TRIPLE-S MANAGEMENT CORPORATION
United States Securities and Exchange Commission
Washington, D.C. 20549
FORM 10-Q
(Mark One)
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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 NUMBER: 0-49762
Triple-S Management Corporation
(Exact name of registrant as specified in its charter)
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Puerto Rico
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66-0555678 |
(State or other jurisdiction of incorporation or
organization)
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(I.R.S. Employer Identification No.) |
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1441 F.D. Roosevelt Avenue |
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San Juan, Puerto Rico
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00920 |
(Address of principal executive offices)
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(Zip code) |
(787) 749-4949
(Registrants telephone number, including area code)
Not applicable
(Former name, former address and former fiscal year, if changed since last report)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by
Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for
such shorter period that the registrant was required to file such reports), and (2) has been
subject to such filing requirements for the past 90 days. þ Yes o No
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. (Check one):
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). o Yes þ No
Indicate the number of shares outstanding of each of the issuers classes of common stock, as of
the latest practicable date.
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Title of each class
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Outstanding at May 4, 2007 |
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Common Stock, $1.00 par value
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26,709,000 |
Triple-S Management Corporation
FORM 10-Q
For the Quarter Ended March 31, 2007
Table of Contents
2
Part I Financial Information
Item 1. Financial Statements
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Consolidated Balance Sheets
(Dollar amounts in thousands, except per share data)
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(Unaudited) |
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March 31, |
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December 31, |
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2007 |
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2006 |
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ASSETS |
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Investments and cash: |
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Securities held for trading, at fair value: |
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Equity securities |
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$ |
79,589 |
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83,447 |
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Securities available for sale, at fair value: |
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Fixed maturities |
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706,888 |
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702,566 |
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Equity securities |
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61,217 |
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61,686 |
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Securities held to maturity, at amortized cost: |
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Fixed maturities |
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21,319 |
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21,450 |
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Policy loans |
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5,228 |
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5,194 |
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Cash and cash equivalents |
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80,354 |
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81,320 |
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Total investments and cash |
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954,595 |
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955,663 |
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Premiums and other receivables, net |
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184,529 |
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165,358 |
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Deferred policy acquisition costs and value of business acquired |
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112,812 |
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111,417 |
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Property and equipment, net |
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41,346 |
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41,615 |
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Net deferred tax asset |
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9,336 |
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9,292 |
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Other assets |
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59,236 |
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62,164 |
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Total assets |
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$ |
1,361,854 |
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1,345,509 |
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LIABILITIES AND STOCKHOLDERS EQUITY |
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Claim liabilities: |
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Claims processed and incomplete |
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$ |
151,242 |
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147,211 |
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Unreported losses |
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159,812 |
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150,735 |
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Unpaid loss-adjustment expenses |
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16,817 |
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16,736 |
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Total claim liabilities |
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327,871 |
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314,682 |
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Liability for future policy benefits |
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183,568 |
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180,420 |
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Unearned premiums |
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110,377 |
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113,582 |
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Policyholder deposits |
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45,355 |
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45,425 |
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Liability to Federal Employees Health Benefits Program |
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13,619 |
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13,563 |
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Accounts payable and accrued liabilities |
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107,105 |
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110,609 |
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Borrowings |
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182,677 |
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183,087 |
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Income tax payable |
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10,672 |
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9,242 |
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Liability for pension benefits |
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34,437 |
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32,300 |
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Total liabilities |
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1,015,681 |
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1,002,910 |
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Stockholders equity: |
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Common stock |
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9 |
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356 |
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Additional paid-in capital |
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150,755 |
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150,408 |
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Retained earnings |
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213,323 |
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211,266 |
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Accumulated other comprehensive loss |
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(17,914 |
) |
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(19,431 |
) |
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Total stockholders equity |
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346,173 |
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342,599 |
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Total liabilities and stockholders equity |
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$ |
1,361,854 |
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1,345,509 |
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See accompanying notes to unaudited consolidated financial statements.
3
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Consolidated Statements of Earnings (Unaudited)
For the three months ended March 31, 2007 and 2006
(Dollar amounts in thousands, except per share data)
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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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REVENUES: |
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Premiums earned, net |
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$ |
348,465 |
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380,531 |
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Administrative service fees |
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3,509 |
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3,429 |
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Net investment income |
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11,121 |
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10,050 |
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Total operating revenues |
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363,095 |
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394,010 |
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Net realized investment gains |
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1,196 |
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528 |
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Net unrealized investment gain (loss) on trading securities |
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(1,925 |
) |
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2,556 |
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Other income, net |
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209 |
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1,199 |
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Total revenues |
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362,575 |
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398,293 |
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BENEFITS AND EXPENSES: |
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Claims incurred |
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297,318 |
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324,707 |
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Operating expenses |
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56,137 |
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57,730 |
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Total operating costs |
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353,455 |
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382,437 |
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Interest expense |
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3,952 |
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3,798 |
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Total benefits and expenses |
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357,407 |
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386,235 |
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Income before taxes |
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5,168 |
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12,058 |
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INCOME TAX EXPENSE (BENEFIT): |
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Current |
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1,060 |
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2,636 |
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Deferred |
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(397 |
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41 |
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Total income taxes |
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663 |
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2,677 |
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Net income |
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$ |
4,505 |
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9,381 |
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Basic net income per share |
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$ |
505 |
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1,053 |
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See accompanying notes to unaudited consolidated financial statements.
4
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Consolidated Statements of Stockholders Equity and
Comprehensive Income (Unaudited)
For the three months
ended March 31, 2007 and 2006
(Dollar amounts in thousands, except per share data)
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2007 |
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2006 |
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BALANCE AT JANUARY 1 |
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$ |
342,599 |
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308,703 |
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Dividends |
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(2,448 |
) |
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(6,231 |
) |
Comprehensive income (loss): |
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Net income |
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4,505 |
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9,381 |
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Net unrealized change in fair value of available for sale securities |
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1,582 |
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(6,644 |
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Net change in fair value of cash flow hedges |
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(65 |
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92 |
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Total comprehensive income |
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6,022 |
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2,829 |
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BALANCE AT MARCH 31 |
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$ |
346,173 |
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305,301 |
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See accompanying notes to unaudited consolidated financial statements.
5
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARES
Consolidated Statements of Cash Flows (Unaudited)
For the three months ended March 31, 2007 and 2006
(Dollar amounts in thousands, except per share data)
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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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$ |
4,505 |
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9,381 |
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Adjustments to reconcile net income to net cash
provided by operating activities: |
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Depreciation and amortization |
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1,716 |
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1,442 |
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Net amortization of investments |
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190 |
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63 |
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Provision for doubtful receivables |
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1,463 |
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|
451 |
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Deferred tax (benefit) expense |
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(397 |
) |
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41 |
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Net gain on sale of securities |
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(1,196 |
) |
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(528 |
) |
Net unrealized (gain) loss of trading securities |
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1,925 |
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(2,556 |
) |
Proceeds from trading securities sold: |
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Equity securities |
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9,842 |
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5,866 |
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Acquisition of securities in trading portfolio: |
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Equity securities |
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(6,024 |
) |
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(5,762 |
) |
(Increase) decrease in assets: |
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Premiums receivable |
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(19,161 |
) |
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(23,969 |
) |
Agent balances |
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4,809 |
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(94 |
) |
Accrued interest receivable |
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(1,124 |
) |
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349 |
|
Other receivables |
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(4,522 |
) |
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1,782 |
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Funds withheld reinsurance receivable |
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118,635 |
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Reinsurance recoverable on paid losses |
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(589 |
) |
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(348 |
) |
Deferred policy acquisition costs and
value of business acquired |
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(1,395 |
) |
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|
(698 |
) |
Prepaid income tax |
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|
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|
2,555 |
|
Other assets |
|
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2,821 |
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|
762 |
|
Increase (decrease) in liabilities: |
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|
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Claims processed and incomplete |
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|
4,031 |
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|
|
2,661 |
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Unreported losses |
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|
9,077 |
|
|
|
16,475 |
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Unpaid loss-adjustment expenses |
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|
81 |
|
|
|
457 |
|
Liability for future policy benefits |
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|
3,148 |
|
|
|
2,059 |
|
Liability for future policy benefits related to
funds withheld reinsurance |
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(118,635 |
) |
Unearned premiums |
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(3,205 |
) |
|
|
585 |
|
Policyholder deposits |
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|
428 |
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|
416 |
|
Liability to FEHBP |
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|
56 |
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|
|
3,741 |
|
Accounts payable and accrued liabilities |
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|
(4,320 |
) |
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|
(11,216 |
) |
Income tax payable |
|
|
1,430 |
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|
|
|
|
|
|
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|
|
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Net cash provided by operating activities |
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$ |
3,589 |
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|
3,915 |
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(Continued)
6
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Consolidated Statements of Cash Flows (Unaudited)
For the three months ended March 31, 2007 and 2006
(Dollar amounts in thousands, except per share data)
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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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CASH FLOWS FROM INVESTING ACTIVITIES: |
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Proceeds from investments sold or matured: |
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Securities available for sale: |
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Fixed maturities sold |
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$ |
59,497 |
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|
4,838 |
|
Fixed maturities matured |
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|
5,178 |
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|
|
14,569 |
|
Equity securities |
|
|
|
|
|
|
360 |
|
Fixed maturity securities held to maturity |
|
|
209 |
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|
|
122 |
|
Acquisition of investments: |
|
|
|
|
|
|
|
|
Securities available for sale: |
|
|
|
|
|
|
|
|
Fixed maturities |
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|
(66,243 |
) |
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|
(21,844 |
) |
Equity securities |
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|
(499 |
) |
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|
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|
Acquisition of business, net of $10,403 of cash acquired |
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(27,793 |
) |
Net disbursements for policy loans |
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(34 |
) |
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|
(109 |
) |
Capital expenditures |
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(1,447 |
) |
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|
(3,780 |
) |
Proceeds from sale of property and equipment |
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|
|
|
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|
3 |
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Net cash used in investing activities |
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|
(3,339 |
) |
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|
(33,634 |
) |
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CASH FLOWS FROM FINANCING ACTIVITIES: |
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|
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|
|
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Change in outstanding checks in excess of bank balances |
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2,140 |
|
|
|
2,569 |
|
Repayments of short-term borrowings |
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|
|
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|
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(8,652 |
) |
Proceeds from short-term borrowings |
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|
|
|
|
|
6,912 |
|
Repayments of long-term borrowings |
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|
(410 |
) |
|
|
(273 |
) |
Proceeds from long-term borrowings |
|
|
|
|
|
|
35,000 |
|
Dividends paid |
|
|
(2,448 |
) |
|
|
(6,231 |
) |
Proceeds from policyholder deposits |
|
|
1,440 |
|
|
|
2,255 |
|
Surrenders of policyholder deposits |
|
|
(1,938 |
) |
|
|
(1,930 |
) |
|
Net cash (used in) provided by financing activities |
|
|
(1,216 |
) |
|
|
29,650 |
|
|
Net decrease in cash and cash equivalents |
|
|
(966 |
) |
|
|
(69 |
) |
Cash and cash equivalents at beginning of the period |
|
|
81,320 |
|
|
|
48,978 |
|
|
Cash and cash equivalents at end of the period |
|
$ |
80,354 |
|
|
|
48,909 |
|
|
See accompanying notes to unaudited consolidated financial statements.
