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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-K
FOR ANNUAL AND TRANSITION REPORTS PURSUANT TO
SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF
1934
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ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 |
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For the Fiscal Year Ended December 31, 2004 |
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 |
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For the transition period
from to |
Commission File Number: 000-32057
American Physicians Capital, Inc.
(Exact name of registrant as specified in its charter)
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Michigan
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38-3543910 |
(State or other jurisdiction of
incorporation or organization) |
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(IRS employer
identification number) |
1301 North Hagadorn Road, East Lansing, Michigan 48823
(Address of principal executive offices)(Zip Code)
Registrants telephone number, including area code:
(517) 351-1150
Securities registered pursuant to Section 12(b) of the
Act:
None
Securities registered pursuant to Section 12(g) of the
Act:
Common Stock, no par value
Indicate by check mark whether the
registrant: (1) has filed all reports required to be
filed by Section 13 or 15(d) of the Securities Exchange Act
of 1934 during the preceding 12 months (or for such shorter
period that the registrant was required to file such reports),
and (2) has been subject to such filing requirements for
the past
90 days. Yes þ No o
Indicate by check mark if
disclosure of delinquent filers pursuant to Item 405 of
Regulation S-K is not contained herein, and will not be
contained, to the best of registrants knowledge, in a
definitive proxy or information statement incorporated by
reference in Part III of this Form 10-K or any
amendment to this Form 10-K.
Indicate by check mark whether the
registrant is an accelerated filer (as defined in Exchange Act
Rule 12b-2). Yes þ No o
The aggregate market value of the
Common Stock held by non-affiliates of the Registrant as of
June 30, 2004, based on $23.15 per share (the last
sale price for the Common Stock on such date as reported on the
Nasdaq Stock Markets National Market), was approximately
$162.7 million. For purposes of this computation only, all
executive officers, directors and 10% beneficial owners of the
registrant are assumed to be affiliates.
As of January 31, 2005 the
registrant had 8,671,984 shares of Common Stock outstanding.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the registrants
definitive Proxy Statement pertaining to the 2005 Annual Meeting
of Shareholders (the Proxy Statement) to be filed
pursuant to Regulation 14A are incorporated by reference
into Part III.
TABLE OF CONTENTS
General
American Physicians Capital, Inc., or APCapital, is an
insurance holding company that writes primarily medical
professional liability insurance through its subsidiary American
Physicians Assurance Corporation, or American Physicians.
Starting in late 2002, and continuing throughout 2003 and 2004,
we made several changes to our business. In our medical
professional liability line of business, we began exiting the
Florida market in December 2002, are in the process of exiting
the Nevada market, and have discontinued the issuance of
occurrence-based policies in Ohio and Kentucky. Late in 2003, we
made the decision to exit the health and workers
compensation insurance lines, and to de-emphasize our excess and
surplus lines. Exit activities related to health and
workers compensation insurance will continue into 2005,
and potentially beyond. Our workers compensation insurance
is written primarily by Insurance Corporation of America, which
is wholly owned by APCapital. APSpecialty Insurance Corporation,
an insurance subsidiary owned by American Physicians, primarily
writes excess and surplus insurance business. APCapital and its
consolidated subsidiaries are sometimes referred to in this
report as we, us, or the
Company.
APCapital was incorporated in Michigan in July 2000 to
facilitate the conversion of American Physicians from a mutual
insurance company to a publicly owned stock insurance company.
In connection with this conversion, APCapital offered its common
stock to policyholders of American Physicians, to various other
groups having specified relationships to American Physicians and
to the general public. APCapital stock began trading on the
Nasdaq Stock Markets National Market on December 8,
2000. The conversion became effective, the offerings were closed
and American Physicians and its subsidiaries became subsidiaries
of APCapital on December 13, 2000.
American Physicians, which is APCapitals primary
subsidiary, was formed in June 1975 under the sponsorship of the
Michigan State Medical Society in response to a medical
professional liability insurance crisis in Michigan. By 1981,
American Physicians insured more physicians than any other
insurer in the State of Michigan, a distinction it maintains
today.
1
Summary Premium Volume and Revenue By Line
The following table sets forth, for the years ended
December 31, 2004, 2003 and 2002, the amount of direct
premiums written, net premiums written, and net premiums earned
for each of our insurance operating segments, as well as
investment income, net realized gains (losses), other income and
total revenues and other income.
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Year Ended December 31, | |
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2004 | |
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2003 | |
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2002 | |
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% of | |
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% of | |
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% of | |
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Amount | |
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Total | |
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Amount | |
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Total | |
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Amount | |
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Total | |
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(Dollars in thousands) | |
Direct premiums written:
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Medical professional liability
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$ |
203,034 |
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94.9% |
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$ |
195,742 |
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76.4% |
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$ |
177,253 |
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66.6% |
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Other insurance lines
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10,911 |
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5.1% |
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60,493 |
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23.6% |
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89,007 |
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33.4% |
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Total
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$ |
213,945 |
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100.0% |
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$ |
256,235 |
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100.0% |
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$ |
266,260 |
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100.0% |
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Net premiums written:
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Medical professional liability
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$ |
175,042 |
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93.9% |
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$ |
164,157 |
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73.1% |
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$ |
154,583 |
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64.8% |
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Other insurance lines
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11,389 |
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6.1% |
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60,490 |
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26.9% |
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83,834 |
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35.2% |
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Total
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$ |
186,431 |
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100.0% |
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$ |
224,647 |
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100.0% |
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$ |
238,417 |
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100.0% |
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Total revenue:
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Net premiums earned:
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Medical professional liability
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$ |
173,835 |
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69.3% |
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$ |
158,777 |
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58.5% |
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$ |
148,646 |
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53.0% |
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Other insurance lines
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26,744 |
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10.7% |
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65,813 |
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24.3% |
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86,905 |
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31.0% |
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Total net premiums earned
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200,579 |
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80.0% |
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224,590 |
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82.8% |
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235,551 |
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84.0% |
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Investment income
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47,373 |
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18.9% |
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43,294 |
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16.0% |
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44,775 |
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16.0% |
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Net realized gains (losses)
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1,551 |
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0.6% |
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2,403 |
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0.9% |
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(163 |
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-0.1% |
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Other income
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1,177 |
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0.5% |
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1,104 |
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0.4% |
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376 |
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0.1% |
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Total revenue
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$ |
250,680 |
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100.0% |
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$ |
271,391 |
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100.0% |
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$ |
280,539 |
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100.0% |
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Medical Professional Liability
Products and Services. We underwrite medical professional
liability coverage for physicians, their corporations, medical
groups, clinics and ancillary healthcare providers. Medical
professional liability insurance protects physicians and other
health care providers against liabilities arising from the
rendering of, or failure to render, professional medical
services. We offer claims-made coverage in all states in which
we write business, with the exception of New Mexico, and
occurrence policies in a limited number of states. Our policies
include coverage for the cost of defending claims. Claims-made
policies provide coverage to the policyholder for claims
reported during the period of coverage. Policyholders are
insured continuously while their claims-made policy is in force.
We offer extended reporting endorsements or tails to cover
claims reported after the policy expires. Occurrence policies
provide coverage to the policyholders for all losses incurred
during the policy coverage year regardless of when the claims
are reported. Although we generate a majority of our premiums
from individual and small group practices, we also insure
several major physician groups as well as two hospitals.
We offer separate policy forms for physicians who are sole
practitioners and for those who practice as part of a medical
group or clinic. The policy issued to sole practitioners
includes coverage for professional liability that arises from
the medical practice. The medical professional insurance for
sole practitioners and for medical groups provides protection
against the legal liability of the insureds for injury caused by
or as a result of the performance of patient treatment, failure
to treat, failure to diagnose and related types of malpractice.
We offer two types of policies for medical groups or clinics.
Under the first policy type, both the individual
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physician and the group share the same set of policy limits.
Under the second group policy type, the individual physician and
the group or clinic each purchase separate policy limits. At
December 31, 2004, we have issued approximately 9,600
policies in 13 states, with a concentration in our core
Midwestern states of Michigan, Ohio, and Illinois, as well as
Kentucky and New Mexico. The Company has discontinued writing
occurrence policies in Ohio and Kentucky, and is in the process
of exiting the Nevada market. In December 2002, we began to exit
the Florida market; however, we continue to maintain an indirect
presence in Florida through our investment in Physicians
Insurance Company, or PIC. Our investment in PIC is more fully
described in Note 1 of the Notes to Consolidated Financial
Statement included elsewhere in this report. Such information is
incorporated here by reference. The exit from these unprofitable
or highly volatile markets in addition to the discontinuance of
occurrence coverage in Kentucky and Ohio, as well as an 11.9%
reduction in our average policy limits to approximately $758,000
at December 31, 2004, have reduced our overall underwriting
risk. However, the medical professional liability insurance
market is subject to many regulatory and other factors that will
continue to make this a volatile line, and there can be no
assurance that the positive operating results that this segment
produced in 2004 will continue in the future. The regulatory and
other factors that may impact medical professional liability
results in future periods are more fully described in
Item 7 Managements Discussion and
Analysis of Financial Condition and Results of
Operations The Medical Professional Liability
Insurance Market.
Marketing. Our marketing philosophy is to sell profitable
business in our core states, using a focused, multi-channeled,
cost-effective distribution system. In 2004, our captive agents
generated 37% of our premiums, independent agents generated 51%
and we produced 12% of premiums on a direct basis without agent
involvement. In addition to our agency force, we have built our
sales and marketing efforts around several strategic business
alliances. These alliances include medical society endorsements,
purchasing group programs and other marketing alliances.
Our medical professional liability product line is marketed
through approximately 39 agents in 8 states, with one
strategic partner, SCW Agency Group, Inc. and its wholly owned
subsidiary, Kentucky Medical Agency, collectively referred to as
SCW. This agency accounted for approximately 37% of medical
professional liability direct premiums written during 2004. This
relationship is discussed in more detail in
Item 7 Managements Discussion and
Analysis of Financial Condition and Results of
Operations Important Agency Relationship.
The vast majority of our remaining agents who write our medical
professional liability insurance are independent agents. Due to
the highly specialized nature of medical professional liability
insurance, we are working to build a controlled distribution
system to increase the percentage of our business that is
produced through captive agents, which protects the company and
makes us less vulnerable to changes in market conditions. We
also work with financially sound agencies that focus on this
line in targeted geographic areas. Our top ten agencies produced
$136.4 million of direct premiums written, or 67% of total
premium writings in 2004.
The Michigan State Medical Society, or MSMS, has endorsed
American Physicians as its exclusive professional liability
carrier of choice for 29 years. We compensate MSMS for
marketing our professional medical liability products to MSMS
members. American Physicians is also endorsed by the Michigan
Osteopathic Association, the New Mexico Medical Society, several
specialty societies and numerous physician organizations.
Underwriting and Pricing. Most of our initial
underwriting work and customer contact is performed through a
centralized process based in our home office. The home office
underwriting department has final responsibility for the
issuance, establishment and implementation of underwriting
standards for all of our underwritten coverages. The local
office underwriting staff have the authority to evaluate,
approve and issue medical professional liability coverage for
individual providers and medical groups with annual premiums
that do not exceed present threshold amounts or guidelines
imposed by the home office.
Through our management and actuarial staff, we regularly
establish rates and rating classifications for our physician and
medical group insureds based on the loss and loss adjustment
expense, or LAE, experience we have developed over the past
29 years, and the loss and LAE experience for the entire
medical professional
3
liability market. We have various rating classifications based
on practice location, medical specialty and other liability
factors. We also utilize various discounts, such as claim-free
credits, to encourage low risk, high profit physicians to insure
with American Physicians.
The nature of our business requires that we remain sensitive to
the marketplace and the pricing strategies of our competitors.
Using the market information as our background, we normally set
our prices based on our estimated future costs. From time to
time, we may reduce our discounts or apply a premium surcharge
to achieve an appropriate return. Pricing flexibility allows us
to provide a fair rate commensurate with the assumed liability.
If our pricing strategy cannot yield sufficient premium to cover
our costs on a particular type of risk, we may determine not to
underwrite that risk. It is our philosophy not to sacrifice
profitability for premium growth.
Claims Management. Our policies require us to provide a
defense for our insureds in any suit involving a medical
incident covered by the policy. The defense costs we incur are
in addition to the limit of liability under the policy. Medical
professional liability claims often involve the evaluation of
highly technical medical issues, severe injuries and conflicting
expert opinions.
Our strategy for handling medical professional liability claims
combines a basic philosophy of vigorously defending against
non-meritorious claims with an overall commitment to providing
outstanding service to our insured physicians and hospitals. Our
claims department is responsible for claims investigation,
establishment of appropriate case reserves for loss and loss
adjustment expenses, defense planning and coordination, working
closely with attorneys engaged by us to defend a claim and
negotiation of the settlement or other disposition of a claim.
We emphasize early evaluation and aggressive management of
claims. A part of our overall claims strategy is to establish
regional claims departments in our major markets. This local
presence helps to facilitate better defense attorney
coordination by allowing us to meet with defense attorneys and
policyholders, and attend trials, as well as develop claims
staff that have experience with the regions legal
environment, which enables us to more accurately establish case
reserves. When a claim is reported, a claims department
professional completes an initial evaluation and sets the
initial reserve. As the discovery process continues, the reserve
may be adjusted. We have established different levels of
authority within the claims department for settlement of claims.
Other Insurance
Starting in the fourth quarter of 2003, we began to exit the
workers compensation line. We non-renewed all policies as
of their anniversary date in 2004. The process of non-renewing
policies was substantially completed on June 30, 2004.
However, at December 31, 2004, we still had approximately
$1.1 million of net unearned premium that will be earned
into 2005 on policies which were written during the first half
of 2004.
We currently write small business employee health insurance
through a single preferred provider organization located in
western Michigan. However, in late 2003, we made the decision to
exit this line. We began non-renewing policies July 1,
2004. Thus, we will continue to have written and earned premiums
through the first half of 2005.
We previously sold personal and commercial insurance. We are no
longer accepting new business in this line of business and have
not renewed business previously written by us in this line.
A.M. Best Company Rating
A.M. Best Company, or A.M. Best, rates the financial strength
and ability to meet policyholder obligations of our insurance
subsidiaries. Our American Physicians and APSpecialty
subsidiaries have a B+ (Very Good) rating, which is the sixth
highest of 15 rating levels. According to A.M. Best, companies
rated B+ are deemed secure. A.M. Best assigns a B+
rating to insurers that have, on balance, very good balance
sheet strength, operating performance and business profiles when
compared to the standards established by A.M. Best, and in A.M.
Bests opinion, have a good ability to meet their ongoing
obligations to policyholders. Our Insurance Corporation of
America, or ICA, subsidiary is rated B- by A.M. Best. According
to A.M. Best, companies rated B- (Fair) are deemed
vulnerable. A.M. Best assigns a B- rating to
insurers that
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have, on balance, fair balance sheet strength, operating
performance and business profiles when compared to the standards
established by A.M. Best, and in A.M. Bests opinion, have
an ability to meet their ongoing obligations to policyholders.
In November 2003, A.M. Best reduced the financial strength
rating of the APCapital Group of Companies from A- to B++. This
downgrade was directly attributable to our third quarter 2003
loss announced November 6, 2003. At that time, A.M. Best
put our rating under further review with a negative outlook
pending completion of their analysis. In January 2004, A.M. Best
reduced the financial strength rating of American Physicians and
APSpecialty to B+, based on their lower capitalization. Our
Insurance Corporation of America subsidiary was given a B-
rating due to its change in status to a workers
compensation run-off company.
An insurance companys rating, and particularly its A.M.
Best rating, is a potential source of competitive advantage or
disadvantage in the marketplace. Although any rating downgrade
may make it more difficult for us to sell our insurance
products, the reduction of our A.M. Best rating has not had a
material adverse impact on our business to date. However,
further downgrades could have a material adverse impact on our
business.
Rating agencies such as A.M. Best evaluate insurance companies
based on their financial strength and ability to pay claims,
factors which are more relevant to policyholders and potential
customers who are purchasing insurance, and agents who are
advising customers, than investors. Financial strength ratings
by rating agencies are not ratings of securities or
recommendations to buy, hold, or sell any security.
Other Financial Subsidiaries
We have developed and acquired a variety of other organizations
to offer financial services and consulting to our customers.
These services include captive insurance company arrangements
and investment management. Revenues from these sources are not
material.
Reinsurance
In accordance with industry practice, we cede to other insurance
companies some of the potential liability under insurance
policies we have underwritten. This practice, called
reinsurance, helps us reduce our net liability on individual
risks, stabilize our underwriting results and increase our
underwriting capacity. However, if the reinsurer fails to meet
its obligations, we remain liable for policyholder obligations.
We pay our reinsurers a percentage of the premium on the related
policies for sharing a portion of the risk associated with these
policies. We determine the amount and scope of reinsurance
coverage to purchase each year based upon an evaluation of the
risks accepted, consultations with reinsurance brokers and a
review of market conditions, including the availability and
pricing of reinsurance. Our reinsurance arrangements are
generally renegotiated annually.
Under our primary professional liability reinsurance contract,
the portion of the policyholder premium ceded to the reinsurers
is swing-rated, or experience rated on a
retrospective basis. This swing-rated contract is subject to a
minimum and maximum premium range to be paid to the reinsurers
in the future, depending upon the extent of losses actually paid
by the reinsurers. We pay a provisional premium during the
initial policy year. A liability is recorded to represent an
estimate of net additional payments to be made to the reinsurers
under the program, based on the level of loss and LAE reserves
recorded. During 2004, our largest net insured amount on any
medical professional liability risk is $650,000.
Our net retention in workers compensation, in states other
than Minnesota, is $1 million. In Minnesota, insurers are
required to obtain reinsurance from a state facility called the
Workers Compensation Reinsurance Association, or WCRA. Our
current net retention on any one claim with respect to the WCRA
is $720,000. To take advantage of emerging markets, we have also
utilized quota share reinsurance in the recent past, where we
proportionately share the premium and losses with the reinsurer.
5
The following table identifies our principal reinsurers, their
percentage participation in our aggregate reinsured risk based
upon amounts recoverable and their respective A.M. Best ratings
as of December 31, 2004. A.M. Best classifies an
A rating as Excellent and
A++ and A+ ratings as
Superior. The following reinsurers exceeded 5% of
total amounts recoverable from reinsurers.
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% of 2004 | |
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Amounts | |
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2004 Total Ceded | |
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Amounts | |
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A.M. Best | |
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Recoverable From | |
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Premiums | |
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Recoverable From | |
Reinsurer |
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Rating | |
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Reinsurers | |
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Written | |
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Reinsurers | |
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(Dollars in thousands) | |
Hannover Ruckversicherungs
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A |
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$ |
43,561 |
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$ |
9,862 |
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37.8% |
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American Re-Insurance Company
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A+ |
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21,556 |
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6,622 |
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18.7% |
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Transatlantic Reinsurance Company
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A+ |
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13,583 |
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236 |
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11.8% |
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General Reinsurance Corporation
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A++ |
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6,594 |
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32 |
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5.7% |
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We annually review the financial stability of all of our
reinsurers. This review includes a ratings analysis of each
reinsurer participating in a reinsurance contract. On the basis
of this review, as of December 31, 2004, we concluded that
there was no material risk of not being paid by our reinsurers.
We believe that our reinsurance is maintained with financially
stable reinsurers. However, we continue to monitor closely the
cash flows and surplus levels of PMA Capital Insurance Company
and Converium Reinsurance (NA), Inc. due to recent announcements
made by those companies regarding their status. Our inability to
collect on our reinsurance, or the inability of our reinsurers
to make payments under the terms of reinsurance, due to
insolvency or otherwise, could have a material adverse effect on
our future results of operations and financial condition.
Loss and Loss Adjustment Expense Reserves
Our insurance subsidiaries are required by applicable insurance
laws and regulations to maintain reserves for payment of losses
and loss adjustment expenses for reported claims and for claims
incurred but not reported, arising from policies that have been
issued. Generally, these laws and regulations require that we
provide for the ultimate cost of those claims without regard to
how long it takes to settle them or the time value of money. We
are also required to maintain reserves on a physicians
death, disability and retirement, or DD&R reserves, which
are included in our loss reserves. The determination of reserves
involves actuarial and statistical projections of what we expect
to be the cost of the ultimate settlement and administration of
such claims based on facts and circumstances then known,
estimates of future trends in claims severity, and other
variable factors such as inflation and changing judicial
theories of liability. With the exception of our reserves for
extended reporting period claims, we do not discount our
reserves to recognize for the time value of money. Reserves for
extended reporting period claims were $14 million at
December 31, 2004, and included a discount of approximately
$5.9 million. The effect of pre-tax income of discount
accrued and amortized was not significant.
When a claim is reported to us, claims personnel establish a
case reserve for the estimated amount of the
ultimate payment. This estimate reflects an informed judgment
based upon insurance reserving practices appropriate for the
relevant line of business and on the experience and knowledge of
the estimator regarding the nature and value of the specific
claim, the severity of injury or damage, and the policy
provisions relating to the type of loss. Case reserves are
periodically adjusted by the claims staff, as more information
becomes available. The estimation of ultimate liability for
losses and loss adjustment expenses is an inherently uncertain
process and does not represent an exact calculation of that
liability. We maintain reserves for claims incurred but not
reported to provide for future reporting of already incurred
claims and developments on reported claims. The reserve for
claims incurred but not reported is determined based on
historical loss trends.
We have actuaries on our staff that analyze and develop
projections of ultimate losses which are used to establish
recorded reserves. Our actuaries utilized standard actuarial
techniques to project ultimate losses based on our paid and
incurred loss information, as well as drawing from industry
data. These projections are
6
done using actual loss dollars and claim counts. We analyze loss
trends and claims frequency and severity to determine our
best estimate of the required reserves. We then
record this best estimate in the Companys financial
statements. As required by insurance regulatory authorities, we
receive an annual statement of opinion by an independent
consulting actuary concerning the adequacy of our reserves.
Typically, as of the end of the third quarter of each year, our
independent actuary performs an initial analysis of our reserves
and provides us with a preliminary indication of what the
actuary believes is the appropriate level for our recorded
reserves. After year end, the independent actuary performs a
much more in-depth analysis on the basis of which the actuary
renders an opinion regarding the adequacy of our reserves. As
part of this year end analysis, the independent actuary
determines a range of reserve estimates, based on its projection
methodologies, and a select amount within the range.
If our recorded reserves are materially less than the
independent actuarys select amount, we adjust reserves so
that they are near or above their select amount. This
independent review of our reserves is one of the key factors
that we rely on in our overall assessment of the adequacy of our
reserves. To the extent that the independent actuarys
projections produce results similar to those we have developed
internally, we can be reasonably assured that our assumptions
and methodologies used to project ultimate losses are adequate.
The following table provides a reconciliation, prepared in
accordance with accounting principles generally accepted in the
United States of America, or GAAP, of beginning and ending loss
and loss adjustment expense reserve balances for the years ended
December 31, 2004, 2003 and 2002.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Balance, beginning of year
|
|
$ |
673,605 |
|
|
$ |
637,494 |
|
|
$ |
597,046 |
|
|
Less, reinsurance recoverables
|
|
|
(98,958 |
) |
|
|
(95,468 |
) |
|
|
(91,491 |
) |
|
|
|
|
|
|
|
|
|
|
Net balance, beginning of year
|
|
|
574,647 |
|
|
|
542,026 |
|
|
|
505,555 |
|
Incurred related to:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current year
|
|
|
171,600 |
|
|
|
209,299 |
|
|
|
236,398 |
|
|
Prior years
|
|
|
6,186 |
|
|
|
43,443 |
|
|
|
5,630 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total incurred
|
|
|
177,786 |
|
|
|
252,742 |
|
|
|
242,028 |
|
|
|
|
|
|
|
|
|
|
|
Paid related to:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current year
|
|
|
17,961 |
|
|
|
38,464 |
|
|
|
43,867 |
|
|
Prior years
|
|
|
142,633 |
|
|
|
181,657 |
|
|
|
161,690 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total paid
|
|
|
160,594 |
|
|
|
220,121 |
|
|
|
205,557 |
|
|
|
|
|
|
|
|
|
|
|
Net balance, end of year
|
|
|
591,839 |
|
|
|
574,647 |
|
|
|
542,026 |
|
|
Plus, reinsurance recoverables
|
|
|
101,791 |
|
|
|
98,958 |
|
|
|
95,468 |
|
|
|
|
|
|
|
|
|
|
|
Balance, end of period
|
|
$ |
693,630 |
|
|
$ |
673,605 |
|
|
$ |
637,494 |
|
|
|
|
|
|
|
|
|
|
|
During 2004, 2003, and 2002, management made adjustments to
prior year reserves. These adverse adjustments totaled
$6.2 million, $43.4 million, and $5.6 million for
the years ended December 31, 2004, 2003, and 2002,
respectively. As a percentage of net reserves as of the
beginning of the year, these adjustments were 1.1%, 8%, and
1.1%, respectively.
During 2004, we commuted a reinsurance treaty with one of our
reinsurers, Gerling Global Reinsurance Corporation of America,
or Gerling. This commutation resulted in $4.4 million of
prior year adverse development. In addition, the Company
incurred $8.6 million of adverse development on other
insurance reserves. This adverse development was caused by
slower than expected closure rates on run-off claims. This
adverse development was offset by $6.8 million positive
prior year development on medical professional liability
reserves, which was the result of favorable claim settlement
patterns in our Ohio and Michigan markets.
7
During 2003, the Company experienced a sharp increase in the
severity of paid losses in our medical professional liability
segment, which indicated a much higher trend in claims severity.
As a result, actuarial projections resulted in higher ultimate
severities of loss on currently existing claims related to the
1999 through 2002 accident years, which resulted in management
increasing its estimate of incurred but not reported claims
related to the 1999 through 2002 accident years by approximately
$44.3 million in 2003.
The unfavorable development in 2003 was primarily related to our
Ohio ($16.4 million), Florida ($16.0 million) and
Kentucky ($15.0 million) markets, partially offset by
positive development of $7.8 million in the Michigan
market. We announced, and began our exit from the Florida market
in 2002 and also discontinued writing occurrence-based policies
in the Ohio and Kentucky markets in 2002.
We increased prior year loss reserves in 2002, primarily in our
Ohio and Florida medical professional liability markets due to
higher than anticipated severity.
The following table shows the development of the net liability
for unpaid loss and loss adjustment expenses from 1994 through
2003. The top line of the table shows the original estimated
liabilities at the balance sheet date, including losses incurred
but not yet reported. The upper portion of the table shows the
cumulative amounts subsequently paid as of successive year ends
with respect to the liability. The lower portion of the table
shows the re-estimated amount of the previously recorded
liability based on experience as of the end of each succeeding
year. The estimates change as claims settle and more information
becomes known about the ultimate frequency and severity of
claims for individual years. The (deficiency) or redundancy
exists when the re-estimated liability at each December 31
is greater (or less) than the prior liability estimate. The
cumulative (deficiency) or redundancy depicted in
the table, for any particular calendar year, represents the
aggregate change in the initial estimates over all subsequent
calendar years.
8
The volatility of professional liability claim frequency and
severity makes the prediction of the ultimate loss very
difficult. Likewise, the long time frame for professional
liability claims to develop and be paid further complicates the
reserving process.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1994 | |
|
1995 | |
|
1996 | |
|
1997 | |
|
1998 | |
|
1999 | |
|
2000 | |
|
2001 | |
|
2002 | |
|
2003 | |
|
2004 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
Liability for unpaid losses and loss adjustment expenses net of
reinsurance recoverable
|
|
$ |
341,254 |
|
|
$ |
334,264 |
|
|
$ |
346,455 |
|
|
$ |
352,836 |
|
|
$ |
371,982 |
|
|
$ |
393,582 |
|
|
$ |
413,954 |
|
|
$ |
505,555 |
|
|
$ |
542,026 |
|
|
$ |
574,647 |
|
|
$ |
591,839 |
|
Cumulative net paid as of:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
End of year
|
|
|
59,982 |
|
|
|
47,113 |
|
|
|
69,750 |
|
|
|
86,703 |
|
|
|
85,290 |
|
|
|
95,471 |
|
|
|
124,479 |
|
|
|
161,770 |
|
|
|
181,658 |
|
|
|
142,633 |
|
|
|
|
|
|
Two years later
|
|
|
93,724 |
|
|
|
89,260 |
|
|
|
134,184 |
|
|
|
152,656 |
|
|
|
146,497 |
|
|
|
182,541 |
|
|
|
236,653 |
|
|
|
293,852 |
|
|
|
295,350 |
|
|
|
|
|
|
|
|
|
|
Three years later
|
|
|
122,509 |
|
|
|
122,734 |
|
|
|
181,144 |
|
|
|
188,665 |
|
|
|
198,774 |
|
|
|
251,448 |
|
|
|
322,226 |
|
|
|
367,289 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Four years later
|
|
|
142,127 |
|
|
|
148,000 |
|
|
|
205,824 |
|
|
|
215,426 |
|
|
|
231,748 |
|
|
|
292,766 |
|
|
|
363,871 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Five years later
|
|
|
154,716 |
|
|
|
158,041 |
|
|
|
219,944 |
|
|
|
232,323 |
|
|
|
251,810 |
|
|
|
312,968 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Six years later
|
|
|
160,204 |
|
|
|
165,250 |
|
|
|
227,840 |
|
|
|
243,012 |
|
|
|
262,260 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Seven years later
|
|
|
165,133 |
|
|
|
170,750 |
|
|
|
234,429 |
|
|
|
248,282 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Eight years later
|
|
|
169,316 |
|
|
|
175,597 |
|
|
|
238,387 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Nine years later
|
|
|
172,854 |
|
|
|
178,206 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Ten years later
|
|
|
175,273 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Re-estimated Net Liability as of:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
End of year
|
|
|
300,626 |
|
|
|
273,025 |
|
|
|
324,233 |
|
|
|
327,542 |
|
|
|
350,114 |
|
|
|
383,004 |
|
|
|
435,069 |
|
|
|
511,185 |
|
|
|
585,469 |
|
|
|
580,832 |
|
|
|
|
|
|
Two years later
|
|
|
251,083 |
|
|
|
259,103 |
|
|
|
302,696 |
|
|
|
314,613 |
|
|
|
334,827 |
|
|
|
373,400 |
|
|
|
449,871 |
|
|
|
538,980 |
|
|
|
590,665 |
|
|
|
|
|
|
|
|
|
|
Three years later
|
|
|
239,185 |
|
|
|
238,572 |
|
|
|
291,406 |
|
|
|
290,490 |
|
|
|
313,248 |
|
|
|
374,729 |
|
|
|
458,846 |
|
|
|
540,239 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Four years later
|
|
|
221,973 |
|
|
|
221,226 |
|
|
|
267,788 |
|
|
|
273,982 |
|
|
|
303,540 |
|
|
|
366,818 |
|
|
|
456,519 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Five years later
|
|
|
207,930 |
|
|
|
196,949 |
|
|
|
258,838 |
|
|
|
268,754 |
|
|
|
296,834 |
|
|
|
359,753 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Six years later
|
|
|
187,451 |
|
|
|
192,521 |
|
|
|
254,272 |
|
|
|
266,546 |
|
|
|
291,144 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Seven years later
|
|
|
185,398 |
|
|
|
189,708 |
|
|
|
251,718 |
|
|
|
263,160 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Eight years later
|
|
|
184,033 |
|
|
|
188,400 |
|
|
|
249,707 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Nine years later
|
|
|
183,996 |
|
|
|
186,948 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Ten years later
|
|
|
182,683 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cumulative (deficiency) redundancy
|
|
|
158,571 |
|
|
|
147,316 |
|
|
|
96,748 |
|
|
|
89,676 |
|
|
|
80,838 |
|
|
|
33,829 |
|
|
|
(42,565 |
) |
|
|
(34,684 |
) |
|
|
(48,639 |
) |
|
|
(6,185 |
) |
|
|
|
|
Gross liability end of year
|
|
|
367,332 |
|
|
|
359,330 |
|
|
|
392,626 |
|
|
|
407,746 |
|
|
|
422,987 |
|
|
|
457,072 |
|
|
|
483,273 |
|
|
|
597,046 |
|
|
|
637,494 |
|
|
|
673,605 |
|
|
|
693,630 |
|
Reinsurance Recoverables
|
|
|
26,078 |
|
|
|
25,066 |
|
|
|
46,171 |
|
|
|
54,910 |
|
|
|
51,005 |
|
|
|
63,490 |
|
|
|
69,319 |
|
|
|
91,491 |
|
|
|
95,468 |
|
|
|
98,958 |
|
|
|
101,791 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net Liability end of year
|
|
|
341,254 |
|
|
|
334,264 |
|
|
|
346,455 |
|
|
|
352,836 |
|
|
|
371,982 |
|
|
|
393,582 |
|
|
|
413,954 |
|
|
|
505,555 |
|
|
|
542,026 |
|
|
|
574,647 |
|
|
|
591,839 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross re-estimated liability latest
|
|
|
198,272 |
|
|
|
197,042 |
|
|
|
296,974 |
|
|
|
322,330 |
|
|
|
372,566 |
|
|
|
440,543 |
|
|
|
539,902 |
|
|
|
643,302 |
|
|
|
698,345 |
|
|
|
689,193 |
|
|
|
|
|
Re-estimated reinsurance recoverables latest
|
|
|
15,589 |
|
|
|
10,094 |
|
|
|
47,267 |
|
|
|
59,170 |
|
|
|
81,422 |
|
|
|
80,790 |
|
|
|
83,383 |
|
|
|
103,063 |
|
|
|
107,680 |
|
|
|
108,361 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net re-estimated liability latest
|
|
|
182,683 |
|
|
|
186,948 |
|
|
|
249,707 |
|
|
|
263,160 |
|
|
|
291,144 |
|
|
|
359,753 |
|
|
|
456,519 |
|
|
|
540,239 |
|
|
|
590,665 |
|
|
|
580,832 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross cumulative (deficiency) redundancy
|
|
|
169,060 |
|
|
|
162,288 |
|
|
|
95,652 |
|
|
|
85,416 |
|
|
|
50,421 |
|
|
|
16,529 |
|
|
|
(56,629 |
) |
|
|
(46,256 |
) |
|
|
(60,851 |
) |
|
|
(15,588 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
During 2004, the Gerling Global Reinsurance Corporation
(Gerling) commuted their reinsurance contracts with APCapital.
The transaction produced a net loss of $4.4 million on
prior years reserves as a result of APCapital reassuming
Gerlings obligation for loss and LAE in return for
consideration which was discounted for the time value of money.
For illustrative purposes, the following cumulative
(deficiency)/redundancy amounts exclude the effect of prior year
development due to the Gerling commutation: |
Net cumulative (deficiency) redundancy (excluding Gerling
commutation)
|
|
|
158,571 |
|
|
|
147,316 |
|
|
|
96,748 |
|
|
|
89,676 |
|
|
|
80,838 |
|
|
|
33,854 |
|
|
|
(42,391 |
) |
|
|
(33,954 |
) |
|
|
(45,950 |
) |
|
|
(1,774 |
) |
|
|
|
|
9
As the above table shows, the Company experienced adverse
development on its net loss and LAE reserves (excluding the
effect of Gerling Global) of $1.8 million. The adverse
development was the result of $8.6 million development from
the Other Lines segment offset by $6.8 million from the
Professional Liability segment. The Other Lines segment
development was primarily caused by workers compensation
reserves developing worse than expected. The Company has made a
concerted effort to strengthen case reserves in 2004. However,
the Company also observed a slowdown in the closing of claims
with a concurrent an increase in the average paid per closed
claim. For Professional Liability, the Company observed
favorable development because of lower than expected paid
severity, most notably in the Ohio and Michigan markets.
In evaluating the information in the table above, it should be
noted that each column includes the effects of changes in
amounts for prior periods. The table does not present accident
year or policy year development data. Conditions and trends that
have affected the development of liabilities in the past may not
necessarily occur in the future. Accordingly, it may not be
appropriate to extrapolate future redundancies or deficiencies
based on this table.
Reserve Ranges
In an effort to better explain the inherent uncertainty in our
net loss and LAE reserves, we have developed a reasonable range
of estimates around the net carried reserves. Our ranges in the
table below were primarily established by reviewing the various
actuarial methods used to estimate net loss and LAE reserves.
See Item 7 Managements Discussion
and Analysis of Financial Condition and Results of
Operations Significant Accounting
Policies Unpaid Losses and Loss Adjustment
Expenses for further information regarding these various
actuarial methods.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net Loss and LAE Reserves | |
|
|
| |
|
|
Medical | |
|
|
|
|
Professional | |
|
Other | |
|
|
|
|
Liability | |
|
Insurance | |
|
Total | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Low end of range
|
|
$ |
493,446 |
|
|
$ |
51,642 |
|
|
$ |
545,088 |
|
Carried reserves
|
|
|
536,354 |
|
|
|
55,485 |
|
|
|
591,839 |
|
High end of range
|
|
|
579,262 |
|
|
|
59,452 |
|
|
|
638,714 |
|
There are several limitations to interpreting reserve ranges
which apply in this situation. The totals in the above table do
not necessarily have the same probabilities as the individual
ranges by segment as the segments themselves may not be
independent. For example, if workers compensation medical loss
costs increase at a rate greater than expected, professional
liability loss costs, of which a component is the cost of
medical care, may also increase. There are also macroeconomic
effects that may cause professional liability loss costs to
increase at a more rapid rate due to the prospect of tort
reform, which likely will have little or no impact on
workers compensation loss costs. Other macroeconomic
effects which may have differing effects by segment include, but
are not limited to, changes in the litigiousness of
jurisdictions in which we write business, changes in
unemployment rates by geographic location, the influence of
legislative actions, and changes in political philosophy. As a
result of these factors as well as other unknown factors, there
can be no assurance that reserves will develop within these
ranges.
The likelihood of reserves emerging differently than the carried
reserves diminish as you approach the low and high end of the
ranges. However it is meaningful to note the potential
variability in the Companys net income before the effect
of income taxes if reserves develop to either the low or high
end. The following table shows the effects on pre-tax net income
if the carried reserves as of December 31, 2004 actually
prove to be at the low or high end of the range:
|
|
|
|
|
|
|
Impact on | |
|
|
Pre-tax Income | |
|
|
| |
Low end of range
|
|
$ |
(42,908 |
) |
High end of range
|
|
|
42,908 |
|
10
Statutory vs. GAAP Reserves
Statutory accounting principles require reserves to be reported
on a net basis, i.e., after reinsurance. GAAP requires reserves
to be reported on a gross basis, i.e., before reinsurance, with
a corresponding asset established for the reinsurance
recoverable. When compared on a net basis, our statutory and
GAAP reserves are identical, with the exception of the reserves
for extended reporting endorsements, approximately
$14 million, which are required to be carried as unearned
premium reserves for statutory accounting purposes.
Investments
An important component of our operating results has been the
total return on invested assets. Our investment objectives are
primarily to maximize current returns, and to generate long-term
capital appreciation that can ultimately be converted to current
income. We are pursuing these objectives, while maintaining
safety of capital, with an emphasis on adequate liquidity for
our insurance operations. All of our investment securities are
classified as available-for-sale in accordance with Statement of
Financial Accounting Standards No. 115. As of
December 31, 2004, all of our fixed-income investment
portfolio, excluding approximately $13.7 million, or 2.1%
of the total fixed-income investment portfolio, of private
placement issues, was investment grade. Our fixed-income
portfolio is managed by one of our subsidiaries. For additional
information regarding our investment results, see Note 5 of
the Notes to Consolidated Financial Statements, which
information is incorporated herein by reference. Other invested
assets include investment real estate and investment real estate
limited partnerships.
Competition
The insurance industry is highly competitive. We compete with
numerous insurance companies and various self-insurance
mechanisms. Many of our competitors have considerably greater
financial resources and higher A.M. Best Company ratings than we
have. We believe that the principal competitive factors in all
of our insurance segments are service quality, name recognition,
breadth and flexibility of coverages, financial stability and,
to a lesser degree, price. We believe we compare favorably to
many of our competitors based on our excellent service to
customers, our close relationship with the medical community,
primarily through various medical societies, which affords us a
high degree of name recognition, our ability to customize
product features and programs to fit the needs of our customers
and our long history of financial stability. These factors will
vary by state based on the relative strength of our competitors
in each market.
