismiss the complaint and to strike the punitive
damage claims. The Company intends to vigorously defend this action; however,
there can be no assurance that it will prevail in the litigation.
Between November 20, 1996 and January 31, 1997, nine shareholder class
action lawsuits were filed against the Company and three of its executive
officers in the United States District Court for the Middle District of Florida.
Each of the lawsuits purports to represent the same class of shareholders, that
is, purchasers of the Company's Class A common stock between February 28, 1996
and November 14, 1996. Two non-officer members of the board of directors have
been named as defendants in one of the suits. One or more of the Company's
underwriters for the Company's initial public offering have been named as
defendants in eight of the suits. All the lawsuits allege that the named
defendants issued, caused to be issued or participated in the issuance of the
Company's Registration Statement and Prospectus of February 28, 1996, and that
the Prospectus contained false and misleading statements of material fact and
omissions, in violation of sections 11 and 15 of the Securities Act of 1933.
Eight of the nine suits also allege that the named defendants engaged in a
scheme to defraud purchasers of the Company's stock by purposely or recklessly
making false statements of material facts about the Company, its financial
situation and its financial prospects, and by omitting material information
about those subjects, in violations of the Securities Exchange Act of 1934. One
lawsuit alleges violation of section 12(2) of the Securities Act of 1933. The
complaints seek unspecified compensatory damages. The Company moved to
consolidate the complaints and for the filing of one consolidated complaint. On
March 11, 1997, the motion for consolidation was granted and the consolidated
complaint was filed on April 10, 1997. The Company intends to vigorously
defend these consolidated actions; however, there can be no assurance that it
will prevail in the litigation.
The Company and a number of officers, directors and employees have been
served with subpoenas requesting information for a federal grand jury
investigation in the Northern District of Florida. The Company is cooperating in
the investigation, which it understands is a broad examination related to
political candidates and political campaign contributions. The Company
understands that a number of other parties unrelated to the Company also have
been served with subpoenas.
No provision has been made in the Company's financial statements for
the above matters.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
None.
16
19
PART II
ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER
MATTERS
The Company's Class A Common Stock ($.01 par value) is traded on the
NASDAQ Stock Market's National Market under the symbol "RISC". As of December
31, 1996, the number of record holders of Class A Common Stock was 153.
Trading of the Company's Class A Common Stock commenced with its initial public
offering on February 29, 1996, at a price per share of $19. The following table
sets forth the high and low closing sales prices for the Company's common stock
for each full quarterly period since the initial public offering.
Per Share Sales Price of Common Stock
-------------------------------------
First Quarter Second Quarter Third Quarter Fourth Quarter First Quater
1996 1996 1996 1996 1997
------------- -------------- ------------ --------------- ------------
High 21 1/2 23 7/8 19 1/4 18 3/4 4
Low 19 15 10 3/4 3 3/8 1 13/16
On May 6, 1997, the closing sale price of the Company's Class A Common Stock
was $3.1875. No dividends have been declared or paid since the Company's initial
public offering and it is not anticipated that dividends will be paid in the
foreseeable future.
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20
ITEM 6. SELECTED FINANCIAL DATA.
To be filed pursuant to Rule 12b-25 on Form 10K/A.
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITIONS AND
RESULTS OF OPERATIONS.
To be filed pursuant to Rule 12b-25 on Form 10K/A.
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.
To be filed pursuant to Rule 12b-25 on Form 10K/A.
ITEM 9. CHANGE IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE.
To be filed pursuant to Rule 12b-25 on Form 10K/A.
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21
PART III
ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
DIRECTORS AND EXECUTIVE OFFICERS
Set forth below is certain information as of May 1, 1997, concerning
the Company's executive officers, continuing directors, and nominees for
director.
Year First
Became a
Name Position(s) Age Director
---- ----------- --- --------
William D. Griffin Chairman of the Board, Chief Executive 48 1988
Officer and Director
James A. Malone President, Chief Operating Officer and 35 1994
Director
Steven J. Berling Senior Vice President - Managed Care Services 48
Thomas S. Hall Senior Vice President - Business Development 36
Richard A. Halloy Senior Vice President and Director 35 1996
Fred A. Hunt Senior Vice President - Risk & Insurance 45
Solutions
Senior Vice President, General Counsel and 44
Secretary
L. Scott Merritt Senior Vice President, Chief Investment 48 1996
Officer, Treasurer and Director
Richard B. Franz Senior Vice President and Chief Financial 46
Officer
Walter E. Riehemann Vice President, Secretary and Acting 30
General Counsel
Seddon Goode, Jr. Director 65 1996
George E. Greene, III Director 61 1995
Walter L. Revell Director and Vice Chairman 62 1995
WILLIAM D. GRIFFIN is the Founder of the Company, and has been its Chairman and
Chief Executive Officer since its inception in 1988. Mr. Griffin was a member
of the Florida Governor's Task Force on Workers' Compensation in 1988, and
served as chairman of the Marketplace, Conduct Standards, and Statistics
Committee of the Governor's Oversight Board in 1990. Mr. Griffin also served on
the Board of Directors of the Florida Workers' Compensation Joint Underwriting
Association, Inc. from 1993 to 1994.
JAMES A. MALONE has served as President of the Company since 1993. Mr. Malone
joined the Company in 1990 as Vice President of Operations, and was named
Senior Vice President and Chief Operating Officer in 1991. Prior to joining
the Company, Mr. Malone was Director of Risk Management for Kentucky Fried
Chicken, Inc., a subsidiary of PepsiCo, Inc., from April 1990 to November 1990.
Mr. Malone served as Manager of Risk Financing for Batus, Inc. from 1988 to
1990. Mr. Malone holds the professional designations of Chartered Property and
Casualty Underwriter as well as Associate in Risk Management.
STEVEN J. BERLING has served as Senior Vice President and President of the
Company's Managed Care Services Group since December, 1995. Mr. Berling was
President of the Management Services Division from September, 1994 to December,
1995. Prior to joining RISCORP, Mr. Berling was Vice President at VHA of
Florida from June, 1993 to September, 1994. Mr. Berling was Vice President of
Administrative Services at Sharp Health Care from 1987 - 1993, where he served
in various capacities as a hospital administrator.
THOMAS S. HALL has served as Senior Vice President-Corporate Development of the
Company since October 1995. Mr. Hall was the Company's Senior Vice President
and President of RISCORP U.S. Group from 1992 to 1995. Mr. Hall served as
President and Chief Executive Officer of Chautauqua Airlines (d/b/a U. S. Air
Express) from 1990 to 1992.
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22
RICHARD A. HALLOY has served as Senior Vice President, Chief Financial Officer
and Director of the Company since June, 1996. Mr. Halloy has served in a
number of senior management positions for RISCORP and its affiliates since
joining RISCORP in February 1994. Prior to joining the Company, Mr. Halloy
was President of Halloy & Company from 1990 until February 1994. Mr. Halloy
began his career with Arthur Andersen & Company.
FRED A. HUNT has served as Senior Vice President and President of the company's
Risk & Insurance Solutions Group since October 1995. Mr. Hunt was the
Company's Senior Vice President and President of P&C Services Division from
1994 to 1995. Mr. Hunt served in various capacities with Liberty Mutual
Insurance Company from 1973 to 1993, most recently as Vice President and
Manager of Underwriting Operations.
L. SCOTT MERRITT has served as Senior Vice President and Chief Investment
Officer of the Company since January 1995 and as Treasurer and a director
since November 1996. Mr. Merritt has been President of his own firm, Merritt
& Company in Sarasota, Florida from 1993 to the present. From 1990 to 1993,
Mr. Merritt was employed by the Company as investment manager. His previous
experience also includes extensive investment and other financial positions
with Bay Future, Merrill Lynch and Smith Barney.
RICHARD B. FRANZ, II was appointed Senior Vice President and Chief Financial
Officer of the Company in May, 1997. Prior to joining the Company, Mr. Franz
served as Senior Vice President, Treasurer and Chief Financial Officer of
Western Reserve Life Assurance Company (1987 to 1997), and Treasurer and
Principal Financial Officer for the IDEX Group of Mutual Funds and the WRL
Series Fund (1987 to 1997). His previous experience includes service as Vice
President, Controller and Chief Accounting Officer for American Heritage Life
Insurance Companies, Inc.; Controller of Harvest Insurance Companies, Inc.; and
in various positions with Deloitte & Touche and National Standard Life Insurance
Company.
