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United States
Securities and Exchange Commission
Washington, D.C. 20549


FORM 10-Q

Quarterly Report Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934

For the Period Ended June 30, 2003

Commission File Number 1-14177

COBALT CORPORATION
(Exact name of registrant as specified in its charter)

Wisconsin   39-1931212
(State of incorporation)   (I.R.S. Employer
Identification No.)

401 West Michigan Street, Milwaukee, Wisconsin

 

53203-2896
(Address of principal executive offices)   (Zip Code)

(414) 226-6900
(Registrant's telephone number, including area code)

        Indicate by check mark whether registrant (1) has filed all reports required to be filed by Section 13, or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ý    No o

        Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12-b-2 of the Exchange Act). Yes ý    No o

        Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practical date:

        42,340,405 shares of common stock were outstanding as of July 31, 2003.




COBALT CORPORATION

INDEX TO
QUARTERLY REPORT ON FORM 10-Q

        For the Period Ended June 30, 2003

PART I    

Item 1.

Financial Statements and Supplementary Data

 

3

Item 2.

Management's Discussion and Analysis of Financial Condition and Results of Operations

 

17

Item 3.

Quantitative and Qualitative Disclosures about Market Risk

 

25

Item 4.

Controls and Procedures

 

25

PART II

 

 

Item 1.

Legal Proceedings

 

26

Item 2.

Changes in Securities and Use of Proceeds

 

26

Item 3.

Defaults Upon Senior Securities

 

26

Item 4.

Submission of Matters to a Vote of Security Holders

 

26

Item 5.

Other Information

 

26

Item 6.

Exhibits and Reports on Form 8-K

 

26

Signature Page

 

28

Index to Exhibits

 

29

2



PART I. FINANCIAL INFORMATION

ITEM 1. Financial Statements and Supplementary Data

Cobalt Corporation
Consolidated Balance Sheets

 
  June 30,
2003

  December 31,
2002

 
  (Unaudited)
   
 
  (In thousands)

ASSETS            
Current assets:            
  Cash and cash equivalents   $ 56,718   $ 49,710
  Investments—available-for-sale, at fair value     415,238     373,870
  Premium receivables     46,401     40,971
  Due from clinics and providers     3,667     3,750
  Reinsurance recoverables     31,672     30,046
  Other receivables     47,982     43,431
  Prepaid expenses and other current assets     51,910     35,805
   
 
Total current assets     653,588     577,583

Noncurrent assets:

 

 

 

 

 

 
  Investments—held-to-maturity, at amortized cost     13,003     12,780
  Property and equipment, net     38,822     34,167
  Goodwill and intangible assets, net     89,686     102,908
  Prepaid pension     67,901     66,142
  Deferred income taxes     19,508     33,528
  Reinsurance recoverables     25,189     24,177
  Other noncurrent assets     24,751     18,614
   
 
Total assets   $ 932,448   $ 869,899
   
 

LIABILITIES AND SHAREHOLDERS' EQUITY

 

 

 

 

 

 
Current liabilities:            
  Medical and other benefits payable   $ 218,789   $ 198,101
  Advance and unearned premiums     102,369     92,277
  Payables and accrued expenses     61,933     74,641
  Short-term debt     1,894     12,451
  Other current liabilities     37,116     35,500
   
 
Total current liabilities     422,101     412,970
Noncurrent liabilities:            
  Medical and other benefits payable     57,091     56,777
  Deferred income taxes     35,925     36,142
  Postretirement benefits other than pension     18,455     18,042
  Long-term debt     25,000     25,000
  Other noncurrent liabilities     31,750     18,449
   
 
Total liabilities     590,322     567,380

Shareholders' equity:

 

 

 

 

 

 
  Preferred stock (no par value, 1,000,000 shares authorized)        
  Common stock (Note L)     268,625     261,482
  Retained earnings     60,497     33,280
  Accumulated other comprehensive income     13,004     7,757
   
 
Total shareholders' equity     342,126     302,519
   
 
Total liabilities and shareholders' equity   $ 932,448   $ 869,899
   
 

See notes to interim consolidated financial statements.

3


Cobalt Corporation
Consolidated Statements of Operations
(Unaudited)

 
  Three months ended
June 30,

  Six months ended
June 30,

 
 
  2003
  2002
  2003
  2002
 
 
  (In thousands, except share data)

 
Revenues:                          
  Premium   $ 363,310   $ 339,129   $ 720,687   $ 677,095  
  Government services     29,893     27,971     57,703     56,780  
  Other     17,579     12,150     36,338     23,414  
   
 
 
 
 
    Total health services revenue     410,782     379,250     814,728     757,289  
Investment income, net     4,724     3,708     9,121     6,535  
Net realized investment gains (losses)     1,083     (77 )   1,307     27  
   
 
 
 
 
    Total revenues     416,589     382,881     825,156     763,851  
Expenses:                          
  Medical and other benefits     296,408     290,808     600,249     583,166  
  Selling, general, administrative, and other     88,494     80,581     174,412     157,449  
  Interest     279     71     554     243  
  Amortization of intangible assets     306         631      
   
 
 
 
 
    Total expenses     385,487     371,460     775,846     740,858  
Income from continuing operations before income tax expense and income from investment in affiliates     31,102     11,421     49,310     22,993  
Income tax expense     (15,227 )   (1,124 )   (22,293 )   (2,304 )
Income from investment in affiliates, net of tax     200     12,465     200     15,317  
   
 
 
 
 
Income from continuing operations     16,075     22,762     27,217     36,006  
Loss from discontinued operations, net of tax                 (550 )
Gain (loss) on sale of discontinued operations, net of tax         (250 )       9,659  
   
 
 
 
 
Net income   $ 16,075   $ 22,512   $ 27,217   $ 45,115  
   
 
 
 
 
Weighted average common shares     41,997,147     40,904,010     41,912,688     40,771,339  
Diluted weighted average common shares     43,099,339     42,413,553     42,902,864     41,760,291  
Earnings (loss) per common share:                          
  Basic EPS from continuing operations   $ 0.38   $ 0.56   $ 0.65   $ 0.88  
  Basic EPS from discontinued operations         (0.01 )       0.23  
   
 
 
 
 
    Total basic EPS   $ 0.38   $ 0.55   $ 0.65   $ 1.11  
   
 
 
 
 
  Diluted EPS from continuing operations   $ 0.37   $ 0.54   $ 0.63   $ 0.86  
  Diluted EPS from discontinued operations         (0.01 )       0.22  
   
 
 
 
 
    Total diluted EPS   $ 0.37   $ 0.53   $ 0.63   $ 1.08  
   
 
 
 
 

See notes to interim consolidated financial statements.

4


Cobalt Corporation
Consolidated Statements of Changes in Shareholders' Equity and Comprehensive Income
(Unaudited)

 
  Common Stock
   
   
   
   
   
 
 
  Common
Shares
Outstanding

  Common
Stock

  Unearned
Compensation
Restricted Stock

  Retained
Earnings
(Deficit)

  Comprehensive
Income

  Accumulated Other
Comprehensive
Income

  Total
Shareholders'
Equity

 
 
  (In thousands, except share data)

 
Balance at December 31, 2001   40,593,043   $ 249,566   $   $ (41,979 )       $ 635   $ 208,222  
Net income               45,115   $ 45,115         45,115  
Change in unrealized gains/losses on investments, net of tax                   21,416     21,416     21,416  
Issuance of common stock — options exercised   448,967     3,514                     3,514  
Tax benefit from stock options exercised       1,476                     1,476  
Issuance of common stock—401(k)   64,880     450                     450  
Change in ownership affiliates               1,304             1,304  
Stock option amortization       89                     89  
                         
             
Comprehensive income                         $ 66,531              
                         
             
   
 
 
 
       
 
 
Balance at June 30, 2002   41,106,890   $ 255,095   $   $ 4,440         $ 22,051   $ 281,586  
   
 
 
 
       
 
 
Balance at December 31, 2002   41,644,584   $ 261,482   $   $ 33,280         $ 7,757   $ 302,519  
Net income               27,217   $ 27,217         27,217  
Change in unrealized gains/losses on investments, net of tax                   5,247     5,247     5,247  
Issuance of common stock—options exercised   496,795     3,227                     3,227  
Tax benefit from stock options exercised       2,661                     2,661  
Issuance of common stock—401(k)   43,180     552                     552  
Issuance of common stock—restricted shares   155,900     2,187     (2,187 )                
Amortization of unearned compensation restricted stock           271                 271  
Stock option amortization       433                     433  
Repurchase of fractional shares   (54 )   (1 )                   (1 )
                         
             
Comprehensive income                         $ 32,464              
                         
             
   
 
 
 
       
 
 
Balance at June 30, 2003   42,340,405   $ 270,541   $ (1,916 ) $ 60,497         $ 13,004   $ 342,126  
   
 
 
 
       
 
 

See notes to interim consolidated financial statements.