An insurance companys rating, and in particular its A.M.
Best rating, is a potential source of competitive advantage or
disadvantage in the marketplace. Although our rating downgrades
in 2003 and 2004 may negatively affect our ability to compete in
the future, the reduction of our A.M. Best rating has not had a
material adverse impact on our business to date.
Segment Information
See Note 21 of the Notes to Consolidated Financial
Statements contained elsewhere in this report for information
regarding our business segments. Such information is
incorporated herein by reference.
Insurance Regulatory Matters
General. Insurance companies are subject to supervision
and regulation relating to numerous aspects of their business
and financial condition in the states in which they transact
business. The nature and extent of such regulation varies from
jurisdiction to jurisdiction. Our Michigan insurance companies,
for example, are subject to supervision and regulation by the
Office of Financial and Insurance Services for the State of
Michigan, OFIS, and other state departments of insurance. These
regulators establish standards of solvency, licenses insurers
and agents, establishes guidelines for investments by insurers,
reviews premium rates, reviews the provisions which insurers
must make for current losses and future liabilities, reviews
transactions involving a change in control and requires the
filing of periodic reports relating to financial condition. In
addition, state regulatory examiners, including OFIS, perform
periodic financial examinations of insurance companies. Such
regulation is generally intended for the protection of
policyholders rather than shareholders.
11
Our insurance subsidiaries together are licensed to write
insurance in a total of 33 states and are eligible to write
excess and surplus lines in 19 states. However, we
currently write excess and surplus business in only 7 of the
states where we are licensed or eligible. Our current focus of
operations is on our existing states.
Holding Company Regulation. Most states, including
Michigan, have enacted legislation that regulates insurance
holding company systems such as ours. Each insurance company in
a holding company system is required to register with the
insurance supervisory agency of its state of domicile and
furnish information concerning the operations of companies
within the holding company system that may materially affect the
operations, management or financial condition of the insurers
within the system. These laws permit OFIS or any other relevant
insurance departments to examine APCapitals insurance
subsidiaries at any time, to require disclosure of material
transactions between APCapital and its insurance subsidiaries,
and to require prior approval of sales or purchases of a
material amount of assets and the payment of extraordinary
dividends. OFIS conducted a financial examination as of
December 31, 2003 of each of our three insurance
subsidiaries. No adjustments were proposed as a result of the
examinations.
Holding company laws also limit the amount of dividends payable
by insurance subsidiaries to the parent company. Under Michigan
law, the maximum dividend that may be paid to APCapital from its
insurance subsidiaries during any twelve-month period, without
prior approval of OFIS, is the greater of 10% of each insurance
companys statutory surplus, as reported on the most recent
annual statement filed with OFIS, or the statutory net income,
excluding realized gains, for the period covered by such annual
statement. At December 31, 2004, the amount available for
payment of dividends without the prior approval of OFIS was
approximately $20.6 million.
Change of Control. The Michigan Insurance Code requires
that OFIS receive prior notice of and approve a change of
control for APCapital or any of its Michigan-domiciled insurance
subsidiaries. The Michigan Insurance Code contains a complete
definition of control. In simplified terms, a
person, corporation, or other entity would obtain
control of American Physicians or APCapital if they
possessed, had a right to acquire possession, or had the power
to direct any other person acquiring possession, directly or
indirectly, of 10% or more of the voting securities of either
company. In addition, our plan of conversion provides that no
one may acquire more than 5% of the common shares outstanding of
APCapital before December 13, 2005 without OFIS approval.
To obtain approval for a change of control, the proposed
acquirer must file an application with OFIS containing detailed
information such as the identity and background of the acquirer
and its affiliates, the sources of and amount of funds to be
used to effect the acquisition, and financial information
regarding the proposed acquirer.
Risk-Based Capital Requirements. In addition to other
state-imposed insurance laws and regulations, OFIS enforces
requirements developed by the National Association of Insurance
Commissioners, or NAIC, that require insurance companies to
calculate and report information under a risk-based formula that
attempts to measure capital and surplus needs based on the risks
in a companys mix of products and investment portfolio.
Under the formula, we first determine our risk-based capital
base level by taking into account risks with respect to our
assets and underwriting risks relating to our liabilities and
obligations. We then compare our total adjusted
capital to the base level. Our total adjusted
capital is determined by subtracting our liabilities from
our assets in accordance with rules established by OFIS. A ratio
of total adjusted capital to risk-based capital of less than 2.0
may give rise to enhanced regulatory scrutiny or even a
regulatory takeover of the insurer, depending on the extent to
which the ratio is less than 2.0.
The ratio for our primary insurance subsidiary, American
Physicians, has always exceeded 2.0 in the past, but there can
be no assurance that the requirements applicable to American
Physicians will not increase in the future. As of
December 31, 2004, American Physicians risk-based
capital base level was $42.7 million and its total adjusted
capital was $200.1 million, for a ratio of 4.7. The ratio
of risk-based capital to total adjusted capital for our other
two insurance subsidiaries, APSpecialty and Insurance
Corporation of America, was 51.3 and 3.2 respectively, at
December 31, 2004.
IRIS Requirements. The NAIC has also developed a set of
financial ratios, referred to as the Insurance Regulatory
Information System, or IRIS, for use by state insurance
regulators in monitoring the financial condition of insurance
companies. The NAIC has established an acceptable range of
values for each of the
12
IRIS financial ratios. Generally, an insurance company will
become the subject of increased scrutiny when four or more of
its IRIS ratio results fall outside the range deemed acceptable
by the NAIC. The nature of increased regulatory scrutiny
resulting from IRIS ratio results outside the acceptable range
is subject to the judgment of the applicable state insurance
department, but generally will result in accelerated reviews of
annual and quarterly filings.
In 2004, our insurance company subsidiaries generated certain
ratios that varied from values within the NAICs acceptable
range. The variations and reasons for the variations are set
forth in the table below:
|
|
|
|
|
|
|
|
Ratios by Company |
|
Usual Range |
|
Value | |
|
|
|
|
| |
Company: APSpecialty Insurance Corporation
|
|
|
|
|
|
|
|
Change in net writings
|
|
<33% and> -33% |
|
|
999.0% |
(1) |
|
Company: Insurance Corporation of America
|
|
|
|
|
|
|
|
Change in net writings
|
|
<33% and> -33% |
|
|
-99.0% |
(2) |
|
Two-year overall operating ratio
|
|
<100% |
|
|
119.0% |
(3) |
|
Change in policyholders surplus
|
|
<50% and> -10% |
|
|
-23.0% |
(4) |
|
One-year reserve development to policyholders surplus
|
|
<20% |
|
|
90.0% |
(5) |
|
Two-year reserve development to policyholders surplus
|
|
<20% |
|
|
147.0% |
(5) |
|
Company: American Physicians Assurance Corporation
|
|
|
|
|
|
|
|
Change in net writings
|
|
<33% or> -33% |
|
|
37.0% |
(6) |
|
Two-year overall operating ratio
|
|
<100% |
|
|
102.0% |
(7) |
|
Change in policyholders surplus
|
|
<50% and> -10% |
|
|
30.0% |
(8) |
|
Two-year reserve development to policyholders surplus
|
|
<20% |
|
|
30.0% |
(9) |
|
|
(1) |
The increase in APSpecialtys net premiums written is
primarily the result of a 2003 novation that resulted in certain
reserve and unearned premium balances being transferred to its
sister companies, ICA and American Physicians. The novation,
which is an outright transfer of the rights and obligations
associated with the policies affected, was completed to align
the Companys major lines of business within specific
insurance companies. In connection with the novation, written
and earned premiums equal to the novated reserve and unearned
premium balances were also transferred, which resulted in a
reduction of net premiums written of $1.8 million. Without
the effects of the novation, the results of this ratio would
have been 24%, which is within the normal range. |
|
(2) |
This ratio is outside of the acceptable range due to
discontinuing the workers compensation line beginning in 2003,
as well as the additional $79.0 million in net premiums
written recorded as a result of the novation described above. |
|
(3) |
ICAs two year operating ratio is elevated because of
$12.8 million adverse development reported for
workers compensation, and is further complicated by the
2003 novation. When the balances were novated, losses equal to
the reserves transferred were incurred along with an equal
amount of earned premiums, which resulted in a loss ratio of
100% on a significant portion of ICAs business recorded
during 2003. |
|
(4) |
The decrease in ICAs statutory surplus was primarily the
result of an operating loss for the workers compensation
line of business. The ratio would have been worse without the
fourth quarter surplus contribution of $4.0 million from
APCapital, ICAs parent company. |
|
(5) |
The one-year and two-year reserve development to surplus ratios
are outside the usual range due to the Companys
recognition of $12.8 million adverse development in
workers compensation, particularly in the 2000 to 2002
accident years. The two year ratio is further impacted by the
2003 novation because almost all of the Companys
workers compensation reserves are now reported on ICA,
development attributed to this line is also reported on ICA. The
two year reserve development compares reserves for accident
years 2002 and prior to surplus as of December 31, 2002.
ICAs December 31, 2002 surplus, which was used as the
denominator in the calculation, was not proportionate to the
December 31, 2002 |
13
|
|
|
workers compensation reserves, and the corresponding
potential for adverse development, which was one of the primary
reasons an additional $15 million of surplus was
contributed to ICA in 2003. If ICAs December 31, 2003
surplus were used as the denominator in the calculation, the
resulting two-year development ratio would have been 75%, which
is explained primarily by the adverse development in
workers compensation. |
|
(6) |
The change in net writings ratio value of 37% is primarily the
result of the 2003 novation discussed above, which resulted in a
reduction of American Physicians net premium writings in 2003
related to novated balances of approximately $77.3 million.
Had net premiums written not been reduced in 2003 as a result of
the novation, the ratio would have been -13%, which is well
within the NAICs usual range. |
|
(7) |
The two year overall operating result ratio value of 102% is
primarily the result of a two year loss ratio of approximately
100%. The unusually high loss ratio is a factor of
(a) adverse development on prior year loss reserves of
approximately $46.4 million in 2003, and (b) a
decrease in net premiums earned during 2003 of approximately
$57.4 million related to the intercompany novation. |
|
(8) |
The increase in American Physicians statutory surplus was
primarily the result of a cash surplus contribution of
$25 million in January 2004 from its parent, APCapital. In
addition, effective March 31, 2004, APCapital contributed
all of the outstanding common stock of its subsidiary
APSpecialty to American Physicians. The contribution of
APSpecialtys common stock resulted in a $20.5 million
increase in American Physicians surplus. |
|
(9) |
The two year reserve development to surplus ratio value is
outside of the usual range as a result of the significant
adverse development on prior year loss reserves in 2003 related
to the medical professional liability line of business. |
Guaranty Fund. We participate in various guaranty
associations in the states in which we write business that
protect policyholders and claimants against losses due to
insolvency of insurers. When an insolvency occurs, the
associations are authorized to assess member companies up to the
amount of the shortfall of funds, including expenses. Member
companies are assessed based on the type and amount of insurance
written during the previous calendar year.
We make estimated accruals for our portion of the assessments as
information becomes available.
Employees
As of December 31, 2004, we had 169 employees. None of the
employees are covered by a collective bargaining unit and we
believe that employee relations are good.
Filings Under the Securities Exchange Act of 1934
Our website address is www.apcapital.com. All of our reports
filed under the Securities Exchange Act of 1934 are available
free of charge at our website promptly after they are filed. In
addition, the Companys code of ethics covering directors,
officers and other employees is also available on our website.
Uncertainties Relating To Forward-Looking Statements
We make forward-looking statements in this report and may make
such statements in future filings with the Securities and
Exchange Commission. We may also make forward-looking statements
in our press releases or other public or shareholder
communications. Our forward-looking statements are subject to
risks and uncertainties and include information about our
expectations and possible or assumed future results of our
operations. When we use any of the words believes,
expects, anticipates,
estimates or similar expressions, we are making
forward-looking statements.
We claim the protection of the safe harbor for forward-looking
statements contained in the Private Securities Litigation Reform
Act of 1995 for all of our forward-looking statements. While we
believe that our forward-looking statements are reasonable, you
should not place undue reliance on any such forward-looking
statements, which speak only as of the date made. Because these
forward-looking statements are based on estimates and
assumptions that are subject to significant business, economic
and competitive uncertainties,
14
many of which are beyond our control or are subject to change,
actual results could be materially different. Factors that might
cause such a difference include the following:
|
|
|
|
|
The process of estimating the reserves for unpaid losses and
loss adjustment expenses involves significant judgment and is
complex and imprecise due to the number of variables and
assumptions inherent in the estimation process. These variables
include the effects on ultimate loss payments of internal
factors such as changes in claims handling practices and changes
in the mix of our products, as well as external factors such as
changes in loss severity trends, economic inflation, judicial
trends and legislative and regulatory changes. In addition,
medical professional liability claims may take several years to
resolve due to typical delays in reporting claims to us, the
often lengthy discovery process, and the time necessary to
defend the claim. Also, claims with similar characteristics may
result in very different ultimate losses depending on the state
or region where the claim occurred. All of these factors
contribute to the variability in estimating ultimate loss
payments, especially since the effects of many of these
variables cannot be directly quantified, particularly on a
prospective basis. The assumptions and methodologies used in
estimating and establishing the reserve for unpaid losses and
loss adjustment expenses are continually reviewed and any
adjustments are reflected as income or expense in the period in
which the adjustment is made. Any such adjustments could
materially and adversely affect our results of operations for
the period with respect to which the adjustment is made. Due to
the current volatility of losses in the medical professional
liability and workers compensation industries, adjustments
have occurred in each of the last several years, and additional
adjustments may occur in the future. |
|
|
|
A deterioration in the current accident year experience could
result in a portion or all of our deferred policy acquisition
costs not being recoverable, which would result in a charge to
income. |
|
|
|
Our exit from various markets and lines of business, including
without limitation our exit from, the workers
compensation, health and personal and commercial lines of
business, as well as various geographic markets, could result in
future charges to income due to unforeseen costs or the need for
unanticipated reserve enhancements. Additional reserve
enhancements may be necessary due to the volatility of loss
reserves on these run-off lines. Run-off lines typically have
increased volatility as paid claim trends often emerge
differently than those that have been historically indicated,
thus increasing the uncertainty inherent in reserve estimates,
especially on longer-tailed lines such as workers
compensation. |
|
|
|
If we are unable to timely and effectively convert data from our
New Mexico policy administration information system to the same
system as used for the underwriting and claims function in our
other locations, underwriting and claim controls related to our
New Mexico operations may continue to operate ineffectively. As
a result, errors or inaccuracies in our processing and recording
of premiums, paid losses and loss adjustment expenses and case
reserves may not be detected on a timely basis. Although we are
taking steps to remediate these control deficiencies, there can
be no assurance that we will be effective in doing so. If our
remediation efforts are unsuccessful, there will continue to be
a more than remote likelihood that a material misstatement in
our financial statements relating to our New Mexico operation
will not be detected. |
|
|
|
Substantial jury awards against our insureds could impose
liability on us exceeding our policy limits or the funds we have
reserved for the payment of claims. |
|
|
|
Tort reform is currently being considered in various forms by
Congress. If enacted, such reform could preempt state tort
reforms currently in effect in the markets in which we do
business. If federal reforms are less favorable than those
currently in place in our markets, such reforms could have a
material adverse effect on our business. |
|
|
|
If the marketplace puts pressure on pricing increases, we may
not be able to obtain expected rate increases. |
|
|
|
If competitive or other conditions change, our revenues may
decrease or our expenses may increase. |
15
|
|
|
|
|
If we experience substantial increases in claims frequency or
severity patterns, our profitability may decline. |
|
|
|
We may be unable to collect the full amount of reinsurance
recoverable from PMA Capital Insurance Company and/or Converium
Reinsurance (NA), Inc., as well as our other reinsurers, if
their cash flow or surplus levels are inadequate to make claim
payments, which could result in a future charge to income. |
|
|
|
If reinsurance rates rise significantly or reinsurance from
creditworthy reinsurers becomes unavailable or reinsurers are
unable to pay our claims, our results of operations and
financial condition may be adversely affected. |
|
|
|
The concentration of our business in Michigan, Illinois, Ohio
and New Mexico leaves us vulnerable to various factors specific
to those states. |
|
|
|
If our current relationship with medical associations and
physicians does not continue, our ability to market our products
and compete successfully may be harmed. |
|
|
|
The passing of tort reform at a national level may have a
material adverse impact on our results of operations pertaining
to certain markets that currently have tort reform in place at
the state level. |
|
|
|
An interruption or change in our relationship with SCW Agency
Group, an insurance sales agency that is principally owned by
our former President and CEO, could reduce our insurance
premiums and net income. This agency accounts for substantially
more of our medical professional liability premiums written than
any other agency. |
|
|
|
If any of the member companies in the various guaranty
associations in which we participate were to become insolvent,
we could be assessed by the relevant association in an amount
that could materially affect our financial condition or results
of operations. |
|
|
|
We may not be able to obtain regulatory approval for rate
increases, which may negatively affect our profitability. |
|
|
|
If we fail to comply with insurance industry regulations, or if
those regulations become more burdensome to us, we may not be
able to operate profitably. |
|
|
|
A reduction in our A.M. Best Company rating could make it more
difficult for us to sell our products. |
|
|
|
Changes in prevailing interest rates and other negative changes
in financial market conditions may reduce our revenues, cash
flows or assets, including the amount of unrealized gains on
investments shown on our balance sheet. |
|
|
|
An increase in short-term interest rates will increase our debt
service costs related to our variable rate long-term debt. |
|
|
|
Changes in current market conditions may adversely impact the
property value of real estate investments that we currently hold. |
|
|
|
A downturn in general economic conditions or significant
increase in inflation in the markets in which we compete could
negatively affect our profitability. |
Other factors not currently anticipated by management may also
materially and adversely affect our financial condition,
liquidity or results of operations. Except as required by
applicable law, we do not undertake, and expressly disclaim, any
obligation to publicly update or alter our statements whether as
a result of new information, events or circumstances occurring
after the date of this report or otherwise.
We own our home office in East Lansing, Michigan which comprises
approximately 89,000 square feet. In addition, we lease
office space as needed in our major markets to provide a local
presence. Our leases tend to be five to ten years in length. We
currently lease a total of approximately 45,000 square feet
of space in
16
Chicago, Illinois; Louisville, Kentucky; Boca Raton, Florida;
Eden Prairie, Minnesota; and Albuquerque, New Mexico. We
also own various real estate investment properties as part of
our investment portfolio. We have been successful subleasing the
majority of our leased office space in Chicago and Eden Prairie,
as that space is no longer needed as a result of our decision to
exit the workers compensation line of business.
|
|
Item 3. |
Legal Proceedings |
We are not currently subject to any material litigation. Though
we have many routine litigation matters in the ordinary course
of our insurance business, we do not expect these cases to have
a material adverse effect on our financial condition and results
of operations.
On December 30, 2003 an February 20, 2004, separate
putative shareholder class action complaints were filed in
United States District Court for the Western District of
Michigan against the Company, its former President and Chief
Executive Officer, and its Chief Financial Officer. The
complaints alleged violations of federal securities laws for
certain disclosures made by the Company between
February 13, 2003 and November 6, 2003 regarding its
operating results and the adequacy of its reserves, and each
sought monetary damages in an unspecified amount. On
March 23, 2004, the Court dismissed the first case and
entered an Order approving a lead plaintiff in the second case.
A consolidated amended complaint was filed by the lead plaintiff
on May 7, 2004. On June 28, 2004, the Company and the
individual defendants filed a motion to dismiss the complaint.
The motion was successful and the complaint was dismissed with
prejudice on January 12, 2005, and no appeal was filed
prior to the now expired deadline.
|
|
Item 4. |
Submission of Matters to a Vote of Security Holders |
No matters were submitted to a vote of shareholders during the
three months ended December 31, 2004.
PART II
|
|
Item 5. |
Market Price for Registrants Common Equity, Related
Stockholder Matters and Issuer Purchases of Equity
Securities |
The following table sets forth the high and low sale price per
share of the common stock as reported on the Nasdaq Stock
Markets National Market for the periods indicated.
|
|
|
|
|
|
|
|
|
|
|
Sale Price | |
|
|
| |
|
|
High | |
|
Low | |
|
|
| |
|
| |
2004
|
|
|
|
|
|
|
|
|
October 1 December 31, 2004
|
|
$ |
37.99 |
|
|
$ |
30.00 |
|
July 1 September 30, 2004
|
|
|
31.83 |
|
|
|
22.69 |
|
April 1 June 30, 2004
|
|
|
25.60 |
|
|
|
20.50 |
|
January 1 March 31, 2004
|
|
|
22.22 |
|
|
|
16.60 |
|
2003
|
|
|
|
|
|
|
|
|
October 1 December 31, 2003
|
|
$ |
28.95 |
|
|
$ |
15.44 |
|
July 1 September 30, 2003
|
|
|
29.22 |
|
|
|
23.92 |
|
April 1 June 30, 2003
|
|
|
25.79 |
|
|
|
20.59 |
|
January 1 March 31, 2003
|
|
|
22.88 |
|
|
|
18.30 |
|
We have never paid a cash dividend and currently do not intend
to pay cash dividends in the future. Our ability to pay
dividends may be contingent on the receipt of cash dividends
from our subsidiaries. The payment of any dividends from our
insurance subsidiaries to APCapital is subject to a number of
regulatory conditions described above under Item 1.
Business Insurance Regulatory Matters. In
addition, under the documents relating to the debentures issued
by APCapital, we would not be able to pay dividends during any
period during which we delay, pursuant to our rights under those
documents, our obligation to pay interest payments
17
to the related trusts. See Note 9 of the Notes to
Consolidated Financial Statements for further information
regarding these debentures.
As of January 31, 2005, there were 189 shareholders of
record and approximately 5,400 beneficial shareholders of our
common stock, based on the records of our transfer agent and
securities listing information.
The Company has a Stock Compensation Plan pursuant to which it
grants stock options and other stock-based compensation to
employees, officers and directors. The Stock Compensation Plan
was approved by the shareholder in 2000 prior to the
Companys initial public offering. The following table sets
forth, with respect to the Stock Compensation Plan, as of
December 31, 2004, (a) the number of shares of common
stock to be issued upon the exercise of outstanding options,
(b) the weighted average exercise price of outstanding
options, and (c) the number of shares remaining available
for future issuance.
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity Compensation Plans | |
| |
|
|
Number of shares | |
|
|
remaining available for | |
|
|
Number of shares to | |
|
|
|
future issuance under | |
|
|
be issued upon | |
|
Weighted-average | |
|
equity compensation | |
|
|
exercise of | |
|
exercise price of | |
|
plans (excluding shares | |
Plan Category |
|
outstanding options | |
|
outstanding options | |
|
reflected in column (a)) | |
|
|
| |
|
| |
|
| |
|
|
(a) | |
|
(b) | |
|
(c) | |
Equity compensation plans approved by shareholders:
|
|
|
519,436 |
|
|
$ |
18.71 |
|
|
|
94,048 |
|
Equity compensation plans not approved by shareholders:
|
|
|
|
|
|
|
|
|
|
|
|
|
The Company may from time to time repurchase shares of its
outstanding common stock. The Companys repurchase of any
of its shares is subject to limitations that may be imposed by
applicable laws and regulations and rules of the Nasdaq Stock
Market. The timing of the purchase and the number of shares to
be bought at any one time depend on market conditions and the
Companys capital requirements. There were no shares
repurchased during the year ended December 31, 2004 as part
of a publicly announced plan. The following table sets forth
(a) the number of shares repurchased, (b) the average
price paid per share, (c) the total number of shares
purchased as part of publicly announced plans, and (d) the
maximum number of shares that may yet be purchased under the
plans.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total | |
|
|
|
Total Number of | |
|
Maximum Number | |
|
|
Number of | |
|
Average | |
|
Shares Purchased | |
|
of Shares that May | |
|
|
Shares | |
|
Price Paid | |
|
as Part of Publicly | |
|
Yet Be Purchased | |
|
|
Purchased(1) | |
|
per Share | |
|
Announced Plans | |
|
Under the Plans(2) | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(a) | |
|
(b) | |
|
(c) | |
|
(d) | |
For the month ended
October 31, 2004
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
418,369 |
|
For the month ended November 30, 2004
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
418,369 |
|
For the month ended December 31, 2004
|
|
|
166,017 |
|
|
$ |
32.85 |
|
|
|
|
|
|
|
418,369 |
|
For the three months ended December 31, 2004
|
|
|
166,017 |
|
|
$ |
32.85 |
|
|
|
|
|
|
|
418,369 |
|
For the year ended
December 31, 2004
|
|
|
166,017 |
|
|
$ |
32.85 |
|
|
|
|
|
|
|
418,369 |
|
|
|
(1) |
In December 2004, Mr. Cheeseman, the Companys former
President and Chief Executive Officer, exercised 290,614 stock
options. As permitted by the Plan (see Note 17 of the Notes
to Consolidated Financial Statements), Mr. Cheeseman
tendered mature shares in lieu of a cash payment. |
|
(2) |
On September 11, 2003, APCapitals Board of Directors
authorized the Company to purchase an additional
500,000 shares of its outstanding common stock. There is no
expiration date with respect to this authorization. This brings
the total number of shares authorized to be repurchased under
publicly announced plans to 3,615,439, of which, 3,197,070 have
been purchased at an average price per share of $18.89. |
18
|
|
Item 6. |
Selected Financial Data |
The following selected financial data, other than the selected
statutory data, are derived from our Consolidated Financial
Statements which were prepared in accordance with GAAP. The data
should be read in conjunction with the Consolidated Financial
Statements, related Notes and other financial information
included elsewhere in this report. The selected statutory data
are derived from our annual statements which were prepared in
accordance with statutory accounting practices as required by
insurance regulatory authorities. See Note 20 of the Notes
to Consolidated Financial Statements for a discussion of the
principal differences between GAAP and statutory accounting
practices. Such information is incorporated herein by reference.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002(a) | |
|
2001 | |
|
2000 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands, except per share data) | |
Revenue:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Direct premiums written
|
|
$ |
213,945 |
|
|
$ |
256,235 |
|
|
$ |
266,260 |
|
|
$ |
230,765 |
|
|
$ |
203,169 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net premiums written
|
|
$ |
186,431 |
|
|
$ |
224,647 |
|
|
$ |
238,417 |
|
|
$ |
208,779 |
|
|
$ |
187,076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net premiums earned
|
|
$ |
200,579 |
|
|
$ |
224,590 |
|
|
$ |
235,551 |
|
|
$ |
202,371 |
|
|
$ |
180,342 |
|
|
Investment income
|
|
|
47,373 |
|
|
|
43,294 |
|
|
|
44,775 |
|
|
|
47,883 |
|
|
|
36,784 |
|
|
Net realized gains (losses)
|
|
|
1,551 |
|
|
|
2,403 |
|
|
|
(163 |
) |
|
|
(5,651 |
) |
|
|
1,164 |
|
|
Other income
|
|
|
1,177 |
|
|
|
1,104 |
|
|
|
376 |
|
|
|
546 |
|
|
|
2,428 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues and other income
|
|
|
250,680 |
|
|
|
271,391 |
|
|
|
280,539 |
|
|
|
245,149 |
|
|
|
220,718 |
|
Losses and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Losses and loss adjustment expenses
|
|
|
177,786 |
|
|
|
252,742 |
|
|
|
242,028 |
|
|
|
257,848 |
|
|
|
153,518 |
|
|
Underwriting expenses
|
|
|
42,681 |
|
|
|
51,104 |
|
|
|
48,593 |
|
|
|
45,111 |
|
|
|
42,158 |
|
|
Investment expenses
|
|
|
2,460 |
|
|
|
2,940 |
|
|
|
2,515 |
|
|
|
1,788 |
|
|
|
2,978 |
|
|
Interest expense
|
|
|
1,714 |
|
|
|
1,370 |
|
|
|
373 |
|
|
|
400 |
|
|
|
716 |
|
|
Amortization expense
|
|
|
1,096 |
|
|
|
389 |
|
|
|
|
|
|
|
2,514 |
|
|
|
2,328 |
|
|
Other expenses
|
|
|
5,193 |
|
|
|
3,729 |
|
|
|
1,971 |
|
|
|
4,718 |
|
|
|
2,275 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total losses and expenses
|
|
|
230,930 |
|
|
|
312,274 |
|
|
|
295,480 |
|
|
|
312,379 |
|
|
|
203,973 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before federal income tax (benefit) expense and
minority interest and cumulative effect of a change in
accounting principle
|
|
|
19,750 |
|
|
|
(40,883 |
) |
|
|
(14,941 |
) |
|
|
(67,230 |
) |
|
|
16,745 |
|
|
Federal income tax (benefit) expense
|
|
|
(290 |
) |
|
|
36,296 |
|
|
|
(5,529 |
) |
|
|
(23,450 |
) |
|
|
4,800 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before minority interest and cumulative effect of
a change in accounting principle
|
|
|
20,040 |
|
|
|
(77,179 |
) |
|
|
(9,412 |
) |
|
|
(43,780 |
) |
|
|
11,945 |
|
|
Minority interest in consolidated subsidiary
|
|
|
(10 |
) |
|
|
348 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before cumulative effect of a change in accounting
principle
|
|
|
20,030 |
|
|
|
(76,831 |
) |
|
|
(9,412 |
) |
|
|
(43,780 |
) |
|
|
11,945 |
|
Cumulative effect of a change in accounting principle
|
|
|
|
|
|
|
|
|
|
|
(9,079 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
20,030 |
|
|
$ |
(76,831 |
) |
|
$ |
(18,491 |
) |
|
$ |
(43,780 |
) |
|
$ |
11,945 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) per share basic(b)
|
|
$ |
2.37 |
|
|
$ |
(9.02 |
) |
|
$ |
(1.98 |
) |
|
$ |
(3.95 |
) |
|
$ |
0.07 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) per share diluted(b)
|
|
$ |
2.30 |
|
|
$ |
(9.02 |
) |
|
$ |
(1.98 |
) |
|
$ |
(3.95 |
) |
|
$ |
0.07 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
|
Net loss for the year ended December 31, 2002 includes a
$9.1 million charge, net of tax, for the write-off of
goodwill related to the adoption of Statement of Financial
Accounting Standards No. 142
(SFAS No. 142), Goodwill and Other
Intangible Assets. In accordance with the transitional |
19
|
|
|
|
|
guidance given in SFAS No. 142, this write-off,
related to the adoption of the standard, was treated as a
cumulative effect of a change in accounting principle. |
|
(b) |
|
The weighted average shares outstanding for the years ended
December 31, 2004, 2003, 2002 and 2001, were 8,455,299,
8,520,335, 9,339,739 and 11,071,529 basic common shares,
respectively. The diluted weighted average shares outstanding as
of December 31, 2004 were 8,721,286. As the Company was in
a net loss position for the years ended December 31, 2003,
2002 and 2001, no effect of awards or options were calculated as
the impact would have been anti-dilutive. The weighted average
shares outstanding for the period from December 13, 2000,
the date of the conversion, to December 31, 2000 were
11,134,981 basic common shares and 11,260,797 common shares
assuming dilution. There were no cash dividends declared during
the periods presented. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
At or For the Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
2001 | |
|
2000 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
Balance Sheet Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total cash and investments
|
|
$ |
858,098 |
|
|
$ |
834,005 |
|
|
$ |
801,556 |
|
|
$ |
752,508 |
|
|
$ |
762,023 |
|
|
Total assets
|
|
|
1,069,899 |
|
|
|
1,063,046 |
|
|
|
1,058,918 |
|
|
|
1,038,917 |
|
|
|
977,976 |
|
|
Total liabilities
|
|
|
865,575 |
|
|
|
859,037 |
|
|
|
778,629 |
|
|
|
731,952 |
|
|
|
608,551 |
|
|
Total GAAP shareholders equity(a)
|
|
|
202,124 |
|
|
|
201,808 |
|
|
|
280,289 |
|
|
|
306,965 |
|
|
|
369,425 |
|
GAAP Ratios:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio
|
|
|
88.6 |
% |
|
|
112.5 |
% |
|
|
102.7 |
% |
|
|
127.4 |
% |
|
|
85.1 |
% |
|
Underwriting expense ratio
|
|
|
21.3 |
|
|
|
22.8 |
|
|
|
20.6 |
|
|
|
22.3 |
|
|
|
23.4 |
|
|
Combined ratio
|
|
|
109.9 |
|
|
|
135.3 |
|
|
|
123.3 |
|
|
|
149.7 |
|
|
|
108.5 |
|
Statutory Data
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio
|
|
|
88.6 |
% |
|
|
112.5 |
% |
|
|
103.2 |
% |
|
|
131.1 |
% |
|
|
85.2 |
% |
|
Underwriting expense ratio(b)
|
|
|
23.8 |
|
|
|
23.3 |
|
|
|
20.9 |
|
|
|
24.3 |
|
|
|
24.7 |
|
|
Combined ratio
|
|
|
112.4 |
|
|
|
135.8 |
|
|
|
124.1 |
|
|
|
155.4 |
|
|
|
109.9 |
|
|
Surplus
|
|
$ |
210,874 |
|
|
$ |
150,270 |
|
|
$ |
190,216 |
|
|
$ |
203,069 |
|
|
$ |
246,089 |
|
|
Ratio of statutory net premiums written to surplus
|
|
|
0.87 |
x |
|
|
1.49 |
x |
|
|
1.25 |
x |
|
|
1.03 |
x |
|
|
0.76 |
x |
|
|
|
(a) |
|
No dividends were paid during the periods presented. |
|
(b) |
|
The statutory underwriting expense ratio is calculated by
dividing statutory underwriting expenses by net premiums written
as opposed to the GAAP underwriting expense ratio, which uses
net premiums earned as the denominator. |
|
|
Item 7. |
Managements Discussion and Analysis of Financial
Condition and Results of Operations |
The following discussion and analysis should be read in
conjunction with the Consolidated Financial Statements and the
Notes thereto included elsewhere in this report. The discussion
that follows contains certain forward-looking statements
relating to our anticipated future financial condition,
operating results, cash flows and our current business plans.
When we use any of the words will,
should, likely, believes,
expects, anticipates,
estimates or similar expressions, we are making
forward looking statements. These forward-looking statements
represent our outlook only as of the date of this report. While
we believe any forward-looking statements we have made are
reasonable, actual results could differ materially since the
statements are based on our current expectations and are subject
to risks and uncertainties. These risks and uncertainties are
detailed under Item 1
Business Uncertainties Relating to Forward Looking
Statements and elsewhere in this report and from time to
time in other reports we have filed with the Securities and
Exchange Commission. The cross-referenced information is
incorporated herein by reference.
20
Overview of APCapitals Operations
We are a leading provider of medical professional liability
insurance coverage, writing this coverage in 13 states
throughout the country, although we focus on the upper Midwest
and New Mexico. This insurance coverage protects physicians and
other health providers from claims filed against them for
alleged acts of medical malpractice. Medical professional
liability insurance represented 95% of our direct premiums
written in 2004. In the fourth quarter of 2003, the Company
began to implement plans to exit our other lines of insurance,
workers compensation and health. We began non-renewing
these other insurance policies in 2004. In late 2003 and early
2004, we received downgrades in our financial strength rating
from A.M. Best. These downgrades, and their potential impact on
our business, are discussed more fully in
Item 1 Business A.M. Best
Company Rating, which information is incorporated herein
by reference.
The Economics of Property & Casualty Insurance
As a property and casualty insurer, our results of operations
are primarily driven by our underwriting results, which are
measured by subtracting incurred loss and loss adjustment
expenses and underwriting expenses from net premiums earned.
While this measure is a key performance indicator of an
insurance companys operations, it is not uncommon for a
property and casualty insurance company to generate an
underwriting loss, yet earn a profit overall, because of the
availability of investment income to offset the underwriting
loss.
An insurance company earns investment income on what is commonly
referred to as the float. The float is money that we
hold, in the form of investments, from premiums that we have
collected. Although most of these premiums will ultimately be
used to make claim payments and to pay for claims adjustment
expenses, the period of time that we hold the float prior to
paying losses can extend over several years. The key factors
that determine the amount of investment income we are able to
generate are: 1) the rate of return, or yield, on the
float, and 2) the amount of time we are able to hold the
float.
Most of the insurance policies we write have a one year policy
term. The written premiums associated with policies we write are
earned ratably over the year in which we provide insurance
coverage. This means that rate increases that we implement will
not be fully earned for up to 24 months as policyholders
who renewed immediately prior to the rate increase will not be
charged the higher rate for up to 12 months, and then those
premiums will take another 12 months to be fully earned.
Our loss experience is a major component of our results of
operations. When we receive notice of a claim that is covered
under a policy we have issued, our claims adjusters establish a
reserve for the expected cost to settle the claim, including
estimates of any related legal or other expenses associated with
resolving the claim. These reserves are referred to as
case basis reserves. In addition, at the end of each
reporting period, certain losses will have occurred that have
not been reported to us. Accordingly, we establish reserves for
such incurred but not reported, or IBNR, losses and related loss
adjustment expenses. Our incurred loss and loss adjustment
expenses represent any payments made to settle losses, including
related loss adjustment expense payments, as well as any change
in our case basis and IBNR reserves.
Paid and incurred losses give different pictures of our loss
experience, and examining both can help provide a better
understanding of our losses. Paid losses are the cash payments
we make in a given year, irrespective of the year in which the
claim giving rise to the payment occurred or was reported. Most
payments made in a given year are for claims that were reported
in previous years because of the extended amount of time
required to resolve a claim through litigation or settlement.
Incurred losses in any given year reflect our expectations of
the amount that will ultimately be paid on claims reported in
that year. Incurred losses in a single year, will also reflect
any adjustment we make to the expected amounts that must be paid
on claims reported during previous years, as well as any changes
in our estimates for IBNR.
Underwriting expenses represent costs associated with issuing
new and renewal business as well as ongoing policy maintenance
expenses. Some of these costs, such as commissions and premium
taxes, as well as a portion of the salaries related to our
underwriting staff, vary with and are primarily related to the
production of new and renewal business. These costs are deferred
and amortized over the related period in
21
which we earn the premiums associated with the business written.
Other costs that do not vary with the production of new and
renewal business are charged to income as incurred.
To ensure the security of our policyholders, we must maintain
assets in excess of total liabilities. This excess, or
surplus, is the principal measure used by state
insurance regulators, and rating agencies such as A.M. Best, to
evaluate the Companys financial strength. Medical
professional liability insurers generally attempt to keep this
surplus level approximately equal to their annual net premiums
written.
The Medical Professional Liability Insurance Market
The medical professional liability insurance business, like all
other property and casualty insurance markets, tends to cycle
through what are often referred to as hard and
soft markets. A hard market is generally
characterized as a period of rapidly rising premium rates,
tightened underwriting standards, narrowed coverage, and the
withdrawal of insurers from certain markets. Soft markets, are
usually characterized by relatively flat or slow-rising premium
rates, less stringent underwriting standards, expanded coverage
and strong competition among insurers. In the mid to late
1990s, the medical professional liability insurance
industry was generally viewed as being in a soft market.
However, since approximately 2001, the trend in medical
professional liability insurance has been towards a harder
market. Hard and soft market cycles tend to be more extreme in
the medical professional liability business than in other
insurance businesses because of the longer period of time
required to resolve medical malpractice claims.
The rising cost of medical professional liability insurance has
been prominent in the media in recent years. Several factors
have contributed to the recent premium rate increases such as an
increase in paid losses, decreased investment income due to
lower prevailing interest rates, reduced competition and
increased reinsurance rates.
