e10vq
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
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þ |
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QUARTER REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended September 30, 2008
OR
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o |
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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: 001-14953
HEALTHMARKETS, INC.
(Exact name of registrant as specified in its charter)
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Delaware
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75-2044750 |
(State or other jurisdiction of
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(I.R.S. Employer |
incorporation or organization)
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Identification Number) |
9151 Boulevard 26, North Richland Hills, Texas 76180
(Address of principal executive offices, zip code)
(817) 255-5200
(Registrants phone number, including area code)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed
by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or
for such shorter period that the registrant was required to file such reports), and (2) has been
subject to such filing requirements for the past 90 days. Yes þ No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See the definitions of large accelerated filer, accelerated filer and smaller reporting company in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer o | Accelerated filer o | Non-accelerated filer þ (Do not check if a smaller reporting company) | Smaller reporting company o |
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of
the Exchange Act). Yes o No þ
On October 31, 2008 the registrant had 26,896,325 outstanding shares of Class A-1 Common
Stock, $.01 Par Value, and 2,767,251 outstanding shares of Class A-2 Common Stock, $.01 Par Value.
HEALTHMARKETS, INC.
and Subsidiaries
Third Quarter 2008 Form 10-Q
TABLE OF CONTENTS
PART 1. FINANCIAL INFORMATION
ITEM 1. Financial Statements
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED BALANCE SHEETS
(In thousands, except per share data)
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September 30, |
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December 31, |
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2008 |
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2007 |
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(Unaudited) |
|
ASSETS |
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Investments: |
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|
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Securities available for sale
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|
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Fixed
maturities, at fair value (cost: 2008$1,009,227; 2007$1,314,069) |
|
$ |
951,410 |
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|
$ |
1,304,424 |
|
Equity
securities, at fair value (cost: 2008$290; 2007$300) |
|
|
334 |
|
|
|
346 |
|
Policy loans |
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|
168 |
|
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|
14,279 |
|
Short-term and other investments, at fair value
(cost: 2008$190,919; 2007$163,727) |
|
|
190,794 |
|
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|
162,552 |
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|
|
|
|
|
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|
Total investments |
|
|
1,142,706 |
|
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|
1,481,601 |
|
Cash and cash equivalents |
|
|
|
|
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|
14,309 |
|
Investment income due and accrued |
|
|
11,212 |
|
|
|
14,527 |
|
Due premiums |
|
|
3,258 |
|
|
|
4,055 |
|
Reinsurance receivables |
|
|
6,610 |
|
|
|
4,211 |
|
Reinsurance
recoverable ceded policy liabilities |
|
|
397,614 |
|
|
|
68,821 |
|
Agent and other receivables |
|
|
28,177 |
|
|
|
63,956 |
|
Deferred acquisition costs |
|
|
76,004 |
|
|
|
197,979 |
|
Property and equipment, net |
|
|
65,361 |
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|
|
69,939 |
|
Goodwill and other intangible assets |
|
|
87,968 |
|
|
|
89,194 |
|
Recoverable federal income taxes |
|
|
|
|
|
|
4,962 |
|
Assets held for sale |
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|
93,434 |
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|
110,355 |
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Other assets |
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34,233 |
|
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31,673 |
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Total assets |
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$ |
1,946,577 |
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$ |
2,155,582 |
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LIABILITIES AND STOCKHOLDERS EQUITY |
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Policy liabilities: |
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Future policy and contract benefits |
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$ |
478,442 |
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$ |
463,277 |
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Claims |
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433,574 |
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|
435,099 |
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Unearned premiums |
|
|
69,168 |
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|
92,266 |
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Other policy liabilities |
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12,720 |
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10,764 |
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Accounts payable and accrued expenses |
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54,089 |
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69,510 |
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Cash overdraft |
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2,931 |
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Other liabilities |
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76,965 |
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|
110,624 |
|
Federal income tax payable |
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6,571 |
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Deferred federal income tax |
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30,505 |
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84,968 |
|
Debt |
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481,070 |
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481,070 |
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Liabilities held for sale |
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89,200 |
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99,109 |
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Net liabilities of discontinued operations |
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2,434 |
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|
2,635 |
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|
|
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|
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Total liabilities |
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1,737,669 |
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1,849,322 |
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Stockholders Equity: |
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Preferred stock, par value $0.01 per share |
|
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Common stock, par value $0.01 per share |
|
|
310 |
|
|
|
310 |
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Additional paid-in capital |
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54,577 |
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|
55,754 |
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Accumulated other comprehensive loss |
|
|
(42,939 |
) |
|
|
(13,132 |
) |
Retained earnings |
|
|
236,905 |
|
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|
281,141 |
|
Treasury stock, at cost |
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|
(39,945 |
) |
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|
(17,813 |
) |
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Total stockholders equity |
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|
208,908 |
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|
306,260 |
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Total liabilities and stockholders equity |
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$ |
1,946,577 |
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$ |
2,155,582 |
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|
See Notes to Consolidated Condensed Financial Statements.
1
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF INCOME (LOSS)
(In thousands, except per share data)
(Unaudited)
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Three Months Ended |
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Nine Months Ended |
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September 30, |
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September 30, |
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2008 |
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2007 |
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2008 |
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2007 |
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REVENUE |
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|
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|
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Health premiums |
|
$ |
315,765 |
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$ |
330,742 |
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$ |
959,068 |
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$ |
999,008 |
|
Life premiums and other considerations |
|
|
673 |
|
|
|
18,165 |
|
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|
37,189 |
|
|
|
51,990 |
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|
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|
|
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316,438 |
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348,907 |
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996,257 |
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|
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1,050,998 |
|
Investment income |
|
|
14,539 |
|
|
|
22,565 |
|
|
|
49,770 |
|
|
|
69,687 |
|
Other income |
|
|
19,597 |
|
|
|
25,402 |
|
|
|
61,915 |
|
|
|
78,291 |
|
Realized losses, net |
|
|
(15,322 |
) |
|
|
(458 |
) |
|
|
(18,561 |
) |
|
|
(1,210 |
) |
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
335,252 |
|
|
|
396,416 |
|
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1,089,381 |
|
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1,197,766 |
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BENEFITS AND EXPENSES |
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Benefits, claims, and settlement expenses |
|
|
211,500 |
|
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|
188,755 |
|
|
|
661,795 |
|
|
|
600,599 |
|
Underwriting, acquisition, and insurance expenses |
|
|
113,862 |
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|
|
126,791 |
|
|
|
381,846 |
|
|
|
380,682 |
|
Other expenses |
|
|
25,379 |
|
|
|
19,904 |
|
|
|
75,612 |
|
|
|
64,659 |
|
Interest expense |
|
|
12,607 |
|
|
|
10,361 |
|
|
|
32,078 |
|
|
|
33,241 |
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|
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|
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|
|
|
|
|
|
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|
363,348 |
|
|
|
345,811 |
|
|
|
1,151,331 |
|
|
|
1,079,181 |
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|
|
|
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|
|
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|
|
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|
|
|
|
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|
Income (loss) from continuing operations
before income taxes |
|
|
(28,096 |
) |
|
|
50,605 |
|
|
|
(61,950 |
) |
|
|
118,585 |
|
Federal income tax expense (benefit) |
|
|
(9,312 |
) |
|
|
17,279 |
|
|
|
(22,866 |
) |
|
|
40,486 |
|
|
|
|
|
|
|
|
|
|
|
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|
|
Income (loss) from continuing operations |
|
|
(18,784 |
) |
|
|
33,326 |
|
|
|
(39,084 |
) |
|
|
78,099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
Income (loss) from discontinued operations, net |
|
|
70 |
|
|
|
155 |
|
|
|
(5,152 |
) |
|
|
1,436 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
(18,714 |
) |
|
$ |
33,481 |
|
|
$ |
(44,236 |
) |
|
$ |
79,535 |
|
|
|
|
|
|
|
|
|
|
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|
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Basic earnings per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations |
|
$ |
(0.63 |
) |
|
$ |
1.08 |
|
|
$ |
(1.29 |
) |
|
$ |
2.57 |
|
Income (loss) from discontinued operations |
|
|
0.00 |
|
|
|
0.01 |
|
|
|
(0.17 |
) |
|
|
0.05 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) per share, basic |
|
$ |
(0.63 |
) |
|
$ |
1.09 |
|
|
$ |
(1.46 |
) |
|
$ |
2.62 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations |
|
$ |
(0.63 |
) |
|
$ |
1.06 |
|
|
$ |
(1.29 |
) |
|
$ |
2.49 |
|
Income (loss) from discontinued operations |
|
|
0.00 |
|
|
|
0.00 |
|
|
|
(0.17 |
) |
|
|
0.05 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) per share, diluted |
|
$ |
(0.63 |
) |
|
$ |
1.06 |
|
|
$ |
(1.46 |
) |
|
$ |
2.54 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See Notes to Consolidated Condensed Financial Statements.
2
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
Net income (loss) |
|
$ |
(18,714 |
) |
|
$ |
33,481 |
|
|
$ |
(44,236 |
) |
|
$ |
79,535 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other comprehensive income (loss): |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Unrealized gains (losses) on securities available for sale arising during the period |
|
|
(27,956 |
) |
|
|
13,523 |
|
|
|
(45,954 |
) |
|
|
(6,093 |
) |
Reclassification of investment (gains) losses included in net income |
|
|
(756 |
) |
|
|
42 |
|
|
|
(1,170 |
) |
|
|
690 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect on other comprehensive income (loss) from investment securities |
|
|
(28,712 |
) |
|
|
13,565 |
|
|
|
(47,124 |
) |
|
|
(5,403 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Unrealized gains (losses) on derivatives used in cash flow hedging during the period |
|
|
(901 |
) |
|
|
(4,788 |
) |
|
|
(2,881 |
) |
|
|
(2,050 |
) |
Reclassification adjustments included in net income |
|
|
1,891 |
|
|
|
(30 |
) |
|
|
4,188 |
|
|
|
(303 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect on other comprehensive income (loss) from hedging activities |
|
|
990 |
|
|
|
(4,818 |
) |
|
|
1,307 |
|
|
|
(2,353 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other comprehensive income (loss) before tax |
|
|
(27,722 |
) |
|
|
8,747 |
|
|
|
(45,817 |
) |
|
|
(7,756 |
) |
Income tax expense (benefit) related to items of other comprehensive income (loss) |
|
|
(9,691 |
) |
|
|
3,051 |
|
|
|
(16,010 |
) |
|
|
(2,727 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Other comprehensive income (loss) net of tax |
|
|
(18,031 |
) |
|
|
5,696 |
|
|
|
(29,807 |
) |
|
|
(5,029 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Comprehensive income (loss) |
|
$ |
(36,745 |
) |
|
$ |
39,177 |
|
|
$ |
(74,043 |
) |
|
$ |
74,506 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See Notes to Consolidated Condensed Financial Statements.
3
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended |
|
|
|
September 30 |
|
|
|
2008 |
|
|
2007 |
|
Operating Activities: |
|
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
(44,236 |
) |
|
$ |
79,535 |
|
Adjustments to reconcile net income (loss) to cash provided by
operating activities: |
|
|
|
|
|
|
|
|
(Income) loss from discontinued operations |
|
|
5,152 |
|
|
|
(1,436 |
) |
Realized
losses on investments |
|
|
14,043 |
|
|
|
1,210 |
|
Change in deferred income taxes |
|
|
(38,220 |
) |
|
|
4,592 |
|
Depreciation and amortization |
|
|
22,275 |
|
|
|
19,327 |
|
Amortization of prepaid monitoring fees |
|
|
9,375 |
|
|
|
9,375 |
|
Equity based compensation expense |
|
|
3,477 |
|
|
|
6,593 |
|
Provision for doubtful accounts |
|
|
4,614 |
|
|
|
308 |
|
Other items, net |
|
|
3,652 |
|
|
|
3,501 |
|
Changes in assets and liabilities: |
|
|
|
|
|
|
|
|
Investment income due and accrued |
|
|
3,272 |
|
|
|
2,146 |
|
Due premiums |
|
|
797 |
|
|
|
(580 |
) |
Reinsurance receivables |
|
|
(2,399 |
) |
|
|
(4,671 |
) |
Reinsurance
recoverable ceded policy liabilities |
|
|
(328,793 |
) |
|
|
84,336 |
|
Other receivables |
|
|
32,726 |
|
|
|
(15,847 |
) |
Deferred acquisition costs |
|
|
121,975 |
|
|
|
(2,243 |
) |
Other assets |
|
|
(3,072 |
) |
|
|
(2,823 |
) |
Prepaid monitoring fees |
|
|
(12,500 |
) |
|
|
(12,500 |
) |
Current income tax recoverable |
|
|
10,323 |
|
|
|
26,443 |
|
Policy liabilities |
|
|
11,412 |
|
|
|
(104,840 |
) |
Other liabilities and accrued expenses |
|
|
(30,948 |
) |
|
|
(2,615 |
) |
|
|
|
|
|
|
|
Cash (used in) provided by continuing operations |
|
|
(217,075 |
) |
|
|
89,811 |
|
Cash (used in) provided by discontinued operations |
|
|
2,503 |
|
|
|
(1,839 |
) |
|
|
|
|
|
|
|
Net cash (used in) provided by operating activities |
|
|
(214,572 |
) |
|
|
87,972 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investing Activities: |
|
|
|
|
|
|
|
|
Decrease in investment assets |
|
|
247,395 |
|
|
|
285,204 |
|
Purchases of property and equipment |
|
|
(13,698 |
) |
|
|
(22,584 |
) |
Net proceeds from sale of businesses and assets |
|
|
4,665 |
|
|
|
|
|
Distributions from investment in Grapevine Finance LLC |
|
|
175 |
|
|
|
581 |
|
(Increase) decrease in agent receivables |
|
|
2,923 |
|
|
|
3,700 |
|
|
|
|
|
|
|
|
Cash provided by continuing operations |
|
|
241,460 |
|
|
|
266,901 |
|
Cash provided by discontinued operations |
|
|
8,557 |
|
|
|
16,689 |
|
|
|
|
|
|
|
|
Net cash provided by investing activities |
|
|
250,017 |
|
|
|
283,590 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financing Activities: |
|
|
|
|
|
|
|
|
Repayment of notes payable |
|
|
|
|
|
|
(75,000 |
) |
Change in cash overdraft |
|
|
2,931 |
|
|
|
2,132 |
|
Decrease in investment products |
|
|
(1,322 |
) |
|
|
(5,387 |
) |
Proceeds from exercise of stock options |
|
|
110 |
|
|
|
404 |
|
Excess tax benefits from equity based compensation |
|
|
(320 |
) |
|
|
126 |
|
Proceeds from shares issued to agent plans and other |
|
|
9,813 |
|
|
|
37,822 |
|
Purchases of treasury stock |
|
|
(51,566 |
) |
|
|
(30,318 |
) |
Dividends paid |
|
|
|
|
|
|
(316,996 |
) |
Other |
|
|
|
|
|
|
49 |
|
|
|
|
|
|
|
|
Cash used in continuing operations |
|
|
(40,354 |
) |
|
|
(387,168 |
) |
Cash used in discontinued operations |
|
|
(9,400 |
) |
|
|
(17,150 |
) |
|
|
|
|
|
|
|
Net cash used in financing activities |
|
|
(49,754 |
) |
|
|
(404,318 |
) |
|
|
|
|
|
|
|
Net change in cash and cash equivalents |
|
|
(14,309 |
) |
|
|
(32,756 |
) |
Cash and cash equivalents at beginning of period |
|
|
14,309 |
|
|
|
32,756 |
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period in continuing operations |
|
$ |
|
|
|
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Supplemental disclosures: |
|
|
|
|
|
|
|
|
Income taxes paid |
|
|
2,588 |
|
|
|
10,103 |
|
Interest paid |
|
|
35,966 |
|
|
|
30,656 |
|
The Reinsurance recoverable ceded policy liabilities and Deferred acquisition costs line items reflected in the Operating activities
section of this statement were particularly impacted by the
Exit from Life Insurance Division Business as discussed
in Note 2.
See Notes to Consolidated Condensed Financial Statements.
4
HEALTHMARKETS, INC.
and Subsidiaries
NOTES TO CONSOLIDATED CONDENSED FINANCIAL STATEMENTS
(Unaudited)
1. BASIS OF PRESENTATION
The accompanying unaudited consolidated condensed financial statements for HealthMarkets, Inc.
(the Company or HealthMarkets) and its subsidiaries have been prepared in accordance with
United States generally accepted accounting principles (GAAP) for interim financial information
and the instructions to Form 10-Q and Rule 10-01 of Regulation S-X. Accordingly, such financial
statements do not include all of the information and notes required by GAAP for complete financial
statements. In the opinion of management, these financial statements include all adjustments,
consisting of normal recurring adjustments and accruals, necessary for a fair presentation of the
consolidated condensed balance sheets, statements of income (loss), statements of comprehensive
income (loss) and statements of cash flows for the periods presented. Operating results for the
three and nine month periods ended September 30, 2008 are not necessarily indicative of the
results that may be expected for the full year ending December 31, 2008. For further information,
refer to the consolidated financial statements and notes thereto included in the Companys Annual
Report on Form 10-K for the year ended December 31, 2007.
Certain amounts in the prior period financial statements have been reclassified to conform to
the 2008 financial statement presentation.
Recent Accounting Pronouncements
In October 2008, the Financial Accounting Standard Board (FASB) issued FASB Staff Position
(FSP) FAS No. 157-3 Determining the Fair Value of a Financial Asset When a Market for that Asset
is Not Active (FSP 157-3) which clarifies the application of FAS No. 157, Fair Value Measurements
(FAS 157), in a market that is not active and provides an example to illustrate key conditions in
determining the fair value of a financial asset when a market for that financial asset is not
active. This FSP became effective upon issuance, including prior periods for which financial
statements have not been issued. This FSP is not expected to have a significant impact on the
Companys results of operations, or financial positions.
