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 March 31, 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):
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Large accelerated filer o |
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Accelerated filer o |
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Non-accelerated filer þ
(Do not check if a smaller reporting company) |
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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 April 29, 2008 the registrant had 26,922,331 outstanding shares of Class A-1 Common Stock,
$.01 Par Value, and 3,583,442 outstanding shares of Class A-2 Common Stock, $.01 Par Value.
HEALTHMARKETS, INC.
and Subsidiaries
First 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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March 31, |
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December 31, |
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2008 |
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2007 |
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(Unaudited) |
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ASSETS |
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Investments: |
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Securities available for sale |
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Fixed
maturities, at fair value (cost: 2008$1,227,524; 2007$1,314,069) |
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$ |
1,214,582 |
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$ |
1,304,424 |
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Equity
securities, at fair value (cost: 2008$271; 2007$300) |
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315 |
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346 |
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Policy loans |
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14,199 |
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14,279 |
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Short-term
and other investments, at fair value (cost: 2008$256,181; 2007$163,727) |
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254,349 |
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162,552 |
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Total investments |
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1,483,445 |
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1,481,601 |
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Cash and cash equivalents |
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6,544 |
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14,309 |
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Student loans |
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90,186 |
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96,254 |
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Restricted cash |
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9,381 |
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8,496 |
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Investment income due and accrued |
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19,141 |
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20,114 |
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Due premiums |
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3,683 |
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4,055 |
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Reinsurance receivables |
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62,798 |
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73,032 |
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Agents and other receivables |
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46,446 |
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63,965 |
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Deferred acquisition costs |
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196,314 |
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197,979 |
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Property and equipment, net |
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70,420 |
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69,939 |
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Goodwill and other intangible assets |
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88,786 |
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89,194 |
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Recoverable federal income taxes |
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12,977 |
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4,962 |
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Other assets |
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47,674 |
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31,682 |
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Total assets |
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$ |
2,137,795 |
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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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$ |
467,988 |
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$ |
463,277 |
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Claims |
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436,667 |
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435,099 |
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Unearned premiums |
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90,934 |
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92,266 |
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Other policy liabilities |
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10,621 |
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10,764 |
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Accounts payable and accrued expenses |
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58,532 |
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69,633 |
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Other liabilities |
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103,145 |
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112,210 |
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Deferred federal income tax |
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86,255 |
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84,968 |
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Debt |
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481,070 |
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481,070 |
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Student loan credit facility |
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94,600 |
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97,400 |
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Net liabilities of discontinued operations |
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2,568 |
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2,635 |
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Total liabilities |
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1,832,380 |
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1,849,322 |
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Commitments and contingencies |
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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 $0.01 per share |
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310 |
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310 |
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Additional paid-in capital |
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56,009 |
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55,754 |
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Accumulated other comprehensive loss |
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(20,110 |
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(13,132 |
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Retained earnings |
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274,849 |
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281,141 |
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Treasury stock, at cost |
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(5,643 |
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(17,813 |
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Total stockholders equity |
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305,415 |
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306,260 |
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Total liabilities and stockholders equity |
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$ |
2,137,795 |
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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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March 31, |
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2008 |
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2007 |
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REVENUE |
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Health premiums |
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$ |
317,265 |
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$ |
333,762 |
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Life premiums and other considerations |
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18,755 |
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16,381 |
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336,020 |
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350,143 |
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Investment income |
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21,832 |
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26,460 |
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Other income |
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22,192 |
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25,615 |
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Gains on sales of investments |
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1,377 |
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2,403 |
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381,421 |
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404,621 |
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BENEFITS AND EXPENSES |
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Benefits, claims, and settlement expenses |
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224,257 |
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215,331 |
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Underwriting, acquisition, and insurance expenses |
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128,306 |
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120,447 |
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Other expenses |
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26,951 |
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21,782 |
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Interest expense |
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11,172 |
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12,996 |
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390,686 |
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370,556 |
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Income (loss) from continuing operations before income taxes |
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(9,265 |
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34,065 |
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Federal income taxes (benefit) |
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(2,941 |
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11,441 |
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Income (loss) from continuing operations |
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(6,324 |
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22,624 |
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Income from discontinued operations, net of income tax |
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31 |
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67 |
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Net income (loss) |
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$ |
(6,293 |
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$ |
22,691 |
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Basic earnings per share: |
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Income (loss) from continuing operations |
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$ |
(0.20 |
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$ |
0.75 |
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Income from discontinued operations |
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Net income (loss) per share, basic |
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$ |
(0.20 |
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$ |
0.75 |
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Diluted earnings per share: |
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Income (loss) from continuing operations |
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$ |
(0.20 |
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$ |
0.73 |
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Income from discontinued operations |
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Net income (loss) per share, diluted |
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$ |
(0.20 |
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$ |
0.73 |
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See Notes to Consolidated Condensed Financial Statements.
2
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands)
(Unaudited)
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Three Months Ended |
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March 31, |
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2008 |
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2007 |
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Net income (loss) |
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$ |
(6,293 |
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$ |
22,691 |
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Other comprehensive income (loss): |
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Unrealized gains (losses) on securities available for sale |
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(4,461 |
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2,935 |
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Reclassification
for investment gains (losses) included in net income |
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505 |
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(877 |
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Effect on other comprehensive income from investment securities |
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(3,956 |
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2,058 |
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Unrealized losses on derivatives used in cash flow hedging during the period |
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(6,635 |
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(909 |
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Reclassification adjustment for losses included in net income |
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(162 |
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(60 |
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Effect on other comprehensive income from hedging activities |
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(6,797 |
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(969 |
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Other comprehensive income (losses) before tax |
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(10,753 |
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1,089 |
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Income tax expense (benefit) related to items of other comprehensive income (loss) |
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(3,775 |
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381 |
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Other comprehensive income (loss) net of tax |
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(6,978 |
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708 |
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Comprehensive income (loss) |
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$ |
(13,271 |
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$ |
23,399 |
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See Notes to Consolidated Condensed Financial Statements.