5


Cobalt Corporation
Consolidated Statements of Cash Flows
(Unaudited)

 
  Six months ended
June 30,

 
 
  2003
  2002
 
 
  (In thousands)

 
Operating activities              
Income from continuing operations   $ 27,217   $ 36,006  
Adjustments to reconcile income from continuing operations to net cash provided by operating activities:              
  Depreciation and amortization     7,595     5,510  
  Income from investment in affiliates, net of tax     (200 )   (15,317 )
  Realized investment gains, net     (1,307 )   (27 )
  Deferred income tax (benefit) expense     (637 )   38  
Changes in operating accounts, net of discontinued operations and acquisition/divestiture related activity:              
  Premium receivables     (5,430 )   (503 )
  Other receivables     1,690     1,225  
  Due from clinics and providers     83     4,657  
  Reinsurance recoverables     (2,638 )   (3,124 )
  Medical and other benefits payable     21,002     (22,664 )
  Advance and unearned premiums     10,092     (2,520 )
  Taxes payable/receivable     16,863     1,987  
  Payables and accrued expenses     (15,440 )   3,489  
  Other, net     (1,391 )   (7,050 )
   
 
 
    Net cash provided by continuing operations     57,499     1,707  
Investing activities              
  Acquisition activity     (131 )    
  Proceeds from sale of investment in affiliate     2,893     68,436  
  Proceeds from sale of discontinued operations         17,000  
  Purchases of available-for-sale investments     (116,811 )   (96,529 )
  Purchases of held-to-maturity investments     (1,979 )    
  Proceeds from maturity of held-to-maturity investments     1,705     245  
  Proceeds from sale and maturity of available-for-sale investments     79,914     32,130  
  Dividend from unconsolidated affiliate     250     552  
  Additions to property and equipment, net     (9,554 )   (5,321 )
   
 
 
    Net cash (used in) provided by investing activities     (43,713 )   16,513  
Financing activities              
  Proceeds from issuance of common stock     3,779     3,963  
  Net repayments of debt     (10,557 )   (6,853 )
   
 
 
    Net cash used in financing activities     (6,778 )   (2,890 )
Discontinued Operations              
  Cash flows from discontinued operations         479  
   
 
 
    Net cash provided by discontinued operations         479  
Cash and cash equivalents              
  Increase during the period     7,008     15,809  
  Balance at beginning of year     49,710     51,669  
   
 
 
    Balance at end of period   $ 56,718   $ 67,478  
   
 
 

See notes to interim consolidated financial statements.

6



Cobalt Corporation
Notes To Interim Consolidated Financial Statements
(Unaudited)

Note A. Basis of Presentation

        The accompanying unaudited interim consolidated financial statements have been prepared in accordance with accounting principles generally accepted for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by accounting principles generally accepted in the United States ("GAAP") for complete financial statements. In the opinion of management, all adjustments considered necessary for a fair presentation have been included. Operating results for the three months and six months ended June 30, 2003 are not necessarily indicative of the results that may be expected for the year ending December 31, 2003. These interim consolidated financial statements should be read in conjunction with the audited consolidated financial statements for the year ended December 31, 2002 and footnotes thereto included in the Cobalt Corporation (the "Company," "we," "us," or "Cobalt") Annual Report on Form 10-K for the year ended December 31, 2002, as filed with the Securities and Exchange Commission.

        Certain reclassifications have been made to the interim consolidated financial statements for 2002 to conform with the 2003 presentation.

Note B. Merger Agreement

        On June 3, 2003, we entered into an Agreement and Plan of Merger (the "Merger Agreement") with WellPoint Health Networks Inc. ("WellPoint") and Crossroads Acquisition Corp., a wholly-owned subsidiary of WellPoint ("Merger Sub"). Under the Merger Agreement, we will merge with Merger Sub, on the terms and subject to the conditions specified in the Merger Agreement (the "Merger").

        The Merger Agreement provides that each share of Cobalt common stock outstanding immediately prior to the effective time of the Merger (other than treasury stock of Cobalt, shares of Cobalt common stock held by Blue Cross & Blue Shield United of Wisconsin ("BCBSUW") and shares of Cobalt common stock owned by WellPoint) shall be converted at the effective time of the merger into the right to receive: (i) $10.25 in cash and (ii) 0.1233 of a share of WellPoint common stock, subject to adjustment as described in the next sentence. If the average closing price of WellPoint common stock on the New York Stock Exchange for the 15 consecutive trading days ending on the trading day immediately after the day on which all of the closing conditions have been satisfied or waived (other than the condition that the price of WellPoint's common stock be at least $62.50 and those conditions that can only be satisfied on the closing date) is less than $70.97, then each share of Cobalt common stock will be converted into the right to receive (i) $10.25 and (ii) a fraction of a share of WellPoint common stock, the numerator of which is equal to $8.75 and the denominator of which is equal to the average closing price of WellPoint common stock over such 15 day period ending on and including the determination date, rounded to the nearest 1/10,000.

        Completion of the Merger is subject to approval of our shareholders, Blue Cross and Blue Shield Association (the "Association") approval, government and regulatory approvals and other customary closing conditions. The Merger is intended to qualify as a reorganization within the meaning of Section 368(a) of the Internal Revenue Code.

        Concurrently with the execution of the Merger Agreement, the Wisconsin United for Health Foundation, Inc. (the "Foundation"), which owns approximately 59% of our outstanding shares of common stock, entered into a Voting and Lockup Agreement with WellPoint (the "Lockup Agreement"). Under the Lockup Agreement, the Foundation agreed, among other things, to vote all of

7



its shares of Cobalt stock in favor of the Merger, on the terms and subject to the conditions specified in the Lockup Agreement.

Note C. Acquisition of Claim Management Services, Inc.

        On December 31, 2002, we purchased all of the outstanding stock of Claim Management Services, Inc. ("CMSI"), a third-party administrator of self-funded employee benefit plans. CMSI is headquartered in Green Bay, Wisconsin. For the year ended December 31, 2002, CMSI recorded revenue and pre-tax income of $21,965,000 and $2,316,000, respectively. Our consolidated financial statements include the results of operations for CMSI for periods subsequent to the acquisition date.

Note D. Discontinued Operations

        On March 29, 2002, we sold our behavioral health and medical management subsidiary, Innovative Resource Group, LLC ("IRG"). As a result, IRG is accounted for as a discontinued operation for all periods presented for 2002. The agreement required certain subsidiaries of Cobalt to enter into seven-year service agreements for the provision of services by IRG and also provides for certain bonuses/penalties to be received/paid between IRG and Cobalt based on IRG revenues generated from Cobalt in future years.

Note E. Earnings Per Share

        Basic earnings per share ("EPS") is computed by dividing income available to common shareholders by the weighted average number of common shares outstanding, including restricted stock, during the period. The 7,949,904 shares of Cobalt Corporation common stock owned by BCBSUW are not included in the calculation of outstanding shares. Diluted earnings per share is calculated similarly, except that it includes the dilutive effect of the assumed exercise of stock options using the treasury stock method.

