1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D. C. 20549 FORM 10-K ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended 0-8738 - ---------------------------------------- ------------------------------------- December 31, 1996 Commission File Number BANCINSURANCE CORPORATION - -------------------------------------------------------------------------------- (Exact name of registrant as specified in its charter) Ohio 31-0790882 - ---------------------------------------- ------------------------------------- (State or other jurisdiction of (I.R.S. Employer incorporation or organization) Identification No.) 20 East Broad Street, Columbus, Ohio 43215 - -------------------------------------------------------------------------------- (Address of principal executive offices) (Zip Code) Registrant's telephone number including area code (614) 228-2800 ------------------------ Securities registered pursuant to Section 12(b) of the Act: Name of Each Exchange on Title of Each Class Which Registered NONE NONE - ---------------------------------------- ------------------------------------- Securities registered pursuant to Section 12(g) of the Act: COMMON SHARES, WITHOUT PAR VALUE - -------------------------------------------------------------------------------- (Title of Class) Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding twelve months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. YES X NO -------- -------- Indicate 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 the 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. [ X ] Based upon the closing price reported on the Nasdaq National Market on February 14, 1997, the aggregate market value of the Common Stock of Registrant held by non-affiliates on that date was $8,048,850. As of February 14, 1997, the Registrant had 5,767,257 Common Shares, without par value, outstanding. DOCUMENTS INCORPORATED BY REFERENCE Portions of the Registrant's Annual Report to Stockholders for the fiscal year ended December 31, 1996 are incorporated by reference in Part II. Portions of the Registrant's Proxy Statement for the 1997 Annual Meeting of Stockholders are incorporated by reference in Part III. 2 BANCINSURANCE CORPORATION AND SUBSIDIARIES 1996 FORM 10-K TABLE OF CONTENTS Page PART I Item 1. Business................................................... 3 Item 2. Properties................................................. 7 Item 3. Legal Proceedings.......................................... 7 Item 4. Submission of Matters to a Vote of Security Holders........ 7 PART II Item 5. Market for the Company's Common Stock and Related Security Holder Matters................................ 7 Item 6. Selected Consolidated Financial Data....................... 8 Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations.................... 8 Item 8. Consolidated Financial Statements and Supplementary Data... 8 Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure.................... 8 PART III Item 10. Directors and Executive Officers of the Company............ 8 Item 11. Executive Compensation..................................... 8 Item 12. Security Ownership of Certain Beneficial Owners and Management............................................. 8 Item 13. Certain Relationships and Related Transactions............. 8 Part IV Item 14. Exhibits, Financial Statement Schedules and Reports on Form 8-K............................................... 9 3 Part I Item 1. Business -------- GENERAL The Company is an Ohio insurance holding company engaged primarily in the underwriting of specialized and niche insurance products and related services through its wholly-owned insurance subsidiary, Ohio Indemnity Company ("Ohio Indemnity"). Ohio Indemnity is licensed to transact business in 44 states and the District of Columbia and on a surplus lines basis in Texas. During 1993, BCIS Services, Inc. ("BCIS Services") was incorporated in Ohio as a wholly-owned subsidiary of the Company. BCIS Services is a non-risk bearing provider of workers' compensation administration and cost control services to employers who self-insure workers' compensation coverage. PRODUCTS Most of the Company's net premiums written and premiums earned are derived from two distinct lines of specialized and niche insurance products and related services: Ultimate Loss Insurance. Ultimate Loss Insurance, a form of physical damage blanket single interest insurance, is sold to lending institutions, such as banks, savings and loan associations, credit unions, automobile dealers and finance companies. Ultimate Loss Insurance insures such institutions against damage to pledged collateral in cases where the collateral is not otherwise insured. The standard policy covers physical damage to the collateral, not to exceed the lesser of the collateral's fair market value or the outstanding loan balance. This blanket single interest policy is generally written to cover the lending institution's complete portfolio of collateralized personal property loans, which consist primarily of automobile loans. The Company offers supplemental coverages, at additional premium cost, for losses due to unintentional errors in lien filings and conversion, confiscation