WALTER E. RIEHEMANN has served in various capacities with the Company since
August 1995, most recently as Vice President, Secretary and Acting General
Counsel. Prior to that time, Mr. Riehemann was associated with the law firms
of Powell, Goldstein, Frazer & Murphy, Atlanta, Georgia (1993 to 1995), Long,
Aldridge & Norman, Atlanta, Georgia (1993), and Jones, Day, Reaves & Pogue,
Dallas, Texas (1990 to 1993).
SEDDON GOODE, JR. was elected a director of the Company in November 1996. Mr.
Goode has served as President and Director of University Research Park, Inc.
since 1981. From 1977 to 1984, Mr. Goode served as Chairman of First Charlotte
Corporation. From 1968 to 1977, Mr. Goode served as Senior Vice President,
Chief Financial Officer and Director of Interstate Securities Corporation. Mr.
Goode is also a director of Trion, Inc.
GEORGE E. GREENE III was elected a director of the Company in November 1995.
Mr. Greene served as Executive Director of No Casinos, Inc., a non-profit
organization to keep casino gambling illegal in Florida, in 1994. Mr. Greene is
also a private consultant. Mr. Greene served in various management positions
with Florida Power Corporation, and other subsidiaries of Florida Progress
Corporation from 1962 to 1993, most recently as Senior Vice President of Florida
Power Corporation from 1983 to 1993. Mr. Greene retired from Florida Power
Corp. on January 1, 1994.
WALTER L. REVELL was elected a director of the Company in November 1995 and
Vice Chairman of the Board in November 1996. Mr. Revell has been Chairman and
Chief Executive Officer of H. J. Ross Associates, Inc., a consulting
engineering, architectural and planning firm, since 1991; Chairman and Chief
Executive Officer of Revell Investments International, Inc. since 1984 and was
President and Chief Executive Officer of Post, Buckley, Schuh & Jernigan, Inc.,
a consulting engineering, architectural, and planning firm, from 1975 to 1983.
Mr. Revell is also a director of St. Joe Corporation and Dycom Industries, Inc.
MEETINGS OF THE BOARD OF DIRECTORS AND STANDING COMMITTEES
During 1996, the Company's Board of Directors held nine meetings. Each
incumbent director attended at least 75% of the total number of Board meetings
and meetings of committees of which he is a member.
The Company's Board of Directors has a Compensation Committee, an Audit
Committee, an Investment Committee, and a Stock Option Committee. The
Compensation Committee consists of Messrs. Goode, Greene and Revell. The
Compensation Committee recommends to the Board both base salary levels and
bonuses for the Chief Executive Officer and reviews the compensation levels of
the other executive officers of the Company. See "Board Compensation Committee
Report on Executive Compensation." The Compensation Committee also reviews and
makes recommendations with respect to the Company's existing and proposed
compensation plans. The Compensation Committee met two times during 1996.
The members of the Audit Committee are Messrs. Goode, Greene and
Revell. The duties of the Audit Committee, which met four times during 1996,
are to recommend to the Board of Directors the selection of independent
certified public accountants, to meet with the Company's independent certified
public accountants to review the scope and results of the audit, and to
consider various accounting and auditing matters related to the Company,
including its system of internal controls and financial management practices.
The members of the Investment Committee, which met one time during
1996, are Messrs. Greene, Revell, and Merritt. The duties of the Investment
Committee are to review and monitor the investment portfolio of the Company.
The Company's Stock Option Committee consists of Messrs. Goode, Greene
and Revell. The Stock Option Committee is responsible for administering the
Company's 1995 Non-qualified Stock Option Plan. The Stock Option Committee met
one time in 1996.
The Company does not have a nominating committee. This function is
performed by the Board of Directors.
COMPENSATION OF DIRECTORS
Directors who are not employees of the Company are paid $40,000
annually plus $1,000 for each Board meeting attended, and $1,000 for each day
of committee meetings attended if such meeting day occurs on a day other than
that of a scheduled meeting of the Board of Directors. In addition, the Company
reserved 10,000 shares of Common Stock for future issuance upon the exercise of
stock options that may be granted to such non-employee directors. During 1996,
Messrs. Greene and Revell were granted options to purchase 1,000 shares each of
the Company's Class A common stock at an exercise price of $19.000 per share.
During 1996, Mr. Goode was granted options to purchase 1,000 shares of the
Company's Class A common stock at an exercise price of $4.44 per share. These
options vest 25% per year beginning two years from the option grant date. All
directors receive reimbursement of reasonable out-of-pocket expenses incurred in
connection with meetings of the Board of Directors. No director who is an
employee of the Company receives separate compensation for services rendered as
a director.
Compliance with Section 16(a) of the Securities Exchange Act
Section 16(a) of the Securities Exchange Act of 1934 requires the
Company's executive officers and directors, and persons who own more than ten
percent of the common stock of the Company, to file reports of ownership and
changes in ownership with the Securities and Exchange Commission. Officers,
directors, and ten percent shareholders are required by the SEC regulations to
furnish the Company with copies of all Section 16(a) reports they file.
Based solely on its review of the copies of such reports received by
it, and written representations from certain reporting persons that no SEC
Forms 3, 4, or 5 were required to be filed by those persons, the Company
believes that during 1996, its officers, directors and ten percent beneficial
owners timely complied with all applicable filing requirements, except for the
following: Thomas E. Danson, Paul DiFrancesco, Richard A. Halloy and William D.
Griffin each filed a Form 4 late.
20
23
ITEM 11. EXECUTIVE COMPENSATION
The following table sets forth the compensation received by the Company's
Chief Executive Officer and the four highest paid executive officers for
services rendered to the Company in 1994, 1995 and 1996.
SUMMARY COMPENSATION TABLE
Annual Compensation
------------------------------------
Other Securities
Name Annual Under- All Other
and Compen- lying Compen-
Principal sation Options sation
Position Year Salary($)(1) Bonus($)(2) ($) (#) ($)(3)
- --------------------------------------------------------------------------------------------------
William D. Griffin 1996 751,416 907,241 18,907(2) A 17,547(5)
Chairman and Chief 1995 720,000 5,609,583 46,571(3) A 13,685(5)
Executive Officer 1994 720,000 4,173,304 53,838(4) A 16,567(5)
James A. Malone 1996 327,500 0 0 0 35,098(6)
President and Chief Operating 1995 300,000 255,904 0 150,770 33,876(6)
Officer 1994 245,000 317,149 0 929,550 33,906(6)
Thomas S. Hall 1996 223,750 44,750 0 20,000 33,291(7)
Senior Vice President- 1995 205,000 20,695 0 73,303 34,652(7)
Business Development 1994 153,500 278,966 0 132,991 34,000(7)
Fred A. Hunt 1996 200,000 20,000 0 20,000 12,573(8)
Senior Vice President-Risk 1995 163,165 93,615 0 73,153 4,543(9)
Insurance Solutions 1994 101,935 54,290 0 132,991 35,000(10)
Steven J. Berling 1996 208,333 52,083 0 20,000 3,831(11)
Senior Vice President- 1995 190,306 34,594 0 72,632 734(12)
Managed Care Services 1994 54,808 7,811 0 55,381 0
(1) Includes amounts deferred by the executive pursuant to the Company's
401(k) plan and the Company's cafeteria plan.
(2) Includes (i) a $4,591 automobile usage allowance and (ii) a $14,316
aircraft usage allowance. For a further description of the terms of Mr.
Griffin's employment agreement, see "Employment Agreements."
(3) Includes (i) a $13,936 automobile usage allowance and (ii) a $32,635
aircraft usage allowance.
(4) Includes (i) a $13,000 automobile usage allowance and (ii) a $40,838
aircraft usage allowance.
(5) Includes (i) $9,103, $7,709 and $8,394 cash surrender value of life
insurance policies in effect in 1996, 1995 and 1994, respectively and (ii)
$7,574, $5,976 and $8,713 in annual fees for a country club membership in
1996, 1995 and 1994, respectively. Also includes $870 group term life
insurance premiums in 1996.
(6) Includes (i) $30,117, $30,000 and $30,000 in allocations to the
participant's account in the Company's defined contribution plan in 1996,
1995 and 1994, respectively and (ii) $4,651, $3,876 and $3,906 in annual
fees for country club membership in 1996, 1995 and 1994, respectively.
Also includes $330 group term life insurance premiums in 1996.
(7) Includes (i) $30,117, $30,000 and $30,000 in allocations to the
participant's account in the Company's defined contribution plan in 1996,
1995 and 1994, respectively and (ii) $2,943, $4,652 and $4,000 in annual
fees for country club membership in 1996, 1995 and 1994, respectively.
Also includes $231 group term life insurance premiums in 1996.