8



        Basic and diluted EPS are calculated as follows:

 
  Three months ended
June 30,

  Six months ended
June 30,

 
  2003
  2002
  2003
  2002
 
  (In thousands, except share and per share data)

Numerator:                        
  Income from continuing operations   $ 16,075   $ 22,762   $ 27,217   $ 36,006
  Discontinued operations         (250 )       9,109
   
 
 
 
    Net income   $ 16,075   $ 22,512   $ 27,217   $ 45,115
   
 
 
 
Denominator:                        
  Denominator for basic EPS-weighted average shares     41,997,147     40,904,010     41,912,688     40,771,339
  Effect of dilutive securities-employee stock options     1,102,192     1,509,543     990,176     988,952
   
 
 
 
    Denominator for diluted EPS     43,099,339     42,413,553     42,902,864     41,760,291
   
 
 
 

Earnings (loss) per common share:

 

 

 

 

 

 

 

 

 

 

 

 
  Basic EPS from continuing operations   $ 0.38   $ 0.56   $ 0.65   $ 0.88
  Basic EPS from discontinued operations         (0.01 )       0.23
   
 
 
 
    Total basic EPS   $ 0.38   $ 0.55   $ 0.65   $ 1.11
   
 
 
 
 
Diluted EPS from continuing operations

 

$

0.37

 

$

0.54

 

$

0.63

 

$

0.86
  Diluted EPS from discontinued operations         (0.01 )       0.22
   
 
 
 
    Total diluted EPS   $ 0.37   $ 0.53   $ 0.63   $ 1.08
   
 
 
 

Note F. Stock Based Compensation

        We account for stock option awards under Accounting Principles Board Opinion ("APB") No. 25, "Accounting for Stock Issued to Employees" and related interpretations. Under APB No. 25, no stock-based employee compensation cost is reflected in net income to the extent that stock options granted have an exercise price equal to the market value of the underlying common stock on the date of grant and no modifications are made to option terms subsequent to their grant date.

9



        The following table illustrates the effect on net income and earnings per share as if we had applied the fair value expense recognition provisions of SFAS No. 123, "Accounting for Stock-Based Compensation," as amended:

 
  Three months ended
June 30,

  Six months ended
June 30,

 
 
  2003
  2002
  2003
  2002
 
 
   
  (In thousands)

   
 
Net income as reported   $ 16,075   $ 22,512   $ 27,217   $ 45,115  
Less pro forma stock based compensation expense determined under fair value based method, net of tax     (789 )   (490 )   (1,541 )   (743 )
   
 
 
 
 
Pro forma net income   $ 15,286   $ 22,022   $ 25,676   $ 44,372  
   
 
 
 
 

Basic earnings per share:

 

 

 

 

 

 

 

 

 

 

 

 

 
  Continuing operations, as reported   $ 0.38   $ 0.56   $ 0.65   $ 0.88  
  Continuing operations, pro forma     0.36     0.55     0.61     0.86  
  Discontinued operations, as reported     0.00     (0.01 )   0.00     0.23  
  Discontinued operations, pro forma     0.00     (0.01 )   0.00     0.23  

Diluted earnings per share:

 

 

 

 

 

 

 

 

 

 

 

 

 
  Continuing operations, as reported   $ 0.37   $ 0.54   $ 0.63   $ 0.86  
  Continuing operations, pro forma     0.36     0.53     0.60     0.85  
  Discontinued operations, as reported     0.00     (0.01 )   0.00     0.22  
  Discontinued operations, proforma     0.00     (0.01 )   0.00     0.22  

Note G. Stock Option and Restricted Stock Awards

        During the six months ended June 30, 2003, we granted to certain eligible executives, employees and non-employee directors options to purchase a total of 852,800 shares of Cobalt common stock. The exercise price of these options was equal to the fair value of the stock on the grant date. No compensation expense has been recorded related to these grants.

        During the six months ended June 30, 2003, we also granted 155,900 shares of Cobalt common stock as restricted stock awards to certain eligible executives. The aggregate fair market value of the stock at the grant date was $2.2 million. Twenty-five percent of the shares vest annually on the anniversary date of the grant over the next four years. None of the shares of restricted stock may be transferred or encumbered, except as provided for in the award agreements, until the restrictions on such shares lapse or are removed. For grants of restricted stock, unearned compensation equivalent to the fair market value of the shares at the date of grant is recorded as a component of shareholders' equity and subsequently amortized to compensation expense over the vesting period.

Note H. Income from Investment in Affiliates

        Income from investment in affiliates, net of tax, for the three and six months ended June 30, 2002 is primarily comprised of gains on the sale of American Medical Security Group, Inc. ("AMSG") common stock and our equity in the income of AMSG. We accounted for our investment in AMSG under the equity method of accounting through May 31, 2002. Because of decreased ownership and the fact that the Company no longer had the ability to exercise significant influence over AMSG, the equity method of accounting was discontinued subsequent to May 31, 2002 and the investment in AMSG was

10



reclassified in our consolidated balance sheets from investment in affiliates to investments available-for-sale. On January 3, 2003, we sold all of our remaining investment in AMSG.

Note I. Medical and Other Benefits Payable

        The components of the change in medical and other benefits payable, net of reinsurance, are as follows:

 
  Six months ended
June 30, 2003

  Year ended
December 31, 2002

 
 
  (In thousands)

 
Medical and other benefits payable at beginning of year (net of reinsurance)   $ 219,560   $ 238,326  

Components of medical and other benefits expense:

 

 

 

 

 

 

 
  Estimated costs incurred-current year     624,296     1,189,573  
  Changes in prior year estimates     (24,047 )   (22,902 )
   
 
 
Medical and other benefits expense     600,249     1,166,671  
   
 
 

Payments related to:

 

 

 

 

 

 

 
  Current year     444,863     1,011,959  
  Prior years     138,064     173,478  
   
 
 
Total paid     582,927     1,185,437  
   
 
 

Net medical and other benefits payable at end of period (net of reinsurance)

 

$

236,882

 

$

219,560

 
   
 
 

        The net medical and other benefits payable above excludes reinsured reserves of $38,998,000 as of June 30, 2003 and $35,318,000 as of December 31, 2002.

11


Note J. Debt

        During 2002, we entered into a three-year revolving credit arrangement ("revolver") with M&I Marshall & Ilsley Bank. This revolver provides for borrowings up to $30.0 million by Cobalt with the availability declining to $25.0 million on August 7, 2003 and to $15.0 million on August 7, 2004. The revolver is collateralized by the common stock of BCBSUW and Compcare Health Services Insurance Corporation ("CompcareBlue"). The revolver bears interest at a rate of London Interbank Offered Rate ("LIBOR") plus 1.5% to 2.5% depending on the timing and amount of the borrowings. A commitment fee of 3/8% annually is payable quarterly on the unused portion of the revolver. As of June 30, 2003, the outstanding balance on the revolver was $26.8 million with interest at a rate of 3.82%.

        Debt covenants under the revolver include compliance with a minimum tangible net worth, minimum debt-service/liquidity ratio, and risk-based capital ("RBC") requirements on a quarterly basis. As of June 30, 2003, we are in compliance with the covenants contained in the revolver.

        We also have two separate lines-of-credit ("LOC") with a commercial bank. One LOC permits borrowings by certain subsidiaries, excluding the corporate holding company, up to $20.0 million in the aggregate. The other LOC permits aggregate borrowings by United Government Services, LLC ("UGS") and Trust Solutions, LLC ("TS"), up to $2.0 million with company specific maximums. Borrowings under each LOC are subject to an adjustable interest rate of LIBOR plus 2% or, at our discretion, prime rate, with interest payments due monthly. As of June 30, 2003, there were no outstanding borrowings under either LOC.

