e10vq
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
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þ |
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QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF
THE SECURITIES EXCHANGE ACT OF 1934 |
FOR THE QUARTERLY PERIOD ENDED MARCH 31, 2007.
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 NO. 001-14953
HealthMarkets, Inc.
(Exact name of registrant as specified in its charter)
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Delaware
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75-2044750 |
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(State or other jurisdiction of
incorporation or organization)
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(I.R.S. Employer
Identification No.) |
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9151 Boulevard 26, North Richland Hills, Texas
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76180 |
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(Address of principal executive office)
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(Zip Code) |
Registrants telephone number, including area code: (817) 255-5200
Not Applicable
Former name, former address and former fiscal year, if changed since last report.
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by
Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for
such shorter period that the registrant was required to file such reports), and (2) has been
subject to such filing requirements for the past 90 days.
YES þ NO o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer,
or a non-accelerated filer. See definition of accelerated filer and large accelerated filer in
Rule 12b-2 of the Exchange Act.
Large accelerated filer
o Accelerated
filer
o Non-accelerated filer þ
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
Indicate the number of shares outstanding of each of the issuers classes of common stock, as
of the latest practicable date. On April 30, 2007 the registrant had 26,900,160 outstanding shares
of Class A-1 Common Stock, $.01 Par Value, and 3,299,773 outstanding shares of Class A-2 Common
Stock, $.01 Par Value.
INDEX
HEALTHMARKETS, INC. AND SUBSIDIARIES
2
PART I. FINANCIAL INFORMATION
Item 1. Financial Statements
HEALTHMARKETS, INC. AND SUBSIDIARIES
CONSOLIDATED CONDENSED BALANCE SHEETS
(DOLLARS IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
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March 31, |
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December 31, |
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2007 |
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2006 |
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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: |
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2007$1,350,401; 2006$1,391,275) |
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$ |
1,335,589 |
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$ |
1,374,403 |
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Equity securities, at fair value (cost: |
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2007$283; 2006$283) |
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317 |
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318 |
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Policy loans |
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14,482 |
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14,625 |
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Short-term and other investments |
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500,566 |
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412,498 |
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Total Investments |
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1,850,954 |
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1,801,844 |
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Cash and cash equivalents |
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5,226 |
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32,756 |
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Student loans |
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103,307 |
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105,846 |
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Restricted cash |
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17,262 |
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16,238 |
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Investment income due and accrued |
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21,902 |
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22,633 |
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Due premiums |
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3,517 |
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3,299 |
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Reinsurance receivables |
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163,398 |
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155,283 |
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Agents and other receivables |
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38,463 |
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39,232 |
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Deferred acquisition costs |
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200,407 |
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197,757 |
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Property and equipment, net |
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63,838 |
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64,436 |
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Goodwill and other intangible assets |
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86,444 |
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86,871 |
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Recoverable federal income taxes |
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19,519 |
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23,929 |
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Other assets |
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47,693 |
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38,205 |
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$ |
2,621,930 |
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$ |
2,588,329 |
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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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$ |
456,865 |
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$ |
453,715 |
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Claims |
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532,227 |
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517,132 |
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Unearned premiums |
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146,783 |
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151,758 |
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Other policy liabilities |
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11,586 |
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12,569 |
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Accounts payable and accrued expenses |
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46,597 |
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48,363 |
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Other liabilities |
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100,544 |
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128,018 |
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Deferred federal income tax payable |
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81,029 |
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73,575 |
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Debt |
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556,070 |
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556,070 |
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Student loan credit facility |
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116,700 |
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118,950 |
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Net liabilities of discontinued operations |
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3,539 |
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3,794 |
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2,051,940 |
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2,063,944 |
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Commitments and Contingencies (Note E) |
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Stockholders Equity |
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Preferred stock, par value $0.01 per share |
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Common stock, par value $0.01 per share |
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304 |
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300 |
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Additional paid-in capital |
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30,899 |
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12,529 |
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Accumulated other comprehensive loss |
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(11,844 |
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(12,552 |
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Retained earnings |
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550,669 |
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527,978 |
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Treasury stock, at cost |
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(38 |
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(3,870 |
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569,990 |
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524,385 |
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$ |
2,621,930 |
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$ |
2,588,329 |
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NOTE: |
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The balance sheet data as of December 31, 2006 has been derived from the audited
financial statements at that date. |
See Notes to Consolidated Condensed Financial Statements (Unaudited).
3
HEALTHMARKETS, INC. AND SUBSIDIARIES
CONSOLIDATED CONDENSED STATEMENTS OF INCOME (UNAUDITED)
(DOLLARS IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
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Three Months Ended |
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March 31, |
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2007 |
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2006 |
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REVENUE |
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Premiums: |
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Health |
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$ |
333,762 |
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$ |
442,550 |
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Life premiums and other considerations |
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16,381 |
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16,139 |
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350,143 |
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458,689 |
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Investment income |
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26,460 |
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27,158 |
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Other income |
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25,615 |
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25,133 |
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Gains on sales of investments |
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2,403 |
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2,175 |
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404,621 |
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513,155 |
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BENEFITS AND EXPENSES |
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Benefits, claims, and settlement expenses |
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215,331 |
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272,725 |
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Underwriting, acquisition, and insurance expenses |
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121,998 |
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155,407 |
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Variable non-cash stock-based compensation (benefit) expense |
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(1,551 |
) |
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240 |
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Other expenses |
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21,782 |
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24,539 |
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Interest expense |
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12,996 |
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1,780 |
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370,556 |
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454,691 |
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INCOME FROM CONTINUING OPERATIONS BEFORE
INCOME TAXES |
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34,065 |
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58,464 |
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Federal income taxes |
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11,441 |
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19,618 |
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INCOME FROM CONTINUING OPERATIONS |
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22,624 |
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38,846 |
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DISCONTINUED OPERATIONS |
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Income from discontinued operations (net of income tax expense
(benefit) of $36 and $(843) in the three months ended March 31,
2007 and 2006, respectively) |
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67 |
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661 |
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NET INCOME |
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$ |
22,691 |
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$ |
39,507 |
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Earnings per share: |
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Basic |
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Income from continuing operations |
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$ |
0.75 |
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$ |
0.84 |
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Income from discontinued operations |
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0.01 |
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Net income |
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$ |
0.75 |
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$ |
0.85 |
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Diluted |
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Income from continuing operations |
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$ |
0.73 |
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$ |
0.83 |
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Income from discontinued operations |
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0.01 |
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Net income |
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$ |
0.73 |
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$ |
0.84 |
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See Notes to Consolidated Condensed Financial Statements (Unaudited).
4
HEALTHMARKETS, INC. AND SUBSIDIARIES
CONSOLIDATED CONDENSED STATEMENTS OF COMPREHENSIVE INCOME (UNAUDITED)
(DOLLARS IN THOUSANDS)
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Three Months Ended |
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March 31, |
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2007 |
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2006 |
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Net income |
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$ |
22,691 |
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$ |
39,507 |
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Other comprehensive income (loss): |
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Unrealized gains (losses) on securities and hedging activities: |
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Unrealized holding gains (losses) arising during period |
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2,026 |
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(22,079 |
) |
Reclassification adjustment for interest rate swaps included in net
income |
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(60 |
) |
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Reclassification
adjustment for investment gains (losses) included in net
income |
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(877 |
) |
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(12 |
) |
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Other comprehensive income (loss) before tax |
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1,089 |
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(22,091 |
) |
Income tax provision (benefit) related to items of other
comprehensive income (loss) |
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381 |
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(7,733 |
) |
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Other comprehensive income (loss) net of tax provision
(benefit) |
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708 |
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(14,358 |
) |
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Comprehensive income |
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$ |
23,399 |
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$ |
25,149 |
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See Notes to Consolidated Condensed Financial Statements (Unaudited).