3
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
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Three Months Ended |
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March 31 |
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2008 |
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2007 |
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Operating Activities: |
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Net income (loss) |
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$ |
(6,293 |
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$ |
22,691 |
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Income from discontinued operations |
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(31 |
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(67 |
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Adjustments
to reconcile net income (loss) to cash provided by operating activities: |
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Gains on sales of investments |
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(1,377 |
) |
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(2,403 |
) |
Change in deferred income taxes |
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5,063 |
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7,073 |
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Depreciation and amortization |
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6,774 |
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6,090 |
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Equity based compensation expense |
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2,899 |
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3,730 |
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Provision for doubtful accounts |
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4,068 |
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113 |
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Changes in assets and liabilities: |
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Investment income due and accrued |
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155 |
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(69 |
) |
Due premiums |
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372 |
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(218 |
) |
Reinsurance receivables |
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10,234 |
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(8,115 |
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Other receivables |
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21,326 |
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|
716 |
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Deferred acquisition costs |
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1,665 |
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(2,650 |
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Prepaid monitoring fees |
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(9,375 |
) |
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(9,375 |
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Current income tax recoverable |
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(8,015 |
) |
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4,410 |
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Policy liabilities |
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6,856 |
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13,288 |
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Other liabilities and accrued expenses |
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(14,172 |
) |
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(13,170 |
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Other items, net |
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(5,026 |
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1,319 |
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Cash provided by continuing operations |
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15,123 |
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23,363 |
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Cash used in discontinued operations |
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(36 |
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(188 |
) |
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Net cash provided by operating activities |
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15,087 |
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23,175 |
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Investing Activities: |
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Increase in investment assets |
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(10,797 |
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(46,800 |
) |
Decrease in student loans |
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3,375 |
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3,340 |
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Increase in restricted cash |
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(885 |
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(1,024 |
) |
Purchase of property and equipment |
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(5,744 |
) |
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(3,878 |
) |
Distribution from investment in Grapevine Finance LLC |
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81 |
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|
468 |
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Decrease (increase) in agents receivables |
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(107 |
) |
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53 |
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Net cash used in investing activities |
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(14,077 |
) |
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(47,841 |
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Financing Activities: |
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Decrease in investment products |
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(2,051 |
) |
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(1,001 |
) |
Repayment of student loan credit facility |
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(2,800 |
) |
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|
(2,250 |
) |
Exercise of stock options |
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|
261 |
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|
25 |
|
Purchase of treasury stock |
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(4,185 |
) |
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|
(38 |
) |
Other |
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|
400 |
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Net cash used in financing activities |
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(8,775 |
) |
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(2,864 |
) |
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Net change in cash and cash equivalents |
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(7,765 |
) |
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(27,530 |
) |
Cash and cash equivalents at beginning of period |
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|
14,309 |
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|
32,756 |
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Cash and cash equivalents at end of period in continuing operations |
|
$ |
6,544 |
|
|
$ |
5,226 |
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Supplemental disclosures: |
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Income taxes paid (refunded) |
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|
28 |
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|
(4 |
) |
Interest paid |
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|
9,828 |
|
|
|
10,843 |
|
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 month period ending March 31, 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
On March 19, 2008, the FASB issued FAS No. 161, Disclosures about Derivative Instruments and
Hedging Activities, which amends FASB Statement No. 133, Accounting for Derivative Instruments and
Hedging Activities. The Statement 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 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, FAS No. 160, Noncontrolling Interests in Consolidated Financial
Statementsan amendment of ARB No. 51, was issued. The objective of FAS No. 160 is to improve the
relevance, comparability, and transparency of the financial information related to minority
interest that a reporting entity provides in its consolidated financial statements. This Statement
is effective for fiscal years, and interim periods within those fiscal years, beginning on or after
December 15, 2008. The Company believes this statement will not have a material impact on its
financial position or results of operations.
In February 2007, FAS No. 159, The Fair Value Option for Financial Assets and Financial
Liabilities (FAS 159) was issued. FAS 159 permits an entity to elect fair value as the initial and
subsequent measurement attribute for many financial assets and liabilities. Entities electing the
fair value option would be required to recognize changes in fair value in earnings. Entities
electing the fair value option are required to distinguish on the face of the statement of
financial position, the fair value of assets and liabilities for which the fair value option has
been elected and similar assets and liabilities measured using another measurement attribute. FAS
159 is effective for fiscal year 2008. The adjustment to reflect the difference between the fair
value and the carrying amount would be accounted for as a cumulative-effect adjustment to retained
earnings as of the date of initial adoption. The Company did not elect the provisions of FAS 159.
In December 2007, the FASB issued FAS No. 141(R), Business Combinations (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
5
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. DEBT
In connection with the Merger completed on April 5, 2006, HealthMarkets, LLC, a direct
wholly-owned subsidiary of the Company, 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, and
the proceeds were used to fund a portion of the consideration paid in the Merger. At March 31,
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.
Also in connection with the merger, 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 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 |
|
|
|
at |
|
|
Ended |
|
|
|
March 31, 2008 |
|
|
March 31, 2008 |
|
|
|
|
2006 credit agreement: |
|
|
|
|
|
|
|
|
Term loan |
|
$ |
362,500 |
|
|
$ |
5,424 |
|
$75 Million revolver (non-use fee) |
|
|
|
|
|
|
37 |
|
Trust preferred securities: |
|
|
|
|
|
|
|
|
UICI Capital Trust I |
|
|
15,470 |
|
|
|
292 |
|
HealthMarkets Capital Trust I |
|
|
51,550 |
|
|
|
1,004 |
|
HealthMarkets Capital Trust II |
|
|
51,550 |
|
|
|
1,090 |
|
Other: |
|
|
|
|
|
|
|
|
Interest on Deferred Tax |
|
|
|
|
|
|
1,042 |
|
Student loan credit facility |
|
|
94,600 |
|
|
|
1,180 |
|
Amortization of financing fees |
|
|
|
|
|
|
1,103 |
|
|
|
|
|
|
|
|
Total |
|
$ |
575,670 |
|
|
$ |
11,172 |
|
|
|
|
|
|
|
|
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.
6
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 March 31, 2008, the interest rate swaps had an aggregate fair value of approximately
$15.0 million, which is reflected under the caption Other Liabilities. During the three months
ended March 31, 2008, the Company incurred a loss of $17,000, 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 March 31, 2008, pretax income of $348,000 ($226,000 net of tax) was
reclassified into interest expense from accumulated other comprehensive income as adjustments to
interest payments on variable rate debt. In addition, expense of $169,000 ($110,000 net of tax) was
reclassified into earnings associated with the previous termination of the hedging relationship in
the fourth quarter of 2006.