7
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
March 31, 2007
(Dollar amounts in thousands, except per share data)
(Unaudited)
(1) Basis of Presentation
The accompanying consolidated interim financial statements prepared by Triple-S Management
Corporation and its subsidiaries (the Corporation) are unaudited, except for the balance sheet
information as of December 31, 2006, which is derived from the Corporations audited consolidated
financial statements, pursuant to the rules and regulations of the United States Securities and
Exchange Commission. The consolidated interim financial statements do not include all of the
information and the footnotes required by U.S. generally accepted accounting principles for
complete financial statements. These consolidated interim financial statements should be read in
conjunction with the audited consolidated financial statements included in the Corporations Annual
Report on Form 10-K for the year ended December 31, 2006.
In the opinion of management, all adjustments, consisting of normal recurring adjustments,
necessary for a fair presentation of such consolidated interim financial statements have been
included. The results of operations for the three months ended March 31, 2007 are not necessarily
indicative of the results for the full year.
Certain amounts in the 2006 consolidated financial statements were reclassified to conform to the
2007 presentation.
(2) Recent Accounting Standards
There were no new accounting pronouncements issued during the first three months of 2007 that have
not been disclosed in Item 7. Managements Discussion and Analysis of Financial Condition and
Results of Operations included in the Corporations Annual Report on Form 10-K for the year ended
December 31, 2006.
The Corporation adopted the provisions of the Financial Accounting Standards Board (FASB)
Interpretation No. 48, Accounting for Uncertainty in Income Taxes an Interpretation of FASB
Statement No. 109 (FIN 48) on January 1, 2007. See note 9 for details.
(3) Segment Information
The operations of the Corporation are conducted principally through three business segments:
Managed Care, Life and Accident and Health Insurance (the Life Insurance segment), and Property and
Casualty Insurance. The Corporation evaluates performance based primarily on the operating
revenues and operating income of each segment. Operating revenues include premiums earned, net,
administrative service fees and net investment income. Operating costs include claims incurred and
operating expenses. The Corporation calculates operating income or loss as operating revenues less
operating costs.
The following tables summarize the operations by major operating segment for the three months ended
March 31, 2007 and 2006:
8
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
March 31, 2007
(Dollar amounts in thousands, except per share data)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
Three months ended |
|
|
March 31, |
|
|
2007 |
|
2006 |
|
Operating revenues: |
|
|
|
|
|
|
|
|
Managed Care: |
|
|
|
|
|
|
|
|
Premiums earned, net |
|
$ |
304,831 |
|
|
|
338,603 |
|
Administrative service fees |
|
|
3,509 |
|
|
|
3,429 |
|
Intersegment premiums /service fees |
|
|
1,627 |
|
|
|
1,398 |
|
Net investment income |
|
|
4,829 |
|
|
|
4,556 |
|
|
Total managed care |
|
|
314,796 |
|
|
|
347,986 |
|
Life Insurance: |
|
|
|
|
|
|
|
|
Premiums earned, net |
|
|
22,380 |
|
|
|
20,030 |
|
Intersegment premiums |
|
|
82 |
|
|
|
78 |
|
Net investment income |
|
|
3,620 |
|
|
|
3,010 |
|
|
Total life |
|
|
26,082 |
|
|
|
23,118 |
|
Property and Casualty Insurance: |
|
|
|
|
|
|
|
|
Premiums earned, net |
|
|
21,254 |
|
|
|
21,898 |
|
Intersegment premiums |
|
|
154 |
|
|
|
129 |
|
Net investment income |
|
|
2,552 |
|
|
|
2,364 |
|
|
Total property and casualty |
|
|
23,960 |
|
|
|
24,391 |
|
Other segments intersegment service revenues * |
|
|
11,040 |
|
|
|
13,268 |
|
|
Total business segments |
|
|
375,878 |
|
|
|
408,763 |
|
TSM operating revenues from external sources |
|
|
120 |
|
|
|
120 |
|
Elimination of intersegment premiums |
|
|
(1,863 |
) |
|
|
(1,605 |
) |
Elimination of intersegment service fees |
|
|
(11,040 |
) |
|
|
(13,268 |
) |
|
Consolidated operating revenues |
|
$ |
363,095 |
|
|
|
394,010 |
|
|
|
|
|
* |
|
Includes segments that are not required to be reported separately. These segments include the
data processing services organization as well as the third-party administrator of managed care
services. |
9
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
March 31, 2007
(Dollar amounts in thousands, except per share data)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
Three months ended |
|
|
March 31, |
|
|
2007 |
|
2006 |
|
Operating income: |
|
|
|
|
|
|
|
|
Managed care |
|
$ |
4,100 |
|
|
|
5,606 |
|
Life insurance |
|
|
2,975 |
|
|
|
2,073 |
|
Property and casualty insurance |
|
|
1,393 |
|
|
|
2,436 |
|
Other segments * |
|
|
138 |
|
|
|
284 |
|
|
Total business segments |
|
|
8,606 |
|
|
|
10,399 |
|
TSM operating revenues from external sources |
|
|
120 |
|
|
|
120 |
|
TSM unallocated operating expenses |
|
|
(1,826 |
) |
|
|
(1,316 |
) |
Elimination of TSM intersegment charges |
|
|
2,740 |
|
|
|
2,370 |
|
|
Consolidated operating income |
|
|
9,640 |
|
|
|
11,573 |
|
Consolidated net realized investment gains |
|
|
1,196 |
|
|
|
528 |
|
Consolidated net unrealized gain (loss) on
trading securities |
|
|
(1,925 |
) |
|
|
2,556 |
|
Consolidated interest expense |
|
|
(3,952 |
) |
|
|
(3,798 |
) |
Consolidated other income, net |
|
|
209 |
|
|
|
1,199 |
|
|
Consolidated income before taxes |
|
$ |
5,168 |
|
|
|
12,058 |
|
|
|
|
|
|
|
|
|
|
|
Depreciation expense: |
|
|
|
|
|
|
|
|
Managed care |
|
$ |
896 |
|
|
|
917 |
|
Life insurance |
|
|
179 |
|
|
|
135 |
|
Property and casualty insurance |
|
|
360 |
|
|
|
107 |
|
|
Total business segments |
|
|
1,435 |
|
|
|
1,159 |
|
TSM depreciation expense |
|
|
281 |
|
|
|
283 |
|
|
Consolidated depreciation expense |
|
$ |
1,716 |
|
|
|
1,442 |
|
|
|
|
|
* |
|
Includes segments that are not required to be reported separately. These segments include
the data processing services organization as well as the third-party administrator of managed
care services. |
10
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
March 31, 2007
(Dollar amounts in thousands, except per share data)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
March 31, |
|
December 31, |
|
|
2007 |
|
2006 |
|
Assets: |
|
|
|
|
|
|
|
|
Managed care |
|
$ |
608,340 |
|
|
|
600,948 |
|
Life insurance |
|
|
411,747 |
|
|
|
407,994 |
|
Property and casualty insurance |
|
|
324,442 |
|
|
|
326,894 |
|
Other segments * |
|
|
8,085 |
|
|
|
7,807 |
|
|
Total business segments |
|
|
1,352,614 |
|
|
|
1,343,643 |
|
Unallocated amounts related to TSM: |
|
|
|
|
|
|
|
|
Cash, cash equivalents, and investments |
|
|
11,687 |
|
|
|
11,879 |
|
Property and equipment,net |
|
|
23,511 |
|
|
|
23,792 |
|
Other assets |
|
|
2,353 |
|
|
|
4,096 |
|
|
|
|
|
37,551 |
|
|
|
39,767 |
|
Elimination entries-intersegment receivables and others |
|
|
(28,311 |
) |
|
|
(37,901 |
) |
|
Consolidated total assets |
|
$ |
1,361,854 |
|
|
|
1,345,509 |
|
|
|
|
|
|
|
|
|
|
|
Significant noncash items: |
|
|
|
|
|
|
|
|
Net change in unrealized gain on securities available for sale: |
|
|
|
|
|
|
|
|
Managed care |
|
$ |
496 |
|
|
|
(1,560 |
) |
Life insurance |
|
|
380 |
|
|
|
(1,457 |
) |
Property and casualty insurance |
|
|
672 |
|
|
|
(183 |
) |
|
Total business segments |
|
|
1,548 |
|
|
|
(3,200 |
) |
Amount related to TSM |
|
|
34 |
|
|
|
(12 |
) |
|
Consolidated net change in unrealized gain on
securities available for sale |
|
$ |
1,582 |
|
|
|
(3,212 |
) |
|
|
|
|
* |
|
Includes segments that are not required to be reported separately. These segments include
the data processing services organization as well as the third-party administrator of managed
care services. |
11
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
March 31, 2007
(Dollar amounts in thousands, except per share data)
(Unaudited)
(4) Investment in Securities
The amortized cost for debt securities and equity securities, gross unrealized gains, gross
unrealized losses, and estimated fair value for trading, available-for-sale and held-to-maturity
securities by major security type and class of security at March 31, 2007 and December 31, 2006,
were as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
March 31, 2007 |
|
|
|
|
|
|
Gross |
|
Gross |
|
|
|
|
Amortized |
|
unrealized |
|
unrealized |
|
Estimated fair |
|
|
cost |
|
gains |
|
losses |
|
value |
|
Trading securities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity securities |
|
$ |
64,997 |
|
|
|
15,693 |
|
|
|
(1,101 |
) |
|
|
79,589 |
|
|
Securities available for sale: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed maturities |
|
|
715,487 |
|
|
|
895 |
|
|
|
(9,494 |
) |
|
|
706,888 |
|
Equity securities |
|
|
50,631 |
|
|
|
12,403 |
|
|
|
(1,817 |
) |
|
|
61,217 |
|
|
|
|
|
766,118 |
|
|
|
13,298 |
|
|
|
(11,311 |
) |
|
|
768,105 |
|
|
Securities held to maturity: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed maturities |
|
|
21,319 |
|
|
|
386 |
|
|
|
(648 |
) |
|
|
21,057 |
|
|
|
|
$ |
852,434 |
|
|
|
29,377 |
|
|
|
(13,060 |
) |
|
|
868,751 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31, 2006 |
|
|
|
|
|
|
Gross |
|
Gross |
|
|
|
|
Amortized |
|
unrealized |
|
unrealized |
|
Estimated fair |
|
|
cost |
|
gains |
|
losses |
|
value |
|
Trading securities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity securities |
|
$ |
66,930 |
|
|
|
17,436 |
|
|
|
(919 |
) |
|
|
83,447 |
|
|
Securities available for sale: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed maturities |
|
|
714,113 |
|
|
|
590 |
|
|
|
(12,137 |
) |
|
|
702,566 |
|
Equity securities |
|
|
50,132 |
|
|
|
13,112 |
|
|
|
(1,558 |
) |
|
|
61,686 |
|
|
|
|
|
764,245 |
|
|
|
13,702 |
|
|
|
(13,695 |
) |
|
|
764,252 |
|
|
Securities held to maturity: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed maturities |
|
|
21,450 |
|
|
|
370 |
|
|
|
(816 |
) |
|
|
21,004 |
|
|
|
|
$ |
852,625 |
|
|
|
31,508 |
|
|
|
(15,430 |
) |
|
|
868,703 |
|
|
Investment in securities at March 31, 2007 are mostly comprised of U.S. Treasury securities,
obligations of government sponsored enterprises and obligations of U.S. government
instrumentalities (58.9%), mortgage backed and collateralized mortgage obligations that are U.S.
