1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) [X] Quarterly report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 for the quarterly period ended MARCH 31, 1999 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 0-19439 Medical Assurance, Inc. ------------------------------------------------------ (Exact name of registrant as specified in its charter) Delaware 63-1137505 - ------------------------------- --------------------------------- (State or other jurisdiction of (IRS Employer Identification No.) incorporation of organization) 100 Brookwood Place, Birmingham, AL 35209 - -------------------------------------------------------------------------------- (Address of principal executive offices) (Zip Code) (205) 877-4400 ------------------------------- (Registrant's telephone number, including area code) Indicate by check mark whether the registrant (l) 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 --- --- As of March 31, 1999, there were 23,196,037 shares of the registrant's common stock outstanding. Page 1 of 16 2 Table of Contents Part I - Financial Information Item l. Condensed Consolidated Financial Statements (Unaudited) of Medical Assurance, Inc. and Subsidiaries Condensed Consolidated Balance Sheets.............................................................3 Condensed Consolidated Statements of Changes in Capital...........................................4 Condensed Consolidated Statements of Income.......................................................5 Condensed Consolidated Statements of Cash Flows...................................................6 Notes to Condensed Consolidated Financial Statements..............................................7 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations....................................................10 Part II - Other Information Item 6. Exhibits and Reports on Form 8-K.................................................................16 Signatures....................................................................................................16 3 Medical Assurance, Inc. and Subsidiaries Condensed Consolidated Balance Sheets (Unaudited) (in thousands, except share data) MARCH 31 December 31 1999 1998 -------------------------------- ASSETS Investments: Fixed maturities available for sale, at fair value $ 674,816 $ 657,404 Equity securities available for sale, at fair value 39,058 44,124 Real estate, net 11,546 11,619 Short-term investments 67,420 78,432 ----------- ----------- Total investments 792,840 791,579 Cash and cash equivalents 12,649 9,022 Premiums receivable 86,357 59,949 Receivable from reinsurers 180,449 179,890 Prepaid reinsurance premiums 19,383 13,467 Deferred taxes 29,624 26,897 Other assets 49,011 51,435 ----------- ----------- $ 1,170,313 $ 1,132,239 =========== =========== LIABILITIES AND STOCKHOLDERS' EQUITY Liabilities: Policy liabilities and accruals: Reserve for losses and loss adjustment expenses $ 667,113 $ 660,640 Unearned premiums 102,279 76,229 Reinsurance premiums payable 39,432 42,596 ----------- ----------- Total policy liabilities 808,824 779,465 Income taxes payable 5,821 2,476 Other liabilities 26,609 26,118 ----------- ----------- Total liabilities 841,254 808,059 Commitments and contingencies -- -- Stockholders' equity: Common stock, par value $1 per share; 100,000,000 shares authorized; 23,900,448 and 23,899,983 shares issued, respectively 23,900 23,900 Additional paid-in capital 206,610 206,562 Accumulated other comprehensive income, net of deferred taxes of $4,962 and $6,611, respectively 9,214 12,277 Retained earnings 103,074 91,622 ----------- ----------- 342,798 334,361 Less treasury stock at cost, 704,411 and 587,033 shares, respectively (13,739) (10,181) ----------- ----------- Total stockholders' equity 329,059 324,180 ----------- ----------- $ 1,170,313 $ 1,132,239 =========== =========== See accompanying notes. 3 4 Medical Assurance, Inc. and Subsidiaries Condensed Consolidated Statements of Changes in Capital (Unaudited) (in thousands) Accumulated Other Other Comprehensive Retained Capital Total Income Earnings Accounts --------- ------------- --------- --------- Balance at December 31, 1998 $ 324,180 $ 12,277 $ 91,622 $ 220,281 Comprehensive income Net income 11,452 11,452 Other Comprehensive income, net of tax Unrealized gains on securities, net of reclassification adjustment of $1,029 (3,063) (3,063) --------- Comprehensive income 8,389 Common stock issued for compensation 13 13 Net purchases of treasury stock (3,523) (3,523) --------- --------- --------- --------- Balance at March 31, 1999 $ 329,059 $ 9,214 $ 103,074 $ 216,771 ========= ========= ========= ========= Accumulated Other Other Comprehensive Retained Capital Total Income Earnings Accounts --------- ------------- --------- --------- Balance at December 31, 1997 $ 287,188 14,704 $ 109,524 $ 162,960 Comprehensive income Net income 8,736 8,736 Other Comprehensive income, net of tax Unrealized gains on securities, net of reclassification adjustment of $433 842 842 --------- Comprehensive income 9,578 Net purchases of treasury stock (180) (180) --------- --------- --------- --------- Balance at March 31, 1998 $ 296,586 $ 15,546 $ 118,260 $ 162,780 ========= ========= ========= ========= See accompanying notes. 