The most significant factor contributing to the increase in
medical professional liability premiums in recent years is the
increase in average paid loss severity. To combat rising loss
costs, we have initiated several actions including:
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Exited unprofitable markets such as Florida and Nevada; |
|
|
|
Ceased writing occurrence-based policies in all markets with the
exception of Michigan, Indiana and New Mexico; |
|
|
|
Discontinued writing certain high-risk specialties; |
|
|
|
Implemented on-site risk management assessments on all new
business in Ohio, Kentucky and Illinois; |
|
|
|
Implemented a unique communication skills assessment in targeted
markets; and |
|
|
|
Reduced policy limits. |
Tort reform is another factor that affects our business. Tort
reform encompasses a variety of subject matters; however, the
one most critical to the medical professional liability
insurance market is limits on non-economic damages and punitive
damages. Historically, tort reform has occurred on a state by
state basis. Accordingly, losses can vary dramatically by state
depending on the level of tort reform the state has enacted. We
monitor state tort reform closely and evaluate any changes for
impacts on our current business strategies and estimated loss
reserves. Tort reform is currently being considered in various
forms by Congress. If enacted, such reform could preempt state
tort reforms currently in effect in the markets in which we do
business. If federal reforms are less favorable than those
currently in place in our markets, such reforms could have a
material adverse effect on our business.
Anticipated losses will generally be the primary determinant of
premium rates. We establish medical professional liability
premium base rates for particular medical specialties within a
given state and sometimes for a specific geographic region
within a state. We also offer discounts or add surcharges for
particular policyholder characteristics, such as claims history
or participation in any risk-management programs. Our premium
rates are based on anticipated losses on claims and related
expenses, expected investment income,
22
our surplus needs, and the desire to earn a reasonable profit
for shareholders. In most states, however, insurance regulators
have the authority to approve or deny proposed premium rate
changes.
Medical professional liability insurance can be written on both
a claims-made and an occurrence basis. Claims-made policies,
which are the most common, cover claims reported during the year
in which the policy is in effect. Occurrence-based policies
cover claims arising out of events that have occurred during the
year in which the policy was in effect, regardless of when they
are reported. During the last three years, approximately 70% of
our medical professional liability direct premiums represented
claims-made policies, with the remainder representing
occurrence-based policies. Although we have discontinued writing
occurrence based policies in certain states and markets, we have
not seen an overall decrease in occurrence based premiums as a
result of premium rate increases in New Mexico, where we are
required to write occurrence based policies by law, and in other
states such as Michigan.
Accurately predicting losses on medical professional liability
claims is difficult for several reasons. First, most medical
professional liability claims take several years to resolve.
This often lengthy resolution period reflects the time needed
for the discovery of the medical malpractice, which is often not
reported to the insured immediately, the filing of a claim,
determining, through settlement or trial, the payment
responsibilities, if any, associated with the claim, and the
payment of the claim. As a result, we often must estimate the
ultimate cost to settle a claim, including related expenses,
several years in advance of payment. Second, the range of the
ultimate potential loss can vary significantly for individual
claims with similar characteristics, making it difficult to
predict the ultimate loss associated with any single claim.
Third, the ultimate projected loss is based, in part, on
actuarial methodologies using relevant historical data, which in
some cases may be limited. We review our estimates quarterly,
and as facts and patterns emerge that provide us with more
relevant information related to projection of ultimate expected
loss costs, we adjust our estimates related to the liability for
unpaid loss and loss adjustment expenses, with the change in
estimates resulting in either an increase or decrease in
incurred loss and loss adjustment expenses for the current
period.
As with other types of property and casualty insurance, medical
professional liability insurance policies are subject to policy
limits. The limits of liability purchased by our medical
professional liability policyholders differ by state. In
Michigan and New Mexico, the most common limits purchased are
$200,000 of coverage per claim and $600,000 of aggregate
coverage per year. In all other states in which we write
business, the most common policy limits purchased are
$1 million/$3 million, and we write no policies with
limits in excess of $2 million/$4 million.
Important Agency Relationship
The principal agency through which we write medical professional
liability insurance is SCW Agency Group, Inc. and its wholly
owned subsidiaries, collectively referred to as SCW. SCW is
principally owned by William B. Cheeseman, our former president
and chief executive officer and director. Mr. Cheeseman
received no cash or other compensation, dividends or other
distribution from SCW while he was employed by the Company. His
only benefit from his ownership interest in SCW while he was an
employee of the Company was the potential appreciation of his
investment in SCW. If SCW increases the amount of business it
writes for us, SCW will earn more commission revenue from us. To
the extent the increase in commission revenue we pay SCW
increases SCWs profits, Mr. Cheesemans
ownership interest may appreciate. Following his retirement from
APCapital on December 31, 2003, Mr. Cheeseman took a
more active role in SCW as an employee of that company.
Mr. Cheeseman ceased to be a director of APCapital
following its 2004 annual meeting of shareholders.
SCW has been a significant agent for us for many years. The
commission rates we have paid to SCW have been either the same
or less than the commission rates we paid to our other agents.
In addition, with limited exceptions, the only medical
professional liability insurance sold by SCW in Michigan was
written by the Company. We are not required to sell insurance
solely through SCW. We believe these factors have created a more
favorable agency relationship for us than we have with our other
agents.
Commissions SCW receives on premiums it writes for
APCapitals insurance subsidiaries typically account for
65% to 75% of its revenues. Direct premiums written for us by
SCW during 2004, 2003 and 2002
23
totaled $74,372,000, $75,270,000, and $70,810,000, respectively,
representing 34.8%, 29.4%, and 26.6% of the Companys
direct premiums written during such years. Commission expense we
incurred related to SCW approximated $5,776,000, $5,962,000, and
$5,560,000 in 2004, 2003 and 2002, respectively.
Based on financial information made available to us, we estimate
SCWs net profits on the commission revenue earned from us
in 2004 to be approximately $1.2 million. We have not
attempted to independently audit or verify the information SCW
has furnished, although we have no reason to believe it is
inaccurate. For purposes of this disclosure, we have estimated
the net profits that SCW earned on the revenue received from us
by calculating the profit percentage that SCWs net profits
bears to its total revenue in 2004 and applying that percentage
to the revenue earned from us.
Prior to Mr. Cheesemans retirement, there were
various safeguards to protect the Company from actual or
potential conflicts of interest arising from this relationship.
Mr. Cheeseman was prohibited from acting as a director,
officer or employee of SCW and, pursuant to Company policy, did
not participate in day-to-day discussions between the Company
and SCW or in decisions about whether to underwrite business
proposed to be written by SCW prior to his retirement. Moreover,
we applied and continue to apply the same underwriting rating
rules to business written by SCW as we apply to business written
by other agencies. These underwriting rating rules are generally
filed with the regulatory agencies in the various states in
which we do business and are established solely by the Company
in order to control the quality of business submitted by all
agents, including SCW. We also monitor our loss experience on
the business written by our agents, including SCW.
In January 2004, we completed a new 5-year contract with SCW.
The agreement provides for American Physicians to continue to be
the exclusive medical professional liability carrier SCW
represents in the state of Michigan, subject to limited
exceptions, such as a downgrade of our A.M. Best rating.
However, we continue to have the right to appoint other agents.
SCW may continue to represent other insurance companies in
states other than Michigan. The contract provides for SCW to be
paid commissions consistent with the marketplace. The terms of
the new agency agreement were determined by negotiations between
our management staff and SCWs management, and under the
review of independent consultants, and ultimately approved by
our board of directors. In rendering its approval, the board of
directors considered the fairness of the agreed rates and
determined that they were fair to the Company based on an
evaluation of market rates and agreements between the Company
and its other agents, among other considerations.
Significant Accounting Policies
The preparation of financial statements in conformity with
accounting principles generally accepted in the United States of
America requires us to make estimates and assumptions that
affect amounts reported in the accompanying Consolidated
Financial Statements and related Notes. These estimates and
assumptions are evaluated on an on-going basis based on
historical developments, market conditions, industry trends and
other information we believe to be reasonable under the
circumstances. There can be no assurance that actual results
will conform to our estimates and assumptions, and that reported
results of operations will not be materially adversely affected
by the need to make accounting adjustments to reflect changes in
these estimates and assumptions from time to time. Adjustments
related to changes in estimates are reflected in the
Companys earnings in the period those estimates changed.
The following policies are those we believe to be the most
sensitive to estimates and judgments. Our significant accounting
policies are more fully described in Note 1 to our
Consolidated Financial Statements. Such information is
incorporated herein by reference.
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|
|
Unpaid Losses and Loss Adjustment Expenses |
Our Consolidated Financial Statements include estimated reserves
for unpaid losses and loss adjustment expenses related to our
various insurance lines of business. We have a team of actuaries
on our staff that analyzes and develops projections of ultimate
payments that will be made to settle all losses incurred as of
each balance sheet date, and the related loss adjustment
expenses. Our actuaries utilize standard actuarial techniques to
project ultimate losses based on our paid and incurred loss
information and claim count, as well as industry data. These
projections are done using the Companys data, including
the number of claims reported and paid, and the average severity
of reported and paid claims, as well as industry data. This
process
24
assumes that past experience, adjusted for the effects of
current developments and anticipated trends, is an appropriate
basis for predicting future events. A key projection used in the
actuarial estimation of ultimate losses takes an average payment
(severity) times a projected total number of claims
(frequency). Accordingly, any changes in the frequency or
severity of claims reported to us can have a significant impact
on actuarial estimates of ultimate losses and recorded reserves.
Based on these quantitative as well as other qualitative
factors, such as a review of current pricing and underwriting
initiatives, an evaluation of reinsurance costs and retention
levels, and the current reserving practices of the
Companys claims department, we select a best
estimate of ultimate future losses, and then record this
best estimate in the Companys Consolidated Financial
Statements. As required by insurance regulatory authorities, we
receive an annual statement of opinion by an independent
consulting actuary concerning the adequacy of our reserves.
When a claim is reported to us, claims personnel establish a
case reserve for the estimated amount of the
ultimate payment. This estimate reflects an informed judgment
based upon insurance reserving practices appropriate for the
relevant line of business, and on the experience and knowledge
of the estimator regarding the nature and value of the specific
claim, the severity of injury or damage, and the policy
provisions relating to the type of loss. Case reserves are
periodically reviewed and adjusted as necessary by the claims
staff as more information becomes available. Reserves for claims
incurred but not reported provide for the future
reporting of claims already incurred, and development on claims
already reported. The reserve for claims incurred but not
reported is determined based on historical loss trends.
It often takes several years for medical professional liability
claims to be resolved, three to six years on average from the
time the loss is reported. As a result, the ultimate payment can
be difficult to project due to changes in legal and other
economic environmental factors during the intervening period. In
addition, changes in the Companys current case reserving
philosophy can introduce additional uncertainty into the
actuarial estimation process, as a strengthening of case
reserves results in higher reported losses, which increases the
average severity of claims used in actuarial projections.
Therefore, careful consideration must be made when evaluating
the strengthening of case reserves to ensure that the impact on
ultimate projected losses is not under or overstated.
The process of estimating the reserves for unpaid losses and
loss adjustment expenses involves significant judgment and is
complex and imprecise due to the number of variables and
assumptions inherent in the estimation process. These variables
include the effects on ultimate loss payments of internal
factors such as changes in claims handling practices and changes
in the mix of our products, as well as external factors such as
changes in loss severity trends, economic inflation, judicial
trends and legislative and regulatory changes. In addition,
medical professional liability claims may take several years to
resolve due to typical delays in reporting claims to us, the
often lengthy discovery process, and the time necessary to
defend the claim. In addition, claims with similar
characteristics may result in very different ultimate losses
depending on the state or region where the claim occurred. All
of these factors contribute to the variability in estimating
ultimate loss payments, especially since the affects of many of
these variables cannot be directly quantified, particularly on a
prospective basis.
Although considerable variability is inherent in such estimates,
we believe that the reserve for unpaid losses and loss
adjustment expenses is adequate. However, there can be no
assurance that losses will not exceed the reserve for unpaid
losses and loss adjustment expenses, as future trends related to
the frequency and severity of claims, and other factors, may
develop differently than management has projected.
The assumptions and methodologies used in estimating and
establishing the reserve for unpaid losses and loss adjustment
expenses are continually reviewed and any adjustments are
reflected as income or expense in the period in which the
adjustment is made. Historically, such adjustments have not
exceeded 8% of our recorded net reserves as of the beginning of
the period, but can materially and adversely affect our results
of operations when an adjustment is made. Due to the current
volatility of losses in the medical professional liability
industry, adjustments have occurred in each of the last several
years.
With the exception of reserves for extended reporting period
claims discussed below, we do not discount our reserves to
recognize the time value of money.
25
Investments represent our largest asset and are the primary
source of funds to pay insurance claims. All of our fixed
maturity securities are classified as available-for-sale, which
are those securities that would be available to be sold in the
future in response to our liquidity needs, changes in market
interest rates and asset-liability management strategies.
Available-for-sale securities are reported at their estimated
fair value, with unrealized gains and losses excluded from
earnings and reported as a separate component of other
comprehensive income, net of deferred taxes. Investment income
includes amortization of premium and accrual of discount on the
yield-to-maturity method relating to investments acquired at
other than par value.
In late 2004, we started the liquidation of our equity
securities portfolio. At December 31, 2004, we had
approximately $1.2 million of non-affiliated private
placement equity securities remaining in our portfolio. These
equity securities were carried at market value, as determined by
management, with the assistance of the Companys
third-party equity investment manager. This market value is an
approximation of the net realizable value of the equity
securities in light of managements intent to sell the
securities in 2005.
The fair value of fixed maturity securities is based on market
quotations provided to us by our third-party custodian who
engages independent third party pricing sources that use
valuation models. The valuation models used by the independent
third party pricing sources use indicative information such as
ratings, industry, coupon, and maturity along with publicly
traded bond prices to determine security specific spreads, and
the ultimate fair value of the non-publicly traded fixed
maturity securities. Real estate is carried at the lesser of
historical cost, less accumulated depreciation or estimated fair
value as determined by recent appraisals, offers from
prospective independent third-party buyers, or the undiscounted
future cash flows associated with the property. Realized gains
or losses on sales or maturities of investments are determined
on a specific identification basis and are credited or charged
to income.
We periodically review our investment portfolio for any
potential credit quality or collection issues and for any
securities with respect to which we consider any decline in
market value to be other than temporary. Investments which are
considered to be other than temporarily impaired, or OTTI, are
written down to their estimated net realizable value as of the
end of the period in which the OTTI was noted. Subsequent
recoveries in the fair value of impaired securities are not
reported in income, but rather as unrealized gains, net of tax,
in comprehensive income. Inherent in our evaluation of a
particular security are assumptions and estimates about the
operations of the issuer, and its future liquidity and earnings
potential. Some of the factors considered in evaluating whether
a decline in market value is other than temporary are:
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Our ability and intent to retain the investment for a period of
time sufficient to allow for an anticipated recovery in value; |
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The recoverability of principal and interest related to the
security; |
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The duration and extent to which the fair value has been less
than cost for equity securities, or amortized cost for fixed
maturity securities; |
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The financial condition, near-term and long-term earnings and
cash flow prospects of the issuer, including relevant industry
conditions and trends, and implications of rating agency
actions; and |
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The specific reasons that a security is in a significant
unrealized loss position, including market conditions that could
affect access to liquidity. |
The following table shows the aging of unrealized losses
included in our investment portfolio as of December 31,
2004:
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Security Type |
|
<3 Months | |
|
3-6 Months | |
|
6-9 Months | |
|
9-12 Months |
|
>12 Months |
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| |
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| |
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| |
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|
|
|
(In thousands) |
Fixed maturity
|
|
$ |
(226 |
) |
|
$ |
(65 |
) |
|
$ |
(29 |
) |
|
$ |
|
|
|
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
(226 |
) |
|
$ |
(65 |
) |
|
$ |
(29 |
) |
|
$ |
|
|
|
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
26
During the year ended December 31, 2004, we recorded losses
of $489,000 related to various stocks whose decline was deemed
to be other than temporary based on their anticipated
liquidation, as well as $1,050,000 impairment losses on real
estate. During 2004, we sold investment real estate for which
$500,000 of impairment losses had previously been recorded.
During the year ended December 31, 2003, we recorded an
impairment charge of $1.3 million on enhanced equipment
trust certificates that were issued by Delta Airlines. During
the year ended December 31, 2002, we recorded an impairment
charge of $520,000 related to bonds issued by Frontier
Corporation, a subsidiary of Global Crossings. These bonds were
converted into Global Crossings common stock in December 2003,
and sold by us in 2004.
During 2004 we recorded gross realized losses on the sale of
investment securities and investment real estate of
approximately $5.2 million. Approximately $1.6 million
of this loss was realized on the sale of investment real estate.
As a result of our desire to divest our real estate holdings,
and thereby reduce our risk related to fluctuations in the real
estate market, we were willing to accept a lower offer on the
properties, which ultimately resulted in the recorded loss. The
remaining loss of approximately $3.6 million relates to
fixed-maturity securities, $1.4 million, and equity
securities, $2.2 million. The realized loss on our equity
securities was primarily the result of the unusually high
turnover in our equity portfolio during 2004, which resulted in
numerous sales that generated small dollar losses. The losses on
our fixed maturity portfolio were primarily related to certain
securities that we held, which had a rate of interest that was
inversely related to the London Interbank Offered Rate. These
securities were maintained as part of our overall interest rate
risk management program in the event that interest rates began
to decline. However, interest rates have risen since we acquired
the securities, and they were no longer deemed necessary. In
light of the rise in interest rates, the market value of the
bonds had declined, which resulted in the loss upon the sale.
In addition to the divestiture of investment real estate
properties, we also made other changes in our investment
portfolio during 2004 with the intent of reducing our exposure
to credit and interest rate risk. These changes included
liquidating our high-yield bond portfolio and other
non-investment grade -fixed maturity securities, as well as the
start of the liquidation of our equity portfolio in the fourth
quarter of 2004.
For further information regarding our investments, including the
maturity distribution of fixed-maturity securities and
unrealized holding gains and losses, see Note 5 of the
Notes to Consolidated Financial Statements. Such information is
incorporated herein by reference.
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Reserve for Extended Reporting Period Claims |
A portion of the coverage that physicians purchase under
claims-made policies is for an additional death, disability and
retirement (DDR) insurance benefit. This DDR
coverage provides coverage to the physician for any prior
incidents occurring during the coverage period that are reported
after their death, disability or retirement. The loss exposure
associated with this product is known as extended reporting
period claims. The reserve for extended reporting period claims
coverage is recorded during the term of the original claims-made
policy, based on the present value of future estimated benefits,
including morbidity and mortality assumptions, less the present
value of expected future premiums associated with this DDR
coverage. The reserves for these claims fluctuate based on the
number of physicians who are eligible for this coverage and
their age. Any changes in the DDR reserves are reflected as an
expense in the period in which we become aware that an
adjustment is necessary. At December 31, 2004 and 2003, our
recorded DDR reserves were $14.0 million, which includes a
discount related to the present value calculation of
approximately $5.9 million.
In accordance with industry practice, we cede to other insurance
companies some of the potential liability under insurance
policies we have underwritten. This practice, called
reinsurance, helps us reduce our net liability on individual
risks, stabilize our underwriting results and increase our
underwriting capacity. As payment for sharing a portion of our
risk, we are also required to share a part of the premium we
receive on the related policies. We determine the amount and
scope of reinsurance coverage to purchase each year based upon
an evaluation of the risks accepted, consultations with
reinsurance brokers and a review of market
27
conditions, including the availability and pricing of
reinsurance. Our reinsurance arrangements are generally
renegotiated annually.
Reinsurance premiums and losses related to reinsured business
are accounted for on bases consistent with those used in
accounting for the original policies issued and the terms of the
reinsurance contracts. Premiums ceded to other companies are
reported as a reduction of premium income. Reinsured losses
incurred are reported as a reduction of gross losses incurred.
Under our primary professional liability reinsurance contract,
the portion of the policyholder premium ceded to the reinsurers
is swing-rated, or experience rated on a
retrospective basis. This swing-rated contract is subject to a
minimum and maximum premium range to be paid to the reinsurers
in the future, depending upon the extent of losses actually paid
by the reinsurers. We pay a provisional premium during the
initial policy year. A liability is recorded to represent an
estimate of net additional payments to be made to the reinsurers
under the program, based on the level of loss and LAE reserves
recorded. To the extent that our estimate for unpaid losses and
loss adjustment expenses changes, the amount of swing rated
reinsurance premiums may also change.
We annually review the financial stability of all of our
reinsurers. This review includes a ratings analysis of each
reinsurer participating in a reinsurance contract. At
December 31, 2004, we have not recorded an allowance for
any potentially uncollectible amounts. However, we are closely
monitoring the cash flows and financial condition of PMA Capital
Insurance Company and Converium Reinsurance (NA), Inc. in light
of announcements made by those companies during 2004. At
December 31, 2004, we had reinsurance recoverables,
including pre-paid reinsurance premiums, from PMA Capital and
Converium of approximately $2.5 million and
$1.5 million, respectively.
In May 2004, we commuted our ceded reinsurance treaties with
Gerling. We recognized the $13.5 million received from
Gerling as reduction of losses and loss adjustment expenses paid
(thereby reducing losses and loss adjustment expenses incurred)
in the current year. We also eliminated our reinsurance
recoverable from Gerling (thereby increasing losses and loss
adjustment expenses incurred) to recognize the effect of
releasing Gerling from its obligations under the treaties. The
net effect of the commutation was an increase in losses and loss
adjustment expenses of $4.4 million, partially offset by an
$837,000 increase in net premiums earned.
Deferred federal income tax assets and liabilities are
recognized for the estimated future tax consequences
attributable to the differences between financial statement
carrying amounts of existing assets and liabilities, and their
respective tax bases. Deferred tax assets are recorded for
differences that create deductible temporary differences and
loss and credit carryforwards, and deferred tax liabilities are
recorded for differences that create taxable temporary
differences. Deductible temporary differences occur when the
recognition of an expense for tax purposes is deferred or
revenue accelerated. Taxable temporary differences represent
expenses that have been accelerated for tax purposes or revenues
that have been deferred. Future realization of the tax benefit
of an existing deductible temporary differences or carryforwards
ultimately depends on the availability of sufficient taxable
income within the appropriate period. The relevant accounting
guidance identifies four sources of taxable income that may be
available to realize the tax benefit of deductible temporary
differences and carryforwards:
|
|
|
|
|
Future reversals of existing taxable temporary differences
(i.e., deferred tax liabilities); |
|
|
|
Taxable income available in available carryback years; |
|
|
|
Tax planning strategies; and |
|
|
|
Future taxable income exclusive of reversing temporary
differences and carryforwards. |
In making our assessment of the future realization of deferred
tax assets, we considered all of the above sources of future
taxable income. Our taxable losses in 2003, 2002 and 2001 mean
that there is no taxable income available in the carryback
years. We do not currently have any viable tax planning
strategies. However,
28
unrealized gains related to our investment portfolio and other
taxable temporary differences do create a source of future
taxable income that we have considered in our realization
assessment. Future taxable income exclusive of reversing
temporary difference and carryforwards is the most subjective of
the available sources of taxable income as it is based on future
earnings projections. These subjective projections of future
taxable income must be weighed against the objective evidence of
our recent history of losses. The net income that we reported in
2004 is a positive factor indicating the availability of future
taxable income; however, we do not believe that it is sufficient
to overcome the negative evidence presented by our losses in
2003, 2002 or 2001. Accordingly, at December 31, 2004, we
maintained a 100% valuation allowance.
We will continue to weigh the evidence concerning the
availability of future taxable income as of the end of each
quarter. If we continue to report net income in 2005, we believe
that there is a strong likelihood that the weight of the
positive evidence concerning the availability of future taxable
income will exceed the negative evidence presented by our losses
in 2003, 2002 and 2001, and that the valuation allowance may be
reduced or eliminated in the period when such a conclusion is
reached. With the exception of the initial recognition, by the
reduction or elimination of the valuation allowance, of certain
tax benefits that are credited or charged directly to
accumulated other comprehensive income or other
shareholders equity accounts, the reduction or the
elimination of the valuation allowance will be reported in the
period of reversal as a federal income tax benefit and included
in net income, which will have a positive impact on our
effective tax rate.
Changes in the valuation allowance during 2004 were allocated in
the accompanying Consolidated Financial Statements to federal
income taxes (a component of net income), other comprehensive
income, or other components of shareholders equity,
depending on the nature of the deferred item that gave rise to
the change. The establishment of the valuation allowance in 2003
was all recorded as federal income tax expense in the
accompanying Consolidated Statements of Income, included
elsewhere in this report. See Note 11 of the Notes to
Consolidated Financial Statements for further discussion of the
deferred tax valuation allowance and its impact on our financial
condition and results of operations. Such information is
incorporated herein by reference.
|
|
|
Deferred Policy Acquisition Costs |
Deferred policy acquisition costs, or DAC, are those costs that
vary with and are primarily related to the production of new, or
renewal, business and include such costs as commissions, premium
taxes and other costs incurred in connection with writing
business. These costs are deferred and amortized over the period
in which the related premiums are earned. Under GAAP, the
premiums that will be earned in future periods, to which these
deferred costs relate, must produce sufficient profits to offset
the future expense that will be recognized from the amortization
of the DAC, that is, the DAC must be recoverable. In evaluating
the recoverability of DAC, we have made certain assumptions
regarding future costs associated with the business written,
such as costs to maintain the policies and the ultimate
projected loss and loss adjustment expense payments associated
with these policies. In addition, we have considered future
investment income in determining the recoverability of DAC,
which requires certain assumptions regarding the timing of
payments of future loss and loss adjustment expenses, as well as
the yield on our investment portfolio. Based on our analysis as
of December 31, 2004, the DAC carried on the Consolidated
Balance Sheets, included elsewhere in this report, of
$8.1 million, was deemed to be fully recoverable. However,
during 2004, we wrote-off approximately $300,000 of DAC
associated with our other insurance lines as it was deemed to
not be recoverable. While we believe that our assumptions and
estimates related to the recoverability of DAC are reasonable,
historically, our accident year loss ratios have developed
unfavorably. In the event that future unfavorable adjustments to
loss reserves occur, the likelihood of our being able to recover
these deferred costs will diminish, and the possibility of a
write-off of a portion or all of our DAC in future periods will
increase.
29
Description of Ratios Analyzed
In the analysis of our operating results that follows, we refer
to various financial ratios that management uses to analyze and
compare the underwriting results of our insurance operations.
These ratios are calculated on a GAAP basis and include:
This ratio compares our losses and loss adjustment expenses
incurred, net of reinsurance, to our net premiums earned, and
indicates how much we expect to pay policyholders for claims and
related settlement expenses compared to the amount of premiums
we earn. The calendar year loss ratio uses all losses and loss
adjustment expenses incurred in the current calendar year (i.e.,
related to all accident years). The accident year loss ratio
uses only those loss and loss adjustment expenses that relate to
the current accident year (i.e., excludes the effect of
development on prior year loss reserves). The lower the
percentage, the more profitable our insurance business is, all
other things being equal.
|
|
|
Underwriting Expense Ratio |
This ratio compares our expenses to obtain new business and
renew existing business, plus normal operating expenses, to our
net premiums earned. The ratio is used to measure how efficient
we are at obtaining business and operating the insurance
segments. The lower the percentage, the more efficient we are,
all else being equal. Sometimes, however, a higher underwriting
expense ratio can result in better business as more rigorous
risk management and underwriting procedures may result in the
non-renewal of higher risk accounts, which can in turn improve
our loss ratio, and overall profitability.
This ratio equals the sum of our loss ratio and underwriting
expense ratio. The lower the percentage, the more profitable our
insurance business is. This ratio excludes the effects of
investment income.
The statutory ratios will differ from GAAP ratios as a result of
differences in accounting between the statutory basis of
accounting and GAAP. Additionally, the denominator for the
underwriting expense ratio for GAAP is net premiums earned,
compared to net premiums written for the statutory underwriting
expense ratio.
30
Results of Operations
|
|
|
Consolidated Results of Operations |
The following table sets forth our results of operations for the
years ended December 31, 2004, 2003 and 2002 on a
consolidated basis. The discussion that follows should be read
in connection with the Consolidated Financial Statements, and
Notes thereto, included elsewhere in this report.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Percentage | |
|
|
|
|
|
Percentage | |
|
|
2004 | |
|
2003 | |
|
Change | |
|
Change | |
|
2002 | |
|
Change | |
|
Change | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Net premiums earned by insurance segment:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Medical professional liability
|
|
$ |
173,835 |
|
|
$ |
158,777 |
|
|
$ |
15,058 |
|
|
|
9.5% |
|
|
$ |
148,646 |
|
|
$ |
10,131 |
|
|
|
6.8% |
|
|
Other insurance lines
|
|
|
26,744 |
|
|
|
65,813 |
|
|
|
(39,069 |
) |
|
|
-59.4% |
|
|
|
86,905 |
|
|
|
(21,092 |
) |
|
|
-24.3% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total net premiums earned
|
|
|
200,579 |
|
|
|
224,590 |
|
|
|
(24,011 |
) |
|
|
-10.7% |
|
|
|
235,551 |
|
|
|
(10,961 |
) |
|
|
-4.7% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investment income
|
|
|
47,373 |
|
|
|
43,294 |
|
|
|
4,079 |
|
|
|
9.4% |
|
|
|
44,775 |
|
|
|
(1,481 |
) |
|
|
-3.3% |
|
Net realized gains (losses)
|
|
|
1,551 |
|
|
|
2,403 |
|
|
|
(852 |
) |
|
|
35.5% |
|
|
|
(163 |
) |
|
|
2,566 |
|
|
|
1,574.2% |
|
Other income
|
|
|
1,177 |
|
|
|
1,104 |
|
|
|
73 |
|
|
|
6.6% |
|
|
|
376 |
|
|
|
728 |
|
|
|
193.6% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues and other income
|
|
|
250,680 |
|
|
|
271,391 |
|
|
|
(20,711 |
) |
|
|
-7.6% |
|
|
|
280,539 |
|
|
|
(9,148 |
) |
|
|
-3.3% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Losses and loss adjustment expenses
|
|
|
177,786 |
|
|
|
252,742 |
|
|
|
(74,956 |
) |
|
|
-29.7% |
|
|
|
242,028 |
|
|
|
10,714 |
|
|
|
4.4% |
|
Underwriting expenses
|
|
|
42,681 |
|
|
|
51,104 |
|
|
|
(8,423 |
) |
|
|
-16.5% |
|
|
|
48,593 |
|
|
|
2,511 |
|
|
|
5.2% |
|
Investment expenses
|
|
|
2,460 |
|
|
|
2,940 |
|
|
|
(480 |
) |
|
|
-16.3% |
|
|
|
3,091 |
|
|
|
(151 |
) |
|
|
-4.9% |
|
Interest expense
|
|
|
1,714 |
|
|
|
1,370 |
|
|
|
344 |
|
|
|
25.1% |
|
|
|
373 |
|
|
|
997 |
|
|
|
267.3% |
|
Amortization expense
|
|
|
1,096 |
|
|
|
389 |
|
|
|
707 |
|
|
|
181.7% |
|
|
|
|
|
|
|
389 |
|
|
|
|
|
General and administrative expenses
|
|
|
3,918 |
|
|
|
2,921 |
|
|
|
997 |
|
|
|
34.1% |
|
|
|
1,395 |
|
|
|
1,526 |
|
|
|
109.4% |
|
Other expenses
|
|
|
1,275 |
|
|
|
808 |
|
|
|
467 |
|
|
|
57.8% |
|
|
|
|
|
|
|
808 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
230,930 |
|
|
|
312,274 |
|
|
|
(81,344 |
) |
|
|
-26.0% |
|
|
|
295,480 |
|
|
|
16,794 |
|
|
|
5.7% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before federal income taxes, minority interest and
cumulative effect of a change in accounting principle
|
|
|
19,750 |
|
|
|
(40,883 |
) |
|
|
60,633 |
|
|
|
148.3% |
|
|
|
(14,941 |
) |
|
|
(25,942 |
) |
|
|
-173.6% |
|
Federal income tax (benefit) expense
|
|
|
(290 |
) |
|
|
36,296 |
|
|
|
(36,586 |
) |
|
|
100.8% |
|
|
|
(5,529 |
) |
|
|
41,825 |
|
|
|
756.5% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before minority interest and cumulative effect of
a change in accounting principle
|
|
|
20,040 |
|
|
|
(77,179 |
) |
|
|
97,219 |
|
|
|
126.0% |
|
|
|
(9,412 |
) |
|
|
(67,767 |
) |
|
|
-720.0% |
|
Minority interest in net (income) loss of consolidated subsidiary
|
|
|
(10 |
) |
|
|
348 |
|
|
|
(358 |
) |
|
|
102.9% |
|
|
|
|
|
|
|
348 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before cumulative effect of a change in accounting
principle
|
|
|
20,030 |
|
|
|
(76,831 |
) |
|
|
96,861 |
|
|
|
126.1% |
|
|
|
(9,412 |
) |
|
|
(67,419 |
) |
|
|
-716.3% |
|
Cumulative effect of a change in accounting principle
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(9,079 |
) |
|
|
9,079 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
20,030 |
|
|
$ |
(76,831 |
) |
|
$ |
96,861 |
|
|
|
126.1% |
|
|
$ |
(18,491 |
) |
|
$ |
(58,340 |
) |
|
|
-315.5% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio
|
|
|
88.6% |
|
|
|
112.5% |
|
|
|
-23.9% |
|
|
|
|
|
|
|
102.7% |
|
|
|
9.8% |
|
|
|
|
|
Underwriting ratio
|
|
|
21.3% |
|
|
|
22.8% |
|
|
|
-1.5% |
|
|
|
|
|
|
|
20.6% |
|
|
|
2.2% |
|
|
|
|
|
Combined ratio
|
|
|
109.9% |
|
|
|
135.3% |
|
|
|
-25.4% |
|
|
|
|
|
|
|
123.3% |
|
|
|
12.0% |
|
|
|
|
|
2004 Compared to 2003. The net income reported for 2004
was primarily attributable to the continued improvements in the
underwriting performance (i.e. underwriting gain) of our medical
professional liability segment combined with increased
investment income over the prior year. Partially offsetting
these positive factors were increases in the underwriting losses
of the other insurance lines segment, which were primarily
attributable to the run-off of the workers compensation
and health lines of insurance, and increases in general and
administrative expenses. The net loss reported in 2003 was the
result of the unfavorable development on
31
prior year loss reserves, primarily related to our medical
professional liability segment, and an increase in paid loss
severity noted during the third quarter, particularly in our
Florida, Ohio and Kentucky markets. We also established the
deferred tax valuation allowance of $49.9 million in the
third quarter of 2003, as we determined at that time there was
not adequate support regarding the availability of future
taxable income based on our recent loss history. Once the
Company has re-established a pattern of profitability, the
deferred tax asset valuation allowance may be reduced, or
eliminated, based on the availability of future taxable income,
which will create a federal income tax benefit in the period of
reversal.
Net premiums earned decreased during 2004, as compared to 2003,
primarily as a result of our exit from the other insurance lines
of business, which we announced in the fourth quarter of 2003.
These decreases were partially offset by the effect of premium
rate increases in our medical professional liability line of
business and an $837,000 increase in net premiums earned related
to the commutation of our reinsurance treaties with Gerling. We
anticipate that net premiums earned will continue to remain at
lower levels than in previous years for the near future as we
complete our exit from the other insurance lines. However, we
believe that rate increases related to our medical professional
liability line will eventually offset the decrease in net
premiums earned from the exit of these lines.
The increase in investment income was the result of strong
returns on our collateralized-mortgage obligations and
high-yield bond portfolios during the first part of the year,
one-time call premiums of $1.5 million and a decrease in
the percentage of our investment portfolio allocated to
short-term investments. The yield on our investment portfolio
was 5.93% for 2004 compared to 5.55% for 2003.
During 2004, we liquidated our $50 million high-yield bond
investment portfolio for a pre-tax gain of $1.6 million. In
addition, we liquidated the majority of our other non-investment
grade securities for a pre-tax gain of $2.6 million. The
liquidation of our high-yield bonds and other non-investment
grade securities has reduced the overall risk level associated
with our investment portfolio, but is likely to decrease future
investment income as we reinvest in lower-risk, lower-yielding
securities. Offsetting the above-mentioned gains was a
$2.5 million charge for the write-off of capitalized
software costs associated with an information system project
involving a computer system to administer medical professional
liability policies and claims and a pre-tax realized loss on the
sale of investment real estate of $1.6 million. The
information system project, which began in the fall of 2002, was
not producing the anticipated results and management decided to
discontinue the project. In addition, we recorded a $1,050,000
impairment charge related to other investment real estate
properties.
Incurred loss and loss adjustment expenses were
$177.8 million in 2004, a decrease of $75 million
compared to 2003. This decrease was the result of the
$43.4 million of unfavorable development on prior year loss
reserves recorded in 2003. Prior year unfavorable loss reserve
development in 2004 was $6.2 million, which consists of
unfavorable development related to the other insurance line of
business, and a $4.4 million increase in incurred losses
from the commutation of our reinsurance treaties with Gerling in
2004, partially offset by favorable development on the medical
professional liability line of business. The Gerling commutation
is more fully described in Note 10 of the Notes to
Consolidated Financial Statements. The consolidated calendar
year loss ratio for the 2004 year was 88.6%, consisting of
3.0% on prior accident years and 85.6% on the current accident
year. In 2003, the current year accident loss ratio was 93.2%,
with a prior year loss ratio of 19.3%, for a total calendar year
loss ratio of 112.5%. Our incurred loss and loss adjustment
expenses are analyzed more fully in the discussions of our
individual operating segment results.
Underwriting expenses were $42.7 million for the year ended
December 31, 2004, a decrease of $8.4 million from
2003. This decrease was the result of our lower premium volume,
which lowered the corresponding commission and premium tax
expense. In addition, we downsized the non-operational support
staff in our home office during the first half of 2004. In
total, we eliminated approximately 20 positions with severances
totaling approximately $1.5 million during the year ended
December 31, 2004. These 20 positions represent annual
salary and employee benefit costs of approximately
$1.4 million.
Investment expenses were $2.5 million for the year ended
December 31, 2004, a decrease of $480,000 from the same
period of 2003. This decrease is primarily related to the
liquidation of our high-yield portfolio during the first half of
2004 and the sale of some of our investment real estate.
32
The increase in amortization expense during 2004 relates to an
intangible asset arising from a two-year covenant not to compete
with the Companys former CEO and President upon his
retirement effective December 31, 2003. See Note 4 of
the Notes to Consolidated Financial Statements for further
information regarding intangible assets. Such information is
incorporated herein by reference.
General and administrative expenses increased $1.0 million
during 2004, primarily due to increased legal, audit and other
professional fees incurred as a result of actions taken to
comply with the Sarbanes-Oxley Act and related SEC requirements
and the exploration of strategic alternatives by the Board of
Directors. We anticipate general and administrative expenses to
decrease in 2005 to levels below those incurred in 2004, but not
as low as previously experienced in prior years as the Company
will continue to incur costs associated with ongoing
Sarbanes-Oxley compliance.
Other expenses for 2004 consist of contract termination costs
incurred in connection with the sub-lease of approximately
10,000 square feet of office space in Chicago. During 2003,
we incurred restructuring expenses related to employee
separation costs as a result of terminations in connection with
our exit from the other insurance segment. As we continue our
exit from our other insurance lines in 2005 and beyond, we
anticipate incurring approximately $89,000 of additional
employee separation costs in future periods.
The decrease in federal income tax expense in 2004 was the
result of the establishment of the deferred tax valuation
allowance in 2003. Once we have re-established a pattern of
profitability, and can demonstrate the availability of future
taxable income, the deferred tax valuation allowance may be
reduced, which will create a federal income tax benefit in the
period of reduction.
2003 Compared to 2002. The net loss reported for 2003 was
primarily attributable to unfavorable development on prior year
loss reserves of $43.4 million and the establishment of a
deferred tax valuation allowance of $50.6 million. The
unfavorable development on prior year loss reserves was
primarily related to our medical professional liability segment,
and was the result of an increase in paid loss severity noted
during the third quarter, particularly in our Florida, Ohio and
Kentucky markets. We also established the deferred tax valuation
allowance in the third quarter of 2003. Our net loss in 2002 was
primarily the result of a $55.1 million underwriting loss,
and a $9.1 million charge, net of tax, for the write-off of
goodwill, which was recorded as a cumulative effect of a change
in accounting principle, partially offset by $44.8 million
of investment income.
