e10vq
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
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þ |
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QUARTER REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended June 30, 2009
OR
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o |
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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: 001-14953
HEALTHMARKETS, INC.
(Exact name of registrant as specified in its charter)
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Delaware
(State or other jurisdiction of
incorporation or organization)
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75-2044750
(I.R.S. Employer
Identification Number) |
9151 Boulevard 26, North Richland Hills, Texas 76180
(Address of principal executive offices, zip code)
(817) 255-5200
(Registrants phone number, including area code)
Indicate by check mark whether the registrant (1) has filed all reports required to be
filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months
(or for such shorter period that the registrant was required to file such reports), and (2) has
been subject to such filing requirements for the past 90 days. Yes þ No o
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site,
if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T
during the preceding 12 months (or for such shorter period that the registrant was required to submit and post
such files). Yes o No o
Indicate by check mark whether the registrant is a large accelerated filer, an
accelerated filer, a non-accelerated filer, or a smaller reporting company. See definitions of
large accelerated filer, accelerated filer and smaller reporting company in Rule 12b-2 of the
Exchange Act. (Check one):
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Large accelerated filer o
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Accelerated filer o
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Non-accelerated filer þ (Do not check if a smaller reporting company)
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Smaller reporting company o |
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of
the Exchange Act). Yes o No þ
On July 31, 2009 the registrant had 26,777,074 outstanding shares of Class A-1 Common
Stock, $.01 Par Value, and 2,692,138 outstanding shares of Class A-2 Common Stock, $.01 Par Value.
HEALTHMARKETS, INC.
and Subsidiaries
Second Quarter 2009 Form 10-Q
TABLE OF CONTENTS
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Page |
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PART I FINANCIAL INFORMATION |
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Item 1. Financial Statements (Unaudited) |
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1 |
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26 |
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37 |
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37 |
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38 |
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38 |
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39 |
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39 |
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39 |
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40 |
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40 |
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41 |
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EX-31.1 |
EX-31.2 |
EX-32 |
HEALTHMARKETS, INC.
and Subsidiaries
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Page |
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PART I FINANCIAL INFORMATION |
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Item 1. Financial Statements (Unaudited) |
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2 |
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3 |
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4 |
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5 |
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6 |
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1
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED BALANCE SHEETS
(In thousands, except per share data)
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June 30, |
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December 31, |
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2009 |
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2008 |
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(Unaudited) |
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ASSETS |
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Investments: |
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Securities available for sale |
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Fixed maturities, at fair value (cost: June
30, 2009 $817,980; December 31, 2008
$855,137) |
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$ |
797,780 |
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$ |
805,026 |
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Equity securities, at fair value (cost: June
30, 2009 $196; December 31, 2008 $178) |
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224 |
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210 |
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Trading securities, at fair value |
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14,259 |
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11,937 |
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Short-term and other investments |
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309,962 |
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210,433 |
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Total investments |
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1,122,225 |
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1,027,606 |
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Cash and cash equivalents |
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100,339 |
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Student loan receivables |
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74,660 |
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78,837 |
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Restricted cash |
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7,335 |
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7,881 |
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Investment income due and accrued |
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12,006 |
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13,304 |
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Reinsurance recoverable ceded policy liabilities |
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372,639 |
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384,801 |
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Agent and other receivables |
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30,026 |
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37,954 |
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Deferred acquisition costs |
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72,134 |
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72,151 |
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Property and equipment, net |
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53,079 |
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63,198 |
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Goodwill and other intangible assets |
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86,756 |
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87,555 |
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Recoverable federal income taxes |
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11,989 |
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10,177 |
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Other assets |
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31,097 |
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32,910 |
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$ |
1,873,946 |
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$ |
1,916,713 |
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LIABILITIES AND STOCKHOLDERS EQUITY |
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Policy liabilities: |
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Future policy and contract benefits |
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$ |
469,970 |
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$ |
486,174 |
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Claims |
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375,466 |
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415,748 |
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Unearned premiums |
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55,132 |
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61,491 |
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Other policy liabilities |
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8,660 |
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9,633 |
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Accounts payable and accrued expenses |
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42,061 |
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58,571 |
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Other liabilities |
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89,610 |
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94,346 |
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Deferred federal income taxes |
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38,798 |
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23,495 |
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Debt |
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481,070 |
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481,070 |
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Student loan credit facility |
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81,000 |
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86,050 |
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Net liabilities of discontinued operations |
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2,078 |
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2,210 |
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1,643,845 |
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1,718,788 |
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Commitments and Contingencies (Note 8) |
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Stockholders Equity: |
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Preferred stock, par value $0.01 per share
authorized 10,000,000 shares, none issued |
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Common Stock, Class A-1, par value $0.01 per
share authorized 90,000,000 shares, 27,000,062
issued and 26,777,073 outstanding at June 30,
2009; 27,000,062 issued and 26,887,281
outstanding at December 31, 2008. Class A-2, par
value $0.01 per share authorized 20,000,000
shares, 4,026,104 issued and 2,723,516
outstanding at June 30, 2009; 4,026,104 issued
and 2,741,240 outstanding at December 31, 2008 |
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310 |
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310 |
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Additional paid-in capital |
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46,064 |
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54,004 |
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Accumulated other comprehensive loss |
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(21,030 |
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(41,970 |
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Retained earnings |
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239,970 |
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227,686 |
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Treasury stock, at cost (222,989 Class A-1 common
shares and 1,302,588 Class A-2 common shares at
June 30, 2009; 112,781 Class A-1 common shares
and 1,284,864 Class A-2 common shares at December
31, 2008) |
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(35,213 |
) |
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(42,105 |
) |
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230,101 |
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197,925 |
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$ |
1,873,946 |
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$ |
1,916,713 |
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See Notes to Consolidated Condensed Financial Statements.
2
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF INCOME (LOSS)
(In thousands, except per share data)
(Unaudited)
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Three Months Ended |
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Six Months Ended |
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June 30, |
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June 30, |
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2009 |
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2008 |
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2009 |
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2008 |
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REVENUE |
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Health premiums |
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$ |
250,503 |
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$ |
326,038 |
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$ |
513,643 |
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$ |
643,303 |
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Life premiums and other considerations |
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624 |
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17,761 |
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1,342 |
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36,516 |
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251,127 |
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343,799 |
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514,985 |
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679,819 |
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Investment income |
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11,035 |
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17,530 |
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21,351 |
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39,362 |
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Other income |
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15,536 |
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20,539 |
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32,777 |
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42,731 |
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Total other-than-temporary impairment losses |
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(2,683 |
) |
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(5,581 |
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(4,078 |
) |
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(5,581 |
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Portion of loss recognized in other comprehensive
income (before taxes) |
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Net impairment losses recognized in earnings |
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(2,683 |
) |
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(5,581 |
) |
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(4,078 |
) |
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(5,581 |
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Realized gains |
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1,533 |
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965 |
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1,555 |
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2,342 |
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276,548 |
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377,252 |
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566,590 |
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758,673 |
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BENEFITS AND EXPENSES |
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Benefits, claims, and settlement expenses |
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142,080 |
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226,038 |
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309,679 |
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450,295 |
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Underwriting, acquisition, and insurance expenses |
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98,376 |
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139,678 |
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179,276 |
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267,984 |
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Other expenses |
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21,908 |
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33,840 |
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41,914 |
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60,791 |
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Interest expense |
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8,184 |
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10,422 |
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17,693 |
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21,594 |
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270,548 |
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409,978 |
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548,562 |
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800,664 |
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Income (loss) from continuing operations before income taxes |
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6,000 |
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(32,726 |
) |
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18,028 |
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(41,991 |
) |
Federal income tax expense (benefit) |
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2,807 |
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(13,461 |
) |
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6,812 |
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(16,402 |
) |
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Income (loss) from continuing operations |
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3,193 |
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(19,265 |
) |
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11,216 |
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(25,589 |
) |
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Income from discontinued operations, net |
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16 |
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36 |
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51 |
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67 |
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Net income (loss) |
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$ |
3,209 |
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$ |
(19,229 |
) |
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$ |
11,267 |
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$ |
(25,522 |
) |
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Basic earnings per share: |
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Income (loss) from continuing operations |
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$ |
0.11 |
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$ |
(0.63 |
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$ |
0.38 |
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$ |
(0.83 |
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Income (loss) from discontinued operations |
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0.00 |
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0.00 |
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0.00 |
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0.00 |
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Net income (loss) per share, basic |
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$ |
0.11 |
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$ |
(0.63 |
) |
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$ |
0.38 |
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$ |
(0.83 |
) |
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Diluted earnings per share: |
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Income (loss) from continuing operations |
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$ |
0.11 |
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$ |
(0.63 |
) |
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$ |
0.37 |
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$ |
(0.83 |
) |
Income (loss) from discontinued operations |
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0.00 |
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0.00 |
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0.00 |
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0.00 |
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Net income (loss) per share, diluted |
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$ |
0.11 |
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$ |
(0.63 |
) |
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$ |
0.37 |
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$ |
(0.83 |
) |
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See Notes to Consolidated Condensed Financial Statements.
3
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands)
(Unaudited)
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Three Months Ended |
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Six Months Ended |
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June 30, |
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June 30, |
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2009 |
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2008 |
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2009 |
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|
2008 |
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Net income (loss) |
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$ |
3,209 |
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$ |
(19,229 |
) |
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$ |
11,267 |
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$ |
(25,522 |
) |
Implementation effect upon adoption of SFAS FSP No. 115-2 |
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1,017 |
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1,017 |
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Other comprehensive income (loss): |
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Unrealized gains (losses) on securities available for sale arising during the period |
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21,670 |
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(14,547 |
) |
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26,771 |
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(17,998 |
) |
Reclassification for investment (gains) losses included in net income (loss) |
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3,035 |
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91 |
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3,030 |
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(414 |
) |
Other-than-temporary impairment losses recognized in OCI |
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(1,565 |
) |
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(1,565 |
) |
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Effect on other comprehensive income (loss) from investment securities |
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23,140 |
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(14,456 |
) |
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28,236 |
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(18,412 |
) |
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Unrealized gains (losses) on derivatives used in cash flow hedging during the period |
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(409 |
) |
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5,351 |
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(899 |
) |
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(1,980 |
) |
Reclassification adjustments included in net income (loss) |
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2,248 |
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|
1,763 |
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4,880 |
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2,297 |
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Effect on other comprehensive income from hedging activities |
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1,839 |
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7,114 |
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|
3,981 |
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|
317 |
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Other comprehensive income (loss) before tax |
|
|
24,979 |
|
|
|
(7,342 |
) |
|
|
32,217 |
|
|
|
(18,095 |
) |
Income tax expense (benefit) related to items of other comprehensive income (loss) |
|
|
8,743 |
|
|
|
(2,544 |
) |
|
|
11,277 |
|
|
|
(6,319 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Other comprehensive income (loss) net of tax |
|
|
16,236 |
|
|
|
(4,798 |
) |
|
|
20,940 |
|
|
|
(11,776 |
) |
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Comprehensive income (loss) |
|
$ |
20,462 |
|
|
$ |
(24,027 |
) |
|
$ |
33,224 |
|
|
$ |
(37,298 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
See Notes to Consolidated Condensed Financial Statements.
4
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
|
2009 |
|
|
2008 |
|
Operating Activities: |
|
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
11,267 |
|
|
$ |
(25,522 |
) |
Adjustments to reconcile net income (loss) to cash provided by
operating activities: |
|
|
|
|
|
|
|
|
(Income) loss from discontinued operations |
|
|
(51 |
) |
|
|
(67 |
) |
Realized gains |
|
|
3,013 |
|
|
|
3,239 |
|
Change in deferred income taxes |
|
|
3,479 |
|
|
|
(1,354 |
) |
Depreciation and amortization |
|
|
14,614 |
|
|
|
13,750 |
|
Amortization of prepaid monitoring fees |
|
|
6,250 |
|
|
|
6,250 |
|
Equity based compensation expense |
|
|
2,285 |
|
|
|
(520 |
) |
Other items, net |
|
|
6,867 |
|
|
|
10,626 |
|
Changes in assets and liabilities: |
|
|
|
|
|
|
|
|
Investment income due and accrued |
|
|
1,298 |
|
|
|
2,784 |
|
Due premiums |
|
|
2,086 |
|
|
|
558 |
|
Reinsurance recoverable ceded policy liabilities |
|
|
12,162 |
|
|
|
23,152 |
|
Agent and other receivables |
|
|
6,129 |
|
|
|
33,329 |
|
Deferred acquisition costs |
|
|
17 |
|
|
|
16,642 |
|
Prepaid monitoring fees |
|
|
(12,500 |
) |
|
|
(12,500 |
) |
Current income tax recoverable |
|
|
(1,812 |
) |
|
|
(21,231 |
) |
Policy liabilities |
|
|
(59,814 |
) |
|
|
(5,924 |
) |
Other liabilities and accrued expenses |
|
|
(13,129 |
) |
|
|
(16,949 |
) |
|
|
|
|
|
|
|
Cash (used in) provided by continuing operations |
|
|
(17,839 |
) |
|
|
26,263 |
|
Cash (used in) provided by discontinued operations |
|
|
(81 |
) |
|
|
(136 |
) |
|
|
|
|
|
|
|
Net cash (used in) provided by operating activities |
|
|
(17,920 |
) |
|
|
26,127 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investing Activities: |
|
|
|
|
|
|
|
|
Student loan receivables |
|
|
|
|
|
|
|
|
Purchases and originations |
|
|
(1,371 |
) |
|
|
(2,479 |
) |
Repayments |
|
|
4,576 |
|
|
|
6,492 |
|
Securities available for sale |
|
|
32,775 |
|
|
|
12,441 |
|
Short-term and other investments, net |
|
|
(99,573 |
) |
|
|
862 |
|
Purchases of property and equipment |
|
|
(1,367 |
) |
|
|
(10,364 |
) |
Proceeds from subsidiaries sold, net of cash disposed of $437 |
|
|
(440 |
) |
|
|
|
|
Change in restricted cash |
|
|
546 |
|
|
|
|
|
Decrease (increase) in agent receivables |
|
|
(1,811 |
) |
|
|
(815 |
) |
|
|
|
|
|
|
|
Cash (used in) provided by continuing operations |
|
|
(66,665 |
) |
|
|
6,137 |
|
Cash (used in) provided by discontinued operations |
|
|
|
|
|
|
129 |
|
|
|
|
|
|
|
|
Net cash (used in) provided by investing activities |
|
|
(66,665 |
) |
|
|
6,266 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financing Activities: |
|
|
|
|
|
|
|
|
Repayment of student loan credit facility |
|
|
(5,050 |
) |
|
|
(7,100 |
) |
Decrease in investment products |
|
|
(4,004 |
) |
|
|
(4,796 |
) |
Increase in cash overdraft |
|
|
4,383 |
|
|
|
|
|
Proceeds from shares issued to agent plans and other |
|
|
4,415 |
|
|
|
7,334 |
|
Purchases of treasury stock |
|
|
(14,390 |
) |
|
|
(37,878 |
) |
Excess tax reduction from equity based compensation |
|
|
(1,108 |
) |
|
|
(167 |
) |
|
|
|
|
|
|
|
Cash used in continuing operations |
|
|
(15,754 |
) |
|
|
(42,607 |
) |
Cash used in discontinued operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in financing activities |
|
|
(15,754 |
) |
|
|
(42,607 |
) |
|
|
|
|
|
|
|
Net change in cash and cash equivalents |
|
|
(100,339 |
) |
|
|
(10,214 |
) |
Cash and cash equivalents at beginning of period |
|
|
100,339 |
|
|
|
14,309 |
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period in continuing operations |
|
$ |
|
|
|
$ |
4,095 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Supplemental disclosures: |
|
|
|
|
|
|
|
|
Income taxes paid |
|
$ |
6,279 |
|
|
$ |
6,481 |
|
|
|
|
|
|
|
|
Interest paid |
|
$ |
19,878 |
|
|
$ |
19,621 |
|
|
|
|
|
|
|
|
See Notes to Consolidated Condensed Financial Statements.
5
HEALTHMARKETS, INC.
and Subsidiaries
NOTES TO CONSOLIDATED CONDENSED FINANCIAL STATEMENTS
(Unaudited)
1. BASIS OF PRESENTATION
The accompanying consolidated condensed financial statements for HealthMarkets, Inc. (the
Company or HealthMarkets) and its subsidiaries have been prepared in accordance with United
States generally accepted accounting principles (GAAP) for interim financial information and the
instructions to Form 10-Q and Rule 10-01 of Regulation S-X. Accordingly, such financial statements
do not include all of the information and notes required by GAAP for complete financial statements.
In the opinion of management, these financial statements include all adjustments, consisting of
normal recurring adjustments and accruals, necessary for the fair presentation of the consolidated
condensed balance sheets, statements of income (loss), statements of comprehensive income (loss)
and statements of cash flows for the periods presented. The accompanying December 31, 2008
consolidated condensed balance sheet was derived from audited consolidated financial statements,
but does not include all disclosures required by GAAP for annual financial statement purposes.
Preparing financial statements requires management to make estimates and assumptions that affect
the amounts that are reported in the financial statements and the accompanying disclosures.
Although these estimates are based on managements knowledge of current events and actions that
HealthMarkets may undertake in the future, actual results may differ materially from the estimates.
Operating results for the three and six months ended June 30, 2009 are not necessarily indicative
of the results that may be expected for the full year ending December 31, 2009. Certain amounts in
the prior period financial statements have been reclassified to conform to the 2009 financial
statement presentation. We have evaluated subsequent events for recognition or disclosure through
August 12, 2009, which was the date we filed this Form 10-Q with the SEC. For further information,
refer to the consolidated financial statements and notes thereto, included in the Companys Annual
Report on Form 10-K for the year ended December 31, 2008.
Concentrations
Through the Self-Employed Agency Division (SEA) Division, the Companys insurance company
subsidiaries provide health insurance products in 42 states and the District of Columbia. As is
the case with many of HealthMarkets competitors in this market, a substantial portion of the
Companys insurance company subsidiaries products are issued to members of various independent
membership associations that act as the master policyholder for such products. The three principal
membership associations in the self-employed market that make available to their members our health
insurance products are the Alliance for Affordable Services (AAS), the National Association for
the Self-Employed (NASE) and Americans for Financial Security (AFS). During the six months
ended June 30, 2009, the Company issued approximately 45% of our new policies through AAS,
approximately 17% of our new policies through NASE and approximately 22% of our new policies
through AFS.
Additionally, during the six months ended June 30, 2009, the Company generated approximately
56% of its health premium revenue from the following 10 states:
|
|
|
|
|
|
|
Percentage |
California |
|
|
13 |
% |
Texas |
|
|
8 |
% |
Florida |
|
|
7 |
% |
Massachusetts |
|
|
6 |
% |
Illinois |
|
|
5 |
% |
Washington |
|
|
4 |
% |
North Carolina |
|
|
4 |
% |
Maine |
|
|
3 |
% |
Wisconsin |
|
|
3 |
% |
Pennsylvania |
|
|
3 |
% |
|
|
|
|
|
|
|
|
56 |
% |
Deferred Acquisition Costs (DAC) 2009 Change in Estimates
Prior to January 1, 2009, the basis for the amortization period on deferred lead costs and the
portion of DAC associated with commissions paid to agents was the estimated weighted average life
of the insurance policy, which approximated 24 months. The monthly amortization factor was
calculated to correspond with the historical persistency of policies (i.e. the monthly amortization
is variable and is higher in the early months). Beginning January 1, 2009, on newly issued
policies, the Company refined its estimated life of the policy to approximate the premium paying
period of the policy based on the expected persistency over this period. As such, these costs are
now amortized over sixty months, and the
6
monthly amortization factor is calculated to correspond with the expected persistency
experience for the newly issued policies. However, the amounts amortized will continue to be
substantially higher in the early months of the policy as both are based on the persistency of the
Companys insurance policies. Policies issued before January 1, 2009 will continue to be amortized
using the existing assumptions in place at the time of the issuance of the policy.
