e10vq
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
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þ |
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QUARTER REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended June 30, 2008
OR
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o |
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from to .
Commission file number: 001-14953
HEALTHMARKETS, INC.
(Exact name of registrant as specified in its charter)
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Delaware
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75-2044750 |
(State or other jurisdiction of
incorporation or organization)
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(I.R.S. Employer
Identification Number) |
9151 Boulevard 26, North Richland Hills, Texas 76180
(Address of principal executive offices, zip code)
(817) 255-5200
(Registrants phone number, including area code)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed
by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or
for such shorter period that the registrant was required to file such reports), and (2) has been
subject to such filing requirements for the past 90 days. Yes o No þ
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated
filer, a non-accelerated filer, or a smaller reporting company. See the definitions of large
accelerated filer, accelerated filer and smaller reporting company in Rule 12b-2 of the
Exchange Act. (Check one):
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Large accelerated filer o
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Accelerated filer o
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Non-accelerated filer þ
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Smaller reporting company o |
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(Do not check if a smaller reporting company) |
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Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of
the Exchange Act). Yes o No þ
On August 18, 2008 the registrant had 26,937,996 outstanding shares of Class A-1 Common Stock,
$.01 Par Value, and 3,057,110 outstanding shares of Class A-2 Common Stock, $.01 Par Value.
HEALTHMARKETS, INC.
and Subsidiaries
Second Quarter 2008 Form 10-Q
TABLE OF CONTENTS
PART 1. FINANCIAL INFORMATION
ITEM 1. Financial Statements
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED BALANCE SHEETS
(In thousands, except per share data)
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June 30, |
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December 31, |
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2008 |
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2007 |
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(Unaudited) |
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ASSETS |
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Investments: |
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Securities available for sale |
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Fixed maturities, at fair value
(cost: 2008$1,146,936; 2007$1,314,069) |
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$ |
1,117,711 |
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$ |
1,304,424 |
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Equity securities, at fair value (cost: 2008$290;
2007$300) |
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330 |
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346 |
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Policy loans |
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14,423 |
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14,279 |
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Short-term and other investments, at fair value
(cost: 2008$311,865; 2007$163,727) |
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311,865 |
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162,552 |
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Total investments |
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1,444,329 |
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1,481,601 |
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Cash and cash equivalents |
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3,903 |
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14,309 |
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Investment income due and accrued |
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12,273 |
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14,527 |
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Due premiums |
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3,497 |
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4,055 |
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Reinsurance receivables |
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47,581 |
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73,032 |
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Agent and other receivables |
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33,238 |
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63,956 |
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Deferred acquisition costs |
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181,337 |
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197,979 |
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Property and equipment, net |
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69,593 |
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69,939 |
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Goodwill and other intangible assets |
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88,377 |
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89,194 |
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Recoverable federal income taxes |
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26,193 |
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4,962 |
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Assets held for sale |
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95,630 |
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110,355 |
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Other assets |
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42,471 |
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31,673 |
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Total assets |
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$ |
2,048,422 |
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$ |
2,155,582 |
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LIABILITIES AND STOCKHOLDERS EQUITY |
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Policy liabilities: |
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Future policy and contract benefits |
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$ |
473,780 |
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$ |
463,277 |
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Claims |
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431,227 |
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435,099 |
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Unearned premiums |
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75,226 |
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92,266 |
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Other policy liabilities |
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10,452 |
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10,764 |
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Accounts payable and accrued expenses |
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65,746 |
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69,510 |
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Other liabilities |
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83,506 |
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110,624 |
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Deferred federal income tax |
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77,293 |
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84,968 |
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Debt |
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481,070 |
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481,070 |
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Liabilities held for sale |
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91,480 |
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99,109 |
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Net liabilities of discontinued operations |
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2,561 |
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2,635 |
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Total liabilities |
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1,792,341 |
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1,849,322 |
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Commitments and contingencies |
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Stockholders Equity: |
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Preferred stock, par value $0.01 per share |
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Common stock, par value $0.01 per share |
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310 |
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310 |
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Additional paid-in capital |
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56,380 |
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55,754 |
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Accumulated other comprehensive loss |
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(24,908 |
) |
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(13,132 |
) |
Retained earnings |
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255,619 |
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281,141 |
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Treasury stock, at cost |
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(31,320 |
) |
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(17,813 |
) |
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Total stockholders equity |
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256,081 |
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306,260 |
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Total liabilities and stockholders equity |
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$ |
2,048,422 |
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$ |
2,155,582 |
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See Notes to Consolidated Condensed Financial Statements.
1
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF INCOME (LOSS)
(In thousands, except per share data)
(Unaudited)
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Three Months Ended |
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Six Months Ended |
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June 30, |
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June 30, |
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2008 |
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2007 |
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2008 |
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2007 |
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REVENUE |
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Health premiums |
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$ |
326,038 |
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$ |
334,504 |
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$ |
643,303 |
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$ |
668,266 |
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Life premiums and other considerations |
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17,761 |
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17,444 |
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36,516 |
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33,825 |
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343,799 |
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351,948 |
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679,819 |
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702,091 |
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Investment income |
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15,674 |
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23,544 |
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35,231 |
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47,122 |
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Other income |
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20,390 |
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27,445 |
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42,318 |
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52,889 |
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Losses on sales of investments |
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(4,616 |
) |
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(3,155 |
) |
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(3,239 |
) |
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(752 |
) |
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375,247 |
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399,782 |
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754,129 |
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801,350 |
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BENEFITS AND EXPENSES |
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Benefits, claims, and settlement expenses |
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226,038 |
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196,513 |
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450,295 |
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411,844 |
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Underwriting, acquisition, and insurance expenses |
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139,678 |
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133,444 |
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267,984 |
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253,891 |
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Other expenses |
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27,268 |
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23,646 |
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50,233 |
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44,755 |
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Interest expense |
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9,480 |
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11,424 |
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19,471 |
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22,880 |
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402,464 |
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365,027 |
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787,983 |
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733,370 |
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Income (loss) from continuing operations before income
taxes |
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(27,217 |
) |
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34,755 |
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|
(33,854 |
) |
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67,980 |
|
Federal income tax expense (benefit) |
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(11,533 |
) |
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12,061 |
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(13,554 |
) |
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23,207 |
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Income (loss) from continuing operations |
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(15,684 |
) |
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22,694 |
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(20,300 |
) |
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44,773 |
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Income (loss) from discontinued operations, net |
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(3,545 |
) |
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669 |
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(5,222 |
) |
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1,281 |
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Net income (loss) |
|
$ |
(19,229 |
) |
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$ |
23,363 |
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$ |
(25,522 |
) |
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$ |
46,054 |
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Basic earnings per share: |
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Income (loss) from continuing operations |
|
$ |
(0.51 |
) |
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$ |
0.75 |
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$ |
(0.66 |
) |
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$ |
1.48 |
|
Income (loss) from discontinued operations |
|
|
(0.12 |
) |
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|
0.02 |
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|
(0.17 |
) |
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0.04 |
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Net income (loss) per share, basic |
|
$ |
(0.63 |
) |
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$ |
0.77 |
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$ |
(0.83 |
) |
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$ |
1.52 |
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Diluted earnings per share: |
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Income (loss) from continuing operations |
|
$ |
(0.51 |
) |
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$ |
0.73 |
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$ |
(0.66 |
) |
|
$ |
1.44 |
|
Income (loss) from discontinued operations |
|
|
(0.12 |
) |
|
|
0.02 |
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|
|
(0.17 |
) |
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|
0.04 |
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Net income (loss) per share, diluted |
|
$ |
(0.63 |
) |
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$ |
0.75 |
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$ |
(0.83 |
) |
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$ |
1.48 |
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|
|
|
|
|
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|
See Notes to Consolidated Condensed Financial Statements.
2
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands)
(Unaudited)
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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Three Months Ended |
|
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Six Months Ended |
|
|
|
June 30, |
|
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June 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
Net income (loss) |
|
$ |
(19,229 |
) |
|
$ |
23,363 |
|
|
$ |
(25,522 |
) |
|
$ |
46,054 |
|
|
Other comprehensive income (loss): |
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Unrealized losses on securities available for sale arising during the period |
|
|
(14,547 |
) |
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(21,256 |
) |
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|
(17,998 |
) |
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|
(18,320 |
) |
Reclassification for investment (gains) losses included in net income |
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|
91 |
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|
229 |
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|
(414 |
) |
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(648 |
) |
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Effect on other comprehensive income (loss) from investment securities |
|
|
(14,456 |
) |
|
|
(21,027 |
) |
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|
(18,412 |
) |
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|
(18,968 |
) |
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Unrealized gains (losses) on derivatives used in cash flow hedging during
the period |
|
|
5,351 |
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|
|
3,647 |
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|
|
(1,980 |
) |
|
|
2,738 |
|
Reclassification adjustments included in net income |
|
|
1,763 |
|
|
|
(213 |
) |
|
|
2,297 |
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|
|
(273 |
) |
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Effect on other comprehensive income from hedging activities |
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7,114 |
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|
3,434 |
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|
317 |
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2,465 |
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Other comprehensive loss before tax |
|
|
(7,342 |
) |
|
|
(17,593 |
) |
|
|
(18,095 |
) |
|
|
(16,503 |
) |
Income tax benefit related to items of other comprehensive income |
|
|
(2,544 |
) |
|
|
(6,160 |
) |
|
|
(6,319 |
) |
|
|
(5,778 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Other comprehensive loss net of tax |
|
|
(4,798 |
) |
|
|
(11,433 |
) |
|
|
(11,776 |
) |
|
|
(10,725 |
) |
|
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|
|
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|
|
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|
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|
|
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|
|
|
Comprehensive income (loss) |
|
$ |
(24,027 |
) |
|
$ |
11,930 |
|
|
$ |
(37,298 |
) |
|
$ |
35,329 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See Notes to Consolidated Condensed Financial Statements.
3
HEALTHMARKETS, INC.
and Subsidiaries
CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
Six Months Ended |
|
|
|
June 30 |
|
|
|
2008 |
|
|
2007 |
|
Operating Activities: |
|
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
(25,522 |
) |
|
$ |
46,054 |
|
Adjustments to reconcile net income (loss) to cash provided by
operating activities: |
|
|
|
|
|
|
|
|
(Income) loss from discontinued operations |
|
|
5,222 |
|
|
|
(1,281 |
) |
Loss on sales of investments |
|
|
3,239 |
|
|
|
752 |
|
Change in deferred income taxes |
|
|
(1,354 |
) |
|
|
5,141 |
|
Depreciation and amortization |
|
|
13,750 |
|
|
|
12,803 |
|
Amortization of prepaid monitoring fees |
|
|
6,250 |
|
|
|
6,250 |
|
Equity based compensation expense |
|
|
(520 |
) |
|
|
2,932 |
|
Provision for doubtful accounts |
|
|
1,021 |
|
|
|
131 |
|
Changes in assets and liabilities: |
|
|
|
|
|
|
|
|
Investment income due and accrued |
|
|
2,254 |
|
|
|
2,028 |
|
Due premiums |
|
|
558 |
|
|
|
(258 |
) |
Reinsurance receivables |
|
|
25,451 |
|
|
|
50,217 |
|
Other receivables |
|
|
31,030 |
|
|
|
(6,856 |
) |
Deferred acquisition costs |
|
|
16,642 |
|
|
|
(2,027 |
) |
Prepaid monitoring fees |
|
|
(12,500 |
) |
|
|
(12,500 |
) |
Current income tax recoverable |
|
|
(21,231 |
) |
|
|
18,529 |
|
Policy liabilities |
|
|
(5,924 |
) |
|
|
(65,131 |
) |
Other liabilities and accrued expenses |
|
|
(13,850 |
) |
|
|
(295 |
) |
Other items, net |
|
|
(2,558 |
) |
|
|
996 |
|
|
|
|
|
|
|
|
Cash provided by continuing operations |
|
|
21,958 |
|
|
|
57,485 |
|
Cash (used in) provided by discontinued operations |
|
|
2,443 |
|
|
|
(2,131 |
) |
|
|
|
|
|
|
|
Net cash provided by operating activities |
|
|
24,401 |
|
|
|
55,354 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investing Activities: |
|
|
|
|
|
|
|
|
Decrease in investment assets |
|
|
12,441 |
|
|
|
301,308 |
|
Purchases of property and equipment |
|
|
(10,364 |
) |
|
|
(12,940 |
) |
Distributions from investment in Grapevine Finance LLC |
|
|
81 |
|
|
|
468 |
|
Decrease (increase) in agent receivables |
|
|
(815 |
) |
|
|
2,767 |
|
|
|
|
|
|
|
|
Cash provided by continuing operations |
|
|
1,343 |
|
|
|
291,603 |
|
Cash provided by discontinued operations |
|
|
6,457 |
|
|
|
14,464 |
|
|
|
|
|
|
|
|
Net cash provided by investing activities |
|
|
7,800 |
|
|
|
306,067 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financing Activities: |
|
|
|
|
|
|
|
|
Repayment of notes payable |
|
|
|
|
|
|
(75,000 |
) |
Change in cash overdraft |
|
|
|
|
|
|
1,263 |
|
Decrease in investment products |
|
|
(4,796 |
) |
|
|
(3,183 |
) |
Proceeds from exercise of stock options |
|
|
93 |
|
|
|
51 |
|
Excess tax benefits from equity based compensation |
|
|
(260 |
) |
|
|
126 |
|
Proceeds from shares issued to officers, directors and agent plans |
|
|
7,334 |
|
|
|
34,758 |
|
Purchases of treasury stock |
|
|
(37,878 |
) |
|
|
(21,344 |
) |
Dividends paid |
|
|
|
|
|
|
(316,996 |
) |
Other |
|
|
|
|
|
|
(2 |
) |
|
|
|
|
|
|
|
Cash used in continuing operations |
|
|
(35,507 |
) |
|
|
(380,327 |
) |
Cash used in discontinued operations |
|
|
(7,100 |
) |
|
|
(13,850 |
) |
|
|
|
|
|
|
|
Net cash used in financing activities |
|
|
(42,607 |
) |
|
|
(394,177 |
) |
|
|
|
|
|
|
|
Net change in cash and cash equivalents |
|
|
(10,406 |
) |
|
|
(32,756 |
) |
Cash and cash equivalents at beginning of period |
|
|
14,309 |
|
|
|
32,756 |
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period in continuing operations |
|
$ |
3,903 |
|
|
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Supplemental disclosures: |
|
|
|
|
|
|
|
|
Income taxes paid |
|
|
6,481 |
|
|
|
102 |
|
Interest paid |
|
|
19,621 |
|
|
|
22,810 |
|
See Notes to Consolidated Condensed Financial Statements.
4
HEALTHMARKETS, INC.
and Subsidiaries
NOTES TO CONSOLIDATED CONDENSED FINANCIAL STATEMENTS
(Unaudited)
1. BASIS OF PRESENTATION
The accompanying unaudited consolidated condensed financial statements for HealthMarkets, Inc.
(the Company or HealthMarkets) and its subsidiaries have been prepared in accordance with
United States generally accepted accounting principles (GAAP) for interim financial information
and the instructions to Form 10-Q and Rule 10-01 of Regulation S-X. Accordingly, such financial
statements do not include all of the information and notes required by GAAP for complete financial
statements. In the opinion of management, these financial statements include all adjustments,
consisting of normal recurring adjustments and accruals, necessary for a fair presentation of the
consolidated condensed balance sheets, statements of income (loss), statements of comprehensive
income (loss) and statements of cash flows for the periods presented. Operating results for the
three and six month periods ending June 30, 2008 are not necessarily indicative of the results that
may be expected for the full year ending December 31, 2008. For further information, refer to the
consolidated financial statements and notes thereto included in the Companys Annual Report on Form
10-K for the year ended December 31, 2007.
Certain amounts in the prior period financial statements have been reclassified to conform to
the 2008 financial statement presentation.