In May 2008, the FASB issued FAS No. 162, The Hierarchy of Generally Accepted Accounting
Principles (FAS 162). The statement is intended to improve financial reporting by identifying a
consistent hierarchy for selecting accounting principles to be used in preparing financial
statements that are prepared in conformance with GAAP. Unlike Auditing Standards No. 69, The
Meaning of Present Fairly in Conformity With GAAP, FAS 162 is directed to the entity rather than
the auditor. The statement will be effective 60 days following the Securities Exchange Commissions
approval of the Public Company Accounting Oversight Board amendments to AU Section 411, The Meaning
of Present Fairly in Conformity with GAAP, and is not expected to have any impact on the Companys
results of operations, and financial position.
In April 2008, the FASB issued FSP FAS No. 142-3, which amends the factors that must be
considered in developing renewal or extension assumptions used to determine the useful life over
which to amortize the cost of a recognized intangible asset under FAS No. 141(R), Business
Combinations (FAS 141(R)). The FSP requires an entity to consider its own assumptions about
renewal or extension of the term of the arrangement, consistent with its expected use of the asset,
in an attempt to improve consistency between the useful life of a recognized intangible asset under
FAS No. 142, Goodwill and Other Intangible Assets, and the period of expected cash flows used to
measure the fair value of the asset under FAS 141(R). The FSP is effective for fiscal years
beginning after December 15, 2008, and the guidance for determining the useful life of a recognized
intangible asset must be applied prospectively to intangible assets acquired after the effective
date. The FSP is not expected to have a significant impact on the Companys results of operations,
or financial positions.
On March 19, 2008, the FASB issued FAS No. 161, Disclosures about Derivative Instruments and
Hedging Activities, which amends FAS No. 133, Accounting for Derivative Instruments and Hedging
Activities (FAS 161). FAS 161 requires companies with derivative instruments to disclose
information that should enable financial statement users to understand how and why a company uses
derivative instruments, how derivative instruments and related hedged items are accounted for under
FAS No. 133, and how derivative instruments and related hedged items affect a companys financial
position, financial performance, and cash flows. The required disclosures include the fair value of
derivative instruments and their gains or losses in tabular format, information about credit risk
related contingent features in derivative
5
agreements, counterparty credit risk, and a companys strategies and objectives for using
derivative instruments. The statement expands the current disclosure framework in FAS No. 133. FAS
No. 161 is effective prospectively for periods beginning on or after November 15, 2008.
In December 2007, the FASB issued FAS 141(R), which replaces FAS No. 141, Business
Combinations. FAS 141(R) retains the underlying concepts of FAS No. 141 in that all business
combinations are still required to be accounted for at fair value under the acquisition method of
accounting, but FAS 141(R) changed the method of applying the acquisition method in a number of
significant aspects. Acquisition costs will generally be expensed as incurred; non-controlling
interests will be valued at fair value at the acquisition date; in-process research and development
will be recorded at fair value as an indefinite-lived intangible asset at the acquisition date;
restructuring costs associated with a business combination will generally be expensed subsequent to
the acquisition date; and changes in deferred tax asset valuation allowances and income tax
uncertainties after the acquisition date generally will affect income tax expense. FAS 141(R) is
effective on a prospective basis for all business combinations for which the acquisition date is on
or after the beginning of the first annual period subsequent to December 15, 2008, with the
exception of the accounting for changes in valuation allowances on deferred taxes and acquired tax
contingencies related to acquisitions prior to the date of adoption of FAS 141 (R). Early adoption
is not permitted. The provisions of FAS 141(R) are effective for the fiscal year beginning on or
after December 15, 2008, which for the Company is fiscal year 2009. We are currently evaluating the
impact of the provisions of FAS 141(R).
2. EXIT FROM LIFE INSURANCE DIVISION BUSINESS
On September 30, 2008 (the Closing Date), HealthMarkets LLC, a subsidiary of the Company,
completed the transactions contemplated by the Agreement for Reinsurance and Purchase and Sale of
Assets dated June 12, 2008 (the Master Agreement), previously reported in the Companys Current
Report on Form 8-K dated June 18, 2008. Pursuant to the Master Agreement, Wilton Reassurance
Company or its affiliates (Wilton) acquired substantially all of the business of the Companys
Life Insurance Division, which operated through The Chesapeake Life Insurance Company
(Chesapeake), Mid-West National Life Insurance Company of Tennessee (Mid-West) and The MEGA
Life and Health Insurance Company (MEGA) (collectively the Ceding Companies), and all of the
Companys 79% equity interest in each of U.S. Managers Life Insurance Company, Ltd. and Financial
Services Reinsurance, Ltd. As part of the transaction, under the terms of the Coinsurance
Agreements entered into with each of the Ceding Companies on the Closing Date, Wilton has agreed
effective July 1, 2008 (the Coinsurance Effective Date), to reinsure on a 100% coinsurance
basis substantially all of the insurance policies associated with the Companys Life Insurance
Division (the Coinsured Policies).
Under the terms of the Coinsurance Agreements, Wilton has assumed responsibility for all
insurance liabilities associated with the Coinsured Policies. The Ceding Companies have transferred
to Wilton cash in an amount equal to the net statutory reserves and liabilities corresponding to
the Coinsured Policies, which amount was approximately $344.5 million. Wilton has agreed to be
responsible for administration of the Coinsured Policies, subject to certain transition services to
be provided by the Ceding Companies to Wilton. The Ceding Companies remain primarily liable to the
policyholders on those policies with Wilton assuming the risk from the Ceding Companies pursuant to
the terms of the Coinsurance Agreements. As a result, in accordance with guidance provided in
Financial Accounting Standard No. 113, Accounting and Reporting for Reinsurance of Short-Duration
and Long-Duration Contracts, the Company reported and will continue to report the policy
liabilities ceded to Wilton under Policy liabilities and record a corresponding asset as
Reinsurance recoverable ceded policy liabilities on its consolidated condensed balance sheet. As of September 30, 2008, the
Company had ceded policy liabilities in the amount of $365.2 million associated with the Coinsured
Policies and a corresponding amount has been recorded in
Reinsurance recoverable ceded policy liabilities on the Companys
consolidated condensed balance sheet.
The Company and the Ceding Companies received total consideration of approximately $139.2
million, including $134.5 million in aggregate ceding allowances with respect to the reinsurance of
the Coinsured Policies. Under certain circumstances, the Master Agreement also provides for the
payment of additional consideration to the Company following the closing based on the five year
financial performance of the Coinsured Policies. The reinsurance transaction resulted in a pre-tax
loss of $17.6 million of which $13.0 million was recorded in the second quarter as an impairment
to the Life Insurance Divisions deferred acquisition costs with the remainder of $4.6 million
recorded in the third quarter in Realized losses, net in the Companys consolidated condensed
statement of income (loss).
In connection with these transactions the Company incurred $6.3 million in investment banker
fees and legal fees recorded as Other expense on the Companys consolidated condensed statement
of income (loss), of which $5.0 million was incurred during the three months ended September 30,
2008. The Company also incurred $6.4 million of employee and lease termination costs and other
costs recorded in Underwriting, acquisition and insurance expense, of which $3.2 million was
incurred during the three months ended September 30, 2008. See Note 10 Transactions with Related
Parties. In addition, the Company incurred interest expense of $3.0 million during the third
quarter of 2008 associated with the use
6
of the cash transferred to Wilton during the period from the Effective Date of the Life transaction
to the Closing Date. Lastly, the Ceding Companies wrote-off deferred acquisition costs of $101.1
million, representing all of the deferred acquisition costs associated with the Coinsured Policies
subject to the transaction, which is included in the realized loss on the transaction. This
write-off of deferred acquisition costs correspondingly reduced the
related deferred tax assets by
$36.7 million.
As a consequence of the transactions and related financial implications as described above, the Consolidated Condensed Statement of Cash
Flows reflects substantial changes in reinsurance recoverable, deferred acquisition costs and deferred income taxes for the
nine months ended September 30, 2008.
As previously disclosed, in connection with the execution of the Master Agreement,
HealthMarkets, LLC entered into a definitive Stock Purchase Agreement (the Stock Purchase
Agreement) pursuant to which Wilton agreed to purchase the Companys student loan funding vehicles
and related student association, CFLD-I, Inc., UICI Funding Corp. 2 and The National Student
Association, LLC. The closing of the transactions contemplated by the Stock Purchase Agreement has
not occurred due to certain closing conditions that have not yet been satisfied. The Company has
presented the assets and liabilities of CFLD-I, Inc. and UICI Funding Corp. 2 as held for sale on
the Companys balance sheet for all periods presented. Additionally, the Company has included the
results of operations of CFLD-I, Inc. and UICI Funding Corp. 2 in discontinued operations on the
Companys condensed consolidated statement of income for all periods presented.
Nonetheless, in accordance with the terms of the Coinsured Policies, Wilton will fund student
loans; provided, however, that Wilton will not be required to fund any student loan that would
cause the aggregate par value of all such loans funded by Wilton, following the coinsurance
effective date, to exceed $10.0 million.
The assets and liabilities of the business classified as held for sale on the consolidated
condensed balance sheet consist of the following:
|
|
|
|
|
|
|
|
|
|
|
September 30, |
|
|
December 31, |
|
|
|
2008 |
|
|
2007 |
|
|
|
(in thousands) |
|
Assets |
|
|
|
|
|
|
|
|
Restricted cash |
|
$ |
7,729 |
|
|
$ |
8,496 |
|
Student loans |
|
|
92,051 |
|
|
|
99,179 |
|
Provision for loan losses |
|
|
(11,554 |
) |
|
|
(2,925 |
) |
Investment income due and accrued |
|
|
5,178 |
|
|
|
5,587 |
|
Other assets and receivables |
|
|
30 |
|
|
|
18 |
|
|
|
|
|
|
|
|
Total assets held for sale |
|
$ |
93,434 |
|
|
$ |
110,355 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Liabilities |
|
|
|
|
|
|
|
|
Accounts payable and accrued expenses |
|
$ |
328 |
|
|
$ |
377 |
|
Student Loan Credit Facility |
|
|
88,000 |
|
|
|
97,400 |
|
Other Liabilities |
|
|
872 |
|
|
|
1,332 |
|
|
|
|
|
|
|
|
Total liabilities held for sale |
|
$ |
89,200 |
|
|
$ |
99,109 |
|
|
|
|
|
|
|
|
The results of discontinued operations were as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(in thousands) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue from discontinued operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Student loan business |
|
$ |
1,818 |
|
|
$ |
2,889 |
|
|
$ |
6,514 |
|
|
$ |
8,914 |
|
Other discontinued operations |
|
|
128 |
|
|
|
267 |
|
|
|
234 |
|
|
|
437 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,946 |
|
|
|
3,156 |
|
|
|
6,748 |
|
|
|
9,351 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Expenses from discontinued operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Student loan business |
|
|
1,836 |
|
|
|
2,999 |
|
|
|
9,331 |
|
|
|
7,766 |
|
Other discontinued operations |
|
|
2 |
|
|
|
(81 |
) |
|
|
5 |
|
|
|
(624 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,838 |
|
|
|
2,918 |
|
|
|
9,336 |
|
|
|
7,142 |
|
Increase in provision for loan
allowance on student loans |
|
|
|
|
|
|
|
|
|
|
(5,338 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from
discontinued operations before
income taxes |
|
|
108 |
|
|
|
238 |
|
|
|
(7,926 |
) |
|
|
2,209 |
|
Income tax benefits (expenses) |
|
|
(38 |
) |
|
|
(83 |
) |
|
|
2,774 |
|
|
|
(773 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from
discontinued operations (net
of income taxes) |
|
$ |
70 |
|
|
$ |
155 |
|
|
$ |
(5,152 |
) |
|
$ |
1,436 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7
3. INVESTMENTS
A. Other Than Temporary Impairment
Investments are reviewed at least quarterly, using both quantitative and qualitative factors,
to determine if they have experienced an impairment of value that is considered other than
temporary. In its review, management considers the following indicators of impairment: fair value
significantly below cost; decline in fair value attributable to specific adverse conditions
affecting a particular investment; decline in fair value attributable to specific conditions, such
as conditions in an industry or in a geographic area; decline in fair value for an extended period
of time; downgrades by rating agencies from investment grade to non-investment grade; financial
condition deterioration of the issuer and situations where dividends have been reduced or
eliminated or scheduled interest payments have not been made. If investments are determined to be
other than temporarily impaired, a realized loss is recognized at the date of determination.
The Company recorded realized losses from other than temporary impairment of $16.8 million and
$22.4 million for the three and nine months ended September 30, 2008, respectively. These
impairments, which the Company deemed were other than temporary reductions, were due to a decline
in the fair values of the investments below the Companys cost basis resulting partially from
liquidity issues experienced in the global credit and capital markets. The significant other than
temporary impairment charges recognized during the three months ended September 30, 2008 resulted
from certain corporate debt and collateralized debt obligation securities, all of which are
classified as corporate debt and other in the fair value table below.
B. Fair Value Measurement
Effective January 1, 2008, the Company adopted FAS 157 for financial assets and liabilities.
FAS 157 defines fair value, expands disclosure requirements, and specifies a hierarchy of valuation
techniques. The disclosure of fair value estimates in the FAS 157 hierarchy is based on whether
the significant inputs into the valuation are observable. In determining the level of hierarchy in
which the estimate is disclosed, the highest priority is given to unadjusted quoted prices in
active markets and the lowest priority to unobservable inputs that reflect the Companys
significant market assumptions. The Company measures certain assets and liabilities at fair value
on a recurring basis, including securities available for sale, derivatives, and agent and employee
stock plans. Following is a brief description of the type of valuation information (inputs) that
qualifies a financial asset or a liability for each level:
|
|
|
Level 1 Unadjusted quoted market prices for identical assets or liabilities in active
markets which are accessible by the Company. |
|
|
|
|
Level 2 Observable prices in active markets for similar assets or liabilities.
Prices for identical or similar assets or liabilities in markets that are not active.
Directly observable market inputs for substantially the full term of the asset or
liability, e.g., interest rates and yield curves at commonly quoted intervals,
volatilities, prepayment speeds, default rates, and credit spreads. Market inputs that are
not directly observable but are derived from or corroborated by observable market data. |
|
|
|
|
Level 3 Unobservable inputs based on the Companys own judgment as to assumptions a
market participant would use, including inputs derived from extrapolation and interpolation
that are not corroborated by observable market data. |
The Company evaluates the various types of securities in its investment portfolio to determine
the appropriate level in the fair value hierarchy based upon trading activity and the observability
of market inputs. The Company employs control processes to validate the reasonableness of the fair
value estimates of its assets and liabilities, including those estimates based on prices and quotes
obtained from independent third party sources. The Companys procedures generally include, but are
not limited to, initial and on-going evaluation of methodologies used by independent third parties
and monthly analytical reviews of the prices against current pricing trends and statistics.
Valuation of Investments
Where possible, the Company utilizes quoted market prices to measure fair value. For
investments that have quoted market prices in active markets, the Company uses the quoted market
price as fair value and includes these prices in the amounts disclosed in Level 1 of the hierarchy.
When quoted market prices in active markets are unavailable, the Company determines fair values
using various valuation techniques and models based on a range of observable market inputs
including pricing models, quoted market price of publicly traded securities with similar duration
and yield, time value, yield curve, prepayment speeds, default rates and discounted cash flow. In
most cases, these estimates are
8
determined based on independent third party valuation information, and the amounts are
disclosed in the Level 2 of the fair value hierarchy. Generally, the Company obtains a single price
or quote per instrument from independent third parties to assist in establishing the fair value of
these investments.
If quoted market prices and independent third party valuation information are unavailable, the
Company produces an estimate of fair value based on internally developed valuation techniques,
which, depending on the level of observable market inputs, will render the fair value estimate as
Level 2 or Level 3. On occasions when pricing service data is unavailable, the Company may rely on
bid/ask spreads from dealers in determining fair value. When dealer quotations are used to assist
in establishing the fair value, the Company generally obtains one quote per instrument. The quotes
obtained from dealers or brokers are generally non-binding. When dealer quotations are used, the
Company uses the mid-mark as fair value. When broker or dealer quotations are used for valuation or
price verification, greater priority is given to executable quotes. As part of the price
verification process, valuations based on quotes are corroborated by comparison both to other
quotes and to recent trading activity in the same or similar instruments.
Historically, the Company had not experienced a circumstance where it has determined that an
adjustment to a quote or price received from an independent third party valuation source is
required. To the extent the Company determines that a price or quote is inconsistent with actual
trading activity observed in that investment or similar investments, or if the Company does not
think the quote is reflective of the market value for the investment, the Company would internally
develop a fair value using this observable market information and disclose the occurrence of this
circumstance. During the quarter ended September 30, 2008, the Company determined that the
non-binding quote received from an independent third party broker for a particular collateralized
debt obligation investment did not reflect fair value. In accordance with guidance provided in FSP
157-3, the Company determined the fair value of this security based on other internally developed
approaches, which are discussed below in the last two paragraphs under the Fixed Income
Investments caption.
In accordance with FAS 157, the Company has categorized its securities available for sale into
a three level fair value hierarchy based on the priority of inputs to the valuation techniques. The
fair values of investments disclosed in Level 1 of the fair value hierarchy include money market
funds and certain U.S. government securities, while the investments disclosed in Level 2 include
the majority of the Companys fixed income investments. In cases where there is limited activity
or less transparency around inputs to the valuation, the Company classifies the fair value
estimates within Level 3 of the fair value hierarchy.
As of September 30, 2008, all of the Companys investments classified within Level 2 and Level
3 of the fair value hierarchy are valued based on quotes or prices obtained from independent third
parties, except for $99.6 million of corporate debt and other classified as Level 2, $2.6 million
of corporate debt and other classified as Level 3, $1.7 million of mortgage and asset-backed
investments classified as Level 3 and $1.7 million included in short-term and other investments
classified as Level 3. The $99.6 million of corporate debt and other investments classified as
Level 2 noted above includes $84.3 million of an investment grade corporate bond issued by
UnitedHealth Group that was received as consideration for the sale of the Companys former Student
Insurance Division in December 2006.
Fair Value Hierarchy on a Recurring Basis
Assets and liabilities measured at fair value on a recurring basis are categorized in the
tables below based upon the lowest level of significant input to the valuations.