4 5 Medical Assurance, Inc. and Subsidiaries Condensed Consolidated Statements of Income (Unaudited) (in thousands, except per share data) Three Months Ended March 31 ---------------------------- 1999 1998 -------- -------- Revenues: Direct and assumed premiums written $ 78,070 $ 56,361 ======== ======== Premiums earned $ 51,752 $ 46,915 Premiums ceded (10,410) (15,151) -------- -------- Net premiums earned 41,342 31,764 Net investment income 9,611 9,688 Other income 1,395 887 -------- -------- Total revenues 52,348 42,339 Expenses: Losses and loss adjustment expenses 35,420 33,373 Reinsurance recoveries (9,045) (12,187) -------- -------- Net losses and loss adjustment expenses 26,375 21,186 Underwriting, acquisition and insurance expenses 10,672 8,276 -------- -------- Total expenses 37,047 29,462 -------- -------- Income before income taxes and cumulative effect of accounting change 15,301 12,877 Provision for income taxes: Current expense 4,886 1,873 Deferred expense (benefit) (1,037) 1,145 -------- -------- 3,849 3,018 -------- -------- Income before cumulative effect of accounting change 11,452 9,859 Cumulative effect of accounting change, net of tax -- (1,123) -------- -------- Net income $ 11,452 $ 8,736 ======== ======== Basic and diluted earnings per share: Income before cumulative effect of accounting change $ 0.49 $ 0.42 Cumulative effect of accounting change, net of tax -- (0.05) -------- -------- Net income $ 0.49 $ 0.37 ======== ======== Weighted average number of common shares outstanding--basic and diluted 23,268 23,642 ======== ======== See accompanying notes. 5 6 Medical Assurance, Inc. and Subsidiaries Condensed Consolidated Statements of Cash Flows (Unaudited) (in thousands) Three Months Ended March 31 ---------------------------- 1999 1998 -------- -------- OPERATING ACTIVITIES Net cash provided by operating activities $ 12,598 $ 17,098 INVESTING ACTIVITIES Purchases of fixed maturities available for sale (82,481) (61,987) Purchases of equity securities available for sale (1,145) (2,031) Proceeds from sale or maturities of fixed maturities available for sale 59,294 55,016 Proceeds from sale of equity securities available for sale 7,721 429 Net decrease (increase) in short-term investments 11,012 (4,287) Other (200) (44) -------- -------- Net cash used in investing activities (5,799) (12,904) FINANCING ACTIVITIES Net purchases of treasury stock (3,172) (180) -------- -------- Net cash used by financing activities (3,172) (180) Increase in cash and cash equivalents 3,627 4,014 Cash and cash equivalents at beginning of period 9,022 12,248 -------- -------- Cash and cash equivalents at end of period $ 12,649 $ 16,262 ======== ======== See accompanying notes. 6 7 Medical Assurance, Inc. and Subsidiaries Notes to Condensed Consolidated Financial Statements (Unaudited) 1. BASIS OF PRESENTATION The accompanying unaudited condensed consolidated financial statements include the accounts of Medical Assurance, Inc. and its subsidiaries, together referred to as the Company. The financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and notes required by generally accepted accounting principles for complete financial statements. In the opinion of management, all adjustments, consisting of normal recurring accruals, considered necessary for a fair presentation have been included. Operating results for the three month period ended March 31, 1999 are not necessarily indicative of the results that may be expected for the year ending December 31, 1999. For further information, refer to the December 31, 1998 audited consolidated financial statements and accompanying notes. Medical Assurance, Inc. has 100 million shares of authorized common stock and 50 million shares of authorized preferred stock. The Board of Directors has the authorization to determine the provisions for the issuance of shares of the preferred stock, including the number of shares to be issued and the designations, powers, preferences and rights, and the qualifications, limitations or restrictions of such shares. At March 31, 1999, the Board of Directors had not authorized the issuance of any preferred stock nor determined any provisions for the preferred stock. 