Recent Accounting Pronouncements
In May 2008, the Financial Accounting Standard Board (FASB) issued Statement of Financial
Accounting Standard (FAS) No. 163, Accounting for Financial Guarantee Insurance Contracts, an
interpretation of FAS No. 60, Accounting and Reporting by Insurance Enterprises. Diversity exists
in practice in accounting for financial guarantee insurance contracts by insurance enterprises
under FAS 60. That diversity results in inconsistencies in the recognition and measurement of claim
liabilities because of differing views about when a loss has been incurred under FASB Statement No.
5, Accounting for Contingencies. FAS 163 requires that an insurance enterprise recognize a claim
liability prior to an event of default (insured event) when there is evidence that credit
deterioration has occurred in an insured financial obligation. FAS 163 also clarifies how FAS 60
applies to financial guarantee insurance contracts, including the recognition and measurement to be
used to account for premium revenue and claim liabilities. Those clarifications will increase
comparability in financial reporting of financial guarantee insurance contracts by insurance
enterprises. The statement requires expanded disclosures about financial guarantee insurance
contracts. The statement is effective for financial statements issued for fiscal years beginning
after December 15, 2008, and all interim periods within those fiscal years, except for some
disclosures about the insurance enterprises risk-management activities. The statement requires
that disclosures about the risk-management activities of the insurance enterprise be effective for
the first period (including interim periods) beginning after issuance of this statement. Except for
those disclosures, earlier application is not permitted. The Company does not enter into financial
guarantee insurance contracts and therefore this statement will not have a material impact on its
financial position or results of operations.
In May 2008, the FASB issued FAS No. 162, The Hierarchy of Generally Accepted Accounting
Principles (FAS 162). The statement is intended to improve financial reporting by identifying a
consistent hierarchy for selecting accounting principles to be used in preparing financial
statements that are prepared in conformance with GAAP. Unlike Auditing Standards No. 69, The
Meaning of Present Fairly in Conformity With GAAP, FAS 162 is directed to the entity rather than
the auditor. The statement is effective 60 days following the Securities Exchange Commissions
approval of the Public Company Accounting Oversight Board amendments to AU Section 411, The Meaning
of Present Fairly in Conformity with GAAP, and is not expected to have any impact on the Companys
results of operations, and financial position.
In April 2008, the FASB issued FASB Staff Position (FSP) FAS No. 142-3, which amends the
factors that must be considered in developing renewal or extension assumptions used to determine
the useful life over which to amortize the cost of a recognized intangible asset under FAS
No. 141(R), Business Combinations (FAS 141(R)). The FSP requires an entity to consider its own
assumptions about renewal or extension of the term of the arrangement, consistent with its expected
use of the asset, in an attempt to improve consistency between the useful life of a recognized
intangible asset under FAS No. 142, Goodwill and Other Intangible Assets, and the period of
expected cash flows used to measure the fair
5
value of the asset under FAS 141(R). The FSP is effective for fiscal years beginning after
December 15, 2008, and the guidance for determining the useful life of a recognized intangible
asset must be applied prospectively to intangible assets acquired after the effective date. The FSP
is not expected to have a significant impact on the Companys results of operations, or financial
positions.
On March 19, 2008, the FASB issued FAS No. 161, Disclosures about Derivative Instruments and
Hedging Activities, which amends FAS No. 133, Accounting for Derivative Instruments and Hedging
Activities. FAS 161 requires companies with derivative instruments to disclose information that
should enable financial statement users to understand how and why a company uses derivative
instruments, how derivative instruments and related hedged items are accounted for under FAS No.
133, and how derivative instruments and related hedged items affect a companys financial position,
financial performance, and cash flows. The required disclosures include the fair value of
derivative instruments and their gains or losses in tabular format, information about credit risk
related contingent features in derivative agreements, counterparty credit risk, and a companys
strategies and objectives for using derivative instruments. The statement expands the current
disclosure framework in FAS No. 133. FAS No. 161 is effective prospectively for periods beginning
on or after November 15, 2008.
In December 2007, the FASB issued FAS 141(R), which replaces FAS No. 141, Business
Combinations. FAS 141(R) retains the underlying concepts of FAS No. 141 in that all business
combinations are still required to be accounted for at fair value under the acquisition method of
accounting, but FAS 141(R) changed the method of applying the acquisition method in a number of
significant aspects. Acquisition costs will generally be expensed as incurred; non-controlling
interests will be valued at fair value at the acquisition date; in-process research and development
will be recorded at fair value as an indefinite-lived intangible asset at the acquisition date;
restructuring costs associated with a business combination will generally be expensed subsequent to
the acquisition date; and changes in deferred tax asset valuation allowances and income tax
uncertainties after the acquisition date generally will affect income tax expense. FAS 141(R) is
effective on a prospective basis for all business combinations for which the acquisition date is on
or after the beginning of the first annual period subsequent to December 15, 2008, with the
exception of the accounting for changes in valuation allowances on deferred taxes and acquired tax
contingencies related to acquisitions prior to the date of adoption of FAS 141 (R). Early adoption
is not permitted. The provisions of FAS 141(R) are effective for the fiscal year beginning on or
after December 15, 2008, which for the Company is fiscal year 2009. We are currently evaluating the
impact of the provisions of FAS 141(R).
2. EXIT FROM LIFE INSURANCE DIVISION BUSINESS
As previously disclosed, on June 12, 2008, HealthMarkets, LLC, entered into a definitive
Agreement for Reinsurance and Purchase and Sale of Assets (the Master Agreement) pursuant to
which Wilton Reassurance Company (Wilton) or its affiliates will acquire substantially all of the
business of the Companys Life Insurance Division, operating through Chesapeake, Mid-West and
MEGA (the Ceding Companies), and all of the Companys 79% equity interest in each of U.S.
Managers Life Insurance Company, Ltd. and Financial Services Reinsurance, Ltd. As part of the
transaction, under the terms of the Coinsurance Agreements to be entered into with each of the
Ceding Companies on or before the closing date, Wilton will, effective July 1, 2008, reinsure on a
100% coinsurance basis substantially all of the insurance policies associated with the Companys
life insurance division (the Coinsured Policies).
Under the terms of the Coinsurance Agreements, Wilton will assume responsibility for all
insurance liabilities associated with the Coinsured Policies on the effective date. The Ceding
Companies will transfer to Wilton cash in an amount equal to the net statutory reserves and
liabilities corresponding to the Coinsured Policies, which amount, as of June 30, 2008, was
approximately $341.0 million. Following the closing, Wilton will be responsible for administration
of the Coinsured Policies, subject to certain transition services to be provided by the Ceding
Companies to Wilton.
At the closing, the Company or the Ceding Companies will receive total consideration of
approximately $140.0 million, subject to certain adjustments, including $134.5 million in aggregate
ceding allowances with respect to the reinsurance of the Coinsured Policies. Under certain
circumstances, the Master Agreement also provides for the payment of additional consideration to
the Company following the closing based on the five year financial performance of the Coinsured
Policies. The Company expects the reinsurance transaction to result in a pre-tax loss estimated to
be approximately $13.0 million, which was recognized in the three months ended June 30, 2008 as an
impairment to the Life Insurance Divisions deferred acquisition costs.
These transactions, which are subject to customary closing conditions, including the receipt
of approvals by certain state insurance regulators and the receipt of certain other required
consents, are expected to close in the fall of 2008. Subject to certain conditions, the Master
Agreement may be terminated by either party if the closing has not occurred by November 30, 2008.
6
In addition, on June 12, 2008, HealthMarkets, LLC entered into a definitive Stock Purchase
Agreement (the Stock Purchase Agreement ) pursuant to which Wilton will purchase the Companys
student loan funding vehicles, CFLD-I, Inc., and UICI Funding Corp. 2
and the related student association. The Company will receive a purchase price based on the amount of cash and
student loans held by UICI Funding Corp. 2 at the time of closing, subject to certain adjustments,
which purchase price is estimated to be approximately $4.2 million. The Company expects the
transactions contemplated by the Stock Purchase Agreement to result in a pre-tax loss estimated to
be approximately $5.3 million which was recognized as a reduction in the value of the Companys
student loan portfolio as of June 30, 2008. The Company has presented the assets and liabilities of
CFLD-I, Inc. and UICI Funding Corp. 2 as held for sale on the Companys balance sheet for all
periods presented. Additionally, the Company has included the results of operations of CFLD-I, Inc.
and UICI Funding Corp. 2 in discontinued operations on the Companys statement of income for all
periods presented.
Wilton will fund student loans in accordance with the terms of the Coinsured Policies;
provided, however, that Wilton will not be required to fund any student loan that would cause the
aggregate par value of all such loans funded by Wilton, following the coinsurance effective date,
to exceed $10.0 million.
The closing of the transactions contemplated by the Stock Purchase Agreement is subject to
customary closing conditions. Subject to certain conditions, the Stock Purchase Agreement will
terminate upon the termination of the Master Agreement or may be terminated by either party if the
closing has not occurred by March 31, 2009.
In
connection with the transactions discussed above the Company incurred
$4.5 million in legal costs, employee termination costs and other costs during the three months ended June 30, 2008. The Company expects to incur an
additional $6.5 million in expenses associated with these transactions including investment banker
fees, legal fees, contract termination costs and other costs.
The assets and liabilities of the business classified as held for sale on the consolidated
condensed balance sheet consist of the following:
|
|
|
|
|
|
|
|
|
|
|
June 30, |
|
|
December 31, |
|
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
Assets |
|
|
|
|
|
|
|
|
Restricted cash |
|
$ |
7,716 |
|
|
$ |
8,496 |
|
Student loans |
|
|
94,207 |
|
|
|
99,179 |
|
Provision for loan losses |
|
|
(11,570 |
) |
|
|
(2,925 |
) |
Investment income due and accrued |
|
|
5,057 |
|
|
|
5,587 |
|
Other assets and receivables |
|
|
220 |
|
|
|
18 |
|
|
|
|
|
|
|
|
Total assets held for sale |
|
$ |
95,630 |
|
|
$ |
110,355 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Liabilities |
|
|
|
|
|
|
|
|
Accounts payable and accrued expenses |
|
$ |
227 |
|
|
$ |
377 |
|
Student Loan Credit Facility |
|
|
90,300 |
|
|
|
97,400 |
|
Other Liabilities |
|
|
953 |
|
|
|
1,332 |
|
|
|
|
|
|
|
|
Total liabilities held for sale |
|
$ |
91,480 |
|
|
$ |
99,109 |
|
|
|
|
|
|
|
|
7
The results of discontinued operations were as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
Revenue from discontinued operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Student loan business |
|
$ |
2,157 |
|
|
$ |
2,875 |
|
|
$ |
4,696 |
|
|
$ |
5,927 |
|
Other discontinued operations |
|
|
57 |
|
|
|
101 |
|
|
|
106 |
|
|
|
170 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,214 |
|
|
|
2,976 |
|
|
|
4,802 |
|
|
|
6,097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Expenses from discontinued operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Student loan business |
|
|
2,329 |
|
|
|
2,455 |
|
|
|
7,495 |
|
|
|
4,669 |
|
Other discontinued operations |
|
|
1 |
|
|
|
(508 |
) |
|
|
3 |
|
|
|
(543 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,330 |
|
|
|
1,947 |
|
|
|
7,498 |
|
|
|
4,126 |
|
Increase in provision for loan
allowance on student loans |
|
|
(5,338 |
) |
|
|
|
|
|
|
(5,338 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from
discontinued operations before
income taxes |
|
|
(5,454 |
) |
|
|
1,029 |
|
|
|
(8,034 |
) |
|
|
1,971 |
|
Income tax benefits (expenses) |
|
|
1,909 |
|
|
|
(360 |
) |
|
|
2,812 |
|
|
|
(690 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from discontinued
operations (net of income
taxes) |
|
$ |
(3,545 |
) |
|
$ |
669 |
|
|
$ |
(5,222 |
) |
|
$ |
1,281 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3. MEDICARE DIVISION
Exit from the Medicare Market
In late 2007, the Company expanded into the Medicare market by offering a new portfolio of
Medicare Advantage Private-Fee-for-Service Plans (PFFS) called HealthMarkets Care Assured
Planssm (HMCA Plans) in selected markets in 29 states with coverage
effective for January 1, 2008. Policies are issued by Chesapeake, one of the Companys
subsidiaries, under a contract with the Centers for Medicare and Medicaid Services (CMS). The
HMCA Plans are offered to Medicare eligible beneficiaries as a replacement for original Medicare
and Medigap (Supplement) policies. They provide enrollees with the actuarial benefit equivalence
they would receive under original Medicare, as well as certain additional benefits or benefit
options, such as preventive care, pharmacy benefits and certain vision, dental and hearing
services.
On July 15, 2008, the Medicare Improvements for Patients and Providers Act of 2008 was
enacted, resulting in significant changes to the Medicare program. These changes include, among
other things, the phased elimination of Medicare Advantage PFFS deeming arrangements with
providers beginning in 2011. The Company believes that this new law will make it difficult for the
Company to operate effectively in the Medicare market. As a result, in July 2008, the Company
decided that it will not participate in the Medicare Advantage marketplace beyond the current year.
The Company will continue to serve its current members through 2008 and fulfill its obligations
under the current Medicare contract with CMS.
In connection with its exit from the Medicare market, the Company will incur employee
termination costs of approximately $2.5 million and asset impairment charges of $1.2 million. In
accordance with FAS 144, the results of operations of Medicare Division will continue to be
included in continuing operations on its Consolidated Condensed Statements of Income (Loss) until
the run-off operation ceases. The Company believes that its exit from the Medicare market will
not, in the aggregate, have a material adverse effect on the Companys consolidated financial
position, but may potentially have a material adverse effect on the results of operations or cash
flows in any given accounting period.
Charges Incurred in the Current Period
During the three months ended June 30, 2008, the Company recognized a $4.9 million expense
associated with a minimum volume guarantee fee related to the Companys contract with a third party
administrator. This minimum volume guarantee fee was for member months over the three year term of
the contract covering calendar years 2008 through 2010. To the extent the Company will now incur a
contract termination fee instead, based on the decision to exit the Medicare market, the amount of
the minimum volume guarantee fee was limited to the amount of the anticipated contract termination
fee.
4. DEBT
In connection with the Merger completed on April 5, 2006, HealthMarkets, LLC, a direct
wholly-owned subsidiary of the Company, entered into a credit agreement, providing for a $500.0
million term loan facility and a $75.0 million
8
revolving credit facility, which includes a $35.0 million letter of credit sub-facility. The
full amount of the term loan was drawn at closing, and the proceeds were used to fund a portion of
the consideration paid in the Merger. At June 30, 2008, the Company had an aggregate of $362.5
million of indebtedness outstanding under the term loan facility, which indebtedness bore interest
at the London inter-bank offered rate (LIBOR) plus a borrowing margin of 1.00%. The Company has
not drawn on the $75.0 million revolving credit facility.
Also in connection with the merger, on April 5, 2006, HealthMarkets Capital Trust I and
HealthMarkets Capital Trust II (two newly formed Delaware statutory business trusts, collectively
the Trusts) issued $100.0 million of floating rate trust preferred securities (the Trust
Securities) and $3.1 million of floating rate common securities. The Trusts invested the proceeds
from the sale of the Trust Securities, together with the proceeds from the issuance to
HealthMarkets, LLC by the Trusts of the common securities, in $100.0 million principal amount of
HealthMarkets, LLCs Floating Rate Junior Subordinated Notes due June 15, 2036 (the Notes), of
which $50.0 million principal amount accrue interest at a floating rate equal to three-month LIBOR
plus 3.05% and $50.0 million principal amount accrue interest at a fixed rate of 8.367%.
On April 29, 2004, UICI Capital Trust I (a Delaware statutory business trust, the 2004
Trust) completed the private placement of $15.0 million aggregate issuance amount of floating rate
trust preferred securities with an aggregate liquidation value of $15.0 million (the 2004 Trust
Preferred Securities). The 2004 Trust invested the $15.0 million proceeds from the sale of the
2004 Trust Preferred Securities, together with the proceeds from the issuance to the Company by the
2004 Trust of its floating rate common securities in the amount of $470,000 (the Common
Securities and, collectively with the 2004 Trust Preferred Securities, the 2004 Trust
Securities), in an equivalent face amount of the Companys Floating Rate Junior Subordinated Notes
due 2034 (the 2004 Notes). The 2004 Notes will mature on April 29, 2034. The 2004 Notes accrue
interest at a floating rate equal to three-month LIBOR plus 3.50%, payable quarterly.