agency-backed (8.4%) and obligations of the government of Puerto Rico and its instrumentalities
(5.5%). The remaining 27.2% of the investment portfolio is comprised of equity securities and
mutual funds.
The Corporation regularly monitors the difference between the cost and estimated fair value of
investments. For investments with a fair value below cost, the process includes evaluating the
length of time and the extent to which cost exceeds fair value, the prospects and financial
condition of the issuer, and the Corporations intent and ability to retain the investment to allow
for recovery in fair value, among other factors. This process is not exact and further requires
consideration of risks such as credit and interest rate risks. Consequently, if an investments
cost exceeds its fair value solely due to changes in interest rates, impairment may not be
appropriate. If after monitoring and analyzing, the Corporation determines that a decline in the
estimated fair value of any available-for-sale or held-to-maturity security below cost is other
than temporary, the carrying amount of the security is reduced to its fair value. The impairment
is charged
12
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
March 31, 2007
(Dollar amounts in thousands, except per share data)
(Unaudited)
to operations and a new cost basis for the security is established. No
other-than-temporary impairment was recognized during the three months ended March 31, 2007.
During the three months ended March 31, 2006
the Corporation recognized an other-than-temporary impairment amounting to $388 on one of its
equity securities classified as available for sale.
(5) Premiums and Other Receivables
Premiums and other receivables as of March 31, 2007 and December 31, 2006 were as follows:
|
|
|
|
|
|
|
|
|
|
|
March 31, |
|
December 31, |
|
|
2007 |
|
2006 |
|
Premium |
|
$ |
67,314 |
|
|
|
53,377 |
|
Self-funded group receivables |
|
|
27,761 |
|
|
|
24,854 |
|
FEHBP |
|
|
11,504 |
|
|
|
9,187 |
|
Agents balances |
|
|
24,004 |
|
|
|
28,813 |
|
Accrued interest |
|
|
8,910 |
|
|
|
7,786 |
|
Reinsurance recoverable on paid losses |
|
|
41,474 |
|
|
|
40,885 |
|
Other |
|
|
23,255 |
|
|
|
18,686 |
|
|
|
|
|
204,222 |
|
|
|
183,588 |
|
|
Less allowance for doubtful receivables: |
|
|
|
|
|
|
|
|
Premiums |
|
|
14,119 |
|
|
|
12,128 |
|
Other |
|
|
5,574 |
|
|
|
6,102 |
|
|
|
|
|
19,693 |
|
|
|
18,230 |
|
|
Total premiums and other receivables |
|
$ |
184,529 |
|
|
|
165,358 |
|
|
(6) Claim Liabilities
The activity in the total claim liabilities for the three months ended March 31, 2007 and 2006 is
as follows:
|
|
|
|
|
|
|
|
|
|
|
Three months ended |
|
|
March 31, |
|
|
2007 |
|
2006 |
|
Claim liabilities at beginning of period |
|
$ |
314,682 |
|
|
|
297,563 |
|
Reinsurance recoverable on claim liabilities |
|
|
(32,066 |
) |
|
|
(28,720 |
) |
|
Net claim
liabilities at
beginning of period |
|
|
282,616 |
|
|
|
268,843 |
|
|
Claim liabilities acquired from GA Life |
|
|
|
|
|
|
8,771 |
|
Incurred claims and loss-adjustment expenses: |
|
|
|
|
|
|
|
|
Current period insured events |
|
|
309,565 |
|
|
|
316,804 |
|
Prior period insured events |
|
|
(16,191 |
) |
|
|
4,460 |
|
|
Total |
|
|
293,374 |
|
|
|
321,264 |
|
|
Payments of losses and loss-adjustment expenses: |
|
|
|
|
|
|
|
|
Current period insured events |
|
|
144,814 |
|
|
|
167,711 |
|
Prior period insured events |
|
|
135,636 |
|
|
|
133,859 |
|
|
Total |
|
|
280,450 |
|
|
|
301,570 |
|
|
Net claim liabilities at end of period |
|
|
295,540 |
|
|
|
297,308 |
|
Reinsurance recoverable on claim liabilities |
|
|
32,331 |
|
|
|
29,031 |
|
|
Claim liabilities at end of period |
|
$ |
327,871 |
|
|
|
326,339 |
|
|
13
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
March 31, 2007
(Dollar amounts in thousands, except per share data)
(Unaudited)
As a result of differences between actual amounts and estimates of insured events in prior
periods, the amounts included as incurred claims for prior period insured events differ from
anticipated claims incurred.
The credits in the incurred claims and loss-adjustment expenses for prior period insured events for
the three months ended March 31, 2007 is due primarily to better than expected utilization trends.
The amount in the incurred claims and loss-adjustment expenses for prior period insured events for
the three months ended March 31, 2006 is due to a higher than expected cost per service and
utilization trends.
(7) Capital Stock
As of March 31, 2007, subsequent to an amendment to its Articles of Incorporation effective
February 2007, the Corporation was authorized to issue 100,000,000 shares of common stock with a
par value of $1.00 per share. As of December 31, 2006, the Corporation was authorized to issue
12,500 shares of common stock with a par value of $40.00 per share. Total shares issued and
outstanding as of March 31, 2007 and December 31, 2006 were 8,913 and 8,911, respectively.
(8) Comprehensive Income
The accumulated balances for each classification of other comprehensive income are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accumulated |
|
|
Unrealized |
|
Liability for |
|
|
|
|
|
other |
|
|
gain (loss) on |
|
pension |
|
Cash flow |
|
comprehensive |
|
|
securities |
|
benefits |
|
hedges |
|
income |
|
BALANCE AT JANUARY 1 |
|
$ |
5 |
|
|
|
(19,742 |
) |
|
|
306 |
|
|
|
(19,431 |
) |
Net current period change |
|
|
1,582 |
|
|
|
|
|
|
|
(65 |
) |
|
|
1,517 |
|
|
BALANCE AT MARCH 31 |
|
$ |
1,587 |
|
|
|
(19,742 |
) |
|
|
241 |
|
|
|
(17,914 |
) |
|
(9) Income Taxes
Under Puerto Rico income tax law, the Corporation is not allowed to file consolidated tax returns
with its subsidiaries. The Corporation and its subsidiaries are subject to Puerto Rico income
taxes. The Corporations insurance subsidiaries are also subject to U.S. federal income taxes for
foreign source dividend income. As of January 1, 2007, tax years 2003 through 2006 for the
Corporation and its subsidiaries are subject to examination by Puerto Rico taxing authorities.
Income taxes are accounted for under the asset and liability method. Deferred tax assets and
liabilities are recognized for the future tax consequences attributable to differences between the
financial statements carrying amounts of existing assets and liabilities and their respective tax
bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are
measured using enacted tax rates expected to apply to taxable income in the years in which those
temporary differences are expected to be recovered or settled. The effect on deferred tax assets
and liabilities of a change in tax rates is recognized in the consolidated statements of earnings
in the period that includes the enactment date. Quarterly income taxes are calculated using the
effective tax rate determined based on the income forecasted for the full fiscal year.
In June 2006, FASB issued FIN 48, which among other things, provides guidance to address
uncertainty in tax positions and clarifies the accounting for income taxes by prescribing a minimum
recognition threshold which income tax positions must achieve before being recognized in the
financial statements. In addition, FIN 48 requires expanded annual disclosures, including a
rollforward of the beginning and ending aggregate unrecognized taxes as well as specific detail
related to tax uncertainties for which it is reasonably possible the amount of unrecognized taxes
will significantly increase or decrease within twelve months.