and skip risks. Conversion risk coverage protects the lender from unauthorized and wrongful taking of the lender's collateral. Skip risk coverage protects the lender when a delinquent debtor disappears with the loan collateral. Since its inception in 1956, the Company has gradually expanded coverage of the program from traditional lenders such as banks, savings and loans and credit unions to nontraditional lenders, such as finance companies. During 1996, the Company provided Ultimate Loss Insurance coverage to approximately 300 lending institutions. The premiums charged for Ultimate Loss Insurance reflect claims experience, loan volumes and general market conditions. Bonded Service Program. Bonded Service is a program in which the Company participates by bonding specific unemployment insurance servicing commitments by a cost containment service firm. The unemployment compensation laws of each state generally permit not-for-profit organizations, school districts and political subdivisions to opt out of the state sponsored unemployment compensation insurance system and, instead, elect to reimburse the state for unemployment compensation claims paid by the state on their behalf. Although the reimbursing employer can usually realize certain cost advantages through this reimbursement method, it also assumes the risk of unexpected, unbudgeted unemployment claims. The Bonded Service program provides the risk mechanism to limit the impact of such unexpected claims costs. The cost containment service firm operates under a service contract with the reimbursing employer by which the cost containment service firm assures that the employer will satisfy his obligations to the state as a reimburser. From the Bonded Service fees charged by the cost containment service firm, an aggregate loss fund account is maintained from which losses in excess of expected charges are paid up to the bond limit. The Company controls the Bonded Service participation process. The Company has participated in the Bonded Service program since 1989. In 1992, the Company agreed to write a similar type bond covering groups of smaller not-for-profit entities which could realize the cost benefits of being reimbursers but could not do so on a stand-alone basis. As of December 31, 1996, the Company services seven (7) such groups. 3 4 The cost containment service firm's charge to the participating employer is based primarily upon historical claims experience, general economic conditions and other factors specific to the employer. The bond premium paid to the Company is calculated as a percentage of that charge. Subscribers to the Bonded Service program enroll for a term ranging from one to two years and the Company's surety bond extends for the duration of the term. The Bonded Service program fees applicable to any renewal term are adjusted based upon the subscriber's historical claims experience, the subscriber's announced business plans with respect to significant planned changes in employment, stability of the subscriber's source of funding and general economic conditions. Since 1989, annual renewals have averaged 95%. Some states require that reimbursing employers post a bond as security for the performance of their reimbursing obligations. On limited occasions, the Company has provided this mandated bond on behalf of employers enrolled in the Bonded Service program for which it assesses a separate premium charge. The Company's obligations under such bonds may not, in every case, cease upon termination of an employer's participation in the Bonded Service program. The financial statements include reserves for losses on such programs for benefits paid. Such reserves were $458,436 and $345,000 at December 31, 1996 and 1995, respectively. Automobile Physical Damage Insurance. Automobile Physical Damage Insurance is designed for the nonstandard automobile insurance market, consisting mostly of inexperienced drivers, drivers with poor driving records or claims experience, or drivers who otherwise do not qualify for the standard market. The Company offered Automobile Physical Damage Insurance from June 1992 to August 1995 to California residents and from January 1993 to October 1994 to Arizona residents. The Company does not currently offer Automobile Physical Damage Insurance in any jurisdiction. BCIS Services, Inc. BCIS Services is a third party administrator (TPA) specializing in managing workers' compensation obligations assumed by employers who self-insure this coverage. The contract defines specific servicing responsibilities for which the client pays agreed upon fees during the duration of such contract which normally covers one to three years. BCIS Services was formed in February 1993 and began marketing its programs in July 1993. BCIS Services does not engage in the business of underwriting or insuring risks of loss. BCIS Services assists the client in controlling factors that impact containment of workplace disability costs from risk control to proactive claims management. BCIS Services is postured to provide independent claims administration involving other casualty insurance exposures on a multi-state basis. Independent resources are engaged to provide specialized