        In addition, United Wisconsin Insurance Company ("UWIC") has two Irrevocable Standby Letters of Credit from a commercial bank which permit aggregate draws of $16.9 million at an annual commission rate of 1.0%. As of June 30, 2003, there were no outstanding draws on either letter of credit.

Note K. Comprehensive Income

        Comprehensive income consists of the following:

 
  Three months ended
June 30,

  Six months ended
June 30,

 
  2003
  2002
  2003
  2002
 
  (In thousands)

Net income   $ 16,075   $ 22,512   $ 27,217   $ 45,115
Change in unrealized gains/losses on investments, net of taxes     4,263     24,315     5,247     21,416
   
 
 
 
Comprehensive income   $ 20,338   $ 46,827   $ 32,464   $ 66,531
   
 
 
 

Note L. Common Stock

        The common stock of Cobalt has no par or stated value. The authorized, issued and outstanding shares of common stock are as follows:

 
  June 30,
2003

  December 31,
2002

Number of shares:        
  Authorized   75,000,000   75,000,000
  Issued (includes 7,949,904 subsidiary owned shares)   50,290,309   49,594,488
  Outstanding (excludes 7,949,904 subsidiary owned shares)   42,340,405   41,644,584

12


Note M. Segment Reporting

        We have four reportable business segments: insured medical products, specialty managed care products and services, government services, and self-funded products. Insured medical products include full coverage, copayment, preferred provider organization ("PPO"), Medicare supplement, interim coverage, health maintenance organization ("HMO"), and point-of-service ("POS") products sold primarily in Wisconsin. The specialty managed care products and services segment includes dental, life, disability, and workers' compensation products, along with managed care consulting, electronic claim submission services, subrogation and hospital bill audit services, and receivables management services. The specialty managed care products and services are sold throughout the United States. The self-funded products consist of administrative services and access to our extensive provider networks for uninsured contracts and the BlueCard Program. Government services include Medicare claim processing and other services provided under contracts with the federal government throughout the United States; Medicaid processing, audit and reimbursement services in the states of Wisconsin, West Virginia, and Hawaii; and program integrity, consulting and safeguard services in connection with publicly funded health programs.

        Corporate holding company and other includes activities not directly related to the business segments and unallocated corporate overhead expenses. We evaluate segment performance based on profit or loss from operations before income taxes. The accounting policies of the reportable segments are the same as those described in our December 31, 2002 audited financial statements in the summary of significant accounting policies.

        Financial data from continuing operations by segment is as follows:

 
  Three months ended
June 30,

  Six months ended
June 30,

 
 
  2003
  2002
  2003
  2002
 
 
  (In thousands)

 
Health services revenue:                          
  Insured medical products   $ 328,832   $ 306,145   $ 651,964   $ 611,272  
  Self-funded products     14,495     7,757     28,763     14,990  
  Specialty managed care products and services     42,985     45,434     87,030     90,762  
  Government services     29,893     27,971     57,703     56,780  
  Eliminations     (5,423 )   (8,057 )   (10,732 )   (16,515 )
   
 
 
 
 
    Total   $ 410,782   $ 379,250   $ 814,728   $ 757,289  
   
 
 
 
 

Investment income and net realized investment gains:

 

 

 

 

 

 

 

 

 

 

 

 

 
  Insured medical products   $ 4,171   $ 3,704   $ 7,255   $ 6,892  
  Self-funded products     7     9     12     13  
  Specialty managed care products and services     1,562     1,486     2,995     2,893  
  Government services     73     142     187     266  
  Corporate holding company and other         10     9     (25 )
  Eliminations     (6 )   (1,720 )   (30 )   (3,477 )
   
 
 
 
 
    Total   $ 5,807   $ 3,631   $ 10,428   $ 6,562  
   
 
 
 
 

Medical and other benefits expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 
  Insured medical products   $ 273,545   $ 266,976   $ 553,344   $ 535,198  
  Specialty managed care products and services     26,548     27,209     53,805     54,682  
  Eliminations     (3,685 )   (3,377 )   (6,900 )   (6,714 )
   
 
 
 
 
    Total   $ 296,408   $ 290,808   $ 600,249   $ 583,166  
   
 
 
 
 

13


 
  Three months ended
June 30,

  Six months ended
June 30,

 
 
  2003
  2002
  2003
  2002
 
 
  (In thousands)

 
Selling, general, administrative, and other expenses:                          
  Insured medical products   $ 33,981   $ 33,837   $ 68,741   $ 66,897  
  Self-funded products     13,428     7,088     26,034     13,977  
  Specialty managed care products and services     12,867     16,956     26,634     33,337  
  Government services     28,713     27,499     56,023     55,776  
  Corporate holding company and other     1,238     (124 )   809     (2,739 )
  Eliminations     (1,733 )   (4,675 )   (3,829 )   (9,799 )
   
 
 
 
 
    Total   $ 88,494   $ 80,581   $ 174,412   $ 157,449  
   
 
 
 
 
 
Income from continuing operations before income tax expense and income from investment in affiliates:

 

 

 

 

 

 

 

 

 

 

 

 

 
  Insured medical products   $ 25,254   $ 8,728   $ 36,687   $ 15,230  
  Self-funded products     759     652     2,094     1,000  
  Specialty managed care products and services     5,074     2,600     9,462     5,377  
  Government services     1,253     614     1,867     1,270  
  Corporate holding company and other     (1,238 )   (1,173 )   (800 )   116  
   
 
 
 
 
    Total   $ 31,102   $ 11,421   $ 49,310   $ 22,993  
   
 
 
 
 

14


        Eliminations by operating segment presented above are as follows:

 
  Three months ended
June 30,

  Six months ended
June 30,

 
 
  2003
  2002
  2003
  2002
 
 
  (In thousands)

 
Health services revenue:                          
  Insured medical products   $ (2,943 ) $ (2,225 ) $ (5,918 ) $ (5,419 )
  Self-funded products     (125 )   (55 )   (193 )   (110 )
  Specialty managed care products and services     (2,355 )   (5,777 )   (4,621 )   (10,986 )
   
 
 
 
 
    Total   $ (5,423 ) $ (8,057 ) $ (10,732 ) $ (16,515 )
   
 
 
 
 

Investment income and realized investment gains (losses):

 

 

 

 

 

 

 

 

 

 

 

 

 
  Insured medical products   $ (5 ) $ (1,522 ) $ (24 ) $ (3,082 )
  Specialty managed care products and services         (196 )       (391 )
  Corporate holding company     (1 )   (2 )   (6 )   (4 )
   
 
 
 
 
    Total   $ (6 ) $ (1,720 ) $ (30 ) $ (3,477 )
   
 
 
 
 

Medical and other benefits expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 
  Insured medical products   $ (3,164 ) $ (2,858 ) $ (5,848 ) $ (5,635 )
  Specialty managed care products and services     (521 )   (519 )   (1,052 )   (1,079 )
   
 
 
 
 
    Total   $ (3,685 ) $ (3,377 ) $ (6,900 ) $ (6,714 )
   
 
 
 
 

 


 

Three months ended
June 30,


 

Six months ended
June 30,


 
 
  2003
  2002
  2003
  2002
 
 
  (In thousands)

 
Selling, general, administrative, and other expenses:                          
  Insured medical products   $ (787 ) $ (1,041 ) $ (1,975 ) $ (2,720 )
  Self-funded products     (5 )       (9 )    
  Specialty managed care products and services     (808 )   (3,471 )   (1,441 )   (6,794 )
  Government services     (152 )   (164 )   (413 )   (298 )
  Corporate holding company     19     1     9     13  
   
 
 
 
 
    Total   $ (1,733 ) $ (4,675 ) $ (3,829 ) $ (9,799 )
   
 
 
 
 

        Assets, other than goodwill and intangible assets, and government services assets, have been allocated by segment in the following table based on the percentage of revenues for the six months ended June 30, 2003 and revenues for the year ended December 31, 2002.