Additionally, prior to January 1, 2009, certain other underwriting and policy issuance costs,
which the Company determined to be more fixed than variable, were expensed as incurred. Effective
January 1, 2009, HealthMarkets determined that, due to changes in both the Companys products and
underwriting procedures performed, certain of these costs have become more variable than fixed in
nature. As such, the Company began deferring such costs over the expected premium paying period of
the policy, which approximates five years.
These changes resulted in a decrease in Underwriting, acquisition and insurance expenses of
$2.2 million and $7.3 million, respectively, for the three and six months ended June 30, 2009.
Recent Accounting Pronouncements
In June 2009, the Financial Accounting Standards Board (the FASB) issued Statement of
Financial Accounting Standards (SFAS) No. 168, The FASB Accounting Standards Codification and the
Hierarchy of Generally Accepted Accounting Principlesa replacement of FASB Statement No. 162
(SFAS No. 168), which recognizes the FASB Accounting Standards Codification (the Codification)
as the source of authoritative U.S. GAAP recognized by the FASB. Additionally, rules and
interpretive releases of the Securities and Exchange Commission (the SEC) under authority of
federal securities laws will also continue to be sources of authoritative GAAP for SEC registrants.
SFAS No. 168 is effective for financial statements issued for interim and annual periods ending
after September 15, 2009, at which time, the Codification will supersede all then-existing non-SEC
accounting and reporting standards.
In June 2009, the FASB issued SFAS No. 167, Amendments to FASB Interpretation No. 46(R) (SFAS
No. 167), which modifies financial reporting for variable interest entities (VIEs). Under SFAS
No. 167, companies are required to perform a periodic analysis to determine whether their variable
interest must be consolidated by the Company. Additionally, Companies must disclose significant
judgments and assumptions made it determining whether it must consolidate a VIE. Any changes in
consolidated entities resulting from a Companys analysis must be applied retrospectively to prior
period financial statements. SFAS No. 167 is effective for annual and interim periods beginning
after November 15, 2009. The Company has not yet determined the impact that the adoption of SFAS
No. 167 will have on its consolidated financial statements.
In June 2009, the FASB issued SFAS No. 166, Accounting for Transfers of Financial Assetsan
amendment of SFAS No. 140, (SFAS No. 166), which provides greater transparency about transfers of
financial assets. SFAS No. 166 requires companies to determine whether the transferor or companies
included in the transferors financial statements have surrendered control over transferred
financial assets. In making such determination, companies are required to consider the continuing
involvement by the transferor in the transferred financial asset. SFAS No. 166 modifies the
financial-components approach used in SFAS No. 140 and limits the circumstances in which a
financial asset, or portion of a financial asset, should be derecognized. Additionally, this FSP
removes the concept of a qualifying special-purpose entity (QSPE) from SFAS No. 140, Accounting
for Transfers and Servicing of Financial Assets and Extinguishments of Liabilities and removes the
exception from applying FASB Interpretation No. 46 (revised December 2003), Consolidation of
Variable Interest Entities, to QSPEs. SFAS No. 166 is effective for annual and interim periods
beginning after November 15, 2009. The Company has not yet determined the impact that the adoption
of SFAS No. 166 will have on its consolidated financial statements.
In May 2009, the Company adopted SFAS No. 165, Subsequent Events (SFAS No. 165), which
established general standards of accounting for and disclosure of events that occur after the
balance sheet date but before financial statements are issued or are available to be issued. SFAS
No. 165 requires disclosure of the date through which an entity has evaluated subsequent events and
the basis for that date. Additionally, SFAS No. 165 clarifies the circumstances under which an
entity should recognize in the financial statements, the effects of events or transactions
occurring after the balance sheet date, and required disclosures for such events and transactions.
The adoption of SFAS No. 165 did not have a material impact on the Companys consolidated condensed
financial statements
In April 2009, the Company adopted FASB Staff Position (FSP) SFAS No. 157-4, Determining The
Fair Value When the Volume and Level of Activity for the Asset or Liability Have Significantly
Decreased and Identifying Transactions That Are Not Orderly (FSP SFAS No. 157-4), which amends
SFAS No. 157, Fair Value Measurements (SFAS No. 157"). Under SFAS No. 157, companies were to
assume that fair value measurements were determined when an asset was to be exchanged in an orderly
transaction between market participants to sell the asset at the measurement date under
7
current market conditions. FSP SFAS No. 157-4 provides guidance for estimating fair value in
accordance with SFAS No. 157 when the market activity for the asset or liability has significantly
decreased and guidance for identifying transactions that are not orderly. Furthermore, FSP SFAS
No. 157-4 requires disclosure in interim and annual periods for the inputs and valuation techniques
used to measure fair value. Additionally, FSP SFAS No. 157-4 requires an entity to disclose a
change in valuation technique resulting from the application of FSP SFAS No. 157-4, and to quantify
such effects. The adoption of FSP SFAS No. 157-4 did not have a material impact on the Companys
consolidated condensed financial statements.
In February 2008, the FASB issued FSP SFAS No. 157-2, Effective Date of FASB Statement No.
157, which delays the effective date of SFAS No. 157 for all nonfinancial assets and nonfinancial
liabilities, except those that are recognized or disclosed at fair value in the financial
statements on a recurring basis (at least annually). These nonfinancial items would include, for
example, reporting units measured at fair value in a goodwill impairment test and nonfinancial
assets acquired and liabilities assumed in a business combination. The adoption of the remaining
provisions of SFAS No. 157 did not have a material impact on the Companys financial position and
results of operations.
In April 2009, the Company adopted FSP SFAS No. 107-1 and APB 28-1, Disclosures about Fair
Value of Financial Instruments (FSP SFAS No. 107-1 and APB 28-1), which amends SFAS No. 107,
Disclosures about Fair Value of Financial Instruments. FSP SFAS No. 107-1 and APB 28-1 requires
companies to provide disclosures about fair value of financial instruments in both interim and
annual financial statements. Additionally, under this FSP, companies are required to disclose the
methods and significant assumptions used to estimate the fair value of financial instruments in
both interim and annual financial statements. The adoption of FSP SFAS No. 107-1 and APB 28-1 did
not have a material impact on the Companys consolidated condensed financial statements.
In April 2009, the Company adopted FSP SFAS No. 115-2 and SFAS No. 124-2, Recognition and
Presentation of Other-Than-Temporary Impairments (FSP SFAS No. 115-2 and SFAS No. 124-2), which
amends SFAS No. 115, Accounting for Certain Investments in Debt and Equity Securities and SFAS No.
124, Accounting for Certain Investments Held by Not-for-Profit Organizations. FSP SFAS No. 115-2
and SFAS No. 124-2 improves the presentation and disclosure of other-than-temporary impairments on
debt and equity securities in the financial statements. Under this FSP, when the fair value is
less than the amortized cost basis at the measurement date, a company would be required to assess
the impaired security to determine whether the impairment is other-than-temporary. Such assessment
may result in the recognition of an other-than-temporary impairment related to a credit loss in the
statement of income and the recognition of an other-than-temporary impairment related to a
non-credit loss in accumulated other comprehensive income on the balance sheet. To avoid
recognizing the entire other-than-temporary impairment in the statement of income, a company would
be required to assert (a) it does not have the intent to sell the security and (b) it is more
likely than not that it will not have to sell the security before recovery of its cost basis.
Additionally, at adoption, a company is permitted to make a one-time cumulative-effect adjustment
for securities held at adoption for which an other-than-temporary impairment related to a
non-credit loss had been previously recognized. Upon adoption of FSP SFAS No. 115-2 and SFAS No.
124-2, the Company recognized such tax-effected cumulative effect as an increase to the opening
balance of retained earnings for $1.0 million with a corresponding decrease to accumulated other
comprehensive income, with no overall change to shareholders equity. See Note 4 of Notes to
Consolidated Condensed Financial Statements.
On January 1, 2009, the Company adopted SFAS No. 161, Disclosures about Derivative Instruments
and Hedging Activities (SFAS No. 161), which amends SFAS No. 133, Accounting for Derivative
Instruments and Hedging Activities (SFAS No. 133). SFAS No. 161 requires companies with
derivative instruments to disclose information that should enable financial statement users to
understand how and why a company uses derivative instruments, how derivative instruments and
related hedged items are accounted for under SFAS No. 133, and how derivative instruments and
related hedged items affect a companys financial position, financial performance, and cash flows.
The required disclosures include the fair value of derivative instruments and their gains or losses
in tabular format, information about credit risk related contingent features in derivative
agreements, counterparty credit risk, and a companys strategies and objectives for using
derivative instruments. The statement expands the current disclosure framework in SFAS No. 133.
The adoption of SFAS No. 161 did not have a material impact on the Companys financial position and
results of operations. The expanded disclosures regarding derivative instruments and hedging
activities are included in Note 6 of Notes to Consolidated Condensed Financial Statements.
In December 2007, SFAS No. 160, Noncontrolling Interests in Consolidated Financial
Statementsan amendment of ARB No. 51, (SFAS No. 160) was issued. The objective of SFAS No. 160
is to improve the relevance, comparability, and transparency of the financial information related
to minority interest that a reporting entity provides in its consolidated financial statements. The
adoption of SFAS No. 160 did not have a material impact on the Companys financial position and
results of operations.
8
2. DISPOSITIONS
Exit from Life Insurance Division Business
On September 30, 2008 (the Closing Date), HealthMarkets, LLC completed the transactions
contemplated by the Agreement for Reinsurance and Purchase and Sale of Assets dated June 12, 2008
(the Master Agreement). Pursuant to the Master Agreement, Wilton Reassurance Company or its
affiliates (Wilton) acquired substantially all of the business of the Companys Life Insurance
Division, which operated through The MEGA Life and Health Insurance Company (MEGA), Mid-West
National Life Insurance Company of Tennessee (Mid-West) and The Chesapeake Life Insurance Company
(Chesapeake) (collectively the Ceding Companies), and all of the Companys 79% equity interest
in each of U.S. Managers Life Insurance Company, Ltd. and Financial Services Reinsurance, Ltd. As
part of the transaction, under the terms of the Coinsurance Agreements (the Coinsurance
Agreements) entered into with each of the Ceding Companies on the Closing Date, Wilton has agreed,
effective July 1, 2008 (the Coinsurance Effective Date), to reinsure on a 100% coinsurance basis
substantially all of the insurance policies associated with the Companys Life Insurance Division
(the Coinsured Policies). In connection with the reinsurance transaction, the Company recognized
an impairment loss to the Life Insurance Divisions DAC of approximately $13.0 million and $4.5
million related to legal fees, employee termination costs and other costs for the three months
ended June 30, 2008. During the second quarter of 2009, the Company recorded the final settlement
on the reinsurance transaction, pursuant to the Coinsurance Agreements, which resulted in a
$978,000 gain. Such gain was recorded in Realized gains on the consolidated condensed statement
of income (loss).
Student Loans
In connection with the execution of the Master Agreement, HealthMarkets, LLC entered into a
definitive Stock Purchase Agreement (as amended, the Stock Purchase Agreement) pursuant to which
Wilton agreed to purchase the Companys student loan funding vehicles, CFLD, Inc. and UICI Funding
Corp. 2 (UFC2), and the related student association. In connection with the transactions
contemplated by the Stock Purchase Agreement, the Company recognized a $5.3 million loss on the
condensed consolidated statement of income (loss) at June 30, 2008 related to the reduction in the
value of the Companys student loan portfolio. The closing of the Stock Purchase Agreement did not
occur due to certain closing conditions that were not satisfied. The Stock Purchase Agreement
provides that either party may terminate the agreement if the closing has not occurred by May 31,
2009. Wilton provided written notice of termination of the Stock Purchase Agreement effective
August 10, 2009.
Prior to June 30, 2009, the Company had presented the assets and liabilities of CFLD, Inc. and
UFC2 as held for sale on its consolidated condensed balance sheet and included the results of
operations of CFLD, Inc. and UFC2 in discontinued operations on its consolidated condensed
statement of income (loss). As the closing of the Stock Purchase Agreement did not occur, the
Company reclassified the assets and liabilities of CFLD and UFC2 out of held for sale and
reclassified the results of operations from discontinued operations to continuing operations for
all periods presented. Such reclassification in the condensed consolidated statement of income
(loss) resulted in an increase in Loss from continuing operations of $3,581 and $5,289 for the
three and six months ended June 30, 2008, respectively.
In accordance with the terms of the Coinsured Agreements, Wilton will fund student loans;
provided, however, that Wilton will not be required to fund any student loan that would cause the
aggregate par value of all such loans funded by Wilton, following the Coinsurance Effective Date,
to exceed $10.0 million. As of June 30, 2009, approximately $1.2 million of student loans have
been funded under this agreement.
Sale of ZON-Re
The Companys Other Insurance Division consisted of ZON-Re USA, LLC (ZON-Re), an 82.5%-owned
subsidiary, which underwrote, administered and issued accidental death, accidental death and
dismemberment (AD&D), accident medical, and accident disability insurance products, both on a
primary and on a reinsurance basis. The Company distributed these products through professional
reinsurance intermediaries and a network of independent commercial insurance agents, brokers and
third party administrators.
On June 5, 2009, HealthMarkets, LLC, entered into an Acquisition Agreement (the Acquisition
Agreement) for the sale of its 82.5% membership interest in ZON-Re to Venue Re, LLC (Venue Re).
The transaction contemplated by the Acquisition Agreement closed effective June 30, 2009. The sale
of the Companys membership interest in ZON-Re resulted in a total pre-tax loss of $489,000. The
Company will continue to reflect the existing insurance business in its financial statements to
final termination of substantially all liabilities.
9
Exit from the Medicare Market
In 2007, we initiated efforts to expand into the Medicare market. In the fourth quarter of
2007, we began offering a new portfolio of Medicare Advantage Private-Fee-for-Service Plans
called HealthMarkets Care Assured PlansSM in selected markets in 29 states with
calendar year coverage effective for January 1, 2008. In July 2008, the Company determined it
would not continue to participate in the Medicare business after the 2008 plan year. For the three
months ended June 30, 2008, the Company recognized a $4.9 million expense associated with a minimum
volume guarantee fee related to the Companys contract with a third party administrator. This
minimum volume guarantee fee was for member months over the three year term of the contract
covering calendar years 2008 through 2010.
3. FAIR VALUE MEASUREMENTS
In accordance with SFAS No. 157, the Company categorizes its investments and certain other
assets and liabilities recorded at fair value into a three-level fair value hierarchy as follows:
|
|
|
Level 1 Unadjusted quoted market prices for identical assets or liabilities in active
markets which are accessible by the Company. |
|
|
|
|
Level 2 Observable prices in active markets for similar assets or liabilities.
Prices for identical or similar assets or liabilities in markets that are not active.
Directly observable market inputs for substantially the full term of the asset or
liability, such as interest rates and yield curves at commonly quoted intervals,
volatilities, prepayment speeds, default rates, and credit spreads. Market inputs that are
not directly observable but are derived from or corroborated by observable market data. |
|
|
|
|
Level 3 Unobservable inputs based on the Companys own judgment as to assumptions a
market participant would use, including inputs derived from extrapolation and interpolation
that are not corroborated by observable market data. |
The Company evaluates the various types of securities in its investment portfolio to determine
the appropriate level in the fair value hierarchy based upon trading activity and the observability
of market inputs. The Company employs control processes to validate the reasonableness of the fair
value estimates of its assets and liabilities, including those estimates based on prices and quotes
obtained from independent third party sources. The Companys procedures generally include, but are
not limited to, initial and ongoing evaluation of methodologies used by independent third parties
and monthly analytical reviews of the prices against current pricing trends and statistics.
Where possible, the Company utilizes quoted market prices to measure fair value. For
investments that have quoted market prices in active markets, the Company uses the quoted market
price as fair value and includes these prices in the amounts disclosed in Level 1 of the hierarchy.
When quoted market prices in active markets are unavailable, the Company determines fair values
using various valuation techniques and models based on a range of observable market inputs
including pricing models, quoted market price of publicly traded securities with similar duration
and yield, time value, yield curve, prepayment speeds, default rates and discounted cash flow. In
most cases, these estimates are determined based on independent third party valuation information,
and the amounts are disclosed in Level 2 of the fair value hierarchy. Generally, the Company
obtains a single price or quote per instrument from independent third parties to assist in
establishing the fair value of these investments.
If quoted market prices and independent third party valuation information are unavailable, the
Company produces an estimate of fair value based on internally developed valuation techniques,
which, depending on the level of observable market inputs, will render the fair value estimate as
Level 2 or Level 3. On occasions when pricing service data is unavailable, the Company may rely on
bid/ask spreads from dealers in determining the fair value. When dealer quotations are used to
assist in establishing the fair value, the Company generally obtains one quote per instrument. The
quotes obtained from dealers or brokers are generally non-binding. When dealer quotations are used,
the Company uses the mid-mark as fair value. When broker or dealer quotations are used for
valuation or price verification, greater priority is given to executable quotes. As part of the
price verification process, valuations based on quotes are corroborated by comparison both to other
quotes and to recent trading activity in the same or similar instruments.
To the extent the Company determines that a price or quote is inconsistent with actual trading
activity observed in that investment or similar investments, or if the Company does not think the
quote is reflective of the market value for the investment, the Company will internally develop a
fair value using this observable market information and disclose the occurrence of this
circumstance.
10
In accordance with SFAS No. 157, the Company has categorized its available for sale securities
into a three level fair value hierarchy based on the priority of inputs to the valuation
techniques. The fair values of investments disclosed in Level 1 of the fair value hierarchy include
money market funds and certain U.S. government securities, while the investments disclosed in Level
2 include the majority of the Companys fixed income investments. In cases where there is limited
activity or less transparency around inputs to the valuation, the Company classifies the fair value
estimates within Level 3 of the fair value hierarchy.
As of June 30, 2009, all of the Companys investments classified within Level 2 and Level 3 of
the fair value hierarchy are valued based on quotes or prices obtained from independent third
parties, except for $101.0 million of Corporate debt and other classified as Level 2, $1.7
million of Corporate debt and other classified as Level 3 and $1.4 million of Mortgage and
asset-backed investments classified as Level 3. The $101.0 million of Corporate debt and other
investments classified as Level 2 noted above includes $86.3 million of an investment grade
corporate bond issued by UnitedHealth Group that was received as consideration for the sale of the
Companys former Student Insurance Division in December 2006.
Fair Value Hierarchy on a Recurring Basis
Assets and liabilities measured at fair value on a recurring basis are categorized in the
tables below based upon the lowest level of significant input to the valuations.
Assets at Fair Value as of June 30, 2009
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In
thousands |
|
Level 1 |
|
|
Level 2 |
|
|
Level 3 |
|
|
Total |
|
U.S. and U.S. Government agencies |
|
$ |
5,135 |
|
|
$ |
35,013 |
|
|
$ |
|
|
|
$ |
40,148 |
|
Corporate debt and other |
|
|
2,833 |
|
|
|
383,561 |
|
|
|
|
|
|
|
386,394 |
|
Collateralized debt obligations |
|
|
|
|
|
|
|
|
|
|
2,563 |
|
|
|
2,563 |
|
Residential backed issued by agencies |
|
|
|
|
|
|
91,889 |
|
|
|
|
|
|
|
91,889 |
|
Commercial backed issued by agencies |
|
|
|
|
|
|
8,711 |
|
|
|
|
|
|
|
8,711 |
|
Residential backed |
|
|
|
|
|
|
4,718 |
|
|
|
|
|
|
|
4,718 |
|
Commercial backed |
|
|
|
|
|
|
70,874 |
|
|
|
1,424 |
|
|
|
72,298 |
|
Asset backed |
|
|
|
|
|
|
19,568 |
|
|
|
360 |
|
|
|
19,928 |
|
Municipals |
|
|
|
|
|
|
163,831 |
|
|
|
7,301 |
|
|
|
171,132 |
|
Corporate equities |
|
|
29 |
|
|
|
|
|
|
|
|
|
|
|
29 |
|
Trading securities |
|
|
|
|
|
|
|
|
|
|
14,259 |
|
|
|
14,259 |
|
Put options (1) |
|
|
|
|
|
|
|
|
|
|
741 |
|
|
|
741 |
|
Short-term and other investments (2) |
|
|
284,224 |
|
|
|
6,304 |
|
|
|
140 |
|
|
|
290,668 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
292,221 |
|
|
$ |
784,469 |
|
|
$ |
26,788 |
|
|
$ |
1,103,478 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
Included in Other assets on the consolidated condensed balance sheet. |
|
(2) |
|
Amount excludes $19.3 million of short term other investments which are not subject
to fair value measurement. |
Liabilities at Fair Value as of June 30, 2009
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In
thousands |
|
Level 1 |
|
|
Level 2 |
|
|
Level 3 |
|
|
Total |
|
Interest rate swaps |
|
$ |
|
|
|
$ |
11,511 |
|
|
$ |
|
|
|
$ |
11,511 |
|
Agent and employee plans |
|
|
|
|
|
|
|
|
|
|
13,184 |
|
|
|
13,184 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
|
|
|
$ |
11,511 |
|
|
$ |
13,184 |
|
|
$ |
24,695 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The following is a description of the valuation methodologies used for certain assets and
liabilities of the Company measured at fair value on a recurring basis, including the general
classification of such assets pursuant to the valuation hierarchy.