Assets at Fair Value as of September 30, 2008
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In thousands |
|
Level 1 |
|
|
Level 2 |
|
|
Level 3 |
|
|
Total |
|
Government agencies |
|
$ |
12,410 |
|
|
$ |
26,159 |
|
|
$ |
|
|
|
$ |
38,569 |
|
Corporate debt and other |
|
|
|
|
|
|
439,380 |
|
|
|
3,950 |
|
|
|
443,330 |
|
Mortgage and asset-backed |
|
|
|
|
|
|
265,674 |
|
|
|
2,077 |
|
|
|
267,751 |
|
Municipals |
|
|
|
|
|
|
180,433 |
|
|
|
21,327 |
|
|
|
201,760 |
|
Corporate equities |
|
|
44 |
|
|
|
|
|
|
|
|
|
|
|
44 |
|
Short-term and other investments (1) |
|
|
168,406 |
|
|
|
|
|
|
|
1,748 |
|
|
|
170,154 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
180,860 |
|
|
$ |
911,646 |
|
|
$ |
29,102 |
|
|
$ |
1,121,608 |
|
|
|
|
(1) |
|
Amount excludes $20.6 million of short term other investments which are not subject
to fair value measurement. |
Liabilities at Fair Value as of September 30, 2008
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In thousands |
|
Level 1 |
|
|
Level 2 |
|
|
Level 3 |
|
|
Total |
|
Interest rate swaps |
|
$ |
|
|
|
$ |
8,404 |
|
|
$ |
|
|
|
$ |
8,404 |
|
Agent and employee plans |
|
|
|
|
|
|
|
|
|
|
21,287 |
|
|
|
21,287 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
|
|
|
$ |
8,404 |
|
|
$ |
21,287 |
|
|
$ |
29,691 |
|
9
The following is a description of the valuation methodologies used for certain assets and
liabilities of the Company measured at fair value on a recurring basis, including the general
classification of such assets pursuant to the valuation hierarchy.
Short-term and other investments
The Companys short-term and other investments primarily consist of highly liquid money
market funds, which are reflected within Level 1 of the fair value hierarchy. Additionally, the
fair value of one of the Companys investment assets included in short-term and other investments
is determined based on unobservable inputs. Accordingly, the fair value of this asset is reflected
within Level 3 of the fair value hierarchy.
Fixed Income Investments
The Companys fixed income investments include investments in U.S. treasury securities, U.S.
government agencies bonds, corporate bonds, mortgage and asset backed securities, and municipal
auction rate securities and bonds.
The Company estimates the fair value of its U.S. treasury securities using unadjusted quoted
market prices, and accordingly, discloses these investments in Level 1 of the fair value hierarchy.
In general, the fair values of the majority of the fixed income investments held by the
Company are determined based on observable market inputs provided by independent third party
valuation information. The market inputs utilized in the pricing evaluation include but are not
limited to, benchmark yields, reported trades, broker/dealer quotes, issuer spreads, two-sided
markets, benchmark securities, bids, offers, reference data, and industry and economic events. The
Company classifies the fair value estimates based on these observable market inputs within Level 2
of the fair value hierarchy. Investments classified within Level 2 consist of U.S. government
agencies bonds, corporate bonds, mortgage and asset backed securities, and municipal bonds.
The Company also holds a small number of fixed income investments, including certain mortgage
and asset backed securities, and collateralized debt obligations, for which it estimates the fair
value using internal pricing matrices with some unobservable inputs that are significant to the
valuation. Additionally, during the quarter ended June 30, 2008, the Company began estimating the
fair value of its entire municipal auction rate securities based on non-binding quotes received
from independent third parties due to limited activity and market data for auction rate securities
as a result of liquidity issues in the global credit and capital markets. Consequently, the lack of
transparency in the inputs and the availability of independent third party pricing information for
these investments resulted in their fair values being classified within the Level 3 of the
hierarchy. As of September 30, 2008, the fair values of certain municipal auction rate securities,
collateralized debt obligations and mortgage and asset-backed securities which represent
approximately 3% of the Companys total fixed income investments are reflected within the Level 3
of the fair value hierarchy.
During the quarter ended September 30, 2008, the Company determined that the non-binding
quoted price received from an independent third party broker for a particular collateralized debt
obligation investment did not reflect a value based on an active market. During discussions with
the independent third party broker, the Company learned that the price quote was established by
applying a 15% discount to the most recent price that the broker had offered the investment.
However, there were no responding bids to purchase the investment at that price. As this price was
not set based on an active market, the Company developed a fair value for the investment.
The Company established a fair value for the investment based on information about the
underlying pool of assets supplied by the investments asset manager. The Company developed a
discounted cash flow valuation for the investment by applying assumptions for a variety of factors
including among other things, default rates, recovery rates and a discount rate. The Company
believes the assumptions for these factors were developed in a manner consistent with those that a
market participant would use in valuation and were based on the information provided regarding the
underlying pool of assets, various current market benchmarks, industry data for similar assets
types, and particular market observations about similar assets.
Equities
The Company maintains one investment in Equity securities in which the Company uses a quoted
market price based on observable market transactions. The Company includes the fair value estimate
for this stock in Level 1 of the hierarchy. The remaining amount in Equity securities represents
one security accounted for using the equity method of accounting and, therefore, does not require
fair value disclosure under the provisions of FAS 157.
10
Derivatives
The Companys derivative instruments are valued utilizing valuation models that primarily use
market observable inputs and are traded in the markets where quoted market prices are not readily
available, and accordingly, these instruments are reflected within the Level 2 of the fair value
hierarchy.
Agent and Employee Stock Plans
The Company accounts for its agent and employee stock plan liabilities based on the Companys
share price at the end of each reporting period. The Companys share price at the end of each
reporting period is based on the prevailing fair value as determined by the Companys Board of
Directors. The Company largely uses unobservable inputs in deriving the fair value of its share
price and the value is, therefore, reflected in Level 3 of the hierarchy.
Changes in Level 3 Assets and Liabilities
The tables below summarize the change in balance sheet carrying values associated with Level 3
financial instruments and agent and employee stock plans for the three months and nine months ended
September 30, 2008. During the quarter ended September 30, 2008, the Company determined that
certain collateralized debt obligation investments previously presented in Level 2 of the hierarchy
should be classified as Level 3 due to a significant level of unobservable inputs used to determine
its fair value at September 30, 2008. The Company transferred the fair value of these
collateralized debt obligations to Level 3 of the fair value hierarchy during the quarter ended
September 30, 2008.
During the quarter ended June 30, 2008, the Company began estimating the fair values of its
municipal auction rate securities based on non-binding quotes received from independent third party
sources due to unavailability of observable inputs in the market place as a result of liquidity
issues in the global credit and capital markets. These quotes from independent third parties are
derived from their internally developed pricing models, which utilize various unobservable inputs.
As a result, the Companys municipal auction rate securities were transferred to Level 3.
Changes in Level 3 Assets and Liabilities Measured at Fair Value for the Three Months Ended September 30, 2008
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases, |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Unrealized |
|
Sales, |
|
|
|
|
|
Transfer in/ |
|
|
|
|
Beginning |
|
Gains or |
|
Payments and |
|
Realized |
|
(out) of |
|
Ending |
|
|
Balance |
|
(Losses) |
|
Issuances, Net |
|
Losses(1) |
|
Level 3, Net |
|
Balance |
|
|
In Thousands |
Assets |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Corporate debt and other |
|
$ |
|
|
|
$ |
5,326 |
|
|
$ |
|
|
|
$ |
(7,956 |
) |
|
$ |
6,580 |
|
|
$ |
3,950 |
|
Mortgage and asset-backed |
|
|
2,279 |
|
|
|
(102 |
) |
|
|
(100 |
) |
|
|
|
|
|
|
|
|
|
|
2,077 |
|
Municipals |
|
|
21,682 |
|
|
|
(355 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
21,327 |
|
Other invested assets |
|
|
2,015 |
|
|
|
(125 |
) |
|
|
(142 |
) |
|
|
|
|
|
|
|
|
|
|
1,748 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Liabilities |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Agent and Employee Stock Plans |
|
$ |
20,246 |
|
|
$ |
(49 |
) |
|
$ |
1,090 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
21,287 |
|
Changes in Level 3 Assets and Liabilities Measured at Fair Value for the Nine Months Ended September 30, 2008
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases, |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Unrealized |
|
Sales, |
|
|
|
|
|
Transfer in/ |
|
|
|
|
Beginning |
|
Gains or |
|
Payments and |
|
Realized |
|
(out) of |
|
Ending |
|
|
Balance |
|
(Losses) |
|
Issuances, Net |
|
Losses(1) |
|
Level 3, Net |
|
Balance |
|
|
In Thousands |
Assets |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Corporate debt and other |
|
$ |
|
|
|
$ |
5,326 |
|
|
$ |
|
|
|
$ |
(7,956 |
) |
|
$ |
6,580 |
|
|
$ |
3,950 |
|
Mortgage and asset-backed |
|
|
2,579 |
|
|
|
(220 |
) |
|
|
(282 |
) |
|
|
|
|
|
|
|
|
|
|
2,077 |
|
Municipals |
|
|
|
|
|
|
(1,773 |
) |
|
|
|
|
|
|
|
|
|
|
23,100 |
|
|
|
21,327 |
|
Other invested assets |
|
|
3,380 |
|
|
|
1,050 |
|
|
|
(636 |
) |
|
|
(2,046 |
) |
|
|
|
|
|
|
1,748 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Liabilities |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Agent and Employee Stock Plans |
|
$ |
37,273 |
|
|
$ |
(4,927 |
) |
|
$ |
(11,059 |
) |
|
$ |
|
|
|
$ |
|
|
|
$ |
21,287 |
|
|
|
|
(1) |
|
Realized losses for the period are included in Realized losses, net on the Companys
consolidated condensed statement of income (loss). |
11
4. MEDICARE DIVISION
Exit from the Medicare Market
In late 2007, the Company expanded into the Medicare market by offering a new portfolio of
Medicare Advantage Private-Fee-for-Service Plans (PFFS) called HealthMarkets Care Assured
Planssm (HMCA Plans) in selected markets in 29 states with coverage
effective for January 1, 2008. Policies are issued by Chesapeake, one of the Companys
subsidiaries, under a contract with the Centers for Medicare and Medicaid Services (CMS). The
HMCA Plans are offered to Medicare eligible beneficiaries as a replacement for original Medicare
and Medigap (Supplement) policies. They provide enrollees with the actuarial benefit equivalence
they would receive under original Medicare, as well as certain additional benefits or benefit
options, such as preventive care, pharmacy benefits, and vision, dental and hearing services.
On July 15, 2008, the Medicare Improvements for Patients and Providers Act of 2008 (HR. 6331)
was enacted, resulting in significant changes to the Medicare program. These changes include, among
other things, the phased elimination of Medicare Advantage PFFS deeming arrangements with
providers beginning in 2011. The Company believes that this new law will make it difficult for the
Company to operate effectively in the Medicare market. As a result, in July 2008, the Company
decided that it will not participate in the Medicare Advantage marketplace beyond the current year.
The Company will continue to serve its current members through 2008 and fulfill its obligations
under the current Medicare contract with CMS.
In connection with its exit from the Medicare market, the Company expects to incur employee
termination costs of $2.4 million, of which $371,000 was paid in the third quarter. In addition,
the Company incurred asset impairment charges of $1.1 million in the third quarter associated with
technology assets unique to its Medicare business. The Company believes that its exit from the
Medicare market will not, in the aggregate, have a material adverse effect on the Companys
consolidated financial position, but may potentially have a material adverse effect on the results
of operations or cash flows in any given accounting period.
Included in the nine months ended September 30, 2008, the Company recognized a $4.9 million
expense, recorded in underwriting, acquisition and insurance expenses, associated with a minimum
volume guarantee fee related to the Companys contract with a third party administrator, of which
$3.7 million was paid in the three months ended September 30, 2008. This minimum volume guarantee
fee was for member months over the three year term of the contract covering calendar years 2008
through 2010. To the extent the Company incurred a contract termination fee instead, based on the
decision to exit the Medicare market, the amount of the minimum volume guarantee fee was limited to
the amount of the anticipated contract termination fee.
5. DEBT
On April 5, 2006, the HealthMarkets, LLC entered into a credit agreement, providing for a
$500.0 million term loan facility and a $75.0 million revolving credit facility, which includes a
$35.0 million letter of credit sub-facility. The full amount of the term loan was drawn at
closing. At September 30, 2008, the Company had an aggregate of $362.5 million of indebtedness
outstanding under the term loan facility, which indebtedness bore interest at the London inter-bank
offered rate (LIBOR) plus a borrowing margin of 1.00%. The Company has not drawn on the $75.0
million revolving credit facility.
In addition, on April 5, 2006, HealthMarkets Capital Trust I and HealthMarkets Capital Trust
II (two newly formed Delaware statutory business trusts, collectively the Trusts) issued $100.0
million of floating rate trust preferred securities (the Trust Securities) and $3.1 million of
floating rate common securities. The Trusts invested the proceeds from the sale of the Trust
Securities, together with the proceeds from the issuance to HealthMarkets, LLC by the Trusts of the
common securities, in $100.0 million principal amount of HealthMarkets, LLCs Floating Rate Junior
Subordinated Notes due June 15, 2036 (the Notes), of which $50.0 million principal amount accrue
interest at a floating rate equal to three-month LIBOR plus 3.05% and $50.0 million principal
amount accrue interest at a fixed rate of 8.367%.
On April 29, 2004, UICI Capital Trust I (a Delaware statutory business trust, the 2004
Trust) completed the private placement of $15.0 million aggregate issuance amount of floating rate
trust preferred securities with an aggregate liquidation value of $15.0 million (the 2004 Trust
Preferred Securities). The 2004 Trust invested the $15.0 million proceeds from the sale of the
2004 Trust Preferred Securities, together with the proceeds from the issuance to the Company by the
2004 Trust of its floating rate common securities in the amount of $470,000 (the Common
Securities and, collectively with the 2004 Trust Preferred Securities, the 2004 Trust
Securities), in an equivalent face amount of the
12
Companys Floating Rate Junior Subordinated Notes due 2034 (the 2004 Notes). The 2004 Notes
will mature on April 29, 2034. The 2004 Notes accrue interest at a floating rate equal to
three-month LIBOR plus 3.50%, payable quarterly.
The following table sets forth detail of the Companys debt and interest expense (dollars in
thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest Expense |
|
|
|
Principal Amount |
|
|
Three Months |
|
|
Nine Months |
|
|
|
at |
|
|
Ended |
|
|
Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
September 30, |
|
|
|
2008 |
|
|
2008 |
|
|
2008 |
|
|
|
|
|
2006 credit agreement: |
|
|
|
|
|
|
|
|
|
|
|
|
Term loan |
|
$ |
362,500 |
|
|
$ |
5,203 |
|
|
$ |
15,796 |
|
$75 Million revolver (non-use fee) |
|
|
|
|
|
|
33 |
|
|
|
105 |
|
Trust preferred securities: |
|
|
|
|
|
|
|
|
|
|
|
|
UICI Capital Trust I |
|
|
15,470 |
|
|
|
247 |
|
|
|
788 |
|
HealthMarkets Capital Trust I |
|
|
51,550 |
|
|
|
768 |
|
|
|
2,534 |
|
HealthMarkets Capital Trust II |
|
|
51,550 |
|
|
|
1,102 |
|
|
|
3,283 |
|
Other: |
|
|
|
|
|
|
|
|
|
|
|
|
Interest on Deferred Tax Gain |
|
|
|
|
|
|
1,085 |
|
|
|
3,181 |
|
Interest on Coinsurance |
|
|
|
|
|
|
3,030 |
|
|
|
3,030 |
|
Amortization of financing fees |
|
|
|
|
|
|
1,139 |
|
|
|
3,361 |
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
481,070 |
|
|
$ |
12,607 |
|
|
$ |
32,078 |
|
|
|
|
|
|
|
|
|
|
|
Management uses derivative instruments to protect against the risk of changes in prevailing
interest rates adversely affecting future cash flows associated with changes in the LIBOR rate
applicable to its term loan credit facility discussed above. The derivative instrument used by the
Company to protect against such risk is the interest rate swap. The Company accounts for its
interest rate swaps in accordance with FAS 133, Accounting for Derivative Instruments and Hedging
Activities.
The Company owns three interest rate swap agreements with an aggregate notional amount of
$300.0 million. The terms of the swaps are 3, 4 and 5 years beginning on April 11, 2006. The
Company presents the fair value of the interest rate swap agreements at the end of the period in
either Other assets or Other liabilities, as applicable, on its consolidated condensed balance
sheet. At September 30, 2008, the interest rate swaps had an aggregate fair value of approximately
$8.4 million, which is reflected under the caption Other Liabilities. During the three and nine
months ended September 30, 2008, the Company incurred a loss of $19,000 and $54,000, respectively,
related to the ineffectiveness of the interest rate swap. The Company does not expect the
ineffectiveness related to its hedging activity to be material to the Companys financial results
in the future. There were no components of the derivative instruments that were excluded from the
assessment of hedge effectiveness.
During the quarter ended September 30, 2008, pretax expense of $1.7 million ($1.1 million net
of tax) was reclassified into interest expense from accumulated other comprehensive income as
adjustments to interest payments on variable rate term loan. In addition, expense of $173,000
($113,000 net of tax) was reclassified into earnings associated with the previous termination of
the hedging relationship in the fourth quarter of 2006.
During the nine months ended September 30, 2008, pretax expense of $3.6 million ($2.4 million
net of tax) was reclassified into interest expense from accumulated other comprehensive income as
adjustments to interest payments on variable rate term loan. In addition, expense of $514,000
($334,000 net of tax) was reclassified into earnings associated with the previous termination of
the hedging relationship in the fourth quarter of 2006.
At September 30, 2008, accumulated other comprehensive income included a deferred after-tax
net loss of $5.3 million related to the interest rate swaps of which $1.3 million ($849,000 net of
tax) is the remaining amount of loss associated with the previous terminated hedging relationship.
This amount is expected to be reclassified into earnings in conjunction with the interest payments
on the variable rate debt through April 2011.
