UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
Form 10-Q
Quarterly report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934, for the quarter ended June 30, 2002. |
Or
Transition report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 |
Commission File Number 1-16095
Aetna Inc.
(Exact name of registrant as specified in its charter)
Pennsylvania (State or other jurisdiction of incorporation or organization) |
23-2229683 (I.R.S. Employer Identification No.) |
151 Farmington Avenue Hartford, Connecticut (Address of principal executive offices) |
06156 (ZIP Code) |
(860) 273-0123
(Registrants telephone number, including area code)
Not Applicable
(Former name, former address and former fiscal year, if changed since last report)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Sections 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 | No |
Indicate the number of shares outstanding of each of the issuers classes of common stock, as of the latest practicable date.
Common Capital Stock (par value $.01) | 150,341,712 | |
|
||
(Class) | Shares Outstanding at June 30, 2002 |
Page 1
TABLE OF CONTENTS
Page | ||||||||
PART I. | FINANCIAL INFORMATION |
|||||||
Item 1. | Financial Statements. |
|||||||
Consolidated Statements of Income |
3 | |||||||
Consolidated Balance Sheets |
4 | |||||||
Consolidated Statements of Shareholders Equity |
5 | |||||||
Consolidated Statements of Cash Flows |
6 | |||||||
Condensed Notes to Consolidated Financial Statements |
7 | |||||||
Independent Accountants Review Report |
26 | |||||||
Item 2. | Managements Discussion and Analysis of
Financial Condition |
|||||||
and Results of Operations. |
27 | |||||||
Item 3. | Quantitative and Qualitative Disclosures
About Market Risk. |
49 | ||||||
PART II. | OTHER INFORMATION |
|||||||
Item 1. | Legal Proceedings. |
50 | ||||||
Item 4. | Submission of Matters to a Vote of Security Holders. |
54 | ||||||
Item 5. | Other Information. |
55 | ||||||
Item 6. | Exhibits and Reports on Form 8-K. |
56 | ||||||
Signatures | 57 |
Page 2
PART I. FINANCIAL INFORMATION
Item 1. Financial Statements.
CONSOLIDATED STATEMENTS OF INCOME
Three Months Ended | Six Months Ended | |||||||||||||||||||
June 30, | June 30, | |||||||||||||||||||
(Millions, except per common share data) | 2002 | 2001 | 2002 | 2001 | ||||||||||||||||
Revenue: |
||||||||||||||||||||
Health care premiums |
$ | 3,817.5 | $ | 5,040.8 | $ | 7,862.3 | $ | 10,108.5 | ||||||||||||
Other premiums |
411.5 | 593.5 | 833.4 | 1,028.2 | ||||||||||||||||
Administrative services contract fees |
462.6 | 465.9 | 927.2 | 932.5 | ||||||||||||||||
Net investment income |
318.2 | 361.0 | 635.6 | 772.0 | ||||||||||||||||
Other income |
9.0 | 13.2 | 19.6 | 27.4 | ||||||||||||||||
Net realized capital gains |
45.4 | 62.0 | 50.8 | 96.5 | ||||||||||||||||
Total revenue |
5,064.2 | 6,536.4 | 10,328.9 | 12,965.1 | ||||||||||||||||
Benefits and expenses: |
||||||||||||||||||||
Health care costs |
3,189.7 | 4,566.8 | 6,637.9 | 9,171.0 | ||||||||||||||||
Current and future benefits |
555.0 | 744.4 | 1,122.6 | 1,365.7 | ||||||||||||||||
Operating expenses: |
||||||||||||||||||||
Salaries and related benefits |
553.2 | 564.7 | 1,110.6 | 1,185.7 | ||||||||||||||||
Other |
507.7 | 570.5 | 1,023.0 | 1,063.7 | ||||||||||||||||
Interest expense |
31.2 | 33.6 | 60.5 | 63.9 | ||||||||||||||||
Amortization of goodwill |
| 49.6 | | 99.1 | ||||||||||||||||
Amortization of other acquired intangible assets |
49.1 | 57.7 | 98.3 | 115.4 | ||||||||||||||||
Reduction of reserve for anticipated future losses on
discontinued products |
(8.3 | ) | (94.5 | ) | (8.3 | ) | (94.5 | ) | ||||||||||||
Severance and facilities charge |
27.0 | | 27.0 | | ||||||||||||||||
Total benefits and expenses |
4,904.6 | 6,492.8 | 10,071.6 | 12,970.0 | ||||||||||||||||
Income (loss) from continuing operations before income taxes |
159.6 | 43.6 | 257.3 | (4.9 | ) | |||||||||||||||
Income taxes: |
||||||||||||||||||||
Current |
36.7 | 1.1 | 58.2 | 29.8 | ||||||||||||||||
Deferred |
14.7 | 31.9 | 2.9 | 3.4 | ||||||||||||||||
Total income taxes |
51.4 | 33.0 | 61.1 | 33.2 | ||||||||||||||||
Income (loss) from continuing operations |
108.2 | 10.6 | 196.2 | (38.1 | ) | |||||||||||||||
Income from discontinued operations, net of tax (Note 14) |
| | 50.0 | | ||||||||||||||||
Income (loss) before cumulative effect adjustments |
108.2 | 10.6 | 246.2 | (38.1 | ) | |||||||||||||||
Cumulative effect adjustments, net of tax (Note 2) |
| | (2,965.7 | ) | .5 | |||||||||||||||
Net income (loss) |
$ | 108.2 | $ | 10.6 | $ | (2,719.5 | ) | $ | (37.6 | ) | ||||||||||
Earnings (loss) per common share: |
||||||||||||||||||||
Basic: |
||||||||||||||||||||
Income (loss) from continuing operations |
$ | .73 | $ | .07 | $ | 1.34 | $ | (.27 | ) | |||||||||||
Income from discontinued operations, net of tax |
| | .34 | | ||||||||||||||||
Income (loss) before cumulative effect adjustments |
.73 | .07 | 1.68 | (.27 | ) | |||||||||||||||
Cumulative effect adjustments, net of tax |
| | (20.18 | ) | .01 | |||||||||||||||
Net income (loss) |
$ | .73 | $ | .07 | $ | (18.50 | ) | $ | (.26 | ) | ||||||||||
Diluted: (1) |
||||||||||||||||||||
Income from continuing operations |
$ | .70 | $ | .07 | $ | 1.30 | $ | | ||||||||||||
Income from discontinued operations, net of tax |
| | .33 | | ||||||||||||||||
Income before cumulative effect adjustments |
.70 | .07 | 1.63 | | ||||||||||||||||
Cumulative effect adjustments, net of tax |
| | (19.61 | ) | | |||||||||||||||
Net income (loss) |
$ | .70 | $ | .07 | $ | (17.98 | ) | $ | | |||||||||||
(1) | Since the Company reported a loss before cumulative effect adjustment for the six months ended June 30, 2001, the effect of common stock equivalents has been excluded from per common share computations for that period, since including such securities would be anti-dilutive. |
See Condensed Notes to Consolidated Financial Statements.
Page 3
Item 1. Financial Statements. (Continued)
CONSOLIDATED BALANCE SHEETS
June 30, | December 31, | ||||||||
(Millions, except share data) | 2002 | 2001 | |||||||
Assets |
|||||||||
Current assets: |
|||||||||
Cash and cash equivalents |
$ | 1,375.4 | $ | 1,398.2 | |||||
Investment securities |
13,596.0 | 14,260.1 | |||||||
Other investments |
496.2 | 171.7 | |||||||
Premiums receivable, net |
452.8 | 572.7 | |||||||
Other receivables, net |
444.2 | 528.0 | |||||||
Accrued investment income |
223.6 | 232.3 | |||||||
Collateral received under securities loan agreements |
713.3 | 621.7 | |||||||
Loaned securities |
697.6 | 608.1 | |||||||
Deferred income taxes |
118.5 | 114.1 | |||||||
Other current assets |
151.3 | 185.9 | |||||||
Total current assets |
18,268.9 | 18,692.8 | |||||||
Long-term investments |
1,762.5 | 1,575.6 | |||||||
Mortgage loans |
1,608.5 | 1,887.8 | |||||||
Investment real estate |
332.2 | 359.7 | |||||||
Reinsurance recoverables |
1,249.4 | 1,269.7 | |||||||
Goodwill, net |
3,618.4 | 6,583.8 | |||||||
Other acquired intangible assets, net |
579.4 | 703.0 | |||||||
Property and equipment, net |
292.1 | 327.0 | |||||||
Deferred income taxes |
397.5 | 360.5 | |||||||
Other long-term assets |
159.0 | 146.8 | |||||||
Separate accounts assets |
10,792.2 | 11,290.0 | |||||||
Total assets |
$ | 39,060.1 | $ | 43,196.7 | |||||
Liabilities and shareholders equity |
|||||||||
Current liabilities: |
|||||||||
Health care costs payable |
$ | 2,413.1 | $ | 2,986.7 | |||||
Future policy benefits |
797.9 | 800.5 | |||||||
Unpaid claims |
554.9 | 544.4 | |||||||
Unearned premiums |
130.7 | 208.0 | |||||||
Policyholders funds |
989.8 | 1,052.8 | |||||||
Collateral payable under securities loan agreements |
713.3 | 621.7 | |||||||
Short-term debt |
| 109.7 | |||||||
Income taxes payable |
92.9 | 147.4 | |||||||
Accrued expenses and other liabilities |
1,540.8 | 1,590.6 | |||||||
Total current liabilities |
7,233.4 | 8,061.8 | |||||||
Future policy benefits |
8,486.6 | 8,621.5 | |||||||
Unpaid claims |
1,215.4 | 1,203.6 | |||||||
Policyholders funds |
2,060.9 | 2,245.1 | |||||||
Long-term debt |
1,603.0 | 1,591.3 | |||||||
Other long-term liabilities |
321.4 | 293.1 | |||||||
Separate accounts liabilities |
10,792.2 | 11,290.0 | |||||||
Total liabilities |
31,712.9 | 33,306.4 | |||||||
Commitments and contingent liabilities (Note 13) |
|||||||||
Shareholders equity: |
|||||||||
Common stock and additional paid-in capital ($.01
par value, 757,777,772 shares authorized,
150,341,712 shares issued and outstanding in 2002;
759,900,000 shares authorized, 144,265,912 shares
issued and outstanding in 2001) |
4,077.6 | 3,913.8 | |||||||
Accumulated other comprehensive income |
81.1 | 68.5 | |||||||
Retained earnings |
3,188.5 | 5,908.0 | |||||||
Total shareholders equity |
7,347.2 | 9,890.3 | |||||||
Total liabilities and shareholders equity |
$ | 39,060.1 | $ | 43,196.7 | |||||
See Condensed Notes to Consolidated Financial Statements.
Page 4
Item 1. Financial Statements. (Continued)
CONSOLIDATED STATEMENTS OF SHAREHOLDERS EQUITY
Common Stock and |
Accumulated
Other Comprehensive Income (Loss) |
||||||||||||||||||||||||||
Additional | Unrealized | ||||||||||||||||||||||||||
(Millions, except share data) | Paid-in | Gains (Losses) | Foreign | Retained | |||||||||||||||||||||||
Six Months Ended June 30, 2002 | Total | Capital | on Securities | Currency | Derivatives | Earnings | |||||||||||||||||||||
Balances at December 31, 2001 |
$ | 9,890.3 | $ | 3,913.8 | $66.6 | $ | 5.0 | $ | (3.1 | ) | $ | 5,908.0 | |||||||||||||||
Comprehensive loss: |
|||||||||||||||||||||||||||
Net loss |
(2,719.5 | ) | (2,719.5 | ) | |||||||||||||||||||||||
Other comprehensive income, net of tax: |
|||||||||||||||||||||||||||
Unrealized gains on securities
($17.6 pretax) (1) |
11.4 | 11.4 | |||||||||||||||||||||||||
Foreign currency gains ($1.5 pretax) |
1.0 | 1.0 | |||||||||||||||||||||||||
Derivatives ($.3 pretax) (1) |
.2 | .2 | |||||||||||||||||||||||||
Other comprehensive income |
12.6 | ||||||||||||||||||||||||||
Total comprehensive loss |
(2,706.9 | ) | |||||||||||||||||||||||||
Common stock issued for benefit plans
(8,196,231 shares) |
268.1 | 268.1 | |||||||||||||||||||||||||
Repurchase of common shares
(2,120,431 shares) |
(104.3 | ) | (104.3 | ) | |||||||||||||||||||||||
Balances at June 30, 2002 |
$ | 7,347.2 | $ | 4,077.6 | $78.0 | $ | 6.0 | $ | (2.9 | ) | $ | 3,188.5 | |||||||||||||||
Six Months Ended June 30, 2001 | |||||||||||||||||||||||||||
Balances at December 31, 2000 |
$ | 10,127.1 | $ | 3,898.7 | $29.4 | $ | 5.7 | $ | | $ | 6,193.3 | ||||||||||||||||
Comprehensive income: |
|||||||||||||||||||||||||||
Net loss |
(37.6 | ) | (37.6 | ) | |||||||||||||||||||||||
Other comprehensive loss, net of tax: |
|||||||||||||||||||||||||||
Unrealized losses on securities
($(9.5) pretax) (1) |
(6.2 | ) | (6.2 | ) | |||||||||||||||||||||||
Foreign currency losses ($(1.4) pretax) |
(.9 | ) | (.9 | ) | |||||||||||||||||||||||
Derivatives ($(.2) pretax) (1) |
(.1 | ) | (.1 | ) | |||||||||||||||||||||||
Other comprehensive loss |
(7.2 | ) | |||||||||||||||||||||||||
Total comprehensive loss |
(44.8 | ) | |||||||||||||||||||||||||
Common
stock issued for benefit plans (2,768,370 shares) |
71.4 | 71.4 | |||||||||||||||||||||||||
Repurchase of common shares
(2,600,000 shares) |
(95.6 | ) | (95.6 | ) | |||||||||||||||||||||||
Balances at June 30, 2001 |
$ | 10,058.1 | $ | 3,874.5 | $23.2 | $ | 4.8 | $ | (.1 | ) | $ | 6,155.7 | |||||||||||||||
(1) | Net of reclassification adjustments. (Refer to Note 6) |
See Condensed Notes to Consolidated Financial Statements.
Page 5
Item 1. Financial Statements. (Continued)
CONSOLIDATED STATEMENTS OF CASH FLOWS
Six Months Ended June 30, | |||||||||||
(Millions) | 2002 | 2001 | |||||||||
Cash flows from operating activities: |
|||||||||||
Net loss |
$ | (2,719.5 | ) | $ | (37.6 | ) | |||||
Adjustments to reconcile net loss to net cash used for
operating activities: |
|||||||||||
Cumulative effect adjustments |
2,965.7 | (.7 | ) | ||||||||
Income from discontinued operations |
(50.0 | ) | | ||||||||
Severance and facilities charge |
27.0 | | |||||||||
Amortization of other acquired intangible assets |
98.3 | 115.4 | |||||||||
Amortization of goodwill |
| 99.1 | |||||||||
Depreciation and other amortization |
81.6 | 97.2 | |||||||||
Accretion of net investment discount |
(5.0 | ) | (15.4 | ) | |||||||
Net realized capital gains |
(50.8 | ) | (96.5 | ) | |||||||
Changes in assets and liabilities: |
|||||||||||
Decrease in accrued investment income |
8.7 | 2.5 | |||||||||
Decrease in premiums due and other receivables |
199.7 | 289.1 | |||||||||
Net change in income taxes |
11.1 | (133.0 | ) | ||||||||
Net change in other assets and other liabilities |
(27.6 | ) | (342.4 | ) | |||||||
Net decrease in health care and insurance liabilities |
(780.4 | ) | (34.9 | ) | |||||||
Other, net |
18.8 | (.7 | ) | ||||||||
Net cash used for operating activities |
(222.4 | ) | (57.9 | ) | |||||||
Cash flows from investing activities: |
|||||||||||
Proceeds from sales and investment maturities of: |
|||||||||||
Debt securities available for sale |
7,541.1 | 9,597.4 | |||||||||
Equity securities |
216.6 | 110.7 | |||||||||
Mortgage loans |
191.6 | 341.1 | |||||||||
Investment real estate |
3.8 | 7.7 | |||||||||
Other investments |
1,710.1 | 2,836.1 | |||||||||
Cost of investments in: |
|||||||||||
Debt securities available for sale |
(7,300.0 | ) | (9,454.7 | ) | |||||||
Equity securities |
(118.5 | ) | (108.4 | ) | |||||||
Mortgage loans |
(106.0 | ) | (127.8 | ) | |||||||
Investment real estate |
(12.4 | ) | (5.6 | ) | |||||||
Other investments |
(1,647.3 | ) | (3,079.0 | ) | |||||||
Increase in property and equipment |
(69.0 | ) | (85.0 | ) | |||||||
Net cash provided by investing activities |
410.0 | 32.5 | |||||||||
Cash flows from financing activities: |
|||||||||||
Deposits and interest credited for investment contracts |
69.4 | 96.6 | |||||||||
Withdrawals of investment contracts |
(280.8 | ) | (463.4 | ) | |||||||
Issuance of long-term debt |
| 1,566.1 | |||||||||
Repayment of short-term debt |
(109.7 | ) | (1,101.8 | ) | |||||||
Common shares issued under benefit plans |
215.0 | 71.4 | |||||||||
Common shares repurchased |
(104.3 | ) | (95.6 | ) | |||||||
Other, net |
| (14.6 | ) | ||||||||
Net cash (used for) provided by financing activities |
(210.4 | ) | 58.7 | ||||||||
Net (decrease) increase in cash and cash equivalents |
(22.8 | ) | 33.3 | ||||||||
Cash and cash equivalents, beginning of period |
1,398.2 | 1,652.5 | |||||||||
Cash and cash equivalents, end of period |
$ | 1,375.4 | $ | 1,685.8 | |||||||
Supplemental cash flow information: |
|||||||||||
Interest paid |
$ | 59.2 | $ | 44.3 | |||||||
Income taxes paid |
50.8 | 143.3 | |||||||||
See Condensed Notes to Consolidated Financial Statements.
Page 6
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
1. Organization
Basis of Presentation
The accompanying consolidated financial statements include Aetna Inc. (a
Pennsylvania corporation) (Aetna) and its subsidiaries (collectively, the
Company). As of June 30, 2002, the Companys operations included three
business segments: Health Care, Group Insurance and Large Case Pensions.
Health Care consists of health and dental plans offered on both a full risk
basis (where the Company assumes all or a majority of the risk for health and
dental care costs) and an employer-funded basis (where the plan sponsor under
an administrative services contract, and not the Company, assumes all or a
majority of this risk). Health plans include health maintenance organization
(HMO), point-of-service (POS), preferred provider organization (PPO) and
indemnity benefit products. The Group Insurance segment includes group life
insurance products offered on a full risk basis, as well as group disability
and long-term care insurance products offered on both a full risk and an
employer-funded basis. Large Case Pensions manages a variety of retirement
products (including pension and annuity products) primarily for defined benefit
and defined contribution plans. These products provide a variety of funding
and benefit payment distribution options and other services. The Large Case
Pensions segment includes certain discontinued products. (Refer to Note 8 for
additional information.)
These consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America and are unaudited. All significant intercompany balances have been eliminated. Certain reclassifications have been made to the 2001 financial information to conform to the 2002 presentation.
These interim statements necessarily rely heavily on estimates, including assumptions as to annualized tax rates. In the opinion of management, all adjustments necessary for a fair statement of results for the interim periods have been made. All such adjustments are of a normal, recurring nature. The accompanying consolidated financial statements and condensed notes should be read in conjunction with the consolidated financial statements and related notes as presented in Aetna Inc.s 2001 Annual Report on Form 10-K. Certain financial information that is normally included in annual financial statements prepared in accordance with accounting principles generally accepted in the United States of America, but that is not required for interim reporting purposes, has been condensed or omitted.
2. New Accounting Standards
Goodwill and Other Intangible Assets
As of January 1, 2002, the Company adopted Financial Accounting Standard
(FAS) No. 142, Goodwill and Other Intangible Assets. This Standard
eliminates goodwill amortization from the Consolidated Statement of Income and
requires an evaluation of goodwill for impairment (at the reporting unit level)
upon adoption of this Standard, as well as subsequent evaluations on an annual
basis, and more frequently if circumstances indicate a possible impairment.
This impairment test is comprised of two steps. The initial step is designed
to identify potential goodwill impairment by comparing an estimate of the fair
value of the applicable reporting unit to its carrying value, including
goodwill. If the carrying value exceeds fair value, a second step is
performed, which compares the implied fair value of the applicable reporting
units goodwill with the carrying amount of that goodwill, to measure the
amount of goodwill impairment, if any. The Companys only reporting unit with
goodwill and acquired intangible assets is its Health Care business, which is
also a reportable segment. Upon adoption, the Company performed a transitional
impairment test on its Health Care reporting unit. As a result of this
impairment test, the Company recorded an impairment of approximately $3 billion
during the first quarter of 2002, which is classified as a cumulative effect
adjustment for the six months ended June 30, 2002. Subsequent impairments, if
any, would be classified as an operating expense. Subsequent impairment tests
will be performed, at a minimum, in the fourth quarter of each year, in
conjunction with the Companys annual planning process.