5
HEALTHMARKETS, INC. AND SUBSIDIARIES
CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS (UNAUDITED)
(DOLLARS IN THOUSANDS)
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Three Months Ended |
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March 31, |
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2007 |
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2006 |
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(In thousands) |
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Operating Activities |
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Net income |
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$ |
22,691 |
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$ |
39,507 |
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Income from discontinued operations |
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(67 |
) |
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(661 |
) |
Adjustments to reconcile net income to cash provided by
operating activities: |
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Gains on sales of investments |
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(2,403 |
) |
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(2,175 |
) |
Change in accrued investment income |
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(69 |
) |
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(1,113 |
) |
Change in due premiums |
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(218 |
) |
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|
13,942 |
|
Change in reinsurance receivables |
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(8,115 |
) |
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(1,260 |
) |
Change in other receivables |
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|
716 |
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|
1,063 |
|
Change in federal income tax payable |
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11,483 |
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18,513 |
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Change in deferred acquisition costs |
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(2,650 |
) |
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|
1,716 |
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Depreciation and amortization |
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6,090 |
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6,552 |
|
Change in policy liabilities |
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13,288 |
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|
5,050 |
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Change in other liabilities and accrued expenses |
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(7,889 |
) |
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|
3,881 |
|
Variable non-cash stock-based compensation (benefit) expense |
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(1,551 |
) |
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|
240 |
|
Change in prepaid monitoring fees |
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(9,375 |
) |
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Other items, net |
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1,432 |
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|
819 |
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Cash Provided by continuing operations |
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23,363 |
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|
86,074 |
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Cash (Used in) Provided by discontinued operations |
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(188 |
) |
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268 |
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Net cash Provided by operating activities |
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23,175 |
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|
86,342 |
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Investing Activities |
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Increase in investment assets |
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(46,800 |
) |
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(59,658 |
) |
Decrease in student loans |
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|
3,340 |
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|
1,548 |
|
(Increase) decrease in restricted cash |
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(1,024 |
) |
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|
407 |
|
Additions to property and equipment |
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(3,878 |
) |
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(2,779 |
) |
Distribution from investment in Grapevine Finance LLC |
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|
468 |
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Decrease (increase) in agents receivables |
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53 |
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(5,593 |
) |
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Net cash Used in investing activities |
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(47,841 |
) |
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|
(66,075 |
) |
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Financing Activities |
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Increase in investment products |
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(1,001 |
) |
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|
(3,682 |
) |
Repayment of student loan credit facility |
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(2,250 |
) |
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|
(1,750 |
) |
Exercise of stock options |
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|
25 |
|
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|
114 |
|
Purchase of treasury stock |
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(38 |
) |
|
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|
Change in cash overdraft |
|
|
|
|
|
|
(3,736 |
) |
Other |
|
|
400 |
|
|
|
39 |
|
|
|
|
|
|
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|
Net Cash Used in financing activities |
|
|
(2,864 |
) |
|
|
(9,015 |
) |
|
|
|
|
|
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|
Net change in Cash and cash equivalents |
|
|
(27,530 |
) |
|
|
11,252 |
|
Cash and cash equivalents at beginning of period |
|
|
32,756 |
|
|
|
|
|
|
|
|
|
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|
Cash and cash equivalents at end of period in
continuing operations |
|
$ |
5,226 |
|
|
$ |
11,252 |
|
|
|
|
|
|
|
|
See Notes to Consolidated Condensed Financial Statements (Unaudited).
6
HEALTHMARKETS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED CONDENSED FINANCIAL STATEMENTS (UNAUDITED)
March 31, 2007
NOTE A BASIS OF PRESENTATION
The accompanying unaudited consolidated condensed financial statements for HealthMarkets, Inc.
(the Company or HealthMarkets) and its subsidiaries have been prepared in accordance with
accounting principles generally accepted in the United States of America (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, all adjustments considered
necessary for a fair presentation have been included. All such adjustments, except as otherwise
described herein, consist of normal recurring accruals. Operating results for the three month
period ended March 31, 2007 are not necessarily indicative of the results that may be expected for
the full year ending December 31, 2007. 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, 2006.
Certain amounts in the 2006 consolidated condensed financial statements have been reclassified
to conform to the 2007 consolidated condensed financial statement presentation.
Recently Issued Accounting Pronouncements
In September 2006, the Financial Accounting Standards Board (FASB) issued Statement 157,
Fair Value Measurement (SFAS 157), which defines fair value as the price that would be received to
sell an asset or that would be paid to transfer a liability in an orderly transaction between
market participants at the measurement date. SFAS 157 establishes a framework for measuring fair
value and expands disclosures about fair value measurements. Statement 157 will be effective for
financial statements issued for fiscal years beginning after November 15, 2007, and interim periods
within those fiscal years. The Company believes this statement will not have a material effect
upon the financial condition or results of operations of the Company.
In June 2006, the FASB issued FASB Interpretation No. 48, Accounting for Uncertainty in Income
Taxes, an interpretation of FASB Statement No. 109 Accounting for Income Taxes. The Interpretation
prescribes a recognition threshold and measurement attribute for the financial statement
recognition and measurement of the tax benefits from the tax position taken or expected to be taken
in a tax return. Guidance is also provided on derecognition, classification, interest and
penalties, interim accounting, and disclosure. The cumulative effect of applying the provisions of
this Interpretation, if any, is to be reported as an adjustment to the opening balance of retained
earnings. Interest plus applicable penalties, if any, on the difference between the tax benefit
recognized on a tax return and the tax benefit recognized in the financial statements are accrued
at the applicable statutory interest and penalty rates. The Interpretation applies to all tax
positions and became effective for the Company on January 1, 2007. Adoption of this pronouncement
did not affect the Companys financial position and no cumulative effect adjustment was required to
the January 1, 2007 balance of retained earnings. In addition, the Company elected to report as
income taxes the accrued interest and applicable penalties, if any, on uncertain tax positions.
In 2005, the American Institute of Certified Public Accountants issued Statement of Position
(SOP) 05-1, Accounting by Insurance Enterprises for Deferred Acquisition Costs in Connection With
Modifications or Exchanges of Insurance Contracts, for implementation in the first quarter of 2007.
The SOP requires that deferred acquisition costs be expensed in full when the original contract is
substantially changed by election or amendment of an existing contract feature or by replacement
with a new contract. The Company implemented the SOP for contract changes beginning in the first
quarter of 2007 with no material effects to the financial statements at implementation.
NOTE B DEBT
In connection with the Merger completed on April 5, 2006, 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, and the proceeds thereof were used to fund a portion of the
consideration paid in the Merger. At March 31, 2007, the Company had an
7
aggregate of $437.5 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
(1.00%). The Company has not drawn on the $75.0 million revolving credit facility.
The revolving credit facility will mature on April 5, 2011, and the term loan facility will
mature on April 5, 2012. The term loan required nominal quarterly installments (not exceeding
0.25% of the aggregate principal amount at the date of issuance) until the maturity date at which
time the remaining principal amount is due. As a result of a $60.0 million prepayment in 2006, the
Company is not obligated to make future nominal quarterly installments as previously required by
the credit agreement. Borrowings under the credit agreement may be subject to certain mandatory
prepayments. At HealthMarkets, LLCs election, the interest rates per annum applicable to
borrowings under the credit agreement will be based on a fluctuating rate of interest measured by
reference to either (a) LIBOR plus a borrowing margin, or (b) a base rate plus a borrowing margin.
HealthMarkets, LLC will pay (a) fees on the unused loan commitments of the lenders, (b) letter of
credit participation fees for all letters of credit issued, plus fronting fees for the letter of
credit issuing bank, and (c) other customary fees in respect of the credit facility. Borrowings
and other obligations under the credit agreement are secured by a pledge of HealthMarkets, LLCs
interest in substantially all of its subsidiaries, including the capital stock of 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).
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% through but excluding June 15, 2011 and thereafter
at a floating rate equal to three-month LIBOR plus 3.05%. Distributions on the Trust Securities
will be paid at the same interest rates paid on the Notes.
The Notes, which constitute the sole assets of the Trusts, are subordinate and junior in right
of payment to all senior indebtedness (as defined in the Indentures) of HealthMarkets, LLC. The
Company has fully and unconditionally guaranteed the payment by the Trusts of distributions and
other amounts payable under the Trust Securities. The guarantee is subordinated to the same extent
as the Notes.
The Trusts are obligated to redeem the Trust Securities when the Notes are paid at maturity or
upon any earlier prepayment of the Notes. Prior to June 15, 2011, the Notes may be redeemed only
upon the occurrence of certain tax or investment company events at 105.0% of the principal amount
thereof in the first year reducing by 1.25% per year until it reaches 100.0%. On and after June
15, 2011 the Notes are redeemable, in whole or in part, at the option of the Company at 100.0% of
the principal amount thereof.
On April 29, 2004, UICI Capital Trust I (a newly formed 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, which date may be
accelerated to a date not earlier than April 29, 2009. The 2004 Notes may be prepaid prior to April
29, 2009, at 107.5% of the principal amount thereof, upon the occurrence of certain events, and
thereafter at 100.0% of the principal amount thereof. The 2004 Notes, which constitute the sole
assets of the 2004 Trust, are subordinate and junior in right of payment to all senior indebtedness
(as defined in the Indenture, dated April 29, 2004, governing the terms of the 2004 Notes) of the
Company. The 2004 Notes accrue interest at a floating rate equal to three-month LIBOR plus 3.50%,
payable quarterly on February 15, May 15, August 15, and November 15 of each year. At March 31,
2007, the 2004 Notes bore interest at an annual rate of 8.86%. The quarterly distributions on the