Fixed Income Investments
Available for sale investments
The Companys fixed income investments include investments in U.S. treasury securities, U.S.
government agencies bonds, corporate bonds, mortgage and asset backed securities, and municipal
auction rate securities and bonds.
The Company estimates the fair value of its U.S. treasury securities using unadjusted quoted
market prices, and accordingly, discloses these investments in Level 1 of the fair value hierarchy.
In general, the fair values of the majority of the fixed income investments held by the Company
are determined based on observable market inputs provided by independent third party valuation
information. The market inputs utilized in the pricing evaluation include but are not limited to,
benchmark yields, reported trades, broker/dealer quotes, issuer spreads, two-sided markets,
benchmark securities, bids, offers, reference data, and industry and economic events. The Company
classifies the fair value estimates
11
based on these observable market inputs within Level 2 of the fair value hierarchy.
Investments classified within Level 2 consist of U.S. government agencies bonds, corporate bonds,
mortgage and asset backed securities, and municipal bonds.
The Company also holds a small number of fixed income investments, including certain mortgage
and asset backed securities, and collateralized debt obligations, for which it estimates the fair
value using internal pricing matrices with some unobservable inputs that are significant to the
valuation. The Company estimates the fair value of its entire portfolio of municipal auction rate
securities based on non-binding quotes received from independent third parties due to limited
activity and market data for auction rate securities, resulting from liquidity issues in the global
credit and capital markets. Consequently, the lack of transparency in the inputs and the
availability of independent third party pricing information for these investments resulted in their
fair values being classified within the Level 3 of the hierarchy. As of June 30, 2009, the fair
values of certain municipal auction rate securities, collateralized debt obligations and mortgage
and asset-backed securities which represent approximately 1.5% of the Companys total fixed income
investments are reflected within the Level 3 of the fair value hierarchy.
Beginning in 2008, the Company determined that the non-binding quoted price received from an
independent third party broker for a particular collateralized debt obligation investment did not
reflect a value based on an active market. During discussions with the independent third party
broker, the Company learned that the price quote was established by applying a discount to the most
recent price that the broker had offered the investment. However, there were no responding bids to
purchase the investment at that price. As this price was not set based on an active market, the
Company developed a fair value for the investment. The Company continues to fair value the debt
obligation as such during 2009.
The Company established a fair value for the investment based on information about the
underlying pool of assets supplied by the investments asset manager. The Company developed a
discounted cash flow valuation for the investment by applying assumptions for a variety of factors
including among other things, default rates, recovery rates and a discount rate. The Company
believes the assumptions for these factors were developed in a manner consistent with those that a
market participant would use in valuation and were based on the information provided regarding the
underlying pool of assets, various current market benchmarks, industry data for similar assets
types, and particular market observations about similar assets.
Trading securities
The Companys fixed income trading securities consist of auction rate securities, for which
the fair value is determined based on unobservable inputs. Accordingly, the fair value of this
asset is reflected within Level 3 of the fair value hierarchy.
Equities
The Company maintains one investment in equity securities for which the Company uses a quoted
market price based on observable market transactions. The Company includes the fair value estimate
for this stock in Level 1 of the hierarchy. The remaining amount in equity securities represents
one security accounted for using the equity method of accounting and, therefore, does not require
fair value disclosure under the provisions of SFAS No. 157.
Short-term and other investments
The Companys short-term and other investments primarily consist of highly liquid money market
funds, which are reflected within Level 1 of the fair value hierarchy. Additionally, the fair value
of one of the Companys investment assets included in short-term and other investments is
determined based on unobservable inputs. Accordingly, the fair value of this asset is reflected
within Level 3 of the fair value hierarchy.
Put Options
The put options that the Company owned as of June 30, 2009 are directly related to the
agreements the Company entered into with UBS during 2008 to facilitate the repurchase of certain
auction rate municipal securities. The options are carried at fair value which is related to the
fair value of the auction rate securities (see Trading securities above).
Derivatives
The Companys derivative instruments are valued utilizing valuation models that primarily use
market observable inputs and are traded in the markets where quoted market prices are not readily
available, and accordingly, these instruments are reflected within the Level 2 of the fair value
hierarchy.
12
Agent and Employee Stock Plans
The Company accounts for its agent and employee stock plan liabilities based on the Companys
share price at the end of each reporting period. The Companys share price at the end of each
reporting period is based on the prevailing fair value as determined by the Companys Board of
Directors. The Company largely uses unobservable inputs in deriving the fair value of its share
price and the value is, therefore, reflected in Level 3 of the hierarchy.
Changes in Level 3 Assets and Liabilities
The tables below summarize the change in balance sheet carrying values associated with Level 3
financial instruments and agent and employee stock plans for the three and six months ended June
30, 2009.
Changes in Level 3 Assets and Liabilities Measured at Fair Value for the Three Months Ended June 30, 2009
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases, |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sales, |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Unrealized |
|
Payments |
|
|
|
|
|
Transfer |
|
|
|
|
Beginning |
|
Gains or |
|
and |
|
Realized |
|
in/(out) of |
|
Ending |
|
|
Balance |
|
(Losses) |
|
Issuances, Net |
|
Losses(1) |
|
Level 3, Net |
|
Balance |
|
|
In Thousands |
Assets |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Collateralized debt obligations |
|
$ |
1,780 |
|
|
$ |
783 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
|
$ |
2,563 |
|
Commercial backed |
|
|
1,450 |
|
|
|
62 |
|
|
|
(88 |
) |
|
|
|
|
|
|
|
|
|
|
1,424 |
|
Asset backed |
|
|
350 |
|
|
|
10 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
360 |
|
Municipals |
|
|
7,378 |
|
|
|
(77 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7,301 |
|
Trading securities |
|
|
14,475 |
|
|
|
(216 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
14,259 |
|
Put options |
|
|
525 |
|
|
|
216 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
741 |
|
Other invested assets |
|
|
251 |
|
|
|
(7 |
) |
|
|
(103 |
) |
|
|
|
|
|
|
|
|
|
|
141 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Liabilities |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Agent and employee stock plans |
|
$ |
11,459 |
|
|
$ |
|
|
|
$ |
1,725 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
13,184 |
|
Changes in Level 3 Assets and Liabilities Measured at Fair Value for the Six Months Ended June 30, 2009
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases, |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sales, |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Unrealized |
|
Payments |
|
|
|
|
|
Transfer |
|
|
|
|
Beginning |
|
Gains or |
|
and |
|
Realized |
|
in/(out) of |
|
Ending |
|
|
Balance |
|
(Losses) |
|
Issuances, Net |
|
Losses(1) |
|
Level 3, Net |
|
Balance |
|
|
In Thousands |
Assets |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Collateralized debt obligations |
|
$ |
2,585 |
|
|
$ |
1,373 |
|
|
$ |
|
|
|
$ |
(1,395 |
) |
|
$ |
|
|
|
$ |
2,563 |
|
Commercial backed |
|
|
1,494 |
|
|
|
98 |
|
|
|
(168 |
) |
|
|
|
|
|
|
|
|
|
|
1,424 |
|
Asset backed |
|
|
252 |
|
|
|
108 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
360 |
|
Municipals |
|
|
6,539 |
|
|
|
762 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7,301 |
|
Trading securities |
|
|
11,937 |
|
|
|
2,422 |
|
|
|
(100 |
) |
|
|
|
|
|
|
|
|
|
|
14,259 |
|
Put options |
|
|
3,163 |
|
|
|
(2,422 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
741 |
|
Other invested assets |
|
|
476 |
|
|
|
(107 |
) |
|
|
(228 |
) |
|
|
|
|
|
|
|
|
|
|
141 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Liabilities |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Agent and employee stock plans |
|
$ |
18,158 |
|
|
$ |
|
|
|
$ |
(4,974 |
) |
|
$ |
|
|
|
$ |
|
|
|
$ |
13,184 |
|
|
|
|
(1) |
|
Realized losses for the period are included in Realized gains on the Companys
consolidated condensed statement of income (loss). |
Fair Value Option
SFAS No. 159, The Fair Value Option for Financial Assets and Financial Liabilities (SFAS No.
159), provides a fair value option election that permits an entity to elect fair value as the
initial and subsequent measurement attribute for certain financial assets and liabilities. Changes
in fair value for assets and liabilities for which the election is made will be recognized in
earnings as they occur. SFAS No. 159 permits the fair value option election on an instrument by
instrument basis at initial recognition of an asset or liability or upon an event that gives rise
to a new basis of accounting for that instrument. The Company adopted SFAS No. 159 in the fourth
quarter of 2008 for certain put options that were acquired during 2008. Such put options are
recorded in Other assets on the consolidated condensed balance sheet.
Investments not reported at fair value
Other investments primarily consists of investments in equity investees, which are accounted
for under the equity method of accounting on the Companys consolidated condensed balance sheet at
cost.
13
4. INVESTMENTS
The Companys investments consist of the following at June 30, 2009 and December 31, 2008:
|
|
|
|
|
|
|
|
|
|
|
June 30, |
|
|
December 31, |
|
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
Securities available for sale |
|
|
|
|
|
|
|
|
Fixed maturities |
|
$ |
797,780 |
|
|
$ |
805,026 |
|
Equity securities |
|
|
224 |
|
|
|
210 |
|
Trading securities |
|
|
14,259 |
|
|
|
11,937 |
|
Short-term and other investments |
|
|
309,962 |
|
|
|
210,433 |
|
|
|
|
|
|
|
|
Total investments |
|
$ |
1,122,225 |
|
|
$ |
1,027,606 |
|
|
|
|
|
|
|
|
Available for sale fixed maturities are reported at fair value which was derived as
follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
June 30, 2009 |
|
|
|
|
|
|
|
Gross |
|
|
Gross |
|
|
Non-credit Loss |
|
|
|
|
|
|
Amortized |
|
|
Unrealized |
|
|
Unrealized |
|
|
Recognized |
|
|
|
|
|
|
Cost |
|
|
Gains |
|
|
Losses |
|
|
in OCI |
|
|
Fair Value |
|
|
|
(In thousands) |
|
U.S. and U.S. Government agencies |
|
$ |
38,791 |
|
|
$ |
1,357 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
40,148 |
|
Collateralized debt obligations |
|
|
2,335 |
|
|
|
443 |
|
|
|
(216 |
) |
|
|
|
|
|
|
2,562 |
|
Residential backed issued by agencies |
|
|
88,578 |
|
|
|
3,316 |
|
|
|
(6 |
) |
|
|
|
|
|
|
91,888 |
|
Commercial backed issued by agencies |
|
|
8,392 |
|
|
|
318 |
|
|
|
|
|
|
|
|
|
|
|
8,710 |
|
Residential backed |
|
|
5,003 |
|
|
|
8 |
|
|
|
(292 |
) |
|
|
|
|
|
|
4,719 |
|
Commercial backed |
|
|
76,360 |
|
|
|
34 |
|
|
|
(4,097 |
) |
|
|
|
|
|
|
72,297 |
|
Asset backed |
|
|
22,627 |
|
|
|
247 |
|
|
|
(2,946 |
) |
|
|
|
|
|
|
19,928 |
|
Corporate bonds and municipals |
|
|
569,692 |
|
|
|
7,884 |
|
|
|
(25,368 |
) |
|
|
|
|
|
|
552,208 |
|
Other |
|
|
6,202 |
|
|
|
|
|
|
|
(882 |
) |
|
|
|
|
|
|
5,320 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total fixed maturities |
|
$ |
817,980 |
|
|
$ |
13,607 |
|
|
$ |
(33,807 |
) |
|
$ |
|
|
|
$ |
797,780 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2008 |
|
|
|
|
|
|
|
Gross |
|
|
Gross |
|
|
|
|
|
|
Amortized |
|
|
Unrealized |
|
|
Unrealized |
|
|
|
|
|
|
Cost |
|
|
Gains |
|
|
Losses |
|
|
Fair Value |
|
|
|
(In thousands) |
|
U.S. and U.S. Government agencies |
|
$ |
36,014 |
|
|
$ |
1,794 |
|
|
$ |
|
|
|
$ |
37,808 |
|
Collateralized debt obligations |
|
|
3,700 |
|
|
|
|
|
|
|
(1,115 |
) |
|
|
2,585 |
|
Residential backed issued by agencies |
|
|
72,468 |
|
|
|
1,910 |
|
|
|
(6 |
) |
|
|
74,372 |
|
Commercial backed issued by agencies |
|
|
37,406 |
|
|
|
781 |
|
|
|
(53 |
) |
|
|
38,134 |
|
Residential backed |
|
|
6,340 |
|
|
|
|
|
|
|
(878 |
) |
|
|
5,462 |
|
Commercial backed |
|
|
76,959 |
|
|
|
|
|
|
|
(8,427 |
) |
|
|
68,532 |
|
Asset backed |
|
|
25,011 |
|
|
|
70 |
|
|
|
(6,148 |
) |
|
|
18,933 |
|
Corporate bonds and municipals |
|
|
590,996 |
|
|
|
4,229 |
|
|
|
(41,985 |
) |
|
|
553,240 |
|
Other |
|
|
6,243 |
|
|
|
|
|
|
|
(283 |
) |
|
|
5,960 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total fixed maturities |
|
$ |
855,137 |
|
|
$ |
8,784 |
|
|
$ |
(58,895 |
) |
|
$ |
805,026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The amortized cost and fair value of available for sale fixed maturities at June 30,
2009, by contractual maturity, are set forth in the table below. Fixed maturities subject to early
or unscheduled prepayments have been included based upon their contractual maturity dates. Actual
maturities will differ from contractual maturities because borrowers may have the right to call or
prepay obligations with or without call or prepayment penalties.
|
|
|
|
|
|
|
|
|
|
|
June 30, 2009 |
|
|
|
Amortized |
|
|
|
|
|
|
Cost |
|
|
Fair Value |
|
|
|
(In thousands) |
|
Maturity: |
|
|
|
|
|
|
|
|
One year or less |
|
$ |
36,698 |
|
|
$ |
36,812 |
|
Over 1 year through 5 years |
|
|
198,505 |
|
|
|
197,364 |
|
Over 5 years through 10 years |
|
|
241,756 |
|
|
|
229,469 |
|
Over 10 years |
|
|
140,059 |
|
|
|
136,591 |
|
|
|
|
|
|
|
|
|
|
|
617,018 |
|
|
|
600,236 |
|
Mortgage and asset backed securities |
|
|
200,962 |
|
|
|
197,544 |
|
|
|
|
|
|
|
|
Total fixed maturities |
|
$ |
817,980 |
|
|
$ |
797,780 |
|
|
|
|
|
|
|
|
See Note 3 of Notes to Consolidated Condensed Financial Statements for additional
disclosures on fair value measurements.
14
A summary of net investment income sources is set forth below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
Fixed maturities |
|
$ |
9,984 |
|
|
$ |
14,457 |
|
|
$ |
19,690 |
|
|
$ |
29,163 |
|
Equity securities |
|
|
45 |
|
|
|
20 |
|
|
|
17 |
|
|
|
(9 |
) |
Short-term and other investments |
|
|
810 |
|
|
|
2,731 |
|
|
|
1,266 |
|
|
|
9,553 |
|
Agent receivables |
|
|
685 |
|
|
|
812 |
|
|
|
1,346 |
|
|
|
1,651 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
11,524 |
|
|
|
18,020 |
|
|
|
22,319 |
|
|
|
40,358 |
|
Less investment expenses |
|
|
489 |
|
|
|
490 |
|
|
|
968 |
|
|
|
996 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
11,035 |
|
|
$ |
17,530 |
|
|
$ |
21,351 |
|
|
$ |
39,362 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Realized Gains
Realized gains and losses on sales of investments are recognized in net income (loss) on the
specific identification basis and include write downs on those investments deemed to have an other
than temporary decline in fair values. Gains and losses on trading securities are reported in
Realized gains on the consolidated condensed statements of income (loss).
Fixed maturities
Proceeds from the sale and call of investments in fixed maturities were $13.4 million and
$15.1 million for the three and six months ended June 30, 2009, respectively, and $76.1 million and
$127.1 million for the three and six months ended June 30, 2008, respectively. Gross gains of $1.0
million and $1.0 million were realized on the sale and call of fixed maturity investments for the
three and six months ended June 30, 2009, respectively. Gross gains of $468,000 and $973,000 and
gross losses of $559,000 and $559,000 were realized on the sale and call of fixed maturity
investments for the three and six months ended June 30, 2008, respectively.
Equity securities
The Company realized no gains or losses on equity securities during the three and six months
ended June 30, 2009 and the three and six months ended June 30, 2008.
Trading securities
The Company accounts for certain put options that were acquired during 2008 as trading
securities. The Company recognized gross realized gains of $216,000 and $0 for the three and six
months ended June 30, 2009, respectively, and gross realized losses of $0 and $2.4 million for the
three and six months ended June 30, 2009, respectively, in the consolidated condensed statement of
income (loss).
Unrealized Gains (Losses)
Unrealized investment gains and losses on available for sale securities, net of applicable
deferred income tax, are reported in Accumulated other comprehensive income (loss) as a separate
component of stockholders equity and accordingly have no effect on net income (loss).