Page 7
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
2. New Accounting Standards (Continued)
The Companys measurement of fair value was based on an evaluation of future discounted cash flows, public company trading multiples and merger and acquisition transaction multiples. This evaluation utilized the best information available in the circumstances, including reasonable and supportable assumptions and projections. The discounted cash flow evaluation considered several earnings scenarios and the likelihood of possible outcomes. Collectively, this evaluation was managements best estimate of projected future cash flows. The Companys discounted cash flow evaluation used a range of discount rates that corresponds to the Companys weighted-average cost of capital. This discount rate range is consistent with that used for investment decisions and takes into account the specific and detailed operating plans and strategies of the Health Care reporting unit. Certain other key assumptions utilized, including changes in membership, revenue, medical costs, operating expenses and effective tax rates, are based on reasonable estimates related to the Companys turnaround initiatives. Such assumptions also are consistent with those utilized in the Companys annual planning process. (Refer to the Companys 2001 Annual Report on Form 10-K for further discussion of the Companys turnaround initiatives.) If these turnaround initiatives do not achieve their earnings objectives, the assumptions and estimates underlying this goodwill impairment evaluation as well as the ultimate amount of the goodwill impairment could be adversely affected.
Upon adoption of FAS No. 142, the transition provisions of FAS No. 141, Business Combinations, also became effective. These transition provisions specify criteria for determining whether an acquired intangible asset should be recognized separately from goodwill. Intangible assets that meet certain criteria will qualify for recording on the balance sheet and will continue to be amortized in the income statement. Such intangible assets will be subject to a periodic impairment test based on estimated fair value. On January 1, 2002, the Company reclassified the carrying value of its work force acquired intangible asset of $25.3 million at December 31, 2001 to goodwill. Refer to Note 4 for more detail on the Companys goodwill and other acquired intangible assets.
Prior to the Companys adoption of FAS No. 142, goodwill and other intangible assets were amortized over their estimated useful lives, and were tested periodically to determine if they were recoverable from operating earnings on an undiscounted basis over their useful lives and to evaluate the related amortization periods. If it was probable that undiscounted projected operating income (before amortization of goodwill and other acquired intangible assets) was not sufficient to recover the carrying value of the asset, the carrying value was written down through results of operations and, if necessary, the amortization period was adjusted. Operating income considered in such an analysis was either that of the entity acquired, if separately identifiable, or the business segment that acquired the entity.
Accounting for the Impairment or Disposal of Long-Lived Assets
As of January 1, 2002, the Company adopted FAS No. 144, Accounting for the
Impairment or Disposal of Long-Lived Assets. This Standard supersedes previous
related accounting standards. It addresses the accounting and reporting for
impairment of long-lived assets to be held and used, as well as long-lived
assets to be disposed of. It also broadens the presentation of discontinued
operations on the income statement to include a component of an entity (rather
than a segment of a business). This Standard requires that long-lived assets to
be held and used be written down to fair value when they are considered
impaired. Long-lived assets to be disposed of are to be carried at the lower
of carrying amount or fair value less estimated cost to sell. The adoption of
this Standard did not have a material effect on the Companys financial
position or results of operations.
Page 8
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
2. New Accounting Standards (Continued)
Future Application of Accounting Standard
Accounting for Costs Associated with Exit or
Disposal Activities
In July 2002, the Financial Accounting
Standards Board (FASB) issued FAS No. 146,
Accounting for Costs Associated with Exit or Disposal Activities.
This Standard supercedes the accounting guidance provided by Emerging
Issues Task Force Issue No. 94-3, Liability Recognition for
Certain Employee Termination Benefits and Other Costs to Exit an
Activity (including Certain Costs Incurred in
a Restructuring). FAS No. 146 requires companies to recognize costs
associated with exit activities when they are incurred rather than at
the date of a commitment to an exit or disposal plan.
FAS No. 146 is
to be applied prospectively to exit or disposal activities initiated
after December 31, 2002. The Company is currently evaluating this
Standard.
3. Earnings (Loss) Per Common Share
A reconciliation of the numerator and denominator of the basic and diluted earnings (loss) per common share (EPS) for the three and six months ended June 30, 2002 and 2001 was as follows:
Three Months Ended June 30, | Income (Loss) | Shares | Per Common | |||||||||||
(Millions, except EPS data) | (Numerator) | (Denominator) | Share Amount | |||||||||||
2002 |
||||||||||||||
Basic EPS: |
||||||||||||||
Income from continuing operations |
$ | 108.2 | 148.9 | $ | .73 | |||||||||
Effect of dilutive securities: |
||||||||||||||
Stock options and other (1) |
5.9 | |||||||||||||
Diluted EPS: |
||||||||||||||
Income from continuing operations and
assumed conversions |
$ | 108.2 | 154.8 | $ | .70 | |||||||||
2001 |
||||||||||||||
Basic EPS: |
||||||||||||||
Income from continuing operations |
$ | 10.6 | 142.7 | $ | .07 | |||||||||
Effect of dilutive securities: |
||||||||||||||
Stock options and other (2) |
1.5 | |||||||||||||
Diluted EPS: |
||||||||||||||
Income from continuing operations and
assumed conversions |
$ | 10.6 | 144.2 | $ | .07 | |||||||||
(1) | Options to purchase shares of common stock for the three months ended June 30, 2002 of .4 million shares (with exercise prices ranging from $47.02 to $54.21) were not included in the calculation of diluted earnings per common share because the options exercise prices were greater than the average market price of common shares during such period. | |
(2) | Options to purchase shares of common stock for the three months ended June 30, 2001 of 14.6 million shares (with exercise prices ranging from $27.38 to $54.21) were not included in the calculation of diluted earnings per common share because the options exercise prices were greater than the average market price of common shares during such period. |
Page 9
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
3. Earnings (Loss) Per Common Share (Continued)
Six Months Ended June 30, | Income (Loss) | Shares | Per Common | |||||||||||
(Millions, except EPS data) | (Numerator) | (Denominator) | Share Amount | |||||||||||
2002 |
||||||||||||||
Basic EPS: |
||||||||||||||
Income from continuing operations |
$ | 196.2 | 147.0 | $ | 1.34 | |||||||||
Effect of dilutive securities: |
||||||||||||||
Stock options and other (1) |
4.3 | |||||||||||||
Diluted EPS: |
||||||||||||||
Income from continuing operations and assumed conversions |
$ | 196.2 | 151.3 | $ | 1.30 | |||||||||
2001 |
||||||||||||||
Basic EPS: |
||||||||||||||
Loss before cumulative effect adjustments (2) |
$ | (38.1 | ) | 143.0 | $ | (.27 | ) | |||||||
(1) | Options to purchase shares of common stock for the six months ended June 30, 2002 of 7.2 million shares (with exercise prices ranging from $41.52 to $54.21) were not included in the calculation of diluted earnings per common share because the options exercise prices were greater than the average market price of common shares during such period. | |
(2) | Since the Company reported a loss before cumulative effect adjustment for the six months ended June 30, 2001, diluted per share data is not shown and options to purchase 29.0 million shares with exercise prices ranging from $7.14 to $54.21 were not included in earnings per share calculations, since including such securities would be anti-dilutive. |
4. Goodwill and Other Acquired Intangible Assets
On January 1, 2002, the Company adopted FAS No. 142 and the transition provisions of FAS No. 141, as discussed in more detail in Note 2. As a result, the Company recorded an impairment loss, ceased amortizing goodwill and reclassified the December 31, 2001 carrying value of its work force acquired intangible asset to goodwill. The Companys only reporting unit with goodwill and other acquired intangible assets is its Health Care business, which also is a reportable segment. Changes in the carrying amount of goodwill were as follows:
(Millions) | ||||
Balance at December 31, 2000 |
$ | 6,781.9 | ||
Amortization |
(198.1 | ) | ||
Balance at December 31, 2001 |
6,583.8 | |||
Impairment loss |
(2,965.7 | ) | ||
Reclassification of work force |
25.3 | |||
Goodwill adjustment (1) |
(25.0 | ) | ||
Balance at June 30, 2002 |
$ | 3,618.4 | ||
(1) | Represents the post-acquisition adjustment of deferred tax liabilities established in purchase accounting relating to the 1996 acquisition of U.S. Healthcare, Inc. This post-acquisition adjustment was the result of the conclusion of several Internal Revenue Service audit issues during the first quarter of 2002. |
Page 10
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
4. Goodwill and Other Acquired Intangible Assets (Continued)
For comparative purposes, the following table adjusts net income (loss) and basic and diluted EPS for the three and six months ended June 30, 2002 and 2001, as if the work force asset was reclassified and amortization on goodwill had ceased at the beginning of 2001.
Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||
(Millions, except EPS data) | 2002 | 2001 | 2002 | 2001 | ||||||||||||
Reported net income (loss) |
$ | 108.2 | $ | 10.6 | $ | (2,719.5 | ) | $ | (37.6 | ) | ||||||
Add back: Goodwill amortization |
| 48.8 | | 97.6 | ||||||||||||
Add back: Work force amortization |
| 2.8 | | 5.6 | ||||||||||||
Adjusted net income (loss) |
$ | 108.2 | $ | 62.2 | $ | (2,719.5 | ) | $ | 65.6 | |||||||
Basic EPS: |
||||||||||||||||
Reported net income (loss) |
$ | .73 | $ | .07 | $ | (18.50 | ) | $ | (.26 | ) | ||||||
Add back: Goodwill amortization |
| .34 | | .68 | ||||||||||||
Add back: Work force amortization |
| .02 | | .04 | ||||||||||||
Adjusted net income (loss) |
$ | .73 | $ | .43 | $ | (18.50 | ) | $ | .46 | |||||||
Diluted EPS: (1) |
||||||||||||||||
Reported net income (loss) |
$ | .70 | $ | .07 | $ | (17.98 | ) | $ | | |||||||
Add back: Goodwill amortization |
| .34 | | | ||||||||||||
Add back: Work force amortization |
| .02 | | | ||||||||||||
Adjusted net income (loss) |
$ | .70 | $ | .43 | $ | (17.98 | ) | $ | | |||||||
(1) | Since the Company reported a loss before cumulative effect adjustment for the six months ended June 30, 2001, diluted per share data is not shown, since including common stock equivalents in per common share computations for that period would be anti-dilutive. |
Other acquired intangible assets at June 30, 2002 and December 31, 2001 were as follows:
Accumulated | Amortization | ||||||||||||||||
June 30, 2002 (Millions) | Cost | Amortization | Net Balance | Period (Years) | |||||||||||||
Other acquired intangible assets: |
|||||||||||||||||
Customer lists |
$ | 919.0 | $ | 862.4 | $ | 56.6 | 5-7 | ||||||||||
Provider networks |
677.2 | 155.4 | 521.8 | 20-25 | |||||||||||||
Other |
69.2 | 68.2 | 1.0 | 3-5 | |||||||||||||
Total other acquired intangible assets |
$ | 1,665.4 | $ | 1,086.0 | $ | 579.4 | |||||||||||
December 31, 2001 |
|||||||||||||||||
Other acquired intangible assets: |
|||||||||||||||||
Customer lists |
$ | 919.0 | $ | 784.4 | $ | 134.6 | 5-7 | ||||||||||
Provider networks |
677.2 | 141.5 | 535.7 | 20-25 | |||||||||||||
Work force |
88.0 | 62.7 | 25.3 | 3-6 | |||||||||||||
Other |
69.2 | 61.8 | 7.4 | 3-5 | |||||||||||||
Total other acquired intangible assets |
$ | 1,753.4 | $ | 1,050.4 | $ | 703.0 | |||||||||||
Annual pretax amortization for other acquired intangible assets over the next five calendar years is estimated to be as follows:
(Millions) | ||
2003 |
$ | 50.8 |
2004 |
42.5 | |
2005 |
29.4 | |
2006 |
27.8 | |
2007 |
27.8 | |
Page 11
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
5. Investments
Investment securities at June 30, 2002 and December 31, 2001 were as follows:
June 30, | December 31, | |||||||
(Millions) | 2002 | 2001 | ||||||
Debt securities available for
sale |
$ | 13,094.5 | $ | 13,446.0 | ||||
Equity securities |
32.1 | 124.9 | ||||||
Other investment securities |
469.4 | 689.2 | ||||||
Total investment securities |
$ | 13,596.0 | $ | 14,260.1 | ||||
Net investment income includes amounts related to experience-rated contractholders of $50 million and $57 million for the three months ended June 30, 2002 and 2001, respectively, and $103 million and $123 million for the six months ended June 30, 2002 and 2001, respectively. Interest credited to contractholders is included in current and future benefits.
Net realized capital gains (losses) related to experience-rated contractholders of $(1) million for the three months ended June 30, 2001 and $3 million and $15 million for the six months ended June 30, 2002 and 2001, respectively, were deducted from net realized capital gains as reflected on the Consolidated Statements of Income, and an offsetting amount is reflected on the Consolidated Balance Sheets in policyholders funds (for the three months ended June 30, 2002, there were no net realized capital gains (losses) related to experience-rated contractholders).
At June 30, 2002 and December 31, 2001, the total recorded investment in mortgage loans that are considered to be impaired (including problem loans, restructured loans and potential problem loans) and related specific reserves were as follows:
June 30, 2002 |
December 31,
2001 |
|||||||||||||||
Total | Total | |||||||||||||||
Recorded | Specific | Recorded | Specific | |||||||||||||
(Millions) | Investment | Reserves | Investment | Reserves | ||||||||||||
Supporting discontinued products |
$ | 17.9 | $ | | $ | 104.2 | $ | 14.9 | ||||||||
Supporting experience-rated products |
45.5 | 6.5 | 55.4 | 5.9 | ||||||||||||
Supporting remaining products |
14.3 | 4.7 | 14.7 | 4.7 | ||||||||||||
Total impaired loans (1) |
$ | 77.7 | $ | 11.2 | $ | 174.3 | $ | 25.5 | ||||||||
(1) | Includes impaired loans of $38.9 million and $60.2 million at June 30, 2002 and December 31, 2001, respectively, for which no specific reserves are considered necessary, as management has assessed the adequacy of collateral underlying such loans. |
The activity in the specific and general mortgage loan impairment reserves for the six months ended June 30, 2002 and 2001 is summarized below:
Supporting | ||||||||||||||||
Supporting | Experience- | Supporting | ||||||||||||||
Discontinued | Rated | Remaining | ||||||||||||||
(Millions) | Products | Products | Products | Total(1) | ||||||||||||
Balance at December 31, 2001 |
$ | 14.9 | $ | 12.4 | $ | 5.3 | $ | 32.6 | ||||||||
Credited to net realized capital gains |
(6.2 | ) | (.8 | ) | | (7.0 | ) | |||||||||
Principal write-offs |
(8.7 | ) | (1.0 | ) | | (9.7 | ) | |||||||||
Balance at June 30, 2002 |
$ | | $ | 10.6 | $ | 5.3 | $ | 15.9 | ||||||||
Balance at December 31, 2000 |
$ | 28.4 | $ | 12.8 | $ | 2.8 | $ | 44.0 | ||||||||
Principal write-offs |
(7.8 | ) | (.4 | ) | (.2 | ) | (8.4 | ) | ||||||||
Balance at June 30, 2001 |
$ | 20.6 | $ | 12.4 | $ | 2.6 | $ | 35.6 | ||||||||
(1) | Total reserves at June 30, 2002 and 2001 include $11.2 million and $20.7 million of specific reserves, respectively, and $4.7 million and $14.9 million of general reserves, respectively. |
Page 12
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
5. Investments (Continued)
Income earned (pretax) and cash received on the average recorded investment in impaired loans for the periods indicated was as follows:
Three Months Ended June 30, 2002 |
Six Months Ended June 30, 2002 |
|||||||||||||||||||||||
Average | Average | |||||||||||||||||||||||
Impaired | Income | Cash | Impaired | Income | Cash | |||||||||||||||||||
(Millions) | Loans | Earned | Received | Loans | Earned | Received | ||||||||||||||||||
Supporting discontinued products |
$ | 21.0 | $ | .4 | $ | .4 | $ | 22.5 | $ | .9 | $ | .9 | ||||||||||||
Supporting experience-rated
products |
45.6 | .7 | .7 | 45.8 | 1.5 | 1.4 | ||||||||||||||||||
Supporting remaining products |
14.5 | (.1 | ) | .2 | 14.6 | .6 | .4 | |||||||||||||||||
Total |
$ | 81.1 | $ | 1.0 | $ | 1.3 | $ | 82.9 | $ | 3.0 | $ | 2.7 | ||||||||||||
Three Months Ended June 30, 2001 |
Six Months Ended June 30, 2001 |
|||||||||||||||||||||||
Average | Average | |||||||||||||||||||||||
Impaired | Income | Cash | Impaired | Income | Cash | |||||||||||||||||||
(Millions) | Loans | Earned | Received | Loans | Earned | Received | ||||||||||||||||||
Supporting discontinued products |
$ | 120.7 | $ | 5.5 | $ | 5.2 | $ | 123.5 | $ | 5.5 | $ | 7.4 | ||||||||||||
Supporting experience-rated
products |
42.3 | 1.0 | 1.0 | 42.4 | 1.5 | 2.0 | ||||||||||||||||||
Supporting remaining products |
29.7 | .5 | .7 | 30.5 | .5 | 1.7 | ||||||||||||||||||
Total |
$ | 192.7 | $ | 7.0 | $ | 6.9 | $ | 196.4 | $ | 7.5 | $ | 11.1 | ||||||||||||
6. Accumulated Other Comprehensive Income (Loss)
Changes in accumulated other comprehensive income (loss) related to changes in unrealized gains (losses) on securities (excluding those related to experience-rated contractholders and discontinued products) were as follows:
Six Months Ended June 30, |
||||||||
(Millions) | 2002 | 2001 | ||||||
Unrealized holding gains arising during the period (1) |
$ | 21.7 | $ | 12.9 | ||||
Less: reclassification adjustment for gains and other items included in net loss (2) |
10.3 | 19.1 | ||||||
Net unrealized gains (losses) on securities |
$ | 11.4 | $ | (6.2 | ) | |||
(1) | Pretax unrealized holding gains arising during the period were $33.4 million and $19.9 million for the six months ended June 30, 2002 and 2001, respectively. | |
(2) | Pretax reclassification adjustments for gains and other items included in net loss were $15.8 million and $29.4 million for the six months ended June 30, 2002 and 2001, respectively. |
Page 13
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
7. Severance and Facilities Charges
In the fourth quarter 2001, the Company recorded an after-tax severance and facilities charge of $125 million ($193 million pretax) relating to the implementation of initiatives that are intended to improve the Companys overall future performance (the 2001 Charge). The initiatives include seeking to reduce 2002 expenses, reorganization and realignment of Health Care operations to better align our business resources with our customer market-focused approach, business process improvements, product market withdrawals, continued migration off the Prudential healthcare systems and vacating certain facilities (primarily customer service related locations). The 2001 Charge consisted of two types of costs: those that relate to actions under a plan for the involuntary termination of employees and those that relate to an exit plan with respect to certain leased facilities. The severance portion of $130 million pretax is based on a plan to eliminate 4,395 positions (primarily customer service and regional field management functions). The facilities portion of $63 million pretax represents the present value of the difference between rent required to be paid by the Company and future sublease rentals expected to be received by the Company related to certain leased facilities, or portions of such facilities, that will be vacated. Severance actions and the vacating of leased facilities relating to the 2001 charge are expected to be completed by December 31, 2002. The remaining lease payments (net of expected sublease rentals) on these vacated facilities are payable over approximately the next seven years.
In the second quarter of 2002, the Company recorded an additional after-tax severance charge of $18 million ($27 million pretax) related to ongoing initiatives intended to improve the Companys overall future performance (the Second Quarter 2002 Charge). The initiatives include further reductions to operating expenses and the continued reorganization and realignment of Health Care operations. This charge consisted of costs that related to actions under a plan of involuntary termination of employees and included the elimination of approximately 600 employee positions (primarily regional field management, information technology and medical service functions). These severance actions are expected to be completed by June 30, 2003.
The activity within the severance and facilities reserves and the related number of positions eliminated were as follows:
Second Quarter | ||||||||||||||||
2001 Charge |
2002 Charge |
|||||||||||||||
(Millions) |
Reserve |
Positions |
Reserve |
Positions |
||||||||||||
Balance at December 31, 2001 |
$ | 142.6 | 3,638 | $ | | | ||||||||||
Reserve additions |
| | 27.0 | 598 | ||||||||||||
Actions taken (1) |
(89.2 | ) | (2,207 | ) | (18.5 | ) | (426 | ) | ||||||||
Balance at June 30, 2002 |
$ | 53.4 | 1,431 | $ | 8.5 | 172 | ||||||||||
(1) | Actions taken relating to the 2001 Charge include $71.6 million of severance-related actions and $17.6 million related to vacating certain leased facilities. Actions taken relating to the Second Quarter 2002 Charge are all severance related. |
8. Discontinued Products
The Company discontinued the sale of its fully guaranteed large case pension products (single-premium annuities (SPAs) and guaranteed investment contracts (GICs)) in 1993. Under the Companys accounting for these discontinued products, a reserve for anticipated future losses from these products was established and is reviewed by management quarterly. As long as the reserve continues to represent managements then best estimate of expected future losses, results of operations of the discontinued products, including net realized capital gains and losses, are credited/charged to the reserve and do not affect the Companys results of operations. The Companys results of operations would be adversely affected to the extent that future losses on the products are greater than anticipated and positively affected to the extent that future losses are less than anticipated. The current reserve reflects managements best estimate of anticipated future losses.