(8) Includes (i) $5,988 in allocations to the participant's account in the
Company's defined contribution plan, (ii) $6,063 in annual fees for
country club membership, and (iii) $522 for group term life insurance
premiums.
(9) Represents $4,543 in annual fees for country club membership.
(10) Relocation Reimbursement.
(11) Represents a $3,274 allocation to the participant's account in the
Company's defined contribution account and $557 for group term life
insurance.
(12) Represents annual fees for country club membership.
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OPTION GRANTS IN 1996
No stock options were granted to Mr. Griffin or Mr. Malone in 1996.
Messrs. Hall, Hunt and Berling each received options to acquire 20,000 shares
of Class A common stock at an exercise price of $4.50 per share during 1996.
The options vest at the rate of 25% per year beginning on the second
anniversary of the date of grant.
Potential Realizable Value
Assumed Annual Rates of
Stock Price Appreciation
Individual Grants for Option Term
- ---------------------------------------------------------------------------------------------------------
Percent of
Number of Total
Securities Options/SARs
Underlying Granted to Exercise or
Options/SARs Employees in Base Expiration
Name Granted (#) Fiscal Year Price ($/Sh) Date 5%($) 10%($)
- ----------------------------------------------------------------------------------------------------------
(a) (b) (c) (d) (e) (f) (g)
William D. Griffin 0 0 0 N/A 0 0
James a. Malone 0 0 0 N/A 0 0
Thomas S. Hall 20,000 3% $4.50 11/18/2008 $73,800 $207,000
Fred A. Hunt 20,000 3% $4.50 11/18/2008 $73,800 $207,000
Steven J. Berling 20,000 3% $4.50 11/18/2008 $73,800 $207,000
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25
AGGREGATE OPTION EXERCISES IN 1996 AND DECEMBER 31, 1996 OPTION VALUES
The following table shows information concerning options exercised during
1996 and options held by the officers shown in the Summary Compensation Table
at the end of 1996.
Number of Value of
Securities Unexercised
Underlying In-the-Money
Unexercised Options at
Options at Fiscal Fiscal Year-
Year-End(#) End($)(1)
Shares Acquired Exercisable(E)/ Exercisable(E)/
Name on Exercise(#) Value Realized($) Unexercisable(U) Unexercisable(U)
- ---- --------------- ----------------- -------------------- ----------------
William D. Griffin 0 0 0 0
James A. Malone 0 0 524,175(E)/ $1,129,795(E)/
556,145(U) $8,134(U)
Thomas S. Hall 0 0 38,766(E)/ $775(E)/
209,600(U) $2,326(U)
Fred A. Hunt 0 0 33,228(E)/ $665(E)/
192,836(U) $1,994(U)
Steven J. Berling 0 0 13,845(E)/ $277(E)/
134,168(U) $831(U)
(1) Based on the closing market price on December 31, 1996 of $3.63 per
share.
STOCK OPTION PLAN
The Company's Stock Option Plan (the "Option Plan") provides for the grant
of stock options to eligible employees and consultants of the Company. The
Option Plan is intended to provide participants with an opportunity to increase
their stock ownership in the Company and to give them an additional incentive
to promote the financial success of the Company. Pursuant to the Option Plan,
the Company may grant nonqualified stock options to employees (including
officers and directors who are employees) and consultants. William D. Griffin,
an officer and director of the Company, is not eligible to participate in the
Option Plan. A total of 3,118,832 shares of Class A common stock has been
reserved for issuance under the Option Plan. As of December 31, 1996, the
Company had granted stock options covering 3,078,779 shares of Class A common
stock to various employees (including options to purchase 1,927,542 shares
issued to executive officers) at exercise prices ranging from $0.72 to $23.04.
Each exercise price was determined to be not less than the fair market value of
the Class A common stock on the date of grant, except for grants to James A.
Malone to purchase 287,314 shares on October 10, 1994 and 2,604 shares on March
24, 1995. In November 1996, the Stock Option Committee amended the exercise
price on all options with an exercise price greater than $4.50 per share to
$4.50 per share, the fair market value of the Class A common stock on the date
of the amendment. As of December 31, 1996, the exercise prices range from
$0.72 to $4.50.
The Stock Option Committee is authorized to administer the Option Plan,
including selection of employees and consultants of the Company to whom options
may be granted. The Stock Option Committee also determines the number of
shares, the exercise price, the terms, any conditions on exercise and other
terms of each option. There is no limit on the term of the options. Options
granted under the Option Plan generally vest over a period of five years. The
option price is payable in full upon exercise, and payment may be made in cash,
by delivery of shares of Class A common stock (valued at fair market value at
the time of exercise), or by such other consideration as the Stock Option
Committee may approve at the time of grant.
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26
The options are non-transferable other than by will or by the laws of
descent and distribution and must be exercised by the optionee during the
period of his employment with the Company or within a specified period
following termination of employment. The Option Plan may be amended at any
time by the Board of Directors, although certain amendments require shareholder
approval. The Option Plan terminates in November 2005.
The Company's board of directors adopted an additional stock option plan
in March 1997 (the "1997 Plan"). A total of 750,000 shares of Class A Common
Stock has been reserved for issuance under the 1997 Plan. The terms of the 1997
Plan are substantially similar to those of the Option Plan. The 1997 Plan will
be submitted to the Company's Shareholders for approval.
COMPENSATION ARRANGEMENTS UPON RESIGNATION, RETIREMENT OR OTHER TERMINATION;
EMPLOYMENT AGREEMENTS
The Company has entered into employment agreements with Messrs. Malone,
Hall, Hunt, and Berling, providing for base salaries of $330,000, $225,000,
$200,000 and $210,000, respectively. These employment agreements have a term
of one year (which automatically renews for successive one year periods unless
terminated) and allow the employee to participate in the Company's employee
benefit plans. Under the employment agreements, the Company may terminate the
employee at any time. If the employee's employment is terminated by the
Company for other than "Cause" (as defined in the employment agreements), or
the employee voluntarily terminates his employment for "Good Reason" due to a
material modification, without the employee's written consent, of his duties,
compensation or scope of responsibilities, then the Company must pay the
employee an amount equal to one year of the employee's base salary in effect on
the effective date of termination, payable without interest in twelve equal
monthly installments. During the twelve months, following the date the
employee is terminated for other than Cause, the employee may not compete with
the Company. If the Company terminates the Employee for other than "Cause" or
the Employee voluntarily terminates his employment for Good Reason (a) within 2
years of a "Change of Control" (as defined in the employment agreements) or (b)
within 180 days of a "Potential Change of Control" (as defined in the
employment agreements), then the Company must pay the Employee an amount equal
to three times the employee's base salary in effect on the effective date of
termination, payable in a lump sum. In the event the employee is terminated
after a change of control, the non-compete period is two years. If the
employee voluntarily terminates his employment for other than Good Reason, or
his employment terminates due to disability, or if the Company terminates the
employee's employment for Cause, then the Company will pay the employee a lump
sum payment equal to the portion of his base salary accrued through the date
his employment terminates.
In accordance with his employment agreement, in effect prior to the
Company's initial public offering, Mr. Griffin's compensation includes an
annual base salary of $750,000, quarterly incentives of up to $750,000 per year
based on premiums written and revenues earned, and an annual bonus to be
determined in the discretion of the Board of Directors. This employment
agreement will extend until the earlier of the fifth anniversary of a change of
control of the Company or Mr. Griffin's 65th birthday. Mr. Griffin's
compensation rate is subject to annual adjustment by the Board of Directors.
The employment agreement contains a covenant prohibiting competition in the
workers' compensation insurance or services fields in the United States which
continues for a period of two years after the termination of his employment
with the Company. The employment agreement provides that if Mr. Griffin is
terminated by the Company after a change of control of the Company, he will be
entitled to receive within 14 days of his termination date, a lump sum
termination payment equal to his total taxable compensation during the three
most recent calendar years, plus an amount equal to his annual salary for the
year in which termination occurs, subject to the parachute limitations set
forth in Section 280G(b)(2) of the Internal Revenue Code of 1986, as amended.
In addition, the employment agreement provides for a separate registration
rights agreement, which grants to Mr. Griffin certain rights related to shares
of the Company's Class B common stock beneficially owned by him. Under the
employment agreement, the Company has also granted Mr. Griffin the right to use
certain intellectual property owned by the Company bearing the name Griffin or
any derivation thereof and the griffin design owned by the Company.
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27
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
The following table sets forth, as of May 1, 1997 information as to the
Company's Common Stock beneficially owned by: (i) each director of the
Company, (ii) each executive officer named in the Summary Compensation Table,
(iii) all directors and executive officers of the Company as a group, and (iv)
any person who is known by the Company to be the beneficial owner of more than
5% of the outstanding shares of Common Stock.