2. SEGMENT INFORMATION The Company operates in the United States of America and in only one reportable industry segment, which is providing professional and general liability insurance for physicians and surgeons, dentists, hospitals, and others engaged in the delivery of health care. 3. INVESTMENTS Proceeds from sales of investments in fixed maturities and equities available for sale were approximately $43.0 million for both three month periods ended March 31, 1999 and 1998. Gross realized gains on such sales were approximately $2.0 million and $494,000 at March 31, 1999 and 1998 respectively; gross realized losses on such sales were approximately $1.0 million and $61,000 at March 31, 1999 and 1998, respectively. Realized gains and losses are included as a component of other income. The amortized cost of fixed maturities and equity securities available for sale was $699.4 million and $649.0 million at March 31, 1999 and March 31, 1998, respectively. 7 8 Medical Assurance, Inc. and Subsidiaries Notes to Condensed Consolidated Financial Statements (Unaudited) 4. RESERVES FOR LOSSES AND LOSS ADJUSTMENT EXPENSES The reserves for losses and loss adjustment expenses represent management's best estimate of the ultimate cost of all losses incurred but unpaid. Incurred losses and loss adjustment expenses for the three month periods ended March 31, 1999 and 1998 were principally based on the application of an expected loss ratio to premiums earned. These loss ratios take into consideration prior loss experience, loss trends, the Company's loss retention levels, changes in frequency and severity of claims and rates charged. The reserves are evaluated at least annually by independent consulting actuaries. Actual incurred losses may vary from estimated amounts due to the inherent difficulty in estimating development of long-tailed lines of business. The estimated liability is continually reviewed and any adjustments which become necessary are included in current operations. The Company's management believes that its actual incurred losses and loss adjustment expenses will not significantly exceed its reported estimated amounts. 5. DEFERRED POLICY ACQUISITION COSTS Costs that vary with and are directly related to the production of new and renewal premiums (primarily premium taxes, commissions and underwriting salaries) are deferred to the extent they are recoverable against unearned premiums and are amortized as related premiums are earned. Amortization of deferred acquisition costs, net of ceding commissions earned, amounted to approximately $5.8 million and $3.8 million for the three months ended March 31, 1999 and 1998, respectively. Underwriting and insurance costs that are not directly related to the production of new and renewal premiums are charged to expense as incurred. These costs were $4.9 million and $4.5 million for the three months ended March 31, 1999 and 1998, respectively. 6. INCOME TAXES Income tax expense differs from the normal relationship to financial statement income principally because of tax-exempt interest income. 8 9 Medical Assurance, Inc. and Subsidiaries Notes to Condensed Consolidated Financial Statements (Unaudited) 7. EARNINGS PER SHARE On December 4, 1998 the Board of Directors declared a 10% stock dividend. Cash was paid to shareholders for fractional shares. Earnings per share data for 1998 has been restated as if this dividend had been declared on January 1, 1998. 8. COMMITMENTS AND CONTINGENCIES The Company is involved in various legal actions arising primarily from claims made under insurance policies; these legal actions have been considered by the Company in establishing its reserves. While the outcome of all legal actions is not presently determinable, the Company's management and its legal counsel are of the opinion that the settlement of these actions will not have a material adverse effect on the Company's financial position or results of operations. 9 10 ITEM. 2 MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS For purposes of this management discussion and analysis, the term "Company" refers to Medical Assurance, Inc. and its subsidiaries. The consolidated subsidiaries consist principally of operating insurance companies. LIQUIDITY AND CAPITAL RESOURCES The payment of losses, loss adjustment expenses, and operating expenses in the ordinary course of business is currently the Company's principal need for liquid funds. Cash used to pay these items has been provided by operating activities. Cash provided from these operating activities was sufficient during the first three months of 1999 to meet the Company's operating needs, and the Company believes those sources will be sufficient to meet its cash needs for operating purposes for at least the next twelve months. Prolonged and increasing levels of inflation could cause increases in the dollar amount of losses and loss adjustment expenses and may therefore adversely affect future reserve development. To minimize such risk, the Company (a) maintains what