Page 14
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
8. Discontinued Products (Continued)
The factors contributing to changes in the reserve for anticipated future losses are: operating income or loss, realized capital gains or losses and mortality gains or losses. Operating income or loss is equal to revenue less expenses. Realized capital gains or losses reflect the excess (deficit) of sales price over (below) the carrying value of assets sold. Mortality gains or losses reflect the mortality and retirement experience related to SPAs. A mortality gain (loss) occurs when an annuitant or a beneficiary dies sooner (later) than expected. A retirement gain (loss) occurs when an annuitant retires later (earlier) than expected.
At the time of discontinuance, a receivable from Large Case Pensions continuing products equivalent to the net present value of the anticipated cash flow shortfalls was established for the discontinued products. Interest on the receivable is accrued at the discount rate that was used to calculate the reserve. The offsetting payable, on which interest is similarly accrued, is reflected in continuing products. Interest on the payable generally offsets the investment income on the assets available to fund the shortfall. At June 30, 2002, the receivable from continuing products, net of related deferred taxes payable of $91 million on the accrued interest income, was $348 million. At December 31, 2001, the receivable from continuing products, net of related deferred taxes payable of $87 million on accrued interest income, was $345 million. These amounts were eliminated in consolidation.
Results of discontinued products for the three and six months ended June 30, 2002 and 2001 were as follows (pretax, in millions):
Charged (Credited) | |||||||||||||
to Reserve for | |||||||||||||
Three months ended June 30, 2002 | Results | Future Losses | Net(1) | ||||||||||
Net investment income |
$ | 101.9 | $ | | $ | 101.9 | |||||||
Net realized capital gains |
2.1 | (2.1 | ) | | |||||||||
Interest earned on receivable from continuing products |
6.7 | | 6.7 | ||||||||||
Other income |
.2 | | .2 | ||||||||||
Total revenue |
110.9 | (2.1 | ) | 108.8 | |||||||||
Current and future benefits |
99.8 | 5.7 | 105.5 | ||||||||||
Operating expenses |
3.3 | | 3.3 | ||||||||||
Total benefits and expenses |
103.1 | 5.7 | 108.8 | ||||||||||
Results of discontinued products |
$ | 7.8 | $ | (7.8 | ) | $ | | ||||||
Three months ended June 30, 2001 |
|||||||||||||
Net investment income |
$ | 99.6 | $ | | $ | 99.6 | |||||||
Net realized capital gains |
18.0 | (18.0 | ) | | |||||||||
Interest earned on receivable from continuing products |
7.2 | | 7.2 | ||||||||||
Other income |
8.0 | | 8.0 | ||||||||||
Total revenue |
132.8 | (18.0 | ) | 114.8 | |||||||||
Current and future benefits |
106.9 | 5.0 | 111.9 | ||||||||||
Operating expenses |
2.9 | | 2.9 | ||||||||||
Total benefits and expenses |
109.8 | 5.0 | 114.8 | ||||||||||
Results of discontinued products |
$ | 23.0 | $ | (23.0 | ) | $ | | ||||||
(1) | Amounts are reflected in the June 30, 2002 and 2001 Consolidated Statements of Income, except for interest earned on the receivable from continuing products which was eliminated in consolidation. |
Page 15
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
8. Discontinued Products (Continued)
Charged (Credited) | |||||||||||||
to Reserve for | |||||||||||||
Six months ended June 30, 2002 | Results | Future Losses | Net(1) | ||||||||||
Net investment income |
$ | 203.2 | $ | | $ | 203.2 | |||||||
Net realized capital losses |
(27.6 | ) | 27.6 | | |||||||||
Interest earned on receivable from continuing products |
13.3 | | 13.3 | ||||||||||
Other income |
12.6 | | 12.6 | ||||||||||
Total revenue |
201.5 | 27.6 | 229.1 | ||||||||||
Current and future benefits |
200.6 | 22.1 | 222.7 | ||||||||||
Operating expenses |
6.4 | | 6.4 | ||||||||||
Total benefits and expenses |
207.0 | 22.1 | 229.1 | ||||||||||
Results of discontinued products |
$ | (5.5 | ) | $ | 5.5 | $ | | ||||||
Six months ended June 30, 2001 |
|||||||||||||
Net investment income |
$ | 216.9 | $ | | $ | 216.9 | |||||||
Net realized capital gains |
26.4 | (26.4 | ) | | |||||||||
Interest earned on receivable from continuing products |
14.3 | | 14.3 | ||||||||||
Other income |
18.1 | | 18.1 | ||||||||||
Total revenue |
275.7 | (26.4 | ) | 249.3 | |||||||||
Current and future benefits |
214.6 | 28.6 | 243.2 | ||||||||||
Operating expenses |
6.1 | | 6.1 | ||||||||||
Total benefits and expenses |
220.7 | 28.6 | 249.3 | ||||||||||
Results of discontinued products |
$ | 55.0 | $ | (55.0 | ) | $ | | ||||||
(1) | Amounts are reflected in the June 30, 2002 and 2001 Consolidated Statements of Income, except for interest earned on the receivable from continuing products which was eliminated in consolidation. |
Assets and liabilities supporting discontinued products at June 30, 2002 and December 31, 2001 were as follows (1):
June 30, | December 31, | ||||||||
(Millions) | 2002 | 2001 | |||||||
Assets: |
|||||||||
Debt securities available for sale |
$ | 3,417.6 | $ | 3,573.8 | |||||
Equity securities |
119.7 | 211.0 | |||||||
Mortgage loans |
786.5 | 822.1 | |||||||
Investment real estate |
119.7 | 130.4 | |||||||
Loaned securities |
84.7 | 131.9 | |||||||
Other investments (2) |
592.7 | 481.4 | |||||||
Total investments |
5,120.9 | 5,350.6 | |||||||
Collateral received under securities loan agreements |
86.9 | 135.2 | |||||||
Current and deferred income taxes |
78.3 | 93.0 | |||||||
Receivable from continuing products (3) |
439.6 | 431.7 | |||||||
Total assets |
$ | 5,725.7 | $ | 6,010.5 | |||||
Liabilities: |
|||||||||
Future policy benefits |
$ | 4,441.1 | $ | 4,512.6 | |||||
Policyholders funds |
157.0 | 261.5 | |||||||
Reserve for anticipated future losses on discontinued products |
931.1 | 944.9 | |||||||
Collateral payable under securities loan agreements |
86.9 | 135.2 | |||||||
Other |
109.6 | 156.3 | |||||||
Total liabilities |
$ | 5,725.7 | $ | 6,010.5 | |||||
(1) | Assets supporting the discontinued products are distinguished from assets supporting continuing products. | |
(2) | Includes debt securities on deposit as required by regulatory authorities of $58.6 million and $55.7 million at June 30, 2002 and December 31, 2001, respectively. These securities are considered restricted assets and were included in long-term investments on the Consolidated Balance Sheets. | |
(3) | The receivable from continuing products is eliminated in consolidation. |
Page 16
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
8. Discontinued Products (Continued)
At June 30, 2002 and December 31, 2001, net unrealized capital gains on available-for-sale debt securities are included above in other liabilities and are not reflected in consolidated shareholders equity. The reserve for anticipated future losses is included in future policy benefits on the Consolidated Balance Sheets.
The reserve for anticipated future losses on discontinued products represents the present value (at the risk-free rate at the time of discontinuance, consistent with the duration of the liabilities) of the difference between the expected cash flows from the assets supporting discontinued products and the cash flows expected to be required to meet the obligations of the outstanding contracts. Calculation of the reserve for anticipated future losses requires projection of both the amount and the timing of cash flows over approximately the next 30 years, including consideration of, among other things, future investment results, participant withdrawal and mortality rates and the cost of asset management and customer service. Since 1993, there have been no significant changes to the assumptions underlying the calculation of the reserve related to the projection of the amount and timing of cash flows.
The projection of future investment results considers assumptions for interest rates, bond discount rates and performance of mortgage loans and real estate. Mortgage loan assumptions represent managements best estimate of current and future levels of rent growth, vacancy and expenses based upon market conditions at each reporting date. The performance of real estate assets has been consistently estimated using the most recent forecasts available. Since 1997, a bond default assumption has been included to reflect historical default experience, since the bond portfolio increased as a percentage of the overall investment portfolio and reflected more bond credit risk, concurrent with the decline in the commercial mortgage loan and real estate portfolios.
The previous years actual participant withdrawal experience is used for the current year assumption. Prior to 1995, the Company used the 1983 Group Annuitant Mortality table published by the Society of Actuaries (the Society). In 1995, the Society published the 1994 Uninsured Pensioners Mortality table which the Company has used since then.
The Companys assumptions about the cost of asset management and customer service reflect actual investment and general expenses allocated over invested assets. Since inception, the expense assumption has increased as the level of fixed expenses has not declined as rapidly as the liabilities have run off.
The activity in the reserve for anticipated future losses on discontinued products for the six months ended June 30, 2002 was as follows (pretax):
(Millions) | |||
Reserve at December 31,
2001 |
$ | 944.9 | |
Operating income |
16.3 | ||
Net realized capital losses |
(27.6 | ) | |
Mortality and other |
5.8 | ||
Reserve reduction |
(8.3 | ) | |
Reserve at June 30, 2002 |
$ | 931.1 | |
Management reviews the adequacy of the discontinued products reserve quarterly and, as a result, $5 million ($8 million pretax) of the reserve was released in the second quarter of 2002, primarily due to favorable mortality and retirement experience and certain reductions in administrative expenses, partially offset by lower portfolio returns. The review in the second quarter of 2001 resulted in the release of approximately $61 million ($95 million pretax) of the discontinued products reserve, primarily due to favorable investment performance as well as favorable mortality and retirement experience.
Page 17
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
9. Debt
Under the terms of its revolving credit facilities, the Company is required to maintain a minimum level of shareholders equity, excluding net unrealized capital gains or losses, as of each fiscal quarter end. At June 30, 2002, the minimum level was approximately $4.4 billion. The Company met this requirement at June 30, 2002. The Company is also required to maintain its ratio of consolidated total debt to consolidated earnings for the preceding twelve month period at or below 3.0. For this purpose, consolidated earnings equals net income (excluding any extraordinary gains or losses) plus interest expense, income tax expense, depreciation expense, amortization expense, the goodwill impairment resulting from the adoption of FAS No. 142, and certain excluded charges. The Company met this requirement at June 30, 2002. Refer to Aetna Inc.s 2001 Annual Report on Form 10-K for a description of the Companys revolving credit facilities and more detail on the above mentioned covenants.
10. Capital Stock
In December 2000, the Companys Board of Directors (the Board) had authorized the repurchase of up to 5 million shares of common stock (not to exceed an aggregate purchase price of $200 million). The Company repurchased 2.6 million shares of common stock at a cost of approximately $96 million during the first quarter of 2001 pursuant to this authorization, and then suspended repurchases until April 2002. In April 2002, the Company re-initiated share repurchases pursuant to this authorization, and during the second quarter of 2002, the Company repurchased approximately 2.1 million shares of common stock at a cost of approximately $104 million, completing this share repurchase program. On June 28, 2002, the Board authorized a new share repurchase program for the repurchase of up to 5 million shares of common stock (not to exceed an aggregate purchase price of $250 million).
On January 25, 2002, the Board of Directors authorized the issuance of approximately 7.5 million of the Companys common shares to eligible employees in accordance with the 2002 Stock Incentive Plan. On January 25, 2002, the Board of Directors Committee on Compensation and Organization approved a grant of approximately 5 million stock options to purchase common shares of the Company at $35.78 per share. During the six months ended June 30, 2002, the Company issued approximately 8.2 million shares of common stock for benefit plans (approximately 7.8 million shares related to stock option exercises).
The Companys shareholders approved the Aetna Inc. Employee Stock Purchase Plan (the ESPP) at the Companys Annual Meeting on April 26, 2002. Under the ESPP, 6.5 million of the Companys common shares are authorized for purchase by eligible employees in accordance with the ESPPs provisions. All employees of the Company are eligible to participate in the ESPP if employed immediately prior to the first day of the offering period. Employees may contribute a percentage of their base salary through payroll deductions. Contributions are accumulated for a six-month period and used to purchase stock at the end of the offering period (the Purchase Date). On the Purchase Date, stock is purchased for all participating employees based on the contributions accumulated (subject to a $25 thousand annual limit per employee). The purchase price of the stock will be based on a discounted percentage (such discount may not exceed 15%) of the lesser of the stock price at the beginning or the end of the offering period. The first six-month accumulation period commenced July 5, 2002 and ends December 20, 2002. The purchase price for this offering will be at a 10% discount from the lesser of the stocks fair market value on July 5, 2002 or December 20, 2002.
11. Dividend Restrictions and Shareholders Equity
Under regulatory requirements, the amount of dividends that may be paid through the end of 2002 to Aetna Inc. by its domestic insurance and HMO subsidiaries as calculated at June 30, 2002 without prior approval by state regulatory authorities is limited to approximately $200 million in the aggregate. There are no such restrictions on distributions from Aetna Inc. to its shareholders. At June 30, 2002 and December 31, 2001, the combined statutory surplus of the Companys domestic insurance and HMO subsidiaries was approximately $3.6 billion.
Page 18
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
12. Segment Information
Summarized financial information for the Companys principal operations for the three and six months ended June 30, was as follows:
(Millions) | Group | Large Case | Corporate | Total | |||||||||||||||||||||||||||||||||||
Three months ended June 30, | Health Care | Insurance | Pensions | Interest | Company | ||||||||||||||||||||||||||||||||||
2002 |
|||||||||||||||||||||||||||||||||||||||
Revenues from external customers |
$ | 4,275.2 | $ | 369.9 | $ | 55.5 | $ | | $ | 4,700.6 | |||||||||||||||||||||||||||||
Net investment income |
74.4 | 68.9 | 174.9 | | 318.2 | ||||||||||||||||||||||||||||||||||
Total revenue, excluding net realized capital gains (losses) |
$ | 4,349.6 | $ | 438.8 | $ | 230.4 | $ | | $ | 5,018.8 | |||||||||||||||||||||||||||||
Operating earnings (loss) (1) |
$ | 68.3 | $ | 36.3 | $ | 6.9 | $ | (20.2 | ) | $ | 91.3 | ||||||||||||||||||||||||||||
Other items (2) |
(17.5 | ) | | 5.4 | | (12.1 | ) | ||||||||||||||||||||||||||||||||
Net realized capital gains (losses), net of tax |
28.2 | (1.5 | ) | 2.3 | | 29.0 | |||||||||||||||||||||||||||||||||
Net income (loss) |
$ | 79.0 | $ | 34.8 | $ | 14.6 | $ | (20.2 | ) | $ | 108.2 | ||||||||||||||||||||||||||||
2001 |
|||||||||||||||||||||||||||||||||||||||
Revenues from external customers |
$ | 5,507.1 | $ | 352.7 | $ | 253.6 | $ | | $ | 6,113.4 | |||||||||||||||||||||||||||||
Net investment income |
99.1 | 69.7 | 192.2 | | 361.0 | ||||||||||||||||||||||||||||||||||
Total revenue, excluding net realized capital gains (losses) |
$ | 5,606.2 | $ | 422.4 | $ | 445.8 | $ | | $ | 6,474.4 | |||||||||||||||||||||||||||||
Operating earnings (loss) (1) |
$ | (121.8 | ) | $ | 37.6 | $ | 10.1 | $ | (21.8 | ) | $ | (95.9 | ) | ||||||||||||||||||||||||||
Other items (3) |
5.3 | | 61.4 | | 66.7 | ||||||||||||||||||||||||||||||||||
Net realized capital gains (losses), net of tax |
45.1 | (5.3 | ) | | | 39.8 | |||||||||||||||||||||||||||||||||
Net income (loss) |
$ | (71.4 | ) | $ | 32.3 | $ | 71.5 | $ | (21.8 | ) | $ | 10.6 | |||||||||||||||||||||||||||
(1) | Operating earnings (loss) from continuing operations is comprised of income (loss) from continuing operations excluding net realized capital gains or losses and any other items. While operating earnings is the measure of profit or loss used by the Companys management when assessing performance or making operating decisions, it does not replace operating income or net income as a measure of profitability. | |
(2) | The other items excluded from operating earnings for the three months ended June 30, 2002 consist of $17.5 million after tax for a severance and facilities charge in the Health Care segment and $5.4 million after tax from reductions of the reserve for anticipated future losses on discontinued products in the Large Case Pensions segment. | |
(3) | The other items excluded from operating earnings (loss) for the three months ended June 30, 2001 consist of $5.3 million after tax of favorable reserve developments (since March 31, 2001) related to Medicare markets the Company exited on January 1, 2001 in the Health Care segment and $61.4 million after tax from reductions of the reserve for anticipated future losses on discontinued products in the Large Case Pensions segment. |
Page 19
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
12. Segment Information (Continued)
(Millions) | Group | Large Case | Corporate | Discontinued | Total | |||||||||||||||||||
Six months ended June 30, | Health Care | Insurance | Pensions | Interest | Operations | Company | ||||||||||||||||||
2002 |
||||||||||||||||||||||||
Revenues from external customers |
$ | 8,781.1 | $ | 741.9 | $ | 119.5 | $ | | $ | | $ | 9,642.5 | ||||||||||||
Net investment income |
150.2 | 135.0 | 350.4 | | | 635.6 | ||||||||||||||||||
Total revenue, excluding net realized capital gains |
$ | 8,931.3 | $ | 876.9 | $ | 469.9 | $ | | $ | | $ | 10,278.1 | ||||||||||||
Operating earnings (1) |
$ | 113.0 | $ | 69.3 | $ | 13.2 | $ | (39.3 | ) | $ | | $ | 156.2 | |||||||||||
Other items (2) |
2.3 | | 5.4 | | | 7.7 | ||||||||||||||||||
Net realized capital gains, net of tax |
30.7 | .2 | 1.4 | | | 32.3 | ||||||||||||||||||
Income (loss) from continuing operations |
146.0 | 69.5 | 20.0 | (39.3 | ) | | 196.2 | |||||||||||||||||
Income from discontinued operations, net of tax (3) |
| | | | 50.0 | 50.0 | ||||||||||||||||||
Cumulative effect adjustment, net of tax |
(2,965.7 | ) | | | | | (2,965.7 | ) | ||||||||||||||||
Net income (loss) |
$ | (2,819.7 | ) | $ | 69.5 | $ | 20.0 | $ | (39.3 | ) | $ | 50.0 | $ | (2,719.5 | ) | |||||||||
2001 |
||||||||||||||||||||||||
Revenues from external customers |
$ | 11,039.1 | $ | 705.6 | $ | 351.9 | $ | | $ | | $ | 12,096.6 | ||||||||||||
Net investment income |
207.1 | 156.3 | 408.6 | | | 772.0 | ||||||||||||||||||
Total revenue, excluding net realized capital gains (losses) |
$ | 11,246.2 | $ | 861.9 | $ | 760.5 | $ | | $ | | $ | 12,868.6 | ||||||||||||
Operating earnings (loss) (1) |
$ | (194.5 | ) | $ | 82.8 | $ | 20.7 | $ | (41.5 | ) | $ | | $ | (132.5 | ) | |||||||||
Other items (4) |
(29.0 | ) | | 61.4 | | | 32.4 | |||||||||||||||||
Net realized capital gains (losses), net of tax |
59.9 | 2.9 | (.8 | ) | | | 62.0 | |||||||||||||||||
Income (loss) from continuing operations |
(163.6 | ) | 85.7 | 81.3 | (41.5 | ) | | (38.1 | ) | |||||||||||||||
Cumulative effect adjustment, net of tax |
.5 | | | | | .5 | ||||||||||||||||||
Net income (loss) |
$ | (163.1 | ) | $ | 85.7 | $ | 81.3 | $ | (41.5 | ) | $ | | $ | (37.6 | ) | |||||||||
(1) | Operating earnings (loss) from continuing operations is comprised of income (loss) from continuing operations excluding net realized capital gains or losses and any other items. While operating earnings is the measure of profit or loss used by the Companys management when assessing performance or making operating decisions, it does not replace operating income or net income as a measure of profitability. | |
(2) | The other items excluded from operating earnings for the six months ended June 30, 2002 consist of a $19.8 million income tax benefit resulting from the release of state income tax related reserves in connection with the favorable conclusion of several state tax audits and $17.5 million after tax for a severance and facilities charge in the Health Care segment and $5.4 million after tax from reductions of the reserve for anticipated future losses on discontinued products in the Large Case Pensions segment. | |
(3) | As discussed in more detail in Note 14, the Company released $50.0 million of federal income tax reserves resulting from the resolution of several Internal Revenue Service audit issues during the first quarter of 2002 that related to the property and casualty insurance business of one of Aetnas predecessors. | |
(4) | The other items excluded from operating earnings (loss) for the six months ended June 30, 2001 consist of an after-tax charge of $29.0 million for unfavorable reserve developments related to Medicare markets the Company exited January 1, 2001 in the Health Care segment and $61.4 million after tax from reductions of the reserve for anticipated future losses on discontinued products in the Large Case Pensions segment. |
13. Commitments and Contingent Liabilities
Managed Care Class Action Litigation
The Company is involved in purported class action lawsuits that are part of a
wave of similar actions targeting the health care payor industry and, in
particular, the conduct of business by managed care companies.
