e10vq
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
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þ |
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QUARTER REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended September 30, 2009
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
(State or other jurisdiction of
incorporation or organization)
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75-2044750
(I.R.S. Employer
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 o No þ
Indicate by check mark whether the registrant has submitted electronically and
posted on its corporate Web site, if any, every Interactive Data File required to be submitted and
posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12
months (or for such shorter period that the registrant was required to submit and post such files).
o Yes o No
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 definitions of
large accelerated filer, accelerated filer and smaller reporting company in Rule 12b-2 of the
Exchange Act.
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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 October 30, 2009 the registrant had 26,772,436 outstanding shares of Class A-1 Common
Stock, $.01 Par Value, and 2,570,460 outstanding shares of Class A-2 Common Stock, $.01 Par Value.
HEALTHMARKETS, INC.
and Subsidiaries
Third Quarter 2009 Form 10-Q
TABLE OF CONTENTS
HEALTHMARKETS, INC.
and Subsidiaries
1
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED BALANCE SHEETS
(In thousands, except per share data)
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September 30, |
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December 31, |
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2009 |
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2008 |
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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: September 30,
2009 $792,378; December 31,
2008 $855,137) |
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$ |
809,360 |
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$ |
805,026 |
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Equity
securities, at fair value (cost: September 30, 2009 $214; December 31, 2008
$178) |
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246 |
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210 |
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Trading securities, at fair value |
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13,956 |
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11,937 |
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Short-term and other investments |
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338,029 |
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210,433 |
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Total investments |
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1,161,591 |
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1,027,606 |
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Cash and cash equivalents |
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8,572 |
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100,339 |
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Student loan receivables |
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71,984 |
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78,837 |
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Restricted cash |
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7,410 |
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7,881 |
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Investment income due and accrued |
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12,294 |
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13,304 |
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Reinsurance recoverable ceded policy liabilities |
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376,499 |
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384,801 |
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Agent and other receivables |
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26,409 |
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37,954 |
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Deferred acquisition costs |
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68,796 |
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72,151 |
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Property and equipment, net |
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47,129 |
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63,198 |
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Goodwill and other intangible assets |
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86,356 |
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87,555 |
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Recoverable federal income taxes |
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1,818 |
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10,177 |
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Other assets |
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25,990 |
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32,910 |
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$ |
1,894,848 |
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$ |
1,916,713 |
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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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$ |
468,761 |
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$ |
486,174 |
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Claims |
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349,013 |
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415,748 |
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Unearned premiums |
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51,027 |
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61,491 |
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Other policy liabilities |
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9,549 |
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9,633 |
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Accounts payable and accrued expenses |
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48,892 |
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58,571 |
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Other liabilities |
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84,503 |
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94,346 |
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Deferred federal income taxes |
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48,216 |
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23,495 |
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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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78,850 |
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86,050 |
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Net liabilities of discontinued operations |
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2,007 |
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2,210 |
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1,621,888 |
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1,718,788 |
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Commitments and Contingencies (Note 8) |
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Stockholders Equity: |
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Preferred stock, par value $0.01 per share
authorized 10,000,000 shares, none issued |
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Common Stock, Class A-1, par value $0.01 per share
authorized 90,000,000 shares, 27,000,062 issued
and 26,772,436 outstanding at September 30, 2009;
27,000,062 issued and 26,887,281 outstanding at
December 31, 2008. Class A-2, par value $0.01 per
share authorized 20,000,000 shares, 4,026,104
issued and 2,626,801 outstanding at September 30,
2009; 4,026,104 issued and 2,741,240 outstanding
at December 31, 2008 |
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310 |
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310 |
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Additional paid-in capital |
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46,682 |
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54,004 |
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Accumulated other comprehensive income (loss) |
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4,185 |
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(41,970 |
) |
Retained earnings |
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257,420 |
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227,686 |
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Treasury stock, at cost (227,626 Class A-1 common
shares and 1,399,303 Class A-2 common shares at
September 30, 2009; 112,781 Class A-1 common
shares and 1,284,864 Class A-2 common shares at
December 31, 2008) |
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(35,637 |
) |
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(42,105 |
) |
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272,960 |
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197,925 |
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$ |
1,894,848 |
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$ |
1,916,713 |
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See Notes to Consolidated Condensed Financial Statements.
2
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF INCOME (LOSS)
(In thousands, except per share data)
(Unaudited)
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Three Months Ended |
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Nine Months Ended |
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September 30, |
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September 30, |
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2009 |
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2008 |
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2009 |
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2008 |
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REVENUE |
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Health premiums |
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$ |
239,560 |
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$ |
315,765 |
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$ |
753,203 |
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$ |
959,068 |
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Life premiums and other considerations |
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487 |
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673 |
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1,829 |
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37,189 |
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240,047 |
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316,438 |
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755,032 |
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996,257 |
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Investment income |
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10,873 |
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16,244 |
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32,224 |
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55,607 |
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Other income |
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15,064 |
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19,710 |
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47,841 |
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62,440 |
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Total other-than-temporary impairment losses |
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(16,785 |
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(4,078 |
) |
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(22,366 |
) |
Portion of loss recognized in other comprehensive
income (before taxes) |
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Net impairment losses recognized in earnings |
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(16,785 |
) |
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(4,078 |
) |
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(22,366 |
) |
Realized gains, net |
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795 |
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1,463 |
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2,350 |
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3,805 |
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266,779 |
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337,070 |
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833,369 |
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1,095,743 |
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BENEFITS AND EXPENSES |
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Benefits, claims, and settlement expenses |
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126,042 |
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211,500 |
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435,721 |
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661,795 |
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Underwriting, acquisition, and insurance expenses |
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84,191 |
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113,862 |
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263,467 |
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381,846 |
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Other expenses |
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21,948 |
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26,498 |
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63,862 |
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87,288 |
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Interest expense |
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7,559 |
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13,325 |
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25,252 |
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34,920 |
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239,740 |
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365,185 |
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788,302 |
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1,165,849 |
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Income
(loss) from continuing operations before income taxes |
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27,039 |
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(28,115 |
) |
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45,067 |
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(70,106 |
) |
Federal income tax expense (benefit) |
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9,644 |
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(9,319 |
) |
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16,456 |
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(25,721 |
) |
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Income (loss) from continuing operations |
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17,395 |
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(18,796 |
) |
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28,611 |
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(44,385 |
) |
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Income from discontinued operations, net |
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55 |
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82 |
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106 |
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149 |
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Net income (loss) |
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$ |
17,450 |
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$ |
(18,714 |
) |
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$ |
28,717 |
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$ |
(44,236 |
) |
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Basic earnings per share: |
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Income (loss) from continuing operations |
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$ |
0.59 |
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$ |
(0.63 |
) |
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$ |
0.97 |
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$ |
(1.46 |
) |
Income (loss) from discontinued operations |
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0.00 |
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0.00 |
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0.00 |
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0.00 |
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Net income (loss) per share, basic |
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$ |
0.59 |
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$ |
(0.63 |
) |
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$ |
0.97 |
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$ |
(1.46 |
) |
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Diluted earnings per share: |
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Income (loss) from continuing operations |
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$ |
0.58 |
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$ |
(0.63 |
) |
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$ |
0.95 |
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$ |
(1.46 |
) |
Income (loss) from discontinued operations |
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0.00 |
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0.00 |
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0.00 |
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0.00 |
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Net income (loss) per share, diluted |
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$ |
0.58 |
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$ |
(0.63 |
) |
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$ |
0.95 |
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$ |
(1.46 |
) |
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See Notes to Consolidated Condensed Financial Statements.
3
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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Nine Months Ended |
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September 30, |
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September 30, |
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2009 |
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|
2008 |
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|
2009 |
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|
2008 |
|
Net income (loss) |
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$ |
17,450 |
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$ |
(18,714 |
) |
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$ |
28,717 |
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|
$ |
(44,236 |
) |
Implementation effect upon adoption of SFAS FSP No. 115-2, which was codified
into FASB ASC Topic 320, Investments Debt and Equity Securities |
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1,017 |
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Other comprehensive income (loss): |
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Unrealized gains (losses) on securities available for sale arising during the period |
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38,360 |
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(27,956 |
) |
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65,131 |
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(45,954 |
) |
Reclassification for investment (gains) losses included in net income (loss) |
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(809 |
) |
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(756 |
) |
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2,221 |
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(1,170 |
) |
Other-than-temporary impairment losses recognized in OCI |
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(1,565 |
) |
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Effect on other comprehensive income (loss) from investment securities |
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37,551 |
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(28,712 |
) |
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65,787 |
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(47,124 |
) |
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Unrealized gains (losses) on derivatives used in cash flow hedging during the period |
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(1,137 |
) |
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(901 |
) |
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(2,036 |
) |
|
|
(2,881 |
) |
Reclassification adjustments included in net income (loss) |
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|
2,380 |
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|
1,891 |
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|
7,260 |
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4,188 |
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Effect on other comprehensive income from hedging activities |
|
|
1,243 |
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|
990 |
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|
5,224 |
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|
1,307 |
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|
Other comprehensive income (loss) before tax |
|
|
38,794 |
|
|
|
(27,722 |
) |
|
|
71,011 |
|
|
|
(45,817 |
) |
Income tax expense (benefit) related to items of other comprehensive income (loss) |
|
|
13,579 |
|
|
|
(9,691 |
) |
|
|
24,856 |
|
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(16,010 |
) |
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Other comprehensive income (loss) net of tax |
|
|
25,215 |
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|
(18,031 |
) |
|
|
46,155 |
|
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|
(29,807 |
) |
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Comprehensive income (loss) |
|
$ |
42,665 |
|
|
$ |
(36,745 |
) |
|
$ |
75,889 |
|
|
$ |
(74,043 |
) |
|
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|
|
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|
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|
See Notes to Consolidated Condensed Financial Statements.
4
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
|
2009 |
|
|
2008 |
|
Operating Activities: |
|
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
28,717 |
|
|
$ |
(44,236 |
) |
Adjustments to reconcile net income (loss) to cash (used in) provided
by operating activities: |
|
|
|
|
|
|
|
|
Income from discontinued operations |
|
|
(106 |
) |
|
|
(149 |
) |
Realized gains, net |
|
|
2,217 |
|
|
|
14,043 |
|
Change in deferred income taxes |
|
|
(681 |
) |
|
|
(38,220 |
) |
Depreciation and amortization |
|
|
22,962 |
|
|
|
22,275 |
|
Amortization of prepaid monitoring fees |
|
|
9,375 |
|
|
|
9,375 |
|
Equity based compensation expense |
|
|
5,250 |
|
|
|
3,477 |
|
Other items, net |
|
|
9,732 |
|
|
|
575 |
|
Changes in assets and liabilities: |
|
|
|
|
|
|
|
|
Investment income due and accrued |
|
|
1,010 |
|
|
|
3,681 |
|
Due premiums |
|
|
1,845 |
|
|
|
797 |
|
Reinsurance recoverable ceded policy liabilities |
|
|
8,869 |
|
|
|
(328,793 |
) |
Agent and other receivables |
|
|
7,476 |
|
|
|
45,200 |
|
Deferred acquisition costs |
|
|
3,355 |
|
|
|
121,975 |
|
Prepaid monitoring fees |
|
|
(12,500 |
) |
|
|
(12,500 |
) |
Current income tax recoverable |
|
|
8,359 |
|
|
|
10,323 |
|
Policy liabilities |
|
|
(90,286 |
) |
|
|
11,412 |
|
Other liabilities and accrued expenses |
|
|
(6,514 |
) |
|
|
(31,457 |
) |
|
|
|
|
|
|
|
Cash used in continuing operations |
|
|
(920 |
) |
|
|
(212,222 |
) |
Cash used in discontinued operations |
|
|
(97 |
) |
|
|
(52 |
) |
|
|
|
|
|
|
|
Net cash used in operating activities |
|
|
(1,017 |
) |
|
|
(212,274 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investing Activities: |
|
|
|
|
|
|
|
|
Student loan receivables |
|
|
4,763 |
|
|
|
5,492 |
|
Securities available for sale |
|
|
59,069 |
|
|
|
247,395 |
|
Short-term and other investments, net |
|
|
(127,140 |
) |
|
|
175 |
|
Purchases of property and equipment |
|
|
(2,170 |
) |
|
|
(13,698 |
) |
Proceeds from subsidiaries sold, net of cash disposed of $437 |
|
|
(440 |
) |
|
|
|
|
Net proceeds from sale of businesses and assets |
|
|
|
|
|
|
4,665 |
|
Change in restricted cash |
|
|
471 |
|
|
|
767 |
|
Decrease (increase) in agent receivables |
|
|
(276 |
) |
|
|
2,923 |
|
|
|
|
|
|
|
|
Cash (used in) provided by continuing operations |
|
|
(65,723 |
) |
|
|
247,719 |
|
Cash (used in) provided by discontinued operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash (used in) provided by investing activities |
|
|
(65,723 |
) |
|
|
247,719 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financing Activities: |
|
|
|
|
|
|
|
|
Repayment of student loan credit facility |
|
|
(7,200 |
) |
|
|
(9,400 |
) |
Decrease in investment products |
|
|
(4,410 |
) |
|
|
(1,322 |
) |
Increase in cash overdraft |
|
|
|
|
|
|
2,931 |
|
Proceeds from shares issued to agent plans and other |
|
|
6,340 |
|
|
|
9,923 |
|
Purchases of treasury stock |
|
|
(18,279 |
) |
|
|
(51,566 |
) |
Excess tax reduction from equity based compensation |
|
|
(1,478 |
) |
|
|
(320 |
) |
|
|
|
|
|
|
|
Cash used in continuing operations |
|
|
(25,027 |
) |
|
|
(49,754 |
) |
Cash (used in) provided by discontinued operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in financing activities |
|
|
(25,027 |
) |
|
|
(49,754 |
) |
|
|
|
|
|
|
|
Net change in cash and cash equivalents |
|
|
(91,767 |
) |
|
|
(14,309 |
) |
Cash and cash equivalents at beginning of period |
|
|
100,339 |
|
|
|
14,309 |
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period in continuing operations |
|
$ |
8,572 |
|
|
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Supplemental disclosures: |
|
|
|
|
|
|
|
|
Income taxes paid |
|
$ |
10,314 |
|
|
$ |
2,588 |
|
|
|
|
|
|
|
|
Interest paid |
|
$ |
29,142 |
|
|
$ |
35,966 |
|
|
|
|
|
|
|
|
See Notes to Consolidated Condensed Financial Statements.
5
HEALTHMARKETS, INC.
and Subsidiaries
NOTES TO CONSOLIDATED CONDENSED FINANCIAL STATEMENTS
(Unaudited)
1. BASIS OF PRESENTATION
The accompanying 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 the 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. The accompanying December 31, 2008
consolidated condensed balance sheet was derived from audited consolidated financial statements,
but does not include all disclosures required by GAAP for annual financial statement purposes.
Preparing financial statements requires management to make estimates and assumptions that affect
the amounts that are reported in the financial statements and the accompanying disclosures.
Although these estimates are based on managements knowledge of current events and actions that
HealthMarkets may undertake in the future, actual results may differ materially from the estimates.
Operating results for the three and nine months ended September 30, 2009 are not necessarily
indicative of the results that may be expected for the full year ending December 31, 2009. Certain
amounts in the prior period financial statements have been reclassified to conform to the 2009
financial statement presentation. We have evaluated subsequent events for recognition or
disclosure through November 6, 2009, which was the date we filed this Form 10-Q with the Securities
and Exchange Commission (the SEC). 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, 2008.
Concentrations
Through the Self-Employed Agency Division (SEA), the Companys insurance company
subsidiaries provide health insurance products in 41 states and the District of Columbia. As is
the case with many of HealthMarkets competitors in this market, a substantial portion of the
Companys insurance company subsidiaries products are issued to members of various independent
membership associations that act as the master policyholder for such products. The three principal
membership associations in the self-employed market that make available to their members our health
insurance products are the Alliance for Affordable Services (AAS), the National Association for
the Self-Employed (NASE) and Americans for Financial Security (AFS). During the nine months
ended September 30, 2009, the Company issued approximately 49% of our new policies through AAS,
approximately 12% of our new policies through NASE and approximately 22% of our new policies
through AFS.
Additionally, during the nine months ended September 30, 2009, the Company generated
approximately 56% of its health premium revenue from the following 10 states:
|
|
|
|
|
|
|
Percentage |
|
California |
|
|
13 |
% |
Texas |
|
|
8 |
% |
Florida |
|
|
7 |
% |
Massachusetts |
|
|
6 |
% |
Illinois |
|
|
5 |
% |
Washington |
|
|
4 |
% |
North Carolina |
|
|
4 |
% |
Maine |
|
|
3 |
% |
Pennsylvania |
|
|
3 |
% |
Wisconsin |
|
|
3 |
% |
|
|
|
|
|
|
|
56 |
% |
As
previously reported, on August 26, 2009, The MEGA Life and Health Insurance Company (MEGA), Mid-West
National Life Insurance Company of Tennessee (Mid-West) and The Chesapeake Life Insurance Company
(Chesapeake) entered into a regulatory settlement agreement with the Massachusetts Division of
Insurance to resolve all outstanding matters stemming from a 2006 regulatory settlement agreement
and to resolve all issues identified in subsequent reviews and/or re-examinations conducted through
February 2009. As
previously reported, on August 31, 2009, the Company, MEGA and Mid-West entered into a consent with the
Commonwealth of Massachusetts settling the matter entitled Commonwealth of Massachusetts v. The
MEGA Life and Health Insurance Company, pending in the Superior Court of Suffolk County,
Massachusetts, Case
6
Number 06-4411-F. As a result of these settlements, the Companys insurance
subsidiaries are prohibited from offering any new health benefit plans in Massachusetts on or after
October 1, 2009. See Note 8 of Notes to Consolidated Condensed Financial Statements for additional
information.
Deferred
Acquisition Costs (DAC) 2009 Change in Estimates
Prior to January 1, 2009, the basis for the amortization period on deferred lead costs and the
portion of DAC associated with excess commissions over ultimate paid to agents was the estimated
weighted average life of the insurance policy, which approximated 24 months. The monthly
amortization factor was calculated to correspond with the historical persistency of policies (i.e.
the monthly amortization is variable and is higher in the early months). Beginning January 1,
2009, on newly issued policies, the Company refined its estimated life of the policy to approximate
the premium paying period of the policy based on the expected persistency over this period. As
such, these costs are now amortized over sixty months, and the monthly amortization factor is
calculated to correspond with the expected persistency experience for the newly issued policies.
However, the amounts amortized will continue to be substantially higher in the early months of the
policy as both are based on the persistency of the Companys insurance policies. Policies issued
before January 1, 2009 will continue to be amortized using the existing assumptions in place at the
time of the issuance of the policy.
Additionally, prior to January 1, 2009, certain other underwriting and policy issuance costs,
which the Company determined to be more fixed than variable, were expensed as incurred. Effective
January 1, 2009, HealthMarkets determined that, due to changes in both the Companys products and
underwriting procedures performed, certain of these costs have become more variable than fixed in
nature. As such, the Company began deferring such costs over the expected premium paying period of
the policy, which approximates five years.
These changes resulted in a decrease in Underwriting, acquisition and insurance expenses of
$3.0 million and $10.3 million, respectively, for the three and nine months ended September 30,
2009.
Recent Accounting Pronouncements
In June 2009, the Financial Accounting Standards Board (the FASB) issued Statement of
Financial Accounting Standards (SFAS) No. 167, Amendments to FASB Interpretation No. 46(R) (SFAS
No. 167), which has not yet been codified in the FASB Accounting Standards Codification (ASC).
SFAS No. 167 modifies financial reporting for variable interest entities (VIEs). Under this
guidance, companies are required to perform a periodic analysis to determine whether their variable
interest must be consolidated by the Company. Additionally, Companies must disclose significant
judgments and assumptions made when determining whether it must consolidate a VIE. Any changes in
consolidated entities resulting from a Companys analysis must be applied retrospectively to prior
period financial statements. SFAS No. 167 is effective for annual and interim periods beginning
after November 15, 2009. The Company has not yet determined the impact that the adoption of this
guidance will have on its financial position and results of operations.
In June 2009, the FASB issued SFAS No. 166, Accounting for Transfers of Financial Assetsan
amendment of SFAS No. 140 (SFAS No. 166), which has not yet been codified in the ASC. SFAS No.
166 provides greater transparency about transfers of financial assets and requires companies to
determine whether the transferor or companies included in the transferors financial statements
have surrendered control over transferred financial assets. SFAS No. 166 modifies the
financial-components approach used in SFAS No. 140, Accounting for Transfers and Servicing of
Financial Assets and Extinguishments of Liabilities, which was codified into FASB ASC Topic 860,
Transfers and Servicing, and limits the circumstances in which a financial asset, or portion of a
financial asset, should be derecognized. Additionally, this FSP removes the concept of a
qualifying special-purpose entity (QSPE) and removes the exception from applying FASB
Interpretation No. 46 (revised December 2003), Consolidation of Variable Interest Entities, to
QSPEs. SFAS No. 166 is effective for annual and interim periods beginning after November 15, 2009.
