UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
[X] | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 | |
For the quarterly period ended September 30, 2002 | ||
OR | ||
[ ] | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from to
Commission File Number: 0-49762
TRIPLE-S MANAGEMENT CORPORATION
(Exact name of registrant as specified in its charter)
Puerto Rico | 66-0555678 | |
(State or other jurisdiction of | (I.R.S. Employer Identification No.) | |
incorporation or organization) | ||
1441 F.D. Roosevelt Avenue | ||
San Juan, Puerto Rico | 00920 | |
(Address of principal executive offices) | (Zip code) |
(787) 749-4949
(Registrants telephone number, including area code)
Not applicable
(Former name, former address and former fiscal year, if changed since last report)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by 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. x Yes o No
Indicate the number of shares outstanding of each of the issuers classes of common stock, as of the latest practicable date.
Title of each class | Outstanding at September 30, 2002 | |
Common Stock, $40.00 par value |
9,337 |
TRIPLE-S MANAGEMENT CORPORATION
Quarterly Report on Form 10-Q for the Quarter Ended September 30, 2002
Table of Contents
PAGE | ||||||||
PART I FINANCIAL INFORMATION | ||||||||
Item
1. |
Financial Statements |
|||||||
Consolidated Balance Sheets as of September 30, 2002 and
December 31, 2001 |
3 | |||||||
Consolidated Statements of Operations for the three
months and nine months ended September 30, 2002 and 2001 |
4 | |||||||
Consolidated Statements of Stockholders Equity and
Comprehensive Income for the three months and nine months
ended September 30, 2002 and 2001 |
5 | |||||||
Consolidated Statements of Cash Flows for the nine months
ended September 30, 2002 and 2001 |
6 | |||||||
Notes to Consolidated Financial Statements |
7 | |||||||
Item
2. |
Managements Discussion and Analysis of Financial
Condition and Results of Operations |
27 | ||||||
Item
3. |
Quantitative and Qualitative Disclosures About Market Risk |
49 | ||||||
Item
4. |
Controls and Procedures |
49 | ||||||
PART II OTHER INFORMATION | ||||||||
Item
1. |
Legal Proceedings |
50 | ||||||
Item
4. |
Submissions of Matters to a Vote of Security Holders |
50 | ||||||
Item
5. |
Other Information |
51 | ||||||
Item
6. |
Exhibits and Reports on Form 8-K |
51 | ||||||
SIGNATURES | 53 |
2
Part I FINANCIAL INFORMATION
Item 1. Financial Statements
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
(Unaudited) | ||||||||||
September 30, | December 31, | |||||||||
2002 | 2001 | |||||||||
ASSETS |
||||||||||
Investments and cash: |
||||||||||
Securities held for trading, at fair value: |
||||||||||
Fixed maturities |
$ | 40,135 | 38,107 | |||||||
Equity securities |
39,410 | 50,743 | ||||||||
Securities available for sale, at fair value: |
||||||||||
Fixed maturities |
300,313 | 286,505 | ||||||||
Equity securities |
37,736 | 37,829 | ||||||||
Securities held to maturity, at amortized cost: |
||||||||||
Fixed maturities |
5,983 | 3,779 | ||||||||
Cash and cash equivalents |
117,480 | 80,970 | ||||||||
Total investments and cash |
541,057 | 497,933 | ||||||||
Premiums and other receivables, net |
85,634 | 74,872 | ||||||||
Deferred policy acquisition costs |
12,630 | 9,550 | ||||||||
Property and equipment, net |
36,513 | 39,090 | ||||||||
Other assets |
33,895 | 34,613 | ||||||||
Total assets |
$ | 709,729 | 656,058 | |||||||
LIABILITIES AND STOCKHOLDERS EQUITY |
||||||||||
Claim liabilities: |
||||||||||
Claims processed and incomplete, and future policy benefits |
$ | 128,182 | 114,599 | |||||||
Unreported losses |
107,697 | 103,240 | ||||||||
Unpaid loss-adjustment expenses |
12,683 | 11,601 | ||||||||
Total claim liabilities |
248,562 | 229,440 | ||||||||
Unearned premiums |
66,487 | 58,306 | ||||||||
Individual retirement annuities |
13,907 | 17,426 | ||||||||
Liability to Federal Employees Health Benefits Program |
10,875 | 12,130 | ||||||||
Accounts payable and accrued liabilities |
101,680 | 97,078 | ||||||||
Loans payable to bank |
51,177 | 55,650 | ||||||||
Total liabilities |
489,951 | 470,030 | ||||||||
Stockholders equity: |
||||||||||
Common stock, $40 par value. Authorized 12,500 shares;
issued and outstanding 9,337 and 9,714 at September 30, 2002
and December 31, 2001, respectively |
373 | 389 | ||||||||
Additional paid-in capital |
150,406 | 150,405 | ||||||||
Operating reserve |
43,105 | 14,250 | ||||||||
Accumulated other comprehensive income net unrealized
gain on securities available for sale |
25,082 | 20,984 | ||||||||
Total stockholders equity |
218,966 | 186,028 | ||||||||
Total liabilities and stockholders equity |
$ | 709,729 | 656,058 | |||||||
See accompanying notes to unaudited consolidated financial statements.
3
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Three months ended | Nine months ended | ||||||||||||||||
September 30, | September 30, | ||||||||||||||||
2002 | 2001 | 2002 | 2001 | ||||||||||||||
REVENUES: |
|||||||||||||||||
Premiums earned, net |
$ | 304,586 | 288,760 | 922,906 | 843,126 | ||||||||||||
Amounts attributable to self-funded
arrangements |
38,524 | 30,862 | 110,789 | 97,199 | |||||||||||||
Less amounts attributable to claims under
self-funded arrangements |
(35,210 | ) | (30,404 | ) | (104,047 | ) | (93,412 | ) | |||||||||
307,900 | 289,218 | 929,648 | 846,913 | ||||||||||||||
Net investment income |
6,186 | 6,345 | 18,535 | 18,905 | |||||||||||||
Net realized investment gains |
683 | 2,995 | 533 | 5,375 | |||||||||||||
Net unrealized investment loss on trading securities |
(6,695 | ) | (6,152 | ) | (12,072 | ) | (9,276 | ) | |||||||||
Other income, net |
6,174 | 26 | 6,598 | 4,558 | |||||||||||||
Total revenue |
314,248 | 292,432 | 943,242 | 866,475 | |||||||||||||
BENEFITS AND EXPENSES: |
|||||||||||||||||
Claims incurred |
263,274 | 252,402 | 795,925 | 745,957 | |||||||||||||
Operating expenses, net of reimbursement
for services |
35,550 | 35,859 | 112,903 | 102,802 | |||||||||||||
Interest expense |
830 | 1,298 | 2,821 | 4,345 | |||||||||||||
Total benefits and expenses |
299,654 | 289,559 | 911,649 | 853,104 | |||||||||||||
Income before taxes |
14,594 | 2,873 | 31,593 | 13,371 | |||||||||||||
INCOME TAX EXPENSE: |
|||||||||||||||||
Current |
185 | 99 | 702 | 590 | |||||||||||||
Deferred |
460 | 217 | 1,224 | 503 | |||||||||||||
Total income taxes |
645 | 316 | 1,926 | 1,093 | |||||||||||||
Net income |
$ | 13,949 | 2,557 | 29,667 | 12,278 | ||||||||||||
Basic net income per share as if the
Company operated as a for-profit
organization |
$ | 899.81 | 255.11 | 2,268.48 | 986.75 | ||||||||||||
Basic net income per share as if Triple-S, Inc.
operated as a not-for-profit
organization |
$ | 187.30 | 252.48 | 779.48 | 794.15 | ||||||||||||
See accompanying notes to unaudited consolidated financial statements.
4
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
2002 | 2001 | ||||||||||
BALANCE AT JULY 1 |
$ | 206,991 | 177,136 | ||||||||
Stock redemption |
(11 | ) | | ||||||||
Comprehensive income: |
|||||||||||
Net income |
13,949 | 2,557 | |||||||||
Net unrealized change in investment securities |
(1,151 | ) | (395 | ) | |||||||
Total comprehensive income |
12,798 | 2,162 | |||||||||
BALANCE AT SEPTEMBER 30 |
$ | 219,778 | 179,298 | ||||||||
BALANCE AT JANUARY 1 |
$ | 186,028 | 159,693 | ||||||||
Stock redemption |
(15 | ) | 1 | ||||||||
Comprehensive income: |
|||||||||||
Net income |
29,667 | 12,278 | |||||||||
Net unrealized change in investment securities |
4,098 | 7,326 | |||||||||
Total comprehensive income |
33,765 | 19,604 | |||||||||
BALANCE AT SEPTEMBER 30 |
$ | 219,778 | 179,298 | ||||||||
See accompanying notes to unaudited consolidated financial statements.
5
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Nine months ended | ||||||||||
September 30, | ||||||||||
2002 | 2001 | |||||||||
CASH FLOWS FROM OPERATING ACTIVITIES: |
||||||||||
Premiums collected |
$ | 920,027 | 831,599 | |||||||
Cash paid to suppliers and employees |
(110,906 | ) | (90,789 | ) | ||||||
Claims losses and benefits paid |
(776,803 | ) | (736,966 | ) | ||||||
Interest received |
18,256 | 18,316 | ||||||||
Proceeds from trading securities sold or matured: |
||||||||||
Fixed maturities sold |
82,762 | 16,408 | ||||||||
Equity securities |
9,813 | 12,354 | ||||||||
Acquisitions of investments in trading portfolio: |
||||||||||
Fixed maturities |
(82,930 | ) | (19,558 | ) | ||||||
Equity securities |
(12,447 | ) | (13,457 | ) | ||||||
Interest paid |
(1,993 | ) | (3,351 | ) | ||||||
Expense reimbursement from Medicare |
9,648 | 9,494 | ||||||||
Contingency reserve funds from FEHBP |
5,976 | 4,226 | ||||||||
Net cash provided by operating activities |
61,403 | 28,276 | ||||||||
CASH FLOWS FROM INVESTING ACTIVITIES: |
||||||||||
Proceeds from investments sold or matured: |
||||||||||
Securities available for sale: |
||||||||||
Fixed maturities sold |
33,239 | 4,076 | ||||||||
Fixed maturities matured |
143,006 | 96,024 | ||||||||
Equity securities |
3,681 | 6,787 | ||||||||
Securities held to maturity: |
||||||||||
Fixed maturities matured |
1,458 | | ||||||||
Acquisitions of investments: |
||||||||||
Securities available for sale: |
||||||||||
Fixed maturities |
(187,383 | ) | (111,419 | ) | ||||||
Equity securities |
| (571 | ) | |||||||
Securities held to maturity: |
||||||||||
Fixed maturities |
(3,621 | ) | | |||||||
Capital expenditures |
(4,463 | ) | (3,840 | ) | ||||||
Proceeds from sale of property and equipment |
1,113 | 472 | ||||||||
Net cash used in investing activities |
(12,970 | ) | (8,471 | ) | ||||||
CASH FLOWS FROM FINANCING ACTIVITIES: |
||||||||||
Change in outstanding checks in excess of bank balances |
(3,365 | ) | (5,986 | ) | ||||||
Payments of long term debt |
(4,473 | ) | (1,593 | ) | ||||||
Redemption of common stocks |
(15 | ) | 1 | |||||||
Proceeds from individual retirement annuities |
1,071 | 1,429 | ||||||||
Surrenders of individual retirement annuities |
(5,141 | ) | (2,652 | ) | ||||||
Net cash used in financing activities |
(11,923 | ) | (8,801 | ) | ||||||
Net increase in cash and cash equivalents |
36,510 | 11,004 | ||||||||
Cash and cash equivalents at beginning of the period |
80,970 | 33,566 | ||||||||
Cash and cash equivalents at end of the period |
$ | 117,480 | 44,570 | |||||||
See accompanying notes to unaudited consolidated financial statements.
6
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
(1) Basis of Presentation
The accompanying consolidated interim financial statements prepared by Triple-S Management Corporation (TSM) and its subsidiaries (the Corporation) are unaudited, except for the balance sheet information as of December 31, 2001, which is derived from the Corporations audited consolidated financial statements, pursuant to the rules and regulations of the United States Securities and Exchange Commission. Accordingly, the consolidated interim financial statements do not include all of the information and the footnotes required by accounting principles generally accepted in the United States of America for complete financial statements. These consolidated interim financial statements should be read in conjunction with the audited consolidated financial statements included in the Corporations Form 10/A for the year ended December 31, 2001.
In the opinion of management, all adjustments, consisting of normal recurring adjustments, necessary for a fair presentation of such consolidated interim financial statements have been included. The results of operations for the nine months ended September 30, 2002 are not necessarily indicative of the results for the full year.
Certain prior period amounts have been reclassified to conform to the current period presentation.