Amount and Nature of Beneficial Ownership(2)
--------------------------------------------
Class A Common Class B Common
-------------- --------------
Name and Address of Beneficial Owner(1) Number Percent Number Percent
- --------------------------------------- ------ ------- ------ -------
William D. Griffin(3) -- * 22,176,052 91%
James A. Malone(4) 526,389 4% -- *
Steven J. Berling(5) 13,938 * -- *
Thomas S. Hall(6) 39,027 * -- *
Richard A. Halloy(7) 4,488 * -- *
Fred A. Hunt(8) 33,451 * -- *
L. Scott Merritt(9)(10) 13,938 * 2,158,391 9%
George E. Greene, III(11) 200 * -- *
Walter L. Revell(12) -- * -- *
Seddon Goode, Jr.(13) -- * -- *
All directors and officers as a group 631,431 5% 24,334,443 100%
(10 persons)(14)
- ---------------
*Less than 1%
(1) The business address for Messrs. Griffin, Malone, Merritt, Halloy,
Greene, Revell, Goode, Hall, Hunt and Berling is 1390 Main Street,
Sarasota, Florida 34236.
(2) Beneficial ownership of shares, as determined in accordance with
applicable Securities and Exchange Commission Rules, includes shares as to
which a person has or shares voting power and/or investment power. The
Company has been informed that all shares shown are held of record with
sole voting and investment power, except as otherwise indicated.
(3) Mr. Griffins shares are Class B common stock and are beneficially owned by
Mr. Griffin through one corporation and two limited partnerships.
(4) Represents shares of Class A common stock subject to options that are
currently exercisable. Mr. Malone also has options to acquire 553,931
additional shares of Class A common stock that are not exercisable within
60 days.
(5) Represents shares of Class A common stock subject to options that are
currently exercisable. Mr. Berling also has options to acquire 134,075
shares of Class A common stock that are not exercisable within 60 days.
(6) Represents shares of Class A common stock subject to options that are
currently exercisable. Mr. Hall also has options to acquire 209,339
shares of Class A common stock that are not exercisable within 60 days.
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(7) Represents 1,700 shares of Class A common stock owned directly and 2,788
shares of Class A common stock subject to options that are currently
exercisable. Mr. Halloy also has options to acquire 133,363 shares of
Class A common stock that are not exercisable within 60 days.
(8) Represents shares of Class A common stock subject to options that are
currently exercisable. Mr. Hunt also has options to acquire 192,613
shares of Class A common stock that are not exercisable within 60 days.
(9) Includes 13,938 shares of Class A common stock subject to options held by
Mr. Merritt that are currently exercisable. Mr. Merritt also has options
to acquire 89,536 shares of Class A common stock that are not exercisable
within 60 days.
(10) Mr. Merritt holds 2,158,391 shares of Class B common stock as trustee of
certain irrevocable trusts created by Mr. Griffin for the benefit of his
children. Mr. Griffin disclaims beneficial ownership of those shares.
(11) Mr. Greene owns 200 shares of Class A common stock directly and has
options to acquire 8,500 shares of Class A common stock that are not
exercisable within 60 days.
(12) Mr. Revell has options to acquire 8,500 shares of Class A common stock
that are not exercisable within 60 days.
(13) Mr. Goode has options to acquire 8,500 shares of Class A common stock
that are not exercisable within 60 days.
(14) Includes shares subject to options held by all directors and executive
officers that are exercisable within 60 days.
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ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
Prior to the initial public offering of the Company in February, 1996,
the Company and its predecessor and subsidiary entities were wholly-owned by
William D. Griffin and trusts for the benefit of his children and certain loans
and other business transactions between the Company, Mr. Griffin and entities
owned or controlled by him were structured for reasons related to family
business and estate planning. Mr. Griffin is an officer and a director of all
entities. Business transactions with Mr. Griffin or other officers or
directors must now be approved by a majority of outside directors and are made
on less favorable to the Company than could be obtained from unrelated third
parties.
Prior to the consummation of the initial public offering, the Company
completed a reorganization of its existing corporate structure with the result
that RISCORP, Inc. became a holding company with several direct and indirect
subsidiaries (the "Reorganization"). Prior to the Reorganization, William D.
Griffin was the sole beneficial shareholder of the common stock of the Company.
Through a series of transactions that met the requirements of Section 351 of
the Internal Revenue Code of 1986, as amended, several entities previously
owned by Mr. Griffin became subsidiaries of the Company. In addition, RISCORP
of North Carolina ("RONC"), which was owned by three trusts for the benefit of
Mr. Griffin's children, became a wholly-owned subsidiary of the Company through
a share exchange merger.
RONC was an S Corporation prior to the Reorganization and declared in-kind
dividends in an amount equal to substantially all of its estimated
undistributed S Corporation earnings through the date of the Reorganization,
with a value in the amount of $1.4 million.
TRANSACTIONS TERMINATED DURING 1996
Loans Made by the Company. The Company was the lender pursuant to five
revolving credit agreements, either with William D. Griffin or with certain
entities controlled by Mr. Griffin: (i) a $1 million line of credit in favor
of Custodial Engineers, Inc. ("CEI"), bearing interest at the prime rate of
First Union plus one percent; (ii) a $1.0 million line of credit in favor of
CMI Aviation Services, Inc. ("CMI"), bearing interest at the prime rate of
First Union plus one percent; (iii) a $200,000 line of credit in favor of Five
Points Properties, Inc. ("FPP"), bearing interest at the prime rate of First
Union plus one percent; (iv) a $100,000 line of credit in favor of Millennium
Health Services Limited ("MHSL"), bearing interest at the prime rate of
NationsBank of Florida, N.A. ("NationsBank"); and (v) a $2.0 million line of
credit in favor of Mr. Griffin individually, bearing interest at the prime rate
of First Union plus one percent. As of December 31, 1995, approximately $0,
$833,000, $350,000, $31,000, and $1.3 million, respectively, were outstanding
under these lines of credit including accrued interest.
On June 30, 1993, the Company loaned FPP $2.5 million with Mr. Griffin
acting individually as guarantor. On April 29, 1994, Mr. Griffin assumed the
repayment of this debt and FPP was released from any liability thereunder. The
loan had a maturity date of February 28, 1997. The aggregate amount
outstanding under this loan including accrued interest, as of December 31,
1995, was approximately $2.9 million with interest accruing at the prime rate
of First Union plus one percent.
On January 24, 1994, NationsBank loaned Mr. Griffin $9.0 million with the
Company acting as guarantor. On January 3, 1995, the Company was released as
guarantor.
On July 1, 1994, the Company loaned RISCORP Health Plans, Inc. ("RHP")
$2.0 million. Mr. Griffin owns approximately 95% of the stock of RHP. The
loan had a maturity date of July 1, 2001 with interest accruing at prime rate
plus 1%. The aggregate principal amount outstanding under this loan as of
December 31, 1995, was approximately $2.2 million.
On July 3, 1995, RONC loaned $3.1 million to JoFoKe Investments, Inc., a
Florida corporation controlled by Mr. Griffin. The loan had a maturity date of
June 30, 1996. The aggregate principal amount outstanding under this loan, as
of December 31, 1995, was approximately $1.7 million. This loan accrued
interest at SouthTrust Bank's prime rate plus 1.5% per annum.
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Mr. Griffin repaid all of the above listed indebtedness in March 1996,
with the exception of the loan to RHP, which was repaid in September 1996. The
Company does not intend to make loans to Mr. Griffin or other directors or
their family members, or entities under their control.
Loan Made to the Company. On December 15, 1995, the RISCORP Group Holding
Company, Limited Partnership ("RGHLP") loaned $1.0 million to the Company in
connection with the acquisition of CompSource, Inc. RGHLP is a limited
partnership controlled by Mr. Griffin. The loan accrued interest at LIBOR plus
3% per annum and had a maturity date of April 1, 1996. This loan was repaid in
March 1996.