Net premiums earned decreased during 2003, as compared to 2002,
primarily as a result of the restructuring of our workers
compensation book of business that began in 2002. In the fourth
quarter of 2003, we announced our intention to exit the
workers compensation and health insurance lines of
business.
The yield on our investment portfolio was 5.55% for 2003
compared to 5.98% for 2002. The lower yield in 2003 was the
result of a general decline in interest rates combined with a
higher cash balance during the first part of the year, which
produces a significantly lower yield than longer-term more
productive assets. We delayed investing a portion of the cash
flow generated during the first half of 2003 due to the very low
interest rate environment and our reluctance to lock-in
longer-term interest rates at prevailing levels. In addition, we
recorded a $1.8 million loss on one of our real estate
limited partnerships that was accounted for on the equity method.
Incurred loss and loss adjustment expenses increased during 2003
as a result of the $43.4 million of unfavorable development
on prior year loss reserves mentioned above. Prior year
unfavorable loss reserve development in 2002 was
$5.6 million. The consolidated calendar year loss ratio for
the 2003 year was 112.5%, consisting of 19.3% on prior
accident years and 93.2% on the current accident year. In 2002,
the current year accident loss ratio was 100.3%, with a prior
year loss ratio of 2.4%, for a total calendar year loss ratio of
102.7%. Our incurred loss and loss adjustment expenses are
analyzed more fully in the discussions of our individual
operating segment results.
Underwriting expenses increased during 2003 as a result of
increased salary and employee relation costs, amortization of
our deferred policy acquisition costs, and the inclusion of
Physicians Insurance Company, PIC, in our consolidated results
during 2003. PIC was a start up medical professional liability
insurance
33
company in Florida in which we had a 49% ownership interest
during 2003. For more information regarding PIC, see
Note 1 Minority Interests of the Notes to
Consolidated Financial Statements.
The increase in interest expense during 2003 was the result of
the issuance of $30.9 million of debentures in May of 2003.
Amortization expense during 2003 relates to a definite-lived
intangible asset acquired in connection with our investment in
PIC.
Our general and administrative expenses increased during 2003
primarily as a result of increased legal, audit, and other
professional fees pertaining to compliance with the new
Sarbanes-Oxley legislation, and related SEC rules, and legal and
investment banking fees incurred in the fourth quarter pursuant
to the Board of Directors evaluation of strategic
alternatives to maximize shareholder value after the loss
reported in the third quarter.
Restructuring expenses incurred during 2003 were recorded during
the fourth quarter and relate to employee separation costs as a
result of terminations in connection with the initiation of our
exit from the workers compensation segment.
The federal income tax expense recorded in 2003, as compared to
the benefit recorded in 2002, was the result of the
establishment of the deferred tax valuation allowance as
described above.
34
|
|
|
Medical Professional Liability Insurance Operations |
The following table sets forth summary premium, loss and expense
information regarding the underwriting results of our medical
professional liability insurance operations for the years ended
December 31, 2004, 2003 and 2002.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Percentage | |
|
|
|
|
|
Percentage | |
|
|
2004 | |
|
2003 | |
|
Change | |
|
Change | |
|
2002 | |
|
Change | |
|
Change | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Direct premiums written:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Michigan
|
|
$ |
59,903 |
|
|
$ |
54,629 |
|
|
$ |
5,274 |
|
|
|
9.7% |
|
|
$ |
50,077 |
|
|
$ |
4,552 |
|
|
|
9.1% |
|
|
Illinois
|
|
|
55,439 |
|
|
|
54,108 |
|
|
|
1,331 |
|
|
|
2.5% |
|
|
|
35,429 |
|
|
|
18,679 |
|
|
|
52.7% |
|
|
Ohio
|
|
|
35,861 |
|
|
|
35,793 |
|
|
|
68 |
|
|
|
0.2% |
|
|
|
33,731 |
|
|
|
2,062 |
|
|
|
6.1% |
|
|
New Mexico
|
|
|
20,534 |
|
|
|
16,268 |
|
|
|
4,266 |
|
|
|
26.2% |
|
|
|
11,448 |
|
|
|
4,820 |
|
|
|
42.1% |
|
|
Kentucky
|
|
|
13,877 |
|
|
|
15,747 |
|
|
|
(1,870 |
) |
|
|
-11.9% |
|
|
|
15,742 |
|
|
|
5 |
|
|
|
0.0% |
|
|
Florida
|
|
|
959 |
|
|
|
6,882 |
|
|
|
(5,923 |
) |
|
|
-86.1% |
|
|
|
23,637 |
|
|
|
(16,755 |
) |
|
|
-70.9% |
|
|
Florida PIC
|
|
|
7,805 |
|
|
|
3,801 |
|
|
|
4,004 |
|
|
|
105.3% |
|
|
|
|
|
|
|
3,801 |
|
|
|
|
|
|
Nevada
|
|
|
3,686 |
|
|
|
4,833 |
|
|
|
(1,147 |
) |
|
|
-23.7% |
|
|
|
4,595 |
|
|
|
238 |
|
|
|
5.2% |
|
|
Other
|
|
|
4,970 |
|
|
|
3,681 |
|
|
|
1,289 |
|
|
|
35.0% |
|
|
|
2,594 |
|
|
|
1,087 |
|
|
|
41.9% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
203,034 |
|
|
$ |
195,742 |
|
|
$ |
7,292 |
|
|
|
3.7% |
|
|
$ |
177,253 |
|
|
$ |
18,489 |
|
|
|
10.4% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net premiums written
|
|
$ |
175,042 |
|
|
$ |
164,157 |
|
|
$ |
10,885 |
|
|
|
6.6% |
|
|
$ |
154,583 |
|
|
$ |
9,574 |
|
|
|
6.2% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net premiums earned
|
|
$ |
173,835 |
|
|
$ |
158,777 |
|
|
$ |
15,058 |
|
|
|
9.5% |
|
|
$ |
148,646 |
|
|
$ |
10,131 |
|
|
|
6.8% |
|
Incurred loss and loss adjustment expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current accident year losses
|
|
|
148,230 |
|
|
|
153,180 |
|
|
|
(4,950 |
) |
|
|
-3.2% |
|
|
|
157,750 |
|
|
|
(4,570 |
) |
|
|
-2.9% |
|
|
|
Gerling Global commutation
|
|
|
4,139 |
|
|
|
|
|
|
|
4,139 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Prior year losses
|
|
|
(6,850 |
) |
|
|
44,250 |
|
|
|
(51,100 |
) |
|
|
-115.5% |
|
|
|
4,500 |
|
|
|
39,750 |
|
|
|
883.3% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
145,519 |
|
|
|
197,430 |
|
|
|
(51,911 |
) |
|
|
-26.3% |
|
|
|
162,250 |
|
|
|
35,180 |
|
|
|
21.7% |
|
Underwriting expenses
|
|
|
35,320 |
|
|
|
31,315 |
|
|
|
4,005 |
|
|
|
12.8% |
|
|
|
27,157 |
|
|
|
4,158 |
|
|
|
15.3% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Underwriting loss
|
|
$ |
(7,004 |
) |
|
$ |
(69,968 |
) |
|
$ |
62,964 |
|
|
|
-90.0% |
|
|
$ |
(40,761 |
) |
|
$ |
(29,207 |
) |
|
|
71.7% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before federal income taxes, minority interest and
cumulative effect of a change in accounting principle
|
|
$ |
36,472 |
|
|
$ |
(33,821 |
) |
|
$ |
68,632 |
|
|
|
-202.9% |
|
|
$ |
(5,219 |
) |
|
$ |
(28,602 |
) |
|
|
548.0% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accident year
|
|
|
85.3% |
|
|
|
96.5% |
|
|
|
-11.2% |
|
|
|
|
|
|
|
106.1% |
|
|
|
-9.6% |
|
|
|
|
|
|
Gerling Global commutation
|
|
|
2.4% |
|
|
|
0.0% |
|
|
|
2.4% |
|
|
|
|
|
|
|
0.0% |
|
|
|
0.0% |
|
|
|
|
|
|
Prior years
|
|
|
-4.0% |
|
|
|
27.8% |
|
|
|
-31.8% |
|
|
|
|
|
|
|
3.1% |
|
|
|
24.7% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Calendar year
|
|
|
83.7% |
|
|
|
124.3% |
|
|
|
-40.6% |
|
|
|
|
|
|
|
109.2% |
|
|
|
15.1% |
|
|
|
|
|
Underwriting expense ratio
|
|
|
20.3% |
|
|
|
19.7% |
|
|
|
0.6% |
|
|
|
|
|
|
|
18.3% |
|
|
|
1.4% |
|
|
|
|
|
Combined ratio
|
|
|
104.0% |
|
|
|
144.0% |
|
|
|
-40.0% |
|
|
|
|
|
|
|
127.5% |
|
|
|
16.5% |
|
|
|
|
|
2004 Compared to 2003. Direct premiums written for the
medical professional liability segment increased in 2004 as we
continued to implement rate increases in all markets and
increased our market share in New Mexico. This was partially
offset by our reduced exposure in the Florida market, the
discontinuance of Ohio and Kentucky occurrence-based policies
and reduced policies in force in Illinois. Our physician policy
count at December 31, 2004 has decreased approximately 8.8%
from December 31, 2003. This decline was the result of
increased price competition in selected markets and strict
underwriting standards. We remain committed to applying strict
underwriting standards and adequate pricing. The average premium
per policy in-force has increased from approximately $16,300 at
December 31, 2003 to approximately $18,500 at
35
December 31, 2004, an increase of 13.5%. Although we began
our exit from the Florida market in December 2002 and our
premiums written in that state have declined significantly, we
continue to have direct premiums written in that state as a
result of installment premiums on extended reporting coverage,
which we were required by Florida State law to offer insureds as
we non-renewed their policies. The premiums for these policies
may be paid in annual installments, not to exceed three years.
Accordingly, with the exception of premiums related to PIC, we
should not have any premium writings in Florida after 2005.
Direct premiums written by PIC in the state of Florida increased
$4.0 million during 2004 to $7.8 million compared to
2003. Our investment in, and consolidation of PIC is more fully
described in Note 1 of the Notes to Consolidated Financial
Statements. Such information is incorporated herein by reference
We believe that the current pricing environment for medical
professional liability insurance is favorable. We expect medical
professional liability direct premiums written to increase
moderately in the future as the Company is granted additional
rate increases by regulatory authorities. However, we anticipate
that rate increases in 2005 may not be as significant as those
granted in prior years.
Our net premiums written and earned during 2004 increased a
greater percentage than direct premiums written as effective
January 1, 2004 we began retaining a 30% participation in
our primary excess of loss reinsurance layer. This increase in
net written premiums also resulted in the larger percentage
increase in net earned premiums. Effective January 1, 2005,
we will only have one excess of loss reinsurance treaty. This
treaty will provide $1.5 million of coverage on losses in
excess of $500,000, except in Michigan where we will retain the
first $1 million of exposure. Our participation in the
treaty will be 20% during 2005. We do not anticipate that these
changes will have a material impact on either premiums or losses
in 2005.
The decrease in incurred loss and loss adjustment expenses was
primarily the result of $44.3 million of adverse
development on prior year loss and loss adjustment expense
reserves recorded in 2003, and $2.7 million of favorable
development in 2004. The favorable development in 2004 was due
to lower than expected paid severity, most notably in the Ohio
and Michigan markets. These developments are discussed more
fully under Item 1 Business
Loss and Loss Adjustment Expense Reserves. The
cross-referenced information is incorporated herein by reference.
The loss ratio, on an accident year basis, was 85.3% for the
year ended December 31, 2004 compared to 96.5% for the year
ended December 31, 2003. The decrease in the accident year
loss ratio was primarily the result of rate increases in all
markets, exiting Florida and certain occurrence-based markets
and stricter underwriting standards,
The increase in underwriting expenses is attributable to the
higher direct written premiums, the payment of severance costs
relating to a reduction in headcount, and an increase in
professional service costs relating to our initial internal
controls audit required by the Sarbanes-Oxley Act and related
SEC rules.
2003 Compared to 2002. Direct premiums written for the
medical professional liability segment increased in 2003
primarily as a result of rate increases in virtually all
markets, partially offset by our non-renewal of policies in our
Florida market. Our insured physician count at December 31,
2003 has decreased approximately 12% from December 31, 2002
due to our exit from the Florida market, the discontinuance of
Ohio and Kentucky occurrence-based policies and the elimination
of poor risks in other markets. The average premium per policy
in-force has increased from approximately $13,400 at
December 31, 2002 to approximately $16,300 at
December 31, 2003, an increase of 21.6%. The decrease in
direct premiums written in Florida, as a result of the
non-renewal of policies in that state was partially offset by
direct premiums written of approximately $3.8 million by
PIC. during 2003.
Our net premiums written and earned during 2003 did not increase
as much as direct premiums written primarily due to an increase
in the cost of reinsurance, which resulted in additional ceded
written and earned premiums.
The increase in incurred loss and loss adjustment expenses was
primarily the result of $43 million of adverse development
on prior year loss and loss adjustment expense reserves in the
third quarter of 2003.
36
The loss ratio, on an accident year basis, was 96.5% for the
year ended December 31, 2003 compared to 106.1% for the
year ended December 31, 2002. The decrease in the accident
year loss ratio was primarily the result of rate increases in
all markets.
The increase in underwriting expenses was the result of
increased salaries and employee relations costs as we added to
our claims and underwriting personnel. In addition, higher
premium volumes resulted in increased commissions and premium
taxes.
|
|
|
Other Insurance Lines Operations |
The following table sets forth summary premium, loss and expense
information regarding the underwriting results of our other
insurance lines operations for the years ended December 31,
2004, 2003 and 2002.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Percentage | |
|
|
|
|
|
Percentage | |
|
|
2004 | |
|
2003 | |
|
Change | |
|
Change | |
|
2002 | |
|
Change | |
|
Change | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
Direct premiums written
|
|
$ |
10,911 |
|
|
$ |
60,494 |
|
|
$ |
(49,583 |
) |
|
|
-82.0% |
|
|
$ |
88,627 |
|
|
$ |
(28,133 |
) |
|
|
-31.7% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net premiums written
|
|
$ |
11,389 |
|
|
$ |
60,490 |
|
|
$ |
(49,101 |
) |
|
|
-81.2% |
|
|
$ |
84,266 |
|
|
$ |
(23,776 |
) |
|
|
-28.2% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net premiums earned
|
|
$ |
26,744 |
|
|
$ |
65,813 |
|
|
$ |
(39,069 |
) |
|
|
-59.4% |
|
|
$ |
86,905 |
|
|
$ |
(21,092 |
) |
|
|
-24.3% |
|
Incurred loss and loss adjustment expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current accident year losses
|
|
|
23,371 |
|
|
|
56,119 |
|
|
|
(32,748 |
) |
|
|
-58.4% |
|
|
|
79,778 |
|
|
|
(23,659 |
) |
|
|
-29.7% |
|
|
Gerling Global commutation
|
|
|
271 |
|
|
|
|
|
|
|
271 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Prior year losses
|
|
|
8,625 |
|
|
|
(807 |
) |
|
|
9,432 |
|
|
|
-1168.8% |
|
|
|
|
|
|
|
(807 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
32,267 |
|
|
|
55,312 |
|
|
|
(23,045 |
) |
|
|
-41.7% |
|
|
|
79,778 |
|
|
|
(24,466 |
) |
|
|
-30.7% |
|
Underwriting expenses
|
|
|
7,361 |
|
|
|
19,789 |
|
|
|
(12,428 |
) |
|
|
-62.8% |
|
|
|
21,436 |
|
|
|
(1,647 |
) |
|
|
-7.7% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Underwriting loss
|
|
$ |
(12,884 |
) |
|
$ |
(9,288 |
) |
|
$ |
(3,596 |
) |
|
|
38.7% |
|
|
$ |
(14,309 |
) |
|
$ |
5,021 |
|
|
|
-35.1% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss before federal income taxes, minority interest and
cumulative effect of a change in accounting principle
|
|
$ |
(9,374 |
) |
|
$ |
(3,706 |
) |
|
$ |
(5,668 |
) |
|
|
152.9% |
|
|
$ |
(8,705 |
) |
|
$ |
4,999 |
|
|
|
-57.4% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accident year
|
|
|
87.4% |
|
|
|
85.3% |
|
|
|
2.1% |
|
|
|
|
|
|
|
91.8% |
|
|
|
-6.5% |
|
|
|
|
|
|
Gerling Global commutation
|
|
|
1.0% |
|
|
|
0.0% |
|
|
|
1.0% |
|
|
|
|
|
|
|
0.0% |
|
|
|
0.0% |
|
|
|
|
|
|
Prior years
|
|
|
32.3% |
|
|
|
-1.3% |
|
|
|
33.6% |
|
|
|
|
|
|
|
0.0% |
|
|
|
-1.3% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Calendar year
|
|
|
120.7% |
|
|
|
84.0% |
|
|
|
36.7% |
|
|
|
|
|
|
|
91.8% |
|
|
|
-7.8% |
|
|
|
|
|
Underwriting expense ratio
|
|
|
27.5% |
|
|
|
30.1% |
|
|
|
-2.6% |
|
|
|
|
|
|
|
24.7% |
|
|
|
5.4% |
|
|
|
|
|
Combined ratio
|
|
|
148.2% |
|
|
|
114.1% |
|
|
|
34.1% |
|
|
|
|
|
|
|
116.5% |
|
|
|
-2.4% |
|
|
|
|
|
2004 Compared to 2003. The direct premiums written for
other insurance lines decreased during 2004 as we continue our
exit from the workers compensation and health lines of
business. We non-renewed all workers compensation policies
as of their anniversary date in 2004 and began non-renewing
health policies effective July 1, 2004. The number of
covered lives on our health business has continued to decrease
throughout 2004 to 2,596 as of December 31, 2004, compared
to 6,554 at December 31, 2003. We expect to complete the
non-renewal of all other policies by the end of the third
quarter of 2005.
The decreases in net premiums written were relatively consistent
with the decreases in direct premiums written. Net premiums
earned, however, did not decrease as much as direct and net
premiums written, as premiums associated with workers
compensation policies written in 2003 continue to be earned in
2004. At December 31, 2004, approximately $1.1 million
of net unearned premium related to the workers
compensation line of insurance remained. However, approximately
$1.0 million of this net unearned premium relates to
involuntary reinsurance that we are required to assume in many
states. This assumed reinsurance is based primarily on the
amount of direct premium we write in a given state. Accordingly,
we anticipate that we will
37
see this assumed reinsurance decrease dramatically in 2005,
which should reduce both our premium revenues and incurred
losses.
Incurred loss and loss adjustment expenses decreased primarily
as a result of the decrease in exposure associated with the
reduced number of covered lives in our health line, and the
number of policies in-force for workers compensation.
Prior year reserves developed unfavorably during the year by
$8.9 million, primarily those relating to the workers
compensation business. The unfavorable development on prior
accident year reserves is primarily the result of increasing
reserve estimates due to an increasing paid severity trend. In
addition, with the centralization of remaining workers
compensation claims processing in our Louisville, Kentucky
office, and in an effort to expedite the run-off process, we
have reviewed a substantial portion of all outstanding claim
files and are attempting to settle claims as quickly as
possible. At December 31, 2004 and 2003, we had 1,087 and
2,176, respectively, open workers compensation claims.
This increased effort has resulted in higher reported losses
than those originally projected in the December 31, 2003
reserve estimates. As we continue the run-off of other insurance
claims, loss reserves will continue to be volatile and
additional adverse development on prior year losses may occur.
The decrease in underwriting expenses is primarily the result of
reduced salary and employee benefit costs as a result of the
departure of the other insurance management team in the last
nine months of 2003. Also, as a result of the decreased premium
volume, there was a decrease in corporate and shared services
salary, employee benefit and other costs allocated to the other
insurance lines segment. As we continue our exit from these
lines, these underwriting expenses should continue to decrease.
2003 Compared to 2002. Other insurance lines direct
premiums written decreased during 2003 as a result of the
restructuring of the books of business initiated in 2002 and the
subsequent decision to exit these lines completely in 2003.
Net premiums earned did not decrease as much as direct premiums
written as we continued to earn in 2003 the premiums that were
written in 2002.
The restructuring of the books of business, combined with rate
increases and improved claims management, have translated into
lower loss and loss adjustment expenses and lower calendar year
and accident year loss ratios. The decrease in underwriting
expenses was primarily the result of the decrease in premiums
written.
2004 Compared to 2003. The corporate and other segment
consists of the operations of our holding company and its
non-insurance subsidiaries. For this segment, loss before
federal income taxes and minority interests for the year ended
December 31, 2004 was ($7.3) million compared to
($3.4) million for the same period of 2003. The increase in
losses were attributable to increases in general and
administrative expenses and interest expense, which are
described more fully in Consolidated Results of Operations.
2003 Compared to 2002. For this segment, loss before
federal income taxes, minority interests and cumulative effect
of a change in accounting principle for the year ended
December 31, 2003 was $3.4 million compared to
$1.0 million for the same period of 2002. The increase was
primarily attributable to higher general and administrative
expenses as a result of increased legal, audit, and other
professional fees pertaining to compliance with the new
Sarbanes-Oxley legislation and related SEC rules, and legal and
investment banking fees incurred in the fourth quarter pursuant
to the Board of Directors evaluation of strategic
alternatives to maximize shareholder value after the loss
reported in the third quarter of 2003, as well as interest
expense as a result of the issuance of floating rate junior
subordinated deferrable interest debentures. The increase in
these expenses was partially offset by an increase in other
income.
Liquidity and Capital Resources
The primary sources of our liquidity, on both a short- and
long-term basis, are funds provided by insurance premiums
collected, net investment income, recoveries from reinsurers and
proceeds from the maturity or sale of invested assets. We also
enter into financing transactions from time to time to acquire
38
additional capital. The primary uses of cash, on both a short
and long-term basis, are losses, loss adjustment expenses,
operating expenses, the acquisition of invested assets and fixed
assets, reinsurance premiums, interest payments, taxes, and the
repurchase of APCapital stock.
APCapitals only material assets are the capital stock of
American Physicians and its other subsidiaries, cash obtained
from the proceeds from its junior subordinated deferrable
interest debentures, or debentures, issued in 2003, and
dividends from its subsidiaries. APCapitals ongoing cash
flow will consist primarily of dividends and other permissible
payments from its subsidiaries and investment earnings on funds
held. The payment of dividends to APCapital by its insurance
subsidiaries is subject to limitations imposed by applicable
law. APCapitals primary uses of cash, on both a short and
long-term bases include periodic interest payments, operating
expenses, and the repayment of the debentures. In January 2004,
APCapital made a $25 million cash surplus contribution to
American Physicians to increase its statutory capital and
surplus. In December 2004, American Physicians, paid an
$8 million dividend to APCapital to ensure that the holding
company had cash to service debt costs and other operating
expenses. In addition, this allowed APCapital the ability to
make a surplus contribution of $4.0 million to Insurance
Corporation of America, to meet regulatory requirements
concerning adequate surplus levels. APCapital also received a
dividend of $800,000 from its subsidiary APIndemnity in December
2004. After the dividends and contribution, APCapitals
cash and cash equivalent resources totaled approximately
$4.2 million, which will be held at APCapital for future
debt service costs. The $4.2 million of cash and cash
equivalents held at APCapital is adequate to service interest
payments on the debentures for over two years.
At December 31, 2003, the Company was indebted is to its
former President and Chief Executive Officer in the amount of
$6.0 million in connection with the purchase of
Stratton-Cheeseman Management Company. As a result of his
retirement, effective December 31, 2003, the note payable
became due, and was paid in its entirety in January 2004.
At December 31, 2004, we had no material planned
expenditures for the acquisition of assets, or other
expenditures, other than expenses incurred in the normal course
of operations, with the exception of the potential acquisition
of up to approximately 24% of the outstanding common stock of
Physicians Insurance Company of Wisconsin, Inc., or PICW,
described below.
As of September 17, 2004, American Physicians Assurance
entered into a stock purchase agreement with various
shareholders of PICW, to acquire a substantial minority interest
in PICW. The stock purchase agreement, as amended in November
2004, states that American Physicians will
purchase 4,782 shares of PICW common stock at a
purchase price of $3,800 per share in cash, or
approximately $18.1 million. The closing of the purchase is
subject to various conditions, including the receipt of approval
from Wisconsins Office of the Commissioner of Insurance.
If the transaction is completed, American Physicians will own
approximately 24% of PICWs outstanding shares.
In September 2003, the Board of Directors authorized the Company
to purchase an additional 500,000 shares of its outstanding
common stock. This brings the total number of shares authorized
to be repurchased under publicly announced plans to 3,615,439.
In 2004, we did not repurchase any shares pursuant to this plan.
We repurchased 272,800 and 1,555,100 shares, at a cost of
$7.7 million and $27.5 million, during 2003 and 2002,
respectively, bringing the total number of shares purchased
pursuant to these plans to 3,197,070, at a total cost of
$60,382,000, or an average price per share of $18.89. Our
repurchase of shares is subject to limitations that may be
imposed by applicable laws and regulations and the rules of the
Nasdaq Stock Market. The timing of the purchases and the number
of shares to be bought at any one time depend on market
conditions and the Companys capital requirements. As of
December 31, 2004, there are approximately
418,369 shares of the September 11, 2003 stock
repurchase program remaining to be purchased. We continually
evaluate the benefits of repurchasing our shares.
Our net cash flow generated by operations was approximately
$52.0 million for the year ended December 31, 2004,
compared to $9.1 million provided by operations for 2003.
The cash generated by operations in 2004 was primarily the
result of premiums collected, net of reinsurance premiums paid,
of approximately $190.9 million, which exceeded losses paid
of approximately $160.6 million. Premiums collected in
excess of losses paid in 2003 were approximately
$10.9 million. In general, our investment income
39
offsets cash paid for underwriting and general and
administrative expenses. A large portion of our investment
expense is related to depreciation on investment in real estate,
which is a non-cash charge. Moderate premium rate increases are
expected to have a positive impact on our cash flows from
operations in 2005.
At December 31, 2004, we had $190.9 million of cash
and cash equivalents available and an investment portfolio of
$667.2 million. The portfolio includes $75.3 million
of bonds maturing in the next year to meet short-term cash flow
needs. On a long-term basis, fixed income securities are
purchased on a basis intended to provide adequate cash flows
from future maturities to meet future policyholder obligations
and ongoing cash needs to fund operations. As of
December 31, 2004, our fixed maturity portfolio included
$230.7 million of bonds that mature in the next one to five
years and $104.8 million that mature in the next five to
ten years. In addition, at December 31, 2004, we have
$128.4 million of mortgage-backed securities that provide
periodic principal repayments. We currently maintain a
relatively short investment posture with $191 million in
cash and other cash equivalents. Over the next three to six
months, we intend to deploy these cash resources in various
other securities, including taxable municiples, investment-grade
corporate bonds and mortgage-backed securities. See Note 5
of the Notes to Consolidated Financial Statements for further
information regarding the anticipated maturities of our fixed
maturity securities. Such information is incorporated herein by
reference.
Based on historical trends, market conditions and our business
plans, we believe that our existing resources and sources of
funds will be sufficient to meet our short and long-term
liquidity needs. However, economic, market and regulatory
conditions may change, and there can be no assurance that our
funds will be sufficient to meet these liquidity needs.
Financial Condition
In evaluating our financial condition, two factors are the most
critical. First, the availability of adequate statutory capital
and surplus to satisfy state regulators and to support our
current A.M. Best rating, and second, the adequacy of our
reserves for unpaid loss and loss adjustment expenses.
|
|
|
Statutory Capital and Surplus |
Our statutory capital and surplus, which we refer to
collectively as surplus, at December 31, 2004 was
approximately $210.9 million, which results in a net
premiums written to surplus ratio of .87:1. Statutory surplus at
December 31, 2003 was approximately $150.3 million,
for a net premiums written to surplus ratio of 1.49:1. The
decrease in our ratio of net premiums written to surplus was
primarily the result of the exit from the other insurance lines
of business in 2004, which resulted in lower premiums written
during 2004, as well as our improved medical professional
liability underwriting results. In addition, APCapital
contributed $25 million to American Physicians in January
2004, American Physicians paid a dividend of $8 million to
APCapital in December 2004, and APCapital made a surplus
contribution to ICA for $4 million in December 2004.
|
|
|
Reserves for Unpaid Losses and Loss Adjustment
Expenses |
The adequacy of our reserves for unpaid loss and loss adjustment
expenses is another critical factor in evaluating our financial
condition.
For the year ended December 31, 2004, we recorded an
increase in ultimate loss estimates, net of reinsurance of
$6.2 million, or 1.1% of $574.6 million of net loss
and loss adjustment expense reserves as of December 31,
2003. The increase in net ultimate loss estimates reflected
revisions in the estimated reserves as a result of actual claims
activity in calendar year 2004 that differed from projected
activity, as well as $4.4 million of unfavorable
development on prior year reserves as a result of the Gerling
commutation. Specifically, in 2004, a pattern of increasing paid
severity emerged on our workers compensation losses,
causing an upward revision in the expected future severities on
both known and unknown claims. This increase was offset by
favorable development on medical professional liability losses
due to lower than expected paid severity, most notably in the
Ohio and Michigan markets. The Gerling commutation is more fully
discussed in Note 10 of the Notes to the accompanying
Consolidated Financial Statements, which information is herein
incorporated by reference.
40
The following table shows reported claim counts, open claim
counts, the average net case reserve per open claim, and the
average claim payment on claims that were closed with a payment
for our medical professional liability segment at or for the
years ended December 31, 2004, 2003 and 2002.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Average | |
|
|
|
|
|
|
|
|
Net Case | |
|
Average Paid | |
|
|
Number | |
|
Number | |
|
Reserve | |
|
Claim per | |
At or For the Year Ended |
|
of Reported | |
|
of Open | |
|
Per Open | |
|
Claim Closed | |
December 31, |
|
Claims | |
|
Claims | |
|
Claim | |
|
With Payment | |
|
|
| |
|
| |
|
| |
|
| |
2004
|
|
|
1,786 |
|
|
|
3,342 |
|
|
$ |
117,010 |
|
|
$ |
59,258 |
|
2003
|
|
|
2,657 |
|
|
|
4,447 |
|
|
|
87,656 |
|
|
|
66,279 |
|
2002
|
|
|
3,018 |
|
|
|
4,863 |
|
|
|
70,905 |
|
|
|
65,645 |
|
Due to the long-tailed nature of the medical professional
liability line of insurance, changes in the actuarially
projected ultimate loss severity can have an even greater impact
on the balance of recorded reserves than with most other
property and casualty insurance lines. While we believe that our
estimate for ultimate projected losses related to our medical
professional liability segment is adequate based on our open and
reported claim counts, there can be no assurance that additional
significant reserve enhancements will not be necessary in the
future given the many variables inherent in such estimates and
the extended period of time that it can take for claim patterns
to emerge.
Activity in the liability for unpaid loss and loss adjustment
expenses by insurance segment for the year ended
December 31, 2004 was as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Medical | |
|
Other | |
|
|
|
|
Professional | |
|
Insurance | |
|
All | |
|
|
Liability | |
|
Lines | |
|
Segments | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Balance, December 31, 2003
|
|
$ |
598,330 |
|
|
$ |
75,275 |
|
|
$ |
673,605 |
|
|
Less, reinsurance recoverables
|
|
|
91,002 |
|
|
|
7,956 |
|
|
|
98,958 |
|
|
|
|
|
|
|
|
|
|
|
Net reserves, December 31, 2003
|
|
|
507,328 |
|
|
|
67,319 |
|
|
|
574,647 |
|
Incurred related to
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current year
|
|
|
148,230 |
|
|
|
23,371 |
|
|
|
171,601 |
|
|
Gerling Global commutation
|
|
|
4,139 |
|
|
|
271 |
|
|
|
4,410 |
|
|
Prior years
|
|
|
(6,850 |
) |
|
|
8,625 |
|
|
|
1,775 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
145,519 |
|
|
|
32,267 |
|
|
|
177,786 |
|
|
|
|
|
|
|
|
|
|
|
Paid related to
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current year
|
|
|
4,964 |
|
|
|
12,997 |
|
|
|
17,961 |
|
|
Gerling Global commutation
|
|
|
(13,136 |
) |
|
|
(364 |
) |
|
|
(13,500 |
) |
|
Prior years
|
|
|
124,664 |
|
|
|
31,469 |
|
|
|
156,133 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
116,492 |
|
|
|
44,102 |
|
|
|
160,594 |
|
|
|
|
|
|
|
|
|
|
|
Net reserves, December 31, 2004
|
|
|
536,355 |
|
|
|
55,484 |
|
|
|
591,839 |
|
|
Plus, reinsurance recoverables
|
|
|
97,949 |
|
|
|
3,842 |
|
|
|
101,791 |
|
Balance, December 31, 2004
|
|
$ |
634,304 |
|
|
$ |
59,326 |
|
|
$ |
693,630 |
|
|
|
|
|
|
|
|
|
|
|
Development as a % of December 31, 2003 net reserves
|
|
|
-0.5 |
% |
|
|
13.2 |
% |
|
|
1.1 |
% |
|
|
|
|
|
|
|
|
|
|
Also see Part I Item 1.
Business Loss and Loss Adjustment Expense
Reserves for a longer-term view on the development of our
prior year loss reserves, as well as our estimated reserve
ranges. The cross-referenced information is incorporated herein
by reference.
41
|
|
|
Other Significant Balance Sheet Items |
Our invested assets consist primarily of fixed maturity and
equity securities, which are carried in the Consolidated Balance
Sheets, included elsewhere in this report, at their estimated
fair value, and investment real estate and investment real
estate limited partnerships. At December 31, 2004, our
investment portfolio included net unrealized gains of
approximately $24.1 million, a decrease of
$21.5 million compared to December 31, 2003. Net
unrealized gains are reported, net of tax, in the
shareholders equity section of the Consolidated Balance
Sheets and represented approximately 4.0% and 14.7% of
consolidated shareholders equity at December 31, 2004
and 2003, respectively. Generally, the estimated fair value of
our fixed maturity securities is inversely related to current
interest rates. Therefore, as interest rates rise, our net
unrealized gains will fall. See Item 7A
Quantitative and Qualitative Disclosure About Market Risk,
for further information regarding the potential impact of
changes in prevailing interest rates on the fair value of our
fixed maturity portfolio. Also see Note 5 of the Notes to
Consolidated Financial Statements for more detail regarding our
invested assets. The cross-referenced information is
incorporated herein by reference.
Premiums receivable decreased $10.7 million, or 16.4%, to
$54.6 million at December 31, 2004. The decrease is
primarily due to our exit from the workers compensation
lines of business during 2004.
Reinsurance recoverables decreased $340,000, or .3%, to
$103.3 million at December 31, 2004. Reinsurance
recoverables, on a GAAP basis, represent reserves for unpaid
losses and loss adjustment expenses ceded under the various
reinsurance treaties we have in place, as well as receivables
from reinsurers for loss payments we have made and are entitled
to recover under the terms of the treaties. During 2004, we
commuted our reinsurance treaties with Gerling resulting in a
decrease in reinsurance recoverables of $17.9 million
during 2004. Nearly offsetting this decrease was an increase
related to the higher severity of projected losses related to
medical professional liability policies.
Property and equipment decreased $4.3 million, or 26.1%, to
$12.2 million at December 31, 2004. The decrease is
due primarily to a $2.5 million charge for the write-off of
capitalized software costs associated with an information system
project involving a computer system to administer medical
professional liability policies and claims. The information
system project, which began in the fall of 2002, was not
producing the anticipated results and management decided to
discontinue the project. In addition, we wrote-off approximately
$815,000 of capitalized leasehold improvements related to office
space that we lease in Chicago, Illinois during the fourth
quarter of 2004. The decision was made not to use the improved
space for its intended purpose, and the space was subleased in
the fourth quarter of 2004. Accordingly, the leasehold
improvements associated with the subleased space were considered
impaired, and written off.
At December 31, 2004 we have no recorded deferred federal
income tax assets due to the establishment of a valuation
allowance during 2003. Based on the Companys recent loss
experience, it is uncertain that sufficient taxable income will
exist in the periods when the deductible temporary differences
that gave rise to the deferred tax assets are expected to
reverse. Once the Company has re-established a pattern of
profitability, the deferred tax asset valuation allowance may be
reduced in whole or in part upon evaluation of the availability
of future taxable income.
During 2003, we acquired intangible assets with respect to
certain covenants not to compete in connection with our
investment in PIC and the retirement of our former President and
CEO. These assets are discussed more fully in Note 4 of the
Notes to Consolidated Financial Statements. Such information is
incorporated herein by reference.
Unearned premiums decreased $13.8 million, or 13.3%, to
$90.0 million at December 31, 2004. The decrease is
primarily due to our exit from the workers compensation
lines of business during 2004. There is less than $100,000 of
direct unearned premium, $1.1 million on a net basis,
remaining related to workers compensation as of
December 31, 2004.
In May 2003, we issued $30.9 million of debentures. See
Note 9 of the Notes to the Consolidated Financial
Statements for a discussion of these transactions. Such
information is incorporated herein by reference.
42
Accrued expenses and other liabilities at December 31, 2004
were $51.0 million, an increase of $6.3 million
compared to December 31, 2003. This increase was primarily
attributable to $9.5 million in payables for securities at
December 31, 2004 partially offset by a decrease of
$6.3 million in ceded reinsurance premiums payable,
primarily related to our medical professional liability
reinsurance treaties, and a $2.0 million decrease in
premiums paid in advance. Our medical professional liability
reinsurance treaties are swing rated, on a
retrospective basis. In accordance with the treaties, we pay a
provisional premium to the reinsurer, and after three years, the
provisional premium is either increased or decreased depending
on the actual loss experience on the business written during a
given treaty year. In light of our recent loss experience, we
have recorded ceded premiums during 2004 and 2003 at
approximately the maximum liability due under the treaties.
Shareholders equity at December 31, 2004 was
$202.1 million, an increase of $300,000, from
$201.8 million at December 31, 2003. Retained earnings
increased $20.0 million as a result of the net income
recorded for the year ended December 31, 2004. This
increase was offset by a decrease in unrealized appreciation on
investments, net of tax, of $14.0 million. The decrease in
unrealized gains was due to declines in market values of
fixed-income securities caused by rising interest rates and due
to the recognition of some gains during the year as we realigned
our investment portfolio. Changes in the net deferred tax asset
valuation allowance accounted for an additional
$9.3 million negative effect on equity. The Companys
book value per common share outstanding at December 31,
2004 was $23.31 per share, based on 8,671,984 shares
outstanding, compared to $23.89 per common share
outstanding at December 31, 2003. Total shares outstanding
at December 31, 2003 were 8,445,807.
Off-Balance Sheet Arrangements
In May 2003, we formed two subsidiary statutory trusts for the
purpose of issuing mandatorily redeemable trust preferred
securities, referred to as trust preferred
securities. The proceeds from the trust preferred
securities that were issued were used by the trusts to purchase
debentures issued by APCapital. APCapital used the amounts
borrowed pursuant to these debentures to increase its available
capital and has subsequently contributed substantially all of
the proceeds to American Physicians to increase its statutory
surplus. The debentures and the trust preferred securities have
terms and maturities that mirror each other. In accordance with
the guidance given in Financial Accounting Standards Board
Interpretation No. 46, Variable Interest
Entities, we have not consolidated these subsidiary
trusts. APCapital has guaranteed that amounts paid to the trusts
related to the debentures, will subsequently be remitted to the
holders of the trust preferred securities. In accordance with
the nature of the transactions, the amounts guaranteed by
APCapital, are also recorded as liabilities in the Consolidated
Financial Statements, as they represent obligations to the
trusts, which are in turn obligated to the holders of the trust
preferred securities.