2004 Trust Securities are paid at the same interest rate paid on the 2004 Notes.
The following table sets forth detail of the Companys debt and interest expense (dollars in
thousands):
8
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Principal Amount |
|
|
|
|
|
|
Interest Expense |
|
|
|
at |
|
|
Interest rate at |
|
|
Three Months |
|
|
|
March 31, |
|
|
March 31, |
|
|
Ended |
|
|
|
2007 |
|
|
2007 |
|
|
2007 |
|
2006 credit agreement: |
|
|
|
|
|
|
|
|
|
|
|
|
Term loan |
|
$ |
437,500 |
|
|
|
6.36% |
|
|
$ |
6,680 |
|
$75 Million revolver (non-use fee) |
|
|
|
|
|
|
|
|
|
|
41 |
|
Trust preferred securities: |
|
|
|
|
|
|
|
|
|
|
|
|
UICI Capital Trust I |
|
|
15,470 |
|
|
|
8.86% |
|
|
|
343 |
|
HealthMarkets Capital Trust I |
|
|
51,550 |
|
|
|
8.40% |
|
|
|
1,084 |
|
HealthMarkets Capital Trust II |
|
|
51,550 |
|
|
|
8.37% |
|
|
|
1,078 |
|
Other: |
|
|
|
|
|
|
|
|
|
|
|
|
Interest on Deferred Tax |
|
|
|
|
|
|
|
|
|
|
1,042 |
|
Student loan credit facility |
|
|
116,700 |
|
|
|
5.30% |
|
|
|
1,541 |
|
Amortization of financing fees |
|
|
|
|
|
|
|
|
|
|
1,187 |
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
672,770 |
|
|
|
|
|
|
$ |
12,996 |
|
|
|
|
|
|
|
|
|
|
|
|
Set forth below is the supplemental calculation of the amortization of financing fees
included in interest expense associated with the Companys non-student loan debt (dollars in
thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Amortization |
|
|
|
|
|
|
|
|
|
|
|
Expense |
|
|
|
Remaining |
|
|
|
|
|
|
Three months |
|
|
|
capitalized |
|
|
|
|
|
|
ended |
|
|
|
amount |
|
|
Life (years) |
|
|
March 31, 2007 |
|
UICI Capital Trust I |
|
$ |
176 |
|
|
|
5 |
|
|
$ |
21 |
|
Term loan credit facility |
|
|
17,563 |
|
|
|
6 |
|
|
|
753 |
|
HealthMarkets Capital Trust I |
|
|
2,496 |
|
|
|
5 |
|
|
|
128 |
|
HealthMarkets Capital Trust II |
|
|
2,499 |
|
|
|
5 |
|
|
|
127 |
|
$75 Million Revolver (Non-Use Fee) |
|
|
2,529 |
|
|
|
5 |
|
|
|
158 |
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
25,263 |
|
|
|
|
|
|
$ |
1,187 |
|
|
|
|
|
|
|
|
|
|
|
|
Principal payments required for the Companys non-student loan debt for the remainder of
2007 and each of the next five years and thereafter are as follows (in thousands):
|
|
|
|
|
Remainder of 2007 |
|
$ |
0 |
|
2008 |
|
|
0 |
|
2009 |
|
|
0 |
|
2010 |
|
|
0 |
|
2011 |
|
|
0 |
|
2012 |
|
|
437,500 |
|
2013 and thereafter |
|
|
118,570 |
|
|
|
|
|
|
|
$ |
556,070 |
|
|
|
|
|
Management uses derivative instruments to protect against the risk of changes in
prevailing interest rates adversely affecting future cash flows associated with the term loan
credit facility discussed above. The derivative instrument used by the Company to protect against
such risk is the interest rate swap. The Company accounts for its interest rate swaps in accordance
with SFAS 133, Accounting for Derivative Instruments and Hedging Activities.
As with any financial instrument, derivative instruments have inherent risks, primarily market
and credit risk. Market risk associated with changes in interest rates is managed as part of the
Companys overall market risk monitoring process by establishing and monitoring limits as to the
degree of risk that may be undertaken. Credit risk occurs when a counterparty to a derivative
contract in which the Company has an unrealized gain fails to perform according to the terms of the
agreement. The Company minimizes its credit risk by entering into transactions with counterparties
that maintain high credit ratings.
For a derivative instrument designated as a cash flow hedge, the effective portion of changes
in the fair value of the derivative instrument is recorded under the caption Unrealized gains
(losses) on securities and hedging activities in the Companys Consolidated Condensed Statement of
Comprehensive Income and is recognized in the
9
income statement when the hedged item affects results
of operations. If it is determined that (i) an interest rate swap
is not highly effective in offsetting changes in the cash flows of a hedged item, (ii) the
derivative expires or is sold, terminated or exercised, or (iii) the derivative is undesignated as
a hedge instrument because it is unlikely that a forecasted transaction will occur, the Company
discontinues hedge accounting prospectively.
If hedge accounting is discontinued, the derivative instrument will continue to be carried at
fair value, with changes in the fair value of the derivative instrument recognized in the current
periods results of operations. When hedge accounting is discontinued because it is probable that
a forecasted transaction will not occur, the accumulated gains and losses included in accumulated
other comprehensive income will be recognized immediately in results of operations. When hedge
accounting is discontinued because the derivative instrument has not been or will not continue to
be highly effective as a hedge, hedge accounting is discontinued and the remaining amount in
accumulated other comprehensive income is amortized into earnings over the remaining life of the
derivative.
At the effective date of the Merger, an affiliate of The Blackstone Group assigned to the
Company three interest rate swap agreements with an aggregate notional amount of $300.0 million.
The terms of the swaps are 3, 4 and 5 years beginning on April 11, 2006. The Company presents the
fair value of the interest rate swap agreements at the end of the period in either Other assets
or Other liabilities, as applicable, on its consolidated condensed balance sheet. At March 31,
2007, the interest rate swaps had an aggregate fair value of approximately $912,000, which is
reflected under the caption Other liabilities. The Company redesignated the hedging relationship
in February 2007 to hedge the risk of changes in the Companys cash flow attributable to changes in
the LIBOR rate applicable to its variable-rate term loan. The Company assesses, on a quarterly
basis, the ineffectiveness of the hedging relationship and any gains or losses related to the
ineffectiveness are recorded in Other investment income on its consolidated condensed statement
of income. During the quarter ended March 31, 2007, the Company incurred a loss of $57,000 related
to the ineffectiveness of the interest rate swap. The Company 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 March 31, 2007, accumulated other comprehensive income included a deferred
after-tax net loss of $2.2 million related to the interest rate swaps. During the quarter ended
March 31, 2007, pretax income of $278,000 ($181,000 net of tax) was reclassified into interest
expense as adjustments to interest payments on variable rate debt. In addition, an amount of
$161,000 ($105,000 net of tax) was reclassified into earnings from accumulated other comprehensive
income associated with the previous termination of the hedging relationship in the fourth quarter
of 2006, and the then remaining amount of $1.6 million accumulated other comprehensive income is
expected to be reclassified into earnings in conjunction with the interest payments on the variable
rate debt through April 2011.
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.
NOTE C FEDERAL INCOME TAXES
The Company adopted the Financial Accounting Standards Boards Interpretation No. 48,
Accounting for Uncertainty in Income Taxes (FIN 48), effective January 1, 2007. Adoption of this
pronouncement did not effect the Companys financial position and no cumulative effect adjustment
was required to the January 1, 2007 balance of retained earnings.
As of January 1, 2007, the Company maintained a liability for uncertain tax positions in the
amount of $1.1 million which consists solely of accrued interest related to a tax position that
involves the uncertain timing of a deduction claimed on a tax return. Accrued interest and
applicable penalties, if any, on uncertain tax positions are recorded as a component of income
taxes but is not significant for the quarter ended March 31, 2007. The uncertain tax position is
currently under examination and, if resolved favorably, may decrease the Companys effective tax
rate within the next 12 months. The years that remain subject to
federal tax examination are all years after 2002.
10
NOTE D EARNINGS PER SHARE
The following table sets forth the computation of basic and diluted earnings per share:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
|
March 31, |
|
|
|
2007 |
|
|
2006 |
|
|
|
(In thousands, except per share |
|
|
|
amounts) |
|
Income available to common shareholders: |
|
|
|
|
|
|
|
|
Income from continuing operations |
|
$ |
22,624 |
|
|
$ |
38,846 |
|
Income from discontinued operations |
|
|
67 |
|
|
|
661 |
|
|
|
|
|
|
|
|
Net income for basic and diluted earnings per share |
|
$ |
22,691 |
|
|
$ |
39,507 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding ¾ basic earnings per share |
|
|
30,242 |
|
|
|
46,453 |
|
Effect of dilutive securities: |
|
|
|
|
|
|
|
|
Employee stock options and other shares |
|
|
763 |
|
|
|
811 |
|
|
|
|
|
|
|
|
Weighted average shares outstanding ¾ dilutive earnings per share |
|
|
31,005 |
|
|
|
47,264 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings per share: |
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
0.75 |
|
|
$ |
0.84 |
|
From discontinued operations |
|
|
|
|
|
|
0.01 |
|
|
|
|
|
|
|
|
Net income |
|
$ |
0.75 |
|
|
$ |
0.85 |
|
|
|
|
|
|
|
|
Diluted earnings per share: |
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
0.73 |
|
|
$ |
0.83 |
|
From discontinued operations |
|
|
|
|
|
|
0.01 |
|
|
|
|
|
|
|
|
Net income |
|
$ |
0.73 |
|
|
$ |
0.84 |
|
|
|
|
|
|
|
|
As of March 31, 2007, 26,900,160 shares of Class A-1 common stock were issued and
outstanding and 3,455,787 shares of Class A-2 common stock were issued, of which 3,454,835 shares
were outstanding and 952 shares were held in treasury.
NOTE E COMMITMENTS AND CONTINGENCIES
The Company is a party to the following material legal proceedings:
Association Group Litigation
The health insurance products issued by the Companys insurance subsidiaries in the
self-employed market are primarily issued to members of various membership associations that make
available to their members the health insurance and other insurance products issued by the
Companys insurance subsidiaries. The associations provide their membership with a number of
benefits and products, including the opportunity to apply for health insurance underwritten by the
Companys health insurance subsidiaries. As previously disclosed, the Company and/or its insurance
company subsidiaries have been named as defendants in numerous cases in California and in other
jurisdictions challenging, among other things, the manner in which the defendants market health
insurance products in the self-employed market and the nature of the relationship between the
Companys insurance companies and the associations that have made available to their members the
insurance companies health insurance products. Plaintiffs in such cases generally seek injunctive
relief and monetary damages in an unspecified amount. Reference is made to the discussion of these
cases contained in the Companys Annual Report on Form 10-K for the year ended December 31, 2006
under the caption Item 3 Legal Proceedings and in Note P of Notes to the Companys Consolidated
Financial Statements included in such report.