control functions as circumstances dictate. During 1996, the Company provided cost control services to four employers in California which generated revenues of $550,615. BCIS Services operated in California only during 1996, 1995 and 1994. There can be no assurance that this operation will be commercially successful or profitable. COMPETITION With respect to Ultimate Loss Insurance, the Company competes with "forced-placement" insurance and other providers of physical damage blanket single interest insurance. Forced-placement coverage is an alternative to physical damage blanket single interest insurance in that the provider arranges with a lending institution to insure, without the borrower's consent, uninsured or underinsured collateral pledged by the borrower to the lender. The Company believes its Ultimate Loss Insurance is a superior product to forced-placement insurance. Under forced-placement insurance, an individual policy is written for the lending institution's customer without the customer's consent and the premiums are paid directly by the customer through an increase in the customer's outstanding loan balance. The propriety of forced-placement coverage has recently been challenged in a number of class action suits against providers of forced-placement insurance. Competition for the Bonded Service program is provided indirectly by insurers who have designed coverages for reimbursing employers with loss limitation features similar in concept to the Bonded Service program. The Company believes that the Bonded Service program has cost savings and other features which enable the program to compete 4 5 effectively against providers of loss limitation coverages. The cost containment service firm, on whom the Company relies for growth in bond fees, competes with other cost containment service firm's for cost containment service contracts with not-for-profit organizations, some of which may require loss limitation coverages. Concerning BCIS Services, competition includes any brokers, agents, insurance companies or consultants which provide administrative services to their clients. The major competitors are TPA's, most of which operate on a regional basis. There are approximately 51 TPA's in California that specialize in serving employers who self-insure workers' compensation. There can be no assurance that the Company will not face additional competition in its markets from new or existing competitors. REINSURANCE The Company maintains a quota share reinsurance agreement, by which Ohio Indemnity cedes a portion of its insurance to a reinsurer. This arrangement limits the net claim liability potential arising from specific policies. This reinsurance agreement does not relieve the Company from its obligations to policyholders. Consequently, failure of the reinsurer to honor its obligations could result in losses to the Company. The Company currently recovers 50% of the paid losses and loss adjustment expense applicable to Automobile Physical Damage insurance policies. As of December 31, ceded reinsurance reduced commission expense incurred by $62,147, $121,972 and $3,137,726 in 1996, 1995 and 1994, respectively. REGULATION Insurance Company Regulation Ohio Indemnity, as an Ohio property/casualty insurance company, is subject to the primary regulatory supervision of the Ohio Department of Insurance. In addition, Ohio Indemnity is subject to regulation in each jurisdiction in which it is licensed to write insurance. In general, such regulation is designed to protect the interests of insurance policyholders rather than the Company or the Company's shareholders. Such regulation relates to, among other matters: licensing of insurers and their agents; authorized lines of business; capital and surplus requirements and general standards of solvency; financial reports; reserve requirements; underwriting limitations; investment criteria; transactions with affiliates; dividend limitations; changes in control and a variety of other financial and nonfinancial matters. The principal source of cash available to the Company is dividends from Ohio Indemnity. The Company is subject to the Ohio Insurance Holding Company System Regulatory Act, as amended, which requires that a 10-day notice of the proposed payment of any dividends or other distributions by Ohio Indemnity be given to the Ohio Superintendent of Insurance. If such dividends or distributions, together with any other dividends or distributions made within the preceding twelve months, exceed the greater of: (i) 10% of Ohio Indemnity's statutory surplus as of the immediately preceding December 31st, or (ii) the net income of Ohio Indemnity for the immediately preceding calendar year, a 30-day notice of such proposed dividend or distribution is required to be given to the Superintendent and the Superintendent may disapprove such dividend or distribution within the 10-day period following receipt of such notice. Most states have insurance laws requiring that rate schedules and other information be filed with the state's regulatory authority, either directly or through a rating organization with which the insurer is affiliated. The regulatory authority may disapprove a rate filing if it finds that the rates are inadequate, excessive or unfairly discriminatory. Rates vary by class of business, hazard assumed and size of risk, and are not necessarily uniform for all insurers. Many states have recently adopted laws which limit the ability of insurance companies to effect rate increases. To date, such limitations have had a limited impact on the Company, and the Company has no knowledge of any such limitations that may affect its future results of operations, although there can be no assurance that such limitations will not adversely affect the Company's results of operations in the future. 