On October 23, 2000, the Judicial Panel on Multi-district Litigation transferred a number of these actions to the United States District Court for the Southern District of Florida (the Florida Federal Court) for consolidated pretrial proceedings. The actions so consolidated by this and subsequent orders, including actions originally filed in the Florida Federal Court, include the following actions brought by the named individuals on the indicated dates:
| Anthony Conte (October 4, 1999) | ||
| Jo Ann ONeill (October 7, 1999; by amendment dated November 9, 1999, Lydia K. Rouse and Danny E. Waldrop joined as additional plaintiffs) | ||
| Jeanne E. Curtright (October 28, 1999) |
Page 20
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
13. Commitments and Contingent Liabilities (Continued)
| Raymond D. Williamson, III (November 22, 1999, and a second case was filed in the Florida Federal Court on June 23, 2000) | ||
| Michael V. Amorosi (December 3, 1999) | ||
| Eugene Mangieri, M.D. (January 19, 2000) | ||
| H. Robert Harrison, M.D., Martin Moran, M.D., Lance R. Goodman, M.D., Sandy Springs Pediatrics & Adolescent Medicine, P.C., Pediatric Infectious Disease Associates, LLC, American Medical Association and Medical Association of Georgia (February 16, 2000 naming Company defendants, and April 18, 2000 naming Prudential defendants) | ||
| Jennifer McCarron and Ira S. Schwartz (April 11, 2000) | ||
| John Romero and Catherine Romero (May 22, 2000) | ||
| Jo Ann ONeill, Lydia K. Rouse and Danny E. Waldrop (June 23, 2000) (by amendment dated June 29, 2001, Michael V. Amorosi replaced Lydia K. Rouse as a plaintiff) | ||
| Glenn OBrien and Christopher Gallagher (August 7, 2000) | ||
| Charles B. Shane, M.D., Edward L. Davis, D.O., Jeffrey Book, D.O., Manual Porth, M.D., Dennis Breen, M.D., Glenn L. Kelly, M.D. and Michael Burgess, M.D. (August 11, 2000) (by amendment dated March 26, 2001, H. Robert Harrison, M.D., Eugene Mangieri, M.D., Lance R. Goodman, M.D., Leonard J. Klay, M.D., Kevin Molk, M.D., Martin Moran, M.D., Thomas Backer, M.D., David Boxstein, M.D., Navid Ghalambor, M.D., Susan Hansen, M.D., Andres Taleisnik, M.D., Julio Taleisnik, M.D., Roger Wilson, M.D., California Medical Association, Denton County Medical Society, Medical Association of Georgia and Texas Medical Association replaced Michael Burgess, M.D. as a plaintiff) | ||
| Douglas Chapman (September 7, 2000) | ||
| Sue McIntosh, M.D., J. Kevin Lynch, M.D., Karen Laugel, M.D. and Stephen R. Levinson, M.D. (February 15, 2001) | ||
| Connecticut State Medical Society (February 15, 2001) | ||
| Leonard J. Klay, M.D. (February 22, 2001) | ||
| Richard P. Bartlett, M.D. (April 12, 2001) | ||
| Medical Society of the State of New York (August 15, 2001) | ||
| Edgar Borrero, M.D., Albert M. Ellman, M.D. and Robert Scher, M.D. (August 15, 2001) | ||
| American Dental Association, James B. Swanson, D.D.S. and Michael B. Dayoub, D.D.S. (August 15, 2001) | ||
| Westside EKG Associates (September 20, 2001) (originally filed in the Florida Federal Court; not yet consolidated with the other listed actions) | ||
| Tennessee Medical Society (April 25, 2002) | ||
| Raymond J. Wesley, M.D. (April 25, 2002) |
Page 21
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
13. Commitments and Contingent Liabilities (Continued)
The plaintiffs in the Conte, ONeill, Williamson, Amorosi, McCarron, Romero, OBrien and Chapman cases (together with Curtright, the Subscriber Cases) seek to represent purported nationwide classes of current and former members of the Companys health plans. The Subscriber Cases collectively seek various forms of relief, including unspecified damages, treble damages, injunctive relief and restitutionary relief for unjust enrichment, for alleged violations of the Racketeer Influenced and Corrupt Organizations Act (RICO) and the Employee Retirement Income Security Act of 1974 (ERISA), and seek similar relief under common law theories. In addition, the action by Jeanne E. Curtright seeks similar relief on behalf of a class of California health plan members and members of the California public for alleged violations of California Business and Professions Code Sections 17200 and 17500 and under common law theories. Each of former Aetna, Aetna Inc., Richard L. Huber (the former chairman of Aetna) and certain health maintenance organizations that Aetna Inc. acquired from The Prudential Insurance Company of America (Prudential) are named as defendants in one or more of these actions. The complaints allege generally that defendants failed to adequately inform members about defendants managed care practices, including capitated payments to providers and utilization management practices. In addition, the Chapman complaint relates to the disclosure and determination of usual, customary and reasonable charges for claims and alleges an undisclosed policy of discounting procedures in order to reduce reimbursements to ERISA plan members.
On August 11, 2000, Aetna Inc. and former Aetna moved to dismiss the June 23, 2000 ONeill Complaint. On June 12, 2001, the Florida Federal Court granted that motion in part and denied it in part. It permitted plaintiffs to file an amended complaint, which they did on June 29, 2001. The Company moved to dismiss the amended complaint on August 13, 2001. On February 20, 2002, the Florida Federal Court granted the Companys motion in part and denied it in part. The Florida Federal Court dismissed Amorosis RICO claims based upon the McCarran Ferguson Act and kept intact the other two putative class members RICO claims. The Florida Federal Court also narrowed all plaintiffs ERISA claims to (1) allegations of interference with physician-patient communications and (2) allegations of misrepresentations of medical necessity for those plaintiffs who are no longer subscribers to Aetna Inc.s health plans. On May 10, 2002, the United States Court of Appeals for the Eleventh Circuit (the Appeals Court) declined to consider on interlocutory appeal the Florida Federal Courts decision not to dismiss the RICO claims stated in the ONeill Complaint. On September 29, 2000, plaintiffs moved for class certification. The class certification motion has been fully briefed. On July 24, 2001, the Florida Federal Court heard argument on that motion, which remains pending. On June 26, 2002, the ONeill plaintiffs filed their third amended complaint which named Aetna Inc. as the sole defendant. On July 26, 2002, Aetna Inc. filed its answer to that complaint.
The Curtright Subscriber Case was originally filed in the Superior Court of California, County of Contra Costa. Defendants removed the action to the United States District Court for the Northern District of California. Plaintiff moved to remand the action to state court. Aetna Inc. moved to dismiss the action for failure to state a claim upon which relief can be granted. The motions to remand and dismiss were pending when the Curtright Subscriber Case was transferred to the Florida Federal Court, which has not ruled on these motions.
The Shane, Mangieri, Harrison, McIntosh, Connecticut State Medical Society, Klay, Bartlett, Medical Society of the State of New York, Borrero, American Dental Association, Westside EKG Associates, Tennessee Medical Society and Wesley cases together comprise the Provider Cases. Aetna Inc. and/or one or more of its subsidiaries are named as defendants in each of the Provider Cases. The amended Shane action also is brought against a number of other managed care companies. The Mangieri action also is brought against two other managed care companies. The Harrison action also is brought against Prudential.
Page 22
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
13. Commitments and Contingent Liabilities (Continued)
The Provider Cases collectively allege that Aetna Inc. and each other defendant managed care organization improperly denied claims in whole or in part, did not pay claims timely or did not pay at proper rates, and employed coercive economic power to force physicians to enter into economically unfavorable contracts. The Shane Provider Case further charges that Aetna Inc. and the other defendant managed care organizations conspired and aided and abetted one another in the alleged wrongdoing. In addition, the American Dental Association action alleges improper disclosure and determination of usual, customary and reasonable charges for dental claims and alleges an undisclosed policy of discounting procedures in order to reduce reimbursements to ERISA plan members. The Provider Cases seek various forms of relief, including unspecified damages, treble damages, punitive damages and injunctive relief, for alleged violations of RICO, ERISA, state unfair trade statutes, state consumer fraud statutes and state laws regarding the timely payment of claims, and seek similar relief under common law theories.
The plaintiffs in the Provider Cases generally seek to represent purported nationwide classes and subclasses of physicians and other providers who currently or formerly provided services to members of the Company and/or Prudential. Certain Provider Cases also purport to bring class actions on behalf of physicians and/or other providers in a particular state. Bartlett is the only Provider Case that is not brought as a class action.
On September 22, 2000, Aetna Inc. and the other defendants moved to dismiss the August 11, 2000 Shane complaint. On March 2, 2001, the Florida Federal Court granted that motion in part and permitted plaintiffs to file an amended complaint. An amended complaint was filed on March 26, 2001 by the individuals listed above, including the Harrison and Mangieri plaintiffs and others.
On April 30, 2001, Aetna Inc. and the other defendants moved to dismiss the March 26, 2001 Shane complaint. On May 1, 2001, Aetna Inc. moved to compel arbitration of all claims asserted against it by several of the named plaintiffs, moved to compel arbitration and/or stay claims against Aetna Inc. for its alleged participation in purported RICO violations by other defendants and moved to compel arbitration and/or stay claims against other defendants for their alleged participation in purported RICO violations by Aetna Inc. This motion remains pending.
On July 11, 2002, the Shane plaintiffs filed a motion seeking leave to file a second amended complaint that adds two new plaintiffs, the Florida Medical Association and the Louisiana State Medical Association. That motion remains pending.
On October 20, 2000, the Shane plaintiffs moved for class certification. The parties fully briefed that motion based on the allegations of the August 11, 2000 Shane complaint. On May 7, 2001, the Florida Federal Court heard oral argument on that motion, which remains pending.
On June 25, 2001, the Appeals Court issued an order staying the Provider Cases pending before the Florida Federal Court while the Appeals Court considered an appeal taken by other defendants of an order of the Florida Federal Court concerning the effect of arbitration clauses contained in contracts between certain individual plaintiffs and the appellants. On March 14, 2002, the Appeals Court upheld that order.
On July 16, 2002, the Florida Federal Court heard argument on the plaintiffs request to open discovery in the Provider Cases. On July 29, 2002, the Florida Federal Court entered an order lifting the stay of discovery in the Provider Cases and the Subscriber Cases effective September 30, 2002.
Various motions to stay and dismiss have been filed and remain pending in the other Subscriber and Provider Cases. They remain in the preliminary stages. The Company intends to continue to defend the Subscriber Cases and the Provider Cases vigorously.
Page 23
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
13. Commitments and Contingent Liabilities (Continued)
In addition to the Subscriber and Provider Cases consolidated before the Florida Federal Court, a complaint was filed in the Superior Court of the State of California, County of San Diego (the California Superior Court) on November 5, 1999 by Linda Ross and The Stephen Andrew Olsen Coalition for Patients Rights, purportedly on behalf of the general public of the State of California (the Ross Complaint). The Ross Complaint, as amended, seeks injunctive relief against former Aetna, Aetna Inc., Aetna U.S. Healthcare of California Inc. and additional unnamed John Doe defendants for alleged violations of California Business and Professions Code Sections 17200 and 17500. The Ross Complaint alleges that defendants are liable for alleged misrepresentations and omissions relating to advertising, marketing and member materials directed to the Companys HMO members and the general public and for alleged unfair practices relating to contracting of doctors. This action is in the discovery phase, and trial currently is scheduled to begin on March 14, 2003. Defendants intend to continue to defend this action vigorously.
A complaint was filed in the Superior Court of the State of New Jersey, Mercer County, on May 8, 2002 by the Medical Society of New Jersey purportedly on behalf of a class of New Jersey physicians (the New Jersey Complaint). The New Jersey Complaint seeks injunctive relief and attorneys fees against Aetna Inc. and one of its subsidiaries under New Jerseys consumer fraud act and prompt pay statutes. The New Jersey Complaint alleges that defendants engage in unfair and deceptive acts and practices intended to delay and reduce reimbursement to physicians and that defendants have been able to force physicians to enter into one-sided contracts that infringe upon the doctor-patient relationship. On June 14, 2002, the Company removed this action to the United States District Court for the District of New Jersey and subsequently notified the Judicial Panel on Multi-District Litigation that the Company believes this action should be transferred to the Florida Federal Court and litigated in conjunction with the Provider Cases. This action is in the preliminary stages, and the Company intends to defend this action vigorously.
NYLCare Texas Sale Litigation
On March 30, 2001, Health Care Service Corporation (HCSC) provided the
Company with a letter demanding arbitration of claims arising out of its
purchase from Aetna Inc. of the NYLCare Texas HMOs. In May 2002, HCSC and the
Company settled this action. The settlement amount was not material to the
financial condition of the Company after taking into account the reserves
established for this action.
Securities Class Action Litigation
Laborers Tri-County Pension Fund, Goldplate Investment Partners Ltd. and Sheila
Shafran filed a consolidated and amended purported class action complaint
(Securities Complaint) on June 7, 2002 in the United States District Court
for the Southern District of New York. The Securities Complaint supplanted
several complaints, filed beginning November 6, 2001, which have been
voluntarily dismissed or consolidated. Plaintiffs contend that the Company and
two of its current or former officers and directors, William H. Donaldson and
John W. Rowe, M.D., violated federal securities laws. Plaintiffs allege
misrepresentations and omissions regarding, among other things, the Companys
ability to manage and control medical costs and the appropriate reserve for
medical costs as of December 31, 2000, for which they seek unspecified damages,
among other remedies. Defendants moved to dismiss the Securities Complaint on
July 22, 2002, and otherwise intend vigorously to defend this action, which is
in its preliminary stages.
The Company is unable to predict at this time the ultimate outcome of the Managed Care Class Action Litigation or Securities Class Action Litigation. It is reasonably possible that their outcome could be material to the Company.
Page 24
Item 1. Financial Statements. (Continued)
CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
13. Commitments and Contingent Liabilities (Continued)
Other Litigation and Regulatory Proceedings
The Company is involved in numerous other lawsuits arising, for the most part,
in the ordinary course of its business operations, including employment
litigation and claims of bad faith, medical malpractice, non-compliance with
state regulatory regimes, marketing misconduct, failure to timely pay medical
claims and other litigation in its health care business. Some of these other
lawsuits are purported to be class actions.
In addition, the Companys current and past business practices are subject to review by various state insurance and health care regulatory authorities and other state and federal authorities. There continues to be heightened review by these authorities of the managed health care industrys business practices, including utilization management, delegated arrangements and claim payment practices. As a leading national managed care organization, the Company regularly is the subject of such reviews and several such reviews currently are pending, some of which may be resolved during 2002. These reviews may result in changes to or clarifications of the Companys business practices, and may result in fines, penalties or other sanctions.
While the ultimate outcome of this other litigation and these regulatory proceedings cannot be determined at this time, after consideration of the defenses available to the Company, applicable insurance coverage and any related reserves established, they are not expected to result in liability for amounts material to the financial condition of the Company, although they may adversely affect results of operations in future periods.
14. Discontinued Operations
The Company released $50 million of federal income tax reserves resulting from the resolution of several Internal Revenue Service audit issues during the first quarter of 2002 that related to the property and casualty insurance business of one of Aetnas predecessors.
Page 25
Independent Accountants Review Report
The Board of Directors
Aetna Inc.:
We have reviewed the condensed consolidated balance sheet of Aetna Inc. and subsidiaries as of June 30, 2002, and the related condensed consolidated statements of income, shareholders equity and cash flows for the three and six-month periods ended June 30, 2002 and 2001. These condensed consolidated financial statements are the responsibility of the Companys management.
We conducted our review in accordance with standards established by the American Institute of Certified Public Accountants. A review of interim financial information consists principally of applying analytical procedures to financial data and making inquiries of persons responsible for financial and accounting matters. It is substantially less in scope than an audit conducted in accordance with auditing standards generally accepted in the United States of America, the objective of which is the expression of an opinion regarding the financial statements taken as a whole. Accordingly, we do not express such an opinion.
Based on our review, we are not aware of any material modifications that should be made to the condensed consolidated financial statements referred to above for them to be in conformity with accounting principles generally accepted in the United States of America.
We have previously audited, in accordance with auditing standards generally accepted in the United States of America, the consolidated balance sheet of Aetna Inc. and subsidiaries as of December 31, 2001, and the related consolidated statements of income, shareholders equity and cash flows for the year then ended (not presented herein); and in our report dated February 20, 2002, we expressed an unqualified opinion on those consolidated financial statements. In our opinion, the information set forth in the accompanying condensed consolidated balance sheet as of December 31, 2001, is fairly stated, in all material respects, in relation to the consolidated balance sheet from which it has been derived.
/s/ KPMG LLP
Hartford, Connecticut
July 31, 2002
Page 26
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations
The following discussion and analysis presents a review of Aetna Inc. and its subsidiaries (collectively, the Company) for the three and six months ended June 30, 2002 and 2001. This review should be read in conjunction with the consolidated financial statements and other data presented herein as well as Managements Discussion and Analysis of Financial Condition and Results of Operation (MD&A) contained in the Companys 2001 Annual Report on Form 10-K.
OVERVIEW
General
At June 30, 2002, the Companys operations included three business segments: Health Care, Group Insurance and Large Case Pensions. Health Care consists of health and dental plans offered on both a full risk basis (where the Company assumes all or a majority of the risk for health and dental care costs) (Risk) and an employer-funded basis (where the plan sponsor under an administrative service contract, and not the Company, assumes all or a majority of this risk) (ASC). Health plans include health maintenance organization (HMO), point-of-service (POS), preferred provider organization (PPO) and indemnity benefit products (Indemnity). The Group Insurance segment includes group life insurance products offered on a full risk basis, as well as group disability and long-term care insurance products offered on both a full risk and an employer-funded basis. Large Case Pensions manages a variety of retirement products (including pension and annuity products) primarily for defined benefit and defined contribution plans. These products provide a variety of funding and benefit payment distribution options and other services. The Large Case Pensions segment includes certain discontinued products.
Management Changes
In May 2002, Ronald A. Williams, previously Executive Vice President and Chief of Health Operations, was named President of Aetna. In addition to leading the Health Care business, Mr. Williams now also leads the Companys Group Insurance business.
In June 2002, Frolly M. Boyd, Senior Vice President for Group Insurance and Large Case Pensions, left the Company to seek new opportunities. Gail K. Boudreaux, previously Head of Aetna Customer Service, was named Senior Vice President and Head of Aetna Group Insurance, effective July 1, 2002. The Large Case Pensions business now reports to Timothy A. Holt, Senior Vice President and Chief Investment Officer.
Consolidated Results
The Company reported net income of $108 million for the three months ended June 30, 2002, compared to $11 million for the corresponding period in 2001. Net income per diluted common share for the three months ended June 30, 2002 was $.70, compared with $.07 for the corresponding period in 2001.
For the three months ended June 30, 2002, results include a severance and facilities charge of $18 million in the Health Care segment, a reduction of the reserve for anticipated future losses on discontinued products in the Large Case Pensions segment of $5 million and net realized capital gains of $29 million. Net income for the three months ended June 30, 2001 includes a reduction of the reserve for anticipated future losses on discontinued products in the Large Case Pensions segment of $61 million and net realized capital gains of $40 million. Results for the second quarter of 2001 also include amortization of goodwill of approximately $49 million. Upon adoption of Financial Accounting Standard (FAS) No. 142, Goodwill and Other Intangible Assets, the Company ceased amortizing goodwill as well as an acquired intangible asset as discussed below. Excluding the above mentioned items, net income would have been $91 million for the second quarter of 2002, compared to a net loss of $42 million for the corresponding period in 2001.
Page 27
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
OVERVIEW (Continued)
The Company reported income from continuing operations of $196 million for the six months ended June 30, 2002 compared to a loss from continuing operations of $38 million for the corresponding period in 2001. Income from continuing operations per diluted common share for the six months ended June 30, 2002 was $1.30, compared with a loss from continuing operations per basic common share of $.27 for the corresponding period in 2001.
For the six months ended June 30, 2002, results include a severance and facilities charge of $18 million in the Health Care segment, a reduction of the reserve for anticipated future losses on discontinued products in the Large Case Pensions segment of $5 million and net realized capital gains of $32 million. The loss from continuing operations for the six months ended June 30, 2001 includes a reduction of the reserve for anticipated future losses on discontinued products in the Large Case Pensions segment of $61 million and net realized capital gains of $62 million. Results for the six months ended June 30, 2001 also include amortization of goodwill of approximately $98 million. Excluding the above mentioned items, income from continuing operations would have been $176 million for the six months ended June 30, 2002, compared to a loss from continuing operations of $64 million for the corresponding period in 2001. The Company reported a net loss of $2.7 billion for the six months ended June 30, 2002 which includes income from discontinued operations of $50 million and a previously announced cumulative effect adjustment of approximately $3 billion, as discussed below. The Company reported a net loss of $38 million for the six months ended June 30, 2001 which includes a cumulative effect adjustment of $.5 million related to the Companys adoption of the amended FAS No. 133, Accounting for Derivative Instruments and Hedging Activities.
New Accounting Standard on Goodwill and Other Acquired Intangible Assets
As of January 1, 2002, the Company adopted FAS No. 142. This Standard eliminates goodwill amortization from the Consolidated Statement of Income and requires an evaluation of goodwill for impairment upon adoption of this Standard, as well as subsequent evaluations on an annual basis, or more frequently if circumstances indicate a possible impairment. As a result, the Company recorded an impairment of goodwill of approximately $3 billion in the first quarter of 2002 which is recorded as a cumulative effect adjustment in the Consolidated Statement of Income. Refer to Goodwill and Other Acquired Intangible Assets within this report and Notes 2 and 4 of Condensed Notes to Consolidated Financial Statements for more information.