Set forth below is a summary of gross unrealized losses in its fixed maturities as of June 30,
2009 and December 31, 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
June 30, 2009 |
|
|
|
Unrealized Loss |
|
|
Unrealized Loss |
|
|
|
|
|
|
Less Than 12 Months |
|
|
12 Months or longer |
|
|
Total |
|
|
|
Fair |
|
|
Unrealized |
|
|
Fair |
|
|
Unrealized |
|
|
Fair |
|
|
Unrealized |
|
Description of Securities |
|
Value |
|
|
Losses |
|
|
Value |
|
|
Losses |
|
|
Value |
|
|
Losses |
|
|
|
(In thousands) |
|
U.S. and U.S. Government agencies |
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
Collateralized debt obligations |
|
|
688 |
|
|
|
136 |
|
|
|
195 |
|
|
|
80 |
|
|
|
883 |
|
|
|
216 |
|
Residential backed issued by agencies |
|
|
501 |
|
|
|
5 |
|
|
|
1,981 |
|
|
|
1 |
|
|
|
2,482 |
|
|
|
6 |
|
Residential backed |
|
|
|
|
|
|
|
|
|
|
3,964 |
|
|
|
292 |
|
|
|
3,964 |
|
|
|
292 |
|
Commercial backed |
|
|
|
|
|
|
|
|
|
|
69,854 |
|
|
|
4,097 |
|
|
|
69,854 |
|
|
|
4,097 |
|
Asset backed |
|
|
|
|
|
|
|
|
|
|
16,130 |
|
|
|
2,946 |
|
|
|
16,130 |
|
|
|
2,946 |
|
Corporate bonds and municipals |
|
|
12,329 |
|
|
|
607 |
|
|
|
283,473 |
|
|
|
24,761 |
|
|
|
295,802 |
|
|
|
25,368 |
|
Other |
|
|
|
|
|
|
|
|
|
|
5,318 |
|
|
|
882 |
|
|
|
5,318 |
|
|
|
882 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
13,518 |
|
|
$ |
748 |
|
|
$ |
380,915 |
|
|
$ |
33,059 |
|
|
$ |
394,433 |
|
|
$ |
33,807 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
15
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2008 |
|
|
|
Unrealized Loss |
|
|
Unrealized Loss |
|
|
|
|
|
|
Less Than 12 Months |
|
|
12 Months or longer |
|
|
Total |
|
|
|
Fair |
|
|
Unrealized |
|
|
Fair |
|
|
Unrealized |
|
|
Fair |
|
|
Unrealized |
|
Description of Securities |
|
Value |
|
|
Losses |
|
|
Value |
|
|
Losses |
|
|
Value |
|
|
Losses |
|
|
|
(In thousands) |
|
U.S. and U.S. Government agencies |
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
Collateralized debt obligations |
|
|
|
|
|
|
|
|
|
|
2,310 |
|
|
|
1,115 |
|
|
|
2,310 |
|
|
|
1,115 |
|
Residential backed issued by agencies |
|
|
49 |
|
|
|
|
|
|
|
2,361 |
|
|
|
59 |
|
|
|
2,410 |
|
|
|
59 |
|
Residential backed |
|
|
|
|
|
|
|
|
|
|
5,461 |
|
|
|
878 |
|
|
|
5,461 |
|
|
|
878 |
|
Commercial backed |
|
|
28,432 |
|
|
|
2,960 |
|
|
|
40,100 |
|
|
|
5,468 |
|
|
|
68,532 |
|
|
|
8,428 |
|
Asset backed |
|
|
|
|
|
|
|
|
|
|
13,072 |
|
|
|
6,148 |
|
|
|
13,072 |
|
|
|
6,148 |
|
Corporate bonds and municipals |
|
|
117,143 |
|
|
|
6,877 |
|
|
|
289,731 |
|
|
|
35,107 |
|
|
|
406,874 |
|
|
|
41,984 |
|
Other |
|
|
|
|
|
|
|
|
|
|
5,960 |
|
|
|
283 |
|
|
|
5,960 |
|
|
|
283 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
145,624 |
|
|
$ |
9,837 |
|
|
$ |
358,995 |
|
|
$ |
49,058 |
|
|
$ |
504,619 |
|
|
$ |
58,895 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Of the $748,000 in unrealized losses that had existed for less than twelve months, three
securities had an unrealized loss in excess of 10% of the securitys cost, which was attributable
to the one collateralized debt obligation and two corporate bonds. The amount of unrealized loss
with respect to these three securities was $570,000 at June 30, 2009.
Of the $33.1 million in unrealized losses that have existed for twelve months or longer,
twenty-seven securities had unrealized losses in excess of 10% of the securitys cost, of which one
was a Collateralized debt obligation, one was Residential backed security, one was Commercial
backed security, seven were Asset backed securities, sixteen were Corporate bonds and municipals
and one was in Other in the table above. The amount of unrealized loss with respect to those
securities was $15.0 million at June 30, 2009 of which $80,000 relates to a Collateralized debt
obligation, $520,000 relates to one was Commercial backed security, $2.3 million relates to Asset
backed securities, $11.1 million relates to Corporate bonds and municipals and $882,000 relates to
the one Other security.
As a Company that holds investments in the financial services industry, HealthMarkets has been
affected by conditions in U.S. financial markets and economic conditions throughout the world. The
financial environment in the U.S. has been volatile during 2008 and 2009, and challenging market
conditions have persisted throughout the first six months of 2009. The Company continually
monitors investments with unrealized losses that have existed for twelve months or longer and
considers such factors as the current financial condition of the issuer, the performance of
underlying collateral and effective yields. Additionally, HealthMarkets considers whether it has
the intent to sell the security and whether it is more likely than not that the Company will be
required to sell the debt security before the fair value reverts to our cost basis, which may be at
maturity of the security. Based on such review, the Company believes that, as of June 30, 2009,
the unrealized loss in these investments is temporary.
It is at least reasonably probable the Companys assessment of whether the unrealized losses
are other than temporary may change over time, given, among other things, the dynamic nature of
markets or changes in the Companys assessment of its ability or intent to hold impaired investment
securities, which could result in the Company recognizing other-than-temporary impairment charges
or realized losses on the sale of such investments in the future.
Equity securities
Gross unrealized investment gains (losses) on equity securities were $1,000 and $(3,000) for
the three and six months ended June 30, 2009, respectively, and $(5,000) and $(7,000) for the three
and six months ended June 30, 2008, respectively.
Other-than-temporary impairments
Investments are reviewed at least quarterly, using both quantitative and qualitative factors,
to determine if they have experienced an impairment of value that is considered
other-than-temporary. In its review, management considers the following indicators of impairment:
fair value significantly below cost; decline in fair value attributable to specific adverse
conditions affecting a particular investment; decline in fair value attributable to specific
conditions, such as conditions in an industry or in a geographic area; decline in fair value for an
extended period of time; downgrades by rating agencies from investment grade to non-investment
grade; financial condition deterioration of the issuer and situations where dividends have been
reduced or eliminated or scheduled interest payments have not been made. Additionally, the Company
assesses whether the amortized cost basis will be recovered by comparing the present value of cash
flows expected to be collected with the amortized cost basis of the investment. When the
determination is made that an impairment exists but the Company does not intend to sell the
security and it is not more likely than not that the entity will be required to sell the
16
security before the recovery of its remaining amortized cost basis, the Company will determine
the amount of the impairment related to a credit loss and the amount related to other factors.
During the three months and six months ended June 30, 2009, the Company recognized
other-than-temporary impairments of $2.7 million and $4.1 million, respectively. Impairments
recognized in the second quarter of 2009 resulted from two debt obligation securities, which were
subsequently sold in July 2009. These impairments, which the Company deemed to be
other-than-temporary reductions, were attributable to credit losses and, as such, these impairments
were recorded in the consolidated condensed statement of income (loss). During the three and six
months ended June 30, 2008, the Company recognized impairment charges of $5.6 million primarily
related to certain investments in collateralized debt obligations. These impairment charges
resulted from other than temporary reductions in the fair value of the investments compared to the
Companys cost basis.
Upon adoption of FSP SFAS No. 115-2 and 124-2, the Company recorded a cumulative-effect
adjustment for debt securities held at adoption for which an other-than-temporary impairment had
been previously recognized. The Company recognized such tax-effected cumulative effect of
initially applying FSP SFAS No. 115-2 and 124-2 as an adjustment to Retained earnings for $1.0
million, net of tax with a corresponding adjustment to Accumulated other comprehensive income.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reductions for |
|
Credit losses on debt |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
increases in cash |
|
securities for which |
Cumulative OTTI |
|
Additions to OTTI |
|
Additions for OTTI |
|
|
|
|
|
flows expected to be |
|
a portion of |
credit losses |
|
securities where no |
|
securities where |
|
Reductions for |
|
collected that are |
|
an OTTI was |
recognized for |
|
credit losses were |
|
credit losses have |
|
securities sold |
|
recognized over the |
|
recognized in |
securities still held at |
|
recognized prior to |
|
been recognized prior |
|
during the period |
|
remaining life of the |
|
OCI at |
April 1, 2009 |
|
April 1, 2009 |
|
to April 1, 2009 |
|
(realized) |
|
security |
|
June 30, 2009 |
(In thousands) |
$28,012 |
|
$ |
2,683 |
|
|
$ |
|
|
|
$ |
(1,521 |
) |
|
$ |
(224 |
) |
|
$ |
28,950 |
|
5. DEBT
On April 5, 2006, the HealthMarkets, LLC entered into a credit agreement, providing for a
$500.0 million term loan facility and a $75.0 million revolving credit facility, which includes a
$35.0 million letter of credit sub-facility. The full amount of the term loan was drawn at
closing. At June 30, 2009, the Company had an aggregate of $362.5 million of indebtedness
outstanding under the term loan facility, which indebtedness bore interest at the London inter-bank
offered rate (LIBOR) plus a borrowing margin of 1.00%. The Company has not drawn on the $75.0
million revolving credit facility.
In addition, on April 5, 2006, HealthMarkets Capital Trust I and HealthMarkets Capital Trust
II (two newly formed Delaware statutory business trusts, collectively the Trusts) issued $100.0
million of floating rate trust preferred securities (the Trust Securities) and $3.1 million of
floating rate common securities. The Trusts invested the proceeds from the sale of the Trust
Securities, together with the proceeds from the issuance to HealthMarkets, LLC by the Trusts of the
common securities, in $100.0 million principal amount of HealthMarkets, LLCs Floating Rate Junior
Subordinated Notes due June 15, 2036 (the Notes), of which $50.0 million principal amount accrue
interest at a floating rate equal to three-month LIBOR plus 3.05% and $50.0 million principal
amount accrue interest at a fixed rate of 8.367%.
On April 29, 2004, UICI Capital Trust I (a Delaware statutory business trust, the 2004
Trust) completed the private placement of $15.0 million aggregate issuance amount of floating rate
trust preferred securities with an aggregate liquidation value of $15.0 million (the 2004 Trust
Preferred Securities). The 2004 Trust invested the $15.0 million proceeds from the sale of the
2004 Trust Preferred Securities, together with the proceeds from the issuance to the Company by the
2004 Trust of its floating rate common securities in the amount of $470,000 (the Common
Securities and, collectively with the 2004 Trust Preferred Securities, the 2004 Trust
Securities), in an equivalent face amount of the Companys Floating Rate Junior Subordinated Notes
due 2034 (the 2004 Notes). The 2004 Notes will mature on April 29, 2034. The 2004 Notes accrue
interest at a floating rate equal to three-month LIBOR plus 3.50%, payable quarterly.
17
The following table sets forth detail of the Companys debt and interest expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest Expense |
|
|
|
Principal Amount |
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
at |
|
|
June 30, |
|
|
June 30, |
|
|
|
June 30, 2009 |
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
2006 credit agreement: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Term loan |
|
$ |
362,500 |
|
|
$ |
4,060 |
|
|
$ |
5,168 |
|
|
$ |
9,020 |
|
|
$ |
10,593 |
|
$75 Million revolver (non-use fee) |
|
|
|
|
|
|
115 |
|
|
|
35 |
|
|
|
143 |
|
|
|
72 |
|
Trust preferred securities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
UICI Capital Trust I |
|
|
15,470 |
|
|
|
178 |
|
|
|
249 |
|
|
|
379 |
|
|
|
541 |
|
HealthMarkets Capital Trust I |
|
|
51,550 |
|
|
|
555 |
|
|
|
762 |
|
|
|
1,191 |
|
|
|
1,766 |
|
HealthMarkets Capital Trust II |
|
|
51,550 |
|
|
|
1,091 |
|
|
|
1,091 |
|
|
|
2,169 |
|
|
|
2,181 |
|
Other: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other interest |
|
|
|
|
|
|
788 |
|
|
|
1,054 |
|
|
|
1,566 |
|
|
|
2,096 |
|
Amortization of financing fees |
|
|
|
|
|
|
1,183 |
|
|
|
1,121 |
|
|
|
2,359 |
|
|
|
2,222 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
481,070 |
|
|
$ |
7,970 |
|
|
$ |
9,480 |
|
|
$ |
16,827 |
|
|
$ |
19,471 |
|
Student Loan Credit Facility |
|
|
81,000 |
|
|
|
214 |
|
|
|
942 |
|
|
|
866 |
|
|
|
2,123 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
562,070 |
|
|
$ |
8,184 |
|
|
$ |
10,422 |
|
|
$ |
17,693 |
|
|
$ |
21,594 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The fair value of the Companys long-term debt was $388.8 million and $317.4 million at June
30, 2009 and December 31, 2008, respectively. The fair value of such long-term debt is estimated
using discounted cash flow analyses, based on the Companys current incremental borrowing rates for
similar types of borrowing arrangements.
Student Loan Credit Facility
At June 30, 2009 and December 31, 2008, the Company had an aggregate of $81.0 million and
$86.1 million, respectively, of indebtedness outstanding under a secured student loan credit
facility (the Student Loan Credit Facility), which indebtedness is represented by Student Loan
Asset-Backed Notes issued by a bankruptcy-remote special purpose entity (the SPE Notes). At June
30, 2009 and December 31, 2008, indebtedness outstanding under the Student Loan Credit Facility was
secured by alternative (i.e., non-federally guaranteed) student loans and accrued interest in the
carrying amount of $75.8 million and $80.5 million, respectively, and by a pledge of cash, cash
equivalents and other qualified investments of $5.3 million and $5.9 million, respectively.
The SPE Notes represent obligations solely of the SPE, and not of the Company or any other
subsidiary of the Company. For financial reporting and accounting purposes, the Student Loan Credit
Facility has been classified as a financing as opposed to a sale. Accordingly, in connection with
the financing, the Company recorded no gain on sale of the assets transferred to the SPE.
The SPE Notes were issued by the SPE in three tranches ($50.0 million of Series 2001A-1 Notes
(the Series 2001A -1 Notes) and $50.0 million of Series 2001A-2 Notes (the Series 2001A-2
Notes) issued on April 27, 2001, and $50.0 million of Series 2002A Notes (the Series 2002A
Notes) issued on April 10, 2002). The interest rate on each series of SPE Notes resets monthly in
a Dutch auction process. The Series 2001A-1 Notes and Series 2001A-2 Notes have a final stated
maturity of July 1, 2036; the Series 2002A Notes have a final stated maturity of July 1, 2037.
Beginning July 1, 2005, the SPE Notes were also subject to mandatory redemption in whole or in part
on each interest payment date from any monies received as a recovery of the principal amount of any
student loan securing payment of the SPE Notes, including scheduled, delinquent and advance
payments, payouts or prepayments. During the three and six months ended June 30, 2009, the Company
made principal payments of approximately $2.8 million and $5.1 million, respectively, and during
the three and six months ended June 30, 2008, the Company made principal payments of approximately
$4.3 million and $7.1 million, respectively, on the SPE notes.
6. DERIVATIVES
HealthMarkets uses derivative instruments, specifically interest rate swaps, as part of its
risk management activities to protect against the risk of changes in prevailing interest rates
adversely affecting future cash flows associated with certain debt. The Company accounts for such
interest rate swaps in accordance with SFAS No. 133, Accounting for Derivative Instruments and
Hedging Activities. These swap agreements are designed as hedging instruments and the Company
formally documents qualifying hedged transactions and hedging instruments, and assesses, both at
inception of the contract and on an ongoing basis, whether the hedging instruments are effective in
offsetting changes in cash flows of the hedged transaction. The Company uses regression analysis
to assess the hedge effectiveness in achieving the offsetting cash flows attributable to the risk
being hedged. In addition, the Company utilizes the hypothetical derivative methodology for the
measurement of ineffectiveness. Derivative gains and losses not effective in hedging the expected
cash flows will be recognized immediately in earnings. The fair values of the interest rate swaps
are contained in Note 3 of Notes to
18
Consolidated Condensed Financial Statements. In assessing the fair value, the Company takes
into consideration the current interest rates and the current creditworthiness of the
counterparties, as well as the current creditworthiness of the Company, as applicable.
At June 30, 2009, the Company owned two interest rate swap agreements with an aggregate
notional amount of $200 million. The terms of the swaps are 4 and 5 years beginning on April 11,
2006. Additionally, the Company owned a 3 year swap, which matured on April 11, 2009.
The Company employs control procedures to validate the reasonableness of valuation estimates
obtained from a third party. The table below represents the fair values of the Companys
derivative assets and liabilities as of June 30, 2009 and December 31, 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Asset Derivatives |
|
|
Liability Derivatives |
|
|
|
|
|
|
|
June 30, |
|
|
December 31, |
|
|
|
|
|
|
June 30, |
|
|
December 31, |
|
|
|
|
|
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
|
|
Balance Sheet |
|
|
|
|
|
|
|
|
|
|
Balance Sheet |
|
|
|
|
|
|
|
|
|
Location |
|
|
Fair Value |
|
|
Fair Value |
|
|
Location |
|
|
Fair Value |
|
|
Fair Value |
|
Derivatives
designated as
hedging instruments
under SFAS No. 133 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest rate swaps |
|
|
|
|
|
$ |
|
|
|
$ |
|
|
|
Other liabilities |
|
$ |
11,511 |
|
|
$ |
13,538 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total derivatives |
|
|
|
|
|
$ |
|
|
|
$ |
|
|
|
|
|
|
|
$ |
11,511 |
|
|
$ |
13,538 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The
tables below represent the effect of derivative instruments in hedging relationships under
SFAS No. 133 on the Companys consolidated condensed statements of income (loss) for the three and
six months ended June 30, 2009 and 2008:
Derivative Instruments in Hedging Relationships Under SFAS No. 133 for the Three Months Ended June 30, 2009
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Location of (Gain) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss Recognized in |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Location of Gain |
|
|
|
|
|
|
|
|
|
|
Income on Derivative |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Loss) from |
|
|
|
|
|
|
|
|
|
|
(Ineffective Portion |
|
|
Amount of (Gain) Loss |
|
|
|
|
|
|
|
|
|
|
|
Accumulated OCI |
|
|
Amount of Interest Expense |
|
|
and Amount |
|
|
Recognized in Income on |
|
|
|
Amount of Gain (Loss) |
|
|
into Income |
|
|
(Income) Reclassified from |
|
|
Excluded from |
|
|
Derivative (Ineffective Portion |
|
|
|
Recognized in OCI on |
|
|
(Effective |
|
|
Accumulated OCI into Income |
|
|
Effectiveness |
|
|
and Amount Excluded from |
|
|
|
Derivative (Effective Portion) |
|
|
Portion) |
|
|
(Expense) (Effective Portion) |
|
|
Testing) |
|
|
Effectiveness Testing) |
|
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
Interest rate swaps |
|
$ |
(409 |
) |
|
$ |
5,351 |
|
|
Interest expense |
|
$ |
2,070 |
|
|
$ |
1,573 |
|
|
Investment income |
|
$ |
178 |
|
|
$ |
190 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Derivative Instruments in Hedging Relationships Under SFAS No. 133 for the Six Months Ended June 30, 2009
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Location of (Gain) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss Recognized in |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Location of Gain |
|
|
|
|
|
|
|
|
|
|
Income on Derivative |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Loss) from |
|
|
|
|
|
|
|
|
|
|
(Ineffective Portion |
|
|
Amount of (Gain) Loss |
|
|
|
|
|
|
|
|
|
|
|
Accumulated OCI |
|
|
Amount of Interest Expense |
|
|
and Amount |
|
|
Recognized in Income on |
|
|
|
Amount of Gain (Loss) |
|
|
into Income |
|
|
(Income) Reclassified from |
|
|
Excluded from |
|
|
Derivative (Ineffective Portion |
|
|
|
Recognized in OCI on |
|
|
(Effective |
|
|
Accumulated OCI into Income |
|
|
Effectiveness |
|
|
and Amount Excluded from |
|
|
|
Derivative(Effective Portion) |
|
|
Portion) |
|
|
(Expense) (Effective Portion) |
|
|
Testing) |
|
|
Effectiveness Testing) |
|
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
Interest rate swaps |
|
$ |
(899 |
) |
|
$ |
(1,980 |
) |
|
Interest expense |
|
$ |
4,486 |
|
|
$ |
1,921 |
|
|
Investment income |
|
$ |
394 |
|
|
$ |
376 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
HealthMarkets does not expect the ineffectiveness related to its hedging activity to be
material to the Companys financial results in the future. There were no components of the
derivative instruments that were excluded from the assessment of hedge effectiveness.
At June 30, 2009, accumulated other comprehensive income (loss) included a deferred after-tax
net loss of $6.8 million related to the interest rate swaps of which $771,000 ($501,000 net of tax)
is the remaining amount of loss associated with the previous terminated hedging relationship. This
amount is expected to be reclassified into earnings in conjunction with the interest payments on
the variable rate debt through April 2011, of which $509,000 is expected to be reclassified into
earnings within the next twelve months.