14
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
March 31, 2007
(Dollar amounts in thousands, except per share data)
(Unaudited)
The Corporation adopted FIN 48 on January 1, 2007; no adjustment was required upon the adoption of
this accounting pronouncement.
(10) Pension Plan
The components of net periodic benefit cost for the three months ended March 31, 2007 and 2006 were
as follows:
|
|
|
|
|
|
|
|
|
|
|
Three months ended |
|
|
March 31, |
|
|
2007 |
|
2006 |
|
Components of net periodic benefit cost: |
|
|
|
|
|
|
|
|
Service cost |
|
$ |
1,356 |
|
|
|
1,370 |
|
Interest cost |
|
|
1,294 |
|
|
|
1,175 |
|
Expected return on assets |
|
|
(1,128 |
) |
|
|
(991 |
) |
Prior service cost |
|
|
14 |
|
|
|
12 |
|
Actuarial loss |
|
|
514 |
|
|
|
602 |
|
|
Net periodic benefit cost |
|
$ |
2,050 |
|
|
|
2,168 |
|
|
Employer contributions
The Corporation disclosed in its audited consolidated financial statements for the year ended
December 31, 2006 that it expected to contribute $5,000 to its pension program in 2007. As of
March 31, 2007, no contributions have been made. The Corporation currently anticipates
contributing $5,000 to fund its pension program in 2007.
(11) Net Income Available to Stockholders and Net Income per Share
The Corporation presents only basic earnings per share, which consists of the net income that is
available to common stockholders divided by the weighted-average number of common shares
outstanding for the period.
The following table sets forth the computation of basic net income per share for the three months
ended March 31, 2007 and 2006:
|
|
|
|
|
|
|
|
|
|
|
Three months ended |
|
|
March 31, |
|
|
2007 |
|
2006 |
|
Numerator for basic earnings per share: |
|
|
|
|
|
|
|
|
Net income available to stockholders |
|
$ |
4,505 |
|
|
|
9,381 |
|
|
Denominator for basic earnings per share: |
|
|
|
|
|
|
|
|
Weighted average of outstanding common shares |
|
|
8,912 |
|
|
|
8,906 |
|
|
Basic net income per share |
|
$ |
505 |
|
|
|
1,053 |
|
|
(12) Subsequent Events
On April 24, 2007, the Corporations Board of Directors authorized a 3,000-for-one stock split to
be effected in the form of a dividend. This stock split is effective on May 1, 2007 to all
stockholders of record at the close of business on April 24, 2007. The total number of authorized
shares and par value were unchanged by this action. The par value of the additional shares
resulting from the stock split will be
15
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
March 31, 2007
(Dollar amounts in thousands, except per share data)
(Unaudited)
reclassified from additional paid in capital to common
stock. All references to the number of shares and per share amounts in this consolidated financial
statements are presented on a pre-split basis.
The Corporations historical earnings per share on a pro forma basis, assuming the stock split had
occurred on January 1, 2006.
|
|
|
|
|
|
|
|
|
|
|
Three months ended |
|
|
March 31, |
|
|
2007 |
|
2006 |
|
Numerator for basic earnings per share: |
|
|
|
|
|
|
|
|
Net income available to stockholders |
|
$ |
4,505 |
|
|
|
9,381 |
|
|
Denominator for basic earnings per share: |
|
|
|
|
|
|
|
|
Weighted average of outstanding common shares
giving effect to 3,000-for-one stock split |
|
|
26,735,000 |
|
|
|
26,719,000 |
|
|
Basic net income per share giving effect to
3,000-for-one stock split |
|
$ |
0.17 |
|
|
|
0.35 |
|
|
(13) Contingencies
Various litigation claims and assessments against the Corporation have arisen in the ordinary
course of business, including but not limited to, its activities as an insurer and employer.
Furthermore, the Commissioner of Insurance, as well other Federal and Puerto Rico government
authorities, regularly make inquiries and conduct audits concerning our compliance with applicable
insurance and other laws and regulations. Management believes, based on the opinion of legal
counsel, that the aggregate liabilities, if any, arising from such claims, assessments, audits and
lawsuits would not have a material adverse effect on the consolidated financial position or results
of operations of the Corporation. However, given the inherent unpredictability of these matters,
it is possible that an adverse outcome in certain matters could have a material adverse effect on
our operating results and/or cash flows. Where the Corporation believes that a loss is both
probable and estimable, such amounts have been recorded. In other cases, it is at least reasonably
possible that the Corporation may have incurred a loss related to one or more of the pending
lawsuits or investigations disclosed above, but the Corporation is unable to estimate the range of
possible loss which may be ultimately realized, either individually or in the aggregate, upon their
resolution.
Sánchez Litigation
On September 4, 2003, José Sánchez and others filed a putative class action complaint against the
Corporation, present and former directors of the board of directors of the Corporation and
Triple-S, Inc. (TSI), and others, in the United States District Court for the District of Puerto
Rico, alleging violations under the Racketeer Influenced and Corrupt Organizations Act (RICO).
Among other allegations, the suit alleges a scheme to defraud the plaintiffs by acquiring control
of our managed care subsidiary through illegally capitalizing our managed care subsidiary and later
converting it to a for profit corporation and depriving the stockholders of their ownership rights.
The plaintiffs base their allegations on the alleged decisions of TSIs board of directors and
shareholders, purportedly made in 1979, to operate with certain restrictions in order to turn our
managed care subsidiary into a charitable corporation. On May 4, 2006, the Court issued an Opinion
and Order awarding summary judgment in favor of all the defendants, thereby dismissing the case.
Plaintiffs filed a notice of appeal before the United States Court of Appeals for the First
Circuit. The parties argued the case before the First Circuit on February 6, 2007, which took the
case under advisement and is expected to issue a judgment within approximately 90 days of such
date.
16
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
March 31, 2007
(Dollar amounts in thousands, except per share data)
(Unaudited)
Jordán et al Litigation
On April 24, 2002, Octavio Jordán, Agripino Lugo, Ramón Vidal, and others filed a suit against the
Corporation, TSI and others in the Court of First Instance for San Juan, Superior Section,
alleging, among other things, violations by the defendants of provisions of the Puerto Rico
Insurance Code, antitrust violations, unfair business practices and damages in the amount of $12.0
million. They also requested that we sell shares to them. The Corporations position is that many
of the allegations brought by the plaintiffs in this complaint have been resolved in favor of the
Corporation and TSI in previous cases brought by the same plaintiffs in the United States District
Court for the District of Puerto Rico and in the local courts. The defendants, including the
Corporation and TSI, answered the complaint, filed a counterclaim and filed several motions to
dismiss.
On May 9, 2005, the plaintiffs amended the complaint to allege causes of action similar to those
dismissed in the Sánchez case. Defendants moved to dismiss all claims in the amended complaint.
Plaintiffs opposed the motions to dismiss and defendants filed corresponding replies. In 2006, the
Court held several hearings concerning these dispositive motions and stayed all discovery until the
motions were resolved.
On January 19, 2007, the Court denied a motion by the plaintiffs to dismiss the defendants
counterclaim for malicious prosecution and abuse of process. The Court ordered plaintiffs to
answer the counterclaim by February 20, 2007. Although they filed after the required date,
plaintiffs have filed an answer to the counterclaim.
On February 7, 2007, the Court dismissed all of the charitable trust, RICO and violation of due
process claims, which affects all of the plaintiffs. Other counts of the complaint, torts, breach
of contract and violation of the Puerto Rico corporations law claims were dismissed only against
the certain of the physician plaintiffs. The Court allowed the count based on antitrust, and in
reconsideration allowed the charitable trust and RICO claims. The Corporation appealed to the
Puerto Rico Court of Appeals the denial of the motion to dismiss as to the antitrust allegations
and the Courts decision to reconsider the claims previously dismissed.
Thomas Litigation
On May 22, 2003, a putative class action suit was filed by Kenneth A. Thomas, M.D. and Michael
Kutell, M.D., on behalf of themselves and all others similarly situated and the Connecticut State
Medical Society against the Blue Cross and Blue Shield Association (BCBSA) and substantially all of
the other Blue plans in the United States, including TSI. The case is pending before the U.S.
District Court for the Southern District of Florida, Miami District.
The individual plaintiffs bring this action on behalf of themselves and a class of similarly
situated physicians seeking redress for alleged illegal acts of the defendants, which they allege
have resulted in a loss of their property and a detriment to their business, and for declaratory
and injunctive relief to end those practices and prevent further losses. Plaintiffs alleged that
the defendants, on their own and as part of a common scheme, systematically deny, delay and
diminish the payments due to doctors so that they are not paid in a timely manner for the covered,
medically necessary services they render.
The class action complaint alleges that the health care plans are the agents of BCBSA licensed
entities, and as such have committed the acts alleged above and acted within the scope of their
agency, with the consent, permission, authorization and knowledge of the others, and in furtherance
of both their interest and the interests of other defendants.
Management believes that TSI was brought to this litigation for the sole reason of being associated
with the BCBSA. However, on June 18, 2004 the plaintiffs moved to amend the complaint to include
the Colegio de Médicos y Cirujanos de Puerto Rico (a compulsory association grouping all physicians
in Puerto Rico), Marissel Velázquez, MD, President of the Colegio de Médicos y Cirujanos de Puerto
Rico, and Andrés Meléndez, MD, as plaintiffs against TSI. Later Marissel Velázquez, MD voluntarily
dismissed her complaint against TSI.
17
TRIPLE-S MANAGEMENT CORPORATION AND SUBSIDIARIES
Notes to Consolidated Financial Statements
March 31, 2007
(Dollar amounts in thousands, except per share data)
(Unaudited)
TSI, along with the other defendants, moved to dismiss the complaint on multiple grounds, including
but not limited to arbitration and applicability of the McCarran Ferguson Act.
The parties were ordered to engage in mediation. Twenty four plans have been actively
participating in the mediation efforts. The mediation resulted in the creation of a Settlement
Agreement that was filed with the Court on April 27, 2007.