The following table sets forth detail of the Companys debt and interest expense (dollars in
thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest Expense |
|
|
|
Principal Amount |
|
|
Three Months |
|
|
Six Months |
|
|
|
at |
|
|
Ended |
|
|
Ended |
|
|
|
June 30, 2008 |
|
|
June 30, 2008 |
|
|
June 30, 2008 |
|
2006 credit agreement: |
|
|
|
|
|
|
|
|
|
|
|
|
Term loan |
|
$ |
362,500 |
|
|
$ |
5,168 |
|
|
$ |
10,593 |
|
$75 Million revolver (non-use fee) |
|
|
|
|
|
|
35 |
|
|
|
72 |
|
Trust preferred securities: |
|
|
|
|
|
|
|
|
|
|
|
|
UICI Capital Trust I |
|
|
15,470 |
|
|
|
249 |
|
|
|
541 |
|
HealthMarkets Capital Trust I |
|
|
51,550 |
|
|
|
762 |
|
|
|
1,766 |
|
HealthMarkets Capital Trust II |
|
|
51,550 |
|
|
|
1,091 |
|
|
|
2,181 |
|
Other: |
|
|
|
|
|
|
|
|
|
|
|
|
Interest on Deferred Tax |
|
|
|
|
|
|
1,054 |
|
|
|
2,096 |
|
Amortization of financing fees |
|
|
|
|
|
|
1,121 |
|
|
|
2,222 |
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
481,070 |
|
|
$ |
9,480 |
|
|
$ |
19,471 |
|
|
|
|
|
|
|
|
|
|
|
Management uses derivative instruments to protect against the risk of changes in prevailing
interest rates adversely affecting future cash flows associated with changes in the LIBOR rate
applicable to its term loan credit facility discussed above. The derivative instrument used by the
Company to protect against such risk is the interest rate swap. The Company accounts for its
interest rate swaps in accordance with FAS 133, Accounting for Derivative Instruments and Hedging
Activities.
The Company owns three interest rate swap agreements with an aggregate notional amount of
$300.0 million. The terms of the swaps are 3, 4 and 5 years beginning on April 11, 2006. The
Company presents the fair value of the interest rate swap agreements at the end of the period in
either Other assets or Other liabilities, as applicable, on its consolidated condensed balance
sheet. At June 30, 2008, the interest rate swaps had an aggregate fair value of approximately $9.2
million, which is reflected under the caption Other Liabilities. During the three and six months
ended June 30, 2008, the Company incurred a loss of $18,000 and $35,000, respectively, related to
the ineffectiveness of the interest rate swap. The Company does not expect the ineffectiveness
related to its hedging activity to be material to the Companys financial results in the future.
There were no components of the derivative instruments that were excluded from the assessment of
hedge effectiveness.
During the quarter ended June 30, 2008, pretax expense of $1.6 million ($1.0 million net of
tax) was reclassified into interest expense from accumulated other comprehensive income as
adjustments to interest payments on variable rate debt.
9
In addition, expense of $171,000 ($111,000 net of tax) was reclassified into earnings
associated with the previous termination of the hedging relationship in the fourth quarter of 2006.
During the six months ended June 30, 2008, pretax expense of $1.9 million ($1.2 million net of
tax) was reclassified into interest expense from accumulated other comprehensive income as
adjustments to interest payments on variable rate debt. In addition, expense of $341,000 ($221,000
net of tax) was reclassified into earnings associated with the previous termination of the hedging
relationship in the fourth quarter of 2006.
At June 30, 2008, accumulated other comprehensive income included a deferred after-tax net
loss of $6.0 million related to the interest rate swaps of which $1.5 million ($962,000 net of tax)
is the remaining amount of loss associated with the previous terminated hedging relationship. This
amount is expected to be reclassified into earnings in conjunction with the interest payments on
the variable rate debt through April 2011.
The Company uses regression analysis to assess the hedge effectiveness in achieving the
offsetting cash flows attributable to the risk being hedged. In addition, the Company utilizes the
hypothetical derivative methodology for the measurement of ineffectiveness. Derivative gains and
losses not effective in hedging the expected cash flows will be recognized immediately in earnings.
5. NET INCOME (LOSS) PER SHARE
The following table sets forth the computation of basic and diluted earnings per share:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands, except per share amounts) |
|
Income (loss) from continuing operations |
|
$ |
(15,684 |
) |
|
$ |
22,694 |
|
|
$ |
(20,300 |
) |
|
$ |
44,773 |
|
Income (loss) from discontinued operations |
|
|
(3,545 |
) |
|
|
669 |
|
|
|
(5,222 |
) |
|
|
1,281 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) available to common shareholders |
|
$ |
(19,229 |
) |
|
$ |
23,363 |
|
|
$ |
(25,522 |
) |
|
$ |
46,054 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding, basic |
|
|
30,447 |
|
|
|
30,353 |
|
|
|
30,587 |
|
|
|
30,289 |
|
Dilutive effect of stock options and other shares |
|
|
|
|
|
|
804 |
|
|
|
|
|
|
|
817 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding, dilutive |
|
|
30,447 |
|
|
|
31,157 |
|
|
|
30,587 |
|
|
|
31,106 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings (losses) per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
(0.51 |
) |
|
$ |
0.75 |
|
|
$ |
(0.66 |
) |
|
$ |
1.48 |
|
From discontinued operations |
|
|
(0.12 |
) |
|
|
0.02 |
|
|
|
(0.17 |
) |
|
|
0.04 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) per share, basic |
|
$ |
(0.63 |
) |
|
$ |
0.77 |
|
|
$ |
(0.83 |
) |
|
$ |
1.52 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings (losses) per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
(0.51 |
) |
|
$ |
0.73 |
|
|
$ |
(0.66 |
) |
|
$ |
1.44 |
|
From discontinued operations |
|
|
(0.12 |
) |
|
|
0.02 |
|
|
|
(0.17 |
) |
|
|
0.04 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) per share, basic |
|
$ |
(0.63 |
) |
|
$ |
0.75 |
|
|
$ |
(0.83 |
) |
|
$ |
1.48 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The common stock equivalents for the three and six months ended June 30, 2008 are excluded
from the weighted average shares used to compute diluted net loss per share as they would be
anti-dilutive to the per share calculation. The Companys diluted weighted average shares
outstanding for the three and six months ended June 30, 2008 were 676,513 and 689,988,
respectively.
As of June 30, 2008, 27,000,062 shares of Class A-1 common stock were issued, of which
26,903,513 were outstanding and 96,549 shares were held in treasury and 4,026,104 shares of Class
A-2 common stock were issued, of which 3,225,913 shares were outstanding and 800,191 shares were
held in treasury. As of December 31, 2007, 27,000,062 shares of Class A-1 common stock were issued,
of which 26,899,056 were outstanding and 101,006 shares were held in treasury and 3,952,204 shares
of Class A-2 common stock were issued, of which 3,623,266 shares were outstanding and 328,938
shares were held in treasury.
6. COMMITMENTS AND CONTINGENCIES
The Company is a party to the following material legal proceedings:
Association Group Litigation
As previously disclosed, on September 26, 2003, HealthMarkets and The MEGA Life and Health
Insurance Company (MEGA) were named as cross-defendants in a lawsuit initially filed on July 30,
2003 (Retailers Credit Association of Grass Valley, Inc. v. Henderson et al. v. UICI et al.) in
the Superior Court of the State of California for the County of Nevada, Case No. L69072. In the
suit, cross-plaintiffs asserted several causes of action, including breach of the
10
implied covenant of good faith and fair dealing, fraud, violation of California Business and
Professions Code § 17200 and negligent and intentional misrepresentation, and sought injunctive
relief and monetary damages in an unspecified amount. On August 28, 2006, the Court entered a
final judgment in favor of all named cross-defendants. On March 26, 2008, the California Court of
Appeals affirmed the trial courts judgment and on June 3, 2008, the California Supreme Court
denied cross-plaintiffs petition for review. No further avenues of appeal are available to
cross-plaintiffs and thus this case is concluded with respect to HealthMarkets and MEGA.
As previously disclosed, HealthMarkets and MEGA were named as defendants in an action filed on
May 31, 2006 (Linda L. Hopkins and Jerry T. Hopkins v. HealthMarkets, MEGA, the National
Association for the Self Employed, et al.) pending in the Superior Court for the County of Los
Angeles, California, Case No. BC353258. Plaintiffs have alleged several causes of action, including
breach of fiduciary duty, negligent failure to obtain insurance, intentional misrepresentation,
fraud by concealment, promissory fraud, negligent misrepresentation, civil conspiracy, professional
negligence, negligence, intentional infliction of emotional distress, and violation of the
California Consumer Legal Remedies, California Civil Code Section 1750, et seq. Plaintiffs seek
injunctive relief, disgorgement of profits and general and punitive monetary damages in an
unspecified amount. The Court granted MEGAs motion for summary judgment and dismissed the case on
July 10, 2008.
HealthMarkets and Mid-West National Life Insurance Company of Tennessee (Mid-West) were
named as defendants in an action filed on December 4, 2006 (Howard Woffinden, individually, and as
Successor in interest to Mary Charlotte Woffinden, deceased v. HealthMarkets, Mid-West, et al.)
pending in the Superior Court for the County of Los Angeles, California, Case No. LT061371.
Plaintiffs have alleged several causes of action, including breach of fiduciary duty, negligent
failure to obtain insurance, intentional misrepresentation, fraud by concealment, promissory fraud,
civil conspiracy, professional negligence, intentional infliction of emotional distress, and
violation of the California Consumer Legal Remedies statute, California Civil Code Section 1750, et
seq. Plaintiff seeks injunctive relief, and general and punitive monetary damages in an
unspecified amount. On October 5, 2007, the Court sustained Mid-Wests demurrer, without leave to
amend, disposing of plaintiffs claim for violation of the California Consumer Legal Remedies
statute. The Court granted Mid-Wests motion for summary judgment and dismissed the case on August
12, 2008.
The Company currently believes that resolution of the above proceedings will not have a
material adverse effect on the Companys consolidated financial condition or results of operations.
Fair Labor Standards Act Agent Litigation
HealthMarkets is a party to three separate collective actions filed under the Federal Fair
Labor Standards Act (FLSA) (Sherrie Blair et al., v. Cornerstone America et al., filed on May 26
in the United States District Court for the Northern District of Texas, Fort Worth Division, Civil
Action No. 4:04-CV-333-Y; Norm Campbell et al., v. Cornerstone America et al., filed on May 26,
2005 in the United States District Court for the Northern District of Texas, Fort Worth Division,
Civil Action No. 4:05-CV-334-Y; and Joseph Hopkins et al., v. Cornerstone America et al., filed on
May 26, 2005 in the United States District Court for the Northern District of Texas, Fort Worth
Division, Civil Action No. 4:05-CV-332-Y). On December 9, 2005, the Court consolidated all of the
actions and made the Hopkins suit the lead case. In each of the cases, plaintiffs, for themselves
and on behalf of others similarly situated, seek to recover unpaid overtime wages alleged to be due
under section 16(b) of the FLSA. The complaints allege that the named plaintiffs (consisting of
former district sales leaders and regional sales leaders in the Cornerstone America independent
agent hierarchy) were employees within the meaning of the FLSA and are therefore entitled, among
other relief, to recover unpaid overtime wages under the terms of the FLSA. The parties filed
motions for summary judgment on August 1, 2006, and on March 30, 2007 the Court denied
HealthMarkets and Mid-Wests motion and granted the Plaintiffs motion.
On August 2, 2007, the District Court granted HealthMarkets and Mid-Wests Motion for an
interlocutory appeal but denied requests to stay the litigation. On September 14, 2007, the United
States Fifth Circuit Court of Appeals granted HealthMarkets and Mid-Wests petition to hear the
interlocutory appeal, which is pending before the Fifth Circuit.
In April 2008, a court-approved notice to prospective participants in the collective action
was mailed. A total of 54 prospective participants have given notice of their opt-in elections,
which together with the original 14 plaintiffs brings the total number of participants in the
collective action to 68. Discovery in this matter is ongoing. At present, the Company is unable to
determine what, if any, impact these matters may have on the Companys consolidated financial
condition or results of operation.
11
Other Litigation Matters
MEGA was named as a defendant in an action filed on April 8, 2003 (Lucinda Myers v. MEGA et
al.) pending in the District Court of Potter County, Texas, Case No. 90826-E. Plaintiff has
alleged several causes of action, including breach of contract, breach of the duty of good faith
and fair dealing, negligence, unfair claims settlement practices, violation of the Texas Deceptive
Trade Practices-Consumer Protection Act, mental anguish, and felony destruction of records and
securing execution by deception. Plaintiff seeks monetary damages in an unspecified amount, and
declaratory relief. MEGA asserted a counterclaim alleging, among other things, a cause of action
against plaintiff for rescission of the health insurance contract due to material
misrepresentations in the application for insurance. Following a trial held in February 2006, a
jury rendered a verdict in favor of MEGA with respect to MEGAs claim for rescission of the policy,
effectively disposing of all causes of action against the defendants and the Court rendered final
judgment for defendants on March 9, 2006. Plaintiff filed a notice of appeal and, on April 17,
2008, the appellate court reversed the lower courts judgment and remanded the case for further
proceedings. MEGA filed a motion for rehearing with the appellate court on May 12, 2008, which is
pending before the appellate court.
Mid-West was named as a defendant in an action filed on January 15, 2004 (Howard Myers v.
Alliance for Affordable Services, Mid-West et al.) in the District Court of El Paso County,
Colorado, Case No. 04-CV-192. Plaintiff alleged fraud, breach of contract, negligence, negligent
misrepresentation, bad faith, and breach of the Colorado Unfair Claims Practices Act. Plaintiff
seeks unspecified compensatory, punitive, special and consequential damages, costs, interest and
attorneys fees. Mid-West removed the case to the United States District Court for the District of
Colorado. On April 22, 2008, Mid-West filed a motion for summary judgment which is pending before
the Court.
The Company and its subsidiaries are parties to various other pending and threatened legal
proceedings, claims, demands, disputes and other matters arising in the ordinary course of
business, including some asserting significant liabilities arising from claims, demands, disputes
and other matters with respect to insurance policies, relationships with agents, relationships with
former or current employees, and other matters. From time to time, some such matters, where
appropriate, may be the subject of internal investigation by management, the Board of Directors, or
a committee of the Board of Directors. The Company believes that the liability, if any, resulting
from the disposition of such proceedings, claims, demands, disputes or matters would not be
material to the Companys financial condition or results of operations.
Regulatory Matters Rhode Island
The Rhode Island Office of the Health Insurance Commissioner conducted a targeted market
conduct examination regarding MEGAs small employer market practices during 2005. As a result of
that examination, MEGA is in the process of negotiating a settlement with the Office of the Health
Insurance Commissioner. The Company anticipates that Mid-West will also agree to a settlement with
the Office of the Health Insurance Commissioner since it sells similar plans in Rhode Island. The
Company believes that this settlement will be on terms that will not have a material adverse effect
upon the Companys consolidated financial condition or results of operations. Negotiations are
on-going and the settlement is not final.
Regulatory Matters Multi-state Market Conduct Examination
As previously disclosed, in March 2005, HealthMarkets received notification that the Market
Analysis Working Group of the NAIC had chosen the states of Washington and Alaska to lead a
multi-state market conduct examination of HealthMarkets principal insurance subsidiaries (the
Insurance Subsidiaries) for the examination period January 1, 2000 through December 31, 2005.
Thirty-six (36) states elected to participate in the examination. The examiners issued a final
examination report on December 20, 2007.
The findings of the final examination report cite deficiencies in five major areas of
operation: (i) insufficient training of agents and lack of oversight of agent activities,
(ii) deficient claims handling practices, (iii) insufficient disclosure of the relationship with
affiliates and the membership associations, (iv) deficient handling of complaints and grievances,
and (v) failure to maintain a formal corporate compliance plan and centralized corporate compliance
department.