At March 31, 2008, accumulated other comprehensive income included a deferred after-tax net
loss of $10.6 million related to the interest rate swaps of which $1.7 million ($1.1 million 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.
3. NET INCOME PER SHARE
The following table sets forth the computation of basic and diluted earnings per share:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
|
March 31 |
|
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands, except per share amounts) |
|
Income (loss) from continuing operations |
|
$ |
(6,324 |
) |
|
$ |
22,624 |
|
Income from discontinued operations |
|
|
31 |
|
|
|
67 |
|
|
|
|
|
|
|
|
Net income (loss) available to common shareholders |
|
$ |
(6,293 |
) |
|
$ |
22,691 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding, basic |
|
|
30,796 |
|
|
|
30,242 |
|
Dilutive effect of stock options and other shares |
|
|
|
|
|
|
763 |
|
|
|
|
|
|
|
|
Weighted average shares outstanding, dilutive |
|
|
30,796 |
|
|
|
31,005 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings (losses) per share: |
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
(0.20 |
) |
|
$ |
0.75 |
|
From discontinued operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income per share, basic |
|
$ |
(0.20 |
) |
|
$ |
0.75 |
|
|
|
|
|
|
|
|
Diluted earnings (losses) per share: |
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
(0.20 |
) |
|
$ |
0.73 |
|
From discontinued operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) per share, diluted |
|
$ |
(0.20 |
) |
|
$ |
0.73 |
|
|
|
|
|
|
|
|
As of March 31, 2008, 27,000,062 shares of Class A-1 common stock were issued, of which
26,922,331 were outstanding and 77,731 shares were held in treasury and 4,012,139 shares of Class
A-2 common stock were issued, of which 3,945,042 shares were outstanding and 67,097 shares were
held in treasury.
4. COMMITMENTS AND CONTINGENCIES
The Company is a party to the following material legal proceedings:
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
7
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.
State of Maine Rate Inquiry Litigation
As previously disclosed, MEGA was named as a defendant in an action filed on November 15, 2007
by the Department of Professional and Financial Regulation, Maine Bureau of Insurance (In Re: MEGA
Life and Health Insurance Company Rates For Individual Plans) pending before the Superintendent of
the Maine Bureau of Insurance, Docket No. Ins-07-1010. The Maine Attorney General moved to
intervene and was granted status as a party to the action. The action was initiated to determine
whether MEGA is in compliance with Maines requirement that rates for health insurance not be
excessive, inadequate, or unfairly discriminatory as set forth in 24-A M.R.S.A. § 2736-C(5) and
Maine Rule Ch. 940, § 8(A). The parties executed a settlement agreement resolving this matter on
April 3, 2008 on terms that did not have a material adverse effect upon the Companys consolidated
financial condition or results of operations and did not require MEGA to admit wrongdoing,
liability or violation of law.
Association Group Litigation
As previously disclosed, HealthMarkets and MEGA were named as defendants in an action filed on
July 25, 2006 (Christopher Closson, individually, and as Successor in interest to Kathy Closson,
deceased v. HealthMarkets, MEGA, National Association for the Self-Employed, et al.) pending in the
Superior Court for the County of Riverside, California, Case No. RIC453741. Plaintiff has alleged
several causes of action, including breach of fiduciary duty, negligent failure to obtain
insurance, fraud by concealment, promissory fraud, civil conspiracy, professional negligence,
negligence, intentional infliction of emotional distress and violation of the California Consumer
Legal Remedies Act. Plaintiff seeks injunctive relief, and general and punitive monetary damages in
an unspecified amount. On May 2, 2007, the California court dismissed the causes of action alleging
civil conspiracy and intentional infliction of emotional distress (with leave to amend) and the
cause of action alleging violation of the California Consumer Legal Remedies Act (without leave to
amend). On June 11, 2007, plaintiff filed an amended complaint, which MEGA responded to on July 16,
2007. On May 5, 2008, the Court denied MEGAs motion for summary judgment in this matter.
Other Litigation Matters
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
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.
8
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. As
previously disclosed, these matters include the multi-state market conduct examination of
HealthMarkets principal insurance subsidiaries for the examination period January 1, 2000 through
December 31, 2005. Reference is made to the discussion of the multi-state market conduct
examination contained in the Companys Annual Report on Form 10-K for the year ended December 31,
2007 under the caption Item 3 Legal Proceedings and in Note 17 of Notes to the Companys
Consolidated Financial Statements included in such report. 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. Historically, our insurance subsidiaries have
from time to time been subject to such fines and penalties, none of which individually or in the
aggregate have had a material adverse effect on our results of operations or financial condition.
However, the multi-state market conduct examination and 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 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.
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
to be generated with respect to 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 has
recorded $1.2 million and $6.5 million of realized gains as an adjustment to the purchase price
related to positive claim experience in 2007 and 2006, respectively. The Company has made no
adjustment to the purchase price due to the premium provision. The Company will continue to examine
whether any additional adjustments should be made in the future.
5. 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 Life Insurance Division, the Medicare Division and Other Insurance Division. Other Key
Factors includes investment income not allocated to the Insurance segment, realized gains or losses
on sale of investments, 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 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.