its management considers to be strong and adequate reinsurance, (b) conducts regular actuarial reviews to ensure, among other things, that reserves do not become deficient, and (c) maintains adequate asset liquidity. The Company did not borrow any funds during the three months ended March 31, 1999 and 1998, and currently has no requirements indicating a need to borrow significant funds in the next twelve months. However, the need for additional capital may arise in order to achieve the Company's ultimate goal of expansion, as discussed in the following paragraphs. The Company continues to have available through a lending institution a line of credit in the amount of $40 million that could be used for these additional capital requirements. The Company is not charged a fee nor is it required to maintain compensating balances in connection with this line of credit. The Company's Board of Directors has authorized the purchase of its common stock in the open market; the Company purchased 119,900 shares of its stock during the quarter ended March 31, 1999. On March 8, 1999 the Board increased the authorization by $10 million; at March 31, 1999 the total remaining purchase authorization was approximately $14.3 million. BUSINESS EXPANSION The Company, through Mutual Assurance, Inc. (Mutual Assurance), has been developing a marketing strategy to address the insurance needs of hospitals and vertically integrated health care providers. The Company expects organizations such as these to represent increasing market opportunities for professional liability and related insurance products because of the trend toward the consolidation of health care providers. In certain instances, Mutual Assurance's size is a competitive factor in this "large account" market because its principal competitors are larger than those with whom Mutual Assurance has historically had to compete. In addition to its expansion into this growing market for "large accounts," the Company also intends to expand through the acquisition of, or combination with, medical professional liability insurers that have a significant presence in states other than Alabama. Effective January 1, 1999 the Company purchased the ongoing book of medical professional liability insurance business of Medical Defense Associates (MDA) and Medical 10 11 Defense Insurance Company (MDIC), subsidiaries of Medical Defense Holding Company of Springfield, Missouri. The Company has assumed day-to-day management of existing policies and prior liabilities of MDA and MDIC and provides aggregate excess of loss reinsurance to protect MDA and MDIC from adverse loss development in excess of an agreed upon threshold. IMPACT OF YEAR 2000 The Company's comprehensive Year 2000 initiatives are designed to ensure that there is no adverse effect on the Company's core business operations and that transactions with customers, suppliers, and financial institutions are fully supported. The Year 2000 issue is the result of computer programs being written using two digits rather than four to define the applicable year. Any of the Company's computer programs that have time-sensitive software may recognize a date using "00" as the year 1900 rather than the year 2000. This could result in a system failure or miscalculations causing disruptions of operations, including, among other things, a temporary inability to process transactions, send invoices, or engage in similar normal business activities. The Company is reliant on various third party business partners. The Company's own readiness for the year 2000 will be impacted by the readiness of these third parties. The Company has identified the third party relationships that it believes to be significant and has obtained information from the parties regarding their efforts and expectations related to Year 2000 compliance. To date, the Company is not aware of any third party issue that would materially impact the Company's results of operations, liquidity or capital resources. The Company has also evaluated the risk of claims against its policyholders for medical incidents resulting in bodily injury to patients as a consequence of Year 2000 computer or medical device failure. The Company has required that hospitals and other large health care facilities complete questionnaires as to their Year 2000 preparedness in underwriting their professional liability insurance policies. If the questionnaire of a health care facility is not returned or provides inadequate or unsatisfactory information regarding this issue, the policy issued to such facility will exclude coverage for medical incidents caused by Year 2000 problems. The Company has not surveyed insureds who are physicians and surgeons as to their Year 2000 compliance and intends to offer coverage for claims from such medical incidents because the Company does not