In connection with the issuance of the final examination report, the Washington Office of
Insurance Commissioner issued an order adopting the findings of the final examination report and
ordering the Insurance Subsidiaries to comply with certain required actions set forth in the
report. The order requires the Insurance Subsidiaries to file a detailed report specifying how they
have addressed each of the requirements of the order and another report outlining, by examination
area, all business reforms, improvements and changes to policies and procedures.
During 2004, in response to state specific examination findings, the Insurance Subsidiaries
began making significant changes to their structure and operational processes. These changes
included the enhancement of its agent training and oversight programs, the reorganization and
consolidation of the Companys compliance department, the adoption of additional methods to monitor
agent sales activities, the implementation of a benefits confirmation telephone call program
12
to obtain further assurances that customers understand their health insurance coverage and the
creation of a Regulatory Advisory Panel consisting of former regulators to provide objective advice
to the Board and management. The Company believes the Insurance Subsidiaries have effectively
addressed or are in the process of addressing many of the findings identified in the final
examination report. Many of these enhancements occurred after the examination period and are
therefore not reflected in the examination report findings.
On May 29, 2008, the Insurance Subsidiaries entered into a regulatory settlement agreement
(RSA) with the Director of the Alaska Division of Insurance and the Insurance Commissioner of
Washington State (the Lead Regulators) that provides for the settlement of the examination on the
following terms:
|
(1) |
|
A monetary penalty in the amount of $20 million, payable within ten business days of
the effective date of the RSA, this amount was recognized in the Companys results of
operations for the year ending December 31, 2007; |
|
|
(2) |
|
A monetary penalty of up to an additional $10 million if the Insurance Subsidiaries are
found not to comply with the requirements of the RSA when re-examined. Compliance will be
monitored by the Lead Regulators, the Insurance Subsidiaries domestic regulators (The
Insurance Commissioner of the State of Oklahoma and the Commissioner of Insurance of the
State of Texas) and the California Department of Insurance (collectively, the Monitoring
Regulators). The Monitoring Regulators will determine the amount, if any, of the penalty
for failure to comply with the requirements of the RSA through a follow-up examination
scheduled to occur during 2010. The Company has not recognized any expense associated with
this contingent penalty; |
|
|
(3) |
|
An Outreach Program to be administered by the Insurance Subsidiaries with certain
existing insureds, which will be implemented within six months of the effective date of the
RSA. The Insurance Subsidiaries will send a notice to all existing insureds whose medical
coverage was issued by the Insurance Subsidiaries prior to August 1, 2005 which will
include contact information for insureds to obtain information about their coverage and the
address of a website responsive to coverage questions; and |
|
|
(4) |
|
Ongoing monitoring of the Insurance Subsidiaries compliance with the RSA by the
Monitoring Regulators, through periodic reports from the Insurance Subsidiaries. The
Insurance Subsidiaries will be required to continue their implementation of certain
corrective actions, the standards of which must be met by December 31, 2009. The Insurance
Subsidiaries will bear the reasonable costs of monitoring by the Monitoring Regulators and
their designees. In the event that the Monitoring Regulators find that the Insurance
Subsidiaries have intentionally breached the terms of the RSA, resulting penalties and
fines as a result of such finding will not be limited to the monetary penalties of the RSA. |
According
to its terms, the RSA became effective on August 15, 2008, which is thirty days
after it was executed by twenty-seven states. As of August 15,
2008, forty-eight states had signed
the RSA.
Regulatory Matters General
The Companys insurance subsidiaries are subject to various pending market conduct or other
regulatory examinations, inquiries or proceedings arising in the ordinary course of business.
State insurance regulatory agencies have authority to levy significant fines and penalties and
require remedial action resulting from findings made during the course of such matters.
Historically, our insurance subsidiaries have from time to time been subject to such fines and
penalties, none of which individually or in the aggregate have had a material adverse effect on our
results of operations or financial condition. However, the multi-state market conduct examination
and other regulatory examinations, inquiries or proceedings could result in, among other things,
changes in business practices that require the Company to incur substantial costs. Such results,
singly or in combination, could injure our reputation, cause negative publicity, adversely affect
our debt and financial strength ratings, place us at a competitive disadvantage in marketing or
administering our products or impair our ability to sell or retain insurance policies, thereby
adversely affecting our business, and potentially materially adversely affecting the results of
operations in a period, depending on the results of operations for the particular period.
Determination by regulatory authorities that we have engaged in improper conduct could also
adversely affect our defense of various lawsuits.
7. SEGMENT INFORMATION
The Company operates three business segments, the Insurance segment, Other Key Factors and
Disposed Operations. The Insurance segment includes the Companys Self-Employed Agency Division
(SEA), the Life Insurance Division, the Medicare Division and Other Insurance Division. Other Key
Factors includes investment income not allocated to the Insurance segment, realized gains or losses
on sale of investments, interest expense on corporate debt, general expenses relating to corporate
operations, variable non-cash stock-based compensation and operations that do not constitute
13
reportable operating segments. Disposed Operations includes the Companys former Star HRG
Division and former Student Insurance Division.
Allocations of investment income and certain general expenses are based on a number of
assumptions and estimates, and the business segments reported operating results would change if
different methods were applied. Certain assets are not individually identifiable by segment and,
accordingly, have been allocated by formulas. Segment revenue includes premiums and other policy
charges and considerations, net investment income, fees and other income. Management does not
allocate income taxes to segments. Transactions between reportable operating segments are
accounted for under respective agreements, which provide for such transactions generally at cost.
Revenue from continuing operations, income (loss) from continuing operations before income
taxes, and assets by operating segment are set forth in the tables below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Revenue from continuing operations: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
315,535 |
|
|
$ |
362,380 |
|
|
$ |
638,424 |
|
|
$ |
722,620 |
|
Life Insurance Division |
|
|
23,305 |
|
|
|
22,706 |
|
|
|
47,395 |
|
|
|
44,260 |
|
Medicare Division |
|
|
29,916 |
|
|
|
|
|
|
|
46,018 |
|
|
|
|
|
Other Insurance Division |
|
|
8,219 |
|
|
|
7,882 |
|
|
|
15,911 |
|
|
|
15,508 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
376,975 |
|
|
|
392,968 |
|
|
|
747,748 |
|
|
|
782,388 |
|
Other Key Factors |
|
|
(1,859 |
) |
|
|
7,263 |
|
|
|
6,300 |
|
|
|
19,931 |
|
Intersegment Eliminations |
|
|
(44 |
) |
|
|
(490 |
) |
|
|
(91 |
) |
|
|
(978 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue excluding disposed operations |
|
|
375,072 |
|
|
|
399,741 |
|
|
|
753,957 |
|
|
|
801,341 |
|
Disposed Operations |
|
|
175 |
|
|
|
41 |
|
|
|
172 |
|
|
|
9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue from continuing operations |
|
$ |
375,247 |
|
|
$ |
399,782 |
|
|
$ |
754,129 |
|
|
$ |
801,350 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Income (loss) from continuing
operations before federal income
taxes: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
18,450 |
|
|
$ |
49,500 |
|
|
$ |
30,745 |
|
|
$ |
84,930 |
|
Life Insurance Division |
|
|
(17,860 |
) |
|
|
488 |
|
|
|
(19,980 |
) |
|
|
517 |
|
Medicare Division |
|
|
(7,327 |
) |
|
|
(1,270 |
) |
|
|
(12,304 |
) |
|
|
(1,407 |
) |
Other Insurance Division |
|
|
3,169 |
|
|
|
1 |
|
|
|
4,241 |
|
|
|
1,761 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
(3,568 |
) |
|
|
48,719 |
|
|
|
2,702 |
|
|
|
85,801 |
|
Other Key Factors |
|
|
(24,292 |
) |
|
|
(14,107 |
) |
|
|
(37,008 |
) |
|
|
(18,320 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating income
(loss) excluding disposed
operations |
|
|
(27,860 |
) |
|
|
34,612 |
|
|
|
(34,306 |
) |
|
|
67,481 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Disposed Operations |
|
|
643 |
|
|
|
143 |
|
|
|
452 |
|
|
|
499 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total income (loss) from
continuing operations
before taxes |
|
$ |
(27,217 |
) |
|
$ |
34,755 |
|
|
$ |
(33,854 |
) |
|
$ |
67,980 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
June 30, |
|
|
December 31, |
|
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
Assets |
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
824,816 |
|
|
$ |
878,911 |
|
Life Insurance Division |
|
|
544,928 |
|
|
|
540,474 |
|
Medicare Division |
|
|
22,704 |
|
|
|
|
|
Other Insurance Division |
|
|
19,841 |
|
|
|
21,034 |
|
|
|
|
|
|
|
|
Total Insurance |
|
|
1,412,289 |
|
|
|
1,440,419 |
|
Other Key Factors |
|
|
515,010 |
|
|
|
553,855 |
|
|
|
|
|
|
|
|
Total Assets excluding disposed operations and held for sale |
|
|
1,927,299 |
|
|
|
1,994,274 |
|
|
|
|
|
|
|
|
Assets held for sale |
|
|
95,630 |
|
|
|
110,355 |
|
Disposed Operations |
|
|
25,493 |
|
|
|
50,953 |
|
|
|
|
|
|
|
|
|
|
$ |
2,048,422 |
|
|
$ |
2,155,582 |
|
|
|
|
|
|
|
|
The Student Insurance Division (included in Disposed Operations) assets of $25.5 million and
$51.0 million at June 30, 2008 and December 31, 2007, respectively, primarily represent a
reinsurance receivable associated with a coinsurance agreement entered into with an insurance
affiliate of UnitedHealth Group.
14
2006 Sale of Student Insurance Division
On December 1, 2006, the Company sold substantially all of the assets formerly comprising
MEGAs Student Insurance Division. The purchase price is subject to downward or upward adjustment
based on the amount of premium to be generated with respect to the 2007-2008 school year and actual
claims experience with respect to the in-force block of student insurance business at the time of
the sale. The Company has made no adjustment to the purchase price due to the premium provision and
will continue to examine whether any adjustments should be made in the future.
The Company has recorded $518,000, $1.2 million and $6.5 million of realized gains as an
adjustment to the purchase price in 2008, 2007 and 2006, respectively, related to positive claim
experience with respect to the in-force block of student insurance business at the time of the
sale. In May 2008, the Company received $8.2 million associated with the final upward adjustment
related to the actual claim experience.
8. AGENT AND EMPLOYEE STOCK PLANS
Agent Stock Accumulation Plans
The Company sponsors a series of stock accumulation plans (the Agent Plans) established for
the benefit of the independent insurance agents and independent sales representatives associated
with UGA Association Field Services, New United Agency and Cornerstone America.
The following table sets forth the total compensation expense and tax benefit associated with
the Companys Agent Plans for the three and six months ended June 30, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
SEA and Medicare Division stock-based compensation expense |
|
$ |
1,283 |
|
|
$ |
1,476 |
|
|
$ |
2,603 |
|
|
$ |
6,097 |
|
Other Key Factors variable non-cash stock-based
compensation (benefit) expense |
|
|
(3,508 |
) |
|
|
1,546 |
|
|
|
(3,218 |
) |
|
|
(5 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Agent
Plan compensation (benefit) expense |
|
|
(2,225 |
) |
|
|
3,022 |
|
|
|
(615 |
) |
|
|
6,092 |
|
Related Tax
Benefit (Expense) |
|
|
(779 |
) |
|
|
1,058 |
|
|
|
(215 |
) |
|
|
2,132 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net
(benefit) expense included in financial results |
|
$ |
(1,446 |
) |
|
$ |
1,964 |
|
|
$ |
(400 |
) |
|
$ |
3,960 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
At December 31, 2007, the Company had recorded 1,446,624 unvested matching credits associated
with the Agent Plans, of which 430,455 vested in January 2008. Upon vesting, the Company decreased
additional paid-in capital by $359,000, decreased treasury shares by $15.4 million and decreased
other liabilities by $15.1 million. At June 30, 2008, the Company had recorded 1,100,526 unvested
matching credits. Agent Plan transactions are not reflected in the Consolidated Condensed Statement
of Cash Flows since issuance of equity securities to settle the Companys liabilities under the
Agent Plans are non-cash transactions.
Employee Stock Option Plans
During the quarter ended June 30, 2008, options to purchase a total of 1,035,000 shares of
Class A-1 common stock were granted under the 2006 Plan at an exercise price of $34.80, which
represented the fair value of Class A-1 common stock as determined by the Board of Directors on the
date of grant of such options.
9. TRANSACTIONS WITH RELATED PARTIES
On April 5, 2006, the Company completed its Merger and, as a result, affiliates of The
Blackstone Group, Goldman Sachs Capital Partners and DLJ Merchant Banking Partners (the Private
Equity Investors) held, as of June 30, 2008, approximately 54.7%, 22.4%, and 11.2%, respectively,
of the Companys outstanding equity securities. Certain members of the Board of Directors of the
Company are affiliated with the Private Equity Investors.
In accordance with the terms of Transaction and Monitoring Fee Agreements with advisory
affiliates of each of the Private Equity Investors, the advisory affiliates of each of the Private
Equity Investors agreed to provide to the Company ongoing monitoring, advisory and consulting
services, for which the Company agreed to pay to affiliates of each of The Blackstone Group,
Goldman Sachs Capital Partners and DLJ Merchant Banking Partners an annual monitoring fee in an
amount equal to $7.7 million, $3.2 million and $1.6 million, respectively. Aggregate annual
monitoring fees in the amount
15
of $12.5 million with respect to 2008 were paid in full to the advisory affiliates of the
Private Equity Investors on January 8, 2008. The Company has expensed $6.3 million through June
30, 2008.
On April 20, 2007, the Companys Board of Directors approved a $10.0 million investment by
Mid-West National Life Insurance Company of Tennessee in Goldman Sachs Real Estate Partners, L.P.,
a commercial real estate fund managed by an affiliate of Goldman Sachs Capital Partners. The
Company has committed such investment to be funded over a series of capital calls. During the
quarter ended June 30, 2008, the Company received $317,000 in a capital distribution (return of
capital) from Goldman Sachs Real Estate Partners, L.P. During the six months ended June 30, 2008,
the Company received $431,000 ($403,000 return of capital and $28,000 income) in capital
distributions from Goldman Sachs Real Estate Partners, L.P. The Company funded $3.3 million in
capital calls through December 31, 2007. The Company did not fund any additional capital calls in
2008.
On April 20, 2007, the Companys Board of Directors approved a $10.0 million investment by The
MEGA Life and Health Insurance Company in Blackstone Strategic Alliance Fund L.P., a hedge fund of
funds managed by an affiliate of The Blackstone Group. The Company has committed such investment
to be funded over a series of capital calls. During the quarter ended June 30, 2008, the Company
funded $1.4 million in capital calls. During the six months
ended June 30, 2008, the Company funded $1.5 million in
capital calls. The Company previously funded $1.6 million in capital calls through
December 31, 2007.
10. INVESTMENTS
A. Other Than Temporary Impairment
Investments are reviewed quarterly (or more frequently if certain indicators arise) to
determine if they have suffered an impairment of value that is considered other than temporary. In
its review, management considers the following indicators of impairment: fair value significantly
below cost; decline in fair value attributable to specific adverse conditions affecting a
particular investment; decline in fair value attributable to specific conditions, such as
conditions in an industry or in a geographic area; decline in fair value for an extended period of
time; downgrades by rating agencies from investment grade to non-investment grade; financial
condition deterioration of the issuer and situations where dividends have been reduced or
eliminated or scheduled interest payments have not been made. If investments are determined to be
other than temporarily impaired, a loss is recognized at the date of determination.
During the quarter ended June 30, 2008, the Company recognized impairment charges of $5.6
million primarily related to certain investments in collateralized debt obligations. These
impairment charges resulted from other than temporary reductions in the fair value of the
investments compared to the Companys cost basis.