Services Provided to the Company. The Company entered into certain lease
agreements in 1993 and 1994 with CMI Aviation Services, Inc. ("CMI"), whereby
the Company leased two aircraft. In September 1995, the parties terminated one
of the lease agreements. The remaining lease required a minimum monthly rental
amount of $34,000, on a bare plane basis. This lease was amended in May 1996
due to acquisition of a new plane by CMI. The amended lease provided for a
minimum monthly rental amount of $50,000. Effective July 1, 1996, the lease
agreement with CMI was amended again to provide that the Company would pay no
minimum monthly rental, but would pay $900 per hour for the actual use of the
plane. The aggregate amounts paid by the Company to CMI in the fiscal year
ending December 31, 1996 was $223,350. Gryphus Development Group ("GDG"), a
corporation owned by Mr. Griffin, provides all other services related to the
aircraft (e.g., salaries of the pilots and the rest of the flight crews, hangar
fees, and other operating costs related to the aircraft). Prior to May 1996,
the Company paid GDG $60,000 a month for its services, which the Company
believed would be GDG's approximate cost. Due to the acquisition of the new
plane by CMI in May 1996, the agreement with GDG was amended to provide for
payments of $96,000 per month for the services related to the aircraft.
Effective July 1, 1996, the agreement with GDG was amended again to provide
that the Company would pay no minimum monthly amount, but would pay $2,500 per
hour for the actual services performed by GDG. The arrangements between the
Company and CMI and GDG related to the plane lease and the aircraft related
services were terminated completely effective March 31, 1996.
Prior to September 1996, Mr. Griffin controlled CEI, a building custodial
and maintenance service company. The Company has contracted with CEI to
provide custodial and maintenance services to the Company's headquarters in
Sarasota, Florida. The aggregate amount paid by the Company to CEI in the
fiscal year ending December 31, 1996 was $455,851. In September 1996, Mr.
Griffin disposed of his entire interest in CEI.
The Company previously contracted with GDG to provide facilities services
to the Company's Sarasota office, and this contract was terminated in 1996. In
1996, the Company paid approximately $20,000 for such services.
On November 1, 1995, the Company entered into six computer equipment and
software leases with Gryphus Financial Services, Inc. ("GFS"), a company
controlled by Mr. Griffin. Five of the equipment leases are for a term of 36
months and one equipment lease is for a term of 24 months. The aggregate
annual payments under the equipment leases during 1996 was approximately
$100,000. These leases were sold by GFS to an unrelated financial institution
during 1996.
Services Provided by the Company. The Company previously provided
management, staff, systems, and other support services to MHSL, in which Mr.
Griffin held a 95% ownership interest. Under a management agreement and other
contractual arrangements, the Company charged approximately $7,500 per month
for rendering these services. The contractual arrangements commenced in
November 1994. The aggregate amount charged for 1996 was $77,974. In November
1996, Mr. Griffin sold his interest in MHSL and the Company ceased providing
any services and support to MHSL.
Workers' Compensation Managed Care Arrangement. During 1996, the Company
and RHP were parties to a workers' compensation managed care contract under
which RHP provided medical services and assumed risk for medical claims under
the WCMCA offered by the Company. During 1996, the Company paid RHP
approximately $17.0 million under this arrangement. This arrangement was
terminated effective as of May 1, 1996 but continues to apply to policies with
an inception date before May 1, 1996.
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TRANSACTIONS CONTINUING THROUGH 1996
Services Provided to the Company. In 1994, Mr. Griffin began leasing
parking facilities to the Company at its Sarasota office. Lease payments under
this arrangement were approximately $24,000 per month. During 1996, the
Company paid $317,458 under this lease. In February 1997, the lease agreement
was amended to reduce the monthly rental to $16,960 per month.
Mango Excess Insurance Agency, Inc., a Florida corporation ("Mango"), a
company owned and controlled by Mr. Griffin, acts as a reinsurance broker to
the Company in obtaining reinsurance for the Company's insurance subsidiaries,
and some of its self-insured clients. The commission payable to Mango and the
other terms and conditions of this relationship do not exceed industry
standards for such arrangements. In 1996, the Company paid Mango commissions
of $0.8 million.
Services Provided by the Company. On January 1, 1996, the Company entered
into a Bilateral Administrative Services Cost Sharing Agreement with RISCORP
Health Plans, Inc. ("RHP"), a company owned and controlled by Mr. Griffin.
This agreement is intended to ensure that costs shared by the two companies
will be fairly allocated between them. The Company and its affiliates provide
facilities, financial, legal, human resource, communications, information
systems, marketing, claims, technical and other administrative and management
support to RHP. RHP provides certain client services, medical provider
management, credentialing and utilization management to the Company for its
health indemnity products. The Company has agreed not to compete with RHP in
the development or marketing of an HMO or other managed care health plan
product and RHP has agreed not to compete with the Company in offering workers'
compensation insurance services. The two companies will reimburse one another
for the actual costs of providing the personnel services and other support, and
sharing the other resources required by the agreement. The agreement is for a
term of five years and can be renewed for an additional five year term, but is
also terminable at will by 180-days notice by either party. During 1996, the
Company received a net amount of $410,158 from RHP under this agreement.
Effective as of January 1, 1996, the Company entered into an
Administrative Services Cost Sharing Agreement with GDG. This agreement is
intended to ensure that costs incurred by the Company on behalf of GDG are
reimbursed to the Company. The Company and its affiliates provide facilities,
financial, legal, human resource, communications, information systems,
marketing, claims, technical and other administrative and management support to
GDG. GDG will reimburse the Company for the actual costs of providing the
personnel services and other support. The agreement is for a term of five
years and can be renewed for an additional five year term, but is also
terminable at will by 180-days notice by either party. During 1996, the
Company received $86,363 from GDG under this agreement.
Strategic Alliance with RHP. The Company and RHP have collaborated in the
bidding for participation in Florida's 24-Hour Managed Care Pilot Program.
During the period of the pilot program and thereafter, if the venture is
successful, the Company and RHP will be joint venturers in a partnership or
other contractual arrangement. Under the arrangement, each partner will
receive fees based upon the services performed or relative risk assumed by
them. Prior to implementation of this program, this arrangement will be
reviewed and approved by the Company's outside directors to assure that it is
fair to the Company and consistent with the industry standards.
Investment Services. The Company provides administrative services to
Merritt & Company. During 1996, the Company received approximately $86,276 for
those services. The sole shareholder of Merritt & Company is L. Scott Merritt,
an officer and Director and the trustee for certain trusts which will own more
than 5% of the Class B Common Stock. Mr. Merritt became employed by the
Company on January 1, 1995. Merritt & Company continues to provide investment
services to two customers of the Company.
License Arrangement. RHP pays a fee of 0.5% of all RHP revenues to the
Company for the right to use the RISCORP named and related trade designs and
logos. During 1996, the Company received $50,826 as a license fee from RHP.
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The Company and RHP share contractual rights to a medical provider network
utilized by both the Company and RHP in delivering provider services. In
addition, Comprehensive Care Systems, Inc., 100% of the stock of which is owned
by Mr. Griffin, also has the right to access provider services under the
network upon payment of a commercially reasonable access charge to RHP and the
Company, as determined by the outside directors. The contract for the provider
network provides that the Company shall continue to have unrestricted access to
the network on terms and conditions at least equal to any other use of the
network. The cost of developing and maintaining the provider network is
prorated between RHP and the Company on a member usage basis. During 1996, RHP
paid the Company $139,016 under this arrangement for costs incurred by the
Company attributable to RHP.
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PART IV
ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON FORM 8-K
(a) List the following documents filed as part of this report:
1. All Financial Statements.
To be filed pursuant to Rule 12b-25 on Form 10K/A
2. Financial Statment Schedules
To be filed pursuant to Rule 12b-25 on Form 10K/A
3. Exhibits
Set forth in paragraph (c) below.
(b) Reports on Form 8-K
The Company did not file any reports on Form 8-K during the
fourth quarter of 1996.