Page 28
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
HEALTH CARE
Operating Summary
Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||||||||||||
(Millions) | 2002 | 2001 | % Change | 2002 | 2001 | % Change | ||||||||||||||||||||
Premiums: |
||||||||||||||||||||||||||
Commercial HMO (1) |
$ | 2,769.3 | $ | 3,614.6 | (23.4 | )% | $ | 5,720.8 | $ | 7,243.3 | (21.0 | )% | ||||||||||||||
Medicare HMO |
255.3 | 505.4 | (49.5 | ) | 529.3 | 1,011.6 | (47.7 | ) | ||||||||||||||||||
Other (2) |
792.9 | 920.8 | (13.9 | ) | 1,612.2 | 1,853.6 | (13.0 | ) | ||||||||||||||||||
Total premiums |
3,817.5 | 5,040.8 | (24.3 | ) | 7,862.3 | 10,108.5 | (22.2 | ) | ||||||||||||||||||
Administrative services contract fees |
454.4 | 457.7 | (.7 | ) | 910.6 | 915.8 | (.6 | ) | ||||||||||||||||||
Net investment income |
74.4 | 99.1 | (24.9 | ) | 150.2 | 207.1 | (27.5 | ) | ||||||||||||||||||
Other income |
3.3 | 8.6 | (61.6 | ) | 8.2 | 14.8 | (44.6 | ) | ||||||||||||||||||
Net realized capital gains |
44.1 | 69.9 | (36.9 | ) | 48.2 | 93.2 | (48.3 | ) | ||||||||||||||||||
Total revenue |
4,393.7 | 5,676.1 | (22.6 | ) | 8,979.5 | 11,339.4 | (20.8 | ) | ||||||||||||||||||
Health care costs (3) |
3,189.7 | 4,566.8 | (30.2 | ) | 6,637.9 | 9,171.0 | (27.6 | ) | ||||||||||||||||||
Salaries and related benefits |
529.7 | 539.3 | (1.8 | ) | 1,063.0 | 1,132.9 | (6.2 | ) | ||||||||||||||||||
Other operating expenses |
481.0 | 544.7 | (11.7 | ) | 969.2 | 1,016.6 | (4.7 | ) | ||||||||||||||||||
Amortization of goodwill |
| 49.6 | (100.0 | ) | | 99.1 | (100.0 | ) | ||||||||||||||||||
Amortization of other acquired
intangible assets |
49.1 | 57.7 | (14.9 | ) | 98.3 | 115.4 | (14.8 | ) | ||||||||||||||||||
Severance and facilities charge |
27.0 | | 100.0 | 27.0 | | 100.0 | ||||||||||||||||||||
Total benefits and expenses |
4,276.5 | 5,758.1 | (25.7 | ) | 8,795.4 | 11,535.0 | (23.8 | ) | ||||||||||||||||||
Income (loss) before income taxes
(benefits) and cumulative effect
adjustments |
117.2 | (82.0 | ) | | 184.1 | (195.6 | ) | | ||||||||||||||||||
Income taxes (benefits) |
38.2 | (10.6 | ) | | 38.1 | (32.0 | ) | | ||||||||||||||||||
Cumulative effect adjustments, net of
tax |
| | | (2,965.7 | ) | .5 | | |||||||||||||||||||
Net income (loss) |
$ | 79.0 | $ | (71.4 | ) | | % | $ | (2,819.7 | ) | $ | (163.1 | ) | | % | |||||||||||
Net realized capital gains, net of
tax (included above) |
$ | 28.2 | $ | 45.1 | (37.5 | )% | $ | 30.7 | $ | 59.9 | (48.7 | )% | ||||||||||||||
(1) | Commercial HMO includes premiums related to POS members who access primary care physicians and referred care through an HMO network. | |
(2) | Includes POS, PPO, Indemnity, Medicaid HMO and Dental products. | |
(3) | The percentage of health care costs related to capitated arrangements (a fee arrangement where the Company pays providers a monthly fixed fee for each member, regardless of the medical services provided to the member) was 11.7% for the three and six months ended June 30, 2002, compared to 11.2% and 11.5% for the corresponding periods in 2001. |
Results
Health Cares net income for the three months ended June 30, 2002 reflects an increase of $150 million from the net loss for the corresponding period in 2001. The net loss for the six months ended June 30, 2002 is $2.7 billion greater than the net loss reported for the corresponding period in 2001.
Page 29
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
HEALTH CARE (Continued)
The table presented below identifies certain items excluded from net income or loss to arrive at operating earnings or loss, which management believes provides a comparison more reflective of Health Cares underlying business performance, and reconciles operating earnings or loss to net income or loss reported in accordance with accounting principles generally accepted in the United States of America.
Three Months | Six Months | ||||||||||||||||
Ended June 30, | Ended June 30, | ||||||||||||||||
(Millions) | 2002 | 2001 | 2002 | 2001 | |||||||||||||
Net income (loss) |
$ | 79.0 | $ | (71.4 | ) | $ | (2,819.7 | ) | $ | (163.1 | ) | ||||||
Other items included in net income (loss): |
|||||||||||||||||
Net realized capital gains |
(28.2 | ) | (45.1 | ) | (30.7 | ) | (59.9 | ) | |||||||||
Amortization of goodwill |
| 48.8 | | 97.6 | |||||||||||||
Amortization of other acquired intangible assets |
31.9 | 37.6 | 63.9 | 75.2 | |||||||||||||
Release of state income tax reserves (1) |
| | (19.8 | ) | | ||||||||||||
Severance and facilities charge |
17.5 | | 17.5 | | |||||||||||||
Cumulative effect adjustments |
| | 2,965.7 | (.5 | ) | ||||||||||||
Operating earnings (loss) |
$ | 100.2 | $ | (30.1 | ) | $ | 176.9 | $ | (50.7 | ) | |||||||
(1) | During the first quarter of 2002, the Company released $19.8 million of state income tax related reserves as a result of the favorable conclusion of several state tax audits. |
Operating earnings for the three and six months ended June 30, 2002 reflect increases of $130 million and $228 million from the operating losses in the corresponding periods in 2001. Membership levels were lower than in the prior year periods, resulting in both lower overall premiums and medical costs. The increases in operating earnings were due primarily to significant premium rate increases, partially offset by higher per member medical costs for Commercial HMO products. Medical costs for the three months ended June 30, 2002 also reflect the favorable development of prior period medical cost estimates of approximately $55 million pretax for Commercial HMO products and approximately $10 million pretax for Medicare HMO. Results for the three and six months ended June 30, 2002 also reflect a decrease in operating expenses, including salaries and related benefits, resulting from expense reduction initiatives. These increases in results were partially offset by decreases in net investment income. For the three months ended June 30, 2002, the decrease in net investment income is due primarily to lower interest rates. For the six months ended June 30, 2002, the decrease is due primarily to lower interest rates as well as mortgage loan prepayments in the first quarter of 2001, which did not occur in the first six months of 2002.
Commercial HMO
Commercial HMO premiums decreased $845 million and $1.5 billion for the three and six months ended June 30, 2002, respectively, when compared to the corresponding periods in 2001. This decrease reflects significant membership reductions as well as a shift in the geographic mix of membership and customers selecting lower premium plans, offset in part by significant premium rate increases on renewing business.
The Commercial HMO medical cost ratio was 84.1% and 85.2% for the three and six months ended June 30, 2002, respectively, compared to 91.3% and 90.6% for the corresponding periods in 2001. The decrease in 2002 was the result of significant per member premium rate increases outpacing per member medical cost increases. Per member medical cost increases were partially offset by the favorable development of prior period medical cost estimates during the second quarter of 2002 discussed previously. Excluding the favorable development of prior period medical cost estimates during the second quarter of 2002, the Commercial HMO medical cost ratio was 86.1% for the three months ended June 30, 2002. Higher per member medical costs were primarily due to higher utilization related to 2002 services and also reflect the impact of certain unit cost increases. While the specific factors vary in importance by local market, the major drivers of the increase in utilization include an increase in physician costs (including specialists), inpatient services, pharmacy, and outpatient services (particularly ambulatory surgeries and radiology).
Page 30
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
HEALTH CARE (Continued)
Medicare HMO
Medicare HMO premiums decreased by $250 million and $482 million for the three and six months ended June 30, 2002, respectively, when compared to the corresponding periods in 2001. This decrease was substantially due to the Company exiting a number of Medicare service areas on January 1, 2002, which represented approximately 37% of the Companys total Medicare membership at December 31, 2001.
The Medicare HMO medical cost ratio was 82.8% and 81.6% for the three and six months ended June 30, 2002, respectively, compared to 95.2% and 94.5% (excluding premiums and medical costs relating to Medicare service areas that the Company exited on January 1, 2001) for the corresponding periods in 2001. This decrease primarily reflects the Companys exit from certain Medicare service areas on January 1, 2002, which had high medical cost ratios. The decrease also reflects significant benefit plan changes, lower utilization and the favorable development of prior period medical cost estimates discussed previously. Excluding the favorable development of prior period medical cost estimates during the second quarter of 2002, the Medicare HMO medical cost ratio was 86.8% for the three months ended June 30, 2002. For the three and six months ended June 30, 2001, the Medicare HMO medical cost ratio (including those Medicare service areas the Company exited on January 1, 2001) was 93.6% and 98.8%, respectively. Medical costs recorded in the six month period ended June 30, 2001 reflect unfavorable development of prior period medical cost estimates of approximately $45 million pretax, which related almost entirely to those Medicare service areas exited on January 1, 2001.
Health Care Costs Payable
Health care costs payable reflects estimates of the ultimate cost of claims that have been incurred but not yet reported or reported but not yet paid. Health care costs payable are estimated periodically, and any resulting adjustments are reflected in current-period operating results within health care costs. Health care costs payable are based on a number of factors, including those derived from historical claim experience. A large portion of health care claims are not submitted to the Company until after the end of the quarter in which services are rendered by providers to members. As a result, an extensive degree of judgment is used in this estimation process, considerable variability is inherent in such estimates, and the adequacy of the estimates is highly sensitive to changes in medical claims payment patterns and changes in medical cost trends. A worsening (or improvement) of medical cost trend or changes in claim payment patterns from those that were assumed in estimating health care costs payable at June 30, 2002 would cause these estimates to change in the near term, and such a change could be material.
Other Revenue
ASC fees for the three and six months ended June 30, 2002 decreased slightly compared to the corresponding periods in 2001. This decrease reflects overall lower ASC membership levels, partially offset by an increase in rates.
Net realized capital gains for the three months ended June 30, 2002 include capital gains related to the Companys 1997 sale of its behavioral health subsidiary, Human Affairs International (HAI), and net gains resulting from the Companys rebalancing of its investment portfolio in a declining interest rate environment. The Company records capital gains relating to the HAI sale as they become realizable. These gains were partially offset by capital losses primarily due to the final resolution of matters related to the prior year sale of NYLCare Texas and the write-down of certain debt and equity securities and losses from futures contracts. (Refer to Note 13 of Condensed Notes to Consolidated Financial Statements for further information on the final resolution of matters related to NYLCare Texas.) Net realized capital gains for the three months ended June 30, 2001 include capital gains related to the HAI sale and net gains on debt securities resulting from the Companys rebalancing of its investment portfolio in a low interest rate environment.
Page 31
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
HEALTH CARE (Continued)
Net realized capital gains for the six months ended June 30, 2002 include capital gains related to the HAI sale and net gains resulting from the Companys rebalancing of its investment portfolio in a low interest rate environment. These gains were partially offset by capital losses primarily due to the final resolution of matters related to the prior year sale of NYLCare Texas, the write-down of certain debt and equity securities and capital losses from futures contracts. Net realized capital gains for the six months ended June 30, 2001 include capital gains related to the HAI sale as well as capital gains resulting from collections of previously charged-off mortgage loans and the Companys rebalancing of its investment portfolio. These gains were partially offset by capital losses resulting primarily from the write-down of certain debt securities. Refer to Total Investments Capital Gains and Losses for further discussion on investment write-downs.
Income Taxes
Excluding amortization of goodwill for the second quarter of 2001, as well as net realized capital gains and amortization of other acquired intangible assets for both the second quarter of 2002 and 2001, the effective tax rates were 32.3% and 32.5% for the three months ended June 30, 2002 and 2001, respectively. The six months ended June 30, 2002 included approximately $20 million of state income tax related reserves released in the first quarter of 2002 as a result of the favorable conclusion of several state tax audits. Excluding this reserve release, amortization of goodwill for the six months ended June 30, 2001, and net realized capital gains and amortization of other acquired intangible assets for the six months ended June 30, 2002 and 2001, the effective tax rates were 31.9% and 31.8% for the six months ended June 30, 2002 and 2001, respectively. Fluctuations in the effective tax rates for the three and six months ended June 30, 2002, compared to the corresponding periods in 2001, primarily reflect a change in the mix of state income taxes that apply to pretax income or loss. This mix of state income taxes depends on the states in which the Companys earnings or losses are incurred and the level of such earnings or losses, due to differing tax rates and/or limitations of allowed losses in various states.
Membership
Health Cares membership was as follows:
June 30, 2002 | June 30, 2001 | ||||||||||||||||||||||||
(Thousands) | Risk | ASC | Total | Risk | ASC | Total | |||||||||||||||||||
Commercial | |||||||||||||||||||||||||
HMO (1) | 4,535 | 1,340 | 5,875 | 7,296 | 1,058 | 8,354 | |||||||||||||||||||
POS | 116 | 2,546 | 2,662 | 196 | 2,915 | 3,111 | |||||||||||||||||||
PPO | 769 | 3,180 | 3,949 | 936 | 3,188 | 4,124 | |||||||||||||||||||
Indemnity | 117 | 1,546 | 1,663 | 220 | 1,752 | 1,972 | |||||||||||||||||||
Total Commercial Membership | 5,537 | 8,612 | 14,149 | 8,648 | 8,913 | 17,561 | |||||||||||||||||||
Medicare HMO | 125 | | 125 | 279 | | 279 | |||||||||||||||||||
Medicaid HMO | 11 | 164 | 175 | 140 | 104 | 244 | |||||||||||||||||||
Total Health Membership | 5,673 | 8,776 | 14,449 | 9,067 | 9,017 | 18,084 | |||||||||||||||||||
Dental Membership |
4,707 | 7,162 | 11,869 | 6,060 | 7,866 | 13,926 | |||||||||||||||||||
(1) | Commercial HMO in thousands includes POS members who access primary care physicians and referred care through an HMO network of 1,142 at June 30, 2002 and 1,737 at June 30, 2001. |
Total health membership as of June 30, 2002 decreased by approximately 4 million members, compared to June 30, 2001, resulting from the Companys strategic and operational initiatives, including significant price increases, the exit of under-performing Commercial HMO products in certain markets and the exit from certain Medicare service areas.
Page 32
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
HEALTH CARE (Continued)
Outlook
The Company continues to implement the strategic repositioning of its business and is taking significant actions designed to improve profitability and competitiveness. As a result, certain key actions and the Companys success in implementing them, and other matters discussed later, are expected to be significant drivers of the Companys 2002 financial performance.
Medical Costs/Pricing Actions. The Company continues to take certain actions designed to improve its medical cost ratios while also undertaking initiatives to improve relations with providers. The Company attempts to improve profitability through price increases and, where appropriate, through improved underwriting and utilization management techniques. A majority of the Companys 2002 pricing actions related to its health risk business were implemented by June 30, 2002 and such actions reflect significant price increases. However, premiums for full risk health plans are generally fixed for one-year periods and, accordingly, cost levels in excess of future medical cost projections reflected in pricing cannot be recovered in the contractual year through higher premiums. As a result, the Companys results for 2002 are particularly sensitive to the price increases it achieved for business renewing in the early part of the year. Medical cost trend (the rate of increase in medical costs) rose significantly in 2001 and there can be no assurances regarding the accuracy of medical cost projections assumed for 2002 pricing purposes. If the rate of increase in medical costs in 2002 were to exceed the levels projected for 2002 pricing purposes, our results would be materially adversely affected.
Membership. Premium increases for 2002 renewals and other actions resulted in significantly reduced membership for 2002. Actions affecting membership also include the exit of certain Medicare service areas and the exit of under-performing Commercial HMO products in certain markets. Further premium increases in 2002 are expected to result in additional membership reductions. The membership reductions resulting from pricing and other actions will lower revenue, but these actions are designed to help reduce medical cost ratios and thereby improve profitability. However, if membership declines more than we expect or if we lose accounts with favorable medical cost experience while retaining accounts with unfavorable medical cost experience, our business and results of operations may be materially adversely affected. The Company projects that its December 31, 2002 health membership will be approximately 13.7 million members.
Expense Initiatives. In light of significant membership declines in 2002, the Company will need to continue to reduce operating expenses. The Company continues to implement initiatives designed to improve the efficiency of its operations, while at the same time attempting to improve customer service and comply with important new privacy and other regulations. The Company recorded severance and facilities charges of $18 million after tax in the second quarter of 2002 and $125 million after tax in the fourth quarter of 2001 relating to actions to reduce its workforce and vacate certain leased facilities. The charge in the second quarter of 2002 includes the elimination of approximately 600 positions and is expected to be completed by June 30, 2003. The charge in the fourth quarter of 2001 was part of a plan to reduce the Companys workforce by approximately 6,000 positions from September 30, 2001 levels by the end of 2002. The reduction of approximately 1,600 of these positions is expected to be achieved through attrition and approximately 4,400 positions will be eliminated. (Refer to Severance and Facilities Charges later for additional details.) The Company also anticipates an additional substantial severance and facilities charge in the third quarter of 2002. The Company is also continuing to implement other cost-savings initiatives in 2002. As a result, the Company projects that its overall selling, general and administrative expenses for the health business will decline in 2002 as compared to 2001 levels. The Company believes this decline will occur despite pension costs that are projected to be higher in 2002. This projected increase in pension costs results primarily from the decline in the fair value of pension plan assets as a result of the decline in equity markets. Continued or sustained declines in equity markets and the resulting impact on the fair value of pension plan assets could cause the Company's future pension costs to increase. The Company also expects that due to the significant reduction in membership discussed above, its per member per month operating costs will increase in 2002 compared to 2001.
Page 33
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
HEALTH CARE (Continued)
The future performance of the Company in 2002 and beyond will depend in large part on the Companys ability to design and implement its strategic and operational initiatives. If these initiatives do not achieve their objectives, or result in unanticipated increases in medical cost trends or other adverse affects, the Companys results in future periods would be materially adversely affected.
Refer to Forward-Looking Information/Risk Factors in Aetna Inc.s 2001 Annual Report on Form 10-K for information regarding other important factors that are expected to affect the Companys 2002 financial performance.
GROUP INSURANCE
Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||||||||||||
(Millions) | 2002 | 2001 | % Change | 2002 | 2001 | % Change | ||||||||||||||||||||
Premiums: |
||||||||||||||||||||||||||
Life |
$ | 271.3 | $ | 258.6 | 5.0 | % | $ | 537.1 | $ | 522.2 | 2.9 | % | ||||||||||||||
Disability |
73.3 | 70.0 | 4.7 | 155.2 | 135.6 | 14.5 | ||||||||||||||||||||
Long-term care |
16.2 | 14.9 | 8.7 | 31.1 | 29.1 | 6.9 | ||||||||||||||||||||
Total premiums |
360.8 | 343.5 | 5.0 | 723.4 | 686.9 | 5.3 | ||||||||||||||||||||
Administrative services contract
fees |
8.2 | 8.2 | | 16.6 | 16.7 | (.6 | ) | |||||||||||||||||||
Net investment income |
68.9 | 69.7 | (1.1 | ) | 135.0 | 156.3 | (13.6 | ) | ||||||||||||||||||
Other income |
.9 | 1.0 | (10.0 | ) | 1.9 | 2.0 | (5.0 | ) | ||||||||||||||||||
Net realized capital gains
(losses) |
(2.3 | ) | (7.9 | ) | 70.9 | .4 | 4.5 | (91.1 | ) | |||||||||||||||||
Total revenue |
436.5 | 414.5 | 5.3 | 877.3 | 866.4 | 1.3 | ||||||||||||||||||||
Current and future benefits |
340.6 | 320.5 | 6.3 | 684.1 | 649.8 | 5.3 | ||||||||||||||||||||
Salaries and related benefits |
19.5 | 21.3 | (8.5 | ) | 39.8 | 44.1 | (9.8 | ) | ||||||||||||||||||
Other operating expenses |
25.3 | 24.0 | 5.4 | 51.1 | 43.5 | 17.5 | ||||||||||||||||||||
Total benefits and expenses |
385.4 | 365.8 | 5.4 | 775.0 | 737.4 | 5.1 | ||||||||||||||||||||
Income before income taxes |
51.1 | 48.7 | 4.9 | 102.3 | 129.0 | (20.7 | ) | |||||||||||||||||||
Income taxes |
16.3 | 16.4 | (.6 | ) | 32.8 | 43.3 | (24.2 | ) | ||||||||||||||||||
Net income |
$ | 34.8 | $ | 32.3 | 7.7 | % | $ | 69.5 | $ | 85.7 | (18.9 | )% | ||||||||||||||
Net realized capital gains
(losses), net of tax (included above) |
$ | (1.5 | ) | $ | (5.3 | ) | 71.7 | % | $ | .2 | $ | 2.9 | (93.1 | )% | ||||||||||||
Results
Net income for Group Insurance for the three months ended June 30, 2002 increased $3 million and for the six months ended June 30, 2002 decreased $16 million, compared to the corresponding periods in 2001. Excluding net realized capital gains or losses, operating earnings for the three and six months ended June 30, 2002 decreased $1 million and $14 million, respectively, compared to the corresponding periods in 2001. The decrease in operating earnings for the three months ended June 30, 2002 is due primarily to a higher benefit cost ratio (current and future benefits divided by premiums) in the second quarter of 2002, compared to the corresponding period in 2001. The benefit cost ratio increased due to increases in current and future benefits outpacing the increases in premiums. The decrease for the six months ended June 30, 2002 is due primarily to lower net investment income resulting from mortgage loan prepayments in the first quarter of 2001, which did not occur in the first six months of 2002, as well as lower yields on debt securities and certain other short-term investment securities during the first quarter of 2002. The decrease in results for the six months ended June 30, 2002 also reflects an increase in other operating expenses for the six months ended June 30, 2002 due primarily to increased claim related expenditures, partially offset by a decrease in salaries and related benefits due primarily to less sales compensation expense. The benefit cost ratios were 94.4% and 94.6% for the three and six months ended June 30, 2002, respectively, compared to 93.3% and 94.6% for the corresponding periods in 2001.