B. Fair Value Measurement
Effective January 1, 2008, HealthMarkets adopted FAS No. 157, Fair Value Measurements, for
financial assets and liabilities. FAS No. 157 defines fair value, expands disclosure requirements,
and specifies a hierarchy of valuation techniques. The disclosure of fair value estimates in the
FAS 157 hierarchy is based on whether the significant inputs into the valuation are observable. In
determining the level of hierarchy in which the estimate is disclosed, the highest priority is
given to unadjusted quoted prices in active markets and the lowest priority to unobservable inputs
that reflect the Companys significant market assumptions. Following is a brief description of the
type of valuation information (inputs) that qualifies a financial asset for each level:
|
|
|
Level 1 Unadjusted quoted market prices for identical assets or liabilities in active
markets which are accessible by the Company. |
|
|
|
|
Level 2 Observable prices in active markets for similar assets or liabilities. Prices
for identical or similar assets or liabilities in markets that are not active. Directly
observable market inputs for substantially the full term of the asset or liability, e.g.,
interest rates and yield curves at commonly quoted intervals, volatilities, prepayment
speeds, default rates, and credit spreads. Market inputs that are not directly observable
but are derived from or corroborated by observable market data. |
|
|
|
|
Level 3 Unobservable inputs based on the Companys own judgment as to assumptions a
market participant would use, including inputs derived from extrapolation and interpolation
that are not corroborated by observable market data. |
16
Valuation of Investments
For investments that have quoted market prices in active markets, the Company uses the quoted
market prices as fair value and includes these prices in the amounts disclosed in Level 1 of the
hierarchy. When quoted market prices in active markets are unavailable, fair values are estimated
by management based on independent external valuation information, which utilizes various models
and valuation techniques based on a range of inputs including pricing models, quoted market price
of publicly traded securities with similar duration and yield, time value, yield curve, prepayment
speeds, default rates and discounted cash flow. In general, the fair values based on these
observable market inputs fall into the Level 2 of the hierarchy, but in certain cases where there
is limited activity or less transparency around inputs to the valuation, the fair values are
reflected within Level 3 of the valuation hierarchy. When relying on bid/ask spreads from
dealers, the Company typically uses the mid-mark to determine fair value. In extreme cases, where the
bid/ask spread is unusually wide, the Company may use a convention other than the mid-mark to
determine fair value based on other observable inputs.
The following is a description of the valuation methodologies used for financial assets
measured at fair value, including the general classification of such assets pursuant to the
valuation hierarchy.
Fixed Income Investments
Fixed income investments, other than U.S. Treasury securities, generally do not trade on a
daily basis. The fair value estimates for the majority of these securities are estimated by
management based on independent external valuation information, which utilizes available market
data such as relevant market information, benchmark curves, benchmarking of like securities, sector
groupings, and matrix pricing. Option adjusted spread model is also used to develop prepayment and
interest rate scenarios.
Each asset class is evaluated based on relevant market information, relevant credit
information, perceived market movements and sector news. The market inputs utilized in the pricing
evaluation, listed in the approximate order of priority, include: benchmark yields, reported
trades, broker/dealer quotes, issuer spreads, two-sided markets, benchmark securities, bids,
offers, reference data, and industry and economic events. The extent of the use of each market
input depends on the asset class and the market conditions. The Company may have to make
assumptions for market based inputs that are unavailable due to market conditions.
Because the fair value estimates of most fixed income investments are determined by
evaluations that are based on observable market information rather than market quotes, all
estimates of fair value for fixed income investments, other than U.S. Treasury securities, are
disclosed in Level 2 of the hierarchy. The estimated values of U.S. Treasury securities are
included in the amount disclosed in Level 1 as the estimates are based on unadjusted market prices.
While the vast majority of the Companys fixed income investments are included in Level 2, the
Company holds a small number of fixed income investments where it estimates the fair value of these
bonds using internal pricing matrices with some unobservable inputs that are significant to the
valuation. Due to the limited amount of observable market information, the Company includes the
fair value estimates for these particular bonds in Level 3 of the hierarchy.
Equities
The Company maintains one investment in Equity securities in which the Company uses a quoted
market price based on observable market transactions. The Company includes the fair value estimate
for this stock in Level 1 of the hierarchy. The remaining amount in Equity securities represents
one security accounted for using the equity method of accounting and, therefore, does not require
fair value disclosure under the provisions of FAS 157.
Derivatives
The Companys derivative instruments are valued using models that primarily use market
observable inputs and, therefore, are classified as Level 2 because they are traded in markets
where quoted market prices are not readily available.
Agent and Employee Stock Plans
The Company accounts for its agent and employee stock plan liabilities based on the Companys
share price at the end of each reporting period. The Companys share price at the end of each
reporting period is based on the prevailing fair value as determined by the Companys Board of
Directors. The Company largely uses unobservable inputs in deriving the fair value of its share
price and the value is therefore reflected in Level 3 of the hierarchy.
17
Fair Value Hierarchy on a Recurring Basis
Assets and liabilities measured at fair value on a recurring basis are categorized in the
tables below based upon the lowest level of significant input to the valuations.
Assets at Fair Value as of June 30, 2008
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In thousands |
|
Level 1 |
|
|
Level 2 |
|
|
Level 3 |
|
|
Total |
|
Government and agencies |
|
$ |
10,859 |
|
|
$ |
30,285 |
|
|
$ |
|
|
|
$ |
41,144 |
|
Corporate debt and other |
|
|
|
|
|
|
537,365 |
|
|
|
|
|
|
|
537,365 |
|
Mortgage and asset-backed |
|
|
|
|
|
|
316,444 |
|
|
|
2,279 |
|
|
|
318,723 |
|
Municipals |
|
|
|
|
|
|
198,797 |
|
|
|
21,682 |
|
|
|
220,479 |
|
Corporate equities |
|
|
40 |
|
|
|
|
|
|
|
|
|
|
|
40 |
|
Short-term and other investments |
|
|
288,299 |
|
|
|
|
|
|
|
2,015 |
|
|
|
290,314 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
299,198 |
|
|
$ |
1,082,891 |
|
|
$ |
25,976 |
|
|
$ |
1,408,065 |
|
Liabilities at Fair Value as of June 30, 2008
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
In thousands |
|
Level 1 |
|
|
Level 2 |
|
|
Level 3 |
|
|
Total |
|
Interest rate swaps |
|
$ |
|
|
|
$ |
9,237 |
|
|
$ |
|
|
|
$ |
9,237 |
|
Agent and employee plans |
|
|
|
|
|
|
|
|
|
|
20,246 |
|
|
|
20,246 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
|
|
|
$ |
9,237 |
|
|
$ |
20,246 |
|
|
$ |
29,483 |
|
Changes in Level 3 Assets and Liabilities
The tables below summarize the change in balance sheet carrying values associated with Level 3
financial instruments and agent and employee stock plans for the three months and six months ended
June 30, 2008. As of the quarter ended June 30, 2008, the Company determined that its municipal
auction rate security investments previously presented in Level 2 of the hierarchy, should be
classified as Level 3 due to no available observable markets inputs and, therefore, transferred
them on the disclosure table.
Changes in Level 3 Assets and Liabilities Measured at Fair Value for the Three Months Ended June 30, 2008
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases, |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sales, |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Payments |
|
|
|
|
|
Transfer in/ |
|
|
|
|
|
|
|
|
Unrealized |
|
and |
|
|
|
|
|
(out) of |
|
|
|
|
Beginning |
|
Gains or |
|
Issuances, |
|
Realized |
|
Level 3, |
|
Ending |
|
|
Balance |
|
(losses) |
|
Net |
|
Losses(1) |
|
Net |
|
Balance |
|
|
|
|
|
|
|
|
|
|
(In Thousands) |
|
|
|
|
|
|
|
|
Assets |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other invested assets |
|
$ |
2,464 |
|
|
$ |
1,833 |
|
|
$ |
(236 |
) |
|
$ |
(2,046 |
) |
|
$ |
|
|
|
$ |
2,015 |
|
Mortgage and asset-backed |
|
|
2,428 |
|
|
|
(50 |
) |
|
|
(99 |
) |
|
|
|
|
|
|
|
|
|
|
2,279 |
|
Municipals |
|
|
|
|
|
|
(1,418 |
) |
|
|
|
|
|
|
|
|
|
|
23,100 |
|
|
|
21,682 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Liabilities |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Agent and Employee Stock Plans |
|
$ |
22,957 |
|
|
$ |
(4,878 |
) |
|
$ |
2,167 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
20,246 |
|
Changes in Level 3 Assets and Liabilities Measured at Fair Value for the Six Months Ended June 30, 2008
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases, |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sales, |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Payments |
|
|
|
|
|
Transfer in |
|
|
|
|
|
|
|
|
Unrealized |
|
and |
|
|
|
|
|
/(out) of |
|
|
|
|
Beginning |
|
Gains or |
|
Issuances, |
|
Realized |
|
Level 3, |
|
Ending |
|
|
Balance |
|
(losses) |
|
Net |
|
Losses(1) |
|
Net |
|
Balance |
|
|
|
|
|
|
|
|
|
|
(In Thousands) |
|
|
|
|
|
|
|
|
Assets |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other invested assets |
|
$ |
3,380 |
|
|
$ |
1,175 |
|
|
$ |
(494 |
) |
|
$ |
(2,046 |
) |
|
$ |
|
|
|
$ |
2,015 |
|
Mortgage and asset-backed |
|
|
2,579 |
|
|
|
(118 |
) |
|
|
(182 |
) |
|
|
|
|
|
|
|
|
|
|
2,279 |
|
Municipals |
|
|
|
|
|
|
(1,418 |
) |
|
|
|
|
|
|
|
|
|
|
23,100 |
|
|
|
21,682 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Liabilities |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Agent and Employee Stock Plans |
|
$ |
37,273 |
|
|
$ |
(4,878 |
) |
|
$ |
(12,149 |
) |
|
$ |
|
|
|
$ |
|
|
|
$ |
20,246 |
|
|
|
|
(1) |
|
Realized losses for the period are included in Losses on sales of investments on the
Companys consolidated condensed statement of income. |
18
ITEM 2 MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
Cautionary Statements Regarding Forward-Looking Statements
This report and other documents or oral presentations prepared or delivered by and on behalf
of the Company contain or may contain forward-looking statements within the meaning of the safe
harbor provisions of the United States Private Securities Litigation Reform Act of 1995.
Forward-looking statements are statements based upon managements expectations at the time such
statements are made. The Company undertakes no obligation to publicly update or revise any
forward-looking statements, whether as a result of new information, future events or otherwise.
Forward-looking statements are subject to risks and uncertainties that could cause the Companys
actual results to differ materially from those contemplated in the statements. Readers are
cautioned not to place undue reliance on the forward-looking statements. When used in written
documents or oral presentations, the terms anticipate, believe, estimate, expect, may,
objective, plan, possible, potential, project, will and similar expressions are
intended to identify forward-looking statements. In addition to the assumptions and other factors
referred to specifically in connection with such statements, factors that could impact the
Companys business and financial prospects include, but are not limited to, those discussed in our
Annual Report on Form 10-K for the year ended December 31, 2007 under the caption Item 1
Business, Item 1A. Risk Factors and Item 7 Managements Discussion and Analysis of Financial
Condition and Results of Operations and those discussed from time to time in the Companys various
filings with the Securities and Exchange Commission or in other publicly disseminated written
documents.
Introduction
The Company operates three business segments, the Insurance segment, Other Key Factors and
Disposed Operations. The Insurance segment includes the Companys Self-Employed Agency Division
(SEA), the Life Insurance Division, the Medicare Division and Other Insurance Division. Other Key
Factors includes investment income not allocated to the Insurance segment, realized gains or losses
on sale of investments, interest expense on corporate debt, general expenses relating to corporate
operations, variable non-cash stock-based compensation and operations that do not constitute
reportable operating segments. Disposed Operations includes the Companys former Star HRG Division
and former Student Insurance Division.
Through our SEA Division, we offer a broad range of health insurance products for
self-employed individuals and individuals who work for small businesses. Our basic hospital-medical
and catastrophic hospital expense plans are designed to accommodate individual needs and include
traditional fee-for-service indemnity plans and preferred provider organization (PPO) plans, as
well as other supplemental types of coverage. In addition, we offer on a selective state-by-state
basis a suite of health insurance products to the self-employed and individual market, including a
basic medical-surgical expense plan, catastrophic expense PPO plans and catastrophic expense
consumer guided health plans.
We market these products to the self-employed and individual markets through independent
contractor agents associated with UGA-Association Field Services (UGA) and Cornerstone America
(Cornerstone), which are our dedicated agency sales forces that primarily sell the Companys
products. The Company has approximately 1,300 independent writing agents per week in the field
selling health insurance to the self employed market in 44 states.
Through our Life Insurance Division, we issue universal life, whole life and term life
insurance products to individuals in four markets that we believe are underserved: the
self-employed market, the middle income market, the Hispanic market and the senior market. We
distribute these products directly to individual customers through our UGA and Cornerstone agents
and other independent agents contracted through two key unaffiliated marketing companies. These two
marketing companies, in turn, distribute our life products through managing general agent (MGA)
networks. In June 2008, the Company entered into an agreement to sell substantially all of the
business of the Life Insurance Division.
In 2007, we initiated efforts to expand into the Medicare market. In the fourth quarter of
2007, we began offering a new portfolio of Medicare Advantage Private-Fee-for-Service Plans- called
HealthMarkets Care Assured PlansSM (HMCA Plans) in selected markets in 29 states
with coverage effective for January 1, 2008. Policies are issued by our Chesapeake subsidiary,
under a contract with the Centers for Medicare and Medicaid Services (CMS). In July 2008, the
Company determined it would not elect to continue the Medicare business after the 2008 plan year.
Our Other Insurance Division consists of ZON Re-USA, LLC (ZON Re) (an 82.5%-owned
subsidiary) which underwrites, administers and issues accidental death, accidental death and
dismemberment (AD&D), accident medical, and accident disability insurance products, both on a
primary and on a reinsurance basis. We distribute these products
19
through professional reinsurance intermediaries and a network of independent commercial
insurance agents, brokers and third party administrators (TPAs).