(2) Segment Information
The following tables summarize the operations by major operating segment for the three months and nine months ended September 30, 2002 and 2001:
7
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
Operating Segments | |||||||||||||||||||||||||
Health | Health | ||||||||||||||||||||||||
Insurance | Insurance | Property | Life and | ||||||||||||||||||||||
Commercial | Reform | and Casualty | Disability | ||||||||||||||||||||||
Program | Program | Insurance | Insurance | Other* | Total | ||||||||||||||||||||
THREE MONTHS ENDED SEPTEMBER 30, 2002 |
|||||||||||||||||||||||||
Premiums earned, net |
$ | 165,021 | 120,972 | 14,964 | 3,629 | | 304,586 | ||||||||||||||||||
Amounts attributable to self-funded arrangements |
38,524 | | | | | 38,524 | |||||||||||||||||||
Less: Amounts attributable to claims under self-funded
arrangements |
(35,210 | ) | | | | | (35,210 | ) | |||||||||||||||||
Intersegment premiums earned/service revenues |
740 | | | | 12,087 | 12,827 | |||||||||||||||||||
169,075 | 120,972 | 14,964 | 3,629 | 12,087 | 320,727 | ||||||||||||||||||||
Net investment income |
2,697 | 1,278 | 1,600 | 552 | | 6,127 | |||||||||||||||||||
Realized gain on sale of securities |
129 | 162 | 277 | 4 | | 572 | |||||||||||||||||||
Unrealized loss on trading securities |
(5,133 | ) | (333 | ) | (1,229 | ) | | | (6,695 | ) | |||||||||||||||
Other |
5,990 | (8 | ) | 56 | 30 | | 6,068 | ||||||||||||||||||
Total revenues |
$ | 172,758 | 122,071 | 15,668 | 4,215 | 12,087 | 326,799 | ||||||||||||||||||
Underwriting income (loss) |
$ | 2,324 | 5,452 | 1,022 | (356 | ) | 415 | 8,857 | |||||||||||||||||
Net income |
$ | 5,800 | 6,373 | 1,272 | 103 | 250 | 13,798 | ||||||||||||||||||
Claims incurred |
$ | 145,892 | 106,321 | 8,341 | 2,720 | | 263,274 | ||||||||||||||||||
Operating expenses |
$ | 20,859 | 9,199 | 5,601 | 1,265 | 11,672 | 48,596 | ||||||||||||||||||
Depreciation expense, included in operating expenses |
$ | 974 | | 61 | 27 | | 1,062 | ||||||||||||||||||
Interest expense |
$ | 207 | 178 | | 159 | | 544 | ||||||||||||||||||
Income taxes |
$ | | | 454 | (32 | ) | 165 | 587 | |||||||||||||||||
* | Includes segments which are not required to be reported separately. These segments include the data processing services organization as well as the third party administrator of the health insurance services. |
8
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
Operating Segments | |||||||||||||||||||||||||
Health | Health | ||||||||||||||||||||||||
Insurance | Insurance | Property | Life and | ||||||||||||||||||||||
Commercial | Reform | and Casualty | Disability | ||||||||||||||||||||||
Program | Program | Insurance | Insurance | Other* | Total | ||||||||||||||||||||
THREE MONTHS ENDED SEPTEMBER 30, 2001 |
|||||||||||||||||||||||||
Premiums earned, net |
$ | 162,248 | 108,797 | 14,137 | 3,578 | | 288,760 | ||||||||||||||||||
Amounts attributable to self-funded arrangements |
30,862 | | | | | 30,862 | |||||||||||||||||||
Less: Amounts attributable to claims under self-funded
arrangements |
(30,404 | ) | | | | | (30,404 | ) | |||||||||||||||||
Intersegment premiums earned/service revenues |
211 | | | | 2,295 | 2,506 | |||||||||||||||||||
162,917 | 108,797 | 14,137 | 3,578 | 2,295 | 291,724 | ||||||||||||||||||||
Net investment income |
2,658 | 1,123 | 1,835 | 636 | | 6,252 | |||||||||||||||||||
Realized gain (loss) on sale of securities |
2,135 | (23 | ) | 881 | 2 | | 2,995 | ||||||||||||||||||
Unrealized gain loss on trading securities |
(4,731 | ) | (466 | ) | (955 | ) | | | (6,152 | ) | |||||||||||||||
Other |
(150 | ) | (12 | ) | 65 | 27 | | (70 | ) | ||||||||||||||||
Total revenues |
$ | 162,829 | 109,419 | 15,963 | 4,243 | 2,295 | 294,749 | ||||||||||||||||||
Underwriting income (loss) |
$ | 596 | (460 | ) | (96 | ) | 585 | 57 | 682 | ||||||||||||||||
Net income (loss) |
$ | 174 | (113 | ) | 1,505 | 948 | 33 | 2,547 | |||||||||||||||||
Claims incurred |
$ | 141,232 | 101,104 | 8,238 | 1,828 | | 252,402 | ||||||||||||||||||
Operating expenses |
$ | 21,089 | 8,153 | 5,995 | 1,165 | 2,238 | 38,640 | ||||||||||||||||||
Depreciation expense, included in operating expenses |
$ | 1,135 | | 110 | 56 | | 1,301 | ||||||||||||||||||
Interest expense |
$ | 334 | 275 | | 232 | | 841 | ||||||||||||||||||
Income taxes |
$ | | | 225 | 70 | 24 | 319 | ||||||||||||||||||
* | Includes segments which are not required to be reported separately. These segments include the data processing services organization as well as the third party administrator of the health insurance services. |
9
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
Operating Segments | |||||||||||||||||||||||||
Health | Health | ||||||||||||||||||||||||
Insurance | Insurance | Property | Life and | ||||||||||||||||||||||
Commercial | Reform | and Casualty | Disability | ||||||||||||||||||||||
Program | Program | Insurance | Insurance | Other* | Total | ||||||||||||||||||||
NINE MONTHS ENDED SEPTEMBER 30, 2002 |
|||||||||||||||||||||||||
Premiums earned, net |
$ | 497,705 | 368,498 | 45,416 | 11,287 | | 922,906 | ||||||||||||||||||
Amounts attributable to self-funded arrangements |
110,789 | | | | | 110,789 | |||||||||||||||||||
Less: Amounts attributable to claims under self-funded
arrangements |
(104,047 | ) | | | | | (104,047 | ) | |||||||||||||||||
Intersegment premiums earned/service revenues |
2,092 | | | | 36,252 | 38,344 | |||||||||||||||||||
506,539 | 368,498 | 45,416 | 11,287 | 36,252 | 967,992 | ||||||||||||||||||||
Net investment income |
8,014 | 3,763 | 4,834 | 1,713 | | 18,324 | |||||||||||||||||||
Realized gain (loss) on sale of securities |
68 | (5 | ) | 293 | 66 | | 422 | ||||||||||||||||||
Unrealized loss on trading securities |
(9,189 | ) | (986 | ) | (1,897 | ) | | | (12,072 | ) | |||||||||||||||
Other |
6,087 | (30 | ) | 156 | 83 | | 6,296 | ||||||||||||||||||
Total revenues |
$ | 511,519 | 371,240 | 48,802 | 13,149 | 36,252 | 980,962 | ||||||||||||||||||
Underwriting income |
$ | 11,871 | 3,819 | 2,119 | 1,246 | 1,185 | 20,240 | ||||||||||||||||||
Net income |
$ | 16,225 | 5,966 | 4,415 | 2,390 | 725 | 29,721 | ||||||||||||||||||
Claims incurred |
$ | 429,245 | 336,016 | 24,429 | 6,226 | | 795,925 | ||||||||||||||||||
Operating expenses |
$ | 65,414 | 28,663 | 18,868 | 3,815 | 35,067 | 151,827 | ||||||||||||||||||
Depreciation expense, included in operating expenses |
$ | 3,804 | | 301 | 54 | | 4,159 | ||||||||||||||||||
Interest expense |
$ | 626 | 595 | | 554 | | 1,775 | ||||||||||||||||||
Income taxes |
$ | | | 1,090 | 164 | 460 | 1,714 | ||||||||||||||||||
* | Includes segments which are not required to be reported separately. These segments include the data processing services organization as well as the third party administrator of the health insurance services. |
10
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
Operating Segments | |||||||||||||||||||||||||
Health | Health | ||||||||||||||||||||||||
Insurance | Insurance | Property | Life and | ||||||||||||||||||||||
Commercial | Reform | and Casualty | Disability | ||||||||||||||||||||||
Program | Program | Insurance | Insurance | Other* | Total | ||||||||||||||||||||
NINE MONTHS ENDED SEPTEMBER 30, 2001 |
|||||||||||||||||||||||||
Premiums earned, net |
$ | 466,011 | 326,401 | 41,195 | 9,519 | | 843,126 | ||||||||||||||||||
Amounts attributable to self-funded arrangements |
97,199 | | | | | 97,199 | |||||||||||||||||||
Less: Amounts attributable to claims under self-funded
arrangements |
(93,412 | ) | | | | | (93,412 | ) | |||||||||||||||||
Intersegment premiums earned/service revenues |
634 | | | | 6,855 | 7,489 | |||||||||||||||||||
470,432 | 326,401 | 41,195 | 9,519 | 6,855 | 854,402 | ||||||||||||||||||||
Net investment income |
7,855 | 3,404 | 5,483 | 1,878 | | 18,620 | |||||||||||||||||||
Realized gain on sale of securities |
4,352 | 67 | 919 | 32 | | 5,370 | |||||||||||||||||||
Unrealized loss on trading securities |
(7,103 | ) | (773 | ) | (1,400 | ) | | | (9,276 | ) | |||||||||||||||
Other |
4,095 | (53 | ) | 180 | 44 | | 4,266 | ||||||||||||||||||
Total revenues |
$ | 479,631 | 329,046 | 46,377 | 11,473 | 6,855 | 873,382 | ||||||||||||||||||
Underwriting income (loss) |
$ | (5,793 | ) | 551 | 300 | 1,649 | 414 | (2,879 | ) | ||||||||||||||||
Net income |
$ | 2,209 | 2,218 | 4,807 | 2,681 | 285 | 12,200 | ||||||||||||||||||
Claims incurred |
$ | 414,389 | 302,799 | 24,118 | 4,651 | | 745,957 | ||||||||||||||||||
Operating expenses |
$ | 61,836 | 23,051 | 16,777 | 3,219 | 6,441 | 111,324 | ||||||||||||||||||
Depreciation expense, included in operating expenses |
$ | 3,151 | | 327 | 85 | | 3,563 | ||||||||||||||||||
Interest expense |
$ | 1,197 | 978 | | 714 | | 2,889 | ||||||||||||||||||
Income taxes |
$ | | | 675 | 208 | 129 | 1,012 | ||||||||||||||||||
* | Includes segments which are not required to be reported separately. These segments include the data processing services organization as well as the third party administrator of the health insurance services. |
11
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
Balance Sheet Items
Operating Segments | ||||||||||||||||||||||||
Health | Health | |||||||||||||||||||||||
Insurance | Insurance | Property | Life and | |||||||||||||||||||||
Commercial | Reform | and Casualty | Disability | |||||||||||||||||||||
Program | Program | Insurance | Insurance | Other* | Total | |||||||||||||||||||
AS OF SEPTEMBER 30, 2002 |
||||||||||||||||||||||||
Segment assets |
$ | 306,628 | 126,618 | 197,281 | 53,196 | 1,254 | 684,977 | |||||||||||||||||
Significant noncash item net change in unrealized gain
on securities available for sale |
$ | 2,249 | 486 | 596 | 661 | | 3,992 | |||||||||||||||||
AS OF DECEMBER 31, 2001 |
||||||||||||||||||||||||
Segment assets |
$ | 287,893 | 105,319 | 179,184 | 50,410 | 515 | 623,321 | |||||||||||||||||
Significant noncash item net change in unrealized gain
on securities available for sale |
$ | 1,036 | 1,368 | 1,091 | 990 | | 4,485 | |||||||||||||||||
* | Includes segments which are not required to be reported separately. These segments include the data processing services organization as well as the third party administrator of the health insurance services. |
12
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
RECONCILIATION OF REPORTABLE SEGMENT TOTALS WITH FINANCIAL STATEMENTS
Three months ended | Nine months ended | ||||||||||||||||
September 30, | September 30, | ||||||||||||||||
2002 | 2001 | 2002 | 2001 | ||||||||||||||
TOTAL REVENUES |
|||||||||||||||||
Total revenues for reportable segments |
$ | 314,712 | 292,454 | 944,710 | 866,527 | ||||||||||||
Total revenues for other segments |
12,087 | 2,295 | 36,252 | 6,855 | |||||||||||||
326,799 | 294,749 | 980,962 | 873,382 | ||||||||||||||
Elimination of intersegment earned premiums |
(740 | ) | (211 | ) | (2,092 | ) | (634 | ) | |||||||||
Elimination of intersegment service revenues |
(12,087 | ) | (2,295 | ) | (36,252 | ) | (6,855 | ) | |||||||||
Unallocated amount revenues from external sources |
276 | 189 | 624 | 582 | |||||||||||||
(12,551 | ) | (2,317 | ) | (37,720 | ) | (6,907 | ) | ||||||||||
Consolidated total revenues |
$ | 314,248 | 292,432 | 943,242 | 866,475 | ||||||||||||
PROFIT AND LOSS |
|||||||||||||||||
UNDERWRITING INCOME |
|||||||||||||||||
Underwriting income (loss) for reportable segments |
$ | 8,442 | 625 | 19,055 | (3,293 | ) | |||||||||||
Underwriting income for other segments |
415 | 57 | 1,185 | 414 | |||||||||||||
8,857 | 682 | 20,240 | (2,879 | ) | |||||||||||||
Elimination of TSM charge rent expense |
1,547 | 1,547 | 4,639 | 4,639 | |||||||||||||
TSM general and administrative expenses |
(1,328 | ) | (1,272 | ) | (4,059 | ) | (3,606 | ) | |||||||||
219 | 275 | 580 | 1,033 | ||||||||||||||
Consolidated underwriting income (loss) |
$ | 9,076 | 957 | 20,820 | (1,846 | ) | |||||||||||
NET INCOME (LOSS) |
|||||||||||||||||
Net income for reportable segments |
$ | 13,548 | 2,514 | 28,996 | 11,915 | ||||||||||||
Net income for other segments |
250 | 33 | 725 | 285 | |||||||||||||
13,798 | 2,547 | 29,721 | 12,200 | ||||||||||||||
Elimination of TSM charges: |
|||||||||||||||||
Rent expense |
1,547 | 1,547 | 4,639 | 4,639 | |||||||||||||
Interest expense |
207 | 334 | 626 | 1,197 | |||||||||||||
1,754 | 1,881 | 5,265 | 5,836 | ||||||||||||||
Unallocated amounts related to TSM: |
|||||||||||||||||
General and administrative expenses |
(1,328 | ) | (1,272 | ) | (4,059 | ) | (3,606 | ) | |||||||||
Interest expense |
(493 | ) | (791 | ) | (1,672 | ) | (2,653 | ) | |||||||||
Other revenues from external sources |
218 | 192 | 412 | 501 | |||||||||||||
(1,603 | ) | (1,871 | ) | (5,319 | ) | (5,758 | ) | ||||||||||
Consolidated net income |
$ | 13,949 | 2,557 | 29,667 | 12,278 | ||||||||||||
13
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
RECONCILIATION OF REPORTABLE SEGMENT TOTALS WITH FINANCIAL STATEMENTS
Three months ended September 30, 2002 | ||||||||||||