19
7. NET INCOME (LOSS) PER SHARE
The following table sets forth the computation of basic and diluted earnings per share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands, except per share amounts) |
|
Income (loss) from continuing operations |
|
$ |
3,193 |
|
|
$ |
(19,265 |
) |
|
$ |
11,216 |
|
|
$ |
(25,589 |
) |
Income (loss) from discontinued operations |
|
|
16 |
|
|
|
36 |
|
|
|
51 |
|
|
|
67 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) available to common shareholders |
|
$ |
3,209 |
|
|
$ |
(19,229 |
) |
|
$ |
11,267 |
|
|
$ |
(25,522 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding, basic |
|
|
29,558 |
|
|
|
30,447 |
|
|
|
29,657 |
|
|
|
30,587 |
|
Dilutive effect of stock options and other shares |
|
|
558 |
|
|
|
|
|
|
|
584 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding, dilutive |
|
|
30,116 |
|
|
|
30,447 |
|
|
|
30,241 |
|
|
|
30,587 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings (losses) per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
0.11 |
|
|
$ |
(0.63 |
) |
|
$ |
0.38 |
|
|
$ |
(0.83 |
) |
From discontinued operations |
|
|
0.00 |
|
|
|
0.00 |
|
|
|
0.00 |
|
|
|
0.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) per share, basic |
|
$ |
0.11 |
|
|
$ |
(0.63 |
) |
|
$ |
0.38 |
|
|
$ |
(0.83 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings (losses) per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
0.11 |
|
|
$ |
(0.63 |
) |
|
$ |
0.37 |
|
|
$ |
(0.83 |
) |
From discontinued operations |
|
|
0.00 |
|
|
|
0.00 |
|
|
|
0.00 |
|
|
|
0.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) per share, basic |
|
$ |
0.11 |
|
|
$ |
(0.63 |
) |
|
$ |
0.37 |
|
|
$ |
(0.83 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
The common stock equivalents for the three and six months ended June 30, 2008 are excluded
from the weighted average shares used to compute diluted net loss per share as they would be
anti-dilutive to the per share calculation. The Companys diluted weighted average shares
outstanding for the three and six months ended June 30, 2008 were 676,513 and 689,988,
respectively.
8. COMMITMENTS AND CONTINGENCIES
Leases
During the second quarter of 2009, the Company recorded an impairment expense of approximately
$1.7 million, which is included in Underwriting, acquisition and insurance expense on the
consolidated condensed statement of income (loss) for the three and six months ended June 30, 2009,
related to leased facilities which the Company no longer utilizes. These costs represent
impairments of leasehold improvements as well as a provision for future remaining lease
obligations. In accordance with SFAS No. 146, Accounting for Costs Associated with Exit or Disposal
Activities, the provision recorded for lease obligations on the cease-use date was determined based
on the fair value of the liability for costs that will continue to be incurred over the remaining
term of the lease without economic benefit to the Company.
With respect to the facilities discussed above, at June 30, 2009 the Company had a liability
of $992,000, which is included in Other liabilities on the consolidated condensed balance sheet.
Payments toward the liability will continue through February 2013, which is the remaining term of
the lease. Such liability is based on the future commitment, net of expected sublease income.
Litigation Matters
The Company is a party to various material legal proceedings, which are described in the
Companys Annual Report on Form 10-K filed for the year ended December 31, 2008 under the caption
"Item 3. Legal Proceedings. Except as discussed below, during the three month period covered by
this Quarterly Report on Form 10-Q, the Company has not been named in any new material legal
proceeding, and there have been no material developments in the previously reported legal
proceedings.
Litigation Matters
As previously disclosed, HealthMarkets and Mid-West were named as defendants in an action
filed on December 30, 2003 (Montgomery v. UICI et al.) in the Superior Court of the State of
California, County of Los Angeles, Case No. BC308471. Plaintiff asserted statutory and common law
causes of action for both monetary and injunctive relief based on a series of allegations
concerning marketing and claims handling practices. On March 1, 2004, HealthMarkets and Mid-West
removed the matter to the United States District Court for the Central District of California,
Western Division. On May 11, 2004, the Judicial Panel on Multidistrict Litigation issued a transfer
order transferring the Montgomery matter to the United States District Court for the Northern
District of Texas for coordinated pretrial proceedings (In re UICI
20
Association-Group Insurance Litigation, MDL Docket No. 1578). On July 10, 2009, the parties settled this
matter on terms that do not have a material adverse effect on the Companys consolidated financial
condition and results of operations.
As previously disclosed, HealthMarkets and MEGA were named as defendants in an action filed on
July 25, 2006 (Christopher Closson, individually, and as Successor in interest to Kathy Closson,
deceased v. HealthMarkets, MEGA, HealthMarkets Lead Marketing Group, National Association for the
Self-Employed, et al.) pending in the Superior Court for the County of Riverside, California, Case
No. RIC453741. Plaintiff has alleged several causes of action, both individually and in his
capacity as successor in interest to Kathy Closson, including intentional misrepresentation, fraud
by concealment and promissory fraud. Plaintiff seeks injunctive relief, and general and punitive
monetary damages in an unspecified amount. On April 14, 2009, the California Court of Appeals
granted summary judgment in favor of MEGA and HealthMarkets Lead Marketing Group dismissing Mr.
Clossons remaining individual claims. The California Supreme Court affirmed this holding on June
24, 2009. Mr. Clossons claims against MEGA and HealthMarkets Lead Marketing Group, in his
capacity as successor in interest to Kathy Closson, remain pending.
As previously disclosed, MEGA was named as a defendant in an action filed on August 31, 2006
(Tracy L. Dobbelaere and Robert Dobbelaere v. The MEGA Life and Health Insurance Company, et al.)
pending in the Circuit Court of Clinton County, Missouri, Cause No. 06CN-CV00618. Plaintiffs
alleged several causes of action including negligence, negligent misrepresentation, intentional
misrepresentation and loss of consortium and sought unspecified general and punitive damages,
interest and attorneys fees. On July 7, 2009, the parties settled this matter on terms that do
not have a material adverse effect on the Companys consolidated financial condition and results of
operations.
As previously disclosed, Mid-West was named as a defendant in a putative class action filed on
November 7, 2008 (Cynthia Hrnyak, on behalf of herself and all others similarly situated v.
Mid-West National Life Insurance Company of Tennessee) pending in the United States District Court
for the Northern District of Ohio, Case No. 1:08CV2642. Plaintiff alleged several causes of action,
including breach of contract, unjust enrichment, violation of the Ohio Revised Code Annotated
Section 3918.08 and bad faith, arising from the alleged failure to refund unearned premium on
credit insurance policies issued by Mid-West in connection with automobile loans upon early
termination of coverage. Plaintiff seeks an order certifying the suit as a nationwide class action,
compensatory and punitive damages and injunctive relief. The parties have agreed on the terms of a
proposed settlement. On June 24, 2009, the Court signed a preliminary order approving such terms;
however, any final settlement of this matter is subject to a fairness hearing scheduled for
November 23, 2009. The Company believes that any final settlement of this matter will be on terms
that do not have a material adverse effect on the Companys consolidated financial condition and
results of operations.
As previously disclosed, HealthMarkets is a party to three separate collective actions filed
under the Federal Fair Labor Standards Act (FLSA) (Sherrie Blair et al., v. Cornerstone America
et al., filed on May 26, 2005 in the United States District Court for the Northern District of
Texas, Fort Worth Division, Civil Action No. 4:04-CV-333-Y; Norm Campbell et al., v. Cornerstone
America et al., filed on May 26, 2005 in the United States District Court for the Northern District
of Texas, Fort Worth Division, Civil Action No. 4:05-CV-334-Y; and Joseph Hopkins et al., v.
Cornerstone America et al., filed on May 26, 2005 in the United States District Court for the
Northern District of Texas, Fort Worth Division, Civil Action No. 4:05-CV-332-Y). On December 9,
2005, the Court consolidated all of the actions and made the Hopkins suit the lead case. In each of
the cases, plaintiffs, for themselves and on behalf of others similarly situated, seek to recover
unpaid overtime wages alleged to be due under section 16(b) of the FLSA. The complaints allege that
the named plaintiffs (consisting of former district sales leaders and regional sales leaders in the
Cornerstone America independent agent hierarchy) were employees within the meaning of the FLSA and
are therefore entitled, among other relief, to recover unpaid overtime wages under the terms of the
FLSA. The parties filed motions for summary judgment on August 1, 2006. On March 30, 2007, the
Court denied HealthMarkets and Mid-Wests motion and granted the plaintiffs motion. On August 2,
2007, the District Court granted HealthMarkets and Mid-Wests motion for interlocutory appeal but
denied requests to stay the litigation. In September 2007, the United States Fifth Circuit Court of
Appeals granted HealthMarkets and Mid-Wests petition to hear the interlocutory appeal and, in
October 2008, affirmed the trial courts ruling in favor of plaintiffs on the issue of their status
as employees under the FLSA and remanded the case to the trial court for further proceedings. On
March 23, 2009, the United States Supreme Court denied HealthMarkets and Mid-Wests petition for
writ of certiorari. A court-approved notice to prospective participants in the collective action
was mailed in April 2008, providing prospective participants with the ability to file opt-in
elections. Discovery in this matter is ongoing. The Company is in the process of evaluating the
impact that these matters may have on its relationships with agents. At present, it is unclear what
effect these matters may have on the Companys consolidated financial condition and results of
operations.
As previously disclosed, on October 23, 2006, MEGA was named as a defendant in an action filed
by the Massachusetts Attorney General on behalf of the Commonwealth of Massachusetts (Commonwealth of Massachusetts v. The MEGA Life and Health
Insurance Company),
21
pending in the Superior Court of Suffolk County, Massachusetts, Case Number
06-4411. The Complaint was served on MEGA on or around January 19, 2007. Plaintiff has alleged that
MEGA engaged in unfair and deceptive practices by
issuing policies that contained exclusions of, or otherwise failed to cover, certain benefits
mandated under Massachusetts law. In addition, plaintiff has alleged that MEGA violated
Massachusetts laws that (i) require health insurance policies to provide coverage for outpatient
contraceptive services to the extent the policies provide coverage for other outpatient services
and (ii) limit exclusions of coverage for pre-existing conditions. On August 22, 2007, the Attorney
General filed an amended complaint which added HealthMarkets and Mid-West as defendants in this
action and broadened plaintiffs original allegations. The amended complaint includes allegations
that the defendants engaged in unfair and deceptive trade practices and illegal association
membership practices, imposed illegal waiting periods and restrictions on coverage of pre-existing
conditions and failed to comply with Massachusetts law regarding mandatory benefits. Civil
discovery has commenced and motions on various points of law and procedure have been filed by the
parties. Defendants motion to dismiss the action on grounds of limits on the Attorney Generals
authority was denied on March 10, 2008 and defendants request for appeal was denied on May 9,
2008. The parties are actively engaged in discussions regarding a
settlement of this matter and settlement discussions are expected to
conclude shortly. The
terms of any settlement are expected to include a material payment and a change in business practices
expected to have a material adverse effect on the Companys ability to operate in the Commonwealth
of Massachusetts.
The Company and its subsidiaries are parties to various other pending and threatened legal
proceedings, claims, demands, disputes and other matters arising in the ordinary course of
business, including some asserting significant liabilities arising from claims, demands, disputes
and other matters with respect to insurance policies, relationships with agents, relationships with
former or current employees and other matters. From time to time, some such matters, where
appropriate, may be the subject of internal investigation by management, the Board of Directors, or
a committee of the Board of Directors.
Given the expense and inherent risks and uncertainties of litigation, we regularly evaluate
litigation matters pending against us, including those described in Note 16 of Notes to the
Companys Consolidated Financial Statements included in the Companys Annual Report on Form 10-K
for the year ended December 31, 2008, to determine if settlement of such matters would be in the
best interests of the Company and its stockholders. The costs associated with any such settlement
could be substantial and, in certain cases, could result in an earnings charge in any particular
quarter in which we enter into a settlement agreement. Although we have recorded litigation
reserves which represent our best estimate on probable losses, both known and incurred but not
reported, our recorded reserves might prove to be inadequate to cover an adverse result or
settlement for extraordinary matters. Therefore, costs associated with the various litigation
matters to which we are subject and any earnings charge recorded in connection with a settlement
agreement could have a material adverse effect on our consolidated results of operations in a
period, depending on the results of our operations for the particular period.
Regulatory Matters
As previously disclosed, in December 2006, MEGA, Mid-West and Chesapeake (the Insurance
Companies) entered into a regulatory settlement agreement (RSA) with the Massachusetts Division
of Insurance (the Division) following two prior limited scope market conduct examinations, the
first pertaining to operations, complaint handling, marketing and sales, certificate holder
services, underwriting and rating, and the second pertaining to claims handling practices in small
group health insurance. The Division has monitored the Insurance Companies activities and
implementation of the RSA requirements and, in January 2009, commenced a re-examination of certain
key provisions of the RSA. The Insurance Companies and the Division
are actively engaged in
discussions regarding a settlement that would resolve all outstanding
matters stemming from the RSA, as well as all issues identified in subsequent reviews and/or re-examinations conducted through
February 2009 and settlement discussions are expected to
conclude shortly. The terms of any settlement are expected to include a material payment and a change in
business practices expected to have a material adverse effect on the Companys ability to operate
in the Commonwealth of Massachusetts.
The Companys insurance subsidiaries are subject to various other pending market conduct or
other regulatory examinations, inquiries or proceedings arising in the ordinary course of business.
As previously disclosed, these matters include the multi-state market conduct examination of
HealthMarkets principal insurance subsidiaries for the examination period January 1, 2000 through
December 31, 2005. Reference is made to the discussion of these and other matters contained in the
Companys Annual Report on Form 10-K for the year ended December 31, 2008 under the caption Item 3
Legal Proceedings and in Note 16 of Notes to Consolidated Condensed Financial Statements
included in such report. State insurance regulatory agencies have authority to levy significant
fines and penalties and require remedial action resulting from findings made during the course of
such matters. Market conduct or other regulatory examinations, inquiries or proceedings could
result in, among other things, changes in business practices that require the Company to incur
substantial costs. Such results, individually or in combination, could injure our reputation, cause
negative publicity, adversely affect our debt and financial strength ratings, place us at a
competitive disadvantage in marketing or administering our products or impair our ability to sell
insurance policies or retain customers, thereby adversely affecting
22
our business, and potentially
materially adversely affecting the results of operations in a period, depending on the results of
operations for the particular period. Determination by regulatory authorities that we have
engaged in improper conduct could also adversely affect our defense of various lawsuits.
9. SEGMENT INFORMATION
The Company operates three business segments, the Insurance segment, Corporate and Disposed
Operations. The Insurance segment includes the Companys SEA Division, Medicare and Other
Insurance. Corporate includes investment income not allocated to the Insurance segment, realized
gains or losses, interest expense on corporate debt, the Companys Student Loans business, general
expenses relating to corporate operations, variable non-cash stock-based compensation and
operations that do not constitute reportable operating segments. Disposed Operations includes the
former Life Insurance Division, former Star HRG Division and former Student Insurance Division.
Allocations of investment income and certain general expenses are based on a number of
assumptions and estimates, and the business segments reported operating results would change if
different allocation methods were applied. Certain assets are not individually identifiable by
segment and, accordingly, have been allocated by formulas. Segment revenues include premiums and
other policy charges and considerations, net investment income, fees and other income. Management
does not allocate income taxes to segments. Transactions between reportable segments are accounted
for under respective agreements, which provide for such transactions generally at cost.
Revenue from continuing operations, income (loss) from continuing operations before income
taxes, and assets by operating segment are set forth in the tables below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(Dollars in thousands) |
|
Revenue from continuing operations: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
271,753 |
|
|
$ |
315,535 |
|
|
$ |
556,588 |
|
|
$ |
638,424 |
|
Medicare Division |
|
|
(13 |
) |
|
|
29,916 |
|
|
|
1 |
|
|
|
46,018 |
|
Other Insurance Division |
|
|
2,247 |
|
|
|
8,219 |
|
|
|
5,954 |
|
|
|
15,911 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
273,987 |
|
|
|
353,670 |
|
|
|
562,543 |
|
|
|
700,353 |
|
Corporate |
|
|
2,504 |
|
|
|
146 |
|
|
|
3,996 |
|
|
|
10,844 |
|
Intersegment Eliminations |
|
|
36 |
|
|
|
(44 |
) |
|
|
|
|
|
|
(91 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue excluding disposed operations |
|
|
276,527 |
|
|
|
353,772 |
|
|
|
566,539 |
|
|
|
711,106 |
|
Disposed Operations |
|
|
21 |
|
|
|
23,480 |
|
|
|
51 |
|
|
|
47,567 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue from continuing operations |
|
$ |
276,548 |
|
|
$ |
377,252 |
|
|
$ |
566,590 |
|
|
$ |
758,673 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Income (loss) from continuing
operations before federal income
taxes: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
31,162 |
|
|
$ |
18,450 |
|
|
$ |
64,450 |
|
|
$ |
30,745 |
|
Medicare Division |
|
|
(6,976 |
) |
|
|
(7,327 |
) |
|
|
(10,327 |
) |
|
|
(12,304 |
) |
Other Insurance Division |
|
|
1,718 |
|
|
|
3,169 |
|
|
|
2,414 |
|
|
|
4,241 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
25,904 |
|
|
|
14,292 |
|
|
|
56,537 |
|
|
|
22,682 |
|
Corporate |
|
|
(18,861 |
) |
|
|
(29,801 |
) |
|
|
(36,419 |
) |
|
|
(45,145 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating income
(loss) excluding disposed
operations |
|
|
7,043 |
|
|
|
(15,509 |
) |
|
|
20,118 |
|
|
|
(22,463 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Disposed Operations |
|
|
(1,043 |
) |
|
|
(17,217 |
) |
|
|
(2,090 |
) |
|
|
(19,528 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total income (loss) from
continuing operations
before taxes |
|
$ |
6,000 |
|
|
$ |
(32,726 |
) |
|
$ |
18,028 |
|
|
$ |
(41,991 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
23
Assets by operating segment at June 30, 2009 and December 31, 2008 are set forth in the table
below:
|
|
|
|
|
|
|
|
|
|
|
June 30, |
|
|
December 31, |
|
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
Assets: |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
783,770 |
|
|
$ |
822,966 |
|
Medicare Division |
|
|
10,673 |
|
|
|
18,328 |
|
Other Insurance Division |
|
|
2,098 |
|
|
|
20,985 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
796,541 |
|
|
|
862,279 |
|
|
|
|
|
|
|
|
|
|
Corporate |
|
|
708,298 |
|
|
|
667,617 |
|
|
|
|
|
|
|
|
Total assets excluding
assets of Disposed
Operations and assets held
for sale |
|
|
1,504,839 |
|
|
|
1,529,896 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Disposed Operations |
|
|
369,107 |
|
|
|
386,817 |
|
|
|
|
|
|
|
|
Total assets |
|
$ |
1,873,946 |
|
|
$ |
1,916,713 |
|
|
|
|
|
|
|
|
The assets of Disposed Operations primarily represent a reinsurance recoverable associated
with the Coinsurance Agreements entered into with Wilton. See Note 2 of Notes to Consolidated
Condensed Financial Statements.
10. AGENT AND EMPLOYEE STOCK PLANS
Agent Stock Accumulation Plans
The Company sponsors a series of stock accumulation plans (the Agent Plans) established for
the benefit of the independent contractor insurance agents and independent contractor sales
representatives associated with the Company. With respect to references to our sales agents as
independent contractors, see discussion of Joseph Hopkins et al., v. Cornerstone America et al.,
Federal Fair Labor Standards Act agent litigation, in Note 8 of Notes to Consolidated Condensed
Financial Statements included herein and/or in the Companys Annual Report on Form 10-K filed for
the year ended December 31, 2008 under the caption Item 3. Legal Proceedings.