5 6 All insurance companies must file annual statements in states where they are authorized to do business and are subject to regular and special examinations by the regulatory agencies of those states. On August 9, 1994, the Ohio Department of Insurance issued its triennial examination report on Ohio Indemnity for the three-year period ended December 31, 1993. The examiners reported that the financial statements set forth in the report reflected the financial condition of Ohio Indemnity. Management is not aware of any recommendations by regulatory authorities which, if implemented, would have, or are reasonably likely to have, a material effect on the Company's liquidity, capital resources or results of operations. The next triennial review of the Company will be conducted by the Ohio Superintendent of Insurance in 1997 for the three-year period ending December 31, 1996. Numerous states routinely require deposits of assets by insurance companies to protect policyholders. As of December 31, 1996, securities with a market value of approximately $3,531,856 had been deposited by the Company with eleven state insurance departments. Such deposits must consist of securities which comply with standards established by the particular state's insurance department. The deposits, typically required by a state's insurance department on admission to do insurance business in such state, may be increased periodically as mandated by applicable statutory or regulatory requirements. Insurance Holding Company System Regulation The Company is subject to certain provisions of the Ohio Insurance Holding Company System Regulatory Act, as amended, which governs any direct or indirect change in control of the Company and certain affiliated-party transactions involving the Company or its assets. No person may acquire, directly or indirectly, 10% or more of the outstanding voting securities of Ohio Indemnity, unless the Ohio Superintendent of Insurance has approved such acquisition. The determination of whether to approve any such acquisition is based on a variety of factors, including an evaluation of the acquirer's financial condition, the competence of its management and whether competition in Ohio would be reduced. In addition, certain material transactions involving the Company and Ohio Indemnity must be disclosed to the Ohio Superintendent of Insurance not less than 30 days prior to the effective date of the transaction. Such transaction can be disapproved by the Superintendent within such 30-day period if it does not meet certain standards. Transactions requiring such approval include, but are not limited to: sales, purchases or exchanges of assets; loans and extensions of credit; and investments not in compliance with statutory guidelines. Ohio Indemnity is also required to file periodic and updated statements reflecting the current status of its holding company system, the existence of any related-party transactions and certain financial information relating to any person who directly or indirectly controls (presumed to exist with 10% voting control) Ohio Indemnity. The Company believes that it is in compliance with the Ohio Insurance Holding Company System Regulatory Act and the regulations promulgated thereunder. The National Association of Insurance Commissioners All states have adopted the financial reporting form of NAIC, which is typically referred to as the NAIC "annual statement," and most states, including Ohio, generally defer to NAIC with respect to statutory accounting practices and procedures. In this regard, NAIC has a substantial degree of practical influence and is able to accomplish certain quasi-legislative initiatives through amendments to the NAIC annual statement and applicable statutory accounting practices and procedures. For example, in recent years, NAIC has required all insurance companies to have an annual statutory financial audit and actuarial certification as to loss reserves by including such requirements in the annual statement instructions. During 1993, the NAIC adopted a Risk Based Capital (RBC) test applicable to property and casualty insurers as of December 31, 1994. The RBC calculation serves as a benchmark of insurance enterprises' solvency by state insurance regulators by establishing statutory surplus targets which will require certain Company level or regulatory level actions. Based on the Company's analysis, it appears that the Company's total adjusted capital is in excess of all required action levels and that no corrective action will be necessary. These RBC provisions have not been enacted into the Ohio Revised Code. 6 7 PENDING