18
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations
The Managements Discussion and Analysis of Financial Condition and Results of Operations
included in this Quarterly Report on Form 10-Q is intended to update the reader on matters
affecting our financial condition and results of operations for the three months ended March 31,
2007. Therefore, the following discussion should be read in conjunction with the audited
consolidated financial statements and notes thereto included in the Annual Report on Form 10-K
filed with the United States Securities and Exchange Commission as of and for the year ended
December 31, 2006.
Cautionary Statement Regarding Forward-Looking Information
This Quarterly Report on Form 10-Q and other of our publicly available documents may include
statements that constitute forward-looking statements within the meaning of the Private
Securities Litigation Reform Act of 1995, including, among other things: statements concerning our
business and our financial condition and results of operations. These statements are not
historical, but instead represent our belief regarding future events, any of which, by their
nature, are inherently uncertain and outside of our control. These statements may address, among
other things, future financial results, strategy for growth, and market position. It is possible
that our actual results and financial condition may differ, possibly materially, from the
anticipated results and financial condition indicated in these forward-looking statements. The
factors that could cause actual results to differ from those in the forward-looking statements are
discussed throughout this form. We are not under any obligation to update or alter any
forward-looking statement (and expressly disclaims any such obligations), whether as a result of
new information, future events or otherwise. Factors that may cause actual results to differ
materially from those contemplated by such forward looking statements include, but are not limited
to, rising healthcare costs, business conditions and competition in the different insurance
segments, government action and other regulatory issues.
Overview
We are the largest managed care company in Puerto Rico in terms of membership, with over 45 years
of experience in the managed care industry. We offer a broad portfolio of managed care and related
products in the commercial, Reform, Medicare Advantage and Part D stand-alone prescription drug
plan (PDP) markets. The Reform is a Puerto Rico government-funded managed care program for the
medically indigent population, similar to the Medicaid program in the U.S. We have the exclusive
right to use the Blue Shield name and mark throughout Puerto Rico, serve approximately one million
members across all regions of Puerto Rico and hold a leading market position covering approximately
25% of the population. For the three months ended March 31, 2007, our managed care segment
represented approximately 87.7% of our total consolidated premiums earned, net and approximately
41.8% of our operating income. We also have significant positions in the life insurance and
property and casualty insurance markets. Our life insurance segment has a market share of
approximately 25% (in terms of premiums written) as of December 31, 2005. Our property and
casualty segment has a market share of approximately 8.5% (in terms of direct premiums) as of
December 31, 2006.
We participate in the managed care market through our subsidiary, Triple-S, Inc. (TSI). Our
managed care subsidiary is a Blue Cross and Blue Shield Association (BCBSA) licensee, which
provides us with exclusive use of the Blue Shield brand in Puerto Rico. We offer products to the
commercial, Reform, Medicare Advantage and PDP market sectors, including corporate accounts, U.S.
federal government employees, local government employees, individual accounts and Medicare
Supplement.
We participate in the life insurance market through our subsidiary, Great American Life Assurance
Company of Puerto Rico (GA Life) (which resulted from the merger of our former subsidiary Seguros
de Vida Triple-S, Inc. (SVTS) into GA Life) and in the property and casualty insurance market
through our subsidiary, Seguros Triple-S, Inc. (STS), which represented approximately 6.5% and
6.1%, respectively, of our consolidated premiums earned, net for the three months ended March 31,
2007 and 30.6% and 14.3%, respectively, of our operating income for that period.
19
Intersegment revenues and expenses are reported on a gross basis in each of the operating segments
but eliminated in the consolidated results. Except as otherwise indicated, the numbers presented
in this Quarterly Report on Form 10-Q do not reflect intersegment eliminations. These intersegment
revenues and expenses affect the amounts reported on the financial statement line items for each
segment, but are eliminated in consolidation and do not change net income. The following table
shows premiums earned, net and net fee revenue and operating income for each segment, as well as
the intersegment premiums earned, service revenues and other intersegment transactions, which are
eliminated in the consolidated results:
|
|
|
|
|
|
|
|
|
|
|
Three months ended |
|
|
March 31, |
(Dollar amounts in millions) |
|
2007 |
|
2006 |
|
Premiums earned, net |
|
|
|
|
|
|
|
|
Managed care |
|
$ |
305.6 |
|
|
|
339.3 |
|
Life insurance |
|
|
22.5 |
|
|
|
20.1 |
|
Property and casualty insurance |
|
|
21.4 |
|
|
|
22.0 |
|
Intersegment premiums earned |
|
|
(1.0 |
) |
|
|
(0.9 |
) |
|
Consolidated premiums earned, net |
|
$ |
348.5 |
|
|
|
380.5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Three months ended |
|
|
March 31, |
(Dollar amounts in millions) |
|
2007 |
|
2006 |
|
Administrative service fees |
|
|
|
|
|
|
|
|
Managed care |
|
$ |
4.4 |
|
|
|
4.1 |
|
Intersegment administrative service fees |
|
|
(0.9 |
) |
|
|
(0.7 |
) |
|
Consolidated administrative service fees |
|
$ |
3.5 |
|
|
|
3.4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Three months ended |
|
|
March 31, |
(Dollar amounts in millions) |
|
2007 |
|
2006 |
|
Operating income |
|
|
|
|
|
|
|
|
Managed care |
|
$ |
4.1 |
|
|
|
5.6 |
|
Life insurance |
|
|
3.0 |
|
|
|
2.1 |
|
Property and casualty insurance |
|
|
1.4 |
|
|
|
2.5 |
|
Other segments and intersegment eliminations |
|
|
1.2 |
|
|
|
1.4 |
|
|
Consolidated operating income |
|
$ |
9.7 |
|
|
|
11.6 |
|
|
Our revenues primarily consist of premiums earned, net and administrative service fees. These
revenues are derived from the sale of managed care products in the commercial market to employer
groups, individuals and government-sponsored programs, principally Medicare and Reform. Premiums
are derived from insurance contracts and administrative service fees are derived from self-funded
contracts, under which we provide a range of services, including claims administration, billing and
membership services, among others. Revenues also include premiums earned from the sale of property
and casualty and life insurance contracts, and investment income. Substantially all of our
earnings are generated in Puerto Rico.
Claims incurred include the payment of benefits and losses, mostly to physicians, hospitals and
other service providers, and to policyholders. Each segments results of operations depend in
significant part on their ability to accurately predict and effectively manage claims. A portion
of the claims incurred for each period consists of claims reported but not paid during the period,
as well as a management and actuarial estimate of claims incurred but not reported during the
period. Operating expenses consist primarily of compensation expenses, commission payments to
brokers and other overhead business expenses.
We use the operating income as a measure of performance of the underwriting and investment
functions of our segments. We also use the loss ratio and the operating expense ratio as measures
of performance. The
loss ratio is claims incurred divided by premiums earned, net, multiplied by 100. The operating
expense
20
ratio is operating expenses divided by premiums earned, net and administrative service
fees, multiplied by 100.
Recent Developments
Puerto Ricos Economy
The Government of the Commonwealth of Puerto Rico recently announced a possible shortfall of funds
to complete the fiscal year ending June 30, 2007 with a balanced budget, as required by law.
Certain measures proposed by the governor to resolve the budgetary shortfall for fiscal year 2007
are currently being evaluated by the Puerto Rico legislature.
Recent Accounting Standards
There were no new accounting pronouncements issued during the first three months of 2007 that have
not been disclosed in Item 7. Managements Discussion and Analysis of Financial Condition and
Results of Operations included in the Corporations Annual Report on Form 10-K for the year ended
December 31, 2006.
We adopted the provisions of the Financial Accounting Standards Board (FASB) Interpretation No. 48,
Accounting for Uncertainty in Income Taxes an Interpretation of FASB Statement No. 109 (FIN 48) on
January 1, 2007. See details in note 9 to the unaudited consolidated financial statements included
in this Quarterly Report on Form 10-Q.
Managed Care Membership
|
|
|
|
|
|
|
|
|
|
|
As of March 31, |
|
|
2007 |
|
2006 |
|
Managed care enrollment: |
|
|
|
|
|
|
|
|
Commercial 1 |
|
|
579,887 |
|
|
|
604,341 |
|
Reform 2 |
|
|
353,460 |
|
|
|
595,400 |
|
Medicare Advantage |
|
|
30,709 |
|
|
|
18,221 |
|
Part D Stand-Alone Prescription Drug Plan |
|
|
11,648 |
|
|
|
16,730 |
|
|
Total |
|
|
975,704 |
|
|
|
1,234,692 |
|
|
Managed care enrollment by funding arrangement: |
|
|
|
|
|
|
|
|
Fully-insured |
|
|
814,092 |
|
|
|
1,081,274 |
|
Self-insured |
|
|
161,612 |
|
|
|
153,418 |
|
|
Total |
|
|
975,704 |
|
|
|
1,234,692 |
|
|
|
|
|
(1) |
|
Commercial membership includes corporate accounts, self-funded employers, individual
accounts, Medicare Supplement, Federal government employees and local government employees. |
|
(2) |
|
Enrollment as of March 31, 2006 includes 207,420 members of the Metro-North region.