 
  June 30,
2003

  December 31,
2002

 
  (In thousands)

Total assets by segment:            
  Insured medical products   $ 742,839   $ 688,430
  Self-funded products     41,860     28,442
  Specialty managed care products and services     112,524     120,167
  Government services     35,225     32,860
   
 
    Total   $ 932,448   $ 869,899
   
 

15


Note N. Commitments and Contingencies

        In 2001, Cobalt issued 31,313,390 shares of newly issued common stock to the Wisconsin United for Health Foundation, Inc. (the "Foundation"). The Foundation was established for the sole purpose of benefiting public health in Wisconsin from the earnings on its investment in Cobalt. During February of 2003, the Foundation sold approximately 6.3 million shares of Cobalt common stock, realizing proceeds of approximately $71.9 million. We did not sell any shares of common stock in conjunction with this transaction and we received no proceeds from the sale of the Foundation's shares. As of June 30, 2003, the Foundation owned approximately 59% of our outstanding common stock. Under a voting trust and divestiture agreement, the Foundation is required to decrease its percentage ownership of Cobalt to less than 50% by March 23, 2004 and less than 20% by March 23, 2006. We are responsible for all legal and accounting fees, printing, and other out-of-pocket costs (excluding the Foundation's legal fees) associated with the offerings to facilitate these sales. If the merger with WellPoint (Note B) is consummated, all Cobalt common stock owned by the Foundation will be converted into cash and WellPoint common stock.

        We are involved in various legal actions occurring in the normal course of business. In the opinion of management, adequate provision has been made for any losses that may result from these actions and, accordingly, the outcome of these proceedings is not expected to have a material adverse effect on our consolidated financial statements.

        In May 2003, a class-action lawsuit entitled Thomas, et. al. v. Blue Cross and Blue Shield Association, et. al. was filed in the U.S. District Court in the Southern District of Florida. The Blue Cross and Blue Shield Association is the national organization of independent Blue Cross and Blue Shield plans. In addition to the Association, all of the independent plans are named as defendants in the lawsuit. On June 30, 2003, BCBSUW, a Cobalt subsidiary, was served with the summons and complaint. The lawsuit alleges that the defendants violated the Racketeer Influenced and Corrupt Organizations Act, also known as RICO, through various misrepresentations to, and inappropriate actions against, health care providers. Management is currently evaluating the lawsuit to determine what, if any, impact it will have on Cobalt.

        We are currently litigating certain matters in the United States Court of Federal Claims with respect to our federal income tax liability for our 1987 tax year. During June 2003, our motion for partial summary judgment on a key issue in the 1987 tax litigation was denied and the government's cross motion was granted. We plan to appeal this decision, and recorded an additional income tax expense in the amount of $1,959,000 during June 2003 to accrue for our estimated exposure in this matter in light of these recent developments.

        The Health Insurance Portability and Accountability Act of 1996 ("HIPAA") includes administrative provisions imposing significant requirements relating to maintaining the privacy of medical information ("Privacy"), establishing uniform health care provider and employer identifiers, requiring use of standardized transaction formats ("Transactions"), and seeking protections for confidentiality and security of patient data ("Security"). The Privacy and Transactions provisions require implementation in 2003. Final HIPAA Security rules were published on February 20, 2003, and implementation and compliance are required by April 2005. HIPAA is far-reaching and complex, and proper interpretation and practice under the law continue to evolve. Consequently, our efforts to measure, monitor, and adjust our business practices to comply with HIPAA are ongoing. Compliance with HIPAA could require us to make significant changes to our operations and failure to comply could subject us to civil and criminal penalties. The costs of complying with HIPAA are likely to be substantial.

16




ITEM 2.    Management's Discussion and Analysis of Financial Condition and Results of Operations

Overview

        Cobalt Corporation (the "Company," "we," "us," or "Cobalt") is the leading managed care company in Wisconsin based on the first quarter of 2003 premium statistics published by the Office of the Commissioner of Insurance of the State of Wisconsin ("OCI"). We offer a broad portfolio of managed care and insurance products to employers, individuals, and government entities. We have an exclusive license to utilize the Blue Cross and Blue Shield service marks in Wisconsin, giving us a unique position in that market. As of June 30, 2003, we serviced 784,679 insured and self-funded members in our medical operations and 491,370 insured and self-funded members in our dental programs.

        Blue Cross & Blue Shield United of Wisconsin ("BCBSUW") provides underwritten products, including preferred provider organizations ("PPO") and indemnity options, as well as self-funded, administrative services only programs. Compcare Health Services Insurance Corporation ("CompcareBlue") operates the oldest health maintenance organization ("HMO") in Wisconsin.

        We offer one of the largest provider networks in Wisconsin. All of our customers, including HMO members, have the ability to access the leading physicians and hospitals in their respective service areas, including Mayo Health Systems, University Health Care, Inc. ("UHC") and Aurora Health Care. We believe that our ability to offer a full spectrum of products and a broad provider network to meet the needs and objectives of a wide range of customers provides us with a competitive advantage.

        We offer a variety of specialty managed care products, including dental, life and disability insurance. We are one of the largest providers of dental HMO and dental indemnity coverage in Wisconsin. We also offer workers' compensation insurance and a variety of specialty managed care services, including cost containment and health care electronic data interchange. These specialty managed care products and services are designed to complement our customers' employee benefit packages. We also process Medicare claims as a Medicare Part A fiscal intermediary and a Regional Home Health intermediary for providers in numerous states and several U.S. territories and as a national intermediary for the Federally Qualified Health Centers in all 50 states.

        We market our medical and dental products through a salaried sales force located throughout Wisconsin, as well as through independent agents and brokers, and directly to customers via the internet. By integrating the marketing of our medical products, we are able to offer a broad range of product choices to health care consumers. We sell our specialty managed care products and services to employer groups and providers, principally in Wisconsin, through a variety of distribution channels.

Capitated and Other Service Arrangements

        CompcareBlue, Valley Health Plan, Inc. ("Valley"), and Unity Health Plans Insurance Corporation ("Unity") utilize capitation and risk-sharing programs with certain physician groups, hospitals, and ancillary providers to manage the cost of health care provided to members. BCBSUW has not employed capitation or risk sharing arrangements to any significant extent. Capitation is an arrangement whereby we pay medical providers a set fee per member per month in exchange for providing health care services.

        For the six months ended June 30, 2003, medical and other benefits expense included $55.6 million relating to capitated medical and dental arrangements, representing 9.3% of the total medical and other benefits expense. This compares to $62.2 million relating to capitated medical and dental arrangements, representing 10.7% of the total medical and other benefits expense, for the six months ended June 30, 2002. Medical and other benefits payable at June 30, 2003 included $0.9 million relating to capitated arrangements.

17



Summary of Membership, Revenue, and Ratios

        The number of "members" is equivalent to the number of persons covered by contracts in force. A covered person may be counted in more than one category. Member equivalents relating to individuals who access medical care under the BlueCard PPO program are not included.