The Company has not yet determined the impact that the adoption of this guidance will have on its
financial position and results of operations.
In September 2009, the FASB issued ASC Updated 2009-12, Fair Value Measurements and
Disclosures (Topic 820) Investments in Certain Entities that Calculate Net Asset Value per Share
(or Its Equivalent), which provides amendments to Subtopic 820-10, Fair Value Measurements and
Disclosures Overall, for the fair value measurement of investments in certain entities that
calculate net asset value per share (or its equivalent). This Update is effective for annual and
interim periods beginning after December 15, 2009. The Company has not yet determined the impact
that the adoption of this guidance will have on its financial position and results of operations.
In June 2009, the FASB issued SFAS No. 168, The FASB Accounting Standards Codification and the
Hierarchy of Generally Accepted Accounting Principlesa replacement of FASB Statement No. 162,
which was codified into FASB ASC Topic 105, Generally Accepted Accounting Standards. This standard
recognizes the ASC as the source of
7
authoritative U.S. GAAP recognized by the FASB. Additionally,
rules and interpretive releases of the SEC under authority of federal securities laws will also
continue to be sources of authoritative GAAP for SEC registrants. The Company adopted such
guidance in September 2009. Beginning in the third quarter of 2009, this guidance impacted the
Companys financial statements and related disclosures as all references to authoritative
accounting literature reflect the newly adopted codification.
In May 2009, the FASB issued SFAS No. 165, Subsequent Events (SFAS No. 165), which was
codified into FASB ASC Topic 855, Subsequent Events. Under this guidance, an entity is required to
disclose the date through which it has evaluated subsequent events and the basis for that date.
Additionally, this guidance clarifies the circumstances under which an entity should recognize in
the financial statements, the effects of events or transactions occurring after the balance sheet
date, and required disclosures for such events and transactions. The Company adopted this guidance
in the third quarter of 2009. Such adoption did not have a material impact on the Companys
financial position and results of operations.
In August 2009, the FASB issued ASC Update No. 2009-05, Fair Value Measurements and
Disclosures (Topic 820 Measuring Liabilities at Fair Value), which provides amendments to
Subtopic 820-10, Fair Value Measurements and Disclosures Overall, for the fair value measurement
of liabilities. This Update provides clarification for measuring fair value in circumstances where
a quoted price in an active market for the identical liability is not available. The Company
adopted this guidance in the third quarter of 2009. Such adoption did not have a material impact on
the Companys financial position and results of operations.
In April 2009, the FASB issued FASB Staff Position (FSP) SFAS No. 157-4, Determining Fair
Value When the Volume and Level of Activity for the Asset or Liability Have Significantly Decreased
and Identifying Transactions That Are Not Orderly, which was codified into FASB ASC Topic 820, Fair
Value Measurements and Disclosures (ASC Topic 820). This standard provides guidance for
estimating fair value when the market activity for the asset or liability has significantly
decreased and guidance for identifying transactions that are not orderly. Furthermore, this
guidance requires disclosure in interim and annual periods for the inputs and valuation techniques
used to measure fair value. Additionally, it requires an entity to disclose a change in valuation
technique, and to quantify such effects. The Company adopted this guidance in the second quarter
of 2009. Such adoption did not have a material impact on the Companys financial position and
results of operations.
In February 2008, the FASB issued FSP SFAS No. 157-2, Effective Date of FASB Statement No.
157, which was codified into FASB ASC Topic 820. This guidance delays the effective date of SFAS
No. 157, Fair Value Measurements, for all nonfinancial assets and nonfinancial liabilities, except
those that are recognized or disclosed at fair value in the financial statements on a recurring
basis (at least annually). These nonfinancial items would include, for example, reporting units
measured at fair value in a goodwill impairment test and nonfinancial assets acquired and
liabilities assumed in a business combination. The Company adopted this guidance in the first
quarter of 2009. Such adoption of these remaining provisions did not have a material impact on the
Companys financial position and results of operations.
In April 2009, the FASB issued FSP SFAS No. 107-1 and APB 28-1, Disclosures about Fair Value
of Financial Instruments, which was codified into FASB ASC Topic 825, Financial Instruments. This
guidance requires companies to provide disclosures about fair value of financial instruments in
both interim and annual financial statements. Additionally, under this guidance, companies are
required to disclose the methods and significant assumptions used to estimate the fair value of
financial instruments in both interim and annual financial statements. The Company adopted this
guidance in the second quarter of 2009. Such adoption did not have a material impact on the
Companys financial position and results of operations.
In April 2009, FASB issued FSP SFAS No. 115-2, Recognition and Presentation of
Other-Than-Temporary Impairments (FSP SFAS No. 115-2), which was codified into FASB ASC Topic
320, Investments Debt and Equity Securities (ASC Topic 320). This guidance improves the
presentation and disclosure of other-than-temporary impairments on debt and equity securities in
the financial statements. Under this guidance, when the fair value is less than the amortized cost
basis at the measurement date, a company would be required to assess the impaired security to
determine whether the impairment is other-than-temporary. Such assessment may result in the
recognition of an other-than-temporary impairment related to a credit loss in the statement of
income and the recognition of an other-than-temporary impairment related to a non-credit loss in
accumulated other comprehensive income on the balance sheet. To avoid recognizing the entire
other-than-temporary impairment in the statement of income, a company would be required to assert
(a) it does not have the intent to sell the security and (b) it is more likely than not that it
will not have to sell the security before recovery of its cost basis. Additionally, at adoption, a
company is permitted to make a one-time cumulative-effect adjustment for securities held at
adoption for which an other-than-temporary impairment related to a non-credit loss had been
previously recognized. The Company adopted this guidance in the second quarter of 2009. Upon
adoption, the Company recognized such tax-effected cumulative effect as an increase to the opening
balance of retained earnings for $1.0 million with a
8
corresponding decrease to accumulated other comprehensive income, with no overall change to shareholders equity. See Note 4 of Notes to
Consolidated Condensed Financial Statements.
On January 1, 2009, the FASB issued SFAS No. 161, Disclosures about Derivative Instruments and
Hedging Activitiesan amendment of FASB Statement No. 133, which was codified into FASB ASC Topic
815, Derivative Instruments (ASC Topic 815). This standard requires companies with derivative
instruments to disclose information that enables financial statement users to understand how and
why a company uses derivative instruments, how derivative instruments and related hedged items are
accounted for and how derivative instruments and related hedged items affect a companys financial
position, financial performance, and cash flows. The Company adopted this guidance in the first
quarter of 2009. See Note 6 of Notes to Consolidated Condensed Financial Statements for information
on the Companys derivative instrument, including these additional required disclosures.
In December 2007, the FASB issued SFAS No. 160, Non-controlling Interests in Consolidated
Financial Statementsan amendment of ARB No. 51 (SFAS No. 160), which was codified into FASB ASC
Topic 810, Consolidation. The objective of SFAS No. 160 is to improve the relevance, comparability,
and transparency of financial information related to minority interest in consolidated financial
statements. The Company adopted this guidance in the first quarter of 2009. Such adoption did not
have a material impact on the Companys financial position and results of operations.
2. DISPOSITIONS
Exit from Life Insurance Division Business
On September 30, 2008 (the Closing Date), HealthMarkets, LLC completed the transactions
contemplated by the Agreement for Reinsurance and Purchase and Sale of Assets dated June 12, 2008
(the Master Agreement). Pursuant to the Master Agreement, Wilton Reassurance Company or its
affiliates (Wilton) acquired substantially all of the business of the Companys Life Insurance
Division, which operated through MEGA, Mid-West and The Chesapeake Life Insurance Company
(Chesapeake) (collectively the Ceding Companies), and all of the Companys 79% equity interest
in each of U.S. Managers Life Insurance Company, Ltd. and Financial Services Reinsurance, Ltd. As
part of the transaction, under the terms of the Coinsurance Agreements (the Coinsurance
Agreements) entered into with each of the Ceding Companies on the Closing Date, Wilton agreed,
effective July 1, 2008 (the Coinsurance Effective Date), to reinsure on a 100% coinsurance basis
substantially all of the insurance policies associated with the Companys Life Insurance Division
(the Coinsured Policies). The reinsurance transaction resulted in a pre-tax loss of $17.6
million for the nine months ended September 30, 2008, of which $13.0 million was recorded as an
impairment to the Life Insurance Divisions deferred acquisition costs and $4.6 million was
recorded in Realized gains, net in the Companys consolidated condensed statement of income
(loss).
In connection with these transactions, the Company incurred $6.3 million in investment banker
fees and legal fees recorded as Other expenses on the Companys consolidated condensed statement
of income (loss), of which $5.0 million was incurred during the three months ended September 30,
2008. The Company also incurred $6.4 million of employee and lease termination costs and other
costs recorded in Underwriting, acquisition and insurance expenses, of which $3.2 million was
incurred during the three months ended September 30, 2008 (see Note 11 of Notes to Consolidated
Condensed Financial Statements). In addition, the Company incurred interest expense of $3.0
million during the third quarter of 2008 associated with the use of the cash transferred to Wilton
during the period from the Coinsurance Effective Date to the Closing Date. Lastly, the Ceding
Companies wrote-off deferred acquisition costs of $101.1 million, representing all of the deferred
acquisition costs associated with the Coinsured Policies subject to the transaction, which is
included in the realized loss on the transaction. This write-off of deferred acquisition costs
correspondingly reduced the related deferred tax assets by $36.7 million at September 30, 2008.
Student Loans
In connection with the execution of the Master Agreement, HealthMarkets, LLC entered into a
definitive Stock Purchase Agreement (as amended, the Stock Purchase Agreement) pursuant to which
Wilton agreed to purchase the Companys student loan funding vehicles, CFLD-I, Inc. (CFLD-I) and
UICI Funding Corp. 2 (UFC2), and the related student association. Prior to June 30, 2009, the
Company had presented the assets and liabilities of CFLD-I and UFC2 as held for sale on its
consolidated condensed balance sheet and included the results of operations of CFLD-I and UFC2 in
discontinued operations on its consolidated condensed statement of income (loss). As the closing
of the Stock Purchase Agreement did not occur, the Company reclassified the assets and liabilities
of CFLD-I and UFC2 out of held for sale and reclassified the results of operations from
discontinued operations to continuing operations for all periods presented. Such reclassification
in the condensed consolidated statement of income (loss) resulted in an increase in Loss from
continuing operations of $12,000 and $5.3 million for the three and nine months ended September
30, 2008, respectively.
9
In
accordance with the terms of the Coinsurance Agreements, Wilton will fund student loans;
provided, however, that Wilton will not be required to fund any student loan that would cause the
aggregate par value of all such loans funded by Wilton, following the Coinsurance Effective Date,
to exceed $10.0 million. As of September 30, 2009, approximately $1.4 million of student loans
have been funded under this agreement.
Sale of ZON-Re
The Companys Other Insurance Division consisted of ZON-Re USA, LLC (ZON-Re), an 82.5%-owned
subsidiary, which underwrote, administered and issued accidental death, accidental death and
dismemberment (AD&D), accident medical, and accident disability insurance products, both on a
primary and on a reinsurance basis. The Company distributed these products through professional
reinsurance intermediaries and a network of independent commercial insurance agents, brokers and
third party administrators.
On June 5, 2009, HealthMarkets, LLC, entered into an Acquisition Agreement for the sale of its
82.5% membership interest in ZON-Re to Venue Re, LLC (Venue Re). The transaction contemplated by
the Acquisition Agreement closed effective June 30, 2009. The sale of the Companys membership
interest in ZON-Re resulted in a total pre-tax loss of $489,000 for the nine months ended September
30, 2009. The Company will continue to reflect the existing insurance business in its financial
statements to final termination of all liabilities.
Exit from the Medicare Market
In late 2007, the Company expanded into the Medicare market by offering a new portfolio of
Medicare Advantage Private-Fee-for-Service Plans called HealthMarkets Care Assured
PlansSM in selected markets in 29 states with calendar year coverage effective for
January 1, 2008. In July 2008, the Company determined it would not continue to participate in the
Medicare business after the 2008 plan year. In connection with its exit from the Medicare market,
the Company incurred employee termination costs of $371,000 and asset impairment charges of $1.1
million associated with technology assets unique to its Medicare business in the third quarter of
2008. Additionally, during the nine months ended September 30, 2008, the Company recognized a $4.9
million expense, recorded in Underwriting, acquisition and insurance expenses, associated with a
minimum volume guarantee fee related to the Companys contract with a third party administrator.
This minimum volume guarantee fee was based on a minimum number of member months for the three year
term of the contract covering calendar years 2008 through 2010. During 2009, the Company continued
to fulfill its remaining obligations under the 2008 calendar year Medicare contracts.
3. FAIR VALUE MEASUREMENTS
In accordance with ASC Topic 820, the Company categorizes its investments and certain other
assets and liabilities recorded at fair value into a three-level fair value hierarchy as follows:
|
|
|
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, such as interest rates and yield curves at commonly quoted intervals,
volatilities, prepayment speeds, default rates, and credit spreads. Market inputs that
are not directly observable but are derived from or corroborated by observable market
data. |
|
|
|
Level 3 Unobservable inputs based on the Companys own judgment as to assumptions a
market participant would use, including inputs derived from extrapolation and
interpolation that are not corroborated by observable market data. |
The Company evaluates the various types of securities in its investment portfolio to determine
the appropriate level in the fair value hierarchy based upon trading activity and the observability
of market inputs. The Company employs control processes to validate the reasonableness of the fair
value estimates of its assets and liabilities, including those estimates based on prices and quotes
obtained from independent third party sources. The Companys procedures generally include, but are
not limited to, initial and ongoing evaluation of methodologies used by independent third parties
and monthly analytical reviews of the prices against current pricing trends and statistics.
10
Where possible, the Company utilizes quoted market prices to measure fair value. For
investments that have quoted market prices in active markets, the Company uses the quoted market
price as fair value and includes these prices in the amounts disclosed in Level 1 of the hierarchy.
When quoted market prices in active markets are unavailable, the Company determines fair values
using various valuation techniques and models based on a range of observable market inputs
including pricing models, quoted market price of publicly traded securities with similar duration
and yield, time value, yield curve, prepayment speeds, default rates and discounted cash flow. In
most cases, these estimates are determined based on independent third party valuation information,
and the amounts are disclosed in Level 2 of the fair value hierarchy. Generally, the Company
obtains a single price or quote per instrument from independent third parties to assist in
establishing the fair value of these investments.
If quoted market prices and independent third party valuation information are unavailable, the
Company produces an estimate of fair value based on internally developed valuation techniques,
which, depending on the level of observable market inputs, will render the fair value estimate as
Level 2 or Level 3. On occasions when pricing service data is unavailable, the Company may rely on
bid/ask spreads from dealers in determining the fair value. When dealer quotations are used to
assist in establishing the fair value, the Company generally obtains one quote per instrument. The
quotes obtained from dealers or brokers are generally non-binding. When dealer quotations are used,
the Company uses the mid-mark as fair value. When broker or dealer quotations are used for
valuation or price verification, greater priority is given to executable quotes. As part of the
price verification process, valuations based on quotes are corroborated by comparison both to other
quotes and to recent trading activity in the same or similar instruments.
To the extent the Company determines that a price or quote is inconsistent with actual trading
activity observed in that investment or similar investments, or if the Company does not think the
quote is reflective of the market value for the investment, the Company will internally develop a
fair value using this observable market information and disclose the occurrence of this
circumstance.
In accordance with ASC Topic 820, the Company has categorized its available for sale
securities into a three level fair value hierarchy based on the priority of inputs to the valuation
techniques. The fair values of investments disclosed in Level 1 of the fair value hierarchy include
money market funds and certain U.S. government securities, while the investments disclosed in Level
2 include the majority of the Companys fixed income investments. In cases where there is limited
activity or less transparency around inputs to the valuation, the Company classifies the fair value
estimates within Level 3 of the fair value hierarchy.
As of September 30, 2009, all of the Companys investments classified within Level 2 and Level
3 of the fair value hierarchy are valued based on quotes or prices obtained from independent third
parties, except for $106.3 million of Corporate debt and other classified as Level 2, $2.2
million of Collateralized debt obligations classified as Level 3 and $1.4 million of
Commercial-backed investments classified as Level 3. The $106.3 million of Corporate debt and
other investments classified as Level 2 noted above includes $93.9 million of an investment grade
corporate bond issued by UnitedHealth Group that was received as consideration for the sale of the
Companys former Student Insurance Division in December 2006.
11
Fair Value Hierarchy on a Recurring Basis
Assets and liabilities measured at fair value on a recurring basis are categorized in the
tables below based upon the lowest level of significant input to the valuations.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Assets at Fair Value as of September 30, 2009 |
|
|
|
Level 1 |
|
|
Level 2 |
|
|
Level 3 |
|
|
Total |
|
|
|
|
|
|
|
(In thousands) |
|
|
|
|
|
U.S. and U.S. Government agencies |
|
$ |
5,085 |
|
|
$ |
43,114 |
|
|
$ |
|
|
|
$ |
48,199 |
|
Corporate debt and other |
|
|
|
|
|
|
351,705 |
|
|
|
|
|
|
|
351,705 |
|
Collateralized debt obligations |
|
|
|
|
|
|
|
|
|
|
3,096 |
|
|
|
3,096 |
|
Residential-backed issued by agencies |
|
|
|
|
|
|
111,585 |
|
|
|
|
|
|
|
111,585 |
|
Commercial-backed issued by agencies |
|
|
|
|
|
|
8,787 |
|
|
|
|
|
|
|
8,787 |
|
Residential-backed |
|
|
|
|
|
|
4,189 |
|
|
|
|
|
|
|
4,189 |
|
Commercial-backed |
|
|
|
|
|
|
75,361 |
|
|
|
1,388 |
|
|
|
76,749 |
|
Asset-backed |
|
|
|
|
|
|
20,367 |
|
|
|
445 |
|
|
|
20,812 |
|
Municipals |
|
|
|
|
|
|
176,968 |
|
|
|
7,270 |
|
|
|
184,238 |
|
Corporate equities |
|
|
33 |
|
|
|
|
|
|
|
|
|
|
|
33 |
|
Trading securities |
|
|
|
|
|
|
|
|
|
|
13,956 |
|
|
|
13,956 |
|
Put options (1) |
|
|
|
|
|
|
|
|
|
|
794 |
|
|
|
794 |
|
Short-term and other investments (2) |
|
|
312,805 |
|
|
|
6,234 |
|
|
|
440 |
|
|
|
319,479 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
317,923 |
|
|
$ |
798,310 |
|
|
$ |
27,389 |
|
|
$ |
1,143,622 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
Included in Other assets on the consolidated condensed balance sheet. |
|
(2) |
|
Amount excludes $18.6 million of short-term other investments which are not subject to
fair value measurement. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Liabilities at Fair Value as of September 30, 2009 |
|
|
|
Level 1 |
|
|
Level 2 |
|
|
Level 3 |
|
|
Total |
|
|
|
|
|
|
|
(In thousands) |
|
|
|
|
|
Interest rate swaps |
|
$ |
|
|
|
$ |
10,714 |
|
|
$ |
|
|
|
$ |
10,714 |
|
Agent and employee plans |
|
|
|
|
|
|
|
|
|
|
14,982 |
|
|
|
14,982 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
|
|
|
$ |
10,714 |
|
|
$ |
14,982 |
|
|
$ |
25,696 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The following is a description of the valuation methodologies used for certain assets and
liabilities of the Company measured at fair value on a recurring basis, including the general
classification of such assets pursuant to the valuation hierarchy.
Fixed Income Investments
Available for sale investments
The Companys fixed income investments include investments in U.S. treasury securities, U.S.
government agencies bonds, corporate bonds, mortgage-backed and asset-backed securities, and
municipal auction rate securities and bonds.
The Company estimates the fair value of its U.S. treasury securities using unadjusted quoted
market prices, and accordingly, discloses these investments in Level 1 of the fair value hierarchy.
The fair values of the majority of non-U.S. treasury securities held by the Company are determined
based on observable market inputs provided by independent third party valuation information. The
market inputs utilized in the pricing evaluation include but are not limited to, benchmark yields,
reported trades, broker/dealer quotes, issuer spreads, two-sided markets, benchmark securities,
bids, offers, reference data, and industry and economic events. The Company classifies the fair
value estimates based on these observable market inputs within Level 2 of the fair value hierarchy.
Investments classified within Level 2 consist of U.S. government agencies bonds, corporate bonds,
mortgage-backed and asset-backed securities, and municipal bonds.
The Company also holds a small number of fixed income investments, including certain
mortgage-backed and asset- backed securities, and collateralized debt obligations, for which it
estimates the fair value using internal pricing matrices with some unobservable inputs that are
significant to the valuation. The Company estimates the fair value of its entire portfolio of
municipal auction rate securities based on non-binding quotes received from independent third
parties due to limited activity and market data for auction rate securities, resulting from
liquidity issues in the global credit and capital markets. Consequently, the lack of transparency
in the inputs and the availability of independent third party pricing information for these
investments resulted in their fair values being classified within the Level 3 of the hierarchy. As
of September 30, 2009, the fair values of certain municipal auction rate securities, collateralized
debt obligations and mortgage-backed and asset-backed securities which represent approximately 1.5%
of the Companys total fixed income investments are reflected within the Level 3 of the fair value
hierarchy.
