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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
(Registrant’s 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 issuer’s 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



 


TABLE OF CONTENTS

Part I – FINANCIAL INFORMATION
Item 1. Financial Statements
Consolidated Balance Sheets
Consolidated Statements of Operations (Unaudited)
Consolidated Statements of Stockholders’ Equity and Comprehensive Income (Unaudited)
Consolidated Statements of Cash Flows (Unaudited)
Notes to Consolidated Financial Statements
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Item 3. Quantitative and Qualitative Disclosures about Market Risk
Item 4. Controls and Procedures
Part II – OTHER INFORMATION
Item 1. Legal Proceedings
Item 4. Submissions of Matters to a Vote of Security Holders
Item 5. Other Information
Item 6. Exhibits and Reports on Form 8-K
SIGNATURES


Table of Contents

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.
 
Management’s 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


Table of Contents

Part I – FINANCIAL INFORMATION

Item 1. Financial Statements

TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES

Consolidated Balance Sheets
(Dollar amounts in thousands)
                     
        (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.

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TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES

Consolidated Statements of Operations (Unaudited)
For the three months and nine months ended September 30, 2002 and 2001
(Dollar amounts in thousands, except net income per share)
                                   
      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.

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TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES

Consolidated Statements of Stockholders’ Equity and
Comprehensive Income (Unaudited
)
For the three months
and nine months ended September 30, 2002 and 2001
(Dollar amounts in thousands)
                       
          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.

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TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES

Consolidated Statements of Cash Flows (Unaudited)
For the nine months ended September 30, 2002 and 2001
(Dollar amounts in thousands)
                     
        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.

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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 Corporation’s 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 Corporation’s 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:

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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.

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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.

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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.

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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.

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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.

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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  
 
   
     
     
     
 

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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.

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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.

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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.

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TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
September 30, 2002
(Dollar amounts in thousands)
(Unaudited)

(3) Investment in Securities

The Corporation’s 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  
 
   
     
     
     
 

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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  
 
 
   
     
     
     
 

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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.

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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  
 
   
     
 

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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  
 
   
     
 

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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.

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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 TSI’s tax-exempt status. TSI’s 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 TSI’s operations and deducts such amount from the results of operations of each period. TSI’s 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  
 
   
     
 

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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  
 
   
     
 

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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 TSI’s 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  
 
   
     
 

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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 TSI’s 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 Commissioner’s order of October 6, 1999 relating to the corporate reorganization. Thereafter, two stockholders of TSM filed a petition for review of the Commissioner’s 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 TSI’s 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 Insurance’s 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 TSI’s and TSM’s Motion of Reconsideration.

The Puerto Rico House of Representatives Banking and Insurance Committee is conducting an investigation of TSI’s tax treatment under rulings issued by the Puerto Rico Department of the Treasury that grant TSI’s 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  
     
     
 

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

The Management’s 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 Corporation’s belief regarding future events, any of which, by their nature, are inherently uncertain and outside of the Corporation’s control. These statements may address, among other things, financial results, strategy for growth, and market position. It is possible that the Corporation’s 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 TSM’s 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.

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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 TSI’s net income due to TSI’s tax exempt status. TSI’s 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 Management’s 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, TSI’s 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.

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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 Corporation’s 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 segment’s 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.

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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.

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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  
 
   
     
     
     
 

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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 segment’s 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 Corporation’s 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 management’s 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

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loss is mostly attributed to unrealized losses in the portfolios held by such segments in equity holdings that replicate the performance of the Standard & Poor’s 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 segment’s 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 Corporation’s 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.

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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 Corporation’s 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 management’s 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 Corporation’s 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 & Poor’s 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

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deferred income tax expense of the Property and Casualty Insurance segment is due to the increase in the segment’s 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  
 
   
     
     
     
 

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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 segment’s 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.

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    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.

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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 Reform’s 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 segment’s 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 Reform’s 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 segment’s 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 segment’s profitable lines of business. In addition, the segment’s 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 segment’s 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 segment’s 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 segment’s 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 segment’s 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 segment’s increased loss ratio.

The segment’s 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 segment’s 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 segment’s 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 segment’s 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 segment’s increased loss ratio.

The segment’s 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 segment’s 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 Corporation’s 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 Corporation’s 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 Corporation’s 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 Corporation’s 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 Corporation’s 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 Corporation’s 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 Corporation’s exposure to financial market risks since December 31, 2001. A discussion of the Corporation’s market risk as of December 31, 2001 is incorporated by reference in Item 2 of the Corporation’s Form 10/A.

Item 4. Controls and Procedures

Within the 90 days prior to the date of this quarterly report, TSM’s 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 TSM’s 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 Commission’s rules and forms and that such information is accumulated and communicated to TSM’s 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 Commissioner’s order of October 6, 1999 relating to the corporate reorganization. Thereafter, two stockholders of TSM filed a petition for review of the Commissioner’s 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 TSI’s 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 Insurance’s 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 TSI’s and TSM’s 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 Corporation’s 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 Corporation’s 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 TSM’s 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 TSI’s tax treatment under rulings issued by the Puerto Rico Department of the Treasury that grant TSI’s 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 Corporation’s 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 Corporation’s 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 Corporation’s 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 TSI’s 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 TSM’s 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
               
Date:   November 14, 2002       By: /s/ Ramón M. Ruiz-Comas  
   
       
              Ramón M. Ruiz-Comas
President and
Chief Executive Officer
               
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 registrant’s 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 registrant’s 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 registrant’s other certifying officers and I have disclosed, based on our most recent evaluation, to the registrant’s auditors and the audit committee of registrant’s 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 registrant’s ability to record, process, summarize and report financial data and have identified for the registrant’s 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 registrant’s internal controls; and

6.   The registrant’s 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
   
     
            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 registrant’s 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 registrant’s 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 registrant’s other certifying officers and I have disclosed, based on our most recent evaluation, to the registrant’s auditors and the audit committee of registrant’s 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 registrant’s ability to record, process, summarize and report financial data and have identified for the registrant’s 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 registrant’s internal controls; and

6.   The registrant’s 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
   
     
            Juan J. Román
Vice President of Finance
and Chief Financial Officer

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