The following table sets forth the total compensation expense, recorded in Underwriting,
acquisition and insurance expenses, and tax benefit associated with the Companys Agent Plans for
the three and six months ended June 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June
30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
SEA and Medicare Division stock-based compensation expense |
|
$ |
1,099 |
|
|
$ |
1,283 |
|
|
$ |
2,988 |
|
|
$ |
2,603 |
|
Corporate variable non-cash stock-based
compensation (benefit) expense |
|
|
276 |
|
|
|
(3,508 |
) |
|
|
(826 |
) |
|
|
(3,218 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Agent Plan compensation (benefit) expense |
|
|
1,375 |
|
|
|
(2,225 |
) |
|
|
2,162 |
|
|
|
(615 |
) |
Related Tax Benefit |
|
|
(481 |
) |
|
|
(779 |
) |
|
|
(756 |
) |
|
|
(215 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net (benefit) expense included in financial results |
|
$ |
894 |
|
|
$ |
(1,446 |
) |
|
$ |
1,406 |
|
|
$ |
(400 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
At December 31, 2008, the Company had recorded 1,166,663 unvested matching credits associated
with the Agent Plans, of which 362,711 vested in January 2009. Upon vesting, the Company decreased
additional paid-in capital by $5.8 million, decreased treasury shares by $12.7 million and
decreased other liabilities by $6.9 million. At June 30, 2009, the Company had recorded 955,333
unvested matching credits. Agent Plan transactions are not reflected in the consolidated condensed
statement of cash flows since the issuance of equity securities to settle the Companys liabilities
under the Agent Plans are non-cash transactions.
11. TRANSACTIONS WITH RELATED PARTIES
As of June 30, 2009, affiliates of The Blackstone Group, Goldman Sachs Capital Partners and
DLJ Merchant Banking Partners (the Private Equity Investors) held 55.9%, 22.9%, and 11.5%,
respectively, of the Companys outstanding equity securities. Certain members of the Board of
Directors of the Company are affiliated with the Private Equity Investors.
Each of the Private Equity Investors provides to the Company ongoing monitoring, advisory and
consulting services, for which the Company pays each of The Blackstone Group, Goldman Sachs Capital
Partners and DLJ Merchant Banking Partners an annual monitoring fee in an amount equal to $7.7
million, $3.2 million and $1.6 million, respectively.
24
Aggregate annual monitoring fees in the amount of $12.5 million for 2009 were paid in full to
the Private Equity Investors in January 2009. The Company has expensed $6.3 million through June
30, 2009.
On April 20, 2007, the Companys Board of Directors approved a $10.0 million investment by
Mid-West National Life Insurance Company of Tennessee in Goldman Sachs Real Estate Partners, L.P.,
a commercial real estate fund managed by an affiliate of Goldman Sachs Capital Partners. The
Company has committed such investment to be funded over a series of capital calls. During the
first quarter of 2009, the amount of the Companys original commitment was reduced by $2.0 million,
to $8.0 million. On April 2, 2009, the Company funded a capital call for $600,000. As of June 30,
2009, the Company has made contributions totaling $3.9 million, and has a remaining commitment to
Goldman Sachs Real Estate Partners, L.P. of $4.1 million.
On April 20, 2007, the Companys Board of Directors approved a $10.0 million investment by The
MEGA Life and Health Insurance Company in Blackstone Strategic Alliance Fund L.P., a hedge fund of
funds managed by an affiliate of The Blackstone Group. The Company has committed such investment to
be funded over a series of capital calls. During the six months ended June 30, 2009, the Company
funded a $1.4 million capital call to such investment. As of June 30, 2009, the Company has made
contributions totaling $5.8 million, and has a remaining commitment to Blackstone Strategic
Alliance Fund L.P. of $4.2 million.
Pursuant to the terms of an engagement letter dated June 2, 2009, Blackstone Advisory Services
L.P. agreed to provide certain financial advisory services to the Company in connection with
opportunities presented by the launch of its Insphere Insurance Solutions business. The Company
has agreed to pay Blackstone Advisory Services a fee in the amount of
$2.0 million contingent upon
the completion of transaction(s) related to such opportunities.
25
ITEM 2 MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
Cautionary Statements Regarding Forward-Looking Statements
In this report, unless the context otherwise requires, the terms Company, HealthMarkets,
we, us, or our refer to HealthMarkets, Inc. and its subsidiaries. This report and other
documents or oral presentations prepared or delivered by and on behalf of the Company contain or
may contain 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 are
statements based upon managements expectations at the time such statements are made. The Company
undertakes no obligation to publicly update or revise any forward-looking statements, whether as a
result of new information, future events or otherwise. Forward-looking statements are subject to
risks and uncertainties that could cause the Companys actual results to differ materially from
those contemplated in the statements. Readers are cautioned not to place undue reliance on the
forward-looking statements. All statements, other than statements of historical information
provided or incorporated by reference herein, may be deemed to be forward-looking statements.
Without limiting the foregoing, when used in written documents or oral presentations, the terms
anticipate, believe, estimate, expect, may, objective, plan, possible, potential,
project, will and similar expressions are intended to identify forward-looking statements. In
addition to the assumptions and other factors referred to specifically in connection with such
statements, factors that could impact the Companys business and financial prospects include, but
are not limited to, those discussed under the caption Item 1 Business, Item 1A. Risk Factors
and Item 7 Managements Discussion and Analysis of Financial Condition and Results of Operations
and those discussed from time to time in the Companys various filings with the Securities and
Exchange Commission or in other publicly disseminated written documents.
Introduction
The Company operates three business segments, the Insurance segment, Corporate and Disposed
Operations. The Insurance segment includes the Companys Self-Employed Agency Division (SEA), the
Medicare Division and the Other Insurance Division. Corporate includes investment income not
allocated to the Insurance segment, realized gains or losses, interest expense on corporate debt,
the Companys Student Loans business general expenses relating to corporate operations, variable
non-cash stock-based compensation and operations that do not constitute reportable operating
segments. Disposed Operations includes the former Life Insurance Division, former Star HRG Division
and former Student Insurance Division.
Through our SEA Division, we offer a broad range of health insurance products for individuals,
families, the self-employed and small businesses. Our plans are designed to accommodate individual
needs and include basic hospital-medical expense plans, plans with preferred provider organization
features, catastrophic hospital expense plans, as well as other supplemental types of coverage.
We market these products to the self-employed and individual markets through independent
agents contracted with our insurance subsidiaries. The Company has approximately 1,000 independent
writing agents per week in the field selling health insurance in 42 states and the District of
Columbia.
In 2007, we initiated efforts to expand into the Medicare market. In the fourth quarter of
2007, we began offering a new portfolio of Medicare Advantage Private-Fee-for-Service Plans
called HealthMarkets Care Assured PlansSM in selected markets in 29 states with
calendar year coverage effective for January 1, 2008. In July 2008, the Company determined it
would not continue to participate in the Medicare business after the 2008 plan year.
The Companys Other Insurance Division consisted of ZON-Re USA, LLC (ZON-Re), an 82.5%-owned
subsidiary, which underwrote, administered and issued accidental death, accidental death and
dismemberment (AD&D), accident medical, and accident disability insurance products, both on a
primary and on a reinsurance basis. The Company distributed these products through professional
reinsurance intermediaries and a network of independent commercial insurance agents, brokers and
third party administrators. On June 5, 2009, HealthMarkets, LLC, entered into an Acquisition
Agreement for the sale of its 82.5% membership interest in ZON-Re to Venue Re, LLC (Venue Re).
The transaction contemplated by the Acquisition Agreement closed effective June 30, 2009. The sale
of the Companys membership interest in ZON-Re resulted in a total pre-tax loss of $489,000. The
Company will continue to reflect the existing insurance business in its financial statements to
final termination of substantially all liabilities.
26
Insphere Insurance Solutions
During the second quarter of 2009, the Company formed Insphere Insurance Solutions, Inc.
(Insphere), a wholly-owned subsidiary of HealthMarkets, LLC. Insphere maintains insurance agency
licenses in Texas and a number of other states, and is in the process of obtaining insurance agency
licenses in additional states where it intends to do business. Subject to obtaining applicable
licenses and entering into necessary marketing arrangements, Insphere intends to serve as an
insurance agency specializing in small business and middle-income market life, health, long-term
care and retirement insurance, and to distribute products underwritten by the Companys insurance
subsidiaries as well as non-affiliated insurance companies.
Exit from Life Insurance Division Business
On September 30, 2008 (the Closing Date), HealthMarkets, LLC completed the transactions
contemplated by the Agreement for Reinsurance and Purchase and Sale of Assets dated June 12, 2008
(the Master Agreement). Pursuant to the Master Agreement, Wilton Reassurance Company or its
affiliates (Wilton) acquired substantially all of the business of the Companys Life Insurance
Division, which operated through The MEGA Life and Health Insurance Company (MEGA), Mid-West
National Life Insurance Company of Tennessee (Mid-West) and The Chesapeake Life Insurance Company
(Chesapeake) (collectively the Ceding Companies), and all of the Companys 79% equity interest
in each of U.S. Managers Life Insurance Company, Ltd. and Financial Services Reinsurance, Ltd. As
part of the transaction, under the terms of the Coinsurance Agreements (the Coinsurance
Agreements) entered into with each of the Ceding Companies on the Closing Date, Wilton has agreed,
effective July 1, 2008 (the Coinsurance Effective Date), to reinsure on a 100% coinsurance basis
substantially all of the insurance policies associated with the Companys Life Insurance Division
(the Coinsured Policies).
Student Loans
In connection with the execution of the Master Agreement, HealthMarkets, LLC entered into a
definitive Stock Purchase Agreement (as amended, the Stock Purchase Agreement) pursuant to which
Wilton agreed to purchase the Companys student loan funding vehicles, CFLD, Inc. and UICI Funding
Corp. 2 (UFC2), and the related student association. In connection with the transactions
contemplated by the Stock Purchase Agreement, the Company recognized a $5.3 million loss on the
condensed consolidated statement of income (loss) at June 30, 2008 related to the reduction in the
value of the Companys student loan portfolio. The closing of the Stock Purchase Agreement did not
occur due to certain closing conditions that were not satisfied. The Stock Purchase Agreement
provides that either party may terminate the agreement if the closing has not occurred by May 31,
2009. Wilton provided written notice of termination of the Stock Purchase Agreement effective
August 10, 2009.
Prior to June 30, 2009, the Company had presented the assets and liabilities of CFLD, Inc. and
UFC2 as held for sale on its consolidated condensed balance sheet and included the results of
operations of CFLD, Inc. and UFC2 in discontinued operations on its consolidated condensed
statement of income (loss). As the closing of the Stock Purchase Agreement did not occur, the
Company reclassified the assets and liabilities of CFLD and UFC2 out of held for sale and
reclassified the results of operations from discontinued operations to continuing operations for
all periods presented. Such reclassification in the condensed consolidated statement of income
(loss) resulted in an increase in Loss from continuing operations of $3,581 and $5,289 for the
three and six months ended June 30, 2008, respectively.
In accordance with the terms of the Coinsured Agreements, Wilton will fund student loans;
provided, however, that Wilton will not be required to fund any student loan that would cause the
aggregate par value of all such loans funded by Wilton, following the Coinsurance Effective Date,
to exceed $10.0 million. As of June 30, 2009, approximately $1.2 million of student loans have
been funded under this agreement.
27
Results of Operations
The table below sets forth certain summary information about the Companys operating results
for the three and six months ended June 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(Dollars in thousands) |
|
REVENUE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health premiums |
|
$ |
250,503 |
|
|
$ |
326,038 |
|
|
$ |
513,643 |
|
|
$ |
643,303 |
|
Life premiums and other considerations |
|
|
624 |
|
|
|
17,761 |
|
|
|
1,342 |
|
|
|
36,516 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
251,127 |
|
|
|
343,799 |
|
|
|
514,985 |
|
|
|
679,819 |
|
Investment income |
|
|
11,035 |
|
|
|
17,530 |
|
|
|
21,351 |
|
|
|
39,362 |
|
Other income |
|
|
15,536 |
|
|
|
20,539 |
|
|
|
32,777 |
|
|
|
42,731 |
|
Other-than-temporary impairment losses |
|
|
(2,683 |
) |
|
|
(5,581 |
) |
|
|
(4,078 |
) |
|
|
(5,581 |
) |
Realized gains |
|
|
1,533 |
|
|
|
965 |
|
|
|
1,555 |
|
|
|
2,342 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
276,548 |
|
|
|
377,252 |
|
|
|
566,590 |
|
|
|
758,673 |
|
BENEFITS AND EXPENSES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefits, claims, and settlement expenses |
|
|
142,080 |
|
|
|
226,038 |
|
|
|
309,679 |
|
|
|
450,295 |
|
Underwriting, acquisition, and insurance expenses |
|
|
98,376 |
|
|
|
139,678 |
|
|
|
179,276 |
|
|
|
267,984 |
|
Other expenses |
|
|
21,908 |
|
|
|
33,840 |
|
|
|
41,914 |
|
|
|
60,791 |
|
Interest expense |
|
|
8,184 |
|
|
|
10,422 |
|
|
|
17,693 |
|
|
|
21,594 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
270,548 |
|
|
|
409,978 |
|
|
|
548,562 |
|
|
|
800,664 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations
before income taxes |
|
|
6,000 |
|
|
|
(32,726 |
) |
|
|
18,028 |
|
|
|
(41,991 |
) |
Federal income taxes |
|
|
2,807 |
|
|
|
(13,461 |
) |
|
|
6,812 |
|
|
|
(16,402 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations |
|
|
3,193 |
|
|
|
(19,265 |
) |
|
|
11,216 |
|
|
|
(25,589 |
) |
Income (loss) from discontinued operations, net |
|
|
16 |
|
|
|
36 |
|
|
|
51 |
|
|
|
67 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
3,209 |
|
|
$ |
(19,229 |
) |
|
$ |
11,267 |
|
|
$ |
(25,522 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Business Segments
The following is a comparative discussion of results of operations for the Companys business
segments and divisions the Insurance segment, Corporate and Disposed Operations. Disposed
Operations consists of the former Life Insurance Division, the former Student Insurance Division
and former Star HRG Division.
Revenue and income (loss) from continuing operations before federal income taxes (Operating
income) for each of the Companys business segments and divisions were as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(Dollars in thousands) |
|
Revenue from continuing operations: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
271,753 |
|
|
$ |
315,535 |
|
|
$ |
556,588 |
|
|
$ |
638,424 |
|
Medicare Division |
|
|
(13 |
) |
|
|
29,916 |
|
|
|
1 |
|
|
|
46,018 |
|
Other Insurance Division |
|
|
2,247 |
|
|
|
8,219 |
|
|
|
5,954 |
|
|
|
15,911 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
273,987 |
|
|
|
353,670 |
|
|
|
562,543 |
|
|
|
700,353 |
|
Corporate |
|
|
2,504 |
|
|
|
146 |
|
|
|
3,996 |
|
|
|
10,844 |
|
Intersegment Eliminations |
|
|
36 |
|
|
|
(44 |
) |
|
|
|
|
|
|
(91 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue excluding disposed operations |
|
|
276,527 |
|
|
|
353,772 |
|
|
|
566,539 |
|
|
|
711,106 |
|
Disposed Operations |
|
|
21 |
|
|
|
23,480 |
|
|
|
51 |
|
|
|
47,567 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue from continuing operations |
|
$ |
276,548 |
|
|
$ |
377,252 |
|
|
$ |
566,590 |
|
|
$ |
758,673 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
28
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Income (loss) from continuing
operations before federal income
taxes: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
31,162 |
|
|
$ |
18,450 |
|
|
$ |
64,450 |
|
|
$ |
30,745 |
|
Medicare Division |
|
|
(6,976 |
) |
|
|
(7,327 |
) |
|
|
(10,327 |
) |
|
|
(12,304 |
) |
Other Insurance Division |
|
|
1,718 |
|
|
|
3,169 |
|
|
|
2,414 |
|
|
|
4,241 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
25,904 |
|
|
|
14,292 |
|
|
|
56,537 |
|
|
|
22,682 |
|
Corporate |
|
|
(18,861 |
) |
|
|
(29,801 |
) |
|
|
(36,419 |
) |
|
|
(45,145 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating income
(loss) excluding disposed
operations |
|
|
7,043 |
|
|
|
(15,509 |
) |
|
|
20,118 |
|
|
|
(22,463 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Disposed Operations |
|
|
(1,043 |
) |
|
|
(17,217 |
) |
|
|
(2,090 |
) |
|
|
(19,528 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total income (loss) from
continuing operations
before taxes |
|
$ |
6,000 |
|
|
$ |
(32,726 |
) |
|
$ |
18,028 |
|
|
$ |
(41,991 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance
Set forth below is certain summary financial and operating data for the Companys Insurance
segment for the three and six months ended June 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
251,127 |
|
|
$ |
326,206 |
|
|
$ |
514,985 |
|
|
$ |
643,641 |
|
Investment income |
|
|
6,745 |
|
|
|
7,658 |
|
|
|
13,788 |
|
|
|
15,391 |
|
Other income |
|
|
16,115 |
|
|
|
19,806 |
|
|
|
33,770 |
|
|
|
41,321 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
273,987 |
|
|
|
353,670 |
|
|
|
562,543 |
|
|
|
700,353 |
|
Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
141,290 |
|
|
|
211,225 |
|
|
|
307,966 |
|
|
|
418,406 |
|
Underwriting and policy acquisition expenses |
|
|
97,791 |
|
|
|
117,325 |
|
|
|
179,675 |
|
|
|
236,093 |
|
Other expenses |
|
|
9,002 |
|
|
|
10,828 |
|
|
|
18,365 |
|
|
|
23,172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
248,083 |
|
|
|
339,378 |
|
|
|
506,006 |
|
|
|
677,671 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
25,904 |
|
|
$ |
14,292 |
|
|
$ |
56,537 |
|
|
$ |
22,682 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
56.3 |
% |
|
|
64.8 |
% |
|
|
59.8 |
% |
|
|
65.0 |
% |
Expense ratio |
|
|
38.9 |
% |
|
|
36.0 |
% |
|
|
34.9 |
% |
|
|
36.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
95.2 |
% |
|
|
100.8 |
% |
|
|
94.7 |
% |
|
|
101.7 |
% |
The Insurance segment includes the Companys SEA Division, the Medicare Division and
Other Insurance Division. Management reviews results of operations for the Insurance segment by
reviewing each of the above mentioned divisions.
29
Self- Employed Agency Division
Set forth below is certain summary financial and operating data for the Companys SEA Division
for the three and six months ended June 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
249,692 |
|
|
$ |
288,860 |
|
|
$ |
510,531 |
|
|
$ |
583,064 |
|
Investment income |
|
|
6,279 |
|
|
|
7,107 |
|
|
|
12,836 |
|
|
|
14,342 |
|
Other income |
|
|
15,782 |
|
|
|
19,568 |
|
|
|
33,221 |
|
|
|
41,018 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
271,753 |
|
|
|
315,535 |
|
|
|
556,588 |
|
|
|
638,424 |
|
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
135,460 |
|
|
|
183,370 |
|
|
|
297,785 |
|
|
|
372,486 |
|
Underwriting and policy acquisition expenses |
|
|
96,129 |
|
|
|
102,887 |
|
|
|
175,988 |
|
|
|
212,021 |
|
Other expenses |
|
|
9,002 |
|
|
|
10,828 |
|
|
|
18,365 |
|
|
|
23,172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
240,591 |
|
|
|
297,085 |
|
|
|
492,138 |
|
|
|
607,679 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
31,162 |
|
|
$ |
18,450 |
|
|
$ |
64,450 |
|
|
$ |
30,745 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
54.3 |
% |
|
|
63.5 |
% |
|
|
58.3 |
% |
|
|
63.9 |
% |
Expense ratio |
|
|
38.5 |
% |
|
|
35.6 |
% |
|
|
34.5 |
% |
|
|
36.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
92.8 |
% |
|
|
99.1 |
% |
|
|
92.8 |
% |
|
|
100.3 |
% |
Average number of writing agents in period |
|
|
1,060 |
|
|
|
1,318 |
|
|
|
1,151 |
|
|
|
1,363 |
|
Submitted annualized volume |
|
$ |
72,521 |
|
|
$ |
116,645 |
|
|
$ |
171,627 |
|
|
$ |
246,270 |
|
Loss Ratio. The loss ratio is defined as benefits expense as a percentage of earned premium
revenue.