12
Beginning in 2008, the Company determined that the non-binding quoted price received from an
independent third party broker for a particular collateralized debt obligation investment did not
reflect a value based on an active market. During discussions with the independent third party
broker, the Company learned that the price quote was established by applying a discount to the most
recent price that the broker had offered the investment. However, there were no responding bids to
purchase the investment at that price. As this price was not set based on an active market, the
Company developed a fair value for this particular collateralized debt obligation. The Company
continues to fair value this collateralized debt obligation as such during 2009.
The Company established a fair value for such collateralized debt obligation based on
information about the underlying pool of assets supplied by the investments asset manager. The
Company developed a discounted cash flow valuation for the investment by applying assumptions for a
variety of factors including among other things, default rates, recovery rates and a discount rate.
The Company believes the assumptions for these factors were developed in a manner consistent with
those that a market participant would use in valuation and were based on the information provided
regarding the underlying pool of assets, various current market benchmarks, industry data for
similar assets types, and particular market observations about similar assets.
Trading securities
The Companys fixed income trading securities consist of auction rate securities, for which
the fair value is determined based on unobservable inputs. Accordingly, the fair value of this
asset is reflected within Level 3 of the fair value hierarchy.
Equities
The Company maintains one investment in equity securities for which the Company uses a quoted
market price based on observable market transactions. The Company includes the fair value estimate
for this stock in Level 1 of the hierarchy. The remaining amount in equity securities represents
one security accounted for using the equity method of accounting and, therefore, does not require
fair value disclosure under the provisions of ASC Topic 820.
Short-term and other investments
The Companys short-term and other investments primarily consist of highly liquid money market
funds, which are reflected within Level 1 and Level 2 of the fair value hierarchy. Additionally,
the fair value of one of the Companys investment assets included in short-term and other
investments is determined based on unobservable inputs. Accordingly, the fair value of this asset
is reflected within Level 3 of the fair value hierarchy.
Put Options
The put options that the Company owns are directly related to agreements the Company entered
into with UBS during 2008 to facilitate the repurchase of certain auction rate municipal
securities. The options are carried at fair value which is related to the fair value of the
auction rate securities (see Trading securities above) and are recorded in Other assets on the
consolidated condensed balance sheets. The Company accounts for such put options in accordance with
ASC Topic 320, which provides a fair value option election that permits an entity to elect fair
value as the initial and subsequent measurement attribute for certain financial assets and
liabilities on an instrument by instrument basis. Changes in fair value of assets and liabilities,
for which the election is made, will be recognized in earnings as they occur.
Derivatives
The Companys derivative instruments are valued utilizing valuation models that primarily use
market observable inputs and are traded in the markets where quoted market prices are not readily
available, and accordingly, these instruments are reflected within the Level 2 of the fair value
hierarchy.
Agent and Employee Stock Plans
The Company accounts for its agent and employee stock plan liabilities based on the Companys
share price at the end of each reporting period. The Companys share price at the end of each
reporting period is based on the prevailing fair value as determined by the Companys Board of
Directors. The Company largely uses unobservable inputs in deriving the fair value of its share
price and the value is, therefore, reflected in Level 3 of the hierarchy.
13
Changes in Level 3 Assets and Liabilities
The tables below summarize the change in balance sheet carrying values associated with Level 3
financial instruments and agent and employee stock plans for the three and nine months ended
September 30, 2009.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Changes in Level 3 Assets and Liabilities Measured at Fair Value For the Three Months Ended September 30, 2009 |
|
|
|
|
|
|
|
|
|
|
|
Purchases, |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sales, |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Unrealized |
|
|
Payments |
|
|
|
|
|
|
Transfer |
|
|
|
|
|
|
Beginning |
|
|
Gains or |
|
|
and |
|
|
Realized |
|
|
in/(out) of |
|
|
Ending |
|
|
|
Balance |
|
|
(Losses) |
|
|
Issuances, Net |
|
|
Losses(1) |
|
|
Level 3, Net |
|
|
Balance |
|
|
|
In Thousands |
|
Assets |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Collateralized debt obligations |
|
$ |
2,563 |
|
|
$ |
533 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
|
$ |
3,096 |
|
Commercial-backed |
|
|
1,424 |
|
|
|
52 |
|
|
|
(88 |
) |
|
|
|
|
|
|
|
|
|
|
1,388 |
|
Asset-backed |
|
|
360 |
|
|
|
85 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
445 |
|
Municipals |
|
|
7,301 |
|
|
|
(31 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7,270 |
|
Trading securities |
|
|
14,259 |
|
|
|
(53 |
) |
|
|
(250 |
) |
|
|
|
|
|
|
|
|
|
|
13,956 |
|
Put options |
|
|
741 |
|
|
|
53 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
794 |
|
Other invested assets |
|
|
141 |
|
|
|
365 |
|
|
|
(66 |
) |
|
|
|
|
|
|
|
|
|
|
440 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
26,789 |
|
|
$ |
1,004 |
|
|
$ |
(404 |
) |
|
$ |
|
|
|
$ |
|
|
|
$ |
27,389 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Liabilities |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Agent and employee stock plans |
|
$ |
13,184 |
|
|
$ |
|
|
|
$ |
1,798 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
14,982 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Changes in Level 3 Assets and Liabilities Measured at Fair Value For the Nine Months Ended September 30, 2009 |
|
|
|
|
|
|
|
|
|
|
|
Purchases, |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sales, |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Unrealized |
|
|
Payments |
|
|
|
|
|
|
Transfer |
|
|
|
|
|
|
Beginning |
|
|
Gains or |
|
|
and |
|
|
Realized |
|
|
in/(out) of |
|
|
Ending |
|
|
|
Balance |
|
|
(Losses) |
|
|
Issuances, Net |
|
|
Losses(1) |
|
|
Level 3, Net |
|
|
Balance |
|
|
|
In Thousands |
|
Assets |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Collateralized debt obligations |
|
$ |
2,585 |
|
|
$ |
1,906 |
|
|
$ |
|
|
|
$ |
(1,395 |
) |
|
$ |
|
|
|
$ |
3,096 |
|
Commercial-backed |
|
|
1,494 |
|
|
|
149 |
|
|
|
(255 |
) |
|
|
|
|
|
|
|
|
|
|
1,388 |
|
Asset-backed |
|
|
252 |
|
|
|
193 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
445 |
|
Municipals |
|
|
6,539 |
|
|
|
731 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7,270 |
|
Trading securities |
|
|
11,937 |
|
|
|
2,369 |
|
|
|
(350 |
) |
|
|
|
|
|
|
|
|
|
|
13,956 |
|
Put options |
|
|
3,163 |
|
|
|
(2,369 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
794 |
|
Other invested assets |
|
|
476 |
|
|
|
258 |
|
|
|
(294 |
) |
|
|
|
|
|
|
|
|
|
|
440 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
26,446 |
|
|
$ |
3,237 |
|
|
$ |
(899 |
) |
|
$ |
(1,395 |
) |
|
$ |
|
|
|
$ |
27,389 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Liabilities |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Agent and employee stock plans |
|
$ |
18,158 |
|
|
$ |
|
|
|
$ |
(3,176 |
) |
|
$ |
|
|
|
$ |
|
|
|
$ |
14,982 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
Realized losses for the period are included in Realized gains, net on the Companys
consolidated condensed statement of income (loss). |
Investments not reported at fair value
Other investments primarily consists of investments in equity investees, which are accounted
for under the equity method of accounting on the Companys consolidated condensed balance sheet at
cost.
4. INVESTMENTS
The Companys investments consist of the following at September 30, 2009 and December 31,
2008:
|
|
|
|
|
|
|
|
|
|
|
September 30, |
|
|
December 31, |
|
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
Securities available for sale |
|
|
Fixed maturities |
|
$ |
809,360 |
|
|
$ |
805,026 |
|
Equity securities |
|
|
246 |
|
|
|
210 |
|
Trading securities |
|
|
13,956 |
|
|
|
11,937 |
|
Short-term and other investments |
|
|
338,029 |
|
|
|
210,433 |
|
|
|
|
|
|
|
|
|
Total investments |
|
$ |
1,161,591 |
|
|
$ |
1,027,606 |
|
|
|
|
|
|
|
|
14
Available for sale fixed maturities are reported at fair value which was derived as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
September 30, 2009 |
|
|
|
|
|
|
|
Gross |
|
|
Gross |
|
|
Non-credit Loss |
|
|
|
|
|
|
Amortized |
|
|
Unrealized |
|
|
Unrealized |
|
|
Recognized |
|
|
|
|
|
|
Cost |
|
|
Gains |
|
|
Losses |
|
|
in OCI |
|
|
Fair Value |
|
|
|
(In thousands) |
|
U.S. and U.S. Government agencies |
|
$ |
46,717 |
|
|
$ |
1,482 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
48,199 |
|
Collateralized debt obligations |
|
|
2,352 |
|
|
|
929 |
|
|
|
(185 |
) |
|
|
|
|
|
|
3,096 |
|
Residential-backed issued by agencies |
|
|
107,388 |
|
|
|
4,347 |
|
|
|
(150 |
) |
|
|
|
|
|
|
111,585 |
|
Commercial-backed issued by agencies |
|
|
8,366 |
|
|
|
421 |
|
|
|
|
|
|
|
|
|
|
|
8,787 |
|
Residential-backed |
|
|
4,288 |
|
|
|
6 |
|
|
|
(105 |
) |
|
|
|
|
|
|
4,189 |
|
Commercial-backed |
|
|
75,984 |
|
|
|
1,177 |
|
|
|
(412 |
) |
|
|
|
|
|
|
76,749 |
|
Asset-backed |
|
|
21,474 |
|
|
|
316 |
|
|
|
(978 |
) |
|
|
|
|
|
|
20,812 |
|
Corporate bonds and municipals |
|
|
519,709 |
|
|
|
19,163 |
|
|
|
(8,352 |
) |
|
|
|
|
|
|
530,520 |
|
Other |
|
|
6,100 |
|
|
|
|
|
|
|
(677 |
) |
|
|
|
|
|
|
5,423 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total fixed maturities |
|
$ |
792,378 |
|
|
$ |
27,841 |
|
|
$ |
(10,859 |
) |
|
$ |
|
|
|
$ |
809,360 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2008 |
|
|
|
|
|
|
|
Gross |
|
|
Gross |
|
|
|
|
|
|
Amortized |
|
|
Unrealized |
|
|
Unrealized |
|
|
|
|
|
|
Cost |
|
|
Gains |
|
|
Losses |
|
|
Fair Value |
|
|
|
(In thousands) |
|
U.S. and U.S. Government agencies |
|
$ |
36,014 |
|
|
$ |
1,794 |
|
|
$ |
|
|
|
$ |
37,808 |
|
Collateralized debt obligations |
|
|
3,700 |
|
|
|
|
|
|
|
(1,115 |
) |
|
|
2,585 |
|
Residential-backed issued by agencies |
|
|
72,468 |
|
|
|
1,910 |
|
|
|
(6 |
) |
|
|
74,372 |
|
Commercial-backed issued by agencies |
|
|
37,406 |
|
|
|
781 |
|
|
|
(53 |
) |
|
|
38,134 |
|
Residential-backed |
|
|
6,340 |
|
|
|
|
|
|
|
(878 |
) |
|
|
5,462 |
|
Commercial-backed |
|
|
76,959 |
|
|
|
|
|
|
|
(8,427 |
) |
|
|
68,532 |
|
Asset-backed |
|
|
25,011 |
|
|
|
70 |
|
|
|
(6,148 |
) |
|
|
18,933 |
|
Corporate bonds and municipals |
|
|
590,996 |
|
|
|
4,229 |
|
|
|
(41,985 |
) |
|
|
553,240 |
|
Other |
|
|
6,243 |
|
|
|
|
|
|
|
(283 |
) |
|
|
5,960 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total fixed maturities |
|
$ |
855,137 |
|
|
$ |
8,784 |
|
|
$ |
(58,895 |
) |
|
$ |
805,026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The amortized cost and fair value of available for sale fixed maturities at September 30,
2009, by contractual maturity, are set forth in the table below. Fixed maturities subject to early
or unscheduled prepayments have been included based upon their contractual maturity dates. Actual
maturities will differ from contractual maturities because borrowers may have the right to call or
prepay obligations with or without call or prepayment penalties.
|
|
|
|
|
|
|
|
|
|
|
September 30, 2009 |
|
|
|
Amortized |
|
|
|
|
|
|
Cost |
|
|
Fair Value |
|
|
|
(In thousands) |
|
Maturity: |
|
|
|
|
|
|
|
|
One year or less |
|
$ |
18,787 |
|
|
$ |
18,989 |
|
Over 1 year through 5 years |
|
|
179,801 |
|
|
|
184,639 |
|
Over 5 years through 10 years |
|
|
258,195 |
|
|
|
262,277 |
|
Over 10 years |
|
|
118,095 |
|
|
|
121,333 |
|
|
|
|
|
|
|
|
|
|
|
574,878 |
|
|
|
587,238 |
|
Mortgage and asset-backed securities |
|
|
217,500 |
|
|
|
222,122 |
|
|
|
|
|
|
|
|
Total fixed maturities |
|
$ |
792,378 |
|
|
$ |
809,360 |
|
|
|
|
|
|
|
|
See Note 3 of Notes to Consolidated Condensed Financial Statements for additional disclosures
on fair value measurements.
A summary of net investment income sources is set forth below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
Fixed maturities |
|
$ |
9,290 |
|
|
$ |
13,361 |
|
|
$ |
28,980 |
|
|
$ |
42,524 |
|
Equity securities |
|
|
19 |
|
|
|
|
|
|
|
36 |
|
|
|
(9 |
) |
Short-term and other investments |
|
|
273 |
|
|
|
942 |
|
|
|
(937 |
) |
|
|
6,335 |
|
Agent receivables |
|
|
613 |
|
|
|
731 |
|
|
|
1,959 |
|
|
|
2,382 |
|
Student loan interest income |
|
|
1,149 |
|
|
|
1,656 |
|
|
|
3,625 |
|
|
|
5,817 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
11,344 |
|
|
|
16,690 |
|
|
|
33,663 |
|
|
|
57,049 |
|
Less investment expenses |
|
|
471 |
|
|
|
446 |
|
|
|
1,439 |
|
|
|
1,442 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
10,873 |
|
|
$ |
16,244 |
|
|
$ |
32,224 |
|
|
$ |
55,607 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
15
Realized Gains and Losses
Realized gains and losses on sales of investments are recognized in net income (loss) on the
specific identification basis and include write downs on those investments deemed to have other
than temporary declines in fair values. Gains and losses on trading securities are reported in
Realized gains, net on the consolidated condensed statements of income (loss).
Fixed maturities
Proceeds from the sale and call of investments in fixed maturities were $38.2 million and
$52.6 million for the three and nine months ended September 30, 2009, respectively, and $99.8
million and $224.2 million for the three and nine months ended September 30, 2008, respectively.
Gross gains of $809,000 and $1.9 million were realized on the sale and call of fixed maturity
investments for the three and nine months ended September 30, 2009, respectively. Gross gains of
$961,000 and $1.9 million and gross losses of $206,000 and $766,000 were realized on the sale and
call of fixed maturity investments for the three and nine months ended September 30, 2008,
respectively.
Equity securities
The Company realized no gains or losses on equity securities during the three and nine months
ended September 30, 2009 and 2008.
Trading securities and Put options
The Company accounts for certain municipal auction rate securities as trading securities. In
2008, the Company entered into an agreement with UBS to facilitate the repurchase of certain
auction rate municipal securities. At such time, the Company received put options. Any gain or loss
recognized on the trading securities is offset by the same gain or loss on the put options.
Unrealized Gains (Losses)
Unrealized investment gains and losses on available for sale securities, net of applicable
deferred income tax, are reported in Accumulated other comprehensive income (loss) as a separate
component of stockholders equity and accordingly have no effect on net income (loss).
Set forth below is a summary of gross unrealized losses in its fixed maturities as of
September 30, 2009 and December 31, 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
September 30, 2009 |
|
|
|
Unrealized Loss |
|
|
Unrealized Loss |
|
|
|
|
|
|
Less Than 12 Months |
|
|
12 Months or longer |
|
|
Total |
|
|
|
Fair |
|
|
Unrealized |
|
|
Fair |
|
|
Unrealized |
|
|
Fair |
|
|
Unrealized |
|
Description of Securities |
|
Value |
|
|
Losses |
|
|
Value |
|
|
Losses |
|
|
Value |
|
|
Losses |
|
|
|
(In thousands) |
|
Collateralized debt obligations |
|
$ |
921 |
|
|
$ |
185 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
921 |
|
|
$ |
185 |
|
Residential-backed issued by agencies |
|
|
23,099 |
|
|
|
150 |
|
|
|
|
|
|
|
|
|
|
|
23,099 |
|
|
|
150 |
|
Residential-backed |
|
|
|
|
|
|
|
|
|
|
3,740 |
|
|
|
105 |
|
|
|
3,740 |
|
|
|
105 |
|
Commercial-backed |
|
|
|
|
|
|
|
|
|
|
19,199 |
|
|
|
412 |
|
|
|
19,199 |
|
|
|
412 |
|
Asset-backed |
|
|
|
|
|
|
|
|
|
|
16,945 |
|
|
|
978 |
|
|
|
16,945 |
|
|
|
978 |
|
Corporate bonds and municipals |
|
|
300 |
|
|
|
|
|
|
|
187,951 |
|
|
|
8,352 |
|
|
|
188,251 |
|
|
|
8,352 |
|
Other |
|
|
|
|
|
|
|
|
|
|
5,423 |
|
|
|
677 |
|
|
|
5,423 |
|
|
|
677 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
24,320 |
|
|
$ |
335 |
|
|
$ |
233,258 |
|
|
$ |
10,524 |
|
|
$ |
257,578 |
|
|
$ |
10,859 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2008 |
|
|
|
Unrealized Loss |
|
|
Unrealized Loss |
|
|
|
|
|
|
Less Than 12 Months |
|
|
12 Months or longer |
|
|
Total |
|
|
|
Fair |
|
|
Unrealized |
|
|
Fair |
|
|
Unrealized |
|
|
Fair |
|
|
Unrealized |
|
Description of Securities |
|
Value |
|
|
Losses |
|
|
Value |
|
|
Losses |
|
|
Value |
|
|
Losses |
|
|
|
(In thousands) |
|
Collateralized debt obligations |
|
$ |
|
|
|
$ |
|
|
|
$ |
2,310 |
|
|
$ |
1,115 |
|
|
$ |
2,310 |
|
|
$ |
1,115 |
|
Residential-backed issued by agencies |
|
|
49 |
|
|
|
|
|
|
|
2,361 |
|
|
|
59 |
|
|
|
2,410 |
|
|
|
59 |
|
Residential-backed |
|
|
|
|
|
|
|
|
|
|
5,461 |
|
|
|
878 |
|
|
|
5,461 |
|
|
|
878 |
|
Commercial-backed |
|
|
28,432 |
|
|
|
2,960 |
|
|
|
40,100 |
|
|
|
5,467 |
|
|
|
68,532 |
|
|
|
8,427 |
|
Asset-backed |
|
|
|
|
|
|
|
|
|
|
13,072 |
|
|
|
6,148 |
|
|
|
13,072 |
|
|
|
6,148 |
|
Corporate bonds and municipals |
|
|
117,143 |
|
|
|
6,877 |
|
|
|
289,731 |
|
|
|
35,108 |
|
|
|
406,874 |
|
|
|
41,985 |
|
Other |
|
|
|
|
|
|
|
|
|
|
5,960 |
|
|
|
283 |
|
|
|
5,960 |
|
|
|
283 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
145,624 |
|
|
$ |
9,837 |
|
|
$ |
358,995 |
|
|
$ |
49,058 |
|
|
$ |
504,619 |
|
|
$ |
58,895 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
16
Of the $335,000 in unrealized losses that had existed for less than twelve months at September
30, 2009, one Collateralized debt obligation had an unrealized loss in excess of 10% of the
securitys cost. The amount of unrealized loss with respect to this security is $114,000 at
September 30, 2009.
Of the $10.5 million in unrealized losses that have existed for twelve months or longer at
September 30, 2009, eleven securities had unrealized losses in excess of 10% of the securitys
cost, of which five were classified as Asset-backed securities, one was classified as Other and
five were classified as Corporate bonds and municipals in the table above. The amount of
unrealized loss with respect to those securities was $5.8 million at September 30, 2009, of which
$581,000 relates to Asset-backed securities, $676,000 relates to Other and $4.6 million relates
to Corporate bonds and municipals.