Segment | Consolidated | |||||||||||
Totals | Adjustments * | Totals | ||||||||||
Claims incurred |
$ | 263,274 | | 263,274 | ||||||||
Operating expenses |
48,596 | (13,046 | ) | 35,550 | ||||||||
Depreciation expense |
1,062 | 1,191 | 2,253 | |||||||||
Interest expense |
544 | 286 | 830 | |||||||||
Income taxes |
587 | 58 | 645 |
Three months ended September 30, 2001 | ||||||||||||
Segment | Consolidated | |||||||||||
Totals | Adjustments * | Totals | ||||||||||
Claims incurred |
$ | 252,402 | | 252,402 | ||||||||
Operating expenses |
38,640 | (2,781 | ) | 35,859 | ||||||||
Depreciation expense |
1,301 | 316 | 1,617 | |||||||||
Interest expense |
841 | 457 | 1,298 | |||||||||
Income taxes |
319 | (3 | ) | 316 |
* | Adjustments represent TSM operations and the elimination of intersegment charges. |
14
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
RECONCILIATION OF REPORTABLE SEGMENT TOTALS WITH FINANCIAL STATEMENTS
Nine months ended September 30, 2002 | ||||||||||||
Segment | Consolidated | |||||||||||
Totals | Adjustments* | Totals | ||||||||||
Claims incurred |
$ | 795,925 | | 795,925 | ||||||||
Operating expenses |
151,827 | (38,924 | ) | 112,903 | ||||||||
Depreciation expense |
4,159 | 1,767 | 5,926 | |||||||||
Interest expense |
1,775 | 1,046 | 2,821 | |||||||||
Income taxes |
1,714 | 212 | 1,926 |
Nine months ended September 30, 2001 | ||||||||||||
Segment | Consolidated | |||||||||||
Totals | Adjustments * | Totals | ||||||||||
Claims incurred |
$ | 745,957 | | 745,957 | ||||||||
Operating expenses |
111,324 | (8,522 | ) | 102,802 | ||||||||
Depreciation expense |
3,563 | 988 | 4,551 | |||||||||
Interest expense |
2,889 | 1,456 | 4,345 | |||||||||
Income taxes |
1,012 | 81 | 1,093 |
* | Adjustments represent TSM operations and the elimination of intersegment charges. |
15
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
RECONCILIATION OF REPORTABLE SEGMENT TOTALS WITH FINANCIAL STATEMENTS
September 30, | December 31, | ||||||||
2002 | 2001 | ||||||||
ASSETS |
|||||||||
Total assets for reportable segments |
$ | 683,723 | 622,806 | ||||||
Total assets for other segments |
1,254 | 515 | |||||||
684,977 | 623,321 | ||||||||
Elimination entries intersegment receivables |
(10,281 | ) | (5,677 | ) | |||||
Unallocated amounts: |
|||||||||
Parent cash, cash equivalents and investments |
6,463 | 7,909 | |||||||
Parent net property and equipment |
28,328 | 30,018 | |||||||
Parent other assets |
242 | 487 | |||||||
35,033 | 38,414 | ||||||||
Consolidated assets |
$ | 709,729 | 656,058 | ||||||
OTHER SIGNIFICANT ITEMS
As of September 30, 2002 | ||||||||||||
Segment | Consolidated | |||||||||||
Totals | Adjustments* | Totals | ||||||||||
Significant noncash item net change in unrealized
gain on securities available for sale |
$ | 3,992 | 106 | 4,098 | ||||||||
As of December 30, 2001 | ||||||||||||
Segment | Consolidated | |||||||||||
Totals | Adjustments* | Totals | ||||||||||
Significant noncash item net change in unrealized
gain on securities available for sale |
$ | 4,485 | 139 | 4,624 |
* | Adjustments represent TSM operations and the elimination of intersegment charges. |
16
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
(3) Investment in Securities
The Corporations investment at September 30, 2002 and December 31, 2001, consist of the following:
(Unaudited) | |||||||||
September 30, | December 31, | ||||||||
2002 | 2001 | ||||||||
Trading securities, at fair value |
$ | 79,545 | 88,850 | ||||||
Available for sale, at fair value |
338,049 | 324,334 | |||||||
Held to maturity, at amortized cost |
5,983 | 3,779 | |||||||
Total premiums and other receivables |
$ | 423,577 | 416,963 | ||||||
The amortized cost for debt securities and equity securities, gross unrealized gain, gross unrealized losses, and estimated fair value for trading, available for sale and held to maturity securities by major security type and class of security at September 30, 2002 and December 31, 2001, were as follows:
September 30, 2002 (Unaudited) | |||||||||||||||||
Gross | Gross | ||||||||||||||||
Amortized | unrealized | unrealized | Estimated | ||||||||||||||
cost | gains | losses | fair value | ||||||||||||||
Trading securities: |
|||||||||||||||||
Fixed maturities |
$ | 37,497 | 2,680 | (42 | ) | 40,135 | |||||||||||
Equity securities |
50,219 | 2,357 | (13,166 | ) | 39,410 | ||||||||||||
$ | 87,716 | 5,037 | (13,208 | ) | 79,545 |
September 30, 2002 (Unaudited) | |||||||||||||||||
Gross | Gross | ||||||||||||||||
Amortized | unrealized | unrealized | Estimated | ||||||||||||||
cost | gains | losses | fair value | ||||||||||||||
Securities available for sale: |
|||||||||||||||||
Fixed maturities |
$ | 294,437 | 6,001 | (125 | ) | 300,313 | |||||||||||
Equity securities |
17,559 | 20,530 | (353 | ) | 37,736 | ||||||||||||
$ | 311,996 | 26,531 | (478 | ) | 338,049 | ||||||||||||
17
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
September 30, 2002 (Unaudited) | |||||||||||||||||
Gross | Gross | ||||||||||||||||
Amortized | unrealized | unrealized | Estimated | ||||||||||||||
cost | gains | losses | fair value | ||||||||||||||
Securities held to maturity: |
|||||||||||||||||
Fixed maturities |
$ | 5,983 | | (117 | ) | 5,866 | |||||||||||
December 31, 2001 | |||||||||||||||||
Gross | Gross | ||||||||||||||||
Amortized | unrealized | unrealized | Estimated | ||||||||||||||
cost | gains | losses | fair value | ||||||||||||||
Trading securities: |
|||||||||||||||||
Fixed maturities |
$ | 37,313 | 1,118 | (324 | ) | 38,107 | |||||||||||
Equity securities |
47,623 | 7,299 | (4,179 | ) | 50,743 | ||||||||||||
$ | 84,936 | 8,417 | (4,503 | ) | 88,850 | ||||||||||||
December 31, 2001 | |||||||||||||||||
Gross | Gross | ||||||||||||||||
Amortized | unrealized | unrealized | Estimated | ||||||||||||||
cost | gains | losses | fair value | ||||||||||||||
Securities available for sale: |
|||||||||||||||||
Fixed maturities |
$ | 281,833 | 5,295 | (623 | ) | 286,505 | |||||||||||
Equity securities |
20,857 | 17,423 | (451 | ) | 37,829 | ||||||||||||
$ | 302,690 | 22,718 | (1,074 | ) | 324,334 | ||||||||||||
December 31, 2001 | |||||||||||||||||
Gross | Gross | ||||||||||||||||
Amortized | unrealized | unrealized | Estimated | ||||||||||||||
cost | gains | losses | fair value | ||||||||||||||
Securities held to maturity: |
|||||||||||||||||
Fixed maturities |
$ | 3,779 | 32 | (88 | ) | 3,723 | |||||||||||
18
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
Investment in securities at September 30, 2002 are mostly comprised of U.S. Treasury securities and obligations of U.S. government instrumentalities (50.0%), mortgage backed and collateralized mortgage obligations that are U.S. agency-backed (13.6%), obligations of the government of Puerto Rico and its instrumentalities (4.9%) and obligations of states and political subdivisions (1.8%). The remaining 29.7% of the investment portfolio is comprised of corporate debt and equity securities.
The Corporation regularly monitors the difference between the costs and estimated fair value of their investments. If a decline in the market value of any available for sale or held to maturity security below cost is deemed to be other than temporary, the carrying amount will be reduced to fair value. If investments experience a decline in value that is deemed to be other than temporary, the security is written down to fair value with a charge to operations and new cost basis for the security is established. No impairment has been noted nor recognized by the Corporation during the three months and nine months ended September 30, 2002 and 2001.
19
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
(4) Premiums and Other Receivables
Premiums and other receivables as of September 30, 2002 and December 31, 2001 were as follows:
(Unaudited) | ||||||||||
September 30, | December 31, | |||||||||
2002 | 2001 | |||||||||
Premiums |
$ | 51,592 | 40,373 | |||||||
Self-funded group receivables |
12,529 | 11,241 | ||||||||
FEHBP |
7,271 | 5,379 | ||||||||
Accrued interest |
3,788 | 4,833 | ||||||||
Reinsurance recoverable on paid losses |
15,519 | 13,371 | ||||||||
Other |
7,762 | 11,353 | ||||||||
101,198 | 86,550 | |||||||||
Less allowance for doubtful receivables |
12,827 | 11,678 | ||||||||
Total premiums and other receivables |
$ | 85,634 | 74,872 | |||||||
20
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
(5) Claim Liabilities
The activity in the total claim liabilities for the three months ended September 30, 2002 and 2001 is as follows:
(Unaudited) | ||||||||||
Three months ended | ||||||||||
September 30, | ||||||||||
2002 | 2001 | |||||||||
Claim liabilities at beginning of the period |
$ | 243,485 | 183,431 | |||||||
Reinsurance recoverable on claim liabilities |
(11,350 | ) | (10,256 | ) | ||||||
Net claim liabilities at beginning of the period |
232,135 | 173,175 | ||||||||
Incurred claims and loss adjustment expenses: |
||||||||||
Current period insured events |
260,817 | 250,877 | ||||||||
Prior period insured events |
2,457 | 1,525 | ||||||||
Total |
263,274 | 252,402 | ||||||||
Payments of losses and loss adjustment expenses: |
||||||||||
Current period insured events |
227,166 | 229,888 | ||||||||
Prior period insured events |
32,574 | 9,930 | ||||||||
Total |
259,740 | 239,818 | ||||||||
Net claim liabilities at end of the period |
235,669 | 185,759 | ||||||||
Reinsurance recoverable on claim liabilities |
12,893 | 9,463 | ||||||||
Claim liabilities at end of the period |
$ | 248,562 | 195,222 | |||||||
21
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
The activity in the total claim liabilities for the nine months ended September 30, 2002 and 2001 is as follows:
(Unaudited) | ||||||||||
Nine months ended | ||||||||||
September 30, | ||||||||||
2002 | 2001 | |||||||||
Claim liabilities at beginning of the period |
$ | 229,440 | 183,231 | |||||||
Reinsurance recoverable on claim liabilities |
(10,062 | ) | (7,636 | ) | ||||||
Net claim liabilities at beginning of the period |
219,378 | 175,595 | ||||||||
Incurred claims and loss adjustment expenses: |
||||||||||
Current period insured events |
797,142 | 747,241 | ||||||||
Prior period insured events |
(1,217 | ) | (1,284 | ) | ||||||
Total |
795,925 | 745,957 | ||||||||
Payments of losses and loss adjustment expenses: |
||||||||||
Current period insured events |
630,317 | 597,743 | ||||||||
Prior period insured events |
149,317 | 138,050 | ||||||||
Total |
779,634 | 735,793 | ||||||||
Net claim liabilities at end of the period |
235,669 | 185,759 | ||||||||
Reinsurance recoverable on claim liabilities |
12,893 | 9,463 | ||||||||
Claim liabilities at end of the period |
$ | 248,562 | 195,222 | |||||||
(6) Net Income Available to Stockholders and Net Income per Share
The Corporation presents only basic earnings per share, which amount consists of the net income that could be available to common stockholders divided by the weighted-average number of common shares outstanding for the period.
The Corporation is a for-profit organization that operates as a not-for-profit organization by virtue of a resolution approved by a majority of the stockholders of the Corporation. As a result, the Corporation does not declare or distribute dividends. This resolution could be amended anytime by the affirmative vote of a majority of the stockholders and thus, dividends could be available for distribution subject to the applicable obligations and responsibilities under the General Corporation Law of Puerto Rico or any contract to which the Corporation is a party.
22
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
In the event that the stockholders of the Corporation decide to operate the Corporation as a for-profit organization and the Board of Directors of the Corporation decides to declare and distribute dividends, the amount of net income that could be available for distribution would exclude Triple-S, Inc.s (TSI) net income, due to TSIs tax-exempt status. TSIs tax-exempt status was obtained through an income tax ruling issued by the Treasury Department of Puerto Rico. For purposes of computing the basic earnings per share presented in the consolidated statement of operations, the Corporation considers the operations of TSI as if TSI operated without the income tax exemption. Under this scenario, in order to determine the net income that could be available to stockholders, the Corporation estimates the Puerto Rico income taxes that would have otherwise resulted from TSIs operations and deducts such amount from the results of operations of each period. TSIs estimate of Puerto Rico income taxes, computed for such purposes, was determined as for an other than life insurance entity, as such term is defined in the Puerto Rico Internal Revenue Code of 1994, as amended. The effective tax rate used was 39% for the three months and nine months ended September 30, 2002 and 2001.