As previously disclosed, HealthMarkets and MEGA were named as defendants in an action filed on
October 5, 2005 (Charles H. Gardner v. MEGA, HealthMarkets, et al) pending in the Superior Court of
Los Angeles County, California (the California Court), Case No. BC340625. The plaintiff has
asserted violations of the California Consumers Legal Remedies Act, breach of contract, breach of
the implied covenant of good faith and fair dealing, fraud, breach of fiduciary duty, negligence
and unfair competition. The plaintiff seeks monetary damages in an unspecified amount and
injunctive relief. On October 6, 2006, HealthMarkets, MEGA, and HealthMarkets Lead Marketing
Group, Inc., filed a motion in the United States District Court for the Northern District of Texas,
Dallas Division (the Texas Court), to enjoin plaintiff from pursuing claims in this action that
were the subject of a previous class action settlement. As part of the previous settlement, the
Texas Court barred and permanently enjoined class members from reasserting, in another proceeding,
claims that were the subject of the settlement. On
11
January 4, 2007, the Texas Court granted the defendants motion and enjoined plaintiff from
pursuing claims that were the subject of the previous settlement. On January 16, 2007, the
California Court granted MEGAs motion to dismiss these previously-asserted claims. On January 25,
2007, plaintiff appealed the ruling of the Texas Court enjoining plaintiff from pursuing claims
that were the subject of the previous settlement. A ruling on the appeal is pending. On March 6,
2007, HealthMarkets and MEGA filed with the California Court a motion to dismiss the balance of
plaintiffs claims, which motion was granted on March 27, 2007.
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 have alleged several causes
of action including negligence, negligent misrepresentation, intentional misrepresentation, and
loss of consortium. Plaintiffs seek unspecified general and punitive damages, interest and
attorneys fees. On November 6, 2006, MEGA filed a motion to dismiss, which plaintiffs opposed on
December 18, 2006. A ruling on MEGAs motion is pending.
The Company currently believes that resolution of these proceedings will not have a material
adverse effect on the Companys consolidated financial condition or results of operations.
Other Litigation Matters
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. The Company currently believes that the liability, if any,
resulting from the disposition of such proceedings, claims, demands, disputes or matters would not
be material to the Companys financial condition or results of operations.
Regulatory Matters
On March 22, 2005, HealthMarkets received notification that the Market Analysis Working Group
of the National Association of Insurance Commissioners had chosen the states of Washington and
Alaska to lead a multi-state market conduct examination of HealthMarkets principal insurance
subsidiaries. The Company believes that approximately 34 states have elected to participate in the
examination, which commenced in May 2005 and is ongoing. The examiners have completed the onsite
phases of the examination. An exit interview was held on July 17, 2006, in which representatives
of the lead states participated. The Company expects to receive a draft of the examination report
in the near future and will respond to the draft report in a timely manner.
The Companys insurance subsidiaries are subject to various other pending market conduct
examinations arising in the ordinary course of business. State insurance regulatory agencies have
authority to levy monetary fines and penalties and require remedial action resulting from findings
made during the course of such market conduct examinations. The Company currently believes that
the liability, if any, resulting from the disposition of the multi-state market conduct examination
or other market conduct examinations would not be material to the Companys financial condition or
results of operations.
NOTE F SEGMENT INFORMATION
The Companys business segments for financial reporting purposes include (i) the Insurance
segment (which includes the businesses of the Companys Self-Employed Agency Division (SEA), the
Life Insurance Division and Other Insurance); (ii) Other Key Factors (which includes investment
income not allocated to the Insurance segment, realized gains or losses on sale of investments,
interest expense on corporate debt, general expenses relating to corporate operations, merger
transaction expenses, variable non-cash stock-based compensation and operations that do not
constitute reportable operating segments); and (iii) Disposed Operations (which includes the
Companys 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 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
12
other income. Management does not allocate income taxes to segments. Transactions between
reportable operating segments are accounted for under respective agreements, which provide for such
transactions generally at cost.
Revenues from continuing operations, income (loss) from continuing operations before federal
income taxes, and assets by operating segment are set forth in the tables below:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
|
March 31, |
|
|
|
2007 |
|
|
2006 |
|
|
|
(In thousands) |
|
Revenues from continuing operations: |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
360,240 |
|
|
$ |
363,369 |
|
Life Insurance Division |
|
|
21,554 |
|
|
|
22,059 |
|
Other Insurance |
|
|
7,626 |
|
|
|
9,867 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
389,420 |
|
|
|
395,295 |
|
Other Key Factors |
|
|
15,721 |
|
|
|
14,555 |
|
Intersegment Eliminations |
|
|
(488 |
) |
|
|
(279 |
) |
|
|
|
|
|
|
|
Total revenues excluding disposed operations |
|
|
404,653 |
|
|
|
409,571 |
|
Disposed Operations: |
|
|
|
|
|
|
|
|
Student Insurance Division |
|
|
|
|
|
|
65,099 |
|
Star HRG |
|
|
(32 |
) |
|
|
38,485 |
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
(32 |
) |
|
|
103,584 |
|
|
|
|
|
|
|
|
Total revenues |
|
$ |
404,621 |
|
|
$ |
513,155 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
|
March 31, |
|
|
|
2007 |
|
|
2006 |
|
|
|
(In thousands) |
|
Income from continuing operations
before federal income taxes: |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
35,430 |
|
|
$ |
47,023 |
|
Life Insurance Division |
|
|
29 |
|
|
|
381 |
|
Other Insurance |
|
|
1,760 |
|
|
|
1,721 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
37,219 |
|
|
|
49,125 |
|
Other Key Factors: |
|
|
|
|
|
|
|
|
Investment income on equity, interest expense,
realized gains and losses, general corporate
expenses and other items |
|
|
(5,061 |
) |
|
|
3,928 |
|
Merger transaction expenses |
|
|
|
|
|
|
(662 |
) |
Variable stock-based compensation benefit (expense) |
|
|
1,551 |
|
|
|
(240 |
) |
|
|
|
|
|
|
|
Total Other Key Factors |
|
|
(3,510 |
) |
|
|
3,026 |
|
|
|
|
|
|
|
|
Total operating income excluding disposed
operations |
|
|
33,709 |
|
|
|
52,151 |
|
|
|
|
|
|
|
|
Disposed Operations: |
|
|
|
|
|
|
|
|
Student Insurance Division |
|
|
277 |
|
|
|
4,665 |
|
Star HRG Division |
|
|
79 |
|
|
|
1,648 |
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
356 |
|
|
|
6,313 |
|
|
|
|
|
|
|
|
Total income from continuing operations
before federal income taxes |
|
$ |
34,065 |
|
|
$ |
58,464 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
March 31, |
|
|
December 31, |
|
|
|
2007 |
|
|
2006 |
|
|
|
(In thousands) |
|
Assets: |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
915,383 |
|
|
$ |
930,856 |
|
Life Insurance Division |
|
|
537,452 |
|
|
|
552,723 |
|
Other Insurance |
|
|
20,609 |
|
|
|
20,419 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
1,473,444 |
|
|
|
1,503,998 |
|
Other Key Factors |
|
|
1,003,312 |
|
|
|
943,360 |
|
|
|
|
|
|
|
|
Total Assets excluding Disposed Operation |
|
|
2,476,756 |
|
|
|
2,447,358 |
|
|
|
|
|
|
|
|
Disposed Operations: |
|
|
|
|
|
|
|
|
Student Insurance Division |
|
|
128,285 |
|
|
|
124,738 |
|
Star HRG Division |
|
|
16,889 |
|
|
|
16,233 |
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
145,174 |
|
|
|
140,971 |
|
|
|
|
|
|
|
|
Total assets |
|
$ |
2,621,930 |
|
|
$ |
2,588,329 |
|
|
|
|
|
|
|
|
13
The Student Insurance Division assets of $128.3 million at March 31, 2007 represent a
reinsurance receivable associated with a coinsurance agreement entered into with an insurance
affiliate of UnitedHealth Group, Incorporated. The Star HRG assets of $16.9 million at March 31,
2007 represent a reinsurance receivable associated with a coinsurance agreement entered into with
an insurance affiliate of CIGNA Corporation.
NOTE G 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 insurance agents and independent sales representatives associated
with UGA Association Field Services, New United Agency, and Cornerstone America.
The Agent Plans generally combine an agent-contribution feature and a Company-match feature.
The agent-contribution feature generally provides that eligible participants are permitted to
allocate a portion (subject to prescribed limits) of their commissions or other compensation earned
on a monthly basis to purchase shares of HealthMarkets Class A-2 common stock at the fair market
value of such shares at the time of purchase. Under the Company-match feature of the Agent Plans,
participants are eligible to have posted to their respective Agent Plan accounts book credits in
the form of equivalent shares based on the number of shares of HealthMarkets Class A-2 common stock
purchased by the participant under the agent-contribution feature of the Agent Plans. The matching
credits vest over time (generally in prescribed increments over a ten-year period, commencing the
plan year following the plan year during which contributions are first made under the
agent-contribution feature), and vested matching credits in a participants plan account in January
of each year are converted from book credits to an equivalent number of shares of HealthMarkets
common stock. Matching credits forfeited by participants no longer eligible to participate in the
Agent Plans are reallocated each year among eligible participants and credited to eligible
participants Agent Plan accounts. Share requirements of the Agent Plans may be met from either
unissued or treasury shares.