9
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 |
|
|
|
March 31 |
|
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
Revenue from continuing operations: |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
322,889 |
|
|
$ |
360,240 |
|
Life Insurance Division |
|
|
24,090 |
|
|
|
21,554 |
|
Medicare Division |
|
|
16,102 |
|
|
|
|
|
Other Insurance Division |
|
|
7,692 |
|
|
|
7,626 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
370,773 |
|
|
|
389,420 |
|
Other Key Factors |
|
|
10,651 |
|
|
|
15,721 |
|
Intersegment Eliminations |
|
|
(3 |
) |
|
|
(488 |
) |
|
|
|
|
|
|
|
Total revenue excluding disposed operations |
|
|
381,421 |
|
|
|
404,653 |
|
Disposed Operation: |
|
|
|
|
|
|
|
|
Star HRG |
|
|
|
|
|
|
(32 |
) |
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
|
|
|
|
(32 |
) |
|
|
|
|
|
|
|
Total revenue from continuing operations |
|
$ |
381,421 |
|
|
$ |
404,621 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
|
March 31, |
|
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
Income (loss) from continuing operations before federal income taxes: |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
12,506 |
|
|
$ |
35,430 |
|
Life Insurance Division |
|
|
(2,120 |
) |
|
|
29 |
|
Medicare Division |
|
|
(4,977 |
) |
|
|
|
|
Other Insurance Division |
|
|
1,072 |
|
|
|
1,760 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
6,481 |
|
|
|
37,219 |
|
Other Key Factors: |
|
|
|
|
|
|
|
|
Investment income on equity, interest expense, realized gains and
losses, general corporate expenses and other items |
|
|
(15,265 |
) |
|
|
(5,061 |
) |
Variable stock-based compensation expense |
|
|
(290 |
) |
|
|
1,551 |
|
|
|
|
|
|
|
|
Total Other Key Factors |
|
|
(15,555 |
) |
|
|
(3,510 |
) |
|
|
|
|
|
|
|
Total operating income (loss) excluding disposed operations |
|
|
(9,074 |
) |
|
|
33,709 |
|
|
|
|
|
|
|
|
Disposed Operations: |
|
|
|
|
|
|
|
|
Student Insurance Division |
|
|
(140 |
) |
|
|
277 |
|
Star HRG Division |
|
|
(51 |
) |
|
|
79 |
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
(191 |
) |
|
|
356 |
|
|
|
|
|
|
|
|
Total income (loss) from continuing operations before taxes |
|
$ |
(9,265 |
) |
|
$ |
34,065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
March 31, |
|
|
December 31, |
|
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
Assets |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
837,732 |
|
|
$ |
878,911 |
|
Life Insurance Division |
|
|
550,370 |
|
|
|
540,474 |
|
Medicare Division |
|
|
14,778 |
|
|
|
|
|
Other Insurance Division |
|
|
22,372 |
|
|
|
21,034 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
1,425,252 |
|
|
|
1,440,419 |
|
Other Key Factors |
|
|
664,920 |
|
|
|
664,210 |
|
|
|
|
|
|
|
|
Total Assets excluding disposed operations |
|
|
2,090,172 |
|
|
|
2,104,629 |
|
|
|
|
|
|
|
|
Disposed Operations: |
|
|
|
|
|
|
|
|
Student Insurance Division |
|
|
47,584 |
|
|
|
50,905 |
|
Star HRG Division |
|
|
39 |
|
|
|
48 |
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
47,623 |
|
|
|
50,953 |
|
|
|
|
|
|
|
|
|
|
$ |
2,137,795 |
|
|
$ |
2,155,582 |
|
|
|
|
|
|
|
|
The Student Insurance Division assets of $47.6 million and $50.9 million at March 31, 2008 and
December 31, 2007, respectively, primarily represent a reinsurance receivable associated with a
coinsurance agreement entered into with an insurance affiliate of UnitedHealth Group.
10
6. 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 UGA Association Field Services, New United Agency, and Cornerstone America.
Set forth in the table below is the total compensation expense and tax benefit associated with
the Companys Agent Plans for the three months ended March 31, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
|
March 31, |
|
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
SEA Division stock-based compensation expense |
|
$ |
1,320 |
|
|
$ |
4,620 |
|
Other Key Factors variable non-cash stock-based compensation expense |
|
|
290 |
|
|
|
(1,551 |
) |
|
|
|
|
|
|
|
Total Agent Plan compensation expense |
|
|
1,610 |
|
|
|
3,069 |
|
Related Tax Benefit |
|
|
564 |
|
|
|
1,074 |
|
|
|
|
|
|
|
|
Net expense included in financial results |
|
$ |
1,046 |
|
|
$ |
1,995 |
|
|
|
|
|
|
|
|
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 March 31, 2008, the Company had recorded 1,074,389 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.
Employee Stock Option Plans
During the quarter ended March 31, 2008, options to purchase a total of 12,000 shares of Class
A-1 common stock were granted under the 2006 Plan to three employees at an exercise price of
$35.00, 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.
7. TRANSACTIONS WITH RELATED PARTIES
On April 5, 2006, the Company completed its Merger and, as a result, affiliates of The
Blackstone Group, Goldman Sachs Capital Partners and DLJ Merchant Banking Partners (the Private
Equity Investors) held, as of March 31, 2008, approximately 53.4%, 21.9% and 10.9%, respectively,
of the Companys outstanding equity securities. Certain members of the Board of Directors of the
Company are affiliated with the Private Equity Investors.
In accordance with the terms of Transaction and Monitoring Fee Agreements with advisory
affiliates of each of the Private Equity Investors, the advisory affiliates of each of the Private
Equity Investors agreed to provide to the Company ongoing monitoring, advisory and consulting
services, for which the Company agreed to pay to affiliates of 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 with respect to 2008 were paid in full to the
advisory affiliates of the Private Equity Investors on January 8, 2008. The Company has expensed
$3.1 million through March 31, 2008.
11
8. FAIR VALUE MEASUREMENT
Effective January 1, 2008, HealthMarkets adopted FAS No. 157, Fair Value Measurements, for our
financial assets. 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. 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 what assumptions a market participant would use, including inputs derived from extrapolation and
interpolation that are not corroborated by observable market data. |
Valuation of Investments
For investments that have quoted market prices in active markets, the Company uses the quoted
market prices 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 relies on a
pricing service to determine an estimate of fair value. The fair value estimates provided by this
pricing service are included in the amount disclosed in Level 2 of the hierarchy. If quoted market
prices and an estimate from a pricing service 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. When relying
on bid/ask spreads from dealers, the Company will use the mid-mark to determine fair value. In
extreme cases, where the bid/ask spread is unusually wide, the Company may use a convention other
than the mid-mark to determine fair value based on other observable inputs.
The following is a description of the valuation methodologies used for financial assets
measured at fair value, including the general classification of such assets pursuant to the
valuation hierarchy.
Fixed Income Investments
The Company utilizes a pricing service to estimate fair value measurements for approximately
96% of its fixed income investments. Fixed income investments, other than U.S. Treasury
securities, generally do not trade on a daily basis. The pricing service prepares estimates of
fair value measurements for these securities using its proprietary pricing applications which
include available relevant market information, benchmark curves, benchmarking of like securities,
sector groupings, and matrix pricing. Additionally the pricing service uses an option adjusted
spread model to develop prepayment and interest rate scenarios.