The following tables set forth the net income that could be available to stockholders if TSI operated without the tax exemption for the three months and nine months ended September 30, 2002 and 2001 (dollar amounts in thousands).
(Unaudited) | |||||||||
Three months ended | |||||||||
September 30, | |||||||||
2002 | 2001 | ||||||||
Net income for the period |
$ | 13,949 | 2,557 | ||||||
Less estimated tax effect on TSI operations |
5,417 | 35 | |||||||
Net income available to stockholders |
$ | 8,512 | 2,522 | ||||||
(Unaudited) | |||||||||
Nine months ended | |||||||||
September June 30, | |||||||||
2002 | 2001 | ||||||||
Net income for the period |
$ | 29,667 | 12,278 | ||||||
Less estimated tax effect on TSI operations |
7,910 | 2,523 | |||||||
Net income available to stockholders |
$ | 21,757 | 9,755 | ||||||
23
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
The following tables set forth the computation of basic earnings per share for the three months and nine months ended September 30, 2002 and 2001 (dollar amounts in thousands, except for outstanding shares and net income per share).
(Unaudited) | |||||||||
Three months ended | |||||||||
September 30, | |||||||||
2002 | 2001 | ||||||||
Numerator for basic earnings per share: |
|||||||||
Net income available to stockholders |
$ | 8,532 | 2,522 | ||||||
Denominator for basic earnings per share: |
|||||||||
Weighted average of outstanding common shares |
9,482 | 9,886 | |||||||
Basic net income per share |
$ | 899.81 | 255.11 | ||||||
(Unaudited) | |||||||||
Nine months ended | |||||||||
September 30, | |||||||||
2002 | 2001 | ||||||||
Numerator for basic earnings per share: |
|||||||||
Net income available to stockholders |
$ | 21,757 | 9,755 | ||||||
Denominator for basic earnings per share: |
|||||||||
Weighted average of outstanding common shares |
9,591 | 9,886 | |||||||
Basic net income per share |
$ | 2,268.48 | 986.75 | ||||||
24
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
Should the Corporation decide to preserve the tax exemption granted to TSI, then dividends cannot be declared or distributed from the earnings and profits generated from TSIs operations. The following tables set forth the resulting net income that would otherwise be available for distribution after excluding the net result of operations of TSI for the three months and nine months ended September 30, 2002 and 2001 (dollar amounts in thousands).
(Unaudited) | |||||||||
Three months ended | |||||||||
September 30, | |||||||||
2002 | 2001 | ||||||||
Net income for the period |
$ | 13,949 | 2,557 | ||||||
Less TSI operations |
12,173 | 61 | |||||||
Net income available to stockholders |
$ | 1,776 | 2,496 | ||||||
(Unaudited) | |||||||||
Nine months ended | |||||||||
September 30, | |||||||||
2002 | 2001 | ||||||||
Net income for the period |
$ | 29,667 | 12,278 | ||||||
Less TSI operations |
22,191 | 4,427 | |||||||
Net income available to stockholders |
$ | 7,476 | 7,851 | ||||||
25
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)
The following tables set forth the computation of basic net income per share for the three months and nine months ended September 30, 2002 and 2001 if the Corporation excludes TSIs results of operations (dollar amounts in thousands, except for outstanding shares and net income per share):
(Unaudited) | |||||||||
Three months ended | |||||||||
September 30, | |||||||||
2002 | 2001 | ||||||||
Numerator for basic earnings per share:
|
|||||||||
Net income available to stockholders
|
$ | 1,776 | 2,496 | ||||||
Denominator for basic earnings per share:
|
|||||||||
Weighted average of outstanding common shares
|
9,482 | 9,886 | |||||||
Basic net income per share as if TSI operated as
a not-for-profit organization
|
$ | 187.30 | 252.48 | ||||||
(Unaudited) | |||||||||
Nine months ended | |||||||||
September 30, | |||||||||
2002 | 2001 | ||||||||
Numerator for basic earnings per share:
|
|||||||||
Net income available to stockholders
|
$ | 7,476 | $ | 7,851 | |||||
Denominator for basic earnings per share:
|
|||||||||
Weighted average of outstanding common shares
|
9,591 | 9,886 | |||||||
Basic net income per share as if TSI operated as
a not-for-profit organization
|
$ | 779.48 | 794.15 | ||||||
(7) Contingencies
In a letter to TSI, dated March 14, 2002, the Commissioner of Insurance of Puerto Rico stated that the ratification of the corporate reorganization was not required, and that TSI had complied with the Commissioners order of October 6, 1999 relating to the corporate reorganization. Thereafter, two stockholders of TSM filed a petition for review of the Commissioners determination before the Puerto Rico Circuit Court of Appeals, which petition was apposed by TSI and by the Commissioner of Insurance.
Pursuant to that review, on September 24, 2002, the Puerto Rico Circuit Court of Appeals issued an order requiring the Commissioner of Insurance to order that a meeting of shareholders be held to ratify TSIs corporate reorganization and the change of name of TSI from Seguros de Servicios de Salud de Puerto Rico, Inc. to Triple-S, Inc.. The Circuit Court of Appeals based its decision on administrative and procedural issues directed at the Commissioner of Insurance. The Commissioner of Insurance filed a motion of reconsideration with the Circuit Court of Appeals on October 11, 2002. TSI and TSM also filed a motion of reconsideration.
As part of this litigation, the shareholders who have pursued this litigation requested that the Circuit Court of Appeals take whatever action it deemed appropriate to safeguard its order, in view of the Special Meeting of Shareholders of TSM that was scheduled for October 13, 2002. TSM immediately filed a motion in opposition to that request. The Circuit Court of Appeals issued a determination before the meeting was held, refusing to take any action.
On October 25, 2002 the Circuit Court of Appeals dismissed the Commissioner of Insurances Motion for Reconsideration. In addition, the Circuit Court of Appeals ordered the two stockholders who filed the petition for review and to reply within twenty (20) days to TSIs and TSMs Motion of Reconsideration.
The Puerto Rico House of Representatives Banking and Insurance Committee is conducting an investigation of TSIs tax treatment under rulings issued by the Puerto Rico Department of the Treasury that grant TSIs tax exempt status. TSI has provided to the Committee the information and documents as requested. A similar resolution was approved by the Puerto Rico Senate.
(8) Reconciliation of Net Income to Net Cash Provided by Operating Activities
A reconciliation of net income to net cash provided by operating activities is as follows:
(Unaudited) | ||||||||||
Nine months ended | ||||||||||
September 30, | ||||||||||
2002 | 2001 | |||||||||
Net income
|
$ | 29,667 | 12,278 | |||||||
Adjustments to reconcile net income to net cash
provided by operating expenses:
|
||||||||||
Depreciation and amortization
|
5,926 | 4,551 | ||||||||
Amortization of investments discounts
|
(706 | ) | (167 | ) | ||||||
Accretion in value of securities
|
(618 | ) | (1,456 | ) | ||||||
Gain on sale of securities
|
(533 | ) | (5,375 | ) | ||||||
Unrealized loss of trading securities
|
12,072 | 9,276 | ||||||||
Proceeds from trading securities sold:
|
||||||||||
Fixed maturities
|
82,762 | 16,408 | ||||||||
Equity securities
|
9,813 | 12,354 | ||||||||
Acquisition of securities in trading portfolio:
|
||||||||||
Fixed maturities
|
(82,930 | ) | (19,558 | ) | ||||||
Equity securities
|
(12,447 | ) | (13,457 | ) | ||||||
Increase in provision for doubtful receivables
|
1,149 | 2,574 | ||||||||
Loss on sale of property and equipment
|
1 | 2 | ||||||||
(Increase) decrease in assets:
|
||||||||||
Premiums receivable
|
(14,399 | ) | (20,903 | ) | ||||||
Accrued interest receivable
|
1,045 | 1,034 | ||||||||
Reinsurance receivable
|
(2,148 | ) | (2,184 | ) | ||||||
Other receivables
|
3,591 | 856 | ||||||||
Deferred policy acquisition costs
|
(3,080 | ) | (1,400 | ) | ||||||
Other assets
|
705 | (2,471 | ) | |||||||
Balance carried forward
|
$ | 29,870 | (7,638 | ) | ||||||
Balance brought forward
|
$ | 29,870 | (7,638 | ) | ||||||
Increase (decrease) in liabilities:
|
||||||||||
Claims processed and incomplete and future policy
benefits liability
|
13,583 | 4,558 | ||||||||
Unreported losses
|
4,457 | 3,830 | ||||||||
Unpaid loss adjustment expenses
|
1,082 | 603 | ||||||||
Unearned premiums
|
8,181 | 4,767 | ||||||||
Individual retirement annuities
|
551 | 717 | ||||||||
Liability to FEHBP
|
(1,255 | ) | 3,006 | |||||||
Accounts payable and accrued liabilities
|
4,934 | 18,433 | ||||||||
Net cash provided by operating activities
|
$ | 61,403 | 28,276 | |||||||
26
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations
The Managements Discussion and Analysis of Financial Condition and Results of Operations included in this Form 10-Q is intended to update the reader on matters affecting the financial condition and results of operations of TSM and its subsidiaries for the period from January 1, 2002 to September 30, 2002. Therefore, the following discussion should be read in conjunction with the consolidated financial statements and notes thereto included in the Form 10/A filed with the United States Securities and Exchange Commission as of and for the year ended December 31, 2001.
Cautionary Statement Regarding Forward-Looking Information
This form and other publicly available documents may include statements that may constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including, among other things: statements concerning the financial condition, results of operations and business of the Corporation. These statements are not historical, but instead represent the Corporations belief regarding future events, any of which, by their nature, are inherently uncertain and outside of the Corporations control. These statements may address, among other things, financial results, strategy for growth, and market position. It is possible that the Corporations actual results and financial condition may differ, possibly materially, from the anticipated results and financial conditions indicated in these forward-looking statements. The factors that could cause actual results to differ from those in the forward-looking statements are discussed throughout this form. The Corporation is not under any obligation to update or alter any forward-looking statement (and expressly disclaims any such obligations), whether as a result of new information, future events or otherwise. Factors that may cause actual results to differ materially from those contemplated by such forward looking statements include, but are not limited to, rising healthcare costs, business conditions and competition in the different insurance segments, government action and other regulatory issues.
Structure of the Organization
TSM is incorporated under the laws of the Commonwealth of Puerto Rico. It is the holding company of several entities, through which it offers a wide range of insurance products and services. These products and services are offered through the following TSMs subsidiaries:
| TSI, a health insurance company serving two major segments: the Commercial Program and the Commonwealth of Puerto Rico Healthcare Reform Program (the Healthcare Reform) of the Commonwealth of Puerto Rico. | ||
| Seguros Triple-S, Inc. (STS), a property and casualty insurance company. | ||
| Seguros de Vida Triple-S, Inc. (SVTS), a life and disability insurance and annuity products company. |
27
In addition to the insurance subsidiaries mentioned above, TSM has the following subsidiaries: Interactive Systems, Inc. (ISI) and Triple-C, Inc. (TCI). ISI provides data processing services to the Corporation. Effective October 1, 2001, TCI was activated and commenced operations as part of a strategic positioning in the health industry to take advantage of new market opportunities. It is currently engaged as the third-party administrator in the administration of the Healthcare Reform business. The Healthcare Reform business was administered through a division of TSI until September 30, 2001. It also provides healthcare advisory services and other health-related services to TSI.
TSM is organized as a for-profit organization that operates as a not-for-profit organization by virtue of a resolution approved by a majority of the stockholders of the Corporation. As a result, TSM does not declare or distribute dividends. This resolution could be amended anytime by the affirmative vote of a majority of the stockholders and thus, dividends could be available for distribution, subject to the applicable obligations and responsibilities under the General Corporations Law of Puerto Rico or any contract to which the Corporation is a party.
In the event the stockholders of the Corporation decide to operate the Corporation as a for-profit organization and the Board of Directors of the Corporation decides to declare and distribute dividends, the amount of net income that could be available for distribution would exclude TSIs net income due to TSIs tax exempt status. TSIs tax-exempt status was obtained through an income tax ruling issued by the Treasury Department of Puerto Rico. As a result of the above conditions, the portion of the consolidated net income disclosed in the consolidated financial statements and in this Managements Discussion and Analysis of Financial Condition and Results of Operations included in this Form, corresponding to the Health Insurance Commercial and Healthcare Reform segments, is not available for distribution to shareholders.
Recent Developments
In 1994, the Commonwealth of Puerto Rico (the Commonwealth) privatized the delivery of services to the medically indigent population in Puerto Rico, by contracting with private health insurance companies instead of providing health services directly to such population. The Commonwealth originally divided the Island into ten geographical areas. Each geographical area was awarded to a health insurer doing business in Puerto Rico through a competitive process requesting proposals from the industry. Prior to June 30, 2002, TSIs Healthcare Reform segment provided coverage to beneficiaries in the following geographical areas: North, Northwest, Metro-North and Southwest (awarded to TSI effective October 1, 2001). These four areas had a total enrollment of approximately 753,000 beneficiaries, which represented approximately 40.4% of the total eligible beneficiaries of the population.
28
All Healthcare Reform contracts expired on June 30, 2002. After the expiration of these contracts, the Commonwealth redistributed the geographical areas, merging two of the existing areas with the remaining ones, thus reducing geographical areas to eight. As a result of the reorganization of the geographical areas, the Northwest area (previously administered by TSI) was merged into the West area. In addition, and as a result of the same reorganization, six new municipalities were merged into areas administered by TSI. TSI participated in the bidding process and submitted proposals to renew each of the existing contracts and also to serve additional geographical areas. Commencing on July 1, 2002, TSI was awarded three of the eight geographical areas: North, Metro-North and Southwest. The three areas granted to TSI have a total of 682,000 qualified members as of September 30, 2002, which represent approximately 39.0% of the total eligible beneficiaries. Actual enrollment is approximately 5.5% less than the enrollment as of June 30, 2002. Effective July 1, 2002, premium rates were increased by approximately 6.3%. All Healthcare Reform contracts were negotiated for a term of three years; premium rates, however, are negotiated annually. As of July 1, 2002, three insurance companies are participating in the Healthcare Reform: TSI, Humana and Medical Card Systems.