believe that physicians and surgeons will have significantly greater risk of liability if they are not Year 2000 compliant. In 1996, the Company committed to replace substantially all of the software and hardware used in its core computer information system. The component systems that perform the critical functions of the new information system have been implemented. The new information system, including software and hardware, will function properly with respect to dates in the year 2000 and thereafter. The Company believes that with the new information system and the planned modifications to the Company's existing software in connection therewith, the Year 2000 issue will not pose significant problems for its core computer operations. Because Year 2000 compliance is incidental to the implementation of the new information system, costs specifically related to Year 2000 compliance will be minimal. Year 2000 compliance for the Company's core computer operations are scheduled to be completed in mid-year 1999. While the Company believes its efforts are adequate to address its Year 2000 concerns, there can be no guarantee that full compliance will be achieved or that the systems of other companies on which the Company's systems and operations rely will be converted on a timely basis and therefore will not have a material effect on the Company. The Company's expectations about the completion of its Year 2000 efforts, the related costs, and its assessment of 11 12 the anticipated business, operational and financial risks to the Company are subject to a number of uncertainties and assumptions regarding future events including, among others, representations of third parties and the continued availability of trained personnel. This disclosure as well as the information previously filed by the Company regarding its Year 2000 readiness during the period January 1, 1996 to October 19, 1998 are designated as a Year 2000 readiness disclosure related to the Year 2000 Information and Readiness Disclosure Act. 12 13 RESULTS OF OPERATIONS - THREE MONTHS ENDED MARCH 31, 1999 COMPARED TO THREE MONTHS ENDED MARCH 31, 1998 Premiums The following table presents information related to consolidated written and earned premiums and reinsurance expense (in thousands): Three months ended March 31 ------------------------ Increase 1999 1998 (Decrease) ------------------------ ---------- Direct and assumed premiums written $ 78,070 $ 56,361 $ 21,709 ======== ======== ======== Direct and assumed premiums earned $ 51,752 $ 46,915 $ 4,837 Premiums ceded (10,410) (15,151) 4,741 -------- -------- -------- Net premiums earned $ 41,342 $ 31,764 $ 9,578 ======== ======== ======== The change in direct and assumed premiums written was due to an increase in direct medical malpractice premiums of $8.3 million, an increase in assumed medical malpractice premiums of $7.2 million, an increase in assumed accident and health premiums of $4.1 million and a $1.1 million increase in direct accident and health premiums. The increase in assumed medical malpractice premiums included $4.2 million from the existing policies of the book of business acquired from MDA and MDIC, as discussed under Business Expansion in Item II. The change in direct and assumed premiums earned is due to an increase in assumed reinsurance of $7.2 million, including amounts from MDA and MDIC of $1.9 million, an increase in direct medical malpractice of $1.1 million offset by decreases in direct accident and health premiums of $3.9 million. The Company cedes reinsurance to provide for greater diversification of business, allow management to control exposure to potential losses arising from large risks, and provide capacity for additional growth. Premiums ceded are estimated based on the terms of the respective reinsurance agreements. The estimated expense is continually reviewed and any adjustments which become necessary are included in current operations. Amounts recoverable from reinsurers are estimated in a manner consistent with the loss liability associated with the reinsured policies. The decrease in premiums ceded for the three months ended March 31, 1999 as compared to the three months ended March 31, 1998 is principally due to the decrease in earned accident and health premiums, which are heavily ceded. The remaining decrease is due to a greater proportion of earned premiums in states where cession levels are lower. The Company continually reviews the levels of coverages ceded and the related costs. Investment Income The Company had consolidated net investment income of $9.6 million for the three months ended March 31, 1999, as compared to $9.7 million for the three months ended March 31, 1998. The decrease was due primarily to a lower yield offset by increased investing. The annualized average pre-tax investment yield for the quarter ended March 31, 1999 was 5.1% as compared to 5.7% for the quarter ended March 31,1998. The reduction in the investment yield was due to a shortening of the Company's investment portfolio in the latter half of 1998 and a slight increase in the proportion of the portfolio invested in non-taxable securities. 