The pricing service evaluates each asset class based on relevant market information, relevant
credit information, perceived market movements and sector news. The market inputs utilized in the
pricing evaluation, listed in the approximate order of priority, include: benchmark yields,
reported trades, broker/dealer quotes, issuer spreads, two-sided markets, benchmark securities,
bids, offers, reference data, and industry and economic events. The extent of the use of each
market input depends on the asset class and the market conditions.
The pricing service utilized by the Company has indicated that they will only produce an
estimate of fair value if there is objectively verifiable information to produce a valuation. If
the pricing service discontinues pricing an investment, the Company would be required to produce an
estimate of fair value using some of the same methodologies as the pricing service, but may have to
make assumptions for market based inputs that are unavailable due to market conditions.
Because the fair value estimates of most fixed income investments are determined by
evaluations that are based on observable market information rather than market quotes, all
estimates of fair value for fixed income investments, other
12
than U.S. Treasury securities, that are provided by the pricing service are disclosed in Level
2 of the hierarchy. The estimated values of U.S. Treasury securities are included in the amount
disclosed in Level 1 as the estimates are based on unadjusted market prices.
While the vast majority of the Companys fixed income investments are included in Level 2, the
Company holds a small number of fixed income investments where it estimates the fair value of these
bonds using internal pricing matrices with some unobservable inputs that are significant to the
valuation. Due to the limited amount of observable market information, the Company includes the
fair value estimates for these particular bonds in Level 3 of the hierarchy.
Equities
Included in Equity securities is one security in which the Company receives a quoted market
price from its third party pricing service. The price is based on observable market transactions
and the Company includes the fair value estimate for the 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.
Derivatives
Our derivative instruments are valued using models that primarily use market observable inputs
and therefore are classified as Level 2 because they are traded in markets where quoted market
prices are not readily available.
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.
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 March 31, 2008
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In thousands |
|
Level 1 |
|
|
Level 2 |
|
|
Level 3 |
|
|
Total |
|
Government and agencies |
|
$ |
11,017 |
|
|
$ |
31,009 |
|
|
$ |
|
|
|
$ |
42,026 |
|
Corporate debt and other |
|
|
|
|
|
|
636,107 |
|
|
|
|
|
|
|
636,107 |
|
Mortgage and asset-backed |
|
|
|
|
|
|
331,269 |
|
|
|
2,428 |
|
|
|
333,697 |
|
Municipals |
|
|
|
|
|
|
202,752 |
|
|
|
|
|
|
|
202,752 |
|
Corporate equities |
|
|
46 |
|
|
|
|
|
|
|
|
|
|
|
46 |
|
Other invested assets (1) |
|
|
|
|
|
|
20,500 |
|
|
|
2,464 |
|
|
|
22,964 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
11,063 |
|
|
$ |
1,221,637 |
|
|
$ |
4,892 |
|
|
$ |
1,237,592 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Liabilities at Fair Value as of March 31, 2008
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In thousands |
|
Level 1 |
|
|
Level 2 |
|
|
Level 3 |
|
|
Total |
|
Interest rate swaps
|
|
|
$ |
|
|
$ |
15,010 |
|
|
|
$ |
|
|
$ |
15,010 |
|
Agent
and employee plans |
|
|
|
|
|
|
|
|
|
|
22,957 |
|
|
|
22,957 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
|
|
$ |
15,010 |
|
|
$ |
22,957 |
|
|
$ |
37,967 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
Amount is reflected in Short-term and other investments on the Companys balance sheet. |
Level 3 Gains and Losses
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 ended March 31, 2008
Change in Level 3 Assets During the Period
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Mortgage |
|
|
|
Other Invested |
|
|
and Asset |
|
|
|
Assets |
|
|
Backed |
|
|
|
In thousands |
|
Balance at December 31, 2007 |
|
$ |
3,380 |
|
|
$ |
2,579 |
|
Net Payments |
|
|
(258 |
) |
|
|
(90 |
) |
Accrual of Discount included in income |
|
|
|
|
|
|
6 |
|
Unrealized Losses included in other comprehensive income |
|
|
(658 |
) |
|
|
(67 |
) |
|
|
|
|
|
|
|
Balance at March 31, 2008 |
|
$ |
2,464 |
|
|
$ |
2,428 |
|
|
|
|
|
|
|
|
Change
in Level 3 Liabilities During the Period
|
|
|
|
|
|
|
Agent and |
|
|
|
Employee |
|
|
|
Stock Plans |
|
|
|
In thousands |
|
Balance at December 31, 2007 |
|
$ |
37,273 |
|
Additions and change in vesting |
|
|
2,302 |
|
Changes due
to fluctuation in Company share price |
|
|
|
|
Decrease due to payments and vesting |
|
|
(16,618 |
) |
|
|
|
|
Balance at March 31, 2008 |
|
$ |
22,957 |
|
|
|
|
|
13
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 Life Insurance Division, the Medicare Division and Other Insurance Division. Other Key
Factors includes investment income not allocated to the Insurance segment, realized gains or losses
on sale of investments, 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 former Star HRG Division
and former Student Insurance Division.