The contract for this region was not renewed effective November 1, 2006. |
21
Consolidated Operating Results
The following table sets forth the Corporations consolidated operating results. Further details
of the results of operations of each reportable segment are included in the analysis of operating
results for the respective segments. On January 31, 2006 we completed the acquisition of GA Life. The results of operations of GA Life are included in this table for the period following the effective date of this acquisition.
|
|
|
|
|
|
|
|
|
|
|
Three months ended |
|
|
March 31, |
(Dollar amounts in millions) |
|
2007 |
|
2006 |
|
Revenues: |
|
|
|
|
|
|
|
|
Premiums earned, net |
|
$ |
348.5 |
|
|
|
380.5 |
|
Administrative service fees |
|
|
3.5 |
|
|
|
3.4 |
|
Net investment income |
|
|
11.1 |
|
|
|
10.1 |
|
|
Total operating revenues |
|
|
363.1 |
|
|
|
394.0 |
|
Net realized investment gains |
|
|
1.2 |
|
|
|
0.5 |
|
Net unrealized (loss) gain on trading securities |
|
|
(1.9 |
) |
|
|
2.6 |
|
Other income, net |
|
|
0.2 |
|
|
|
1.2 |
|
|
Total revenues |
|
|
362.6 |
|
|
|
398.3 |
|
|
Benefits and expenses: |
|
|
|
|
|
|
|
|
Claims incurred |
|
|
297.3 |
|
|
|
324.7 |
|
Operating expenses |
|
|
56.1 |
|
|
|
57.7 |
|
|
Total operating expenses |
|
|
353.4 |
|
|
|
382.4 |
|
Interest expense |
|
|
4.0 |
|
|
|
3.8 |
|
|
Total benefits and expenses |
|
|
357.4 |
|
|
|
386.2 |
|
|
Income before taxes |
|
|
5.2 |
|
|
|
12.1 |
|
Income tax expense |
|
|
0.7 |
|
|
|
2.7 |
|
|
Net income |
|
$ |
4.5 |
|
|
|
9.4 |
|
|
Three Months Ended March 31, 2007 Compared to Three Months Ended March 31, 2006
Operating revenues
Consolidated premiums earned, net and administrative service fees decreased by $31.9 million, or
8.3%, to $352.0 million during the three months ended March 31, 2007 compared to the three months
ended March 31, 2006. The decrease was primarily due to a decrease in the premiums earned, net in
our managed care segment, principally due to the decreased volume of the Reform sector after the
loss of the Metro-North region, offset in part by the growth of our Medicare Advantage business.
Consolidated net investment income increased by $1.0 million, or 9.9%, to $11.1 million during the
three months ended March 31, 2007. This increase is primarily the result of the acquisition of GA
Life effective January 31, 2006; net investment income earned by GA Life during the month of
January 2006 amounted to $1.0 million, which are not included in our consolidated financial statements.
Net realized investment gains
Consolidated net realized investment gains increased by $0.7 million, or 140.0%, to $1.2 million
during the three months ended March 31, 2007. This increase is primarily the result of higher
sales in 2007 of investments in a gain position, particularly in trading securities, in order to
keep the portfolio within established tactical allocation limits.
Net unrealized (loss) gain on trading securities and other income, net
The combined balance of our consolidated net unrealized loss on trading securities and other
income, net decreased by $5.5 million, to a loss of $1.7 million during the three months ended
March 31, 2007. This
22
decrease is principally attributed to unrealized equity securities losses in
our trading portfolios. The unrealized loss in 2007 is the result of fluctuations in the market
particularly at the end of the quarter.
Claims Incurred
Consolidated claims incurred during the three months ended March 31, 2007 decreased by $27.4
million, or 8.4%, to $297.3 million when compared to the claims incurred during the three months
ended March 31, 2006. This decrease in principally due to decreased claims in the managed care
segment as a result of the decreased volume of business of the Reform sector due to the loss of the
Metro-North region, net of increased enrollment in the Medicare Advantage sector. The consolidated
loss ratio remained unchanged at 85.3%.
Operating Expenses
Consolidated operating expenses during the three months ended March 31, 2007 decreased by $1.6
million, or 2.8%, to $56.1 million as compared to the operating expenses during the 2006 period.
This decrease is primarily attributed to the decrease in the operating expenses for the Reform
business resulting from reduction in volume of the Reform business after the loss of the
Metro-North region. The consolidated operating expense ratio increased by 0.9 percentage points
during the 2007 period mainly due to fixed expenses not affected by a reduction in volume.
Income tax expense
The consolidated effective tax rate decreased by 8.8 percentage points, from 22.3% in 2006 to 13.5%
in 2007, primarily due to a lower taxable income in 2007 from our managed care segment, which has a
higher effective tax rate than our other segments, and due to fluctuations in the temporary
differences in our property and casualty segment.
23
Managed Care Operating Results
|
|
|
|
|
|
|
|
|
|
|
Three months ended |
|
|
March 31, |
(Dollar amounts in thousands) |
|
2007 |
|
2006 |
|
Medical operating revenues: |
|
|
|
|
|
|
|
|
Medical premiums earned, net: |
|
|
|
|
|
|
|
|
Commercial |
|
$ |
180.3 |
|
|
|
180.4 |
|
Reform |
|
|
71.8 |
|
|
|
127.5 |
|
Medicare Advantage |
|
|
51.0 |
|
|
|
28.7 |
|
PDP |
|
|
2.5 |
|
|
|
2.7 |
|
|
Medical premiums earned, net |
|
|
305.6 |
|
|
|
339.3 |
|
Administrative service fees |
|
|
4.4 |
|
|
|
4.1 |
|
Net investment income |
|
|
4.8 |
|
|
|
4.6 |
|
|
Total medical operating revenues |
|
|
314.8 |
|
|
|
348.0 |
|
|
Medical operating costs: |
|
|
|
|
|
|
|
|
Medical claims incurred |
|
|
275.5 |
|
|
|
304.7 |
|
Medical operating expenses |
|
|
35.2 |
|
|
|
37.7 |
|
|
Total medical operating costs |
|
|
310.7 |
|
|
|
342.4 |
|
|
Medical operating income |
|
$ |
4.1 |
|
|
|
5.6 |
|
|
Additional data: |
|
|
|
|
|
|
|
|
Member months enrollment: |
|
|
|
|
|
|
|
|
Commercial: |
|
|
|
|
|
|
|
|
Fully-insured |
|
|
1,253,743 |
|
|
|
1,367,100 |
|
Self-funded |
|
|
479,323 |
|
|
|
455,909 |
|
|
Total commercial member months |
|
|
1,733,066 |
|
|
|
1,823,009 |
|
Reform |
|
|
1,064,846 |
|
|
|
1,810,361 |
|
Medicare Advantage |
|
|
93,249 |
|
|
|
49,442 |
|
PDP |
|
|
35,381 |
|
|
|
31,622 |
|
|
Total member months |
|
|
2,926,542 |
|
|
|
3,714,434 |
|
|
Medical loss ratio |
|
|
90.2 |
% |
|
|
89.8 |
% |
Operating expense ratio |
|
|
11.4 |
% |
|
|
11.0 |
% |
|
Three Months Ended March 31, 2007 Compared to Three Months Ended March 31, 2006
Medical Operating Revenues
Medical premiums earned for the three months ended March 31, 2007 decreased by $33.7 million, or
9.9%, to $305.6 million when compared to the medical premiums earned during the three months ended
March 31, 2006, principally as a result of the following:
|
|
|
Medical premiums earned in the Reform business decreased by $55.7 million, or 43.7%, to
$71.8 million during the 2007 period. This fluctuation is due to
a decrease in member months enrollment in the Reform
business by 745,515, or 41.2%, mainly as the result of the loss of the
Metro-North region effective November 1, 2006. In addition, this
business experienced a shift in membership since dual eligibles have transferred to Medicare
Advantage policies offered by us and our competitors, and a tightening of membership
restrictions by the Puerto Rico government. The effect of this decrease in membership was
mitigated by an increase in premium rates, effective July 1, 2006, of approximately 2.0%. |
|
|
|
|
Medical premiums generated by the Commercial sector decreased by $0.1 million, or 0.1%,
to $180.3 million during the 2007 period. This is due to a decrease in fully-insured
member months
of 113,357, or 8.3%, primarily as a result of the loss of several fully-insured accounts
due to |
24
|
|
|
aggressive marketing and pricing by our competitors as well as qualified enrollees
transferring to our, or our competitors Medicare Advantage policies, offset in part by an
average increase in premium rates of approximately 8.9%. |
|
|
|
|
Medical premiums generated by the Medicare Advantage business increased during the
three months ended March 31, 2007 by $22.3 million, or 77.7%, primarily due to an increase
in member months enrollment of 43,807, or 88.6%, offset in part by
the effect of adjustments amounting to $4.8 million related to
the recording of a reserve to provide for the retroactive
cancellation of contracts by the Centers for Medicare and Medicaid
Services (CMS) and to actuarial risk factors and cost sharing adjustments. We
expect that Medicare Advantage enrollment will continue to experience significant growth,
but at a substantially slower pace than in prior periods. |
Administrative service fees increased by $0.3 million, or 7.3%, to $4.4 million during the 2007
period due to an increase in member months enrollment of self-funded arrangements of 23,414, or
5.1% and to a shift of several self funded groups to arrangements where the administrative service
fee is based on contracts instead of claims paid.
Medical Claims Incurred
Medical claims incurred during the three months ended March 31, 2007 decreased by $29.2 million, or
9.6%, to $275.5 million when compared to the three months ended March 31. 2006. The decrease in
medical claims incurred is mostly related to the medical claims incurred of the Reform business,
which decreased by $50.1 million due to the decreased enrollment of the Reform business, offset by
an increase of $18.4 million in the medical claims incurred of the Medicare Advantage and PDP
businesses due to an increase in members. The medical loss ratio increased by 0.4 percentage
points during the 2007 period, to 90.2%, primarily driven by an increase in the prescription drug
cost trends in the Commercial business, mitigated by lower utilization trends in the Reform
business. Also, in 2007, due to the loss of the Metro-North region, the Commercial business has a
higher weight in the mix of volume of the segment. In this quarter Commercial business has a higher loss ratio
than the other businesses in this segment.
Medical Operating Expenses
Medical operating expenses for the three months ended March 31, 2007 decreased by $2.5 million, or
6.6%, to $35.2 million when compared to the three months ended March 31, 2006. This decrease is
primarily attributed to the decrease in the direct costs of the Reform business due to its
reduction in volume. The segments operating expense ratio increased by 0.4 percentage points
during the 2007 period.