43
Contractual Obligations
We are contractually obligated in accordance with various loan
or borrowing agreements and operating leases. The following
table shows the nature and the timing of our contractual
obligations as of December 31, 2004:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Payments Due by Period | |
|
|
| |
|
|
|
|
Less Than | |
|
1-3 | |
|
3-5 | |
|
More Than | |
Contractual Obligations |
|
Total | |
|
1 Year | |
|
Years | |
|
Years | |
|
5 Years | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Reserves for unpaid loss and loss adjustment expenses(1)
|
|
$ |
693,630 |
|
|
$ |
209,936 |
|
|
$ |
298,056 |
|
|
$ |
129,245 |
|
|
$ |
56,393 |
|
Operating leases
|
|
|
6,413 |
|
|
|
1,068 |
|
|
|
1,721 |
|
|
|
1,237 |
|
|
|
2,387 |
|
Long-term debt(2)
|
|
|
30,928 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
30,928 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
730,971 |
|
|
$ |
211,004 |
|
|
$ |
299,777 |
|
|
$ |
130,482 |
|
|
$ |
89,708 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
The Companys reserves for unpaid loss and loss adjustment
expenses are an estimate of future cash flows necessary to
fulfill insurance obligations based on insured events that have
already occurred, but the amount and timing of the cash outflow
is uncertain. |
|
(2) |
The long-term debt is more fully described in Note 9 of the
Notes to Consolidated Financial Statements. |
Effects of New Accounting Pronouncements
In 2003, the Emerging Issues Task Force (EITF)
issued EITF 03-1, The Meaning of Other-Than-Temporary
Impairment and Its Application to Certain Investments. The
guidance contained in EITF 03-1 has been delayed by FASB
Staff Position (FSP) EITF 03-1-1,
Effective Date of Paragraphs 10-20 of EITF Issue
No. 03-1 The meaning of Other-Than-Temporary
Impairment and Its Application to Certain
Investments. The delay of the effective date will be
superseded with the final issuance of proposed FSP EITF
Issue 03-1-a, Implication Guidance for the
Application of Paragraph 16 of EITF Issue
No. 03-1 which was subject to comments through
October 29, 2004.
The disclosure requirements of EITF 03-1 continue to be
effective in annual financial statements for fiscal years ending
after December 15, 2003, for investments accounted for
under Statements 115 and 124. The impact of FSP
EITF 03-1-a on the Companys financial position or
results of operations cannot be determined at this time.
However, under the proposed guidance, decreases in the market
value of certain investments could have a material adverse
impact on the Companys future results of operations.
In December 2004, the FASB issued Statement of Financial
Accounting Standard (SFAS) No. 123R,
Share-Based Payment, which is a revision of
SFAS No. 123, Accounting for Stock-Based
Compensation. SFAS No. 123R is effective as of
the beginning of the first interim or annual period that begins
after June 15, 2005, and requires companies to measure the
cost of employee services received in exchange for an award of
equity instruments based on the grant-date fair value of the
award. That cost will be recognized over the period during which
an employee is required to provide service in exchange for the
award i.e., the requisite service period, which is usually equal
to the vesting period. In accordance with the transitional
guidance given in the statement, compensation cost is recognized
on or after the required effective date for the portion of
outstanding awards for which the requisite service period has
not yet been rendered, based on the grant-date fair value of
those awards calculated under SFAS No. 123 for either
recognition or pro forma disclosure requirements.
Under the transitional guidance given in
SFAS No. 123R, we may choose one of three transition
methods. We intend to use the modified prospective transitional
method upon adoption. Under the modified prospective method,
there would be no compensation charge for vested awards that are
outstanding on the effective date of SFAS No. 123R.
Unvested awards that are outstanding on the effective date would
be charged to expense over the remaining vesting period.
Accordingly, we anticipate that we will recognize
44
approximately $39,000 of incremental compensation costs in
future periods related to unvested outstanding awards as of the
effective date.
|
|
Item 7A. |
Quantitative and Qualitative Disclosures About Market
Risk |
General
Market risk is the risk of loss due to adverse changes in market
rates and prices. We invest primarily in fixed maturity
securities, which are interest-sensitive assets. Accordingly,
our primary market risk is exposure to changes in interest rates.
As of December 31, 2004, the majority of our investment
portfolio was invested in fixed maturity securities. The fixed
maturity securities primarily consisted of U.S. government
and agency bonds, high-quality corporate bonds, mortgage-backed
securities and tax-exempt U.S. municipal bonds.
Qualitative Information About Market Risk
Investments in our portfolio have varying degrees of risk. The
primary market risk exposure to the fixed maturity portfolio is
interest rate risk, which is limited somewhat by our management
of duration. The distribution of maturities and sector
concentrations are monitored on a regular basis.
Equity securities are carried at quoted market values. The fair
value of publicly traded fixed maturity securities is based upon
independent market quotations. The fair value of non-publicly
traded securities is based on independent third party pricing
sources that use valuation models. The valuation models used by
the independent third party pricing sources use indicative
information such as ratings, industry, coupon, and maturity
along with publicly traded bond prices to determine security
specific spreads, and the ultimate fair value of the
non-publicly traded fixed maturity securities. Realized gains or
losses on sales or maturities of investments are determined on a
specific identification basis and are credited or charged to
income.
At December 31, 2004, all of our fixed maturity portfolio
(excluding approximately $13.7 million of private placement
issues, which is approximately 2.1% of the total fixed-income
security portfolio) was considered investment grade. We define
investment grade securities as those that have a
Standards & Poors credit rating of BBB and above.
Non-investment grade securities typically bear more credit risk
than those of investment grade quality. Credit risk is the risk
that amounts due the Company by creditors may not ultimately be
collected.
We periodically review our investment portfolio for any
potential credit quality or collection issues and for any
securities with respect to which we consider any decline in
market value to be other than temporary. Our policy for
recording OTTI write-downs is more fully discussed in
Item 7 Managements Discussion and
Analysis Significant Accounting Policies,
Investments. The cross-referenced information is included
herein by reference.
During 2004, we liquidated our $50 million high-yield bond
investment portfolio for a pre-tax gain of $1.6 million. In
addition, we liquidated the majority of our other non-investment
grade securities for a pre-tax gain of $2.6 million. The
liquidation of our high-yield bonds and other non-investment
grade securities has reduced the overall risk level associated
with our investment portfolio, but is likely to decrease future
investment income as we reinvest in lower-risk, lower-yielding
securities.
Approximately $7.1 million of the mortgage-backed
securities purchased are interest-only certificates. Unlike
traditional fixed-maturity securities, the fair value of these
investments is not inversely related to interest rates, but
rather, moves in the same direction as interest rates as the
underlying financial instruments are mortgage-backed securities.
With mortgage-backed securities, as interest rates rise,
prepayments will decrease, which means that the interest-only
certificates will generate interest for a longer period of time
than originally anticipated, which in turn will increase the
fair value of these investments.
Approximately $5.1 million of these interest-only
certificates have an inverse floating rate of interest tied to
the London Interbank Offered Rate. The Company has determined
that these inverse floating interest-only
certificates contain an embedded derivative as defined by
SFAS No. 133, Accounting for Derivative
45
Instruments and Hedging Activities. Because the Company
cannot readily segregate the fair value of the embedded
derivative from the host debt instrument, the entire change in
the fair value of these inverse floating interest-only
certificates is reported in earnings as investment income. For
the years ended December 31, 2004 and 2003, a loss of
approximately $338,000 and a gain of approximately $432,000,
respectively, were included in investment income for the change
in fair value of the inverse floating interest-only certificates.
Quantitative Information About Market Risk
At December 31, 2004, our fixed income security portfolio
was valued at $657.7 million and had an average modified
duration of 2.77 years, compared to a portfolio valued at
$694.6 million with an average modified duration of
2.89 years at December 31, 2003. Of the
$657.7 million at December 31, 2004, $7.1 million
were interest only certificates that had a modified duration of
1.99 years, compared to $13.5 million of interest only
certificates with a modified duration of 1.02 at
December 31, 2003. The following tables show the effects of
a change in interest rates on the fair value and duration of our
entire fixed maturity portfolio at December 31, 2004 and
2003, and then separately for our interest only certificates. We
have assumed an immediate increase or decrease of 1% or 2% in
interest rate for illustrative purposes. You should not consider
this assumption or the values shown in the table to be a
prediction of actual future results.
Entire Fixed Maturity Portfolio (Including Interest Only
Certificates)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2004 | |
|
December 31, 2003 | |
|
|
| |
|
| |
|
|
Portfolio | |
|
Change in | |
|
Modified | |
|
Portfolio | |
|
Change in | |
|
Modified | |
Change in Rates |
|
Value | |
|
Value | |
|
Duration | |
|
Value | |
|
Value | |
|
Duration | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
|
(Dollars in thousands) | |
+2%
|
|
$ |
612,330 |
|
|
$ |
(45,376 |
) |
|
|
4.58 |
|
|
$ |
664,072 |
|
|
$ |
(30,561 |
) |
|
|
3.07 |
|
+1%
|
|
|
639,822 |
|
|
|
(17,884 |
) |
|
|
3.63 |
|
|
|
680,389 |
|
|
|
(14,244 |
) |
|
|
2.81 |
|
0
|
|
|
657,706 |
|
|
|
|
|
|
|
2.77 |
|
|
|
694,633 |
|
|
|
|
|
|
|
2.89 |
|
-1%
|
|
|
665,172 |
|
|
|
7,466 |
|
|
|
1.89 |
|
|
|
708,257 |
|
|
|
13,624 |
|
|
|
2.80 |
|
-2%
|
|
|
677,559 |
|
|
|
19,853 |
|
|
|
1.97 |
|
|
|
726,316 |
|
|
|
31,683 |
|
|
|
2.87 |
|
Interest Only Certificates
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2004 | |
|
December 31, 2003 | |
|
|
| |
|
| |
|
|
Portfolio | |
|
Change in | |
|
Modified | |
|
Portfolio | |
|
Change in | |
|
Modified | |
Change in Rates |
|
Value | |
|
Value | |
|
Duration | |
|
Value | |
|
Value | |
|
Duration | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(Dollars in thousands) | |
|
(Dollars in thousands) | |
+2%
|
|
$ |
10,289 |
|
|
$ |
3,153 |
|
|
|
4.18 |
|
|
$ |
19,217 |
|
|
$ |
5,751 |
|
|
|
1.57 |
|
+1%
|
|
|
10,713 |
|
|
|
3,577 |
|
|
|
3.67 |
|
|
|
17,792 |
|
|
|
4,326 |
|
|
|
1.44 |
|
0
|
|
|
7,136 |
|
|
|
|
|
|
|
1.99 |
|
|
|
13,466 |
|
|
|
|
|
|
|
1.02 |
|
-1%
|
|
|
2,240 |
|
|
|
(4,896 |
) |
|
|
0.68 |
|
|
|
7,136 |
|
|
|
(6,330 |
) |
|
|
1.03 |
|
-2%
|
|
|
1,601 |
|
|
|
(5,535 |
) |
|
|
0.56 |
|
|
|
5,536 |
|
|
|
(7,930 |
) |
|
|
0.42 |
|
46
|
|
Item 8. |
Financial Statements and Supplementary Data |
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To The Board of Directors and Shareholders:
We have completed an integrated audit of American Physicians
Capital, Inc.s 2004 consolidated financial statements and
of its internal control over financial reporting as of
December 31, 2004 and audits of its 2003 and 2002
consolidated financial statements in accordance with the
standards of the Public Company Accounting Oversight Board
(United States). Our opinions, based on our audits, are
presented below.
Consolidated Financial Statements
In our opinion, the accompanying consolidated balance sheets and
the related consolidated statements of income, statements of
shareholders equity and comprehensive income and of cash
flows present fairly, in all material respects, the financial
position of American Physicians Capital, Inc. and its
subsidiaries at December 31, 2004 and 2003, and the results
of their operations and their cash flows for each of the three
years in the period ended December 31, 2004 in conformity
with accounting principles generally accepted in the United
States of America. These financial statements are the
responsibility of the Companys management. Our
responsibility is to express an opinion on these financial
statements based on our audits. We conducted our audits of these
statements in accordance with the standards of the Public
Company Accounting Oversight Board (United States). Those
standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are
free of material misstatement. An audit of financial statements
includes examining, on a test basis, evidence supporting the
amounts and disclosures in the financial statements, assessing
the accounting principles used and significant estimates made by
management, and evaluating the overall financial statement
presentation. We believe that our audits provide a reasonable
basis for our opinion.
Internal Control Over Financial Reporting
Also, we have audited managements assessment, included in
the accompanying Managements Report on Internal
Control Over Financial Reporting, appearing under
item 9A, that American Physicians Capital, Inc. did not
maintain effective internal control over financial reporting as
of December 31, 2004, because the Company did not maintain
effective controls over underwriting and claims processes
performed at its New Mexico location, based on criteria
established in Internal Control Integrated
Framework issued by the Committee of Sponsoring
Organizations of the Treadway Commission (COSO). The
Companys management is responsible for maintaining
effective internal control over financial reporting and for its
assessment of the effectiveness of internal control over
financial reporting. Our responsibility is to express opinions
on managements assessment and on the effectiveness of the
Companys internal control over financial reporting based
on our audit.
We conducted our audit of internal control over financial
reporting in accordance with the standards of the Public Company
Accounting Oversight Board (United States). Those standards
require that we plan and perform the audit to obtain reasonable
assurance about whether effective internal control over
financial reporting was maintained in all material respects. An
audit of internal control over financial reporting includes
obtaining an understanding of internal control over financial
reporting, evaluating managements assessment, testing and
evaluating the design and operating effectiveness of internal
control, and performing such other procedures as we consider
necessary in the circumstances. We believe that our audit
provides a reasonable basis for our opinions.
A companys internal control over financial reporting is a
process designed to provide reasonable assurance regarding the
reliability of financial reporting and the preparation of
financial statements for external purposes in accordance with
generally accepted accounting principles. A companys
internal control over financial reporting includes those
policies and procedures that (i) pertain to the maintenance
of records that, in reasonable detail, accurately and fairly
reflect the transactions and dispositions of the assets of the
company;
47
(ii) provide reasonable assurance that transactions are
recorded as necessary to permit preparation of financial
statements in accordance with generally accepted accounting
principles, and that receipts and expenditures of the company
are being made only in accordance with authorizations of
management and directors of the company; and (iii) provide
reasonable assurance regarding prevention or timely detection of
unauthorized acquisition, use, or disposition of the
companys assets that could have a material effect on the
financial statements.
Because of its inherent limitations, internal control over
financial reporting may not prevent or detect misstatements.
Also, projections of any evaluation of effectiveness to future
periods are subject to the risk that controls may become
inadequate because of changes in conditions, or that the degree
of compliance with the policies or procedures may deteriorate.
A material weakness is a control deficiency, or combination of
control deficiencies, that results in a more than remote
likelihood that a material misstatement of the annual or interim
financial statements will not be prevented or detected. As of
December 31, 2004, the Company did not maintain effective
controls over underwriting and claims processes performed at its
New Mexico location. The control deficiency at this location
relates to deficiencies in the processing and recording of
premiums, paid losses, loss adjustment expenses and the related
case reserves at December 31, 2004. Specifically, the
deficiencies identified included a lack of segregation of
duties, insufficient management monitoring and oversight of the
underwriting and claims processes, and a lack of adequate
documentation to provide evidence of the performance of key
controls. The policy and claim administration systems support
the underwriting and claims processing at the New Mexico
location. These systems lack controls necessary to ensure all
premiums and claims transactions are properly processed and
accumulated. In addition, access is not restricted to ensure
unauthorized individuals do not have access to add, change or
delete the underlying premiums or claims data. The control
deficiency did not result in any adjustments to the 2004 annual
or interim consolidated financial statements. However, this
control deficiency could result in a misstatement of premiums,
paid losses, loss adjustment expenses and the related case
reserves that would result in a material misstatement to the
annual or interim financial statements that would not be
prevented or detected. Accordingly, management has determined
that this control deficiency constitutes a material weakness.
Because of this material weakness, we have concluded that the
Company did not maintain effective internal control over
financial reporting as of December 31, 2004, based on
criteria in Internal Control Integrated
Framework. This material weakness was considered in
determining the nature, timing, and extent of audit tests
applied in our audit of the December 31, 2004, consolidated
financial statements, and our opinion regarding the
effectiveness of the Companys internal control over
financial reporting does not affect our opinion on those
consolidated financial statements.
In our opinion, managements assessment that American
Physicians Capital, Inc. did not maintain effective internal
control over financial reporting as of December 31, 2004,
is fairly stated, in all material respects, based on criteria
established in Internal Control Integrated
Framework issued by the Committee of Sponsoring
Organizations of the Treadway Commission (COSO). Also, in our
opinion, because of the effect of the material weakness
described above on the achievement of the objectives of the
control criteria, American Physicians Capital, Inc. has not
maintained effective internal control over financial reporting
as of December 31, 2004, based on criteria established in
Internal Control Integrated Framework issued
by the Committee of Sponsoring Organizations of the Treadway
Commission (COSO).
PricewaterhouseCoopers LLP
Chicago, Illinois
March 16, 2005
48
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
December 31, 2004 and 2003
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands, | |
|
|
except share data) | |
ASSETS |
Investments:
|
|
|
|
|
|
|
|
|
|
Fixed maturities, at fair value
|
|
$ |
657,706 |
|
|
$ |
694,633 |
|
|
Equity securities, at fair value
|
|
|
2,091 |
|
|
|
7,545 |
|
|
Other investments
|
|
|
7,365 |
|
|
|
29,776 |
|
|
|
|
|
|
|
|
|
|
Total investments
|
|
|
667,162 |
|
|
|
731,954 |
|
Cash and cash equivalents
|
|
|
190,936 |
|
|
|
102,051 |
|
Premiums receivable
|
|
|
54,614 |
|
|
|
65,362 |
|
Reinsurance recoverable
|
|
|
103,312 |
|
|
|
103,652 |
|
Federal income taxes recoverable
|
|
|
1,569 |
|
|
|
973 |
|
Property and equipment, net
|
|
|
12,181 |
|
|
|
16,490 |
|
Intangible assets, net
|
|
|
625 |
|
|
|
1,539 |
|
Other assets
|
|
|
39,500 |
|
|
|
41,025 |
|
|
|
|
|
|
|
|
|
|
Total assets
|
|
$ |
1,069,899 |
|
|
$ |
1,063,046 |
|
|
|
|
|
|
|
|
|
LIABILITIES |
Unpaid losses and loss adjustment expenses
|
|
$ |
693,630 |
|
|
$ |
673,605 |
|
Unearned premiums
|
|
|
90,040 |
|
|
|
103,806 |
|
Note payable, officer
|
|
|
|
|
|
|
6,000 |
|
Long-term debt
|
|
|
30,928 |
|
|
|
30,928 |
|
Accrued expenses and other liabilities
|
|
|
50,977 |
|
|
|
44,698 |
|
|
|
|
|
|
|
|
|
|
Total liabilities
|
|
|
865,575 |
|
|
|
859,037 |
|
|
|
|
|
|
|
|
Commitments and Contingencies (Note 19)
|
|
|
|
|
|
|
|
|
Minority Interest in Consolidated Subsidiary
|
|
|
2,200 |
|
|
|
2,201 |
|
Shareholders Equity
|
|
|
|
|
|
|
|
|
Common stock, no par value, 50,000,000 shares authorized:
|
|
|
|
|
|
|
|
|
|
8,671,984 and 8,445,807 shares outstanding at
December 31, 2004 and 2003, respectively
|
|
|
|
|
|
|
|
|
Additional paid-in-capital
|
|
|
86,956 |
|
|
|
85,137 |
|
Retained earnings
|
|
|
107,382 |
|
|
|
87,352 |
|
Unearned stock compensation
|
|
|
(368 |
) |
|
|
(288 |
) |
Accumulated other comprehensive income:
|
|
|
|
|
|
|
|
|
|
Net unrealized appreciation on investments, net of deferred
federal income taxes
|
|
|
8,154 |
|
|
|
29,607 |
|
|
|
|
|
|
|
|
|
|
Total shareholders equity
|
|
|
202,124 |
|
|
|
201,808 |
|
|
|
|
|
|
|
|
|
|
Total liabilities and shareholders equity
|
|
$ |
1,069,899 |
|
|
$ |
1,063,046 |
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of the consolidated
financial statements.
49
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF INCOME
For the Years Ended December 31, 2004, 2003, and 2002
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands, except per share data) | |
Revenues and Other Income
|
|
|
|
|
|
|
|
|
|
|
|
|
Net premiums written
|
|
$ |
186,431 |
|
|
$ |
224,647 |
|
|
$ |
238,417 |
|
Change in unearned premiums
|
|
|
14,148 |
|
|
|
(57 |
) |
|
|
(2,866 |
) |
|
|
|
|
|
|
|
|
|
|
Net premiums earned
|
|
|
200,579 |
|
|
|
224,590 |
|
|
|
235,551 |
|
Investment income
|
|
|
47,373 |
|
|
|
43,294 |
|
|
|
44,775 |
|
Net realized gains (losses)
|
|
|
1,551 |
|
|
|
2,403 |
|
|
|
(163 |
) |
Other income, net
|
|
|
1,177 |
|
|
|
1,104 |
|
|
|
376 |
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues and other income
|
|
|
250,680 |
|
|
|
271,391 |
|
|
|
280,539 |
|
Expenses
|
|
|
|
|
|
|
|
|
|
|
|
|
Losses and loss adjustment expenses
|
|
|
177,786 |
|
|
|
252,742 |
|
|
|
242,028 |
|
Underwriting expenses
|
|
|
42,681 |
|
|
|
51,104 |
|
|
|
48,593 |
|
Investment expenses
|
|
|
2,460 |
|
|
|
2,940 |
|
|
|
3,091 |
|
Interest expense
|
|
|
1,714 |
|
|
|
1,370 |
|
|
|
373 |
|
Amortization expense
|
|
|
1,096 |
|
|
|
389 |
|
|
|
|
|
General and administrative expenses
|
|
|
3,918 |
|
|
|
2,921 |
|
|
|
1,395 |
|
Other expenses
|
|
|
1,275 |
|
|
|
808 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
230,930 |
|
|
|
312,274 |
|
|
|
295,480 |
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before income taxes, minority interest and
cumulative effect of a change in accounting principle
|
|
|
19,750 |
|
|
|
(40,883 |
) |
|
|
(14,941 |
) |
Federal income tax (benefit) expense
|
|
|
(290 |
) |
|
|
36,296 |
|
|
|
(5,529 |
) |
|
|
|
|
|
|
|
|
|
|
Income (loss) before minority interest and cumulative effect of
a change in accounting principle
|
|
|
20,040 |
|
|
|
(77,179 |
) |
|
|
(9,412 |
) |
Minority interest in net (income) loss of consolidated subsidiary
|
|
|
(10 |
) |
|
|
348 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before cumulative effect of a change in accounting
principle
|
|
|
20,030 |
|
|
|
(76,831 |
) |
|
|
(9,412 |
) |
Cumulative effect of a change in accounting principle, net of
tax (Note 4)
|
|
|
|
|
|
|
|
|
|
|
(9,079 |
) |
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
20,030 |
|
|
$ |
(76,831 |
) |
|
$ |
(18,491 |
) |
|
|
|
|
|
|
|
|
|
|
Earnings Per Share:
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before cumulative effect of a change in accounting
principle
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic
|
|
$ |
2.37 |
|
|
$ |
(9.02 |
) |
|
$ |
(1.01 |
) |
|
Diluted
|
|
$ |
2.30 |
|
|
$ |
(9.02 |
) |
|
$ |
(1.01 |
) |
Cumulative effect of a change in accounting principle
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic
|
|
$ |
|
|
|
$ |
|
|
|
$ |
(0.97 |
) |
|
Diluted
|
|
$ |
|
|
|
$ |
|
|
|
$ |
(0.97 |
) |
Net income (loss)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic
|
|
$ |
2.37 |
|
|
$ |
(9.02 |
) |
|
$ |
(1.98 |
) |
|
Diluted
|
|
$ |
2.30 |
|
|
$ |
(9.02 |
) |
|
$ |
(1.98 |
) |
The accompanying notes are an integral part of the consolidated
financial statements.
50
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF SHAREHOLDERS EQUITY
AND COMPREHENSIVE INCOME
For the Years Ended December 31, 2004, 2003 and 2002
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accumulated | |
|
|
|
|
|
|
Additional | |
|
|
|
Unearned | |
|
Other | |
|
|
|
|
Shares | |
|
Paid-In | |
|
Retained | |
|
Stock | |
|
Comprehensive | |
|
|
|
|
Outstanding | |
|
Capital | |
|
Earnings | |
|
Compensation | |
|
Income | |
|
Total | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands, except share data) | |
Balance, December 31, 2001
|
|
|
10,238,122 |
|
|
$ |
119,463 |
|
|
$ |
182,674 |
|
|
$ |
(1,001 |
) |
|
$ |
5,829 |
|
|
$ |
306,965 |
|
Comprehensive income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net loss
|
|
|
|
|
|
|
|
|
|
|
(18,491 |
) |
|
|
|
|
|
|
|
|
|
|
(18,491 |
) |
|
Unrealized appreciation on investment securities, net of taxes
of $10,125 and reclassification adjustment
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
18,807 |
|
|
|
18,807 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total comprehensive income, net of taxes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
316 |
|
Purchase and retirement of common stock
|
|
|
(1,555,100 |
) |
|
|
(27,483 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(27,483 |
) |
Options exercised
|
|
|
18,000 |
|
|
|
243 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
243 |
|
Amortization of unearned stock compensation
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
301 |
|
|
|
|
|
|
|
301 |
|
Forfeiture of unearned stock compensation
|
|
|
(5,530 |
) |
|
|
(75 |
) |
|
|
|
|
|
|
22 |
|
|
|
|
|
|
|
(53 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance, December 31, 2002
|
|
|
8,695,492 |
|
|
|
92,148 |
|
|
|
164,183 |
|
|
|
(678 |
) |
|
|
24,636 |
|
|
|
280,289 |
|
Comprehensive loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net loss
|
|
|
|
|
|
|
|
|
|
|
(76,831 |
) |
|
|
|
|
|
|
|
|
|
|
(76,831 |
) |
|
Unrealized appreciation on investment securities, net of taxes
of $2,678 and reclassification adjustment
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4,971 |
|
|
|
4,971 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total comprehensive loss, net of taxes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(71,860 |
) |
Options exercised
|
|
|
25,800 |
|
|
|
440 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
440 |
|
Amortization of unearned stock compensation, net of tax
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
300 |
|
|
|
|
|
|
|
300 |
|
Incremental tax benefit of vested restricted stock and exercised
stock options
|
|
|
|
|
|
|
261 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
261 |
|
Purchase and retirement of common stock
|
|
|
(272,800 |
) |
|
|
(7,676 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(7,676 |
) |
Forfeiture of unearned stock compensation
|
|
|
(2,685 |
) |
|
|
(36 |
) |
|
|
|
|
|
|
90 |
|
|
|
|
|
|
|
54 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance, December 31, 2003
|
|
|
8,445,807 |
|
|
|
85,137 |
|
|
|
87,352 |
|
|
|
(288 |
) |
|
|
29,607 |
|
|
|
201,808 |
|
Comprehensive loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
20,030 |
|
|
|
|
|
|
|
|
|
|
|
20,030 |
|
|
Unrealized depreciation on investment securities, net of taxes
of $7,512 and reclassification adjustment
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(13,952 |
) |
|
|
(13,952 |
) |
|
Minority interest in unrealized depreciation on investment
securities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
11 |
|
|
|
11 |
|
Change in deferred tax valuation allowance
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(7,512 |
) |
|
|
(7,512 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total comprehensive loss, net of taxes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1,423 |
) |
Options exercised
|
|
|
365,264 |
|
|
|
6,788 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6,788 |
|
Amortization of unearned stock compensation, net of tax
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
262 |
|
|
|
|
|
|
|
262 |
|
Incremental tax benefit of vested restricted stock and exercised
stock options
|
|
|
|
|
|
|
1,775 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,775 |
|
Restricted stock grants and unearned stock compensation
|
|
|
30,000 |
|
|
|
516 |
|
|
|
|
|
|
|
(335 |
) |
|
|
|
|
|
|
181 |
|
Unrestricted stock grants
|
|
|
1,000 |
|
|
|
27 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
27 |
|
Shares repurchased in connection with option exercise
|
|
|
(166,017 |
) |
|
|
(5,454 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(5,454 |
) |
Forfeiture of unearned stock compensation
|
|
|
(4,070 |
) |
|
|
(58 |
) |
|
|
|
|
|
|
21 |
|
|
|
|
|
|
|
(37 |
) |
Change in deferred tax valuation allowance
|
|
|
|
|
|
|
(1,775 |
) |
|
|
|
|
|
|
(28 |
) |
|
|
|
|
|
|
(1,803 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance, December 31, 2004
|
|
|
8,671,984 |
|
|
$ |
86,956 |
|
|
$ |
107,382 |
|
|
$ |
(368 |
) |
|
$ |
8,154 |
|
|
$ |
202,124 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of the consolidated
financial statements.
51
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
For the Years Ended December 31, 2004, 2003, and 2002
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Cash flows from operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
20,030 |
|
|
$ |
(76,831 |
) |
|
$ |
(18,491 |
) |
|
Adjustments to reconcile net income (loss) to net cash provided
by operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
8,306 |
|
|
|
7,058 |
|
|
|
4,056 |
|
|
|
Net realized (gains) losses
|
|
|
(1,551 |
) |
|
|
(2,403 |
) |
|
|
163 |
|
|
|
Loss on equity method investees
|
|
|
342 |
|
|
|
1,775 |
|
|
|
750 |
|
|
|
Change in fair value of derivatives
|
|
|
338 |
|
|
|
(432 |
) |
|
|
|
|
|
|
Deferred federal income taxes
|
|
|
|
|
|
|
39,865 |
|
|
|
(6,903 |
) |
|
|
Goodwill impairment
|
|
|
|
|
|
|
|
|
|
|
13,968 |
|
|
|
Minority interest in net income (loss) of consolidated subsidiary
|
|
|
10 |
|
|
|
(348 |
) |
|
|
|
|
|
|
Changes in:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Premiums receivable
|
|
|
10,748 |
|
|
|
(2,831 |
) |
|
|
1,663 |
|
|
|
|
Reinsurance recoverable
|
|
|
340 |
|
|
|
(5,524 |
) |
|
|
(2,241 |
) |
|
|
|
Federal income taxes recoverable/payable
|
|
|
(596 |
) |
|
|
127 |
|
|
|
10,166 |
|
|
|
|
Unpaid losses and loss adjustment expenses
|
|
|
20,025 |
|
|
|
36,111 |
|
|
|
40,448 |
|
|
|
|
Unearned premiums
|
|
|
(13,766 |
) |
|
|
386 |
|
|
|
3,364 |
|
|
|
|
Accrued expenses and other liabilities
|
|
|
6,279 |
|
|
|
13,550 |
|
|
|
3,492 |
|
|
|
|
Other assets
|
|
|
1,525 |
|
|
|
(1,410 |
) |
|
|
1,703 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities
|
|
|
52,030 |
|
|
|
9,093 |
|
|
|
52,138 |
|
|
|
|
|
|
|
|
|
|
|
Cash flows from investing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Available-for-sale fixed maturities
|
|
|
(267,853 |
) |
|
|
(254,421 |
) |
|
|
(85,765 |
) |
|
|
Available-for-sale equity securities
|
|
|
(50,034 |
) |
|
|
(19,030 |
) |
|
|
|
|
|
|
Other investments
|
|
|
|
|
|
|
(1,407 |
) |
|
|
(270 |
) |
|
|
Physicians Insurance Company, net of cash acquired
|
|
|
|
|
|
|
2,550 |
|
|
|
|
|
|
|
Intangible assets
|
|
|
|
|
|
|
(1,800 |
) |
|
|
|
|
|
|
Property and equipment
|
|
|
(1,120 |
) |
|
|
(4,111 |
) |
|
|
(1,668 |
) |
|
Sales and maturities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Available-for-sale fixed maturities
|
|
|
285,019 |
|
|
|
187,629 |
|
|
|
101,997 |
|
|
|
Available-for-sale equity securities
|
|
|
55,928 |
|
|
|
9,700 |
|
|
|
347 |
|
|
|
Other investments
|
|
|
19,519 |
|
|
|
4 |
|
|
|
6,842 |
|
|
|
Property and equipment
|
|
|
35 |
|
|
|
8 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) investing activities
|
|
|
41,494 |
|
|
|
(80,878 |
) |
|
|
21,483 |
|
|
|
|
|
|
|
|
|
|
|
Cash flows from financing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Principal payment on note payable
|
|
|
(6,000 |
) |
|
|
(1,000 |
) |
|
|
(1,000 |
) |
|
Common stock repurchased
|
|
|
|
|
|
|
(7,676 |
) |
|
|
(27,483 |
) |
|
Debt issue costs
|
|
|
|
|
|
|
(906 |
) |
|
|
|
|
|
Issuance of long-term debt
|
|
|
|
|
|
|
30,928 |
|
|
|
|
|
|
Proceeds from stock options exercised
|
|
|
1,334 |
|
|
|
440 |
|
|
|
243 |
|
|
Other
|
|
|
27 |
|
|
|
225 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash (used in) provided by financing activities
|
|
|
(4,639 |
) |
|
|
22,011 |
|
|
|
(28,240 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents
|
|
|
88,885 |
|
|
|
(49,774 |
) |
|
|
45,381 |
|
|
|
|
|
Cash and cash equivalents, beginning of period
|
|
|
102,051 |
|
|
|
151,825 |
|
|
|
106,444 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents, end of period
|
|
$ |
190,936 |
|
|
$ |
102,051 |
|
|
$ |
151,825 |
|
|
|
|
|
|
|
|
|
|
|
Supplemental disclosures of cash flow information |
Federal income taxes of $308,000, $(3,752,000), and
$(13,619,000), net, were paid (received) during 2004, 2003
and 2002, respectively. |
Interest payments of $1,672,000, $822,000 and $0 were made
during 2004, 2003 and 2002, respectively. |
In 2003, the Company purchased 49% of the outstanding common
stock of Physicians Insurance Company for $2,450,000. |
Cash acquired in connection with the purchase was $5,000,000. |
The accompanying notes are an integral part of the consolidated
financial statements.
52
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
|
|
1. |
Significant Accounting Policies |
|
|
|
Basis of consolidation and reporting |
The accompanying Consolidated Financial Statements have been
prepared in accordance with accounting principles generally
accepted in the United States of America (GAAP) and
include the accounts of American Physicians Capital, Inc.
(APCapital), its wholly owned subsidiaries,
Insurance Corporation of America (ICA), APSpecialty
Insurance Corporation (APS), APConsulting LLC,
APDirect Sales, LLC, Alpha Advisors, Inc., APIndemnity (Bermuda)
Ltd., APManagement Ltd. and American Physicians Assurance
Corporation (American Physicians). In addition, the
accounts of Physicians Insurance Company, a 49% owned
subsidiary, have been consolidated in the accompanying
Consolidated Financial Statements. All significant intercompany
accounts and transactions are eliminated in consolidation.
The Company is principally engaged in the business of providing
medical professional liability insurance to physicians and other
health care providers. In addition, the Company has historically
provided workers compensation and health insurance;
however, in 2003 the Company initiated plans to exit these
lines. These lines are now included in the other insurance lines
segment. Medical professional liability and other insurance
direct premiums written accounted for approximately 95% and 5%,
respectively, of the Companys total direct premiums
written in 2004.
Medical professional liability coverage is written on both a
claims-made and an occurrence basis. Claims-made policies cover
claims reported during the year in which the policy is in
effect. Occurrence-based policies cover claims arising out of
events that have occurred during the year in which the policy
was in effect, regardless of when they are reported. For the
years ended December 31, 2004, 2003 and 2002, approximately
68%, 69% and 71% of the Companys medical professional
liability direct premiums written represented claims-made
policies, with the remainder representing occurrence-based
policies.
We write business throughout the United States of America, with
an emphasis on markets in the Midwest. During 2004,
approximately 77% of direct premiums written by the Company
occurred in Midwestern states.
With the exception of certain interest-only certificates that
have a rate of interest that is inversely related to, but
derived from the London Interbank Offered Rate, all of the
Companys fixed maturity and equity securities are
classified as available-for-sale, which are those securities
that would be available to be sold in the future in response to
the Companys liquidity needs, changes in market interest
rates and asset-liability management strategies.
Available-for-sale securities are reported at estimated fair
value, with unrealized gains and losses excluded from earnings
and reported as a separate component of other comprehensive
income, net of deferred taxes. The interest-only certificates
are described more fully under the heading Derivative
Financial Instruments below.
Investment income includes amortization of premium and accrual
of discount on the yield-to-maturity method relating to
investments acquired at other than par value. Realized gains or
losses on sales or maturities of investments are determined on a
specific identification basis and are credited or charged to
income.
Equity securities, which are principally private placements, are
carried at market value based on the securities estimated
net realizable value. The net realizable value of private
placement equity securities is determined by the Companys
third-party equity investment manager based on the estimated
consideration that would be received if the security were sold
in the next nine months. Fair values of fixed maturity securities
53
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
1. |
Significant Accounting Policies (continued) |
are determined on the basis of dealer or market quotations, or
comparable securities on which quotations are available.
Investments are evaluated for other than temporary impairment
(OTTI) using both quantitative and qualitative
methods that include, but are not limited to (a) an
evaluation of the Companys ability and intent to retain
the investment for a period of time sufficient to allow for an
anticipated recovery in value, (b) the recoverability of
principal and interest related to the security, (c) the
duration and extent to which the fair value has been less than
cost for equity securities, or amortized cost for fixed maturity
securities, (d) the financial condition, near-term and
long-term earnings and cash flow prospects of the issuer,
including relevant industry conditions and trends, and
implications of rating agency actions, and (e) the specific
reasons that a security is in a significant unrealized loss
position, including market conditions that could affect access
to liquidity.
Write-downs for OTTI are recorded as realized losses in the
period the security is considered impaired. The Company does not
record realized gains for subsequent recoveries in the market
value of an impaired security until the security is sold or
otherwise disposed of.
Investment real estate is carried at the lower of historical
cost, less accumulated depreciation, or fair value, based on
estimated discounted future cash flows. Real estate of
$6,109,000 and $27,105,000, net of accumulated depreciation of
$1,597,000 and $2,444,000, at December 31, 2004 and 2003,
respectively, is included in other investments on the balance
sheet. At December 31, 2004 and 2003, $1,438,000 and
$8,008,000 of real estate was non-income producing, respectively.
Real estate limited partnerships are accounted for based on the
cost method, or the equity method for partnerships where the
Company is able to exercise significant influence over the
operating and financial policies of the partnership. Real estate
limited partnerships are included in other investments on the
balance sheet and had a carrying value of ($243,000) and
$1,164,000 at December 31, 2004 and 2003, respectively.
|
|
|
Derivative Financial Instruments |
At December 31, 2004 and 2003, the Company held
approximately $5.1 million and $7.4 million,
respectively, of interest-only certificates that the Company has
determined contain an embedded derivative instrument as defined
by Statement of Financial Accounting Standard (SFAS)
No. 133, Accounting for Derivative Instruments and
Hedging Activities. These certificates pay a variable rate
of interest that is inversely related to the London Interbank
Offered Rate (LIBOR), and due to their nature, may
not allow the Company to recover substantially all of its
investment.
These interest-only certificates are carried on the balance
sheet at fair value as a fixed maturity security. These
certificates are not linked to specific assets or liabilities on
the balance sheet or to a forecasted transaction and, therefore,
do not qualify for hedge accounting. In addition, the Company
cannot reliably identify and separately measure the embedded
derivative instrument. Accordingly, any changes in the fair
value of the interest-only certificates, based on quoted market
prices, are recorded in current period earnings as investment
income. During the year ended December 31, 2004, the fair
value of these securities decreased by $338,000 and increased by
$432,000 during the year ended December 31, 2003.
|
|
|
Cash and cash equivalents |
Cash equivalents consist principally of commercial paper and
money market funds. They are stated at cost, which approximates
fair value, and have original maturities of three months or
less. At December 31, 2004, the Company has a required
compensating balance with a financial institution in the amount
of $3,000,000, which legally restricts the availability of this
cash for the Companys use.