Results of Operations
The table below sets forth certain summary information about the Companys operating results
for the three months ended March 31, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
|
March 31, |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
|
|
|
|
REVENUE |
|
|
|
|
|
|
|
|
|
|
|
|
Health premiums |
|
$ |
317,265 |
|
|
$ |
333,762 |
|
|
|
(5 |
)% |
Life premiums and other considerations |
|
|
18,755 |
|
|
|
16,381 |
|
|
|
14 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
336,020 |
|
|
|
350,143 |
|
|
|
(4 |
)% |
Investment income |
|
|
21,832 |
|
|
|
26,460 |
|
|
|
(17 |
)% |
Other income |
|
|
22,192 |
|
|
|
25,615 |
|
|
|
(13 |
)% |
Gains on sale of investments |
|
|
1,377 |
|
|
|
2,403 |
|
|
|
(43 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
381,421 |
|
|
|
404,621 |
|
|
|
(6 |
)% |
BENEFITS AND EXPENSES |
|
|
|
|
|
|
|
|
|
|
|
|
Benefits, claims, and settlement expenses |
|
|
224,257 |
|
|
|
215,331 |
|
|
|
4 |
% |
Underwriting, policy acquisition costs, and insurance expenses |
|
|
128,306 |
|
|
|
120,447 |
|
|
|
6 |
% |
Other expenses |
|
|
26,951 |
|
|
|
21,782 |
|
|
|
25 |
% |
Interest expense |
|
|
11,172 |
|
|
|
12,996 |
|
|
|
(14 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
390,686 |
|
|
|
370,556 |
|
|
|
5 |
% |
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations before income taxes |
|
|
(9,265 |
) |
|
|
34,065 |
|
|
NM |
|
Federal income taxes |
|
|
(2,941 |
) |
|
|
11,441 |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations |
|
|
(6,324 |
) |
|
|
22,624 |
|
|
NM |
|
Income from discontinued operations (net of income tax) |
|
|
31 |
|
|
|
67 |
|
|
|
(54 |
)% |
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
(6,293 |
) |
|
$ |
22,691 |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
NM: not meaningful
14
Revenue and income from continuing operations before federal income taxes (operating income)
by business segment are summarized in the tables below:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
|
March 31 |
|
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
Revenue from continuing operations: |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
322,889 |
|
|
$ |
360,240 |
|
Life Insurance Division |
|
|
24,090 |
|
|
|
21,554 |
|
Medicare Division |
|
|
16,102 |
|
|
|
|
|
Other Insurance Division |
|
|
7,692 |
|
|
|
7,626 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
370,773 |
|
|
|
389,420 |
|
Other Key Factors |
|
|
10,651 |
|
|
|
15,721 |
|
Intersegment Eliminations |
|
|
(3 |
) |
|
|
(488 |
) |
|
|
|
|
|
|
|
Total revenue excluding disposed operations |
|
|
381,421 |
|
|
|
404,653 |
|
Disposed Operation: |
|
|
|
|
|
|
|
|
Star HRG |
|
|
|
|
|
|
(32 |
) |
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
|
|
|
|
(32 |
) |
|
|
|
|
|
|
|
Total revenue from continuing operations |
|
$ |
381,421 |
|
|
$ |
404,621 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
|
March 31, |
|
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
Income (loss) from continuing operations before federal income taxes: |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
12,506 |
|
|
$ |
35,430 |
|
Life Insurance Division |
|
|
(2,120 |
) |
|
|
29 |
|
Medicare Division |
|
|
(4,977 |
) |
|
|
|
|
Other Insurance Division |
|
|
1,072 |
|
|
|
1,760 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
6,481 |
|
|
|
37,219 |
|
Other Key Factors: |
|
|
|
|
|
|
|
|
Investment income on equity, interest expense, realized gains and
losses, general corporate expenses and other items |
|
|
(15,265 |
) |
|
|
(5,061 |
) |
Variable stock-based compensation expense |
|
|
(290 |
) |
|
|
1,551 |
|
|
|
|
|
|
|
|
Total Other Key Factors |
|
|
(15,555 |
) |
|
|
(3,510 |
) |
|
|
|
|
|
|
|
Total operating income (loss) excluding disposed operations |
|
|
(9,074 |
) |
|
|
33,709 |
|
|
|
|
|
|
|
|
Disposed Operations: |
|
|
|
|
|
|
|
|
Student Insurance Division |
|
|
(140 |
) |
|
|
277 |
|
Star HRG Division |
|
|
(51 |
) |
|
|
79 |
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
(191 |
) |
|
|
356 |
|
|
|
|
|
|
|
|
Total income (loss) from continuing operations before taxes |
|
$ |
(9,265 |
) |
|
$ |
34,065 |
|
|
|
|
|
|
|
|
HealthMarkets results of operations for the three months ended March 31, 2008 and 2007 were
particularly impacted by the following factors:
Self- Employed Agency Division
Set forth below is certain summary financial and operating data for the Companys
Self-Employed Agency Division for the three months ended March 31, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
|
March 31 |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
|
|
|
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
294,204 |
|
|
$ |
326,657 |
|
|
|
(10 |
)% |
Investment income |
|
|
7,235 |
|
|
|
7,909 |
|
|
|
(9 |
)% |
Other income |
|
|
21,450 |
|
|
|
25,674 |
|
|
|
(16 |
)% |
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
322,889 |
|
|
|
360,240 |
|
|
|
(10 |
)% |
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
189,116 |
|
|
|
198,608 |
|
|
|
(5 |
)% |
Underwriting and policy acquisition expenses |
|
|
108,923 |
|
|
|
112,077 |
|
|
|
(3 |
)% |
Other expenses |
|
|
12,344 |
|
|
|
14,125 |
|
|
|
(13 |
)% |
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
310,383 |
|
|
|
324,810 |
|
|
|
(4 |
)% |
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
12,506 |
|
|
$ |
35,430 |
|
|
|
(65 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
64.3 |
% |
|
|
60.8 |
% |
|
|
|
|
Expense ratio |
|
|
37.0 |
% |
|
|
34.3 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
101.3 |
% |
|
|
95.1 |
% |
|
|
|
|
Average number of writing agents in period |
|
|
1,579 |
|
|
|
2,103 |
|
|
|
|
|
Submitted annualized volume |
|
$ |
129,183 |
|
|
$ |
200,623 |
|
|
|
|
|
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.
15
The SEA Division reported operating income in the three month period ended March 31, 2008 of
$12.5 million compared to operating income of $35.4 million in the corresponding period. Operating
income in the SEA Division as a percentage of earned premium revenue (i.e., operating margin) in
the three month period ended March 31, 2008 was 4.3% compared to operating margin of 10.8% in the
corresponding 2007 period. The decrease in operating margin during the current year period
compared to the corresponding prior year period is generally attributable to an increase in the
loss ratio reflecting an ongoing gradual shift in product mix to the Companys newer CareOne
product suite which provides a higher proportion of premium dollars as benefit. Operating margin
was also adversely impacted during the current year period due to a 9.2% decrease in earned
premium. Underwriting and policy acquisition expenses decreased by $3.2 million to $108.9 million
during the current period. 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
memberships by our dedicated agency sales force for which other expenses are incurred for bonuses and other
compensation provided to the agents. Sales of 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.
In the three months ended March 31, 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 $129.2 million from $200.6 million, in the corresponding 2007 period. The period over
period decreases in submitted annualized premium volume were attributable primarily to a focus
during the quarter on selling the Companys new Medicare product.