The Company uses regression analysis to assess the hedge effectiveness in achieving the
offsetting cash flows attributable to the risk being hedged. In addition, the Company utilizes the
hypothetical derivative methodology for the measurement of ineffectiveness. Derivative gains and
losses not effective in hedging the expected cash flows will be recognized immediately in earnings.
13
6. NET INCOME (LOSS) PER SHARE
The following table sets forth the computation of basic and diluted earnings per share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands, except per share amounts) |
|
Income (loss) from continuing operations |
|
$ |
(18,784 |
) |
|
$ |
33,326 |
|
|
$ |
(39,084 |
) |
|
$ |
78,099 |
|
Income (loss) from discontinued operations |
|
|
70 |
|
|
|
155 |
|
|
|
(5,152 |
) |
|
|
1,436 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) available to common shareholders |
|
$ |
(18,714 |
) |
|
$ |
33,481 |
|
|
$ |
(44,236 |
) |
|
$ |
79,535 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding, basic |
|
|
29,913 |
|
|
|
30,675 |
|
|
|
30,363 |
|
|
|
30,398 |
|
Dilutive effect of stock options and other shares |
|
|
|
|
|
|
951 |
|
|
|
|
|
|
|
858 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding, dilutive |
|
|
29,913 |
|
|
|
31,626 |
|
|
|
30,363 |
|
|
|
31,256 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings (losses) per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
(0.63 |
) |
|
$ |
1.08 |
|
|
$ |
(1.29 |
) |
|
$ |
2.57 |
|
From discontinued operations |
|
|
|
|
|
|
0.01 |
|
|
|
(0.17 |
) |
|
|
0.05 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) per share, basic |
|
$ |
(0.63 |
) |
|
$ |
1.09 |
|
|
$ |
(1.46 |
) |
|
$ |
2.62 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings (losses) per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
(0.63 |
) |
|
$ |
1.06 |
|
|
$ |
(1.29 |
) |
|
$ |
2.49 |
|
From discontinued operations |
|
|
|
|
|
|
|
|
|
|
(0.17 |
) |
|
|
0.05 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) per share, basic |
|
$ |
(0.63 |
) |
|
$ |
1.06 |
|
|
$ |
(1.46 |
) |
|
$ |
2.54 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The common stock equivalents for the three and nine months ended September 30, 2008 are
excluded from the weighted average shares used to compute diluted net loss per share as they would
be anti-dilutive to the per share calculation. The Companys diluted weighted average shares
outstanding for the three and nine months ended September 30, 2008 were 887,856 and 751,147,
respectively.
As of September 30, 2008, 27,000,062 shares of Class A-1 common stock were issued, of which
26,896,325 were outstanding and 103,737 shares were held in treasury and 4,026,104 shares of Class
A-2 common stock were issued, of which 2,883,030 shares were outstanding and 1,143,074 shares were
held in treasury. As of December 31, 2007, 27,000,062 shares of Class A-1 common stock were issued,
of which 26,899,056 were outstanding and 101,006 shares were held in treasury and 3,952,204 shares
of Class A-2 common stock were issued, of which 3,623,266 shares were outstanding and 328,938
shares were held in treasury.
7. COMMITMENTS AND CONTINGENCIES
The Company is a party to the following material legal proceedings:
Association Group Litigation
As previously disclosed, HealthMarkets and MEGA were named as defendants in an action filed on
May 31, 2006 (Linda L. Hopkins and Jerry T. Hopkins v. HealthMarkets, MEGA, the National
Association for the Self Employed, et al.) pending in the Superior Court for the County of Los
Angeles, California, Case No. BC353258. Plaintiffs have alleged several causes of action, including
breach of fiduciary duty, negligent failure to obtain insurance, intentional misrepresentation,
fraud by concealment, promissory fraud, negligent misrepresentation, civil conspiracy, professional
negligence, negligence, intentional infliction of emotional distress, and violation of the
California Consumer Legal Remedies statute, California Civil Code Section 1750, et seq. Plaintiffs
seek injunctive relief, disgorgement of profits and general and punitive monetary damages in an
unspecified amount. The Court granted MEGAs motion for summary judgment and dismissed the case on
July 10, 2008.
HealthMarkets, HealthMarkets Lead Marketing Group, Mid-West National Life Insurance Company of
Tennessee (Mid-West) and Mid-West agent Stephen Casey were named as defendants in an action filed
on December 4, 2006 (Howard Woffinden, individually, and as Successor in interest to Mary Charlotte
Woffinden, deceased v. HealthMarkets, Mid-West, et al.) pending in the Superior Court for the
County of Los Angeles, California, Case No. LT061371. Plaintiffs have alleged several causes of
action, including breach of fiduciary duty, negligent failure to obtain insurance, intentional
misrepresentation, fraud by concealment, promissory fraud, civil conspiracy, professional
negligence, intentional infliction of emotional distress, and violation of the California Consumer
Legal Remedies statute, California Civil Code Section 1750, et seq. Plaintiff seeks injunctive
relief, and general and punitive monetary damages in an unspecified amount. On October 5, 2007, the
Court granted a motion to quash service of summons for defendants HealthMarkets and HealthMarkets
Lead Marketing Group, removing them from the case. The Court granted Mid-Wests motion for summary
judgment and dismissed the case against Mid-West on August 12, 2008. On October 15, 2008, the
Court granted judgment in favor of defendant Casey.
14
The resolution of the above proceedings did not have a material adverse effect on the
Companys consolidated financial condition or results of operations.
Fair Labor Standards Act Agent Litigation
HealthMarkets is a party to three separate collective actions filed under the Federal Fair
Labor Standards Act (FLSA) (Sherrie Blair et al., v. Cornerstone America et al., filed on May 26,
2005 in the United States District Court for the Northern District of Texas, Fort Worth Division,
Civil Action No. 4:04-CV-333-Y; Norm Campbell et al., v. Cornerstone America et al., filed on May
26, 2005 in the United States District Court for the Northern District of Texas, Fort Worth
Division, Civil Action No. 4:05-CV-334-Y; and Joseph Hopkins et al., v. Cornerstone America et al.,
filed on May 26, 2005 in the United States District Court for the Northern District of Texas, Fort
Worth Division, Civil Action No. 4:05-CV-332-Y). On December 9, 2005, the Court consolidated all of
the actions and made the Hopkins suit the lead case. In each of the cases, plaintiffs, for
themselves and on behalf of others similarly situated, seek to recover unpaid overtime wages
alleged to be due under section 16(b) of the FLSA. The complaints allege that the named plaintiffs
(consisting of former district sales leaders and regional sales leaders in the Cornerstone America
independent agent hierarchy) were employees within the meaning of the FLSA and are therefore
entitled, among other relief, to recover unpaid overtime wages under the terms of the FLSA. The
parties filed motions for summary judgment on August 1, 2006, and, on March 30, 2007, the Court
denied HealthMarkets and Mid-Wests motion and granted the plaintiffs motion.
On August 2, 2007, the District Court granted HealthMarkets and Mid-Wests motion for
interlocutory appeal but denied requests to stay the litigation. On September 14, 2007, the United
States Fifth Circuit Court of Appeals (the Fifth Circuit) granted HealthMarkets and Mid-Wests
petition to hear the interlocutory appeal.
In April 2008, a court-approved notice to prospective participants in the collective action
was mailed, providing prospective participants with the ability to file opt-in elections. At the
present time, there are 64 participants in this action.
In September 2008, oral arguments were heard before a three-judge panel of the Fifth Circuit.
In October 2008, the Fifth Circuit affirmed the trial courts ruling in favor of plaintiffs on the
issue of their status as employees under the FLSA and remanded the case to the trial court for
further proceedings. HealthMarkets and Mid-West filed their petition for rehearing before the Fifth
Circuit panel in late October 2008, which was denied on November 10, 2008.
Discovery in this matter is ongoing. At present, the Company is unable to determine what, if
any, impact these matters may have on the Companys consolidated financial condition or results of
operation.
Commonwealth of Massachusetts Litigation
As previously disclosed, on October 23, 2006, MEGA was named as a defendant in an action filed
by the Commonwealth of Massachusetts (Commonwealth of Massachusetts v. The MEGA Life and Health
Insurance Company), pending in the Superior Court of Suffolk County, Massachusetts, Case Number
06-4411. The Complaint was served on MEGA on or around January 19, 2007. Plaintiff has alleged
that MEGA engaged in unfair and deceptive practices by issuing policies that contained exclusions
of, or otherwise failed to cover, certain benefits mandated under Massachusetts law. In addition,
plaintiff has alleged that MEGA violated Massachusetts laws that (i) require health insurance
policies to provide coverage for outpatient contraceptive services to the extent the policies
provide coverage for other outpatient services and (ii) limit exclusions of coverage for
pre-existing conditions. On August 22, 2007, the Attorney General filed an amended complaint which
added HealthMarkets and Mid-West as defendants in this action and broadened plaintiffs original
allegations. The amended complaint includes allegations that the defendants engaged in unfair and
deceptive trade practices and illegal association membership practices, imposed illegal waiting
periods and restrictions on coverage of pre-existing conditions and failed to comply with
Massachusetts law regarding mandatory benefits. This proceeding is in an early stage and its
outcome is uncertain. Civil discovery has commenced and motions on various points of law and
procedure have been filed by the parties, including a motion to dismiss filed by defendants which
was denied in March 2008. At present, the Company is unable to determine what, if any, impact this
matter may have on the Companys consolidated financial condition or results of operation.
Credit Insurance Litigation
Mid-West has been named as a defendant in a putative class action filed on November 7, 2008
(Cynthia Hrnyak, on behalf of herself and all others similarly situated v. Mid-West National
Life Insurance Company of Tennessee) pending in the United States District Court for the Northern District of
Ohio, Case No. 1:08CV2642. Plaintiff has alleged several causes of action, including breach of contract,
unjust enrichment and violation of the Ohio Revised Code Annotated Section 3918.08, arising from the alleged
failure to refund unearned premium on credit insurance policies issued by Mid-West in connection with automobile
loans when such loans terminated early. Plaintiff seeks an order certifying the suit as a nationwide class action,
compensatory and punitive damages and injunctive relief. Mid-West has not yet been served with
the complaint. The Company is unable to determine what, if any, impact this matter
may have on the Companys consolidated financial condition or results of operations.
Other Litigation Matters
MEGA was named as a defendant in an action filed on April 8, 2003 (Lucinda Myers v. MEGA et
al.) pending in the District Court of Potter County, Texas, Case No. 90826-E. Plaintiff has alleged
several causes of action, including breach of contract, breach of the duty of good faith and fair
dealing, negligence, unfair claims settlement practices,
15
violation of the Texas Deceptive Trade Practices-Consumer Protection Act, mental anguish, and
felony destruction of records and securing execution by deception. Plaintiff seeks monetary damages
in an unspecified amount, and declaratory relief. MEGA asserted a counterclaim alleging, among
other things, a cause of action against the plaintiff for rescission of the health insurance
contract due to material misrepresentations in the application for insurance. Following a trial
held in February 2006, a jury rendered a verdict in favor of MEGA with respect to MEGAs claim for
rescission of the policy, effectively disposing of all causes of action against the defendants and
the Court rendered final judgment for defendants on March 9, 2006. Plaintiff filed a notice of
appeal and, on April 17, 2008, the appellate court reversed the lower courts judgment and remanded
the case for further proceedings. On October 16, 2008, the appellate court denied MEGAs motion for
rehearing.
Mid-West was named as a defendant in an action filed on January 15, 2004 (Howard Myers v.
Alliance for Affordable Services, Mid-West et al.) in the District Court of El Paso County,
Colorado, Case No. 04-CV-192. Plaintiff alleged fraud, breach of contract, negligence, negligent
misrepresentation, bad faith, and breach of the Colorado Unfair Claims Practices Act. Plaintiff
seeks unspecified compensatory, punitive, special and consequential damages, costs, interest and
attorneys fees. Mid-West removed the case to the United States District Court for the District of
Colorado. On August 26, 2008, the Court granted Mid-Wests motion for summary judgment and
dismissed all claims. Plaintiff has filed a motion to stay the Courts judgment which is pending
before the Court. On June 16, 2008, plaintiff filed a related action with similar allegations
naming HealthMarkets, Cornerstone America and Cornerstone agent Steve Kirsch (Lukas Myers and
Howard Myers et al. v. HealthMarkets, Inc., Cornerstone America, et al.) in the District Court of
Arapahoe County, Colorado, Case No. 08-CV-1236. Plaintiffs have alleged several causes of action,
including fraud, fraudulent misrepresentation, breach of contract, bad faith and breach of the
Colorado Consumer Protection Act, and seek unspecified compensatory and punitive damages, treble
damages under the Colorado Consumer Protection Act, costs and attorneys fees. HealthMarkets
removed the case to the United States District Court for the District of Colorado on July 22, 2008
and the matter is pending before the Court.
The Company and its subsidiaries are parties to various other pending and threatened legal
proceedings, claims, demands, disputes and other matters arising in the ordinary course of
business, including some asserting significant liabilities arising from claims, demands, disputes
and other matters with respect to insurance policies, relationships with agents, relationships with
former or current employees, and other matters. From time to time, some such matters, where
appropriate, may be the subject of internal investigation by management, the Board of Directors, or
a committee of the Board of Directors. The Company believes that the liability, if any, resulting
from the disposition of such proceedings, claims, demands, disputes or matters would not be
material to the Companys financial condition or results of operations.
Regulatory Matters Rhode Island
The Rhode Island Office of the Health Insurance Commissioner conducted a targeted market
conduct examination regarding MEGAs small employer market practices during 2005. As a result of
that examination, MEGA is in the process of negotiating a settlement with the Office of the Health
Insurance Commissioner. The Company anticipates that Mid-West will also agree to a settlement with
the Office of the Health Insurance Commissioner since it sells similar plans in Rhode Island. The
Company believes that this settlement will be on terms that will not have a material adverse effect
upon the Companys consolidated financial condition or results of operations. Negotiations are
on-going and the settlement is not final.
Regulatory Matters Multi-state Market Conduct Examination
As previously disclosed, in March 2005, HealthMarkets received notification that the Market
Analysis Working Group of the NAIC had chosen the states of Washington and Alaska to lead a
multi-state market conduct examination of HealthMarkets principal insurance subsidiaries (the
Insurance Subsidiaries) for the examination period January 1, 2000 through December 31, 2005.
Thirty-six (36) states elected to participate in the examination. The examiners issued a final
examination report on December 20, 2007.
The findings of the final examination report cite deficiencies in five major areas of
operation: (i) insufficient training of agents and lack of oversight of agent activities, (ii)
deficient claims handling practices, (iii) insufficient disclosure of the relationship with
affiliates and the membership associations, (iv) deficient handling of complaints and grievances,
and (v) failure to maintain a formal corporate compliance plan and centralized corporate compliance
department.
In connection with the issuance of the final examination report, the Washington Office of
Insurance Commissioner issued an order adopting the findings of the final examination report and
ordering the Insurance Subsidiaries to comply with certain required actions set forth in the
report. The order requires the Insurance Subsidiaries to file a detailed report
16
specifying how they have addressed each of the requirements of the order and another report
outlining, by examination area, all business reforms, improvements and changes to policies and
procedures.
During 2004, in response to state specific examination findings, the Insurance Subsidiaries
began making significant changes to their structure and operational processes. These changes
included the enhancement of its agent training and oversight programs, the reorganization and
consolidation of the Companys compliance department, the adoption of additional methods to monitor
agent sales activities, the implementation of a benefits confirmation telephone call program to
obtain further assurances that customers understand their health insurance coverage and the
creation of a Regulatory Advisory Panel consisting of former regulators to provide objective advice
to the Board and management. The Company believes the Insurance Subsidiaries have effectively
addressed or are in the process of addressing many of the findings identified in the final
examination report. Many of these enhancements occurred after the examination period and are
therefore not reflected in the examination report findings.
On May 29, 2008, the Insurance Subsidiaries entered into a regulatory settlement agreement
(RSA) with the Director of the Alaska Division of Insurance and the Insurance Commissioner of
Washington State (the Lead Regulators) that provides for the settlement of the examination on the
following terms:
(1) |
|
A monetary penalty in the amount of $20 million, payable within ten
business days of the effective date of the RSA. This amount was
recognized in the Companys results of operations for the year ending
December 31, 2007; |
|
(2) |
|
A monetary penalty of up to an additional $10 million if the Insurance
Subsidiaries are found not to comply with the requirements of the RSA
when re-examined. Compliance will be monitored by the Lead Regulators,
the Insurance Subsidiaries domestic regulators (The Insurance
Commissioner of the State of Oklahoma and the Commissioner of
Insurance of the State of Texas) and the California Department of
Insurance (collectively, the Monitoring Regulators). The Monitoring
Regulators will determine the amount, if any, of the penalty for
failure to comply with the requirements of the RSA through a follow-up
examination scheduled to occur during 2010. The Company has not
recognized any expense associated with this contingent penalty as it
is not deemed probable; |
|
(3) |
|
An Outreach Program to be administered by the Insurance Subsidiaries
with certain existing insureds, which will be implemented within six
months of the effective date of the RSA. The Insurance Subsidiaries
will send a notice to all existing insureds whose medical coverage was
issued by the Insurance Subsidiaries prior to August 1, 2005, which
will include contact information for insureds to obtain information
about their coverage and the address of a website responsive to
coverage questions; and |
|
(4) |
|
Ongoing monitoring of the Insurance Subsidiaries compliance with the
RSA by the Monitoring Regulators, through periodic reports from the
Insurance Subsidiaries. The Insurance Subsidiaries will be required to
continue their implementation of certain corrective actions, the
standards of which must be met by December 31, 2009. The Insurance
Subsidiaries will bear the reasonable costs of monitoring by the
Monitoring Regulators and their designees. In the event that the
Monitoring Regulators find that the Insurance Subsidiaries have
intentionally breached the terms of the RSA, resulting penalties and
fines as a result of such finding will not be limited to the monetary
penalties of the RSA. |
According to its terms, the RSA became effective on August 15, 2008, which is thirty days
after it was executed by twenty-seven states. Forty-eight states, the District of Columbia, Puerto
Rico and Guam have signed the RSA. The payment of the $20.0 million monetary penalty was made in
August 2008. The Outreach Program is underway and the Companys insurance subsidiaries are
preparing to file the first of the semi-annual status reports showing status of compliance with the
required standards referenced in No. 4 above.