Effective January 2002, the Office of the Commissioner of Insurance of Puerto Rico suspended filing requirements of premium rates for certain classes, subdivisions or combinations of insurance in order to promote the economic activity in the insurance industry in Puerto Rico. The classes, subdivisions or combinations of insurance covered by this deregulation are related to commercial property and liability risks.
Smart Solutions Insurance Agency, a wholly-owned subsidiary of SVTS, began operations effective July 2002. This insurance agency was created to distribute the individual insurance products.
Adoption of Accounting Standard
Effective January 1, 2002, the Corporation adopted the Statement of Financial Accounting Standard (SFAS) No. 142, Goodwill and Other Intangible Assets. SFAS No. 142 requires that goodwill and intangible assets with indefinite useful lives no longer be amortized, but instead tested for impairment at least annually. The adoption of this standard did not have a material impact on the Corporations financial position or results of operations.
General Information
Substantially all of the revenues of the Corporation are generated from premiums earned and investment income. Claims incurred include the payment of benefits and losses, mostly to physicians, hospitals and other service providers, and to policyholders. A portion of the claims incurred for each period consists of a management and actuarial estimate of claims incurred but not reported to the segment during the period. Each segments results of operations depend largely on their ability to accurately predict and effectively manage these claims. Administrative expenses comprise general, selling, commissions, depreciation and payroll and payroll related expenses.
29
The Corporation (on a consolidated basis and for each reportable segment), along with most insurance entities, uses the loss ratio, the expense ratio and the combined ratio as measures of performance. The loss ratio is the claims incurred divided by the premiums earned, net and fee revenue. The expense ratio is the operating expenses divided by the premiums earned, net and fee revenue. The combined ratio is the sum of the loss ratio and the expense ratio. These ratios are relative measurements that describe, for every $100 of premiums earned, net and fee revenue, the costs of claims and operating expenses. The combined ratio represents the total cost per $100 of premium production. A combined ratio below 100 demonstrates underwriting profit; a combined ratio above 100 demonstrates underwriting loss.
30
Consolidated Operating Results
The analysis in this section provides an overall view of the consolidated statements of operations and key financial information. Further details of the results of operations of each reportable segment are included in the analysis of operating results for the respective segments.
Three months ended | Nine months ended | |||||||||||||||||
September 30, | September 30, | |||||||||||||||||
(dollar amounts in thousands) | 2002 | 2001 | 2002 | 2001 | ||||||||||||||
Consolidated earned premiums, net
and fee revenue: |
||||||||||||||||||
Health Insurance Commercial Program |
$ | 168,335 | 162,706 | 504,447 | 469,798 | |||||||||||||
Health Insurance Healthcare Reform |
120,972 | 108,797 | 368,498 | 326,401 | ||||||||||||||
Property and casualty |
14,964 | 14,137 | 45,416 | 41,195 | ||||||||||||||
Life and disability |
3,629 | 3,578 | 11,287 | 9,519 | ||||||||||||||
307,900 | 289,218 | 929,648 | 846,913 | |||||||||||||||
Consolidated claims incurred |
$ | 263,274 | 252,402 | 795,925 | 745,957 | |||||||||||||
Consolidated operating expenses |
35,550 | 35,859 | 112,903 | 102,802 | ||||||||||||||
Consolidated operating costs |
$ | 298,824 | 288,261 | 908,828 | 848,759 | |||||||||||||
Consolidated loss ratio |
85.5 | % | 87.3 | % | 85.6 | % | 88.1 | % | ||||||||||
Consolidated expense ratio |
11.5 | % | 12.4 | % | 12.1 | % | 12.1 | % | ||||||||||
Consolidated combined ratio |
97.1 | % | 99.7 | % | 97.8 | % | 100.2 | % | ||||||||||
Net investment income |
$ | 6,186 | 6,345 | 18,535 | 18,905 | |||||||||||||
Realized gain on sale of securities |
683 | 2,995 | 533 | 5,375 | ||||||||||||||
Unrealized loss on trading securities |
(6,695 | ) | (6,152 | ) | (12,072 | ) | (9,276 | ) | ||||||||||
Total consolidated net investment income |
$ | 174 | 3,188 | 6,996 | 15,004 | |||||||||||||
Income tax expense: |
||||||||||||||||||
Current |
$ | 185 | 99 | 702 | 590 | |||||||||||||
Deferred |
460 | 217 | 1,224 | 503 | ||||||||||||||
Total
consolidated income tax expense |
$ | 645 | 316 | 1,926 | 1,093 | |||||||||||||
Consolidated net income (loss) per segment: |
||||||||||||||||||
Health Insurance Commercial Program |
$ | 5,800 | 174 | 16,225 | 2,209 | |||||||||||||
Health Insurance Healthcare Reform |
6,373 | (113 | ) | 5,966 | 2,218 | |||||||||||||
Property and casualty |
1,272 | 1,505 | 4,415 | 4,807 | ||||||||||||||
Life and disability |
103 | 948 | 2,390 | 2,681 | ||||||||||||||
Other |
401 | 43 | 671 | 363 | ||||||||||||||
Consolidated net income |
$ | 13,949 | 2,557 | 29,667 | 12,278 | |||||||||||||
31
Three Months Ended September 30, 2002 Compared to Three Months Ended September 30, 2001
Consolidated earned premiums, net and fee revenue for the three months ended September 30, 2002 increased by $17.8 million or 6.6% when compared to the consolidated earned premiums, net and fee revenue for the same period of last year. This increase is mostly due to a combined increase of $18.2 million in the earned premiums, net and fee revenue of the Health Insurance Healthcare Reform and Health Insurance Commercial Program segments.
| The earned premiums corresponding to the Health Insurance Healthcare Reform segment increased by $12.2 million or 11.2% during this period. This increase is the net result of an increase in average membership, an increase in premium rates effective July 1, 2002 offset by the exclusion of mental health and substance abuse benefits from the coverage of the Healthcare Reform insurance policy effective October 1, 2001. | ||
| The earned premiums, net and fee revenue corresponding to the Health Insurance Commercial segment increased by $5.6 million or 3.5% during this period. Increases in premium rates account for the segments total increase in earned premiums and fee revenue for the period. | ||
| The earned premiums of the remaining segments increased by $518 thousand or 2.9% during this period. |
Consolidated claims incurred for the three months ended September 30, 2002 reflect an increase of $10.9 million, or 4.3%, when compared to the claims incurred for the three months ended September 30, 2001. The increase in the consolidated claims incurred is directly related to the Corporations increased volume of business. The consolidated loss ratio reflects a decrease of 1.8 percentage points during this period. The decrease in the loss ratio is the result of managements ability to adjust its pricing strategy to cope with the increase in claims costs and the implementation of several measures for cost containment. The consolidated expense ratio for the three months ended September 30, 2002 has remained similar to the consolidated expense ratio for the same period of the prior year, reflecting a decrease of 0.9 percentage points.
The consolidated realized gain on sale of securities of $683 thousand for the three months ended September 30, 2002 is the result of the effective management of the investment portfolio in accordance with corporate investment policies, and from the normal portfolio turnover of the trading and available-for-sale securities. During the three months ended September 30, 2001, the Corporation had a consolidated realized gain of $3.0 million, which was mainly due to the sale of common stocks of Popular Inc. that generated a realized gain of approximately $2.0 million.
The consolidated unrealized loss on trading securities of $6.7 million and $6.2 million for the three months ended September 30, 2002 and 2001, respectively, are related to investments held by the Health Insurance Commercial Program, Health Insurance Healthcare Reform and the Property and Casualty Insurance segments. This unrealized
32
loss is mostly attributed to unrealized losses in the portfolios held by such segments in equity holdings that replicate the performance of the Standard & Poors 500 Index (S&P 500 Index). The Corporation experienced higher consolidated unrealized loss during the three months ended September 30, 2002 than during the three months ended September 30, 2001. This is due to the fact that the S&P 500 Index had a better performance during the third quarter of 2001 than during the third quarter of 2002.
Total consolidated income tax expense for the three months ended September 30, 2002 increased by $329 thousand when compared to consolidated income tax expense for the same period of last year. This increase is mostly due to the following:
| Increase in the deferred income tax expense of $243 thousand during this period. This increase is mostly due to the increase in the deferred income tax expense of the Property and Casualty Insurance segment of $229 thousand during this period. The increase in the deferred income tax expense in the Property and Casualty Insurance segment is due to the increase in the segments deferred policy acquisition costs. | ||
| Increase in the current income tax expense of $86 thousand during this period. This increase is mostly due to better results of operations of the Corporations taxable entities and to the fact that in the year 2002, the Corporation has a new subsidiary, TCI, which is a taxable entity. Total income tax expense for TCI for the three months ended September 30, 2002 amounts to $89 thousand. |
Nine Months Ended September 30, 2002 Compared to Nine Months Ended September 30, 2001
Consolidated earned premiums, net and fee revenue for the nine months ended September 30, 2002 increased by $82.7 million, or 9.8%, when compared to the consolidated earned premiums, net and fee revenue for the same period of last year. This increase is mostly due to a combined increase of $76.7 million in the earned premiums, net and fee revenue of the Health Insurance Healthcare Reform and Health Insurance Commercial Program segments.
| The earned premiums corresponding to the Health Insurance Healthcare Reform segment increased by $42.1 million, or 12.9%, during this period. This increase is the net result of an increase in average membership, an increase in premium rates effective July 1, 2002, offset by the exclusion of mental health and substance abuse benefits from the coverage of the Healthcare Reform insurance policy effective October 1, 2001. | ||
| The earned premiums, net and fee revenue corresponding to the Health Insurance Commercial segment increased by $34.6 million, or 7.4%, during this period. This increase in premiums for this segment is attributed to the combined effect of increased premium rates and a net increase in total enrollment. | ||
| The earned premiums of the remaining segments increased by $6.0 million or 11.8% during this period. |
33
Consolidated claims incurred for the nine months ended September 30, 2002 reflect an increase of $50.0 million, or 6.7%, when compared to the claims incurred for the nine months ended September 30, 2001. The increase in the consolidated claims incurred is directly related to the Corporations increased volume of business. The consolidated loss ratio reflects a decrease of 2.5 percentage points during this period. The decrease in the loss ratio is the result of managements ability to adjust its pricing strategy to cope with the increase in claims costs and the implementation of several measures for cost containment.
The consolidated operating expenses reflect an increase of $10.1 million when comparing the amount for the nine months ended September 30, 2002 with the same amount of the prior year. This increase is also directly related to the Corporations increased volume of business. The consolidated expense ratio for the nine months ended September 30, 2002 did not fluctuate when compared to the consolidated expense ratio for the nine months ended September 30, 2001.
The consolidated realized gain on sale of securities of $533 thousand and $5.4 million for the nine months ended September 30, 2002 and 2001, respectively, is the result of the effective management of the investment portfolio in accordance with corporate investment policies, and from the normal portfolio turnover of the trading and available-for-sale securities. The consolidated realized gain for the nine months ended September 30, 2001 of $5.4 million was mainly due to the sale of common stocks of Popular Inc., which generated a realized gain of approximately $2.3 million and also to the normal portfolio turnover of the trading and available-for-sale securities.
The consolidated unrealized loss on trading securities of $12.1 million and $9.3 million for the nine months ended September 30, 2002 and 2001, respectively, are related to investments held by the Health Insurance Commercial Program, Health Insurance Healthcare Reform and the Property and Casualty Insurance segments. This unrealized loss is mostly attributed to losses in the portfolios held by such segments in equity holdings that replicate the performance of the Standard & Poors 500 Index (S&P 500 Index). The Corporation experienced higher consolidated unrealized loss during the nine months ended September 30, 2002 than during the nine months ended September 30, 2001. This is due to the fact that the S&P 500 Index had a better performance during the first nine months of 2001 than during the first nine months of 2002. The S&P 500 Index experienced a decrease of 29.0% during the first nine months of 2002, while it experienced a decrease of 21.2% during the first nine months of 2001.
Total consolidated income tax expense for the nine months ended September 30, 2002 increased by $833 thousand when compared to consolidated tax expense for the same period of last year. This increase is mostly due to an increase in the deferred income tax expense of $721 thousand during this period. The increase in the deferred income tax expense is mostly due to the increase in the deferred income tax expense of the Property and Casualty Insurance segment of $565 thousand during this period. The increase in the
34
deferred income tax expense of the Property and Casualty Insurance segment is due to the increase in the segments deferred policy acquisition.