(c) Exhibits
The following are filed as exhibits to this report:
EXHIBIT # DESCRIPTION
---------- -----------
3.1 -Amended and Restated Articles of Incorporation.** (Incorporated herein by
reference to Exhibit 3.1 to RISCORP's Amendment No. 4 to Form S-1, as of
February 28, 1996, Commissions File Number 33-99760)
3.2 -Bylaws.** (Incorporated herein by reference to Exhibit 3.2 to
RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File
Number 33-99760)
4.1 -Form of Common Stock Certificate.** (Incorporated herein by reference to Exhibit 4.1
to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File
Number 33-99760)
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34
EXHIBIT # DESCRIPTION
---------- -----------
10.1 -$28,000,000 Credit Agreement, dated as of December 16, 1994, by and between First Union
National Bank of North Carolina and the Company (f/k/a RISCORP Group Holdings, Inc.),
as amended by a First Amendment to Credit Agreement, dated as of December 30,
1994, and as amended by a Second Amendment to Credit Agreement, dated as of
June 1, 1995.** (Incorporated herein by reference to Exhibit 10.1 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.2 -Amended and Restated Note Purchase Agreement, dated as of January 1, 1995, by and between
American Re-Insurance Company and the Company.** (Incorporated herein by reference to
Exhibit 10.2 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996,
Commissions File Number 33-99760)
10.3 -$2,400,000 Term Note, dated November 9, 1994, delivered by RISCORP Acquisition, Inc. to
Governmental Risk Insurance Trust.** (Incorporated herein by reference to Exhibit 10.3 to
RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File
Number 33-99760)
10.4 -$2,000,000 Surplus Note, dated July 1, 1994, executed and delivered by RISCORP Health Plans,
Inc. to RISCORP Property and Casualty Insurance Company, Inc. (f/k/a Florida Interstate
Insurance Company).** (Incorporated herein by reference to Exhibit 10.4 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.5 -Amended and Restated Loan Agreement, dated as of November 1, 1995, by and between JoFoKe
Investments, Inc. and RISCORP of North Carolina, Inc.** (Incorporated herein by reference
to Exhibit 10.5 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996,
Commissions File Number 33-99760)
10.6 -$100,000 Revolving Credit Agreement, dated as of January 1, 1993, by and among Custodial
Engineers, Inc., as borrower, William D. Griffin, as guarantor, and RISCORP Management
Services, Inc., as lender, as amended by a Modification Agreement, dated as of June 30,
1994.** (Incorporated herein by reference to Exhibit 10.6 to RISCORP's Amendment No. 4 to
Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.7 -$1,000,000 Revolving Credit Agreement, dated as of January 1, 1993, by and among CMI Aviation
Services, Inc. (f/k/a Cocky McGriffiri, Inc.) as borrower, William D. Griffin, as guarantor,
and RISCORP Management Services, Inc., as lender, as amended by a Modification Agreement,
dated as of June 30, 1994.** (Incorporated herein by reference to Exhibit 10.7 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.8 -$100,000 Revolving Credit Agreement, dated as of July 1, 1993, by and between Five Points
Properties, Inc., as borrower, William D. Griffin, as guarantor, and RISCORP Management
Services, Inc., as lender, as amended by a Modification Agreement, dated as of June 30,
1994.** (Incorporated herein by reference to Exhibit 10.8 to RISCORP's Amendment No. 4 to
Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.9 -$100,000 Revolving Credit Agreement, dated as of November 30, 1994, by and between Millennium
Health Services, Limited, as borrower, and RISCORP Management Services, Inc., as lender.**
(Incorporated herein by reference to Exhibit 10.9 to RISCORP's Amendment No. 4 to Form S-1,
as of February 28, 1996, Commissions File Number 33-99760)
10.10 -$2,000,000 Revolving Credit Agreement, dated as of January 1, 1993, by and among the Company
(f/k/a Petty Cash Properties, Inc.), as borrower, William D. Griffin, as guarantor, and
RISCORP Management Services, Inc., as lender. as amended by a Modification Agreement, dated
as of June 30, 1994.** (Incorporated herein by reference to Exhibit 10.10 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.11 -$2,000,000 Revolving Credit Agreement, dated as of January 1, 1993, by and between William D.
Griffin, as borrower, and RISCORP Management Services, Inc., as lender, as amended by a
Modification Agreement, dated as of June 30, 1994.** (Incorporated herein by reference to
Exhibit 10.11 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996,
Commissions File Number 33-99760)
10.12 -Loan Agreement, dated as of January 25, 1994, by and among NationsBank of Florida, N.A.,
William D. Griffin, RISCORP Management Services, Inc., RISCORP of Florida, Inc.,
Specialized Risk Administrators, Inc., Petty Cash Properties, Inc., Five Points Properties,
Inc., and Sarasota International Risk and Insurance Services, Inc., as amended by a Loan
Agreement, dated January 3, 1995, by and among NationsBank of Florida, N.A., William D.
Griffin and Five Points Properties, Inc.** (Incorporated herein by reference to Exhibit
10.12 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions
File Number 33-99760)
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EXHIBIT # DESCRIPTION
---------- -----------
10.13 -$2,500,000 Loan Assumption Agreement, dated April 29, 1994, by and among Five Point
Properties, Inc., as borrower, William D. Griffin, as guarantor, and RISCORP Management
Services, Inc., as lender.** (Incorporated herein by reference to Exhibit 10.13 to
RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number
33-99760)
10.14 -$2,400,000 Promissory Note, dated November 9, 1994, executed and delivered by RISCORP
Acquisitions, Inc. and Self Insurors Service Bureau, Inc. to W. Gerald Fiser, as modified
by the Settlement Agreement, dated May 1, 1995, by and among W. Gerald Fiser, Self
Insurors Service Bureau, Inc., RISCORP Acquisitions, Inc., and RISCORP Group Holdings, L.P.;
Stock Purchase Agreement, dated as of November 4, 1994, by and between RISCORP Acquisitions,
Inc., Self Insurors Service Bureau, Inc. and W. Gerald Fiser, Stock Pledge Agreement, dated
as of November 9, 1994, by and between RISCORP Acquisitions, Inc., and W. Gerald Fiser,
Security Agreement, dated as of November 9, 1994, by and between Self Insurors, Service
Bureau, Inc. and W. Gerald Fiser, Guarantee Agreement, dated as of November 9, 1994, by and
between RISCORP Group Holdings, L.P., and W. Gerald Fiser, Security Coordinating Agreement,
dated November 9, 1994 by and among, W. Gerald Fiser, RISCORP Acquisitions, Inc., RISCORP
Group Holdings, L.P., and Self Insurors Service Bureau, Inc.** (Incorporated herein by
reference to Exhibit 10.14 to RISCORP's Amendment No. 4 to Form S-1, as of February 28,
1996, Commissions File Number 33-99760)
10.15 -Form of Agency Agreement by and between the independent insurance agents and the Company's
workers' compensation insurance subsidiaries.** (Incorporated herein by reference to
Exhibit 10.15 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996,
Commissions File Number 33-99760)
10.16 -Florida Workers' Compensation Managed Care Agreement, dated July 30, 1995, by and among
RISCORP Insurance Company, Inc., RISCORP Management Services, Inc., Sarasota International
Risk and Insurance Services, Inc., and Humana Medical Plan, Inc.** (Incorporated herein by
reference to Exhibit 10.16 to RISCORP's Amendment No. 4 to Form S-1, as of February 28,
1996, Commissions File Number 33-99760)
10.17 -Florida Workers' Compensation Managed Care Agreement, dated July 30, 1995, by and among
RISCORP Property and Casualty Insurance Company, Inc., RISCORP Management Services, Inc.,
Sarasota International Risk and Insurance Services, Inc., and Humana Medical Plan, Inc.**
(Incorporated herein by reference to Exhibit 10.17 to RISCORP's Amendment No. 4 to Form
S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.18 -Florida Workers' Compensation Managed Care Agreement, dated January 1, 1995, by and among
RISCORP Insurance Company, Inc., RISCORP Property and Casualty Insurance Company, Inc. and
RISCORP Health Plans, Inc.** (Incorporated herein by reference to Exhibit 10.18 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.19 -Aircraft Lease, dated February 12, 1993, by and between RISCORP Management Services, Inc. and
CMI Aviation Services.** (Incorporated herein by reference to Exhibit 10.19 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.20 -Aircraft Lease, dated December 24, 1994, by and between RISCORP Management Services, Inc. and
CMI Aviation Services.** (Incorporated herein by reference to Exhibit 10.20 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
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36
EXHIBIT # DESCRIPTION
---------- -----------
10.21 -Split Dollar Agreement, dated as of June 1, 1995, by and among RISCORP Management Services,
Inc., William D. Griffin, and L. Scott Merritt, as trustee, for payment of premiums
for split-dollar life insurance.** (Incorporated herein by reference to Exhibit 10.21 to
RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File
Number 33-99760)
10.22 -Split Dollar Agreement, dated as of July 1, 1994, by and among RISCORP Management Services,
Inc., William D. Griffin, and L. Scott Merritt, as trustee for payment of premiums for
split-dollar life insurance.'* (Incorporated herein by reference to Exhibit 10.22 to
RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File
Number 33-99760)
10.23 -Pooling Agreement, dated as of January 1, 1995, by and between RISCORP Insurance Company, Inc.