25
Life Insurance Operating Results
On January 31, 2006 we completed the acquisition of GA Life. The results of operations of GA Life are included in this table for the period following the effective date of the acquisition.
|
|
|
|
|
|
|
|
|
|
|
Three months ended |
|
|
March 31, |
(Dollar amounts in thousands) |
|
2007 |
|
2006 |
|
Operating revenues: |
|
|
|
|
|
|
|
|
Premiums earned, net: |
|
|
|
|
|
|
|
|
Premiums earned |
|
$ |
24.5 |
|
|
|
17.8 |
|
Premiums earned ceded |
|
|
(2.1 |
) |
|
|
(2.2 |
) |
Assumed premiums earned |
|
|
|
|
|
|
4.4 |
|
|
Net premiums earned |
|
|
22.4 |
|
|
|
20.0 |
|
Commission income on reinsuarance |
|
|
0.1 |
|
|
|
0.1 |
|
|
Premiums earned, net |
|
|
22.5 |
|
|
|
20.1 |
|
Net investment income |
|
|
3.6 |
|
|
|
3.0 |
|
|
Total operating revenues |
|
|
26.1 |
|
|
|
23.1 |
|
|
Operating costs: |
|
|
|
|
|
|
|
|
Policy benefits and claims incurred |
|
|
11.6 |
|
|
|
9.6 |
|
Underwriting and other expenses |
|
|
11.5 |
|
|
|
11.4 |
|
|
Total operating costs |
|
|
23.1 |
|
|
|
21.0 |
|
|
Operating income |
|
$ |
3.0 |
|
|
|
2.1 |
|
|
Additional data: |
|
|
|
|
|
|
|
|
Loss ratio |
|
|
51.6 |
% |
|
|
47.8 |
% |
Operating expense ratio |
|
|
51.1 |
% |
|
|
56.7 |
% |
|
Three Months Ended March 31, 2007 Compared to Three Months Ended March 31, 2006
Operating revenues
Premiums earned for the segment increased by $6.7 million, or 37.6%, to $24.5 million during the
three months ended March 31, 2007 as compared to the three months ended March 31, 2006, principally
reflecting the acquisition of GA Life effective January 31, 2006. Premiums earned by GA Life
during the month of January 2006 were $6.6 million, which are not reflected in our consolidated financial statements. Eliminating the effect of GA Lifes premiums for the month
of January 2006, the premiums earned of the segment presented a $0.1 million increase that is
primarily the result of an increase in the life business attributed to an increase in sales of
individual life and cancer and other dreaded diseases policies, offset in part by a decrease in premiums
generated from the group disability business.
On December 22, 2005, we entered into a coinsurance funds withheld agreement with GA Life pursuant
to which our former subsidiary SVTS assumed 69% of all the business written by GA Life (prior to
its acquisition by us) as of and after the effective date of the agreement. We acquired GA Life
effective January 31, 2006, and our results reflect premiums assumed under this agreement of $4.4
million, which represents our share of premiums for the month of January 2006. The effects of the
reinsurance transactions corresponding to this agreement were eliminated for consolidated financial
statement purposes for the period following January 31, 2006.
Policy Benefits and Claims Incurred
Policy benefits and claims incurred during the three months ended March 31, 2007 increased by $2.0
million, or 20.8%, to $11.6 million in the 2007 period when compared to the 2006 period,
principally reflecting the acquisition of GA Life effective January 31, 2006. Policy benefits and
claims incurred by GA Life during the month of January 2006, net of the effect of the coinsurance
agreement, were $1.0 million. Eliminating the effect of GA Lifes policy benefits and claims
incurred for the month of January 2006, this segment presented an increase of $1.0 million that is
primarily the result of an increase
of $0.6 million in policy reserves due to the natural growth of actuarial reserves with respect to
aging policies and to an increase in the loss ratio of the cancer and other dreaded diseases
business due to the
26
maturity of this business, which this segment began subscribing during 2004.
Both factors were principally responsible for the increase in the loss ratio by 3.8 percentage
points, from 47.8% in 2006 to 51.6% in 2007.
Underwriting and Other Expenses
Underwriting and other expenses for the segment increased by $0.1 million, or 0.9%, during the
three months ended March 31, 2007. Excluding the underwriting and other expenses of $3.5 million
incurred by GA Life during the month of January 2006, the underwriting and other expenses of the
segment present a decrease of $3.4 million. This decrease in underwriting and other expenses
includes $1.8 million relating to our share of commissions and other operating expenses for the
month of January 2006 under the coinsurance agreement with GA Life. The remaining decrease in
these expenses is mostly related to the savings achieved in underwriting and other expenses as a
result of the merger of GA Life and SVTS during 2006.
Property and Casualty Insurance Operating Results
|
|
|
|
|
|
|
|
|
|
|
Three months ended |
|
|
March 31, |
(Dollar amounts in thousands) |
|
2007 |
|
2006 |
|
Operating revenues: |
|
|
|
|
|
|
|
|
Premiums earned, net: |
|
|
|
|
|
|
|
|
Premiums written |
|
$ |
35.2 |
|
|
|
34.7 |
|
Premiums ceded |
|
|
(15.4 |
) |
|
|
(13.7 |
) |
Change in unearned premiums |
|
|
1.6 |
|
|
|
1.0 |
|
|
Premiums earned, net |
|
|
21.4 |
|
|
|
22.0 |
|
Net investment income |
|
|
2.6 |
|
|
|
2.4 |
|
|
Total operating revenues |
|
|
24.0 |
|
|
|
24.4 |
|
|
Operating costs: |
|
|
|
|
|
|
|
|
Claims incurred |
|
|
10.2 |
|
|
|
10.3 |
|
Underwriting and other expenses |
|
|
12.4 |
|
|
|
11.6 |
|
|
Total operating costs |
|
|
22.6 |
|
|
|
21.9 |
|
|
Operating income |
|
$ |
1.4 |
|
|
|
2.5 |
|
|
Additional data: |
|
|
|
|
|
|
|
|
Loss ratio |
|
|
47.7 |
% |
|
|
46.8 |
% |
Operating expense ratio |
|
|
57.9 |
% |
|
|
52.7 |
% |
Combined ratio |
|
|
105.6 |
% |
|
|
99.5 |
% |
|
Three Months Ended March 31, 2007 Compared to Three Months Ended March 31, 2006
Operating Revenues
Total premiums written during the three months ended March 31, 2007 increased by $0.5 million, or
1.4%, to $35.2 million, principally as a result of an increase in the auto liability line of
business.
Premiums ceded to reinsurers increased by $1.7 million, or 12.4%, to $15.4 million during 2007
primarily as a result of an increase in the cost of non-proportional treaties. The ratio of
premiums ceded to premiums written increased by 4.3 percentage points, from 39.5% in 2006 to 43.8%
in 2007. The fluctuation in this ratio is primarily due to an increase in the premiums ceded for
non-proportional treaties, which were 26.7% and 23.4% of direct premiums written in 2007 and 2006,
respectively. The cost of non-proportional treaties is negotiated for the whole year based on
expected annual premium volumes. This cost is distributed throughout the year on a straight-line
basis and its relation to direct premiums written varies depending on actual writings in that
quarter versus expected amounts.
27
Claims Incurred
Claims incurred during the three months ended March 31, 2007 decreased by $0.1 million, or 1.0%, to
$10.2 million. The loss ratio increased by 0.9 percentage points during this period, to 47.7%,
primarily as a result of the effect in premiums earned, net of the increase in premiums ceded to
reinsurers explained in the preceding paragraph.
Underwriting and Other Expenses
Underwriting and other operating expenses for the three months ended March 31, 2007 increased by
$0.8 million, or 6.9%, to $12.4 million. The operating expense ratio increased by 5.2 percentage
points during the same period, to 57.9% in 2007. This increase is primarily due to increases in
depreciation expense, including the depreciation and amortization expense related to the segments
investment in technology, and the fact that the segment is still incurring costs related to the
transition to its new IT systems.
Liquidity and Capital Resources
Cash Flows
A summary of our major sources and uses of cash for the periods indicated is presented in the
following table:
|
|
|
|
|
|
|
|
|
|
|
Three months ended |
|
|
March 31, |
(Dollar amounts in thousands) |
|
2007 |
|
2006 |
|
Sources of cash: |
|
|
|
|
|
|
|
|
Cash provided by operating activities |
|
$ |
3.6 |
|
|
|
3.9 |
|
Proceeds from long-term borrowings |
|
|
|
|
|
|
35.0 |
|
Proceeds from short-term borrowings |
|
|
|
|
|
|
6.9 |
|
Proceeds from policyholder deposits |
|
|
1.4 |
|
|
|
2.3 |
|
Other |
|
|
2.1 |
|
|
|
2.6 |
|
|
Total sources of cash |
|
|
7.1 |
|
|
|
50.7 |
|
|
Uses of cash: |
|
|
|
|
|
|
|
|
Net purchases of investment securities |
|
|
(1.9 |
) |
|
|
(2.0 |
) |
Acquisition of GA Life, net of cash aquired |
|
|
|
|
|
|
(27.8 |
) |
Capital expenditures |
|
|
(1.4 |
) |
|
|
(3.8 |
) |
Dividends |
|
|
(2.4 |
) |
|
|
(6.2 |
) |
Payments of long-term borrowings |
|
|
(0.4 |
) |
|
|
(0.3 |
) |
Net payments of short-term borrowings |
|
|
|
|
|
|
(8.7 |
) |
Net surrenders of policyholder deposits |
|
|
(1.9 |
) |
|
|
(1.9 |
) |
Other |
|
|
|
|
|
|
(0.1 |
) |
|
Total uses of cash |
|
|
(8.0 |
) |
|
|
(50.8 |
) |
|
Net decrease in cash and cash equivalents |
|
$ |
(0.9 |
) |
|
|
(0.1 |
) |
|
Cash flows from operating activities decreased by $0.3 million, or 7.7%, to $3.6 million for
the three months ended March 31, 2007, principally due to a reduction in premiums collected of
$29.2 million and claims paid of $23.8 million that is mainly attributed to the loss of the
Metro-North region by our Managed Care segment. This decrease is offset in part by an increase of
$3.7 million in net proceeds received from trading securities and an increase of $1.2 million in
the expense reimbursement from Medicare.
Proceeds from long-term borrowings amounted to $35.0 million during 2006 as a result of the
issuance and sale of our 6.7% senior unsecured notes during the first quarter of 2006. These
proceeds were used for the acquisition of GA Life.
On January 31, 2006, we acquired GA Life at a cost of $27.8 million, net of $10.4 million of cash
acquired.