54
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
1. |
Significant Accounting Policies (continued) |
|
|
|
Premiums written and receivable |
Premiums written are earned using the daily pro rata method over
the period of risk. Premiums receivable include $50,514,000 at
December 31, 2004 and $58,694,000 at December 31, 2003
of premium installments. Receivable balances consist principally
of written premiums from physicians in the states of Michigan,
Ohio, Illinois and New Mexico. The Companys exposure to
credit risk associated with receivables is generally offset by
the liability for unearned premiums; however, an allowance for
doubtful accounts of approximately $205,000 and $550,000 at
December 31, 2004 and 2003, respectively, is included in
the premium receivable balance, primarily for receivable
balances that may not be collectable and have no associated
unearned premiums.
|
|
|
Deferred policy acquisition costs |
Deferred policy acquisition costs (DAC) (carried on
the accompanying Consolidated Balance Sheets in other assets)
include commissions, premium taxes and other costs incurred in
connection with writing business. These costs are deferred and
amortized over the period in which the related premiums are
earned. Future investment income has been considered in
determining the recoverability of deferred costs.
|
|
|
Property, equipment and depreciation |
Property and equipment are recorded at cost. Depreciation is
computed for assets on a straight-line basis over the following
periods: building 40 years,
furniture 10 years, and computer equipment and
software 5 years. Upon the sale or retirement
of property and equipment, balances are removed from the
respective accounts and any gain or loss on the disposal of the
asset is included in income, as a realized gain or loss.
|
|
|
Unpaid losses and loss adjustment expenses |
The reserves for unpaid losses and loss adjustment expenses are
estimated using the Companys claim experience. These
estimates are subject to the effects of trends in loss severity
and frequency. When a claim is reported to the Company, a
case reserve is established for the estimated amount
of the ultimate claim payment, as well as the expected costs to
be paid in connection with the defense or settlement of the
claim. These estimates reflect an informed judgment based upon
insurance reserving practices appropriate for the relevant type
of insurance, and based on the experience and knowledge of the
estimator regarding the nature and value of the specific claim,
the severity of injury or damage, and the policy provisions
relating to the type of loss. Case reserves are periodically
reviewed and adjusted as necessary as more information becomes
available. Reserves for claims incurred but not
reported provide for the future reporting of claims
already incurred, and development on claims already reported.
The reserve for claims incurred but not reported is actuarially
estimated based on historical loss trends. With the exception of
reserves for extended reporting period claims, the Company does
not discount reserves to recognize the time value of money.
The Companys internal actuaries develop projections of
ultimate losses that are used to establish recorded reserves.
Management utilizes these actuarial projections, as well as
qualitative considerations, to establish a best
estimate recorded reserve amount. Considerable variability
is inherent in such estimates, especially in light of the
extended period of time that some medical professional liability
claims take to settle and the relative uncertainty of the legal
environment in the various markets in which the Company
operates. However, management believes that the reserve for
unpaid losses and loss adjustment expenses is adequate.
The assumptions and methodologies used in estimating and
establishing the reserve for unpaid losses and loss adjustment
expenses are continually reviewed and any adjustments are
reflected as income or expense in the period in which the
adjustments are made.
55
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
1. |
Significant Accounting Policies (continued) |
|
|
|
Reserve for extended reporting period claims |
The reserve for extended reporting period claims coverage is
recorded during the term of the original claims-made policy,
based on the present value of future estimated benefits,
including morbidity and mortality assumptions, less the present
value of future premiums associated with this coverage. The
amount of this reserve is $14.0 million at
December 31, 2004 and 2003, which includes a discount of
approximately $5.9 million related to the present value
calculation. The reserve for extended reporting period claims is
included in unpaid loss and loss adjustment expenses on the
balance sheet. Changes in this reserve are charged or credited
to income.
Insurance premium income is recognized on a daily pro rata basis
over the respective terms of the policies in-force, generally
one month for health insurance policies and one year for all
other policies. Unearned premiums represent the portion of
premiums written which are applicable to the unexpired terms of
policies in-force.
The Company also recognizes premium income for any changes in
its estimate for earned but unbilled premiums.
Earned but unbilled premiums represent the portion of estimated
future audit premiums, associated with workers
compensation insurance policies, that will be billed in future
periods, but have been earned during the period based on the
effective dates of the policies that are expected to generate
the future audit premium billings. Earned premiums during the
years ended December 31, 2004 and 2003 were reduced by
$339,000 and $606,000, respectively, as a result of decreases in
the estimates for earned but unbilled premiums. Earned premiums
during the year ended December 31, 2002 included $945,000
related to an increase in the estimate for earned but unbilled
premiums. At December 31, 2004 and 2003, the estimates for
earned but unbilled premiums, included in the premiums
receivable balance on the accompanying Consolidated Balance
Sheets, were $0 and $339,000, respectively.
Reinsurance premiums and losses related to reinsured business
are accounted for on bases consistent with those used in
accounting for the original policies issued and the terms of the
reinsurance contracts. Reinsurance recoverables and prepaid
reinsurance premiums are accounted for in accordance with
SFAS No. 113, Accounting and Reporting for
Reinsurance. Premiums ceded to other companies have been
reported as a reduction of premium income. Reinsured losses are
reported as a reduction of gross losses incurred. The reserve
for unpaid losses and loss adjustment expenses is presented
gross of recoverables from reinsurers, which are included in the
amounts recoverable from reinsurers.
The Companys reinsurers are reviewed for financial
solvency, at least quarterly. This review includes, among other
quantitative and qualitative factors, a ratings analysis of each
reinsurer participating in a reinsurance contract. At
December 31, 2004, the Company has not established an
allowance for any potentially uncollectible recoverable amounts.
See Note 10 for recoverable amounts from individually
significant reinsurers.
Deferred federal income tax assets and liabilities are
recognized for the estimated future tax consequences
attributable to the differences between financial statement
carrying amounts of existing assets and liabilities, and their
respective tax bases. The Company has reviewed its deferred
federal income tax assets for recoverability based on the
availability of future taxable income when the deductible
temporary differences are expected to reverse, and has
determined, based on the reported net losses in two of the last
three years, that
56
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
1. |
Significant Accounting Policies (continued) |
sufficient taxable income may not exist in the periods of
reversal. Accordingly, the Company has recorded a deferred tax
asset valuation allowance for the entire net deferred tax asset.
The establishment of the valuation allowance in 2003 was
recorded as federal income tax expense in the accompanying
Consolidated Statements of Income. In 2004, changes in the
valuation allowance were allocated to federal income tax expense
(which is included as a component of net income), components of
comprehensive income, or other components of shareholders
equity, depending on the nature of the temporary differences
that created the change in the valuation allowance. See
Note 11 for additional information regarding income taxes.
Goodwill consists of the excess of cost over fair market value
of the net assets of acquired businesses. Effective
January 1, 2002, the Company completed the transitional
impairment testing required by SFAS No. 142,
Goodwill and Other Intangible Assets
(SFAS No. 142). Based on the results of
the impairment testing, net goodwill of $13.9 million,
$9.1 million net of tax, was written off as a cumulative
effect of a change in accounting principle. See Note 4 for
additional information regarding the effects of the adoption of
SFAS No. 142.
The Company uses the intrinsic value-based method to account for
all stock-based employee compensation plans and has adopted the
disclosure alternative of SFAS No. 123
Accounting for Stock-Based Compensation, as amended
by SFAS No. 148, Accounting for Stock-Based
Compensation Transition and Disclosure
(SFAS No. 148). The Companys policy
regarding stock options is to issue options with an exercise
price equal to the market price on the date of grant.
Accordingly, no compensation expense has been recognized for
options granted in 2004, 2003, and 2002. The Company, however,
does recognize compensation expense related to restricted stock
grants, equal to the fair market value as of the date of grant,
as there is no consideration due from employees for these awards
at the date they vest. This expense is recognized on a
straight-line basis over the period of vesting, with future
compensation expense, net of deferred taxes, reflected as a
reduction of shareholders equity in the accompanying
Consolidated Balance Sheets.
In accordance with SFAS No. 123, as amended by
SFAS No. 148, the Company is required to disclose the
pro forma effects on operating results as if the Company had
elected the fair value approach to account for its stock-based
employee compensation plans.
57
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
1. |
Significant Accounting Policies (continued) |
Had compensation expense been determined based on the fair value
at the grant date, consistent with the provisions of
SFAS No. 123, our net income (loss) and net income
(loss) per share would have been as follows for the years ended
December 31, 2004, 2003 and 2002:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands, except per share data | |
Net income (loss), as reported
|
|
$ |
20,030 |
|
|
$ |
(76,831 |
) |
|
$ |
(18,491 |
) |
Add: Stock-based employee compensation expense included in
reported net loss, net of related tax effects
|
|
|
260 |
|
|
|
367 |
|
|
|
275 |
|
Deduct: Total stock-based employee compensation expense
determined under fair value based method for all awards granted
since 2000, net of related tax effects
|
|
|
(921 |
) |
|
|
(1,455 |
) |
|
|
(2,318 |
) |
|
|
|
|
|
|
|
|
|
|
Pro forma net income (loss)
|
|
$ |
19,369 |
|
|
$ |
(77,919 |
) |
|
$ |
(20,534 |
) |
|
|
|
|
|
|
|
|
|
|
Basic net income (loss) per share
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As reported
|
|
$ |
2.37 |
|
|
$ |
(9.02 |
) |
|
$ |
(1.98 |
) |
|
Pro forma
|
|
$ |
2.29 |
|
|
$ |
(9.15 |
) |
|
$ |
(2.20 |
) |
Diluted net income (loss) per share(1)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As reported
|
|
$ |
2.30 |
|
|
$ |
(9.02 |
) |
|
$ |
(1.98 |
) |
|
Pro forma
|
|
$ |
2.22 |
|
|
$ |
(9.15 |
) |
|
$ |
(2.20 |
) |
Basic Weighted Average Shares
|
|
|
8,455 |
|
|
|
8,520 |
|
|
|
9,340 |
|
Diluted Weighted Average Shares(1)
|
|
|
8,721 |
|
|
|
8,520 |
|
|
|
9,340 |
|
|
|
(1) |
As the Company was in a net loss position for the years ended
December 31, 2003 and 2002 no effect of options or other
stock awards was calculated as the impact would be anti-dilutive. |
For pro forma disclosure purposes, the fair value of stock
options was estimated at the date of grant using a Black-Scholes
option pricing model using the following assumptions:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
Risk-free interest rate
|
|
|
3.12 |
% |
|
|
2.79 |
% |
|
|
4.09 |
% |
Dividend yield
|
|
|
0.00 |
% |
|
|
0.00 |
% |
|
|
0.00 |
% |
Weighted average volatility assumption
|
|
|
40.00 |
% |
|
|
35.00 |
% |
|
|
35.00 |
% |
Weighted average life of options (years)
|
|
|
5.00 |
|
|
|
5.00 |
|
|
|
5.00 |
|
In managements opinion, existing stock option valuation
models do not provide an entirely reliable measure of the fair
value of non-transferable employee stock options with vesting
restrictions. In addition, such pro forma disclosures may not be
representative of future compensation costs as options may vest
over several years and additional grants may be made.
See Note 17 for further information regarding the
Companys stock-based compensation plans.
Minority interests on the accompanying Consolidated Balance
Sheets and Income Statements represents the 51% ownership
interest of other investors in Physicians Insurance Company
(PIC). PIC is included in the Companys
Consolidated Financial Statements as it has been determined to
be a variable interest entity and the Companys subsidiary,
American Physicians, has been determined to be the primary
beneficiary in accordance with the guidance given in
FIN No. 46R, Consolidation of Variable Interest
Entities.
58
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
1. |
Significant Accounting Policies (continued) |
The Companys investment in PIC, in March 2003, was made in
conjunction with its decision to exit the Florida medical
professional liability market starting in December 2002. The
intent was for PIC to write as much medical professional
liability insurance business as its capital and surplus levels
would reasonably support, thereby limiting the Companys
exposure from its obligation under Florida State law to offer
tail coverage to policyholders as we non-renewed their policies.
At December 31, 2004 and 2003, PICs total assets were
approximately $12.9 and $8.6 million respectively, and its
net premiums earned were $2.3 million and $610,000 for the
years ended December 31, 2004 and 2003, respectively. The
Company has no future obligations with respect to its investment
in PIC, nor do creditors of PIC have any recourse to the general
credit of the Company.
On December 31, 2004, the Company consummated a transaction
in which PICs other investor assumed ownership of 100% of
PICs outstanding common stock. In exchange for its 49%
ownership interest, American Physicians received a
$3 million interest-bearing note receivable. The note
receivable is to be paid in monthly installments beginning in
January 2005, and continuing for seven years thereafter. The
note is collateralized by 100% of the outstanding common stock
of PIC. Because the note received in exchange for American
Physicians ownership interest is secured by the common stock of
PIC, the exchange was deemed not to be a sale in accordance with
GAAP, but was rather accounted for as a secured borrowing with
pledge of collateral. Accordingly, the Company continues to
consolidate PIC in accordance with the original assessment made
under FIN No. 46 R.
|
|
|
Net income (loss) per share |
Net income (loss) per share is computed by dividing net income
(loss) by the weighted average number of shares of common stock
and common stock equivalents (stock options and stock grants)
outstanding during each year. As the Company was in a net loss
position for the years ended December 31, 2003 and 2002, no
effect of options or other stock awards was calculated as the
impact would have been anti-dilutive (See Note 18).
The preparation of financial statements in conformity with GAAP
requires management to make estimates and assumptions that
affect the reported amounts of assets and liabilities and
disclosure of contingent assets and liabilities at the date of
the financial statements and the reported amounts of revenues
and expenses during the reporting period. Actual results could
differ from those estimates.
The most significant estimates that are susceptible to
significant change in the near-term relate to the determination
of loss and loss adjustment expense reserves, investments,
taxes, reinsurance, and the reserve for extended reporting
period claims. Although considerable variability is inherent in
these estimates, management believes that the current estimates
are reasonable in all material respects. The estimates are
reviewed regularly and adjusted as necessary. Such adjustments
are reflected in current operations.
|
|
2. |
Effects of New Accounting Pronouncements |
In 2003, the Emerging Issues Task Force (EITF)
issued EITF 03-1, The Meaning of Other-Than-Temporary
Impairment and Its Application to Certain Investments. The
guidance contained in EITF 03-1 has been delayed by FASB
Staff Position (FSP) EITF 03-1-1,
Effective Date of Paragraphs 10-20 of EITF Issue
No. 03-1 The meaning of Other-Than-Temporary
Impairment and Its Application to Certain
Investments. The delay of the effective date
will be superseded with the final issuance of proposed
FSP EITF Issue 03-1-a, Implication Guidance for
the Application of Paragraph 16 of EITF Issue
No. 03-1 which was subject to comments through
October 29, 2004.
59
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
2. |
Effects of New Accounting Pronouncements (continued) |
The disclosures requirements of EITF 03-1 continue to be
effective in annual financial statements for fiscal years ending
after December 15, 2003, for investments accounted for
under Statements 115 and 124. The impact of FSP
EITF 03-1-a on the Companys financial position or
results of operations cannot be determined at this time.
However, under the proposed guidance, decreases in the market
value of certain investments could have a material adverse
impact on the Companys future results of operations.
In December 2004, the FASB issued Statement of Financial
Accounting Standard (SFAS) No. 123R,
Share-Based Payment, which is a revision of
SFAS No. 123, Accounting for Stock-Based
Compensation. SFAS No. 123R is effective as of
the beginning of the first interim or annual period that begins
after June 15, 2005, and requires companies to measure the
cost of employee services received in exchange for an award of
equity instruments based on the grant-date fair value of the
award. That cost will be recognized over the period during which
an employee is required to provide service in exchange for the
award i.e., the requisite service period, which is usually equal
to the vesting period. In accordance with the transitional
guidance given in the statement, compensation cost is recognized
on or after the required effective date for the portion of
outstanding awards for which the requisite service period has
not yet been rendered, based on the grant-date fair value of
those awards calculated under SFAS No. 123 for either
recognition or pro forma disclosure requirements.
Under the transitional guidance given in
SFAS No. 123R, the Company may choose one of three
transition methods. The Company intends to use the modified
prospective transitional method upon adoption. Under the
modified prospective method, there would be no compensation
charge for vested awards that are outstanding on the effective
date of SFAS No. 123R. Unvested awards that are
outstanding on the effective date would be charged to expense
over the remaining vesting period. Accordingly, the Company
anticipates that it will recognize approximately $39,000 of
incremental compensation costs in future periods related to
unvested outstanding awards as of the effective date.
SFAS No. 130, Reporting Comprehensive
Income, requires unrealized gains or losses on the
Companys available-for-sale investment securities arising
during the period to be included in other comprehensive income,
net of tax. Adjustments must be to other comprehensive income to
avoid double counting in comprehensive income items that are
included in net income that have also been included in other
comprehensive income in that period or previous periods.
Realized gains and losses, net of tax, related to the
Companys available-for-sale investment securities are
included in net income of the period in which the securities are
sold or an other than temporary impairment is determined. These
realized gains and losses, however, have also been included in
other comprehensive income as unrealized appreciation or
depreciation in either the current period or previous periods,
and therefore must be deducted from other comprehensive income
in the current period to avoid including them in comprehensive
income twice. The amount of net realized gains related to
available-for-sale investment securities that must be deducted
from other comprehensive income as a reclassification adjustment
was $4,580,000, $1,587,000 and $235,000 for the years ended
December 31, 2004, 2003 and 2002, respectively. The
reclassification adjustments for 2004, 2003 and 2002 are net of
taxes of $2,466,000, $854,000 and $126,000, respectively.
|
|
4. |
Goodwill and Intangible Assets |
Effective January 1, 2002, the Company adopted
SFAS No. 142. In accordance with the guidance given in
SFAS No. 142, the Company completed its transitional
impairment testing of all goodwill and other intangible assets
as of January 1, 2002. At that date, the only goodwill or
other intangible asset recorded by the Company was
$13.9 million of net goodwill associated with the purchase
of Stratton-Cheeseman Management Company in 1999. Based on the
results of the impairment testing, the recorded net goodwill of
$13.9 million
60
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
4. |
Goodwill and Intangible Assets (continued) |
was written off as the fair value, as determined by various fair
value estimation approaches, including multiples of projected
future net income and market capitalization of the
Companys reporting units, did not support the carrying
value of previously recorded goodwill. The goodwill impairment
was recorded as a cumulative effect of a change in accounting
principle, net of a deferred income tax benefit of
$4.9 million.
There was no goodwill acquired, amortized or impaired during
2004 or 2003.
In 2003, the Company acquired intangible assets related to
certain non-compete agreements in connection with its investment
in PIC and a covenant not to compete from the former President
and Chief Executive Officer of the Company. The gross carrying
amount and accumulated amortization of these intangible assets
was $1.8 million and $1.2 million for the year ended
December 31, 2004 and $1.8 million and $261,000 for
the year ended December 31, 2003. Amortization expense
related to intangible assets was $914,000 and $261,000 for the
years ended December 31, 2004 and 2003, respectively. The
estimated amortization expense related to these intangible
assets is expected to be $625,000 for the year ended
December 31, 2005. There will be no amortization expense
related to these intangible assets beyond December 31, 2005.
The composition of the investment portfolio including unrealized
gains and losses at December 31, 2004 and 2003 was:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
|
| |
|
|
|
|
Gross | |
|
Gross | |
|
|
|
|
Amortized | |
|
Unrealized | |
|
Unrealized | |
|
Estimated | |
|
|
Cost/Cost | |
|
Gains | |
|
Losses | |
|
Fair Value | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Available-for-sale
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
U.S. government obligations
|
|
$ |
150,787 |
|
|
$ |
1,020 |
|
|
$ |
(242 |
) |
|
$ |
151,565 |
|
|
States and political subdivisions
|
|
|
5,173 |
|
|
|
331 |
|
|
|
|
|
|
|
5,504 |
|
|
Corporate securities
|
|
|
342,046 |
|
|
|
20,185 |
|
|
|
(24 |
) |
|
|
362,207 |
|
|
Mortgage-backed securities
|
|
|
125,838 |
|
|
|
2,816 |
|
|
|
(300 |
) |
|
|
128,354 |
|
|
Other debt securities
|
|
|
9,767 |
|
|
|
309 |
|
|
|
|
|
|
|
10,076 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed maturities
|
|
|
633,611 |
|
|
|
24,661 |
|
|
|
(566 |
) |
|
|
657,706 |
|
|
Equity securities
|
|
|
2,007 |
|
|
|
84 |
|
|
|
|
|
|
|
2,091 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total available-for-sale
|
|
$ |
635,618 |
|
|
$ |
24,745 |
|
|
$ |
(566 |
) |
|
$ |
659,797 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
61
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
5. |
Investments (continued) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2003 | |
|
|
| |
|
|
|
|
Gross | |
|
Gross | |
|
|
|
|
Amortized | |
|
Unrealized | |
|
Unrealized | |
|
Estimated | |
|
|
Cost/Cost | |
|
Gains | |
|
Losses | |
|
Fair Value | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Available-for-sale
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
U.S. government obligations
|
|
$ |
54,168 |
|
|
$ |
1,927 |
|
|
$ |
(4 |
) |
|
$ |
56,091 |
|
|
States and political subdivisions
|
|
|
32,932 |
|
|
|
1,404 |
|
|
|
(18 |
) |
|
|
34,318 |
|
|
Corporate securities
|
|
|
475,866 |
|
|
|
37,896 |
|
|
|
(75 |
) |
|
|
513,687 |
|
|
Mortgage-backed securities
|
|
|
60,440 |
|
|
|
2,546 |
|
|
|
(557 |
) |
|
|
62,429 |
|
|
Other debt securities
|
|
|
25,706 |
|
|
|
2,402 |
|
|
|
|
|
|
|
28,108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed maturities
|
|
|
649,112 |
|
|
|
46,175 |
|
|
|
(654 |
) |
|
|
694,633 |
|
|
Equity securities
|
|
|
7,085 |
|
|
|
567 |
|
|
|
(107 |
) |
|
|
7,545 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total available-for-sale
|
|
$ |
656,197 |
|
|
$ |
46,742 |
|
|
$ |
(761 |
) |
|
$ |
702,178 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
At December 31, 2004, gross unrealized gains and losses
include $340,000 and ($246,000), respectively of gains and
losses related to the derivative securities described in
Note 1. Gross unrealized gains and losses at
December 31, 2003 included $432,000 and $0, respectively,
related to these securities. The gains and losses related to
these securities, ($338,000) in 2004 and $432,000 in 2003, have
been included in investment income in accordance with
SFAS No. 133. See Note 1 for further discussion
of these securities and the embedded derivative instruments.
The following table shows the Companys gross unrealized
investment losses and fair value, aggregated by investment
category and length of time that individual securities have been
in a continuous unrealized loss position, at December 31,
2004.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Less Than 12 Months | |
|
12 Months or More |
|
Total | |
|
|
| |
|
|
|
| |
|
|
Fair | |
|
Unrealized | |
|
Fair |
|
Unrealized |
|
Fair | |
|
Unrealized | |
Description of Securities |
|
Value | |
|
Losses(1) | |
|
Value |
|
Losses(1) |
|
Value | |
|
Losses(1) | |
|
|
| |
|
| |
|
|
|
|
|
| |
|
| |
|
|
(In thousands) | |
U.S. government obligations
|
|
$ |
45,895 |
|
|
$ |
(242 |
) |
|
$ |
|
|
|
$ |
|
|
|
$ |
45,895 |
|
|
$ |
(242 |
) |
Corporate securities
|
|
|
15,137 |
|
|
|
(24 |
) |
|
|
|
|
|
|
|
|
|
|
15,137 |
|
|
|
(24 |
) |
Mortgage-backed securities
|
|
|
148 |
|
|
|
(54 |
) |
|
|
|
|
|
|
|
|
|
|
148 |
|
|
|
(54 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Subtotal fixed maturities
|
|
|
61,180 |
|
|
|
(320 |
) |
|
|
|
|
|
|
|
|
|
|
61,180 |
|
|
|
(320 |
) |
Equity securities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total temporarily impaired securities
|
|
$ |
61,180 |
|
|
$ |
(320 |
) |
|
$ |
|
|
|
$ |
|
|
|
$ |
61,180 |
|
|
$ |
(320 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Note that the table above excludes approximately ($246,000) of
unrealized loss related to derivative securities. These losses
have been excluded, as any changes in the fair value of the
related securities is included in income. See
Note 1 Derivative Financial
Information. |
Each individual security in the table above has been evaluated
and declines in the market value have been deemed to be
temporary in nature.
62
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
5. |
Investments (continued) |
The components of pretax investment income and net realized
investment gains (losses) for the years ended December 31,
2004, 2003 and 2002 were:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Interest income
|
|
$ |
46,108 |
|
|
$ |
43,892 |
|
|
$ |
44,435 |
|
Dividend income
|
|
|
160 |
|
|
|
37 |
|
|
|
|
|
Other investment income (loss)
|
|
|
1,105 |
|
|
|
(635 |
) |
|
|
340 |
|
|
|
|
|
|
|
|
|
|
|
|
Total investment income
|
|
|
47,373 |
|
|
|
43,294 |
|
|
|
44,775 |
|
|
|
Investment expenses
|
|
|
(2,460 |
) |
|
|
(2,940 |
) |
|
|
(3,091 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net investment income
|
|
$ |
44,913 |
|
|
$ |
40,354 |
|
|
$ |
41,684 |
|
|
|
|
|
|
|
|
|
|
|
Gross realized gains
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed maturities
|
|
$ |
7,639 |
|
|
$ |
3,354 |
|
|
$ |
2,575 |
|
|
Equity securities
|
|
|
3,374 |
|
|
|
647 |
|
|
|
48 |
|
|
Other invested assets
|
|
|
651 |
|
|
|
|
|
|
|
20 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total gross realized gains
|
|
|
11,664 |
|
|
|
4,001 |
|
|
|
2,643 |
|
|
|
|
|
|
|
|
|
|
|
Gross realized losses
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed maturities
|
|
|
(1,406 |
) |
|
|
(1,554 |
) |
|
|
(2,262 |
) |
|
Equity securities
|
|
|
(2,561 |
) |
|
|
(6 |
) |
|
|
|
|
|
Other invested assets
|
|
|
(2,759 |
) |
|
|
(31 |
) |
|
|
(251 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total gross realized losses
|
|
|
(6,726 |
) |
|
|
(1,591 |
) |
|
|
(2,513 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net realized investment gain
|
|
$ |
4,938 |
|
|
$ |
2,410 |
|
|
$ |
130 |
|
|
|
|
|
|
|
|
|
|
|
Realized investment losses above exclude approximately
$3.4 million, $7,000, and $293,000 during the years ended
December 31, 2004, 2003 and 2002, respectively, of realized
losses on the sale or disposal of fixed assets.
During the years ended December 31, 2004, 2003 and 2002,
the Company recorded losses of $1.5 million,
$1.3 million, and $770,000, respectively, on investments
whose decline in market value was considered other than
temporary. Net realized gains for the year ended
December 31, 2004 are reduced by an OTTI charge of $489,000
for various stocks, as well as $1,050,000 of impairment losses
on investment real estate. Net realized gains for the year ended
December 31, 2003 include a $1.3 million charge for
OTTI on enhanced equipment trust certificates issued by Delta
Airlines. Net realized losses for the year ended
December 31, 2002 includes an OTTI charge of $520,000 for
the write down of bonds issued by Frontier Corporation, which
were subsequently converted into equity securities of Global
Crossings, Frontiers parent company, as well as $250,000
impairment loss on investment real estate.
63
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
5. |
Investments (continued) |
Changes in unrealized gains (losses) on fixed maturities and
equity securities were:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Available-for-sale:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed maturities
|
|
$ |
(21,088 |
) |
|
$ |
7,212 |
|
|
$ |
29,244 |
|
|
Equity securities
|
|
|
(376 |
) |
|
|
437 |
|
|
|
(312 |
) |
|
Deferred income taxes
|
|
|
7,512 |
|
|
|
(2,678 |
) |
|
|
(10,125 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(13,952 |
) |
|
$ |
4,971 |
|
|
$ |
18,807 |
|
|
|
|
|
|
|
|
|
|
|
The amortized cost and estimated fair value of debt securities
at December 31, 2004, by contractual maturity, were:
|
|
|
|
|
|
|
|
|
|
|
|
|
Amortized | |
|
Estimated | |
|
|
Cost | |
|
Fair Value | |
|
|
| |
|
| |
|
|
(In thousands) | |
Available-for-sale
|
|
|
|
|
|
|
|
|
|
Less than one year
|
|
$ |
74,283 |
|
|
$ |
75,313 |
|
|
One to five years
|
|
|
216,671 |
|
|
|
230,689 |
|
|
Five to ten years
|
|
|
99,528 |
|
|
|
104,762 |
|
|
More than ten years
|
|
|
117,292 |
|
|
|
118,588 |
|
|
Mortgage-backed securities
|
|
|
125,837 |
|
|
|
128,354 |
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
633,611 |
|
|
$ |
657,706 |
|
|
|
|
|
|
|
|
Expected maturities will differ from contractual maturities
because borrowers may have the right to call or prepay
obligations with or without call or prepayment penalties. For
the year ended December 31, 2004, the Company received
$1,482,000 for one-time call premiums.
The carrying amount of bonds that were on deposit with various
state regulatory authorities as of December 31, 2004 and
2003 was $8,283,000 and $8,311,000, respectively.
Proceeds on the sales of investments in bonds totaled
$154,890,000 in 2004, $43,754,000 in 2003, and $45,337,000 in
2002. Gross gains of $7,484,000, $3,189,000 and $2,153,000 were
realized on the sales of investments in bonds for the years
ended 2004, 2003 and 2002, respectively. Gross losses of
$1,348,000, $206,000 and $1,741,000 were realized on the sales
of investments in bonds for the years ended 2004, 2003 and 2002,
respectively.
64
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
6. |
Deferred Acquisition Costs |
Changes in deferred policy acquisition costs for the years ended
December 31, 2004, 2003, and 2002 are summarized as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Balance, January 1
|
|
$ |
10,461 |
|
|
$ |
10,877 |
|
|
$ |
10,712 |
|
Additions
|
|
|
20,670 |
|
|
|
24,954 |
|
|
|
28,191 |
|
Amortization
|
|
|
(22,749 |
) |
|
|
(25,370 |
) |
|
|
(28,026 |
) |
Recoverability write-offs
|
|
|
(300 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance, December 31
|
|
$ |
8,082 |
|
|
$ |
10,461 |
|
|
$ |
10,877 |
|
|
|
|
|
|
|
|
|
|
|
The Company determined that the capitalized deferred acquisition
costs associated with the other insurance lines segment were not
recoverable at September 30, 2004, and accordingly,
wrote-off $300,000 of capitalized costs as of that date. No
additional costs associated with this segment were capitalized
after that date.
Deferred acquisition costs are included in other assets on the
accompanying Consolidated Balance Sheets.
|
|
7. |
Property and Equipment, Net |
At December 31, 2004 and 2003, property and equipment
consisted of the following:
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Land
|
|
$ |
571 |
|
|
$ |
571 |
|
Building (occupied by the Company)
|
|
|
10,499 |
|
|
|
10,499 |
|
Computer equipment and software
|
|
|
12,219 |
|
|
|
14,198 |
|
Furniture and leasehold improvements
|
|
|
3,727 |
|
|
|
4,901 |
|
|
|
|
|
|
|
|
|
|
|
27,016 |
|
|
|
30,169 |
|
Accumulated depreciation
|
|
|
(14,835 |
) |
|
|
(13,679 |
) |
|
|
|
|
|
|
|
|
|
$ |
12,181 |
|
|
$ |
16,490 |
|
|
|
|
|
|
|
|
Depreciation expense associated with property and equipment for
the years ended December 31, 2004, 2003 and 2002 was
$1.9 million, $2.0 million, and $1.5 million,
respectively. Net realized losses on the sale, disposal, or
impairment of property and equipment for the years ended
December 31, 2004, 2003 and 2002 were $3.4 million,
$7,000 and $293,000, respectively.
Approximately $3.3 million of the $3.4 million
realized loss recorded during the year ended December 31,
2004 was related to the impairment of assets. The Company
wrote-off capitalized software costs of $2.5 million
associated with an information system project involving a
computer system to administer medical professional liability
policies and claims that was abandoned in the second quarter of
2004. Also during 2004, the Company wrote-off $815,000 of
leasehold improvements related to leased office space that the
Company no longer intends to occupy.
65
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
8. |
Unpaid Losses and Loss Adjustment Expenses |
Activity in unpaid losses and loss adjustment expenses for the
years ended December 31, 2004, 2003, and 2002 was as
follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Balance, beginning of year
|
|
$ |
673,605 |
|
|
$ |
637,494 |
|
|
$ |
597,046 |
|
|
Less, reinsurance recoverables
|
|
|
(98,958 |
) |
|
|
(95,468 |
) |
|
|
(91,491 |
) |
|
|
|
|
|
|
|
|
|
|
Net balance, beginning of year
|
|
|
574,647 |
|
|
|
542,026 |
|
|
|
505,555 |
|
Incurred related to
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current year
|
|
|
171,600 |
|
|
|
209,299 |
|
|
|
236,398 |
|
|
Prior years
|
|
|
6,186 |
|
|
|
43,443 |
|
|
|
5,630 |
|
|
|
|
|
|
|
|
|
|
|
|
Total incurred
|
|
|
177,786 |
|
|
|
252,742 |
|
|
|
242,028 |
|
|
|
|
|
|
|
|
|
|
|
Paid related to
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current year
|
|
|
17,961 |
|
|
|
38,464 |
|
|
|
43,867 |
|
|
Prior years
|
|
|
142,633 |
|
|
|
181,657 |
|
|
|
161,690 |
|
|
|
|
|
|
|
|
|
|
|
|
Total paid
|
|
|
160,594 |
|
|
|
220,121 |
|
|
|
205,557 |
|
|
|
|
|
|
|
|
|
|
|
Net balance, end of year
|
|
|
591,839 |
|
|
|
574,647 |
|
|
|
542,026 |
|
|
Plus, reinsurance recoverables
|
|
|
101,791 |
|
|
|
98,958 |
|
|
|
95,468 |
|
|
|
|
|
|
|
|
|
|
|
Balance, end of period
|
|
$ |
693,630 |
|
|
$ |
673,605 |
|
|
$ |
637,494 |
|
|
|
|
|
|
|
|
|
|
|
During the years ended December 31, 2004, 2003 and 2002,
management made adjustments to prior years loss reserves.
The unfavorable development totaled $6.2 million in 2004,
$43.4 million in 2003, and $5.6 million in 2002. As a
percentage of net reserves as of the beginning of the year,
these adjustments represented 1.1%, 8.0% and 1.1%, respectively.
The unfavorable development in 2004 includes approximately
$4.4 million incurred in connection with the commutation of
reinsurance treaties with Gerling Global Reinsurance
Corporation. The remaining $1.8 million of unfavorable
development relates primarily to the run-off of the
Companys workers compensation line of business,
partially offset by favorable development from the medical
professional liability segment. The unfavorable development on
the workers compensation line of business is the result of
pattern of increasing paid loss severity that emerged in 2004.
The increase in paid severity caused management to revise
upwards its estimate of ultimate losses on claims reported and
incurred but not reported claims. The favorable development on
medical professional liability reserves was primarily due to
lower than projected paid claim severity, most notably in the
Companys Ohio and Michigan markets.
During 2003, the Company experienced a sharp increase in the
severity of paid losses in our medical professional liability
segment, which indicated a much higher trend in claims severity.
As a result, actuarial projections resulted in higher ultimate
severities of loss on currently existing claims related to the
1999 through 2002 accident years, which resulted in management
increasing its estimate of incurred but not reported claims
related to the 1999 through 2002 accident years by approximately
$43.0 million in the third quarter of 2003.
The unfavorable development in 2003 was primarily related to the
Companys Ohio ($16.4 million), Florida
($16.0 million) and Kentucky ($15.0 million) markets,
partially offset by positive development in the Michigan market.
The Company announced its exit from the Florida market in 2002
and also discontinued writing occurrence-based policies in the
Ohio and Kentucky markets in 2002.
66
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
8. |
Unpaid Losses and Loss Adjustment Expenses (continued) |
In the second half of 2001, the Company encountered a large
increase in reported losses, primarily in its Florida, Ohio and
Kentucky medical professional liability markets. These higher
than expected reported loss trends continued into 2002, but at a
much lower level. As a result, the Company increased prior year
loss reserves in 2002, primarily in its Ohio and Florida markets.
Management believes that the estimate of the ultimate liability
for losses and loss adjustment expenses at December 31,
2004 is reasonable and reflects the anticipated ultimate loss
experience. However, it is possible that the Companys
actual incurred loss and losses and loss adjustment expenses
will not conform to the assumptions inherent in the estimation
of the liability. Accordingly, it is reasonably possible that
the ultimate settlement of losses and the related loss
adjustment expenses may vary significantly from the estimated
amounts included in the accompanying Consolidated Balance Sheets.
In 2003, the Company formed American Physicians Capital
Statutory Trust I and APCapital Trust II (the
Trusts) by contributing equity of $464,000 to each
trust. The trusts were formed for the purpose of issuing
mandatorily redeemable trust preferred securities
(TPS). Each trust issued $15 million of TPS to
another trust formed by an institutional investor. The trusts
received a total of $29.1 million in net proceeds, after
the deduction of a total of approximately $906,000 of
commissions paid to the placement agents in the transactions.
These commissions were ultimately paid by APCapital, and have
been capitalized and are included in other assets on the
accompanying Consolidated Balance Sheet. Issuance costs will be
amortized over five years as a component of amortization expense.
In accordance with FIN No. 46R, Consolidation of
Variable Interest Entities, these trusts are not
consolidated in the Companys Consolidated Financial
Statements.
The gross proceeds from the trust issuances, and the cash from
the equity contribution, were used by the trusts to purchase
Debentures issued by APCapital. The TPS issued by the trusts
have financial terms similar to the floating rate junior
subordinated deferrable interest debentures (the
Debentures) issued by APCapital.
The Debentures issued by APCapital mature in 30 years and
bear interest at an annual rate equal to the three-month LIBOR
plus 4.10% for the first trust issuance, and plus 4.20% for the
second trust issuance, payable quarterly. The interest rate is
adjusted on a quarterly basis provided that prior to May 2008,
the interest rate shall not exceed 12.50%. The weighted average
interest rates of 5.59% (Trust I issuance) and 5.73%
(Trust II issuance) resulted in interest expense of
approximately $1.7 million and $1.0 million for the
years ended December 31, 2004 and 2003, respectively. At
December 31, 2004 and 2003, accrued interest payable to the
trusts was approximately $224,000 and $182,000, respectively.
The Debentures are callable by APCapital at par beginning in May
2008. APCapital has guaranteed that the payments made to the
Trusts will be distributed by the Trusts to the holders of the
TPS. As the amounts that could potentially be payable under the
guarantees are recorded as liabilities by the Company, no
additional liability related to these guarantees has been
accrued.
The Debentures are unsecured obligations of the Company and are
junior in the right of payment to all future senior indebtedness
of the Company. The Company estimates that the fair value of the
debentures approximates the gross proceeds of cash received at
the time of issuance.
Reinsurance arises from the Company seeking to reduce its loss
exposure on its higher limit policies. The Company has mainly
entered into excess of loss contracts for medical malpractice
and workers compensation.