Results of Operations
The table below sets forth certain summary information about the Companys operating results
for the three and six months ended June 30, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Six Months Ended |
|
|
Percentage |
|
|
|
June 30, |
|
|
Increase |
|
|
June 30, |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
|
|
|
|
|
(Dollars in thousands) |
|
|
|
|
|
REVENUE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health premiums |
|
$ |
326,038 |
|
|
$ |
334,504 |
|
|
|
(3 |
)% |
|
$ |
643,303 |
|
|
$ |
668,266 |
|
|
|
(4 |
)% |
Life premiums and other considerations |
|
|
17,761 |
|
|
|
17,444 |
|
|
|
2 |
% |
|
|
36,516 |
|
|
|
33,825 |
|
|
|
8 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
343,799 |
|
|
|
351,948 |
|
|
|
(2 |
)% |
|
|
679,819 |
|
|
|
702,091 |
|
|
|
(3 |
)% |
Investment income |
|
|
15,674 |
|
|
|
23,544 |
|
|
|
(33 |
)% |
|
|
35,231 |
|
|
|
47,122 |
|
|
|
(25 |
)% |
Other income |
|
|
20,390 |
|
|
|
27,445 |
|
|
|
(26 |
)% |
|
|
42,318 |
|
|
|
52,889 |
|
|
|
(20 |
)% |
Loss on sale of investments |
|
|
(4,616 |
) |
|
|
(3,155 |
) |
|
|
NM |
|
|
|
(3,239 |
) |
|
|
(752 |
) |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
375,247 |
|
|
|
399,782 |
|
|
|
(6 |
)% |
|
|
754,129 |
|
|
|
801,350 |
|
|
|
(6 |
)% |
BENEFITS AND EXPENSES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefits, claims, and settlement expenses |
|
|
226,038 |
|
|
|
196,513 |
|
|
|
15 |
% |
|
|
450,295 |
|
|
|
411,844 |
|
|
|
9 |
% |
Underwriting, policy acquisition costs, and
insurance expenses |
|
|
139,678 |
|
|
|
133,444 |
|
|
|
5 |
% |
|
|
267,984 |
|
|
|
253,891 |
|
|
|
6 |
% |
Other expenses |
|
|
27,268 |
|
|
|
23,646 |
|
|
|
15 |
% |
|
|
50,233 |
|
|
|
44,755 |
|
|
|
12 |
% |
Interest expense |
|
|
9,480 |
|
|
|
11,424 |
|
|
|
(17 |
)% |
|
|
19,471 |
|
|
|
22,880 |
|
|
|
(15 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
402,464 |
|
|
|
365,027 |
|
|
|
10 |
% |
|
|
787,983 |
|
|
|
733,370 |
|
|
|
7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing
operations before income taxes |
|
|
(27,217 |
) |
|
|
34,755 |
|
|
|
NM |
|
|
|
(33,854 |
) |
|
|
67,980 |
|
|
|
NM |
|
Federal income taxes |
|
|
(11,533 |
) |
|
|
12,061 |
|
|
|
NM |
|
|
|
(13,554 |
) |
|
|
23,207 |
|
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) from continuing operations |
|
|
(15,684 |
) |
|
|
22,694 |
|
|
|
NM |
|
|
|
(20,300 |
) |
|
|
44,773 |
|
|
|
NM |
|
Income (loss) from discontinued operations, net |
|
|
(3,545 |
) |
|
|
669 |
|
|
|
NM |
|
|
|
(5,222 |
) |
|
|
1,281 |
|
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
(19,229 |
) |
|
$ |
23,363 |
|
|
|
NM |
|
|
$ |
(25,522 |
) |
|
$ |
46,054 |
|
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NM: not meaningful
Revenue and income (loss) from continuing operations before federal income taxes (operating
income) by business segment are summarized in the tables below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Revenues from continuing operations: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
315,535 |
|
|
$ |
362,380 |
|
|
$ |
638,424 |
|
|
$ |
722,620 |
|
Life Insurance Division |
|
|
23,305 |
|
|
|
22,706 |
|
|
|
47,395 |
|
|
|
44,260 |
|
Medicare Division |
|
|
29,916 |
|
|
|
|
|
|
|
46,018 |
|
|
|
|
|
Other Insurance |
|
|
8,219 |
|
|
|
7,882 |
|
|
|
15,911 |
|
|
|
15,508 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
376,975 |
|
|
|
392,968 |
|
|
|
747,748 |
|
|
|
782,388 |
|
Other Key Factors |
|
|
(1,859 |
) |
|
|
7,263 |
|
|
|
6,300 |
|
|
|
19,931 |
|
Intersegment Eliminations |
|
|
(44 |
) |
|
|
(490 |
) |
|
|
(91 |
) |
|
|
(978 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues excluding disposed operations |
|
|
375,072 |
|
|
|
399,741 |
|
|
|
753,957 |
|
|
|
801,341 |
|
Disposed Operations |
|
|
175 |
|
|
|
41 |
|
|
|
172 |
|
|
|
9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenues from continuing operations |
|
$ |
375,247 |
|
|
$ |
399,782 |
|
|
$ |
754,129 |
|
|
$ |
801,350 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
20
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
|
|
June 30, |
|
|
June 30, |
|
|
|
2008 |
|
|
2007 |
|
|
2008 |
|
|
2007 |
|
|
|
(In thousands) |
|
|
(In thousands) |
|
Income (loss) from continuing operations before federal income taxes: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
$ |
18,450 |
|
|
$ |
49,500 |
|
|
$ |
30,745 |
|
|
$ |
84,930 |
|
Life Insurance Division |
|
|
(17,860 |
) |
|
|
488 |
|
|
|
(19,980 |
) |
|
|
517 |
|
Medicare Division |
|
|
(7,327 |
) |
|
|
(1,270 |
) |
|
|
(12,304 |
) |
|
|
(1,407 |
) |
Other Insurance Division |
|
|
3,169 |
|
|
|
1 |
|
|
|
4,241 |
|
|
|
1,761 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Insurance |
|
|
(3,568 |
) |
|
|
48,719 |
|
|
|
2,702 |
|
|
|
85,801 |
|
Other Key Factors |
|
|
(24,292 |
) |
|
|
(14,107 |
) |
|
|
(37,008 |
) |
|
|
(18,320 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating income (loss) excluding disposed operations |
|
|
(27,860 |
) |
|
|
34,612 |
|
|
|
(34,306 |
) |
|
|
67,481 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Disposed Operations |
|
|
643 |
|
|
|
143 |
|
|
|
452 |
|
|
|
499 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total income (loss) from continuing operations before
federal income taxes |
|
$ |
(27,217 |
) |
|
$ |
34,755 |
|
|
$ |
(33,854 |
) |
|
$ |
67,980 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
HealthMarkets results of operations for the three and six months ended June 30, 2008 and 2007
were particularly impacted by the following factors:
Self- Employed Agency Division
Set forth below is certain summary financial and operating data for the Companys
Self-Employed Agency Division for the three and six months ended June 30, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Self-Employed Agency Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Six Months Ended |
|
|
Percentage |
|
|
|
June 30, |
|
|
Increase |
|
|
June 30, |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
|
|
|
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
288,860 |
|
|
$ |
327,183 |
|
|
|
(12 |
)% |
|
$ |
583,064 |
|
|
$ |
653,840 |
|
|
|
(11 |
)% |
Investment income |
|
|
7,107 |
|
|
|
7,681 |
|
|
|
(7 |
)% |
|
|
14,342 |
|
|
|
15,590 |
|
|
|
(8 |
)% |
Other income |
|
|
19,568 |
|
|
|
27,516 |
|
|
|
(29 |
)% |
|
|
41,018 |
|
|
|
53,190 |
|
|
|
(23 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
315,535 |
|
|
|
362,380 |
|
|
|
(13 |
)% |
|
|
638,424 |
|
|
|
722,620 |
|
|
|
(12 |
)% |
Benefits and Expenses
|
Benefit expenses |
|
|
183,370 |
|
|
|
177,885 |
|
|
|
3 |
% |
|
|
372,486 |
|
|
|
376,493 |
|
|
|
(1 |
)% |
Underwriting and policy acquisition expenses |
|
|
102,887 |
|
|
|
119,740 |
|
|
|
(14 |
)% |
|
|
212,021 |
|
|
|
231,817 |
|
|
|
(9 |
)% |
Other expenses |
|
|
10,828 |
|
|
|
15,255 |
|
|
|
(29 |
)% |
|
|
23,172 |
|
|
|
29,380 |
|
|
|
(21 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
297,085 |
|
|
|
312,880 |
|
|
|
(5 |
)% |
|
|
607,679 |
|
|
|
637,690 |
|
|
|
(5 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
18,450 |
|
|
$ |
49,500 |
|
|
|
(63 |
)% |
|
$ |
30,745 |
|
|
$ |
84,930 |
|
|
|
(64 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
63.5 |
% |
|
|
54.4 |
% |
|
|
|
|
|
|
63.9 |
% |
|
|
57.6 |
% |
|
|
|
|
Expense ratio |
|
|
35.6 |
% |
|
|
36.6 |
% |
|
|
|
|
|
|
36.4 |
% |
|
|
35.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
99.1 |
% |
|
|
91.0 |
% |
|
|
|
|
|
|
100.3 |
% |
|
|
93.1 |
% |
|
|
|
|
Average number of writing agents in period |
|
|
1,318 |
|
|
|
1,911 |
|
|
|
|
|
|
|
1,363 |
|
|
|
2,070 |
|
|
|
|
|
Submitted annualized volume |
|
$ |
116,645 |
|
|
$ |
185,286 |
|
|
|
|
|
|
$ |
246,270 |
|
|
$ |
385,826 |
|
|
|
|
|
Loss ratio. The loss ratio represents total benefit expenses as a percentage of earned
premium revenue.
Expense ratio. The expense ratio represents underwriting and policy acquisition expenses as a
percentage of earned premium revenue.
The SEA Division reported operating income in the three and six months period ended June 30,
2008 of $18.5 million and $30.7 million, respectively, compared to operating income of $49.5
million and $84.9 million in the corresponding 2007 period. Operating income in the SEA Division
as a percentage of earned premium revenue (i.e., operating margin) in the six month period ended
June 30, 2008 was 5.3% compared to operating margin of 13.0% in the corresponding 2007 period. The
decrease in operating margin during the current year period compared to the corresponding prior
year period is primarily attributable to an increase in the loss ratio reflecting an ongoing
gradual shift in product mix. For the last two years the Companys sales efforts have been focused
on new PPO type products which by design have a higher loss ratio than the Companys previous
products that were largely per occurrence or scheduled benefit products. Operating margin was also
adversely impacted during the current year period due to an 11% decrease in earned premium.
Underwriting and policy acquisition expenses decreased by $16.9 million and $19.8 million,
respectively, during the three and six months ended June 30, 2008. This decrease reflects the
variable nature of commission expenses and premium taxes included in these amounts which generally
vary in proportion to earned premium revenue. Other income and other expenses both decreased in
the current period compared to the prior year period. Other income largely consists of fee and
other income received for sales of memberships by our dedicated agency sales force for which other
expenses are incurred for bonuses and other compensation provided to the agents. Sales of
memberships by our dedicated agency sales
21
force tend to move in tandem with sales of health insurance policies; consequently, this
decrease in other income and other expense is consistent with the decline in earned premium.
In the six months ended June 30, 2008, total SEA Division submitted annualized premium volume
(i.e., the aggregate annualized premium amount associated with individual and small group health
insurance applications submitted by the Companys agents for underwriting by the Company) decreased
to $246.3 million from $385.8 million in the corresponding 2007 period. The period over period
decreases in submitted annualized premium volume was primarily attributable to a decrease in the
number of writing agents and a focus, during the first quarter, on selling the Companys new
Medicare product.
Life Insurance Division
Set forth below is certain summary financial and operating data for the Companys Life
Insurance Division for the three and six months ended June 30, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Life Insurance Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Six Months Ended |
|
|
Percentage |
|
|
|
June 30, |
|
|
Increase |
|
|
June 30, |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
17,593 |
|
|
$ |
17,259 |
|
|
|
2 |
% |
|
$ |
36,177 |
|
|
$ |
33,529 |
|
|
|
8 |
% |
Investment income |
|
|
5,162 |
|
|
|
5,145 |
|
|
|
0 |
% |
|
|
10,310 |
|
|
|
10,234 |
|
|
|
1 |
% |
Other income |
|
|
550 |
|
|
|
302 |
|
|
|
82 |
% |
|
|
908 |
|
|
|
497 |
|
|
|
83 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
23,305 |
|
|
|
22,706 |
|
|
|
3 |
% |
|
|
47,395 |
|
|
|
44,260 |
|
|
|
7 |
% |
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
15,262 |
|
|
|
13,701 |
|
|
|
11 |
% |
|
|
32,282 |
|
|
|
27,580 |
|
|
|
17 |
% |
Underwriting and policy acquisition expenses |
|
|
25,903 |
|
|
|
8,517 |
|
|
|
204 |
% |
|
|
35,093 |
|
|
|
16,163 |
|
|
|
117 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
41,165 |
|
|
|
22,218 |
|
|
|
85 |
% |
|
|
67,375 |
|
|
|
43,743 |
|
|
|
54 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income (loss) |
|
$ |
(17,860 |
) |
|
$ |
488 |
|
|
|
NM |
|
|
$ |
(19,980 |
) |
|
$ |
517 |
|
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NM: not meaningful
The Companys Life Insurance Division reported an operating loss in the three and six month
period of June 30, 2008 of $17.9 million and $20.0 million, respectively compared to operating
income of $488,000 and $517,000 in the corresponding 2007 period. The decrease in operating income
for the three and six-month periods reflects a $13.0 million impairment charge to underwriting and
policy acquisition expenses as a result of the decision to exit this business by reinsuring on a
100% coinsurance basis substantially all of the insurance polices associated with the Companys
Life Insurance Division. Based upon the consideration expected to be received in connection with
the coinsurance arrangement, the Company recorded an impairment charge to deferred acquisition
costs in the three months ended June 30, 2008. See Note 2 of Notes to consolidated condensed
financial statements. Additionally, during the quarter ended
June 30, 2008, the Life Insurance Division incurred employee
termination costs of $3.2 million related to the pending
coinsurance arrangement. Also, contributing to the decrease in operating income for the three and six-month
periods was a strengthening of the future policy and contract benefit reserves of $1.8 million and
$3.9 million, respectively, for certain interest sensitive whole life products.
In the three and six months ended June 30, 2008, the Companys Life Insurance Division
generated annualized paid premium volume (i.e., the aggregate annualized life premium amount
associated with new life insurance policies issued by the Company) in the amount of $5.5 million
and $10.6 million, respectively, compared to $4.6 million and $8.9 million, respectively, in the
corresponding 2007 period. The 2008 increase in annualized premium was primarily due to an
increase in the sales of the Companys whole life product to assist seniors in meeting their needs
to cover final expenses.
Medicare Division
In 2007, we initiated efforts to expand into the Medicare market. In the fourth quarter of
2007, we began offering a new portfolio of Medicare Advantage Private-Fee-for-Service Plans -
called HealthMarkets Care Assured PlansSM (HMCA Plans) in selected markets in 29
states with coverage effective for January 1, 2008. Policies are issued by our Chesapeake
subsidiary, under a contract with the Centers for Medicare and Medicaid Services (CMS).
Our HMCA Plans are offered to Medicare eligible beneficiaries as a replacement for original
Medicare and Medigap (Supplement) policies. They provide enrollees with the actuarial benefit
equivalence they would receive under original Medicare, as well as certain additional benefits or
benefit options, such as preventive care, pharmacy benefits and certain vision, dental and hearing
services. Enrollees can obtain services from any Medicare-eligible provider who agrees to accept
the HMCA Plans terms and conditions. Enrollees may or may not pay a premium in addition to the
premium payable for original Medicare. The amount of the additional premium varies, based on the
level of benefits and coverage. Our initial
22
plan offerings include the HealthMarkets Care Assured Value Plan, which has a $3,500 annual
maximum out-of-pocket for covered expenses, and the HealthMarkets Care Assured Premier Plan, which
has a $1,500 annual maximum out-of-pocket for covered expenses. Each plan can be purchased with
Medicare Part D prescription drug coverage as an optional benefit. Coinsurance and copayment
requirements vary by plan and service received. Covered expenses are not subject to a deductible.
Set forth below is certain summary financial and operating data for the Companys Medicare
Division for the three and six months ended June 30, 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Medicare Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Six Months Ended |
|
|
Percentage |
|
|
|
June 30, |
|
|
Increase |
|
|
June 30, |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
29,813 |
|
|
$ |
|
|
|
|
NM |
|
|
$ |
45,859 |
|
|
$ |
|
|
|
|
NM |
|
Investment income and other income |
|
|
103 |
|
|
|
|
|
|
|
NM |
|
|
|
159 |
|
|
|
|
|
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
29,916 |
|
|
|
|
|
|
|
NM |
|
|
|
46,018 |
|
|
|
|
|
|
|
NM |
|
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
26,039 |
|
|
|
|
|
|
|
NM |
|
|
|
40,130 |
|
|
|
|
|
|
|
NM |
|
Underwriting and policy acquisition expenses |
|
|
11,204 |
|
|
|
1,270 |
|
|
|
NM |
|
|
|
18,192 |
|
|
|
1,407 |
|
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
37,243 |
|
|
|
1,270 |
|
|
|
NM |
|
|
|
58,322 |
|
|
|
1,407 |
|
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating loss |
|
$ |
(7,327 |
) |
|
$ |
(1,270 |
) |
|
|
NM |
|
|
$ |
(12,304 |
) |
|
$ |
(1,407 |
) |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
87.3 |
% |
|
|
NM |
|
|
|
|
|
|
|
87.5 |
% |
|
|
NM |
|
|
|
|
|
Expense ratio |
|
|
37.6 |
% |
|
|
NM |
|
|
|
|
|
|
|
39.6 |
% |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
124.9 |
% |
|
|
NM |
|
|
|
|
|
|
|
127.1 |
% |
|
|
NM |
|
|
|
|
|
Loss ratio. The loss ratio represents total benefit expenses as a percentage of earned
premium revenue.
Expense ratio. The expense ratio represents underwriting and policy acquisition expenses as a
percentage of earned premium revenue.
The Medicare Division produced $29.8 million and $45.9 million in earned premium for the three
and six months ended June 30, 2008 on 35,534 and 54,962 member months, respectively. The Company
had approximately 12,000 enrolled members as of June 30, 2008. Benefit expenses for the six-month
period ended June 30, 2008 of $40.1 million resulted in a loss ratio of 87.5% consistent with the
Companys expectations after adjusting for the actual member risk scores as provided by CMS.