Regulatory Matters General
In addition to the regulatory matters discussed above, the Companys insurance subsidiaries
are subject to various pending market conduct or other regulatory examinations, inquiries or
proceedings arising in the ordinary course of business. State insurance regulatory agencies have
authority to levy significant fines and penalties and require remedial action resulting from
findings made during the course of such matters. Market conduct or other regulatory examinations,
inquiries or proceedings could result in, among other things, changes in business practices that
require the Company to incur substantial costs. Such results, singly or in combination, could
injure our reputation, cause negative publicity, adversely affect our debt and financial strength
ratings, place us at a competitive disadvantage in marketing or administering our products or
impair our ability to sell or retain insurance policies, thereby adversely affecting our business,
and potentially materially adversely affecting the results of operations in a period, depending on
the results of
17
operations for the particular period. Determination by regulatory authorities that we have engaged
in improper conduct could also adversely affect our defense of various lawsuits.
8. SEGMENT INFORMATION
The Company operates three business segments, the Insurance segment, Other Key Factors and
Disposed Operations. The Insurance segment includes the Companys Self-Employed Agency Division
(SEA), the Medicare Division and Other Insurance Division. Other Key Factors includes investment
income not allocated to the Insurance segment, realized gains or losses, interest expense on
corporate debt, general expenses relating to corporate operations, variable non-cash stock-based
compensation and operations that do not constitute reportable operating segments. Disposed
Operations includes the Companys Life Insurance Division, former Star HRG Division and former
Student Insurance Division.
Allocations of investment income and certain general expenses are based on a number of
assumptions and estimates, and the business segments reported operating results would change if
different methods were applied. Certain assets are not individually identifiable by segment and,
accordingly, have been allocated by formulas. Segment revenue includes premiums and other policy
charges and considerations, net investment income, fees and other income. Management does not
allocate income taxes to segments. Transactions between reportable operating segments are
accounted for under respective agreements, which provide for such transactions generally at cost.
Revenue from continuing operations, income (loss) from continuing operations before income
taxes, and assets by operating segment are set forth in the tables below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Revenue from continuing operations: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
310,944 |
|
|
$ |
355,497 |
|
|
$ |
949,368 |
|
|
$ |
1,078,117 |
|
Medicare Division |
|
|
26,519 |
|
|
|
|
|
|
|
72,537 |
|
|
|
|
|
Other Insurance Division |
|
|
6,576 |
|
|
|
8,145 |
|
|
|
22,487 |
|
|
|
23,653 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
344,039 |
|
|
|
363,642 |
|
|
|
1,044,392 |
|
|
|
1,101,770 |
|
Other Key Factors |
|
|
(8,803 |
) |
|
|
9,354 |
|
|
|
(2,503 |
) |
|
|
29,285 |
|
Intersegment Eliminations |
|
|
(39 |
) |
|
|
178 |
|
|
|
(130 |
) |
|
|
(800 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue excluding disposed operations |
|
|
335,197 |
|
|
|
373,174 |
|
|
|
1,041,759 |
|
|
|
1,130,255 |
|
Disposed Operations |
|
|
55 |
|
|
|
23,242 |
|
|
|
47,622 |
|
|
|
67,511 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue from continuing operations |
|
$ |
335,252 |
|
|
$ |
396,416 |
|
|
$ |
1,089,381 |
|
|
$ |
1,197,766 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Income (loss) from continuing
operations before federal income
taxes: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
16,374 |
|
|
$ |
63,072 |
|
|
$ |
47,119 |
|
|
$ |
148,002 |
|
Medicare Division |
|
|
(3,077 |
) |
|
|
(2,592 |
) |
|
|
(15,381 |
) |
|
|
(3,999 |
) |
Other Insurance Division |
|
|
(1,348 |
) |
|
|
1,807 |
|
|
|
2,893 |
|
|
|
3,568 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
11,949 |
|
|
|
62,287 |
|
|
|
34,631 |
|
|
|
147,571 |
|
Other Key Factors |
|
|
(36,537 |
) |
|
|
(11,861 |
) |
|
|
(73,545 |
) |
|
|
(30,181 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating income
(loss) excluding disposed
operations |
|
|
(24,588 |
) |
|
|
50,426 |
|
|
|
(38,914 |
) |
|
|
117,390 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Disposed Operations |
|
|
(3,508 |
) |
|
|
179 |
|
|
|
(23,036 |
) |
|
|
1,195 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total income (loss) from
continuing operations
before taxes |
|
$ |
(28,096 |
) |
|
$ |
50,605 |
|
|
$ |
(61,950 |
) |
|
$ |
118,585 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
18
|
|
|
|
|
|
|
|
|
|
|
September 30, |
|
|
December 31, |
|
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
Assets |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
843,017 |
|
|
$ |
878,911 |
|
Medicare Division |
|
|
24,340 |
|
|
|
|
|
Other Insurance Division |
|
|
18,358 |
|
|
|
21,034 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
885,715 |
|
|
|
899,945 |
|
Other Key Factors |
|
|
561,871 |
|
|
|
553,855 |
|
|
|
|
|
|
|
|
Total Assets excluding disposed operations and held for sale |
|
|
1,477,586 |
|
|
|
1,453,800 |
|
|
|
|
|
|
|
|
Assets held for sale |
|
|
93,434 |
|
|
|
110,355 |
|
Disposed Operations |
|
|
405,557 |
|
|
|
591,427 |
|
|
|
|
|
|
|
|
|
|
$ |
1,946,577 |
|
|
$ |
2,155,582 |
|
|
|
|
|
|
|
|
The Life Insurance Division (included in Disposed Operations) assets of $377.1 million and
$540.5 million at September 30, 2008 and December 31, 2007, respectively, primarily represent a
reinsurance recoverable associated with coinsurance agreements entered into with an insurance
affiliate of Wilton Reassurance Company.
The Student Insurance Division (included in Disposed Operations) assets of $28.5 million and
$50.9 million at September 30, 2008 and December 31, 2007, respectively, primarily represent a
reinsurance recoverable associated with a coinsurance agreement entered into with an insurance
affiliate of UnitedHealth Group.
2006 Sale of Student Insurance Division
On December 1, 2006, the Company sold substantially all of the assets formerly comprising
MEGAs Student Insurance Division. The purchase price is subject to downward or upward adjustment
based on the amount of premium for the 2007-2008 school year and actual claims experience with
respect to the in-force block of student insurance business at the time of the sale. The Company
recognized $5.0 million of contingent consideration in the quarter ended September 30, 2008 for
this premium based purchase price adjustment, which was recorded as a realized gain.
The Company has recognized $518,000, $1.2 million and $6.5 million of realized gains as an
adjustment to the purchase price in 2008, 2007 and 2006, respectively, related to positive claim
experience with respect to the in-force block of student insurance business at the time of the
sale. In May 2008, the Company received $8.2 million associated with the final upward adjustment
related to the actual claim experience. The Company does not expect to incur any additional
compensation related to the premium provision or claim experience in the future.
9. AGENT AND EMPLOYEE STOCK PLANS
Agent Stock Accumulation Plans
The Company sponsors a series of stock accumulation plans (the Agent Plans) established for
the benefit of the independent insurance agents and independent sales representatives associated
with the Company.
The following table sets forth the total compensation expense, recorded in underwriting,
acquisition and insurance expenses, and tax benefit associated with the Companys Agent Plans for
the three and nine months ended September 30, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
SEA and Medicare Division stock-based compensation expense |
|
$ |
1,230 |
|
|
$ |
1,682 |
|
|
$ |
3,833 |
|
|
$ |
7,779 |
|
Other Key Factors variable non-cash stock-based
compensation (benefit) expense |
|
|
(607 |
) |
|
|
2,552 |
|
|
|
(3,825 |
) |
|
|
2,547 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Agent Plan compensation (benefit) expense |
|
|
623 |
|
|
|
4,234 |
|
|
|
8 |
|
|
|
10,326 |
|
Related Tax Benefit |
|
|
218 |
|
|
|
1,482 |
|
|
|
3 |
|
|
|
3,614 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net (benefit) expense included in financial results |
|
$ |
405 |
|
|
$ |
2,752 |
|
|
$ |
5 |
|
|
$ |
6,712 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
At December 31, 2007, the Company had recorded 1,446,624 unvested matching credits associated
with the Agent Plans, of which 430,455 vested in January 2008. Upon vesting, the Company decreased
additional paid-in capital by $359,000, decreased treasury shares by $15.4 million and decreased
other liabilities by $15.1 million. At September 30, 2008, the Company had recorded 1,165,239
unvested matching credits. Agent Plan transactions are not reflected in the Consolidated Condensed
Statement of Cash Flows since issuance of equity securities to settle the Companys liabilities
under the Agent Plans are non-cash transactions.
19
Employee Stock Option Plans
During the quarter ended September 30, 2008, options to purchase a total of 246,666 shares of
Class A-1 common stock were granted under the 2006 Management Option Plan at an exercise price of
$24.00, which represented the fair value of Class A-1 common stock as determined by the Board of
Directors on the date of grant of such options.
10. TRANSACTIONS WITH RELATED PARTIES
As of September 30, 2008, affiliates of The Blackstone Group, Goldman Sachs Capital Partners
and DLJ Merchant Banking Partners (the Private Equity Investors) held 55.4%, 22.7%, and 11.3%,
respectively, of the Companys outstanding equity securities. Certain members of the Board of
Directors of the Company are affiliated with the Private Equity Investors.
Each of the Private Equity Investors provides to the Company ongoing monitoring, advisory and
consulting services, for which the Company pays each of The Blackstone Group, Goldman Sachs Capital
Partners and DLJ Merchant Banking Partners an annual monitoring fee in an amount equal to $7.7
million, $3.2 million and $1.6 million, respectively. Aggregate annual monitoring fees in the
amount of $12.5 million for 2008 were paid in full to the Private Equity Investors on January 8,
2008. The Company has expensed $9.4 million through September 30, 2008.
In connection with the completion of the transactions contemplated by the Agreement for
Reinsurance and Purchase and Sale of Assets dated June 12, 2008 pursuant to which Wilton
Reassurance Company or its affiliates acquired substantially all of the business of the Companys
Life Insurance Division, the Company recognized transaction fees payable to affiliates of The
Blackstone Group, Goldman Sachs Capital Partners and DLJ Merchant Banking Partners of $1.2 million,
$479,000 and $240,000, respectively, which fees were paid in full on October 27, 2008.
On April 20, 2007, the Companys Board of Directors approved a $10.0 million investment by
Mid-West National Life Insurance Company of Tennessee in Goldman Sachs Real Estate Partners, L.P.,
a commercial real estate fund managed by an affiliate of Goldman Sachs Capital Partners. The
Company has committed such investment to be funded over a series of capital calls. During the
quarter ended September 30, 2008, the Company did not receive a capital distribution (return of
capital) from Goldman Sachs Real Estate Partners, L.P. During the nine months ended September 30,
2008, the Company received $431,000 ($403,000 return of capital and $28,000 income) in capital
distributions from Goldman Sachs Real Estate Partners, L.P. The Company funded $3.3 million in
capital calls through December 31, 2007. The Company did not fund any additional capital calls in
2008.
On April 20, 2007, the Companys Board of Directors approved a $10.0 million investment by The
MEGA Life and Health Insurance Company in Blackstone Strategic Alliance Fund L.P., a hedge fund of
funds managed by an affiliate of The Blackstone Group. The Company has committed such investment
to be funded over a series of capital calls. During the quarter ended September 30, 2008, the
Company did not fund any capital calls. During the nine months ended September 30, 2008, the
Company funded $1.5 million in capital calls. The Company previously funded $1.6 million in capital
calls through December 31, 2007.
20
ITEM 2 MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
Cautionary Statements Regarding Forward-Looking Statements
This report and other documents or oral presentations prepared or delivered by and on behalf
of the Company contain or may contain forward-looking statements within the meaning of the safe
harbor provisions of the United States Private Securities Litigation Reform Act of 1995.
Forward-looking statements are statements based upon managements expectations at the time such
statements are made. The Company undertakes no obligation to publicly update or revise any
forward-looking statements, whether as a result of new information, future events or otherwise.
Forward-looking statements are subject to risks and uncertainties that could cause the Companys
actual results to differ materially from those contemplated in the statements. Readers are
cautioned not to place undue reliance on the forward-looking statements. When used in written
documents or oral presentations, the terms anticipate, believe, estimate, expect, may,
objective, plan, possible, potential, project, will and similar expressions are
intended to identify forward-looking statements. In addition to the assumptions and other factors
referred to specifically in connection with such statements, factors that could impact the
Companys business and financial prospects include, but are not limited to, those discussed in our
Annual Report on Form 10-K for the year ended December 31, 2007 under the caption Item 1
Business, Item 1A. Risk Factors and Item 7 Managements Discussion and Analysis of Financial
Condition and Results of Operations and those discussed from time to time in the Companys various
filings with the Securities and Exchange Commission or in other publicly disseminated written
documents.
Introduction
The Company operates three business segments, the Insurance segment, Other Key Factors and
Disposed Operations. The Insurance segment includes the Companys Self-Employed Agency Division
(SEA), the Medicare Division and Other Insurance Division. Other Key Factors includes investment
income not allocated to the Insurance segment, realized gains or losses, interest expense on
corporate debt, general expenses relating to corporate operations, variable non-cash stock-based
compensation and operations that do not constitute reportable operating segments. Disposed
Operations includes the Life Insurance Division, former Star HRG Division and former Student
Insurance Division.
Through our SEA Division, we offer a broad range of health insurance products for
self-employed individuals and individuals who work for small businesses. Our basic hospital-medical
and catastrophic hospital expense plans are designed to accommodate individual needs and include
traditional fee-for-service indemnity plans, preferred provider organization (PPO) plans, basic
medical-surgical expense plans, catastrophic expense PPO plans, as well as other supplemental types
of coverage.
We market these products to the self-employed and individual markets through independent
contractor agents associated with UGA-Association Field Services (UGA) and Cornerstone America
(Cornerstone), which are our dedicated agency sales forces that primarily sell the Companys
products. The Company has approximately 1,300 independent writing agents per week in the field
selling health insurance to the self-employed market in 44 states.
In 2007, we initiated efforts to expand into the Medicare market. In the fourth quarter of
2007, we began offering a new portfolio of Medicare Advantage Private-Fee-for-Service Plans
called HealthMarkets Care Assured PlansSM (HMCA Plans) in selected markets in 29
states with coverage effective for January 1, 2008. Policies are issued by our Chesapeake
subsidiary, under a contract with the Centers for Medicare and Medicaid Services (CMS). In July
2008, the Company determined it would not continue to participate in the Medicare business after
the 2008 plan year.
Our Other Insurance Division consists of ZON Re-USA, LLC (ZON Re) (an 82.5%-owned
subsidiary) which underwrites, administers and issues accidental death, accidental death and
dismemberment (AD&D), accident medical, and accident disability insurance products, both on a
primary and on a reinsurance basis. We distribute these products through professional reinsurance
intermediaries and a network of independent commercial insurance agents, brokers and third party
administrators (TPAs).
Exit from Life Insurance Division Business
On September 30, 2008 (the Closing Date), HealthMarkets LLC, a subsidiary of the Company,
completed the transactions contemplated by the Agreement for Reinsurance and Purchase and Sale of
Assets dated June 12, 2008 (the Master Agreement), previously reported in the Companys Current
Report on Form 8-K dated June 18, 2008. Pursuant to the Master Agreement, Wilton Reassurance
Company or its affiliates (Wilton) acquired substantially all of the business of the Companys
Life Insurance Division, which operated through The Chesapeake Life Insurance Company
21
(Chesapeake), Mid-West National Life Insurance Company of Tennessee (Mid-West) and The
MEGA Life and Health Insurance Company (MEGA) (collectively the Ceding Companies), and all of
the Companys 79% equity interest in each of U.S. Managers Life Insurance Company, Ltd. and
Financial Services Reinsurance, Ltd. As part of the transaction, under the terms of the
Coinsurance Agreements entered into with each of the Ceding Companies on the Closing Date, Wilton
has agreed, effective July 1, 2008 (the Coinsurance Effective Date), to reinsure on a 100%
coinsurance basis substantially all of the insurance policies associated with the Companys Life
Insurance Division (the Coinsured Policies).
Under the terms of the Coinsurance Agreements, Wilton has assumed responsibility for all
insurance liabilities associated with the Coinsured Policies. The Ceding Companies have transferred
to Wilton cash in an amount equal to the net statutory reserves and liabilities corresponding to
the Coinsured Policies, which amount was approximately $344.5 million. Wilton has agreed to be
responsible for administration of the Coinsured Policies, subject to certain transition services to
be provided by the Ceding Companies to Wilton. The Ceding Companies remain primarily liable to the
policyholders on those policies with Wilton assuming the risk from the Ceding Companies pursuant to
the terms of the Coinsurance Agreements. As a result, in accordance with guidance provided in
Financial Accounting Standard No. 113, Accounting and Reporting for Reinsurance of Short-Duration
and Long-Duration Contracts, the Company reported and will continue to report the policy
liabilities ceded to Wilton under Policy liabilities and record a corresponding asset as
Reinsurance recoverable ceded policy liabilities on its consolidated condensed balance sheet. As of September 30, 2008, the
Company had ceded policy liabilities in the amount of $365.2 million associated with the Coinsured
Policies and a corresponding amount has been recorded in Reinsurance recoverable ceded policy liabilities on the Companys
consolidated condensed balance sheet.
The Company and the Ceding Companies received total consideration of approximately $139.2
million, including $134.5 million in aggregate ceding allowances with respect to the reinsurance of
the Coinsured Policies. Under certain circumstances, the Master Agreement also provides for the
payment of additional consideration to the Company following the closing based on the five year
financial performance of the Coinsured Policies. The reinsurance transaction resulted in a pre-tax
loss of $17.6 million of which $13.0 million was recorded in the second quarter as an impairment
to the Life Insurance Divisions deferred acquisition costs with the remainder of $4.6 million
recorded in the third quarter in Realized losses, net in the Companys consolidated condensed
statement of income (loss).