Page 34
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
GROUP INSURANCE (Continued)
Net realized capital losses for the three months ended June 30, 2002 primarily reflect losses due to the write-down of certain investments in debt and equity securities and losses on futures contracts. (Refer to Total Investments Capital Gains and Losses for further discussion on investment write-downs.) These losses were partially offset by capital gains from debt securities resulting from the Companys rebalancing of its investment portfolio in a low interest rate environment. Net realized capital gains for the six months ended June 30, 2002 primarily reflect gains resulting from the Companys rebalancing of its investment portfolio in a low interest rate environment. These gains were partially offset by capital losses primarily due to the write-down of certain investments in debt and equity securities and losses on futures contracts.
To provide a comparison that management believes is more reflective of Group Insurances performance, the operating earnings discussion, including the information presented in the table that follows, excludes net realized capital gains.
Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||||
(Millions) | 2002 | 2001 | 2002 | 2001 | |||||||||||||
Operating earnings: |
|||||||||||||||||
Life products |
$ | 29.0 | $ | 29.1 | $ | 53.5 | $ | 61.2 | |||||||||
Disability and Long-term care products |
7.3 | 8.5 | 15.8 | 21.6 | |||||||||||||
Total Group Insurance |
$ | 36.3 | $ | 37.6 | $ | 69.3 | $ | 82.8 | |||||||||
Life Products
Life products include Basic Term Group Life Insurance, Group Universal Life, Supplemental or Voluntary programs and Accidental Death and Dismemberment coverage. Operating earnings for Life products for the second quarter of 2002 were relatively level with the corresponding period in 2001 and decreased for the six months ended June 30, 2002, compared to the corresponding period in 2001. The decrease in operating earnings for the six months ended June 30, 2002 is primarily due to lower net investment income.
Disability and Long-term care Products
Disability and Long-term care products consist primarily of short-term and long-term disability insurance (and products which combine both), as well as long-term care products, which provide benefits offered to cover the cost of care in private home settings, adult day care, assisted living or nursing facilities. Operating earnings decreased for the three and six months ended June 30, 2002, compared to the corresponding periods in 2001. The decrease for the three months ended June 30, 2002 is due primarily to a higher combined benefit cost ratio for Disability and Long-term care products resulting from unfavorable Disability claim experience. For the six months ended June 30, 2002, the decrease is primarily due to lower net investment income, as discussed previously, and to a lesser extent, an increase in operating expenses, partially offset by a decline in the combined benefit cost ratio for Disability and Long-term care products resulting from favorable claim experience.
Page 35
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
GROUP INSURANCE (Continued)
Membership
Group Insurances membership was as follows:
(Thousands) | June 30, 2002 | June 30, 2001 | ||||||
Life products |
9,577 | 9,339 | ||||||
Disability products |
2,289 | 2,231 | ||||||
Long-term care products |
177 | 127 | ||||||
Total |
12,043 | 11,697 | ||||||
Total Group Insurance membership as of June 30, 2002 increased by 346,000 members when compared to June 30, 2001. This increase reflects the addition of approximately 2.0 million members, partially offset by lapses of approximately 1.6 million members for the twelve months ended June 30, 2002.
Outlook
The Company projects membership for Group Insurance to be slightly higher at December 31, 2002 than December 31, 2001. Refer to Group Insurance-Outlook and Forward-Looking Information/Risk Factors in Aetna Inc.s 2001 Annual Report on Form 10-K for additional information regarding important factors that are expected to affect the Companys 2002 financial performance.
LARGE CASE PENSIONS
Operating Summary
Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||||||||||||||
(Millions) | 2002 | 2001 | % Change | 2002 | 2001 | % Change | |||||||||||||||||||||
Premiums |
$ | 50.7 | $ | 250.0 | (79.7 | )% | $ | 110.0 | $ | 341.3 | (67.8 | )% | |||||||||||||||
Net investment income |
174.9 | 192.2 | (9.0 | ) | 350.4 | 408.6 | (14.2 | ) | |||||||||||||||||||
Other income |
4.8 | 3.6 | 33.3 | 9.5 | 10.6 | (10.4 | ) | ||||||||||||||||||||
Net realized capital gains (losses) |
3.6 | | | 2.2 | (1.2 | ) | | ||||||||||||||||||||
Total revenue |
234.0 | 445.8 | (47.5 | ) | 472.1 | 759.3 | (37.8 | ) | |||||||||||||||||||
Current and future benefits |
214.4 | 423.9 | (49.4 | ) | 438.5 | 715.9 | (38.7 | ) | |||||||||||||||||||
Salaries and related benefits |
4.0 | 4.1 | (2.4 | ) | 7.8 | 8.7 | (10.3 | ) | |||||||||||||||||||
Other operating expenses |
1.4 | 1.8 | (22.2 | ) | 2.7 | 3.6 | (25.0 | ) | |||||||||||||||||||
Reduction of reserve for anticipated future
losses on discontinued products |
(8.3 | ) | (94.5 | ) | 91.2 | (8.3 | ) | (94.5 | ) | 91.2 | |||||||||||||||||
Total benefits and expenses |
211.5 | 335.3 | (36.9 | ) | 440.7 | 633.7 | (30.5 | ) | |||||||||||||||||||
Income before income taxes |
22.5 | 110.5 | (79.6 | ) | 31.4 | 125.6 | (75.0 | ) | |||||||||||||||||||
Income taxes |
7.9 | 39.0 | (79.7 | ) | 11.4 | 44.3 | (74.3 | ) | |||||||||||||||||||
Net income |
$ | 14.6 | $ | 71.5 | (79.6 | )% | $ | 20.0 | $ | 81.3 | (75.4 | )% | |||||||||||||||
Net realized capital gains (losses), net of
tax (included above) |
$ | 2.3 | $ | | | % | $ | 1.4 | $ | (.8 | ) | | % | ||||||||||||||
Assets under management:(1) |
|||||||||||||||||||||||||||
Fully guaranteed discontinued products |
$ | 5,032.8 | $ | 5,424.7 | (7.2 | )% | |||||||||||||||||||||
Experience-rated |
6,141.7 | 6,397.2 | (4.0 | ) | |||||||||||||||||||||||
Nonguaranteed |
7,796.5 | 10,308.8 | (24.4 | ) | |||||||||||||||||||||||
Total assets under management |
$ | 18,971.0 | $ | 22,130.7 | (14.3 | )% | |||||||||||||||||||||
(1) | Excludes net unrealized capital gains of $139.5 million at June 30, 2002 and $110.0 million at June 30, 2001. |
Page 36
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
LARGE CASE PENSIONS (Continued)
Results
Large Case Pensions net income for the three months ended June 30, 2002 decreased $57 million compared with the corresponding period in 2001. Results include a reduction of the reserve for anticipated future losses on discontinued products for Large Case Pensions of $5 million for the three months ended June 30, 2002 primarily due to favorable mortality and retirement experience and certain reductions in administrative expenses, partially offset by lower portfolio returns. Results for the three months ended June 30, 2001 include a reduction of the reserve for anticipated future losses on discontinued products of $61 million primarily as a result of favorable investment performance as well as favorable mortality and retirement experience. Excluding the discontinued products reserve releases and net realized capital gains, results for the three months ended June 30, 2002 decreased $3 million compared to the corresponding period in 2001. Net income for the six months ended June 30, 2002 decreased $61 million compared with the corresponding period in 2001. Excluding the discontinued products reserve releases and net realized capital gains or losses, results for the six months ended June 30, 2002 decreased $8 million compared to the corresponding period in 2001.
The decrease in results for the three and six months ended June 30, 2002, compared to the corresponding periods in 2001, is primarily due to lower net investment income resulting from the continued decline in underlying liabilities and related assets supporting this business. Premiums, along with current and future benefits, decreased during the three and six months ended June 30, 2002, compared to the corresponding periods in 2001, due to transactions in 2001 that included the funding of an early retirement program by an existing customer and a transfer of cash from separate accounts to the general account to purchase annuities for another large customer.
General account assets supporting experience-rated products (where the contractholder, not the Company, assumes investment and other risks subject to, among other things, certain minimum guarantees) may be subject to participant or contractholder withdrawal. Experience-rated contractholder and participant withdrawals were as follows:
Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||
(Millions) | 2002 | 2001 | 2002 | 2001 | ||||||||||||
Scheduled contract maturities and
benefit payments (1) |
$ | 183.6 | $ | 235.8 | $ | 361.1 | $ | 508.2 | ||||||||
Contractholder withdrawals other than
scheduled contract maturities and
benefit payments |
17.5 | 29.4 | 73.8 | 102.5 | ||||||||||||
Participant-directed withdrawals |
7.0 | 5.7 | 12.0 | 11.0 | ||||||||||||
(1) | Includes payments made upon contract maturity and other amounts distributed in accordance with contract schedules. |
Outlook
Refer to Large Case Pensions-Outlook and Forward-Looking Information/Risk Factors in Aetna Inc.s 2001 Annual Report on Form 10-K for information regarding important factors that are expected to affect the Companys 2002 financial performance.
Discontinued Products
The Company discontinued the sale of its fully guaranteed large case pension products (single-premium annuities (SPAs) and guaranteed investment contracts (GICs)) in 1993. The Company established a reserve for anticipated future losses on these products based on the present value of the difference between the expected cash flows from the assets supporting these products and the cash flows expected to be required to meet the product obligations.
Page 37
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
LARGE CASE PENSIONS (Continued)
Results of operations of discontinued products, including net realized capital gains or losses, are credited or charged to the reserve for anticipated losses. The Companys results of operations would be adversely affected to the extent that future losses on the products are greater than anticipated and positively affected to the extent future losses are less than anticipated.
The factors contributing to changes in the reserve for anticipated future losses are: operating income or loss, realized capital gains or losses and mortality gains or losses. Operating income or loss is equal to revenue less expenses. Realized capital gains or losses reflect the excess (deficit) of sales price over (below) the carrying value of assets sold. Mortality gains or losses reflect the mortality and retirement experience related to SPAs. A mortality gain (loss) occurs when an annuitant or a beneficiary dies sooner (later) than expected. A retirement gain will occur on some contracts if an annuitant retires later than expected (a loss if an annuitant retires earlier than expected).
The results of discontinued products were as follows:
Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||
(Millions) | 2002 | 2001 | 2002 | 2001 | ||||||||||||
Interest margin (deficit) (1) |
$ | 1.4 | $ | (4.7 | ) | $ | 1.7 | $ | 1.5 | |||||||
Net realized capital gains (losses) |
1.4 | 12.1 | (17.8 | ) | 18.4 | |||||||||||
Interest earned on receivable from continuing
products |
4.4 | 4.7 | 8.7 | 9.3 | ||||||||||||
Other, net |
(2.0 | ) | 3.3 | 4.1 | 7.9 | |||||||||||
Results of discontinued products, after tax |
$ | 5.2 | $ | 15.4 | $ | (3.3 | ) | $ | 37.1 | |||||||
Results of discontinued products, pretax |
$ | 7.8 | $ | 23.0 | $ | (5.5 | ) | $ | 55.0 | |||||||
Net realized capital gains (losses) from bonds,
after tax (included above) |
$ | (1.4 | ) | $ | 10.1 | $ | (17.5 | ) | $ | 19.4 | ||||||
(1) | The interest margin (deficit) is the difference between earnings on invested assets and interest credited to contractholders. |
The interest margin for the three months ended June 30, 2002 increased compared to the corresponding period of 2001, primarily due to higher investment income. The net realized capital loss for the six months ended June 30, 2002 is due primarily to sales and the write-down of certain debt securities partially offset by capital gains reflecting the Companys rebalancing of its investment portfolio in a declining interest rate environment.
At the time of discontinuance, a receivable from Large Case Pensions continuing products equivalent to the net present value of the anticipated cash flow shortfalls was established for the discontinued products. Interest on the receivable is accrued at the discount rate that was used to calculate the reserve. Total assets supporting discontinued products and the reserve include a receivable from continuing products of $348 million at June 30, 2002 and $345 million at December 31, 2001, net of related deferred taxes payable.
The reserve for anticipated future losses on discontinued products represents the present value (at the risk-free rate of return at the time of discontinuance, consistent with the duration of the liabilities) of the difference between the expected cash flows from the assets supporting discontinued products and the cash flows expected to be required to meet the obligations of the outstanding contracts. Calculation of the reserve for anticipated future losses requires projection of both the amount and the timing of cash flows over approximately the next 30 years, including consideration of, among other things, future investment results, participant withdrawal and mortality rates, as well as the cost of asset management and customer service. Since 1993, there have been no significant changes to the assumptions underlying the calculation of the reserve related to the projection of the amount and timing of cash flows.
Page 38
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
LARGE CASE PENSIONS (Continued)
The projection of future investment results considers assumptions for interest rates, bond discount rates and performance of mortgage loans and real estate. Mortgage loan assumptions represent managements best estimate of current and future levels of rent growth, vacancy and expenses based upon market conditions at each reporting date. The performance of real estate assets has been consistently estimated using the most recent forecasts available. Since 1997, a bond default assumption has been included to reflect historical default experience, since the bond portfolio increased as a percentage of the overall investment portfolio and reflected more bond credit risk, concurrent with the decline in the commercial mortgage loan and real estate portfolios.
The previous years actual participant withdrawal experience is used for the current-year assumption. Prior to 1995, the Company used the 1983 Group Annuitant Mortality table published by the Society of Actuaries (the Society). In 1995, the Society published the 1994 Uninsured Pensioners Mortality table, which has been used since then.
The Companys assumptions about the cost of asset management and customer service reflect actual investment and general expenses allocated over invested assets. Since inception, the expense assumption has increased as the level of fixed expenses has not declined as rapidly as the liabilities have run off.
The activity in the reserve for anticipated future losses on discontinued products for the six months ended June 30, 2002 was as follows (pretax):
(Millions) | ||||
Reserve at December 31, 2001 |
$ | 944.9 | ||
Operating income |
16.3 | |||
Net realized capital gains
(losses) |
(27.6 | ) | ||
Mortality and other |
5.8 | |||
Reserve reduction |
(8.3 | ) | ||
Reserve at June 30, 2002 |
$ | 931.1 | ||
Management reviews the adequacy of the discontinued products reserve quarterly and, as a result, $5 million ($8 million pretax) of the reserve was released in the second quarter of 2002 primarily due to favorable mortality and retirement experience and certain reductions in administrative expenses, partially offset by lower portfolio returns. The current reserve reflects managements best estimate of anticipated future losses.
The discontinued products investment portfolio is as follows:
(Millions) |
June 30, 2002 |
December 31, 2001 |
||||||||||||||
Class | Amount | Percent | Amount | Percent | ||||||||||||
Debt securities available for sale |
$ | 3,417.6 | 66.7 | % | $ | 3,573.8 | 66.8 | % | ||||||||
Loaned securities |
84.7 | 1.7 | 131.9 | 2.5 | ||||||||||||
Total debt securities |
3,502.3 | 68.4 | 3,705.7 | 69.3 | ||||||||||||
Mortgage loans |
786.5 | 15.4 | 822.1 | 15.4 | ||||||||||||
Investment real estate |
119.7 | 2.3 | 130.4 | 2.4 | ||||||||||||
Equity securities |
119.7 | 2.3 | 211.0 | 3.9 | ||||||||||||
Other (1) |
592.7 | 11.6 | 481.4 | 9.0 | ||||||||||||
Total |
$ | 5,120.9 | 100.0 | % | $ | 5,350.6 | 100.0 | % | ||||||||
(1) | Amount includes restricted debt securities on deposit as required by regulatory authorities of $58.6 million at June 30, 2002 and $55.7 million at December 31, 2001, included in long-term investments on the Consolidated Balance Sheets. |
Page 39
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
LARGE CASE PENSIONS (Continued)
Distributions on discontinued products were as follows:
Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||
(Millions) | 2002 | 2001 | 2002 | 2001 | ||||||||||||
Scheduled contract maturities,
settlements and benefit
payments |
$ | 176.9 | $ | 293.7 | $ | 370.6 | $ | 474.5 | ||||||||
Participant-directed
withdrawals |
1.0 | 1.8 | 2.0 | 3.7 | ||||||||||||
Cash required to fund these distributions was provided by earnings and scheduled payments on, and sales of, invested assets.
CORPORATE INTEREST
Corporate interest expense represents interest incurred on the Companys short-term and long-term debt and is not recorded in the Companys business segments. After-tax interest expense was $20 million and $39 million for the three and six months ended June 30, 2002, respectively, and $22 million and $42 million for the corresponding periods in the prior year. The decrease in interest expense is primarily a result of lower interest rates during the six months ended June 30, 2002, compared to the corresponding period in 2001, and a benefit from the Companys interest rate swap agreement entered into in December 2001.
Outlook
The Company expects interest expense to be between $85 and $90 million after tax for 2002. Refer to Corporate Interest-Outlook and Forward-Looking Information/Risk Factors in Aetna Inc.s 2001 Annual Report on Form 10-K for additional information regarding important factors that are expected to affect the Companys 2002 financial performance.
SEVERANCE AND FACILITIES CHARGES
The Company anticipates an additional substantial severance and facilities charge in the third quarter of 2002.
Second Quarter 2002 Severance Charge
In the second quarter 2002, the Company recorded a severance charge of $27 million pretax ($18 million after tax) relating to the implementation of ongoing initiatives that are intended to improve the Companys overall future performance. The initiatives include further reductions to operating expenses and the continued reorganization and realignment of Health Care operations. This charge included the planned elimination of approximately 600 employee positions (primarily regional field management, information technology and medical service functions) and is expected to be completed by June 30, 2003.
As a result of these actions, the Company eliminated 426 positions from April 1, 2002 through June 30, 2002 resulting in a reduction of the severance reserve of approximately $19 million pretax. Refer to Note 7 of Condensed Notes to Consolidated Financial Statements for more details.
As a result of these actions, the Company expects to make severance payments for employee positions eliminated prior to June 30, 2003 of approximately $13 million after tax in 2002 and approximately $5 million after tax in 2003 through completion.
As a result of these actions, the Company expects to reduce salary and related benefit costs by approximately $14 million after tax in 2002 and approximately $26 million after tax in 2003 and annually thereafter.
Page 40
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
SEVERANCE AND FACILITIES CHARGES (Continued)
As a result of these actions, the Company expects an after tax increase in future cash flows from operating activities of approximately $1 million in 2002, approximately $21 million in 2003 and approximately $26 million annually thereafter.
2001 Severance and Facilities Charge
In the fourth quarter of 2001, the Company recorded a severance and facilities charge of $193 million pretax ($125 million after tax) relating to the implementation of initiatives that are intended to improve the Companys overall future performance. The initiatives include seeking to reduce 2002 expenses, reorganization and realignment of Health Care operations to better align our business resources with our customer market-focused approach, business process improvements, product market withdrawals, continued migration off the Prudential Health Care systems and vacating certain facilities (primarily customer service-related locations). This charge included $85 million after tax for severance activities relating to the planned elimination of approximately 4,400 employee positions (primarily customer service and regional field management functions) and $40 million after tax representing the present value of the difference between rent required to be paid by the Company and future sublease rentals expected to be received by the Company relating to certain leased facilities, or portions of such facilities, that will be vacated. Severance actions and the vacating of leased facilities are expected to be completed by December 31, 2002.
The Company eliminated 2,207 positions and vacated certain leased facilities in the first six months of 2002, resulting in a reduction of the severance and facilities reserve of approximately $89 million pretax. Refer to Note 7 of Condensed Notes to Consolidated Financial Statements for more details.
TOTAL INVESTMENTS
Investments disclosed in this section relate to the Companys total portfolio (including assets supporting discontinued products and experience-rated products).
Total investments were as follows:
(Millions) | June 30, 2002 | December 31, 2001 | ||||||
Debt securities available for sale |
$ | 13,094.5 | $ | 13,446.0 | ||||
Loaned securities |
697.6 | 608.1 | ||||||
Total debt securities |
13,792.1 | 14,054.1 | ||||||
Mortgage loans |
1,968.1 | 2,045.0 | ||||||
Equity securities |
143.1 | 242.1 | ||||||
Other investment securities |
469.4 | 689.2 | ||||||
Investment real estate |
332.2 | 359.7 | ||||||
Other (1) |
1,788.1 | 1,472.9 | ||||||
Total investments |
$ | 18,493.0 | $ | 18,863.0 | ||||
(1) | Amount includes restricted debt securities on deposit as required by regulatory authorities of $704.5 million at June 30, 2002 and $691.6 million at December 31, 2001 included in long-term investments on the Consolidated Balance Sheets. |
Page 41
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
TOTAL INVESTMENTS (Continued)
Debt Securities
Debt securities represented 75% at June 30, 2002 and December 31, 2001 of the Companys total general account invested assets and supported the following types of products:
(Millions) | June 30, 2002 | December 31, 2001 | ||||||
Supporting discontinued products |
$ | 3,502.3 | $ | 3,705.7 | ||||
Supporting experience-rated products |
2,152.1 | 2,167.4 | ||||||
Supporting remaining products |
8,137.7 | 8,181.0 | ||||||
Total debt securities (1) |
$ | 13,792.1 | $ | 14,054.1 | ||||
(1) | Total debt securities include Below Investment Grade Securities of $739 million at June 30, 2002 and $965 million at December 31, 2001, of which 24% at June 30, 2002 and 23% at December 31, 2001 supported discontinued and experience-rated products. |
Debt securities reflect net unrealized capital gains of $241 million at June 30, 2002 and $266 million at December 31, 2001. Of the net unrealized capital gains at June 30, 2002, $89 million relate to assets supporting discontinued products and $48 million relate to experience-rated products.