LEGISLATION The insurance industry is under continuous review by both state and federal legislatures. From time to time various regulatory and legislative changes have been proposed in the insurance industry which could have an effect on insurers and reinsurers. Among the proposals that have in the past been, or are at present being, considered are the possible introduction of federal regulation in addition to, or in lieu of, the current system of state regulation of insurers, and other possible restrictions on insurance transactions with unlicensed insurers. The Company is unable to predict whether any of these proposals will be adopted, the form in which any such proposals would be adopted or the impact, if any, such adoption would have on the Company. EMPLOYEES As of February 14, 1997, the Company employed 23 full-time employees. The Company is not a party to any collective bargaining agreement and is not aware of any efforts to unionize its employees. SERVICE MARKS The Company has developed common law rights in its service mark, ULTIMATE LOSS INSURANCE, which is registered in the State of Ohio. The Company has federally registered its trademark, BI BANCINSURANCE CORPORATION(R) (stylized letters). Item 2. Properties ---------- The Company leases all of its office space, which as of February 14, 1997, totalled approximately 9,900 square feet. The home office in Columbus, Ohio aggregates approximately 7,000 square feet. The lease provides for a monthly gross rental of $7,817. The leased space is shared with Westford Group, Inc., an affiliate of the Company through a common officer and principal shareholder. Rental expense is allocated in accordance with space utilization. BCIS Services' office in Los Angeles, California occupies approximately 2,900 square feet. The lease provides for a monthly gross rental of $3,324. Item 3. Legal Proceedings ----------------- The Company is routinely a party to litigation incidental to its business, as well as to other nonmaterial litigation. Management believes that no individual item of litigation, or group of similar items of litigation, including the matters referred to below, is likely to result in judgments that will have a material adverse effect on the financial condition or results of operations of the Company. On November 2, 1994, the James L. Miniter Agency, Inc. (the "Agent") filed a lawsuit against Ohio Indemnity in the Suffolk County Superior Court, Massachusetts, alleging essentially that Ohio Indemnity had breached its contractual obligations to the Agent policyholder. On December 2, 1994, Ohio Indemnity removed the case to the United States District Court for the District of Massachusetts. On June 7, 1996, a summary judgement was granted in favor of Ohio Indemnity, however, an appeal of the judgement has been filed by the Agent. Item 4. Submission of Matters to a Vote of Security Holders --------------------------------------------------- Not applicable. PART II Item 5. Market for the Company's Common Stock and Related Security Holders ------------------------------------------------------------------- Matters ------- The information required by this item is included under the caption "Market Information", "Holders", "Dividends", and "Market Makers" in the Company's 1996 Annual Report (the "Annual Report") and is incorporated herein by reference. 7 8 Item 6. Selected Financial Data ----------------------- The information required by this item is included under the caption "Selected Financial Data" in the Company's Annual Report and is incorporated herein by reference. Item 7. Management's Discussion and Analysis of Financial Condition and --------------------------------------------------------------- Results of Operations --------------------- The information required by this item is included under the caption "Management's Discussion and Analysis of Financial Condition and Results of Operations" in the Company's Annual Report and is incorporated herein by reference. Item 8. Consolidated Financial Statements and Supplementary Data -------------------------------------------------------- The Company's consolidated balance sheets as of December 31, 1996 and 1995, and the consolidated statements of income, shareholders' equity and cash flows for each of the three years ended December 31, 1996, 1995 and 1994 and the notes to the financial statements, together with the independent auditors' report thereon appear in the Company's Annual Report and are incorporated herein by reference. The Company's Financial Statement Schedules and Independent Auditors' Report on Financial Statement Schedules are included in response to Item 14 hereof. Item 9. Changes in and Disagreements with Accountants on Accounting and --------------------------------------------------------------- Financial Disclosure -------------------- None. PART III Item 10. Directors and Executive Officers of the Company ----------------------------------------------- The information required by this item is included under the captions "Election of Directors," "Executive Officers of the Corporation" and "Section 16(a) Beneficial Ownership Reporting Compliance" in the Company's Proxy Statement (the "Proxy Statement") relating to