Health Insurance Commercial Program Operating Results
Three months ended | Nine months ended | ||||||||||||||||
September 30, | September 30, | ||||||||||||||||
(dollar amounts in thousands) | 2002 | 2001 | 2002 | 2001 | |||||||||||||
Average enrollment: |
|||||||||||||||||
Corporate accounts |
312,473 | 323,296 | 314,314 | 322,312 | |||||||||||||
Self-funded employers |
121,717 | 120,579 | 124,223 | 118,374 | |||||||||||||
Individual accounts |
82,978 | 78,908 | 82,336 | 76,406 | |||||||||||||
Federal employees |
55,663 | 55,751 | 55,869 | 55,853 | |||||||||||||
Local government employees |
43,501 | 43,384 | 43,525 | 41,129 | |||||||||||||
Total enrollment |
616,332 | 621,918 | 620,267 | 614,074 | |||||||||||||
Earned premiums |
$ | 165,499 | 162,302 | 499,145 | 466,174 | ||||||||||||
Amounts attributable to self-funded arrangements |
38,786 | 31,019 | 111,441 | 97,670 | |||||||||||||
Less: Amounts attributable to claims under
self-funded arrangements |
(35,210 | ) | (30,404 | ) | (104,047 | ) | (93,412 | ) | |||||||||
Earned premiums and fee revenue |
$ | 169,075 | 162,917 | 506,539 | 470,432 | ||||||||||||
Claims
incurred |
$ | 145,892 | 141,232 | 429,254 | 414,389 | ||||||||||||
Operating
expenses |
20,859 | 21,089 | 65,414 | 61,836 | |||||||||||||
Total
underwriting costs |
$ | 166,751 | 162,321 | 494,668 | 476,225 | ||||||||||||
Underwriting
income (loss) |
$ | 2,324 | 596 | 11,871 | (5,793 | ) | |||||||||||
Loss
ratio |
86.3 | % | 86.7 | % | 84.7 | % | 88.1 | % | |||||||||
Expense
ratio |
12.3 | % | 12.9 | % | 12.9 | % | 13.1 | % | |||||||||
Combined
ratio |
98.6 | % | 99.6 | % | 97.7 | % | 101.2 | % | |||||||||
Net
investment income |
$ | 2,697 | 2,658 | 8,014 | 7,855 | ||||||||||||
Realized
gain on sale of securities |
129 | 2,135 | 68 | 4,352 | |||||||||||||
Unrealized
loss on trading securities |
(5,133 | ) | (4,731 | ) | (9,189 | ) | (7,103 | ) | |||||||||
Total
net investment income (loss) |
$ | (2,307 | ) | 62 | (1,107 | ) | 5,104 | ||||||||||
Net
income |
$ | 5,800 | 174 | 16,225 | 2,209 | ||||||||||||
35
Three Months Ended September 30, 2002 Compared to Three Months Ended September 30, 2001
Earned premiums and fee revenue for the three months ended September 30, 2002 reflect an increase of $6.1 million, or 3.8%, when compared to the three months ended September 30, 2001. This increase is the result of the following:
| This segment has been successful in monitoring premium rates, particularly in the rated Corporate Accounts business, assuring adequate premium rates that cover actual claims trends. Increases in premium rates account for the total increase in earned premiums and fee revenue for the period. | ||
| Average enrollment as of September 30, 2002 decreased by 5,586 members, or 0.9%, when compared to the enrollment as of the same date of last year. The decrease in average enrollment is mostly reflected in the Corporate Accounts groups, which membership decreased by 10,823 members, or 3.4%, during this period. The average enrollment of the Individual Accounts and Self-funded Employers reflect an increase in membership by 4,070, or 5.2% and 1,138, or 0.9%, during this period, respectively. |
Claims incurred during the three months ended September 30, 2002 increased by $4.7 million or 3.3% when compared to the same period in 2001. The segments loss ratio for the three months ended September 30, 2002 decreased by 0.4 percentage points when compared to the loss ratio for the three months ended September 30, 2001. The decrease in the loss ratio is the result of better premium pricing and claims costs containment measures established by the segment throughout the years. As a result of these cost containment initiatives, cost and utilization trends have remained at levels consistent with pricing and margin objectives. The behavior of the loss ratio reflects that the segment has been able to maintain the increase in premium rates consistent with to the behavior of claims trends.
The operating expenses for the three months ended September 30, 2002 reflect a decrease of $230 thousand, or 1.1%, when compared to the three months ended September 30, 2001. This decrease is due to the decrease in the volume of business of the segment. The expense ratio for the three months ended September 30, 2002 decreased by 0.6 percentage points compared to the three months ended September 30, 2001.
Nine Months Ended September 30, 2002 Compared to Nine Months Ended September 30, 2001
Earned premiums and fee revenues for the nine months ended September 30, 2002 reflect an increase of $36.1 million, or 7.8%, when compared to the nine months ended September 30, 2001. This increase is the result of the following:
| This segment has been successful in monitoring premium rates, particularly in the rated Corporate Accounts business, assuring adequate premium rates that cover actual claims trends. Increases in premium rates account for approximately 87.0% of the increase experienced in earned premiums and fee revenue for the period. |
36
| Total enrollment as of September 30, 2002 increased by 6,193 members, or 1.0%, when compared to the enrollment as of the same date of last year. The increase in enrollment is mostly reflected in the Individual Accounts, Self-funded Employers and Local Government Employees membership, which membership increased by 5,930, or 7.8%, 5,849, or 4.9% and 2,396, or 5.8%, during this period, respectively. The enrollment of the Corporate Accounts groups decreased by 7,998 members, or 2.5%, during this period. The net increase in enrollment as of September 30, 2002 when compared to the enrollment as of September 30, 2001 represents approximately 13.0% of the increase experienced in the earned premiums and fee revenue for the period. |
Claims incurred during the nine months ended September 30, 2002 increased by $14.9 million, or 3.6%, when compared to the same period in 2001. This increase is due to the increase in volume of business, together with a decrease in the loss ratio of 3.4 percentage points during this period. The improvement in the loss ratio is the result of better premium pricing and claims costs containment measures established by the segment throughout the years. As a result of these cost containment initiatives, cost and utilization trends have remained at levels consistent with pricing and margin objectives.
The operating expenses for the nine months ended September 30, 2002 reflect an increase of $3.5 million, or 5.8%, when compared to the nine months ended September 30, 2001. This increase is due to the increase in the costs incurred in the acquisition of new business, such as marketing and commission expenses, and in payroll and payroll related expenses. The expense ratio for the nine months ended September 30, 2002 decreased 0.2 percentage points when compared to the nine months ended September 30, 2001.
37
Health Insurance Healthcare Reform Program Operating Results
Three months ended | Nine months ended | ||||||||||||||||
September 30, | September 30, | ||||||||||||||||
(dollar amounts in thousands) | 2002 | 2001 | 2002 | 2001 | |||||||||||||
Average enrollment: |
|||||||||||||||||
North area |
244,430 | 272,093 | 248,408 | 274,682 | |||||||||||||
Northwest area |
| 165,853 | 102,839 | 165,937 | |||||||||||||
Metro-north area |
230,418 | 178,408 | 187,053 | 177,301 | |||||||||||||
Southwest area |
170,418 | | 155,988 | | |||||||||||||
645,266 | 616,354 | 694,288 | 617,920 | ||||||||||||||
Earned premiums |
$ | 120,972 | 108,797 | 368,498 | 326,401 | ||||||||||||
Claims incurred |
$ | 106,321 | 101,104 | 336,016 | 302,799 | ||||||||||||
Operating expenses |
9,199 | 8,153 | 28,663 | 23,051 | |||||||||||||
Total underwriting costs |
$ | 115,520 | 109,257 | 364,679 | 325,850 | ||||||||||||
Underwriting income (loss) |
$ | 5,372 | (460 | ) | 3,739 | 551 | |||||||||||
Loss ratio |
87.9 | % | 92.9 | % | 91.2 | % | 92.8 | % | |||||||||
Expense ratio |
7.6 | % | 7.5 | % | 7.8 | % | 7.1 | % | |||||||||
Combined ratio |
95.5 | % | 100.4 | % | 99.0 | % | 99.8 | % | |||||||||
Net investment income |
$ | 1,278 | 1,123 | 3,763 | 3,404 | ||||||||||||
Realized gain (loss) on sale of securities |
162 | (23 | ) | (5 | ) | 67 | |||||||||||
Unrealized loss on trading securities |
(333 | ) | (466 | ) | (986 | ) | (773 | ) | |||||||||
Total net investment income |
$ | 1,107 | 634 | 2,772 | 2,698 | ||||||||||||
Net income (loss) |
$ | 6,373 | (113 | ) | 5,966 | 2,218 | |||||||||||
Three Months Ended September 30, 2002 Compared to Three Months Ended September 30, 2001
Earned premiums of the Healthcare Reform segment for the three months ended September 30, 2002 increased by $12.2 million, or 11.2%, when compared to the same period of last year. This increase is the result of the following:
| Premium rates were increased by approximately 13.2% during the Healthcare Reform contract renegotiation processes. New premium rates were negotiated effective October 1, 2001 for a nine-month period and effective July 1, 2002 for a twelve-month period ending on June 30, 2003. | ||
| The average monthly enrollment for this segment increased by 28,912 insureds when comparing the average enrollment for the three months ended September 30, 2002 to the three months ended September 30, 2001. This increase is due to the net effect of the following: the acquisition of the Southwest area effective October 1, 2001, the merger of six new municipalities into existing areas effective July 1, 2002 and the loss of seven municipalities of the Northwest area, which were merged into the West area (served by another carrier) effective July 1, 2002. |
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| Effective October 1, 2001, the Commonwealth excluded mental health and substance abuse benefits from the coverage offered in the policy. Behavioral healthcare and mental healthcare companies now offer these benefits to the Healthcare Reforms qualified membership. The exclusion of these benefits represents a decrease in earned premiums of approximately $9.0 million during the three months ended September 30, 2002. |
Claims incurred during the three months ended September 30, 2002 reflect an increase of $5.2 million, or 5.2%, when compared to the three months ended September 30, 2001. This increase is due to the increase in volume of business, offset by the effect of the exclusion of mental health and substance abuse benefits from the coverage of the policy. During the three months ended September 30, 2002, the loss ratio experienced a decrease of 5.0 percentage points.
Operating expenses for the three months ended September 30, 2002, increased by $1.0 million, or 12.8%, when compared to the three months ended September 30, 2001. This increase is due to the segments increased volume of business. The expense ratio increased by 0.1 percentage points when compared to the three months ended September 30, 2001.
Nine Months Ended September 30, 2002 Compared to Nine Months Ended September 30, 2001
Earned premiums of the Healthcare Reform segment for the nine months ended September 30, 2002 increased by $42.1 million, or 12.9%, when compared to the same period of last year. This increase is the result of the following:
| The average monthly enrollment for this segment increased by 76,368 insureds when comparing the average enrollment for the nine months ended September 30, 2002 to the nine months ended September 30, 2001. This increase is due to the net effect of the following: the acquisition of the Southwest area effective October 1, 2001, the merger of six new municipalities into existing areas effective July 1, 2002 and the loss of seven municipalities of the Northwest area, which were merged into the West area (served by anther carrier) effective July 1, 2002. | ||
| Premium rates were increased by approximately 13.2% during the Healthcare Reform contract renegotiation processes. New premium rates were negotiated effective October 1, 2001 for a nine-month period and effective July 1, 2002 for a twelve-month period ending on June 30, 2003. | ||
| Effective October 1, 2001, the Commonwealth excluded mental health and substance abuse benefits from the coverage offered in the policy. Behavioral healthcare and mental healthcare companies now offer these benefits to the Healthcare Reforms qualified membership. The exclusion of these benefits decreased earned premiums by approximately $27.0 million during the nine months ended September 30, 2002 when compared to the earned premiums for the nine months ended September 30, 2001. |
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Claims incurred during the nine months ended September 30, 2002 reflect an increase of $33.2 million, or 11.0%, when compared to the nine months ended September 30, 2001. This increase is due to the increase in volume of business, offset by the effect of the exclusion of mental health and substance abuse benefits from the coverage of the policy. During the nine months ended September 30, 2002, the loss ratio experienced a decrease of 1.6 percentage points. The decrease in the loss ratio is the result of the increase in premium rates reduced by the elimination of the mental health and substance abuse benefits from the Healthcare Reform policy.
Operating expenses for the nine months ended September 30, 2002, increased by $5.6 million, or 24.4%, when compared to the nine months ended September 30, 2001. This increase is due to the segments increase in membership. The expense ratio increased by 0.7 percentage points when compared to the nine months ended September 30, 2001.
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Property and Casualty Insurance Operating Results
Three months ended | Nine months ended | ||||||||||||||||
September 30, | September 30, | ||||||||||||||||
(dollar amounts in thousands) | 2002 | 2001 | 2002 | 2001 | |||||||||||||
Premiums written: |
|||||||||||||||||
Commercial multiperil |
$ | 12,631 | 11,125 | 36,115 | 30,486 | ||||||||||||
Dwelling |
4,308 | 4,930 | 12,673 | 13,686 | |||||||||||||
Auto physical damage |
4,692 | 4,287 | 12,711 | 10,594 | |||||||||||||
Commercial auto liability |
3,226 | 2,345 | 8,187 | 6,571 | |||||||||||||
Medical malpractice |
2,558 | 2,383 | 4,645 | 4,109 | |||||||||||||
All other |
4,247 | 2,203 | 9,828 | 7,836 | |||||||||||||
Total premiums written |
31,662 | 27,273 | 84,159 | 73,282 | |||||||||||||
Premiums ceded |
(12,550 | ) | (9,676 | ) | (29,069 | ) | (29,205 | ) | |||||||||
Change in unearned premiums |
(4,148 | ) | (3,460 | ) | (9,674 | ) | (2,882 | ) | |||||||||
Net premiums earned |
$ | 14,964 | 14,137 | 45,416 | 41,195 | ||||||||||||
Claims incurred |
$ | 8,341 | 8,238 | 24,429 | 24,118 | ||||||||||||
Operating expenses |
5,601 | 5,995 | 18,868 | 16,777 | |||||||||||||
Total underwriting costs |
$ | 13,942 | 14,233 | 43,297 | 40,895 | ||||||||||||
Underwriting income (loss) |
$ | 1,022 | (96 | ) | 2,119 | 300 | |||||||||||
Loss ratio |
55.7 | % | 58.3 | % | 53.8 | % | 58.5 | % | |||||||||
Expense ratio |
37.4 | % | 42.4 | % | 41.5 | % | 40.7 | % | |||||||||
Combined ratio |
93.2 | % | 100.7 | % | 95.3 | % | 99.3 | % | |||||||||
Net investment income |
$ | 1,600 | 1,835 | 4,834 | 5,483 | ||||||||||||
Realized gain on sale of securities |
277 | 881 | 293 | 919 | |||||||||||||
Unrealized loss on trading securities |
(1,229 | ) | (955 | ) | (1,897 | ) | (1,400 | ) | |||||||||
Total net investment income |
$ | 648 | 1,761 | 3,230 | 5,002 | ||||||||||||
Net income |
$ | 1,272 | 1,505 | 4,415 | 4,807 | ||||||||||||
Three Months Ended September 30, 2002 Compared to Three Months Ended September 30, 2001
Total premiums written for the three months ended September 30, 2002 increased by $4.4 million, or 16.1%, when compared to the three months ended September 30, 2001. This increase is reflected in the premiums written for the following lines of business:
| The amount of premiums written in the general liability business (included within the All other caption in the above summary) reflect an increase of $1.9 million during this period. This fluctuation is due to the acquisition of one significant account within this line of business, which premiums written amounted to $1.2 million during this period. |
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| The premiums written for the commercial multiperil line experienced an increase in premiums of $1.5 million, or 13.5%, during this period. This increase is due to increases in premium rates as a result of the deregulation of the commercial lines. In addition, premium rates for this line were also increased in order to take into consideration the sharp increases in reinsurance costs, particularly in catastrophe related perils. | ||
| The premiums written for the commercial auto liability line increased by $881 thousand, or 37.6%, during this period. This increase is also attributed to the deregulation of premium rates. |
Approximately 55.0% of the increase in total premiums written is due to an increase in premium rates. The remaining 45% is attributed to an increase in the volume of business.