and RISCORP Property and Casualty Insurance Company, Inc.** (Incorporated herein by
reference to Exhibit 10.23 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996,
Commissions File Number 33-99760)
10.24 -Workers' Compensation Quota Share Re-Insurance Agreement, dated as of December 27, 1994,
by and among American Re-Insurance Company, RISCORP Insurance Company, Inc., and RISCORP
Property and Casualty Insurance Company, Inc.+ (Incorporated herein by reference to Exhibit
10.24 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File
Number 33-99760)
10.25 -Workers' Compensation Excess of Loss Reinsurance Agreement, dated January 1, 1995, by and among
RISCORP Insurance Company, Inc., RISCORP Property and Casualty Insurance Company, Inc.,
Signet Star Reinsurance Company, Republic Western Insurance Company, and TIG Reinsurance
Company, as reinsurers.+** (Incorporated herein by reference to Exhibit 10.25 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.26 -Workers' Compensation Excess of Loss Reinsurance Agreement, dated September 29, 1995, by and
among RISCORP Insurance Company, Inc., RISCORP Property and Casualty Insurance Company,
Inc., and Continental Casualty Company, as reinsurers** (Incorporated herein by reference to
Exhibit 10.26 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions
File Number 33-99760)
10.27 -Aggregate Net Excess of Loss Reinsurance Agreement, dated December 6, 1993, by and between
Governmental Risk Insurance Trust and RISCORP Property and Casualty Insurance Company, Inc.,
as reinsurers** (Incorporated herein by reference to Exhibit 10.27 to RISCORP's Amendment
No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.28 -Aggregate Excess of Loss Reinsurance Agreement, effective as of October 1, 1993, by and between
RISCORP Property and Casualty Insurance Company, Inc. and Centre Reinsurance Company of New
York, as reinsurers** (Incorporated herein by reference to Exhibit 10.28 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.29 -RISCORP, Inc. Stock Option Plan.** (Incorporated herein by reference to Exhibit 10.29 to
RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File
Number 33-99760)
34
37
EXHIBIT # DESCRIPTION
---------- -----------
10.30 -Form of RISCORP, Inc. Stock Option Agreement.** (Incorporated herein by reference to
Exhibit 10.30 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996,
Commissions File Number 33-99760)
10.31 -Employment and Severance Agreement, dated as of January 1, 1995, by and between RISCORP
Management Services, Inc. and William D. Griffin.** (Incorporated herein by reference to
Exhibit 10.31 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions
File Number 33-99760)
10.32 -Employment Agreement, dated as of October 10, 1995, by and between RISCORP Management Services,
Inc. and James A- Malone.** (Incorporated herein by reference to Exhibit 10.32 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.33 -Employment Agreement, dated as of October 10, 1995, by and between RISCORP Management Services,
Inc. and Edward Hammel.** (Incorporated herein by reference to Exhibit 10.33 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.34 -Employment Agreement, dated as of October 10, 1995, by and between RISCORP Management Services,
Inc. and Thomas Hall.** (Incorporated herein by reference to Exhibit 10.34 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.35 -Employment Agreement, dated as of October 10, 1995, by and between RISCORP Management Services,
Inc. and Fred Hunt.** (Incorporated herein by reference to Exhibit 10.35 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.36 -Agreement, dated September 16, 1993, by and between RISCORP Insurance Company, Inc. and the
Florida Chamber of Commerce, Inc.** (Incorporated herein by reference to Exhibit 10.36 to
RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File
Number 33-99760)
10.37 -$5,000,000 Letter of Credit issued by NationsBank, N.A. in favor of Florida Chamber of
Commerce, Inc., currently outstanding in the amount of $3,000,000.** (Incorporated herein by
reference to Exhibit 10.37 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996,
Commissions File Number 33-99760)
10.38 -Service Company Agreement, dated July 1, 1995, by and between Governmental Risk Insurance Trust
and RISCORP Insurance Services. Inc.** (Incorporated herein by reference to Exhibit 10.38 to
RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File
Number 33-99760)
10.39 -Service Agent Contract of National Alliance for Risk Management Group Self Insurers' Fund,
dated as of September 15, 1993, by and between the Trustees of National Alliance
for Risk Management Group Self Insurers' Fund and RISCORP of North Carolina, Inc.**
(Incorporated herein by reference to Exhibit 10.39 to RISCORP's Amendment No. 4 to Form S-1,
as of February 28, 1996, Commissions File Number 33-99760)
10.40 -Maintenance Service Agreement, dated May 1, 1995, by and between Custodial Engineers, Inc. and
RISCORP Property and Casualty Insurance Company, Inc.** (Incorporated herein by reference to
Exhibit 10.40 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions
File Number 33-99760)
35
38
EXHIBIT # DESCRIPTION
---------- -----------
10.41 -Custodial Service Agreement, dated May 1, 1995, by and between Custodial Engineers, Inc. and
RISCORP Property and Casualty Insurance Company, Inc. **(Incorporated herein by reference to
Exhibit 10.41 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions
File Number 33-99760)
10.42 -Parking Lease Agreement, dated February 15, 1994, by and between RISCORP Management Services,
Inc. and William D. Griffin.** (Incorporated herein by reference to Exhibit 10.42 to
RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File
Number 33-99760)
10.43 -Lease Nos. GFS 1 186, GFS 1 187, GFS 1 188, Form of GFS 1 189, GFS 1 190, and GFS 1 191, each
dated November 1, 1995, by and between Gryphus Financial Services, Inc. and the Company.**
(Incorporated herein by reference to Exhibit 10.43 to RISCORP's Amendment No. 4 to Form S-1,
as of February 28, 1996, Commissions File Number 33-99760)
10.44 -Management Agreement of Millennium Health Services, Limited, dated as of November 1, 1994, by
and between RISCORP Management Services, Inc. and Millennium Health Services, Limited.**
(Incorporated herein by reference to Exhibit 10.44 to RISCORP's Amendment No. 4 to Form S-1,
as of February 28, 1996, Commissions File Number 33-99760)
10.45 -Management Subcontract for Millennium Health Services, Limited, dated as of November 1, 1994,
by and between Millennium Health Services, Limited and RISCORP Management Services, Inc.**
(Incorporated herein by reference to Exhibit 10.45 to RISCORP's Amendment No. 4 to Form S-1,
as of February 28, 1996, Commissions File Number 33-99760)
10.46 -Management Agreement of Millennium Health Services of Sarasota, Limited, dated as of November 1,
1994, by and between Millennium Health Services, Limited and Millennium Health Services of
Sarasota, Limited.** (Incorporated herein by reference to Exhibit 10.46 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.47 -Financial Advisor/Manager Contract, dated September 13, 1993, between Florida Interstate
Insurance Co. and Merritt & Company.** (Incorporated herein by reference to Exhibit 10.47 to
RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File
Number 33-99760)
10.48 -Form of Stock Redemption Agreement relating to the acquisition of the stock of CompSource, Inc.
and Insura, Inc.** (Incorporated herein by reference to Exhibit 10.48 to RISCORP's Amendment
No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.49 -Form of Aircraft and Related Services Agreement between RISCORP Management Services, Inc. and
GRYPHUS Development Group dated January 1, 1996.** (Incorporated herein by reference to
Exhibit 10.49 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions
File Number 33-99760)
10.50 -Form of Restated and Amended Administrative Services Agreement between RISCORP Management
Services, Inc., and RISCORP Health Plans, Inc. dated January 1, 1996.** (Incorporated herein
by reference to Exhibit 10.50 to RISCORP's Amendment No. 4 to Form S-1, as of February 28,
1996, Commissions File Number 33-99760)
36
39
EXHIBIT # DESCRIPTION
---------- -----------
10.51 -Form of Memorandum of Understanding (concerning RHP's health insurance administrative
services) between RISCORP Health Plans, Inc. and RISCORP Management Services, Inc.' dated
January 1, 1996.** (Incorporated herein by reference to Exhibit 10.51 to RISCORP's
Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.52 -Form of RISCORP Controlled Affiliate License Agreement between RISCORP, Inc. and RISCORP
Management Services, Inc. (as licenser) and RISCORP Health Plans, Inc. (as licensee).