Expense Ratio. The expense ratio is defined as underwriting, acquisition and insurance expenses
as a percentage of earned premium revenue.
Submitted Annualized Volume. Submitted annualized premium volume in any period is the aggregate
annualized premium amount associated with health insurance applications submitted by the
Companys agents in such period for underwriting by the Companys insurance subsidiaries.
Three Months Ended June 30, 2009 versus June 30, 2008
The SEA Division reported earned premium revenue of $249.7 million in the three months ended
June 30, 2009 as compared with $288.9 million for 2008, a decrease of $39.2 million or 14%. The
decrease is primarily due to a decline in submitted annualized premium volume. Submitted
annualized premium volume reported for the three months ended June 30, 2009 was $72.5 million
compared to $116.6 million for 2008, a decrease of $44.1 million, which is attributable to the
decrease in number of writing agents compared to the three months ended June 30, 2008 and the delay
in the rollout of the new products.
The SEA Division reported operating income in the three month period ended June 30, 2009 of
$31.2 million compared to operating income of $18.5 million in the corresponding period of 2008.
Operating income in the SEA Division as a percentage of earned premium revenue (i.e., operating
margin) in the three month period ended June 30, 2009 was 12.5% compared to the operating margin of
6.4% in the corresponding 2008 period. The increase in operating margin during the current year
period is generally attributable to a decrease in loss ratio which reflects better claims
experience on both our new products, as well as our legacy products.
Underwriting, acquisition and insurance expenses decreased by $6.8 million, or 7% to
$96.1 million during 2009 from $102.9 million in the corresponding period of 2008. This decrease
reflects the variable nature of commission expenses and premium taxes included in these amounts
which generally vary in proportion to earned premium revenue, as well as the Companys
determination to defer certain underwriting and policy issuance costs in 2009. Additionally, the
Company initiated certain cost reduction programs beginning in the fourth quarter of 2008.
However, underwriting, acquisition and insurance expense as a percentage of premium increased for
the quarter as compared to the second quarter of 2008 primarily due to the previously discussed
lease impairment and certain legal and regulatory expenses incurred in the three months ended June
30, 2009.
Other income and other expenses both decreased in the current period compared to the prior
year period. Other income largely consists of fee and other income received for sales of
memberships by our dedicated agency sales force for which other expenses are incurred for bonuses
and other compensation provided to the agents. Sales of memberships by our dedicated agency sales
force tend to move in tandem with sales of health insurance policies; consequently, this decrease
in other income and other expense is consistent with the decline in earned premium.
30
Six Months Ended June 30, 2009 versus June 30, 2008
The SEA Division reported earned premium revenue of $510.5 million in the six months ended
June 30, 2009 as compared with $583.1 million for 2008, a decrease of $72.6 million or 12%, which
is primarily due to the reduction in submitted annualized premium amount. In the six months ended
June 30, 2009, total SEA Division submitted annualized premium volume decreased to $171.6 million
from $246.3 million in the corresponding 2008 period, which was primarily attributable to a
decrease in the number of writing agents from an average of 1,363 during the six months ended June
30, 2008 to an average of 1,151 during the same period in 2009.
The SEA Division reported operating income in the six month period ended June 30, 2009 of
$64.5 million compared to operating income of $30.7 million in the corresponding period of 2008.
Operating income in the SEA Division as a percentage of earned premium revenue (i.e., operating
margin) in the six month period ended June 30, 2009 was 12.6% compared to the operating margin of
5.3% in the corresponding 2008 period. The increase in operating margin during the current year
period is generally attributable to a loss ratio reflecting better claims experience on both our
new products, as well as our legacy products.
Underwriting, acquisition and insurance expenses decreased by $36.0 million, or 17% to
$176.0 million during 2009 from $212.0 million in the corresponding period of 2008. This decrease
reflects the variable nature of commission expenses and premium taxes included in these amounts
which generally vary in proportion to earned premium revenue and, in addition, the deferral of
certain underwriting and policy issuance costs in 2009. Furthermore, the Company initiated certain
cost reduction programs beginning in the fourth quarter of 2008, which is being reflected as a
decrease in the expense ratio.
Other income and other expenses both decreased in the current period compared to the prior
year period. Other income largely consists of fee and other income received for sales of
memberships by our dedicated agency sales force for which other expenses are incurred for bonuses
and other compensation provided to the agents. Sales of memberships by our dedicated agency sales
force tend to move in tandem with sales of health insurance policies; consequently, this decrease
in other income and other expense is consistent with the decline in earned premium.
Medicare Division
Set forth below is certain summary financial and operating data for the Companys Medicare
Division for the three and six months ended June 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30 |
|
|
June 30 |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
(25 |
) |
|
$ |
29,813 |
|
|
$ |
(38 |
) |
|
$ |
45,859 |
|
Investment income and other income |
|
|
12 |
|
|
|
103 |
|
|
|
39 |
|
|
|
159 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
(13 |
) |
|
|
29,916 |
|
|
|
1 |
|
|
|
46,018 |
|
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
7,012 |
|
|
|
26,039 |
|
|
|
10,301 |
|
|
|
40,130 |
|
Underwriting and policy acquisition expenses |
|
|
(49 |
) |
|
|
11,204 |
|
|
|
27 |
|
|
|
18,192 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
6,963 |
|
|
|
37,243 |
|
|
|
10,328 |
|
|
|
58,322 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating loss |
|
$ |
(6,976 |
) |
|
$ |
(7,327 |
) |
|
$ |
(10,327 |
) |
|
$ |
(12,304 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
NM |
|
|
|
87.3 |
% |
|
NM |
|
|
|
87.5 |
% |
Expense ratio |
|
NM |
|
|
|
37.6 |
% |
|
NM |
|
|
|
39.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
NM |
|
|
|
124.9 |
% |
|
NM |
|
|
|
127.2 |
% |
Loss ratio. The loss ratio represents total benefit expenses as a percentage of earned
premium revenue.
Expense ratio. The expense ratio represents underwriting, acquisition and insurance
expenses as a percentage of earned premium revenue.
NM. Not material
In 2007, we initiated efforts to expand into the Medicare market. In the fourth quarter
of 2007, we began offering a new portfolio of Medicare Advantage PFFS called HMCA Plans in
selected markets in 29 states with calendar year coverage effective for January 1, 2008. In July
2008, the Company decided that it would not participate in the Medicare Advantage marketplace after
the 2008 plan year. As such, the results of operations for the three and six months ended June 30,
2009 are not comparable to the results of operations for the three and six months ended June 30,
2008.
31
Three and Six Months Ended June 30, 2009
During 2009, the Company continued to fulfill its remaining obligations under the 2008
calendar year Medicare contracts. During the three and six months ended June 30, 2009, the Company
experienced a higher than expected claim volume, as well as the submission of several large claims.
As a result, the Company amended the completion factors used to calculate its reserves and
increased the overall projected lifetime loss ratio from 83.3% as of December 31, 2008 to 94.2%.
This resulted in a benefit expense of $7.0 million and $10.3 million for the three and six months
ended June 30, 2009, respectively. At June 30, 2009, the Company has a remaining claims reserve of
approximately $10.3 million.
Other Insurance Division
Set forth below is certain summary financial and operating data for the Companys Other
Insurance Division for the three and six months ended June 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
1,460 |
|
|
$ |
7,533 |
|
|
$ |
4,492 |
|
|
$ |
14,718 |
|
Investment income |
|
|
454 |
|
|
|
448 |
|
|
|
913 |
|
|
|
890 |
|
Other income |
|
|
333 |
|
|
|
238 |
|
|
|
549 |
|
|
|
303 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
2,247 |
|
|
|
8,219 |
|
|
|
5,954 |
|
|
|
15,911 |
|
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
(1,182 |
) |
|
|
1,816 |
|
|
|
(120 |
) |
|
|
5,790 |
|
Underwriting and policy acquisition expenses |
|
|
1,711 |
|
|
|
3,234 |
|
|
|
3,660 |
|
|
|
5,880 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
529 |
|
|
|
5,050 |
|
|
|
3,540 |
|
|
|
11,670 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
1,718 |
|
|
$ |
3,169 |
|
|
$ |
2,414 |
|
|
$ |
4,241 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
(81.0 |
)% |
|
|
24.1 |
% |
|
|
(2.7 |
)% |
|
|
39.3 |
% |
Expense ratio |
|
|
117.2 |
% |
|
|
42.9 |
% |
|
|
81.5 |
% |
|
|
40.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
36.2 |
% |
|
|
67.0 |
% |
|
|
78.8 |
% |
|
|
79.3 |
% |
Loss Ratio. The loss ratio is defined as benefits expense as a percentage of earned premium
revenue.
Expense Ratio. The expense ratio is defined as underwriting, acquisition and insurance
expenses as a percentage of earned premium revenue.
The Companys Other Insurance Division consisted of ZON-Re USA, LLC (ZON-Re), an
82.5%-owned subsidiary, which underwrote, administered and issued accidental death, accidental
death and dismemberment (AD&D), accident medical, and accident disability insurance products,
both on a primary and on a reinsurance basis. The Company distributed these products through
professional reinsurance intermediaries and a network of independent commercial insurance agents,
brokers and third party administrators. On June 5, 2009, HealthMarkets, LLC, entered into an
Acquisition Agreement for the sale of its 82.5% membership interest in ZON-Re to Venue Re, LLC
(Venue Re). The transaction contemplated by the Acquisition Agreement closed effective June 30,
2009. The sale of the Companys membership interest in ZON-Re resulted in a total pre-tax loss of
$489,000. The Company will continue to reflect the existing insurance business in its financial
statements to final termination of substantially all liabilities.
Three and Six Months Ended June 30, 2009 versus June 30, 2008
For the three months ended June 30, 2009, operating income was $1.7 million on revenue of
$2.2 million, compared to $3.2 million of operating income on $8.2 million of revenue for the
corresponding period in 2008. For the six months ended June 30, 2009, operating income was $2.4 on
revenue of $6.0 million, compared to $4.2 million of operating income on $15.9 million of revenue,
for the corresponding period in 2008. The decrease in operating income for 2009 is due to the
decreased revenue, which reflects the Companys exit from this line of business during the second
quarter of 2009.
For the three months and six months ended June 30, 2009, the Company recognized positive
experience related to benefits expense, compared to the corresponding periods of 2008. The benefit
in 2009 is a result of favorable claims experience on the policies maturing during the period, for
which the Company has not renewed. Underwriting, acquisition and insurance expenses were
$1.7 million and $3.7 million during the three and six months ended June 30, 2009, respectively,
compared $3.2 million and $5.9 million in the corresponding period in 2008. The decrease in
expenses during 2009 reflects the Companys exit from this line of business during the second
quarter of 2009.
32
Corporate
Corporate includes investment income not otherwise allocated to the Insurance segment,
realized gains and losses on sale of investments, interest expense on corporate debt, variable
stock-based compensation, the student loan business and general expenses relating to corporate
operations.
Set forth below is a summary of the components of operating income (loss) at the Companys
Corporate segment for the three and six months ended June 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(Dollars in thousands) |
|
Investment income on equity |
|
$ |
2,398 |
|
|
$ |
2,931 |
|
|
$ |
3,734 |
|
|
$ |
9,664 |
|
Non-interest expense on student loan activity |
|
|
179 |
|
|
|
(4,567 |
) |
|
|
887 |
|
|
|
(6,014 |
) |
Net investment impairment losses recognized in earnings |
|
|
(2,683 |
) |
|
|
(5,581 |
) |
|
|
(4,078 |
) |
|
|
(5,581 |
) |
Realized loss on investments |
|
|
1,533 |
|
|
|
790 |
|
|
|
1,555 |
|
|
|
2,217 |
|
Interest expense on corporate debt |
|
|
(7,969 |
) |
|
|
(9,480 |
) |
|
|
(16,827 |
) |
|
|
(19,471 |
) |
Interest expense on student loan debt |
|
|
(214 |
) |
|
|
(943 |
) |
|
|
(866 |
) |
|
|
(2,123 |
) |
Variable stock-based compensation (expense) benefit |
|
|
(276 |
) |
|
|
3,508 |
|
|
|
826 |
|
|
|
3,218 |
|
General corporate expenses and other |
|
|
(11,829 |
) |
|
|
(16,459 |
) |
|
|
(21,650 |
) |
|
|
(27,055 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating expense |
|
$ |
(18,861 |
) |
|
$ |
(29,801 |
) |
|
$ |
(36,419 |
) |
|
$ |
(45,145 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended June 30, 2009 versus June 30, 2008
The Corporate segment reported an operating loss in the three month period ended June 30, 2009
of $18.9 million, compared to $29.8 million, in the corresponding 2008 period, a decrease of $10.9
million or 36.7%. The decrease is primarily due to a $4.7 million decrease related to the increase
in the provision for loan losses on student loan activity which is a result of the Company writing
down the value of student loans receivable to fair value at June 30, 2008 and a $4.6 million
decrease in general corporate expenses and other due to a decrease in severance costs from 2008.
Additionally, the Company experienced a $2.9 million decrease on investment impairment losses
recognized in earnings and a slight decrease of $1.5 million on interest expense on corporate debt.
Such decreases were partially offset by an increased expense on variable stock-based compensation.
Six Months Ended June 30, 2009 versus June 30, 2008
The Corporate segment reported an operating loss in the six month period ended June 30, 2009
of $36.4 million, compared to operating loss of $45.1 million, in the corresponding 2008 period, a
decrease of $8.7 million or 19.3%. The decrease is primarily due to a $6.9 million decrease
primarily related to an increase in provision for loan loss on student loan activity which is a
result of the Company writing down the value of student loans receivable to fair value at June 30,
2008 and a $5.4 million decrease in general corporate expenses and other due to a decrease in
severance costs from 2008. Additionally, the Company experienced a slight decrease of $1.5 million
on investment impairment losses recognized in earnings and a $2.6 million decrease in interest
expense on corporate debt. Such decreases were partially offset by an increased expense on
variable stock-based compensation.
Disposed Operations
Our Disposed Operations segment includes the former Life Insurance Division, former Star HRG
Division and former Student Insurance Division.
On September 30, 2008, the Company exited the Life Insurance Division business through a
reinsurance transaction effective July 1, 2008. See Note 2 of Notes to Consolidated Condensed
Financial Statements. On July 11, 2006 and December 1, 2006, the Company completed the sales of
the assets formerly comprising its Star HRG and Student Insurance Divisions, respectively.
33
The table below sets forth income (loss) from continuing operations for our Disposed
Operations three and six months ended June 30, 2009 and 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
|
|
(Dollars in thousands) |
|
Income (loss) from Disposed Operations before federal income taxes: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Life Insurance Division |
|
$ |
(1,043 |
) |
|
$ |
(17,860 |
) |
|
$ |
(2,267 |
) |
|
$ |
(19,980 |
) |
Student Insurance Division |
|
|
|
|
|
|
474 |
|
|
|
42 |
|
|
|
334 |
|
Star HRG Insurance Division |
|
|
|
|
|
|
169 |
|
|
|
135 |
|
|
|
118 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
$ |
(1,043 |
) |
|
$ |
(17,217 |
) |
|
$ |
(2,090 |
) |
|
$ |
(19,528 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Liquidity and Capital Resources
Consolidated
Historically, the Companys primary sources of cash on a consolidated basis have been premium
revenue from policies issued, investment income, and fees and other income. The primary uses of
cash have been payments for benefits, claims and commissions under those policies, servicing of the
Companys debt obligations and operating expenses.
The Company has entered into several financing agreements designed to strengthen both its
capital base and liquidity, the most significant of which are described below. The following table
sets forth additional information with respect to the Companys debt:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
June 30, |
|
|
December 31, |
|
|
|
Maturity Date |
|
|
Interest Rate |
|
|
2009 |
|
|
2008 |
|
2006 credit agreement: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Term loan |
|
|
2012 |
|
|
|
5.75 |
% |
|
$ |
362,500 |
|
|
$ |
362,500 |
|
$75 million revolver |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Trust preferred securities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
UICI Capital Trust I |
|
|
2034 |
|
|
|
5.65 |
% |
|
|
15,470 |
|
|
|
15,470 |
|
HealthMarkets Capital Trust I |
|
|
2036 |
|
|
|
5.05 |
% |
|
|
51,550 |
|
|
|
51,550 |
|
HealthMarkets Capital Trust II |
|
|
2036 |
|
|
|
8.37 |
% |
|
|
51,550 |
|
|
|
51,550 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
|
|
|
|
|
|
|
|
$ |
481,070 |
|
|
$ |
481,070 |
|
Student Loan Credit Facility |
|
|
|
(a) |
|
|
0 |
%(b) |
|
|
81,000 |
|
|
|
86,050 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
|
|
|
|
|
|
|
|
$ |
562,070 |
|
|
$ |
567,120 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
|
The Series 2001A-1 Notes and Series 2001A-2 Notes have a final stated maturity
of July 1, 2036; the Series 2002A Notes have a final stated maturity of July 1, 2037.
See Note 5 of Notes to Consolidated Condensed Financial Statements. |
|
(b) |
|
The interest rate on each series of SPE Notes resets monthly in a Dutch auction
process. |
In connection with the Merger, the Company borrowed $500.0 million under a term loan
credit facility and issued $100.0 million of Floating Rate Junior Subordinated Notes during 2006
(see Note 5 of Notes to Consolidated Condensed Financial Statements).
We regularly monitor our liquidity position, including cash levels, credit line, principal
investment commitments, interest and principal payments on debt, capital expenditures and matters
relating to liquidity and to compliance with regulatory requirements. We maintain a line of credit
in excess of anticipated liquidity requirements. As of June 30, 2009, HealthMarkets had a $75.0
million unused line of credit, of which $56.0 million was available to the Company. The
unavailable balance of $19.0 million relates to letters of credit outstanding with the Companys
insurance operations.
Holding Company
HealthMarkets, Inc. is a holding company, the principal asset of which is its investment in
its wholly owned subsidiary, HealthMarkets, LLC (collectively referred to as the holding
company). The holding companys ability to fund its cash requirements is largely dependent upon
its ability to access cash, by means of dividends or other means, from HealthMarkets, LLC.
HealthMarkets, LLCs principal assets are its investments in its separate operating subsidiaries,
including its regulated insurance subsidiaries.
Domestic insurance companies require prior approval by insurance regulatory authorities for
the payment of dividends that exceed certain limitations based on statutory surplus and net income.
During 2009, the Companys domestic insurance companies are eligible to pay, without prior approval
of the regulatory authorities, aggregate dividends in the ordinary course of business to
HealthMarkets, LLC of approximately $69.9 million. However, as it has done in the past, the
Company will continue to assess the results of operations of the regulated domestic insurance
companies to determine
34
the prudent dividend capability of the subsidiaries, consistent with HealthMarkets practice
of maintaining risk-based capital ratios at each of the Companys domestic insurance subsidiaries
in excess of minimum requirements.
Contractual Obligations and Off Balance Sheet Arrangements
A summary of HealthMarkets contractual obligations is included in the 2008 Form 10-K. There
have been no material changes in the Companys contractual obligations or off balance sheet
commitments since December 31, 2008.
Critical Accounting Policies and Estimates
The Companys discussion and analysis of its financial condition and results of operations are
based on its consolidated condensed financial statements, which have been prepared in accordance
with United States generally accepted accounting principles. The preparation of these consolidated
condensed financial statements requires the Company to make estimates and judgments that affect the
reported amounts of assets, liabilities, revenue and expenses, and related disclosure of contingent
assets and liabilities. On an on-going basis, the Company evaluates its estimates, including those
related to the valuation of assets and liabilities requiring fair value estimates, including
investments and allowance for bad debts, the amount of health and life insurance claims and
liabilities, the realization of deferred acquisition costs, the carrying value of goodwill and
intangible assets, the amortization period of intangible assets, stock-based compensation plan
forfeitures, the realization of deferred taxes, reserves for contingencies, including reserves for
losses in connection with unresolved legal matters and other matters that affect the reported
amounts and disclosure of contingencies in the financial statements. The Company bases its
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.