In connection with these transactions the Company incurred $6.3 million in investment banker
fees and legal fees recorded as Other expense on the Companys consolidated condensed statement
of income (loss), of which $5.0 million was incurred during the three months ended September 30,
2008. The Company also incurred $6.4 million of employee and lease termination costs and other
costs recorded in Underwriting, acquisition and insurance expense, of which $3.2 million was
incurred during the three months ended September 30, 2008. In addition, the Company incurred
interest expense of $3.0 million during the third quarter of 2008 associated with the use of the
cash transferred to Wilton during the period from the Effective Date of the Life transaction to the
Closing Date. Lastly, the Ceding Companies wrote-off deferred acquisition costs of $101.1 million,
representing all of the deferred acquisition costs associated with the Coinsured Policies subject
to the transaction, which is included in the realized loss on the transaction. This write-off of
deferred acquisition costs correspondingly reduced the related
deferred tax assets by $36.7
million.
22
Results of Operations
The table below sets forth certain summary information about the Companys operating results
for the three and nine months ended September 30, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Nine Months Ended |
|
|
Percentage |
|
|
|
September 30, |
|
|
Increase |
|
|
September 30, |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
|
|
|
|
|
(Dollars in thousands) |
|
|
|
|
|
REVENUE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health premiums |
|
$ |
315,765 |
|
|
$ |
330,742 |
|
|
|
(5 |
)% |
|
$ |
959,068 |
|
|
$ |
999,008 |
|
|
|
(4 |
)% |
Life premiums and other considerations |
|
|
673 |
|
|
|
18,165 |
|
|
|
(96 |
)% |
|
|
37,189 |
|
|
|
51,990 |
|
|
|
(28 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
316,438 |
|
|
|
348,907 |
|
|
|
(9 |
)% |
|
|
996,257 |
|
|
|
1,050,998 |
|
|
|
(5 |
)% |
Investment income |
|
|
14,539 |
|
|
|
22,565 |
|
|
|
(36 |
)% |
|
|
49,770 |
|
|
|
69,687 |
|
|
|
(29 |
)% |
Other income |
|
|
19,597 |
|
|
|
25,402 |
|
|
|
(23 |
)% |
|
|
61,915 |
|
|
|
78,291 |
|
|
|
(21 |
)% |
Loss on sale of investments |
|
|
(15,322 |
) |
|
|
(458 |
) |
|
NM |
|
|
|
(18,561 |
) |
|
|
(1,210 |
) |
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
335,252 |
|
|
|
396,416 |
|
|
|
(15 |
)% |
|
|
1,089,381 |
|
|
|
1,197,766 |
|
|
|
(9 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
BENEFITS AND EXPENSES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefits, claims, and settlement expenses |
|
|
211,500 |
|
|
|
188,755 |
|
|
|
12 |
% |
|
|
661,795 |
|
|
|
600,599 |
|
|
|
10 |
% |
Underwriting, policy acquisition costs, and
insurance expenses |
|
|
113,862 |
|
|
|
126,791 |
|
|
|
(10 |
)% |
|
|
381,846 |
|
|
|
380,682 |
|
|
|
0 |
% |
Other expenses |
|
|
25,379 |
|
|
|
19,904 |
|
|
|
28 |
% |
|
|
75,612 |
|
|
|
64,659 |
|
|
|
17 |
% |
Interest expense |
|
|
12,607 |
|
|
|
10,361 |
|
|
|
22 |
% |
|
|
32,078 |
|
|
|
33,241 |
|
|
|
(3 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
363,348 |
|
|
|
345,811 |
|
|
|
5 |
% |
|
|
1,151,331 |
|
|
|
1,079,181 |
|
|
|
7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing
operations before income taxes |
|
|
(28,096 |
) |
|
|
50,605 |
|
|
NM |
|
|
|
(61,950 |
) |
|
|
118,585 |
|
|
NM |
|
Federal income taxes expense (loss) |
|
|
(9,312 |
) |
|
|
17,279 |
|
|
NM |
|
|
|
(22,866 |
) |
|
|
40,486 |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations |
|
|
(18,784 |
) |
|
|
33,326 |
|
|
NM |
|
|
|
(39,084 |
) |
|
|
78,099 |
|
|
NM |
|
Income (loss) from discontinued operations, net |
|
|
70 |
|
|
|
155 |
|
|
NM |
|
|
|
(5,152 |
) |
|
|
1,436 |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
(18,714 |
) |
|
$ |
33,481 |
|
|
NM |
|
|
$ |
(44,236 |
) |
|
$ |
79,535 |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue and income (loss) from continuing operations before federal income taxes (operating
income) by business segment are summarized in the tables below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Revenue from continuing operations: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
310,944 |
|
|
$ |
355,497 |
|
|
$ |
949,368 |
|
|
$ |
1,078,117 |
|
Medicare Division |
|
|
26,519 |
|
|
|
|
|
|
|
72,537 |
|
|
|
|
|
Other Insurance Division |
|
|
6,576 |
|
|
|
8,145 |
|
|
|
22,487 |
|
|
|
23,653 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
344,039 |
|
|
|
363,642 |
|
|
|
1,044,392 |
|
|
|
1,101,770 |
|
Other Key Factors |
|
|
(8,803 |
) |
|
|
9,354 |
|
|
|
(2,503 |
) |
|
|
29,285 |
|
Intersegment Eliminations |
|
|
(39 |
) |
|
|
178 |
|
|
|
(130 |
) |
|
|
(800 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue excluding disposed operations |
|
|
335,197 |
|
|
|
373,174 |
|
|
|
1,041,759 |
|
|
|
1,130,255 |
|
Disposed Operations |
|
|
55 |
|
|
|
23,242 |
|
|
|
47,622 |
|
|
|
67,511 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue from continuing operations |
|
$ |
335,252 |
|
|
$ |
396,416 |
|
|
$ |
1,089,381 |
|
|
$ |
1,197,766 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Income (loss) from continuing operations before federal income taxes: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
16,374 |
|
|
$ |
63,072 |
|
|
$ |
47,119 |
|
|
$ |
148,002 |
|
Medicare Division |
|
|
(3,077 |
) |
|
|
(2,592 |
) |
|
|
(15,381 |
) |
|
|
(3,999 |
) |
Other Insurance Division |
|
|
(1,348 |
) |
|
|
1,807 |
|
|
|
2,893 |
|
|
|
3,568 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
11,949 |
|
|
|
62,287 |
|
|
|
34,631 |
|
|
|
147,571 |
|
Other Key Factors |
|
|
(36,537 |
) |
|
|
(11,861 |
) |
|
|
(73,545 |
) |
|
|
(30,181 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating income (loss) excluding disposed operations |
|
|
(24,588 |
) |
|
|
50,426 |
|
|
|
(38,914 |
) |
|
|
117,390 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Disposed Operations |
|
|
(3,508 |
) |
|
|
179 |
|
|
|
(23,036 |
) |
|
|
1,195 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total income (loss) from continuing operations before
federal income taxes |
|
$ |
(28,096 |
) |
|
$ |
50,605 |
|
|
$ |
(61,950 |
) |
|
$ |
118,585 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
23
A discussion of HealthMarkets results of operations by segment for the three and nine months
ended September 30, 2008 and 2007 is as follows:
Self- Employed Agency Division
Set forth below is certain summary financial and operating data for the Companys
Self-Employed Agency Division for the three and nine months ended September 30, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Nine Months Ended |
|
|
Percentage |
|
|
|
September 30, |
|
|
Increase |
|
|
September 30, |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
283,746 |
|
|
$ |
322,682 |
|
|
|
(12 |
)% |
|
$ |
866,810 |
|
|
$ |
976,522 |
|
|
|
(11 |
)% |
Investment income |
|
|
7,485 |
|
|
|
7,800 |
|
|
|
(4 |
)% |
|
|
21,827 |
|
|
|
23,390 |
|
|
|
(7 |
)% |
Other income |
|
|
19,713 |
|
|
|
25,015 |
|
|
|
(21 |
)% |
|
|
60,731 |
|
|
|
78,205 |
|
|
|
(22 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
310,944 |
|
|
|
355,497 |
|
|
|
(13 |
)% |
|
|
949,368 |
|
|
|
1,078,117 |
|
|
|
(12 |
)% |
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
182,890 |
|
|
|
171,017 |
|
|
|
7 |
% |
|
|
555,376 |
|
|
|
547,510 |
|
|
|
1 |
% |
Underwriting and policy acquisition expenses |
|
|
102,125 |
|
|
|
109,746 |
|
|
|
(7 |
)% |
|
|
314,146 |
|
|
|
341,563 |
|
|
|
(8 |
)% |
Other expenses |
|
|
9,555 |
|
|
|
11,662 |
|
|
|
(18 |
)% |
|
|
32,727 |
|
|
|
41,042 |
|
|
|
(20 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
294,570 |
|
|
|
292,425 |
|
|
|
1 |
% |
|
|
902,249 |
|
|
|
930,115 |
|
|
|
(3 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
16,374 |
|
|
$ |
63,072 |
|
|
|
(74 |
)% |
|
$ |
47,119 |
|
|
$ |
148,002 |
|
|
|
(68 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
64.5 |
% |
|
|
53.0 |
% |
|
|
|
|
|
|
64.1 |
% |
|
|
56.1 |
% |
|
|
|
|
Expense ratio |
|
|
36.0 |
% |
|
|
34.0 |
% |
|
|
|
|
|
|
36.2 |
% |
|
|
35.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
100.5 |
% |
|
|
87.0 |
% |
|
|
|
|
|
|
100.3 |
% |
|
|
91.1 |
% |
|
|
|
|
Average number of writing agents in period |
|
|
1,232 |
|
|
|
1,699 |
|
|
|
|
|
|
|
1,319 |
|
|
|
1,876 |
|
|
|
|
|
Submitted annualized volume |
|
$ |
111,999 |
|
|
$ |
157,030 |
|
|
|
|
|
|
$ |
358,271 |
|
|
$ |
545,162 |
|
|
|
|
|
Loss ratio. The loss ratio represents total benefit expenses as a percentage of earned
premium revenue.
Expense ratio. The expense ratio represents underwriting and policy acquisition expenses as a
percentage of earned premium revenue.
The SEA Division reported operating income for the three and nine month periods ended
September 30, 2008 of $16.4 million and $47.1 million, respectively, compared to operating income
of $63.1 million and $148.0 million in the corresponding 2007 periods. Operating income in the SEA
Division as a percentage of earned premium revenue (i.e., operating margin) in the nine month
period ended September 30, 2008 was 5.4% compared to an operating margin of 15.2% in the
corresponding 2007 period. The decrease in operating margin during the current year periods
compared to the corresponding prior year periods is primarily attributable to a decrease in earned
premium, an increase in the loss ratio, and a decrease in net other income and expense, all as
explained below.
The decrease in earned premium for the 2008 periods compared to the same periods in 2007 is
primarily related to decreased sales. In the nine months ended September 30, 2008, total SEA
Division submitted annualized premium volume (i.e., the aggregate annualized premium amount
associated with individual and small group health insurance applications submitted by the Companys
agents for underwriting by the Company) decreased to $358.3 million from $545.2 million in the
corresponding 2007 period. Part of the decrease in 2008 is attributable to the Companys focus on
selling its new Medicare products, particularly during the first quarter of 2008. Also driving the
decrease in premium for the 2008 periods was the decrease in submitted annualized premium volume in
2007 from $791.2 million in 2006 to $680.1 million in 2007. The decrease in earned premium
reflects an attrition rate that exceeds the pace of new sales. With respect to new sales, the
Company is experiencing increased competition in the marketplace in addition to a decrease in the
average number of writing agents in our dedicated agency sales force.
The increase in loss ratio for both the current quarter and year to date is primarily due to
an ongoing gradual shift in product mix. For the last two years the Companys sales efforts have
been focused on new PPO type products, which, by design, have a higher loss ratio than the
Companys previous products that were largely per occurrence or scheduled benefit products. In
addition, as previously disclosed, during 2007, the Company made various refinements to the claim
liability estimates which reduced the claim liability by $16.9 million and $21.9 million,
respectively, for the three and nine months ended September 30, 2007, respectively.
Underwriting and policy acquisition expenses decreased by $7.6 million and $27.4 million,
respectively, during the three and nine months ended September 30, 2008. This decrease reflects the
variable nature of commission expenses and premium taxes included in these amounts, which generally
vary in proportion to earned premium revenue. Other income and other expenses both decreased in
the current period compared to the prior year period. Other income largely consists of fee and
other income received for sales of association memberships by our dedicated agency sales force for
24
which other expenses are incurred for bonuses and other compensation provided to the agents.
Sales of association memberships by our dedicated agency sales force tend to move in tandem with
sales of health insurance policies; consequently, this decrease in other income and other expense
is consistent with the decline in earned premium.
Medicare Division
In 2007, we initiated efforts to expand into the Medicare market. In the fourth quarter of
2007, we began offering a new portfolio of Medicare Advantage Private-Fee-for-Service Plans
called HealthMarkets Care Assured PlansSM (HMCA Plans) in selected markets in 29
states with coverage effective for January 1, 2008. Policies are issued by our Chesapeake
subsidiary, under a contract with the Centers for Medicare and Medicaid Services (CMS).
Our HMCA Plans were offered to Medicare eligible beneficiaries as a replacement for original
Medicare and Medigap (Supplement) policies. They provide enrollees with the actuarial benefit
equivalence they would receive under original Medicare, as well as certain additional benefits or
benefit options, such as preventive care, pharmacy benefits and certain vision, dental and hearing
services. Enrollees can obtain services from any Medicare-eligible provider who agrees to accept
the HMCA Plans terms and conditions. Enrollees may or may not pay a premium in addition to the
premium payable for original Medicare. The amount of the additional premium varies, based on the
level of benefits and coverage. Our initial plan offerings include the HealthMarkets Care Assured
Value Plan, which has a $3,500 annual maximum out-of-pocket for covered expenses, and the
HealthMarkets Care Assured Premier Plan, which has a $1,500 annual maximum out-of-pocket for
covered expenses. Each plan can be purchased with Medicare Part D prescription drug coverage as an
optional benefit. Coinsurance and copayment requirements vary by plan and service received.
Covered expenses are not subject to a deductible.
On July 15, 2008, the Medicare Improvements for Patients and Providers Act of 2008 (HR. 6331)
was enacted, resulting in significant changes to the Medicare program, including the phased
elimination of Medicare Advantage PFFS deeming arrangements beginning 2011. The Company believes
that this new law will make it difficult for the Company to operate effectively in the Medicare
market. With this changing landscape of the Medicare regulations, in July 2008, the Company decided
that it will not participate in the Medicare Advantage marketplace beyond the current year. The
Company will continue to serve its current members through 2008 and fulfill its obligation under
the current Medicare contract.
In connection with its exit from the Medicare market, the Company expected to incur employee
termination costs of $2.4 million, of which $371,000 was paid in the third quarter. In addition,
the Company recorded asset impairment charges of $1.1 million in the third quarter as a result of
the exit from the Medicare business. The asset impairment charges were primarily related to
certain Medicare specific technology projects in development. The Company believes that its exit
from the Medicare market will not, in the aggregate, have a material adverse effect on the
Companys consolidated financial position, but may potentially have a material adverse effect on
the results of operations or cash flows in any given accounting period.
Set forth below is certain summary financial and operating data for the Companys Medicare
Division for the three and nine months ended September 30, 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Medicare Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Nine Months Ended |
|
|
Percentage |
|
|
|
September 30, |
|
|
Increase |
|
|
September 30, |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
26,388 |
|
|
$ |
|
|
|
NM |
|
$ |
72,247 |
|
|
$ |
|
|
|
NM |
Investment income and other income |
|
|
131 |
|
|
|
|
|
|
NM |
|
|
290 |
|
|
|
|
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
26,519 |
|
|
|
|
|
|
NM |
|
|
72,537 |
|
|
|
|
|
|
NM |
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
22,460 |
|
|
|
|
|
|
NM |
|
|
62,590 |
|
|
|
|
|
|
NM |
Underwriting and policy acquisition expenses |
|
|
7,136 |
|
|
|
2,592 |
|
|
NM |
|
|
25,328 |
|
|
|
3,999 |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
29,596 |
|
|
|
2,592 |
|
|
NM |
|
|
87,918 |
|
|
|
3,999 |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating loss |
|
$ |
(3,077 |
) |
|
$ |
(2,592 |
) |
|
NM |
|
$ |
(15,381 |
) |
|
$ |
(3,999 |
) |
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
85.1 |
% |
|
NM |
|
|
|
|
|
|
86.6 |
% |
|
NM |
|
|
|
|
Expense ratio |
|
|
27.0 |
% |
|
NM |
|
|
|
|
|
|
35.1 |
% |
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
112.1 |
% |
|
NM |
|
|
|
|
|
|
121.7 |
% |
|
NM |
|
|
|
|
Loss ratio. The loss ratio represents total benefit expenses as a percentage of earned
premium revenue.
Expense ratio. The expense ratio represents underwriting and policy acquisition expenses as a
percentage of earned premium revenue.
25
The Medicare Division produced $26.4 million and $72.2 million in earned premium for the three
and nine months ended September 30, 2008 on 33,211 and 88,173 member months, respectively. The
Company had approximately 11,000 enrolled members as of September 30, 2008. Benefit expenses for
the nine-month period ended September 30, 2008 of $62.6 million resulted in a loss ratio of 86.6%
consistent with the Companys expectations after adjusting for the actual member risk scores as
provided by CMS. Underwriting and policy acquisition expenses of $25.3 million for the nine months
ended September 30, 2008 include commissions, marketing costs, and all administrative and operating
costs. Additionally, the nine-month underwriting and policy acquisition expenses include a minimum
volume guarantee fee and contract termination cost of $4.9 million payable to the Companys
third-party administrator. This minimum volume guarantee fee was for a contractually required
member month level of activity over the three year term of the contract covering years 2008 through
2010 that the Company does not expect to meet. To the extent the Company would have incurred a
contract termination fee instead, based on the decision to exit the Medicare Advantage PFFS market,
the amount of the minimum volume guarantee fee was limited to the amount of the anticipated
contract termination fee.