Mortgage Loans
The Companys mortgage loan investments, net of impairment reserves, supported the following types of products:
(Millions) | June 30, 2002 | December 31, 2001 | ||||||
Supporting discontinued products |
$ | 786.5 | $ | 822.1 | ||||
Supporting experience-rated
products |
519.4 | 563.1 | ||||||
Supporting remaining products |
662.2 | 659.8 | ||||||
Total mortgage loans |
$ | 1,968.1 | $ | 2,045.0 | ||||
During the first six months of 2002, the Company managed its mortgage loan portfolio to maintain the balance, relative to invested assets, by selectively pursuing refinance and new loan opportunities. The mortgage loan portfolio balance represented 11% of the Companys total invested assets at June 30, 2002 and December 31, 2001.
Problem, restructured and potential problem loans included in mortgage loans were $78 million at June 30, 2002 and $174 million at December 31, 2001, of which 82% at June 30, 2002 and 92% at December 31, 2001 supported discontinued and experience-rated products. Specific impairment reserves on these loans were $11 million at June 30, 2002 and $26 million at December 31, 2001. Refer to Note 5 of Condensed Notes to Consolidated Financial Statements for additional information.
Capital Gains and Losses
For the three and six months ended June 30, 2002, net realized capital gains were $45 million ($29 million after tax) and $51 million ($32 million after tax), respectively, and include net investment write-downs, consistent with the Companys policy for determining whether other than temporary impairments exist in its debt and equity securities portfolio, of $11 million ($7 million after tax) and $32 million ($21 million after tax), respectively. These asset write-downs were primarily realized on investments in the telecommunications industry. For the three and six months ended June 30, 2001, net realized capital gains were $62 million ($40 million after tax) and $97 million ($62 million after tax), respectively, and include net investment recoveries of $1 million ($1 million after tax) and net investment write-downs of $17 million ($11 million after tax), respectively. These asset write-downs were primarily realized on investments in the telecommunications industry.
Page 42
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
TOTAL INVESTMENTS (Continued)
At June 30, 2002 and December 31, 2001, the Companys investment portfolio, excluding investments supporting liabilities related to experience-rated contractholders and discontinued products, included approximately $136 million and $118 million, respectively, of gross pretax unrealized losses as well as approximately $254 million and $207 million, respectively, of gross pretax unrealized gains primarily on corporate debt securities.
Risk Management and Market-Sensitive Instruments
The Company manages interest rate risk by seeking to maintain a tight duration band where appropriate, while credit risk is managed by seeking to maintain high average quality ratings and diversified sector exposure within the debt securities portfolio. In connection with its investment and risk management objectives, the Company also uses financial instruments whose market value is at least partially determined by, among other things, levels of or changes in interest rates (short-term or long-term), duration, prepayment rates, equity markets or credit ratings/spreads. The Companys use of derivatives is generally limited to hedging purposes and has principally consisted of using interest rate swap agreements, forward contracts and futures contracts. These instruments, viewed separately, subject the Company to varying degrees of interest rate, equity price and credit risk. However, when used for hedging, the expectation is that these instruments would reduce overall risk.
The Company regularly evaluates the risk of market-sensitive instruments by examining, among other things, levels of or changes in interest rates (short-term or long-term), duration, prepayment rates, equity markets or credit ratings/spreads. The Company also regularly evaluates the appropriateness of investments relative to its management-approved investment guidelines (and operates within those guidelines) and the business objective of the portfolios.
The risks associated with investments supporting experience-rated pension and annuity products in the Large Case Pensions business are assumed by those contractholders and not by the Company (subject to, among other things, certain minimum guarantees). Anticipated future losses associated with investments supporting discontinued fully guaranteed large case pension products are provided for in the reserve for anticipated future losses (refer to Large Case Pensions Discontinued Products).
Management also reviews, on a quarterly basis, the impact of hypothetical net losses in the Companys consolidated near-term financial position, results of operations and cash flows assuming certain reasonably possible changes in market rates and prices were to occur. Based on the Companys overall exposure to interest rate risk and equity price risk, the Company believes that these changes in market rates and prices would not materially affect the consolidated near-term financial position, results of operations or cash flows of the Company as of June 30, 2002. Refer to Aetna Inc.s 2001 Annual Report on Form 10-K for a more complete discussion of Risk Management and Market-Sensitive Instruments.
LIQUIDITY AND CAPITAL RESOURCES
Cash Flows
Generally, the Company meets its operating requirements by maintaining appropriate levels of liquidity in its investment portfolio and using overall cash flows from premiums, deposits and income received on investments. The Company monitors the duration of its debt securities portfolio (which is highly marketable) and mortgage loans, and executes its purchases and sales of these investments with the objective of having adequate funds available to satisfy the Companys maturing liabilities. Overall cash flows are used primarily for claim and benefit payments, contract withdrawals and operating expenses.
Page 43
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
LIQUIDITY AND CAPITAL RESOURCES (Continued)
Cash flows used (outflow) for operating activities were approximately $222 million for the six months ended June 30, 2002. Excluding the impact of changes in insurance reserves related to the Large Case Pensions business segment, which are included in operating activities but are funded from sales of investments, cash flows used (outflow) for operating activities were approximately $45 million. Uses of operating cash reflect the payment of approximately $660 million from estimated reserves the Company held for members which lapsed during the first and second quarters of 2002. This was partially offset by the collection of an estimated $130 million of premiums receivable for these lapsed members. Cash flows used (outflow) for operating activities also reflect approximately $85 million for payments related to actions taken against severance and facilities reserves. Refer to the Consolidated Statements of Cash Flows for additional information.
Dividends
The Company intends to pay an annual dividend of $.04 per common share, payable in the fourth quarter of each year. The Board of Directors (the Board) will review the Companys common stock dividend annually. Among the factors to be considered by the Board in determining the amount of each dividend are the Companys results of operations and the capital requirements, growth and other characteristics of its businesses.
Financings, Financing Capacity and Capitalization
At June 30, 2002, the Companys borrowings were $1.6 billion, consisting entirely of senior notes due in 2006, 2011 and 2041. The Company uses short-term borrowings from time to time to address timing differences between cash receipts and disbursements. The Companys short-term borrowings consist of a commercial paper program that relies on backup revolving credit facilities, which together provide for an aggregate borrowing capacity of $800 million. The maximum amount of short-term borrowings outstanding during the first six months of 2002 was $145 million. The Companys total debt to capital ratio (total debt divided by total debt and shareholders equity, adjusted for unrealized gains or losses on available-for-sale investment securities) was 18.1% at June 30, 2002. Refer to Note 9 of Condensed Notes to Consolidated Financial Statements for additional information.
On February 13, 2002, Moodys Investors Service downgraded the Companys senior debt rating from Baa2 to Baa3, the Companys commercial paper rating from P2 to P3 and Aetna Life Insurance Companys claims paying/financial strength rating from A2 to A3. This downgrade is not expected to materially affect either the Companys ability to borrow or the cost of borrowing. The Companys ability to borrow under its commercial paper program, as well as the cost of such borrowings, could be adversely affected if its ratings were downgraded further. However, a ratings downgrade would not affect the Companys ability to borrow under its revolving credit facilities as an alternative. Refer to Other Information Ratings later for more information on ratings for the Company and Aetna Life Insurance Company.
Common Stock Transactions
In December 2000, the Companys Board of Directors (the Board) had authorized the repurchase of up to 5 million shares of common stock (not to exceed an aggregate purchase price of $200 million). The Company repurchased 2.6 million shares of common stock at a cost of approximately $96 million during the first quarter of 2001 pursuant to this authorization, and then suspended repurchases until April 2002. In April 2002, the Company re-initiated share repurchases pursuant to this authorization, and during the second quarter of 2002, the Company repurchased approximately 2.1 million shares of common stock at a cost of approximately $104 million, completing this share repurchase program. Also, during the six months ended June 30, 2002, the Company issued approximately 8.2 million shares of common stock for benefit plans, including approximately 7.8 million shares related to stock option exercises. Refer to Note 10 of Condensed Notes to Consolidated Financial Statements for further discussion related to the Companys stock option grant to eligible employees and the shareholder approved Employee Stock Purchase Plan.
Page 44
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
LIQUIDITY AND CAPITAL RESOURCES (Continued)
On June 28, 2002, the Board authorized a new share repurchase program for the repurchase of up to 5 million shares of common stock (not to exceed an aggregate purchase price of $250 million).
For the first six months of 2002, the Company had weighted average common shares, including common share equivalents, of approximately 151.3 million (refer to Note 3 of Condensed Notes to Consolidated Financial Statements). The Company projects weighted average common shares, including common share equivalents, to be approximately 155.0 million for the full year 2002.
Financing Obligations
The Companys financing obligations generally include debt, lease payment obligations and commitments to fund certain of its investments in equity limited partnership investments and commercial mortgage loans. At June 30, 2002, required payments by the Company, through 2006, relating to these financing obligations are as follows:
Six Months Ended | Years
Ended December 31, |
|||||||||||||||||||
(Millions) | December 31, 2002 | 2003 | 2004 | 2005 | 2006 | |||||||||||||||
Long-term debt (1) |
$ | 64.0 | $ | 128.1 | $ | 128.1 | $ | 128.1 | $ | 550.4 | ||||||||||
Noncancelable leases (2) |
112.5 | 163.4 | 132.5 | 106.9 | 87.7 | |||||||||||||||
Funding requirements for equity limited partnership investments |
45.6 | 52.8 | 52.7 | 23.5 | 20.0 | |||||||||||||||
Funding requirements for commercial mortgage loans |
85.7 | | | | | |||||||||||||||
Total |
$ | 307.8 | $ | 344.3 | $ | 313.3 | $ | 258.5 | $ | 658.1 | ||||||||||
(1) | The interest payments for each of the periods presented does not consider the Companys interest rate swap agreement. | |
(2) | Noncancelable lease payments include approximately $7 million for the remainder of 2002 relating to operating lease payments between the Company and an independent third party grantor trust, primarily for furniture and aircraft. Such lease payments total $14 million for 2002 declining to an annual amount of approximately $10 million in 2006. |
The Company also uses derivative instruments, generally limited to hedging purposes, principally consisting of interest rate swap agreements, forward contracts and futures contracts. These derivative instruments are not expected to materially affect the near-term financial position or cash flows of the Company. Refer to Total Investments Risk Management and Market-Sensitive Investments for more information.
Other than as noted above, the Company does not have any material off-balance sheet arrangements, trading activities involving non-exchange traded contracts accounted for at fair value or relationships with persons or entities that derive benefits from a non-independent relationship with the Company or the Companys related parties.
CRITICAL ACCOUNTING POLICIES
Refer to Critical Accounting Policies in Aetna Inc.s 2001 Annual Report on Form 10-K for information on accounting policies that the Company considers critical in preparing its Consolidated Financial Statements. These policies include significant estimates made by management using information available at the time the estimates are made. However, these estimates could change materially if different information or assumptions were used.
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Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
GOODWILL AND OTHER ACQUIRED INTANGIBLE ASSETS
As of January 1, 2002, the Company adopted FAS No. 142. This Standard eliminates goodwill amortization from the Consolidated Statement of Income and requires an evaluation of goodwill for impairment upon adoption of this Standard, as well as subsequent evaluations on an annual basis, and more frequently if circumstances indicate a possible impairment. For these evaluations, the Company is using an implied fair value approach, which uses a discounted cash flow analysis and other valuation methodologies. These evaluations use many assumptions and estimates in determining an impairment loss, including certain assumptions and estimates related to future earnings to be derived from the Companys turnaround initiatives (for more information on the Companys turnaround initiatives, refer to MD&A Overview Turnaround Initiatives included in Aetna Inc.s 2001 Annual Report on Form 10-K). If these turnaround initiatives do not achieve their earnings objectives, the assumptions and estimates underlying this goodwill impairment evaluation, as well as the amount of the goodwill impairment, could be adversely affected. An impairment of approximately $3 billion resulting from the initial application of this Standard has been classified as a cumulative effect adjustment for the six months ended June 30, 2002. Subsequent impairments, if any, would be classified as an operating expense.
Upon adoption of FAS No. 142, the transition provisions of FAS No. 141, Business Combinations, also became effective. These transition provisions specify criteria for determining whether an acquired intangible asset should be recognized separately from goodwill. Intangible assets that meet certain criteria will qualify for recording on the Consolidated Balance Sheet and will continue to be amortized in the Consolidated Statement of Income. Such intangible assets will be subject to a periodic impairment test based on estimated fair value. As a result, the Company reclassified its work force acquired intangible asset of $25.3 million at December 31, 2001 to goodwill. Refer to Notes 2 and 4 of Condensed Notes to Consolidated Financial Statements for more information on the Companys goodwill and other acquired intangible assets.
The Company anticipates that amortization of other acquired intangible assets will be approximately $33 million pretax for the remainder of 2002. This decrease is due to certain intangibles being fully amortized.
NEW ACCOUNTING STANDARDS
Refer to Note 2 of Condensed Notes to Consolidated Financial Statements for a discussion of recently issued accounting standards.
REGULATORY ENVIRONMENT
HEALTH CARE REGULATION
HIPAA Administrative and Privacy Regulation; Gramm-Leach-Bliley Act
HIPAA and its regulations also impose a number of additional obligations on issuers of health insurance coverage and health benefit plan sponsors. The law authorizes the United States Department of Health and Human Services, known as HHS, to issue standards for administrative simplification, as well as privacy and security of medical records and other individually identifiable patient data. HIPAA requirements apply to plan sponsors, health plans, health care providers and health care clearinghouses that transmit health information electronically. Regulations adopted to implement HIPAA also require that business associates acting for or on behalf of these HIPAA-covered entities be contractually obligated to meet HIPAA standards. HIPAA regulations establish significant criminal penalties and civil sanctions for noncompliance, and could expose us to additional liability for, among other things, violations by our business associates.
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Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
REGULATORY ENVIRONMENT (Continued)
Although HIPAA was intended ultimately to reduce administrative expenses and burdens faced within the health care industry, we believe the law will initially bring about significant and, in some cases, costly changes. We expect that we will incur additional expenses to comply with, and that our business could be adversely affected by, these regulations in future periods. Refer to Managements Discussion and Analysis of Financial Condition and Results of OperationsHealth Care in Aetna Inc.s 2001 Annual Report on Form 10-K for more information regarding these expenses.
HHS has released rules mandating the use of new standard formats with respect to certain health care transactions (e.g., health care claims information, plan eligibility, referral certification and authorization, claims status, plan enrollment and disenrollment, payment and remittance advice, plan premium payments and coordination of benefits). HHS also has published rules requiring the use of standardized code sets and unique employer identifiers. The new transaction and code set standards became effective in October 2000, and we will be required to comply with them by October 16, 2003. The new employer identifier rules became effective July 2002, and we will be required to comply with them by July 30, 2004.
HHS also has developed new standards relating to the privacy of individually identifiable health information. In general, these regulations restrict the use and disclosure of medical records and other individually identifiable health information held by health plans and other affected entities in any form, whether communicated electronically, on paper or orally, subject only to limited exceptions. In addition, the regulations provide patients with new rights to understand and control how their health information is used. These regulations do not preempt more stringent state laws and regulations that may apply to us. The privacy standards became effective on April 14, 2001, and we must comply with them by April 14, 2003. One set of regulations integral to administration and privacy under HIPAA has yet to be published. It will address security requirements to be met regarding accessibility of personal health information. In addition, as a result of concerns raised by employers, providers, health plans and others, HHS has proposed modifications to the privacy standards which would ease the administrative burdens in certain respects. HHS is expected to finalize these modifications in the third quarter of 2002, so that they will take effect for the April 14, 2003 compliance date.
In addition, provisions of the Gramm-Leach-Bliley Act generally require insurers to provide customers with notice regarding how their personal health and financial information is used and the opportunity to opt out of certain disclosures before the insurer shares non-public personal information with a non-affiliated third party. Like HIPAA, this law sets a floor standard, allowing states to adopt more stringent requirements governing privacy protection. The Gramm-Leach-Bliley Act also gives banks and other financial institutions the ability to affiliate with insurance companies, which may lead to new competitors in the insurance and health benefits fields.
LEGISLATIVE AND REGULATORY INITIATIVES
There has been a continuing trend of increased health care regulation at both the federal and state levels. The federal government or many states, or both, including states in which we have substantial health care membership, have enacted or are considering additional legislation or regulation related to health care plans. Legislation, regulation and initiatives relating to this trend include among other things, the following:
Eliminating or reducing the scope
of pre-emption by the Employee
Retirement Income Security Act of
1974 (ERISA), which would among
other things expose health plans to
expanded liability for punitive and
other extra-contractual damages |
Prohibiting financial incentives
based on utilization of services Imposing substantial penalties for
failure to pay claims within
specified time periods |
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Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
REGULATORY ENVIRONMENT (Continued)
Extending malpractice and other
liability exposure for decisions
made by health plans
Mandating coverage for certain
conditions and/or specified
procedures, drugs or devices (e.g.
infertility treatment, experimental
pharmaceuticals)
Mandating direct access to
specialists for patients with
chronic conditions, and direct
access to OB/GYNs or chiropractors
Mandating expanded consumer
disclosures and notices
Mandating expanded coverage for
emergency services
Mandating liberalized definitions
of medical necessity
Mandating liberalized internal and
external grievance and appeal
procedures (including expedited
decision making)
Mandating maternity and other
lengths of hospital inpatient stay |
Prohibiting or limiting
arrangements designed to manage
medical costs and improve quality of
care, such as capitated arrangements
with providers or provider financial
incentives
Regulating the composition of
provider networks, such as any
willing provider and pharmacy laws
(which generally provide that
providers and pharmacies cannot be
denied participation in a managed
care plan where the providers and
pharmacies are willing to abide by
the terms and conditions of that
plan.)
Imposing payment levels for
out-of-network care
Exempting physicians from the
antitrust laws that prohibit price
fixing, group boycotts and other
horizontal restraints on competition
Restricting health plan claim and
related procedures
Requiring the application of
treatment and financial parity
between mental health benefits and
medical benefits within the same
health plan
Extending benefits available to
workers who lose their jobs and
other uninsureds
Restricting or eliminating the use
of formularies for prescription
drugs
Making health plans responsible
for provider payments in the event
of financial failure by a capitated
physician group or other
intermediary |
It is uncertain whether we can recoup, through higher premiums or other measures, the increased costs of mandated benefits or other increased costs caused by potential legislation or regulation.
We also may be adversely impacted by court and regulatory decisions that expand the interpretations of existing statutes and regulations or impose medical malpractice or bad faith liability. The United States Supreme Court has a case before it addressing the preemptive effect of ERISA on state laws. Legislative initiatives discussed above include state legislative activity in several states that, should it result in enacted legislation that is not preempted by ERISA, could increase our liability exposure and could result in greater state regulation of our operations.
Page 48
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations (Continued)
REGULATORY ENVIRONMENT (Continued)
Patients Bill of Rights Legislation
Different versions of Patients Bill of Rights legislation (PBOR) passed the United States Senate and House of Representatives in 2001. Either version could expand the Companys potential exposure to lawsuits. Final legislation could expose the Company to unlimited economic damages, and certain punitive damages, for making a determination denying benefits or for delaying members receipt of benefits as a result of so-called medical necessity and other coverage determinations. Congress may convene a conference committee to attempt to resolve differences between the Senate and House Bills, including such matters as the amount of allowable lawsuit damages, whether cases would be governed by federal or state law, and whether such actions would be brought in federal or state courts. The Company cannot predict whether a PBOR will be enacted into law or what form any such law might take.
Refer to Regulatory Environment in Aetna Inc.s 2001 Annual Report on Form 10-K for additional information on regulation of the Company.
FORWARD-LOOKING INFORMATION/RISK FACTORS
The Forward-Looking Information/Risk Factors portion of Aetna Inc.s 2001 Annual Report on Form 10-K contains a discussion of important risk factors related to the Companys business.
Item 3. Quantitative and Qualitative Disclosures About Market Risk.
Refer to the information contained in Managements Discussion and Analysis of Financial Condition and Results of Operations-Total Investments.
Page 49
PART II. OTHER INFORMATION
Item 1. Legal Proceedings.
Managed Care Class Action Litigation
The Company is involved in purported class action lawsuits that are part of a wave of similar actions targeting the health care payor industry and, in particular, the conduct of business by managed care companies.