 
  As of June 30,
 
  2003
  2002
Membership at end of period:        
  Insured medical products   444,902   457,740
  Self-funded medical products   339,777   132,905
  Insured dental products   285,261   305,342
  Self-funded dental products   206,109   35,416
  Other insured products   217,832   252,644

 


 

Three months ended
June 30,


 

Six months ended
June 30,


 
 
  2003
  2002
  2003
  2002
 
 
  (In thousands, except ratios)

 
Revenue:                          
  Insured medical products   $ 328,832   $ 306,145   $ 651,964   $ 611,272  
  Self-funded products     14,495     7,757     28,763     14,990  
  Specialty managed care products and services     42,985     45,434     87,030     90,762  
  Government services     29,893     27,971     57,703     56,780  
  Eliminations(1)     (5,423 )   (8,057 )   (10,732 )   (16,515 )
   
 
 
 
 
      Total health services revenue     410,782     379,250     814,728     757,289  
  Investment income, net     4,724     3,708     9,121     6,535  
  Net realized investment gains (losses)     1,083     (77 )   1,307     27  
   
 
 
 
 
      Total   $ 416,589   $ 382,881   $ 825,156   $ 763,851  
   
 
 
 
 

Health services revenue (as a percentage of the total):

 

 

 

 

 

 

 

 

 

 

 

 

 
  Insured medical products     80.0 %   80.7 %   80.0 %   80.7 %
  Self-funded products     3.5     2.0     3.5     2.0  
  Specialty managed care products and services     10.5     12.0     10.7     12.0  
  Government services     7.3     7.4     7.1     7.5  
  Eliminations(1)     (1.3 )   (2.1 )   (1.3 )   (2.2 )
   
 
 
 
 
      Total     100.0 %   100.0 %   100.0 %   100.0 %
   
 
 
 
 

Insured medical products:

 

 

 

 

 

 

 

 

 

 

 

 

 
  Care ratio(2)     83.2 %   87.2 %   84.9 %   87.6 %
  Selling, general, administrative, and other expense ratio(3)     10.3 %   11.1 %   10.5 %   10.9 %

(1)
Consists of intracompany eliminations.

(2)
Represents the medical and other benefits expense for the insured medical products segment as a percentage of health services revenue for that segment.

(3)
Represents selling, general, administrative, and other expenses for the insured medical products segment as a percentage of health services revenue for that segment.

18


Comparison of Results of Operations for the three and six months ended June 30, 2003 with the three and six months ended June 30, 2002.

        Financial data in this section that relates to specific business segments are gross numbers and, therefore, are not net of intracompany eliminations.

Total Revenues

        Total revenues for the three months ended June 30, 2003 increased 8.8% to $416.6 million compared to $382.9 million for the three months ended June 30, 2002. For the six months ended June 30, 2003, total revenues increased 8.0% to $825.2 million, compared to $763.9 million for the six months ended June 30, 2002. These increases were primarily due to increased revenues from insured medical products and self-funded products.

        Insured medical products revenue for the three months ended June 30, 2003 increased 7.4% to $328.8 million from $306.1 million for the three months ended June 30, 2002. For the six months ended June 30, 2003, insured medical revenue increased 6.7% to $652.0 million from $611.3 million for the six months ended June 30, 2002. The increase in premium revenue is primarily due to a premium rate increase on existing business, partially offset by a decline in membership. The decline in membership includes employee downsizing among some customers in the large group segment, which reflects national trends, along with our commitment to rational pricing in a competitive market. The number of insured medical members as of June 30, 2003 decreased to 444,902 from 457,740 as of June 30, 2002.

        Self-funded administrative fees for the three months ended June 30, 2003 increased 85.9% to $14.5 million from $7.8 million for the three months ended June 30, 2002. For the six months ended June 30, 2003, self-funded administrative fees increased 92.0% to $28.8 million from $15.0 million for the six months ended June 30, 2002. Self-funded medical and dental membership increased to 545,886 as of June 30, 2003 from 168,321 as of June 30, 2002. The large increase in administrative fees and membership is attributable to the acquisition of Claim Management Services, Inc. ("CMSI") on December 31, 2002, partially offset by the transition of self-funded national account members to the more profitable BlueCard program. Under the BlueCard PPO program, we do not maintain membership but receive an administrative fee and percentage of discounts for members from other Blue Cross and Blue Shield plans ("Blue Plans") that access medical care in Wisconsin.

        Specialty managed care products and services revenue for the three months ended June 30, 2003 decreased 5.3% to $43.0 million from $45.4 million for the three months ended June 30, 2002. For the six months ended June 30, 2003, specialty managed care products and services revenue decreased 4.2% to $87.0 million from $90.8 million for the six months ended June 30, 2002. The decreases in revenue are due primarily to cancellations of life and disability policies, and the sale of a non-core collection subsidiary, which took place at the end of April 2003. The sale of this non-core collection subsidiary accounted for $0.9 million and $0.8 million of the revenue decreases for the three and six months ended June 30, 2003, respectively. These decreases were partially offset by an increase in revenues on our workers' compensation business.

        Government services revenue for the three months ended June 30, 2003 increased 6.8% to $29.9 million from $28.0 million for the three months ended June 30, 2002. This increase is due to

19


additional Medicare reimbursements of approximately $0.9 million, new contract revenues of approximately $0.8 million, and an increase in Medicaid processing revenues of approximately $0.1 million. Government services revenue for the six months ended June 30, 2003 increased 1.6% to $57.7 million from $56.8 million for the six months ended June 30, 2002. This increase is due to new contract revenues of approximately $1.4 million, an increase in Medicaid processing revenues of approximately $0.3 million, offset by a decrease in Medicare reimbursements of approximately $0.7 million.

Investment Income

        Net investment income for the three months ended June 30, 2003 increased 27.0% to $4.7 million from $3.7 million for the three months ended June 30, 2002. Net investment income for the six months ended June 30, 2003 increased 40.0% to $9.1 million from $6.5 million for the six months ended June 30, 2002. The increases are primarily due to increases in invested assets resulting from cash proceeds from the sale of American Medical Security Group, Inc. ("AMSG") shares, the sale of Innovative Resource Group, LLC ("IRG"), and positive operating cash flow. Average invested assets for the three months ended June 30, 2003 increased 57.4% to $465.8 million from $296.0 million for the three months ended June 30, 2002. Average invested assets for the six months ended June 30, 2003 increased 68.9% to $452.1 million from $267.7 million for the six months ended June 30, 2002. Average annual investment yields, excluding net realized gains, investment income from affiliates and other interest income, were 4.0% for both the three and six month periods ended June 30, 2003, and 4.9% and 4.8% for the three and six months ended June 30, 2002, respectively.

Expense Ratios

        The insured medical care ratio for the three months ended June 30, 2003 was 83.2% compared with 87.2% for the three months ended June 30, 2002. For the six months ended June 30, 2003, the insured medical care ratio was 84.9% compared with 87.6% for the six months ended June 30, 2002. The improvement in the insured medical care ratio reflects favorable medical cost trends, as well as the impact of a $6.8 million release of reserves during the second quarter of 2003 from more favorable than anticipated run-out on prior period reserve estimates, as described in the following paragraph.

        Included in Note I to the accompanying interim consolidated financial statements is a reserve development table for the six months ended June 30, 2003. Our estimate of medical and other benefits payable is intended to provide for future payment of claims incurred, but not yet paid, under moderately adverse conditions. These estimates are adjusted each quarter as additional information is obtained and claims are reported and paid. When we experience no change or deviation in trends, claim patterns or membership demographics, the favorable run-out of reserves resulting from our moderately adverse condition assumption is offset by a current period provision on the same basis. The medical and other benefits payable or claim reserve at December 31, 2002, was $219.6 million. Based upon claim payments made during the first half of 2003, this estimate resulted in favorable development of $24.0 million. While most of this favorable development was re-established as part of our current claim reserve, $6.8 million was released into pre-tax income during the second quarter of 2003. The $6.8 million reserve release was due primarily to two factors. First, fourth quarter 2002 claim expenses were better than expected, as cost containment controls implemented during 2002 took hold more quickly than anticipated. Second, the consolidation of our regional processing centers, which we announced in November 2002, had less of an impact on the timeliness of claim payments than was anticipated when year-end reserve levels were established.

20



        For our insurance subsidiaries, the selling, general, administrative, and other ("SGA") expense ratio includes commissions, administrative expenses, premium taxes and other assessments, and claim interest expense. For non-insurance subsidiaries, the SGA expense ratio includes operating expenses only.

        The insured medical products SGA expense ratio for the three months ended June 30, 2003 improved to 10.3% from 11.1% for the three months ended June 30, 2002. The insured medical products SGA expense ratio for the six months ended June 30, 2003 was 10.5% compared with 10.9% for the six months ended June 30, 2002. The improvements were driven by disciplined containment of operating costs, including the consolidation of certain operating centers in 2003.