In October 2007, Chesapeake voluntarily suspended its Medicare marketing and enrollment
activities pending a review by CMS of Chesapeakes compliance with regulatory requirements. In
connection with this review, Chesapeake agreed with CMS to take certain actions to ensure that it
met applicable Medicare program requirements and, in November 2007, Chesapeake resumed marketing
and enrollment activities related to its HMCA plans. The Company believes that the suspension of
Medicare marketing and enrollment activities in the fourth quarter of 2007 adversely affected
enrollment of beneficiaries into Chesapeakes HMCA Plans for the 2008 plan year. Chesapeakes
Medicare marketing and enrollment activities are subject to ongoing review by CMS and, in April
2008, CMS requested additional materials from Chesapeake as part of a follow-up review of
Chesapeakes Medicare marketing and enrollment activities during the first quarter of 2008. As a
result of that review, on June 6, 2008, CMS requested that the Company submit a Corrective Action
Plan (CAP). The Company submitted the CAP on June 20, 2008. The CAP provided for the Company
to: increase the number of providers willing to be deemed, implement a meaningful disciplinary
process for agents, decrease the rate of complaints against the Company, and decrease the Companys
level of rapid disenrollment/cancellations. In October 2008, CMS informed the Company that, due to
the Companys impending exit from the Medicare market, the CAP has been closed and no further
reports under the CAP are required.
Other Insurance Division
Set forth below is certain summary financial and operating data for the Companys Other
Insurance Division for the three and nine months ended September 30, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Insurance Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Nine Months Ended |
|
|
Percentage |
|
|
|
September 30, |
|
|
Increase |
|
|
September 30, |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
6,236 |
|
|
$ |
7,591 |
|
|
|
(18 |
)% |
|
$ |
20,954 |
|
|
$ |
22,304 |
|
|
|
(6 |
)% |
Investment income |
|
|
448 |
|
|
|
420 |
|
|
|
7 |
% |
|
|
1,338 |
|
|
|
1,167 |
|
|
|
15 |
% |
Other income |
|
|
(108 |
) |
|
|
134 |
|
|
NM |
|
|
|
195 |
|
|
|
182 |
|
|
|
7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
6,576 |
|
|
|
8,145 |
|
|
|
(19 |
)% |
|
|
22,487 |
|
|
|
23,653 |
|
|
|
(5 |
)% |
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
6,041 |
|
|
|
3,461 |
|
|
|
75 |
% |
|
|
11,831 |
|
|
|
11,710 |
|
|
|
1 |
% |
Underwriting and policy acquisition expenses |
|
|
1,883 |
|
|
|
2,877 |
|
|
|
(35 |
)% |
|
|
7,763 |
|
|
|
8,375 |
|
|
|
(7 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
7,924 |
|
|
|
6,338 |
|
|
|
25 |
% |
|
|
19,594 |
|
|
|
20,085 |
|
|
|
(2 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income (loss) |
|
$ |
(1,348 |
) |
|
$ |
1,807 |
|
|
NM |
|
|
$ |
2,893 |
|
|
$ |
3,568 |
|
|
|
(19 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
96.9 |
% |
|
|
45.6 |
% |
|
|
|
|
|
|
56.5 |
% |
|
|
52.5 |
% |
|
|
|
|
Expense ratio |
|
|
30.2 |
% |
|
|
37.9 |
% |
|
|
|
|
|
|
37.0 |
% |
|
|
37.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
127.1 |
% |
|
|
83.5 |
% |
|
|
|
|
|
|
93.5 |
% |
|
|
90.0 |
% |
|
|
|
|
NM: not meaningful
Loss ratio. The loss ratio represents benefits expenses related to accident insurance and
reinsurance contracts as a percentage of earned premiums.
Expense ratio. The expense ratio represents underwriting and policy acquisition expenses
related to accident insurance and reinsurance contracts as a percentage of earned premium revenue.
For the three and nine months ended September 30, 2008, operating income (loss) was $(1.3)
million and $2.9 million, respectively, compared to operating income of $1.8 million and $3.6
million, respectively, for the corresponding periods in 2007. The results for the three months
ended September 30, 2008 reflect adverse claim experience, in particular the impact of a large
catastrophic claim on reinsured excess loss business in the amount of $1.9 million and a $900,000
loss on quota share disability business. When considering the year to date results for the nine
months ended September 30,
26
2008, these adverse third quarter results were somewhat mitigated by favorable claim
experience during the second quarter. The decrease in underwriting and policy acquisition expenses
for the current year includes a decrease in the incentive compensation plan tied to the current
period profitability and a decrease in litigation expenses compared to the prior year periods.
Other Key Factors
The Companys Other Key Factors segment includes investment income not otherwise allocated to
the Insurance segment, realized gains and losses, interest expense on corporate debt, general
expenses relating to corporate operations, variable stock compensation, and other unallocated
items.
Set forth below is certain summary financial data for the Companys Other Key Factors segment
for the three and nine months ended September 30, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Key Factors |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Nine Months Ended |
|
|
Percentage |
|
|
|
September 30, |
|
|
Increase |
|
|
September 30, |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Investment income on equity |
|
$ |
6,519 |
|
|
$ |
9,313 |
|
|
|
(30 |
)% |
|
$ |
16,183 |
|
|
$ |
29,995 |
|
|
|
(46 |
)% |
Realized gain (loss) on investments |
|
|
(15,322 |
) |
|
|
41 |
|
|
NM |
|
|
(18,686 |
) |
|
|
(710 |
) |
|
NM |
Interest expense |
|
|
(12,607 |
) |
|
|
(10,362 |
) |
|
|
22 |
% |
|
|
(32,078 |
) |
|
|
(33,241 |
) |
|
|
(3 |
)% |
Variable stock-based compensation
(expense) benefit |
|
|
607 |
|
|
|
(2,552 |
) |
|
NM |
|
|
3,825 |
|
|
|
(2,547 |
) |
|
NM |
General corporate expenses and other |
|
|
(15,734 |
) |
|
|
(8,301 |
) |
|
|
90 |
% |
|
|
(42,789 |
) |
|
|
(23,678 |
) |
|
|
81 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating expense |
|
$ |
(36,537 |
) |
|
$ |
(11,861 |
) |
|
NM |
|
$ |
(73,545 |
) |
|
$ |
(30,181 |
) |
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NM: not meaningful
The Other Key Factors segment reported operating losses in the three and nine month period
ended September 30, 2008 of $36.5 million and $73.5 million, respectively, compared to operating
losses of $11.9 million and $30.2 million, respectively in the corresponding 2007 periods.
Operating results for the three and nine months ended September 30, 2008 compared to the
corresponding prior period reflects the following items. Investment income on equity decreased due
to a decrease in the amount of assets available for investment in the 2008 period compared to the
2007 period, and a $6.5 million decrease in investment income during the current year on the
Companys equity method investments. Interest expense on corporate debt decreased due to a lower
outstanding principal balance in the 2008 periods on corporate debt reflecting a $75.0 million
principal payment in the second quarter of 2007. However, the Company incurred additional interest
expense of $3.0 million during the third quarter of 2008 associated with the use of the cash
transferred to Wilton during the period from the Coinsurance Effective Date of the Life Insurance
Division transaction (July 1, 2008) and the actual Closing Date (September 30, 2008).
General corporate expenses increased due to $2.7 million and $11.8 million of employee
termination costs incurred during the current year three and nine month periods, respectively,
associated with the departure of several corporate executives. Additional expenses included in
general corporate expenses for the quarter and year to date periods in 2008 include $3.9 million of
broker and transaction fees related to the Life Insurance Division transaction. Realized losses
during the current periods were significantly greater than the corresponding periods in the prior
year primarily due to impairment charges recognized during the current quarter on certain fixed
maturities investments. These impairment charges resulted from other than temporary reductions in
the fair value of these investments compared to the Companys cost basis, see Note 3 of notes to
consolidated condensed financial statements for additional information. Realized losses for the
current quarter also included $4.6 million of losses related to Coinsurance of the Life Insurance
Division, which was offset by the realization of $5.0 million of contingent consideration
associated with the sale of the former Student Insurance Division, see Note 8 of notes to
consolidated condensed financial statements for additional information. The variable stock-based
compensation results for the nine-month period in 2008 reflect an additional 13% decrease in the
value of the Companys share price from the comparable period in 2007. Additionally, the 2007
results reflect additional share credits granted to participants in the agent stock accumulation
plans in 2007 in connection with the extraordinary cash dividend paid in the second quarter of
2007.
27
Disposed Operations
The table below sets forth income (loss) from continuing operations for our Disposed
Operations for the three and nine months ended September 30, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Income (loss) from Disposed Operations before federal income taxes: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Life Insurance Division |
|
$ |
(3,258 |
) |
|
$ |
559 |
|
|
$ |
(23,238 |
) |
|
$ |
1,076 |
|
Student Insurance Division |
|
|
(250 |
) |
|
|
106 |
|
|
|
84 |
|
|
|
436 |
|
Star HRG Insurance Division |
|
|
|
|
|
|
(486 |
) |
|
|
118 |
|
|
|
(317 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
$ |
(3,508 |
) |
|
$ |
179 |
|
|
$ |
(23,036 |
) |
|
$ |
1,195 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Set forth below is certain summary financial and operating data for the Companys Life
Insurance Division for the three and nine months ended September 30, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Life Insurance Division |
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
69 |
|
|
$ |
18,643 |
|
|
$ |
36,246 |
|
|
$ |
52,172 |
|
Investment income |
|
|
2 |
|
|
|
5,124 |
|
|
|
10,312 |
|
|
|
15,359 |
|
Other income |
|
|
23 |
|
|
|
(16 |
) |
|
|
931 |
|
|
|
480 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
94 |
|
|
|
23,751 |
|
|
|
47,489 |
|
|
|
68,011 |
|
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
52 |
|
|
|
14,354 |
|
|
|
32,334 |
|
|
|
41,934 |
|
Underwriting and policy acquisition expenses |
|
|
3,300 |
|
|
|
8,838 |
|
|
|
38,393 |
|
|
|
25,001 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
3,352 |
|
|
|
23,192 |
|
|
|
70,727 |
|
|
|
66,935 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income (loss) |
|
$ |
(3,258 |
) |
|
$ |
559 |
|
|
$ |
(23,238 |
) |
|
$ |
1,076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The Companys Life Insurance Division reported an operating loss in the three and nine months
ended September 30, 2008 of $3.3 million and $23.2 million, respectively, compared to operating
income of $559,000 and $1.1 million in the corresponding 2007 periods. The decrease in operating
income for the nine-month periods reflects a $13.0 million impairment charge to underwriting and
policy acquisition expenses as a result of the decision to exit this business. Based upon the
consideration expected to be received in connection with the coinsurance arrangement, the Company
recorded an impairment charge to deferred acquisition costs during the quarter ended June 30, 2008,
see Note 2 of notes to consolidated condensed financial statements. In addition, expenses of $3.2
million and $6.4 million were incurred during the three and nine months ended September 30, 2008,
respectively, related to employee severance and facility lease termination costs. Also
contributing to the decrease in operating income for the nine-month period was a strengthening of
the future policy and contract benefit reserves of $3.9 million incurred in the first six months of
2008 for certain interest sensitive whole life products.
Liquidity and Capital Resources
Historically, the Companys primary sources of cash on a consolidated basis have been premium
revenue from policies issued, investment income, and fees and other income. The primary uses of
cash have been payments for benefits, claims and commissions under those policies, servicing of the
Companys debt obligations and operating expenses. In the nine months ended September 30, 2008,
net cash used in operations totaled approximately $214.6 million, compared to net cash provided by
operations of approximately $88.0 million in the corresponding 2007 period. Cash used in
operations increased during the nine month period in 2008, reflecting the use of approximately
$210.0 million in connection with the reinsurance of the Coinsured Policies contemplated by the
Life Insurance Division transaction and cash used in operations reflecting a decrease in net
earnings compared to the same period in 2007.
HealthMarkets, Inc., is a holding company, the principal assets of which are its investment in
its wholly-owned subsidiary, HealthMarkets, LLC. The holding companys ability to fund its cash
requirements is largely dependent upon its ability to access cash, by means of dividends or other
means, from HealthMarkets, LLC. HealthMarkets, LLCs principal assets are its investments in its
separate operating subsidiaries, including its regulated insurance subsidiaries. At September 30,
2008 and December 31, 2007, the aggregate cash and cash equivalents and short-term investments held
at both the holding company level and HealthMarkets, LLC was $83.3 million and $63.0 million,
respectively.
Prior approval by insurance regulatory authorities is required for the payment by a domestic
insurance company of dividends that exceed certain limitations based on statutory surplus and net
income. The Company will continue to assess
28
the results of operations of the regulated domestic insurance subsidiaries to determine the
prudent dividend capability of the subsidiaries, consistent with HealthMarkets practice of
maintaining risk-based capital ratios at each of the Companys domestic insurance subsidiaries
significantly in excess of minimum requirements.
Our principal insurance subsidiaries are rated by A.M. Best Company (A.M. Best), Fitch
Ratings (Fitch) and Standard & Poors (S&P). Set forth below are the current financial strength
ratings of the principal insurance subsidiaries.
|
|
|
|
|
|
|
|
|
A.M. Best |
|
Fitch |
|
S&P |
|
|
|
|
|
|
|
MEGA
|
|
B++ (Good)
|
|
BBB+
|
|
BBB- (Good) |
Mid-West
|
|
B++ (Good)
|
|
BBB+
|
|
BBB- (Good) |
Chesapeake
|
|
B++ (Good)
|
|
BBB
|
|
BB+ (Marginal) |
In the table above, the A.M. Best ratings carry a negative outlook, the Fitch ratings carry
a negative outlook and the S&P ratings carry a negative outlook.
In evaluating a company, independent rating agencies review such factors as the companys
capital adequacy, profitability, leverage and liquidity, book of business, quality and estimated
market value of assets, adequacy of policy liabilities, experience and competency of management,
and operating profile. A.M. Bests ratings currently range from A++ (Superior) to F
(Liquidation). A.M. Bests ratings are based upon factors relevant to policyholders, agents,
insurance brokers and intermediaries and are not directed to the protection of investors. Fitchs
ratings provide an overall assessment of an insurance companys financial strength and security,
and the ratings are used to support insurance carrier selection and placement decisions. Fitchs
ratings range from AAA (Exceptionally Strong) to C (Very Weak). S&Ps financial strength
rating is a current opinion of the financial security characteristics of an insurance organization
with respect to its ability to pay under its insurance policies and contracts in accordance with
their terms. S&Ps financial strength ratings range from AAA (Extremely Strong) to CC
(Extremely Weak).
A.M. Best has assigned to HealthMarkets, Inc. an issuer credit rating of bb+ (Fair) with a
negative outlook. A.M. Bests issuer credit rating is a current opinion of an obligors ability
to meet its senior obligations. A.M. Bests issuer credit ratings range from aaa (Exceptional)
to d (In Default).
Fitch has assigned to HealthMarkets, Inc. a long term issuer default rating of BBB- (Good)
with a negative outlook. Fitchs long term issuer default rating is a current opinion of an
obligors ability to meet all of its most senior financial obligations on a timely basis over the
term of the obligation. Fitchs long term issuer default ratings range from AAA (Exceptionally
Strong) to D (Default).
S&Ps Rating Services has assigned to HealthMarkets, Inc. a counterparty credit rating of
BB- (Less Vulnerable) with a negative outlook. S&Ps counterparty credit rating is a current
opinion of an obligors overall financial capacity to pay its financial obligations. S&Ps
counterparty credit ratings range from AAA (Extremely Strong) to D (Default).
Contractual Obligations and Off Balance Sheet Obligations
The agreements governing certain indebtedness incurred by the Company in connection with the
Merger contain restrictive covenants, including certain prescribed financial ratios, limitations on
additional indebtedness as a percentage of certain defined equity amounts and restrictions on the
disposal of certain subsidiaries, including primarily the Companys regulated insurance
subsidiaries. Other contractual obligations or off balance sheet arrangements (which consist solely
of commitments to fund student loans generated by its former College Fund Life Division and letters
of credit) are described in the Companys Annual Report on Form 10-K for the year ended December
31, 2007 under the caption Managements Discussion and Analysis of Financial Condition and Results
of Operations.
Set forth below is a summary of the Companys contractual obligations on a consolidated basis
at September 30, 2008 and December 31, 2007 (dollars in thousands):
|
|
|
|
|
|
|
|
|
|
|
At September 30, 2008 |
|
|
At December 31, 2007 |
|
Corporate indebtedness |
|
$ |
481,070 |
|
|
$ |
481,070 |
|
Future policy benefits |
|
|
478,442 |
|
|
|
463,277 |
|
Claim liabilities |
|
|
433,574 |
|
|
|
435,099 |
|
Other policy liabilities |
|
|
12,720 |
|
|
|
10,764 |
|
Capital lease obligations |
|
|
219 |
|
|
|
364 |
|
|
|
|
|
|
|
|
Total |
|
$ |
1,406,025 |
|
|
$ |
1,390,574 |
|
|
|
|
|
|
|
|
29
In addition to the contractual obligations set forth in the table above, the Company also is a
party to various operating leases for office space and equipment.
All indebtedness issued under the secured student loan credit facility represents obligations
solely of a special purpose entity (SPE) and not of the Company or any other subsidiary and is
secured by student loans, accrued investment income, cash, cash equivalents and qualified
investments. The assets and liabilities of the student loan funding vehicles are recorded as held
for sale on the Companys consolidated condensed balance sheet for all periods presented.
At September 30, 2008 and December 31, 2007, the Company had $28.9 million and $14.3 million,
respectively, of letters of credit outstanding relating to its insurance operations.