The Agent Plans do not constitute qualified plans under Section 401(a) of the Internal Revenue
Code of 1986 or employee benefit plans under the Employee Retirement Income Security Act of 1974
(ERISA), and the Agent Plans are not subject to the vesting, funding, nondiscrimination and other
requirements imposed on such plans by the Internal Revenue Code and ERISA.
For financial reporting purposes, the Company accounts for the Company-match feature of its
Agent Plans by recognizing compensation expense over the vesting period in an amount equal to the
fair market value of vested shares at the date of their vesting and distribution to the
participants. The Company estimates its current liability for unvested matching credits by
reference to the number of unvested credits, the prevailing fair market value (as determined by
the Companys Board of Directors) of the Companys common stock, and the Companys estimate of the
percentage of the vesting period that has elapsed up to the current quarter end. Changes in the
liability from one quarter to the next are accounted for as an increase in, or decrease to,
compensation expense, as the case may be. Upon vesting, the Company reduces the accrued liability
(equal to the market value of the vested shares at date of vesting) with a corresponding increase
to equity. Unvested matching credits are considered share equivalents outstanding for purposes of
the computation of earnings per share.
The portion of compensation expense associated with the Agent Plans reflected in the results
of the SEA Division is based on the prevailing fair value of Class A-2 common stock (as determined
by the Board of Directors of the Company since the Merger or, prior to the Merger, by reference to
the fair value of the Companys common stock) on or about the time the unvested matching credits
are granted to participants. In accordance with the terms of the Agent Plans, the Board of
Directors of the Company establishes the fair market value of Class A-2 common stock on a quarterly
basis. The remaining portion of the compensation expense associated with the Agent Plans
(consisting of variable stock-based compensation expense) is reflected in the results of the
Companys Other Key Factors business segment.
Set forth in the table below is the total compensation expense and tax benefit associated with
the Companys Agent Plans for the three months ended March 31, 2007 and 2006:
14
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
|
March 31, |
|
|
|
2007 |
|
|
2006 |
|
|
|
(In thousands) |
|
SEA Division stock-based compensation expense (1) |
|
$ |
4,620 |
|
|
$ |
2,505 |
|
Other Key Factors variable non-cash stock-based
compensation (benefit) expense (2) |
|
|
(1,551 |
) |
|
|
240 |
|
|
|
|
|
|
|
|
Total Agent Plan compensation expense |
|
|
3,069 |
|
|
|
2,745 |
|
|
|
|
|
|
|
|
Related Tax Benefit |
|
|
1,074 |
|
|
|
961 |
|
|
|
|
|
|
|
|
Net Amount included in financial results |
|
$ |
1,995 |
|
|
$ |
1,784 |
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
Represents the cost of Class A-2 common stock (determined by reference to the prevailing
fair value of Class A-2 common stock as determined by the Board of Directors of the Company
or, prior to the Merger, by reference to the market price of HealthMarkets common shares) on
or about the time that unvested matching credits are granted to participants in the Agent
Plan. This amount is reflected in the caption Underwriting, policy acquisition costs, and
insurance expenses on the Companys Consolidated Condensed Statement of Operations. |
|
(2) |
|
Represents the total stock-based compensation expense associated with the Agent Plans less
the expense incurred by the Company on or about the time that unvested matching credits are
granted to participants in the Agent Plan. This amount is reflected in the caption Variable
stock compensation expense on the Companys Consolidated Condensed Statement of Operations. |
At December 31, 2006, the Company had recorded 1,373,456 unvested matching credits
associated with the Agent Plans, of which 423,145 vested in January 2007. Upon vesting, the Company
increased additional paid-in capital by $17.3 million, decreased treasury shares by $3.9 million
and decreased other liabilities by $21.2 million. At March 31, 2007, the Company had recorded
1,050,569 unvested matching credits.
Agent Plan transactions are not reflected in the Consolidated Condensed Statement of Cash
Flows because issuance of equity securities to settle the Companys liabilities under the Agent
Plans are non-cash transactions.
Employee Stock Option Plans
At an Executive Compensation Committee meeting held on March 29, 2007, the Committee approved
the granting of 158,150 options to purchase shares of Class A-1 common stock. Of the 158,150
options approved, 154,150 were granted at an exercise price of $50.00 per share, which represented
the fair value of Class A-1 common stock as determined by the Board of Directors on the date of
grant of such options, and 4,000 were granted at an exercise price of $50.73 per share, which
represented the fair value of Class A-1 common stock as determined by the Board of Directors on the
date of grant of such options.
15
Set forth below is a summary of stock option transactions including certain information with
respect to the Performance-Based Options for which no performance goals have been established:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options Outstanding for |
|
|
Performance-Based |
|
|
|
|
|
|
|
|
|
|
Accounting |
|
|
Options with |
|
|
|
|
|
|
|
|
|
|
(Excludes Options with no |
|
|
No Performance Based |
|
|
Combined |
|
|
|
|
|
|
|
Performance Criteria) |
|
|
Goals Established |
|
|
Total |
|
|
|
|
|
|
|
|
|
|
|
Average |
|
|
|
|
|
|
Average |
|
|
|
|
|
|
|
|
|
|
Number |
|
|
Option |
|
|
Number |
|
|
Option |
|
|
Number |
|
|
|
|
|
|
|
Of |
|
|
Price per |
|
|
Of |
|
|
Price per |
|
|
Of |
|
|
|
|
|
|
|
Shares |
|
|
Share ($) |
|
|
Shares |
|
|
Share ($) |
|
|
Shares |
|
|
|
|
|
|
|
|
Outstanding
options at
January 1, 2007 |
|
|
|
|
|
|
991,113 |
|
|
|
34.96 |
|
|
|
268,002 |
|
|
|
37.54 |
|
|
|
1,259,115 |
|
Granted |
|
|
(a |
) |
|
|
102,768 |
|
|
|
50.00 |
|
|
|
51,382 |
|
|
|
50.00 |
|
|
|
154,150 |
|
Expired |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cancelled |
|
|
|
|
|
|
(1,875 |
) |
|
|
38.37 |
|
|
|
(625 |
) |
|
|
38.37 |
|
|
|
(2,500 |
) |
Exercised |
|
|
|
|
|
|
(2,703 |
) |
|
|
9.25 |
|
|
|
|
|
|
|
|
|
|
|
(2,703 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding
options at
March 31, 2007 |
|
|
|
|
|
|
1,089,303 |
|
|
|
36.43 |
|
|
|
318,759 |
|
|
|
39.55 |
|
|
|
1,408,062 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options
exercisable at
March 31, 2007 |
|
|
|
|
|
|
95,160 |
|
|
|
9.25 |
|
|
|
|
|
|
|
|
|
|
|
95,160 |
|
|
|
|
|
(a) |
|
Excludes 4,000 options approved by the Executive Compensation Committee on March 29, 2007
for an individual whose employment commenced in April, 2007. |
NOTE H TRANSACTIONS WITH RELATED PARTIES
On April 5, 2006, the Company completed its Merger and as a result, affiliates of The
Blackstone Group, Goldman Sachs Capital Partners and DLJ Merchant Banking Partners (the Private
Equity Investors) held, as of the effective date of the Merger, approximately 55.3%, 22.7% and
11.3%, respectively, of the Companys outstanding equity securities. At March 31, 2007, affiliates
of The Blackstone Group, Goldman Sachs Capital Partners and DLJ Merchant Banking Partners held
approximately 54.3%, 22.3% and 11.1%, respectively, of the Companys outstanding equity securities.
Certain members of the Board of Directors of the Company are affiliated with The Private Equity
Investors; in particular, Chinh E. Chu and Matthew Kabaker serve as Senior Managing Director and a
Principal, respectively, of The Blackstone Group, Adrian M. Jones and Nathaniel Zilkha serve as a
Managing Director and Vice President, respectively, of Goldman, Sachs & Co., and Kamil M. Salame is
a partner of DLJ Merchant Banking Partners.
In accordance with the terms of Transaction and Monitoring Fee Agreements with advisory
affiliates of each of the Private Equity Investors, the advisory affiliates of each of the Private
Equity Investors agreed to provide to the Company ongoing monitoring, advisory and consulting
services, for which the Company agreed to pay to affiliates of 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, $3.5 million and $1.3 million, respectively. The annual monitoring
fees are in each case subject to upward adjustment in each year based on the ratio of the Companys
consolidated earnings before interest, taxes, depreciation and amortization (EBITDA) in such year
to consolidated EBITDA in the prior year, provided that the aggregate monitoring fees paid to all
advisors pursuant to the Transaction and Monitoring Fee Agreements in any year shall not exceed the
greater of $15.0 million or 3% of consolidated EBITDA in such year. The aggregate annual
monitoring fees in the amount of $12.5 million payable with respect to 2007 were paid in full to
the advisory affiliates of the Private Equity Investors on January 3, 2007. The Company has
expensed $3.1 million through March 31, 2007.