As a Company that holds investments in the financial services industry, HealthMarkets has been
affected by conditions in U.S. financial markets and economic conditions throughout the world. The
financial environment in the U.S. was volatile during 2008; however, the Company has seen improved
market conditions during 2009, which are reflected in the decrease in unrealized losses, as well as
a decrease in the number of securities with unrealized losses. The Company continually monitors
investments with unrealized losses that have existed for twelve months or longer and considers such
factors as the current financial condition of the issuer, the performance of underlying collateral
and effective yields. Additionally, HealthMarkets considers whether it has the intent to sell the
security and whether it is more likely than not that the Company will be required to sell the debt
security before the fair value reverts to our cost basis, which may be at maturity of the security.
Based on such review, the Company believes that, as of September 30, 2009, the unrealized loss in
these investments is temporary.
It is at least reasonably probable the Companys assessment of whether the unrealized losses
are other than temporary may change over time, given, among other things, the dynamic nature of
markets or changes in the Companys assessment of its ability or intent to hold impaired investment
securities, which could result in the Company recognizing other-than-temporary impairment charges
or realized losses on the sale of such investments in the future.
Equity securities
Gross unrealized investment gains (losses) on equity securities were $4,000 and $1,000 for the
three and nine months ended September 30, 2009, respectively, and $4,000 and $(3,000) for the three
and nine months ended September 30, 2008, respectively.
Other-than-temporary impairments
Investments are reviewed at least quarterly, using both quantitative and qualitative factors,
to determine if they have experienced an impairment of value that is considered
other-than-temporary. In its review, management considers the following indicators of impairment:
fair value significantly below cost; decline in fair value attributable to specific adverse
conditions affecting a particular investment; decline in fair value attributable to specific
conditions, such as conditions in an industry or in a geographic area; decline in fair value for an
extended period of time; downgrades by rating agencies from investment grade to non-investment
grade; financial condition deterioration of the issuer and situations where dividends have been
reduced or eliminated or scheduled interest payments have not been made. Additionally, the Company
assesses whether the amortized cost basis will be recovered by comparing the present value of cash
flows expected to be collected with the amortized cost basis of the investment. When the
determination is made that an other-than-temporary impairment (OTTI) exists but the Company does
not intend to sell the security and it is not more likely than not that the entity will be required
to sell the security before the recovery of its remaining amortized cost basis, the Company will
determine the amount of the impairment related to a credit loss and the amount related to other
factors. OTTI losses attributed to a credit loss are recorded in Net impairment losses recognized
in earnings on the statement of income (loss). OTTI losses attributed to other factors are
reported in Accumulated other comprehensive income (loss) as a separate component of
stockholders equity and accordingly have no effect on net income (loss).
The Company recognized no OTTI losses during the three months ended September 30, 2009 and
$4.1 million during the nine months ended September 30, 2009. These impairments, which the Company
deemed to be other-than-temporary reductions, were attributable to credit losses and, as such,
these impairments were recorded in the consolidated condensed statement of income (loss). The
Company recognized realized losses from OTTIs of $16.8 million and $22.4 million for the three and
nine months ended September 30, 2008, respectively. These OTTIs, which the Company deemed were
other-than-temporary reductions, were due to a decline in the fair values of the investments below
the Companys cost basis resulting partially from liquidity issues experienced in the global credit
and capital markets. The significant OTTI charges recognized during the three months ended
September 30, 2008 resulted from certain corporate debt and collateralized debt obligation
securities.
17
Upon adoption of FSP SFAS No. 115-2, which was codified into ASC Topic 320, the Company
recorded a cumulative-effect adjustment for debt securities held at adoption for which an OTTI had
been previously recognized. The Company recognized such tax-effected cumulative effect of
initially applying this guidance as an adjustment to Retained earnings for $1.0 million, net of
tax, with a corresponding adjustment to Accumulated other comprehensive income.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reductions for |
|
Credit losses on |
|
|
|
|
|
|
Additions for OTTI |
|
|
|
|
|
increases in cash |
|
debt securities for |
Cumulative OTTI credit |
|
Additions to OTTI |
|
securities where |
|
|
|
|
|
flows expected to |
|
which a portion of |
losses recognized for |
|
securities where no |
|
credit losses have |
|
Reductions for |
|
be collected that |
|
an OTTI was |
securities still |
|
credit losses were |
|
been recognized |
|
securities sold |
|
are recognized over |
|
recognized |
held at |
|
recognized prior to |
|
prior to |
|
during the period |
|
the remaining life |
|
in OCI at |
April 1, 2009 |
|
April 1, 2009 |
|
April 1, 2009 |
|
(realized) |
|
of the security |
|
September 30, 2009 |
(In thousands) |
$28,012 |
|
$ |
2,683 |
|
|
$ |
|
|
|
$ |
(4,203 |
) |
|
$ |
(307 |
) |
|
$ |
26,185 |
|
5. DEBT
On April 5, 2006, HealthMarkets, LLC entered into a credit agreement, providing for a $500.0
million term loan facility and a $75.0 million revolving credit facility, which includes a $35.0
million letter of credit sub-facility. The full amount of the term loan was drawn at closing. At
September 30, 2009, the Company had an aggregate of $362.5 million of indebtedness outstanding
under the term loan facility, which indebtedness bore interest at the London inter-bank offered
rate (LIBOR) plus a borrowing margin of 1.00%. The Company has not drawn on the $75.0 million
revolving credit facility.
In addition, on April 5, 2006, HealthMarkets Capital Trust I and HealthMarkets Capital Trust
II (two newly formed Delaware statutory business trusts, collectively the Trusts) issued $100.0
million of floating rate trust preferred securities (the Trust Securities) and $3.1 million of
floating rate common securities. The Trusts invested the proceeds from the sale of the Trust
Securities, together with the proceeds from the issuance to HealthMarkets, LLC by the Trusts of the
common securities, in $100.0 million principal amount of HealthMarkets, LLCs Floating Rate Junior
Subordinated Notes due June 15, 2036 (the Notes), of which $50.0 million principal amount accrue
interest at a floating rate equal to three-month LIBOR plus 3.05% and $50.0 million principal
amount accrue interest at a fixed rate of 8.367%.
On April 29, 2004, UICI Capital Trust I (a Delaware statutory business trust, the 2004
Trust) completed the private placement of $15.0 million aggregate issuance amount of floating rate
trust preferred securities with an aggregate liquidation value of $15.0 million (the 2004 Trust
Preferred Securities). The 2004 Trust invested the $15.0 million proceeds from the sale of the
2004 Trust Preferred Securities, together with the proceeds from the issuance to the Company by the
2004 Trust of its floating rate common securities in the amount of $470,000 (the Common
Securities and, collectively with the 2004 Trust Preferred Securities, the 2004 Trust
Securities), in an equivalent face amount of the 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:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest Expense |
|
|
|
Principal Amount at |
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
September 30, |
|
|
|
2009 |
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
2006 credit agreement: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Term loan |
|
$ |
362,500 |
|
|
$ |
3,737 |
|
|
$ |
5,203 |
|
|
$ |
12,757 |
|
|
$ |
15,796 |
|
$75 Million revolver (non-use fee) |
|
|
|
|
|
|
92 |
|
|
|
33 |
|
|
|
235 |
|
|
|
105 |
|
Trust preferred securities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
UICI Capital Trust I |
|
|
15,470 |
|
|
|
165 |
|
|
|
247 |
|
|
|
544 |
|
|
|
788 |
|
HealthMarkets Capital Trust I |
|
|
51,550 |
|
|
|
478 |
|
|
|
768 |
|
|
|
1,668 |
|
|
|
2,534 |
|
HealthMarkets Capital Trust II |
|
|
51,550 |
|
|
|
1,102 |
|
|
|
1,102 |
|
|
|
3,271 |
|
|
|
3,283 |
|
Other: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other interest |
|
|
|
|
|
|
790 |
|
|
|
4,115 |
|
|
|
2,357 |
|
|
|
6,211 |
|
Amortization of financing fees |
|
|
|
|
|
|
1,195 |
|
|
|
1,139 |
|
|
|
3,554 |
|
|
|
3,361 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
481,070 |
|
|
$ |
7,559 |
|
|
$ |
12,607 |
|
|
$ |
24,386 |
|
|
$ |
32,078 |
|
Student Loan Credit Facility |
|
|
78,850 |
|
|
|
|
|
|
|
718 |
|
|
|
866 |
|
|
|
2,842 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
559,920 |
|
|
$ |
7,559 |
|
|
$ |
13,325 |
|
|
$ |
25,252 |
|
|
$ |
34,920 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The fair value of the Companys long-term debt was $422.3 million and $317.4 million at
September 30, 2009 and December 31, 2008, respectively. The fair value of such long-term debt is
estimated using discounted cash flow analyses, based on the Companys current incremental borrowing rates for similar types of borrowing
arrangements.
18
Student Loan Credit Facility
At September 30, 2009 and December 31, 2008, the Company had an aggregate of $78.9 million and
$86.1 million, respectively, of indebtedness outstanding under a secured student loan credit
facility (the Student Loan Credit Facility), which indebtedness is represented by Student Loan
Asset-Backed Notes issued by a bankruptcy-remote special purpose entity (the SPE Notes). At
September 30, 2009 and December 31, 2008, indebtedness outstanding under the Student Loan Credit
Facility was secured by alternative (i.e., non-federally guaranteed) student loans and accrued
interest in the carrying amount of $73.6 million and $80.5 million, respectively, and by a pledge
of cash, cash equivalents and other qualified investments of $5.4 million and $5.9 million,
respectively.
The SPE Notes represent obligations solely of the SPE, and not of the Company or any other
subsidiary of the Company. For financial reporting and accounting purposes, the Student Loan Credit
Facility has been classified as a financing as opposed to a sale. Accordingly, in connection with
the financing, the Company recorded no gain on sale of the assets transferred to the SPE.
The SPE Notes were issued by the SPE in three tranches ($50.0 million of Series 2001A-1 Notes
(the Series 2001A -1 Notes) and $50.0 million of Series 2001A-2 Notes (the Series 2001A-2
Notes) issued on April 27, 2001, and $50.0 million of Series 2002A Notes (the Series 2002A
Notes) issued on April 10, 2002). The interest rate on each series of SPE Notes resets monthly in
a Dutch auction process. The Series 2001A-1 Notes and Series 2001A-2 Notes have a final stated
maturity of July 1, 2036; the Series 2002A Notes have a final stated maturity of July 1, 2037.
Beginning July 1, 2005, the SPE Notes were also subject to mandatory redemption in whole or in part
on each interest payment date from any monies received as a recovery of the principal amount of any
student loan securing payment of the SPE Notes, including scheduled, delinquent and advance
payments, payouts or prepayments. During the three and nine months ended September 30, 2009, the
Company made principal payments of approximately $2.2 million and $7.2 million, respectively, and
during the three and nine months ended September 30, 2008, the Company made principal payments of
approximately $2.3 million and $9.4 million, respectively, on the SPE notes.
6. DERIVATIVES
HealthMarkets uses derivative instruments, specifically interest rate swaps, as part of its
risk management activities to protect against the risk of changes in prevailing interest rates
adversely affecting future cash flows associated with certain debt. The Company accounts for such
interest rate swaps in accordance with ASC Topic 815. These swap agreements are designed as
hedging instruments and the Company formally documents qualifying hedged transactions and hedging
instruments, and assesses, both at inception of the contract and on an ongoing basis, whether the
hedging instruments are effective in offsetting changes in cash flows of the hedged transaction.
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.
The fair values of the interest rate swaps are contained in Note 3 of Notes to Consolidated
Condensed Financial Statements. In assessing the fair value, the Company takes into consideration
the current interest rates and the current creditworthiness of the counterparties, as well as the
current creditworthiness of the Company, as applicable.
At September 30, 2009, the Company owned two interest rate swap agreements with an aggregate
notional amount of $200 million. The terms of the swaps are 4 and 5 years beginning on April 11,
2006. Additionally, the Company owned a 3 year swap, which matured on April 11, 2009.
19
The Company employs control procedures to validate the reasonableness of valuation
estimates obtained from a third party. The table below represents the fair values of the Companys
derivative assets and liabilities as of September 30, 2009 and December 31, 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Asset Derivatives |
|
|
Liability Derivatives |
|
|
|
|
|
|
|
September 30, |
|
|
December 31, |
|
|
|
|
|
|
September 30, |
|
|
December 31, |
|
|
|
|
|
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
|
|
Balance Sheet |
|
|
|
|
|
|
|
|
|
|
Balance Sheet |
|
|
|
|
|
|
|
|
|
Location |
|
|
Fair Value |
|
|
Fair Value |
|
|
Location |
|
|
Fair Value |
|
|
Fair Value |
|
Derivatives
designated as
hedging instruments
under ASC Topic 815 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest rate swaps |
|
|
|
|
|
$ |
|
|
|
$ |
|
|
|
Other liabilities |
|
$ |
10,714 |
|
|
$ |
13,538 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total derivatives |
|
|
|
|
|
$ |
|
|
|
$ |
|
|
|
|
|
|
|
$ |
10,714 |
|
|
$ |
13,538 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The table below represents the effect of derivative instruments in hedging relationships
under ASC Topic 815 on the Companys consolidated condensed statements of income (loss) for the
three and nine months ended September 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Derivative Instruments in Hedging Relationships for the Three Months Ended September 30, 2009 |
|
|
|
|
|
|
|
|
|
|
|
Location of Gain |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Loss) from |
|
|
Amount of Interest Expense |
|
|
Location of (Gain) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accumulated |
|
|
(Income) Reclassified from |
|
|
Loss Recognized in |
|
|
Amount of (Gain) Loss |
|
|
|
Amount of Gain (Loss) |
|
|
OCI into Income |
|
|
Accumulated OCI into Income |
|
|
Income on |
|
|
Recognized in Income on |
|
|
|
Recognized in OCI on |
|
|
(Effective |
|
|
(Expense) |
|
|
Derivative |
|
|
Derivative |
|
|
|
Derivative (Effective Portion) |
|
|
Portion) |
|
|
(Effective Portion) |
|
|
(Ineffective Portion) |
|
|
(Ineffective Portion) |
|
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
|
|
|
|
|
|
|
|
|
|
Interest |
|
|
|
|
|
|
|
|
|
Investment |
|
|
|
|
|
|
|
|
Interest rate swaps |
|
$ |
(1,137 |
) |
|
$ |
(901 |
) |
|
expense |
|
$ |
2,255 |
|
|
$ |
1,699 |
|
|
income |
|
$ |
125 |
|
|
$ |
192 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Derivative Instruments in Hedging Relationships for the Nine Months Ended September 30, 2009 |
|
|
|
|
|
|
|
|
|
|
|
Location of Gain |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Loss) from |
|
|
Amount of Interest Expense |
|
|
Location of (Gain) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accumulated |
|
|
(Income) Reclassified from |
|
|
Loss Recognized in |
|
|
Amount of (Gain) Loss |
|
|
|
Amount of Gain (Loss) |
|
|
OCI into Income |
|
|
Accumulated OCI into Income |
|
|
Income on |
|
|
Recognized in Income on |
|
|
|
Recognized in OCI on |
|
|
(Effective |
|
|
(Expense) |
|
|
Derivative |
|
|
Derivative |
|
|
|
Derivative (Effective Portion) |
|
|
Portion) |
|
|
(Effective Portion) |
|
|
(Ineffective Portion) |
|
|
(Ineffective Portion) |
|
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
|
|
|
|
|
|
|
|
|
|
Interest |
|
|
|
|
|
|
|
|
|
Investment |
|
|
|
|
|
|
|
|
Interest rate swaps |
|
$ |
(2,036 |
) |
|
$ |
(2,881 |
) |
|
expense |
|
$ |
6,741 |
|
|
$ |
3,620 |
|
|
income |
|
$ |
519 |
|
|
$ |
568 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
HealthMarkets 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.
At September 30, 2009, accumulated other comprehensive income (loss) included a deferred
after-tax net loss of $6.0 million related to the interest rate swaps of which $646,000 ($420,000
net of tax) is the remaining amount of loss associated with the previous terminated hedging
relationship. This amount is expected to be reclassified into earnings in conjunction with the
interest payments on the variable rate debt through April 2011, of which $448,000 is expected to be
reclassified into earnings within the next twelve months.
20
7. NET INCOME (LOSS) PER SHARE
The following table sets forth the computation of basic and diluted earnings per share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands, except per share amounts) |
|
Income (loss) from continuing operations |
|
$ |
17,395 |
|
|
$ |
(18,796 |
) |
|
$ |
28,611 |
|
|
$ |
(44,385 |
) |
Income (loss) from discontinued operations |
|
|
55 |
|
|
|
82 |
|
|
|
106 |
|
|
|
149 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) available to common shareholders |
|
$ |
17,450 |
|
|
$ |
(18,714 |
) |
|
$ |
28,717 |
|
|
$ |
(44,236 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding, basic |
|
|
29,424 |
|
|
|
29,913 |
|
|
|
29,582 |
|
|
|
30,363 |
|
Dilutive effect of stock options and other shares |
|
|
648 |
|
|
|
|
|
|
|
601 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding, dilutive |
|
|
30,072 |
|
|
|
29,913 |
|
|
|
30,183 |
|
|
|
30,363 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings (losses) per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
0.59 |
|
|
$ |
(0.63 |
) |
|
$ |
0.97 |
|
|
$ |
(1.46 |
) |
From discontinued operations |
|
|
0.00 |
|
|
|
0.00 |
|
|
|
0.00 |
|
|
|
0.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) per share, basic |
|
$ |
0.59 |
|
|
$ |
(0.63 |
) |
|
$ |
0.97 |
|
|
$ |
(1.46 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings (losses) per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
0.58 |
|
|
$ |
(0.63 |
) |
|
$ |
0.95 |
|
|
$ |
(1.46 |
) |
From discontinued operations |
|
|
0.00 |
|
|
|
0.00 |
|
|
|
0.00 |
|
|
|
0.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) per share, basic |
|
$ |
0.58 |
|
|
$ |
(0.63 |
) |
|
$ |
0.95 |
|
|
$ |
(1.46 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
During the three and nine months ended September 30, 2008, 887,856 and 751,147,
respectively, of common stock equivalents were anti-dilutive. Consequently the effect of their
conversion into shares of common stock has been excluded from the calculation of diluted net income
per share.
8. COMMITMENTS AND CONTINGENCIES
Leases
For the three and nine months ended September 30, 2009, the Company recorded impairment
expenses of approximately $2.9 million and $4.5 million, respectively, which are included in
Underwriting, acquisition and insurance expenses on the consolidated condensed statements of
income (loss). Such expenses relate to three leased facilities which the Company no longer
utilizes. These costs represent impairments of leasehold improvements, as well as provisions for
future remaining lease obligations. In accordance with ASC Topic 420, Exit or Disposal Cost
Obligations, the provisions recorded for lease obligations on the cease-use dates were determined
based on the fair value of the liability for costs that will continue to be incurred over the
remaining terms of the leases without economic benefit to the Company.
With respect to the facilities discussed above, at September 30, 2009 the Company had a
liability of $2.6 million, which is included in Other liabilities on the consolidated condensed
balance sheet. Payments toward the liability will continue through February 2013, which is the
remaining term of the leases. Such liability is based on the future commitment, net of expected
sublease income.
Litigation Matters
The Company is a party to various material legal proceedings, which are described in the
Companys Annual Report on Form 10-K filed for the year ended December 31, 2008 under the caption
Item 3. Legal Proceedings. Except as discussed below, during the three month period covered by
this Quarterly Report on Form 10-Q, the Company has not been named in any new material legal
proceeding, and there have been no material developments in the previously reported legal
proceedings.
Litigation Matters
Insurance Claims Litigation
As previously disclosed, MEGA was named as a defendant in an action filed on April 8, 2003
(Lucinda Myers v. MEGA et al.) pending in the District Court of Potter County, Texas, Case No.
90826-E. Plaintiff alleged several causes of action, including breach of contract, breach of the
duty of good faith and fair dealing, negligence, unfair claims settlement practices, violation of
the Texas Deceptive Trade Practices-Consumer Protection Act, mental anguish, and felony destruction
of records and securing execution by deception. Plaintiff sought monetary damages in an unspecified
amount and declaratory relief. MEGA asserted a counterclaim alleging, among other things, a cause
of action against the plaintiff
21
for rescission of the health insurance contract due to material misrepresentations in the
application for insurance. On September 29, 2009, this matter was dismissed with prejudice
following a settlement of this matter on terms that did not have a material adverse effect upon the
Companys consolidated financial condition or results of operations.
Credit Insurance Litigation
As previously disclosed, Mid-West was named as a defendant in a putative class action filed on
November 7, 2008 (Cynthia Hrnyak, on behalf of herself and all others similarly situated v.