        The expense ratio for self-funded products for the three months ended June 30, 2003 was 92.6% compared to 91.4% for the three months ended June 30, 2002. The expense ratio for self-funded products for the six months ended June 30, 2003 improved to 90.5% from 93.2% for the six months ended June 30, 2002. The improved expense ratio, on a year-to-date basis, resulted from the acquisition of CMSI, which accounted for 40% of the self-funded revenue for the six months ended June 30, 2003, as well as an increase in the volume of business serviced under the BlueCard PPO program. Costs associated with servicing the CMSI accounts and the BlueCard PPO program are significantly lower than the costs associated with servicing other self-funded accounts. The slight increase in the expense ratio for the three months ended June 30, 2003 is primarily due to expenses recorded for a prior period claim payment issue.

        The combined loss and expense ratio for specialty managed care products and services for the three months ended June 30, 2003 improved to 91.7% from 97.2% for the three months ended June 30, 2002. The combined loss and expense ratio for specialty managed care products and services for the six months ended June 30, 2003 improved to 92.4% from 97.0% for the six months ended June 30, 2002. These improvements were primarily due to continued growth in the workers' compensation business, along with favorable claims experience on our dental business.

        The operating expense ratio for government services for the three months ended June 30, 2003 improved to 96.1% compared to 98.3% for the three months ended June 30, 2002. The operating expense ratio for government services for the six months ended June 30, 2003 improved to 97.1% from 98.2% for the six months ended June 30, 2002. These improvements were due primarily to new contracts with greater margins.

Income from Investment in Affiliates

        For the three and six months ended June 30, 2003, income from investment in affiliates, net of tax, was $0.2 million. For the three and six months ended June 30, 2002, income from investment in affiliates, net of tax, was $12.5 million and $15.3 million, respectively. The results for the three months ended June 30, 2002 are primarily comprised of our equity in AMSG net income of $1.4 million combined with a gain of $9.4 million on the sale of 3.0 million shares of AMSG stock during the second quarter of 2002. In addition, in the second quarter of 2002 we recognized income of $1.6 million, which relates primarily to our proportionate share of a tax benefit recorded by Family Health Systems, Inc. ("FHS"), a 50% owned affiliate, due to a change in tax laws regarding the carry-back of net operating losses. During the second quarter of 2002, we reclassified our investment in AMSG from an affiliated investment to investments available-for-sale due to our decreased ownership and the fact that we no longer had the ability to exercise significant influence over AMSG.

21



Income Taxes

        Income tax expense for financial reporting purposes in 2002 was reduced through utilization of certain net operating loss carryforwards that were subject to a valuation allowance that had been established by a charge to income tax expense. The utilization of these benefits resulted in an effective tax rate of 10.0% for the three and six months ended June 30, 2002. The majority of such net operating loss carryforwards were exhausted for book purposes during the fourth quarter of 2002, and our effective tax rate for financial reporting purposes increased significantly in 2003. For the three months ended June 30, 2003, we recorded current income tax expense of $19.2 million and a deferred tax benefit of approximately $3.9 million. This compares to current income tax expense of $2.1 million and a deferred tax benefit of approximately $1.0 million for the three months ended June 30, 2002. For the six months ended June 30, 2003, we recorded current tax expense of $22.9 million and a deferred tax benefit of $0.6 million. This compares to current income tax expense of $2.3 million along with an insignificant deferred tax expense for the six months ended June 30, 2002. Included in the three and six months ended June 30, 2003 is an additional income tax expense in the amount of $2.0 million relating to an unfavorable court decision on disputed income tax matters dating back to 1987. Our effective tax rate for the three and six months ended June 30, 2003 was 49.0% and 45.2%, respectively. These effective tax rates were greater than our statutory income tax rate due primarily to the unfavorable court decision referred to above and $2.2 million in non-deductible merger related expenses recorded in the second quarter of 2003.

Discontinued Operations

        Discontinued operations for the six months ended June 30, 2002 includes the first quarter net operating loss of IRG of approximately $0.6 million offset by an after-tax gain on the sale of IRG in the amount of $9.7 million. The $0.3 million loss from discontinued operations for the three months ended June 30, 2002 reflects an adjustment to record additional expenses related to the sale.

Net Income

        For the three months ended June 30, 2003, net income was $16.1 million compared to $22.5 million for the three months ended June 30, 2002. Impacting the three months ended June 30, 2003, was $2.2 million in merger related expenses, which were recorded at the Cobalt holding company. For the three months ended June 30, 2002, net income included $12.5 million in income from affiliates, which primarily related to the gain recognized on the sale of our investment in AMSG. For the three months ended June 30, 2002, net income also benefited from a significantly lower effective tax rate, as discussed above. Income from continuing operations before income tax expense and income from investment in affiliates increased from $11.4 million for the three months ended June 30, 2002 to $31.1 million for the three months ended June 30, 2003.

        For the six months ended June 30, 2003, net income was $27.2 million compared to $45.1 million for the six months ended June 30, 2002. Net income for the six months ended June 30, 2002 included income of $9.1 million from discontinued operations, and $15.3 million in income from affiliates, which primarily related to the gain recognized on the sale of our investment in AMSG. This compares to no income from discontinued operations and $0.2 million in income from affiliates for the six months ended June 30, 2003. For the six months ended June 30, 2002, net income also benefited from a 10.0% effective tax rate, as discussed above. Income from continuing operations before income tax expense and income from investment in affiliates increased from $23.0 million for the six months ended June 30, 2002 to $49.3 million for the six months ended June 30, 2003.

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Liquidity and Capital Resources

        Our sources of cash flow consist primarily of health services revenues and investment income. The primary uses of cash include medical and other benefit payments, as well as operating expense payments. Positive cash flows are invested pending future payments of medical and other benefits and other operating expenses. Our investment policies are designed to maximize yield, preserve principal, and provide liquidity to meet anticipated payment obligations.

        Our investment portfolio consists primarily of investment-grade bonds and government securities, and has a limited exposure to equity securities. We do not have any investments in mortgage loans or any significant amounts of non-publicly traded securities. The bond portfolio had an average quality rating by Moody's Investor Service of "Aa3" at June 30, 2003 and lower than investment grade bonds represented 6.1% of our total investment portfolio at that date. The market value of the total investment portfolio was greater than amortized cost by $23.2 million and $23.4 million at June 30, 2003 and 2002, respectively.

        Our operating cash flow improved for the six months ended June 30, 2003 compared to the six months ended June 30, 2002. Cash provided by continuing operations improved to $57.5 million for the six months ended June 30, 2003 compared to $1.7 million for the six months ended June 30, 2002. Favorable cash flow for the six months ended June 30, 2003 also reflects increases in advance and unearned premium balances, due to increased premium volume in the health and workers' compensation business and an increase in the medical and other benefits payable balance.

        To meet periodic cash flow requirements, we make borrowings under two separate bank lines-of-credit ("LOC") with a commercial bank. One LOC permits borrowings by certain subsidiaries, excluding the corporate holding company, up to $20.0 million in the aggregate. The other LOC permits aggregate borrowings by United Government Services, LLC ("UGS") and Trust Solutions, LLC ("TS") of up to $2.0 million with company specific maximums. Both of the LOCs are subject to an adjustable interest rate of LIBOR plus 2% or, at our discretion, prime rate, with interest payments due monthly. As of June 30, 2003, there were no outstanding borrowings under either LOC.

        We also currently have a three-year revolving credit facility ("revolver") from M&I Marshall & Ilsley Bank that originated on August 7, 2002 and provides up to $30.0 million of available credit to us with the availability declining to $25.0 million on August 7, 2003 and to $15.0 million on August 7, 2004. As of June 30, 2003, the interest rate on the revolver was at a rate of LIBOR plus 2.50%. We have pledged the stock of our BCBSUW and CompcareBlue subsidiaries as collateral for the revolver. Our outstanding balance on the revolver was $26.8 million as of June 30, 2003.