(Incorporated herein by reference to Exhibit 10.52 to RISCORP's Amendment No. 4 to Form S-1,
as of February 28, 1996, Commissions File Number 33-99760)
10.53 -Form of Amendment to Florida's Worker's Compensation Managed Care Agreement among RISCORP
Property & Casualty Company, RISCORP Insurance Company and RISCORP Health Plans, Inc. dated
January 1, 1996.** (Incorporated herein by reference to Exhibit 10.53 to RISCORP's Amendment
No. 4 to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.54 -Form of Acknowledgment of Provider Rights Ownership and Cost Allocation Agreement among RISCORP
Management Services, Inc., RISCORP Managed Care Solutions, Inc. and RISCORP Health Plans,
Inc. dated January 1, 1996.1* (Incorporated herein by reference to Exhibit 10.54 to
RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions File
Number 33-99760)
10.55 -Form of Provider Network Access Agreement among RISCORP Management Services, Inc., RISCORP
Health Plans, Inc. and Comprehensive Care Systems, Inc.** (Incorporated herein by reference
to Exhibit 10.55 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996,
Commissions File Number 33-99760)
10.56 -Form of Memorandum of Understanding between RISCORP Health Plans, Inc. and RISCORP Insurance
Company.** (Incorporated herein by reference to Exhibit 10.56 to RISCORP's Amendment No. 4
to Form S-1, as of February 28, 1996, Commissions File Number 33-99760)
10.57 -Form of Registration Rights Agreement dated as of February 1, 1996, by and among RISCORP, Inc.,
RISCORP Management Services, Inc. and William D. Griffin.** (Incorporated herein by
reference to Exhibit 10.57 to RISCORP's Amendment No. 4 to Form S-1, as of February 28,
1996, Commissions File Number 33-99760)
10.58 -Third Amendment to Credit Agreement, dated as of November 30, 1995, by and between RISCORP
Group Holdings, Inc. and First Union National Bank of North Carolina.** (Incorporated herein
by reference to Exhibit 10.58 to RISCORP's Amendment No. 4 to Form S-1, as of February 28,
1996, Commissions File Number 33-99760)
10.59 -Consent Agreement and Fourth Amendment to Credit Agreement, dated as of January 2, 1996, by and
between RISCORP Group Holdings, Inc. and First Union of North Carolina.** (Incorporated
herein by reference to Exhibit 10.59 to RISCORP's Amendment No. 4 to Form S-1, as of
February 28, 1996, Commissions File Number 33-99760)
37
40
EXHIBIT # DESCRIPTION
---------- -----------
10.60 -Form of Bilateral Administrative Services Costs Sharing Agreement by and between RISCORP
Management Services, Inc. and RISCORP Health Plans, Inc.** (Incorporated herein by reference
to Exhibit 10.60 to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996,
Commissions File Number 33-99760)
10.61 -Agreement of Purchase and Sale of Stock, dated as of December 15, 1995, by and among
CompSource Acquisition, Inc., James K. Secunda, Bruce A. Flachs, the James K. and Debra W.
Secunda Charitable Remainder Unitrust Number One, the James K. and Debra W. Secunda
Charitable Remainder Unitrust Number Two and the Bruce Flachs Charitable Remainder Unitrust
(more commonly referred to as the CompSource stock purchase agreement).** (Incorporated
herein by reference to Exhibit 10.61 to RISCORP's Amendment No. 4 to Form S-1, as of
February 28, 1996, Commissions File Number 33-99760)
10.62 -Agreement of Purchase and Sale of Stock, dated as of January 10, 1996, by and among Atlas
Insurance Company, RISCORP of Florida, Inc., Atlas Financial Corporation and Haas
Wilkerson-Wohlberg, Inc.** (Incorporated herein by reference to Exhibit 10.62
to RISCORP's Amendment No. 4 to Form S-1, as of February 28, 1996, Commissions
File Number 33-99760)
10.63 -Form of First Amendment to Bilateral Administrative Services Costs Sharing Agreement by and
between RISCORP Management Services, Inc. and RISCORP Health Plans, Inc.** (Incorporated
herein by reference to Exhibit 10.63 to RISCORP's Amendment No. 4 to Form S-1, as of
February 28, 1996, Commissions File Number 33-99760)
10.64 -Amendment to Agreement of Purchase and Sale of Stock, dated as of December 15, 1995, by and
among CompSource Acquisition, Inc., James K. Secunda, Bruce A. Flachs, the James K. and
Debra W. Secunda Charitable Remainder Unitrust Number One, the James K. and Debra W.
Secunda Charitable Remainder Unitrust Number Two and the Bruce Flachs Charitable Remainder
Unitrust (more commonly referred to as the CompSource stock purchase agreement).
(Incorporated herein by reference to Exhibit 10.64 to RISCORP's Amendment No. 4 to Form S-1,
as of February 28, 1996, Commissions File Number 33-99760)
10.65 -Employment Agreement with James A. Malone dated March 25, 1997.
10.66 -Employment Agreement with Thomas S. Hall dated January 6, 1997.
10.67 -Employment Agreement with Steven J. Berling dated January 6, 1997.
10.68 -Employment Agreement with Fred A. Hunt, dated January 6, 1997.
10.69 -Credit Agreement among the Company and Nationsbank N.A. (South) dated October 15, 1996
10.70 -Reinsurance Agreement between RISCORP National Insurance Company and G.J. Sullivan Co.
Reinsurance dated February 4, 1997.
10.71 -Underwriting Management Agreement dated September 1, 1996 between RISCORP Management Services
and Virginia Survey Company, Inc.
10.72 -Loss Portfolio Transfer Agreement between RISCORP National Insurance Company and Occupational
Safety Association of Alabama Workmen's Compensation Fund.
10.73 -Agreement and Plan of Merger by and among RISCORP, Inc., RISCORP-IAA, Inc., Independent
Association Administrators Incorporated, and The Stockholders of Independent Association
Administrators Incorporated
10.74 -Policy and Loss Portfolio Transfer Assumption Reinsurance Agreement between RISCORP National
Insurance Company and National Alliance for Risk Management Group Self-Insurance Fund
10.75 -Stock Purchase Agreement by and Between RISCORP, Inc. and Thomas Albrecht, Peter Norman and Hugh
D. Langdale, Jr.
10.76 -Workers Compensation Quota Share Retrocessional Treaty Agreement with Chartwell Reinsurance
Company.
10.77 -Loss Portfolio Transfer Assumption Reinsurance Agreement between NARM Mercantile Group Self
Insurance Association of Virginia and RISCORP National Insurance Company.
10.78 -Loss Portfolio Transfer Assumption Reinsurance Agreement between NARM Services' Group Self
Insurance Association of Virginia and RISCORP National Insurance Company.
10.79 -Loss Portfolio Transfer Assumption Reinsurance Agreement between NARM Manufacturers Group Self
Insurance Association of Virginia and RISCORP National Insurance Company.
21.1 -List of Subsidiaries of the Registrant. ** (Incorporated herein by reference to Exhibit 21.1 to
Riscorp's Amendment No. 4 to Form S-1, as of February 28, 1996 Commission File Number
33-99760)
27 -Financial Data Schedule (for SEC use only).
28.1 -Information from Reports Furnished to State Insurance Regulatory Authorities.** (Incorporated
herein by reference to Exhibit 28.1 1.1 to RISCORP's Amendment No. 4 to Form S-1, as of
February 28, 1996, Commission File Number 33-99760)
** Previously filed.
+ Confidential treatment granted pursuant to Rule 406 of the Securities
Act of 1933.
38
41
SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, the
Registrant has duly caused this registration statement to be signed on its
behalf by the undersigned, thereunto duly authorized, in the City of Sarasota,
State of Florida, on the 9th day of May, 1997.
RISCORP, INC.
By: /s/ William D. Griffin
-----------------------------------
William D. Griffin
Chief Executive Officer
PURSUANT TO THE REQUIREMENTS OF THE SECURITIES ACT OF 1933, THIS
REGISTRATION STATEMENT HAS BEEN SIGNED BY THE FOLLOWING PERSONS IN THE
CAPACITIES AND ON THE DATES INDICATED.
SIGNATURE TITLE DATE
- -------- ----- ----
/s/William D. Griffin Chairman of the Board, Chief May 9, 1997
- ------------------------- Executive Officer and Director
William D. Griffin (principal executive officer)
/s/James A. Malone President, Chief Operating Officer May 9, 1997
- ------------------------- and Director
James A. Malone
/s/Richard A. Halloy Senior Vice President, May 9, 1997
- ------------------------- and Director
Richard A. Halloy
/s/L. Scott Merritt Senior Vice President, Chief May 9, 1997
- ------------------------- Investment Officer and Treasurer
L. Scott Merritt
/s/Ramin Taraz Senior Vice President, Finance May 9, 1997
- ------------------------- and Principal Accounting Officer
Ramin Taraz (principal accounting officer)
/s/Richard B. Franz, II Senior Vice President, and May 9, 1997
- ------------------------- Chief Financial Officer
Richard B. Franz, II (principal financial officer)
/s/Seddon Goode Director May 9, 1997
- -------------------------
Seddon Goode
/s/George E. Greene III Director May 9, 1997
- -------------------------
George E. Greene III
/s/Walter L. Revell Director and Vice Chairman May 9, 1997
- -------------------------
Walter L. Revell
39