Mid-West National Life Insurance Company of Tennessee) pending in the United States District Court
for the Northern District of Ohio, Case No. 1:08CV2642. Plaintiff alleged several causes of action,
including breach of contract, unjust enrichment, violation of the Ohio Revised Code Annotated
Section 3918.08 and bad faith, arising from the alleged failure to refund unearned premium on
credit insurance policies issued by Mid-West in connection with automobile loans upon early
termination of coverage. Plaintiff seeks an order certifying the suit as a nationwide class action,
compensatory and punitive damages and injunctive relief. The parties have agreed on the terms of a
proposed settlement. On June 24, 2009, the Court signed a preliminary order approving such terms;
however, any final settlement of this matter is subject to a fairness hearing scheduled for
November 23, 2009. The Company believes that any final settlement of this matter will be on terms
that do not have a material adverse effect on the Companys consolidated financial condition or
results of operations.
Fair Labor Standards Act Agent Litigation
As previously disclosed, HealthMarkets is a party to three separate collective actions filed
under the Federal Fair Labor Standards Act (FLSA) (Sherrie Blair et al., v. Cornerstone America
et al., filed on May 26, 2005 in the United States District Court for the Northern District of
Texas, Fort Worth Division, Civil Action No. 4:04-CV-333-Y; Norm Campbell et al., v. Cornerstone
America et al., filed on May 26, 2005 in the United States District Court for the Northern District
of Texas, Fort Worth Division, Civil Action No. 4:05-CV-334-Y; and Joseph Hopkins et al., v.
Cornerstone America et al., filed on May 26, 2005 in the United States District Court for the
Northern District of Texas, Fort Worth Division, Civil Action No. 4:05-CV-332-Y). On December 9,
2005, the Court consolidated all of the actions and made the Hopkins suit the lead case. In each of
the cases, plaintiffs, for themselves and on behalf of others similarly situated, seek to recover
unpaid overtime wages alleged to be due under section 16(b) of the FLSA. The complaints allege that
the named plaintiffs (consisting of former district sales leaders and regional sales leaders in the
Cornerstone America independent agent hierarchy) were employees within the meaning of the FLSA and
are therefore entitled, among other relief, to recover unpaid overtime wages under the terms of the
FLSA. The parties filed motions for summary judgment on August 1, 2006. On March 30, 2007, the
Court denied HealthMarkets and Mid-Wests motion and granted the plaintiffs motion. In October
2008, the United States Fifth Circuit Court of Appeals affirmed the trial courts ruling in favor
of plaintiffs on the issue of their status as employees under the FLSA and remanded the case to the
trial court for further proceedings. On March 23, 2009, the United States Supreme Court denied
HealthMarkets and Mid-Wests petition for writ of certiorari. A court-approved notice to
prospective participants in the collective action was mailed in April 2008, providing prospective
participants with the ability to file opt-in elections. Discovery in this matter is ongoing. This
matter has been scheduled for trial on March 15, 2010. The Company is in the process of evaluating
the impact that these matters may have on its relationships with agents. At present, it is unclear
what effect these matters may have on the Companys consolidated financial condition or results of
operations.
Commonwealth of Massachusetts Litigation
As previously disclosed, on October 23, 2006, MEGA was named as a defendant in an action filed
by the Massachusetts Attorney General on behalf of 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-F. Plaintiff alleged that MEGA engaged in unfair
and deceptive practices by issuing policies that contained exclusions of, or otherwise failed to
cover, certain benefits mandated under Massachusetts law. In addition, plaintiff 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, Inc. and Mid-West (together
with MEGA, the Defendants) to this action and broadened plaintiffs original allegations. The
amended complaint included 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.
On August 31, 2009, the Defendants and the Commonwealth of Massachusetts agreed to settle this
matter by executing a Final Judgment by Consent (the Consent), which the Court approved on
September 3, 2009. By entering into the Consent, the Defendants do not admit to any violation of
law or liability. The settlement terms include a collective total
22
payment of $15.0 million, subject to certain credits for payments made under the August 26, 2009
Regulatory Settlement Agreement with the Massachusetts Division of Insurance (the Settlement
Agreement) described below in Regulatory Matters. Each Defendant will pay $5.0 million,
comprised of (i) $1.0 million to be paid as civil penalties (the Penalties Payment); (ii)
$250,000 to be paid as attorneys fees and costs; and (iii) $3.75 million to be paid for consumer
compensatory damages and other consumer relief (the Consumer Relief Payments). The Consent
acknowledges the obligations of MEGA and Mid-West under the Settlement Agreement to pay $2.0
million, together with an as-yet undetermined sum pursuant to a claims reassessment process. The
Consent provides credits as follows: (i) the $2.0 million payment under the Settlement Agreement
will be credited towards the $2.0 million in Penalties Payments that MEGA and Mid-West would
otherwise be required to collectively pay and (ii) based on amounts to be paid by MEGA and Mid-West
under the Settlement Agreement for claims reassessment, the Attorney General will provide a
preliminary credit of $400,000 toward the Consumer Relief Payments due collectively from MEGA and
Mid-West. If the total amount of such claims reassessment payments is less than $400,000, MEGA and
Mid-West must pay the difference. If the total amount of such claims reassessment payments is more
than $400,000, the Attorney General must pay the amount which exceeds $400,000 up to a maximum
payment of $600,000. Defendants will provide the Attorney General with information regarding
actions taken, since February 1, 2007, to remediate claims associated with certain mandated
benefits and policy exclusion limits. In addition to the payments described above, if the total
amount of payments to remediate such claims since February 1, 2007 is less than $2.2 million, the
Defendants must pay the difference.
The Consent also imposes upon the Defendants certain non-monetary obligation. Effective
October 1, 2009, for a period of five years from the date of written notice to customers (which
notice must be given on or before June 30, 2011), the Consent prohibits MEGA and Mid-West, or any
insurance subsidiary of the Company, from writing or issuing Health Plans (as defined under
applicable Massachusetts law) in Massachusetts. The Consent also requires the Defendants to provide
customers with written notice regarding restrictions on renewals on or before June 30, 2011;
requires disclosure to customers regarding medical loss ratio of the MEGA and Mid-West Health Plans
for the calendar years 2008, 2009 and 2010 and whether the products qualify as Creditable Coverage
(as defined under applicable Massachusetts law); and imposes a number of injunctive terms, copies of
which must be served on persons who have served as insurance producers of Defendants since January
1, 2009. To the extent that the Defendants sell health benefit plans of a third party carrier, the
Consent further requires the Defendants to implement revised agent training materials and agent
oversight processes and provide reporting to the Commonwealth of Massachusetts regarding compliance
with performance standards under the previously reported May 2008 regulatory settlement agreement
resolving matters arising from the multi-state market conduct examination of MEGA, Mid-West and
Chesapeake (the Insurance Companies).
General 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.
Given the expense and inherent risks and uncertainties of litigation, we regularly evaluate
litigation matters pending against us, including those described in Note 16 of Notes to the
Companys Consolidated Financial Statements included in the Companys Annual Report on Form 10-K
for the year ended December 31, 2008, to determine if settlement of such matters would be in the
best interests of the Company and its stockholders. The costs associated with any such settlement
could be substantial and, in certain cases, could result in an earnings charge in any particular
quarter in which we enter into a settlement agreement. Although we have recorded litigation
reserves which represent our best estimate on probable losses, both known and incurred but not
reported, our recorded reserves might prove to be inadequate to cover an adverse result or
settlement for extraordinary matters. Therefore, costs associated with the various litigation
matters to which we are subject and any earnings charge recorded in connection with a settlement
agreement could have a material adverse effect on our consolidated results of operations in a
period, depending on the results of our operations for the particular period.
Regulatory Matters
Massachusetts Division of Insurance
As previously disclosed, in December 2006, the Insurance Companies entered into a regulatory
settlement agreement with the Massachusetts Division of Insurance (the Division) following two
prior limited scope market conduct examinations, the first pertaining to operations, complaint
handling, marketing and sales, certificate holder services, underwriting and rating, and the second
pertaining to claims handling practices in small group health insurance. The
23
Division has monitored the Insurance Companies activities and implementation of the regulatory
settlement agreement requirements and, in January 2009, commenced a re-examination of certain key
provisions of the regulatory settlement agreement.
On August 26, 2009, the Insurance Companies and the Division entered into the Settlement
Agreement to resolve all outstanding matters stemming from the 2006 regulatory settlement agreement
and to resolve all issues identified in subsequent reviews and/or re-examinations conducted through
February 2009. By entering into the Settlement Agreement, the Insurance Companies do not admit,
deny or concede any actual or potential fault, wrongdoing, liability or violation of law in
connection with any facts or claims that have been or could have been alleged against them.
The settlement terms include payment of a $2.0 million fee; discontinuance of voluntary sales
of health benefit plans to eligible individuals and small businesses in the Massachusetts market;
and agreement not to offer any new health benefit plans in Massachusetts on or after October 1,
2009, for a period of three years. The Insurance Companies may continue to offer ancillary vision,
dental and related specialty plans that are not considered health benefit plans under
Massachusetts law, and may continue to renew all existing health benefit plans and to honor all
existing contracts pursuant to applicable statutory and regulatory requirements. The terms of the
Settlement Agreement also require referral of all producer disciplinary actions to the Divisions
Special Investigations Unit for a two year period; a targeted customer outreach notifying certain
insureds of their right to participate in a claims reassessment process; monthly reporting to the
Division regarding the claims reassessment process and Special Investigation Unit referrals; and
continued compliance with the requirements of the December 2006 regulatory settlement agreement as
such requirements pertain to the business that the Insurance Companies continue to issue and/or
renew after the Settlement Agreement is executed. The reasonable costs of the Division in
monitoring compliance with the Settlement Agreement will be paid by the Insurance Companies. The
Division may impose an additional penalty of up to $3.0 million if the Insurance Companies fail to
comply with the requirements of the Settlement Agreement.
General Regulatory Matters
The Companys insurance subsidiaries are subject to various other 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 the
Insurance Companies for the examination period January 1, 2000 through December 31, 2005. Reference
is made to the discussion of these and other matters contained in the Companys Annual Report on
Form 10-K for the year ended December 31, 2008 under the caption Item 3 Legal Proceedings and
in Note 16 of Notes to 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. Market conduct or other
regulatory examinations, inquiries or proceedings could result in, among other things, changes in
business practices that require the Company to incur substantial costs. Such results, individually
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 insurance policies or retain customers,
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.
9. SEGMENT INFORMATION
The Company operates three business segments, the Insurance segment, Corporate and Disposed
Operations. The Insurance segment includes the Companys SEA Division, Medicare and Other
Insurance. Corporate includes investment income not allocated to the Insurance segment, realized
gains or losses, interest expense on corporate debt, the Companys Student Loans business, 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
former Life Insurance Division, former Star HRG Division and former Student Insurance Division.
Allocations of investment income and certain general expenses are based on a number of
assumptions and estimates, and the business segments reported operating results would change if
different allocation methods were applied. Certain assets are not individually identifiable by
segment and, accordingly, have been allocated by formulas. Segment revenues include 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 segments are accounted
for under respective agreements, which provide for such transactions generally at cost.
24
Revenue from continuing operations, income (loss) from continuing operations before
income taxes, and assets by operating segment are set forth in the tables below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
Revenue from continuing operations: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
259,231 |
|
|
$ |
310,944 |
|
|
$ |
815,819 |
|
|
$ |
949,368 |
|
Medicare Division |
|
|
1,253 |
|
|
|
26,519 |
|
|
|
1,254 |
|
|
|
72,537 |
|
Other Insurance Division |
|
|
1,396 |
|
|
|
6,576 |
|
|
|
7,350 |
|
|
|
22,487 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
261,880 |
|
|
|
344,039 |
|
|
|
824,423 |
|
|
|
1,044,392 |
|
Corporate |
|
|
5,001 |
|
|
|
(6,985 |
) |
|
|
8,997 |
|
|
|
3,859 |
|
Intersegment Eliminations |
|
|
(122 |
) |
|
|
(38 |
) |
|
|
(122 |
) |
|
|
(129 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue excluding disposed operations |
|
|
266,759 |
|
|
|
337,016 |
|
|
|
833,298 |
|
|
|
1,048,122 |
|
Disposed Operations |
|
|
20 |
|
|
|
54 |
|
|
|
71 |
|
|
|
47,621 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue from continuing operations |
|
$ |
266,779 |
|
|
$ |
337,070 |
|
|
$ |
833,369 |
|
|
$ |
1,095,743 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
Income (loss) from continuing
operations before federal income
taxes: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
40,774 |
|
|
$ |
16,374 |
|
|
$ |
105,224 |
|
|
$ |
47,119 |
|
Medicare Division |
|
|
2,584 |
|
|
|
(3,077 |
) |
|
|
(7,743 |
) |
|
|
(15,381 |
) |
Other Insurance Division |
|
|
739 |
|
|
|
(1,348 |
) |
|
|
3,153 |
|
|
|
2,893 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
44,097 |
|
|
|
11,949 |
|
|
|
100,634 |
|
|
|
34,631 |
|
Corporate |
|
|
(16,866 |
) |
|
|
(36,556 |
) |
|
|
(53,285 |
) |
|
|
(81,701 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating income
(loss) excluding disposed
operations |
|
|
27,231 |
|
|
|
(24,607 |
) |
|
|
47,349 |
|
|
|
(47,070 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Disposed Operations |
|
|
(192 |
) |
|
|
(3,508 |
) |
|
|
(2,282 |
) |
|
|
(23,036 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total income (loss) from
continuing operations
before taxes |
|
$ |
27,039 |
|
|
$ |
(28,115 |
) |
|
$ |
45,067 |
|
|
$ |
(70,106 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Assets by operating segment at September 30, 2009 and December 31, 2008 are set forth in
the table below:
|
|
|
|
|
|
|
|
|
|
|
September 30, |
|
|
December 31, |
|
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
Assets: |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
732,517 |
|
|
$ |
822,966 |
|
Medicare Division |
|
|
8,438 |
|
|
|
18,328 |
|
Other Insurance Division |
|
|
1,326 |
|
|
|
20,985 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
742,281 |
|
|
|
862,279 |
|
|
|
|
|
|
|
|
|
|
Corporate |
|
|
762,555 |
|
|
|
667,617 |
|
|
|
|
|
|
|
|
Total assets excluding
assets of Disposed
Operations and assets
held for sale |
|
|
1,504,836 |
|
|
|
1,529,896 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Disposed Operations |
|
|
390,012 |
|
|
|
386,817 |
|
|
|
|
|
|
|
|
Total assets |
|
$ |
1,894,848 |
|
|
$ |
1,916,713 |
|
|
|
|
|
|
|
|
The assets of Disposed Operations primarily represent reinsurance recoverable associated
with the Coinsurance Agreements entered into with Wilton. See Note 2 of Notes to Consolidated
Condensed Financial Statements.
10. 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 contractor insurance agents and independent contractor sales
representatives associated with the Company. With respect to references to our sales agents as
independent contractors, see discussion of Joseph Hopkins et al., v. Cornerstone America et al.,
Fair Labor Standards Act Agent Litigation, in Note 8 of Notes to Consolidated Condensed
Financial Statements included herein and/or in the Companys Annual Report on Form 10-K filed for
the year ended December 31, 2008 under the caption Item 3. Legal Proceedings.
25
The Company estimates its current liability for unvested matching credits based on (i) the
number of unvested credits, (ii) the prevailing fair market value (as determined by the Companys
Board of Directors since the acquisition of the Company by affiliates of a group of private equity
investors) of the Class A-2 common stock ($19.95 at September 30, 2009 and $19.00 at December 31,
2008) and (iii) an estimate of the percentage of the vesting period that has elapsed. At September
30, 2009, the Company recorded a liability for 1,006,184 unvested matching credits payable under
the Agent Plans of $12.8 million. At December 31, 2008, the Company recorded a liability for
1,166,663 unvested matching credits payable under the Agent Plans of $16.2 million, of which
362,711 vested in January 2009. Upon vesting, the Company decreased additional paid-in capital by
$5.8 million, decreased treasury shares by $12.7 million and decreased other liabilities by $6.9
million. The liability is recorded in Other liabilities on the consolidated condensed balance
sheets.
The Company accounts for the Company-match feature of its Agent Plans by recognizing
compensation expense over the vesting period in an amount equal to the fair market value of vested
shares at the date of their vesting and distribution to the participants. Additionally, changes in
the liability from one period to the next are accounted for as either an increase in, or a decrease
to, compensation expense. The following table sets forth the total compensation expense, recorded
in Underwriting, acquisition and insurance expenses, and tax benefit associated with the
Companys Agent Plans for the three and nine months ended September 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
SEA and Medicare Division stock-based compensation expense |
|
$ |
989 |
|
|
$ |
1,230 |
|
|
$ |
3,977 |
|
|
$ |
3,833 |
|
Corporate variable non-cash stock-based
compensation (benefit) expense |
|
|
440 |
|
|
|
(607 |
) |
|
|
(386 |
) |
|
|
(3,825 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Agent Plan compensation (benefit) expense |
|
|
1,429 |
|
|
|
623 |
|
|
|
3,591 |
|
|
|
8 |
|
Related Tax Benefit |
|
|
500 |
|
|
|
218 |
|
|
|
1,257 |
|
|
|
3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net expense included in financial results |
|
$ |
929 |
|
|
$ |
405 |
|
|
$ |
2,334 |
|
|
$ |
5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Employee Plans
As
previously reported, on September 8, 2009, the Company entered into new employment agreements with certain
executive officers of the Company. In connection with their entry into these new employment
agreements, the executives agreed to forfeit 1,315,000 stock options previously granted to them and
the Company granted 810,640 new stock options and 836,502 new restricted share awards. These
equity awards transactions will generally be void if the Company does not obtain shareholder
approval of the required amendments to the Amended and Restated 2006 Management Option Plan by the
earlier of a change of control of the Company or December 31, 2009.
11. TRANSACTIONS WITH RELATED PARTIES
As of September 30, 2009, affiliates of The Blackstone Group, Goldman Sachs Capital Partners
and DLJ Merchant Banking Partners (the Private Equity Investors) held 56.0%, 23.0%, and 11.5%,
respectively, of the Companys outstanding equity securities. Certain members of the Board of
Directors of the Company are affiliated with the Private Equity Investors.
Each of the Private Equity Investors provides to the Company ongoing monitoring, advisory and
consulting services, for which the Company pays each of The Blackstone Group, Goldman Sachs Capital
Partners and DLJ Merchant Banking Partners an annual monitoring fee in an amount equal to $7.7
million, $3.2 million and $1.6 million, respectively. Aggregate annual monitoring fees in the
amount of $12.5 million for 2009 were paid in full to the Private Equity Investors in January 2009.
The Company has expensed $9.4 million through September 30, 2009.
On April 20, 2007, the Companys Board of Directors approved a $10.0 million investment by
Mid-West in Goldman Sachs Real Estate Partners, L.P., a commercial real estate fund managed by an
affiliate of Goldman Sachs Capital Partners. The Company has committed such investment to be funded
over a series of capital calls. During the first quarter of 2009, the amount of the Companys
original commitment was reduced by $2.0 million, to $8.0 million. During the nine months ended
September 30, 2009, the Company funded a $600,000 capital call to such investment. As of September
30, 2009, the Company has made contributions totaling $3.9 million, and has a remaining commitment
to Goldman Sachs Real Estate Partners, L.P. of $4.1 million.
On April 20, 2007, the Companys Board of Directors approved a $10.0 million investment by
MEGA in Blackstone Strategic Alliance Fund L.P., a hedge fund of funds managed by an affiliate of
The Blackstone Group. The Company has committed such investment to be funded over a series of
capital calls. During the nine months ended September 30, 2009, the Company received $771,000 in capital distributions from Blackstone Strategic Alliance Fund
L.P. During the nine
26
months ended September 30, 2009, the Company funded a $1.4 million capital
call to such investment. As of September 30, 2009, the Company has made contributions totaling $5.8
million, and has a remaining commitment to Blackstone Strategic Alliance Fund L.P. of $4.2 million.
Pursuant to the terms of an engagement letter dated June 2, 2009, Blackstone Advisory Services
L.P. agreed to provide certain financial advisory services to the Company in connection with
opportunities presented by the launch of its Insphere Insurance Solutions business. The Company
has agreed to pay Blackstone Advisory Services a fee in the amount of $2.0 million contingent upon
the completion of transaction(s) related to such opportunities.
In connection with the completion of the transactions contemplated by the Agreement for
Reinsurance and Purchase and Sale of Assets dated June 12, 2008 pursuant to which Wilton
Reassurance Company or its affiliates acquired substantially all of the business of the Companys
Life Insurance Division, the Company recognized transaction fees payable to affiliates of The
Blackstone Group, Goldman Sachs Capital Partners and DLJ Merchant Banking Partners of $1.2 million,
$479,000 and $240,000, respectively, which fees were paid in full on October 27, 2008. See Note 2
of Notes to Consolidated Condensed Financial Statements for additional information regarding the
sale of the Companys former Life Insurance Division.