13 14 Losses Consolidated losses and loss adjustment expenses (losses) and the related loss ratios are summarized in the following table (dollars in thousands). The ratio for losses below is based on premiums earned; the ratio for net losses is based on net premiums earned. Three months ended March 31, 1999 March 31, 1998 --------------------- --------------------- Loss Loss Losses Ratio Losses Ratio --------------------- --------------------- Losses $ 35,420 68% $ 33,373 71% ===== ===== Reinsurance recoveries (9,045) (12,187) -------- -------- Net losses $ 26,375 64% $ 21,186 67% ======== ===== ======== ===== Losses for both periods are principally based on the application of expected loss ratios to premiums earned. These loss ratios take into consideration prior loss experience, loss trends, the Company's loss retention levels, changes in frequency and severity of claims, and rates charged. The above loss ratios reflect improvement of loss development in prior years coverage of $13.2 million in 1999 and $9.0 million in 1998. However, as the Company continues its expansion efforts, the improvement of loss development for prior years could have a smaller or less favorable impact on the loss ratios of future years. Other Income Other income increased by $500,000 for the quarter ended March 31, 1999 as compared to the quarter ended March 31, 1998. The increase is principally attributable to increased capital gains realized upon the sale of securities during the first quarter of 1999 compared to the first quarter of 1998. 14 15 Underwriting, Acquisition, and Insurance Expenses Underwriting, acquisition and insurance expenses are summarized in the following table (in thousands): Three months ended March 31 ------------------------ Increase 1999 1998 (Decrease) ------------------------ ---------- Underwriting, acquisition and insurance expenses before reduction by ceding commissions earned $ 13,138 $ 9,698 $ 3,440 Ceding commissions earned (2,466) (1,422) (1,044) -------- -------- -------- $ 10,672 $ 8,276 $ 2,396 ======== ======== ======== The increase in underwriting, acquisition and insurance expense is primarily due to amortization of increased policy acquisition costs associated with new business and increased costs from state guaranty assessments offset by additional ceding commissions earned. During 1999, as compared to 1998, a greater portion of the Company's earned premiums were subject to reinsurance treaties providing for ceding commissions, thereby increasing ceding commissions earned. Income Taxes The Company's effective tax rate was 25% for the three months ended March 31, 1999 and 22% for the three months ended March 31, 1998. These rates are lower than the statutory rate of 35% principally due to the effect of tax exempt investment income. The effective rate for 1999 was higher than the rate for 1998 because tax exempt income represented a smaller portion of total income. FORWARD LOOKING STATEMENTS This discussion contains historical information, as well as forward-looking statements that are based upon Medical Assurance's estimates and anticipation of future events that are subject to certain risks and uncertainties that could cause actual results to vary materially from the expected results described in the forward-looking statements. The Company's expectations regarding losses, the retention of current business, expansion of product lines, development of business in new geographical areas, Year 2000 compliance, and market risks depend on a variety of factors, including economic, competitive and market conditions which may be beyond the Company's control and are thus difficult or impossible to predict. In view of the many uncertainties inherent in the forward-looking statements made in this document, the inclusion of such information should not be taken as representation by the Company or any other person that Medical Assurance's objectives or plans will be realized. 15 16 PART II - OTHER INFORMATION Item 6. Exhibits and Reports on Form 8-K (a) Exhibits. Exhibit (27) required of Item 601 of Regulation SK-Financial Data Schedule (for SEC use only). (b) Reports on 8-K. No reports on Form 8-K have been filed during the quarter for which this report is filed. SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant had duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. Medical Assurance, Inc. May 12, 1999 By: /s/ James J. Morello ---------------------------- James J. Morello, Treasurer (duly authorized officer and principal financial officer) 16