the Company's 1997 Annual Meeting of Stockholders to be held on June 3, 1997, and is incorporated herein by reference. Item 11. Executive Compensation ---------------------- The information required by this item is included under the captions "Compensation of Directors" and "Executive Compensation" in the Proxy Statement and is incorporated herein by reference. Item 12. Security Ownership of Certain Beneficial Owners and Management -------------------------------------------------------------- The information required by this item is included under the caption "Ownership of Voting Stock" in the Proxy Statement and is incorporated herein by reference. Item 13. Certain Relationships and Related Transactions ---------------------------------------------- The information required by this item is included under the caption "Certain Relationships and Related Transactions" in the Proxy Statement and is incorporated herein by reference. 8 9 PART IV Item 14. Exhibits, Financial Statement Schedules and Reports on Form 8-K --------------------------------------------------------------- (a) The following documents are filed as part of this report: -------------------------------------------------------- (1) The following financial statements appearing in the Company's Annual Report are incorporated herein by reference: Consolidated Balance Sheets as of December 31, 1996 and 1995. Consolidated Statements of Income for the three years ended December 31, 1996. Consolidated Statements of Shareholders' Equity for the three years ended December 31, 1996. Consolidated Statements of Cash Flows for the three years ended December 31, 1996. Notes to the Consolidated Financial Statements. Independent Auditors' Report. (2) Financial Statement Schedules ----------------------------- Included in Part IV of this Report: Schedule I -- Summary of investments - other than investments in related parties Schedule II -- Condensed financial information of Bancinsurance Corporation (Parent Company Only) Independent Auditors' Report on Financial Statement Schedules Other schedules are omitted because of the absence of conditions under which they are required or because the required information is given in the consolidated financial statements or notes thereto. (3) Exhibits -------- 3(a) Amended Articles of Incorporation (reference is made to Exhibit 3(a) of Form 10-K for the fiscal year ended December 31, 1984 (file number 0-8738), which is incorporated herein by reference). 3(b) Amended Code of Regulations (reference is made to Exhibit 3(b) of Form 10-K for the fiscal year ended December 31, 1984 (file number 0-8738), which is incorporated herein by reference). 10(a) Amended Tax Allocation Agreement (reference is made to Exhibit 10(d) of Form 10-K for the fiscal year ended December 31, 1983 (file number 0-8738), which is incorporated herein by reference). 10(b) Private Passenger Automobile Physical Damage Quota Share Reinsurance Agreement between Ohio Indemnity Company and North American Reinsurance Corporation (reference is made to Exhibit 10(d) of Form 10-K/A for the fiscal year ended December 31, 1992 (file number 0-8738), which is incorporated herein by reference). 10(c) Amended and Restated Unemployment Compensation Administration Agreement Between Ohio Indemnity Company and The Gibbens Co., Inc. (The Company has requested that portions of this Exhibit be given confidential treatment.) (reference is made to Exhibit 10(e) of Form 10-K/A for the fiscal year ended December 31, 1992 (file number 0-8738), which is incorporated herein by reference). 9 10 The following are management contracts and compensatory plans and arrangements in which directors or executive officers participate: 10(d) Employee Profit Sharing Plan (reference is made to Exhibit 10(a) of Form 10-K for the fiscal year ended December 31, 1986 (file number 0-8738), which is incorporated herein by reference). 10(e) 1984 Stock Option Plan (reference is made to Exhibit 10(d) of Form 10-K for the fiscal year ended December 31, 1984 (file number 0-8738), which is incorporated herein by reference). 10(f) 1994 Stock Option Plan - (reference is made to Exhibit 10(f) of Form 10-Q for the fiscal quarter ended June 30, 1994 (file number 0-8738), which is incorporated herein by reference). 13.1 Annual Report to Shareholders for the year ended December 31, 1996. 21 Subsidiaries of the Company as of December 31, 1996. 23 Consents of independent accountants to incorporation of their opinions by reference in Registration Statement on Form S-8. 