From time to time, the Company may obtain goods or services from parties in which the Private
Equity Investors hold an equity interest. For example, in 2009 and 2008, the Company held several
events at a hotel in which an affiliate of The Blackstone Group holds an equity interest. During
the three and nine months ended September 30, 2009, in connection with these events, the Company
paid the hotel approximately $1.2 million and $3.8 million, respectively and during both the three
and nine months ended September 30, 2008, the Company paid the hotel approximately $0 and $1.6
million, respectively. Employees of the Company traveling on business may also, from time to time,
receive goods or services from entities in which the Private Equity Investors hold an equity
interest. The Company believes that the terms of all such transactions are and have been on terms
no less favorable to the Company than could have been obtained in arms length transactions with
unrelated third parties.
27
ITEM 2
MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
Cautionary Statements Regarding Forward-Looking Statements
In this report, unless the context otherwise requires, the terms Company, HealthMarkets,
we, us, or our refer to HealthMarkets, Inc. and its subsidiaries. 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. All statements, other than statements of historical information
provided or incorporated by reference herein, may be deemed to be forward-looking statements.
Without limiting the foregoing, 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 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, Corporate and Disposed
Operations. The Insurance segment includes the Companys Self-Employed Agency Division (SEA), the
Medicare Division and the Other Insurance Division. Corporate includes investment income not
allocated to the Insurance segment, realized gains or losses, interest expense on corporate debt,
the Companys Student Loans business, 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 former Life Insurance Division, former Star HRG Division
and former Student Insurance Division.
Through our SEA Division, we offer a broad range of health insurance products for individuals,
families, the self-employed and small businesses. Our plans are designed to accommodate individual
needs and include basic hospital-medical expense plans, plans with preferred provider organization
features, catastrophic hospital expense plans, as well as other supplemental types of coverage.
We market these products to the self-employed and individual markets through independent
agents contracted with our insurance subsidiaries. The Company has approximately 1,000 independent
writing agents per week in the field selling health insurance in 41 states and the District of
Columbia.
In late 2007, the Company expanded into the Medicare market by offering a new portfolio of
Medicare Advantage Private-Fee-for-Service Plans called HealthMarkets Care Assured
PlansSM in selected markets in 29 states with calendar year coverage effective for
January 1, 2008. In July 2008, the Company determined it would not continue to participate in the
Medicare business after the 2008 plan year. In connection with its exit from the Medicare market,
the Company incurred employee termination costs of $371,000 and asset impairment charges of $1.1
million associated with technology assets unique to its Medicare business in the third quarter of
2008. Additionally, during the nine months ended September 30, 2008, the Company recognized a $4.9
million expense, recorded in Underwriting, acquisition and insurance expenses, associated with a
minimum volume guarantee fee related to the Companys contract with a third party administrator.
This minimum volume guarantee fee was based on a minimum number of member months for the three year
term of the contract covering calendar years 2008 through 2010. During 2009, the Company continued
to fulfill its remaining obligations under the 2008 calendar year Medicare contracts.
Sale of ZON-Re
The Companys Other Insurance Division consisted of ZON-Re USA, LLC (ZON-Re), an 82.5%-owned
subsidiary, which underwrote, administered and issued accidental death, accidental death and
dismemberment (AD&D), accident medical, and accident disability insurance products, both on a
primary and on a reinsurance basis. The Company
28
distributed these products through professional reinsurance intermediaries and a network of independent commercial insurance agents, brokers and
third party administrators.
On June 5, 2009, HealthMarkets, LLC, entered into an Acquisition Agreement for the sale of its
82.5% membership interest in ZON-Re to Venue Re, LLC (Venue Re). The transaction contemplated by
the Acquisition Agreement closed effective June 30, 2009. The sale of the Companys membership
interest in ZON-Re resulted in a total pre-tax loss of $489,000 for the nine months ended September
30, 2009. The Company will continue to reflect the existing insurance business in its financial
statements to final termination of substantially all liabilities.
Insphere Insurance Solutions
During the second quarter of 2009, the Company formed Insphere Insurance Solutions, Inc.
(Insphere), a Delaware corporation and a wholly-owned subsidiary of HealthMarkets, LLC. Insphere
is an authorized insurance agency in 50 states and the District of Columbia. Insphere will serve as
an insurance agency specializing in small business and middle-income market life, health, long-term
care and retirement insurance, and will distribute products underwritten by the Companys insurance
subsidiaries, as well as non-affiliated insurance companies.
Insphere has completed marketing agreements with a number of life, health, long-term care and
retirement insurance carriers. Those carriers include, but are not limited to, ING, Minnesota Life
Insurance Company, John Hancock and United Healthcares Golden Rule Insurance Company.
Specifically, effective July 2009, Insphere completed a marketing agreement with ING, a leading
global banking and insurance company, to distribute INGs term life and universal life insurance
products. Insphere began marketing ING insurance policies in October.
In September 2009, Insphere completed a marketing agreement with
Minnesota Life Insurance Company,
to sell selected life insurance products, and with John Hancock, to sell selected long-term care
insurance products.
In October 2009, Insphere began marketing health insurance plans for United Healthcares Golden
Rule Insurance Company. These plans will first be offered through Insphere in Alabama, Arizona,
Delaware, Florida, Illinois, Maryland, North Carolina, Tennessee, Virginia, Wisconsin and
Washington, D.C., after which time we expect that sales will be expanded into the other markets in which United Healthcares personal
health plans are currently available.
Exit from Life Insurance Division Business
On September 30, 2008 (the Closing Date), HealthMarkets, LLC completed the transactions
contemplated by the Agreement for Reinsurance and Purchase and Sale of Assets dated June 12, 2008
(the Master Agreement). Pursuant to the Master Agreement, Wilton Reassurance Company or its
affiliates (Wilton) acquired substantially all of the business of the Companys Life Insurance
Division, which operated through The MEGA Life and Health Insurance Company (MEGA), Mid-West
National Life Insurance Company of Tennessee (Mid-West) and The Chesapeake Life Insurance Company
(Chesapeake) (collectively the Ceding Companies), and all of the Companys 79% equity interest
in each of U.S. Managers Life Insurance Company, Ltd. and Financial Services Reinsurance, Ltd. As
part of the transaction, under the terms of the Coinsurance Agreements (the Coinsurance
Agreements) entered into with each of the Ceding Companies on the Closing Date, Wilton agreed,
effective July 1, 2008 (the Coinsurance Effective Date), to reinsure on a 100% coinsurance basis
substantially all of the insurance policies associated with the Companys Life Insurance Division
(the Coinsured Policies). The reinsurance transaction resulted in a pre-tax loss of $17.6
million for the nine months ended September 30, 2008, of which $13.0 million was recorded as an
impairment to the Life Insurance Divisions deferred acquisition costs and $4.6 million was
recorded in Realized gains, net in the Companys consolidated condensed statement of income
(loss).
In connection with these transactions, the Company incurred $6.3 million in investment banker
fees and legal fees recorded as Other expenses on the Companys consolidated condensed statement
of income (loss), of which $5.0 million was incurred during the three months ended September 30,
2008. The Company also incurred $6.4 million of employee and lease termination costs and other
costs recorded in Underwriting, acquisition and insurance expenses, of which $3.2 million was
incurred during the three months ended September 30, 2008 (see Note 11 of Notes to Consolidated
Condensed Financial Statements). In addition, the Company incurred interest expense of $3.0
million during the third quarter of 2008 associated with the use of the cash transferred to Wilton
during the period from the Coinsurance Effective Date to the Closing Date. Lastly, the Ceding
Companies wrote-off deferred acquisition costs of $101.1 million, representing all of the deferred
acquisition costs associated with the Coinsured Policies subject to the transaction, which is
included in the realized loss on the transaction. This write-off of deferred acquisition costs
correspondingly reduced the related deferred tax assets by $36.7 million at September 30, 2008.
29
Student Loans
In connection with the execution of the Master Agreement, HealthMarkets, LLC entered into a
definitive Stock Purchase Agreement (as amended, the Stock Purchase Agreement) pursuant to which
Wilton agreed to purchase the Companys student loan funding vehicles, CFLD-I, Inc. (CFLD-I) and
UICI Funding Corp. 2 (UFC2), and the related student association. Prior to June 30, 2009, the
Company had presented the assets and liabilities of CFLD-I and UFC2 as held for sale on its
consolidated condensed balance sheet and included the results of operations of CFLD-I and UFC2 in
discontinued operations on its consolidated condensed statement of income (loss). As the closing
of the Stock Purchase Agreement did not occur, the Company reclassified the assets and liabilities
of CFLD-I and UFC2 out of held for sale and reclassified the results of operations from
discontinued operations to continuing operations for all periods presented. Such reclassification
in the condensed consolidated statement of income (loss) resulted in an increase in Loss from
continuing operations of $12,000 and $5.3 million for the three and nine months ended September
30, 2008, respectively.
In accordance with the terms of the Coinsured Agreements, Wilton will fund student loans;
provided, however, that Wilton will not be required to fund any student loan that would cause the
aggregate par value of all such loans funded by Wilton, following the Coinsurance Effective Date,
to exceed $10.0 million. As of September 30, 2009, approximately $1.4 million of student loans
have been funded under this agreement.
Results of Operations
The table below sets forth certain summary information about the Companys operating results
for the three and nine months ended September 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
|
(In thousands) |
|
|
|
|
|
REVENUE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health premiums |
|
$ |
239,560 |
|
|
$ |
315,765 |
|
|
$ |
753,203 |
|
|
$ |
959,068 |
|
Life premiums and other considerations |
|
|
487 |
|
|
|
673 |
|
|
|
1,829 |
|
|
|
37,189 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
240,047 |
|
|
|
316,438 |
|
|
|
755,032 |
|
|
|
996,257 |
|
Investment income |
|
|
10,873 |
|
|
|
16,244 |
|
|
|
32,224 |
|
|
|
55,607 |
|
Other income |
|
|
15,064 |
|
|
|
19,710 |
|
|
|
47,841 |
|
|
|
62,440 |
|
Other-than-temporary impairment losses |
|
|
|
|
|
|
(16,785 |
) |
|
|
(4,078 |
) |
|
|
(22,366 |
) |
Realized gains, net |
|
|
795 |
|
|
|
1,463 |
|
|
|
2,350 |
|
|
|
3,805 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
266,779 |
|
|
|
337,070 |
|
|
|
833,369 |
|
|
|
1,095,743 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
BENEFITS AND EXPENSES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefits, claims, and settlement expenses |
|
|
126,042 |
|
|
|
211,500 |
|
|
|
435,721 |
|
|
|
661,795 |
|
Underwriting, acquisition, and insurance expenses |
|
|
84,191 |
|
|
|
113,862 |
|
|
|
263,467 |
|
|
|
381,846 |
|
Other expenses |
|
|
21,948 |
|
|
|
26,498 |
|
|
|
63,862 |
|
|
|
87,288 |
|
Interest expense |
|
|
7,559 |
|
|
|
13,325 |
|
|
|
25,252 |
|
|
|
34,920 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
239,740 |
|
|
|
365,185 |
|
|
|
788,302 |
|
|
|
1,165,849 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations
before income taxes |
|
|
27,039 |
|
|
|
(28,115 |
) |
|
|
45,067 |
|
|
|
(70,106 |
) |
Federal income taxes |
|
|
9,644 |
|
|
|
(9,319 |
) |
|
|
16,456 |
|
|
|
(25,721 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations |
|
|
17,395 |
|
|
|
(18,796 |
) |
|
|
28,611 |
|
|
|
(44,385 |
) |
Income (loss) from discontinued operations, net |
|
|
55 |
|
|
|
82 |
|
|
|
106 |
|
|
|
149 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
17,450 |
|
|
$ |
(18,714 |
) |
|
$ |
28,717 |
|
|
$ |
(44,236 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Business Segments
The Company operates three business segments, the Insurance segment, Corporate and Disposed
Operations. The Insurance segment includes the Companys SEA Division, Medicare and Other
Insurance. Corporate includes investment income not allocated to the Insurance segment, realized
gains or losses, interest expense on corporate debt, the Companys Student Loans business, 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
former Life Insurance Division, former Star HRG Division and former Student Insurance Division.
Allocations of investment income and certain general expenses are based on a number of
assumptions and estimates, and the business segments reported operating results would change if
different allocation methods were applied. Certain assets are not individually identifiable by
segment and, accordingly, have been allocated by formulas. Segment revenues include 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 segments are accounted
for under respective agreements, which provide for such transactions generally at cost.
30
Revenue and income (loss) from continuing operations before federal income taxes (Operating
income) for each of the Companys business segments and divisions were as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
|
(In thousands) |
|
|
|
|
|
Revenue from continuing operations: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
259,231 |
|
|
$ |
310,944 |
|
|
$ |
815,819 |
|
|
$ |
949,368 |
|
Medicare Division |
|
|
1,253 |
|
|
|
26,519 |
|
|
|
1,254 |
|
|
|
72,537 |
|
Other Insurance Division |
|
|
1,396 |
|
|
|
6,576 |
|
|
|
7,350 |
|
|
|
22,487 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
261,880 |
|
|
|
344,039 |
|
|
|
824,423 |
|
|
|
1,044,392 |
|
Corporate |
|
|
5,001 |
|
|
|
(6,985 |
) |
|
|
8,997 |
|
|
|
3,859 |
|
Intersegment Eliminations |
|
|
(122 |
) |
|
|
(38 |
) |
|
|
(122 |
) |
|
|
(129 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue excluding disposed operations |
|
|
266,759 |
|
|
|
337,016 |
|
|
|
833,298 |
|
|
|
1,048,122 |
|
Disposed Operations |
|
|
20 |
|
|
|
54 |
|
|
|
71 |
|
|
|
47,621 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue from continuing operations |
|
$ |
266,779 |
|
|
$ |
337,070 |
|
|
$ |
833,369 |
|
|
$ |
1,095,743 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
|
(In thousands) |
|
|
|
|
|
Income (loss) from continuing
operations before federal income
taxes: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
40,774 |
|
|
$ |
16,374 |
|
|
$ |
105,224 |
|
|
$ |
47,119 |
|
Medicare Division |
|
|
2,584 |
|
|
|
(3,077 |
) |
|
|
(7,743 |
) |
|
|
(15,381 |
) |
Other Insurance Division |
|
|
739 |
|
|
|
(1,348 |
) |
|
|
3,153 |
|
|
|
2,893 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
44,097 |
|
|
|
11,949 |
|
|
|
100,634 |
|
|
|
34,631 |
|
Corporate |
|
|
(16,866 |
) |
|
|
(36,556 |
) |
|
|
(53,285 |
) |
|
|
(81,701 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating income
(loss) excluding disposed
operations |
|
|
27,231 |
|
|
|
(24,607 |
) |
|
|
47,349 |
|
|
|
(47,070 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Disposed Operations |
|
|
(192 |
) |
|
|
(3,508 |
) |
|
|
(2,282 |
) |
|
|
(23,036 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total income (loss) from
continuing operations
before taxes |
|
$ |
27,039 |
|
|
$ |
(28,115 |
) |
|
$ |
45,067 |
|
|
$ |
(70,106 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance
Set forth below is certain summary financial and operating data for the Companys Insurance
segment for the three and nine months ended September 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
240,046 |
|
|
$ |
316,370 |
|
|
$ |
755,031 |
|
|
$ |
960,011 |
|
Investment income |
|
|
6,247 |
|
|
|
8,064 |
|
|
|
20,035 |
|
|
|
21,102 |
|
Other income |
|
|
15,587 |
|
|
|
19,605 |
|
|
|
49,357 |
|
|
|
63,279 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
261,880 |
|
|
|
344,039 |
|
|
|
824,423 |
|
|
|
1,044,392 |
|
Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
125,963 |
|
|
|
211,391 |
|
|
|
433,929 |
|
|
|
629,797 |
|
Underwriting and policy acquisition expenses |
|
|
83,618 |
|
|
|
111,144 |
|
|
|
263,293 |
|
|
|
347,238 |
|
Other expenses |
|
|
8,202 |
|
|
|
9,555 |
|
|
|
26,567 |
|
|
|
32,726 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
217,783 |
|
|
|
332,090 |
|
|
|
723,789 |
|
|
|
1,009,761 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
44,097 |
|
|
$ |
11,949 |
|
|
$ |
100,634 |
|
|
$ |
34,631 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
52.5 |
% |
|
|
66.8 |
% |
|
|
57.5 |
% |
|
|
65.6 |
% |
Expense ratio |
|
|
34.8 |
% |
|
|
35.1 |
% |
|
|
34.9 |
% |
|
|
36.2 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
87.3 |
% |
|
|
101.9 |
% |
|
|
92.4 |
% |
|
|
101.8 |
% |
The Insurance segment includes the Companys SEA Division, the Medicare Division and
Other Insurance Division. Management reviews results of operations for the Insurance segment by
reviewing each of the above mentioned divisions.
31
Self- Employed Agency Division
Set forth below is certain summary financial and operating data for the Companys SEA Division
for the three and nine months ended September 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
|
(Dollars in thousands) |
|
|
|
|
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
237,937 |
|
|
$ |
283,746 |
|
|
$ |
748,468 |
|
|
$ |
866,810 |
|
Investment income |
|
|
6,311 |
|
|
|
7,485 |
|
|
|
20,510 |
|
|
|
21,827 |
|
Other income |
|
|
14,983 |
|
|
|
19,713 |
|
|
|
46,841 |
|
|
|
60,731 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
259,231 |
|
|
|
310,944 |
|
|
|
815,819 |
|
|
|
949,368 |
|
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
127,545 |
|
|
|
182,890 |
|
|
|
425,330 |
|
|
|
555,376 |
|
Underwriting and policy acquisition expenses |
|
|
82,710 |
|
|
|
102,125 |
|
|
|
258,698 |
|
|
|
314,146 |
|
Other expenses |
|
|
8,202 |
|
|
|
9,555 |
|
|
|
26,567 |
|
|
|
32,727 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
218,457 |
|
|
|
294,570 |
|
|
|
710,595 |
|
|
|
902,249 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
40,774 |
|
|
$ |
16,374 |
|
|
$ |
105,224 |
|
|
$ |
47,119 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
53.6 |
% |
|
|
64.5 |
% |
|
|
56.8 |
% |
|
|
64.1 |
% |
Expense ratio |
|
|
34.8 |
% |
|
|
36.0 |
% |
|
|
34.6 |
% |
|
|
36.2 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
88.4 |
% |
|
|
100.5 |
% |
|
|
91.4 |
% |
|
|
100.3 |
% |
Average number of writing agents in period |
|
|
963 |
|
|
|
1,232 |
|
|
|
1,059 |
|
|
|
1,319 |
|
Submitted annualized volume |
|
$ |
75,633 |
|
|
$ |
110,883 |
|
|
$ |
277,864 |
|
|
$ |
353,884 |
|
Loss Ratio. The loss ratio is defined as benefits expense as a percentage of earned premium
revenue.
Expense Ratio. The expense ratio is defined as underwriting, acquisition and insurance
expenses as a percentage of earned premium revenue.
Submitted Annualized Volume. Submitted annualized premium volume in any period is the
aggregate annualized premium amount associated with health insurance applications submitted
by the Companys agents in such period for underwriting by the Companys insurance
subsidiaries.
Three Months Ended September 30, 2009 versus September 30, 2008
The SEA Division reported earned premium revenue of $237.9 million in the three months ended
September 30, 2009 as compared with $283.7 million for 2008, a decrease of $45.8 million or 16%.
The decrease is primarily due to a decline in submitted annualized premium volume. Submitted
annualized premium volume reported for the three months ended September 30, 2009 was $75.6 million
compared to $110.9 million for 2008, a decrease of $35.3 million, which is attributable to the
decrease in number of writing agents compared to the three months ended September 30, 2008 and the
delay in the rollout of the new products.
The SEA Division reported operating income for the three months ended September 30, 2009 of
$40.8 million compared to operating income of $16.4 million in the corresponding period of 2008.
Operating income in the SEA Division as a percentage of earned premium revenue (i.e., operating
margin) for the three months ended September 30, 2009 was 17.1% compared to the operating margin of
5.8% in the corresponding 2008 period. The increase in operating margin during the current year
period is generally attributable to a decrease in loss ratio which reflects better claims
experience on both our new products, as well as our legacy products.
Underwriting, acquisition and insurance expenses decreased by $19.4 million, or 19% to $82.7
million during 2009 from $102.1 million in the corresponding period of 2008. This decrease reflects
the variable nature of commission expenses and premium taxes included in these amounts which
generally vary in proportion to earned premium revenue, as well as the Companys determination to
defer certain underwriting and policy issuance costs in 2009. Additionally, the Company initiated
certain cost reduction programs beginning in the fourth quarter of 2008. These reductions are
partially offset by costs incurred with the formation of Insphere Insurance Solutions.
Other income and other expenses both decreased in the current period compared to the prior
year period. Other income largely consists of fee and other income received for sales of
association memberships by our dedicated agency sales force for which other expenses are incurred
for bonuses and other compensation provided to the agents. Sales of association memberships by our
dedicated agency sales force tend to move in tandem with sales of health insurance policies;
consequently, this decrease in other income and other expense is consistent with the decline in
earned premium.