Critical Accounting Policies and Estimates
The Companys discussion and analysis of its financial condition and results of operations are
based on its consolidated condensed financial statements, which have been prepared in accordance
with United States generally accepted accounting principles. The preparation of these consolidated
condensed financial statements requires the Company to make estimates and judgments that affect the
reported amounts of assets, liabilities, revenue and expenses, and related disclosure of contingent
assets and liabilities. On an on-going basis, the Company evaluates its estimates, including those
related to health and life insurance claims and liabilities, deferred acquisition costs, bad debts,
impairment of investments, intangible assets, income taxes, financing operations and contingencies
and litigation. The Company bases its estimates on historical experience and on various other
assumptions that are believed to be reasonable under the circumstances, the results of which form
the basis for making judgments about the carrying values of assets and liabilities that are not
readily apparent from other sources. Actual results may differ from these estimates under different
assumptions or conditions. Reference is made to the discussion of these critical accounting
policies and estimates contained in the Companys Annual Report on Form 10-K for the year ended
December 31, 2007 under the caption Managements Discussion and Analysis of Financial Condition
and Results of Operations Critical Accounting Policies and Estimates.
Fair Value Measurement
Effective January 1, 2008, HealthMarkets adopted FAS No. 157, Fair Value Measurements, for
financial assets and liabilities. FAS No. 157 defines fair value, expands disclosure requirements,
and specifies a hierarchy of valuation techniques. The disclosure of fair value estimates in the
FAS 157 hierarchy is based on whether the significant inputs into the valuation are observable. In
determining the level of hierarchy in which the estimate is disclosed, the highest priority is
given to unadjusted quoted prices in active markets and the lowest priority to unobservable inputs
that reflect the Companys significant market assumptions. The Company measures certain assets and
liabilities at fair value on a recurring basis, including securities available for sale,
derivatives, and agent and employee stock plans. Securities available for sale include money market
funds, fixed income investments and equity securities. Following is a brief description of the type
of valuation information (inputs) that qualifies a financial asset for each level:
|
|
|
Level 1 Unadjusted quoted market prices for identical assets or liabilities in active
markets which are accessible by the Company. |
|
|
|
|
Level 2 Observable prices in active markets for similar assets or liabilities.
Prices for identical or similar assets or liabilities in markets that are not active.
Directly observable market inputs for substantially the full term of the asset or
liability, e.g., interest rates and yield curves at commonly quoted intervals,
volatilities, prepayment speeds, default rates, and credit spreads. Market inputs that are
not directly observable but are derived from or corroborated by observable market data. |
|
|
|
|
Level 3 Unobservable inputs based on the Companys own judgment as to assumptions a
market participant would use, including inputs derived from extrapolation and interpolation
that are not corroborated by observable market data. |
Where possible, the Company utilizes quoted market prices to measure fair value. For
investments that have quoted market prices in active markets, the Company uses the quoted market
price as fair value and includes these prices in the amounts disclosed in Level 1 of the hierarchy.
When quoted market prices in active markets are unavailable, the Company determines fair values
using various valuation techniques and models based on a range of observable market inputs
including pricing models, quoted market price of publicly traded securities with similar duration
and yield, time value, yield curve, prepayment speeds, default rates and discounted cash flow. In
most cases, these estimates are determined based on independent third party valuation information,
and the amounts are disclosed in the Level 2 of the fair
30
value hierarchy. Generally, the Company obtains a single price or quote per instrument from
independent third parties to assist in establishing the fair value of these investments.
If quoted market prices and independent third party valuation information are unavailable, the
Company produces an estimate of fair value based on internally developed valuation techniques,
which, depending on the level of observable market inputs, will render the fair value estimate as
Level 2 or Level 3. On occasions when pricing service data is unavailable, the Company may rely on
bid/ask spreads from dealers in determining the fair values. When dealer quotations are used to
assist in establishing the fair value, the Company obtains one quote per instrument. The quotes
obtained from dealers or brokers are generally non-binding. When dealer quotations are used, the
Company uses the mid-mark as fair value. When broker or dealer quotations are used for valuation or
price verification, greater priority is given to executable quotes. As part of the price
verification process, valuations based on quotes are corroborated by comparison both to other
quotes and to recent trading activity in the same or similar instruments.
Historically, the Company had not experienced a circumstance where it has determined that an
adjustment to a quote or price received from an independent third party valuation source is
required. During the quarter ended September 30, 2008, the Company determined that the non-binding
quote received from an independent third party broker for a particular collateralized debt
obligation investment did not reflect fair value. In accordance with guidance provided in FSP
157-3, the Company determined the fair value of this security based on other internally developed
approaches, which are discussed in the last two paragraphs under the Fixed Income Investments
caption in Note 3 of notes to the consolidated condensed financial statements.
Fair Value Control Procedures
The Company evaluates the various types of securities in its investment portfolio to determine
the appropriate level in the fair value hierarchy based upon trading activity and the observability
of market inputs. The Company employs control processes to validate the reasonableness of the fair
value estimates of its assets and liabilities, including those estimates based on prices and quotes
obtained from independent third party sources. The Companys procedures generally include, but are
not limited to, initial and on-going evaluation of methodologies used by independent third parties
and monthly analytical reviews of the prices against current pricing trends and statistics.
Regulatory and Legislative Matters
The business of insurance is primarily regulated by the states and is also affected by a range
of legislative developments at the state and federal levels. Recently adopted legislation and
regulations may have a significant impact on the Companys business and future results of
operations. Reference is made to the discussion under the caption
Business Regulatory and
Legislative Matters in the Companys Annual Report on Form 10-K for the year ended December 31,
2007.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
As a result of our investing and borrowing activities, we are exposed to financial market
risks, including those resulting from changes in interest rates and changes in equity market
valuations. Our investment portfolio is exposed to three primary risks: credit quality risk,
interest rate risk and market valuation risk. Our long-term debt is exposed to the fluctuations of
the three month London Interbank Offered Rate (LIBOR). We use interest rate swap agreements to
hedge exposure in interest rate risk on our borrowings. The Company recognized $16.8 million and
$22.4 million of net realized losses for the three and nine months ended September 30, 2008,
respectively, from other than temporary impairments of fixed maturity securities and other invested
assets. As of September 30, 2008, the Company had gross unrealized losses in our investments of
$57.9 million. While we believe that these impairments are temporary and that we have the intent
and ability to hold such securities until maturity or recovery, given the current market conditions
and the significant judgments involved, there is a continuing risk that further declines in fair
value may occur and additional material other than temporary impairments may be recorded in future
periods.
For a more detailed discussion of our market risks relating to these activities, refer to the
information contained in the Companys Annual Report on Form 10-K for the year ended December 31,
2007 in Item 7A Quantitative and Qualitative Disclosures about Market Risk.
31
ITEM 4. CONTROLS AND PROCEDURES
Disclosure Controls and Procedures
The Company maintains a set of disclosure controls and procedures designed to ensure that
information required to be disclosed in reports that it files or submits under the Securities
Exchange Act of 1934, as amended (the Exchange Act), is recorded, processed, summarized and
reported within the time periods specified in Securities and Exchange Commission rules and forms.
In addition, the disclosure controls and procedures ensure that information required to be
disclosed is accumulated and communicated to management, including the principal executive officer
and principal financial officer, allowing timely decisions regarding required disclosure. Under the
supervision and with the participation of our management, including our principal executive officer
and principal financial officer, we conducted an evaluation of our disclosure controls and
procedures, as such term is defined under Rule 13a-15(e) promulgated under the Exchange Act. Based
on this evaluation, our principal executive officer and our principal financial officer concluded
that our disclosure controls and procedures were effective as of the end of the period covered by
this quarterly report.
Change in Internal Control over Financial Reporting
There has been no change in the Companys internal control over financial reporting during the
Companys most recent fiscal quarter that has materially affected, or is reasonably likely to
materially affect, the Companys internal control over financial reporting.
PART II. OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
The Company is a party to various material legal proceedings, which are described in Note 7 of
notes to the consolidated condensed financial statements included herein and/or in the Companys
Annual Report on Form 10-K filed for the year ended December 31, 2007 under the caption Item 3.
Legal Proceedings. The Company and its subsidiaries are parties to various other pending legal
proceedings arising in the ordinary course of business, including some asserting significant
damages arising from claims under insurance policies, disputes with agents and other matters; based
in part upon the opinion of counsel as to the ultimate disposition of such lawsuits and claims,
management believes that the liability, if any, resulting from the disposition of such proceedings
will not be material to the Companys consolidated financial condition or results of operations.
Except as discussed in Note 7 of the notes to consolidated condensed financial statements included
herein, during the nine month period covered by this Quarterly Report on Form 10-Q, the Company has
not been named in any new material legal proceeding, and there have been no material developments
in the previously reported legal proceedings.
ITEM 1A. RISK FACTORS
Reference is made to the risk factors discussed in the Companys Annual Report on Form 10-K
for the year ended December 31, 2007 in Part I, Item 1A. Risk Factors, which could materially
affect the Companys business, financial condition or future results. The risks described in the
Companys Annual Report on Form 10-K are not the only risks the Company faces. Additional risks and
uncertainties not currently known to the Company or that the Company currently deems to be
immaterial also may materially adversely affect our business, financial condition and/or operating
results. The following risk factors were identified by the Company during the third quarter ended
September 30, 2008 and supplement those risk factors discussed in Part I, Item 1A. Risk Factors
of the Companys Annual Report on Form 10-K for the year ended December 31, 2007.
The value of our investments is influenced by varying economic and market conditions and a decrease
in value could have an adverse effect on our results of operations, liquidity and financial
condition.
Our investment portfolio is comprised primarily of investments classified as securities
available for sale. The fair value of our available for sale securities was $951.7 million and
represented approximately 49% of our total consolidated assets at September 30, 2008. These
investments are carried at fair value, and the unrealized gains or losses are included in
accumulated other comprehensive loss as a separate component of shareholders equity, unless the
decline in value is deemed to be other than temporary or we do not have the intent and ability to
hold such securities until their full cost can be recovered. For our available for sale
investments, if a decline in value is deemed to be other than temporary or we do not have the
intent and ability to hold such security until its full cost can be recovered, the security is
deemed to be other than temporarily impaired and it is written down to fair value and the loss is
recorded as an expense.
32
In accordance with applicable accounting standards, we review our investment securities to
determine if declines in fair value below cost are other than temporary. This review is subjective
and requires a high degree of judgment. We conduct this review on a quarterly basis (or more
frequently if certain indicators arise), using both quantitative and qualitative factors, to
determine whether a decline in value is other than temporary. In its review, management considers
the following indicators of impairment: fair value significantly below cost; decline in fair value
attributable to specific adverse conditions affecting a particular investment; decline in fair
value attributable to specific conditions, such as conditions in an industry or in a geographic
area; decline in fair value for an extended period of time; downgrades by rating agencies from
investment grade to non-investment grade; financial condition deterioration of the issuer and
situations where dividends have been reduced or eliminated or scheduled interest payments have not
been made.
The current economic environment and recent volatility of the securities markets increase the
difficulty of assessing investment impairment and the same influences tend to increase the risk of
potential impairment of these assets. During the nine months ended September 30, 2008, we recorded
$22.4 million of charges for other than temporary impairment of securities. Given the current
volatile market conditions and the significant judgments involved, there is continuing risk that
further declines in fair value may occur and material other than temporary impairments may result
in realized losses in future periods which could have an adverse effect on our results of
operations, liquidity and financial condition.
Adverse securities and credit market conditions may have a material adverse affect on our liquidity
or our ability to obtain credit on acceptable terms.
The securities and credit markets have been experiencing extreme volatility and disruption. In
some cases, the markets have exerted downward pressure on the availability of liquidity and credit
capacity for certain issuers. We need liquidity to make payments for benefits, claims and
commissions, service the Companys debt obligations and pay operating expenses. Our primary
sources of cash on a consolidated basis have been premium revenue from policies issued, investment
income, and fees and other income. In the event we need access to additional capital to pay our
operating expenses, make payments on our indebtedness, pay capital expenditures or fund
acquisitions, our ability to obtain such capital may be limited and the cost of any such capital
may be significant. Our access to additional financing will depend on a variety of factors such as
market conditions, the general availability of credit, the overall availability of credit to our
industry, our credit ratings and credit capacity, as well as the possibility that customers or
lenders could develop a negative perception of our long- or short-term financial prospects.
Similarly, our access to funds may be impaired if regulatory authorities or rating agencies take
negative actions against us. If a combination of these factors were to occur, our internal sources
of liquidity may prove to be insufficient, and, in such case, we may not be able to successfully
obtain additional financing on favorable terms.
ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
During the three months ended September 30, 2008, the Company issued an aggregate of 44,899
unregistered shares of its Class A-1 common stock to newly-appointed executive officers of the
Company. In particular, on July 10, 2008, the Company issued 34,483 unregistered non-vested shares
in accordance with an employment agreement and on September 30, 2008, an executive officer of the
Company purchased 10,416 shares of the Companys Class A-1 common stock for aggregate consideration
of $250,000 (or $24.00 per share). Such sale of securities was made in reliance upon the exemption
from registration provided by Section 4(2) of the Securities Act of 1933, as amended (and/or
Regulation D promulgated thereunder) for transactions by an issuer not involving a public offering.
The proceeds of such sale were used for general corporate purposes.
The following table sets forth the Companys purchases of HealthMarkets, Inc. Class A-1 common
stock during each of the months in the three-month period ended September 30, 2008.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Number of |
|
|
|
|
|
|
|
|
|
|
|
|
Shares Purchased as |
|
Maximum Number of |
|
|
|
|
|
|
|
|
|
|
Part of Publicly |
|
Shares That May Yet |
|
|
Total Number of Shares |
|
Average Price Paid |
|
Announced Plans or |
|
Be Purchased Under |
Period |
|
Purchased(1) |
|
per Share ($) |
|
Programs |
|
The Plan or Program |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7/1/08 to 7/31/08 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
8/1/08 to 8/30/08 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
9/1/08 to 9/30/08 |
|
|
56,725 |
|
|
|
24.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Totals |
|
|
56,725 |
|
|
|
24.00 |
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
The number of shares purchased other than through a publicly announced plan or program includes 56,725 shares purchased
from former or current executives of the Company. |
33
The following table sets forth the Companys purchases of HealthMarkets, Inc. Class A-2 common
stock during each of the months in the three-month period ended September 30, 2008.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Number of |
|
|
|
|
|
|
|
|
|
|
|
|
Shares Purchased as |
|
Maximum Number of |
|
|
|
|
|
|
|
|
|
|
Part of Publicly |
|
Shares That May Yet |
|
|
Total Number of Shares |
|
Average Price Paid |
|
Announced Plans or |
|
Be Purchased Under |
Period |
|
Purchased(1) |
|
per Share ($) |
|
Programs |
|
The Plan or Program |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7/1/08 to 7/31/08 |
|
|
169,814 |
|
|
|
34.80 |
|
|
|
|
|
|
|
|
|
8/1/08 to 8/30/08 |
|
|
205,722 |
|
|
|
24.00 |
|
|
|
|
|
|
|
|
|
9/1/08 to 9/30/08 |
|
|
61,689 |
|
|
|
24.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Totals |
|
|
437,225 |
|
|
|
28.19 |
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
The number of shares purchased other than through a publicly announced plan or program includes 437,225 shares
purchased from former or current participants of the stock accumulation plans established for the benefit of Companys
agents. |
ITEM 6. EXHIBITS
(b) Exhibits.
|
|
|
Exhibit No. |
|
Description |
|
|
|
10.1
|
|
Separation, Consulting and Release Agreement, dated as of
September 19, 2008, by and between HealthMarkets, Inc. and the
MEGA Life and Health Insurance Company and David W. Fields,
filed as Exhibit 10.1 to the Current Report on Form 8-K dated
September 17, 2008, File No. 001-14953, and incorporated by
reference herein. |
|
|
|
10.2
|
|
Employment Agreement dated as of September 30, 2008, by and
between HealthMarkets, Inc. and Steven P. Erwin, filed as
Exhibit 10.1 to the Current Report on Form 8-K dated September
30, 2008, File No. 001-14953, and incorporated by reference
herein. |
|
|
|
10.3
|
|
Nonqualified Stock Option Agreement, dated as of September 30,
2008, by and between HealthMarkets, Inc and Steven P. Erwin,
filed as Exhibit 10.2 to the Current Report on Form 8-K dated
September 30, 2008, File No. 001-14953, and incorporated by
reference herein. |
|
|
|
10.4
|
|
Employment Agreement dated as of October 15, 2008, by and
between HealthMarkets, Inc. and Anurag Chandra, filed as
Exhibit 10.1 to the Current Report on Form 8-K dated October
15, 2008, File No. 001-14953, and incorporated by reference
herein. |
|
|
|
10.5
|
|
Nonqualified Stock Option Agreement dated as of October 15,
2008, by and between HealthMarkets, Inc and Anurag Chandra,
filed as Exhibit 10.2 to the Current Report on Form 8-K dated
October 15, 2008, File No. 001-14953, and incorporated by
reference herein. |
|
|
|
31.1
|
|
Rule 13a-14(a)/15d-14(a) Certification, executed by Phillip
Hildebrand, President and Chief Executive Officer of
HealthMarkets, Inc. |
|
|
|
31.2
|
|
Rule 13a-14(a)/15d-14(a) Certification, executed by Steven P.
Erwin, Executive Vice President and Chief Financial Officer
of HealthMarkets, Inc. |
|
|
|
32
|
|
Certifications required by Rule 13a-14(b) or Rule 15d-14(b)
and Section 1350 of Chapter 63 of Title 18 of the United
States Code (18 U.S.C. 1350), executed by Phillip Hildebrand,
President and Chief Executive Officer of HealthMarkets, Inc.
and Steven P. Erwin, Executive Vice President and Chief
Financial Officer of HealthMarkets, Inc. |
34
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly
caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
|
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|
|
HEALTHMARKETS, INC
(Registrant)
|
|
Date: November 14, 2008 |
/s/ Phillip J. Hildebrand
|
|
|
Phillip J. Hildebrand |
|
|
President and Chief Executive Officer |
|
|
|
|
|
Date: November 14, 2008 |
/s/ Steven P. Erwin
|
|
|
Steven P. Erwin |
|
|
Executive Vice President and Chief Financial Officer |
|
|
|
|
|
Date: November 14, 2008 |
/s/ Philip Rydzewski
|
|
|
Philip Rydzewski |
|
|
Senior Vice President and Chief Accounting Officer |
|
35