Underwriting and policy acquisition expenses of $18.2 million for the six months ended June 30,
2008 include commissions, marketing costs, and all administrative and operating costs.
Additionally, the three and six-month underwriting and policy acquisition expenses include a
minimum volume guarantee fee and contract termination cost of $4.9 million payable to the Companys
third-party administrator. This minimum volume guarantee fee was for a contractually required
member month level of activity over the three year term of the contract covering years 2008 through
2010 that the Company does not expect to meet. To the extent the Company will now incur a contract
termination fee instead, based on the decision to exit the Medicare Advantage PFFS market, the
amount of the minimum volume guarantee fee was limited to the amount of the anticipated contract
termination fee.
In October 2007, Chesapeake voluntarily suspended its Medicare marketing and enrollment
activities pending a review by CMS of Chesapeakes compliance with regulatory requirements. In
connection with this review, Chesapeake agreed with CMS to take certain actions to ensure that it
met applicable Medicare program requirements and, in November 2007, Chesapeake resumed marketing
and enrollment activities related to its HMCA plans. The Company believes that the suspension of
Medicare marketing and enrollment activities in the fourth quarter of 2007 adversely affected
enrollment of beneficiaries into Chesapeakes HMCA Plans for the 2008 plan year. Chesapeakes
Medicare marketing and enrollment activities are subject to ongoing review by CMS and, in April
2008, CMS requested additional materials from Chesapeake as part of a follow-up review of
Chesapeakes Medicare marketing and enrollment activities during the first quarter of 2008. As a
result of that review, on June 6, 2008, CMS requested that the Company submit a Corrective Action
Plan (CAP). The Company submitted the CAP on June 20, 2008, and has provided routine updates on
its progress to CMS every two weeks beginning on July 1, 2008. The CAP provides for the Company
to: increase the number of providers willing to be deemed, implement a meaningful disciplinary
process for agents, decrease the rate of complaints against the Company, and decrease the Companys
level of rapid disenrollment/cancellations.
On July 15, 2008, the Medicare Improvements for Patients and Providers Act of 2008 (HR. 6331)
was enacted, resulting in significant changes to the Medicare program, including the phased
elimination of Medicare Advantage PFFS deeming arrangements beginning 2011. The Company believes that this new law will
make it difficult for the Company to operate effectively in the Medicare Market. With
this changing landscape of the Medicare regulations, in July 2008, the Company decided that it will
not participate in the Medicare Advantage marketplace beyond the current year. The Company will
23
continue to serve its current members through 2008 and fulfill its obligation under the current
Medicare contract. In connection with its exit from the Medicare market, the Company will incur
employee termination costs of $2.5 million and asset impairment charges of $1.2 million. The
Company believes that its exit from the Medicare market will not, in the aggregate, have a material
adverse effect on the Companys consolidated financial position, but may potentially have a
material adverse effect on the results of operations or cash flows in any given accounting period.
Other Insurance Division
Set forth below is certain summary financial and operating data for the Companys Other
Insurance Division for the three and six months ended June 30, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Insurance Division |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Six Months Ended |
|
|
Percentage |
|
|
|
June 30, |
|
|
Increase |
|
|
June 30, |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earned premium revenue |
|
$ |
7,533 |
|
|
$ |
7,465 |
|
|
|
1 |
% |
|
$ |
14,718 |
|
|
$ |
14,713 |
|
|
|
0 |
% |
Investment income |
|
|
448 |
|
|
|
387 |
|
|
|
16 |
% |
|
|
890 |
|
|
|
747 |
|
|
|
19 |
% |
Other income |
|
|
238 |
|
|
|
30 |
|
|
| NM | |
|
|
303 |
|
|
|
48 |
|
|
| NM | |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
8,219 |
|
|
|
7,882 |
|
|
|
4 |
% |
|
|
15,911 |
|
|
|
15,508 |
|
|
|
3 |
% |
Benefits and Expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefit expenses |
|
|
1,816 |
|
|
|
5,074 |
|
|
|
(64 |
)% |
|
|
5,790 |
|
|
|
8,249 |
|
|
|
(30 |
)% |
Underwriting and policy acquisition expenses |
|
|
3,234 |
|
|
|
2,807 |
|
|
|
15 |
% |
|
|
5,880 |
|
|
|
5,498 |
|
|
|
7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses |
|
|
5,050 |
|
|
|
7,881 |
|
|
|
(36 |
)% |
|
|
11,670 |
|
|
|
13,747 |
|
|
|
(15 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
3,169 |
|
|
$ |
1 |
|
|
| NM | |
|
$ |
4,241 |
|
|
$ |
1,761 |
|
|
|
141 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other operating data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss ratio |
|
|
24.1 |
% |
|
|
68.0 |
% |
|
|
|
|
|
|
39.3 |
% |
|
|
56.1 |
% |
|
|
|
|
Expense ratio |
|
|
42.9 |
% |
|
|
37.6 |
% |
|
|
|
|
|
|
40.0 |
% |
|
|
37.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Combined ratio |
|
|
67.0 |
% |
|
|
105.6 |
% |
|
|
|
|
|
|
79.3 |
% |
|
|
93.5 |
% |
|
|
|
|
Loss ratio. The loss ratio represents benefits expenses related to accident insurance and
reinsurance contracts stated as a percentage of earned premiums.
Expense ratio. The expense ratio represents underwriting and policy acquisition expenses
related to accident insurance and reinsurance contracts stated as a percentage of earned premium
revenue.
For the three and six months ended June 30, 2008, operating income was $3.2 million and $4.2
million, respectively, on revenue of $8.2 million and $15.9 million, respectively, compared to
operating income of $100,000 and $1.8 million, respectively, on revenue of $7.9 million and $15.5 million,
respectively, for the corresponding period in 2007. The results for the three months ended June 30,
2008 reflect positive claim experience while the results for the three months ended June 30, 2007
reflect adverse claim experience, in particular the impact of two large claims on the reinsured
business. The increase in underwriting and policy acquisition expenses for the three and six
months ended June 30, 2008 includes an increase in the incentive compensation plan tied to the
current period profitability partially offset by a decrease in litigation expenses from the prior
year periods.
Other Key Factors
The Companys Other Key Factors segment includes investment income not otherwise allocated to
the Insurance segment, realized gains and losses, interest expense on corporate debt, general
expenses relating to corporate operations, variable stock compensation, and other unallocated
items.
24
Set forth below is certain summary financial data for the Companys Other Key Factors segment
for the three and six months ended June 30, 2008 and 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other Key Factors |
|
|
|
Three Months Ended |
|
|
Percentage |
|
|
Six Months Ended |
|
|
Percentage |
|
|
|
June 30, |
|
|
Increase |
|
|
June 30, |
|
|
Increase |
|
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
2008 |
|
|
2007 |
|
|
(Decrease) |
|
|
|
(Dollars in thousands) |
|
Investment income on equity |
|
$ |
2,931 |
|
|
$ |
10,417 |
|
|
|
(72 |
)% |
|
$ |
9,664 |
|
|
$ |
20,682 |
|
|
|
(53 |
)% |
Realized loss on investments |
|
|
(4,790 |
) |
|
|
(3,154 |
) |
|
| NM | |
|
|
(3,364 |
) |
|
|
(751 |
) |
|
| NM | |
Interest expense on non-student loan debt |
|
|
(9,479 |
) |
|
|
(11,424 |
) |
|
|
(17 |
)% |
|
|
(19,471 |
) |
|
|
(22,879 |
) |
|
|
(15 |
)% |
Variable stock-based compensation (expense) benefit |
|
|
3,508 |
|
|
|
(1,546 |
) |
|
|
NM |
|
|
|
3,218 |
|
|
|
5 |
|
|
NM |
|
General corporate expenses and other |
|
|
(16,462 |
) |
|
|
(8,400 |
) |
|
|
96 |
% |
|
|
(27,055 |
) |
|
|
(15,377 |
) |
|
|
76 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating expense |
|
$ |
(24,292 |
) |
|
$ |
(14,107 |
) |
|
|
72 |
% |
|
$ |
(37,008 |
) |
|
$ |
(18,320 |
) |
|
|
NM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The Other Key Factors segment reported operating losses in the three and six month period
ended June 30, 2008 of $24.3 million and $37.0 million, respectively, compared to operating losses
of $14.1 million and $18.3 million, respectively in the corresponding 2007 periods.
Operating results for the three and six months ended June 30, 2008 compared to the
corresponding prior period reflects the following items. Investment income on equity decreased due
to a decrease in the amount of assets available for investment in the 2008 period compared to the
2007 period, and a $3.4 million decrease in investment income during the current quarter on the
Companys equity method investments. Interest expense decreased due to a lower outstanding
principal balance in the 2008 periods on corporate debt reflecting a $75.0 million principal
payment in the second quarter of 2007. General corporate expenses increased due to $5.8 million
and $9.2 million of employee termination costs during the current three and six-month periods,
respectively, associated with the departure of several corporate executives and $1.3 million of
professional fees incurred during the current quarter associated with the Life Insurance Division
transaction. In addition, realized losses during the current periods were greater than the
corresponding periods in the prior year primarily due to impairment charges recognized during the
current quarter on certain investments primarily in collateralized debt obligations. These
impairment charges resulted from other than temporary reductions in the fair value of the
investments compared to the Companys cost basis. The variable stock-based
compensation results for the six-month period in 2008 reflect an additional 12%
decrease in the value of the Company's share price from the comparable period in 2007.
Additionally, the 2007 results reflect additional share credits granted to participants in the
agent stock accumulation plans in 2007 in connection with the extraordinary cash dividend paid
in the second quarter of 2007.
Liquidity and Capital Resources
Historically, the Companys primary sources of cash on a consolidated basis have been premium
revenue from policies issued, investment income, fees and other income, and borrowings under a
secured student loan credit facility. The primary uses of cash have been payments for benefits,
claims and commissions under those policies, servicing of the Companys debt obligations, operating
expenses and the funding of student loans generated under the Companys College First Alternative
Loan program. In the six months ended June 30, 2008, net cash provided by operations totaled
approximately $24.4 million, compared to $55.4 million in the corresponding period of 2007.
HealthMarkets, Inc., is a holding company, the principal assets of which are its investment in
its wholly-owned subsidiary, HealthMarkets, LLC, to which, in connection with the Merger,
HealthMarkets, Inc. contributed substantially all of its assets and liabilities. The holding
companys ability to fund its cash requirements is largely dependent upon its ability to access
cash, by means of dividends or other means, from HealthMarkets, LLC. HealthMarkets, LLCs principal
assets are its investments in its separate operating subsidiaries, including its regulated
insurance subsidiaries. At June 30, 2008 and December 31, 2007, the aggregate cash and cash
equivalents and short-term investments held at both the holding company level and HealthMarkets,
LLC was $84.7 million and $63.0 million, respectively.
Prior approval by insurance regulatory authorities is required for the payment by a domestic
insurance company of dividends that exceed certain limitations based on statutory surplus and net
income. The Company will continue to assess the results of operations of the regulated domestic
insurance subsidiaries to determine the prudent dividend capability of the subsidiaries, consistent
with HealthMarkets practice of maintaining risk-based capital ratios at each of the Companys
domestic insurance subsidiaries significantly in excess of minimum requirements.
25
Our principal insurance subsidiaries are rated by A.M. Best Company (A.M. Best), Fitch
Ratings (Fitch) and Standard & Poors (S&P). Set forth below are the current financial strength
ratings of the principal insurance subsidiaries.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
A.M. Best |
|
Fitch |
|
S&P |
MEGA |
|
B++ (Good) |
|
BBB+ |
|
BBB (Good) |
Mid-West |
|
B++ (Good) |
|
BBB+ |
|
BBB (Good) |
Chesapeake |
|
B++ (Good) |
|
BBB |
|
BBB- (Good) |
In
the table above, the A.M. Best ratings carry a negative
outlook, the Fitch ratings carry a negative outlook and
the S&P ratings carry a stable outlook.
In evaluating a company, independent rating agencies review such factors as the companys
capital adequacy, profitability, leverage and liquidity, book of business, quality and estimated
market value of assets, adequacy of policy liabilities, experience and competency of management,
and operating profile. A.M. Bests ratings currently range from A++ (Superior) to F
(Liquidation). A.M. Bests ratings are based upon factors relevant to policyholders, agents,
insurance brokers and intermediaries and are not directed to the protection of investors. Fitchs
ratings provide an overall assessment of an insurance companys financial strength and security,
and the ratings are used to support insurance carrier selection and placement decisions. Fitchs
ratings range from AAA (Exceptionally Strong) to C (Very Weak). S&Ps financial strength
rating is a current opinion of the financial security characteristics of an insurance organization
with respect to its ability to pay under its insurance policies and contracts in accordance with
their terms. S&Ps financial strength ratings range from AAA (Extremely Strong) to CC
(Extremely Weak).
A.M. Best has assigned to HealthMarkets, Inc. an issuer credit rating of bbb- (Good) with a
negative outlook. A.M. Bests issuer credit rating is a current opinion of an obligors ability
to meet its senior obligations. A.M. Bests issuer credit ratings range from aaa (Exceptional)
to d (In Default).
Fitch has assigned to HealthMarkets, Inc. a long term issuer default rating of BBB- (Good)
with a negative outlook. Fitchs long term issuer default rating is a current opinion of an
obligors ability to meet all of its most senior financial obligations on a timely basis over the
term of the obligation. Fitchs long term issuer default ratings range from AAA (Exceptionally
Strong) to D (Default).
S&Ps Rating Services has assigned to HealthMarkets, Inc. a counterparty credit rating of BB
(Less Vulnerable) with a stable outlook. S&Ps counterparty credit rating is a current opinion of
an obligors overall financial capacity to pay its financial obligations. S&Ps counterparty credit
ratings range from AAA (Extremely Strong) to D (Default).
Contractual Obligations and Off Balance Sheet Obligations
The agreements governing certain indebtedness incurred by the Company in connection with the
Merger contain restrictive covenants, including certain prescribed financial ratios, limitations on
additional indebtedness as a percentage of certain defined equity amounts and restrictions on the
disposal of certain subsidiaries, including primarily the Companys regulated insurance
subsidiaries. Other contractual obligations or off balance sheet arrangements (which consist solely
of commitments to fund student loans generated by its former College Fund Life Division and letters
of credit) are described in the Companys Annual Report on Form 10-K for the year ended December
31, 2007 under the caption Managements Discussion and Analysis of Financial Condition and Results
of Operations.
Set forth below is a summary of the Companys contractual obligations on a consolidated basis
at June 30, 2008 and December 31, 2007 (dollars in thousands):
|
|
|
|
|
|
|
|
|
|
|
At June 30, 2008 |
|
|
At December 31, 2007 |
|
Corporate indebtedness |
|
$ |
481,070 |
|
|
$ |
481,070 |
|
Future policy benefits |
|
|
473,780 |
|
|
|
463,277 |
|
Claim liabilities |
|
|
431,227 |
|
|
|
435,099 |
|
Other policy liabilities |
|
|
10,452 |
|
|
|
10,764 |
|
Capital lease obligations |
|
|
267 |
|
|
|
364 |
|
|
|
|
|
|
|
|
Total |
|
$ |
1,396,796 |
|
|
$ |
1,390,554 |
|
|
|
|
|
|
|
|
In addition to the contractual obligations set forth in the table above, the Company also is a
party to various operating leases for office space and equipment.
All indebtedness issued under the secured student loan credit facility represents obligations
solely of a special purpose entity (SPE) and not of the Company or any other subsidiary and is
secured by student loans, accrued investment income, cash, cash equivalents and qualified
investments.
At each of June 30, 2008 and December 31, 2007, the Company had $19.6 million and $14.3
million, respectively, of letters of credit outstanding relating to its insurance operations.