27 Financial Data Schedule. (b) Reports on Form 8-K ------------------- No reports on Form 8-K were filed by the Company during the quarter ended December 31, 1996. (c) Exhibits -------- The exhibits to this report begin on page 18. (d) Financial Statement Schedules ----------------------------- The financial statement schedules and the independent auditors' report thereon are included on the following pages. (THIS SPACE INTENTIONALLY LEFT BLANK) 10 11 Board of Directors and Shareholders Bancinsurance Corporation: In connection with our audits of the consolidated financial statements of Bancinsurance Corporation and Subsidiaries as of December 31, 1996 and 1995, and for each of the three years in the period ended December 31, 1996, which financial statements are included in the Company's Annual Report, we have also audited the financial statment schedules listed in Item 14. herein. In our opinion, these financial statement schedules, when considered in relation to the basic financial statements taken as a whole, present fairly, in all material respects, the information required to be included therein. /s/ Coopers & Lybrand L.L.P. Columbus, Ohio February 28, 1997 11 12 BANCINSURANCE CORPORATION AND SUBSIDIARY Schedule I - SUMMARY OF INVESTMENTS - OTHER THAN INVESTMENT IN RELATED PARTIES December 31, 1996 - ----------------------------------------------------------------------------------------------- Column A Column B Column C Column D -------- -------- -------- -------- Type of Investment Cost (1) Fair Amount at which Value shown in the balance sheet - ----------------------------------------------------------------------------------------------- Held to maturity: Fixed maturities: Governments $ 1,039,505 $ 1,043,750 $ 1,039,505 States, Territories and Possessions 309,943 306,000 309,943 Political Subdivisions of States, Territories and Possessions 551,822 582,943 551,822 Special Revenue 1,453,280 1,504,163 1,453,280 Other debt securities 50,000 50,000 50,000 Redeemable preferred stocks: Public Utilities 600,000 600,000 600,000 ----------- ----------- ----------- Total Held to maturity 4,004,550 4,086,856 4,004,550 ----------- ----------- ----------- Available for sale: Fixed maturities: Governments 858,006 864,650 864,650 States, Territories and Possessions 2,812,533 2,830,896 2,830,896 Political Subdivisions of States, Territories and Possessions 3,123,343 3,210,222 3,210,222 Special Revenue 4,238,072 4,355,232 4,355,232 Industrial and Miscellaneous 239,571 241,186 241,186 Equity securities: Nonredeemable preferred stocks: Public Utilities 200,000 193,000 193,000 Banks, Trust and Insurance Companies 592,313 903,000 903,000 Industrial and Miscellaneous 974,300 961,500 961,500 Common stocks: Banks, Trust and Insurance Companies 298,570 364,754 364,754 Industrial and Miscellaneous 537,708 608,760 608,760 ----------- ----------- ----------- Total Available for sale 13,874,416 14,533,200 14,533,200 ----------- ----------- ----------- Short-term investments 5,730,923 5,730,923 5,730,923 Securities purchased under agreements to resell 1,091,630 1,091,630 1,091,630 ----------- ----------- ----------- Total investments $24,701,519 $25,442,609 $25,360,303 =========== =========== =========== <FN> (1) Original cost of equity securities, adjusted for any permanent write downs, and, as to fixed maturities, original cost reduced by repayments, write downs and adjusted for amortization of premiums or accrual of discounts. 12 13 BANCINSURANCE CORPORATION AND SUBSIDIARIES CONDENSED BALANCE SHEETS December 31, 1996 and 1995 Schedule II - CONDENSED FINANCIAL INFORMATION OF BANCINSURANCE CORPORATION (PARENT COMPANY ONLY) Assets 1996 1995 ------ ----------- ---------- Cash $ 9,117 $ 14,182 Investment in subsidiaries 20,491,962 18,398,880 Other 1,143,067 1,115,705 ----------- ----------- $21,644,146 $19,528,767 =========== =========== Liabilities and Shareholders' Equity ------------------------------------ Note payable to bank $ 5,600,000 $ 5,616,132 Other 137,329 202,225 Shareholders' equity 15,906,817 13,710,410 ----------- ----------- $21,644,146 $19,528,767 =========== =========== 13 14 BANCINSURANCE CORPORATION AND SUBSIDIARIES Schedule II - CONDENSED FINANCIAL INFORMATION OF BANCINSURANCE CORPORATION (PARENT COMPANY ONLY) CONDENSED STATEMENTS OF INCOME Years Ended December 31, 1996, 1995, and 1994 1996 1995 1994 ---------- ---------- ------- Dividends from Subsidiaries $ 650,000 $ 600,000 $ 600,000 Other income 24,777 52,236 36,365 General and administrative expenses (613,491) (605,132) (761,765) ----------- ----------- ----------- Net income (loss) before income tax benefit and equity in earnings of subsidiaries 61,286 47,104 (125,400) Income tax benefit (205,213) (198,655) (295,236) ----------- ----------- ----------- Net income before equity in earnings of subsidiaries 266,499 245,759 169,836 Equity in undistributed earnings of subsidiaries 2,074,549 1,175,327 2,147,159 ----------- ----------- ----------- Net income $ 2,341,048 $ 1,421,086 $ 2,316,995 =========== =========== =========== 14 15 BANCINSURANCE CORPORATION AND SUBSIDIARIES Schedule II - CONDENSED FINANCIAL INFORMATION OF BANCINSURANCE CORPORATION (PARENT COMPANY ONLY) CONDENSED STATEMENTS OF CASH FLOWS Years Ended December 31, 1996, 1995, and 1994 1996 1995 1994 ---------- ---------- ------- Cash flows from operating activities: Net income $ 2,341,048 $ 1,421,086 $ 2,316,995 Adjustments to reconcile net income to net cash provided by (used in) operating activities: Equity in undistributed net earnings of subsidiaries (2,074,549) (1,175,327) (2,147,159) Deferred federal income tax (benefit) expense (108,747) 108,747 - (Increase) decrease in notes receivable (145,000) 28,602 (1,622) Increase in loans to affiliates (71,719) (71,719) (72,025) Increase in accounts receivable from subsidiaries - (29,585) (143,500) (Increase) decrease in prepaid federal income taxes 291,855 