TRIPLE-S MANAGEMENT CORP - FORM 8-K - EX-99.1 - EXHIBIT 99.1

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8-K - 8-K - TRIPLE-S MANAGEMENT CORP	form8k.htm

Exhibit 99.1

Investor Presentation May 2018

*This document contains forward-looking statements, as defined in the Private Securities Litigation Reform Act of 1995. Forward-looking statements include information about possible or assumed future sales, results of operations, developments, regulatory approvals or other circumstances. Sentences that include "believe", "expect", "plan", "intend", "estimate", "anticipate", "project", "may", "will", "shall", "should" and similar expressions, whether in the positive or negative, are intended to identify forward-looking statements. All forward-looking statements in this news release reflect management's current views about future events and are based on assumptions and subject to risks and uncertainties. Consequently, actual results may differ materially from those expressed here as a result of various factors, including all the risks discussed and identified in public filings with the U.S. Securities and Exchange Commission (SEC). In addition, the Company operates in a highly competitive, constantly changing environment, influenced by very large organizations that have resulted from business combinations, aggressive marketing and pricing practices of competitors, and regulatory oversight. The following factors, if markedly different from the Company's planning assumptions (either individually or in combination), could cause Triple-S Management's results to differ materially from those expressed in any forward-looking statements shared here: Trends in health care costs and utilization rates Ability to secure sufficient premium rate increases Competitor pricing below market trends of increasing costs Re-estimates of policy and contract liabilities Changes in government laws and regulations of managed care, life insurance or property and casualty insurance Significant acquisitions or divestitures by major competitors Introduction and use of new prescription drugs and technologies A downgrade in the Company's financial strength ratings A downgrade in the Government of Puerto Rico's debt Litigation or legislation targeted at managed care, life insurance or property and casualty insurance companies Ability to contract with providers consistent with past practice Ability to successfully implement the Company's disease management, utilization management and Star ratings programs Ability to maintain Federal Employees, Medicare and Medicaid contracts Volatility in the securities markets and investment losses and defaults General economic downturns, major disasters, and epidemics This list is not exhaustive. Management believes the forward-looking statements in this release are reasonable. However, there is no assurance that the actions, events or results anticipated by the forward-looking statements will occur or, if any of them do, what impact they will have on the Company's results of operations or financial condition. In view of these uncertainties, investors should not place undue reliance on any forward-looking statements, which are based on current expectations. In addition, forward-looking statements are based on information available the day they are made, and (other than as required by applicable law, including the securities laws of the United States) the Company does not intend to update or revise any of them in light of new information or future events. Readers are advised to carefully review and consider the various disclosures in the Company's SEC reports. Safe Harbor Statement

Introduction to Triple-S Who we are Largest and most experienced managed care organization (MCO) in Puerto RicoExclusive BCBS licensee for Puerto Rico, Costa Rica and U.S. Virgin IslandsNYSE: GTS First quarter 2018 premiums experienced 7% year over year growth2017 medical loss ratio (MLR) of 85.6%As of March 31, 2018, approximately $213 million in cash and $31 million of debt on balance sheet Solid Financials Recent Developments Received 4-star Medicare Advantage designation in our HMO productPartnering with Optum to modernize and enhance infrastructureEstablished and expanding ambulatory clinic network in Puerto RicoExpanded share repurchase program in February 2018 by $25 million

Investment Highlights Strong balance sheet and robust repurchase program in place Well regulated market = strong barrier to entry Upgrading infrastructure/technology to improve service, lower costs and enhance long-term margins Rebuilt management team with deep managed care expertise leveraging 50+ year experience and brand equity Well positioned to grow business as Puerto Rico recovers

Progressing and Creating Value Now Then VS Founded in 1959; received Blue Shield exclusive license six years later; operated initially as “non-profit”, became “for-profit in 1990s IPO: December 2007 Went public with dual class structure 19 member Board; siloed management structure In recent years, focused on short term; top-line growth at expense of bottom line Underinvested in business Rebuilt an experienced management team focused on long-term value and profitability Rationalizing and stabilizing Managed Care business More disciplined underwriting Vast majority of shares outstanding in single class Investing considerably in infrastructure to enhance long-term margins Positioned to grow Managed Care despite ongoing Puerto Rico macro issues

Deep Senior Management Expertise Roberto García-RodríguezPresident & CEO25+ years of health care / legal industry experienceHas held various roles since joining Triple-S in 2008, including COO from 2013-2016Member of the Board of Directors of the Blue Cross Blue Shield Association Juan José Román-JiménezExecutive VP & CFO30+ years of financial and health care industry experience, CPAPrior to rejoining Triple-S, was CFO of EVERTEC, a NYSE-listed payments services companyPreviously spent 15 years at Triple-S and its subsidiaries in various positions Madeline Hernández-UrquizaExecutive VP & COOPresident - Triple-S Salud and Triple-S Advantage30+ years of health care and financial industry experienceHeld various positions at Triple-S, including Chief Risk Officer for Commercial and Medicaid businessesSuccessfully reorganized company’s Medicare Advantage subsidiary, leading to upgraded 4-Star HMO rating in late 2016 Arturo Carrión-Crespo President – Triple-S Vida30+ years of life/health insurance industry experiencePresident of Triple-S Vida since 1998Also spent 11 years at Great American Life Assurance Company of Puerto Rico

Market Share – Health InsuranceAll Segments 2016 2017 Total Member Months* *Based on annual statutory filings, as of 12/31/2017.