Premiums ceded to reinsurers during the three months ended September 30, 2002 increased by $2.9 million, or 29.7%, when compared to the same period for the prior year. This increase is due to the net effect of the following:
| Catastrophe reinsurance costs increased by over 40% during this period. This increase is due to recent worldwide catastrophes. | ||
| The property and casualty segment has increased its risk retention of the commercial property portfolio. The increased retention, which decreases the amounts of premiums ceded to reinsurers, retains more premiums of this profitable line. |
The property and casualty loss ratio experienced a decrease of 2.6 percentage points during the three months ended September 30, 2002 as compared to the same period of the prior year. This decrease is mostly the result of favorable underwriting results of the commercial multiperil line of business (resulting from increases in premium rates as a consequence of deregulation) and increased retention of the segments profitable lines of business. In addition, the segments medical malpractice line of business experienced an improvement in its loss ratio as a result of premium rate increases of approximately 60% (which were effective during April 2001) and strict adherence to underwriting practices and reinsurance constraints.
The operating expenses for the three months ended September 30, 2002 decreased by $394 thousand, or 6.6%, when compared to the operating expenses for the three months ended September 30, 2001. The expense ratio decreased by 5.0 percentage points during this period. The decrease in operating expenses and the expense ratio is due to an increase in the change in deferred acquisition costs during the period. The increase in deferred acquisition costs is the result of an increase in deferrable commission expense that resulted from the reduction of reinsurance commission income.
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Nine Months Ended September 30, 2002 Compared to Nine Months Ended September 30, 2001
Total premiums written for the nine months ended September 30, 2002 increased by $10.9 million, or 14.8%, when compared to the nine months ended September 30, 2001. This increase is reflected in the premiums written for the following lines of business:
| The premiums written for the commercial multiperil line experienced an increase in premiums of $5.6 million, or 18.5%, during this period. This increase is due to increases in premium rates as a result of the deregulation of the commercial lines. In addition, premium rates for this line were also increased in order to take into consideration the sharp increases in reinsurance costs, particularly in catastrophe related perils. | ||
| The premiums written for the auto physical damage line increased by $2.1 million, or 20.0%, during this period. This increase is concentrated in the commercial business and is also attributed to the deregulation of premium rates, mostly as a result of the elimination of credits or discounts in the commercial accounts. | ||
| The amount of premiums written in the general liability business (included within the All other caption in the above summary) reflect an increase of $1.5 million during this period. This fluctuation is due to the acquisition of one significant account within this line of business, which premiums written amounted to $1.2 during this period. | ||
| The premiums written for the commercial auto liability line increased by $1.6 million, or 24.6%, during this period. This increase is also attributed to the deregulation of premium rates. |
Approximately 60.0% of the increase in total premiums written is due to an increase in premium rates. The remaining 40.0% is attributed to an increase in the volume of business.
The property and casualty loss ratio experienced a decrease of 4.7 percentage points during the nine months ended September 30, 2002 as compared to the same period of the prior year. This decrease is mostly the result of favorable underwriting results of the multiperil (resulting from increases in premium rates as a consequence of deregulation) and auto physical damage lines of business. In addition, the segments medical malpractice line of business experienced an improvement in its loss ratio as a result of premium rate increases of approximately 60% (which were effective during April 2001) and strict adherence to underwriting practices and reinsurance constraints.
The operating expenses for the nine months ended September 30, 2002 increased by $2.1 million, or 12.5%, when compared to the operating expenses for the nine months ended September 30, 2001. The expense ratio increased by 0.8 percentage points during this period. The increase in operating expenses and the expense ratio is the result of an increase in commission expense during the period. The increase in commission expense is due to the segments increased volume of business and to decreasing reinsurance commission income from the proportional reinsurance treaties.
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Life and Disability Insurance Operating Results
Three months ended | Nine months ended | ||||||||||||||||
September 30, | September 30, | ||||||||||||||||
(dollar amounts in thousands) | 2002 | 2001 | 2002 | 2001 | |||||||||||||
Net earned premiums and commission income: |
|||||||||||||||||
Earned premiums |
$ | 5,476 | 4,848 | 15,719 | 12,952 | ||||||||||||
Earned premiums ceded |
(1,796 | ) | (1,375 | ) | (4,691 | ) | (3,840 | ) | |||||||||
Net earned premiums |
3,680 | 3,473 | 11,028 | 9,112 | |||||||||||||
Commission income on reinsurance |
(51 | ) | 105 | 259 | 407 | ||||||||||||
Total |
$ | 3,629 | 3,578 | 11,287 | 9,519 | ||||||||||||
Claims incurred |
$ | 2,720 | 1,828 | 6,226 | 4,651 | ||||||||||||
Operating expenses |
1,265 | 1,165 | 3,815 | 3,219 | |||||||||||||
Total underwriting costs |
$ | 3,985 | 2,993 | 10,041 | 7,870 | ||||||||||||
Underwriting income (loss) |
$ | (356 | ) | 585 | 1,246 | 1,649 | |||||||||||
Loss ratio |
75.0 | % | 51.1 | % | 55.2 | % | 48.9 | % | |||||||||
Expense ratio |
34.9 | % | 32.6 | % | 33.8 | % | 33.8 | % | |||||||||
Combined ratio |
109.8 | % | 83.7 | % | 89.0 | % | 82.7 | % | |||||||||
Net investment income |
$ | 552 | 636 | 1,713 | 1,878 | ||||||||||||
Realized gain on sale of securities |
4 | 2 | 66 | 32 | |||||||||||||
Total net investment income |
$ | 556 | 638 | 1,779 | 1,910 | ||||||||||||
Net income |
$ | 103 | 948 | 2,390 | 2,681 | ||||||||||||
Three Months Ended September 30, 2002 Compared to Three Months Ended September 30, 2001
Earned premiums for the three months ended September 30, 2002 increased by $628 thousand, or 12.9%, when compared to the three months ended September 30, 2001. This increase is mostly due to the segments increased volume of business during this period. Total average certificates in force in the group life and group disability business as of September 30, 2002 increased by 20,092 certificates, or 6.5%, when compared to the same period for last year.
Premiums ceded to reinsurers during the three months ended September 30, 2002 reflect an increase of $421 thousand, or 30.6%, when compared to the same period of the prior year. The ratio of earned premiums ceded to earned premiums was 32.8% and 28.4% for the three months period ended September 30, 2002 and 2001, respectively. The increase of 4.4 percentage points in the earned premiums ceded to earned premiums ratio from one period to another is due to a change in the mix of business subscribed by the segment and each business reinsurance policy. During this period in 2002, the segment subscribed more disability policies than in 2001. The disability insurance business has a higher cession percentage than the life insurance business.
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Claims incurred for the three months ended September 30, 2002 increased by $892 thousand, or 48.8%, when compared to the three months ended September 30, 2001. The segments loss ratio reflects an increase of 23.9 percentage points during the same period. This increase is due to the following:
| This segment has experienced an adverse development in the claims experience during the three months ended September 30, 2002, particularly in the group life business. | ||
| During the three months ended September 30, 2001, the segment recorded a release of incurred but not reported claims reserve of approximately $225 thousand. This adjustment was the result of a better than expected development of this reserve. | ||
| In addition, during the year 2002, the segment has subscribed more disability policies than during 2001. The disability insurance business has a higher loss ratio than the life insurance business thus, contributing to the segments increased loss ratio. |
The segments expense ratio for the three months ended September 30, 2002 reflects an increase of 2.3 percentage points when compared to the same period of 2001. The increase of the expense ratio is mostly the result of an increase in the commission expense, payroll and payroll related expenses. The increase of these expenses is due to the increase in the volume of business noted during this period.
Nine Months Ended September 30, 2002 Compared to Nine Months Ended September 30, 2001
Earned premiums for the nine months ended September 30, 2002 increased by $2.8 million, or 21.4%, when compared to the nine months ended September 30, 2001. This increase is mostly due to the segments increased volume of business during this period. Total average certificates in force in the group life and group disability business as of September 30, 2002 increased by 35,662 certificates, or 12.0%, when compared to the same period for last year.
Premiums ceded to reinsurers during the nine months ended September 30, 2002 reflect an increase of $851 thousand, or 22.2%, when compared to the same period of the prior year. This increase is directly related to the segments increased volume of business. The ratio of earned premiums ceded to earned premiums was 29.8% and 29.7% for the nine-month period ended September 30, 2002 and 2001, respectively.
Claims incurred for the nine months ended September 30, 2002 increased by $1.6 million, or 33.9%, when compared to the nine months ended September 30, 2001. The segments loss ratio reflects an increase of 6.3 percentage points during the same period. This increase is mostly attributed to the effect of the following:
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| This segment has experienced an adverse development in the claims experience during the nine months ended September 30, 2002, particularly in the group life business. | ||
| During the nine months ended September 30, 2001 the segment recorded a release of the incurred but not reported claims reserve of approximately $575 thousand. This adjustment was the result of a better than expected development of this reserve. | ||
| In addition, during the year 2002, the segment has subscribed more disability policies than during 2001. The disability insurance business has a higher loss ratio than the life insurance business, which contributes to the segments increased loss ratio. |
The segments operating expenses for the nine months ended September 30, 2002 reflect an increase of $596 thousand, or 18.5%, when compared to the operating expenses for the same period of 2001. The increase in the operating expenses is mostly due to an increase in the commission expense, payroll and payroll related expenses. The increase of these expenses is due to the increase in the volume of business noted during this period. The segments expense ratio was 33.8% during the nine months ended September 30, 2002 and 2001.
Liquidity and Capital Resources
Cash Flows
The Corporation maintains good liquidity measures due to the quality of its assets, the predictability of its liabilities, and the duration of its contracts. The liquidity of the Corporation is primarily derived from the operating cash flows of its insurance subsidiaries.
As of September 30, 2002 and December 31, 2001, the Corporations cash and cash equivalents amounted to $117.5 million and $81.0 million, respectively. The sources of funds considered in meeting the objectives of the Corporations operations include: cash provided from operations, maturities and sales of securities classified within the trading and available-for-sale portfolios, securities sold under repurchase agreements, and issuance of long and short-term debt.
Management believes that the Corporations net cash flows from operations are expected to sustain the operations for the next year and thereafter, as long as the operations continue showing positive results. The Corporation is continually monitoring premium rates and claims incurred to ascertain the sustainability of its net cash flows from operations. In addition the Corporation has the ability to increase premium rates throughout the year in the policies renewal process that is performed on a monthly basis.
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Cash Flows from Operations
Most of the cash flows from operating activities are generated from the insurance subsidiaries. The basic components of the cash flows from operations are premium collections, claims payments less reinsurance premiums, and payment of operating expenses.
Net cash flows provided by operating activities amounted to $61.4 million and $28.3 million for the nine months ended September 30, 2002 and 2001, respectively, an increase of $33.1 million. This increase in cash flows provided by operating activities is mainly attributed to the net effect of the following:
| Premiums collected increased by $88.4 when comparing collections during the nine months ended September 30, 2002 with the nine months ended September 30, 2001. This increase is mostly the result of the increased volume of business and increased premium rates of the operating segments. | ||
| The amount of contingency reserve funds collected from the Federal Government in relation to the Federal Employees Health Benefit Plan (FEHBP) increased by $1.7 million when comparing the amount collected as of September 30, 2002 with the same amount of the prior year. | ||
| The net acquisitions of investments in the trading portfolio decreased by $1.5 million during the nine months ended September 30, 2002. | ||
| The amount of interest paid during the nine months ended September 30, 2002 decreased by $1.4 million when compared to the same amount of the prior year. The Corporations average interest rate as of September 30, 2002 and 2001 was 4.4% and 6.3%, respectively. This decrease is attributed to the overall decrease in interest rates experienced in the market. | ||
| The amount of claims losses and benefits paid for the nine months ended September 30, 2002 reflect an increase of $39.8 million when compared to the same amount of the prior year. The increase in the amount of claims losses and benefits paid is mostly the result of the segments increased volume of business. | ||
| The amount of cash paid to suppliers and employees reflects an increase of $20.1 million when comparing the nine months ended September 30, 2002 with the nine months ended September 30, 2001. The amount of cash paid to suppliers and employees increased as a result of additional expenses generated from the acquisition of new business. |
This excess liquidity is available, among other things, to invest in high quality and diversified fixed income securities and, to a lesser degree, to invest in marketable equity securities.
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Cash Flows from Investing Activities
The basic components of the cash flows from investing activities are derived from acquisitions and proceeds from investments in the available-for-sale and held-to-maturity portfolios and capital expenditures. The Corporation monitors the duration of its investment portfolio and executes the purchases and sales of these investments with the objective of having adequate funds available to satisfy its maturing liabilities.