Nine Months Ended September 30, 2009 versus September 30, 2008
The SEA Division reported earned premium revenue of $748.5 million in the nine months ended
September 30, 2009 as compared with $866.8 million for 2008, a decrease of $118.3 million or 14%,
which is primarily due to the
32
reduction in submitted annualized premium volume. In the nine months ended September 30,
2009, total SEA Division submitted annualized premium volume decreased to $277.9 million from
$353.9 million in the corresponding 2008 period, which was primarily attributable to a decrease in
the number of writing agents from an average of 1,319 during the nine months ended September 30,
2008 to an average of 1,059 during the same period in 2009.
The SEA Division reported operating income for the nine months ended September 30, 2009 of
$105.2 million compared to operating income of $47.1 million in the corresponding period of 2008.
Operating income in the SEA Division as a percentage of earned premium revenue (i.e., operating
margin) for the nine months ended September 30, 2009 was 14.1% compared to the operating margin of
5.4% in the corresponding 2008 period. The increase in operating margin during the current year
period is generally attributable to a loss ratio reflecting better claims experience on both our
new products, as well as our legacy products.
Underwriting, acquisition and insurance expenses decreased by $55.4 million, or 18% to $258.7
million during 2009 from $314.1 million in the corresponding period of 2008. This decrease reflects
the variable nature of commission expenses and premium taxes included in these amounts which
generally vary in proportion to earned premium revenue and, in addition, the deferral of certain
underwriting and policy issuance costs in 2009. Furthermore, the Company initiated certain cost
reduction programs beginning in the fourth quarter of 2008, which is being reflected as a decrease
in the expense ratio. These reductions are partially offset by costs incurred with the formation
of Insphere Insurance Solutions.
Other income and other expenses both decreased in the current period compared to the prior
year period. Other income largely consists of fee and other income received for sales of
association memberships by our dedicated agency sales force for which other expenses are incurred
for bonuses and other compensation provided to the agents. Sales of association memberships by our
dedicated agency sales force tend to move in tandem with sales of health insurance policies;
consequently, this decrease in other income and other expense is consistent with the decline in
earned premium.
Medicare Division
Set forth below is certain summary financial and operating data for the Companys Medicare
Division for the three and nine months ended September 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30 |
|
|
September 30 |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
|
(Dollars in thousands) |
|
|
|
|
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
1,161 |
|
|
$ |
26,388 |
|
|
$ |
1,123 |
|
|
$ |
72,247 |
|
Investment income and other income |
|
|
92 |
|
|
|
131 |
|
|
|
131 |
|
|
|
290 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
1,253 |
|
|
|
26,519 |
|
|
|
1,254 |
|
|
|
72,537 |
|
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
(1,366 |
) |
|
|
22,460 |
|
|
|
8,935 |
|
|
|
62,590 |
|
Underwriting and policy acquisition expenses |
|
|
35 |
|
|
|
7,136 |
|
|
|
62 |
|
|
|
25,328 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
(1,331 |
) |
|
|
29,596 |
|
|
|
8,997 |
|
|
|
87,918 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income (loss) |
|
$ |
2,584 |
|
|
$ |
(3,077 |
) |
|
$ |
(7,743 |
) |
|
$ |
(15,381 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
NM |
|
|
|
85.1 |
% |
|
NM |
|
|
|
86.6 |
% |
Expense ratio |
|
NM |
|
|
|
27.0 |
% |
|
NM |
|
|
|
35.1 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
NM |
|
|
|
112.1 |
% |
|
NM |
|
|
|
121.7 |
% |
Loss ratio. The loss ratio represents total benefit expenses as a percentage of earned
premium revenue.
Expense ratio. The expense ratio represents underwriting, acquisition and insurance
expenses as a percentage of earned premium revenue.
NM.
Not meaningful
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 PFFS called HMCA Plans in
selected markets in 29 states with calendar year coverage effective for January 1, 2008. In July
2008, the Company decided that it would not participate in the Medicare Advantage marketplace after
the 2008 plan year. As such, the results of operations for the three and nine months ended
September 30, 2009 are not comparable to the results of operations for the three and nine months
ended September 30, 2008. During 2009, the Company continued to fulfill its remaining obligations
under the 2008 calendar year Medicare contracts.
33
Three and Nine Months Ended September 30, 2009
During early 2009, the Company experienced a higher than expected claim volume, as well as the
submission of several large claims. As a result, the Company amended the completion factors used
to calculate its reserves, and increased the overall projected lifetime loss ratio. During the
third quarter of 2009, the Company began experiencing better than expected claim volume and, as
such, continued to refine the completion factors used to calculate its reserves. Such refinements
resulted in a positive claim experience for the three months ended September 30, 2009. As a result
of its continued refinements of the completion factors throughout 2009, the Company increased the
overall projected lifetime loss ratio from 83.3% as of December 31, 2008 to 91.5% as of September
30, 2009. This resulted in an expense of $8.9 million for the nine months ended September 30,
2009. At September 30, 2009, the Company has a remaining claims reserve of approximately $6.7
million.
Three and Nine Months Ended September 30, 2008
The Medicare Division had $26.4 million and $72.2 million in earned premium for the three and
nine months ended September 30, 2008, respectively. Benefit expenses for the nine months ended
September 30, 2008 of $62.6 million resulted in a loss ratio of 86.6%, which was consistent with
the Companys expectations after adjusting for the actual member risk scores as provided by CMS.
Underwriting, acquisition and insurance expenses were $25.3 million for the nine months ended
September 30, 2008, which included $371,000 of employee termination costs, $1.1 million of asset
impairment charges associated with technology assets unique to the Medicare business and a $4.9
million expense associated with a minimum volume guarantee fee related to the Companys contract
with a third party administrator. This minimum volume guarantee fee was based on a minimum number
of member months for the three year term of the contract covering calendar years 2008 through 2010.
Other Insurance Division
Set forth below is certain summary financial and operating data for the Companys Other
Insurance Division for the three and nine months ended September 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
|
(Dollars in thousands) |
|
|
|
|
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
948 |
|
|
$ |
6,236 |
|
|
$ |
5,440 |
|
|
$ |
20,954 |
|
Investment income |
|
|
463 |
|
|
|
448 |
|
|
|
1,376 |
|
|
|
1,338 |
|
Other income |
|
|
(15 |
) |
|
|
(108 |
) |
|
|
534 |
|
|
|
195 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
1,396 |
|
|
|
6,576 |
|
|
|
7,350 |
|
|
|
22,487 |
|
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
(216 |
) |
|
|
6,041 |
|
|
|
(336 |
) |
|
|
11,831 |
|
Underwriting, acquisition and insurance expenses |
|
|
873 |
|
|
|
1,883 |
|
|
|
4,533 |
|
|
|
7,763 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
657 |
|
|
|
7,924 |
|
|
|
4,197 |
|
|
|
19,594 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income (loss) |
|
$ |
739 |
|
|
$ |
(1,348 |
) |
|
$ |
3,153 |
|
|
$ |
2,893 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
NM |
|
|
|
96.9 |
% |
|
NM |
|
|
|
56.5 |
% |
Expense ratio |
|
|
92.1 |
% |
|
|
30.2 |
% |
|
|
83.3 |
% |
|
|
37.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
69.3 |
% |
|
|
127.1 |
% |
|
|
77.2 |
% |
|
|
93.5 |
% |
Loss Ratio. The loss ratio is defined as benefits expense as a percentage of earned premium
revenue.
Expense Ratio. The expense ratio is defined as underwriting, acquisition and insurance
expenses as a percentage of earned premium revenue.
NM. Not material
The Companys Other Insurance Division consisted of ZON-Re, an 82.5%-owned subsidiary,
which underwrote, administered and issued accidental death, AD&D, accident medical, and accident
disability insurance products, both on a primary and on a reinsurance basis. The Company
distributed these products through professional reinsurance intermediaries and a network of
independent commercial insurance agents, brokers and third party administrators. On June 5, 2009,
HealthMarkets, LLC, entered into an Acquisition Agreement for the sale of its 82.5% membership
interest in ZON-Re to Venue Re. The transaction contemplated by the Acquisition Agreement closed
effective June 30, 2009. The Company will continue to reflect the existing insurance business in
its financial statements to final termination of all liabilities.
34
Three and Nine Months Ended September 30, 2009 versus September 30, 2008
For the three months ended September 30, 2009, operating income was $739,000 on revenue of
$1.4 million, compared to a $1.3 million loss on $6.6 million of revenue for the corresponding
period in 2008. For the nine months ended September 30, 2009, operating income was $3.2 on revenue
of $7.4 million, compared to $2.9 million of operating income on $22.5 million of revenue for the
corresponding period in 2008. The overall decrease in operating
income from the prior year is due to
the Companys exit from this line of business during the second quarter of 2009.
For the three months and nine months ended September 30, 2009, the Company recognized positive
experience related to benefits expense as a result of favorable claims experience on the policies
maturing during the period, for which the Company has not renewed. Benefit expenses for the three
months and nine months ended September 30, 2008 include a large catastrophic claim on reinsured
excess loss business in the amount of $1.9 million and a $900,000 loss on quota share disability
business. When considering the results for the nine months ended September 30, 2008, the adverse
third quarter results were partially mitigated by favorable claim experience during the second
quarter of 2008. Underwriting, acquisition and insurance expenses were $873,000 and $4.5 million
during the three and nine months ended September 30, 2009, respectively, compared to $1.9 million
and $7.8 million in the corresponding period in 2008. The decrease in expenses during 2009
reflects the Companys exit from this line of business during the second quarter of 2009.
Corporate
Corporate includes investment income not otherwise allocated to the Insurance segment,
realized gains and losses on sale of investments, interest expense on corporate debt, variable
stock-based compensation, the student loan business and general expenses relating to corporate
operations.
Set forth below is a summary of the components of operating income (loss) at the Companys
Corporate segment for the three and nine months ended September 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
|
(In thousands) |
|
|
|
|
|
Investment income on equity |
|
$ |
2,847 |
|
|
$ |
6,519 |
|
|
$ |
6,581 |
|
|
$ |
16,183 |
|
Net investment impairment losses recognized in earnings |
|
|
|
|
|
|
(16,785 |
) |
|
|
(4,078 |
) |
|
|
(22,366 |
) |
Realized gains, net |
|
|
795 |
|
|
|
1,463 |
|
|
|
2,350 |
|
|
|
3,680 |
|
Interest expense on corporate debt |
|
|
(7,559 |
) |
|
|
(12,607 |
) |
|
|
(24,386 |
) |
|
|
(32,078 |
) |
Student loan operations |
|
|
(279 |
) |
|
|
(19 |
) |
|
|
(258 |
) |
|
|
(8,156 |
) |
Variable stock-based compensation (expense) benefit |
|
|
(440 |
) |
|
|
607 |
|
|
|
386 |
|
|
|
3,825 |
|
General corporate expenses and other |
|
|
(12,230 |
) |
|
|
(15,734 |
) |
|
|
(33,880 |
) |
|
|
(42,789 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating expense |
|
$ |
(16,866 |
) |
|
$ |
(36,556 |
) |
|
$ |
(53,285 |
) |
|
$ |
(81,701 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
The Corporate segment reported an operating loss for the three months ended September 30,
2009 of $16.9 million compared to $36.6 million, in the corresponding 2008 period for an overall
decrease in operating expenses of $19.7 million. The decrease in operating expenses is primarily
due to the following items:
|
|
|
Investment income on equity decreased by $3.7 million primarily due to a decrease
in the amount of invested assets in 2009 compared to 2008. This decrease was
partially offset by an increase in investment income earned on the Companys equity
method investments of $1.0 million. |
|
|
|
|
Interest expense on corporate debt decreased by $5.0 million due to lower interest
rates in the third quarter of 2009 compared to the third quarter of 2008.
Additionally, the 2008 balance includes $3.0 million of interest expense associated
with the use of cash transferred to Wilton during the period from the Coinsurance
Effective Date (July 1, 2008) and the Closing Date (September 30, 2008). |
|
|
|
|
Net investment impairment losses recognized in earnings decreased $16.8 million as
the Company did not incur any impairment losses on other-than-temporary impairments
in the third quarter of 2009. |
|
|
|
|
General corporate expenses and other decreased by $4.0 million from prior year,
which is primarily attributable to a $3.9 million of broker and transaction fees
related to the Life Insurance Division transaction in 2008. |
35
Nine Months Ended September 30, 2009 versus September 30, 2008
The Corporate segment reported an operating loss for the nine months ended September 30, 2009
of $53.3 million compared to $81.7 million, in the corresponding 2008 period for an overall
decrease in operating expenses of $28.4 million. The decrease in operating expenses is primarily
due to the following items:
|
|
|
Investment income on equity decreased by $9.6 million due to a reduction in the
amount of assets available for investment in 2009 compared to 2008, as well as a $3.5
million decrease in investment income during the current year on the Companys equity
method investments. |
|
|
|
|
Interest expense on corporate debt decreased due to a lower interest rate
environment in 2009 compared to 2008. Additionally, the 2008 balance includes $3.0
million of interest expense associated with the use of cash transferred to Wilton
during the period from the Coinsurance Effective Date (July 1, 2008) and the Closing
Date (September 30, 2008). |
|
|
|
|
Net investment impairment losses recognized in earnings decreased $18.3 million as
the Company recognized impairment losses on other-than-temporary impairments of $4.1
million in 2009 on 3 securities compared to $22.4 million on 8 securities during
2008. |
|
|
|
|
General corporate expenses and other decreased by $9.4 million from prior year,
which is primarily attributable to broker, consulting, legal and transaction fees
related to the Life Insurance Division transaction in 2008. |
Disposed Operations
Our Disposed Operations segment includes the former Life Insurance Division, former Star HRG
Division and former Student Insurance Division.
On September 30, 2008, the Company exited the Life Insurance Division business through a
reinsurance transaction effective July 1, 2008. See Note 2 of Notes to Consolidated Condensed
Financial Statements. On July 11, 2006 and December 1, 2006, the Company completed the sales of
the assets formerly comprising its Star HRG and Student Insurance Divisions, respectively.
The table below sets forth income (loss) from continuing operations for our Disposed
Operations three and nine months ended September 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
Income (loss) from Disposed Operations before federal income taxes: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Life Insurance Division |
|
$ |
(191 |
) |
|
$ |
(3,258 |
) |
|
$ |
(2,458 |
) |
|
$ |
(23,238 |
) |
Student Insurance Division |
|
|
(1 |
) |
|
|
(250 |
) |
|
|
41 |
|
|
|
84 |
|
Star HRG Insurance Division |
|
|
|
|
|
|
|
|
|
|
135 |
|
|
|
118 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
$ |
(192 |
) |
|
$ |
(3,508 |
) |
|
$ |
(2,282 |
) |
|
$ |
(23,036 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
The Companys Life Insurance Division reported an operating loss for the three and nine months
ended September 30, 2009 of $191,000 and $2.5 million, respectively, compared to an operating loss
for the three and nine months ended September 30, 2008 of $3.3 million and $23.2 million,
respectively. The operating loss for the nine months ended September 30, 2008 includes a $13.0
million impairment charge related to the decision to exit this business. In addition, expenses of
$3.2 million and $6.4 million were incurred during the three and nine months ended September 30,
2008, respectively, related to employee severance and facility lease termination costs.
Liquidity and Capital Resources
Consolidated Operations
Historically, the Companys primary sources of cash on a consolidated basis have been premium
revenue from policies issued, investment income, and fees and other income. The primary uses of
cash have been payments for benefits, claims and commissions under those policies, servicing of the
Companys debt obligations and operating expenses.
36
The Company has entered into several financing agreements designed to strengthen both its
capital base and liquidity, the most significant of which are described below. The following table
also sets forth additional information with respect to the Companys debt:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest Rate at |
|
September 30, |
|
|
December 31, |
|
|
|
|
Maturity Date |
|
|
September 30, 2009 |
|
2009 |
|
|
2008 |
|
|
|
|
|
|
|
|
|
|
|
(In thousands) |
|
2006 credit agreement: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Term loan |
|
|
2012 |
|
|
|
1.510 |
%(a) |
|
$ |
362,500 |
|
|
$ |
362,500 |
|
$75 million revolver |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Trust preferred securities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
UICI Capital Trust I |
|
|
2034 |
|
|
|
3.940 |
%(a) |
|
|
15,470 |
|
|
|
15,470 |
|
HealthMarkets Capital Trust I |
|
|
2036 |
|
|
|
3.349 |
%(a) |
|
|
51,550 |
|
|
|
51,550 |
|
HealthMarkets Capital Trust II |
|
|
2036 |
|
|
|
8.367 |
%(a) |
|
|
51,550 |
|
|
|
51,550 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
|
|
|
|
|
|
|
|
$ |
481,070 |
|
|
$ |
481,070 |
|
Student Loan Credit Facility |
|
|
|
(b) |
|
|
0 |
%(c) |
|
|
78,850 |
|
|
|
86,050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
|
|
|
|
|
|
|
|
$ |
559,920 |
|
|
$ |
567,120 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
|
See Note 5 of Notes to Consolidated Condensed Financial Statements. |
|
(b) |
|
The Series 2001A-1 Notes and Series 2001A-2 Notes have a final stated maturity
of July 1, 2036; the Series 2002A Notes have a final stated maturity of July 1, 2037.
See Note 5 of Notes to Consolidated Condensed Financial Statements. |
|
(c) |
|
The interest rate on each series of notes resets monthly in a Dutch auction
process. See Note 5 of Notes to Consolidated Condensed Financial Statements for
additional information on the Student Loan Credit Facility. |
In April 2006, the Company borrowed $500.0 million under a term loan credit facility and
issued $100.0 million of Floating Rate Junior Subordinated Notes during 2006 (see Note 5 of Notes
to Consolidated Condensed Financial Statements).
We regularly monitor our liquidity position, including cash levels, credit line, principal
investment commitments, interest and principal payments on debt, capital expenditures and matters
relating to liquidity and to compliance with regulatory requirements. We maintain a line of credit
in excess of anticipated liquidity requirements. As of September 30, 2009, HealthMarkets had a
$75.0 million unused line of credit, of which $60.9 million was available to the Company. The
unavailable balance of $14.1 million relates to letters of credit outstanding with the Companys
insurance operations.
Holding Company
HealthMarkets, Inc. is a holding company, the principal asset of which is its investment in
its wholly owned subsidiary, HealthMarkets, LLC (collectively referred to as the holding
company). 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.
Domestic insurance companies require prior approval by insurance regulatory authorities for the
payment of dividends that exceed certain limitations based on statutory surplus and net income.
During 2009, the Companys domestic insurance companies are eligible to pay, without prior approval
of the regulatory authorities, aggregate dividends in the ordinary course of business to
HealthMarkets, LLC of approximately $69.9 million, of which $14.8 million is available currently
with the remainder available by December 31, 2009. However, as it has done in the past, the Company will
continue to assess the results of operations of the regulated domestic insurance companies 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 in excess of minimum requirements.
Contractual Obligations and Off Balance Sheet Arrangements
A summary of HealthMarkets contractual obligations is included in the 2008 Form 10-K. There
have been no material changes in the Companys contractual obligations or off balance sheet
commitments since December 31, 2008.
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 the valuation of assets and liabilities requiring fair value estimates, including
investments and allowance for bad
37
debts, the amount of health and life insurance claims and liabilities, the realization of
deferred acquisition costs, the carrying value of goodwill and intangible assets, the amortization
period of intangible assets, stock-based compensation plan forfeitures, the realization of deferred
taxes, reserves for contingencies, including reserves for losses in connection with unresolved
legal matters and other matters that affect the reported amounts and disclosure of contingencies in
the financial statements. 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, 2008 under the caption Managements Discussion and Analysis of Financial
Condition and Results of Operations Critical Accounting Policies and Estimates.
Deferred Acquisition Costs (DAC) 2009 Change in Estimates
Prior to January 1, 2009, the basis for the amortization period on deferred lead costs and the
portion of DAC associated with excess commissions over ultimate paid to agents was the estimated
weighted average life of the insurance policy, which approximated 24 months. The monthly
amortization factor was calculated to correspond with the historical persistency of policies (i.e.
the monthly amortization is variable and is higher in the early months). Beginning January 1,
2009, on newly issued policies, the Company refined its estimated life of the policy to approximate
the premium paying period of the policy based on the expected persistency over this period. As
such, these costs are now amortized over sixty months, and the monthly amortization factor is
calculated to correspond with the expected persistency experience for the newly issued policies.
However, the amounts amortized will continue to be substantially higher in the early months of the
policy as both are based on the persistency of the Companys insurance policies. Policies issued
before January 1, 2009 will continue to be amortized using the existing assumptions in place at the
time of the issuance of the policy.
Additionally, prior to January 1, 2009, certain other underwriting and policy issuance costs,
which the Company determined to be more fixed than variable, were expensed as incurred. Effective
January 1, 2009, HealthMarkets determined that, due to changes in both the Companys products and
underwriting procedures performed, certain of these costs have become more variable than fixed in
nature. As such, the Company began deferring such costs over the expected premium paying period of
the policy, which approximates five years.