Critical Accounting Policies and Estimates
The Companys discussion and analysis of its financial condition and results of operations are
based on its consolidated condensed financial statements, which have been prepared in accordance
with United States generally accepted accounting principles. The preparation of these consolidated
condensed financial statements requires the Company to make estimates and judgments that affect the
reported amounts of assets, liabilities, revenue and expenses, and related disclosure of contingent
assets and liabilities. On an on-going basis, the Company evaluates its estimates, including those
26
related to health and life insurance claims and liabilities, deferred acquisition costs, bad
debts, impairment of investments, intangible assets, income taxes, financing operations and
contingencies and litigation. The Company bases its estimates on historical experience and on
various other assumptions that are believed to be reasonable under the circumstances, the results
of which form the basis for making judgments about the carrying values of assets and liabilities
that are not readily apparent from other sources. Actual results may differ from these estimates
under different assumptions or conditions. Reference is made to the discussion of these critical
accounting policies and estimates contained in the Companys Annual Report on Form 10-K for the
year ended December 31, 2007 under the caption Managements Discussion and Analysis of Financial
Condition and Results of Operations Critical Accounting Policies and Estimates.
Fair Value Measurement
Effective January 1, 2008, HealthMarkets adopted FAS No. 157, Fair Value Measurements, for
financial assets and liabilities. FAS No. 157 defines fair value, expands disclosure requirements,
and specifies a hierarchy of valuation techniques. The disclosure of fair value estimates in the
FAS 157 hierarchy is based on whether the significant inputs into the valuation are observable. In
determining the level of hierarchy in which the estimate is disclosed, the highest priority is
given to unadjusted quoted prices in active markets and the lowest priority to unobservable inputs
that reflect the Companys significant market assumptions. Following is a brief description of the
type of valuation information (inputs) that qualifies a financial asset for each level:
|
|
|
Level 1 Unadjusted quoted market prices for identical assets or liabilities in
active markets which are accessible by the Company. |
|
|
|
|
Level 2 Observable prices in active markets for similar assets or liabilities.
Prices for identical or similar assets or liabilities in markets that are not active.
Directly observable market inputs for substantially the full term of the asset or
liability, e.g., interest rates and yield curves at commonly quoted intervals,
volatilities, prepayment speeds, default rates, and credit spreads. Market inputs that
are not directly observable but are derived from or corroborated by observable market
data. |
|
|
|
|
Level 3 Unobservable inputs based on the Companys own judgment as to assumptions a
market participant would use, including inputs derived from extrapolation and
interpolation that are not corroborated by observable market data. |
For investments that have quoted market prices in active markets, the Company uses the quoted
market prices as fair value and includes these prices in the amounts disclosed in Level 1 of the
hierarchy. When quoted market prices in active markets are unavailable, fair values are estimated
by management based on independent external valuation information, which utilizes various models
and valuation techniques based on a range of inputs including pricing models, quoted market price
of publicly traded securities with similar duration and yield, time value, yield curve, prepayment
speeds, default rates and discounted cash flow. In general, the fair values based on these
observable market inputs fall into the Level 2 of the hierarchy, but in certain cases where there
is limited activity or less transparency around inputs to the valuation, the fair values are
reflected within Level 3 of the valuation hierarchy. When relying on bid/ask spreads from
dealers, the Company typically uses the mid-mark to determine fair value. In extreme cases, where the
bid/ask spread is unusually wide, the Company may use a convention other than the mid-mark to
determine fair value based on other observable inputs. See Note 10 of Notes to consolidated
condensed financial statements for further information about the Companys financial assets and
liabilities that are accounted for at fair value.
Regulatory and Legislative Matters
The business of insurance is primarily regulated by the states and is also affected by a range
of legislative developments at the state and federal levels. Recently adopted legislation and
regulations may have a significant impact on the Companys business and future results of
operations. Reference is made to the discussion under the caption Business Regulatory and
Legislative Matters in the Companys Annual Report on Form 10-K for the year ended December 31,
2007.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
The Company has not experienced significant changes related to its market risk exposures
during the quarter ended June 30, 2008. Reference is made to the information contained in the
Companys Annual Report on Form 10-K for the year ended December 31, 2007 in Item 7A Quantitative
and Qualitative Disclosures about Market Risk.
ITEM 4T. CONTROLS AND PROCEDURES
Disclosure Controls and Procedures
The Company maintains a set of disclosure controls and procedures designed to ensure that
information required to be disclosed in reports that it files or submits under the Securities
Exchange Act of 1934, as amended (the Exchange Act), is recorded, processed, summarized and
reported within the time periods specified in Securities and Exchange Commission rules and forms.
In addition, the disclosure controls and procedures ensure that information required to be
disclosed is accumulated and communicated to management, including the principal executive officer
and principal financial officer, allowing timely decisions regarding required disclosure. Under the
supervision and with the participation of our management, including our principal executive officer
and principal financial officer, we conducted an evaluation of our disclosure controls and
procedures, as such term is defined under Rule 13a-15(e) promulgated under the Exchange Act. Based
on this evaluation, our principal executive officer and our principal financial officer concluded
that our disclosure controls and procedures were effective as of the end of the period covered by
this quarterly report.
Change in Internal Control over Financial Reporting
There has been no change in the Companys internal control over financial reporting during the
Companys most recent fiscal quarter that has materially affected, or is reasonably likely to
materially affect, the Companys internal control over financial reporting.
PART II. OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
The Company is a party to various material legal proceedings, which are described in Note 6 of
Notes to the Consolidated Condensed Financial Statements included herein and/or in the Companys
Annual Report on Form 10-K filed for the year ended December 31, 2007 under the caption Item 3 -
Legal Proceedings. The Company and its subsidiaries are parties to various other pending legal
proceedings arising in the ordinary course of business, including some asserting significant
damages arising from claims under insurance policies, disputes with agents and other matters; based
in part upon the opinion of counsel as to the ultimate disposition of such lawsuits and claims,
management believes that the liability, if any, resulting from the disposition of such proceedings
will not be material to the Companys consolidated financial condition or results of operations.
Except as discussed in Note 6 to Notes to the Companys Consolidated Condensed Financial Statements
included herein, during the fiscal quarter covered by this Quarterly Report on Form 10-Q, the
Company has not been named in any new material legal proceeding, and there have been no material
developments in the previously reported legal proceedings.
27
ITEM 1A. RISK FACTORS
Reference is made to the risk factors discussed in the Companys Annual Report on Form 10-K
for the year ended December 31, 2007 in Part I, Item 1A. Risk Factors, which could materially
affect the Companys business, financial condition or future results. The Company has not
experienced material changes with respect to its risk factors during the quarter ended June 30,
2008. The risks described in the Companys Annual Report on Form 10-K are not the only risks the
Company faces. Additional risks and uncertainties not currently known to the Company or that the
Company currently deems to be immaterial also may materially adversely affect our business,
financial condition and/or operating results.
ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
During the three months ended June 30, 2008, the Company issued an aggregate of 57,472
unregistered shares of its Class A-1 common stock to a newly-appointed executive officer of the
Company. In particular, on June 30, 2008, an executive officer of the Company purchased 57,472
shares of the Companys Class A-1 common stock for aggregate consideration of $2 million (or $34.80
per share). Such sale of securities was made in reliance upon the exemption from registration
provided by Section 4(2) of the Securities Act of 1933, as amended (and/or Regulation D promulgated
thereunder) for transactions by an issuer not involving a public offering. The proceeds of such
sale were used for general corporate purposes.
The following table sets forth the Companys purchases of HealthMarkets, Inc. Class A-1 common
stock during each of the months in the three-month period ended June 30, 2008.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Number of Shares |
|
|
|
|
|
|
|
|
Average Price |
|
Purchased as Part of |
|
Maximum Number of Shares |
|
|
Total Number of |
|
Paid per Share |
|
Publicly Announced Plans |
|
That May Yet Be Purchased |
Period |
|
Shares Purchased(1) |
|
($) |
|
or Programs |
|
Under The Plan or Program |
|
|
|
4/1/08 to 4//30/08 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5/1/08 to 5/31/08 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6/1/08 to 6/30/08 |
|
|
91,577 |
|
|
|
34.80 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Totals |
|
|
91,577 |
|
|
|
34.80 |
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
The number of shares purchased other than through a publicly announced plan or program includes 91,577 shares purchased from
former or current executives of the Company. |
The following table sets forth the Companys purchases of HealthMarkets, Inc. Class A-2 common
stock during each of the months in the three-month period ended June 30, 2008.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Number of Shares |
|
|
|
|
|
|
|
|
Average Price |
|
Purchased as Part of |
|
Maximum Number of Shares |
|
|
Total Number of |
|
Paid per Share |
|
Publicly Announced Plans |
|
That May Yet Be Purchased |
Period |
|
Shares Purchased(1) |
|
($) |
|
or Programs |
|
Under The Plan or Program |
|
|
|
4/1/08 to 4//30/08 |
|
|
442,662 |
|
|
|
35.01 |
|
|
|
|
|
|
|
|
|
5/1/08 to 5/31/08 |
|
|
270,563 |
|
|
|
34.80 |
|
|
|
|
|
|
|
|
|
6/1/08 to 6/30/08 |
|
|
160,680 |
|
|
|
34.80 |
|
|
|
|
|
|
|
|
|
|
|
|
Totals |
|
|
873,905 |
|
|
|
34.91 |
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
The number of shares purchased other than through a publicly announced plan or program includes 873,905 shares purchased from
former or current participants of the stock accumulation plans established for the benefit of Companys agents. |
28
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
The Companys Annual Meeting of Stockholders was held on May 22, 2008. As of March 30, 2008,
the record date for the meeting, 31,012,201 shares of common stock were issued and
30,920,137 shares were outstanding. The following individuals were elected to the Companys Board
of Directors to hold office for the ensuing year.
|
|
|
|
|
|
|
|
|
Nominee |
|
In Favor |
|
Withheld/Against |
Allen F. Wise |
|
|
26,874,073 |
|
|
|
0 |
|
William J. Gedwed |
|
|
26,874,073 |
|
|
|
0 |
|
Chinh E. Chu |
|
|
26,874,073 |
|
|
|
0 |
|
Harvey C. DeMovick, Jr. |
|
|
26,874,073 |
|
|
|
0 |
|
Adrian M. Jones |
|
|
26,874,073 |
|
|
|
0 |
|
Mural R. Josephson |
|
|
26,874,073 |
|
|
|
0 |
|
Matthew S. Kabaker |
|
|
26,874,073 |
|
|
|
0 |
|
Andrew S. Kahr |
|
|
26,874,073 |
|
|
|
0 |
|
Sumit Rajpal |
|
|
26,874,073 |
|
|
|
0 |
|
Kamil M. Salame |
|
|
26,874,073 |
|
|
|
0 |
|
Steven J. Shulman |
|
|
26,874,073 |
|
|
|
0 |
|
Mr. Kahr resigned from the Board of Directors effective July 31, 2008.
The results of the voting for the proposal to amend the Companys Certificate of Incorporation
to permit the Board of Directors to fill any vacancies among the Additional Directors resulting
from an increase in the number of directors constituting the Board of Directors were as follows:
|
|
|
|
|
|
|
|
|
For |
|
Against |
|
Abstain |
26,874,073 |
|
|
0 |
|
|
|
0 |
|
The results of the voting for the proposal to ratify the appointment of KPMG LLP as the
Companys independent registered public accounting firm to audit the accounts of the Company for
the fiscal year ending December 31, 2008 were as follows:
|
|
|
|
|
|
|
|
|
For |
|
Against |
|
Abstain |
26,874,073 |
|
|
0 |
|
|
|
0 |
|
ITEM 5. OTHER INFORMATION
Effective June 5, 2008, the Company amended its bylaws in connection with the appointment of
David W. Fields as the Companys President and Chief Operating Officer, and the appointment of
Phillip J. Hildebrand as the Companys Chief Executive Officer. Article IV, Section 1 of the
bylaws, which previously provided for the election of a President and Chief Executive Officer, now
separates those positions and provides for the election of a Chief Executive Officer and the
election of a President. In addition, Article IV of the bylaws was amended to add a new Section
6, describing the duties and responsibilities of the Vice Chairman, a new Section 8, describing the
duties and responsibilities of the President and a new Section 9, describing the duties and
responsibilities of the Chief Operating Officer. Article IV, Section 7 of the bylaws was also
amended to modify the description of the duties and responsibilities of the Chief Executive
Officer. The description of the Companys amended bylaws is qualified in its entirety by reference
to the text of the amended bylaws, which are filed as Exhibit 3.2 to this Form 10-Q and
incorporated herein by reference.
29
ITEM 6. EXHIBITS
(a) Exhibits.
|
|
|
Exhibit No. |
|
Description |
|
|
|
3.1
|
|
Certificate of Incorporation of HealthMarkets, Inc. as amended May 22, 2008. |
|
|
|
3.2
|
|
Amended Bylaws of HealthMarkets, Inc. |
|
|
|
10.1
|
|
Regulatory Settlement Agreement entered into as of May 29, 2008 by and among The
MEGA Life and Health Insurance Company, Mid-West National Life Insurance Company
of Tennessee and Mid-West National Life Insurance Company of Tennessee and the
signatory regulators. |
|
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10.2
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Employment Agreement, effective as of June 5, 2008, between HealthMarkets, Inc. and
Phillip Hildebrand, filed as Exhibit 99.2 to the Current Report on Form 8-K dated
June 5, 2008, File No. 001-14953, and incorporated by reference herein. |
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10.3
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Stock Option Agreement, effective as of June 5, 2008, between HealthMarkets, Inc.
and Phillip Hildebrand, filed as Exhibit 99.3 to the Current Report on Form 8-K
dated June 5, 2008, File No. 001-14953, and incorporated by reference herein. |
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10.4
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Amendment No. 2 to Nonqualified Stock Option Agreement by and between
HealthMarkets, Inc. and Troy A. McQuagge, filed as Exhibit 10.1 to the Current
Report on Form 8-K dated June 9, 2008, File No. 001-14953, and incorporated by
reference herein. |
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10.5
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Agreement for Reinsurance and Purchase and Sale of Assets by and among The
Chesapeake Life Insurance Company, Mid-West National Life Insurance Company of
Tennessee, The MEGA Life and Health Insurance Company, HealthMarkets, LLC and
Wilton Reassurance Company, filed as Exhibit 10.1 to the Current Report on Form
8-K dated June 12, 2008, File No. 001-14953, and incorporated by reference
herein. |
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10.6
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Stock Purchase Agreement by and among Wilton Reassurance Company and
HealthMarkets, LLC., filed as Exhibit 10.2 to the Current Report on Form 8-K
dated June 12, 2008, File No. 001-14953, and incorporated by reference herein. |
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10.7
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Transition Services Agreement by and between HealthMarkets, Inc. and William J.
Gedwed, filed as Exhibit 10.1 to the Current Report on Form 8-K dated June 25,
2008, File No. 001-14953, and incorporated by reference herein. |
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10.8
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Amendment No. 1 to Nonqualified Stock Option Agreement by and between
HealthMarkets, Inc. and William J. Gedwed, filed as Exhibit 10.2 to the Current
Report on Form 8-K dated June 25, 2008, File No. 001-14953, and incorporated by
reference herein. |
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31.1
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Rule 13a-14(a)/15d-14(a) Certification, executed by Phillip Hildebrand, Chief
Executive Officer of HealthMarkets, Inc. |
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31.2
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Rule 13a-14(a)/15d-14(a) Certification, executed by Philip Rydzewski, Chief
Accounting Officer of HealthMarkets, Inc., acting principal financial
officer. |
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32
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Certifications required by Rule 13a-14(b) or Rule 15d-14(b) and Section 1350 of
Chapter 63 of Title 18 of the United States Code (18 U.S.C. 1350), executed by
Phillip Hildebrand, Chief Executive Officer of HealthMarkets, Inc. and Philip
Rydzewski, Chief Accounting Officer of HealthMarkets, Inc., acting principal financial officer. |
30
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly
caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
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HEALTHMARKETS, INC
(Registrant)
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Date: August 18, 2008 |
/s/ Phillip J. Hildebrand
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Phillip J. Hildebrand, Chief Executive |
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Officer and Director |
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Date: August 18, 2008 |
/s/ Philip Rydzewski
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Philip Rydzewski, Senior Vice President |
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and
Chief Accounting Officer, acting
principal financial
officer |
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31