Pursuant to the terms of an advisory agreement, dated August 18, 2006, The Blackstone Group
agreed to provide certain financial and mergers and acquisition advisory services to MEGA in
connection with the sale by MEGA of MEGAs STAR HRG and Student Insurance operations. Pursuant to
the terms of an amendment, dated December 29, 2006, to the advisory agreement, The Blackstone Group
provided certain tax structuring advisory services to MEGA in connection with the sale by MEGA of
MEGAs Student Insurance operations, for which MEGA paid to an advisory affiliate of The Blackstone
Group on February 16, 2007, a tax structuring fee in the amount of $1.0 million.
16
NOTE I SUBSEQUENT EVENT SPECIAL DIVIDEND
On May 3, 2007, the Companys Board of Directors declared a special dividend in the amount of
$10.51 per share for Class A-1 and Class A-2 common stock to holders of record as of close of
business on May 9, 2007, payable on May 14, 2007.
17
ITEM 2 MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
Introduction
The Companys business segments for financial reporting purposes include (i) the Insurance
segment (which includes the businesses of the Companys Self-Employed Agency Division (SEA), the
Life Insurance Division and Other Insurance); (ii) Other Key Factors (which includes investment
income not allocated to the Insurance segment, realized gains or losses on sale of investments,
interest expense on corporate debt, general expenses relating to corporate operations, merger
transaction expenses, variable non-cash stock-based compensation and operations that do not
constitute reportable operating segments); and (iii) Disposed Operations (which includes the
Companys former Star HRG Division and former Student Insurance Division).
Results of Operations
The table below sets forth certain summary information about the Companys operating results
for the three months ended March 31, 2007 and 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
|
March 31, |
|
|
Increase |
|
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
Premiums: |
|
|
|
|
|
|
|
|
|
|
|
|
Health |
|
$ |
333,762 |
|
|
$ |
442,550 |
|
|
|
-24.6 |
% |
Life premiums and other considerations |
|
|
16,381 |
|
|
|
16,139 |
|
|
|
1.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
Total premium |
|
|
350,143 |
|
|
|
458,689 |
|
|
|
-23.7 |
% |
Investment income |
|
|
26,460 |
|
|
|
27,158 |
|
|
|
-2.6 |
% |
Other income |
|
|
25,615 |
|
|
|
25,133 |
|
|
|
1.9 |
% |
Gains on sale of investments |
|
|
2,403 |
|
|
|
2,175 |
|
|
|
10.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
Total revenues |
|
|
404,621 |
|
|
|
513,155 |
|
|
|
-21.2 |
% |
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
Benefits, claims, and settlement expenses |
|
|
215,331 |
|
|
|
272,725 |
|
|
|
-21.0 |
% |
Underwriting, policy acquisition
costs, and insurance expenses |
|
|
121,998 |
|
|
|
155,407 |
|
|
|
-21.5 |
% |
Variable stock compensation (benefit)
expense |
|
|
(1,551 |
) |
|
|
240 |
|
|
NM |
Other expenses |
|
|
21,782 |
|
|
|
24,539 |
|
|
|
-11.2 |
% |
Interest expense |
|
|
12,996 |
|
|
|
1,780 |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
370,556 |
|
|
|
454,691 |
|
|
|
-18.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before income taxes |
|
|
34,065 |
|
|
|
58,464 |
|
|
|
-41.7 |
% |
Federal income taxes |
|
|
11,441 |
|
|
|
19,618 |
|
|
|
-41.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations |
|
|
22,624 |
|
|
|
38,846 |
|
|
|
-41.8 |
% |
Income from discontinued operations
(net of income tax) |
|
|
67 |
|
|
|
661 |
|
|
|
-89.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
Net income |
|
$ |
22,691 |
|
|
$ |
39,507 |
|
|
|
-42.6 |
% |
|
|
|
|
|
|
|
|
|
|
|
18
Revenues and income from continuing operations before federal income taxes (operating
income) by business segment are summarized in the tables below:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
|
March 31, |
|
|
|
2007 |
|
|
2006 |
|
|
|
(In thousands) |
|
Revenues from continuing operations: |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
360,240 |
|
|
$ |
363,369 |
|
Life Insurance Division |
|
|
21,554 |
|
|
|
22,059 |
|
Other Insurance |
|
|
7,626 |
|
|
|
9,867 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
389,420 |
|
|
|
395,295 |
|
Other Key Factors |
|
|
15,721 |
|
|
|
14,555 |
|
Intersegment Eliminations |
|
|
(488 |
) |
|
|
(279 |
) |
|
|
|
|
|
|
|
Total revenues excluding disposed operations |
|
|
404,653 |
|
|
|
409,571 |
|
Disposed Operations: |
|
|
|
|
|
|
|
|
Student Insurance Division |
|
|
|
|
|
|
65,099 |
|
Star HRG |
|
|
(32 |
) |
|
|
38,485 |
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
(32 |
) |
|
|
103,584 |
|
|
|
|
|
|
|
|
Total revenues |
|
$ |
404,621 |
|
|
$ |
513,155 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
|
March 31, |
|
|
|
2007 |
|
|
2006 |
|
|
|
(In thousands) |
|
Income from continuing operations
before federal income taxes: |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
35,430 |
|
|
$ |
47,023 |
|
Life Insurance Division |
|
|
29 |
|
|
|
381 |
|
Other Insurance |
|
|
1,760 |
|
|
|
1,721 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
37,219 |
|
|
|
49,125 |
|
Other Key Factors: |
|
|
|
|
|
|
|
|
Investment income on equity, realized gains and losses,
interest expense, general corporate expenses and other |
|
|
(5,061 |
) |
|
|
3,928 |
|
Merger transaction expenses |
|
|
|
|
|
|
(662 |
) |
Variable stock-based compensation benefit(expense) |
|
|
1,551 |
|
|
|
(240 |
) |
|
|
|
|
|
|
|
Total Other Key Factors |
|
|
(3,510 |
) |
|
|
3,026 |
|
|
|
|
|
|
|
|
Total operating income excluding disposed
operations |
|
|
33,709 |
|
|
|
52,151 |
|
|
|
|
|
|
|
|
Disposed Operations: |
|
|
|
|
|
|
|
|
Student Insurance Division |
|
|
277 |
|
|
|
4,665 |
|
Star HRG Division |
|
|
79 |
|
|
|
1,648 |
|
|
|
|
|
|
|
|
Total Disposed Operations |
|
|
356 |
|
|
|
6,313 |
|
|
|
|
|
|
|
|
Total income from continuing operations
before federal income taxes |
|
$ |
34,065 |
|
|
$ |
58,464 |
|
|
|
|
|
|
|
|
19
HealthMarkets results of operations for the three months ended March 31, 2007 were
particularly impacted by the following factors:
Self- Employed Agency Division
Set forth below is certain summary financial and operating data for the Companys
Self-Employed Agency (SEA) Division for the three months ended March 31, 2007 and 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
|
March 31, |
|
|
Increase |
|
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
326,657 |
|
|
$ |
331,765 |
|
|
|
-1.5 |
% |
Investment income (1) |
|
|
7,909 |
|
|
|
7,910 |
|
|
|
0 |
% |
Other income |
|
|
25,674 |
|
|
|
23,694 |
|
|
|
8.4 |
% |
|
|
|
|
|
|
|
|
|
|
Total revenues |
|
|
360,240 |
|
|
|
363,369 |
|
|
|
-0.9 |
% |
Expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
198,608 |
|
|
|
186,483 |
|
|
|
6.5 |
% |
Underwriting and
policy acquisition
expenses (1) |
|
|
112,077 |
|
|
|
114,860 |
|
|
|
-2.4 |
% |
Other expenses |
|
|
14,125 |
|
|
|
15,003 |
|
|
|
-5.9 |
% |
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
324,810 |
|
|
|
316,346 |
|
|
|
2.7 |
% |
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
35,430 |
|
|
$ |
47,023 |
|
|
|
-24.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio (2) |
|
|
60.8 |
% |
|
|
56.2 |
% |
|
|
|
|
Expense ratio (3) |
|
|
34.3 |
% |
|
|
34.6 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
95.1 |
% |
|
|
90.8 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Average number of
writing agents in
period |
|
|
2,103 |
|
|
|
2,176 |
|
|
|
|
|
Submitted annualized
volume (4) |
|
$ |
200,623 |
|
|
$ |
213,545 |
|
|
|
|
|
|
|
|
(1) |
|
Allocations of investment income and certain general expenses are based on a number of
assumptions and estimates, and the business divisions reported operating results would change
if different methods were applied. |
|
(2) |
|
Defined as total benefit expenses as a percentage of earned premium revenue. |
|
(3) |
|
Defined as total underwriting and policy acquisition expenses as a percentage of earned
premium revenue. |
|
(4) |
|
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 Company. |
The SEA Division reported operating income in the three month period ended March 31, 2007
of $35.4 million, compared to operating income of $47.0 million in the corresponding 2006 period.
The decrease in operating income in the three-month period ended March 31, 2007 was primarily due
to an increase in the loss ratio (from 56.2% in the 2006 three-month period to 60.8% in the 2007
three-month period).