These changes resulted in a decrease in Underwriting, acquisition and insurance expenses of
$3.0 million and $10.3 million, respectively, for the three and nine months ended September 30,
2009.
Recent Accounting Pronouncements
In June 2009, the Financial Accounting Standards Board (the FASB) issued Statement of
Financial Accounting Standards (SFAS) No. 167, Amendments to FASB Interpretation No. 46(R) (SFAS
No. 167), which has not yet been codified in the FASB Accounting Standards Codification (ASC).
SFAS No. 167 modifies financial reporting for variable interest entities (VIEs). Under this
guidance, companies are required to perform a periodic analysis to determine whether their variable
interest must be consolidated by the Company. Additionally, Companies must disclose significant
judgments and assumptions made when determining whether it must consolidate a VIE. Any changes in
consolidated entities resulting from a Companys analysis must be applied retrospectively to prior
period financial statements. SFAS No. 167 is effective for annual and interim periods beginning
after November 15, 2009. The Company has not yet determined the impact that the adoption of this
guidance will have on its financial position and results of operations.
In June 2009, the FASB issued SFAS No. 166, Accounting for Transfers of Financial Assetsan
amendment of SFAS No. 140 (SFAS No. 166), which has not yet been codified in the ASC. SFAS No.
166 provides greater transparency about transfers of financial assets and requires companies to
determine whether the transferor or companies included in the transferors financial statements
have surrendered control over transferred financial assets. SFAS No. 166 modifies the
financial-components approach used in SFAS No. 140, Accounting for Transfers and Servicing of
Financial Assets and Extinguishments of Liabilities, which was codified into FASB ASC Topic 860,
Transfers and Servicing, and limits the circumstances in which a financial asset, or portion of a
financial asset, should be derecognized. Additionally, this FSP removes the concept of a
qualifying special-purpose entity (QSPE) and removes the exception from applying FASB
Interpretation No. 46 (revised December 2003), Consolidation of Variable Interest Entities, to
QSPEs. SFAS No. 166 is effective for annual and interim periods beginning after November 15, 2009.
The Company has not yet determined the impact that the adoption of this guidance will have on its
financial position and results of operations.
In September 2009, the FASB issued ASC Updated 2009-12, Fair Value Measurements and
Disclosures (Topic 820) Investments in Certain Entities that Calculate Net Asset Value per Share
(or Its Equivalent), which provides
38
amendments to Subtopic 820-10, Fair Value Measurements and Disclosures Overall, for the
fair value measurement of investments in certain entities that calculate net asset value per share
(or its equivalent). This Update is effective for annual and interim periods beginning after
December 15, 2009. The Company has not yet determined the impact that the adoption of this
guidance will have on its financial position and results of operations.
In June 2009, the FASB issued SFAS No. 168, The FASB Accounting Standards Codification and the
Hierarchy of Generally Accepted Accounting Principlesa replacement of FASB Statement No. 162,
which was codified into FASB ASC Topic 105, Generally Accepted Accounting Standards. This standard
recognizes the ASC as the source of authoritative U.S. GAAP recognized by the FASB. Additionally,
rules and interpretive releases of the SEC under authority of federal securities laws will also
continue to be sources of authoritative GAAP for SEC registrants. The Company adopted such
guidance in September 2009. Beginning in the third quarter of 2009, this guidance impacted the
Companys financial statements and related disclosures as all references to authoritative
accounting literature reflect the newly adopted codification.
In May 2009, the FASB issued SFAS No. 165, Subsequent Events (SFAS No. 165), which was
codified into FASB ASC Topic 855, Subsequent Events. Under this guidance, an entity is required to
disclose the date through which it has evaluated subsequent events and the basis for that date.
Additionally, this guidance clarifies the circumstances under which an entity should recognize in
the financial statements, the effects of events or transactions occurring after the balance sheet
date, and required disclosures for such events and transactions. The Company adopted this guidance
in the third quarter of 2009. Such adoption did not have a material impact on the Companys
financial position and results of operations.
In August 2009, the FASB issued ASC Update No. 2009-05, Fair Value Measurements and
Disclosures (Topic 820 Measuring Liabilities at Fair Value), which provides amendments to
Subtopic 820-10, Fair Value Measurements and Disclosures Overall, for the fair value measurement
of liabilities. This Update provides clarification for measuring fair value in circumstances where
a quoted price in an active market for the identical liability is not available. The Company
adopted this guidance in the third quarter of 2009. Such adoption did not have a material impact on
the Companys financial position and results of operations.
In April 2009, the FASB issued FASB Staff Position (FSP) SFAS No. 157-4, Determining Fair
Value When the Volume and Level of Activity for the Asset or Liability Have Significantly Decreased
and Identifying Transactions That Are Not Orderly, which was codified into FASB ASC Topic 820, Fair
Value Measurements and Disclosures (ASC Topic 820). This standard provides guidance for
estimating fair value when the market activity for the asset or liability has significantly
decreased and guidance for identifying transactions that are not orderly. Furthermore, this
guidance requires disclosure in interim and annual periods for the inputs and valuation techniques
used to measure fair value. Additionally, it requires an entity to disclose a change in valuation
technique, and to quantify such effects. The Company adopted this guidance in the second quarter
of 2009. Such adoption did not have a material impact on the Companys financial position and
results of operations.
In February 2008, the FASB issued FSP SFAS No. 157-2, Effective Date of FASB Statement No.
157, which was codified into FASB ASC Topic 820. This guidance delays the effective date of SFAS
No. 157, Fair Value Measurements, for all nonfinancial assets and nonfinancial liabilities, except
those that are recognized or disclosed at fair value in the financial statements on a recurring
basis (at least annually). These nonfinancial items would include, for example, reporting units
measured at fair value in a goodwill impairment test and nonfinancial assets acquired and
liabilities assumed in a business combination. The Company adopted this guidance in the first
quarter of 2009. Such adoption of these remaining provisions did not have a material impact on the
Companys financial position and results of operations.
In April 2009, the FASB issued FSP SFAS No. 107-1 and APB 28-1, Disclosures about Fair Value
of Financial Instruments, which was codified into FASB ASC Topic 825, Financial Instruments. This
guidance requires companies to provide disclosures about fair value of financial instruments in
both interim and annual financial statements. Additionally, under this guidance, companies are
required to disclose the methods and significant assumptions used to estimate the fair value of
financial instruments in both interim and annual financial statements. The Company adopted this
guidance in the second quarter of 2009. Such adoption did not have a material impact on the
Companys financial position and results of operations.
In April 2009, FASB issued FSP SFAS No. 115-2, Recognition and Presentation of
Other-Than-Temporary Impairments (FSP SFAS No. 115-2), which was codified into FASB ASC Topic
320, Investments Debt and Equity Securities (ASC Topic 320). This guidance improves the
presentation and disclosure of other-than-temporary impairments on debt and equity securities in
the financial statements. Under this guidance, when the fair value is less than the amortized cost
basis at the measurement date, a company would be required to assess the impaired security to
determine whether the impairment is other-than-temporary. Such assessment may result in the
recognition of an other-than-temporary
39
impairment related to a credit loss in the statement of income and the recognition of an
other-than-temporary impairment related to a non-credit loss in accumulated other comprehensive
income on the balance sheet. To avoid recognizing the entire other-than-temporary impairment in
the statement of income, a company would be required to assert (a) it does not have the intent to
sell the security and (b) it is more likely than not that it will not have to sell the security
before recovery of its cost basis. Additionally, at adoption, a company is permitted to make a
one-time cumulative-effect adjustment for securities held at adoption for which an
other-than-temporary impairment related to a non-credit loss had been previously recognized. The
Company adopted this guidance in the second quarter of 2009. Upon adoption, the Company recognized
such tax-effected cumulative effect as an increase to the opening balance of retained earnings for
$1.0 million with a corresponding decrease to accumulated other comprehensive income, with no
overall change to shareholders equity. See Note 4 of Notes to Consolidated Condensed Financial
Statements.
On January 1, 2009, the FASB issued SFAS No. 161, Disclosures about Derivative Instruments and
Hedging Activitiesan amendment of FASB Statement No. 133, which was codified into FASB ASC Topic
815, Derivative Instruments (ASC Topic 815). This standard requires companies with derivative
instruments to disclose information that enables financial statement users to understand how and
why a company uses derivative instruments, how derivative instruments and related hedged items are
accounted for and how derivative instruments and related hedged items affect a companys financial
position, financial performance, and cash flows. The Company adopted this guidance in the first
quarter of 2009. See Note 6 of Notes to Consolidated Condensed Financial Statements for information
on the Companys derivative instrument, including these additional required disclosures.
In December 2007, the FASB issued SFAS No. 160, Non-controlling Interests in Consolidated
Financial Statementsan amendment of ARB No. 51 (SFAS No. 160), which was codified into FASB ASC
Topic 810, Consolidation. The objective of SFAS No. 160 is to improve the relevance, comparability,
and transparency of financial information related to minority interest in consolidated financial
statements. The Company adopted this guidance in the first quarter of 2009. Such adoption did not
have a material impact on the Companys financial position and results of operations.
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,
2008.
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 September 30, 2009. Reference is made to the information contained in the
Companys Annual Report on Form 10-K for the year ended December 31, 2008 in Item 7A
Quantitative and Qualitative Disclosures about Market Risk.
ITEM 4. CONTROLS AND PROCEDURES
Disclosure Controls and Procedures
The Company maintains a set of disclosure controls and procedures designed to ensure that
information required to be disclosed in reports that it files or submits under the Securities
Exchange Act of 1934, as amended, 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.
40
Change in Internal Control over Financial Reporting
There has been no change in the Companys internal control over financial reporting during the
Companys most recent fiscal quarter that has materially affected, or is reasonably likely to
materially affect, the Companys internal control over financial reporting.
PART II. OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
The Company is a party to various material legal proceedings, which are described in Note 8 of
Notes to Consolidated Condensed Financial Statements included herein and/or in the Companys Annual
Report on Form 10-K filed for the year ended December 31, 2008 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 8 of the Notes to Consolidated Condensed Financial Statements included
herein, during the three month period covered by this Quarterly Report on Form 10-Q, the Company
has not been named in any new material legal proceeding, and there have been no material
developments in the previously reported legal proceedings.
ITEM 1A. RISK FACTORS
Reference is made to the risk factors discussed in the Companys Annual Report on Form 10-K
for the year ended December 31, 2008 in Part I, Item 1A. Risk Factors, which could materially
affect the Companys business, financial condition or future results. The risks described in the
Companys Annual Report on Form 10-K are not the only risks the Company faces. Additional risks and
uncertainties not currently known to the Company or that the Company currently deems to be
immaterial also may materially adversely affect our business, financial condition and/or operating
results. The following risk factors were identified by the Company during the second quarter ended
June 30, 2009 and the third quarter ended September 30, 2009 and supplement those risk factors
discussed in Part I, Item 1A. Risk Factors of the Companys Annual Report on Form 10-K for the
year ended December 31, 2008:
The Success of our new Insphere Insurance Solutions Business is Uncertain.
As discussed in Part I, Item 2 Managements Discussion and Analysis of Financial Condition
and Results of Operations, the Company formed Insphere Insurance Solutions, Inc. (Insphere) in
the second quarter of 2009 to serve as an insurance agency specializing in small business and
middle-income market life, health, long-term care and retirement insurance. The success of this
new line of business depends on a number of factors, including, but not limited to, Inspheres
maintenance of applicable licenses, Inspheres ability to enter into and maintain satisfactory
relationships with insurance carriers and agents and the implementation of various information
technology and administrative systems, platforms and processes necessary to successfully run the
new business. Like any new business, the progress and success of Insphere entails substantial
uncertainty. If the Companys attempt to develop the Insphere business does not progress as
planned, the Company may be materially and adversely affected by, among other things, capital,
investments and operating expenses that have not led to the anticipated results.
The Companys insurance subsidiaries may lose business to competitors whose products are sold by
Insphere and its agents
Insphere and its agents distribute insurance products underwritten by the Companys insurance
subsidiaries, as well as third-party insurance products underwritten by other carriers. These
third-party products may be more competitive and attractive to customers than our own insurance
products and may, over time, replace some or all of the sales of insurance products underwritten by
our insurance subsidiaries. If third party products replace the products underwritten by our
insurance subsidiaries, the Company may not be able to maintain its current market share and, as a
result, may see further declines in its premium revenue and underwriting profits from insurance
product sales. These earnings may not be replaced by commission revenue generated from the
distribution of third-party insurance products by Insphere, particularly in the early stages of
Inspheres operations.
41
Changes in government regulation could increase the costs of compliance or cause us to
discontinue marketing our products in certain states.
As discussed in the Companys Annual Report on Form 10-K for the year ended December 31, 2008
in Item 1A Risk Factors, we conduct business in a heavily regulated industry. See Item 1.
Business Regulatory and Legislative Matters in the Companys Annual Report on Form 10-K for
the year ended December 31, 2008 for additional information. Changes in the level of government
regulation or in the laws and regulations themselves could increase the costs of compliance and
result in significant changes to our operations, including potentially causing us to discontinue
marketing our products in certain states. Such changes could have a material adverse effect on our
financial condition and results of operations.
Reducing the number of uninsured by increasing affordability and expanding access to health
insurance, including proposals intended to expand eligibility for public programs and compel
individuals and employers to purchase health insurance coverage, has been a major initiative of the
new Presidential administration and members of Congress during 2009. There have been discussions
about health care reforms at both state and national levels. The administration and members of
Congress have proposed substantive changes to the U.S. health care system, with the intention to
pass health care reform during the current year. The proposals vary, but include having the federal
or state governments assume a larger role in the health care system as a competitor with private
health insurers, imposing significant new taxes on health insurers, requiring individual insurance
requirements, expanding eligibility under existing Federal Employees Health Benefit Plan programs,
enacting minimum medical benefit ratios for health plans, requiring mandatory issuance of insurance
coverage and enacting requirements that would limit the ability of health plans and insurers to
vary premiums based on assessments of underlying risk. Any health care reforms enacted may be
phased in over a number of years, but, if enacted, could affect the way we conduct our business.
ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
The following table sets forth the Companys purchases of HealthMarkets, Inc. Class A-1 common
stock during each of the months in the three months ended September 30, 2009:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Number of |
|
|
|
|
|
|
Total Number of Shares |
|
|
Maximum Number of Shares |
|
|
|
Shares |
|
|
Average Price Paid |
|
|
Purchased as Part of Publicly |
|
|
That May Yet Be Purchased |
|
Period |
|
Purchased(1) |
|
|
per Share ($) |
|
|
Announced Plans or Programs |
|
|
Under The Plan or Program |
|
|
|
|
7/1/09 to 7/31/09 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
8/1/09 to 8/30/09 |
|
|
4,638 |
|
|
|
19.37 |
|
|
|
|
|
|
|
|
|
9/1/09 to 9/31/09 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Totals |
|
|
4,638 |
|
|
|
19.37 |
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
The number of shares purchased other than through a publicly announced plan or program includes 4,638 shares purchased from former
or current executives of the Company. |
The following table sets forth the Companys purchases of HealthMarkets, Inc. Class A-2
common stock during each of the months in the three months ended September 30, 2009:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Number of Shares |
|
|
Maximum Number of Shares |
|
|
|
Total Number of |
|
|
Average Price Paid |
|
|
Purchased as Part of Publicly |
|
|
That May Yet Be Purchased |
|
Period |
|
Shares Purchased(1) |
|
|
per Share ($) |
|
|
or Announced Plans Programs |
|
|
Under The Plan or Program |
|
|
|
|
7/1/09 to 7/31/09 |
|
|
31,575 |
|
|
|
19.27 |
|
|
|
|
|
|
|
|
|
8/1/09 to 8/30/09 |
|
|
89,253 |
|
|
|
19.37 |
|
|
|
|
|
|
|
|
|
9/1/09 to 9/31/09 |
|
|
75,459 |
|
|
|
19.37 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Totals |
|
|
196,287 |
|
|
|
19.35 |
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
The number of shares purchased other than through a publicly announced plan or program includes 196,287 shares purchased
from former or current participants of the stock accumulation plan established for the benefit of the Companys insurance
agents. |
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
None.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
None.
42
ITEM 5. OTHER INFORMATION
On
December 18, 2006, Jack Heller, a Senior Vice President of the
Company, entered into a
definitive employment agreement with the Company. The agreement had an initial term of three
years. In connection with the renewal of Mr. Hellers employment agreement, on September 10, 2009,
the Company and Mr. Heller agreed to amend the terms of Mr. Hellers employment agreement. The
amendment had the effect of reducing the period of Mr. Hellers severance from two years to one
year, with a corresponding reduction in the period of Mr. Hellers post-termination non-competition
and non-solicitation covenants. As a result, in the event of a qualifying termination of his
employment, Mr. Heller would be entitled to receive severance equal to one times his base salary
plus target bonus payable in monthly installments, continuation of certain welfare benefits for a
period of one year, as well as a pro-rata bonus, based on his target bonus, if such termination
occurs after the last day of the first quarter of the applicable fiscal year. The terms of Mr.
Hellers employment agreement remained the same in all other respects. The description of the
amendment to Mr. Hellers employment agreement with the Company is qualified in its entirety by
reference to the text of the agreement, as amended, which is filed as
Exhibit 10.13 to this Form
10-Q and incorporated herein by reference.
43
ITEM 6. EXHIBITS
(a) Exhibits.
|
|
|
Exhibit No. |
|
Description |
10.1
|
|
Settlement Agreement, dated as of August 26, 2009, by and between The MEGA Life and Health
Insurance Company, Mid-West National Life Insurance Company of Tennessee and The Chesapeake
Life Insurance Company and the Commissioner of the Massachusetts Division of Insurance, filed
as exhibit 10.1 to the Current Report on Form 8-K dated August 26, 2009, File No. 001-14953,
and incorporated by reference herein. |
|
|
|
10.2
|
|
Final Judgment by Consent, dated August 31, 2009, in the matter Commonwealth of Massachusetts
v. The MEGA Life and Health Insurance Company et al., filed as exhibit 10.2 to the Current
Report on Form 8-K dated August 26, 2009, File No. 001-14953, and incorporated by reference
herein. |
|
|
|
10.3*
|
|
Employment Agreement, dated September 8, 2009, between the Company and Phillip Hildebrand. |
|
|
|
10.4
|
|
Nonqualified Stock Option Agreement, dated September 8, 2009, between the Company and Phillip
Hildebrand. |
|
|
|
10.5
|
|
Restricted Share Agreement, dated September 8, 2009, between the Company and Phillip Hildebrand. |
|
|
|
10.6
|
|
Special Restricted Share Agreement, dated September 8, 2009, between the Company and Phillip
Hildebrand. |
|
|
|
10.7
|
|
Subscription Agreement, dated June 30, 2008, between the Company and Phillip Hildebrand. |
|
|
|
10.8*
|
|
Employment Agreement, dated September 8, 2009, between the Company and Anurag Chandra. |
|
|
|
10.9
|
|
Nonqualified Stock Option Agreement, dated September 8, 2009, between the Company and Anurag
Chandra. |
|
|
|
10.10
|
|
Restricted Share Agreement, dated September 8, 2009, between the Company and Anurag Chandra. |
|
|
|
10.11*
|
|
Employment Agreement, dated September 8, 2009, between the Company and Steven P. Irwin. |
|
|
|
10.12*
|
|
Employment Agreement, dated September 8, 2009, between the Company and B. Curtis Westen. |
|
|
|
10.13
|
|
Employment Agreement, dated December 18, 2006, between the Company and Jack V. Heller and
amendment thereto dated September 10, 2009. |
|
|
|
31.1
|
|
Rule 13a-14(a)/15d-14(a) Certification, executed by Phillip J. Hildebrand, President and Chief
Executive Officer of HealthMarkets, Inc. |
|
|
|
31.2
|
|
Rule 13a-14(a)/15d-14(a) Certification, executed by Steven P. Erwin, Executive Vice President
and Chief Financial Officer of HealthMarkets, Inc. |
|
|
|
32
|
|
Certifications required by Rule 13a-14(b) or Rule 15d-14(b) and Section 1350 of Chapter 63 of
Title 18 of the United States Code (18 U.S.C. 1350), executed by Phillip J. Hildebrand,
President and Chief Executive Officer of HealthMarkets, Inc. and Steven P. Erwin, Executive
Vice President and Chief Financial Officer of HealthMarkets, Inc. |
|
|
|
* |
|
The Company has requested confidential treatment of the redacted portions of this exhibit pursuant to Rule
24b-2 under the Securities Exchange Act of 1934, as amended, and has separately filed a complete copy of this
exhibit with the Securities and Exchange Commission. |
44
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.
|
|
|
|
|
|
HEALTHMARKETS, INC
(Registrant)
|
|
Date: November 6, 2009 |
/s/ Phillip J. Hildebrand
|
|
|
Phillip J. Hildebrand |
|
|
President and Chief Executive Officer |
|
|
|
|
|
Date: November 6, 2009 |
/s/ Steven P. Erwin
|
|
|
Steven P. Erwin |
|
|
Executive Vice President and Chief Financial Officer |
|
45