67
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
10. |
Reinsurance (continued) |
A reconciliation of direct premiums to net premiums, on both a
written and earned basis, for the years ended December 31,
2004, 2003, and 2002 is as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
Written | |
|
Earned | |
|
Written | |
|
Earned | |
|
Written | |
|
Earned | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Direct
|
|
$ |
213,945 |
|
|
$ |
227,528 |
|
|
$ |
256,236 |
|
|
$ |
256,458 |
|
|
$ |
266,260 |
|
|
$ |
262,847 |
|
Ceded
|
|
|
(30,482 |
) |
|
|
(30,100 |
) |
|
|
(36,343 |
) |
|
|
(36,014 |
) |
|
|
(29,769 |
) |
|
|
(29,271 |
) |
Assumed
|
|
|
2,968 |
|
|
|
3,151 |
|
|
|
4,754 |
|
|
|
4,146 |
|
|
|
1,926 |
|
|
|
1,975 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net
|
|
$ |
186,431 |
|
|
$ |
200,579 |
|
|
$ |
224,647 |
|
|
$ |
224,590 |
|
|
$ |
238,417 |
|
|
$ |
235,551 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Assumed as a percentage of net
|
|
|
1.6 |
% |
|
|
1.6 |
% |
|
|
2.1 |
% |
|
|
1.8 |
% |
|
|
0.8 |
% |
|
|
0.8 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Losses and loss adjustment expenses incurred are net of ceded
losses of $29,832,000 for 2004, $33,497,000 for 2003, and
$31,725,000 for 2002.
The Companys policy is to enter into reinsurance contracts
only with highly rated reinsurers. Reinsurance contracts do not
relieve the Company from its obligations to policyholders. If
the reinsurance company is unable to meet its obligations under
existing reinsurance agreements, the Company remains liable for
ceded reserves for unpaid losses, loss adjustment expenses and
unearned premiums.
The Company had reinsurance recoverables from the following
reinsurers at December 31, 2004 and 2003:
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Hannover Ruckversicherungs
|
|
$ |
43,561 |
|
|
$ |
34,348 |
|
Gerling Global Reinsurance Corporation
|
|
|
|
|
|
|
17,528 |
|
American Re-Insurance Company
|
|
|
21,556 |
|
|
|
13,507 |
|
Transatlantic Reinsurance Company
|
|
|
13,583 |
|
|
|
11,284 |
|
General Reinsurance Corporation
|
|
|
6,594 |
|
|
|
5,250 |
|
PMA Capital Insurance Corporation
|
|
|
2,488 |
|
|
|
4,739 |
|
Lloyds of London
|
|
|
3,066 |
|
|
|
4,515 |
|
Workers Compensation Reinsurance Association
|
|
|
1,105 |
|
|
|
2,427 |
|
Medical Assurance Company
|
|
|
|
|
|
|
2,363 |
|
Employers Reinsurance Corporation
|
|
|
1,113 |
|
|
|
1,762 |
|
Converium Reinsurance
|
|
|
1,503 |
|
|
|
1,718 |
|
Others
|
|
|
20,646 |
|
|
|
15,730 |
|
|
|
|
|
|
|
|
|
|
$ |
115,215 |
|
|
$ |
115,171 |
|
|
|
|
|
|
|
|
68
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
10. |
Reinsurance (continued) |
Amounts due from reinsurers on the accompanying balance sheet
consisted of the following:
|
|
|
|
|
|
|
|
|
|
|
|
December 31, | |
|
|
| |
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Reinsurance recoverable
|
|
$ |
103,312 |
|
|
$ |
103,652 |
|
Prepaid reinsurance premium (included in other assets on the
accompanying Consolidated Balance Sheets)
|
|
|
11,903 |
|
|
|
11,519 |
|
|
|
|
|
|
|
|
|
Amounts recoverable from reinsurers
|
|
$ |
115,215 |
|
|
$ |
115,171 |
|
|
|
|
|
|
|
|
The Company commuted its ceded reinsurance treaties with Gerling
during 2004. The Company recognized the $13.5 million cash
settlement received from Gerling as reduction of losses and loss
adjustment expenses paid (thereby reducing losses and loss
adjustment expenses incurred) in the current year. In connection
with the commutation, the Company released Gerling from its
obligations under the treaties, which resulted in a reduction of
the Companys reinsurance recoverables of approximately
$17.9 million (thereby increasing losses and loss
adjustment expenses incurred). The net effect of the commutation
was an increase in losses and loss adjustment expenses of
$4.4 million, partially offset by an $837,000 increase in
net premiums earned.
The provision for income taxes for the years ended
December 31, 2004, 2003 and 2002 consists of:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Current benefit
|
|
$ |
(2,680 |
) |
|
$ |
(3,620 |
) |
|
$ |
(3,478 |
) |
Deferred benefit
|
|
|
9,011 |
|
|
|
(10,756 |
) |
|
|
(2,051 |
) |
Deferred tax valuation allowance
|
|
|
(6,621 |
) |
|
|
50,672 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(290 |
) |
|
$ |
36,296 |
|
|
$ |
(5,529 |
) |
|
|
|
|
|
|
|
|
|
|
Income taxes incurred do not bear the usual relationship to
income before income taxes for the years ended December 31,
2004, 2003, and 2002 due to the following:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Income (loss) before income taxes
|
|
$ |
19,750 |
|
|
|
|
|
|
$ |
(40,883 |
) |
|
|
|
|
|
$ |
(14,941 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Tax at statutory rate
|
|
|
6,913 |
|
|
|
35.0% |
|
|
|
(14,309 |
) |
|
|
35.0% |
|
|
|
(5,229 |
) |
|
|
35.0% |
|
Tax effect of:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Tax exempt interest
|
|
|
(338 |
) |
|
|
-1.7% |
|
|
|
(486 |
) |
|
|
1.2% |
|
|
|
(525 |
) |
|
|
3.5% |
|
|
Other items, net
|
|
|
(244 |
) |
|
|
-1.2% |
|
|
|
419 |
|
|
|
-1.0% |
|
|
|
225 |
|
|
|
-1.5% |
|
|
Valuation allowance
|
|
|
(6,621 |
) |
|
|
-33.5% |
|
|
|
50,672 |
|
|
|
-123.9% |
|
|
|
|
|
|
|
0.0% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(290 |
) |
|
|
-1.5% |
|
|
$ |
36,296 |
|
|
|
-88.8% |
|
|
$ |
(5,529 |
) |
|
|
37.0% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Deferred federal income tax assets and liabilities are
recognized for the estimated future tax consequences
attributable to the differences between financial statement
carrying amounts of existing assets and liabilities, and their
respective tax bases. The Company has reviewed its deferred
federal income tax assets for recoverability based on the
availability of future taxable income when the deductible
temporary differences are
69
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
11. Income Taxes (continued)
expected to reverse, and has determined, based on its reported
net losses in 2003 and 2002, that sufficient taxable income may
not exist in the periods of reversal. Accordingly, the Company
has recorded a deferred tax asset valuation allowance for the
entire net deferred tax asset.
At December 31, 2004 and 2003, the components of the net
deferred federal income tax asset were as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Deferred tax assets arising from
|
|
|
|
|
|
|
|
|
|
Losses and loss adjustment expenses
|
|
$ |
27,612 |
|
|
$ |
29,385 |
|
|
Net operating loss carryforwards
|
|
|
14,225 |
|
|
|
15,658 |
|
|
Unearned and audit premiums
|
|
|
6,884 |
|
|
|
7,732 |
|
|
Minimum tax credits
|
|
|
8,445 |
|
|
|
8,242 |
|
|
Realized losses on investments
|
|
|
2,633 |
|
|
|
4,257 |
|
|
Goodwill
|
|
|
4,509 |
|
|
|
4,827 |
|
|
Other
|
|
|
2,598 |
|
|
|
2,604 |
|
|
|
|
|
|
|
|
|
|
Total deferred tax assets
|
|
|
66,906 |
|
|
|
72,705 |
|
|
|
|
|
|
|
|
Deferred tax liabilities arising from
|
|
|
|
|
|
|
|
|
|
Deferred policy acquisition costs
|
|
|
2,758 |
|
|
|
3,656 |
|
|
Net unrealized gains on securities
|
|
|
8,430 |
|
|
|
15,942 |
|
|
Other
|
|
|
2,352 |
|
|
|
2,435 |
|
|
|
|
|
|
|
|
|
|
Total deferred tax liabilities
|
|
|
13,540 |
|
|
|
22,033 |
|
|
|
|
|
|
|
|
|
|
Net deferred tax asset before valuation allowance
|
|
|
53,366 |
|
|
|
50,672 |
|
|
|
|
|
|
|
|
|
|
Valuation allowance
|
|
|
(53,366 |
) |
|
|
(50,672 |
) |
|
|
|
|
|
|
|
|
Net deferred tax asset
|
|
$ |
|
|
|
$ |
|
|
|
|
|
|
|
|
|
As the Companys deferred tax assets and liabilities
change, the valuation allowance also changes. Any change in the
valuation allowance related to the tax effect of items that are
included in continuing operations is recorded as federal income
tax expense (benefit) from continuing operations in the period
of change. In periods of reported net income, the change in the
deferred tax valuation allowance that pertains to items that are
not related to continuing operations, such as unrealized
appreciation or depreciation on investment securities, is
reported as a component of that measure of income to which those
items pertain. Accordingly, the Company has recorded the effect
of the change in the valuation allowance related to unrealized
appreciation or depreciation on investment securities, as well
as expenses from employee stock options that have different book
and tax treatments, directly to either comprehensive income or
shareholders equity in 2004.
70
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
11. Income Taxes (continued)
The following table shows the intraperiod allocation of the
change in the deferred tax valuation allowance for the years
ended December 31, 2004 and 2003.
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
Valuation allowance balance, January 1
|
|
$ |
(50,672 |
) |
|
$ |
|
|
|
Change in valuation allowance allocated to:
|
|
|
|
|
|
|
|
|
|
|
Federal income tax benefit (expense) from continuing operations
|
|
|
6,621 |
|
|
|
(50,672 |
) |
|
|
Unrealized depreciation on investment securities allocated to
other comprehensive income
|
|
|
(7,512 |
) |
|
|
|
|
|
|
Incremental tax benefit from stock based compensation allocated
to additional paid in capital
|
|
|
(1,775 |
) |
|
|
|
|
|
|
Unearned stock compensation
|
|
|
(28 |
) |
|
|
|
|
|
|
|
|
|
|
|
Valuation allowance balance, December 31
|
|
$ |
(53,366 |
) |
|
$ |
(50,672 |
) |
|
|
|
|
|
|
|
At December 31, 2004, the Company had the following net
operating loss carryforwards:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Annual | |
|
Year of | |
|
|
Amount | |
|
Limitation | |
|
Expiration | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
New Mexico Physicians Mutual Liability Company merger(2)
|
|
$ |
2,906 |
|
|
$ |
575 |
|
|
|
2010 |
|
State Mutual Insurance Company merger(2)
|
|
$ |
2,377 |
|
|
$ |
340 |
|
|
|
2011 |
|
2003 net operating loss
|
|
$ |
35,360 |
|
|
|
(1 |
) |
|
|
2018 |
|
|
|
(1) |
There are no change in control limitations on the annual use of
net operating losses related to the year ended December 31,
2003. |
|
(2) |
American Physicians merged with New Mexico Physicians Mutual
Liability Company and State Mutual Insurance Company in 1997. |
In addition, the Company had approximately $8.4 million of
minimum tax credits which can be carried forward indefinitely.
In September 2003, the Board of Directors authorized the Company
to purchase an additional 500,000 shares of its outstanding
common stock. This brings the total number of shares authorized
to be repurchased under publicly announced plans to 3,615,439.
The following table reflects the number of shares repurchased
during the years ended December 31, 2004, 2003 and 2002,
the cost of shares repurchased, the average price per share
repurchased during those periods, as well as the cumulative
inception to date totals.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Inception | |
|
For the Year Ended December 31, | |
|
|
to Date | |
|
| |
|
|
Totals | |
|
2004 |
|
2003 | |
|
2002 | |
|
|
| |
|
|
|
| |
|
| |
|
|
(Dollars in thousands, except per share amounts) | |
Number of shares repurchased
|
|
|
3,197,070 |
|
|
|
|
|
|
|
272,800 |
|
|
|
1,555,100 |
|
Cost of shares repurchased
|
|
$ |
60,384 |
|
|
$ |
|
|
|
$ |
7,676 |
|
|
$ |
27,483 |
|
Average cost per share repurchased
|
|
$ |
18.89 |
|
|
$ |
|
|
|
$ |
28.14 |
|
|
$ |
17.67 |
|
71
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
12. Shareholders Equity
(continued)
The Companys repurchase of any of its shares is subject to
limitations that may be imposed by applicable laws and
regulations and the rules of the Nasdaq Stock Market. The timing
of the purchases and the number of shares to be bought at any
one time depend on market conditions and the Companys
capital requirements. As of December 31, 2004, the Company
has 418,369 shares of its September 11, 2003 stock
repurchase program remaining to be purchased.
In addition to the shares above, which were repurchased in
connection with publicly announced plans, the Company
repurchased 166,017 that were tendered in lieu of cash in
connection with the exercise of stock options awards.
|
|
13. |
Fair Value of Financial Instruments |
SFAS No. 107, Disclosures About Fair Value of
Financial Instruments, requires disclosures of fair-value
information about financial instruments, whether or not
recognized in the balance sheet, for which it is practicable to
estimate that value. In situations where quoted market prices
are not available, fair values are to be based on estimates
using present value or other valuation techniques.
SFAS No. 107 excludes certain financial instruments
and all non-financial instruments from its disclosure
requirements.
Under SFAS No. 107, the Companys investment
securities, cash and cash equivalents, premiums receivable,
reinsurance recoverable on paid losses, long-term debt, and note
payable constitute financial instruments. The carrying amounts
of all financial instruments approximated their fair values at
December 31, 2004 and 2003.
|
|
14. |
Restructuring Charges and Exit Costs |
In 2001, the Company reduced personnel in its Information
Systems department and its management team and completed its
phase out of the personal and commercial lines. At
December 31, 2002, substantially all activities related to
the restructuring initiatives were substantially complete;
however, structured severance packages were not completely paid
out until 2003.
In the fourth quarter of 2003, the Company began to exit its
workers compensation line of business. A total of twelve
employees were terminated resulting in $808,000 of employee
severance costs. Additional expenses of $185,000 were incurred
in 2004 related to termination benefits associated with the
run-off and exit of this line of business. These costs are
included in the Other Expenses line in the income statement and
are included in the loss before taxes reported for the
workers compensation segment for the years ended
December 31, 2004 and 2003.
The remaining amounts to be paid for restructuring charges are
as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Balance, January 1
|
|
$ |
727 |
|
|
$ |
216 |
|
|
$ |
1,130 |
|
Employee separations
|
|
|
185 |
|
|
|
808 |
|
|
|
|
|
Payments
|
|
|
(811 |
) |
|
|
(297 |
) |
|
|
(914 |
) |
|
|
|
|
|
|
|
|
|
|
Balance, December 31
|
|
$ |
101 |
|
|
$ |
727 |
|
|
$ |
216 |
|
|
|
|
|
|
|
|
|
|
|
In addition to the above amounts, certain employees related to
the workers compensation line of business have been
retained to manage the run-off of this line through June 2007.
The employee separation costs
72
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
14. |
Restructuring Charges and Exit Costs (continued) |
related to these individuals will be recognized prospectively
over the future service period. At December 31, 2004, total
future employee separation costs are estimated to be
approximately $89,000.
|
|
|
Contract Termination Costs |
In the fourth quarter of 2004, the Company subleased
approximately 10,000 square feet of office space in
Chicago, Illinois. The difference in the cash flows between the
Companys obligation for the subleased space in accordance
with the original lease terms, and the rent the Company will
receive from the sublessor over the next ten years, has been
discounted, using an interest rate of approximately six-percent,
to approximate the fair value of the liability incurred in
connection with the contract termination. Other costs incurred
in connection with the subleased space, such as broker
commissions, were also included in the calculation of the
liability.
The following table shows the costs incurred, payments made, and
ending liability incurred in connection with this contract
termination:
|
|
|
|
|
|
|
2004 | |
|
|
| |
|
|
(In thousands) | |
Balance, January 1
|
|
$ |
|
|
Contract termination costs
|
|
|
1,091 |
|
Payments
|
|
|
(170 |
) |
|
|
|
|
Balance, December 31
|
|
$ |
921 |
|
|
|
|
|
The costs above have been included in the Other Expenses line in
the income statement and are allocated to the Companys
various segments based on the estimated square footage of the
subleased space that segment intended to use. No additional
costs are expected to be incurred in future periods in
connection with this sublease; however, changes in the estimate
of the liability may be recognized as certain costs under the
original lease terms were not fixed.
|
|
15. |
Related Party Transactions |
On January 2, 2004, the $6.0 million obligation to the
Companys former President and Chief Executive Officer
(CEO) was repaid in its entirety in connection with
his retirement.
The former President and CEO of the Company is a majority owner
of SCW Agency Group, Inc., an agency that sells the
Companys medical professional liability insurance in
Michigan, Illinois, Kentucky, Florida and Nevada and
workers compensation insurance in Michigan, Kentucky and
other states. Direct premiums written by the agency during 2004,
2003 and 2002 totaled $74,372,000, $75,270,000 and $70,810,000,
respectively, representing, 34.8%, 29.4% and 26.6% of direct
premiums written during such years. Commission expense incurred
related to SCW approximated $5,776,000, $5,962,000 and
$5,560,000 in 2004, 2003 and 2002, respectively.
During 2004, the Companys former President and CEO, and
majority owner of SCW, received payments totaling $120,000 for
consulting services.
SCW leased approximately 10,000 square feet of office space
from the Company for a portion of 2004, approximately
10,000 square feet in 2003 and approximately
13,000 square feet in 2002. The Company received $80,000,
$214,000 and $283,000 in rental income in 2004, 2003, and 2002,
respectively, from the agency related to the leased office space.
73
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
15. |
Related Party Transactions (continued) |
At December 31, 2003, the Company had a $286,000
non-interest bearing note receivable from SCW. At
December 31, 2003, the Company had established an allowance
in the full amount of the note. As part of the new master agency
agreement between American Physicians and SCW, which was
effective January 1, 2004, this note was forgiven in
exchange for certain more favorable contract terms. Accordingly,
the note and the allowance were written off during 2004, which
did not result in a charge to income during 2004.
The Company has a $1.5 million note receivable from
Chandler Office Park, LLC, a 50% owned real estate partnership
accounted for on the equity method. The note is secured by the
value of the land owned by the LLC.
During the fourth quarter of 2004, the Company sold its 25%
ownership interest in another of its real estate partnerships,
Chandler Homes LLC, to the partnerships other investors.
These other investors also own the other 50% of the Chandler
Office Park, LLC mentioned above. A gain of $650,000 was
recognized on the sale of the Companys interest in
Chandler Homes LLC. The consideration received by the Company
consisted of $65,000 in cash and a note receivable in the amount
of $585,000. The note bears interest at a rate of prime plus 1%,
beginning on January 1, 2005, and is due in quarterly
installments beginning on April 1, 2005, with any
outstanding interest and principal due and payable in full on
December 31, 2005.
|
|
16. |
Employee Benefit Plans |
The Company offers benefits under certain defined contribution
plans. In 2004, 2003 and 2002, the defined contribution plans
provide for Company contributions of 5% of employee
compensation, as defined in the plan, and a 100% match of
employee contributions on the first 3% of contributions and 50%
match on the next 2% of contributions. Employer contributions to
the plans were approximately $1,001,000, $986,000, and $995,000
for 2004, 2003, and 2002, respectively.
|
|
17. |
Stock Based Compensation |
In December 2000, the Board of Directors adopted the American
Physicians Capital, Inc. Stock Compensation Plan (the
Plan). The Plan provides for the award of stock
options and stock awards for officers, directors and employees
of the Company. These awards must be approved by the
compensation committee of the board of directors. The total
number of shares of the Companys common stock which shall
be available for options and stock awards is
1,200,000 shares.
Certain executive officers, board members and employees have
been granted options to purchase shares of APCapital common
stock. Options granted during 2004, 2003 and 2002 vest in annual
installments of 33%, 33%, and 34% on the first through the third
anniversaries, respectively, of the date of grant. All options
expire on the tenth anniversary of the grant date.
74
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
17. |
Stock Based Compensation (continued) |
A summary of the Companys stock option activity is as
follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
Number | |
|
Weighted | |
|
Number | |
|
Weighted | |
|
Number | |
|
Weighted | |
|
|
of | |
|
Average | |
|
of | |
|
Average | |
|
of | |
|
Average | |
|
|
Options | |
|
Exercise Price | |
|
Options | |
|
Exercise Price | |
|
Options | |
|
Exercise Price | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
Options outstanding at beginning of year
|
|
|
873,200 |
|
|
$ |
18.01 |
|
|
|
987,500 |
|
|
$ |
18.39 |
|
|
|
792,500 |
|
|
$ |
17.80 |
|
Granted during the year
|
|
|
100,000 |
|
|
$ |
21.54 |
|
|
|
5,000 |
|
|
$ |
18.48 |
|
|
|
263,000 |
|
|
$ |
18.72 |
|
Exercised during the year
|
|
|
(365,264 |
) |
|
$ |
15.50 |
|
|
|
(25,800 |
) |
|
$ |
16.55 |
|
|
|
(18,000 |
) |
|
$ |
13.50 |
|
Canceled during the year
|
|
|
(88,500 |
) |
|
$ |
18.58 |
|
|
|
(93,500 |
) |
|
$ |
17.88 |
|
|
|
(50,000 |
) |
|
$ |
20.58 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options outstanding at end of year
|
|
|
519,436 |
|
|
$ |
18.71 |
|
|
|
873,200 |
|
|
$ |
18.01 |
|
|
|
987,500 |
|
|
$ |
18.39 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The number of stock option awards outstanding and exercisable at
December 31, 2004 was as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options Outstanding | |
|
Options Exercisable | |
| |
|
| |
|
|
Wtd. Avg. | |
|
|
|
|
|
|
Remaining | |
|
Wtd. Avg. | |
|
|
|
Wtd. Avg. | |
|
|
Contractual | |
|
Exercise | |
|
|
|
Exercise | |
Range of Exercise Prices |
|
Number | |
|
Life | |
|
Price | |
|
Number | |
|
Price | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
$13.50 - $13.50
|
|
|
134,000 |
|
|
|
5.93 |
|
|
$ |
13.50 |
|
|
|
89,000 |
|
|
$ |
13.50 |
|
$13.51 - $20.00
|
|
|
26,700 |
|
|
|
7.71 |
|
|
$ |
17.15 |
|
|
|
14,850 |
|
|
$ |
16.90 |
|
$20.01 - $21.54
|
|
|
358,736 |
|
|
|
7.57 |
|
|
$ |
20.77 |
|
|
|
240,376 |
|
|
$ |
20.46 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
519,436 |
|
|
|
|
|
|
|
|
|
|
|
344,226 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options available for grant at end of year
|
|
|
94,048 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In December 2000, the Company granted 135,200 restricted shares
of APCapital common stock, having a per share market value of
$13.50, to certain officers, board members and employees. The
restricted shares vest in annual installments of 10%, 15%, 20%,
25% and 30% on the first through fifth anniversaries,
respectively, of the date of grant. At that date, the Company
also granted 200 shares of restricted stock to each
full-time employee for a total grant of 39,600 shares at
$13.50 per share. These shares vested annually at a rate of
20%, 35% and 45%, in 2001, 2002, and 2003, respectively. In
January 2004, the Company issued an additional
30,000 shares of restricted stock to certain employees with
a market value at the date of grant of $17.20 per share.
The shares granted in 2004 vest annually at a rate of 33%, 33%
and 34% in January 2005, 2006 and 2007, respectively, as long as
the grantees remain employed by the Company. The Company
recognizes compensation cost for the stock awards on a
straight-line basis over the period of vesting based on the
awards intrinsic value.
In addition to the aforementioned 30,000 shares of
restricted stock granted to certain employees in 2004, the
Company also granted 1,000 shares of unrestricted stock to
newly appointed directors of the Companys Board. The
market value of the Companys stock at the date of grant
for these unrestricted shares was $27.21, resulting in
compensation expense of approximately $27,000 during 2004.
75
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
17. |
Stock Based Compensation (continued) |
The following table shows the number of unvested shares
outstanding, the number of shares granted, vested and forfeited,
as well as the compensation cost recognized in the Consolidated
Income Statements related to these awards for each of the three
years ended December 31, 2004, 2003 and 2002.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
Number of | |
|
Weighted | |
|
Number of | |
|
Weighted | |
|
Number of | |
|
Weighted | |
|
|
Restricted | |
|
Average | |
|
Restricted | |
|
Average | |
|
Restricted | |
|
Average | |
|
|
Shares | |
|
Fair Value | |
|
Shares | |
|
Fair Value | |
|
Shares | |
|
Fair Value | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
Restricted shares outstanding as of the beginning of the year
|
|
|
47,025 |
|
|
$ |
13.50 |
|
|
|
107,891 |
|
|
$ |
13.86 |
|
|
|
133,030 |
|
|
$ |
13.50 |
|
|
Granted during the year
|
|
|
30,000 |
|
|
$ |
17.20 |
|
|
|
0 |
|
|
|
|
|
|
|
6,971 |
|
|
$ |
19.05 |
|
|
Vested during the year
|
|
|
(20,475 |
) |
|
$ |
13.50 |
|
|
|
(51,210 |
) |
|
$ |
13.50 |
|
|
|
(26,580 |
) |
|
$ |
13.50 |
|
|
Forfeited during the year
|
|
|
(4,070 |
) |
|
$ |
14.86 |
|
|
|
(9,656 |
) |
|
$ |
17.51 |
|
|
|
(5,530 |
) |
|
$ |
13.50 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Restricted shares outstanding as of the end of the year
|
|
|
52,480 |
|
|
$ |
15.51 |
|
|
|
47,025 |
|
|
$ |
13.50 |
|
|
|
107,891 |
|
|
$ |
13.86 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Compensation cost recognized
|
|
$ |
373,000 |
|
|
|
|
|
|
$ |
565,000 |
|
|
|
|
|
|
$ |
421,000 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In 2004 and 2003, the Company recognized a tax benefit of
$1,775,000 and $261,000, respectively, related to the
incremental tax benefit of restricted stock that vested during
the year and stock options that were exercised during the year.
This incremental tax benefit was credited to additional
paid-in-capital.
Basic and diluted earnings per share are calculated in
accordance with SFAS Statement No. 128, Earnings per
Share.
76
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
18. |
Earnings Per Share (continued) |
The following table sets forth the computation of basic and
diluted earnings per share for the years ended December 31,
2004, 2003 and 2002:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands, except per share | |
|
|
amounts) | |
Numerator for basic and diluted income (loss)
per common share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before cumulative effect of a change in accounting
principle
|
|
$ |
20,030 |
|
|
$ |
(76,831 |
) |
|
$ |
(9,412 |
) |
|
Cumulative effect of a change in accounting principle
|
|
|
|
|
|
|
|
|
|
|
(9,079 |
) |
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
20,030 |
|
|
$ |
(76,831 |
) |
|
$ |
(18,491 |
) |
|
|
|
|
|
|
|
|
|
|
Denominator:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Denominator for basic income (loss) per common share
weighted average shares outstanding
|
|
|
8,455 |
|
|
|
8,520 |
|
|
|
9,340 |
|
|
Effect of dilutive stock options and awards(1)
|
|
|
266 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Denominator for diluted income (loss) per common
share adjusted weighted average shares outstanding
|
|
|
8,721 |
|
|
|
8,520 |
|
|
|
9,340 |
|
|
|
|
|
|
|
|
|
|
|
Income (loss) per common share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before cumulative effect of a change in accounting
principle
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic
|
|
$ |
2.37 |
|
|
$ |
(9.02 |
) |
|
$ |
(1.01 |
) |
|
|
Diluted
|
|
$ |
2.30 |
|
|
$ |
(9.02 |
) |
|
$ |
(1.01 |
) |
|
Cumulative effect of a change in accounting principle
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic
|
|
$ |
|
|
|
$ |
|
|
|
$ |
(0.97 |
) |
|
|
Diluted
|
|
$ |
|
|
|
$ |
|
|
|
$ |
(0.97 |
) |
|
Net income (loss)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic
|
|
$ |
2.37 |
|
|
$ |
(9.02 |
) |
|
$ |
(1.98 |
) |
|
|
Diluted
|
|
$ |
2.30 |
|
|
$ |
(9.02 |
) |
|
$ |
(1.98 |
) |
|
|
(1) |
As the Company was in a net loss position for the years ended
December 31, 2003 and 2002, the effect of options or other
stock-based awards was not calculated as they would have been
anti-dilutive. |
|
|
19. |
Commitments and Contingencies |
The Company participates in various guaranty associations in the
states in which it writes business, which protect policyholders
and claimants against losses due to insolvency of insurers. When
an insolvency occurs, the associations are authorized to assess
member companies up to the amount of the shortfall of funds,
including expenses. Member companies are assessed based on the
type and amount of insurance written during the previous
calendar years. The Company accrues for its portion of
assessments in accordance with American Institute of Certified
Public Accountants Statement of Position 97-3,
Accounting by Insurance and Other Enterprises for
Insurance-Related Assessments. Assessments to date are not
significant; however, the ultimate liability for future
assessments is not known. Accordingly, the Company is unable to
predict whether such future assessments will materially affect
the financial condition or results of operations of the Company.
At December 31, 2004 and 2003, the Company had a recorded
liability of $392,000 and $300,000,
77
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
19. |
Commitments and Contingencies (continued) |
respectively, for amounts assessed by state guarantee
associations, as well as the Companys estimate of
its share of any insolvencies not yet assessed.
APCapital has issued guarantees in connection with the formation
of non-consolidated subsidiary trusts that were formed during
2003 for the purpose of issuing mandatorily redeemable TPS. In
accordance with the structure and nature of the transactions,
APCapital has guaranteed that amounts paid to the trusts,
related to the debentures issued by APCapital that the trusts
hold, will be distributed to the holders of the TPS. The amounts
payable to the holders of the TPS are recorded as liabilities on
the Companys Consolidated Balance Sheets. See Note 9
for further information on the trusts, the TPS, and the
debentures issued by APCapital.
The Company is obligated under operating leases, which have
various expiration dates through December 2014. Minimum future
lease payments are as follows: 2005 $1,068,000;
2006 $984,000; 2007 $737,000,
2008 $625,000 and 2009 and thereafter
$2,999,000. Rental expense was $1,321,000 in 2004, $1,615,000 in
2003, and $1,900,000 in 2002.
As of September 17, 2004, American Physicians entered into
a stock purchase agreement with various shareholders of
Physicians Insurance Company of Wisconsin, Inc.
(PICW) to acquire a substantial minority interest in
PICW. The stock purchase agreement, as amended in November 2004,
states that American Physicians will
purchase 4,782 shares of PICW common stock at a
purchase price of $3,800 per share in cash, or
approximately $18.1 million. The closing of the purchase is
subject to various conditions, including the receipt of approval
from Wisconsins Office of the Commissioner of Insurance.
If the transaction is completed, American Physicians will own
approximately 24% of PICWs outstanding shares.
On December 30, 2003 and February 20, 2004, separate
putative shareholder class action complaints were filed in
United States District Court for the Western District of
Michigan against the Company, its former President and Chief
Executive Officer, and its Chief Financial Officer. The
complaints alleged violations of federal securities laws for
certain disclosures made by the Company between
February 13, 2003 and November 6, 2003 regarding its
operating results and the adequacy of its reserves, and each
sought monetary damages in an unspecified amount. On
March 23, 2004, the Court dismissed the first case and
entered an Order approving a lead plaintiff in the second case.
A consolidated amended complaint was filed by the lead plaintiff
on May 7, 2004. On June 28, 2004, the Company and the
individual defendants filed a motion to dismiss the complaint.
The motion was successful and the complaint was dismissed with
prejudice on January 12, 2005, and no appeal was filed
prior to the now expired deadline.
The Company was not subject to any other material litigation at
December 31, 2004. Though routine litigation matters may
arise in the ordinary course of the Companys insurance
business, management does not expect these cases to have a
material adverse effect on the Companys financial
condition or results of operations.
|
|
20. |
GAAP and Statutory Reporting |
American Physicians, APS and ICA, domiciled in the State of
Michigan, are included in the accompanying Consolidated
Financial Statements in accordance with GAAP. These
organizations are subject to regulation by the State of Michigan
Office of Financial and Insurance Services and file financial
statements using statutory accounting practices prescribed or
permitted by the state insurance regulators. Prescribed
statutory accounting practices include a variety of publications
of the National Association of Insurance Commissioners
(NAIC), as well as state laws, regulations and
general administrative rules. Permitted
78
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
20. |
GAAP and Statutory Reporting (continued) |
statutory accounting practices encompass all accounting
practices not so prescribed. Such practices vary in certain
respects from GAAP. The principal variances are as follows:
|
|
|
|
|
Deferred policy acquisition costs are charged against operations
as incurred for statutory accounting purposes. |
|
|
|
Assets designated as nonadmitted assets are charged
directly to surplus for statutory accounting purposes. |
|
|
|
Bonds and U.S. government securities are generally carried
at amortized cost for statutory accounting purposes. |
|
|
|
Unpaid losses and loss adjustment expenses and unearned premiums
are reported net of the impact of reinsurance for statutory
accounting purposes. |
|
|
|
Deferred federal income taxes applicable to operations are
recorded in income for GAAP, whereas changes in deferred federal
income taxes are recorded in surplus for statutory accounting
purposes. |
|
|
|
A valuation allowance is required under GAAP when it is
determined that gross deferred tax assets cannot be realized, in
whole or in part. For statutory accounting purposes, the
valuation allowance is replaced with a more objective admitted
asset test, which is intended to serve the same purpose as the
GAAP valuation allowance. This more quantitative approach under
statutory accounting can sometimes result in differing amounts
of deferred tax assets being carried for GAAP and statutory
accounting purposes. |
|
|
|
American Physicians investment in PIC is not consolidated,
but rather, accounted for based on the equity method of
accounting. |
The following is statutory surplus at December 31, 2004,
2003, and 2002 and net income (loss) for the years then ended.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004(1) | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Statutory surplus, December 31
|
|
$ |
210,874 |
|
|
$ |
150,270 |
|
|
$ |
190,216 |
|
|
|
|
|
|
|
|
|
|
|
Statutory net income (loss) for the year ended December 31
|
|
$ |
19,216 |
|
|
$ |
(36,434 |
) |
|
$ |
(10,117 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Effective March 31, 2004, ownership of APS was transferred
from the holding company, APCapital, to American Physicians as a
surplus contribution. The amount of statutory surplus reflected
at December 31, 2004 does not include APSs surplus as
it is already recorded by American Physicians. |
Approximately $1.046 billion of consolidated assets
represent assets of the insurance companies that are subject to
regulation as to the amount that may be transferred to APCapital
in the form of dividends, loans or advances. The amount of
dividends that the Companys insurance subsidiaries can pay
to APCapital in any 12-month period is limited to the greater of
statutory net income for the preceding year, excluding net
realized gains (losses) on the sale of investments, or 10% of
statutory surplus as of the preceding year end. Accordingly, as
of January 1, 2005, approximately $20.6 million could
be paid by the Companys insurance subsidiaries without
prior regulatory approval.
The Company is organized and operates principally in the
property and casualty insurance industry and has three
reportable segments medical professional liability,
other insurance lines and corporate and other.
79
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
21. |
Segment Information (continued) |
Prior to 2004, the Company had five reportable
segments medical professional liability,
workers compensation, health, personal and commercial
insurance lines, as well as the corporate and other segment. As
the Company has implemented its exit from the workers
compensation and health insurance lines, and exited the personal
and commercial lines in 2001, managements emphasis on
these lines, as well as their financial significance has
decreased. Accordingly, these three previously separately
reported segments have been aggregated into the other insurance
lines segment reported in 2004. Reported 2003 and 2002 amounts
have been reclassified to conform to the current year
presentation.
The accounting policies of the segments are consistent with
those described in the basis of presentation. The premiums and
loss and loss adjustment expenses of each segment are specific
to the various insurance lines. Estimates for underwriting and
other expenses are based primarily on the written or earned
premium associated with the segment. Investment income,
investment expenses and other items of income or expense are
allocated to the segments based on that segments
ownership percentage of the assets or liabilities
underlying the income or expense. General and administrative
expenses are all attributed to the holding company and are
included in corporate and other. Restructuring expenses and exit
costs are allocated to the segments based on the nature of the
cost.