Operating income at the SEA Division as a percentage of earned premium revenue (i.e.,
operating margin) in the three month period ended March 31, 2007 was 10.8%, compared to operating
margin of 14.2% in the corresponding 2006 period. The decrease in operating margin is attributable
primarily to the period-over-period increase in the loss ratio as a result of a product mix shift
to new health insurance products in the Companys recently introduced CareOne product suite (which
provide a higher proportion of the premium as benefits) and cost containment expenses resulting
from the Companys initiatives to control medical costs, the benefits of which have not yet been
fully realized.
In the three months ended March 31, 2007, total SEA Division submitted annualized premium
volume (i.e., the aggregate annualized premium amount associated with individual and small group
health insurance applications submitted by the Companys agents for underwriting by the Company)
decreased to $200.6 million, from $213.5 million in the corresponding 2006 period. The
period-over-period decrease in submitted annualized premium volume was attributable primarily to a
decrease in the average number of writing agents in the field from 2,176 for the three months ended
March 31, 2006 to 2,103 for the three months ended March 31, 2007 and a 6.3% decrease in
20
the weekly applications submitted per writing agent. This was partially offset by a 5%
increase in the average premium per policy in the first quarter of 2007 compared to the comparable
period in 2006.
The Company is in the process of implementing several new initiatives established to increase
the average number of writing agents and agent productivity through the use of new commission
incentive programs, new products and geographic expansion.
Life Insurance Division
Set forth below is certain summary financial and operating data for the Companys Life
Insurance Division for the three months ended March 31, 2007 and 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Life Insurance Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
|
March 31, |
|
|
Increase |
|
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
16,270 |
|
|
$ |
16,201 |
|
|
|
0.4 |
% |
Investment income (1) |
|
|
5,089 |
|
|
|
5,085 |
|
|
|
0.1 |
% |
Other income |
|
|
195 |
|
|
|
773 |
|
|
|
-74.8 |
% |
|
|
|
|
|
|
|
|
|
|
|
Total revenues |
|
|
21,554 |
|
|
|
22,059 |
|
|
|
-2.3 |
% |
Expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
13,879 |
|
|
|
11,882 |
|
|
|
16.8 |
% |
Underwriting and acquisition expenses (1) |
|
|
7,646 |
|
|
|
9,796 |
|
|
|
-21.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
21,525 |
|
|
|
21,678 |
|
|
|
-0.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
29 |
|
|
$ |
381 |
|
|
|
-92.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
Allocations of investment income and certain general expenses are based on a number of
assumptions and estimates, and the business divisions reported operating results would change
if different methods were applied. |
The Companys Life Insurance Division reported operating income in the three month period
ended March 31, 2007 of $29,000, compared to operating income of $381,000 in the corresponding 2006
period. The decrease in operating income for the three month period ended March 31, 2007 compared
to the corresponding 2006 period was primarily attributable to a $2.0 million increase in death
claims during the first quarter of 2007 partially offset by a decrease in administrative expenses
and a decrease in the amortization of deferred acquisition costs. The decrease in amortization
of deferred acquisition costs in the 2007 period is associated with the conversion to a new
actuarial reserving software. Partially offsetting the decrease in amortization of deferred
acquisition costs was an increase in unearned premium liability which decreased premium revenue.
The increase to the unearned premium liability is also associated with the conversion to the new
actuarial software.
In the three months ended March 31, 2007, the Companys Life Insurance Division generated
annualized paid premium volume (i.e., the aggregate annualized life premium amount associated with
new life insurance policies issued by the Company) in the amount of $4.2 million, compared to $5.7
million in the corresponding 2006 period. The first quarter 2007 decrease in annualized premium was
primarily due to a reduction of certain agents based on placement levels or business placed with
substandard persistency or mortality
However, the first quarter 2007 annualized paid premium volume of $4.2 million is 18% higher
than the fourth quarter 2006 annualized paid premium volume of $3.6 million primarily due to
product, bonus, underwriting and business processing enhancements initiated in December 2006 that
are being positively received by the distribution channels.
21
Other Insurance
Set forth below is certain summary financial and operating data for the Companys Other
Insurance division for the three months ended March 31, 2007 and 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Insurance Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
|
March 31, |
|
|
Increase |
|
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
7,248 |
|
|
$ |
9,538 |
|
|
|
-24.0 |
% |
Investment income (1) |
|
|
360 |
|
|
|
296 |
|
|
|
21.6 |
% |
Other income |
|
|
18 |
|
|
|
33 |
|
|
|
-45.5 |
% |
|
|
|
|
|
|
|
|
|
|
Total revenues |
|
|
7,626 |
|
|
|
9,867 |
|
|
|
-22.7 |
% |
Expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
3,175 |
|
|
|
5,195 |
|
|
|
-38.9 |
% |
Underwriting and
policy acquisition
expenses (1) |
|
|
2,691 |
|
|
|
2,951 |
|
|
|
-8.8 |
% |
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
5,866 |
|
|
|
8,146 |
|
|
|
-28.0 |
% |
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
1,760 |
|
|
$ |
1,721 |
|
|
|
2.3 |
% |
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio (2) |
|
|
43.8 |
% |
|
|
54.5 |
% |
|
|
|
|
Expense ratio (3) |
|
|
37.1 |
% |
|
|
30.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
80.9 |
% |
|
|
85.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
Allocations of investment income and certain general expenses are based on a number of
assumptions and estimates, and the business divisions reported operating results would change
if different methods were applied. |
|
(2) |
|
The loss ratio represents benefits, claims and settlement expenses related to accident
insurance and reinsurance contracts stated as a percentage of earned premiums. The expense
ratio represents underwriting, contract acquisition costs and expenses related to accident
insurance and reinsurance contracts stated as a percentage of earned premiums. |
|
(3) |
|
Operating margin is defined as operating income as a percentage of earned premium revenue. |
The Other Insurance division consists of the operations of ZON Re USA LLC (an 82.5%-owned
subsidiary), which underwrites, administers and issues 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 decrease in the revenue is due to lower sales for the
current year related to increased competitive pressure. The decrease in the loss ratio from 54.5%
for the three months ended March 31, 2006 to 43.8% for the three months ended March 31, 2007 is due
to the better than anticipated experience on some contracts expiring during the period.
22
Other Key Factors
The Companys Other Key Factors segment includes investment income not otherwise allocated to
the Insurance segment, realized gains and losses, interest expense on corporate debt, general
expenses relating to corporate operations, merger transaction expenses, variable stock
compensation, and other unallocated items.
Set forth below is certain summary financial data for the Companys Other Key Factors segment
for the three months ended March 31, 2007 and 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Key Factors |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
|
March 31, |
|
|
Increase |
|
|
|
2007 |
|
|
2006 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Investment income on equity |
|
$ |
11,105 |
|
|
$ |
9,836 |
|
|
|
12.9 |
% |
Realized gain on investments |
|
|
2,403 |
|
|
|
2,175 |
|
|
|
10.5 |
% |
Merger transaction expenses |
|
|
|
|
|
|
(662 |
) |
|
|
|
|
Interest expense on non-student loan debt |
|
|
(11,455 |
) |
|
|
(332 |
) |
|
NA |
|
Variable stock-based compensation
benefit (expense) |
|
|
1,551 |
|
|
|
(240 |
) |
|
NA |
|
General corporate expenses and other |
|
|
(7,114 |
) |
|
|
(7,751 |
) |
|
|
8.2 |
% |
|
|
|
|
|
|
|
|
|
|
|
Operating (expense) income |
|
$ |
(3,510 |
) |
|
$ |
3,026 |
|
|
|
-216.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
The Other Key Factors segment reported an operating loss in the three month period ended
March 31, 2007 of $(3.5) million, compared to operating income of $3.0 million in the corresponding
2006 period.
The decrease in income is due to interest expense in the 2007 period associated with the
Merger-related indebtedness partially offset by an increase in investment income on equity. During
the first quarter of 2007, the Company had debt outstanding of $556.1 million compared to $15.5
million during the first quarter of 2006. See Note B of Notes to Consolidated Condensed Financial
Statements (Unaudited).
Liquidity and Capital Resources
Historically, the Companys primary sources of cash on a consolidated basis have been premium
revenues from policies issued, investment income, fees and other income, and borrowings under a
secured student loan credit facility. The primary uses of cash have been payments for benefits,
claims and commissions under those policies, servicing of the Companys debt obligations, operating
expenses and the funding of student loans generated under the Companys College First Alternative
Loan program. In the three months ended March 31, 2007, net cash provided by operations totaled
approximately $23.2 million, compared to $86.3 million in the corresponding period of 2006.
HealthMarkets, Inc., is a holding company, the principal assets of which are its investment in
its wholly-owned subsidiary, HealthMarkets, LLC, to which, in connection with the Merger,
HealthMarkets, Inc. contributed substantially all of its assets and liabilities. 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. The agreements governing certain indebtedness incurred by the Company in
connection to the Merger contain restrictive covenants, including certain prescribed financial
ratios, limitations on additional indebtedness as a percentage of certain defined equity amounts
and restrictions on the disposal of certain subsidiaries, including primarily the Companys
regulated insurance subsidiaries.
At March 31, 2007 and December 31, 2006, the aggregate cash and cash equivalents and
short-term investments held at both the holding company level and HealthMarkets, LLC was $382.1
million and $311.5 million, respectively.