Reference is made to the discussion of these critical accounting policies and estimates contained
in the Companys Annual Report on Form 10-K for the year ended December 31, 2008 under the caption
Managements Discussion and Analysis of Financial Condition and Results of Operations Critical
Accounting Policies and Estimates.
Deferred Acquisition Costs (DAC) 2009 Change in Estimates
Prior to January 1, 2009, the basis for the amortization period on deferred lead costs and the
portion of DAC associated with commissions paid to agents was the estimated weighted average life
of the insurance policy, which approximated 24 months. The monthly amortization factor was
calculated to correspond with the historical persistency of policies (i.e. the monthly amortization
is variable and is higher in the early months). Beginning January 1, 2009, on newly issued
policies, the Company refined its estimated life of the policy to approximate the premium paying
period of the policy based on the expected persistency over this period. As such, these costs are
now amortized over sixty months, and the monthly amortization factor is calculated to correspond
with the expected persistency experience for the newly issued policies. However, the amounts
amortized will continue to be substantially higher in the early months of the policy as both are
based on the persistency of the Companys insurance policies. Policies issued before January 1,
2009, will continue to be amortized using the existing assumptions in place at the time of the
issuance of the policy.
Additionally, prior to January 1, 2009, certain other underwriting and policy issuance costs,
which the Company determined to be more fixed than variable, were expensed as incurred. Effective
January 1, 2009, HealthMarkets determined that, due to changes in both the Companys products and
underwriting procedures performed, certain of these costs have become more variable than fixed in
nature. As such, the Company began deferring such costs over the expected premium paying period of
the policy, which approximates five years.
These changes resulted in a decrease in Underwriting, acquisition and insurance expenses of
$2.2 million and $7.3 million, respectively, for the three and six months ended June 30, 2009.
Recent Accounting Pronouncements
In June 2009, the Financial Accounting Standards Board (the FASB) issued Statement of
Financial Accounting Standards (SFAS) No. 168, The FASB Accounting Standards Codification and the
Hierarchy of Generally Accepted Accounting Principlesa replacement of FASB Statement No. 162
(SFAS No. 168), which recognizes The FASB Accounting Standards Codification (the Codification)
as the source of authoritative U.S. GAAP recognized by the FASB. Additionally, rules and
interpretive releases of the Securities and Exchange Commission (the SEC) under authority of
federal securities laws will also continue to be sources of authoritative GAAP for SEC registrants.
SFAS No. 168 is effective for financial statements issued for interim and annual periods ending
after September 15, 2009, at which time, the Codification will supersede all then-existing non-SEC
accounting and reporting standards.
35
In June 2009, the FASB issued SFAS No. 167, Amendments to FASB Interpretation No. 46(R) (SFAS
No. 167), which modifies financial reporting for variable interest entities (VIEs). Under SFAS
No. 167, companies are required to perform a periodic analysis to determine whether their variable
interest must be consolidated by the Company. Additionally, Companies must disclose significant
judgments and assumptions made it determining whether it must consolidate a VIE. Any changes in
consolidated entities resulting from a Companys analysis must be applied retrospectively to prior
period financial statements. SFAS No. 167 is effective for annual and interim periods beginning
after November 15, 2009. The Company has not yet determined the impact that the adoption of SFAS
No. 167 will have on its consolidated financial statements.
In June 2009, the FASB issued SFAS No. 166, Accounting for Transfers of Financial Assetsan
amendment of SFAS No. 140, (SFAS No. 166), which provides greater transparency about transfers of
financial assets. SFAS No. 166 requires companies to determine whether the transferor or companies
included in the transferors financial statements have surrendered control over transferred
financial assets. In making such determination, companies are required to consider the continuing
involvement by the transferor in the transferred financial asset. SFAS No. 166 modifies the
financial-components approach used in SFAS No. 140 and limits the circumstances in which a
financial asset, or portion of a financial asset, should be derecognized. Additionally, this FSP
removes the concept of a qualifying special-purpose entity (QSPE) from SFAS No. 140, Accounting
for Transfers and Servicing of Financial Assets and Extinguishments of Liabilities (SFAS No. 140)
and removes the exception from applying FASB Interpretation No. 46 (revised December 2003),
Consolidation of Variable Interest Entities, to QSPEs. SFAS No. 166 is effective for annual and
interim periods beginning after November 15, 2009. The Company has not yet determined the impact
that the adoption of SFAS No. 166 will have on its consolidated financial statements.
In May 2009, the Company adopted SFAS No. 165, Subsequent Events (SFAS No. 165), which
established general standards of accounting for and disclosure of events that occur after the
balance sheet date but before financial statements are issued or are available to be issued. SFAS
No. 165 requires disclosure of the date through which an entity has evaluated subsequent events and
the basis for that date. Additionally, SFAS No. 165 clarifies the circumstances under which an
entity should recognize in the financial statements, the effects of events or transactions
occurring after the balance sheet date, and required disclosures for such events and transactions.
The adoption of SFAS No. 165 did not have a material impact on the Companys consolidated condensed
financial statements
In April 2009, the Company adopted FASB Staff Position (FSP) SFAS No. 157-4, Determining The
Fair Value When the Volume and Level of Activity for the Asset or Liability Have Significantly
Decreased and Identifying Transactions That Are Not Orderly (FSP SFAS No. 157-4), which amends
SFAS No. 157, Fair Value Measurements (SFAS No. 157"). Under SFAS No. 157, companies were to
assume that fair value measurements were determined when an asset was to be exchanged in an orderly
transaction between market participants to sell the asset at the measurement date under current
market conditions. FSP SFAS No. 157-4 provides guidance for estimating fair value in accordance
with SFAS No. 157 when the market activity for the asset or liability has significantly decreased
and guidance for identifying transactions that are not orderly. Furthermore, FSP SFAS No. 157-4
requires disclosure in interim and annual periods for the inputs and valuation techniques used to
measure fair value. Additionally, FSP SFAS No. 157-4 requires an entity to disclose a change in
valuation technique resulting from the application of FSP SFAS No. 157-4, and to quantify such
effects. The adoption of FSP SFAS No. 157-4 did not have a material impact on the Companys
consolidated condensed financial statements.
In February 2008, the FASB issued FSP SFAS No. 157-2, Effective Date of FASB Statement No.
157, which delays the effective date of SFAS No. 157 for all nonfinancial assets and nonfinancial
liabilities, except those that are recognized or disclosed at fair value in the financial
statements on a recurring basis (at least annually). These nonfinancial items would include, for
example, reporting units measured at fair value in a goodwill impairment test and nonfinancial
assets acquired and liabilities assumed in a business combination. The adoption of the remaining
provisions of SFAS No. 157 did not have a material impact on the Companys financial position and
results of operations.
In April 2009, the Company adopted FSP SFAS No. 107-1 and APB 28-1, Disclosures about Fair
Value of Financial Instruments (FSP SFAS No. 107-1 and APB 28-1), which amends SFAS No. 107,
Disclosures about Fair Value of Financial Instruments. FSP SFAS No. 107-1 and APB 28-1 requires
companies to provide disclosures about fair value of financial instruments in both interim and
annual financial statements. Additionally, under this FSP, companies are required to disclose the
methods and significant assumptions used to estimate the fair value of financial instruments in
both interim and annual financial statements. The adoption of FSP SFAS No. 107-1 and APB 28-1 did
not have a material impact on the Companys consolidated condensed financial statements.
In April 2009, the Company adopted FSP SFAS No. 115-2 and SFAS No. 124-2, Recognition and
Presentation of Other-Than-Temporary Impairments (FSP SFAS No. 115-2 and SFAS No. 124-2), which
amends SFAS No. 115,
36
Accounting for Certain Investments in Debt and Equity Securities and SFAS No. 124, Accounting
for Certain Investments Held by Not-for-Profit Organizations. FSP SFAS No. 115-2 and SFAS No.
124-2 improves the presentation and disclosure of other-than-temporary impairments on debt and
equity securities in the financial statements. Under this FSP, when the fair value is less than
the amortized cost basis at the measurement date, a company would be required to assess the
impaired security to determine whether the impairment is other-than-temporary. Such assessment may
result in the recognition of an other-than-temporary impairment related to a credit loss in the
statement of income and the recognition of an other-than-temporary impairment related to a
non-credit loss in accumulated other comprehensive income on the balance sheet. To avoid
recognizing the entire other-than-temporary impairment in the statement of income, a company would
be required to assert (a) it does not have the intent to sell the security and (b) it is more
likely than not that it will not have to sell the security before recovery of its cost basis.
Additionally, at adoption, a company is permitted to make a one-time cumulative-effect adjustment
for securities held at adoption for which an other-than-temporary impairment related to a
non-credit loss had been previously recognized. Upon adoption of FSP SFAS No. 115-2 and SFAS No.
124-2, the Company recognized such tax-effected cumulative effect as an increase to the opening
balance of retained earnings for $1.0 million with a corresponding decrease to accumulated other
comprehensive income, with no overall change to shareholders equity. See Note 4 of Notes to
Consolidated Condensed Financial Statements.
On January 1, 2009, the Company adopted SFAS No. 161, Disclosures about Derivative Instruments
and Hedging Activities (SFAS No. 161), which amends SFAS No. 133, Accounting for Derivative
Instruments and Hedging Activities (SFAS No. 133). SFAS No. 161 requires companies with
derivative instruments to disclose information that should enable financial statement users to
understand how and why a company uses derivative instruments, how derivative instruments and
related hedged items are accounted for under SFAS No. 133, and how derivative instruments and
related hedged items affect a companys financial position, financial performance, and cash flows.
The required disclosures include the fair value of derivative instruments and their gains or losses
in tabular format, information about credit risk related contingent features in derivative
agreements, counterparty credit risk, and a companys strategies and objectives for using
derivative instruments. The statement expands the current disclosure framework in SFAS No. 133.
The adoption of SFAS No. 161 did not have a material impact on the Companys financial position and
results of operations. The expanded disclosures regarding derivative instruments and hedging
activities are included in Note 6 of Notes to Consolidated Condensed Financial Statements.
In December 2007, SFAS No. 160, Noncontrolling Interests in Consolidated Financial
Statementsan amendment of ARB No. 51, (SFAS No. 160) was issued. The objective of SFAS No. 160
is to improve the relevance, comparability, and transparency of the financial information related
to minority interest that a reporting entity provides in its consolidated financial statements. The
adoption of SFAS No. 160 did not have a material impact on the Companys financial position and
results of operations.
Regulatory and Legislative Matters
The business of insurance is primarily regulated by the states and is also affected by a range
of legislative developments at the state and federal levels. Recently adopted legislation and
regulations may have a significant impact on the Companys business and future results of
operations. Reference is made to the discussion under the caption Business Regulatory and
Legislative Matters in the Companys Annual Report on Form 10-K for the year ended December 31,
2008.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
The Company has not experienced significant changes related to its market risk exposures
during the quarter ended June 30, 2009. Reference is made to the information contained in the
Companys Annual Report on Form 10-K for the year ended December 31, 2008 in Item 7A Quantitative
and Qualitative Disclosures about Market Risk.
ITEM 4. CONTROLS AND PROCEDURES
Disclosure Controls and Procedures
The Company maintains a set of disclosure controls and procedures designed to ensure that
information required to be disclosed in reports that it files or submits under the Securities
Exchange Act of 1934, as amended, is recorded, processed, summarized and reported within the time
periods specified in Securities and Exchange Commission rules and forms. In addition, the
disclosure controls and procedures ensure that information required to be disclosed is accumulated
and communicated to management, including the principal executive officer and principal financial
officer, allowing timely decisions regarding required disclosure. Under the supervision and with
the participation of our management, including our principal executive officer and principal
financial officer, we conducted an evaluation of our disclosure controls and
37
procedures, as such term is defined under Rule 13a-15(e) promulgated under the Exchange Act.
Based on this evaluation, our principal executive officer and our principal financial officer
concluded that our disclosure controls and procedures were effective as of the end of the period
covered by this quarterly report.
Change in Internal Control over Financial Reporting
There has been no change in the Companys internal control over financial reporting during the
Companys most recent fiscal quarter that has materially affected, or is reasonably likely to
materially affect, the Companys internal control over financial reporting.
PART II. OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
The Company is a party to various material legal proceedings, which are described in Note 8 of
Notes to Consolidated Condensed Financial Statements included herein and/or in the Companys Annual
Report on Form 10-K filed for the year ended December 31, 2008 under the caption Item 3. Legal
Proceedings. The Company and its subsidiaries are parties to various other pending legal
proceedings arising in the ordinary course of business, including some asserting significant
damages arising from claims under insurance policies, disputes with agents and other matters. Based
in part upon the opinion of counsel as to the ultimate disposition of such lawsuits and claims,
management believes that the liability, if any, resulting from the disposition of such proceedings
will not be material to the Companys consolidated financial condition or results of operations.
Except as discussed in Note 8 of the Notes to Consolidated Condensed Financial Statements included
herein, during the three month period covered by this Quarterly Report on Form 10-Q, the Company
has not been named in any new material legal proceeding, and there have been no material
developments in the previously reported legal proceedings.
Reference is made to the risk factors discussed in the Companys Annual Report on Form 10-K
for the year ended December 31, 2008 in Part I, Item 1A. Risk Factors, which could materially
affect the Companys business, financial condition or future results. The risks described in the
Companys Annual Report on Form 10-K are not the only risks the Company faces. Additional risks and
uncertainties not currently known to the Company or that the Company currently deems to be
immaterial also may materially adversely affect our business, financial condition and/or operating
results. The following risk factors were identified by the Company during the second quarter ended
June 30, 2009 and supplement those risk factors discussed in Part I, Item 1A. Risk Factors of the
Companys Annual Report on Form 10-K for the year ended December 31, 2008
The Success of our new Insphere Insurance Solutions Business is Uncertain.
As discussed in Item 2 Managements Discussion and Analysis of Financial Condition and
Results of Operations, the Company formed Insphere Insurance Solutions, Inc. (Insphere) in the
second quarter of 2009 to serve as an insurance agency specializing in small business and
middle-income market life, health, long-term care and retirement insurance. The success of this
new line of business depends on a number of factors, including, but not limited to, the ability of
Insphere to obtain applicable licenses, Inspheres ability to enter into and maintain satisfactory
relationships with insurance carriers and agents and the implementation of various information
technology and administrative systems, platforms and processes necessary to successfully run the
new business. Like any new business, the progress and success of Insphere entails substantial
uncertainty. If the Companys attempt to develop the Insphere business does not progress as
planned, the Company may be materially and adversely affected by,
among other things, capital investments
and operating expenses that have not led to the anticipated results.
38
ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
The following table sets forth the Companys purchases of HealthMarkets, Inc. Class A-1 common
stock during each of the months in the three months ended June 30, 2009:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Number of Shares |
|
Maximum Number of Shares |
|
|
Total Number of Shares |
|
Average Price |
|
Purchased as Part of Publicly |
|
That May Yet Be Purchased |
Period |
|
Purchased(1) |
|
Paid per Share ($) |
|
Announced Plans or Programs |
|
Under The Plan or Program |
4/1/09 to 4/31/09 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5/1/09 to 5/31/09 |
|
|
27,027 |
|
|
|
19.27 |
|
|
|
|
|
|
|
|
|
6/1/09 to 6/30/09 |
|
|
30,824 |
|
|
|
19.27 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Totals |
|
|
57,851 |
|
|
|
19.27 |
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
The number of shares purchased other than through a publicly announced plan or program includes 57,851 shares purchased from
former or current executives of the Company. |
The following table sets forth the Companys purchases of HealthMarkets, Inc. Class A-2
common stock during each of the months in the three months ended June 30, 2009:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Number of |
|
Average Price |
|
Total Number of Shares |
|
Maximum Number of Shares |
|
|
Shares |
|
Paid per Share |
|
Purchased as Part of Publicly |
|
That May Yet Be Purchased |
Period |
|
Purchased(1) |
|
($) |
|
Announced Plans or Programs |
|
Under The Plan or Program |
4/1/09 to 4/31/09 |
|
|
151,621 |
|
|
|
19.00 |
|
|
|
|
|
|
|
|
|
5/1/09 to 5/31/09 |
|
|
70,970 |
|
|
|
19.25 |
|
|
|
|
|
|
|
|
|
6/1/09 to 6/30/09 |
|
|
66,741 |
|
|
|
19.27 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Totals |
|
|
289,332 |
|
|
|
19.12 |
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
The number of shares purchased other than through a publicly announced plan or program includes 289,332 shares purchased from
former or current participants of the stock accumulation plan established for the benefit of the Companys insurance agents. |
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
None.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
The Companys Annual Meeting of Stockholders was held on May 21, 2009. As of March 31, 2009,
the record date for the meeting, 31,026,166 shares of common stock were issued and 29,735,376
shares were outstanding. The following individuals were elected to the Companys Board of Directors
to hold office for the ensuing year.
|
|
|
|
|
|
|
|
|
Nominee |
|
In Favor |
|
Withheld/Against |
Chinh E. Chu |
|
|
26,817,165 |
|
|
|
0 |
|
Phillip J. Hildebrand |
|
|
26,817,165 |
|
|
|
0 |
|
Jason K. Giordano |
|
|
26,817,165 |
|
|
|
0 |
|
Adrian M. Jones |
|
|
26,817,165 |
|
|
|
0 |
|
Mural R. Josephson |
|
|
26,817,165 |
|
|
|
0 |
|
David K. McVeigh |
|
|
26,817,165 |
|
|
|
0 |
|
Sumit Rajpal |
|
|
26,817,165 |
|
|
|
0 |
|
Steven J. Shulman |
|
|
26,817,165 |
|
|
|
0 |
|
Ryan M. Sprott |
|
|
26,817,165 |
|
|
|
0 |
|
The results of the voting for the proposal to approve the 2009 fiscal year performance goals
for long-term incentive plan awards for certain named executives were as follows:
|
|
|
|
|
For |
|
Against |
|
Abstain |
26,817,165
|
|
0
|
|
0 |
The results of the voting for the proposal to ratify the appointment of KPMG LLP as the
Companys independent registered public accounting firm to audit the accounts of the Company for
the fiscal year ending December 31, 2009 were as follows:
|
|
|
|
|
For |
|
Against |
|
Abstain |
26,817,165
|
|
0
|
|
0 |
39
ITEM 5. OTHER INFORMATION
None.
ITEM 6. EXHIBITS
(a) Exhibits.
|
|
|
|
|
Exhibit No. |
|
Description |
|
|
|
|
|
|
31.1 |
|
|
Rule 13a-14(a)/15d-14(a) Certification, executed by
Phillip J. Hildebrand, President and Chief Executive
Officer of HealthMarkets, Inc. |
|
|
|
|
|
|
31.2 |
|
|
Rule 13a-14(a)/15d-14(a) Certification, executed by Steven
P. Erwin, Executive Vice President and Chief Financial
Officer of HealthMarkets, Inc. |
|
|
|
|
|
|
32 |
|
|
Certifications required by Rule 13a-14(b) or Rule
15d-14(b) and Section 1350 of Chapter 63 of Title 18 of
the United States Code (18 U.S.C. 1350), executed by
Phillip J. Hildebrand, President and Chief Executive
Officer of HealthMarkets, Inc. and Steven P. Erwin,
Executive Vice President and Chief Financial Officer of
HealthMarkets, Inc. |
40
SIGNATURES
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.
|
|
|
|
|
|
HEALTHMARKETS, INC
(Registrant)
|
|
Date: August 12, 2009 |
/s/ Phillip J. Hildebrand
|
|
|
Phillip J. Hildebrand |
|
|
President and Chief Executive Officer |
|
|
|
|
|
Date: August 12, 2009 |
/s/ Steven P. Erwin
|
|
|
Steven P. Erwin |
|
|
Executive Vice President and Chief Financial Officer |
|
|
41