The financial information that management reviews in making
decisions about resources to be allocated to the segments and
assess their performance, is summarized as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Medical | |
|
Other | |
|
|
|
|
|
|
|
|
Professional | |
|
Insurance | |
|
Corporate | |
|
Intersegment | |
|
|
Total assets: |
|
Liability | |
|
Lines | |
|
and Other | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
December 31,
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004
|
|
$ |
977,230 |
|
|
|
75,704 |
|
|
|
227,106 |
|
|
|
(210,141 |
) |
|
$ |
1,069,899 |
|
|
2003
|
|
$ |
909,372 |
|
|
|
123,064 |
|
|
|
234,326 |
|
|
|
(203,716 |
) |
|
$ |
1,063,046 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, 2004 | |
|
|
| |
|
|
Medical | |
|
Other | |
|
|
|
|
Professional | |
|
Insurance | |
|
Corporate | |
|
Intersegment | |
|
|
|
|
Liability | |
|
Lines | |
|
and Other | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Revenues:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net premiums earned
|
|
$ |
173,835 |
|
|
$ |
26,744 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
200,579 |
|
|
Investment income
|
|
|
43,273 |
|
|
|
4,050 |
|
|
|
50 |
|
|
|
|
|
|
|
47,373 |
|
|
Other revenue items
|
|
|
3,172 |
|
|
|
133 |
|
|
|
43 |
|
|
|
(620 |
) |
|
|
2,728 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues
|
|
|
220,280 |
|
|
|
30,927 |
|
|
|
93 |
|
|
|
(620 |
) |
|
$ |
250,680 |
|
Expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss and loss adjustment expenses
|
|
|
145,519 |
|
|
|
32,267 |
|
|
|
|
|
|
|
|
|
|
|
177,786 |
|
|
Underwriting expenses
|
|
|
35,320 |
|
|
|
7,361 |
|
|
|
|
|
|
|
|
|
|
|
42,681 |
|
|
General and administrative expenses
|
|
|
|
|
|
|
|
|
|
|
3,918 |
|
|
|
|
|
|
|
3,918 |
|
|
Other expense items
|
|
|
2,969 |
|
|
|
673 |
|
|
|
3,523 |
|
|
|
(620 |
) |
|
|
6,545 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
183,808 |
|
|
|
40,301 |
|
|
|
7,441 |
|
|
|
(620 |
) |
|
|
230,930 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before income taxes, minority interest and
cumulative effect of a change in accounting principle
|
|
$ |
36,472 |
|
|
$ |
(9,374 |
) |
|
$ |
(7,348 |
) |
|
$ |
|
|
|
$ |
19,750 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
80
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
21. |
Segment Information (continued) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, 2003 | |
|
|
| |
|
|
Medical | |
|
Other | |
|
|
|
|
Professional | |
|
Insurance | |
|
Corporate | |
|
Intersegment | |
|
|
|
|
Liability | |
|
Lines | |
|
and Other | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Revenues:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net premiums earned
|
|
$ |
158,777 |
|
|
$ |
65,813 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
224,590 |
|
|
Investment income
|
|
|
36,282 |
|
|
|
6,650 |
|
|
|
362 |
|
|
|
|
|
|
|
43,294 |
|
|
Other revenue items
|
|
|
2,874 |
|
|
|
330 |
|
|
|
881 |
|
|
|
(578 |
) |
|
|
3,507 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues
|
|
|
197,933 |
|
|
|
72,793 |
|
|
|
1,243 |
|
|
|
(578 |
) |
|
$ |
271,391 |
|
Expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss and loss adjustment expenses
|
|
|
197,430 |
|
|
|
55,312 |
|
|
|
|
|
|
|
|
|
|
|
252,742 |
|
|
Underwriting expenses
|
|
|
31,315 |
|
|
|
19,789 |
|
|
|
|
|
|
|
|
|
|
|
51,104 |
|
|
General and administrative expenses
|
|
|
|
|
|
|
|
|
|
|
2,921 |
|
|
|
|
|
|
|
2,921 |
|
|
Other expense items
|
|
|
3,009 |
|
|
|
1,398 |
|
|
|
1,678 |
|
|
|
(578 |
) |
|
|
5,507 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
231,754 |
|
|
|
76,499 |
|
|
|
4,599 |
|
|
|
(578 |
) |
|
|
312,274 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss before income taxes, minority interest and cumulative
effect of a change in accounting principle
|
|
$ |
(33,821 |
) |
|
$ |
(3,706 |
) |
|
$ |
(3,356 |
) |
|
$ |
|
|
|
$ |
(40,883 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended December 31, 2002 | |
|
|
| |
|
|
Medical | |
|
Other | |
|
|
|
|
Professional | |
|
Insurance | |
|
Corporate | |
|
Intersegment | |
|
|
|
|
Liability | |
|
Lines | |
|
and Other | |
|
Eliminations | |
|
Consolidated | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Revenues:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net premiums earned
|
|
$ |
148,646 |
|
|
$ |
86,905 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
235,551 |
|
|
Investment income
|
|
|
37,349 |
|
|
|
6,811 |
|
|
|
615 |
|
|
|
|
|
|
|
44,775 |
|
|
Other revenue items
|
|
|
1,357 |
|
|
|
(604 |
) |
|
|
770 |
|
|
|
(560 |
) |
|
|
213 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues
|
|
|
186,602 |
|
|
|
93,112 |
|
|
|
1,385 |
|
|
|
(560 |
) |
|
$ |
280,539 |
|
Expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss and loss adjustment expenses
|
|
|
162,250 |
|
|
|
79,778 |
|
|
|
|
|
|
|
|
|
|
|
242,028 |
|
|
Underwriting expenses
|
|
|
27,157 |
|
|
|
21,436 |
|
|
|
|
|
|
|
|
|
|
|
48,593 |
|
|
General and administrative expenses
|
|
|
|
|
|
|
|
|
|
|
1,395 |
|
|
|
|
|
|
|
1,395 |
|
|
Other expense items
|
|
|
2,414 |
|
|
|
603 |
|
|
|
1,007 |
|
|
|
(560 |
) |
|
|
3,464 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
191,821 |
|
|
|
101,817 |
|
|
|
2,402 |
|
|
|
(560 |
) |
|
|
295,480 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss before income taxes, minority interest and cumulative
effect of a change in accounting principle
|
|
$ |
(5,219 |
) |
|
$ |
(8,705 |
) |
|
$ |
(1,017 |
) |
|
$ |
|
|
|
$ |
(14,941 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
81
AMERICAN PHYSICIANS CAPITAL, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
22. |
Quarterly Financial Data (Unaudited) |
The unaudited operating results by quarter for 2004 and 2003 are
summarized below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (Loss) | |
|
|
|
|
|
|
|
|
Before Taxes, | |
|
|
|
|
|
|
|
|
Minority Interest, | |
|
|
|
Net Income (Loss) | |
|
|
|
|
and Cumulative | |
|
Net | |
|
Per Common | |
|
|
Total | |
|
Effect of a Change in | |
|
Income | |
|
Share Assuming | |
|
|
Revenues | |
|
Accounting Principle | |
|
(Loss) | |
|
Dilution* | |
|
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands, except per share data) | |
2004
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1st Quarter
|
|
$ |
69,103 |
|
|
$ |
4,781 |
|
|
$ |
5,874 |
|
|
$ |
0.69 |
|
|
2nd Quarter
|
|
|
63,576 |
|
|
|
3,576 |
|
|
|
3,098 |
|
|
|
0.36 |
|
|
3rd Quarter
|
|
|
59,526 |
|
|
|
4,773 |
|
|
|
4,549 |
|
|
|
0.52 |
|
|
4th Quarter
|
|
|
58,475 |
|
|
|
6,620 |
|
|
|
6,509 |
|
|
|
0.73 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
250,680 |
|
|
$ |
19,750 |
|
|
$ |
20,030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2003
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1st Quarter
|
|
$ |
68,979 |
|
|
$ |
(1,515 |
) |
|
$ |
(985 |
) |
|
$ |
(0.11 |
) |
|
2nd Quarter
|
|
|
66,267 |
|
|
|
1,703 |
|
|
|
1,107 |
|
|
|
0.12 |
|
|
3rd Quarter**
|
|
|
68,292 |
|
|
|
(42,434 |
) |
|
|
(77,055 |
) |
|
|
(9.03 |
) |
|
4th Quarter
|
|
|
67,853 |
|
|
|
1,363 |
|
|
|
102 |
|
|
|
0.01 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
271,391 |
|
|
$ |
(40,883 |
) |
|
$ |
(76,831 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
|
For periods where the Company incurred a loss, no effect of
awards or options were calculated as the impact would be
anti-dilutive). |
|
** |
|
The significant loss in the third quarter of 2003, as compared
to the first, second and fourth quarter of the same year, was
primarily the result of adverse development on prior year loss
reserves (Note 8) and the establishment of a deferred tax
valuation allowance (Note 11). |
82
SCHEDULE II SUPPLEMENTARY INSURANCE
INFORMATION
AMERICAN PHYSICIANS CAPITAL, INC. (PARENT COMPANY)
CONDENSED BALANCE SHEET
December 31, 2004 and 2003
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
|
| |
|
| |
|
|
(In thousands) | |
ASSETS |
Investments in subsidiaries
|
|
$ |
218,732 |
|
|
$ |
202,787 |
|
Equity securities
|
|
|
928 |
|
|
|
928 |
|
Cash and cash equivalents
|
|
|
4,231 |
|
|
|
27,773 |
|
Deferred federal income taxes
|
|
|
|
|
|
|
|
|
Intangible asset
|
|
|
312 |
|
|
|
625 |
|
Federal income taxes recoverable from affiliates
|
|
|
9,740 |
|
|
|
|
|
Other assets
|
|
|
1,619 |
|
|
|
1,731 |
|
|
|
|
|
|
|
|
|
Total assets
|
|
$ |
235,562 |
|
|
$ |
233,844 |
|
|
|
|
|
|
|
|
|
LIABILITIES |
Long-term debt
|
|
$ |
30,928 |
|
|
$ |
30,928 |
|
Accrued expenses and other liabilities
|
|
|
2,510 |
|
|
|
1,108 |
|
|
|
|
|
|
|
|
|
Total liabilities
|
|
|
33,438 |
|
|
|
32,036 |
|
|
|
|
|
|
|
|
Shareholders Equity
|
|
|
|
|
|
|
|
|
Common stock, no par value, 50,000,000 shares authorized,
8,671,984 and 8,445,807 shares outstanding at
December 31, 2004 and 2003, respectively
|
|
|
|
|
|
|
|
|
Additional paid-in capital
|
|
|
86,956 |
|
|
|
85,137 |
|
Retained earnings
|
|
|
107,382 |
|
|
|
87,352 |
|
Unearned stock compensation
|
|
|
(368 |
) |
|
|
(288 |
) |
Accumulated other comprehensive income, net of deferred federal
income taxes
|
|
|
8,154 |
|
|
|
29,607 |
|
|
|
|
|
|
|
|
|
Total shareholders equity
|
|
|
202,124 |
|
|
|
201,808 |
|
|
|
|
|
|
|
|
|
Total liabilities and shareholders equity
|
|
$ |
235,562 |
|
|
$ |
233,844 |
|
|
|
|
|
|
|
|
These condensed financial statements should be read in
conjunction with the accompanying consolidated financial
statements and notes thereto of American Physicians Capital,
Inc. and Subsidiaries.
83
SCHEDULE II SUPPLEMENTARY INSURANCE
INFORMATION
AMERICAN PHYSICIANS CAPITAL, INC. (PARENT COMPANY)
CONDENSED STATEMENTS OF OPERATIONS
Years Ended December 31, 2004, 2003 and 2002
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Revenues
|
|
|
|
|
|
|
|
|
|
|
|
|
Investment income
|
|
$ |
36 |
|
|
$ |
344 |
|
|
$ |
587 |
|
Other income
|
|
|
|
|
|
|
15 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues
|
|
|
36 |
|
|
|
359 |
|
|
|
587 |
|
Expenses
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest expense
|
|
|
1,714 |
|
|
|
1,008 |
|
|
|
|
|
Amortization expense
|
|
|
494 |
|
|
|
128 |
|
|
|
|
|
General and administrative expenses
|
|
|
3,732 |
|
|
|
2,813 |
|
|
|
1,178 |
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
5,940 |
|
|
|
3,949 |
|
|
|
1,178 |
|
|
Loss before income taxes and equity in undistributed loss of
subsidiaries
|
|
|
(5,904 |
) |
|
|
(3,590 |
) |
|
|
(591 |
) |
Federal income tax (benefit) expense
|
|
|
(8,736 |
) |
|
|
393 |
|
|
|
(209 |
) |
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before equity in undistributed loss of subsidiaries
|
|
|
2,832 |
|
|
|
(3,983 |
) |
|
|
(382 |
) |
Equity in undistributed income (loss) of subsidiaries
|
|
|
17,198 |
|
|
|
(72,848 |
) |
|
|
(18,109 |
) |
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
20,030 |
|
|
$ |
(76,831 |
) |
|
$ |
(18,491 |
) |
|
|
|
|
|
|
|
|
|
|
These condensed financial statements should be read in
conjunction with the accompanying consolidated
financial statements and notes thereto of American Physicians
Capital, Inc. and Subsidiaries.
84
SCHEDULE II SUPPLEMENTARY INSURANCE
INFORMATION
AMERICAN PHYSICIANS CAPITAL, INC. (PARENT COMPANY)
CONDENSED STATEMENTS OF CASH FLOW
Years Ended December 31, 2004, 2003 and 2002
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Cash flows from operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
20,030 |
|
|
$ |
(76,831 |
) |
|
$ |
(18,491 |
) |
Adjustments to reconcile net income (loss) to net cash used in
operating activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity in undistributed (income) loss of subsidiaries
|
|
|
(17,198 |
) |
|
|
72,848 |
|
|
|
18,109 |
|
Amortization
|
|
|
691 |
|
|
|
518 |
|
|
|
323 |
|
Deferred federal income taxes
|
|
|
|
|
|
|
942 |
|
|
|
(403 |
) |
Changes in:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Federal or intercompany income taxes recoverable/payable
|
|
|
(9,740 |
) |
|
|
207 |
|
|
|
580 |
|
|
Accrued expenses and other liabilities
|
|
|
1,402 |
|
|
|
504 |
|
|
|
(1,014 |
) |
|
Other assets
|
|
|
112 |
|
|
|
(544 |
) |
|
|
3,672 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash (used in) provided by operating activities
|
|
|
(4,703 |
) |
|
|
(2,356 |
) |
|
|
2,776 |
|
|
|
|
|
|
|
|
|
|
|
Cash flows from investing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
Acquisition of intangible asset
|
|
|
|
|
|
|
(625 |
) |
|
|
|
|
Net contributions to subsidiaries
|
|
|
(20,200 |
) |
|
|
(10,928 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(20,200 |
) |
|
|
(11,553 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from financing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
Common stock repurchased
|
|
|
|
|
|
|
(7,676 |
) |
|
|
(27,483 |
) |
Debt issuance costs
|
|
|
|
|
|
|
(906 |
) |
|
|
|
|
Issuance of long-term debt
|
|
|
|
|
|
|
30,928 |
|
|
|
|
|
Stock options exercised
|
|
|
1,334 |
|
|
|
440 |
|
|
|
243 |
|
Other
|
|
|
27 |
|
|
|
225 |
|
|
|
(75 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) financing activities
|
|
|
1,361 |
|
|
|
23,011 |
|
|
|
(27,315 |
) |
|
|
|
|
|
|
|
|
|
|
Net (decrease) increase in cash and cash equivalents
|
|
|
(23,542 |
) |
|
|
9,102 |
|
|
|
(24,539 |
) |
Cash and cash equivalents, beginning of year
|
|
|
27,773 |
|
|
|
18,671 |
|
|
|
43,210 |
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents, end of year
|
|
$ |
4,231 |
|
|
$ |
27,773 |
|
|
$ |
18,671 |
|
|
|
|
|
|
|
|
|
|
|
These condensed financial statements should be read in
conjunction with the accompanying consolidated financial
statements and notes thereto of American Physicians Capital,
Inc. and Subsidiaries.
85
SCHEDULE II SUPPLEMENTARY INSURANCE
INFORMATION
AMERICAN PHYSICIANS CAPITAL, INC. (PARENT COMPANY)
NOTES TO CONDENSED FINANCIAL INFORMATION OF REGISTRANT
Year Ended December 31, 2004
|
|
(1) |
Description of Business |
American Physicians Capital, Inc. (APCapital) is an insurance
holding company incorporated under Michigan law on July 6,
2000.
APCapital owns all of the issued and outstanding common stock of
the following entities either directly, or indirectly through
one of the entities listed below:
|
|
|
American Physicians Assurance Corporation a stock
insurance company incorporated under Michigan law (American
Physicians), formerly Mutual Insurance Corporation Of America |
|
|
Insurance Corporation of America a stock insurance
company incorporated under Michigan law (ICA). |
|
|
APSpecialty Insurance Corporation a stock insurance
company incorporated under Michigan law (APSpecialty), formerly
RML Insurance Company. |
|
|
APConsulting, LLC a Michigan consulting company. |
|
|
APDirect Sales, LLC a Michigan corporation that
serves as APCapitals direct sales channel. |
|
|
Alpha Advisors, Inc. an Illinois corporation that
provides investment management services. |
|
|
APIndemnity (Bermuda) Ltd. a Bermuda company that
provides a rent-a-captive vehicle for clients and prospects. |
|
|
APManagement Ltd. a Bermuda company that provides
management and compliance services to APIndemnity and to clients
and prospects of the financial group. |
|
|
American Physicians Capital Statutory Trust I a
trust formed in Connecticut for the purpose of issuing
mandatorily redeemable trust preferred securities to
institutional investors (Note 9) |
|
|
APCapital Trust II a trust formed in Delaware
for the purpose of issuing mandatorily redeemable trust
preferred securities to institutional investors (Note 9) |
In 2003, APCapital issued $30.9 million of floating rate
junior subordinated deferrable interest debentures
(Debentures) to subsidiary trusts. The trusts have
issued mandatorily redeemable trust preferred securities that
have terms that are essentially the same as the Debentures
issued by APCapital, which are the only assets of the trusts.
See Note 9 of the Notes to Consolidated Financial
Statements for a description of the Debentures and the
transactions in which they were issued.
The Company files a consolidated federal income tax return with
the following entities:
|
|
|
American Physicians
|
|
APDirect Sales, LLC |
APSpecialty
|
|
APConsulting, LLC |
ICA
|
|
Alpha Advisors, Inc. |
Allocation of taxes among the entities is subject to a written
agreement, and is based upon separate return calculations, with
current credit for net losses to the extent they can be used in
the current year consolidated tax return.
86
|
|
(4) |
Dividends Received/Paid |
In January of 2004, APCapital made a $25 million cash
surplus contribution to American Physicians. Effective
March 31, 2004, APCapital contributed the stock of
APSpecialty to American Physicians. The statutory surplus of
APSpecialty at the date of transfer was $20.5 million. In
December 2004, American Physicians paid an $8.0 million
dividend to APCapital, which enabled APCapital to make a surplus
contribution of $4.0 million to ICA in December 2004. In
addition, APIndemnity paid an $800,000 dividend to APCapital in
December 2004.
87
SCHEDULE III SUPPLEMENTARY INSURANCE
INFORMATION
AMERICAN PHYSICIANS CAPITAL, INC. (PARENT COMPANY)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
At or for the Year Ended December 31, 2004 | |
|
|
| |
|
|
|
|
Amortization | |
|
|
|
|
Deferred | |
|
Unpaid Losses | |
|
|
|
Other Policy |
|
|
|
(1) | |
|
Losses | |
|
of Deferred | |
|
|
|
|
Policy | |
|
and Loss | |
|
|
|
Claims and |
|
Net | |
|
Net | |
|
and Loss | |
|
Policy | |
|
Other | |
|
Net | |
|
|
Acquisition | |
|
Adjustment | |
|
Unearned | |
|
Benefits |
|
Premium | |
|
Investment | |
|
Adjustment | |
|
Acquisition | |
|
Operating | |
|
Premiums | |
Segment |
|
Costs | |
|
Expenses | |
|
Premiums | |
|
Payable |
|
Revenue | |
|
Income | |
|
Expenses | |
|
Costs | |
|
Expenses | |
|
Written | |
|
|
| |
|
| |
|
| |
|
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Medical professional liability
|
|
$ |
8,082 |
|
|
$ |
634,304 |
|
|
$ |
88,919 |
|
|
$ |
|
|
|
$ |
173,835 |
|
|
$ |
41,008 |
|
|
$ |
145,519 |
|
|
$ |
20,191 |
|
|
$ |
15,129 |
|
|
$ |
175,042 |
|
Other insurance
|
|
|
|
|
|
|
59,326 |
|
|
|
1,121 |
|
|
|
|
|
|
|
26,744 |
|
|
|
3,841 |
|
|
|
32,267 |
|
|
|
2,558 |
|
|
|
4,803 |
|
|
|
11,389 |
|
Corporate and other
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(556 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Intersegment eliminations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
620 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
8,082 |
|
|
$ |
693,630 |
|
|
$ |
90,040 |
|
|
$ |
|
|
|
$ |
200,579 |
|
|
$ |
44,913 |
|
|
$ |
177,786 |
|
|
$ |
22,749 |
|
|
$ |
19,932 |
|
|
$ |
186,431 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
At or for the Year Ended December 31, 2003 | |
|
|
| |
|
|
|
|
Amortization | |
|
|
|
|
Deferred | |
|
Unpaid Losses | |
|
|
|
Other Policy |
|
|
|
(1) | |
|
Losses | |
|
of Deferred | |
|
|
|
|
Policy | |
|
and Loss | |
|
|
|
Claims and |
|
Net | |
|
Net | |
|
and Loss | |
|
Policy | |
|
Other | |
|
Net | |
|
|
Acquisition | |
|
Adjustment | |
|
Unearned | |
|
Benefits |
|
Premium | |
|
Investment | |
|
Adjustment | |
|
Acquisition | |
|
Operating | |
|
Premiums | |
Segment |
|
Costs | |
|
Expenses | |
|
Premiums | |
|
Payable |
|
Revenue | |
|
Income | |
|
Expenses | |
|
Costs | |
|
Expenses | |
|
Written | |
|
|
| |
|
| |
|
| |
|
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
|
|
|
|
|
|
|
|
(In thousands) | |
|
|
|
|
|
|
|
|
Medical professional liability
|
|
$ |
8,512 |
|
|
$ |
598,329 |
|
|
$ |
87,330 |
|
|
$ |
|
|
|
$ |
158,777 |
|
|
$ |
33,748 |
|
|
$ |
197,430 |
|
|
$ |
19,376 |
|
|
$ |
11,939 |
|
|
$ |
164,157 |
|
Other insurance
|
|
|
1,949 |
|
|
|
75,276 |
|
|
|
16,476 |
|
|
|
|
|
|
|
65,813 |
|
|
|
6,208 |
|
|
|
55,312 |
|
|
|
5,994 |
|
|
|
13,795 |
|
|
|
60,490 |
|
Corporate and other
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(180 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Intersegment eliminations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
578 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
10,461 |
|
|
$ |
673,605 |
|
|
$ |
103,806 |
|
|
$ |
|
|
|
$ |
224,590 |
|
|
$ |
40,354 |
|
|
$ |
252,742 |
|
|
$ |
25,370 |
|
|
$ |
25,734 |
|
|
$ |
224,647 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
At or for the Year Ended December 31, 2002 | |
|
|
| |
|
|
|
|
Amortization | |
|
|
|
|
Deferred | |
|
Unpaid Losses | |
|
|
|
Other Policy |
|
|
|
(1) | |
|
Losses | |
|
of Deferred | |
|
|
|
|
Policy | |
|
and Loss | |
|
|
|
Claims and |
|
Net | |
|
Net | |
|
and Loss | |
|
Policy | |
|
Other | |
|
Net | |
|
|
Acquisition | |
|
Adjustment | |
|
Unearned | |
|
Benefits |
|
Premium | |
|
Investment | |
|
Adjustment | |
|
Acquisition | |
|
Operating | |
|
Premiums | |
Segment |
|
Costs | |
|
Expenses | |
|
Premiums | |
|
Payable |
|
Revenue | |
|
Income | |
|
Expenses | |
|
Costs | |
|
Expenses | |
|
Written | |
|
|
| |
|
| |
|
| |
|
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(In thousands) | |
Medical professional liability
|
|
$ |
8,067 |
|
|
$ |
542,456 |
|
|
$ |
80,433 |
|
|
$ |
|
|
|
$ |
148,646 |
|
|
$ |
35,156 |
|
|
$ |
162,250 |
|
|
$ |
19,284 |
|
|
$ |
7,873 |
|
|
$ |
154,583 |
|
Other insurance
|
|
|
2,810 |
|
|
|
95,038 |
|
|
|
22,987 |
|
|
|
|
|
|
|
86,905 |
|
|
|
6,360 |
|
|
|
79,778 |
|
|
|
8,742 |
|
|
|
12,694 |
|
|
|
83,834 |
|
Corporate and other
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(392 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Intersegment eliminations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
560 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$ |
10,877 |
|
|
$ |
637,494 |
|
|
$ |
103,420 |
|
|
$ |
|
|
|
$ |
235,551 |
|
|
$ |
41,684 |
|
|
$ |
242,028 |
|
|
$ |
28,026 |
|
|
$ |
20,567 |
|
|
$ |
238,417 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Net investment income is allocated to each of the segments based
on that segments ownership of the underlying
income producing assets. |
88
|
|
Item 9. |
Changes in and Disagreements with Accountants on
Accounting and Financial Disclosure |
None.
|
|
Item 9A. |
Controls and Procedures |
Evaluation of Disclosure Controls and Procedures
The Company maintains disclosure controls and procedures that
are designed to ensure material information required to be
disclosed in the Companys reports that it files or submits
under the Securities Exchange Act of 1934 is recorded,
processed, summarized, and reported within the time periods
specified in the SECs rules and forms, and that such
information is accumulated and communicated to the
Companys management, including its Chief Executive Officer
and Chief Financial Officer, as appropriate, to allow timely
decisions regarding required financial disclosure.
As of the end of the period covered by this report, the Company
carried out an evaluation, under the supervision and with the
participation of the Companys Disclosure Committee and
management, including the Chief Executive Officer and the Chief
Financial Officer, of the effectiveness of the design and
operation of our disclosure controls and procedures pursuant to
Exchange Act Rule 13a-15(b). Based upon this evaluation,
the Chief Executive Officer and the Chief Financial Officer
concluded that our disclosure controls and procedures were not
effective as of December 31, 2004, because of the material
weakness discussed below. In light of the material weakness
described below, the Company performed additional analysis and
other post-closing procedures to ensure our consolidated
financial statements were prepared in accordance with generally
accepted accounting principles. Accordingly, management believes
the consolidated financial statements included in this
Form 10-K fairly present, in all material respects, our
financial condition, results of operations and cash flows for
the periods presented.
Managements Report on Internal Control Over Financial
Reporting
Management is responsible for establishing and maintaining
adequate internal control over financial reporting. The
Companys internal control over financial reporting is a
process designed to provide reasonable assurance regarding the
reliability of financial reporting and the preparation of
financial statements for external purposes in accordance with
generally accepted accounting principles.
Management assessed the effectiveness of the companys
internal control over financial reporting as of
December 31, 2004. In making its assessment of internal
control over financial reporting, management used the criteria
described in Internal Control Integrated
Framework issued by the Committee of Sponsoring
Organizations of the Treadway Commission.
A material weakness is a control deficiency, or combination of
control deficiencies, that results in a more than remote
likelihood that a material misstatement of the annual or interim
financial statements will not be prevented or detected. As of
December 31, 2004, the Company did not maintain effective
controls over underwriting and claims processes performed at its
New Mexico location. The control deficiency at this location
relates to deficiencies in our processing and recording of
premiums, paid losses, loss adjustment expenses and the related
case reserves at December 31, 2004. Specifically, the
deficiencies identified included a lack of segregation of
duties, insufficient management monitoring and oversight of the
underwriting and claims processes, and a lack of adequate
documentation to provide evidence of the performance of key
controls. The policy and claim administration systems support
the underwriting and claims processing at the New Mexico
location. These systems lack controls necessary to ensure all
premiums and claims transactions are properly processed and
accumulated. In addition, access is not restricted to ensure
unauthorized individuals do not have access to add, change or
delete the underlying premiums or claims data. The control
deficiency did not result in any adjustments to the 2004 annual
or interim consolidated financial statements. However, this
control deficiency could result in a misstatement of premiums,
paid losses, loss adjustment expenses and the related case
reserves that would result in a material misstatement to the
annual or interim financial statements that would not be
prevented or detected. Accordingly, management has determined
that this control deficiency constitutes a material weakness.
Because of this material weakness, we have concluded
89
that the Company did not maintain effective internal control
over financial reporting as of December 31, 2004, based on
criteria in Internal Control-Integrated Framework.
Managements assessment of the effectiveness of the
Companys internal control over financial reporting as of
December 31, 2004 has been audited by
PricewaterhouseCoopers LLP, an independent registered public
accounting firm, as stated in their report which appears herein.
Remediation of Material Weakness
As discussed in Managements Report on Internal
Control Over Financial Reporting, as of December 31,
2004, there was a material weakness in the Companys
internal control over financial reporting at our New Mexico
location. The Company is in the process of converting data from
the New Mexico policy and claim administration system to
centrally supported systems. The conversion process is planned
to be completed in the fourth quarter of 2005. In addition, to
remediate the control deficiency, our New Mexico underwriting
and claims processing personnel are being trained to ensure
consistency in the application of underwriting and claims
policies and procedures with those applied by the home office.
Furthermore, involvement and oversight by home office personnel
will continue throughout the system conversion process, at which
time, all of the Companys locations, including New Mexico,
will be processing premiums and claims using the same general
policies, procedures and guidelines, under a common system of
internal control over financial reporting.
Changes in Internal Control Over Financial Reporting
Except as otherwise discussed herein, there have been no changes
in the Companys internal control over financial reporting
during the most recently completed fiscal quarter that have
materially affected, or are reasonably likely to materially
affect, the Companys internal control over financial
reporting.
|
|
Item 9B. |
Other Information |
On December 31, 2004, we consummated a transaction in which
PICs other investor assumed ownership of 100% of
PICs outstanding common stock. In exchange for its 49%
ownership interest, American Physicians received a
$3 million interest-bearing note receivable. The note
receivable is to be paid in monthly installments beginning in
January 2005, and continuing for seven years thereafter. The
note is collateralized by 100% of the outstanding common stock
of PIC. Because the note received in exchange for American
Physicians ownership interest is secured by the common stock of
PIC, the exchange was deemed, for accounting purposes, not to be
a sale in accordance with GAAP, but was rather accounted for as
a secured borrowing with pledge of collateral. Accordingly, we
continue to consolidate PIC in accordance with the original
assessment made under FIN No. 46R.
PART III
|
|
Item 10. |
Directors and Executive Officers of the Registrant |
The required information will be contained in the Proxy
Statement under the captions Election of Directors
(excluding the Report of the Audit Committee) and
Section 16(a) Beneficial Ownership Reporting
Compliance and is incorporated herein by reference.
|
|
Item 11. |
Executive Compensation |
The required information will be contained in the Proxy
Statement under the caption Compensation of Executive
Officers (excluding the Compensation Committee Report and
the stock performance graph) and Election of
Directors Director Compensation and is
incorporated herein by reference.
90
|
|
Item 12. |
Security Ownership of Certain Beneficial Owners and
Management and Related Stockholder Matters |
The required information will be contained in the Proxy
Statement under the caption Common Stock Ownership of
Certain Beneficial Owners and Management and is
incorporated herein by reference. In addition, the information
contained in the Equity Compensation Plan table under
Item 5 of this Report is incorporated herein by reference.
|
|
Item 13. |
Certain Relationships and Related Transactions |
The required information will be contained in the Proxy
Statement under the caption Certain Relationships and
Transactions and is incorporated herein by reference.
|
|
Item 14. |
Principal Accountant Fees and Services |
The required information will be contained in the Proxy
Statement under the caption Independent Auditors and
is incorporated herein by reference.
PART IV
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Item 15. |
Exhibits and Financial Statement Schedules |
(a)(1) and (2)
Financial Statements:
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Report of independent registered public accounting firm |
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Consolidated balance sheets as of December 31, 2004 and 2003 |
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Consolidated statements of income for the years ended
December 31, 2004, 2003 and 2002 |
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Consolidated statements of shareholders equity and
comprehensive income for the years ended December 31, 2004,
2003 and 2002 |
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Consolidated statements of cash flows for the years ended
December 31, 2004, 2003 and 2002 |
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Notes to consolidated financial statements |
Financial Statement Schedules:
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II. Condensed financial information of registrant |
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III. Supplementary insurance information |
All other schedules for which provision is made in
Regulation S-X either (i) are not required under the
related instructions or are inapplicable and, therefore, have
been omitted, or (ii) the information required is included
in the Consolidated Financial Statements or the Notes thereto
that are a part hereof.
(a)(3) The exhibits included as part of this report are
listed in the attached Exhibit Index, which is incorporated
herein by reference.
91
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) 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, on March 16, 2005.
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American Physicians
Capital, Inc.
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R. Kevin Clinton |
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Its: President and Chief Executive Officer |
Pursuant to the requirements of the Securities Exchange Act of
1934, this report has been signed by the following persons on
March 16, 2005 on behalf of the registrant and in the
capacities indicated.
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Signature |
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Title |
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/s/ R. Kevin Clinton
R.
Kevin Clinton |
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President, Chief Executive Officer and Director
(principal executive officer) |
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/s/ Frank H. Freund
Frank
H. Freund |
|
Executive Vice President, Treasurer,
Chief Financial Officer
(principal financial and principal accounting officer) |
|
/s/ Thomas R. Berglund,
M.D.
Thomas
R. Berglund, M.D. |
|
Director and Chairman of the Board |
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/s/ Billy B. Baumann,
M.D.
Billy
B. Baumann, M.D. |
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Director |
|
/s/ Myron Emerick, D.O.
Myron
Emerick, D.O. |
|
Director |
|
/s/ Daniel L. Gorman
Daniel
L. Gorman |
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Director |
|
/s/ AppaRao Mukkamala,
M.D.
AppaRao
Mukkamala, M.D. |
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Director |
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/s/ D. Joseph Olson,
J.D.
D.
Joseph Olson, J.D. |
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Director |
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/s/ Spencer L. Schneider,
J.D.
Spencer
L. Schneider, J.D. |
|
Director |
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/s/ Lloyd A. Schwartz
Lloyd
A. Schwartz |
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Director |
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/s/ Joseph Stilwell
Joseph
Stilwell |
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Director |
92
EXHIBIT INDEX
The following documents are filed as part of this report. Those
exhibits previously filed and incorporated herein by reference
are identified below. Exhibits not required for this report have
been omitted. APCapitals commission file number is
000-32057.
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Exhibit | |
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Number | |
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Description |
| |
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2.1 |
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Plan of Conversion, dated June 28, 2000, as amended
September 22, 2000(2) |
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3.1 |
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Articles of Incorporation(2) |
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3.2 |
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Amended and Restated Bylaws, as amended January 26, 2005(13) |
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4.1 |
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Indenture relating to Floating Rate Junior Subordinated
Deferrable Interest Debentures Dated as of May 15, 2003(8) |
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4.2 |
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Indenture relating to Floating Rate Junior Subordinated Debt
Securities Dated as of May 22, 2003(8) |
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*10.1 |
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American Physicians Capital, Inc. Stock Compensation Plan(3) |
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10.2 |
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Stock Purchase Agreement, dated August 31, 1999, by and
among American Physicians and William B. Cheeseman and
William J. Gaugier(2) |
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10.3 |
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First Amendment, dated October 9, 2000, to Stock Purchase
Agreement, dated August 31, 1999, by and among American
Physicians, William B. Cheeseman and William J.
Gaugier(2) |
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10.4 |
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|
Stock Purchase Agreement between Kentucky Medical Insurance
Company and Stratton, Cheeseman & Walsh, Inc., dated
March 6, 1997(2) |
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10.5 |
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American Physicians/ SCW Sales Agency Agreement (Medical
Professional Liability Michigan Only), dated
January 1, 2000(2) |
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10.6 |
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KMIC Insurance Company Agency Agreement, dated October 13,
1998(2) |
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*10.7 |
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Employment Agreement between William B. Cheeseman and MICOA
Management Company, Inc., dated October 27, 1999(4) |
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10.10 |
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Agency Agreement between American Physicians and Stratton,
Cheeseman, Walsh-Nevada, Inc., dated May 25, 1999(7) |
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10.11 |
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Sub-Agent Agreement between SCW Agency Group, Inc. and Managed
Insurance Services, Inc., dated April 11, 2000(2) |
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10.12 |
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MSMS/ American Physicians Marketing Support Agreement, effective
January 1, 2000, and American Physicians(2) |
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*10.16 |
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Executive Employment Agreement, dated as of October 11,
2000, between Margo C. Runkle and American Physicians(4) |
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*10.18 |
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Form of Stock Option Agreement with Directors, dated
December 5, 2000(4) |
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*10.19 |
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Form of Stock Option Agreement with Executives, dated
December 5, 2000(4) |
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*10.20 |
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Form of Restricted Stock Award with Directors, dated
December 5, 2000(4) |
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*10.21 |
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Form of Restricted Stock Award with Executives, dated
December 5, 2000(4) |
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10.22 |
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Standstill Agreement, dated February 20, 2002, between the
Company, Stilwell Value Partners, L.P. and various affiliated
entities and individuals(5) |
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10.23 |
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Description of unwritten sublease arrangement between American
Physicians and SCW Agency(6) |
|
10.26 |
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Amended And Restated Declaration Of Trust Dated As Of
May 15, 2003 by and among U.S. Bank National
Association, American Physicians Capital, Inc., William B.
Cheeseman and Frank H. Freund(8) |
|
10.27 |
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Amended And Restated Declaration Of Trust Dated As Of
May 22, 2003 of APCapital Trust II(8) |
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10.28 |
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Placement Agreement, dated April 25, 2003 between the
Company, American Physicians Capital Statutory Trust I, FTN
Financial Capital Markets and Keefe Bruyette & Woods,
Inc.(8) |
93
|
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Exhibit | |
|
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Number | |
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Description |
| |
|
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10.29 |
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Placement Agreement, Dated As Of May 13, 2003, with Sandler
ONeill & Partners L.P.(8) |
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10.30 |
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Guarantee Agreement Dated As Of May 15, 2003 by and between
U.S. Bank National Association and American Physicians
Capital, Inc.(8) |
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10.31 |
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Guarantee Agreement Dated As Of May 22, 2003 by and between
Wilmington Trust Company and American Physicians Capital, Inc.(8) |
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*10.32 |
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Executive Employment Agreement, dated as of June 2, 2003,
between Thomas Chase and American Physicians Assurance
Corporation(8) |
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*10.33 |
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Letter Agreement between William B. Cheeseman and American
Physicians Capital, Inc., Dated As Of December 23, 2003(9) |
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*10.34 |
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Consulting Agreement between William B. Cheeseman and American
Physicians Capital, Inc., Dated As Of December 23, 2003(9) |
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**10.35 |
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Master Agency Agreement between American Physicians Assurance
Corporation and SCW Agency Group, Inc., effective
January 1, 2004(9) |
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10.37 |
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Standstill Agreement, dated April 7, 2004 between the
company and Daniel L. Gorman(9) |
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10.38 |
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Summary of 2004 Short-Term Incentive Plan(11) |
|
10.39 |
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|
Amendment dated October 31, 2002, to the Standstill
Agreement, dated February 20, 2002 between the Company,
Stilwell Value Partners, L.P. and various affiliated entities
and individuals(11) |
|
10.40 |
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|
Amendment, dated September 15, 2004, to the Standstill
Agreement dated February 20, 2002, between the Company,
Stilwell Value Partners, L.P. and various affiliated entities
and individuals(11) |
|
10.41 |
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|
Standstill Agreement, dated November 10, 2004, between the
Company, Stilwell Value Partners, L.P. and various affiliated
entities and individuals(12) |
|
*10.42 |
|
|
Form of Executive Employment Agreement dated February 23,
2005, by and between American Physicians Assurance Corporation
and each of R. Kevin Clinton, Frank H. Freund and
Annette E. Flood (14) |
|
21.1 |
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Subsidiaries of APCapital(9) |
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23.1 |
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Consent of PricewaterhouseCoopers LLP(1) |
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31.1 |
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Certification of Chief Executive Officer pursuant to
Rule 13a-14(a) under the Securities Exchange Act of 1934(1) |
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31.2 |
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Certification of Chief Financial Officer pursuant to
Rule 13a-14(a) under the Securities Exchange Act of 1934(1) |
|
32.1 |
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Certification of Chief Executive Officer and Chief Financial
Officer pursuant to 18 U.S.C. Section 1350 and
Rule 13a-14(b) under the Securities Exchange Act of 1934(1) |
|
99.1 |
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Stock Purchase Agreement with Exhibits, dated as of
September 17, 2004, by and among American Physicians
Assurance Corporation and certain shareholders of Physicians
Insurance Company of Wisconsin, Inc.(11) |
|
99.2 |
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|
Amendment No. 1 to Stock Purchase Agreement with Exhibits,
dated as of November 30, 2004, by and among American
Physicians Assurance Corporation and certain shareholders of
Physicians Insurance Company of Wisconsin, Inc.(1) |
|
99.3 |
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Stock Pledge Agreement, dated as of December 31, 2004
between Daniel R. ONeal and American Physicians
Assurance Corporation(1) |
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99.4 |
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Promissory Note from Daniel R. ONeal to American
Physicians Assurance Corporation, dated December 31, 2004(1) |
94
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* |
Current management contracts or compensatory plans or
arrangements. |
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** |
Portions of this exhibit have been omitted pursuant to
APCapitals request to the Secretary of the Securities and
Exchange Commission for confidential treatment pursuant to
Rule 24b-2 under the Securities Exchange Act of 1934, as
amended. |
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(1) |
Filed herewith. |
|
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(2) |
Filed as an exhibit to APCapitals Registration Statement
on Form S-1 (no. 333-41136), as amended, and
incorporated herein by reference. |
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|
(3) |
Filed as an exhibit to APCapitals Registration Statement
on Form S-8 (no. 333-56428) and incorporated herein by
reference. |
|
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(4) |
Filed as an exhibit to APCapitals 2000 Annual Report on
Form 10-K and incorporated herein by reference. |
|
|
(5) |
Filed as an exhibit to APCapitals Current Report on
Form 8-K dated February 21, 2002 and incorporated
herein by reference. |
|
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(6) |
Filed as an exhibit to APCapitals 2001 Annual Report on
Form 10-K and incorporated herein by reference. |
|
|
(7) |
Filed as an exhibit to APCapitals 2002 Annual Report on
Form 10-K and incorporated herein by reference. |
|
|
(8) |
Filed as an exhibit to APCapitals Quarterly Report on
Form 10-Q, as amended, for the quarterly period ended
June 30, 2003 and incorporated herein by reference. |
|
|
(9) |
Filed as an exhibit to APCapitals 2003 Annual Report on
Form 10-K, as amended, and incorporated herein by reference. |
|
|
(10) |
Filed as an exhibit to APCapitals Current Report on
Form 8-K dated April 7, 2004 and incorporated herein
by reference. |
|
(11) |
Filed as an exhibit to APCapitals Quarterly Report on
Form 10-Q for the quarterly period ended September 30,
2004 and incorporated herein by reference. |
|
(12) |
Filed as an exhibit to APCapitals Current Report on
Form 8-K dated November 15, 2004 and incorporated
herein by reference. |
|
(13) |
Filed as an exhibit to APCapitals Current Report on
Form 8-K dated January 31, 2005 and incorporated
herein by reference. |
|
(14) |
Filed as an exhibit to APCapitals Current Report on
Form 8-K dated February 28, 2005 and incorporated
herein by reference. |
95