28
Capital expenditures decreased by $2.4 million as the result of the completion several capital
projects during the last quarter of the year 2006. The renovation of a building adjacent to our
corporate headquarters was completed during the last quarter of 2006; also our property and
casualty insurance segment substantially completed the implementation of its new insurance
application during the third quarter of 2006.
In March 2007, we declared and paid dividends to our stockholders amounting to $2.4 million.
Financing and Financing Capacity
We have several short-term facilities available to meet our liquidity needs. These short-term
facilities are mostly in the form of arrangements to sell securities under repurchase agreements.
As of March 31, 2007, we had $53.0 million of available credit under these facilities. There were
no outstanding short-term borrowings under these facilities as of March 31, 2007 and December 31,
2006.
As of March 31, 2007, we had the following senior unsecured notes payable:
|
|
On January 31, 2006, we issued and sold $35.0 million of our 6.7% senior unsecured notes
payable due January 2021 (the 6.7% notes). |
|
|
|
On December 21, 2005, we issued and sold $60.0 million of our 6.6% senior unsecured notes
due December 2020 (the 6.6% notes). |
|
|
|
On September 30, 2004, we issued and sold $50.0 million of its 6.3% senior unsecured
notes due September 2019 (the 6.3% notes). |
The 6.30% notes, the 6.60% notes and the 6.70% notes contain certain covenants. At March 31, 2007,
we and our managed care subsidiary, as applicable, are in compliance with these covenants.
In addition, we are a party to two secured term loans with a commercial bank, FirstBank Puerto
Rico. These secured loans bear interest at a rate equal to the London Interbank Offered Rate
(LIBOR) plus a margin specified at the time of the agreement. As of March 31, 2007, the two
secured loans had outstanding balances of $27.2 million and $10.5 million, respectively, and
average annual interest rates of 6.3% and 6.7%, respectively. The first secured loan requires
monthly principal repayment of $0.1 million. The second secured loan requires repayment of
principal amounts of not less than $0.3 million and integral multiples of $0.1 million in excess
thereof and must be repaid by August 1, 2007.
These secured loans are guaranteed by a first lien on our land, buildings and substantially all
leasehold improvements, as collateral for the term of the agreements under a continuing general
security agreement. These secured loans contain certain covenants which are customary for this
type of facility, including, but not limited to, restrictions on the granting of certain liens,
limitations on acquisitions and limitations on changes in control. As of March 31, 2007, we are in
compliance with these covenants. Failure to meet these covenants may trigger the accelerated
payment of the secured loans outstanding balances.
We have an interest rate swap agreement, which changes the variable rate of one of our credit
agreements and fixes the rate at 4.72%. We continually monitor existing and alternative financing
sources to support our capital and liquidity needs.
We anticipate that we will have sufficient liquidity to support our currently expected needs.
Further details regarding the senior unsecured notes and the credit agreements are incorporated by
reference to Item 7. Management Discussion and Analysis of Financial Condition and Results of
Operations included in our Annual Report on Form 10-K for the year ended December 31, 2006.
Item 3. Quantitative and Qualitative Disclosures about Market Risk
We are exposed to certain market risks that are inherent in our financial instruments, which
arise from transactions entered into in the normal course of business. We have exposure to market
risk mostly in our investment activities. For purposes of this disclosure, market risk is
defined as the risk of loss resulting from changes in interest rates and equity prices. No
material changes have occurred in our exposure to financial market risks since December 31, 2006.
A discussion of our market risk is incorporated by
29
reference to Item 7A. Quantitative and Qualitative Disclosures about Market Risk of our Annual
Report on Form 10-K for the year ended December 31, 2006.
Item 4. Controls and Procedures
Management, with the participation of the Chief Executive Officer and Chief Financial Officer,
has evaluated the effectiveness of our disclosure controls and procedures as of March 31, 2007.
Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that
our disclosure controls and procedures were effective as of March 31, 2007. There were no
significant changes in the our disclosure controls and procedures, or in factors that could
significantly affect internal controls, subsequent to the date the Chief Executive Officer and
Chief Financial Officer completed the evaluation referred to above.
Part II Other Information
Item 1. Legal Proceedings
For a description of legal proceedings, see note 11 to the unaudited consolidated financial
statements included in this quarterly report on Form 10-Q.
Item IA. Risk Factors
No material change has occurred from risk factors previously disclosed in our Annual Report on
Form 10-K for the year ended December 31. 2006.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
Not applicable.
Item 3. Defaults Upon Senior Securities
Not applicable.
Item 4. Submissions of Matters to a Vote of Security Holders
The Annual Shareholders Meeting of the Corporation was held on April 29, 2007. A quorum was
obtained with 5,106 shares represented in person or by proxy, which represented approximately 57.3%
of all votes eligible to be cast at the meeting. At the meeting, seven directors, Ms. Carmen Ana
Culpeper, Mr. Manuel Figueroa-Collazo, Mr. Miguel Nazario-Franco Mr. Juan E. Rodríguez-Díaz, Mr.
Antonio Faría-Soto, Mr. Jaime Morgan-Stubbe and Dr. Roberto Muñoz-Zayas, were elected for three
year terms. Messrs. Faría-Soto, Morgan-Stubbe, and Dr. Muñoz-Zayas were elected to serve on the
Board of Directors of the Corporation for the first time at the annual meeting.
At the Annual Meeting, stockholders also approved an amendment to Article TENTH A of our Amended
and Restated Articles of Incorporation, modifying existing restrictions on the size of our Board of
Directors. In addition, stockholders voted on, but did not approve, an amendment to Articled TENTH
C of our Amended and Restated Articles of Incorporation, which provided for the elimination of
existing limits on the term that a person can serve as director of the Corporation, and a
stockholder proposal to amend our Amended and Restated Bylaws with respect to certain rights of
stockholder heirs. The result of the voting for each of these matters is set forth below:
30
Election of Directors
|
|
|
|
|
|
|
|
|
|
|
Votes |
|
Votes |
Nominees for Three-year Term |
|
For |
|
Withheld |
|
Carmen Ana Culpeper |
|
|
5,313 |
|
|
|
204 |
|
Antonio Faría-Soto |
|
|
5,296 |
|
|
|
221 |
|
Manuel Figueroa-Collazo |
|
|
5,270 |
|
|
|
247 |
|
Jaime Morgan-Stubbe |
|
|
5,187 |
|
|
|
330 |
|
Roberto Muñoz-Zayas |
|
|
5,266 |
|
|
|
251 |
|
Miguel Nazario-Franco |
|
|
5,251 |
|
|
|
266 |
|
Juan E. Rodríguez-Díaz |
|
|
5,287 |
|
|
|
230 |
|
Amendment to Article TENTH A of the Corporations Amended and Restated Articles of
Incorporation
|
|
|
|
|
For: |
|
|
4,557 |
|
Against: |
|
|
944 |
|
Abstained: |
|
|
38 |
|
Broker Non-Votes: |
|
|
0 |
|
Amendment to Article TENTH C of the Corporations Amended and Restated Articles of
Incorporation
|
|
|
|
|
For: |
|
|
4,035 |
|
Against: |
|
|
1,458 |
|
Abstained: |
|
|
63 |
|
Broker Non-Votes: |
|
|
0 |
|
Stockholder proposal to amend the Corporations Amended and Restated Bylaws with respect to
certain rights of stockholders heirs
|
|
|
|
|
For: |
|
|
1,452 |
|
Against: |
|
|
3,846 |
|
Abstained: |
|
|
224 |
|
Broker Non-Votes: |
|
|
0 |
|
A copy of Article TENTH A of the Corporations Amended and Restated Articles of Incorporation,
as amended, is attached as Exhibit 3.(i) to this Quarterly Report on Form 10-Q.
Item 5. Other Information
Not applicable.
Item 6. Exhibits
|
|
|
Exhibits |
|
Description |
|
|
|
3(i)
|
|
Amendment to Triple-S Management Corporations Amended and
Restated Articles of Incorporation. |
|
|
|
10.1
|
|
Blue Shield License and other Agreements with Blue Cross
Blue Shield Association. |
|
|
|
11
|
|
Statement re computation of per share earnings; an exhibit
describing the computation of the earnings per share for the
three months ended March 31, 2007 and 2006 has been omitted
as the detail necessary to determine the computation of
earnings per share can be clearly determined from the
material contained in Part I of this Quarterly |
31
|
|
|
Exhibits |
|
Description |
|
|
|
|
|
Report on
Form 10-Q. |
|
|
|
12
|
|
Statements re computation of ratios; an exhibit describing
the computation of the loss ratio, expense ratio and
combined ratio for the three months ended March 31, 2007 and
2006 has been omitted as the detail necessary to determine
the computation of the loss ratio, operating expense ratio
and combined ratio can be clearly determined from the
material contained in Part I of this Quarterly Report on
Form 10-Q. |
|
|
|
31.1
|
|
Certification of the President and Chief Executive Officer
required by Rule 13a-14(a)/15d-14(a). |
|
|
|
31.2
|
|
Certification of the Vice President of Finance and Chief
Financial Officer required by Rule 13a-14(a)/15d-14(a). |
|
|
|
32.1
|
|
Certification of the President and Chief Executive Officer
required pursuant to 18 U.S.C Section 1350. |
|
|
|
32.2
|
|
Certification of the Vice President of Finance and Chief
Financial Officer required pursuant to 18 U.S.C Section
1350. |
All other exhibits for which provision is made in the applicable accounting regulation of the
United States Securities and Exchange Commission are not required under the related instructions or
are inapplicable, and therefore have been omitted.
SIGNATURES
Pursuant to the requirements of the United States Securities and Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly
authorized.
|
|
|
|
|
|
|
|
Triple-S Management Corporation
Registrant |
|
|
|
|
|
|
|
|
|
Date: May 14, 2007
|
|
By:
|
|
/s/
Ramón M. Ruiz-Comas, CPA
President and
Chief Executive Officer
|
|
|
|
|
|
|
|
|
|
Date: May 14, 2007
|
|
By:
|
|
/s/
Juan J. Román, CPA
Vice President of Finance
and Chief Financial Officer
|
|
|
32