On October 23, 2000, the Judicial Panel on Multi-district Litigation transferred a number of these actions to the United States District Court for the Southern District of Florida (the Florida Federal Court) for consolidated pretrial proceedings. The actions so consolidated by this and subsequent orders, including actions originally filed in the Florida Federal Court, include the following actions brought by the named individuals on the indicated dates:
| Anthony Conte (October 4, 1999) | ||
| Jo Ann ONeill (October 7, 1999; by amendment dated November 9, 1999, Lydia K. Rouse and Danny E. Waldrop joined as additional plaintiffs) | ||
| Jeanne E. Curtright (October 28, 1999) | ||
| Raymond D. Williamson, III (November 22, 1999, and a second case was filed in the Florida Federal Court on June 23, 2000) | ||
| Michael V. Amorosi (December 3, 1999) | ||
| Eugene Mangieri, M.D. (January 19, 2000) | ||
| H. Robert Harrison, M.D., Martin Moran, M.D., Lance R. Goodman, M.D., Sandy Springs Pediatrics & Adolescent Medicine, P.C., Pediatric Infectious Disease Associates, LLC, American Medical Association and Medical Association of Georgia (February 16, 2000 naming Company defendants, and April 18, 2000 naming Prudential defendants) | ||
| Jennifer McCarron and Ira S. Schwartz (April 11, 2000) | ||
| John Romero and Catherine Romero (May 22, 2000) | ||
| Jo Ann ONeill, Lydia K. Rouse and Danny E. Waldrop (June 23, 2000) (by amendment dated June 29, 2001, Michael V. Amorosi replaced Lydia K. Rouse as a plaintiff) | ||
| Glenn OBrien and Christopher Gallagher (August 7, 2000) | ||
| Charles B. Shane, M.D., Edward L. Davis, D.O., Jeffrey Book, D.O., Manual Porth, M.D., Dennis Breen, M.D., Glenn L. Kelly, M.D. and Michael Burgess, M.D. (August 11, 2000) (by amendment dated March 26, 2001, H. Robert Harrison, M.D., Eugene Mangieri, M.D., Lance R. Goodman, M.D., Leonard J. Klay, M.D., Kevin Molk, M.D., Martin Moran, M.D., Thomas Backer, M.D., David Boxstein, M.D., Navid Ghalambor, M.D., Susan Hansen, M.D., Andres Taleisnik, M.D., Julio Taleisnik, M.D., Roger Wilson, M.D., California Medical Association, Denton County Medical Society, Medical Association of Georgia and Texas Medical Association replaced Michael Burgess, M.D. as a plaintiff) | ||
| Douglas Chapman (September 7, 2000) | ||
| Sue McIntosh, M.D., J. Kevin Lynch, M.D., Karen Laugel, M.D. and Stephen R. Levinson, M.D. (February 15, 2001) | ||
| Connecticut State Medical Society (February 15, 2001) | ||
| Leonard J. Klay, M.D. (February 22, 2001) | ||
| Richard P. Bartlett, M.D. (April 12, 2001) | ||
| Medical Society of the State of New York (August 15, 2001) | ||
| Edgar Borrero, M.D., Albert M. Ellman, M.D. and Robert Scher, M.D. (August 15, 2001) | ||
| American Dental Association, James B. Swanson, D.D.S. and Michael B. Dayoub, D.D.S. (August 15, 2001) | ||
| Westside EKG Associates (September 20, 2001) (originally filed in the Florida Federal Court; not yet consolidated with the other listed actions) | ||
| Tennessee Medical Society (April 25, 2002) | ||
| Raymond J. Wesley, M.D. (April 25, 2002) |
Page 50
Item 1. Legal Proceedings. (Continued)
The plaintiffs in the Conte, ONeill, Williamson, Amorosi, McCarron, Romero, OBrien and Chapman cases (together with Curtright, the Subscriber Cases) seek to represent purported nationwide classes of current and former members of the Companys health plans. The Subscriber Cases collectively seek various forms of relief, including unspecified damages, treble damages, injunctive relief and restitutionary relief for unjust enrichment, for alleged violations of the Racketeer Influenced and Corrupt Organizations Act (RICO) and the Employee Retirement Income Security Act of 1974 (ERISA), and seek similar relief under common law theories. In addition, the action by Jeanne E. Curtright seeks similar relief on behalf of a class of California health plan members and members of the California public for alleged violations of California Business and Professions Code Sections 17200 and 17500 and under common law theories. Each of former Aetna, Aetna Inc., Richard L. Huber (the former chairman of Aetna) and certain health maintenance organizations that Aetna Inc. acquired from The Prudential Insurance Company of America (Prudential) are named as defendants in one or more of these actions. The complaints allege generally that defendants failed to adequately inform members about defendants managed care practices, including capitated payments to providers and utilization management practices. In addition, the Chapman complaint relates to the disclosure and determination of usual, customary and reasonable charges for claims and alleges an undisclosed policy of discounting procedures in order to reduce reimbursements to ERISA plan members.
On August 11, 2000, Aetna Inc. and former Aetna moved to dismiss the June 23, 2000 ONeill Complaint. On June 12, 2001, the Florida Federal Court granted that motion in part and denied it in part. It permitted plaintiffs to file an amended complaint, which they did on June 29, 2001. The Company moved to dismiss the amended complaint on August 13, 2001. On February 20, 2002, the Florida Federal Court granted the Companys motion in part and denied it in part. The Florida Federal Court dismissed Amorosis RICO claims based upon the McCarran Ferguson Act and kept intact the other two putative class members RICO claims. The Florida Federal Court also narrowed all plaintiffs ERISA claims to (1) allegations of interference with physician-patient communications and (2) allegations of misrepresentations of medical necessity for those plaintiffs who are no longer subscribers to Aetna Inc.s health plans. On May 10, 2002, the United States Court of Appeals for the Eleventh Circuit (the Appeals Court) declined to consider on interlocutory appeal the Florida Federal Courts decision not to dismiss the RICO claims stated in the ONeill Complaint. On September 29, 2000, plaintiffs moved for class certification. The class certification motion has been fully briefed. On July 24, 2001, the Florida Federal Court heard argument on that motion, which remains pending. On June 26, 2002, the ONeill plaintiffs filed their third amended complaint which named Aetna Inc. as the sole defendant. On July 26, 2002, Aetna Inc. filed its answer to that complaint.
The Curtright Subscriber Case was originally filed in the Superior Court of California, County of Contra Costa. Defendants removed the action to the United States District Court for the Northern District of California. Plaintiff moved to remand the action to state court. Aetna Inc. moved to dismiss the action for failure to state a claim upon which relief can be granted. The motions to remand and dismiss were pending when the Curtright Subscriber Case was transferred to the Florida Federal Court, which has not ruled on these motions.
The Shane, Mangieri, Harrison, McIntosh, Connecticut State Medical Society, Klay, Bartlett, Medical Society of the State of New York, Borrero, American Dental Association, Westside EKG Associates, Tennessee Medical Society and Wesley cases together comprise the Provider Cases. Aetna Inc. and/or one or more of its subsidiaries are named as defendants in each of the Provider Cases. The amended Shane action also is brought against a number of other managed care companies. The Mangieri action also is brought against two other managed care companies. The Harrison action is also brought against Prudential.
Page 51
Item 1. Legal Proceedings. (Continued)
The Provider Cases collectively allege that Aetna Inc. and each other defendant managed care organization improperly denied claims in whole or in part, did not pay claims timely or did not pay at proper rates, and employed coercive economic power to force physicians to enter into economically unfavorable contracts. The Shane Provider Case further charges that Aetna Inc. and the other defendant managed care organizations conspired and aided and abetted one another in the alleged wrongdoing. In addition, the American Dental Association action alleges improper disclosure and determination of usual, customary and reasonable charges for dental claims and alleges an undisclosed policy of discounting procedures in order to reduce reimbursements to ERISA plan members. The Provider Cases seek various forms of relief, including unspecified damages, treble damages, punitive damages and injunctive relief, for alleged violations of RICO, ERISA, state unfair trade statutes, state consumer fraud statutes and state laws regarding the timely payment of claims, and seek similar relief under common law theories.
The plaintiffs in the Provider Cases generally seek to represent purported nationwide classes and subclasses of physicians and other providers who currently or formerly provided services to members of the Company and/or Prudential. Certain Provider Cases also purport to bring class actions on behalf of physicians and/or other providers in a particular state. Bartlett is the only Provider Case that is not brought as a class action.
On September 22, 2000, Aetna Inc. and the other defendants moved to dismiss the August 11, 2000 Shane complaint. On March 2, 2001, the Florida Federal Court granted that motion in part and permitted plaintiffs to file an amended complaint. An amended complaint was filed on March 26, 2001 by the individuals listed above, including the Harrison and Mangieri plaintiffs and others.
On April 30, 2001, Aetna Inc. and the other defendants moved to dismiss the March 26, 2001 Shane complaint. On May 1, 2001, Aetna Inc. moved to compel arbitration of all claims asserted against it by several of the named plaintiffs, moved to compel arbitration and/or stay claims against Aetna Inc. for its alleged participation in purported RICO violations by other defendants and moved to compel arbitration and/or stay claims against other defendants for their alleged participation in purported RICO violations by Aetna Inc. This motion remains pending.
On July 11, 2002, the Shane plaintiffs filed a motion seeking leave to file a second amended complaint that adds two new plaintiffs, the Florida Medical Association and the Louisiana State Medical Association. That motion remains pending.
On October 20, 2000, the Shane plaintiffs moved for class certification. The parties fully briefed that motion based on the allegations of the August 11, 2000 Shane complaint. On May 7, 2001, the Florida Federal Court heard oral argument on that motion, which remains pending.
On June 25, 2001, the Appeals Court issued an order staying the Provider Cases pending before the Florida Federal Court while the Appeals Court considered an appeal taken by other defendants of an order of the Florida Federal Court concerning the effect of arbitration clauses contained in contracts between certain individual plaintiffs and the appellants. On March 14, 2002, the Appeals Court upheld that order.
On July 16, 2002, the Florida Federal Court heard argument on the plaintiffs request to open discovery in the Provider Cases. On July 29, 2002, the Florida Federal Court entered an order lifting the stay of discovery in the Provider Cases and the Subscriber Cases effective September 30, 2002.
Various motions to stay and dismiss have been filed and remain pending in the other Subscriber and Provider Cases. They remain in the preliminary stages. The Company intends to continue to defend the Subscriber Cases and the Provider Cases vigorously.
Page 52
Item 1. Legal Proceedings. (Continued)
In addition to the Subscriber and Provider Cases consolidated before the Florida Federal Court, a complaint was filed in the Superior Court of the State of California, County of San Diego (the California Superior Court) on November 5, 1999 by Linda Ross and The Stephen Andrew Olsen Coalition for Patients Rights, purportedly on behalf of the general public of the State of California (the Ross Complaint). The Ross Complaint, as amended, seeks injunctive relief against former Aetna, Aetna Inc., Aetna U.S. Healthcare of California Inc. and additional unnamed John Doe defendants for alleged violations of California Business and Professions Code Sections 17200 and 17500. The Ross Complaint alleges that defendants are liable for alleged misrepresentations and omissions relating to advertising, marketing and member materials directed to the Companys HMO members and the general public and for alleged unfair practices relating to contracting of doctors. This action is in the discovery phase, and trial currently is scheduled to begin on March 14, 2003. Defendants intend to continue to defend this action vigorously.
A complaint was filed in the Superior Court of the State of New Jersey, Mercer County, on May 8, 2002 by the Medical Society of New Jersey purportedly on behalf of a class of New Jersey physicians (the New Jersey Complaint). The New Jersey Complaint seeks injunctive relief and attorneys fees against Aetna Inc. and one of its subsidiaries under New Jerseys consumer fraud act and prompt pay statutes. The New Jersey Complaint alleges that defendants engage in unfair and deceptive acts and practices intended to delay and reduce reimbursement to physicians and that defendants have been able to force physicians to enter into one-sided contracts that infringe upon the doctor-patient relationship. On June 14, 2002, the Company removed this action to the United States District Court for the District of New Jersey and subsequently notified the Judicial Panel on Multi-District Litigation that the Company believes this action should be transferred to the Florida Federal Court and litigated in conjunction with the Provider Cases. This action is in the preliminary stages, and the Company intends to defend this action vigorously.
NYLCare Texas Sale Litigation
On March 30, 2001, Health Care Service Corporation (HCSC) provided the
Company with a letter demanding arbitration of claims arising out of its
purchase from Aetna Inc. of the NYLCare Texas HMOs. In May 2002, HCSC and the
Company settled this action. The settlement amount was not material to the
financial condition of the Company after taking into account the reserves
established for this action.
Securities Class Action Litigation
Laborers Tri-County Pension Fund, Goldplate Investment Partners Ltd. and Sheila
Shafran filed a consolidated and amended purported class action complaint
(Securities Complaint) on June 7, 2002 in the United States District Court
for the Southern District of New York. The Securities Complaint supplanted
several complaints, filed beginning November 6, 2001, which have been
voluntarily dismissed or consolidated. Plaintiffs contend that the Company and
two of its current or former officers and directors, William H. Donaldson and
John W. Rowe, M.D., violated federal securities laws. Plaintiffs allege
misrepresentations and omissions regarding, among other things, the Companys
ability to manage and control medical costs and the appropriate reserve for
medical costs as of December 31, 2000, for which they seek unspecified damages,
among other remedies. Defendants moved to dismiss the Securities Complaint on
July 22, 2002, and otherwise intend vigorously to defend this action, which is
in its preliminary stages.
The Company is unable to predict at this time the ultimate outcome of the Managed Care Class Action Litigation or Securities Class Action Litigation. It is reasonably possible that their outcome could be material to the Company.
Other Litigation and Regulatory Proceedings
The Company is involved in numerous other lawsuits arising, for the most part,
in the ordinary course of its business operations, including employment
litigation and claims of bad faith, medical malpractice, non-compliance with
state regulatory regimes, marketing misconduct, failure to timely pay medical
claims and other litigation in its health care business. Some of these other
lawsuits are purported to be class actions.
Page 53
Item 1. Legal Proceedings. (Continued)
In addition, the Companys current and past business practices are subject to review by various state insurance and health care regulatory authorities and other state and federal authorities. There continues to be heightened review by these authorities of the managed health care industrys business practices, including utilization management, delegated arrangements and claim payment practices. As a leading national managed care organization, the Company regularly is the subject of such reviews and several such reviews currently are pending, some of which may be resolved during 2002. These reviews may result in changes to or clarifications of the Companys business practices, and may result in fines, penalties or other sanctions.
While the ultimate outcome of this other litigation and these regulatory proceedings cannot be determined at this time, after consideration of the defenses available to the Company, applicable insurance coverage and any related reserves established, they are not expected to result in liability for amounts material to the financial condition of the Company, although they may adversely affect results of operations in future periods.
Item 4. Submission of Matters to a Vote of Security Holders.
At the Annual Meeting of Shareholders held April 26, 2002, four matters were submitted to a vote: the election of three Directors for a term ending in 2004; approval of the appointment of KPMG LLP as independent auditors for the current calendar year; approval of Aetnas Employee Stock Purchase Plan and a shareholder proposal to request the Aetna Inc. Board of Directors to implement cumulative voting in the election of Directors. Each of the Companys Director nominees (Mrs. Hancock, Dr. Newhouse and Dr. Rodin) was elected, KPMG was appointed as the Companys independent auditors and the Employee Stock Purchase Plan was approved. The shareholder proposal on cumulative voting was not approved. The detailed results of voting on these matters follow:
Election of Directors:
Votes | Votes | |||||||
For | Withheld | |||||||
Ellen M. Hancock |
111,681,860 | 4,247,857 | ||||||
Joseph P. Newhouse |
111,711,239 | 4,218,478 | ||||||
Judith Rodin |
111,718,358 | 4,211,359 | ||||||
Lawrence G. Schafran (a
non-Company Director
nominee) |
1,352,568 | |
Other matters voted upon:
Votes | Votes | Broker | ||||||||||||||
For | Against | Abstentions | Non-Votes | |||||||||||||
Approval of Independent Auditors |
114,981,043 | 1,696,740 | 604,593 | | ||||||||||||
Approval of Aetnas Employee
Stock Purchase Plan |
103,521,471 | 12,499,299 | 1,262,018 | | ||||||||||||
Shareholder Proposal to Request
Implementation of Cumulative
Voting in Election of Directors |
46,405,138 | 61,823,859 | 1,224,243 | 7,829,639 |
The terms of the following Directors continued after the Annual Meeting: Betsy Z. Cohen, Barbara Hackman Franklin, Jeffrey E. Garten, Earl G. Graves, Gerald Greenwald, Michael H. Jordan, Jack A. Kuehler and John W. Rowe, M.D.
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Item 5. Other Information.
(a) | Ratios of Earnings to Fixed Charges and Earnings to Combined Fixed Charges and Preferred Stock Dividends |
The following table sets forth the Companys ratio of earnings to fixed charges and ratio of earnings to combined fixed charges and preferred stock dividends for the periods indicated.
Six Months Ended | Years
Ended December 31, |
|||||||||||||||||||||||
Aetna Inc. | June 30, 2002 | 2001 | 2000 | 1999 | 1998 | 1997 | ||||||||||||||||||
Ratio of Earnings to Fixed Charges |
3.74 | (0.73 | ) | 0.89 | 3.31 | 3.89 | 4.41 | |||||||||||||||||
Ratio of Earnings to Combined Fixed
Charges and Preferred Stock Dividends (1) |
3.74 | (0.73 | ) | 0.89 | 2.81 | 2.87 | 3.24 | |||||||||||||||||
(1) | Although the Company did not pay preferred stock dividends, preferred stock dividends paid by former Aetna have been included for purposes of this calculation for the years ending December 31, 1997, 1998 and 1999 (through the redemption date of July 19, 1999), as the preferred stock of former Aetna was issued in connection with the acquisition of U.S. Healthcare, Inc. in 1996. |
For purposes of computing both the ratio of earnings to fixed charges and the ratio of earnings to combined fixed charges and preferred stock dividends, earnings represent consolidated earnings (loss) from continuing operations before income taxes (benefits), plus fixed charges. Fixed charges consists of interest expense (and the portion of rental expense deemed representative of the interest factor).
Pretax loss from continuing operations used in calculating the ratio for the year ended December 31, 2001 reflects a severance and facilities charge of $193 million. The ratio for the year ended December 31, 2000 reflects a goodwill write-off of $310 million, a severance and facilities charge of $143 million and $58 million of change-in control related payments and other costs required to effect the spin-off of the Company from former Aetna. Additional pretax income from continuing operations necessary to achieve both a ratio of earnings to fixed charges and a ratio of earnings to combined fixed charges and preferred stock dividends of 1.0 was approximately $379 million and $39 million in 2001 and 2000, respectively.
(b) | Ratings |
The ratings of Aetna Inc. and Aetna Life Insurance Company follow:
Rating Agencies | ||||||||||||||||
Moody's | ||||||||||||||||
Investors | Standard | |||||||||||||||
A.M. Best | Fitch | Service | & Poor's | |||||||||||||
Aetna Inc. (senior debt) |
||||||||||||||||
April 26, 2002 |
* | BBB+ | Baa3 | BBB | ||||||||||||
August 1, 2002 (1) |
* | BBB+ | Baa3 | BBB | ||||||||||||
Aetna Inc. (commercial paper) |
||||||||||||||||
April 26, 2002 |
* | F2 | P3 | A2 | ||||||||||||
August 1, 2002 (1) |
* | F2 | P3 | A2 | ||||||||||||
Aetna Life Insurance Company (claims paying/financial strength) |
||||||||||||||||
April 26, 2002 |
A- | A+ | A3 | A- | ||||||||||||
August 1, 2002 (1) |
A- | A+ | A3 | A- | ||||||||||||
* | Nonrated by the agency. | |
(1) | Fitch has the Aetna Inc. senior debt and ALIC ratings on outlook-negative. Moodys has the Aetna Inc. senior debt and ALIC ratings on outlook-stable. Standard & Poors has the Aetna Inc. senior debt and ALIC ratings on outlook-stable. |
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Item 6. Exhibits and Reports on Form 8-K.
(a) | Exhibits |
(10) | Material Contracts. | ||
10.1 | Letter agreement dated June 4, 2002 between Aetna Inc. and Frolly M. Boyd. | ||
(12) | Statement Re: Computation of Ratios. | ||
Statement re: computation of ratio of earnings to fixed charges and ratio of earnings to combined fixed charges and preferred stock dividends for the six months ended June 30, 2002 and for the years ended December 31, 2001, 2000, 1999, 1998 and 1997 for Aetna Inc. | |||
(15) | Letter Re: Unaudited Interim Financial Information. | ||
Letter from KPMG LLP acknowledging awareness of the use of a report on unaudited interim financial information, dated July 31, 2002. |
(b) | Reports on Form 8-K. |
The registrant filed a report on Form 8-K on May 1, 2002 concerning the re-initiation of the Companys repurchase of its common shares.
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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.
Aetna Inc. | |||||||
Registrant | |||||||
Date | August 2, 2002 | By | /s/ Ronald M. Olejniczak | ||||
Ronald M. Olejniczak Vice President and Controller |
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AETNA INC.
EXHIBIT INDEX
EXHIBIT | ||||||
NUMBER | DESCRIPTION | |||||
(10) | Material Contracts. | |||||
10.1 | Letter agreement dated June 4, 2002 between Aetna Inc. and Frolly M. Boyd. | |||||
(12) | Statement Re: Computation of Ratios. | |||||
Statement re: computation of ratio of earnings to fixed charges and ratio of earnings to combined fixed charges and preferred stock dividends for the six months ended June 30, 2002 and for the years ended December 31, 2001, 2000, 1999, 1998 and 1997 for Aetna Inc. | ||||||
(15) | Letter Re: Unaudited Interim Financial Information. | |||||
Letter from KPMG LLP acknowledging awareness of the use of a report on unaudited interim financial information, dated July 31, 2002. |
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