Net cash flows used in investing activities amounted to $13.0 million and $8.5 million for the nine months ended September 30, 2002 and 2001, respectively. The cash flows used in investing activities during these periods are attributed to the investment of the excess cash generated from the operations. Total acquisition of investments exceeded the proceeds from investments sold or matured by $9.6 million and $5.1 million during the nine months ended September 30, 2002 and 2001, respectively.
Cash Flows from Financing Activities
Net cash flows used in financing activities amounted to $11.9 million and $8.8 million for the nine months ended September 30, 2002 and 2001, respectively. The increase of $3.1 million during this period is mainly due to the combined effect of the following:
| The payments of long-term debt increased from $1.6 million for the nine months ended September 30, 2001 to $4.5 million for the nine months ended September 30, 2002, an increase of $2.9 million. This increase is due to additional payments made during the period over the scheduled principal payments of the credit agreements. | ||
| An increase in the amount of surrenders of individual retirement annuities of $2.5 million from the nine months ended September 30, 2001 to the nine months ended September 30, 2002. In addition, the amount of proceeds from deposits of individual retirement annuities decreased by $358 thousand during the same period. This fluctuation in the individual retirement accounts is attributed to the aggressive competition in the market for this product in Puerto Rico. | ||
| The change in outstanding checks in excess of bank balances reflects a decrease of $2.6 million during the nine months ended September 30, 2002 compared to the nine months ended September 30, 2001. The amount of checks in excess of bank balances represents a timing difference between the issuance of checks and the cash balance in the bank account at one point in time. |
Financing and Financing Capacity
The Corporation has significant short-term liquidity supporting its businesses. It also has available short-term borrowings from time to time to address timing differences between cash receipts and disbursements. These short-term borrowings are mostly in the form of securities sold under repurchase agreements. As of September 30, 2002, the Corporation had $56 million in available credit under these agreements, although there is no balance due as of that date.
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In addition, the Corporation has two credit agreements with a commercial bank, FirstBank Puerto Rico. These credit agreements bear interest rates determined by the London Interbank Offered Rate (LIBOR) plus a margin specified by the commercial bank at the time of the agreement. As of September 30, 2002, the two credit agreements have an outstanding balance of $34.5 million and $16.2 million and an average annual interest rate of 4.8% and 3.3%, respectively. These credit agreements contain several restrictive covenants, including, but not limited to, restrictions to incur in additional indebtedness and the granting of certain liens, limitations on acquisitions and limitations on changes in control. As of September 30, 2002, management believes the Corporation is in compliance with these covenants. Further details regarding these credit agreements are incorporated by reference in Item 2. Financial Information of the Corporations Form 10/A filed as of December 31, 2001.
Item 3. Quantitative and Qualitative Disclosures about Market Risk
The Corporation is exposed to certain market risks that are inherent in the Corporations financial instruments, which arise from transactions entered into in the normal course of business. The Corporation does not enter into derivative financial instrument transactions to manage or reduce market risk or for speculative purposes, but is subject to market risk on certain of its financial instruments. The Corporation has exposure to market risk mostly in its investment activities. For purposes of this disclosure, market risk is defined as the risk of loss resulting from changes in interest rates and equity prices. No material changes have occurred in the Corporations exposure to financial market risks since December 31, 2001. A discussion of the Corporations market risk as of December 31, 2001 is incorporated by reference in Item 2 of the Corporations Form 10/A.
Item 4. Controls and Procedures
Within the 90 days prior to the date of this quarterly report, TSMs management, including the Chief Executive Officer and Chief Financial Officer, has conducted an evaluation of the effectiveness of disclosure controls and procedures (as defined in Rule 13a-14(c) under the Act. Based upon that evaluation, the Chief Executive Officer and Chief Financial Officer concluded that TSMs disclosure controls and procedures are effective in ensuring that all information required to be disclosed by TSM in the reports it files or submits under the Act is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commissions rules and forms and that such information is accumulated and communicated to TSMs management, including the Chief Executive Officer and the Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosure. There have been no significant changes in internal controls, or in factors that could significantly affect internal controls, subsequent to the date the Chief Executive Officer and Chief Financial Officer completed their evaluation.
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Part II OTHER INFORMATION
Item 1. Legal Proceedings
(a) | In a letter to TSI, dated March 14, 2002, the Commissioner of Insurance of Puerto Rico stated that the ratification of the corporate reorganization was not required, and that TSI had complied with the Commissioners order of October 6, 1999 relating to the corporate reorganization. Thereafter, two stockholders of TSM filed a petition for review of the Commissioners determination before the Puerto Rico Circuit Court of Appeals, which petition was opposed by TSI and by the Commissioner of Insurance. | |
Pursuant to that review, on September 24, 2002, the Puerto Rico Circuit Court of Appeals issued an order requiring the Commissioner of Insurance to order that a meeting of shareholders be held to ratify TSIs corporate reorganization and the change of name of TSI from Seguros de Servicios de Salud de Puerto Rico, Inc. to Triple-S, Inc.. The Circuit Court of Appeals based its decision on administrative and procedural issues directed at the Commissioner of Insurance. The Commissioner of Insurance filed a motion of reconsideration with the Circuit Court of Appeals on October 11, 2002. TSI and TSM also filed a motion of reconsideration. | ||
As part of this litigation, the shareholders who have pursued this litigation requested that the Circuit Court of Appeals take whatever action it deemed appropriate to safeguard its order, in view of the Special Meeting of Shareholders of TSM that was scheduled for October 13, 2002. TSM immediately filed a motion in opposition to that request. The Circuit Court of Appeals issued a determination before the meeting was held, refusing to take any action. | ||
On October 25, 2002 the Circuit Court of Appeals dismissed the Commissioner of Insurances Motion for Reconsideration. In addition, the Circuit Court of Appeals ordered the two stockholders who filed the petition for review and to reply within twenty (20) days to TSIs and TSMs Motion of Reconsideration. | ||
(b) | As of September 30, 2002, the Corporation was a defendant in various lawsuits arising out of the ordinary course of business. In the opinion of management and legal counsel, the ultimate disposition of these matters will not have a material adverse effect on the Corporations consolidated financial position and results of operations. |
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Item 4. Submissions of Matters to a Vote of Security Holders
The Corporation held a special meeting of shareholders on October 13, 2002 (the Special Meeting) to vote on a series of amendments to the Corporations Articles of Incorporation and By-Laws, relating to changes to its capital structure in order to allow TSM to expand its base of shareholders. At the Special Meeting, only 57.3% of total shares outstanding were represented, but more than 75.0% were required in order to take a vote to implement the proposals to amend TSMs capital structure. Therefore, a resolution to recess the Special Meeting and continue it at a later date was put to a vote. This Resolution received 5,190 votes in favor, 165 votes against and 3 abstentions and, therefore, it was approved.
Item 5. Other Information
(a) | The Puerto Rico House of Representatives Banking and Insurance Committee is conducting an investigation of TSIs tax treatment under rulings issued by the Puerto Rico Department of the Treasury that grant TSIs tax exempt status. TSI has provided to the Committee the information and documents as requested. A similar resolution was approved by the Puerto Rico Senate. | |
(b) | Shareholders proposals intended to be presented at the 2003 Annual Meeting of Shareholders must be received by the Corporations Secretary, at its executive offices, located at the sixth floor of 1441 F.D. Roosevelt Avenue, San Juan, Puerto Rico, 00920, or by mail at PO Box 363628, San Juan, Puerto Rico, 00936-3628, no later than November 27, 2002, for inclusion in the Corporations Proxy Statement and Form of Proxy relating to the 2003 Annual Meeting of Shareholders. |
Item 6. Exhibits and Reports on Form 8-K
(a) | Exhibits: |
Exhibit 11 | Statement re computation of per share earnings; an exhibit describing the computation of the earnings per share for the three months and nine months ended September 30, 2002 has been omitted as the detail necessary to determine the computation of earnings per share can be clearly determined from the material contained in Part I of this Form 10-Q. | ||
Exhibit 12 | Statements re computation of ratios; an exhibit describing the computation of the loss ratio, expense ratio and combined ratio for the three months and nine months ended September 30, 2002 has been omitted as the detail necessary to determine the computation of earnings per share can be clearly determined from the material contained in Part I of this Form 10-Q. |
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All other exhibits for which provision is made in the applicable accounting regulation of the United States Securities and Exchange Commission are not required under the related instructions or are inapplicable, and therefore have been omitted. | ||
(b) | Reports on Form 8-K: | |
The Corporation filed with the Securities and Exchange Commission the following Current reports on Form 8-K: |
| Form 8-K dated August 23, 2002, to clarify that the Corporation has no plans to distribute dividends this year, as a published newspaper article may have suggested. | ||
| Form 8-K dated September 23, 2002, to report the issuance of a press release announcing that the Corporation would convene its shareholders on October 13, 2002, to vote on a series of amendments to the Corporations Articles of Incorporation and By-Laws relating to changes to its capital structure, in order to allow TSM to increase its base of shareholders. | ||
| Form 8-K dated October 2, 2002, to report that on September 24, 2002, the Puerto Rico Circuit Court of Appeals issued an order requiring the Commissioner of Insurance of Puerto Rico to order a meeting of shareholders to ratify the corporate reorganization and the change of TSIs name from Seguros de Servicios de Salud de Puerto Rico, Inc. to Triple-S, Inc.. The Circuit Court of Appeals based its decision on administrative and procedural issues directed at the Commissioner of Insurance. | ||
| Form 8-K dated October 17, 2002, to report the issuance of a press release announcing that 96% of the shares present and represented at the Special Meeting, held on October 13, 2002, voted in favor of continuing the meeting at a later date. This was necessary since only 57.3% of total shares outstanding were represented at the Special Meeting and 75.0% or more was required in order to take a vote to implement the proposals to amend TSMs capital structure. These proposals were approved by shareholders in the Annual Shareholders Meeting held in April 2001. It was also reported in this Current Report that the Board of Directors of TSM approved, on October 14, 2002, a resolution setting February 9, 2003 as the date to reconvene and continue the Special Meeting and that shareholders would be notified of said date. |
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SIGNATURES
Pursuant to the requirements of the United States Securities and Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
Triple-S Management Corporation Registrant |
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Date: | November 14, 2002 | By: | /s/ Ramón M. Ruiz-Comas | |||||
Ramón M. Ruiz-Comas President and Chief Executive Officer |
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Date: | November 14, 2002 | By: | /s/ Juan J. Román | |||||
Juan J. Román Vice President of Finance and Chief Financial Officer |
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CERTIFICATION
I, Ramón M. Ruiz-Comas, certify that:
1. | I have reviewed this quarterly report on Form 10-Q of Triple-S Management Corporation; | |
2. | Based on my knowledge, this quarterly report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this quarterly report; | |
3. | Based on my knowledge, the financial statements, and other financial information included in this quarterly report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this quarterly report; | |
4. | The registrants other certifying officers and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-14 and 15d-14) for the registrant and we have: |
a) | designed such disclosure controls and procedures to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this quarterly report is being prepared; | ||
b) | evaluated the effectiveness of the registrants disclosure controls and procedures as of a date within 90 days prior to the filing date of this quarterly report (the Evaluation Date); and | ||
c) | presented in this quarterly report our conclusions about the effectiveness of the disclosure controls and procedures based on our evaluation as of the Evaluation Date; |
5. | The registrants other certifying officers and I have disclosed, based on our most recent evaluation, to the registrants auditors and the audit committee of registrants board of directors (or persons performing the equivalent function): |
a) | all significant deficiencies in the design or operation of internal controls which could adversely affect the registrants ability to record, process, summarize and report financial data and have identified for the registrants auditors any material weaknesses in internal controls; and | ||
b) | any fraud, whether or not material, that involves management or other employees who have a significant in the registrants internal controls; and |
6. | The registrants other certifying officers and I have indicated in this quarterly report whether or not there were significant changes in internal controls or in other factors that could significantly affect internal controls subsequent to the date of our most recent evaluation, including any corrective actions with regard to significant deficiencies and material weaknesses. |
Date: | November 14, 2002 | By: | /s/ Ramón M. Ruiz-Comas | ||||
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Ramón M. Ruiz-Comas President and Chief Executive Officer |
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CERTIFICATION
I, Juan J. Román, certify that:
1. | I have reviewed this quarterly report on Form 10-Q of Triple-S Management Corporation; | |
2. | Based on my knowledge, this quarterly report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this quarterly report; | |
3. | Based on my knowledge, the financial statements, and other financial information included in this quarterly report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this quarterly report; | |
4. | The registrants other certifying officers and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-14 and 15d-14) for the registrant and we have: |
a) | designed such disclosure controls and procedures to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this quarterly report is being prepared; | ||
b) | evaluated the effectiveness of the registrants disclosure controls and procedures as of a date within 90 days prior to the filing date of this quarterly report (the Evaluation Date); and | ||
c) | presented in this quarterly report our conclusions about the effectiveness of the disclosure controls and procedures based on our evaluation as of the Evaluation Date; |
5. | The registrants other certifying officers and I have disclosed, based on our most recent evaluation, to the registrants auditors and the audit committee of registrants board of directors (or persons performing the equivalent function): |
a) | all significant deficiencies in the design or operation of internal controls which could adversely affect the registrants ability to record, process, summarize and report financial data and have identified for the registrants auditors any material weaknesses in internal controls; and | ||
b) | any fraud, whether or not material, that involves management or other employees who have a significant in the registrants internal controls; and |
6. | The registrants other certifying officers and I have indicated in this quarterly report whether or not there were significant changes in internal controls or in other factors that could significantly affect internal controls subsequent to the date of our most recent evaluation, including any corrective actions with regard to significant deficiencies and material weaknesses. |
Date: | November 14, 2002 | By: | /s/ Juan J. Román | ||||
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Juan J. Román Vice President of Finance and Chief Financial Officer |
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