291,632 (502,575) Decrease in other assets 6,249 21,486 38,982 Increase (decrease) in accounts payable to subsidiaries 34,129 (259,168) 46,339 Increase (decrease) in other liabilities (99,024) 78,587 9,012 ----------- ----------- ----------- Net cash provided by (used in) in operating activities 174,242 414,341 (455,553) ----------- ----------- ----------- Cash flows from investing activities: Investment in subsidiaries - - - ----------- ----------- ----------- Net cash provided by (used in) investing activities - - - ----------- ----------- ----------- Cash flows from financing activities: Proceeds from notes payable to bank 1,790,000 5,100,000 850,000 Repayments of notes payable to bank (1,806,132) (5,400,000) (250,000) Proceeds from stock options exercised 22,500 47,812 24,063 Acquisition of treasury stock (185,675) (162,838) (165,000) ----------- ----------- ----------- Net cash provided by (used in) financing activities (179,307) (415,026) 459,063 ----------- ----------- ----------- Net increase (decrease) in cash (5,065) (685) 3,510 ----------- ----------- ----------- Cash at beginning of year 14,182 14,867 11,357 ----------- ----------- ----------- Cash at end of year $ 9,117 $ 14,182 $ 14,867 =========== =========== =========== Supplemental disclosures of cash flow information: Cash paid during the year for: Interest $ 425,523 $ 453,855 $ 405,071 Income taxes 530,000 20,000 625,000 =========== =========== =========== 15 16 Signatures ---------- Pursuant to the requirements of the Securities Exchange Act of 1934, the Company has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. Bancinsurance Corporation (Company) 3/17/97 By Si Sokol ---------- ------------------------------ DATE Si Sokol Chairman of Board of Directors, President (principal executive officer) Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons, which include the Chief Executive Officer, the Chief Financial Officer and a majority of the Board of Directors, on behalf of the Registrant and in the capacities and on the dates indicated: 3/17/97 Si Sokol 3/17/97 Sally Cress - ---------- ----------------------- ---------- --------------------- DATE Si Sokol DATE Sally Cress Chairman of Board of Treasurer, Secretary Directors, President and Chief Financial Officer Chief Executive Officer and Chief Accounting Officer 3/17/97 Daniel D. Harkins 3/17/97 Milton O. Lustnauer - ---------- ----------------------- ---------- --------------------- DATE Daniel D. Harkins DATE Milton O. Lustnauer Director Director 3/17/97 Saul Sokol 3/17/97 James R. Davis - ---------- ----------------------- ---------- --------------------- DATE Saul Sokol DATE James R. Davis Director Director 3/17/97 John S. Sokol - ---------- ----------------------- DATE John S. Sokol Director 16 17 INDEX OF EXHIBITS The following is the Index of Exhibits required by Item 601 of Regulation S-K. Exhibit No. Description Page No. - ----------- ----------- -------- 3(a) Amended Articles of Incorporation (reference is made to Exhibit 3(a) of Form 10-K for the fiscal year ended December 31, 1984 (file number 0-8738), which is incorporated herein by reference). 3(b) Amended Code of Regulations (reference is made to Exhibit 3(b) of Form 10-K for the fiscal year ended December 31, 1984 (file number 0-8738), which is incorporated herein by reference). 10(a) Amended Tax Allocation Agreement (reference is made to Exhibit 10(d) of Form 10-K for the fiscal year ended December 31, 1983 (file number 0-8738), which is incorporated herein by reference). 10(b) Private Passenger Automobile Physical Damage Quota Share Reinsurance Agreement between Ohio Indemnity Company and North American Reinsurance Corporation (reference is made to Exhibit 10(d) of Form 10-K/A for the fiscal year ended December 31, 1992 (file number 0-8738), which is incorporated herein by reference). 10(c) Amended and Restated Unemployment Compensation Administration Agreement between Ohio Indemnity Company and The Gibbens Co., Inc. (The Company has requested that portions of this Exhibit be given confidential treatment.) (references is made to Exhibit 10(e) of Form 10-K/A for the fiscal year ended December 31, 1992 (file number 0-8738), which is incorporated herein by reference). The following are management contracts and compensatory plans and arrangements in which directors or executive officers participate: 10(d) Employee Profit Sharing Plan (reference is made to Exhibit 10(a) of Form 10-K for the fiscal year ended December 31, 1986 (file number 0-8738), which is incorporated herein by reference). 10(e) 1984 Stock Option Plan (reference is made to exhibit 10(d) of From 10-K for the fiscal year ended December 31, 1984 (file number 0-8738), which is incorporated herein by reference). 10(f) 1994 Stock Option Plan - (reference is made to Exhibit 10(f) of Form 10-Q for the fiscal quarter ended June 30, 1994 (file number 0-8738), which is incorporated herei n by reference). 13.1 Annual Report to Shareholders for the year ended December 31, 18 1996. 21 Subsidiaries of the Company as of December 31, 1996. 52 23 Consent of independent accountants to incorporation of their 53 opinion by reference in Registration Statement on Form S-8. 27 Financial Data Schedule. 54 17