Prior approval by insurance regulatory authorities is required for the payment by a domestic
insurance company of dividends that exceed certain limitations based on statutory surplus and net
income. During 2007 (through May 11, 2007), the Companys domestic insurance subsidiaries declared
and paid dividends to HealthMarkets, LLC in the amount of $122.2 million, including an
extraordinary dividend in the amount of $100.0 million. The
23
extraordinary dividend resulted in the liquidation of approximately $83.6 million of fixed
maturities. The remaining amount of ordinary dividends in calendar year 2007 that could be paid
by the Companys domestic insurance subsidiaries to HealthMarkets, LLC is approximately $49.0
million. As it has done in the past, the Company will continue to assess the results of operations
of the regulated domestic insurance subsidiaries to determine 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 significantly in excess of minimum
requirements. The agreements governing certain indebtedness incurred by the Company in connection
with the Merger contain restrictive covenants, including certain prescribed financial ratios,
limitations on additional indebtedness as a percentage of certain defined equity amounts and
restrictions on the disposal of certain subsidiaries, including primarily the Companys regulated
insurance subsidiaries.
Contractual Obligations and Off Balance Sheet Obligations
The agreements governing certain indebtedness incurred by the Company in connection with the
Merger contain restrictive covenants, including certain prescribed financial ratios, limitations on
additional indebtedness as a percentage of certain defined equity amounts and restrictions on the
disposal of certain subsidiaries, including primarily the Companys regulated insurance
subsidiaries. Other contractual obligations or off balance sheet arrangements (which consist solely
of commitments to fund student loans generated by its former College Fund Life Division and letters
of credit) are described in the Companys Annual Report on Form 10-K for the year ended December
31, 2006 under the caption Managements Discussion and Analysis of Financial Condition and Results
of Operations.
Set forth below is a summary of the Companys contractual obligations (on a consolidated
basis) at March 31, 2007 and December 31, 2006 (dollars in thousands):
|
|
|
|
|
|
|
|
|
|
|
At March 31, 2007 |
|
|
At December 31, 2006 |
|
Corporate indebtedness |
|
$ |
556,070 |
|
|
$ |
556,070 |
|
Student loan credit facility |
|
|
116,700 |
|
|
|
118,950 |
|
Future policy benefits |
|
|
456,865 |
|
|
|
453,715 |
|
Claim liabilities |
|
|
532,227 |
|
|
|
517,132 |
|
Capital lease obligations |
|
|
1,304 |
|
|
|
1,624 |
|
|
|
|
|
|
|
|
Total |
|
$ |
1,663,166 |
|
|
$ |
1,647,491 |
|
|
|
|
|
|
|
|
In addition to the contractual obligations set forth in the table above, the Company also
is a party to various operating leases for office space and equipment.
All indebtedness issued under the secured student loan credit facility represents obligations
solely of a special purpose entity (SPE) and not of the Company or any other subsidiary and is
secured by student loans, accrued investment income, cash, cash equivalents and qualified
investments.
At each of March 31, 2007 and December 31, 2006, the Company had $9.6 million of letters of
credit outstanding relating to its insurance operations.
Critical Accounting Policies and Estimates
The Companys discussion and analysis of its financial condition and results of operations are
based upon its consolidated condensed financial statements, which have been prepared in accordance
with accounting principles generally accepted in the United States of America. The preparation of
these consolidated condensed financial statements requires the Company to make estimates and
judgments that affect the reported amounts of assets, liabilities, revenues and expenses, and
related disclosure of contingent assets and liabilities. On an on-going basis, the Company
evaluates its estimates, including those related to health and life insurance claims and
liabilities, deferred acquisition costs, bad debts, impairment of investments, intangible assets,
income taxes, financing operations and contingencies and litigation. 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, 2006 under the caption
Managements Discussion and Analysis of Financial Condition and Results of Operations Critical
Accounting Policies and Estimates.
24
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,
2006.
SAFE HARBOR STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995:
Some of the matters discussed in this Quarterly Report on Form 10-Q may contain
forward-looking statements that are subject to certain risks, uncertainties and assumptions. Such
forward-looking statements are intended to be identified in this document by the words
anticipate, believe, estimate, expect, intend, objective, plan, possible,
potential and similar expressions. Actual results may vary materially from those included in the
forward-looking statements. Factors that could cause actual results to differ materially from those
included in the forward-looking statements include, but are not limited to, the following:
|
|
|
general economic conditions; |
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the continued ability of the Company to compete for customers and insureds in an
industry where many of its competitors may have greater market share and/or greater
financial resources; |
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the Companys ability to accurately estimate medical claims and control costs; |
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changes in government regulation that could increase the costs of compliance or
cause the Company to discontinue marketing its products in certain states; |
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the Companys failure to comply with new or existing government regulation that
could subject it to significant fines and penalties; |
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changes in the relationship between the Company and the membership associations that
make available to their members the health insurance and other insurance products
issued by the Companys insurance subsidiaries; |
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changes in the laws and regulations governing so-called association group
insurance (particularly changes that would subject the issuance of policies to prior
premium rate approval and/or require the issuance of policies on a guaranteed issue
basis); |
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significant liabilities and costs associated with litigation; |
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failure of the Companys information systems to provide timely and accurate information; |
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negative publicity regarding the Companys business practices and/or regarding the
health insurance industry in general; |
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the Companys inability to enter into or maintain satisfactory relationships with
networks of hospitals, physicians, dentists, pharmacies and other health care
providers; |
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failure of the Companys regulated insurance company subsidiaries to maintain their
current ratings by A.M. Best Company, Fitch and/or Standard & Poors; |
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the other risk factors set forth in the reports filed by the Company from time to
time with the Securities and Exchange Commission. |
Reference is made to the discussion of these and other risk factors contained in the Companys
Annual Report on Form 10-K for the year ended December 31, 2006 under the caption Managements
Discussion and Analysis of
25
Financial Condition and Results of Operations Safe Harbor Statement under the Private
Securities Litigation Reform Act of 1995.
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 March 31, 2007. Reference is made to the information contained in the
Companys Annual Report on Form 10-K for the year ended December 31, 2006 in Item 7A Quantitative
and Qualitative Disclosures about Market Risk.
ITEM 4 CONTROLS AND PROCEDURES
Conclusion Regarding the Effectiveness of Disclosure Controls and Procedures
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 procedures, as such term is defined under Rule 13a-15(e) promulgated under the
Securities Exchange Act of 1934, as amended (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.
26
PART II. OTHER INFORMATION
ITEM 1 LEGAL PROCEEDINGS
The Company is a party to various material legal proceedings, which are described in Note E of
Notes to the Consolidated Condensed Financial Statements included herein and/or in the Companys
Annual Report on Form 10-K filed for the year ended December 31, 2006 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 E to Notes to the Companys Consolidated Condensed
Financial Statements included herein, during the fiscal quarter 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.
ITEM 2 UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
During the three months ended March 31, 2007, the Company issued an aggregate of 8,000
unregistered shares of its Class A-1 common stock to a newly-appointed executive officer of the
Company. In particular, on March 30, 2007, an executive officer of the Company purchased 8,000
shares of the Companys Class A-1 common stock for aggregate consideration of $400,000 (or $50 per
share). Such sale of securities was made in reliance upon the exemption from registration provided
by Section 4(2) of the Securities Act of 1933, as amended (and/or Regulation D promulgated
thereunder) for transactions by an issuer not involving a public offering. The proceeds of such
sale were used for general corporate purposes.
The following table sets forth the Companys purchases of HealthMarkets, Inc. Class A-2 common
stock during each of the months in the three-month period ended March 31, 2007, pursuant to the
terms of the Companys agent stock accumulation plans established for the benefit of the Companys
agents (See Note G of the Notes to Consolidated Condensed Financial Statements):
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Total Number of Shares |
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Total Number of |
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Average Price |
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Purchased as Part of |
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Maximum Number of Shares |
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Shares |
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Paid per Share |
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Publicly Announced |
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That May Yet Be Purchased |
Period |
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Purchased(1) |
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($) |
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Plans or Programs |
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Under The Plan or Program |
1/1/07-1/31/07 |
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952 |
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39.66 |
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2/1/07-2/28/07 |
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3/1/07-3/31/07 |
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Totals |
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952 |
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39.66 |
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(1) |
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The number of shares purchased other than through a publicly announced plan or program includes 952 shares purchased
with respect to the stock accumulation plans established for the benefit of Companys agents. |
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ITEM 6 EXHIBITS
(a) Exhibits.
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Exhibit |
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No. |
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Description |
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31.1
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Rule 13a-14(a)/15d-14(a) Certification, executed by William J.
Gedwed, President and Chief Executive Officer of
HealthMarkets, Inc. |
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31.2
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Rule 13a-14(a)/15d-14(a) Certification, executed by Michael E.
Boxer, Executive Vice President and Chief Financial Officer of
HealthMarkets, Inc. |
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32
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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 William J. Gedwed,
President and Chief Executive Officer of HealthMarkets, Inc.
and Michael E. Boxer, Executive Vice President and Chief
Financial Officer of HealthMarkets, Inc. |
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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.
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HealthMarkets, Inc. |
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(Registrant) |
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Date: May 14, 2007
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/s/ William J. Gedwed
William J. Gedwed, President, Chief Executive
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Officer and Director |
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Date: May 14, 2007
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/s/ Michael E. Boxer
Michael E. Boxer, Executive Vice President
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and Chief Financial Officer |
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29