Life Insurance Division
Set forth below is certain summary financial and operating data for the Companys Life
Insurance Division for the three months ended March 31, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Life Insurance Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
|
March 31 |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
|
|
|
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
18,584 |
|
|
$ |
16,270 |
|
|
|
14 |
% |
Investment income |
|
|
5,148 |
|
|
|
5,089 |
|
|
|
1 |
% |
Other income |
|
|
358 |
|
|
|
195 |
|
|
|
84 |
% |
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
24,090 |
|
|
|
21,554 |
|
|
|
12 |
% |
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
17,020 |
|
|
|
13,879 |
|
|
|
23 |
% |
Underwriting and policy acquisition expenses |
|
|
9,190 |
|
|
|
7,646 |
|
|
|
20 |
% |
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
26,210 |
|
|
|
21,525 |
|
|
|
22 |
% |
|
|
|
|
|
|
|
|
|
|
|
Operating income (loss) |
|
$ |
(2,120 |
) |
|
$ |
29 |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
NM: not meaningful
The Companys Life Insurance Division reported an operating loss in the three month period of
March 31, 2008 of $2.1 million, compared to operating income of $29,000 in the corresponding 2007
period. This $2.1 million decrease in operating income was primarily attributable to $2.0 million
of additional future policy and contract benefit reserves for certain interest sensitive whole life
products with contractual provisions for guaranteed cash surrender values and adjustable premiums.
The increase in underwriting and policy acquisition expenses in 2008 reflects the impact of a $1.8
million decrease during 2007 of amortization of deferred acquisition costs due to a refinement in
the calculation resulting from the availability of additional information following the conversion
to new actuarial reserving software. Partially offsetting the decrease in amortization of deferred
acquisition costs during 2007 was an increase in unearned premium liability which decreased premium
revenue in the first quarter of 2007. The increase in unearned premium liability was also
associated with the conversion to the new actuarial software.
In the three months ended March 31, 2008, the Companys Life Insurance Division generated
annualized paid premium volume (i.e., the aggregate annualized life premium amount associated with
new life insurance policies issued by the Company) in the amount of $5.0 million, compared to $4.2
million in the corresponding 2007 period. The 2008 increase in annualized premium was primarily
due to an increase in the sales of the Companys whole life product to assist seniors in meeting
their needs to cover final expenses.
16
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
(Medicare Advantage 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 our Chesapeake subsidiary, under a contract with the Centers for Medicare and Medicaid Services
(CMS).
Our 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 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.
Set forth below is certain summary financial and operating data for the Companys Medicare
Division for the three months ended March 31, 2008:
|
|
|
|
|
|
|
Medicare Division |
|
|
|
Three Months Ended |
|
|
|
March 31, 2008 |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
Earned premium revenue |
|
$ |
16,046 |
|
Investment income and other income |
|
|
56 |
|
|
|
|
|
Total revenue |
|
|
16,102 |
|
Benefits and Expenses |
|
|
|
|
Benefit expenses |
|
|
14,091 |
|
Underwriting and policy acquisition expenses |
|
|
6,988 |
|
|
|
|
|
Total expenses |
|
|
21,079 |
|
|
|
|
|
Operating loss |
|
$ |
(4,977 |
) |
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
Loss ratio |
|
|
87.8 |
% |
Expense ratio |
|
|
43.6 |
% |
|
|
|
|
Combined ratio |
|
|
131.4 |
% |
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 Medicare Division produced $16.0 million in earned premium for the three months ended
March 31, 2008 on 19,400 member months. The Company had 8,500 enrolled members as of March 31,
2008. Benefit expenses of $14.1 million resulted in a loss ratio of 87.8% consistent with the
Companys expectations after adjusting for the actual member risk scores as provided by CMS.
Underwriting and policy acquisition expenses of $7.0 million for the current period include
commissions, marketing costs, and all administrative and operating costs.
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.
17
Other Insurance Division
The Other Insurance Division consists of the operations of ZON Re USA LLC (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.
Set forth below is certain summary financial and operating data for the Companys Other
Insurance Division for the three months ended March 31, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Insurance Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
|
March 31 |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
|
|
|
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
7,185 |
|
|
$ |
7,248 |
|
|
|
(1 |
)% |
Investment income |
|
|
442 |
|
|
|
360 |
|
|
|
23 |
% |
Other income |
|
|
65 |
|
|
|
18 |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
7,692 |
|
|
|
7,626 |
|
|
|
1 |
% |
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
3,974 |
|
|
|
3,175 |
|
|
|
25 |
% |
Underwriting and policy acquisition expenses |
|
|
2,646 |
|
|
|
2,691 |
|
|
|
(2 |
)% |
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
6,620 |
|
|
|
5,866 |
|
|
|
13 |
% |
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
1,072 |
|
|
$ |
1,760 |
|
|
|
(39 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
55.3 |
% |
|
|
43.8 |
% |
|
|
|
|
Expense ratio |
|
|
36.8 |
% |
|
|
37.1 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
92.1 |
% |
|
|
80.9 |
% |
|
|
|
|
NM: not meaningful
Loss ratio. The loss ratio represents benefits expenses related to accident insurance and
reinsurance contracts stated as a percentage of earned premiums.
Expense ratio. The expense ratio represents underwriting and policy acquisition expenses
related to accident insurance and reinsurance contracts stated as a percentage of earned premium
revenue.
For the three months ended March 31, 2008, operating income was $1.1 million on revenue of
$7.7 million, compared to $1.8 million of operating income on revenue of $7.6 million, for the
corresponding period in 2007. The decrease in operating income for the first quarter ended March
31, 2008 reflects the higher loss ratio during the period due to the impact of two large domestic
quota share claims.