        Interest expense on the LOC and revolver discussed above totaled $0.3 million and $0.1 million for the three months ended June 30, 2003 and 2002, respectively. Interest expense on the LOC and revolver discussed above totaled $0.6 million and $0.2 million for the six months ended June 30, 2003 and 2002, respectively.

        In addition, United Wisconsin Insurance Company ("UWIC") has two Irrevocable Standby Letters of Credit from a commercial bank, which permit aggregate draws of $16.9 million at an annual commission rate of 1.0%. As of June 30, 2003, there were no outstanding draws on either letter of credit.

        The Blue Cross and Blue Shield Association (the "Association") requires BCBSUW and CompcareBlue to maintain a prescribed liquidity ratio of certain liquid assets to average monthly expenses, as defined, in accordance with licensure requirements of the Association. BCBSUW and CompcareBlue maintained these required levels as of June 30, 2003.

        BCBSUW has an outstanding line-of-credit in the amount of $15.0 million available to Health Professionals of Wisconsin, Inc., an affiliate of UHC, which is a key provider for Unity. The balance

23



was $3.0 million as of June 30, 2003. Interest is calculated using the quarterly prime rate and is due and payable annually on November 1.

Statutory Capital

        We are required to maintain certain levels of statutory capital and surplus under the National Association of Insurance Commissioners ("NAIC") Risk Based Capital ("RBC") requirements. Wisconsin insurers are also subject to compulsory and security surplus requirements based upon a percentage of underwritten premiums, with the applicable percentage determined by line of business. In addition to statutory capital requirements, we, BCBSUW, and CompcareBlue are required to maintain certain capital levels as determined by the Association. As of December 31, 2002, all of our insurance subsidiaries exceeded the minimum capital requirements imposed by the State of Wisconsin and the Association.

Inflation

        Health care costs have been rising and are expected to continue to rise at a rate that exceeds the consumer price index. Our cost control measures, risk-sharing incentive arrangements with medical care providers, and premium rate increases are designed to reduce the adverse effect of medical cost inflation on our operations. In addition, we utilize our ability to apply appropriate underwriting criteria in selecting groups and individuals and in controlling the utilization of health care services. However, we cannot be certain that these efforts will fully offset the impact of inflation or that premium revenue increases will equal or exceed increasing health care costs.

Critical Accounting Policies and Estimates

        Our discussion and analysis of our financial condition and results of operations are based upon our consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States ("GAAP"). The preparation of these financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities. On an on-going basis, we evaluate our estimates, including those related to allowances for doubtful accounts, deferred tax assets, impairment of investments, goodwill impairment, medical and other benefits payables, and litigation and tax contingencies. We base our estimates on historical experience and on various other assumptions that are believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions.

        A discussion of certain accounting policies and estimates deemed by us to be critical to an understanding of our financial condition and results of operations is contained in "Management's Discussion and Analysis of Financial Condition and Results of Operations—Critical Accounting Policies and Estimates" in our Annual Report on Form 10-K for the fiscal year ended December 31, 2002.

Cautionary Statement

        This Quarterly Report on Form 10-Q contains "forward-looking statements" within the meaning of the safe harbor provisions of the United States Private Securities Litigation Reform Act of 1995. Forward-looking statements can generally be identified because they are preceded by or include words like "anticipate," "believe," "estimate," "expect," "forecast," "objective," "plan," "possible," "potential," "project" and similar expressions. Forward-looking statements are statements based upon management's expectations at the time such statements are made and are subject to risks and uncertainties that could cause the Company's actual results to differ materially from those

24



contemplated in the statements. Those risks and uncertainties include rising health care costs, business conditions, impact of elimination of memberships, competition in the managed care industry, developments in health care reform and other regulatory issues. Readers are cautioned not to place undue reliance on the forward-looking statements.

        A discussion of certain risk factors we deem to be critical is contained in "Management's Discussion and Analysis of Financial Condition and Results of Operations—Risk Factors" in our Annual Report on Form 10-K for the fiscal year ended December 31, 2002.


ITEM 3.    Quantitative and Qualitative Disclosures about Market Risk

        Because of our investment policies, the primary market risks associated with our portfolio are interest rate risk, credit risk, and the risk related to fluctuations in equity prices. With respect to interest rate risk, a reasonably near-term rise in interest rates could negatively affect the fair value of our bond portfolio. However, because we consider it unlikely that we would need or choose to substantially liquidate our portfolio, we believe that such an increase in interest rates would not have a material impact on future earnings or cash flows. In addition, we are exposed to the risk of loss related to changes in credit spreads. Credit spread risk arises from the potential that changes in an issuer's credit rating or credit perception may affect the value of financial instruments.

        The overall goal of the investment portfolio is to support our ongoing operations. Our philosophy is to manage assets to maximize total return over a multiple-year time horizon, subject to appropriate levels of risk. We manage these risks by establishing gain and loss tolerances, targeting asset-class allocations, diversifying among asset classes and segments within various asset classes, and using performance measurement and reporting.

        We use a sensitivity model to assess the interest rate risk of our fixed income investments. The model includes all fixed income securities and incorporates assumptions regarding the impact of changing interest rates on expected cash flows for certain financial assets with prepayment features, such as callable bonds and mortgage-backed securities. The reduction in the fair value of Cobalt's modeled financial assets resulting from a hypothetical instantaneous 100 basis point increase in the U.S. Treasury yield curve is estimated at $16.7 million as of June 30, 2003.


ITEM 4.    Controls and Procedures

        In accordance with Rule 13a-15(b) of the Securities Exchange Act of 1934 (the "Exchange Act"), as of the end of the second quarter of 2003, an evaluation was carried out under the supervision and with the participation of our management, including our Chairman and Chief Executive Officer and our Senior Vice President, Treasurer and Chief Financial Officer, of the effectiveness of the design and operation of our disclosure controls and procedures (as defined in the rules promulgated under the Exchange Act). Based upon their evaluation of these disclosure controls and procedures, our Chairman and Chief Executive Officer and our Senior Vice President, Treasurer and Chief Financial Officer concluded that our disclosure controls and procedures were effective as of the date of such evaluation to ensure that material information relating to us, including our consolidated subsidiaries, was made known to them by others within those entities, particularly during the period in which this Quarterly Report on Form 10-Q was being prepared.

        There was no change in our internal control over financial reporting that occurred during the second quarter of 2003 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

25


Cobalt Corporation


PART II.    OTHER INFORMATION

Item 1.    Legal Proceedings

        None


Item 2.    Changes in Securities and Use of Proceeds

        None


Item 3.    Defaults Upon Senior Securities

        None


Item 4.    Submission of Matters to a Vote of Security Holders


 
  Shares
Voted in
Favor of

  Shares
Withholding
Authority

Richard Abdoo   40,358,347   961,723
Barry K. Allen   39,406,784   1,913,286
Michael S. Joyce   39,620,758   1,699,312

 
   
  Shares Voted
   
 
   
  Broker
Non-
vote

 
  For
  Against
  Withheld
Approval of the 2003 Incentive Plan   32,000,267   7,794,475   4,446   1,520,882


Item 5.    Other Information

        None


Item 6.    Exhibits and Reports on Form 8-K

26


27



SIGNATURE

        Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.


August 12, 2003

 

COBALT CORPORATION

 

 

By:

/s/  
GAIL L. HANSON      
Gail L. Hanson
Senior Vice President, Treasurer and
Chief Financial Officer

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COBALT CORPORATION

INDEX TO EXHIBITS
QUARTERLY REPORT ON FORM 10-Q

        For the Period Ended June 30, 2003

Exhibit
Number

  Description

31.1   Certification by the Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

31.2

 

Certification of the Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

32   

 

Certification of Periodic Financial Report by the Chief Executive Officer and Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

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SIGNATURE
INDEX TO EXHIBITS QUARTERLY REPORT ON FORM 10-Q