Puerto Rico – Island Update Macro Puerto Rico in 12th year of recessionSought bankruptcy protection in mid-2017 – must restructure debtFiscal plan approved by PROMESA Hurricane Maria Hurricane caused significant displacement/migration to continental U.S.As of March 31, vast majority of essential services back on lineRebuilding process underway ($16B relief package from Washington, $18.5B from HUD) Services Online* Electric Water Telecom 95% 99% 99% Deep experience navigating through challenging environments *Source: StatusPR.com

Recent Government Developments Medicaid RFP February 2018 – disaster recovery package signed in Washington Puerto Rico receiving $16 billion in Federal aid $5 billion earmarked to Medicaid, funding PR Medicaid program for next two years and avoiding “Medicaid Cliff” Remainder going to infrastructure, businesses, home repair/rebuild Still require permanent solution to “Medicaid Cliff” by 2020 February 2018 – Puerto Rican government issues RFP for administration of Medicaid program Under new model that will go into effect in 4Q18, MCOs will bear full risk but must serve and compete for membership across the island MCOs must also participate in both risk pools – one for general population, one for “high cost, high need” Triple-S proposal delivered in April; MCOs will be selected by May 25 Federal Aid Package

P&C Reserved for Hurricane Losses $8.5M Irma $687.0M María Gross losses as of March 31, 2018* *Estimated of gross losses covered by catastrophe reinsurance received as of May 4, 2018; new claims decelerating over time Up to $700.0M 16,200 claims Company has already closed over 69% of the claims received related to Hurricane MaríaExpect no additional impact to income statementManagement believes catastrophe coverage for losses and allocated loss expenses is sufficient to cover anticipated gross losses from the hurricanes

Strong and Stable Balance Sheet Continuing to prudently allocate capital Expanded existing $30 million share repurchase program by an additional $25 million in February 2018; as of May 4, 2018, $18.5 million of availability remained As of March 31, 2018:Investment portfolio of $1.6 billion; generated net investment income of $51.6 million in 2017, an increase of 5.5% from prior yearLimited exposure to Puerto Rico devaluations; PR government obligation has fair value of $8 million, representing <1% of portfolioApproximately $213 million in cash and cash equivalentsLong-term debt of $31 million, no near-term maturities

Upgraded Medicare Advantage Product Inconsistent productLack of cost control HMO Plan Receives 4-star Designation Reposition Reorganize Retain Legacy 2013 - 2016 Late 2016

Competitive MA Offering Expands Growth Opportunities Consistency MA product benefits aligned to grow membership Choice 75% of eligible consumers choose an MA plan Cash Designation provides 8-9% increase in rates Continuing to optimize costs in segment to drive improving bottom line Can price premiums more competitively than in prior years Four-star designation provides company with growth engine

Optimizing Commercial Segment *Adjusts for effect of prior period reserve developments; hurricane impact on utilization in 2017 accounted for 310 basis points of the 590 basis point decline. Segment focused on disciplined underwriting Triple-S maintains dominant market share in Commercial segment in Puerto RicoFocus in last couple of years to methodically reduce membership in order to clean up portfolio and remove unprofitable accounts, thus improving MLRWith portfolio underwriting improving, plan to carefully restart growth initiatives, including clinic network expansion Commercial Members(as of year-end) Annual Medical Loss Ratio (MLR) Adjusted Annual Medical Loss Ratio (MLR)* 2015 547,634 84.2% 86.6% 2016 509,157 85.2% 83.8% 2017 475,026 77.5% 77.5%

Modernizing Infrastructure Expanding Long-Term Profitability Transition core IT and business processes Modernize and simplify business functions Upgrade customer service and overall efficiency Become more competitive; focus on developing business / products Partnership

Well-Positioned to Grow Long-Term Creating long-term value by growing within Puerto Rico – can be accomplished despite migration Focus on retaining current Medicare Advantage client base and using more competitive offering to win new business and capture additional market shareContinue modernizing infrastructure to further improve level of service while creating additional efficiencies to reduce costsExpand ambulatory clinic network – leverage as additional platform to provide better medical access, cost, quality, and build into competitive advantage