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 months ended March 31, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Key Factors |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
|
March 31 |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
|
|
|
|
Investment income on equity |
|
$ |
7,107 |
|
|
$ |
11,105 |
|
|
|
(36 |
)% |
Additional allowance established for Student
Loan receivables |
|
|
(3,000 |
) |
|
|
|
|
|
NM |
|
Realized gain on investments |
|
|
1,427 |
|
|
|
2,403 |
|
|
|
(41 |
)% |
Interest expense on non-student loan debt |
|
|
(9,992 |
) |
|
|
(11,455 |
) |
|
|
(13 |
)% |
Variable stock-based compensation expense |
|
|
(290 |
) |
|
|
1,551 |
|
|
NM |
|
General corporate expenses and other |
|
|
(10,807 |
) |
|
|
(7,114 |
) |
|
|
52 |
% |
|
|
|
|
|
|
|
|
|
|
|
Operating expense |
|
$ |
(15,555 |
) |
|
$ |
(3,510 |
) |
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
NM: not meaningful
The Other Key Factors segment reported an operating loss in the three month period ended March
31, 2008 of $(15.6) million, compared to operating loss of $(3.5) million, in the corresponding
2007 period.
18
Operating results for the three months ended March 31, 2008 compared to the corresponding
prior period reflects the following; a decrease in investment income on equity due to a smaller
portfolio of invested assets in the 2008 period compared to the 2007 period; a decrease in
interest expense due to a lower outstanding principal balance in the 2008 period on the corporate
debt reflecting a $75 million principal payment in the second quarter of 2007; an increase in the
variable stock compensation expense largely due to the double matching program on the agent plans
effective in 2007 but not in 2008; an increase in general corporate expenses due to severance costs
associated with the previously announced departure of certain corporate executives; and the
establishment of a $3.0 million bad debt allowance on student loan receivables guaranteed by an
insurer currently seeking relief under Chapter 11 of the United States Bankruptcy Code.
Liquidity and Capital Resources
Historically, the Companys primary sources of cash on a consolidated basis have been premium
revenue from policies issued, investment income, fees and other income, and borrowings under a
secured student loan credit facility. The primary uses of cash have been payments for benefits,
claims and commissions under those policies, servicing of the Companys debt obligations, operating
expenses and the funding of student loans generated under the Companys College First Alternative
Loan program. In the three months ended March 31, 2008, net cash provided by operations totaled
approximately $15.1 million, compared to $23.2 million in the corresponding period of 2007.
HealthMarkets, Inc., is a holding company, the principal assets of which are its investment in
its wholly-owned subsidiary, HealthMarkets, LLC, to which, in connection with the Merger,
HealthMarkets, Inc. contributed substantially all of its assets and liabilities. 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 March 31, 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 $124.8 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 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.
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 March 31, 2008 and December 31, 2007 (dollars in thousands):
|
|
|
|
|
|
|
|
|
|
|
At March 31, 2008 |
|
|
At December 31, 2007 |
|
Corporate indebtedness |
|
$ |
481,070 |
|
|
$ |
481,070 |
|
Student loan credit facility |
|
|
94,600 |
|
|
|
97,400 |
|
Future policy benefits |
|
|
467,988 |
|
|
|
463,277 |
|
Claim liabilities |
|
|
436,667 |
|
|
|
435,099 |
|
Capital lease obligations |
|
|
315 |
|
|
|
364 |
|
|
|
|
|
|
|
|
Total |
|
$ |
1,480,640 |
|
|
$ |
1,477,210 |
|
|
|
|
|
|
|
|
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.
19
At each of March 31, 2008 and December 31, 2007, the Company had $19.9 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.
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
The Company has not experienced significant changes related to its market risk exposures
during the quarter ended March 31, 2008. Reference is made 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.
ITEM 4T. 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.
20
PART II. OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
The Company is a party to various material legal proceedings, which are described in Note 4 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 4 to Notes to the Companys Consolidated Condensed Financial Statements
included herein, during the fiscal quarter 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 Company has not
experienced material changes with respect to its risk factors during the quarter ended March 31,
2008. 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.
ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
During the three months ended March 31, 2008, the Company did not issue any unregistered
shares of its Class A-1 or Class A-2 common stock.
There were no Company purchases of Class A-1 common stock during the three-month period ended
March 31, 2008.
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 March 31, 2008.
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Total Number of Shares |
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Average Price |
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Purchased as Part of |
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Maximum Number of Shares |
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Total Number of |
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Paid per Share |
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Publicly Announced Plans |
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That May Yet Be Purchased |
Period |
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Shares Purchased(1) |
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($) |
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or Programs |
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Under The Plan or Program |
1/1/08 to 1/31/08 |
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54,983 |
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42.03 |
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2/1/08 to 2/29/08 |
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3/1/08 to 3/31/08 |
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53,562 |
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35.00 |
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Totals |
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108,545 |
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38.56 |
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(1) |
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The number of shares purchased other than through a publicly announced plan or program includes 108,545 shares purchased from
former or current participants of the stock accumulation plans established for the benefit of Companys agents. |
21
ITEM 6. EXHIBITS
(a) Exhibits.
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Exhibit No. |
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Description |
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10.1 |
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Transition Services
Agreement by and between
HealthMarkets, Inc. and
Troy A. McQuagge, filed as
Exhibit 10.1 to the
Current Report on Form 8-K
dated April 14, 2008, File
No. 001-14953, and
incorporated by reference
herein. |
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10.2 |
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Amendment No. 1 to
Nonqualified Stock Option
Agreement by and between
HealthMarkets, Inc. and
Troy A. McQuagge, filed as
Exhibit 10.2 to the
Current Report on Form 8-K
dated April 14, 2008, File
No. 001-14953, and
incorporated by reference
herein. |
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31.1 |
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Rule 13a-14(a)/15d-14(a)
Certification, executed by
William J. Gedwed,
President and Chief
Executive Officer of
HealthMarkets, Inc. |
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31.2 |
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Rule 13a-14(a)/15d-14(a)
Certification, executed by
Michael E. Boxer,
Executive Vice President
and Chief Financial
Officer of HealthMarkets,
Inc. |
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32 |
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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 William J. Gedwed,
President and Chief
Executive Officer of
HealthMarkets, Inc. and
Michael E. Boxer,
Executive Vice President
and Chief Financial
Officer of HealthMarkets,
Inc. |
22
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) |
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Date:
May 13, 2008
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/s/ William J. Gedwed
William J. Gedwed, President, Chief Executive
Officer and Director
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Date: May 13, 2008
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/s/ Michael E. Boxer |
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Michael E. Boxer, Executive Vice President |
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and Chief Financial Officer |
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Date: May 13, 2008
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/s/ Philip Rydzewski |
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Philip Rydzewski, Senior Vice President |
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and Chief Accounting Officer |
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23